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Search Results: 1 - 10 of 471704 matches for " Larissa Araripe de;Sá "
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Educa??o Permanente em SBV e SAVC: impacto no conhecimento dos profissionais de enfermagem
Lima, Sandro Gon?alves de;Macedo, Larissa Araripe de;Vidal, Marcela de Lima;Sá, Michel Pompeu Barros de Oliveira;
Arquivos Brasileiros de Cardiologia , 2009, DOI: 10.1590/S0066-782X2009001200012
Abstract: background: the theoretical knowledge and practical skills of the basic life support (bls) and the advanced life support (als) are among the most important determining factors of the cardiopulmonary reanimation success rates. objective: assess the impact of a permanent training program in bls and als on the knowledge of nursing professionals. method: cross-sectional study. population was made of nursing professionals of a tertiary level hospital. assessments were carried out before and after training. the critical points of the international liaison committee on resuscitation (ilcor) analysis were addressed. results: 213 professionals were assessed (76 nurses, 35.7%; 38 assistants, 17.8%; and 99 technicians, 46.7%). pre-course assessment average grades were statistically different (p<0.001) among assistants (3.25), technicians (3.96) and nurses (4.69). single professional without kids showed performance significantly superior to married professional with kids (p=0.02 and 0.004 respectively). pre-training level of knowledge was inversely proportional to the time elapsed since the completion of undergraduate course or technical course. main deficiencies were related to the initial approach of airways, to post-resuscitation cares and to the external cardiac massage technique. the post-course general average grade was 7.26. assistants achieved a performance of 131.2%, technicians, of 78.9% and the nurses, of 85%, with no significant statistic difference (p=0.43). conclusion: the permanent training program in bls and als resulted in important increment in the level of knowledge of nursing professionals.
ética em pesquisas com seres humanos: do conhecimento à prática
Lima, Sandro Gon?alves de;Lima, Tatiana Albuquerque Gon?alves de;Macedo, Larissa Araripe de;Sá, Michel Pompeu Barros de Oliveira;Vidal, Marcela de Lima;Gomes, Rafael Alessandro Ferreira;Oliveira, Laura Correia;Santos, Ana Maria Aguiar;
Arquivos Brasileiros de Cardiologia , 2010, DOI: 10.1590/S0066-782X2010005000097
Abstract: background: in brazil, resolution 196/96 and its amendments regulate the preservation of rights, respect and dignity of human beings involved in research. objective: to analyze the adequacy of free communications (fc) presented during the xviii congresso pernambucano de cardiologia to resolution 196/96. methods: during a cross-sectional study, interviews were carried out with the authors of the fc presented at the congress and the abstracts of the studies were assessed in order to identify the need for previous approval by a research ethics committee (rec). results: a total of 90 fc were presented and, in most of them (86.8%), medical files were the most commonly used source of data. only 23.1% of the fc were submitted to the assessment of a rec and 15.4% of them used a free and informed consent form (ficf). among the authors whose studies were not assessed by a rec, 65.6% stated that this conduct was not necessary and 18% of them were unaware of the need to submit the study to such assessment. the written authorization given by the institution where the fc were carried out was not obtained in 56.6% of the studies. most of the authors (80.0%) stated that they had never read resolution 196/96. the proportion of fc submitted to a rec was significantly higher among authors that had read resolution 196/96 (p = 0.005). the fc design influenced the non-submission of the studies to a rec (p < 0.001). most of the fc that were authorized by the institution where they were carried out were submitted to a rec (p < 0.001). conclusion: most of the fc presented at the congress did not follow the brazilian regulations concerning the ethics in research.
Growth Hormone Replacement Therapy in Patients without Adult Growth Hormone Deficiency: What Answers Do We Have So Far?  [PDF]
Karine Rucker, Larissa Bianca Paiva Cunha de Sá, Alberto Krayyem Arbex
Health (Health) , 2017, DOI: 10.4236/health.2017.95057
Growth hormone (GH) and insulin-like growth factor 1 (IGF-1) have been suggested as “anti-aging” therapies, or for improving quality of life with aging. In this study, we focus on the actions of GH in the main organs and organ systems of the human body, like skeletal muscle, bones and brain, particularly in regard to data and research on the use of GH replacement therapy in adults without growth hormone deficiency, especially elderly patients. Several different studies have been carried out to show what the effects and side effects of GH replacement in healthy people and what would be the impact in quality of life and life span. In this review, we demonstrate what answers we have so far about the effects of GH replacement in many organs and systems in healthy people.
Diabetes Mellitus, Leprosy: Intensive Education Protocol in Foot at Risk, Santa Marcelina Hospital, Amazon, Brazil  [PDF]
Orlando Leite, Vanderneide Oliveria, Augiceli Rodrigues, Ticiana Albuquerque, Alexandre Carvalho, Larissa Gaspar, Alexandre Falqueti, Larissa Bianca Paiva Cunha de Sá, Alberto Krayyem Arbex
Open Journal of Endocrine and Metabolic Diseases (OJEMD) , 2017, DOI: 10.4236/ojemd.2017.71006
Abstract: Objective: To apply an intensive and multidisciplinary education protocol in order to decrease, improve, delay or cancel the beginning of neuropathy and the manifestation of lesions in diabetic patients. Methodology: This is a cross-sectional descriptive study carried out at the Diabetes Mellitus Outpatient Clinic and Ward of Santa Marcelina Hospital in Porto Velho. This research was based on cases of patients with Diabetes and Diabetics with Leprosy. The criteria used to include the patients were: being treated with insulin therapy, not to be amputated, being on high medication of the leprosy at the moment of the evaluation and to present nutritional risk classification by the screening. The population was divided into two groups of fifteen patients: eight diabetic patients, four male and four female. Seven diabetics associated with leprosy were 4 males and 3 females. The monofilament test (Semmes-Weinstein 10 g) was used as the classification basis. Results and Discussion: Group A, called the intensive care group, began diabetes education work with medical, nutritional and rehabilitation guidelines by a multidisciplinary team for an average period of 15 days in the ward and after discharged with biweekly monitoring. Group B, called conventional care, received the same guidelines in outpatient care and the monitoring followed the quarterly protocol. Both groups were evaluated and reassessed for a period of 180 days in the outpatient clinic. Group A consisted of 8 (100%) patients, 4 (50%) diabetics and 4 (50%) diabetics and leprosy patients. Conclusion: Intensive education in diabetes showed an improvement in the sensitivity, healing and nutritional status of the patients, leading to an improvement in quality of life and disability level, reducing or delaying the beginning of neurological complications. The protocol intensive method demonstrated a 100% improvement in patients in group A.
Larissa de Lima ALVES,Paula MATTANNA,Larissa Vargas BECKER,Neila S.P.S. RICHARDS
Alimentos e Nutri??o , 2009,
Abstract: Os queijos frescos s o propícios à adi o de pre- e probióticos por seu pH, umidade e temperatura de fermenta o característicos. Com o objetivo de avaliar o efeito de diferentes concentra es de probióticos e prebiótico sobre parametros sensoriais em cream cheese, doze formula es foram elaboradas com concentra es de probióticos (Bi dobacterium animalis Bb-12 e Lactobacillus acidophilus La-5) e prebiótico (inulina) adotadas conforme delineamento central composto rotacional. A avalia o sensorial foi realizada por 80 painelistas n o treinados através de teste com escala hed nica (7 níveis) e de ordena o quanto aos parametros sensoriais de aparência geral, cor, aroma, textura, acidez e sabor. Com os mesmos dados foram obtidas as superfícies de resposta para os mesmos parametros. N o foi detectada diferen a estatística pelo teste de Tukey (p < 0,05) na avalia o por escala hed nica, exceto para aroma; tampouco foi veri cada preferência estatisticamente signi cante entre as formula es no teste de ordena o. Contudo, as superfícies de resposta apontam diferentes regi es com tendência à melhor aceita o, variando cada regi o conforme o atributo analisado. Demonstra-se a viabilidade da elabora o de cream cheese simbiótico, sendo que a concentra o de pre- e probióticos aos níveis estudados neste trabalho n o afetaram signi cativamente a aceitabilidade do consumidor pelo produto.
Vitamin D and Diabetes Mellitus: A Review  [PDF]
Cintia Linhares e Souza, Larissa Bianca Paiva Cunha de Sá, Denise Rosso Tenório Wanderley Rocha, Alberto Krayyem Arbex
Open Journal of Endocrine and Metabolic Diseases (OJEMD) , 2016, DOI: 10.4236/ojemd.2016.61001
Abstract: Vitamin D deficiency and Diabetes are both disorders of high prevalence in the world. Currently, evidences suggest a possible correlation of low levels of vitamin D with the diagnosis of DiabetesMellitus. Hypovitaminosis D could be associated with insulin resistance and Diabetes Mellitus, which would in part explain mechanisms involved in the pathogenesis of Diabetes. The aim of this work is to discuss the association between Vitamin D and Diabetes, questioning if vitamin D can preventthe settlement of diabetes orslow down its clinical evolution, and improve the pancreatic function, thus providing a better glycaemic control.
Polycystic Ovary Syndrome (PCOS) and Fertility  [PDF]
Guilherme Barbosa, Larissa Bianca Paiva Cunha de Sá, Denise Rosso Tenório Wanderley Rocha, Alberto Krayyem Arbex
Open Journal of Endocrine and Metabolic Diseases (OJEMD) , 2016, DOI: 10.4236/ojemd.2016.61008
Abstract: The polycystic ovary syndrome (PCOS) is defined as a combination of hyperandrogenism (hirsutism and acne) and anovulation (oligomenorrhea, infertility, and dysfunctional uterine bleeding), with or without the presence of polycystic ovaries on ultrasound. It represents the main endocrine disorder in the reproductive age, affecting 6% - 15% of women in menacme. It is the most common cause of infertility due to anovulation, and the main source of female infertility. When in the presence of a menstrual disorder, the diagnosis of PCOS is reached in 30% - 40% of patients with primary or secondary amenorrhoea and in 80% of patients with oligomenorrhea. PCOS should be diagnosed and treated early in adolescence due to reproductive, metabolic and oncological complications which may be associated with it. Treatment options include drugs, diet and lifestyle improvement.
The Role of States in Controlling the Obesity Epidemic, and a Personal Autonomy to Decide  [PDF]
Priscila Rosa da Fonseca, Ana Maria Anjo Toloi, Larissa Bianca Paiva Cunha de Sá, Alberto Krayyen Arbex
Open Journal of Endocrine and Metabolic Diseases (OJEMD) , 2017, DOI: 10.4236/ojemd.2017.71004
Abstract: Obesity has reached pandemic proportions in the world. Who is to blame for this: the person or the State (or both?). An increase in diseases associated with excess weight is also worldwide reported, such as Diabetes, Hypertension and some types of cancers. Therefore, the economic impacts of these comorbidities are an important issue to be discussed by States and citizens. Although the World Health Organization (WHO) has set and classified obesity as a disease more than 30 years ago, the American Medical Society was until recently (2010) not so sure about this definition. This article discusses the relevance of the implementation of public health policies for prevention and control of obesity, along with the possible ethical limitations to these actions, considering the autonomy of individuals regarding their health.
Anti-Inflammatory Effects of Physical Exercise on Obesity  [PDF]
Lídia Figueiredo, Ramiro Barcos Nunes, Bruna Marmett, Larissa Bianca Paiva Cunha de Sá, Alberto Krayyem Arbex
Open Journal of Endocrine and Metabolic Diseases (OJEMD) , 2017, DOI: 10.4236/ojemd.2017.71005
Abstract: Obesity is a disease of epidemic proportions, associated with chronic inflammation in response to increased secretion of inflammatory cytokines originating in adipose tissue. Exercise has been shown to be effective in combating these changes. The aim of this study was to review the anti-inflammatory effect of physical exercise in the pathogenesis of obesity. We conducted a search of the terms “exercise”, “obesity” and “inflammation” on Medline and PubMed databases, restricting results to clinical trials published since 2011. The retrieved studies showed that physical exercise could, via different pathways, reduce levels of CRP, IL-6 and TNF-α, as well as other proinflammatory markers. Additionally, exercise was able to increase expression of genes related to the production of nitric oxide, positively modulating endothelial function and chronic inflammation in obese patients, with or without caloric restriction. In conclusion, aerobic exercise of moderate intensity is an effective intervention strategy for chronic inflammation associated with obesity.
Polycystic Ovary Syndrome and the Role of Metformin in Ovulation Induction  [PDF]
Fabiana Fraga, Gabriel Azeredo César Salgado Romeiro, Larissa Bianca Paiva Cunha de Sá, Alberto Krayyem Arbex
Health (Health) , 2018, DOI: 10.4236/health.2018.105045
Abstract: The Polycystic Ovary Syndrome (PCOS) is frequently associated with comorbidities such as obesity, reduced glucose tolerance, hypertension, macrovascular disease and dyslipidemia. The Metabolic syndrome occurs in 30% of women with PCOS. Metformin has increasingly been used in this therapy due to its effects in reducing insulin resistance. Treatment of PCOS aims to reduce the symptoms of hyperandrogenism, regularize the menstrual cycle, reduce metabolic abnormalities, and lower the risk of type 2 diabetes mellitus and of cardiovascular disease. Additionally it is important to prevent hyperplasia and endometrial cancer, and to offer contraception to those who do not wish pregnancy, and to help to induce ovulation to those who do. The effectiveness of metformin in this treatment is assessed in the light of the current best evidence.
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