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Search Results: 1 - 10 of 75640 matches for " Pereira Raquel da Rocha "
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Réplica: meningite após técnica combinada para analgesia de parto. Relato de caso
Vasquez Carlos Escobar,Pereira Raquel da Rocha
Revista Brasileira de Anestesiologia , 2002,
Abstract:
A dor e o protagonismo da mulher na parturi??o
Pereira, Raquel da Rocha;Franco, Selma Cristina;Baldin, Nelma;
Revista Brasileira de Anestesiologia , 2011, DOI: 10.1590/S0034-70942011000300014
Abstract: background and objectives: to understand through the theory of social representations the sociocultural dimensions of pain and its impact on the protagonism of women in parturition. methods: in this investigation, we used a qualitative methodology with the theoretical reference of phenomenology and the theory of social representation. forty-five semi-structured interviews were conducted with gravidas in public and private health services of joinville, sc, brazil, who had at least four prenatal visits and were in the third trimester of pregnancy. results: from analysis of content reported in interviews, three empirical categories were formed: fears and concerns, experience, and sociocultural influence, which allowed the building of three interpretative categories: biomedical model, lack of information, and the role of women in the decision regarding the mode of delivery. the findings reported here indicate pain as one of the elements that form female social representations in parturition. it was observed that pain influences the behavior of gravidas from fear and becomes the genesis of other aversive feelings and concerns that involve parturition. conclusions: in this context, pain represented one of the main building blocks of female social representations on parturition, contributing to the ascending curve of cesarean section indices in brazil.
Representa??es sociais e decis?es das gestantes sobre a parturi??o: protagonismo das mulheres
Pereira, Raquel da Rocha;Franco, Selma Cristina;Baldin, Nelma;
Saúde e Sociedade , 2011, DOI: 10.1590/S0104-12902011000300005
Abstract: the main objective of this study was to understand, based on female social representations, women's protagonism concerning the decision about child delivery. through a qualitative research with a phenomenological approach, forty-five pregnant women were interviewed in the last quarter of pregnancy. they were receiving prenatal care at the public and private health systems of the city of joinville, state of santa catarina (southern brazil). the analysis of the content of the narratives revealed three empirical categories: fears and worries; experiences; and sociocultural influence. with this theoretical and methodological substratum, it was possible to analyze the women's social representation during the process of delivery, which is symbolized by conflicts of feelings, doubts and apprehension derived mainly from fear of the suffering imposed by pain. such conception is supported by the biomedical model and by the media. in brazil, delivery, which is almost "outsourced", is culturally understood as a complex stage that requires specialized knowledge. this legitimizes the technical-scientific knowledge to the detriment of physiological knowledge, reinforcing the asymmetry of the power of decision between doctor and pregnant woman. besides, the pregnant women's lack of knowledge about the meaning, the impact and the benefits of the delivery stage for the newborn baby makes them insecure and without critical sense about the content of other information sources, such as soap operas, other pregnant women's stories built by the social environment, and their own experience in previous deliveries. this generates a behavior marked by doubts and apprehension. fragile, these women submit themselves to a programmed cesarean section to avoid physical and emotional pain caused by fear. reversing this situation involves a review of the doctor's education and actions of women's empowerment.
Quebra de cateter no espa?o peridural
Sbardelotto, Cristian;Yoshimi, Mauro Matsumoto;Pereira, Raquel da Rocha;Castro, Renato Almeida Couto de;
Revista Brasileira de Anestesiologia , 2008, DOI: 10.1590/S0034-70942008000600009
Abstract: background and objectives: breakage of epidural catheters during their removal is rare, but it has been described. the anesthesiologist should be aware of the complications and proper handling of those catheters. the objective of this report was to present a case of breakage of an epidural catheter in labor analgesia. case report: a 33-year old female, gravida ii, i delivery, was admitted to the maternity ward in labor. after two hours, the patient requested analgesia. on physical exam, the patient was in labor, with cervical dilation of 5 cm, regular uterine dynamics, broken amniotic membrane, and pain of 10 by the visual analog scale (vas). labor analgesia was instituted using combined double puncture technique. during labor evolution, one analgesia complementation through the catheter. catheter removal was somewhat difficult, leading to breakage of the catheter. axial ct and x-ray of the lumbar spine did not show the fragment of the catheter. since the patient was asymptomatic, without signs of radicular irritation, pain, or infection, proper precautions were taken and the patient was discharged from the hospital. conclusions: epidural catheters in the lumbar region are, occasionally, hard to remove. factors that increase the chances of knot formation and the risk of breakage of catheters were listed. in the present case, one of the main factors was the excessive introduction of the epidural catheter. luckily, neurologic complications are even less frequent, and applying gentle traction, in the absence of paresthesias, the catheter is usually successfully removed.
Prevalence of Dental Fracture in Special Needs Patients
Leily Macedo FIROOZMAND,Raquel Pereira dos Santos VARGAS,Jo?o Carlos da ROCHA
Pesquisa Brasileira em Odontopediatria e Clínica Integrada , 2007,
Abstract: Purpose: To investigate the prevalence of dental fractures in young patients with special needs who attend the Center of Studies and Assistance to Special Needs Patients (NEAPE).Method: 57 children accompanied by their parents/guardians, who had sought treatment at NEAPE (School of Dentistry of S o José dos Campos/UNESP) were evaluated. Detailed clinical examination and clinical interview were performed and data referring to gender, age, type of fracture (enamel, enamel/dentin and enamel/dentin/pulp), number of affected teeth and cause of fracture.Results: 22 (38.59%) out of 57 children enrolled in the study had fractured teeth (27.2% male and 72.8% female). The maxillary central incisors were the most frequently affected teeth (63.83%). Regarding the type of fracture, 61.7% (95% CI 46.3 to 75.4) involved enamel and dentin, followed by enamel fractures (21.3%) (95% CI 10.7 a 35.66) and those involving enamel, dentin and pulp (17%) (95% CI 7.64 to 30.81). The most frequent causes of dental fractures in syndromic patients were: fall (36.4%), convulsive crisis (18.2%) and bruxism (18.2%). Dental caries represented 4.5% of the causes of dental fracture. In 22.7% of the cases the cause of the fracture was not identified.Conclusion: In conclusion, 38.59% of the children with special needs presented dental fractures, which were more common in the maxillary central incisors. Down’s syndrome and cerebral palsy were the most frequent conditions, and falls, convulsions, bruxism and dental caries were the main causes associated to dental fractures.
Meningite após técnica combinada para analgesia de parto: relato de caso
Vásquez, Carlos Escobar;Pereira, Raquel da Rocha;Tomita, Tomio;Bedin, Antonio;Castro, Renato Almeida Couto de;
Revista Brasileira de Anestesiologia , 2002, DOI: 10.1590/S0034-70942002000300008
Abstract: backgraund and objectives: meningitis is a serious complication, although rare in regional anesthesia. this report aimed at presenting a case which evolved to meningitis after combined labor spinal-epidural analgesia. case report: laboring patient, 25 years old, second gestation and previous c-section. combined labor spinal-epidural analgesia was induced with double-puncture. twenty-four hours later she presented with headache at rest, fever and mild chills, which regressed with symptomatic medication. headache worsened in the 5th day. there were vomiting and neck pain in the 10th day. symptoms became more severe in the 13th day. lumbar puncture was performed. clinical history and csf analysis were compatible with bacterial meningitis. conclusions: combined labor spinal-epidural analgesia is very close to being the ideal technique. care must be taken with the sterile technique to induce spinal blockade. the reported complication has occurred without an apparent technique failure and is inherent to technique?s risk-benefit ratio.
Recombinant Yellow Fever Viruses Elicit CD8+ T Cell Responses and Protective Immunity against Trypanosoma cruzi
Raquel Tayar Nogueira, Alanderson Rocha Nogueira, Mirian Claudia Souza Pereira, Maurício Martins Rodrigues, Patrícia Cristina da Costa Neves, Ricardo Galler, Myrna Cristina Bonaldo
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0059347
Abstract: Chagas’ disease is a major public health problem affecting nearly 10 million in Latin America. Despite several experimental vaccines have shown to be immunogenic and protective in mouse models, there is not a current vaccine being licensed for humans or in clinical trial against T. cruzi infection. Towards this goal, we used the backbone of Yellow Fever (YF) 17D virus, one of the most effective and well-established human vaccines, to express an immunogenic fragment derived from T. cruzi Amastigote Surface Protein 2 (ASP-2). The cDNA sequence of an ASP-2 fragment was inserted between E and NS1 genes of YF 17D virus through the construction of a recombinant heterologous cassette. The replication ability and genetic stability of recombinant YF virus (YF17D/ENS1/Tc) was confirmed for at least six passages in Vero cells. Immunogenicity studies showed that YF17D/ENS1/Tc virus elicited neutralizing antibodies and gamma interferon (IFN-γ) producing-cells against the YF virus. Also, it was able to prime a CD8+ T cell directed against the transgenic T. cruzi epitope (TEWETGQI) which expanded significantly as measured by T cell-specific production of IFN-γ before and after T. cruzi challenge. However, most important for the purposes of vaccine development was the fact that a more efficient protective response could be seen in mice challenged after vaccination with the YF viral formulation consisting of YF17D/ENS1/Tc and a YF17D recombinant virus expressing the TEWETGQI epitope at the NS2B-3 junction. The superior protective immunity observed might be due to an earlier priming of epitope-specific IFN-γ-producing T CD8+ cells induced by vaccination with this viral formulation. Our results suggest that the use of viral formulations consisting of a mixture of recombinant YF 17D viruses may be a promising strategy to elicit protective immune responses against pathogens, in general.
Book Review: Responsabilidade Social Empresarial e Empresa Sustentável – da Teoria à Prática
Raquel da Silva Pereira
Revista de Administra??o Contemporanea , 2010,
Abstract:
Os meios justificam os fins: gest o baseada em valores – da ética individual à ética empresarial. S o Paulo: Pearson Prentice Hall, 2005,
Raquel da Silva Pereira
Revista Ibero-Americana de Estratégia , 2007, DOI: 10.5585/riae.v5i1.104
Abstract: Escrever sobre ética exige, além de muito conhecimento, coragem. Aliar teoria e prática neste campo conturbado torna-se um desafio. A forma o e o perfil profissional do psicólogo Ricardo Vargas, autor de Os meios justificam os fins: gest o baseada em valores – da ética individual à ética empresarial, consultor organizacional, pesquisador e conferencista, fazem com que ele tenha uma vis o de gest o que integra conhecimentos multidisciplinares na utiliza o de metodologias inovadoras, para responder aos desafios da Administra o. Para dar conta dessa temática, o autor aborda quest es sobre valores individuais e universais, que tangenciam moral e cultura, com implica es também na legisla o.
Social responsibility in the university Responsabilidade Social na universidade
Raquel da Silva Pereira
Revista Ibero-Americana de Estratégia , 2007, DOI: 10.5585/riae.v2i1.33
Abstract: We believe that universities have a social responsibility, mainly the private ones, considered as enterprises. Thus it is necessary to make a distinction between the social responsibility of the university and the social responsibility in the university, once it would hardly be effective to make this contribution without teaching such concepts to the students. This article intends to moot some questions concerning the social responsibility in the university and the social importance of the professional-citizenship formation, paralleling it with the reflection upon the future professionals, course managers and teachers concerning their inherent responsibilities, in a social context that hardly benefits this practice. Entendemos que as universidades possuam responsabilidade social, sobretudo as privadas, por serem consideradas empresas. Necessário se faz aqui diferenciar a responsabilidade social da universidade da responsabilidade social na universidade, pois de pouco adiantaria a ela cumprir essa atribui o se n o estivesse ensinando tais conceitos aos seus alunos. Este artigo pretende levantar algumas quest es sobre a responsabilidade social na universidade e a importancia social da forma o cidad -profissional, em paralelo com a reflex o dos futuros profissionais, gestores de cursos e docentes, quanto às responsabilidades que lhes s o inerentes, num contexto social que pouco favorece essa prática.
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