PROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE MATERNO-INFANTIL - PPG Saúde Materno Infantil
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Item ANSIEDADE, DEPRESSÃO E ESTRESSE EM MULHERES COM DOR PÉLVICA CRÔNICA(Universidade Federal do Maranhão, 2011-12-12) Aragão, Mariana Serra de; BRITO, Luciane Maria Oliveira; CPF:04207149368; Chein, Maria Bethânia da Costa; CPF:71725431734; http://lattes.cnpq.br/6140088004101694The Chronic Pelvic Pain (CPP) has been defined as pain in the pelvic region, non-cyclic, with duration of 6 months. Women with CPP may have levels of anxiety, depression and stress. Objective: To identify the prevalence of depression, anxiety and stress in women from the general community of St. Louis with chronic pelvic pain and verify their possible association with the duration and intensity of pain. Methods: Case-control study, which included 54 women with chronic pelvic pain, making the case group, and 150 women in the control group. The instruments used for data collection were Anxiety Inventory and the Beck Depression Inventory and the Stress Symptoms for Adults LIPP. Among the variables used are: time in months of pain and signs and symptoms of anxiety, depression and stress. Results: The prevalence in the case of stress was 59.26%, while anxiety and depression in both minimum level, was 35.19% and 50%, respectively. At level severe depression and anxiety were present in 3.70% and 11.11%, respectively. In the control group, 36% had stress. In the same group, at a minimum, anxiety occurred in 67.33% and 78.67% in depression. In severe level prevalence was 3.33% and 1.33% for anxiety and depression, respectively. There was a positive correlation (r = 0.1275) between pain intensity and depression. Conclusion: Women with CPP have higher scores for anxiety, depression and stress compared to women without CPP, depression being positively correlated with pain intensity.Item 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:04207149368BACKGROUND: 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.Item COLONIZAÇÃO BACTERIANA NASAL EM RECÉM-NASCIDOS PREMATUROS E SUAS MÃES EM DUAS UNIDADES DE TERAPIA INTENSIVA NEONATAL(Universidade Federal do Maranhão, 2009-12-07) Freitas, Isolina Januária Sousa; LAMY FILHO, Fernando; CPF:72508000787; http://lattes.cnpq.br/3977956820339735; Lamy, Zeni Carvalho; CPF:12832693334; Brito, Luciane Maria Oliveira; CPF:04207149368The bacterial colonization occurs soon after birth, depending on the environment where the newborn is and can occur with bacteria as the normal microbiota or by bacteria resistant to antibiotics. Once colonized, at any time, depending on factors such as low immunity, inadequate protection of the skin, exposure to invasive procedures, length of stay in Intensive Care Units - the newborn may be infected with the bacterium that colonizes them. Aiming to know the nasal microbiota of newborns admitted to Neonatal Intensive Care Unit (ICU) and their mothers, it was drew up this present cross-sectional and analytical study where 69 pairs of newborns and their mothers were studied. Nasal swabs were collected from all newborns admitted to the ICU of Parenting Marly Sarney and the University Hospital Materno-Infantil in the period of April to September 2008, weighing between 1200 and 1800g. Were excluded from this study newborns carrying ostomies, catheters, infection of the skin, twins, syndrome, and mothers that were not found to collect the swab. The nasal microbiota of mothers showed up predominantly sensitive to oxacillin, as represented by 48% of Staphylococcus aureus (MSSA) and 29% of coagulase negative Staphylococcus (CONS), while the newborns were colonized by Staphylococcus resistant to oxacillin, thus distributed: 44% of MRSA and 22% of CONS. So this study shows that newborns hospitalized in intensive care units surveyed the early home of resistant MRSA and Scone, this does not occur with their mothers. Meanwhile the mothers have a rate of 19% of MRSA (13%) and Scone resistant (6%), may represent a form of colonization of the newborn. It was also found strong statistical association, with relative risk of 1.65 between the use of antibiotics by the mother and the newborn colonization by Staphylococcus multiresistant. We conclude that the knowledge of the colonizing nasal maternal flora and of the newborn may guide the health professionals about the specific measures of prevention and epidemic surveillance. Additional studies such as genotyping of the Staphylococcus enable the knowledge of the magnitude of the impact of colonization of the mother and its transmission to the newborn to guide preventive measures such as nasal decolonization of the mother before delivery.Item DOENÇA PERIODONTAL EM MULHERES NA PÓS-MENOPAUSA E SUA RELAÇÃO COM A OSTEOPOROSE(Universidade Federal do Maranhão, 2010-07-30) Bertulucci, Livia Almeida Barros; LOPES, Fernanda Ferreira; CPF:40916359387; http://lattes.cnpq.br/6883478653190503; Brito, Luciane Maria Oliveira; CPF:04207149368The Osteoporosis, defined as an age disorder, characterized for the decrease of bone mass and increase of breakings susceptibility, is the most common metabolicbone illness, affecting at least 30% of all postmenopausal women. The aim of this study was to make a quantitative periodontal condition analysis through a casecontrol study of post menopausal women and its relation with osteoporosis. The sample consisted of 99 postmenopausal women, divided in to three groups according with the avaliation of the mass bone: normal bone (G1 with N=45), osteopenia (G2 with N=31) and osteoporosis (G3 with N=23). There applied the indexes of clinical attachment level (CAL), gingival on pob (BOP), plaque index (PI) and probing depth (PD) for all participants. The periodontal condition data were submitted to the BioEstat 2.0 software using parametrical tests as analysis of variance (ANOVA) and Bonferroni test, using the significance level of 5%. The results shown that the women in postmenopausal with osteoporosis had presented high average in CAL (2,61 ± 0,43mm), as well as PD (2,80 ± 0,64 mm), BOP (72,8 ± 25,9 mm) and PI (72,9 ± 24,2 mm). After the accomplishment of the statistical treatment, it was observed that there was significant difference for the periodontal situation mainly between G1 and G3 and G2 and G3 groups, and still presented higher percentage of presence of the periodontitis, the osteoporosis women group. It was concluded that the periodontal conditions of the interviewed and analyzed postmenopausal women had revealed the relation between periodontitis and osteoporosis.Item AS FORMAS DE VIOLÊNCIA CONTRA A MULHER NO MUNICÍPIO DE TIMON- (MA)(Universidade Federal do Maranhão, 2008-10-26) Silva, Maria de Fátima Parentes da; BRITO, Luciane Maria Oliveira; CPF:04207149368Introduction: Violence against women is a global problem of public health and violate principles of equality. Spite of all earned rights, existent laws, and public policies that have been introduced, women keep on suffering from violence. Objectives: We studied the various forms of violence, the characteristics of the victim and the relationship with the abuser. Methods: We conducted a retrospective and descriptive study, July to December 2005, the Medical Legal Institute (IML) of the city of Timon-MA with women who have suffered some type of violence and tried to go to the Special Care Women ( DEAM) for record of the police reports (BO), being sent to the IML to the implementation of peer review. Results: Of the 106 cases studied, 78% were of physical violence inflicted by white gun, sticks, stones, feet, hands and teeth. In 52% of cases the hand was used to strike and strangle. In 61% the lesions were multiple women presenting with 2 or up to 5 types of injuries such as bruises (34%) and excoriation (27%). As the location of the lesions, 30% were in the head and upper limbs 34%, which demonstrates the intention of the brutal aggressor in hurt and leave visible marks, since 79% was observed in the presence of harm to physical integrity of women. Sexual violence was reported in 13 cases, in which 54% of women were raped. Conclusions: The information collected from the IML showed that violence against women does not restrict itself to a certain age, race, profession or marital status and in 54% of assaults, the perpetrator was known by the woman, of which 44% were husband / boyfriend.Item PERCEPÇÃO DE MÃES DE CRIANÇAS ENTRE 0 A 3 ANOS DE VIDA SOBRE A ASSOCIAÇÃO ENTRE ESTIMULAÇÃO AMBIENTAL E O DESENVOLVIMENTO NORMAL ATENDIDAS NA UNIDADE DE SAÚDE ANTONIO CARLOS REIS, CIDADE OLÍMPICA - SÃO LUÍS/ MARANHÃO(Universidade Federal do Maranhão, 2012-12-12) Paula, Lila Isabel Câmara de; BRITO, Luciane Maria Oliveira; CPF:04207149368; Pinheiro, Feliciana Santos; CPF:05484336787; http://lattes.cnpq.br/2070446441534231An approach to family environment and its stimulation for a better development of children between 0 and 3 years of age, considering the stimulation received from their household as minimum conditions to ensure sensorimotor, cognitive, language and social emotional development, thus creating assumptions which are important for learning, in addition to allowing their interaction with the social, cultural, physical and socio-moral environments. The objective of this study was to evaluate these children s mothers about the association between the environmental stimulation and the normal development of children attended at Unidade de Saúde Antonio Carlos Reis, a public health unit in Cidade Olímpica, São Luís, Maranhão, from October 2009 to March 2010, identifying mothers understanding level about environmental stimulation and development, as well as characterizing the household in which the live. We have performed a qualitative exploratory and descriptive research, with a population consisting of 15 mothers. The Medical Records of the Unit, the Semi-Structured Interview, the Participant Observation were the instruments for data collection, besides the home visit and the qualitative analysis of the speeches, which served to organize and form categories comprising each topic discussed. Among the results, we have found that most mothers were between 13 and 20 years of age, incomplete elementary school, without a partner and with a low-income wage, among others. According to the proposed objectives, it was possible to organize the discussed topics in categories, such as: Reactions of mothers related to pregnancy; Mothers evaluation about how to stimulate children s development at home; Major mothers difficulties; Mothers comprehension related to their household and Mothers perception about necessity of stimulation of their environment for a better development of their children. We consider that interdisciplinary practice and interdisciplinary studies could contribute to improve the level of interactions mother/child and mother/health Professional, with increasing adhesion levels and mothers participation in stimulating their children, and consequently, with a significant evolution in the psychomotor and neurological development, and children s quality of life.