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PERCEP O DO EGRESSO DE ENFERMAGEM SOBRE A CONTRIBUI O DO CURSO PARA O EXERCíCIO DO CUIDADO
Elza de F tima Ribeiro Higa,Romeu Gomes,Maria Helena Ribeiro de Carvalho,Ana Paula Ceolotto Guimar es
Texto & Contexto - Enfermagem , 2013,
Abstract: El estudio objetivó evaluar los resultados de la formación en enfermería anclada en la problematización y en el aprendizaje basado en problemas desde la percepción de los propios egresados. Estudio transversal y de naturaleza ex-post-facto. Los resultados fueron analizados en por la triangulación de métodos cuantitativos y cualitativos y la perspectiva hermenéutica dialéctica. En el abordaje cuantitativo 180 egresados respondieron un cuestionario. En el cualitativo, 14 participaron de entrevistas, relatando sus pensamientos relacionados al cuidado ideal, para la construcción de indicadores que revelasen la lógica de la evaluación. Esos indicaron nortearon las cuestiones para la triangulación. Los resultados mostraron: 85,1% de los graduados están en el mercado laboral, 92,1% asistieron al posgrado y 99,1% creen presentar una formación necesaria al cuidado ético, humanizado y fundamentado. Los datos resaltan una formación comprometida con la construcción de autonomía y conocimiento y articulada a los principios del Sistema único de Salud y del mundo laboral en enfermería.
Psychosocial Factors Involved in Absenteeism—A Qualitative Analysis in a Brazilian Context  [PDF]
Alessandro Vinicius de Paula, Ximena Christina de Carvalho Oliveira, Ana Alice Vilas Boas, Júlia de Moura Martins Guimares
Psychology (PSYCH) , 2014, DOI: 10.4236/psych.2014.58092
Abstract:

Work is a fundamental activity for human beings not only because it provides the benefit of a wage but also because it allows the subject to draw primitive anxieties that are evoked only in the frame of human-work relations. In Brazilian context, removed workers are often victims of prejudice beyond the organization space, triggering feelings of weakness and uselessness. The absence from work may also jeopardize both physical and mental health. Thus, this study aims to understand the psychosocial factors (social support, affect, coping skills and perception of future and health status) involved in absenteeism and the process of withdrawing work and its consequences on people’s lives. A qualitative approach was chosen for gathering and analyzing data. Four workers from different professional categories participated in this qualitative study. It was observed that stop working brought serious implications for the lives of investigated subjects, who reported feelings of estrangement, fear, emptiness, depression, helplessness and dependence. The most frequent difficulties in relation to absenteeism refer to the part of the tie break of social and financial issues. The main strategy for dealing with problems arising from job withdraws was to seek social support from friends and family. Regarding plans and the prospective, they experienced a critical period (immobilization), requiring a process of (re)adapting to the new situation ahead. Given the above, it is noteworthy to understand that the consequences of absenteeism or temporary withdrawing of labor become a necessary measure to preserve physical and mental health; a task open to interventions of work and organizational psychology.

Factors associated with psychiatric treatment dropout in a mental health reference center, Belo Horizonte
Melo, Ana Paula Souto;Guimares, Mark Drew Crosland;
Revista Brasileira de Psiquiatria , 2005, DOI: 10.1590/S1516-44462005000200008
Abstract: objective: to characterize an outpatient public referral center for mental health and to assess factors associated with treatment dropout. methods: a non-concurrent prospective study was undertaken to review 295 patient files. patients, whose first consultation took place between january and december 1997, were followed-up for at least four months until april 1998. patients were considered as having abandoned their treatment when, following a recommendation for at least a second visit, they did not return within four months after the first consultation. social, demographic and clinical variables were compared to verify possible factors associated with dropout of treatment. statistical analysis was performed using relative hazard (rr) with 95% confidence interval (ci) estimated by the cox regression model. results: cumulative incidence of treatment dropout was 39.2% while multivariate analysis indicated that the following characteristics were statistically associated with treatment interruption: to live outside the referral area (rr = 1.95), no history of previous psychiatric hospitalizations (rr = 1.88), alcohol or drug use at admission (rr = 1.72), spontaneous demand to the service (rr = 2.12), lack of bus-passes (rr = 3.68) and to have less than four clinical appointments (rr = 7.31). conclusions: our findings suggest that services should be aware of the high incidence of treatment interruption, especially among those with no history of previous psychiatric hospitalizations and with less institutional bonds. this may indicate that mental health services should develop and implement public policies targeted at this population.
TRANSI ES PARA A LITERACIA DOMINANTE: PERSPECTIVAS DE COORDENADORES DE CENTROS DE EDUCA O E FORMA O DE ADULTOS
Ana Silva,Paula Guimares,Maria de Lourdes Dionísio
Roteiro , 2012,
Abstract: The process of Recognition and Accreditation of Prior Learning (RAPL) is being consideredone of the most important devices for the qualification of adults in Portugal.This process, that takes place in education centres called New Opportunities Centres,institutes literacy as a nuclear axis of its development: on one hand, the recognition andvalidation of the competencies are made mainly through reading and writing tasks (lifestories, portefolios, etc.) and, on the other hand, the competencies to be recognised regard,ultimately, text comprehension and production (in Science, Maths, Language andCommunication, etc...). In this text we focus the way in which nine coordinators of theseNew Opportunities Centres from the district of Braga, Portugal, see the changes in theways adults relate with literacy practices when they go through the RAPL process. Forthis discussion we take into consideration not only the way literacy is viewed in adulteducation, but also the views about reading and writing that sustain pedagogical practicesin the education centres, as they are described by each coordinator. Among the mainconclusions, we highlight some discontinuities between the guidelines produced at thelevel of the official discourse and the specialised RVCC practices; discontinuities alsobetween the coordinators’ views of literacy and the changes they note in adult literacypractices.
Frequency Structures Vibration Identified by an Adaptative Filtering Techiques Applied on GPS L1 Signal  [PDF]
Ana Paula C. Larocca, Ricardo E. Schaal, Gabriel do N. Guimares, Igor Machado da Silveira, Paulo César Lima Segantine
Positioning (POS) , 2013, DOI: 10.4236/pos.2013.42013
Abstract:

This paper is part of a research under enhancement since 2001, in which the main objective is to measure small dynamic displacements by analysis of L1 GPS carrier frequency with 1575.42 MHz—wavelength 19.05 cm, under an adaptive method for collecting data and filtering techniques. This method, named Phase Residual Method (PRM) is based on the frequency domain analysis of the phase residuals resulted from the L1 double difference static data processing of two satellites in almost orthogonal elevation angle. In this work it is proposed to obtain the phase residuals directly from the raw phase observable collected in a short baseline during a limited time span, in lieu of obtaining the residual data file from regular GPS processing programs. In order to improve the ability to detect millimetric displacements, two filtering techniques are introduced. The first one is the autocorrelation that reduces the phase noise with random time behavior. The other one is the running mean to separate low frequency from the high frequency phase sources. Two trials are presented to verify the proposed method and filtering techniques applied. One simulates a 2.5 millimeter vertical GPS antenna displacement and the second using the data collected during a bridge dynamic load test. The results show a good consistency to detect millimetric oscillations from L1 frequency and filtering techniques.

Trichomonas vaginalis and Chlamydia trachomatis Prevalence, Incidence and Associated Factors in Pregnant Adolescents from Belém City, in the Brazilian Amazon  [PDF]
Camila Marconi, Marli Teresinha Cassamassimo Duarte, Márcia Guimares da Silva, Larissa Doddi Marcolino, Jossimara Polettini, Ana Paula Gon?alves, Adriano Dias, Marilza Vieira Cunha Rudge
Open Journal of Obstetrics and Gynecology (OJOG) , 2015, DOI: 10.4236/ojog.2015.512096
Abstract: Background: Adolescents are disproportionally affected by sexually transmitted infections (STI). Chlamydia trachomatis (CT) and Trichomonas vaginalis (TV) are the most frequent curable STI in adolescents, causing serious consequences for their reproductive health. Therefore, we aimed to determine the prevalence and incidence of CT and TV, as well as their risk factors in pregnant adolescents from Belém, northern Brazilian Amazon. Methods: This prospective study enrolled 199 adolescents up to 20 weeks of pregnancy. They were scheduled for follow-up visit between 28 and 29 weeks of pregnancy. Sociodemographic and behavioral data were obtained by interview. Cervicovaginal samples were taken to test for TV, CT, Neisseria gonorrhoeae and bacterial vaginosis. Univariate and multivariate analyses were performed to test the association of prevalent/incident CT and TV with the variables. Results: Prevalence of cervical CT infection was 33.7% (n = 67/ 199), and for trichomoniasis it was 4.0% (n = 8/199). Cervical ectopy increased the risk for prevalent CT (OR, 1.93; 95% CI, 1.01 - 3.70), while having treated vaginal discharge in the past (OR, 0.51; 95% CI, 0.26 - 0.98) and being married (OR, 0.10; 95% CI, 0.01 - 0.83) were protective against current CT and TV, respectively. Among the 95 (47.7%) adolescents who completed follow-up, 15 cases of incident CT were identified. Incident CT was associated with having a formal or informal job (OR, 28.4; 95% CI, 2.1 - 391.6) and bacterial vaginosis treatment at the baseline (OR, 0.08; 95% CI, 0.01 - 0.69). Conclusion: Prevalence and incidence rates of TV and CT are high in this population devoid of STI routine screening. Treatment of bacterial vaginosis may benefit this population by reducing risk for CT acquisition.
Carcinoma espinocelular de canal anal: análise de 11 casos
GUIMARES, Ana Paula;MATOS, Délcio;SEGRETO, Roberto;FORONES, Nora Manoukian;
Arquivos de Gastroenterologia , 2001, DOI: 10.1590/S0004-28032001000100003
Abstract: background - anal cancer is an uncommon malignancy accounting for only a small (4%) percentage of intestinal cancer. the authors described the clinical aspects and the treatment of the patients with squamous cell carcinoma of the canal anal. patients - eleven patients with squamous cell carcinoma treated among 1995 and 1999, were analyzed retrospectively. nine were women and two were men. the mean age was 57.6 years old (range 35-82 years old). results - the most common symptoms were rectal bleeding, local tumor and pain. six of them had previous anal benign disease and two had metastases at the diagnosis. all were submitted to systemic chemotherapy with 5-fluorouracil and mitomicin and radiotherapy with 4500cgy. four patients had residual disease after chemo radiation and salvage surgery with abdominoperineal resection was done. three patients had recurrence and four died from the disease. conclusion - most of our patients were women. the chemo radiation can be a curable treatment in patients with local disease; conversely in patients with residual disease, abdominoperineal resection must be done. although anal cancer is an often curable disease, four patients died because the diagnosis was done in advanced stage.
Aspectos epidemiológicos das doen?as intestinais inflamatórias na macrorregi?o de saúde leste do Estado de Minas Gerais
Oliveira,Flávia Márcia; Emerick,Ana Paula do Carmo; Soares,Elisangela Guimares;
Ciência & Saúde Coletiva , 2010, DOI: 10.1590/S1413-81232010000700009
Abstract: inflammatory bowel disease is an umbrella term used to describe crohn's disease and ulcerative colitis. both diseases are correlated but show distinct clinical aspects. epidemiological studies were conducted in order to describe the knowledge production in intestinal inflammatory disease taking into consideration the registered of hospital internments in the east of minas gerais state. since inflammatory bowel disease generates repercussions in the social, psychological and professional ambits, they are considered one of the great problems of the modern population. from 1998 to 2005, 363 internments caused by inflammatory bowel diseases were registered, distributed in 184 and 179 cases in the masculine and feminine gender, respectively. the poorly studies and the number of hospital internments in the east of the minas gerais state suggested that researches should be driven in order to delineate the profile of the patients with inflammatory bowel diseases as well as to detect the psychological and physical alterations in order to achieve holistic, multidisciplinary and humanized care.
Características psicométricas da Bateria Padr?o do Universal Nonverbal Intelligence Test (UNIT): um estudo preliminar
Lopes, Renata Ferrarez Fernandes;Moreira, Ana Paula Gomes;Guimares, Claudiane Aparecida;Lopes, Ederaldo José;
Psicologia Escolar e Educacional , 2006, DOI: 10.1590/S1413-85572006000200010
Abstract: this work aimed to study psychometric characteristics of the universal nonverbal intelligence test (unit) - standard battery in a sample of 77 subjects. the unit subtests evaluated the attention abilities for detail, sequential processing, symbolic mediation, concepts formation, integration visormotor, abstract thought, holistic processing, synthesis capacity, among others. as the unit is a non-verbal test, the communication between applicator and the subject was made starting from universal gestures, and 100% of the participants were able of comprehend instructions. an analysis of main components (pc) indicated the presence of 1 component (factor g) that explains 90,01% of the total variance. the internal consistency coefficient (split-half) was very satisfactory (0,99). the results obtained, until the present moment, showed that the test has application viability, configuring itself as an option for the verbal well-known intellectual tests.
HIV risk behavior of psychiatric patients with mental illness: a sample of Brazilian patients
Guimares, Mark Drew Crosland;McKinnon, Karen;Campos, Lorenza Nogueira;Melo, Ana Paula Souto;Wainberg, Milton;
Revista Brasileira de Psiquiatria , 2010, DOI: 10.1590/S1516-44462010000400007
Abstract: objective: the prevalence of hiv among psychiatric patients is higher than general population rates worldwide. many risk behaviors have been identified in studies from both developing and developed countries, though sampling limitations restrict the generalizability of their results. the objective of this study was to report findings from the first national sample of psychiatric patients about lifetime practice of unsafe sex and associated factors. method: a national multicenter sample of adults with mental illness was randomly selected from 26 public mental health institutions throughout brazil. sociodemographic, sexual behavior and clinical data were obtained from person-to-person interviews and blood was collected for serology testing. logistic regression was used for analysis. results: the overall prevalence of lifetime unprotected sex was 80.3%. married, older, female patients, those with multiple partners and living with children or partners only and those with less severe psychiatric diagnosis more often practised unsafe sex. discussion: risk behavior assessment is a critical tool for clinicians to be able to determine needed hiv-related services for their clients and ensure appropriate follow-through with care and prevention. interventions that address situational risks in psychiatric patients' lives-institutional and individual- and increase their ability to make informed decisions about their sexual health are urgently needed.
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