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Search Results: 1 - 10 of 92245 matches for " FERREIRA MARIA ANGéLICA PIRES "
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Síndrome hepatopulmonar em paciente com cirrose por vírus C e SIDA
FERREIRA, MARIA ANGéLICA PIRES;GAZZANA, MARCELO BASSO;BARRETO, SéRGIO SALDANHA MENNA;KNORST, MARLI MARIA;
Jornal de Pneumologia , 2001, DOI: 10.1590/S0102-35862001000100009
Abstract: hepatopulmonary syndrome is characterized by a triad consisting of liver disorder, pulmonary vascular dilatation, and hypoxemia. no case of hepatopulmonary syndrome associated with aids has been reported so far. in this study, the authors report the case of a 43-year woman with aids and virus c cirrhosis taking prophylactic cotrimoxazole for pneumocystosis and retroviral therapy. upon admission, the patient presented dyspnea, cyanosis, digital clubbing, vascular spiders, and normal chest examination. chest x-ray revealed bilateral interstitial infiltration and evidenced increased alveolar-arterial gradient and liver function impairment. intrapulmonary shunt was evidenced by contrast-enhanced echocardiography and radionuclide perfusion scanning, thus confirming hepatopulmonary syndrome.
Síndrome hepatopulmonar em paciente com cirrose por vírus C e SIDA
FERREIRA MARIA ANGéLICA PIRES,GAZZANA MARCELO BASSO,BARRETO SéRGIO SALDANHA MENNA,KNORST MARLI MARIA
Jornal de Pneumologia , 2001,
Abstract: A síndrome hepatopulmonar consiste na tríade de doen a hepática, dilata es vasculares intrapulmonares e hipoxemia. N o há relatos de síndrome hepatopulmonar associada com SIDA. Relatamos o caso de uma mulher de 43 anos portadora de SIDA e de cirrose hepática por hepatite C, em uso de cotrimoxazol profilático para pneumocistose e de terapia anti-retroviral, com dispnéia progressiva, cianose, baqueteamento digital, aranhas vasculares e exame do tórax normal. A radiografia do tórax mostrava infiltrado retículo-nodular, o gradiente alvéolo-arterial de oxigênio estava aumentado e a fun o hepática alterada. Shunt intrapulmonar foi evidenciado por ecocardiografia bidimensional transtorácica e por cintilografia pulmonar perfusional, confirmando-se a síndrome hepatopulmonar.
Avalia??o semiquantitativa ecocardiográfica de dilata??es vasculares intrapulmonares em candidatos a transplante hepático: correla??o com avalia??o de shunt e parametros funcionais pulmonares
Ferreira, Maria Angélica Pires;Barreto, Sérgio Saldanha Menna;Knorst, Marli Maria;Silva, Mario Reis álvares da;Pinotti, Antonio Furlan;
Jornal Brasileiro de Pneumologia , 2009, DOI: 10.1590/S1806-37132009000200002
Abstract: objective: to correlate semiquantitative evaluation of intrapulmonary vascular dilatations (ipvd) with quantitative evaluation of shunt levels, as well as to describe clinical and pulmonary function findings in a sample of liver disease patients with ipvd. methods: patients presenting transthoracic echocardiography (tte) positivity for ipvd underwent clinical evaluation, pulmonary function tests and pulmonary shunt quantification (scintigraphy with technetium-99m-labeled albumin macroaggregates and blood gas analysis after pure oxygen breathing). results: a total of 28 liver cirrhosis patients were studied (mean age, 47.5 years; 60.7% were child-pugh class b). a 4-point, ascending scale was used as a measure of ipvd intensity, which was scored as 1, 2, 3 and 4, respectively, in 13 (46.4%), 9 (32.1%), 2 (7.1%) and 4 (14.3%) of the patients. patients were divided into a low-intensity group (scores 1 and 2) and a high-intensity group (scores 3 and 4). the mean shunt assessed using scintigraphy was 14.9% in the sample as a whole and was lower in the low-intensity group (11.7% vs. 26.3%; p = 0.01). the mean shunt by blood gas analysis was higher in the high-intensity group (8.3% vs. 16.3%; p < 0.001). mean pao2 was lower in the high-intensity group. there was a negative correlation between dlco and ipvd severity (r = -0.406, p = 0.01). conclusions: tte is a safe, useful tool for assessing ipvd severity in liver disease patients. the ipvd intensity assessed using tte correlated with the intrapulmonary shunt values obtained through the quantitative methods evaluated, as well as with pulmonary gas exchange abnormalities.
Palestra e manual sobre tratamento da dor, n?o alteraram a prescri??o de analgésicos no pós-operatório de cirurgias ginecológicas
Giancoli, Lívia Gabriela Truvilho;Fonseca, Maria Angélica Ferreira Leite Azevedo;Constantino, Elton;Pires, Oscar Cesar;Posso, Irimar de Paula;
Revista Dor , 2012, DOI: 10.1590/S1806-00132012000400006
Abstract: background and objectives: the planning of analgesia to treat acute postoperative pain is critical for its effective control, because if untreated it brings noxious changes for the body. this study aimed at analyzing the change in analgesics prescription in the postoperative period of gynecological surgeries before and after a symposium and the distribution of a pain treatment manual. method: this is a prospective study with 72 patients aged between 18 and 80 years, submitted to gynecological surgeries, to evaluate the effectiveness of postoperative analgesia by the pain numerical scale and analgesics prescription before and after a presentation and the distribution of a postoperative pain treatment manual to assistant physicians, residents and intern physicians of the gynecology clinic of a medium-sized teaching hospital. results: pain intensity in the first postoperative hour was 3.62 ± 2.48 for group 1; 3.62 ± 3.65 for group 2; 2.58 ± 1.93 for group 3 (p = 0.33). in the 12th hour, pain intensity was 3.62 ± 2.28, for group 1; 3.91 ± 3.26, for group 2; 3.50 ± 2.14, for group 3 (p = 0.85). in the 24th hour, mean pain intensity was 2.35 ± 1.98, for group 1; 3.70 ± 2.75, for group 2; 2.95 ± 1.65, for group 3 (p = 0.12). in the 48th hour, mean intensity has varied from 3.00 ± 1.82, for group 1; 3.44 ± 1.81, for group 2; 3.33 ± 1.36, for group 3 (p = 0.90). as observed, there have been no statistically significant differences between stages in the 1st, 12th, 24th e 48th postoperative hour. conclusion: proposed intervention has not brought statistically significant changes, however the multimodal analgesic combination used has provided adequate analgesia.
O tráfico internacional de mulheres
Maria Angélica Peixoto,Telma Ferreira Nascimento
Revista Espa?o Acadêmico , 2010,
Abstract: O tráfico internacional de mulheres é um grave problema social que atinge diversos países e a parte mais vulnerável da popula o feminina. Estudar este fen meno, analisar suas determina es, observar as possibilidades de supera o, torna-se, ent o, fundamental. O presente artigo busca ser uma contribui o para compreender o processo complexo de amplia o do tráfico internacional de mulheres a partir da percep o das mudan as nas rela es internacionais e no capitalismo mundial.
Análise crítica e subjetiva dos conteúdos da anatomia topográfica ensinados na Faculdade de Medicina Veterinária e Zootecnia da Universidade de S?o Paulo e uma proposta de adequa??o baseada na realidade profissional contemporanea
Lazinho, Raquel Cristina;Miglino, Maria Angélica;Ferreira, Jussara Rocha;
Brazilian Journal of Veterinary Research and Animal Science , 2004, DOI: 10.1590/S1413-95962004000300005
Abstract: our purpose was evaluate the present, through the case study, where we analyzed the program of the discipline of topographical anatomy and we interpreted the extension, depth and adaptation of these contents, starting from the observance of the interest or not of minister, as base for the clinic, surgery, technologies and others areas of performance in the generalist veterinarian graduation, where the anatomy makes herself present. we tried more and more to contemplate on the context of such teaching in relationship to the demands of the labor market, to thedemands competitive and unstable. through the documental analysis and interviews structured, we arrived to a consent that would be necessary to adapt the information among the basic and professional cycles, to implant a form of active education, where the student builds its learning and evaluation, using a pedagogic proposal that includes the educational technologies and the university extension.
Experiences of mothers of disabled children: a phenomenological study
Barbosa, Maria Angélica Marcheti;Chaud, Massae Noda;Gomes, Maria Magda Ferreira;
Acta Paulista de Enfermagem , 2008, DOI: 10.1590/S0103-21002008000100007
Abstract: objective: to unveil the experiences of mothers of disabled children, with a view to understand the meaning of that experience. methods: this is a qualitative study using phenomenological approach based on heidegger. the study subjects were five mothers with a disabled child. the interviews were performed at the women's homes, guided by the question "to you, what does it mean to have a disabled child? results: five categories came into focus: "meeting one's actual infant," "the impact of disability," "treading a new path with one's disabled child," "experiencing maternal altruism in the care of the disabled child," and "altering one's family daily life." conclusions: the discourses revealed emotionally moved beings experiencing a painful, sorrowful manner of being-in-the-world. mothers find themselves unprepared to deal with the experience of having a disabled child, though perceiving the situation as an opportunity for self-encounter. changes occurred to the couple's dynamics and family members became distant. when seeking guidance from health professionals, the mothers failed to find the necessary support.
Cuidado centrado na família no contexto da crian?a com deficiência e sua família: uma análise reflexiva
Barbosa, Maria Angélica Marcheti;Balieiro, Maria Magda Ferreira Gomes;Pettengill, Myriam Aparecida Mandetta;
Texto & Contexto - Enfermagem , 2012, DOI: 10.1590/S0104-07072012000100022
Abstract: this theoretical-philosophical study addresses family-centered care and the practice of healthcare teams in caring for children with disabilities and their families. the birth of a child with a disability brings about a crisis that affects the entire family, shaking its identity, structure, and functioning. family members find themselves unprepared to cope with or manage this new way of being a family; the child with a disability does not meet expectations, there is change of roles, and families may even break apart. the family-centered care model can support strengthening of the family, encouraging their potential, and promoting empowerment. although this model recognizes the family as a unit of care, a gap remains between theoretical knowledge and its application into clinical practice by health professionals, revealing the need for further research to indicate a means to transfer knowledge of this kind.
Cuidado centrado na família no contexto da crian a com deficiência e sua família: uma análise reflexiva
Maria Angélica Marcheti Barbosa,Maria Magda Ferreira Gomes Balieiro,Myriam Aparecida Mandetta Pettengill
Texto & Contexto - Enfermagem , 2012,
Abstract: Es una reflexión teórico-filosófica sobre la perspectiva del Cuidado Centrado en la Familia con la práctica del equipo de salud en el cuidado al ni o con discapacidad y su familia. El nacimiento de un ni o con discapacidad provoca una crisis que perjudica toda la familia, con problemas para su identidad, estructura y funcionamiento. La familia se muestra sin preparación para enfrentar ese nuevo modo de verse familia, pues el hijo representa una experiencia traumática que puede alterar el estado emocional entero de los miembros. Las presuposiciones del Cuidado Centrado en la Familia pueden fortalecer a la familia, estimular su potencial y promover el fortalecimiento familiar en su trayectoria con el hijo. Aunque con las presuposiciones del Cuidado Centrado en la Familia se reconozca a la familia como la unidad de cuidado, una laguna se observa entre el conocimiento teórico y de aplicación en la práctica clínica por los profesionales de salud, revelando la necesidad de ampliar los estudios que indiquen caminos hacia la transferencia de conocimientos.
O Departamento de Cirurgia da Faculdade de Medicina Veterinária e Zootecnia da Universidade de S?o Paulo como unidade de ensino de anatomia topográfica
Lazinho, Raquel Cristina;Miglino, Maria Angélica;Ribeiro, Ana Paula Coppi Maciel;Ferreira, Jussara Rocha;
Brazilian Journal of Veterinary Research and Animal Science , 2002, DOI: 10.1590/S1413-95962002000600001
Abstract: this research is descriptive, qualitative tends as study object na analysis historical -organizational of the surgery department of the veterinary medicin college and zootecny of s?o paulo university, about unit of responsible teaching of the offer of the discipline of topographical anatomy in the graduation course in veterinary medicine. the evidence sources we make use of (documentation, register on file, researches, direct observations, integrated observations and physique workmanship) denoted a human recourse structure and qualification on a high level and a teaching program which the pedagogic proposal is not entailed to the clinic and cirurgic attendance realized at the college- hospital. the theoretical reference allowed to arrive us to na appropriate program the realities of this instituition whose characteristic will be the flexibility, the related discipline and the university extension.
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