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Search Results: 1 - 10 of 116600 matches for " Aar?o Mendes; "
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Adapta??o para o português de questionário de avalia??o da informa??o científica em saúde na imprensa (Index of Scientific Quality)
Oliveira, Mariella Silva de;Costa Paiva, Lucia Helena;Costa, José Vilton;Pinto Neto, Aaro Mendes;
Revista Brasileira de Ginecologia e Obstetrícia , 2009, DOI: 10.1590/S0100-72032009001200003
Abstract: purpose: the adaptation into portuguese and evaluation of the index of scientific quality (isq) questionnaire applicability's in texts presented by brazilian magazines on woman's health. methods: a transversal cohort study. texts published from august 2005 to july 2007, in the main weekly magazines veja, época and isto é, were collected. the questionnaire used is composed of eight items, with five alternatives each, measuring the applicability, opinion degree, validity and implications of the finding, precision, coherence and relevance of the data, besides a global item summarizing all the other items. isq was translated, retro-translated and submitted to a pilot test till the final version, which was used by two medical doctors and two journalists. after the texts analysis', the internal consistency of the questionnaire items was checked through cronbach's alpha coefficient, and the inter and intra-observer agreement, for each item, by kappa's index. results: the sample was composed by 80 articles. the internal consistency of items has varied from 0.81 to 0.96. the inter-evaluators' agreement ranged from -0.03 to 0.48, and the intra-observer varied from 0.27 to 0.34 (ci 95%). conclusion: the questionnaire items have adequately measured the scientific quality of the texts, but the low agreement inter and intra-observers points to the need for further studies to assess the brazilian version of isq.
Procura de Servi o Médico por Mulheres com Incontinência Urinária
Guarisi Telma,Pinto-Neto Aaro Mendes,Osis Maria José,Pedro Adriana Orcesi
Revista Brasileira de Ginecologia e Obstetrícia , 2001,
Abstract: Objetivo: avaliar a porcentagem de mulheres de 45 a 60 anos com queixa de perda urinária que solicitam tratamento médico, possíveis fatores associados à decis o de consultar e motivos para n o fazê-lo. Métodos: realizou-se análise secundária de dados de um inquérito domiciliar sobre o climatério e a menopausa entre mulheres. Por meio de estudo descritivo e exploratório de corte transversal de base populacional, foram selecionadas, por processo de amostragem, 456 mulheres, na faixa etária de 45-60 anos de idade. Avaliaram-se a idade à menopausa e seus fatores associados, prevalência de sintomas climatéricos, uso de servi o médico, autopercep o do estado de saúde e características socioculturais, demográficas e econ micas. Exploraram-se a queixa de perda urinária aos esfor os e a procura por atendimento médico em virtude dessa queixa, bem como os fatores que interferiram nessa procura. Os dados foram coletados por meio de entrevistas domiciliares, com questionários estruturados e pré-testados, fornecidos pela Funda o Internacional de Saúde/Sociedade Internacional de Menopausa e pela Sociedade Norte-Americana de Menopausa, adaptados pelos autores. A análise dos dados foi realizada pelo teste exato de Fisher. Resultados: das pacientes entrevistadas, 35% queixaram-se de perda urinária aos esfor os, sempre ou às vezes; no entanto, somente 59% das mulheres com queixa procuraram ajuda médica. O principal motivo apontado como responsável pela n o-procura foi o fato de acharem que os sintomas n o mereciam aten o médica. Conclus o: grande parte das mulheres com incontinência urinária n o relata a queixa ao médico se n o forem objetivamente questionadas.
Caracteriza o das usuárias de terapia de reposi o hormonal do Município de Campinas, S o Paulo
Pinto Neto Aaro Mendes,Pedro Adriana Orcesi,Hardy Ellen,Osis Maria José Duarte
Cadernos de Saúde Pública , 2002,
Abstract: Realizou-se um estudo descritivo de corte transversal, de base populacional, com o objetivo de caracterizar as mulheres climatéricas do Município de Campinas, Estado de S o Paulo, de acordo com o uso da terapia de reposi o hormonal (TRH). Selecionaram-se, por processo de amostragem, 456 mulheres na faixa etária de 45-60 anos de idade, segundo informa es obtidas da agência local da Funda o Instituto Brasileiro de Geografia e Estatística (IBGE). As mulheres foram selecionadas por conglomerados e a unidade de referência foi um setor censitário, conforme definido pelo IBGE. Os dados foram coletados por intermédio de entrevistas domiciliares, com questionários estruturados e pré-testados, fornecidos pela Funda o Internacional de Saúde, Sociedade Internacional de Menopausa e pela Sociedade Norte-Americana de Menopausa e adaptados pelos autores. Para caracterizar as mulheres segundo o uso atual ou passado de TRH, utilizou-se o modelo de regress o logística polit mica, com processo de sele o backward de variáveis. Concluiu-se que no Município de Campinas as principais características das usuárias da terapia de reposi o hormonal foram estar na perimenopausa, ter maior escolaridade e melhor classe social.
Estudo exploratório da associa o entre o perfil lipídico e a densidade mineral óssea em mulheres menopausadas, em hospital de referência de Campinas
Zabaglia Silval Fernando Cardoso,Pedro Adriana Orcesi,Pinto Neto Aaro Mendes,Guarisi Telma
Cadernos de Saúde Pública , 1998,
Abstract: O objetivo deste estudo foi avaliar a possível associa o entre algumas variáveis do perfil lipídico e a densidade mineral óssea e se estas variáveis poderiam ser usadas como indicadoras de massa óssea em mulheres menopausadas, atendidas no ambulatório de menopausa do CAISM-Unicamp, no ano de 1995. Estudaram-se 72 pacientes pós-menopausadas, sem fatores de risco para doen as cardiovasculares e para osteoporose, por meio da dosagem de colesterol total e fra es e da avalia o da densidade mineral óssea por densitometria óssea em aparelho Lunar DPX (Dexa). Dentre as variáveis do perfil lipídico, a densidade mineral óssea associou-se inversamente à lipoproteína HDL de alta densidade (p = 0,001). A análise de regress o múltipla observou que níveis de colesterol total acima de 240mg% associaram-se a menor densidade mineral óssea (p = 0,026). A raz o entre a lipoproteína de baixa densidade e a lipoproteína de alta densidade (índice de Castelli 2) correlacionou-se positivamente com a densidade mineral óssea (p = 0,002). O teste de valida o diagnóstica mostrou que todas as variáveis do perfil lipídico apresentaram baixa sensibilidade e especificidade como indicadoras de diminui o de massa óssea. Conclui-se que, apesar de algumas variáveis do perfil lipídico apresentarem associa o estatisticamente significativa com a massa óssea, elas foram contraditórias e n o têm boa capacidade diagnóstica.
Qualidade de vida de mulheres com cancer de mama
Conde, Délio Marques;Pinto-Neto, Aaro Mendes;Freitas Júnior, Ruffo de;Aldrighi, José Mendes;
Revista Brasileira de Ginecologia e Obstetrícia , 2006, DOI: 10.1590/S0100-72032006000300010
Abstract: breast cancer is one of the most common malignancies among women. its diagnosis and treatment have social, economic, physical, emotional/psychological and sexual repercussions. the main parameters used to assess the results of anticancer therapy are disease-free survival and overall survival. more recently, quality of life (qol) has been considered an additional parameter. no consensus exists about the definition of qol. however, most definitions take into account multidimensional and subjective aspects of qol. the identification of factors related to qol and comprehension of how these factors contribute to the perception of qol are reasons for debate, since the concept of qol is directly related to the social and cultural context in which the individual is inserted. age at diagnosis, chemotherapy, type of surgery, climacteric symptoms, relationship between the couple, and sexuality are several factors associated with qol in women with breast cancer. qol associated with different antineoplastic therapies may help patients and physicians choose the best therapeutic modality. towards this end, the current article addresses various aspects of qol of breast cancer women, and presents the state-of-the-art knowledge on the topic.
Impact of degenerative radiographic abnormalities and vertebral fractures on spinal bone density of women with osteoporosis
Paiva, Lúcia Costa;Filardi, Silvana;Pinto-Neto, Aaro Mendes;Samara, Adil;Marques Neto, Jo?o Francisco;
Sao Paulo Medical Journal , 2002, DOI: 10.1590/S1516-31802002000100003
Abstract: context: measurements of bone density taken by dual-energy x-ray absorptiometry are the most accurate procedure for the diagnosis of osteoporosis. this procedure has the disadvantage of measuring the density of all mineral components, including osteophytes, vascular and extra vertebral calcifications. these alterations can influence bone density results and densitometry interpretation. objective: to correlate radiography and densitometry findings from women with osteoporosis, analyzing the influence of degenerative processes and vertebral fractures on the evaluation of bone density. design: retrospective study. setting: osteoporosis outpatients' clinic at hospital das clínicas, universidade estadual de campinas. participants: ninety-six postmenopausal women presenting osteoporosis diagnosed by bone density. main measurements: bone mineral density of the lumbar spine and femoral neck were measured by the technique of dual-energy x-ray absorptiometry, using a lunar-dpx densitometer. fractures, osteophytes and aortic calcifications were evaluated by simple x-rays of the thoracic and lumbar spine. results: the x-rays confirmed vertebral fractures in 41.6%, osteophytes in 33.3% and calcifications of the aorta in 30.2%. the prevalence of fractures and aortic calcifications increased with age. the mean bone mineral density was 0.783g/cm2 and the mean t-score was ?3.47 dp. neither fractures nor aortic calcifications had significant influence on bone mineral density (p = 0.36 and p = 0.09, respectively), despite the fractured vertebrae having greater bone mineral density (p < 0.02). patients with lumbar spine osteophytes showed greater bone mineral density (p = 0.04). osteophytosis was associated with lumbar spine bone mineral density after adjustment for fractures and aortic calcifications by multiple regression (p = 0.01). conclusion: osteophytes and lumbar spine fractures can overestimate bone density interpretation. the interpretation of densitometry results should be ca
A histerectomia simples realizada no menacme e a densidade mineral óssea da mulher na pós-menopausa
Hobeika Jo?o Daniel,Pinto Neto Aaro Mendes,Paiva Lúcia Helena Sim?es da Costa,Pedro Adriana Orcesi
Cadernos de Saúde Pública , 2002,
Abstract: O objetivo foi avaliar a densidade mineral óssea de mulheres na pós-menopausa, com o antecedente de histerectomia com conserva o ovariana bilateral, realizada no menacme, comparadas a um grupo de mulheres com menopausa natural, n o histerectomizadas. Tratou-se de um estudo de corte transversal, com trinta mulheres na pós-menopausa e histerectomizadas no menacme e 102 mulheres menopausadas naturalmente, comparando-se as respectivas densitometrias ósseas, em nível do fêmur e coluna lombar. A análise mostrou que as variáveis idade e índice de massa corporal estavam fortemente associadas à densidade mineral óssea do fêmur e da coluna lombar, sendo o índice de massa corporal diretamente e a idade inversamente associados. Posteriormente, as trinta mulheres histerectomizadas, foram pareadas por idade e índice de massa corporal, com trinta mulheres n o-histerectomizadas, n o apresentando diferen as estatisticamente significantes da densidade mineral óssea. Esses resultados sugerem que a histerectomia com conserva o ovariana bilateral, realizada em mulheres no menacme, n o parece ocasionar redu o adicional da massa óssea, quando avaliadas na pós-menopausa.
Saúde da mulher na imprensa brasileira: análise da qualidade científica nas revistas semanais
Oliveira, Mariella Silva de;Paiva, Lucia Helena Costa;Costa, José Vilton;Pinto-Neto, Aaro Mendes;
Interface - Comunica??o, Saúde, Educa??o , 2009, DOI: 10.1590/S1414-32832009000300002
Abstract: this cross-sectional study evaluated the scientific quality of informative texts on women's health in nationally circulating magazines and described the topics covered. over a consecutive 12-month period, texts on women's health were collected from the principal brazilian weekly current affairs magazines (veja, época and istoé). eighty texts were selected and were independently analyzed by two physicians and two journalists, by means of the index of scientific quality, which had been adapted for use in portuguese and subjected to pilot testing and retesting. the instrument consisted of eight items that ranged from one to five points and measured applicability, opinion versus fact, validity, scope, precision, coherence, consequence and an overall item. the overall item summarized the other items and its median was used for evaluations. the median scientific quality of the texts, relating to the overall item, was three. this demonstrated that the material published was of moderate nature.
Idade de ocorrência da menopausa natural em mulheres brasileiras: resultados de um inquérito populacional domiciliar
Pedro, Adriana Orcesi;Pinto Neto, Aaro Mendes;Paiva, Lucia Helena Sim?es da Costa;Osis, Maria José;Hardy, Ellen;
Cadernos de Saúde Pública , 2003, DOI: 10.1590/S0102-311X2003000100003
Abstract: a descriptive, exploratory, cross-sectional, population-based study was conducted to identify age at menopause and its associated factors as well as socio-cultural, demographic, and economic characteristics of climacteric women in campinas, s?o paulo state. subjects were 456 brazilian women between 45 to 60 years of age, selected through area cluster sampling. data were collected through home interviews using a structured, pre-tested questionnaire. this instrument was an adaptation, done by the authors, of questionnaires provided by the international health foundation/international menopause society and by the north american menopause society. statistical analysis was performed through life table analysis and cox logistic regression. mean age at menopause was 51.2 years. there was no association between study factors and age at natural menopause.
Qualidade de vida e sexualidade de mulheres tratadas de cancer de mama
Huguet, Priscila Ribeiro;Morais, Sirlei Siani;Osis, Maria José Duarte;Pinto-Neto, Aaro Mendes;Gurgel, Maria Salete Costa;
Revista Brasileira de Ginecologia e Obstetrícia , 2009, DOI: 10.1590/S0100-72032009000200003
Abstract: purpose: to evaluate the quality of life and sexuality features of women with breast cancer, according to the type of surgery they underwent and their sociodemographic characteristics. methods: transversal study with 110 women treated for breast cancer, for at least one year in the centro de aten??o integral à saúde da mulher of unicamp. the quality of life was assessed by the whoqol-bref questionnaire, and the issues on sexuality, by a specific questionnaire in which cronbach's alpha coefficient was used to validate the concordance of responses (alpha=0.72) and the technique of factor analysis, with the criterion of self value and variance maximum rotation, resulting in two components: intrinsic or intimacy ( how the woman sees herself sexually) and extrinsic or attractiveness (how the woman believes the others see her sexually). sociodemographic variables have been assessed according to the who questionnaire, and the sexuality components, through the kruskal-wallis followed by the mann-whitney's test and spearman correlation test. results: age, schooling, type of surgery and lapse of time from the surgery did not influence the quality of life concerning physical, environmental, and psychological aspects, as well as the social relationships. women with a stable marital relationship got higher scores in the psychological area (p=0.04) and in the area of social relationships (p=0.02). higher socioeconomic level influenced the quality of life concerning physical appearance (p=0.01) and environment (p=0.002). regarding the sexuality, age had influence in the extrinsic component (p=0.0158). women with a stable marital relationship had higher scores of quality of life in both components of sexuality. higher schooling influenced in a positive way the intrinsic factor. women submitted to quadrantectomy or mastectomy with immediate breast reconstruction showed higher scores relating to attractiveness in comparison to mastectomized women without reconstruction. conclusions:
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