948 resultados para Procedimentos Cirúrgicos Refractivos


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The environmental problems generated by construction activity have been widely discussed in Brazil, which has begun to incorporate sustainable building techniques in your ventures. Based on these facts, this work focused on addressing the main characteristics of a sustainable building project. Among them are water conservation, energy efficiency in buildings, managing a construction site with little environmental impact and reuse of materials and construction elements. This work, after the presentation of the main characteristics of a sustainable building project, shows a case study about the implementation of environmental certification LEED Gold level in a large building, located in São Paulo - SP, Brazil. With that, we want to produce a research document about the topic of sustainable buildings

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Oncology is presenting an important role in clinical practice as a speciality in recent years in Veterinary Medicine. Mammary gland tumors are detected mainly in old and middleaged bitches that are sexually intact or spayed and the caudal abdominal and inguinal mammary glands are the most affected and they present a percentage up to 75% of malignancy. The majority of dogs with mammary neoplasms are clinically healthy at the time of diagnosis and the tumors can be identified by the owner or a professional during a routine physical examination. Cytological examination of fine needle aspirates can be performed. This procedure is easy and low cost and some criteria that may indicate malignancy are evaluated, however to obtain a definitive diagnosis is performed histopathology of the excised tissue or from biopsy. Regional lymph nodes are the first lymph node to receive lymphatic drainage from the neoplasm. They are at the highest risk of regional metastasis, while the lung is the most common site for distant metastasis. Determining the clinical stage enables the definition of the extension of the tumor. As a consequence, this allows a prognosis to be established and treatment to be planned. The type of therapy to be chosen incites controversy since there are numerous treatment options described, but the surgery is the chosen treatment. However, surgery is not always effective for malignant tumors, and recurrences may occur and in these cases, auxiliary chemotherapy treatments are used. The prognosis for animals that have mammary tumors depends on several factors, such as: size, stage, type of tumor cells and clinical behavior of the tumor, age and medical condition of the animal, and presence of metastasis. Because of this, more detailed studies are needed based on epidemiological surveys in order to provide more informations about risk factors, prevalence and follow-up after treatment of mammary... (Complete abstract click electronic access below)

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Means for milk, not otherwise specified, the product from complete and uninterrupted milking , in a hygienic, healthy cows, well fed and rested. The milk of other animals must be called according to origin of species. One of the main characteristics that defined the milk is the set of their sensory characteristics, and the main flavor. The control of milk quality in Brazil has been an important factor for the consolidation of the entire production chain, passing necessarily by the dairy industry. The production of milk with good quality guarantees, of course, food safety for consumers. The measures to obtain milk begin on the property, in carrying out correct procedures for milking, storage and transportation of the product also in the dairy. Later, in the laboratory evaluation of physicochemical properties, research fraud, and microbiological examinations. Finally, measures of health education are need for producers to become aware of the economic benefits by obtaining a better quality milk. The objective of this review is to emphasize the importance of using diagnostic procedures methods for the control of mastitis and consequently obtain better Milk quality

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The biological principles of osseointegration caused the rehabilitation treatment with osseointegrated implant become a safe, well alternative accepted by the dental community for the high success rate, allowing the preparation of functional and aesthetic prostheses in edentulous and partial patients. We passed the initial phase of functional vision for an aesthetic approach, too, depending on the demands of the patient and the quest for excellence by professionals. Over these last years, implant treatment has undergone many changes in surgical and prosthetic protocols. The less invasive surgical techniques and the development of restorative materials, especially ceramics allow the prosthetic rehabilitation of high functional quality and aesthetics. The installation of implants in sockets immediately after extraction of teeth involved by fracture, periodontal disease, endodontic lesions, is part of the arsenal of techniques for rehabilitating a number of advantages that we get to the outcome of multidisciplinary treatment. For this, we must consider several criteria in its planning as a fundamental unit, adjacent teeth, multiple losses, system, form and number of implants, type of retention of the prosthesis components, the patient expectation of the outcome perspective, gingival biotype, standard of ridge resorption, the smile line, etc. occlusal analysis. With the three-dimensional placement of the implant can immediately join the biological processes of repair of the socket, implant osseointegration, speeding treatment time. Much has been made by companies in the surface treatment of endosseous implants to be osseointegration shortened and restorative procedures started earlier, bringing benefits to the patient and professional. Among the main advantages we can emphasize the preservation of the structures adjacent to the teeth replaced, minor resorption of bone tissue involved... (Complete abstract click electronic access below)

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Radiography is currently an important method of diagnosis, both medical, dental and veterinary. The image in this type of survey is obtained using an X-ray beam, where the radiologist can possibly view structures of interest. It isn't always possible to get the desired images due to various factors, such as equipment limitations. The Administrative Law 453/98, the State Resolution SS 625/94, and other standards require testing and quality control acceptance limits that guarantee a good performance of the equipment for the security and quality of care, giving service users greater effectiveness in exams. This study were performed in the accompaniment of testing procedures for quality control established by Administrative Law 453/98 in several X-ray equipment to make a comparison and optimization in the descriptions of the procedures used by the Institute for Electrical Energy and the University of São Paulo (IEE / USP / SP).The optimization of the procedures were performed with the aid of a current literature, the Resolution 453/98, State Resolution SS 625/94 and other international standards. On this basis it was possible to observe the importance of regular monitoring of tests for an update, following the technological development of instruments used in the service

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Estima-se que anualmente, em função do tráfico de animais silvestres, cerca de 12 milhões de espécimes sejam retirados de nossas florestas, sendo que apenas uma ínfima porcentagem de indivíduos é recuperada e destinada à soltura com o devido rigor técnico. O tráfico de animais silvestres constitui um dos fatores mais relevantes da destruição da fauna, acarretando em um desequilíbrio na estruturação e manutenção dos ecossistemas. Este comércio ilegal constituise o terceiro maior do mundo, perdendo apenas para o tráfico de narcóticos e armas. Assim, para otimizar o processo de soltura da fauna como estratégia para conservação de espécies torna-se necessário uma análise quantitativa e qualitativa da fauna atendida e dos procedimentos realizados nos Centros de Triagem de Animais Silvestres (CETAS). Nesse sentido, o presente trabalho teve como objetivo fazer uma caracterização da fauna recebida e uma avaliação dos procedimentos realizados em dois CETAS, além de discutir sobre a importância desse órgão na triagem, reabilitação e conservação de animais silvestres. O presente estudo é justificado pela escassez de informações sobre a fauna retirada da natureza. Estas são necessárias para servir de base científica para a adoção de políticas públicas para o combate ao tráfico de animais silvestres; elaborar um programa de fauna que contemple a triagem e destinação adequada e contribuir para o desenvolvimento de trabalhos educativos com o fim de esclarecimento da sociedade. Foram analisados o “Livro de Registro” do CETAS da Fundação Animália e o “Livro de Plantão” do CETAS DEPAVE – 3, bem como os “Relatórios CETAS” que esses dois Centros enviaram ao IBAMA. O período escolhido foi do ano de 2003 a 2008. Os dados foram compilados e organizados em planilhas do Microsoft Office Excel e foram elaborados tabelas e gráficos para análise dos resultados.

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The present paper conducts an analysis of all steps for the construction of diaphragm walls, from obtaining the soil parameters until its execution. Construction stages of diaphragm wall are detailed. The paper presents a detailed analysis of the main available calculation methods to obtain the soil parameters and the design of the diaphragm wall. A case history extensively documented in previous research and present in international symposiums was chosen for an analysis of construction process and excavation’s instrumentations, as well as emphasizing the importance of temporary works and construction sequence for deep excavation with cast in-situ diaphragm walls. In general, it is possible to conclude the main difficulty and uncertainty of the dimensioning are obtaining the soil parameter for diaphragm wall design. And, it is also possible to conclude the monitoring and execution control are paramount to the success of the diaphragm wall construction

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No Brasil, 90% de pacientes com insuficiência renal crônica ou aguda dependem dos procedimentos de hemodiálise para remover produtos de degradação metabólica, excesso de água e de sais minerais do organismo, a fim de restaurar o equilíbrio ácido-base e eletrolítico. Entretanto, o processo de osmose reversa, que visa remover todos os íons da água, também remove o cloro, que exerce efeito bacteriostático sob diversas bactérias autóctones, que passam a se multiplicar na água. Entre os principais grupos dessas bactérias, estão os bastonetes Gram negativos não fermentadores (BGN) e os mais frequentemente associados a bacteremias, em pacientes de hemodiálise são Pseudomonas aeruginosa, Stenotrophomonas maltophilia e Burkholderia cepacia. Essas bactérias podem produzir biofilmes, o que torna sua eliminação do encanamento quase impossível. Assim, o objetivo do trabalho foi a análise de água e do dialisato, da Unidade de Hemodiálise de um Hospital Universitário, na pesquisa dos três BGNs citados. Também foram utilizadas 42 cepas previamente isoladas do mesmo local. Entre as 67 amostras de água, foram isoladas 8 cepas de Pseudomonas aeruginosa e as 50 cepas foram submetidas à pesquisa do gene rpoS, um dos responsáveis pela produção de biofilme. Esse gene foi observado em 20 (40%) cepas, sendo 16 (80%) P. aeruginosa, seguida por 3 (15%) cepas de S. maltophilia e 1 (5%) de B. cepacia. Essas cepas foram submetidas à produção de biofilme a 35ºC (temperatura ótima de crescimento) e a 20ºC (temperatura média da água no encanamento da Unidade de Hemodiálise), em aço inoxidável (material de muitos instrumentos cirúrgicos), PVC (matéria prima da tubulação) e plástico de poliestireno (capacidade de produção de biofilmes em diferentes materiais). Em poliestireno, somente 1 (5%) cepa de P. aeruginosa produziu biofilme a 35ºC e a 20ºC, 2 (10%) cepas foram... (Resumo completo, clicar acesso eletrônico abaixo)

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In a globalized world, organizations face an increasingly dynamic, innovative and competitive environment, so that this condition requires continuous adaptation to market developments. Intense competition requires organizations to further improve their performance, making productive efficiency a key factor for survival. A methodology that has added value to the product through a reconfiguration of the production method is the implementation of a management philosophy called Lean Six Sigma. The main objective of this work is, in the light of the Lean Six Sigma philosophy, intervene in a critical-collaborative way to develop procedures for analyzing the profitability of products in a company specializing in steel processing. To achieve this goal, were applied the method of action-research to intervene in a group of professionals for the study of the profitability of products in a auto parts industry. The interaction of practical and theoretical knowledge provided by the action-research allowed the business program was enhanced. The procedures proposed in this study were able to identify the current profitability of the product, the main causes of inefficiency and productive for solutions to reduce production inefficiencies, when the productive systems planned and actual production system were compared. The results indicate that current profitability of -3%, while the parameter provided during budget was 10%. Thus, it is concluded that the low profitability of the products may compromise the company's financial results and affect their competitiveness in the market. To address this problem, the Lean Six Sigma presents itself as a versatile and high applicability philosophy, providing relevant results for characterization and troubleshooting. It was also observed that the evidence presented in this paper can be adapted to other companies in the metal auto parts segment to identify and recover the profitability of products

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Osteosarcoma is the primary osseous neoplasia frequently diagnosed in dogs and it’s the main answerable for more than 85% of the neoplasias origened from the skeleton. The average age of onset of the lesion is 7 years, especially in large breeds and giant, with males being more affected than females. In general, 75% of osteosarcomas develop in the appendicular skeleton and 25% in the axial. The forelimbs are more affected than the hindlimbs, since support 60% of body weight. The osteosarcoma diagnosis is made by the analys of the animal’s clinic historic, detailed physique exams, blood exams alkaline phosphatase, xray exams, cytology, biopsy. The treatment of choice is the amputation associated to the chemotherapy. However, in some cases the member is preserved by the allograft technic. The chemotherapy associated to the surgery reduces the total load of the tumor, lengthens the interval of the life and improves the quality of pacient’s life. The most used medicines are cisplatin and doxorubicin. They can be used in separated or associated ways. The prognostic of dogs with osteosarcoma is reserved

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The service area is in full development in the world, and it is proven the benefits of outsourcing services to large companies, which deliver services and manufacturing experts can focus only on production of their products. In the case of cargo handling is no different, many factories hire specialized companies to reduce fixed costs and factory overhead. And with the intense competition in the market, service providers are increasingly seeking to reduce costs in order to offer services at competitive prices. So if we see a growing need to train its employees to perform services faster and with better quality. In this work, will be a handbook of technical procedures for preventive maintenance, as well as a catalog of parts required to perform the same for Toyota 8 Series forklifts. Will be developed also tools to control and carry out the preventive maintenance of these trucks, such as Check-list and a manual of tools needed for each procedure. The results show that service quality has improved considerably and the cost of wrong parts decreases more than 15%

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Pós-graduação em Engenharia Mecânica - FEG

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This academic report presents results of the research developed between 2012 and 2015, and it had as main goal the development of new mapping possibilities of the central areas of the cities of Marília/SP, São Carlos/SP and São José do Rio Preto/SP. We developed this research using mostly the database from Cadastro Nacional de Endereços Para Fins Estatísticos (CNEFE), and after processing the information, it was added the typology established in the Cadastro Nacional de Atividades Econômicas (CNAE). This database, after the final treatment process, provided us information that made possible the production of thematic maps which are used to study central areas, allowing the analysis of spatial logics of companies, the identification of concentration and dispersion of economic activities, arrangement of specialized axis, expansion of the central area, reorganization of the city, among other process and phenomena

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We aim to contribute to studies on the restructuring of the city with a focus on consumption. In the context where cities become the main place of action of man, a deep set of transformations has occurred. We are interested in understanding the redefinition of the logical production and appropriation of urban spaces for consumption of materials and services. For the analysis of delimitation of those commercial and service areas was made to compare the reality observed on the ground and indirectly through data acquisition and mapping obtained from the National Address List for Statistical Purposes, with the boundaries established by zoning and / or by municipal director plans of the cities studied, together with the classification of commercial establishments and in accordance with the standards of the National Classification of Economic Activities Services. We believe the importance of analyzing the process of concentration and dispersion of stores and / or services of Londrina (PR), Presidente Prudente (SP) and Ribeirão Preto (SP)...

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Several aspects beyond the restorative phase itself such as orthodontic movement and periodontal treatment must be considered in cases of closure of diastemas. In such cases, a multidisciplinary approach is essential. As patients during orthodontic treatment may show high risk of developing dental caries and periodontal disease, inflammation of the gingival tissue is a common finding. For this reason, a preliminary basic periodontal treatment is critical to the success of restorative procedure. In addition, postoperative care and instruction in phonetics, oral hygiene and periodic control must be considered by professionals and patients. Thus, this paper demonstrates through a case report, pre and postoperative issues that should be considered during the closure of diastemas using a layering technique with resin composites