Abuso sexual, transtornos mentais e doencas fisicas

Objective: to review and describe the different organic and psychic consequences of sexual abuse. Methodology: 71 papers were sorted in a ten-year literature search (1987-1997) in MedLine and Lilacs (South American Literature Index), besides 14 books in the subject. Results: sexual abuse is much less frequent (or less reported) in Brazil: 7% of the population, while in the USA the prevalence is 12.9% to 28% of women and 2% to 9% of men. Results showed women being more frequently sexually abused but less differences in physical abuse were found between genders. There was a significant association between sexual abuse and the following: eating disorders, depression, irritable bowel, chronic pain (mainly pelvic), neurological, rheumatic and venereal disorders. This association was not observed in chronic constipation, Chron disease and dissociative disorders. Conclusions: although it is important to think of sexual/physical abuse as a predisposing factor to several illnesses, caution is necessary specially in cultures with different moral and ethical values. Research in this subject in Brazil should be conducted with patients in treatment, using control groups, in order to take advantage of the existing rapport. It would be also quite important to separate acute and chronic abuse effects, as well as getting to know the meaning of the experienced abuse to each person.

Structure of the pelvic and penile urethra - Relationship with the ducts of the sex accessory glands of the Mongolian gerbil (Meriones unguiculatus)

The urethra is the main place of entry for sexually transmitted pathogens. However, there is little literature on the morphology of the urogenital system, principally the urethra and ducts of the sex accessory glands. The Mongolian gerbil is an insectivorous, herbivorous and monogamous rodent with nocturnal habits; it has been used successfully as a laboratory animal since the 1960s. Therefore, the objective of the present paper was to describe the structure and ultrastructure of the urethra and its relations to the ducts of the accessory sex glands of the Mongolian gerbil (Meriones unguiculatus), contributing to the understanding of the reproductive biology of the rodent and aiming to provide data for future experimental studies. Conventional techniques of light and scanning electron microscopy were utilized. The urethra and ducts of the accessory sex glands are similar to those of the albino rat and the mouse. However, there is variation in drainage type among accessory sex glands for the inner urethra. The ducts of the seminal vesicle, the ductus deferens, drain their contents independently into the ampullary duct that opens in the urethra. The ducts of the prostate, coagulating and bulbourethral glands drain their contents independently into the urethra.

Noninvasive aspergillosis as a maxillary antrolith: report of a rare case.

Maxillary antrolithiasis is characterized by masses of tissue of endogenous or exogenous origin that calcify within the maxillary sinuses. Aspergillosis is a fungal disease in which the maxillary sinus is a primary site of infection. Aspergillosis mycetoma, its noninvasive form, is the most prevalent modality of the disease in the maxillary sinuses. In approximately half of the cases reported in the literature, calcification of the fungal mycelia, which later became antroliths, was verified. This article reports a rare case of the accidental discovery of a maxillary antrolith associated with noninvasive aspergillosis in an immunocompetent and asymptomatic 56-year-old woman. The diagnosis and therapeutic procedures used in treating the patient are discussed as well as the probable iatrogenic origin of the fungal pathology.

Hydatidiform mole resulting from sexual violence

Background. Hydatidiform mole (HM) is characterized by abnormal proliferation of human trophoblast with producers functioning tissues of human chorionic gonadotropin. It can evolve with ovarian cysts tecaluteínicos, hypertension of pregnancy or hyperthyroidism. The incidence of HM is variable and its etiology poorly known, associated with nutritional factors, environmental, age, parity, history of HM, oral contraceptives, smoking, consanguinity or defects in germ cells. There is no reference in literature on HM resulting from sexual violence, objective of this report. Method. Description of two cases of HM among 1146 patients with pregnancy resulting from sexual violence treated at Hospital Pérola Byington, São Paulo, from July 1994 to August 2011. Results. The cases affected young, white, unmarried, low educated and low parity women. Sexual violence was perpetrated by known offenders unrelated to the victims, under death threat. Ultrasound and CT of the pelvis showed bulky uterus compatible with HM without myometrial invasion. One case was associated with theca lutein cysts. The two cases were diagnosed in the second trimester of pregnancy and evolved with hyperthyroidism. There was no hypertension, disease recurrence, metastasis or sexually transmitted infection. Conclusion. The incidence of HM was 1:573 pregnancies resulting from rape, within the range estimated for Latin American countries. Trophoblastic material can be preserved to identify the violence perpetrator, considering only the paternal HM chromosomes. History of sexual violence should be investigated in cases of HM in the first half of adolescence and women in a vulnerable condition. © 2012 Drezzet et al; licensee BioMed Central Ltd.

Do Atopobium vaginae, Megasphaera sp. and Leptotrichia sp. change the local innate immune response and sialidase activity in bacterial vaginosis?

Objectives: To investigate if the participation of Atopobium vaginae, Megasphaera sp. and Leptotrichia sp. in the bacterial community of bacterial vaginosis (BV) is associated with distinct patterns of this condition. Methods: In this cross-sectional controlled study, 205 women with BV and 205 women with normal flora were included. Vaginal rinsing samples were obtained for measuring the levels of pro-inflammatory cytokines and bacterial sialidases. Real-time PCR was used to quantify the BV-associated bacteria and to estimate the total bacterial load using the 16S rRNA. Principal component analysis (PCA) using the measured parameters was performed to compare the BV samples with lower and higher loads of the species of interest. Results: Higher bacterial load (p<0.001), levels of interleukin 1-β (p<0.001) and sialidase activity (p<0.001) were associated with BV. Women with BV and higher relative loads of A vaginae, Megasphaera sp. and Leptotrichia sp. presented increased sialidase activity, but unchanged cytokine levels. PCA analysis did not indicate a different pattern of BV according to the loads of A vaginae, Megasphaera sp. and Leptotrichia sp. Conclusions: Greater participation of A vaginae, Megasphaera sp. and Leptotrichia sp. in vaginal bacterial community did not indicate a less severe form of BV; moreover, it was associated with increased sialidase activity.

Diagnóstico de cistite em cães: contribuição dos métodos de avaliação

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Avaliação do perfil hemostático, hematológico e bioquímico de cães com doença hepática

Pós-graduação em Medicina Veterinária - FMVZ

O Tema sexo na revista Todateen: um estudo freudiano

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Qualidade de vida de indivíduos infectados pelo HIV com ou sem tratmento anti-retroviral

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

No colo da ama de leite: a prática cultural da amamentação e dos cuidados das crianças na Província do Grão-Pará no século XIX

O presente estudo trata da prática cultural da amamentação e dos cuidados com as crianças pelas amas de leite na Província do Grão-Pará no século XIX. As amas de leite tiveram um papel importante no âmbito simbólico, social e cultural da vida privada da sociedade patriarcal-escravocrata no Brasil no século XIX. Na Província do Grão-Pará era recorrente a contratação de amas de leite para amamentar e cuidar das crianças. A questão central que norteou o estudo foi: Qual a presença das amas de leite na história da infância paraense, sobretudo as significações culturais, sociais e afetivas na vida da criança na Província do Grão-Pará no século XIX? Os objetivos da pesquisa foram: a) identificar a origem das amas de leite e sua importância para a história da infância; b) descrever a história da amamentação e os discursos dos médicos higienistas sobre os cuidados com a criança, a mãe e as amas de leite; c) destacar o significado das amas de leite na amamentação, nos cuidados e na educação das crianças no século XIX na Província do Grão-Pará; d) identificar a solicitação dos serviços das amas de leite para atender as crianças na Província do Grão-Pará. Metodologicamente utilizamos a pesquisa histórica e documental, composta por um corpus de 92 anúncios publicados no período de 1845 a 1888, nos jornais paraenses Treze de Maio, A Constituição, Diário de Belém, O Liberal do Pará, A Regeneração, Gazeta Official, Diário do Commercio e O Paraense. O corpus foi obtido na Biblioteca Artur Vianna (CENTUR) e na Hemeroteca da Biblioteca Nacional Digital, tendo sido organizado em 12 categorias de análise, com base na análise de conteúdo de Laurence Bardin. Os resultados demonstram a existência de um comércio indiscriminado de compra e venda de amas de leite na Província do Grão-Pará, inclusive valorizando as mais jovens, com bons costumes, boa higiene, sadias e que não tivessem cria. O perfil social das amas de leite da Província do Grão-Pará no período estudado era semelhante aos presentes nas demais Províncias do Brasil, sendo ela geralmente escrava e se fosse livre, era pobre e predominantemente negra. No final do século XIX, os médicos higienistas argumentavam que as amas de leite transmitiam doenças e eram “mercenárias”, recomendando a amamentação materna ou o uso de leite industrializado. No entanto, verificou-se que a influência da ama de leite para a criança foi além da relação afetiva, repercutindo em sua educação, linguagem, alimentação, enfim em diversos aspectos de sua cultura.

Aspectos clínicos, microbiológicos e da regulação da imunidade inata na vaginose bacteriana

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação da doença hepática gordurosa não alcoólica em mulheres na pós-menopausa

Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB

Caracterização funcional de HTRA1 em linhagens celulares HPV positiva e HPV negativa

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Comportamento sexual entre universitários da área da saúde: um estudo transversal

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliando conhecimento em DST de graduandos em medicina segundo a taxonomia de bloom

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