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Search Results: 1 - 10 of 8326 matches for " Gláucia Rosana Guerra;Nomura "
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Interrup??o da gesta??o após o diagnóstico de malforma??o fetal letal: aspectos emocionais
Benute, Gláucia Rosana Guerra;Nomura, Roseli Mieko Yamamoto;Lucia, Mara Cristina Souza de;Zugaib, Marcelo;
Revista Brasileira de Ginecologia e Obstetrícia , 2006, DOI: 10.1590/S0100-72032006000100003
Abstract: purpose: to describe to emotional process experienced with termination of pregnancy after the diagnosis of lethal fetal malformation. methods: thirty-five pregnant women who underwent termination of pregnancy for lethal fetal anomaly after judicial permission were interviewed. the most frequent fetal malformation was anencephaly (71.5%). the patients were submitted to an open interview as soon as the diagnosis of fetal malformation was confirmed, allowing them to express their feelings and stimulating them to think about asking for termination of pregnancy. the mean time spent until the judicial agreement was 16.6 days. the women who requested and were submitted to the procedure of abortion were invited to return for psychological evaluation after 30-60 days. at this moment, a semi-structured interview was performed to find the emotional aspects and feelings that existed. results: thirty-five patients were interviewed. the decision-making feelings about termination of pregnancy were negative for 60%, 51.4% declared that they had no doubts about the assumed decision and 65.7% declared that their own opinion was more important for decision than anyone else's. most of the women (89%) affirmed to remember the facts about the procedure that they experienced, 91% affirmed that they would have the same attitude in the case of another similar situation in the future and 60% declared that they would advise someone to opt for termination of pregnancy if asked about the same situation. conclusions: the anguish experienced showed that the process of thinking is very important for the decision-making process and posterior satisfaction with the assumed posture. the psychological follow-up allows to review the moral and cultural values in order to help the decision-making process with the aim of minimizing the suffering.
Influência da percep??o dos profissionais quanto ao aborto provocado na aten??o à saúde da mulher
Benute, Gláucia Rosana Guerra;Nonnenmacher, Daniele;Nomura, Roseli Mieko Yamamoto;Lucia, Mara Cristina Souza de;Zugaib, Marcelo;
Revista Brasileira de Ginecologia e Obstetrícia , 2012, DOI: 10.1590/S0100-72032012000200005
Abstract: purpose: to identify the knowledge and awareness of health professionals regarding the brazilian legislation on induced abortion. methods: unidentified sealed envelopes containing the questionnaires were sent to all professionals (n=149) working in the obstetrics department of a university hospital and public hospital at the periphery of s?o paulo (sp), brazil. a total of 119 professionals responded to the questionnaire. the 0.05 confidence interval and the fisher exact test and χ2 test were used for data analysis. results: of the respondents, 48.7% were physicians, 33.6% were nursing professionals and 17.6% were professionals from other fields (psychologists, nutritionists, physiotherapists, laboratory technicians and administrators). there was a significant difference (p=0.01) in the proportion of professionals who believe that abortion for non-lethal fetal malformation and due to unplanned pregnancies should be included in the brazilian legislation. it was observed that the knowledge about the law and the description of the circumstances allowed by law on abortion was significantly different when comparing health professionals (p=0.01). when asked about the situations in which brazilian law allows abortion, 32.7% of physicians, 97.5% of nursing professionals and 90.5% of other professionals were unaware of the law. conclusion: this study demonstrated the lack of of knowledge of brazilian law among health professionals, to a lesser extent among obstetricians and a to a greater extent among nursing professionals. attitudes of discrimination and prejudice were observed regarding the care provided to women who induce an abortion.
Abortamento espontaneo e provocado: ansiedade, depress?o e culpa
Benute, Gláucia Rosana Guerra;Nomura, Roseli Mieko Yamamoto;Pereira, Pedro Paulo;Lucia, Mara Cristina Souza de;Zugaib, Marcelo;
Revista da Associa??o Médica Brasileira , 2009, DOI: 10.1590/S0104-42302009000300027
Abstract: background: pregnancy has a symbolic meaning for each woman. it varies according to personality structure and is related to women's previous life experiences. objectives: the aim was to characterize the women that suffered abortion, asking about anxiety and depression, looking for guilty feelings after abortion, and to compare results between women who suffered spontaneous abortion and those who had intentional abortion. methods: fifty women with spontaneous and fifty with induced abortion were interviewed 30 days after the procedure. a semistructured questionnaire with open and closed-end questions and hospital anxiety and depression scale were administered. results: woman who induced abortion revealed to be more anxious (mean 11) and depressed (mean 8.3) than woman with spontaneous abortion (means 8.7 and 6.1 respectively, p<0.05). conclusions: women who presented induced abortion were more anxious and depressed, as shown by later life events, full of problematic feelings and the need fort sychological support.
Depression during pregnancy in women with a medical disorder: risk factors and perinatal outcomes
Benute, Gláucia Rosana Guerra;Nomura, Roseli Mieko Yamamoto;Reis, Juliana Siracuza;Fraguas Junior, Renério;Lucia, Mara Cristina Souza de;Zugaib, Marcelo;
Clinics , 2010, DOI: 10.1590/S1807-59322010001100013
Abstract: background: approximately one-fifth of women present depression during pregnancy and puerperium, and almost 13% of pregnant women experience a major depressive disorder. objective: the aim of this study was to identify risk factors for depression among pregnant women with a medical disorder and to evaluate the influence of depression on perinatal outcomes. methods: three hundred and twenty-six pregnant women with a medical disorder were interviewed. a semistructured interview was conducted for each participant using a questionnaire that had been developed previously. major depression was diagnosed using the portuguese version of the primary care evaluation of mental disorders (prime-md). the medical records of the participants were thoroughly reviewed to evaluate the perinatal results. results: major depressive disorder was diagnosed in 29 cases (9.0%). the prevalence of major depression was as follows: 7.1% for preeclampsia or chronic hypertension, 12.1% for cardiac disorder, 7.1% for diabetes mellitus, 6.3% for maternal anemia, 8.3% for collagenosis and 12.5% for a high risk of premature delivery. an univariate analysis showed a significant positive correlation between an average household income below minimum wage and a prime-md diagnosis of major depression. a multiple regression analysis identified unplanned pregnancy as an independent predictor of major depression (86.2% in the group with a diagnosis of major depression by prime-md vs. 68.4% in the group without major depression). a comparison between women who presented major depression and those who did not revealed no significant differences in the perinatal results (i.e., preterm delivery, birth weight and low apgar scores). conclusion: in the present study, unplanned pregnancy in women with a medical disorder was identified as a risk factor for major depression during gestation. major depression during pregnancy in women with a medical disorder should be routinely investigated using specific methods.
Risco de suicídio em gestantes de alto risco: um estudo exploratório
Benute, Gláucia Rosana Guerra;Nomura, Roseli Mieko Yamamoto;Jorge, Vanessa Marques Ferreira;Nonnenmacher, Daniele;Fráguas Junior, Renério;Lucia, Mara Cristina Souza de;Zugaib, Marcelo;
Revista da Associa??o Médica Brasileira , 2011, DOI: 10.1590/S0104-42302011000500019
Abstract: objective: to identify the risk of suicidal behavior in high-risk pregnant women at a public hospital in s?o paulo. methods: we conducted a semi-structured interview with each of the participants (n = 268) through a previously prepared questionnaire. risk of suicidal behavior was assessed by the portuguese version of prime-md. results: the mean age of patients was 29 years (sd = 0.507) and gestation period was 30 weeks (sd = 0.556). of the total sample, specific risk of suicide was found in 5% (n = 14). of these, 85% have a stable relationship (married or cohabitating), the pregnancy was planned in 50% of cases, and 71% have no religion or professional activities. the correlation of risk of suicide with data from marital status, planned birth, age, education, professional practice, risk of prematurity, and religion showed that having a religion is statistically significant (p = 0.012). there were no positive associations for any of the other selected variables when compared with the risk of suicide. by correlating the risk of suicide with other characteristic symptoms of major depression, there was statistical significance in the sample with regard to insomnia or hypersomnia (p = 0.003), fatigue or loss of energy (p = 0.001), decreased or increased appetite (p = 0.005), less interest in daily activities (p = 0.000), depressed mood (p = 0.000), feelings of worthlessness or guilt (p = 0.000), decreased concentration (p = 0.002), and agitation or psychomotor retardation (p = 0.002). conclusion: we found that religion can be a protective factor against suicidal behavior. besides providing a social support network needed by women during pregnancy, religion supports belief in life after death and in a loving god, giving purpose to life and self esteem and providing models for coping with crises. the results show the importance of prevention and early diagnosis of suicidal behavior, since suicide is an attempt to move from one sphere to another by force, seeking to solve w
Depress?o, aspectos emocionais e sociais na vivência do aborto: compara??o entre duas capitais Brasileiras
Nomura, Roseli Mieko Yamamoto;Benute, Gláucia Rosana Guerra;Azevedo, George Dantas de;Dutra, Elza Maria do Socorro;Borsari, Cristina Gigliotti;Rebou?as, Melina Séfora Souza;Lucia, Mara Cristina Souza de;Zugaib, Marcelo;
Revista da Associa??o Médica Brasileira , 2011, DOI: 10.1590/S0104-42302011000600010
Abstract: objective: to assess emotional and social aspects in the experience of abortion and the diagnosis of major depression, comparing women from two brazilian cities (s?o paulo - sp, natal - rn). methods: a transversal study was carried out from january 2009 to may 2010, through semi-directed interviews with women undergoing an abortion (up to 22 weeks gestation) treated at university hospitals in s?o paulo - sp (n = 166) and natal - rn (n = 150). the portuguese version of the primary care evaluation of mental disorders (prime-md) instrument was applied for the diagnosis of depression. results: there was no significant difference (p = 0.223) in the proportion of induced abortions when comparing the two capital cities: natal (7.3%) and s?o paulo (12.0%). the diagnosis of depression was high among women undergoing an abortion and was significantly higher in natal than in s?o paulo (50.7% vs. 32.5%, p < 0.01). regarding emotional aspects, there was no difference in the occurrence of guilt feelings (natal 27.7%; s?o paulo 23.3%; p = 0.447). the partner's involvement was considered satisfactory by women in similar proportions in the two capitals (natal 62.0%; s?o paulo 59.0%, p = 0.576). no difference was found in the proportion of women who reported violence, related or not to the abortion (natal 22.9%; s?o paulo 16.6%; p = 0.378). conclusion: although there was no difference between the emotional and social aspects in the comparison between the two capitals, there was a high proportion of women with major depression, more frequent in the city of natal than in s?o paulo, which demonstrates the importance of psychosocial support in the women's healthcare system.
Cardiopatia fetal e estratégias de enfrentamento
Benute, Gláucia Rosana Guerra;Nonnenmacher, Daniele;Evangelista, Luiz Flávio Mendes;Lopes, Lilian Maria;Lucia, Mara Cristina Souza;Zugaib, Marcelo;
Revista Brasileira de Ginecologia e Obstetrícia , 2011, DOI: 10.1590/S0100-72032011000900002
Abstract: purpose: to evaluate the coping strategies of women facing a diagnosis of fetal heart disease. methods: we interviewed 50 women who had received a diagnosis of fetal heart disease. for data collection we used a semi-directed and coping strategy inventory. the interview was conducted, on average, 22 days after the diagnosis. results: when asked how they felt about the baby, 56.0% reported concern and fragility, while the remaining 44.0% said they were happy and well. the strategies most used by women were problem solving (73.0%), social support (69.1%) and escape/avoidance (62.7%), and the least used strategy was removal (17.3%). it was found that women with partners, as well as those with 1 or 2 children, used more the problem-solving strategy (p<0.05). conclusions: the active coping strategies, focused on problem solving and seeking social support, coupled with the responsibility and the need for specific care for the survival and welfare of the baby, brought about a closer relationship with the pregnancy, strengthening the maternal-fetal bond.
Gravidez na adolescência: prevalência, ansiedade e idea o suicida
Revista da Associa??o Médica Brasileira , 2002,
Genetic map of the common bean using a breeding population derived from the Mesoamerican gene pool
Luciana Gomes Ferreira,Gláucia Salle Cortopassi Buso,Rosana Pereira Vianello Brondani,Cláudio Brondani
Crop Breeding and Applied Biotechnology , 2010,
Abstract: The mapping population consisted of 94 F2 generation plants derived from a cross between the CNFC 7812and CNFC 8056 lines, with different protein contents, 24% and 19% respectively. Seven hundred and fifty-two molecularmarkers were tested among the parents and four individuals from the segregant population. A total of 101 loci were used todevelop the genetic map. The polymorphism rate was 8.3% and 23.2% for the microsatellite and RAPD markers, respectively.The sizes of the linkage groups ranged from 6.7 to 139.0 cM , presenting a mean of 49.4 ± 36.8. The map length was 840.7cM and the mean group length was 45.9 cM. The average distance between the framework loci was 16.1 cM. This map wascompared with international reference bean maps and results were discussed. The construction of the genetic map fromparents of the same center of origin and the commercial grain type were discussed.
O comportamento de crian?as em tratamento odontológico: interven??o psicofarmacológica
Possobon, Rosana de Fátima;Moraes, Antonio Bento Alves de;Ambrozano, Gláucia Maria Bovi;Costa Junior, áderson Luiz;
Psicologia em Estudo , 2004, DOI: 10.1590/S1413-73722004000100005
Abstract: the present investigation evaluated the effects of diazepam used to manage uncooperative behavior of child dental patients. six participants received placebo or diazepam (0,3 mg/kg weight) before formal dental treatment at total 54 sessions that were all recorded in videotapes. the analysis of recorded child (crying, body and/or head movements, escape and avoidance) and dentist's behavior management procedures (distraction, explanation, positive reinforcement) indicates no differences by using a double-blind wilcoxon design (p>0.05). it is suggested the necessity of methodological refinement in studies that combine psychological and pharmacological handling strategies.
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