908 resultados para Ensaio clínico randomizado


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A clinical investigation was undertaken to find out the prevalence of craniomandibular signs and symptoms in a group of 11 patients with labiopalatal lesions. The number and distribution of occlusal contacts was evaluated through questionnaire, clinical examination and analysis of mounted casts in partially adjustable articulators in the position of maximum inter cuspation. The most frequent signs and symptoms were articular sounds and lateral pterygoid muscle tenderness to palpation followed by restriction of mouth opening and sensation of tiredness. The number of occlusal contacts was small, mean of 5 contacts per patient, and the site was considered as atypical, 62% of them were on inclined plane surfaces , suggesting occlusal instability. The frequency of signs and symptoms was low and they were of a mild character. The most prevailing signs of craniomandibular dysfunction - articular sounds, muscular tenderness to palpation and restriction of mouth opening - was noticed in only one of the patients

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Pós-graduação em Letras - FCLAS

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Este estudo de interpretação e valoração de paisagens e uma contribuição na área da Geografia para as pesquisas teóricas e aplicadas sobre educação ecológica, tendo a paisagem como ambiente de aprendizagem direcionada e incidental, através de experiências ambientais imediatas, tais como trilhas interpretativas e vivências na Natureza. Estas atividades visam uma estimulação pluri-sensorial, de busca do equilíbrio ecológico e emocional através do estabelecimento de laços afetivos com o meio ambiente, envolvendo o significado do reconectar-se com a Terra. Visa ainda contribuir para processos de sensibilização e conscientização ambiental a partir da visão ecológica, induzindo a mudanças atitudinais no sentido do desenvolvimento de condutas pro-ambientais mais conscienciosas, bem como subsidiar programas e projetos vinculados às políticas públicas direcionadas à conservação e valoração da paisagem natural e cultural.

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Protrusion of the intervertebral disc can cause chronic progressive compression of the spinal cord, and the neurological associated signs vary according to anatomical location, duration and dynamic force of compression. The type II disc disease is not fully understood, and there are many controversies about is clinical significance and best form of treatment. The most important aspect of conservative treatment is rest and physiotherapy associated with mild exercise, and use of corticosteroids to reduce vasogenic edema. The spinal decompression by surgery for removal of disc material from within the medullary canal is the surgical treatment of choice in type I disc disease, but has technical limitations in the type II disc disease. The purpose of this paper is to review the pathophysiology and treatment of chronic intervertebral disc disease and discuss the controversies in medical treatment and the use of some traditional and new surgical techniques.

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2,25Cr-1Mo alloy steels are widely used in petrochemical plant equipments working in high temperature conditions because of their good mechanical proprieties in these conditions. Although, when exposed for a long time at high temperature, in the rage of 343 °C to 593 °C, may present the temper embrittlement phenomenon. The component named stripper of assembly converter of fluid catalytic cracking unit (UFCC) of studied plant is manufactured using this material, which is subject to temper embrittlement. The phenomenon of temper embrittlement refers to progressive lose of toughness, making the material brittle. With embrittlement, equipaments manufactured with this material are under risks to suffer brittle fracture in the cool down and start-up situations of them, which can cause catastrophic failures. By this reason, this research studies presence of temper ebrittlement phenomenon on this material. To verify the toughness of the material is conventionally used charpy V-notch test. However, this test requires the removing of samples of the material to make specimens. This fact becomes critical when talk about structural components of an equipment. So, this research also studies a non-destructive test that can be executes in-situ, known as instrumented indentation, as an alternative detection of the phenomenon at the component stripper, by comparative of the mechanical proprieties obtained by conventional tests in similar samples

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Flavonoides são constituintes fenólicos de plantas que possuem diversas atividades terapêuticas, dentre elas, a atividade antimutagênica. Eles são caracterizados por um esqueleto carbônico C6-C3-C6, em que os componentes C6 são anéis aromáticos e o C3 um anel heterocíclico. Diferenças nessa estrutura podem alterar a atividade e o seu potencial antimutagênico. Para melhor compreensão da atividade antimutagênica exercida pelos flavonoides, neste estudo, os compostos quercetina, kaempferol, luteolina, fisetina, galangina, crisina, flavona, 3-hidroxiflavona, 5-hidroxiflavona e 7-hidroxiflavona, flavonoides que apresentam diferenças no padrão de hidroxilação, foram analisados pelo teste de Ames. Para realização dos ensaios foram utilizadas as cepas TA98, TA100 e TA102 de Salmonella typhimurium em testes com e sem ativação metabólica. Os mutágenos utilizados para comparação do efeito protetor dos flavonoides foram 4-nitro-o-fenilenodiamina (NPD), azida sódica (AZS), mitomicina C (MMC), benzo[a]pireno (B[a]P), aflatoxina B1 (AFB1) e 2-aminoantraceno (2-AA). No ensaio contra o NPD sem ativação metabólica, todos os flavonoides apresentaram efeito antimutagênico, com exceção da fisetina. No ensaio com ativação metabólica contra o B[a]P, todos os flavonoides demonstraram forte efeito antimutagênico, com exceção da quercetina que potencializou o efeito mutagênico do mutágeno. No ensaio contra a AZS sem ativação metabólica, os flavonoides luteolina, crisina, 3-hidroxiflavona e 7-hidroxiflavona reduziram a resposta mutagênica do mutágeno. No ensaio contra a AFB1 com ativação metabólica, os flavonoides kaempferol, luteolina, crisina e galangina (em concentrações mais elevadas) exibiram efeito antimutagênico ...

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In chemical industry, petrochemical and oil refinery may be found situations that working pressures and very high temperatures, and alloys that comprise such equipment must have specific characteristics such. As a way to ensure that the materials are as designed, companies have some specific techniques, and one of them is X-ray fluorescence spectrometry, which allows its application in devices small and lightweight, which ensures its portability in field use. This technique however, has some shortcomings such as the impossibility of detecting carbon and other elements of low atomic number which can generate false identifications of elements that are not in the league or non-detection of existing elements. Therefore, this study investigated the reliability of this method using the apparatus Niton XL3t 800 and may conclude that their results are reliable and can be used to assist in ensuring the operational integrity of the production units of these companies

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The urbanization process established in Brazilian society since the middle of last century brought changes in the population habits and customs, which was responsible for the increased of chronic diseases incidence, such as arterial hypertension, for example. Although this is a common disease nowadays, it is still difficult to establish a significant control in subjects with this disease and its consequences. This is apparently due to lack of interest to the correct plan of care developed for the treatment of this disease. The nursing consultation identifies potential problematic situations and the patient needs, setting actions that are complementary to their benefit in order to promote health. The present work aims to observe how the nursing consultation is being used as strategy for patients with arterial hypertension, and to understand the difficulties faced during treatment of these patients. For this purpose, it was performed qualitative and quantitative studies with patients from Centro Saúde Escola (CSE), Unidade Auxiliar, Faculdade de Medicina de Botucatu, UNESP, located in Botucatu, employing as methodology the Discourse of the Collective Subject and descriptive statistical analysis of quantitative results. The vast majority of consultations were held by medical professionals and it was observed that the multidisciplinary work still needs to be recognized and valued by users. The lack of knowledge of some individuals in relation to the potential and importance of the nursing consultation occurs not only for the treatment of arterial hypertension, but for the treatment and monitoring of the individual as a whole. Therefore, it is still necessary to clarify the true essence and necessity of the nursing consultation, since so important tool should be used in its entirely. Moreover, the role of the multidisciplinary team should be more discussed

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Apoptosis is a form of programmed cell death selectively removes abnormal cells, and thus contributes to maintaining the balance of the dynamics of cell reproduction. Therefore the verification of the occurrence of apoptotic cell death after a pathological stimulus is crucial for the analysis of the maintenance of normal cell cycle of a given tissue or organ. In this experiment were used cells lines human mammary tumor MDAMB231, T47, MCF7, which were irradiated with X-rays at a dose of 5 Gy in a time interval of 15 seconds, and filtration of 1mm aluminum. Samples containing the cells were grown in a specific culture medium, containing fetal bovine serum and growth factor, and two samples were prepared with each of the cell lines, one to be irradiated, and another that has not been irradiated, which denoted by negative control of the irradiation. The primary goal of the experiment was to verify and compare the rates of apoptosis in each cell lines, in which were irradiated and that were not irradiated, using flow cytometry as a method for detecting apoptotic cell death in together with specific markers annexin V and propidium iodide. Data from the readings made by flow cytometry were analyzed and interpreted using the software WinMDI statistical graph. By comparing the indices relating to the readings of positive and negative for specific markers of apoptosis, based on differences in the statistical data presented lectures regarding the cellular irradiated and not irradiated, collude cells in question once... (Complete abstract click electronic access below)

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Oncology is presenting an important role in clinical practice as a speciality in recent years in Veterinary Medicine. Mammary gland tumors are detected mainly in old and middleaged bitches that are sexually intact or spayed and the caudal abdominal and inguinal mammary glands are the most affected and they present a percentage up to 75% of malignancy. The majority of dogs with mammary neoplasms are clinically healthy at the time of diagnosis and the tumors can be identified by the owner or a professional during a routine physical examination. Cytological examination of fine needle aspirates can be performed. This procedure is easy and low cost and some criteria that may indicate malignancy are evaluated, however to obtain a definitive diagnosis is performed histopathology of the excised tissue or from biopsy. Regional lymph nodes are the first lymph node to receive lymphatic drainage from the neoplasm. They are at the highest risk of regional metastasis, while the lung is the most common site for distant metastasis. Determining the clinical stage enables the definition of the extension of the tumor. As a consequence, this allows a prognosis to be established and treatment to be planned. The type of therapy to be chosen incites controversy since there are numerous treatment options described, but the surgery is the chosen treatment. However, surgery is not always effective for malignant tumors, and recurrences may occur and in these cases, auxiliary chemotherapy treatments are used. The prognosis for animals that have mammary tumors depends on several factors, such as: size, stage, type of tumor cells and clinical behavior of the tumor, age and medical condition of the animal, and presence of metastasis. Because of this, more detailed studies are needed based on epidemiological surveys in order to provide more informations about risk factors, prevalence and follow-up after treatment of mammary... (Complete abstract click electronic access below)

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O presente trabalho de conclusão de curso visou à otimização e preparação da síntese de Lapdesf-IUNI e avaliação do potencial de inibição de urease de três compostos previamente sintetizados, direcionados especificamente para o tratamento de infecções por Helicobacter pylori, bactéria mundialmente reconhecida como uma das principais causadoras de infecções no mundo, responsável pelos casos de infecções gástricas, como gastrites crônicas, úlceras (gástricas e duodenais) e carcinomas. Lapdesf-IUNI é um composto derivado de metronidazol, com atividade potencialmente inibidora de urease, enzima presente neste microrganismo e essencial a sua sobrevivência no ambiente gástrico. O produto foi obtido, porém com baixo rendimento, por isso sua metodologia ainda necessita ser aperfeiçoada, para que, em seguida este composto possa ser testado. Outros três compostos, um derivado de tiouréia e dois derivados guanidínicos, com potencial atividade inibidora de urease, T-6, R-17 e R-21, sintetizados pela equipe do Prof. Eduardo Perez, foram avaliados com relação a sua atividade inibidora frente à enzima urease e IC50, apresentando bons resultados, que permitem a continuidade dos estudos, comparando inclusive com fármacos utilizados nos protocolos de tratamento padrões para o tratamento das infecções causadas por H. pylori

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In the last years, the use of industrialized systems of lattice structures of wood as an alternative in the construction processes, is becoming more popular in Brazil, mainly for their commitment to the environment.The industrialized system of wooden lattice structures consists in a production of lattice structures, composed of pieces of wood where their mechanical connections are made with the sheet multi-toothed connectors (CDE).Among the many challenges to make this system competitive, the whole system of the connections between the pieces of wood not only must show functionality, but also speed, strength, versatility and economy. Referenced at Brazilian Standard for Wood Structures (NBR 7190/1997 - Project of timber structures) the sheet multi-toothed connectors, are analyzed using three test methods: tensile strength parallel to grain, tensile strength normal to the fibers and shear strength, all of them in two positions, αCH0=0o e αCH0=90o to four types of wood: Angelim (Vatairea heteroptera Ducke); Red-Angico (Parapiptadenia rigida (Benth) Brenae); Garapa (Apuleia leiocarpa (Vog.) Macbr) and Jatoba (Hymenaea stilbocarpa Hayne), belonging to the Leguminosae family and founded in several regions of Brazil.The purpose of this manuscript consists to analyze the mechanical connections with the sheet multi-toothed connectors through tests from NBR7190/1997