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1.
Neuroscience Bulletin ; (6): 16-28, 2022.
Article in English | WPRIM | ID: wpr-922663

ABSTRACT

Chronic stress leads to many psychiatric disorders, including social and anxiety disorders that are associated with over-activation of neurons in the basolateral amygdala (BLA). However, not all individuals develop psychiatric diseases, many showing considerable resilience against stress exposure. Whether BLA neuronal activity is involved in regulating an individual's vulnerability to stress remains elusive. In this study, using a mouse model of chronic social defeat stress (CSDS), we divided the mice into susceptible and resilient subgroups based on their social interaction behavior. Using in vivo fiber photometry and in vitro patch-clamp recording, we showed that CSDS persistently (after 20 days of recovery from stress) increased BLA neuronal activity in all the mice regardless of their susceptible or resilient nature, although impaired social interaction behavior was only observed in susceptible mice. Increased anxiety-like behavior, on the other hand, was evident in both groups. Notably, the CSDS-induced increase of BLA neuronal activity correlated well with the heightened anxiety-like but not the social avoidance behavior in mice. These findings provide new insight to our understanding of the role of neuronal activity in the amygdala in mediating stress-related psychiatric disorders.


Subject(s)
Amygdala , Animals , Anxiety/etiology , Anxiety Disorders , Avoidance Learning , Mice , Mice, Inbred C57BL , Social Behavior , Stress, Psychological/complications
2.
Salud bienestar colect ; 5(1): 18-31, ene.-abr. 2021. ilus, tab, graf
Article in Spanish | LILACS | ID: biblio-1352345

ABSTRACT

INTRODUCCIÓN: Los problemas sanitarios en los pacientes que padecen cáncer cérvico-uterino influyen en la satisfacción personal y evitan una gran adherencia a la terapia médica, y además están relacionados con un número más notable de efectos secundarios y la estancia en la clínica de emergencia junto afecciones depresivas y problemas de ansiedad. OBJETIVO: Identificar la influencia del cáncer cérvico -uterino en las alteraciones en la salud mental de pacientes menores de 25 años en el Ecuador. METODOLOGÍA: La investigación fue de tipo cuantitativo, descriptivo, y de corte transversal. Se utilizaron encuestas de manera virtual dirigida a pacientes menores de 25 años que padecen de cáncer al cuello uterino en diversas Fundaciones que luchan contra el cáncer, contando con una muestra de 178 mujeres, estas se dividieron en 4 categorías: Salud mental, Estrés, Depresión y Total de escalas. RESULTADOS: El porcentaje que se obtuvo de manera general tuvo un rango variado, el 32,9% dio como resultado que la alteración que causa en la mujer es contundente, seguido del 30,6 que su afección en la salud mental es más baja. CONCLUSIÓN: Se concluye afirmando que el cáncer uterino es el segundo cáncer más prevalente en la mujer, el cual influye de manera progresiva en la salud mental, presentando reacciones negativas y percepciones, falta de control en las emociones, consecuentemente aquello debilita el sistema inmunológico previamente comprometido, generando alteraciones en el curso del tratamiento.


INTRODUCTION: Health problems in patients suffering from cervical-uterine cancer influence personal satisfaction and prevent a high adherence to medical therapy, and are also related to a more notable number of side effects and stay in the emergency clinic together depressive conditions and anxiety problems. OBJECTIVE: To identify the influence of cervical cancer -uterine in the alterations in the mental health of patients under 25 years in Ecuador. MATERIALS AND METHODS: The research was quantitative, descriptive, andcross-sectional. Surveys were used in a virtual way directed at patients under 25 years of age who suffer from cervical cancer in various Foundations that fight against cancer, with a sample of 178 women, these were divided into 4 categories: Mental health, Stress, Depression and Total stopovers. RESULTS: The percentage that was obtained in a general way had a varied range, 32.9% gave as a result that the alteration it causes in women is overwhelming, followed by 30.6 that their mental health condition is lower. CONCLUSION: It is concluded by stating that uterine cancer is the second most prevalent cancer in women, which progressively influences mental health, presenting negative reactions and perceptions, lack of control over emotions, consequently that weakens the previously compromised immune system, generating alterations in the course of treatment.


Subject(s)
Humans , Female , Young Adult , Uterine Cervical Neoplasms/psychology , Uterine Cervical Neoplasms/virology , Stress, Psychological/complications , Uterine Cervical Neoplasms/complications , Mental Health/statistics & numerical data , Disease , Epidemiology, Descriptive , Cross-Sectional Studies , Surveys and Questionnaires , Risk Factors , Depression , Alphapapillomavirus/genetics
3.
Article in English | WPRIM | ID: wpr-880366

ABSTRACT

BACKGROUND@#Few studies have explored the modifications by family stress and male gender in the relationship between early exposure to traffic-related air pollution (TRAP) and allergic rhinitis (AR) risk in preschool children.@*METHODS@#We conducted a case-control study of 388 children aged 2-4 years in Shenyang, China. These children AR were diagnosed by clinicians. By using measured concentrations from monitoring stations, we estimated the exposures of particulate matter less than 10 μm in diameter (PM@*RESULTS@#The prevalence of AR in children aged 2-4 years (6.4%) was related to early TRAP exposure. With an IQR (20 μg/m@*CONCLUSIONS@#Family stress and male gender may increase the risk of AR in preschool children with early exposure to PM


Subject(s)
Air Pollution/adverse effects , Case-Control Studies , Child, Preschool , China/epidemiology , Cities , Family/psychology , Female , Humans , Male , Prevalence , Rhinitis, Allergic/epidemiology , Risk Factors , Stress, Psychological/complications , Traffic-Related Pollution/adverse effects
4.
Int. j. morphol ; 38(5): 1217-1222, oct. 2020. graf
Article in English | LILACS | ID: biblio-1134428

ABSTRACT

SUMMARY: Repeated stress is a risk factor for memory impairment and neurological abnormalities in both humans and animals. We sought to investigate the extent of (i) brain tissue injury; (ii) nitrosative and oxidative stress in brain tissue homogenates; (iii) apoptotic and survival biomarkers in brain tissue homogenates; and (iv) immobility and climbing abilities, induced over a period of three weeks by chronic unpredictable stress (CUS). Wistar rats were either left untreated (Control group) or exposed to a variety of unpredictable stressors daily before being sacrificed after 3 weeks (model group). Assessment of depression-like behavior was performed and animals were then culled and harvested brain tissues were stained with basic histological staining and examined under light microscopy. In addition, brain tissue homogenates were prepared and assayed for these parameters; inducible nitric oxide synthase (iNOS), malondialdehyde (MDA), superoxide dismutase (SOD), caspase-3, and B-cell lymphoma 2 (Bcl-2). Histology images showed CUS induced profound damage to the cerebral cortex as demonstrated by severe neuronal damage with shrunken cells, disrupted atrophic nuclei, perineuronal vacuolation and swollen glial cells. CUS also significantly (p<0.05) induced iNOS, MDA, and caspase-3, whereas SOD and Bcl-2 brain tissue levels were inhibited by CUS. In addition, data from the depression-like behavior, forced swimming test showed significant (p<0.05) increase in animal immobility and decrease in climbing ability in the model group of rats. Thus, here we demonstrated a reliable rat model of chronic stress-induced brain injury, which can further be used to investigate beneficial drugs or agents used for a period of three weeks to protect against CUS-induced brain damage.


RESUMEN: El estrés crónico es un factor de riesgo para el deterioro de la memoria y las anomalías neurológicas tanto en humanos como en animales. Intentamos investigar el alcance de lesión del tejido cerebral; (ii) estrés nitrosativo y oxidativo en homogeneizados de tejido cerebral; (iii) biomarcadores apoptóticos y de supervivencia en homogeneizados de tejido cerebral; y (iv) inmovilidad y habilidades de escalada, inducidas durante un período de tres semanas por estrés crónico impredecible (ECI). Se dejaron sin tratamiento (grupo control) ratas Wistar, o se expusieron a una variedad de factores estresantes impredecibles diariamente antes de ser sacrificadas después de 3 semanas (grupo modelo). Se realizó una evaluación del comportamiento similar a la depresión y luego se sacrificaron los animales y se tiñeron los tejidos cerebrales con tinción histológica básica y se examinaron con microscopía óptica. Además, se prepararon homogeneizados de tejido cerebral y se analizaron los siguientes parámetros; óxido nítrico sintasa inducible (iNOS), malondialdehído (MDA), superóxido dismutasa (SOD), caspasa- 3 y linfoma de células B 2 (Bcl-2). Las imágenes histológicas mostraron que el CUS indujo un daño profundo en la corteza cerebral como lo demuestra el daño neuronal severo con células encogidas, núcleos atróficos alterados, vacuolación perineuronal y células gliales inflamadas. ECI también indujo significativamente (p <0,05) iNOS, MDA y caspase-3, mientras que los niveles de tejido cerebral SOD y Bcl-2 fueron inhibidos por ECI. Además, los datos del comportamiento similar a la de- presión, la prueba de natación forzada mostró un aumento significativo (p <0,05) en la inmovilidad animal y una disminución en la capacidad de escalada en el grupo modelo de ratas. Por lo tanto, aquí demostramos un modelo confiable de daño cerebral crónico en rata inducido por el estrés, que se puede utilizar para investigar medicamentos o agentes beneficiosos usados durante un período de tres semanas para proteger el daño cerebral inducido por ECI.


Subject(s)
Animals , Male , Rats , Stress, Psychological/complications , Brain Damage, Chronic/pathology , Superoxide Dismutase/analysis , Behavior, Animal , Brain Injuries/metabolism , Biomarkers , Cerebral Cortex , Chronic Disease , Analysis of Variance , Rats, Wistar , Apoptosis , Oxidative Stress , Nitric Oxide Synthase/analysis , Proto-Oncogene Proteins c-bcl-2 , Depression , Disease Models, Animal , Caspase 3/analysis , Nitrosative Stress , Malondialdehyde/analysis
5.
Salud colect ; 16: e2249, 2020. tab
Article in Spanish | LILACS | ID: biblio-1094446

ABSTRACT

RESUMEN El objetivo es describir y analizar la determinación social del malestar psicológico y el estrés en dos grupos de hombres de la Ciudad de México que asistían a programas reeducativos por violencia familiar. Para ello, se realizó un estudio no experimental, transversal, descriptivo con metodología cualitativa y enfoque interpretativo, en el que se aplicó un cuestionario y se realizaron grupos focales. Los síntomas de estrés reportados fueron dolores musculares; insomnio y pesadillas; náuseas, dolor de estómago e indigestión; dolores de cabeza, mareos, irritabilidad o mal humor. Los principales problemas que podrían estar generando esta sintomatología serían la economía personal y familiar; la salud de ellos y sus familiares y los malestares mentales, entre otros aspectos. Existen diferencias relacionadas con las condiciones de vida y los efectos de la violencia doméstica. Los abordajes que solo consideran la masculinidad hegemónica o el género para el trabajo con varones en sus diferentes condiciones y problemáticas, sin considerar la desigualdad social y, en especial, las condiciones de vida, pueden ser insuficientes para explicar y modificar las causas de las afectaciones generadas y experimentadas por los varones.


ABSTRACT The social determinants of psychological distress and stress are described and analyzed in two groups of men attending reeducation programs for family violence in Mexico City. A non-experimental, descriptive, transversal study was conducted employing a qualitative methodology and an interpretive approach, in which questionnaires were utilized and focus groups were held. Symptoms of stress that were reported included muscle aches, insomnia and nightmares, headaches or dizziness, irritability or bad mood, nausea, stomach pain and indigestion. The principal issues that could be identified as the root of these symptoms included personal and family finances, their own health or that of their family members, and mental distress, among others. Differences with respect to living conditions and the effects of domestic violence were present. We argue that initiatives directed at men and their particular conditions and problems which are based on a hegemonic view of masculinity and gender are likely to be limited in their capacity to explain and modify the causes of situations generated by and experienced by men.


Subject(s)
Humans , Male , Adult , Middle Aged , Young Adult , Stress, Psychological/psychology , Domestic Violence/psychology , Social Determinants of Health , Psychological Distress , Psychophysiologic Disorders/etiology , Stress, Psychological/complications , Health Status , Mental Health , Family Health , Cross-Sectional Studies , Surveys and Questionnaires , Focus Groups , Domestic Violence/prevention & control , Economic Status , Men/psychology , Mexico
6.
Rev. bras. enferm ; 72(6): 1479-1484, Nov.-Dec. 2019. tab
Article in English | LILACS, BDENF | ID: biblio-1042188

ABSTRACT

ABSTRACT Objective: to analyze the association between work overload and risk behaviors adopted by motorcyclists. Method: a cross-sectional study of injured motorcycle drivers hospitalized at the Hospital da Restauração Governador Paulo Guerra in the city of Recife, PE, from May to September 2016. A questionnaire was applied containing sociodemographic variables related to work overload and risk behaviors adoption. Odds Ratio (OR) and 95% Confidence Interval were used to analyze the association between the variables. Results: there was a predominance of males (97.6%), mean age 31.44 years (SD = 9.50). There was an association of sleep/fatigue at the accident time with difficulties carrying out work tasks (OR = 3.7), feeling tired during work (OR = 4.6) and feeling under pressure to carry out work tasks (OR = 3.5). Conclusion: work overload was associated with risk behaviors adoption. It is believed that this fact can have an impact on the occurrence and severity of accidents.


RESUMEN Objetivo: analizar la asociación entre sobrecarga de trabajo y comportamiento de riesgo adoptado por los motociclistas. Método: El estudio transversal con trabajadores accidentados conductores de motocicletas, internados en el Hospital da Restauração Governador Paulo Guerra en Recife-PE, en el período de mayo a septiembre de 2016. Se aplicó un cuestionario que contenía variables sociodemográficas relacionadas con la sobrecarga de trabajo y la adopción de comportamientos de riesgo. Para el análisis de la asociación entre las variables, se utilizó el Odds Ratio (OR) y el Intervalo de Confianza del 95%. Resultados: se observó predominio del sexo masculino (97,6%), con media de edad 31,44 años (DE = 9,50). Se observó una asociación de sueño/fatiga en el momento del accidente con dificultades en realizar tareas de trabajo (OR = 3,7), sentirse cansado durante el trabajo (OR = 4,6) y sentirse presionado a realizar tareas de trabajo (OR = 3,7) OR = 3,5). Conclusión: la sobrecarga de trabajo se asoció a la adopción de comportamiento de riesgo. Se cree que tal hecho puede repercutir en la ocurrencia y gravedad de los accidentes.


RESUMO Objetivo: analisar a associação entre sobrecarga de trabalho e comportamento de risco adotado por motociclistas. Método: estudo transversal com trabalhadores acidentados condutores de motocicletas, internados no Hospital da Restauração Governador Paulo Guerra no Recife-PE, no período de maio a setembro de 2016. Aplicou-se um questionário contendo variáveis sociodemográficas relacionadas à sobrecarga de trabalho e adoção de comportamentos de risco. Para análise da associação entre as variáveis, utilizou-se Odds Ratio (OR) e Intervalo de Confiança de 95%. Resultados: observou-se predomínio do sexo masculino (97,6%), com média de idade 31,44 anos (DP = 9,50). Houve associação de sono/fadiga no momento do acidente com dificuldades em realizar tarefas de trabalho (OR = 3,7), sentir-se cansado durante o trabalho (OR = 4,6) e sentir-se pressionado a realizar tarefas de trabalho (OR = 3,5). Conclusão: a sobrecarga de trabalho associou-se à adoção de comportamento de risco. Acredita-se que tal fato pode repercutir na ocorrência e gravidade dos acidentes.


Subject(s)
Humans , Male , Female , Adult , Young Adult , Risk-Taking , Motorcycles , Accidents, Traffic/psychology , Workload/psychology , Stress, Psychological/complications , Accidents, Traffic/statistics & numerical data , Confidence Intervals , Odds Ratio , Cross-Sectional Studies , Surveys and Questionnaires , Workload/statistics & numerical data , Fatigue/complications , Sleepiness , Middle Aged
7.
Rev. bras. enferm ; 72(4): 854-860, Jul.-Aug. 2019. tab
Article in English | LILACS, BDENF | ID: biblio-1020521

ABSTRACT

ABSTRACT Objective: To analyze the relation between occupational psychosocial risks and quality of life related to health, felt by workers who work in oncology and palliative care units in a region of Chile. Method: Cross-sectional analytical study of quantitative approach, in which 110 health workers participated. Research met the ethical requirements of E. Emanuel. Results: Participants perceive greater exposure to psychosocial risks in the dimension of psychological demands and double presence. On the other hand, they see better results in the physical health component (��: 76.72; SD 9.75) versus the mental health component (��: 71.13; SD 6.38). In addition, there are relations with statistical significance, between psychosocial risks and quality of life related to Health (p≤0.05). Conclusions: This study shows that there the perception of psychosocial risks and quality of life are related, when considering the health of workers.


RESUMO Objetivo: Analisar a relação entre os riscos psicossociais do trabalho e a qualidade de vida relacionada à saúde, identificada por profissionais que atuam em unidades de oncologia e cuidados paliativos em uma região do Chile. Método: Estudo analítico transversal, de abordagem quantitativa, em que participaram 110 profissionais da Saúde. A pesquisa atendeu os requisitos éticos de E. Emanuel. Resultados: Os participantes identificam uma maior exposição a riscos psicossociais na dimensão de demandas psicológicas e presença dupla; por outro lado, notam melhores resultados no componente da saúde física (��: 76,72; DE 9,75) versus o componente da saúde mental (��:71,13; DE:6,38). Além disso, há conexão, com estatísticas significantes, entre os riscos psicossociais e a qualidade de vida relacionada à Saúde (p ≤0,05). Conclusões: O presente estudo permite afirmar que há uma conexão entre a percepção de riscos psicossociais e a qualidade de vida relacionada com a saúde dos profissionais.


RESUMEN Objetivo: analizar la relación entre riesgos psicosociales laborales y calidad de vida relacionada con salud, percibida por trabajadores que se desempeñan en unidades de oncología y cuidados paliativos de una región de Chile. Método: estudio analítico transversal de abordaje cuantitativo, en el cual participaron 110 trabajadores de salud. La investigación cumplió con los requisitos éticos de E. Emanuel. Resultados: los participantes perciben mayor exposición a riesgos psicosociales en la dimensión demandas psicológicas y doble presencia, por otra parte, perciben mejores resultados en el componente de salud física (��: 76,72; DE 9,75) versus el componente de salud mental (��:71,13; DE:6,38). Además, existen relaciones con significancia estadística, entre riesgos psicosocial y calidad de vida relacionada con Salud (p ≤0,05). Conclusiones: este estudio permite afirmar que hay una relación entre la percepción de riesgo psicosocial y calidad de vida relacionada con salud de los trabajadores.


Subject(s)
Humans , Male , Female , Adult , Aged , Psychology/standards , Quality of Life/psychology , Oncology Nursing/methods , Oncology Nursing/standards , Psychology/trends , Stress, Psychological/complications , Stress, Psychological/psychology , Chile , Cross-Sectional Studies , Surveys and Questionnaires , Workplace/standards , Workplace/psychology , Job Satisfaction , Middle Aged
8.
Rev. bras. enferm ; 72(4): 834-840, Jul.-Aug. 2019.
Article in English | LILACS, BDENF | ID: biblio-1020520

ABSTRACT

ABSTRACT Objective: To characterize the presence of psychosocial risks related to the work of the nurse in a psychiatric hospital and the strategies for managing these risks. Methods: Qualitative, in which 25 nurses from a psychiatric hospital participated using semi-structured interviews from November 2014 to January 2015. Data analysis was performed using the thematic method. Results: The results showed psychosocial risks related to the work of psychiatric nurses, such as: insufficient academic training; lack of preparation and maintenance of equipment; poor relationship with colleagues; shortage of human resources and lack of capacity building; conflict between the demands of the home and work, as well as strategies for managing psychosocial risks such as family, cinema, music, reading, among others. Final considerations: This study should provoke the reflection of managers and future nurses regarding the working conditions in a psychiatric hospital and possible psychosocial risks to which they are exposed.


RESUMEN Objetivo: Identificar la presencia de riesgos psicosociales relacionados al trabajo del enfermero en un hospital psiquiátrico y las estrategias de gestión de esos riesgos. Métodos: Estudio cualitativo, del cual participaron 25 enfermeros de un hospital psiquiátrico, en el que se utilizaron entrevistas semiestructuradas en el período de noviembre de 2014 a enero de 2015. Se realizó el análisis de datos mediante el método temático. Resultados: Los resultados mostraron la existencia de problemas psicosociales relacionados al trabajo de los enfermeros psiquiátricos, como: la insuficiente formación académica; la falta de preparación y mantenimiento de equipos; la escasa relación con los compañeros de trabajo; la escasez de recursos humanos y falta de capacitación; y el conflicto entre las exigencias del hogar y del trabajo, así como las estrategias de gestión de los riesgos psicosociales como recurrir a la familia, cine, música, lectura, entre otros. Consideraciones finales: Este estudio permite provocar la reflexión de los gestores y futuros enfermeros sobre las condiciones laborales en el hospital psiquiátrico y los posibles riesgos psicosociales a los que están expuestos.


RESUMO Objetivo: Caracterizar a presença de riscos psicossociais relacionados ao trabalho do enfermeiro em um hospital psiquiátrico e as estratégias de gerenciamento desses riscos. Métodos: Pesquisa qualitativa, realizada no período de novembro de 2014 a janeiro de 2015, da qual participaram 25 enfermeiros de um hospital psiquiátrico, que responderam a entrevistas semiestruturadas. A análise dos dados foi realizada pelo método temático. Resultados: Os resultados mostraram problemas psicossociais relacionados ao trabalho dos enfermeiros psiquiátricos, como formação acadêmica insuficiente; falta de preparo e manutenção de equipamentos; pobre relacionamento com colegas; escassez de recursos humanos e falta de capacitação; e conflito entre exigências do lar, do trabalho e estratégias de gerenciamento dos riscos psicossociais, como recorrer à família, ao cinema, à música, à leitura etc. Considerações finais: Este estudo deve provocar a reflexão dos gestores e futuros enfermeiros quanto às condições de trabalho em hospital psiquiátrico e aos riscos psicossociais a que podem estar expostos.


Subject(s)
Humans , Male , Female , Adult , Psychiatric Nursing/methods , Stress, Psychological/complications , Nurses/psychology , Psychiatric Nursing/trends , Stress, Psychological/psychology , Brazil , Attitude of Health Personnel , Interviews as Topic/methods , Qualitative Research , Hospitals, Psychiatric/organization & administration , Hospitals, Psychiatric/statistics & numerical data , Job Satisfaction , Middle Aged , Nurses/statistics & numerical data
9.
Rev. Assoc. Med. Bras. (1992) ; 65(6): 830-833, June 2019. graf
Article in English | LILACS | ID: biblio-1012983

ABSTRACT

SUMMARY OBJECTIVE Even though stress has been long known as a provocative factor for Graves' disease, its relationship with Hashimoto's thyroiditis is more controversial. Studies on this topic are scanty. This paper aims to report a case of stress-induced Hashitoxicosis. RESULTS Here we report a case of Hashitoxicosis induced by a psychological stressful event in a 28-year-old woman with Hashimoto's thyroiditis. She had remained stably euthyroid for 12 years. She was first observed in April 2016, while euthyroid. She came back after 11 months because of fatigue and palpitations, in the absence of neck pain. Thyroid function tests revealed moderate thyrotoxicosis (undetectable TSH; FT4 36.94 pmol/L, normal values 9.0-24.46; FT3 13.50 pmol/L, normal values 3.07-6.14) with negative TSH-receptor antibodies. In the previous three months, she had experienced a psychological stressful event. Inflammatory markers were negative, and the white cell count was normal. Thyroid ultrasound revealed a modest increase in vascularization. Transient subclinical hypothyroidism ensued after seven weeks and spontaneously recovered. On the last visit, the patient was still on euthyroidism. (TSH 1.01 mU/L; FT4 9.22 pmol/L; FT3 3.98 pmol/L). We also performed HLA serotyping and genotyping. CONCLUSION This case demonstrates that, similarly to Graves' disease, Hashitoxicosis can also be triggered by stressful life events.


RESUMO OBJETIVO Mesmo que o estresse seja conhecido há muito tempo como um fator provocativo para a doença de Graves, sua relação com a tireoidite de Hashimoto é mais controversa. Estudos sobre esse tema são escassos. O objetivo deste artigo é relatar um caso de Hashitoxicose induzida por estresse. RESULTADOS Aqui nós relatamos um caso de Hashitoxicose induzido por um evento psicológico estressante em uma mulher de 28 anos com tireoidite de Hashimoto. Ela permaneceu estável eutireoidiana por 12 anos. Ela veio a nossa observação pela primeira vez em abril de 2016, enquanto eutireoidiana. Voltou após 11 meses por causa de fadiga e palpitações, na ausência de dor no pescoço. Testes de função tireoidiana revelaram uma tireotoxicose moderada (TSH indetectável; T4F 36,94 pmol/L, valores normais 9,0-24,46; FT3 13,50 pmol/L, valores normais 3,07-6,14) com anticorpos negativos para o receptor de TSH. Nos últimos três meses ela experimentou um evento psicológico estressante. Os marcadores inflamatórios foram negativos e a contagem de leucócitos foi normal. A ultrassonografia da tireoide revelou um aumento modesto da vascularização. Hipotireoidismo subclínico transitório ocorreu após sete semanas e se recuperou espontaneamente. Na última visita, a paciente ainda estava em eutireoidismo. (TSH 1,01 mU/L; FT4 9,22 pmol/L; FT3 3,98 pmol/L). Também realizamos a sorotipagem e a genotipização do HLA. CONCLUSÃO Este caso demonstra que, similarmente à doença de Graves, também a Hashitoxicose pode ser desencadeada por eventos estressantes da vida.


Subject(s)
Humans , Female , Adolescent , Stress, Psychological/complications , Hashimoto Disease/psychology , HLA Antigens/genetics , Stress, Psychological/genetics , Thyroxine/blood , Thyrotropin/blood , Hashimoto Disease/genetics , Serogroup , Genotype
10.
Rev. bras. epidemiol ; 22: e190038, 2019. tab
Article in Portuguese | LILACS | ID: biblio-1003488

ABSTRACT

RESUMO: Objetivos: Avaliar a prevalência do bruxismo do sono, bem como seus principais sinais e sintomas, na cidade de Rio Grande, Rio Grande do Sul. Avaliar a associação do bruxismo do sono com sexo, idade, escolaridade e estresse psicológico. Método: O estudo foi do tipo transversal. Uma amostra representativa da população (1.280 pessoas residentes na zona urbana da cidade com idade maior ou igual a 18 anos de idade) foi entrevistada. A avaliação do bruxismo do sono foi realizada por meio de questionário baseado nos critérios diagnósticos da Classificação Internacional de Distúrbios do Sono. Resultados: A prevalência de bruxismo do sono encontrada na população foi de 8,1% (intervalo de confiança de 95% - IC95% - 6,6 - 9,5). Entre os sinais e sintomas da disfunção utilizados para o diagnóstico de bruxismo do sono, o desgaste dentário (70,3%) e a dor nos músculos mastigatórios (44,5%) foram os mais frequentemente relatados pelas pessoas que declararam ranger os dentes durante o sono. Não houve diferença significativa na prevalência de bruxismo do sono entre os sexos. A faixa etária com mais de 40 anos teve maior prevalência de bruxismo do sono. A disfunção foi associada a um maior nível de escolaridade (razão de prevalência - RP = 1,92; IC95% 1,35 - 2,72) e de estresse psicológico (RP = 1,76; IC95% 1,11 - 2,81). Conclusão: O bruxismo do sono tem uma importante prevalência na população em geral, causando diversos danos ao sistema estomatognático. O estresse psicológico é um fator de risco para essa disfunção.


ABSTRACT: Objective: To evaluate the prevalence of sleep bruxism, as well as its principal signs and symptoms, in the city of Rio Grande. Evaluate the association of sleep bruxism with gender, age, education and psychological stress. Method: The study was cross-sectional type. A representative sample of the population (1280 people residing in the urban area of the city aged greater than or equal to 18 years old) were interviewed. The evaluation of sleep bruxism was by mean of questionnaire based on diagnostic criteria of the International Classification of Sleep Disorders. Results: The prevalence of sleep bruxism found in the population was 8,1% (confidence interval of 95% - 95%CI - 6,6 - 9,5). Among the signs and symptoms of dysfunction used for the diagnosis of sleep bruxism, tooth wear (70,3%) and pain in masticatory muscles (44,5%) were the most frequently reported by people who report teeth grinding during sleep. There was no significant difference in the prevalence of sleep bruxism between sexes. People older than 40 had a higher prevalence of sleep bruxism. The dysfunction was associated with a higher level of education (prevalence ratio - PR = 1.92; 95%CI 1,35 - 2,72) and psychological stress (PR 1,76; 95%CI 1,11 - 2,81). Conclusion: There was a significant prevalence of sleep bruxism in the general population, causing various damages to the Stomatognathic system. The psychological stress is a risk factor for this dysfunction.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Sleep Bruxism/epidemiology , Stress, Psychological/complications , Brazil/epidemiology , Sex Factors , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Regression Analysis , Risk Factors , Age Factors , Sleep Bruxism/etiology , Sleep Bruxism/psychology , Educational Status
11.
Rev. méd. Chile ; 146(11): 1278-1285, nov. 2018. tab, graf
Article in Spanish | LILACS | ID: biblio-985701

ABSTRACT

Background: Psychological stress and depressive symptoms are variables associated with metabolic syndrome (MetS). Aim: To determine the longitudinal association between psychological stress, depressive symptoms and MetS, and whether these variables predict MetS and its component trajectories. Material and Methods: Four hundred and twenty-three participants aged 44 ± 9 years (59% women), free of cardiovascular disease at baseline were enrolled into the Chilean study of psychological stress, obesity and MetS. Participants were followed-up for three years (three waves). Each year, they completed psychological questionnaires, anthropometric variables were measured, and blood samples were obtained. Results: Hierarchical linear regression showed that chronic psychological stress at baseline predicted the total number of MetS components (MetS score) during the third assessment wave (β = 0.147; p < 0.01). Growth curve modeling allowed to determine that participants who scored +1 standard deviation (SD) at baseline over the mean in psychological stress (βchronic stress = 0.903; 95% confidence intervals (CI) = 0.065; 1.741), and depressive symptoms (βdepressive symptoms = 2.482; 95% CI = 0.040; 4.923) had a higher waist circumference trajectory, as compared to those scoring −1 SD above the mean. Conclusions: Chronic psychological stress is longitudinally associated with the MetS score. Further, psychological stress and depressive symptoms at baseline predicted elevated MetS score trajectories, and a highest waist circumference.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Stress, Psychological/complications , Metabolic Syndrome/etiology , Metabolic Syndrome/psychology , Depression/complications , Psychiatric Status Rating Scales , Reference Values , Cardiovascular Diseases/etiology , Cardiovascular Diseases/psychology , Linear Models , Chile , Sex Factors , Chronic Disease , Risk Factors , Longitudinal Studies , Waist Circumference
12.
Braz. j. med. biol. res ; 51(12): e7813, 2018. tab, graf
Article in English | LILACS | ID: biblio-974251

ABSTRACT

Hereditary angioedema (HAE) is a rare autosomal dominant disease due to C1 esterase inhibitor deficiency (C1-INH). The disease is characterized by subcutaneous and submucosal edema in the absence of urticaria due to the accumulation of bradykinin. This descriptive study aimed to evaluate the clinical characteristics of patients with a confirmed diagnosis of HAE referred to our Outpatient Clinic between December 2009 and November 2017. Fifty-one patients (38 F, 13 M) with a mean age of 32 years (range: 7-70 y) were included. Family history of HAE was reported in 70% (36/51) of the cases; 33/46 patients became symptomatic by 18 years of age. The median time between onset of symptoms and diagnosis was 13 years (3 mo-50 y). The most frequent triggering factors for attacks were stress (74.4%), trauma (56.4%), and hormonal variations (56%). The main symptoms were subcutaneous edema in 93.5% (43/46) of patients, gastrointestinal symptoms in 84.8% (39/46), and obstruction in the upper airways in 34.8% (16/46). Hospitalization occurred in 65.2%, of whom 13.3% had to be transferred to the Intensive Care Unit. Prophylactic treatment was instituted in 87% (40/46) of patients, and 56.5% (26/46) required additional treatment to control attacks. Owing to our data collection over a period of 8 years, a significant number of patients were identified by this HAE reference center. Despite early recognition and prophylactic treatment, a high percentage of patients were hospitalized. HAE is still diagnosed late, reinforcing the need for more reference centers specialized in diagnosis and educational projects for health professionals.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Aged , Young Adult , Complement C1 Inhibitor Protein/analysis , Hereditary Angioedema Types I and II/etiology , Hereditary Angioedema Types I and II/blood , Stress, Psychological/complications , Precipitating Factors , Risk Factors , Treatment Outcome , Age of Onset , Estrogen Antagonists/therapeutic use , Hereditary Angioedema Types I and II/prevention & control , Hereditary Angioedema Types I and II/drug therapy , Post-Exposure Prophylaxis/methods , Psychological Trauma/complications , Hospitalization , Antifibrinolytic Agents/therapeutic use , Nephelometry and Turbidimetry/methods
13.
Article in English | LILACS | ID: biblio-903483

ABSTRACT

ABSTRACT OBJECTIVE: To investigate how stressful life events and social support relate to central adiposity in Southern Brazil. METHODS: Data included information from 802 participants in the 1982 Pelotas Birth Cohort that was collect in 2004-2005 and 2006. Stratifying by sex, we studied self-reported stressful life events during the year before 2004-2005 in relation to change in waist circumference between 2004-2005 and 2006 and waist-to-hip ratio in 2006, using both bivariate and multivariate linear regression models. RESULTS: In adjusted models, the experience of stressful life events during the year before 2004-2005 predicted a change in waist circumference in 2006 in men and a change in both waist-to-hip ratio in 2006 and waist circumference between 2004-2005 and 2006 in women. Men who experienced two or more stressful events had on average a one centimeter increase in their waist circumference between 2004-2005 and 2006 (β = 0.97, 95%CI 0.02-1.92), compared to those reporting no stressful events. For women, those who had one and those who had two or more stressful life events had over a 1 cm increase in their waist circumference from 2004-2005 to 2006 (β = 1.37, 95%CI 0.17-2.54; β = 1.26, 95%CI 0.11-2.40, respectively), compared to those who did not experience any stressful event. For both sexes, social support level was not significantly related to either waist-to-hip ratio or change in waist circumference, and it did not modify the association between stress and central adiposity. CONCLUSIONS: The experience of more than one stressful life event was associated with distinct indicators of central adiposity for men versus women.


Subject(s)
Humans , Male , Female , Adult , Stress, Psychological/complications , Adiposity , Obesity, Abdominal/psychology , Life Change Events , Brazil , Body Mass Index , Risk Factors , Cohort Studies , Waist-Hip Ratio , Waist Circumference
14.
Rev. bras. enferm ; 71(supl.1): 693-699, 2018. tab, graf
Article in English | LILACS, BDENF | ID: biblio-898513

ABSTRACT

ABSTRACT Objective: To investigate and analyze in the scientific literature coping strategies for domestic violence against pregnant female adolescents. Method: This is an integrative literature review, conducted from July to August 2017 on LILACS, SciELO and PubMed, using the descriptors and the MeSH terms: confrontation, violence, adolescent, pregnant women, prenatal care. Result: The sample comprised 9 articles that were organized and characterized according to year, country of study and coping strategy used. The main forms of coping involved the active search for cases and the primary care approach with all family members. Conclusion: Individualized prenatal care, the change in professional training and networking activities were pointed out as important components of the strategies for coping with violence against pregnant adolescents.


RESUMEN Objetivo: Investigar y analizar, en la literatura científica, las estrategias de enfrentamiento de la violencia doméstica contra adolescentes embarazadas. Método: Se trata de una revisión integrativa de literatura, realizada de julio a agosto de 2017 en las bases de datos SciELO, LILACS y PubMed, con las palabras clave, Mesh terms: enfrentamiento, violencia, adolescente, embarazadas, prenatal. Resultado: La muestra fue compuesta por 9 artículos, que fueron organizados y caracterizados de acuerdo con el año, el país del estudio y la estrategia de enfrentamiento utilizada. Las principales maneras de enfrentamiento involucran la búsqueda activa de los casos y el abordaje en atención primaria con todos los miembros de la familia. Conclusión: un prenatal individualizado, el cambio en la formación profesional y la actuación en red fueron indicados como importantes componentes de las estrategias de enfrentamiento de la violencia contra adolescentes embarazadas.


RESUMO Objetivo: Investigar e analisar, na literatura científica, as estratégias de enfrentamento da violência doméstica contra adolescentes grávidas. Método: Trata-se de uma revisão integrativa de literatura, realizada de julho a agosto de 2017 nas bases de dados SciELO, LILACS e PubMed, com as palavras-chave, Mesh terms: enfrentamento, violência, adolescente, grávidas, pré-natal. Resultado: A amostra foi composta por 9 artigos, que foram organizados e caracterizados de acordo com o ano, país do estudo e estratégia de enfrentamento utilizada. As principais formas de enfrentamento envolviam a busca ativa de casos e a abordagem em atenção primária com todos os membros da família. Conclusão: Um pré-natal individualizado, a mudança na formação profissional e a atuação em rede foram apontados como importantes componentes das estratégias de enfrentamento da violência contra adolescentes grávidas.


Subject(s)
Humans , Female , Pregnancy , Adolescent , Pregnancy in Adolescence/psychology , Adaptation, Psychological , Domestic Violence/psychology , Pregnant Women/psychology , Stress, Psychological/complications , Stress, Psychological/etiology , Public Health/trends
15.
Rev. bras. enferm ; 71(supl.1): 538-545, 2018. tab
Article in English | LILACS, BDENF | ID: biblio-898503

ABSTRACT

ABSTRACT Objective: To estimate the prevalence of depression and to identify the main risk factors associated with depression in wives of convicted men. Method: Descriptive, cross - sectional, quantitative approach. The data were collected with 349 female partners of convicted patients in three penitentiaries in the state of Paraná, with a semistructured research, between January and June of 2016, being compiled in a database and analyzed using SPSS® 20.0 software. Results: It was possible to identify vulnerability to depression among wives of convicted men, most were young and 42.2% have or already had depression. It was verified that the variables to depression were ages equal to or above 30 years (50.3%, p <0.001), smoking (61.1%, p <0.013) and alcoholism (16.1%, p <0.001). Conclusion: It is the responsibility of the nurse with the multidisciplinary health team to invest in health promotion and prevention actions against these risk factors that were associated with depression in this population.


RESUMEN Objetivo: estimar la prevalencia de depresión e identificar los principales factores de riesgo asociados a la depresión en las mujeres de detenidos. Método: estudio descriptivo, transversal de abordaje cuantitativo. Los datos fueron recolectados con 349 mujeres compañeras de detenidos en tres prisiones del estado de Paraná, con cuestionario semiestructurado, entre los meses enero a junio de 2016, siendo compilada en base de datos y analizada utilizando el software SPSS® 20.0. Resultados: se identificó la vulnerabilidad para depresión entre mujeres de detenidos, la mayoría era joven y 42,2% tiene o ya ha tenido depresión. Se ha comprobado que las variables a la depresión fueran de edad igual o superior a 30 años (50,3%; p < 0,001), tabaquismo (61,1%; p < 0,013) y alcoholismo (16,1%; p < 0,001). Conclusión: corresponde al enfermero junto al equipo de salud multidisciplinario invertir en las acciones de promoción, prevención a la salud frente a estos factores de riesgo que se asociaron a la depresión en esta población.


RESUMO Objetivo: estimar a prevalência de depressão e identificar os principais fatores de risco associado à depressão em mulheres de apenados. Método: estudo descritivo, transversal de abordagem quantitativa. Os dados foram coletados com 349 mulheres parceiras de apenados em três penitenciárias do estado do Paraná, com questionário semiestruturado, entre os meses de janeiro a junho de 2016, sendo compilada em banco de dados e analisada utilizando software SPSS® 20.0. Resultados: foi possível identificar vulnerabilidade para depressão entre mulheres de apenados, a maioria era jovem e 42,2% têm ou já tiveram depressão. Verificou-se que as variáveis à depressão foram idade igual ou acima de 30 anos (50,3%; p < 0,001), tabagismo (61,1%; p < 0,013) e alcoolismo (16,1%; p < 0,001). Conclusão: cabe ao enfermeiro junto a equipe de saúde multidisciplinar investir nas ações de promoção, prevenção à saúde frente a estes fatores de risco que foram associados à depressão nesta população.


Subject(s)
Humans , Female , Adult , Prisons/standards , Prevalence , Spouses/psychology , Depression/epidemiology , Prisoners/psychology , Psychometrics/instrumentation , Psychometrics/methods , Sexual Behavior/psychology , Stress, Psychological/complications , Stress, Psychological/etiology , Stress, Psychological/psychology , Brazil/epidemiology , Chi-Square Distribution , Logistic Models , Cross-Sectional Studies , Surveys and Questionnaires , Risk Factors , Middle Aged
16.
Rev. bras. enferm ; 71(supl.5): 2334-2342, 2018. tab, graf
Article in English | LILACS, BDENF | ID: biblio-977636

ABSTRACT

ABSTRACT Objective: to analyze the indicators of burnout peculiar to health workers from units of Primary Health Care. Method: integrative review of the literature structured in the stages: guiding question; search; categorization of studies; assessment; discussion; and interpretation of results, and synthesis of knowledge. Search for original articles and reviews published from 2000 to 2016, in Portuguese, English and Spanish, in the main databases of the health area. Descriptors used: Nursing, Burnout and Primary Health Care. Results: 14 articles met the proposed inclusion criteria, six (42.85%) presented a sample of nurses and eight (57.15%) health professionals. Conclusion: Primary Health Care workers are exhausted due to inadequate working conditions characterized by the lack of human and physical resources that leads to work overload, workplace violence and difficulty with teamwork, despite being satisfied with the work environment.


RESUMEN Objetivo: analizar los indicadores de agotamiento profesional peculiares a los trabajadores de la salud de unidades de la Atención Primaria de Salud. Método: la revisión integrativa de la literatura fue estructurada en las etapas: cuestión orientadora; buscar; categorización de los estudios; evaluación; discusión; e interpretación de los resultados y síntesis del conocimiento. Busca artículos originales y revisiones publicadas desde 2000 hasta 2016, en portugués, Inglés y Español, las principales bases de la salud. Descriptores usados: Enfermería, Agotamiento Profesional y Atención Primaria de Salud. Resultados: 14 artículos atendieron a los criterios de inclusión propuestos, seis (42,85%) presentan muestra de enfermeros y ocho (57,15%) profesionales de la salud. Conclusión: los trabajadores de la salud de la Atención Primaria de Salud se encuentran agotados debido a las inadecuadas condiciones de trabajo caracterizadas por escasez de recursos humanos y físicos que llevan a la sobrecarga de trabajo, a la violencia en el ambiente de trabajo y dificultad en el trabajo en equipo, presentarse satisfechos con el entorno de trabajo.


RESUMO Objetivo: analisar os indicadores de esgotamento profissional peculiares aos trabalhadores de saúde de unidades da Atenção Primária à Saúde. Método: revisão integrativa da literatura estruturada nas etapas: questão norteadora; busca; categorização dos estudos; avaliação; discussão; e interpretação dos resultados e síntese do conhecimento. Busca a artigos originais e revisões publicadas de 2000 a 2016, em português, inglês e espanhol, nas principais bases da área da saúde. Descritores usados: Enfermagem, Esgotamento Profissional e Atenção Primária à Saúde. Resultados: 14 artigos atenderam aos critérios de inclusão propostos, seis (42,85%) apresentam amostra de enfermeiros e oito (57,15%) profissionais da saúde. Conclusão: os trabalhadores de saúde da Atenção Primária à Saúde apresentam-se esgotados, devido às inadequadas condições de trabalho caracterizadas por escassez de recursos humanos e físicos que leva a sobrecarga de trabalho, a violência no ambiente de trabalho e dificuldade no trabalho em equipe, apesar de apresentarem satisfeitos com o ambiente de trabalho.


Subject(s)
Humans , Primary Health Care/standards , Burnout, Professional/etiology , Health Personnel/psychology , Primary Health Care/methods , Stress, Psychological/complications , Stress, Psychological/psychology , Burnout, Professional/psychology , Workplace/standards , Workplace/psychology
17.
Clin. biomed. res ; 38(4): 409-413, 2018.
Article in Portuguese | LILACS | ID: biblio-1024627

ABSTRACT

A Cardiomiopatia de Takotsubo (CT) é uma síndrome cardíaca caracterizada por quadro clínico compatível com síndrome coronariana aguda (SCA), com alterações eletrocardiográficas, aumento de enzimas cardíacas e anormalidades na contratilidade ventricular, geralmente associada a artérias coronárias livres de obstruções ou espasmos significativos à cineangiocoronariografia. Por apresentar curso clínico semelhante ao do infarto agudo do miocárdio, muitas vezes é abordada como tal. O presente trabalho busca, ao relatar um caso clássico de CT, destacar a importância da realização do diagnóstico diferencial entre a CT e a SCA, usando como ferramenta o InterTAK Diagnostic Score. (AU)


Takotsubo cardiomyopathy (TC) is a cardiac syndrome characterized by clinical symptoms compatible with acute coronary syndrome (ACS), including electrocardiographic changes, increased cardiac enzymes, and ventricular wall motion abnormalities, usually associated with absence of obstructive coronary artery disease or significant spasms at coronary angiography. Because its clinical course is similar to that of acute myocardial infarction, TC is often treated as such. The present paper reports a classic case of TC seeking to highlight the importance of performing a differential diagnosis between TC and ACS, using a tool named InterTAK Diagnostic Score. (AU)


Subject(s)
Humans , Female , Middle Aged , Takotsubo Cardiomyopathy/diagnosis , Stress, Psychological/complications , Ventricular Dysfunction/complications , Diagnosis, Differential , Acute Coronary Syndrome/diagnosis
18.
ImplantNewsPerio ; 2(6): 1100-1106, nov.-dez. 2017. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-880974

ABSTRACT

Objetivo: revisar o estresse como fator predisponente à instalação e desenvolvimento da doença periodontal, avaliando seus mecanismos biológicos e aspectos psicossociais. Material e métodos: uma revisão da literatura sobre o assunto foi realizada nas bases de dados PubMed e Scielo, utilizando as palavras-chave: estresse psicológico, doenças periodontais e cortisol. Resultados: a relação entre o estresse e a doença periodontal tem sido estudada desde a metade do século passado e apresenta-se de variadas formas clínicas, representando grandes impactos negativos em dimensões humanas e sociais. A maioria dos estudos publicados até o momento evidencia como os mecanismos do estresse influenciam a doença periodontal alterando a resposta inflamatória, imunológica e promovendo mudanças comportamentais. Conclusão: o estresse tem sido apontado como um possível fator de risco que infl uencia a instalação e a progressão das doenças periodontais. Contudo, os resultados obtidos ainda não estão defi nitivamente entendidos e estabelecidos.


Objective: to review stress as predisposing factor to installation and development of periodontal disease evaluating its biological mechanism and psychosocial aspects. Material and methods: a literature review about the subject was made through PubMed and Scielo databases using the keywords "psychological stress", "periodontal disease", and "cortisol". Results: the relation between stress and periodontal disease has been studied since the second half of the last century. The condition of stress is presented with various clinical forms and represent a negative impact in human and social dimension. It is discussed that the physiopathology mechanism of stress influences periodontal disease modifying infl ammatory and immunological responses and promote behavior changes. Conclusion: stress has been linked as the possible risk factor that infl uences installation and progression of periodontal disease. However the results are not yet definitively understood and established.


Subject(s)
Humans , Male , Female , Burnout, Professional/complications , Hydrocortisone/analysis , Periodontal Diseases/etiology , Saliva , Stress, Psychological/complications
19.
Rev. méd. Chile ; 145(10): 1268-1275, oct. 2017. tab, graf
Article in Spanish | LILACS | ID: biblio-902441

ABSTRACT

Background: Tako-tsubo Syndrome (TTS) is characterized by transient regional systolic dysfunction of the left ventricle (LV), mimicking myocardial infarction. It accounts for 0.9-1.2% of all acute coronary syndromes (ACS). Aim: To describe the incidence and characteristics of TTS within our population. Material and Methods: All patients diagnosed with ACS and TTS were selected from a clinical registry of all the coronary angiographies done in our hospital. Clinical features during initial presentation, hospital evolution and one year follow-up were analyzed. Results: The first case diagnosed in our hospital occurred in 2001. Since then, 4,433 coronary angiographies were done to patients with ACS until 2014 and 37 corresponded to TTS (0.83% incidence). The mean age of patients was 64 years, 73% were female, and 62% had hypertension. All patients had an identifiable trigger factor, abnormal EKG and elevated troponin. The coronary angiography did not show lesions in 97%. However, all had the characteristic extensive segmental-motility alteration with a mean ejection fraction of 44%. All patients were treated initially as an ACS. Seven patients had complications, namely acute cardiac failure in six and stroke in one. No patient died. At one year of follow-up, 100% showed normal segmental motility and ejection fraction, no patient had a new episode of TTS and all were alive. Conclusions: TTS is rare and the incidence found in this study is slightly lower than that reported elsewhere. TTS mimics ACS and it should be suspected by its clinical, electrocardiographic and enzymatic particularities. Coronary angiography helps to rule out other diagnosis. All patients normalize motility and ventricular function, which is the definitive differential feature respect to ACS.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Acute Coronary Syndrome/diagnosis , Takotsubo Cardiomyopathy/diagnosis , Stress, Physiological , Stress, Psychological/complications , Troponin/analysis , Follow-Up Studies , Coronary Angiography , Sex Distribution , Diagnosis, Differential , Electrocardiography , Takotsubo Cardiomyopathy/etiology , Takotsubo Cardiomyopathy/physiopathology
20.
Rev. bras. enferm ; 70(5): 1083-1088, Sep.-Oct. 2017. tab, graf
Article in English | LILACS, BDENF | ID: biblio-898241

ABSTRACT

ABSTRACT Objective: To analyze studies on stress, Burnout Syndrome, and patient safety in the scope of nursing care in the hospital environment. Method: This was an integrative literature review. Data collection was performed in February 2016 in the following databases: Medical Literature Analysis and Retrieval System Online - PubMed/MEDLINE, Latin American and Caribbean Literature in Health Sciences - LILACS. Results: Ten scientific productions were selected, which listed that factors contributing to stress and Burnout Syndrome of nursing professionals are the work environment as a source of stress, and excessive workload as a source of failures. Conclusion: The analysis found that the stress and Burnout Syndrome experienced by these professionals lead to greater vulnerability and development of unsafe care, and factors such as lack of organizational support can contribute to prevent these failures.


RESUMEN Objetivo: Analizar estudios que versan sobre el estrés y el Síndrome de Burnout, así como la seguridad del paciente en el ámbito de la asistencia de enfermería en el ambiente hospitalario. Método: Se trata de una revisión integrativa de la literatura. El levantamiento de los datos se efectuó en febrero de 2016 en las bases de datos del Medical Literature Analysis and Retrieval System Online - PubMed / MEDLINE y Literatura Latinoamericana y del Caribe en Ciencias de la Salud -LILACS. Resultados: Se seleccionaron diez producciones científicas que apuntaron que los factores que contribuyen con el estrés y el Síndrome de Burnout de los profesionales de enfermería son el ambiente de trabajo como fuente de estrés y la carga de trabajo excesiva como generadora de fallas. Conclusión: El análisis apuntó que el estrés y el Síndrome de Burnout vivido por esos profesionales acarrean una mayor vulnerabilidad al desarrollo de una asistencia insegura y que factores como la falta de apoyo organizacional pueden contribuir a impedir esas fallas.


RESUMO Objetivo: Analisar estudos que versam sobre o estresse e Síndrome de Burnout, bem como a segurança do paciente no âmbito da assistência de enfermagem no ambiente hospitalar. Método: Tratou-se de uma revisão integrativa de literatura. O levantamento dos dados foi efetuado nas bases de dados Medical Literature Analysis and Retrieval System Online - PubMed / MEDLINE, Literatura Latino-Americana e do Caribe em Ciências da Saúde -LILACS em fevereiro de 2016. Resultados: Foram selecionadas10 produções científicas que apontaram que os fatores que contribuem para o estresse e a Síndrome de Burnout dos profissionais de enfermagem são o ambiente de trabalho como fonte de estresse e a carga de trabalho excessiva como geradora de falhas. Conclusão: A análise apontou que o estresse e a Síndrome de Burnout vivenciada por esses profissionais acarretam maior vulnerabilidade ao desenvolvimento de uma assistência insegura e que fatores como a falta de apoio organizacional podem contribuir para dirimir essas falhas.


Subject(s)
Humans , Stress, Psychological/etiology , Burnout, Professional/etiology , Patient Safety/standards , Stress, Psychological/complications , Workload/standards , Workplace/standards
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