Gestação após gastroplastia para tratamento de obesidade mórbida: série de casos e revisão da literatura

Objetivo: relatar a evolução de uma série de casos de gestação em mulheres previamente submetidas à cirurgia de bypass gástrico para tratamento de obesidade grave. Métodos: cinco casos consecutivos de gravidez após gastroplastia ocorridos entre 2001 e 2004 foram avaliados. As pacientes tinham idade entre 30 e 34 anos e todas haviam sido submetidas à cirurgia de Capella. Aspectos clínicos, laboratoriais e do acompanhamento materno e fetal foram considerados, durante o período gestacional e após o parto. Foi realizada revisão da literatura internacional, por meio das bases de dados MEDLINE e Web of Science, utilizando os seguintes unitermos: gastroplasty, gastric bypass surgery, bariatric surgery e pregnancy. Resultados: todas as gestações observadas foram únicas e não ocorreram complicações obstétricas, durante o seguimento pré-natal e parto. Também não houve registro de recém-nascidos prematuros ou de baixo peso ao nascimento. Conclusão: nossos dados sugerem que a gravidez após gastroplastia é segura para a mãe e feto. Entretanto, em virtude do limitado volume de informação disponível sobre o tema, investigações adicionais são necessárias para estabelecer recomendações apropriadas com relação ao seguimento dessas gestações _________________________________________________ABSTRACT Purpose: we report a small series of pregnant women who underwent gastric bypass surgery for severe obesity, with a review of the literature on this topic. Methods: five consecutive cases of pregnancy after gastroplasty between 2001 and 2004 were evaluated, and clinical, laboratory and therapeutic features were considered. Patients were 30 to 34 years old and all had been submitted to gastroplasty by the Capella technique. The outcomes for both the pregnant woman and the fetus were evaluated. A search of the English language literature was done through MEDLINE and Web of Science databases with the following terms: gastroplasty, gastric bypass surgery, bariatric surgery, and pregnancy. Results: all 5 pregnancies were singleton. No major obstetric complications were observed and there were no premature or lowbirth weight infants. Conclusion: our data suggest that pregnancy following gastroplasty is safe for mother and fetus. However, since information about this topic is limited, further investigations are required to establish appropriate recommendations concerning the follow-up of these pregnancies

The Impact of Dementia on Women Internationally: an Integrative Review

Women are disproportionately affected by dementia, both in terms of developing dementia and becoming caregivers. We conducted an integrative review of English language literature of the issues affecting women in relation to dementia from an international perspective. The majority of relevant studies were conducted in high income countries, and none were from low-income countries. The effects of caregiving on health, wellbeing and finances are greater for women; issues facing women, particularly in low and middle-income countries need to be better understood. Research should focus on building resilience to help people adjust and cope long term.

Eight Questions About Physician-Rating Websites: A Systematic Review

Background: Physician-rating websites are currently gaining in popularity because they increase transparency in the health care system. However, research on the characteristics and content of these portals remains limited. Objective: To identify and synthesize published evidence in peer-reviewed journals regarding frequently discussed issues about physician-rating websites. Methods: Peer-reviewed English and German language literature was searched in seven databases (Medline (via PubMed), the Cochrane Library, Business Source Complete, ABI/Inform Complete, PsycInfo, Scopus, and ISI web of knowledge) without any time constraints. Additionally, reference lists of included studies were screened to assure completeness. The following eight previously defined questions were addressed: 1) What percentage of physicians has been rated? 2) What is the average number of ratings on physician-rating websites? 3) Are there any differences among rated physicians related to socioeconomic status? 4) Are ratings more likely to be positive or negative? 5) What significance do patient narratives have? 6) How should physicians deal with physician-rating websites? 7) What major shortcomings do physician-rating websites have? 8) What recommendations can be made for further improvement of physician-rating websites? Results: Twenty-four articles published in peer-reviewed journals met our inclusion criteria. Most studies were published by US (n=13) and German (n=8) researchers; however, the focus differed considerably. The current usage of physician-rating websites is still low but is increasing. International data show that 1 out of 6 physicians has been rated, and approximately 90% of all ratings on physician-rating websites were positive. Although often a concern, we could not find any evidence of "doctor-bashing". Physicians should not ignore these websites, but rather, monitor the information available and use it for internal and ex-ternal purpose. Several shortcomings limit the significance of the results published on physician-rating websites; some recommendations to address these limitations are presented. Conclusions: Although the number of publications is still low, physician-rating websites are gaining more attention in research. But the current condition of physician-rating websites is lacking. This is the case both in the United States and in Germany. Further research is necessary to increase the quality of the websites, especially from the patients’ perspective.

Gestação após gastroplastia para tratamento de obesidade mórbida: série de casos e revisão da literatura

Objetivo: relatar a evolução de uma série de casos de gestação em mulheres previamente submetidas à cirurgia de bypass gástrico para tratamento de obesidade grave. Métodos: cinco casos consecutivos de gravidez após gastroplastia ocorridos entre 2001 e 2004 foram avaliados. As pacientes tinham idade entre 30 e 34 anos e todas haviam sido submetidas à cirurgia de Capella. Aspectos clínicos, laboratoriais e do acompanhamento materno e fetal foram considerados, durante o período gestacional e após o parto. Foi realizada revisão da literatura internacional, por meio das bases de dados MEDLINE e Web of Science, utilizando os seguintes unitermos: gastroplasty, gastric bypass surgery, bariatric surgery e pregnancy. Resultados: todas as gestações observadas foram únicas e não ocorreram complicações obstétricas, durante o seguimento pré-natal e parto. Também não houve registro de recém-nascidos prematuros ou de baixo peso ao nascimento. Conclusão: nossos dados sugerem que a gravidez após gastroplastia é segura para a mãe e feto. Entretanto, em virtude do limitado volume de informação disponível sobre o tema, investigações adicionais são necessárias para estabelecer recomendações apropriadas com relação ao seguimento dessas gestações _________________________________________________ABSTRACT Purpose: we report a small series of pregnant women who underwent gastric bypass surgery for severe obesity, with a review of the literature on this topic. Methods: five consecutive cases of pregnancy after gastroplasty between 2001 and 2004 were evaluated, and clinical, laboratory and therapeutic features were considered. Patients were 30 to 34 years old and all had been submitted to gastroplasty by the Capella technique. The outcomes for both the pregnant woman and the fetus were evaluated. A search of the English language literature was done through MEDLINE and Web of Science databases with the following terms: gastroplasty, gastric bypass surgery, bariatric surgery, and pregnancy. Results: all 5 pregnancies were singleton. No major obstetric complications were observed and there were no premature or lowbirth weight infants. Conclusion: our data suggest that pregnancy following gastroplasty is safe for mother and fetus. However, since information about this topic is limited, further investigations are required to establish appropriate recommendations concerning the follow-up of these pregnancies

"Je ne vous dirai point, mon très cher fils" Correspondance de Catherine de Charrière de Sévery 1780-1783

This dissertation examines the principles of education imbued in a three year correspondence between an eighteenth century woman and her teenage son from the French speaking region of Vaud, current day Switzerland. Despite her great respect for the literature and ideas of the new pedagogues of the Enlightenment, especially J.J. Rousseau and Mme de Genlis, Catherine de Charrière de Sévery maintained the traditional perspective of education of the Ancien Régime. To explore the concepts of education and instruction through the epistolary practice, this research is based on the corpus of 107 letters that Mme de Sévery wrote to her son Vilhelm between 1780 and 1783. Additional documents - among them Mme de Sévery’s diaries - from the particularly rich archival holdings of this aristocratic family have been used to complement her correspondence. Most previous studies on family correspondence have dealt with mothers to daughters, or fathers to sons, whereas this research is centered on letters between a mother and her son. The location of this family – Lausanne and the Pays de Vaud – provides a particular regional perspective due to two factors: immersion into a region uniformly Protestant, and the dual-influence of Germanic and French cultures. The study analyzes the educational principles that appear throughout Mme de Sévery’s letters by comparison with three literary works of the 18th century: a familiar correspondence, the Lettres du Lord Chesterfield à son fils (1776); the fundamental education treatise by J.J. Rousseau, Émile, ou de l’Éducation (1762); and a pedagogical treatise written by Mme de Genlis as an epistolary novel, Adèle et Théodore, ou lettres sur l’éducation. Using letters as the main tool to guide her son’s upbringing, Mme de Sévery highlights the moral and family values that are most important to her and leads him to find his place in society.

Polityka Turcji wobec mniejszości muzułmańskich i niemuzułmańskich w świetle standardów Unii Europejskiej

Wydział Nauk Politycznych i Dziennikarstwa

The Essentials of Narrative: A Synthesis of the West and the East

This is a study on the nature of narrative in light of a narratological theory inspired by a comparison of narratives in the West and the East, and which tries to reach a deeper understanding of narratives in their particular cultural milieus as well as the nature of narrative per se. The macroscopic structure which the subject itself demands gives coherence to the study of elements which do not solely belong to narrative texts but nevertheless are essential for a text to function as a narrative. The essentials under investigation are the narrator's perspective (which gives a narrative its internal structure), language (which both enables and affects the formation of narrative), and the notion of genre (which plays a crucial role in the interpretation of narrative). These elements were selected after a consideration of theorles postulated by Erich Auerbach, Northrop Frye, Fredric Jameson and Mikhail Bakhtin, as well as of the key properties of narrative as traditionally treated in Chinese scholarship on narrative. After the initial chapter, each chapter consists of a theoretical discussion on the main topic, followed by an analysis of a particular aspect of the subject as revealed in an American novel and in a Chinese novel. These subjects in elude the internal structure of narrative, fictionalization, the objectivity of language and the diversity of voices, the potentiality of language and the elosure of narrative, plot and the ordering of a narrative, and fragmentarity and the perceiving of a narrative. In theoretical discussions, the essay challenges theories proposed by Wayne Booth, Michel Foucault, Umberto Eco, Stanley Fish, Roman Jakobson, Jacques Derrida, Jonathan Culler and Tzvetan Todorov. The major texts discussed are Henry James's The Portrait of a Lady, Luo Guanzhong's Three Kingdoms, William Faulkner's Absalom. Absalom!, Cao Xueqin's Dream of the Red Chamber. Edgar Allan Poe's "Ligeia," and Liu E's The Travels of Laocan. The central idea of the research is to question such assumptions as made by Anthony Burgess in his article on the novel in The Encyelopaedia Britannica (15th ed) that "novelists, being neither poets nor philosophers, rarely originate modes of thinking and expression."

Exploration of portuguese-bengal cultural heritage throught museological studies

The Portuguese came to Bengal in the early 16th century for trading. Between 1575 and 1600, they established many colonies on the banks of river Ganga, like Chinsura, Hooghly (Porto Pequeno), Satagaon, Gopalpur and Bandel, covering the eastern part of India. During their stay, Portuguese built many churches, schools and charitable institutions. Churches of Augustinians and Jesuits became popular tourist destinations until today. Although by the 18th century, the Portuguese presence had almost disappeared from Bengal with the emergence of British imperialism, the 500 years old (approx.) Portuguese culture is still living in modern Bengal, in the form of tangible and intangible heritage. Traces of the Portuguese impact could be seen in Bengali language, literature, folk-tales, folksongs, cuisines, agriculture, religion, cinema and trade. Some of these are included in the academic curriculum of history at school, college and university levels. In this context, research has been undertaken in the past and is still ongoing in several universities. However, heritage studies under a museological point of view have not yet been initiated at the university level. Though Goa, Panaji, Calicut, Chennai and Nagapattanam were the Portuguese centers for long periods and research has been conducted there along with the establishment of some museums,

Tutors' Activities in Distance Education: analyzing their educational roles

Tutors´ role in Distance Education is investigated by analyzing and identifying representations built on their work and expressed in their discourses in half-structured interviews (BULEA, 2010). The theoretical and methodological framework is based on Social-Discursive Interactionism (SDI) within its most didactic pathway (BRONCKART, 2003; 2005), Social Interactionism (SI) (BAKHTIN, 1993; 2003). Current paper comprises (a) a synthesis of theoretical and methodological guidelines on the theoretical framework of SDI and on the procedures of human action represented in texts for the construction of a broader perception on tutors´ educational work; (b) theoretical guidelines for a research interview to foreground the better use of such a tool; (c) tutors´ discourse. Data produced in a public university in the state of Paraná, Brazil, are given in the Methodology section. They comprise half-structured interviews with tutors of the Language & Literature Distance Education course. Results of tutors´ deposition evidence the relevance of the tutor in distance education modality in Brazil.  

Entre a notícia e o romance de sensação: os estranguladores do Rio ou o Crime da Rua Carioca. Romance sensacional do Rio oculto

A presente dissertação tem como objetivo analisar o romance de sensação, gênero da literatura popular, que fez muito sucesso e alcançou tiragens significativas no Rio de Janeiro da virada do século XIX. Com isso, busca-se contribuir para a compreensão da circulação cultural entre romances canônicos e populares, tema ainda pouco estudado pela literatura acadêmica. O romance de sensação será abordado, nos capítulos um e dois, no contexto do processo de modernização do Rio de Janeiro no século XIX que faz com que ele ganhe força enquanto produto estético da vida urbana frenética capaz de produzir sensações diversas a partir de elementos como as transformações do espaço, as novas tecnologias, uma nova forma de viver, bem como pela criminalização, pelo medo, pela fascinação pelo terrível e pela mistura entre ficção e notícia. Argumenta-se, ainda, que este tipo de romance terá seu desenvolvimento propiciado por elementos como o barateamento do livro, uma linguagem jornalística e sensacionalista e adequações estruturais que teriam viabilizado um aumento do público leitor e consumidor. Por fim, no terceiro capítulo, analisamos o romance Os estranguladores do Rio ou o crime da Rua Carioca. Romance sensacional do Rio oculto, do autor Abílio Soares Pinheiro, onde podemos observar as características dessas narrativas de caráter popular, que dialogam com textos jornalísticos e científicos, com estruturas de sedução e composição do folhetim, com audaciosas temáticas que incorporam o submundo da pobreza e do mundo criminoso, ambos marcados pela violência, sangue e sexo.

Ensaio sobre as imagens. A criação do roteiro de Blindness de Fernando Meireles, adaptado do romance: Ensaio sobre a cegueira de José Saramago para as telas de cinema

A dissertação se propõe a investigar as diferentes formas de estruturas narrativas para o desenvolvimento em um roteiro cinematográfico, adaptado de uma obra literária. Para este trabalho, vamos usar como corpus o romance Ensaio sobre a cegueira de José Saramago que foi adaptado pelo roteirista Don Mckellar, originando o filme dirigido por Fernando Meirelles, em 2008. A finalidade deste recorte é mostrar o processo de construção narrativa no audiovisual, tendo como base o livro. Nessa investigação, o suporte para análise do audiovisual será realizado com conceituados especialistas em roteiros cinematográfico como Linda Hutcheon, Robert Mckee, Jean-Claude Carriére, Flávio de Campos e David Howard. As possibilidades da criação do roteiro seguirão o mote em quatro divisões: narrativa, estrutura, ensaio sobre imagens e da palavra para imagem, procurando responder como a linguagem intervém no sentido da palavra para imagem e como ocorre o conceito de autoria nessa vertente da adaptação. A trama de Ensaio sobre a cegueira, traz elementos clássicos da estrutura dramática e amplia sua dimensão em relação ao conteúdo da estória na roteirização de Don Mckellar. Com esta pesquisa, esperamos contribuir para um melhor entendimento na construção e organização de um roteiro no processo de adaptação em si

The Politics of Language in Romantic Literature

Marggraf Turley, R. (2002). The Politics of Language in Romantic Literature. Basingstoke: Palgrave Macmillan. RAE2008