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Management of traumatic macular holes: case report
Brasil, Oswaldo Ferreira Moura;Brasil, Oswaldo Moura;
Arquivos Brasileiros de Oftalmologia , 2008, DOI: 10.1590/S0004-27492008000400022
Abstract: traumatic macular hole is a disease whose pathogenesis is not fully understood and the best treatment guideline is controversial. we report 2 cases of traumatic macular hole with different treatment approaches. in the first case, a 9-year-old boy presented with a traumatic macular hole secondary to blunt ocular trauma with a stone, and initial vision of 20/300. he underwent surgical repair and his final vision was 20/70 with hole closure after a 1 year follow-up. in the second case, a 20-year-old woman suffered a penetrating bullet wound on the left side of her forehead. the injury caused optic nerve head avulsion in the left eye with loss of light perception. the right eye had a traumatic macular hole and signs suggestive of sclopetaria chorioretinitis, with 20/60 vision. this case was initially observed and vision improved to 20/30 with reduction of the hole diameter. vision and hole diameter remained stable after 8 months.
Análise comparativa da cirurgia do buraco macular associada à remo??o da membrana limitante interna com e sem colora??o pela indocianina verde
Brasil, Oswaldo Moura;Brasil, Oswaldo Ferreira Moura;
Arquivos Brasileiros de Oftalmologia , 2006, DOI: 10.1590/S0004-27492006000200004
Abstract: purpose: to describe comparatively the outcomes of macular hole surgery followed by internal limiting membrane removal with and without indocyanine green staining. methods: we evaluated 142 consecutive macular hole surgeries with internal limiting membrane removal performed in the period from january 2001 to march 2004. these were divided into two groups, based on the use or not of indocyanine green staining. results: both studied groups were similar concerning the patients' profile and preoperative stage of the macular holes. mean preoperative visual acuity was 0.12±0.15 in the group with indocyanine green staining and 0.18±0.18 in the group without internal limiting membrane staining (p=0.02). mean postoperative visual acuity was 0.27±0.27 in the group with internal limiting membrane staining and 0.43±0.25 in the group without internal limiting membrane staining (p=0.0002). we observed improvement of visual acuity in 63% of cases in the group in which internal limiting membrane staining was performed and in 80.3% of cases in the group without internal limiting membrane staining. macular hole closure rates were 76.5% in the group treated with internal limiting membrane staining and 95.1% in the group treated without internal limiting membrane staining. conclusions: macular hole surgeries followed by internal limiting membrane removal without use of staining have better visual and anatomic results when compared to macular hole surgeries followed by internal limiting membrane removal guided by indocyanine green staining. we recommend caution in using indocyanine green staining in macular hole surgeries due to its possible toxic effect.
Glycemic and lipid control of patients with type 2 diabetes in combined treatment of metformin and insulin Controle glicêmico e lipídico de pacientes com diabete tipo 2 em tratamento combinado de metformina e insulina
Fábio Brasil,Andreia Mara Brolezzi Brasil
Revista Brasileira de Medicina de Família e Comunidade , 2011, DOI: 10.5712/rbmfc5(17)200
Abstract: This transverse study was undertaken to assess serum lipoprotein cholesterol, glycated hemoglobin (HbA1c) and triglyceride levels of 105 patients with type 2 diabetes mellitus in insulin use belonging to a health care area of the Family Health Program (FHP). It had as objective to identify possible variations in those parameters when metformin is associated to the treatment. Thirty-three of those patients were excluded by presenting inclinations. Of the remaining, 44 subjects were on combination therapy of metformin and insulin – these indicated serum levels of HbA1c and triglycerides significantly lower than the control group in treatment with insulin alone (n=28); statistical differences were not observed regarding high-density lipoprotein and total cholesterol levels. The research appeared that, due to free readiness of metformin for the population, combined therapy should be used as first choice in public health. Este é um estudo transversal em que foram avaliados os dados laboratoriais de perfil lipídico e hemoglobina glicada (HbA1c) dos 105 pacientes portadores de diabetes mellitus tipo 2 em uso de insulina na área adstrita da Unidade de Saúde S o Paulo do Programa de Saúde da Família. Teve como objetivo identificar possíveis varia es nesses parametros quando associada metformina ao tratamento. Desses pacientes, 33 foram excluídos por apresentarem vieses. Dos restantes, 44 estavam em tratamento combinado de metformina e insulina – estes apresentaram níveis de HbA1c e triglicerídeos significativamente inferiores ao grupo controle em tratamento isolado com insulina (n=28); n o se observaram diferen as de significado estatístico com rela o ao colesterol total e HDL. O estudo sugeriu que, pela disponibilidade gratuita da metformina para a popula o, tal associa o deveria ser considerada como primeira escolha em saúde pública.
O imigrante e seus irm?os: as pesquisas empíricas de Florestan Fernandes e Gino Germani
Brasil Jr., Antonio;
Lua Nova: Revista de Cultura e Política , 2010, DOI: 10.1590/S0102-64452010000300008
Abstract: in the paper, i compare some arguments about the social change developed by florestan fernandes and gino germani, protagonists of the renewal of sociology at the universities of sao paulo and buenos aires, respectively. through empirical research, both sought to investigate how the modernization process differentially affected social groups, restoring durable patterns of inequality. fernandes and germani considered, moreover, the "immigrant" the main agent of the social changes underway, due to his successful insertion, in sao paulo and buenos aires, in the most dynamic positions of the capitalist order in expansion, despite his low impact on the democratization of the system of domination in both contexts.
Kohlberg e a "Comunidade Justa": promovendo o senso ético e a cidadania na escola
Biaggio, Angela Maria Brasil;
Psicologia: Reflex?o e Crítica , 1997, DOI: 10.1590/S0102-79721997000100005
Abstract: this article describes the "just community" technique for moral education, proposed by kohlberg and his collaborators at harvard university, which is based on this author's theory of moral judgment. starting from the older technique of hypothetical moral dilemma discussions, the article goes on to summarize observations made in a "just community" program run in a midwest school, and presents a statistical analysis which reveals significant gains in moral maturity scores of the participants. the application of such programs to the brazilian context is also discussed.
Neurofisiologia e plasticidade no córtex cerebral pela estimula??o magnética transcraniana repetitiva
Brasil Neto, Joaquim;
Revista de Psiquiatria Clínica , 2004, DOI: 10.1590/S0101-60832004000500004
Abstract: an old biological dogma states that a potencial for cortical reorganization (neuroplasticity) exists nly in young animals, being lost in adlt life. here we review studies carried out both in animals and humans, whixh demonstrate cortical reorganization in sensory and motor systems in adult subjects. we particulary emphasiza human studies carried out with the aid of transcranial magnetic stimulation. the adult cortex is capable of reorganization after peripheral or central nervous system lesions and as a result of learning.
Tendências curriculares nas escola de forma??o técnica para o SUS
Pereira, Isabel Brasil;
Trabalho, Educa??o e Saúde , 2004, DOI: 10.1590/S1981-77462004000100008
Abstract: this article outlines and analyses the curricular trends in the schools providing professional technical education for the brazilian health system's workers (sistema único de saúde - sus). with the help of a close survey of the literature on curricula, it analyses the organization, selection and hierarchical gradation of knowledge, all of which are connected with the struggle between educational projects. for the study, the fact that professional education is called to respond to the issues originating in the labour world is highly significant. in this sense, we attempted to rescue the contradictions existing in the educational field, such as, for instance, the idea that, even if it is true that "experience is the best teacher" and an important stage in the learning process, it is also important to criticize an exaggerated faith on the everyday experience and the presumption that experience can, by itself, provide qualified learning.
Notas sobre as inflex?es da teoria crítica na forma??o técnica na saúde
Pereira, Isabel Brasil;
Trabalho, Educa??o e Saúde , 2008, DOI: 10.1590/S1981-77462008000100002
Abstract: this article relates the legacy of the critical theory, particularly that of theodor adorno, the problem of education for emancipation and not for barbarity or blind integration to society, and the education and training of health service workers, especially mid-level technical education, so as not to merely reproduce capitalism and its forms of injustice.
A reinven??o da sociologia da moderniza??o: Luiz Costa Pinto e Florestan Fernandes (1950-1970)
Brasil Jr., Antonio;
Trabalho, Educa??o e Saúde , 2013, DOI: 10.1590/S1981-77462013000100013
Abstract: this article attempts to discern the theoretical potential inscribed in the contributions of two brazilian sociologists to the sociology of development between 1950 and 1970: luiz costa pinto and florestan fernandes. to this end, the innovative direction of their formulations is analyzed in contrast to the american sociology of modernization, which by then had become hegemonic. such analysis is done from three views: (a) their conceptions of the sociological practice and of its specificities in a peripheral context; (b) their views on the dynamics of social change in brazil, as forged in their research on relations between blacks and whites, (c) their theoretical syntheses of the 1960s and 1970s.
O que dizem os enfermeiros sobre observa??o
Brasil, Virginia Visconde;
Revista Latino-Americana de Enfermagem , 1997, DOI: 10.1590/S0104-11691997000300012
Abstract: the purpose of this study was to characterize what faculty and clinical nurses understand about observation at their professional activities. eleven nurses were interviewed, and the data were joined in categories in order to be analized. it was possible to realize that they regard it with extreme importance at their professional activities, as an essential instrument of nursing care administration, assessment, planning interventions and evaluating results.
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