924 resultados para Scenic indications


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O enxerto ósseo esponjoso autólogo é formado por osso trabecular, poroso e altamente celular. Visto ser de fundamental importância na cirurgia ortopédica de pequenos animais, o trabalho teve por objetivo discorrer sobre a função, locais de colheita, cuidados, formas de aplicação, indicações e contra-indicações desse enxerto. Ele estimula a formação óssea devido ao fornecimento de células vivas e fatores de crescimento, mas não possui suporte mecânico. A asa do ílio craniodorsal, úmero proximal, tíbia proximal e fêmur distal, são os locais de colheita mais utilizados em cães. A asa do ílio consiste no local mais satisfatório para gatos. Para maximizar a incorporação do enxerto com o tecido hospedeiro, devem ser tomados alguns cuidados entre a colheita e a transferência para a área receptora. Além disso, pode ser aplicado sem compressão dentro do local recipiente. A freqüência de complicações é considerada baixa.

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O glaucoma mantém-se como uma das principais causas de cegueira em pacientes humanos e entre os animais domésticos. No curso da sua patogênese, ocorre aumento da pressão intra-ocular e morte de células retinianas, cujo início pode ser precoce. Fármacos vêm sendo desenvolvidos visando a se obter o controle da pressão intra-ocular e a proteger as células retinianas da apoptose e morte. O presente artigo revisa a farmacologia, as indicações e os efeitos adversos das principais substâncias utilizadas topicamente no tratamento do glaucoma em cães, além de discutir as técnicas cirúrgicas contemporâneas que passam melhor se adequar ao seu controle.

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Neste artigo tratamos das análises do filósofo Maurice Merleau-Ponty acerca das teorias da psicogênese de Henri Wallon. Focalizamos os cursos que Merleau-Ponty dedicara à psicologia da criança entre 1949 e 1952. Para o filósofo, ao longo da psicogênese, a distinção do indivíduo em relação ao mundo e a outrem jamais é terminada. A infância jamais é liquidada radicalmente, pelo simples fato de que não abandonamos nossa condição corporal, nosso poder de retomar as condutas e expressões fisionômicas dos outros e das coisas. Merleau-Ponty encontra indicações neste sentido nas teorias de Wallon, principalmente nos conceitos de sociabilidade sincrética e de ultracoisas.

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

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A gastrostomia percutânea endoscópica foi introduzida na prática clínica como via alternativa de alimentação enteral. É procedimento que não necessita de anestesia ou laparotomia, como a gastrostomia cirúrgica. A gastrostomia percutânea endoscópica tem como objetivos a manutenção do aporte nutricional e a melhoria da qualidade de vida e sobrevida dos pacientes. É indicada quando o paciente necessita de dieta enteral por período superior a um mês. A freqüência de complicações varia de 1,0% a 10,0% e a mortalidade de 0,3% a 1,0%. É propósito deste trabalho abordar aspectos relevantes desse método de alimentação enteral, aprimorar seu manejo, bem como facilitar o manejo pelos pacientes que dele se utilizam. Para isso, vamos comentar as indicações e contra-indicações da gastrostomia percutânea endoscópica, técnica de colocação, material das sondas, antibiótico profilático, início de utilização, custo do procedimento, além de suas complicações, aspectos legais e éticos.

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

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A subduction complex composed of ocean floor material mixed with arc-derived metasediments crops out in the Elephant Island group and at Smith Island, South Shetland Islands, Antarctica, with metamorphic ages of 120-80 Ma and 58-47 Ma? respectively. Seven metamorphic zones (I-VII) mapped on Elephant Island delineate a gradual increase in metamorphic grade from the pumpellyite-actinolite facies, through the crossite-epidote blueschist facies, to the lower amphibolite facies. Geothermometry in garnet-amphibole and garnet-biotite pairs yields temperatures of about 350 degrees C in zone III to about 525 degrees C in zone VII. Pressures were estimated on the basis of Si content in white mica, Al2O3 content in alkali amphibole, Na-M4/Al-IV in sodic-calcic and calcic amphibole, Al-VI/Si in calcic amphibole, and jadeite content in clinopyroxene. Mean values vary from about 6-7.5 kbar in zone II to about 5 kbar in zone VII. Results from the other islands of the Elephant Island group are comparable to those from the main island; Smith Island yielded slightly higher pressures, up to 8 kbar, with temperatures estimated between 300 and 350 degrees C. Zoned minerals and other textural indications locally enable inference of P-T-t trajectories, all with a clockwise evolution. A reconstruction in space and time of these P-T-t paths allows an estimate of the thermal structure in the upper crust during the two ductile deformation phases (D-1 & D-2) that affected the area. This thermal structure is in good agreement with the one expected for a subduction zone. The arrival and collision of thickened oceanic crust may have caused the accretion and preservation of the subduction complex. In this model, D-1 represents the subduction movements expressed by the first vector of the clockwise P-T-t path, D-2 reflects the collision corresponding to the second vector with increasing temperature and decreasing pressure, and D-3 corresponds to isostatic uplift accompanied by erosion, under circumstances of decreasing temperature and pressure.

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In populational studies, the weight/width carapace relationship analysis, can furnish indications about the individual physiological variations as a function of the environment, and it can indicate sexual dimorphism. The goal of this research is to find the mathematical expressions of weight/width carapace relationship in the crab Hepatus pudibundus. This study was accomplished by analysing the crabs that were sampled monthly with a shrimp fishing boat equipped with 2 otter-trawl nets, during the period from november/1988 to october/1989. A total of 624 specimens were obtained composed of 244 males and 380 females. In each group the sex, the weight (PE) and the carapace width (LC) were determined. The obtained values agree with the studied range, showing variations during male and female development, represented by the potential function of the equation Y = aX(b). Such variations are probably related to reproductive strategies.

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Germanate glasses are of interest for optoelectronic applications because they combine high mechanical strength, high chemical durability and temperature stability with a large transmission window (400 to 4500 nm) and high refractive index (2.0). GeO2-PbO-Bi2O3 glasses doped with Y-b(3+) were fabricated by melting powders in a crucible and then pouring them in a brass mold. Energy Dispersive Spectroscopy showed that the glass composition has a high spatial uniformity and that the Yb concentration in the solid sample is proportional to the Yb concentration in the melt, what was confirmed by absorption measurements. Intense blue emission at 507 nm was observed, corresponding to half of the wavelength of the near infrared region (NIR) emission; besides, a decay lifetime of 0.25 ms was measured and this corresponds to half of the decay lifetime in the infrared region; these are very strong indications of the presence of blue cooperative luminescence. Larger targets have been produced to be sputtered, resulting in thin films for three dimensional (3D) display and waveguide applications. (c) 2006 Elsevier B.V. All rights reserved.

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Peritoneal dialysis (PD), although classically described and utilized in the treatment of patients with end-stage renal disease, can also be utilized in the acute setting in different clinical situations. Recent studies showed that, in patients with acute renal failure, it is possible to obtain reasonable dialysis doses with adequate metabolic and etectrolytic control and tow incidence of complications by utilizing continuous PD through a cycler at high volume. In patients with congestive heart failure without end-stage renal disease, PD is capable of promoting clinical improvement with slow removal of liquids, becoming an attractive alternative for situations of rapidly or slowly worsening cardiac function. In patients submitted to chronic hemodialysis but who have vascular access difficulties, PD can also be utilized as a bridge, thereby avoiding the use of central venous catheters, which can be associated with infectious complications such as bacterial endocarditis. New studies must be realized showing other indications for PD.

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A case study of convective development in the Southwest Amazon region during the Wet Season Atmospheric Mesoscale Campaign (WETAMC) and Tropical Rainfall Measuring Mission (TRMM)/Large-Scale Biosphere-Atmosphere (LBA) Experiment in Amazonia is presented. The convective development during 7 February 1999 is shown to occur during a period of very weak large-scale forcing in the presence of topography and deforestation. The available data include dual Doppler radar analysis, radiosonde launches, and surface and boundary layer observations. The observational analysis is complemented with a series of model simulations using the RAMS with 2-km resolution over a 300 km 300 km area forced by a morning radiosonde profile. A comparison of the observed and simulated thermodynamic transformation of the boundary layer and of the formation of convective lines, and of their kinematic and microphysical properties is presented. It is shown that only a few very deep and intense convective cells are necessary to explain the overall precipitating line formation and that discrete propagation and coupling with upper atmosphere circulations may explain the appearance of several lines. The numerical simulation indicates that topography may be the cause of initial convective development, although later on the convective line is parallel to the midlevel shear. There are indications that small-scale deforestation may have an effect on increasing rainfall in the wet season when the large-scale forcing is very weak.

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Objective: To evaluate the maximum residual signal auto-correlation also known as pitch amplitude (PA) values in patients with Parkinson's disease (PD) patients. Method. The signals of 21 Parkinson's patients were compared with 15 healthy individuals, divided according age and gender. Results: Statistical difference was seen between groups for PA, 0.39 for controls and 0.25 for PD. Normal value threshold was set as 0.3; (p <= 0.001). In the Parkinson's group 80.77%, and in the control group only 12.28%, had a PA < 0.3 demonstrating an association between these variables. The dispersion diagram for age and PA for PD individuals showed p=0.01 and r=0.54. There was no significant difference in relation to gender and PA between groups: Conclusion: the significant differences in pitch's amplitude between PD patients and healthy individuals demonstrate the methods specificity.-The results showed the need of prospective controlled studies,to improve the use and indications of residual signal auto-correlation to evaluate speech in PD patients.

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Photoexpansion and photobleaching effects have been observed in amorphous GeS2 + Ga2O3 (GGSO) thin films, when their surfaces were exposed to UV light. The photoinduced changes on the surface of the samples are indications that the structure has been changed as a result of photoexcitation. In this paper, micro-Raman, energy dispersive X-ray analysis (EDX) and backscattering electrons (BSE) microscopy were the techniques used to identify the origin of these effects. Raman spectra revealed that these phenomena are a consequence of the Ge-S bonds' breakdown and the formation of new Ge-O bonds, with an increase of the modes associated with Ge-O-Ge bonds and mixed oxysulphide tetrahedral units (S-Ge-O). The chemical composition measured by EDX and BSE microscopy images indicated that the irradiated area is oxygen rich. So, the present paper provides fundamental insights into the influence of the oxygen within the glass matrix on the considered photoinduced effects. (C) 2010 Elsevier B.V. All rights reserved.

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Osseointegration was an innovative treatment in dentistry during the last 3 decades. The success of osseointegration is related to factors such as material biocompatibility, adequate quality of bone tissue that allows implantation, surgical technique, and macrostructure and microstructure of implant. The osseointegrated implants are successfully applied in dental clinic including oral and facial rehabilitations mainly for patients submitted to mutilating surgeries. However, patients submitted to radiation therapy present risks to treatment with implants owing to adverse effects on bone tissue. Nowadays, the literature suggests different therapies to improve the success of osseointegration such as hyperbaric oxygen therapy that aims to prepare bone and adjacent tissues to receive the implant. Therefore, the purpose of this study was to present a literature review concerning indications, contraindications, successes, and difficulties with hyperbaric oxygen therapy associated to maxillofacial implants.

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Dental ceramics are presented within a simplifying framework allowing for facile understanding of their development, composition and indications. Engineering assessments of clinical function are dealt with and literature is reviewed on the clinical behaviour of all-ceramic systems. Practical aspects are presented regarding the choice and use of dental ceramics to maximize aesthetics and durability, emphasizing what we know and how we know it.