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Search Results: 1 - 10 of 564342 matches for " Fábio G. de Matos e; "
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Tratamento farmacológico do transtorno de personalidade limítrofe: revis?o crítica da literatura e desenvolvimento de algoritmos
Carvalho, André F.;Stracke, Cristiane B.;Souza, Fábio G. de Matos e;
Revista de Psiquiatria do Rio Grande do Sul , 2004, DOI: 10.1590/S0101-81082004000200007
Abstract: introduction: borderline personality disorder (bpd) is a psychiatric syndrome that causes significant morbidity and mortality to both inpatients and outpatients treated by mental health care providers. due to its relatively high prevalence in the psychiatric population, efforts are necessary to treat this problematic group of patients properly. objective: the aim of this paper is to review current evidence of the effectiveness of the various pharmacological approaches employed as part of the treatment plan designed for individuals coping with this illness. methods: for this purpose, the medline database was searched for clinical trials from 1986 to 2003. "borderline personality disorder" and "clinical trials" were used as descriptors. results: numerous works were retrieved, but very few controlled trials were available. noteworthy is the fact that virtually all classes of psychopharmacological agents were tested in this set of patients, often with modest and variable outcomes. due to methodological limitations observed in the vast majority of trials involving specific drugs in this group of patients, it was difficult to estimate the real benefit of the several agents tested. the most robust evidence exists for selective serotonin reuptake inhibitors, antipsychotics and divalproex. discussion: clearly, more well-designed clinical trials are needed, but the data reviewed suggest that drugs are effective in the treatment of target symptoms in these patients. psychotropics are useful when used in association with the psychotherapeutic approaches usually employed with borderline patients.
Tratamento da depress?o
Souza, Fábio Gomes de Matos e;
Revista Brasileira de Psiquiatria , 1999, DOI: 10.1590/S1516-44461999000500005
Abstract: the antidepressant treatment should be accomplished considering the patient?s biological, psychological and social aspects. in average, there are no significant differences in terms of efficacy among the different antidepressants but the profile in terms of collateral effects, price, suicide risk, tolerability shows great variation which implies in differences in the effectiveness of drugs for each patient. the therapy, therefore, should be individualized. the prophylactic prescription of antidepressants will depend on the intensity and frequency of the depressive episodes. the suicide risk should always be evaluated and if necessary ect should be prescribed. there is no ideal antidepressant, however, there is a large variety of drugs acting through different mechanisms of action which allows the possibility of therapeutic success in resistant depressions.
Tratamento do transtorno bipolar: eutimia
Souza, Fábio Gomes de Matos e;
Revista de Psiquiatria Clínica , 2005, DOI: 10.1590/S0101-60832005000700010
Abstract: bipolar disorder is a complex disorder characterized by depression episodes, mania or hypomania and asymptomatic phases. the treatment aims at the control of acute episodes and prevention of new episodes. the pharmacological treatment was inaugurated with lithium. until the moment, lithium remains as the treatment with more favorable evidences in the maintenance phase. other treatments demonstrate efficacy in this phase, as valproate, carbamazepine and atypical antipsychotics. of the atypical antipsychotics, the most studied in this phase of treatment is olanzapine. more prospective studies are necessary to confirm prophylactic action of new agents.
Tratamento da depress o
Souza Fábio Gomes de Matos e
Revista Brasileira de Psiquiatria , 1999,
Abstract: O tratamento antidepressivo deve ser realizado considerando os aspectos biológicos, psicológicos e sociais do paciente. Na média, n o há diferen as significativas em termos de eficácia entre os diferentes antidepressivos mas o perfil em termos de efeitos colaterais, pre o, risco de suicídio, tolerabilidade varia bastante o que implica em diferen as na efetividade das drogas para cada paciente. A conduta, portanto, deve ser individualizada. A prescri o profilática de antidepressivos irá depender da intensidade e freqüência dos episódios depressivos. O risco de suicídio dever ser sempre avaliado e se necessário o ECT deverá ser indicado. N o há antidepressivo ideal, entretanto, atualmente existe uma disponibilidade grande de drogas atuando através de diferentes mecanismos de a o o que permite que, mesmo em depress es consideradas resistentes, o tratamento possa obter êxito.
Qualidade de vida e depress?o em mulheres vítimas de seus parceiros
Adeodato,Vanessa Gurgel; Carvalho,Racquel dos Reis; Siqueira,Ver?nica Riquet de; Souza,Fábio Gomes de Matos e;
Revista de Saúde Pública , 2005, DOI: 10.1590/S0034-89102005000100014
Abstract: objective: to evaluate quality of life and depression among women who suffer domestic violence and to describe the socioeconomic profile of women who were abused by their partners and aspects of these abuses. methods: the study sample comprised 100 women who were abused by their partners and filed a complaint at the police office for women of the state of ceará, brazil. three questionnaires were applied: one for collecting demographic and violence data; the second one (ghq-28) one to evaluate general quality of life; and the third one (beck) to quantify depression. results: abused women are young, married, catholic, have children, low schooling and low family income. alcohol use and jealousy were the main reported factors leading to partner's abuse. of all, 84% of women suffered physical attacks. it was observed that 72% had depression symptoms; 78% had anxiety symptoms and insomnia; 39% had already thought of killing themselves, and 24% started taking anxiety medications after been abused. conclusions: data analysis suggests that domestic violence is associated with a negative perception by women of their mental heath.
Qualidade de vida e depress o em mulheres vítimas de seus parceiros
Adeodato Vanessa Gurgel,Carvalho Racquel dos Reis,Siqueira Ver?nica Riquet de,Souza Fábio Gomes de Matos e
Revista de Saúde Pública , 2005,
Abstract: OBJETIVO: Avaliar a qualidade de vida e depress o nas mulheres vítimas da violência doméstica; estabelecer o perfil socioecon mico da mulher agredida pelo parceiro e as particularidades das agress es sofridas. MéTODOS: A amostra constituiu-se de 100 mulheres que sofreram agress o de seus parceiros e que prestaram queixa na Delegacia da Mulher do Ceará. Foram aplicados três questionários: o primeiro visa a obter dados demográficos e sobre a violência sofrida; o segundo (GHQ-28), sobre a qualidade de vida em geral; e o terceiro (Beck), quantifica o grau de depress o. RESULTADOS: O perfil da mulher agredida é: jovem, casada, católica, tem filhos, pouco tempo de estudo e baixa renda familiar. álcool e ciúme foram os fatores mais referidos como desencadeantes das agress es, tendo 84% das mulheres sofrido agress o física. Foi observado que 72% delas apresentaram quadro sugestivo de depress o clínica; 78% tinham sintomas de ansiedade e ins nia; 39% já pensaram em suicídio e 24% passaram a fazer uso de ansiolíticos após o início das agress es. CONCLUS ES: A análise dos dados sugere que a violência doméstica está associada a uma percep o negativa da saúde mental da mulher.
Surgical myocardial revascularization of patients with ischemic cardiomyopathy and severe left ventricular disfunction
Hovnanian, André L.;Soeiro, Alexandre de Matos;Serrano Jr, Carlos Vicente;Oliveira, Sérgio Almeida de;Jatene, Fábio B.;Stolf, Noedir A. G.;Ramires, José A. F.;
Clinics , 2010, DOI: 10.1590/S1807-59322010000100002
Abstract: objective: to determine long-term survival, identify preoperative factors predictive of a favorable outcome, and assess functional improvement after coronary artery bypass grafting in patients with advanced left ventricular dysfunction. methods: between 1995 and 2001, 244 patients who underwent coronary artery bypass grafting and had a preoperative left ventricular ejection fraction less than or equal to 35% were included. left ventricular ejection fraction was determined by uniplanar or biplanar ventriculography during left heart catheterization. indication for surgery was predominance of tissue viability. functional improvement was evaluated through echocardiography and gated scintigraphy at exercise/ rest. survival was determined by kaplan-meier analysis. results: mean left ventricular ejection fraction was 29±4% (ranged from 9% to 35%). an average of 3.01 coronary bypass grafts per patient were performed. in-hospital mortality was 3.7% (9 patients). the 4-year survival rate was 89.7%. multivariate correlates of favorable short- and long-term outcome were preoperative new york heart association funcional classification for congestive heart failure class i/ii, lower pasp, higher left ventricular ejection fraction and gated left ventricular ejection fraction ex/rest ratio >5%. left ventricular ejection fraction rise from 32±5% to 39±5%, p <0.001. gated left ventricular ejection fraction at exercise/ rest increased markedly after surgery: from 27±8%/ 23±7% to 37±5%/ 31±6%, p <0.001. conclusions: in selected patients with severe ischemic left ventricular dysfunction and predominance of tissue viability, coronary artery bypass grafting may be capable of implement preoperative clinical/ functional parameters in predicting outcome as left ventricular ejection fraction and gated left ventricular ejection fraction at exercise/ rest.
Cataract occurrence in patients treated with antipsychotic drugs
Souza, Valéria Barreto Novais e;Moura Filho, Francisco José Rodrigues de;Souza, Fábio Gomes de Matos e;Rocha, Camila Farias;Furtado, Fernando Ant?nio Mendes Lopes;Gon?alves, Tiago Bessa Almeida;Vasconcelos, Karla Feitosa Ximenes;
Revista Brasileira de Psiquiatria , 2008, DOI: 10.1590/S1516-44462008000300008
Abstract: objective: typical antipsychotic drugs, mainly phenothiazines, have been associated with cataract formation for over forty years. recently, there has been a concern about atypical antipsychotic drugs' potential for inducing this lenticular pathology. accordingly, we sought to determine the cataract rate and other ocular side effects in patients on long-term therapy with antipsychotic drugs. method: eighty outpatients with dsm-iv diagnosis of schizophrenia from two settings who met pre determined inclusion criteria were submitted to an ophthalmological evaluation for ocular abnormalities with emphasis in the lens and cornea. they were divided into two groups: group 1 (n = 52) comprised patients who had been predominantly on typical antipsychotics for at least two years and group 2 (n = 28) patients who had been predominantly on atypical antipsychotics for at least two years. results: cataract was found in 26 patients (33%) with predominance of anterior capsular cataract. the cataract rate among patients from group 1 (40%) was higher than among those from group 2 (18%). visual acuity was reduced in 21 patients (26%). no changes were observed neither in the cornea nor in the retina. conclusions: patients using antipsychotic drugs should be submitted to a periodic ophthalmological evaluation.
Reproduction of the Brazilian snapper, Lutjanus alexandrei Moura & Lindeman, 2007 (Perciformes: Lutjanidae), off the northern coast of Pernambuco, Brazil
Fernandes, Cezar A. F.;Oliveira, Paulo G. V. de;Travassos, Paulo E. P.;Hazin, Fábio H. V.;
Neotropical Ichthyology , 2012, DOI: 10.1590/S1679-62252012005000022
Abstract: reproductive aspects of the brazilian snapper lutjanus alexandrei, were characterized, including a description of the development of oocytes and spermatogenic cells, size at first sexual maturity, and fecundity. a total of 540 fish were analyzed with 250 having their gonads sectioned to allow microscopic evaluation. six maturity stages were identified for females and males: immature, maturing, mature, spawning, spawned, and resting. fish standard length (sl) varied from 13.0 to 28.3 cm and sex ratio was 1.6 males: 1.0 females. monthly distributions of mean gonadosomatic index (gsi) and maturity stages suggest that spawning occurs mainly in a protracted period, during the warmer months, from november to march. the size of first sexual maturity was estimated at 17.1 cm sl for females and 16.8 cm sl for males. oocyte development suggests that l. alexandrei exhibits a multiple batch spawning behavior and batch fecundity varied from 34,000 to 324,000 oocytes.
Reproduction of the Brazilian snapper, Lutjanus alexandrei Moura & Lindeman, 2007 (Perciformes: Lutjanidae), off the northern coast of Pernambuco, Brazil
Cezar A. F. Fernandes,Paulo G. V. de Oliveira,Paulo E. P. Travassos,Fábio H. V. Hazin
Neotropical Ichthyology , 2012,
Abstract: Reproductive aspects of the Brazilian snapper Lutjanus alexandrei, were characterized, including a description of the development of oocytes and spermatogenic cells, size at first sexual maturity, and fecundity. A total of 540 fish were analyzed with 250 having their gonads sectioned to allow microscopic evaluation. Six maturity stages were identified for females and males: immature, maturing, mature, spawning, spawned, and resting. Fish standard length (SL) varied from 13.0 to 28.3 cm and sex ratio was 1.6 males: 1.0 females. Monthly distributions of mean Gonadosomatic Index (GSI) and maturity stages suggest that spawning occurs mainly in a protracted period, during the warmer months, from November to March. The size of first sexual maturity was estimated at 17.1 cm SL for females and 16.8 cm SL for males. Oocyte development suggests that L. alexandrei exhibits a multiple batch spawning behavior and batch fecundity varied from 34,000 to 324,000 oocytes. Os aspectos reprodutivos da baúna-de-fogo Lutjanus alexandrei foram caracterizados, incluindo a descri o do desenvolvimento dos ovócitos e células espermatogênicas, do tamanho de primeira matura o sexual, e da fecundidade. Um total de 540 peixes foi analisado, dos quais 250 tiveram as suas g nadas seccionadas para avalia o microscópica. Seis estágios de maturidade sexual foram determinados para fêmeas e machos: imaturo, em matura o, maduro, desovando, desovado e repouso. O comprimento padr o (CP) dos peixes variou de 13,0 a 28,3 cm e a propor o sexual foi de 1,6 machos: 1,0 fêmeas. As distribui es mensais dos valores médios do índice Gonadosomático (IGS) e dos estágios de maturidade sexual sugerem a ocorrência de desovas em um período prolongado, principalmente nos meses de temperaturas mais quentes, entre novembro e mar o. O tamanho médio de primeira matura o sexual foi estimado em 17,1 cm CP para as fêmeas e 16,9 cm CP para os machos. O padr o de desenvolvimento dos ovócitos sugere que L. alexandrei exibe comportamento de múltiplas desovas por lote, e a fecundidade variou entre 34.000 a 324.000 ovócitos.
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