884 resultados para Procedimentos clínicos
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Introduction: Despite tooth avulsion following trauma being relatively common in children, the available studies show that adults have limited knowledge about it. Aim: The purpose of this study was to assess, by a questionnaire, the mothers’ general knowledge about the immediate management of tooth avulsion. Material and method: This descriptive study was carried out on a convenient sample of mothers (n= 65) who participated of the “Pastoral da Criança”, from Araraquara, SP, Brazil. The questionnaire comprised 15 questions about personal data and knowledge on tooth avulsion management. Results: Participants were, on average, 35 years old. A total of 30.8% of the mothers reported that their children suffered dental trauma. The majority had never received advice on this subject (76.9%); and did not know how teeth are kept in the dental arch (69.2%). Almost a half of the sample believed that an avulsed tooth can be replanted (49.2%). In relation to the management of tooth avulsion, 40% of them would clean the avulsed tooth with water, even if it was not dirty (38.5%). Most of them (69.2%) would take the tooth by hand for cleaning purposes, regardless the tooth region; and believed that brushing the tooth was important to take the dirty out (67.7%). Conclusion: The general knowledge of mothers about the immediate management of tooth avulsion was considered inadequate endangering the successful treatment of tooth avulsion.
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Objectives: The objective of this study was to evaluate the ability of endodontists and general practioners to perform the differential radiographic diagnosis between internal and external root resorptions, using digitized periapical radiographs. Methods: Thirty periapical radiographic images of external and internal resorption were selected. The evaluators were comprised of 15 endodontists and 29 general practitioners who answered a questionnaire with the following question: “What type of resorption in the following radiographics do you diagnose?” (1) Inflammatory external root resorption. (2) Internal root resorption. Statistical analysis was performed based on the Mann-Whitney test, with significance level of 5%. Results: There was no statistically significant difference in the percentage of correct answers from specialists in endodontics and general practitioners. Conclusions: Both groups demonstrated satisfactory skill in the radiographic interpretation of internal and external resorption and there was a higher percentage of correct diagnosis of internal resorption than the external.
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Neste livro são expostos, para uso de profissionais da área, os princípios básicos e conceitos fundamentais, além dos procedimentos necessários para a prática da Medicina Baseada em Evidências (MBE). A MBE é uma prática relativamente nova, criada em 1992, pelo cientista epidemiologista Gordon Guyatt, na canadense McMaster University. Trata-se da utilização e do desenvolvimento de métodos rigorosos que respondam a questões clinicas sobre efetividade, eficiência e segurança de determinado tratamento e prevenção, bem como sobre a sensibilidade e especificidade de testes diagnósticos de certa doença na área de saúde. A MBE propõe realizar pesquisas de boa qualidade metodológica e livres de vieses e conflitos de interesse, de forma que as respostas sejam adequadas para auxiliar na tomada de decisão clínica. Segundo a MBE, a melhor forma de saber se uma medicação específica é eficaz no tratamento de determinada doença é a revisão sistemática de ensaios clínicos randomizados, que mapeiam os estudos publicados e não publicados realizados mundialmente sobre o assunto. Tal revisão deve ainda contar com metodologia rigorosa que busque, por exemplo, explicar resultados contraditórios sobre a mesma questão e comparar estudos com diferentes amostras para detectar possível diferença estatística. De forma didática e detalhada, mas mantendo todo o rigor científico, esta obra tem caráter de manual. Ao longo dos capítulos, seus autores explicam conceitos e apresentam o passo a passo da utilização da MBE para os profissionais de saúde.
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Pós-graduação em Agronomia (Energia na Agricultura) - FCA
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Based on the aesthetic investigations of Freud, the work intends to bring joints between possible sensitive effects caused by contact / reception with works of art (having them here as “framed art”) and psychoanalytic clinical setting. The text is also concerned to show that the production of these striking effects, happens by the condition of these items (artistic and clinical) are under a frame and therefore conceptualized as aesthetic in this article arguments.
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This paper aims at establishing a link between the psychoanalytic idea of a clinical setting and the notion of framing in the artistic image. To this end, the reading is based on issues related to clinical care, in the specific sense of a setting, casting itself in artistic creations that challenge the rigid status – when it’s the case – of this setting, and reflecting on the notion of transference, a basic phenomenon in this context. The conclusions refer to a direct approach between the aesthetic experience and psychoanalytic experience.
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This study based on moral culture research and the theoretical Piagetian perspective aims to investigate the relation between virtue and rules in the procedures of participants in the Internet game Colheita Feliz (Happy Harvest) – an Orkut application. By means of descriptive qualitative analysis, the behavior of 60 participants in the game was observed during two months. The participants’ performance ranking was analyzed according to the procedures they used. The results showed predominance of the crop stealing procedure in comparison with the crop cultivation procedure and allowed to consider that the action of stealing of the participants was not guided by the universal principles of virtue, honesty or lack of it (moral domain) but by the playing convention for the game (social domain) favoring the stealing procedure, and also by personal domain (choices) and mutual agreement among the subjects participating in the game. The data did not indicate connections between the participants’ actions inside and outside virtual and real fields with regard to stealing, and reinforced the idea that rules are conventionalized in the domain of a group and depend on social interactions by which mutual respect among peers must prevail. The data also shows that morality is not the regulatory actions in the game. The results also showed the importance of carrying out research on procedures used by computer game players since such procedures can demonstrate cognitive, moral, affective and social aspects perceived during playful interaction situations.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Introduction In the Family Health Strategy (FHS), the treatment of Diabetes Mellitus (DM) includes education and lifestyle change strategies. Physiotherapists have a key role in this health setting. Objectives To implement actions of evaluation and guidelines for patients with type 2 DM who attend a Family Health Strategy (FHS), regarding diabetic foot and the practice of regular physical exercise in the control and prevention of the complications of Diabetes Mellitus. Methods 17 individuals from an FHS were evaluated, with the following procedures: clinical and anthropometric parameters, inspection, a questionnaire on diabetic neuropathy, tests of vibratory and tactile sensitivity, muscle function, range of motion, functional analysis, questions about exercise practice and guidance regarding controlling blood glucose and foot care. Results Deformities, dry skin, calluses, dehydration, ulceration, cracking and brittle nails were found. Peripheral neuropathy was not observed; tactile sensitivity was altered in the heel region and the vibratory sense was absent in 5% of individuals. A decrease in functionality of ankle movements was verified. Of the participants, 76% were sedentary, 24% knew about the benefits of practicing regular exercise, 25% had undergone a medical evaluation prior to performing physical exercise and, of these, 25% were supervised by a qualified professional. Discussion The implementation of physiotherapy actions in diabetics from an FHS was important for highlighting the presence of risk factors for diabetic complications. Conclusions Individuals attending the FHS need more information and programs for the prevention of diabetic complications.
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Pós-graduação em Bases Gerais da Cirurgia - FMB
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On heat cured acrylic resins by microwaves energy the action of electromagnetic waves on methylmethacrylate promote the polymerization process. However, part of this energy is absorbed by the gypsum present in the flask and the function of this gypsum is to maintain the characteristics of specimen, nevertheless is unknown in the literature as the amount of water present in this gypsum affects the characteristics of acrylic resin. The proposal of this study was verified if dried gypsum influenced in some properties of the acrylic resins thermally activated by microwaves: presence of porosity, microhardness, roughness, flexural strength and dimensional change. Two different types of acrylic resin for complete denture were utilized: Lucitone 550 e Vipi-Wave and groups were formed: Lucitone 550, polymerization by microwave energy without gypsum treatment; Lucitone 550, polymerization by microwave energy with pretreatment gypsum; Vipi-Wave by microwave energy without gypsum treatment; Vipi Wave, polymerization by microwave energy with pretreatment gypsum; Lucitone 550 control group polymerization in hot water bath. For both situations were performed analysis of microhardness and porosity three different metallic shaped specimens were formed with followed dimensions: 2,0x2,0x2,0cm (8cm3); 2,0x2,0x1,0 (4cm3) e 2,0x2,0x0,5 (2cm3). Standardized wax specimens was used to prepare groups (n=9) and included in glass fiber flasks. The gypsum dry was made by microwave oven cycle (10min and 600W) and then the flasks were maintained in dry oven during two hours. Polymerizations of specimens were made and then polished. Wax patterns #7 obtained from the metal were embedded in plastic flask and following the processes of pressing and polymerization of the resin according to established groups. To evaluate the flexural strength, specimens 65mm x 10mm x 3.0mm from metallic patterns in bar format were made. ...
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Pós-graduação em Fisiopatologia em Clínica Médica - FMB
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Pós-graduação em Ciência Animal - FMVA