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Search Results: 1 - 10 of 179671 matches for " Hermes de Freitas;Reis "
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Fatores de risco para infec??es de sítio cirúrgico em pacientes operadas por cancer de mama
Barbosa, Hermes de Freitas;Reis, Francisco José Candido dos;Carrara, Hélio Humberto Angotti;Andrade, Jurandyr Moreira de;
Revista Brasileira de Ginecologia e Obstetrícia , 2004, DOI: 10.1590/S0100-72032004000300009
Abstract: purpose: to identify the risk factors associated with the occurrence of surgical site infection (ssi) in surgeries for the treatment of breast cancer. methods: the study was conducted on 140 women submitted to treatment of invasive breast cancer during the period from january 2001 to december 2002. ssi was defined as infection occurring up to 30 days after surgery and was related to the operation, according to the standard criteria adopted by the centers for disease control and prevention (cdc), usa. ssi were considered to be superficial when they involved only the skin and subcutaneous tissue and deep when they involved deep tissues at the site of incision, such as fascia and muscles. the risk factors related to patient were age, hormonal status, staging, body mass index (bmi) and hemoglobin, and the factors related to surgery were type of operation, time of hospitalization, duration of surgery, and formation of seroma and hematoma. data concerning numerical nonparametric variables were analyzed by the mann-whitney test and quantitative variables were analyzed by the fisher exact test. results: of the 140 patients studied, 29 (20.7%) presented ssi, which were superficial in 19 (13.6%) and deep in 10 (71%); 111 patients did not present ssi and represented the control group. the risk factors associated with the patient and the disease were locally advanced stage (odds ratio = 27; 95% ci: 1.1-6.5) and obesity, represented by a mean bmi of 32.2 kg/m2 in the patients with ssi and a mean bmi of 27.2 kg/m2 in the control group (p<0.0001). the factors related to treatment of the disease were the use of neoadjuvant chemotherapy (odds ratio = 2.7 (95% ci: 1.1-6.5), the duration of surgery, whose median value was 165 minutes for the patients who developed the infection and 137 minutes for the control group (p=0.02), and the number of days of use of the postoperative drain, whose median value was 6 days for the patients with ssi and 5 days for the control group (p=0.048). conc
Fatores de risco para infec es de sítio cirúrgico em pacientes operadas por cancer de mama
Barbosa Hermes de Freitas,Reis Francisco José Candido dos,Carrara Hélio Humberto Angotti,Andrade Jurandyr Moreira de
Revista Brasileira de Ginecologia e Obstetrícia , 2004,
Abstract: OBJETIVO: identificar os fatores de risco associados à ocorrência de infec o de sítio cirúrgico (ISC) em cirurgias para tratamento do cancer de mama. MéTODOS: foram incluídas 140 pacientes submetidas à cirurgia para tratamento do cancer invasor de mama, no período de janeiro de 2001 a dezembro de 2002. A infec o do sítio cirúrgico foi definida como aquela que ocorreu em até 30 dias após a cirurgia e esteve relacionada à mesma, segundo critérios-padr o adotados pelo CDC (Centers for Disease Control and Prevention - USA). As ISC foram consideradas superficiais quando envolviam somente pele e tecido subcutaneo, e profundas quando envolviam tecidos profundos da incis o, como fáscias e musculatura. Foram estudados fatores de risco associados às pacientes (idade, status hormonal, estadiamento, índice de massa corporal (IMC) e hemoglobina). Os fatores relacionados à cirurgia foram: tipo, tempo de interna o, dura o e forma o de seroma e hematoma. A análise estatística foi feita com o teste de Mann-Whitney (variáveis numéricas n o paramétricas) e teste exato de Fisher para variáveis quantitativas. RESULTADOS: do total de 140 pacientes incluídas, 29 (20,7%) apresentaram ISC, sendo 19 (13,6%) superficiais e 10 (7,1%) profundas; 111 pacientes n o apresentaram ISC, sendo consideradas como grupo controle. Os fatores de risco associados à paciente e à doen a foram o estádio localmente avan ado (odds ratio = 2,7; IC 95%: 1,1-6,5) e a obesidade representada pelo IMC médio de 32,2 kg/m2 nas pacientes com ISC e 27,2 kg/m2 no grupo controle (p<0,0001). Os fatores ligados ao tratamento da doen a foram o uso de quimioterapia neoadjuvante com odds ratio de 2,7 (IC 95%: 1,1-6,5), a dura o da cirurgia, que apresentou mediana de 165 minutos nas pacientes que desenvolveram a infec o e de 137 minutos no grupo controle (p=0,02), e o número de dias de utiliza o de dreno no pós-operatório, que teve mediana de 6 entre as pacientes com ISC e 5 no grupo controle (p=0,048). CONCLUS O: a partir da identifica o de fatores de risco como o estádio avan ado, a realiza o de quimioterapia neoadjuvante e a obesidade, pode-se refor ar a necessidade de cuidados pré-operatórios com estas pacientes. A utiliza o de técnica cirúrgica acurada pode reduzir o impacto dos outros fatores, ou seja, o tempo cirúrgico e o tempo de dreno.
Endometriose umbilical sem cirurgia pélvica prévia
Carvalho, Bruno Ramalho de;Silva, Júlio César Rosa e;Silva, Ana Carolina Japur de Sá Rosa e;Barbosa, Hermes de Freitas;Poli Neto, Omero Benedicto;Reis, Francisco José Candido dos;Nogueira, Ant?nio Alberto;
Revista Brasileira de Ginecologia e Obstetrícia , 2008, DOI: 10.1590/S0100-72032008000400002
Abstract: purpose: to present a series of cases of umbilical endometriosis in patients in reproductive age, with no previous pelvic surgery. methods: four patients aged between 33 and 43 years were included in the study. they all presented umbilical bleeding associated or not with pelvic pain, and medical history varied from two months to four years. abdominal wall ultrasound was performed for diagnosis support before surgical excision of the umbilical lesions, and histological examination was also performed. results: the ultrasonographic evaluation of the four patients showed hypoechogenic umbilical lesion suggestive of endometriosis. all patients were submitted to surgical excision and histological examination of the lesions. ca-125 serum levels were measured in three of the patients, but they were within normal ranges (from 6.8 to 10.1 u/ml). in addition to umbilical surgery, laparoscopy was performed in all patients, but only one presented concomitant pelvic endometriosis. in a one-year follow-up, patients maintained asymptomatic and there was no recurrence of the lesions. conclusions: umbilical endometriosis is a rare entity, but it may be remembered as a possibility in cases of umbilical nodulations or bleeding, even if there is no previous history of pelvic surgery with endometrial manipulation. its treatment is always surgical and, in general, it is enough to promote complete elimination of the lesion and of the symptoms.
Context and Challenges Regarding the Environmental Certification of Soy Production in the Matopiba Region of Brazil  [PDF]
Antonio Carlos Reis de Freitas, Thiago Buosi
American Journal of Industrial and Business Management (AJIBM) , 2018, DOI: 10.4236/ajibm.2018.810138
Abstract: Brazil has become one of the world’s largest grain producers and exporters by increasing productivity as well as expanding its agricultural frontiers in the last decades. Globally, the relevance of the consumer awareness of the need to preserve natural ecosystems is strengthened and consumer has demanded information from suppliers that demonstrate the sustainability of the productive chains. In the Matopiba region, the last agricultural frontier in the Brazilian Cerrado biome, soy producers are being encouraged to adhere to the responsible soy certification standard. This study evaluated three groups of certified soy producers. Field research has shown that farmers have common expectations: legitimacy, risk reduction, land valuation, and promotion of different modalities of access to the certification system.
Uso do spray de lidocaína em histeroscopia diagnóstica
Rosa e Silva, Júlio César;Nascimento, Areana Diogo;Silva, Ana Carolina Japur de Sá Rosa e;Poli Neto, Omero Benedicto;Barbosa, Hermes de Freitas;Reis, Francisco José Candido dos;Nogueira, Ant?nio Alberto;
Revista Brasileira de Ginecologia e Obstetrícia , 2007, DOI: 10.1590/S0100-72032007000400003
Abstract: purpose: to determine the efficacy of 10% lidocaine spray applied to the cervix before the procedure of diagnostic hysteroscopy, in order to reduce the painful process and the discomfort caused by the exam. methods: a total of 261 consecutive patients participated in the study, which was conducted from march 2004 to march 2005. the patients were randomly assigned to one of two groups: one group receiving topical lidocaine spray (lidocaine group - ldg) and the other, receiving no medication before the procedure (control group - cg). in the ldg patients, thirty milligrams of 10% lidocaine spray were applied to the surface of the cervix five minutes before hysteroscopy started. immediately, after the end of the procedure, the patients from both groups were asked to respond to a questionnaire about pain and to quantify the pain, in centimeters, using a 10-cm non-graduated visual analog scale. the unpaired t test, the mann-whitney test and the c2 test were used for statistical analyses, considering p significant if lower than 0.05. results: there was no statistically significant difference between groups regarding age, parity or percentage of patients in menacme or menopause, or regarding the indications for the procedure and the hysteroscopic findings. a biopsy was necessary in 57 of the 132 ldg patients and in 48 of the 129 cg patients (p=0.96). the mean pain score was 4.3±2.9 in ldg and 3.9±2.5 in cg (p=0.2). a difference in the mean pain score was observed only among patients in menacme and menopause receiving or not the lidocaine spray, with p=0.01 and p=0.04 respectively. conclusions: the use of lidocaine spray during diagnostic hysteroscopy does not minimize the discomfort and pain of the patients and therefore should not be applied.
Educa??o Ambiental: referências teóricas no ensino superior
Tozzoni-Reis, Marília Freitas de Campos;
Interface - Comunica??o, Saúde, Educa??o , 2001, DOI: 10.1590/S1414-32832001000200003
Abstract: this article discusses the theoretical assumptions present in the training of environmental educators in undergraduate courses. these assumptions define a theoretical picture when they are analyzed through the methodological reference of historical-dialectic materialism. this theoretical picture can be organized into natural, rational and historical concepts of the man-nature relation and of education, and analysis suggests methodological principles of curricular organization for these courses.
Temas ambientais como "temas geradores": contribui??es para uma metodologia educativa ambiental crítica, transformadora e emancipatória
Tozoni-Reis, Marília Freitas de Campos;
Educar em Revista , 2006, DOI: 10.1590/S0104-40602006000100007
Abstract: the emancipating and critical environmental education demands that knowledge must be adequate, build up in a dynamic, collective, cooperating, continuous, interdisciplinary, democratic and participating way directed to the construction of self-maintaining societies. this paper deals with environmental issues as generating issues for an environmental education inspired in paulo freire's pedagogy. according to him to educate is to know the reality in its experienced situations, as an ongoing critical process of closeness to the reality itself: to understand, to ponder, to criticize and to act are the intended pedagogical attitudes. the generating issues are strategic methods of a process of awareness about an oppressive reality in unequal societies. such issues are the starting point to the process of building up a discovery. the generating issues spring out of the popular knowledge, taken from the daily life of the educating ones in order to replace the traditional contents. the political aspect of paulo freire's pedagogy are to be seen in the generating issues insofar as these ones contemplate the social and political contents that are meaningful to the life of the educating people. in this way all the educating proposals should take into consideration the local environmental issues as generating issues to the desired consciousness. finally, it is important to say that the educating people should take part in defining and determining the issues that represent their interests as the content for an environmental and social action.
Ensino de ciências e forma??o profissional em saúde de nível médio: representa??es sociais e vis?es de ciência
Freitas, Jairo Dias de;Reis, Silvia Barreiros dos;
Ciência & Educa??o (Bauru) , 2011, DOI: 10.1590/S1516-73132011000300011
Abstract: the order and causality notions pervade the understanding of life matters even in a dogmatic perspective. that being so, it is plausible to study the justifications that make dogmatic view of science meaningful, often treated as scientism. based on a methodological triangulation, it has been carried out a qualitative study in order to map the elements that support such perspective by means of social representations, considering as alternative hypothesis an optimistic vision of science. working with first grade mid-level students of a technical course in health, we could observe the existence of certain elements of scientist discourse based on the conception of science knowledge as unique. therefore, it is fundamental to understand the history of scientific activity so as to contextualize science as human production.
Produ??o coletiva de conhecimentos sobre qualidade de vida: por uma educa??o ambiental participativa e emancipatória
Janke, Nadja;Tozoni-Reis, Marília Freitas de Campos;
Ciência & Educa??o (Bauru) , 2008, DOI: 10.1590/S1516-73132008000100010
Abstract: to connect the production of knowledge to the education is the great concern of the critical and emancipated environmental education. the collective perceptions and knowledge are essential in this construction. in this article, questions of quality of life are placed in the center of the argument that looks, less at the demand for improvements for the environment, and more at the mechanisms of the environmental educative action.
Educa??o ambiental para crian?as no ambiente urbano: uma proposta de pesquisa-a??o
Reigada, Carolina;Reis, Marilia Freitas de Campos Tozoni;
Ciência & Educa??o (Bauru) , 2004, DOI: 10.1590/S1516-73132004000200001
Abstract: this research in environmental education involved children between six and eleven years old from a working class district - cohab i - of a botucatu town. the main purpose of the research was to contribute to the development of behaviour which involved care of the environment where they lived, giving an opportunity to obtain knowledge, values, attitudes and active interests in order to protect and make their district better. this study is based on action research that considers the participation of the people involved in knowledge production process to be fundamental. through talks, activites and jokes, children learnt about the district, and they came to understand how they might perform an important social role of life quality improvement in environment in which they live. the children were encouraged to participate and involve adults in their concerns.
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