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Gravidez em adolescentes de uma unidade municipal de saúde em Fortaleza - Ceará
Arcanjo, Concei??o de Maria;Oliveira, Maria Ivoneide Veríssimo de;Bezerra, Maria Gorete Andrade;
Escola Anna Nery , 2007, DOI: 10.1590/S1414-81452007000300008
Abstract: quantitative study with the objective to know the pregnancy in the adolescence in a municipal unit of health in fortaleza ce (brazil). the sample was composed by 40 adolescents. as result, we find: 20% were between 14 and 15 years old, 7.5% were single, 5%, married, 7.5% had consensual union; 60% were between 16 and 17 years old, 5% were single, 7.5%, married, 47.5% had consensual union; 20% were between 18 and 19 years old, 12.5% were single, 7.5%, married. and, still: 17,5% had experience of the abortion, 50% had left study because of the pregnancy, 25% do not like to study, 20% do not find important, 57.5% had initiated prenatal with three to four months of gestation, 80% of the fathers assume the paternity, 70% of them continued living with the family, 70% had received orientations about pregnancy, 60% did not use contraceptive method, 37.5% desire to be housewives, 27.5% do not have plans for the future. we conclude that the adolescents get pregnant in a precocious age group. they do not perceive the inherent risks to the pregnancy and leave behind study, leisure, vanity or even perspective for the future. for us, the study can contribute for the redimensioning of the work with adolescents in the local unit of the study.
Demographic Factors and Risk Indicators of Stroke: Comparison Between Inhabitants of Fortaleza Municipal District and the National Profile
Cavalcante, Tahissa Frota;Moreira, Rafaella Pessoa;Araujo, Thelma Leite de;Lopes, Marcos Venicios de Oliveira;
Revista Latino-Americana de Enfermagem , 2010, DOI: 10.1590/S0104-11692010000400007
Abstract: the aim of this study was to compare the demographic factors and the risk indicators for the occurrence of the stroke in the city of fortaleza with other cities, based on national studies. a transversal study developed with 180 patients who were diagnosed with stroke in nine different public institutions within the period from october 2007 to april 2008. for data collection, a questionnaire was applied by interviewing the patient and/or their companions. the following tests were used for the comparative analysis of epidemiological data: the chi-square test for the adherence and the t-test for the mean. the patients with stroke evaluated in fortaleza were younger and had higher rates of hypertension than in the national profile, however, fewer were smokers or consumers of alcohol. it is necessary to increase knowledge about the health of the brazilian population by region, since there are specific influential factors in the occurrence of stroke.
Incidence of pneumonia in an intensive care unit of a teaching hospital in Fortaleza - CE  [PDF]
Emanuela Lima Bezerra,Ana Isabel Fechine Lima,Anna Raquel Ramos Nóbrega,Débora da Nóbrega Barroso
Revista Brasileira em Promo??o da Saúde , 2012,
Abstract: Objectives: To evaluate the prevalence of pneumonia in an intensive care unit (ICU) of a teaching hospital in Fortaleza - CE, Brazil, verifying the mortality of patients with ventilatorassociatedpneumonia (VAP) and identifying possible risk factors for VAP. Methods: A quantitative, case series, and observational study conducted from January 2007 to January 2009 in an ICU of a teaching hospital of Fortaleza, attended by patients of both sexes, agedabove 18 years, intubated or tracheostomized by making use of mechanical ventilation (MV) with a minimum of 24 hours. The data collection instrument was composed of items: age, sex, length of stay, diagnosis, hospital course, cultures requested, infectious microorganisms and antibiotics. The subjects were 74 patients on MV, 29 (38.03%) men and 45 (61.97%) women, with an average age of 58 years, remaining in the ICU on average 19.45 days and under ventilation, on average, 15.78 days. Results: It was found that 70 (94.6%) patients had pneumonia (PN), and the most frequent microorganisms were Pseudomonas aeruginosa and Actinobacter Balmani. Only 4 (5.4%) were not infected, 34 (45.9%) patients subsequentlydied and 40 (54.1%) were transferred from the ICU, 42 patients used nasoenteral tube and / or nasogastric tube. Conclusions: VAP was present in most of the population studied. The nasoentereal tube, as well as the nasogastric tube, represents risk factor for the development of VAP, however, was not possible to determine the factors that probably cause the PN.
Annual report of the Municipal and Eye Hospital in Subotica for 1889
Sente Marko,Sente Ru?a
Medicinski Pregled , 2002, DOI: 10.2298/mpns0206253s
Abstract: Introduction The paper is the translation of the report of the Head physician of the Municipal Hospital in Subotica for 1889. It shows the number of patients, the number of checkups, the number of outpatients and inpatients, distribution by sex, age, place of residence, the frequency of patients by months and groups of diseases, the average length of treatment the number of cured, unsuccessfully treated and deceased patients, the most significant surgeries, the number of doctors employed and a detailed survey of groups of diseases. Annual report From January 1, to December 31, 1889 6.123 patients were treated, 5.141 outpatients and 982 inpatients; 24.644 visits, 69 patients on average, 2.884 men and 2.257 women; 662 under 1 year of age; 828 aged 1 to 5; 1.655 aged 5 to 20; 1.854 aged 20 to 80; 142 patients over 80 years of age. 4.260 patients were from Subotica and 881 from other parts of the country. 19.436 patient days were required, 19 3/4 on average. 747 patients were cured, condition improved in 132, 60 were unsuccessfully treated and 43 patients died. Cerebral and spinal cord diseases occurred in 73 outpatients and 38 patients (the same distribution outpatients + inpatients goes for all diseases, respectively); nervous system diseases 82+18; ear diseases 139+2; eye diseases 1706+220; nose diseases 12+0; respiratory tract diseases 478+95; circulatory system diseases 35+13; lymphatic system diseases 51+5; mouth and throat lumen diseases 207+9; coronary diseases and diseases of intestinal mucosa 711+18 genitourinary tract diseases 252+66; skin diseases 440+107; muscle, gland and tissue diseases 104+23; joint diseases 75+16; bone diseases 56+20; acute infectious diseases 344+43; chronic infectious disease 143+137; general nutritional disorders 222+43; poisonings 3+2; childbirths 8+6.
Desafio do Núcleo de Aten??o Médica Integrada diante da necessidade de inser??o de fonoaudiólogo na Rede Municipal de Saúde de Fortaleza
Silva, Maria Emília Macedo Lopes;Brasil, Christina Cesar Pra?a;Regis, Aretuza Carla da Fonseca;
Saúde e Sociedade , 2010, DOI: 10.1590/S0104-12902010000400011
Abstract: purpose: to demonstrate the need to include the speech-language pathologist and audiologist in the municipal health system of the city of fortaleza (northeastern brazil), due to the high demand of patients and the lack of public speech-language and audiology services in the city. methods: documental, cross-sectional and descriptive study with a quantitative approach, developed between july and september 2008. data were collected through the analysis of the records of the speech-language and audiology assistance provided for patients at nami-unifor (the medical care nucleus of the university of fortaleza) in the period from january 2006 to december 2007. results: there was predominance of the assistance provided for the age groups between 0 and 6 years old in the audiology service (22.05%) and 0 to 10 years old in the speech-language therapy service (58.09%). the most applied audiology procedure was audiometry (65.78%), and the main professional responsible for referring patients to the audiology service was the otorhinolaryngologist (56.39%). in speech-language therapy, oral language and/or writing was the area with the highest prevalence of visits (36.99%). group therapy reached a significant percentage: 37.27% in 2007. a fall in the number of visits during the university's recess period was observed, due to the reduction in the number of students who are responsible for the procedures. conclusion: with work in the level of primary care as regards the health of human communication/deglutition, there would be a reduction in public expenses with the treatment of speech-language and audiology alterations in the other health care levels. the presence of the speech-language therapist in the primary care units would help to improve the quality of life of the population across the whole life cycle, and would also reduce the burden in the public services that provide speech-language therapy in the city of fortaleza.
Determination of the antipsychotics prescribed in Maringá Municipal Hospital Determina o dos antipsicóticos prescritos no Hospital Municipal de Maringá  [cached]
Fabio Bahls Machado,Cleverson Antonio Po?as,Eliane Aparecida Campesatto Mella
Semina : Ciências Biológicas e da Saúde , 2009,
Abstract: The therapeutic class of antipsychotic is among the most used medicines for the treatment of schizophrenia and may be divided in typical and atypical. Schizophrenia causes a severe disruption of the brain along with an impairment of the individual’s capacity for work or interpersonal relationships. This present study meant to quantifying the prescription of typical and atypical antipsychotics in Maringá Municipal Hospital Dra. Thelma Villanova Kasprowicz in the year of 2005. The information for theoretical foundation was obtained from databases such as CAPES, Pubmed, Scielo, and from textbooks and articles from the COMUT service. It was verified that the most used class of the antipsychotics was the typical ones. This result was already expected because it refers to a public hospital where economical considerations are a matter of choice. Another important factor about the atypical medicines under this research was the fact that the risperidone drug is the only standardized medication in the institution; the others are only used through free samples that doctors are given by the pharmaceutical laboratories. Most people, predominately female, who suffer from the disruption of psychosis, are between 22 and 50 years old. A classe terapêutica dos antipsicóticos faz parte dos medicamentos mais utilizados para o tratamento da esquizofrenia, e eles s o divididos em típicos e atípicos. A esquizofrenia é causadora de um severo transtorno do funcionamento cerebral e leva à incapacita o ou desvio de personalidade do indivíduo, comprometendo seu lado profissional e suas rela es interpessoais. O estudo realizado teve como objetivo quantificar a prescri o dos antipsicóticos típicos e atípicos no Hospital Municipal de Maringá “Dra Thelma Villanova Kasprowicz”, no ano de 2005. A busca de informa es para embasamento teórico foi realizada por meio do banco de dados CAPES, Pubmed, Scielo e artigos obtidos do servi o COMUT, bem como livros textos. Pode-se observar que a classe dos antipsicóticos mais utilizada foi a dos típicos, no entanto, estes dados já eram esperados por se tratar de um Hospital público, no qual as considera es econ micas s o um fator adicional para a escolha do medicamento. Outro fator importante sobre os medicamentos atípicos pesquisados, é que a risperidona, é o único padronizado na institui o; os outros só foram utilizados por meio de amostras grátis deixadas aos médicos pelos laboratórios farmacêuticos. A faixa etária mais acometida com o transtorno da psicose está entre 22 e 50 anos, com predominancia do sexo feminino.
Motor neuron diseases in the University Hospital of Fortaleza (Northeastern Brazil): a clinico-demographic analysis of 87 cases
CASTRO-COSTA, CARLOS M. DE;ORIá, REINALDO B.;VALE, OTONI C. DO;ARRUDA, JOSé ARNALDO M. DE;HORTA, WAGNER G.;D'ALMEIDA, JOSé ARTUR C.;SANTOS, TEREZINHA J.T.;RAMOS, RODRIGO S.N.;GIFONI, MARCUS A.C.;
Arquivos de Neuro-Psiquiatria , 2000, DOI: 10.1590/S0004-282X2000000600002
Abstract: in this retrospective (1980-1998) study, we have analyzed clinico-demographically, from the records of the university hospital of fortaleza (brazil), a group of 87 patients showing signs and symptoms of motor neuron diseases (mnds). their diagnosis was determined clinically and laboratorially. the wfn criteria were used for amyotrophic lateral sclerosis (als) diagnosis. the clinico-demographic analysis of the 87 cases of mnds showed that 4 were diagnosed as spinal muscular atrophy (sma), 5 cases as als subsets: 2 as progressive bulbar paralysis (pbp), 2 as progressive muscular atrophy (pma) and 1 as monomelic amyotrophy (ma), and 78 cases of als. the latter comprised 51 males and 27 females, with a mean age of 42.02 years. they were sub-divided into 4 groups according to age: from 15 to 29 years (n= 17), 30 to 39 years (n= 18), 40 to 69 years (n= 39) and 70 to 78 years (n= 4). from the 78 als patients, 76 were of the classic sporadic form whilst only 2 were of the familial form. the analysis of the 87 patients with mnds from the university hospital of fortaleza showed a predominance of als patients, with a high number of cases of juvenile and early onset adult sporadic als.
Motor neuron diseases in the University Hospital of Fortaleza (Northeastern Brazil): a clinico-demographic analysis of 87 cases
CASTRO-COSTA CARLOS M. DE,ORIá REINALDO B.,VALE OTONI C. DO,ARRUDA JOSé ARNALDO M. DE
Arquivos de Neuro-Psiquiatria , 2000,
Abstract: In this retrospective (1980-1998) study, we have analyzed clinico-demographically, from the records of the University Hospital of Fortaleza (Brazil), a group of 87 patients showing signs and symptoms of motor neuron diseases (MNDs). Their diagnosis was determined clinically and laboratorially. The WFN criteria were used for amyotrophic lateral sclerosis (ALS) diagnosis. The clinico-demographic analysis of the 87 cases of MNDs showed that 4 were diagnosed as spinal muscular atrophy (SMA), 5 cases as ALS subsets: 2 as progressive bulbar paralysis (PBP), 2 as progressive muscular atrophy (PMA) and 1 as monomelic amyotrophy (MA), and 78 cases of ALS. The latter comprised 51 males and 27 females, with a mean age of 42.02 years. They were sub-divided into 4 groups according to age: from 15 to 29 years (n= 17), 30 to 39 years (n= 18), 40 to 69 years (n= 39) and 70 to 78 years (n= 4). From the 78 ALS patients, 76 were of the classic sporadic form whilst only 2 were of the familial form. The analysis of the 87 patients with MNDs from the University Hospital of Fortaleza showed a predominance of ALS patients, with a high number of cases of juvenile and early onset adult sporadic ALS.
Cepas de Pseudomonas spp. produtoras de metalo-betalactamase isoladas no Hospital Geral de Fortaleza
Torres, Júlio César Nogueira;Menezes, Everardo Albuquerque;?ngelo, Maria Rozellê Ferreira;Oliveira, Inácio Regis Nascimento;Salviano, Maria Núbia Cavalcante;Xavier, Danilo Elias;Santos Filho, Lauro;
Jornal Brasileiro de Patologia e Medicina Laboratorial , 2006, DOI: 10.1590/S1676-24442006000500003
Abstract: pseudomonas sp. is a ubiquitous gram-negative bacilli, of free and frequent life in hospital environment. metallo-betalactamases (mbls) productive bacteria are largely resistant to betalactamics of wide spectrum, including cephalosporin and carbapenem. the objective of this work was to detect pseudomonas spp. strains resistant to imipenem and ceftazidime, as well as to identify the mbls producer ones. it was studied 311 isolated strains from several clinical samples at fortaleza general hospital (fgh), from june 2002 to june 2003. identification and sensibility tests were done by the microscan?/walkaway automation system. the multiresisting strains were confirmed by the diffusion method in disk. the triage to detect mbls productive samples was accomplished by the double diffusion method, using disks containing sodium mercaptoacetat. among these samples, 24 (7.71%) indicated production of mbls and multiresistance standard in the midst of the studied strains. the antimicrobials to which the strains presented larger sensibility were piperacillin/tazobactam, with 255 (82%) of sensibility, followed by isolated piperacillin with 229 (73.63%); imipenem with 195 (62.70%); ticarcillin/clavulanic acid with 193 (62.05%); and ceftazidime with 138 (44.37%). the detection of these samples configures an emerging problem, with important implications in the antimicrobial therapeutic.
Infección de herida operatoria tras cesárea en un hospital público de Fortaleza
Aguiar da Cruz,Lidiane; Vieira Freitas,Lydia; Moura Barbosa,Régia Christina; De Souza Gomes,Linicarla Fabiole; Teixeira Vasconcelos,Camila Moreira;
Enfermería Global , 2013,
Abstract: this study aims to characterize the cases of wound infection after cesarean section in women who underwent the operation in the period 2008 to 2010 in a public hospital in fortaleza. it is a retrospective documentary study, with a quantitative approach, with 51 form notifications of women in hospital with cesarean infections, those forms that were not properly completed were excluded. of the 51 forms reporting of women in hospital with cesarean infections, five did not meet the inclusion criteria, resulting in a sample of 46 report forms showing women in hospital undergoing cesarean sections. the average age of patients was 26.57 years old, aged between 14 and 40, median of 24 and standard deviation of 8.1. in this study, it was observed that the 46 patients infected by their operations had admission diagnostics diversified in a way that the diagnostic of the birth process stands out with 19 patients. 45 of the patients showed signs and symptoms characteristic of this type of infection, the predominant age group with the diagnosis of infection at the surgical site was 20-29 years, the surgical site infections that occurred most frequently were surface infections with 31 women affected and all patients progressed to discharge. we conclude this work with the fact that even with advanced and careful hygiene techniques on the part of health care professionals the number of women who develop surgical site infection after cesarean section is still significant.
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