920 resultados para MORNING HEADACHES
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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This 12-week study compared the efficacy and safety of a fixed combination of fluticasone propionate plus formoterol (FL/F) 250/12 mu g b.i.d. administered via a dry powder inhaler (DPI) (Libbs Farmaceutica, Brazil) to a combination of budesonide plus formoterol (BD/F) 400/12 mu g b.i.d. After a 2-week run-in period (in which all patients were treated exclusively with budesonide plus formoterol), patients aged 12-65 years of age (N = 196) with uncontrolled asthma were randomized into an actively-controlled, open-labeled, parallel-group, multicentre, phase III study. The primary objective was to demonstrate non-inferiority, measured by morning peak expiratory flow (mPEF).The non-inferiority was demonstrated. A statistically significant improvement from baseline was observed in both groups in terms of lung function, asthma control, and the use of rescue medication. FL/F demonstrated a statistical superiority to BD/F in terms of lung function (FEV1) (p = 0.01) and for asthma control (p = 0.02). Non-significant between-group differences were observed with regards to exacerbation rates and adverse events.In uncontrolled or partly controlled asthma patients, the use of a combination of fluticasone propionate plus formoterol via DPI for 12-weeks was non-inferior and showed improvements in FEV1 and asthma control when compared to a combination of budesonide plus formoterol. (Clinical Trial number: ISRCTN60408425). (C) 2013 Elsevier Ltd. All rights reserved.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Pós-graduação em Agronomia (Produção Vegetal) - FCAV
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We surveyed subjective symptoms of 600 patients referred to the Occlusion and Craniomandibular Dysfunction Center of the School of Dentistry, Campus of São José dos Campos São Paulo, Brazil. We have only considered those symptoms reported by the patients as major complaints. Our purpose on this project was to draw a profile of the disease considering sex, age and incidence of the symptoms that presented themselves or associated with others. Findings were that we found a significant larger number of women, 82.83%, comparing with 17.17% of men. Most of the patients belonged to the third decade, followed by the fourth and second. The most frequent symptom was pain on TMJ region, 42%, followed by TMJ noises, 26.6%, facial pain, 15.5%, earache, 14.5% and headache, 12.1%. The symptom TMJ noises showed to be statistically more significant in men, while headaches, pain in the neck region and temporary locking were more frequent in women. The most frequent association between two symptoms was: TMJ noises with TMJ pain, earache with headache and TMJ pain with earache. There was no statistical difference between sexes. The most frequent association of three symptoms was: TMJ noises together with TMJ pain and pain or difficulty in chewing
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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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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This experiment was conducted to evaluate the effect of grazing heights on daytime behavioral activities of Nellore beef cattle in the rainy season. The experimental area was 12 hectares divided into paddocks of one hectare each. The treatments consisted of four defoliation heights (15, 30, 45 and 60 cm) in pastures of Brachiaria brizantha cv. Xaraes with three replicates each. It was used the continuos grazing method, with variable stocking rate. Forage samples collected on the plots were sent to the laboratory for separation of the botanical components, weighing and determination of dry matter, with the material collected by simulated grazing. The variables: grazing time, idle time and ruminating time were evaluated for 12 consecutive hours on days 15 and 16 February 2011, considering the morning and afternoon periods. It was used a completely randomized design. The height of the canopy significantly influenced the daily grazing time and ruminating time, with a quadratic response as a function of time of defoliation. The bite rate decreased as a function of heights studied. However the chemical composition of the material collected by simulated grazing did not differ between treatments. Xaraes grass swards grazed at around 45 cm height provide greater ease of apprehension by grazing cattle.
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Due to the complexity and instability of clinical conditions of ICU patients, the drug therapy applied in this type of environment requires a combination of several prescribed drugs, which is a favorable condition for drug interaction, toxic synergism and possible iatrogenia. In the possible universe of ICU occurrences, this study aimed at identifying and evaluating the incidence of adverse events in drug therapy at the Intensive Care Therapy Service (SETI) in wards I and II. It is a cross-sectional, descriptive, prospective and quantitative study conducted from August to September, 2011 in the Intensive Care Service of the Botucatu School of Medicine University Hospital - UNESP. The population consisted of fifteen clinical nurses, including those in the Improvement and Volunteer Internship Programs, who contributed to the investigation after signing an informed consent form and according to approval by the Research Ethics Committee number 10711/CE - FMB. The data were entered on a form and analyzed. Results showed that, on average, 8.9% of events/day occurred, and the highest frequency was observed on August 04, 2011. 63% and 22% were respectively observed in the morning and afternoon shifts, and 15% in the night shift. 48% of these were due to administration time errors, followed by drug prescription and dispensation errors, with percentages of 22% and 18%, respectively. Antibiotics showed the highest frequency of adverse events - 18%, which was followed by 13% for anticoagulant, 11% for antiemetic and 10% for antiulcerative drugs. As regards the occurrence of adverse events related to hospitalization time, the highest frequency occurred in patients who were hospitalized for 10 days. Concerning the ratio between reported events and the number of items in the prescription, the highest frequency of events was related to prescriptions with 20 items... (Complete abstract click electronic access below)
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The Cerrado is home to important biodiversity areas in the state of Sao Paulo. Therefore, research on the reproduction of species of this biome are essential to help conservation programs. Pollination is the main mechanism by which outcrossing plants perpetuate their populations, and the attractive, such as nectar, are of vital importance to many anthophilous animals and essential to the maintenance of interactions with pollinators. In this context, the objective of this study was to investigate the ecological dynamics of secretion and sugar composition of floral nectar in Zeyheria montana, an ornithophilous exclusive Cerrado species, visited preferentially by Colibri serrirostris, also exclusive to this biome. This dynamic was assessed in isolated flowers in pre-anthesis, using microsyringes to collect nectar and manual refractometer to measure the concentration. Experiments were carried out to evaluate production throughout anthesis, including the assessment of total daily production, the effect of successive removal, the rate of production during the day and night and changes in concentration and composition of sugars, which was performed in HPLC (High Performance Liquid Chromatography). The rate of nectar production was about three times greater at night with a concentration two times lower, resulting in a supply of large amounts of dilute nectar in the early morning hours, peak of visitation for hummingbirds. Moreover, the production of nectar was more pronounced before the anthesis, and is available to visitors already in newly opened flowers, which are preferentially visited by C. serrirostris. There was an increase in the nectar production of flowers in the group with successive manual removal upon the control group, suggesting that the withdrawal by visitors stimulates the production, ensuring the availability of the resource including flowers previously visited... (Complete abstract click electronic access below)