879 resultados para Métodos de avaliação do risco de LMEMSLT


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The current growth of the cosmetic Brazilian market and the incessant search for innovations requires the company´s Research & Development departments to be efficient and assertive. Therefore this work aimed to approach the process of development of new concepts, since the market exploration using quantitative tools, Survey, until the concept creation by qualitative tools. As results of this project an analysis of the tools and guidelines used nowadays and the creation of new exploration methods were delivered

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The catalytic function of extended-spectrum β-lactamases can result in high degrees of bacterial resistance to β-lactamic antimicrobials and in the emergence of ESBL among the members of Enterobacteriaceae family, especially Klebsiella pneumoniae and Escherichia coli. This occurs due to the dissemination and emergence of new variants of these enzymes caused by the high utilization of antibiotics like broad-spectrum cephalosporins. The ESBL are β-lactamases capable of conferring bacterial resistance to the penicillins, 1st, 2nd and 3rd generation cephalosporins, and aztreonam (but not cephamycins and carbapenems) through the hydrolysis of these antibiotics. In view of this phenomenon, the exact screening and detection of the producers of ESBL are essential for the appropriate selection of the antimicrobial therapy. The purposes of this study were to evaluate the best antimicrobial for the selection of ESBL producers and to determine the best method for the detection of such microorganisms. We evaluated 200 sequential bacterial samples including the species Klebsiella pneumoniae (56.5%), Escherichia coli (34%), Proteus mirabilis (8.5%) and Klebsiella oxytoca (1%), previously characterized as ESBL producers between February and September 2008 in the Laboratory of Microbiology, Botucatu Medical School - UNESP, Botucatu, São Paulo State, Brazil. To select the ESBL-producer bacteria, we used the disks recommended by CLSI 2008, aztreonam (ATM), cefpodoxime (CPD), ceftriaxone (CRO), cefotaxime (CTX) and ceftazidime (CAZ), besides cefepime (FEP). ESBL production was confirmed by three methods: double disk screening, ESBL Etest®, and Vitek® automated system. The disks employed in the double disk screening were: penicillin associated with β-lactamase inhibitor, amoxicillin-clavulanic acid, and two β-lactamic antibiotics, ceftazidime and cefotaxime...(Complete abstract click electronic access below)

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

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Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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A comparação visual com escalas de cor, universalmente empregada para avaliar o resultado das diferentes substâncias, técnicas e aparelhos utilizados no clareamento dental, tem se mostrado um método limitado, questionável, subjetivo e pouco confiável. Os métodos instrumentais, que utilizam espectroscópios ou imagens digitais, têm se mostrado mais adequados por oferecerem avaliações objetivas, maior reprodutibilidade e confiabilidade. Neste artigo, serão apresentados e discutidos os resultados obtidos com a utilização do ScanWhite© ? software para avaliação objetiva do nível de clareamento dental e apoio à decisão clínica, que baseia sua avaliação no processamento computacional de imagens digitais. Esse tem como principais diferenciais: (1) algoritmo calibrador para compensar as variações de luminosidade do ambiente, (2) apresentação dos resultados em valores numéricos e através do gráfico de evolução do clareamento dental, (3) interface intuitiva e facilidade de uso, (4) determinação dos índices de apoio à decisão (IPS ? índice de possibilidade de sucesso, e IRS ? índice de risco de sensibilidade antes do início do tratamento) e (5) emissão de relatório geral, autorizações e recomendações pós-clareamento.

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To calculate the estimated and actual height and weight measures in cancer patients, evaluate the correlation and concordance of these measures and to identify the malnutrition patients. 62 cancer patients, treated at the Amaral Carvalho Hospital (Jaú- SP). For classifi cation of nutritional status, the Patient-Generated Subjective Global Assessment, the Body Mass Index and the relationship with usual weight were used. For the estimated weight was used the algorithm Chumlea et al.7 and estimated height, the equation proposed by Chumlea et al.8 and Kwok & Whitelaw24. The Pearson Correlation Coeffi cient and the Intraclass Correlation Coeffi cient was calculated and simple linear regression was conducted. To compare the malnutrition detected by different methods, the Cochran’s Q test were performed. There was a strong and signifi cant correlation between the estimated and actual weight (r=0,95; CI95%=0,92-0,97; p<0,001) and excellent concordance (ρ=0,95). For height measurements, a signifi cant correlation was observed between the actual and estimated measurement the method Chumlea et al.8 (r=0,78; CI95%=0,66-0,86; p<0,001) and Kwok & Whitelaw24 (r=0,85; CI95%: 0,75-0,90; p<0,001). Concordance was “Good” (ρ=0,72) and “Moderate” (ρ=0,67) between the actual height and estimated by Chumlea et al.8 and Kwok & Whitelaw,24 respectively. There was a strong correlation between the actual and estimated weight and height measures. The reproducibility of the equation proposed by Chumlea et al.8 to calculate height was better. The nutritional status, the patients classifi ed as malnutrition was greater when using the Patient-Generated Subjective Global Assessment and the relationship with usual weight.

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The knowledge of risk of carried during pregnant is essential for an appropriate treatment using educational and preventives actions to mother for a good care of their oral health and that of children. The main objective of present retrospective study was to identify the risk of caries of pregnants (aged 15-44, mean= 25 years) came to clinic of Preventive Odontology of Araraquara-UNSEP from 1999 to 2007, using 166 medical records obtained by the third pregraduate year students, following the pre-established guidelines. The information collected includes: classification of caries risk diagnosis, pregnancy trimester, carbohydrates ingestion (between or during foods), dental plaques (O'Leary's plaque control registry) and the number of teeth with caries. The statistical analysis used the Chi2 and ANOVA tests. Most of patients showed a 25 % or more of teeth surfaces with dental plaques (92.1 %) and carbohydrates consumption among foods (89.2 %). The mean (SD) of carried and restores teeth was of 7.9 (5.1) and 4.0 (3.4), respectively and the posterior teeth were the more involved by caries/restorations. As regards the diagnosis of caries risk, classification of high risk was observed in the 38.5 % of pregnants, moderate in the 47.6 %) and low in the 13.9 %. There was a statistically significant association (p= 0.001) between the carbohydrates consumption and the diagnosis of caries risk. The plaque's rate was similar in the different trimesters of pregnancy (f= 0.223; p= 0.803). The caries risk of most pregnant women was high or moderate and it was associated with the consumption of carbohydrates.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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As fraturas de rádio e ulna em animais de companhia são ocorrências ortopédicas de grande incidência em Medicina Veterinária. Cães de pequeno porte parecem ter uma maior incidência de fraturas em terço distal do rádio e ulna. A consolidação de ossos fraturados baseia-se na redução anatômica ou na aproximação dos maiores fragmentos. Para haver uma correta cicatrização óssea, os implantes ortopédicos devem anular todas as forças atuantes no foco de fratura. O tratamento dessas fraturas é descrito como difícil, em porte do tipo toy e miniatura. A ocorrência da não consolidação óssea é alta chegando a 60% dos casos estudados. Alguns fatores identificados afetam a osteossíntese em cães de raças de pequeno porte, pois são inerentes à instabilidade biomecânica, como, o mínimo contato da superfície do osso após a redução, devido ao pequeno diâmetro existente, diminuição da cobertura de tecido mole, formação constante de cartilagem no foco da fratura, e diminuição da densidade vascular na junção diáfise-metafisária distal em comparação com cães de raças de grande porte. O objetivo da presente revisão sistemática foi avaliar o melhor método de tratamento para fraturas distais de rádio e/ou ulna em cães de raças de pequeno porte. Como metodologia foram utilizados 14 artigos científicos, sendo 11 internacionais e quatro nacionais. A aplicação de placas, nesse estudo sistemático, foi considerado o método mais eficaz para fixação de fraturas distais de rádio e ulna em cães de pequeno porte

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Obesity is the most common nutritional problem in dogs and it can cause various harmful effects on animal health. However, the effect of this condition on systolic blood pressure (SBP) in obese dogs is controversial. The indirect method of measuring PAS is the most commonly used in veterinary medicine for the diagnosis of systemic hypertension, because it is more practical and easy to access. There is little scientific information about the comparison of the two non- invasive methods of measurement of blood pressure in obese dogs. Therefore, the objective of this study was to evaluate the SBP in obese dogs by comparing both indirect methods of measuring blood pressure, with oscillometric and doppler vascular in order to verify the differences in blood pressure values, but also the best method to assess the SBP dogs in this body score condition. The study complain blood pressure measurement of 50 dogs, with were divided in obese dogs with mean body condition score (BCS) of 8.42 +/- 0.50 (n = 25) and dogs with ideal BCS of 4.56 +/- 0.51 (n = 25). At comparison of blood pressure values, SBP values obtained by doppler method (152 +/- 16mmHg) were higher than the oscillometric (136 +/- 11mmHg). Correspondence analysis determined by multivariate statistical analysis showed correlation between body condition and the procedure of the SBP. These findings suggest that the indirect method doppler can better reflect the SBP in obese dogs.