ISABEL CRISTINA ESPOSITO SORPRESO
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina - Docente
LIM/58 - Laboratório de Ginecologia Estrutural e Molecular, Hospital das Clínicas, Faculdade de Medicina
LIM/58 - Laboratório de Ginecologia Estrutural e Molecular, Hospital das Clínicas, Faculdade de Medicina
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bookPart Síndrome dos Ovários Policísticos na Adolescência(2017) JúNIOR, José Maria Soares; BARACAT, Maria Candida Pinheiro; MACIEL, Gustavo Arantes Rosa; SORPRESO, Isabel Cristina Espósito; BARACAT, Edmund Chada- Vulnerability in adolescence: A case report of attempted abortion and sexual violence(2017) SILVA, A. T. M. da; SOUSA, G. D. de; MENEZES, C. L.; FILHO, E. S. F.; PINHEIRO, W. da Silva; JUNIOR, J. M. S.; BARACAT, E. C.; SORPRESO, I. C. E.Introduction: Abortion, even when provided by law in cases of sexual violence, continues to be practiced in an insecure way, since women who suffer violence are not reported or guarded by social, institutional or age vulnerability, as in adolescence. Objective: Describe the clinical consequences of unsafe abortion, report this experience as well as sexual violence in situations of social and age vulnerability. Methods: It is a clinical case report, with the consent of the patient, in the year 2016, of a 16-year-old female adolescent with a personal history of sexual violence by an intimate aggressor. Admitted to the health service with diagnosis of acute abdomen and induced abortion using antibiotic therapy. Results: Laboratory tests revealed altered C reactive protein and presence of leukocytosis, ultrasound showed heterogenic mass, computed tomography showed presence of cylindrical foreign body in vaginal cavity, surgical interventions, sepsis, clinical complications (pulmonary thromboembolism) and prolonged hospitalization. Conclusion: The history of violence portrayed in this study reveals an attempt of abortion with self harm, revealing negative clinical repercussions and the health problems of the adolescent. This person has committed an abortion that does not fit into the abortion criteria provided by law. It also revealed the need for further discussion on the topic, highlighting health promotion practices against unsafe abortion.
- Musical Auditory Stimulation Influences Heart Rate Autonomic Responses to Endodontic Treatment(2017) SANTANA, Milana Drumond Ramos; MARTINIANO, Eli Carlos; MONTEIRO, Larissa Raylane Lucas; VALENTI, Vitor E.; GARNER, David M.; SORPRESO, Isabel Cristina Esposito; ABREU, Luiz Carlos deWe aimed to evaluate the acute effect of musical auditory stimulation on heart rate autonomic regulation during endodontic treatment. The study included 50 subjects from either gender between 18 and 40 years old, diagnosed with irreversible pulpitis or pulp necrosis of the upper front teeth and endodontic treatment indication. HRV was recorded 10 minutes before (T1), during (T2), and immediately (T3 and T4) after endodontic treatment. The volunteers were randomly divided into two equal groups: exposed to music (during T2, T3, and T4) or not. We found no difference regarding salivary cortisol and anxiety score. In the group with musical stimulation heart rate decreased in T3 compared to T1 and mean RR interval increased in T2 and T3 compared to T1. SDNN and TINN indices decreased in T3 compared to T4, the RMSSD and SD1 increased in T4 compared to T1, the SD2 increased compared to T3, and LF (low frequency band) increased in T4 compared to T1 and T3. In the control group, only RMSSD and SD1 increased in T3 compared to T1. Musical auditory stimulation enhanced heart rate autonomic modulation during endodontic treatment.
conferenceObject ACCEPTABILITY AND KNOWLEDGE HPV VACCINE: PRELIMINAR RESULTS(2017) SORPRESO, Isabel Cristina Esposito; TAKIUTI, Albertina Duarte; BARACAT, Edmund Chada; SOARES JUNIOR, Jose Maria; SILVA, Adna Thaysa Marcial da; ABREU, Luiz Carlos de- The acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review(2017) BRAZ, Natalia Serrano Doratioto Faria; LORENZI, Noely Paula Cristina; SORPRESO, Isabel Cristina Esposito; AGUIAR, Lana Maria de; BARACAT, Edmund Chada; SOARES-JUNIOR, Jose MariaCervical cancer is a major cause of death in adult women. However, many women do not undergo cervical cancer screening for the following reasons: fear, shame, physical limitations, cultural or religious considerations and lack of access to health care services. Self-collected vaginal smears maybe an alternative means of including more women in cervical cancer screening programs. The objective of this systematic review was to evaluate the acceptability of vaginal smear self-collection for cervical cancer screening. We selected articles from PubMed, the Cochrane Library and Embase that were published between January 1995 and April 2016. Studies written in English, French, Italian, Portuguese or Spanish that involved women between 18 and 69 years of age who had engaged in sexual intercourse were included in this review. The review was performed in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Nineteen studies were ultimately evaluated in this review. Most of the included studies (n=17) demonstrated that the self-collection method exhibited outstanding acceptability among women with respect to cervical cancer screening, and only two studies indicated that self-collection exhibited low acceptability among women in this context. The acceptability of self-collection was determined subjectively (without standardized questionnaires) in 10 studies (53%) and via structured and validated questionnaires in the remaining studies. The results of our review suggest that the self-collection method is well-accepted and may therefore encourage greater participation in cervical cancer screening programs. However, additional studies are required to verify these results.