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Search Results: 1 - 10 of 91 matches for " Rozana Ciconelli "
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Instrumentos de avalia??o em espondilite anquilosante
Torres, Themis Mizerkowski;Ciconelli, Rozana Mesquita;
Revista Brasileira de Reumatologia , 2006, DOI: 10.1590/S0482-50042006000700009
Abstract: ankylosing spondylitis is a chronic and progressive disease involving predominantly the axial skeleton. it is insidious and potentially debilitating, compromising the quality of life of patients suffering from the disease. the etiopathogenesis is still uncertain, which difficult strategies in its diagnosis and treatment. advances in biological therapies are reforcing discussions in the best way of managing the disease. in this paper, we revise the outcome instruments available for ankylosing spondylitis and the consensus from the asas working group (assessments in ankylosing spondylitis working group) established at the omeract iv (outcome measures in rheumatology).
Conceitos de acesso à saúde
Sanchez,Raquel Maia; Ciconelli,Rozana Mesquita;
Revista Panamericana de Salud Pública , 2012, DOI: 10.1590/S1020-49892012000300012
Abstract: this article describes four dimensions of health access-availability, acceptability, ability to pay and information-correlating these dimensions to indica-tors and discussing the complexity of the concept of access. for a study of these four dimensions, searches were conducted using the pubmed/medline, lilacs, scielo, and world health organization library & information networks for knowledge (wholis) databases. large-circulation media vehicles, such as the economist, the washington post, and the bbc network were also searched. the concept of health access has become more complex with time. the first analyses, carried out in the 1970s, suggested a strong emphasis on geographical (availability) and financial (ability to pay) aspects. more recently, the literature has focused on less tangible aspects, such as cultural, educational, and socioeconomic issues, incorporating the element of acceptability into the notion of health access. the literature also shows that information provides the starting point for access to health, in association with health empowerment and literacy for health care decision-making. the study concludes that improvements in access to health and the guarantee of equity will not be achieved by initiatives focusing on health care systems alone, but rather will depend on intersectoral actions and social and economic policies aimed at eliminating income and education differences.
Qualidade de vida e medidas de utilidade: parametros clínicos para as tomadas de decis?o em saúde
Campolina,Alessandro Gon?alves; Ciconelli,Rozana Mesquita;
Revista Panamericana de Salud Pública , 2006, DOI: 10.1590/S1020-49892006000200013
Abstract: in recent decades, the international scientific community has become increasingly interested in the concept of quality of life. one of the most important implications of the focus on quality of life is a shift from "cure" to "a guarantee of a better life" as a health care goal, as well as the inclusion of individuals' preferences for certain health states in the decision-making process associated with treatments, diagnostic strategies, and health spending. this is especially important as the prevalence of chronic diseases increases as a result of the aging of the population. this piece describes the main concepts and applications related to this new health paradigm, including quality of life itself, utility measures, quality-adjusted life years (qalys), and health decision analysis.
Questionário específico para sintomas do joelho "Lysholm Knee Scoring Scale": tradu??o e valida??o para a língua portuguesa
Peccin, Maria Stella;Ciconelli, Rozana;Cohen, Moisés;
Acta Ortopédica Brasileira , 2006, DOI: 10.1590/S1413-78522006000500008
Abstract: knee diseases present variable consequences for an individual?s function and quality of life. for the purposes of translating, validating and checking the measurement properties of the specific questionnaire for knee symptoms - the "lysholm knee scoring scale" - into portuguese, we selected, for convenience, 50 patients (29 males and 21 females, mean age = 38.7 years) with knee injuries (meniscal injury, anterior cruciate ligament injury, chondromalacia or arthrosis). reproducibility and ordinal consistency inter- and intra-interviewer were excellent (a = 0.9). the nominal consistency inter-interviewers was good (kappa = 0.7) and intra-interviewer was excellent (kappa = 0.8). during validation process, we correlated the lysholm questionnaire with the pain numerical scale (r=-0.6; p=0.001) and with he lequesne index (r= -0.8; p=0.001). correlations between lysholm questionnaire and the global health evaluation by patient and by therapist were poor and not significant. the correlations between lysholm questionnaire and sf-36 were significant for physical aspects (r = 0.4; p = 0.04), pain (r = 0.5; p = 0.001) and function (r = 0.7; p = 0.0001). we concluded that the translation and cultural adaptation of the "lysholm knee scoring scale" into our language have proven to be reproducible and valid in patients with meniscal injury, anterior cruciate ligament injury, chondromalacia or knee arthrosis.
Causas de interrup??o n?o-programadas da radioterapia
Diegues, Sylvia Suelotto;Ciconelli, Rozana Mesquita;Segreto, Roberto Araujo;
Radiologia Brasileira , 2008, DOI: 10.1590/S0100-39842008000200009
Abstract: objective: to evaluate the occurrence and causes of unplanned interruption of radiotherapy. materials and methods: retrospective study developed in the division of radiotherapy of hospital alem?o oswaldo cruz in s?o paulo, sp, brazil, with data collected from 560 dossiers of patients submitted to radiotherapy in the period between january 1, 2005 and december 31, 2005. chi-squared and student t tests were utilized in the data analysis, and p < 0.05 was considered as statistically significant. results: interruption of treatment was identified in 350 cases, corresponding to 62.5% of the patients. the reasons for treatment interruption were the following: preventive device maintenance (55%), patient's own private reasons (13%), adverse reactions to the treatment or to combined radiotherapy/chemotherapy (6%), clinical worsening (3%), two or more combined reasons (23%). the interruption time interval ranged between 1 and 24 days (mean 1.4 day). one-day interruption was mostly due to preventive device maintenance (84.4%); two-five-day interruption was due to combined reasons (48.28%). conclusion: the most frequent cause of interruption was preventive device maintenance, with maximum two-day time interval.
Revis?es sistemáticas e metanálises na reumatologia
Riera, Rachel;Abreu, Mirhelen Mendes de;Ciconelli, Rozana Mesquita;
Revista Brasileira de Reumatologia , 2006, DOI: 10.1590/S0482-50042006000700003
Abstract: science knowledge is growing exponentially. doctors and policy makers are inundated with amounts of information, needing systematic reviews to efficiently integrate existing information and provide data for rational decision-making. to improve the medical decision making in a better conditions, systematic reviews, including meta-analyses, establish whether scientific findings efficiently are consistent and can be generalized across populations or a patient in particular way. this paper aims to update the concepts of these kind of studies, emphasizing their methodological principles to be used in the clinical practice.
Instrumentos de avalia o em reumatologia: importancia de sua tradu o e valida o para nosso idioma
Lais V. Lage,Roger A. Levy,Rozana M. Ciconelli
Revista Brasileira de Reumatologia , 2006, DOI: 10.1590/s0482-50042006000400001
Custos dos mutir?es de mamografia de 2005 e 2006 na Dire??o Regional de Saúde de Marília, S?o Paulo, Brasil
Marconato, Roseli Regina Freire;Soárez, Patrícia Coelho de;Ciconelli, Rozana Mesquita;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011000800008
Abstract: the aim of this study was to measure the direct costs of mammogram campaigns conducted by the regional health division of marília, s?o paulo state, brazil, in 2005 and 2006. a total of 11,952 mammograms were performed. mammographic outcomes were classified according to bi-rads. cost analysis was based on the amount paid by the brazilian unified national health system (sus). ten cases of breast cancer were diagnosed (0.84 per 1,000 mammograms), 70% of which between 50 and 69 years of age. the campaigns and follow-up cost a total of r$450,019 (u$280,000), with r$431,467 paid for 11,952 mammograms and r$18,552 for diagnosing 29 suspected cases and treating 3 cases of benign tumors and 6 cancer cases. mean cost per diagnosed case was r$43,268. the high cost per diagnosed case highlights the need to implement effective screening programs and improve the quality of mammography services in this region of s?o paulo state.
Risk factors for recurrent falls among Brazilian women and men: the Brazilian Osteoporosis Study (BRAZOS)
Pinheiro, Marcelo de Medeiros;Ciconelli, Rozana Mesquita;Martini, Lígia Araújo;Ferraz, Marcos Bosi;
Cadernos de Saúde Pública , 2010, DOI: 10.1590/S0102-311X2010000100010
Abstract: the objective of the study was to estimate the frequency of recurrent falls and identify the main associated risk factors. the brazos is the first epidemiological study performed on a representative sample of the brazilian population. anthropometric data, living habits, previous fractures, falls, dietary intake, physical activity and quality of life were evaluated in 2,420 individuals aged 40 and older. recurrent falls were reported by 15.5% of men and 25.6% of women. among women, the risk factors significantly associated to recurrent falls were age, previous fracture, sedentary lifestyle, poor quality of life, diabetes mellitus and current use of benzodiazepine. in men, the risk factors were age, poor quality of life, intake of alcoholic beverages, diabetes mellitus, previous fracture and use of benzodiazepine. a greater intake of vitamin d had a protector effect on the risk of recurrent falls. these findings demonstrated the high prevalence of recurrent falls and emphasize that a multidisciplinary approach is necessary to minimize recurrent falls and their consequences, including osteoporotic fractures.
Quality of life among the Brazilian adult population using the generic SF-8 questionnaire
Campolina, Alessandro Gon?alves;Pinheiro, Marcelo M.;Ciconelli, Rozana Mesquita;Ferraz, Marcos Bosi;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011000600009
Abstract: the objective of this study was to assess the quality of life in the brazilian adult population, based on the u.s. standard population. it involved a cross-sectional population-based study with probabilistic sampling of 2,420 individuals (725 men and 1695 women) aged 40 or more in different geographic regions of brazil. a socio-demographic questionnaire and the sf-8 (short form-8) were administered in interview form. descriptive statistics, analysis of variance, the mann-whitney test and tukey's test were used in the analysis. females, populations in the northeastern region, the population of the regions of brasília (distrito federal), campo grande (mato grosso do sul state) and goiania (goiás state), brazil, demonstrated worse quality of life. age, education and income had influence over quality of life domains. this study presents quality of life estimates for the brazilian adult population, based on the sf-8 questionnaire. the mean values on the subscales and components of the sf-8 appeared to be influenced by gender, geographic region, family income, age and schooling.
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