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Search Results: 1 - 10 of 1905 matches for " Jerson;Coutinho "
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Tobacco use among the elderly: a systematic review and meta-analysis
Marinho, Valeska;Laks, Jerson;Coutinho, Evandro Silva Freire;Blay, Sergio Luís;
Cadernos de Saúde Pública , 2010, DOI: 10.1590/S0102-311X2010001200002
Abstract: the aim of this study was to combine the results of identified surveys on the prevalence of tobacco use in old age to estimate world prevalence of tobacco use and possible factors related to such behavior among the elderly. the literature search included electronic databases such as medline, lilacs, and biological abstracts, hand-searching of specialist journals and cited reference searches. the combined global prevalence was estimated using the random effects model. the total number of elderly subjects included in all surveys was 140,058, with data available from all the continents. overall prevalence of tobacco use was 13% in both genders (22% male and 8% female). the prevalence rates were heterogeneous among surveys and were associated with smoking definition, questionnaire application, and country economic status. few epidemiological studies assessed tobacco use among the elderly. a higher prevalence rate of tobacco use in males who live in higher income countries could be found, although additional evidence regarding elderly samples is still required.
Verbal fluency in Alzheimer's disease, Parkinson's disease, and major depression
Araujo, Narahyana Bom de;Barca, Maria Lage;Engedal, Knut;Coutinho, Evandro Silva Freire;Deslandes, Andrea Camaz;Laks, Jerson;
Clinics , 2011, DOI: 10.1590/S1807-59322011000400017
Abstract: objective: to compare verbal fluency among alzheimer's disease, parkinson's disease, and major depression and to assess the sociodemographic and clinical factors associated with the disease severity. methods: patients from an outpatient university center with a clinical diagnosis of alzheimer's disease, parkinson's disease or major depression were studied. severity was staged using the hoehn & yahr scale, the hamilton depression scale and the clinical dementia rating for parkinson's disease, major depression, and alzheimer's disease, respectively. all subjects were tested with the mini-mental state examination, the digit span test, and the verbal fluency test (animals). we fit four types of regression models for the count variable: poisson model, negative binomial model, zero-inflated poisson model, and zero-inflated negative binomial model. results: the mean digit span and verbal fluency scores were lower in patients with alzheimer's disease (n = 34) than in patients with major depression (n = 52) or parkinson's disease (n = 17) (p<0.001). the average number of words listed was much lower for alzheimer's disease patients (7.2 words) compared to the patients presenting with major depression (14.6 words) or parkinson's disease (15.7 words) (kw test = 32.4; p<0.01). major depression and parkinson's disease groups listed 44% (rom = 1.44) and 48% (rom = 1.48) more words, respectively, compared to those patients with alzheimer's disease; these results were independent of age, education, disease severity and attention. independently of diagnosis, age, and education, severe disease showed a 26% (rom = 0.74) reduction in the number of words listed when compared to mild cases. conclusions: verbal fluency provides a better characterization of alzheimer's disease, major depression, and parkinson's disease, even at later stages.
Doen?a de Alzheimer esporádica de início precoce
Truzzi, Annibal;Laks, Jerson;
Revista de Psiquiatria Clínica , 2005, DOI: 10.1590/S0101-60832005000100006
Abstract: alzheimer's disease (ad) is the main cause of dementia. a subgroup of patients has the familial or early-onset (<65 years) form of ad, with rapid course and a dominant genetic transmission through many generations. we report a case of a patient without a positive familiar history for ad, who presented early memory problems and progressive functional and cognitive (speech, praxis, executive functions e viso-spatial habilities) decline. behavioural (imnsonia, psychomotor agitation and hypersexuality) and psychological (depression) symptoms of ad were noticed in different stages of the disease. structural and functional neuroimaging techniques showed impairment of posterior cortical areas. early onset ad can be confounded with psychiatric disorders especially when there is no familiar history for ad. the presenile impact on both patient and family is intense and treatment in the early stages is very important to reduce patient and caregivers' burden.
La educación secundaria en Perú y sus profesores: cambios y continuidades
Jerson Chuquilin Cubas
Educación , 2011,
Abstract: Desde el momento en el que se constituyó el nuevo Estado peruano independiente del poder político espa ol, el poder estatal se encargó de fundar y normar la organización y funcionamiento de las instituciones que conforman lo que hoy se conoce como sistema educativo. Dentro de este proceso, la educación secundaria ha experimentado desarrollos peculiares que la diferencian de los otros niveles educativos en lo que se refiere a las instituciones en las que se imparte, sus propósitos, la formación de sus profesores, las posiciones instituidas y el sentido asignado al quehacer docente y directivo. Así, la educación secundaria nació ligada a la educación superior universitaria y al servicio de una minoría privilegiada. Sus profesores, de una élite privilegiada al servicio del proyecto homogeneizador del Estado, han transitado hacia una situación de deterioro de sus condiciones de vida y desvalorización de su trabajo.
O PAPEL DO LíDER NA GEST O DE CONFLITOS E MUDAN A DA CULTURA ORGANIZACIONAL DENTRO DE UM AMBIENTE HOSPITALAR
Jerson Joaquim da Silva
Colloquium Humanarum , 2010, DOI: 10.5747/ch.2010.v07.n2/h078
Abstract: The proposal of this research is to analyse the kinds of ideal leaderships for the Regional Hospital of Presidente Prudente, in a changing atmosphere and verify the most adequated form in order to conduct a new organizational culture within the hospital atmosphere. The applied methodology was quantitative, investigating the posture of several managers in different hospital sectors, in this changing process. Based on this data, it was possible to have straightforward analyses in search of an adequated profile for the control of the Regional Hospital of Presidente Prudente. The research has shown that it is possible a participative role model of cultural leadership. Thus, it was possible to conclude that although there was some conflict or resistance of some of the collaborators; it is possible to adequate to a new model of management that acts in a coherent form, where the leaders are committed with the ideals shown in this research.
Education does not equally influence all the Mini Mental State Examination subscales and items: inferences from a Brazilian community sample
Laks, Jerson;Coutinho, Evandro Silva Freire;Junger, Washington;Silveira, Heitor;Mouta, Raphael;Baptista, Elienai Maria Rubim;Contino, Ana Lucia Barros;Barca, Maria Lage;Selbaek, Geir;Engedal, Knut;Engelhardt, Eliasz;
Revista Brasileira de Psiquiatria , 2010, DOI: 10.1590/S1516-44462010005000009
Abstract: objective: mini-mental state examination cutoffs have been presented for schooling levels to screen cognitive impairment. however, items may behave differently with regards to education. the objective of this study was to examine the impact of education on mmse subscales and items. method: community-dwelling participants aged 65 years or more (n = 990, females = 637, age = 74.1 years, range 65-108) were stratified as illiterate (n = 373), 1-8 (n = 540), 9-12 (n = 63), and more than 12 years of schooling (n = 14) and were screened with mmse and pfeffer functional activities questionnaire. to make the mini-mental state examination items comparable, each item was transformed into z scores. multiple linear regression was used to estimate the effect of schooling on mmse subs and items controlling for age, sex, and activities of daily life. results: temporal and space orientation, attention/calculation, repetition, reading, writing, and drawing scores improved as education increased, but not memory registration, three step command, and naming. reading and writing displayed the largest coefficients, whereas education exerted no influence on naming and three step command tasks. conclusion: education does not exert an important effect on naming, three step command, memory registration, and delayed recall. as memory is a key factor for diagnosing dementia, these items could be considered despite education.
A evolu??o de longo prazo pode diferenciar dois subtipos de psicose de início tardio
Gomes, Adrina Chalita;Laks, Jerson;
Revista de Psiquiatria Clínica , 2005, DOI: 10.1590/S0101-60832005000100005
Abstract: there are few studies about late-onset schizophrenia (los). los is thought to be a heterogeneous pathology with a similar cognitive profile compared to adult schizophrenia and two types of evolution: one group with steady neuropsychological deficits and another group with progressive deficits. we report on two clinical cases evaluated with neuropsychological tests camcog and mmse, hachinski's ischemic score, pfeffer functional activities questionnaire, panss and the neuropsychiatric inventory. the course of cognitive deficits and daily life activities were different, showing the need of prospective studies with neuropsychological approach to understand the clinical course and etiology of los.
XX Congresso Brasileiro de Psiquiatria: Novas Pesquisas e Revis o Sistemática
Mercadante Marcos T.,Laks Jerson
Revista Brasileira de Psiquiatria , 2002,
Abstract:
Bloqueo auriculoventricular congénito y embarazo. Qué hacer con el marcapaso? Congenital atrioventricular block and pregnancy. What to do with the pacemaker?
Jerson Quitián,Guillermo Mora
Acta Medica Colombiana , 2012,
Abstract: El bloqueo aurículoventricular congénito (BAVC) es una lesión del nodo AV que produce alteración de la transmisión de los impulsos auriculares a los ventrículos y que puede manifestarse clínicamente antes o después del nacimiento. Es raro encontrar esta patología en mujeres embarazadas, sin embargo esto puede variar debido a que en la actualidad se corrigen defectos cardiacos de manera quirúrgica más frecuentemente y se implantan marcapasos de manera más precoz. Presentamos un caso de una mujer con BAVC y embarazo, se discute el manejo del marcapaso en este grupo de pacientes. (ActaMed Colomb 2012; 37: 152-157). The congenital atrioventricular block (CAVB) is an AV node lesion that produces alteration in the transmission of atrial impulses to the ventricles that may be manifested clinically before or after birth. This condition is rare in pregnant women; however, this can vary because nowadays heart defects are corrected surgically more frequently and pacemakers are implanted earlier. We present a case of a pregnant woman with CAVB, and discuss pacemaker management in this group of patients. (ActaMed Colomb 2012; 37: 152-157).
Controle de insetos em frutas, hortali?as e gr?os armazenados com o uso de temperaturas extremas e gases
Brackmann, Auri;Guedes, Jerson Vanderlei Carús;
Ciência Rural , 1995, DOI: 10.1590/S0103-84781995000200026
Abstract: the use of either high or low temperatures and different co2 and o2 concentrations on the storage atmosphere are altematives for fruit desinfestation and others agricultural goods and insect control on grains during storage. these nonchemical methods avoid the use of insecticides, without leaving toxic residues on the storage products. this review evaluate the efficiency of these different nonchemical methods of the control of insects on fruits, vegetables and grains.
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