Vasectomia no sistema público de saúde: Características dos candidatos e variáveis associadas

Objective: This study aimed to characterize candidates undergo vasectomy in the public health system, Araçatuba- SP and to study related variables. Methods: We surveyed 300 medical patients and vasectomized contacted by telephone to assess several characteristics. The variables analyzed for the study were age, marital status, education, religion, monthly family income and per capita, number of living children, reason for seeking treatment method, contraceptive use, marital relationship quality, decision time (date of intent to perform the procedure) and not because of the procedure. Data were pooled for the analysis of results. Results: The age of the candidates ranged from 23 to 65 years (mean 36.86 years) and average 2.56 living sons. The average monthly family income was R$ 1.079,15, with average per capita income of R$ 249,07. The couple's contraception before the procedure was on account of the woman who used oral anti-conception (84%). The complication rate with the method was around 6.04%, the biggest complication was dehiscence (77.7% of cases of complications), these being mainly during the first 100 cases. Conclusion: Vasectomy is a very effective contraceptive method, with low complication rate and low cost, should be encouraged by the public health system as a means of family planning policy.

Síndrome hipertensivas gestacionais: identificação de fatores de risco e de complicações como subsídio para proposta de políticas públicas para a redução da morbimortalidade materna

Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB

Ovário-histerectomia transvaginal por total-NOTES e comparação do trans e pós-operatório com as técnicas vídeo-assistida com único portal e convencional em cadelas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Educação em direitos reprodutivos : uma análise de materiais didáticos audiovisuais

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Prevalence of and risk factors for bacterial vaginosis among women of reproductive age attending cervical screening in southeastern Brazil

To determine the prevalence of and risk factors for bacterial vaginosis. A cross-sectional study of women aged 14-54 years attending 18 primary healthcare units in Botucatu, Brazil, for cervical screening was undertaken between September 1, 2012, and January 31, 2013. Data on sociodemographics, sexual behavior, and medical history were obtained by interview. Vaginal swabs were taken to classify the vaginal flora according to the Nugent scoring system. Candida sp. hyphae and infection by Trichomonas vaginalis were also evaluated by microscopy and culture, respectively. Stepwise logistic regression analysis was performed to identify risk factors independently associated with bacterial vaginosis. Among 1519 women included in analyses, 457 (30.1%) had bacterial vaginosis. Variables independently associated with bacterial vaginosis were a single marital status (OR 1.4; 95%CI 1.1-1.8), partner infidelity (OR 1.5; 95%CI 1.2-1.9), abnormal discharge in the previous year (OR 1.5; 95%CI 1.2-2.0), and concurrent trichomoniasis (OR 4.1; 95%CI 1.5-11.5). Current use of hormonal contraception (OR 0.7; 95%CI 0.5-0.9), luteal phase of menstrual cycle (OR 0.8; 95%CI 0.6-0.9), higher income (OR 0.8; 95%CI 0.6-0.9), and vaginal candidiasis (OR 0.5; 95%CI 0.3-0.9) all had protective effects. The prevalence of bacterial vaginosis in the study population is high. The epidemiological data provide evidence of the sexual transmissibility of bacterial vaginosis.

Avaliação dos conceitos sobre posse responsável exercida pela terceira idade em instituições não governamentais de Araçatuba-SP

Pets bring expressive benefits into the life of the elderly, so it becomes necessary to emphasize some of the concepts regarding responsible ownership consisting of a set of important attitudes that accounts for the well-being of all. In this context, non-governmental institutions represent an excellent mean of communication and information. Besides, the increase of the third aged people population indicates that a survey of parameters to this respect is necessary. Being thus, the objective of this work was to analyze the aged ones´ level of knowledge regarding their responsibility for their pet. A questionnaire was applied to 134 aged people, members of non-governmental organizations in the city of Araçatuba, SP, in order to find out how they took care of their pet animals. The pets aged from 2 to 336 months, being 43,3% mixed-breed animals. Out of that, 60,9% were male dogs and among cats, 65.2% were female cats. There was a 69.4% preference for dogs and a 17.9% preference for cats, only 10.5% of the elderly had preference for birds. From the descriptive statistics analysis it could be observed that 69.40% did not have any access to the street and that 50% did not have a veterinarian follow-up. Regarding vaccination it could be observed that 71.64% had received the rabies vaccine and 70.9% had received the combination vaccine. Also, 74.63% did not know the right moment to give medicines against animal worms. Another important fact was that 85.07% of the animals were not castrated and 84.91% were not under any preventive contraception method. In regard to food 50.75% of the animals were fed strictly with animal food, 12.69% with domestic food and 36.57% with both. Finally, 78.36% of the pets had never been ill. In this way, we can assure the importance of making responsible pet ownership measures well-known among third-aged people.

Percepção de adolescentes em relação a doenças sexualmente transmissíveis e métodos contraceptivos

Introduction: sexually transmitted diseases (DST) can represent an important impact on teenager’s health due its consequences. Objective: to identify the perception and knowledge of teenagers about DST, its transmission forms and contraception. Methods: it was made a cross-sectional study type investigation, with 136 teenager students from a Technical Education Public Institution in a middle-sized city. It was used a tested instrument, self answered, with opened and closed questions about theme and sociodemographic data. The same data were stored and analyzed by Program Epi Info version 3.5.1. Results: 97,1% affirmed to know male condoms, 89,0% oral contraceptives, 87,5% female condoms, 74,3% postcoital contraceptives, 47,8% natural family planning methods, 41,9% hormonal injection, 33,1% intrauterine devices, 31,6% coitus interruptus and 1,5% other contraceptive methods. According with them, the information was gave principally on high school (46,1%), by friends or partners (20,3%), doctor (10,9%), television (10,2%). In relation to DST, 98,5% affirmed that diseases can be transmitted during coitus. The aids (91,2%) and herpes (72,8%) were the most cited diseases. Just 31,6% of teenagers affirmed that run the risk to acquire some DST, and 88,4% of them, due no use of condoms, 30,2% due their partner make relation with other people, 18% due have many sexual partners and 9,3% due other causes. Conclusion: even teenagers knowing many contraceptive methods and sexually transmitted diseases, the teenagers have not prevented theirselves yet. It’s necessary that the high school reinforce the use of contraceptive methods, because the school is an important source of educative information on health area.

Comportamiento de mujeres y sus parejas referentes a la planificación familiar

Objective. To describe women behavior regarding birth control and analyze if such behavior has any cultural influence. Methodology. Qualitative study in which patients were women who were waiting for their family health program consult in three health units of the city Ilah Comprida in Sao Paulo, Brazil. Data were collected during October and November of 2007, the interview was used as source of information, subsequently they were subjected to the content analysis technique. Results. Women are responsible for birth control; they consider there are difficulties with birth control especially due to inefficient information about methods of contraception and family influence over this adopted behavior. Conclusion. Birth control is influenced by cultural models, moral, social and religious values related with the exercise of sexuality.

Efeito do benzoato de estradiol na recuperação de oócitos, embriões e nos parâmetros hematológicos de cadelas recém acasaladas

We investigated estradiol benzoate effects on oocytes/embryos recovery rate and the influence of this drug on the hematopoietic system. Twenty four bitches were divided in two groups, Group I, 12 females that received a single shot of estradiol benzoate, 0.2 mg/kg intramuscularly, between 2 and 7 days after the date of the last mismating or insemination and, Group II (control), 12 bitches that received 0.2 ml/kg of oily diluent, in corresponding dates. The bitches were ovary-hysterectomized and the uterus/oviduct were isolated and flushed with a PBS, heparin and polyvinyl alcohol solution. Oocytes and embryos were quantified and classified according to their stage of development. Blood counts were performed on M1 (before drug administration), M2 (15 days after drug administration) and M3 (40 days after drug administration). Pearson correlation coefficient was used to analyze the variable retrieval structures, while Fisher exact test was used for the analysis of embryonic viability. ANOVA was used to analyze repeated measurements and Tukey test for hematological parameters. All tests were performed at 5% significance level. The recovery rate of total structures in group I was lower (22.88%) than group II (65.85%). A lower embryo recovery (ratio 3: 52) rate and a greater number of degenerated structures (ratio 11: 1) were observed in group I. Hematological parameters showed significant difference in erythrocytes, hematocrit and hemoglobin concentrations 15 days after drug administration and difference in leukocytes concentration 40 days after using the medication in bitches of group I, however, at the end of the experiment all bitches had blood counts considered normal.

Efeitos do acetato de deslorelina sobre a produção in vivo e in vitro de embriões de gatas domésticas

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)