Clara Nobre - Academia.edu (original) (raw)

Papers by Clara Nobre

Research paper thumbnail of Perfil clínico e terapêutico dos pacientes vítimas de hemor- ragia subaracnóidea não traumática no sistema único de saúde no município de Barbacena - MG

Introduction: The non-traumatic subarachnoid hemorrhage (HSANT) remains with unchanged incidence ... more Introduction: The non-traumatic subarachnoid hemorrhage (HSANT) remains with unchanged incidence rates, in contrast to the reduction in the occurrence of other cerebrovascular disorders. It shows high morbidity and mortality and causes disability in young people. Objective: to evaluate the clinical characteristics and treatment of non-traumatic HSA victims. Method: cross-sectional and descriptive study of 91 medical records from victims of non-traumatic HSA undergoing cerebral angiography in the Unified Health System (SUS) in Barbacena, between 2006 and 2010. Result: 55.0% of HSANT occurred in women; 48.3% between 31 and 50 years of age, with an average of 47 years old; explosive headache was the initial complaint in 84.6%; 71.2% hypertense and 65.9% due to aneurysm. Hydrocephalus was developed in 100% of patients undergoing surgery after the 16 th day after surgery; 100% of those infected remained hospitalized for more than six days. Conclusion: HSANT predominates in women between ...

Research paper thumbnail of Parents Knowledge and Attitudes Towards the use of Antibiotics in Patients within the Paediatric age Range

Pediatric Oncall, 2020

To assess parents' knowledge and attitudes towards the use of antibiotics within the paediatric a... more To assess parents' knowledge and attitudes towards the use of antibiotics within the paediatric age range. Methods and Materials: This observational, descriptive and cross-sectional study, with a voluntary and anonymous questionnaire was implemented over three months to a sample of parents of children and teenagers enrolled on two Family Health Units, D. Jordão (rural area) and Sétima Colina (urban area). results: A total of 294 valid questionnaires were obtained. Only 149 (51%) answered that antibiotics treat bacterial infections, 101 (34%) believed that they help in the recovery of a flu and 36 (12%) considered that they should always be used in case of fever. Two hundred twenty-seven (77%), identified misuse of antimicrobials as a cause of bacterial resistance, even so, 31% became concerned if the doctor does not prescribe these drugs. Only 87 (30%) showed high level of knowledge and a statistically significant correlation existed between higher age of parents [Odd's ratio (OR)=2.37], education (OR=3.42), confidence in doctors (OR=2.06) and level of knowledge of respondents. There was no statistically significant difference between the level of knowledge of users in the rural environment compared to those in the urban environment (p=0.546). conclusion: Most parents are unaware of antibiotics' function, as well as the difference between viral and bacterial infections. Although they identify that misuse of these drugs may lead to bacterial resistance, parents become reluctant when antibiotics are not prescribed. introduction Antibiotics, whose function allows the prevention and cure of infections of bacterial origin, are considered one of the most relevant inventions of the 20 th century. 1-3 Prior to their discovery, bacterial infections contributed significantly tzo morbidity and mortality on a global scale. 1,4 Thus, antibiotics play an essential role in medical practice, 2,5 so their prescription has been increasing. 4,6 In 2014, these drugs contributed to 70.5% of the total anti-infectious drugs prescribed at ambulatory care and hospitals in Mainland Portugal. 7 However, its widespread use correlates with the development of strains of resistant bacteria. 1,8,9 Although this is a natural process resulting from the selective pressure exerted by the use of antibiotics, the selection of resistant strains is enhanced by inappropriate and frequent use of this pharmacological class. 8,10,15

Research paper thumbnail of Clinical and therapeutic profile of patients who are victims of non-traumatic subarachnoid hemorrhage in the unified health system in the municipality of Barbacena - MG

Revista Médica de Minas Gerais, 2014

Introduction: The non-traumatic subarachnoid hemorrhage (HSANT) remains with unchanged incidence ... more Introduction: The non-traumatic subarachnoid hemorrhage (HSANT) remains with unchanged incidence rates, in contrast to the reduction in the occurrence of other cerebrovascular disorders. It shows high morbidity and mortality and causes disability in young people. Objective: to evaluate the clinical characteristics and treatment of non-traumatic HSA victims. Method: cross-sectional and descriptive study of 91 medical records from victims of non-traumatic HSA undergoing cerebral angiography in the Unified Health System (SUS) in Barbacena, between 2006 and 2010. Result: 55.0% of HSANT occurred in women; 48.3% between 31 and 50 years of age, with an average of 47 years old; explosive headache was the initial complaint in 84.6%; 71.2% hypertense and 65.9% due to aneurysm. Hydrocephalus was developed in 100% of patients undergoing surgery after the 16 th day after surgery; 100% of those infected remained hospitalized for more than six days. Conclusion: HSANT predominates in women between 31 and 50 years of age, having the explosive headache as the main complaint and aneurysmal disease as the main etiology. Hypertension was the major risk factor. The risk of infection is higher in patients admitted for more than six days, and the development of hydrocephalus seems to be associated with late surgical treatment.

Research paper thumbnail of Perfil clínico e terapêutico dos pacientes vítimas de hemor- ragia subaracnóidea não traumática no sistema único de saúde no município de Barbacena - MG

Introduction: The non-traumatic subarachnoid hemorrhage (HSANT) remains with unchanged incidence ... more Introduction: The non-traumatic subarachnoid hemorrhage (HSANT) remains with unchanged incidence rates, in contrast to the reduction in the occurrence of other cerebrovascular disorders. It shows high morbidity and mortality and causes disability in young people. Objective: to evaluate the clinical characteristics and treatment of non-traumatic HSA victims. Method: cross-sectional and descriptive study of 91 medical records from victims of non-traumatic HSA undergoing cerebral angiography in the Unified Health System (SUS) in Barbacena, between 2006 and 2010. Result: 55.0% of HSANT occurred in women; 48.3% between 31 and 50 years of age, with an average of 47 years old; explosive headache was the initial complaint in 84.6%; 71.2% hypertense and 65.9% due to aneurysm. Hydrocephalus was developed in 100% of patients undergoing surgery after the 16 th day after surgery; 100% of those infected remained hospitalized for more than six days. Conclusion: HSANT predominates in women between ...

Research paper thumbnail of Parents Knowledge and Attitudes Towards the use of Antibiotics in Patients within the Paediatric age Range

Pediatric Oncall, 2020

To assess parents' knowledge and attitudes towards the use of antibiotics within the paediatric a... more To assess parents' knowledge and attitudes towards the use of antibiotics within the paediatric age range. Methods and Materials: This observational, descriptive and cross-sectional study, with a voluntary and anonymous questionnaire was implemented over three months to a sample of parents of children and teenagers enrolled on two Family Health Units, D. Jordão (rural area) and Sétima Colina (urban area). results: A total of 294 valid questionnaires were obtained. Only 149 (51%) answered that antibiotics treat bacterial infections, 101 (34%) believed that they help in the recovery of a flu and 36 (12%) considered that they should always be used in case of fever. Two hundred twenty-seven (77%), identified misuse of antimicrobials as a cause of bacterial resistance, even so, 31% became concerned if the doctor does not prescribe these drugs. Only 87 (30%) showed high level of knowledge and a statistically significant correlation existed between higher age of parents [Odd's ratio (OR)=2.37], education (OR=3.42), confidence in doctors (OR=2.06) and level of knowledge of respondents. There was no statistically significant difference between the level of knowledge of users in the rural environment compared to those in the urban environment (p=0.546). conclusion: Most parents are unaware of antibiotics' function, as well as the difference between viral and bacterial infections. Although they identify that misuse of these drugs may lead to bacterial resistance, parents become reluctant when antibiotics are not prescribed. introduction Antibiotics, whose function allows the prevention and cure of infections of bacterial origin, are considered one of the most relevant inventions of the 20 th century. 1-3 Prior to their discovery, bacterial infections contributed significantly tzo morbidity and mortality on a global scale. 1,4 Thus, antibiotics play an essential role in medical practice, 2,5 so their prescription has been increasing. 4,6 In 2014, these drugs contributed to 70.5% of the total anti-infectious drugs prescribed at ambulatory care and hospitals in Mainland Portugal. 7 However, its widespread use correlates with the development of strains of resistant bacteria. 1,8,9 Although this is a natural process resulting from the selective pressure exerted by the use of antibiotics, the selection of resistant strains is enhanced by inappropriate and frequent use of this pharmacological class. 8,10,15

Research paper thumbnail of Clinical and therapeutic profile of patients who are victims of non-traumatic subarachnoid hemorrhage in the unified health system in the municipality of Barbacena - MG

Revista Médica de Minas Gerais, 2014

Introduction: The non-traumatic subarachnoid hemorrhage (HSANT) remains with unchanged incidence ... more Introduction: The non-traumatic subarachnoid hemorrhage (HSANT) remains with unchanged incidence rates, in contrast to the reduction in the occurrence of other cerebrovascular disorders. It shows high morbidity and mortality and causes disability in young people. Objective: to evaluate the clinical characteristics and treatment of non-traumatic HSA victims. Method: cross-sectional and descriptive study of 91 medical records from victims of non-traumatic HSA undergoing cerebral angiography in the Unified Health System (SUS) in Barbacena, between 2006 and 2010. Result: 55.0% of HSANT occurred in women; 48.3% between 31 and 50 years of age, with an average of 47 years old; explosive headache was the initial complaint in 84.6%; 71.2% hypertense and 65.9% due to aneurysm. Hydrocephalus was developed in 100% of patients undergoing surgery after the 16 th day after surgery; 100% of those infected remained hospitalized for more than six days. Conclusion: HSANT predominates in women between 31 and 50 years of age, having the explosive headache as the main complaint and aneurysmal disease as the main etiology. Hypertension was the major risk factor. The risk of infection is higher in patients admitted for more than six days, and the development of hydrocephalus seems to be associated with late surgical treatment.