727 resultados para Ataques de pânico


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This work deals with the stages of the process of renewal of a Notice of Inspection of Fire Department (AVCB) set of structural measures, technical and organizational integrated to ensure the building an optimum level of protection in the security segment fire and panic according to the laws of fire safety standards. The work presented all the literature about the process, their justifications to force deploy in a company to fire safety, the benefits that this standard offers, the facilities in a company that has a AVCB and the great importance in society, presents some examples where there contained the fire safety regulations and their unhappy outcomes, difficulties encountered, examples of how to proceed, step by step and the lesson that this process requires great care, dedication, professionals with the required knowledge and severity to completion

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Pós-graduação em Engenharia Elétrica - FEIS

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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This work deals with the stages of the process of renewal of a Notice of Inspection of Fire Department (AVCB) set of structural measures, technical and organizational integrated to ensure the building an optimum level of protection in the security segment fire and panic according to the laws of fire safety standards. The work presented all the literature about the process, their justifications to force deploy in a company to fire safety, the benefits that this standard offers, the facilities in a company that has a AVCB and the great importance in society, presents some examples where there contained the fire safety regulations and their unhappy outcomes, difficulties encountered, examples of how to proceed, step by step and the lesson that this process requires great care, dedication, professionals with the required knowledge and severity to completion

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The aim of this study was to characterize dog bites using data on biter dogs and victims. An exploratory cross-sectional study was performed using 203 records of individuals who had attended in public health services in 2009 in the municipality of Araçatuba, São Paulo, Brazil, after they had been bitten by a dog. Over 70% (92/129) of the biter dogs were male and most of them (71%) received as a gift. Dog owners reported companionship as the main reason for acquiring the dog. The victims who were children were predominantly male, while the victims who were elderly were predominantly female. Most children were bitten on the head/neck, while adults were bitten on the hands/feet and lower limbs (p<0.0001). The owner of the dog was known in 83.2% of cases. However, rabies observation of the biter dog following the attack was only reported in 59.4% of cases. Situations involving aggression were related to dogs having escaped from their home (18.7%) or roaming free on the streets (17.0%). The analysis of biting dog characteristics using information obtained from dog bite victims and biting dog owners can help direct the medical treatment for dog bite victims. Moreover, concepts of responsible dog ownership can reduce the occurrence of bites.

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The status epilepticus (SE) is characterized by a series of crises which occur without recovery of consciousness or a single seizure lasting more than 30 minutes and can damage the central nervous system and systemic. The duration and frequency of attacks are directly related to patient prognosis. Whether seizures occur often and are longer, increase the risk of neurological and systemic complications. Child population has a higher frequency of seizures and it is associated with a lower threshold of immature brain to trigger these episodes. Aim: To determine the safest drugs prescribed for children in SE, their doses and schedules. A bibliographic survey was performed in electronic databases. Methods: The scientific health descriptors used for search was: “status epilecticus” and “anticonvulsivants” and “child”. Results: This strategy identified 396 manuscripts, of whom four were considered eligible for the study, after the assessment by floating reading and criteria. Of these, two were randomized trials and two descriptive. The studies address the use of oral midazolam, rectal diazepam and intravenous lorazepam. Conclusions: All investigated drugs were effective in treat in status epilepticus. Lorazepam is highlight, since it has fewer secondary effects and, as an alternative to the intravenous, oral midazolam. However, there is a need for further studies to demonstrate the efficacy and safety in the use of drugs in children.

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

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O Karatê-Do é uma das artes marciais mais conhecidas e praticadas em todo o mundo. Esta arte marcial, nascida na ilha de Okinawa, no Japão, passou por profundas transformações ao longo do tempo até alcançar a configuração que tem hoje em dia, assim como toda a sociedade japonesa. Mais do que uma simples forma de luta, o Karate-Do se tornou um caminho, uma doutrina a ser seguida por seus praticantes, ensinando valores e conceitos para a construção da personalidade de indivíduo da sociedade. Através da esportivização desta arte, assim como ocorreu com o Judô e outras formas de combate, e também através da crescente popularização e exposição das artes marciais no cenário mundial pelos chamados eventos de artes marciais (MMA), os valores e atributos intrínsecos ao Karatê e a outras artes marciais não têm sido transmitidos aos alunos. Os treinos visam apenas golpes e ataques utilizados em competições, supervalorizando a técnica em detrimento as filosofias que são a base do Karatê. O objetivo deste estudo é analisar enquanto prática formadora em seu contexto histórico e cultural o Karatê-Do. Neste sentido, procuraremos explorar as características singulares desta modalidade de arte marcial que contribuem para a formação ética e moral de seus praticantes

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Pós-graduação em Ciência da Computação - IBILCE

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Contexto: O manuscrito descreve o ataque não provocado de um jacaré-do-Pantanal a um pescador. Ataques por jacarés são pouco relatados e a espécie do Pantanal raramente causa acidentes. Descrição do caso: A vítima foi mordida na mão direita quando limpava peixes nas margens do rio Paraguai, por um jacaré de cerca de 1,5 m que saiu debaixo da vegetação aquática. O paciente apresentou dor, secreção purulenta e febre e procurou auxílio médico, apresentando ferimentos perfurocontusos e perfurocortantes e fratura-arrancamento no segundo metacarpiano direito. Após cinco dias de internação, houve significativa regressão do processo inflamatório, quando obteve alta hospitalar para posterior acompanhamento ambulatorial. Discussão: Os acidentes por jacarés podem ser muito graves, devido à dentição e à potência das mandíbulas desses répteis. Embora algumas espécies amazônicas possam predar seres humanos, o jacaré-do-Pantanal não causa mortes, mas mesmo espécimes de pequeno tamanho podem causar lesões graves e infecção secundária importante, como observado no caso. Conclusões: Devido ao potencial traumático e capacidade de inoculação de micro-organismos, as mordidas de jacarés devem ser encaradas como ferimentos de alto risco pelas equipes de saúde.

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In this study we evaluated an attacked-by-piranha human male cadaver in Mato Grosso’s Pantanal.

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Lissencephaly is a condition characterized by a lack of cerebral convolutions and sulci, which results from defective migration of nervous cells precursors in the telencephalus. The cause is presumably genetic. Lhasa-Apso dogs are most frequently affected, even though it may also occur in association with cerebellar hypoplasia in the Irish Setter, Wire-Haired Terrier and Samoieda breeds. This association was also reported in a cat. Clinical signs consist of dementia, aggressiveness, seizures, visual and olfactive dysfunctions, slow postural reactions and reduced menace response. Definitive diagnosis requires exams such as magnetic resonance imaging, cerebral biopsy or necropsy. There is no specific therapy for this disease, and seizures must be treated with anticonvulsants. The aim of this study is to review the literature regarding lissencephaly.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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This long-term extension of an 8-week randomized, naturalistic study in patients with panic disorder with or without agoraphobia compared the efficacy and safety of clonazepam (n = 47) and paroxetine (n = 37) over a 3-year total treatment duration. Target doses for all patients were 2 mg/d clonazepam and 40 mg/d paroxetine (both taken at bedtime). This study reports data from the long-term period (34 months), following the initial 8-week treatment phase. Thus, total treatment duration was 36 months. Patients with a good primary outcome during acute treatment continued monotherapy with clonazepam or paroxetine, but patients with partial primary treatment success were switched to the combination therapy. At initiation of the long-term study, the mean doses of clonazepam and paroxetine were 1.9 (SD, 0.30) and 38.4 (SD, 3.74) mg/d, respectively. These doses were maintained until month 36 (clonazepam 1.9 [ SD, 0.29] mg/d and paroxetine 38.2 [SD, 3.87] mg/d). Long-term treatment with clonazepam led to a small but significantly better Clinical Global Impression (CGI)-Improvement rating than treatment with paroxetine (mean difference: CGI-Severity scale -3.48 vs -3.24, respectively, P = 0.02; CGI-Improvement scale 1.06 vs 1.11, respectively, P = 0.04). Both treatments similarly reduced the number of panic attacks and severity of anxiety. Patients treated with clonazepam had significantly fewer adverse events than those treated with paroxetine (28.9% vs 70.6%, P < 0.001). The efficacy of clonazepam and paroxetine for the treatment of panic disorder was maintained over the long-term course. There was a significant advantage with clonazepam over paroxetine with respect to the frequency and nature of adverse events.