Um estudo sobre o perfil sexual e reprodutivo das adolescentes de um serviço de referência no município de Natal/RN

Adolescence is seen as a phase of life marked by a series of physical and behavioral changes, which leads to certain risk situations, such as early sexual activity, pregnancy and the occurrence of sexually transmitted diseases. Based on this statement, this research aimed generally: meet the sexual and reproductive adolescents of a reference service in Natal profile. Specifically describe the socioeconomic, sexual and reproductive individual and family characteristics of the population in question, but also verify possible association between pregnancy and age of onset of sexual activity with the socioeconomic aspects. The sectional study conducted in the database from the records of 463 adolescents seeking care in a referral center in Sexual and Reproductive Health in the period March 2011 to June 2012. The data collected were subjected to analysis by Excel 2007 and Statistical Package for Social Sciences (SPSS) 17.0. For data analysis, descriptive statistics, with absolute numbers and percentages was used, and its presentation by means of distribution and frequency tables. Results showed that the parents of these adolescents (65.7% - father; 57.8% - mother), had primary education; family income less than two minimum wages (66.2%); any type of chemical dependency in the family (33.5%) and presence of domestic violence (20.6%). A higher probability of pregnancy was verified when the mother had only primary education (26.3%), persons other than the father or mother contributed to family income (33.3%) and (26%) when there was substance abuse in the family early onset of sexual activity was observed when the mother had primary education (57.3%), persons other than the father or mother contributed to family income (63.1%) and the use of drugs / alcohol as a problem family (67.6%). It was concluded that such vulnerabilities appear as a reflection of the low social status of these young people, aggravated by emotional inheritance that is offered to every individual from birth. These findings may perhaps, support public health surveillance policies for adolescents in several areas

Os efeitos do reconhecimento da diversidade sexual como um direito humano pelo sistema interamericano de proteção

La diversidad sexual emerge en las Américas como una de las cuestiones más importantes en relación con la protección y promoción de los derechos humanos. A partir de la democratización de la mayor parte de los Estados Sudamericanos en los años 80, se ha iniciado una discusión acerca de la ampliación del concepto de igualdad con el fin de introducir el derecho a la diferencia como otra expresión de la dignidad de la persona humana, cuyos estudios fueron encabezado de lo que se llamaba La hermenéutica de la Diversidad. En este escenario, el Derecho Internacional de los Derechos Humanos aparece como el principal responsable por el proceso de reconocimiento de la diversidad sexual como un derecho humano, lo que permite la asignación de temas tales como la sexualidad y el género en la agenda de los principales órganos regionales de protección de derechos humanos, así como en la agenda de algunos Estados, que por su promoción de políticas de diversidad han llegado a ser considerados empresarios normativos en relación con el libre ejercicio de la sexualidad humana. En este sentido, se pretende con esta tesis analizar el proceso de reconocimiento de la diversidad sexual como un derecho humano en el marco del sistema interamericano de protección, comprobando el potencial normativo de Argentina, Brasil y Uruguay con respecto a la adopción de normas internas promoción de la diversidad sexual. También tenemos la intención de analizar la norma internacional llamada Convención Interamericana contra todas las formas de discriminación e intolerancia como el primer tratado producido por el sistema interamericano para la protección de la sexualidad como un derecho digno de protección. La investigación ha demostrado que después de la posición adoptada por la Comisión y la Corte Interamericana respecto al ejercicio de la sexualidad, países como Argentina, Brasil y Uruguay promovieron un progreso significativo en el campo de las libertades individuales y en el campo de las políticas públicas de asignación de la sexualidad como un derecho que necesita de una protección efectiva del Estado

Relação entre função sexual, sintomatologia depressiva e qualidade de vida em mulheres grávidas

INTRODUCTION: Human sexuality is recognized as one of the pillars of quality of life. In women, sexual function is influenced throughout life by many factors that can lead to the appearance of changes in the cycle of sexual response, and hence the quality of life (QOL). Pregnancy is a period of change, leaving them physically and mentally vulnerable, which may affect sexual function and quality of life during pregnancy. OBJECTIVE: To investigate the relationship between sexual function, presence of depressive symptoms and quality of life in pregnant women. METHODS: The study included 207 pregnant women attending prenatal examination of the Maternity Divine Love, Parnamirim / RN and the participants of the Course for Pregnant Women of the Department of Physical Therapy at UFRN (central campus). Initially it was applied, a questionnaire containing questions about sociodemographic, gynecological and obstetric data, as well as body and sexual self-knowledge. Sexual function was assessed using the Sexual Function Index Female (Female Sexual Function Index - FSFI). To assess the quality of life, we used the Quality Index Ferrans Life & Powers mom. The presence of depressive symptoms was verified by applying the Beck Depression Inventory. The Shapiro-Wilk test for normality was carried variables, Mann-Whitney test for carrying out the comparisons and the Wilcoxon test for comparing the monthly sexual frequency before and during pregnancy. Multiple linear regression was used to verify the relationship between sexual function, depressive symptoms and quality of life. We used the Spearman correlation to check correlation between the variables. Ap value <0.05 was adopted. RESULTS: Sexual function and depressive symptoms were related quality of life (R2 = 0.30, p <0.001). Depression had a moderate negative correlation with quality of life (0.53; p <0.001), whereas sexual function showed a positive correlation with low quality of life (0.22; p = 0.001). The planning of pregnancy, education and income shown to influence depression scores. With respect to sexual function, it was seen that during pregnancy, a reduction in the monthly frequency of sexual partner (Z = -10.56; p <0.001). Among the sexual domain, just the pain, showed a statistically significant difference compared between the second and third quarter (Z = -1.91, p <0.05). The score of the quality of life of women with sexual dysfunction was xvii significantly lower than that pregnant women without dysfunction (Z = -2.87, p = 0.004). Conclusion: Sexual function and the presence of depressive symptoms are related to the quality of life of pregnant women.

Influência da paridade, do tipo de parto e do nível de atividade física sobre a musculatura do assoalho pélvico em mulheres na pós-menopausa

The post-menopause stage is characterized by hormonal and organic alterations of ovarian failure. One of the most important of these is muscles alterations of the pelvic floor (MPF). According to current literature, in young women gynecological and obstetric factors, as well as lifestyles and habits influence that loss of function. However, there is still uncertainty about the influence of those variables in the MPF functions in post-menopause women. Thus, this study aimed at seeing if there is an influence from number of births, the type of birth and the level of physical activity on the MPF of post-menopause women. Another objective of this study was to compare MPF force in women who had had vaginal births with those who had been subjected to cesarean sections, those with different levels of physical activity and those with artificial and natural menopause in the initial and latter stages. Furthermore, the test of muscular force was compared to perineometry. Using observational, analytical and transversal observations, 100 women in the post-menopausal stage of life, between the ages of 45 and 65, were examined. They were divided according to the menopausal stage into three groups: women who had undergone hysterectomies, those in the initial stages of postmenopause and those in the late stage of postmenpause. The patients were questioned about social, demographic, gynecological and obstetric factors. All the volunteers were submitted to a physical examination where their height and weight were measured to arrive at the corporal mass index and their waist measurements were taken. The evaluation of the pelvic floor was conducted with muscular force tests and perineometry. These results were analyzed with statistical description and ANOVA statistical tests, multiple regression and Kolmogorov-Smirnov evaluations. The results showed homogeneity with regard to social demographic and anthropometric characteristics among the women in the final test sample (n=85). It was also seen that most of the women in all three groups were married (p=0.51) and catholic (p=0.13). The average per capital income varied between $R585.47 (+/-466.67) and $R1,271.83 (+/-1,748.95), with no significant difference between the groups (p=0.05). The G>6 group presented an average age between 58.95 (+/-3.96) which was significantly greater that the G<6 group´s average age (53.21+/- 3.88) (p=0.000). There was no difference between the groups´ anthropometric characteristics of weight (p=0.32), height (p=0.72) and corporal mass index (p=0.34), nor in the waist measurements (p=0.33). Furthermore, no significant difference was noted in the MPF function of women who had had normal births, cesarean sections or a combination of the two (TFM p=0.897; perineum measurement p=0.502). Likewise, no differences were seen in the MPF function of women who had one, two to three or four or more births (TFM p=0.28, perineum measurement p=0.13). Finally, no difference was perceived among those with different levels of physical activity (TFM p=0.663; perineum measurement p=0.741). Therefore, we found that the type of delivery, number of births and physical activity had no influence on the muscular function of the pelvic floor among the women studied. It is believed that decline in muscular function in post-menopause women is fundamentally related to the process of aging.

"Vender as carnes": prostituição no litoral norte paraibano

This thesis aims to contribute to reflections on female prostitution in the Paraíba`s North Coast in specific regions of the Baía da Traição and Indian villages Potiguara constant cultural flow region between indigenous and non-indigenous. Within this hemisphere intend to analyze the transits, the body boundaries, sexuality, identity and ethnic category as central to understanding of prostitution practices inaugurate the possibility to study the gender and blurred places, border, mixed. Specifically, I discuss the experience of articulated gender border between urban and rural, indigenous and non-indigenous, to show and hide, visible and not visible. Analyze the social relations among women who prostitute themselves and the community they inhabit, mobility, economic and symbolic exchanges, conflicts and situations of violence, since the social environment is permeated by these dimensions and the way these women includes complex situations and individuals. Analyze the ethnic and flow of people and relationships that are built differently inside and outside the indigenous community, such as women who prostitute themselves build their indigenous and prostitutes identities. Analyze this mobility in prostitution relationships and the reason for this mobility, indigenous women prostitutes avoid this practice in the indigenous area in order to protect their identities because the community is small, there is the fear on the probability of gossip and malaise in the community. However, the region is characterized as a heterogeneous whole, requiring a procedural analysis to cover the whole specificity of these practices in the covered area.

"Vender as carnes": prostituição no litoral norte paraibano

This thesis aims to contribute to reflections on female prostitution in the Paraíba`s North Coast in specific regions of the Baía da Traição and Indian villages Potiguara constant cultural flow region between indigenous and non-indigenous. Within this hemisphere intend to analyze the transits, the body boundaries, sexuality, identity and ethnic category as central to understanding of prostitution practices inaugurate the possibility to study the gender and blurred places, border, mixed. Specifically, I discuss the experience of articulated gender border between urban and rural, indigenous and non-indigenous, to show and hide, visible and not visible. Analyze the social relations among women who prostitute themselves and the community they inhabit, mobility, economic and symbolic exchanges, conflicts and situations of violence, since the social environment is permeated by these dimensions and the way these women includes complex situations and individuals. Analyze the ethnic and flow of people and relationships that are built differently inside and outside the indigenous community, such as women who prostitute themselves build their indigenous and prostitutes identities. Analyze this mobility in prostitution relationships and the reason for this mobility, indigenous women prostitutes avoid this practice in the indigenous area in order to protect their identities because the community is small, there is the fear on the probability of gossip and malaise in the community. However, the region is characterized as a heterogeneous whole, requiring a procedural analysis to cover the whole specificity of these practices in the covered area.

Correlação entre força muscular do assoalho pélvico, função sexual e qualidade de vida em mulheres de meia idade

Introduction: Menopause is characterized by the depletion of ovarian follicles and the gradual decline in estradiol levels, which ends with the definitive cessation of menstrual periods (menopause). As a result of hypoestrogenism, characteristic symptoms, such as hot flashes, night sweats, vaginal dryness, dyspareunia, insomnia, mood swings and depression can be observed. There is also the weakening of the pelvic floor muscles (MAP) as a result of progressive muscle-aponeurotic and connective atrophy with consequent decreased sexual function. Objective: To evaluate the strength of MAP, sexual function and quality of life of menopausal women. Methodology: This is an observational, analytical, cross-sectional design. The sample consisted of 55 women (35 postmenopausal and 20 perimenopausal), aged between 40 and 65, who were assessed by muscle strength and perineometry test. For the assessment of sexual function and quality of life, used the Female Sexual Function Index (FSFI) and Utian Quality of Life (UQOL), respectively. Statistical analysis was performed using Pearson's correlation and multivariate analysis. Results: The mean age was 52.78 (± 6.47 years). Sexual dysfunction presented, 61.8% of participants (43.62% of postmenopausal and perimenopausal 18.17%). Muscle strength test and the maximum perineometry had a median of 3.00 (Q25: 2 e Q75: 4) and 33,50 cmH20 (Q25: 33,5 e Q75: 46,6), respectively. No correlation was found between sexual function and muscle strength (r = 0.035; p = 0.802) and between sexual function and perineometry (r = 0.126; p = 0.358). The mean total score of UQOL was 74.45 (± 12.23). Weak positive correlation was found between sexual function and quality of life (r = +0.422 p = 0.001). Multivariate analysis identified associations between sexual function and variables: quality of life, climacteric symptoms, physical activity and education level. Conclusions: These results suggest that the climacteric symptoms, quality of life, physical activity and level of education are associated with sexual function in menopausal women. However, the muscular component of sexual function needs to be further investigated in this context.

Entre elas: políticas públicas e cidadania de travestis e mulheres transexuais de uma ONG em Natal/RN

The core of this research it is anchored in the analysis of the relationship between experiences and experiences of transvestite and transsexual women and citizenship category in Natal. For this, we analyzed, at first, the unfolding instilled in acting from the agenda of a Non Governmental Organization of the city, the Atransparência. In a second, and more importantly, time, reflections of those actions were followed in the daily and transgender women in the city belonging to NGOs. Methodologically, work is characterized as a qualitative research, with ethnographic deployment, made possible through interviews with semi-structured questionnaires. The analysis of the collected material was possible from the discourse analysis (Foucault, 1996), as well as qualitative analysis (Caregnato and Mutti, 2006). Theoretically, it was done the exercise to think queer theory conciliated her with the prospect of criticism of eucorêntrismo of power and knowledge, with fundamental emphasis on the relationship between theoretical national queers - Bento (2014), Miscolci (2014), Pelúcio (2014 ) and Pereira (2012) - authors and descolonial such as Mignolo (2008) Quijano (2005).

Antonio Carlos Viana e as escritas do erotismo em Aberto está o inferno

A presente dissertação objetiva estabelecer uma interface entre os estudos da linguagem performática na literatura e os estudos sobre o erotismo a partir da obra do escritor sergipano Antonio Carlos Viana. Trazendo à tona o lado violento e traumático de experiências sexuais, são nela analisados os contos “As meninas do coronel”, “Mal-assado” e “In Memoriam”, pelo viés da prostituição, do casamento e da morte, respectivamente. Observa-se que, ao optar pela escrita sobre o corpo e pela problematização do erotismo vinculada a uma perspectiva nauseante do sexo, desvinculada da ideia de prazer, Viana performatiza, de acordo com os pressupostos do novo realismo, experiências afetivas marcadas pela dor. Para investigar os procedimentos de linguagem utilizados por Viana, com o intuito de desvendar os enigmas que perpassam o universo emocional e labiríntico de personagens devastados por sentimentos que mesclam corrupção, poder, morte e erotismo, recorro aos estudos sobre o caráter performático e grotesco da linguagem no novo realismo – em especial ao pensamento de Karl Erik Schøllhammer e Mikhail Bakhtin –, sobre a relação entre morte e erotismo – a partir das considerações de George Bataille, Octavio Paz e Philippe Ariès – e sobre as nuances da sexualidade e suas revoluções – mediante o pensamento de Anthony Giddens.

História, cultura, gênero e poder: representações sociais em movimento no seriado de TV Homeland (2001-2013)

In contrast to Muslins traditions and costumes, the US government and society seems to invest in the media to forge discourses on Western way of life. In addition, it creates idealized images of the woman, the hero, the father, the family, and an everyday speech invoking repeated and widespread moral values, including “justice” and “freedom”, in opposition to the “terror”. In this research we analysed the TV series Homeland, using as theoretical support the Cultural Studies, particularly the concept of Social Representation by Denise Jodelet, the analytics tools created by Michel Foucault on power devices, and feminist studies by Teresa of Lauretis. I’ve tried to see how forces in correlations operate, and how representations of womanhood, sexuality and nationality are built and reiterated in speeches, creating patterns of behaviour for men and women. Spreading images of the “good” man, the “good” wife, and the “hero”, the audio-visual product creates and produces the family, the society and the nation considered exemplar.

Refletindo sobre o contributo do desenvolvimento de um projeto de investigação com crianças do 4.º ano na abordagem da Educação Sexual

O presente relatório, referente à Prática Supervisionada do Mestrado em Ensino de 1.º e 2.º Ciclo do Ensino Básico, encontra-se dividido em duas partes: a primeira diz respeito à dimensão reflexiva e a segunda referente à dimensão investigativa. Na primeira parte é apresentada uma reflexão crítica e fundamentada sobre todo o percurso realizado ao longo do Mestrado com base em experiências vividas, assim como aprendizagens pessoais e académicas construídas, em cada um dos contextos de Prática Pedagógica, perspetivando que professora de 1.º e 2.º Ciclo pretendo ser. Na segunda parte é apresentada a investigação realizada em contexto de Prática Pedagógica, numa turma, de 4.º ano de escolaridade. Teve por base o desenvolvimento de um projeto, inspirado na metodologia de trabalho de projeto, ao nível da Educação para a saúde, nomeadamente, a Educação Sexual. Este estudo apresenta um caráter qualitativo, pois pretendeu-se analisar e compreender as questões dos alunos sobre a temática do amor, as noções e conhecimentos sobre o desenvolvimento pubertário e sentimentos. A questão orientadora de toda a investigação, foi: “Qual o contributo do desenvolvimento de um projeto de investigação com crianças do 4.º ano de escolaridade na abordagem de temática da Educação Sexual?”. A análise dos dados aponta que a metodologia de trabalho de projeto é essencial para o desenvolvimento de capacidades como o trabalho em equipa e de temas ligados à sexualidade, considerando-se, por isso, fundamental que se desenvolvam nas escolas de forma a que os alunos se conheçam a si e aos outros.

Experiencias de danzaterapia de mujeres que han sufrido cáncer de mama. Un estudio fenomenológico

Objective: This essay aims at identifying, describing and analyzing possible changes both in the experience of the body and in interpersonal relations of women with breast cancer, which result from their participation in Dance Therapy group meetings.Method: This is a phenomenologically oriented qualitative research using Maria Fux´s dance therapy method for group experiences. Eight meetings are described here, and an analysis of descriptions based primarily on Merleau-Ponty and María Fux is provided.Results: The participants have been able to express pain and sorrow over the circumstances that breast cancer and its relational environments have brought to their lives. They have been able to go through moments of creation and surrender to the rhythmic body sensations and experiential environment with different emotions lived separately and jointly. They have revived memories and sensations of their childhood and adolescence, and finally, they have rediscovered their sensitive body through body resignifications marked by the absence of the breast, and by means of feelings of greater acceptance and integration of lived experiences in new gestalts.Conclusions: This project is still under way, but it is already possible to conclude that the life experiences provided in dance therapy have allowed these women to improve their integration and welfare. Likewise, they have felt positive changes in the perception of their corporality and in their way of being in the world and with other subjects, thus experiencing the body in a new and different way.

Validação Transcultural das Escalas ZKPQ-50-CC (Personalidade), BAS (Imagem Corporal) e AS (Ambivalência na Decisão de Ter Relações Sexuais) para Adolescentes

Introdução: A adolescência é um período onde se operam muitas mudanças tanto físicas como psíquicas. É comum o surgimento de algumas perturbações que devem ser convenientemente avaliadas pelo Psicólogo. É assim, muito importante o rigor na avaliação em Psicologia sendo essencial a utilização de instrumentos que sejam válidos e fiáveis. Metodologia: O principal objetivo deste estudo foi traduzir e validar, para a população portuguesa, três instrumentos de avaliação de adolescentes: O Zuckerman Kuhlman Personality Questionnaire Cross-cultural 50 items version (ZKPQ-50-CC) (Aluja, Rossier, García, Angleitner, Kuhlman, & Zuckerman, 2006), para avaliação da personalidade; a Body Appreciation Scale (BAS) (Avalos, Tylka & Wood-Barcalow, 2005), para avaliação da apreciação corporal positiva e; a Ambivalence Scale (AS) (Pinquart, 2009) para avaliação da ambivalência na decisão de ter relações sexuais. Este estudo metodológico incidiu sobre 877 a adolescentes das escolas secundárias em Leiria e Porto de Mós sendo maioritariamente (64,08%) do sexo feminino e com média de 16,70 anos (DP = 1,21) de idade. Na validação seguiu-se a mesma metodologia dos autores das escalas originais a quem foi solicitada autorização, assim como às direções das instituições onde recolhemos os dados. Solicitou-se igualmente consentimento aos pais e aos adolescentes. Resultados: A Body Appreciation Scale (BAS) e a Ambivalence Scale (AS) constituídas por 7 itens, permitem obter uma pontuação global e apenas um fator. Por seu lado, a determinação das caraterísticas psicométricas do ZKPQ-50-CC permite manter as 5 escalas da estrutura do original. Conclusão: Os três instrumentos apresentam valores de consistência interna e validade que permitem que sejam considerados rigorosos e fiáveis podendo ser utilizados futuramente em avaliação e investigação. / Introduction: Adolescence is a period of a lot of changes both physical and psychic. It´s common the emergence of some disorders that should be properly evaluated by the Psychologist. It is thus very important the rigor of Psychological Evaluation and it´s essential to use instruments that are valid and reliable. Metodology: The main objective of this study was to translate and validate, for the Portuguese population, three assessment instruments in adolescence: The Zuckerman Kuhlman Personality Questionnaire Cross-cultural 50 items version (ZKPQ-50-CC) (Aluja, Rossier, García, Angleitner, Kuhlman , & Zuckerman, 2006) for personality assessment, the Body Appreciation Scale (BAS) (Avalos, Tylka, & Wood Barcalow, 2005), to evaluate the positive body assessment; and the Ambivalence Scale (AS) (Pinquart, 2009) for assessment of ambivalence in the decision about having sexual intercourse. This methodological study focused on 877 adolescents from high schools in Leiria and Porto de Mós, mostly females (64,08%), mean age of 16,70 years old (SD = 1,21). The validation followed the same methodology the authors of the scale, to whom consent was requested, as well as to directors of the institutions where we collect data. We also asked for consent to parents and adolescents. Results: The Body Appreciation Scale (BAS) and the Ambivalence Scale (AS), both with seven items, allow to obtain an overall score and only one factor. For its part, the determination of the psychometric features of QPZK-50-CC allows to maintain the five scales of the original structure. Conclusion: The three instruments show internal consistency and validity that allow them to be considered accurate and reliable and used in future evaluation and research.

Fatores sócio-demográficos e diagnósticos de enfermagem em pacientes transplantados renais

Analisar a associação estatística entre diagnósticos de enfermagem identifi cados nos pacientes transplantados renais e seus fatores sócio-econômicos. Estudo transversal realizado em um hospital universitário em Fortaleza-CE, no período compreendido entre dezembro de 2004 a abril de 2005. Foram identifi cados 38 diagnósticos de enfermagem. Dez diagnósticos apresentaram freqüências acima do percentil 75: Risco de infecção; percepção sensorial perturbada: visual; Padrão de sono perturbado; Nutrição desequilibrada: mais do que as necessidades corporais; Fadiga; Disfunção sexual; Percepção sensorial perturbada: audição; Dor aguda; Padrões de sexualidade inefi cazes; Risco de nutrição desequilibrada: mais do que as necessidades. O estudo sobre diagnósticos de enfermagem ajudou a expandir o conhecimento da realidade dos pacientes, o que é necessário para o estabelecimento de cuidados de enfermagem ao transplante renal, bem como para abordar os resultados que vierem a ser desenvolvidas com o objetivo de melhorar a qualidade de vida