Melissa Medeiros Braz

PREVALÊNCIA DO EXAME CITOPATOLÓGICO CÉRVICO-VAGINAL E MICROFLORA EM IDOSAS DE SANTA MARIA, RIO GRANDE DO SUL

The cervical-vaginal cytopathological examination is very important for the screening of cervical cancer. A descriptive study was carried out to investigate the prevalence of cervical-vaginal cytopathological examination and microflora in elderly women in the city of Santa Maria, Rio Grande do Sul, between January 2010 and December 2013. They were investigated in isolation the “number of exams”, “altered examinations”, “Lactobacillus”, “Coconuts”, “Sug. Chlamydia”, “Actinomyces sp.”, “Trichomonas”, “Come gr. Herpes”, “Bacil supracit”, “Other bacilli”, “Other”, “Carc.Epid.invasor”, “Adenocarc. In Situ”, “Adenocarc. Invader” and “Other neoplasms” in the age range of “60 to 64 years” and“ above 64 years”. During this period 4822 examinations were carried out, 1975 presented the coccus microorganism and 1661 other bacilli. No data on cancer were reported. It is concluded that there is a low adherence on the part of the elderly of Santa Maria in the accomplishment of this examination.

Assistência pré-natal de estratégias de saúde da família e o desfecho hospitalar: ótica dos profissionais

O pre-natal e relevante na saude publica, com enfoque especial ao prestado nas Estrategias de Saude da Familia (ESF), despontando como uma proposta inserida mais proxima ao usuario, implicando em desfechos determinantes na atencao hospitalar. Estudos tem mostrado um aumento da cobertura, porem ainda encorajam futuras investigacoes para elucidar particularidades locais. Este estudo investigou a otica dos profissionais que atendem o desfecho na atencao hospitalar de gestantes acompanhadas por ESF’s durante o pre-natal. Realizou-se uma pesquisa qualitativa com profissionais de um Hospital Universitario de uma cidade do interior do Rio Grande do Sul, utilizando como instrumento uma entrevista semiestruturada cujas falas foram gravadas e transcritas, para posterior apreciacao fundamentada na analise de conteudo. Observou-se influencia da qualidade das orientacoes e de sua efetiva assimilacao pelas mulheres, no autocuidado voltado para a prevencao de agravos gestacionais e evolucao para o alto risco, para o bom prognostico do parto, puerperio e puericultura.

Prevalência de acidentes de trabalho graves em idosos no município de Santa Maria, Rio Grande do Sul: evolução dos casos

Introduction: Accidents at work are considered the main cause of aggravation to workers’ health, causing great impact on productivity and suffering for society, resulting in high social and economic costs. Objective: To investigate the prevalence of reported cases of serious work-related accidents according to sex and age in the elderly in the city of Santa Maria, Rio Grande do Sul, Brazil, describing the evolution of the cases. Methodology: Descriptive research using secondary data from a public research source of Datasus in the “Severe work accident” option. In “Line” the “Notification City” was selected, in “Column” the “Age group” and in “Content” the “Frequency”. As “Available periods”, the years 2012 to 2017 were selected in isolation. In the “Age group” the items “60 to 69 years”, “70 to 79 years” and “80 years and over” were selected. In “Municipality of notification” was selected the city of “Santa Maria”. In the “Sex” table, the “Feminine”, “Male”, “Ignored” and “Blank” items were selected in isolation. In “Evolving case” the items “Ignored / Blank”, “Cure”, “Temporary disability”, “Permanent partial disability”, “Permanent total disability”, “Death by accident”, “Death by other causes” and “Other “All these items being selected in isolation. Results: 66 cases of occupational accidents were found in the elderly. Of these, 61 were in men and a higher prevalence was observed among 60-69 year olds (58). Regarding the evolution of the case, 49 presented temporary incapacity and 3 died due to the work accident. Conclusion: There is a higher prevalence of reported cases of serious work-related accidents in the age group of 60 to 69 years, male sex and the temporary incapacity caused by the accident. It is hoped that with this data one will have a greater knowledge about the accidents and their injuries and if possible to elaborate actions to avoid them.

Apoio Social a mulheres com câncer de mama

Breast cancer has a high incidence and mainly affects the female population. Even today, with advances in treatment methods, this disease causes biopsychosocial changes in women’s lives, which may have repercussions in the short and long term in social relationships. Thus, this study aimed to evaluate the social support of women in treatment for breast cancer. This is a descriptive and cross-sectional study with a quantitative approach with 24 women who were waiting for routine consultation in the Mastology outpatient clinic or Physiotherapy care. For the data collection, a questionnaire containing sociodemographic information and the Social Support Scale was used. It was verified, through the total score obtained by the Social Support of 72,17 ± 5,56, that the women received excellent social support in all domains, highlighting the material support. From the data obtained, the women in this study are assisted in relation to social support, a factor that contributes to the treatment and reinsertion in their activities.

Existe relação da via de parto com a amamentação na primeira hora de vida

Objective: To investigate the relation between mode of delivery, sociodemographic factors and breastfeeding. Methods: A quantitative, cross-sectional and descriptive study, carried out with mothers of children aged 0 to 2 years seen at health units during a vaccination campaign in a city in the South of Brazil in June 2013. Participants were 905 women, divided into two groups, according to the delivery method: vaginal delivery group (n=334) and Cesarean section group (n=571). They answered a questionnaire comprising sociodemographic information (age, color, schooling, marital status, social class and area of residence) and breastfeeding-related data, such as duration of exclusive breastfeeding, breastfeeding in the first hour of life, and breastfeeding success. Z-Test was applied for independent samples of parametric variables and Kolmogorov-Smirnov Z-Test was used for non-parametric variables, with significance level at p=0.05. Results: The vaginal delivery group was white (n=210, 62.87%), with a stable union (n=124, 37.13%), elementary school (n=177, 52.99%), social grade C1 (n=114; 34.13%) and resident in the urban area (n=321; 96.11%). C-section group consisted of white women (n=439, 76.88%), married (n=316, 55.34%), high school graduates (n=223, 39.05%), social grade B2 (n=184; 32.22%) and residents in the urban area (n=544, 95.27%). Breastfeeding in the first hour of life predominated in the vaginal delivery group (n=265; 79.34%), with a significant difference (p≤0.001). Conclusion: In the studied group, the mode of delivery was associated to breastfeeding in the first hour of life, and to maternal age, skin color, schooling and social class as well.

Postural control of women with primary dysmenorrhea in different phases of the menstrual cycle

La dismenorrea primaria (DP) es un dolor pelvico o en la parte baja del abdomen asociado a la menstruacion, y esta relacionada a puntos dolorosos miofasciales, que puede alterar la percepcion somatosensorial y el funcionamiento muscular, interfiriendo en el control postural. El proposito de esta investigacion es comprobar la influencia de la DP en el control postural estatico de mujeres en dos momentos del ciclo menstrual: con dolor y sin dolor. Se evaluaron 19 estudiantes universitarias (22,4±3,0 anos) con DP mediante la escala visual analogica, la algometria y la plataforma de fuerza. Se evaluaron los datos por la estadistica descriptiva y contrastadas su normalidad (Shapiro-Wilk) y las variables comparables mediante la prueba t de Student y la prueba de Wilcoxon. El grupo evaluado presento un dolor moderado (4,1±2,3), y el umbral de dolor a la presion fue menor durante el momento de dolor en comparacion al momento sin dolor en el lado derecho del abdomen (p=0,04) y en la region lumbosacra bilateral (p<0,05), demostrando sensibilidad local. Respecto del control postural, hubo una amplitud mas grande del movimiento anteroposterior del centro de la presion tanto en la condicion “ojos abiertos” como la de “ojos cerrados”, asi como en el promedio de velocidad y la zona de elipsis del centro de presion, en la condicion “ojos cerrados”, durante el momento con DP. Estas alteraciones senalan que son necesarios cambios posturales durante la DP, probablemente porque el dolor interfiere en la propiocepcion. Se concluye que durante la fase menstrual del ciclo hubo mas sensibilidad dolorosa y que el dolor interfirio en el control postural del grupo evaluado, mas intenso en la condicion ojos cerrados.1Physical therapist specialized in Physical-Motor Rehabilitation. Master student in Functional Rehabilitation at the Universidade Federal de Santa Maria (UFSM) – Santa Maria (RS), Brazil. 2Physical therapist. Master student in Physical Education at the Universidade Federal de Santa Maria (UFSM) – Santa Maria (RS), Brazil. 3Physical therapist. PhD in Physical Therapy. Professor at the Department of Physical Therapy and Rehabilitation at the Center of Health Sciences at the Universidade Federal de Santa Maria (UFSM) – Santa Maria (RS), Brazil. 4Physical therapist. PhD in Production Engineering. Professor at the Department of Physical Therapy and Rehabilitation at the Center of Health Sciences at the Universidade Federal de Santa Maria (UFSM) – Santa Maria (RS), Brazil. 74 Postural control of women with primary dysmenorrhea in different phases of the menstrual cycle Controle postural de mulheres com dismenorreia primária em dois momentos do ciclo menstrual Control postural de mujeres con dismenorrea primaria en dos momentos del ciclo menstrual Joana Hasenack Stallbaum1, Fabrício Santana da Silva2, Michele Forgiarini Saccol3, Melissa Medeiros Braz4

Control postural de mujeres con dismenorrea primaria en dos momentos del ciclo menstrual

La dismenorrea primaria (DP) es un dolor pelvico o en la parte baja del abdomen asociado a la menstruacion, y esta relacionada a puntos dolorosos miofasciales, que puede alterar la percepcion somatosensorial y el funcionamiento muscular, interfiriendo en el control postural. El proposito de esta investigacion es comprobar la influencia de la DP en el control postural estatico de mujeres en dos momentos del ciclo menstrual: con dolor y sin dolor. Se evaluaron 19 estudiantes universitarias (22,4±3,0 anos) con DP mediante la escala visual analogica, la algometria y la plataforma de fuerza. Se evaluaron los datos por la estadistica descriptiva y contrastadas su normalidad (Shapiro-Wilk) y las variables comparables mediante la prueba t de Student y la prueba de Wilcoxon. El grupo evaluado presento un dolor moderado (4,1±2,3), y el umbral de dolor a la presion fue menor durante el momento de dolor en comparacion al momento sin dolor en el lado derecho del abdomen (p=0,04) y en la region lumbosacra bilateral (p<0,05), demostrando sensibilidad local. Respecto del control postural, hubo una amplitud mas grande del movimiento anteroposterior del centro de la presion tanto en la condicion “ojos abiertos” como la de “ojos cerrados”, asi como en el promedio de velocidad y la zona de elipsis del centro de presion, en la condicion “ojos cerrados”, durante el momento con DP. Estas alteraciones senalan que son necesarios cambios posturales durante la DP, probablemente porque el dolor interfiere en la propiocepcion. Se concluye que durante la fase menstrual del ciclo hubo mas sensibilidad dolorosa y que el dolor interfirio en el control postural del grupo evaluado, mas intenso en la condicion ojos cerrados.1Physical therapist specialized in Physical-Motor Rehabilitation. Master student in Functional Rehabilitation at the Universidade Federal de Santa Maria (UFSM) – Santa Maria (RS), Brazil. 2Physical therapist. Master student in Physical Education at the Universidade Federal de Santa Maria (UFSM) – Santa Maria (RS), Brazil. 3Physical therapist. PhD in Physical Therapy. Professor at the Department of Physical Therapy and Rehabilitation at the Center of Health Sciences at the Universidade Federal de Santa Maria (UFSM) – Santa Maria (RS), Brazil. 4Physical therapist. PhD in Production Engineering. Professor at the Department of Physical Therapy and Rehabilitation at the Center of Health Sciences at the Universidade Federal de Santa Maria (UFSM) – Santa Maria (RS), Brazil. 74 Postural control of women with primary dysmenorrhea in different phases of the menstrual cycle Controle postural de mulheres com dismenorreia primária em dois momentos do ciclo menstrual Control postural de mujeres con dismenorrea primaria en dos momentos del ciclo menstrual Joana Hasenack Stallbaum1, Fabrício Santana da Silva2, Michele Forgiarini Saccol3, Melissa Medeiros Braz4

Controle postural de mulheres com dismenorreia primária em dois momentos do ciclo menstrual

La dismenorrea primaria (DP) es un dolor pelvico o en la parte baja del abdomen asociado a la menstruacion, y esta relacionada a puntos dolorosos miofasciales, que puede alterar la percepcion somatosensorial y el funcionamiento muscular, interfiriendo en el control postural. El proposito de esta investigacion es comprobar la influencia de la DP en el control postural estatico de mujeres en dos momentos del ciclo menstrual: con dolor y sin dolor. Se evaluaron 19 estudiantes universitarias (22,4±3,0 anos) con DP mediante la escala visual analogica, la algometria y la plataforma de fuerza. Se evaluaron los datos por la estadistica descriptiva y contrastadas su normalidad (Shapiro-Wilk) y las variables comparables mediante la prueba t de Student y la prueba de Wilcoxon. El grupo evaluado presento un dolor moderado (4,1±2,3), y el umbral de dolor a la presion fue menor durante el momento de dolor en comparacion al momento sin dolor en el lado derecho del abdomen (p=0,04) y en la region lumbosacra bilateral (p<0,05), demostrando sensibilidad local. Respecto del control postural, hubo una amplitud mas grande del movimiento anteroposterior del centro de la presion tanto en la condicion “ojos abiertos” como la de “ojos cerrados”, asi como en el promedio de velocidad y la zona de elipsis del centro de presion, en la condicion “ojos cerrados”, durante el momento con DP. Estas alteraciones senalan que son necesarios cambios posturales durante la DP, probablemente porque el dolor interfiere en la propiocepcion. Se concluye que durante la fase menstrual del ciclo hubo mas sensibilidad dolorosa y que el dolor interfirio en el control postural del grupo evaluado, mas intenso en la condicion ojos cerrados.1Physical therapist specialized in Physical-Motor Rehabilitation. Master student in Functional Rehabilitation at the Universidade Federal de Santa Maria (UFSM) – Santa Maria (RS), Brazil. 2Physical therapist. Master student in Physical Education at the Universidade Federal de Santa Maria (UFSM) – Santa Maria (RS), Brazil. 3Physical therapist. PhD in Physical Therapy. Professor at the Department of Physical Therapy and Rehabilitation at the Center of Health Sciences at the Universidade Federal de Santa Maria (UFSM) – Santa Maria (RS), Brazil. 4Physical therapist. PhD in Production Engineering. Professor at the Department of Physical Therapy and Rehabilitation at the Center of Health Sciences at the Universidade Federal de Santa Maria (UFSM) – Santa Maria (RS), Brazil. 74 Postural control of women with primary dysmenorrhea in different phases of the menstrual cycle Controle postural de mulheres com dismenorreia primária em dois momentos do ciclo menstrual Control postural de mujeres con dismenorrea primaria en dos momentos del ciclo menstrual Joana Hasenack Stallbaum1, Fabrício Santana da Silva2, Michele Forgiarini Saccol3, Melissa Medeiros Braz4

A qualidade da assistência pré-natal sob olhar multiprofissional

Objective: This study aims to evaluate the quality of prenatal care, through the eyes of health professionals working on the Strategies for Family Health program (ESF) from the city of Santa Maria, Brazil. Materials and Methods: It is a field research (descriptive), with a qualitative approach, including 13 ESF, between June and July of 2015. For the data collection, semi-structured interviews were conducted, followed by content analysis. Results: In these interviews, 5 subject categories were assessed: Pregnant reception and follow-up in the Strategies for Family Health program; Intervention strategies for the care of low-risk pregnancy; Routines and limits on the obstetric exams and procedures; Multiprofessional work and its different roles in the prenatal care; Referral of pregnant women to referral and counter-referral services. Conclusion: It is necessary to qualify the work processes in the prenatal care, using effective strategies in order to avoid fragmented practices that increase the distance between professionals/services and the pregnant, ensuring the wholeness of the care in all levels.

Reconstrução mamária imediata versus não reconstrução pós-mastectomia: estudo sobre qualidade de vida, dor e funcionalidade

Con la evolucion de las tecnicas oncoplasticas que permiten la reconstruccion de la mama en el mismo instante de la mastectomia, sin comprometer la seguridad oncologica, resulta pertinente investigar las implicaciones de la reconstruccion inmediata con expansor o protesis de silicona sobre el dolor, la funcionalidad del miembro superior homolateral a la cirugia y la calidad de vida (CV) de las mujeres. El objetivo de este estudio ha sido comparar el dolor, la funcionalidad y la CV de mujeres sometidas a la mastectomia radical modificada con reconstruccion mamaria inmediata y sin reconstruccion. Se trata de un estudio transversal, comparativo y descriptivo con abordaje cuantitativo, que evaluo 22 voluntarias postmastectomia radical modificada, divididas igualmente en dos grupos, de acuerdo a la realizacion de la reconstruccion mamaria inmediata (RI) o sin reconstruccion (SR). Las voluntarias han contestado al cuestionario sociodemografico, clinico y de tratamiento oncologico, la EVA, para medir el dolor, DASH para evaluar la funcionalidad del miembro superior y, para evaluar la CV, se utilizo el cuestionario EORTC QLQ-C30 con su modulo especifico para el CA de mama. Hubo alta prevalencia de dolor, moderada limitacion funcional y satisfactoria CV. Sin embargo, no se encontraron diferencias significativas intergrupos para el dolor (p=0.586), funcionalidad (p=0.399) y CV (p>;0.05). Para la muestra evaluada, hacer o no la reconstruccion de la mama con expansor o implante de silicona en el acto de la mastectomia no implico sobre el dolor, la funcionalidad y la CV.