A relação conclusiva na língua portuguesa: funções resumo, conclusão e consequência

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Dexmedetomidine on renal ischemia-reperfusion injury in rats: assessment by means of NGAL and histology

Background: Ischemic acute kidney injury is a common occurrence in the perioperative period and in critical patients admitted to intensive care units. The reestablishment of blood supply may worsen injury through the ischemia-reperfusion (I/R) mechanism. We investigated the effect of dexmedetomidine on the kidneys of rats subjected to an experimental I/R model. Methods: 34 rats anesthetized with isoflurane was undergone right nephrectomy and randomly assigned to four groups: Control C (saline solution); Dexmedetomidine D (dexmedetomidine); Sham S (saline solution); Sham with Dexmedetomidine SD (dexmedetomidine). The serum levels of neutrophil gelatinase-associated lipocalin (NGAL) were measured at time-points T1 (following stabilization), T2 (ischemia), T3 (reperfusion), T4 (12 h after of I/R). The kidneys were subjected to histological examination. Results: The NGAL levels were significantly higher at T4 compared with T1. Upon histological examination, the left kidneys in groups C and D exhibited a similar extent of cell injury. Conclusion: The levels of NGAL did not indicate either protection against or worsening of kidney injury. Histological examination for acute tubular necrosis showed that dexmedetomidine did not protect the kidneys from I/R.

Selective suprascapular and axillary nerve block provides adequate analgesia and minimal motor block. Comparison with interscalene block

Shoulder arthroscopic surgeries evolve with intense postoperative pain. Several analgesic techniques have been advocated. The aim of this study was to compare suprascapular and axillary nerve blocks in shoulder arthroscopy using the interscalene approach to brachial plexus blockade. According to the technique used, sixty-eight patients were allocated into two groups: interscalene group (IG, n=34) and selective group (SG, n=34), with neurostimulation approach used for both techniques. After appropriate motor response, IG received 30 mL of 0.33% levobupivacaine in 50% enantiomeric excess with adrenalin 1:200,000. After motor response of suprascapular and axillary nerves, SG received 15 mL of the same substance on each nerve. General anesthesia was then administered. Variables assessed were time to perform the blocks, analgesia, opioid consumption, motor block, cardiovascular stability, patient satisfaction and acceptability. Time for interscalene blockade was significantly shorter than for selective blockade. Analgesia was significantly higher in the immediate postoperative period in IG and in the late postoperative period in SG. Morphine consumption was significantly higher in the first hour in SG. Motor block was significantly lower in SG. There was no difference between groups regarding cardiocirculatory stability and patient satisfaction and acceptability. Failure occurred in IG (1) and SG (2). Both techniques are safe, effective, and with the same degree of satisfaction and acceptability. The selective blockade of both nerves showed satisfactory analgesia, with the advantage of providing motor block restricted to the shoulder.

Ischemic postconditioning and subanesthetic S(+)-Ketamine infusion: effects on renal function and histology in rats

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Aplicação de princípios de ergonomia no atendimento odontológico

The dentist has been suggested as a professional vulnerable to labor risks mainly related to working posture. This study examined the application of ergonomics principles during the dental attendances made by university student of the last period of the Araçatuba Dental University. Twenty-four attendants were photographed and the images were digitally analyzed for the verification of 10 requirements that determine a healthy labor posture, defined by the project ISO Standard / TC 106/SC 6 N 411. It was observed that 50% of items from the check list obtained higher percentages of negative replies. The students had greater difficulties as to the correct position of the angle between the upper and lower leg when sitting, the ideal adjustment of the light focus reflector in the field of work and the patient positioning. It was concluded that the dental attendances were held without compliance with the ergonomic requirements. The greatest difficulties regarding the work posture were the sitting posture, the light beam and the patient positioning. Students need better guidance about ergonomic principles and requirements, which should occur at any time of life, but earliest they are installed, greater the benefits, assimilation and incorporation of adequate working postures will be. We need a reform that addresses all sectors of the dental system, so that learning and application of ergonomics in dentistry become effective, efficient and effective.

Instituições de Ensino Superior na transição para uma sociedade ambientalmente mais sustentável: grandes temas em debate à luz do conceito de sistema de gestão ambiental

Este artigo tem o propósito de examinar os desafios e oportunidades relacionados à implementação de sistemas de gestão ambiental baseados na Norma ISO 14001:2004 nas Instituições de Ensino Superior e como elas podem se adequar aos requisitos para possuir um sistema de gestão ambiental (SGA). O estudo envolve análises sobre as implicações da adoção de sistemas de gestão ambiental por universidades e sobre os aspectos relevantes na adoção de SGAs com base na Norma ISO 14001, como barreiras, benefícios, motivações, práticas e fatores críticos de sucesso. Luzes são lançadas, assim, a um tema de crescente importância (sistemas de gestão ambiental), com foco em objeto analítico ainda pouco analisado do ponto de vista ambiental (Instituições de Ensino Superior).

Gestão de portfólio de produtos em pequenas empresas de base tecnológica

The product portfólio management is considered relevant activity to the proper performance of the product development process. This paper aims to present the main methods of management that technology-based small businesses adopt for decision-making in product portfolio. This survey, which collected data on 31 companies was conducted. It was observed that although firms adopt market research and mapping methods and financial methods and for this decision-making, most of them based on the informal deliberations of senior management. Unable to understand the business relationships between the presence of ISO 9001 certification with greater formalization for decision making in product portfolio.

Efeito de diferentes cargas orgânicas em cimentos resinosos experimentais

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Modelagem matemática e comportamento dinâmico da suspensão passiva de um pulverizador agrícola autopropelido

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Ações e percepções ambientais articuladas na sustentabilidade: estudos de múltiplos casos na indústria calçadista

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Percepção térmica de idosos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeito da associação de antimicrobiano e óleo essencial na atividade antimicrobiana e propriedades físico-químicas de cimentos endodônticos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Vocabulário controlado para arquivos: análise de viabilidade e propostas

Pós-graduação em Ciência da Informação - FFC

Vocabulário controlado para arquivos: análise de viabilidade e propostas

Pós-graduação em Ciência da Informação - FFC

Elaboração de diagnósticos e intervenções à luz de diferentes sistemas de classificações de enfermagem

Este estudo faz uma análise sobre o uso de diferentes sistemas de classificação e o atendimento aos padrões estabelecidos pela ISO 18.104:2003 a partir de uma situação clínica fictícia. Foram elaborados diagnósticos e intervenções de enfermagem utilizando a NANDA-I, NIC e CIPE®, e analisou-se a correspondência terminológica destes sistemas de classificação ao modelo proposto pela norma ISO 18.104:2003. Para a construção de diagnósticos de enfermagem, a NANDA-I e a CIPE® adequando-se à norma ISO 18.104:2003. Para a construção das intervenções de enfermagem, a CIPE® atende ao modelo de referência terminológica proposto pela ISO 18104:2003. Por sua vez, a NIC não propõe um modelo de referência terminológica combinatória. A unificação das terminologias de enfermagem depende da revisão, padronização e teste dessas classificações para o estabelecimento de uma linguagem comum e sólida da profissão.