997 resultados para acidente ofídico


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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Pós-graduação em Fisiopatologia em Clínica Médica - FMB

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

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Pós-graduação em Saúde Coletiva - FMB

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Pós-graduação em Enfermagem - FMB

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O impacto das reações adversas pode afetar duas vertentes, as conseqüências da reação ao paciente e a as conseqüências econômicas e sociais causadas pelas reações. Devido a isso, após o acidente da talidomida, órgãos governamentais de todo o mundo iniciaram a regulamentação do que hoje chamamos de farmacovigilância. O presente estudo teve como objetivo identificar e conhecer a legislação brasileira sobre a farmacovigilância, ao longo dos anos. Foi realizada uma pesquisa documental, de junho a setembro de 2014, sobre as legislações pertinentes utilizando a técnica de análise de conteúdo que permitiu avaliar as seguintes variáveis: ano publicação, âmbito, tipo de norma, a quem se aplica e o que regulamenta. No Brasil as primeiras iniciativas datam da década de 1970, mas foram tentativas infrutíferas na consolidação da farmacovigilância, pois havia muitas lacunas deixadas pelas normas, além da alta incidência de subnotificação por falta de uma fiscalização adequada. Apenas aproximadamente 25 anos depois, apareceram normas mais assertivas na consolidação da farmacovigilância, com a publicação da Política Nacional de Medicamentos, a fundação da ANVISA, criação do Centro Nacional de Monitorização de Medicamentos, criação do projeto Rede Sentinela, inserção do Brasil como membro do Programa Internacional de Monitorização de Medicamentos da OMS em 2001, criação dos centros de vigilância sanitária estaduais e a publicação da RDC n°4 de 2009 e Portaria CVS n°5 de 2010. Estas normativas incentivavam a fiscalização, sobretudo, da segurança, qualidade e efetividade das tecnologias em saúde. Apenas em 2013 foi contemplado o paciente como protagonista no processo de uso dos medicamentos, sendo possível analisar todo o contexto envolvido nas etapas (necessidade, efetividade, segurança e adesão). Hoje, o Brasil possui normas que contemplam todos os âmbitos de saúde, além dos detentores de ...

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This article investigates the universe of women seasonal farm workers, more precisely those women laborers who take the so-called truck, in the newspaper chronicle “Th e Seasonal Farm Workers’ Express” (1976) and the short story “Th e funny face of fear”(1978), both by the journalist and creative writer Murilo Carvalho. Th e hypothesis is that these two narratives, in which the theme is the truck accident, can be classifi ed as testimonial literature.

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Pós-graduação em Ciência Animal - FMVA

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

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In the treatment of extrusive luxation cases, it is important that the repositioning of extruded tooth in the socket is done as soon as possible. If this does not occur, periapical clot becomes organized and makes replantation difficult reposition. In this article the patient referred to the Clinics for dental trauma sustaining extrusive luxation of the maxillary right central incisor. The patient reported having suffered a bicycle accident 12 days before, which caused traumatic tooth injuries. The repositioning was attempted without success and an alternative form of treatment was necessary to solve the case. Intentional tooth replantation, which is the deliberate extraction of the tooth and its replantation, was indicated. This technique allows clot removal and correct repositioning of the extruded tooth. Care should be taken as endodontic treatment is required for the prevention of subsequent infection-related resorption. Intracanal dressing with calcium hydroxide was used for 30 days before final root filling. Splint, systemic antibiotics and avoidance of further damage to the root surface is also important. After 49 months, showed clinical and radiographic characteristics of normality and demonstrates the availability of this technique to adversity in trauma.

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Objective: To investigate the correlation between the Alberta Program Early CT Score (ASPECTS) and the Scandinavian Stroke Scale (SSS) for the evaluation of neurological impairment in patients with acute stroke. Method: 59 patients with a first acute ischemic stroke were evaluated. The ASPECTS were evaluated by 2 neurologists at admission and by another neurologist after 48 hours. The NIHSS and SSS was applied to determinate stroke severity. Correlations and agreements were analysed statistically by Spearman and Kappa tests. Results: ASPECTS was correlated with National Institute of Health Stroke Scale (NIHSS) at admission (r = -0.52; p < 0.001) and SSS (r = 0.50; p < 0.001). The ASPECTS and SSS items were most correlated with arm (r = 0.52; p < 0.001) and hand (r = 0.49; p < 0.001) motor power, and speech (r = 0.51; p < 0.001). The SSS of 25.5 shows sensitivity (68%) and specificity (72%) when associated with ASPECTS <= 7. Conclusion: The SSS can predict worst neurological impairment when associated with lower values of ASPECTS.

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The contamination of the physical environment occurs as a result of the lack of planning and inadequate management of hazardous products. Due to the difficulty of the characterization and study of soil and groundwater, the contamination has been long neglected. The characterization of these areas by research techniques through direct methods such as physical and chemical analysis, are widely used in the diagnosis and monitoring. However, despite presenting quantitative results, this method is not representative in spatial terms. The purpose of this work is to bring geophysical complementation with the diagnosis, bringing the spatial element for the detection of the contamination plume. In the study area, there was a railway accident in 1999 in which three wagons fell and spilled 240,000 L of diesel onto the soil. The main objective is to assess the presence of contaminants in the residual phase and dissolved in the subsurface, using the technique of Electrical Tomography (ETR), understand the effects of natural attenuation process in the degradation of hydrocarbons and changes in electrical properties in soil and groundwater. The results allowed the definition of three distinct patterns of resistivity region with presence of dissolved phase, set in a historical chemical analyzes: low values (> 60Ω.m) associated with the presence of hydrocarbons in an advanced stage of degradation, intermediate values (260Ω.me 511Ω .m) indicative of coexistence of residual hydrocarbons and dissolved phase, and high values (> 1000Ω.m), which reveal the prevalence of residual phase with incipient degradation, possibly in high toxicity concentrations for effective action of biodegradation processes. The diagnostic of areas with potential accumulation of residual phase can subsidize the planning of remediation techniques and promote the complete decontamination of the area

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Pós-graduação em Geociências e Meio Ambiente - IGCE