Family Therapy: New Intervention Programs and Researches: Systemic Family Approach in Health Care

Talking about family practice is talking about family systemic approach. There are many cues that are so important to understand how the family functions. This is the scope of systemic family approach, where the health is influenced by all the systems a person belongs. In this chapter, we will discuss how a family interacts and the roles of every person in the family—as individuals and as part of the context. And most of it is how this interaction influences the health of every member of the family. Based on the systemic theory, we will run over some tools that will allow to assess the family and discuss how to ease the communication and to help the family to face their difficulties

Anxiety and Depression in COVID-19 Times

The millennial generation has been known as the most anxious and depressed one, due to lack of more physical attachment. During these COVID-19 times, these problem had been widened for everyone - many had been panic about the illness, the media had played an awful hole on it, creating a scenario of huge risk for lives and jobs. We are facing a perfect storm, where we are not allowed to do most of the recreation and healthie programs - like visit the ones beloved, go to gym, go to a party. The use of internet have a lot of misinformation about the pandemic and even physicians, scientists and health politicians overload us with useless information. It was really hard to identify what was important. In this situation, dealing with uncertainty, anxiety and depression had created a huge problem for physicians and psychologists. How to help and support that. There are many strategies that we have used. First to diminish the search of information over COVID-19, selecting one trustable source. Second, contact your beloved ones, if possible with video call on an everyday basis. Third, develop a routine of physical activities in order to keep your body health. Fourth try to develop a health pattern of food. Together they can diminish the chance of having anxiety and depression. But if you need support for a professional, it’s important to have teams of professional available to give attention to that issues. The very first is a phone support or internet support, by teams that could discuss the problems and develop a personal strategy to deal with this situation. But when that is not enough, we must have a consultation with a physician or a psychologist. The approach must discuss fillings, worries and how to plan this isolation times. Most of us have a hidden agenda and fear that must be addressed and at this time it is important to allow the patients to talk about freely, and to develop empathy with their worries. After that we can promote some activities to diminish the fillings of anxiety and depression

Instruções para colaboradores da Revista da Sociedade Brasileira de Medicina de Família e Comunidade

1. A Revista da Sociedade Brasileira de Medicina de Fam&iacute;lia e Comunidade &eacute; uma publica&ccedil;&atilde;o bimensal da Sociedade Brasileira de Medicina de Fam&iacute;lia e Comunidade (SBMFC), que tem por finalidades: sensibilizar profissionais e autoridades da &aacute;rea de sa&uacute;de em aten&ccedil;&atilde;o prim&aacute;ria &agrave; sa&uacute;de (APS); estimular e divulgar temas e pesquisas em APS e medicina de fam&iacute;lia e comunidade; criar rede de discuss&atilde;o que permita consolida&ccedil;&atilde;o e valoriza&ccedil;&atilde;o da especialidade; possibilitar o interc&acirc;mbio academia e servi&ccedil;o; promover a abordagem interdisciplinar e servir como ve&iacute;culo de educa&ccedil;&atilde;o continuada e permanente. 2. A Revista tem a seguinte estrutura: Editorial. Artigos originais. Artigos de revis&atilde;o. Artigos comentados. Resumos de monografias, disserta&ccedil;&otilde;es e teses. Resumo de trabalhos apresentados em congressos. Resenha de livros. Comunica&ccedil;&otilde;es breves. Noticias da SBMFC. Noticia das Regionais da SBMFC. Se&ccedil;&atilde;o do residente. Imagens de medicina de fam&iacute;lia e comunidade. 3.0s trabalhos devem ser encaminhados em disquete, acompanhado de 2 c&oacute;pias impressas ou pela Internet, programa "Word for Windows", vers&atilde;o 6.0 ou superior, letra "Times New Roman" tamanho 12, espa&ccedil;o entre linhas 1 um e meio, com o limite de p&aacute;ginas h&aacute; 8 paginas &ndash; a crit&eacute;rio do Conselho Editor poder&atilde;o ser publicado com altera&ccedil;&otilde;es referidas na revista. Devem vir acompanhados de of&iacute;cio de encaminhamento contendo nome dos autores e endere&ccedil;o para correspond&ecirc;ncia, e-mail, telefone, fax e serem endere&ccedil;ados &agrave; revista. 4. 0s trabalhos devem obedecer &agrave; seguinte seq&uuml;&ecirc;ncia de apresenta&ccedil;&atilde;o: a) T&iacute;tulo em portugu&ecirc;s. b) Nome do(s) autor(es) e, no rodap&eacute;, a fun&ccedil;&atilde;o que este(s) exerce(m), t&iacute;tulo(s) e forma&ccedil;&atilde;o profissional. c) Resumo em portugu&ecirc;s e ingl&ecirc;s em que fiquem claros a s&iacute;ntese dos prop&oacute;sitos, os m&eacute;todos empregados e as principais conclus&otilde;es do trabalho, n&atilde;o ultrapassando 150 palavras. Notas de p&eacute; de p&aacute;gina n&atilde;o ser&atilde;o aceitas, devendo ser apresentadas no final do artigo. d) Descritores ou Palavras-chave - m&iacute;nimo de 3 e m&aacute;ximo de 5 palavras-chave descritoras do conte&uacute;do do trabalho, apresentadas em portugu&ecirc;s e ingl&ecirc;s. Para tal pode ser utilizado o vocabul&aacute;rio estruturado e triling&uuml;e DeCS -Descritores em Ci&ecirc;ncia da Sa&uacute;de criado pela BIREME -www.bireme.br . e) Artigo propriamente dito, preferencialmente com a seguinte estrutura: Introdu&ccedil;&atilde;o, Material e m&eacute;todo, Resultados, Discuss&atilde;o e Conclus&atilde;o ou Considera&ccedil;&otilde;es Finais. f) As figuras (gr&aacute;ficos, desenhos, tabelas) devem ser enviadas em separado, com indica&ccedil;&atilde;o na margem do local de inser&ccedil;&atilde;o no texto; as fotografias em preto e branco devem ser apresentadas em papel brilhante. g) Refer&ecirc;ncias bibliogr&aacute;ficas. No corpo do texto citar apenas o sobrenome do autor e ano de publica&ccedil;&atilde;o: por exemplo, (Vasconcelos 2000) ou (Bruschini &amp; Holanda 1998). No caso de cita&ccedil;&otilde;es com mais de 2 autores, s&oacute; dever&aacute; ser citado o primeiro autor seguido da express&atilde;o et aI. Em cita&ccedil;&otilde;es na &iacute;ntegra, colocar tamb&eacute;m o n&uacute;mero da p&aacute;gina. Exemplo: "A educa&ccedil;&atilde;o em sa&uacute;de &eacute; o campo de pr&aacute;tica e conhecimento do setor sa&uacute;de que se tem ocupado mais diretamente com a cria&ccedil;&atilde;o de v&iacute;nculos entre a a&ccedil;&atilde;o m&eacute;dica e o pensar cotidiano da popula&ccedil;&atilde;o." (Vasconcelos, 2000, p.25). Todas as refer&ecirc;ncias citadas no texto, incluindo as de quadros, tabelas e gr&aacute;ficos dever&atilde;o fazer parte das refer&ecirc;ncias bibliogr&aacute;ficas, em ordem alfab&eacute;tica, no final do artigo. N&atilde;o abreviar t&iacute;tulos de peri&oacute;dicos, livros, locais, editoras e institui&ccedil;&otilde;es. Os artigos e livros com v&aacute;rios autores, at&eacute; no m&aacute;ximo de cinco, devem ser citados nas refer&ecirc;ncias bibliogr&aacute;ficas com todos os nomes. Quando for mais de 5, citar somente o primeiro seguido da express&atilde;o et aI.. Este peri&oacute;dico utiliza a NBR 6023 (Normas Brasileiras de Refer&ecirc;ncias Bibliogr&aacute;ficas), vers&atilde;o de agosto de 2000. 5. Os artigos s&atilde;o de total e exclusiva responsabilidade dos autores. 6. Os trabalhos enviados ser&atilde;o analisados pelo Corpo Editorial que se reserva o direito de aceit&aacute;-los ou recus&aacute;-los. Os trabalhos ser&atilde;o analisados em rela&ccedil;&atilde;o aos seguintes aspectos: adequa&ccedil;&atilde;o do t&iacute;tulo ao conte&uacute;do; estrutura da publica&ccedil;&atilde;o; clareza e pertin&ecirc;ncia dos objetivos; metodologia; clareza das informa&ccedil;&otilde;es; refer&ecirc;ncias bibliogr&aacute;ficas adequadas &agrave;s normas t&eacute;cnicas adotadas pela revista e pertin&ecirc;ncia aos objetivos da revista. 7. Eventuais sugest&otilde;es de modifica&ccedil;&atilde;o da estrutura ou do conte&uacute;do por parte da Editoria ser&aacute; previamente acordado com os autores. N&atilde;o ser&atilde;o admitidos acr&eacute;scimos ou modifica&ccedil;&otilde;es depois que os trabalhos forem entregues para composi&ccedil;&atilde;o. 8. Os artigos devem ser enviados para: Conselho Editor da Revista da Sociedade Brasileira de Medicina de Fam&iacute;lia e Comunidade Rua Jaime Veiga, 170Semin&aacute;rio, Curitiba &ndash; PR CEP 80310-570 Fone / FAX (041) 228-2104 E-mail: [email protected]</p

Assistência Médica por Ciclos de Vida

As competências de um Médico de Família necessárias para atuação na estratégia de saúde da família, extrapolam seu núcleo de formação, geralmente voltadas à resolução de patologias instaladas e com pouca ênfase na promoção à saúde dos indivíduos. Para trabalhar na Estratégia de Saúde da Família, exigem-se do profi ssional médico outras habilidades e conhecimentos, para que possa aprender a administrar seu tempo ao realizar as ações indicadas no Pacto de Atenção à Saúde, planejar e gerenciar as ações voltadas às situações de risco à saúde, avaliar essas ações. Além disso precisa desenvolver competências para trabalhar em equipe, partilhando responsabilidades e decisões.1.0MINISTÉRIO DA SAÚDEUna-SU

Políticas públicas de saúde e processo de trabalho em saúde da família [volume 2]

O Módulo 3 tem o objetivo de provocar o conhecimento, a compreensão e a reflexão sobre a evolução das Políticas Públicas de Saúde do Brasil até o contexto atual, assim como a análise e reflexão sobre a inserção dos princípios do SUS e do Pacto pela Saúde em suas práticas e nas práticas da equipe em que trabalha. O módulo 4 divide-se em 3 partes. A primeira reflete-se sobre o conceito de modelo assistencial, relacionando-o ao conceito de atenção primária a saúde. Além disso busca apresentar os fundamentos da Atenção Básica, além de um resgate histórico da Saúde da Família no Brasil e no Mato Grosso do SulMINISTÉRIO DA SAÚDEUna-SU

How former business owners fare in the labor market? Job assignment and earnings

This is the post-print version of the final paper published in European Economic Review. The published article is available from the link below. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. Copyright @ 2011 Elsevier B.V.This study uses detailed longitudinal matched employer–employee data to examine the impact of entrepreneurial experience on job assignments, careers, and wages. The results suggest that there are significant differences in career mobility between former business owners and workers who were always wage employees. Former business owners enter firms at higher job levels and progress faster up the hierarchy than wage employees without entrepreneurial experience. The majority of the former business owners find jobs in small firms. The return to business ownership experience is lower than the return to wage employee experience, thus suggesting that the labor market imposes a penalty for business ownership experience.Fundação para a Ciência e a Tecnologi

Acute cardiometabolic effects of brief active breaks in sitting for patients with rheumatoid arthritis

Exercise is a treatment in rheumatoid arthritis, but participation in moderate-to-vigorous exercise is challenging for some patients. Light-intensity breaks in sitting could be a promising alternative. We compared the acute effects of active breaks in sitting with those of moderate-to-vigorous exercise on cardiometabolic risk markers in patients with rheumatoid arthritis. In a crossover fashion, 15 women with rheumatoid arthritis underwent three 8-h experimental conditions: prolonged sitting (SIT), 30-min bout of moderate-to-vigorous exercise followed by prolonged sitting (EX), and 3-min bouts of light-intensity walking every 30 min of sitting (BR). Postprandial glucose, insulin, c-peptide, triglycerides, cytokines, lipid classes/subclasses (lipidomics), and blood pressure responses were assessed. Muscle biopsies were collected following each session to assess targeted proteins/genes. Glucose [−28% in area under the curve (AUC), P = 0.036], insulin (−28% in AUC, P = 0.016), and c-peptide (−27% in AUC, P = 0.006) postprandial responses were attenuated in BR versus SIT, whereas only c-peptide was lower in EX versus SIT (−20% in AUC, P = 0.002). IL-1β decreased during BR, but increased during EX and SIT (P = 0.027 and P = 0.085, respectively). IL-1ra was increased during EX versus BR (P = 0.002). TNF-α concentrations decreased during BR versus EX (P = 0.022). EX, but not BR, reduced systolic blood pressure (P = 0.013). Lipidomic analysis showed that 7 of 36 lipid classes/subclasses were significantly different between conditions, with greater changes being observed in EX. No differences were observed for protein/gene expression. Brief active breaks in sitting can offset markers of cardiometabolic disturbance, which may be particularly useful for patients who may find it difficult to adhere to exercise. NEW & NOTEWORTHY Exercise is a treatment in rheumatoid arthritis but is challenging for some patients. Light-intensity breaks in sitting could be a promising alternative. Our findings show beneficial, but differential, cardiometabolic effects of active breaks in sitting and exercise in patients with rheumatoid arthritis. Breaks in sitting mainly improved glycemic and inflammatory markers, whereas exercise improved lipidomic and hypotensive responses. Breaks in sitting show promise in offsetting aspects of cardiometabolic disturbance associated with prolonged sitting in rheumatoid arthritis

Observation of associated near-side and away-side long-range correlations in √sNN=5.02 TeV proton-lead collisions with the ATLAS detector

Two-particle correlations in relative azimuthal angle (Δϕ) and pseudorapidity (Δη) are measured in √sNN=5.02  TeV p+Pb collisions using the ATLAS detector at the LHC. The measurements are performed using approximately 1  μb-1 of data as a function of transverse momentum (pT) and the transverse energy (ΣETPb) summed over 3.1<η<4.9 in the direction of the Pb beam. The correlation function, constructed from charged particles, exhibits a long-range (2<|Δη|<5) “near-side” (Δϕ∼0) correlation that grows rapidly with increasing ΣETPb. A long-range “away-side” (Δϕ∼π) correlation, obtained by subtracting the expected contributions from recoiling dijets and other sources estimated using events with small ΣETPb, is found to match the near-side correlation in magnitude, shape (in Δη and Δϕ) and ΣETPb dependence. The resultant Δϕ correlation is approximately symmetric about π/2, and is consistent with a dominant cos⁡2Δϕ modulation for all ΣETPb ranges and particle pT

Search for direct production of charginos and neutralinos in events with three leptons and missing transverse momentum in √s = 7 TeV pp collisions with the ATLAS detector

A search for the direct production of charginos and neutralinos in final states with three electrons or muons and missing transverse momentum is presented. The analysis is based on 4.7 fb−1 of proton–proton collision data delivered by the Large Hadron Collider and recorded with the ATLAS detector. Observations are consistent with Standard Model expectations in three signal regions that are either depleted or enriched in Z-boson decays. Upper limits at 95% confidence level are set in R-parity conserving phenomenological minimal supersymmetric models and in simplified models, significantly extending previous results

Jet size dependence of single jet suppression in lead-lead collisions at sqrt(s(NN)) = 2.76 TeV with the ATLAS detector at the LHC

Measurements of inclusive jet suppression in heavy ion collisions at the LHC provide direct sensitivity to the physics of jet quenching. In a sample of lead-lead collisions at sqrt(s) = 2.76 TeV corresponding to an integrated luminosity of approximately 7 inverse microbarns, ATLAS has measured jets with a calorimeter over the pseudorapidity interval |eta| < 2.1 and over the transverse momentum range 38 < pT < 210 GeV. Jets were reconstructed using the anti-kt algorithm with values for the distance parameter that determines the nominal jet radius of R = 0.2, 0.3, 0.4 and 0.5. The centrality dependence of the jet yield is characterized by the jet "central-to-peripheral ratio," Rcp. Jet production is found to be suppressed by approximately a factor of two in the 10% most central collisions relative to peripheral collisions. Rcp varies smoothly with centrality as characterized by the number of participating nucleons. The observed suppression is only weakly dependent on jet radius and transverse momentum. These results provide the first direct measurement of inclusive jet suppression in heavy ion collisions and complement previous measurements of dijet transverse energy imbalance at the LHC.Comment: 15 pages plus author list (30 pages total), 8 figures, 2 tables, submitted to Physics Letters B. All figures including auxiliary figures are available at http://atlas.web.cern.ch/Atlas/GROUPS/PHYSICS/PAPERS/HION-2011-02