868 resultados para Avaliação de Risco


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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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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Este estudo teve por objetivo avaliar o risco de desenvolvimento de desordens músculo-esqueléticas nos membros superiores de graduandos de Odontologia considerando as variáveis sexo, tipo de procedimento clínico executado, região da boca tratada e prática do trabalho a quatro mãos. Foram avaliados alunos, de ambos os sexos, matriculados no oitavo semestre do curso de graduação da Faculdade de Odontologia de Araraquara - UNESP. Foram efetuadas tomadas fotográficas durante a realização de 283 procedimentos clínicos, utilizando-se máquina fotogrática digital. Para análise das fotografias, utilizou-se o programa Image Tool. As posturas de trabalho adotadas por cada estudante na sua atuação como “operador” foram observadas pelo método RULA (Rapid Upper Limb Assessment), o qual inclui o uso de um diagrama de análise de postura do indivíduo e três tabelas de escores que permitem a avaliação da exposição aos fatores de risco para o desenvolvimento de desordens músculo-esqueléticas. As fotografias foram analisadas por um professor da área de ergonomia calibrado (_=0,91). Para cada procedimento foi atribuído um escore de risco final. Os procedimentos executados foram classificados em duas grandes categorias: procedimentos preparatórios e procedimentos restauradores/reabilitadores. Os dados de risco de desordens músculoesqueléticas nos membros superiores foram apurados, e sua prevalência foi estimada por ponto e por intervalo de confiança de 95%. O estudo da associação do risco de desordens músculo-esqueléticas às variáveis de interesse foi realizado por meio do Teste de Qui-quadrado (_ 2). O nível de significância adotado foi de 5%. Observou-se que na maioria dos procedimentos executados o risco de desordens músculo-esqueléticas segundo a classificação... (Resumo completo, clicar acesso eletrônico abaixo)

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PURPOSE: The development and application of collective pedagogical activities to assess phonological skills in pre-readers and beginning readers and could serve as potential screening tools to help in the early identification of students at risk for dyslexia. METHODS: The FAE tasks (alternative tools for educators) were built on classical phonological tasks known as sound categorization and in the Protocol for Cognitive-Linguistic Skills. FAE tasks basically consisted of matching pictures as well as pictures to spoken words according to their phonological similarity in the onset (alliteration) or rhyme and were given to 45 students on the first grade, of both genres and 7.3 years old on average. RESULTS: The protocol proved to be effective, confirming that phonological awareness, verbal working memory and rapid naming abilities constitute the main risk factors for dyslexia, and to which the FAE tasks were more strongly correlated jointly with the phonemic discrimination. FAE tasks were also strongly correlated with literacy skills. CONCLUSIONS: Students at risk for dyslexia can be efficiently identified through scientifically developed pedagogical tools, adapted and tested for the Brazilian's educational reality. This is a promising research field with the potential to help in avoiding the currently excessive number of students mistakenly labeled as having learning disabilities and improperly referred to specialized public services, as well as to indicate the more appropriate theoretical-empirical framework to guide our educational policies.

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There are many advantages when using a phantom for the evaluation of the mammographic images, one of them is to test the visibility of the distribution of objects that constitute it, and then, set the best image in order to obtain a diagnostic medical insurance, trying to reach the best risk - benefit ratio for the patient. Typically, the quality of the mammographic image is performed by subjective and quantitative assessments. This study developed algorithms that can quantitatively evaluate digital images (DICOM), obtained from mammographic phantom consisting of test objects. The results were adjusted by the response of the subjective evaluation performed by experts in radiology. This procedure aims to create an independence of the experts in radiology in daily tests of quality control in routine clinical diagnostic radiology

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Almost forty years computed tomography (CT) has been one of the most powerful tools in diagnostic imaging. However, this modality delivers relatively high doses to their patients. It is known that the inappropriate use and unnecessary radiation may be associated with a significant risk of cancer, especially in pediatric patients. Moreover, the quality assurance in CT, provided and required by Portaria 453/98 and the guide of the RE 1016/05, ensures that the images generated by computer tomography provide reliable diagnostic information with doses as low as reasonably achievable. This research aimed to make the quality control (QC) of CT equipment; establish a better relationship between dose and noise on the image to protocols of skull CT according to the study of optimization proposed in 2005 by Daros; and assess the dose distribution in different cranial organs for protocols of adult and pediatric use in the routine of the Department of Diagnostic Imaging of HCFMB-UNESP. The equipment used for testing QC, optimization and dosimetry was a third generation tomograph GE Sytec 3000i

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In the last few decades, Brazil has experienced an accelerated urbanization process in which many cities have grown in a disorderly way occupying environmentally fragile areas unsuitable for habitation. Anthropogenic actions such as high levels of impermeable soil, structural changes in watercourses, lack of riparian vegetation, illegal presence of trash and rubbish along the river banks added to irregular settlements in floodplains result in the rise of high risk areas. When accompanied by intense and prolonged rainfall phenomena, those areas have been the scenery of serious accidents such as floods. This study aims to classify the level of the risk of floods in the neighborhood of Jardim Inocoop, in the town of Rio Claro, São Paulo countryside, Brazil. One of the main technical support to tackle this issue is the identification and classification of the risks. In order to classify the risk level of flood in this case study, the methodology adopted was developed by the Ministry of Cities and Technology Research Institute, and take into account the arrangement of the hydrological scenario, vulnerability of households and dangerous process according to the distance of the houses from the axis of drainage. Therefore, the risk levels adopted to classify are listed below: very high (MA), high risk (A), moderate (M) and low risk (B). In conclusion, it is imperative to develop prevention plans in order to avoid or to minimize the damages caused by natural disasters. Therefore, the zoning of the risk sceneries remains as an important issue once it helps to identify the areas with high level risk of flood. Consequently, the occupation must be regulated where there is low or absent risk and it must be often forbidden where the high risk of flood is detected. Thus, the present study remains as an attempt to notify the risk of floods through its spatialization on a map, remainig...(Complete abstract click electronic access below)

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Inflammatory bowel disease (IBD) is a chronic and relapsing disease caused by exaggerated response of the immune system. It represents a significant health problem by limiting the quality of life and being the main risk factor for colorectal cancer. Despite of its importance, the high worldwide incidence and being the object of research for several decades, the etiology remains unknown. Studies indicates an interaction between genetic and environmental factors which together with the intestinal microbiota, leads to an uncontrolled immune response. One of the aggravating environmental factors often discussed is stress, as the daily life of the population in general is increasingly rushed. In order to demonstrate the influence of stress on IBD, this study aimed to standardize an experimental model of colitis induced by instillation of a trinitrobenzene sulfonic acid (TNBS) noninflammatory concentration plus exposure to stress that intensify the inflammation. Therefore, an experiment was done to determine what would be the noninflammatory concentration. In this step, four different concentrations of TNBS (1, 6, 12.5 or 40mg/ml) were tested and the lowest concentration capable of inducing a noninflammatory response in the gut was defined as 1 mg/ml. Then, a second experiment was performed which induced colitis and exposed the animals to restraint stress. The results, however, showed that this stimulus was not enough to exacerbate the damage caused by the 1 mg/ml concentration of TNBS in the colon. With some changes in the protocol, the third experiment associated cold and restraint, as well as changes on the day of euthanasia, which occurred immediately after the stress session. The results of myeloperoxidase activity measurement were unexpected due to the noninflammatory concentration of TNBS caused an intestinal inflammation similar to the concentration of 40 mg/ml. However, the results of glutathione quantification and the corticosterone ...

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No mundo, é alto e crescente o número de pessoas que fazem uso de substâncias psicoativas de abuso. Estudos clínicos demonstram que a exposição ao estresse pode aumentar o risco ao abuso de drogas, a vulnerabilidade para o desenvolvimento de dependência e a probabilidade de recaídas. O uso repetido de substâncias de abuso pode promover sensibilização comportamental. A sensibilização comportamental reflete em neuroadaptações que estão envolvidas no desenvolvimento da farmacodependência. Logo, tanto a administração repetida da substância de abuso quanto a exposição repetida a situações de estresse podem promover sensibilização comportamental, culminando em administração subsequente de substâncias de abuso. Esse fenômeno é chamado de sensibilização cruzada entre estresse e drogas. Em modelos animais, a sensibilização comportamental pode ser demonstrada pelo aumento progressivo da resposta locomotora a uma dose fixa da substância psicoativa após a exposição repetida a drogas ou ao estresse. Altos índices de uso de substância psicoativa de abuso tem sido observados entre adolescentes, no Brasil e no mundo. Adultos e adolescentes apresentam diferenças em relação à resposta às drogas e ao estresse. Embora seja de grande relevância, poucos são os estudos realizados para avaliar o efeito do estresse em modelos animais de adolescência. Desta forma, o objetivo desse projeto foi estudar se a exposição ao estresse crônico de isolamento social durante a adolescência promove sensibilização comportamental cruzada com a cocaína em ratos adultos e adolescentes

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Obesity along with overweight has been considered one of the most serious public health problems in the world, especially because they are the main risk factors for many chronic diseases such as coronary heart disease, type II diabetes mellitus, hypertension and some types of tumors, which are associated with high mortality rates. The use of functional foods and appropriate diets to promote health has grown as a mechanism for prevention, control and treatment of chronic diseases such as obesity. Several ethnopharmacological studies indicate plants species for the treatment of disorders associated with obesity with a major attraction of this regimen is perceived as safer and more effective for health than the traditional treatment with appetite suppressants. Whereas both food intake and the oral treatment with different compounds can cause changes in gene expression and that a proper diet has been valuable as a mechanism for maintaining the body's vital functions, the objective of this project was to evaluate the effects of standardized extract of Brassica campestris L. in the decrease in weight and food intake control. In vivo trials of this product were conducted and studies of its effects on energy metabolism in non-obese mice and with obesity induced by hypercaloric diet. After induction of obesity by 8 weeks, animals were treated for 21 days with the extract orally. After 21 days the animals were killed and the effects of this product were evaluated on the daily feed intake and on body weight. According to the results obtained, the extract of Brassica campestris was not effective in reducing body weight of obese animals, and did not reduce food intake

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The Hypertension Arterial Gestationis is a of largest complications to the pregnant women, a time that is associated with to high risk of morbimortalidade fetal and maternal ;the term If referred the levels pressure equal or above of 140mmhg to the pressure systolic and of 90mmhg to the pressure diastolic (1).Hypertension in pregnancy can be classified into gestational hypertension, chronic hypertension, preeclampsia and eclampsia(3). This study aimed to calculate and analyze the cost of care of newborns of hypertensive mothers hospitalized in rooming, nursery and the neonatal intensive care unit (Neonatal UTI). It’s a study of exploratory, descriptive and quantitative data analysis, in newborns of mothers with hypertension, who underwent prenatal care in HCFMB, from January 1 to 31 in December 2010. The data analysis showed that the cost of care for newborn in rooming was R$ 38.62 for the control group and groups of hypertensive mothers were R$ 19.93 to R$ 37.38. The costs of care to the newborn in the nursery were R$ 1,781.81 for the control group and groups of hypertensive mothers were R$ 680.03 to 7544.10. The costs for the newborn who Neonatal UTI were R$ 7,468.60 for the control group and groups of hypertensive mothers were R$ 5,228.02 to R $ 18,372.75. The total costs of care for newborn in rooming, nursery and Neonatal UTI were R$ 916.15 for the control group, R$ 1,385.98 for the HAC group, R$ 327.23 for the group HAS, R$ 3,896.57 for the group of preeclampsia and R$ 6,326.54 for the group of eclampsia. Considerations It can be concluded that the costs of mothers with preeclampsia and eclampsia were higher, being conditions with increased risk of maternal-fetal morbidity / mortality, requiring care in intensive care unit and longer stay in hospital

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O impacto das atividades antropogênicas sobre o meio ambiente é um tema de grande relevância atualmente, atraindo a atenção da comunidade científica em geral, visto que essas atividades têm causado alterações significativas na qualidade da água, do solo e do ar. Dentre a ampla gama de poluentes resultantes das atividades humanas, merece destaque a classe dos metais pesados, os quais possuem propriedades tóxicas e genotóxicas, constituindo fatores de risco para o desenvolvimento de desordens neurodegenerativas, artrite e câncer nas populações expostas a estes contaminantes, bem como alterações nos ecossistemas contaminados. Neste sentido, o presente trabalho teve por objetivo avaliar o potencial citotóxico, genotóxico e mutagênico do níquel como contaminante, utilizando Allium cepa (Liliaceae) como organismo-teste, a fim de detectar possíveis efeitos deletérios em seu material genético. Estas avaliações foram feitas por meio da exposição de sementes de A. cepa a três soluções, com diferentes concentrações de níquel. Os resultados obtidos no primeiro biensaio e na repetição estão apresentados na forma de artigo científico, a ser submetido para revista especializada. O estudo dos efeitos do níquel em A. cepa foram importantes, uma vez que os dados da avaliação dos danos induzidos neste organismo modelo podem ser utilizados para a comparação com modelos animais, sendo possível assim, a inferência dos perigos aos ecossistemas e à população que está exposta a esse contaminante

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Baccharis trimera (Less.) DC. Asteraceae e Casearia sylvestris Swartz Salicaceae são plantas nativas do Brasil e de uso tradicional em doenças do trato digestório. Seus extratos e substâncias purificadas apresentaram diversas atividades farmacológicas (ex.antiulcerogênica, antimicrobiana) e baixa toxicidade. O Helicobacter pylori (bacilo gram-negativo) coloniza o estômago humano, associada ao maior risco de incidência de várias doenças (úlceras pépticas, linfomas e adenocarcinomas gástricos). Com o objetivo de avaliar a atividade antibacteriana de diferentes extratos, frações e substâncias de ambas as plantas medicinais, extratos de partes aéreas de B. trimera e de folhas de C. sylvestris foram preparados utilizando-se técnicas de maceração, obtendo-se o extrato acetato de etila e etanólico de C. sylvestris e acetato de etila, etanólico, etanol 70% e hexânico de B. trimera. Estes foram fracionados e analisados por técnicas cromatográficas. Os extratos e suas frações e substâncias foram submetidos a ensaios para avaliação da atividade antibacteriana para a determinação da concentração inibitória mínima (CIM). O método utilizado para os ensaios foi a diluição em microplacas usando as bactérias Helicobacter pylori ATCC 43504, Staphylococcus aureus ATCC 25923 e Escherichia coli ATCC 25922. A partir do fracionamento do extrato acetato de etila de B. trimera e do extrato etanólico de C. sylvestris foram obtidas oito frações distintas do EAcBt e a fração de diterpenos do EEtCs. A análise em CCD demonstrou a presença de casearina X, B e caseargrewiina F na fração de diterpenos (EFSCs2). Os extratos da B. trimera EAcBt, EEtBt e EEt70Bt e da C. sylvestris EAcCs e EEtCs apresentaram atividade anti-H. pylori, com valores de CIM de 250, 500, 500, 125 e 750 g/mL, respectivamente... (Resumo completo, clicar acesso eletrônico abaixo)

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On the field of the projects of hydraulic systems exists a lot of worries when we talk about the calculate of hydraulic pumps. In this case some facts must be considerate: length of tubes, fluid characteristics, height gauge, temperature, pressure, characteristics of tubes, flow required and others. For that mathematic calculates must be developed with the objective to optimize hydraulic pumps and agree to find an ideal machine (that don't requires more energy than necessary or less energy than it requires; that is the more critical case, cause exists the risk that the fluid pumped do not agree to become in your destiny). The wrong calculate of this machine can super-size its, bringing an excessive energy consumption. Actually it's an important subject because we are in the age of lack of energy what turn it more expensive. So the correct sizing of a hydraulic pump is connected with the fact that you have to uses the enough energy resources avoiding waste. The calculate of ideal pump in the pumping system is studied during years and a lot of specialists in this subject develop equations and theories to calculate its. Some researches study about this subject and all of them become to the same conclusion: to find the ideal pump we have to know the characteristics of fluid (cinematic viscosity), the required flow , overall yield (overall of motor x overall of pump) the high gauge or discharge pressure and the loss of repression. The pressure drop can be calculated with different theories: using Hazen-Williams, Darcy e Weisbach or Chézy (1775 - that starts the researches to calculate the pressure drop). Although the most used theory and what is most near to reality is the Darcy's equation. So, in this job the Darcy's equation were choice to calculate the drop pressure that consider what kind of flow we are studying: laminar or turbulent. The determination of the best pump to be used in the ... ( complete abstract click eletronic access below)