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Search Results: 1 - 10 of 72722 matches for " Eliana Maria Restum;Wagngner "
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Efeitos da administra??o diária da associa??o estavudina/nelfinavir sobre os fetos e placentas da rata albina
Carvalho, Gisela Maria Vieira Rodrigues de;Nakamura, Mary Uchiyama;Sim?es, Ricardo Santos;Antonio, Eliana Maria Restum;Wagngner, Adriana;Fontes, Tereza Maria Pereira;Kulay Júnior, Luiz;
Revista Brasileira de Ginecologia e Obstetrícia , 2011, DOI: 10.1590/S0100-72032011000500004
Abstract: purpose: to evaluate the effect of administration of a stavudine/nelfinavir combination on the rat pregnancy by assessing maternal and concepts weights, as well as the number of implantations, fetuses, placentas, resorptions and maternal and fetal mortality. methods: forty adult pregnant wistar rats of the epm-1 strain were randomly divided into four groups: control (gctrl - drug vehicle control, n=10), and three experimental groups, which were treated with an oral solution of stavudine/nelfinavir (expi - 1/40 mg/kg b.w., n=10; expii - 3/120 mg/kg b.w., n=10; expiii - 9/360 mg/kg b.w., n=10) from day 0 to the 20th day of pregnancy. maternal body weights were determined at the start of the experiment and on the 7th, 14th and the 20th day thereafter. at term (20th day) the rats were anesthetized and, upon laparotomy and hysterotomy, the number of implantations, resorptions, living fetuses, placentae and intrauterine deaths were recorded. the collected fetuses and placentae were weighed and the concepts were examined under a stereomicroscope for possible external malformations. statistical analysis was performed by analysis of variance (anova) complemented by the kruskal-wallis test (p<0.05). results: there was a progressive and gradual increase in body weight during the course of pregnancy in all groups, which was more evident in the final period, but with no significant difference between groups. the mean number of fetuses, placentas, implantations, and fetal and placental weights showed no significant differences between groups. also, no resorptions or external malformations were found in the experimental groups. however, between the 8th and 14th days of gestation, there was one case of maternal mortality in each experimental group. conclusions: the administration of a stavudine/nelfinavir combination had no deleterious effects on the concepts.
A ética médica sob o viés da bioética: o exercício moral da cirurgia
Antonio, Eliana Maria Restum;Fontes, Tereza Maria Pereira;
Revista do Colégio Brasileiro de Cirurgi?es , 2011, DOI: 10.1590/S0100-69912011000500013
Abstract: the professional practice of medicine today has a strong biological approach due to the increasing specialization of medical science. often, science itself does not help to address and resolve a particular situation of a medical professional, and this is where human and social sciences, and especially other disciplines such as bioethics, can give a more humane and socialist approach, by systematically studying human behavior in the field of life and health sciences, considering moral values and principles. as part of this study, the segment that is limited to the analysis of ethical conflicts arising from the practice of medicine and patient care is known as medical ethics. medical ethics, in the context of surgery, involves the integration of the surgical patient with the nature of the surgeon, influenced by his training and experience, his sensitivity to identify what is right. ethics should not only be in the procedure, the surgery itself or in what happens in an operating room or even in the exercise of surgery as a specialty. ethics must be in the life and conduct of the surgeon, so that all life and professional acts should be ethically valid.
Política e medicina social no Chile: narrativas sobre uma rela??o difícil
Labra, Maria Eliana;
História, Ciências, Saúde-Manguinhos , 2000, DOI: 10.1590/S0104-59702000000200002
Abstract: the article examines the conditions in chile that fostered development of a social medicine doctrine defended by the left. this doctrine influenced the legal, institutional, and technical construction of the servi?o nacional de saúde (sns) in 1952. central to the workings of the democratic regime (up until 1973) and to the free and open public discussion of national projects of a socializing nature was a party system that encompassed the entire ideological spectrum. the pioneering creation of workers social security in 1924 is underscored. likewise of import was the emergence of transformational proposals regarding the health-assistance model that it consolidated. ensuing conflicts were finally overcome following world war ii, under the influence of england?s national health service. chilean political culture yielded the consolidation of lasting concepts in social medicine but created barriers to the project to build a universalized sanitary-medical system, intended to provide integral care to all citizens.
Proposi??es para o estudo da rela??o entre política, burocracia e administra??o no setor saúde brasileiro
Labra, Maria Eliana;
Cadernos de Saúde Pública , 1988, DOI: 10.1590/S0102-311X1988000100003
Abstract: this article discusses: first, the importance of including the political dimension in the institutional diagnose, since the rationale of governmental decisions and actins is that of the conflictant interest e struggle for spaces of power in side the state bureaucracy rather than the logics of rational and neutral technical-administrative plans. second reviews the concept o f bureaucracy from different theoretical approaches so as to show new analytical possibilities for public administration studies. third, focuses "sanitary bureaucracy" as an analytical unity to be investigated and understood at the lights of the conceptual framework already discussed. finally, points out the relevance of the approach not only for public health administration research and teaching but also for designing tactical-operational plans to viabilize the brazilian sanitary reform.
Capital social y consejos de salud en Brasil: ?un círculo virtuoso?
Labra, Maria Eliana;
Cadernos de Saúde Pública , 2002, DOI: 10.1590/S0102-311X2002000700006
Abstract: this article begins by discussing the concept of social capital and its applications and limitations. second, it examines these theoretical contributions as approaches actually used by scholars to analyze the disenchantment with the fragile political institutions and citizens' apathy that emerged together with re-democratization processes in latin america. third, it focuses on the role of the brazilian health councils, seeking insights from this vast and rich experience of popular mobilization and participation to shed light on the councils' contributions in fostering behaviors inherent to social capital, such as civic values and cooperation.
La reinvención neoliberal de la inequidad en Chile: el caso de la salud
Labra, Maria Eliana;
Cadernos de Saúde Pública , 2002, DOI: 10.1590/S0102-311X2002000400010
Abstract: this paper examines the main changes in the chilean health system from the 1920s to the present, identifying contradictions, limits, and successes in terms of policy outcomes. taking equity as the central theme, the analysis focuses on decisions made from the mid-1920s until 1973 in moving toward socialized medicine, with the sudden interruption of this process by the military coup in 1973. the author then discusses the set of regressive measures taken by authoritarian neoliberalism, with the help of pinochet, to insert health into the market economy. finally, the article analyzes efforts made by democratic administrations since 1990 to redress the legacy of socioeconomic inequalities, focusing on the commitment to rebuild the health care system with a new basis in equity, solidarity, and people's participation.
Política e saúde no Chile e no Brasil: contribui??es para uma compara??o
Labra,Maria Eliana;
Ciência & Saúde Coletiva , 2001, DOI: 10.1590/S1413-81232001000200007
Abstract: this work analyses the main political aspects of transformations in the health systems of chile and brazil in the xx century, emphasizing the chilean neo-liberal "modernizations" in the 80s under the pinochet dictatorship, and, in the same decade, the brazilian reforms during the democratic transition initiated after almost 20 years of military rule. political development is pointed to as a relevant dimension in the explanation of the differences in policy-making and, thus, in the configuration of each health system. last but not least, it is postulated that the historical legacy of each health institutional construct challenges changes both under democratic and authoritarian regimes.
Padr?es de formula??o de políticas de saúde no Chile no século XX
Labra, Maria Eliana;
Dados , 2000, DOI: 10.1590/S0011-52582000000100005
Abstract: based on policy-making models that blend the pluralist, neocorporatist, and neopluralist approaches, the article examines decision-making patterns in the health policy arena in 20th century chile. during this period, chile?s political development saw three characteristic phases: liberal democracy, military dictatorship, and "neo-democracy". accompanying these phases, the article analyzes how health policies have been shaped and what forms of interest mediation physicians have employed since 1924, when laborers social insurance was implemented. lastly, it offers some hypotheses regarding the decision-making and organizational formats prevalent in the health care sector during the 1990s.
Análise de políticas, modos de policy-making e intermedia??o de interesses: uma revis?o
Labra, Maria Eliana;
Physis: Revista de Saúde Coletiva , 1999, DOI: 10.1590/S0103-73311999000200008
Abstract: this article focuses on policy-making analysis from the following theoretical views: (1) social order and regulation of conflict, particularly the associative dimension as an additional institutional basis to the classical ones, namely, community, economic/political market and state/bureaucracy. (2) neo- institutionalist currents. (3) sociological, political regime, coalitions and international system approaches. (4) analytical elements such as agenda, actors, arenas, processes and outcomes. (5) pluralist, neocorporatist and neopluralist theorizations and connections between modes of policy-making and organized interest intermediation.
Associativismo no setor saúde brasileiro e organiza??es de interesse do empresariado médico
Labra, Maria Eliana;
Physis: Revista de Saúde Coletiva , 1993, DOI: 10.1590/S0103-73311993000200008
Abstract: the article reflects on the chances of constructing a social pact, or forms of concertation. among organized actors in the health sector. in light of implementation of the unified health-care system [sistema único de saúde] and of associated impasses. the discussion addresses theoretical aspects raised by the neocorporatist perspective regarding state/civil society relations. the associative dimensions of the social order. political exchange between the public and private realms, and the mediation of organized interests in policy-making within contemporary democracies. in an overview of the pattern of interest organization as historically structured in brazil, the hybrid. or dual, format of representation is highlighted. by reference to a synoptic table illustrating the evolution of sectoria! associativism vis-à-vis that of health policies, an examination is made of such characteristics as representation formats [dual, trichotomic] and the density of the constellation of associations representing the interests of professions, the producers of health technology. and. in particular, the medical/health-care industry. las-tly, given the stage of maturity and complexity of the universe under analy-sis. questions are raised as to the potential political efficaciousness of the health board [conselho de saúde] as an indepartamento de ciências humanas e saúdestrument meant to achieve struc-tural and cultural transformation within the health-care system and as to whether it is the most suitable locus for the collective concertation between the organized interests represented therein.
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