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Search Results: 1 - 10 of 10261 matches for " Edna Joana Claudio Manrique "
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Atendimento pelo SUS na percep o de mulheres com les es de cancer cervicouterino em Goiania-GO
Zair Benedita Pinheiro de Albuquerque,Suelene Brito do Nascimento Tavares,Edna Joana Claudio Manrique,Adenícia Custodio Silva e Souza
Revista Eletr?nica de Enfermagem , 2011,
Abstract: O cancer de colo do útero é prioridade nas políticas de saúde no Brasil. Apesar da existência do fluxo de atendimento estabelecido pelo Sistema único de Saúde (SUS), fragilidades s o observadas na sua operacionaliza o. Objetivou-se analisar a percep o de mulheres com les es de colo do útero acerca do atendimento pelo SUS em Goiania-GO. Estudo descritivo, exploratório de abordagem qualitativa. Os dados foram obtidos por meio de entrevistas, utilizando-se a técnica de incidente crítico e análise de conteúdo. Na percep o das mulheres, o atendimento é permeado por falhas no acolhimento, comunica o, assistência do profissional de saúde, falta de efetividade e pelo desconhecimento do próprio fluxo de atendimento. Evidenciou-se a necessidade de reorienta o do atual modelo assistencial de atendimento, com abordagens conscientizadoras, que permitam aos profissionais e aos gestores desenvolverem habilidades de ouvir, acolher e de se responsabilizar pelo cuidado, a fim de promover a transforma o dessa realidade.
A revis?o rápida de 100% é eficiente na detec??o de resultados falsos-negativos dos exames citopatológicos cervicais e varia com a adequabilidade da amostra: uma experiência no Brasil
Manrique, Edna Joana Cláudio;Tavares, Suelene Brito do Nascimento;Souza, Nadja Lindany Alves;Albuquerque, Zair Benedita Pinheiro;Zeferino, Luiz Carlos;Amaral, Rita Goreti;
Revista Brasileira de Ginecologia e Obstetrícia , 2007, DOI: 10.1590/S0100-72032007000800004
Abstract: purpose: to evaluate the efficiency of the 100% rapid rescreening in the detection of false-negative results and to verify whether the results vary according to the adequacy of the sample and the woman?s age group. methods: to evaluate the efficiency of the rapid rescreening, the 5,530 smears classified as negative by the routine screening, after being submitted to the rapid rescreening of 100%, were compared with the rescreening of the smears on the basis of clinical criteria and 10% random rescreening. for statistical analysis, the variables were evaluated descriptively and the c2 test and the cochran-armitage test were applied to compare results. results: of the 141 smears identified as suspicious according to the rapid rescreening method, 84 (59.6%) cases were confirmed in the final diagnosis, of which 36 (25.5%) were classified as atypical squamous cells of undetermined significance, five (3.5%) as atypical squamous cells that cannot exclude high-grade squamous intraepithelial lesion, 34 (24.1%) as low-grade squamous intraepithelial lesion, six (4.3%) as high-grade squamous intraepithelial lesion, and three (2.1%) as atypical glandular cells. of the 84 suspect smears confirmed in the final diagnosis, 62 (73.8%) smears were classified as adequate and 22 (26.2%) as adequate but with some limitation, but no significant difference was observed with the woman?s age. conclusions: the results of this study show that rapid rescreening is an efficient option for internal quality control for the detection of false-negative cervical smear results. in addition, it should be noted that rapid rescreening performed better when the sample was classified as adequate for analysis; however, it did not vary according to the woman?s age group.
Influência da adequabilidade da amostra sobre a detec??o das les?es precursoras do cancer cervical
Amaral, Rita Goreti;Manrique, Edna Joana Cláudio;Guimar?es, Janaína Valadares;Sousa, Paula José de;Mignoli, Jo?o Ricardo Queiroz;Xavier, Aparecida de Fátima;Oliveira, Analina;
Revista Brasileira de Ginecologia e Obstetrícia , 2008, DOI: 10.1590/S0100-72032008001100005
Abstract: purpose: to evaluate whether the sample adequacy influences the detection of precursor cervical cancer lesions. methods: a transversal study from january 2004 to december 2005. a number of 10,951 results of cervical cytotopathological exams from users of the national health system (sistema único de saúde, sus) in goiania, goiás , brazil, was studied. these women had spontaneously looked for the services from the family health program or from the basic units of health. samples were collected by medical doctors and nurses, through the conventional technique to detect cervical cancer. the analyzed smears were classified by the bethesda system, the sample adequacy being defined along the routine screening and categorized as: satisfactory, satisfactory but presenting factors that might partially jeopardize the analysis, and unsatisfactory. results were stored in the epi-info 3.3.2 program. the χ2 test was used to compare altered results with the adequacy of the samples from cytopathological smears. differences with probability of rejection of the null hypothesis lower than 5% (p<0.05) were considered as significant. results: from 10,951 smears, 51.1% were classified as having satisfactory adequacy for analysis, 46.6% as satisfactory, but presenting some limiting factors, and 2.3%, as unsatisfactory. the main factors which have partially jeopardized the analysis were: lack of endocervical cells (52.2%), dried smears (22.8%), purulence (14.9%), or smears with some thick areas (9.5%). there was a higher rate of altered smears when the sample had been classified as satisfactory for analysis and with representation of endocervical cells asc-us (2.3%), asc-h (0.6%), lsil (3.2%), hsil (1.7%) and 0.3% of agc. differences were significant when p=0.001. the rate of low and high grade lesions was higher when the smears were satisfactory for analysis. conclusions: the rate of precursor uterine cervix cancer lesions varies according to the sample adequacy, and the main adequacy limit
Mulheres com atipias, les?es precursoras e invasivas do colo do útero: condutas segundo as recomenda??es do Ministério da Saúde
Albuquerque, Zair Benedita Pinheiro de;Manrique, Edna Joana Cláudio;Tavares, Suelene Brito do Nascimento;Souza, Adenícia Custódio Silva e;Guimar?es, Janaína Valadares;Amaral, Rita Goreti;
Revista Brasileira de Ginecologia e Obstetrícia , 2012, DOI: 10.1590/S0100-72032012000600002
Abstract: purpose: to verify whether women with atypias of undetermined significance and precursor lesions or invasive cervical outcomes were referred to medium complexity units (mcu) following the guidelines recommended by the brazilian ministry of health. methods: retrospective study based on the cytopathological outcomes of users of the unified health system, seen at basic health assistance units (bhau) and referred to mcus in the municipality of goiania, state of goiás, from 2005 to 2006. we assessed 832 records according to the recommendations of the brazilian ministry of health, as established by the brazilian nomenclature for cervical cytopathologic outcomes and recommended clinical practice. to check the distribution of variables such as reasons for referral, results of colposcopy and histopathology and clinical procedures we calculated absolute and relative frequencies, mean, minimum and maximum values. results: we understood 72.7% of the referrals were not in accordance with the recommendations of the ministry of health. there were 605 women with test results classified as atypical squamous cells of undetermined significance, possibly non-neoplasms, and squamous intraepithelial lesion of low level which were sent to mcu, and of these 71.8% were submitted to colposcopy, and 64.7% had histopathological examination which results were classified as 31.0% with non-neoplasms and 44.6% as nic i. out of 211 women with results classified as more severe squamous lesions, 86.3% were submitted to colposcopy and 68.7% of these had histopathological examinations. conclusions: the results of this study revealed high rates of inappropriate referrals to mcu, which required a high percentage of unnecessary procedures. the recommendations of the ministry of health were followed by bhau and the majority of women received counseling/treatment as recommended.
Sexual behaviour and stridulation during mating in Triatoma infestans (Hemiptera: Reduviidae)
Manrique, Gabriel;Lazzari, Claudio R.;
Memórias do Instituto Oswaldo Cruz , 1994, DOI: 10.1590/S0074-02761994000400021
Abstract: factors affecting mating behaviour in the bug triatoma infestans were quantitatively studied in the laboratory. experimental conditions were established so that the probability of copulation increased with the time elapsed since the first adult meal. copulatory attempts by males did not vary as a function of time, but rejections by females became significantly less frequent with the post feeding time. non-receptive females displayed four types of rejection behaviour, i.e. flattening, stridulation, evasion and abdominal movements. the occurrence of stridulation performed by females in a sexual context was observed in a regular fashion and was quantified for the first time in this species.
Existence of a sex pheromone in Triatoma infestans (Hemiptera: Reduviidae): I. Behavioural evidence
Manrique, Gabriel;Lazzari, Claudio R.;
Memórias do Instituto Oswaldo Cruz , 1995, DOI: 10.1590/S0074-02761995000500021
Abstract: assembling behaviour associated with mating was investigated in triatoma infestans. the spatial distribution of both sexes was observed by video films, in the presence or absence of a copulating pair. males aggregated around copulating pairs. females did not exhibit this behaviour and their mean spatial density remained unaffected. spontaneous aggregation tendency was observed in males in the absence of a copulating pair, but the temporal course significantly differed from that observed in the presence of a mating pair. results support the existence of an aggregation signal that is released during mating, affecting the behaviour of males.
O médico pode se recusar a dar alta solicitada por seu paciente?
Gobbetti Gisele Joana,Cohen Claudio
Revista da Associa??o Médica Brasileira , 2001,
Abstract:
Existence of a sex pheromone in Triatoma infestans (Hemiptera: Reduvidae): II. Electrophysiological correlates
Brito Sanchez, Maria G. de;Manrique, Gabriel;Lazzari, Claudio R.;
Memórias do Instituto Oswaldo Cruz , 1995, DOI: 10.1590/S0074-02761995000500022
Abstract: the stimulus provided by a copulating pair of triatoma infestans significantly affects the electrical activity of the nervous system of triatoma infestans. electrophysiological recordings were perfomed on stationary adult males presented with stimuli of an air current carrying odors from males, females, non-copulating pairs and mating pairs. the electrophysiological response was characterized by the low frequency occurrence of biphasic compound impulses. a significant increase in the frequency of the impulses occurred in stationary males when exposed to air currents of mating pairs, when compared to that evoked by a clean air stream. analysis of the time course of the assays, showed that the electrophisiological activity during the copula was higher than prior to or after copula. the electrophysiological evidence presented here strongly supports the existence of pheromone(s) released by one or both sexes during mating and which is perceived by male chemoreceptors located on the antennae.
Constru??o de tábuas de mortalidade de inválidos por meio de modelos estatísticos bayesianos
Ribeiro, Aloísio Joaquim Freitas;Reis, Edna Afonso;Barbosa, Joana Barbabela;
Revista Brasileira de Estudos de Popula??o , 2010, DOI: 10.1590/S0102-30982010000200006
Abstract: the objective of this article is to construct life tables of invalids among urban beneficiaries of the general regime of the national brazilian social security system. assuming that the number of deaths in each table follows a poisson distribution, the death rates by simple age were graduated through bayesian statistical methods, by using the gompertz-makehan parametric model and using bayesian statistical inferences. life tables were constructed for death rates of men and women, and credibility intervals were set up for the parameters and components of the model, as well as for the death rates and functions of the board. an application was made by calculating an annuity and the actuarial liabilities.
The sexual behaviour of Panstrongylus megistus (Hemiptera: Reduviidae): an experimental study
Pires, Herton Helder Rocha;Lorenzo, Marcelo Gustavo;Lazzari, Claudio Ricardo;Diotaiuti, Liléia;Manrique, Gabriel;
Memórias do Instituto Oswaldo Cruz , 2004, DOI: 10.1590/S0074-02762004000300010
Abstract: the factors affecting the sexual behaviour of panstrongylus megistus were studied under laboratory conditions. a general description of mating behaviour is presented for this species. the effect of the time elapsed after the first imaginal feeding on the mating frequency, the motivation of males to mate and the rejection behaviour by females, were analyzed. we also determined the number of copulas accepted by females of this species. finally, the possible existence of a sexual chemical signal promoting male aggregation around mating couples was evaluated. results showed that mating frequency increased with the time elapsed since the first adult meal. despite the number of male copulatory attempts did not change as a function of time, the rejection behaviour of females became gradually less frequent. females rejected mating by means of body flattening on the substrate, abdominal movements, evasion or stridulation. after a single copula, females did not usually accept to mate again. neither male nor female aggregation around mating couples was observed, suggesting the absence of a sexual assembling pheromone in p. megistus.
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