993 resultados para práticas clínicas


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Incluye bibliografía

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Incluye bibliografía

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Identifying parental practices contingent to the behavior of children is important to support interventions. This study compares parental disciplinary practices with the behavior of children in a clinical group with behavioral problems (n = 27) and of a group of children without behavioral problems (n = 26). The criterion to assign children in the clinical and non-clinical groups was obtained from the Child Behavior Checklist (CBCL). Information concerning parents-children interaction was obtained through the application of the Parental Educative Social Skills Interview Script (RE-HSE-P), which evaluates positive and negative educational practices, context, behavioral problems and children's social skills. Qualitative and quantitative analyses (Mann Whitney's test) were used in the groups' comparison. The results indicate that behaviors that differentiate between the clinical and non-clinical groups are mainly those related to positive educational practices and children's social skills.

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The present article, which is one study among others, seeks to understand practices and tactics of day-to-day school, spanning and being spanned by three studies in Mathematics education. The diversity of scenes, people and strategies used by actors in everyday school, considered from the theoretical perspectives of Foucault and Deleuze, shed light on the ways Mathematic alphabetization takes place and evidence regarding what is present in the black box of school culture, in a constant problematization about what a school can do. Maps are presented that establish cartographies, revealing smooth and striated territories, on a path created by the research done in those schools, where life is always invented.

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In order to determine antibodies anti-Leptospira spp. in dogs from Botucatu-SP with a clinical suspicion and the risk factors for this zoonosis, as well possible hematological and urine alterations were collected blood samples from 248 dogs. The diagnostic test performed was the Microscopic Agglutination Test (MAT) with 29 serovars of leptospires. Titers were considered reagent ≥200 and detected in 17.7% (44/248) of the dogs. The most frequent serovars were Autumnalis (20.5%); Pyrogenes (18.2%); Gryppothyphosa (15.9%); Canicola (13.6%); Bratislava and Copenhageni (9.1%); Andamana (4.5%) and Djasiman (2.3%). Regarding the analysis of the epidemiological questionnaire administered to owners of the dogs, there was statistical significance for sex, age and presence of rats at home, showing that, by logistic regression analysis, only the sex variable was been significantly associated to the presence of antibodies anti-Leptospira. The levels of urea and creatinine were significantly increased in the group of animals reagents to the Microscopic Agglutination Test, showing the renal damage in these animals and decreased hemoglobin level.

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PURPOSE: To evaluate the clinical, ultrasonographic, biochemical and metabolic alterations of adolescents with polycystic ovary syndrome (PCOS). METHODS: Retrospective observational study conducted on 44 adolescents aged 12 to 19 years, diagnosed with PCOS according to the Rotterdam Consensus. Metabolic changes were assessed according to the recommendations of the International Diabetes Federation, considering: waist circumference (WC) ≥90th percentile (10-15 years of age) or >80 cm (age >16 years), fasting glucose >100 mg/dL, triglycerides >150 mg/dL, HDL <40 mg/dL, and blood pressure ≥Hg 130/85 mm. RESULTS: Mean age was 16.7±2.2 years and age at menarche was 11.8±1.4 years. The menstrual irregularity most frequently observed was amenorrhea (72.7%) followed by oligomenorrhea (27.3%); hirsutism was observed in 86.4% and acne in 56.8%. Polycystic ovaries were observed by ultrasound only in 27.3%. Mean BMI was 30.3±6.6 kg/m2. According to BMI, 52.3% of adolescents were obese, 13.6% were overweight and 6.8% had a healthy weight. Increased waist circumference (63.6%, 28/44) and the reduction of HDL-C (34.1%, 15/44) were the metabolic changes most frequently observed. Increased triglycerides were observed in 27.3% (12/44) and increased blood pressure and impaired fasting glucose were found in 9.1% (4/44) and 4.5% (2/44) of cases, respectively. Acanthosis nigricans was observed in 52.3% and insulin resistance in 62.8% of the adolescents with PCOS. Metabolic syndrome was identified in six children (13.6%), all of them obese or overweight. CONCLUSION: In the adolescents with PCOS studied here, menstrual irregularity and hirsutism were the most common clinical manifestations, while the sonographic findings consistent with polycystic ovaries were less prevalent. Obesity associated with insulin resistance predisposes these adolescents to a higher frequency of metabolic disorders.

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It is notorious that the cluster formation is a possibility for micro, small and medium companies to become more competitive. This research therefore aims to analyze leading practices for product innovation in companies belonging to the cluster of Votuporanga, which is the largest furniture industry in production and exporting of São Paulo state. Therefore, we conducted a survey research and data were collected from 61 furniture companies in the region of Votuporanga-SP. Among the main results it is observed that the incremental innovation of products is a central characteristic between the companies in cluster and there is little collaboration for the joint development of products from these companies with external agents such as research institutes, universities and even suppliers.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Estudos Linguísticos - IBILCE

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Pós-graduação em Ciências Sociais - FFC