951 resultados para primary headache disorders
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This study focuses on mechanism of ceramic coating on Al-Si alloys with bulk primary Si using plasma electrolytic oxidation (PEO) technology. Al-Si alloys with 27-32% Si in weight were used as substrates. The morphologies, composition and microstructure of PEO coatings were investigated by scanning electron microscopy (SEM) with energy dispersive X-ray system (EDX). Results showed that the PEO process had four different stages. The effect of bulk Si is greatly on the morphology and composition of coatings at first three stages. Anodic oxide films formed on Al and Si phases, respectively. When the voltage exceeded 40 V, glow appeared and concentrated on the localized zone of interface of Al and Si phase. Al-Si-O compounds formed and covered on the dendrite Si phase surface, and the coating on bulk Si, which was silicon oxide, was rougher than that on other phase. If the treatment time was long enough, the coatings with uniform surface morphologies and elements distribution will be obtained but the microstructure of inner layer is looser due to the bulk Si.
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The environmental conditions of Kainji Lake from 1971/72 to date appear to have stabilized to a large extent, judging from the similarity of physico-chemical parameters investigated in this study over the period. Solar radiation (as reflected in variation in temperature) and pH have remained largely constant over the years, while conductivity (index of nutrient enrichment), though significantly higher in 1995/96, could be described as sporadic and needs further monitoring to ascertain its trend in the lake. While water transparency and dissolved oxygen were higher in 1971/72 compared to the other years, these increases cannot be said to be overwhelming. The lower transparency in 1995/96 was due to the exceptional flood of that year and may have also accounted for the poorer dissolved oxygen concentration compared to the other years due to its impact on photosynthesis. There is no evidence from this study to indicate that primary productivity has increased over the years. Consequently, the observed increase in fish yield by the KLFPP from CAS, which is corroborated by estimates from the MEI, cannot be supported on the basis of improved photosynthetic production. The phenomenal high levels of conductivity recorded during certain periods in 1995 (600 mu mhos cm super(-1)) are hitherto unknown in the lake and may indicate a trend towards nutrient enrichment. However, it is premature at this stage to conclude on its long-term impact on primary production and consequently, on fish yield. Secondly, the notion of overfishing in the 80s (Ita, 1993), may need to be further examined as low or dwindling catches could be due to a number of factors among which are the level of fishing effort, the type and efficiency of gears and the intensity of sampling. It would appear that with the intervention of KLFPP, the better management of the lake's fisheries would increase the current level of catch. It also needs to be examined how much of the clupeid fisheries, which is now known to account for a substantial proportion of the total fish yield in Kainji Lake, was included in the sampling of the 80s. (PDF contains 43 pages)
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Utilization of the heavy isotope of nitrogen as a tracer has found numerous applications in soil biology. It allows better definition of different stages of the nitrogen cycle, in particular the immobilization-mineralization cycle. In this work, the authors report the results of calculations of natural isotope ratios of nitrogen in samples of water, soil and vegetation prevailing in Dombes and discuss the possibilities of errors and coefficients of fractionation.
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The cosmic-ray positron and negatron spectra between 11 and 204 MeV have been measured in a series of 3 high-altitude balloon flights launched from Fort Churchill, Manitoba, on July 16, July 21, and July 29, 1968. The detector system consisted of a magnetic spectrometer utilizing a 1000-gauss permanent magnet, scintillation counters, and a lucite Čerenkov counter.
Launches were timed so that the ascent through the 100 g/cm2 level of residual atmosphere occurred after the evening geomagnetic cutoff transition. Data gathered during ascent are used to correct for the contribution of atmospheric secondary electrons to the flux measured at float altitude. All flights floated near 2.4 g/cm2.
A pronounced morning intensity increase was observed in each flight. We present daytime positron and negatron data which support the interpretation of the diurnal flux variation as a change in the local geomagnetic cutoff. A large diurnal variation was observed in the count rate of positrons and negatrons with magnetic rigidities less than 11 MV and is evidence that the nighttime cutoff was well below this value.
Using nighttime data we derive extraterrestrial positron and negatron spectra. The positron-to-total-electron ratio which we measure indicates that the interstellar secondary, or collision, source contributes ≾50 percent of the electron flux within this energy interval. By comparing our measured positron spectrum with the positron spectrum calculated for the collision source we derive the absolute solar modulation for positrons in 1968. Assuming negligible energy loss during modulation, we derive the total interstellar electron spectrum as well as the spectrum of directly accelerated, or primary, electrons. We examine the effect of adiabatic deceleration and find that many of the conclusions regarding the interstellar electron spectrum are not significantly altered for an assumed energy loss of up to 50 percent of the original energy.
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A series of meso-phenyloctamethylporphyrins covalently bonded at the 4'phenyl position to quinones via rigid bicyclo[2.2.2]octane spacers were synthesized for the study of the dependence of electron transfer reaction rate on solvent, distance, temperature, and energy gap. A general and convergent synthesis was developed based on the condensation of ac-biladienes with masked quinonespacer-benzaldehydes. From picosecond fluorescence spectroscopy emission lifetimes were measured in seven solvents of varying polarity. Rate constants were determined to vary from 5.0x109sec-1 in N,N-dimethylformamide to 1.15x1010 Sec-1 in benzene, and were observed to rise at most by about a factor of three with decreasing solvent polarity. Experiments at low temperature in 2-MTHF glass (77K) revealed fast, nearly temperature-independent electron transfer characterized by non-exponential fluorescence decays, in contrast to monophasic behavior in fluid solution at 298K. This example evidently represents the first photosynthetic model system not based on proteins to display nearly temperature-independent electron transfer at high temperatures (nuclear tunneling). Low temperatures appear to freeze out the rotational motion of the chromophores, and the observed nonexponential fluorescence decays may be explained as a result of electron transfer from an ensemble of rotational conformations. The nonexponentiality demonstrates the sensitivity of the electron transfer rate to the precise magnitude of the electronic matrix element, which supports the expectation that electron transfer is nonadiabatic in this system. The addition of a second bicyclooctane moiety (15 Å vs. 18 Å edge-to-edge between porphyrin and quinone) reduces the transfer rate by at least a factor of 500-1500. Porphyrinquinones with variously substituted quinones allowed an examination of the dependence of the electron transfer rate constant κET on reaction driving force. The classical trend of increasing rate versus increasing exothermicity occurs from 0.7 eV≤ |ΔG0'(R)| ≤ 1.0 eV until a maximum is reached (κET = 3 x 108 sec-1 rising to 1.15 x 1010 sec-1 in acetonitrile). The rate remains insensitive to ΔG0 for ~ 300 mV from 1.0 eV≤ |ΔG0’(R)| ≤ 1.3 eV, and then slightly decreases in the most exothermic case studied (cyanoquinone, κET = 5 x 109 sec-1).
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The primary and secondary threshold intensities of ultraviolet-laser-induced preferential domain nucleation in nearly stoichiometric LiTaO3 is observed. The primary threshold is the minimum intensity to achieve the instantaneous preferential domain nucleation within the focus by the combined action of irradiation and electric fields. The secondary threshold is the minimum intensity to achieve the memory effect without any irradiation within the original focus. The space charge field created by the photoionization carriers is thought to be responsible for the instantaneous effect. The explanation based on the formation and transformation of extrinsic defect is presented for the memory effect. (c) 2008 American Institute of Physics.
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Background: Vascular ulcers are commonly seen in daily practice at all levels of care and have great impact at personal, professional and social levels with a high cost in terms of human and material resources. Given that the application of autologous platelet rich plasma has been shown to decrease healing times in various different studies in the hospital setting, we considered that it would be interesting to assess the efficacy and feasibility of this treatment in primary care. The objectives of this study are to assess the potential efficacy and safety of autologous platelet rich plasma for the treatment of venous ulcers compared to the conventional treatment (moist wound care) in primary care patients with chronic venous insufficiency (C, clinical class, E, aetiology, A, anatomy and P, pathophysiology classification C6). Design: We will conduct a phase III, open-label, parallel-group, multicentre, randomized study. The subjects will be 150 patients aged between 40 and 100 years of age with an at least 2-month history of a vascular venous ulcer assigned to ten primary care centres. For the treatment with autologous platelet rich plasma, all the following tasks will be performed in the primary care setting: blood collection, centrifugation, separation of platelet rich plasma, activation of coagulation adding calcium chloride and application of the PRP topically after gelification. The control group will receive standard moist wound care. The outcome variables to be measured at baseline, and at weeks 5 and 9 later include: reduction in the ulcer area, Chronic Venous Insufficiency Quality of Life Questionnaire score, and percentage of patients who require wound care only once a week. Discussion: The results of this study will be useful to improve the protocol for using platelet rich plasma in chronic vascular ulcers and to favour wider use of this treatment in primary care.
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En la última década Mindfulness ha despertado gran interés como tratamiento terapéutico en la salud psicológica. Está inmerso en lo que ya se denominan Terapias de Tercera Generación, donde la aceptación es el concepto en cuál se centra. Existen varios programas en los que se aplica esta terapia y se han realizado estudios para numerosas aplicaciones clínicas, dando evidencia científica al respecto. El objetivo de esta revisión narrativa es la de conocer la eficacia de la aplicación de la terapia Mindfulness para reducir los síntomas de ansiedad en personas adultas de Atención Primaria. Para ello, se revisan los fundamentos teóricos y mecanismos de acción de Mindfulness, y de qué manera actúa en los trastornos de ansiedad. Dentro de este marco, se expone en la discusión la aplicación de la terapia en Atención primaria y la posibilidad de ser una herramienta para el profesional de Enfermería. Finalmente, se concluye que Mindfulness tiene un efecto moderado para reducir los niveles de ansiedad, aunque sin gran diferencia respecto a las Terapias Cognitivo Conductuales utilizadas hasta el momento. Se observa una necesidad de mayor evidencia científica que respalde la idoneidad de la aplicación de Mindfulness en personas adultas de Atención Primaria para reducir los niveles de ansiedad. Y siendo esta terapia una herramienta idónea para ofrecer por parte del personal de Enfermería, existen pocos estudios en los que Enfermer@s sean los que aplican Mindfulness
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Os Transtornos Mentais Comuns (TMC), especialmente ansiedade e depressão, são altamente prevalentes, independentemente das dificuldades com a sua classificação. Na Atenção Primária à Saúde (APS), representada no Brasil pela Estratégia de Saúde da Família (ESF), essas condições são pouco detectadas e tratadas, o que resulta em sobrecarga para pacientes, famílias e comunidades, além de prejuízos sociais e econômicos. Tal situação pode ser atenuada integrando-se cuidados de saúde mental à atenção básica. Nesse sentido, objetivou-se identificar e analisar as intervenções psicossociais voltadas para o cuidado do sofrimento psíquico e dos TMC atualmente empregadas na APS, no Brasil e no exterior. Para isso, foi realizada uma revisão bibliográfica da literatura nacional e internacional através das bases de dados MEDLINE/PubMed e LILACS/BVS. As intervenções identificadas foram reunidas em dois grupos. No primeiro, incluíram-se as intervenções com formato tradicional em que um profissional graduado conduz o tratamento presencialmente, enquanto no segundo grupo foram alocados os arranjos diferenciados em que o contato com o profissional é reduzido e seu papel é mais o de facilitar do que de liderar o tratamento, tal como nas intervenções com o uso de mão de obra leiga em saúde, suporte ao autocuidado, e sistemas automatizados ou pacotes de tratamento informatizados oferecidos via internet. Teoricamente, Terapia Interpessoal, Terapia Cognitivo-comportamental e Terapia de Solução de Problemas embasaram as intervenções. Na APS internacional, as intervenções são breves e bastante estruturadas, incluindo um plano de ação definido em um manual de aplicação. Na Estratégia de Saúde da Família destacaram-se as intervenções grupais e a Terapia Comunitária, modelo especialmente desenvolvido por brasileiros. Verificou-se que os TMC ganham visibilidade à medida que a APS se consolida no território e próxima à população. No exterior, a integração da saúde mental na APS é um processo em consolidação e há crescente tecnificação das intervenções psicossociais, enquanto, no Brasil, a aproximação da APS com a ESF é recente e não há um padrão de atuação consolidado. Resultados insuficientes ou controversos impediram concluir quais são as melhores intervenções, porém a alta prevalência dos TMC e o potencial de cuidado do setor da APS exigem que as pesquisas continuem.
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Apesar da definição da Estratégia de Saúde da Família (ESF) como porta de entrada preferencial do sistema de saúde e estratégia de reorganização da assistência, os usuários do SUS, vêm demonstrando historicamente preferência pelo serviço de urgência/emergência hospitalar. Neste contexto, o campo do presente estudo é a cidade de Piraí e seus habitantes, que desde 2002 contam com 100% de cobertura da ESF, modelo que dá ênfase: à lógica territorial na assistência, no cuidado continuado e transversal, no vínculo e no acesso facilitado pelo acolhimento humanizado e escuta qualificada; ocupando o centro da rede de serviços atuando como ordenador e coordenador do cuidado. Avaliando os dados de produtividade (com foco nas consultas médicas) hospitalar e da ESF notamos que a busca por assistência médica hospitalar, tem aumentado exponencialmente, e pode-se perceber que a grande maioria destes usuários se apresenta ao serviço com demandas de atenção básica, o que é considerado ilógico e contraditório na visão de gestores e profissionais. A prática profissional tem me levado a um processo de reflexão sobre as expectativas dos usuários ao procurarem o sistema de saúde (principalmente a ESF), sobre os caminhos que cada um deles constrói diante de uma questão de saúde e como se dá a tomada de decisão em busca da resolutividade da questão. Dessa forma, o objetivo deste trabalho é compreender como se constrói essa demanda; que critérios estão envolvidos na tomada de decisão desses usuários ao optarem pelo serviço de emergência como porta de entrada preferencial; mesmo em um município que oferece um serviço estruturado, pautado nas diretrizes da ESF e com uma cobertura que alcança toda a sua população. Acreditamos que o processo conhecido como medicalização da vida, que descreve o processo pelo qual problemas não médicos são definidos e tratados como problemas médicos, usualmente em termos de doenças e desordens (CONRAD, 2007); influencie na construção dessa demanda. Quanto a metodologia, foram realizadas entrevistas semiestruturadas, com usuários do SUS, residentes no município e que buscaram espontaneamente o serviço de urgência/emergência hospitalar. Verificou-se que a imagem que o usuário faz dos serviços de saúde se relaciona principalmente com o tempo de espera pelo atendimento, o acesso (interpretado principalmente como a certeza/incerteza do atendimento) e a acessibilidade. Os usuários frequentemente se referem à organização das unidades da ESF com o significado de barreiras ao acesso (principalmente pela necessidade de agendamento) e demonstram ter em relação às USF uma imagem de grande limitação de recursos humanos (quase exclusivamente em relação ao médico) e materiais. Por outro lado, prontos-socorros e hospitais se apresentam para eles, por várias razões, como espaços de acesso garantido. É importante ressaltar que o processo de medicalização da vida aparece como parte importante da engrenagem que move a construção dessa demanda.