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Search Results: 1 - 10 of 35401 matches for " Eliane Mara Cesário Pereira Maluf "
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Hepatitis A: the costs and benefits of the disease prevention by vaccine, Paraná, Brazil
Zahdi, Mariana Ribas;Maluf Junior, Ivan;Maluf, Eliane Mara Cesário Pereira;
Brazilian Journal of Infectious Diseases , 2009, DOI: 10.1590/S1413-86702009000400003
Abstract: this study evaluated the epidemiological behavior of the hepatitis a in paraná state and compared the costs of the disease and the vaccination. this is an epidemiological descriptive study including a pharmacoeconomy analysis. we collected information in the national database reported cases (sinan), in the mortality information system (sim) and in the hospital information system (aih) among 2000/2003 (paraná state public health department). we estimated the probability of one cohort of children to acquire hepatitis a during their lifetime and the costs with their treatment. we compared those costs with the cost of vaccinating the children. 14,682 hepatitis a cases were registered during the period studied, and 12,102 (82.4%) occurred in the 0-15 years-old age group. the annual incidence in the general population was 37.5/100,000. we observed 20 deaths caused by this disease; 7 of those occurred by liver failure. the estimated costs with the disease included the hospital costs, liver transplantation, liver failure treatment, and laboratory tests were high. the price of the vaccine is 10 usd/dose. two doses are necessary to get the protection. the results showed a positive cost - benefit relation when we vaccinate children. we save 2.26 usd in treatment for each dollar invested in the vaccine. paraná record high number of hepatitis a cases each year. we confirmed the positive cost - benefit relation when we vaccinate children against hepatitis a, reducing suffering, hospitalization, death and social costs. vaccination against hepatitis a should be recommended in the routine of immunization program in paraná state.
Avalia o de treinamento cirúrgico na gradua o de medicina Evaluation of surgical training in medical school
Kátia Sheylla Malta Purim,Laila Djensa Souza dos Santos,Gabriel Treml Murara,Eliane Mara Cesário Pereira Maluf
Revista do Colégio Brasileiro de Cirurgi?es , 2013,
Abstract: OBJETIVO: Avaliar a efetividade de um treinamento de técnicas cirúrgicas em pata de porco durante a gradua o em medicina. MéTODOS: Estudo transversal com 87 acadêmicos de medicina voluntários, provenientes de diferentes períodos da gradua o, que participaram de uma oficina básica para realiza o de incis es, suturas, biópsias, retalhos, enxertos, sob supervis o direta. Foram utilizados questionários autoaplicáveis pré e pós-treinamento. RESULTADOS: O ensino de suturas, biópsias e corre o de orelha mostrou-se efetivo para o aprendizado de habilidades mínimas exigidas para as técnicas propostas (p<0,005), bem como, das excis es e retalhos exercitados, à exce o do enxerto (p>0,97). CONCLUS O: A abordagem metodológica e o monitoramento de reprodu o das técnicas mostraram-se adequados. O treinamento oferecido complementou as habilidades cirúrgicas cutaneas dos graduandos de medicina. OBJECTIVE: To evaluate the effectiveness of training in surgical techniques in pig feet during medical school. METHODS: We conducted a cross-sectional study with 87 volunteer medical students from different graduation semesters, who attended a basic workshop for incisions, sutures, biopsies, flaps, grafts, under direct supervision. Pre and post-training self-administered questionnaires were used. RESULTS: The teaching of sutures, biopsies and ear correction was effective for learning of the minimal skills required for the proposed techniques (p <0.005), as well as excisions and flaps, except grafting (p> 0 97). CONCLUSION: The methodological approach and monitoring of techniques' reproduction were adequate. The training offered complemented cutaneous surgical skills of undergraduate medicine students.
Avalia??o da ades?o de médicos ao protocolo de hipertens?o arterial da secretaria municipal de saúde de Curitiba
Maluf Jr, Ivan;Zahdi, Mariana Ribas;Unterstell, Natasha;Maluf, Eliane Mara Cesário Pereira;Sousa, André Bonamigo de;Loures, Felipe Dominici;
Arquivos Brasileiros de Cardiologia , 2010, DOI: 10.1590/S0066-782X2010000100014
Abstract: background: in curitiba, systemic hypertension (sh) is the second leading cause of hospitalization and the leading cause of death from cardiovascular diseases. the protocols for the treatment of hypertension provide a systematic approach to patient management, aiming at improving the efficiency and quality of health services. objective: to evaluate medical professionals' compliance with the protocol of hypertension of the municipal health department (mhd) of the city of curitiba. methods: this was a cross-sectional observational study. the data collection for the study was conducted in four health units in curitiba. the sample consisted of 200 hypertensive patients enrolled in the hypertension program. the collected data refers to the first two consultations. the data source was the electronic records of the health units. the protocol used for comparative analysis was the protocol of the municipal health department of curitiba. results: the non-conformity percentage between clinical practice and the protocol in the first consultation was 56.8% on hypertension grade classification, 63.8% on cardiovascular risk evaluation, and 54% on treatment. in the second consultation, the non-conformity percentage was 67% on risk evaluation, and 51.3% on treatment. conclusion: the non-conformity between clinical practice and the protocol of the mhd of curitiba was evident on hypertension grade classification, cardiovascular risk evaluation, and treatment of hypertensive patients. this non-conformity may result in low efficiency of the health service, which hinders the efforts to reduce morbidity and mortality from cardiovascular disease in the population.
Vacina acelular contra pertússis para adolescentes
Carvalho, Aroldo P. de;Pereira, Eliane Mara Cesário;
Jornal de Pediatria , 2006, DOI: 10.1590/S0021-75572006000400003
Abstract: background: the use of whole-cell pertussis vaccine has led to a significant decline in incidence of the disease among children. this change in the epidemiological profile led to an increased number of cases among teenagers and adults, as a result of loss of immunity to the disease or vaccine after approximately 10 years. an increased number of cases was also observed among non-immunized or partially immunized infants. licensure of the dtp vaccine against diphtheria, tetanus, and acellular pertussis formulated specifically for patients over 10 years of age (tdap) suggests the possibility of controlling pertussis in the most affected age groups over the past few years. sources of data: data were collected from medline. the research was limited to the period between january 1995 and january 2006. summary of the findings: in some countries there are two tdap vaccines licensed for patients over 10 years of age. one of them contains five immunogenic components of bordetella pertussis (pertussis toxin, filamentous hemagglutinin, fimbriae 2 and 3, and pertactin), and the other contains three components (pertactin, filamentous hemagglutinin, and inactivated pertussis toxin), the latter being the only one licensed in brazil up to now. although the composition of the two vaccines differs, studies show that they have similar effectiveness and immunogenicity. some authors, however, emphasize that it is difficult to make a precise assessment of the immunological response to the vaccine and its duration. several countries currently recommend the use of tdap vaccine for adolescents. canada has extended the target population up to 54 years of age. the guideline is that this group should receive one dose of the vaccine to reinforce the basic immunization scheme. this is based on study results that show that the vaccine-induced immunity lasts for around 6 to 12 years. assessments of the economic impact of routine use of the vaccine in adolescents showed a positive cost-benefit ratio.
Risk factors for nosocomial infection in trauma patients
Giamberardino, Heloisa Ihle Garcia;Cesário, Eliane Pereira;Carmes, Eliane Ribeiro;Mulinari, Rogério Andrade;
Brazilian Journal of Infectious Diseases , 2007, DOI: 10.1590/S1413-86702007000200024
Abstract: several factors are implicated in the increased vulnerability of multiple trauma victims to infection, especially in intensive care-units (icu). this cohort study was designed to report the incidence, the topography, the etiology and to identify the risk factors for infection in trauma patients admitted in an icu. from january 2000 to december 2001, 416 trauma patients were admitted to the icu for more than 24 hours, the mean length of stay was 9.3 days (range 2-65) and 188 (45%) patients developed a total of 290 ni. the most prevailing infections were pneumonia (49%), bloodstream (19%) and urinary tract infections (12%). the variables studied were: the demographic data, diagnosis on admission, site and mechanism of injury, type and number of surgeries, use of invasive devices, days under mechanical ventilation (mv) and site and number of ni. these variables were analyzed with a univariable and multivariable regression analysis. the ni was associated with injury in more than 1 anatomic segment (or=1.6; ci95%1.06-2.40); mechanical ventilation for more than 3 days (or=12; ci95% 6.87-24.02); more than 1 surgery (or=3.13;ci95%1.75-5.65) and more than 2 invasive devices (or=4.7; ci95%2.99-7.37). deaths over the first 5 days had high association (rr=3.18) with ni. three significant variables were identified in the logistic regression, which are: more than 3 days under mv, number of invasive devices and number of surgeries.
Hepatitis A: an assessment of the cost-benefit ratio of prevention by the vaccine - Paraná, Brazil Hepatite A: avalia o do custo-beneficio da preven o pela vacina - Paraná, Brasil
Mariana Ribas Zahdi,Ivan Maluf Junior,Eliane Mara Cesario Pereira Maluf
Revista Brasileira de Medicina de Família e Comunidade , 2010, DOI: 10.5712/rbmfc4(16)420
Abstract: Objectives: know the mqgniulde of the problem of Hepatitis A in Parana, Brazil, and assess the cost-benefit ratio of vaccination. Materials and methods: the study is descriptive and pharmacoeconomical. To assess the magnitude of the problem, data were collected on cases of hepatitis A from the Information System of Worsening Notification (SINAN), Information System in Mortality (SIM) and Hospitalization Authorization (AIH) of the State Secretariat of I Health of Paraná referring to the period from 2000 to 2003. The probability of one tenth of children acquiring Hepatitis A during their lifetime was estimated along with the costs of the treatments. These expenses were compared with the cost of vaccination. Results: there were 14,682 notices of which 12,102 (82.4%) occurred in children under 15 years of age. The incidence on the population was 37.5/100000. There were 20 deaths, being 7 due to liver failure. Costs with the disease were truly high.. The investment in children vaccination, with two doses (10 USD / dose), was also estimated. A positive cost-benefit relation of the vaccination was observed. For each dollar invested in vaccination, US$ 2.26 are saved on the treatment. Conclusions: the results confirm the positive cost-benefit relation of the vaccine. Since this is the first pharmacoeconomic study on vaccination against hepatitis A in our environment, the need for more in-depth and encompassing studies is highlighted with the goal of complementing a few aspects not explored yet. Objetivos: conhecer a magnitude do problema da Hepatite A no Parana. , Brasil, e avaliar custo-beneficio da vacina o. Materiais e métodos: o estudo é descritivo e de farmacoeconomia. Para avaliar a magnitude do problema, foram coletados dados sobre os casos de hepatite A do Sistema de Informa o de Agravos de Notifica o, (SIN AN), Sistema de Informa o em Mortalidade (SIM) e Autoriza o de Interna o Hospitalar (A114) da Secretaria de Estado da Saúde do Paraná ao período de 2000 a 2003. Foi estimada a probabilidade de uma coorte de crian as adquirir Hepatite A durante a vida e os custos dos tratamentos. Esses gastos foram comparados corn o custo da vacina o. Resultados: foram 14.682 notifica es das quais 12.102 (82,4%) ocorreram em menores de 15 anos. A incidência na popula o foi de 37,5/100000. Ocorreram 20 óbitos, sendo sete por insuficiência hepática. O custo com a doen a foi comprovaciamente alto. 0 investimento para a vacina o de crian as, com duas doses (10 LTSD/dose), também foi estimado. Observou-se uma rela o custo-beneficio positiva da vacina o. Para ca
A ginástica nas aulas de educa??o física: o ?aquecimento corporal? em quest?o
Pereira, Ana Maria;Cesário, Marilene;
Revista da Educa??o Física / UEM , 2011, DOI: 10.4025/reveducfis.v22i4.12536
Abstract: the aim of this work is to propose the body warming as one of the basic contents to be taught in physical education classes when concerning gymnastics. based on qualitative approaches, we analyzed texts and contexts which involve the theoretical productions in the area of physical education and health. we concluded that the issue warming is studied by different professional areas, and there are controversies when it comes to types, objectives and purposes. we consider, therefore, the process of texts construction focused on suggesting contents for the teaching of gymnastics may contribute to the organization of knowledge in the area. this may also propose reformulations in the field of pedagogical intervention and methodological innovation in physical education classes.
EDUCA O AMBIENTAL E ESTUDO DA PAISAGEM: A PERCEP O PARA A RESPONSABILIDADE SOCIOAMBIENTAL
Bárbara Cadore Demmer,Yára Christina Cesário Pereira
Olhar de Professor , 2011, DOI: 10.5212/olharprofr.v.14i2.0003
Abstract: This paper outlines the pedagogical interventions carried out during the Supervised-Pedagogical Practice Research, Biological Sciences degree course, University of Vale do Itajaí, developed in the Socio-environmental Citizenship program, ‘Social and Environmental: Multiplying Dreams’, which serves children and adolescents in situations of social vulnerability in the city of Itajaí/SC. The actions were intended to equip the group so that in the face of analyzing social and environmental issues they would have the autonomy to act as agents of change in the context in which they live from the understanding of interdependence and complementarity that exists between the natural landscape and culture, addressing the teaching of Natural Sciences in its interdisciplinarity, as a protagonist in the process of the formation of individuals. In this context, Environmental Education emerges as a tool to develop the socio-environmental problem in order to contribute to a reflection on the standard of ethical and ecological behavior, recurrent in our daily lives, in search of a practice to protect the quality of life. Reading the Landscape is used as an educational tool in the critical agenda, given that its research-action-participation methodology is triggered by the subject actually emerging in the construction process. Thus, an education is appreciated that values dialogue about explicit knowledge in search of alternatives to consider scientific knowledge, popular knowledge, cultural events and a new ethic in relations between society and nature. The workshops generated effective results regarding the understanding of these concepts and they were converted into actions based on serious information consistent with the local/global.
Adi??o de polieletrólito ao processo de flocula??o no pós-tratamento de lixiviado por coagula??o-flocula??o-sedimenta??o
Castro, Anelise Passerine de;Yamashita, Fábio;Silva, Sandra Márcia Cesário Pereira da;
Engenharia Sanitaria e Ambiental , 2012, DOI: 10.1590/S1413-41522012000100006
Abstract: the addition of polyelectrolyte flocculation process in the physical-chemical treatment by coagulation-flocculation-sedimentation effluent has been an alternative to obtain clarification of good quality in less time due to increased sedimentation rate. thus, this article aimed to determine the interrelationships between the ph gradient, flocculation, iron dosage and type of polyelectrolyte and evaluate the effect of this addition on color removal, cod and turbidity in the post-treatment of the leachate subjected to pretreatment biological. through the use of technical planning and analyzing the results, it was found that the polymer cationic charge introduced himself as the most efficient, achieving removals of up to 97.70% for true color, 81.52% for cod and 92.18% for turbidity.
Assement of the fluoride concentration and pH in different mouthrinses on the brazilian market
Delbem, Alberto Carlos Botazzo;Sassaki, Kikue Takebayashi;Castro, Alessandra Maia de;Pinto, Leila Maria Cesário Pereira;Bergamaschi, Maurício;
Journal of Applied Oral Science , 2003, DOI: 10.1590/S1678-77572003000400008
Abstract: in this study, the fluoride concentration and ph of 14 commercial brands of mouthrinses were assessed in order to compare them with the values expressed on the labels and with those established by the national sanitary surveillance agency. forty-two (42) products were obtained from three places, with different manufacturing batches. the fluoride concentration was determined in diluted solutions, using a combined specific electrode for fluoride ion (9609 bn orion research) and ion analyzer (290 a orion research). the results showed that 50% of the solutions had statistically significant differences, with higher fluoride concentrations than those expressed on the labels, and the ph ranged from 4.23 to 7.34, but only one of the products registered the ph value on its label.
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