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Search Results: 1 - 10 of 39934 matches for " Adriana;Oliveira "
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Coloniza o por micro-organismo resistente e infec o relacionada ao cuidar em saúde
Adriana Oliveira
Acta Paulista de Enfermagem , 2012,
A leitura oral na escola do mundo contemporaneo: uma prática marginal ou inexistente?
Adriana Cunha de Oliveira
Revista Brasileira de Linguística Aplicada , 2003,
Abstract: Este trabalho investigou se a leitura em voz alta ou oral é uma prática marginal ou inexistente nos primeiros anos de escolariza o do Ensino Fundamental em duas escolas municipais de Belo Horizonte. Para tanto, os professores, sujeitos da pesquisa, foram submetidos a um pequeno teste, em que, em um quadro, deveriam relacionar como trabalhavam a leitura em sala de aula. Os resultados evidenciaram, pois, que a leitura em voz alta ou oral é uma prática freqüente nos primeiros anos de escolariza o. Contrariamente ao que se pensava, revelaram que essa prática é o "carro-chefe" do trabalho dos professores com leitura em sala de aula, pelo menos, até a 4a série. Em vista dos resultados, relacionamos e discutimos algumas hipóteses que pudessem justificá-los, assim como analisamos a concep o de leitura que permeia a prática de leitura dos docentes nas duas escolas investigadas. This study investigates whether reading aloud or oral reading is either an off stream or a nonexistent practice in the first years of the primary school in two municipal schools of Belo Horizonte. In order to do that, the teachers, participants of this research, were asked to do a little test: they had to list on a table how they used to teach reading in class. The results showed that reading aloud or oral reading is a frequent practice in the first years of school. Contrary to what we had thought, it was revealed that this practice is the mainstream of reading teaching in class, at least, until the fourth grade. Considering the results, we listed and discussed some hypothesis that could justify the results, and also we analyzed the concept of reading underlying the reading teaching of the participants of the two investigated schools.
Comparing Resistant Microorganisms Isolated from Patients and Environment in an Intensive Care Unit  [PDF]
Quésia Souza Damaceno, Robert Iquiapaza, Adriana C. Oliveira
Advances in Infectious Diseases (AID) , 2014, DOI: 10.4236/aid.2014.41006

Background: Recently, the probable involvement of surfaces from the hospital environment as a disseminating source of resistant bacteria has been highlighted. The aim of the study was to compare resistant microorganisms isolated from inanimate surfaces, equipments and patient blood culture samples in an Intensive Care Unit from Belo Horizonte, Brazil. Methods: A cross-sectional study was performed from July to October 2009. Data sources were microbiologic samples from environment and patient blood culture. Duplicate samples were obtained by swabs from up to seven different touch sites around two different patients in four different days. Jointly with the environmental samples, bacterial isolates from an adult ICU patients’ routine blood cultures were obtained from hospital laboratory. The samples were identified, tested for sensitivity and compared by rep-PCR test to verify similarity. Results: Difference among the averages of Colony Forming Units was found within the environment samples (p < 0.004). In the environment were identified antibiotic resistant microorganisms such as Vancomycin resistant Enterococcus faecalis, imipenem and ciprofloxacin Pseudomonas aeruginosa and multidrug-resistant Acinetobacter baumannii. Similarities (60% -80%) were established among environmental and blood culture samples. Conclusion: The environmental sampling showed different averages of contamination of the surfaces and equipment. The similarity among the bacterial isolates of patients’ blood cultures and environmental samples reinforces the hypothesis of the horizontal transference of pathogens.

Epidemiological Characteristics, Resistance Patterns and Spread of Gram-Negative Bacteria Related to Colonization of Patients in Intensive Care Units  [PDF]
Quésia Souza Damaceno, Jacques Nicoli, Adriana Cristina Oliveira
Advances in Infectious Diseases (AID) , 2015, DOI: 10.4236/aid.2015.51002
Abstract: Our aim was to determine the epidemiological characteristics, the resistance patterns and the spread of Gram negative bacteria related to colonization of patients in adult Intensive Care Units. Methods: A prospective cohort of patients colonized and/or infected with Gram negative bacteria was conducted at two adult ICUs from hospitals in Brazil (April 2012 to February 2013). Nasal, groin and perineum swabs were performed. Samples were incubated on MacConkey and cetrimide agar (48 h at 37) and identification tests (Vitek-BioMérieux), antibiogram (Bauer-Kirby method), Carba NP test, Polymerase Chain Reaction (PCR) and sequencing were performed. The patterns of resistant microorganisms were compared by rep-PCR (Diversilab). Results: There were 53 cases of colonization. In these cases, we identified imipenem-resistant Acinetobacter baumannii (51%), Pseudomonas aeruginosa (32%), Klebsiella pneumoniae ESBL (38%) or imipenem resistant (5.6%). The use of antimicrobials and medical devices were related to colonization (p < 0.05). The resistance patterns expressed by Klebsiella
Monitora??o da ades?o à higieniza??o das m?os: uma revis?o de literatura
Oliveira, Adriana Cristina de;Paula, Adriana Oliveira de;
Acta Paulista de Enfermagem , 2011, DOI: 10.1590/S0103-21002011000300016
Abstract: surveys conducted show a lack of standardized methods for assessing the adherence of health professionals to the practice of hand hygiene. therefore, this review aimed to identify the different methods used to assess adherence to this practice found within the literature, referenced by the following query databases - latin american and caribbean health sciences, medical analysis retrieval system online scientific electronic library online. a total of 210 studies were identified, among which 34 were selected articles published between the years 2001 to 2010. the study presents the different methods used to conduct the evaluation of adherence to hand hygiene procedures and highlights their strengths and weaknesses, in order to subsidize the critical analysis on the part of health professionals, to facilitate the choice of the most appropriate method for each institution and reality.
Descoloniza??o de portadores de Staphylococcus aureus: indica??es, vantagens e limita??es
Oliveira, Adriana Cristina de;Paula, Adriana Oliveira de;
Texto & Contexto - Enfermagem , 2012, DOI: 10.1590/S0104-07072012000200025
Abstract: the objective of this article was to establish the main indications, advantages and limitations of the decolonization of patients with staphylococcus aureus. an integrative literature review was performed on the lilacs, medline, science direct, scopus and isi web of knowledge databases for articles published after 1999. the main indications for decolonization pertained to high-risk patients (admitted to the icu, post-operative, long stay, etcetera). the advantages were based on the eradication of the microorganism, reducing infection rates and the spread of the microorganism. the observed controversies were due to the possibility of increasing bacterial resistance and lack of scientific evidence regarding the effectiveness of the eradication of the colonizing microorganism, as well as reducing infection rates. thus, it was observed that decolonization should not be indicated routinely; rather, it should only be recommended for patients at risk and during outbreaks.
Descoloniza o de portadores de Staphylococcus aureus: indica es, vantagens e limita es
Adriana Cristina de Oliveira,Adriana Oliveira de Paula
Texto & Contexto - Enfermagem , 2012,
Abstract: El objetivo fue establecer las principales indicaciones, ventajas y limitaciones de la descolonización de los pacientes infectados por Staphylococcus aureus. Se realizó una revisión integrativa de literatura, buscando artículos, publicados a partir de 1999, en las bases de datos LILACS, MEDLINE, Science Direct, SCOPUS y el ISI Web of Knowledge. Las principales indicaciones fueron dirigidas a los pacientes de alto riesgo (ingresados en la UCI, sometidos a cirugía, con una estancia de larga duración, etc), los beneficios se fundamentaron en la erradicación y reducción de la propagación de microrganismos y la reducción de las tasas de infección. Las controversias observadas fueron debido a la posibilidad de aumentar la resistencia bacteriana y la falta de evidencia científica sobre la eficacia de la eliminación de los microorganismos colonizadores, así como la reducción de la tasa de infección. Se observa que la descolonización no debe ser administrada de manera rutinaria ya que sólo debe ser recomendada para los pacientes en riesgo y durante los brotes específicos.
Discontinuation of antimicrobials and costs of treating patients with infection Descalonamento antimicrobiano y costos con el tratamiento de pacientes con infecciones Descalonamento de antimicrobiano e custos do tratamento de pacientes com infec o
Adriana Cristina de Oliveira,Adriana Oliveira de Paula
Acta Paulista de Enfermagem , 2012,
Abstract: OBJECTIVE: To evaluate the repercussions of discontinuation the cost with the antimicrobial treatment of patients with bloodstream infection. METHODS: A historical cohort study conducted in the intensive care unit of a hospital in Belo Horizonte (MG). The population included 62 patients with bloodstream infection caused by Staphylococcus aureus. Data were collected between March/2007 and March/2011 from patients' medical records, Commission of Hospital Infection Control and Sector of Costs, with descriptive and univariate analysis. RESULTS: Colonization was associated with the occurrence of infection with resistant microorganisms (p <0.05). The antimicrobial discontinuation reduced the spectrum of action of the antibiotic prescribed, and the treatment costs (R$ 2,673.12 to R$ 727.03, p = 0.001). CONCLUSION: The discontinuation of antimicrobials favored the redirection of patient therapy, reducing, where necessary, the spectrum of action of the prescribed antimicrobial and, consequently, the costs of treatment. OBJETIVO: Evaluar las repercusiones del desescalamiento en los costos con el tratamiento antimicrobiano de pacientes con infección de la corriente sanguínea. MéTODOS: Estudio de cohorte histórica realizado en una Unidad de Terapia Intensiva de un hospital de Belo Horizonte (MG). La población incluyó a 62 pacientes con infección de la corriente sanguínea causada por Staphylococcus aureus. Los datos fueron recolectados entre marzo/2007 y marzo/2011 en las historias clínicas de los pacientes, Comisión de Control de Infección Hospitalaria y Sector de Costos con análisis, descriptivo y univariado. RESULTADOS: La colonización estuvo asociada a la ocurrencia de infección por microorganismo resistente (p<0.05). El desescalamiento antimicrobiano redujo el espectro de acción del antibiótico prescrito y los costos con el tratamiento (de R$2.673,12 para R$727,03, p=0,001). CONCLUSIóN: El desescalamiento de antimicrobianos favoreció el redireccionamiento de la terapia del paciente, reduciendo, cuando necesario, el espectro de acción del antimicrobiano prescrito y, consecuentemente, los costos con el tratamiento. OBJETIVO: Avaliar as repercuss es do descalonamento nos custos com o tratamento antimicrobiano de pacientes com infec o da corrente sanguínea. MéTODOS: Estudo de coorte histórica realizado em Unidade de Terapia Intensiva de hospital de Belo Horizonte (MG). A popula o incluiu 62 pacientes com infec o da corrente sanguínea causada por Staphylococcus aureus. Os dados foram coletados entre mar o/2007 e mar o/2011 nos prontuários dos pacientes, Comiss o
A percep??o da mudan?a: os registros na cidade de Goiás
Oliveira, Adriana Mara Vaz de;
História (S?o Paulo) , 2011, DOI: 10.1590/S0101-90742011000100009
Abstract: this paper discusses the relationship that exists between events and individuals from the perspective of a history of sensibilities based on the assumption that the manner in which facts are related assists in their clarification. the event selected for analysis is the transference of the capital city of goias state in the 1930s. this is evaluated through the testimony of residents of the prior seat of administration, sourced from contemporaneous reports in local newspapers. moving the goias' power center from the city of goias to goiania caused a general outcry which not only revealed resentment for the city's loss, but also resignation and optimism concerning the creation of viable alternatives for a universally satisfactory outcome. through the analysis of such records, the city's urban form itself may be seen as confronting elements of the perceptions expressed within.
Aspectos epidemiológicos da ocorrência do Enterococcus resistente a Vancomicina
Oliveira, Adriana Cristina;Bettcher, Ledna;
Revista da Escola de Enfermagem da USP , 2010, DOI: 10.1590/S0080-62342010000300025
Abstract: this descriptive study was conducted in a public hospital from may 2005 to october 2007, with the purpose to determine the epidemiological aspects that involve vancomycin-resistant enterococci (vre) and describe the evolution of patients. |the data was obtained from registers on patient records and then processed in spss. frequency distribution and measures of central tendency were used. a total 122 patients participated of the study, the majority were males with an average age of 43 years (sd= 18.8), and 16.3% developed vre infection. vancomycin has been the most used antibiotic (62,3%), 97.5% used invasive procedures, 45.0% were dependent on intensive care nursing, 77.9% had at least one open wound and 50.8% progressed to death. the data suggests that recommendations for bacterial resistance control should be encouraged to reduce mortality, morbidity, hospital costs and thus provide better quality care to patients.
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