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Search Results: 1 - 10 of 375 matches for " Valeska;Engelhardt "
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Sintomas neuropsiquiátricos nas demências: relato preliminar de uma avalia??o prospectiva em um ambulatório do Brasil
Vega, úrsula Maria;Marinho, Valeska;Engelhardt, Eliasz;Laks, Jerson;
Arquivos de Neuro-Psiquiatria , 2007, DOI: 10.1590/S0004-282X2007000300026
Abstract: this study aimed to evaluate the behavioral and psychological symptoms in dementia (bpsd) and to correlate the level of the functional dependence, cognitive decline and neuropsychiatric symptoms in outpatients. in this prospective study, 35 elderly with dementia (dsm-iv) were evaluated over the course of one year with the mini-mental state examination (mmse), clinical dementia rating scale (cdr), neuropsychiatric inventory (npi) and functional activities questionnaire (faq). spearman correlation was used to compare cognitive, functional and behavioral symptoms in the first and last visits. the psychotic versus non-psychotic subgroups were compared by means of cognitive and functional performance. the mann-whitney test was used for the comparison. the mmse scores declined and the npi scores showed better results at endpoint. prevalence of depressive symptoms was 58.8%, agitation 55.9%, and delusion 41.2%. significant correlations were found for functional and mmse scores, years of formal education and npi, but not for duration of disease. psychotic symptoms had negative effects on daily activities of outpatients and were associated with functional decline.
Doen a de Alzheimer e espectroscopia por ressonancia magnética do hipocampo
Engelhardt Eliasz,Moreira Denise M.,Laks Jerson,Marinho Valeska M.
Arquivos de Neuro-Psiquiatria , 2001,
Abstract: OBJETIVOS: Obten o de dados do espectro de metabolitos por ressonancia magnética da forma o hipocampal no idoso normal e com doen a de Alzheimer (DA). MéTODO: Os indivíduos foram pareados por idade, sendo 20 na amostra normal, CDR=0 e 40 com DA 3 CDR=1 e 2. Utilizou-se aparelho Signa Horizon LX-GE, 1.5T, 1H-ERM com aplicativo automatizado PROBE/SV, VOI: hc (direito e esquerdo); voxel único (2x2x2cm); TR 1500ms/TE 50ms; PRESS; metabolitos: N-acetilaspartato (Naa), colina (Cho), creatina (Cr), mio-inositol (mI). RESULTADOS: Os presentes dados se referem aos quocientes de Naa, Cho e mI, com Cr tomada como referência e rela o mI/Naa. O estudo mostrou o Naa reduzido, o mI e a rela o mI/Naa aumentados e os resultados em rela o à Cho foram variados. Os resultados da amostra global dos pacientes com DA em compara o à média ± dp da amostra normal foram significativos para Naa, mI e mI/Naa (p<0,01). A precis o, tomando os valores de modo individual das duas amostras, mostrou sensibilidade, especificidade e valor preditivo positivo satisfatórios. CONCLUS O: Os presentes resultados podem ser usados como ferramenta útil para detectar altera es patológicas no hipocampo de pacientes com DA, permitindo diagnóstico de maior precis o e mais precoce da doen a.
Efficacy and safety of risperidone oral solution in agitation associated with dementia in the elderly
Laks Jerson,Engelhardt Eliasz,Marinho Valeska,Rozenthal Marcia
Arquivos de Neuro-Psiquiatria , 2001,
Abstract: BACKGROUND: Behavioral and psychological symptoms in dementia (BPSD) contribute to caregiver burden and institutionalization of elderly. Neuroleptics are prescribed to control agitation. Side effects of typical neuroleptics are harmful, making atypical neuroleptics an indication. OBJECTIVES: To evaluate efficacy and tolerability of risperidone oral solution (ROS) given once daily to demented elderly outpatients with BPSD (agitation). METHOD: Patients (n=26), 76.35±8.63 years, Diagnostic and Statistical Manual of Mental Disorders 4th ed. (DSM-IV) criteria for dementia. RSO was given, starting dose of 0.25 mg and increments of 0.25 mg every week. Mini-Mental State Examination (MMSE) assessed cognitive status, Behavioral and Emotional Activities Manifested in Dementia (BEAM-D) and Clinical Global Impression (CGI) measured BPSD, Extrapiramidal Symptom Rating Scale (ESRS) evaluated extrapyramidal symptoms. Cardiovascular side effects were evaluated clinically. RESULTS: There was a 26% reduction in agitation and no cardiovascular side effects in the range from 1.0 to 1.25 mg. Side effects were more prevalent above 2.5 mg. CONCLUSION: Risperidone oral solution improved agitation with good tolerability from 0.5 to 1.25 mg. A single dose with increments of 0.25 mg may be more acceptable to patients and caregivers.
Doen?a de Alzheimer e espectroscopia por ressonancia magnética do hipocampo
Engelhardt, Eliasz;Moreira, Denise M.;Laks, Jerson;Marinho, Valeska M.;Rozenthal, Marcia;Oliveira Jr, Amarino C.;
Arquivos de Neuro-Psiquiatria , 2001, DOI: 10.1590/S0004-282X2001000600006
Abstract: objective: acquisition of data of magnetic resonance metabolite spectrum of the hippocampal formation (hippocampus-hc) in the elderly, normal and with alzheimer's disease (ad). method: subjects matched for age: a. normal sample (n=20), cdr=0, and b. ad sample (n=40), cdr 1 and 2. technique: signa horizon lx-ge, 1.5t, 1h-mrs with automated software probe/sv, voi: hc (right and left); single voxel (2x2x2cm); tr 1500ms/te 50ms; press; metabolites: n-acetylaspartate (naa), choline (cho), creatine (cr), myo-inositol (mi). results: the present data relate to the ratios of naa, cho and mi, with cr taken as reference, and the mi/naa ratio. the study showed reduction of naa, increase of mi and of the mi/naa ratio, and not consistent results for cho. the results of the whole sample of ad patients compared to the pooled normal mean ± sd were significant for naa, mi and mi/naa (p<0.01). accuracy in relation to the individual values of both samples showed satisfactory levels of sensitivity, specificity and positive predictive value. conclusion: the present results can be used as a helpful tool to detect pathologic changes of the hippocampus in ad, and allowing greater accuracy and an earlier diagnosis of this disease.
Metáfora e transferência
Zanello, Valeska;
Psicologia: Reflex?o e Crítica , 2007, DOI: 10.1590/S0102-79722007000100017
Abstract: this article aims to point out the way that transference, in the psychoanalytical process, can be understood as a metaphor. we developed a graphic, in analogy of searle's one, to understand transference as a dead metaphor (though yet alive, in the sense of lakoff and johnson) which can be brought to the dimension of speech in the analytical setting, where the analyst should maintain oneself in resonance with one's neutrality and the patient between repetition and working through work. to finalize, an excerpt of a clinical case is presented to illustrate the topics that are discussed.
O amor (e a mulher): uma conversa (im)possível entre Clarice Lispector e Sartre
Zanello, Valeska;
Revista Estudos Feministas , 2007, DOI: 10.1590/S0104-026X2007000300002
Abstract: the present work analyses clarice lispector's story "the love", starting from the following categories pointed by sartre in being and the anything: to see and to be seen, functionality and love. starting from the experience elaborated by clarice in her text, in which ana - a housewife, always busy serving her family ("pure functionality") - , in one of her goings and comings to and from the city, comes across a blind man chewing a chewing gum. but a blind man has an eye that doesn't see, it is an eye without function. it is this experience that opens to ana the dimension of love, in a very specific sense (which points out to the gender relationships), and for which the phenomenological sartre's description seems to us somewhat limited.
Metaphor and transference / Metáfora e transferência
Valeska Zanello
Psicologia: Reflex?o e Crítica , 2007,
Abstract: This article aims to point out the way that transference, in the psychoanalytical process, can be understood as a metaphor. We developed a graphic, in analogy of Searle's one, to understand transference as a dead metaphor (though yet alive, in the sense of Lakoff and Johnson) which can be brought to the dimension of speech in the analytical setting, where the analyst should maintain oneself in resonance with one's neutrality and the patient between repetition and working through work. To finalize, an excerpt of a clinical case is presented to illustrate the topics that are discussed.
Efficacy and safety of risperidone oral solution in agitation associated with dementia in the elderly
Laks, Jerson;Engelhardt, Eliasz;Marinho, Valeska;Rozenthal, Marcia;Souza, Fernando de Castro e;Bacaltchuk, Josué;Stoppe Jr., Alberto;Ferreira, R.C.R.;Bottino, Cassio;Scalco, M?nica;
Arquivos de Neuro-Psiquiatria , 2001, DOI: 10.1590/S0004-282X2001000600005
Abstract: background: behavioral and psychological symptoms in dementia (bpsd) contribute to caregiver burden and institutionalization of elderly. neuroleptics are prescribed to control agitation. side effects of typical neuroleptics are harmful, making atypical neuroleptics an indication. objectives: to evaluate efficacy and tolerability of risperidone oral solution (ros) given once daily to demented elderly outpatients with bpsd (agitation). method: patients (n=26), 76.35±8.63 years, diagnostic and statistical manual of mental disorders 4th ed. (dsm-iv) criteria for dementia. rso was given, starting dose of 0.25 mg and increments of 0.25 mg every week. mini-mental state examination (mmse) assessed cognitive status, behavioral and emotional activities manifested in dementia (beam-d) and clinical global impression (cgi) measured bpsd, extrapiramidal symptom rating scale (esrs) evaluated extrapyramidal symptoms. cardiovascular side effects were evaluated clinically. results: there was a 26% reduction in agitation and no cardiovascular side effects in the range from 1.0 to 1.25 mg. side effects were more prevalent above 2.5 mg. conclusion: risperidone oral solution improved agitation with good tolerability from 0.5 to 1.25 mg. a single dose with increments of 0.25 mg may be more acceptable to patients and caregivers.
Du kannst keine Nachricht ohne Inhalt senden“ - überlegungen zu einem systemischen Beratungsansatz für die Online-Beratung
Emily Engelhardt
E-Beratungsjournal , 2011,
Abstract: Warum braucht es für die Online-Beratung überhaupt einen Beratungsansatz? Ist Online-Beratung als solches nicht schon eine methodische Beratungsform, die für sich steht? Durchsucht man die Online-Beratungswelt um eine Antwort auf die Frage nach dem Beratungsansatz zu finden, muss man feststellen, dass viele Online-Beratungsstellen/-beraterInnen hierauf nicht explizit eingehen. H ufig berufen sich EinzelanbieterInnen auf ihre beruflichen Qualifikationen im Allgemeinen. Andere wenige hingegen geben genaue Auskunft darüber, mit welchem Ansatz sie arbeiten und wieso ihr Ansatz gerade für die Online-Beratung geeignet erscheint. Die wenigen qualifizierten Schulungen und Ausbildungen, die es für Online-BeraterInnen gibt, fokussieren vor allem darauf, Kompetenzen zum Umgang mit den Besonderheiten dieses Beratungssettings zu vermitteln.Der Aufsatz gibt Anregungen für einen systemisch orientierten Beratungsansatz anhand unterschiedlicher Hypothesen und versteht sich als Impuls für eine Auseinandersetzung mit der Frage, wie eine Integration unterschiedlicher Beratungsans tze für die Online-Beratung gelingen kann.
Case Archive: How to Deal with Party Politics at School? (1964)
Rudolf Engelhardt
Journal of Social Science Education , 2010,
Abstract: Might the teacher’s political point of view not have an impact on his pupils concerning the way he is going to deal with current political issues? According to the above discussed caricature [interpreting a political caricature is the previous case Engelhardt discusses, HL], this neither caused any difficulties nor did it have a negative effect in a political sense. Hence, whatever political party the teacher might belong to or favor, it should not have an effect on the way this caricature is interpreted or evaluated.
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