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Search Results: 1 - 10 of 43092 matches for " Mara Cristina Souza;Zugaib "
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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.
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.
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.
Upregulation of Innate Antiviral Restricting Factor Expression in the Cord Blood and Decidual Tissue of HIV-Infected Mothers
Nátalli Zanete Pereira, Elaine Cristina Cardoso, Luanda Mara da Silva Oliveira, Josenilson Feitosa de Lima, Anna Cláudia Calvielli Castelo Branco, Rosa Maria de Souza Aveiro Ruocco, Marcelo Zugaib, Jo?o Bosco de Oliveira Filho, Alberto José da Silva Duarte, Maria Notomi Sato
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0084917
Abstract: Programs for the prevention of mother-to-child transmission of HIV have reduced the transmission rate of perinatal HIV infection and have thereby increased the number of HIV-exposed uninfected (HEU) infants. Natural immunity to HIV-1 infection in both mothers and newborns needs to be further explored. In this study, we compared the expression of antiviral restricting factors in HIV-infected pregnant mothers treated with antiretroviral therapy (ART) in pregnancy (n=23) and in cord blood (CB) (n=16), placental tissues (n=10-13) and colostrum (n=5-6) samples and compared them to expression in samples from uninfected (UN) pregnant mothers (n=21). Mononuclear cells (MNCs) were prepared from maternal and CB samples following deliveries by cesarean section. Maternal (decidua) and fetal (chorionic villus) placental tissues were obtained, and colostrum was collected 24 h after delivery. The mRNA and protein expression levels of antiviral factors were then evaluated. We observed a significant increase in the mRNA expression levels of antiviral factors in MNCs from HIV-infected mothers and CB, including the apolipoprotein B mRNA-editing enzyme 3G (A3G), A3F, tripartite motif family-5α (TRIM-5α), TRIM-22, myxovirus resistance protein A (MxA), stimulator of interferon (IFN) genes (STING) and IFN-β, compared with the levels detected in uninfected (UN) mother-CB pairs. Moreover, A3G transcript and protein levels and α-defensin transcript levels were decreased in the decidua of HIV-infected mothers. Decreased TRIM-5α protein levels in the villi and increased STING mRNA expression in both placental tissues were also observed in HIV-infected mothers compared with uninfected (UN) mothers. Additionally, colostrum cells from infected mothers showed increased tetherin and IFN-β mRNA levels and CXCL9 protein levels. The data presented here indicate that antiviral restricting factor expression can be induced in utero in HIV-infected mothers. Future studies are warranted to determine whether this upregulation of antiviral factors during the perinatal period has a protective effect against HIV-1 infection.
Trigger factors of stress in the centre of sterilized material
Mara Cristina Bicudo de Souza
Revista de Enfermagem UFPE On Line , 2009,
Abstract: Objective: to identify the generative factors of stress in a Central of Sterilized Material, from perspective of staffworking in the sector. Methods: there was a descriptive research, using a quantitative analysis with nurses,technicians, auxiliaries and nurse attendants, with the data collection instrument to structured interview. Results:the generative factors of stress are related to the physical-functional environment unity: inherent factors to theenvironment, physical-ergonomic factors and administrative factors. Conclusion: the technical procedures were notmentioned, what it makes to believe that the employees feel capable and prepared to the execution of activities inthe technical area. It was observed the necessity of much attention by the hospital administrators and supervisorsto the unity, ie regeneration and adoption of technologies to minimize the constraints that the environmentprovides.
Fen?menos alucinatórios auditivos em pacientes com zumbido: rela??es afetivas e aspectos depressivos
Santos, Rosa Maria Rodrigues dos;Sanchez, Tanit Ganz;Bento, Ricardo Ferreira;Lucia, Mara Cristina Souza de;
International Archives of Otorhinolaryngology , 2012, DOI: 10.7162/S1809-97772012000300004
Abstract: introduction: over the last few years, our tinnitus research group has identified an increasing number of patients with tinnitus who also complained of repeated perception of complex sounds, such as music and voices. such hallucinatory phenomena motivated us to study their possible relation to the patients' psyches. aims: to assess whether hallucinatory phenomena were related to the patients' psychosis and/or depression, and clarify their content and function in the patients' psyches. method: ten subjects (8 women; mean age = 65.7 years) were selected by otolaryngologists and evaluated by the same psychologists through semi-structured interviews, the hamilton depression rating scale, and psychoanalysis interviews. results: we found no association between auditory hallucinations and psychosis; instead, this phenomenon was associated with depressive aspects. the patients' discourse revealed that hallucinatory phenomena played unconscious roles in their emotional life. in all cases, there was a remarkable and strong tendency to recall/repeat unpleasant facts/situations, which tended to exacerbate the distress caused by the tinnitus and hallucinatory phenomena and worsen depressive aspects. conclusions: there is an important relationship between tinnitus, hallucinatory phenomena, and depression based on persistent recall of facts/situations leading to psychic distress. the knowledge of such findings represents a further step towards the need to adapt the treatment of this particular subgroup of tinnitus patients through interdisciplinary teamwork. prospective.
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