964 resultados para Escleroderma sistêmico
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Due to the huge impact negative on the environmental caused by the civil construction, the university plays a majorital role in the proposal of studies and projects that aim the sustainable building. Nowadays, it has been noted the great demand for projects which contain a systemic focus in the tripod of the sustainable development, that is to say, more and more the consumers are demanding that the final result of a project contemplate the social, economic and environmental areas. According to the National Industry Confederation (CNI) and the Brazilian Chamber of the Industry and the Construction (CBIS), the goal for 2020 is that the constructions have an environmental performance 20% higher in comparison to the actual one, starting with an index defined by many indicators, such as: water consumption, energy, residues generation and social-environmental performance of the bought products. In this case, the theme of the project comes around the adequation of scholar institutions to the sustainable construction through simple changes of tecnologies and habits aiming the growth of the environmental eficiency of the enterprise and, consequently, the improve of sustainable practices inside the institution. Once the change is proposed, it will be furnished datas liable of reproduction for the adequation of others scholar institutions, according to it's necessity or interest. After the realization of the studies, it was possible to notice that the environmental performance of a scholar institution can be improved through the implantation of tecnologies of fast return in the investment, such as: flow reducers, rain water reuse system, green roof, retrofit of lamps and execution of a photovoltaic system. Besides the fast return of investment, the monthly economy of the applied tecnologies combined can reach 75% when compared to the actual spending with water and electric energy
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Low-intensity laser has been used as a physical agent in various fields of medical sciences such as bone and tissue repair. Meanwhile little is known about its effects in adverse conditions such as abolition of load and osteopenic. With the assumption that the laser Ga-Al-As accelerates the process of bone consolidation, goal of this study was to evaluate bone mineral density (BMD) in incomplete transverse osteotomies of tibia in adult rats, treated with low power laser therapy in three different groups: G1 (n = 10), reference 15 days; G2 (n=10), suspended by the tail and, accordingly, treated with laser for 12 days; G3 (n = 10), suspended by the tail by 36 days and that after 21 days, there was laser treatment for 12 days. The right tibia treated with laser and left served as control. The laser was used to Ga-Al-As, DMC - Flash Lase® III, with wavelength 830nm, 100 mW, 4J, 140 J / cm ², 40s of application in 12 sessions. It was used densitometer-Lunar DPX®, with computer program for "small animals", and the analysis of BMD was made in the bone throughout the region and the osteotomy. The results showed no efficacy of laser therapy in the process of bone repair, both in animals of group 1, as in group 2 and 3. It follows that either the low-power laser was not an effective performance or the effects of laser therapy is not only manifested at the site of irradiation as well as the systemic level.
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Lichenoid lesions are mucocutaneous disease of chronic inflammatory origin. Can produce side effects to drugs, dental materials, affecting 0.5 to 1% of the world population mainly in women in the fourth decade of life. The history and meticulous clinical servation may clarify the reactive nature, but the clinical diagnosis will only be conclusive when associated with tests such as histopathology. Therefore the objective of the study is to report a case of a woman of 55 years old, complaining of "white spots sore". Reported being allergic to metals, chocolate, acidic foods and certain types of clothes. From accurate intraoral clinical examination, white plaques were found in the dorsum of the tongue, hard palate and buccal mucosa, inaccurate and rough limits, and ulcerations throughout the labial edge and upper palate. Histopathology revealed a lichenoid reaction. Was instituted as pharmacological treatment, the use of systemic corticosteroids. Clinical follow-up of one year showed reduction of clinical symptoms, allowing to conclude that the clinical follow-up of this disease is necessary since its dubious malignant potential and diagnostic difficulty. Thus, early recognition of this disease allows instituting appropriate treatment with relief of anxiety of the patient and their family.
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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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Pós-graduação em Odontologia - FOA
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Pós-graduação em Zootecnia - FCAV
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This research is based on the reflection about the current culture of fruit packages, the standard that states the format and its materials, in the context of a contemporaneous design. It covers space representation issues, material and form representation in addition to the conditioner of the format of the pack as standard load and not the product itself. To analyze the factors related to packaging, we studied the systematic thinking, holistic or ecological and data were arranged in the form of systemic mind maps. The research aims to contribute with information to help in diagnosing the problem in its complexity and interconnected web of factors in order to facilitate better planning of packaging for fruit culture in a future sustainable society.
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Based on systemic-cybernetic-new paradigm vision and social constructionism, the paper is an invitation to reflect on the importance of language in the maintenance and the possibility of changing unequal relational patterns, mainly related to issues of gender. Studies on language and verbal behavior of women and men, besides their representation in the media, are examples to illustrate the need advocated here, to changing patterns of inequality guided by gender differences that influence and are influenced by the culture, conveyed in our social network. This paper is a contribution for the clinical work with families and couples, from the perspective of the current behaviors, based on refrains spread by the media which became popular, since it is based on clinical and nonclinical observations about human relationships and its representation in the media and artistic productions.
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Pós-graduação em Educação para a Ciência - FC
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Pós-graduação em Direito - FCHS
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Contexto: A paracoccidioidomicose é uma doença de apresentação clínica polimórfica, sendo a micose sistêmica de maior prevalência no Brasil. Relato de caso: Descrevemos o caso de um paciente de 49 anos que apresentava úlcera de crescimento progressivo há um ano no primeiro dedo da mão direita. Durante a investigação, foi realizado diagnóstico de paracoccidioidomicose forma crônica com acometimento cutâneo e pulmonar, apesar da ausência de clínica respiratória. Conclusões: Por apresentar evolução insidiosa na forma crônica, o diagnóstico da paracoccidioidomicose pode passar despercebido devido à grande dissociação clinicorradiológica nas formas pulmonares. Portanto, a presença de lesões cutâneas indica a possibilidade de acometimento sistêmico.
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Objective: to describe technical complaints and adverse drug events reported in a sentinel hospital in São Paulo state in 2009 and 2010. Methods: This is a descriptive study. Information was obtained from the sentinel hospital Risk Management database. Results: we found 199 reports related to drugs: 70.0% were technical complaints, 21.0% ineffective therapy and 9.0% adverse reaction to medication. The pharmacological groups with highest number of reports were: drugs that act on alimentary tract and metabolism (25.1%), the nervous system (25.1%) and anti-infective drugs for systemic use (22.1%). Conclusion: technical complaints and adverse drug events were frequent, despite recognized underreporting. The characterization of these events could inform the adoption of control measures and permanent educational actions in health services in order to prevent their occurrence.
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Mastits is considered uncommon disease in mares. Streptococcus equi, Staphylococcus sp., Corynebacterium sp., Actinobacillus sp., Nocardia sp. and enterobacterias are major microorganisms involved in equine mammary infections. The disease is commonly related to traumatic lesions in mammary glands and teats. Edema, fibrosis, masses to palpation of glands, and viscous to seropurulent milk are mainly clinical signs observed in affected animals. The diagnosis is based on clinical exam of mammary glands and microbiological culture of the milk. There are no standard to use of indirect exams on diagnosis, including California Mastits Test and Somatic Cell Count. Systemic antimicrobials are recommended in therapy, based on previous “in vitro” susceptibility microbiological test. No specific control measures are indicated in equine mastits. The present study reviewed the mastits in mares, with emphasis to etiology, epidemiology findings, clinical manifestation, diagnosis, treatment and control aspects.
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The aim of this study was to evaluate the influence of fine and medium droplets in the performance of flutriafol and thiophanate methyl + flutriafol for the control of Asian Soybean Rust (Phakopsora pachyrhizi Sydow & Sydow). The experiment was a 2 x 2 factorial design (2 droplet sizes x 2 fungicides) resulting in four treatments with six replications. The experimental area was set up with 24 plots (50 x 21 m). In each plot there was a central assessment area with 10 x 20 m. To the each plot there was a non-treated area placed in opposed direction to the wind. The evaluations of rust control were made by of the calculation of incidence (percentage of plants with rust), severity (level of infection), defoliations and soybean yield. The results were analyzed by the calculation of the confidence interval at 90%. The study was set up in curative control conditions with average infestation of 68.6%, average severity in the lower part of the canopy was of 35.9% and on the upper parte it was 4.57%. The results of severity, defoliation and productivity did not show statistical difference among the treatments. However, it was observed that in general there was tendency of better results with the application of flutriafol alone comparing with thiophanate methyl + flutriafol, since there was a small difference between two commercial products in the flutriafol active ingredient content (62.5 g ha-1 to the flutriafol alone and 60 g ha-1 to the thiophanate methyl + flutriafol). There was no statistical difference between fine and medium droplets. This fact can be explained by the characteristics of systemic action of the flutriafol and by the type of control made (curative). The flutriafol, being a systemic fungicide is less sensitive to the better coverage provided by the smaller droplets and, on the curative control, the amount of product deposited can became more import than coverage, mainly on the superior part of the leaves. These leaves are healthier than the inferior leaves that in general are the first to become completely compromised by the rust, losing importance to the plant. By this reason, medium droplets appear to have offered similar performance even not offering advantages in the leaf coverage. This fact may become important because in the practical side of the use of medium droplets, since this may increase the amount of time to spray, mainly because the fine and very fine droplets have more limitations related to drift and evaporation.
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Pós-graduação em Saúde Coletiva - FMB