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Consumo nocivo de bebidas alcoólicas entre usuários de uma Unidade de Saúde da Família
Abreu, ?ngela Maria Mendes;Jomar, Rafael Tavares;Souza, Maria Helena Nascimento;Guimares, Raphael Mendon?a;
Acta Paulista de Enfermagem , 2012, DOI: 10.1590/S0103-21002012000200021
Abstract: objectives: to identify harmful alcohol consumption among users of a family health unit, analyzing its association with sociodemographic characteristics. methods: a cross-sectional study conducted with 1,115 subjects who responded to the alcohol use disorders identification test and questions referring to sociodemographic variables. data were submitted to tests of association, using the statistical package for the social sciences. results: an elevated prevalence was observed of harmful alcohol consumption (31.0%), strongly associated with male gender, low education level and family income. conclusion: we observed a high prevalence of harmful alcohol consumption strongly associated with male patients, with lower education and income up to two times the minimum wage.
Consumo prejudicial de álcool entre usuários da Estratégia Saúde da Família Harmful alcohol consumption between users of Family Health Strategy
?ngela Maria Mendes Abreu,Rafael Tavares Jomar,Maria Helena do Nascimento Souza,Raphael Mendon?a Guimares
Jornal Brasileiro de Psiquiatria , 2013,
Abstract:
Estilos de vida de pacientes hipertensos atendidos com la Estrategia de Salud de la Familia Estilos de vida de pacientes hipertensos atendidos com a Estratégia de Saúde Familiar Hypertensive patients’ attended with the family health strategy lifestyle
Elisabete Pimenta Araujo Paz,Maria Helena do Nascimento Souza,Raphael Mendon?a Guimares,Gabriella Fragoso Pavani
Investigación y Educación en Enfermería , 2011,
Abstract: Objetivo. Describir los estilos de vida de los pacientes hipertensos atendidos con la Estrategia de Salud de La Familia. Metodología. De octubre de 2009 a enero de 2010, se llevó a cabo un estudio transversal, en el que participaron 273 pacientes hipertensos seleccionados aleatoriamente del programa de salud familiar que atiende tres áreas de Piraí/RJ. Para la recolección de datos se utilizó el cuestionario "Estilo de Vida Fantástico". Resultados. De la muestra de estudio: el 61% eran mujeres, el 56% con 60 y más a os, el 81% tenía bajo nivel de educación y 74% con bajos ingresos familiares. Los factores de riesgo más frecuentes fueron El sobrepeso u obesidad (72%) y la diabetes mellitus (37%). La calificación del estilo de vida fue: 13% excelente, 55% muy bueno, 27% bueno y regular 4%. Conclusión. Aunque el estilo de invida se consideró satisfactorio, las condiciones socioecon micas y el perfil de salud indican la persistencia de factores de riesgo de enfermedad cardiovascular. Objetivo. Descrever os estilos de vida dos pacientes hipertensos atendidos com a estratégia de Saúde Familiar. Metodologia. De outubro de 2009 a janeiro de 2010, levou-se a cabo um estudo transversal, no que participaram 273 pacientes hipertensos selecionados aleatoriamente do programa de Saúde Familiar que atende três áreas de Piraí/RJ (Brasil). Para a colheita de dados se utilizou o questionário "Estilo de Vida Fantástico". Resultados. Da mostra de estudo: o 61% eram mulheres, o 56% tinha 60 e mais anos, o 81% possuía sob nível de educa o e 74% reportou ter baixos rendimentos familiares. Os fatores de risco mais frequentes foram o sobrepeso ou obesidade (72%) e a diabete mellitus (37%). A qualifica o do estilo de vida foi: 13% excelente, muito bom 55%, bom 27% e regular 4%. Conclus o. Ainda que o estilo de vida se considerou satisfatório, as condi es e o perfil de saúde indicam a persistência de fatores de risco de doen a cardiovascular. Objective. To describe hypertensive patients’ attended with the Family Health strategy lifestyle. Methodology. Cross sectional study, carried out between October 2009 and January 2010. 273 hypertensive patients randomly chosen from the Family Health program attended by three areas of Piraí/RJ (Brazil) participated. For data collection, the "fantastic lifestyle" questionnaire was used. Results. From the studied sample: 61% were women, 56% were 60 and over years of age, 81% had a low level of education and 74% reported having low family income. The most frequent risk factors were: overweight or obesity (72%) and diabetes mellitus (37%). Lifes
Análise de citocinas pela RT-PCR em pacientes com rinite alérgica
Silva, Tarcimara Moreira da;Guimares, Roberto Eustáquio Santos;Nascimento, Evaldo;Becker, Helena Maria Gon?alves;Araújo, Ricardo Nascimento;Nunes, Flávio Barbosa;
Revista Brasileira de Otorrinolaringologia , 2009, DOI: 10.1590/S0034-72992009000100004
Abstract: allergic rhinitis is an inflammatory reaction of the nasal mucosa, in consequence of an ige mediated hypersensitive reaction to inhaling allergens, involving different mediators and cytokine cells. aim: the purpose of this study was to evaluate the transcriptions for il-4, il-5, il-8 and ifn-gama, particularly important in the nasal allergy process, especially il-4 and il-5. for this study we decided to evaluate atopic patients who were free from allergic crises, with the purpose of knowing the cytokine expressions during this period. materials and methods: another prospective and transversal study was carried out, selecting 30 patients, 13 of these patients were pauci-symptomatic and 17 were non atopic. the groups were selected by means of a medical interview, an otolaryngologic clinical exam and allergy skin tests - prick test. the cytokines were investigated in fragments of the nasal mucosa, using rt-pcr - chosen because it has good reproducibility and specificity. results: il-5, il-8, ifn-gama cytokine values were kept homogeneous in relation to the control group. only il-4 presented significant statistic differences. conclusion: asymptomatic patients with allergic rhinitis presented with normalization of cytokine expression in the nasal mucosa, with exception of il-4.
Les?es precursoras do cancer de colo em mulheres adolescentes e adultas jovens do município de Rio Branco - Acre
Leal, Elaine Azevedo Soares;Leal Júnior, Osvaldo de Sousa;Guimares, Maria Helena;Vitoriano, Maria Nísia;Nascimento, Talita Lima do;Costa, Olívia Lúcia N.;
Revista Brasileira de Ginecologia e Obstetrícia , 2003, DOI: 10.1590/S0100-72032003000200002
Abstract: purpose: to describe the frequency of precursor lesions of cervical cancer in 15 to 29-year-old women, associating the degree of damage with the epidemiologic characteristics and associated risk factors. methods: a transverse study was performed, where the precursor lesions of cervical cancer were investigated through papanicolaou test in 15 to 29 year-old women with active sexual life, living in rio branco (ac), in the period from january to september 2001. the investigated data included epidemiologic information, risk factors and physical-ginecological examination results, including schiller test and smears for cytopathologic test. results: of the 2,397 women studied, 155 (6.4%) showed some kind of cellular epithelial alteration, 146 (94.2%) squamous lesions and 9 (5.8%) glandular lesions. in 15 to 19 year old women, the frequency (6.9%) of cellular epithelial alteration was similar to that observed in 20 to 29-year-old women (p>0.65). these alterations were associated with low educational level (p<0.003), with the number of sexual partners (p<0.04), with std history (p<0.001) and smoking habits (p<0.01). conclusion: the high frequency of precursor lesions in an age lower than expected, and following an epidemiologic pattern observed in other phases of women's life, shows the early exposure to risk factors, which anticipates the development of cervical cancer.
Os limites do poder negocial da Fran?a na UE: o caso da Uni?o para o Mediterraneo
Guimares, Maria Helena;
Revista Brasileira de Política Internacional , 2012, DOI: 10.1590/S0034-73292012000100006
Abstract: using a case study on france's initiative to create a union of the mediterranean, this article tests the hypothesis that the "largest" states of the european union, though concentrating major sources of negotiating power, significantly jeopardize their negotiating objectives if they overstretch their negotiating power.
Estilos de vida de pacientes hipertensos atendidos com a Estratégia de Saúde Familiar
Araujo Paz,Elisabete Pimenta; do Nascimento Souza,Maria Helena; Mendon?a Guimares,Raphael; Fragoso Pavani,Gabriella; dos Santos Correa,Heloisa Ferreira; Moreira de Carvalho,Priscila; Magalh?es Rodrigues,Ravenna;
Investigación y Educación en Enfermería , 2011,
Abstract: objective. to describe hypertensive patients? attended with the family health strategy lifestyle. methodology. cross sectional study, carried out between october 2009 and january 2010. 273 hypertensive patients randomly chosen from the family health program attended by three areas of piraí/rj (brazil) participated. for data collection, the "fantastic lifestyle" questionnaire was used. results. from the studied sample: 61% were women, 56% were 60 and over years of age, 81% had a low level of education and 74% reported having low family income. the most frequent risk factors were: overweight or obesity (72%) and diabetes mellitus (37%). lifestyle scores were: 13% excellent, 55% very good, 27% good, and 4% poor. conclusion. even though lifestyle was considered satisfactory, conditions and health profiles indicate that there are still cardiovascular risk factors.
Perfil de citocinas da polipose nasossinusal na Fibrose Cística comparado com indivíduos sem doen?as nasossinusais
Nunes, Flávio Barbosa;Castro, Mirian Cabral Moreira de;Silva, Tacimara Moreira da;Araújo, Ricardo Nascimento;Becker, Helena Maria Gon?alves;Crosara, Paulo Fernando Tormin Borges;Guimares, Roberto Eustáquio Santos;
Brazilian Journal of Otorhinolaryngology , 2010, DOI: 10.1590/S1808-86942010000100005
Abstract: although the cytokine profile in nasal polyposis is well documented, little is known about cytokines associated to cystic fibrosis. aim: assess the expression of cytokines il?4, il?5, il?6, il?8, gm?-csf and ifn?-y, analyzed through rt-pcr, in the polyps of patients with cystic fibrosis. materials and methods: a cross-sectional, prospective study was carried out with 24 patients, 13 of whom had cystic fibrosis and nasal polyposis (cystic fibrosis group) and 11 had normal otorhinolaryngological exams (control group). the average age was 21 years (3?57); 12 participants were males and 12 were females. the cytokine profile was studied in mucosal fragments (control group) or nasal polyps (cystic fibrosis group) through rt?pcr. transcriptions were studied for cytokines il?4, il?5, il?6, il?8, ifn?y and gm?csf, adjusted for the β?-actin value. results: interleukins 5, 6, 8 and gm?csf were similar in both groups (p>0.05). there were lower values of ifn-y? (p=0.03) and a strong tendency toward an increase in il?4 (p=0.06) in the cystic fibrosis group. conclusion: inflammatory and structural cells may produce messenger rna for il?4, blocking the production of other cytokines such as ifn-y, suggesting the participation of this mechanism in the formation of polyps in cystic fibrosis.
Efeito da mitomicina C na secre??o de fator estimulador de granulócitos macrófagos e interleucina-5 em cultura de estroma de pólipos nasais eosinofílicos
Crosara, Paulo Fernando Tormin Borges;Vasconcelos, Anilton César;Guimares, Roberto Eustáquio Santos;Becker, Helena Maria Gon?alves;Becker, Celso Gon?alves;Crosara, Sandra Letícia Reis;Nascimento, Evaldo;
Revista Brasileira de Otorrinolaringologia , 2005, DOI: 10.1590/S0034-72992005000400010
Abstract: the research involving tissue factors, such as granulocyte macrophage colonies stimulating factor (gm-csf) and interleukin 5 (il-5), leads to the mechanisms involved in the maintenance of eosinophilia, which is essential for the pathogenesis on eosinophilic nasal polyps. mitomycin c has been successfully used in otolaryngology. aim: the objective of this study was to evaluate the effect of mitomycin c in secretion of gm-csf and il-5 on eosinophilic nasal polyps. study design: case-control. material and method: this is a comparative and auto-matched experimental study, performed with fragments of polyps which had been obtained from biopsy of patients with eosinophilic nasosinusal polyposis. the fragments of the experimental group were treated with mitomycin c (400 microg/ml) for 5 minutes and then washed in rpmi substrate. at time zero, 12 and 24 hours, the surface material was taken to determination of its gm-csf levels in 22 patients and of il-5 levels in 19 patients, by elisa method. results: reduction in gm-csf expression on the experimental group at time 24 h (p<= 0.05). the treated group presented significant gm-csf expression between zero time and 12 h time (p=0.013) showing the culture viability such as in the non-treated group. tendency to decreasing il-5 levels on the treated groups at 24 hours. conclusion: this study showed that mitomycin c was efficient in inhibiting gm-csf synthesis with reduction of il-5 secretion, but this fact needs complementary studies.
A política de combate à pobreza do governo do estado de S?o Paulo
Castro, Maria Helena Guimares de;
S?o Paulo em Perspectiva , 2004, DOI: 10.1590/S0102-88392004000400002
Abstract: this article describes the strategy of the state of s?o paulo's government in its social actions focused on solving poverty in the light of the social indicators' progress and in face of the brazilian institutional learning in this subject, during the 90's.
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