Self-Care, Sense Of Coherence And Depression In Patients Hospitalized For Decompensated Heart Failure

OBJECTIVE To analyze the self-care behaviors according to gender, the symptoms of depression and sense of coherence and compare the measurements of depression and sense of coherence according to gender. METHOD A correlational, cross-sectional study that investigated 132 patients with decompensated heart failure (HF). Data were collected through interviews and consultation to medical records, and analyzed using the chi-square and the Student's t tests with significance level of 0.05. Participants were 75 men and 57 women, aged 63.2 years on average (SD = 13.8). RESULTS No differences in self-care behavior by gender were found, except for rest after physical activity (p = 0.017). Patients who practiced physical activity showed fewer symptoms of depression (pOBJETIVO Analisar os comportamentos de autocuidado segundo o sexo, sintomas de depressão e senso de coerência e comparar as medidas de depressão e senso de coerência segundo o sexo. MÉTODO Estudo correlacional, de corte transversal, que investigou 132 pacientes com insuficiência cardíaca (IC) descompensada. Os dados foram coletados por entrevistas e consultas aos prontuários e analisados pelos testes Qui-quadrado e t de Student, com nível de significância de 0,05. Participaram 75 homens e 57 mulheres, com média de idade de 63,2 anos (D.P.=13,8). RESULTADOS Não constatamos diferenças nos comportamentos de autocuidado segundo o sexo, exceto para descanso após atividade física (p=0,017). Pacientes que realizavam atividade física apresentaram menos sintomas de depressão (pOBJETIVO Analizar los comportamientos de autocuidado según el sexo, síntomas de depresión y sentido de coherencia y comparar las medidas de depresión y sentido de coherencia según el sexo. MÉTODO Estudio correlacional, de corte transversal, que investigó a 132 pacientes con insuficiencia cardiaca (IC) descompensada. Los datos fueron recogidos mediante entrevistas y consultas a las fichas médicas y analizados por las pruebas Chi cuadrado y t de Student, con nivel de significación de 0,05. Participaron 75 hombres y 57 mujeres, con promedio de edad de 63,2 años (D.P.=13,8). RESULTADOS No hemos constatado diferencias en los comportamientos de autocuidado según el sexo, excepto para descanso luego de actividad física (p=0,017). Pacientes que realizaban actividad física presentaron menos síntomas de depresión (

IMAGEN CORPORAL Y SATISFACCIÓN EN EL TRABAJO ENTRE ADULTOS EN REHABILITACIÓN DE QUEMADURAS

This study aims to identify and analyze the meanings regarding the body of adults on burn rehabilitationwith a focus on body image and work satisfaction. By juxtaposing approaches, in this study we’ve combined andcompared the results of two researches with a group of burned patients. The research of qualitative approach (ethnography)interpreted meanings of quality of life; the quantitative one measured the quality of life (cultural adaptation and applicationof the Burn Specific Health Scale – Revised). Results indicate similarities and differences between findings from theanalyzed studies, regarding the body aesthetic and functional valorization. In the qualitative research, scars become anegative body self-image and the inability to work compromises the quality of life. In the quantitative research, the burnimpact on the body image is minimized. It’s concluded that the first approach allows further access to the meanings of thebody in the evaluated items and that the use of both approaches on a complementary perspective enriches the body ofknowledge.Este estudio objetiva identificar y analizar significados atribuidos al cuerpo por adultos en rehabilitación dequemaduras, enfocando imagen corporal y satisfacción en el trabajo. Mediante yuxtaposición de abordajes, combina ycompara los resultados de dos investigaciones con un grupo de pacientes quemados. La investigación de abordajecualitativo (etnografía) interpretó sentidos de calidad de vida; la cuantitativa midió la calidad de vida (adaptación culturaly aplicación de la burn specific health scale – revised). Los resultados indican convergencias y divergencias entrehallados de las investigaciones analizadas cuanto a la valorización estética y funcional del cuerpo. En la investigacióncualitativa, las cicatrices revierten en autoimagen corporal negativa y la incapacidad de trabajo compromete la calidad devida; en la cuantitativa el impacto de la quemadura sobre la imagen corporal es minimizado. Conclúyese que el primerabordaje posibilitó profundizar el acceso a los significados del cuerpo en los ítems evaluados y que la utilización de los dosabordajes en perspectiva complementar enriquece el conocimiento.Este estudo objetiva identificar e analisar significados atribuídos ao corpo por adultos em reabilitação de queimaduras, focalizando imagem corporal e satisfação no trabalho. Mediante justaposição de abordagens, combina e compara os resultados de duas pesquisas com um grupo de pacientes queimados. A pesquisa de abordagem qualitativa (etnografia) interpretou sentidos de qualidade de vida; a quantitativa mediu a qualidade de vida (adaptação cultural e aplicação da Burn Specific Health Scale – Revised). Os resultados indicam convergências e divergências entre achados das pesquisas analisadas quanto à valorização estética e funcional do corpo. Na pesquisa qualitativa, as cicatrizes revertem em autoimagem corporal negativa e a incapacidade de trabalho compromete a qualidade de vida; na quantitativa o impacto da queimadura sobre a imagem corporal é minimizado. Conclui-se que a primeira abordagem possibilitouaprofundar o acesso aos significados do corpo nos itens avaliados e que a utilização das duas abordagens em perspectiva complementar enriquece o conhecimento

Paraneoplastic Hypercalcemia Secondary to Canine Mammary Tumors

Background: Paraneoplastic syndromes are complexes symptom that occur at a distinct site from the primary tumor or its metastasis by the production of hormone by the tissue in which the tumor appears. Paraneoplastic hypercalcemia is associated with an abnormal elevation of serum calcium levels and the mainly tumor related to this syndrome in canine is lymphoma, anal sac apocrine gland adenocarcinoma and multiple myeloma. In mammary tumors, the most frequent tumor that affect female dogs, this syndrome was also observed. The aims of this study were to evaluate serum calcium levels in female dogs with malignant mammary tumors and correlate calcium levels with clinicopathological parameters.Materials, Methods & Results: It was evaluated fifty-one female dogs with mammary carcinomas (simple carcinomas and carcinoma in mixed tumors) for serum calcium levels using colorimetric test. Clinical-histopathological data as spray status, pseudopregnancy, tumor size, ulceration, clinical staging, histopathological type and tumor grade were also evaluated in association with serum calcium levels. All dogs were treated with unilateral mastectomy. It was observed that 18 animals (35%) had calcium serum levels increased (>11.5 mg/dL) and 56% (10/18 cases) of these animals had serum calcium levels higher than 12 mg/dL. All dogs with hypercalcemia were asymptomatic, including two female dogs that presented the highest levels (13.43 mg/dL and 14.28 mg/dL). Hypercalcemia of malignancy was related to mammary carcinomas after the exclusion of other causes of hypercalcemia through laboratory tests (complete blood count and serum biochemistry) and abdominal ultrasound. No correlation was verified between the corrected serum calcium values with clinical and histopathological parameters evaluated.Discussion: In this study, it was observed a high incidence of paraneoplastic hypercalcemia associated with canine mammary tumors (35%). In humans, this syndrome is related in up to 10% of all patients with advanced cancer and with worse prognosis. The most frequent clinical signs of hypercalcemia are nonspecific and can be confused with other diseases, such as polyuria, polydipsia, anorexia, constipation, lethargy and weakness. The treatment of this syndrome is based on tumor resection and when necessary other treatments can be performed with fluid containing 0.9% sodium chloride, furosemide, prednisolone and calcitonin. Patients with asymptomatic or mildly symptomatic hypercalcemia (calcium levels <12 mg/ dL) do not require immediate treatment. Clinical signs occur more frequently with serum calcium levels higher than 15 mg/dL. Calcium levels higher than 18 mg/dL are considered a medical emergency and the clinical signs observed are trigger seizures, cardiac arrhythmia, acute renal failure and death. Most animals of this study presented mild hypercalcemia, that could justify the absence of clinical signs related to this syndrome, and the treatment for this syndrome was the tumor removal. The high serum calcium levels did not show correlation with more aggressive tumors and poorer prognosis, conditions evaluated by histological type, tumor grade and clinical stage. The evaluation of serum calcium levels is an important clinical test to be done in female dogs with mammary tumors, besides to be an affordable and technically simple test. The clinical signs related to this syndrome are nonspecific and may be confused with other diseases commonly observed in older dogs. The data suggest that there are no correlation between serum calcium levels with aggressiveness of canine mammary tumors and with other clinical features

Comprehensive Health Care Program for Performing Artists: account of the experience developed in an University service in Minas Gerais

This is an experience report whose aim was to present the Comprehensive Health Care Program for Performing Artists of the Specialized Service in Occupational Health at the Hospital das Clínicas of the Federal University of Minas Gerais and report the actions developed by the interdisciplinary team. Actions comprise occupational clinical evaluation, including analysis of the activity with musical instruments; technical visits to workplaces, individual assistance or group activities and, educational and preventive actions, such as the preparation of a leaflet and workshops about musician’s health. From December 2009 to May 2015, 122 musicians were assisted, most of them instrumentalists, male, with a mean age of 32 years. Reevaluations and reports of workers assisted showed that program objectives have been met, especially regarding the self-management of coping strategies of illness risks at work. To give scientific support to the results, a protocol systematizing group activities, which is under evaluation, was prepared. It is hoped that the experience of the SEST regarding musician’s health can assist other professionals and services to organize themselves to cope with this group’s demands.Trata-se de um relato de experiência cujo objetivo foi apresentar o Programa de Atenção Integral a Saúde do Artista de Performance do Serviço Especializado em Saúde do Trabalhador do Hospital das Clínicas da Universidade Federal de Minas Gerais e relatar as ações desenvolvidas pela equipe interdisciplinar. As ações compreendem avaliação clínico-ocupacional, incluindo análise da atividade com o instrumento musical; visitas técnicas aoslocais de trabalho, assistência individual ou atividades em grupo e, ações educativas e preventivas, como a elaboração de um folheto informativo e workshops sobre a saúde do músico. De dezembro de 2009 a maio de 2015 foram atendidos 122 músicos, sendo amaioria instrumentistas, do sexo masculino, com média de idade de 32 anos. As reavaliações e os relatos dos trabalhadores assistidos demonstraram que os objetivos do programa vêm sendo alcançados, principalmente no que diz respeito ao autogerenciamento das estratégias de enfrentamento dos riscos de adoecimento no trabalho. Para dar sustentação científica aos resultados, foi elaborado um protocolo sistematizando as atividades em grupo, que se encontra em fase de avaliação. Espera-se que a experiência do SEST com relação a saúde do músico possa auxiliar outros profissionais e serviços a se organizar frente as demandas deste coletivo

VIII Encuentro de Docentes e Investigadores en Historia del Diseño, la Arquitectura y la Ciudad

Acta de congresoLa conmemoración de los cien años de la Reforma Universitaria de 1918 se presentó como una ocasión propicia para debatir el rol de la historia, la teoría y la crítica en la formación y en la práctica profesional de diseñadores, arquitectos y urbanistas. En ese marco el VIII Encuentro de Docentes e Investigadores en Historia del Diseño, la Arquitectura y la Ciudad constituyó un espacio de intercambio y reflexión cuya realización ha sido posible gracias a la colaboración entre Facultades de Arquitectura, Urbanismo y Diseño de la Universidad Nacional y la Facultad de Arquitectura de la Universidad Católica de Córdoba, contando además con la activa participación de mayoría de las Facultades, Centros e Institutos de Historia de la Arquitectura del país y la región. Orientado en su convocatoria tanto a docentes como a estudiantes de Arquitectura y Diseño Industrial de todos los niveles de la FAUD-UNC promovió el debate de ideas a partir de experiencias concretas en instancias tales como mesas temáticas de carácter interdisciplinario, que adoptaron la modalidad de presentación de ponencias, entre otras actividades. En el ámbito de VIII Encuentro, desarrollado en la sede Ciudad Universitaria de Córdoba, se desplegaron numerosas posiciones sobre la enseñanza, la investigación y la formación en historia, teoría y crítica del diseño, la arquitectura y la ciudad; sumándose el aporte realizado a través de sus respectivas conferencias de Ana Clarisa Agüero, Bibiana Cicutti, Fernando Aliata y Alberto Petrina. El conjunto de ponencias que se publican en este Repositorio de la UNC son el resultado de dos intensas jornadas de exposiciones, cuyos contenidos han posibilitado actualizar viejos dilemas y promover nuevos debates. El evento recibió el apoyo de las autoridades de la FAUD-UNC, en especial de la Secretaría de Investigación y de la Biblioteca de nuestra casa, como así también de la Facultad de Arquitectura de la UCC; va para todos ellos un especial agradecimiento