Structure in Brazilian maternity hospitals: Key characteristics for quality of obstetric and neonatal care [Estrutura das maternidades: Aspectos relevantes para a qualidade da atenção ao parto e nascimento]
Bittencourt S.D.A.,Escola Nacional de Saude Publica Sergio Arouca |
Reis L.G.C.,Escola Nacional de Saude Publica Sergio Arouca |
Ramos M.M.,Subsecretaria de Vigilancia |
Rattner D.,University of Brasilia |
And 4 more authors.
Cadernos de Saude Publica | Year: 2014
This study aimed to evaluate key characteristics of structure in a sample of maternity hospitals in Brazil. Structure was evaluated according to Ministry of Health criteria and included: geographic location, obstetric volume, presence of ICU, teaching activities, staff qualifications, and availability of equipment and medicines. The results showed differences in staff qualifications and availability of equipment in obstetric and neonatal care according to type of financing, region of the country, and degree of complexity. The North/Northeast and Central-West regions presented the most serious problems with structure. The public and mixed hospitals were better structured in the South/Southeast, reaching satisfactory levels on various items, similar or superior to the private hospitals. The current study contributes to the debate on quality of structure in Brazil's hospital services and emphasizes the need to develop analytical studies considering process and results of obstetric and neonatal care.
PubMed | Subsecretaria de Vigilancia, Federal University of Mato Grosso do Sul, Centro Universitario do Estado do Para, University of Brasilia and Escola Nacional de Saude Publica Sergio Arouca
Type: | Journal: Cadernos de saude publica | Year: 2014
This study aimed to evaluate key characteristics of structure in a sample of maternity hospitals in Brazil. Structure was evaluated according to Ministry of Health criteria and included: geographic location, obstetric volume, presence of ICU, teaching activities, staff qualifications, and availability of equipment and medicines. The results showed differences in staff qualifications and availability of equipment in obstetric and neonatal care according to type of financing, region of the country, and degree of complexity. The North/Northeast and Central-West regions presented the most serious problems with structure. The public and mixed hospitals were better structured in the South/Southeast, reaching satisfactory levels on various items, similar or superior to the private hospitals. The current study contributes to the debate on quality of structure in Brazils hospital services and emphasizes the need to develop analytical studies considering process and results of obstetric and neonatal care.
Mendes A.D.,State University of Rio de Janeiro |
Bittencourt M.J.S.,Federal University of Pará |
Moure E.R.D.,University of Sao Paulo |
D'Macedo C.M.,Centro Universitario do Estado do Para |
And 2 more authors.
Anais Brasileiros de Dermatologia | Year: 2014
A 24-year-old male patient, who underwent kidney transplant six years ago due to Lupus nephritis, for the last two years presented asymptomatic erythematous scaly plaques on the abdomen and areas exposed to light. Post-transplantation immunosuppressive medications included prednisone, mycophenolate sodium and sirolimus. The histopathologic features were typical for epidermodysplasia verruciformis. Epidermodysplasia verruciformis is a rare autosomal recessive genodermatosis with increased susceptibility to specific strains of cutaneous human papilloma virus. The term "acquired epidermodysplasia verruciformis" was recently introduced to the literature and describes epidermodysplasia verruciformis occurring in patients with impaired cell-mediated immunity. We report an additional case associated to immunosuppression after kidney transplantation. © 2013 by Anais Brasileiros de Dermatologia.
Isolation, X-ray crystal structure and theoretical calculations of the new compound 8-epicordatin and identification of others terpenes and steroids from the bark and leaves of croton palanostigma Klotzsch
Brasil D.S.B.,Federal University of Pará |
Muller A.H.,Federal University of Pará |
Muller A.H.,Centro Universitario do Estado do Para |
Guilhon G.M.S.P.,Federal University of Pará |
And 4 more authors.
Journal of the Brazilian Chemical Society | Year: 2010
Phytochemical studies of the bark and leaves of Croton palanostigma Klotzsch (Euphorbiaceae) led to the isolation of a new clerodane diterpene, 8-epicordatin (2), in addition to 12-oxohardwickiic acid methyl ester (3), aparisthman, cordatin (1), ent-trachyloban-18-oic acid, ent-13-epimanoyl oxide, ent-3-oxo-13-epimanoyl oxide, ent-3β-hydroxy-13-epimanoyl oxide, sitosterol, stigmasterol, stigmastan-3-one, 6β-hydroxystigmast-4-en-3-one, 6β-hydroxystigmasta-4,22-dien-3-one, stigmast-4-en-3-one, stigmasta-4,22-dien-3-one, 3-O-acetylaleuritolic acid, 11α-hydroxyurs-12- en-3-one, α-amyrenone, 24-methylenecycloartenone and lupenone. These compounds were isolated using typical phytochemical procedures and the structures were deduced from spectroscopic studies, including 2D NMR experiments. In addition, the crystalline structure of 8-epicordatin (2) was determined by X-ray diffraction. NMR theoretical calculations at the B3PW91/DGDZVP level were used to confirm the assignment of the chemical shifts of the H-7α and H-7β hydrogens of 8-epicordatin. © 2010 Sociedade Brasileira de Química.
Souza D.L.,Centro Universitario Do Estado Do para |
Souza D.L.,Federal University of Pará |
Monteiro G.D.,Centro Universitario Do Estado Do para |
Monteiro G.D.,Federal University of Pará |
And 3 more authors.
Genetic and Evolutionary Computation Conference, GECCO'11 - Companion Publication | Year: 2011
This work presents a PSO implemention in CUDA architecture, aiming to speed up the algorithm on problems which has large amounts of data. PSO-GPU algorithm was designed to customization, in order to adapt for any problem that can be solved by a PSO algorithm. By implementing PSO using CUDA architecture, each processing core of the GPU will be responsible for a portion of the overall processing operation, where each one of these pieces are handled and executed in a massive parallel enviroment, opening the possibility for solving problems that require a large processing load in considerably less time. In order to evaluate the performance of PSO-GPU algorithm two functions were used, both global optimization problems, where without constraints (Griewank function) and other considering constraints, the Welded Beam Design (WBD). © 2011 Authors.
Goes Junior A.M.O.,Federal University of Pará |
Goes Junior A.M.O.,Centro Universitario do Estado do Para |
Jeha S.A.H.,Federal University of Pará |
Salgado J.R.C.,Hospital Porto Dias
Jornal Vascular Brasileiro | Year: 2016
The authors report on a case of a young woman who had previously undergone a right nephrectomy due to renal angiomyolipomas, currently presenting voluminous angiomyolipomas of the remaining kidney. The patient’s urologist referred her for endovascular treatment. Superselective arterial embolization of one tumor (located at the inferior renal pole), was conducted successfully. Several attempts at selective catheterization were made to embolize the second angiomyolipoma (located at the superior lobe), without jeopardizing a significant amount of the surrounding renal parenchyma, but this ultimately proved not to be feasible. The procedure and recovery were uneventful. The patient was discharged on the first postoperative day and has been followed for 9 months with no complications. The authors provide a brief review of the indications, technical aspects and complications of endovascular treatment of renal angiomyolipomas and also discuss the advantages of the endovascular approach over surgical resection for this kind of tumor. © 2016, Sociedade Brasileira de Angiologia e Cirurgia Vascular. All rights reserved.
PubMed | Centro Universitario do Estado do Para and Federal University of Pará
Type: Case Reports | Journal: Anais brasileiros de dermatologia | Year: 2015
Netherton syndrome is a rare autosomal recessive disease characterized by erythroderma, ichthyosis linearis circumflexa, atopy, failure to thrive and a specific hair shaft abnormality called trichorrhexis invaginata or bamboo hair, considered pathognomonic. We report the case of a 4-year-old boy with erythroderma since birth, growth deficit and chronic diarrhea. Trichoscopy was used to visualize typical bamboo and golf tee hair and of key importance to diagnose Netherton syndrome. We suggest the use of this procedure in all children diagnosed with erythroderma.
PubMed | Centro Universitario do Estado do Para, Federal University of Pará and Instituto Evandro Chagas
Type: Journal Article | Journal: Revista da Sociedade Brasileira de Medicina Tropical | Year: 2015
This study aimed to estimate the prevalence of the most frequent oral and systemic manifestations in human immunodeficiency virus-1 (HIV-1)-positive patients.The study was conducted on 300 HIV-1 patients attending the Reference Unit Specialized in Special Infectious Parasitic Diseases in Belm, Par, Brazil.The most prevalent oral conditions were caries (32.6%), candidiasis (32%), and periodontal disease (17%). Among the systemic manifestations, hepatitis (29.2%), gastritis (16%), arterial hypertension (14.7%), and tuberculosis (12%) were the most commonly observed.We here reported on the most prevalent oral and systemic conditions in HIV-1-positive patients. The healthcare professionals knowledge of the various manifestations among these patients is fundamental to ensure prompt and accurate diagnosis and treatment, and for improving the quality of life of these patients.
PubMed | Federal University of Rio de Janeiro, Centro Universitario do Estado do Para and São Paulo State University
Type: Journal Article | Journal: Brazilian oral research | Year: 2016
The main objective of this study was to cause bisphosphonate-related osteonecrosis of the jaws to develop in a rodent model. Adult male Holtzman rats were assigned to one of two experimental groups to receive alendronate (AL; 1 mg/kg/week; n = 6) or saline solution (CTL; n = 6). After 60 days of drug therapy, all animals were subjected to first lower molar extraction, and 28 days later, animals were euthanized. All rats treated with alendronate developed osteonecrosis, presenting as ulcers and necrotic bone, associated with a significant infection process, especially at the inter-alveolar septum area and crestal regions. The degree of vascularization, the levels of C-telopeptide cross-linked collagen type I and bone-specific alkaline phosphatase, as well as the bone volume were significantly reduced in these animals. Furthermore, on radiographic analysis, animals treated with alendronate presented evident sclerosis of the lamina dura of the lower first molar alveolar socket associated with decreased radiographic density in this area. These findings indicate that the protocol developed in the present study opens new perspectives and could be a good starting model for future property design.
PubMed | Centro Universitario do Estado do Para, University Estadual do Para and UEPA
Type: Evaluation Studies | Journal: Acta cirurgica brasileira | Year: 2015
To evaluate the effects of nitrofurazone on the correction of abdominal wall defect treated with polypropylene mesh involved by fibrous tissue in rats.A defect in the abdominal wall was created and corrected with polypropylene mesh in 20 rats. They were randomly distributed into four groups: control, fibrous mesh, nitrofurazone and nitrofurazone dip in the mesh. Euthanasia was performed in 21 post-operative days. The healing process was analyzed regarding the meshes and macroscopic and microscopic aspects.All animals had adhesions. However, no statistically significant difference (p>0.05) when compared between groups. Similarly microscopic analysis, in which there was no statistical significance level for the evaluated parameters such as mono and polymorphonuclear lymphocytes, granuloma, fibrosis, necrosis and collagen proliferation.There was no significant effect on the abdominal wall defect repair with polypropylene mesh surrounded by fibrous tissue when dipped in nitrofurazone 2%.