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Diagnóstico da tuberculose em pessoas idosas: barreiras de acesso relacionadas aos servi os de saúde El diagnóstico de la tuberculosis em las personas mayores: las barreras relacionadas con el acceso a los servicios de salud Tuberculosis diagnosis in the aged: barriers to accessing health services
Annelissa Andrade Virgínio de Oliveira,Lenilde Duarte de,Jordana de Almeida Nogueira,Séfora Luana Evangelista de Andrade
Revista da Escola de Enfermagem da USP , 2013,
Abstract: Este estudo tem como objetivo analisar as barreiras ao diagnóstico da tuberculose em idosos relacionadas aos servi os de saúde no município de Jo o Pessoa-PB. Trata-se de pesquisa qualitativa que envolveu sete pessoas idosas doentes de tuberculose. Entrevistas foram utilizadas para coletar informa es. O material empírico foi organizado com o software Atlas.tivers o 6.0 e analisado conforme a técnica de análise de discurso. As barreiras relacionadas ao acesso para confirma o diagnóstica foram: horário de funcionamento das unidades de saúde da família; transferência de responsabilidades; visitas domiciliares sem controle de comunicantes; demora do servi o de saúde em suspeitar da doen a e repetidas idas do doente ao servi o de saúde para a obten o do diagnóstico. Apesar de terem sido identificadas barreiras comuns às encontradas por doentes de tuberculose de um modo geral, em virtude da vulnerabilidade dos idosos, sugerem-se que a es de controle sejam empreendidas pelos servi os de saúde de modo a evitar que a doen a torne-se um agravo comum para essa popula o. Se objetiva analizar las barreras al diagnóstico de tuberculosis en ancianos relacionadas a servicios de salud en Jo o Pessoa-Paraíba. Investigación cualitativa involucrando siete ancianos enfermos de tuberculosis. Informaciones recolectadas mediante entrevistas. El material empírico fue organizado con el software Atlas.ti 6.0 y sometido a técnica de análisis de discurso. Las barreras relacionadas al acceso para confirmación diagnóstica fueron: horario de funcionamiento de las unidades de salud de la familia; transferencia de responsabilidades; visitas domiciliarias sin control de comunicantes; demora del servicio sanitario en sospechar la enfermedad y repetidas visitas del enfermo al servicio de salud para obtener el diagnóstico. A pesar de haber sido identificados obstáculos similares a los encontrados por tuberculosos en general, en virtud de su vulnerabilidad, se sugiere que las acciones de control en ancianos sean emprendidas por los servicios de salud intentando evitar que la enfermedad se convierta en una patología común en dicho segmento poblacional. This study was performed with the objective to analyze the barriers to diagnosing tuberculosis in the aged and access to health services in the city of Jo o Pessoa, Paraíba, Brazil. This qualitative study included the participation of seven aged women with tuberculosis. Interviews were used for data collection. The empirical material was organized using Atlas.ti 6.0, and analyzed according to the techniques of discourse analysis. The ident
O cuidado à saúde da mulher com tuberculose na perspectiva do enfoque familiar
Lenilde Duarte de,Ana Rita Bizerra do Nascimento Santos,Annelissa Andrade Virgínio de Oliveira,Jordana de Almeida Nogueira
Texto & Contexto - Enfermagem , 2012,
Abstract: El objetivo fue analizar la relación entre el desempe o del profesional de la salud de la familia y la mujer con tuberculosis, según la dimensión de enfoque familiar. Investigación cualitativa que involucró ocho profesionales de los equipos de salud familiar del municipio de la región metropolitana de Jo o Pessoa-PB. La información se obtuvo a través de entrevistas semi-estructuradas y fue analizada según la técnica de análisis de contenido, modalidad temática. Los profesionales reconocen la fragilidad social y los prejuicios que sufren las mujeres con tuberculosis, lo que sugiere la necesidad de atención basada en el concepto de salud integral. Son resaltadas la importancia del Tratamiento Breve Bajo Observación Directa, la existencia de incentivos y la falta de compromiso de las mujeres a las actividades educativas y grupos de formación. Pocos profesionales reconocen la inclusión de familiares en el cuidado de las mujeres con tuberculosis, lo que indica la necesidad de un debate de este hecho para mejorar el éxito del tratamiento de esta enfermedad.
Early treatment and cast services in the care of tuberculosis patient
Lenilde Duarte de, Annelissa Andrade Virgínio de Oliveira, Káren Mendes Jorge de Souza, Pedro Fredemir Palha, Jordana de Almeida Nogueira, Tereza Cristina Scatenna Villa
Revista de Enfermagem UFPE On Line , 2010,
Abstract: Objective: to evaluate factors related to noncompliance with treatment for tuberculosis, according to the size of the range of services. Method: this evaluative qualitative, which used the thematic oral history as a methodological reference. The study included nine users who had abandoned as a criterion for termination of the treatment of tuberculosis in two districts of the metropolitan area of Jo o Pessoa, Paraíba after approved by the Ethics Committee of the Federal University of Paraíba with protocol number 067/08. The empirical material was produced from July to September 2008 and analyzed by the technique of discourse analysis. Results: we observed as related to cessation of treatment: alcoholism, lack of information about the disease, the illusion of healing before the end of treatment and the large number of tablets taken. How weaknesses in the provision of services available, it was found that the User is difficult to access testing, inputs and social incentives (food stamps, food stamps). Conclusion: considering the size of the services available, it is believed to prevent the abandonment of TB treatment, is necessary to rescue the notion of subjectivity of care, and to strengthen the principle of integrated and intersectoral approach in guiding the actions and health services. Descriptors: tuberculosis; family health; patient dropouts.
Cuidado ao doente de tuberculose na Estratégia Saúde da Família: percep??es de enfermeiras
, Lenilde Duarte de;Oliveira, Annelissa Andrade Virgínio de;Gomes, Anna Luiza Castro;Nogueira, Jordana de Almeida;Villa, Tereza Cristina Scatena;Collet, Neusa;
Revista da Escola de Enfermagem da USP , 2012, DOI: 10.1590/S0080-62342012000200013
Abstract: the objective of this study was to analyze the nurses' perceptions regarding tuberculosis control, according to the theoretical axis of comprehensive healthcare and the concepts of attachment and teamwork. this qualitative study involved 13 nurses from the family health strategy of a priority city in the metropolitan region of jo?o pessoa, paraíba, brazil. data were collected in focal groups and subjected to thematic content analysis. factors that strengthen tuberculosis control were: supervised treatment, free medication and the provision of supplies. weakening factors were: worker's turnover, the lack of encouragement for patients and incipient educational actions. the factors that, according to the nurses, weaken tuberculosis patient care should be reviewed by administrators, workers, users and educators with a view to redefining healthcare activities that strengthen attachment, comprehensive healthcare and teamwork.
O cuidado à saúde da mulher com tuberculose na perspectiva do enfoque familiar
, Lenilde Duarte de;Santos, Ana Rita Bizerra do Nascimento;Oliveira, Annelissa Andrade Virgínio de;Nogueira, Jordana de Almeida;Tavares, Lucídia de Medeiros;Villa, Tereza Cristina Scatena;
Texto & Contexto - Enfermagem , 2012, DOI: 10.1590/S0104-07072012000200020
Abstract: to analyze the relationship between the practice of family health team workers and women with tuberculosis, according to the family focus dimension. the participants were eight family health team workers from a city in the jo?o pessoa metropolitan area (paraiba -pb). data were collected through semi-structured interviews, and then subjected to thematic content analysis. the workers recognize the critical social condition that women with tuberculosis live in, as well as the prejudice they face. they suggest that these women require care based on the concept of comprehensiveness in health. they also highlight the importance of directly observed therapy - short course, the existence of incentives, and the women's poor adherence to educational activities and groups. few workers recognize the inclusion of relatives in the care of women with tuberculosis, which implies the need for discussion regarding this fact with the purpose of improving tuberculosis treatment effectiveness.
Maus-tratos a idosos: revis o integrativa da literatura Abuso contra ancianos: revisión integradora de la literatura Elderly maltreatment: integrative review of the literature
Annelissa Andrade Virgínio de Oliveira,Debora Raquel Soares Guedes Trigueiro,Maria das Gra?as Melo Fernandes,Antonia Oliveira Silva
Revista Brasileira de Enfermagem , 2013,
Abstract: O estudo objetivou identificar, a partir de uma revis o integrativa da literatura, o conhecimento científico produzido entre 2005 e 2009, sobre maus-tratos contra idosos. Para tal, foram selecionados dezesseis estudos nos bancos LILACS e SciELO e na base BDENF. Dentre os dezesseis estudos, 56,25% compreendiam artigos originais. O periódico que mais publicou foi o Caderno de Saúde Pública (25%), sendo a maioria dos estudos desenvolvidos no Sudeste (56,25%). O levantamento revelou que a violência física foi predominante entre os idosos, sendo o domicílio o ambiente onde frequentemente ocorre a agress o, sendo os familiares os principais agressores. Entre os idosos agredidos, observou-se que as mulheres s o as vítimas mais acometidas. Esses achados suscitam o desenvolvimento de outras pesquisas que possam clarificar as múltiplas dimens es da violência contra o idoso. El estudio tuvo como objetivo identificar, a través de una revisión bibliográfica integrada, los conocimientos científicos, producidos entre 2005 y 2009 sobre maltrato a ancianos. Con este fin, se seleccionaron dieciséis estudios en los bancos LILACS e SciELO e en la base de datos BDENF. De ellos, 56,25% eran artículos originales. La revista más utilizada para publicación, fue el Cuaderno de Salud Pública (25%), y la mayoría de los estudios se desarrollaron en el Sudeste (56,25%). La encuesta reveló que la violencia física era la más frecuente entre los ancianos; el entorno familiar es adonde ocurre con mayor frecuencia la agresión; y los familiares son los principales agresores. Entre las personas de edad que fueron atacados, se observó que las mujeres son las víctimas más afectadas. Estos resultados plantean el desarrollo de otras investigaciones que puedan aclarar las múltiples dimensiones de la violencia contra los ancianos. The study aimed to identify, through an integrative literature review, scientific knowledge, produced between 2005 and 2009 about the mistreatment of the elderly. It was selected sixteen studies in the data banks LILACS, SciELO and BDENF. Of the sixteen studies, 56.25% comprised original articles. The journal that published the most was the Public Health Journal (25%), being the majority of the studies from the Southeast (56.25%). The survey revealed that the physical violence was prevalent among the elderly; the home was the environment where aggression occurs more frequently; and family members were the main aggressors. Among the elderly attacked, it was observed that women are the victims most affected. These findings raise the development of other researches that m
Valida??o de instrumento de coleta de dados de enfermagem para clientes adultos hospitalizados
Virgínio, Nereide de Andrade;Nóbrega, Maria Miriam Lima da;
Revista Brasileira de Enfermagem , 2004, DOI: 10.1590/S0034-71672004000100011
Abstract: the objective of this study was to validate the data collection instrument used in adult hospitalization, verifying if the items permitted data collection that enabled the development of later phases of systematization of nursing care, improvement of its operation, and the construction of an instructional guide. the research was conducted in a medical clinic at the lauro wanderley university hospital, (hulw), where data collection has taken place since 1984. the technique used for validation was to interview a focus group. the sample consisted of 13 nurses, and the activities took place from september to december 2002. the result of the discussions enabled restructuring of the instrument according to the consensus obtained, adapting it to the most objective form for clinical use according to the characteristics of the clients.
Diametro de estacas e substratos na propaga??o vegetativa de mani?oba, Manihot glaziovii Muell. Arg
Ferreira, Leonardo Elias;Andrade, Leonaldo Alves de;Gon?alves, Gerlandio Suassuna;Souza, Eliziete Pereira de;Ferreira, Heriverta Virgínio;
Revista Ciência Agron?mica , 2010, DOI: 10.1590/S1806-66902010000300011
Abstract: this study aims to evaluate substrates and cuttings diameter influence in the vegetative propagation of manihot glaziovii muell.arg. a design in randomized blocks using a 10 x 3 factorial scheme was used, being 10 substrates and 3 cuttings diameter, totaling 30 treatments, from the combinations between substrates and cuttings diameter, with 4 replications and 8 cuttings per plot. diameters corresponded: 0.5 to 1.0 cm (d1); 1.1 to 2.0 cm (d2) and 2.1 to 3.0 cm (d3). substrates used were: soil (s1); sand (s2); soil + sand: 1:1 (s3); soil + sand: 2:1 (s4); soil + sand: 1:2 (s5); soil + manure: 1:1 (s6); sand + manure: 1:1 (s7); soil + manure: 2:1 (s8); sand + manure: 2:1 (s9) and soil + sand + manure: 1:1:1 (s10). woody cuttings were collected from matrix plants in vegetative rest. it was evaluated: percentage of rooted cuttings; roots number; shoots number; shoots length and diameter; leaves number; shoots dry matter and roots dry matter, obtained 70 days after experiment installation. treatments influenced the analyzed variables. the best results to all studied variables were obtained in cuttings with diameters d2 and d3 and substrates which included sand + manure in their composition. such treatments provided rooting percentage in the order of 70 to 80%.
Quantitative determination by HPLC of iridoids in the bark and latex of himatanthus sucuuba
Silva, Jefferson Rocha de Andrade;Amaral, Ana Claudia Fernandes;Silveira, Cleoni Virgínio da;Rezende, Claudia Moraes;Pinto, Angelo Cunha;
Acta Amazonica , 2007, DOI: 10.1590/S0044-59672007000100014
Abstract: the main iridoids from the bark and latex of himatanthus sucuuba were isolated and characterised by spectroscopic methods. hplc was used for the quantitative analyses of these iridoids and the chromatograms of bark and latex showed a similar iridoid composition. both parts of the plant are used in folk medicine for the treatment of various ailments.
Metabolismo de plantas de cana-de-a?úcar cultivadas in vitro sob diferentes concentra??es de nitrogênio
Donato, Virgínia Maria Tenorio Sabino;Andrade, Arnóbio Gon?alves de;Souza, Eidy Sim?es de;Fran?a, José Geraldo Eugênio de;
Pesquisa Agropecuária Brasileira , 2003, DOI: 10.1590/S0100-204X2003001200003
Abstract: sugar cane varieties (rb 732577, rb 83102, rb 75126, cb 45-3, caiana and co 997) were cultivated in vitro at basic ms nutritive media with different n levels (9.83 mm, 7.37 mm, 4.92 mm, 2.46 mm, 0.49 mm and 0.0 mm), in order to evaluate the efficiency in the assimilation process of this element. after 45 days of cultivation, the biomass and the ammonium, amino acid and soluble sugars contents were determined. co 997 variety presented higher biomass gain and higher n quantity incorporated to free amino acid, showing higher efficiency in the assimilation process. higher proportions of ammoniumwere observed on rb 83102 and rb 75126 varieties when cultivated at media without n, suggesting lower efficiency on the assimilation process due to the presence of lower values of free amino acids.
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