Graziela Rech Artico

Assistência à mulher climatérica: novos paradigmas

O envelhecimento populacional e uma realidade demografica brasileira. Como consequencia, espera-se, nos proximos anos, um aumento progressivo na procura dos servicos de saude por mulheres com queixas relacionadas ao climaterio. Paralelamente, a assistencia ao climaterio tem passado por uma modificacao de paradigmas, impondo aos profissionais de saude uma mudanca de atitude. Reconhece-se que o climaterio e influenciado tanto por fatores biologicos, como por fatores psicossociais e culturais, cujo conhecimento e fundamental para uma assistencia mais qualificada e humanizada. Este artigo propoe refletir sobre as mudancas de paradigmas na assistencia ao climaterio, destacando a multidisciplinaridade e interdisciplinaridade, no sentido acolher melhor essa parcela da populacao e proporcionar-lhe um cuidado integral e individualizado, aproximando o saber da sensibilidade, voltado a uma melhor qualidade vida.Population aging is a demographic reality for Brazil. Consequently, in the next years it is expected a progressive increase in seeking health care services in the country by women with complaints related to climacterium. Parallel to it, assistance at this part of womans life has been going through a paradigm shift which has imposed to health professionals a change of attitude in relation to this stage of womans life. Today it is acknowledged that the climacterium is influenced by biological, psychosocial and cultural factors, whose knowledge is fundamental for planning a more qualified and humanized care. This article proposes a reflection on the paradigm shifts in assistance at climacterium, highlighting important aspects as multidisciplinarity and interdisciplinarity, so as to serve better this portion of population, and provide it with more integrated and individualized care, bringing together knowledge and sensitivity, and always aiming at a better quality of life.

Assistance to the climacteric woman: new paradigms

O envelhecimento populacional e uma realidade demografica brasileira. Como consequencia, espera-se, nos proximos anos, um aumento progressivo na procura dos servicos de saude por mulheres com queixas relacionadas ao climaterio. Paralelamente, a assistencia ao climaterio tem passado por uma modificacao de paradigmas, impondo aos profissionais de saude uma mudanca de atitude. Reconhece-se que o climaterio e influenciado tanto por fatores biologicos, como por fatores psicossociais e culturais, cujo conhecimento e fundamental para uma assistencia mais qualificada e humanizada. Este artigo propoe refletir sobre as mudancas de paradigmas na assistencia ao climaterio, destacando a multidisciplinaridade e interdisciplinaridade, no sentido acolher melhor essa parcela da populacao e proporcionar-lhe um cuidado integral e individualizado, aproximando o saber da sensibilidade, voltado a uma melhor qualidade vida.Population aging is a demographic reality for Brazil. Consequently, in the next years it is expected a progressive increase in seeking health care services in the country by women with complaints related to climacterium. Parallel to it, assistance at this part of womans life has been going through a paradigm shift which has imposed to health professionals a change of attitude in relation to this stage of womans life. Today it is acknowledged that the climacterium is influenced by biological, psychosocial and cultural factors, whose knowledge is fundamental for planning a more qualified and humanized care. This article proposes a reflection on the paradigm shifts in assistance at climacterium, highlighting important aspects as multidisciplinarity and interdisciplinarity, so as to serve better this portion of population, and provide it with more integrated and individualized care, bringing together knowledge and sensitivity, and always aiming at a better quality of life.

Histopathological changes in human placentas related to hypertensive disorders

PURPOSE to determine the prevalence of histopathological changes, in human placentas, related to hypertensive syndromes. METHODS a transversal study that compares histopathological changes identified in 43 placentae from hypertensive pregnant women (HypPr), with the ones from 33 placentae from normotensive pregnant women (NorPr). The weight, volume and macroscopic and microscopic occurrence of infarctions, clots, hematomas, atherosis (partial obliteration, thickness of layers and presence of blood vessels hyalinization) and Tenney-Parker changes (absent, discreet and prominent), as well as the locating of infarctions and clots (central, peripheral or the association of both) have been analyzed. The chi2 and t Student tests have been used for the statistical analysis, as well as medians, standard deviations and ratios. It has been considered as significant, p<0.05. RESULTS the macroscopic study of HypPr placentae have presented lower weight (461.1 versus 572.1 g) and volume (437.4 versus 542.0 cm(3)), higher infarction (51.2 versus 45.5%; p<0.05: OR=1.15) and clots (51.2 versus 15.1%; p<0.05; OR=5.4) ratios, as compared to the NorPrs. In the HypPr and NorPr, microscopic clots have occurred in 83.7 versus 45.5% (p<0.05; OR=4.3), respectively. Atherosis and Tenney-Parker changes have been statistically associated to the hypertensive syndromes (p<0.05). CONCLUSIONS the obtained data allow us to associate lower placentary weight and volume, higher ratio of macro and microscopic infarction, clots, atherosis and Tenney-Parker changes to placentae of gestations occurring with hypertensive syndromes.

Atención a la mujer climatérica: nuevos paradigmas

O envelhecimento populacional e uma realidade demografica brasileira. Como consequencia, espera-se, nos proximos anos, um aumento progressivo na procura dos servicos de saude por mulheres com queixas relacionadas ao climaterio. Paralelamente, a assistencia ao climaterio tem passado por uma modificacao de paradigmas, impondo aos profissionais de saude uma mudanca de atitude. Reconhece-se que o climaterio e influenciado tanto por fatores biologicos, como por fatores psicossociais e culturais, cujo conhecimento e fundamental para uma assistencia mais qualificada e humanizada. Este artigo propoe refletir sobre as mudancas de paradigmas na assistencia ao climaterio, destacando a multidisciplinaridade e interdisciplinaridade, no sentido acolher melhor essa parcela da populacao e proporcionar-lhe um cuidado integral e individualizado, aproximando o saber da sensibilidade, voltado a uma melhor qualidade vida.Population aging is a demographic reality for Brazil. Consequently, in the next years it is expected a progressive increase in seeking health care services in the country by women with complaints related to climacterium. Parallel to it, assistance at this part of womans life has been going through a paradigm shift which has imposed to health professionals a change of attitude in relation to this stage of womans life. Today it is acknowledged that the climacterium is influenced by biological, psychosocial and cultural factors, whose knowledge is fundamental for planning a more qualified and humanized care. This article proposes a reflection on the paradigm shifts in assistance at climacterium, highlighting important aspects as multidisciplinarity and interdisciplinarity, so as to serve better this portion of population, and provide it with more integrated and individualized care, bringing together knowledge and sensitivity, and always aiming at a better quality of life.