Opportunistic screening actions for breast cancer performed by nurses working in primary health care

Abstract OBJECTIVE To identify opportunistic screening actions for breast cancer performed by nurses working in primary health care units in Ribeirão Preto, São Paulo. METHOD Cross-sectional study with 60 nurses from 28 units, who had been working for at least one year in the public municipal health care network. Data were collected between December 2013 and March 2014, by means of a questionnaire, using descriptive analysis and the software IBM SPSS version 20 and Microsoft Excel 2010. RESULTS The results showed that 71.7% of the participants questioned their female patients as for risk factors for breast cancer, mainly during nursing consultation; 70.0% oriented users about the age to perform clinical breast exam, whereas 30.0% did not due to lack of knowledge and time; 60.0% explained about the age to perform mammogram; 73.3% did not refer patients with suspicious breast exam results to the referral department, citing scheduling as the main obstacle to referral. Educational activities were not performed by 78.3% of participants. CONCLUSION Investment is needed in professional training and management of breast cancer screening.

Coparenting and Toddler's Interactive Styles in Family Coalitions

The current study examined the coparenting and toddler's interactive styles in family coalitions. According to structural family theory, boundaries between generations are clear in alliances, but disturbed in coalitions: the parents look to the child to regulate their conflictual relationship and the child attempts to meet this need. In a normative sample studied longitudinally during the Lausanne Trilogue Play situation (LTP, N=38), 15 coalition cases were detected. Styles of coparenting and of child's interactions were determined and compared in coalition and alliance cases at 18 months. Findings confirm the structural family model by showing the specific ways in which the coparenting and the toddler's interactive styles are associated in 3 different patterns of coalitions: binding, detouring, and triangulation. They illustrate how the child's triangular capacity, or her ability to simultaneously communicate with both parents, is used to regulate the parents' relationship. They suggest that the LTP observational paradigm is a promising assessment method of early family interactions. They point to the importance of assessing early the child's contribution to family coalitions.

Tidibi

Tidibi es una nueva comunidad digital que permite a sus miembros hacer pujas por ofertas de ocio exclusivas al precio que ellos decidan. En este momento estas ofertas de ocio se centran en hoteles de cuatro y cinco estrellas, pero está previsto lanzar pronto packs de esquí, cruceros y, más adelante, espectáculos. El usuario ganador de la oferta es aquel queha ofrecido un precio más alto (apéndices 1, 2 y 3) cuando el cronómetro que cuenta atrás llega a cero, y puede decidir cuántas noches quiere pasar en ese hotel (hasta un máximo de tres) a ese precio.La sociedad gestora de Tidibi, “Dragon Deal”, se constituyó jurídicamente como una S.L. el 6 de julio de 2012, pero el lanzamiento oficial de la página web www.tidibi.com no ocurrió hasta el 4 de octubre de este año. Sus creadores son un grupo de cuatro emprendedores (apéndice 4) que se conocieron en el curso de sus estudios MBA en la escuela de negocios IESE de Barcelona.Tidibi es un concepto innovador, basado en los nuevos usos de las tecnologías y en la línea de las nuevas tendencias del mercado, en el que existe una relación participativa por partede los clientes, en vez del tradicional rol del agente pasivo que espera que le hagan llegar la información. Dado que el precio es la principal barrera para que los compradores cibernéticos hagan sus compras on-line (iPerceptions “Hospitality and Tourism Industryreport” para Q4 2011), parece que Tidibi puede ofrecer una solución a esta problemática y hacer "business" con ello.Por lo que respecta a la inversión requerida, los emprendedores estiman una cantidad total de 450.000€, que se desglosa de la siguiente manera: 60.000€ fondos iniciales de la start-up, 140.000€ necesidades de capital circulante y 250.000€ de marketing y esfuerzo de ventas.Sin embargo, también reconocen que podrían funcionar con una inversión inferior, dadoque podrían adaptar y reducir la última de las partidas arriba mencionadas. A pesar de ello, creemos que una reducción significativa de esfuerzos en marketing podría comprometer eléxito de la empresa. Por ahora han conseguido cerca de la mitad del presupuesto en una ronda de financiación interna y un préstamo participativo de un fondo de capital riesgo. No podemos proveer más datos por razones de confidencialidad.

The Prenatal Lausanne Trilogue Play: A New Observational Assessment Tool of the Prenatal Co-Parenting Alliance

The goal of this study is to present a new observational assessment tool, the prenatal Lausanne Trilogue Play situation (LTP). Expectant parents were asked to role play their first meeting with their baby using a doll, and the videotaped interaction was subsequently coded. Scores were correlated with measures of the couples' marital satisfaction as well as the postnatal family alliance 3 months after the baby's birth. Results showed that the prenatal co-parenting alliance was positively linked to both fathers' marital satisfaction as well as to the postnatal family alliance at 3 months. Thus, the prenatal LTP allows for assessment of the prenatal co-parenting alliance at the interactional level. It predicts the place the parents will afford their baby after birth and can contribute to methods of clinical assessment and prevention.

The young infant's triangular communication in the family : access to threesome intersubjectivity ? Conceptual considerations and case illustrations

During these last decades, the notion of primary intersubjectivity has gained acceptance among developmentalists and clinicians. But a new challenge is put out to our models by recent findings on the triangular competence of the very young infant, or her capacity to simultaneously communicate with two partners at a time. This discovery raises the question of a collective form of intersubjectivity. Findings on the triangular competence of the 3- to 4-month-old interactions with father and mother in different contexts of the Lausanne trilogue play situation are reviewed and illustrated, with a view to examine whether it is based on a dyadic or triangular program and whether conditions for a threesome form of primary intersubjectivity are fulfilled. The discussion focuses on the revisions of the theory of intersubjectivity, of developmental theory, and of clinical practice these findings call for, pointing toward a three -person psychology too.

Iowa Workforce Monthly, June-July 2010, Issue 17

Highlights: * Iowa Workforce Development Director Elisabeth Buck and Deputy Director Joe Walsh recently visited a number of IowaWORKS offices in Eastern Iowa as part of a summer tour........................................pg. 2 * Amber Connolly was recently awarded the Iowa Association of Workplace Professionals (IAWP) individual award for Outstanding Specialized Customer Service...............pg. 2 * Iowa Workforce Development has partnered with Iowa’s Community Colleges to implement Iowa’s National Career Readiness Certificate (NCRC).................pg. 3 * O*NET is an occupational information network developed under the sponsorship of the U.S. Department of Labor/Employment and Training Administration.....................pg. 3

Le jeu trilogique de Lausanne et son application dans des situations de consultance

Pour honorer Edith Tilmans-Ostyn, j'ai choisi de parler de « consultance », selon sa définition, avec différentes utilisations du jeu trilogique de Lausanne, dit LTP (Lausanne Trilogue Play). Elaboré au Centre d'Etude de la Famille à Lausanne avec Elisabeth Fivaz-Depeursinge, cette situation se prête aussi bien à l'évaluation des interactions familiales à des fins de recherche que comme outil clinique pour des interventions thérapeutiques, objectif de la consultance. Etant aussi à l'aube de ma retraite professionnelle, j'ai retracé dans cet article des situations où j'étais impliquée personnellement comme consultante-thérapeute avec différents aménagements possibles du jeu (jeu père-mère-bébé, jeu prénatal avec une poupée, jeu thérapeute-mère-bébé). Ces descriptions cliniques s'accompagnent de réflexions sur les propriétés de la consultance, les spécificités des interventions thérapeutiques sur les relations familiales précoces et l'usage de la vidéo: en quelque sorte un passage de témoin, une transmission d'un certain savoir-faire.