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Search Results: 1 - 10 of 15129 matches for " Michele Soares Fraga;Gama "
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Impacto de um programa de orienta??o dietética sobre a velocidade de ganho de peso de gestantes atendidas em unidades de saúde
Vítolo, Márcia Regina;Bueno, Michele Soares Fraga;Gama, Cíntia Mendes;
Revista Brasileira de Ginecologia e Obstetrícia , 2011, DOI: 10.1590/S0100-72032011000100002
Abstract: purpose: to evaluate the impact of dietary counseling on controlling weight gain in pregnant women, who were served in a public health service facility. methods: the study was conducted at a known health unit located in the metropolitan region of the city of porto alegre, in rio grande do sul, brazil. three hundred and fifteen pregnant women between the 10th and 29th week of gestation were randomized to control and intervention groups. the intervention group received dietary counseling according to nutritional status, and pregnant women in the control group were instructed to follow the routine of the health service facility. weight and height were measured, and the body mass index (bmi) was calculated. the pre-gestational nutritional status was determined according to the following bmi criteria: low weight (<18.5 kg/m2), eutrophy (18.5 to 24.9 kg/m2), overweight (25.0 to 29.9 kg/m2), and obesity (>30 kg/m2). the nutritional status during pregnancy was determined according to the bmi curve for gestational age adopted by the health ministry of brazil. data were analyzed by the relative risk and respective 95% confidence interval, and by the student's t-test and χ2 test. statistical significance was set at p<0.05. results: the assessment of nutritional status before pregnancy showed that 28.0% of the women were overweight and 4.1% were underweight. in the first and last interview during pregnancy, the rates of prevalence of excessive weight were 36.2 and 46.0%, respectively. the intervention proved to be effective in reducing the rate of weekly weight gain of pregnant women with excess weight (342.2 versus 420.2; p=0.015) and the prevalence of clinical complications (9.2 versus 24.85; p<0.001). conclusions: dietary counseling was effective in decreasing the weight gain of pregnant women who were overweight and reducing clinical complications, such as gestational diabetes, preeclampsia, infant low weight, and prematurity in the intervention group.
Fonoaudiologia X ronco/apneia do sono
Soares, Elisangela Barros;Pires, Joicy Barbalho;Menezes, Michele de Alicrim;Santana, Suzany Karla Silva de;Fraga, Juliana;
Revista CEFAC , 2010, DOI: 10.1590/S1516-18462010000200019
Abstract: background: sleeping is necessary to provide us with energy. however, snoring and sleep apnea become obstacles that cause not only health problems, but also social, marital and educational issues. purpose: contribute with a better understanding of the causes to the speech therapist, as well as the diagnosis and forms of treatment for obstructive sleep apnea (osa). facilitate the definition of conduct by the therapist, be it a guide for a diagnosis, a treatment for that disease (through speech therapy) or the indication of medical treatment (surgical or conservative). conclusion: some possible speech pathologies found in these patients are: enlarged tongue presenting hypotonia, soft palate with increased volume, difficulty in feeding due to insufficient intake of air and bruxism, possibly caused by tension and anxiety of bad night's sleep. other changes can be found due to surgical treatment used in some cases, such as dysphagia or even alterations in speech and resonance of speech caused by an uvulopalatoplasty. the focus of speech therapy is the myotherapy of the involved muscles, prioritizing the palatal muscles. it is perceived that the speech therapists can help to ease the symptoms found in these diseases, providing a better life quality for their patients.
Evaluation of the CCA Immuno-Chromatographic Test to Diagnose Schistosoma mansoni in Minas Gerais State, Brazil
Alda Maria Soares Silveira?,Emanuele Gama Dutra Costa?,Debalina Ray?,Brian M. Suzuki?,Michael H. Hsieh?,Lucia Alves de Oliveira Fraga,Conor R. Caffrey
PLOS Neglected Tropical Diseases , 2016, DOI: 10.1371/journal.pntd.0004357
Abstract: Background The Kato-Katz (KK) stool smear is the standard test for the diagnosis of Schistosoma mansoni infection, but suffers from low sensitivity when infections intensities are moderate to low. Thus, misdiagnosed individuals remain untreated and contribute to the disease transmission, thereby forestalling public health efforts to move from a modality of disease control to one of elimination. As an alternative, the urine-based diagnosis of schistosomiasis mansoni via the circulating cathodic antigen immuno-chromatographic test (CCA-ICT) has been extensively evaluated in Africa with the conclusion that it may replace the KK test in areas where prevalences are moderate or high. Methods and Findings The objective was to measure the performance of the CCA-ICT in a sample study population composed of residents from non-endemic and endemic areas for schistosomiasis mansoni in two municipalities of Minas Gerais state, Brazil. Volunteers (130) were classified into three infection status groups based on duplicate Kato-Katz thick smears from one stool sample (2KK test): 41 negative individuals from non-endemic areas, 41 negative individuals from endemic areas and 48 infected individuals from endemic areas. Infection status was also determined by the CCA-ICT and infection exposure by antibody ELISA (enzyme-linked immunosorbent assay) to S. mansoni soluble egg antigen (SEA) and soluble (adult) worm antigen preparation (SWAP). Sensitivity and specificity were influenced by whether the trace score visually adjudicated in the CCA-ICT was characterized as positive or negative for S. mansoni infection. An analysis of a two-graph receiver operating characteristic was performed to change the cutoff point. When the trace score was interpreted as a positive rather than as a negative result, the specificity decreased from 97.6% to 78.0% whereas sensitivity increased from 68.7% to 85.4%. A significantly positive correlation between the CCA-ICT scores and egg counts was identified (r = 0.6252, p = 0.0001). However, the CCA-ICT misdiagnosed as negative 14.6% of 2KK positive individuals, predominantly those with light infections (fewer than 100 eggs/g feces). Considering 2KK as reference test, the discriminating power of the CCA-ICT (the area under the curve [AUC] = 0.817) was greater than the SEA-ELISA (AUC = 0.744) and SWAP-ELISA (AUC = 0.704). Conclusion Our data for the performance of the CCA-ICT in the Brazilian communities endemic for schistosomiasis mansoni support those from Africa, i.e., in areas with greater infection prevalence and intensities, the CCA-ICT may be
Potencial produtivo de madeira e palmito de uma floresta secundária de várzea baixa no Estuário Amaz?nico
Bentes-Gama, Michelliny de Matos;Scolforo, José Roberto Soares;Gama, Jo?o Ricardo Vasconcellos;
Revista árvore , 2002, DOI: 10.1590/S0100-67622002000300006
Abstract: the aim of this paper was to analyze tree structure and value a secondary low floodplain forest. the study area is located at emapa forest lands, in the county of afuá, in the state of pará. the inventoried area presents 12.5 ha, where all the tree specimens with dbh 3 15.0 cm were measured. a total of 73 species were identified, corresponding to 357.7 individuals/ha and a 23.4 m2/ha basal area, the most important being virola surinamensis, symphonia globulifera, eschweilera coriacea, pentaclethra macroloba and astrocaryum murumuru. among the categories, the non-commercial species showed the highest number of marketable boles (24.3/ha), followed by the commercial (16.2/ha) and potential ones (12.9 boles/ha). the boles and the heartpalms provided a potential income of us$ 501.70/ha and us$ 68.50/ha, respectively.
Manejo sustentado para floresta de várzea na amaz?nia oriental
Gama, Jo?o Ricardo Vasconcellos;Bentes-Gama, Michelliny de Matos;Scolforo, José Roberto Soares;
Revista árvore , 2005, DOI: 10.1590/S0100-67622005000500007
Abstract: the aim of this study was to define tree cut options in a sustainable basis for floodplain forests in the amazonian estuary. data were obtained from the survey carried out in the forest lands of wood exports of pará ltda. - emapa enterprise, located in afuá county, north of pará state. sampling was performed in 29 plots of 5.000 m2. there were surveyed all trees, including palm trees with diameter at 1.30m above ground level (dbh) > 45 cm. trade species with possibility to be harvested for presenting best phytossociological and qualitative indexes were: virola surinamensis, carapa guianensis and hymenaea oblongifolia; among potential species terminalia dichotoma was chosen; while in the non-trade species group, eschweilera coriacea, swartizia racemosa and licania macrophylla were selected. results showed that the forest management can be done by adopting a harvesting plan with a de liocourt value 50% higher than the original (q = 2,61) one and removal of 30% of basal area, which corresponds to a potential income of us$ 3.945,40/ha.
Potencial produtivo de madeira e palmito de uma floresta secundária de várzea baixa no Estuário Amaz nico
Bentes-Gama Michelliny de Matos,Scolforo José Roberto Soares,Gama Jo?o Ricardo Vasconcellos
Revista árvore , 2002,
Abstract: Este estudo teve como objetivos analisar a estrutura arbórea e valorar uma floresta secundária de várzea baixa. A área de estudo está localizada na propriedade florestal da Exportadora de Madeiras do Pará Ltda. - EMAPA, município de Afuá, Estado do Pará. A área inventariada corresponde a 12,5 ha, onde foram medidos todos os espécimes arbóreos com DAP > ou = 15,0 cm. Verificou-se a ocorrência de 73 espécies, que totalizaram 357,7 indivíduos/ha e área basal de 23,4 m2/ha. As espécies mais importantes do ambiente estudado foram Virola surinamensis, Symphonia globulifera, Eschweilera coriacea, Pentaclethra macroloba e Astrocaryum murumuru. Entre os grupos de uso foi verificado que as espécies n o-comerciais apresentaram o maior número de toras comercializáveis (24,3 toras/ha), seguidas das espécies comerciais (16,2 toras/ha) e das potenciais (12,9 toras/ha). A receita potencial de toras/ha foi de US$ 501,70 e a de palmito/ha foi de US$ 68,50.
Global Functional Performance and Caregiver Assistance in Autism and Asperger Syndrome  [PDF]
Michele Gea Guimar?es Pozzato, Thais Soares Cianciarullo Minett, Marcelo Rodrigues Masruha, Luiz Celso Pereira Vilanova
Neuroscience & Medicine (NM) , 2014, DOI: 10.4236/nm.2014.51007

Autism and Asperger’s syndrome belong to a family of neuro-developmental disorders called Pervasive Development Disorders. The aims of this study were to 1) quantify the overall functional performance and need for caregiver assistance in autism (A) and Asperger’s syndrome (AS), 2) compare the findings between groups and to normative data from Brazilian children. Methods: A cross-sectional study was carried out involving 52 children between three and eight years of age diagnosed with either A (n = 26) or SA (n = 26). The Brazilian version of the Pediatric Evaluation of Disability Inventory was administered. Results: The children with A and AS achieved significantly lower scores than that expected for normality. The children with AS had a significantly better social function than that the children with A had. However, those with A achieved significantly better scores than those with AS on activities related to self-care and mobility, requiring less assistance. Conclusion: While patients with AS are better at social interaction than typical autistic children, they exhibit greater deficits with regard to basic tasks, such as self-care and mobility, requiring greater assistance than children with A.

Mapping of forest fire risk in Novo Mundo county, Mato Grosso state, Brazil
Luciene Ribeiro,Ronaldo Viana Soares,Michele Bepller
CERNE , 2012,
Abstract: This research mapped forest fire risk for Novo Mundo County, located between the coordinates 09o09′29”S, 49°58’59”W and 10°29’28”S and 48o55′52” W, Mato Grosso State, Brazil. Using Geo-processing techniques individual risk maps for hydrograph, roads, slope and soil use and cover were elaborated. The risks were classified as null, low, high, very high, and extreme level. Afterward, the individual maps were overlaid by Overlay technical, resulting in a final fire risk zoning map. The results showed that 95% of the studied area was under high and very high risks. The variables that most influenced the risk were the boundary areas of vegetation with roads, roads with pasture and pastures and vegetation.
Local and Regional Re-Establishment of Cellular Immunity during Curative Antibiotherapy of Murine Mycobacterium ulcerans Infection
Teresa G. Martins, José B. Gama, Alexandra G. Fraga, Margarida Saraiva, Manuel T. Silva, António G. Castro, Jorge Pedrosa
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0032740
Abstract: Background Buruli ulcer (BU) is a neglected necrotizing disease of the skin, subcutaneous tissue and bone, caused by Mycobacterium ulcerans. BU pathogenesis is associated with mycolactone, a lipidic exotoxin with cytotoxic and immunosuppressive properties. Since 2004, the World Health Organization recommends the treatment of BU with a combination of rifampicin and streptomycin (RS). Histological analysis of human tissue samples suggests that such antibiotic treatment reverses the mycolactone-induced local immunosuppression, leading to increased inflammatory infiltrations and phagocytosis of bacilli. Methodology/Principal Findings We used a mouse model of M. ulcerans footpad infection, followed by combined RS treatment. Time-lapsed analyses of macroscopic lesions, bacterial burdens, histology and immunohistochemistry were performed in footpads. We also performed CFU counts, histology and immunohistochemistry in the popliteal draining lymph nodes (DLN). We observed a shift in the cellular infiltrates from a predominantly neutrophilic/macrophagic to a lymphocytic/macrophagic profile in the infected footpads of antibiotic-treated mice. This shift occurred before the elimination of viable M. ulcerans organisms, which were ultimately eradicated as demonstrated by the administration of dexamethasone. This reduction of bacillary loads was accompanied by an increased expression of inducible nitric oxide synthase (NOS2 or iNOS). Predominantly mononuclear infiltrates persisted in the footpads during and after treatment, coincident with the long persistence of non-viable poorly stained acid-fast bacilli (AFB). We additionally observed that antibiotherapy prevented DLN destruction and lymphocyte depletion, which occurs during untreated experimental infections. Conclusions/Significance Early RS treatment of M. ulcerans mouse footpad infections results in the rapid elimination of viable bacilli with pathogen eradication. However, non-viable AFB persisted for several months after lesion sterilization. This RS regimen prevented DLN destruction, allowing the rapid re-establishment of local and regional cell mediated immune responses associated with macrophage activation. Therefore it is likely that this re-establishment of protective cellular immunity synergizes with antibiotherapy.
Jo?o Ricardo Vasconcellos Gama,Soraya Alvarenga Botelho,Michelliny de Matos Bentes-Gama,José Roberto Soares Scolforo
Ciência Florestal , 2003,
Abstract: O presente estudo teve como objetivo analisar a estrutura e indicar as probabilidade de utiliza o futura da regenera o natural de uma floresta n o-explorada de várzea alta localizada no município de Afuá (0° 09’ 24” S e 50° 23’ 12” W), ao norte do estado do Pará. Foram amostradas 29 subparcelas de 100 m2 nas quais se mediu a altura (h) de árvores e palmeiras com h 0,30 m até o diametro a 1,30 m do nível do solo (DAP) 15 cm, e o diametro das árvores compreendidas entre h 3,0 m até DAP 15 cm. A densidade total foi 30.969 indivíduos/ha, pertencentes a setenta espécies, 57 gêneros e 25 famílias botanicas, com índice de diversidade de Shannon (H’) de 2,68. As espécies mais importantes foram: Virola surinamensis, Euterpe oleracea, Astrocaryum murumuru, Geonoma laxiflora e Guarea guidonia. Muitas espécies s o utilizadas como alimento pela fauna local, além de servirem como fonte de madeira e/ou, de produtos florestais n o-madeireiros; algumas destas funcionam como complementa o à dieta alimentar dos ribeirinhos, tais como: Eschweilera coriacea, Gustavia augusta, Inga Alba, Nectandra cf. risi e Protium spruceanum.
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