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Search Results: 1 - 10 of 52509 matches for " Mirna da Mota; "
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Prevalência da doen?a do refluxo gastroesofágico em pacientes com fibrose pulmonar idiopática
Bandeira, Cristiane Dupont;Rubin, Adalberto Sperb;Cardoso, Paulo Francisco Guerreiro;Moreira, José da Silva;Machado, Mirna da Mota;
Jornal Brasileiro de Pneumologia , 2009, DOI: 10.1590/S1806-37132009001200004
Abstract: objective: to determine the prevalence of gastroesophageal reflux disease (gerd) and to evaluate its clinical presentation, as well as the esophageal function profile in patients with idiopathic pulmonary fibrosis (ipf). methods: in this prospective study, 28 consecutive patients with ipf underwent stationary esophageal manometry, 24-h esophageal ph-metry and pulmonary function tests. all patients also completed a symptom and quality of life in gerd questionnaire. results: in the study sample, the prevalence of gerd was 35.7%. the patients were then divided into two groups: gerd+ (abnormal ph-metry; n = 10) and gerd- (normal ph-metry; n = 18). in the gerd+ group, 77.7% of the patients presented at least one typical gerd symptom. the ph-metry results showed that 8 (80%) of the gerd+ group patients had abnormal supine reflux, and that the reflux was exclusively in the supine position in 5 (50%). in the gerd+ and gerd- groups, respectively, 5 (50.0%) and 7 (38.8%) of the patients presented a hypotensive lower esophageal sphincter, 7 (70.0%) and 10 (55.5%), respectively, presenting lower esophageal dysmotility. there were no significant differences between the groups regarding demographic characteristics, pulmonary function, clinical presentation or manometric findings. conclusions: the prevalence of gerd in the patients with ipf was high. however, the clinical and functional characteristics did not differ between the patients with gerd and those without.
Psychosocial effects of stroke in low-income family context
José Nilson Rodrigues de Menezes,Luciana Andrade da Mota,Zélia Maria de Sousa Araújo Santos,Mirna Albuquerque Frota
Revista Brasileira em Promo??o da Saúde , 2010,
Abstract: Objective: To understand the psychosocial effects of stroke – cerebrovascular accident (CVA) – in a low-income family context. Methods: A qualitative and descriptive research held in one of the units of Associa o Beneficente Cearense de Reabilita o (ABCR) in Fortaleza, Ceará, in the period from June to December, 2002. Six patients with sequel of CVA and their families joined in the study, regardless of age, with an average of six months of physiotherapy. For data collection we applied free observation and semi-structured interviews to patients and families, mediated by specific guiding questions for each group. From content analysis five categories emerged. Results: The difficulties of family life, the feelings of anguish and anxiety prevailed in the quest for rehabilitation, with the treatment being long, requiring determination and awareness of patient-family dyad. The fear of losing their jobs, the responsibility, the expenses and their family life were present in the discourse of patients and relatives, in addition to questions about the disease and concerns about recovery and / or healing. Final considerations: The stroke (CVA) brings as psychological effects feelings of fear, anguish and limitation, contrasting with the determination of the quest for recovery. Socially, the unemployment, both physical and financial dependence and social isolation were highlighted.
Esofagomanometria e pHmetria esofágica de 24 h em uma ampla amostra de pacientes com manifesta??es respiratórias
Machado, Mirna da Mota;Cardoso, Paulo Francisco Guerreiro;Ribeiro, Iana Oliveira e Silva;Zamin Júnior, Idílio;Eilers, Rene Jacobsen;
Jornal Brasileiro de Pneumologia , 2008, DOI: 10.1590/S1806-37132008001200009
Abstract: objective: to determine the prevalence of gastroesophageal reflux disease (gerd) and to evaluate the esophageal motor profile of patients with respiratory symptoms referred to a digestive motility referral center for esophageal function testing. methods: the results of esophageal manometry and 24-h esophageal ph-metry were analyzed.the inclusion criterion was presenting respiratory symptoms, with or without accompanying digestive symptoms. results: of the 1,170 patients included in the study, 602 (51.5%) reported having digestive and respiratory symptoms (drs group), and 568 (48.5%) reported having only respiratory symptoms (rs group). asthma was diagnosed in 142 patients in the rs group (rs-a subgroup) and in 201 of those in the drs group (drs-a). of the 346 cases of esophageal dysmotility, hypomotility was found in 175 (14.3% and 15.6% in the drs and rs groups, respectively), and lower esophageal sphincter (les) hypotonia was found in 411 (40.3% and 30.2%, respectively). hypotonia correlated with gerd. exposure of the distal esophagus to acid was markedly abnormal in the supine position. the prevalence of gerd in the sample as a whole, the rs-a/drs-a subgroups and the rs-a subgroup alone was 39.8%, 44.0% and 35.2%, respectively conclusions: hypotonic les was the most common abnormality and correlated with gerd. although gerd was more evident in the drs group, approximately one third of the patients in the rs group also presented gerd (silent gerd). the findings suggest that gerd can be an extrapulmonary cause of chronic respiratory symptoms unresponsive to conventional therapy.
Os caminhos da fonoaudiologia no Sistema único de Saúde - SUS
Moreira, Mirna Dorneles;Mota, Helena Bolli;
Revista CEFAC , 2009, DOI: 10.1590/S1516-18462009000300021
Abstract: background: the ways of the speech-language therapy in the unique system of health - sus. purpose: to accomplish a brief report about the health questions evolution in brazil and speech-language therapy service evolution in the public system, in addition to carry through a quick analysis on the concern of research in this area. conclusion: speech-language therapy service has been presenting significant advances in the unique system of health. since its insertion in sus, between the decades of 70 and 80, many conceptions and practices have been reevaluated. however, it is necessary to have acquaintance on this step so that we can make it to advance each time more. we believe that this service deserves important attention from the actions of public health and that scientific evidences are necessary in order to prove the significance of this work.
Epilepsia e incapacidade laborativa
Gomes, Marleide da Mota;
Journal of Epilepsy and Clinical Neurophysiology , 2009, DOI: 10.1590/S1676-26492009000300007
Abstract: introduction: the balance between the demands of a profession and the capacity to accomplish to them, the labor capacity, is an important concern to be considered by the worker (insured or not to the social welfare)/employer/social welfare. the worker with epilepsy (we) can have labor incapacity and difficulty to get into the labor market. objective: to present issues related to the relevant diagnostic aspects of the epilepsy, principles of the labor capacity, benefits/services granted by the social welfare especially the one of incapacity benefit, professional rehabilitation and welfare/medical investigation. methods: narrative review on epilepsy and work mainly from national papers published enrolled in the pubmed with the terms epilepsy and work in their titles, besides issues related to the epilepsy, incapacity benefit and welfare/medical investigation. results: the granted benefits to we, such as the incapacity benefit, are common among those granted by the social welfare. the we with pharmaco-resistance and with comorbidities are the more prone to have partial or total/temporary or permanently labor incapacity, for one or several professions. conclusion: the we can fit well in the labor market regarding his/her professional qualifications, but keeping in mind the intentional or no intentional barriers. patients with pharmaco-resistance and with incapacitating comorbidities may need welfare benefits. the doctors, medical referees, rehabilitation team, employers, educators and appropriate legislation have a relevant role in the integration of the we into the labor market.
Aspectos epidemiológicos das comorbidades psiquiátricas em epilepsia
Gomes, Marleide da Mota;
Journal of Epilepsy and Clinical Neurophysiology , 2008, DOI: 10.1590/S1676-26492008000400005
Abstract: introduction: several psychiatric comorbidities linked to epilepsy are prevalent, and they can reduce the people with epilepsy (pe) health-related quality of life (hrqol). objectives: to approach the magnitude of the psychiatric comorbidities, their distribution, according to the distribution by age and gender. to recognize: the risk factors for them, and their classification/diagnosis; the indexes of multimorbididity of potential use in epileptology, and their applicability in hrqol; repercussion in the clinical practice of the approach of the mentioned comorbidities. methods: narrative revision on psychiatric comorbidities, mainly based on population based studies published in the last 10 years. results: the psychiatric disorders are more prevalent in the pe than in the general population, being the humor disorder, anxiety, psychoses, schizophrenia, personality disorder, and alcoholic dependence the most common. several of them are more prevalent in any age group of the pe than in the general population, and more in the women than in the men, and they tend to echo negatively in their socioeconomic level. the diagnosis of these comorbidities is limited: it is not common the distinction between general psychiatric disorders and those related to the epilepsy. conclusions: the psychiatric disorders are common in the pe, mainly of humor, but the rates are diversified as well as the used methodologies, and there is need of better approach of them to the patients' better clinical control, improvement of their hrqol and reduction of health care costs.
Mortalidade atribuída à epilepsia, às suas doen?as subjacentes ou às condi??es n?o relacionadas a ela: uma síntese
Gomes, Marleide da Mota;
Journal of Epilepsy and Clinical Neurophysiology , 2010, DOI: 10.1590/S1676-26492010000300004
Abstract: objective: to know regarding the epilepsy: the epidemiology of the direct or indirect causes of the deaths; inferences and critics on data about mortality from death certificates and risk factors for the deaths. to reflect on the recommendations/warnings about the risk of preventable death in patients. methods: review based on articles published mainly in the last three years obtained from search in the pubmed with the describers epilepsy and mortality in the headings. added more references on mortality/death certificates, suicidal ideation and prophylaxis of preventable deaths (survey and measures). results: the studies are those: based on the mortality database of the brazilian ministry of health; about main factors of risk for premature death in people with epilepsy; about mortality related to the epilepsy (sudden unexpected death in epilepsy - sudep, seizure and "status epilepticus", suicide, accident, surgery for epilepsy, vagal nerve stimulation and pregnancy); about unrelated mortality from the epilepsy (mainly, neoplasias, cerebrovascular disease, coronary artery disease and respiratory infection); about preventable deaths prophylaxis. conclusions: the mortality among people with epilepsy is higher than that of the general population. the question of the increased mortality, in the postoperative period of the surgery for epilepsy, is not yet answered. the suicide occurs more often, particularly in people with refractory epilepsy and/or psychiatric comorbidities. sudep is an epilepsy-related phenomenon, multicausal and with higher occurrence in epileptic young people. preventable deaths prophylaxis should be carried out by the individualization, to each patient, of the provided information.
Prognóstico a Longo Prazo da Epilepsia
Gomes, Marleide da Mota;
Journal of Epilepsy and Clinical Neurophysiology , 2012, DOI: 10.1590/S1676-26492012000200003
Abstract: several studies before the 1970's about patients with epilepsy reported bad prognosis. this paper was developed to know the knowledge about it at nowadays. this was made by a narrative review mainly based on populational prospective/retrospective cohort study on patients with newly diagnosed epilepsy, follow-up period at least of 10 years, outcome variable being remission or recurrence of seizures, besides death. it is also considered the pattern of remission-relapse or worsening of epilepsy in people with pharmacoresistant epilepsy. in most people with newly diagnosed epilepsy, mainly idiopathic etiology, the long-term prognosis of epilepsy is favorable, but epilepsy remains active in approximately 30% and becomes intractable in approximately 10%. it is also recognized that people with epilepsy have an increased risk of premature death, being the highest risk soon after onset of seizures.
História da epilepsia: um ponto de vista epistemológico
Gomes, Marleide da Mota;
Journal of Epilepsy and Clinical Neurophysiology , 2006, DOI: 10.1590/S1676-26492006000500009
Abstract: introduction: the history of the epilepsy studies the medical knowledge with their contradictions and increments, here presented in a european point of view. the related literature is rich and extensive. methodology: narrative review based on epilepsy historical facts in an epistemologic perspective. objectives: to present an overview of the evolution of the knowledge and of facts in elapsing of almost 2300 years from hippocrates to middles of the xix century, in the turn point of the modern epileptology that has as symbol, john hughlings jackson (1834-1911). to mention, of the pre-modern era, the hypotheses on the seizure origin in the human organism and related causes and the consequent therapeutic procedures. to enroll, after the subsequent years to the english master, fundamental aspects of the modern epileptology through their pioneer centers, personalities and more outstanding facts: surgical and drug therapies, neurophysiological diagnosis and the return to the integrated bio-psycho-social approach sponsored by the global campaign against epilepsy, out of the shadows. to consider: personalities with/or just hypothetically with epilepsy; literature done by writers with epilepsy or who saw patient's seizures or who read secondary reports about these patients; precursor medical book or periodics. conclusion: the epilepsy history manages to do a review of the medical evolution of the knowledge that can be done by means of scientific facts and socio-cultural interfaces. it demonstrates, for instance, the historical importance of the deductive-hypothetical method in the elucidation of the epilepsy physiopathogeny, masterfully done by john hughlings jackson, besides the more usually carried out in the sciences, the inductive.
Neuronosology: historical remarks
Gomes, Marleide da Mota;
Arquivos de Neuro-Psiquiatria , 2011, DOI: 10.1590/S0004-282X2011000400028
Abstract: classifications for neurological disorders have evolved from following the theory of the humors to modern anatomical pathology and, recently, to the germ theory that stared the etiological era, as seen in book content lists. the symptomatic approach towards neuronosology was widely used until the middle of the 19th century. the following books are representatives of this: "de cerebri morbis (1549)"; "de anima brutorum (1672)"; and "a treatise on nervous disease (1820-1823)". during the enlightenment, "synopsis nosologiae methodicae (1769)" had a great repercussion subsequently on neuronosology. "lehrbuch der nerven-krankheiten des menschen (1840-1846)" was the first systematic treatise in neurology, and "a treatise on the diseases of the nervous system (1871)" was the first american textbook of neurology, and probably the first comprehensive one. the first brazilian textbook was "li??es sobre as moléstias do sistema nervoso, feitas na faculdade de medicina do rio de janeiro (1878)". a presentation going from causes of death to the international classification of diseases and their importance for neurology is also made.
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