825 resultados para Atraso da gratificação
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Contexto: É descrita uma síndrome congênita rara e suas manifestações típicas visando seu diagnóstico precoce. Descrição do caso: Pacientedo sexo feminino, com 15 anos de idade, com glaucoma congênito em acompanhamento pelo Serviço de Oftalmologia da UniversidadeEstadual Paulista (Unesp) foi encaminhada ao Serviço de Dermatologia com um ano de idade devido a manchas eritêmato-violáceasextensas distribuídas nos dois terços superiores da hemiface esquerda e em outras localidades do corpo desde o nascimento. A mãerelatava convulsões desde um ano e atraso do desenvolvimento neuropsicomotor. Nos antecedentes familiares, negava casos semelhantes.O diagnóstico da Síndrome de Sturge-Weber foi estabelecido pelo quadro clínico característico e pelos exames complementares quedemonstraram, no sistema nervoso central, atrofia e calcificação corticais, além de alterações oftalmológicas como glaucoma e buftalmo.Discussão: A síndrome de Sturge-Weber ocorre em 1 a cada 20.000 a 50.000 nascidos vivos e é caracterizada por malformações vascularesmanifestadas por manchas eritêmato-violáceas, mais conhecidas como manchas vinho do Porto , localizadas no território do ramooftálmico do nervo trigêmeo, com acometimento neurológico e possível acometimento ocular. O prognóstico depende das complicaçõesneurológicas, as quais não guardam relação com a extensão das lesões cutâneas. Conclusões: Relata-se afecção rara, cujo diagnósticoprecoce direciona o acompanhamento multidisciplinar.
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Melanoma subungueal in situ tratado com cirurgia funcionalHamilton Ometto StolfI, Hélio Amante MiotI, Nilton de Ávila ReisIIDepartamento de Dermatologia e Radioterapia, Universidade Estadual Paulista (Unesp)INTRODUÇÃOO melanoma subungueal representa aproximadamente 2% a 3% dos melanomas cutâneos em pacientes caucasianos1 e 20% em pacientes negros2 ou asiáticos.3A exposição solar, tida com principal fator de risco para o melanoma cutâneo,4 parece desempenhar papel secundário no desenvolvimento da variante subungueal,5 uma vez que a radiação ultravioleta dificilmente penetra no leito ungueal. Além disso, nevos subungueais como lesões precursoras são extremamente raros.6Os polegares e háluces são os mais acometidos, sendo o polegar responsável por 56% dos casos entre todos os dedos e o hálux por 86% dos dedos dos pés.7A confirmação do diagnóstico é feita a partir do exame anatomopatológico da lesão, geralmente localizada na matriz ou leito ungueal. A verificação histológica do melanoma subungueal é frequentemente postergada por conta do atraso no diagnóstico clínico,8-10 gerando piora do prognóstico.O prognóstico geralmente é ruim: as taxas de sobrevida real de cinco anos variam entre 16% a 20%, podendo atingir até 80% se consideradas taxas de sobrevida estimada.2,3,11-18RELATO DE CASOPaciente de 44 anos, do sexo feminino, professora, com queixa de aparecimento de mancha na unha do hálux direito há cinco anos. Relata aumento progressivo lento na largura da faixa. Ao exame dermatológico, apresentava faixa de melanoníquia extensa, irregular, bordas mal definidas e estria de pigmentação mais acentuada em uma das margens do leito ungueal do hálux direito (Figura 1). Exame dermatoscópico (aparelho Dermalite II Pro, aumento de 10 vezes) confirmou faixas irregulares e cores variadas de hiperpigmentação.Foi realizada a avulsão parcial da lâmina ungueal e incisão na prega ungueal lateral para visualização do local da origem da pigmentação no leito ungueal,
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Under conservation tillage systems is critical to maintaining plant residues from previous crops on the soil surface. A technique called Hormesis aims to increase the amount of straw and also cause a delay in straw decomposition. Therefore, this study aimed to evaluate the agronomic characteristics of corn under no-tillage system subjected to Hormesis. The experiment was carried out at UNESP campus in the city of Botucatu, SP . The experimental was design in completely randomized blocks. The treatments based on the technique of Hormesis were : control (no application) , sub Gliphosate low dosage (12.5 g.ai.ha - 1 ) , sub Gliphosate average dosage (25 g. ai.ha - 1 ) , sub Gliphosate high dose (50 g. ai.ha -1 ), 2,4-D under low dose (100 g. ai.ha -1 ), 2,4-D sub average dosage (200 g. ai.ha -1 ) 2,4- D under high dosage (300 g. ai.ha -1 ) sub Verdict low dose (0.625 g. ai.ha -1 ) sub Verdict average dosage (1.25 g. ai.ha -1 ) , sub Verdict high dosage (2.5 g. ai.ha - 1 ) . In addition, the following characteristics were evaluated: plant height, first ear growth, stem diameter , ear length , number of rows per cob, cob diameter , , percentage of grains on the cob , mass of plant dry matter, and yield. The results showed that all the treatments showed no statistical difference, the maize was not affected with sub doses of herbicides applications under the field and weather conditions in which the experiment was conducted.
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This study aimed to evaluate the hydrothermal effect on conservation of two jabuticaba fruits, Myrciaria jabuticaba Vell. Berg. Fruits were subjected to thermal treatment by 10 min at 5, 10, 15, 20 and 25 ºC and wrapped into expanded polystyrene trays, stored at 9 ºC and 85-90% RH, being evaluated every 5 d. Shelf life, weight loss, respiratory rate, soluble solids, titrable acidity, texture, C vitamin, pH, total and soluble pectin and polypheno loxidase activity were evaluated. Lower shelf life was observed for control treatment (31 d) and largest was found at 15, 20 and 25 ºC (45 d). A sligthly delay was observed in the breathing pick at 15, 20 and 25 ºC at 25 d and not in the 20 d as observed in the other treatments. Soluble solids increased with storage time for all of temperature treatment, but at 15, 20 and 25 ºC increase was smaller. Texture an C vitamin were higher in fruits stored at 25 ºC. Soluble pectin was smaller at the end of storage period, at temperatures of 20 and 25 ºC. Polyphenoloxidase activity decreased along 30 d regardless storage temperature. Treatments at 20 and 25 ºC were the most effective for mainteining posthaverst quality of the jabuticaba fruits.
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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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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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This paper had as emphasis the study of the mechanization and modernization of the construction job sites of the city of Lorena located in the Vale do Paraíba, São Paulo. From the literature review on this topic, it was possible to understand the main causes of the delay in the job sites relating to the new technology available. The research on the history of construction and equipment evolution, along with interviews with workers, engineers and architects, it was possible to analyze the current situation. One of the main intentions of this study was to propose guidelines for the modernization of the construction sites
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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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This paper had as emphasis the study of the mechanization and modernization of the construction job sites of the city of Lorena located in the Vale do Paraíba, São Paulo. From the literature review on this topic, it was possible to understand the main causes of the delay in the job sites relating to the new technology available. The research on the history of construction and equipment evolution, along with interviews with workers, engineers and architects, it was possible to analyze the current situation. One of the main intentions of this study was to propose guidelines for the modernization of the construction sites
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This study analyzed the causes of delay in the diagnosis of tuberculosis in the prison system, according to the experience of incarcerated patients. The theoretical and methodological framework of the French school of discourse analysis was used, which seeks to comprehend the processes of meaning production, in the relationship of language with ideology and the development of subjects in their positions. Semi-directed interviews were conducted with seven incarcerated tuberculosis patients in a hospital of Joao Pessoa, Paraiba, Brazil, between August and October 2009. The delay in the diagnosis of tuberculosis was related to the naturalization of the lack of care for the prisoner, to the interpretation of the prison as a place of death and suffering and to the deprivation of the right to health for the detainees as a result of their position in the asymmetric power relationships and ideological effects.