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Search Results: 1 - 10 of 49307 matches for " Ana Cristina;Telles "
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Aquisi??o dos fonemas fricativos coronais por crian?as da regi?o metropolitana do recife
Cordeiro, Ana Augusta de Andrade;Alves, Jakelline Miranda;Queiroga, Bianca Arruda Manchester de;Montenegro, Ana Cristina;Telles, Stela;Asfora, Rafaella;
Revista CEFAC , 2011, DOI: 10.1590/S1516-18462011005000001
Abstract: purpose: to investigate the acquisition of coronal fricatives by public county schools' children of recife's metropolitan region. methods: 40 children from four schools with ages between 2 and 6 year and eleven month old, whereas 20 were males and 20 females. the instrument applied for data collection was 83 images which could be referred to with 32 words carrying the phoneme target /s/, 11 which had the /z/ phoneme target, 21 with the /∫/ and 19 with the /?/; these were selected from tonicity and syllabic structure. the children were divided, according to their age, into ten different groups of four children each. the cut-point for considering an indicative of stability of the aim-phoneme was 80% of production. results: the beginning of coronal fricatives' production took place at ages 2:0-2:5. it has been noticed that the phonemes /∫/, /?/ e /z/ were acquired at ages 3:0-3:5 and the phoneme /s/ at ages 2:6-2:11. the phonological processes that were more frequently found are substitution and omission. we also quite often observed semantics exchange. conclusions: children from public schools of recife's metropolitan region have acquired the coronal fricatives later than the national literature average. it is important to highlight that there is wide linguistic and socio-cultural diversity in the brazilian territory. for this reason data from different brazilian regions cannot be applied homogenously in the country and therefore any attempt to determine the parameters for a phonologic evaluation ought to take this limitation into consideration, especially if such evaluation has the objective of detecting phonologic deviances.
Emboliza??o intra-arterial pré-operatória de tumor do corpo carotídeo
Espinosa, Gaudêncio;Silva, Luis Felipe da;Fernandes, André Luiz;Furtado, Roberto;Fonseca, Jose Luiz Telles da;Marinho, Ana Cristina de Oliveira;Chagas, Vera Lucia Antunes;Bellizzi, Fabio;
Jornal Vascular Brasileiro , 2006, DOI: 10.1590/S1677-54492006000300015
Abstract: the authors report a case of carotid body tumor (paraganglioma) in a 74-year-old male patient, submitted to intraarterial embolization with spherical core/shield polyvinyl acetate and polyvinyl alcohol (pvac + pva) microparticles prior to surgical excision. angiography has demonstrated a highly vascularized mass in the left carotid bifurcation, and preoperative embolization was used in order to decrease vascularity, reduce blood loss and improve safety of surgical treatment. microscopic study confirmed presence of thrombosis and tissue ischemia.
Tratamento de tuberculose: integra??o entre assistência hospitalar e rede básica na cidade de S?o Paulo
Perrechi, Mirtes Cristina Telles;Ribeiro, Sandra Aparecida;
Jornal Brasileiro de Pneumologia , 2009, DOI: 10.1590/S1806-37132009001100007
Abstract: objective: to evaluate the level of access to health care clinics of a population of patients hospitalized for tuberculosis (tb) at two hospitals in the city of s?o paulo, brazil, comparing them with a population of tb patients under outpatient treatment only. methods: we compiled sociodemographic, clinical and epidemiological data related to patients hospitalized for tb at two hospitals in the city of s?o paulo, brazil, between january and december of 2007, using a structured questionnaire. we also identified the outpatient clinics to which the patients were referred at discharge. the same variables were evaluated for tb outpatients during the same period, using a database. results: the study sample consisted of 474 patients (166 inpatients and 308 outpatients: mean age, 41.0 and 39.1 years, respectively). the univariate analysis showed positive associations between hospitalization due to tb and the following variables: 30-39 year age bracket (or = 2.17); 50-59 year age bracket (or = 2.17); combination of pulmonary and extrapulmonary forms of tb (or = 5.31); tb re-treatment (or = 2.66); seeking treatment at other health care facilities prior to the diagnosis of tb (or = 2.05); symptom duration of more than 12 weeks (or = 2.23); and tb diagnosed at hospitals or in emergency rooms (or = 4.68). the proportion of inpatients who resided in the same regional health district area as that in which the respective hospital was located was 77.6% and 36.8%. the proportion of discharged patients who were referred to outpatient clinics in the same areas was 67.1% and 39.7%, respectively. conclusions: patients hospitalized for tb should be monitored from discharge until their admission to the outpatient clinic.
Desfechos de tratamento de tuberculose em pacientes hospitalizados e n?o hospitalizados no município de S?o Paulo
Perrechi, Mirtes Cristina Telles;Ribeiro, Sandra Aparecida;
Jornal Brasileiro de Pneumologia , 2011, DOI: 10.1590/S1806-37132011000600012
Abstract: objective: to compare inpatient and outpatient treatment of tuberculosis, in terms of outcomes, in the city of s?o paulo, brazil, as well to determine which variables are most frequently associated with hospitalization. methods: a prospective, longitudinal study carried out between january and december of 2007, at two large hospitals and at outpatient clinics, in two regions of the city of s?o paulo. for inpatients, data were collected with a structured questionnaire. additional data were obtained from the s?o paulo state department of health tuberculosis database. results: of the 474 patients included in the study, 166 were inpatients, and 308 were outpatients. the multivariate analysis showed that hospitalization for tuberculosis was associated with hospital/emergency room diagnosis of tuberculosis (or = 55.42), with hiv co-infection (or = 18.57), with retreatment (or = 18.51), and with having previously sought treatment at another health care facility (or = 12.32). for the inpatient and outpatient groups, the overall cure rates were 41.6% and 78.3%, respectively, compared with 30.4% and 58.5% for those who were co-infected with hiv, whereas the overall mortality rates were 29.5% and 2.6%, respectively, compared with 45.7% and 9.8% for those who were co-infected with hiv. conclusions: among inpatients, tuberculosis appears to be more severe and more difficult to diagnose, resulting in lower cure rates and higher mortality rates, than among outpatients. in addition, tuberculosis patients co-infected with hiv have less favorable outcomes.
Staff cost in direct nursing care at an intensive care unit
Telles, Sandra Cristina Ribeiro;Castilho, Valéria;
Revista Latino-Americana de Enfermagem , 2007, DOI: 10.1590/S0104-11692007000500019
Abstract: this quantitative case study aimed to learn and analyze the personnel cost in nursing direct care in the intensive care unit. we opted to use a therapeutic intervention score index, tiss-28, for the analysis of the indirect gravity of patients and the dimension of the nursing staff working time. evaluating the cost by a gravity score presented to be a logical and relatively simple method to allocate costs per patient in the intensive care unit. in this exploratory and descriptive study, the average tiss-28 per patient was 31 points, requiring a daily expenditure of care hours of r$ 298.69. it was evidenced in this study that personnel costs are variable since there are patients with different complexities. therefore is possible to estimate the nursing staff cost by assessing its work load.
Síndrome de Burnout em Agentes comunitários de saúde e estratégias de enfrentamento
Telles, Heloisa;Pimenta, Ana Maria Carvalho;
Saúde e Sociedade , 2009, DOI: 10.1590/S0104-12902009000300011
Abstract: this research aims to verify the occurrence of the burnout syndrome in community health agents (cha). these professionals work directly in care delivery to other people, and this is a prevalent characteristic in this syndrome. another aim is to verify the coping strategies such professionals use. a descriptive, cross-sectional and quantitative study was carried out. a questionnaire - the maslach burnout inventory (mbi) - and the ways of coping scale (wocs) were administered. the sample consisted of 80 cha, randomly chosen among professionals who had been working for at least two years in the municipal public service. the results show that the sample was predominantly female (93.75%), with children (68.75%), belonging to the age group 20-30 years old (35%) and with a steady partner (60%). the per capita income of 38.75% is less than one minimum salary, 53.04% have been working in this job for more than six years and lead a sedentary life. the mbi reveals a feeling of deterioration in the perception of these professionals' own competence and lack of satisfaction with their own work. they present emotional exhaustion, and the incipient development of negative attitudes and cynicism towards the people they deliver care to were noticed. the most used coping strategies are problem-focused ones, followed by the search for religious practices/fantastic thinking. symptoms of suffering which are typical of the burnout syndrome, as well as the effort to seek for mechanisms that help to cope with work-related problems, were observed. strategies to welcome these professionals are suggested so as to help them deal with suffering at work.
A Geostatistical Approach to the Seasonal Precipitation Effect on Boro Rice Production in Bangladesh  [PDF]
Avit Kumar Bhowmik, Ana Cristina Costa
International Journal of Geosciences (IJG) , 2012, DOI: 10.4236/ijg.2012.33048
Abstract: Geographical assessments on the relationship between climate variability and crop production are important for planning adaptation programs to climate change impacts on Asian rice production. This paper analyses the seasonal precipitation consequences to irrigated crop yields, in opposition to the idea that irrigated crop yields are not affected by precipitation changes. Geostatistical methods are applied to assess changes in the patterns of seasonal precipitation and corresponding changes in the Boro crop production in Bangladesh. Surfaces depicting changes in the monsoon, non-monsoon and total precipitation from 2006 to 2007, and changes in three varieties of Boro crop yield and Total Boro yield from 2006-2007 to 2007-2008 crop year are generated through Splines, Inverse Distance Weighting and Ordinary Kriging methods. Performance evaluation of these models is also performed. The relationships between the surfaces of different precipitation seasons and the surfaces of different Boro yield seasons are then assessed. The results show that there is a significant correlation between seasonal precipitation changes and Boro yield changes with notable correlation coefficients and similarity in the patterns. A significant conformity of the high precipitation zones to the high Boro yielding zones is also depicted.
Atendimento a gestantes no Sistema único de Saúde
Costa,Ana Maria; Guilhem,Dirce; Walter,Maria Inêz Machado Telles;
Revista de Saúde Pública , 2005, DOI: 10.1590/S0034-89102005000500011
Abstract: objective: to assess antenatal care in health care units, so as to obtain a baseline for future evaluation studies. methods: a self-applied inquiry was conducted among municipal health managers within a probabilistic stratified random sample of 627 municipalities which, through expansion technique, extended the analysis to 5,507 municipalities. data was collected from october 2003 to april 2004. the survey appraised information about the priority granted by the managers to each modality of care, as well as data concerning characteristics of the assistance provided and the declared estimate of the demand being covered. the chi-square test and student's t-test were performed in order to verify independence among the qualitative variables and mean differences, respectively. results: almost half (43.8%; n=2,317) of the municipalities did not attend gestational risk; 81% (n=4,277) and 30.1% (n=1,592) reported that they attend over 75% of the demand for low and high risk antenatal respectively; 30.1% (n=1,592) attend over 75% of the demand for high risk care. care for low risk (c2=282,080; p<0.001 n=4,277) and for high risk pregnancies (c2=267.924; p<0.001 n=5,280) were associated to geographic region, municipality's size and management modality within the unified health system. the guarantee of vacancy for labour and birth was also associated to management modality. conclusions: there were gaps related to the provision and the quality of antenatal care within the unified health system. municipal based health care extends the provision of antenatal care, but there are inequalities among regions and among municipalities according to demographic size.
Metabolic Syndrome in People with HIV/AIDS  [PDF]
Ana Paula Werberich, Juliana Ceren, Jayder Lucas Hotts Romancini, Giuliano Gomes de Assis Pimentel, Miguel Spack Junior, áurea Regina Telles Pupulin
World Journal of AIDS (WJA) , 2013, DOI: 10.4236/wja.2013.34037
Abstract:

Background: Highly Active Antiretroviral Therapy (HAART) has changed the clinical picture of HIV infection by reducing morbidity and mortality rates in the population. However, alterations in lipid metabolism leading to hypertriglyceridemia, hypercholesterolemia, insulin resistance, hyperglycemia and redistribution of body fat, which are risk factors for cardiovascular diseases, have emerged. Metabolic Syndrome (MS) is a complex disorder represented by a set of cardiovascular risk factors commonly associated with central adiposity and insulin resistance. Aim: Current paper evaluates the prevalence of MS in patients with HIV/AIDS using HAART from a reference Center in southern Brazil. Methods: Samples comprised patients who had the infection for at least five years and were undergoing antiretroviral therapy. Metabolic syndrome was identified according to the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (NCEP-ATPIII). A physical examination was performed by evaluating percentage of body fat by bio-impedance and measuring blood pressure, determination of Body Mass Index and Waist-Hip Ratio, glycaemia, total cholesterol, HDL cholesterol, LDL cholesterol and triglycerides. Results: 184 patients were evaluated. MS prevalence was 30% (55 patients), with 30 (16.3%) males and 25 (13.7%) females. Conclusions: Brazil was among the first country profoundly impacted by the HIV/AIDS epidemic but today, Brazil has less than 1% adult HIV prevalence, implemented treatment and prevention programs early in the epidemic. Whereas there is currently a significant increase in the survival of HIV patients by HAART, the patients reveal a higher prevalence of Metabolic Syndrome in this specific population requiring political strategy of care to this population.

A constru??o de uma alternativa curricular para a pré-escola: A experiência do NEI Canto da Lagoa
Delgado, Ana Cristina Coll;
Educa??o & Sociedade , 1998, DOI: 10.1590/S0101-73301998000200008
Abstract: this study aims at understanding how the integration of sociocultural issues occurs on the curricular proposal and teaching practice of a pre-school unit where professionals, joined to relatives and neighborhood, constructed within ten years a political-teaching project named "em busca de uma alternativa curricular" (searching for a curriculum alternative). the topics that conducted the investigation were: political-teaching project history and origin, interactions among different social actors, real curriculum and its demonstrations in the teaching practice, large and local culture, age and type relations.
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