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Search Results: 1 - 10 of 11609 matches for " Miriam Raquel Diniz;Arruda "
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Eletroestimula??o funcional do assoalho pélvico versus terapia com os cones vaginais para o tratamento de incontinência urinária de esfor?o
Santos, Patrícia Fernandes Diniz;Oliveira, Emerson;Zanetti, Miriam Raquel Diniz;Arruda, Raquel Martins;Sartori, Marair Gracio Ferreira;Gir?o, Manoel Jo?o Batista Castello;Castro, Rodrigo Aquino;
Revista Brasileira de Ginecologia e Obstetrícia , 2009, DOI: 10.1590/S0100-72032009000900005
Abstract: purpose: to compare the effects of functional electrostimulation of the pelvic floor and therapy with cones in women with stress urinary incontinence (sui). methods: randomized clinical study for which 45 patients with sui were selected. the effects of functional electrostimulation of the pelvic floor were evaluated in the sui treatment of 24 women, with the use of clinical data (micturition diary, pad test and a questionnaire about quality of life - i-qol). the patients were submitted to two 20' weekly sessions for four consecutive months, under the supervision of a physiotherapist. the electrode used had 10 cm length and 3.5 cm width with a double metallic ring and a cylindrical shape, positioned in the medium third of the vagina. the electric parameters used were: intensity varying from 10 to 100 ma and 50 hz of fixed frequency, with pulse duration of 1 ms. also, we evaluated 21 patients who were submitted to vaginal cone treatment. the cone therapy was done with two 45 minute sessions per week. the cones' weight varied from 20 to 100 gr. results: there was no difference between the outcomes of electrostimulation of the pelvic floor and the vaginal cones for the treatment of sui (p>0.05). after four months, there was a significant improvement in the i-qol index of the patients treated both with electrostimulation (40.3 versus 82.9) or with the cones (47.7 versus 84.1). there was a significant decrease in pad weight in both groups, measured before and after the treatment (28.5 and 32 g versus 2.0 and 3.0 g for the electrostimulation and cone group, respectively). finally, there was a significant decrease in the number of urinary leakage evaluated by the micturition diary in both groups (p<0.0001). conclusions: both electrostimulation and vaginal cones were effective in the treatment of women with sui.
Leiomyoma with Granulomatous Inflammation: Tissue Confirmation of Sarcoidosis  [PDF]
Kimi Verilhac, Jaime Arruda, Miriam D. Post
Open Journal of Obstetrics and Gynecology (OJOG) , 2014, DOI: 10.4236/ojog.2014.44029

Granulomatous inflammation of the uterus is rare, and sarcoidosis involving the uterus is even less common. Sarcoidosis is an idiopathic granulomatous disease that can affect any organ, but most typically involves the lungs, lymph nodes, spleen, liver, skin, and eye. Although it can be diagnosed clinically based on a constellation of symptoms, definitive diagnosis typically requires demonstration of non-infectious non-caseating granulomas on tissue biopsy. It is a diagnosis of exclusion, and other causes of granulomatous inflammation must be excluded. We report here a case of granulomatous inflammation involving a leiomyoma in a patient with a previous clinical diagnosis of sarcoidosis. This was the patient’s first tissue-based diagnosis of sarcoidosis and highlighted the importance of adequate sampling of routine surgical specimens, as they may harbor signs of systemic disease.

Perineal Distensibility Using Epi-no in Twin Pregnancies: Comparative Study with Singleton Pregnancies
Juliana Sayuri Kubotani,Antonio Fernandes Moron,Edward Araujo Júnior,Miriam Raquel Diniz Zanetti,Vanessa Cardoso Marques Soares,Julio Elito Júnior
ISRN Obstetrics and Gynecology , 2014, DOI: 10.1155/2014/124206
Abstract: The aims of this study were to compare perineal distensibility between women with twin and singleton pregnancies and to correlate these women’s perineal distensibility with anthropometric data. This prospective cross-sectional case-control study was conducted among nulliparous women, of whom 20 were pregnant with twins and 23 with a single fetus. Perineal distensibility was evaluated in the third trimester by means of Epi-no, which was introduced into the vagina and inflated up to the maximum tolerable limit. It was then withdrawn while inflated and its circumference was measured. The unpaired Student’s -test was used to compare perineal distensibility in the two groups and Pearson’s correlation coefficient ( ) was used to correlate the pregnant women’s perineal distensibility with their anthropometric data. There was no difference in perineal distensibility between the twin group (16.51 ± 2.05?cm) and singleton group (16.13 ± 1.67?cm) ( ). There was a positive correlation between perineal distensibility and abdominal circumference ( ; ). The greater the abdominal circumference was, the greater the perineal distensibility was, regardless of whether the pregnancy was twin or singleton. 1. Introduction The term pelvic floor refers to all of the muscles, connective tissue, and organs that fill the cavity of the pelvic canal. The muscles of the pelvic floor form a diaphragm that encompasses the pelvic cavity. Their fibers have a U shape around the hiatus, which allows this to be constantly closed, thus providing pelvic support for the abdominal organs [1]. During pregnancy, with uterine growth, the pelvic floor becomes overloaded and, because of the influence of hormones and biomechanical changes to the pelvis, its tonus and strength diminish [2], and urinary symptoms can be observed even before delivery [3]. The Epi-no Delphine Plusvaginal dilator (Starnberg Medical, Tecsana GmbH, Munich, Germany) consists of an inflatable silicone balloon connected to a manometer via a rubber tube [4, 5]. In the absence of any instrument that could quantify this stretching, the Epi-no apparatus was adapted to objectively and quantitatively evaluate the degree of perineal distensibility. In twin pregnancies, the gestational changes are more pronounced, given that there are two fetuses, two placentas, and amniotic fluid for two fetuses, thus producing an even greater overload on the pelvic floor. From this supposition, the purposes of the present study were to compare the degree of distensibility of the musculature of the pelvic floor among women with twin pregnancies with
Single-blind, randomized, controlled trial of pelvic floor muscle training, electrical stimulation, vaginal cones, and no active treatment in the management of stress urinary incontinence
Castro, Rodrigo A.;Arruda, Raquel M.;Zanetti, Miriam R. D.;Santos, Patricia D.;Sartori, Marair G. F.;Gir?o, Manoel J. B. C.;
Clinics , 2008, DOI: 10.1590/S1807-59322008000400009
Abstract: purpose: to compare the effectiveness of pelvic floor exercises, electrical stimulation, vaginal cones, and no active treatment in women with urodynamic stress urinary incontinence. patients and methods: one hundred eighteen subjects were randomly selected to recieve pelvic floor exercises (n=31), es (n=30), vaginal cones (n=27), or no treatment (untreated control) (n=30). women were evaluated before and after completion of six months of treatment by the pad test, quality of life questionnaire (i-qol), urodynamic test, voiding diary, and subjective response. results: in the objective evaluation, we observed a statistically significant reduction in the pad test (p=0.003), in the number of stress urinary episodes (p<0.001), and a significant improvement in the quality of life (p<0.001) in subjects who used pelvic floor exercises, electrical stimulation, and vaginal cones compared to the control group. no significant difference was found between groups in the urodynamic parameters. in the subjective evaluation, 58%, 55%, and 54% of women who had used pelvic floor exercises, electrical stimulation, and vaginal cones, respectively, reported being satisfied after treatment. in the control group, only 21% patients were satisfied with the treatment. conclusion: based on this study, pelvic floor exercises, electrical stimulation, and vaginal cones are equally effective treatments and are far superior to no treatment in women with urodynamic stress urinary incontinence.
Rhusmos e movimento dos átomos na física de Demócrito
Miriam Campolina Diniz Peixoto
Kriterion: Revista de Filosofia , 2010, DOI: 10.1590/s0100-512x2010000200005
Avalia o Clínica e Urodinamica de Mulheres com Instabilidade Vesical Antes e Após Eletro-estimula o Funcional do Assoalho Pélvico
Arruda Raquel Martins
Revista Brasileira de Ginecologia e Obstetrícia , 2000,
Miriam Raquel Piazzi Machado
Nuances : Estudos sobre Educa??o , 2012,
Prevalência e caracteriza??o da anemia em idosos do Programa de Saúde da Família
Barbosa, Diana L.;Arruda, Ilma K. G.;Diniz, Alcides S.;
Revista Brasileira de Hematologia e Hemoterapia , 2006, DOI: 10.1590/S1516-84842006000400014
Abstract: anemia is a serious public health problem worldwide that mainly affects children and women of childbearing age. however, data about anemia in elderly individuals are still scarce in developing countries. this study aimed at assessing the prevalence and characteristics of anemia among an elderly population attending the health family program in camaragibe, northeast brazil. following a systematic sampling procedure, a cross-sectional study was carried out in november and december 2003 involving 284 subjects of both genders with ages grater than or equal to 60 years old. anemia was estimated by the measurement of hemoglobin, mean cell hemoglobin concentration, mean cell volume and red cell distribution width. the prevalence of anemia was around 11.0%. red cell distribution width and mean cell volume were not correlated to hemoglobin count. the major characteristics of anemia were normochromia with normocytosis without anisocytosis suggesting anemia due to chronic diseases. the very low prevalence of microcytosis, macrocytosis and anisocytosis seems to be more likely due to causes other than iron, vitamin b12 or folic acid deficiencies. the use of indicators that reflect the degree of anisocytosis, as well as parameters to assess iron status should be strongly recommended in the screening of anemia in the elderly population.
Retinolemia, consumo de vitamina A e press?o arterial em idosos
Albuquerque,Mellina Neyla de Lima; Diniz,Alcides da Silva; de Arruda,Ilma Kruze Grande;
Archivos Latinoamericanos de Nutrición , 2009,
Abstract: the objective of this study was to evaluate the retinolemia and consumption of vitamin a rich foods and their association with blood pressure levels in the elderly. this is a cross-sectional study, with a systematic sample of 297 elderly subjects enrolled at the family health program of camaragibe, pernambuco, between november/december of 2003. vitamin a status was assessed by retinolemia (hplc) and by the consumption of vitamin a rich foods (food frequency questionnaire). blood pressure levels were classified according to the v brazilian guidelines on hypertension. a prevalence of inadequate retinolemia (μmol/l) of 26.3% (ci95% 21.4-31.9) was found. the frequency of preformed vitamin a intake (>3x/week) was lower (p=0.000) than the provitamin a intake. the prevalence of systemic arterial hypertension (sah) was 58.6% (ci95% 52.7-64.3). isolated systolic hypertension was more prevalent among subjects. there was no correlation between retinolemia and vitamin a rich-food intake (p>0.05). in addition, there was no association between blood pressure levels and vitamin a rich-food intake (p>0.05). however, retinolemia in the elderly classified in stage 1 of sah was higher (p=0.02) than in the elderly with great/normal blood pressure. the findings suggest a vulnerability of these subjects to hypovitaminosis a and sah. nevertheless, the role of vitamin a in the endothelial function modulation and inflammatory responses associated to sah should be addressed in future studies.
Deficiência de vitamina A em idosos do Programa de Saúde da Família de Camaragibe, PE, Brasil
Nascimento,Ana Luiza; da Silva Diniz,Alcides; Grande de Arruda,Ilma kruze;
Archivos Latinoamericanos de Nutrición , 2007,
Abstract: a deficiência de vitamina a (dva) tem sido considerada como um problema de saúde pública, sobretudo, em países em desenvolvimento. no entanto, sua dimens?o na popula??o idosa, ainda n?o foi devidamente avaliada. este estudo teve como objetivo identificar a prevalência de dva em idosos do programa de saúde da família (psf), de camaragibe, pe. corte transversal, com amostra representativa de 315 indivíduos ≥ 60 anos, de ambos os sexos, inscritos no psf de camaragibe, em 2003. o status de vitamina a foi avaliado pelas concentra??es séricas de retinol e pelo inquérito de freqüência do consumo de alimentos-fonte de vitamina a. a prevalência de dva (retinol sérico < 1,05 micromol/l) foi de 26,1% (ic95% 21,2 - 31,6). a freqüência de consumo de alimentos fonte de vitamina a de origem animal e vegetal, = 3x/semana, foi de 46,1% (ic95% 40,7 - 52,0) e 63,2% (ic95% 57,5 - 69,5), respectivamente. as concentra??es séricas de retinol n?o mostraram correla??o com o sexo (p= 0,54), com a idade (p= 0,34), nem com o consumo de alimentos fonte de vitamina a (p> 0,05). a dva entre idosos do psf de camaragibe mostrou-se uma carência nutricional importante. logo, um plano integrado de preven??o e controle do problema seria fortemente recomendável nesse contexto
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