ABSTRACT
O presente trabalho tem como objetivo refletir sobre como o Apadrinhamento Afetivo pode proporcionar vivências emocionais construtivas e significativas para os envolvidos. Trata-se de um projeto que visa proporcionar a crianças e adolescentes abrigados - que não têm possibilidade de reintegração com a família de origem e que dificilmente serão adotados - o estabelecimento de vínculos afetivos e familiares fora das instituições de acolhimento. O Setor de Adoção do CEAPIA vem participando de parte deste projeto há três anos, com uma comissão de outros dois membros: o Instituto Amigo de Lucas e o Ministério Público do Estado do Rio Grande do Sul. Para atingir o propósito deste artigo, foi realizada uma revisão da literatura psicanalítica nos seguintes temas: desenvolvimento emocional, apego, vínculos afetivos e situações de vulnerabilidade. Foram consultados também artigos científicos e pesquisas relacionadas ao Apadrinhamento Afetivo
The objective of the present study is to reflect on how Foster Parenting can provide constructive and meaningful emotional experiences for those involved. The Foster Parenting Project aims to provide sheltered children and adolescents - who have no possibility of reintegration with their origin family and will hardly be adopted - the establishment of affective and family bonds outside the host institutions. The CEAPIA Adoption Sector has been participating in this project for three years, in a Commission with two others members: the Instituto Amigo de Lucas and the Ministério Público do Estado do Rio Grande do Sul. In order to achieve the purpose of this article, it was made a review of the psychoanalytic literature on the following themes: emotional development, attachment, affective bonds and situations of vulnerability. Scientific articles and research related to Foster Parenting were also consulted
Subject(s)
Humans , Child , AdolescentABSTRACT
O presente trabalho versa sobre a formação da imagem corporal e quais são as influências do ambiente familiar e da cultura na sua constituição. Expomos ao longo do trabalho, formas normais e patológicas deste desenvolvimento, salientando as consequências da distorção de imagem corporal na adolescência e na vida adulta
This paper aims to assess the home environmental and culture influences on the constitution on the body image formation. Normal and pathological development ways are discussed, highlighting the consequences of body image distortion in adolescence and adulthood
Subject(s)
Humans , Child , Adolescent , Body Image , Feeding Behavior , Child , Adolescent , Child NutritionABSTRACT
As pesquisas em psicoterapia sãoimportantes e necessárias para se obter dados que fundamentem e comprovem a efetividade e eficácia de seu processo. Este trabalho tem com objetivo refletir sobre a pesquisa em clínicas-escola, apresentando a experiência da Comissão de pesquisa do CEAPIA e sua importãncia na instituição. Para isso, relata-se a experiência da coleta de dados nos prontuários e de realização de um perfil parcial da clientela que buscou atendimento nessa instituição entre os anos de 1979 a 2007. O delineamento da pesquisa consistiu em um estudo de caráter exploratório, retrospectivo, quantitativo e descritivo. A amostra foi composta de 1976 protocolos do arquivo permanente do CEAPIA, sendo as variáveis selecionadas para o levantamento do perfil: ano de ingresso no tratamento, idade, sexo, motivo de encerramento e de duração do tratamento. Os dados foram anslisados por estatística descritiva (frequência). Os resultados levantados corroboram com a literatura científica da área, permitem observar a riqueza de informações, constantes nesses prontuários, e o quanto podemos aprender com a experiência de estar revendo a história e a evolução do CEAPIA
This paper aims to consider research in-school clinics, bringing the experience of CEAPIA's Research Commission and its importance in the institution. For this, we report the experience of collecting data on their permanent records and highlights a partial profile of the clientele who sought care at this institution between the years 1979 to 2007. The research design consisted of an exploratory study, retrospective quantitative and descriptive. The sample comprised 1976 file protocols permanent CEAPIA covering children and adolescents, boys and girls. The variables selected for lifting the profile of this customer were: year of entry into treatment, age, sex, reason for termination and duration of treatment. Data were analyzed using descriptive statistics (frequency). The results raised allow us to observe the wealth of information contained in these records and how we can learn from the experience of being reviewing the history and evolution of CEAPIA
Subject(s)
Humans , Male , Female , Child , Adolescent , Psychotherapy , Psychology, Clinical/statistics & numerical data , Guidelines as Topic/analysisABSTRACT
BACKGROUND: Obesity is a worldwide health problem that may also induce respiratory dysfunction. Literature linking weight loss and maximum respiratory pressures is inconclusive. OBJECTIVE: To evaluate longitudinally the maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) of morbidly obese individuals before and after gastric bypass surgery, and to compare them to a control group matched by sex and age. METHODS: A vacuum manometer (GeRar®, SP, Brazil) was used to assess the MIP and MEP of 30 morbidly obese participants (24 women), aged 32±8 years and with body mass index (BMI) of 43±4 kg/m², both before and then one and six months after gastric bypass surgery. After an average of 36 months, 17 patients were reevaluated. A control group of 30 individuals with normal lung function (aged 30±8 with a BMI of 22±2 kg/m²) was also studied. An unpaired t-test and ANOVA for repeated measures were used for statistical analysis, with p<0.05 considered as significant. RESULTS: No significant differences were observed in the baseline evaluation between the two groups. A significant increase was found in MIP after approximately 36 months of surgery in the obese group. A significant decrease in MEP was observed after one month, as well as a significant increase after 36 months compared with one and six months post-surgery. CONCLUSION: The data showed a significant long-term increase in MIP, as well as a significant decrease in MEP after one month followed by a return to pre-operative values, which indicates that gastric bypass surgery has a positive influence on the strength of inspiratory muscles.
Subject(s)
Gastroplasty , Muscle Strength , Obesity, Morbid/physiopathology , Respiratory Muscles/physiopathology , Adult , Female , Humans , MaleABSTRACT
BACKGROUND: Obesity is a worldwide health problem that may also induce respiratory dysfunction. Literature linking weight loss and maximum respiratory pressures is inconclusive. OBJECTIVE: To evaluate longitudinally the maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) of morbidly obese individuals before and after gastric bypass surgery, and to compare them to a control group matched by sex and age. METHODS: A vacuum manometer (GeRar®, SP, Brazil) was used to assess the MIP and MEP of 30 morbidly obese participants (24 women), aged 32±8 years and with body mass index (BMI) of 43±4 kg/m², both before and then one and six months after gastric bypass surgery. After an average of 36 months, 17 patients were reevaluated. A control group of 30 individuals with normal lung function (aged 30±8 with a BMI of 22±2 kg/m²) was also studied. An unpaired t-test and ANOVA for repeated measures were used for statistical analysis, with p<0.05 considered as significant. RESULTS: No significant differences were observed in the baseline evaluation between the two groups. A significant increase was found in MIP after approximately 36 months of surgery in the obese group. A significant decrease in MEP was observed after one month, as well as a significant increase after 36 months compared with one and six months post-surgery. CONCLUSION: The data showed a significant long-term increase in MIP, as well as a significant decrease in MEP after one month followed by a return to pre-operative values, which indicates that gastric bypass surgery has a positive influence on the strength of inspiratory muscles.
CONTEXTUALIZAÇÃO: A obesidade é um problema de saúde em todo o mundo e pode causar disfunção respiratória. A literatura que associa a perda de peso corporal às pressões respiratórias máximas (PRM) é inconclusiva. OBJETIVO: Avaliar, longitudinalmente, a pressão inspiratória máxima (PImáx) e a pressão expiratória máxima (PEmáx) de pacientes com obesidade mórbida antes e após gastroplastia redutora e compará-los a um grupo controle pareado por sexo e idade. MÉTODO: Um manovacuômetro (GeRar®, SP, Brasil) foi utilizado para avaliar PImáx e PEmáx de 30 participantes obesos (24 mulheres e seis homens, 32±8 anos), com índice de massa corporal (IMC) de 43±4 kg/m², antes da gastroplastia redutora e após um e seis meses. Após 36 meses, em média, foram reavaliados 17 obesos. Como grupo controle, foram avaliados 30 indivíduos com função pulmonar normal, 30±8 anos, e IMC de 22±2 kg/m². Para análise estatística, utilizou-se teste t de Student para grupos independentes e ANOVA para medidas repetidas. Um p<0,05 foi considerado significativo. Resultados: Não foram observadas diferenças significativas na avaliação inicial entre os dois grupos. Houve aumento significativo após 36 meses de cirurgia no grupo com obesidade em relação à PImáx. Em relação à PEmáx, houve diminuição significativa após um mês e aumento significativo após 36 meses, quando comparada com um e seis meses de cirurgia. CONCLUSÕES: Os dados demonstraram aumento significativo da PImáx em longo prazo, bem como redução significativa da PEmáx após um mês, seguido de um retorno aos valores de pré-operatório, indicando influência positiva da gastroplastia redutora sobre a força dos músculos inspiratórios.
Subject(s)
Adult , Female , Humans , Male , Gastroplasty , Muscle Strength , Obesity, Morbid/physiopathology , Respiratory Muscles/physiopathologyABSTRACT
This study evaluated the breathing pattern of 30 obese patients [32 ± 9 years old; body mass index (BMI): 42.72 ± 4.10 kg/m(2)] before and after bariatric surgery and compared them with 30 control individuals (31 ± 8 years old, BMI: 21.99 ± 2.22 kg/m(2)). Measurements were performed using calibrated respiratory inductive plethysmography. Six months after bariatric surgery, obese patients exhibited a significant reduction in tidal volume (V(T)), minute ventilation (V(E)) and inspiratory duty cycle (T(I)/T(TOT)) compared with pre-surgical values. The control group had a higher breathing frequency, V(E) and phase angle (PhAng). There were no significant differences in V(T)/T(I), percentage of rib cage motion (%RC) or abdominal motion (%AB). Obese patients exhibited changes in their breathing pattern and asynchrony after bariatric surgery without any changes in thoracoabdominal motion. Certain aspects of the breathing pattern of obese patients became more similar to those of the controls after surgery.
