691 resultados para pregnant women’s experiences


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Purpose – Few research has addressed the factors that undermine people’s subjective perceptions of career success. Hence, the purpose of this paper is to further illuminate the issue of career barriers in perceptions of career success for a specific group of professionals: academics. Design/methodology/approach – This study adopts an interpretative-social constructionist methodology. Complementarily, it was employed a phenomenological method in data gathering and analysis – with the use of in-depth interviews and a theme analysis. The research was undertaken with a group of 87 Portuguese academics of both sexes and in different stages of their academic careers. Findings – The findings pinpoint the existence of multi-level barriers encountered by the academics when trying to succeed in their careers. The interviewees mentioned particularly the organizational-professional career barriers pertaining to three general themes: poor collegiality and workplace relationships; the lack of organizational support and employment precariousness; and the career progression standards and expectations. At the individual life cycle level the interviewees referred to the theme of finding balance; at the same time, the gender structure was also a theme mentioned as an important career barrier in career success, particularly by the women interviewed. Research limitations/implications – One of the limitations of this research is related to the impossibility of generalizability of its findings for the general population. Nevertheless, the researcher provides enough detail that grants the reader with the ability to judge of its similarity to other research contexts. Practical implications – This research highlights the role played by distinct career barriers for a specific professional group: academics. This has implications for higher education policy-makers and for human resources managers in higher education institutions. Originality/value – The current study extends the literature on career success by offering detailed anecdotal evidence on how negative work experiences might hinder career success. This research shows that to understand career barriers to success it is useful to consider multi-level factors: organizational-level factors (e.g. poor collegiality and workplace relationships); individual-level factors (e.g. life-cycle factors such as age/career stage); and structural-level factors (e.g. gender).

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Tese de Doutoramento em Ciências da Educação (Especialidade de Tecnologia Educativa)

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OBJECTIVE: In this study we aim to characterize a sample of 85 pregnant crack addicts admitted for detoxification in a psychiatric inpatient unit. METHOD: Cross-sectional study. Sociodemographic, clinical, obstetric and lifestyle information were evaluated. RESULTS: Age of onset for crack use varied from 11 to 35 years (median = 21). Approximately 25% of the patients smoked more than 20 crack rocks in a typical day of use (median = 10; min-max = 1-100). Tobacco (89.4%), alcohol (63.5%) and marijuana (51.8%) were the drugs other than crack most currently used. Robbery was reported by 32 patients (41.2%), imprisonment experience by 21 (24.7%), trade of sex for money/drugs by 38 (44.7%), home desertion by 33 (38.8%); 15.3% were positive for HIV, 5.9% for HCV, 1.2% for HBV and 8.2% for syphilis. After discharge from the psychiatric unit, only 25% of the sample followed the proposed treatment in the chemical dependency outpatient service. CONCLUSION: Greater risky behaviors for STD, as well as high rates of maternal HIV and Syphilis were found. Moreover, the high rates of concurrent use of other drugs and involvement in illegal activities contribute to show their chaotic lifestyles. Prevention and intervention programs need to be developed to address the multifactorial nature of this problem.

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Study Objective: This study analyzes differences between adolescent and adult pregnant women and the contribution of maternal age to maternal adjustment and maternal attitudes during pregnancy. Design, Setting, and Participants: A sample of 398 Portuguese pregnant women (111 younger than 19 years) was recruited in a Portuguese Maternity Hospital and completed the Maternal Adjustment and Maternal Attitudes Questionnaire between the 24th and 36th weeks of gestation. Main Outcome Measures: Maternal Adjustment and Maternal Attitudes Questionnaire. Results: Adolescent pregnant women show lower maternal adjustment (poorer body image and worse marital relationship) and poorer maternal attitudes (more negative attitudes to sex) than adult pregnant women. When controlling for socio-demographics, age at pregnancy predicts poorer body image and more negative attitudes to sex, but not a worse marital relationship, more somatic symptoms or negative attitudes to pregnancy and the baby. A worse marital relationship was better predicted by living without the partner, and more somatic symptoms and negative attitudes to pregnancy and the baby was predicted by higher education. Conclusion: Adolescent pregnant women show lower maternal adjustment and poorer maternal attitudes than adult pregnant women according to socio-demographics and unfavorable developmental circumstances.

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The Experiences in Close Relationships Inventory permits to evaluate attachment in close relationships during adulthood based on two dimensions able to be present in this kind of relationships: the avoidance of proximity and the anxiety related with to abandonment. It is a self-report 7- points likert scale composed by 36 items. The Portuguese version was administered to a sample of 551 university students (60% female), the majority with ages between 19 and 24 years old (88%) in a dating relationship (86%). The principal components analysis with oblimin rotation was performed. The total scale has good internal consistency (α=.86), as also has the 2 sub-scales: anxiety (α=.86) and avoidance (α=.88). The two dimensions evaluated are significantly correlated with socio-demographics, relational characteristics (jealousy, relationship distress, and compromise), wishes (enmeshment versus differentiation) and fears (abandonment versus control) related to attitudes in significant relationships, which testify the construct validity of the instrument. The results obtained are coherent with the original version and other ECR‘s adaptations. Practitioners and researchers in the context of clinical psychology and related areas have now at their disposal the Portuguese version of the ECR inventory, which has shown its very high usefulness in the study of close relationships, and specifically attachment in adulthood.

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Adverse effects of maternal anxiety and depression are well documented, namely on the foetus/child behaviour and development, but not as much attention has been given to the mother's emotional involvement with the offspring. To study mother's prenatal and postpartum stress, mood and emotional involvement with the infant, the State-Trait Anxiety Inventory, the Edinburgh Postnatal Depression Scale and the Mother-to-Infant Bonding Scale were filled in and cortisol levels were measured, 3 months before and 3 months after childbirth, in a sample of 91 Portuguese women. From pregnancy to the postpartum period, mother's cortisol levels, anxiety and emotional involvement toward the child decrease. No significant change was observed regarding mother's depression. Mother's depression predicted a worse emotional involvement before childbirth, while mother's anxiety predicted a worse emotional involvement with the infant after childbirth. Additionally, pregnant women with a worse emotional involvement with the offspring are at risk of poorer emotional involvement with the infant and higher anxiety and depression at 3 months postpartum. It should be given more attention to mother's poor emotional involvement with the offspring during pregnancy, as it interferes with her emotional involvement with the infant and her psychological adjustment 3 months after childbirth.

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Na gravidez, a mulher experiencia mudanças desenvolvimentais ao nível dos seus relacionamentos significativos. Este estudo compara a qualidade do relacionamento com o companheiro e com outra figura significativa em grávidas adolescentes e adultas, e analisa preditores sócio-demográficos para a qualidade destes relacionamentos. Uma amostra de 130 grávidas (66 adolescentes e 64 adultas) foi avaliada no terceiro trimestre de gestação quanto às características sociais e demográficas e à qualidade do relacionamento com figuras significativas. Os resultados mostram que as adolescentes referem menor confiança (χ2 = 3.365, p = 0,055) e maior discórdia (χ2 = 3.842, p = 0,041) no relacionamento com o companheiro e maior sentimento de ligação (χ2 = 19.126, p = 0,000) e apatia (χ2 = 8.568, p = 0,004) no relacionamento com a outra figura significativa, comparativamente com as adultas. Verifica-se ainda que a gravidez na adolescência associa-se a relacionamentos de menor qualidade, especialmente devido a situações sócio-demográficas mais desfavoráveis e não tanto à condição de ser ou não adolescente.

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Prenatally depressed women (N=47) were randomly assigned to a group that received massage twice weekly from their partners from 20 weeks gestation until the end of pregnancy or a control group. Self-reported leg pain, back pain, depression, anxiety and anger decreased more for the massaged pregnant women than for the control group women. In addition, the partners who massaged the pregnant women versus the control group partners reported less depressed mood, anxiety and anger across the course of the massage therapy period. Finally, scores on a relationship questionnaire improved more for both the women and the partners in the massage group. These data suggest that not only mood states but also relationships improve mutually when depressed pregnant women are massaged by their partners.

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Este estudo tem como objectivo geral analisar a forma como as mulheres por um lado antecipam e, por outro lado, experienciam emocionalmente o parto do seu primeiro filho. Foi também nosso interesse averiguar a relação entre a antecipação e a experiência real de parto. Para o efeito, 197 grávidas primíparas, com idades compreendidas entre 15 e 39 anos e utentes da Consulta Externa de Obstetrícia da Maternidade Júlio Dinis (Porto) participaram no estudo. Após consentimento informado as participantes preencheram um Questionário Socio-demográfico e o Questionário de Antecipação do Parto (QAP, Costa, Figueiredo, Pacheco, Marques, & Pais, 2005) no 2º trimestre de gravidez. Na primeira semana após o parto foram novamente contactadas as participantes na Unidade de Internamento na Maternidade de Júlio Dinis no sentido de responderem ao Questionário de Experiência e Satisfação com o Parto (QESP, Costa, Figueiredo, Pacheco, Marques, & Pais, 2005). Os resultados mostram que o planeamento do parto parece ser benéfico para algumas mulheres em termos do medo, dor e preocupação em relação ao bebé durante o parto. Deste modo, a implementação de medidas que promovam a informação, suporte emocional e envolvimento nas tomadas de decisão por parte dos serviços de saúde materno-infantis poderiam constituir uma mais-valia para o melhoramento das experiências dos pais.

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To assess anxiety, depression and relationship satisfaction in both women and men during pregnancy, the State Anxiety Inventory (STAI), The Center for Epidemiological Studies-Depression Scale (CES-D) and The Relationship Questionnaire (RQ) were administered during the second trimester to a sample of 59 pregnant women and their partners. Anxious pregnant women rated their relationships as less positive. Depressed pregnant women also rated their relationships as less positive. The women’s anxiety scores were predictive of their positive and negative relationship scores. The women and their partners’ negative relationship scores were also predictive of each others’ negative relationship scores. These results highlight the importance of targeting anxiety as well as depression, and pregnant women as well as their partners in prenatal intervention programs.

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Pouco se conhece acerca da actividade física e qualidade de vida da mulher na gravidez. Este estudo teve como objectivos 1) comparar os padrões de actividade física antes e durante a gravidez, 2) avaliar a percepção da qualidade de vida relacionada com a saúde durante os primeiros seis meses de gestação, e 3) comparar a percepção da qualidade de vida nas mulheres activas e insuficientemente activas considerando as recomendações de saúde pública. Método: Estudo longitudinal com 59 grávidas seleccionadas em consultórios médicos privados. Às 10-15 semanas foi recolhida informação sociodemográfica e médica, bem como informação sobre a actividade física três meses antes da concepção. Medidas de auto-relato foram administradas entre as 10-15 semanas e as 19-24 semanas de gestação para avaliar o tempo de actividade física (QAFG) (no trabalho, lazer, deslocações) e a qualidade de vida (SF-36). Resultados: A prevalência de actividade física recomendada é menor durante do que antes da gravidez (16.7% e 17.5% nos 1.º e 2.º trimestres, respectivamente vs. 47.4% antes da gravidez). Com a gravidez, não se verificaram alterações no tempo médio em diferentes tipos de actividade física, mas a actividade física no lazer registou uma diminuição significativa no 1.º trimestre face ao período anterior à concepção. Em comparação com uma amostra normativa de mulheres portuguesas, as grávidas apresentam, nos dois primeiros trimestres de gestação, uma percepção de qualidade da vida mais positiva na generalidade das dimensões do SF-36. No 2.º trimestre, o nível de limitação é significativamente maior nas dimensões físicas, à excepção da Dor Corporal, e nos resultados sumários do Componentes Físico e Mental. As mulheres que no 1.º trimestre atingem os níveis recomendados de actividade física no lazer (≥150 minutos por semana) apresentam melhor estado de saúde geral e estados de humor mais positivos do que as menos activas. Conclusão: A actividade física no lazer, embora diminua após a concepção, tem um impacto positivo na percepção do estado saúde geral e estados de humor da grávida, o que sugere a sua importância para a saúde da mulher também durante este período da vida.

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OBJECTIVE: To assess structural and functional cardiac changes in asymptomatic pregnant women with chronic arterial hypertension (CAH). METHODS: One hundred pregnant women with CAH underwent conventional Doppler echocardiography. The Student t test was used to compare them with 29 normotensive pregnant women (NT) in their third gestational trimester. RESULTS: Systolic (SBP; mmHg) and diastolic (DBP; mmHg) blood pressure values were higher (p<0.001) in the CAH pregnant women (SBP: 139±19 and DBP: 92± 18) as compared with those of the NT group (SBP: 112±10 and DBP: 74±9). A significant enlargement of the left atrium (4.10±0.48 cm vs 3.6±0.3 cm; p<0.001) and of the left ventricular normalized mass (59.6±19.7 g/cm2,7 vs 41.9±3.4 g/cm2,7; p<0.001) was observed. Cardiac output (CO, L/min) and systolic volume (SV, mL) were significantly higher in the CAH group (CO: 6.0±1.54 vs 4.9±2.1, p<0.01; SV: 77.3±19.8 vs 56.5±25.8, p<0.001). CONCLUSION: Chronic hypertensive pregnant women have structural and functional cardiac changes that justify routine cardiologic assessment, even in the absence of cardiopulmonary symptoms.

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En el debate académico y social los críticos de la democracia deliberativa coinciden en sostener la imposibilidad de realización de este ideal, fundamentando dicha afirmación en hechos sociales relevantes como el pluralismo, la desigualdad, la complejidad, poderosas instituciones y una esfera pública polarizada en extremo. En atención a las mencionadas críticas algunos autores han destacado que la viabilidad de una forma deliberativa de democracia depende de la creación de condiciones sociales y arreglos institucionales que propicien el uso público de la razón. La deliberación es pública en la medida en que estos arreglos permitan el diálogo abierto entre ciudadanos capaces de formular juicios informados y razonados en torno a las formas de resolver situaciones problemáticas. La factibilidad y eficacia de la deliberación pública reside, a su vez, en la posibilidad de sostener no sólo un diálogo abierto y continuo entre ciudadanos, sino también de éstos con las instituciones políticas. En esta discusión se inserta el presente proyecto con el fin de estudiar los problemas de justificación e institucionalización, como así también los obstáculos y constreñimientos empíricos con los que se enfrenta la democracia deliberativa. Para ello se toman diversas experiencias en la Provincia de Córdoba: El Acta de Compromiso Público de la Ciudad de Córdoba, Los Observatorios de Servicios Públicos de la Asociación Civil el Ágora, Concertación en Espacios Locales de la Asociación Civil el Ágora y las Juntas de Participación Vecinal de la Municipalidad de Córdoba. Todos estos procesos se caracterizan por constituir iniciativas que procuran la creación, fortalecimiento e institucionalización de espacios de participación ciudadana y de interacción dialógica de los ciudadanos entre sí y de éstos con el estado. Estos espacios son espacios situados y, en cuanto tales, implican contigencias devenidas de las particularidades territoriales, temáticas y de los diferentes horizontes temporales sobre los que se proponen actuar. El proyecto se propone analizar los alcances y dificultades (políticas, sociales, organizativas, informacionales) que se presentan en estas experiencias deliberativas, atendiendo tanto a los requisitos de factibilidad de las propias experiencias como a la necesidad de fortalecer los planteamientos teóricos de la teoría de la deliberación pública a partir de la consideración de los problemas empíricos con los que la misma se enfrenta. Se prevé el desarrollo e implementación de indicadores de seguimiento y monitoreo de las experiencias que den cuenta de las dimensiones y presupuestos de la democracia deliberativa, la construcción de modelos procedimentales y tecnologías comunicativas que contribuyan a la factibilidad de los presupuestos comunicativos y la contribuición al desarrollo de proposiciones teóricas vinculadas con la preocupación académica referida a los procesos deliberativos y participativos en las sociedades contemporáneas.

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La investigación busca responder cómo experimentan, se representan y caracterizan grupos juveniles en situación de vulnerabilidad social de la ciudad de Córdoba, la autoridad en la escuela media considerada en tres actores institucionales claves: docentes, preceptores y directores. Se propone indagar acerca de la autoridad desde dos dimensiones: las representaciones juveniles de la autoridad pedagógica (ligada al desempeño de los profesores) y la autoridad en términos de límites que reconocen en los directivos y preceptores vinculándola con el espacio institucional de la escuela. Objetivos Explorar las relaciones con la autoridad escolar vivenciadas en su tránsito por la escuela secundaria por jóvenes en condiciones de vulnerabilidad social de la ciudad de Córdoba. Indagar como vivencian los jóvenes las leyes y normativas escolares atendiendo a la cercanía o distancia con las prácticas que ellos ponen en juego en el seno de sus grupos de referencia. Identificar desde las voces de adolescentes de sectores populares los problemas de convivencia escolar más frecuentes, apuntando a reconocer qué posiciones advierten ante tales situaciones en los adultos que se desempeñan en diferentes roles en la escuela. Explorar en las interacciones y conflictos que se plantean en sus relaciones con docentes, directivos y preceptores. Conocer las valoraciones que los jóvenes efectúan sobre las estrategias de autoridad puestas en juego por profesores (vinculándolas con el desempeño cotidiano en sus asignaturas), preceptores y directivos. Materiales y métodos: Se seguirán dos etapas: a) Realización de grupos focales con adolescentes de 15-17 en situación de vulnerabilidad social que asisten a la escuela media. Se prevé la utilización de muestras intencionales. b) Aplicación de un cuestionario estandarizado a jóvenes de escuelas secundarias en situación de vulnerabilidad. Las preguntas del cuestionario serán elaboradas en forma de escalas de tipo Likert construidas a partir de la información obtenida en la primera etapa Resultados: La investigación producirá conocimientos acerca de: - formas de legitimación de la autoridad escolar por parte de jóvenes socialmente vulnerables - características de la autoridad escolar en docentes, preceptores y directores - modelos institucionales de autoridad escolar Importancia: La significatividad de los resultados se vincula con el marco de las discusiones que se vienen desarrollando en torno a las transformaciones de la educación secundaria, dentro de las cuales la recreación del vínculo docente-alumno y la redefinición de los marcos de autoridad institucionales resultan sustantivos de cara a la mejora. Pertinencia: El trabajo ayudará a identificar núcleos críticos ligados con la gestión de convivencia y de la autoridad escolar, lo que servirá para identificar aspectos de los formatos institucionales que deberían ser revisados y aquellos que podrían ser objeto de afianzamiento y multiplicación.

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Weaning, social environment, dendrites, dendritic spines, limbic system