Complicações músculo-esqueléticas crónicas nas mulheres sobreviventes de cancro da mama

As mulheres com cancro da mama obtiveram, nos últimos anos, um aumento significativo da esperança média de vida; contudo, muitas destas mulheres vivem com as complicações crónicas resultantes do tratamento. O objetivo deste estudo é caracterizar as complicações músculo-esqueléticas (CME) nas sobreviventes de cancro da mama e enfatizar a necessidade de desenvolver terapêuticas preventivas para estas complicações. Métodos – Noventa e quatro mulheres sobreviventes de cancro da mama responderam a um questionário sobre potenciais CME. Resultados – Foi detetada associação significativa entre idade e linfedema (p=0,004), dor no braço (DB) (p=0,000), dor no ombro (DO) (p=0,004), dificuldade em elevar o braço (DEB) (p=0,022) e cervicalgia (p=0,000), verificando-se uma maior incidência nas mulheres com mais de 50 anos. Uma associação significativa foi detetada entre linfadenectomia e linfedema (p=0,000), DB (p=0,000), DO (p=0,008), verificando-se que as mulheres sujeitas a linfadenectomia apresentam maior incidência de linfedema, de DB e de DO. Quanto à sobrevivência constatou-se que as mulheres com mais de 10 anos de sobrevivência têm mais CME. Relativamente à mastectomia foi detetada associação significativa com o linfedema (p=0,012), DB (p=0,020), DO (p=0,003), DEB (p=0,037) e cervicalgia (p=0,020). Verificou-se que as mulheres mastectomizadas têm maior tendência para apresentar linfedema, DB, DO, DEB e cervicalgia. Conclusão – No nosso estudo, as mulheres acima dos 50 anos, as que realizaram a linfadenectomia, as com mais de 10 anos de sobrevivência e as mastectomizadas apresentaram maior incidência de CME.

Sobreviventes: lições para criar uma organização resiliente

The aim o f this study is looking for the characteristics that allowed the prisoners o f nazi concentrating camps to survive extremely _stressing situations during the Second World War, and verify if these characteristics can be observed and developed in the Human Resources o f the Organizations unde:r stress o f competition and globalization. Resilience is the capacity individuais have to bounce back after stressing situations, as those ones represented by the nazi Concentration Camps. The nimbieness and heartiness that resilient peopie show in the face of adversity result an eiasticity that allows them to remain relativeiy calm in unpredictabie environments; they can spring back repeatediy after being subjected to the stresses of change. The characteristics of survivors were · based on the anaiysis o f the books o f some prisoners-writers. It was possible to find that characteristics as self-esteem, self-controi, autonomy, faith, ' . . self-belief, meaning o f life, importance o f the reiationship among others are irn:portaht to determinate.the resilience o f the individuais.

Não há você sem mim: histórias de mulheres sobreviventes de uma tentativa de homicídio

The murder-suicide (H / S) has been defined as a shocking crime in which a person takes the life of another and then kills himself within 24 hours. Set up as a gender violence, because men are in majority, the killers and the women victims. This study aims to understand the meanings of the experience of a H / S, from women who have survived this act. This study sets up as a hermeneutic phenomenological research, based on Heidegger`s ontology. We interviewed three survivors of H / S, whose narratives allowed to approach the senses present in their lives. The interviews were transcribed and interpreted in accordance with the hermeneutic circle, as proposed by Martin Heidegger. From the interviews of research participants perceive that these women have built their senses in stocks, represented the family foundation and the presence of a husband and children. This project that moved their lives toward the construction of modes-of-being. We noticed the presence of historicity constructing meanings for the existence of these women. We found reports of an experience of loving relationships characterized by strong jealousy, with the presence of fantasies of betrayal, and marked by a careful affective relationship that put them in the position of object possession of his companions. Reflect that such caring restricted their existence being-for-husband. So the senses that moved their stocks, which aimed his ways existential, was the creation of a family, a reference to their lives, to live a love, and care for the children. Therefore, beyond the already known aspects in studies on violence against women, which made these women continue to choose this relationship was the sense that they had for their existence. It is hoped that this study will contribute to the construction of a new look on violence against women, taking as a basis the Heideggerian hermeneutic phenomenology

Avaliação das habilidades neurocognitivas em crianças e adolescentes sobreviventes da Leucemia Linfoide Aguda - LLA

The present study investigated the impact of the treatment modalities of Acute Lymphoblastic Leukemia on neurocognitive abilities of children and adolescents survivors, aged between 6 and 16 years of age, accompanied in pediatric oncology sectors of public health services in the cities of Campina Grande-PB and Natal-RN. The study included 52 children, 13 of these being children and adolescents diagnosed with leukemia and 39 healthy children matched in relation to the study group considering gender, age, school type and level of maternal education. Later the group of children with leukemia was subdivided into two subgroups depending on treatment modality which were submitted: Group 1A (only chemotherapy) and 1B (chemotherapy and radiotherapy). All participants were subjected to a battery of neuropsychological tests that investigated the following neurocognitive abilities: intellectual ability, memory system, attention, visuospatiality and visuoconstruction, processing speed and executive functions. Data were analyzed using descriptive and inferential measurements with the aid of the U test of Mann-Whitney and T test, considering the influence of the variables: sex, age at diagnosis, time since completion of treatment and level of schooling mothers, on the performance of children. Overall, it is concluded that the illness and the treatment of acute lymphoblastic leukemia significantly favors the emergence of cognitive deficits, particularly in terms of visuospatial skills, and executive skills visoconstrutivas. In turn, the treatment modality of radiotherapy is associated with the presence of more severe deficits, highlighting the significant impact on the speed of information processing. It is hoped that the results presented here will contribute to a better understanding of the nature and extent of neurocognitive effects arising ALL treatment

Parâmetros bioquímicos de avaliação da função renal e hepática de equinos com cólica submetidos a laparotomia, sobreviventes ou não

We examined 46 adult horses - six healthy, as control, (group 1) and 40 horses with colic submitted to treatment by laparotomy. Twenty animals had no postoperative complication (group 2), and twenty died or were euthanized from seven to ten days after the surgery (group 3). There was an increase in serum urea and creatinine concentration and AST, FA and GGT activity of animals from group 1 and group 2, indicative of renal and hepatic injury. The changes were associated with dehydration and endotoxins. Depending on the severity of the colic, animals may develop kidney and liver failure.