1000 resultados para especialização flexível


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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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OBJETIVO: Determinar a taxa de sucesso da broncoscopia flexível como primeira opção na remoção de corpos estranhos das vias aéreas em adultos. MÉTODOS: Estudo retrospectivo de todos os pacientes adultos (acima de 18 anos) com aspiração de corpo estranho submetidos a broncoscopia no Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, em São Paulo (SP). RESULTADOS: A amostra foi constituída por 40 pacientes adultos, com média de idade de 52 anos (variação: 18-88 anos). A mediana do tempo de permanência do corpo estranho na via aérea foi de 15 dias (variação: 12 h a 10 anos). Todos os pacientes foram submetidos primeiramente a broncoscopia flexível diagnóstica. A retirada do corpo estranho por meio de broncoscopia flexível foi bem-sucedida em 33 dos pacientes (82,5%). Em 1 paciente, um objeto metálico alojado na árvore brônquica distal requereu o uso de fluoroscopia. Seis pacientes (15%) foram submetidos a broncoscopia rígida devido a dispneia induzida por corpo estranho traqueal, em 2, e porque o corpo estranho era muito grande para as pinças flexíveis, em 4. A broncoscopia falhou em apenas 1 paciente, que portanto necessitou de broncotomia. CONCLUSÕES: Embora a broncoscopia rígida seja considerada o padrão ouro na remoção de corpos estranhos na via aérea, nossa experiência mostrou que a broncoscopia flexível pode ser utilizada segura e eficientemente no diagnóstico e tratamento de pacientes adultos estáveis.

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Family agroindustry has been considered by several authors as an important reproduction alternative for family-based agriculture. However, this production process, which includes primary (production of raw-materials) and secondary (industrialization of production) activities, is generating a general concern. Can agroindustry, by promoting non-agricultural income for farmers, cause a reduction or, in extreme cases, an extinction of agricultural production in farm estates developing industrialization activities for selling in markets (family agroindustries)? In this sense, the purpose of this research was to analyse whether agroindustry can promote specialisation in family-based farm estates, or whether it is a form of economic diversification, being merely an activity similar to those developed in farm estates before the emergence of this process. The empirical study was conducted in 45 family agroindustries of sugarcane derivatives located in the Northeast of Rio Grande do Sul (Brazil).

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Family agroindustry has been considered by several authors as an important reproduction alternative for family-based agriculture. However, this production process, which includes primary (production of raw-materials) and secondary (industrialization of production) activities, is generating a general concern. Can agroindustry, by promoting non-agricultural income for farmers, cause a reduction or, in extreme cases, an extinction of agricultural production in farm estates developing industrialization activities for selling in markets (family agroindustries)? In this sense, the purpose of this research was to analyse whether agroindustry can promote specialisation in family-based farm estates, or whether it is a form of economic diversification, being merely an activity similar to those developed in farm estates before the emergence of this process. The empirical study was conducted in 45 family agroindustries of sugarcane derivatives located in the Northeast of Rio Grande do Sul (Brazil).

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Family agroindustry has been considered by several authors as an important reproduction alternative for family-based agriculture. However, this production process, which includes primary (production of raw-materials) and secondary (industrialization of production) activities, is generating a general concern. Can agroindustry, by promoting non-agricultural income for farmers, cause a reduction or, in extreme cases, an extinction of agricultural production in farm estates developing industrialization activities for selling in markets (family agroindustries)? In this sense, the purpose of this research was to analyse whether agroindustry can promote specialisation in family-based farm estates, or whether it is a form of economic diversification, being merely an activity similar to those developed in farm estates before the emergence of this process. The empirical study was conducted in 45 family agroindustries of sugarcane derivatives located in the Northeast of Rio Grande do Sul (Brazil).

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