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Search Results: 1 - 10 of 23351 matches for " Roberto Roque Lauxen "
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O ensino de filosofia na perspectiva Hegeliana: a negatividade da prática pedagógica como matriz Hermenêutica
Roberto Roque Lauxen
Barbarói , 2012,
Abstract: Este trabalho procura compreender a rela o de Hegel com o ensino em geral e o ensino de filosofia em particular. Para contextualizar a problemática educativa de Hegel investigamos o lugar da pedagogia em sua filosofia sistemática. Destacamos o significado e a organiza o do ensino de filosofia retomando algumas incongruências da prática de ensino e da atividade docente de Hegel. Em rela o a elas procuramos sondar alguns abismos que a raz o especulativa n o consegue dar conta, apontando uma alternativa hermenêutica frente ao saber sistemático como fundamento filosófico para pensarmos o ensino em geral e o ensino de filosofia em particular. Abstract This paper seeks to understand the relation Hegel’s with teaching in general and the teaching of philosophy in particular. To contextualize the problematic educative in Hegel we investigated the place of pedagogy in relation to its systematic philosophy. We detach the meaning and organization of teaching philosophy retaking some inconsistencies in the practice of teaching and teaching activities of Hegel. In relation to them we seeks some abysses that speculative reason cannot to give account, pointing a hermeneutic alternative front when knowing systematic as the philosophical foundation to think the teaching in general and the teaching of philosophy in particular.
La muerte: fenómeno natural, universal o único? Death
Roberto Roque Vargas
Revista Cubana de Enfermer?-a , 2011,
Abstract:
Compara o dos volumes ocupados pelos diferentes dispositivos de fixa o interna para fraturas do colo femoral Comparison of volumes occupied by different internal fixation devices for femoral neck fractures
Daniel Lauxen Junior,Carlos Roberto Schwartsmann,Marcelo Faria Silva,Leandro de Freitas Spinelli
Revista Brasileira de Ortopedia , 2012,
Abstract: OBJETIVO: Medir o volume ocupado pelos dispositivos de fixa o interna mais difundidos para o tratamento das fraturas de colo femoral, usando como aproxima o os primeiros 30, 40 e 50mm de cada parafuso. O estudo visa observar qual desses implantes causa menor agress o óssea. MéTODOS: Foram avaliados cinco modelos de parafusos canulados e quatro modelos de parafusos deslizantes (DHS) encontrados no mercado nacional através de diferen a de volume por deslocamento de água. RESULTADOS: A fixa o com dois parafusos canulados apresentou volume significativamente menor do que com DHS nas inser es de 30, 40 e 50mm (p=0,01, 0,012 e 0,013, respectivamente), a fixa o com três parafusos n o apresentou significancia estatística (p=0,123, 0,08 e 0,381, respectivamente) e a fixa o com quatro parafusos canulados apresenta volumes maiores que o DHS (p=0,072, 0,161 e 0,033). CONCLUS ES: A fixa o da cabe a femoral com dois parafusos canulados ocupa menor volume quando comparada ao DHS com diferen a estatisticamente significativa. A maioria das outras combina es de parafusos n o atingiram significancia estatística, apesar de a fixa o com quatro parafusos canulados apresentar, em média, volumes maiores que o ocupado pelo DHS. OBJECTIVE: The objective of this paper is to measure the volume occupied by the most widely used internal fixation devices for treating femoral neck fractures, using the first 30, 40 and 50 mm of insertion of each screw as an approximation. The study aimed to observe which of these implants caused least bone aggression. METHODS: Five types of cannulated screws and four types of dy namic hip screws (DHS) available on the Brazilian market were evaluated in terms of volume differences through water displace ment. RESULTS: Fixation with two cannulated screws presented significantly less volume than shown by DHS, for insertions of 30, 40 and 50 mm (p=0.01, 0.012 and 0.013, respectively), fixa tion with three screws did not show any statistically significant difference (p= 0.123, 0.08 and 0.381, respectively) and fixa tion with four cannulated screws presented larger volumes than shown by DHS (p=0.072, 0.161 and 0.033). CONCLUSIONS: Fixa tion of the femoral neck with two cannulated screws occupied less volume than DHS, with a statistically significant difference. The majority of screw combinations did not reach statistical significance, although fixation with four cannulated screws pre sented larger volumes on average than those occupied by DHS.
ética y lactancia materna
Georgina Peraza Roque,Roberto álvarez Sintes
Revista Cubana de Medicina General Integral , 1998,
Abstract:
Medicamentos potencialmente inapropriados para idosos e sua presen?a no SUS: avalia??o das listas padronizadas
Obreli Neto, Paulo Roque;Cuman, Roberto Kenji Nakamura;
Revista Brasileira de Geriatria e Gerontologia , 2011, DOI: 10.1590/S1809-98232011000200009
Abstract: this study aims to verify the use potentially inappropriate medication in elderly people (pim), and of safer pharmacotherapy choices in the municipal standard lists of drugs of the primary health care. a cross-sectional, multicenter, exploratory, quantitative study was conducted in the 12 municipalities that belong to the ourinhos micro-region, sao paulo, brazil, from may to july 2009. we used as technical consultation of documents (municipal standard lists of drugs). the beers criteria was used to identify pim. a high prevalence of pim was found, with pim representing 19.6% to 29.6% of the total number of drugs in the municipal standard lists. the pim that acts in the nervous system were the most prevalent, followed by drugs that act on the cardiovascular system and skeletal muscle system, respectively. the number of pim presenting safer pharmacotherapy alternatives in the standardized list studied ranged from 50.0% to 84.2% of the pim, with a mean value of 73.2%. these results indicate the need to adopt strategies as the implementation of clinical protocols for prescription to the elderly, changes in the medic education and multiprofessional follow-up of the elderly patients, to avoid the prescription of pim to this range of the population.
Efectividad de la terapia antirretroviral de alta eficacia en la atención del SIDA
Larrea Fabra,Roberto; Roque Acosta,María del Carmen;
Revista Cubana de Medicina , 2007,
Abstract: the free mass public access to the antiretrovirals in south africa in 2004, made necessary the search of effectivity indicators of the triple therapeutic regimes in the attention to the acquired immunodeficiency syndrome. the positive hiv cases from bojanala that visited the aids clinic in rustenburg from april 2004 to november 2005 were studied. serial tests of cd4 and viral load were made among the cases under treatment to evaluate the effectiveness of the high efficiency antiretroviral therapy (hearvt) in our clinic. the deaths, the survivors under treatment, the patients under immunological reconstitution and/or virological suppression, the index of cases with objective therapeutic effectivity per every death, and the cases with opportunistic disease before and after the application of the antiretrovirals were tabulated. 4 339 positive hiv patients, of whom 2 446 (56.4 %) received hearvt in that period, were studied. it was found that 201 cases (8.2 %) that were under treatment died. it was observed a predominance of deaths among those who suffered from opportunistic diseases and/or advanced immunodepression. 749 cases attained the immunological reconstitution; 1 021, the virological suppression; and 576, both. in all, 1 149 patients (48.8 %) obtained at least an objective of therapeutic efficiency. the efficacy index per death was 5.9 per 1. 43 opportunistic diseases were confirmed after beginning the application of the antiretrovirals. only 5 of them corresponded to therapeutic failure. it was concluded that the use of high effectivity antiretroviral therapy showed a high effectiveness in our clinic, improving survival and the quality of life of the population.
Enfermedades oportunistas: Experiencias en la población sudafricana con SIDA
Larrea Fabra,Roberto; Roque Acosta,María del Carmen;
Revista Cubana de Medicina , 2007,
Abstract: it is known that opportunistic diseases are the leading causes of death from aids, in spite of their substantial reduction after the mass use of primary prophylaxis and of the highly efficient antiretroviral therapy. the aids infected cases in bojanala that attended the aids clinic in rustenburg from april 2004 to november 2005, were studied. a specialized clinical evaluation was carried out searching opportunistic diseases, and the specific investigations were individualized for their diagnostic confirmation in order to know the morbidity and lethality from opportunistic diseases in this population, and the impact of tuberculosis on the studied immunodepressed population. 4 339 patients received attention, of whom 918 cases (21.2 %) developed opportunistic diseases and 98 died (10.7 %). lethality in patients with opportunistic diseases was 2.8 times higher than that of the rest. tuberculosis and esophageal candidiasis were the opportunistic diseases most frequently associated with this virus. it was concluded that the opportunistic diseases are still a main cause of morbidity and lethality in aids, leaded by tuberculosis and esophagitis produced by candida as regards frequency, and by the wasting syndrome, kaposi’s sarcoma and cryptococcus meningitis in severity, in spite of an improvement attained in survival, resulting from their attention and timely treatment.
Vigilancia farmacológica con el uso de los antirretrovirales
Larrea Fabra,Roberto; Roque Acosta,María del Carmen;
Revista Cubana de Medicina , 2007,
Abstract: the suitable surveillance and detection of adverse reactions to antiretrovirals are essential to prevent ominous consequences in the population affected by the human immunodeficiency virus (hiv). the positive hiv cases from bojanala that received attention at the aids clinic in rustenburg, from may 2004 to october 2005, were studied to know the behaviour of the adverse reactions to antiretrovirals, and to evaluate the pharmacovigilance strategies. medical consultations were planned for the patients under antiretroviral treatment, and standardized complementary hematological investigations evaluated in practical training were made. double daily control and register of adverse reactions on the basis of computerized data were applied. attention was given to 4 043 patients, of whom 2 285 (56.5 %) received multiple antiretroviral treatment. usually short term and transitory minor adverse effects were observed in 45 % of the cases (1 029 patients). significant hematological and hepatic toxicity, potentially lethal, was present only in 11 and 15 cases, respectively, with satisfactory evolution after their attention. it was found that mild moderate neurotoxicity was frequent (159 cases - 7 %), and that 6 patients developed a severe reaction of hypersensitivity, 5 of whom had a satisfactory recovery and only one died. other long-term complications, such as lipodystrophy and lactic acidosis appeared fortuitously. it was concluded that minor adverse reactions were common, with predominance of the neuropsychiatric and gastrointestinal complications. severe lethal toxicity to antiretrovirals was low thanks to pharmacovigilance.
Manejo del fallo terapéutico a las drogas antirretrovirales en el marco de recursos limitados
Larrea Fabra,Roberto; Roque Acosta,María del Carmen;
Revista Cubana de Medicina , 2007,
Abstract: the resistance of hiv to all kinds of drugs is still developing, which allows the spreading of resistant strains and compromises the contention of the aids pandemic. the hiv positive cases from bonalaja that attended the aids clinic of rustenburg between april 2004 and november 2005 were studied to evaluate the effect of serial exercises of practical training and of the monitoring of the failure of the therapeutical regime on the resistance to antiretroviral drugs, and on the cost of complementary investigations. serial tests of cd4 and viral burden were performed among the patients under antiretroviral treatment, with closed computerized monitoring of the failure/resistance. it was proved that 2 446 patients were treated with high efficiency antiretroviral therapy, but in 190 (7.8 %) of them the criteria of failure to the therapeutics was evident. the strategies based on the early detection of the failure with sequential planning of other antiretroviral regimes allowed the control of reduction of the resistance without doing expensive tests. it was possible to revert the failure in 58 cases (30.5 %), whereas in 132 persisted the management of the therapeutic failure at the end of the period. it was concluded that the resistance to antiretroviral drugs and the cost of investigations could be remarkably reduced as a result of the effect of the practical training exercises and of the closed monitoring and management of the target population group in the therapeutic failure regime.
Enfermedades oportunistas: Experiencias en la población sudafricana con SIDA Opportunistic diseases: Experiences in the South African AIDS population
Roberto Larrea Fabra,María del Carmen Roque Acosta
Revista Cubana de Medicina , 2007,
Abstract: Se sabe que las enfermedades oportunistas liderean las causas de muerte en el SIDA, a pesar de su reducción sustancial tras el uso masivo de profilaxis primaria y de la terapia antirretroviral de alta eficacia. Se estudiaron los casos infectados con el virus de inmunodeficiencia humana, de Bojanala, que acudieron a la clínica del SIDA de Rustenburg entre abril del 2004 y noviembre del 2005. Se realizó una evaluación clínica especializada en búsqueda de enfermedades oportunistas y se individualizaron las investigaciones específicas, para su confirmación diagnóstica para conocer la morbilidad y la letalidad por enfermedades oportunistas en esta población y el impacto de la tuberculosis en la población inmunodeprimida estudiada. Se atendieron 4 339 pacientes, de los cuales 918 casos (21,2 %) desarrollaron enfermedad oportunista y 98 fallecieron (10,7 %). La letalidad en pacientes con enfermedades oportunistas fue 2,8 veces superior a la del resto. La tuberculosis y la candidiasis esofágica fueron las enfermedades oportunistas más frecuentemente asociadas con este virus. Se concluyó que las enfermedades oportunistas son aún causa mayor de morbilidad y letalidad en el SIDA, lidereadas por la tuberculosis y la esofagitis por candida en frecuencia, y por el síndrome de desgaste, el sarcoma de Kaposi y la meningitis criptocóccica en severidad, a pesar de una mejoría en supervivencia tras su atención y tratamiento oportuno. It is known that opportunistic diseases are the leading causes of death from AIDS, in spite of their substantial reduction after the mass use of primary prophylaxis and of the highly efficient antiretroviral therapy. The AIDS infected cases in Bojanala that attended the AIDS Clinic in Rustenburg from April 2004 to November 2005, were studied. A specialized clinical evaluation was carried out searching opportunistic diseases, and the specific investigations were individualized for their diagnostic confirmation in order to know the morbidity and lethality from opportunistic diseases in this population, and the impact of tuberculosis on the studied immunodepressed population. 4 339 patients received attention, of whom 918 cases (21.2 %) developed opportunistic diseases and 98 died (10.7 %). Lethality in patients with opportunistic diseases was 2.8 times higher than that of the rest. Tuberculosis and esophageal candidiasis were the opportunistic diseases most frequently associated with this virus. It was concluded that the opportunistic diseases are still a main cause of morbidity and lethality in AIDS, leaded by tuberculosis and esophagitis prod
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