5 resultados para IV ENDOMETRIOSIS

em Universidade do Minho


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(Excerto) A comunicação inscreve-se sempre em contextos culturais. Numa época dominada pelo regime da performatividade, da eficiência e da utilidade (Martins, 2015), a comunicação é cada vez mais pensada e usada de forma estratégica (Pinto-Coelho, 2005; Ruão & Kunsch, 2014). O mesmo se passa com aquilo a que chamamos cultura. Como nos diz George Yúdice (2006), a cultura, estando cada vez mais ligada à ideia de recurso ou de expediente, constitui-se como uma preocupação crescente de todos os setores da sociedade, quer para resolver problemas sociopolíticos, quer como instrumento que impulsiona o crescimento económico e a geração de emprego. Para professores e investigadores, estas novas orientações exigem problematizações outras, o abandono de instrumentos do passado e o favorecimento de uma reflexão e educação críticas. O presente livro, que reúne um conjunto de textos escritos por investigadores das áreas da Comunicação e dos Estudos Culturais que participaram nas IV Jornadas Doutorais em Comunicação e Cultura realizadas na Universidade do Minho, reflete este “ar dos tempos”. A edição inscreve-se num esforço permanente, desenvolvido pelo CECS — Centro de Estudos de Comunicação e Sociedade da Universidade do Minho — de promover a partilha de conhecimentos e experiências de pesquisa entre estudantes de doutoramento e pós-doutoramento das áreas das Ciências da Comunicação e dos Estudos Culturais. O encontro deste ano originou uma discussão frutífera à volta dos temas da comunicação, das culturas e dos seus usos estratégicos. O resultado é uma leitura, muito própria, de diferentes fenómenos da atualidade.

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Introduction: Endometriosis Health Profile Questionnaire-30 is currently the most used questionnaire for quality of life measurement in women with endometriosis. The aim of this study is to evaluate the psychometric properties and to validate the Portuguese Endometriosis Health Profile Questionnaire-30 version. MATERIAL AND METHODS A sequential sample of 152 patients with endometriosis, followed in a Portugal reference center, were asked to complete a questionnaire on social and demographic features, the Portuguese version of the Endometriosis Health Profile Questionnaire-30 and of the Short Form Health Survey 36 Item â version 2. Appropriate statistical analysis was performed using descriptive statistics, factor analysis, internal consistency, item-total correlation and convergent validity. RESULTS Factorial analysis confirmed the validity of the five-dimension structure of the Endometriosis Health Profile Questionnaire-30 core questionnaire, which explained 83.2% of the total variance. All item-total correlations presented acceptable results and high internal consistency, with Cronbach's alpha ranging between 0.876 and 0.981 for the core questionnaire and between 0.863 and 0.951 for the modular questionnaire. Significant negative associations between similar scales of Endometriosis Health Profile Questionnaire-30 and Short Form Health Survey 36 Item â version 2 were demonstrated. Data completeness achieved was high for all dimensions. The emotional well-being scale in the core questionnaire and the infertility scale in the modular section had the highest median scores, and therefore the most negative impact on the quality of life of participating women. DISCUSSION The test-retest reliability and responsiveness of the questionnaire should be evaluated in future studies. CONCLUSION The present study demonstrates that the Portuguese version of the Endometriosis Health Profile Questionnaire-30 is a valid, reliable and acceptable tool for evaluating the health-related quality of life of Portuguese women with endometriosis.

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[Description] Endometriosis, the presence of functional endometrial tissue outside the uterus, occurs in about 3–10% of women of reproductive age and is a cause of chronic pelvic pain and infertility for some.1 Bowel involvement may be present in about 5–10% of these women, mostly affecting the rectum and distal sigmoid (over 80% of cases), and, more infrequently, the appendix, ileum and caecum. The most common lesions involve only the serosa (endometriotic implants) but they can penetrate the muscular layers of the wall, in which case they are called deep infiltrating endometriosis. (...)

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Dissertação de mestrado em Educação Especial (área de especialização em Dificuldades de Aprendizagem Específicas)

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Endometriosis is a chronic condition affecting 10 to15% of women in childbearing age. Understanding the impact of this disease on women’s well-being is still a challenge, namely to intervene. Pain is the most current and troublesome symptom. Although medical treatments for pain relief are effective, recurrence rate remains significant, calling for a better understanding and development of new approaches for pain management. A group Cognitive Behavioral Therapy (CBT) for management of associated co-morbidities is suggested, paying special attention to Chronic Pelvic Pain (CPP). CBT design can be grounded on information collected from focus groups and a one-group exploratory trial. Evaluation of therapy effectiveness is possible to be performed by comparing group CBT to Usual Care (UC) and Support Group (SG) in a randomized controlled trial. Research in this area could represent an important step in providing a solution to the management of endometriosis and, to the best of our knowledge, the first national psychological approach for its understanding and treatment.