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1.
Asclepio ; 74(1): 1-14, jun. 2022.
Artigo em Inglês | IBECS | ID: ibc-203278

RESUMO

This article is about the healthcare services provided by the Sisters of Charity (Filles de la Charité) during cholera epidemics in institutions opened and managed in nineteenth century Istanbul as part of their Eastern missions. The annuals in which reports and letters were collected and addressed to the center of the congregation in Paris, Annales de la Congrégation de la Mission et des Filles de la Charité (ACM), are used as primary sources. This study aims to evaluate the pandemies of cholera within the framework of world history and Ottoman context by contributing to the existing historical geographies of cholera, in addition to the literature, which accentuates the importance of agency of women in the Ottoman context, based on original findings. The article assesses how cholera affected Istanbul and how the disease was dealth with, through the connections between the sisters and local actors. The study also shows that the Ottoman example was not only a result of Western experiences, but although it was part of a wide history of pandemics, its actors had their own unique developments shaped by imperial and local settings and events.


Este artículo trata sobre los servicios de salud brindados por las Hermanas de la Caridad (Filles de la Charité) durante las epidemias de cólera en instituciones abiertas y administradas en el siglo XIX en Estambul como parte de sus misiones orientales. Los anuarios en los que se recopilaron informes y cartas y se dirigieron al centro de la congregación en París, Annales de la Congrégation de la Mission et des Filles de la Charité (ACM), se utilizan como fuentes primarias. Este estudio tiene como objetivo evaluar las pandemias de cólera en el marco de la historia mundial y el contexto otomano haciendo una contribución a las geografías históricas existentes del cólera, además de la literatura que acentúa la importancia de la agencia de las mujeres en el contexto otomano, con base en hallazgos originales. El artículo evalúa cómo afectó el cólera a Estambul y cómo se enfrentó la enfermedad, a través de las conexiones entre las hermanas y los actores locales. El estudio también muestra que el ejemplo otomano no fue solo el resultado de las experiencias occidentales, sino que, aunque fue parte de una amplia historia de pandemias, sus actores tuvieron sus propios desarrollos únicos moldeados por escenarios y eventos imperiales y locales.


Assuntos
História do Século XIX , Ciências da Saúde , Freiras/história , Cólera/história , Guerra , Mulheres Trabalhadoras
3.
J Hist Dent ; 70(1): 30-46, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35468052

RESUMO

Musée de la Cour d'Or, Metz, France, possesses a female skull bearing a gold wire dental appliance claimed in a 1934 Dental Cosmos article on the history of dental prosthetics to be 'probably' Merovingian in origin. Inquiries in 2017 revealed current museum curators were unaware of this claim but were skeptical of such dating suggesting scientific analysis might provide clarity. Carbon dating of a tooth from the skull was carried out placing the artifact in the mid seventeenth-late eighteenth centuries while Metz historical records reveal the find site was occupied by a convent of nuns for most of C14 dated period. Strontium isotopic analysis indicates the woman was a local of the Metz region while fluorine analysis indicates exposure to fluoride early in life. Oral health status and the dentistry indicate the woman was of high social status.


Assuntos
Freiras , Isótopos de Estrôncio , Osso e Ossos , Feminino , França , Humanos , Datação Radiométrica
4.
Artigo em Inglês | MEDLINE | ID: mdl-35162581

RESUMO

BACKGROUND: With an increasing elderly population, the number of persons with dementia is expected to increase and, consequently, the number of persons needing decision-making capacity assessments (DMCA) is too. However, many healthcare professionals do not feel ready to provide DMCAs. Since 2006, we implemented a DMCA Model that includes a care pathway, worksheets, education, and mentoring. The objective of this study was to assess the impact of the utilization of this patient-centered DMCA model on the need for Capacity Interviews. METHODS: This was a retrospective quality assurance chart review of patients referred for DMCA to the Geriatric Service at the Grey Nuns Community Hospital from 2006-2020. The Geriatric Service is run by Family Physicians with extra training in Care of the Elderly. We extracted patient demographics, elements of the DMCA process, and whether Capacity Interviews were performed. We used descriptive statistics to summarize the data. RESULTS: Eighty-eight patients were referred for DMCAs, with a mean age of 76 years (SD = 10.5). Dementia affected 43.2% (38/88) of patients. Valid reasons for conducting a DMCA were evident in 93% (80/86) of referrals, and DMCAs were performed in 72.6% (61/84). 85.3% (58/68) of referrals identified the need for DMCA in two to four domains, most commonly accommodation, healthcare, and finances. Two to three disciplines, frequently social workers and occupational therapists, were involved in conducting the DMCAs for 67.2% (39/58) of patients. The Capacity Assessment Process Worksheet was used 63.2% of the time. Capacity Interviews were conducted in only 20.7% of referrals. Following the DMCAs, 48.2% (41/85) of those assessed were deemed to lack capacity. CONCLUSION: This study suggests that the DMCA Model implemented has decreased the need for Capacity Interviews while simultaneously respecting patient autonomy. This is an important finding as DMCAs carried out following this process reduced the need for both a Capacity Interview and declarations of incapacity while simultaneously respecting patient autonomy and supporting patients in their decisions in accordance with the legislation.


Assuntos
Freiras , Idoso , Tomada de Decisões , Pessoal de Saúde , Hospitais Comunitários , Humanos , Médicos de Família , Estudos Retrospectivos
5.
Clin Ter ; 173(1): 10-14, 2022 Feb 07.
Artigo em Inglês | MEDLINE | ID: mdl-35147640

RESUMO

ABSTRACT: Childhood traumatic experiences have often been associated with the development of severe psychiatric disorders or, at least, with serious impairment in the victims' developing personality. Emotional abuse and neglect can cause gradual damage to Self-image and to models of self-in-relation to Others. We report a case of a woman who underwent psychiatric evaluations for marriage annulment. The issues were the as-sessment of the outcomes of early psychic trauma and the examination of the remaining individual capacities from a judicial standpoint. The examiners found that the memories of the woman's history of childhood abuse had become integrated into her personality organization. The spheres most strongly influenced were those of psycho-sexual/affective maturation and a dysfunctional bond with religion. Psychodiagnostic evaluation diagnosed a Borderline Personality Disorder. The complexity of the case suggests the need of a multi-dimen-sional analysis by an interdisciplinary team including experts in legal medicine, forensic psychiatry and psychology as well as clinical crimi-nology.


Assuntos
Transtorno da Personalidade Borderline , Abuso Sexual na Infância , Maus-Tratos Infantis , Freiras , Transtorno da Personalidade Borderline/diagnóstico , Criança , Maus-Tratos Infantis/diagnóstico , Feminino , Humanos , Autoimagem
6.
J Hist Dent ; 69(1): 29-45, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34383634

RESUMO

Musée de la Cour d'Or, Metz, France, possesses a female skull bearing a gold wire dental appliance claimed in a 1934 Dental Cosmos article on the history of dental prosthetics to be 'probably' Merovingian in origin. Inquiries in 2017 revealed current museum curators were unaware of this claim but were skeptical of such dating, suggesting scientific analysis might provide clarity. Carbon dating of a tooth from the skull was performed placing the artifact in the mid seventeenth-late eighteenth centuries, while Metz historical records reveal the find site was occupied by a convent of nuns for most of C14 dated period. Strontium isotopic analysis indicated that the woman was a local of the Metz region while fluorine analysis indicated exposure to fluoride early in life. Oral health status and the dentistry indicate the woman was of high social status.


Assuntos
Freiras , Isótopos de Estrôncio , Osso e Ossos , Feminino , França , Humanos
7.
Neurocirugia (Astur : Engl Ed) ; 32(3): 148-152, 2021.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-32651057

RESUMO

Camptocormia is an involuntary flexion between 15-45° of the thoracolumbar spine when standing, walking or sitting, which disappears completely in the supine position. Is associated to Parkinson's disease and other neurodegenerative conditions, being its physiopatology unknown. We report three cases of atypical anti-psychotic induced camptocormia.


Assuntos
Atrofia Muscular Espinal , Freiras , Doença de Parkinson , Curvaturas da Coluna Vertebral , Humanos , Atrofia Muscular Espinal/tratamento farmacológico , Doença de Parkinson/complicações , Doença de Parkinson/tratamento farmacológico , Curvaturas da Coluna Vertebral/etiologia
9.
Rev Esc Enferm USP ; 54: e03637, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-33175023

RESUMO

OBJECTIVE: To understand the perception of self-care by contemplative nuns residing in a Discalced Carmelite Monastery. METHOD: Descriptive, exploratory study, with a qualitative approach, conducted in a Discalced Carmelite Monastery in Minas Gerais state. Data collection from nuns was performed in January 2018 through a questionnaire on their sociodemographic profile and a semi-structured interview script. The interviews were transcribed, reviewed, and submitted to content analysis. RESULTS: Twenty nuns took part in this study. Three categories emerged: self-care comprehension, how self-care is practiced and what should be done to improve self-care. One subcategory was selected from each thematic category. Subcategories were, respectively, care of others, nutrition, and exercise. Nuns were seen to understand self-care as care of others, practicing it mostly through nutrition while considering exercise a point to be improved. CONCLUSION: Nuns were found to understand what self-care is in its essence and to perform it. However, their priority is to provide care of others as a form of mutual care, which impacts on self-care.


Assuntos
Freiras , Autocuidado , Brasil , Cuidadores , Exercício Físico , Humanos , Teoria de Enfermagem , Estado Nutricional , Inquéritos e Questionários
10.
J Holist Nurs ; 38(4): 350-361, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32193982

RESUMO

Purpose: To gain an understanding of how religious and spiritual practices might enable Catholic Sisters to age successfully. Design: A purposive sample of 12 retired Roman Catholic Sisters aged 75 years and older from two convent settings were interviewed. Method: Using a semistructured recorded interview, the Roman Catholic Sisters shared their lived experiences of aging, and practices of religion, spirituality, and meditation. Data analysis utilized thematic analysis of the interview texts. Findings: Thematic analysis identified the following themes: daily engagement in religious and spiritual practice and meditation; self-contentment and positivity regarding the meaning of successful aging; life acceptance; sense of faith and positivity regarding the afterlife; and intersection of meditation, prayer, spirituality, and cognitive engagement. Conclusion: This research contributes to the body of aging research and presents successful aging as understood and more specifically as experientially influenced. The findings of the study provided insight regarding the meaning and experience of successful aging, and the role of everyday religious and spiritual practices in the lives of the Catholic Sisters which influenced their individual life experiences as they age.


Assuntos
Catolicismo/psicologia , Envelhecimento Saudável , Freiras/psicologia , Adaptação Psicológica , Idoso , Feminino , Humanos , Pessoa de Meia-Idade
12.
Rev. Esc. Enferm. USP ; 54: e03637, 2020. tab
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1136629

RESUMO

RESUMO Objetivo: Compreender a percepção do autocuidado por parte de freiras de vida contemplativa que residem em um Mosteiro da Ordem Carmelita Descalça. Método: Trata-se de um estudo descritivo e exploratório de abordagem qualitativa, realizado em um Mosteiro da Ordem Carmelita Descalça do Estado de Minas Gerais. A coleta de dados foi realizada em janeiro de 2018 junto às freiras por meio de um questionário sobre seu perfil sociodemográfico e um roteiro semi-estruturado para entrevista. As entrevistas foram transcritas e revisadas, sendo submetidas a análise de conteúdo. Resultados: Participaram 20 freiras. Emergiram três categorias: compreensão do autocuidado, como pratica o autocuidado e o que fazer para melhorar o autocuidado. De cada uma das três categorias temáticas, foi selecionada uma subcategoria. Estas foram, respectivamente, o cuidado com o outro, a alimentação e o exercício. Entendeu-se que as freiras compreendem o autocuidado como o cuidado com o outro. Praticam majoritariamente através da alimentação e consideram ainda o exercício como algo a ser melhorado no autocuidado. Conclusão: Constatou-se que as freiras compreendem o que é autocuidado em sua essência e o realizam. Contudo, dão prioridade ao cuidado do outro como forma de cuidado mútuo, que repercute no autocuidado.


RESUMEN Objetivo: Entender la percepción del autocuidado de las monjas de vida contemplativa que residen en un monasterio de la Orden de las Carmelitas Descalzas. Método: Se trata de un estudio descriptivo y exploratorio con un abordaje cualitativo, realizado en un monasterio de la Orden de las Carmelitas Descalzas en el estado de Minas Gerais. La recopilación de datos de las monjas se llevó a cabo en enero del año 2018 mediante un cuestionario sobre su perfil sociodemográfico y un guión semiestructurado para la entrevista. Las entrevistas se transcribieron y revisaron y se sometieron a un análisis de contenido. Resultados: Participaron 20 monjas. Surgieron tres categorías: comprensión del autocuidado, cómo practica el autocuidado y qué pueden hacer para mejorar su autocuidado. De cada una de las tres categorías temáticas, se seleccionó una subcategoría. Estas fueron respectivamente el cuidado del otro, la comida y el ejercicio. Se entendió que las monjas comprenden el autocuidado como el cuidado del otro. Practican el autocuidado principalmente a través de la alimentación y consideran el ejercicio como algo que pueden mejorar en el cuidado de sí mismas. Conclusión: Se constató que las monjas entienden lo que es el autocuidado y lo hacen. Sin embargo, dan prioridad al cuidado del otro como una forma de cuidado mutuo, que tiene un impacto en el autocuidado.


ABSTRACT Objective: To understand the perception of self-care by contemplative nuns residing in a Discalced Carmelite Monastery. Method: Descriptive, exploratory study, with a qualitative approach, conducted in a Discalced Carmelite Monastery in Minas Gerais state. Data collection from nuns was performed in January 2018 through a questionnaire on their sociodemographic profile and a semi-structured interview script. The interviews were transcribed, reviewed, and submitted to content analysis. Results: Twenty nuns took part in this study. Three categories emerged: self-care comprehension, how self-care is practiced and what should be done to improve self-care. One subcategory was selected from each thematic category. Subcategories were, respectively, care of others, nutrition, and exercise. Nuns were seen to understand self-care as care of others, practicing it mostly through nutrition while considering exercise a point to be improved. Conclusion: Nuns were found to understand what self-care is in its essence and to perform it. However, their priority is to provide care of others as a form of mutual care, which impacts on self-care.


Assuntos
Autocuidado , Teoria de Enfermagem , Freiras , Pesquisa Qualitativa
13.
Artigo em Inglês | MEDLINE | ID: mdl-31438506

RESUMO

Research in work and organizational psychology has paid little attention to religious workers, something certainly surprising as faith-based organizations play a key role in the welfare state of many countries. This research shows that religious workers in a Catholic order present a high degree of subjective wellbeing, both in terms of flourishing and satisfaction with life in general, and a positive balance of positive and negative feelings. More specifically, this study examines the relationship between authenticity and wellbeing amongst religious workers. Survey responses from 142 religious workers in Spain were analyzed using partial least squares path modelling. The results reveal that subjective wellbeing at work is positively related to authenticity. In addition, this relationship is mediated by their level of work engagement.


Assuntos
Freiras/psicologia , Local de Trabalho/psicologia , Emoções , Feminino , Humanos , Saúde Mental , Satisfação Pessoal , Espanha , Inquéritos e Questionários , Engajamento no Trabalho
14.
J Alzheimers Dis ; 71(1): 201-212, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31322560

RESUMO

BACKGROUND: Multilingualism is associated with enhanced executive function and may thus prevent cognitive decline and reduce the risk of dementia. OBJECTIVE: To determine whether multilingualism is associated with delayed onset or reduced risk of dementia. METHODS: Dementia was diagnosed in the Nun Study, a longitudinal study of religious sisters aged 75+ years. Multilingualism was self-reported. Dementia likelihood was determined in 325 participants using discrete-time survival analysis; sensitivity analyses (n = 106) incorporated additional linguistic measures (idea density and grammatical complexity). RESULTS: Multilingualism did not delay the onset of dementia. However, participants speaking four or more languages (but not two or three) were significantly less likely to develop dementia than monolinguals (OR = 0.13; 95% CI = 0.01, 0.65, adjusted for age, apolipoprotein E, and transition period). This significant protective effect of speaking four or more languages weakened (OR = 0.53; 95% CI = 0.06, 4.91) in the presence of idea density in models adjusted for education and apolipoprotein E. CONCLUSION: Linguistic ability broadly was a significant predictor of dementia, although it was written linguistic ability (specifically idea density) rather than multilingualism that was the strongest predictor. The impact of language on dementia may extend beyond number of languages spoken to encompass other indicators of linguistic ability. Further research to identify the characteristics of multilingualism most salient for risk of dementia could clarify the value, target audience, and design of interventions to promote multilingualism and other linguistic training as a strategy to reduce the risk of dementia and its individual and societal impacts.


Assuntos
Demência/etiologia , Multilinguismo , Freiras/psicologia , Idoso , Idoso de 80 Anos ou mais , Demência/epidemiologia , Feminino , Humanos , Estudos Longitudinais , Freiras/estatística & dados numéricos , Fatores de Risco
15.
Sci Adv ; 5(1): eaau7126, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30662947

RESUMO

During the European Middle Ages, the opening of long-distance Asian trade routes introduced exotic goods, including ultramarine, a brilliant blue pigment produced from lapis lazuli stone mined only in Afghanistan. Rare and as expensive as gold, this pigment transformed the European color palette, but little is known about its early trade or use. Here, we report the discovery of lapis lazuli pigment preserved in the dental calculus of a religious woman in Germany radiocarbon-dated to the 11th or early 12th century. The early use of this pigment by a religious woman challenges widespread assumptions about its limited availability in medieval Europe and the gendered production of illuminated texts.


Assuntos
Silicatos de Alumínio/história , Cálculos Dentários/história , Literatura Medieval/história , Freiras/história , Datação Radiométrica , Restos Mortais , Cor , Feminino , Alemanha , História Medieval , Humanos , Microscopia Eletrônica de Varredura , Pessoa de Meia-Idade , Pinturas , Espectrometria por Raios X , Análise Espectral Raman
16.
J Pers ; 87(2): 181-193, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-29524338

RESUMO

OBJECTIVE: Work on longevity has found protective social, cognitive, and emotional factors, but to date we have little understanding of the impact of motivational dynamics. Autonomy orientation, or stable patterns of self-regulation, is theorized to be a protective factor for long-term mental and physical health (Ryan & Deci, 2017), and it is therefore a prime candidate for examining how stable psychosocial factors are linked to longevity, or life expectancy. METHOD: Essays written in the 1930s by participants in the Nun Study were coded for indicators of an autonomy orientation. These were selected in line with an extensive theoretical literature based in self-determination theory (Deci & Ryan, 1985). Essays were coded for the propensity for choice in action, susceptibility to pressure, self-reflection, integration of experiences, and parental support for autonomy. These coded variables were used to predict age of death. RESULTS: Using 176 codable essays provided by now-deceased participants, linear regression analyses revealed that choiceful behavior, self-reflection, and parent autonomy support predicted age of death. Participants who demonstrated these stable and beneficial motivational characteristics lived longer. CONCLUSIONS: Personality constructs reflecting a healthy form of self-regulation are associated with long-term health. Implications for health interventions are discussed.


Assuntos
Longevidade/fisiologia , Motivação/fisiologia , Autonomia Pessoal , Personalidade/fisiologia , Autocontrole , Feminino , Humanos , Estudos Longitudinais , Pessoa de Meia-Idade , Freiras , Teoria Psicológica
18.
Ir J Med Sci ; 188(3): 1005-1012, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30467806

RESUMO

BACKGROUND: Analysing dietary patterns (DP) evaluates overall dietary intake, taking account of its complexity, quality, variance and the interaction between different foods, providing an alternative approach for the evaluation of nutritional influences on age-related macular degeneration (AMD) risk. AIMS: To evaluate the relationship between DP and AMD in an older female population. METHODS: Data was analysed from the cross-sectional Irish Nun Eye Study involving 1233 older women with a restricted lifestyle (mean age 76.3 years [range, 56-100 years). The Wisconsin Age-related Maculopathy Grading System was used to classify digital colour macular fundus images and dietary intake was assessed using a food frequency questionnaire (n = 1033). A posteriori DP were derived using principal component analysis. Logistic regression models examined associations between DP and AMD risk with adjustment for confounders. RESULTS: Two DP were identified: a 'healthy' pattern characterised by a high intake of oily fish, wholegrains, vegetables and fruit; and an 'unhealthy' pattern characterised by high-fat dairy products, sugar, sweets and chips. Of the participants included within the analysis, AMD status were categorised as controls (n = 818, 86.9%), early AMD (n = 83, 8.8%) and late AMD (n = 21, 2.2%). Regression analysis failed to identify any significant associations between healthy or unhealthy DP and AMD risk, in unadjusted and adjusted models. CONCLUSION: No evidence of an association between the DP identified and AMD risk was detected in this well-characterised population. Further research is required to determine the overall dietary influences on AMD risk in general population cohorts.


Assuntos
Dieta/efeitos adversos , Degeneração Macular/etiologia , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Irlanda , Degeneração Macular/patologia , Masculino , Pessoa de Meia-Idade , Freiras , Fatores de Risco
19.
Rio de Janeiro; s.n; 2019. 76 p.
Tese em Português | LILACS, BDENF - Enfermagem | ID: biblio-1087929

RESUMO

Objetivos: O objetivo deste estudo foi investigar a percepção e o enfrentamento do processo de envelhecimento pela mulher religiosa consagrada, descrevendo compreensivamente a percepção que essas mulheres possuem sobre o processo de envelhecimento. A partir desta compreensão foi realizada uma análise dos depoimentos à luz da teoria da enfermagem humanística e por fim, foram apontadas estratégias de enfrentamento para garantir um cuidado humanístico. Método: Trata-se de um estudo qualitativo, utilizando o método de análise de conteúdo de entrevistas. Resultados: a análise deu origem a três categorias. A primeira categoria é "envelhecimento" e se desdobra em três subcategorias: a percepção do envelhecimento; a negação do processo de envelhecimento e o enfrentamento do processo de envelhecimento. A segunda categoria é "vida religiosa" e possui duas subcategorias: missão/ser religiosa e oração: a conexão com Deus. A terceira categoria é "cuidado", que se divide nas subcategorias: a realidade do cuidado e; como deveria ser o cuidado realizado. A Teoria do Cuidado Humanístico aplicada aos resultados mostrou como a enfermeira precisa se preparar e como se aproximar para cuidar desta mulher. Desta forma, após sintetizar tudo o que sentiu, percebeu e avaliou, a enfermeira pode agir de forma humanística. Para isso é preciso estabelecer objetivos terapêuticos em enfermagem a partir de um cuidado sistematizado para que a mulher religiosa possa alcançar o equilíbrio e a harmonia em todas as dimensões. Por fim, foi possível delinear uma proposta de ações de cuidado humanístico. Conclusões: As mulheres religiosas consagradas necessitam de um espaço de cuidado que as acolha no sentido humanístico e não apenas as cuidem no sentido biomédico. Particularmente os profissionais que as atendem precisam respeitar a história de vida de cada mulher e avaliar a possibilidade de continuidade de sua missão, adaptando sua vida de serviço à suas possibilidades funcionais e cognitivas.


Objectives: The aim of this study was to investigate the perception and confrontation of the aging process of consecrated religious women, comprehensively describing the perception that these women have about the aging process. From this understanding, an analysis of the statements was performed in the light of humanistic nursing theory, and finally, coping strategies were pointed out to ensure humanistic care. Method: This is a qualitative study, using the method of analysis of the contents of interviews. Results: the analysis gave rise to three categories. The first category is "aging" and unfolds into three subcategories: the perception of aging; denial of the aging process and coping with the aging process. The second category is "religious life" and has two subcategories: mission/religious being and prayer: the connection with God. The third category is "the care", which is divided into the subcategories: ... the reality of care and as should be the care performed. The Theory of Humanistic Care applied to the results showed how the nurse needs to be prepared and how to approach to take care of the religious woman. Thus, after synthesizing everything how she felt, perceived and evaluated, the nurse can act humanistically. For this, it is necessary to establish therapeutic goals in nursing from a systematized care so that religious women can achieve balance and harmony in all dimensions. Finally, it was possible to outline a proposal for humanistic care actions. Conclusions: Consecrated religious women need a space of care that welcomes them in the humanistic sense and not only taking care of them in the biomedical sense. Particularly the professionals who serve them need to respect each woman's life history and evaluate the possibility of continuing their mission, adapting their life to their functional and cognitive possibilities.


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Percepção , Envelhecimento , Freiras , Cuidados de Enfermagem , Filosofias Religiosas , Brasil , Pesquisa Metodológica em Enfermagem , Catolicismo , Saúde da Mulher , Pesquisa Qualitativa , Enfermagem Geriátrica
20.
Fertil Steril ; 110(6): 1145-1153, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30396559

RESUMO

OBJECTIVE: To study the associations between dietary factors and circulating antimüllerian hormone (AMH) concentrations among late premenopausal women. DESIGN: AMH concentrations were measured in serum samples collected at enrollment from 296 women (aged 35-45 years) in the Sister Study cohort. Usual dietary intakes in the past 12 months were assessed using a validated food frequency questionnaire. Dietary exposures of interest included macronutrients, dietary fat subtypes, fiber, and glycemic index. Multivariable linear regression was used to evaluate associations between dietary variables and serum AMH concentrations. We also used nutrient density models to examine isocaloric replacement of macronutrients. SETTING: Not applicable. PATIENTS: Women aged 35-45 years. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Serum AMH concentrations in nanograms per milliliter (ng/mL). RESULTS: AMH concentrations were positively associated with percentage of energy from carbohydrates (ß per 5% calories = 0.141 [95% CI 0.023, 0.259]; P trend = .019), and inversely associated with percentage of energy from fat (ß per 5% calories = -0.152 [95% CI -0.299, -0.004]; P trend = .044). In analyses of dietary fat subtypes, AMH decreased with increasing monounsaturated fatty acids (P trend = .082) and polyunsaturated fatty acids (P trend = .043), particularly ω-6 fatty acids (P trend = .044), whereas no strong trend was observed for saturated fatty acids. Protein and alcohol intake were not strongly associated with AMH. CONCLUSIONS: Our cross-sectional analyses in a sample of late premenopausal women suggest that dietary fat intake may be inversely associated with circulating AMH concentrations. Further research in prospective studies is warranted to evaluate dietary factors as potential modifiers of ovarian reserve.


Assuntos
Hormônio Antimülleriano/sangue , Gorduras na Dieta/administração & dosagem , Gorduras na Dieta/sangue , Comportamento Alimentar/fisiologia , Freiras , Pré-Menopausa/sangue , Adulto , Biomarcadores/sangue , Estudos de Casos e Controles , Estudos de Coortes , Estudos Transversais , Ingestão de Energia/fisiologia , Feminino , Humanos , Pessoa de Meia-Idade
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