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Search Results: 1 - 10 of 219802 matches for " Claudiney C.;Rapoport "
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Reabilita o vocal de laringectomizados com prótese traqueoesofágica
Costa Claudiney C.,Rapoport Abr?o,Chagas José Francisco S.,Oliveira Iara B.
Revista Brasileira de Otorrinolaringologia , 2001,
Abstract: Material: No período de 23 de fevereiro de 1999 a junho de 2000 foram estudados 23 pacientes submetidos à laringectomia total que receberam a prótese traqueoesofágica do tipo Blom-Singer Indeweling Low Presure, sendo 22 pacientes do sexo masculino, com faixa etária variando de 40 a 80 anos. O tempo de acompanhamento variou de 150 a 462 dias. Um paciente era do estádio clínico I, com comprometimento da comissura posterior; um, do estádio II, com les o na subglote; 13, do estádio III; e sete do IV. Forma de estudo: Prospectivo clínico n o randomizado. Método: A prótese foi locada concomitante à laringectomia em sete pacientes; secundariamente, com anestesia geral, em cinco; e, por endoscopia digestiva alta, sob seda o e anestesia local, em quatorze. Foram estudadas as complica es decorrentes da coloca o e uso da prótese vocal, avalia o da qualidade da voz e da inteligibilidade de fala, utilizando parametro perceptivo-auditivo, antes e depois da fonoterapia e do tempo necessário para reabilita o vocal. Resultados: Houve três complica es pós-operatórias relacionadas com procedimento cirúrgico terapêutico, que impossibilitaram a reabilita o vocal; dos vinte possíveis de serem reabilitados com a prótese, dezoito se reabilitaram com índice de 90% de sucesso. O tempo médio para reabilita o variou de um a 65 dias. Conclus o: Concluímos que as complica es decorrentes da coloca o e uso da prótese n o inviabilizaram o sucesso do método; o tempo médio para aquisi o da voz foi de sete dias; a qualidade vocal e a inteligibilidade de fala apresentaram melhora após a realiza o da fonoterapia, sem diferen a estatística significativa; e a coloca o secundária da prótese vocal, utilizando nova técnica, por endoscopia digestiva alta, mostrou-se mais eficaz em rela o às técnicas convencionais.
Reabilita??o vocal de laringectomizados com prótese traqueoesofágica
Costa, Claudiney C.;Rapoport, Abr?o;Chagas, José Francisco S.;Oliveira, Iara B.;Castro, Pedro de;Magna, Luiz Alberto;
Revista Brasileira de Otorrinolaringologia , 2001, DOI: 10.1590/S0034-72992001000500017
Abstract: we studied the complications resulting from the placement and use of the vocal prosthesis, assessment of voice quality and speech intelligibility using perceptive-auditory parameters before and after speech therapy and the period needed for vocal rehabilitation. from february 1999 to june 2000, a study was conducted on 23 patients who underwent total laryngectomy and were given a tracheoesophageal prosthesis like the blom-singer indwelling low pressure. study design: prospective clinical not randomized. material and method: the study consisted of 22 males and their ages ranged from 40 years to 80 years. the follow up period varied between 150 days to 462 days. one patient with the posterior commissure affected was at stadium i; stadium ii had one patient with a lesion in the subglottic region; stadium iii had 13 patients; stadium iv had four patients. the prosthesis was placed in seven patients concomitantly with the laryngectomy, while the placement was secondary in the remaining group. aim: we studied the complications resulting from the placement and use of the vocal prosthesis, assessment of voice quality and speech intelligibility using perceptive-auditory parameters before and after speech therapy and the period needed for vocal rehabilitation impossible. the success rating was 90% with 18 patients rehabilitated with the help of the prosthesis. the rehabilitation period varied between one day to 65 days. conclusions: the complications resulted from placement and use of this prosthesis did not hamper its success; the average time taken for voice acquisition was seven days, vocal quality and intelligibility of speech showed improvement after the phonoterapy without significant statistics difference and the secondary placement through new surgical technique by digestive endoscopy is better than the conventional technique.
Prevalência dos sintomas otológicos na desordem temperomandibular: estudo de 126 casos
Pascoal, Maria I. N.;Rapoport, Abr?o;Chagas, José F. S.;Pascoal, Maria B.N.;Costa, Claudiney C.;Magna, Luis Antonio;
Revista Brasileira de Otorrinolaringologia , 2001, DOI: 10.1590/S0034-72992001000500005
Abstract: introduction: a presence of otologic symptoms associated to the temporomandibular disorders (tmd) is discussed since six decades ago, however its etiology still stays obscure. study design: prospective clinical randomized. aim: in that study it was appraised the prevalence of otologic symptoms in tmd, the correlation with the muscular pain and the absence of posterior teeth. material and methods: 126 patients, presented tmd, were appraised through questionnaire about their symptoms, palpation of the masticatory muscles, temporal, masseter, lateral pterygoid medial, pterigoyd, digastric, temporal muscle tendon, esternocleidomastoid and trapezius and panoramic and transcranian x-rays and plaster′s models of the superior and inferior arcades. the data obtained were analyzed through exact test of fisher, with p value < 0,05. results: the otologic symptoms were presented in 80% of the patients (50% presented hear pain 52% aural fullness, 50% tinitus, 34% dizziness, 9% sensation of vertigo and 10% told hypoacusis). the palpation revelated lateral pterigoyd as the most sensitive 94%, followed by the temporal muscle ( 69%), masseter (62%), digastric (60%), medial pterigoyd (50%), temporal muscle tendon and sternocleidomastoid (49%) and trapezius (42%). the muscular pain and otologic symptoms were statistically significant in the masseter and esternocleidomastoid muscles. tinitus, aural fullness and otologic pain presented high significant correlation to each other. there was not significance between the absence of teeth and otologic symptoms. conclusion: 1) otalgia, tinitus, aural fullness and dizziness were prevalentes 2) the otologic symptoms present in tmd can be relation with the muscular pain in masseter and esternocleidomastoid 3) there was not correlation between the otologic symptoms and the absence of posterior teeth.
Resultado do tratamento cirúrgico das neoplasias do seio piriforme
Costa Claudiney C.,Chagas José Francisco S.,Pascoal Maria Beatriz N.,Camargo José G. T.
Revista Brasileira de Otorrinolaringologia , 2003,
Abstract: Os tumores da laringe e hipofaringe apresentam alta incidência no Brasil, sendo o sexto sítio mais comum entre os tumores malignos no sexo masculino. O diagnóstico inicial geralmente é realizado com les es em estadio clínicos avan ados diminuindo o sucesso do tratamento instituído. OBJETIVOS: Avaliar a evolu o de 60 pacientes com carcinoma epidermóide de seio piriforme, considerando tratamento instituído, complica es e sobrevida estimada em 5 anos. FORMA DE ESTUDO: Estudo retrospectivo. MéTODO: Os testes estatístico utilizados foram o método de Kaplan-Meier e o teste exato de Fisher. RESULTADOS: Dos 60 pacientes, 43 foram submetidos a tratamento cirúrgico seguido de radioterapia. Atualmente 27,9% est o vivos sem doen a, 11,6% vivos com doen a, 9,4% mortos sem doen a, 34,8% mortos com doen a e perda de seguimento de 16,3%. A complica o pós-operatória mais freqüente foi a fístula cutanea. A recidiva local ocorreu em 5 pacientes, regional em 6, loco-regional em 3 e metástase à distancia em 6. N o houve correla o entre margem cirúrgica comprometida e sobrevida em 20 pacientes com recidiva tumoral (Teste de Fisher). Aplicando a curva de sobrevida atuarial pelo método Kaplan-Meier, obtivemos média de sobrevida em 5 anos de 23,2 meses. CONCLUS O: A principal complica o pós-operatória foi a fístula cutanea, sendo tratada clinicamente. A margem cirúrgica comprometida n o alterou o prognóstico, apesar de ser sempre um dos princípios da cirurgia oncológica. A principal falha no tratamento foi a recidiva locorregional. A curva de sobrevida atuarial (Kaplan-Meier) em cinco anos apresentou média de 23,2 meses.
Resultado do tratamento cirúrgico das neoplasias do seio piriforme
Costa, Claudiney C.;Chagas, José Francisco S.;Pascoal, Maria Beatriz N.;Camargo, José G. T.;Aquino, José Luiz B.;
Revista Brasileira de Otorrinolaringologia , 2003, DOI: 10.1590/S0034-72992003000100006
Abstract: laryngeal and pharyngeal tumors exhibit a high incidence in brazil, occupying the sixth position as the most frequent cancer sites in males. the initial diagnosis is usually made with the lesion at an advanced clinical stage, hindering success of any treatment employed. aim: to evaluate the evolution and prognosis of patients with epidermoid carcinoma of the hypopharynx, considering treatment of choice, complications and estimated 5-year survival. study design: this is a retrospective study methods: using kaplan-meier and exact fisher test. 60 patients with advanced epidermoid carcinoma of the hypopharynx, with the epicenter located at the pyriform sinus, were enrolled. results: 43 of the 60 patients were submitted to surgical treatment followed by radiotherapy. currently 27.9% of the patients are alive free of the disease, 11.6% are alive with the disease, 9.4% died from other causes, 34.8% died due to the disease and 16.3% interrupted the follow-up. the most frequent postoperative complication was salivary fistula. five patients evolved with local recurrence, 6 with regional recurrence, three with loco-regional recurrence and six with distant metastasis. there was no correlation between small surgical safety margins and survival in the 20 patients presenting recurrences (fisher test). applying the actuarial survival curve with the kaplan-meier method we obtained a 5-year survival average of 23.3 months. conclusion: the major post-surgical complication in hypopharyngeal carcinoma treatment was salivary fistula, being successfully treated without surgery. small surgical safety margin did not influence the prognosis, even though it is a failure according to one of the fundamental cancer surgery predicaments. the major feature of treatment failure was loco-regional recurrence. the actuarial five-year survival curve (kaplan-meier) averaged 23.3 months.
Sustainability of Teachers' International Experiences: Conditions for Institutionalization of International Program Outcomes
Anatoli Rapoport
Education Research International , 2011, DOI: 10.1155/2011/591276
Abstract: Since World War II international exchange and training programs for educators have increasingly played an important role in developing prospective consciousness and awareness of cultural diversity and global interdependence among teachers. However, international programs have always depended on extra educational factors such as political, ideological, cultural, or financial circumstances. As a result, program sustainability and proper institutionalization of program's results that are a testimony of achieved success, are both matters of concern for program developers and alumni. This paper identifies factors and contexts that facilitate sustainable development of international programs and institutionalization of their outcomes. Two cohorts of international teacher program alumni from Russia and the United States were interviewed about the impact of exchange programs on participants' status and pedagogies. The study demonstrated that respondents consider three factors, namely, motivational, administrative, and cooperative, most critical for the institutionalization of international program results.
Le go t et l’esprit de l’Exposition: les Spielmann et les Kiralfy
Michel Rapoport
Synergies Royaume-Uni et Irlande , 2009,
Abstract: Imre Kiralfy et Isidore Spielmann, tous deux issus de l’immigration juive d’Europe centrale, deviennent les ma tres de l’Exposition FrancoBritannique de 1908, symbole de l’Entente cordiale scellée en 1904. Kiralfy, fort de son expérience d’impresario et admirable homme d’affaires, avec l’exposition de Shepherd’s Bush, la White City, transforme l’esprit des expositions internationales, l’orientant vers la consommation de loisirs. Quant à Spielmann, qui a joué un r le clé dans l’organisation des expositions artistiques dans le cadre des expositions universelles et internationales, et qui est au c ur d’un réseau d’artistes et de collectionneurs, dans un esprit confrontation avec la France, il fait de la British Fine Art Section de la FrancoBritish, la vitrine de l’art britannique, le préraphaélisme étant présenté comme la force vitale de la peinture britannique d’alors et l’initiateur de l’impressionnisme. Kiralfy et Spielmann se rejoignent dans leur volonté de faire de cette exposition le lieu et le temps fort de l’exaltation de la grandeur de la Grande-Bretagne et de son Empire
The Penguin New Writing, Horizon et la France (1940-1945)
Michel Rapoport
Synergies Royaume-Uni et Irlande , 2009,
Abstract: L’entrée en guerre s’accompagne d’une mobilisation des intellectuels dont témoignent dès 1940 la naissance de nouvelles revues parmi lesquelles The Penguin New Writing de John Lehmann, dont le succès ne se dément pas durant toute la guerre, et Horizon de Cyril Connolly. La France est très présente dans ces deux revues, sous les formes les plus diverses, de la traduction de textes d’auteurs fran ais à des articles de critique en passant par des témoignages sur la situation de la France durant la guerre et à la Libération. Si les deux revues se livrent à une aimable concurrence, le contenu fran ais de The Penguin New Writing présente davantage d’homogénéité que celui d’Horizon caractérisé par son éclectisme. Mais l’une comme l’autre témoignent d’une francophilie évidente dans ces années noires et font découvrir aux Britanniques la vitalité créatrice de la France.
Os Estados nacionais frente à globaliza o
Mario Rapoport
Revista Brasileira de Política Internacional , 1997, DOI: 10.1590/s0034-73291997000200008
Abstract:
La estrategia internacional de Brasil: interesses y politica
Mario Rapoport
Meridiano 47 : Boletim de Análise de Conjuntura em Rela??es Internacionais , 2008,
Abstract: O artigo trata da recente transforma o da política externa do Brasil. Crítica do neoliberalismo, a nova política externa valoriza o Estado e a integra o na América do Sul.
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