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Search Results: 1 - 10 of 186994 matches for " Divaldo Pereira de;Neves "
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Rela??o entre a Escala de Ades?o Terapêutica de oito itens de Morisky (MMAS-8) e o controle da press?o arterial
Oliveira-Filho, Alfredo Dias;Barreto-Filho, José Augusto;Neves, Sabrina Joany Felizardo;Lyra Junior, Divaldo Pereira de;
Arquivos Brasileiros de Cardiologia , 2012, DOI: 10.1590/S0066-782X2012005000053
Abstract: background: non-adherence to treatment is an important and often unrecognized risk factor that contributes to reduced control of blood pressure (bp). objective: to determine the association between treatment adherence measured by a validated version in portuguese of the 8-item morisky medication adherence scale (mmas-8) and bp control in hypertensive outpatients. methods: a cross-sectional study was carried out with hypertensive patients older than 18 years, treated at six of the family health strategy units in maceió (al), through interviews and home blood pressure measurements, between january and april 2011. adherence was determined by mmas-8 version translated for this study. the patients were considered adherent when they had a score equal to 8 at the mmas-8. results: the prevalence of adherence among the 223 patients studied was 19.7%, while 34% had controlled bp (> 140/90 mmhg). the average adherence value according to the mmas-8 was 5.8 (± 1.8). adherent patients showed to be more prone (or = 6.1, ci [95%] = 3.0 to 12.0) to have blood pressure control than those who reached mean (6 to <8) or low values (<6) at the adherence score. the portuguese version of mmas-8 was showed a significant association with bp control (p = 0.000). conclusion: the diagnosis of non-adherent behavior through the application of mmas-8 in patients using of antihypertensive medications was predictive of elevated systolic and diastolic bp.
Influência da propaganda na utiliza??o de medicamentos em um grupo de idosos atendidos em uma unidade básica de saúde em Aracaju (SE, Brasil)
Lyra Jr,Divaldo Pereira de; Neves,Aline Souza; Cerqueira,Karine Santos; Marcellini,Paulo Sergio; Marques,Tatiane Cristina; Barros,José Augusto Cabral de;
Ciência & Saúde Coletiva , 2010, DOI: 10.1590/S1413-81232010000900024
Abstract: the growth of the brazilian elderly people has led to a trend to an increase in the medication use. the inadequate use of drugs can be induced by some factors, like advertisement, with the risk of damaging the user's health. the objective of the study was to evaluate the advertisement influence in medication use in a group of elderly patients in a primary health care unit in aracaju, sergipe, brazil. 230 elderly aging over 60 years with both genders had been interviewed from april to june of 2007. the majority of the interviewees (73%) has at least a chronic health condition and 73.9% consumed regularly at least one medication. 17.8% of the sample informed to use medication motivated by publicity influence; 2.2% had considered that the medication never cause damages and 6.5% believed that always it makes well. in this study, correlations have been made and demonstrated that those who presented a higher level of consumption influenced by advertising also think that drugs used are always beneficial and vice versa (p= 0.04). the data showed that part of elderly suffered influence of advertisement to medication use, and are not conscious of risks involved.
Aderência autorreferida a medicamentos prescritos durante a gesta??o
Oliveira Filho, Alfredo Dias de;Gama, Danielle Pires da;Leopardi, Maria das Gra?as;Dias, Julia Maria Gon?alves;Lyra Júnior, Divaldo Pereira de;Neves, Sabrina Joany Felizardo;
Revista Brasileira de Ginecologia e Obstetrícia , 2012, DOI: 10.1590/S0100-72032012000400002
Abstract: purpose: to assess medication adherence therapeutic during pregnancy in a sample of brazilian women during the post-partum period. methods: we conducted a cross-sectional study in the obstetric unit of a university hospital, brazil, between august and november 2010. we recruited patients aged 18 years or more, with a gestational age of more than 22 weeks whose newborns weighed more than 500 g. patients were excluded if they used sedatives or other mind-altering drugs. data were collected after labor using a structured questionnaire containing questions about sociodemographic characteristics, medication use, number of previous pregnancies, contraceptive methods, prenatal care, and medication adherence. medication adherence was assessed using the four-item morisky medication adherence scale - mmas-4, groups were compared by the fisher exact test and kruskal-wallis test and χ2 de pearson test. results: mean age was 22.5 years (sd=6.5), and 53.8% of the pregnant women had initiated prenatal care during the first trimester of pregnancy. of the 130 patients interviewed, 96.9% had used at least one prescribed drug during pregnancy, with an average of 2.8 drugs per patient. the major classes prescribed were antianemics (55.1%), analgesics, anti-inflammatories, and antipyretics (19.0%) and anti-infectives (7.2%). 71.6% took two to four drugs. only 19.2% of patients were considered adherent. the variables that showed a negative influence on adherence were: higher level of education, having one's own income, earlier prenatal care and previous abortion. conclusion: our findings indicate that, although most of the patients used prescribed drugs during pregnancy, the rate of medication adherence was low, which indicates the need for further investigation about the impact of non-adherence during pregnancy and its causes.
Effect of pharmaceutical care intervention on blood pressure of elderly outpatients with hypertension
Lyra Júnior, Divaldo Pereira de;Marcellini, Paulo Sergio;Pelá, Irene Rosemir;
Revista Brasileira de Ciências Farmacêuticas , 2008, DOI: 10.1590/S1516-93322008000300015
Abstract: the purpose of this study was to evaluate the effect of pharmacist intervention on the prevention and solution of drug therapy-problems (dtp), body mass index (bmi), and blood pressure control in elderly outpatients with hypertension. the instruments were applied to 30 elderly outpatients assisted at the pharmacy of a primary health care unit in ribeir?o preto (sp), brazil. the group of patients received follow-up during a period of 12 months. it was observed that pharmaceutical care intervention optimized the medication use; reduced symptoms caused by drug therapy and improved the elderly patients' health conditions. the pharmaceutical care intervention influenced the care given to elderly people as well as the achievement of positive health outcomes. after this study, the researcher gave training about practice of pharmaceutical care to 38 dispensing pharmacists from the public health-system of ribeir?o preto. nowadays, these pharmacists are perpetuating the practice introduced in the region.
Compreendendo os significados das intera es entre profissionais de saúde e idosos usuários de medicamentos
Divaldo Pereira de Lyra Júnior,Tatiane Cristina Marques,Adriana Inocenti Miasso,Sílvia Helena De Bortoli Cassiani
Revista Eletr?nica de Enfermagem , 2008,
Abstract: O presente trabalho visa compreender e analisar os significados das intera es entre profissionais de saúde (médicos e farmacêuticos) e idosos portadores de condi es cr nicas de saúde, na perspectiva dos usuários de medicamentos. O estudo foi realizado em uma unidade de saúde do Município de Ribeir o Preto, em agosto de 2003. Esta análise secundária teve como referencial o Interacionismo Simbólico e os dados das entrevistas gravadas, no trabalho original, foram submetidos à análise temática de conteúdo. Os temas que emergiram demonstram que a ambivalência simbólica das intera es permite diversas interpreta es que v o desde o distanciamento e falta de confian a até a liberdade de express o e o diálogo com o profissional de saúde. Compreender tais intera es pode ser fundamental para melhorar o entendimento do processo saúde-doen a, otimizar os cuidados à saúde e garantir o uso racional dos medicamentos.
Bulas de medicamentos usados por idosos com hipertens?o: adequa??o da informa??o à regulamenta??o sanitária e possíveis implica??es para a saúde
Lyra Junior,Divaldo Pereira de; Balisa-Rocha,Blície Jennifer; Mesquita,Alessandra Resende; Rocha,Chiara Ermínia da;
Ciência & Saúde Coletiva , 2010, DOI: 10.1590/S1413-81232010000600029
Abstract: the medication leaflets represent the main source of written information supplied to the patients, in special to the elderly. this study aimed to analyze the content of the leaflets of drugs often prescribed for elderly people with hypertension, as well as their adequacy to the sanitary regulations and possible health implications. a descriptive study was conducted in two stages: a, in july 2002, and b, in july 2007. in each stage were analyzed 34 medication leaflets of seven antihypertensive drugs of the national essential drugs list (2006). among the 68 leaflets analyzed, most did not contain all the information required by portaria no 110/1997 (89.5%) in the stage a and the rdc no 140/2003 (100%) in b. in 100% of the leaflets, the legislation had not been fulfilled. some important topics as way of administration, how to use and overdose had been absent in 76% of the leaflets, the lack of this information has an impact in the security of the antihypertensive users. based on these data, it was possible to evidence inadequate contents of the medication leaflets. so, it is necessary greater surveillance by anvisa, to ensure the rational use of medicines and the reduction of the risks to the elderly health.
A farmacoterapia no idoso: revis?o sobre a abordagem multiprofissional no controle da hipertens?o arterial sistêmica
Lyra Júnior, Divaldo Pereira de;Amaral, Renata Teixeira do;Veiga, Eugênia Velludo;Cárnio, Evelin Capellari;Nogueira, Maria Suely;Pelá, Irene Rosemir;
Revista Latino-Americana de Enfermagem , 2006, DOI: 10.1590/S0104-11692006000300019
Abstract: the greater prevalence of chronic diseases like systemic arterial hypertension among elderly people results in an increase of drugs use. therefore, the incidence of a lot of drug-related problems (drp) rises, and this leads to many health problems in the population. based on literature, authors emphasize the multidisciplinary team approach (physicians, nurses and pharmacists) to activities directly related with pharmacotherapy for hypertension, granting elderly persons a better comprehension about taking care of their own health, to reduce drp and achieve satisfactory adherence.
Prescription errors in Brazilian hospitals: a multi-centre exploratory survey
Miasso, Adriana Inocenti;Oliveira, Regina Célia de;Silva, Ana Elisa Bauer de Camargo;Lyra Junior, Divaldo Pereira de;Gimenes, Fernanda Raphael Escobar;Fakih, Flávio Trevisan;Cassiani, Sílvia Helena De Bortoli;
Cadernos de Saúde Pública , 2009, DOI: 10.1590/S0102-311X2009000200009
Abstract: in brazil, millions of prescriptions do not follow the legal requirements necessary to guarantee the correct dispensing and administration of medication. this multi-centre exploratory study aimed to analyze the appropriateness of prescriptions at four brazilian hospitals and to identify possible errors caused by inadequacies. the sample consisted of 864 prescriptions obtained at hospital medical clinics in january 2003. data was collected by three nurse researchers during one week using a standard data sheet that included items about: the type of prescription; legibility; completeness; use of abbreviations; existence of changes and erasures. there were statistically significant differences between incomplete electronic prescriptions at hospital a, and handwritten ones from hospitals c (?2 = 12.703 and p < 0.001) and d (?2 = 14.074 and p < 0.001). abbreviations were used in more than 80% of prescriptions at hospitals b, c and d. changes were found in prescriptions at all hospitals, with higher levels at hospitals b (35.2%) and a (25.3%). this study identified a range of vulnerable points in the prescription phase of the medication system at the hospitals. physicians, pharmacists and nurses should therefore jointly propose strategies to avoid these prescription errors.
Desigualdade estrutural discreta de membros inferiores é suficiente para causar altera??o cinética na marcha de corredores?
Pereira, Carla Sonsino;Sacco, Isabel de Camargo Neves;
Acta Ortopédica Brasileira , 2008, DOI: 10.1590/S1413-78522008000100005
Abstract: leg length discrepancy (lld) affects about 70% of the general population, and can be either structural - when the difference occurs in bone structures - or functional, because of mechanical changes at the lower limbs. the discrepancy can be also classified by its magnitude into mild, intermediate, or severe. mild lld has been particularly associated with stress fracture, low back pain and osteoarthritis, and when the discrepancy occurs in subjects whose mechanical loads are increased by their professional, daily or recreational activities, these orthopaedic changes may appear early and severely. the aim of this study was to analyze and compare ground reaction force (grf) during gait in runners with and without mild lld. results showed that subjects with mild lld of 0.5 to 2.0 cm presented higher values of minimum vertical grf (0.57 ± 0.07 bw) at the shorter limb compared to the longer limb (0.56 ± 0.08 bw) therefore, subjects with mild lld adopt compensatory mechanisms that cause additional overloads to the musculoskeletal system in order to promote a symmetrical gait pattern as showed by the values of absolute symmetric index of vertical and horizontal grf variables.
Estudos sobre a fauna de Sarcophagidae (Diptera) de Belo Horizonte, Minas Gerais. III - atratividade das iscas
Dias, Edelberto Santos;Neves, David Pereira;Lopes, H. de Souza;
Memórias do Instituto Oswaldo Cruz , 1984, DOI: 10.1590/S0074-02761984000400003
Abstract: systematic collection of sarcophagidae was made between may 1980 and april 1981 with two types of traps and five different baits. twenty-five species were represented amingst the 9,592 specimens identified. the results are analysed to determine the attractiveness of different baits for sarcophagidae in general and for each of the species obtained. for the commonest species, attractiveness of baits is correlated to climatic conditions.
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