RESUMO
Some cases of recurrent first trimester miscarriage have a thrombotic etiology. The aim of this study was to investigate the prevalence of the most common thrombophilic mutations - factor V (FV) Leiden G1691A (FVL), prothrombin (FII) G20210A, and methylenetetrahydrofolate reductase (MTHFR) C677T - in women with recurrent miscarriages. In this case-control study, we included 137 women with two or more consecutive first-trimester miscarriages (£12 weeks of gestation) and 100 healthy women with no history of pregnancy loss, and with at least one living child. DNA was extracted from the patient samples, and the relevant genes (FVL, FII, and MTHFR) were amplified by PCR, followed by restriction fragment length polymorphism, to assess the polymorphisms in these genes. The allelic frequencies of polymorphisms were not significantly different between the case and control groups. Polymorphisms in the MTHFR, FVL, and FII genes were not associated with recurrent miscarriage during the first trimester of pregnancy in Brazilian women (P = 0.479; P = 0.491 and P = 0.107, respectively). However, the etiologic identification of genetic factors is important for genetic counseling.
Assuntos
Aborto Habitual/genética , Fator V/genética , Metilenotetra-Hidrofolato Redutase (NADPH2)/genética , Polimorfismo de Fragmento de Restrição , Protrombina/genética , Adulto , Estudos de Casos e Controles , Feminino , Frequência do Gene , Humanos , GravidezRESUMO
This work outlines the facts that contributed for the creation of the Brazilian Association of Nursing in Sergipe. It reports the trajectory, contributions and main accomplishments of ABEN in that state, pointing out its participation in the foundation and organization of services and institutions. The study also mentions the difficulties faced by ABEn-Sergipe, but mainly, it emphasizes the struggle of the association for maintaining its principles, its role in the social and cultural organization of the syndicate, and the availability of the nursing service for the community.
Assuntos
Política Organizacional , Sociedades de Enfermagem/história , História do Século XX , Objetivos Organizacionais , Sociedades de Enfermagem/organização & administraçãoRESUMO
The present work make considerations about the nurses social representation of surgery suspension and their attitudes in front of the problem. The dates was collected through interviews whit thematic guide and later categorization of attitudes in front of the problem. By the analysis of the contents verbalized by nurses it was used the theoretical background of the Social Representations. The results was systematized in a Attitude Scale that varied from Passivity with persistence of cultural traces of submission, like a traditional form of working, to Active Actions, with autonomy, destined to resolve the problem of surgery suspension or reduced its consequences.
Assuntos
Atitude , Enfermagem de Centro Cirúrgico , Recusa em Tratar , Humanos , Psicologia SocialRESUMO
This text contains the account of a practical research experience which uses the theory and techniques of oral narratives. The authors present the theoretical and methodological framework of the technique, the choice of the topic, which focused on the psychiatric patient and his/her family relationship, the research site and the characterization of collaborators. They also present each step of this methodology, starting from the interviews and following on to the reading, transcription, text correction, floating reading, trans-creation, identification of the vital tone as well as that of analysis categories. Finally, they point out the categories that have been removed from the account by making comments on the topics referring to each one. The technique was shown to be effective for the apprehension of subjective categories and as way to understand personal and social relationships in the everyday practice of nursing in mental health.
Assuntos
Transtornos Mentais/enfermagem , Narração , Enfermagem Psiquiátrica/métodos , Humanos , Pesquisa em Enfermagem/métodosRESUMO
We analyzed Sergipan nurses' life stories, related to the cultural image of Nursing perceived in their professional choice, in order to assist students in this professional identification. Subjects were divided into four chronological groups, from retired nurses to those who had been graduated for 5 years, all of whom chose Nursing as their preferred career. We used the Social Representation approach in the cultural systems to analyze the life stories. Findings were analyzed through categories and themes, and it was presented by graphics and tables. Care was identified as a permanent cultural trace and it was verbalized using words from charity, religion to scientific Nursing and professionalism, to describe scientific knowledge and humanism, with temporal configuration.
Assuntos
Atitude Frente a Saúde/etnologia , Escolha da Profissão , Enfermeiras e Enfermeiros/psicologia , Cuidados de Enfermagem/métodos , Percepção Social , Estudantes de Enfermagem/psicologia , Adolescente , Adulto , Idoso , Brasil , Humanos , Pessoa de Meia-Idade , Pesquisa Metodológica em Enfermagem , Inquéritos e QuestionáriosRESUMO
This study analyses the concepts of disease in a different historical moment and taking LAPLANTINE's anthropological background, analyses, in a postgraduate team, their disease representation as own experience and as professional experience, in four ethnological pairs proposed by the author.
Assuntos
Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Doença , Estudantes de Enfermagem/psicologia , Antropologia Cultural , Humanos , Modelos de Enfermagem , Pesquisa Metodológica em Enfermagem , Inquéritos e QuestionáriosRESUMO
Acquired megacolon is a chronic disease associated with constipation and malnutrition. Surgical treatment may be required for the alleviation of the intestinal symptoms, emphasizing the interest of nutritional assessment in this population. In a prospective study of 33 patients suffering from acquired megacolon and requiring either anterior resection or pull-through operation, standard anthropometric and biochemical measurements as well as the PNI of Buzby and Mullen were preoperatively assessed. Mean age of the population was 49 +/- 13 y, with 17 males and 16 females. The combined nutritional score indicated 63.6% of the population were malnourished (21/33) of the patients, whereas the Prognostic nutritional index (PNI) revealed 3 high-risk cases (9.1%), 9 with moderate risk (27.3%), and reduced risk for all others. Indeed, 39.4% (13/33) of the patients displayed surgical or septic problems. Chi-square analysis confirmed that both studied criteria were significantly associated with complications (p < 0.05), as morbidity was restricted predominantly to cases with unfavorable Prognostic nutritional index (PNI) results or clear signs of nutritional deficit. Both PNI and conventinoal nutritional assessment are valuable tools for the screening of these surgical candidates. Artificial alimentation was not used in this experience, but deserves consideration in selected patients. Nutritional status improved in the late postoperative period, with normalization of bowel function.
Assuntos
Megacolo/complicações , Megacolo/cirurgia , Avaliação Nutricional , Distúrbios Nutricionais/complicações , Adulto , Doença de Chagas , Ingestão de Energia , Feminino , Humanos , Masculino , Megacolo/parasitologia , Pessoa de Meia-Idade , Prognóstico , Estudos Prospectivos , Fatores de Risco , Inquéritos e QuestionáriosRESUMO
The authors describe two patients with the association of polyposis-coli and central nervous system tumor (Turcot's syndrome). Clinical, genetic and therapeutic aspects are discussed.