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1.
ABCS health sci ; 44(3): 203-208, 20 dez 2019. tab
Artigo em Inglês, Português | LILACS | ID: biblio-1047754

RESUMO

Durante o climatério, período em que as gônadas femininas cessam sua função, a deficiência de estrógenos, especialmente do estradiol, provoca alterações importantes na cavidade bucal, interferindo em mecanismos inflamatórios, secreção salivar, metabolismo do colágeno, entre outros. Por meio de uma revisão de literatura, esse estudo teve como objetivo, ver a influência das alterações hormonais advindas do período de climatério nos tecidos bucais, proporcionando ao cirurgião dentista informações em relação às consequências e cuidados relacionados a esta fase da vida da mulher. Nesse período, as mulheres tornam-se mais suscetíveis a alterações tais como: osteopenia e osteoporose dos maxilares, hipossalivação, doenças periodontais, entre outros. O tratamento preventivo por meio de remoção de placa, adequação do meio bucal e orientação antes e durante o climatério são os melhores meios de minimizar os problemas bucais advindos dessa fase da vida da mulher.


During the climacteric period, when female gonads cease their function, estrogen deficiency, especially estradiol, causes important changes in the oral cavity, interfering in inflammatory mechanisms, salivary secretion, collagen metabolism, among others. Through a literature review, this study aimed to see the influence of the hormonal changes from the climacteric period in the oral tissues, providing the dentist surgeon with information regarding the consequences and care related to this phase of the woman's life. In this period, women become more susceptible to changes such as: osteopenia and osteoporosis of the jaws, hyposalivation, periodontal diseases, among others. Preventive treatment through removal of plaque, adequacy of the buccal environment and orientation before and during climacteric are the best means of minimizing oral problems arising from this phase of a woman's life.


Assuntos
Humanos , Feminino , Hormônios Esteroides Gonadais , Climatério , Saúde Bucal , Estradiol , Estrogênios
2.
Medicine (Baltimore) ; 98(37): e17039, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31517823

RESUMO

BACKGROUND: Climacteric women experience various disorders, including hot flush, depression, insomnia, arthralgia, and hand and foot numbness. Dangguijakyaksan is among the most common treatments for climacteric syndrome, and its effect on depression, insomnia, hot flush and quality of life (QOL) in climacteric women has been reported multiple times. A recent animal study found dangguijakyaksan decreased serum lipid factors and improved blood circulation in a menopausal rat model; however, these effects have not been assessed in clinical trials. This study aims to assess the clinical effects and safety of dangguijakyaksan for lower-extremity blood circulation disturbances in climacteric women. METHODS: This is a single-center, randomized, double-blinded, placebo-controlled pilot study that will be conducted at Dunsan Korean Medicine Hospital at Daejeon University. Forty-six climacteric women with lower-extremity blood circulation disturbances will be recruited and randomized (1:1) into either the dangguijakyaksan or placebo group. After 8 weeks of administration, the effects and safety of dangguijakyaksan will be assessed.The primary outcome is the visual analogue scale for lower-extremity blood circulation disturbances, and it will be assessed on visits 1, 2, and 3. The secondary outcomes, Kupperman's index and blood deficiency scoring system, will be assessed on visits 1, 2, and 3, and accelerated photoplethysmography and digital infrared thermal imaging will be performed on visits 1 and 3. Moreover, blood lipid profile, follicle-stimulating hormone, and estradiol levels will be measured at the screening visit and visit 3. Blood tests will be performed at the screening visit and visit 3 to assess the safety of dangguijakyaksan. Statistical analysis will be performed using R-3.3.3 (Another Canoe), and within-group study variable differences after drug administration will be analyzed using paired t-test or Wilcoxon signed-rank test. DISCUSSION: We expect to confirm the effects and safety of dangguijakyaksan on lower-extremity blood circulation disturbances in menopause, which would provide foundational data for planning subsequent studies.


Assuntos
Circulação Sanguínea/efeitos dos fármacos , Fármacos Cardiovasculares/uso terapêutico , Climatério , Medicamentos de Ervas Chinesas/uso terapêutico , Ensaios Clínicos Controlados Aleatórios como Assunto , Método Duplo-Cego , Feminino , Humanos , Extremidade Inferior , Pessoa de Meia-Idade , Projetos Piloto
3.
BMC Plant Biol ; 19(1): 369, 2019 Aug 22.
Artigo em Inglês | MEDLINE | ID: mdl-31438855

RESUMO

BACKGROUND: Cucumis melo is a suitable study material for investigation of fruit ripening owing to its climacteric nature. Long non-coding RNAs have been linked to many important biological processes, such as fruit ripening, flowering time regulation, and abiotic stress responses in plants. However, knowledge of the regulatory roles of lncRNAs underlying the ripening process in C. melo are largely unknown. In this study the complete transcriptome of Cucumis melo L. cv. Hetao fruit at four developmental stages was sequenced and analyzed. The potential role of lncRNAs was predicted based on the function of differentially expressed target genes and correlated genes. RESULTS: In total, 3857 lncRNAs were assembled and annotated, of which 1601 were differentially expressed between developmental stages. The target genes of these lncRNAs and the regulatory relationship (cis- or trans-acting) were predicted. The target genes were enriched with GO terms for biological process, such as response to auxin stimulus and hormone biosynthetic process. Enriched KEGG pathways included plant hormone signal transduction and carotenoid biosynthesis. Co-expression network construction showed that LNC_002345 and LNC_000154, which were highly expressed, might co-regulate with mutiple genes associated with auxin signal transduction and acted in the same pathways. We identified lncRNAs (LNC_000987, LNC_000693, LNC_001323, LNC_003610, LNC_001263 and LNC_003380) that were correlated with fruit ripening and the climacteric, and may participate in the regulation of ethylene biosynthesis and metabolism and the ABA signaling pathway. A number of crucial transcription factors, such as ERFs, WRKY70, NAC56, and NAC72, may also play important roles in the regulation of fruit ripening in C. melo. CONCLUSIONS: Our results predict the regulatory functions of the lncRNAs during melon fruit development and ripening, and 142 highly expressed lncRNAs (average FPKM > 100) were identified. These lncRNAs participate in the regulation of auxin signal transduction, ethylene, sucrose biosynthesis and metabolism, the ABA signaling pathway, and transcription factors, thus regulating fruit development and ripening.


Assuntos
Cucumis melo/genética , Frutas/genética , RNA Longo não Codificante/fisiologia , RNA de Plantas/fisiologia , Mapeamento Cromossômico , Climatério , Cucumis melo/crescimento & desenvolvimento , Frutas/crescimento & desenvolvimento , Perfilação da Expressão Gênica , Genoma de Planta , Fenótipo , Reguladores de Crescimento de Planta/metabolismo , Análise de Sequência de RNA , Transdução de Sinais , Transcriptoma
4.
Rev. enferm. UFSM ; 9: [20], jul. 15, 2019.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1024670

RESUMO

Objetivo: identificar nos registros de ocorrência de uma Delegacia Especializada no Atendimento à Mulher (DEAM), as situações de violência perpetradas por parceiro íntimo em abuso de álcool contra mulheres no climatério. Método: pesquisa qualitativa descritiva, realizada na DEAM de um município do interior baiano. Para a coleta de dados, utilizou-se o sistema de notificação de ocorrências da DEAM e na análise dos dados foi empregada a análise de conteúdo. Resultados: a violência praticada por parceiro íntimo torna-se frequente com o uso abusivo de álcool, sob a forma de violência física, psicológica e sexual e na fase do climatério as agressões foram constantes. Considerações finais: ressalta-se a importância da discussão sobre violência contra as mulheres entre profissionais que atuam na atenção primária à saúde para identificar a violência, realizar atendimento integral e implementar estratégias de prevenção e redução da violência, visando à articulação com os serviços da rede de atenção.


Objective: To identify, in the records of a Women's Police Station (Delegacia Especializada no Atendimento à Mulher, DEAM), violence perpetrated by intoxicated intimate partners against women in the climacteric period. Method: A descriptive qualitative research carried out in the DEAM of a municipality in the inland of Bahia. For data collection and analysis, the DEAM's notification system was used and its content was analyzed. Results: Intimate partner violence and alcohol abuse are frequently related; it happens in the form of physical, psychological and sexual violence. During the climacteric period the aggressions were constant. Final considerations: The importance to discuss violence against women among professionals working in primary health care is highlighted to identify violence, provide integral care and implement strategies to prevent and reduce violence, in order to articulate with the services of primary health care.


Objetivo: identificar, en los registros de ocurrencia, de una Delegacia Especializada no Atendimento à Mulher (DEAM), las situaciones de violencia perpetradas por compañeros íntimos en abuso de alcohol contra mujeres en el climaterio. Método: investigación cualitativa, descriptiva, realizada en la DEAM, de un municipio del interior bahiano. Para la recolección de los datos se utilizó el sistema de notificación de ocurrencias de la DEAM y el análisis de los datos se basó en el análisis de contenido. Resultados: la violencia practicada por los compañeros íntimos ocurre frecuentemente con el uso abusivo del alcohol, por la forma de violencia física, psicológica y sexual, en la fase del climaterio las agresiones son constantes. Consideraciones finales: se resalta la importancia de la discusión sobre la violencia contra las mujeres entre profesionales, que actúan en la atención primaria a la salud, para identificar la violencia, realizar atendimiento integral e implementar estrategias de prevención y reducción de la violencia, para la articulación de los servicios de la red de atención.


Assuntos
Humanos , Climatério , Alcoolismo , Violência contra a Mulher , Violência por Parceiro Íntimo
5.
Adv Gerontol ; 32(1-2): 159-165, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31228383

RESUMO

Ovarian failure is accompanied by a decrease in sexual function, which plays quite an important rolefor modern women. Purpose: to evaluate the impact of complex non-drug programs for correcting climacteric disorders on the sexual function of women with metabolic syndrome. We examined 330 women aged 45-50 with a climacteric syndrome of mild and moderate severity against the background of the metabolic syndrome. Patients were formed into 5 groups. All patients received standard treatment.Women of the main group and comparison groups were treated with exercise therapy, drinking balneotherapy, additional oral intake of multivitamins and minerals, and preformed physical factors in various combinations: vibrotherapy, full-spectrum and selective chromotherapy, melody therapy, aromatherapy, aeroionotherapy. In the control group, only standard treatment was used. A dynamic evaluation of the Sexual Function Index wasperformed. With the simultaneous use of vibration therapy, chromotherapy, melody therapy, aeroionotherapy, aromatherapy, the index of female sexual function increases as much as 26% in patients with menopausal syndrome of mild degree and 20% in patients with moderate menopausal syndrome. Thus, the complex non-drug correction of menopausal disorders with simultaneous application of all specified physiotherapeutic can improve the quality of life of a woman with a metabolic syndrome due to a positive effect on its sexual component.


Assuntos
Climatério , Síndrome Metabólica , Idoso , Feminino , Humanos , Síndrome Metabólica/complicações , Pessoa de Meia-Idade , Perimenopausa , Modalidades de Fisioterapia , Qualidade de Vida
6.
Medicentro (Villa Clara) ; 23(2): 116-124, abr.-jun. 2019.
Artigo em Espanhol | LILACS | ID: biblio-1002574

RESUMO

RESUMEN Introducción: el climaterio es un período en la vida de la mujer que afecta su bienestar físico y mental; al aumentar la expectativa de vida también lo hace el número de mujeres que atravesarán esta etapa acompañada de síntomas dependientes de las alteraciones hormonales. Estas a su vez, pueden desencadenar diversas afecciones crónicas que se convierten en riesgos para las enfermedades cardiovasculares, cerebrovasculares, u otras, que afectan la calidad y expectativa de vida de la mujer. Objetivo: identificar sus principales síntomas y determinar la relación existente entre este déficit hormonal y algunas enfermedades crónicas en la mujer. Métodos: se realizó una revisión bibliográfica de las publicaciones acerca del climaterio y menopausia incluidas en diferentes bases de datos (PubMed e Infomed) durante los años 2014 y 2018, en idioma inglés y español. Se organizó el trabajo a partir de la información obtenida de revisiones sistemáticas, metaanálisis, ensayos clínicos y estudios observacionales. Conclusiones: existe una estrecha relación entre el déficit estrogénico y la aparición de algunas enfermedades crónicas. Aumentar el conocimiento de la mujer sobre las afectaciones propias de este período y la forma de disminuir su intensidad, además de fomentar la prevención de las enfermedades asociadas, permitirá que estas puedan disfrutar de longevidad, bienestar físico-mental y de mayor rendimiento intelectual. Este trabajo constituye una herramienta, para una correcta orientación y motivación de las mujeres, sobre estilos de vida más saludables en esta etapa de la vida.


ABSTRACT Introduction: the climacteric is a period in a woman's life that affects her physical and mental well-being; when the life expectancy increases, so does the number of women who will go through this stage accompanied by symptoms dependent on hormonal alterations. These, in turn, can trigger various chronic conditions that become risks for cardiovascular, cerebrovascular, or other diseases that affect their quality and life expectancy. Objective: to identify their main symptoms, as well as, to determine the relationship between this hormonal deficit and some chronic diseases in women. Methods: a literature review of the publications on climacteric and menopause included in different databases, in English and Spanish language, such as PubMed and Infomed was conducted during 2014 and 2018. The work was organized based on the information obtained from systematic reviews, meta-analyses, clinical trials and observational studies. Conclusions: there is a close relationship between estrogen deficiency and the appearance of some chronic diseases. Increasing women's knowledge about the effects of this period and how to reduce its intensity, as well as, promoting the prevention of associated diseases, will allow them to enjoy longevity, physical and mental well-being and greater intellectual performance. This work is a tool, for a correct orientation and motivation of women, on healthier lifestyles in this stage of life.


Assuntos
Climatério , Menopausa , Estilo de Vida Saudável
7.
Anthropol Anz ; 76(4): 293-304, 2019 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-31033995

RESUMO

Menopause is a universal physiological process of women's midlife exhibiting a wide variety of symptoms in a different population. Limited studies have examined the association of menopause symptoms with respect to body mass index (BMI) and osteoporosis among rural Indian women. The aim of the present cross-sectional study is an attempt to assess the association of menopause symptoms with body mass index and osteoporosis among rural women of Kanpur, North India. A total sample of 351 women ranging in age between 35 to 55 years was randomly selected from six villages of Kanpur (North India). Menopausal symptoms were measured by using the Greene Climacteric scale. T-score of each subject was gauged from the calcaneus by employing ultrasound based bone densitometer. In anthropometric measurements, height and weight were taken and body mass index (BMI = weight/height2 kg/m2) was calculated. The results indicated that women with psychological (20.8 vs 19.8, p < 0.05), anxiety (21.0 vs 19.5, p < 0.01), and vasomotor (21.6 vs 20.0, p < 0.001) symptoms had a significantly higher mean value of body mass index than their asymptomatic counterparts. The mean value of T scores in the women with psychological (-2.36 vs -1.97, p < 0.05), anxiety (-2.36 vs -2.09, p < 0.05), depression (-2.38 vs -1.97, p < 0.01), somatic (-2.45 vs -1.86, p < 0.001), vasomotor (-2.49 vs -2.15, p < 0.01) and loss of interest in sex (-2.43 vs -1.76, p < 0.001) symptoms was significantly lower than their counterparts with no symptoms. Binary logistic regression analysis confirmed that women with menopausal symptoms had a two-fold higher risk of developing osteoporosis than asymptomatic women. A positive and significant correlation of body mass index was noted with psychological, anxiety and vasomotor symptoms, whereas T-score had a significant association with all the menopausal symptoms.


Assuntos
Índice de Massa Corporal , Climatério , Menopausa , Osteoporose , Adulto , Estudos Transversais , Feminino , Humanos , Índia , Pessoa de Meia-Idade , Osteoporose/epidemiologia , Inquéritos e Questionários
8.
Homeopatia Méx ; 88(716): 28-35, jan. - marc. 2019. graf, tab
Artigo em Espanhol | LILACS, HomeoIndex - Homeopatia | ID: biblio-995982

RESUMO

La terapia hormonal es el tratamiento convencional para contrarrestar síntomas propios del climaterio; sin embargo, algunas mujeres tienen contraindicada esta terapia debido a los efectos adversos que provoca. El objetivo de este estudio fue evaluar la utilidad del tratamiento homeopático durante el climaterio con el uso de la Menopause Rating Scale (MRS) o Escala de Calificación Menopáusica. El estudio incluyó a 31 mujeres, sin problemas cardiacos, sin terapia de reemplazo hormonal y sin antecedentes de cáncer, a quienes se les aplicó el cuestionario de la MRS para obtener un puntuaje antes del tratamiento. Para determinar el tratamiento se utilizó el repertorio electrónico Radar 10.0 para Windows, con el objetivo de repertorizar los síntomas característicos de cada paciente y determinar el medicamento similar. El medicamento fue prescrito en dinamizaciones 30CH, indicando 5 gotas sublinguales cada 8 horas. La evaluación de los pacientes se llevó a cabo cada mes durante tres meses. Se realizó una evaluación final a los tres meses por comparación de puntajes de la escala inicial y final, a través de un análisis estadístico y utilizando la prueba de Wilcoxon. Lachesis trigonocephalus y Pulsatilla nigricans fueron los medicamentos indicados con mayor frecuencia, de acuerdo con los síntomas de cada paciente. La comparación del puntaje, antes y después del tratamiento, evidenció una reducción de síntomas con diferencia estadística, lo cual reflejó una mejoría global del 35%. Esta evidencia sugiere que el tratamiento homeopático beneficia a las mujeres en el climaterio. (AU)


Hormonal therapy is the conventional treatment for counteracting climacteric symptoms; however, this treatment is contraindicated in some women due to the adverse effects that this therapy may cause. The purpose of this study was to evaluate the usefulness of homeopathic therapy during the climacteric using the Menopause Rating Scale (MRS). The study included 31 women, without cardiac problems, history of no cancer or hormone replacement therapy; a MRS scale questionnaire was applied to these women to evaluate each symptom before to treatment. The Radar 10.0 for Windows electronic repertoire was used to repertorize the characteristic symptoms of each patient and determine the similarly. Homeopathic medication was prescribed in 30CH dynamization as 5 sublingual drops every 8 hrs. Patient evaluation took place monthly for 3 months. The evaluation of the results was performed by the comparison of scale scores through a statistical analysis using the Wilcoxon test. Lachesis trigonocephalus and Pulsatilla nigricans were the most frequent treatment indications, according to the symptoms of each patient. At the end of the homeopathic treatment, symptoms reduction was observed with statistical significance in the score, which reflects an overall improvement of 35%. This evidence suggested that homeopathic treatment benefits women in climacteric. (AU)


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Climatério , Menopausa , Saúde da Mulher , Perimenopausa , Homeopatia , Pulsatilla nigricans/uso terapêutico , Lachesis muta/uso terapêutico
9.
Health Psychol ; 38(3): 206-216, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30762400

RESUMO

OBJECTIVE: The sustainment of gains for cancer patients provided psychosocial interventions is unclear. Furthermore, it is unknown whether interventions also yield long-term positive changes. The present study experimentally tests if an intervention delivered at cancer diagnosis could yield broad, long-term, changes in domains such as relationships, worldview, priorities, and goals. It was hypothesized that the intervention group would report more positive and fewer negative life changes during survivorship versus the control group. METHOD: Patients with Stage II/III breast cancer were randomized to biobehavioral intervention (BBI) or assessment only. At randomization, patients completed measures of cancer stress (Impact of Events Scale [IES]) and depressive symptoms (Center for Epidemiological Studies Depression scale [CES-D]). At the 24-month follow-up, survivors (N = 160) completed a thought listing task with 7 prompts (e.g., "relationships"). Patients listed thoughts about change since diagnosis and rated each for valence. Groups were compared on the frequency of positive/negative thoughts across prompts. Listed thoughts were content analyzed. RESULTS: BBI survivors reported significantly more positive changes (p < .05), controlling for IES and CES-D. Groups did not differ on negative changes. Patients with higher IES/CES-D scores reported more negative changes at 24 months (ps < .05). Content analysis revealed a predominance (13/23) of positive thought categories. CONCLUSIONS: Adding support for efficacy, BBI survivors reported significantly more positive life changes since diagnosis than survivors not receiving BBI. More generally, heightened stress/depressive symptoms at diagnosis foretold survivors' reporting of more negative changes. Thought listing is a strategy to obtain personalized accounts of life changes after breast cancer. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Neoplasias da Mama/psicologia , Sobreviventes de Câncer/psicologia , Terapia Cognitivo-Comportamental , Transtorno Depressivo/terapia , Adulto , Neoplasias da Mama/terapia , Climatério , Transtorno Depressivo/psicologia , Feminino , Humanos , Pessoa de Meia-Idade , Qualidade de Vida/psicologia , Perfil de Impacto da Doença
10.
J Sci Food Agric ; 99(8): 3792-3802, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30666651

RESUMO

BACKGROUND: Large improvements have been realized on the accuracy of the determination of fruit quality. The relevance of the relationship between commonly used quality descriptors and their related chemical contents was here questioned under the influence of water supply reduction and postharvest cold storage. The study relied on three analyses: (1) a correlation table between quality descriptors and compound contents, (2) principal component analysis using the selected variables to see the quality discrimination dictated by treatments; and (3) linear correlation between content and descriptors according to treatments. RESULTS: The results indicate that abiotic parameters applied on mango fruits before or after harvest can affect the relationship between a quality descriptor and the content in compounds it is related to, here between titratable acidity and organic acid content and to a lesser extent between color, represented by hue angle values, and carotenoids, possibly creating bias in the final quality determination. A stronger relation between total soluble solids and total sugar content, were observed under mild abiotic stress. CONCLUSION: Fruit growth and postharvest storage conditions, such as irrigation and cold storage, can influence the actual correspondence between the compounds contents and the descriptors used to estimate fruit quality, particularly for pulp color, sugars and acids. © 2019 Society of Chemical Industry.


Assuntos
Irrigação Agrícola/métodos , Armazenamento de Alimentos/métodos , Frutas/química , Mangifera/crescimento & desenvolvimento , Água/análise , Ácidos/análise , Carotenoides/análise , Climatério , Cor , Frutas/crescimento & desenvolvimento , Frutas/metabolismo , Mangifera/química , Mangifera/metabolismo , Extratos Vegetais/análise , Controle de Qualidade , Açúcares/análise , Água/metabolismo
11.
REME rev. min. enferm ; 23: e-1167, jan.2019.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1005381

RESUMO

Objetivo: estudo qualitativo com o objetivo de descrever o impacto da descoberta da doença coronariana no cotidiano das mulheres climatéricas. Método: utilizou- -se, para interpretação dos dados, a análise de conteúdo de Bardin. Resultados e discussão: foram identificadas quatro categorias: "o conhecimento da doença coronariana"; "mudança na alimentação"; "mudanças no trabalho"; "a insegurança e o medo da morte". As mulheres manifestam certo desconhecimento em definir a doença coronariana. Compreendem que é grave e impõe riscos, porém sentem dificuldades em defini-la ou explicá-la. Reconhecem a importância do tratamento preconizado, seguindo as recomendações terapêuticas como a mudança de hábitos de vida, a utilização da terapia medicamentosa e dos tratamentos invasivos, como a cirurgia de revascularização do miocárdio e a angioplastia. Conclusão: as principais mudanças no cotidiano das mulheres estão relacionadas à alimentação e às atividades laborais e domésticas. A perda da autonomia imposta pela doença ocasiona dependência e inutilidade. A insegurança e o medo também estão presentes associados a significações simbólicas acerca do inesperado e da morte. As mudanças cotidianas após a descoberta da doença coronariana causam impacto físico, emocional e social a essas mulheres, bastante prejudicial à sua saúde na recorrência de eventos coronarianos ou para uma condição mais grave e incapacitante da doença coronariana.(AU)


Objective: this is a qualitative study aimed at describing the impact of the discovery of the coronary disease in the daily life of climacteric women. Method: Bardin content analysis was used for data interpretation. Results and discussion: four categories were identified: "knowledge of the coronary disease"; "Change in food"; "Changes in work"; "Insecurity and fear of death". The women showed a lack of knowledge in defining the coronary disease. They understand that it is a serious and risky disease, but they find it difficult to define or explain it. They recognize the importance of the recommended treatment, following the therapeutic recommendations as to the change of habits of life, the use of the drug therapy and the invasive treatments, as the surgery of revascularization of the myocardium and the angioplasty. Conclusion: the main changes in the daily life of women are related to food and work and domestic activities. The loss of autonomy imposed by the disease causes dependence and uselessness. Insecurity and fear are also present associated with symbolic meanings of unexpected and death. The daily changes after the discovery of the coronary disease cause physical, emotional and social impact to these women, quite harmful to their health in the recurrence of coronary events or to a more serious and incapacitating condition of the coronary disease.(AU)


Objetivo: estudio cualitativo con miras a describir el impacto del descubrimiento de la enfermedad coronaria en el cotidiano de las mujeres en edad de climaterio. Método: la interpretación de datos se realizó según el análisis de Bardin. Resultados y discusión: se identificaron cuatro categorías: "conocimiento de la enfermedad coronaria"; " cambios en la alimentación"; "cambios en el trabajo"; " la inseguridad y el miedo a la muerte". Las mujeres manisfestaron desconocimiento para definir la enfermedad coronaria. Entienden que es grave y trae riesgos pero les resulta dificil definirla o explicarla. Reconocen la importancia del tratamiento, que sigue recomendaciones terapéuticas tales como el cambio de costumbres de vida, la terapia medicamentosa y los tratamientos invasivos, como la cirugía de revascularización del miocardio y la angioplastia. Conclusión: los principales cambios en el cotidiano de las mujeres están relacionados con la alimentación y las actividades laborales y domésticas. La pérdida de autonomía impuesta por la enfermedad causa dependencia e inutilidad. La inseguridad y el miedo también están presentes asociados a significados simbólicos sobre lo inesperado y la muerte. Los cambios cotidianos después del descubrimiento de la enfermedad coronaria causan impacto físico, emocional y social, bastante perjudicial a la salud en la recurrencia de eventos coronarios o para una condición más grave e incapacitante de la enfermedad coronaria.(AU)


Assuntos
Humanos , Feminino , Climatério , Saúde da Mulher , Impactos na Saúde , Doença das Coronárias , Promoção da Saúde
12.
J. Health Biol. Sci. (Online) ; 7(1): 82-88, jan.-mar. 2019.
Artigo em Português | LILACS | ID: biblio-1005503

RESUMO

Introdução: A menopausa é um evento que determina o final do período fértil da mulher, com efeitos, sobretudo, no bem-estar pode em alguns casos ser necessário a intervenção de terapias medicamentosas ou medidas alternativas. Objetivo: Consiste em uma revisão de informações relativas ao tratamento dos sintomas da menopausa, avaliando as terapias realizadas em mulheres. Método: Busca de informações em periódicos indexados nas principais bases científicas on-line, incluindo apenas estudos realizados nos anos de 2012 a 2017. Resultados: Atualmente, há terapias medicamentosas e alternativas, que têm sido eficazes para o tratamento nesta fase, sendo que, para a primeira, o Ministério da Saúde orienta que a dose administrada da terapia de reposição hormonal (TRH) deve ser a mínima eficaz para melhorar os sintomas indesejáveis, devendo ser interrompida assim que os benefícios tenham sido alcançados. Estima-se, ainda, que novas moléculas com efeitos máximos e riscos mínimos sejam descobertas e incluídas na TRH com uma avaliação dos seus reais riscos para o câncer de mama, tromboembolismo ou eventos cardiovasculares. É possível avaliar que existem vários métodos de tratamento. Conclusão: A decisão de adotar ou não uma terapia deve ser debatida entre médico e paciente individualmente, ressaltando as consequências da redução estrogênica climatérica, os efeitos colaterais e contraindicações dessas terapias, a fim de estabelecer seu custo benefício.


Introduction: Menopause is an event that determines the end of the woman's fertile period, with effects, above all, on well-being may in some cases be necessary the intervention of drug therapies or alternative measures. Objective: Was the development of a literature review, evaluating the therapies performed in women during the menopause. Methods: The search for information in indexed periodicals in the main scientific bases on-line, including only studies carried among years 2012 at 2017. Results: There are now drug therapies and alternatives that have been effective for treatment during this period, and for the first, the Ministry of Health advises that the dose of hormone replacement therapy (HRT) administered should be the least effective for improving symptoms and should be discontinued once the benefits have been achieved. It is also estimated that new molecules with maximum effects and minimal risks are discovered and included in HRT with an assessment of their real risks for breast cancer, thromboembolism, or cardiovascular events. It is possible to evaluate that there are several treatment methods. Conclusion: The decision whether or not to adopt a therapy should be discussed between the physician and the individual patient, highlighting the consequences of estrogenic climacteric reduction, the side effects and contraindications of these therapies, in order to establish their cost-effectiveness.


Assuntos
Climatério , Menopausa , Qualidade de Vida
13.
Artigo em Espanhol | LILACS | ID: biblio-1047562

RESUMO

Introducción: el climaterio es un período en la vida de la mujer que afecta su bienestar físico y mental; al aumentar la expectativa de vida también lo hace el número de mujeres que atravesarán esta etapa acompañada de síntomas dependientes de las alteraciones hormonales. Estas a su vez, pueden desencadenar diversas afecciones crónicas que se convierten en riesgos para las enfermedades cardiovasculares, cerebrovasculares, u otras, que afectan la calidad y expectativa de vida de la mujer. Objetivo: identificar sus principales síntomas y determinar la relación existente entre este déficit hormonal y algunas enfermedades crónicas en la mujer. Métodos: se realizó una revisión bibliográfica de las publicaciones acerca del climaterio y menopausia incluidas en diferentes bases de datos (PubMed e Infomed) durante los años 2014 y 2018, en idioma inglés y español. Se organizó el trabajo a partir de la información obtenida de revisiones sistemáticas, metaanálisis, ensayos clínicos y estudios observacionales. Conclusiones: existe una estrecha relación entre el déficit estrogénico y la aparición de algunas enfermedades crónicas. Aumentar el conocimiento de la mujer sobre las afectaciones propias de este período y la forma de disminuir su intensidad, además de fomentar la prevención de las enfermedades asociadas, permitirá que estas puedan disfrutar de longevidad, bienestar físico-mental y de mayor rendimiento intelectual. Este trabajo constituye una herramienta, para una correcta orientación y motivación de las mujeres, sobre estilos de vida más saludables en esta etapa de la vida.


Assuntos
Climatério , Menopausa , Estilo de Vida Saudável
14.
Rio de Janeiro; s.n; 2019. 111 p. ilus.
Tese em Português | LILACS, BDENF - Enfermagem | ID: biblio-1047665

RESUMO

Estudo descritivo, de cunho qualitativo, que busca compreender os significados atribuídos por mulheres no climatério na perspectiva do interacionismo simbólico, bem como as repercussões nas diversas dimensões do seu cotidiano. Partiu-se do pressuposto de que, na perspectiva do interacionismo simbólico, (re)significar o climatério para mulheres que o vivenciam repercutirá em autonomia e liberdade colocando-as como protagonistas de enfrentamento das modificações inerentes a esta fase da vida. Objetivou-se: analisar, sob a perspectiva do interacionismo simbólico, o processo de significação da mulher que vivencia o climatério e analisar, sob a perspectiva do interacionismo simbólico, a influência do climatério na interação social destas mulheres. Como cenário, foi utilizado a Universidade Estadual do Sudoeste da Bahia, Campus de Jequié. A técnica de coleta dos dados foi a entrevista individual semiestruturada, em horários pré-determinados entre a pesquisadora e as participantes, em locais com menor circulação de pessoas para a manutenção da privacidade e menor possibilidade de interrupções. Para subsidiar a técnica da entrevista foi utilizado um roteiro pré-elaborado. As entrevistas foram gravadas em aparelho mp7 gravador de voz, transcritas e preservadas na íntegra. Participaram 17 mulheres com faixa etária entre 43 e 64 anos que estivessem vivenciando ou que vivenciaram o climatério. A quantidade de participantes foi baseada na saturação teórica. As participantes assinaram o TCLE. O projeto foi aprovado mediante o parecer do CEP de número 2.187.889. Os dados foram analisados e organizados em conformidade com a Grounded Theory. Emergiram seis categorias e uma categoria central que foram discutidas com base no interacionismo simbólico. Os resultados apontaram que as participantes do estudo compreendem o climatério como processo inevitável, assim como as modificações físicas e emocionais inerentes a ele. Mostraram momentos de aceitação e rejeição. Reconheceram que o estilo de vida saudável, estrutura familiar, religião, trabalho, amigos, colegas de trabalho, viagem, médico, são estratégias ou segmentos sociais que ajudam na compreensão do fenômeno, na sua ressignificação e na superação das modificações apresentadas, quer seja pelo enfrentamento naturalizado ou não. Buscam estratégias de enfrentamento por meio da capacidade de interpretação das situações vivenciadas constituídas culturalmente. Assim, elas transitam por momentos em que não abrem mão da medicalização, e em outros optam pela desmedicalização, vivendo em constante indecisão. Os sentidos atribuídos às características do climatério surgem da interação estabelecida consigo mesmas e com seu grupo social. Para as mulheres, o climatério configura-se como um processo de transição na vida, durante o qual podem oscilar entre sua concepção pautada em significados vinculados à visão de mundo medicalizada e a desmedicalizada, a partir dos quais agem e interagem socialmente.


This is a descriptive, exploratory, qualitative study aiming to understand the meanings attributed by women to the climacteric in the perspective of symbolic interactionism, as well as its repercussions in the various dimensions of their daily life. It was assumed that, in the perspective of symbolic interactionism, (re) signifying the climacteric for women who experience it will have repercussions on autonomy and freedom, placing them as protagonists in coping with the inherent changes in this phase of life. The objective of this study was to analyze, from the perspective of symbolic interactionism, the signification process of women undergoing the climacteric and to analyze, from the perspective of symbolic interactionism, its influence on the social interactions of these women. As setting, we used the State University of Southwest Bahia, Jequié Campus. The technique of data collection was a semi-structured individual interview, at predetermined times, between the researcher and the participants, in places with less movement of people to maintain privacy and having less possibility of interruptions. To support the interview technique, a pre-elaborated script was used. The interviews were recorded on a mp7 recorder voice recorder, transcribed and preserved in full in their original speech. The participants were 17 women aged between 43 and 64 years and the inclusion criteria were women who were experiencing or had experienced the climacteric. The number of participants was based on theoretical saturation. The participants who agreed to the study signed the consent forms in two ways. The project was approved by CEP ruling N° 2.187.889. The data were analyzed and organized in accordance with Grounded Theory. Six categories and a central category emerged that were discussed based on symbolic interactionism. The results pointed out that the study participants understand the climacteric as an inevitable process, as well as the physical and emotional changes inherent to it. They showed moments of acceptance and rejection. They recognized that a healthy lifestyle, family structure, religion, work, friends, work colleagues, travel, the doctor, are strategies or social segments that help in understanding this phenomenon, in its resignification and in overcoming the changes it brings along, naturalized or not. They also pursue coping strategies through the ability to interpret culturally the experienced situations. Thus, they go through times when they do not give up the medicalization, but at other times they opt for demedicalization, living in constant indecision. The senses attributed to the characteristics of the climacteric emerge in this study from the interaction established with themselves and with their social group. For women, the climacteric is a process of transition in life, during which they can oscillate between their conception based on meanings linked to the medicalized and demedicalized worldview, from which they act and interact socially.


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Envelhecimento , Climatério , Saúde da Mulher , Enfermagem , Interacionismo Simbólico , Menopausa , Pesquisa Metodológica em Enfermagem
15.
Rev. enferm. UERJ ; 26: e32588, jan.-dez. 2018. ilus
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-991141

RESUMO

Objetivo: analisar o conhecimento produzido acerca de climatério, família e envelhecimento. Método:revisão integrativa da literatura, realizada na base de dados BVS, Pubmed e Portal de Periódicos Capes (2012-2017). Resultados:respeitando-se os critérios de inclusão, 22 artigos foram selecionados e analisados em duas categorias: a influência da família no processo de envelhecimento de mulheres em fase de climatério e o enfrentamento do climatério e suas desordens na natureza físico-psicológica da mulher. Conclusão: é necessário estudar o climatério para além da sintomatologia clínica da menopausa na perspectiva de se promover o envelhecimento ativo e saudável. A família é parte integrante deste processo, por isso, enfermeiros e demais profissionais da equipe multidisciplinar devem incluí-la no processo de conhecimento, entendimento, acompanhamento e cura das sintomatologias transitórias que possam acometer a mulher em fase de climatério/ menopausa.


Objective: to examine the knowledge produced on climacterium, family and aging. Method: this integrative literature review used the VHL, Pubmed and Capes Journal Portal databases (2012-2017). Results: 22 articles were selected and analyzed by two categories: the family's influence on the aging process of women in the climacteric phase, and coping with the climacterium and its physical and psychological disorders. Conclusion: study of the climacterium needs to go beyond the clinical symptomatology of menopause, with a view to promoting active, healthy aging. The family is an integral part of this process and, accordingly, nurses and other professionals in multidisciplinary teams should include it in the process of learning about, understanding, following up on and curing of transitory symptoms that can affect women in the menopause / climacteric phase.


Objetivo: analizar el conocimiento producido sobre climaterio, familia y envejecimiento. Método: revisión integrativa de la literatura, realizada en la base de datos BVS, Pubmed y Portal de Periódicos Capes (2012-2017). Resultados: respetando los criterios de inclusión, se seleccionaron 22 artículos que fueron analizados en dos categorías: la influencia de la familia en el proceso de envejecimiento de mujeres en fase de climaterio y el enfrentamiento del climaterio y sus desórdenes en la naturaleza físico-psicológica de la mujer. Conclusión: es necesario estudiar el climaterio más allá de la sintomatología clínica de la menopausia con vistas a promover el envejecimiento activo y saludable. La familia es parte integrante de este proceso, por eso, enfermeros y demás profesionales del equipo multidisciplinario deben incluirla en el proceso de conocimiento, entendimiento, acompañamiento y curación de las sintomatologías transitorias que puedan acometer a la mujer en fase de climaterio / menopausia.


Assuntos
Humanos , Feminino , Envelhecimento , Climatério/psicologia , Relações Familiares , Comunicação em Saúde , Cuidados de Enfermagem , Saúde da Mulher , Revisão , Acontecimentos que Mudam a Vida
16.
Rev. enferm. UFPE on line ; 12(12): 3352-3359, dez. 2018. ilus, tab
Artigo em Português | BDENF - Enfermagem | ID: biblio-1000302

RESUMO

Objetivo: identificar o perfil socioeconômico, demográfico, clínico e hábitos de vida de mulheres no climatério residentes em uma comunidade quilombola. Método: trata-se de um estudo quantitativo, descritivo, de corte transversal, desenvolvido em uma comunidade quilombola. Utilizou-se um questionário padronizado com 158 participantes. Construiu-se um banco de dados em planilha eletrônica sendo calculadas as frequências absolutas e relativas, e os resultados apresentam-se em forma de tabelas. Resultados: observou-se que a maioria das mulheres era parda, com companheiro estável e renda familiar de até dois salários mínimos. Apontou-se que um terço não tinha nenhuma escolaridade, e um quarto das menopausadas teve a sua última menstruação entre 38 e 42 anos. Ressalta-se que mais de um terço das pesquisadas portava doença crônica e, dessas, a quase totalidade era hipertensa, com ou sem diabetes associada. Conclusão: identificaram-se, neste estudo, as características de um grupo de mulheres no climatério de uma comunidade quilombola, sendo que a escassez de pesquisas sobre essas comunidades, no que se refere aos dados investigados, torna a pesquisa original e relevante.(AU)


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Fatores Socioeconômicos , Perfil de Saúde , Climatério , Menopausa , Saúde da Mulher , Grupo com Ancestrais do Continente Africano , Estilo de Vida , Qualidade de Vida , Epidemiologia Descritiva , Estudos Transversais , Inquéritos e Questionários
17.
J Aging Stud ; 47: 114-122, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30447864

RESUMO

The purpose of this paper is twofold: first, we explore how older people (aged 69 to 85 years) living on the edge of relative poverty experience their everyday lives, and second, we investigate how they cope with their financial situation. We examine these aspects through 16 life story interviews to understand which paths these older people believe have led them to where they are today. First, we show how the older people highlight events or decisions in their life that mainly have an individual origin placing the responsibility of their current financial situation on themselves. We argue that these accounts reflect a change in the discourse on poverty; a transformation from poverty as collective destiny to poverty as the result of individual failure. Second, we show how these older people's control strategies vary across their life spans. In earlier phases of their lives, these older people attempted actively to improve their financial situation; however, in their old age, they focus more on adapting to and accepting the situation because their advanced age makes it difficult for them to use active coping strategies to overcome financial scarcity. Third, we argue that the imprints the interviewees received growing up in financial scarcity during the Second World War and the postwar years may have instilled them with silence and modesty, thus they are likely to adjust stoically.


Assuntos
Adaptação Psicológica , Envelhecimento/psicologia , Climatério , Pobreza , Idoso , Idoso de 80 Anos ou mais , Dinamarca , Feminino , Humanos , Entrevistas como Assunto , Masculino
18.
Climacteric ; 21(5): 502-508, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-30269661

RESUMO

OBJECTIVES: This study aimed to assess the reliability and validity of the Menopause Visual Analogue Scale (MVAS) in measuring symptoms throughout the menopausal transition. METHODS: Two independent samples of women undergoing the menopausal transition completed both the MVAS and the Greene Climacteric Scale (GCS) at a women's mental health clinic between 2008 and 2016. Data for the first sample were obtained using a retrospective chart review of patients seen between 2008 and 2012 (N1 = 75) and data for the second sample came from a prospective study conducted between 2013 and 2016 (N2 = 86). Internal consistency was assessed using Cronbach's α and Pearson's correlation coefficient was used to evaluate concurrent validity. Bland-Altman plots were developed to assess the degree of agreement between the scales. RESULTS: Internal consistency for the physical and psychological domains of the MVAS was 0.80-0.81 and 0.92-0.94, respectively. Pearson's correlations between the MVAS and the GCS were high for both physical (rphys = 0.74-0.76, p < 0.01) and psychological (rpsych = 0.70-0.72, p < 0.01) components in both samples. Changes in MVAS physical and psychological scores in response to treatment were correlated with changes in GCS physical and psychological scores (rphys = 0.69, p < 0.01; rpsych = 0.49, p < 0.01) in the second sample. Bland-Altman plots indicate low to moderate levels of agreement between most portions of the MVAS and the GCS. CONCLUSIONS: These findings suggest that the MVAS has potential for assessing both severity and change in symptoms throughout the menopausal transition, subject to exploring limitations identified in the analysis and application to other populations.


Assuntos
Menopausa/fisiologia , Menopausa/psicologia , Escala Visual Analógica , Climatério , Feminino , Humanos , Pessoa de Meia-Idade , Psicometria , Reprodutibilidade dos Testes , Estudos Retrospectivos , Inquéritos e Questionários
19.
Rev. pesqui. cuid. fundam. (Online) ; 10(4): 906-912, out.-dez. 2018.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-915414

RESUMO

Objetivo: Conhecer as percepções de mulheres acerca do climatério. Métodos: Pesquisa qualitativa com 18 mulheres que vivenciam o período do climatério, que pertencem a uma Estratégia em Saúde da Família de um município da região Sul do Brasil. Os dados foram coletados por meio de entrevista semiestruturada em setembro de 2016. A análise dos dados foi a partir da Análise de Conteúdo Temática de Minayo. Resultados: Os elementos emergidos das compreensões das mulheres acerca do climatério demonstram percepções voltadas à negatividade, ao envelhecimento do corpo, ao desequilíbrio emocional e à sintomatologia manifestada nesse período. Conclusão: Portanto, é preciso implementar medidas que ofereçam a essas mulheres um maior conhecimento e entendimento sobre o climatério, pois refletirá de maneira positiva, de modo que a mulher vivencie esse período com tranquilidade e qualidade de vida


Objective: To know the perceptions of women about climacteric. Methods: Qualitative research with 18 women living in the climacteric period, who belong to a Family Health Strategy of a municipality in the Southern region of Brazil. Data were collected through a semistructured interview in September 2016. Data analysis was based on the Minayo Thematic Content Analysis. Results: The emergence of women's understanding of climacteric shows perceptions of negativity, body aging, emotional imbalance, and symptomatology manifested during this period. Conclusion: Therefore, it is necessary to implement measures that offer these women a greater knowledge and understanding about the climacteric, as it will reflect in a positive way, allowing women to experience this period with tranquility and quality of life


Objetivo: Conocer las percepciones de las mujeres sobre la menopausia. Métodos: La investigación cualitativa con 18 mujeres que experimentan período de la perimenopausia, que pertenecen a una estrategia de salud em un municipio del sur de Brasil. Los datos fueron recolectados a través de entrevista semiestructurada en septiembre de 2016. El análisis de los datos fue a partir del análisis cualitativo de Minayo. Resultados: Los elementos surgieron la comprensión de las mujeres sobre la menopausia demostrar percepciones centradas en la negatividad, el cuerpo de envejecimiento, desequilibrio emocional y síntomas que se manifiestan en este periodo. Conclusión: Por lo tanto, es necesario poner en práctica medidas que brinden a estas mujeres un mayor conocimiento y comprensión del climaterio, como se refleja positivamente causando la mujer para experimentar este periodo de tranquilidad y calidad de vida


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Climatério/psicologia , Menopausa/psicologia , Pós-Menopausa/psicologia , Saúde da Mulher
20.
Top Stroke Rehabil ; 25(6): 397-402, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-30028654

RESUMO

BACKGROUND: Stroke is a life-changing event for both stroke survivors and their family caregivers. After receiving acute care at the hospital, family members are expected to take care of stroke survivors at home and to continue treatment and rehabilitation. The new role of "informal caregiver" is a challenge that creates many difficulties for family caregivers that are not explicit in the Sri Lankan context. OBJECTIVES: This study aimed at exploring family caregivers' experiences of providing informal care for dependent stroke survivors. METHODS: The sample was chosen by purposive sampling with a maximum variation by age, ethnicity, religion, educational level, relationship, and monthly income. Ten informal family caregivers to stroke survivors with hemiplegia who had been treated at the National Hospital of Sri Lanka participated in in-depth interviews analyzed using conventional content analysis. RESULTS: Qualitative content analysis of data resulted in an overriding theme, "Caring with love, against all odds," along with four categories, "Life alterations," "Lack of resources," "Compassionate care," and "Coping strategies." Although the increased workload, restricted social life, physical problems, and knowledge and financial deficits were challenging for the family caregivers, self-strength and supportive social networks helped them to compassionately care for their stroke survivor. CONCLUSIONS: The phenomenon of family caregivers providing informal care for stroke survivors was explicated as compassionate care, notwithstanding numerous difficulties. The findings motivate further research and strategies to minimize family caregivers' burden and facilitate the positive aspects of caregiving to promote the health and well-being of both stroke survivors and their families.


Assuntos
Cuidadores/psicologia , Acidente Vascular Cerebral/epidemiologia , Acidente Vascular Cerebral/enfermagem , Adolescente , Adulto , Idoso , Climatério/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Sri Lanka/epidemiologia , Acidente Vascular Cerebral/mortalidade , Sobrevida , Adulto Jovem
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