Gislaine Aparecida Fonsechi-Carvasan

Constipação intestinal em mulheres na pós-menopausa

OBJECTIVESnTo investigate the prevalence and factors associated with constipation in postmenopausal women and evaluate the level of agreement between different diagnostic criteria.nnnMETHODSnA cross-sectional study was conducted with 100 postmenopausal women more than 45 old. The Rome II criteria, stool frequency per week and patient self-evaluation were the diagnostic criteria applied. Social demographic and clinical characteristics with their descriptive analysis were assessed. Subsequently, kappa (ê) statistics was used to assess the level of agreement between diagnostic criteria. The association between constipation and its possible determinants was studied by bivariate and multivariate analyses, using the prevalence ratio (PR). The confidence interval was set at 95% (95% CI).nnnRESULTSnThe mean age of participants was 58.9+/-5.9 years (range, 46-76 years). The prevalence of constipation was 47%, 37% and 26%, according to patient self-evaluation, the Rome II criteria and < 3 bowel movements per week, respectively. The best agreement found was between patient self-evaluation and the Rome II criteria (k: 0.63; 95% CI: 0.48-0.78). After multivariate analysis, the history of perianal surgery (PR: 2.69; 95% CI: 1.03-7.01), according to the Rome II criteria; the presence of hemorrhoids, according to stool frequency (PR: 2.53; 95% CI: 1.16-5.51) and patient self-evaluation (PR: 1.78; 95% CI: 1.01-3.15) were associated with constipation.nnnCONCLUSIONSnPrevalence of constipation in postmenopausal women was high. Agreement between diagnostic criteria ranged from moderate to good. History of perianal surgery and presence of hemorrhoids were associated with constipation.

Job satisfaction of nursing staff in a university hospital

OBJECTIVEnidentify the determinants of job satisfaction of the nursing staff of a public university hospital.nnnMETHODnsecondary study with mixed data approach and simple and multiple linear regression. A total of 115 subjects participated in the study, 41 nurses and 74 nursing assistants and technicians. The data collection occurred in 2013 using the QST-Caism questionnaire.nnnRESULTSneducation, hierarchical level and workplace constitute job satisfaction determinants. However, age, gender, job and work period did not show this relationship. More educated workers held low job satisfaction if exercised not graduated nursing functions.nnnCONCLUSIONngraduated workers who perform high school functions are more unsatisfied than those who have high school function and qualification.

Satisfação no trabalho da equipe de enfermagem em um hospital universitário

OBJECTIVEnidentify the determinants of job satisfaction of the nursing staff of a public university hospital.nnnMETHODnsecondary study with mixed data approach and simple and multiple linear regression. A total of 115 subjects participated in the study, 41 nurses and 74 nursing assistants and technicians. The data collection occurred in 2013 using the QST-Caism questionnaire.nnnRESULTSneducation, hierarchical level and workplace constitute job satisfaction determinants. However, age, gender, job and work period did not show this relationship. More educated workers held low job satisfaction if exercised not graduated nursing functions.nnnCONCLUSIONngraduated workers who perform high school functions are more unsatisfied than those who have high school function and qualification.

Fatores associados à densidade mamográfica de mulheres na pós-menopausa

OBJETIVO: avaliar a associacao de fatores epidemiologicos, antropometricos, reprodutivos e hormonais com a densidade mamografica de mulheres na pos-menopausa. METODOS: estudo retrospectivo, tipo corte transversal, incluindo 144 mulheres com idade igual ou superior a 45 anos, com no minimo 12 meses de amenorreia e nao usuarias de terapia de reposicao hormonal nos ultimos seis meses. Foram revisados os prontuarios medicos, avaliando-se: idade, peso, altura, indice de massa corporea (IMC), paridade, idade a menarca, idade a menopausa e os niveis dos hormonios estradiol, foliculo-estimulante (FSH) e luteinizante. As mamografias foram analisadas nas incidencias crânio-caudal e medio-lateral obliqua por dois examinadores, de forma cega, sendo classificadas em densas e nao densas, segundo os criterios de Wolfe. Na analise estatistica, utilizou-se a frequencia, mediana, valores minimo e maximo, teste de Wilcoxon e odds ratio. Foi realizada analise de regressao logistica multipla, utilizando o processo de selecao passo a passo, com nivel de significância de 5%. RESULTADOS: a frequencia de mamas densas foi de 45%. As mulheres com mamas consideradas densas apresentaram menor peso (60,5 vs 71,9 kg - p<0,01), menor IMC (25,9 vs 31,0 kg/m2 - p<0,01), menor tempo de pos-menopausa (6,0 vs 10,0 anos - p<0,01) e maiores niveis de FSH (75,2 vs 60,3 mU/mL - p<0,01). A probabilidade de apresentar mamas densas diminuiu em mulheres com peso superior a 67 kg (OR = 4,0; IC 95%: 1,50-10,66), IMC superior a 30 kg/m2 (OR = 6,69; IC 95%: 2,54-17,65), com mais de dois partos (OR = 7,84; IC 95%: 1,67-36,81), tempo de pos-menopausa maior ou igual a sete anos (OR = 2,05; IC 95%: 1,05-3,99) e niveis de FSH inferiores a 134,8 mU/mL. CONCLUSAO: o peso, IMC, paridade, o tempo de menopausa e niveis de FSH associaram-se significativamente aos padroes de densidade mamografica.

Resultados histológicos e detecção do HPV em mulheres com células escamosas atípicas de significado indeterminado e lesão escamosa intra-epitelial de baixo grau na colpocitologia oncológica

OBJECTIVE: to assess the ability of Pap smear and hybrid capture II (HCII) to detect clinically significant cervical lesions (CIN2/3) in women referred to hospital due to atypical squamous cells of unknown significance (ASCUS) or low-grade squamous intraepithelial lesions (LSIL). METHODS: a cross-sectional study comprising 161 women referred to the Taubate University Hospital due to ASCUS/LSIL, between August 2000 and September 2002. All women responded to a questionnaire regarding sociodemographic and reproductive characteristics and were subjected to gynecological examination with specimen collection for Pap test and HCII, along with colposcopy and eventual cervical biopsy. The relationship between HCII results and age, use of condom, oral hormonal contraception, and smoking were evaluated by the chi-square test. The sensitivity, specificity, positive and negative predictive values of both Pap test and HCII were calculated. All calculations were performed within 95% confidence intervals. RESULTS: sixty-seven percent of the women that tested positive for HPV were less than 30 years old. Pap smear and HCII showed the same 82% sensitivity in detecting CIN2/3 when the threshold for a positive Pap result was ASCUS, LSIL or HSIL. Pap smear specificity and positive predictive values were substantially increased when only HSIL results were considered as positive (from 29 to 95% and 12 to 50%, respectively). These figures were superior to those of HCII, but at the expense of an expressive loss of sensitivity (from 82% to 41%). CONCLUSIONS: our results substantiate the potential of HCII in detecting CIN2/3 among women referred due to ASCUS/LSIL.

Satisfacción en el trabajo del personal de enfermería en un hospital universitario

OBJECTIVEnidentify the determinants of job satisfaction of the nursing staff of a public university hospital.nnnMETHODnsecondary study with mixed data approach and simple and multiple linear regression. A total of 115 subjects participated in the study, 41 nurses and 74 nursing assistants and technicians. The data collection occurred in 2013 using the QST-Caism questionnaire.nnnRESULTSneducation, hierarchical level and workplace constitute job satisfaction determinants. However, age, gender, job and work period did not show this relationship. More educated workers held low job satisfaction if exercised not graduated nursing functions.nnnCONCLUSIONngraduated workers who perform high school functions are more unsatisfied than those who have high school function and qualification.