992 resultados para necrotizing otitis externa
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Pós-graduação em Relações Internacionais (UNESP - UNICAMP - PUC-SP) - FFC
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Objective: To characterize the microbial etiology of chronic suppurative otitis media comparing the methods of classical bacteriological culture and polymerase chain reaction.Design/Setting/Patients: Bacteriological analysis by classical culture and by molecular polymerase chain reaction of 35 effusion otitis samples from patients with cleft lip and palate attending the Hospital for Rehabilitation of Craniofacial Anomalies of the University of Sao Paulo, Bauru, Brazil.Interventions: Collection of clinical samples of otitis by effusion through the external auditory tube.Main Outcome Measure: Otolaryngologic diagnosis of chronic suppurative otitis media.Results: Positive cultures were obtained from 83% of patients. Among the 31 bacterial lineages the following were isolated. In order of decreasing frequency: Pseudomonas aeruginosa (54.9%), Staphylococcus aureus (25.9%), and Enterococcus faecalis (19.2%). No anaerobes were isolated by culture. The polymerase chain reaction was positive for one or more bacteria investigated in 97.1% of samples. Anaerobe lineages were detected by the polymerase chain reaction method, such as Fusobacterium nucleatum, Bacteroides fragilis, and Peptostreptococcus anaerobius.Conclusions: Patients with cleft lip and palate with chronic suppurative otitis media presented high frequency of bacterial infection in the middle ear. The classical bacteriological culture did not detect strict anaerobes, whose presence was identified by the polymerase chain reaction method.
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Necrotizing fasciitis (NF) is an uncommon infection, but potentially lethal, especially when associated with systemic disorders such as diabetes. The authors report a case of necrotizing fasciitis from odontogenic origin in a patient with uncontrolled diabetes mellitus. The initial diagnosis was based on clinical information, in which multiple necrosis areas in cervical and thoracic regions were observed. Wide antibiotic therapy was applied, followed by surgical drain age and debridement. Culture was positive for methicillin-resistant Staphylococcus aureus. Although the treatment is established, the patient dies after sepsis and failure of vital organs. Clearly, the morbidity associated to this infection, even in diabetic patients, can be minimized if an early diagnosis and effective debridement are done.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Pós-graduação em Economia - FCLAR
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Thin walled cylindrical shells are widely used in many areas of industry, including civil, mechanical, nuclear, marine, petroleum and aerospace engineering. The wide application of thin cylindrical shells and the importance of instability phenomenon are the motivation basis to this study, since these factors have a great importance in engineering projects. It is presented a detailed study about the instability of cylindrical shells based on theoretical calculation, which results are compared with finite elements method calculation. The loading and boundary conditions analyzed are based on the most common types verified in real engineering projects and refer respectively to lateral (external) pressure and cylinders with simply supported edges. The calculation based on the finite elements method was executed with ANSYS 13.0 software. The results obtained with this calculation are in good agreement with the analytical theory presented in the technical note NACA No 1341 (BATDORF, 1947) considering a wide range of applicability. On the other hand, the analytical method presented in the book Theory of Elastic Stability (TIMOSHENKO; GERE, 1936) has a very restrict applicability and has presented considerable deviations in a great sort of the analyzed cases
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This work presents the development of the External Lighting Plan UNESP in the Itapeva Campus based LED and Solar Energy. Firstly it was made a collection of data from measurements of the local transit through the Google Earth 6 software and divide the local in sectors, and then perform an analysis of characteristics and age of the site. With these data it was possible to determine the average luminance the place, in30 lux. After these procedures was possible to determine the type of sets that would perform the role of bridge lighting the kit chosen was the 20/20 Sun LED manufacturer, since it contains the luminaire with the solar panel to the pole. Therefore we determined the number of poles for each sector, whichwas72in total and. After the determination of the location of each point lighting
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Pós-graduação em Relações Internacionais (UNESP - UNICAMP - PUC-SP) - FFC
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Pós-graduação em Ciências Sociais - FFC
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The objective of this study is to examine if economic growth in Brazil was blocking due to external constraints, that is, in consequence of its Balance of Payments. We work with the approach first proposed by Thirlwall (1979) which was later modified by Lima and Carvalho (2009). We can conclude that economic growth was restricted by the external sector, which is consistent with the economic history of Brazil, and verify that the real exchange rate, and to influence the trade balance in the course run, also excerce some influence on this account balance of payments in the long run.
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In this paper, the performance of Brazilian foreign policy in South America during the governments of Lula da Silva (2003-2010) and Rousseff (2011-2014) is discussed. It is showed that this activity has expanded in areas of greater consensus in the internal and external contexts. Thus, although with contradictions, initiatives to implement the infrastructure integration of transport, communications and energy into a political project, expansion of the role of the BNDES in the region and improvement of regional technical cooperation have been increasing.