Browsing by Author "Reis, Francisco Prado"
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Item Climacteric Women’s Life Quality with Urinary Incontinence in Aracaju City.(2016) Gonzaga, Pollyanna Dórea; Aragão, osé Aderval; Feitosa, Vera Lúcia Correa; Reis, Francisco PradoIntroduction: Climacteric is the biological cycle period in women characterized by loss of ovarian follicular activity, causing innumerous emotional, physical and endocrinal changes. In this period, which starts at the age of 40 and finishes at 60, some women undergo profound existential experience in their interpersonal relations, in their conjugal, professional, spiritual, social and cultural life. Objective: Assess the impact of urinary incontinence in women's quality of life into climacteric period, registered at health units in the city of Aracaju, Sergipe/ Brazil. Materials and Methods: A retrospective observational study was conducted on 476 women from 41 health care units in the national family health strategy program. A specific questionnaire, King’s Health Questionnaire (KHQ), validated in Brazil by Tamamani et al. (2006), was used to collect data. The data collected was divided into categories. Frequency distribution and cross tabulation, with determination of confidence intervals for each frequency, were applied. The descriptive analysis was carried out through the measure of dispersion and measures of central tendency by the software Microsoft Excel 2007. Data were described by simple and proportions. Results: 476 climacteric women were interviewed, aged 40 to 59 years old. Among those, 32% reported complaint of urinary incontinence, at least once a week, for at least three months in the last year. The most affected domains of KHQ were: Impact of urinary incontinence, followed by general perception of health and measurements of gravity with average above 50%. The sample was calculated from the formula proposed by Barbeta (2001). Conclusions: Although other domains had average below 50, the influence of urinary incontinence in the life quality of climacteric women in Aracaju/SE was not discarded, as the presented data pointed that most women interviewed showed at least minor discomfort in the everyday activities, physical and social limitations, compromising personal relations like relationship with their partners and sexual life, emotions, sleep, disposition and measurements of gravity.Item Prevalence and Factors Associated at Presence of Central Nervous System Congenital Malformations.(2015) Porto, Roseane; Reis, Francisco Prado; Oliveira, Cristiane Costa da Cunha; Melo, Enaldo Vieira de; Aragão, José AdervalIntroduction: Congenital malformations are currently an important cause of morbidity and mortality in many countries, though in most cases their etiology is unknown. The central nervous system (CNS) is involved in many of these defects. Objective: To study the factors associated with CNS congenital malformations and their prevalence in infants born at a high risk maternity hospital in Northeastern Brazil. Materials and Methods: A case-control study performed from January 2010 to December 2011, with data from The Latin American Collaborative Study of Congenital Malformations. Results: Among the 8.405 registered births, 187 were malformed newborns (2.2%). Nervous system malformations were diagnosed in 61 patients (32.6% (CI = 95% 27.5 to 38.0)), the most frequent being neural tube defects and congenital hydrocephaly. Previous history of miscarriage and/or stillbirth (p = 0.008), family history of malformations (p < 0.001) and parental consanguinity (p = 0.028) are associated with CNS malformation. Environmental factors such as maternal chronic diseases, smoking, exposure to teratogenic drugs and alcohol presented no statistically significant differences. Conclusions: The genetic component was an important contributing factor to the etiology of the malformations studied.