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Texto completo SciELO Chile
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Id: lil-771571
Autor: Kwon, Ivo; Hattori, Kenji; Lee, Kook-bong; Kim, Claire Junga.
Título: End-of-life decisions: a survey of the perspectives of people in Korea, China, and Japan / Decisiones al final de la vida: una encuesta sobre las perspectivas de las personas en Corea, China y Japón / Decisões de final-de-vida: uma pesquisa sobre as perspectivas da população na Coreia, China e Japão
Fonte: Acta bioeth;21(2):173-182, nov. 2015. tab.
Idioma: en.
Projeto: Korean Government. Korean Research Foundation Grant; . Ministry of Education and Human Resources Development. Research Promotion Fund.
Resumo: Three East Asian countries, Korea, China, and Japan, have shared a similar cultural background throughout history. This is the basis of the assumption of Asian values in the field of bioethics. However, different processes of modernization and healthcare systems have resulted in considerable differences. Along with the aging process, end-of-life care issues have been increasing in importance in these three countries. We conducted a study of 899 lay persons in 3 countries regarding their perspectives about end-of-life decisions; favorable ways of decision-making in end-of-life care; institutional and legal devices; withdrawal of life-sustaining treatment; and euthanasia. We confirmed several similarities and noted some differences among the three countries.

Tres países del Este Asiático, Corea, China y Japón, han compartido una cultura bioética similar. Sin embargo, los procesos diferentes de modernización y los sistemas de cuidado de la salud han resultado en diferencias considerables. Junto con los procesos de envejecimiento, los temas del cuidado al final de la vida han ido creciendo en importancia en estos tres países. Realizamos un estudio con 899 personas legas en los tres países respecto a sus perspectivas sobre decisiones al final de la vida; formas favorables de toma de decisiones en el cuidado al final de la vida; disposiciones institucionales y legales; retirada de tratamiento de sostenimiento vital; y eutanasia. Confirmamos varias similitudes y notamos algunas diferencias entre los tres países.

Três países asiáticos, Coreia, China, e Japão, têm compartilhado uma semelhante formação cultural através da história. Esta é a base da aceitação de valores asiáticos no campo da bioética. Contudo, diferentes processos de modernização e sistemas de cuidado à saúde resultaram em consideráveis diferenças. Ao logo do processo de envelhecimento, temas sobre cuidados no final-de-vida incrementaram em importância nestes três países. Nós conduzimos um estudo em 899 pessoas leigas nos 3 países considerando as suas perspectivas sobre decisões a cerca do final-de-vida; modos favoráveis de tomada de decisão em cuidados de final-de-vida; dispositivos institutionais e legais; suspensão de tratamento de sustentação da vida; e eutanasia. Nós confirmamos inúmeras semelhanças e notamos algumas diferenças entre os três países.
Descritores: Bioética
Cuidados Paliativos na Terminalidade da Vida/ética
Diretivas Antecipadas/ética
Suicídio Assistido/ética
-China
Características Culturais
Tomada de Decisões
Japão
Coreia (Geográfico)
Limites: Seres Humanos
Masculino
Adulto
Feminino
Meia-Idade
Responsável: CL1.1 - Biblioteca Central


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Cendes, Fernando
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Id: lil-754467
Autor: Lizcano, Angélica; Suza, Daniela de; Albuquerque, Milena de; Schmutzler, Kátia; Teixeira, Karine; Silveira, Laura; Montenegro, Maria Augusta; Cendes, Fernando; Guerreiro, Marilisa.
Título: Anti-NMDAR encephalitis: a rare cause of status epilepticus and chorea in children / Encefalite anti-NMDA: uma causa rara de estado de mal epiléptico e coréia em crianças
Fonte: J. epilepsy clin. neurophysiol;19(3), sept. 2013. ilus.
Idioma: pt.
Resumo: Introduction: the anti- N-methyl-D-aspartate-receptor (NMDAR) encephalitis is a relatively rare auto-immune disease characterized by a severe encephalopathy with subacute onset of behavioral and neuropsychiatric symptoms. Methods: we discuss three cases of children with encephalitis in which we identified anti-NMDAR antibodies. Results: the three patients had similar onset symptoms: status epilepticus followed by behavioral changes and chorea. Conclusions: encephalitis anti- NMDAR should be included in the differential diagnosis of acute and subacute encephalitis in children presenting status epilepticus and extrapyramidal movement disorder...

Introdução: a encefalite com anticorpos anti-receptor N-metil-D-aspartato (NMDAR) é uma doença autoimune relativamente rara, caracterizada por uma encefalopatia grave com aparecimento de sintomas comportamentais e neuropsiquiátricos de forma subaguda. Métodos: discutir três casos de crianças com encefalite em que identificamos anticorpos anti-NMDAR. Resultados: os três pacientes tiveram o início dos sintomas semelhantes: estado de mal epiléptico seguido de alterações comportamentais e coréia. Conclusões: encefalite anti-NMDAR deve ser incluído no diagnóstico diferencial de encefalite aguda e subaguda em crianças com estado de mal epiléptico e distúrbio de movimento...
Descritores: Encefalite Antirreceptor de N-Metil-D-Aspartato
Doenças Autoimunes do Sistema Nervoso
Encefalopatias
Epilepsia
Coreia (Geográfico)
Limites: Seres Humanos
Tipo de Publ: Relatos de Casos
Responsável: BR16.1 - Biblioteca de Ciências da Saúde


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Texto completo SciELO Brasil
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Id: lil-723112
Autor: Irshad, Aarzoo; Ahmad, Irshad; Kim, Seung Bum.
Título: Culturable diversity of halophilic bacteria in foreshore soils
Fonte: Braz. j. microbiol;45(2):563-572, Apr.-June 2014. ilus, tab.
Idioma: en.
Resumo: Halophilic bacteria are commonly found in natural environments containing significant concentration of NaCl such as inland salt lakes and evaporated sea-shore pools, as well as environments such as curing brines, salted food products and saline soils. Dependence on salt is an important phenotypic characteristic of halophilic bacteria, which can be used in the polyphasic characterization of newly discovered microorganisms. In this study the diversity of halophilic bacteria in foreshore soils of Daecheon, Chungnam, and Saemangeum, Jeonbuk, was investigated. Two types of media, namely NA and R2A supplemented with 3%, 5%, 9%, 15%, 20% and 30% NaCl were used. More than 200 halophilic bacteria were isolated and BOX-PCR fingerprinting analysis was done for the typing of the isolates. The BLAST identification results showed that isolated strains were composed of 4 phyla, Firmicutes (60%), Proteobacteria (31%), Bacteriodetes (5%) and Actinobacteria (4%). Isolates were affiliated with 16 genera and 36 species. Bacillus was the dominant genus in the phylum Firmicutes, comprising 24% of the total isolates. Halomonas (12%) and Shewanella (12%) were also found as the main genera. These findings show that the foreshore soil of Daecheon Beach and Saemangeum Sea of Korea represents an untapped source of bacterial biodiversity.
Descritores: Biodiversidade
Bactérias/classificação
Bactérias/crescimento & desenvolvimento
Microbiologia do Solo
-Bactérias/genética
Bactérias/isolamento & purificação
Análise por Conglomerados
Meios de Cultura/química
Impressões Digitais de DNA
DNA Bacteriano/química
DNA Bacteriano/genética
DNA Ribossômico/química
DNA Ribossômico/genética
Genótipo
Coreia (Geográfico)
Filogenia
/genética
RNA, RIBOSOMAL, ABNORMALITIES, MULTIPLES/genética
Análise de Sequência de DNA
Cloreto de Sódio/metabolismo
Responsável: BR1.1 - BIREME


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Texto completo SciELO Brasil
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Id: lil-645419
Autor: Lee, Jong Hoo; Kim, Yee Hyung.
Título: Comparison of clinical characteristics between healthcare-associated pneumonia and community-acquired pneumonia in patients admitted to secondary hospitals
Fonte: Braz. j. infect. dis;16(4):321-328, July-Aug. 2012. ilus, tab.
Idioma: en.
Resumo: BACKGROUND: Since healthcare-associated pneumonia (HCAP) is heterogeneous, clinical characteristics and outcomes are different from region to region. There can also be differences between HCAP patients hospitalized in secondary or tertiary hospitals. This study aimed to evaluate the clinical characteristics of HCAP patients admitted into secondary community hospitals. METHODS: This was a retrospective study conducted in patients with HCAP or community-acquired pneumonia (CAP) hospitalized in two secondary hospitals between March 2009 and January 2011. RESULTS: Of a total of 303 patients, 96 (31.7%) had HCAP. 42 patients (43.7%) resided in a nursing home or long-term care facility, 36 (37.5%) were hospitalized in an acute care hospital for > 2 days within 90 days, ten received outpatient intravenous therapy, and eight attended a hospital clinic or dialysis center. HCAP patients were older. The rates of patients with CURB65 scores of 3 or more (22.9% vs. 9.1%; p = 0.001) and PSI class IV or more (82.2% vs. 34.7%; p < 0.001) were higher in the HCAP group. Drug-resistant pathogens were more frequently detected in the HCAP group (23.9% vs. 0.4%; p < 0.001). However, Streptococcus pneumoniae was the most common pathogen in both groups. The rates of antibiotic change, use of inappropriate antibiotics, and failure of initial antibiotic therapy in the HCAP group were significantly higher. Although the overall survival rate of the HCAP group was significantly lower (82.3% vs. 96.8%; p < 0.001), multivariate analyses failed to show that HCAP itself was a prognostic factor for mortality (p = 0.826). Only PSI class IV or more was associated with increased mortality (p = 0.005). CONCLUSIONS: HCAP should be distinguished from CAP because of the different clinical features. However, the current definition of HCAP does not appear to be a prognostic for death. In addition, the use of broad-spectrum antibiotics for HCAP should be reassessed because S. pneumoniae was most frequently identified even in HCAP patients.
Descritores: Infecção Hospitalar/mortalidade
Pneumonia Bacteriana/mortalidade
-Infecções Comunitárias Adquiridas/mortalidade
Hospitais Comunitários
Coreia (Geográfico)/epidemiologia
Assistência de Longa Duração
Casas de Saúde
Prognóstico
Estudos Retrospectivos
Fatores de Risco
Índice de Gravidade de Doença
Limites: Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Tipo de Publ: Estudo Comparativo
Research Support, Non-U.S. Gov't
Responsável: BR1.1 - BIREME


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Id: lil-516960
Autor: Kim, Sun-Ouck; Kang, Taek Won; Kwon, Dongdeuk; Park, Kwangsung; Ryu, Soo Bang.
Título: Risk factors for bone loss with prostate cancer in Korean men not receiving androgen deprivation therapy
Fonte: Int. braz. j. urol;35(2):183-189, Mar.-Apr. 2009. tab.
Idioma: en.
Resumo: PURPOSE: Preexisting bone loss in men with prostate cancer is an important issue due to the accelerated bone loss during androgen deprivation therapy (ADT). In addition, a high prostate-specific antigen (PSA) level has been reported to be related to bone metabolism. This study assessed the factors associated with osteoporosis in Korean men with non-metastatic prostate cancer before undergoing ADT. MATERIAL AND METHODS: The study enrolled patients admitted for a prostate biopsy because of a high PSA or palpable nodule on a digital rectal examination. We divided the patients (n = 172) according to the results of the biopsy: group I, non-metastatic prostate cancer (n = 42) and group II, benign prostatic hypertrophy (BPH; n = 130). The lumbar bone mineral density (BMD) was evaluated using quantitative computed tomography. The demographic, health status, lifestyle, body mass index (BMI), serum testosterone concentration, and disease variables in prostate cancer (Gleason score, clinical stage, and PSA) were analyzed prospectively to determine their effect on the BMD. RESULTS: The estimated mean T-score was higher in group I than in group II (-1.96 ± 3.35 vs. -2.66 ± 3.20), but without statistic significance (p = 0.235). The significant factors correlated with BMD in group I were a high serum PSA (ß = -0.346, p = 0.010) and low BMI (ß = 0.345, p = 0.014) in the multiple linear regression model. Also old age (r = -0.481, p = 0.001), a high serum PSA (r = -0.571, p < 0.001), low BMI (r = 0.598, p < 0.001), and a high Gleason's score (r = -0.319, p = 0.040) were the factors related to BMD in the correlation. The significant factors correlated with BMD in group II were old age (ß = -0.324, p = 0.001) and BMI (ß = 0.143, p = 0.014) in the multiple linear regression model. CONCLUSIONS: The risk factors for osteoporosis in men with prostate cancer include a low BMI, and elevated serum PSA. Monitoring BMD from the outset of ADT is a logical first...
Descritores: Densidade Óssea
Osteoporose/etiologia
Antígeno Prostático Específico/sangue
Neoplasias da Próstata/complicações
-Antagonistas de Androgênios/uso terapêutico
Antineoplásicos Hormonais/uso terapêutico
Índice de Massa Corporal
Coreia (Geográfico)
Modelos Lineares
Osteoporose/sangue
Osteoporose/fisiopatologia
Neoplasias da Próstata/sangue
Neoplasias da Próstata/tratamento farmacológico
Neoplasias da Próstata/etnologia
Estudos Retrospectivos
Fatores de Risco
Testosterona/deficiência
Limites: Idoso
Idoso de 80 Anos ou mais
Seres Humanos
Masculino
Meia-Idade
Responsável: BR1.1 - BIREME


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Texto completo SciELO Saúde Pública
Shirakawa, Itiro
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Id: lil-509766
Autor: Kang, Sam; Razzouk, Denise; Mari, Jair Jesus de; Shirakawa, Itiro.
Título: The mental health of Korean immigrants in São Paulo, Brazil / Saúde mental dos imigrantes coreanos em São Paulo, Brasil
Fonte: Cad. saúde pública = Rep. public health;25(4):819-826, abr. 2009. tab.
Idioma: en.
Projeto: São Paulo Research Foundation.
Resumo: This study investigated the frequency of lifetime mental disorders among Korean immigrants in the city of São Paulo, Brazil. Snowball sampling with multiple focuses was used to recruit Korean immigrants older than 18 years and living in São Paulo. A total of 324 Korean immigrants were selected and their mental status was evaluated using a structured interview, namely the Portuguese or the Korean version of the Composite International Diagnostic Interview 2.1. The diagnoses of mental disorders were made according to the ICD-10. The frequency of any lifetime psychiatric disorder was 41.9 percent. The frequencies of main disorders were: anxiety disorder, 13 percent (post-traumatic stress disorder, 9.6 percent); mood disorder, 8.6 percent; somatoform disorders, 7.4 percent; dissociative disorder, 4.9 percent; psychotic disorder, 4.3 percent; eating disorder, 0.6 percent; any substance (tobacco, alcohol, drugs) use disorder, 23.1 percent. The frequency of any psychiatric disorder except alcohol and tobacco use disorders was 26.2 percent. Korean immigrants have more psychiatric disorders than the Korean population in Korea, particularly post-traumatic stress disorder, and almost the same rate as the Brazilian population. Mental health authorities should promote a healthier integration and the development of culturally sensitive mental health programs for Korean immigrants.

Este estudo verificou a freqüência de transtornos psiquiátricos em uma comunidade de imigrantes coreanos na cidade de São Paulo, Brasil. A amostragem snowball com vários focos foi utilizada para contatar os imigrantes coreanos, acima de 18 anos e residentes em São Paulo. Foram selecionados 324 sujeitos, cuja saúde mental foi avaliada por meio de uma entrevista estruturada, Composite International Diagnostic Interview 2.1, nas versões em português e coreano. Foi utilizado o critério de diagnóstico CID-10. A freqüência de algum diagnóstico psiquiátrico na vida foi de 41,9 por cento. As freqüências de principais diagnósticos na vida foram: transtornos de ansiedade, 13 por cento (transtorno de estresse pós-traumático, 9,6 por cento); transtornos do humor, 8,6 por cento; transtornos somatoformes, 7,4 por cento; transtornos dissociativos, 4,9 por cento; transtornos psicóticos, 4,3 por cento; transtornos alimentares, 0,6 por cento; transtornos decorrentes de substâncias (álcool, tabaco ou drogas), 23,1 por cento. A freqüência de diagnósticos psiquiátricos na vida, excluindo-se os decorrentes de álcool e tabaco, foi de 26,2 por cento. Os imigrantes coreanos apresentam mais transtornos psiquiátricos do que a população coreana na Coréia, especialmente transtorno de estresse pós-traumático, e uma taxa semelhante à encontrada na população brasileira. As autoridades de saúde mental devem promover uma integração mais saudável por meio de programas culturalmente sensíveis aos imigrantes coreanos.
Descritores: Transtornos Mentais/epidemiologia
-Brasil/epidemiologia
Emigração e Imigração
Entrevista Psicológica
Coreia (Geográfico)/etnologia
Transtornos Mentais/etnologia
Limites: Adulto
Feminino
Seres Humanos
Masculino
Tipo de Publ: Research Support, Non-U.S. Gov't
Responsável: BR1.1 - BIREME


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Id: lil-478882
Autor: Oh, Jun Seo; Kim, Jang Su; Lee, Chang Hwan; Nam, Deok Hwa; Kim, Sun Hyung; Park, Dae Won; Lee, Chang Kyu; Lim, Chae Seung; Park, Gil Hong.
Título: Evaluation of a malaria antibody enzyme immunoassay for use in blood screening
Fonte: Mem. Inst. Oswaldo Cruz;103(1):75-78, Feb. 2008. tab.
Idioma: en.
Resumo: Transfusion-transmitted malaria is rare, but it may produce severe problem in the safety of blood transfusion due to the lack of reliable procedure to evaluate donors potentially exposed to malaria. Here, we evaluated a new enzyme-linked immunosorbent assay malaria antibody test (ELISA malaria antibody test, DiaMed, Switzerland) to detect antibodies to Plasmodium vivax (the indigenous malaria) in the blood samples in the Republic of Korea (ROK). Blood samples of four groups were obtained and analyzed; 100 samples from P.vivax infected patients, 35 from recovery patients, 366 from normal healthy individuals, and 325 from domestic travelers of non-endemic areas residents to risky areas of ROK. P.vivax antibody levels by ELISA were then compared to the results from microscopic examination and polymerase chain reaction (PCR) test. As a result, the ELISA malaria antibody test had a clinical sensitivity of 53.0 percent and a clinical specificity of 94.0 percent for P.vivax. Twenty out of 325 domestic travelers (6.2 percent) were reactive and 28 cases (8.6 percent) were doubtful. Of the reactive and doubtful cases, only two were confirmed as acute malaria by both microscopy and PCR test. Thus we found that the ELISA malaria antibody test was insufficiently sensitive for blood screening of P.vivax in ROK.
Descritores: Anticorpos Antiprotozoários/sangue
Doadores de Sangue
Ensaio de Imunoadsorção Enzimática/métodos
Malária Vivax/diagnóstico
Plasmodium vivax/imunologia
-Estudos de Casos e Controles
Coreia (Geográfico)
Programas de Rastreamento
Reação em Cadeia da Polimerase
Sensibilidade e Especificidade
Limites: Animais
Seres Humanos
Tipo de Publ: Estudo Comparativo
Estudos de Avaliação
Research Support, Non-U.S. Gov't
Responsável: BR1.1 - BIREME


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Id: lil-333824
Autor: Han, Eun-Taek; Guk, Sang-Mee; Kim, Jae-Lip; Jeong, Hoon-Jin; Kim, Soo-Nam; Chai, Jong-Yil.
Título: Detection of parasite eggs from archaeological excavations in the Republic of Korea
Fonte: Mem. Inst. Oswaldo Cruz;98(supl.1):123-126, Jan. 15, 2003. ilus, tab.
Idioma: en.
Resumo: Excavations at two sites dating from 2000 BC-1900 AD in southeastern areas of the Republic of Korea, revealed the remains of several structures. Examination of the contents suspected privies revealed the presence of eggs from 5 kinds of parasite: Ascaris, Trichuris, Clonorchis, and two species of unknown trematodes. Clonorchis sinensis eggs were found in a soil dating from around AD 668-935. This is the first record of C. sinensis eggs in archaeological materials in the Republic of Korea
Descritores: Arqueologia
Helmintos
Contagem de Ovos de Parasitas
Solo
-Ascaris lumbricoides
Clonorchis sinensis
Coreia (Geográfico)
Trichuris
Limites: Animais
Responsável: BR1.1 - BIREME


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Id: lil-209937
Autor: Anon.
Título: El premio Christiane Reimann compartido por Mo-Im Kim, de Corea, e Hildegard Peplau, de los EEUU / The Christiane Reimann's premium shared for Mo-Im Kim of Corea, and Hildergard Peplau, of the EEUU
Fonte: Rev. argent. enferm;(33):18-9, nov. 1997.
Idioma: es.
Descritores: Distinções e Prêmios
Enfermagem
-Coreia (Geográfico)
Liderança
Estados Unidos
Tipo de Publ: Relatórios Anuais
Responsável: AR144.1 - CIBCHACO - Centro de Información Biomedica del Chaco



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