A família diante do diagnóstico de câncer de mama sob o olhar da mulher / Family facing breast cancer diagnosis under the woman's viewpoint / Familia antes del diagnóstico de cáncer de mama en de mirada de la mujer

Objetivo: Compreender o papel e a percepção da família diante do diagnóstico de câncer de mama sob o olhar da mulher. Método: Estudo qualitativo, realizado no Ambulatório de Oncologia de um Hospital Universitário, do qual participaram 11 mulheres com câncer de mama, com idade entre 43 e 58 anos. A coleta de dados foi realizada por meio de entrevista semiestruturada, no período de maio a julho de 2015. Os dados foram analisados e interpretados conforme a análise de conteúdo. Resultados: Após a análise emergiram três categorias: o impacto do diagnóstico de câncer de mama, a companhia no diagnóstico e a família como principal fonte de apoio. Conclusão: Para a mulher o aparecimento do câncer impactou a sua família e despertou inúmeros sentimentos. Contudo, o envolvimento familiar disponibilizado a ela desde o acompanhamento para receber o diagnóstico mostrou-se como fonte de apoio e conforto

Objective: To understand the role and perception of the family before the diagnosis of breast cancer under the gaze of women. Method: Qualitative study conducted in the Oncology Clinic of the University Hospital, which was attended by 11 women with breast cancer, aged 43 and 58 years. Data collection was conducted through semi-structured interviews, from May to July 2015. The data were analyzed and interpreted according to content analysis. Results: After the analysis three categories emerged: the impact of the diagnosis of breast cancer, company diagnosis, the family as the primary source of support. Conclusion: For the woman the appearance of the cancer brought in her family a great impact and aroused countless feelings. However, the family involvement provided to her from the follow-up to receiving the diagnosis proved to be a source of support and comfort

Objetivo: Entender el papel y la percepción de la familia antes Del diagnóstico de cáncer de mama bajo la mirada de las mujeres. Método: Estudio cualitativo realizado en la Clínica de Oncología del Hospital de la Universidad, a la que asistieron 11 mujeres con cáncer de mama, de 43 años y 58 años. La recolección de datos se realizó a través de entrevistas semiestructuradas, de mayo a julio de 2015. Se analizaron e interpretado los datos de acuerdo con el análisis de contenido. Resultados: Tras el análisis surgieron tres categorías: el impacto del diagnóstico de cáncer de mama, el diagnóstico de la empresa, la familia como la fuente principal de apoyo. Conclusión: Para las mujeres, la aparición del cáncer dio lugar a su familia un gran impacto y se agitó muchos sentimientos. Sin embargo, la participación familiar puesta a su disposición desde el monitoreo de recibir el diagnóstico demostrado ser una fuente de apoyo y comodidad

Prevalence and factors associated with syphilis in a Reference Center

Abstract INTRODUCTION: The implementation of the rapid test (RT) for syphilis increases access of vulnerable populations to early diagnosis and treatment, impacting the outcomes of infection. We aimed to assess the prevalence of and factors associated with syphilis in a Center for Testing and Counseling (CTC). METHODS: We conducted a cross-sectional study at a Reference Center for sexually transmitted disease (STD) and acquired immune deficiency syndrome in Londrina, Northern Paraná State, Southern Brazil. Data regarding the 5,509 individuals who underwent RT from June 2012 to December 2014 were collected from patient records and the CTC Information System and served as the basis to check associations of syphilis cases (346) and cases without syphilis (5,163). Nine patients’ records were not found. OpenEpi was used to perform a prevalence analysis and determine odds ratios to assess the associations between sociodemographic and behavioral variables (independent variables) and cases of syphilis (dependent variable). An alpha value <0.05 was considered statistically significant. RESULTS: The prevalence of syphilis was 6.3%; higher in males (7.5%) than in females (4.3%, p <0.001). Syphilis was associated with an age of 25-34 years, little education, and single marital status. The main associated behavioral factors were men who have sex with men, drug users, STD patients, and those presenting with an STD in the last year. The use of alcohol, marijuana, cocaine, and crack was significantly associated with syphilis. CONCLUSIONS: Strategies for prevention and control of syphilis should be intensified, especially in populations identified as most vulnerable.