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Search Results: 1 - 10 of 463823 matches for " Edna Márcia da Silva "
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The evaluation of swallowing in patients with spinocerebellar ataxia and oropharyngeal dysphagia: a comparison study of videofluoroscopic and sonar doppler
Abdulmassih, Edna Márcia da Silva;Teive, Hélio Afonso Ghizoni;Santos, Rosane Sampaio;
International Archives of Otorhinolaryngology , 2013, DOI: 10.7162/S1809-97772013000100012
Abstract: introduction: spinocerebellar ataxia (sca) is a degenerative disease that can cause loss of coordination of voluntary muscle movement such as that required for swallowing. aims: the purposes of this cross-sectional and comparative case study were: (1) to assess the severity of dysphagia through a videofluoroscopic swallow study, and (2) to compare differences in frequency, intensity, and duration of sound waves produced during swallowing in normal and sca patients by using sonar doppler. method: during swallow evaluation using videofluoroscopy, a sonar doppler transducer was placed on the right side of the neck, at the lateral edge of the trachea, just below the cricoid cartilage to capture the sounds of swallowing in 30 sca patients and 30 controls. result: the prevalence in the dynamic evaluation of swallowing videofluoroscopy was by changes in the oral phase of swallowing. the analysis of variance of the averages found in each variable - frequency, intensity and duration of swallowing - shows there was a significant correlation when compared to the healthy individual curve. conclusion: the study demonstrates the prevalence of oral dysphagia observed in dynamic videofluoroscopic swallow evaluation. in patients with sca, the mean initial frequency (if), initial intensity (ii), and final intensity (fi) were higher and the time (t) and peak frequency (pf) were lower, demonstrating a pattern of cricopharyngeal opening very close to that found in normal populations.
Evolution of patients with oropharyngeal dysphasia in hospital environment
Abdulmassih, Edna Márcia da Silva,Macedo Filho, Evaldo Dacheux,Santos, Rosane Sampaio,Jurkiewicz, Ari Leon
International Archives of Otorhinolaryngology , 2009,
Abstract: Introduction: Neurogenic etiology oropharyngeal dysphagia may lead to clinical malnutrition, laryngotracheal damage, and result in aspirative bronchopneumonia. This condition is present in the evaluations routine of the phonoaudiologist who works in hospitals with post CVA (cerebral vascular accident) patients. Objective: The objective of this study is to evaluate the evolution of neurogenic oropharyngeal dysphagia patients after CVA, during interment period until hospital discharge, and to analyze the dysphagia degree before treatment; diagnostic tools; phonoaudiologic routines; state o the patients upon discharge. Method: Thirty-nine (39) patients were studied from December 2003 through June 2004 complaining of deglutition disorder, that indicates dysphagia. A standardized protocol was prepared for collection of clinical data. Conclusion: The results allowed to conclude that there was moderate degree dysphagia, followed of light and severe degrees; in the instrumental diagnosis there was a prevalence of laryngeal aspiration, followed of a change in the oropharyngeal phase, laryngeal penetration, change in the deglutition oral phase; in the phonoaudiological procedures, the food manipulation presented excellent results followed of postural and protective maneuvers; upon hospital discharge there was a prevalence of individuals who had a good level clinical state and were eating orally with some postural and/or food consistency modifications without the use of probe, followed by those who presented a regular level beginning the oral diet with the use of probe, but able to be discharged between 30 to 60 days after the hospital period.
The evaluation of swallowing in patients with spinocerebellar ataxia and oropharyngeal dysphagia: A comparison study of videofluoroscopic and sonar doppler
Abdulmassih, Edna Márcia da Silva,Teive, Hélio Afonso Ghizoni,Santos, Rosane Sampaio
International Archives of Otorhinolaryngology , 2013,
Abstract: Introduction: Spinocerebellar ataxia (SCA) is a degenerative disease that can cause loss of coordination of voluntary muscle movement such as that required for swallowing. Aims: The purposes of this cross-sectional and comparative case study were: (1) to assess the severity of dysphagia through a videofluoroscopic swallow study, and (2) to compare differences in frequency, intensity, and duration of sound waves produced during swallowing in normal and SCA patients by using sonar Doppler. Method: During swallow evaluation using videofluoroscopy, a sonar Doppler transducer was placed on the right side of the neck, at the lateral edge of the trachea, just below the cricoid cartilage to capture the sounds of swallowing in 30 SCA patients and 30 controls. Result: The prevalence in the dynamic evaluation of swallowing videofluoroscopy was by changes in the oral phase of swallowing. The analysis of variance of the averages found in each variable - frequency, intensity and duration of swallowing - shows there was a significant correlation when compared to the healthy individual curve. Conclusion: The study demonstrates the prevalence of oral dysphagia observed in dynamic videofluoroscopic swallow evaluation. In patients with SCA, the mean initial frequency (IF), initial intensity (II), and final intensity (FI) were higher and the time (T) and peak frequency (PF) were lower, demonstrating a pattern of cricopharyngeal opening very close to that found in normal populations.
Evolu o de pacientes com disfagia orofaríngea em ambiente hospitalar
Abdulmassih, Edna Márcia da Silva,Macedo Filho, Evaldo Dacheux,Santos, Rosane Sampaio,Jurkiewicz, Ari Leon
Arquivos Internacionais de Otorrinolaringologia , 2009,
Abstract: Introdu o: A disfagia orofaríngea de etiologia neurogênica pode causar risco clínico nutricional e comprometimento laringo traqueal por aspira o, podendo culminar em broncopneumonia aspirativa. Esta condi o está presente na rotina das avalia es do fonoaudiólogo que atua em ambiente hospitalar junto a pacientes pós acidente vascular encefálico (AVE). Objetivo: O objetivo deste estudo foi avaliar a evolu o de pacientes portadores de disfagia orofaríngea neurogênica pós AVE, durante o período de interna o até o momento da alta hospitalar, analisando grau da disfagia no pré-tratamento; diagnóstico instrumental; condutas fonoaudiológicas; condi es do paciente na alta hospitalar. Método: Foram estudados 39 pacientes no período de dezembro de 2003 a junho de 2004, com queixa de dificuldade de degluti o sugestiva de disfagia. Foi elaborado um protocolo padronizado para a coleta dos dados clínicos. Conclus o: Os resultados permitiram concluir que: houve prevalência da disfagia de grau moderado, seguida pelos graus leve e severo; no diagnóstico instrumental ocorreu à prevalência de aspira o laríngea, seguida de altera o na fase orofaríngea, penetra o laríngea, altera o na fase oral da degluti o; nas condutas fonoaudiológicas a manipula o de alimentos apresentou excelente resultado seguida das manobras posturais e das manobras protetivas; na alta hospitalar a prevalência foi de sujeitos que apresentaram estado clínico de nível bom, alimentando-se por via oral, com algumas modifica es posturais e/ou da consistência alimentar sem o uso de sonda, seguido pelos que apresentaram nível regular, iniciando com dieta via oral fazendo uso de sonda, mas com possibilidade de retirada entre 30 a 60 dias do período hospitalar.
Aspectos das fortalezas e fragilidades no uso das metodologias ativas de aprendizagem
Marin, Maria José Sanches;Lima, Edna Flor Guimar?es;Paviotti, Ana Beatriz;Matsuyama, Daniel Tsuji;Silva, Larissa Karoline Dias da;Gonzalez, Carina;Druzian, Suelaine;Ilias, Mércia;
Revista Brasileira de Educa??o Médica , 2010, DOI: 10.1590/S0100-55022010000100003
Abstract: new teaching-learning methods have been implemented at the marília school of medicine (famema) in brazil for more than a decade. the current study analyzes the strengths and weaknesses of active learning methods from the students' perspective. data were collected through interviews with nursing and medical students. the data were interpreted using dialectical hermeneutics. the meanings extracted from the students' speech acts indicate that the active methodologies encourage constant study, independence, and responsibility, and allow the integration of biopsychosocial dimensions, prepare the students for team work, and foster closer contact between the students and users and staff. however, not all students are prepared for this experience. some feel lost in their search for know ledge, in addition to displaying difficulties in their integration with the health team. building and improving new learning models requires constant effort.
Composi??o química de forrageiras e seletividade de bovinos em bosque-de-sabiá (Mimosa caesalpiniifolia Benth.) nos períodos chuvoso e seco
Vieira, Ednéia de Lucena;Carvalho, Francisco F. Ramos de;Batista, ?ngela Maria Vieira;Ferreira, Rinaldo Luiz C.;Santos, Mércia Virgínia Ferreira dos;Lira, Mário de Andrade;Silva, Maria José da;Silva, Edna Maria Bonfim da;
Revista Brasileira de Zootecnia , 2005, DOI: 10.1590/S1516-35982005000500010
Abstract: this trial was carried out from june 1999 to march 2000 to evaluate the chemical composition of samples of sabiá legume (mimosa caesalpiniaefolia benth.), with and without thorns, collected in the rainy and dry seasons and to compare the botanical composition of sabiá pasture with that of the diet selected by the grazing animals. no significant difference was observed in chemical composition between samples of sabiá with and without thorns. the mean values obtained in the rainy samples were: 26.45% drymatter (dm), 27.63% crude protein (cp), 44.39% neutral detergent fiber (ndf), 25.80% acid detergent fiber (adf), 1.24% calcium (ca), 0.22% phosphorus (p), 1.63% potassium (k) and 1.12% sodium (na). in the dry period samples, the mean values observed were: 42.39% dm, 19.30% cp, 39.05% ndf, 21.83% adf, 1.25% ca, 0.15% p, 1.63% k and 0.27% na. considering the botanical composition, the rainy extrusa sample showed higher participation of sabiá (83.1%) as compared to the dry period (12.3%). during the rainy period, the animals selected sabiá in higher quantity while the hand plucked samples overestimated the dietary fiber fraction as compared to values for the extrusa samples.
Poder local: conceito e exemplos de estudos no Brasil
Silva, Márcia da;
Sociedade & Natureza , 2008, DOI: 10.1590/S1982-45132008000200004
Abstract: the study of the diverse forms of being able (and its theories), amongst them of the state they are related, in this text, to the boarding and the expressed singularities in the local power. this is understood not as a located and locatable territorial clipping, but as a space with proper history and memory, identities and practical determined politics, that is, socially constructed. what if it can consider, in view of the carried through inquiry is that, as in the too much instances partner-territorial also in the local power (and perhaps until much more in it), it is uneven a plurality of being able that if they debate or if they associate (depends on the objective and the moment), as of the state, the elites, them micron-powers, the symbolic power, the power of influence etc. in this direction, shows performance to it of the same ones in decisions real, imposed or offered for some actors and taken care of or not for others and, then, the alliances and the conflicts.
PODER LOCAL: CONCEITO E EXEMPLOS DE ESTUDOS NO BRASIL
Márcia da Silva
Revista Sociedade & Natureza , 2008,
Abstract: The study of the diverse forms of being able (and its theories), amongst them of the State they arerelated, in this text, to the boarding and the expressed singularities in the local power. This is understoodnot as a located and locatable territorial clipping, but as a space with proper history and memory,identities and practical determined politics, that is, socially constructed. What if it can consider, inview of the carried through inquiry is that, as in the too much instances partner-territorial also in thelocal power (and perhaps until much more in it), it is uneven a plurality of being able that if they debateor if they associate (depends on the objective and the moment), as of the State, the elites, them micronpowers,the symbolic power, the power of influence etc. In this direction, shows performance to it of thesame ones in decisions real, imposed or offered for some actors and taken care of or not for others and,then, the alliances and the conflicts.
Grupo focal em pesquisa qualitativa sobre leitura com jovens
Silva, Márcia Cabral da;
Educar em Revista , 2012, DOI: 10.1590/S0104-40602012000100012
Abstract: this paper describes a qualitative research about reading with youths in the educational fields using focus groups methodology. the concept of focus groups was described and analyzed in the light of the social historical perspective of language. furthermore, this text discusses the challenges and the ethical concerns regarding this methodology.
História e culturas políticas: as concep??es jurídicas evocadas pelos governos militares enquanto instrumento de obten??o de legitimidade
Silva, Márcia Pereira da;
História (S?o Paulo) , 2009, DOI: 10.1590/S0101-90742009000200002
Abstract: this article proposes to analyse the period of brazilian military governments (1964-1985) under the view of lawfulness culture. we intend to show how the take of political power in 1964, far of being considered just the invest of the force and of the will, it was based into a juridical effort engagement, made upon a determined theory of constitutional right with emphasis in the thought of carl schmitt and hans kelsen.
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