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Assistência ao nascimento na Bahia oitocentista
Barreto, Maria Renilda Nery;
História, Ciências, Saúde-Manguinhos , 2008, DOI: 10.1590/S0104-59702008000400002
Abstract: this paper presents the traditions of assisted childbirth in the brazilian state of bahia in the 19th century and develops the hypothesis that two obstetrical traditions coexisted in the capital, salvador, namely the doctor-midwives - who used technical resources and knowledge acquired from obstetrics as a medical specialty - and the traditional midwives, whose know-how was purely of an empirical-sensorial nature. despite all efforts employed by the doctors to win over the confidence of bahian families, the midwives continued to be predominant in the art of 'delivering' children and treating female illnesses. the analysis focuses on the social and professional segments that were active in assisted birth; the role of the bahian college of medicine (faculdade de medicina da bahia) in the training and certification of midwives and the use of newspapers as a way to legitimize the doctor-midwives; it also discusses the scant coverage of the midwives in these media.
Pro Matre: arquivo e fontes para a história da maternidade no Rio de Janeiro
Barreto, Maria Renilda Nery;
História, Ciências, Saúde-Manguinhos , 2011, DOI: 10.1590/S0104-59702011000500016
Abstract: inaugurated in february 1919 to provide assistance to mothers and children from underprivileged social groups, the nearly century-old maternidade pro matre maternity hospital was an initiative of physician and philanthropist fernando magalh?es and of feminist stella de carvalho guerra duval, with the support of society women from rio de janeiro. its creation was part of a mother-child assistance movement that historiography now calls the 'maternalist project,' which was based on the notion of the cultural inseparability of mother and child. the sources available at pro matre's institutional archive open up research possibilities in the field of mother-child assistance in rio de janeiro and, by extension, brazil.
Pesquisas sobre a imunidade da Framboesia tropica no homem: observa??es feitas em 33 superinocula??es e 7 reinocula??es
Guimar?es, F. Nery;
Memórias do Instituto Oswaldo Cruz , 1946, DOI: 10.1590/S0074-02761946000400004
Abstract: the following conclusions are drawn from the results of the 40 experiments described above: 1) from the 2nd to the 8th month there is a great resistance to super-infection. a) such resistance seems to be independent of the presence of cutaneous lesions and occurred even in cases with only the initial lesion. b) within this period, resistance disappears with treatment: patients treated and reinoculated acquire yaws in the normal time. this fact suggests that this resistance is conditioned by the presence of an active or latent infection, being not a true immunity (an immunity in its classical conception). c) when homovirus is used, resistance lasted about one year of the disease. 2) from the 10th month to the 4th year of the disease, there is a partial resistance, which manifests itself by two modes, according to the nature of the atypic lesion obtained at the spot of inoculation: a frustrated papulo-erythematous lesion and a pianide similar to that of the natural infection, which may be micropapulo-erythematous or papulo-erythemato-escamous and remains localised without metastatic manifestations at least during the 4th months in which it was observed. a) this state of partial resistance also seems independent of the presence of evident yaws lesions. b0 this state is not modified by treatment. the patients treated during this phase of the disease react to the inoculations in a similar way, though without showing any clinical symptoms and with a negative wasserman reaction. doubtless the "frustrated lesions" as well as the "pianides" obtained by the inoculation of the patients as referred above, may he considered as resulting of a certain degree of acquired immunity, much stronger in the case of the "frustrated lesions". 3) after the fifth year of the disease superinoculation reveals a greater sensitiveness of the infected organism. a precocious papulo-erythematoulcerous, decidely necrotic and destructive lesion, develops at the spot of inoculation. an exacerbation of
Ensaios terapêuticos com penicilina V-Bouba (Framboesia, pian, yaws): I - Dose curatina mínima: II - Redu??o do número de inje??es diarias: III - Redu??o de tempo de tratamento pelo emprêgo de doses mais elevadas
Guimar?es, F. Nery;
Memórias do Instituto Oswaldo Cruz , 1945, DOI: 10.1590/S0074-02761945000400002
Abstract: this report belongs to the series of works carried out oswaldo cruz ins?titute, on the treatment of treponematosis with penicillin. the present report deals with investigations performed in order to ascer?tain the following points: 1) the mininal curative dosis for the initial lesions of yaws; 2) the effect of reduction of the number of injections each day, to verifie the possibility of application of penicillin in the prophylaxis of yaws in rural zones; 3) reduction of the time of treatment by application of high dosis. 1) with dosis of 150 and 100 oxford units each four hours, clinical reco?very was obtained after 17 days of treatment. with 50 o.u. during 40 days clinical recovery was not obtained. 2) a) with 3 injections of 400 o.u. each day (6,12 and 18 hoórs clocks) clinical recovery was obtained after 14 to 16 days; b) with 2 injections of 400 o.u. each day (6 and 18 hoors clocks), clinical recovery was obtained after 16 to 23 days; c) with 1 injection of 1.600 and 3.200 each day, clinical recovery was obtained after 30 and 20 days. 3) with dosis of 33.3 and 46.7 o.u. by each kilo of weight each four hours, during 15 days, clinical recovery was obtained more or less in 25 days. the same result was obtained with the dosis of 61.5 and 166.7 o.u. by each kilo of weight, each four hours, during 4 days. but with 100.000 o.u. in fine dosis of 20.000 in a day ou by, clinical recovery was not obtained.
Toxoplasmose humana: meningoencefalomielite toxoplasmica: ocorrência em adulto e recemnascido
Guimar?es, F. Nery;
Memórias do Instituto Oswaldo Cruz , 1943, DOI: 10.1590/S0074-02761943000300002
Abstract: since castellani's initial work in 1914, investigators of various countries have pointed out the occurrence of human toxoplasmosis, a fact which, still not long ago, was a matter of controversy. as resulting from the works of torres, levanditi & coworkers, wolf, cowen & paige, pinkerton & henderson and sabin, the problem of parasitism in man by toxoplasma has to be faced taking into consideration that there have been described doubtful and undoubtful cases. doubtful are the cases reported by castellani (ceylon, 1914); fedorovitch (the black sea, 1916); chalmers & kamar (sudan, 1920); and bland (london, 1930-31). undoubtful are those reported by janku (praga, 1923); torres (rio de janeiro, 1927); wolf & cowen (new york, 1937); richter (chicago, 1936: diagnosed by wolf & cowen in 1938); wolf, cowen & paige (new york, 1939); hertig (massachusetts, 1935: diagnosed by pinkerton & weinman in 1940); pinkerton & weinman (lima, peru, 1940); sabin (2 cases, cincinnati, 1941); pinkerton & henderson (2 cases, saint louis, 1941); paige, cowen & wolf (3 cases, new york, 1942); and de lange (amsterdam, 1929: diagnosed by paige, cowen & wolf in 1942) .of these reports considered as undoubtful cases of human toxoplasmosis, 10 represent congenital disease (torres and paige, wolf & cowen), having occurred in either new born or a-few-month-old children. as in the cases, in which it was possible to examine the mothers of those children, these women were of a healthy appearance, the conclusion was drawn that the disease, although extremely severe and fatal, can present an unapparent form. in 2 cases, serum protection tests proved such an unapparent infection of the mothers, in whom neutralizing antibodies against toxoplasma were met with (paige, cowen & wolf). although no detailed microscopical study has been made in all cases, the disease is characterized by granulomatous meningoencephalomyelitis (wolf & cowen), often associated with myocarditis and chorioretinitis. the symptoms present
Ensaios terapêuticos com penicilina: IV - Bouba - (Framboesia, pian, yaws): tratamento das ulcera??es gomosas, periostites, osteites áreas de rarefa??o óssea e gangoza (Rhinopharyngitis mutilans)
Guimar?es, F. Nery;
Memórias do Instituto Oswaldo Cruz , 1945, DOI: 10.1590/S0074-02761945000200011
Abstract: six patients of terciary yaws, were treated with penicillin in small dosis at evandro chagas hospital of the oswaldo cruz institute. the lesions presented by the patients were: gummatous ulcerations, periostitis, osteitis, osteoporosis and gangoza (rhinopharyngitis mutilans). in all cases, clinic recovery were obtained, the time of treatment varying from 2 to 8 months. the total amount of oxford units 'per" subject varied from 48.000 to 586.800 patients with bone lesions, ever after the treatment, has not showed complete recomposition of the bone structure, ever so aparently healing and with negative sorologics tests. identical results has been observed in patient showing the same lesions and treated with neo-arsphenamine. the patients are still under observations at the hospital.
Ensaios terapeuticos com penicilina: VI - Bouba (Framboesia; pian, yaws): observa??es após um e dois anos de tratamento: novos casos tratados: emprêgo do veículo oleoso: associa??o com néo-arsfenamina
Guimar?es, Felippe Nery;
Memórias do Instituto Oswaldo Cruz , 1947, DOI: 10.1590/S0074-02761947000200012
Abstract: 1) depois de 2 anos de observa??o após o tratamento com penicilina em doses baixas, verificou-e que de 30 pacientes tratados com les?es boubáticas primo-secundárias, 13 mantinham-se curados clínica e sorològicamente. quatro pacientes continuavam com cura clínica, mas com r. wa. positiva. os 13 doentes acima citados ofereceram as seguintes médias: média das idades [...] 9 anos. média da dura??o do tratamento [...] 30 dias. média das doses totais de penicilina [...] 45.000 unidades. média dos intervalos da inje??es [...] 6/6 horas. entretanto, doses variando de 72.000 a 200.000 unidades, em tratamento de 1 a 4 dias fracassaram. a distribui??o dos 30 tratados segundo a dura??o do tratamento, mostra que os resultados mais favoráveis foram obtidos com os tratamento mais longos. a distribui??o segundo a dose, demonstra o mesmo para aquelas compreendidas entre 21.000 e 50.000 unidades. a distribui??o em grupos etários, revela o mesmo para aquele de 1 a 8 anos e finalmente a distribui??o segundo a frequencia das inje??es, indica o mesmo para o grupo de 8/8 a 12/12 horas. êste último fato, justificou a aboli??o das aplica??es noturnas. os resultados mais favoráveis nas idades mais baixas, demonstraram, seja insuficiência das dosagens, seja u'a maior resistência ao tratamento por parte dos casos de mais longa dura??o. 2) depois de 2 anos de observa??o após o tratamento com penicilina em doses baixas, de 6 pacientes com les?es boubáticas terciáras, 5 continuavam curados clínica e sorològicamente. o doente restante continuava com cura clínica, mas com r. wa. positiva. êste doente f?ra superinoculado experimentalmente e n?o recebera tratamento em seguida, havendo probabilidade de a experiência ter concorrido para a permanência da sorologia positiva. a dura??o do tratamento variou de 1 mês e 27 dias a 8 meses e 22 dias e as doses totais de penicilina de 164.000 a 586.000 unidades. 3) depois de 2 anos de observa??o após tratamento com néo-arsfenamina, de 4 boubáticos com les?es te
Manifesta??es boubaticas tardias, semelhando quadro clínico de pinta terciária
Guimar?es, F. Nery;
Memórias do Instituto Oswaldo Cruz , 1947, DOI: 10.1590/S0074-02761947000200002
Abstract: em um foco de bouba existente na baixada fluminense (estado do rio de janeiro), onde já foram tratados pela penicilina cêrca de 800 doentes, foram encontradas 7 pessoas da ra?a negra com quadro clínico semelhante a pinta terciária. todas referiam um passado boubático que pode ser considerado indiscutível, uma vez que pràticamente todas as pessoas de suas famílias tinham tido ou estavam com a moléstia. é feito um apanhado geral da pinta (mal del pinto, carate, purú-purú), e faz-se referência a um foco estudado pelo autor, existente, na cidade de labrea, no rio purús. comenta-se a semelhan?a de pintides aí observadas com pianides tardias vistas no foco de bouba acima referido, e de um modo mais geral, a semelhan?a de les?es encontradas nas diferentes treponematoses: bouba, sífilis, pinta e bejel. é feito o estudo histopatológico das les?es cutaneas de dois dos 7 pacientes e de um nódulo juxta-articular de um dêles. na pele foram encon?tradas altera??es semelhantes a outras descritas para casos de pinta no méxico e em cuba e no nódulo juxta-articular, as mesmas descritas por ferris & turner (7) além de les?es vasculares n?o encontradas pelos autores referidos. nos cortes impregnados (método de lavaditi) tanto da pele, como do nódulo, n?o foram encontrados treponemas. com o tratamento feito pela penicilina em 3 casos, observou-se: desaparecimento da queratose palmar e plantar; volta da pele ao seu aspecto brilhante, normal (que antes era mumificada. exfoliativa ao nível das zonas com discromios); desaparecimento dos nódulos juxta-articulares em ambos os casos. as manifesta??es discr?micas n?o mostraram altera??es apreciáveis. a rea??o de wassermann, antes fortemente positiva em todos os casos, nos tratados tornou-se negativa. mesmo estes três casos apresentaram períodos de oscila??o de positividade e negatividade, fato que é comum nas treponematoses, particularmente na bouba. três doentes apresentavam flex?o permanente do dedo mínimo, o que é considerado por pronk como
Hipoglicemia como fator complicador no tratamento do diabetes melito tipo 1
Nery, Márcia;
Arquivos Brasileiros de Endocrinologia & Metabologia , 2008, DOI: 10.1590/S0004-27302008000200016
Abstract: type 1 diabetic patients frequently present hypoglycemic episodes during their insulinotherapy, which, besides the discomfort and constrains does not allow the ideal glycemic control. further, hypoglycemic events lead to the deficiency of the counter-regulation mechanisms in the subsequent episode, with a decrease in the release of epinephrine and the symptoms of warming, with great risk of severe hypoglycemia. the occurrence of hypoglycemia during some risky activities, specially driving, could result in accidents with the patient and /or third parts including property damage, stressing here the need to advise diabetics against having the necessary caution wheli driving. generally the connective recovery is total after correcting a hypoglycemic coma. however when these episodes are repetitive, particularly in children, they could result in definitive cognitive disturbances. hypoglycemic events without a warning signal (hypoglycemic unawareness) are difficult to reverse, thus it is necessary to prevent their occurrence, adjusting the treatment with glycemic targets, using continuous glucose monitoring at home and teaching them how to have an early recognition of hypoglycemia.
A convivência familiar e comunitária é direito da crian?a e do adolescente e uma realidade a ser repensada pela escola
Nery, Maria Aparecida;
Cadernos CEDES , 2010, DOI: 10.1590/S0101-32622010000200005
Abstract: at first sight, family and community coexistence as a legal right for children and adolescents seems quite abstract, although it occupies a common place. society easily accepts that every child has the right to be born and raised within a healthy, protective and safe home. however, social and personal vulnerability force many children to leave their families and live in foster homes or shelters, as a protective measure. the main goal of this paper is to analyze the challenges and transformations needed in order to enforce children and adolescents' rights, in compliance with the national plan for social devel opment, protection and defense of the rights of children and adolescents to family and community coexistence and other previous laws (1998 brazilian federal constitution and law n. 8069/90 children and teenager's statute), by approaching the main aspects involving the responsibilities of brazilian social policies, with an emphasis on public education.
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