Reprodu??o & Climatério最新文献_第7页

Factors associated with the severity of menopausal symptoms in postmenopausal Brazilian women 与绝经后巴西妇女更年期症状严重程度相关的因素

Reprodu??o & Climatério Pub Date : 2015-05-01 DOI: 10.1016/j.recli.2015.09.002

Emille Joana Medeiros Capistrano, Kathiussa Dombek, Ana Carolina Carioca da Costa, Lizanka Paola Figueiredo Marinheiro

{"title":"Factors associated with the severity of menopausal symptoms in postmenopausal Brazilian women","authors":"Emille Joana Medeiros Capistrano, Kathiussa Dombek, Ana Carolina Carioca da Costa, Lizanka Paola Figueiredo Marinheiro","doi":"10.1016/j.recli.2015.09.002","DOIUrl":"10.1016/j.recli.2015.09.002","url":null,"abstract":"<div><h3>Purposes</h3><p>To identify the socio-demographic and anthropometric profile and correlate them with the severity of menopausal symptoms in postmenopausal women.</p></div><div><h3>Methods</h3><p>Cross-sectional study with 201 postmenopausal women attended in a Gynecology Outpatient Department in Rio de Janeiro city (RJ, Brazil). A questionnaire was applied for collection of demographic, socioeconomic, clinical and lifestyle variables. The Blatt–Kupperman Menopausal Index was used to evaluate the menopausal symptoms.</p></div><div><h3>Results</h3><p>Women with moderate to severe symptoms (≥20) corresponded to 57.7% (116) of the sample. Obesity was not associated with the severity of menopausal symptoms (<em>p</em>  <0.01). Women within 6–10 years of menopause presented nearly 1.4 times higher prevalence of moderate to severe symptoms compared with those with more than 10 years of menopause. Unemployed women (PR 1.52; CI 95% 1.13–2.04; <em>p</em>  <0.01) presented higher prevalence of menopausal symptoms compared with working women. Tobaccoism was associated with higher prevalence of moderate to severe symptoms (<em>p</em>  <!-->0.01).</p></div><div><h3>Conclusions</h3><p>Age constituted a protection factor for moderate to severe symptoms, whereas having within 6–10 years of menopause, smoking and being unemployed or a housewife were factors related to higher prevalence of moderate to severe menopausal symptoms.</p></div>","PeriodicalId":101073,"journal":{"name":"Reprodu??o & Climatério","volume":"30 2","pages":"Pages 70-76"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.recli.2015.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125291464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12

O impacto da menopausa nas relações e nos papéis sociais estabelecidos na família e no trabalho 更年期对家庭和工作中关系和社会角色的影响

Reprodu??o & Climatério Pub Date : 2015-05-01 DOI: 10.1016/j.recli.2015.08.001

Cecília Lomônaco , Rozaine Aparecida Fontes Tomaz , Maria Tereza de Oliveira Ramos

{"title":"O impacto da menopausa nas relações e nos papéis sociais estabelecidos na família e no trabalho","authors":"Cecília Lomônaco , Rozaine Aparecida Fontes Tomaz , Maria Tereza de Oliveira Ramos","doi":"10.1016/j.recli.2015.08.001","DOIUrl":"10.1016/j.recli.2015.08.001","url":null,"abstract":"<div><h3>Objectives</h3><p>To identify the difficulties on the family relationships and at work derived from the menopause symptoms, as well as the management measures adopted.</p></div><div><h3>Methods</h3><p>Cross‐sectional, qualitative/quantitative study attended by 30 post‐menopause women.</p></div><div><h3>Results</h3><p>The menopause related experiences were heterogeneous and not necessarily negative. There was great diversity in how the respondents defined menopause and only 33.3% had been prepared to experience it, mostly by medical directions. The first symptoms occurred at 46.5 years (± 5.3 years), being mentioned: the hot flashes, the gain of weight, the irritability and the pain during intercourse. There were differences between women in the number of symptoms perceived, ranging from 1 to 27 (13.4 ± 6.3). Important behavioral changes were mentioned such as the reduction of sexual activity due to the decline of libido, the lack of patience to deal with the sons, the less motivation to work and the reduced self‐esteem. In order to deal with the symptoms they adopted new diets, physical exercises or altered some values and attitudes.</p></div><div><h3>Conclusions</h3><p>The lack of preparation can lead to difficulties to cope with climacteric syndrome, which may compromise quality of life and/or personal satisfaction.</p></div>","PeriodicalId":101073,"journal":{"name":"Reprodu??o & Climatério","volume":"30 2","pages":"Pages 58-66"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.recli.2015.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114010495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Impacto dos agentes antineoplásicos sobre os folículos ovarianos e importância das biotécnicas reprodutivas na preservação da fertilidade humana 抗肿瘤药物对卵泡的影响及生殖生物技术在保存人类生育能力中的重要性

Reprodu??o & Climatério Pub Date : 2015-05-01 DOI: 10.1016/j.recli.2015.09.004

Denise Damasceno Guerreiro, Adeline de Andrade Carvalho, Laritza Ferreira Lima, Giovanna Quintino Rodrigues, José Ricardo de Figueiredo, Ana Paula Ribeiro Rodrigues

{"title":"Impacto dos agentes antineoplásicos sobre os folículos ovarianos e importância das biotécnicas reprodutivas na preservação da fertilidade humana","authors":"Denise Damasceno Guerreiro, Adeline de Andrade Carvalho, Laritza Ferreira Lima, Giovanna Quintino Rodrigues, José Ricardo de Figueiredo, Ana Paula Ribeiro Rodrigues","doi":"10.1016/j.recli.2015.09.004","DOIUrl":"10.1016/j.recli.2015.09.004","url":null,"abstract":"<div><p>The preservation of fertility in young women of reproductive age has become a major challenge in medicine, since most cancer treatments can cause premature ovarian failure due to ovarian toxicity of chemotherapeutic agents. Based on this sensitivity it is necessary to revert or minimize damage to reproductive cells resulting from chemotherapy. It have become more frequent studies and researches for alternatives to preserve female fertility, and treatments that are more selective for cancer cells. Currently there are several options for preservation of fertility in women undergoing chemotherapy treatments.</p><p>This article aims to present an overview of the damage caused by chemotherapy ovarian function and possible options for preserving fertility in female cancer patients and prospects in oncofertilidade. A search on databases were searched for relevant articles: the National Library of Medicine (PubMed) and the Virtual Health Library. Articles published between 1967 and 2015 on chemotherapeutic agents and their damage on female fertility was held.</p></div>","PeriodicalId":101073,"journal":{"name":"Reprodu??o & Climatério","volume":"30 2","pages":"Pages 90-99"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.recli.2015.09.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121089220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Diagnóstico genético pré‐implantacional e sua aplicação na reprodução humana assistida 植入前遗传诊断及其在辅助人类生殖中的应用

Reprodu??o & Climatério Pub Date : 2015-05-01 DOI: 10.1016/j.recli.2015.09.001

Tainã Naiara Pompeu, Franciele Bona Verzeletti

{"title":"Diagnóstico genético pré‐implantacional e sua aplicação na reprodução humana assistida","authors":"Tainã Naiara Pompeu, Franciele Bona Verzeletti","doi":"10.1016/j.recli.2015.09.001","DOIUrl":"10.1016/j.recli.2015.09.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Infertility caused by genetic factors affect a large number of couples seeking treatment assisted human reproduction. The preimplantation genetic diagnosis (PGD) is a technique used during assisted human reproduction that investigates chromosomal and genetic abnormalities <em>in vitro</em> embryos during different stages of development and select genetic healf embryos to the uterine implantation. Three types of biopsy may be performed in PGD: biopsy of polar cells, biopsy of blastomere and biopsy of the blastocyst in chronological order according to embryonic development.</p></div><div><h3>Objective</h3><p>to analyze the applicability and relevance of the PGD technique on human assisted reproduction laboratory routine and review its methodology.</p></div><div><h3>Method</h3><p>This article provides an overview on the technical and ethical issues involved with PGD.</p></div><div><h3>Results</h3><p>Many studies suggest that there is currently no detrimental effects on embryos that underwent biopsy. PGD in Brazil is seen as a tool to aid in the assisted human reproduction and presents ethical issues still under discussion.</p></div><div><h3>Conclusions</h3><p>The PGD respects the vision and values of the society that considers health as one of its greatest assets.</p></div>","PeriodicalId":101073,"journal":{"name":"Reprodu??o & Climatério","volume":"30 2","pages":"Pages 83-89"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.recli.2015.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130459755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Abortamento: reflexões 流产:目标

Reprodu??o & Climatério Pub Date : 2015-05-01 DOI: 10.1016/j.recli.2015.09.003

Affonso Renato Meira

引用次数: 0

Estudo comparativo das regulamentações de reprodução assistida e das leis de abortamento de Brasil, Alemanha, Colômbia e França 对巴西、德国、哥伦比亚和法国的辅助生殖条例和堕胎法进行比较研究

Reprodu??o & Climatério Pub Date : 2015-05-01 DOI: 10.1016/j.recli.2015.06.003

Anna Paula Almeida Frank, Camila Almeida Rossi, Thaís dos Santos Vitorino, Patrícia de Azambuja, Maria Lectícia Firpe Penna

引用次数: 1

Análise da experiência de mulheres atendidas em um serviço de referência para vítimas de violência sexual e aborto previsto em lei, Caxias do Sul, Brasil 分析在巴西南卡夏斯为性暴力和法律规定的堕胎受害者提供转诊服务的妇女的经验

Reprodu??o & Climatério Pub Date : 2015-05-01 DOI: 10.1016/j.recli.2015.06.001

Luciane Melchiors , Sonia Cabral Madi , Alice Maggi , Aline M. da Rosa , Cláudia R. Sossela

{"title":"Análise da experiência de mulheres atendidas em um serviço de referência para vítimas de violência sexual e aborto previsto em lei, Caxias do Sul, Brasil","authors":"Luciane Melchiors , Sonia Cabral Madi , Alice Maggi , Aline M. da Rosa , Cláudia R. Sossela","doi":"10.1016/j.recli.2015.06.001","DOIUrl":"10.1016/j.recli.2015.06.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The service for victims of sexual violence in health services has prioritized the global and interdisciplinary care in several areas beyond medical emergencies.</p></div><div><h3>Objective</h3><p>To increase understanding on the emotional experiences of patients attended at a referral center in Caxias do Sul, Brazil for caring to victims of sexual violence and women undergoing abortion provided by law.</p></div><div><h3>Method</h3><p>It was analyzed 23 testimonials written by content analysis concentrating on the categories: the reason for seeking treatment, the treatment in the care service, the relationship with the team and the role of family and social network after the event. Of the total, 14 are women and nine are from the family attended.</p></div><div><h3>Results</h3><p>Realize the potential outcomes, highlighting the favorable ratio of patients with the caretaker staff and possible weaknesses in the protocols of the interdisciplinary care team responsible for the service, emphasizing the context in which the patient enters the service still under the impact of violence or diagnosis.</p></div><div><h3>Conclusion</h3><p>Interdisciplinary initiatives that establish mediations in such situations are encouraged to adherence of patients to treatment protocols provided in this area.</p></div>","PeriodicalId":101073,"journal":{"name":"Reprodu??o & Climatério","volume":"30 2","pages":"Pages 54-57"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.recli.2015.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115544886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Metodologia da análise seminal para pacientes azoospérmicos no Laboratório Fleury 弗勒里实验室无精子患者精液分析方法

Reprodu??o & Climatério Pub Date : 2015-05-01 DOI: 10.1016/j.recli.2015.08.002

Ana Paula Alcantara Gonçalves Kessler Porto, Regina A. Navogino, Priscila M. Scanhola, Emerson D. Cavassin, Daniel S. Zylbersztejn, Jose Carlos I. Truzzi

引用次数: 0

Características sociodemográficas de migrantes bolivianas com gestação decorrente de violência sexual atendidas em serviço público de referência para abortamento legal, São Paulo, Brasil, 2002‐2014 2002 - 2014年，巴西圣保罗，合法堕胎公共参考服务中因性暴力而怀孕的玻利维亚移民的社会人口学特征

Reprodu??o & Climatério Pub Date : 2015-01-01 DOI: 10.1016/j.recli.2015.05.004

Jetro Santos , Jefferson Drezett , Alan de Loiola Alves

{"title":"Características sociodemográficas de migrantes bolivianas com gestação decorrente de violência sexual atendidas em serviço público de referência para abortamento legal, São Paulo, Brasil, 2002‐2014","authors":"Jetro Santos , Jefferson Drezett , Alan de Loiola Alves","doi":"10.1016/j.recli.2015.05.004","DOIUrl":"10.1016/j.recli.2015.05.004","url":null,"abstract":"<div><h3>Introduction</h3><p>The city of São Paulo is one of the main destinations of Bolivian migrant women in search of work. However, her are subjected to poor living conditions and work that make them more vulnerable to suffer violence, included sexual.</p></div><div><h3>Objective</h3><p>To identify sociodemographic characteristics of Bolivian migrants with pregnancy resulting from rape, met in public service reference for legal abortion.</p></div><div><h3>Method</h3><p>Retrospective study and documentation. Convenience sample with 38 Bolivian women who requested abortion for pregnancy resulting from rape between 2002 and 2014. The study variables were the origin of region, age, education, occupation, marital status, religion, offender classification, reporting to the police, circumstances of sexual crime and its consequences.</p></div><div><h3>Results</h3><p>The age ranged from 13‐34 years, mean 24.0±6.3 years. Most were single (63.2%), Catholic (55.3%), working (71.1%) and incomplete primary education (28.9%), residing on the east side (44.7%). Sexual violence occurred mainly at home (26.3%) or during leisure (23.7%), perpetrated by unknown (63.2%) by physical violence and threat (39.5%). Most of the cases were referred by public health services (39.5%) carrying police report (52.6%) and mean gestational age of 12.1 weeks. Pregnancy was interrupted in 30 cases (78.9%) and the main abortion ground for refusal was gestational age ≥ 23 weeks.</p></div><div><h3>Conclusions</h3><p>In many ways the sexual violence against women Bolivian migrants, resemble the situations experienced by women in large urban centers addressed in public places by unknown assailants. However, the results suggest that the Bolivian migrants are more likely to rape practiced with physical violence and less able to communicate the crime to the police.</p></div>","PeriodicalId":101073,"journal":{"name":"Reprodu??o & Climatério","volume":"30 1","pages":"Pages 25-32"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.recli.2015.05.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124211188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Perfil epidemiológico das pacientes inférteis com endometriose 子宫内膜异位症不孕患者的流行病学概况

Reprodu??o & Climatério Pub Date : 2015-01-01 DOI: 10.1016/j.recli.2015.03.005

Renato de Oliveira, Deborah dos Santos Musich, Mariana Prince Santiago Fontes Ferreira, Fabia Lima Vilarino, Caio Parente Barbosa

{"title":"Perfil epidemiológico das pacientes inférteis com endometriose","authors":"Renato de Oliveira, Deborah dos Santos Musich, Mariana Prince Santiago Fontes Ferreira, Fabia Lima Vilarino, Caio Parente Barbosa","doi":"10.1016/j.recli.2015.03.005","DOIUrl":"10.1016/j.recli.2015.03.005","url":null,"abstract":"<div><h3>Aims</h3><p>To describe epidemiological and clinical aspects of infertile patients with endometriosis.</p></div><div><h3>Methods</h3><p>Cross section study of 450 medical records of infertile patients with endometriosis from October, 2006 to May, 2012. Symptoms such as dysmenorrhea, pain intensity, intestinal disorders where analyzed, as well as, associated diseases and treatments. The statistical software used was Stata 11.0.</p></div><div><h3>Results</h3><p>The median age was 34 years. 84.2% of patients presented dysmenorrhea and 40.4% had severe pain intensity. Intestinal disorders was found in 54.4%. From the associated gynecologic diseases, 23.3% had myoma. Metabolic disease was found in 8.4% among the diseases in treatment.</p></div><div><h3>Discussion</h3><p>It is known that dysmenorrhea is the most prevalent symptom in women with endometriosis, as well as intestinal disorders, that can be found between 6% and 30% women with severe endometriosis. Other studies have demonstrated the relationship of estrogen‐dependent disease and women with endometrial endometriosis with aromatase enzyme P450 CYP19 mutations; which generate a hyperestrogenic environment, contributing to the development of polyps and myomas. The profile of these patients was traced as being in the fourth decade of life, with predominantly primary infertility with prevalent symptoms of severe dysmenorrhea and association with polyps and myomas.</p></div>","PeriodicalId":101073,"journal":{"name":"Reprodu??o & Climatério","volume":"30 1","pages":"Pages 5-10"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.recli.2015.03.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116244894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6