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Prova broncodilatadora na espirometria: efeito do uso de espa?ador de grande volume com tratamento antiestático na resposta ao broncodilatador
Araújo, Flávia de Barros;Corrêa, Ricardo de Amorim;Pereira, Luis Fernando Ferreira;Silveira, Carla Discacciati;Mancuso, Eliane Viana;Rezende, Nilton Alves de;
Jornal Brasileiro de Pneumologia , 2011, DOI: 10.1590/S1806-37132011000600008
Abstract: objective: to evaluate whether the use of inhaled albuterol via a metered-dose inhaler with a large-volume spacer with antistatic treatment modifies the bronchodilator test results when compared with the usual technique (no spacer). methods: a prospective study involving 24 patients, 18-45 years of age, clinically suspected of having asthma, and under treatment at the outpatient pulmonary clinic of the federal university of minas gerais hospital das clínicas, located in the city of belo horizonte, brazil. all of the patients underwent two bronchodilator tests: one with and one without the use of a large-volume spacer. results: there was no significant difference in the variation of fev1 prior to and after bronchodilator use between the two techniques (mean δfev1 = 0.01 l; 95% ci: -0.05 to 0.06; p = 0.824). no statistically significant difference was found between the two techniques regarding the qualitative results on the bronchodilator test (p = 1.00). there was concordance between the techniques in terms of the bronchodilator test results (kappa coefficient = 0.909; p < 0.005). conclusions: according to the results of this study, the use of large-volume spacers does not significantly modify bronchodilator test results.
Duración del efecto broncodilatador de la furosemida inhalada por pacientes asmáticos  [cached]
Juan Carlos Rodríguez Vázquez,Pedro Pablo Pino Alfonso,Carlos Gassiot Nu?o,Alicia Cid Guedes
Revista Cubana de Medicina , 2002,
Abstract: Se dise ó un estudio para evaluar si después de 4 h de administrada la furosemida inhalada por pacientes asmáticos con algún grado de obstrucción bronquial, persistía el efecto broncodilatador y se comparó con el salbutamol. Se estudiaron 40 pacientes de los cuales 20 recibieron salbutamol (0,5 %-1cc) en aerosol y los 20 restantes, furosemida (100 mg). A todos se les realizó una primera prueba funcional respiratoria antes de administrar el aerosol, y 15 min después, así como a las 4 h de administrado el medicamento. Se obtuvo un efecto broncodilatador significativo en ambos grupos, determinado por cambios en la capacidad vital forzada y en el volumen espiratorio forzado en 1 segundo. Cuando se compararon ambos grupos de pacientes no hallamos diferencia significativa entre ellos. Se concluyó que el efecto broncodilatador de la furosemida inhalada persiste después de 4 h de administrado el fármaco. A study was designed to evaluate if the bronchodilator effect of inhaled furosemide persisted in asthtmatic patients with some level of bronchial obstruction 4 hours after the administration of this drug and a comparison was made with salbutamol. Forty patients were studied, 20 of them received aerosol salbutamol (0,5%-1 cc) and the remaining 20 were administered inhabled furosemide (100 mg). All of them were applied a first respiratory functional test before administering aerosol, 15 minutes after and 4 hours after the drug being administered. Both groups showed a significant broncodilator effect, determined by changes in the forced vital capacity and the forced expiratory volume in one second. When comparing both groups of patients, there was no significant difference. It was concluded that the broncodilator effect of inhaled furosemide persisted 4 hours after administration.
Bitolterol: un nuevo broncodilatador en pediatría Bitolterol: a new bronchodilator evaluated in pediatrics  [cached]
Mario Calvo G,Pamela Arellano F,Francisco Mar in M
Revista chilena de pediatría , 1988,
Abstract:
Discurso ritual
PARDO GARCíA,NéSTOR ALEJANDRO;
Forma y Función , 2005,
Abstract: the author of the article presents the results of an investigation on the ritual discourse, its characterization and forms of appearance in the communication which human beings establish with the supernatural. the kinds of rites are analyzed, and the concept of bewilderment as a core concept in the definition of ritual discourse. also, some observable characteristics in the intercourse between living and dead beings commonly known as witchery, are presented. finally, the tombstones and epitaphs as a further element which constitutes tanatosemiological processes, are briefly mentioned.
Discurso ritual  [cached]
Pardo García Néstor Alejandro
Forma y Función , 2005,
Abstract: El presente artículo presenta los resultados de una investigación sobre el discurso ritual, su caracterización y la forma como se da en la comunicación que establecen los seres humanos con lo sobrenatural. Se examinan las clases de rituales y se introduce el concepto de extra amiento, como un concepto central en la definición del discurso ritual. Se presentan así mismo algunas características observadas en la relación comunicativa entre vivos y muertos que comúnmente se conoce como brujería. Finalmente, se hace una breve mención de las lápidas y los epitafios como otro elemento constitutivo en los procesos tanatosemiológicos.
Cirurgia redutora de volume pulmonar: critérios de sele o de pacientes no Hospital Universitário Ant nio Pedro, Universidade Federal Fluminense, Niterói, Rio de Janeiro, RJ  [cached]
Behrsin Rodolfo Fred,Silva Junior Cyro Teixeira da,Gabetto José Manoel,Lima Oriane de Almeida Santana
Revista da Associa??o Médica Brasileira , 2003,
Abstract: O tratamento clínico da doen a pulmonar obstrutiva cr nica (DPOC) está bem padronizado por consensos nacionais e internacionais. Junto com transplante pulmonar, a cirurgia redutora de volume pulmonar (CRVP) é alternativa de tratamento cirúrgico para o enfisema. OBJETIVOS: Avaliar critérios de inclus o e exclus o para realiza o de CRVP em pacientes com DPOC. MéTODOS: Trinta e um pacientes encaminhados e acompanhados no Ambulatório Multidisciplicar de Pesquisa em DPOC e Tabagismo dos Cursos de Pós-Gradua o em Pneumologia da Universidade Federal Fluminense, submetidos a um protocolo de avalia o para sele o de candidatos à CRVP que incluiu anamnese e exame físico padronizados, espirometria com curva fluxo volume e teste com broncodilatador, gasometria arterial com paciente respirando ar ambiente, teste de caminhada por seis minutos (TC6M), radiografia convencional de tórax em póstero anterior e perfil esquerdo, tomografia computadorizada de tórax de alta resolu o (TCAR) e cintilografia pulmonar de ventila o e perfus o. Análise estatística: descritiva. RESULTADOS: Contra-indica es para CRVP: bronquite cr nica (29% ou nove pacientes), VEF 1> 80,0% do previsto (13% ou quatro pacientes), recusa em realizar a cirurgia (10% ou três pacientes), áreas de fibrose, depress o e bronquiectasias (dois pacientes cada), nódulo pulmonar solitário neoplásico, obesidade mórbida, enfisema bolhoso grave, hipertens o pulmonar, passado de ressec o pulmonar, tabagismo corrente, enfisema difuso com deficiencia de alfa-1-antitripsina e doen a cardiaca grave (um paciente cada). Um dos pacientes selecionados concordou e foi submetido à CRVP. Sua indica o foi enfisema pulmonar heterogênio com predomínio nos lobos superiores, diagnosticado pela TCAR e cintilografia pulmonar. CONCLUS ES: Bronquite cr nica representou a principal contra-indica o em 29% dos casos. Pacientes com indica o de CRVP, freqüentemente, apresentam mais de um fator mórbido a contra-indicar o seu procedimento. A maioria dos pacientes com critérios para CRVP, a recusa, com receio do procedimento ou após programas de reabilita o pulmonar. O critério mais significativo que indicou CRVP em um paciente operado foi a presen a de enfisema heterogênio bilateral nos lobos superiores.
Complex of the enterprises of the market of ritual services  [PDF]
Maksimov Igor Sergeevich
Sovremennaa Ekonomika : Problemy, Tendencii, Perspektivy , 2011,
Abstract: Specificity of the market of ritual services is established and the structure of the organizations of the specified market is defined. The sequence of procedures of rendering of ritual services to the population is established. Communication of a consumer price index and the prices for ritual services is shown.
Eficacia del tratamiento broncodilatador en la Enfermedad Pulmonar Obstructiva Crónica avanzada EFFICACY OF BRONCHODILATOR TREATMENT IN SEVERE CHRONIC OBSTRUCTIVE PULMONARY DISEASE  [cached]
MANUEL BARROS M.
Revista Chilena de Enfermedades Respiratorias , 2002,
Abstract:
Ritual: Theoretical Issues in the Study of Religion  [PDF]
Jens Kreinath
REVER : Revista de Estudos da Religi?o , 2005,
Abstract: This essay looks at recent theory of ritual. It argues that an overemphasis on texts in the study of religion has led to a misleading analysis of ritual as a symbolic site of meaning. On the other hand, attempts to study ritual on its own terms, primarily by attending to formal elements, suggest that the study of ritual is separable from the study of religion. At the same time, this work promises to give ritual studies a more central role in the study of religion.
Tematizando o ritual de linguagem
Pimentel, Renata Marcelle Lara;
Linguagem em (Dis)curso , 2010, DOI: 10.1590/S1518-76322010000200003
Abstract: in this study ritual is approached as language, and the failing a constitutive element of the language. since ideology materializes in the ritual practices, these fail, there are possible blockades at the ideological order. based on the works by louis althusser, michel pêcheux finds in the author's theorizations on the ritual the failing as the very possibility of resistence, since subjecting, an unavoidable issue for the subject, at once free and responsible, does not occur without breaches in interpellation. approximations and distancing between pêcheux and foucault are also required to think the ritual of language. theoretical clarifications, dialogues and confrontations all mobilize the search for understanding the ritual in its subjection to failing in order, thus, to reflect on the tv news ritual, constituted by failure, within the domain of the pêcheutian french discourse analysis. the thesis here supported is that at the very material point of encounter in which the effect is produced, it is unmade.
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