Anestro pós-parto: luteólise prematura

The prolonged postpartum anoestrus in cows reduces the number of calves leading to a significant economic loss to producers. Suckling and nutrition are the factors of great importance to the extension of the post-partum period. Besides, the occurrence of short cycles within 30 to 40 days postpartum contributes to an increase in the parturition–conception interval. These cycles are related to development of a corpus luteum with reduced duration after the first ovulation (less than 12 days). It is known that the short persistence of the corpus luteum is caused by advance of the luteolytic mechanisms. However, there is a lack of consensus regarding the cause of this anticipation. There are two currently accepted hypotheses, one related to the lack of prior exposure to progesterone, and the other related to the low concentration of pre-ovulatory estrogen. Considering the decrease in the incidence of short cycles in cows treated with progesterone and estrogen, the main protocols of ovulation induction include combination of both hormones. Therefore, this study aimed at describing the post-partum anestrous in cows and the main predisposing factors, emphasizing the first postpartum ovulation, short cycle and, its respective causes and consequences

Melhoria de processos de serviços prestados em assistência técnica

Currently the service sectors have an increasingly important role in the productive sector because they can represent a great advantage to the consumer. In this graduate work a study was conducted with the objective of process improveme nt services in the sector of technical assistance in a factory machinery and equipment. Through process mapping, through the technical blueprint, and time study were able to identify opportunities for improvement for reducing the time customer service, as well as the proposed performance indicators for the service

Humanização da assistência ao paciente crítico: revisão integrativa da literatura

This study aimed at analyzing the scientific production on health care humanization in intensive-care and emergency units based on publications in national journals. Therefore, this is an integrative review of the national literature. The online database Literatura Latino-Americana do Caribe em Ciências da Saúde - Literature in the Health Sciences in Latin America and the Caribbean (LILACS) based on the Health Virtual Library (BVS) platform was used to select articles. The final sample in this review consisted of 21 articles. The presentation of results and data discussion was descriptively performed and divided into three themes: communication with relatives and the team, caregiver humanization and, finally, the difficulties faced to implement humanization. As regards communication, it is seen by the authors as a fundamental strategy to ensure quality in intensive care, and it is placed as a central axis in the humanization policy. Concerning caregiver humanization, the physical and mental overload resulting from the work process in these units are factors that interfere with personal relations between team members as well as with that between team members and patients. Among the difficulties faced for implementing humanized care for critical patients are the units’s physical and organizational structures, technology and health care professionals’ education, which is centered on the biomedical model. It was concluded that communication is considered to be fundamental for humanization of the care provided to critical patients, since it allows for the development of a network of meanings between patients, the team, families and the establishment. In order to implement care with humanized actions in urgency and emergency sectors, particularly in ICUs, it is necessary to change organizational culture and value health care professionals

Polimorfismo do gene IL6 candidato à predisposição à rotura prematura de membranas pré-termo e ao trabalho de parto pré-termo

Introduction: Preterm Labor (PTL) and Preterm Premature Rupture of Membranes (PPROM) cause severe complications for both mother and fetus. Among the risk factors associated with preterm labor and PPROM, genetic predisposition has been gaining importance. However, the association between polymorphic genes and the pathogenesis of PTL and PPROM remains elusive. A better understanding of the genetic mechanisms underlying these adverse pregnancy outcomes may enable the identification of high risk patients and allow new approaches to minimize the deleterious effects of prematurity. Aim: To determine the association between maternal IL-6 polymorphism gene and the occurrence of PTL and PPROM. Patients and Methods: The study included 109 patients with prior history of PL and/or PPROM that delivered prematurely at the Obstetrical Unit Care of Botucatu Medical School, UNESP between 2003 and 2012. The control group consisted of 68 patients that delivered at term, matched to the case group by age, ethnicity, and sex of the newborn. Oral swabs (Cath-AllTM – Epicentre Biotechnologies) were collected for analysis of genetic polymorphisms by PCR. Statistical tests were performed to compare genotype, clinical and socio-demographic data from the groups. A p-value of <0.05 was considered significant. Results: The sociodemographic characteristics in both groups were homogeneously distributed. The frequency of the polymorphic allele C, associated with less production of IL-6, and therefore thought to be protective against PTL and PPROM, was 32,5% in the study group and 30,9% in the control group, without statistically significant differences. Conclusion: Considering the sample size included in this study, the frequency of the mutated allele is similar in pregnant women who delivered at term and gestational complications as PTL and PPROM

Correlação entre presença de Mycoplasma hominis e Ureaplasma urealyticum e níveis IL-6 e IL-10 no líquido amniótico de gestantes com trabalho de parto prematuro

O trabalho de parto prematuro (TPP) é uma intercorrência obstétrica com etiologia multifatorial, que tem como principal complicação a prematuridade. A infecção da cavidade amniótica (CA) é um fator associado ao TPP e, nos últimos anos, inúmeros trabalhos têm demonstrado a presença de diferentes espécies bacterianas no líquido amniótico (LA) de pacientes em TPP. Dentre essas, destacam-se duas espécies de micoplasmas genitais, Mycoplasma hominis e Ureaplasma urealyticum, que embora sejam freqüentemente detectadas no LA ainda são pouco estudadas quanto à sua relação com essa complicação obstétrica. Avaliar a infecção na cavidade amniótica por M. hominis e U. urealyticum bem como determinar os níveis de IL-6 e IL-10 no líquido amniótico de gestantes com trabalho de parto prematuro. Foi realizado estudo prospectivo com 20 gestantes em TPP, atendidas no Serviço de Obstetrícia do Hospital das Clínicas da Faculdade de Medicina de Botucatu, UNESP. O grupo controle foi constituído de 20 gestantes com indicação para amniocentese transabdominal para avaliação da maturidade fetal. Foram obtidas amostras do líquido amniótico e das membranas corioamnióticas de todas as pacientes incluídas no estudo. A pesquisa de M.hominis e U.urealyticum no LA foi realizada empregando-se a técnica de reação em cadeia da polimerase (PCR) e os níveis de IL-6 e IL-10 quantificados por ensaio imunoenzimático (ELISA). Os dados obtidos referentes às características maternas, infecção da cavidade amniótica e concentração de citocinas no LA foram submetidos ao teste z de proporção e ao teste de Mann-Whitney e o nível de significância adotado foi de 5%. A incidência de TPP no período do estudo foi de 5,8%. No grupo TPP, a pesquisa de invasão microbiana da CA foi positiva para... (Resumo completo, clicar acesso eletrônico abaixo)

Infecção bacteriana da cavidade amniótica em gestantes com trabalho de parto prematuro

O trabalho de parto prematuro (TPP) é uma intercorrência obstétrica com etiologia multifatorial, que tem como principal complicação a prematuridade. A infecção da cavidade amniótica (CA) é um fator associado ao TPP e, nos últimos anos, trabalhos têm demonstrado a presença de diferentes espécies bacterianas no líquido amniótico (LA) de pacientes em TPP. O objetivo desse estudo foi identificar as espécies bacterianas presentes no líquido amniótico de gestantes em trabalho de parto prematuro. Foram incluídas, no grupo de estudo, 20 gestantes em TPP e como grupo controle, 20 gestantes, fora de trabalho de parto prematuro, com indicação para amniocentese transabdominal para avaliação da maturidade fetal. As pacientes foram atendidas no Serviço de Obstetrícia do Hospital das Clínicas da Faculdade de Medicina de Botucatu, no período de junho de 2005 a outubro de 2007. Para avaliação da presença de infecção na CA, foi realizada a reação em cadeia da polimerase (PCR) em amostras de líquido amniótico para detecção de Mycoplasma hominis, de Ureaplasma urealyticum e da seqüência conservada inter-espécie do gene RNAr 16S. Os produtos da reação de PCR para o gene RNAr 16S foram clonados para realização do seqüenciamento com a finalidade de identificar as espécies bacterianas da CA das gestantes incluídas no estudo. A incidência de TPP no período do estudo foi de 5,8%. No grupo TPP, a pesquisa de invasão microbiana da CA foi positiva para M. hominis (35,0%), U. urealyticum (15,0%) e gene RNAr 16S (30,0%), sendo todas as frequências superiores às encontradas no grupo controle (p<0,05). A pesquisa de microrganismos no LA através da pesquisa do gene bacteriano RNAr 16S revelou positividade de seis amostras de LA pertencente...(Resumo completo, clicar acesso eletrônico abaixo)

A vida pede passagem: o parto e as parteiras tradicionais

Não disponível

Sanidade Uterina Pós Parto: Aspectos Imunológicos e Terapêuticos

Function of the uterus is often compromised in cattle by bacterial contamination of the uterine lumen after parturition. Pathogenic bacteria often persist, causing uterine disease, a major cause of infertility in cattle. Knowledge of the immunological aspects of the uterus involved in maintaining reproductive healthiness is fundamental to the study of uterine infections that affect the uterus postpartum. Polymorphonuclear leukocytes have an important role because they are the first line of defense against colonization of bacteria in utero (Hammon and Goff, 2006). The establishment of uterine infection depends in parts of endocrine environment, particularly progesterone, which suppresses the immune system (Lewis, 2003). In the puerperium may occur uterine disorders, such as retained placenta, puerperal metritis, clinical and subclinical endometritis and pyometra, this review was proposed a study of the immunology involved in uterine health and a better understanding of uterine disorders, using the model of Sheldon et al. al, (2006) for classification of diseases, and a study of best treatment options and discussion about its functionality, because a lot of controversy among authors about choosing a treatment and another and between treated and untreated

Indução de parto em bovinos: Princípios e aplicações

Currently, Brazil has one of the largest cattle herds worldwide. In order to keep that milk and meat were introduced reproductive biotechnologies such as artificial insemination, embryo transfer and in vitro fertilization. In certain situations the technique may have undesired effect, for example, the production of calve calves due to the very large increase in the gestation period when performed in vitro fertilization. To avoid this problem we perform the induction of labor in order to prevent the product is longer the womb. This induction can also be made in case of diseases that compromise the life of the mother, twin pregnancy an abnormal size calf. The administration of short acting steroids, prostaglandins, association of short acting steroids and prostaglandins and association of short acting steroids, prostaglandins and long-acting corticosteroids are some of the possibilities of induction

Políticas públicas educacionais: uma análise sobre a Política Nacional de Assistência Estudantil no contexto da Universidade Federal do Triângulo Mineiro - UFTM

Pós-graduação em Serviço Social - FCHS

Perfil de fatores de virulência das Escherichia coli isoladas do útero de vacas holandesas após o parto e sua relação com a microbiota uterina

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

Avaliação do Programa Nacional de Assistência Estudantil - PNAES na UTFPR Câmpus Medianeira

Pós-graduação em Educação - FFC

Performance da contração muscular do assoalho pélvico de primíparas que realizaram parto vaginal ou parto cesárea

Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB

Itinerário terapêutico de mães de crianças que foram a óbito no período neonatal em município do interior paulista

Pós-graduação em Enfermagem - FMB