Da invisibilidade à visibilidade do sujeito vivendo com a infecção/doença do vírus linfotrópico de células T humanas do tipo 1 (HTLV-1) e o lugar das decisões reprodutivas nas tramas do saber e do cuidar

Zihlmann, Karina Franco

doi:10.11606/t.6.2009.tde-02092009-142639

Cited by 6 publications

(13 citation statements)

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“…According to Zihlmann 97 , the reproductive decisions of couples are complex, and no simple guidelines are available to reduce the transmission risks for serodiscordant couples. The study by Zihlmann highlighted the recommendations from the Guia de Manejo Clínico do HTLV do Ministério da Saúde of Brazil and the recommendations by the Centers for Disease Control and Prevention in the United States.…”

Section: A Decrease In Htlv-1 Viral Shedding and A Reduction In Spreamentioning

confidence: 99%

Sexual transmission of human T-cell lymphotropic virus type 1

Paiva

Casseb

2014

Rev. Soc. Bras. Med. Trop.

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Human T-cell lymphotropic virus type 1 (HTLV-1) is endemic in many parts of the world and is primarily transmitted through sexual intercourse or from mother to child. Sexual transmission occurs more effi ciently from men to women than women to men and might be enhanced by sexually transmitted diseases that cause ulcers and result in mucosal ruptures, such as syphilis, herpes simplex type 2 (HSV-2), and chancroid. Other sexually transmitted diseases might result in the recruitment of infl ammatory cells and could increase the risk of HTLV-1 acquisition and transmission. Additionally, factors that are associated with higher transmission risks include the presence of antibodies against the viral oncoprotein Tax (anti-Tax), a higher proviral load in peripheral blood lymphocytes, and increased cervicovaginal or seminal secretions. Seminal fl uid has been reported to increase HTLV replication and transmission, whereas male circumcision and neutralizing antibodies might have a protective effect. Recently, free virions were discovered in plasma, which reveals a possible new mode of HTLV replication. It is unclear how this discovery might affect the routes of HTLV transmission, particularly sexual transmission, because HTLV transmission rates are signifi cantly higher from men to women than women to men.

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Section: A Decrease In Htlv-1 Viral Shedding and A Reduction In Spreamentioning

confidence: 99%

Sexual transmission of human T-cell lymphotropic virus type 1

Paiva

Casseb

2014

Rev. Soc. Bras. Med. Trop.

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“…In Maria's report, the appropriate welcoming at the maternity hospital and the preparation of the health team are observed. (16) Her statement illustrates the relief for having been allocated to a separate room as, for her and her husband, besides having to cope with the need to inhibit the breastfeeding, the most difficult was to cope with the questioning look of other people and give explanations. She felt relieved for not having to watch other women breastfeed.…”

Section: Resultsmentioning

confidence: 99%

“…(16) In this qualitative study, (23) participant observation and in-depth interviews, by means of a pretested thematic script, (24) using Bardin's thematic content analysis, (25) were applied to 13 people -11 women and two men -over 18 years of age, diagnosed with HTLV-1 and without co-infections, between June/2006 and April/2008, at a private room in a specialized center in São Paulo, where the researcher, a psychologist, worked, so that she was familiar with and had access to the users. The subjects were selected by convenience during the participant observation.…”

Section: Methodsmentioning

confidence: 99%

“…These issues are challenges the public policies should face with caution, as reported in Zihlmann. (16) Therefore, to cope with the vertical transmission prevention of this virus (through the interruption of breastfeeding), we need to reflect on the place of breastfeeding in our society and the possible effects of interrupting breastfeeding for the stakeholders.…”

Section: Introductionmentioning

confidence: 99%

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Sentidos da interrupção da amamentação devido infeção pelo vírus linfotrópico de células T humanas do tipo 1( HTLV-1)

2017

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Objective: Understand the meanings of breastfeeding inhibition to prevent vertical transmission among women living with HTLV-1 (WLHTLV). Methods: A qualitative research with participant observation and in-depth interviews was undertaken, using a pretested thematic script, analyzed by means of Bardin's thematic content analysis. The participants were 13 people -11 women and two men -over 18 years of age, diagnosed with HTLV-1 and without co-infections. The study was undertaken at a private room in a specialized center in São Paulo between June/2006 and April/2008, where the researcher worked, so that she was familiar with and had access to the users. The subjects were selected by convenience, during the participant observation. The subjects' reports were recorded, transcribed and analyzed in search of senses and meanings to elaborate the categories. Excerpts were presented, identified by fictitious names. Results: Breastfeeding inhibition is a complex decision that is even more difficult in a context in which the health team does not know this infection. Conclusion: The lack of knowledge on HTLV-1 in the hospital context is a risk for the vertical transmission of this virus and entails significant emotional consequences. The health team needs information and education for comprehensive care and welcoming of WLHTLV's specific needs. ResumoObjetivo: Compreender os sentidos da inibição da amamentação como prevenção da transmissão vertical entre mulheres vivendo com HTLV-1 (MVHTLV). Métodos: Trata-se de pesquisa qualitativa com observação participante e entrevistas em profundidade, por meio de roteiro temático, pela análise de conteúdo temática de Bardin, pré-testado e realizados com 13 pessoas -11 mulheres e dois homens -maiores de 18 anos, diagnosticados com HTLV-1 e sem coinfecções, entre Junho/2006 a Abril/2008, em sala reservada de centro especializado em São Paulo, onde atuava a pesquisadora, psicóloga, com familiaridade e acesso aos usuários. A seleção dos sujeitos ocorreu por conveniência durante a observação participante. Os relatos dos sujeitos foram gravados, transcritos e analisados na busca dos sentidos e significados para elaboração das categorias e, foram apresentados trechos destes, identificados por nomes fictícios. Resultados: A inibição da amamentação é uma decisão complexa dificultada em um contexto de desconhecimento dessa infecção pela equipe de saúde. Conclusão: O desconhecimento do HTLV-1 no contexto hospitalar se torna um risco para a transmissão vertical desse vírus, além de consequências emocionais significativas. Indica-se a necessidade de informação e formação da equipe de saúde para um cuidado integral e o acolhimento das necessidades específicas de MVHTLV.

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“…Os dados serão divididos em três núcleos estruturadores, os quais contêm categorias gerais e específicas (Zihlmann, 2009 Não há menção referente ao trabalho em UBS.…”

Section: Ainda De Acordo Com Fontanella Et Al(2006)unclassified

Psicologia e unidades básicas de saúde: contextualização das práticas na atenção básica

Daneluci¹

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Da invisibilidade à visibilidade do sujeito vivendo com a infecção/doença do vírus linfotrópico de células T humanas do tipo 1 (HTLV-1) e o lugar das decisões reprodutivas nas tramas do saber e do cuidar

Cited by 6 publications

References 0 publications

Sexual transmission of human T-cell lymphotropic virus type 1

Sexual transmission of human T-cell lymphotropic virus type 1

Sentidos da interrupção da amamentação devido infeção pelo vírus linfotrópico de células T humanas do tipo 1( HTLV-1)

Psicologia e unidades básicas de saúde: contextualização das práticas na atenção básica

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