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Perfil epidemiológico de mulheres atendidas na consulta do pré-natal de um hospital universitário
Spindola, Thelma;Penna, Lúcia Helena Garcia;Progiant, Jane Márcia;
Revista da Escola de Enfermagem da USP , 2006, DOI: 10.1590/S0080-62342006000300010
Abstract: the characteristics of pregnant women in prenatal consultation are described in this article in a quantitative approach. the aim of this study is to identify this group by sketching its epidemiological profile. 118 attendance reports dated from january to june 2003 were investigated in the obstetrics service in a city of rio de janeiro public hospital. the analysis showed that the highest percentage is comprised of women in the age group of 19-25 years (39,8%); that are married (38,9%); have basic consultation between 14 and 17 weeks of pregnancy (18,6%); had previous vaginal birth (79%); have basic school education (29,6%); are housewives (33,8%); have more than one child (58,4%); and did not mention complaints in the first consultation (39%). it can be concluded that obstetric consultation can substantially help reduce morbi-mortality of pregnant women, since it makes possible the guiding of intercurrences and the prevention of troubles during and after the period of pregnancy.
REPRESENTA ES SOCIAIS DA VIDA SEXUAL DE MULHERES NO CLIMATéRIO ATENDIDAS EM SERVI OS PúBLICOS DE SAúDE
Ivonete Alves de Ara jo,Ana Beatriz Azevedo Queiroz,Maria Aparecida Vasconcelos Moura,L cia Helena Garcia Penna
Texto & Contexto - Enfermagem , 2013,
Abstract: Tiene el objetivo de estudiar las representaciones sociales de la vida sexual de la mujer en el climaterio. El referencial teórico-metodológico se apoya en la Teoría de las Representaciones Sociales. Participaron 40 mujeres entre 45 a 65 a os, divididas en dos grupos: perimenopausia y postmenopausia. Los escenarios fueron dos unidades públicas de atención a la mujer en el municipio del Río de Janeiro. La técnica de recolección de datos fue la entrevista semi-estructurada. Los datos fueron tratados según el análisis de contenido temático. Los resultados se alaron tres campos de representaciones. En el grupo de la perimenopausa emergieron dos campos: continuidad de la sensualidad y sexualidad y representación de la negatividad del climaterio llevando a una vida sexual sin placer. El grupo de la postmenopausa se organizó en un campo representacional: vida sexual anclada en el proceso de envejecimiento. Se concluyó que las representaciones sobre la vida sexual en el climaterio vienen siendo redise adas por algunas mujeres a pesar de que muchas concepciones persisten agregadas a los valores socio-histórico-culturales tradicionales a lo femenino y al envejecimiento.
O tema violência intrafamiliar na concep??o dos formadores dos profissionais de saúde
Souza,Edinilsa Ramos de; Ribeiro,Adalgisa Peixoto; Penna,Lúcia Helena Garcia; Ferreira,Ana Lúcia; Santos,Neuci Cunha dos; Tavares,Claudia Mara de Melo;
Ciência & Saúde Coletiva , 2009, DOI: 10.1590/S1413-81232009000500012
Abstract: this article identifies the conceptions and suggestions of professors of medicine and nursing courses about the insertion of this subject in the formation of their students. an exploratory research was carried out using a questionnaire applied to coordinators of disciplines in such courses at public and private universities in the cities of rio de janeiro and cuiabá. many of them recognizes violence as a health problem, although 40.7% of medicine professors and 71.1% of nursing professors of the two cities discusses this subject in their classes. the medicine professors suggests the insertion of the violence subject in their students formation with visits to institutions, meeting groups with people in violence situations and interviews with experienced professionals of the area. the nursing professors prefer resources such as films and videos, seminaries and conferences. gaps were also identified in the students and professors formation, which do not feel able to discuss this thematic. it is indicated that a renovation in the curriculum is urgently necessary.
A revista Psicologia: Ciência e Profiss o: um registro da história recente da Psicologia brasileira The periodical Psicologia Ciência e Profiss o: a recent historical register of the brasylian Psychology
Regina Helena de Freitas Campos,Lúcia Helena Garcia Bernardes
Psicologia: Ciência e Profiss?o , 2005, DOI: 10.1590/s1414-98932005000400002
Abstract: A trajetória da Revista Psicologia: Ciência e Profiss o, do Conselho Federal de Psicologia, é analisada, no contexto das comemora es de seus 25 anos, evidenciando o processo de transforma o que a levou a ser avaliada como periódico de nível A pela CAPES, em 2000, acompanhando as transforma es teóricas e práticas da Psicologia no Brasil, atingindo, assim, a excelência em seu campo de atua o. Seu percurso é analisado a partir de dados das seguintes partes da revista: capa, contra-capa, editorial, ficha técnica, sumário, se es e temas dos artigos, utilizando como fontes todos os números publicados entre 1979 e 2004 (56 exemplares). Psicologia: Ciência e Profiss o revela-nos os psicólogos como profissionais que escutam a sociedade onde vivem, produtores de práticas que têm, cada vez mais, referência nesta sociedade. Nesses 25 anos, a revista registrou a produ o de uma nova identidade para a Psicologia brasileira, construída a partir tanto do diálogo com os diversos campos de atua o quanto da produ o de outros olhares sobre esses diversos campos, mostrando como a profiss o se deslocou de uma posi o mais elitista para uma outra comprometida com a amplia o dos espa os de atua o do psicólogo junto a camadas desprivilegiadas da popula o brasileira, conhecida como de um maior compromisso social. The periodical Psicologia: Ciência e Profiss o (Psychology: Science and Profession), edited by the Federal Council of Psychology, has been surveyed, in its 25 years of existence, providing evidence for the process of transformation that led it to be evaluated as a level A periodical by CAPES (the Brazilian Ministry of Education Agency) in 2000, thus being considered a leading source of information on Brazilian Psychology, distinguished for its excellence. Its journey is analyzed using as sources the following parts: cover, back-cover, editorial, technical records, table of contents, sections and subjects of the articles. All editions published between 1979 and 2004 were examined, covering 56 numbers. The periodical reveals Brazilian psychologists as professionals who listen to the society they live in and who create relevant practices for this society. Along these 25 years, the review registered the building of a new identity for Brazilian Psychology, stemming from the discussion about its various fields of application and from the production of different views on these fields as well, showing how the profession moved from an elitist position to another one, based on a compromise to enlarge the offering of psychological services to wider parcels of the Brazili
Violência vivenciada pelas adolescentes acolhidas em institui??o de abrigamento
Carinhanha, Joana Iabrudi;Penna, Lucia Helena Garcia;
Texto & Contexto - Enfermagem , 2012, DOI: 10.1590/S0104-07072012000100008
Abstract: considering that female adolescents living in shelters may have a different view regarding the meaning of violence and the effect it has on their lives, in this study, we aimed at understanding violence from the perspective of these youths. this qualitative study was performed using semi-structured interviews with 11 female adolescents embraced by a municipal shelter in rio de janeiro. their statements were subjected to content analysis (thematic), which revealed the violence they experienced in their usual environments: family, community, and the shelter. the adolescents have a precise and rather concrete understanding of violence, pertinent to their experience. they face difficulties to realize the complexity of the phenomenon, basically referring to the community and intrafamily violence tangible to them. the results point to the need for more investments to engage in discussions regarding the process of vulnerability and disaffiliation that these adolescents experience in life, their roots and effects.
Violência vivenciada pelas adolescentes acolhidas em institui o de abrigamento
Joana Iabrudi Carinhanha,Lucia Helena Garcia Penna
Texto & Contexto - Enfermagem , 2012,
Abstract: Teniendo en cuenta que las adolescentes abrigadas pueden tener una opinión diferente sobre el significado de la violencia, hemos tratado de identificar y comprender la experiencia de la violencia desde su perspectiva. La investigación cualitativa realizada a través de entrevistas con once adolescentes acogidas en un albergue municipal en Río de Janeiro, Brasil. En el análisis de sus discursos se ha utilizado la análisis de contenido y lo que salió fue la violencia vivida en los lugares donde circulan las adolescentes: familia, comunidad y abrigo. La comprensión de la violencia por parte de las adolescentes es puntual y bastante concreta. Tienen dificultad para concebir la complejidad del fenómeno, refiriéndose básicamente a la violencia en las familias y comunidad, que son tangibles. Los resultados apuntan a la necesidad de mayor discusión de los procesos de vulnerabilidad/desafiliación vividos por las adolescentes, y también las raíces y las repercusiones de este proceso.
Primary productivity of the phytoplankton in a tropical Brazilian shallow lake: experiments in the lake and in mesocosms
Feresin, Eliana Garcia;Arcifa, Marlene Sofia;Silva, Lúcia Helena Sampaio da;Esguícero, André Luiz Henríques;
Acta Limnologica Brasiliensia , 2010, DOI: 10.4322/actalb.2011.004
Abstract: aim: to evaluate the primary productivity of the phytoplankton in the lake monte alegre, southeastern brazil, and the factors that influence its fluctuations, experiments were carried out in the lake and in mesocosm; methods: primary productivity rates were measured using the 14c technique, in experiments carried out monthly in the lake, during one year, and in two mesocosm experiments, one in the winter and another in the summer. other factors also analyzed were temperature, dissolved oxygen, ph, electrical conductivity, chlorophyll-a, alkalinity, nutrients, and nitrogen limitation. hypotheses on the influence of grazing and excretion by zooplankton and fish on phytoplankton properties were tested in two mesocosm experiments; results: higher pp in the water column of the lake occurred in the transition periods, when thermal stratification is unstable, and lower pp in the cool season (frequent mixing) and in mid-summer (more stable stratification). the limiting factor in the cool season seems to be mainly temperature and in mid-summer lower light intensities, due to higher rainfall and overcast, n limitation and physical disturbances caused by storms. pp was not influenced by the zooplankton in the experiment i, despite the effect of grazing on other phytoplankton properties. the excretion by the phytoplanktivorous fish (adults of tilapia rendalli) enhanced pp in the experiment ii, outweighing grazing on the phytoplankton; conclusions: we suppose that the preponderant factors which affected primary productivity in the lake were physical and chemical ones, biotic factors having a secondary role. the thermal behavior of the lake, which is warm discontinuous polymictic, governs nutrient losses and releases, influencing pp in addition to other factors related to seasons.
Association between childhood trauma and loss of functionality in adult women with fibromyalgia Associa o entre trauma na infancia e perda de funcionalidade em mulheres adultas com fibromialgia
Ana Paula Mezacaza Filippon,Diego Garcia Bassani,Rogério Wolf de Aguiar,Lúcia Helena Freitas Ceitlin
Trends in Psychiatry and Psychotherapy , 2013,
Abstract: OBJECTIVE: To investigate whether history of childhood trauma is associated with loss of functionality in adult women with fibromyalgia (FM). A secondary objective was to assess the presence of differences between depressed and non-depressed adult women with FM in a regression model for functionality. METHODS: A total of 114 adult women with FM according to the American College of Rheumatology diagnostic criteria answered the Childhood Trauma Questionnaire and the Fibromyalgia Impact Questionnaire. All subjects were interviewed by trained psychiatrists and evaluated for depression using the Mini International Neuropsychiatric Interview (MINI) - Brazilian version 5.0.0. Correlation and regression models were used to investigate associations between childhood trauma and loss of functionality among patients with FM. The sample was stratified by presence and absence of clinical depression. RESULTS: Overall, childhood trauma was associated with of loss of functionality in adult women with FM. When stratified by depression, the regression model significantly increased the association among non-depressed patients, even after adjustment for age and use of psychotropic medications. CONCLUSIONS: Childhood trauma showed a clinically important association with loss of functionality among adult women with FM. The associations were more pronounced among subjects without comorbid depression. OBJETIVO: Investigar se a presen a de história de trauma na infancia está associada com perda de funcionalidade em mulheres adultas com fibromialgia (FM). Um segundo objetivo foi avaliar a presen a de diferen as entre mulheres adultas deprimidas e n o deprimidas com FM utilizando um modelo de regress o para funcionalidade. MéTODOS: Um total de 114 mulheres adultas com FM de acordo com os critérios diagnósticos do American College of Rheumatology responderam o Childhood Trauma Questionnaire e o Questionário de Impacto da Fibromialgia. Todos os indivíduos foram entrevistados por psiquiatras treinados e avaliados para depress o utilizando o Mini International Neuropsychiatric Interview (MINI) - vers o brasileira 5.0.0. Modelos de correla o e regress o foram utilizados para investigar associa es entre trauma na infancia e perda de funcionalidade em pacientes com FM. A amostra foi estratificada pela presen a e ausência de depress o clínica. RESULTADOS: Em geral, o trauma na infancia esteve associado com perda de funcionalidade em mulheres adultas com FM. Quando estratificadas por depress o, o modelo de regress o aumentou significativamente a associa o em pacientes n o deprimidos, me
Anencefalia e morte cerebral (neurológica)
Penna, Maria Lúcia Fernandes;
Physis: Revista de Saúde Coletiva , 2005, DOI: 10.1590/S0103-73312005000100006
Abstract: brazilian society has recently discussed the ethics of interrupting pregnancy in the case of an anencephalic fetus. in such cases, anti-abortionists contend that anencephaly is not the same as brain death, since a brainstem is present. this article discusses the concept of brain death and its application to the issue of anencephaly. we point to key historical aspects in the development of this concept and the importance of considering the difference between concept and criteria. neurological death is the definitive and complete loss of consciousness, while the presence of a brainstem is merely a criterion to be used in cases of head injury in previously intact brains. the concept of brain death is totally applicable to the absence of cortex in a fetus with anencephaly, which without a doubt allows such a fetus to be removed from the uterus. to maintain the criminalization of this procedure by legal means represents religious interference in the lay and democratic state, thus impeding exercise of choice by individuals in accordance with personal creed.
Reflex?es sobre a epidemiologia atual
Penna, Maria Lúcia F.;
Physis: Revista de Saúde Coletiva , 1997, DOI: 10.1590/S0103-73311997000100006
Abstract: the definition of epidemiology as the study of the causes of disease in human population is based on two main concepts: population and disease. this paper discusses these concepts as perceived by epidemiologists. it also discusses the life-style theory as the disease causation theory that guides modern epidemiological studies. the paper emphasizes the instrumental aspect of disease concepts and of causation theories, and discuss the relationship between epidemiology and public health, and between epidemiology and social sciences. this paper points that disease do not have a cause but mechanism of production. the production of disease is a result of genetic determined organic responses to environmental exposures. the cause is a choice of some aspect of this mechanism.
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