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Search Results: 1 - 10 of 198499 matches for " Laura Monteiro de Castro Moreira "
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O PROGRAMA VIA SAúDE NA CAPACITA O DE PROFISSIONAIS DE SAúDE EM MINAS GERAIS
Antonio Jorge de Souza Marques,Josete Barbosa Miranda,Laura Monteiro de Castro Moreira,Rubensmidt Ramos Riani
Revista PRETEXTO , 2012,
Abstract: Os programas de educa o permanente s o fundamentais na organiza o da aten o à saúde uma vez que permitem a forma o e suporte necessário para a atua o da equipe técnica. A melhoria dos servi os de saúde exige a capacita o desses profissionais e o desenvolvimento de ferramentas necessárias para este objetivo. Neste contexto, a Educa o à Distancia (EAD) é uma alternativa conciliadora capaz de permitir o acesso à educa o em diferentes níveis e a forma o permanente da equipe. Implantado pela Secretaria de Estado de Saúde de Minas Gerais (SES-MG), o Programa de Educa o Permanente à Distancia (PEDP) - destinado aos profissionais de saúde do SUS/MG - através do Canal Minas Saúde, possibilita a estratégia de uniformizar a informa o destinada às equipes de saúde. A partir de temas definidos, s o oferecidos programas de TV por meio do Canal Minas Saúde, especialmente elaborados para gestores e profissionais da aten o primária. A experiência de uma capacita o por meio de cinco programas sobre a Linha-guia de Aten o à Saúde da Crian a foi avaliada por seus participantes através da aplica o de um questionário, atendendo majoritariamente suas expectativas e necessidades. Destacam-se a capacidade e importancia do Ensino à Distancia de possibilitar um maior alcance da informa o, expandindo o conhecimento científico e fomentando a forma o do profissional de saúde, contribuindo para a melhoria da rede de servi os e, em especial, a aten o primária.
Subdiagnóstico de DPOC na aten??o primária em Aparecida de Goiania, Goiás
Queiroz, Maria Concei??o de Castro Antonelli Monteiro de;Moreira, Maria Auxiliadora Carmo;Rabahi, Marcelo Fouad;
Jornal Brasileiro de Pneumologia , 2012, DOI: 10.1590/S1806-37132012000600003
Abstract: objective: to estimate the prevalence of undiagnosed copd among individuals with risk factors for the disease treated at primary health care clinics (phccs) in the city of aparecida de goiania, brazil. methods: inclusion criteria were being > 40 years of age, having a > 20 pack-year history of smoking or a > 80 hour-year history of exposure to biomass smoke, and seeking medical attention at one of the selected phccs. all subjects included in the study underwent spirometry for the diagnosis of copd. results: we successfully evaluated 200 individuals, mostly males. the mean age was 65.9 ± 10.5 years. the diagnosis of copd was confirmed in 63 individuals, only 18 of whom had been previously diagnosed with copd (underdiagnosis rate, 71.4%). there were no significant differences between the subgroups with and without a previous diagnosis of copd in relation to demographics and risk factors. however, there were significant differences between these subgroups for the presence of expectoration, wheezing, and dyspnea (p = 0.047; p = 0.005; and p = 0.047, respectively). the fev1 and fev1/fvc ratio, expressed as percentages of the predicted values, were significantly lower in the subjects with a previous diagnosis of copd, which was predominantly mild or moderate in both subgroups. conclusions: the rate of underdiagnosis of copd was high at the phccs studied. one third of the patients with risk factors for copd met the clinical and functional criteria for the disease. it seems that spirometry is underutilized at such facilities.
Respostas dos autores Authors' reply
Maria Concei??o de Castro Antonelli Monteiro de Queiroz,Maria Auxiliadora Carmo Moreira,Marcelo Fouad Rabahi
Jornal Brasileiro de Pneumologia , 2013,
Abstract:
Can thymic epithelial cells be infected by human T-lymphotropic virus type 1?
Moreira-Ramos, Klaysa;Castro, Flávia Madeira Monteiro de;Linhares-Lacerda, Leandra;Savino, Wilson;
Memórias do Instituto Oswaldo Cruz , 2011, DOI: 10.1590/S0074-02762011000600018
Abstract: the human t-lymphotropic virus type-1 (htlv-1) is the cause of adult t cell leukaemias/lymphoma. because thymic epithelial cells (tec) express recently defined receptors for the virus, it seemed conceivable that these cells might be a target for htlv-1 infection. we developed an in vitro co-culture system comprising htlv-1+-infected t cells and human tecs. infected t cells did adhere to tecs and, after 24 h, the viral proteins gp46 and p19 were observed in tecs. after incubating tecs with culture supernatants from htlv-1+-infected t cells, we detected gp46 on tec membranes and the htlv-1 tax gene integrated in the tec genome. in conclusion, the human thymic epithelium can be infected in vitro by htlv-1, not only via cell-cell contact, but also via exposure to virus-containing medium.
A new classification of foods based on the extent and purpose of their processing
Monteiro, Carlos Augusto;Levy, Renata Bertazzi;Claro, Rafael Moreira;Castro, Inês Rugani Ribeiro de;Cannon, Geoffrey;
Cadernos de Saúde Pública , 2010, DOI: 10.1590/S0102-311X2010001100005
Abstract: this paper describes a new food classification which assigns foodstuffs according to the extent and purpose of the industrial processing applied to them. three main groups are defined: unprocessed or minimally processed foods (group 1), processed culinary and food industry ingredients (group 2), and ultra-processed food products (group 3). the use of this classification is illustrated by applying it to data collected in the brazilian household budget survey which was conducted in 2002/2003 through a probabilistic sample of 48,470 brazilian households. the average daily food availability was 1,792 kcal/person being 42.5% from group 1 (mostly rice and beans and meat and milk), 37.5% from group 2 (mostly vegetable oils, sugar, and flours), and 20% from group 3 (mostly breads, biscuits, sweets, soft drinks, and sausages). the share of group 3 foods increased with income, and represented almost one third of all calories in higher income households. the impact of the replacement of group 1 foods and group 2 ingredients by group 3 products on the overall quality of the diet, eating patterns and health is discussed.
Onze anos de experiência com emprego do anel intraluminal para tratamento das doen as da aorta
BERNARDES Rodrigo de Castro,REIS FILHO Fernando Ant?nio Roquette,LIMA Luiz Cláudio Moreira,MONTEIRO Ernesto Lentz da Silveira
Revista Brasileira de Cirurgia Cardiovascular , 1999,
Abstract: O tratamento cirúrgico das doen as da aorta é geralmente acompanhado de altas taxas de morbimortalidade. O paciente que tem média de idade avan ada geralmente é apresentado ao cirurgi o em estado grave, com má condi o nutricional, muitas vezes com altera es em vários órg os e sistemas causados pela própria doen a aguda. A corre o convencional exige técnicas coadjuvantes complexas e agressivas como a circula o extracorpórea prolongada, hipotermia profunda, parada circulatória total além de prolongados tempos de pin amento de aorta. Na tentativa de reduzir a agress o cirúrgica no paciente já intensamente debilitado pela própria doen a, desenvolvemos, em 1988, um anel intraluminal (1, 2) que tem medidas projetadas e experimentadas para facilitar a sua manipula o e anastomose, proporcionando uma diminui o acentuada no tempo de opera o, tempo de CEC, tempo de pin amento de aorta, excluindo muitas vezes a circula o extracorpórea e a hipotermia, obtendo uma anastomose fácil, rápida, segura e hemostática. Entre mar o de 1988 e janeiro de 1999, 432 pacientes foram submetidos a tratamento cirúrgico de dissec es ou aneurismas da aorta em nosso Servi o. Em 328 pacientes empregamos o anel intraluminal como técnica de anastomose. Usamos 489 anéis. Cento e vinte e cinco pacientes eram portadores de dissec o aguda de aorta do tipo A, 29 eram portadores de dissec o aguda de aorta do tipo B, 81 de aneurisma de aorta ascendente, 8 de aneurisma de arco aórtico, 28 pacientes eram portadores de aneurisma de aorta torácica descendente, 17 eram portadores de aneurisma toracoabdominal e 40 pacientes de aneurisma de aorta abdominal infra-renal. A mortalidade global foi de 13,41%. O seguimento ambulatorial destes pacientes variou de 11 anos a 25 dias. A curva actuarial de sobrevivência em 11 anos mostra 67,3%. Em nenhum caso observamos as complica es descritas na literatura, como embolia, forma o de pseudo- aneurisma, roturas ou estenose. Concluindo, em nosso Servi o, o emprego de anel intraluminal facilita o ato cirúrgico, reduz o tempo de anastomose e o sangramento, proporcionando facilidade técnica, redu o da mortalidade e boa perspectiva de sobrevida a longo prazo.
Compara??o do desempenho da lipase de candida rugosa imobilizada em suporte híbrido de polissiloxano-polivinilálcool empregando diferentes metodologias
Paula, Ariela V.;Moreira, Ana B. R.;Braga, Luciana P.;Castro, Heizir F. de;Bruno, Laura M.;
Química Nova , 2008, DOI: 10.1590/S0100-40422008000100007
Abstract: the efficiency for immobilizing microbial candida rugosa lipase on a hybrid matrix of polysiloxane polyvinyl alcohol, by adsorption, covalent coupling and encapsulation was compared. the activities of immobilized derivatives were evaluated using p-nitrophenylpalmitate (hydrolysis) and butyric acid and butanol (esterification) as substrates. operational stability and storage tests were also performed. among the procedures tested, the proposed matrix was efficient for immobilizing c. rugosa lipase by adsorption and covalent coupling techniques and unsuitable for encapsulation purposes. the results reveal that better catalytic properties in both aqueous and organic media were demonstrated by the covalent coupling pos-pva immobilized lipase, including also satisfactory half-life and good storage stability.
Altera es tomográficas pulmonares em mulheres n o fumantes com DPOC por exposi o à fuma a da combust o de lenha Pulmonary changes on HRCT scans in nonsmoking females with COPD due to wood smoke exposure
Maria Auxiliadora Carmo Moreira,Maria Alves Barbosa,Maria Concei??o de Castro Antonelli Monteiro de Queiroz,Kim Ir Sen Santos Teixeira
Jornal Brasileiro de Pneumologia , 2013,
Abstract: OBJETIVO: Identificar e caracterizar altera es na TCAR de tórax em mulheres com DPOC causada por exposi oà fuma a da combust o de lenha. MéTODOS: Foram selecionadas 42 pacientes com DPOC relacionada à exposi o à fuma a de lenha, n o fumantes, e 31 mulheres n o fumantes e sem história de exposi o à fuma a de lenha ou de doen a pulmonar. Empregou-se um questionário para a obten o de dados demográficos e informa es sobre sintomas e exposi es ambientais. Todas as participantes realizaram espirometria e TCAR de tórax. Os grupos DPOC e controle foram ajustados por idade, com 23 pacientes cada. RESULTADOS: A maioria das pacientes do grupo de estudo apresentava DPOC de leve a moderado (83,3%). Os achados de TCAR mais frequentes no grupo DPOC foram espessamento das paredes br nquicas, bronquiectasias, perfus o em mosaico, bandas parenquimatosas, padr o de árvore em brotamento e atelectasias laminares (p < 0,001 para todos na compara o com o grupo controle). As altera es, em geral, foram leves e de pequena extens o. Houve uma associa o positiva entre espessamento das paredes br nquicas e dura o da exposi o à fuma a de lenha em horas-ano. O achado de enfisema centrolobular foi infrequente e n o diferiu entre os grupos (p = 0,232). CONCLUS ES: A exposi o à fuma a de lenha provoca altera es predominantemente br nquicas, que podem ser detectadas por TCAR, mesmo nos casos de DPOC leve. OBJECTIVE: To identify and characterize alterations seen on HRCT scans in nonsmoking females with COPD due to wood smoke exposure. METHODS: We evaluated 42 nonsmoking females diagnosed with wood smokerelated COPD and 31 nonsmoking controls with no history of wood smoke exposure or pulmonary disease. The participants completed a questionnaire regarding demographic data, symptoms, and environmental exposure. All of the participants underwent spirometry and HRCT of the chest. The COPD and control groups were adjusted for age (23 patients each). RESULTS: Most of the patients in the study group were diagnosed with mild to moderate COPD (83.3%). The most common findings on HRCT scans in the COPD group were bronchial wall thickening, bronchiectasis, mosaic perfusion pattern, parenchymal bands, tree-in-bud pattern, and laminar atelectasis (p < 0.001 vs. the control group for all). The alterations were generally mild and not extensive. There was a positive association between bronchial wall thickening and hour-years of wood smoke exposure. Centrilobular emphysema was uncommon, and its occurrence did not differ between the groups (p = 0.232). CONCLUSIONS: Wood smoke exposure causes
Caracteriza??o fenotípica da resistência a antimicrobianos e detec??o do gene mecA em Staphylococcus spp. coagulase-negativos isolados de amostras animais e humanas
Soares, Lidiane de Castro;Pereira, Ingrid Annes;Coelho, Shana de Mattos de Oliveira;Cunha, Cléia Maria Monteiro da;Oliveira, Débora Fontes Barbosa de;Miranda, Angélica Nogueira;Souza, Miliane Moreira Soares de;
Ciência Rural , 2008, DOI: 10.1590/S0103-84782008000500023
Abstract: coagulase-negative staphylococci (scn) make part of the normal microbiota skin and although they have been considered saprophytics for years, nowadays their clinical significance as an etiologic agent has increased. in this study, 72 scn isolates obtained from external ear canals of dogs, bovine mastitis and human nosocomial infections were evaluated. staphylococcus xylosus was the most prevalent microorganism in animal samples and s. cohnii subsp. cohnii in human samples. scn isolates were evaluated in order to establish a phenotypical resistance pattern towards the most indicated antibiotics for staphyloccocal infections. a high level of resistance to penicillin and ampicillin was detected. the most efficient antibiotics evaluated were gentamicin, vancomicin and the association between ampicillin and sulbactam. to certify the heterogeneous resistance pattern, oxacillin resistance was phenotypically detected by a modified-disc-diffusion test, agar screen, broth micro-dilution and agar dilution. the presence of the meca gene was detected in 5.6% of the scn isolates by polimerase chain reaction (pcr).
Sistema silvipastoril na Amaz?nia: ferramenta para elevar o desempenho produtivo de búfalos
Castro, Anderson Corrêa;Louren?o Júnior, José de Brito;Santos, Núbia de Fátima Alves dos;Monteiro, Edwana Mara Moreira;Aviz, Márcia Alessandra Brito de;Garcia, Alexandre Rossetto;
Ciência Rural , 2008, DOI: 10.1590/S0103-84782008000800050
Abstract: agroforestry systems are alternative techniques for the soil used, involving forest species, agricultural crops and livestock. silvopastoral systems are a less aggressive alternative, contributing to the reversion of altered areas and to raise biodiversity. these systems explore natural resources, controlled erosive process, improve the soil structure and balance the microorganisms activity, promote better quality of the pastures, providing animal ambience, due to the efficient shade of pastures. thus, provide barrier against the winds, decreasing thermal stress and improving animal performance. this review describes the silvopastoral system as a strategy for management of buffaloes, aiming to raise productive performance.
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