scholarly journals Acompañando a las mujeres gestantes víctimas de violencia de género. Aspectos éticos para las matronas

MUSAS ◽  
2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Júlia Martín Badia

The aim of this paper is to define an ethical framework that intertwines the essential—but not the only—elements that midwives should take into account when assisting pregnant women who suffer from gender violence (GV). Our proposal will focus on the idea of accompaniment, which can be defined as the process through which support is given to a vulnerable person in order to help her/him gain autonomy. A model of a biopsychosocial accompaniment of pregnant women suffering from gender violence will be suggested. It has three dimensions: firstly, it is a process through which midwives help women empower themselves; secondly, it is a process through which midwives build up an environment of trust and respect in the medical consultation; and thirdly, it requires an appropriate teamwork. This paper will focus on the first two dimensions, which are the two sides of the same coin, and will only briefly address the third one, as it goes far beyond the field of midwifery and thus beyond the aim of this article. The methodology used to develop this paper is the philosophical-rational analysis and reflection.

1986 ◽  
Vol 102 (1-2) ◽  
pp. 141-148 ◽  
Author(s):  
S. D. Howison

SynopsisWe consider the characterisation of a class of free boundary problems arising in the flow of a viscous liquid in a porous medium (or, in two dimensions, a Hele–Shaw cell). Injected air forms a bubble which grows as time increases; it is shown that three kinds of behaviour can occur. Firstly, the solution may cease to exist in finite time; secondly, the solution may exist for all time and the free boundary may have one or more limit points as t tends to infinity; and thirdly, the bubble may exist for all time and fill the whole space as t tends to infinity. Two-dimensional explicit examples arc given of all three types of behaviour, and it is proved that the only solutions of the third kind are those in which the bubble is always elliptical; the proof uses the theory of null quadrature domains. It is shown that solutions for ellipsoidal bubbles exist in three dimensions and it is conjectured that the only three-dimensional null quadrature domains with finite complement are those whose complement is an ellipsoid.


2002 ◽  
Vol 17 (2-3) ◽  
pp. 129-133
Author(s):  
Bill Addis

Both architects and engineers are unconsciously drawn towards the two dimensional world – the ubiquity of the plan and elevation, and the ease of analysing 2-D structures. Yet the best architecture always exploits the three dimensional world, and the majority of structural problems and collapses occur when engineers have failed to think in the third dimension. Space structures offer an ideal learning environment for students of both architecture and engineering. They stimulate and challenge both the imagination and the intellect by forcing students out of the cosy, and often dull familiarity of two dimensions. They encourage students to conceive structures in three dimensions and drop down to two when necessary or convenient, rather than the other way round. In a world where form and forces so strongly interact, space structures force architects to step into the world of statics, and engineers into the world of geometry. An important result is a better understanding, for both architects and engineers, of the role engineers can play in helping create imaginative and practical structures.


2018 ◽  
Vol 12 (12) ◽  
pp. 3158
Author(s):  
Jessica Gomes da Silva ◽  
Suzel Regina Ribeiro Chavaglia ◽  
Mariana Torreglosa Ruiz ◽  
Maria Carolina Belo da Cunha ◽  
Kleiton Gonçalves do Nascimento ◽  
...  

RESUMO Objetivo: descrever o perfil das ocorrências obstétricas atendidas pelo Serviço de Atendimento Móvel de Urgência. Método: trata-se de um estudo quantitativo, descritivo, exploratório, com dados retrospectivos. Coletaram-se os dados por meio das fichas de atendimento do SAMU. A amostra foi composta pela análise de 301 fichas de atendimento, e os resultados apresentados por meio de dados estatísticos. Resultados: informa-se que os chamados por causas obstétricas representaram 0,40% dos atendimentos do SAMU; a idade média das gestantes foi de 25,08 anos; a maioria era primigesta, estava no terceiro trimestre gestacional, realizou pré-natal e as principais queixas foram relacionadas ao trabalho de parto (91,3%). Houve significância estatística entre o acionamento do SAMU por queixas referentes ao trabalho de parto e o terceiro trimestre gestacional indicando a pertinência dos chamados. Conclusão: conclui-se, que ao conhecer as necessidades das mulheres que buscam atendimento no serviço pré-hospitalar e traçar o perfil de atendimentos são informações essenciais para subsidiar as ações e as políticas públicas que possibilitem oferecer assistência de qualidade e reduzir a morbimortalidade materna e neonatal. Descritores: Enfermagem Obstétrica; Assistência Pré-Hospitalar; Emergências; Gestante; Enfermagem em Emergência; Serviços Médicos de Emergência.ABSTRACT Objective: to describe the profile of the obstetric occurrences attended by the Mobile Emergency Care Service. Method: this is a quantitative, descriptive, exploratory study with retrospective data. The data were collected through the SAMU service records. The sample consisted of the analysis of 301 service records, and the results presented through statistical data. Results: it is reported that obstetric calls accounted for 0.40% of the SAMU services; the mean age of pregnant women was 25.08 years; the majority were primigravida, were in the third trimester, performed prenatal care and the main complaints were related to labor (91.3%). There was statistical significance between the activation of the SAMU by complaints regarding labor and the third gestational trimester indicating the relevance of the calls. Conclusion: it is concluded that knowing the needs of women seeking care in the pre-hospital service and drawing the profile of care are essential information to subsidize public actions and policies that enable quality care and reduce maternal and child morbidity and mortality. neonatal. Descriptors: Obstetric Nursing; Prehospital Care; Emergencies; Pregnant Women; Emergency Nursing; Emergency Medical Services.RESUMEN Objetivo: describir el perfil de las ocurrencias obstétricas atendidas por el Servicio de Atención Móvil de Urgencia. Método: se trata de un estudio cuantitativo, descriptivo, exploratorio, con datos retrospectivos. Se recogen los datos por medio de las fichas de atención del SAMU. La muestra fue compuesta por el análisis de 301 fichas de atención, y los resultados presentados por medio de datos estadísticos. Resultados: se informa que los llamados por causas obstétricas representaron el 0,40% de las atenciones del SAMU; la edad media de las gestantes fue de 25,08 años; la mayoría era la primera gestación, estaba en el tercer trimestre gestacional, realizó prenatal y las principales quejas fueron relacionadas al trabajo de parto (91,3%). Hubo significancia estadística entre el accionamiento del SAMU por quejas referentes al trabajo de parto y el tercer trimestre gestacional indicando la pertinencia de los llamados. Conclusión: se concluye que al conocer las necesidades de las mujeres que buscan atención en el servicio pre-hospitalario y trazar el perfil de atención son informaciones esenciales para subsidiar las acciones y las políticas públicas que posibiliten ofrecer asistencia de calidad y reducir la morbimortalidad materna y neonatal. Descriptores: Enfermería Obstétrica; Aténcion Pre-Hospitalaria; Urgencias Médicas; Mujeres Embarazadas; Enfermeria de Urgencia; Servicios Médicos de Urgencia.


Author(s):  
Daniel Torras i Segura

This work discusses and argues whether there is absolute silence in audiovisual products from the technical perspective of including a band in the synchronized soundtrack with zero decibels in perception. From an analysis of the existing scientific literature about audiovisual silence, an outline of silence in three dimensions is proposed: conceptual, technical and psychoperceptive. Although with some nuances and considerations the existence of absolute silence can be considered in the first two dimensions, the third one is completely ruled out with psychoperceptive arguments. It is concluded that the terminology used must be reviewed because the term absolute silence, in this case, may not refer to a sensation but to a digital or physical configuration of the state of a product: the soundtrack as a flow of information. In any case, it is concluded that an idea of absolute silence can only be accepted solely for technical issues related to the editing technique, but not to its perception.


2020 ◽  
Vol 98 (3) ◽  
pp. 178-184
Author(s):  
T. V. Chernyakova ◽  
A. Yu. Brezhnev ◽  
I. R. Gazizova ◽  
A. V. Kuroyedov ◽  
A. V. Seleznev

In the review we have integrated all up-to-date knowledge concerning clinical course and treatment of glaucoma among pregnant women to help specialists choose a proper policy of treatment for such a complicated group of patients. Glaucoma is a chronic progressive disease. It rarely occurs among childbearing aged women. Nevertheless the probability to manage pregnant patients having glaucoma has been recently increasing. The situation is complicated by the fact that there are no recommendations on how to treat glaucoma among pregnant women. As we know, eye pressure is progressively going down from the first to the third trimester, so we often have to correct hypotensive therapy. Besides, it is necessary to take into account the effect of applied medicines on mother health and evaluate possible teratogenic complications for a fetus. The only medicine against glaucoma which belongs to category B according to FDA classification is brimonidine. Medicines of the other groups should be prescribed with care. Laser treatment or surgery may also be a relevant decision when monitoring patients who are planning pregnancy or just bearing a child. Such treatment should be also accompanied by medicines.


Author(s):  
Marieke Brandt
Keyword(s):  

Chapter 5 reconstructs the course and the dynamics of the first three rounds of the Houthi conflict, also called the ‘Ṣaʿdah War’, from its eruption in June 2004 until the February 2006 ceasefire, which successfully brought the third Ṣaʿdah War to a halt and ushered into several months of detente. It shows how, in the course of the war, the sectarian and social-revolutionary thrust of Houthism began to fuse with existing open and latent conflicts in Yemen’s North, a process that led to an enormous expansion of the war’s scope and magnitude. It analyses the course of the war’s first three rounds, the composition of the national military and Houthi armed forces, their respective supporters and opponents among the local tribes, and attempts at mediation between the two sides.


Data ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 27
Author(s):  
Domingo Villavicencio-Aguilar ◽  
Edgardo René Chacón-Andrade ◽  
Maria Fernanda Durón-Ramos

Happiness-oriented people are vital in every society; this is a construct formed by three different types of happiness: pleasure, meaning, and engagement, and it is considered as an indicator of mental health. This study aims to provide data on the levels of orientation to happiness in higher-education teachers and students. The present paper contains data about the perception of this positive aspect in two Latin American countries, Mexico and El Salvador. Structure instruments to measure the orientation to happiness were administrated to 397 teachers and 260 students. This data descriptor presents descriptive statistics (mean, standard deviation), internal consistency (Cronbach’s alpha), and differences (Student’s t-test) presented by country, population (teacher/student), and gender of their orientation to happiness and its three dimensions: meaning, pleasure, and engagement. Stepwise-multiple-regression-analysis results are also presented. Results indicated that participants from both countries reported medium–high levels of meaning and engagement happiness; teachers reported higher levels than those of students in these two dimensions. Happiness resulting from pleasure activities was the least reported in general. Males and females presented very similar levels of orientation to happiness. Only the population (teacher/student) showed a predictive relationship with orientation to happiness; however, the model explained a small portion of variance in this variable, which indicated that other factors are more critical when promoting orientation to happiness in higher-education institutions.


2006 ◽  
Vol 30 (1) ◽  
pp. 20-25 ◽  
Author(s):  
David A. Cole

Many outcome variables in developmental psychopathology research are highly stable over time. In conventional longitudinal data analytic approaches such as multiple regression, controlling for prior levels of the outcome variable often yields little (if any) reliable variance in the dependent variable for putative predictors to explain. Three strategies for coping with this problem are described. One involves focusing on developmental periods of transition, in which the outcome of interest may be less stable. A second is to give careful consideration to the amount of time allowed to elapse between waves of data collection. The third is to consider trait-state-occasion models that partition the outcome variable into two dimensions: one entirely stable and trait-like, the other less stable and subject to occasion-specific fluctuations.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nader Salari ◽  
Niloofar Darvishi ◽  
Behnam Khaledi-Paveh ◽  
Aliakbar Vaisi-Raygani ◽  
Rostam Jalali ◽  
...  

Abstract Background Sleep disorders, which are among the foremost important medical care issues, are prevalent in pregnancy. The present study is a meta-analysis of the prevalence of insomnia in the third trimester of pregnancy. This study aims to systematically review the overall prevalence of insomnia in the third trimester of pregnancy through conducting a meta-analysis. Method The literature used in this meta-analysis for the topic discussed above were obtained through searching several databases, including SID, MagIran, IranDoc, Scopus, Embase, Web of Science (WoS), PubMed Science Direct and Google Scholar databases without time limitation until December 2020. Articles developed based on cross-sectional studies were included in the study. The heterogeneity of studies was investigated using the I2 index. Also, the possible effects of heterogeneity in the studied studies are investigated using meta-regression analysis. Result In 10 articles and 8798 participants aged between11–40, the overall prevalence of insomnia in the third trimester of pregnancy based on meta-analysis was 42.4% (95% CI: 32.9–52.5%). It was reported that as the sample size increases, the prevalence of insomnia in the third trimester of pregnancy increases. Conversely, as the year of research increases, the prevalence of insomnia in the third trimester of pregnancy decreases. Both of these differences were statistically significant (P < 0.05). Conclusion Insomnia was highly prevalent in the last trimester of pregnancy. Sleep disorders are neglected among pregnant women, and they are considered natural. While sleep disturbances can cause mental and physical problems in pregnant women, they can consequently cause problems for the fetus. As a result, maintaining the physical and mental health of pregnant mothers is very important. It is thus recommended that in addition to having regular visits during pregnancy, pregnant women should also be continuously monitored for sleep-related disorders.


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