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Search Results: 1 - 10 of 9997 matches for " Omero Benedicto Poli-Neto "
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Impact of Chronic Pelvic Pain on Female Sexual Function  [PDF]
Adriana Peterson Mariano Salata Rom?o, Ricardo Gorayeb, Gustavo Salata Rom?o, Omero Benedicto Poli-Neto, Antonio Alberto Nogueira
International Journal of Clinical Medicine (IJCM) , 2013, DOI: 10.4236/ijcm.2013.43031

The objective of the present study was to determine the prevalence of sexual dysfunction and depression in women with chronic pelvic pain (CPP). A case-control study was conducted on 66 women, 36 of them with CPP and 30 without this diagnosis. Depression was evaluated using the Beck Depression Inventory (BDI) and sexual dysfunction was evaluated using the Female Sexual Function Index (FSFI). Data were analyzed statistically by the Mann-Whitney test, Fisher exact test, chisquare test, and Spearman correlation test. Regarding sociodemographic data, no significant differences were detected between populations with respect to the variables studied (age, schooling, number of children, income, salary, and marital status), indicating group homogeneity and thus increasing the reliability of the data. A cut-off of 26.55 points was used to calculate the total score for sexual function. In the group of women with CPP, 94.4% were at high risk for sexual dysfunction. Comparison of FSFI scores showed that the domains of sexual function, such as orgasm, lubrication and pain differed significantly between women with and without CPPP. Correlations were detected between the following items: orgasm × age (r = -0.01904), orgasm × number of children (r =-0. 00947), orgasm × body mass index (BMI) (r =-0.00 955), relationship × age (r = 0.03952), income × relationship (r =-0.014680), relationship × number of children (r =-0.03623), depression × relationship (r =-0.16091), desire × age (r = -0.45255), desire × number of children (r = -0.01824), lubrication × excitement (r = 0.04198), and lubrication × BMI (r = -0.01608). The prevalence of depression detected in the present study was 38.9% among women with pain and 3.3% among control women. It was observed that women with CPP suffer a negative interference regarding sexual function compared to controls. Thus, it can be seen that a specific approach related to sexuality is extremely important within the context of women with CPP. Depression was clearly associated with CPP and therefore an interdisciplinary approach is fundamental in order to solve this problem.

The Impact of Chronic Pelvic Pain in Women  [PDF]
Adriana P. M. S. Rom?o, Ricardo Gorayeb, Gustavo Salata Rom?o, Omero Benedicto Poli-Neto, Antonio Alberto Nogueira
International Journal of Clinical Medicine (IJCM) , 2013, DOI: 10.4236/ijcm.2013.410076

Chronic pelvic pain (CPP) is a prevalent condition with a significant impact on the personal, social, professional and marital life of women. It is a complex condition that may have no specific causal diagnosis or may be associated with multiple diagnoses, frequently involving treatment failure. The definition of health care strategies fundamentally depends on the way women live with this condition. Thus, the objective of the present study is to learn how women with CPP experience their diagnosis and the meaning they attribute to it. A qualitative study was conducted by interviewing a focus group of 11 women. The content of the interviews was recorded and fully transcribed, and the speeches were interpreted by Bardin’s content analysis. The topics most frequently dealt with in the interview were diagnosis, beginning of pain, worsening and improving factors, marital and interpersonal relationships, interference with daily activities, association with emotional aspects, and perspectives for the future. It could be perceived how much these women need to be better heard and how much the association between psychic and physical questions must be visualized by the professionals who provide care for them. The approach used by professionals from different areas, when properly structured, can minimize the problem of the division of a sick person into separate parts. Psychological care is very important, especially in relation to the discovery of more effective strategies for living with pain.

Occupational Performance of Women with Chronic Pelvic Pain and the Potential of Coping as an Unassisted Intervention  [PDF]
Omero Benedicto Poli-Neto, Raquel Verceze Bortolieiro, Júlio Cesar Rosa-e-Silva, Francisco Jose Candido-dos-Reis, Ant?nio Alberto Nogueira
International Journal of Clinical Medicine (IJCM) , 2018, DOI: 10.4236/ijcm.2018.99061
Abstract: Objective: To assess the satisfaction and occupational performance of women with chronic pelvic pain and to discuss unassisted intervention strategies by the occupational therapist for the care of these patients. Methods: A case-control study was conducted on 75 women with chronic pelvic pain and 75 apparently healthy women. The study was approved by the Research Ethics Committee of the institution and all subjects gave written informed consent to participate. Pain intensity was determined using a visual analogue scale and each patient was submitted to psycho-metric assessment using the Patient Health Questionnaire, the Self-Reporting Questionnaire of Psychiatric Screening and the Tampa Scale of Kinesiophofobia in their Brazilian version. The main outcomes regarding occupational performance and satisfaction were evaluated using the Canadian Measure of Occupational Performance. Results: The performance and satisfaction scores of women with chronic pelvic pain were significantly lower than those of healthy women. The presence of pain and kinesophobia was directly and independently correlated with low performance and satisfaction scores regardless of ethnicity, marital status, schooling, or psychometric scores. Conclusion: women with chronic pelvic pain present significant impairment of satisfaction and occupational performance. Coping is a potential unassisted intervention strategy to be applied to this population by occupational therapists.
Emboliza??o arterial seletiva em fístula arteriovenosa uterina pós-traumática
Poli-Neto, Omero Benedicto;Víbrio Neto, Jo?o Batista;Nogueira, Antonio Alberto;Reis, Francisco José Candido dos;
Radiologia Brasileira , 2004, DOI: 10.1590/S0100-39842004000400017
Abstract: uterine arteriovenous malformations are uncommon. the authors report a case of traumatic arteriovenous fistula treated by selective uterine arteries embolization. selective artery embolization has been effectively used to control postpartum hemorrhage and hemorrhage resulting from pelvic malignancy. a discussion on the consequences of uterine perforation and the control of hemorrhage without sacrificing fertility is presented.
Regula??o médica em emergência pela plataforma web: um estudo piloto
Adolfi Júnior,Mário Sérgio; Pallini,Fábio Marcon; Pessotti,Hugo; Wolf,Cláudia Maria; Patelli,Hélio Tabajara; Capeli,Ronaldo Dias; Poli-Neto,Omero Benedicto; Neves,Fábio Fernandes; Scarpelini,Sandro; Marques,Paulo Mazzoncini de Azevedo; Pazin-Filho,Antonio;
Revista de Saúde Pública , 2010, DOI: 10.1590/S0034-89102010000600011
Abstract: objective: to describe a management system for emergency medical coordination based on the worldwide web of computers. methods: the emergency coordination system was developed according to an evolving software model for prototype development. communication between users and the system was implemented by means of web technologies. the system was developed on a personal homepage and the database was developed using mysql. the prototype was based on the medical coordination process of the thirteenth regional healthcare division of the state of s?o paulo (southeastern brazil) and was applied to 26 municipalities within this regional division, for four consecutive weeks in september 2009. the system made it possible to document requests in chronological order, without allowing editing of data already entered, and ensured hierarchical confidential access to the information for each participant in the system. results: the system presented 100% availability, reliability and integrity of information. a total of 1,046 requests were made to the system, of which 703 (68%) were completed. the solicitants already presented 98% adherence to the system in the first week of application, while adherence among service providers gradually increased (37% in the fourth week). the municipalities closest to ribeir?o preto that did not have high-complexity providers were the ones that most used the system. conclusions: medical coordination of emergency requests through the worldwide web of computers was shown to be feasible and reliable, and it enabled transparency within the process and direct access to information for managers. it allowed indicators to be constructed in order to monitor and improve the process, from the perspective of creating semi-automated coordination and advances in system organization.
Biomedical Perspectives About Women with Chronic Pelvic Pain: A Qualitative Analysis  [PDF]
Paula P. Souza, Adriana P. M. S. Rom?o, Ana Márcia S. Nakano, Julio C. Rosa-e-Silva, Francisco J. Candido-dos-Reis, Antonio A. Nogueira, Omero B. Poli-Neto
International Journal of Clinical Medicine (IJCM) , 2012, DOI: 10.4236/ijcm.2012.35077
Abstract: Because the aetiology of chronic pelvic pain is complex, studies of the condition involve extensive investigation but provide few conclusions. Numerous studies have addressed the experiences of women with chronic pelvic pain, as well as the interaction between those women and their health care providers. Our objective was to investigate how physicians at a specialised clinic perceive the medical care provided to such women. This was a qualitative study employing semi-structured interviews and content analysis. We interviewed seven physicians at the Chronic Pelvic Pain Outpatient Clinic of the University Hospital, Faculty of Medicine of Ribeir?o Preto, University of S?o Paulo, Brazil. Medical training and practice constituted the central theme of the study, which was subdivided into categories addressing the influence that the current medical training has on the type of medical care provided to women with chronic pelvic pain. Medical practice has been characterised by a reductionist approach to health and illness, as well as by the fragmentation of health care. These characteristics are, to a certain extent, the result of the biomedical model of education, which has been predominant, ignoring social, cultural, psychological and emotional aspects. There is a need to shift the medical paradigms toward a humanistic model of health care. We hope that we have provided a critical view of current medical training and practice, as well as of their effects in various health care settings, particularly in the provision of care to women with chronic pelvic pain.
Postural changes in women with chronic pelvic pain: a case control study
Mary LLS Montenegro, Elaine CL Mateus-Vasconcelos, Júlio C Rosa e Silva, Francisco dos Reis, Antonio A Nogueira, Omero B Poli-Neto
BMC Musculoskeletal Disorders , 2009, DOI: 10.1186/1471-2474-10-82
Abstract: A case-control study included 108 women with CPP of more than 6 months' duration (CPP group) who consecutively attended at the Hospital of the University of S?o Paulo and 48 healthy female volunteers (control group). Postural assessment was noninvasive and performed in the standing position, with the reference points of Kendall used as normal parameters. Factors associated with CPP were assessed by logistic regression analysis.Logistic regression showed that the independent factors associated with CPP were postural changes in the cervical spine (OR 4.1; 95% CI 1.6–10.7; p < 0.01) and scapulae (OR 2.9; 95% CI 1.1–7.6; p < 0.05).Musculoskeletal changes were associated with CPP in 34% of women. These findings suggest that a more detailed assessment of women with CPP is necessary for better diagnosis and for more effective treatment.Among women, chronic pelvic pain (CPP) is a highly prevalent (2% to 25%) clinical problem [1,2], with substantial costs [3] as well as social and marital repercussions [4,5]. CPP is defined as continuous or recurrent pain in the lower abdomen or pelvis lasting at least six months, not related to pregnancy, and sufficiently severe to interfere with the habitual activities of the patient. CPP excludes pain occurring exclusively in association with menstruation (dysmenorrhea) or during sexual intercourse (dyspareunia).Although the etiology is often unknown, it may result from complex interactions among the gastrointestinal, urinary, gynecologic, musculoskeletal, neurologic and endocrine systems, as well as being influenced by psychological and sociocultural factors [6]. To date, few therapeutic modalities have been effective in relieving the symptoms of CPP, particularly over the long term [7]. An interdisciplinary approach has therefore been recommended [8-10], both to diagnose the presumed primary etiology, and to diagnose and control all the secondary factors associated with CPP.In clinical practice, postural changes are frequently observed
Express o do P63 em tumores epiteliais do ovário: uma nova evidência da origem alternativa dos tumores mucinosos
Poli Neto Omero Benedicto
Revista Brasileira de Ginecologia e Obstetrícia , 2003,
Increased fetal hemoglobin levels in patients infected with human immunodeficiency virus (HIV1/2)
Poli-Neto A.,Nonoyama K.,Oshiro M.,Ebner-Filho W.
Brazilian Journal of Medical and Biological Research , 2000,
Abstract: Fetal hemoglobin was measured in HIV1/2 patients under treatment with combined therapy (zidovudine and a protease inhibitor). A total of 143 patients and 103 normal individuals were investigated by the quantitative method of Betke and the semi-quantitative acid elution method of Kleihauer. In the normal person, hemoglobin F makes up less than 1% and an increase higher than 1.5% was observed in 21.4% of HIV patients by the method of Betke and in 24.8% of HIV-infected patients by the method of Kleihauer. The quantitative biochemical method of Betke showed that the populations were significantly different (two-tailed Mann-Whitney test). The reason for this hemoglobin F increase might be ascribed to the effect of zidovudine or to direct viral action on gamma chain expression. The finding of a higher F cell frequency indicated by the method of Kleihauer rather suggests that there is an increased F cell clone proliferation rather than an increase in hemoglobin F level in every cell.
Abordagem da dor pélvica cr?nica em mulheres
Nogueira, Antonio Alberto;Reis, Francisco José Candido dos;Poli Neto, Omero Benedicto;
Revista Brasileira de Ginecologia e Obstetrícia , 2006, DOI: 10.1590/S0100-72032006001200008
Abstract: chronic pelvic pain is a debilitating and highly prevalent disease with a major impact on quality of life and work productivity, beyond significant costs to health services. the dilemma of managing patients with chronic pelvic pain continues to frustrate physicians confronted with these complaints, in part because its pathophysiology is poorly understood. consequently, its treatment is often unsatisfactory and limited to temporary symptom relief. in the present revision, we discuss the adequate management of chronic pelvic pain. we point out that a comprehensive medical history and physical examination should include special attention to gastrointestinal, urological, gynecological, muscle-skeletal, neurological, psychiatric, and endocrine systems. thus, a multidisciplinary approach is recommended. additionally, we emphasize that, although useful, specific surgical procedures, such as laparoscopy, should be indicated only to selected patients, mainly after excluding irritable bowel syndrome and pain of myofascial origin.
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