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Search Results: 1 - 10 of 494845 matches for " Ana Carolina Japur de Sá; "
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Preserva??o de fertilidade
Rosa e Silva, Ana Carolina Japur de Sá;
Revista Brasileira de Ginecologia e Obstetrícia , 2006, DOI: 10.1590/S0100-72032006000600008
Abstract: as therapeutic approaches for oncologic diseases are being improved and an increase in the survival rates are being achieved, long-term complications of these therapies, initially infrequent, assume these days an important place when considering life quality. among the long term repercussions appears the premature ovarian failure. according to the recommendations of the american society of clinical oncology recently published, the only procedures available nowadays considered to be effective for female fertility preservation are: embryo cryopreservation, conservative gynecological surgery and oophoropexy in cases of local radiotherapy. all the other proposed techniques, surch as: ovarian suppression and oocyte and ovarian tissue cryopreservation, although present promising results, are still considered as experimental options. the best choice for fertility preservation in each specific case depends on patient's age, type of treatment, existence of a partner, time available until chemo- or radiotherapy beginning, and the ovarian metastatic potential of the tumor. in the present manuscript, the available and experimental techniques for fertility preservation are revised and discussed.
Cryopreservation and Fertility: Current and Prospective Possibilities for Female Cancer Patients
Jacira Ribeiro Campos,Ana Carolina Japur de Sá Rosa-e-Silva
ISRN Obstetrics and Gynecology , 2011, DOI: 10.5402/2011/350813
Abstract:
Impact of Pregnancy on the Sex Life of Women: State of the Art  [PDF]
Liliam Renata Silveira Santiago, Lucia Alves da Silva Lara, Adriana Peterson Mariano Salata Rom?o, Maria Fernanda Barbirato da Mata Tiezzi, Ana Carolina Japur de Sá Rosa e Silva
International Journal of Clinical Medicine (IJCM) , 2013, DOI: 10.4236/ijcm.2013.45045
Abstract:
Introduction: Women’s sexual function is a complex ensemble of variables that involve physical, emotional, and psychosocial states. Objective: This review aims to evaluate the evidence about the sexual behavior of women during pregnancy. Methods: Survey of PubMed for the period from 1996 to 2011 for prospective, retrospective and case-control studies, randomized clinical trials, meta-analyses and systematic reviews on the sexual function of women during pregnancy using the terms sexual function, sexual dysfunction, sexuality, pregnancy, andpregnant woman. Results: Changes occur in the sexual function of women during pregnancy; however, due to the heterogeneity of the studies and the incomparability of samples for lack of pairing for cultural, age, length of relationship and gestational age variables, and other methodological biases, it is not possible to characterize the sexual response of pregnant women. Conclusions: The changes observed are not sufficient to characterize sexual behavior during pregnancy as pathological. It is therefore necessary to standardize the study groups and the
Perfil Fosfolipídico Pulmonar em Recém-nascidos de Ratas Diabéticas
Rudge, Marilza Vieira Cunha;Calderon, Iracema de Mattos Paranhos;Ramos, Maria Delgi;Sá, Ana Carolina Japur de;Curi, Paulo Roberto;
Revista Brasileira de Ginecologia e Obstetrícia , 2001, DOI: 10.1590/S0100-72032001000100002
Abstract: purpose: to evaluate the effects of maternal diabetes on the fetal lung phospholipid profiles of rats with moderate and severe diabetes measuring lecithin (l), sphingomyelin (s), phosphatidyl-glycerol (pg), phosphatidyl-inositol (pi), and the relationships between l/s and pg/pi. methods: fifty-four mature wistar rats were submitted to experimental diabetes and pregnancy1. diabetes was induced by alloxan (42 mg/kg of weight, iv) and three groups were formed: control; moderate diabetes (md), with glycemia levels between 120 and 200 mg/dl, and severe diabetes (sd), with glycemia levels higher than 200 mg/dl. on the 21st day, cesarian section was performed, and the fetal lungs were macerated and pooled. the phospholipids were measured by unidirectional thin-layer chromatography. results: 1) the fetal lungs of the rats with moderate diabetes showed higher weight (0.159 g) and lower concentration of pg (3.0 μg/ml) and pi (3.4 μg/ml) than the controls, and the same relationship between l/s (2.2) and pg/pi (2.0). the fetal lungs of the rats with severe diabetes showed lower weight (0.145 g), the same values of l/s (1.9) and pg/pi (2.1), and lower pi (5.1 μg/ml) value than the controls. conclusions: 1) the pulmonary maturity retardation in the pups of rats with moderate diabetes is explained by the higher pulmonary weight associated with lower concentration of pg and pi; 2) the pulmonary maturity acceleration in the pups of rats with severe diabetes is explained by the lower pulmonary weight associated with the same concentration of pg and pi.
Perfil Fosfolipídico Pulmonar em Recém-nascidos de Ratas Diabéticas
Rudge Marilza Vieira Cunha,Calderon Iracema de Mattos Paranhos,Ramos Maria Delgi,Sá Ana Carolina Japur de
Revista Brasileira de Ginecologia e Obstetrícia , 2001,
Abstract: Objetivo: avaliar as repercuss es do diabete materno sobre o perfil fosfolipídico pulmonar de fetos de ratas com diabete moderado e grave pelas dosagens de lecitina (L), esfingomielina (E), fosfatidil-glicerol (PG), fosfatidil-inositol (PI) e rela es L/E e PG/PI. Métodos: foram utilizadas 54 ratas Wistar, em idade reprodutiva, introduzidas na seqüência experimental de diabete e prenhez1. O diabete foi induzido por aloxana (42 mg/kg de peso, iv) e compostos três grupos: controle, diabete moderado (DM, glicemia entre 120 e 200 mg/dl) e diabete grave (DG, níveis superiores a 200 mg/dl). Realizou-se cesárea no 21o dia, os pulm es fetais foram macerados, reunidos em "pool" e os fosfolipídios dosados por cromatografia em camada delgada unidirecional. Resultados: os pulm es dos filhotes das ratas com diabete moderado tiveram maior peso (0,159 g) e menor concentra o de PG (3,0 μg/ml) e PI (3,4 μg/ml) que o grupo controle (0,155 g; 6,8 e 6,7 μg/ml), e as mesmas rela es L/E (2,2) e PG/PI (2,0); os pulm es dos filhotes das ratas com diabete grave tiveram menor peso (0,145 g), os mesmos valores das rela es L/E (1,9) e PG/PI (2,1) e menor valor de PI (5,1 μg/ml) que o grupo controle. Conclus es: 1) o retardo do amadurecimento pulmonar dos recém-nascidos de ratas com diabete moderado é explicado pelo maior peso pulmonar associado à menor concentra o de PG e PI; 2) a acelera o do amadurecimento pulmonar dos recém-nascidos de ratas com diabete grave é explicada pelo menor peso pulmonar associado à mesma concentra o de PG e PI.
Massa óssea em pacientes com anorexia nervosa
Santos Evaldo dos,Ribeiro Rosane Pilot Pena,Santos José Ernesto dos,Silva Ana Carolina Japur de Sá Rosa e
Revista Brasileira de Ginecologia e Obstetrícia , 2004,
Abstract: OBJETIVO: avaliar a ingest o diária de cálcio e estabelecer sua correla o com a densidade óssea de pacientes com anorexia nervos. PACIENTES E MéTODOS: quatorze mulheres com anorexia nervosa registraram, em diário alimentar padronizado, sua ingest o em 24 horas e foram submetidas ao exame de densitometria óssea. A análise estatística foi feita pelos testes do c2 e correla o de Pearson, adotando-se como significancia estatística p<0,05. RESULTADOS: a média da densidade óssea na coluna lombar foi de 0,95 ± 0,15 e no colo do fêmur foi de 0,88 ± 0,26. Houve correla o significativa entre o tempo de amenorréia e a perda de massa óssea, tanto na coluna lombar (r=-0,65; p=0,01) como no fêmur (r=-0,71; (p=0,0068). Com exce o de uma paciente, todas apresentavam ingest o de cálcio inferior ao recomendado pelo RDA, com média de 554,5 mg/dia (variando de 120 a 840 mg/dia). Observou-se que 64% das pacientes apresentavam algum grau de perda de massa óssea (osteopenia ou osteoporose) na coluna e 57% no fêmur. Das seis pacientes com déficit na ingest o de cálcio inferior a 60%, nenhuma apresentou osteoporose, ao passo que das oito pacientes com déficit superior a 60% na ingest o de cálcio, três tinham osteoporose. CONCLUS O: Pacientes com anorexia nervosa têm baixa ingest o de cálcio e perda significativa de massa óssea, que est o diretamente relacionadas entre si. A baixa densidade óssea está, também, correlacionada com o tempo de amenorréia.
Assessment of symptoms of urinary incontinence in women with polycystic ovary syndrome
Montezuma, Thais;Ant?nio, Flávia Ignácio;Silva, Ana Carolina Japur de Sá Rosa e;Sá, Marcos Felipe Silva de;Ferriani, Rui Alberto;Ferreira, Cristine Homsi Jorge;
Clinics , 2011, DOI: 10.1590/S1807-59322011001100010
Abstract: objectives: the pelvic floor muscles are sensitive to androgens, and due to hyperandrogenism, women with polycystic ovary syndrome can have increased mass in these muscles compared to controls. the aim of this study is to compare reports of urine leakage and quality of life between women with and without polycystic ovary syndrome. methods: one hundred thirteen 18-to 40-year-old nulliparous women with polycystic ovary syndrome or without the disease (controls) were recruited at the university hospital of school medicine of s?o paulo university at ribeir?o preto city, brazil. the subjects were not taking any hormonal medication, had not undergone previous pelvic surgery and did not exercise their pelvic floor muscles. the women were divided into the following four groups: i-polycystic ovary syndrome with normal body mass index (n = 18), ii-polycystic ovary syndrome with body mass index >25 (n = 32), iii-controls with normal body mass index (n = 29), and iv-controls with body mass index >25 (n = 34). quality of life was evaluated using the sf-36 questionnaire, and the subjects with urinary complaints also completed the international consultation on incontinence questionnaire short form to evaluate the severity of their urinary incontinence. results: the replies to the international consultation on incontinence questionnaire short form revealed a significant difference in urinary function between groups, with 24% of the subjects in group iv reporting urinary incontinence. the mean scores for the sf-36 questionnaire revealed that group ii had the lowest quality of life. conclusions: the control obese group (iv) reported a higher prevalence of urinary incontinence. there was no difference in the reported frequency of urine loss between the polycystic ovary syndrome and control groups with normal body mass index or between the polycystic ovary syndrome and control groups with body mass index >25.
Massa óssea em pacientes com anorexia nervosa
Santos, Evaldo dos;Ribeiro, Rosane Pilot Pena;Santos, José Ernesto dos;Silva, Ana Carolina Japur de Sá Rosa e;Sá, Marcos Felipe Silva de;
Revista Brasileira de Ginecologia e Obstetrícia , 2004, DOI: 10.1590/S0100-72032004000100011
Abstract: purpose: to determine daily calcium ingestion and its correlation with bone density in patients with anorexia nervosa. patients and methods: fourteen women with anorexia nervosa recorded their 24 h food ingestion in a standardized diary and were submitted to bone densitometry. data were analyzed statistically by the c2 test and the pearson correlation, with the level of significance set at p<0.05. results: mean bone density in the lumbar spine and in the femur were 0.95 ± 0.15 and 0.88 ± 0.26, respectively. there was a significant correlation between time of amenorrhea and bone mass loss both in the lumbar spine (r=-0.65; p=0.01) and in the femur (r=-0.71; p=0.006). all patients but one presented lower calcium ingestion than the recommended dietary allowances, with a mean of 554.5 mg/day (range from 120 to 840 mg/day). sixty-four percent of the patients presented some degree of bone mass loss (osteopenia or osteoporosis) in the spine and 57% in the femur. none of the six patients with a deficit in calcium ingestion of less than 60% presented osteoporosis; on the other hand, three of eight patients who had deficit in calcium ingestion higher than 60% presented osteoporosis. conclusion: patients with anorexia nervosa had a low calcium ingestion and a significant bone mass loss, which were directly intercorrelated. low bone density was also correlated with time of amenorrhea.
Anormalidades metabólicas em mulheres com síndrome dos ovários policísticos: obesas e n?o obesas
Romano, Lucas Gabriel Maltoni;Bedoschi, Giuliano;Melo, Anderson Sanches;Albuquerque, Felipe Oliveira de;Silva, Ana Carolina Japur de Sá Rosa e;Ferriani, Rui Alberto;Navarro, Paula Andrea;
Revista Brasileira de Ginecologia e Obstetrícia , 2011, DOI: 10.1590/S0100-72032011000600008
Abstract: purpose: to compare the metabolic characteristics of obese and non-obese young women with polycystic ovary syndrome (pos) from the brazilian southeast. methods: this was a cross-sectional study conducted on 218 women of reproductive age with a diagnosis of pos - 90 non-obese women (bmi between 18.5 and 29.9 kg/m2), and 128 obese patients (bmi >30 kg/m2) selected at the time of diagnosis. the frequency of insulin resistance (ir), glucose intolerance (gi), metabolic syndrome (mets) and type 2 diabetes mellitus (dm2) and mean values of total cholesterol (tc), triglycerides (tg), high-density (hdl) and low-density lipoproteins (ldl), were compared between obese and non-obese patients with pos. the two groups were also compared in terms of clinical and hormonal characteristics (follicle stimulating hormone, prolactin, thyroid stimulating hormone, total testosterone, dihydroepiandrostenedione sulfate, and 17-hydroxyprogesterone). statistical analysis was performed using the sas 9.0 software. quantitative variables were compared by the student′s t-test (data with normal distribution) or by the mann-whitney test (non-parametric distribution). qualitative variables were compared by the fisher test. the level of significance was set at 5% (p<0.05) in all analyses. results: the frequency of ir, gi and mets was significantly higher in obese than non-obese patients with pos (66.7, 29.9, and 63% versus 24.7, 12.2, and 16.4%, respectively). obese patients had higher tc and tg levels (189.8±35.8 mg/dl and 145.4±71.1 mg/dl, respectively) than non-obese patients (172.1±38.4 mg/dl and 99.3±54 mg/dl, respectively). both groups had mean hdl levels below 50 mg/dl. conclusions: young obese women with pos have a higher frequency of ir, gi and ms than non-obese. however, the occurrence of metabolic disorders is elevated also in the non-obese patients, suggesting that the presence of the syndrome may favor the development of metabolic comorbidities with potential medium- and long-term reperc
Abordagem das disfun??es sexuais femininas
Lara, Lúcia Alves da Silva;Silva, Ana Carolina Japur de Sá Rosa e;Rom?o, Adriana Peterson Mariano Salata;Junqueira, Flavia Raquel Rosa;
Revista Brasileira de Ginecologia e Obstetrícia , 2008, DOI: 10.1590/S0100-72032008000600008
Abstract: sexual dysfunction prevalence is high among women. however, doctors rarely ask about their patients' sexual life, because they feel uncomfortable or because their knowledge about investigation techniques is insufficient. the plissit model, a useful tool to access human sexual function, is composed by four elements: permission, limited information, specific suggestions, and intensive therapy, that favor dialogue between the doctor and the patient allowing the access to the sexual complaints. the therapeutics consists of counseling measures, drug prescription, basic orientations about sexual function and interventions on anatomic and functional aspects of the sexual apparatus with positive impact in the woman's sexual life. the present review shows how to use it. in addition, many aspects of female sexual dysfunction are discussed, such as prevalence, diagnostic and treatment options for female sexual dysfunction.
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