Tesis sobre el tema "Human reproduction"
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Tang, Shiu-wai. "Reproduction has never been natural the social construction of reproduction in the age of new reproductive technologies /". Hong Kong : University of Hong Kong, 2000. http://sunzi.lib.hku.hk/hkuto/record.jsp?B22331888.
Texto completoAlghrani, Amel. "Human reproduction : regulating the third phase". Thesis, University of Manchester, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.495743.
Texto completoWilson, Poe Emma. "Vitrification of day 5/6 human morulas/blastocysts: A 10 year retrospective study in a private assisted reproductive techniques [ART] clinic". Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/96876.
Texto completoENGLISH ABSTRACT: This study was designed to retrospectively evaluate the established embryo vitrification/warming programme currently implemented at Drs Aevitas Institute for Reproductive Medicine and to look at factors that might play a role in optimizing the pregnancy outcomes thereof. Vitrification is the achievement of a “state of suspended animation” wherein molecular translational motions are arrested without structural reorganization of the liquid. In embryo vitrification it involves placement of the embryo in a very small volume of vitrification medium that must be cooled at extremely high cooling rates. The vitrification medium contains cryoprotectants to prevent any cryoinjury from occurring to the embryo. This process was initially proposed to effectively manage supernumerary embryos, but it has also provided a viable method of reducing costs for additional embryo transfers as well as the reduction of the incidence of multiple births. Patients who are at risk of ovarian hyper stimulation syndrome (OHSS) can also have all of their embryos vitrified in advance to reduce the likelihood of adverse clinical symptoms if a pregnancy is established. Throughout the period in which vitrification has been in practice, there have been advances in technology as well as continual research being conducted to establish whether newly suggested techniques do, in fact, optimize the outcomes of vitrification. Focus has subsequently been applied to the carrier device used for vitrification, the day on which the embryos are vitrified and stored, as well as the number of embryos transferred in each respective cycle, all to ensure the most favourable outcome. This retrospective study confirmed the use of the Cryotop® as the most viable carrier device for successful survival and pregnancy outcomes. Transfer of day 5 vitrified embryos resulted in significantly higher pregnancy rates compared to day 6 vitrified embryos. Results also indicated that the number of embryos transferred does indeed have a significant effect on the pregnancy outcome and consequently we can possibly argue against the implementation of single embryo transfer in the vitrification programme. Investigation into the effect of female age, specifically oocyte age, on each of these categories indicated that reduced age can be associated with optimal outcomes; however this could not be proven statistically in this cohort of patients. To further look at optimization of the vitrification/warming programme, a Literature Survey was conducted to ascertain the results after Assisted Hatching in frozen/warmed human embryos. Assisted Hatching has been proposed as a solution to Zona Pellucida hardening, which has been found to occur during vitrification. The need for further studies and a meta-analysis of the literature is confidently proposed, as well as a Prospective Study to evaluate the effect of Laser Assisted Hatching in the human blastocyst vitrification/warming programme at Drs Aevitas Institute for Reproductive Medicine.
AFRIKAANSE OPSOMMING: Hierdie studie is ontwerp om die gevestigde embrio vitrifikasie/ontdooi program by Drs Aevitas Instituut vir Reproduktiewe Medisyne, retrospektief te evalueer en die faktore te optimaliseer wat swangerskap uitkomste kan beïnvloed. Vitrifikasie is die proses waardeur die molekulere aktiwiteit binne die embrio in ‘n staat van arres gehou word sonder om die strukture binne die sitplasma te versteur. Dit behels die plasing van ʼn embrio in 'n klein hoeveelheid vitrifikasie medium wat teen 'n hoë tempo afgekoel word. Die vitrifikasie medium bevat kriobeskermmiddels wat die embrio tydens die vitrifikasie proses teen moontlike skade beskerm. Hierdie proses is aanvanklik voorgestel om oortollige embrio’s doeltreffend te bestuur. Dit bied ʼn koste effektiewe metode vir embrio terugplasing, en verlaag die insidensie van veelvoudige swangerskap. Vitrifikasie bied pasiënte met ʼn hoë risiko vir ovariale hiperstimulasiesindroom (OHSS) ‘n alternatief om nadelige kliniese simptome te vermy indien ʼn swangerskap bereik word. Tegnologiese vordering en voortdurende navorsing ondersoek voortdurend nuwe tegnieke vitrifikasie uitkomste te optimaliseer. Fokus word geplaas op die draertoestel wat gebruik word vir vitrifikasie, die dag waarop die embrio's gevitrifiseer en gestoor word, sowel as die aantal embrio’s wat met elke vitrifikasie siklus teruggeplaas word. Hierdie retrospektiewe studie het bevestig dat die gebruik van die Cryotop® die mees suksesvolle toestel vir oorlewing en swangerskap uitkomste is. Die terugplasing van dag 5 gevitrifiseerde embrios het beduidende hoër swangerskapsyfers as dag 6 embrios tot gevolg gehad. Die resultate het ook aangedui dat die aantal embrio's wat teruggeplaas word 'n beduidende uitwerking op die swangerskapsyfer het. Daar kan dus moontlik teen die implementering van 'n enkel embrio-terugplasing neiging in die vitrifikasie program geargumenteer word. Resultate het ook getoon dat optimale uitkomste verwant is aan ʼn laer oösiet ouderdom, alhoewel dit nie in die groep pasiente statisties bewys kon word nie. 'n Literatuurstudie oor AH (Assisted Hatching) op gevitrifiseerde/ontdooide menslike embrio’s is uitgevoer om die vitrifikasie/ontdooi program verder te optimaliseer. AH bied ‘n oplossing vir Zona pellucida verharding, wat tydens vitrifikasie plaasvind. Verdere studies, 'n meta-analise van die literatuur, sowel as 'n prospektiewe studie om die effek van laser AH in gevitrifiseerde/ontdooide menslike blastosiste by Drs Aevitas Instituut vir reproduktiewe medisyne te evalueer, word voorgestel.
Fasano, Giovanna. "Contribution of vitrification to human assisted reproduction". Doctoral thesis, Universite Libre de Bruxelles, 2013. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209484.
Texto completoMalgré le fait que la cryopréservation soit une technique très attractive, elle peut avoir des effets délétères sur les cellules. Les protocoles expérimentaux visent donc à minimiser ces effets afin d’augmenter la survie et la compétence cellulaire après décongélation.
Les deux méthodes les plus utilisées, la congélation lente et la vitrification, présentent chacune des avantages et des inconvénients. En effet, la première ne permet pas d’éliminer la cristallisation intracellulaire. Quant à la seconde, elle empêche la formation de cristaux de glace mais pourrait provoquer une toxicité due à la forte concentration des cryoprotecteurs.
Cette thèse de doctorat propose plusieurs objectifs :
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Doctorat en Sciences biomédicales et pharmaceutiques
info:eu-repo/semantics/nonPublished
Kadva, Aban. "Melatonin and LH pulsatility in human reproduction". Thesis, Queen Mary, University of London, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272564.
Texto completoOrrmalm, Auran Alex. "Från pre-human till post-human : Embryots reproduktiva status i skärningspunkten mellan stat och medicin". Thesis, Södertörns högskola, Institutionen för kultur och lärande, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-19571.
Texto completoWilkinson, Anne. "Genentic techniques in human reproduction : the ethical implications". Thesis, University of Leeds, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.421360.
Texto completoReece, C. "Aspects of reproduction in the European rabbit (O. cuniculus) L". Thesis, University of East Anglia, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.355356.
Texto completoRoberts, A. C. "The neurendocrine basis of seasonal reproduction in the Syrian hamster". Thesis, University of Cambridge, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.372300.
Texto completoCornet, Bartolomé David. "Molecular determinants of human oocyte quality in assisted reproduction". Doctoral thesis, Universitat de Barcelona, 2019. http://hdl.handle.net/10803/667566.
Texto completoLa competencia de desarrollo ovocitaria se define como la capacidad del ovocito para mantener el desarrollo embrionario hasta que el embrión activa su propio genoma. Está determinada por los transcritos (ARN codificantes y no codificantes) acumulados durante la maduración de los ovocitos. La falta de transcripción durante la maduración final de los ovocitos sugiere que la regulación de los genes involucrados en este proceso ocurre a nivel postranscripcional. Entre los posibles mecanismos, el “splicing alternativo” del ARN mensajero, podría estar involucrado. El objetivo principal de esta tesis es explorar nuevas posibilidades para la identificación de biomarcadores de calidad de ovocitos a nivel molecular con el fin de comprender mejor el ovocito y cómo se puede mejorar su competencia de desarrollo. Además, para identificar biomarcadores no invasivos de la competencia de desarrollo de ovocitos, se ha evaluado la expresión de diferentes marcadores de envejecimiento somático en células de cúmulos humanos que rodean los ovocitos, y se ha correlacionado con la edad y la reserva ovárica de las mujeres y con las tasas de maduración de los ovocitos. Finalmente, debido a que muchos de los ovocitos utilizados estaban vitrificados, se ha analizado el efecto de la vitrificación sobre la competencia de desarrollo de los ovocitos comparando los resultados reproductivos de ovocitos frescos y vitrificados del mismo ciclo de estimulación. Los resultados sugieren que los ARNs no codificantes y el splicing alternativo representan un papel importante en el proceso de adquisición de la competencia de desarrollo en ovocitos humanos. Estos resultados pueden proporcionar información valiosa para la búsqueda de marcadores de calidad de ovocitos y para la (re)-interpretación de conjuntos de datos existentes. El estudio de la expresión de marcadores de envejecimiento somático en células de cúmulos humanos no ha mostrado una clara correlación entre los genes analizados y la edad, lo que sugiere que las células del cúmulo de mujeres de edad reproductiva avanzada no presentan el transcriptoma típico de los tejidos envejecidos. Finalmente, este estudio ha demostrado que la vitrificación de ovocitos mantiene per se el potencial de desarrollo de los ovocitos humanos dentro de un rango biológico razonable, clínicamente comparable a los ovocitos frescos.
MacLennan, A. H. "The role of the hormone relaxin in human reproduction". Thesis, University of Glasgow, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.372418.
Texto completoTang, Shiu-wai y 鄧紹偉. "Reproduction has never been natural: the social construction of reproduction in the age of new reproductivetechnologies". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31225202.
Texto completoFord, Christopher Colin. "Blinking in human communicative behaviour and its reproduction in artificial agents". Thesis, University of Plymouth, 2014. http://hdl.handle.net/10026.1/3197.
Texto completoSimpson, Karen Lesley. "Expression of complement regulatory proteins in human development and reproduction". Thesis, University of Bristol, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.294904.
Texto completoBatty, Lynne Patricia. "Assisted Reproductive Technology: The Aotearoa/New Zealand Policy Context: A thesis submitted in fulfilment of the requirements for the degree of Master of Arts in Sociology in the University of Canterbury". Thesis, University of Canterbury. Sociology, 2002. http://hdl.handle.net/10092/912.
Texto completoManners, Carole V. "Endometrial proteins and uterine receptivity during human and mouse embryo implantation". Thesis, University of Cambridge, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.386172.
Texto completoKuhanen, Jan. "Poverty, health, and reproduction in early colonial Uganda /". Joensuu : Joensuun yliopisto/Faculty of Humanities, 2005. http://www.loc.gov/catdir/toc/fy0601/2005419946.html.
Texto completoLindgren, Karin E. "The Histidine-rich Glycoprotein in Reproduction". Doctoral thesis, Uppsala universitet, Institutionen för kvinnors och barns hälsa, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-300769.
Texto completoEllender, Stacey. "Assisted reproduction defining and evaluating the multiple outcomes of technologically advanced interventions /". online access from Digital Dissertation Consortium, 2005. http://libweb.cityu.edu.hk/cgi-bin/er/db/ddcdiss.pl?3193097.
Texto completoPillsworth, Elizabeth Grace. "Long-term romantic partner choice and sexual strategies in human evolution studies conducted in the United States and Ecuador /". Diss., Restricted to subscribing institutions, 2008. http://proquest.umi.com/pqdweb?did=1679375151&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.
Texto completoSicchieri, Fernanda. "Comparação de dois meios para a criopreservação de sêmen quanto aos efeitos da suplementação lipídica e a ação antioxidante na viabilidade espermática em homens com parâmetros seminais alterados: estudo clínico randomizado". Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/17/17145/tde-15012019-101854/.
Texto completoOBJECTIVE: To compare two sperm freezing media: commercially available Freezing Medium TEST Yolk Buffer-Irvine Scientific - USA (TYB) and a synthetic cryoprotectant supplemented with phosphatidylcholine (PC) and antioxidante L-acetyl-carnitine (ANTIOXPC - designed by Invitra Assisted Reproduction Technology - Brazil) in relation to progressive motility and sperm DNA fragmentation index (DFI) in sêmen samples obtained from men with altered seminal parameters. DESIGN: Non-inferiority clinical trial. MATERIALS AND METHODS: Were included semen samples with altered seminal parameters (asthenospermia) from 58 volunteers at the Clinical Hospital of Ribeirao Preto Medical School, University of São Paulo. Semen samples were subjected to analysis both before and after cryopreservation. The sperm motility was evaluated by the spermogram and the sperm DNA fragmentation was analyzed by the transferase-mediated dUTP nick-end labeling technique (TUNEL). Before cryopreservation, all semen samples were divided and randomized to receive the cryoprotectants TYB or ANTIOX-PC, frozen and thawed after 30 days. An exploratory data analysis was carried out through measures of central position and dispersion. The paired t-test was used to compare the groups. Comparisons between the two media ANTIOX-PC and TYB, and fresh semen were performed through orthogonal contrasts using the mixed effects linear regression model. This model was implemented in the SAS 9.3 program considering PROC MIXED. RESULTS: Progressive motility (P = 0.78) and DFI (P = 0.06) were not different when comparing ANTIOX-PC (12.40 ± 11.49; and 13,33 ± 10.54) and TYB (12.09 ± 11.11 and 15.83 ± 11.04), respectively. These data showed that the synthetic cryoprotectant designed was not inferior in sperm protection compared to the TYB medium. In addition, ANTIOX-PC retained higher rates of overall motility (43.36 ± 26.77)than TYB (34.79 ± 22.86; P<0,0001) and significantly reduced the immotile sperm rates (56.64 ± 26.77; P<0,0001) when compared with TYB (65.00 ± 23.00). CONCLUSION: ANTIOX-PC medium can not be considered less effective than TYB relative to progressive motility and IFD. Kinetic parameters observed in post-thaw sperm from ANTIOX-PC extender demonstrated the positive impact of the phospholipid/antioxidant treatment on human sperm cryotolerance in the absence of animal aditives.
Silva, Aline Bomfim. "Criopreservação de sêmen humano em meio Test Yolk Buffer ou meio sintético suplementado com fosfolipídio e antioxidante: ensaio clínico controlado". Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/17/17145/tde-23032018-121409/.
Texto completoOBJECTIVES: To evaluate the efficacy of a synthetic cryopreservation medium for human semen containing phospholipids and antioxidants (ANTIOX-PC, Invitra / Supera Parque de Inovação e Tecnologia de Ribeirão Preto) compared to conventional egg yolk medium (TEST-yolk buffer, Irvine Scientific), measured by the in vitro parameters of progressive sperm motility and sperm DNA fragmentation index. METHODS: Non-inferiority clinical trial. 63 men (July 2015 to October 2016), aged 18 to 50 years, seminal sample with volume >= 1,5 mL, spermatozoa >= 15 x 106/mL and progressive motility >= 32% were recruited. The semen was divided into two aliquots with equal volumes, randomly randomized in the study (ANTIOX-PC) and control (TEST-yolk buffer) groups to receive cryopreservation media. The evaluation of the outcomes was blind to group assignment, verified before freezing and after thawing. The data were compared by the t-test paired by SAS version 9.3; ? = 0.05. RESULTS: Progressive motility (p=0.83) and DNA fragmentation index (p=0.32) analyzed in the semen samples frozen with medium A (ANTIOX-PL) showed no significant difference in relation to those frozen with the medium B (TEST-yolk buffer). The concentration (p=0.02), the total concentration (p=0.02), the percentage of immobile spermatozoa (p<0.01) and vitality (p<0.01) were higher in the samples frozen with medium B TEST-yolk buffer). Nonprogressive motility (p<0.01) and total motility (p <0.01) were higher in samples frozen with medium A (ANTIOX-PC). And the morphology (p=0.07) showed no significant difference between the cryopreservation media. CONCLUSIONS: The new formulation proposed in this research project, ANTIOX-PC, was not inferior to the conventional medium, TEST-yolk buffer, in relation to the primary endpoints analyzed, sperm motile spermatozoa and sperm DNA fragmentation index.
Stelmach, Aleksandra. "Field-making and sense-making : foetal programming, risk and human reproduction". Thesis, University of Nottingham, 2018. http://eprints.nottingham.ac.uk/52697/.
Texto completoHales, J. M. "Studies on the introduced brown alga Sargassum muticum (Yendo) Fensholt with particular reference to reproduction". Thesis, University of Portsmouth, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.372820.
Texto completoTinnerholm, Ljungberg Helena. "Omöjliga familjen : Ideologi och fantasi i svensk reproduktionspolitik". Doctoral thesis, Stockholms universitet, Statsvetenskapliga institutionen, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-122219.
Texto completoBriedis, Hassanah 1947. "The language of reproductionthe worm and the womb in William Blake's virgins, harlots and "breeding women", 1789-1794 : a Hallidayan discourse analysis /". Monash University, English Dept, 2002. http://arrow.monash.edu.au/hdl/1959.1/7819.
Texto completoBriedis, Hassanah 1947. "The language of reproduction : the worm and the womb in William Blake's virgins, harlots and "breeding women", 1789-1794 : a Hallidayan discourse analysis". Monash University, English Dept, 2002. http://arrow.monash.edu.au/hdl/1959.1/8255.
Texto completoSeif, Mourad W. "Progress in immuno-histochemical analysis of the endometrial cycle". Thesis, University of Manchester, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.257445.
Texto completoThanoi, Samur. "A morphometric study of human uterine tubes and bitch oviducts". Thesis, University of Sheffield, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.324451.
Texto completoYasue, Eriko. "The practice and the reproduction of tourist landscapes in contemporary Japan". Thesis, Royal Holloway, University of London, 2011. http://repository.royalholloway.ac.uk/items/c378032a-9e53-0723-66b9-489012209ca5/48/.
Texto completoTneh, Shao Heung. "Feasibility Study on Implementing IVF Hardware to Achieve Human Reproduction in Space". Thesis, Luleå tekniska universitet, Institutionen för system- och rymdteknik, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-76571.
Texto completoNOTARSTEFANO, VALENTINA. "Development of new molecular tools for the characterization of human Granulosa cells: new implications for the research on human infertility". Doctoral thesis, Università Politecnica delle Marche, 2018. http://hdl.handle.net/11566/252927.
Texto completoIn assisted reproductive routine, oocyte selection is based on its morphological features, which seem not to be related to its intrinsic competence. Hence, several efforts have been made to identify markers to be added to the actual evaluation, in particular focusing on the crucial roles of Granulosa cells (GCs) in the follicular microenvironment: production of estradiol and progesterone, regulation of the meiosis steps and the transcriptional activity in the oocyte, production of essential nutrients for the oocyte, and accumulation of secreted metabolites. Hence, the progression through the steps of folliculogenesis heavily relies upon bi-directional interactions between germ cells and the surrounding somatic cells. The study of GCs has shown to be determining to highlight particular features of ovarian mechanisms and folliculogenesis, and also to identify the endogenous and exogenous factors that can impair these delicate processes. In this sense, the main aim of the PhD project was to characterize GCs, applying for the first time Fourier Transform Infrared Microspectroscopy (FTIRM) to develop a method for evaluating the quality of human oocytes. This could represent a new, reliable and objective tool for oocyte quality assessment in assisted reproduction routine. Besides this main topic, the impairment induced by endogenous and exogenous factors on the biochemical composition, metabolism and cellular activity of GCs was also investigated by FTIRM, Raman Microspectroscopy and qPCR, shedding new light on the mechanisms governing folliculogenesis. In particular, the research was focused on the impairment determined by reproductive aging, ovarian endometriosis, and plastic pollutants. The information obtained on GCs contribute to the understanding of the mechanisms of impairment of folliculogenesis, by a multidisciplinary approach made of spectroscopic analysis and qPCR. Thanks to the results, an innovative approach to evaluate oocyte quality by spectral features of GCs was proposed, suggesting the possibility to apply FTIRM as a clinical feasible diagnostic tool in assisted reproduction routine.
Stephenson, Matthew. "Assessing the quality of low frequency audio reproduction in critical listening spaces". Thesis, University of Salford, 2012. http://usir.salford.ac.uk/28319/.
Texto completo趙志昂 y Chi-ngong Philip Chiu. "Investigation on the spermatozoa-zona binding inhibitory factors from human follicular fluid". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31222407.
Texto completoChiu, Chi-ngong Philip. "Investigation on the spermatozoa-zona binding inhibitory factors from human follicular fluid /". Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B21415249.
Texto completoTaqi, Sarah M. A. M. "Reproduction of Observed Trajectories Using a Two-Link Robot". The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1308031627.
Texto completoNieminen, Sanni. "Assisted Reproductive Technologies and Medically Assisted Reproduction in the Context of the European Convention on Human Rights : Legal and Social Perspectives". Thesis, Umeå universitet, Juridiska institutionen, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-153905.
Texto completoMwethera, Peter Gichuhi. "Studies on monkey fertilin β : a protein active in sperm-egg recognition". Thesis, University of Bristol, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.294583.
Texto completoRossi, Andrea da Silveira. "Demanda e barreiras para o acesso a serviços de reprodução assistida de pessoas vivendo com HIV no Brasil : perspectivas de gestores, profissionais e usuários". [s.n.], 2010. http://repositorio.unicamp.br/jspui/handle/REPOSIP/309017.
Texto completoTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Objetivo: Identificar quais Serviços de Reprodução Assistida (SRA) e Serviços de Assistência Especializada em HIV e Aids (SAE) do Sistema de Saúde Pública do Brasil, que oferecem atendimento a pessoas vivendo com HIV com desejo reprodutivo e descrever as vivências, informações adquiridas e barreiras encontradas pelos gestores de programas, profissionais de saúde e usuários, relacionados a essa demanda. Metodologia: Estudo descritivo, de corte transversal através de entrevistas telefônicas com 69 gestores dos programas de saúde da mulher (PSM) e 69 de DST/Aids, estaduais e municipais associado a estudo de casos através de entrevistas semi-estruturadas com profissionais e usuários soropositivos de um serviço de reprodução assistida (SRA) e um serviço de atenção especializada em HIV/Aids (SAE) por região geográfica do país. Foi realizada análise descritiva dos dados quantitativos e análise temática do conteúdo para os dados qualitativos. Resultados: Foram realizadas 64 entrevistas com gestores dos PSM, sendo identificado apenas um SRA universitário que atendia casais soropositivos. Nas 63 entrevistas realizadas com gestores dos Programas de DST/Aids, constatou-se que 64% dos SAE estaduais e 73% dos municipais ofereciam orientação reprodutiva. As dificuldades relatadas pelos gestores para não oferecimento de apoio à reprodução incluíram falta de decisão política, de recursos humanos e financeiros. Nas entrevistas com os profissionais dos seis SAE visitados, foi observado que o foco dos atendimentos era na prevenção, principalmente através do uso do preservativo. A falta de encaminhamentos apropriados e a desatualização do conhecimento científico foram frequentes nos relatos dos profissionais dos serviços. A dificuldade em falar sobre o desejo reprodutivo nas consultas foi observada nas falas dos profissionais e também dos usuários. Para os últimos, isso esteve associado ao medo da discriminação e do preconceito. Entretanto, através da 47 entrevistas realizadas com usuários, o desejo de ter filhos foi vivenciado de maneira natural e expresso independentemente de se ter ou não parceiro fixo, mas, para aqueles que possuem parceiros fixos, o fato de não ter filhos da atual união pareceu aumentar a intenção reprodutiva. Conclusão: Os resultados sugerem a existência de demanda reprimida para reprodução de casais vivendo com HIV, a falta de aconselhamento reprodutivo nos SAE e de investimento em SRA que atenda a essa população, havendo um único SRA universitário no país que oferece esse tipo de atendimento. A falta de integração entre os vários setores sugere a ausência de políticas públicas voltadas para o aconselhamento reprodutivo e a necessidade de diretrizes nacionais específicas voltadas para a redução da transmissão do HIV durante todo o contexto reprodutivo
Abstract: Objective: To identify assisted reproductive services(ARS) and specialized HIV/AIDS services within the Brazilian public health system that provide care to people living with HIV who desire a child and describe the experience, the information, and the barriers encountered by program managers, healthcare professionals and users with respect to this demand. Methods: A descriptive, cross-sectional study in which 69 women's healthcare program managers and 69 STD/AIDS program managers at both state and municipal level were interviewed by telephone, in association with a case study conducted through semistructured interviews with professionals and users of one ARS service and one HIV/AIDS service in each geographical region of the country. Descriptive analysis of the quantitative data and thematic content analysis of the qualitative data were performed. Results: Sixty-four interviews were conducted with women's healthcare program managers. Only one university ARS provided care to seropositive couples. Of the 63 interviews carried out with STD/AIDS program managers, 64% of the state and 73% of the municipal HIV/AIDS services were found to offer reproductive counseling. The difficulties offered by managers as reasons for not providing reproductive support included a lack of political decision and of human and financial resources. At the six HIV/AIDS services the professionals revealed that the focus of consultations was on the prevention, lack of appropriate referrals and outdated scientific knowledge were frequently reported. Difficulty in discussing reproductive issues was perceived in the interviews with the professionals and also with the users. In the latter case, this was associated with a fear of discrimination and prejudice. Nevertheless, as shown in the 47 interviews conducted with users, the desire to have a child was experienced as a natural part of life and was expressed irrespective of whether the individual had a steady partner or not; however, in the former case, the fact of not having a child with the individual's current partner appeared to increase the desire for a child. Conclusion: These findings suggest the existence of a repressed demand for reproduction of PLWHA and lack of reproductive counseling was observed at all HIV/Aids specialized services, as well as investment in ART services to be provided to HIV-positive couples, based on the finding that only one university ART service in the country offers this type of care. Lack of integration between the various sectors suggests an absence of public policies on reproductive counseling and a need for specific national guidelines aimed at reducing HIV transmission within the whole context of reproduction
Doutorado
Ciencias Biomedicas
Doutor em Tocoginecologia
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Texto completoTremellen, Kelton Paul. "The immunoregulatory role of seminal plasma in early murine and human pregnancy /". Title page, contents and abstract only, 1998. http://web4.library.adelaide.edu.au/theses/09PH/09pht789.pdf.
Texto completoAmanze, Stanley Otitoaja. "Technologised Parenthood: An Ethical Implacation of Human Reproductive Cloning". Thesis, Linköping University, Centre for Applied Ethics, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-2916.
Texto completoScience and technology has been the bedrock of human growth and dynamism. Man has over the years distinguished his existence from all other beings by his ability to champion and fashion his existence. Among his tools is biotechnology which actually attenuates the fears of aging and death.
Human reproductive cloning stands out as one of the means through which biotechnology plans to achieve this perfect existence for man. Technological advancements in the field of biotechnology are now in the threshold of human procreation.
Human reproductive cloning is seen as an assisted method of reproduction which creates a newborn that is genetically identical to another human being.Human reproductive cloning as a technology and as a means of reproduction is not without its pros and cons. In as much as the technology promises to mention but a few, hope for the infertile couples and single parents, as well as the hope of reproduction without passing on hereditary diseases; it at the same time beeps some flashes of worry. Hence, the inherent threat to the notion of parenthood which does not smack of compromise, coupled with other ethical implications are reasons one may proffer not to have this technology.
Technologised parenthood stands out as an implication of human reproductive cloning and as such it considers issues in human sexuality i.e. the place of human sexuality in reproduction and then the nature of the family which is the playground of human existence. This thesis focuses on this implication of human reproductive cloning while making a critical exposition of the concept of human reproductive cloning.
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Texto completoGustafsson, Lidström Charlotte. "Local Immune regulation in human pregnancy : with focus on decidual macrophages". Doctoral thesis, Linköpings universitet, Klinisk immunologi, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-9985.
Texto completoKok, Tuckweng. "Early events in the replication cycle of human immunodeficiency virus /". Title page, contents and abstract only, 1998. http://web4.library.adelaide.edu.au/theses/09PH/09phk79.pdf.
Texto completoCopy of author's previously published article on back end-paper. Includes bibliographical references (leaves 105-158).
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Texto completoLevchenko, Anna, Inna Savitska, А. О. Левченко y І. М. Савіцька. "The current challenges of reproduction of the human capital in the agricultural sector of Ukraine". Thesis, Ексклюзив-Систем, 2016. http://dspace.kntu.kr.ua/jspui/handle/123456789/3637.
Texto completoSilas, Fenni. "Understanding Grade 10 Life Sciences teachers’ perceptions and experiences of teaching topics on human reproduction". Thesis, Rhodes University, 2015. http://hdl.handle.net/10962/d1020305.
Texto completoMahmood, Tariq. "The future of human reproduction : a 21st century phenomenon : a legal, theological and philosophical analysis". Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/the-future-of-human-reproduction-a-21st-century-phenomenon-a-legal-theological-and-philosophical-analysis(cd9ae627-43ea-450a-a74a-e753ee6fb8db).html.
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