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Search Results: 1 - 10 of 68921 matches for " Bedone Aloísio José "
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Atendimento de emergência a mulheres que sofreram violência sexual: características das mulheres e resultados até seis meses pós-agress?o
Oshikata, Carlos Tadayuki;Bedone, Aloísio José;Faúndes, Anibal;
Cadernos de Saúde Pública , 2005, DOI: 10.1590/S0102-311X2005000100021
Abstract: this study evaluated the process and results of treatment for women at a university hospital after sexual violence. a prospective study of 166 women (> 12 years of age) treated from october 1999 to february 2002 included six months follow-up after aggression. half of the women were under 20 years of age, two were illiterate, 70.0% unmarried, 20.0% used contraceptives, and 80.0% received treatment within the first 24 hours post-aggression. nearly 80.0% of aggressors were unknown to victims and 95.0% of the cases involved vaginal penetration. emergency contraception was administered to 76.0%, antibiotics to 98.0%, hepatitis b immunoglobulin to 95.0%, and hiv anti-retroviral prophylaxis to 90.0%. the first follow-up consultation (at 14 days) was attended by 137 women, whereas 37.0% dropped out before the 45-day visit and only 29.0% complied with the six-month follow-up. during follow-up, hepatitis b and hpv were identified in 2.6%, pelvic inflammatory disease and trichomonas vaginalis in 2.1%, and syphilis in 1.3%. three pregnancies were observed among 127 women who received emergency contraception (2.6%). no cases of hiv seroconversion were observed. emergency care for victims of sexual assault is effective in reducing unwanted pregnancies and infections.
Atendimento de emergência a mulheres que sofreram violência sexual: características das mulheres e resultados até seis meses pós-agress o
Oshikata Carlos Tadayuki,Bedone Aloísio José,Faúndes Anibal
Cadernos de Saúde Pública , 2005,
Abstract: Avaliou-se o processo e os resultados do tratamento a mulheres vítimas de violência sexual em Hospital Universitário. Estudo prospectivo para avaliar o atendimento de emergência e o seguimento ambulatorial por seis meses de 166 mulheres, pós-púberes, atendidas no Centro de Aten o Integral à Saúde da Mulher da Universidade Estadual de Campinas, entre outubro de 1999 e fevereiro de 2002. Metade era menor de vinte anos, duas n o eram alfabetizadas, 70,0% eram solteiras, 20,0% usavam anticoncepcionais, 80,1% foram atendidas até 24 horas pós-agress o. Os agressores eram desconhecidos em 80,0% dos casos e 95,0% tiveram rela o vaginal. Anticoncep o de emergência foi administrada a 76,0% das mulheres, antibióticos a 98,0%, imunoglobulina para hepatite B a 95,0% e anti-retrovirais a 90,0%. Retornaram aos 14 dias 137 mulheres, 37,0% n o retornaram aos 45 dias e 29,0% completaram seis meses de seguimento. Foi diagnosticado hepatite B e HPV em 2,6%, doen a inflamatória pélvica e tricomoníase em 2,1%, sífilis 1,3%, além de três gesta es entre 127 que receberam anticoncep o de emergência (2,6%). N o houve infec o pelo HIV. O atendimento de emergência a vítimas de violência sexual é eficiente em reduzir o número de gesta es indesejadas e das DST.
O significado da retirada do útero para as mulheres: um estudo qualitativo
Sbroggio, Adriana Magrin Rivera;Osis, Maria José Martins Duarte;Bedone, Aloísio José;
Revista da Associa??o Médica Brasileira , 2005, DOI: 10.1590/S0104-42302005000500018
Abstract: objective: to identify the myths accepted by women about to undergo hysterectomy regarding the consequences that removal of their uterus might have on their lives. methods: a sample of 10 hospitalized women with surgical indication for hysterectomy was used to perform a qualitative study, with semi-structured interviews carried out during the preoperative period. a profile questionnaire was used with questions about personal features and semi-structured inquiries to facilitate deeper questioning. with authorization of the subjects, interviews were recorded and transcribed to perform a thematic analysis of the content. results: the myths most often mentioned during the interviews were: loss of femininity, frigidity, change in personality, possible change in body appearance (since they would be "hollow", "empty", "have a hole inside their belly"), interference in the affective and sexual life and the belief that their companion might change in relation to them (assuming that they would be hollow, cold, and with no sexual attraction). conclusion: the interviewed women accepted a number of myths about the consequences that removal of their uterus would have on their lives. these myths are related to the social identity of the gender and to a lack of knowledge about their body its organs and functions.
Nursing Care of Women Who Suffered Sexual Violence
Reis, Maria José dos;Lopes, Maria Helena Baena de Moraes;Higa, Rosangela;Bedone, Aloísio José;
Revista Latino-Americana de Enfermagem , 2010, DOI: 10.1590/S0104-11692010000400012
Abstract: the aim of this study was to characterize the nursing care, provided to women who suffered sexual violence, treated at the women's hospital-caism/unicamp. a retrospective, descriptive study performed using 146 nursing care records of women attended from june 2006 to may 2007. the results showed that the majority of attendances occurred during the day period, that there was consistency between the interventions and the nursing diagnoses identified, and that women reported having received guidance in accordance with the protocol of the program. the nursing consultation time was greater at night (p=0.0227) and the women frequently understood the health risks resulting from sexual violence (p=0.0072), the use of antiretrovirals according to their daily activities (p=0.0397) and they were more focused on the purpose of the serology (p=0.0351). we concluded that the care provided was shown to be appropriate and of a better quality in the nightshift period.
Violência sexual: procedimentos indicados e seus resultados no atendimento de urgência de mulheres vítimas de estupro
Faúndes, Aníbal;Rosas, Cristi?o Fernando;Bedone, Aloísio José;Orozco, Luis Távara;
Revista Brasileira de Ginecologia e Obstetrícia , 2006, DOI: 10.1590/S0100-72032006000200009
Abstract: gender-based violence is related to the power imbalance between men and women that is present, to a greater or lesser degree, in all societies. it was recognized as a human rights problem by the un relatively recently. it includes emotional, physical and sexual violence. sexual violence is the extreme form of gender violence, usually accompanied by the other types of violence. its prevalence is difficult to determine, but it most probably affects at least one third of women some time in their life. it has multiple consequences to women's physical and gynecological health, which depends in great part on the quality of the care the woman received immediately after the assault. unfortunately, most emergency health services, including those in women's hospitals, are rarely prepared to provide the correct care for these women. care should be multidisciplinary and involves crisis treatment, meticulous clinical examination with complementary auxiliary methods, treatment of physical lesions, prevention of pregnancy and of sexually transmitted infections and aids, and follow-up for at least six months after the aggression.
Avalia??o do endométrio em menopausadas após uso de isoflavonas
Wolff, Luis Paulo Galv?o;Martins, Marcos Roberto;Bedone, Aloísio José;Monteiro, Ilza Maria Urbano;
Revista da Associa??o Médica Brasileira , 2006, DOI: 10.1590/S0104-42302006000600022
Abstract: objetive: to evaluate the endometrium of menopausal women before and after six months use of total isoflavone. methods: a non-controlled clinical, type "before and after" trial was carried out with 32 post-menopause women, between 40 and 60 years of age. they received 80mg/day of total isoflavones obtained from trifolium pratense (climadila) during six months. they were evaluated at the beginning and end of treatment by transvaginal pelvic ecography, hysteroscopy and endometrial biopsy. data analysis: data collected were registered by means of the epi info, version 6.04b software, data analysis was made using the sas version 8.2 statistics program, considering a significance level (a) of 0.05 and a 0.80 power (1-b). in order to study the average variation of endometrial thickness and variation of the hysteroscopic and hystologic findings the t student test for paired data was used. results: among the 32 participant women, six presented vaginal bleeding and three presented endometrial alteration when compared to the initial exams. two of the women developed endometrial cell proliferation and one of them endometrial hiperplasia. there were no significant alterations in relation to endometrial thickness. conclusion: in this study, three women who used isoflavones during the six month period presented endometrial activity.
Laqueadura intraparto e de intervalo
Fernandes, Arlete Maria dos Santos;Bedone, Aloísio José;Leme, Larissa Capochin Paes;Yamada, Elza Mitiko;
Revista da Associa??o Médica Brasileira , 2006, DOI: 10.1590/S0104-42302006000500019
Abstract: background: brazil is a country with a high prevalence of tubal ligation, which is frequently performed at the time of delivery. in recent years, an increase in tubal reversal has been noticed, primarily among young women. objectives: to study characteristics correlated with the procedure, determine frequency of intrapartum tubal ligation, measure patient satisfaction rates and tubal sterilization regret, in a sample of post-tubal patients. methods: three hundred and thirty-five women underwent tubal ligation. the variables studied were related to the procedure: age at tubal ligation, whether ligation was performed intrapartum (vaginal or cesarean section) or after an interval (other than the intrapartum and puerperal period), health service performing the sterilization, medical expenses paid for the procedure, reason stated for choosing the method and causes related to satisfaction/regret: desire to become pregnant after sterilization, search for treatment and performance of tubal ligation reversal. the women were divided into two groups, a group undergoing ligation in the intrapartum period and a second group ligated after an interval, to evaluate the association between variables by using fisher's exact test and chi-squared calculation with yates' correction. the study was approved by the ethics committee of the institution. results: there was a predominance of caucasian women over 35 years of age, married, and with a low level of education of which 43.5% had undergone sterilization before 30 years of age. two hundred and forty-five women underwent intrapartum tubal ligation, 91.2% of them had cesarean delivery and 44.6% vaginal delivery. in both groups undergoing intrapartum tubal ligation and ligation after an interval, 82.0% and 80.8% reported satisfaction with the method. although 14.6% expressed a desire to become pregnant at some time after sterilization, consultation regarding sterility occurred in 3.4% and 2.3%, respectively, and one woman underwent tubal
Prevalence of uterine synechia after abortion evacuation curettage
Salzani, Adriana;Yela, Daniela Angerame;Gabiatti, José Roberto Erbolato;Bedone, Aloísio José;Monteiro, Ilza Maria Urbano;
Sao Paulo Medical Journal , 2007, DOI: 10.1590/S1516-31802007000500002
Abstract: context and objective: intrauterine adhesion (iua) is a possible complication of uterine curettage following abortion. because iua is an important cause of infertility, some investigators have been advocating its inclusion in the routine investigational workup after every abortion curettage procedure. the aim of this study was to evaluate the uterine cavity of patients subjected to abortion curettage, in order to ascertain the prevalence of iua and its association with social and clinical factors. design and setting: this was a cross-sectional study at the human reproduction unit, department of obstetrics and gynecology, universidade estadual de campinas (unicamp). methods: a total of 109 women were enrolled. the investigators searched the records of unicamp's hospital for patients who had been subjected to uterine curettage following abortion. the hysteroscopy was performed 3 to 12 months after the curettage. the correlations between patients' characteristics and the prevalence of iua were assessed by means of chi-squared and fisher's exact test calculations. results: the prevalence of iua was 37.6%. the number of previous abortions and curettage procedures did not correlate with the presence of iua. most of the women (56.1%) presented iua grade i. conclusions: in the present study, 37.6% of the women subjected to curettage following abortion had iua, which was mostly mucous and grade i. none of the demographic and clinic characteristics evaluated were found to be associated with iua. from this study, there is no firm evidence to justify carrying out routine diagnostic hysteroscopy following abortion evacuation.
Características relacionadas ao primeiro e último parto por cesárea
Fernandes, Arlete Maria dos Santos;Bedone, Aloísio José;Leme, Larissa Capochin Paes;Fonsechi-Carvasan, Gislaine Aparecida;
Revista da Associa??o Médica Brasileira , 2007, DOI: 10.1590/S0104-42302007000100020
Abstract: objective: to study the association between first and last caesarian sections with tubal sterilization; to determine length of reproductive life after the first delivery. methods: from february to october 2001 in a university hospital, interviews were carried out with 653 women having had at least two pregnancies. of these women, 172 had a first caesarian section; 294 had a last caesarian section. variables were social demographic characteristics, obstetric history and characteristics of the first and last deliveries and tubal sterilization. bivariate analysis was performed, followed by multiple regression analysis calculating the adjusted odds ratio. women who had undergone tubal sterilization were divided into age groups of 25 to 44 and >45 years in a percentile distribution. the wilcoxon test was used to analyze age at tubal sterilization and length of reproductive life after the last delivery. the study was approved by the ethics committee. results: of these women, 89% completed <8 years of school education and 78% were caucasian. on multiple regression analysis, there was an association between the first and last caesarian section (or=15.28, 95%ci 8.54 to 27.36), having a partner (or=3.87, ci95% 1.63 to 9.17) and giving birth in the '70s, '80s or '90s (or=4.43, 95%ci 1.37 to 14.27), (or=6.11, 95%ci 1.47 to 25.47) and (or=6.67, 95%ci 1.21 to 40.26), respectively. the last caesarian section was associated with intrapartum tubal sterilization (or=14.09, 95%ci 7.37 to 26.97), giving birth in the '70s, '80s or '90s (or=1.81, 95%ci 1.06 to 3.09), (or=5.53, 95%ci 3.18 to 9.61) and (or=5.90, 95%ci 3.03 to 11.48), respectively, family income of >5 minimum wages (or=2.41, 95%ci 1.42 to 4.08) and age at first delivery >25 years (or=1.80, 95%ci 1.01 to 3.22). mean age at sterilization was 29.0 and 33.2 years in women aged 25 to 44 years and >45 years, respectively (p<0.001). the duration of the reproductive period after the first delivery was 9.0 and 11.4 years for the sam
Vivências de enfermeiros na assistência à mulher vítima de violência sexual
Reis,Maria José dos; Lopes,Maria Helena Baena de Moraes; Higa,Rosangela; Turato,Egberto Ribeiro; Chvatal,Vera Lucia Soares; Bedone,Aloísio José;
Revista de Saúde Pública , 2010, DOI: 10.1590/S0034-89102010000200013
Abstract: objective: to understand experiences of nurses caring for women who have suffered sexual violence. methodological procedures: qualitative-clinical study in which six nurses from a health care service for women who had suffered sexual violence were interviewed in the city of campinas, southeastern brazil, between april and may 2007. semi-guided interview technique with open questions was used. data were analyzed following the content analysis technique, based on a psychodynamic framework. the following analytical categories were produced: what they think about, how they feel, how they act and how they react to the work with sexual violence victims. analysis of results: interviewees indicated receptiveness as key to provide humanized health care and form a bond with clients. feelings such as fear, insecurity, impotence, ambivalence, anguish and anxiety were reported, causing behavioral changes and interfering with one's personal life, in addition to feelings of professional achievement and satisfaction. technical qualification and activities aimed at providing psychological support were mentioned as strategies to help this type of care. conclusions: although dealing with feelings such as impotence, fear and indignation, the nurses' perception of relief when fulfilling their job tasks and the personal satisfaction felt when helping these women seem to surpass other feelings, as a form of gratification. the desire to "run away" from the health care service and the willingness to do one's best occur simultaneously and are used as inner mechanisms in the sense of minimizing pain and suffering.
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