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Search Results: 1 - 10 of 461795 matches for " Graziottin A "
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Der Gyn kologe und seine Verantwortung für die Gesundheitserwartung von Frauen
Graziottin A
Journal für Menopause , 2001,
Abstract: Die Differenz zwischen Lebenserwartung und Gesundheitserwartung hat sich in verschiedenen L ndern der westlichen Welt verdoppelt oder sogar verdreifacht. Folglich besteht die Herausforderung darin, den Gewinn an Lebensjahren zu erhalten, ohne die enormen Kosten in physischer, emotionaler, pers nlicher und sozialer Hinsicht, die eine Verl ngerung der Leidensjahre mit sich bringen, die die gewonnenen Jahre eines Kranken mehr zu einem Fluch als zu einem Geschenk werden lassen. Der Gyn kologe "der Wahl" ist der lebenslange rztliche Begleiter fast jeder westlichen Frau. Mit dieser Lebensspannenperspektive tr gt er die Verantwortung für die Verbesserung seines " rztlichen Impaktfaktors", das hei t seiner F higkeit zu Heilen und zu Betreuen, um auf diese Weise einen Beitrag zur Gesundheitserwartung aller Frauen durch Erhaltung der bestm glichen Funktionsf higkeit und Verhinderung von Morbidit t zu leisten. Dieses Ziel kann durch frühzeitige interventionelle Ma nahmen und Interventionen im Erwachsenenalter ebenso wie durch peri- und postmenopausale Pr ventiv- und Behandlungsma nahmen angestrebt werden. Die Hormonsubstitutionstherapie ist ein ausgezeichnetes Mittel, das maximalen Nutzen bringt, wenn sie auf jede einzelne Frau individuell zugeschnitten wird und eine lebenslange Ma nahme darstellt, die sich zuerst auf den Lebensstil und die zwischen jeder Frau und ihrem Gyn kologen geteilte Verantwortung zur Erzielung eines umfassenden und erfolgreichen Gesundheitsprogrammes konzentriert.
Sexuality in the elderly
Graziottin A
Journal für Menopause , 1999,
Abstract:
Safety, efficacy and patient acceptability of the combined estrogen and progestin transdermal contraceptive patch: a review
Alessandra Graziottin
Patient Preference and Adherence , 2008, DOI: http://dx.doi.org/10.2147/PPA.S3233
Abstract: fety, efficacy and patient acceptability of the combined estrogen and progestin transdermal contraceptive patch: a review Review (3664) Total Article Views Authors: Alessandra Graziottin Published Date November 2008 Volume 2008:2 Pages 357 - 367 DOI: http://dx.doi.org/10.2147/PPA.S3233 Alessandra Graziottin Center of Gynecology and Medical Sexology, H San Raffaele Resnati, Via Santa Croce 10/a, 20123 Milano, Italy Abstract: The worldwide introduction of the first, unique patch for hormonal contraception (ethinyl estradiol/norelgestromin, EE/NGMN patch) was widely recognized as a significant event in the development of drug delivery systems. This innovation offers a number of advantages over the oral route, and extensive clinical trials have proved its safety, efficacy, effectiveness, and tolerability. The weekly administration and ease of use/simplicity of the EE/NGMN patch contribute to its acceptability, and help to resolve the two main problems of non-adherence, namely early discontinuation and inconsistent use. The patch offers additional benefits to adolescents (improvement of dysmenorrhea and acne), adults (improvement in emotional and physical well-being, premenstrual syndrome, and menstrual irregularities), and perimenopausal women (correction of hormonal imbalance, modulation of premenopausal symptoms), thus providing high satisfaction rates (in nearly 90% of users). Since its introduction, the transdermal contraceptive patch has proved to be a useful choice for women who seek a convenient formulation which is easy to use, with additional, non-contraceptive tailored benefits for all the ages.
Safety, efficacy and patient acceptability of the combined estrogen and progestin transdermal contraceptive patch: a review
Alessandra Graziottin
Patient Preference and Adherence , 2008,
Abstract: Alessandra GraziottinCenter of Gynecology and Medical Sexology, H San Raffaele Resnati, Via Santa Croce 10/a, 20123 Milano, ItalyAbstract: The worldwide introduction of the first, unique patch for hormonal contraception (ethinyl estradiol/norelgestromin, EE/NGMN patch) was widely recognized as a significant event in the development of drug delivery systems. This innovation offers a number of advantages over the oral route, and extensive clinical trials have proved its safety, efficacy, effectiveness, and tolerability. The weekly administration and ease of use/simplicity of the EE/NGMN patch contribute to its acceptability, and help to resolve the two main problems of non-adherence, namely early discontinuation and inconsistent use. The patch offers additional benefits to adolescents (improvement of dysmenorrhea and acne), adults (improvement in emotional and physical well-being, premenstrual syndrome, and menstrual irregularities), and perimenopausal women (correction of hormonal imbalance, modulation of premenopausal symptoms), thus providing high satisfaction rates (in nearly 90% of users). Since its introduction, the transdermal contraceptive patch has proved to be a useful choice for women who seek a convenient formulation which is easy to use, with additional, non-contraceptive tailored benefits for all the ages.Keywords: transdermal, hormonal contraceptive, patient satisfaction, patient adherence
The Recurrent Vulvovaginal Candidiasis: Proposal of a Personalized Therapeutic Protocol
F. Murina,A. Graziottin,R. Felice,G. L. Radici,S. Di Francesco
ISRN Obstetrics and Gynecology , 2011, DOI: 10.5402/2011/806065
Abstract: Background. Recurrent vulvovaginal candidiasis (RVC) is an increasing challenge in clinical practice. Objective. The purpose of this study was to reduce the episodes of RVC through the intake of fluconazole 200?mg/dose with a personalized regimen at growing administration intervals with a probiotic. Method. 55 patients received a 200?mg fluconazole as an induction dose for 3 alternate days. Symptoms resolution after 10–14 days made the patients eligible to continue with a maintenance therapy of fluconazole weekly for one month, followed by 200?mg after 10, 15, 20 and 30 days. Patients were allowed to move on to the next level of maintenance therapy only if they were symptom free. Patients were also given a probiotic with Beta Glucan and Echinacea Purpurea. Results. Among the 55 patients enrolled, four (7%) have withdrawn after the induction phase. 51 patients completed the whole therapeutic maintenance period, and eight (15,6%) experienced a recurrence before the end of the therapy. Five women (9,8%) relapsed (two after 2 months and three after 6 months). Conclusion. The positive results of our study prove the effectiveness of an individualized protocol for a rather short period, with a slowly decreasing administration of fluconazole + probiotic. 1. Introduction The mycotic vulvovaginitis is a common infection. It is estimated that about 75% of women will experience this infection at least once during their life time. In 15% of these cases the mycotic infection may evolve in a “cyclic recurrent type” (RVC) defined as four or more episodes of mycotic vulvovaginitis during one year [1, 2]. Over 85% of cases are caused by Candida Albicans, while Candida Tropicalis and Glabrata are more common in diabetic women. The VVC has a negative effect on women’s personal confidence and self-esteem [3]. It may cause or contribute to psycosexual problems, namely, introital dyspareunia, with progressive loss of genital arousal (pain is the strongest reflex inhibitor of vaginal congestion and lubrication), secondary loss of desire, and avoidance of sexual intimacy for fear of experiencing pain and recurrence of another Candida vulvovaginitis. It may as well cause discomfort, uneasiness, sense of shame, or unworthiness in informing both doctor and partner about the inconveniences of such a recurring infection. An antimycotic prophylaxis with fluconazole for long periods of time has proven to be effective for the prevention of mycotic recurrent episodes. The oral weekly administration of a single dose of 150?mg of fluconazole for a period of 6 months proved to be
Estratégias de enfrentamento utilizadas pela equipe de enfermagem de um CTI adulto perante situa es de estresse Coping strategies used by the nursing staff of an adult ICU in stress situations
Emanuelle Graziottin Colossi,Mariana Calesso-Moreira,Adolfo Pizzinato
Ciência & Saúde , 2011,
Abstract: Introdu o: Para os profissionais da saúde lidar com situa es de estresse, como por exemplo, a eminência da morte dos pacientes, parece ser uma das maiores dificuldades vividas em sue ambiente de trabalho. Frente a este contexto, cada pessoa lan a m o de estratégias próprias para o enfrentamento de situa es estressantes (coping), as quais s o determinadas pelo ambiente e por características de personalidade. Objetivo: Identificar as estratégias de enfrentamento (coping) dos profissionais de enfermagem de um CTI adulto diante de situa es estressantes inerentes a sua profiss o. Materiais e Métodos: Trata-se de um estudo descritivo transversal, no qual foi aplicado o Inventário COPE, em trinta e oito técnicos de enfermagem e/ou enfermeiros. Os dados do inventário foram analisados em termos descritivos. Resultados: As estratégias de enfrentamento mais utilizadas foram as relacionadas à capacidade pró-ativa do sujeito (reinterpreta o positiva, coping ativo e busca por suporte social) e as menos utilizadas foram as relacionadas às emo es (foco nas emo es e humor). Conclus o: Na amostra estudada, os profissionais buscam estratégias que antecedam as dificuldades inerentes a sua prática diária, isolando os aspectos mais irrelevantes dos estressores e focalizando a aten o no resultado de suas a es, o que permite uma melhor percep o de seu trabalho e o sentimento de realiza o profissional. Introduction: For health professionals, to deal with stressful situations, such as the imminence of death of their patients, seems to be one of the greatest difficulties experienced in the workplace. In these situations, each person makes use of their own strategies in order to cope with stressful situations, which are determined by the environment and the personality traits. Objective: To identify the coping strategies used by nursing professionals of an adult ICU while facing stressful situations inherent to their profession. Materials and Methods: This is a cross-sectional descriptive study in which the COPE Inventory was applied in thirty-eight nursing technicians and/or nurses. The data were analyzed using descriptive techniques. Results: The coping strategies most frequently used were those related to the proactive capacity of the subject (positive reinterpretation, active coping and seeking for social support) and the less used were those related to emotions (focus on emotions and mood). Conclusion: Considering the sample studied, the professionals used strategies that precede the difficulties inherent to their daily practice, isolating the most irrelevant aspec
Long-term follow-up of penile curvature correction utilizing autologous albugineal crural graft
Da Ros, Carlos Teodósio;Graziottin, Túlio Meyer;Ribeiro, Eduardo;Averbeck, Márcio Augusto;
International braz j urol , 2012, DOI: 10.1590/S1677-55382012000200013
Abstract: purpose: peyronie's disease is an acquired connective tissue disorder of the penile tunica albuginea with fibrosis and inflammation. the disease produces palpable plaques, penile curvature and pain during erections. usually it results in impairment of the quality of life. our objective is to review the long-term results of the albugineal grafting harvested from the penile crura for the treatment of severe penile curvature. materials and methods: thirty-three patients with peyronie's disease were submitted to a grafting with tunica albuginea from the penile crura for the correction of penile curvature. the results were evaluated after 6 months of the procedure. variables studied were overall satisfaction with the procedure, correction of the penile curvature, erectile capacity, penile shortening and the presence of surgical complications. results: mean follow-up after surgery was 41 months. complete correction of the curvature was achieved in 30 patients (90%). the mean preoperative curvature was 91.8 degrees and median plaque length was 2 cm (ranged from 1 to 5 cm). three patients (9%) experienced recurrence of the penile curvature and required a new procedure. in 30 men (90%) the procedure fulfilled their expectations and in 31 patients (93.9%) their opinions were that sexual partners were satisfied with the penile correction. penile shortening or augmentation was referred in 6 (18.1%) and 1 (3%) patient, respectively. conclusion: our series demonstrated that grafting the albugineal defect after incision of the tunica albuginea with tunica from the crus for the correction of penile curvature is safe and results in satisfactory straight erections duringa long-term follow-up.
Measurement of the optical density of packable composites: comparison between direct and indirect digital systems
Graziottin, Luiz Felipe Rodrigues;Costa, Nilza Pereira da;Silveira, Ivori Dutra da;Veeck, Elaine Bauer;
Pesquisa Odontológica Brasileira , 2002, DOI: 10.1590/S1517-74912002000400004
Abstract: the aim of this study was to measure the optical density of four packable composite resins with widths of 1, 2, 3 and 4 mm, by means of digora? (direct) and dentscan dentview? (indirect) digital imaging systems, in order to compare both methods. twenty acrylic plates, with the proposed thicknesses, were used, each one containing a sample of each resin. each acrylic plate was radiographed three times, under a standardized technique. for the digora? system, an optical plate was used under each resin sample, and, for the dentscan dentview? system, occlusal films were employed, totalizing 60 exposures for each system. optical plates and films were scanned and three consecutive optical readouts were carried out, totalizing 1,440 readouts. the results were submitted to statistical analysis and revealed that the average optical density of the four resins always increased as thickness increased. regarding the comparisons between the composite resins, in both analysis the resin with the greater optical density was surefil? followed by prodigy? condensable, alert? and solitaire?. the correlations between the results of digora? and dentscan dentview? were significant for the different thicknesses and materials. the observed tendency is that as the values obtained with the digora? system increase, so do the values obtained with dentscan dentview?. while thickness increased, the values of optical density in both digora? and dentscan dentview? tended to approach each other. the digora? system presented smaller amplitude between the results obtained in adjacent thicknesses.
Measurement of the optical density of packable composites: comparison between direct and indirect digital systems
Graziottin Luiz Felipe Rodrigues,Costa Nilza Pereira da,Silveira Ivori Dutra da,Veeck Elaine Bauer
Pesquisa Odontológica Brasileira , 2002,
Abstract: The aim of this study was to measure the optical density of four packable composite resins with widths of 1, 2, 3 and 4 mm, by means of Digora (direct) and DentScan DentView (indirect) digital imaging systems, in order to compare both methods. Twenty acrylic plates, with the proposed thicknesses, were used, each one containing a sample of each resin. Each acrylic plate was radiographed three times, under a standardized technique. For the Digora system, an optical plate was used under each resin sample, and, for the DentScan DentView system, occlusal films were employed, totalizing 60 exposures for each system. Optical plates and films were scanned and three consecutive optical readouts were carried out, totalizing 1,440 readouts. The results were submitted to statistical analysis and revealed that the average optical density of the four resins always increased as thickness increased. Regarding the comparisons between the composite resins, in both analysis the resin with the greater optical density was SurefilTM followed by ProdigyTM Condensable, AlertTM and Solitaire . The correlations between the results of Digora and DentScan DentView were significant for the different thicknesses and materials. The observed tendency is that as the values obtained with the Digora system increase, so do the values obtained with DentScan DentView . While thickness increased, the values of optical density in both Digora and DentScan DentView tended to approach each other. The Digora system presented smaller amplitude between the results obtained in adjacent thicknesses.
The Spread of Infectious Disease on Network Using Neutrosophic Algebraic Structure  [PDF]
A. Zubairu, A. A. Ibrahim
Open Journal of Discrete Mathematics (OJDM) , 2017, DOI: 10.4236/ojdm.2017.72009
Abstract: Network theory and its associated techniques has tremendous impact in various discipline and research, from computer, engineering, architecture, humanities, social science to system biology. However in recent years epidemiology can be said to utilizes these potentials of network theory more than any other discipline. Graph which has been considered as the processor in network theory has a close relationship with epidemiology that dated as far back as early 1900 [1]. This is because the earliest models of infectious disease transfer were in a form of compartment which defines a graph even though adequate knowledge of mathematical computation and mechanistic behavior is scarce. This paper introduces a new type of disease propagation on network utilizing the potentials of neutrosophic algebraic group structures and graph theory.
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