RESUMO
La imagen corporal es el conjunto de percepciones y actitudes sobre uno mismo, incluyendo pensamientos, sentimientos y comportamientos hacia el propio cuerpo. Se ha reportado que los niveles elevados de insatisfacción pueden resultar en trastornos de alimentación como anorexia nerviosa o bulimia, sobre todo en la población femenina. Se ha reportado que las bailarinas, sobre todo de ballet, están más expuestas a estos trastornos teniendo en cuenta su insatisfacción corporal. El objetivo del presente trabajo fue determinar si existía asociación entre la presencia de insatisfacción corporal y el hecho de ser bailarina. El presente fue un estudio observacional, analítico, de corte transversal, con muestreo de casos consecutivos. Se incluyó a 49 mujeres bailarinas y a 59 no bailarinas, mayores de edad, que voluntariamente aceptaron participar de la investigación y que previamente firmaron un consentimiento informado. La frecuencia encontrada de insatisfacción corporal en bailarinas fue de 38,8%. Los resultados obtenidos mostraron que las bailarinas tuvieron significativamente (valor p=0,011) mayor probabilidad de tener insatisfacción con su imagen corporal que las no bailarinas. Una de las posibles explicaciones de por qué las bailarinas sienten mayor insatisfacción con su imagen corporal, comparadas con la población general son las exigencias de la práctica de la danza, así como al juzgamiento al que son sometidas por parte del público.
Body image is the set of perceptions and attitudes about oneself. It includes thoughts,feelings and behaviors towards one's own body. High levels of dissatisfaction have beenreported to result in eating disorders such as anorexia nervosa or bulimia, especially in thefemale population. It has been reported that dancers, especially ballet dancers, are moreexposed to these disorders taking into account their body dissatisfaction. The objective ofthis study was to determine if there was an association between the presence of bodydissatisfaction and the fact of being a dancer. The present was an observational, analytical,cross-sectional study, with a sampling of consecutive cases. A total of 49 female dancersand 59 female non-dancers, who voluntarily accepted to participate in the research andpreviously signed an informed consent, were included. The frequency of body dissatisfactionin dancers was 38.8%. The results showed that the dancers had a significantly (p=0.011) higher probability of having dissatisfaction with their body image than the non-dancers. One of the possible explanations why dancers feel more dissatis fied with their body image, compared to the general population, are the demands of dance practice, as well as thejudgment to which they are subjected by the public.
Assuntos
Humanos , Adulto , Feminino , Dieta , Imagem Corporal , Satisfação PessoalRESUMO
BACKGROUND: While the benefits of using electronic health records (EHRs) in both developed and low- and middle-income countries are known, the barriers to implementing EHRs in lower-middle-income countries have not been fully characterized. We assessed organizational readiness for implementation of a mobile (tablet-based) EHR, to create a real-time electronic surgical registry, in a busy lower-middle-income country hospital. METHODS: Six semi-structured focus groups were conducted with hospital administrators, faculty surgeons, surgical residents, interns, nurses and medical students in a large urban hospital in Asuncion, Paraguay. Focus groups were conducted over the course of three weeks during the pre-implementation phase to identify barriers to implementation. Focus group data were coded using the Theoretical Domains Framework (TDF), which are 12 validated domains related to behavior change. RESULTS: Reinforcement, environmental context/resources and roles/responsibilities were the most relevant TDF domains that emerged. Residents and students were more uncertain than faculty and department heads about who would enforce the use of the tool in place of paper charting. Internet quality was a concern raised by all. The local, normative hierarchical structure within the surgical department, including piecemeal communication between the department heads and the residents about roles and responsibilities, was a major perceived barrier to implementation. CONCLUSIONS: Uncertainties about reinforcement, roles and responsibilities for using a novel EHR tool, and technology infrastructure are potential barriers to address in the pre-implementation phase of introducing an EHR to a lower-middle-income country surgical service. Addressing these potential barriers with all stakeholders prior to implementation will be a critical next step in this effort.
