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Perfil de casais que optam pelo parto domiciliar assistido por enfermeiras obstétricas Perfil de las parejas que optan por el parto domiciliario asistido por enfermeras obstétricas Profile of couples who opt for home birth assisted by obstetric nurses
Iara Simoni Silveira Feyer,Marisa Monticelli,Roxana Knobel
Escola Anna Nery , 2013,
Abstract: Esta pesquisa exploratório-descritiva foi desenvolvida com o objetivo de identificar as características sociodemográficas de casais que optam pelo domicílio como local para a ocorrência do parto. Participaram 25 casais que elegeram os servi os de uma equipe de enfermeiras obstétricas que assiste a partos domiciliares, em Florianópolis-SC. As informa es foram obtidas por meio dos registros em prontuários dos atendimentos prestados pelas enfermeiras e de entrevistas semiestruturadas com os casais praticantes do parto domiciliar planejado, tendo sido realizada análise descritiva do perfil obtido. Identificou-se que a maioria dos casais era de pessoas com forma o superior, relacionamento estável, que residiam em casa própria e tinham estabilidade profissional. Grande parte dos participantes n o era natural de Florianópolis e alguns casais vieram de outras cidades para que o parto ocorresse nesta cidade. Foi possível concluir que a op o pelo parto em casa está atrelada à revaloriza o do ambiente doméstico, e n o a um resgate do passado. Estudio exploratorio-descriptivo, desarrollado con el objetivo de identificar las características sociodemográficas de las parejas que eligen el hogar como un lugar para la ocurrencia del parto. Participaron 25 parejas que han elegido los servicios de un equipo de enfermeras obstétricas que asisten partos en domicilio de Florianópolis-SC. La información se obtuvo a través de los registros de la atención prestada por las enfermeras y entrevistas semiestructuradas con las parejas participantes del nacimiento domiciliario planificado, después de haber realizado un análisis descriptivo del perfil obtenido. Se identificó que la mayoría de las parejas practicantes del parto en casa son personas con educación superior, relación estable, que viven en sus propias casas y tienen seguridad laboral. Gran parte de los participantes no es natural de Florianópolis y algunas parejas vinieron de otras ciudades para que el nacimiento ocurriera en esta ciudad. Se concluyó que la opción por el parto domiciliario está relacionado con la revalorización del ambiente domestico y no a un rescate del pasado. This exploratory-descriptive study was developed with the objective to identify the sociodemographic characteristics of couples opting for home birth. There were 25 couples who participated and elected the services from a team of obstetric nurses who attend homebirth, in Florianópolis-SC. The data were got from medical registers which informed about the attendances of the nurses and from semi-structured interviews with the practitioners' coupl
PUBLICA ES CIENTíFICAS BRASILEIRAS DE ENFERMEIRAS OBSTéTRICAS SOBRE PARTO DOMICILIAR: REVIS O SISTEMáTICA DE LITERATURA
Iara Simoni Silveira Feyer,Marisa Monticelli,Cilene Volkmer,Renata Angeloni Burigo
Texto & Contexto - Enfermagem , 2013,
Abstract: Este estudio de revisión, fue realizado en revistas nacionales, destinado a caracterizar la producción científica de las enfermeras brasile as sobre el parto domiciliar, e identificar los resultados obtenidos. Se identificaron 27 artículos, de los cuales 10 cumplieron con los criterios de inclusión y exclusión, de los cuales, ocho constituyeron el corpus del análisis, de acuerdo con Critical Appraisal Skills Programme. Los datos fueron resumidos por el enfoque meta-etnográfico, a través del proceso interpretativo de reciprocal translation. Surgieron tres categorías: La atención proporcionada por las parteras; Las experiencias de mujeres atendidas por profesionales de la salud en el parto en casa; y, Las experiencias comparativas de las mujeres que dieron a luz a sus bebés en partos en el hogar y el hospital. La meta-categoría "parto humanizado en el ambiente cálido del hogar" se ala una mirada hacia la realidad del parto en casa en Brasil. Los resultados muestran la práctica de las parteras tradicionales, la satisfacción de las mujeres que tuvieron sus hijos en casa, y un revelan un importante vacío sobre la producción de conocimiento de la enfermera obstétrica en el parto en casa.
Ensinando sobre a diferen?a na literatura para crian?as: paratextos, discurso científico e discurso multicultural
Silveira, Rosa Maria Hessel;Bonin, Iara Tatiana;Ripoll, Daniela;
Revista Brasileira de Educa??o , 2010, DOI: 10.1590/S1413-24782010000100007
Abstract: our starting point is the ubiquity of children's literature in the pedagogical scenery and the assumption that paratexts (verbal fragments accompanying the main text) which appear in the literature are important guides for its reading, exercising a pedagogical function. we also consider that the contemporary subject (difference) has made inroads into children's literature. in this context, our study aims to analyse how these paratexts teach and seek to influence conducts and attitudes with relation to difference. paratexts from 21 recent titles were analysed and two discourses were explored in them: the multicultural and scientific-informative discourses. we conclude that arguments used to inform, persuade and catch the attention of the reader intertwine the above-mentioned discourses. determined forms of speech of the different subjects are elaborated in the paratexts, in tune with authors' and editors' preoccupation to engage in a certain education for difference.
Ensinando sobre a diferen a na literatura para crian as: paratextos, discurso científico e discurso multicultural
Rosa Maria Hessel Silveira,Iara Tatiana Bonin,Daniela Ripoll
Revista Brasileira de Educa??o , 2010,
Abstract: Se parte de la omnipresencia de la literatura infantil en el escenario pedagógico y de la suposición de que los textos colaterales(fragmentos verbales que acompa an el texto principal de las obras) que en ellas ocurren son importantes guías para su lectura y ejercen también una función pedagógica. Todavía se considera que la diferencia, tema de interés contemporáneo, ha invadido el área de la literatura infantil. El objetivo del estudio es analizar cómo esos textos colaterales ense an y buscan influenciar conductas y actitudes en relación a la diferencia. Fueron analizados textos colaterales de 21 títulos y se estudiaron dos discursos que estaban presentes en ellos: el discurso multicultural y el discurso científico informativo. Se concluye que las diferencias van siendo constituidas y con significados de múltiples maneras, como próximas o exóticas o como experiencias a ser realizadas, se nota que, en buena parte, los argumentos utilizados para informar, persuadir y cautivar al lector entrelazan los discursos citados. En los textos colaterales, son compuestas determinadas maneras de hablar de los sujetos diferentes alineadas a la preocupación de autores y editores en actuar en una cierta educación para la diferencia.
Determination of phenol and o-cresol in soil extracts by flow injection analysis with spectrophotometric detection
Dolatto, Rafael G.;Messerschmidt, Iara;Pereira, Betania F.;Silveira, Carlos A. P.;Abate, Gilberto;
Journal of the Brazilian Chemical Society , 2012, DOI: 10.1590/S0103-50532012000500025
Abstract: phenol and o-cresol determination by flow injection analysis (fia) with spectrophotometric detection, employing the 4-aminoantipyrine reaction, is proposed in this work in order to quantify these species in soil extracts. the method was improved by a factorial planning, being verified a higher sampling rate in comparison with the conventional method, and recovery values, limits of detection and quantification similar for both methods. these aspects suggest this method as a feasible alternative for phenolic compound determinations in soil extracts.
Rickettsia species infecting Amblyomma ticks from an area endemic for Brazilian spotted fever in Brazil
Guedes, Elizangela;Leite, Romário Cerqueira;Pacheco, Richard Campos;Silveira, Iara;Labruna, Marcelo Bahia;
Revista Brasileira de Parasitologia Veterinária , 2011, DOI: 10.1590/S1984-29612011000400009
Abstract: this study reports rickettsial infection in amblyomma cajennense and amblyomma dubitatum ticks collected in an area of the state of minas gerais, brazil, where brazilian spotted fever is considered endemic. for this purpose, 400 adults of a. cajenennse and 200 adults of a. dubitatum, plus 2,000 larvae and 2,000 nymphs of amblyomma spp. were collected from horses and from the vegetation. the ticks were tested for rickettsial infection through polymerase chain reaction (pcr) protocols targeting portions of three rickettsial genes (glta, ompa, and ompb). only two free-living a. cajennense adult ticks, and four pools of free-living amblyomma spp. nymphs were shown to contain rickettsial dna. pcr products from the two a. cajennense adult ticks were shown to be identical to corresponding sequences of the rickettsia rickettsii strain sheila smith. dna sequences of glta-pcr products of the four nymph pools of amblyomma spp. revealed a new genotype, which was shown to be closest (99.4%) to the corresponding sequence of rickettsia tamurae. our findings of two r. rickettsii-infected a. cajennense ticks corroborate the endemic status of the study area, where human cases of bsf were reported recently. in addition, we report for the first time a new rickettsia genotype in brazil.
Instabilidade de microssatélite - MSI nos marcadores (BAT26, BAT25, D2s123, D5S346, D17S250) no cancer de reto Microsatellite instability - MSI markers (BAT26, BAT25, D2S123, D5S346, D17S250) in rectal cancer
Graziele Moraes Losso,Roberto da Silveira Moraes,Arthur C. Gentili,Iara Taborda Messias-Reason
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo) , 2012,
Abstract: RACIONAL: O cancer colorretal tem importante componente genético. Os microssatélites s o considerados marcadores fenotípicos de prognóstico, resposta terapêutica e de identifica o de pacientes com muta o nos genes de reparo do DNA. OBJETIVOS: Avaliar o perfil molecular dos tumores submetidos à microcirurgia endoscópica transanal (TEM) para tratamento do cancer de reto. MéTODO: Foram selecionados 38 espécimes avaliados segundo o estadiamento patológico. Foram escolhidas amostras da regi o tumoral e realizada disseca o e extra o do DNA. Os tumores colorretais foram testados para instabilidade de microssatélite - MSI utilizando um painel composto de cinco marcadores (BAT25, BAT26, D2S123, D5S346 e D17S2720), técnica da rea o em cadeia da polimerase (PCR). RESULTADOS: Nos 38 casos observou-se que 63% eram do sexo masculino e 47% feminino com média de idade de 58,4 anos. Em rela o ao tipo tumoral 58% eram adenomas, sendo 24% adenomas de baixo grau e 76% de alto grau; 42% eram carcinomas. Quanto à profundidade de ressec o, verificou-se que 80% dos casos incluíam a gordura perirretal e 20% até a muscular própria. O microssatélite com maior frequência de amplifica o foi o BAT26 (100%) e o menor D17S2720 (85,4%). Dezesseis casos (42%) apresentaram MSI; eram dez carcinomas, dois adenomas de baixo grau e quatro de alto grau. Vinte e dois casos (68%) tinham microssatélite estáveis - MSS. A perda alélica dos marcadores de microssatélites foi estatisticamente significante nos casos de carcinoma em rela o a adenomas. O microssatélite com maior frequência de amplifica o foi o BAT26 (100%) e o menor D17S2720 (85,4%); 16 casos (42%) apresentaram instabilidade de microssatélite - MSI. Desses, dez eram carcinomas, dois adenomas de baixo grau e quatro de alto grau; 22 casos (58%) apresentaram microssatélite estáveis - MSS. CONCLUS O: A instabilidade de microssatélite (MSI-H) foi significantemente associada com carcinomas retais, confirmando sua utiliza o como marcador prognóstico na carcinogênese retal. BACKGROUND: Colorectal cancer has an important genetic component. Microsatellites are considered phenotypic markers of prognosis, therapeutic response and identify patients with mutations in DNA repair genes. AIM: To evaluate the molecular profile of tumors underwent to transanal endoscopic microsurgery - TEM in surgical treatment of rectal cancer. METHOD: Thirty eight surgical specimens were evaluated according to pathological staging and the region of the tumor were dissected and submitted to DNA extraction. The colorectal tumors were tested for microsatellite in
Cancer cluster among young Indian adults living near power transmission lines in Bom Jesus do Tocantins, Pará, Brazil
Koifman Sergio,Ferraz Iara,Viana Trajano S.,Silveira Carmen L. P.
Cadernos de Saúde Pública , 1998,
Abstract: A case study was carried out to explore the occurrence of a cancer cluster in 1992 among young indian adults living in an Amazonian village near two 500 kV power transmission lines that began operating a decade ago. Current blood levels of DDT and organophosphorus pesticides and metal levels in hair samples were measured. Extremely low magnetic field exposure was determined during current daily activities carried out by the Indian villagers. Taking into account the cancer incidence rates in different Brazilian cities, the probability of the occurrence of this cluster by chance was considered remote (p< 0.003, Poisson distribution). High blood levels of p,p'-DDT (median levels ranging from 26 to 58 ppb) were observed. As a whole, this community showed a pattern of low exposure to organophosphorus pesticides, and high recent exposure was only observed in a few blood samples. Continuous exposure to extremely low electromagnetic fields originated in the power transmission lines (which reached 95.0 mG under the lines) was observed on several opportunities during daily activities carried out by Indian villagers. Further observational studies should evaluate the interaction between exposure to extremely low electromagnetic fields and prior exposure to tumor initiators in cancer development.
Cross-Cultural Adaptation and Psychometric Testing of the Brazilian Version of the Self-Care of Heart Failure Index Version 6.2
Christiane Wahast ávila,Barbara Riegel,Simoni Chiarelli Pokorski,Suzi Camey,Luana Claudia Jacoby Silveira,Eneida Rejane Rabelo-Silva
Nursing Research and Practice , 2013, DOI: 10.1155/2013/178976
Abstract: Objective. To adapt and evaluate the psychometric properties of the Brazilian version of the SCHFI v 6.2. Methods. With the approval of the original author, we conducted a complete cross-cultural adaptation of the instrument (translation, synthesis, back translation, synthesis of back translation, expert committee review, and pretesting). The adapted version was named Brazilian version of the self-care of heart failure index v 6.2. The psychometric properties assessed were face validity and content validity (by expert committee review), construct validity (convergent validity and confirmatory factor analysis), and reliability. Results. Face validity and content validity were indicative of semantic, idiomatic, experimental, and conceptual equivalence. Convergent validity was demonstrated by a significant though moderate correlation ( ) on comparison with equivalent question scores of the previously validated Brazilian European heart failure self-care behavior scale. Confirmatory factor analysis supported the original three-factor model as having the best fit, although similar results were obtained for inadequate fit indices. The reliability of the instrument, as expressed by Cronbach’s alpha, was 0.40, 0.82, and 0.93 for the self-care maintenance, self-care management, and self-care confidence scales, respectively. Conclusion. The SCHFI v 6.2 was successfully adapted for use in Brazil. Nevertheless, further studies should be carried out to improve its psychometric properties. 1. Introduction Over the last few decades, treatment of heart failure (HF) has been optimized substantially through the advent of new therapies that have improved morbidity and mortality outcomes. These therapies, combined with nonpharmacological management strategies, have provided several benefits for patients, particularly in quality of life and rate of hospitalization due to decompensated HF [1, 2]. Within this context, nonpharmacological management, which encompasses a continuous process of patient education and development of self-care skills, has been widely studied and shown to be beneficial in the achievement and maintenance of clinical stability [2]. Among available self-care strategies, the multidisciplinary approach appears to be associated with the greatest benefit over time, improving quality of life, reducing readmission rates, and cutting health care costs [3, 4]. Self-care in HF is defined as a naturalistic decision-making process used to maintain physiologic stability (self-care maintenance) and respond to symptoms when they occur (self-care management) [3]. During
Scaling cigars in the Cuban tourism economy
Simoni,Valerio;
Etnográfica , 2009,
Abstract: taking scale as an object of analysis (tsing 2000), this article examines how competing scale-making projects emerge in different layers of the cuban tourism economy. i consider how tourists and cubans interact along contested chains of production and distribution of cigars, and therefore become entangled in bundles of ideas, discourses, practices and materialities. these constitute different scaling propositions on which tourists and cubans converge or diverge, and which inform the success of encounters within the tourism economy. highlighted is the importance of understanding how scaling propositions are enacted and negotiated within tourism. i conclude that the realm of tourism is a particularly fruitful platform to investigate how competing scale-making projects and notions of scale are played out in the contemporary world.
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