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1.
Article in English | WPRIM (Western Pacific) | ID: wprim-782064

ABSTRACT

BACKGROUND AND PURPOSE: We aimed to determine the reliability and validity of a short form of the Korean Dementia Screening Questionnaire-Cognition (KDSQ-C) as a screening tool for cognitive dysfunction.METHODS: This study recruited 420 patients older than 65 years and their informants from 11 hospitals, and categorized the patients into normal cognition, mild cognitive impairment, and dementia subgroups. The KDSQ-C was completed separately by the patients and their informants. We abstracted three components of the KDSQ-C and combined these components into the following four subscales: KDSQ-C-I (items 1–5, memory domain), KDSQ-C-II (items 1–5 & 11–15, memory domain+activities of daily living), KDSQ-C-III (items 1–5 & 6–10, memory domain+other cognitive domains), and KDSQ-C-IV (items 6–10 & 11–15, other cognitive domains+activities of daily living). The reliability and validity were compared between these four subscales.RESULTS: A receiver operating characteristic (ROC) analysis of questionnaire scores provided by the patients showed that the areas under the ROC curves (AUCs) for the KDSQ-C, KDSQC-I, and KDSQ-C-II for diagnosing dementia were 0.75, 0.72, and 0.76, respectively; the corresponding AUCs for informant-completed questionnaires were 0.92, 0.89, and 0.92, indicating good discriminability for dementia.CONCLUSIONS: A short form of the patient- and informant-rated versions of the KDSQ-C (KDSQ-C-II) is as capable as the 15-item KDSQ-C in screening for dementia.


Subject(s)
Area Under Curve , Cognition , Dementia , Humans , Mass Screening , Memory , Cognitive Dysfunction , Reproducibility of Results , ROC Curve , Self Report , Self-Assessment
4.
Av. enferm ; 37(3): 303-312, sep.-dic. 2019. tab
Article in Portuguese | LILACS (Americas), BDENF, COLNAL | ID: biblio-1055214

ABSTRACT

Resumo Objetivo: analisar a autoavaliação das equipes de saúde da família quanto à atenção integral à saúde da comunidade. Método: pesquisa transversal analítica, em cidade polo do estado de Minas Gerais, Brasil. Todas as 75 equipes existentes na cidade, no período de coleta dos dados, estavam aderidas ao programa de avaliação. As equipes com ausência de informações nos 35 padrões de qualidade analisados foram excluídas. Analisaram-se 35 itens da subdimensão atenção integral, da Autoavaliação para Melhoria do Acesso e da Qualidade da Atenção Básica, instrumento validado pelo Ministério da Saúde brasileiro. Foram processadas análises estatísticas descritivas e bivariadas pelos testes Likelihood ratio, Anova e correlação de Pearson, para comparar a autoavaliação segundo localização (urbana e rural) e profissionais componentes das equipes. Resultados: entre as equipes, 38 (54,28 %) ficaram no nível satisfatório e sete (10 %) no insatisfatório. Houve melhor classificação para aquelas da área urbana (p = 0,010). As categorias profissionais técnico em enfermagem (p = 0,030), médico (p = 0,018), cirurgião-dentista (p = < 0,001) e auxiliar/ técnico em odontologia (p = 0,001) se correlacionaram positivamente com maior pontuação. Conclusões: evidenciou-se necessidade de aprimoramento da performance das equipes. Os achados trazem implicações para gestores e profissionais com impacto no cuidado e na atuação do enfermeiro.


Resumen Objetivo: analizar la autoevalua-ción de los equipos de salud de la familia en cuanto a la atención integral a la salud de la comunidad. Método: investigación transversal analítica en ciudad polo del estado de Minas Gerais, Brasil. Los 75 equipos de salud existentes en la ciudad durante el periodo de recopilación de datos se adhirieron al programa de evaluación. Se excluyeron los equipos sin información sobre los 35 estándares de calidad analizados. Se examinaron 35 ítems de la subdimensión atención integral de la Autoevaluación para la mejora del acceso y de la calidad de la atención básica, instrumento validado por el Ministerio de Salud brasileño. Se realizaron análisis estadísticos descriptivos y bivariados por las pruebas Likelihood ratio, Anova y correlación de Pearson. Se comparó autoevaluación por ubicación (urbana y rural) y los componentes del equipo profesional. Resultados: entre los equipos, 38 (54,28 %) quedaron en el nivel satisfactorio y siete (10 %) en el insatisfactorio. Se observó una mejor clasificación para área urbana (p = 0,010). Las categorías profesionales técnicas en enfermería (p = 0,030), médico (p = 0,018), cirujano-dentista (p = < 0,001) y auxiliar/técnico en odontología (p = 0,001) se correlacionaron positivamente con mayor puntuación. Conclusiones: se evidenció necesidad de perfeccionamiento del desempeño de los equipos. Los hallazgos traen implicaciones para gestores y profesionales, con impacto en el cuidado y en la actuación del enfermero.


Abstract Objective: to analyze the self-assessment of family health teams in terms of full care for community health. Method: analytical cross-sectional research in a city in the state of Minas Gerais, Brazil. The 75 health teams existing in the city during the data collection period joined the evaluation program. The teams without information about the 35 quality standards analyzed were excluded. 35 items of the sub-dimension full care of the self-assessment for the improvement of access and quality of basic care were examined, a validated instrument of the Brazilian Ministry of Health. Descriptive and bivariate statistical analyses were performed by the Likelihood ratio, Anova and Pearson correlation tests. Self-assessment was compared by location (urban and rural) and the components of the professional team. Results: among teams, thirty-eight (54.28 %) were at the satisfactory level and seven (10 %), in the unsatisfactory. A better classification was observed for urban area (p = 0.010). The nursing technical professional categories (p = 0.030), physician (p = 0.018), surgeon-dentist (p ≤ 0.001), and odontology assistant/ technician (p = 0.001) correlated positively with higher score. Conclusions: there was a need to improve the performance of the teams. The findings have implications for managers and professionals, with an impact on the care and action of the nurse.


Subject(s)
Humans , Quality of Health Care , Self-Assessment , Comprehensive Health Care , Brazil , Quality Management
5.
Movimento (Porto Alegre) ; 25(1): e25062, jan.- dez. 2019.
Article in English | LILACS (Americas) | ID: biblio-1047329

ABSTRACT

Um desafio para a pedagogia crítica da Educação Física tem sido o de como prosseguir adiante com sua agenda em circunstâncias de precariedade, ao mesmo tempo em que evita muitas armadilhas, como doutrinação, utopismo e arrogância, o que pode diminuir sua efetividade tanto quanto sua reputação. Este artigo considera a possibilidade de ser crítico em relação à própria pedagogia crítica, ao mesmo tempo em que permanece inflamado pela causa da justiça social através da Educação. Até hoje, ela parece ser suficiente para pedagogos críticos em Educação Física regularem a si mesmos, mas tem falhado em produzir qualquer concordância sobre como a pedagogia crítica pode responder, por exemplo, ao crescimento da precariedade. Cinco chaves de leitura emergem da análise de Burbules sobre ser crítico em Educação Física. Eu considero como nós deveríamos ser autoconscientes e autocríticos no âmbito da pedagogia crítica em Educação Física e, ao fazer isso, abordar seus desafios crescentes e, de fato, enfrentar a questão segundo a qual "quem vigia os próprios vigilantes"?


A challenge for critical pedagogy in physical education is how to take forward an agenda in circumstances of precarity while avoiding the many pitfalls, such as indoctrination, utopianism and self-conceit, that could diminish its effectiveness as well as its reputation. This paper considers the possibility of being critical about critical pedagogy while remaining passionate for the cause of social justice through education. To date, it has appeared to be sufficient for critical pedagogues in physical education to regulate themselves, but this has failed to produce any agreement on how critical pedagogy might respond, for example, to rising precarity. Five key points emerge from an analysis of Burbules' work on critical pedagogy. I consider how we might build self-awareness and self-critique into critical pedagogy in physical education, and by so doing address both the challenges raised by critiques of critical pedagogy and indeed the question itself of quis custodiet ipsos custodes?


Un continuo reto para la pedagogía crítica de la Educación Física ha sido como seguir adelante con su agenda en circunstancias de precariedad y, al mismo tiempo, evitar muchas trampas, como adoctrinamiento, utopismo y arrogancia, lo que puede disminuir su efectividad tanto como su reputación. Ese artículo considera la posibilidad de ser crítico en relación a la propia pedagogía crítica al mismo tiempo en que permanece motivado por la causa de la justicia social por medio de la Educación. Hasta hoy, ella parece ser suficiente para los pedagogos críticos regularse a sí mismos, pero ha fallado en producir cualquier concordancia sobre como la pedagogía crítica puede responder, por ejemplo, al crecimiento de la precariedad. Cinco claves de lectura emergen del análisis de Burbules sobre ser crítico en la Educación Física. Considero como nosotros deberíamos ser autoconscientes y autocríticos en el ámbito de la pedagogía crítica en Educación Física y, al hacer esto, abordar sus desafíos crecientes y, de hecho, enfrentar la cuestión sobre "¿quién vigila los propios vigilantes?"


Subject(s)
Humans , Physical Education and Training , Self-Assessment , Teaching
7.
Rev. bras. ativ. fís. saúde ; 23: 1-6, fev.-ago. 2019. tab
Article in English | LILACS (Americas) | ID: biblio-1026635

ABSTRACT

In Brazil, the evidence indicates a high prevalence of dissatisfaction with body image (BI) among adult women. Studies show that gym goers have characteristics that differ from other populations. Specif-ically, women who practice strength training (ST) exhibit intense concern about well-being, which presents as strong self-criticism of the body. This group of women are typically in search for an ideal body pattern stipulated by society. The purpose of the present study was to identify in the women the perception with BI, classify then as satisfied or dissatisfied, and association this information whit age group, anthropometric indicators (body mass index and perimeter of waist), and variables related to the practice of ST (purpose and time of the practice). The sample group consisted of 77 women aged 20 to 54 years (29.83 ± 9.75) who practiced ST. For the assessment of BI, the Body Shape Questionnaire (BSQ) was used in addition to a questionnaire around the other variables. A descriptive analysis was used, chi-squared test and Fisher's Exact test were adopted at a significance level of 5%. The results demonstrated that among all participants, 87.0% were satisfaction with BI. It was found association direct with the dissatisfaction of BI with the purpose of the practice of ST (p = 0.031) and with the practice time (p = 0.030). Were found, in which the women less satisfied with their BI were those who trained for body mass control and practiced ST for more than 6 months. The other variables did not show significant associations with BI. It is concluded that the women who practice ST have shown a positive perception regarding their body image, associated to the objective and the time of the practice


No Brasil, evidências indicam uma elevada prevalência de insatisfação com a imagem corporal (IC) entre as mulheres adultas. Estudos mostram que frequentadores de academias têm características que o diferem de ou-tras populações. As mulheres praticantes de treinamento de força (TF) demonstram preocupação intensa com o bem-estar e forte autocrítica em relação ao corpo. Essas mulheres tendem a buscar o padrão ideal estipulado pela sociedade. O objetivo do presente estudo foi identificar em mulheres praticantes de TF a percepção da IC, classificá-lo como satisfeita ou insatisfeita, e associar com a idade, indicadores antropométricos (índice de massar corporal e circunferência da cintura) e variáveis relacionadas ao TF (objetivos da prática e tempo de prática). Participaram do estudo 77 mulheres de 20 a 54 anos (29,83 ± 9,75). Para a avaliação da IC uti-lizou-se o Body Shape Questionaire (BSQ) e um questionário para as demais variáveis. Utilizou-se análise descritiva, o teste Qui-quadrado e Exato de Fisher. Os resultados demonstraram que dentre as participantes, 87,0% estavam satisfeitas com a IC. Foram encontradas associações diretas da insatisfação da IC com o ob-jetivo (p = 0,031) e com o tempo da prática (p = 0,030). As mulheres menos satisfeitas com a sua IC eram as que treinavam com o objetivo de controle da massa corporal e praticavam TF há mais de 6 meses. As demais variáveis não demonstraram associações significativas com a IC. Conclui-se que as mulheres praticantes do TF demonstraram ter uma percepção positiva com relação a sua imagem corporal, associada ao objetivo e ao tempo da prática


Subject(s)
Self-Assessment , Body Image , Resistance Training
8.
J. pediatr. (Rio J.) ; 95(4): 495-501, July-Aug. 2019. tab
Article in English | LILACS (Americas) | ID: biblio-1040344

ABSTRACT

Abstract Objective: To identify health-related quality of life in adolescents with excess weight and associated factors, such as gender, age, and weight categories. Method: A cross-sectional study with collected and secondary data from 276 adolescents aged between 10 and 19 years with overweight and obesity, and whose parents or guardians authorized their participation. Anthropometric data, pubertal development, and the PedsQL 4.0 questionnaire were collected for the health-related quality of life assessment. Categorical data were described as numbers and percentages. For the description of health-related quality of life subscales, medians and the 25th and 75th percentiles were used, as well as the Mann -Whitney test for comparisons between age group, gender, and weight categories. Results: The median health-related quality of life total score was 78.3 (68.5 -87.4). The lowest scale was the "emotional score", 65 (50 -80). Higher health-related quality of life was found in boys in most of the scores (p < 0.05), except for the "school score" (p = 0.09). Regarding the age group, the median of the "physical scores" (p = 0.03) and "social score" (p = 0.02) were significantly lower in the group younger than 14 years. When separated according to weight categories, it was verified that obese adolescents differed significantly in relation to the "physical score" (p = 0.00), "school score" (p = 0.04), and "total score" (p = 0.02) of the health-related quality of life. However, there was no significant difference between the emotional, social, and psychosocial scores. Conclusions: Adolescents with overweight and obesity show losses in the health-related quality of life and also between the different domains, when separated by age, gender, and weight categories.


Resumo Objetivo: Identificar a qualidade de vida relacionada à saúde entre adolescentes com excesso de peso e fatores associados, como gênero, idade e categorias de peso. Método: Estudo transversal com dados coletados e secundários de 276 adolescentes entre 10 e 19 anos, com sobrepeso e obesidade, cujos responsáveis autorizaram a participação. Foram coletados dados antropométricos, desenvolvimento puberal e questionário PedsQL 4.0 para a avaliação da qualidade de vida relacionada à saúde. Os dados categóricos foram descritos por contagens e percentuais. Para a descrição das subescalas da qualidade de vida relacionada à saúde foram usadas medianas e percentis 25 e 75 e teste de Mann-Whitney para comparações entre grupos de faixa etária, gênero e categorias de peso. Resultados: A mediana do escore total da qualidade de vida relacionada à saúde foi de 78,3 (68,5-87,4). A menor escala foi o "escore emocional" 65 (50-80). Encontramos a qualidade de vida relacionada à saúde maior nos meninos na maioria dos escores (p < 0,05), exceto o "escore escolar" (p = 0,09). Quanto à faixa etária, a mediana dos "escores físico" (p = 0,03) e "escore social" (p = 0,02) foram significativamente menores no grupo menor de 14 anos. Ao separar as categorias de peso, percebe-se que os adolescentes obesos diferem significativamente com relação ao "escore físico" (p = 0,00); "escore escolar" (p = 0,04) e "escore total" (p = 0,02) da qualidade de vida relacionada à saúde. Contudo, não houve diferença significativa entre os escores emocional, social e psicossocial. Conclusões: Adolescentes com sobrepeso e obesidade têm prejuízos na qualidade de vida relacionada à saúde e também entre os diferentes domínios, quando separados por faixa etária, gênero e categorias de peso.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Quality of Life/psychology , Overweight/psychology , Obesity/psychology , Self-Assessment , Body Mass Index , Sex Factors , Cross-Sectional Studies , Surveys and Questionnaires , Age Factors
9.
Rev. bioét. (Impr.) ; 27(1): 134-142, jan.-mar. 2019. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-990540

ABSTRACT

Resumo Embora possam ser aplicados em diversas situações além das neoplasias, os cuidados paliativos nem sempre encontram respaldo técnico e científico por parte dos médicos. Por meio de pesquisa exploratória, descritiva, transversal e de abordagem quantitativa, objetivou-se avaliar o conhecimento sobre cuidados paliativos entre médicos residentes do Hospital Universitário da Universidade Federal de Sergipe. Para isso, foi criado um questionário a partir dos instrumentos da literatura. O perfil da amostra foi composto predominantemente por mulheres (67%), profissionais com até 29 anos (59%) e até quatro anos de formados (60%). A maioria dos médicos (78%) afirmou não ter recebido informações suficientes sobre cuidados paliativos durante a graduação. Após análise de todas as questões, apenas 7% da amostra apresentou avaliação excelente (acerto em mais de 80% das questões).


Abstract Although palliative care can be applied in different situations besides neoplasias, it does not always find technical and scientific support from physicians. Thus, the objective was to evaluate the knowledge regarding palliative care among these professionals. Through an exploratory, descriptive, transversal and quantitative approach, the objective was to evaluate the knowledge about palliative care among physicians residing at the Federal University of Sergipe Hospital. For this, a questionnaire was created based on instruments from literature. The sample profile consisted predominantly of women (67%), professionals up to 29 years (59%), and up to four years since graduation (60%). Most physicians (78%) stated that they had not received enough information about palliative care during graduation. After analyzing all the questions, only 7% of the sample presented an excellent evaluation (accuracy in more than 80% of the questions).


Resumen Aunque puedan ser aplicados en diversas situaciones, además de las neoplasias, los cuidados paliativos no siempre encuentran respaldo técnico y científico por parte de los médicos. Por medio de una investigación exploratoria, descriptiva, transversal y de abordaje cuantitativo, se procuró evaluar el conocimiento sobre cuidados paliativos entre médicos residentes del Hospital Universitario de la Universidad Federal de Sergipe. Para ello, se creó un cuestionario a partir de los instrumentos de la bibliografía. El perfil de la muestra estuvo compuesto predominantemente por mujeres (67%), profesionales con hasta 29 años (59%), y con hasta cuatro años de graduados (60%). La mayoría de los médicos (78%) afirmaron que no recibieron información suficiente sobre los cuidados paliativos durante la formación de grado. Luego del análisis de todas las preguntas, sólo el 7% de la muestra presentó una evaluación excelente (con aciertos en más del 80% de las preguntas).


Subject(s)
Humans , Male , Female , Palliative Care , Self-Assessment , Health Knowledge, Attitudes, Practice , Education, Medical , Hospitals, University , Medical Staff, Hospital
10.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 3807, 01 Fevereiro 2019. ilus, tab
Article in English | LILACS (Americas) | ID: biblio-997960

ABSTRACT

Objective: To perform the transcultural adaptation to Brazil and validation of the Halitosis Associated Life-quality Test (HALT) for use in adolescents. Material and Methods: Students aged 12 to 15 years, of both sexes, with healthy permanent dentition, attending public schools in Piracicaba, Brazil, were selected for this study. The HALT was translated, backtranslated, reviewed by an expert committee and submitted to a pre-test. In the first phase (n = 13), 15% of the sample did not understand items 2, 12 and 15; therefore, these items were reformulated and resubmitted to 13 adolescents. The version with a sociocultural adaptation was self-applied by 56 adolescents (64% females, 13.4 ± 1.0 years), of whom 25 participated in the test-retest. The presence of visible biofilm, gingival bleeding, calculus and tongue coating, was evaluated. Selfperception of halitosis after exhalation/breathing was assessed by a single question. Results: The HALT score ranged from 0 to 62 points (mean = 10.1±13.4) and the floor effect was 5.4%. Internal consistency was excellent (Cronbach's alpha = 0.92) and reproducibility was moderate (Intraclass Correlation Coefficient = 0.59). Individuals with "excessive" tongue coating had a higher HALT score than those with mild and/or moderate coating (p<0.001). Multiple linear regression analysis indicated that only the male sex was related to a higher HALT score (p<0.05). Conclusion: The Brazilian Portuguese version of the HALT was easily understood by adolescents. Those with greater tongue coating accumulation reported more frequently the presence of halitosis, which was only associated to male sex.


Subject(s)
Humans , Male , Female , Adolescent , Quality of Life , Brazil , Cross-Cultural Comparison , Adolescent , Halitosis/etiology , Psychometrics/methods , Self-Assessment , Translating , Clinical Diagnosis , Cross-Sectional Studies/methods , Surveys and Questionnaires , Regression Analysis , Validation Studies as Topic
11.
Rev Rene (Online) ; 20: e40881, 2019. graf
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1012945

ABSTRACT

Objetivo compreender como a autoscopia, apoiada no Modelo de Ação e Raciocínio Pedagógico, contribui para formação de docentes reflexivos. Métodos estudo qualitativo e descritivo, realizado com uma docente de Enfermagem, do Curso Técnico em Enfermagem. Para os dados coletados, por meio de entrevistas, observação não participante e autoscopia, foi utilizada análise de conteúdo, com os resultados interpretados à luz do referencial teórico de Shulman. Resultados as percepções relatadas pela docente antes da autoscopia diferem das conclusões pós-autoscopia, demonstrando avanços na nova compreensão. A estrutura da autoscopia, seguindo o Modelo de Ação e Raciocínio Pedagógico de Shulman, possibilitou o exercício reflexivo docente. Conclusão a inclusão da autoscopia nos processos de formação docente pode estimular postura reflexiva, permitindo avanços nas práticas de ensino.


Objective to understand how autoscopy, supported by the Model of Action and Pedagogical Reasoning, contributes to the formation of reflective professors. Methods a qualitative and descriptive study, carried out with a Nursing professor, of the Nursing Technical Course. For the collected data, through interviews, non-participant observation and autoscopy, content analysis was used, with the results interpreted in the light of the referential theorist of Shulman. Results the perceptions reported by the professor before autoscopy differ from the post-autoscopy findings, demonstrating advances in the new comprehension. The structure of autoscopy, following Shulman's Model of Action and Pedagogical Reasoning, made possible reflective professor exercise. Conclusion the inclusion of autoscopy in teacher training processes can stimulate reflective posture, allowing for advances in teaching practices.


Subject(s)
Self-Assessment , Nursing Faculty Practice , Nursing Education Research , Education, Nursing, Associate , Faculty, Nursing
12.
Health Communication ; (2): 117-123, 2019.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-788109

ABSTRACT

BACKGROUND: Clear and proper feedback is necessary to decrease the gap between knowledge and practice. Feedback can improve clinical competence of medical students up to expertise level.METHODS: A total of 180 4th-year students of Daegu-Kyungbuk consortium area participated in the scheduled feedback program of clinical performance examination on August 26th in 2017. Among them, 167 students filled out the questionnaire on helpfulness of the direct observation and feedback of faculty and standardized patient (SP), helpfulness for history taking (Hx), physical examination (PE), and patient-physician interaction (PPI), and any change of clinical competence and clinical reasoning of the students preand post-feedback. All the responses were measured on 5-point Likert scale.RESULTS: Among the total students, 88.6% responded that direct feedback at the practice is helpful, particularly 95.2% of faculty and 76.6% of SP. A 37.3% answered that it was helpful for all the categories of feedback, but only 25.3% for PE and 24.7% for Hx. A 56.3% responded that feedback is helpful for both disease questions and counseling practice. Mean score of self-assessment by the students increased from 2.52 to 3.36 for Hx, 2.30 to 3.24 for PE, 2.46 to 3.33 for clinical reasoning, 2.84 to 3.59 for PPI, and 2.44 to 3.28 for overall competence. And all these differences were found to be statistically significant (P <0.001)CONCLUSION: A majority of students responded that the direct feedback from faculty and SP was helpful at the clinical practice of Hx, PE, and PPI, and increased the level of clinical competence.


Subject(s)
Clinical Competence , Counseling , Humans , Mental Competency , Physical Examination , Self-Assessment , Students, Medical
13.
Cad. Saúde Pública (Online) ; 35(3): e00125018, 2019. graf
Article in Portuguese | LILACS (Americas) | ID: biblio-989513

ABSTRACT

Resumo: Este estudo objetivou identificar a percepção de adolescentes que vivenciaram a crise em saúde mental sobre tal experiência, bem como sobre a trajetória percorrida em busca de cuidados. Participaram cinco adolescentes de 16 e 17 anos, usuários(as) de um Centro de Atenção Psicossocial Infantojuvenil (CAPSij), que concederam entrevistas valendo-se de roteiros abertos baseados no método de história oral. As narrativas foram gravadas, transcritas, textualizadas e trabalhadas por meio de análise temática. Os resultados indicaram: (a) a vivência da crise atrelada, principalmente, a sentimentos intensos de angústia, tristeza e desvalia, ideação e tentativa de suicídio - vivenciados como um problema individual; (b) as relações entre pares e familiares desencadeadoras dos processos de crise quando permeadas por diferentes tipos de violência, e como suporte emocional e social, quando imersas em relações de confiança; (c) a trajetória predominante de acesso ao cuidado aconteceu centrada em pontos da Rede de Atenção Psicossocial e não houve relato de internação; (d) as dificuldades no cuidado assentaram-se na adesão ao tratamento, participação em espaços coletivos de cuidado e resistências à medicação. O estudo avança, apresentando a compreensão da crise em saúde mental e dos fatores envolvidos nesta experiência, pela voz dos(das) próprios(as) adolescentes que a vivenciaram, bem como identifica os caminhos trilhados em busca de tratamento e as percepções emergidas da experiência de cuidado nos serviços.


Abstract: This study sought to identify adolescents' perception regarding the mental health crises they experienced, as well as their trajectory when seeking care. The participants were five adolescents aged between 16 and 17 years who frequent a Center for Child and Adolescent Psychosocial Care (CAPSij, in Portuguese) who gave interviews following open-ended scripts based on oral history methods. The narratives were recorded, transcribed, rendered into text and analyzed through a thematic analysis. Results indicate: (a) the crisis experience connected, in particular, with intense feelings of anguish, sadness and worthlessness, suicide ideation and attempt - experienced as an individual problem; (b) relationships with peers and family members triggering crisis processes when permeated by different types of violence; and as emotional and social support when immersed in relationships of trust; (c) the predominant trajectory for accessing care was centered in points of the Psychosocial Care Network and there were no reports of hospital admissions; (d) difficulties in care are centered on treatment adhesion, participation in collective care spaces and resistance to medication. This study is an advancement, presenting the understanding of mental health crisis and factors involved in this experience, through the perspective of the adolescents who experienced it, as well as identifying the paths they followed when searching for treatment and the perceptions that emerged from the experience of care in the services.


Resumen: El objetivo de este estudio fue identificar la percepción de adolescentes sobre la experiencia de vivir crisis de salud mental, así como sobre la trayectoria recorrida en búsqueda de cuidados. Participaron cinco adolescentes de 16 y 17 años, usuarios(as) de un Centro de Atención Psicosocial Infantojuvenil (CAPSij), que concedieron entrevistas a partir de guiones abiertos, basados en el método de historia oral. Las narraciones fueron grabadas, transcritas, textualizadas y trabajadas mediante un análisis temático. Los resultados indicaron: (a) la vivencia de la crisis asociada, principalmente, a sentimientos intensos de angustia, tristeza y desprotección, ideación y tentativa de suicidio -vividos como un problema individual; (b) las relaciones entre pares y familiares desencadenantes de procesos de crisis, cuando son permeables a diferentes tipos de violencia; y como apoyo emocional y social, cuando están inmersas en relaciones de confianza; (c) la trayectoria predominante de acceso al cuidado se produjo centrada en puntos de la Red de Atención Psicosocial y no hubo narración de internamiento; (d) las dificultades en el cuidado se asentaron en la adhesión al tratamiento, participación en espacios colectivos de cuidado y resistencias a la medicación. El estudio avanza, presentando la comprensión de la crisis en salud mental y de los factores involucrados en esta experiencia, a través de la voz de los(las) propios(as) adolescentes que la vivieron, así como identifica los caminos recorridos en búsqueda de tratamiento y las percepciones surgidas de la experiencia de cuidado en los servicios.


Subject(s)
Humans , Male , Female , Adolescent , Suicide, Attempted/psychology , Mental Disorders/psychology , Peer Group , Self-Assessment , Socioeconomic Factors , Violence , Brazil , Family , Mental Health , Interviews as Topic , Qualitative Research , Suicidal Ideation , Mental Disorders/diagnosis
14.
Article in English | LILACS (Americas), INDEXPSI | ID: biblio-1040667

ABSTRACT

Abstract With the increasing number of obese individuals in Brazil, the importance of studies aimed at researching the social and psychological impact of obesity is also increased. This study aimed to trace and analyze the processes of subjective construction of the obesity experience. This is a longitudinal case study with a 29-year-old obese woman submitted to bariatric surgery. The characteristics and power of explicit and implicit messages that operate in specific cultural contexts were investigated, analyzing the construction of meanings of self in the development of the dialogical self. Qualitative data analysis shows important aspects of the dynamics of fatphobia, its power to channel the subjective trajectory of the obese subject and the importance of alterity in the development of self. The study contributes to the advancement of knowledge about the relations between obesity, self, and prejudice, seeking to provide inputs for the performance of psychologists, educators, and health professionals.


Resumo Com o número crescente de obesos no Brasil aumenta também a importância de estudos dedicados à investigação do impacto social e psicológico da obesidade. Esse estudo objetivou identificar e analisar os processos de construção subjetiva da experiência de obesidade. Trata-se de um estudo de caso longitudinal com uma mulher obesa de 29 anos submetida à cirurgia bariátrica. Foram investigadas as características e poder das mensagens explícitas e implícitas que operam em contextos culturais específicos, analisando a construção de significados de si no desenvolvimento do self dialógico. A análise qualitativa dos dados revela aspectos importantes da dinâmica da gordofobia, seu poder de canalização da trajetória subjetiva do obeso e a importância da alteridade no desenvolvimento do self. O estudo contribui com o avanço do conhecimento sobre as relações entre obesidade, self e preconceito, buscando oferecer subsídios para a atuação de psicólogos, educadores e profissionais de saúde.


Resumen Con el creciente número de obesos en Brasil, también hay un incremento de la importancia de estudiar el impacto social y psicológico de la obesidad. Este estudio propone identificar y evaluar los procesos de construcción subjetiva de la experiencia de obesidad. Se trata de un estudio de caso longitudinal en el cual participó una mujer obesa de 29 años sometida a la cirugía bariátrica. Se investigaron las características y el poder de los mensajes explícitos e implícitos que operan en contextos culturales específicos, analizando la construcción de significados de sí mismo en el desarrollo del self dialógico. El análisis cualitativo de los datos reveló aspectos importantes de la dinámica de la fobia a la gordura, su poder de concentración en la trayectoria subjetiva del obeso y la importancia de la alteridad en el desarrollo del self. El estudio contribuye a ampliar el conocimiento sobre las relaciones entre obesidad, self y prejuicio, buscando ofrecer aportes para el trabajo de psicólogos, de educadores y de profesionales de salud.


Subject(s)
Humans , Female , Adult , Self-Assessment , Body Image , Cultural Characteristics , Bariatric Surgery , Obesity
15.
Clin. biomed. res ; 39(4): 307-315, 2019.
Article in Portuguese | LILACS (Americas) | ID: biblio-1087222

ABSTRACT

Introdução: Para o estudo das emoções têm-se utilizado técnicas de autorrelato, nomeadamente, as escalas de valência e de arousal do Self-Assessment Manikin (SAM), que proporcionam uma apreciação cognitiva subjetiva das diferentes dimensões emocionais. No entanto, é legítimo equacionar que esta capacidade de avaliação cognitiva possa estar alterada em pacientes com lesão encefálica adquirida (LEA). Consequentemente, pode haver incongruência na avaliação das suas respostas emocionais. Assim, a avaliação deve incluir outras técnicas complementares, como são as medidas fisiológicas periféricas empiricamente validadas para o estudo das emoções. Métodos: Avaliamos 36 pacientes com LEA em referência a 33 participantes saudáveis. Ambos os grupos observaram imagens agradáveis, desagradáveis e neutras selecionadas do International Affective Picture System (IAPS), que tinham de classificar através das escalas de valência e de arousal do SAM, enquanto eram registadas as suas respostas fisiológicas periféricas: condutância elétrica da pele (CEP) e ritmo cardíaco (RC). Resultados: Nas técnicas de autorrelato, os pacientes com LEA fazem uma avaliação da valência diferente, independentemente dos estímulos, em relação aos controles. Já quando consideramos a escala de arousal os pacientes sentem-se mais ativados do que os controles, exceto nos estímulos desagradáveis. Contudo, os resultados obtidos na medição objetiva dos seus correlatos fisiológicos não são congruentes com a avaliação cognitiva que realizam, uma vez que mostraram menor reatividade aos estímulos independentemente da sua condição emocional. Conclusão: Estes resultados mostram que indivíduos com LEA têm dificuldade em fazer uma avaliação coerente do seu estado de ativação fisiológico. Por essa razão, é altamente recomendado o uso simultâneo de medidas psicofisiológicas.(AU)


Introduction: Self-report measures have been used in the study of emotions, namely the valence and arousal scales of the Self-Assessment Manikin (SAM), which provide a subjective cognitive appraisal of different emotional dimensions. However, cognitive assessment ability in patients with acquired brain injury (ABI) may be compromised. Consequently, their emotional responses measured by self-report may be inconsistent. In these cases, the assessment should include complementary techniques, such as peripheral physiological measures empirically validated for the study of emotions. Method: We evaluated 36 patients with ABI and 33 healthy controls. Both groups watched pleasant, unpleasant and neutral images from the International Affective Picture System (IAPS) and rated them using SAM valence and arousal scales, while their peripheral physiological responses, consisting of skin conductance response (SCR) and heart rate (HR), were recorded. Results: In self-report measures, patients with ABI evaluated valence differently, regardless of stimuli, compared to controls. Regarding the arousal scale, patients with ABI reported feeling more aroused when compared to controls, except in unpleasant stimuli. However, the results obtained in the physiological assessment are not consistent with those of the cognitive assessment, as they showed lower reactivity to stimuli regardless of their emotional condition. Conclusion: These results show that patients with ABI have more difficulty in making a coherent assessment of their physiological arousal. For this reason, the simultaneous use of psychophysiological measures is highly recommended. (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Brain Injuries, Traumatic/complications , Brain Injuries, Traumatic/psychology , Self-Assessment , Cognition , Emotions , Diagnostic Self Evaluation , Self Report
16.
Braz. j. oral sci ; 18: e191487, jan.-dez. 2019. tab
Article in English | LILACS (Americas), BBO | ID: biblio-1087887

ABSTRACT

Aim: To investigate final-year dental students' assessment of their achievement of professional profile, competencies and skills as set out in the National Curriculum Guidelines (NCG) and its association with demographic characteristics. Methods: A cross-sectional study was carried out at the dental school of the Federal University of Goiás, Brazil. The study population (N= 205) was composed of all undergraduate students finishing their courses under the new curricula over a five-year period. They were asked to score their achievement of the professional profile, competencies and skills proposed by the NCG using a 3-point scale. Frequency distribution of the data was described and scores for competencies and skills were calculated. The total score was the sum of those obtained in each single item. For group comparisons regarding to the students' demographic characteristics, Mann-Whitney test was performed with statistical significance of 5%. Results: The sample was composed by 204 final year students (response rate= 99.5%). Only one student considered that she did not have the profile proposed in the NCG. 52% of them reported they had fully achieved the professional profile, while the remaining reported they had partially achieved it. High percentages of responses indicating partial or total achievement of general and specific competencies and skills were also found. The total score ranged from 36 to 72 (mean= 60.2; SD= 7.68; median= 62.0). Women reported higher levels of competencies and skills relating teamwork and the social context of the profession. Men reported higher levels of skills related to decision-making and activities aimed at diasease diagnosis and interventions. Younger students, compared to older ones, had higher scores on five items of specific competencies and skills. Conclusion: Most of the students considered to have achieved the professional profile, competencies and skills proposed in the NCG, and their perceptions were associated with demographic characteristics (age and sex)


Subject(s)
Humans , Male , Female , Self-Assessment , Students, Dental , Competency-Based Education , Curriculum , Education, Dental
17.
Article in English | WPRIM (Western Pacific) | ID: wprim-764949

ABSTRACT

BACKGROUND: Korea has a periodic general health check-up program that uses the Korean Dementia Screening Questionnaire-Cognition (KDSQ-C) as a cognitive dysfunction screening tool. The Alzheimer Disease 8 (AD8) and Subjective Memory Complaints Questionnaire (SMCQ) are also used in clinical practice. We compared the diagnostic ability of these screening questionnaires for cognitive impairment when completed by participants and their caregivers. Hence, we aimed to evaluate whether the SMCQ or AD8 is superior to the KDSQ-C and can be used as its replacement. METHODS: A total of 420 participants over 65 years and their informants were recruited from 11 hospitals for this study. The patients were grouped into normal cognition, mild cognitive impairment, and dementia subgroups. The KDSQ-C, AD8, and SMCQ were completed separately by participants and their informants. RESULTS: A receiver operating characteristic analysis of questionnaire scores completed by participants showed that the areas under the curve (AUCs) for the KDSQ-C, AD8, and SMCQ for diagnosing dementia were 0.75, 0.8, and 0.73, respectively. Regarding informant-completed questionnaires, the AD8 (AUC of 0.93), KDSQ-C (AUC of 0.92), and SMCQ (AUC of 0.92) showed good discriminability for dementia, with no differences in discriminability between the questionnaires. CONCLUSION: When an informant-report is possible, we recommend that the KDSQ-C continues to be used in national medical check-ups as its discriminability for dementia is not different from that of the AD8 or SMCQ. Moreover, consistent data collection using the same questionnaire is important. When an informant is not available, either the KDSQ-C or AD8 may be used. However, in the cases of patient-reports, discriminability is lower than that for informant-completed questionnaires.


Subject(s)
Alzheimer Disease , Caregivers , Cognition , Cognition Disorders , Data Collection , Dementia , Humans , Korea , Mass Screening , Memory , Cognitive Dysfunction , ROC Curve , Self-Assessment
18.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-759751

ABSTRACT

BACKGROUND: Management of atopic dermatitis (AD) involves the regular use of emollients together with topical steroids or calcineurin inhibitors for acute flares. However, the long-term use of oral medications in young children may have certain limitations. Wet wrap dressing (WWD) is an interesting alternative therapy for the short-term control of severe or refractory flares, thus avoiding the use of systemic treatments. OBJECTIVE: This study aimed to compare the efficacy between WWD and topical steroid agents and to control and estimate the utility of WWD in pediatric AD. METHODS: A total of 40 patients with mild-to-severe AD (eczema area and severity index of ≥3) aged <13 years were included in this study. Twenty patients were treated with WWD using two layers of cotton bandages or garments (Tubifast™), and the remaining were applied with topical steroid agents without cotton bandages. Improvement in severity of atopic dermatitis was evaluated using the eczema area and severity index (EASI). Improvement in skin barrier dysfunction was evaluated by measuring the transepidermal water loss (TEWL). We compared the two groups after 1 week of treatment using analysis of covariance and t-test. Furthermore, we surveyed the study groups using a questionnaire to estimate the utility of WWD and its adverse effects as well as to evaluate subjective outcomes of WWD. RESULTS: There were significant reductions in the mean EASI (−6.3, 95% confidence interval [CI]: −7.5 to −5.1, p=0.013) and TEWL (−26.7, 95% CI: −31.2 to −22.3, p=0.002) after 1 week of WWD treatment compared with the mean EASI (−4.0, 95% CI: −5.2 to −2.9) and TEWL (−15.4, 95% CI: −19.8 to −10.9) of the control group. Results of patient self-assessment and scores in the visual analogue scale (VAS) for pruritus were improved in both groups, but the differences were not statistically significant. Usefulness of WWD as an alternative therapy for the conventional therapy was satisfactory. CONCLUSION: This study is meaningful in that it estimates both the subjective and objective efficacy of WWD. In view of these findings, WWD showed superior therapeutic effects than conventional steroid application in the treatment of AD in children, with good compliance of patients and parent-caregivers.


Subject(s)
Bandages , Calcineurin Inhibitors , Child , Clothing , Compliance , Dermatitis, Atopic , Eczema , Emollients , Humans , Pruritus , Self-Assessment , Skin , Steroids , Therapeutic Uses , Water
19.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-758466

ABSTRACT

OBJECTIVE: It is difficult for emergency residents to attend all the lectures that are required because of the limited labor time. The Google Hangouts program for has been used as a remote videoconference to overcome the limit to provide equal opportunities and reduce the time and costs since 2015. This article reports the authors' experiences of running a residency education program using Google Hangouts. METHODS: From 2015, topics on the emergency radiology were lectured to emergency residents in three different hospitals connected by Google Hangouts. From 2017, electrocardiography analysis, emergency radiology, ventilator application, and journal review were selected for the remote videoconference. The residents' self-assessment score, and a posteducation satisfaction questionnaire were surveyed. RESULTS: Twenty-nine emergency residents responded to the questionnaire after using the Google Hangouts. The number of participants before and after Hangout increased significantly in other two hospitals. All the residents answered that the score on achieving the learning goal increased before and after the videoconference lectures. All the residents answered that the training program is more satisfactory after using the Google Hangouts than before. CONCLUSION: All emergency residents were satisfied and were more confident after the remote videoconference education using the Google Hangouts than before.


Subject(s)
Education , Electrocardiography , Emergencies , Emergency Medicine , Internship and Residency , Learning , Lecture , Running , Self-Assessment , Ventilators, Mechanical , Videoconferencing
20.
Article in English | WPRIM (Western Pacific) | ID: wprim-761884

ABSTRACT

PURPOSE: To assess the effectiveness and safety of acupuncture for erectile dysfunction (ED). MATERIALS AND METHODS: We searched six major English and Chinese databases included randomized controlled trials (RCTs) testing acupuncture alone or in combination for ED. Dichotomous data were presented as risk ratio (RR) and continuous data were presented as mean difference (MD) both with 95% confidence interval (CI). The Revman (v.5.3) was used for data analyses. Quality of evidence across studies was assessed by the online GRADEpro tool. RESULTS: We identified 22 RCTs, fourteen of them involving psychogenic ED. Most of the included RCTs had high or unclear risk of bias. There was no difference between electro-acupuncture and sham acupuncture with electrical stimulation on the rate of satisfaction and self-assessment (RR, 1.50; 95% CI, 0.71–3.16; 1 trial). Acupuncture combined with tadalafil appeared to have better effect on increasing cure rate (RR, 1.31; 95% CI, 1.00–1.71; 2 trials), and International Index of Erectile Function-5 scores (MD, 5.38; 95% CI, 4.46–6.29; 2 trials). When acupuncture plus herbal medicine compared with herbal medicine alone, the combination therapy showed significant better improvement in erectile function (RR, 1.68; 95% CI, 1.31–2.15; 7 trials). Only two trials reported facial red and dizziness cases, and needle sticking and pruritus cases in acupuncture group. CONCLUSIONS: Low quality evidence shows beneficial effect of acupuncture as adjunctive treatment for people mainly with psychogenic ED. Safety of acupuncture was insufficiently reported. The findings should be confirmed in large, rigorously designed and well-reported trials.


Subject(s)
Acupuncture , Asian Continental Ancestry Group , Bias , Dizziness , Electric Stimulation , Erectile Dysfunction , Herbal Medicine , Humans , Male , Needles , Odds Ratio , Pruritus , Self-Assessment , Statistics as Topic , Tadalafil
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