PROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE MATERNO-INFANTIL - PPG Saúde Materno Infantil

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Navegando PROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE MATERNO-INFANTIL - PPG Saúde Materno Infantil por Autor "CHEIN, Maria Bethânia da Costa"

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    CINESIOTERAPIA PERINEAL EM MULHERES COM DÉFICIT MUSCULAR NO ASSOALHO PÉLVICO E COM UMA ÚNICA VIA DE PARTO: ensaio clínico
    (Universidade Federal do Maranhão, 2012-06-18) Duarte, Thaiana Bezerra; CHEIN, Maria Bethânia da Costa; CPF:71725431734; http://lattes.cnpq.br/6140088004101694; Brito, Luciane Maria Oliveira; CPF:04207149368
    BACKGROUND: Pregnancy and delivery route influence the strength of pelvic floor muscles, which are considered risk factors for the onset of urinary incontinence and genital dystopias. OBJECTIVES: To evaluate the effects of kinesiotherapy in the pelvic floor muscles in women with a single delivery. METHODS: Participants were 503 women who responded to the protocol record, 297 (59.0%) aged between 35 and 45 years underwent functional evaluation of the pelvic floor by bidigital touch and perineometer. There were 165 (32.8%) women with deficiency on muscles strength participating in the trial, which were allocated into two groups according to the delivery route (A - vaginal delivery and B - abdominal delivery). They were randomized into groups A1 (n = 44) and B1 (n = 42), and were submitted to kinesiotherapy and groups A2 (n = 39) and B2 (n = 40) without kinesiotherapy. The protocol had perineal contraction exercises in the supine, sitting and standing posture and was performed twice a week for a total of 15 sessions. Statistical analysis used the chi-square test, Mann-Whitney test, Z test, Kruskall Wallis test, and ANOVA one criterion, the Spearman Correlation Coefficient, the Pearson Correlation Coefficient and PHI, with significance level 0.05. RESULTS: As the result of the kinesiotherapeutic protocol by comparing the force of contraction of the pelvic floor before and after application of kinesiotherapy compared to those without kinesiotherapy, there was significant increase in strength on women with both routes of delivery, by the both methods of evaluation (p < 0.0001). Among the variables possibly associated with the DFMAP, only parity was statistically significant (p ˂ 0.0001). CONCLUSIONS: The protocol proposed proved to be effective in the increase of pelvic floor muscle s strength at the assessment by both methods of evaluation. The delivery route was not responsible for weakening perineal but parity, demonstrating that the perineal muscles strength is inversely proportional to the number of births, suggesting that kinesiotherapy during pregnancy may be an alternative to prevent the weakening of pelvic floor.
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    PRODUTO DA ACUMULAÇÃO LIPÍDICA NA DETECÇÃO DE FATORES DE RISCO PARA DOENÇAS CARDIOVASCULARES EM MULHERES COM SÍNDROME DOS OVÁRIOS POLICÍSTICOS
    (Universidade Federal do Maranhão, 2012-10-29) Nascimento, Joelma Ximenes Prado Teixeira; CHEIN, Maria Bethânia da Costa; CPF:71725431734; http://lattes.cnpq.br/6140088004101694; Figueiredo Neto, José Albuquerque de; CPF:37407350400; http://lattes.cnpq.br/4599029240915353
    The polycystic ovary syndrome (PCOS) is considered the most common endocrine disease during the woman's reproductive life, with prevalence ranging from 5 to 10% of women of reproductive age and is characterized by chronic anovulation and hyperandrogenism, showing complex multifactorial pathogenesis. Objective: To determine the cutoff the lipid accumulation product in women with polycystic ovary syndrome. Methods: Cross-sectional study with 78 women between 18 and 42 years diagnosed with polycystic ovary syndrome according to the Rotterdam criteria directed to nutritional evaluation at the Maternal and Child Unit of the University Hospital UFMA. The interest variables were recorded in protocol form: socio-demographic, behavioral, gynecological history, personal and family history of diseases, anthropometric data (weight, height, body mass index and waist circumference), laboratory tests, imaging exams and blood pressure values. The product of lipid accumulation was calculated by the formula described by Kahn. Regarding the analysis of data normality of quantitative variables was analyzed by the Shapiro Wilk; to compare the means of the variables we used the t Student test. To check the correlation between the lipid product accumulation and cardiovascular risk markers was applied Linear Correlation coefficient (r) test. The lipid product accumulation was analyzed according to the Receiver Operating Characteristic Curve, being discriminated values of high sensitivity and specificity simultaneously. The significance level for all tests was 5%. Results: Using the Receiver Operating Characteristic curve to determine the best cutoff of predicted LAP index risk for cardiovascular disease, it was noted that the value above 39.32 cm.mmol/L representing the area under the 0.8845 of the curve. Every women who had lipid product accumulation product value above the cutoff defined also showed the highest changes in mean of risk markers analyzed of cardiovascular diseases, a statistically significant difference. Regarding the analysis of correlation between the product of lipid accumulation above the cutoff defined and risk markers for cardiovascular diseases, there was a significant correlation. Conclusion: These results demonstrate that cutoff values ≥ 39.32 cm.mmol/L of LAP index seems to indicate the increased risk for CVD and should be used as a screening tool and research for its ease of measurement and interpretation, as well as its low cost and may even have its applicability in primary health care.