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Search Results: 1 - 10 of 37070 matches for " Isabel Karolyne Fernandes Costa "
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The impact of violence in public health: literature review
Rodrigo Assis Neves Dantas, Glaucea Maciel de Farias, Karolina de Moura Manso da Rocha, Isabel Karolyne Fernandes Costa, Rafaela Costa de Medeiros
Revista de Enfermagem UFPE On Line , 2010,
Abstract: Objective: to characterize the national and international scientific production, about violence and public health, published from 2005 to July 2009, as the year, type of approach, study type, language, country, thematic, coverage and related production. Method: literature review, held from May to July 2009 through a structured form in databases VHL/BIREME (LILACS, MEDLINE, SciELO, BDENF, PAHO, DESASTRES, REPIDISCA, ADOLEC) PubMed, Evidence Portal of the Virtual Health Library and ISI Web of Knowledge, during the period 2005 to July 2009. Were found 34 full articles, being 5 in LILACS, 1 in the DESASTRES, 1 in REPIDISCA, 27 in ISI Web of Knowledge. Results: Of these, 11 (32.4%) in 2008, 15 (44.1%) used a qualitative approach, 16 (47.1%) descriptive, 30 (88.2%) in English, 16 (47.1%) in the USA, and with international range (94.1%). About the issue, we highlighted the violence against women with 7 (20.6%), the national newspaper that published more was Ciência & Saúde Coletiva with 5 publications (14.7%) while the international prevailed Social Science & Medicine with 3 (8.8%) production. Conclusion: The scientific literature on the impact of violence on public health is still scarce, but, within the period surveyed, there has been a gradual growth of publications that touch on this subject.
Epidemiologic aspects of sepsis in intensive care units
Glaucea Maciel de Farias, Mirna Cristina da Silva Freitas, Karolina de Moura Manso da Rocha, Isabel Karolyne Fernandes Costa, Luiz Alves Morais Filho
Revista de Enfermagem UFPE On Line , 2009,
Abstract: Objective: to characterize patients that suffered sepsis in Intensive Care Units. Methods: bibliographic research, performed in the Domínio Público and Biblioteca Virtual em Saúde (BVS/BIREME), websites, specifically Base de Dados de Enfermagem (BDENF), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Literatura Internacional em Ciências da Saúde (MEDLINE), Scientific Electronic Library Online (SciELO), with studies ranging from 2001 to April 2009. We used the search words: “Sepse” and “Unidades de Terapia Intensiva”. Results: the male gender was most affected (56%), with a related age group of 57 to 71. The main focal point for the beginning of sepsis was the pulmonary system. The most often identified pathogens were gram-negative germs (65%). The washing of hands was approached on 90% of the related studies as the main procedure for infection control. Conclusions: male individuals were most often afflicted by sepsis and averaged 65 years of age. The pulmonary system was the area most often associated with the beginning of sepsis. Gram-negative bacteria were the pathogens most often found in studies and the washing of hands was the most emphasized procedure for the prevention of infections in this environment.
Pessoas com úlceras venosas: estudo do modo psicossocial do modelo adaptativo de Roy
Costa, Isabelle Katherinne Fernandes;Nóbrega, Walkíria Gomes da;Costa, Isabel Karolyne Fernandes;Torres, Gilson de Vasconcelos;Lira, Ana Luiza Brand?o de Carvalho;Tourinho, Francis Solange Vieira;Enders, Bertha Cruz;
Revista Gaúcha de Enfermagem , 2011, DOI: 10.1590/S1983-14472011000300018
Abstract: a transversal descriptive quantitative study, conducted with 50 people with venous ulcer (vu) at an university hospital, that aimed to ascertain the level of psychosocial adaptation of the roy model of people with vu. the study was approved by the ethics committee. the data were collected with a structured form. after organizing the data, composed of changes in the lives of people with vu, we classified it according to roy's psychosocial aspects. we found that in the self-concept mode, 36% felt dissatisfied with physical appearance, and 18% had negative feelings; in the role-function mode: change in the working role (52.0%), housework (34.0%), marital (6.0%), leisure, pain, social, educational and transportation restrictions (82.0%); interdependence mode: support in treatment (82.0%), discrimination (58.0%). the identification of the psychosocial aspects directs nursing actions to consider the whole of the person receiving care in its relations with the environment, thus promoting a better level of adaptation.
Utilization the sf-36 in the assessment of quality of life related to chronic diseases: literature review
Isabelle Katherinne Fernandes Costa, Gabriela de Sousa Martins Melo, Walkíria Gomes da Nóbrega, Daniele Vieira Dantas , Eurides Araújo Bezerra de Macêdo, Rosana Kelly da Silva Medeiros, Isabel Karolyne Fernandes Costa, Felismina Rosa Parreira Mendes, Gil
Revista de Enfermagem UFPE On Line , 2010,
Abstract: Objective: identify in the Brazilian scientific literature, the utilization of the SF-36 in assessing the quality of life related to chronic diseases. Method: literature review conducted in October 2009, in the databases of BIREME using the descriptors quality of life (QL) and chronic diseases, being selected one study in BDENF and three in LILACS. In the database Google Scholar were selected 20, using as descriptors quality of life, chronic diseases and SF-36. Inclusion criteria were: studies published from 2004 to 2009, held in Brazil, available in full text and free access. The results will be presented in table form. Results: Of the 24 items surveyed, 83.3% were located in Scholar Google, 12.5% in LILACS and 4.2% in BDENF. Articles predominated (79.2%) in the year 2008 (29.2%), the journal of files of neuropsychiatry was the most raised the issue (16.7%), chronic illness was the most discussed renal chronic disease. Conclusion: the SF-36, despite being a tool to evaluate changes in QL in the last 4 weeks has been applied to diseases with chronic obtaining satisfactory results.
Characterization of motorcycle drivers involved in traffic accidents attented at urgency hospital
Glaucea Maciel de Farias, Wanessa Cristina Tomaz dos Santos Barros, Karolina de Moura Manso da Rocha, Mirna Cristina da Silva Freitas, Isabel Karolyne Fernandes Costa, Luíz Alves Morais Filho
Revista de Enfermagem UFPE On Line , 2009,
Abstract: Objectives: to characterize drivers involved in motorcycle accidents and identify injuries according to body region. Methodology: this is about a descriptive exploratory study, prospective, from quantitative approach, performed in the Monsenhor Walfredo Gurgel Hospital Complex (HMGW), from Natal city, Brazil. The population consisted of 4.511 victims of motorcycle accidents attended in 2006. The sample of 371 patients was defined after the inclusion from criteria and calculation of 5% of the population. To collect data, a questionnaire was employed from January to March 2008. This study has been approved by the Ethics Committee (221/07). The data were organized, categorized, coded and entered in a spreadsheet, using the Microsoft-Excel XP, Statisca 6.0 and SPSS 13.0, and analyzed using descriptive statistics. Results: from all 371 victims, 328 (88,40%) has been male; 129 (34,77%) aged from 18 to 23; 207 (55,79%), coming from the Metropolitan Region of Natal. Regarding injuries, the body region most affected was the external surface (39,9%), followed by the head and neck (33,2%). Conclusion: to know these events’ characteristics is indispensable for the planning of promotion and prevention actions, since health education may constitute a transforming element on traffic behavior.
Castration-Resistant Prostate Cancer: Mechanisms, Targets, and Treatment
Teresa Maria Santos Amaral,Daniela Macedo,Isabel Fernandes,Luis Costa
Prostate Cancer , 2012, DOI: 10.1155/2012/327253
Abstract: Patients with castration-resistant prostate cancer (CRPC), who progress after docetaxel therapy, had until very recently, only a few therapeutic options. Recent advances in this field brought about new perspectives in the treatment of this disease. Molecular, basic, and translational research has given us a better understanding on the mechanisms of CRPC. This great investment has turned into a more rational approach to the development of new drugs. Some of the new treatments are already available to our patients outside clinical trials and may include inhibitors of androgen biosynthesis; new chemotherapy agents; bone-targeted therapy; and immunotherapy. This paper aims to review the mechanisms of prostate cancer resistance, possible therapeutic targets, as well as new options to treat CRPC. 1. Introduction Prostate cancer is the most common malignancy in males in Western countries, representing the second leading cause of cancer death [1]. Advances in screening and diagnosis have allowed detection of the disease in early stages (approximately 85% of cases diagnosed), stages at which the therapeutic options are curative and include surgery, radiation and, in some cases, active surveillance only [2–4]. However, for late-stage disseminated disease, current therapies are merely palliative. In 1941, a study of Huggins and Hodges showed the close relationship of androgens with prostate tumor growth and androgen-deprivation therapy (castration) became the key treatment for these stages in monotherapy or in combination with other methods [2, 4, 5]. Initial responses to castration therapy are quite favorable, with a significant clinical regression and rapid biochemical responses, as assessed by decline in levels of serum marker, prostate-specific antigen (PSA) in 80–90% of patients with metastatic disease [2, 4, 6]. Despite a good initial response, remissions last on average 2-3 years, with eventual progression occurring despite castration [4, 5, 7]. In these cases prostate cancer will progress to a castration-insensitive phase of disease (Castration-Resistant Prostate Cancer—CRPC) which carries a worse prognosis and translates into a survival time of 16–18 months in average from the beginning of progression [2, 4–6]. Systemic therapies have also been an option in the management to these patients. However, chemotherapy is not well tolerated by all CRPC patients, who were often elderly men with limited bone marrow reserve and concurrent medical conditions [8]. In 2004 the result of two major phase 3 clinical trials established docetaxel as the first-line
Produ o científica sobre educa o superior no RS: um estudo das disserta es e teses, periódicos e livros
Morosini, Marília Costa,Cunha, Maria Isabel da,Fernandes, Cleoni Maria Barboza
Educa??o , 2005,
Abstract: A Rede Sulbrasileira de Investigadores da Educa o Superior (RIES) articula pesquisadores de nove universidades gaúchas e faz interface com grupos de pesquisa de outros estados brasileiros e países latino-americanos. Vem desenvolvendo estudos sobre a história, políticas e práticas pedagógicas universitárias. O artigo relaciona-se a um projeto de pesquisa da RIES que objetiva mapear a produ o científica no ambito da educa o superior no RS. Nesse recorte apresentam-se os dados atinentes ao estado de conhecimento advindo de disserta es e teses, produzidas no PPG das Universidades gaúchas e periódicos e livros publicados no estado. A coleta de dados se deu junto aos Programas de Pós-gradua o, ao site da CAPES, aos periódicos do RS e a biblioteca virtual UNIVERSITAS. A análise do material propiciou a constru o de categorias temáticas e de cruzamentos para análise da incidências das temáticas numa distribui o temporal, institucional e temática. O Rio Grande do Sul apresenta uma marcante produ o sobre pedagogia universitária ligada diretamente aos cursos e programas de pós-gradua o, principalmente de educa o.
The Treatment of Liver Metastases in Patients with Neuroendocrine Tumors in 2012
Daniela Macedo,Teresa Amaral,Isabel Fernandes,Ana Rita Sousa,Ana Lúcia Costa,Isabel Távora,António Quintela,Paulo Cortes,Luís Costa
ISRN Hepatology , 2013, DOI: 10.1155/2013/702167
Abstract: Neuroendocrine tumors (NETs) comprise a heterogeneous group of tumors that form a distinct entity. Approximately 75–80% of patients present with liver metastases at the time of their diagnosis, and 20%–25% will develop these lesions in the course of their disease. The presence of secondary deposits in the liver significantly increases the morbidity and mortality in these patients. The only potentially curative treatment is the surgical resection of the primary tumor and hepatic lesions. However, only 10% of patients presents under ideal conditions for that approach. Several techniques aimed at localized liver lesions have been applied also with interesting results in terms of survival and symptom control. The same has been demonstrated with new systemic therapies (target therapies). However, these are still under study, in order to define their true role in the management of these patients. This paper intends to address, in a general way, the various treatment options in patients with liver metastases from neuroendocrine tumors. 1. Introduction The neuroendocrine tumors (NETs) are a heterogeneous group of neoplasms that share some biological characteristics, that have been addressed as a common entity [1]. In 62%–82% of the cases, the NETs are located in the digestive system, being designated as gastroenteropancreatic neuroendocrine tumors (GEP-NETs) [2]. The latest figures from the UK, Sweden, and Switzerland suggested that their incidence is 2-3/100000 with a higher prevalence in females [1]. Also data from the Surveillance, Epidemiology, and End Results (SEER) Program Database report an increased incidence between 1973 and 2004 of 1.09 to 5,25/100000 [3, 4]. NETs are classically characterized by their ability to secrete hormones and/or vasoactive peptides, which results in many of their clinical manifestations, ganging up on specific hormonal syndromes. The most frequent syndrome is the carcinoid syndrome, which results from the secretion of serotonin and includes symptoms such as skin flushing, severe diarrhea, abdominal cramping, and electrolyte abnormalities [4, 5]. Their clinical course is variable, having been considered traditionally with an indolent natural history [1, 4]. However, some NETs have aggressive behavior regarding the rapid progression of metastatic lesions. All of them have the potential of metastatic dissemination and, therefore, are currently recognized as malignant neoplasms [6]. The prognosis and the approach of NETs are guided mainly according to the histological classification. The tumors with grade 3, mitotic count
Clinical Psychophysical Assessment of the ON- and OFF-Systems of the Magnocellular and Parvocellular Visual Pathways  [PDF]
Marcelo Fernandes Costa
Neuroscience & Medicine (NM) , 2011, DOI: 10.4236/nm.2011.24043
Abstract: We developed a psychophysical paradigm for the clinical assessment of the contrast sensitivity (CS) mediated by the ON- and OFF-systems of the Magnocellular and Parvocellular pathways. We designed a stimulus considering two dimensions: two spatial frequencies (0.5 and 4.5 cpd) and two temporal rates of flicker (33 ms and 1500 ms). To evidence the ON- and OFF responses, the CS was measured for two polarities of light with luminance changes of 0.6 dB steps above and below the medium luminance grey background. We tested 38 healthy volunteers. The results shows that Magnocellular contrast sensitivity was higher than Parvocellular for the 33 ms flickering stimulus and the Parvocellular contrast sensitivity was higher than Magnocellular for 1500 ms stimuli. The reliability of the test was checked and confirmed. We concluded that the test performs a rapid measurement of the CS mediated by the ON and OFF systems of Magnocellular and Parvocellular pathways. It is useful in clinical protocols due to its high sensitivity and good reliability.
Os medos dos enfermeiros em situa??o de doen?a própria
Fernandes,Isabel Maria Ribeiro;
Revista de Enfermagem Referência , 2011,
Abstract: the experience of illness appears to be a unique event in the life of every individual, being directly related to personal characteristics and the context in which it develops, affecting future life and determining what the human being is and in which they can become. the aim of this paper is to identify the most common fears experienced by nurses in the process of experiencing personal illness. this research fits into the paradigm of qualitative research, being descriptive and phenomenological. the informants of the study were 15 nurses who had experienced a particular disease situation in the period since 2003 and had already resumed their professional work for at least a year. in-depth interviews were conducted and analyzed following the method of giorgi. nurses, like any other human being in such circumstances, experience feelings of fear on several levels, revealing some peculiarities associated with their profession. we highlight the fear of evaluation by peers and of the unknown, associated with the power of knowledge and the expectations created.
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