53 resultados para Doenças cardiovasculares Teses


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A pesquisa aborda o uso das Tecnologias de Informao e Comunicao, que vem revolucionando as atividades e ocasionando muitas mudanas relacionadas ao acesso e uso de informaes. O objetivo foi analisar o grau de utilizao do conhecimento cientfico produzido pelos Programas de Ps-Graduao das Universidades Pblicas Brasileiras, atravs da BDTD, pelos mestrandos dos referidos programas. Nos procedimentos metodolgicos realizados, procurou-se inicialmente analisar o amplo espectro da populao do corpus da pesquisa. Em razo da impossibilidade de trabalhar com os Programas de Ps-Graduao como um todo, optou-se por fazer um recorte, elegendo os cursos de Ps-Graduao em Cincia da Informao, vez que estes representam o principal segmento social de interesse da pesquisa. Foi utilizado o mtodo de estudo de usurios, onde se optou por adotar o grupo, estudos orientados aos usurios, que identifica as necessidades e comportamento de acesso e uso da informao. Para coletar os dados, elaborou-se um questionrio semi-estruturado com 25 questes, que versavam sobre o uso, dificuldades de acesso e recuperao da informao, bem como a satisfao na utilizao dessa fonte informacional. Dentre os vrios resultados obtidos, podemos destacar o fato de que a maioria dos mestrandos (71,8%) s teve contato com a BDTD somente no momento em que se encontrava cursando o mestrado e, somente 24,3%, tiveram contato durante a graduao. Estes resultados representam um problema, que pode afetar o bom desempenho do projeto BDTD, o qual consiste em disseminar e divulgar a produo cientfica dos Programas de Ps-Graduao das Universidades Pblicas Brasileiras para a sua comunidade. Foi observado tambm, que os mestrandos oriundos do curso de Biblioteconomia tende a ter contato com a BDTD bem mais cedo do que mestrandos de outros cursos de graduao. A fim de minimizar o problema detectado, prope-se uma divulgao mais eficaz na graduao atravs de dois procedimentos: Primeiro, o docente deve fazer uma divulgao mais eficaz da BDTD junto aos discentes de todos os cursos de graduao; segundo: dever ser feita a divulgao na mdia eletrnica, atravs da insero de cones da BDTD, nos portais dos Departamentos dos Cursos de Graduao das Universidades Pblicas Brasileiras. Acredita-se que com estes procedimentos seja possvel aperfeioar o uso dessa fonte de informao cientfica.

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A evoluo da comunicao cientfica ao longo do tempo e o impacto causado pela A evoluo da comunicao cientfica ao longo do tempo e o impacto causado pela A evoluo da comunicao cientfica ao longo do tempo e o impacto causado pela se analisar as contribuies da Biblioteca Digital de Teses e Dissertaes (BDTD)para a comunicao cientfica atual, destacando possibilidades emergentes e desafios a serem superados. Apresenta uma breve evoluo da comunicao cientfica ao longo do tempo; discute os impactos causados pela Internet na comunicao, disponibilizao e acessibilidade de informaes tcnico-cientficas; e caracteriza BDTD destacando os desafios a serem superados. Dentre eles esto, a questo dos direitos autorais que ocasionam a baixa adeso dos autores ao projeto piloto do IBICT para disponibilizar teses e dissertaes no meio eletrnico. Para este desafio, so apontadas sugestes.

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As bibliotecas de teses e dissertaes tm um papel fundamental para o desenvolvimento cientfico e cultural de um pas. Nesse sentido, buscou-se, de modo geral, analisar o panorama brasileiro das bibliotecas digitais de teses e dissertaes. Especificamente, objetivou-se caracterizar a sociedade da informao enquanto contexto das BDTD; caracterizar os vrios tipos de bibliotecas surgidos a partir da insero das novas tecnologias de informao e comunicao; identificar as diretrizes norteadoras da implantao de BDTD; e levantar as BDTD existentes no Brasil. Para tato, alm de levantamento bibliogrfico, realizou-se uma pesquisa nos sites de instituies de ensino superior brasileiras que j dispe de bibliotecas digitais de teses e dissertaes em funcionamento. A anlise e interpretao destes dados nos permite considerar que no Brasil as BDTD encontram-se num estgio embrionrio, sendo relevante pesquisar a histrica implantao e configurao desse novo modelo de biblioteca.

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A Sndrome de Berardinelli-Seip (SBS) ou Lipodistrofia Generalizada Congnita acomete freqentemente o aparelho cardiovascular e tambm promove anormalidades metablicas envolvendo os metabolismos glicdico e lipdico. O objetivo do nosso trabalho foi avaliar a prevalncia das anormalidades cardiovasculares e metablicas em portadores da SBS. Vinte e dois pacientes do estado do Rio Grande do Norte (Brasil), com diagnstico da SBS, foram submetidos avaliao clinica, eletrocardiograma de repouso, ecodopplercardiograma, radiografia de trax, eletrocardiografia dinmica de 24 horas, teste ergomtrico e anlise laboratorial. Os pacientes eram predominantemente adultos jovens (n=22) , sendo 14 do sexo feminino. O mais novo tinha 8 e o mais velho 44 anos(22,49,7 anos). A totalidade da amostra apresentou resistncia insulina, acanthosis nigricans e HDL-colesterol diminudo. A presena de esplenomegalia, hepatomegalia, diabetes mellitus tipo II e triglicrides elevados eram constantes. A sndrome metablica foi caracterizada em 81,8% dos pacientes com predominncia para sexo feminino e com um alto grau de consanginidade paterna (86,4%). A hipertenso arterial sistmica e pr-hipertenso foram encontradas em mais da metade dos pacientes (77.3%). O eletrocardiograma e a radiografia de trax no foram teis para identificar a presena de anormalidades cardacas na SBS, em particular a presena de hipertrofia ventricular esquerda. Para identificar o acometimento cardiovascular foi indispensvel o estudo ecodopplercardiografico. Este exame mostrou a presena de hipertrofia concntrica do ventrculo esquerdo (50%), hipertrofia excntrica do ventrculo esquerdo (4,5%) e geometria normal do ventrculo esquerdo (45,5%). Disfuno sistlica do ventrculo esquerdo foi encontrada em apenas um paciente (4,5%) e disfuno diastlica em nenhum. Elevada taxa de arritmia foi evidenciada no Holter, tais como, extra-sstoles ventriculares, extra-sstoles supraventriculares e taquicardia supraventricular sustentada. Incompetncia cronotrpica (54,5%) foi observada no teste ergomtrico. Anormalidades cardiovasculares e metablicas foram encontradas em elevada prevalncia em indivduos jovens e assintomticos com SBS. Esses achados xii apontam para a necessidade de acompanhamento cardiolgico sistemtico e de medidas preventivas nesse grupo de risco

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Objetivo: analisar o estado da arte dos aspectos diagnsticos, periciais e jurisprudenciais das LER/DORT (Leses por Esforos Repetitivos / Distrbios Osteomusculares Relacionados ao Trabalho) no Brasil. Materiais e Mtodo: trata-se de pesquisa descritiva, de natureza qualitativa, com formato documental, utilizando-se a tcnica de anlise de contedo. A avaliao evolutiva da legislao previdenciria relacionada as LER/DORT foi realizada atravs da pesquisa no banco de dados disponibilizado pelo Governo Federal e mediante a consulta ao DATAPREV/Sislex. A avaliao dos aspectos diagnsticos foi instrumentalizada atravs, principalmente, de artigos cientficos publicados entre 2003 e 2008, nas lnguas portuguesa, inglesa, espanhola e francesa, relacionados com os mtodos de diagnsticos complementares das LER-DORT (ressonncia magntica, tomografia computadorizada, ultrassonografia e eletroneuromiografia). As jurisprudncias foram obtidas atravs da busca dos julgados sobre o tema, entre 2003 e 2008, pertencentes ao Supremo Tribunal Federal, Superior Tribunal de Justia, Tribunais Regionais Federais, Tribunal Superior do Trabalho e Tribunais Regionais do Trabalho. Resultados: foram identificados 48 artigos abordando os aspectos diagnsticos das LER-DORT, observando-se que os exames por ressonncia magntica, ultrassonografia e eletromiografia demonstraram ser mais efetivos, dentro das suas especificidades, para a complementao do exame clnico de patologias relacionadas s LER-DORT. A anlise das 123 jurisprudncias selecionadas demonstrou, de forma geral, que as LER-DORT equiparam-se ao acidente de trabalho, devendo apresentar nexo de causalidade (atestado atravs de laudo mdico-pericial) e, ainda, ensejam a ao por danos morais, a qual, devido EC n 45 passou a ser competncia da Justia do Trabalho. O Estado da arte dos aspectos periciais encontra-se representado pela vigncia da Instruo Normativa n. 98/2003, a qual traz como aspecto fundamental a determinao de novos parmetros a serem considerados na definio de um quadro de LER-DORT, dispondo, ainda, sobre a conduta tica que deve ser adotada pelo mdico perito, bem como chama a ateno para a necessidade dessas doenças do trabalho serem comunicadas s autoridadades competentes, atravs da emisso da Comunicao de Acidente de Trabalho (CAT). Concluso: as LER-DORT representam, hoje, um problema de importante impacto, no apenas previdencirio, mas tambm econmico em diversos pases, nos quais o Brasil encontra-se inserido. Estudos sobre o estado da arte relacionados s LER-DORT so fundamentais para auxiliar na construo de um modelo crtico e consciente que colabore com a garantia de sustentabilidade do sistema previdencirio no Brasil

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Idosos apresentam prevalncia aumentada de Hipertenso Arterial Sistmica - HAS alm de multiplicidade de fatores de risco cardiovasculares adicionais relacionados a maus hbitos de vida. Este um estudo transversal que teve como objetivos comparar e correlacionar marcadores bioqumicos e antropomtricos e hbitos de vida indicadores de risco cardiovascular em idosos hipertensos e predominantemente saudveis, sedentrios e praticantes de atividade fsica. A amostra foi composta por 322 idosos, e distribuda em 2 grupos: G1: hipertensos e G2: predominatemente saudveis. A coleta de dados constou de anamnese e avaliaes bioqumica (perfil lipdico e Protena C-Reativa - PCR) e antropomtrica (ndice de Massa Corprea - IMC, Circunferncia da Cintura - CC, Circunferncia abdominal - CA e Relao Cintura- Quadril - RCQ). Na anlise dos dados utilizou-se estatstica descritiva, Teste t de Student, anlise de varincia (ANOVA One-Way) e correlao de Pearson. Os resultados mostram que no G1: 100% eram hipertensos, sendo que 31,55% eram diabticos e hipertensos e 0% era exclusivamente diabtico, no G2: 28,86% eram hipertensos, sendo que 13,40% eram diabticos e hipertensos, 5,15% eram exclusivamente diabticos e 65,99% no apresentam qualquer processo patolgico ativo. Com relao aos hbitos e estilo de vida, no G1: 58,22% eram sedentrios; 2,6% fumantes e 1,7% etilistas. No G2: 5,15% eram sedentrios; 7,21% fumantes e 8,24% etilistas. Com relao ao estado nutricional, verificou-se que no G1: 10,52% dos homens apresentaram Sobrepeso - SP e 14,03% Obesidade - OB, j entre as mulheres, 25,59% apresentaram SP e 20,23% OB. No G2: 6,06% dos homens apresentaram SP e 9,09% OB, e entre as mulheres, 15,87% apresentaram SP e 22,22% OB. Na anlise da RCQ, apresentaram valores acima dos recomendados: 24,56% dos homens e 82,14% das mulheres do G1 e 12,12% dos homens e 74,60% das mulheres do G2. Com relao a CC e CA, apresentaram valores indicativos de risco, respectivamente: no G1 (52,63% e 29,82% dos homens e 91,66% e 87,5% das mulheres) e no G2 (9,09% e 9,09% dos homens, e 80,95% e 55,55% das mulheres). Com relao idade, as freqncias de SP e OB no G1(n=225) foram: SP (A1=11,11%, A2=8%, A3=1,77%), OB (A1=8,44%, A2=8,88%, A3=1,33%), e no G2(n=97) foram: SP (A1= 5,15%, A2= 5,15%, A3= 2,06%) e OB (A1=9,27%, A2=7,21%, A3=0%). Na comparao entre G1 e G2 observou-se diferena estatsticamente significativa entre as seguintes mdias: IMC: [G1=27,23 e G2=23,26 x (p=0,0344)]; CA: [G1=99,09 e G2=89,51 (p<0,0001)]; CC: [G1=93,64 e G2=86,37 (p<0,0001)] e RCQ: [G1=93,64 e G2=86,37 (p<0,0001)]. Na correlao, verificou-se associao considerada como fraca positiva (p<0,05) entre PCR e as variveis antropomtricas e o perfil lipdico. Os resultados apontam para maior freqncia e intensidade de fatores de risco cardiovasculares adicionais a hipertenso em mulheres em relao aos homens, nas faixas etrias relativamente mais jovens, A1 e A2, em relao a mais velha, A3, e no grupo de idosos hipertensos, G1, em relao ao de idosos predominantemente saudveis, G2. Observou-se correlao, considerada fraca positiva (r>0,30), entre PCR, perfl lipdico e variveis antropomtrica (p<0,05). Esta tese apresenta uma relao de interface multidisciplinar, tendo o seu contedo uma aplicao nos campos da Fisioterapia, Educao Fsica, Medicina, Nutrio e da Bioqumica

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The prevalence of obesity has been increased in the last three decades. It is already considered as epidemic by the World Health Organization and reaches around 300 million people worldwide. The weight gain in all ages is related to a sedentary way of life and hyper caloric food ingestion at the modern society. Obesity is a chronic disease and leads to high blood pressure, diabetes, cardiovascular diseases and cancer. The aim of this study was to evaluate the prevalence of weight excess among student in Natal schools and to analyze its association with age, gender, school category and geographic localization in city zones. This was a transversal study which enrolled 1927 children. 1084 of these were between 6 and 8 years-old (group 1) and 843 were 9 to 10 years-old (group 2). 895 of the total children studied in private schools and 1032 studied in public schools. 33,6% of the students had body mass index equal or above the 85th percentile and were considered as having weight excess. There was no statistical difference in this prevalence considering neither gender nor age. The weight excess prevalence in private schools was 54,5% and in public ones was 15,6% (p<0,01; OR=6,49). Weight excess was also more prevalent in the south and east city zones (41,3%) which have better quality of life index than in the north and west zones (28,4%) (p<0,01). In conclusion, the weight excess prevalence among students is found to be high in Natal and programs of intervention and prevention of obesity are necessary. The higher prevalence in private schools as in the wealthier city zones reflects the link between obesity and high socioeconomic level found in countries in developing. This was an interdisciplinary work with participation of epidemiology, child nutrition and pediatric endocrinology following the recommendations and principles of the Post graduation Program in Health Sciences of the Federal University of Rio Grande do Norte

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This work demonstrates the importance of using tools used in geographic information systems (GIS) and spatial data analysis (SDA) for the study of infectious diseases. Analysis methods were used to describe more fully the spatial distribution of a particular disease by incorporating the geographical element in the analysis. In Chapter 1, we report the historical evolution of these techniques in the field of human health and use Hansen s disease (leprosy) in Rio Grande do Norte as an example. In Chapter 2, we introduced a few basic theoretical concepts on the methodology and classified the types of spatial data commonly treated. Chapters 3 and 4 defined and demonstrated the use of the two most important techniques for analysis of health data, which are data point processes and data area. We modelled the case distribution of Hansen s disease in the city of Mossor - RN. In the analysis, we used R scripts and made available routines and analitical procedures developed by the author. This approach can be easily used by researchers in several areas. As practical results, major risk areas in Mossor leprosy were detected, and its association with the socioeconomic profile of the population at risk was found. Moreover, it is clearly shown that his approach could be of great help to be used continuously in data analysis and processing, allowing the development of new strategies to work might increase the use of such techniques in data analysis in health care

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Conselho Nacional de Desenvolvimento Cientfico e Tecnolgico

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Conselho Nacional de Desenvolvimento Cientfico e Tecnolgico

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This study aimed to determine the influence of strength training (ST), in three weekly sessions over ten weeks, on cardiovascular parameters and anthropometric measurements. It is a before and after intervention trial, with a sample composed of 30 individuals. Participants were adults aged between 18 and 40 years, from both sexes and sedentary for at least three months previously. Tests were computed ergospirometry, CRP, PWV and body composition (dependent variables) before and after the experiment. Independent variables, age and sex, were considered in order to determine their influence on the dependent variablesevaluatedend. By comparing the initial cardiovascular parameters with those obtained after intervention in patients undergoing the ST proposed (a Student s t-test was conducted within each group for samples matched to parameters with normal distribution, while the Wilcoxin was applied for those without), there was no significant difference in PWV(p =0469) or PCR(p =0.247), but there was an increase in anaerobic threshold(AT) (p=0.004) and Maximal Oxygen Uptake(VO2max) (p =0.052). In regard to anthropometric measures, individuals significantly reduced their body fat percentage (p<0.001) and fat mass (p<0,001), as well as increasing lean mass (p<0.001). However, no changes were recorded in the waist-to-hip ratio (WHR) (p= 0.777), body mass (p=0.226) or body mass index (BMI) (p =0.212). Findings of this study lead us to believe that the proposed ST, and did not increase the VOP or PCR improves cardiorespiratory capacity and body composition. Devotees of this training can therefore safely enjoy all its benefits without risk to the cardiovascular system

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Chronic lymphoproliferative disorders (DLPC) are lymphoid system diseases characterized by the abnormal proliferation of mature lymphocytes that affect B cells, T lymphocytes and NK cells. The aim of the study was to demonstrate the relevance of immunophenotyping by flow cytometry in patients with prolonged lymphocytosis and / or cytomorphological changes compatible with lymphoproliferative diseases. In this study 460 patients (244 men and 216 women) with DLPC were evaluated. Were analyzed by flow cytometry with a panel of monoclonal antibodies consisting of CD3, CD4, CD5, CD8, CD10, CD19, CD22, CD23, CD25, CD38, CD45, CD16/CD56, and HLADR heavy and light chains of immunoglobulins. It also examines information regarding age, gender of patients and laboratory data as leucocytes, cytomorphological analysis, platelet count and hemoglobin determination. The results showed 398 cases of chronic lymphoproliferative disorders and 62 of DLPC B cell lymphoproliferative diseases T. B showed the following distribution : 253 cases of chronic lymphocytic leukemia (CLL), 42 cases of multiple myeloma ( MM ), 37 cases of lymphoma non - Hodgkin lymphoma in leukemic phase (NHL) , 17 cases of pro- B lymphocytic leukemia ( B -PLL), 15 cases of mantle cell lymphoma (MCL ), 12 cases of plasma cell leukemia ( PCL), 9 cases of lymphoma Burkitt (Linf B), 8 cases of leukemia villous cells ( LCV), 3 cases of splenic lymphoma with villous cells (LECV), a case of follicular lymphoma (LF) and a Waldenstrn macroglobulinemia ( MW). The diseases source NK / T were 23 cases of peripheral T cell lymphoma (LCTP), 14 cases of T prolymphocytic leukemia (T -PLL), 10 cases of leukemia T of large granular lymphocytes (LGL -T) 9 cases of leukemia cells of adult T (LCTA), 5 cases of Sezary syndrome (SS) and a case of large granular NK leukemia (LGL -NK) lymphocytes. In conclusion, the combined use of the monoclonal antibody panel careful cytomorphological analysis was shown to be essential in immune diagnosis and classification of chronic lymphoproliferative disorders. This study was approved by the IRB - HUOL under number 356 / 09

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This study aimed to describe nurses' actions in the strategy of Integrated Management of Childhood Illness in the city of Natal, Rio Grande do Norte. This is a qualitative study with descriptive approach. The universe consisted of nurses from the Family Health Strategy, totaling 16 participants. For the research project was submitted for approval by the Ethics Committee of the Universidade Federal do Rio Grande do Norte, obtaining Opinion No. 187/2012. Data were obtained in two ways: a questionnaire survey to profile the training of nurses and an interview guided by a structured interview. Interviews were treated in the light of analysis of thematic category Bardin. The results showed the central thematic study "Integrated Management of Childhood Illness in the context of nursing activities" category and three analyzes: "Understanding the Integrated Management of Childhood Illness", "Difficulties invibializam use IMCI "and" Working conditions for nurses in the Integrated Management of Childhood Illness. " It is observed that nurses consider the Integrated Management of Childhood Illness useful, effective and important to keep sick children within the logic curative. However disregard the character of health promotion and disease prevention thereof. It was found that the participants still hold the attendance of crinaas within the biomedical model and that these same professionals are subjected to increasingly precarious working conditions and unhealthy due to lack of human and material resources. It was found that the interviewees do not follow the protocols of strategy because of barriers related to prescription medications by nurses, the medical, the lack of incentives, training and supervision by the municipal health and the Regional Nursing Council

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The studies paths in the maze: life story of individuals with oncological diseases into use of blood transfusion in Natal has the hemotherapy as a primordial procedure to review the relationship between users of oncological health and the due ramifications. The hemotherapy looks for supply the organic needs through blood transfusion, which acquires vital function to the ones that have cancer, because it might reestablish the functionality of the organism throughout the raising of blood components. The impact over the transfusion affects emotionally and physically the users life. Aiming to reflect on these impacts, this study tried, through narratives of lives, rescue their experience since their knowledge of the disease until the time of blood transfusion using. It s about an exploratory-descriptive study, where the qualitative approach uses the theoretical-methodological reference of the oral life history to analyze a colony consisting of five users of health diagnosed with cancer, with achievement of at least three blood transfusions, the clinic Ncleo de Hematologia e Hemoterapia - UFRN, in Natal-RN. The network, in turn, was composed by employees of both sexes, regardless of age, who voluntarily agreed to participate in the study. The data collection, with approval of the Ethics Committee in Research, Liga Norte Riograndense Contra o Cancer, on the number 001/001/2012, occurred through semi-structured interviews, recorded individually in the home context that was previously chosen by employees. The methodological procedure occurred with the transcription of the interviews and their transcreations, and analysis of reports by thematic content analysis. At the reading orientation and interpretation of the employees stories, were discussed three categories of analysis: the impact on psychological REVIEW; impact on socialization and group membership, the environment and the impact of blood transfusion on treatment. Based on the narrative of the life histories of employees, we conclude that the experiences and feelings, hope and sorrow, pain and faith, even when facing a disease like cancer, bring lots of teaching and learning to health professional that deposits humanization health and reinstate hemotherapy forms of clinical critical

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The changes incurred in the financial system with the introduction of new technologies and new forms of administration of banks has caused impact on the health of workers. These changes, which passed in the process of work, generate a combined share of the risk factors that result in numerous injuries and illnesses among banks, notably between the operators of banks tellers. The Work-Related Musculoskeletal Disordes - WRMD represent a group of occupational diseases always present among these workers. Because of its high incidence and the amount of financial resour envolved to manage the problem has been the object of constant study. This paper aims to analyze the bank teller activity; search the occurrence of WRMD in the activity, identifying the factors determining the occurrence of WRMD in the activity and determine the real number of touchs on a keyboard made by the operator and propose solutions that influence the reduction of illness in the workplace of the bank teller. Methodological tools of ergonomics are used to provide a broad knowledge of aspects of work that have been studied and influential in the generation of occupational diseases studied. It was found that activity put workers to serious risk of occupational diseases. As the main contributory factors and determinants for this illness: the requirements and control the numbers daily endorsements; evaluation system based on performance targets for productivity; management system at time of service to customers; work with stressful factors (broken box); excess of time worked; furniture of workstations with ergonomic inadequacies and policy for the prevention of occupational diseases inefficient. They have also noted cases of illness for DORT workers without fulfilling the legal requirement of the issuance of the communication of labour accident and without the removal of the employee of the workplace