O cuidado de pessoas com transtornos mentais no cotidiano de seus familiares: investigando o papel da internação psiquiátrica

As atribuições da família no cuidado de seus membros portadores de transtornos mentais têm passado por profundas transformações nos últimos anos. A presente pesquisa investigou as modificações no cotidiano de familiares de pessoas que passaram por internação psiquiátrica e os significados implicados neste processo. Foram realizadas entrevistas semi-estruturadas com cinco familiares, cujo conteúdo foi submetido à análise temática e interpretado em perspectiva sócio-histórica. Dentre outras questões, observa-se que: (1) a concepção de cura está relacionada à recuperação da capacidade produtiva, restrita a partir do surgimento dos sintomas; (2) os recursos informais são complementares, principalmente quando os recursos públicos não são suficientes ou satisfatórios; (3) a religiosidade está presente na compreensão metafísica das causas do sofrimento psíquico; (4) a igreja, na figura dos correligionários, consiste em um grupo de suporte para o usuário e para a sua família e (5) a insuficiência de políticas adequadas de atenção à família na rede substitutiva.

Desenvolvimento de uma Lista de Verificação em Comunicação e Linguagem para os Transtornos do Espectro Autístico

A Lista de Verificação em Comunicação e Linguagem aqui apresentada foi elaborada para avaliar as especificidades de dois grupos distintos: os transtornos do espectro autístico e outras alterações de desenvolvimento da linguagem. Com essa finalidade foi aplicada em 60 participantes, divididos em dois grupos: 20 portadores de transtornos do espectro autístico (M=7, 11) e 40 portadores de outras alterações de desenvolvimento da linguagem (M=4, 10). Foi utilizado o teste do Qui-Quadrado para avaliar a validade do conteúdo e determinar quais questões deveriam ser retiradas do instrumento por não serem significativas. Os outros testes utilizados foram o Índice de Concordância Kappa e o teste de Mann-Withney. A Lista também apresentou uma sensibilidade de 90% e uma especificidade de 97,5%, o que demonstra a viabilidade de sua utilização como instrumento auxiliar na detecção de transtornos do espectro autístico.

Efeitos do estresse térmico nas concentrações plasmáticas de progesterona (P4) e estradiol 17-b (E2) e temperatura retal em cabras da raça Pardo Alpina

Seis cabras lactantes foram distribuídas aleatoriamente em um delineamento experimental em crossover, em dois grupos: sob condições termoneutras e estresse térmico. Um período de adaptação de 28 dias foi seguido por quatro períodos de 14 dias cada, quando os animais sob estresse térmico foram expostos à temperatura média de 33,84ºC; THI de 86,20; BGT de 36,18 e BT de 32,11ºC das 8 às 17 horas, incluindo radiação solar simulada das 10 às 15 horas. Não houve diferença entre as concentrações plasmáticas de progesterona, mas as fêmeas submetidas ao estresse térmico apresentaram diminuição nas concentrações plasmáticas de estradiol, quando comparados ao grupo termoneutro. A temperatura retal dos animais sob estresse térmico foi mais elevada quando foi comparada à do grupo de animais em condições de termoneutralidade. As cabras mantiveram as concentrações plasmáticas da progesterona, com diminuição na secreção de estradiol, quando expostas a um estresse repetido e intermitente, a despeito de ocorrer hipertermia durante o estresse pelo calor.

Transtornos ovarianos e uterinos ocorridos no puerpério de vacas e sua relação com a progesterona no leite

Mediante exames semanais de palpação retal em 72 vacas leiteiras até o 42°dia pós-parto (p.p.) e dosagens de progesterona através do radioimunoensaio (RIE) e do enzimimunoensaio (EIE) até o 72° dia p.p., verificou-se que 9,7% dos animais portavam cistos foliculares, 6,9% tiveram aciclia completa, 6,9% tinham corpo lúteo persistente ou cisto luteínico, 22,2% foram acometidos de endometrite e 6,9% possuíam endometrite associada com cistos foliculares. Os cistos foliculares tiveram lugar, em média, no 29 ± 8,1° dia p.p., ao passo que o primeiro pico de progesterona ocorreu no 56,4 ± 7,8°dia p.p. Casos de cistos luteínicos ou corpo lúteo persistente ocorreram somente após o 42° dia p.p. Manobras obstétricas indevidas por ocasião do parto podem elevar em muito a incidência de endometrite num dado rebanho.

Concentrações plasmáticas de cortisol, hormônios tiroídeanos, metabólitos lipídicos e temperatura corporal de cabras alpinas submetidas ao estresse térmico

The objective of this work was to determine the plasma concentrations of cortisol, thyroid hormone, lipids metabolites and corporal temperature or lactating Alpine goats submitted to heat stress. Six lactating Alpine goats were allotted randomly in a crossover experimental design for two groups: thermoneutral conditions or thermal stress. An adaptation period of 28 days was followed by Four-periods of 14 days each, when the animals submitted to thermal stress were exposed to the average temperature of 33.84 degrees C; THI of 86.20; BGT of 36.18 and BT of 32.11 degrees C from 8:00 am to 5:00 pm, including simulated solar radiation from 10:00 am to 3:00 pm. There were no differences between the groups in the plasma concentrations of cortisol, thyroid hormones (T-3-triiodothyronine and T-(4) tiroxine), and lipid metabolites (cholesterol and HDL). Rectal temperature was higher during thermal stress when compared to the group of animals in thermoneutral conditions. The goats maintained the thyroid plasma hormone concentrations, when exposed to repealed and intermittent stress, in spite of the occurrence of hypertermia during heat stress.

Estresse hídrico induzido por manitol em cultivares de algodão

The main goat of this work was to evaluate the effects induced by mannitol- water stress in the initial growing of cotton plants. The experiment was conducted as a completely randomized design, in factorial design 4 x 5, with 3 replications. Treatments were generated by the combination of four cotton cultivars (LD CV Frego; LD CV 02; FMT 701 and IAC 25) and five levels of water stress (0; -0.3; -0.6, -0.9 and -1.2MPa), obtained with mannitol solutions. Water potentials of -0.9 MPa reduced significantly the rate of cotton plants growth. The decrease of the water potential reduced the production of dry mass of the aerial part of all cultivars and increased the production of root dry mass on -0.6MPa potential. LD CV 02 cultivar exhibited a superior performance under water stress.

Abuso sexual, transtornos mentais e doencas fisicas

Objective: to review and describe the different organic and psychic consequences of sexual abuse. Methodology: 71 papers were sorted in a ten-year literature search (1987-1997) in MedLine and Lilacs (South American Literature Index), besides 14 books in the subject. Results: sexual abuse is much less frequent (or less reported) in Brazil: 7% of the population, while in the USA the prevalence is 12.9% to 28% of women and 2% to 9% of men. Results showed women being more frequently sexually abused but less differences in physical abuse were found between genders. There was a significant association between sexual abuse and the following: eating disorders, depression, irritable bowel, chronic pain (mainly pelvic), neurological, rheumatic and venereal disorders. This association was not observed in chronic constipation, Chron disease and dissociative disorders. Conclusions: although it is important to think of sexual/physical abuse as a predisposing factor to several illnesses, caution is necessary specially in cultures with different moral and ethical values. Research in this subject in Brazil should be conducted with patients in treatment, using control groups, in order to take advantage of the existing rapport. It would be also quite important to separate acute and chronic abuse effects, as well as getting to know the meaning of the experienced abuse to each person.

Atividades psiquiátricas no campo dos transtornos devidos ao uso de substâncias psicoativas

There are a large number of institutions, proposals and publications in the field of disorders resulting from the use of psychoactive substances. There is no corresponding progress in results obtained in clinical treatments. Concepts and appropriate points of view are indispensable. The vision of the world drug addicts is not only determined by the biochemical effects of intoxication, but also by the experience they go through, by their own way of living. By accepting such postulate, we may conceptualize the problem, thus benefiting research studies and more efficient treatments. Preventing intoxication, upon the onset of dependence, depends on educational, social, legal and other measures, which can neither be studied nor practiced by medicine.

Avaliação de diferentes híbridos suínos submetidos à insensibilização elétrica e gasosa (CO 2). Parte 1 - Mensuração de indicadores sanguíneos de estresse

Pigs of three genetics lineages A, B and C marketed in Brazil, with alive weight from 100 to 120 kg were submitted to the manual electric stunning (Karl Schermer 220-230/250 volts, 45-60 Hz and 1.4 -1.5 A) and to the collective gaseous system (COMBI-BUTINA 90% CO 2). Blood samples, for levels determination of creatine phosphokinase (CPK), lactate and cortisol, as well as samples of the semimembranosus muscle (10 g) for the determination of the gene halothane, were collected. Being compared the electric and gaseous stunning systems, the electric stunning did demonstrate to be more stressful providing larger plasmatic concentrations of cortisol (p ≤ 0.001) and lactate (p ≤ 0.001) for the genetic lineages A and C, in the studied conditions. However it didn't observe significant differences beween the sanguine indicators and stunning systems in subject when the lineage B was considered. Significant differences among the genetic lineages A, B and C were obtained being compared the plasmatic values of creatine phosphokinase (p ≤ 0.001), lactate (p ≤ 0.001) and cortisol (p ≤ 0.001) when stunned with the gaseous system, however when the electric system was used only the cortisol values presented significant differences (p ≤ 0.001). The presence of the gene halothane (Nn) was only observed in the lineage B.

Multiplicadores reflexivos: Uma experiância do Instituto Familiae junto ao Grupo de Assistância em Transtornos Alimentares (GRATA) do HC-FMRP-USP

This article describes the Reflecting Practitioners Program developed by Instituto Familiae at GRATA (Grupo de Assistência em Transtornos Alimentares) placed at the Clinical Hospital of the Faculty of Medicine of Ribeirão Preto - University of Sao Paulo (HC-FMRP-USP). The aim of this program was to take care of the caretakers - the GRATA interdisciplinary team - through the development of their reflecting ability, the appropriation of their own resources and the support on constructing alternative histories and on solving situations defined by them as problematic. Thirteen monthly meeting had been carried out among Familiae members and GRATA interdisciplinary team. The changes described by the participants had occurred through sessions developed with interdisciplinary pairs and through the development of their capacity to construct more comfortable positions - as members of the team and in the relationship among professional/client/ family. This triad became to be seen by the team through its resources and abilities, instead of its flaws and lacks. As a result, horizontal relationships could be privileged instead of hierarchical ones.

Estresse oxidativo nos estágios finais da doença renal crônica em pequenos animais

The chronic kidney disease (CKD) it is characterized by irreversible structural lesions that can develop progressively for uremia and chronic renal failure (CRF). In the CRF it happens the incapacity of executing the functions of maintenance of the electrolyte balance and acid-base, catabolitos excretion and hormonal regulation appropriately. When the mechanism basic physiopathology of the renal upset is analyzed, it is observed that present factors, predispose to the unbalance oxidative. Most of the time, the renal patient comes badly nurtured, with lack in reservations of vitamins and minerals, what reduces the antioxidant defense mechanisms, what favors the installation of the renal oxidative stress, with the formation of species you reactivate of reactive oxygen species (ROS), substances these potentially harmful to the organism. The reduction of the glomerular filtration rate (GFR) in the evolution of CKD in dogs and cats is a component for the installation of the renal oxidative stress. The ROS possesses important action in the kidneys, and these substances are highly reactivate, and when presents in excess damage lipids, proteins, DNA and carbohydrate, driving functional and structural abnormalities taking the cellular apoptosis and necrosis. Against the harmful potential action of these substances you reactivate, she becomes fundamental a delicate control of his production and consumption in the half intracellular, in other words, a balance of his concentration intra and extracellular. That is possible due to the activity of the antioxidants. Like this, to present literature revision had as objective describes the participation of the oxidative stress in CRF, as well as the mechanisms defenses against the harmful action of those substances.

Análise de crescimento em clones de eucalipto submetidos a estresse hídrico

The aim of this study was to evaluate Eucaliptus grandis genotypes (Clones 105 and 433) in relation to drought tolerance, through growth plant analysis. Black PVC pots with 10 liter volume were used for cultivate plants in polyethilene greenhouse oriented east/west. Completely randonmized design with four treatments was used: two clones and two minimum soil water potentials (- 0.03 and -1,5 MPa) and sixteen replicates. Pots were weighed daily in order to evaluate water content and characteristic soli water curve was determined. Plant development was obtained each 15 days from planting until 60 days through total dry matter (DM), leaf area index (LAI), leaf area ratio (LAR), net assimilative ratio (NAR), specific leaf area (SLA), relative growth ratio (RGR) and absolute growth ratio (AGR). Results showed that clone 105 presented less sensibility to water deficit, which qualify it as genetic material for use under dry soil conditons. On the other hand, both clones had similar behavior with no water restrictions.

Características fotossintéticas de genótipos de capim-elefante anão (Pennisetum purpureum Schum.), em estresse hídrico

The experiment was carried out aiming to evaluate the gas exchange of dwarf elephant grass genotypes under different hydric conditions, in a randomized design with three replications. Genotypes of dwarf elephant grass (Mott, CNPGL 94-34-3 and CNPGL 92-198-7) were analyzed under two hydric conditions: irrigated (I) and non-irrigated (NI). Differences between treatments I and NI were observed for all genotypes for photosynthesis, stomatal conductance, transpiration and water vapor pressure deficit. Genotype CNPGL 94-34-3 presented highest tolerance to hydric stress, followed by Mott and CNPGL 92-198-7 genotypes. All genotypes presented high photosynthetic rate, under ideal conditions of soil humidity, thus characterizing the analyzed dwarf elephant grass genotypes as plants with high photosynthetic efficiency.

Determinação do índice de estresse hídrico em cultura do feijoeiro com termômetro de infravermelho

In order to calculate the daily stress degree of a bean crop submitted to four water regime applications, cover crop and air daily measurements temperatures were accomplished by using a hand-held infrared thermometer. The treatments did not present crop water stress except the control (without irrigation). The highest yield was obtained by the treatment that received less irrigation frequency, and among the treatments that had the same number of irrigation. The largest yield was obtained with the one that received larger amount of applied water. The largest irrigation frequency did not result in larger productivity. The methodologies used for the irrigation planning were efficient for the replacement of soil water. The daily stress degree index was effective in determining crop water stress; and it was reliable presenting negative values in good water soil condition.