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Search Results: 1 - 10 of 622359 matches for " Andréa Silvia Walter de Aguiar "
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Essential attributes and qualifiers of primary health care
Andréa Silvia Walter de Aguiar,Pollyanna Martins
Revista Brasileira em Promo??o da Saúde , 2012,
Abstract: Historically, the primary health care (PHC) has been associated with the first level of care from a health system and characterized by the kind of professional that in it operates, where is expected a predominance of specialists in this area. However, the major limitation for this type of characterization is that the profile of professionals engaged in this service may vary from country to country.Several theoretical and conceptual landmarks proposed approaches and indicators to assess and characterize the APS. In 1978, the American Institute of Medicine suggested an approach in which listed its attributes such as accessibility, integrality, coordination, continuity and responsibility. This was an important landmark in an attempt to outline a normative approach to measure it. However, most indicators and specific definition was not suggested. The selected indicators required a high level of performance, were difficult to be achieved, and focused on the capacity of services and not in its concrete realization(1).A 1996 report, from the same institution, defined PHC as the provision of integrated services and accessible by clinicians who are responsible for attending a large majority of personal care needs, developing a continued partnership with patients and working within family and community. This definition does not include the first contact and focuses on individual attention.The Canadian Medical Association, in 1996, considered the APS as a front door of the health system and community interventions included in the definition of the functions of APS. In the same year was published a Charter for General Practice / Family Medicine in Europe (Letter to General Practice / Family Medicine in Europe), which describes 12 characteristics: general, accessible, integrated, continuous, as a team, holistic, personalized, targeted for the family and the community, coordinated, confidential and protectress(2).Donabedian(3) systematized a group of important variables that can assess the quality of a system or health service and rated according to their characteristics in structure, process and outcome. The evaluation of the process includes the quality of services provided by health professionals individually or in groups and refer to professional qualifications, organization and coordination of the work process of teams. The evaluation of the structure includes environmental conditions and equipment in which the services are provided and the results are evaluated starting from the verification of changes in health status of a population that can be attributed to t
Atributos essenciais e qualificadores da aten o primária a saúde
Andréa Silvia Walter de Aguiar,Pollyanna Martins
Revista Brasileira em Promo??o da Saúde , 2012,
Abstract: Historicamente, a aten o primária à saúde (APS) tem sido associada ao primeiro nível de aten o de um sistema de saúde e caracterizada pelo tipo de profissional que nela atua, em que se espera que haja predominancia de especialistas nessa área. Entretanto, a maior limita o para esse tipo de caracteriza o é que o perfil de profissionais que atuam nesse servi o pode variar de país para país.Diversos marcos teórico-conceituais propuseram abordagens e indicadores para avaliar e caracterizar a APS. Em 1978, o Institute of Medicine American sugeriu uma abordagem em que listou seus atributos como: acessibilidade, integralidade, coordena o, continuidade e responsabilidade. Este foi um marco importante na tentativa de delinear um método normativo para medi-la. Contudo, a maioria dos indicadores e defini es sugeridas n o era específica. Os indicadores selecionados exigiam um alto nível de desempenho e eram difíceis de serem atingidos, e centravam-se na capacidade instalada de servi os e n o na sua realiza o concreta(1).Um relatório de 1996, da mesma institui o, definiu a APS como a oferta de servi os integrados e acessíveis por meio de clínicos que sejam responsáveis por atender a uma grande maioria de necessidades pessoais de aten o desenvolvendo uma parceria constante com os pacientes e trabalhando no contexto da família e da comunidade. Essa defini o n o inclui o primeiro contato e enfoca a aten o individual.A Associa o Médica Canadense, em 1996, considerou a APS como porta de entrada do sistema de saúde e incluiu interven es comunitárias na defini o das fun es da APS. No mesmo ano foi divulgada a Charter for General Practice/ Family Medicine in Europe (Carta para Clínica Geral/Medicina de Família na Europa) que descreve 12 características: geral, acessível, integrada, continuada, em equipe, holística, personalizada, orientada para a família e para comunidade, coordenada, confidencial e defensora(2).Donabedian(3) sistematizou um conjunto de variáveis importantes que podem avaliar a qualidade de um sistema ou servi o de saúde e classificou de acordo com suas características em estrutura, processo e resultado. A avalia o do processo inclui a qualidade dos servi os prestados pelos profissionais de saúde individualmente ou em grupo e referem-se à qualifica oprofissional, organiza o e coordena o do processo de trabalho das equipes. A avalia o da estrutura abrange as condi es do ambiente e equipamentos em que os servi os s o prestados e os resultados s o avaliados a partir da verifica o de mudan as no estado de saúde de uma popula o que possam s
Oral Health and Self-Perception in the Elderly  [PDF]
Walda Viana Brígido de Moura, Iris do Ceu Clara Costa, Fábia Barbosa de Andrade, Tainara L?rena dos Santos Ferreira, Andréa Silvia Walter de Aguiar, Gabriela Eugênio de Sousa Furtado, Maria Eneide Leit?o de Almeida
Health (Health) , 2014, DOI: 10.4236/health.2014.621343
Abstract: Background: Investigating self-perception of oral health among the elderly may contribute towards changing public health and assistance policies in the area. Methods: The present study assessed the oral health status (tooth decay, need for treatment, periodontal status, use of and need for dental prosthesis, soft tissue alterations and self-perception of oral health) of 102 elderly people from two community groups in Fortaleza, Ceará State, Brazil. Results: Mean age was 69.9 years and 82.4% were female. Mean DMFT was 30.17 with a predominant missing component; 63.7% were edentulous. Regarding prosthesis, 29.4% and 67.6% of elderly patients did not use upper and lower dentures respectively, while 66.7% and 78.4% required some type of upper and lower prosthesis respectively. Among valid sextants, 44.3% presented dental calculus and 34.3% presented loss of attachment from 6 to 8 mm. Soft tissue alterations were found in 58.8%. Despite of precarious clinical conditions and dental treatment needs, good oral health perception was found (49%), as well as satisfaction with the appearance of teeth and gums (60.8%). Conclusion: Subjects displayed unsatisfactory oral health conditions, accumulated over time and resulting from the lack of policies favoring this age group. There is a need for oral rehabilitation that enables the recovery of function and esthetics among the elderly, restoring their self-esteem and improving social interaction.
Terminologia Baniwa relacionada às palmeiras
Aguiar, Madalena Otaviano;Mendon?a, Maria Silvia de;
Acta Botanica Brasilica , 2011, DOI: 10.1590/S0102-33062011000200017
Abstract: the present study analyzes the naming terminology given to the palms (arecaceae) by the baniwa indians of the indigenous community of tunuí cachoeira, in the upper rio negro, amazonas, brazil, in order to obtain the translation and/or the meaning of the words. data collection was achieved through the use of direct structured and semi-structured personal interviews, group study, and guided site-visits (to the plants in question). in analyzing the terms, it was possible to recognize naming characteristics tied to morphology (58%), ecology (29%) and culture (13%). it also was possible to demonstrate that there are superordinate terms (generics) that connect by hierarchical inclusion the subordinate categories (specifics), indicating a categorization and subcategorization in descending order. this is in accord with the berlinian model which names the primary lexeme and secondary lexeme, respectively. these analyses contribute to a better understanding of the traditional knowledge of the baniwa people.
Assessment of canal walls after biomechanical preparation of root canals instrumented with protaper universalTM rotary system
Aguiar, Carlos Menezes;Mendes, Daniela de Andrade;Camara, Andréa Cruz;Figueiredo, Antonio Poli de;
Journal of Applied Oral Science , 2009, DOI: 10.1590/S1678-77572009000600010
Abstract: objective: the aim of this study was to examine the instrumented walls of root canals prepared with the protaper universaltm rotary system. material and methods: twenty mesiobuccal canals of human first mandibular molars were divided into 2 groups of 10 specimens each and embedded in a muffle system. the root canals were transversely sectioned 3 mm short of the apex before preparation and remounted in their molds. all root canals were prepared with protaper universaltm rotary system or with nitiflextm files. the pre and postoperative images of the apical thirds viewed with a stereoscopic magnifier (x45) were captured digitally for further analysis. data were analyzed statistically by fisher's exact test and chi-square test at 5% significance level. results: the differences observed between the instrumented and the noninstrumented walls were not statistically significant (p<0.05). conclusions: the nitiflextm files and the protaper universaltm rotary system failed to instrument all the root canal walls.
Glycosaminoglycans modulate C6 glioma cell adhesion to extracellular matrix components and alter cell proliferation and cell migration
Claudia Mendes de Aguiar, Bruno Lob?o-Soares, Marcio Alvarez-Silva, Andréa Trentin
BMC Cell Biology , 2005, DOI: 10.1186/1471-2121-6-31
Abstract: ECM proteins (type IV collagen, laminin and fibronectin) stimulate rat C6 glioma cell line adhesion in vitro, in a dose-dependent manner. The higher adhesion values were achieved with type IV collagen. Exogenous heparin or chondroitin sulfate impaired, in a dose-dependent manner the attachment of C6 glioma cell line to laminin and fibronectin, but not to type IV collagen. Dextran sulfate did not affect C6 adhesion to any ECM protein analyzed, indicating a specific role of GAGs in mediating glioma adhesion to laminin and fibronectin. GAGs and dextran sulfate did not induce C6 glioma detachment from any tested substrate suggesting specific effect in the initial step of cell adhesion. Furthermore, heparin and chondroitin sulfate impaired C6 cells proliferation on fibronectin, but not on type IV collagen or laminin. In contrast, both GAGs stimulate the glioma migration on laminin without effect on type IV collagen or fibronectin.The results suggest that GAGs and proteoglycans regulate glioma cell adhesion to ECM proteins in specific manner leading to cell proliferation or cell migration, according to the ECM composition, thus modulating tumor cell properties.Glioblastoma multiforme (GBM) is the most common malignant form of glioma, and resistant to therapeutic interventions, causing most patients to die within 1 year after diagnosis[1]. The rat C6 glioma cell line, originally produced by Wistar-Furth rats exposed to N,N'-nitroso-methylurea, is morphologically similar to GBM when injected into brain of rats and has been used as both in vivo and in vitro model for the study of this kind of tumor[2].Extracellular matrix (ECM) components control many aspects of cell behavior, such as differentiation, proliferation, cell morphology and attachment[3]. It has been suggested that adhesion to ECM in vivo and in vitro is involved in the earlier steps of tumor progression, resulting in genomic instability which allows for the accumulation of multiple mutations[4]. Transformation o
Influência da administra??o da Plantago ovata (fibra dietética) na prote??o da parede col?nica em colite inflamatória induzida por ácido acético: estudo estereológico experimental em ratos
Vassallo, Eduardo Cortez;Povedano, Andréa;Pupo Neto, Jo?o de Aguiar;Paulo, Francisco Lopes;
Revista do Colégio Brasileiro de Cirurgi?es , 2007, DOI: 10.1590/S0100-69912007000600006
Abstract: background: the objective of this paper was to study the role of the dietetic fiber (plantago ovata) in the protection and recovery of the intestinal wall of rats submitted to acetic acid induced inflammatory colitis. methods: 30 wistar male rats were studied, weighing between 260 and 300g, divided in three groups of 10 individuals. the distribution of the groups was made as follows: group i (n 10), named control group, received a standard diet during the whole experiment. group ii (n 10), named colitis group, received an equally standard diet during the whole experiment and 8% acetic acid that induced inflammatory colitis. group iii (n 10), named colitis + fiber, received a standard diet with addition of dietetic fiber ( 10 g of seeds and peels of plantago ovata for each 90 g of standard diet) and 8% acetic acid that induced inflammatory colitis. the experiment lasted 21 days and the inflammatory colitis induction was introduced on the fourteenth day in groups ii and iii. twenty-one days after the start of the experiment the animals were sacrificed and total colectomies were performed. the specimens were submitted to stereologic and histological analysis, and they statistically evaluated by the mann-whitney test. the weight variation of the animals was also measured during the experiment. the studied parameters were: mucosa, muscularis mucosa, submucosa, lamina propria, epithelial and proper epithelial layer partial volumes. conclusion: the results, through stereologic, histological and weight analysis, lead us to conclude that the addition of plantago ovata (dietetic fiber) prevents the alterations caused by the 8% acetic acid induced colitis in the experimental animals.
Aspectos anat?micos do embri?o e desenvolvimento inicial de Oenocarpus minor Mart: uma palmeira da Amaz?nia
Oliveira, Andréia Barroncas de;Mendon?a, Maria Silvia de;Araújo, Maria Gracimar Pacheco de;
Acta Botanica Brasilica , 2010, DOI: 10.1590/S0102-33062010000100003
Abstract: the anatomy of the embryo and the initial germination phase of o. minor seeds are examined here. ripe fruits were collected from five individuals, the pulp removed, and the seeds sown in beds with sandy substrate in a greenhouse with 50% shade. germination follow-up was made by collecting different stages of development. the anatomical study done according to usual techniques of light microscopy. the embryo is capitate and occupies a central position in the basal region of the seed. the embryogenic axis is located in the proximal region in a position that is oblique to the cotyledon axis. the cotyledon is formed by parenchymatous, procambial and protodermic tissue. the vascular bundles lie along the peripheral zone of the distal region to the embryogenicaxis. after 14 days, the primary rootemerges; after 21 days, the first cotyledon sheath and after 35 days, the second cotyledon sheath, and the seedling emerges above the substrate. germination is of the ligule adjacent type.
Tratamento endovascular da doen?a obstrutiva carotídea em pacientes de alto risco: resultados imediatos
Lujan, Ricardo Augusto Carvalho;Lucas, Leonardo Aguiar;Gracio, Andréa de Fátima;Lobato, Armando de Carvalho;
Jornal Vascular Brasileiro , 2006, DOI: 10.1590/S1677-54492006000100005
Abstract: objective: endovascular treatment - carotid artery stenting (cas) - has been recommended as the current option in the treatment of carotid artery disease in high risk patients for carotid endarterectomy surgery (cea). this study reports our experience at instituto de cirurgia vascular e endovascular de s?o paulo with regard to cas in high risk patients. material and method: a retrospective descriptive study was performed based on the analysis of 113 medical charts of patients (84 males and 29 females) submitted to 130 cas from march 2000 to june 2004. mean age was 74 years (range, 51-86 years). asymptomatic patients (55%) presented stenosis > 75%, whereas in symptomatic patients (45%) stenosis was > 70%. indication for cas included: high risk for cea (45%), recurrent stenosis post-cea (15%), contralateral internal carotid artery stenosis (14%), contralateral carotid occlusion (12%), high cervical bifurcation (6%), post-radiation stenosis (5%), anatomically limited access (3%). the lesions were located at: carotid bifurcation (46%), internal carotid artery (32%), common carotid artery origin (9%), brachiocephalic trunk (8%), and common carotid artery (5%). result: seven neurological events were observed (five cases of cerebral vascular accident and two patients who had a transitory ischemic attack). death rate was 0%. overall complication rate (cerebral vascular accident, transitory ischemic attack, death) was 5.3%. conclusion: cas has proved to be a procedure with a low complication rate. therefore, it is a safe and efficient option in high risk patients for cea.
Fungicidas, doses e volumes de calda no controle químico da ferrugem da folha da aveia (Puccinia coronata f. sp. avenae)
Oliveira, Ana R. de;Boller, Walter;Forcelini, Carlos A.;Blum, Rubens;Lopes, André;
Engenharia Agrícola , 2007, DOI: 10.1590/S0100-69162007000200008
Abstract: crown rust (puccinia coronata f. sp. avenae) is the most important disease of oats in brazil. in susceptible oat cultivars, fungicides are needed to control the disease efficiently. however, spray at low volumes may reduce fungicide performance significantly. a field experiment with the oat cultivar upfa-20 was carried out at the famv/upf to evaluate the influence of fungicides, rates, and spray volumes on the efficacy of the chemical control for crown rust. the tested treatments combined two fungicides (tebuconazole, folicur, 0,75 l ha-1; epoxiconazole + pyraclostrobin, opera, 0,5 l ha-1), four rates (40; 60; 80 and 100% of the commercial rate), and two spray volumes (100 and 200 l ha-1). the field plots were arranged according to a factorial block design (2′4′2) with four replicates. the assessments included the disease severity, disease control, grain quality and grain yield. the net profit of each treatment was also determined based upon the application costs and the sale price of oats at the harvest. at the same rate, for both fungicides, the volume of 200 l ha-1 provided better disease control. at this volume, the 50% rate controlled crown rust as good as the full (100%) rate with 100 l ha-1. the net profit differed between fungicides but not for spray volumes. the rate effects were fungicide dependent.
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