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

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    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:04207149368
    The 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.
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    DISCURSOS SOBRE SEXUALIDADE EM ESTUDANTES UNIVERSITÁRIAS DE SÃO LUÍS-MA
    (Universidade Federal do Maranhão, 2006-11-29) Rêgo, Adriana Sousa; Neves, Ednalva Maciel; CPF:30218519400; LAMY, Zeni Carvalho; CPF:12832693334
    Study about the sexuality in academical students of medium layers in São Luís. It is a descriptive study of qualitative approach that had the main objective to know the construction of the sexuality and specific objectives: to characterize socioeconomic the students interviewed, to identify the students' conceptions about sexuality and to investigate aspects related to the sexual and contraceptive practices. The information was collected among students of the courses of Physiotherapy and Occupational Therapy of Faculdade Santa Terezinha CEST from two research instruments: questionnaire and semi-structured interview. fifteen students were interviewed with ages between 19 and 25 years, with sexual active life, and thirteen pronounced to be unmarried women and two stable relationship. The collected information points to the conservative discursive reproduction. A differentiated paper of the family was observed in relation to the sexuality, where were differed the equalitarian model, the family silence model and the hierarchical model. The students' autonomy was identified through their initiatives as for the sexual practices, the meanings that attributed to the sexuality, as well as the domain of the sexual practices and the contraceptive choices. The sexuality was predominantly referred as sexual action, and, pleasure and orgasm were understood, by the students, as synonyms.
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    VALIDADE CONCORRENTE E CONCORDÂNCIA ENTRE OS TESTES ALBERTA INFANT MOTOR SCALE E BAYLEY SCALES OF INFANT DEVELOPMENT-THRID EDITION EM PREMATUROS BRASILEIROS COM TRÊS MESES DE IDADE GESTACIONAL CORRIGIDA
    (Universidade Federal do Maranhão, 2010-09-24) Silva, Naíme Diane Sauaia Holanda; Gama, Mônica Elinor Alves; CPF:45297207304; LAMY FILHO, Fernando; CPF:72508000787; http://lattes.cnpq.br/3977956820339735; Lamy, Zeni Carvalho; CPF:12832693334
    Objective: To compare the results with the Scale of Alberta (Alberta Infant Motor Scale), applied at three months of corrected gestational age (IGC), with those Scale Bayley (Bayley Scales of Infant Development - 3rd edition) in premature infants, discharged from the Neonatal Intensive Care Unit-NICU of University Hospital Maternal Child Unit - UFMA. Methods: We studied 42 premature infants in the outpatient clinics ("Follow up") Unit, University Hospital Maternal Child Unit - UFMA between March and August 2009. In the study of concurrent validity and agreement of the 42 premature infants at 3 months of IGC were assessed by AIMS and the motor scale of the Bayley Scales of Infant Development, 3rd edition, using the correlation coefficient of Pearson and the concordance test Bland & Altman to analyze the results. Results: In the study of concurrent validity, correlation found between the two scales was high (r = 0.86) and statistically significant (p <0.01) in the total population of infants. In concordance analysis showed that most of the measures is in the range between ± 1.96 standard deviation is thus the two tests agree. Conclusion: The AIMS is a valid and consistent with the standard measures can be recommended for evaluation of motor development of premature infants in the population of public health in Brazil.