Heart transplantation experiences: a phenomenological approach

Aim. The aim of this study was to understand the heart transplantation experience based on patients' descriptions.Background. To patients with heart failure, heart transplantation represents a possibility to survive and improve their quality of life. Studies have shown that more quality of life is related to patients' increasing awareness and participation in the work of the healthcare team in the post-transplantation period. Deficient relationships between patients and healthcare providers result in lower compliance with the postoperative regimen.Method. A phenomenological approach was used to interview 26 patients who were heart transplant recipients. Patients were interviewed individually and asked this single question: What does the experience of being heart transplanted mean? Participants' descriptions were analysed using phenomenological reduction, analysis and interpretation.Results. Three categories emerged from data analysis: (i) the time lived by the heart recipient; (ii) donors, family and caregivers and (iii) reflections on the experience lived. Living after heart transplant means living in a complex situation: recipients are confronted with lifelong immunosuppressive therapy associated with many side-effects. Some felt healthy whereas others reported persistence of complications as well as the onset of other pathologies. However, all participants celebrated an improvement in quality of life. Health caregivers, their social and family support had been essential for their struggle. Participants realised that life after heart transplantation was a continuing process demanding support and structured follow-up for the rest of their lives.Conclusion. The findings suggest that each individual has unique experiences of the heart transplantation process. To go on living participants had to accept changes and adapt: to the organ change, to complications resulting from rejection of the organ, to lots of pills and food restrictions.Relevance to clinical practice. Stimulating a heart transplant patients spontaneous expression about what they are experiencing and granting them the actual status of the main character in their own story is important to their care.

A percepção de enfermeiros sobre o cuidar de pacientes com problemas físicos que interferem na autoimagem: uma abordagem fenomenológica

O presente estudo tem como objetivo compreender a percepção e o significado do cuidar de pacientes com problemas de auto-imagem, resultantes de alteração física, por enfermeiros de um hospital universitário. A trajetória metodológica foi a fenomenologia, os sujeitos da pesquisa foram oito enfermeiros. Para a análise dos depoimentos, realizou-se a transcrição e as leituras, buscando a essência das unidades, expressão dos significados, tematizando e interpretando as falas, buscando convergências, divergências e idiossincrasias e a síntese do fenômeno. Os temas desvelados foram: (não)aceitação da enfermidade; trabalho em equipe; limitações conseqüentes da doença; sentimentos e comportamento do enfermeiro e equipe; vínculo entre equipe, paciente e família; a família; auto-imagem do paciente; idade dos pacientes; o preconceito; (re) conhecimento da doença; nível e cuidados mais intensos; a religião e capacitação. Pela amplitude do fenômeno outros ângulos podem ser desvelados e outras perspectivas habitadas.

Da onipotência ao desgaste: as perspectivas do adolescente em quimioterapia

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

Percepção Ambiental: Areado - o olhar do povo, a visão da ciência

The objective of this research is to know the conscience, the sensibility and the interperformance's vision man-environment of some residents from Areado's slum, theirs attitudes and motivations to link individual and collectively with their environment seeking ransom the diferences and compare them in relacion of an scientific look. The study to the valorization of experience from individual or from the group consisted of humanist approach of Geography having the phenomenology as underlying philosophy. The theorical formulations manifested from ideas whole, detaching the effort to discipline the use at least these concepts: landscape, space, place and environment. Opposite the importance of knowing the interelation manenvironment, we insert more two concepts: topofilia (felling joins people to the place where they lives) and topophobia, because our preoccupations in the ambit of evironmental question, immediate to the human beings. The research had been developed from interview and percepition workshop, when the interviewed people answered about they understand what are environiment and Areado's environment. The gotten results allow a reflection about the evironmental thought thinking found there, constituting in subsidy to programs of evironmental education that be worried about local problems

Emetofobia: revisão crítica sobre um transtorno pouco estudado

INTRODUÇÃO: A emetofobia ou fobia de vômitos - que inclui o medo excessivo de vomitar ou de ver outras pessoas vomitando e pode ser desencadeado por estímulos internos e externos - é um transtorno mental complexo e pouco conhecido. OBJETIVO: Este estudo teve como objetivo levantar os conhecimentos disponíveis sobre diversos aspectos do quadro. MÉTODO: Revisão convencional da literatura dos últimos 30 anos utilizando como estratégia de busca as seguintes palavras-chave: emetofobia, emetofóbico, medo de vomitar, fobia de vomitar efobia de vômito. Foram incluídos artigos sobre epidemiologia, fenomenologia, diagnóstico diferencial e tratamento da emetofobia, assim como artigos referidos nestes. RESULTADOS: Não há dados de prevalência na população geral e pouco se sabe sobre a etiologia da emetofobia. A maioria dos estudos aponta predominância no sexo feminino, início precoce e curso crônico. Os comportamentos de esquiva podem impactar negativamente a vida ocupacional, social e familiar. Os principais diagnósticos diferenciais são: transtorno de pânico com agorafobia, fobia social, anorexia nervosa e transtorno obsessivo-compulsivo. Estudos de tratamento se resumem a relatos de casos e não há ensaios clínicos controlados, mas intervenções cognitivo-comportamentais parecem ser promissoras. CONCLUSÃO: Mais estudos são necessários para melhor compreensão sobre a epidemiologia, o quadro clínico, a etiologia, a classificação e o tratamento da emetofobia.

Social phobia in obsessive-compulsive disorder: Prevalence and correlates

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

A percepção do tempo em Husserl

Apresentamos uma breve reconstrução das duas primeiras seções de Vorlensungen zur Phänomenologie des inneren Zeitbewusstseins, de Edmund Husserl, em que analisamos a maneira pela qual ele desenvolve uma teoria transcendental do tempo, trazendo-a para o campo de seu método fenomenológico. A partir de uma reavaliação do significado de percepção do tempo, ele oferece critérios que, a nosso ver, seriam capazes de dar conta de uma das características mais discutidas do tempo, sua assimetria ou unidirecionalidade. Discutimos também as principais dificuldades enfrentadas por este projeto.

Enzimas termoestáveis: fontes, produção e aplicação industrial

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

The quadratic spinor Lagrangian, axial torsion current and generalizations

We show that the Einstein-Hilbert, the Einstein-Palatini, and the Holst actions can be derived from the Quadratic Spinor Lagrangian (QSL), when the three classes of Dirac spinor fields, under Lounesto spinor field classification, are considered. To each one of these classes, there corresponds an unique kind of action for a covariant gravity theory. In other words, it is shown to exist a one-to-one correspondence between the three classes of non-equivalent solutions of the Dirac equation, and Einstein-Hilbert, Einstein-Palatini, and Holst actions. Furthermore, it arises naturally, from Lounesto spinor field classification, that any other class of spinor field-Weyl, Majorana, flagpole, or flag-dipole spinor fields-yields a trivial (zero) QSL, up to a boundary term. To investigate this boundary term, we do not impose any constraint on the Dirac spinor field, and consequently we obtain new terms in the boundary component of the QSL. In the particular case of a teleparallel connection, an axial torsion one-form current density is obtained. New terms are also obtained in the corresponding Hamiltonian formalism. We then discuss how these new terms could shed new light on more general investigations.

Operator ordering in quantum radiative processes

In this work we reexamine quantum electrodynamics of atomic electrons in the Coulomb gauge in the dipole approximation and calculate the shift of atomic energy levels in the context of Dalibard, Dupont-Roc and Cohen-Tannoudji formalism by considering the variation rates of physical observable. We then analyze the physical interpretation of the ordering of operators in the dipole approximation interaction Hamiltonian in terms of field fluctuations and self-reaction of atomic electrons, discussing the arbitrariness in the statistical functions in second-order bound-state perturbation theory. (C) 2002 Elsevier B.V. B.V. All rights reserved.

Mixed-isotope Bose-Einstein condensates in rubidium

We consider the ground-state properties of mixed Bose-Einstein condensates of Rb-87 and Rb-85 atoms in the isotropic pancake trap for both signs of the interspecies scattering length. In the case of the repulsive interspecies interaction, there are the axially symmetric and symmetry-breaking ground states. The threshold for the symmetry-breaking transition, which is related to appearance of a zero dipole mode, is found numerically. For attractive interspecies interactions, the two condensates assume symmetric ground states for the numbers of atoms up to the collapse instability of the mixture.

From Dirac spinor fields to eigenspinoren des ladungskonjugationsoperators

Dual-helicity eigenspinors of the charge conjugation operator [eigenspinoren des ladungskonjugationsoperators (ELKO) spinor fields] belong-together with Majorana spinor fields-to a wider class of spinor fields, the so-called flagpole spinor fields, corresponding to the class (5), according to Lounesto spinor field classification based on the relations and values taken by their associated bilinear covariants. There exists only six such disjoint classes: the first three corresponding to Dirac spinor fields, and the other three, respectively, corresponding to flagpole, flag-dipole, and Weyl spinor fields. This paper is devoted to investigate and provide the necessary and sufficient conditions to map Dirac spinor fields to ELKO, in order to naturally extend the standard model to spinor fields possessing mass dimension 1. As ELKO is a prime candidate to describe dark matter, an adequate and necessary formalism is introduced and developed here, to better understand the algebraic, geometric, and physical properties of ELKO spinor fields, and their underlying relationship to Dirac spinor fields. (c) 2007 American Institute of Physics.

Dressed-state approach to a simple radiating atom

We consider a system consisting of an atom in the dipole approximation, coupled to the electromagnetic field. Using recently introduced renormalized coordinates and dressed states, we give a non-perturbative solution to the atom radiation process. From this formalism a non-exponential decay law naturally emerges. However, at least for low frequencies and weak coupling, there is only a very small, practically non-detectable, deviation from a purely exponential decay, in agreement with all previous results in the literature. (c) 2005 Elsevier B.V. All rights reserved.

Constraints on four-fermion contact interactions from precise electroweak measurements

We establish constraints on a general four-fermion contact interaction from precise measurements of electroweak parameters. We compute the one-loop contribution for the leptonic Z width, anomalous magnetic, weak-magnetic, electric and weak dipole moments of leptons in order to extract bounds on the energy scale of these effective interactions.

Limits on anomalous couplings from Higgs boson production at the Tevatron

We estimate the attainable limits on the coefficients of dimension-6 operators from the analysis of Higgs boson phenomenology, in the framework of a SUL(2) x U-Y(1) gauge-invariant effective Lagrangian. Our results, based on the data sample already collected by the collaborations at Fermilab Tevatron, show that the coefficients of Higgs-vector boson couplings can be determined with unprecedented accuracy. Assuming that the coefficients of all blind operators are of the same magnitude, we are also able to impose more restrictive bounds on the anomalous vector-boson triple couplings than the present limit from double gauge boson production at the Tevatron collider.