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Search Results: 1 - 10 of 190722 matches for " Olímpio Barbosa de;Costa "
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N?o-fechamento dos perit?nios visceral e parietal na opera??o cesariana
Moraes Filho, Olímpio Barbosa de;Costa, Cícero Ferreira Fernandes;
Revista Brasileira de Ginecologia e Obstetrícia , 1999, DOI: 10.1590/S0100-72031999001000004
Abstract: purpose: to determine whether nonclosure of the visceral and parietal peritoneum is of benefit for the intraoperative or postoperative course of cesarean section. methods: six hundred and ninety-eight women scheduled for cesarean section were randomized to either closure of both visceral and parietal peritoneum (n = 349) or no peritoneal closure (n = 349), at the maternidade da encruzilhada (cisam) in recife, from november 1997 to december 1998. statistical analysis compared intraoperative and postoperative outcome between the two groups. there was no difference regarding age, parity, gestational age, antibiotic prophylaxis, headache after spinal anesthesia, cystitis, ruptured membranes and indications for cesarean section. results: operating time, number of absorbable sutures and use of analgesics were significantly lower in the group without closure. the incidence of febrile morbidity, wound infection and endometritis was similar in the two groups. there was no difference in the need for antiphysetics, antiemetics and mineral oil. the average hospital stay was similar in the two groups. conclusions: nonclosure of the visceral and parietal peritoneum at cesarean section was not associated with adverse effects on the postoperative course; on the contrary, it reduced the use of analgesics, and intraoperatively it reduced operating time and the number of absorbable sutures.
Análise dos fatores de risco anteparto para ocorrência de cesárea
Silva, Simone Angélica Leite de Carvalho;Moraes Filho, Olímpio Barbosa de;Costa, Cícero Ferreira Fernandes;
Revista Brasileira de Ginecologia e Obstetrícia , 2005, DOI: 10.1590/S0100-72032005000400005
Abstract: purpose: to create a predictive model for cesarean section at the "professor monteiro de morais maternity" after evaluation of antepartum risk factors of the pregnant women who delivered from september 1, 1999 to august 31, 2000, and then, to verify the efficacy of indication for cesarean section. methods: a longitudinal, case control study with 3.626 pregnant women was performed to identify the antepartum risk factors for cesarean section in the period from september 1, 1999 to august 31, 2000. thereafter an ideal model able to quantify the risk for cesarean section for each patient in the presence of one or more risk factor was created. then, the model was applied to the patients of the study in order to verify the efficacy of indication for cesarean section. results: the baseline risk for cesarean section was 15.2%. the concordance between the percentage estimated through logistic model and cesarean delivery was 86.6%. conclusions: the logistic model was able to identify the baseline risk for cesarean section and to quantify the increase in risk for cesarean section in each patient when risk factors were introduced in the model. the model can be considered efficient and able to predict cesarean section because the agreemant between the prediction and the correct indication was 86.6%, and 53.6% of the patients who had vaginal delivery did not have any risk factor for cesarean section.
Misoprostol versus sonda Foley e ocitocina para indu o do parto
Moraes Filho Olímpio Barbosa de
Revista Brasileira de Ginecologia e Obstetrícia , 2002,
Métodos para indu??o do parto
Moraes Filho, Olímpio Barbosa de;Cecatti, José Guilherme;Feitosa, Francisco Edson de Lucena;
Revista Brasileira de Ginecologia e Obstetrícia , 2005, DOI: 10.1590/S0100-72032005000800010
Abstract: the interest of modern obstetrics in labor induction can be demonstrated by the huge amount of scientific articles published during the last few years. the advances of medicine in general and particularly of obstetrics allowed that more risky pregnancies reach term or near term, with a maternal or fetal indication for pregnancy interruption before the spontaneous onset of labor and delivery. this leads the obstetrician to the situation of choosing between cesarean section and labor induction. with the aim of helping the obstetrician to make the choice for labor induction and thus collaborate with the reduction in cesarean section rates, it is necessary that an accessible, cheap, safe, effective, easy to be used method with good acceptability is available. although several methods of labor induction reported in medical literature do exist, it is known that there is no ideal method. however, among them, two are highlighted. the first is oxytocin, which has the advantages of promoting physiologic uterine contractions of labor and reverting uterine hypercontractility when suspended. the other method is misoprostol, nowadays the most used, which ripens the uterine cervix and induces uterine contractions of labor. however, there are still some controversies regarding its ideal dose, route and safety.
Prevalência e fatores associados à prática da episiotomia em maternidade escola do Recife, Pernambuco, Brasil
Carvalho, Cynthia Coelho Medeiros de;Souza, Alex Sandro Rolland;Moraes Filho, Olímpio Barbosa;
Revista da Associa??o Médica Brasileira , 2010, DOI: 10.1590/S0104-42302010000300020
Abstract: objective: to determine the prevalence and factors associated with episiotomy in a reference center of pernambuco. methods: a retrospective cross-sectional study was carried out from january to december 2006 with 495 women who had a normal delivery at the maternity center monteiro de moraes integrated health amaury de medeiros (cisam) university of pernambuco. assciated factors were issues preceeding birth, characteristics of labor and perinatal outcome. to verify the association between predictors and performance of episiotomy the chi square, fisher's exact and student's t tests were used as appropriate, with a a significance level of 5%. the prevalence ratio and confidence intervals were calculated at 95%, in addition to logistic regression analysis. results: prevalence of performing episiotomy was 29.1% (n = 144). after bivariate analysis, we found a significant association of episiotomy with adolescence (pr 1.74. 95% ci 1.33-2.28), age over 35 years (pr 0.35. 95% ci 0.14-0.90), primiparity (pr 4.73, 95% ci 3.33-6.71), absence of previous vaginal delivery (pr 5.44, 95% ci 3.67-8.06) and related diseases at the time of delivery (rp 1.71, 95% ci 1.30-2.25). there was no significant relation with gestational age at delivery, duration of labor over 6h and expulsion period of more than 30 minutes, use of misoprostol or oxytocin, abnormal fetal heart rate, presence of meconium, shift of completion of delivery (night or day), rate of apgar score in 1 and 5 minutes and weight of the newborn. presence of perineal lacerations was higher in the group not subject to episiotomy, however only 1st and 2nd degree lacerations were described. after logistic regression, the analyzed remaining factors associated with episiotomies were maternal diseases (ra 1.99, 95% ci 1.20-3.28) and absence of previous vaginal delivery (9.85 ra, 95% ci 6.04-16.06). conclusion: prevalence of episiotomies in the institution was 29%. variables that remained related to episiotomy were maternal diseases
Valida??o do diagnóstico ultrassonográfico de anomalias fetais em centro de referência
Noronha Neto, Carlos;Souza, Alex Sandro Rolland de;Moraes Filho, Olímpio Barbosa de;Noronha, Adriana Mota Bione;
Revista da Associa??o Médica Brasileira , 2009, DOI: 10.1590/S0104-42302009000500016
Abstract: objective: to validate ultrasound diagnoses of fetal anomalies made in a fetal medicine center in pernambuco. methods: a cross sectional study was performed to validate the diagnosis test, including all high risk pregnant women submitted to obstetrical morphological ultrasound at the "instituto de medicina integral professor fernando figueira (i.m.i.p.)", from march 2002 to march 2006. prenatal diagnosis was confirmed after birth. socio demographic characteristics and pre and postnatal frequencies of fetal anomalies were the variables studied. agreement between pre and postnatal diagnoses from congenital anomalies were evaluated with the kappa indicator. youden's test was applied to validate prenatal ultrasound diagnoses. results: nine hundred and eighty nine patients were eligible. after evaluation of inclusion and exclusion criteria 457 patients were included in study. the average maternal age was 24.8 + 6.5 years. fetal anomaly diagnoses postnatal were confirmed in 257 (56.2%) pregnant women. prenatal ultrasound diagnosis of fetal anomalies disclosed 96% of sensibility and 79% of specificity, good agreement (k=0.76) between pre and postnatal diagnoses when compared to postnatal results and good diagnostic validity (y=0.75). conclusion: prenatal diagnoses of fetal anomalies at a fetal medicine center in pernambuco demonstrate good sensibility, specificity, agreement pre and postnatal and good diagnostic validity.
Fatores associados à realiza??o de cesariana em hospitais brasileiros
Pádua,Karla Sim?nia de; Osis,Maria José Duarte; Faúndes,Anibal; Barbosa,Avelar Holanda; Moraes Filho,Olímpio Barbosa;
Revista de Saúde Pública , 2010, DOI: 10.1590/S0034-89102010000100008
Abstract: objective: to assess the prevalence of cesarean sections in brazilian hospitals. methods: a cross-sectional study was carried out with data from the world health organization's global data system for maternal and perinatal health, for the brazilian states of s?o paulo, pernambuco and the federal district. data relating to 15,354 women who gave birth between september/2004 and march/2005 were analyzed, according to sociodemographic, reproductive, and hospital-related characteristics. bivariate analyses - with calculations of the prevalence ratios and respective confidence intervals - and multivariate poisson regression analyses were performed. results: the prevalence ratio of cesarean sections was significantly higher among older women, who were married/living with a partner and with higher body mass index. the following conditions during pregnancy or birth were associated with higher cesarean section prevalence ratio: parturient being diagnosed as hiv-positive, heavier weight and greater head circumference of the newborn, and more prenatal consultations. in regression analysis, the following variables showed direct association with the outcome: parturient being older and with higher schooling level, presence of hypertension/eclampsia, chronic condition or some other medical condition, newborn's greater head circumference, being primiparous, having had a cesarean in the last pregnancy and having received an epidural block or rachidian analgesic during labor. although the proportion of cesareans was higher in hospitals with a high complexity index, the difference was not statistically significant, as well as for other characteristics of hospitals. conclusions: the conditions of the pregnancy, newborn and the sociodemographic and reproductive characteristics of the parturient were independently associated with cesarean delivery. the hospital complexity index was not associated with cesarean delivery, probably due to the homogeneity of the hospital sample.
Misoprostol sublingual versus vaginal para indu??o do parto a termo
Moraes Filho, Olímpio Barbosa de;Albuquerque, Rivaldo Mendes de;Pacheco, álvaro José Correia;Ribeiro, Renata Holanda;Cecatti, José Guilherme;Welkovic, Stefan;
Revista Brasileira de Ginecologia e Obstetrícia , 2005, DOI: 10.1590/S0100-72032005000100006
Abstract: purpose: to compare the effectiveness and safety of sublingual misoprostol (25 μg) versus vaginal misoprostol (25 μg) (prostokos?) for labor induction with gestational age > 37 weeks and unripe cervices. methods: a randomized controlled clinical trial was performed at the maternidade monteiro de morais (cisam-upe), in recife - pe, brazil, from october 2003 to february 2004. one hundred and twenty-three women with gestational age > 37 weeks, bishop score <8, not in labor and with medical indication for interruption of pregnancy were included in this study. the women received randomly 25 μg sublingual misoprostol or 25 μg vaginal misoprostol every 6 h, not exceeding eight doses. in order to evaluate the differences between the groups, means, standard deviations, student's t-test, c2 trend and mann-whitney test were used. the statistical significance was considered to be 5%. results: there were no significant differences between the number of women with vaginal delivery in the sublingual group as compared with the vaginal group (65.5 vs 75.8%, p<0.22), or in the interval of time between the induction onset and delivery (24 h and 42 min vs 20 h and 37 min respectively, p=0.11). the two groups, sublingual and vaginal, also did not differ as to the hyperstimulation syndrome (1.7 vs 3.2%, p=0.95), meconium incidence (5.2 vs 4.8%, p=0.74), apgar score <7 at 5 min (3.4 vs 4.8%, p=0.98) and other adverse effects. conclusion: twenty-five micrograms of sublingual misoprostol every six h presented the same effectiveness and safety as an equal vaginally administered dose of this substance. sublingual misoprostol seems to be acceptable and is another option to be considered for labor induction.
Jogadores de futebol no Brasil: mercado, forma??o de atletas e escola
Soares, Antonio Jorge Gon?alves;Melo, Leonardo Bernardes Silva de;Costa, Felipe Rodrigues da;Bartholo, Tiago Lisboa;Bento, Jorge Olímpio;
Revista Brasileira de Ciências do Esporte , 2011, DOI: 10.1590/S0101-32892011000400008
Abstract: the aim of this study is to discuss the relationship between professional soccer and education in brazil. in the last six years, this country exported abroad a total of 6.648 soccer players. among these players, 3.593 (or 54%) went to europe. we believe that we are dealing with an agency that recruits young male, generally from the lowest social strata, to play in internal or external soccer market. besides, it configures a kind of business that supports an industry of professional formation, that may be in competition against basic schooling of these young athletes which dream about being professional soccer players.
Comércio interestadual por vias internas e integra??o regional no Brasil: 1943-69
Galv?o, Olímpio J. de Arroxelas;
Revista Brasileira de Economia , 1999, DOI: 10.1590/S0034-71401999000400005
Abstract: this paper has two main objectives. first, to provide empirical support to the traditional assertive that brazil still constituted an ''archipelago'' of economic islands until at least the end of the 40's. second, to describe the commercial relationships among the brazilian states and regions in the decades which immediately preceded and succeeded the face of acceleration in the process of market integration in the country. the paper shows, by making use of four interstate trade matrices, that only after the completion of a national program of roadways construction, in the 50's and 60's, brazil effectively broke up the state of relative isolation of its regional economies. the impressive expansion of the internal trade flows, starting in the 50's, attests to the striking intensification of the integration process and the formation of a virtually unified national market.
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