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au:Figueredo, Maria Cristina

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Factors associated with oral health-related quality of life of institutionalized elders
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OLIVEIRA, Luiz Fabrício Santos de

; WANDERLEY, Rayssa Lucena

; ARAÚJO, Elza Cristina Farias de

; MEDEIROS, Mariana Marinho Davino de

; FIGUEREDO, Olívia Maria Costa de

; PINHEIRO, Mayara Abreu

; RODRIGUES GARCIA, Renata Cunha Matheus

; CAVALCANTI, Yuri Wanderley

Brazilian Oral Research

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2021, Volume 35 elocation e015

Abstract: En | Text: En | PDF: En

Abstract This study aimed to evaluate the correlation between two Oral Health-Related Quality of Life (OHRQoL) questionnaires (the Oral Health Impact Profile (OHIP-14) and the Geriatric Oral Health Assessment Index (GOHAI)) and to investigate the factors associated with the OHRQoL of institutionalized elderly individuals. A cross-sectional multicenter study was performed with 344 institutionalized elderly individuals residing in two Brazilian cities. Six trained researchers interviewed the elderly individuals. Sociodemographic data were collected from medical records. Dental caries experience and the use of and need for dentures were recorded through oral examination performed by two trained examiners. A Likert scale (1–5 points) was used to assess general health and self-perceived oral health. The number of chewing cycles needed to chew a portion of peanuts was used to assess the swallowing threshold. The OHIP-14 and GOHAI were used to evaluate OHRQoL, and statistically significant correlations were assessed using Spearman’s correlation test (p < 0.05). Poisson regression (p < 0.05) was used to investigate the association of OHRQoL with independent variables. Scores on the OHIP-14 (7.57 ± 8.63) and GOHAI (32.46 ± 3.85) were strongly and inversely correlated (r2 = -0.671, p < 0.001), although these measures were associated with different factors. A higher OHIP-14 total score (worse OHRQoL) was associated with female gender, a greater number of healthy teeth, worse self-perceived general health and oral health, and a lower swallowing threshold (p < 0.05). A higher GOHAI total score (better OHRQoL) was associated with a greater number of filled teeth, better self-perceived oral health and a greater swallowing threshold (p < 0.05). In conclusion, worse OHRQoL among institutionalized elderly individuals is associated with worse self-perceived oral health and a greater swallowing threshold.

https://doi.org/10.1590/1807-3107bor-2021.vol35.0015 906 downloads

Detection of Drug Resistant Mycobacterium Tuberculosis Strains Using Kit SIRE Nitratase®: a Multicenter Study
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Miranda, Silvana Spindola de

; Almeida, Isabela Neves de

; Mansur, Maria de Fátima Filardi Oliveira

; Figueredo, Lida Jouca de Assis

; Carvalho, Wânia da Silva

; Hadaad, João Paulo Amaral

; Diniz, Jaciara de Lourdes do Carmo Guimarães

; Groll, Andrea von

; Silva, Pedro Almeida da

; Lopes, Maria Luiza

; Santos, Marcelo Cordeiro dos

; Brito, Alexandra

; Mello, Fernanda Carvalho de Queiroz

; Malaquias, Thiago da Silva Santos

; Croda, Julio

; Pinhata, Juliana Maira Watanabe

; Oliveira, Rosângela Siqueira de

; Chimara, Erica

; Rossetti, Maria Lúcia

; Halon, Maria Laura

; Lourenço, Maria Cristina

; Medeiros, Reginalda Ferreira de Melo

; Montes, Fátima Cristina Onofre Fandinho

; Machado, Diana

; Viveiros, Miguel

; Kritski, Afrânio Lineu

Brazilian Archives of Biology and Technology

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2020, Volume 63 elocation e20190179

Abstract: En | Text: En | PDF: En

Abstract (1) Background: The Commercial Kit SIRE Nitratase® PlastLabor, is a drug susceptibility test kit used to detect Mycobacterium tuberculosis resistance to first-line TB treatment drugs. The present study aimed at evaluating its performance in a multicenter study. (2) Methods: To determine its accuracy, the proportion methods in Lowenstein Jensen medium or the BACTECTMMGITTM960 system was used as a gold standard. (3) Results: The study revealed that the respective accuracies of the kit with 190 M. tuberculosis clinical isolates, using the proportion methods in Lowenstein Jensen medium or BACTECTMMGITTM960 system as a gold standard, were 93.9% and 94.6%, 96.9% and 94.6%, 98.0% and 97.8%, and 98.0% and 98.9%, for streptomycin, isoniazid, rifampicin, and ethambutol, respectively. (4) Conclusion: Thus, the kit can rapidly screen resistance to streptomycin, isoniazid, rifampicin, and ethambutol. Additionally, it does not require sophisticated equipment; hence, it can be easily used in the laboratories of low and middle income countries.

https://doi.org/10.1590/1678-4324-2020190179 905 downloads

Molecular detection of Leishmania spp. in cattle from Brazil by means of PCR using internal transcribed spacer 1
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Vioti, Geovanna

; Leonel, João Augusto Franco

; Lemes, Kleber Menegon

; Pereira, Vanessa Figueredo

; Ferreira, Helena Lage

; Keid, Lara Borges

; Madureira, Ed Hoffman

; Soares, Rodrigo Martins

; Benassi, Júlia Cristina

; Oliveira, Trícia Maria Ferreira de Sousa

Revista Brasileira de Parasitologia Veterinária

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apr 2019, Volume 28 N. 2 Pages 303 - 305

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Leishmania spp. são agentes causadores das leishmanioses em humanos e em animais, gerando grande impacto à saúde pública. Este estudo objetivou detectar a circulação de Leishmania spp. em área não endêmica para leishmaniose visceral de São Paulo, Brasil. Foram extraídas amostras de DNA de 100 novilhas da cidade de Pirassununga. Estas amostras foram amplificadas com os iniciadores específicos para tripanosomatídeos Internal Transcriber Spacer 1 (ITS1). Os ensaios revelaram uma amostra com bandas entre 300 e 350 pares de base (pb). A amostra demonstrou 100% de identidade com Leishmania infantum (314 pb). Os resultados sugerem que o gado pode ser infectado por L. infantum no Brasil.

Abstract Leishmania spp. are important agents of human and animal leishmaniases that have an important impact on public health. In this study, we aimed to detect the circulation of Leishmania spp. in cattle from a visceral leishmaniasis non-endemic area of the state of São Paulo, Brazil. DNA was extracted from blood samples from 100 heifers in the municipality of Pirassununga and was amplified using primers specific for the first internal transcriber spacer (ITS1), to assess the presence of trypanosomatids. The assays revealed that one sample presented bands of between 300 and 350 base pairs. In GenBank, this sample matched 100% with Leishmania infantum (314 base pairs). The results suggest that cattle can be infected by Leishmania infantum in Brazil.

https://doi.org/10.1590/s1984-29612019003 1028 downloads

O financiamento federal da política de saúde bucal no Brasil entre 2003 e 2017
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Rossi, Thais Regis Aranha

; Chaves, Sonia Cristina Lima

; Almeida, Ana Maria Freire de Lima

; Santos, Carla Maria Lima

; Santana, Sisse Figueredo de

Saúde em Debate

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dec 2018, Volume 42 N. 119 Pages 826 - 836

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Este estudo descreveu e analisou os repasses financeiros federais para a Política Nacional de Saúde bucal (PNSB) no período 2003-2017. Realizou-se análise retrospectiva do financiamento federal da PNSB com dados coletados da base do Fundo Nacional de Saúde, nas rubricas relacionadas com a saúde bucal com correção de valores pelo Índice de Preços ao Consumidor (IPCA) até 2017. A série histórica dos repasses para a atenção em saúde bucal no período 2003-2017 mostrou um gasto federal crescente até 2012, com queda no início de 2013, manutenção de valores de 2013 a 2016 e discreta redução em 2017, chegando a R$ 1.059.555.548,48 neste último ano. Isso significou que o percentual de repasse do governo federal para a saúde bucal em relação ao repasse total passou de 0,62% em 2003 para 1,63% em 2017. Observou-se um aumento da participação percentual do financiamento da Atenção Especializada, principalmente a partir de 2013, passando de 2,3% em 2008 para 21,6% em 2017. A Atenção Básica recebia 97,3% do financiamento federal em 2003 e apenas 78,3% em 2017. Medidas de austeridade fiscal e mudanças nos blocos de financiamento podem indicar um caminho institucionalizado de redução dos repasses federais na saúde que poderão impactar nessa política setorial específica.

ABSTRACT This study described and analyzed the federal financial transfers for the Oral Health Policy in Brazil (PNSB), in the period 2003-2017. A retrospective analysis of the federal funding of the PNSB was carried out with data collected from the National Health Fund base under the headings related to oral health with correction of values by Consumer Price Index (IPCA) until 2017. The historical series of spending for oral health care in 2003-2017 showed a growing federal spending up to 2012, falling at the beginning of 2013, maintaining values from 2013 to 2016 and a slight reduction in 2017, reaching R$ 1,059,555,548.48 this past year. This meant that the percentage of federal government transfer to oral health in relation to the total transfer rate increased from 0.62% in 2003 to 1.63% in 2017. There was an increase in the percentage share of Specialized Care financing, mainly as of 2013, from 2.3% in 2008 to 21.6% in 2017. Primary Care received 97.3% of federal funding in 2003 and only 78.3% in 2017. The investment has been low. Fiscal austerity measures and changes in funding blocks may indicate an institutionalized path of reduction of federal transfer in health, which may impact this particular sectoral policy.

https://doi.org/10.1590/0103-1104201811903 2 downloads

O financiamento federal da política de saúde bucal no Brasil entre 2003 e 2017
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Rossi, Thais Regis Aranha

; Chaves, Sonia Cristina Lima

; Almeida, Ana Maria Freire de Lima

; Santos, Carla Maria Lima

; Santana, Sisse Figueredo de

Saúde em Debate

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oct 2018, Volume 42 N. 119 Pages 826 - 836

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/0103-1104201811903 1029 downloads

Atenção à pessoa com fissura labiopalatina: proposta de modelização para avaliação de centros especializados, no Brasil
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Almeida, Ana Maria Freire de Lima

; Chaves, Sônia Cristina Lima

; Santos, Carla Maria Lima

; Santana, Sisse Figueredo de

Saúde em Debate

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mar 2017, Volume 41 N. spe Pages 156 - 166

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Este estudo elaborou um modelo lógico de atenção à pessoa com fissura labiopalatina, para subsidiar avaliações em centros de reabilitação do País. Foram revisadas as diretrizes internacionais da área, publicações de especialistas do Hospital de Reabilitação de Anomalias Craniofaciais da Universidade de São Paulo e do Ministério da Saúde. O modelo contempla duas dimensões - Gestão da atenção e Reabilitação do paciente -, além de demarcar objetivos, atividades e resultados necessários para a reabilitação integral do indivíduo. A modelização da intervenção é passo essencial para a elaboração do instrumento de avaliação dessa atenção, que poderá ser reproduzida nos vários estados brasileiros.

ABSTRACT This study has designed a logic model of care for individuals with cleft lip and palate in order to subsidize the assessment of rehabilitation centers in the Country. International guidelines, as well as publications by experts from the Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo and from the Ministry of Health have been reviewed. The logic model comprises two dimensions - Care Management and Patient Rehabilitation - and defines objectives, interventions and necessary results for the integral rehabilitation of the individual. The intervention modeling is an essential step for the design of the assessment tool, which may be replicated in other Brazilian states.

https://doi.org/10.1590/0103-11042017s12 777 downloads

Atenção à pessoa com fissura labiopalatina: proposta de modelização para avaliação de centros especializados, no Brasil
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Almeida, Ana Maria Freire de Lima

; Chaves, Sônia Cristina Lima

; Santos, Carla Maria Lima

; Santana, Sisse Figueredo de

Saúde em Debate

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mar 2017, Volume 41 N. spe Pages 156 - 166

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/0103-11042017s12 4802 downloads

Detection of canine visceral leishmaniasis by conjunctival swab PCR
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Pereira, Vanessa Figueredo

; Benassi, Julia Cristina

; Starke-Buzetti, Wilma Aparecida

; Silva, Diogo Tiago

; Ferreira, Helena Lage

; Keid, Lara Borges

; Soares, Rodrigo Martins

; Ruiz, Vera Letticie de Azevedo

; Oliveira, Trícia Maria Ferreira de Sousa

Revista da Sociedade Brasileira de Medicina Tropical

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feb 2016, Volume 49 N. 1 Pages 104 - 106

Abstract: En | Text: En | PDF: En

Abstract: INTRODUCTION: Conjunctival swab PCR was evaluated as a tool to diagnose visceral leishmaniasis in dogs. METHODS: Conjunctival swab PCR was compared to indirect immunofluorescence antibody test and blood PCR. RESULTS: Indirect immunofluorescence was significantly correlated with conjunctival swab PCR (p < 0.05), but not with blood PCR (p > 0.05). In addition, conjunctival swab PCR was significantly associated with presence of clinical symptoms (p < 0.05), whereas blood PCR was associated with absence of clinical symptoms (p < 0.05). CONCLUSIONS: Results indicate that conjunctival swab PCR is useful in epidemiological surveys of canine visceral leishmaniasis.

https://doi.org/10.1590/0037-8682-0191-2015 2063 downloads

Toxoplasma gondii, Neospora caninum and Leishmania spp. serology and Leishmania spp. PCR in dogs from Pirassununga, SP
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Seabra, Nathália Mendonça de

; Pereira, Vanessa Figueredo

; Kuwassaki, Marcos Vinícius

; Benassi, Julia Cristina

; Oliveira, Trícia Maria Ferreira de Sousa

Revista Brasileira de Parasitologia Veterinária

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dec 2015, Volume 24 N. 4 Pages 454 - 458

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Avaliou-se a presença de anticorpos contra Toxoplasma gondii, Neospora caninum e Leishmania spp.; assim como a presença de DNA de Leishmania spp. em cães de Pirassununga-SP, e associou-se sua soropositividade ao local de origem dos animais. Foram coletadas 373 amostras de sangue do canil municipal e de clínicas veterinárias locais, que foram analisadas pelo teste de Imunofluorescência Indireta (RIFI). Do total, 300 amostras foram testadas para T. gondii e N. caninum, das quais 45% (135/300) foram positivas para T. gondii e 24,3% (73/300) para N. caninum. Para Leishmania spp. foram avaliadas 373 amostras pela RIFI, sendo 4,6% (17/373) positivas. Adicionalmente, 145 amostras foram testadas utilizando-se a PCR e, dessas amostras, 0,7% (1/145) foi positiva. Considerando-se os resultados, pode-se concluir que esses parasitos estão presentes na cidade de Pirassununga - SP e que os animais tiveram contato com os protozoários. Faz-se, dessa forma, necessária a divulgação de meios de prevenção às doenças, com o intuito de manter o controle sobre as mesmas, tanto na saúde animal quanto na saúde humana, em relação à leishmaniose e à toxoplasmose.

Abstract We examined the presence of antibodies against the parasites Toxoplasma gondii, Neospora caninum, and Leishmania spp., as well the presence of DNA from Leishmania spp., in dogs from Pirassununga - SP. The seropositivity rate was compared with the animals’ originating location. Three hundred seventy-three blood samples from the county’s kennel and local veterinary clinics were collected and analyzed. A total of 300 samples were tested for T. gondii and N. caninum using an indirect immunofluorescence antibody test (IFAT); 45% (135/300) were positive for T. gondii and 24.3% (73/300) were positive for N. caninum. Three hundred seventy-three samples were tested for Leishmania spp. using the IFAT. Of these, 4.6% (17/373) were positive. Additionally, 145 samples were tested using a polymerase chain reaction (PCR); of these samples, 0.7% (1/145) was positive. Considering the results, we conclude that these parasites are present in the city of Pirassununga - SP and that the animals have contact with the protozoan. It is therefore necessary to create methods for disease prevention to maintain both animal and human health in regard to leishmaniasis and toxoplasmosis.

https://doi.org/10.1590/S1984-29612015046 1548 downloads

10.

Conjunctival swab PCR to detect Leishmania spp. in cats
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Oliveira, Trícia Maria Ferreira de Sousa

; Pereira, Vanessa Figueredo

; Benvenga, Graziella Ulbricht

; Martin, Maria Fernanda Alves

; Benassi, Julia Cristina

; Silva, Diogo Tiago da

; Starke-Buzetti, Wilma Aparecida

Revista Brasileira de Parasitologia Veterinária

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jun 2015, Volume 24 N. 2 Pages 220 - 222

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

A importância do cão como fonte de infecção da leishmaniose visceral já é conhecida, mas o papel dos gatos como reservatórios das leishmanioses ainda não está totalmente esclarecido. O presente estudo avaliou a eficácia da PCR de suabe conjuntival (PCR-SC) na detecção de gatos infectados por Leishmania spp. Foram encontrados sete (13,5%) gatos positivos para Leishmania spp. na PCR de suabe conjuntival, dentre 52 animais de Pirassununga - SP e Ilha Solteira - SP testados. Sendo positivos 28,6% (02/07) dos gatos do município de Pirassununga e 11,1% (5/45) dos gatos do município de Ilha Solteira. Os resultados demonstraram que o suabe de conjuntiva ocular foi capaz de detectar gatos infectados por esse protozoário. A coleta de amostras da conjuntiva mostrou ser um método simples, menos invasivo e pouco estressante para os gatos e seus proprietários, o que pode facilitar estudos sobre a frequência e distribuição da leishmaniose felina.

The relevance of the dog as a source of visceral leishmaniasis infection is known, but the role of cats as reservoir hosts for leishmaniasis is not yet fully clear. This study assessed the efficacy of conjunctival swab PCR (CS-PCR) in the detection of cats infected by Leishmania spp. The results were seven (13.5%) cats positive for Leishmania spp. in the PCR, in 52 cats tested from Pirassunuga-SP and Ilha Solteira-SP. From the city of Pirassununga – SP 28.6% (2/7) were positive and from the city of Ilha Solteira – SP 11.1% (5/45) were positive. The results showed that CS-PCR was capable of detecting cats infected by this protozoan. Conjunctival swab samples proved easier to perform in cats, which might facilitate studies on the frequency and distribution of feline leishmaniasis.

https://doi.org/10.1590/S1984-29612015016 2698 downloads

11.

Nivel de información sobre cuidados paliativos en médicos residentes
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Hernández Quintero, Odalys Tomaida

; Arbelo Figueredo, Mónica

; Reyes Mendes, María Cristina

; Medina González, Inarvis

; Chacón Reyes, Elicerio Jorge

Educación Médica Superior

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mar 2015, Volume 29 N. 1 Pages 14 - 27

Abstract: Es | Text: Es | PDF: Es

89 downloads

12.

Exploración del conocimiento sobre cuidados paliativos en el Centro de Reumatología
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López Mantecón, Ana Marta

; Machado Vázquez, Lázaro Iván

; Hernández Quintero, Odalys

; Arvelo Figueredo, Mónica

; González Hernández, Ciro

; Reyes Méndez, María Cristina

Revista Cubana de Reumatología

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apr 2014, Volume 16 N. 1 Pages 5 - 14

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Palliative Cares are known as intensive cares of comfort. They try to enable all that is capable to reduce or avoid suffering, consequently to provide life quality. Today, Palliative medicine has a broad vision, which includes patients with a recent diagnosis of advanced cancer, patients with progressive chronic illnesses of an organ and degenerative illnesses, like the ones related to the inflammation of the connective tissue, which constitute a group of diseases that rheumatologic assistance has as main goal. Frequent association with other chronic diseases and treatment complications produce a progressive damage to the patient, organ deterioration and death, generally because of renal, cardiac, respiratory, digestive and central nervous system impairment. Nowadays, it is of interest for medical practice that health professionals know about palliative cares. We proposed to find out what all the physicians who work at the Rheumatologic Center know on this issue and identify the learning needs on the topic, through a descriptive and transversal study; hence, a survey was designed for that purpose. We found that most of people polled have more than one medical specialty, they have 10 years or more of professional experience, the level of information on palliative cares is not enough and they consider that learning on this issue should begin during their development as a medical doctor.

Los cuidados paliativos se conocen como cuidados intensivos de confort. Procuran facilitar lo que sea capaz de reducir o evitar el sufrimiento, así como proporcionar calidad de vida. La medicina paliativa presenta hoy en día una visión amplia que incluye a enfermos con diagnóstico reciente de cáncer avanzado, a pacientes con enfermedad crónica avanzada de un órgano y enfermedades degenerativas como las inflamatorias del tejido conectivo, que constituyen un grupo de enfermedades que tienen el papel central de la atención en reumatología. La asociación frecuente con otras enfermedades crónicas y las complicaciones propias del tratamiento producen un daño progresivo, deterioro multiorgánico y muerte, generalmente, por afección renal, cardíaca, respiratoria digestiva y del sistema nervioso central. Actualmente resulta de especial interés para el ejercicio de la medicina, que los profesionales tengan conocimientos sobre cuidados paliativos. Nos propusimos explorar el nivel de información e identificar las necesidades de aprendizaje sobre el tema, en la totalidad de los profesionales médicos que laboran en el Centro de Reumatología a través de un estudio descriptivo de corte transversal y con una encuesta diseñada al efecto. Encontramos que la mayor proporción de encuestados han cursado más de una especialidad médica, poseen 10 años o más de experiencia profesional, el nivel información sobre el tema es insuficiente y consideran el aprendizaje sobre cuidados paliativos debe comenzar en la formación de pregrado.

13.

Hospital Amigo da Criança: prevalência de aleitamento materno exclusivo aos seis meses e fatores intervenientes
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Figueredo, Sonia Fontes

; Mattar, Maria Jose Guardia

; Abrao, Ana Cristina Freitas de Vilhena

Revista da Escola de Enfermagem da USP

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dec 2013, Volume 47 N. 6 Pages 1291 - 1297

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

O objetivo da pesquisa foi identificar o padrão de aleitamento materno exclusivo nos primeiros seis meses de vida de crianças nascidas em um Hospital Amigo da Criança e os fatores que contribuíram para o desmame precoce. Estudo de coorte prospectivo com 261 mães e crianças. Os dados foram avaliados utilizando-se a análise de sobrevivência através da construção da curva de Kaplan-Meier e teste de Log-Rank para a análise univariada. Foi realizada análise multivariada utilizando-se o modelo de Regressão de Cox com riscos proporcionais. Ao longo dos seis meses, o aleitamento materno exclusivo praticado com 30, 90, 120, 150 e 180 dias foi 75%, 52%, 33%, 19% e 5,7%, respectivamente. Na análise multivariada, as variáveis que mostraram risco para o desmame precoce foram a intercorrência mamária hospitalar e, na consulta de retorno, a posição inadequada e a associação das duas anteriores. A Iniciativa Hospital Amigo da Criança favoreceu o aleitamento materno exclusivo.

The objective of this research was to identify the pattern of exclusive breastfeeding (EBF) in the first 6 months of infants born in a Baby-Friendly Hospital and the factors that contribute to early weaning. This was a prospective cohort study with 261 mothers and children. The data were analyzed via the construction of a Kaplan-Meier survival curve, and the log-rank test was used for the univariate analysis. A multivariate analysis was performed using the Cox proportional-hazards regression model. During the 6 months, the percentage of mothers who practiced EBF for 30, 90, 120, 150 and 180 days was 75%, 52%, 33%, 19% and 5.7%, respectively. In the multivariate analysis, the variables that conferred a risk for early weaning were the hospital and the occurrence of a follow-up visit due to mammary complication, improper positioning and the association of both of these factors. The Baby-Friendly Hospital Initiative favored EBF.

El objetivo de la investigación fue identificar el patrón de lactancia materna exclusiva en los primeros seis meses de vida de niños nacidos en un Hospital Amigo del Niño y los factores que contribuyeron para el destete precoz. Estudio de cohorte prospectivo realizado con 261 madres y niños. Fue utilizado el análisis de sobrevivencia a través de la construcción de la curva de Kaplan-Meier y el test de Log-Rank para el análisis univariado. Para el análisis multivariado se usó el modelo de Regresión de Cox con riesgos proporcionales. Durante seis meses, la lactancia materna exclusiva practicada con 30, 90, 120, 150 y 180 días fue del 75%, 52%, 33%, 19% y 5,7%, respectivamente. En el análisis multivariado, las variables que mostraron riesgo para el destete precoz fueron por algún tipo de problema mamario en el hospital y, en la consulta de retorno, la posición inadecuada y la asociación de las dos anteriores. La Iniciativa Hospital Amigo del Niño favoreció la lactancia materna exclusiva.

https://doi.org/10.1590/S0080-623420130000600006 14031 downloads Cited 3 times in SciELO

14.

Hospital Amigo da Criança: prevalência de aleitamento materno exclusivo aos seis meses e fatores intervenientes
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Figueredo, Sonia Fontes

; Mattar, Maria Jose Guardia

; Abrao, Ana Cristina Freitas de Vilhena

Revista da Escola de Enfermagem da USP

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dec 2013, Volume 47 N. 6 Pages 1291 - 1297

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

https://doi.org/10.1590/S0080-623420130000600006 2 downloads Cited 3 times in SciELO

15.

Endocarditis infecciosa de alto riesgo embolígeno durante el embarazo: ¿manejo conservador o quirúrgico?
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Echeverría, Luis Eduardo

; Figueredo, Antonio

; Gómez, Juan Carlos

; Salazar, Leonardo Alberto

; Rodriguez, Jaime Alberto

; Pizarro, Camilo Ernesto

; Riaño, Carlos Eduardo

; Perroni, Addy

; Cuadros, Alba Lucía

; Villamizar, María Cristina

; Suárez, Edwin Uriel

Archivos de cardiología de México

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sep 2013, Volume 83 N. 3 Pages 209 - 213

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

A 22-year-old pregnant woman was seen at 14 weeks of pregnancy for infective endocarditis with a vegetation of 15 mm and wide mobility, which affected the native mitral valve accompanied by severe valvular insufficiency. Antibiotic treatment was given for 4 weeks despite the embolism risk. Due to persistence of vegetation size and after considering the fetal and maternal risk, the surgical procedure was favored. We decided to perform valvuloplasty and removal of lesion at 18 weeks of pregnancy. Fetal protection techniques were used and a bioprosthesis was placed before attempting a repair. The postoperative follow-up was satisfactory, achieving a successful birth by cesarean section at 30 weeks.

Presentamos el caso de una paciente de 22 años de edad con embarazo de 14 semanas y endocarditis infecciosa de válvula mitral nativa con una vegetación de 15 mm con amplia movilidad, acompañada de insuficiencia valvular severa. Inicialmente, y pese al riesgo embolígeno, se dio tratamiento antibiótico durante 4 semanas. Por persistencia del tamaño de la vegetación se decide llevar a cirugía para reparación mitral y remoción de la lesión en la semana 18 de gestación, considerando que el balance entre el riesgo fetal y materno estaba a favor del procedimiento quirúrgico. Se usaron técnicas de protección fetal intraoperatoria y se colocó una prótesis biológica previo intento de reparación. La evolución postintervención fue satisfactoria, lográndose parto por cesárea a las 30 semanas.

https://doi.org/10.1016/j.acmx.2013.04.012 2511 downloads Cited 1 time in SciELO

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