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Search Results: 1 - 10 of 144 matches for " Taqueco Teruya; "
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Mortalidade Neonatal: fatores de risco em um município no sul do Brasil
Edilaine Maran,Taqueco Teruya Uchimura
Revista Eletr?nica de Enfermagem , 2008,
Abstract: O objetivo deste estudo foi identificar os fatores de risco para a mortalidade neonatal, no Município de Maringá-PR, em 2003 e 2004. Estudo transversal, com dados secundários obtidos do Sistema de Informa o de Nascidos Vivos e Sistema de Informa o de Mortalidade. A popula o foi constituída de 8.285 nascidos vivos, dos quais 56 foram a óbito. Foram realizadas análises univariadas e multivariada das variáveis neonatal, obstétrica e materna. Apresentaram associa o à mortalidade neonatal as variáveis peso ao nascer, dura o da gesta o, Apgar no 1o e 5o minutos de vida, malforma o/anomalia, tipo de parto, número de consultas de pré-natal e idade da m e. Na análise multivariada, as variáveis que se confirmaram como fatores de risco foram dura o da gesta o, peso ao nascer, Apgar no 1o e 5o minutos de vida, e malforma o/anomalia. Estes resultados indicam a necessidade dos profissionais de saúde ressignificarem e refletirem sobre as práticas de assistência prestadas às gestantes, parturientes e recém-nascidos durante a gesta o, trabalho de parto e concep o.
Perfil e processo da assistência prestada ao recém-nascido de risco no Sul do Brasil
Melo, Willian Augusto de;Uchimura, Taqueco Teruya;
Revista Brasileira de Epidemiologia , 2011, DOI: 10.1590/S1415-790X2011000200013
Abstract: objective: to describe newborns at risk and check the process of care provided by the high risk newborn surveillance program in maringá-pr. methods: data were collected from medical records and monitoring sheets of a stratified sample consisting of 505 newborns at risk, born in 2007. maternal and neonatal care were analyzed descriptively using statistica 7.1 software. results: the program only considered biological risks as inclusion criteria, whether they appeared alone (63.2%) or associated (36.8%). regarding mothers, 71.5% were adults, 78.2% had > 8 years of schooling, 57.2% were single parents, 55.3% had an unpaid occupation, 69.5% had > 6 prenatal visits, 87.3% had a single baby, and 65.4% had a c-section. regarding newborns at risk, 51% were male, 50.3% had low birth weight, 51.5% were full term, 95.8% without congenital anomalies, and 90.3% with 5th minute scores > 7. regarding care provided to children at risk, 69.5% were accompanied by the program, 71% of the medical records were located, for 82.6% there were no home visits, 8.9% received > 12 medical consultations, 33.1% had not received any guidance, 5.8% were hospitalized, 18.7% were weighed > 12 times, and 19.8% presented full immunization records. conclusion: it is necessary to reorganize primary care to ensure integral care and for ongoing monitoring of the bio-psychosocial development and growth of children at risk.
Avalia??o da conduta conservadora na les?o intraepitelial cervical de alto grau
Uchimura,Nelson Shozo; Uchimura,Taqueco Teruya; Martins,Jo?o Paulo de Oliveira Branco; Assakawa,Fernando; Uchimura,Liza Yurie Teruya;
Revista de Saúde Pública , 2012, DOI: 10.1590/S0034-89102012005000024
Abstract: objective: to assess the association between conservative management of high-grade cervical squamous intraepithelial lesions and recurrence rates and age groups. methods: cross-sectional, retrospective, analytical observational study of 509 women (aged 15 to 76) with abnormal pap smears attending a public reference center in the city of maringá, southern brazil, from 1996 to 2006. data was collected from medical records, and the variables definitive diagnosis, type of treatment provided, occurrence of high-grade cervical squamous intraepithelial lesions and recurrence were studied. pearson's chi-square test and fisher's exact test were used in the statistical analyses. results: there were 168 cases of cervical high-grade cervical squamous intraepithelial lesions, of these, 31 were treated with cold-knife conization, 104 loop electrosurgical excision procedure, 9 hysterectomy and 24 conservative treatment (i.e., clinical and cytological follow-up or cervical electrocoagulation). a total of 8 (33.3%) women receiving conservative and 10 (6.9%) receiving non-conservative management had recurrent disease and this difference was statistically significant (p=0.0009), pr = 4.8 (95%ci 2.11;10.93). three (30.0%) women among those undergoing clinical and cytological follow-up and five 5 (35.7%) among those submitted to cervical electrocoagulation had recurrent disease within three years, but the difference was not significant (p=0.5611). recurrent rates in those younger and older than 30 were 13.8% (7 women) and 12.2% (11 women) (p = 0.9955). conclusions: age is not a predictor of disease recurrence. conservative treatment is only recommended in exceptional situations due to its high recurrence rates. careful cytological and colposcopic follow-up is required for three years when most recurrences occur.
Conhecimento, aceitabilidade e uso do método billings de planejamento familiar natural
Uchimura, Nelson Shozo;Uchimura, Taqueco Teruya;Almeida, Lívia Maria Martins;Perego, Danilo Marco;Uchimura, Liza Yurie Teruya;
Revista Gaúcha de Enfermagem , 2011, DOI: 10.1590/S1983-14472011000300012
Abstract: this is an observational, quantitative and analytical study aimed at verifying the knowledge, acceptability and use of natural family planning (nfp) by patients in a university hospital from july to november, 2008. the data were collected using a structured questionnaire and analyzed with the softwares excel and statistica 8.0. of the 113 women interviewed, 70 (62%) accepted the method and 1 (0.9%) used it routinely. acceptance was higher among those who wished to become pregnant in the future compared to those who did not wish it. acceptability was statistically significant (p = 0.0147) among the 28 (80%) non-contraceptive users compared to 42 (53.8%) who used some contraceptive method. factors such as age, education, number of living children and religion were not statiscally associated with the acceptability of nfp. the billings ovulation method has an adequate acceptability, but has a low actual use because of the lack of information by health professionals of its real effectiveness and applicability.
Perfis antropométrico, lipídico e glicêmico em adolescentes de uma institui??o filantrópica no noroeste do Paraná
Honorato, Anderson da Silva;Bando, érika;Uchimura, Taqueco Teruya;Machinski Junior, Miguel;
Jornal Brasileiro de Patologia e Medicina Laboratorial , 2010, DOI: 10.1590/S1676-24442010000100003
Abstract: introduction: obesity in adolescence is a predictive factor of obesity in adulthood. the prevalence in children and adolescents has increased in most countries and has become one of the most significant nutritional problems nowadays. objectives: this study aimed at verifying the anthropometric, lipid and glycemic profiles in lower class adolescents from a philanthropic institution located in the northeast of paraná state. material and method: the studied population consisted of 92 adolescents, from 10 to 17 years of age. the body mass index (bmi) was used to verify their nutritional status, considering < 24.9 kg/m2 normal and > 25 kg/m2 overweight. the waist-to-hip measurement was calculated through waist-to-hip ratio (whr) and glucose concentrations, triglycerides, total cholesterol, hdl-c, ldl-c and vldl-c fractions were determined through enzymatic methods. results: 9.79% were overweight and 9.78% of whr and cholesterol levels were inadequate to the age group. bmi (overweight), blood glucose, hypercholesterolemia, hypertriglyceridemia, ldl-c, vldl-c and hdl-c showed low correlation, whereas age (or = 49.16) and whr (or = 13.99) showed significant correlation p < 0.05. conclusion: the result evidenced the necessity of health public policies in educational scope in order to prevent obesity and its risks factors in adolescence.
Atividades de extens?o universitária em comitê de preven??o de mortalidade infantil e estatísticas de saúde
Mathias, Thais Aidar de Freitas;Uchimura, Taqueco Teruya;Assun??o, Amanda Nolasco de;Predebon, Kelen Marja;
Revista Brasileira de Enfermagem , 2009, DOI: 10.1590/S0034-71672009000200022
Abstract: extra classes' activities with the committee of infant mortality prevention of the 15th paraná health office (15th ho) and some approaches to health statistics, are described. those activities articulate a partnership between the nursing department of the state university of maringá and the 15th ho. a description of the committee's attributions, the advances since the partnership start, the importance of the infant mortality investigations as well as understanding the information systems are presented. there are still challenges such as to improve the quality of the inquiry form. the partnership university -15th ho improves the quality of the information systems, provides the students a wider perspective of the intra-urban inequalities to access to health services, stimulating their commitment with public health.
Fatores biocomportamentais e as altera??es no número das células de Langerhans
Uchimura, Nelson Shozo;Ribalta, Julisa Chamorro Lascasas;Focchi, José;Baracat, Edmund Chada;Uchimura, Taqueco Teruya;
Revista Brasileira de Ginecologia e Obstetrícia , 2004, DOI: 10.1590/S0100-72032004000400004
Abstract: objective: to study the relationship of biobehavioral factors, such as age, menarche, number of gestations, and age of first sexual intercourse, with changes in langerhans'cells in women with negative hybrid capture for hpv. methods: thirty women referred due to abnormal cervical cytology or premalignant cervical lesions were studied and underwent colposcopy, guided biopsy and histopathological exams. the langerhans' cells were identified by immunohistochemical (s100+) exams. langerhans' cells visualized in brown color were counted using the software cytoviewer. the nonparametric wilcoxon rank-sum test was employed for statistical analysis. results: the number of langerhans' cells in women who had menarche after 13 years old presented statistically significant difference (173.34 cell/mm2) compared to the group whose menarche occurred before 13 (271.41 cell/mm2). the age at the first sexual intercourse was associated with the low number of langerhans' cells, 127.15 cell/mm2 and 250.14 cell/mm2, respectively, for the beginning of the sexual activity up to 17 years old and after 17 (p=0.03). previous cauterizations of the uterine cervix have been related to a lower number of langerhans' cells in the epithelium, with the average 120.30 cell/mm2 as compared to 236.06 cell/mm2 for those women who never underwent that procedure (p=0.05). other factors such as the patient's age and the number of gestations showed no statistically significant differences in the density of langerhans' cells. conclusions: the present study reports the association of biobehavioral factors with decrease in the number of langerhans' cell.
Influência do uso de anticoncepcionais hormonais orais sobre o número de células de Langerhans em mulheres com captura híbrida negativa para papilomavírus humano
Uchimura, Nelson Shozo;Ribalta, Julisa Chamorro Lascasas;Focchi, José;Baracat, Edmund Chada;Uchimura, Taqueco Teruya;
Revista Brasileira de Ginecologia e Obstetrícia , 2005, DOI: 10.1590/S0100-72032005001200004
Abstract: purpose: to study the influence of the use of oral contraceptives (oc) on the number of langerhans' cells in women without cervical infection by human papillomavirus (hpv). methods: thirty women who presented abnormal cervical cytology and colposcopy-guided biopsy with samples of uterine cervix negative for hpv were selected. the absence of hpv dna was confirmed by hybrid capture. langerhans' cells were identified by immunohistochemistry using anti-s100 antigens. the cells visualized in light microscopy were counted using the cytoviewer software. the nonparametric wilcoxon rank sum test was employed for statistical analysis. results: the average number of langerhans' cells in oc users was 320.7/mm2 and in non-users 190.7/mm2, this difference being statistically nonsignificant. in the intermediary layer of the cervical epithelium a tendency towards the increase of these cells was observed, with the averages 192.1/mm2 for oc users and 93.4/mm2 for non-users (p=0.05). conclusions: the present study reports a tendency towards the increase in the number of the langerhans' cells among oc users. this result suggests the oc may induce alterations in the number of langerhans' cells, but considering the limited number of cases, more studies should be developed for a definitive conclusion.
Qualidade e desempenho das colpocitologias na preven??o de cancer de colo uterino
Uchimura, Nelson Shozo;Nakano, Keiji;Nakano, Lina Cavalcanti de Góes;Uchimura, Taqueco Teruya;
Revista da Associa??o Médica Brasileira , 2009, DOI: 10.1590/S0104-42302009000500021
Abstract: objective: to estimate prevalence and analyze quality and performance of colpocytology carried out under the cervical cancer screening program in maringá, paraná, brazil. methods: a retrospective study of the sis-colo database of the brazilian ministry of health. variables such as age, colpocytology result and origin were analyzed. ages were divided into brackets; origin was distributed in five regional health divisions of the city of maringá; colpocytology was categorized according to the bethesda system. colpocytology, coverage was calculated by dividing the number of exams in the population between 25 and 59 years of age by the number of women in that same age group. results: the 17,664 colpocytology exams collected in 2005 by the public health system were distributed among women between 12 and 82 years of age, with 12,961 (73.4%) examinations in women between the ages of 25 and 59, considered at high risk for cancer. a total of 17,458 (98.84%) cytological examinations were negative for malignancy, and atypical results (ascus / agus, lsil, hsil and invasive cancer) totaled 206 (1.16%). the study found a prevalence of 0.85% (151) for ascus / agus, 1.14% (203/17.664) for atypical cells, and a 2.75 ascus / atypical cells ratio (151/55). conclusion: the lower than expected prevalence of colpocytological and ascus alterations, the high ascus / atypical cells ratio and the insufficient population coverage by colpocytology jeopardized the performance of the cervical cancer prevention program. the low-income population requires special attention, and those more privileged should be advised about the frequency of examination and the age bracket with higher risks.
Banco de leite humano: uma análise das diferen as entre doadoras adultas e adolescentes = Human milk bank: an analysis of the differences between adult and adolescent donors
Christyna Beatriz Genovez,Taqueco Teruya Uchimura,Rosangela Santana,Fernanda Shizue Nishida
Acta Scientiarum : Health Sciences , 2011,
Abstract: Os objetivos do estudo foram realizar a analise do perfil da populacao e salientar as diferencas entre doadoras adultas e adolescentes. Foi um estudo transversal, analitico, realizado no Banco de Leite Humano (BLH) de Maringa, Estado do Parana. A populacao foi o total de doadoras cadastradas em 2004 (443) e a fonte de dados a Ficha de Inscricao de Doadoras. Foram analisadas variaveis socio-economicas, demograficas e perinatais. A variavel idade foi dividida em doadoras adolescentes (< 20 anos) e adultas (>= 20 anos) e a partir dai a condicao de ser doadora adolescente foi considerada como variavel dependente, sendo testadas interacoes e diferencas entre esta e as outras variaveis do estudo. Observou-se frequencia de 16,35% de adolescentes e associacao estatisticamente significativa (p < 0,001) entre mulheres adolescentes, baixa renda, viver sem companheiro, prematuridade e parto cesareo. Concluiu-se que o grupo de doadoras adolescentes foi bastante expressivo e que elas necessitam de habilidade dos profissionais de saude para lidarem com suas peculiaridades e maior incentivo a pratica do aleitamento materno, considerando-se suas condicoes socio-economicas e perinatais desfavoraveis. The objectives of the study were to analyze the population profile andpoint out differences among adult and adolescent donors. It was a cross sectional, analytic study carried out at the Human Milk Bank (HMB) of Maringa, Parana State. The population of the study consisted of all registered donors in the year 2004 (443), and the source of the data was the Donor Registration Record. Socioeconomic, demographic and perinatal variables related to breast milk donation were analyzed. The age variable was divided into adolescent donors (< 20 years old) and adult donors (. 20 years old); from that, the condition of being an adolescent donor was considered a dependent variable, testing interactions and differences between this and the other variables of the study. A frequency of 16.35% of adolescents was observed. A significant statistical association (p < 0.001) was found between adolescents and low family income, living without companion, prematurity and cesarean childbirth. Results show that adolescent donors need greater incentive for the practice of breastfeeding, as they present unfavorable socioeconomic and perinatalconditions. The adolescent group was quite expressive, and human milk donors present differences among one other, requiring skills from professionals to work with these peculiarities.
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