994 resultados para Risco cirúrgico


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Com o ritmo acelerado que a vida moderna exige, é cada vez mais evidente a necessidade do ser humano em buscar novas experiências para que os façam sentir emoções e sensações inéditas, não existentes no dia a dia. Com isso a busca por esportes de risco vem sendo cada vez maior, visto que muitos destes esportes satisfazem os desejos por novas experiências. Acredita-se que haja inúmeros fatores atrativos que levam os indivíduos a aderirem a essas praticas. No presente estudo foi verificado que fatores psicológicos estão fortemente presentes, o medo e a ansiedade mostram-se fatores atrativos, assim como o desejo de conhecer lugares novos, o que aponta para uma ligação direta com o turismo. A sensação de bem estar, satisfação, alegria e orgulho foi afirmada por maioria dos sujeitos, o que acaba levando os indivíduos a procurarem diversos esportes de risco, favorecendo a aderência a essas modalidades e a permanência nas mesmas.

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The city of Guaratinguetá, SP, presents in its history, several instances of property damage and human losses, conditional on the event of flooding and mass movement of soil, resulting from the development of erosion processes. The extent and severity of these events that affect humans and their properties is the result of the illegal occupation of these areas as potential geohazard. Thus, it is of great importance to physical characterization and identification of such areas within the map of the same city as a way to minimize the effects and mitigate the consequences of these events. Thus, this graduate report presents a series of field campaigns, geotechnical laboratory testing, consultation with maps and satellite images, representative of the physical environment, and the city plan as a means conclusive for the delimitation of risk areas with potential for occurrence of erosion and / or flooding on the map representing the urban area of Guaratinguetá, SP. Also featured are the descriptions of the main characteristics of those areas identified as being at risk, along with proposals to avoid or minimize the impact of problems related to flooding and erosion processes on the local population

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A doença de Parkinson (DP) é uma doença neurodegenerativa que afeta principalmente o controle motor com reflexos negativos no desempenho funcional de seus pacientes. Alterações no equilíbrio podem levar à diminuição da independência e funcionalidade. Alguns estudos evidenciam os benefícios do exercício físico, como alternativa nãofarmacológica para esses pacientes. Objetivo: O presente trabalho analisou e comparou os efeitos de dois programas de atividade física sobre o risco de quedas e o equilíbrio funcional em pacientes com doença de Parkinson. O presente estudo também teve como objetivo verificar a associação entre as variáveis clínicas e comportamentais. Método: Participaram do estudo 30 pacientes com DP idiopática entre os estágios I a III na escala de estagiamento clínico de Hoehn & Yahr, sendo distribuídos em três grupos: grupo de treinamento com pesos (GTP), atividade física generalizada (GAFG) e o grupo controle (GC). O período de intervenção para o GTP e o GAFG foi de quatro meses. As avaliações foram realizadas com os participantes na fase “on” da medicação. Para avaliar o equilíbrio dinâmico juntamente com o risco de quedas foi utilizado o teste Timed Up and Go (TUG) e, para analisar o risco de quedas foi utilizada a Escala de Equilíbrio Funcional de Berg (EEFB). As avaliações clínicas foram realizadas por meio da Unified Parkinson’s Disease Rating Scale (sub-escalas funcional e motora), escala de nível de gravidade da doença de Hohen & Yahr e Mini-Exame do Estado Mental (MEEM). O teste U de Mann-Whitney foi utilizado para comparação das variáveis analisadas entre os três grupos separadamente por momento do treinamento. Resultados: Apenas em relação à EEFB foram encontradas diferenças significativas entre os grupos, com pior desempenho para o grupo controle (GC). Conclusão: Foi possível observar que: os pacientes... (Resumo completo, clicar acesso eletrônico abaixo)

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The city of São Paulo has, since the beginning of the expansion of its urban sprawl, represented relations of conflicts and contradictions between society and nature. Once the way society relates to nature is defined by how the social agents themselves correlate in certain social and historical contexts, the ways of interaction between the social and natural elements will be different according to the forms of production and appropriation of the urban space. Even more evident is the case of the great national metropolis, given its demographic dimensions and historical conditions, the process of urban expansion follows a logic where spaces of better quality for housing are occupied by those of better financial conditions. Thus, although there are exceptions, the poorest people live in places less desirable, in less resilient environments of lower environmental quality, relating to nature and its phenomena with greater risks. These risks are reflected here as recurring flooding, mudslides and landslides for which the rain is constantly blamed. So we have a situation where it is clear that a weather phenomenon differently interacts with different social groups. In this context, the study was conducted to compare extreme events occurred in two regions of São Paulo: the Freguesia do O, in the north side, and M'Boi Mirim, in the south side. Both are regions with large number of risk areas and are in the same urban climate unit. However, they present different conditions of social vulnerability. With the investigation of each extreme rain event occurred in the two regions, in the period of 2000-2010, supplemented by field research, we tried to observe how far the rain, with his intensity and volume, can, in fact, be related to the accidents.

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The main objective of the presented study is the development of a predictive interval type-2 fuzzy inference system in order to estimate the mortality risk for a newborn, to be used as an auxiliary tool for decision making in medical centers where there is a lack of professionals for this purpose and, afterwards, to compare its performance to a type-1 fuzzy system. The input variables were chosen due to their acquisition ‘simplicity, not involving any invasive tests, such as blood tests or other specific tests. The variables are easily obtained in the first few minutes of life: birth weight, gestational age at delivery, 5-minute Apgar score and previous report of stillbirth. Databases from the DATASUS were used to validate the model. 1351 records from the city of São José dos Campos, a mid-sized city in the São Paulo state’s countryside, were considered in this study. Finally, an analysis using the ROC curve was performed to estimate the model’s accuracy

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The Alzheimer’s dementia represents a clinical condition inherent to many chronic and neurodegenerative diseases that are usually related to a decline in the cognitive and physical functions. The objective of this experimental design research was to analyze the effects of a regular and systemized physical activity program over the cognitive functions, balance and risk of falls of elderly with Alzheimer’s Dementia (DA). The sample was made of 16 elderly with DA, distributed in two groups: a) intervention group – GI (9 subjects that had participated in a program of physical activity, that consisted of 3 weekly sessions of 60 minutes each, in alternated days and with a duration of 6 months); b) control group – GC (7 subjects that did not participate in the program of physical activity). Both groups maintained the doctoral and pharmacological assistance routine. The subjects passed through two different evaluations (pre and post-intervention) the questionnaire (Mini-exam of Mental State for cognitive functions) and motor tests (Berg Functional Balance Scale – EEFB, Timed Up-and-Go (TUG) time (TUGs) and steps (TUGp) and the test of agility and dynamic balance (AGILEQ) of the American Alliance for Health, Physical Education Recreation and Dance for elderly). The obtained results were, respectively in the pre and post-intervention moments: a) AGILEQ (GI = 39,1 ± 10,2 and 38,4 ± 8,9 and GC = 45,6 ± 16,7 and 59,9 ± 22,0 seconds) with the statistically interaction significant (ANOVA two-way; F1,14 = 32,07; p=0,01) between groups and moments; b) TUGs (GI = 9,8 ± 2,5 and 9,5 ± 3,3 and GC = 10,6 ± 4,5 and 12,7 ± 7,3 seconds) the test UMann Whitney did not appoint any significant differences between the groups in the post-intervention moment, however the analyzes of Wilcoxon evidenced a ...(Complete abstract click electronic access below)

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Medical Physics has been reaching an important role among several lines in Science, providing means for the improvement of several theories and procedures. Currently, its main application is related with the use of ionizing radiations, specially, in treatment procedures such as Radiotherapy. Radiosurgery is a Radiotherapy technique which consists in administering a single tumoricidal dose of radiation exclusively to the tumorous lesion. It becomes then an interesting alternative to surgical treatment, mainly in cerebral metastases, which are the most frequent cerebral tumors in the central nervous system. The radio neurosurgical team works out a planning for the Radiosurgery treatment, aiming for obtaining an appropriate ideal treatment for each case. For the working out of this treatment planning, Computed Tomography images of the region to be treated are obtained, digitalized and later, fused with nuclear magnetic resonance images. Through these images, critical structures, organs at risk and lesions are localized. After this, calculations are made to determine three-dimensional positions of isocenters, isodose curves, prescribed dose, collimators sizes, position, numbers and respective weight of isocentric conformal fields, and others. The treatment planning is commonly based in desired levels of dose for specific types of tumors and organs at risk concerning the irradiated region. Theses levels of dose are chosen in a way that a high probability of cure may be achieved and meanwhile, that the probability of complications, in whichever organ at risk, may be minimal. Thus, many researches have been carried out, showing that mathematical techniques may help to obtain an optimal planning for the treatment of cerebral metastases. Among the methods of optimization in the study...(Complete abstract click electronic access below)

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The work consists of analyzing the risk management of investments by applying statistical concepts, economic and mathematical models considering the assets on the market on renowned financial institution. The assessment of these risks becomes increasingly interesting in view of minimizing your losses thus maximizing your chances of gains in both markets boom as extreme uncertainty, even with the sudden changes of scenery. Introducing concepts of investment funds, as well as the classification of the types of funds as funds management and equity, its guidelines, the concept of market investment funds. The types of assets comprising the investment funds, their taxation rules beyond the incidents that market widely used by investors and skilled people, both physical and legal, who keep their resources in this modality. With the historical data collected yields of investment funds of the Bank of Brazil, is an accomplished inflation adjustment and calculated the mean and variance for the verification of the model of Markowitz efficient frontier, a method used as investment analysis. This scan is used Matlab to obtain the set (or border) efficient portfolios. Once verified such data, there will be a critique of the Markowitz model as a quadratic programming and more coherent risk measures currently studied as VaR and CVaR minimizing the expected error, approaching our studies of current research. It is found that such studies have much to be explored, since there are many discussions about how effectively measure risk investments such as its characteristic and behavior, using a time series and volatility

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La Encefalopatía Espongiforme Bovina (EEB) es una enfermedad degenerativa mortal y transmisible del sistema nervioso central del ganado, con largo período de incubación y clínicamente se caracteriza por sintomas nerviosos, la reacción exagerada a los estímulos externos y dificultad locomoción. La EEB es una enfermedad del grupo de las Encefalopatías Espongiformes Transmisibles (EET), y consiste en una enfermedad zoonótica transmitida por comer alimentos contaminados con una proteína llamada príon. Se discute el control de enfermedades, celebrada en la carne de vacuno refrigerada masacre a través de las Material Especificado de Riesgo (MER) que son el cerebro, cráneo, ojos, amígdalas, médula espinal, gânglio del trigémino, gânglios de la raiz dorsal y el íleon distal. Estos organismos pueden contener el agente de la EEB y transmitir la enfermedad. Los controles se basan en la ley brasileña y las normas internacionales que dictan la recogida y destrucción de estos materiales, sino también las normas para la comercialización de productos procedentes de rumiantes, así como la prohibición de alimentar rumiantes com productos de origen animal

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Pós-graduação em Medicina Veterinária - FCAV

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Pós-graduação em Ciência Animal - FMVA

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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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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The youth has been calling attention due to the large number of social problems resulting from the risky behaviors. One of the behaviors that stand out is the use of alcohol because, besides being the first drug to be used by children and adolescents, this population begins to use increasingly early. Another behavior that is becoming concern in that particular group, also with early start, is the unprotected sex, causing problems as the unplanned pregnancy, abortions and sexually transmitted diseases. However, one factor is becoming relevant and requiring further study, the number of young women developing sexually transmitted diseases and becoming risk drinkers. In this direction, this study has as objective to discuss the high number of alcohol use among young women, the vulnerability that this use causes for the unprotected sex and the importance of these subjects teachers training. It should be noted, finally, the lack of training of teachers to work with the thematic ones, and mainly, the need to deconstruct gender stereotypes, an obstacle in preventing the use of alcohol, other drugs and sexually transmitted diseases.