Social expectations experienced by young adults with chronic kidney disease

Objective: to point out the social expectations experienced by teenagers with chronic kidney disease. Methods: it is a qualitative, exploratory and descriptive study, which used the theoretical perspective of Geerts and Leininger. It was performed from June to August of 2013, having 8 teenagers as participants, who were under hemodialysis. Results: it was noticed that the informants' lives were related to their social expectations relative to this stage, with influences of values, beliefs, rules, and lifestyles. Thus, it was highlighted that the teenager life was constituted by the desire of a family formation, the performance of labor activities, studies, and leisure. Final Conclusions: as a lived stage by a teenager consists in a period marked by events and achievements, which have decisions and important choices, it is accentuated the necessity of a human, welcoming, and comprehensive professional attention

ITINERÁRIOS TERAPÊUTICOS EM BUSCA DO DIAGNÓSTICO E TRATAMENTO DA HANSENÍASE

Objetivo: analisar o itinerário terapêutico de usuários em busca do diagnóstico e tratamento da hanseníase e identificar as dificuldades e as percepções dos usuários acerca da doença. Método: estudo qualitativo e descritivo. Participaram 20 usuários com hanseníase em registro ativo até março de 2016 em um Centro de Saúde Escola no município de Belém-Pará, Brasil. Foi realizada entrevista semiestruturada e a técnica de análise de conteúdo temática. Resultado: Emergiram duas categorias temáticas “Percepção sobre a doença” e “Percalços da suspeição ao diagnóstico e tratamento”. Ainda existe percepções negativas sobre a patologia e muitos percalços a percorrer até o diagnóstico da hanseníase. Conclusão: A busca pelo diagnóstico da hanseníase apontou uma sucessão de erros diagnósticos da rede privada à rede básica de saúde, delineando um percurso tortuoso. As percepções dos usuários atrelam-se ao preconceito, seja este dos outros para consigo ou ao auto preconceito. Descritores: Saúde Coletiva; Hanseníase; Vigilância em Saúde

Representações sociais do processo de adoecimento dos pacientes oncológicos em cuidados paliativos

Aim: to know social representations of the process of becoming ill as an oncological patient under palliative care in the home context. Method: this is a qualitative, exploratory and descriptive study, which was developed with ten oncological patients under palliative care, from May to July 2015. Moscovici’s Social Representations Theory and thematic analysis were used. Results: the process of becoming ill brings losses and restrictions in what concerns daily life and earning capacity. In order to cope with it, the support network comes from family, social network, spirituality, and health providers. There has been some modifications in what concerns social representations that associate cancer to death, with treatment evolution and improvement of cancer prognosis. Therefore, the participants felt hopeful about cure. Final considerations: It was observed that being sick with cancer in palliative care can influence negatively due to restrictions in daily life and in productive capacity; In addition to modifying the social representation that associates cancer with death and, regardless of the stage of the patients presence, they presented hope of healing, associated or not with the faith.Objetivo: conocer las representaciones sociales del proceso de adolecimiento de pacientes oncológicos, en cuidados paliativos, en el contexto domiciliar. Método: estudio cualitativo, exploratorio y descriptivo, desarrollado con diez pacientes oncológicos en cuidados paliativos, entre mayo y julio de 2015, basado en el análisis temático y la Teoría de Representaciones Sociales, de Mocovici. Resultados: el proceso de enfermedad presenta pierdas, restricciones en la vida diaria y en la capacidad laboral. Para este enfrentamiento la red de apoyo se hace presente en la figura de la familia, de la red social, de la espiritualidad y del equipo de salud. Con la evolución del tratamiento y la mejora del pronóstico del cáncer, hubo modificaciones en la representación social que relaciona el cáncer con la muerte, así los participantes presentaron la esperanza de curarse. Consideraciones finales: Se observó que el adolecer de cáncer, en cuidados paliativos, puede causar restricciones en la vida diaria y en la capacidad productiva, además de modificar la representación social, la cual asocia el cáncer con la muerte, pues, independientemente de la etapa en la que los pacientes se encuentran, éstos presentaron esperanza de la curación, asociado o no la fe.Objetivo: conhecer as representações sociais do processo de adoecimento de pacientes oncológicos em cuidados paliativos no contexto domiciliar. Método: estudo exploratório, descritivo com abordagem qualitativa, desenvolvido com dez pacientes oncológicos em cuidados paliativos, no período de maio a julho de 2015, utilizando-se da análise temática, a qual foi desenvolvida a partir da Teoria das Representações Sociais de Moscovici. Resultados: o processo de adoecimento trouxe consigo perdas, restrições referentes à vida diária e à capacidade laboral e para este enfrentamento a rede de apoio se fez presente na figura da família e da rede social, da espiritualidade e da equipe de saúde. Considerações finais: percebeu-se que adoecer por câncer em cuidados paliativos, pode causar restrições na vida diária e na capacidade produtiva, além de modificar a representação social que associa o câncer à morte, pois independente do estágio em que os pacientes encontram-se, estes apresentaram esperança da cura, associado ou não a fé

Profissional da saúde frente a situação de ter um familiar em cuidados paliativos por câncer

Objetivo: conhecer a vivência do profissional de saúde na situação de ter um familiar em cuidados paliativos por câncer.Metodologia: Qualitativa, desenvolvido com quatro familiares de pacientes oncológicos em cuidados paliativos, por meio de entrevistas semiestruturadas, no período de novembro a dezembro de 2014, no domicílio dos participantes. Para a análise dos dados foi utilizada a proposta operativa de Minayo.Resultados: surgiram duas temáticas, Profissional da saúde e ser familiar frente ao diagnóstico de câncer e Profissional da saúde e Ser familiar no confronto com a proximidade com a morte.Conclusões: Ser familiar na condição de profissional de saúde demandou maior comprometimento no cuidado, tornando-os angustiados por terem que lidar com seus sentimentos de ver seu familiar em sofrimento pela doença e terminalidade, ao mesmo tempo em que seus conhecimentos profissionais contribuíram na tomada de decisões durante este processo.Palavras-chave: Cuidados paliativos. Oncologia. Família

Zieve’s Syndrome: a case report /Síndrome de Zieve: um relato de caso

Alcoholism is prevalent throughout the Americas, it affects an average of 10% of the population, therefore it can be considered a public health problem. Alcohol abuse can cause several injuries to the metabolism, being responsible for causing liver damage and other complications. Zieve's syndrome (ZS) is considered an example of these insults, it represents a rare condition and is generally underdiagnosed in clinical practice. The rarity of this syndrome means that patients are often submitted to unnecessary exams due to the lack of knowledge of this possible diagnosis by the medical team. It should be suspected whenever there is anemia, elevation of indirect bilirubin and secondary hyperlipidemia in the context of acute and abusive alcohol intake, without any obvious sign of gastrointestinal bleeding. In this article we discuss a case report about ZS of a patient attended at a metropolitan hospital in Belo Horizonte

OLD IN THE LOOK OF THE ELDERLY: SOCIAL REPRESENTATIONS

 Objetivo: Conhecer os sentidos atribuídos ao velho por idosos subsidiado no referencial teórico das representações sociais. Método: Trata-se de um estudo exploratório em uma abordagem qualitativa realizado nas Unidades de Saúde da Família no município de João Pessoa, Paraíba. A amostra foi constituída por 250 idosos atendidos em Unidades de Saúde da Família que responderam um questionário semiestruturado contendo o Teste da Associação Livre de Palavras, com a palavra indutora: velho. Resultados: Os dados foram analisados com o auxilio do software Alceste: 2010 apontaram oito classes ou categorias. Para os idosos, velho foi associado às imagens positivas e negativas do envelhecimento. Conclusão: os idosos se posicionam de modo mais favorável e falam sobre ser idoso enfatizando conteúdos biológicos, psicológicos, culturais, sócio-econômicos e espirituais com ênfase as práticas de saúde. 

Nanostructured system based on hydroxyapatite and curcumin: A promising candidate for osteosarcoma therapy:A promising candidate for osteosarcoma therapy

Osteosarcoma is the most common type of bone cancer. Despite therapeutic progress, survival rates for metastatic cases or that do not respond well to chemotherapy remain in the 30% range. In this sense, the use of nanotechnology to develop targeted and more effective therapies is a promising tool in the fight against cancer. Nanostructured hydroxyapatite, due to its biocompatibility and the wide possibility of functionalization, is an interesting material to design nanoplatforms for targeted drug delivery. These platforms have the potential to enable the use of natural substances in the fight against cancer, such as curcumin. Curcumin is a polyphenol with promising properties in treating various types of cancer, including osteosarcoma. In this work, hydroxyapatite (n-HA) nanorods synthesized by the hydrothermal method were investigated as a carrier for curcumin. For this, first-principle calculations based on the Density Functional Theory (DFT) were performed, in which the modification of curcumin (CM) with the coupling agent (3-aminopropyl) triethoxysilane (APTES) was theoretically evaluated. Curcumin was incorporated in n-HA and the drug loading stability was evaluated by leaching test. Samples were characterized by a multi-techniques approach, including Fourier transform infrared spectroscopy (FTIR), UV–visible spectroscopy (UV–Vis), X-ray diffraction (XRD), X-ray fluorescence spectrometry (FRX), thermogravimetric analysis (TGA), differential scanning calorimetry (DSC), zeta potential analysis (ζ), X-ray photoelectron spectroscopy (XPS) and transmission electron microscopy (TEM). The results show that n-HAs with a 90 nm average size were obtained and successful incorporation of curcumin in the nanostructure was achieved. Cell viability and the number of osteosarcoma cells were decreased by CMAP-HA treatment. Furthermore, the stability test suggests that hydroxyapatite nanoparticles present great potential for the transportation of curcumin in the bloodstream, crediting this system for biological performance evaluations aiming at the treatment of osteosarcomas. Keywords: nanostructures, curcumin, hydroxyapatite, osteosarcoma

Penilaian Kinerja Keuangan Koperasi di Kabupaten Pelalawan

This paper describe development and financial performance of cooperative in District Pelalawan among 2007 - 2008. Studies on primary and secondary cooperative in 12 sub-districts. Method in this stady use performance measuring of productivity, efficiency, growth, liquidity, and solvability of cooperative. Productivity of cooperative in Pelalawan was highly but efficiency still low. Profit and income were highly, even liquidity of cooperative very high, and solvability was good

Optimasi Portofolio Resiko Menggunakan Model Markowitz MVO Dikaitkan dengan Keterbatasan Manusia dalam Memprediksi Masa Depan dalam Perspektif Al-Qur`an

Risk portfolio on modern finance has become increasingly technical, requiring the use of sophisticated mathematical tools in both research and practice. Since companies cannot insure themselves completely against risk, as human incompetence in predicting the future precisely that written in Al-Quran surah Luqman verse 34, they have to manage it to yield an optimal portfolio. The objective here is to minimize the variance among all portfolios, or alternatively, to maximize expected return among all portfolios that has at least a certain expected return. Furthermore, this study focuses on optimizing risk portfolio so called Markowitz MVO (Mean-Variance Optimization). Some theoretical frameworks for analysis are arithmetic mean, geometric mean, variance, covariance, linear programming, and quadratic programming. Moreover, finding a minimum variance portfolio produces a convex quadratic programming, that is minimizing the objective function ðð¥with constraintsð ð 𥠥 ðandð´ð¥ = ð. The outcome of this research is the solution of optimal risk portofolio in some investments that could be finished smoothly using MATLAB R2007b software together with its graphic analysis

Juxtaposing BTE and ATE – on the role of the European insurance industry in funding civil litigation

One of the ways in which legal services are financed, and indeed shaped, is through private insurance arrangement. Two contrasting types of legal expenses insurance contracts (LEI) seem to dominate in Europe: before the event (BTE) and after the event (ATE) legal expenses insurance. Notwithstanding institutional differences between different legal systems, BTE and ATE insurance arrangements may be instrumental if government policy is geared towards strengthening a market-oriented system of financing access to justice for individuals and business. At the same time, emphasizing the role of a private industry as a keeper of the gates to justice raises issues of accountability and transparency, not readily reconcilable with demands of competition. Moreover, multiple actors (clients, lawyers, courts, insurers) are involved, causing behavioural dynamics which are not easily predicted or influenced. Against this background, this paper looks into BTE and ATE arrangements by analysing the particularities of BTE and ATE arrangements currently available in some European jurisdictions and by painting a picture of their respective markets and legal contexts. This allows for some reflection on the performance of BTE and ATE providers as both financiers and keepers. Two issues emerge from the analysis that are worthy of some further reflection. Firstly, there is the problematic long-term sustainability of some ATE products. Secondly, the challenges faced by policymakers that would like to nudge consumers into voluntarily taking out BTE LEI