Mestrado em Ciências da Saúde (FM)
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Navegando Mestrado em Ciências da Saúde (FM) por Por Orientador "AMARAL, Waldemar Naves do"
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Item Avaliação da inicialização da marcha na gestante de baixo risco nos três trimestres gestacionais(Universidade Federal de Goiás, 2012-02-17) ANDRADE, Sara Rosa de Sousa; VIEIRA, Marcus Fraga; http://lattes.cnpq.br/4153462617460766; AMARAL, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579Introduction: The pregnant woman's body promotes many changes, including their biomechanics. The hormonal action which increases the laxity causes structural changes in the static and dynamic skeleton. Other factors, such as weight gain, growth of the uterus and the breasts, will help changing the gravitational forces of the pregnant woman and cause large static and dynamic postural adjustments in pregnant women. The startup of gait position is the transition from quasi-static to the first step. It is a task that challenges the postural control, because the demands on the neuromuscular system are increased at the beginning of the march, since it is required a complex integration of neural mechanisms, muscle activity and biomechanical forces. Objective: describe the oscillation amplitude and mean velocity of center of pressure during startup of gait, to compare the behavior of the center of pressure between the three groups at different gestational periods, verify that the changes in the behavior of the center of pressure along the pregnancy is at risk dynamic stability for pregnant women. Methods: A total of oscillation amplitude and velocity of displacement of center of pressure during startup of gait in 57 low-risk pregnancies in three trimesters. Results: Significant differences were found when comparing the groups 1º trimester and 3º trimester for the variable amplitude of oscillation mediolateral and mediolateral displacement speed. Discussion: Pregnant women tend to decrease the amplitude of oscillation mediolateral and mediolateral displacement speed during gestation. Conclusions: The amplitude of oscillation anteroposterior and mediolateral displacement speeds and respective of the first quarter from the third there was, on average, a gradual decrease to a platform and to the platform 2. There were significant differences in the oscillation amplitude variables mediolateral and mediolateral displacement speed when comparing the groups 1° trimester and 3° trimester, being higher in 1º trimester for both variables. The variables analyzed showed minor differences and do not constitute an imminent risk to the dynamic stability of the pregnant woman.Item Efeito da aplicação de cinesioterapia e eletroestimulação no trabalho de parto(Universidade Federal de Goiás, 2010-02-21) CANESIN, Kariny Fleury; AMARAL, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579Aiming to evaluate the techniques described in the literature to decrease the time of labor birth and the application of techniques of exercise, massage and transcutaneous electrical nerve stimulation on the active phase of labor and intensity of pain in primiparas. The habit of women to keep moving during labor in an upright position (standing, sitting and / or walking) was a practice more common in some cultures. Historically, the postures and the vertical position change and ambulation have been reported to evolve as efficient dilation, relieve pain during contraction and facilitate the descent of the fetus through the birth canal. We conducted a randomized clinical trial, prospective which was attended by 60 women at the beginning of the active phase with 5 cm of cervical dilation, a public hospital in Goiania in the period July 2009 to July 2010. The women were divided into three groups: control (n = 20), exercise (n =20) and electrical stimulation (n = 20), and monitored during the active phase of labor. During this period, data were collected: Template for recording data (age, weight, height and maternal BMI, race, education), visual analog scale pain, and partograph (gestational age, duration of labor, weight and height of the newborn). In the study, comparing the group of exercise with electrical stimulation and control groups there was a significant difference in the time of labor (p = 0.003). However, in relation to pain intensity difference was not statistically significant (p> 0.05). It is concluded according to the literature there is no way to define a specific technique to encourage labor birth and techniques of exercise, electrical stimulation used in the active phase of labor, the motherspromote progression of labor, but not interfere in its intensity pain.Item Efeito da idade da mulher na dosagem sérica do FSH basal e na contagem dos folículos antrais Ovarianos(Universidade Federal de Goiás, 2011-12-06) CASTRO, Eduardo Camelo de; AMARAL, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579OBJECTIVES: To establish the correlation between the curves of the AFC and serum basal FSH as well as to construct a nomogram correlating age with different values of antral follicles counts percentiles in infertile patients. METHODS: A cross-sectional study of patients treated at Fêmina Reprodução Humana was made from March 2010 to October 2011. The patients were submitted to transvaginal ultrasonography and basal FSH dosage from days 2 to 4 of their menstrual period. The patients included were the ones who were 21 to 45 years old, with regular menses, two healthy ovaries, without any evidence of endocrinopathies and that signed the consent. Patients excluded: smokers, with galactosemia or ovarian cysts, with antecedents of hepatopathies, ovarian surgeries or treated with chemotherapy or radiotherapy. Pearson s correlations coefficient was used to analyze the parametric data and Spearman`s test to the non parametric data. To evaluate the evolution of the AFC in relation to age of patients the percentiles 5th, 25th, 50th, 75th and 95th were used. A linear regression was made to understand the effect of age on the AFC. RESULTS: One hundred and seventy-two patients were included in the trial with a mean age of 32.7 years old. There was a weak correlation between the dose of basal FSH and the AFC (r = - 0,269). The age-related normogram for the 5rd, 25th, 50th, 75th and 95th percentile of antral follicle count revealed that changes were best fitted by a linear function. The percentiles that showed the highest correlations were 25 (r = - 0,960; p < 0,001), 50 (r = - 0,948; p < 0,001) and 75 (r = - 0,917; p < 0,001). All were statistically significant. CONCLUSIONS: The correlation between serum levels of FSH and AFC was negative and weak. A nomogram was constructed correlating age with different values of the percentiles of the antral follicle count in infertile women without endocrinopathies. There was a linear, strong and negative correlation in all percentiles.Item Investigação microbiológica e análise qualitativa de achados bacteriológicos e micológicos em placas de cultivo de embriões em laboratório de reprodução humana(Universidade Federal de Goiás, 2010-08-25) RIBEIRO, Barbara Rosa Foizer; AMARAL, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579Introduction: Laboratories in Human Reproduction, quality control is crucial to the success of procedures. The correct implementation of procedures directly influence the results, especially because the vagina, the follicular fluid and semen can not be sterilized. A high degree of hygiene, cleanliness and disposal of the material must be observed to avoid contamination in the culture media and equipment. The main causes of this contamination has been associated with infection in male and female genital tract and subsequent contamination of oocytes and embryos of patients. Can also come from contamination of air, machinery and materials such as culture dishes. Objectives: of this study were the presence of market info bacteriological contamination and mycological culture dishes of human embryos and to identify the genus level. Methodology: 125 samples were collected from culture dishes human embryos after transfer to the uterus, in three laboratories of human reproduction in the city of Goiania-GO, in the period 2009 to first half of 2010. The culture media were inoculated in BHI broth and incubated in the greenhouse. Samples that clouded (positivist) were isolated and identified. Results: showed a prevalence of 4.8% of contamination and micro-organisms found were Escherichia coli (50%), Klebsiella sp (16.6%), Pseudomonas sp (16.6%), yeast (16.6%). The E. coli bacteria were of the highest incidence was found in three samples. Although the culture media provide the antibiotics penicillin G (IVF) or gentamicin (HTF), resistant Gram-negative rods were found. Conclusion: Results with a prevalence of 4.8% of contamination, and the microorganisms isolated and their amount per sample: Escherichia coli (3), Klebsiella sp (1), Pseudomonas sp (1), yeast (1).