Thesis (Ph. D.)--University of Alabama at Birmingham, 2008. / Title from first page of PDF file (viewed Sept. 22, 2008). Includes bibliographical references (p. 116-128).

Thesis (Ph. D.)--University of Michigan, 2001. / Includes bibliographical references (leaves 141-148). Also issued in print.

Thesis (Ph. D.)--University of Michigan, 2001. / Includes bibliographical references (leaves 141-148).

- / -

Made available in DSpace on 2015-03-03T11:52:44Z (GMT). No. of bitstreams: 0 Previous issue date: 2014-08-22Bitstream added on 2015-03-03T12:07:06Z : No. of bitstreams: 1 000807276.pdf: 704969 bytes, checksum: ff10c194ee62e34fee0c1662ec6b1794 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Due to significant technical and technological advances in neonatology, the survival rate of premature babies and babies having very low birth weight increased. Besides the post-discharge care, the importance of further investigation concerning the behavioral aspects of preterm born children, associated with the study of the influences of educational practices and parental beliefs is highlighted. The aim of this study was to describe and compare the educational practices and beliefs about the development of preterm babies parents (37 weeks) and babies with very low birth weight (1.500g) with parents of children born at term (most children born or equal to 37 weeks) of both sexes, age 22-43 months. Besides describing and comparing behavior problems in the same group we finally related educational practices and beliefs about parents development of this population. The results showed that mothers from both groups cared and encouraged their children, but the Preterm Group, stimulated more than they needed, pointing to a possible failure of the early stimulation program that they attended. Moreover, children GPT, according to reports from their mothers, had more behavior problems than children born at term. It was also observed correlation between educational practices and beliefs and behavior problems. However, the best the practices the more behavior problems / Due to significant technical and technological advances in neonatology, the survival rate of premature babies and babies having very low birth weight have increased. Besides the post-discharge care, the importance of further investigation concerning the behavioral aspects of preterm born children, associated with the study of the influences of educational practices and parental beliefs is highlighted. The aim of this study was to describe and compare the educational practices and beliefs about the development of preterm babies parents (37 weeks) and babies with very low birth weigth (1.500g) with parents of children born at term (most children born or equal to 37 weeks) of both sexes, age 22-43 months. Besides describing and comparing behavior problems in the same group we finally related educational practices and beliefs about the parents development of this population. The results showed that mothers from both groups cared and encouraged their children, but the Preterm Group, stimulated more than they needed, poiting to a possible failure of the early stimulation program that they attended. Moreover, children GPT, according to reports from their mothers, had more behavior problems than children born at term. It was also observed correlation between educational practices and beliefs and behavior problems. However, the best the practices the more behavior problems

Submitted by Keylla Helena Nobre Pacifico Pereira (keylla_pacifico@hotmail.com) on 2018-07-30T15:58:14Z No. of bitstreams: 1 Dissertação mestrado - Keylla 2.docx: 2587623 bytes, checksum: 64380046fdfc8ee53c47fc61f45a0170 (MD5) / Rejected by Ana Lucia de Grava Kempinas (algkempinas@fca.unesp.br), reason: Refazer o upload de arquivo pdf e não word. Está como acesso parcial mas não foi especificado a partir de quando estará disponível na íntegra. Data para a disponibilização do texto completo: on 2018-07-30T18:12:25Z (GMT) / Submitted by Keylla Helena Nobre Pacifico Pereira (keylla_pacifico@hotmail.com) on 2018-07-30T19:56:19Z No. of bitstreams: 1 Dissertação mestrado - Keylla 2.pdf: 1688573 bytes, checksum: 088000530efae82d715bfe0a733942b7 (MD5) / Approved for entry into archive by Ana Lucia de Grava Kempinas (algkempinas@fca.unesp.br) on 2018-07-30T20:43:50Z (GMT) No. of bitstreams: 1 pereira_khnp_me_bot.pdf: 1688573 bytes, checksum: 088000530efae82d715bfe0a733942b7 (MD5) / Made available in DSpace on 2018-07-30T20:43:50Z (GMT). No. of bitstreams: 1 pereira_khnp_me_bot.pdf: 1688573 bytes, checksum: 088000530efae82d715bfe0a733942b7 (MD5) Previous issue date: 2018-07-24 / Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) / A Medicina Veterinária ainda apresenta menores índices de sobrevida neonatal quando comparada à Medicina. O período neonatal em cães possui uma alta taxa de mortalidade e as causas são atribuídas a vários fatores, entre estes a hipoxemia durante o parto e as malformações congênitas. O estudo objetivou avaliar dois fatores para a viabilidade neonatal sendo estes a hipoxemia e os defeitos congênitos. No primeiro estudo, determinou-se e compararou-se a viabilidade neonatal pelo escore de Apgar e reflexos neonatais, entre dois grupos, neonatos que foram submetidos ao clampeamento e neonatos submetidos ao não clampeamento do cordão umbilical. Houve diferença significante no escore Apgar e reflexos entre os grupos, demonstrando uma maior vitalidade neonatal do grupo não clampeado. O segundo estudo avaliou e determinou a incidência de defeitos congênitos encontrados em cães neonatos, relacionou as possíveis causas e determinou a taxa de mortalidade nos recém-nascidos acometidos. Do total de 74 ninhadas com 355 neonatos atendidos, 20 (27%) das ninhadas apresentaram malformações congênitas. As 20 ninhadas possuíam 98 neonatos, dos quais 29 (29,6%) estavam acometidos, e destes, 20 vieram a óbito. O defeito congênito mais comumente encontrado foi a fenda palatina (10/29) 34,5%, seguido pela hidrocefalia (6/29) 20,7%. A taxa de mortalidade total por defeitos congênitos foi de 5,6% (20/355), isto representa 68,9% (20/29) de mortalidade entre os neonatos acometidos. As malformações congênitas em cães possuem incidência significativa e um grande impacto na mortalidade de recém-nascidos. A neonatologia veterinária é uma área em ascensão, as pesquisas na área auxiliarão na intervenção clínica, em melhor qualidade dos tratamentos médicos, na prevenção e com isso maior sobrevida neonatal. As informações obtidas nos presentes estudos auxiliam no diagnóstico, prognóstico e na realização de medidas preventivas durante a gestação, o parto e o período neonatal, minimizando a taxa de mortalidade neonatal canina. / The Veterinary Medicine still has lower rates of neonatal survival when compared to Medicine. The neonatal period in dogs has a high mortality rate and the causes are attributed to several factors, including hypoxemia during birth and congenital malformations. The objective of the study was to evaluate two factors for neonatal viability: hypoxemia and congenital defects. In the first study, neonatal viability was determined and compared with the Apgar score and neonatal reflexes, between two groups, neonates who underwent clamping and neonates submitted to non-clamping of the umbilical cord. There was a significant difference in the Apgar score and reflexes between the groups, demonstrating a greater neonatal vitality of the non-clamped group. The second study evaluated and determined the incidence of congenital defects found in neonatal dogs, related the possible causes and determined the mortality rate in newborns affected. Of the total of 74 litters with 355 newborns attended, 20 (27%) of the litters presented congenital malformations. The 20 litters had 98 neonates, of which 29 (29.6%) were affected, and of these, 20 died. The most commonly found congenital defect was the cleft palate (10/29) 34.5%, followed by hydrocephalus (6/29) 20.7%. The total mortality rate due to congenital defects was 5.6% (20/355), this represents 68.9% (20/29) of mortality among the infants affected. Congenital malformations in dogs have a significant incidence and a great impact on the mortality of newborns. Veterinary neonatology is a growing area, research in the area will aid in clinical intervention, better quality of medical treatments, prevention and with this greater neonatal survival. The information obtained in the present studies helps in the diagnosis, prognosis and in the accomplishment of preventive measures during the gestation, the birth and the neonatal period, minimizing the rate of canine neonatal mortality.

Orientador: Olga Maria Piazentin Rolim Rodrigues / Banca: Verônica Aparecida Pereira / Banca: Tania Gracy Martins do Valle / Resumo: Due to significant technical and technological advances in neonatology, the survival rate of premature babies and babies having very low birth weight increased. Besides the post-discharge care, the importance of further investigation concerning the behavioral aspects of preterm born children, associated with the study of the influences of educational practices and parental beliefs is highlighted. The aim of this study was to describe and compare the educational practices and beliefs about the development of preterm babies parents (37 weeks) and babies with very low birth weight (1.500g) with parents of children born at term (most children born or equal to 37 weeks) of both sexes, age 22-43 months. Besides describing and comparing behavior problems in the same group we finally related educational practices and beliefs about parents development of this population. The results showed that mothers from both groups cared and encouraged their children, but the Preterm Group, stimulated more than they needed, pointing to a possible failure of the early stimulation program that they attended. Moreover, children GPT, according to reports from their mothers, had more behavior problems than children born at term. It was also observed correlation between educational practices and beliefs and behavior problems. However, the best the practices the more behavior problems / Abstract: Due to significant technical and technological advances in neonatology, the survival rate of premature babies and babies having very low birth weight have increased. Besides the post-discharge care, the importance of further investigation concerning the behavioral aspects of preterm born children, associated with the study of the influences of educational practices and parental beliefs is highlighted. The aim of this study was to describe and compare the educational practices and beliefs about the development of preterm babies parents (37 weeks) and babies with very low birth weigth (1.500g) with parents of children born at term (most children born or equal to 37 weeks) of both sexes, age 22-43 months. Besides describing and comparing behavior problems in the same group we finally related educational practices and beliefs about the parents development of this population. The results showed that mothers from both groups cared and encouraged their children, but the Preterm Group, stimulated more than they needed, poiting to a possible failure of the early stimulation program that they attended. Moreover, children GPT, according to reports from their mothers, had more behavior problems than children born at term. It was also observed correlation between educational practices and beliefs and behavior problems. However, the best the practices the more behavior problems / Mestre

Fundação Carlos Chagas Filho de Amparo a Pesquisa do Estado do Rio de Janeiro / Esta pesquisa teve como objetivo analisar o itinerário da paternidade como uma construção social, a partir das relações estabelecidas entre os pais com os membros da instituição de saúde e as redes sociais em que se inserem. Tal construção se configurou na busca, pelo pai, de reconhecimento do exercício da paternidade, bem como suas repercussões na integralidade do cuidado ao recém-nascido de risco e sua família. Utilizamos como pressupostos conceituais para definição do itinerário da paternidade as teorias da integralidade (desenvolvidas pelo grupo LAPPIS), a teoria do reconhecimento (de Axel Honneth) e de redes sociais (de Paulo Henrique Martins). O cenário da pesquisa foi o Hospital Sofia Feldman, instituição filantrópica de direito privado localizada na periferia de Belo Horizonte, Estado de Minas Gerais. Participaram do estudo três pais que tiveram filhos internados na UTIN e seus familiares, além de profissionais, voluntários e gestores que atuam na instituição. A partir da abordagem da fenomenologia sociológica, realizaram-se entrevistas, observação dos espaços institucionais e dois grupos focais com familiares, adotando-se a Metodologia de Análise de Redes no Cotidiano (MARES) como técnica de coleta de dados. A análise dos itinerários da paternidade nos permitiu discutir as repercussões da trajetória desses pais nas dimensões da integralidade (políticas e organização dos serviços e saberes e práticas dos profissionais). Verificamos que a alta da companheira e internação do filho na neonatologia constituem uma inflexão no percurso dos pais no que concerne à questão do reconhecimento como usuário no serviço e a integralidade do cuidado à família. Além disso, identificamos que as relações estabelecidas no acolhimento desses pais pelos profissionais envolveram a negociação de saberes entre os profissionais, e destes com os usuários, que repercutiram na construção e reconstrução das práticas de cuidado na UTIN. Tais repercussões significaram, na prática, formas de inclusão do pai, que passa de uma situação de observador privilegiado do cuidado com o filho para um mediador colaborador na efetivação da integralidade da assistência do filho na UTIN. Vislumbramos o itinerário da paternidade como uma ferramenta de prática avaliativa na perspectiva do usuário amistosa à integralidade, que possibilita a revalorização da experiência e das relações entre os sujeitos, e que tem no agir em saúde o catalisador para as transformações do cuidado como exercício de cidadania.

Orientador: Simone Biagio Chiacchio / Resumo: Atualmente, observa-se uma maior necessidade de uma assistência adequada tanto no período pré-natal, quanto neonatal, com a finalidade de redução da mortalidade de recém-nascidos, principalmente de animais com elevado valor genético e zootécnico, como os jumentos da raça Pêga. Desta forma, o presente estudo teve por objetivo, descrever os parâmetros clínicos, eletrocardiográficos (ECG) e índices de variabilidade da frequência cardíaca (VFC) em jumentas (no período pré e pós-parto), fetos (35 dias antes do parto) e na fase neonatal, até os 35 dias de idade. Para tal, utilizou-se 10 jumentas clinicamente saudáveis, no terço final de gestação e pós parto, 10 fetos e 10 neonatos pertencentes à raça Pêga, cujo os exames foram realizados ao 35º, 28º, 21º, 14º, 7º e 1º dia antes do parto (jumentas prenhes e fetos) e ao 1º, 7º, 14º, 21º, 28º e 35º dia após o parto para jumentas no período pós-parto e neonatos. Os índices da VFC em jumentas no período pós parto, diferiram significativamente (p<0,05) dentre os momentos de análise, onde o SDNN (ms) variou no primeiro dia após o parto, a RMSSD (ms) no primeiro e 14º dia após o parto, e BF (nu) e a relação BF/AF (nu) no primeiro dia após o parto. As jumentas apresentaram FC constante nos momentos analisados, enquanto que no período pós-parto, apresentaram redução, ambos não significativos. No traçado eletrocardiográfico das jumentas, observou-se significância (p<0,05) na FC (bpm), PR (ms), QT (ms), QTc (ms), T (ms) e R (mV) na derivação b... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Currently, there is a greater need for adequate prenatal and neonatal care in order to reduce the mortality of newborns, especially animals with high genetic and zootechnical value, such as Pêga donkeys. The aim of the present study was to describe the clinical parameters, electrocardiographic (ECG) and heart rate variability (HRV) indices in donkeys (pre and postpartum), fetuses (35 days before delivery) and in the neonatal phase, up to 35 days of age. For this, 10 clinically healthy donkeys were used, in the final third of gestation and postpartum, 10 fetuses and 10 neonates belonging to the Pêga breed, whose examinations were performed at 35º, 28º, 21º, 14º, 7º and 1º day before (pregnant donkeys and fetuses) and at the 1st, 7th, 14th, 21st, 28th and 35th days after delivery for postpartum donkeys and neonates. The HRV indices in donkeys in the postpartum period differed significantly (p <0.05) between the moments of analysis, where the SDNN (ms) ranged on the first day after delivery, the SDSS (ms) on the first and 14th day after delivery, and BF (nude) and the BF / AF ratio (nude) on the first day postpartum. The asses presented constant HR at the analyzed moments, while in the postpartum period, they presented reduction, both of which were not significant. In the electrocardiographic tracing of donkeys, significance was found (p <0.05) for HR (bpm), PR (ms), QT (ms), QTc (ms), T (ms) and R (mV) apex. And in the frontal plane the variables FC (bpm), PR (ms), QT (ms) and ... (Complete abstract click electronic access below) / Doutor

Orientador: Maria Lúcia Gomes Lourenço / Resumo: A Medicina Veterinária ainda apresenta menores índices de sobrevida neonatal quando comparada à Medicina. O período neonatal em cães possui uma alta taxa de mortalidade e as causas são atribuídas a vários fatores, entre estes a hipoxemia durante o parto e as malformações congênitas. O estudo objetivou avaliar dois fatores para a viabilidade neonatal sendo estes a hipoxemia e os defeitos congênitos. No primeiro estudo, determinou-se e compararou-se a viabilidade neonatal pelo escore de Apgar e reflexos neonatais, entre dois grupos, neonatos que foram submetidos ao clampeamento e neonatos submetidos ao não clampeamento do cordão umbilical. Houve diferença significante no escore Apgar e reflexos entre os grupos, demonstrando uma maior vitalidade neonatal do grupo não clampeado. O segundo estudo avaliou e determinou a incidência de defeitos congênitos encontrados em cães neonatos, relacionou as possíveis causas e determinou a taxa de mortalidade nos recém-nascidos acometidos. Do total de 74 ninhadas com 355 neonatos atendidos, 20 (27%) das ninhadas apresentaram malformações congênitas. As 20 ninhadas possuíam 98 neonatos, dos quais 29 (29,6%) estavam acometidos, e destes, 20 vieram a óbito. O defeito congênito mais comumente encontrado foi a fenda palatina (10/29) 34,5%, seguido pela hidrocefalia (6/29) 20,7%. A taxa de mortalidade total por defeitos congênitos foi de 5,6% (20/355), isto representa 68,9% (20/29) de mortalidade entre os neonatos acometidos. As malformações congêni... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The Veterinary Medicine still has lower rates of neonatal survival when compared to Medicine. The neonatal period in dogs has a high mortality rate and the causes are attributed to several factors, including hypoxemia during birth and congenital malformations. The objective of the study was to evaluate two factors for neonatal viability: hypoxemia and congenital defects. In the first study, neonatal viability was determined and compared with the Apgar score and neonatal reflexes, between two groups, neonates who underwent clamping and neonates submitted to non-clamping of the umbilical cord. There was a significant difference in the Apgar score and reflexes between the groups, demonstrating a greater neonatal vitality of the non-clamped group. The second study evaluated and determined the incidence of congenital defects found in neonatal dogs, related the possible causes and determined the mortality rate in newborns affected. Of the total of 74 litters with 355 newborns attended, 20 (27%) of the litters presented congenital malformations. The 20 litters had 98 neonates, of which 29 (29.6%) were affected, and of these, 20 died. The most commonly found congenital defect was the cleft palate (10/29) 34.5%, followed by hydrocephalus (6/29) 20.7%. The total mortality rate due to congenital defects was 5.6% (20/355), this represents 68.9% (20/29) of mortality among the infants affected. Congenital malformations in dogs have a significant incidence and a great impact on the mortalit... (Complete abstract click electronic access below) / Mestre