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Chronic Pain and Pharmacotherapy in Chronic Renal Patients on Hemodialysis  [PDF]
Olvani Martins da Silva, Bruna Bautitz, Fanierli Benedeti, Ligyani Pauly, Eneida Rejane Rabelo-Silva
Open Journal of Nursing (OJN) , 2016, DOI: 10.4236/ojn.2016.69075
Abstract: Objective: To analyze the intensity of chronic pain and pharmacotherapy in chronic renal patients on hemodialysis. Method: This is a cross-sectional, prospective study conducted in a Service of Substitute Renal Therapy in the South region of Brazil. Seventy adult patients with chronic renal disease, who were undergoing hemodialysis treatment in the first half of 2015, participated in the study. We used the Graduated Scale for Chronic Pain. The data were analyzed with the Statistical Package for Social Sciences software version 18.0. The study was approved under N°. CAAE: 20138913.4.0000.0118. Results: Fifty-one (72%) patients reported some forms of pain in the last six months, 17 (24%) reported severely limiting pain, high interference and persistence. Painkillers were most widely used therapy for pain management, in 19 patients (27%). Conclusion: Chronic pain was reported in different degrees of intensity, with severely limiting character, high interference, and persistence. Painkillers were the most widely used pharmacological class to control it.
Perfil clínico-epidemiológico de pacientes com neurocisticercose atendidos no Hospital Universitário Regional de Maringá, Paraná, Brasil
Benedeti, Márcia Regina;Falavigna, Dina Lúcia Morais;Falavigna-Guilherme, Ana Lúcia;Araújo, Silvana Marques de;
Arquivos de Neuro-Psiquiatria , 2007, DOI: 10.1590/S0004-282X2007000100025
Abstract: the aim of this study was to drawn an epidemiological and clinical profile of the neurocysticercosis (ncc) patients assisted by hospital universitário regional de maringá. a transversal, retrospective and descriptive study based on 6,100 records of the neurology, neuropediatry, neurosurgery and psychiatry clinics was done from january/1998 to december/2004. of these, 48 were selected with diagnosis of ncc. the prevalence was greater in female (p<0.001), 31-60 years (43.7%), and urban zone (93.8%). the number of ncc cases overcame those notified to the epidemic surveillance in 1998, 1999, 2001, 2002 and 2004. the epilepsy due to ncc (ci=1.77;16.07; p=0.0024) was generalized and of late onset in 91.7% patients, being associated to headache in 37.5% ones. there was need of hospitalization in 22.9% of the patients (medium time of 3.91±3.35 days). it was concluded that the epidemiological and clinical profile observed is peculiar, displaying some common points with other brazilian studies.
Eduardo Augusto Benedeti da Silva Siqueira,Sérgio da Cruz Silva Júnior,Marco Ant?nio Ferreira de Souza
Revista PRETEXTO , 2011,
Abstract: As estratégias sofrem influência de diversos fatores conhecidos na área da administra o e gest o, tais como compartilhamento de informa es, cultura e poder, aprendizagem, motiva o, qualidade, identidade, e as diferentes abordagens existentes, tais como estratégias genéricas de Porter, VBR e VBM. Muito se tem produzido em trabalhos acerca da estratégia e desses fatores. Entretanto, os mecanismos de intera o entre eles carecem de discuss o mais profunda. O objetivo deste trabalho é promover um ensaio que relacione esses elementos de forma a contribuir para a área de gest o e estratégia em negócios. A metodologia utilizada contou com a elabora o de perguntas, fomentadoras da contraposi o da estratégia com os fatores supracitados, e com a explora o de produ es acadêmicas para cria o das respostas para cada uma delas em forma de ensaio. O ensaio permitiu concluir que a análise da estratégia pode adquirir consistência à medida que, durante o processo de sua concep o, ela é contraposta, de forma crítica, a outros elementos da administra o.
Hidrocistoma: conduta cirúrgica na les?o palpebral cística
Couto Júnior, Abelardo de Souza;Batista, Gabrielle Macieira;Calafiori, ícaro Guilherme Donadi Ferreira;Radael, Vinícius Cristófori;Mendes, Wilker Benedeti;
Anais Brasileiros de Dermatologia , 2010, DOI: 10.1590/S0365-05962010000300012
Abstract: this report describes the case of a hidrocystoma of the eyelid and the surgical technique used in the therapeutical management of benign cystic lesions of the eyelids. hidrocystomas are relatively common benign lesions of the eyelids, principally the lower eyelid. they are more common in females over thirty years of age. diagnosis is clinical and when there is a single lesion, surgery is the treatment of choice. the surgical technique used should be described in greater detail, since it offers good esthetic results and a low risk of recurrence.
Tuberculose intestinal como causa de obstru??o intestinal: relato de caso e revis?o de literatura
Mendes, Wilker Benedeti;Batista, Carlos Augusto Marques;Lima, Hélio Alves de;Leite, Gerson Fran?a;Paula, Joaquim Ferreira de;Porto, Willian Borba;Kim, Monika Pereira;Magno Jr, Carlos;
Revista Brasileira de Coloproctologia , 2009, DOI: 10.1590/S0101-98802009000400009
Abstract: intestinal tuberculosis occurs often as a pulmonary disease complication, when infected sputum is swallowed. with aids there was a significant increasement of tuberculosis in all of it forms. it happens more often in tropical and third world countries. the ileocecal is the site with most commitment. paleness, weight loss, night sweats and fever are the most common findings on physical examination. abdominal pain is the main finding in the abdominal examination. the most frequent complication is intestinal obstruction. the preoperative diagnosis is very difficult, and the certainty provided by histopathological examination or in tissue culture. surgical treatment is indicated in cases of rare complications.
Exigências nutricionais de bezerros nelores lactentes
Fonseca, Mozart Alves;Valadares Filho, Sebasti?o de Campos;Henriques, Lara Toledo;Paulino, Pedro Veiga Rodrigues;Detmann, Edenio;Fonseca, Emílio Alves;Benedeti, Pedro Del Bianco;Silva, Leandro Diego da;
Revista Brasileira de Zootecnia , 2012, DOI: 10.1590/S1516-35982012000500019
Abstract: this experiment was carried out to evaluate the nutritional requirements of protein, energy and macro minerals for nellore calves from birth to 180 days. a total of 20 calves, 10 males (m) and 10 females (f) with average body weight (bw) of 30±3 kg were used. soon after birth, four (2 males and 2 females) calves were slaughtered to estimate initial body composition of animals that remained in the trial. at 90 days, another eight calves were slaughtered (4 males and 4 females), and the remaining animals were slaughtered at 180 days. besides milk, the calves were fed with corn silage ad libitum and commercial concentrate set at a maximum of 0.5 kg/animal/day. two digestibility assay were conducted at 30 and 90 days to estimate the energy intake of the calves. after slaughtered all calves had their right half-carcasses dissected. the content of protein, energy and minerals were estimated by the equation y = a. ebwb, where ebw is the empty body weight. the relationship ebw/bw of calves was 0.9622 and ebwg/bwg was 0.958, where g is the gain. the net requirements of protein and energy increased with increasing body weight, while calcium decreased. the metabolizable protein requirements for gain of 1 kg bw were 216.96 and 261.98 g for calves with 100 and 200 kg respectively. the following equations are recommended to estimate the body content of preweaning nellore calves: protein (g/day) = 0.135 × ebw1.0351; energy (mcal/day) = 1.1798 × ebw1.1805; calcium (g/day) = 0.091 × ebw0.6019; phosphorus (g/day) = 0.00894 × ebw0.9629; sodium (g/day) = 0.00126 × ebw0.9791; magnesium (g/day) = 0.000405 × ebw0.9827; potassium (g/day) = 0.00165 × ebw0.9364.
Exigências nutricionais de vacas nelores primíparas lactantes
Fonseca, Mozart Alves;Valadares Filho, Sebasti?o de Campos;Henriques, Lara Toledo;Paulino, Pedro Veiga Rodrigues;Detmann, Edenio;Benedeti, Pedro Del Bianco;Silva, Leandro Diego da;Amaral, Paloma de Melo;
Revista Brasileira de Zootecnia , 2012, DOI: 10.1590/S1516-35982012000500020
Abstract: this study was conducted to evaluate the nutritional requirements of protein and energy of primiparous lactating nellore cows from 0 to 180 days after calving. a total of 20 lactating primiparous cows with average body weight at calving of 362±25 kg were used. four cows were slaughtered soon after calving and were considered as reference group. from calving to 90 days post partum four cows were fed restricted at 1.5% of body weight (bw) in dry matter (dm) basis and 12 were fed ad libitum. at 90 days post partum eight cows were slaughtered (four from each feeding system). from 90 to 180 days, four cows were realocated for maintenance (1.8% bw in dm) and four remained in voluntary intake, and all were slaughtered at the end of the period. the contents of protein and energy were estimated by the equation y = a. xb, in which x is the empty body weight (ebw), and a and b are the parameters of the allometric equation. ratios obtained for empty body weight (ebw)/bw and empty body gain (ebwg)/bwg were 0.894 and 0.936, respectively. the net energy for maintenance (nem) were 97.84 kcal/ebw0.75 and the metabolizable energy for maintenance (mem) were 140.17 kcal/ebw0.75. the efficiencies of energy use for maintenance and gain were 0.70 and 0.44, respectively. the content of protein and minerals, except calcium, decreased with the increase in bw while the energy increased. the milk of cows had average contents of 3.71, 3.88 and 4.74%, respectively, for crude protein, fat and lactose. the nem requirement for lactating nellore cows is 97.84 kcal/ebw0,75, while mem is 140.17 kcal/ebw0,75 and metabolizable protein requirement is 52.8 g. to produce 1 kg of milk with 4% fat nellore cows need 0.300 kg tdn.
Protein requirements for females of Nellore, Nellore × Angus and Nellore × Simmental fed on two forage: concentrate ratios
Souza, Evaristo Jorge Oliveira de;Valadares Filho, Sebasti?o de Campos;Guim, Adriana;Valadares, Rilene Ferreira Diniz;Marcondes, Marcos Inácio;Ferreira, Marcelo de Andrade;Prados, Laura Franco;Benedeti, Pedro del Bianco;
Revista Brasileira de Zootecnia , 2012, DOI: 10.1590/S1516-35982012000300040
Abstract: this study aimed to determine the protein requirements for females of nellore, f1 nellore × angus and f1 nellore × simmental fed on two concentrate levels (30 and 50%). sixty heifers from three genetic groups with 18 months of age were used: 20 nellore, 20 nellore × angus and 20 nellore × simmental. twelve heifers of the reference group (four of each genetic group) were slaughtered at the beginning of the experiment. another 12 heifers (four of each genetic group) were fed on the level of maintenance and 36 heifers (12 animals of each genetic group) were kept in power system ad libitum with 30% (six of each group) or 50% (six of each group) dietary dry matter in concentrate. heifers were randomly assigned to six treatments in a 3 × 2 factorial arrangement (three genetic groups and two diets) with six replicates per treatment. nine more heifers (three from each genetic group) were used to estimate the apparent digestibility coefficients of food in a parallel experiment. a model was fitted according to the protein retained as function of the gain of empty body weight (ebw) and retained energy (re) to calculate the protein net requirements. to estimate the metabolizable protein requirements for maintenance the consumption of metabolizable protein was contrasted with ebw. the joint use of the equation net protein gain (npg) = 197.40 × ebwg - 11.14 × re is recommended to predict the protein net requirements for weight gain. protein and metabolizable protein net requirements for maintenance are 1.07 and 3.88 g/ebw0.75/day, respectively. the use efficiency of metabolizable protein for gain of all genetic groups is 37.04%.
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