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Search Results: 1 - 10 of 24243 matches for " Claudia Bernardi;Martins "
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Qualidade de vida de pessoas com doen?a renal cr?nica em tratamento hemodialítico
Martins, Marielza R. Ismael;Cesarino, Claudia Bernardi;
Revista Latino-Americana de Enfermagem , 2005, DOI: 10.1590/S0104-11692005000500010
Abstract: this descriptive study aims to evaluate the quality of life in patients receiving hemodialysis (hd) treatment and to identify the daily activities that may impair their quality of life. we investigated 125 chronic kidney failure patients under hemodialysis treatment by means of the medical outcome survey-short-form 36 (sf-36), and their daily activities, by means of semi-structured interviews. for statistical data analysis, a significance level of 5% was used. the results evidenced that these individuals' quality of life is impaired, with lower scores for physical, emotion and vitality aspects. there was a negative correlation between time spent on hd and the physical component (r= - 0.75) and between hemodialysis time and daily activities such as work, housework and practical activities. physical and leisure activities were the most affected in the general sample as well as in the one stratified by gender.
Associations among socio-demographic and clinical factors and the quality of life of ostomized patients
Pereira, Adriana Pelegrini dos Santos;Cesarino, Claudia Bernardi;Martins, Marielza Regina Ismael;Pinto, Maria Helena;Netinho, Jo?o Gomes;
Revista Latino-Americana de Enfermagem , 2012, DOI: 10.1590/S0104-11692012000100013
Abstract: this study identifies the socio-demographic and clinical factors of patients with irreversible colostomy secondary to colorectal cancer and correlates them with quality of life (qol). it is a cross-sectional study. socio-demographic and clinical data were collected through interviews and the whoqol-bref to assess qol. the sample comprised 60 patients. most of the patients were male, elderly individuals, half were married and half did not have a sexual partner, with complete primary education, receiving up to two times the minimum wage, carried a stoma for three months on average, were instructed they would carry a stoma, but did not have their stoma marked prior to surgery. the average qol score was 75.500, while the psychological, social and physical domains were the most affected. no statistically significant differences were found in qol in relation to the following socio-demographic and clinical factors: female gender, low income, no sexual partners, and lack of instruction. the patients with an intestinal stoma presented a satisfactory qol.
Levantamento sobre a infec??o na inser??o do cateter de duplo lúmen
Ribeiro, Rita de Cássia Helú Mendon?a;Oliveira, Graziella Allana Serra Alves de;Ribeiro, Daniele Fávaro;Cesarino, Claudia Bernardi;Martins, Marielza Ismael;Oliveira, S?nia Aparecida da Crus;
Acta Paulista de Enfermagem , 2008, DOI: 10.1590/S0103-21002008000500014
Abstract: objective: the purpose of this study was to identify the infection rate, etiologic agent, infectious complications and the double-lumen catheter permanence in one same period in alternating years. methods: this retrospective study was carried out in the center of hemodiálysis of the hospital de base de s?o josé do rio preto-sp. all patients who presented infection in the double-lumen catheter insertion site within the period of the survey were included. results: it was reported that of the 80 patients undergoing hemodialysis treatment in the first period, from january to june 2002, 21% of the patients were using catheter. three years later, 186 patients were in the same conditions, and of these, 10.7% was being treated with catheter therapy. the bloodstream infections were reduced by 9.4% in the last period. bacteremia was the main prevailing infectiou complication. the staphylococcus aureus was the most prevalent etiologic agent and the average double-lumen catheter permanence time was of 43 days in both periods of the study. conclusion: this study revealed that there was a significant improvement as for the infection indexes in that population.
Paciente com insuficiência renal cr?nica em tratamento hemodialítico: atividade educativa do enfermeiro
Cesarino, Claudia Bernardi;Casagrande, Lisete Diniz Ribas;
Revista Latino-Americana de Enfermagem , 1998, DOI: 10.1590/S0104-11691998000400005
Abstract: the aim of this study is to contribute to the knowledge of the nurse's educative activity with chronic renal patients undergoing an hemodialytic treatment, providing an improvement in the patient's quality of life and using a model called "awareness education". the subjects of this study were eight chronic renal patients - four female patients and four male patients whose age varied from 17 to 63 years old. the methodological approach was the research-action and data collection about significant situations was carried out through participant observation. data interpretation was related to the referential proposed by paulo freire, i.e. the analysis of the generating themes. data were selected and encoded in six generating topics: chronic renal failure (irc), causes of irc, hemodialytic treatment, chronic renal patient's limitations and possibilities when undergoing an hemodialytic treatment, renal transplantation and family support. the discussion groups were developed according to the pedagogical method by paulo freire. after that stage, satisfactory changes in the chronic renal patients' quality of life who participated in the teaching-learning process have been observed. this has enabled us to conclude that there has been a development of the na?ve consciousness for the criticism about their situation, owing to some changes in their reality.
Fernanda Bernardi,Francisco Rafael Martins Soto
Revista Ciência em Extens?o , 2009,
Abstract: Animal register (RGA) is a mechanism of data control for dogs and cats and their respective owners which has been set up and utilized in some zoonosis control centers of Brazil. The objective of this paper is to evaluate the implementation of the animal register system by non-permanent identification and by electronic method (microchip) in the county of Ibiúna- SP and also its acceptance by population. Data referring to 12 months were evaluated, just after the approval of a municipal specific legislation about the mandatory of registration and a campaign of responsible ownership. An information system on zoonosis control organizing the informations was developed. The microchip was not mandatory. There were 982 animal registered, being 89.61% dogs and 10.39 % cats. The number of registers was not uniform during the period of this work. The population showed no interest in microchip. New techniques of approaching about the responsibility of RGA and the importance of the microchip must be studied to reach the owners in order to get a major number of animals registered. El registro general de animales (RGA) es un mecanismo que sirve para llevar el control de los datos de canes, gatos y de sus respectivos due os, este ha sido implantado y utilizado en algunos centros brasile os de zoonosis. Este trabajo tiene como objetivo evaluar la implementación y aceptación de la población de este registro general identificativo no permanente y por método electrónico (microship), en el Municipio de Ibiuna – SP. Fueron evaluados los datos referentes a un período de 12 meses, después del lanzamiento del programa que motivaba la posesión responsable y la aprobación de la legislación municipal específica sobre la obligatoriedad del RGA. De esa forma, fue desarrollado un programa informativo de control de zoonosis. La implantación de microships no fue obligatoria. Así, fueron registrados 982 animales, de los cuales 89,1% eran canes y 10,39% eran gatos. El número de registros no fue uniforme durante el periodo estudiado, ya que no hubo interés por parte de la población en implantar los microships. Nuevas técnicas argumentativas sobre la obligatoriedad del RGA y sobre la importancia de la implantación del microship deben ser estudiadas para concientizar a la población y obtener un mayor número de animales registrados. O registro geral animal (RGA) é um mecanismo de controle de dados de c es e gatos e de seus respectivos proprietários que tem sido implantado e utilizado em alguns centros de controle de zoonoses do Brasil. Este trabalho teve por objetivo avaliar a implanta o e a
Avalia??o emancipatória de um Programa Educativo do Servi?o de Controle de Infec??o Hospitalar
Cucolo, Danielle Fabiana;Faria, Josimerci Ittavo Lamana;Cesarino, Claudia Bernardi;
Acta Paulista de Enfermagem , 2007, DOI: 10.1590/S0103-21002007000100009
Abstract: objective: to conduct a critical evaluation of an infection control educational program in a brazilian teaching hospital in order to suggest changes as needed. methods: this study used action research approach to collect data among 6 nurses working in an intensive cardiac care unit in a brazilian teaching hospital in the sao paulo state. paulo freire's methodology was adopted to conduct interviews and nine discussion sections. results: seven themes emerged: establish an annual program; ensure the mediator knows well the content of the program; have a schedule and duration of classes; facilitate class dynamic; focus on evidence-base practice; and, develop an instrument to evaluate the structure and organization of the infection control service. conclusion: this study involved staff nurses and developed their critical thinking regarding strategies that might be used to re-structure the infection control educational program. in addition, this study also promoted greater nursing autonomy and nursing team cohesion in the control of infection.
Fatores relacionados aos níveis pressóricos de indivíduos hipertensos em seguimento ambulatorial
Eliana Cavalari,Maria Suely Nogueira,Miyeko Hayashida,Claudia Bernardi Cesarino
Revista Eletr?nica de Enfermagem , 2012,
Abstract: Estudo descritivo de abordagem quantitativa, desenvolvido com 75 indivíduos com hipertens o arterial sistêmica em seguimento ambulatorial. O objetivo foi identificar os níveis pressóricos e relacioná-los com variáveis sociodemográficas, antropométricas e de estilo de vida. Os dados foram coletados entre setembro/2008 e abril/2009 por meio de entrevista individualizada e verifica o de medidas, sendo analisados por estatística descritiva e utilizados testes qui-quadrado, Fisher, raz o e chances de prevalência. Os resultados foram: 52% dos indivíduos apresentaram press o arterial < 140/90 mm Hg, ao associar os níveis pressóricos com as variáveis estudadas, a prevalência de níveis pressóricos < 140/90 mm Hg foi 63,9% entre os homens; 63,6% nos n o brancos; 58,3% nos indivíduos com índice de massa corporal < 25 Kg/m2; 59,3% entre os que n o apresentaram obesidade abdominal; 54,2% nos sedentários e 61,5% nos que consumiam bebida alcoólica. O estudo identificou rela o estatisticamente significante entre o sexo e os níveis pressóricos.
Uma revis?o sobre os conceitos de acesso e utiliza??o de servi?os de saúde
Travassos, Claudia;Martins, M?nica;
Cadernos de Saúde Pública , 2004, DOI: 10.1590/S0102-311X2004000800014
Abstract: the purposes of this article are to review the concepts of health services access and utilization and to analyze how these concepts interrelate. access is a complex concept (often used inaccurately) which changes over time and according to the context. health services utilization is at the core of health systems functioning. despite some disagreement, according to this review the prevailing perspective is that access is related to characteristics of services supply. health care services utilization can be applied as a measure of access, but use of services depends on other factors. individual and contextual factors influence the use of services. the article shows that the concept of access is becoming more comprehensive and is changing its focus from entry into the health system to outcome of care. access is valued in relation to its impact on health and depends on the effectiveness of care delivered. as an outcome measure, access becomes multidimensional and difficult to operationalize. finally, the article discusses how health determinants differ from those of health services utilization, which impacts directly on illness, but only indirectly on health.
European Ancestry Predominates in Neuromyelitis Optica and Multiple Sclerosis Patients from Brazil
Doralina Guimar?es Brum, Marcelo Rizzatti Luizon, Ant?nio Carlos Santos, Marco Aurélio Lana-Peixoto, Cristiane Franklin Rocha, Maria Lucia Brito, Enedina Maria Lobato de Oliveira, Denis Bernardi Bichuetti, Alberto Alan Gabbai, Denise Sisterolli Diniz, Damacio Ramon Kaimen-Maciel, Elizabeth Regina Comini-Frota, Claudia E. Vieira Wiezel, Yara Costa Netto Muniz, Roberta Martins da Silva Costa, Celso Teixeira Mendes-Junior, Eduardo Ant?nio Donadi, Amilton Antunes Barreira, Aguinaldo Luiz Sim?es
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0058925
Abstract: Background Neuromyelitis optica (NMO) is considered relatively more common in non-Whites, whereas multiple sclerosis (MS) presents a high prevalence rate, particularly in Whites from Western countries populations. However, no study has used ancestry informative markers (AIMs) to estimate the genetic ancestry contribution to NMO patients. Methods Twelve AIMs were selected based on the large allele frequency differences among European, African, and Amerindian populations, in order to investigate the genetic contribution of each ancestral group in 236 patients with MS and NMO, diagnosed using the McDonald and Wingerchuck criteria, respectively. All 128 MS patients were recruited at the Faculty of Medicine of Ribeir?o Preto (MS-RP), Southeastern Brazil, as well as 108 healthy bone marrow donors considered as healthy controls. A total of 108 NMO patients were recruited from five Neurology centers from different Brazilian regions, including Ribeir?o Preto (NMO-RP). Principal Findings European ancestry contribution was higher in MS-RP than in NMO-RP (78.5% vs. 68.7%) patients. In contrast, African ancestry estimates were higher in NMO-RP than in MS-RP (20.5% vs. 12.5%) patients. Moreover, principal component analyses showed that groups of NMO patients from different Brazilian regions were clustered close to the European ancestral population. Conclusions Our findings demonstrate that European genetic contribution predominates in NMO and MS patients from Brazil.
Complica??es respiratórias pós-operatórias em cirurgia bariátrica: revis?o da literatura
Delgado, Priscila Martins;Lunardi, Adriana Claudia;
Fisioterapia e Pesquisa , 2011, DOI: 10.1590/S1809-29502011000400016
Abstract: obesity is a public health problem worldwide because of the high rates of morbimortality. bariatric surgery has been the most often treatment and attracts attention on its development and results. however, there is no review about the incidence of respiratory complications in this population. the aim of this study was to review the literature on respiratory complications in conventional bariatric surgery utilizing the databases pubmed, scielo and cochrane. the terms searched were complications, pulmonary, postoperative care and bariatric surgery, and the limits, the last ten years, adults, english and spanish. we found 69 articles, and used 21, showing that the most common respiratory complications in bariatric surgery are pulmonary embolism, atelectasis and pneumonia, being related to age and the presence of hypoventilation. morbid obesity is associated with respiratory dysfunction, including decreased cardiorespiratory endurance and dyspnea, being the most common changes: the decrease in ventilation and chest wall compliance, and tachypnea and respiratory muscle workload, with high rates of hypoxemia and respiratory fatigue. our results suggest that pulmonary embolism, atelectasis and pneumonia are the pulmonary complications with the highest incidences in conventional bariatric surgery, and elderly and patients with hypoventilation or syndrome and obstructive sleep apnea have higher risk of developing postoperative pulmonary complications.
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