389 research outputs found
Dental Visit in the Healthcare Program for Kids: Strategies and Challenges in the View of Oral Health Teams in Basic Health Units of Porto Alegre, Brazil
Objective: To analyze the perceptions and strategies influencing the achievement of dental visit targets in the Healthcare Program for Kids in the view of the oral health team in basic health units in Porto Alegre, Brazil. Material and Methods: Qualitative study of the descriptive-exploratory type with two focus groups at 12 Health Units in Porto Alegre, RS, with participation of 17 members of oral health teams from different units. Results: The collected data suggest the use of strategies to meet the goals of the Oral Health Program, such as an open schedule, education and health groups, days on which families attend the health unit because of the Bolsa Família Program, vaccination campaign days and home visits. The data also suggest, in order to meet the goals, working jointly with the multiprofessional team and formation of ties, allowing for a greater interaction with patients at the Health Unit, in addition to listening to the life stories of the population and the community. A better understanding of the proposal by health teams for the actions to be carried out horizontally and the greater difficulty in having children at the appointments on days when their mothers work turned out to be challenges. Conclusion: The use of these strategies tends to help and influence the maintenance and implementation of public policies oriented to dental care at an early age and reorient health practices so as to contribute to the strengthening of collectivities
Alterations in vascular function in primary aldosteronism - a cardiovascular magnetic resonance imaging study
Introduction: Excess aldosterone is associated with increased cardiovascular risk. Aldosterone has a permissive effect on vascular fibrosis. Cardiovascular magnetic resonance imaging (CMR) allows study of vascular function by measuring aortic distensibility. We compared aortic distensibility in primary aldosteronism (PA), essential hypertension (EH) and normal controls and explored the relationship between aortic distensibility and pulse wave velocity (PWV).<p></p>
Methods: We studied PA (n=14) and EH (n=33) subjects and age-matched healthy controls (n=17) with CMR, including measurement of aortic distensibility, and measured PWV using applanation tonometry. At recruitment, PA and EH patients had similar blood pressure and left ventricular mass.<p></p>
Results: Subjects with PA had significantly lower aortic distensibilty and higher PWV compared to EH and healthy controls. These changes were independent of other factors associated with reduced aortic distensibility, including aging. There was a significant relationship between increasing aortic stiffness and age in keeping with physical and vascular aging. As expected, aortic distensibility and PWV were closely correlated.<p></p>
Conclusion: These results demonstrate that PA patients display increased arterial stiffness compared to EH, independent of vascular aging. The implication is that aldosterone invokes functional impairment of arterial function. The long-term implications of arterial stiffening in aldosterone excess require further study.<p></p>
Adaptacao brasileira de questionario para avaliar adesao terapeutica em hipertensao arterial
Interstellar Turbulence II: Implications and Effects
Interstellar turbulence has implications for the dispersal and mixing of the
elements, cloud chemistry, cosmic ray scattering, and radio wave propagation
through the ionized medium. This review discusses the observations and theory
of these effects. Metallicity fluctuations are summarized, and the theory of
turbulent transport of passive tracers is reviewed. Modeling methods, turbulent
concentration of dust grains, and the turbulent washout of radial abundance
gradients are discussed. Interstellar chemistry is affected by turbulent
transport of various species between environments with different physical
properties and by turbulent heating in shocks, vortical dissipation regions,
and local regions of enhanced ambipolar diffusion. Cosmic rays are scattered
and accelerated in turbulent magnetic waves and shocks, and they generate
turbulence on the scale of their gyroradii. Radio wave scintillation is an
important diagnostic for small scale turbulence in the ionized medium, giving
information about the power spectrum and amplitude of fluctuations. The theory
of diffraction and refraction is reviewed, as are the main observations and
scintillation regions.Comment: 46 pages, 2 figures, submitted to Annual Reviews of Astronomy and
Astrophysic
Frog species richness, composition and beta-diversity in coastal Brazilian restinga habitats
Cosmology of a Scalar Field Coupled to Matter and an Isotropy-Violating Maxwell Field
Motivated by the couplings of the dilaton in four-dimensional effective
actions, we investigate the cosmological consequences of a scalar field coupled
both to matter and a Maxwell-type vector field. The vector field has a
background isotropy-violating component. New anisotropic scaling solutions
which can be responsible for the matter and dark energy dominated epochs are
identified and explored. For a large parameter region the universe expands
almost isotropically. Using that the CMB quadrupole is extremely sensitive to
shear, we constrain the ratio of the matter coupling to the vector coupling to
be less than 10^(-5). Moreover, we identify a large parameter region,
corresponding to a strong vector coupling regime, yielding exciting and viable
cosmologies close to the LCDM limit.Comment: Refs. added, some clarifications. Published in JHEP10(2012)06
Parenteral nutrition support for patients with pancreatic cancer. Results of a phase II study
<p>Abstract</p> <p>Background</p> <p>Cachexia is a common problem in patients (pts) suffering from upper gastrointestinal cancer. In addition, most of these patients suffer from malabsorption and stenosis of the gastrointestinal tract due to their illness. Various methods of supplementary nutrition (enteral, parenteral) are practised. In patients with advanced pancreatic cancer (APC), phase angle, determined by bio-electrical impedance analysis (BIA), seems to be a survival predictor. The positive influence of BIA determinate predictors by additional nutrition is currently under discussion.</p> <p>Methods</p> <p>To examine the impact of additional parenteral nutrition (APN) we assessed outpatients suffering from APC and progressive cachexia. The assessment based on the BIA method. Assessment parameters were phase angle, ECM/BCM index (ratio of extracellular mass to body cell mass), and BMI (body mass index). Patients suffering from progressive weight loss in spite of additional enteral nutritional support were eligible for the study.</p> <p>Results</p> <p>Median treatment duration in 32 pts was 18 [8-35] weeks. Response evaluation showed a benefit in 27 pts (84%) in at least one parameter. 14 pts (43.7%) improved or stabilised in all three parameters. The median ECM/BCM index was 1.7 [1.11-3.14] at start of APN and improved down to 1.5 [1.12-3.36] during therapy. The median BMI increased from 19.7 [14.4-25.9] to 20.5 [15.4-25.0]. The median phase angle improved by 10% from 3.6 [2.3-5.1] to 3.9 [2.2-5.1].</p> <p>Conclusions</p> <p>We demonstrated the positive impact of APN on the assessed parameters, first of all the phase angle, and we observed at least a temporary benefit or stabilisation of the nutritional status in the majority of the investigated patients. Based on these findings we are currently investigating the impact of APN on survival in a larger patient cohort.</p> <p>Trial registration</p> <p>ClinicalTrials.gov Identifier: NCT00919659</p
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