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Search Results: 1 - 10 of 176427 matches for " Zair Benedita Pinheiro de Albuquerque "
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Atendimento pelo SUS na percep o de mulheres com les es de cancer cervicouterino em Goiania-GO
Zair Benedita Pinheiro de Albuquerque,Suelene Brito do Nascimento Tavares,Edna Joana Claudio Manrique,Adenícia Custodio Silva e Souza
Revista Eletr?nica de Enfermagem , 2011,
Abstract: O cancer de colo do útero é prioridade nas políticas de saúde no Brasil. Apesar da existência do fluxo de atendimento estabelecido pelo Sistema único de Saúde (SUS), fragilidades s o observadas na sua operacionaliza o. Objetivou-se analisar a percep o de mulheres com les es de colo do útero acerca do atendimento pelo SUS em Goiania-GO. Estudo descritivo, exploratório de abordagem qualitativa. Os dados foram obtidos por meio de entrevistas, utilizando-se a técnica de incidente crítico e análise de conteúdo. Na percep o das mulheres, o atendimento é permeado por falhas no acolhimento, comunica o, assistência do profissional de saúde, falta de efetividade e pelo desconhecimento do próprio fluxo de atendimento. Evidenciou-se a necessidade de reorienta o do atual modelo assistencial de atendimento, com abordagens conscientizadoras, que permitam aos profissionais e aos gestores desenvolverem habilidades de ouvir, acolher e de se responsabilizar pelo cuidado, a fim de promover a transforma o dessa realidade.
Mulheres com atipias, les?es precursoras e invasivas do colo do útero: condutas segundo as recomenda??es do Ministério da Saúde
Albuquerque, Zair Benedita Pinheiro de;Manrique, Edna Joana Cláudio;Tavares, Suelene Brito do Nascimento;Souza, Adenícia Custódio Silva e;Guimar?es, Janaína Valadares;Amaral, Rita Goreti;
Revista Brasileira de Ginecologia e Obstetrícia , 2012, DOI: 10.1590/S0100-72032012000600002
Abstract: purpose: to verify whether women with atypias of undetermined significance and precursor lesions or invasive cervical outcomes were referred to medium complexity units (mcu) following the guidelines recommended by the brazilian ministry of health. methods: retrospective study based on the cytopathological outcomes of users of the unified health system, seen at basic health assistance units (bhau) and referred to mcus in the municipality of goiania, state of goiás, from 2005 to 2006. we assessed 832 records according to the recommendations of the brazilian ministry of health, as established by the brazilian nomenclature for cervical cytopathologic outcomes and recommended clinical practice. to check the distribution of variables such as reasons for referral, results of colposcopy and histopathology and clinical procedures we calculated absolute and relative frequencies, mean, minimum and maximum values. results: we understood 72.7% of the referrals were not in accordance with the recommendations of the ministry of health. there were 605 women with test results classified as atypical squamous cells of undetermined significance, possibly non-neoplasms, and squamous intraepithelial lesion of low level which were sent to mcu, and of these 71.8% were submitted to colposcopy, and 64.7% had histopathological examination which results were classified as 31.0% with non-neoplasms and 44.6% as nic i. out of 211 women with results classified as more severe squamous lesions, 86.3% were submitted to colposcopy and 68.7% of these had histopathological examinations. conclusions: the results of this study revealed high rates of inappropriate referrals to mcu, which required a high percentage of unnecessary procedures. the recommendations of the ministry of health were followed by bhau and the majority of women received counseling/treatment as recommended.
A revis?o rápida de 100% é eficiente na detec??o de resultados falsos-negativos dos exames citopatológicos cervicais e varia com a adequabilidade da amostra: uma experiência no Brasil
Manrique, Edna Joana Cláudio;Tavares, Suelene Brito do Nascimento;Souza, Nadja Lindany Alves;Albuquerque, Zair Benedita Pinheiro;Zeferino, Luiz Carlos;Amaral, Rita Goreti;
Revista Brasileira de Ginecologia e Obstetrícia , 2007, DOI: 10.1590/S0100-72032007000800004
Abstract: purpose: to evaluate the efficiency of the 100% rapid rescreening in the detection of false-negative results and to verify whether the results vary according to the adequacy of the sample and the woman?s age group. methods: to evaluate the efficiency of the rapid rescreening, the 5,530 smears classified as negative by the routine screening, after being submitted to the rapid rescreening of 100%, were compared with the rescreening of the smears on the basis of clinical criteria and 10% random rescreening. for statistical analysis, the variables were evaluated descriptively and the c2 test and the cochran-armitage test were applied to compare results. results: of the 141 smears identified as suspicious according to the rapid rescreening method, 84 (59.6%) cases were confirmed in the final diagnosis, of which 36 (25.5%) were classified as atypical squamous cells of undetermined significance, five (3.5%) as atypical squamous cells that cannot exclude high-grade squamous intraepithelial lesion, 34 (24.1%) as low-grade squamous intraepithelial lesion, six (4.3%) as high-grade squamous intraepithelial lesion, and three (2.1%) as atypical glandular cells. of the 84 suspect smears confirmed in the final diagnosis, 62 (73.8%) smears were classified as adequate and 22 (26.2%) as adequate but with some limitation, but no significant difference was observed with the woman?s age. conclusions: the results of this study show that rapid rescreening is an efficient option for internal quality control for the detection of false-negative cervical smear results. in addition, it should be noted that rapid rescreening performed better when the sample was classified as adequate for analysis; however, it did not vary according to the woman?s age group.
Uma vis?o do Núcleo de Estudos em Saúde Coletiva
Pinheiro, Themis Xavier de Albuquerque;
História, Ciências, Saúde-Manguinhos , 2009, DOI: 10.1590/S0104-59702009000400012
Abstract: this brief evaluation of the first twenty years of the universidade federal do rio grande do norte's núcleo de estudos em saúde coletiva (collective health studies group; nesc/ufrn), celebrated in 2008, gathers together and correlates elements from the literature and from archives, functional and symbolic traces, and the author's experience as a participant during this time. it is observed that nesc, created in the context of the public health movement, earned a place as a reference on rio grande do norte's collective health scene, although this entailed negotiating a maze while endeavoring to build collective projects. the accumulated experience serves as a tool for achieving institutional continuity.
The importance of surfactant on the development of neonatal pulmonary diseases
Lyra, Priscila Pinheiro Ribeiro;Diniz, Edna Maria de Albuquerque;
Clinics , 2007, DOI: 10.1590/S1807-59322007000200014
Abstract: pulmonary surfactant is a substance composed of a lipoprotein complex that is essential to pulmonary function. pulmonary surfactant proteins play an important role in the structure, function, and metabolism of surfactant; 4 specific surfactant proteins have been identified: surfactant proteins-a, surfactant proteins-b, surfactant proteins-c, and surfactant proteins-d. clinical, epidemiological, and biochemical evidence suggests that the etiology of respiratory distress syndrome is multifactorial with a significant genetic component. there are reports about polymorphisms and mutations on the surfactant protein genes, especially surfactant proteins-b, that may be associated with respiratory distress syndrome, acute respiratory distress syndrome, and congenital alveolar proteinosis. individual differences regarding respiratory distress syndrome and acute respiratory distress syndrome as well as patient response to therapy might reflect phenotypic diversity due to genetic variation, in part. the study of the differences between the allelic variants of the surfactant protein genes can contribute to the understanding of individual susceptibility to the development of several pulmonary diseases. the identification of the polymorphisms and mutations that are indeed important for the pathogenesis of the diseases related to surfactant protein dysfunction, leading to the possibility of genotyping individuals at increased risk, constitutes a new research field. in the future, findings in these endeavors may enable more effective genetic counseling as well as the development of prophylactic and therapeutic strategies that would provide a real impact on the management of newborns with respiratory distress syndrome and other pulmonary diseases.
Efectos del empleo de férulas par la funcionalidad de la mano del ni o con parálisis cerebral. Revisión sistemática de la literatura = Effects of the use of the splint for the functionality of the hand of the boy with cerebral paralysis. Systematic review of literature
Costa Albuquerque, R,Oliveira Azevedo, B de,Linhares Pinheiro, C
TOG : Revista de Terapia Ocupacional de la APGTO , 2007,
Abstract: RESUMENObjetivos: realizar una revisión sistemática de la literatura a través de la selección y análisis de artículos científicos que hayan investigado los efectos del empleo de las férulas, para la funcionalidad de la mano del ni o que padece parálisis cerebral.Métodos: se efectuó una búsqueda sistemática en la literatura de referencia en el periodo que va de junio a noviembre de 2006, en las bases de datos de Pub Méd y de OT Seeker, publicados en las lenguas inglesa, espa ola y francesa.Resultados: los dos artículos incluidos en esta revisión reunieron todos los requisitos suficientes, aunque no presentan una diferencia estadísticamente significativa para el efecto del empleo de las férulas para la funcionalidad de la mano del ni o que sufre parálisis cerebral.Conclusiones: los artículos evaluados en esta revisión se presentan consistentes en relación al dise o metodológico. Sin embargo, los textos abordan el empleo de las férulas asociado a otra intervención o tratamiento y suministran informaciones mínimas en lo referente a la importancia de su empleo. De esta forma, los resultados presentados no son suficientes para soportar el efecto del uso exclusivo de férulas en el ni o con parálisis cerebral en la mejoría de la funcionalidad de su mano. ABSTRACTObjectives: to carry through systematic revision of literature through the election and analysis of scientific articles that had investigated the effect of the use of splint for functionality of the hand of the child with cerebral palsy.Methods: a systematic search in literature was carried through in the period of June the November of 2006, in the databases Pub Méd and OT Seeker, published in the languages English, Spanish and French.Results: the two enclosed articles in this revision had filled all the inclusion criteria, however do not present significant difference for the effect of the use of splint for the functionality of the hand of the child with cerebral palsy.Conclusions: The articles evaluated in this revision, are presented in relation to the methodological drawing. However the texts approach the use of splint associated to the other intervention or treatment and present minimum information of the importance of its use. Thus, the presented results are not enough to support the effect of the exclusive use of splint in the child with cerebral palsy in the improvement of the functionality of the hand.
Sobrecarga de familiares de pacientes psiquiátricos: compara??o entre diferentes tipos de cuidadores
Albuquerque, Ellen Pinheiro Tenório de;Cintra, Ana Maria de Oliveira;Bandeira, Marina;
Jornal Brasileiro de Psiquiatria , 2010, DOI: 10.1590/S0047-20852010000400007
Abstract: objective: to investigate the subjective and objective burden in three different types of family caregivers. method: the family burden interview schedule (fbis-br) was administered to 30 parents, 30 siblings and 30 spouses caregivers of psychiatric patients with diagnoses of schizophrenia spectrum or mood disorders. results: significant differences between groups were found on seven items of the scale. parents had higher burden scores than brothers, in regard to how often they prepared meals for patients and advised them on how to use their free time. they also felt a greater degree of discomfort from having to shop for them and had the impression of a greater financial burden. compared to spouses, parents had to deal more often with patients' aggressive behaviors, had higher expenses with them, and were, in addition, more worried about their future. spouses had higher burden score than brothers, in regard to perceived financial weight. conclusions: the differences observed in caregiver burden suggest the need for planning interventions that take into account the particularities of each type of caregiver.
Cárie dentária em escolares de 12 e 15 anos de escolas públicas e privadas de Salvador, Bahia, Brasil, em 2001
Cangussu Maria Cristina Teixeira,Castellanos Roberto Augusto,Pinheiro Márcia Farias,Albuquerque Silvana Rodrigues de
Pesquisa Odontológica Brasileira , 2002,
Abstract: O objetivo deste trabalho foi estudar a experiência de cárie dentária em escolares de escolas públicas e privadas de 12 e 15 anos de idade, de Salvador, Bahia, Brasil e identificar variáveis de acesso e cobertura dos servi os de saúde relevantes associadas a possíveis diferen as entre estes grupos. Foram obtidos a partir do exame clínico, dados transversais de 3.313 adolescentes, utilizando o índice CPOD e um questionário estruturado, e a análise foi realizada utilizando o teste t de Student, qui-quadrado e análise de covariancia. N o foram encontradas diferen as no CPOD e na propor o de indivíduos livres de cárie entre os dois grupos, destacando-se apenas a predominancia, nas escolas particulares, do componente obturado e, nas escolas públicas, do componente extraído. Apenas a variável acesso ao dentista no último ano mostrou-se associada às diferen as encontradas. Neste sentido é importante refor ar a importancia do acesso aos bens de consumo e servi os de saúde de forma a garantir a eqüidade em saúde bucal.
Spatial distribution and diet of Cephalopholis fulva (Ephinephelidae) at Trindade Island, Brazil
Flavio do Nascimento Coelho,Hudson Tercio Pinheiro,Robson Guimar?es dos Santos,Cristiano Queiroz de Albuquerque
Neotropical Ichthyology , 2012,
Abstract: In this study we analyze the population structure and diet of the coney Cephalopholis fulva at Trindade Island, Brazil, through direct observation with SCUBA diving in 11 reef sites around the Island, up to 50 m deep. Diet was based on 77 individuals collected with speargun. Mean population density and biomass were estimated at 29 individuals/100 m2 and 13 kg/100 m2, respectively. This species is regularly distributed along the costal environments of the Trindade Island, with no significant differences in densities and biomass detected among the different collection habitats (reef crest, reef slope, and reef plateau). However, significantly higher densities were observed micro-habitats with greater structural complexity, which may offer more shelter and food to C. fulva. Four food item groups were identified from the gut contents of C. fulva: Annelida, Crustacea, Teleostei, and Testudinata. It is the first record of predation of the green turtle Chelonia mydas hatchlings by the coney. Trindade Island seems to present the densest concentration of C. fulva in all Brazilian and Caribbean ecosystems inhabited by this species. Scarcity of competitors, predators, and fishing pressure may explain the high densities observed in the Island. Foram analisadas a estrutura populacional e a dieta do catuá Cephalopholis fulva na Ilha da Trindade, Brasil. Os dados foram obtidos através de censos visuais com mergulho aut nomo em 11 locais no entorno da ilha, em profundidades de até 50 m. A dieta e a propor o sexual foram baseadas na análise de 77 indivíduos coletados com arp o. A densidade populacional e biomassa foram estimados em 29 indivíduos/m2 e 13 kg/100 m2, respectivamente. A espécie apresentou distribui o uniforme nos ambientes costeiros da ilha, n o tendo sido registradas diferen as significativa em sua densidade e biomassa entre os diferentes habitats estudados (crista, talude e plat recifal). Entretanto, foi observado preferência por micro-habitats de alta complexidade estrutural. Foram registrados quatro grupos de itens alimentares no conteúdo estomacal de C. fulva: Annelida, Crustacea, Teleostei e Testudinata. é feito aqui o primeiro registro de preda o de juvenis da tartaruga-verde (Chelonia mydas) por C. fulva. Trindade parece apresentar os maiores valores de densidade para o catuá, quando comparada a outras localidades do Brasil e Caribe. A escassez de competidores, predadores e a press o pesqueira s o possíveis fatores que podem explicar as altas densidades observadas para C. fulva na Ilha da Trindade.
Analysis of major risks associated with sea bathing at Futuro beach, Fortaleza - Ceará. Brazil Analise Dos Principais Riscos Associados Ao Banho De Mar Na Praia Do Futuro, Fortaleza-Ceará
Miguel da Guia Albuquerque,Lauro J. Calliari,Lidriana de S. Pinheiro
Brazilian Journal of Aquatic Science and Technology , 2010,
Abstract: This work presents natural hazards (permanent and non-permanent) related to beach bathing, as well as to social use of Futuro beach in Fortaleza city (Ceará stae, Northeast Brazil). In order to obtain such informations it was necessary classify beach type through topographic surveys and grain size analysis and combining them with beach accidents and public usage. Data were collected in two phases and include historical data from life-guards (years 2002 to 2006), and field surveys carried out from November of 2004 to September of 2005. Field data consisted of in situ observation of morphodynamic characteristics, as well as information given by life-guards regarding beach bathing accidents. Studies about the user′s profile and morphodynamics features showed that the highest rates of accidents were recorded among male victims aged between 21 and 28 years (59%). Most of the rescues occurred at profile 04 (66%), during the transition between the high and low water, associated with transverse bar and rip and low tide bar rip morphodynamic stages. Data obtained from life-guards showed that rip currents were identified as the most important hazard for bathers (86% of cases). According to the morphodynamic behavior of Futuro beach, the best appropriate method for improve beach safety is preventive education. This work presents natural hazards (permanent and non-permanent) related to beach bathing, as well as to social use of Futuro beach in Fortaleza city (Ceará stae, Northeast Brazil). In order to obtain such informations it was necessary classify beach type through topographic surveys and grain size analysis and combining them with beach accidents and public usage. Data were collected in two phases and include historical data from life-guards (years 2002 to 2006), and field surveys carried out from November of 2004 to September of 2005. Field data consisted of in situ observation of morphodynamic characteristics, as well as information given by life-guards regarding beach bathing accidents. Studies about the user′s profile and morphodynamics features showed that the highest rates of accidents were recorded among male victims aged between 21 and 28 years (59%). Most of the rescues occurred at profile 04 (66%), during the transition between the high and low water, associated with transverse bar and rip and low tide bar rip morphodynamic stages. Data obtained from life-guards showed that rip currents were identified as the most important hazard for bathers (86% of cases). According to the morphodynamic behavior of Futuro beach, the best appropriate method for imp
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