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Search Results: 1 - 10 of 130092 matches for " Josélia Oliveira Araújo; Loyola Filho "
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Concep??es sobre transtornos mentais e seu tratamento entre idosos atendidos em um servi?o público de saúde mental
Clemente, Adauto Silva;Loyola Filho, Ant?nio Ignácio;Firmo, Josélia Oliveira Araújo;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011000300015
Abstract: in order to understand the thoughts and actions of elderly patients with mental disorders, we interviewed 13 elders (> 60 years of age) treated at a public hospital in belo horizonte, minas gerais state, brazil. data analysis was based on the signs, meanings, and actions model. the majority of the elderly patients denied the presence of any mental disorder, but identified signs of mental distress, grouped into three main categories: "nerves", "head problems", and "craziness". all patients identified the symptom that justified their treatment and highlighted the following causes of mental disorders: family, living, physical, eating, and sleep problems, moral weakness, and aging-related frailty. although they contended that someone else had taken the initiative to seek treatment for them, they accepted their treatment and rated it positively, despite some complaints related to their conceptions of the causes and consequences of their conditions. they mentioned medication as the main therapeutic measure, despite its adverse effects and low efficacy and the way it was prescribed by physicians.
Estudo de base populacional sobre o consumo de medicamentos entre idosos: Projeto Bambuí
Loyola Filho, Ant?nio I. de;Uchoa, Elizabeth;Firmo, Josélia de Oliveira Araújo;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2005, DOI: 10.1590/S0102-311X2005000200021
Abstract: this study aimed to assess the prevalence and factors associated with use of prescribed and non-prescribed medications among older adults living in bambui, minas gerais, brazil. a total of 1,606 (92.2%) out of 1,742 inhabitants aged 60+ years were interviewed. among the participants, 1,281 (79.7%) and 274 (17.1%) had used prescribed and non-prescribed drugs in the previous 90 days, respectively. use of prescribed medications was independently associated with gender (female), age (70-79 and > 80), higher family income, worse health conditions, and physician visits. non-prescribed medications were negatively associated with physician visits and positively associated with female gender and consultation with a pharmacist. in general, factors associated with the use of prescribed and non-prescribed drugs in this study were similar to those observed in studies conducted in other countries. meanwhile, our results differ from those of other studies by showing less frequent use of prescribed medications among the poorer elderly. moreover, our results suggest that self-medication has been used in place of formal health care in the study community.
Estudo de base populacional sobre o consumo de medicamentos entre idosos: Projeto Bambuí
Loyola Filho Ant?nio I. de,Uchoa Elizabeth,Firmo Josélia de Oliveira Araújo,Lima-Costa Maria Fernanda
Cadernos de Saúde Pública , 2005,
Abstract: Investigou-se a prevalência e fatores associados ao consumo de medicamentos prescritos e n o prescritos entre idosos (60 anos ou mais). Participaram deste trabalho 1.606 (92,2%) dos 1.742 idosos residentes na cidade de Bambuí, Minas Gerais, Brasil. Entre os participantes, 1.281 (79,7%) e 274 (17,1%) haviam consumido medicamentos prescritos e n o prescritos nos últimos noventa dias, respectivamente. O consumo de medicamentos prescritos esteve associado ao sexo feminino, idade (70-79 e > 80 anos), renda familiar (maior), estado de saúde (pior) e número de consultas médicas (maior). O uso de medicamentos n o prescritos apresentou associa o negativa com consulta médica e associa o positiva com sexo (feminino) e consulta a um farmacêutico. Os fatores associados ao consumo de medicamentos prescritos e n o prescritos verificados neste trabalho foram semelhantes aos observados em estudos conduzidos em outros países. Diferentemente deles, nosso estudo mostrou um menor consumo de medicamentos prescritos entre idosos com pior situa o sócio-econ mica. Nossos resultados sugerem, ainda, que a automedica o entre idosos esteja sendo utilizada em substitui o à aten o formal à saúde.
A population based study on health conditions associated with the use of benzodiazepines among older adults (The Bambuí Health and Aging Study)
Alvarenga, Jussara Mendon?a;Loyola Filho, Ant?nio Ignácio de;Firmo, Josélia Oliveira Araújo;Lima-Costa, Maria Fernanda;Uchoa, Elizabeth;
Cadernos de Saúde Pública , 2009, DOI: 10.1590/S0102-311X2009000300015
Abstract: the aim of this study was to assess the health conditions and use of health services among elderly users of benzodiazepines. the study was carried out in the city of bambuí in minas gerais state, brazil. of 1,742 inhabitants aged over 60, 1,419 participated in the study. information about benzodiazepine and the use of other medications was obtained by means of interviews and checking medication packaging. after adjustments for confounding variables, benzodiazepine remained significantly associated with poorer self reported health (prevalence ratio = 1.94 and 2.04 for reasonable and bad/very bad health, respectively), common mental disorders (1.33), myocardial infarction (1.42), number of doctor visits in the previous 12 months (1.90 and 2.24 for 2-3 and 4+ visits, respectively) and concomitant use of other medications (1.84 and 1.83 for 2-4 and 5+ medications). the results showed that the factors associated with the use of benzodiazepine were similar to those observed in the elderly in higher income countries. the concomitant use of benzodiazepines and two or more medications was highly prevalent (59.5%), characterizing a situation of risk, which deserves attention as a public health problem.
Prevalence and sociodemographic characteristics associated with benzodiazepines use among community dwelling older adults: the Bambuí Health and Aging Study (BHAS)
Alvarenga, Jussara Mendon?a;Loyola Filho, Ant?nio Ignácio de;Firmo, Josélia Oliveira Araújo;Lima-Costa, Maria Fernanda;Uchoa, Elizabeth;
Revista Brasileira de Psiquiatria , 2008, DOI: 10.1590/S1516-44462006005000062
Abstract: objectives: to assess the prevalence and sociodemographic characteristics associated with benzodiazepine use among community-dwelling older adults. method: 1606 subjects, aged > 60 years, corresponding to 92% of the residents of bambuí city, participated in this study. the information about medication use was obtained by means of a standard interview and the review of medication packaging. substances were classified using the anatomical therapeutic chemical index. results: the prevalence of benzodiazepine current use was 21.7% (26.7% among females and 14.0% among males). from these, 68.7% had been taking the medication for over one year, 31.3% for over five years and 53.2% were using long half-life benzodiazepines. the medication most frequently used was bromazepam (35.6%), followed by diazepam (22.5%), clonazepam (12.6%) and lorazepam (7.8%). after adjustment for confounders, female gender (rp = 1.93; ci95% = 1.51-2.46) was the only sociodemographic characteristic found to be independently associated with substance consumption. conclusions: the prevalence of benzodiazepine use in the study population was high, but within the variation observed in developed countries. chronic use of benzodiazepines and long half-life medications predominated.
Papel da autonomia na auto-avalia??o da saúde do idoso
Fonseca,Maria das Gra?as Uch?a Penido; Firmo,Josélia Oliveira Araújo; Loyola Filho,Ant?nio Ignácio; Uch?a,Elizabeth;
Revista de Saúde Pública , 2010, DOI: 10.1590/S0034-89102010000100017
Abstract: objective: to understand the meanings attributed to self-assessment of health by the elderly. methods: qualitative study performed with 17 elderly individuals (> 70 years of age) of both sexes, living in the city of bambuí, southeastern brazil, in 2008. an anthropological approach based on the model of signs, meanings and actions, which associates individual actions, cultural codes and the macro-social context, was used. semi-structured interviews were conducted, focusing on self-assessment of health, description of health as "good" and "poor" and the criteria used by the elderly to rate their own health. analysis of results: the idea organizing reports associates self-assessment of health by the elderly with the "participating in life" and "being anchored in life" logics. the first logic has autonomy as its basic line of thinking, including the following categories: remaining active within advanced instrumental and functional abilities, being in charge of one's life (as opposed to being dependent on others), being able to solve problems and acting at will. the second logic unites the following categories: being able to interact, being engaged in meaningful relationships and being able to rely on family members, friends and neighbors. conclusions: health is understood by the elderly as having autonomy in the exercise of functional abilities required by society, such as the ability to meet family obligations and the ability to perform social roles. by defining their health as good or fair, the elderly individual is not characterized as someone free from diseases, but rather able to act over the environment.
Contribui??es da filosofia para a pesquisa em enfermagem
Araújo, Raquell Alves de;Cartaxo, Hemília Gabrielly de Oliveira;Almeida, Samira Maria Oliveira;Abr?o, Fátima Maria da Silva;Almeida Filho, Antonio José de;Freitas, Clara Maria Silvestre Monteiro de;
Escola Anna Nery , 2012, DOI: 10.1590/S1414-81452012000200025
Abstract: the aim was to find the nursing studies that used the philosophy to understand its practice, and trying to identify its contributions to the profession. the methodology of this study is the integrative review, with critical and retrospective character. the databases used to select the articles were lilacs and medline. the sample was composed of 31 scientific articles. after analyzing them, the results showed that there were many qualitative and reflexive researches, using phenomenology as a philosophical approach, predominating the theoretical referential of the philosopher martin heidegger. we concluded that phenomenology has been used a lot in the nursing articles. it reflects the intention to comprehend the phenomenon experienced in a daily life. therefore, it has offered meaningful subsidies to the profession practice, and, especially, contributing to the knowledge of the area.
The Antinociceptive and Anti-Inflammatory Activities of Caulerpin, a Bisindole Alkaloid Isolated from Seaweeds of the Genus Caulerpa
éverton Tenório De Souza,Daysianne Pereira de Lira,Aline Cavalcanti de Queiroz,Diogo José Costa da Silva,Anansa Bezerra de Aquino,Eliane A. Campessato Mella,Vitor Prates Lorenzo,George Emmanuel C. De Miranda,Jo?o Xavier De Araújo-Júnior,Maria Célia De Oliveira Chaves,José Maria Barbosa-Filho,Petr?nio Filgueiras de Athayde-Filho,Bárbara Viviana De Oliveira Santos,Magna Suzana Alexandre-Moreira
Marine Drugs , 2009, DOI: 10.3390/md7040689
Abstract: The antinociceptive and anti-inflammatory activity of caulerpin was investigated. This bisindole alkaloid was isolated from the lipoid extract of Caulerpa racemosa and its structure was identified by spectroscopic methods, including IR and NMR techniques. The pharmacological assays used were the writhing and the hot plate tests, the formalin-induced pain, the capsaicin-induced ear edema and the carrageenaninduced peritonitis. Caulerpin was given orally at a concentration of 100 μmol/kg. In the abdominal constriction test caulerpin showed reduction in the acetic acid-induced nociception at 0.0945 μmol (0.0103–1.0984) and for dypirone it was 0.0426 μmol (0.0092–0.1972). In the hot plate test in vivo the inhibition of nociception by caulerpin (100 μmol/kg, p.o.) was also favorable. This result suggests that this compound exhibits a central activity, without changing the motor activity (seen in the rotarod test). Caulerpin (100 μmol/kg, p.o.) reduced the formalin effects in both phases by 35.4% and 45.6%, respectively. The possible anti-inflammatory activity observed in the second phase in the formalin test of caulerpin (100 μmol/kg, p.o.) was confirmed on the capsaicin-induced ear edema model, where an inhibition of 55.8% was presented. Indeed, it was also observed in the carrageenan-induced peritonitis that caulerpin (100 μmol/kg, p.o.) exhibited anti-inflammatory activity, reducing significantly the number of recruit cells by 48.3%. Pharmacological studies are continuing in order to characterize the mechanism(s) responsible for the antinociceptive and anti-inflammatory actions and also to identify other active principles present in Caulerpa racemosa.
Efeito da perda ponderal induzida pela cirurgia bariátrica sobre a prevalência de síndrome metabólica
Monteiro Júnior, Francisco das Chagas;Silva Júnior, Wellington Santana da;Salgado Filho, Natalino;Ferreira, Pedro Ant?nio Muniz;Araújo, Gutenberg Fernandes;Mandarino, Natália Ribeiro;Barbosa, José Bonifácio;Lages, Joyce Santos;Lima, José de Ribamar Oliveira;Monteiro, Carolina Cipriano;
Arquivos Brasileiros de Cardiologia , 2009, DOI: 10.1590/S0066-782X2009000600007
Abstract: background: metabolic syndrome (ms) is often linked to overweight/obesity and can improve after weight loss, such improvement is expected to be proportional to the intensity of weight loss. objective: the aim of this study was to evaluate the impact of weight loss induced by bariatric surgery (bs) on the prevalence of ms in a middle-term period. methods: thirty-five (35) patients who underwent surgical roux's y gastrojejunal by-pass from october 2001 until october 2005 in our university hospital were evaluated. 88.5% were female, with a mean age at the time of surgery of 37.8±11.1 years and a mean bmi of 45.0±6.2 kg/m2. during the first stage of our study demographic and clinical-anthropomorphic data were collected prior to the bc procedure, including those criteria needed for the diagnosis of ms, according to the guidelines of the us ncep. the second stage consisted of reevaluation of those patients in the post-surgical period in order to determine the prevalence of ms in an outpatient setting. results: prior to surgery, ms was diagnosed in 27 patients (77.1%). when those patients were reevaluated 34.4±15 months after surgery, a reduction of mean bmi to 28.3±5.0 kg/m2 and ms was identified in only two patients (5.7%) (p<0.001). prevalence of individual criteria such as abdominal circumference, fasting glucose levels, arterial blood pressure, hdl-cholesterol and triglycerides had a reduction of 45.8%, 83%, 87.5%, 57.13% and 94% respectively. conclusion: ms is a rather common feature in obese patients enrolled for bs and this procedure has been proved to be extremely efficient reversing the metabolic syndrome, with an expressive reduction of prevalence of each and all of the ncep criteria.
Spasmolytic Effect of Caulerpine Involves Blockade of Ca2+ Influx on Guinea Pig Ileum
Luiz Henrique Agra Cavalcante-Silva,Ana Carolina de Carvalho Correia,José Maria Barbosa-Filho,Bagnólia Araújo da Silva,Bárbara Viviana de Oliveira Santos,Daysianne Pereira de Lira,Jéssica Celestino Ferreira Sousa,George Emmanuel C. de Miranda,Fabiana de Andrade Cavalcante,Magna Suzana Alexandre-Moreira
Marine Drugs , 2013, DOI: 10.3390/md11051553
Abstract: In this work, we investigated the spasmolytic effect of caulerpine, a bisindole alkaloid isolated from marine algae of the Caulerpa genus, on guinea pig ileum. Our findings indicated that caulerpine inhibited phasic contractions induced by carbachol (IC 50 = 7.0 ± 1.9 × 10 ?5 M), histamine (IC 50 = 1.3 ± 0.3 × 10 ?4 M) and serotonin (IC 50 = 8.0 ± 1.4 × 10 ?5 M) in a non-selective manner. Furthermore, caulerpine concentration-dependently inhibited serotonin-induced cumulative contractions (pD′ 2 = 4.48 ± 0.08), shifting the curves to the right with E max reduction and slope of 2.44 ± 0.21, suggesting a noncompetitive antagonism pseudo-irreversible. The alkaloid also relaxed the ileum pre-contracted by KCl (EC 50 = 9.0 ± 0.9 × 10 ?5 M) and carbachol (EC 50 = 4.6 ± 0.7 × 10 ?5 M) in a concentration-dependent manner. This effect was probably due to inhibition of Ca 2+ influx through voltage-gated calcium channels (Ca V), since caulerpine slightly inhibited the CaCl 2-induced contractions in depolarizing medium without Ca 2+, shifting the curves to the right and with E max reduction. According to these results, the spasmolytic effect of caulerpine on guinea pig ileum seems to involve inhibition of Ca 2+ influx through Ca V. However, other mechanisms are not discarded.
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