Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-13T20:11:14Z No. of bitstreams: 1 ThatianyAraujoDeMedeiros_DISSERT.pdf: 1620239 bytes, checksum: e75f59b47b08a1483c79c95ce336be37 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-02-16T00:30:20Z (GMT) No. of bitstreams: 1 ThatianyAraujoDeMedeiros_DISSERT.pdf: 1620239 bytes, checksum: e75f59b47b08a1483c79c95ce336be37 (MD5) / Made available in DSpace on 2017-02-16T00:30:21Z (GMT). No. of bitstreams: 1 ThatianyAraujoDeMedeiros_DISSERT.pdf: 1620239 bytes, checksum: e75f59b47b08a1483c79c95ce336be37 (MD5) Previous issue date: 2016-04-08 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / A toxoplasmose tem como agente etiol?gico o protozo?rio Toxoplasma gondii e geralmente causa infec??o assintom?tica em indiv?duos imunocompetentes. Entretanto, na transmiss?o cong?nita pode gerar quadros graves e morte, representando um s?rio problema de sa?de p?blica. Em pacientes gr?vidas reativas para IgM anti-T. gondii recomenda-se diagn?stico molecular do l?quido amni?tico utilizando a metodologia de PCR qualitativa com o iniciador B1. Por?m, seu diagn?stico utilizando esta metodologia pode ser ineficiente principalmente na detec??o de cepas h?bridas encontradas na Am?rica Latina. Nesse contexto, o objetivo deste trabalho foi avaliar a efici?ncia dos m?todos sorol?gicos e da t?cnica de Nested-PCR utilizando o iniciador GRA7 na detec??o do Toxoplasma gondii na transmiss?o cong?nita. O estudo foi realizado em 71 gestantes, atendidas no Centro de Sa?de Anita Garibaldi (CSAG), Maca?ba-RN no per?odo de 2011 a 2015, com idades gestacionais vari?veis e faixa et?ria entre 15-49 anos, submetidas a procedimentos de rotina durante o exame pr?-natal tratando-se, portanto, de um estudo de delineamento observacional transversal de acur?cia. Foram coletadas amostras de sangue perif?rico e l?quido amni?tico. Inicialmente foi realizado o diagn?stico sorol?gico para toxoplasmose com o aux?lio das t?cnicas de ELISA e Imunofluoresc?ncia indireta (IFI) para a detec??o de IgG e IgM anti-T. gondii. Posteriormente, as gestantes que apresentaram testes sorol?gicos reativos para IgM foram selecionadas para a realiza??o da t?cnica de Nested-PCR utilizando os iniciadores RE e GRA7. A sororeatividade detectada pela presen?a de IgG e IgM anti-.T gondii pelas t?cnicas de ELISA e IFI foram, respectivamente, 91,55% e 14,08%, 76,06% e 5,63%. A positividade total para IgM quando associado as t?cnicas de ELISA e IFI foi de 15,49% (11/71). Entretanto, a an?lise da positividade com a utiliza??o da Nested-PCR foi de 0% (0/11), 9,09% (1/11) e 54,5% (6/11) utilizando os iniciadores RE, B1 e GRA7 respectivamente. Os resultados indicam que o iniciador GRA7 proposto ? mais eficiente na detec??o do T. gondii no l?quido amni?tico que o iniciador B1 e RE, quando utilizada a t?cnica de Nested-PCR. / Toxoplasmosis is the etiologic agent protozoan Toxoplasma gondii and usually cause asymptomatic infection in immunocompetent individuals. However, congenital transmission can lead to serious and death, representing a serious public health problem. In pregnant patients reactive to IgM anti-T. gondii is recommended molecular diagnosis using amniotic fluid qualitative PCR method with the primer B1. However, the diagnosis using this approach can be inefficient mainly for detection of hybrid strains found in Latin America. In this context, the objective of this study was to evaluate the effectiveness of serological methods and nested PCR technique using the primer GRA7 the detection of Toxoplasma gondii congenital transmission. The study was performed in 71 pregnant women seen at the Anita Garibaldi Health Center (CSAG), Maca?ba-RN in the period 2011 to 2015, aged gestational variables and age group 15-49 years, subjected to routine procedures during the examination prenatal the case, therefore, a study of cross-sectional observational design accuracy. Samples of peripheral blood and amniotic fluid was collected. Initially it performed the serological diagnosis of toxoplasmosis with the help of ELISA and indirect immunofluorescence (IIF) for the detection of IgG and IgM anti-T. gondii. Subsequently, patients showed reactive serologic tests for IgM were selected to perform the nested PCR technique using the RE and GRA7 initiators. The seroreactivity detected by the presence of anti-IgG and IgM. T. gondii by the ELISA and IFA techniques were respectively 91.55% and 14.08%, 76.06% and 5.63%. Total positivity for IgM when combined the techniques of ELISA and IFA was 15.49% (11/71). However, analysis of positive using the nested PCR was 0% (0/11), 9,09% (1/11) and 54.5% (6/11) using the primers RE, B1 and GRA7 respectively. The results indicate that the proposed GRA7 initiator is more efficient in the detection of T. gondii in amniotic fluid B1 and RE primer, when using the nested PCR technique.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-07-04T12:09:26Z No. of bitstreams: 1 AmandaCellyDeAndradeMouraMelo_DISSERT.pdf: 1511274 bytes, checksum: 5fd1b585bc13e8f803f5afe9be7bf6e3 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-07-11T14:35:48Z (GMT) No. of bitstreams: 1 AmandaCellyDeAndradeMouraMelo_DISSERT.pdf: 1511274 bytes, checksum: 5fd1b585bc13e8f803f5afe9be7bf6e3 (MD5) / Made available in DSpace on 2017-07-11T14:35:48Z (GMT). No. of bitstreams: 1 AmandaCellyDeAndradeMouraMelo_DISSERT.pdf: 1511274 bytes, checksum: 5fd1b585bc13e8f803f5afe9be7bf6e3 (MD5) Previous issue date: 2017-02-24 / Introdu??o: Durante a gravidez, ocorrem altera??es hemodin?micas, hormonais e biomec?nicas no corpo feminino que resultam em modifica??es nos sistemas corporais materno. As altera??es no padr?o e priva??o do sono, caracter?sticas desse per?odo, podem afetar a estabilidade postural dessas mulheres. Objetivos: Comparar as vari?veis do equil?brio postural (est?tico e din?mico) entre gestantes, com e sem altera??o do padr?o de sono (sonol?ncia excessiva, horas dormidas por noite e lat?ncia), de acordo com os trimestres gestacionais. M?todos: Participaram do estudo 236 gr?vidas, com idade gestacional compreendida entre 16 e 32 semanas (25,03?4,49). Dessas, 124 (52,4%) estavam no segundo e 112 (47,5%) no terceiro trimestre gestacional. As volunt?rias foram avaliadas quanto ao padr?o de sono, por meio do ?ndice de Qualidade do Sono de Pittsburgh e da Escala de Sonol?ncia de Epworth. Para avalia??o do equil?brio postural, foi utilizado o Balance Master?. Os dados foram analisados pelo Teste t de Student para amostras independentes. Foi adotado um n?vel de signific?ncia de p<0,05. Resultados: Os resultados mostraram que 56 gestantes (27,7%) consideraram como boa e que 171 (72,5%) classificaram como ruim a qualidade do sono. Foi verificado ainda que 132 gr?vidas (55,9%) n?o apresentaram sonol?ncia excessiva, contrapondo-se a 93 volunt?rias (39,4%) que demonstraram tal condi??o. Conclus?o: N?o houve diferen?as significativas para as vari?veis do equil?brio postural, entre gestantes com e sem altera??o do padr?o do sono, em ambos os trimestres gestacionais. / Introduction: During pregnancy, hemodynamic, hormonal, and biomechanical changes occur in the female body that result in changes in maternal body systems. Changes in sleep pattern and deprivation, characteristics of this period, can affect the postural stability of these women. Aims: To compare the variables of postural balance (static and dynamic) among pregnant women, with and without alteration of the sleep pattern (excessive sleepiness, hours of sleep per night and latency) according to the gestational trimesters. Methods: A total of 236 pregnant women with a gestational age ranging from 16 to 32 weeks (25.03; SD? 4.49) participated in the study. Of these, 124 (52.4%) were in the second and 112 (47.5%) in the third gestational trimester. The volunteers were assessed for sleep pattern using the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale. Balance Master was used to evaluate postural balance. Data were analyzed by Student's t-test for independent samples. A significance level of p <0.05 was adopted. Results: The results showed that 56 pregnant women (27.7%) considered it as good and 171 (72.5%) rated sleep quality as poor. It was also verified that 132 pregnant women (55.9%) did not present excessive drowsiness, as opposed to 93 volunteers (39.4%) who demonstrated such condition. Conclusion: There were no significant differences in postural balance variables between pregnant women with and without alteration of the sleep pattern in both gestational trimesters.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-10-18T20:24:43Z No. of bitstreams: 1 YaskaraYgaraMenescalPintoFernandes_TESE.pdf: 2632244 bytes, checksum: a599e082c85a496e5b7fd4d617b18831 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-10-19T22:59:23Z (GMT) No. of bitstreams: 1 YaskaraYgaraMenescalPintoFernandes_TESE.pdf: 2632244 bytes, checksum: a599e082c85a496e5b7fd4d617b18831 (MD5) / Made available in DSpace on 2017-10-19T22:59:23Z (GMT). No. of bitstreams: 1 YaskaraYgaraMenescalPintoFernandes_TESE.pdf: 2632244 bytes, checksum: a599e082c85a496e5b7fd4d617b18831 (MD5) Previous issue date: 2017-09-06 / De acordo com a Organiza??o Mundial da Sa?de, cerca de 9,2% dos 28 milh?es dos rec?m-nascidos em todo o mundo s?o natimortos. Al?m disso, cerca de 358 mil mulheres morreram devido a complica??es com a gravidez em 2015. Parte dessas mortes poderiam ter sido evitadas com a melhoria na assist?ncia pr?-natal e agilidade no reconhecimento de problemas na gesta??o. Assim, esfor?os t?m sido realizados para disponibilizar os servi?os de sa?de com tecnologias que possam contribuir para o melhor acesso ? informa??o e aux?lio ? tomada de decis?o. ? neste contexto que a presente tese apresenta uma arquitetura para automatizar o processo classifica??o e encaminhamento de gestantes entre as unidades b?sica de sa?de e o hospital de refer?ncia atrav?s da plataforma de Telessa?de. A arquitetura de Telessa?de foi desenvolvida atrav?s de tr?s componentes: componente de aquisi??o de dados, respons?vel pela coleta e inser??o de dados; componente de processamento, ? o n?cleo da arquitetura, implementada atrav?s de sistemas especialistas para a classificar o risco gestacional; e o componente de p?s-processamento, respons?vel pela entrega e an?lise dos casos. Foram realizados os testes de aceita??o, teste de precis?o do sistema baseado em regras e teste de desempenho. Para a realiza??o dos testes foram utilizados 1380 formul?rios de encaminhamentos de situa??es reais. Diante dos resultados obtidos com a an?lise de dados reais, a arquitetura desenvolvida, chamada Eileithyia, atende aos requisitos de auxiliar especialistas m?dicos na classifica??o do risco gestacional, diminuindo os custos de transporte e o inconveniente do deslocamento das mulheres gr?vidas pelo Estado. / According to the World Health Organization, about 9.2% of the 28 million newborns worldwide are stillborn. Besides, about 358,000 women died due to complications related to pregnancy in 2015. Part of these deaths could have been avoided with improving prenatal care agility to recognize problems during pregnancy. Based on that, many efforts have been made to provide technologies that can contribute to offer better access to information and assist in decision-making. In this context, this work presents an architecture to automate the classification and referral process of pregnant women between the basic health units and the referral hospital through a Telehealth platform. The Telehealth architecture was developed in three components: The data acquisition component, responsible for collecting and inserting data; the data processing component, which is the core of the architecture implemented using expert systems to classify gestational risk; and the post-processing component, in charge of the delivery and analysis of cases. Acceptance test, system accuracy test based on rules and performance test were realized. For the tests, 1,380 referral forms of real situations were used. On the results obtained with real data analysis, the developed architecture, called Eileithyia, meets the requirements to assist medical specialists on gestational risk classification which decreases the inconvenience of pregnant women displacement and the resulting costs.

A Chanson de Roland, obra construída no século XIX como fundadora da literatura francesa, foi bastante explorada ao longo dos últimos 150 anos, muitas vezes com usos políticos, nem sempre expressos. Apesar de exaustivamente trabalhada pelos estudos literários, são quase inexistentes as investigações históricas sobre o seu conteúdo cristão e suas possíveis relações com a legitimação do combate contra os pagãos. Este trabalho investiga de que forma os pagãos são representados na gestas do final do século XI, e como estas constroem uma alteridade através da religião, da moralidade, da territorialidade, e da etnicidade. Investiga também como os cristãos são representados dentro uma unidade pan-européia, numa sobreposição das noções de império e cristandade, e como sua luta contra os pagãos é legitimada, e mesmo santificada, pelas obras, através do martírio dos seus cavaleiros. / The Song of Roland, explored in the nineteenth century as the main text of French literature, was heavily exploited over the past 150 years, often with political uses, not always expressed. Despite extensive work by literary studies, there hardly any historical research on its Christian content and its possible association with the legitimacy of the combat against the pagans. This work investigates how the pagans are represented in the gestas of the late eleventh century, and how they build an otherness through religion, morality, territoriality, and ethnicity.It also investigates how Christians are represented in a pan-European unity, in a superposition of the notions of empire and Christianity, and how their fight against the heathen is legitimated and even sanctified through the martyrdom of their knights.

This diploma thesis deals with application of Microsoft Kinect sensor for remote control of mobile robot. The aim was design and implement methods for remote control of mobile robot with using of predefined gestures and these method practically tested.

This thesis explores the geographic complexity of English identity in the High Middle Ages by examining texts that reflect moments and spaces of cultural contact. While interaction with a cultural Other is often thought to reinforce national identity, I challenge this notion, positing instead that, in the texts analysed here, cultural meetings prompt the formation or consolidation of regional identities. These identities are often simultaneously local and cross-cultural, inclusive but based in community ties and a shared sense of place. Each of the four chapters examines a different kind of regional identity and its relation to Englishness through romances and historiographical texts in Anglo-Latin, Anglo-Norman, and Middle English. Discussion primarily focuses on the Gesta Herwardi, Gaimar's Estoire des Engleis, Fouke le Fitz Waryn, Gui de Warewic, Boeve de Haumtone, Le roman de toute chevalerie, and Richard Coer de Lyon. Each of these texts negotiates English identity in relation to a cultural Other, and balances various aspects of cultural identity and scales of geographic affiliation. While some focus exclusively on a particular locality, others create inclusive regional identities, draw together the foreign and the familiar, or depict England as a region on the edge of an interconnected world. These texts show that Englishness can carry different meanings, nuances, and identitary strategies that depend on context, location, or ideology. Together, they forge an image of England that is diverse and multinucleated. Its borders become spaces of meeting, connection, and cultural overlap, as well as division. These works establish a strong English identity while articulating England's necessary relationship with other places, spaces, and peoples, challenging not the borders of England, but the borders of Englishness.

This master’s thesis is dealing with recognition of an easy static gestures in order to computer controlling. First part of this work is attended to the theoretical review of methods used to hand segmentation from the image. Next methods for hang gesture classification are described. The second part of this work is devoted to choice of suitable method for hand segmentation based on skin color and movement. Methods for hand gesture classification are described in next part. Last part of this work is devoted to description of proposed system.

Submitted by Jadson Francisco de Jesus SILVA (jadson@uefs.br) on 2018-01-29T22:45:42Z No. of bitstreams: 1 Disserta??o Luciana completa com ficha catalogr?fica 16.07.17.pdf: 2247373 bytes, checksum: 0ff7d144b6f58b050a152ed5d27d84c7 (MD5) / Made available in DSpace on 2018-01-29T22:45:42Z (GMT). No. of bitstreams: 1 Disserta??o Luciana completa com ficha catalogr?fica 16.07.17.pdf: 2247373 bytes, checksum: 0ff7d144b6f58b050a152ed5d27d84c7 (MD5) Previous issue date: 2017-04-04 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / The dissertation aims to analyze the prevalence and the associated factors of domestic violence in gestation at a referral maternity, in Feira de Santana, Bahia. It is a cross-sectional study with 324 women treated at the Women's Hospital after 24 hours postpartum. A bivariate analysis was performed with Pearson's Chi Square considering possible associations with presence of domestic violence and socioeconomic, demographic and gynecological-obstetric variables and drug use by relatives with p value <0.05 and multivariate analysis with logistic regression model With adjustments of variables that presented p value <0.05. Among the results, the prevalence of domestic violence was 21%, before gestation 48.5% and during gestation 51.5%. The proportions of the types of violence were psychological 34.3%, moral 23.8%, physical 19.3%, patrimonial (11.6%) and sexual (11%). The main offender was former companion. The presence of domestic violence indicated association with marital status (p 0.000), work away from home (p 0.001), occupation of women (p 0.002), women's financial dependency (p 0,000), partner's age (p 0.007), occupation (P0.032), number of births (p0.035), use of drugs by the former partner (p = 0.000), and psychological violence in the form of insult (OR = 0.44, 95% CI = 0.21 to 0.90, p = 0.026), and the mean age of the patients was significantly higher than that observed in the regression analysis. (OR = 0.43, 95% CI = 0.19-098, p = 0.046), presence of abortion (OR = 0.43, 95% CI = 0.19-096, p = 0.041). It is concluded that domestic violence in these findings incorporates gender relations within the family structure and should be investigated in prenatal services. From this perspective, it reflects the need for services and actions aimed at prevention in different personal, social and cultural perspectives of women, aggressors and families. / A disserta??o tem como objetivo analisar a preval?ncia e os fatores associados a viol?ncia dom?stica na gesta??o em maternidade de refer?ncia, em Feira de Santana, Bahia. Trata-se de um estudo de corte transversal com 324 mulheres atendidas no Hospital da Mulher ap?s 24 horas p?s-parto. Realizou-se an?lise bivariada com Qui Quadrado de Pearson considerando poss?veis associa??es com presen?a da viol?ncia dom?stica e vari?veis socioecon?micas, demogr?ficas, gineco-obst?tricas e uso de drogas por parentes com valor de p < 0,05 e an?lise multivariada com modelo de regress?o log?stica com ajustes de vari?veis que apresentaram valor de p <0,05. Dentre os resultados, a preval?ncia encontrada da viol?ncia dom?stica foi de 21%, antes da gesta??o 48,5% e durante a gesta??o 51,5%. As propor??es dos tipos de viol?ncia foram psicol?gica 34,3%, moral 23,8%, f?sica 19,3%, patrimonial 11,6% e sexual 11%. O principal agressor foi o parceiro ?ntimo. A presen?a de viol?ncia dom?stica indicou associa??o com estado civil (p 0,000), trabalho fora de casa (p 0,001), ocupa??o da mulher (p 0,002), depend?ncia financeira da mulher (p 0,000), idade do companheiro (p 0,007), ocupa??o do companheiro (p 0,032), n?mero de gesta??es (p 0,007), presen?a de aborto (p 0,024), n?mero de partos (p 0,035),uso de drogas pelo ex-companheiro (p 0,000) e viol?ncia psicol?gica sob forma de insulto, chantagem e ridiculariza??o (p 0,010), na regress?o log?stica apresentaram associa??o estatisticamente significante com presen?a de viol?ncia dom?stica as vari?veis estado civil (OR=0,44; IC 95%=0,21-0,90; p=0,026), depend?ncia financeira da mulher (OR=0,43; IC 95%=0,19-098; p=0,046), presen?a de aborto (OR=0,43; IC 95%=0,19-096; p=0,041). Conclui-se que, a viol?ncia dom?stica nesses achados incorpora rela??es de g?nero dentro da estrutura familiar e deve ser investigada nos servi?os de pr?-natal. Nessa perspectiva, reflete a necessidade de servi?os e a??es voltadas a preven??o em diferentes aspectos pessoais, sociais e culturais de mulheres, agressores e fam?lias.

Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2015-07-07T12:46:56Z No. of bitstreams: 1 471709 - Texto Completo.pdf: 1964920 bytes, checksum: 322c3402ce4feed16d4833fcbeb64c63 (MD5) / Made available in DSpace on 2015-07-07T12:46:56Z (GMT). No. of bitstreams: 1 471709 - Texto Completo.pdf: 1964920 bytes, checksum: 322c3402ce4feed16d4833fcbeb64c63 (MD5) Previous issue date: 2015-03-24 / Conselho Nacional de Pesquisa e Desenvolvimento Cient?fico e Tecnol?gico - CNPq / Objective : To develop a meta-analysis on ultrasonographic methods for preecalmpsia prediction.Methods : The databases MEDLINE, EMBASE, LILACS and SCIELO were searched for selecting studies and data extraction. We assessed study validity by QUADAS II. The statistical analysis was performed using summary operating point for qualitative variables and using summary ROC curves for quantitative variables.Results : In the gestation?s first trimester, ultrasound methods are not applicable for preeclampsia prediction due to low sensitivity. In the second trimester there are three feasible tests. For early preeclampsia prediction (birth < 34 weeks) the uterine arteries mean pulsatility index above 95th centile plus bilateral notching have a low negative likelihood ratio (0.28) and high sensitivity (89%). For preeclampsia prediction at any time of gestation, resistance index may be used. Mean resistance index > 0.58 is applicable for high risk pregnant women with an AUC of 0.804. For pregnant women without risk for preeclampsia, the specificity of the bilateral resitance index > 0.70 was 97%.Conclusion : In the first trimester ultrasound methods can not be used to predict preeclampsia. During the second trimester, the mean pulsatility index above 95th centile has the best predictive power. This test is applicable for low risk patients to predict preeclampsia below 34 weeks. The mean resistance index > 0.58, with sensitivity and specificity around 74%, to predict preeclampsia at any time of gestation in high risk patients, can also be used. For low risk patients and preeclampsia prediction at any time of gestation , all tests had low sensitivities. / Objetivo : Realizar uma metan?lise para testar a acur?cia dos m?todos ultrassonogr?ficos para predi??o de pr?-ecl?mpsia.M?todos : Foi efteuada pesquisa nas bases de dados MEDLINE, EMBASE, LILACS e CIELO, onde os estudos foram selecionados. A validade dos estudos foi acessada pela ferramenta QUADAS II. A an?lise estat?stica foi feita utilizando summary operating point para vari?veis qualitativas e summary ROC curve para vari?veis quantitativas.Resultados : No primeiro trimestre da gesta??o, os m?todos ultrassonogr?ficos n?o t?m aplicabilidade para predi??o de pr?-ecl?mpsia devido ? sua baixa sensibilidade. No segundo trimestre, encontramos tr?s testes que podem ser utilizados. Para predi??o de pr?-ecl?mpsia precoce (que culmina com nascimento abaixo das 34 semanas) o ?ndice de Pulsatilidade m?dio das art?rias uterinas acima do percentil 95 associado ? incisura protodiast?lica bilateral teve uma baixa raz?o de verossimilhan?a negativa (0,28) e uma alta sensibilidade (89%). Para predi??o de pr?-ecl?mpsia a qualquer momento da gravidez, o ?ndice de resist?ncia pode ser usado. ?ndice de Resist?ncia m?dio > 0,58 ? aplic?vel para pacientes de alto risco, tendo uma ?rea abaixo da curva de 0,804. Para gr?vidas de baixo risco de pr?-ecl?mpsia, a especificidade do ?ndice de Resist?ncia bilateral > 0,70 foi de 97%.Conclus?o : No primeiro trimestre n?o encontramos bons resultados com m?todos ultrassonogr?ficos para predi??o de pr?-ecl?mpsia. No segundo trimestre o ?ndice de pulsatilidade m?dio acima do percentil 95 teve o melhor poder preditivo. Este teste ? aplic?vel para pacientes de baixo risco e para predizer pr?-ecl?mpsia abaixo de 34 semanas. Podemos utilizar tamb?m o ?ndice de Resist?ncia maior que 0,58, com sensibilidade e especificidade pr?ximas as 74%, para predizer pr?-ecl?mpsia em pacientes de alto risco, com a doen?a ocorrendo em qualquer momento da gravidez. Para pacientes de baixo risco e predi??o de pr?-ecl?mpsia a qualquer momento da gesta??o os testes t?m baixa sensibilidades.

Made available in DSpace on 2015-07-15T13:31:38Z (GMT). No. of bitstreams: 1 Dissertacao Pedro.PDF: 1222272 bytes, checksum: 0508b8ca64d8e3aa387661ddc93a38d3 (MD5) Previous issue date: 2006-07-21 / Introduction: Nutritional deficiencies and consequent anemia constitute important Public Health problems. Health initiatives and public policies, with the object of preventing and treating these problemsf have increasingly been developed jn the last two decades (WHO; UNCF; UNU, 2001 ). Anemia is a disorder characterized by a reduction in the concentration of hemoglobin compared to reference levels. During pregnancy iron deficiency can be associated with multiple problems for both the mother and fetusf including heightened risk of hemorrhagef sepsisf maternal mortalityf perinatal mortality and low birth weight (WHO; UNCF; UNUf 2001). General objectives: To estimate the prevalence of anemia in pregnant women attended by the Family Health Care Units (USF) in the municipality of Feira de Santana within the period between october 2005 and March 2006. Specifc objetctives: To characterize the sociodemographicf socioeconomc and gynecological-obstetrical factors associated with the development of anemia in the pregnant women; to classify morphologically, and by severity, the anemia affecting the study population; to support pre-natal health initiatives for the treatment and, above all else, the prevention of this ailment. Methodology: A descriptive prevalence study was undertaken, seeking associations between possible correlated factors. The research included a representative study group of pregnant women attended by the Family Health Care Units in the municipality of Feira de Santana within the period between October 2005 and March 2006. A questionnaire containing question blocks related to personal details (age, weight, height, skin color), sociodemographic and socioeconomic information (including, amongst other questionsf marital status, education and salary), gynecologic and obstetric history (menarche, number of pregnancies, interval between pregnancies ant1 the use of anti-anemic drugs). Hematologic results (hemoglobin and hematocrit) were obtained from a testing laboratory that provides services to the Brazilian Health System (SUS) in Feira de Santana and attends to, amongst others, the pregnant women assisted by the USF . Results: The descriptive analysis showed that 31,9% of pregnant women interviewed were anemic. Through exploratory analysis the association between the occurrence of anemia and sociodemografic arid socioeconomic (low education levels, low family income and unstable living conditions), gynecological and obstetrical (pregnancy trimester, previous abortions, low birth weight in previous pregnancies) factors became evident. The analysis of the relationship between the occurrence of anemia in the women and anthropometric data revealed a connection with low birth weight. Conclusion: The results obtained point to the need to intervence in order to minimilize the causes of anemia, with the objective of reducing the frequency of this injury in the general population. / Introdu??o: Defici?ncias nutricionais e conseq?ente anemia constituem importantes problemas de Sa?de P?blica, tendo sido incrementadas nas duas ?ltimas d?cadas a??es de sa?de e pol?ticas p?blicas objetivando sua preven??o e tratamento (WHO; UNCF; UNU, 2001). A anemia ? uma desordem caracterizada pela diminui??o da concentra??o de hemoglobina em rela??o aos valores referenciais. Durante a gravidez a defici?ncia de ferro pode estar associada a m?ltiplas adversidades tanto para m?e como para o feto, incluindo aumento do risco de hemorragia, sepsis, mortalidade materna, mortalidade peri-natal e baixo peso ao nascer (WHO; UNCF; UNU, 2001). Objetivo Geral: Estimar a preval?ncia de anemia nas gestantes atendidas em Unidades de Sa?de da Fam?lia (USF) no munic?pio de Feira de Santana, no per?odo de outubro de 2005 a mar?o de 2006; Objetivos Espec?ficos: Caracterizar os determinantes sociais, econ?micos, demogr?ficos e ginecol?gico-obst?tricos, associados ao desenvolvimento de anemia na gesta??o. Classificar morfologicamente e quanto ao grau de severidade as anemias que acometem a popula??o em estudo. Subsidiar a??es de assist?ncia pr?-natal para tratamento e principalmente a preven??o desta enfermidade. Metodologia: Foi realizado estudo de preval?ncia, descritivo, buscando-se associa??es entre poss?veis fatores correlacionados. Foi inclu?da no estudo amostra representativa das gestantes atendidas nas Unidades de Sa?de da Fam?lia do munic?pio de Feira de Santana, no per?odo entre outubro de 2005 a mar?o de 2006. Foi utilizado formul?rio estruturado contendo blocos de quest?es relacionadas com os dados pessoais (idade, peso, altura, cor da pele); informa??es sociodemogr?ficas e socioecon?micas (incluindo, dentre outras quest?es, a situa??o conjugal, escolaridade, renda familiar); dados ginecol?gicos (menarca) e obst?tricos (n?mero de gesta??es, intervalo entre gesta??es, uso de antian?micos). Os dados hematol?gicos (hemoglobina e hemat?crito) foram obtidos em um laborat?rio de an?lises cl?nicas que presta servi?o ao Sistema ?nico de Sa?de (SUS) do munic?pio e que atende, entre outros, as gestantes assistidas nas USF. Resultados: A an?lise descritiva demonstrou preval?ncia de 31,9% de anemia entre as gestantes entrevistadas. Na an?lise explorat?ria ficou evidente a associa??o entre ocorr?ncia de anemia em fun??o de determinantes sociodemogr?ficos e socioecon?micos (baixo n?vel de escolaridade, baixa renda familiar em sal?rio m?nimo per capta, condi??es prec?rias de moradia) e ginecol?gicos e obst?tricos (trimestre gestacional, presen?a de aborto anterior, presen?a de filho com baixo peso ao nascer em gesta??es anteriores). A avalia??o da rela??o entre ocorr?ncia de anemia nas gestantes com os ?ndices antropom?tricos revelou associa??o com baixo peso. Conclus?o: Os resultados obtidos apontam para a necessidade de interven??es no sentido de minimizar os determinantes da anemia objetivando a redu??o da freq??ncia deste agravo na popula??o.