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Search Results: 1 - 10 of 39025 matches for " Otavio Luiz Rodrigues Junior "
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Estatuto epistemológico do Direito Civil contemporaneo na tradi o de civil law em face do neoconstitucionalismo e dos princípios
Otavio Luiz Rodrigues Junior
Meritum : Revista de Direito da Universidade FUMEC , 2012,
Abstract: O Direito Civil clássico, na tradi o de civil law, recebeu críticas por supostos compromissos com a interpreta o jurídica alheia a valores e a elementos sociais. O neoconstitucionalismo, a perda de dignidade da legisla o e a expans o exagerada dos princípios s o elementos que colocam em debate a autonomia e o estatuto epistemológico do Direito Civil. A diferencia o específica de fun es e a impossibilidade de aplica o pura e simples de princípios de Direito Público devem ser tomados em considera o na leitura do Direito Civil contemporaneo.
Escore para rastrear idosos (> 75 anos) de alto risco para doen?a arterial periférica
Makdisse, Marcia;Ramos, Luiz Roberto;Moreira, Frederico;Oliveira, Anderson;Berwanger, Otavio;Moscardi, Alcione;Junqueira, Virginia;Rodrigues, Evandro;Carvalho, Antonio Carlos;
Arquivos Brasileiros de Cardiologia , 2007, DOI: 10.1590/S0066-782X2007000600002
Abstract: background: the prevalence of peripheral arterial disease (pad) in the elderly is high. most are asymptomatic and the sensitivity of the physical exam is low. in brazil, little is known in regard to pad risk factors in the elderly. objectives: to identify risk factors for pad among elderly individuals (> 75 years) in the community and to develop a prediction score. methods: cross-sectional, prospective, community-based study nested within a cohort study ("epidoso"). a total of 176 individuals were assessed. pad was defined as an ankle-brachial index <0.9. risk factors associated with pad were entered into a multivariate logistic regression model. statistical modeling was used to formulate a score according to the likelihood of pad. a p value <0.05 was significant. results: pad was present in 36.4% of participants. abnormal pedal pulses, hypertension, cigarette smoking, and complain of leg pain/discomfort in either leg on walking were predictors of pad. based on the coefficients of the logistic regression, these variables were given scores of 13, 9, 5 and 5, respectively. a cutoff point >18 points defined the "high risk" individuals and yielded sensitivity, specificity, positive predictive value and negative predictive value of 85.9%, 71.4%, 63.2% and 89.9%, respectively. receiver-operator characteristic analysis yielded area under curve of 85%, indicating excellent discrimination and goodness-of-fit statistics indicated excellent calibration (p=0.639). conclusion: because of its good performance, the proposed score can become a simple and useful tool to identify elderly community residents at higher risk of pad who should be considered for further investigation.
Influence of sedation on morbidity and mortality in the intensive care unit
Rodrigues Junior, Geraldo Rolim;Amaral, José Luiz Gomes do;
Sao Paulo Medical Journal , 2004, DOI: 10.1590/S1516-31802004000100003
Abstract: context: although 30 to 50% of hospitalized patients in a critical care unit are under sedation, there is sparse data on the impact of sedation on morbidity and case-fatality rates in brazil. sedation is associated with higher risks of infection and death rate among patients. however, it is difficult to assess the clinical impact of sedation. objective: to evaluate the impact of sedation on the incidence of nosocomial infection and all-cause deaths at a critical care unit. type of study: prospective study. setting: tertiary-care teaching hospital. participants: after the exclusion of patients hospitalized for less than 24 hours, 307 patients were assigned to two groups, considering their states of sedation. after confirmation of heterogeneity in relation to the acute physiology and chronic health evaluation (apache ii) prognostic system, 97 sedated and 97 non-sedated patients were matched in relation to this severity index. main measurements: impact of sedation on deep venous thrombosis, incidence of decubital eschars, presence of infection, mortality and length of hospital stay. results: there was no difference in the incidence of deep venous thrombosis between the sedated and non-sedated groups, while the frequency of decubital eschars was significantly higher among sedated patients (p = 0.03). infection was detected in 45.4% of patients under sedation and 21.6% of patients not under sedation (p = 0.006). mortality for patients that did not receive any kind of sedative was 20.6% and, for those that were sedated during hospitalization, the rate was 52.6% (p < 0.0001). the sedated patients had longer hospitalization (11 vs. 4 days) (p < 0.0001). conclusion: we concluded that sedation is associated with higher infection risk and case-fatality rate, and longer hospital stay.
Avalia o do tratamento cirúrgico nos pacientes com metástase vertebral secundária ao carcinoma de mama Evaluación del tratamiento quirúrgico en pacientes con metástasis vertebrales secundarias a carcinoma de mama Evaluation of surgical treatment of patients with vertebral metastasis secondary to breast carcinoma
Alex Veneziano Oliveira Junior,Adalberto Bortoletto,Luiz Claudio Lacerda Rodrigues
Coluna/Columna , 2012, DOI: 10.1590/s1808-18512012000300008
Abstract: OBJETIVO: Avaliar os resultados cirúrgicos dos pacientes com metástase vertebral secundária ao carcinoma de mama. MéTODOS: Vinte e duas pacientes operadas com doen a metastática vertebral secundária ao carcinoma de mama foram avaliadas no pré-operatório, pós-operatório imediato e depois de 1 mês e 6 meses do procedimento cirúrgico, usando a escala numérica da dor e o índice de incapacidade de Oswestry (ODI). RESULTADOS: As medidas para dor produziram valor de p de 0,0001 para a diferen a entre o pré-operatório e o pós-operatório imediato, 0,0005 entre o pós-operatório imediato e 1 mês de pós-operatório, e 0,0908 entre 1 mês de pós-operatório e 6 meses de pós-operatório, portanto, encontram-se evidências de diferen as entre o pré-operatório e o pós-operatório imediato, assim como entre o pós-operatório imediato e após o 1o mês, mas n o há tal evidência entre o 1o e o 6o mês de pós-operatório. Quanto ao ODI, a diferen a foi significativa em todos os períodos. CONCLUS O: A cirurgia melhora a dor e diminui a incapacidade dos pacientes com doen a metastática secundária ao carcinoma de mama. OBJETIVO: Evaluar los resultados quirúrgicos de los pacientes con metástasis vertebrales secundarias a carcinoma de mama. MéTODOS: Veintidós pacientes operados con enfermedad metastásica espinal secundaria a carcinoma de mama fueron evaluadas antes de la cirugía, inmediatamente después de la operación y después de 1 mes y 6 meses de la cirugía, mediante la escala numérica del dolor y el índice de discapacidad de Oswestry. RESULTADOS: Las medidas para el dolor produjeron un valor de "p" de 0,0001 para la diferencia entre el pre y postoperatorio, 0,0005 entre el postoperatorio inmediato y un mes después de la operación, y 0,0908 entre 1 mes después de la cirugía y el postoperatorio de 6 meses, por lo tanto, son la evidencia de las diferencias entre el pre y postoperatorio, así como entre el postoperatorio inmediato y después de un mes, pero no hay evidencia de tales diferencias entre 1 y 6 meses después de la operación. En cuanto al ODI, la diferencia fue significativa en todas las épocas. CONCLUSIóN: El procedimiento mejora el dolor y reduce la discapacidad en pacientes con enfermedad metastásica secundaria a carcinoma de mama. OBJECTIVE: To evaluate the surgical outcomes of patients with spinal metastasis secondary to breast carcinoma. METHODS: Twenty-two patients operated spinal metastatic disease secondary to breast carcinoma were assessed preoperatively, immediately postoperatively and after 1 and 6 months of surgery, using the numerical scale of pain and Oswestry Disa
Roberto Carlos Bodart Brand o
Jonas Capelli Junior,Luiz Gonzaga Gandini Junior,Paulo César Rodrigues Conti,Roberto Rocha
Revista Dental Press de Ortodontia e Ortopedia Facial , 2009, DOI: 10.1590/s1415-54192009000600004
Abstract:
Age related changes in the elastic fiber system of the interfoveolar ligament
Quintas, Mario Luiz;Rodrigues, Consuelo Junqueira;Jin, Hwan Yoo;Rodrigues Junior, Aldo Junqueira;
Revista do Hospital das Clínicas , 2000, DOI: 10.1590/S0041-87812000000300003
Abstract: in order to evaluate age related changes of the elastic fiber system in the interfoveolar ligament, we studied the deep inguinal ring from 33 male cadavers aged from stillborn to 76 years. selective and alternated staining methods for elastic fibers were performed to differentiate oxytalan, elaunin, and mature elastic fibers. we confirmed quantitative changes of the elastic fiber system with aging. there was a significant and progressive reduction of the oxytalan fibers (responsible for tissue resistance) and a significant increment in the mature elastic and elaunin fibers (responsible for tissue elasticity). furthermore, there were structural changes in the thickness, shortness and curling of these mature elastic fibers. these changes induced loss of the elastic fiber function and loss of the interfoveolar ligament compliance. these factors predispose individuals to the development of indirect inguinal hernias that frequently emerge in adults and aged individuals, especially above the fifth decade.
Age related changes in the elastic fiber system of the interfoveolar ligament
Quintas Mario Luiz,Rodrigues Consuelo Junqueira,Jin Hwan Yoo,Rodrigues Junior Aldo Junqueira
Revista do Hospital das Clínicas , 2000,
Abstract: In order to evaluate age related changes of the elastic fiber system in the interfoveolar ligament, we studied the deep inguinal ring from 33 male cadavers aged from stillborn to 76 years. Selective and alternated staining methods for elastic fibers were performed to differentiate oxytalan, elaunin, and mature elastic fibers. We confirmed quantitative changes of the elastic fiber system with aging. There was a significant and progressive reduction of the oxytalan fibers (responsible for tissue resistance) and a significant increment in the mature elastic and elaunin fibers (responsible for tissue elasticity). Furthermore, there were structural changes in the thickness, shortness and curling of these mature elastic fibers. These changes induced loss of the elastic fiber function and loss of the interfoveolar ligament compliance. These factors predispose individuals to the development of indirect inguinal hernias that frequently emerge in adults and aged individuals, especially above the fifth decade.
Estabilidade de agregados e distribui o do carbono em Latossolo sob sistema plantio direto em Uberaba, Minas Gerais
Fernando Silva Coutinho,Marcos Gervasio Pereira,Dilson José Rodrigues Junior,José Luiz Rodrigues Torres
Comunicata Scientiae , 2010,
Abstract: The use of no-tillage system (SNT) with cover plants improves soil aggregation. The aim of this studywas to evaluate the stability of aggregates in water and carbon distribution in different aggregatesclass in Oxisol in no-tillage system, Uberaba, MG, Brazil. It was evaluated two areas in SNT: crop ofcorn + brachiaria and corn + crotalaria. An area adjacent to the savanna was taken as a conditionof the original soil. It was collected samples of soil deformability 0-5 and 5-10 cm, soil depths whichwas evaluated the stability of aggregates stable in water, by means of indices of aggregation:mean weight diameter (MWD) and geometric mean diameter (GMD). It was also evaluated thedistribution of the mass of aggregates and carbon per sieve class. It was found that, regardless ofdepth, the area of savanna showed higher values for DMP, DMG and carbon. Among the cultivatedareas, the system of crop corn + brachiaria showed higher values of DMP and carbon of aggregatesin detriment of the area corn + crotalaria. These results indicate that the crop in SNT of corn +brachiaria increases soil aggregation and carbon aggregates when compared to the system ofcorn + crotalaria.
Utiliza??o do questionário ERG na avalia??o do grau de satisfa??o dos pacientes submetidos à otoplastia em um servi?o de residência médica de otorrinolaringologia
Marone, Silvio Antonio Monteiro;Linhares Filho, Tarcisio Aguiar;Ishie, Renato Tadao;Dode, Otavio Borio;Faria, Bernardo Campos;Rodrigues, Jose Luiz Teixeira;Souza, Marcio Antonio de;
Brazilian Journal of Otorhinolaryngology , 2012, DOI: 10.1590/S1808-86942012000100018
Abstract: the ear deformity surgery intervention impact on psychological and self-esteem aspects, in adults and children, is well documented. recently, the studys are focused on patient satisfaction, funcional result and impact on quality of life. any modification on patient's quality of life has been a challenge. the use of valid and established questionnairies, like glasgow benefit inventory (gbi), assists on data analyse, turning it consistent. aim: the aim of this study is to evaluate the impact on patients quality of life after otoplasty, through the gbi questionnaire. methods: retrospective study including patients underwent otoplasty, within july of 2009 to july of 2010. the data were collected through questionnaire applied by medical resident on 90 post-surgical return. results: 36 patients answered the questionnaire. there was increase on patients quality of life demonstrated by positive mediana obtained through out questinnaire. there were no significantly differences between age and sex. conclusion: the patients are satisfied with post-surgical results. there was increase on patients quality of life conform positive results obtained. the use of gbi showed easy and elucidative.
Proposta de teste incremental baseado na percep??o subjetiva de esfor?o para determina??o de limiares metabólicos e parametros mecanicos do nado livre
Lima, Manoel Carlos Spiguel;Balikian Junior, Pedro;Gobatto, Cláudio Alexandre;Garcia Junior, Jair Rodrigues;Ribeiro, Luiz Fernando Paulino;
Revista Brasileira de Medicina do Esporte , 2006, DOI: 10.1590/S1517-86922006000500009
Abstract: the rating of perceived exertion (rpe) is non-invasively determined and used together with lactacidemic analysis as indicator of intensity during incremental test. in field, especially in swimming, due to the difficulty of sample collection, alternative protocols have been used to estimate the anaerobic threshold. thus, the study aims were: to prescribe one incremental test based on borg's scale; to estimate metabolic thresholds determined through analysis lactate methods [settling bi-segmented (vlt), fixed concentration-3.5 mm (v3.5mm) and maximal distance (vdmáx)]; to relate the rpe attributed in each stage with a heart rate (hr) and swimming mechanical parameters [stroke rate (sr), and stroke length (sl)]; to analyze the utilization of the borg's scale in regularity of velocity increment in test and relate the metabolic thresholds with the critical velocity (cv). twelve swimmers (16.4 ± 1.3 years old) were subjected to two maximal efforts (200 and 400 meters), the data was used to determine the cv, velocity in 400 meters (v400m) and critical stroke rate (csr); and one incremental test with an initial intensity based in rpe, respectively, 9, 11, 13, 15 and 17; the hr, lactacidemia ([lac]) and the times of four cycles strokes and the distances of 20 m and 50 m, were monitored in all stages. subsequently, the velocity of the sr, sl, vlt, v3.5mm and vdmáx stages were calculated. anova and correlation of pearson were used to analyze the results. significant differences were not found among vc, vdmáx and vlt, however the v3,5mm was lower than all velocities (p < 0.05). significant relationships (p < 0.05) were found among vc versus v400m, vdmáx, v3.5mm; v400m versus v3.5mm and vdmáx; vdmáx versus vll; in incremental test among the rpe versus velocity, [lac], hr, sr and sl (p < 0.05). our conclusion was that rpe is a reliable tool for velocity control of stages during incremental test in swimming.
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