O pré-natal odontológico: contribuição da ESF, atendimento integral e conhecimento, uma revisão da literatura / The dental pre-natal: ESF contribution, comprehensive care and knowledge, a review of the literature / La atención prenatal odontológica: contribución del ESF, la atención integral y el conocimiento, una revisión bibliográfica

O pré-natal odontológico vem sendo alvo de ações estratégicas na atenção básica. É necessária a compressão que a mulher em período gestacional necessita de cuidados bucais, por esse fato o pré-natal necessita de reforços para o estabelecimento efetivo na atenção básica de forma a ser desmistificado na odontologia, e possibilitar que o cirurgião-dentista possa ser integrado com as ações voltadas para a saúde gestacional. Diante disso objetiva-se relatar sobre o pré-natal odontológico, e abordar sobre a contribuição da Estratégia Saúde da Família (ESF) nesse contexto, atuação multidisciplinar, e importância da educação e capacitação para desmistificação do atendimento a gestantes. Para isso foi realizado um levantamento bibliográfico nas bases de dados eletrônicas Scielo, portal BVS e Google Acadêmico. É visto ainda há baixa adesão das gestantes ao atendimento odontológico, embora haja uma notória representação da ESF na universalização desse cuidado. A equipe multidisciplinar no atendimento de gestantes parece colaborar para a motivação do atendimento, e fundamentar ações estratégicas interdisciplinares. Ainda é importante ressaltar que o conhecimento sobre os aspectos norteadores da gestação tem papel fundamental para desmistificar o atendimento odontológico e preparar os profissionais. Infere-se que o pré-natal odontológico vem ganhando expressividade, onde as ações da ESF, a atuação da equipe multidisciplinar e a ampliação do conhecimento acerca do assunto podem influenciar positivamente para a adesão desse grupo.

Dental prenatal care has been the target of strategic actions in primary care. It is necessary the compression that women in gestational period need oral care, for this reason prenatal care requires reinforcements for the effective establishment in primary care in order to be demystified in dentistry, and enable the dentist to be integrated with actions aimed at gestational health. Therefore, the objective is to report on dental prenatal care, and to address the contribution of the Family Strategy Health (ESF) in this context, multidisciplinary work, and the importance of education and training to demystify the care for pregnant women. For this, a bibliographic survey was carried out in the electronic databases Scielo, BVS portal and Google Scholar. It is seen that there is still low adherence of pregnant women to dental care, although there is a notorious representation of the ESF in the universalization of this care. A multidisciplinary team in the care of pregnant women seems to collaborate to motivate care, and to fundamentalize interdisciplinary strategic actions. It is also important to emphasize that knowledge about the guiding aspects of pregnancy has a fundamental role to demystify dental care and prepare professionals. It is inferred that prenatal in the dentistry has been gaining expressiveness, where the actions of the ESF, the performance of the multidisciplinary team and the expansion of knowledge on the subject can lead positively to the adhesion of this group.

La atención prenatal dental ha sido objeto de acciones estratégicas en la atención primaria. Es necesario que la mujer en el período de gestación necesite cuidados bucales, por lo que el prenatal necesita refuerzos para el establecimiento efectivo de la atención básica de forma que sea desmitificado en la odontología, y que la cirugía-dentista pueda integrarse con las acciones volcadas a la salud gestacional. Por ello, el objetivo es informar sobre la atención prenatal odontológica y abordar la contribución de la Estrategia de Salud Familiar (ESF) en este contexto, la actuación multidisciplinar y la importancia de la educación y la formación para desmitificar la atención a las embarazadas. Para ello, se realizó un estudio bibliográfico en las bases de datos electrónicas Scielo, portal BVS y Google Acadêmico. Aún así, se observa una baja adhesión de las gestantes a la atención odontológica, aunque hay una notable representación del FSE en la universalización de este cuidado. El equipo multidisciplinar en la atención a la mujer embarazada parece colaborar a la motivación de los cuidados, y basar las acciones estratégicas interdisciplinares. También es importante destacar que el conocimiento de los aspectos orientativos del embarazo desempeña un papel fundamental en la desmitificación de la atención odontológica y la preparación de los profesionales. Se infiere que el prenatal odontológico viene ganando expresividad, donde las acciones de la ESF, la actuación del equipo multidisciplinario y la ampliación del conocimiento sobre el tema pueden influir positivamente en la adherencia de este grupo.

Gênero, história e medicalização do parto: a exposição Mulheres e práticas de saúde / Gender, history, and the medicalization of childbirth: the exhibition Women and Health Practices

Com a institucionalização da medicinano parto ocorre um deslocamento degênero. No final do século XIX, aomesmo tempo que as parteiras sofrema marginalização e desqualificaçãode seu ofício, as mulheres lutam paraconquistar acesso ao ensino superior nos cursos de medicina. Ainda na primeira metade do século XX, a escassez de mulheres nas faculdades de medicina é grande, assim como é relevante a atuação das parteiras, inclusive em contextos hospitalares. Parte dessa história está materializada na exposição “Mulheres e práticas de saúde”, do Museu de História da Medicina do Rio Grande do Sul. Nosso objetivo é destacar a valorizaçãodesses saberes e práticas no Brasil junto à população por meio da educação não formal em museus.(AU)

Supplementing vitamin D through sunlight: associating health literacy with sunlight exposure behavior.

PURPOSE OF THE RESEARCH: To test whether health literacy is associated with sunlight exposure behavior, we interviewed 648 Chinese adults aged 65 years or older. METHODS: Using the information-motivation-behavioral skills model and structural equation modeling, we tested whether health literacy was associated with the complex relationships among knowledge about vitamin D, attitudes toward sunlight exposure, doctor recommendations regarding sunlight exposure, and sunlight exposure behavior. RESULTS: Health literacy was directly associated with sunlight exposure (ß=.20, p<.01). Indirect relationships also existed between knowledge and sunlight exposure through health literacy (ß=.46, p<.001) and between attitudes and sunlight exposure through health literacy (ß=-.12, p<.05). The model had good fit (χ(2)/df=2.79; RMSEA=.053, p=.346; CFI=.95; TLI=.92). CONCLUSIONS: Health literacy should be considered when educating older adults about vitamin D supplements and sunlight exposure. Providing relevant knowledge or making doctor recommendations might not be effective. Training should focus on individuals with low health literacy who may be less likely to receive sunlight exposure.

Feminist self-defense and resistance training for college students: a critical review and recommendations for the future.

There remains resistance to feminist self-defense and resistance training programming for women, despite (a) documented effectiveness of rape resistance strategies in avoiding rape, (b) consistently high rates of sexual victimization on college campuses, and (c) limited evidence of lasting change in sexual assault perpetration reduction within existing men's prevention programs. The current article seeks to discuss (1) the rationale for feminist self-defense and resistance training for women, (2) key components of feminist self-defense and resistance training, (3) barriers to its implementation, (4) outcomes of self-defense and resistance training programming, and (5) recommendations for future work. Such suggestions include increasing funding for large-scale self-defense and rape resistance outcome research to examine program effectiveness. Specifically, outcome research that examines the role of contextual factors (e.g., alcohol use) and women's victimization histories is needed. Finally, self-defense training and resistance training should be combined with bystander intervention and men's programs with the goal of providing synergistic effects on rape reduction.

The effectiveness of birth plans in increasing use of skilled care at delivery and postnatal care in rural Tanzania: a cluster randomised trial.

OBJECTIVES: To determine the effectiveness of birth plans in increasing use of skilled care at delivery and in the postnatal period among antenatal care (ANC) attendees in a rural district with low occupancy of health units for delivery but high antenatal care uptake in northern Tanzania. METHODS: Cluster randomised trial in Ngorongoro district, Arusha region, involving 16 health units (8 per arm). Nine hundred and five pregnant women at 24 weeks of gestation and above (404 in the intervention arm) were recruited and followed up to at least 1 month postpartum. RESULTS: Skilled delivery care uptake was 16.8% higher in the intervention units than in the control [95% CI 2.6-31.0; P = 0.02]. Postnatal care utilisation in the first month of delivery was higher (difference in proportions: 30.0% [95% CI 1.3-47.7; P < 0.01]) and also initiated earlier (mean duration 6.6 ± 1.7 days vs. 20.9 ± 4.4 days, P < 0.01) in the intervention than in the control arm. Women's and providers' reports of care satisfaction (received or provided) did not differ greatly between the two arms of the study (difference in proportion: 12.1% [95% CI -6.3-30.5] P = 0.17 and 6.9% [95% CI -3.2-17.1] P = 0.15, respectively). CONCLUSION: Implementation of birth plans during ANC can increase the uptake of skilled delivery and post delivery care in the study district without negatively affecting women's and providers' satisfaction with available ANC services. Birth plans should be considered along with the range of other recommended interventions as a strategy to improve the uptake of maternal health services.

Story-telling, women's authority and the "Old Wife's Tale": "The Story of the Bottle of Medicine".

The focus of this article is a single personal narrative ­ a Shetland woman's telling of a story about two girls on a journey to fetch a cure for a sick relative from a wise woman. The story is treated as a cultural document which offers the historian a conduit to a past that is respectful of indigenous woman-centred interpretations of how that past was experienced and understood. The "story of the bottle of medicine" is more than a skilful telling of a local tale; it is a memory practice that provides a path to a deeper and more nuanced understanding of a culture. Applying perspectives from anthropology, oral history and narrative analysis, three sets of questions are addressed: the issue of authenticity; the significance of the narrative structure and storytelling strategies employed; and the nature of the female performance. Ultimately the article asks what this story can tell us about women's interpretation of their own history.

Between passion and repression: medical views of demon dreams, demonic fetuses, and female sexual madness in late imperial China.

This article argues that early Chinese physicians had already related female ailments to their sexual frustration. Moreover, many physicians paid more attention to non-reproductive women ­ nuns, widows, and unmarried women ­ as if they were more prone to suffer from unfulfilled desires and sexual frustration and, as a result, produce the sexual dreams and monstrous births that were described in the medical literature of medieval China as physical ailments. The earlier body-oriented etiology of these female illnesses gradually shifted to emotion-oriented perspectives in late imperial China. In particular, the sixteenth- and seventeenth-century doctors began to categorize women's sexual frustration as "yu disorders" or "love madness." In this article I will show not only the changing medical views of female sexual madness throughout the ages, but how these views were shaped by the societies in which both the doctors and patients were situated.

Assessing women's understandings of health in rural Papua New Guinea: implications for health policy and practice.

In Papua New Guinea (PNG), women's health is addressed by applying biomedical solutions which often ignore the complexity of women's histories, cultural contexts and lived experiences. The objective of this study was to examine adult and older women's perceptions of health and well-being to identify priority areas for public service interventions. Rapid ethnographic assessment was conducted in the Wosera district, a rural area of PNG from mid-2005 to early 2006, to examine the health concerns of women. Twenty-seven adult women and 10 older women participated in the study. Health was not limited to one aspect of a woman's life, such as their biology or maternal roles; it was also connected with the social, cultural and spiritual dimensions of women's daily existence. Participants also identified access to money and supportive interpersonal relationships as significant for good health. A disconnect was found to exist between women's understandings of good health and socio-political health policies in PNG, something likely to be repeated in health service delivery to different cultural groups across the Asia Pacific region. Health and development practitioners in PNG must become responsive to the complexity of women's social relationships and to issues relating to the context of women's empowerment in their programmes.

Prescribing contraceptives for women with schizophrenia.

Although women with serious mental illness have high rates of lifetime sexual partners, they infrequently use contraception. Consequently, the prevalence of sexually transmitted infections is high in this population. In addition, while the overall rate of pregnancy in women with schizophrenia of child-bearing age is lower than in the general population, the percentage of pregnancies that are unwanted is higher than that in the general population. The objective of this paper is to help clinicians explore knowledge of appropriate methods of contraception for women who suffer from schizophrenia. The authors reviewed recent literature on the use of contraceptive methods by women with schizophrenia treated with antipsychotic and adjunctive medications. Contraceptive counseling to women and their partners is an important part of comprehensive care for women with serious and persistent mental illness. Women with schizophrenia who smoke, are overweight, or have diabetes, migraine, cardiovascular disease, or a family history of breast cancer should be offered non-hormonal contraception. Women with more than one sexual partner should be advised on barrier methods in addition to any other contraceptive measures they are using. Clinicians should be alert for potential interactions among oral hormonal contraceptives, smoking, and therapeutic drugs. Long-lasting contraceptive methods, such as intrauterine devices, progesterone depot injections, or tubal ligation are reasonable options for women having no wish to further expand their families.

Research into witchcraft in psychoanalysis and history.

Witchcraft and witch-hunting have been a topic for numerous historical and psychoanalytical research projects. But until now, most of these projects have remained rather isolated from one from the other, each in their own context. In this article I shall attempt to set up a dialogue between psychoanalysis and history by way of the example of research into witchcraft. However, I make no claim to covering the different psychoanalytical and historical approaches in full. As a historical 'layman', my interest lies in picking out some of the approaches that seem to me particularly well suited to contribute to reciprocal enhancement.

Patients' perceptions of communication with the health care team during chemotherapy for the first recurrence of ovarian cancer.

AIM: The aim of this study was to explore what women with recurrent ovarian cancer perceived as important in their communication with the health care team. METHOD: Interviews were conducted with 12 women at the end of chemotherapy treatment at a department of gynecological oncology in central Sweden. The interviews were subjected to qualitative content analysis. RESULTS: The findings stress the importance for the health care team to offer each woman the opportunity for support in becoming familiar with the disease. This theme of becoming familiar with the disease is underpinned by four sub-themes: being acknowledged as a unique person, getting help to make sense of information regarding the disease and its treatment, having the opportunity to be involved and to share responsibility, and feeling confident that medical expertise was adequate. Becoming familiar with the disease was expressed as a process of understanding and assimilating the whole new situation. To achieve familiarity, the women needed help from the health care team to make sense of the information they received. They stressed the importance of being able to influence encounters with health professionals, in accordance with their own perspectives. Being acknowledged as a unique person was a prerequisite to achieve familiarity. Also important to the women was having the opportunity to share responsibility for their care and lives with someone from the health care team. CONCLUSION: Helping women with recurrence of ovarian cancer attain a sense of familiarity with the disease should be an important priority for health care providers.

Pink truck ads: second-wave feminism and gendered marketing.

Second-wave feminist media had a contentious relationship with corporate advertisers. This article uses automotive advertisements to explore the role of gender, class, and race in the construction of consumer markets from the 1970s through the 1980s. It analyzes the struggle of Gloria Steinem and other liberal feminists to navigate the terrain between the women's movement and corporate advertisers. The increased economic power of women, stemming from the Equal Credit Opportunity Act as well as broader social and political shifts, facilitated their efforts. In the 1980s, automobiles continued to be marketed to women, albeit through "feminine" imagery conforming to the era's dominant trends.

Effect of Iyengar yoga on mental health of incarcerated women: a feasibility study.

BACKGROUND: Incarcerated women share a disproportionate burden of mental illness. Although psychotropic medications are available to women in prison, adjunctive treatment modalities, such as Iyengar yoga, may increase psychological well-being. OBJECTIVES: The purposes of this study were (a) to address the feasibility of providing a gender-responsive exercise intervention within a correctional institution and (b) to observe the effect of a group-format Iyengar yoga program that met two sessions a week for 12 weeks on levels of depression symptoms, anxiety symptoms, and perceived stress among incarcerated women. METHODS: A repeated measures design, in which each participant served as her own control, was used. Participants completed three self-administered instruments: the Beck Depression Inventory, the Beck Anxiety Inventory, and the Perceived Stress Scale before treatment (baseline) and during treatment (Weeks 4, 8, and 12). Linear mixed effects models were used to examine statistically significant changes in mental health measures over time, taking advantage of all available data. RESULTS: Although 21 women initially participated in the intervention, 6 women completed the 12-week intervention. A significant linear decrease was demonstrated in symptoms of depression over time, with mean values changing from 24.90 at baseline to 5.67 at Week 12. There was a marginally significant decrease in anxiety over time (12.00 at baseline to 7.33 at Week 12) and a nonlinear change in stress over time, with decreases from baseline to Week 4 and subsequent increases to Week 12. DISCUSSION: Women who participated in this program experienced fewer symptoms of depression and anxiety over time. Findings from this study may be used to improve future interventions focusing on the health outcomes of incarcerated women.

Exploring effects of therapeutic massage and patient teaching in the practice of diaphragmatic breathing on blood pressure, stress, and anxiety in hypertensive African-American women: an intervention study.

The problem of hypertension among African-Americans is one of the major areas of health disparities. The American Heart Association (2009) noted that the prevalence of hypertension among African-Americans is perhaps among the highest in the world and this is particularly so among African-American women (44.0%). The purpose of this study was to determine how therapeutic chair massage and patient teaching in diaphragmatic breathing affected African-American women's blood pressure, stress, and anxiety levels over one week or six weeks time periods. A Modified Stress, Coping, and Adaptation Model (Roy, 1976; Lazarus, 1966), Descriptives, T-tests, Pearson Product Moment Correlations, Multivariate analysis of variance (MANOVA), and Multivariate analysis of variance with covariate (MANCOVA) were used. Descriptive statistics indicated a significance for decreased systolic blood pressure levels for the one week post massage intervention measurement with p = .01, diastolic blood pressure level significance for the same group p = .02, significance for this group's State Trait Anxiety Inventory (STAI) Y2 Scale score p = .01, and Roy's Largest Root p = .03.

Bodies that differ: mid- and upper-class women and the quest for "Greekness" in female bodily culture (1896-1940).

This article discusses different expressions of mid- and upper-class Greek women's use of classical antiquity in relation to female bodily culture. It focuses on two cases, connected with successive phases of the collective women's action in Greece. The first case concerns principally the conjuncture of the Athens Olympic Games of 1896. The games offered the opportunity to the Ladies' Journal, the weekly that gave expression to the first feminist group in Greece and its leading figure, C. Parren, to put forward a discourse which, by constructing a specific image of the ancient Heraia games for 'maidens', 'invents' a specific athletic-competitive 'tradition' on behalf of Greek women of their social class. The second case rejoins the same circle of women principally in the interwar years as leading figures of the Lyceum of Greek Women, the organization which distinguished itself by juxtaposing to the newly formed militant feminist organizations its 'hellenic-worthy' activity, by organizing monumental festivals in the Panathenaic Stadium, which, through displays of 'national' dances - folk and 'ancient' dances - and other ritual events, performed the 'tradition' of the nation from prehistory until today.

Self-transcendence, spiritual well-being, and spiritual practices of women with breast cancer.

UNLABELLED: As women recover from the experience of breast cancer and its treatment, it is important for them to find meaning in their lives and to understand their experiences from a holistic perspective. PURPOSE: This study was designed to provide additional information about how women and their experiences recovering from breast cancer. The specific purpose was to describe the relationship between self-transcendence and spiritual well-being, and to identify the spiritual practices used by older women recovering from breast cancer. The theoretical framework for this study was Reed's theory of self-transcendence. SAMPLE: A total of 87 community-residing women who had been diagnosed with breast cancer within the past 5 years participated in the study. RESULTS: There was a significant positive relationship between self-transcendence and spiritual well-being. The women used a mean of 9.72 spiritual practices with the most frequent being exercise, visiting a house of worship, and praying alone. CONCLUSIONS: The study results provide further support for the theory of self-transcendence. Future research recommendations are to expand the research to include a larger, more diverse group of women of all ages and backgrounds who have been diagnosed with breast cancer.

Identifying supportive care needs of women with ovarian cancer.

Women diagnosed with ovarian cancer may experience many shortterm and long-term effects from cancer and its treatment. Cancer has more than a physical impact, yet there is a lack of information about the types of needs these women have and whether they want help in meeting their needs. The main purpose of this cross-sectional, descriptive study was to identify the supportive care needs (physical, emotional, social, informational, spiritual, psychological and practical) of women with ovarian cancer who attended a comprehensive, outpatient cancer centre. A further purpose was to determine if women wanted assistance in meeting those needs. A total of 50 women diagnosed with ovarian cancer participated in this study by completing a self-report questionnaire (The Supportive Care Needs Survey). The data indicated that a range of supportive care needs remained unmet for this patient group. Eight of the top 10 most frequently reported needs were psychosocial, such as fears about the cancer returning or spreading. The women also expressed a range of difficulty in managing their needs. However, despite this reality, significant numbers of women indicated they did not wish to have assistance from the clinic staff with some needs. Suggestions for practice and future research are offered to assist oncology nurses in providing care to these women.