RESUMO.Este estudo objetivou identificar os sentimentos revelados por um grupo de gestantes em dois momentos -ao descobrir a gravidez e no instante atual da gestação -, bem como identificar dificuldades ao longo deste processo. Participaram nove gestantes com idade entre 20 e 40 anos, as quais em sua maior parte eram primíparas e conviviam com o companheiro. Depois de formado, o grupo foi levado a participar de três encontros: no primeiro se apresentou a proposta da pesquisa e as gestantes falaram dos sentimentos que as envolviam na atual gestação; o segundo encontro foi conduzido com base nos aspectos negativos relacionados à gestação identificados no primeiro encontro, encorajando as gestantes a falarem deste aspecto; e o terceiro encontro foi de encerramento do grupo e se sua avaliação pelas gestantes. Os resultados revelaram que o sentimento inicial era o de que as mulheres não desejavam a gravidez, por diversas razões, desencadeando sentimentos de tristeza, medo, culpa e ansiedade; mas estes sentimentos negativos se transformaram em sentimentos de alegria e satisfação, principalmente pelo resultado do exame de ultrassonografia e pela aceitação da gravidez pelo companheiro. Conclui-se que a formação do grupo das gestantes ofereceu acolhimento, interação das participantes e expressão significativa de suas emoções e foi uma oportunidade para revelar sentimentos e limitações/dificuldades, tanto individuais quanto coletivas. Palavras-chave:Emoções; maternidade; enfermagem. FEELINGS ARISING OUT OF MOTHERHOOD: REVELATIONS OF A GROUP OF PREGNANT WOMENABSTRACT. The goal of this study was to identify feelings revealed by a group of pregnant women in two moments: at the time of discovering and in the present moment of pregnancy, as well as identifying difficulties throughout this process. Participated nine pregnant women by the age between 20 and 40 years, most of primiparous and living with spouse. After the group was formed, it was conducted in three different times: at the first meeting, the proposal of the research was showed and the pregnant women talked about the feelings that involved the current pregnancy; the second meeting was conducted based on the negative aspects related to pregnancy, identified at first, and mothers were encouraged to verbalize about this point; at the third time, the group was closed and it was evaluated by the pregnant women. The results revealed that the initial feeling of pregnant women was non-acceptance of pregnancy for several reasons, causing feelings of sadness, fear, guilt and anxiety. However, there was a transition to these negative feelings to joy and satisfaction, mainly due to ultrasound and acceptance of pregnancy by their partners. We conclude that the group of pregnant women offered reception and interaction between participants and stimulated significant expression of their emotions, being an opportunity to reveal feelings and limitations/difficulties, both individual and collective.
Resumo Introdução O ambiente do trabalho em saúde compreende espaço físico, tecnologias, equipamentos, materiais, condições de trabalho, seres humanos e relacionamentos interpessoais. Objetivo Conhecer a percepção de profissionais da saúde sobre o ambiente de trabalho da sala de parto e sua interface com a humanização da assistência. Métodos Pesquisa exploratório-descritiva, qualitativa, realizada em uma maternidade pública de Fortaleza, no Ceará, em novembro e dezembro de 2012. Os dados foram coletados por meio de entrevista semiestruturada e analisados segundo a técnica de análise de conteúdo de Bardin. Resultados A categoria “Condições de trabalho na sala de parto” revelou as condições favoráveis (integração da equipe, competência dos profissionais e filosofia da instituição) e inadequadas de trabalho (estrutura física deficiente, falta de materiais e manutenção de equipamentos). Conclusão Necessita-se de reorganização do serviço para melhorar as condições de trabalho, a qualidade da assistência à parturiente e o bem-estar dos trabalhadores.
Peppermint oil exhibited antispasmodic activity on rat trachea involving prostaglandins and nitric oxide synthase.
Aim:To understand the perceptions of users about the care provided to them and their newborns immediately after childbirth. Method: This is a descriptive study in which a qualitative approach was used, involving 20 postpartum women admitted to a secondary level Public Hospital of Fortaleza. Semi-structured interviews were carried out and were analyzed by means of Bardin's content analysis technique. Results: Three categories were highlighted: Care provided to newborns; care (or lack of care) provided to postpartum women; and structural failures of the maternity hospital. Discussion: Postpartum care was primarily focused on guidance on breastfeeding, without considering other demands of women, such as: the need for greater attention by the health team; more humane behavior of some health professionals; and guidance on self-care. Conclusion:Postpartum care is still limited and it requires greater attention and commitment from health professionals, as well as adjustments in the structural and organizational conditions of the maternity hospital so that it may provide decent and humane care.Descriptors: Postpartum Period; Rooming-in Care; Delivery of Health care. 228Rodrigues DP, Dodou HD, Lago PN, Mesquita NS, Melo LPT, Souza AAS. Care for both mother and child immediately after childbirth: a descriptive study. Online braz j nurs [internet] 2014 Jun [cited month day year]; 13 (2): 227-38. Available from:
Objective: to evaluate national and international literature regarding the use of educational technologies to encourage self care in postpartum women. Method: an integrative review of the literature. The articles were collected from the CINAHL, SCOPUS, PubMed, SciELO, LILACS and Cochrane databases; the time period for the articles referred to January/2004 to July/2014; the languages used in the articles were Portuguese, English, Spanish and French; the articles were selected from the following descriptors: postpartum care period, educational technology, nursing and self care. Twenty-seven articles were selected for analysis Results: based on the information found, the scales, counseling and home visits were among the most recommended educational technologies. Conclusion: the technologies promote communication, but are sometimes dependent on computer and internet access, which hinder their use by low-income women. Descriptors: Postpartum Period; Educational Technology; Nursing; Self Care; Review. RESUMO Objetivo: avaliar a literatura nacional e internacional sobre o uso de tecnologias educativas para promoção do autocuidado de mulheres no pós-parto. Método: trata-se de uma revisão integrativa da literatura. As produções foram coletadas nas bases CINAHL, SCOPUS, PubMed, SciELO, LILACS e Cochrane, utilizando como recorte temporal o período de janeiro/2004 a julho/2014, nos idiomas português, inglês, espanhol e francês, selecionadas a partir dos descritores: postpartum period, educational technology, nursing e self care. Ao fi nal, procedeu-se à análise de 27 artigos. Resultados: dentre as informações, observou-se que as escalas, o aconselhamento e a visita domiciliar foram as tecnologias educativas mais recomendadas. Conclusão: as tecnologias favorecem a comunicação, mas por vezes são dependentes de computador e internet, difi cultando o acesso para mulheres de baixa renda. Descritores: Período Pós-Parto; Tecnologia Educacional; Enfermagem; Autocuidado; Revisão. RESUMEN Objetivo: evaluar en la literatura nacional e internacional el uso de las tecnologías educativas para promocionar el autocuidado de mujeres en el posparto. Método: revisión integradora de literatura. Se recolectaron las producciones en las bases de datos CINAHL, SCOPUS, PubMed, SciELO, LILACS y Cochrane, en el periodo de enero de 2004 hasta julio de 2014, en los idiomas inglés, español, francés y portugués brasileño, siendo utilizadas las palabras clave: postpartum period, educational technology, nursing y self care. Se llevó a cabo el análisis de 27 artículos. Resultados: en las informaciones encontradas, se observó que las tecnologías más aconsejadas fueron las escalas, los consejos y la visita al hogar. Conclusión: las tecnologías ayudan la comunicación, sin embargo a veces dependen de computadoras y del acceso a internet, por lo que les dificultan a las mujeres de bajos recursos económicos su acceso.
The sulfated galactan of the red marine alga Gelidium crinale (SG-Gc) was purified by ion exchange chromatography and tested by intravenous (i.v.) route in rodent experimental models of inflammation and nociception. The anti-inflammatory activity of SG-Gc (0.01, 0.1 and 1 mg/kg) was evaluated in the model of rat paw edema induced by different inflammatory stimuli, while SG-Gc (0.1, 1 and 10 mg/kg) antinociceptive effect was assessed in models of nociception/hyperalgesia elicited by chemical (formalin test), thermal (hot plate), and mechanical (von Frey) stimuli in mice. In addition, the toxicity was evaluated after rat treatment with SG-Gc (1 mg/kg; i.v.) during 10 days, followed by analysis of the wet weight of animal's body/organs and hematological/biochemical parameters. Sulfated galactan of G. crinale inhibited the time course of dextran-induced paw edema, at all doses, showing maximal effect at 1 mg/kg (42%) and that induced by carrageenan at 0.01 (18%) and 1 mg/kg (20%), but was ineffective on the edema elicited by zymosan. At the highest dose, SG-Gc also inhibited the paw edema induced by histamine (49%), compound 48/80 (32%), and phospholipase A(2) (44%). Sulfated galactan of G. crinale inhibited both neurogenic and inflammatory phases of the formalin test, at all doses, and at 10 mg/kg, the animals flinch reaction in the von Frey test in the 1st and 3rd h by 19 and 26%, respectively. Additionally, SG-Gc treatment was well tolerated by animals. In conclusion, SG-Gc presents anti-inflammatory effect involving the inhibition of histamine and arachidonic acid metabolites and also antinociceptive activity, especially the inflammatory pain with participation of the opioid system.
Legume lectins, despite high sequence homology, express diverse biological activities that vary in potency and efficacy. In studies reported here, the mannose-specific lectin from Cymbosema roseum (CRLI), which binds N-glycoproteins, shows both pro-inflammatory effects when administered by local injection and anti-inflammatory effects when by systemic injection. Protein sequencing was obtained by Tandem Mass Spectrometry and the crystal structure was solved by X-ray crystallography using a Synchrotron radiation source. Molecular replacement and refinement were performed using CCP4 and the carbohydrate binding properties were described by affinity assays and computational docking. Biological assays were performed in order to evaluate the lectin edematogenic activity. The crystal structure of CRLI was established to a 1.8Å resolution in order to determine a structural basis for these differing activities. The structure of CRLI is closely homologous to those of other legume lectins at the monomer level and assembles into tetramers as do many of its homologues. The CRLI carbohydrate binding site was predicted by docking with a specific inhibitory trisaccharide. CRLI possesses a hydrophobic pocket for the binding of α-aminobutyric acid and that pocket is occupied in this structure as are the binding sites for calcium and manganese cations characteristic of legume lectins. CRLI route-dependent effects for acute inflammation are related to its carbohydrate binding domain (due to inhibition caused by the presence of α-methyl-mannoside), and are based on comparative analysis with ConA crystal structure. This may be due to carbohydrate binding site design, which differs at Tyr12 and Glu205 position.
RESUMOObjetivo: Identificar as necessidades de autocuidado no pós-parto em grupos de puérperas e acompanhantes. Métodos: Estudo descritivo e exploratório, por meio de grupo focal. Participaram 36 mulheres, sendo 30 puérperas e seis acompanhantes. Utilizou-se uma pergunta indutora (Quais as principais necessidades de autocuidado da mulher no período pós-parto?), da qual emergiram as necessidades de autocuidado no período pós-parto, que foram agrupadas por similaridade de conteúdo: higiene, cuidado com os pontos, cuidados do cabelo e pele, nutrição, cuidado com as mamas, benefícios da amamentação para a mulher, retorno da atividade sexual, planejamento familiar, indicação e retorno da atividade física, perda de peso, uso de cinta, repouso, atividades do lar, comparecimento às consultas puerperais, saúde mental e apoio familiar. Conclusões: Possibilitou-se conhecer as reais demandas das puérperas a partir da identificação de suas necessidades de autocuidado e expectativas. Descritores: Autocuidado; Teoria de Enfermagem; Período pós-parto; Mulheres; Enfermagem. ABSTRACTObjective: To identify self-care needs postpartum from groups of postpartum women and caregivers. Methods: Descriptive and exploratory study, through a focal group. Participants were 36 women, 30 postpartum women and six companions. An inductive question was used (What are the main needs for self-care of women in the postpartum period?), from which emerged the needs of women's self-care in the postpartum, which were grouped by similarity of content: hygiene, care of the points, hair care and skin nutrition, care of the breasts, benefits of breastfeeding for women, return of sexual activity, planning family, indication and ____________________ 1 Enfermeira Obstetra. Doutora em Cuidados Clínicos em Enfermagem e Saúde. 2 Enfermeira Obstetra. Doutora em Enfermagem. 3 Enfermeira. Doutora em Cuidados Clínicos em Enfermagem e Saúde. 4 Enfermeira. Doutora em Enfermagem. 5 Enfermeira. 6 Enfermeira.
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