937 resultados para Last two millennia


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Obstructive Sleep Apnea Syndrome (OSAS) is characterized by snoring and / or repetitive pauses in breathing during sleep associated with hypoxemia and hypercapnia. Affects approximately 1-3% of children, especially preschoolers. There is an association of OSAS with negative impact on neurocognitive development. However, there are few studies using protocols to assess cognition and behavioral disorders in children with OSAS. The objective of this study was to analyze the major studies related to the topic within the last two decades. The main studies published between 1995 to 2011 were identified through MEDLINE and LILACS databases. We selected the most relevant for OSAS in children, neurocognitive effects and association between obstructive disorders / OSAS in the target population (children). It was concluded that the studies analyzed showed that there is strong evidence regarding the overlapping of OSAS in children with neurocognitive disorders and that treatment of OSAS has positive impact on neurocognitive development.

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The aim of this study was to analyze the perception of elderly caregivers in relation to the meaning of general and oral health and about oral health status of the institutionalized aged. It was performed a qualitative study, using Discourse of Collective Subject method. It were interviewed 42 caregivers who worked in longterm care facilities of Araçatuba City, SP and Passo Fundo City, RS – Brazil, applying a structured questionnaire. The interviews were recorded and transcript to be performed the qualitative analysis. The answers were analyzed and them it was elaborated the discourses of collective subject (DCS). Oral health, according to caregivers, was hygiene habits and good diet, while the absence of oral health was sequelae of oral diseases. It's possible to note that older means of health were being substituted by new perceptions of quality of life and is very divergent between older professionals and those who graduated during last two decades. However, according to caregivers, this health perception as quality of life was not included in Dentistry, where the old mean "absence of symptoms" was prevalent. For part of them, the institutionalized elderly have no oral health and the only way to improve their condition was through clinical attendance.

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Pós-graduação em Saúde Coletiva - FMB

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Mining activities are directly related to changes in natural landscapes. With the objective of analyzing the changes imposed by the geomorphological dynamics of human action in areas of mining clay, two fragments were selected from the basin of Ribeirão Santa Gertrudes / SP, representing denudational and sedimentation processes respectively. This area is within the context of the Ceramic Pole Santa Gertrudes / SP, which besides its importance as a supplier of raw material, is characterized as the largest center of international reference in ceramic tiles on the American continent. Data was collected and analyzed from the perspective of anthropogenic geomorphology supported by general systems theory and uses techniques from evolutionary geomorphological mapping. Thus, geomorphological mapping were produced concerning three scenarios, which date from 1962, 1988 and 2006 in a scale of 1:10.000. These surveys allowed us to infer a detailed investigation of the evolution of changes in topography and hydrology, geomorphology representative of the original (1962), which has characteristics of an earlier phase of earlier existing large mining pits, and its evolution to a anthropogenic geomorphological stage, represented by active disruption scenarios dating from 1988 and 2006. The last two scenarios have analyzed changes in the dimensions of relief features when compared with the original scenario representative of geomorphology, as well as an intense reallocation of surface and subsurface materials, in which human action is highlighted by becoming responsible for sculpting the landscape through the imposition of control mechanisms to natural processes.

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If Plato compared the artist's work a reflection of the things, the contemporary art transcends the projection of things beyond themselves by creating unusual pictures, requiring the reader a posture of meanings' digger to establish the signification. Our object is the mestizo, hybrid and heterogeneous Latin America presented by sensitive eyes of art. We chose the route of ambiguous and poetic language of art, selected three works of Brazilian artist Regina Silveira since the last two decades has sought to un/construction of the image from the shadow, reflection, anamorphic projections, which offers unusual images, poetic visual paradoxes. Art as a mirror labyrinth where the reader/viewer as a wanderer without contemporary "gps" to select territories where will step from a map that he will have to build.

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The criticism of Cartesian philosophy is correlated on four pillars: the fragmentation of knowledge, the separation between mind and body, the impossibility of the reductionist method for explanation of natural phenomena, and in the superiority of the reason as the only valid form of knowledge. These last two pillars, as many environmentalists claim, contributed decisively to the devaluation of the res extensa over the res cogitans. To check this we used as a theoretical framework the following texts: Discourse on Method, Rules for Conduct of the Spirit and Metaphysical Meditations. By reading these works it was found that the first two pillars (the fragmentation of knowledge and the separation between mind and body) there are no theoretical basis in texts. The failure of the reductionist method to explain the ecological and atomic phenomena and the overcoming of reason as the only valid form of knowledge are supported in their philosophy.

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The aim of this study was to investigate the development of specific domains of Numerical Cognition (Number Sense – NS, Number Comprehension – NC, Number Production – NP, and Calculation – CA) in Brazilian children with Specific Learning Disorders. The study included 72 children (36 boys), from 9-to 10-years-old, enrolled in 4th and 5th years of elementary school of public schools at countryside of Sao Paulo State, Brazil. They were divided into three groups: control (CT, N = 42), Developmental Dyslexia (DL, N = 11) and Developmental Dyscalculia combined with dyslexia (DDc, N = 19). All participants had intellectual level within the normal range, however, children from the last two groups had Learning Disorders classified by School Achievement Test - TDE (Stein, 1994) and DDc children received necessarily classification as 'inferior' in Arithmetic Test of TDE. The children did not differ in NS. DL and DDc children showed slight deficits in NC. However, DDc children had moderate in NP and mild to moderate deficits in CA, which indicates a more generalized impairment in Numerical Cognition. Furthermore, DDc children showed discrepancy in Numerical Cognition performance when compared to the other groups. Thus, children with Learning Disorders showed different performances in Numerical Cognition, although both groups had preserved SN, DDc children showed higher deficits and discrepancy in relation DL and typically developing children.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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The annual vaccination campaign against rabies is the most effective prevention procedure for this disease in dogs and cats and hence for human protection also. However, in 2010 and 2011, this activity was interrupted in Brazil due to the occurrence of adverse events associated with vaccination. Even though cases of canine rabies have been decreasing in the last two decades, vigilance must be strengthened in order to maintain pet owners trust in the vaccines provided in public services. This study aimed to determine pet owners participation in the annual vaccination campaign carried out in Botucatu. During March and April 2012, the period before the 42nd campaign, 312 pet owners, dogs and cats, were interviewed. The homes were randomly drawn in blocks from different sectors of the city; all houses on the same block over the 120 km² of urban area participated in the sampling process. Statistical analysis was performed descriptively. The results showed that the owners main motivation to vaccinate their pets during the campaigns is rabies prevention (36%), followed by the proximity of the vaccination station to the house (20.7%), zero cost (10.9%), and the combination of all three factors (16.1%). When asked if they would take their animals back to be vaccinated in another campaign, 60.1% answered yes, 13.5% would go to a private clinic, 2.2% would not take because they do not trust the vaccine and 1.6% had not decided yet. We conclude that the respondents have realized how dangerous Rabies is, because even after the break period, they still utilized the vaccination campaign demonstrating confidence in its effectiveness, while knowing the campaign goals facilitates understanding and participation.

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

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Pós-graduação em Bases Gerais da Cirurgia - FMB

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Degeneration of tendon tissue is a common cause of tendon dysfunction with the symptoms of repeated episodes of pain and palpable increase of tendon thickness. Tendon mechanical properties are directly related to its physiological composition and the structural organization of the interior collagen fibers which could be altered by tendon degeneration due to overuse or injury. Thus, measuring mechanical properties of tendon tissue may represent a quantitative measurement of pain, reduced function, and tissue health. Ultrasound elasticity imaging has been developed in the last two decades and has proved to be a promising tool for tissue elasticity imaging. To date, however, well established protocols of tendinopathy elasticity imaging for diagnosing tendon degeneration in early stages or late stages do not exist. This thesis describes the re-creation of one dynamic ultrasound elasticity imaging method and the development of an ultrasound transient shear wave elasticity imaging platform for tendon and other musculoskeletal tissue imaging. An experimental mechanical stage with proper supporting systems and accurate translating stages was designed and made. A variety of high-quality tissue-mimicking phantoms were made to simulate homogeneous and heterogeneous soft tissues as well as tendon tissues. A series of data acquisition and data processing programs were developed to collect the displacement data from the phantom and calculate the shear modulus and Young’s modulus of the target. The imaging platform was found to be capable of conducting comparative measurements of the elastic parameters of the phantoms and quantitatively mapping elasticity onto ultrasound B-Mode images. This suggests the system has great potential for not only benefiting individuals with tendinopathy with an earlier detection, intervention and better rehabilitation, but also for providing a medical tool for quantification of musculoskeletal tissue dysfunction in other regions of the body such as the shoulder, elbow and knee.