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Search Results: 1 - 10 of 282527 matches for " Pereira Maria Stella N. "
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Signos, significados e a es associados à doen a de Chagas
Uch?a Elizabeth,Firmo Josélia O. A.,Dias Elizabeth C.,Pereira Maria Stella N.
Cadernos de Saúde Pública , 2002,
Abstract: A abordagem antropológica foi empregada para investigar o universo de representa es (maneiras de pensar) e comportamentos (maneiras de agir) associados à doen a de Chagas, por um grupo de trabalhadores de um servi o público de Belo Horizonte (infectados/n o infectados). Procurou-se também avaliar as repercuss es deste universo de representa es e comportamentos sobre a vida dos indivíduos infectados. A coleta e a análise dos dados, inspirou-se no modelo dos "sistemas de signos, significados e a es", elaborado por Corin et al. (1989, 1992). Foram entrevistados 16 informantes chave, selecionados entre os trabalhadores soro-positivos e 12 entre os trabalhadores soro-negativos, com o objetivo de comparar as maneiras de pensar e agir, predominantes nesses dois grupos. A análise dos dados, permitiu identificar diversos elementos do contexto que vêm maximizar as limita es impostas pela doen a de Chagas, e que devem ser levados em conta no planejamento de campanhas educativas e na elabora o de modelos de aten o ao paciente chagásico.
Signos, significados e a??es associados à doen?a de Chagas
Uch?a, Elizabeth;Firmo, Josélia O. A.;Dias, Elizabeth C.;Pereira, Maria Stella N.;Gontijo, Eliane D.;
Cadernos de Saúde Pública , 2002, DOI: 10.1590/S0102-311X2002000100008
Abstract: an anthropological approach was employed to investigate the universe of representations (ways of thinking) and behaviors (ways of acting) associated with chagas disease in a group of public service workers in belo horizonte (both infected and not infected with trypanosoma cruzi). an attempt was also made to evaluate the repercussions of this universe of representations and behaviors on the lives of the infected individuals. the collection and analysis of the data followed the "systems of signs, meanings, and actions" model developed by corin et al. (1989, 1992). sixteen seropositive and 12 seronegative workers were interviewed to compare their ways of thinking and acting towards the disease. data analysis allowed identification of diverse elements within a context that maximized the limitations imposed by chagas disease. these should be taken into account in the planning of educational campaigns and elaboration of health care models for chagas patients.
Práticas de saúde em Enfermagem e Comunica??o: um estudo de revis?o da literatura
Spagnuolo,Regina Stella; Pereira,Maria Lúcia Toralles;
Ciência & Saúde Coletiva , 2007, DOI: 10.1590/S1413-81232007000600021
Abstract: changes in nurse healthcare practices, especially for projects such as brazil's family health program, prompted us to study the related communication processes. a review of the literature from january 1994 through to december 2004 examined 26 papers in brazilian and international periodicals, four dissertations, three theses and four books in the bireme data-bases (lilacs and scielo-br). using 'communication', 'family health program' and 'nursing' as key words, 373 mentions were found for 'communication' and 'nursing', twelve mentions for 'family health program' and 'communication' (lilacs); eighteen mentions for 'communication' and 'nursing'; and no mentions for 'family health program' and 'communication' (scielo-br). in order to analyze these findings, the publications located through this search were grouped under four trends in the links between communication and nursing practices: communication within the family health program teams; communication in professional nursing practice; communication as a leadership tool for nurses; and communication in nursing education. this study showed that although the most usual communication model for healthcare practices is still unilinear, there is already a clear trend towards more dialogue, which poses a challenge for nursing practices in the family health program.
Epistemic dialog between health services and operations research
Lobo, Maria Stella de Castro;Lins, Marcos Pereira Estellita;
Pesquisa Operacional , 2010, DOI: 10.1590/S0101-74382010000200007
Abstract: the study proposes a dialogical approach between or and health services planning and epidemiology based on the similarities of their own epistemological experiences, according to habermas' theory of knowledge. as a field of application, healthcare services planning and epidemiology are characterized as complex societal problems, requiring multidisciplinary and multi dimensional approaches. a review of the literature on or efficiency healthcare services applications is made to confront the perspective of the or analyst and that of the health manager. finally, an agenda is proposed to enhance the interaction between the disciplines, by increasing actuality of the or methods' findings, to guarantee that the results of health services research will really be put in practice by health policy decision makers.
Ecstasy (MDMA): effects and patterns of use reported by users in S?o Paulo
Almeida, Stella Pereira de;Silva, Maria Teresa Araujo;
Revista Brasileira de Psiquiatria , 2003, DOI: 10.1590/S1516-44462003000100004
Abstract: objective: as there are no studies about the use of ecstasy in brazil, our aim was to identify the effects and patterns of use of this substance among users in the city of s?o paulo. methods: subjects were recruited through the snowball technique. fifty-two subjects of both genders who had been using ecstasy frequently and recently were interviewed. the instrument was a self-reported and anonymous questionnaire. results: the sample's mean age was 24 years, mostly composed by single, college graduated middle-class subjects. among the interviewed users, 61.6% used ecstasy at least once per week and 50% of them took one pill per episode of use and 46% more than one. drug taking was usually performed in company of several people (63%) in contexts related to night leisure, such as rave parties (78.8%), dancing clubs (69.2%) and parties (53.8%). ecstasy pills were mainly purchased from friends or acquaintances in order to favor a dancing mood in those places. most subjects used ecstasy associated to other psychoactive drugs (93.3%), mainly cannabis, followed by tobacco and lsd. the effects attributed to ecstasy were mainly positive. discussion: the use of ecstasy in s?o paulo has had a recreational pattern quite similar to those described in previous studies. the assessment of the use of ecstasy as positive also agrees with the findings of the literature.
Histórico, efeitos e mecanismo de a??o do êxtase (3-4 metilenodioximetanfetamina): revis?o da literatura
Almeida,Stella Pereira de; Silva,Maria Teresa Araujo;
Revista Panamericana de Salud Pública , 2000, DOI: 10.1590/S1020-49892000001100004
Abstract: this review focuses on 3,4-methylenedioxymethamphetamine, an illegal drug known as "ecstasy." ecstasy was introduced in brazil in 1994. data are lacking on the epidemiology and usage pattern of the drug in brazil. however, there is evidence that until now the use of ecstasy has been limited to middle-class or upper-middle-class youth, so that most people, including health care professionals, are unfamiliar with the drug. however, ecstasy may be becoming more popular in brazil, following a pattern seen in north america and europe. possibly contributing to the drug's popularity is the fact that ecstasy is sold as a pill and is thus extremely easy to use. ecstasy has a reputation for not being physically dangerous; however, there are many reports of adverse reactions associated with the drug. in addition, it is known that not all pills sold as ecstasy actually contain methylenedioxymethamphetamine. since there is no quality control for the pills' contents, users never know exactly what they are taking. thus, although users may perceive the effects of the drug as mostly positive, ecstasy is potentially dangerous. primary and secondary interventions are needed to prevent the use of ecstasy and the occurrence of adverse reactions. to be effective, these measures must take into consideration the characteristics of the user population and the usage patterns. it is also essential to prepare health professionals for emergency medical interventions in cases of intoxication and complications resulting from the use of ecstasy.
Análise de comentários espontaneos elaborados por usuários de ecstasy em pesquisa on-line
Almeida,Stella Pereira; Bizeto,Juliana; Silva,Maria Teresa Araujo;
Revista Panamericana de Salud Pública , 2007, DOI: 10.1590/S1020-49892007001100004
Abstract: objective: to analyze the contents of spontaneous comments posted by ecstasy users participating in an online survey that constitutes phase one of a harm reduction project (projeto baladaboa) aimed at users of this drug. method: of the 1 140 individual respondents, 412 posted unprompted comments. these comments were grouped into five categories (irrelevant, drugs, testimonies, survey, and project) and submitted to content analysis. salutations, irreverent comments, and ideological remarks were considered "irrelevant." comments on the causes, effects, and consequences of using ecstasy or other drugs; requests for information on the drug; or comments indicating that information is a crucial issue associated with the use of ecstasy were labeled "drugs." personal stories made up the group called "testimonies." any comments concerning the questionnaire itself, the formulation of questions, the use of certain criteria, and requests to see survey results were designated "survey." comments specifically about the baladaboa project were categorized as "project." results: content analysis revealed 915 segments among the 412 comments. the percent distribution of segments among the groups were: irrelevant, 9.8%; drugs, 16.4%; testimonies, 18.1%; survey, 25.1%; and project, 30.6%. most of the comments concerning the survey and the project were positive. conclusions: the number and content of the spontaneous comments indicate that the project, as well as the harm reduction strategy, were being well received by the target audience. the participants expressed their engagement with the project and suggested that its continuation is both timely and urgent.
Ecstasy (MDMA): effects and patterns of use reported by users in S o Paulo
Almeida Stella Pereira de,Silva Maria Teresa Araujo
Revista Brasileira de Psiquiatria , 2003,
Abstract: OBJECTIVE: As there are no studies about the use of ecstasy in Brazil, our aim was to identify the effects and patterns of use of this substance among users in the city of S o Paulo. METHODS: Subjects were recruited through the snowball technique. Fifty-two subjects of both genders who had been using ecstasy frequently and recently were interviewed. The instrument was a self-reported and anonymous questionnaire. RESULTS: The sample's mean age was 24 years, mostly composed by single, college graduated middle-class subjects. Among the interviewed users, 61.6% used ecstasy at least once per week and 50% of them took one pill per episode of use and 46% more than one. Drug taking was usually performed in company of several people (63%) in contexts related to night leisure, such as rave parties (78.8%), dancing clubs (69.2%) and parties (53.8%). Ecstasy pills were mainly purchased from friends or acquaintances in order to favor a dancing mood in those places. Most subjects used ecstasy associated to other psychoactive drugs (93.3%), mainly Cannabis, followed by tobacco and LSD. The effects attributed to ecstasy were mainly positive. DISCUSSION: The use of ecstasy in S o Paulo has had a recreational pattern quite similar to those described in previous studies. The assessment of the use of ecstasy as positive also agrees with the findings of the literature.
Histórico, efeitos e mecanismo de a o do êxtase (3-4 metilenodioximetanfetamina): revis o da literatura
Almeida Stella Pereira de,Silva Maria Teresa Araujo
Revista Panamericana de Salud Pública , 2000,
Abstract: A presente revis o enfoca a 3-4 metilenodioximetanfetamina, droga ilegal conhecida como "êxtase". O êxtase foi introduzido no Brasil em 1994. Embora faltem dados sobre a epidemiologia e sobre os padr es de uso do êxtase no Brasil, há indica es de que o consumo seja, até o momento, restrito a jovens da classe alta ou média-alta e desconhecido para a maioria da popula o, inclusive para profissionais da saúde. Contudo, é possível que ocorra uma populariza o dessa droga no Brasil, seguindo a tendência norte-americana e européia. A facilidade de consumo do êxtase -- em forma de pílulas -- pode ser um fator importante para sua populariza o. O êxtase tem reputa o de n o apresentar perigo físico; contudo, há inúmeros relatos de rea es adversas e mortes relacionadas à sua ingest o. Além disso, sabe-se que nem todos os comprimidos consumidos como êxtase necessariamente contém metilenodioximetanfetamina. Diante da ausência de controle farmacêutico, nenhum consumidor sabe exatamente o que está ingerindo. Assim, embora os efeitos do êxtase sejam percebidos como predominantemente positivos pelos usuários, a droga é potencialmente perigosa. Por essa raz o, s o necessárias interven es de caráter primário e secundário para prevenir o uso de êxtase e a ocorrência de rea es adversas. Para serem efetivas, tais a es devem levar em conta as características da popula o consumidora e seu padr o de consumo. Também é fundamental a capacita o de profissionais de saúde para interven es médicas de emergência em casos de intoxica o e complica es resultantes do uso da droga.
Avalia??o de desempenho e integra??o docente-assistencial nos hospitais universitários
Lobo,Maria Stella de Castro; Lins,Marcos Pereira Estellita; Silva,Angela Cristina Moreira da; Fiszman,Roberto;
Revista de Saúde Pública , 2010, DOI: 10.1590/S0034-89102010000400001
Abstract: objective: to assess the performance and integration between the health care and teaching dimensions in brazilian university hospitals. methods: a network data envelopment analysis (dea) model was designed to measure the performance of federal university hospitals, which enables the relationship between the teaching and health care dimensions to be considered simultaneously. data from the ministry of education information system of university hospitals, in the second semester of 2003, were used. results of the network model were compared to those of classical dea models to assess the advantages of the new methodological proposal. results: the efficiency of the hospitals assessed varied between 0.19 and 1.00 (mean = 0.54). the dimensional score showed that hospitals prioritize the gain in health care efficiency. it was observed that there was a need to double the number of medical students and increase the number of residents by 14% to obtain efficiency in the teaching dimension. conclusions: the model was useful for both unit managers, aiming to integrate teaching and health care, and regulatory organizations, when defining policies and incentives.
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