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Search Results: 1 - 10 of 210031 matches for " Ana Flávia de Castro;Pires "
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Programa de ensino de facoemulsifica??o CBO/ALCON: resultados do Hospital de Olhos do Paraná
Fischer, Ana Flávia de Castro;Pires, Eduardo Machado Estev?o;Klein, Fernando;Siqueira Bisneto, Otávio;Soriano, Eduardo Sone;Moreira, Hamilton;
Arquivos Brasileiros de Oftalmologia , 2010, DOI: 10.1590/S0004-27492010000600010
Abstract: purpose: to analyze the results obtained with a new phacoemulsification teaching method in the specialization course of hospital de olhos do paraná. methods: a retrospective study evaluated the results of a "reversal" method used in the cbo/alcon teaching program at the hospital de olhos do paraná. the method is based on the student progression through five checkpoints starting from the end of the surgery towards the beginning and analysis of intra- and postoperative complications at each one of the checkpoints. results: of 84 operated eyes, 77 (91.67%) presented final visual acuity of 20/40 or better. among the complications, the main one was the posterior capsular rupture and occurred in 11 (13.09%) of 13 (15.48%) eyes with complications. conclusion: the "reversal" teatching method used in the cbo/alcon teaching program is appropriate to the student, his instructor, as well as to the patient.
Violência institucional em maternidades públicas sob a ótica das usuárias
Aguiar, Janaína Marques de;d'Oliveira, Ana Flávia Pires Lucas;
Interface - Comunica??o, Saúde, Educa??o , 2011, DOI: 10.1590/S1414-32832010005000035
Abstract: this paper presents and discusses data from a survey on institutional violence in public maternity hospitals, conducted in the municipality of s?o paulo, brazil. twenty-one puerperae were interviewed about their childbirth experiences and the care received, using a semi-structured format. the data showed that the interviewees reported and recognized discriminatory practices and ill-mannered treatment within the attendance at the public maternity hospitals. they reacted through strategies of resistance or accommodation. these experiences are so frequent that these women often come to expect to suffer some type of mistreatment, thus revealing a situation of trivialization of institutional violence.
Modifica??es sensoriais em cenoura minimamente processada e armazenada sob refrigera??o
Resende, Josane Maria;Coelho, Ana Flávia S.;Castro, Elton C. de;Saggin Júnior, Orivaldo José;Nascimento, Thiago do;Benedetti, Benedito Carlos;
Horticultura Brasileira , 2004, DOI: 10.1590/S0102-05362004000100031
Abstract: sensory modifications were evaluated in carrots cv nantes lightly processed in two kinds of cut (grated and sliced) during the storage under refrigeration. fresh cut carrots were packed in polyethylene tereftalato (pet) boxes and stored at 7oc for 14 days. the carrot's appearance, color, aroma, flavor and texture were evaluated weekly. to obtain the frequency of consumption and preference of kind of cut, samples were offered to people to try. during the storage of both kinds of cut, a reduction in scores for appearance and color occurred, while flavor and texture scores were improved. fresh cut carrots in the grated form presented better color and appearance than the fresh cut in the sliced form. however, flavor and texture were better in carrots cut in the sliced form. the grated carrots are the most indicated for consumption because appearance is the attribute that causes most impact to consumers, besides the color. the frequency of consumption of fresh cut carrots is increasing gradually and, regarding people's preference for kind of cut, the consumers opted for grated carrot because of the larger practicability and versatility in use.
Compara??o dos Métodos para Diagnóstico da Toxoplasmose Congênita
Castro, Flávia Cipriano;Castro, Mário Jorge Barreto Viegas;Cabral, Ant?nio Carlos Vieira;Brasileiro Filho, Geraldo;Vitor, Ricardo Wagner de Almeida;Lana, Ana Maria Arruda;Andrade, Gláucia Manzan Queiroz de;
Revista Brasileira de Ginecologia e Obstetrícia , 2001, DOI: 10.1590/S0100-72032001000500002
Abstract: objective: to test the effectiveness of the polymerase chain reaction (pcr) in the amniotic fluid for the detection of fetal contamination due to toxoplasma gondii in pregnant women with acute infection and to correlate it with the inoculation technique and the histology of the placenta. methods: thirty-seven patients were prospectively studied and the diagnosis was based on the identification of maternal acute infection followed by amniocentesis guided by ultrasound to obtain amniotic fluid for pcr and mice inoculation. the mothers were treated with spiramycin throughout pregnancy; when fetal infection was demonstrated, pyrimethamine and sulfadiazine were added to the regimen. the placentas were processed for histologic examination. the infants were followed for a period that varied from three to 23 months for the confirmation or exclusion of congenital toxoplasmosis. results: association measures such as sensitivity, specificity and predictive values were calculated for pcr in the amniotic fluid, detection of the parasite through mice inoculation and placental histology and showed the following results: pcr values of sensitivity = 66.7% and specificity = 87.1%; the respective values for mice inoculation were 50 and 100% and for the placental histology were 80 and 66.7%. conclusion: although pcr should not be used alone for the prenatal diagnosis of congenital toxoplasmosis, it is a promising method and deserves more studies to improve its efficacy.
Importancia da avalia??o bioquímica mensal na triagem de pacientes com desnutri??o em hemodiálise
Castro, Manuel Carlos Martins de;Oliveira, Flávia Chiaradia Andrade de;Silveira, Ana Castello Branco da;Gonzaga, Kátia de Barros Correia;Xagoraris, Magdaleni;Centeno, Jer?nimo Ruiz;Souza, José Adilson Camargo de;
Jornal Brasileiro de Nefrologia , 2010, DOI: 10.1590/S0101-28002010000400004
Abstract: introduction: malnutrition is a frequent complication in patients on hemodialysis and early diagnosis is important to reduce the morbidity and mortality of treatment. objective: to investigate the usefulness of biochemical tests performed monthly in order to identify hemodialysis patients with malnutrition. methods: the nutritional status of 252 patients was evaluated by objective and subjective global assessment, and the patients classified as malnourished and not malnourished. then, during 4 consecutive months, serum creatinine, phosphorus, urea pre-and post-dialysis and kt/v were recorded for calculation of averages. after analysis of these variables by the ro c curve we calculated the sensitivity and specificity of these parameters to identify patients with malnutrition. results: in roc curve, the area under the curve for urea was 0.683, 0.71 for phosphorus, 0.724 for kt/v and 0.765 for creatinine. for values of urea < 90 mg/dl, phosphorus < 4.2 mg/dl, kt/v > 1.6 and creatinine < 6.5 mg/dl, the specificity ranged between 80% and 88% and sensitivity between 26% and 51%. the negative predictive value ranged between 90% and 92% and positive predictive value between 23% and 32%. the association of two or more of these índices did not change significantly these values. conclusions: our results suggest that serum urea < 90 mg/dl, creatinine < 6.5 mg/dl, phosphorus < 4.2 mg/dl, and kt/v > 1.6 can be used for screening patients with malnutrition. however, using these cutoffs the parameters tend to overestimate the number of patients with malnutrition.
Polimorfismos dos genes do receptor de serotonina (5-HT2A) e da catecol-O-metiltransferase (COMT): fatores desencadeantes da fibromialgia?
Matsuda, Josie Budag;Barbosa, Flávia Regina;Morel, Lucas Junqueira Fernandes;Fran?a, Suzelei de Castro;Zingaretti, Sonia Marli;Silva, Lucienir Maria da;Pereira, Ana Maria Soares;Marins, Mozart;Fachin, Ana Lúcia;
Revista Brasileira de Reumatologia , 2010, DOI: 10.1590/S0482-50042010000200004
Abstract: introduction: fibromyalgia is a rheumatic syndrome characterized by diffuse and chronic pain associated with fatigue, sleep disorders, anxiety, depression, memory loss, and dizziness. although the physiological mechanisms that control fibromyalgia have not been precisely established, neuroendocrine, genetic or molecular factors may be involved in fibromyalgia. objective: the aim of the present study was to characterize serotonin receptor (5-ht2a) and catecholo-methyltransferase (comt) gene polymorphisms in brazilian patients with fibromyalgia and to evaluate the participation of these polymorphisms in the etiology of the disease. material and methods: genomic dna extracted from 102 blood samples (51 patients, 51 controls) was used for molecular characterization of the 5-ht2a and comt gene polymorphisms by pcr-rflp. results: analysis of the 5-ht2a polymorphism revealed a frequency of 25.49% c/c, 49.02% t/c and 25.49% t/t in patients, and of 17.65% c/c, 62.74% t/c and 19.61% t/t in the control group, with no differences between the two groups.analysis of the comt polymorphism in patients showed a frequency of 17.65% and 45.10% for genotypes h/h and l/h, respectively. in the control group the frequency was 29.42% for h/h and 60.78% for l/h, also with no differences between the two groups. however, there was a significant difference in the frequency of the l/l genotype between patients (37.25%) and controls (9.8%), which permitted differentiation between the two groups. conclusion: the l/l genotype was more frequent among fibromyalgia patients. though considering a polygenic situation and environmental factors, the molecular study of the rs4680 snp of the comt gene may be helpful to the identification of susceptible individuals.
Influence of visceral and subcutaneous fat in bone mineral density of obese adolescents
Campos, Raquel M. S.;Lazaretti-Castro, Marise;Mello, Marco Túlio de;Tock, Lian;Silva, Patricia L.;Corgosinho, Flávia C.;Carnier, June;Piano, Aline de;Sanches, Priscila L.;Masquio, Deborah C. L.;Tufik, Sergio;Damaso, Ana R.;
Arquivos Brasileiros de Endocrinologia & Metabologia , 2012, DOI: 10.1590/S0004-27302012000100003
Abstract: objective: to verify the influence of visceral and subcutaneous fat, as well adipokines in bone mineral density (bmd) in obese adolescents. subjects and methods: the study involved 125 postpubertal obese adolescents (45 boys and 80 girls). anthropometric measurements, body composition, visceral and subcutaneous fat, and bmd were determined. leptin, adiponectin, and insulin levels also analyzed. results: data demonstrated a negative relationship between bmd with insulin resistance, visceral fat and leptin concentration; and bone mineral content with visceral/subcutaneous ratio. positive association between bmd and subcutaneous fat was observed. conclusions: visceral fat and insulin resistance, as well as visceral/subcutaneous ratio and leptin concentration, were negative predictors of bmd in boys and girls, respectively. however, subcutaneous fat had a protective influence in bmd only in boys.
A visita médica domiciliar como espa?o para intera??o e comunica??o em Florianópolis, SC
Borges, Renata;D'Oliveira, Ana Flávia Pires Lucas;
Interface - Comunica??o, Saúde, Educa??o , 2011, DOI: 10.1590/S1414-32832011005000009
Abstract: this paper discusses the medical home visit based on research carried out in the municipality of florianópolis, state of santa catarina (southern brazil), in the context of the family health strategy. the main objective was to understand how the home visit impacts on medical practice, regarding changes in the quality of the interaction between the professional, the patient and his family. qualitative methodology was adopted along with triangulation techniques, which combined interviews, participant observation and the reading of documents. it was noticed that the home visit encourages interaction by promoting communication oriented towards mutual understanding. thus, the professional can strive to have technical efficiency (technical success) combined with the understanding and focus on projects of happiness of patients and family members (practical success).
Reprodutibilidade da classifica??o da AO/ASIF para fraturas dos ossos longos na crian?a
Brand?o, Gilberto Francisco;Teixeira, Luiz Eduardo Moreira;Américo, Luiz Renato Drumond;Soares, Cláudio Beling Gon?alves;Caldas, Leonardo Ornelas;Azevedo, Ana Flávia Figueiredo;Bouchat, Lucas de Castro;
Revista Brasileira de Ortopedia , 2010, DOI: 10.1590/S0102-36162010000700007
Abstract: objective: to evaluate the interobserver and intraobserver reproducibility of the classification proposed by the ao/asif group for long bone fractures in children. methods: one hundred roentgenograms of long bone fractures in children were evaluated and classified according to the alphanumeric ao/asif classification by six observers. the strength of theintraobserver(performed with a 90-day interval) and interobserveragreementwere evaluated using the kappa coefficient. results: the intraobserver kappa index was 0.69 (good agreement). the interobserver index was 0.64 (good agreement) in the first evaluation and 0.61 (goodagreement) in the second analysisperformed 90 days after the initial classification. conclusion: the classification proposed by the ao/asif group for long bone fractures demonstrated good inter- and intraobserver agreement. this classification is useful for describing fractures of long bones in children.
Efetividade superior do esquema diário de suplementa??o de ferro em lactentes
Azeredo,Catarina Machado; Cotta,Rosangela Minardi Mitre; Sant'Ana,Luciana Ferreira da Rocha; Franceschini,Sylvia do Carmo Castro; Ribeiro,Rita de Cássia Lanes; Lamounier,Joel Alves; Pedron,Flávia Araújo;
Revista de Saúde Pública , 2010, DOI: 10.1590/S0034-89102010000200002
Abstract: objective: to assess the effectiveness of weekly and daily schemes of preventive supplementation with supplementary iron to prevent iron deficiency anemia in non-anemic infants. methods: a prospective population study with a quantitative approach and preventive intervention was performed in the city of vi?osa, southeastern brazil, in 2007-8. a total of 103 non-anemic children, aged between six and 18 months of age, were selected, corresponding to 20.2% of the children registered with and cared for by equipes de saúde da família (family health teams). children were divided into two supplementation groups: daily dosage recommended by the sociedade brasileira de pediatria (brazilian society of pediatrics) (group 1, n=34) and weekly dosage recommended by the brazilian ministry of health (group 2, n=69). assessments were made in the beginning of the study and after six months, with hemoglobin dosage (portable ?-hemoglobin-meter) and anthropometric and dietary assessments being performed and socioeconomic questionnaire applied. impact indicators used were prevalence of anemia, hemoglobin variation, adherence to and side effects of supplements. results: groups were homogeneous in terms of socioeconomic, biological and before-intervention health variables. after six months of supplementation, higher means of hemoglobin were found in group 1 than in group 2 (11.66; sd=1.25 and 10.95; sd=1.41, respectively, p=0.015); in addition to lower prevalences of anemia (20.6% and 43.5%, respectively, p=0.04). only "supplementation time" influenced severe anemia (p=0.009). statistically significant differences were not found for the "adherence to supplementation" and "side effects" variables. conclusions: the daily dosage recommended by the sociedade brasileira de pediatria was found to be more effective to prevent anemia in infants, when compared to the dosage used by the ministry of health. the weekly dosage recommended by the brazilian government program needs to be reviewed to incre
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