Associação entre o diagnóstico adaptativo, indicadores de evolução clínica e o teste de relações objetais em pacientes com infecção pelo HIV-1, doentes ou não

Pós-graduação em Doenças Tropicais - FMB

Os servidores do sistema penitenciário e a luta pela saúde no contexto das instituições prisionais no Pará

A Saúde do trabalhador pode ser entendida como uma condição concreta e dinâmica da qual o trabalhador dispõe para traçar e perseguir seus objetivos em direção ao bem-estar físico, psíquico e social, sendo influenciada pelas condições e organização do trabalho no contexto ao qual está inserido. Este estudo teve como objetivo verificar e analisar o processo de trabalho no sistema Prisional e de que forma podem estar influenciando nos modos de subjetivação dos trabalhadores prisionais do Pará, possibilitando a ocorrência de sofrimento psíquico. Constitui-se em um estudo de caso com abordagem qualitativa que teve como instrumento de pesquisa a observação participante ou direta com entrevistas semi-estruturadas com os servidores prisionais selecionados. A análise do processo de trabalho e as formas que podem influenciar nos modos de subjetivação do servidor prisional para que este se mantenha saudável ou doente, foram baseados na interpretação dos resultados, que foram consubstanciados nos dados coletados na entrevista e na observação participante, na escuta e na interpretação das falas dos trabalhadores do Centro de Recuperação de Castanhal de acordo com a abordagem da Psicodinâmica do Trabalho, por ser uma clínica que busca desenvolver o campo da saúde mental e trabalho. Os principais resultados foram: (I) que o estabelecimento penal apresentou condições de infra-estrutura inadequadas e precárias, necessitando de reformas constantes, falta de equipamentos para desenvolver o trabalho, o número insuficiente de recursos humanos e a convivência com a superlotação prisional, que não difere do restante das prisões brasileiras. (II) o processo de trabalho observado é exaustivo, pelo número insuficiente de recursos humanos, carga horária exaustiva e cobrança para desenvolver um bom trabalho mesmo diante das condições encontradas. (III) servidores penitenciários vulneráveis e expostos ao sofrimento psíquico pela condição do trabalho; pelo tipo de vínculo trabalhista temporário que a grande maioria se encontra; pelo estigma e desvalorização neste tipo de trabalho. Onde estes para manterem-se saudáveis diante das ameaças do meio utilizam-se de estratégias defensivas, como o afastamento subjetivo, em que o servidor deixa de pensar e falar sobre o trabalho. (IV) Diante do exposto sobre a condição e dinâmica do trabalho vejo um otimismo por parte dos servidores, quanto à possibilidade de construir-se um processo de saúde do trabalhador no sistema carcerário brasileiro, acreditando na implementação de políticas públicas viáveis, para o sistema penitenciário, proporcionando ao trabalhador melhores condições de saúde.

O imaginário coletivo de estudantes de psicologia sobre distúrbios psicossomáticos

Pós-graduação em Psicologia - FCLAS

Effect of different exercise programs on the psychological and cognitive functions of people with Parkinson's disease

The purpose of this study was to analyze the effect of different exercise programs on the psychological and cognitive functions in patients with Parkinson's disease (PD). Forty-five patients with PD participated in the study. The participants were randomized in three intervention programs: Group-1 (n=15, cognitive-activities), Group-2 (n=15, multimodal exercise) and Group-3 (n=15, exercises for posture and gait). The clinical, psychological and cognitive functions were assessed before and after 4 months of intervention. Univariate analysis did not reveal significant interactions between groups and time (p>0.05). However, univariate analysis for time revealed differences in stress level and memory. Participants showed less physical stress (p<0.01) and overall stress (p < 0.04) and higher performance in episodic declarative memory (p < 0.001) after exercise. These findings suggest that group work with motor or non-motor activities can improve cognitive and psychological functions of patients with PD.

Clinical and psychological repercussions of videolaparoscopic tubal ligation: observational, single cohort, retrospective study

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Sobrecarga w sofrimento psíquico em familiares de portadores de transtorno de pânico com agorafobia

Pós-graduação em Saúde Coletiva - FMB

Immediate and long-term effects of psychological stress during adolescence in cardiovascular function: comparison of homotypic vs heterotypic stress regimens

Adolescence has been proposed as an ontogenic period of vulnerability to stress. Nevertheless, the impact of stressful events during adolescence in cardiovascular activity is poorly understood. Therefore, the purpose of this study was to investigate the immediate and long-lasting effects of exposure to stressful events during adolescence in cardiovascular function of rats. To this end, we compared the impact of 10-days exposure to two chronic stress protocols: the repeated restraint stress (RRS, homotypic) and chronic variable stress (CVS, heterotypic). Independent groups of animals were tested 24 h (immediate) or three weeks (long-lasting) following completion of stress period. Exposure to CVS, but not RRS, during adolescence increased basal HR values without affecting arterial pressure, which was followed by augmented power of oscillatory component at low frequency (sympathetic-related) of the pulse interval (PI). RRS enhanced variance of the PI with an increase in the power of both low and high (parasympathetic-related) frequency components. RRS also increased the baroreflex gain. Neither RRS nor CVS affected systolic arterial pressure variability. The RRS-evoked changes in PI variability were long-lasting and persisted into adulthood while all alterations evoked by the CVS were reversed in adulthood. These findings indicate a stress type-specific influence in immediate and long-term effects of stress during adolescence in cardiovascular function. While immediate changes in cardiovascular function were mainly observed following CVS, long-lasting autonomic consequences in adulthood were observed only in animals exposed to RRS during adolescence.

Formação e sexualidade: um estudo a partir dos relatos dos estudantes de difererentes cursos de Psicologia

Pós-graduação em Psicologia do Desenvolvimento e Aprendizagem - FC

Triagem interventiva: a caracterização de uma demanda

This paper analyzes the process of sorting through the intervening demand survey that reaches the Center for Research and Applied Psychology (CPPA) “Dr. Betti Katzenstein” UNESP Assis. The objective was to better understand the reality of conflicts that people face and, therefore, to characterize the patients who seek help in CPPA. With greater understanding of demand, it is possible to trace more consistent referrals and tailor the service to the school clinic profile of clients that demand. Recalling that the actual attendance of screening is already a form of interventional care, because it provides patient care from first contact. This was a documentary research, which had collected their data sheets of the CPPA trials conducted in 2011. 394 screenings were performed. We present the distribution of the demand for sex, age and complaint that motivated the search for care. It can be concluded that the characterization allows a customer routing more efficient services offered at the institution, as it contributes to a better understanding delineated in each case and a reduced number of dropouts in the screening process.

Vivenciar a doença: um estudo com portadores de doença renal crônica

Pós-graduação em Saúde Coletiva - FMB

Nível de satisfação dos pacientes edêntulos reabilitados com prótese total na faculdade de odontologia de Adamantina FAI

The population’s life expectancy is growing every year. This fact highlights the importance of the elderly for the dentistry. The oral cavity quality has great influence on quality of life at both the biological and the psychological and social factors by maintaining a self-esteem, self-expression, communication and satisfactory facial aesthetics. Unfortunately, the number of edentulous elderly population is also high, which may create problems to their social life. Therefore, the objective of this study was to demonstrate and evaluate the difficulties of treating edentulous patients, comparing data prior to treatment to post data after treatment by complete dentures made to the patients undergoing oral rehabilitation in the Dental Clinic of the Faculty of Dentistry of Adamantina – FAI. For this study, questionnaires were filled in the form of answers developed alternative focused on the degree of patient satisfaction, the current situation of occlusion, and outcome of treatment. The results showed that 96% of patients were satisfied with the results obtained in the treatment, all of whom believed that the prosthesis helped them feel better aesthetically and improved self-esteem. By this methodology, it was concluded that the degree of satisfaction was high, but the services provided must be constantly reevaluated, once the elderly population presents a wide labor market for dental professionals and demand level services will certainly increase each year.

A dental caries preventive program applied to children aged 5 to 8 years attending since the first year of age at the Baby Clinic of the Araçatuba Dental School, Brazil

Objective: Tooth decay is one of the more common diseases of childhood. Several studies recommend that early preventive measures must be implemented since the first years of life and continue throughout childhood and adolescence. The aim of the this study was to present results of a preventive dental program considering oral health maintenance, dental caries experience and the prevalence of dental caries relation with follow-up compliance visits. Material end method: Intraoral and interproximal radiographic exams were performed on 171 patients participants of a preventive dental program. Data regarding age, gender, previous caries experience and the frequency at which the patients attended return visits were obtained from the records. The data were analyzed statistically by the McNemar test, with the level of significance set at 1%. Result: Clinical and radiographic examination revealed that most children participating in the program had sound teeth (77.2 and 84.8%, respectively). The past dental history of the dental caries from patients included in this study showed statistical relevance when associated with the present dental caries experience and a statistical relationship was found from the absence of compliance to clinical visits and the dental caries presence. Conclusion: The preventive strategy had a positive influence on oral health maintenance in the children examined. Previous caries experience and the lack of compliance with return visits influenced the clinical oral condition of the children during participation in the preventive program.

Procedimentos de avaliação em terapia de casais a partir de múltiplos instrumentos

Conjugal problems may damage parents and children relationships favoring the appearance of behavior problems, as well as causing psychological problems. Given the lack of studies which value several interrelated behavioral repertoires, the present paper aims at presenting assessment results employing multiple instruments in regards to the three couples that sought clinical services at a University clinic. Results indicated that participants were presenting communication deficits, problem solving difficulties, and problems in expressing affection confirming literature findings. Problems in other areas were also reported, which influenced the marital relationship. It stands out that the children were presenting indications of behavior problems. The relevance of data collection applying different instruments is discussed, and it is necessary that intervention programs consider individual difficulties, besides setting up singular objectives for each person searching for service.

A contratransferência e a importância das capacidades do analista na prática psicanalítica contemporânea

Although the use of countertransference is a controversial topic and the debate on the participation of the analyst’s mind may go back to the old conception of aptness for the analytical task based on personality or psychological makeup, the fact is that the psychoanalyst’s education involves the elaboration of his unconscious conflicts, turning conscious the pathways of his desire and his symptoms through a process of personal analysis and a long theoretical and technical training in the field of psychoanalysis. This study is a literature review based on studies about the maternal function, which aims at showing the path of recovery of countertransference in psychoanalytic theory and technique and the implication of the analyst’s abilities in the analytical process. This development is tributary of the appreciation of maternal function as a model for interpersonal and therapeutic relationship in Psychoanalysis, due to the paradigm of object relations in the British psychoanalytic tradition, being Donald W. Winnicott and Wilfred R. Bion two of its main authors.

Sexualidade e doenças inflamatórias intestinais

Pós-graduação em Fisiopatologia em Clínica Médica - FMB