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Search Results: 1 - 10 of 132580 matches for " José da Silva;Porto "
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A interferência indireta do Conselho de Seguran a das Na es Unidas na soberania brasileira: o processo do Certificado de Kimberley
Francisco José da Silva Porto Filho
Meritum : Revista de Direito da Universidade FUMEC , 2012,
Abstract: A proposta com este artigo é abordar, resumidamente, a ades o do Brasil ao Sistema de Certificado do Processo de Kimberley (SCPK) sob a exegese do Conselho de Seguran a das Na es Unidas. Objetiva-se refletir sobre a necessidade de nova adequa o desse mecanismo ao mercado minerário brasileiro para controlar o secular problema da produ o ilegal interna que fomenta o mercado internacional ilícito de diamantes. S o analisadas as repercuss es desse instituto, que criou reserva internacional no mercado de diamantes que favorece os países ricos, ao passo que a própria legisla o brasileira anula sua própria produ o de diamantes, retirando-os do mercado internacional, sob o falso pretexto de defender os direitos humanos. A competência para o controle da legalidade do ato administrativo para a emiss o do CPK é da Justi a Federal, dada sua processualiza o em autarquia federal (DNPM). Embora a institui o do SCPK promova alguns avan os na abordagem nacional, o procedimento administrativo em que se atinge o CPK exige novas e eficazes interven es que n o prejudiquem a produ o regular, al ando os diamantes brasileiros ao desenvolvimento.
Bronquiectasias: aspectos diagnósticos e terapêuticos Estudo de 170 pacientes
Moreira José da Silva,Porto Nelson da Silva,Camargo José de Jesus Peixoto,Felicetti José Carlos
Jornal de Pneumologia , 2003,
Abstract: INTRODU O: Bronquiectasias s o freqüentemente encontradas na prática médica no Brasil, levando a significativa morbidez e comprometimento da qualidade de vida de seus portadores. OBJETIVOS: Analisar aspectos diagnósticos e terapêuticos em uma série de pacientes com bronquiectasias atendidos em um servi o de doen as pulmonares. MéTODO: Sinais, sintomas, achados radiográficos e microbiológicos, e resultados terapêuticos foram estudados em 170 pacientes portadores de bronquiectasias hospitalizados no período de 1978 a 2001 - 62,4% do sexo feminino, 37,6% do masculino, com idade média de 37 anos, variando entre 12 e 88 anos. RESULTADOS: Antecedente de pneumonia na infancia foi detectado em 52,5% dos pacientes, de tratamento tisiológico em 19,8%; 8,8% tinham asma br nquica, e dois tinham síndrome de Kartagener. Os sintomas mais comuns foram tosse (100%), expectora o (96%) e estertores pulmonares (66%). As les es eram unilaterais em 46,5% dos casos. Pneumococo, H. influenzae ou flora mista estiveram presentes em 85% das amostras de escarro examinadas. Os 170 pacientes receberam inicialmente tratamento clínico à base de antibióticos e fisioterapia respiratória; 88 deles (52%) mais jovens, com les es menores e boa reserva funcional foram submetidos à cirurgia de ressec o pulmonar (82 unilaterais e seis bilaterais). Ocorreram dois óbitos hospitalares entre os pacientes que receberam tratamento exclusivamente clínico. Os pacientes tratados cirurgicamente tiveram acentuada melhora dos sintomas, raramente necessitando ser reinternados. CONCLUS ES: Os prolongados sintomas broncopulmonares foram permanentemente aliviados na maioria dos pacientes com bronquiectasias que puderam ir à cirurgia de ressec o pulmonar, diferentemente dos que seguiram com o tratamento clínico.
Avalia??o objetiva do hipocratismo digital em imagens de sombra de dedo indicador: estudo em pacientes pneumopatas e em indivíduos normais
Moreira, José da Silva;Porto, Nelson da Silva;Moreira, Ana Luiza Schneider;
Jornal Brasileiro de Pneumologia , 2004, DOI: 10.1590/S1806-37132004000200009
Abstract: background: normal diagnosis of clubbing is clinical; however use of objective criteria may improve the accuracy of findings objective: to present a simple method of obtaining finger images for the purpose of studying clubbing. method: shadow images of the index fingers obtained by projection through a transparent glass plate virtually without distortion and displayed on a common sheet of paper yielded the profile (pa) and hyponychial (ha) angles; as well as the ratio between distal phalangean and interphalangean depths (dpd/ipd). upon physical examination of 306 adult bearers of pulmonary disease, 116 disclosed presence of clubbing (yes); 126 absence (no); and 64 were doubtful cases (dbt). also studied were 452 normal adult individuals. among these 71.0% of the bearers and 33.4% of the controls were smokers. results: values found in normal individuals and in patients bearers of clubbing (yes) were, respectively, 172.8±5.9° vs. 183.4±5.9° for pa, 181.5±5.0° vs. 201.4±6.5° for ha, and 0.904±0.029 vs. 1.014±0.062 for dpd/ipd (significant differences, p<0.05). conclusions: this is a simple method of obtaining clear index finger images. the hyponychial angle determined on the images was the most useful measurement to discriminate digits clinically with and without clubbing (sensitivity of 76.7%, specificity of 83.2%, predictive positive value of 95.5% and predictive negative value of 96.9%).
Distribui??o, mobilidade e polariza??o de renda no Brasil: 1987 A 2003
Figueirêdo, Erik Alencar de;Silva Netto Junior, José Luis da;Porto Junior, Sabino da Silva;
Revista Brasileira de Economia , 2007, DOI: 10.1590/S0034-71402007000100002
Abstract: this study aims to investigate the pattern of transformation of the brazilian income distribution its geographic regions in the period 1987 - 2003. it also intends to identify the underlying factors of such transformation, specifically, the income and educational mobilities. to achieve that, static and dynamic tools have been used. among those tools, the polarization measures proposed by duclos et alii (2004) and the matrix transition of probability can be highlighted. the results show a great change in the brazilian income distribution. in general, it was observed a polarization of the wages featured by an increase in both the bottom and the top salary levels. these changes were followed by a strong educational mobility related to a decrease in the parental effect. however, differences among the regions connected to that process could also be found.
Fatores prognósticos em fibrose pulmonar idiopática
RUBIN ADALBERTO SPERB,MOREIRA JOSé DA SILVA,PORTO NELSON DA SILVA,IRION KLAUS LOUREIRO
Jornal de Pneumologia , 2000,
Abstract: Com o objetivo de avaliar quais fatores prognósticos s o significativos na sobrevida de pacientes com fibrose pulmonar idiopática (FPI), foram estudados 117 casos com comprova o histológica da doen a, internados no Pavilh o Pereira Filho entre 1970 e 1996. Todos os pacientes realizaram radiologia convencional de tórax, espirometria e preencheram um questionário padronizado no momento da interna o. Foram também realizados medida da difus o (34 casos), capacidade pulmonar total (28), gasometria (106), lavado broncoalveolar (39), provas reumatismais (45) e tomografia computadorizada de tórax (24). Para uma análise mais específica, os pacientes foram dividos em dois grupos: grupo A (sobrevida até dois anos) - 55 pacientes e grupo B (sobrevida maior que cinco anos) - 24 pacientes, sendo estas características também analisadas de acordo com a significancia em rela o à sobrevida. Foram considerados fatores indicativos de pior prognóstico a idade avan ada, a dura o prolongada de sintomas, a gravidade da dispnéia, a redu o da CVF, da DCO, da PaO2 e da SaO2, a intensidade do faveolamento e o grau de profus o do padr o reticular na TCAR. Estiveram também associados à menor sobrevida os valores menores de VEF1 e CPT. A utiliza o destes critérios de gravidade que apresentaram significancia estatística, quando utilizados em conjunto, pode determinar uma avalia o prognóstica mais apurada em pacientes portadores de FPI, com implica es terapêuticas e sociais relevantes para seu manejo e acompanhamento.
Fibrose pulmonar idiopática: características clínicas e sobrevida em 132 pacientes com comprova o histológica
RUBIN ADALBERTO SPERB,MOREIRA JOSé DA SILVA,PORTO NELSON DA SILVA,IRION KLAUS LOUREIRO
Jornal de Pneumologia , 2000,
Abstract: Com o objetivo de avaliar as características clínicas e sobrevida de pacientes portadores de fibrose pulmonar idiopática, foram analisados 132 casos com confirma o histológica, internados no Pavilh o Pereira Filho entre 1970 e 1996. O diagnóstico foi realizado em 120 casos por biópsia a céu aberto e em 12 casos por biópsia transbr nquica. A idade média do grupo estudado foi de 56 anos; 78 eram do sexo masculino; 126 eram brancos e 6, negros. O tabagismo estava presente em 61 casos. A dura o média dos sintomas antes do diagnóstico foi de 22,7 meses. O hipocratismo digital esteve presente em 75 pacientes e estertores teleinspiratórios foram verificados em 100 casos. Dispnéia só n o foi constatada em dois pacientes e tosse esteve presente em 89 casos. As provas de fun o pulmonar apresentaram os seguintes valores médios: CVF, 62%; VEF1, 70%; DCO, 43,4%; CPT, 76,7%; PaO2, 67,3mmHg; PaCO2, 39,1mmHg e SaO2, 92,3%. O lavado broncoalveolar apresentou os seguintes valores médios: macrófagos, 83,8%; neutrófilos, 9,1%; linfócitos; 6,1% e eosinófilos, 0,6%. Na radiologia convencional de tórax, foi observado faveolamento em 79 casos, redu o da capacidade pulmonar total em 107 e alargamento da traquéia intratorácica em 50. Na TC de tórax, o grau médio de profus o do padr o reticular foi de 42,3% e do padr o de granularidade, de 43,6%. O padr o histológico usual esteve presente em 128 casos, sendo apenas quatro pacientes portadores de padr o descamativo. Em 121 casos foram obtidas informa es quanto à sobrevida em dezembro de 1997. A sobrevida média total desta série foi de 28 meses, sendo de 24 meses para os pacientes que foram a óbito. Os pacientes desta série apresentaram características associadas a um estágio avan ado da doen a. Este fato, mais a presen a maci a de pacientes com padr o usual e a rígida sele o de casos muito provavelmente contribuíram para os resultados encontrados quanto à sobrevida.
Fatores prognósticos em fibrose pulmonar idiopática
RUBIN, ADALBERTO SPERB;MOREIRA, JOSé DA SILVA;PORTO, NELSON DA SILVA;IRION, KLAUS LOUREIRO;MOREIRA, RAFAEL FRANCO;SCHEIDT, BRUNO;
Jornal de Pneumologia , 2000, DOI: 10.1590/S0102-35862000000500002
Abstract: in order to evaluate which prognostic factors were significant to the survival of patients with idiopathic pulmonary fibrosis (ipf), 121 histologically confirmed cases of the disease were studied at the pereira filho hospital from 1970 to 1996. all patients were submitted to a standard thorax x-ray and spirometry and answered a standardized questionnaire when admitted to hospital. they also underwent diffusion tests (34 cases), total lung capacity (28), blood gas analysis (106), bronchoalveolar lavage (39), rheumatoid analyses (45), and thoracic ct (24). for further analysis, the patients were classified into two groups: group a (2-year survival) with 55 patients, and group b (more than 5-year survival) with 24 patients; these features were also analyzed according to their significance to survival. age, increased dyspnea index, long symptomatic period, fvc, dco, pao2 and sao2 reduction, honeycombing intensity, and greater profusion of the reticular pattern on hrct were considered indicative of worse prognosis. a reduced fev1 and tlc were also associated with shorter survival. the use of those criteria which had shown statistical significance when evaluated together may determine a more accurate prognostic evaluation of ipf patients resulting in social and therapeutic benefits to patient management.
Fibrose pulmonar idiopática: características clínicas e sobrevida em 132 pacientes com comprova??o histológica
RUBIN, ADALBERTO SPERB;MOREIRA, JOSé DA SILVA;PORTO, NELSON DA SILVA;IRION, KLAUS LOUREIRO;MOREIRA, RAFAEL FRANCO;SCHEIDT, BRUNO;
Jornal de Pneumologia , 2000, DOI: 10.1590/S0102-35862000000200004
Abstract: in order to evaluate the clinical findings and survival of pulmonary idiopathic fibrosis patients, 132 cases with histologically-proven biopsy were studied, coming from pavilh?o pereira filho hospital, from 1970 to 1996. the diagnosis was made in 120 patients by open lung biopsy and in 12 cases by transbronchial lung biopsy. the average age was 56 years; 78 were male and only 6 were black. smoking was observed in 61 cases. mean duration of symptoms before diagnosis was 22.7 months. digital clubbing was present in 75 patients and teleinspiratory crackles in 100. dyspnea was observed in all but two patients and cough was present in 89 cases. lung function test values were: fvc, 62%; fev1, 70%; dlco, 43.4%; tlc, 76.7%; pao2, 67.3 mmhg; paco2, 39.1 mmhg and sao2, 92.3%. bronchoalveolar cellularity values were: macrophages, 83.8%; neutrophils, 9.1%; lymphocytes, 6.1% and eosinophils, 0.6%. in x-ray, honeycombing was present in 79 cases, reduced total lung capacity in 107 and intrathoracic tracheal widening in 50. in ct, the mean reticular pattern profusion was 42.3% and the mean granular pattern profusion was 43.6%. the usual histologic pattern was found in 128 cases, and the descamative pattern in only 4. information about survival was found in 121 cases until december 1997. the mean survival rate of all patients was 28 months and for dead patients was 24 months. patient characteristics in this study were associated with advanced stage of disease, which was confirmed by small survival rates of those cases. the strong predominance of usual pattern and better patient selection may have contributed to these results.
Bases epidemiológicas para análise das más oclus?es morfológicas como fatores de risco no desenvolvimento das desordens temporomandibulares de origem articular
Tesch, Ricardo de Souza;Ursi, Weber José da Silva;Denardin, Odilon Victor Porto;
Revista Dental Press de Ortodontia e Ortopedia Facial , 2004, DOI: 10.1590/S1415-54192004000500006
Abstract: among the researches undertaken in epidemiology, a peculiar group of pathologies present either unknown or not totally understood origins. temporomandibular disorders (tmd) can be classified in this subgroup. three basic observational strategies have been used to approach the etiologic role of malocclusion in tmd development, inside the epidemiological repertoire. they are sectional, case-control and cohort studies. some clinical trials are conducted based on the removal of the suspect etiologic factor. based on the literature reviewed in terms of the methodology applied in the selected studies, we can infer that: the definition of possible etiological factors related to specific sub-groups of tmd is primordial not to underestimate the role of malocclusion in the development of this kind of disorders; the characterization of a normal occlusion like the one associated with the lower risk for tmd problems development can be useful, but the application of these parameters will probably result inappropriate for the resolution of a joint problem which is already established; the concept of lower risk occlusion would involve a small slide discrepancy between rcp and icp, small incisal overlap, positive overbite and no posterior crossbite. this concept is similar to the concept of normal occlusion supported for decades, although a deviation from the normal criterion instead of an absolute criterion must be tolerated; although it may be prudent to establish therapeutic morphologic goals that seek what is observed in untreated occlusions deemed normal or ideal, the establishment of an occlusion that reach all these gnathologic criteria, by means of orthodontic treatment, might be either impossible or probably unnecessary.
Colecistectomia videolaparoscópica experimental em cadáver humano: 70 casos
Sena, José Ivamberg Nobre de;Silva Filho, Ant?nio Ribeiro da;Pinheiro, Luiz Gonzaga Porto;
Revista do Colégio Brasileiro de Cirurgi?es , 2001, DOI: 10.1590/S0100-69912001000200005
Abstract: background: we present a model of training in laparoscopic cholecistectomy using human corpses. the objective this method is initiate, adapt, prepare and perfect the surgeons in this newer operative technique. method: seventy stillborn fresh unfreezed of both males and female were used with body heights ranging from 39 to 54 centimeters (average = 49 cm) and weights between 1,210 and 3,900 grams (average = 2,900 g). a complete set of equipment for videolaparoscopic surgery was employed. each fetus was submitted to experimental videocholecistectomy. the surgical techniques were the same than in vivo colecistectomy laparoscopic. anatomic biliary dissection and surgical ressection of the gallbladders were feasible. the relevant data for the technical and anatomical aspects of each procedure were registered. results: the use of human material for training allows similar conditions and identical anatomy as those which will be met during daily operative surgical practice. conclusions: the authors concluded that the videolaparoscopic training in stillborn human corpse can be applied in training surgeons in basic and advanced laparoscopic surgery.
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