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Por uma ética na saúde: algumas reflex es sobre a ética e o ser ético na atua o do psicólogo
Giane Amanda Medeiros
Psicologia: Ciência e Profiss?o , 2002, DOI: 10.1590/s1414-98932002000100005
Abstract: A ética vem sendo tema freqüente de discuss o, abarcando várias instancias da sociedade. Nas institui es de saúde s o prementes as quest es referentes a parametros e limites na interven o sobre os seres humanos. Neste artigo, proponho pensar a ética na saúde, bem como possíveis caminhos que sustentem uma postura profissional norteada pela/para a ética. Ethics is becoming a frequent subject of discussion, in which several instances of the society are included. In the health institutions, the subjects related to parameters and limits in the intervention on the human bings are becoming more and more noticeable.This article concerns ethics in health, as well as possible ways that sustain a professional behaviour based on and turned to ethics.
Lutar pelo quê? Reflex es sobre os rumos dos movimentos antisistêmicos Fight for what? Thoughts about the anti-systemic activity trends
Giane Carmem Alves de Carvalho
Estudos de Sociologia , 2008,
Abstract: Os chamados movimentos anti-sistêmicos vêm, segundo Wallerstein, intensificando-se cada vez mais nos tempos atuais. As contradi es, conflitos e tens es, frutos da hegemonia do capital, permitiram uma ressignifica o dos movimentos sociais, visando articular novas lutas numa perspectiva mundial, ou seja, a globaliza o do capital possibilitou a globaliza o dos movimentos anti-sistêmicos. No momento em que os movimentos anti-sistêmicos s o vistos como principal referência para a incessante luta contra o capital, questiona-se aqui, afinal, o que vem a ser um movimento anti-sistêmico. Apesar das evidências de seu surgimento, em que sentido é possível afirmar sua legitimidade? Nesta luta quem é o verdadeiro inimigo? Desta forma, tem-se como objetivo discutir, sob uma abordagem crítica e reflexiva, uma breve evolu o histórica dos movimentos anti-sistêmicos, as linhas conceituais, os rumos e impasses político-ideológicos dos chamados movimentos anti-sistêmicos. Palavras-chave: Movimentos anti-sistêmicos. Movimentos sociais. Globaliza o. The anti-systemic activities are, according to Wallerstein, getting enhanced more and more, nowadays. The contradictions, conflicts and tensions, consequences of capitalism, have opened the way for new significances inside social activities intending to articulate new fights in a world perspective, in other words, the capital globalization has allowed the globalization of anti-systemic activities. At the time the anti-systemic activities are seen as main reference to the never-ending fight against capital, we question, after all, what really is an anti-systemic activity. Despite the evidences of its beginning, how can we affirm its legitimacy? Who is the real enemy in this fight? This way, we have, as a goal, a critical and reflexive discussion, a brief historical evolution of the anti-systemic activities: the conceptual lines, the courses and the political and ideological impasses of the anti-systemic activities. Keywords: Anti-systemic activities. Social activities. Globalization.
Alcances e fragilidades: os temas de vida e morte nos livros didáticos
Giane Carla Kopper Müller
Educa??o : Revista do Centro de Educa??o UFSM , 2005,
Abstract: Este trabalho tem por objetivo analisar as formas como os temas vida e morte s o abordados na educa o. Inicialmente, procedeu-se a esta análise nos Parametros Curriculares Nacionais e na Proposta Curricular de Santa Catarina e posteriormente, a pesquisa foi realizada nos livros didáticos adotados pela maior institui o da rede pública estadual da regi o do médio vale do Itajaí - SC, levando-se em conta os níveis fundamental e médio. Pode-se afirmar que tanto nos documentos oficiais, quanto nos livros didáticos os temas vida e morte est o presentes, mas se comparados entre si, prevalecem as ocorrências para o fen meno da vida. Evita-se mencionar a morte de forma explícita e, em alguns casos, ela é ignorada ou escondida. Acredita-se que a educa o como propulsora na aquisi o do conhecimento possa promover a desmistifica o da morte preparando os sujeitos, desde cedo, tanto para a vida quanto para a morte. Palavras-chave: Vida. Morte. Livros Didáticos.
Menopausal Status and Metabolic Syndrome in Women in Climacteric Period Treated at a Clinic in Southern Brazil  [PDF]
Karina Giane Mendes, Heloísa Theodoro, Alice D. Rodrigues, Fernanda Busnello, Dino Roberto S. de Lorenzi, Maria Teresa A. Olinto
Open Journal of Endocrine and Metabolic Diseases (OJEMD) , 2013, DOI: 10.4236/ojemd.2013.31005
Abstract:

Background: This study aims to understand the relationship between menopausal status and the presence of Metabolic Syndrome in women from 40 to 65 years, as well as to describe the distribution of each component of Metabolic Syn- drome according to sample characteristics. Methods: A cross-sectional study was conducted with 551 women treated at a clinic in southern Brazil. MetS and its components were defined according to NCEP-ATP III and menopausal status as pre, peri, and post-menopause. Prevalences of menopausal status and of MetS and its components were calculated. Estimates of prevalence ratios crude and adjusted with confidence intervals of 95% were calculated by Poisson Regression with robust variance. Demographic, socioeconomic, behavioral, and reproductive characteristics were considered as potential confounding factors in multivariable models based on a conceptual framework of MetS determination. Results: The prevalence of Metabolic Syndrome in the sample was 56.1% (CI95%: 51.9 to 60.2), being more common among older women (56 to 65 years), with low education, menarche < 11 years old, with three or more pregnancies and in the post-menopausal period. In multivariate analysis, there was an increase of prevalence ratios when comparing perimenopause and post-menopause with pre-menopause; however, the confidence intervals include the unit. Regarding the analysis of isolated components in the sample, the most prevalent altered components were: hypertension (84.8%; CI95%: 81.7 to 87.8), waist circumference (66.4%; CI95%: 62.5 to 70.4) and HDL cholesterol (51.7%; CI95%: 47.5 to 55.9). There was a linear increase on mean blood glucose through menopausal status. Conclusions: Our study indicates variation on the distribution of MetS and each component according to menopausal status and other women characteristics. Future studies on MetS should also have foresight to use this type of approach to improve understanding and targeting of actions and programs focusing on women in this period of life.

Escala de Coma de Glasgow: subestima??o em pacientes com respostas verbais impedidas
Koizumi, Maria Sumie;Araújo, Giane Leandro de;
Acta Paulista de Enfermagem , 2005, DOI: 10.1590/S0103-21002005000200004
Abstract: frequent question in the use of glasgow coma scale (gcs), on the acute phase, on inpatients due to encephalic cranial trauma (tbi) is the subestima because of the impeditive situations such as tracheostomy/endotracheal intubation, sedation and palpebral edema. the aim of this study was identify and determining the subestima on the total score of gcs when the score 1 is used on the impediment situations for your assessment. the sample studied had 76 inpatients for tbi at the hospital das clínicas da faculdade de medicina da universidade de s?o paulo. within 42 (55,3%) inpatients, there are not impediments and were carried out 136 assessments. in 34 (44,7%), there are impediments characterized by intubation or tracheostomy, being or not related to palpebral edema and sedation and the total evaluation was 310. within them, the total score varied of 3 to 11 with the more frequent scores in 3 and 6. through estimated values by linear regression since the scores obtained in eo and vrm, the following subestimas were obtained: mean=1.03±1.36, median=0.54 (intubation or tracheostomy), mean=0,40±0.79, median=0,00 (intubation or tracheostomy + sedation), mean=0.57±0.96, median=0.27 (intubation or tracheostomy + sedation + palpebral edema). it was concluded that, in the serious ect, the total score of gcs maintained a vrm in 1, although underestimated, it is near the real one.
Vis?o retrospectiva em fibras alimentares com ênfase em beta-glucanas no tratamento do diabetes
Mira, Giane Sprada;Graf, Hans;Candido, Lys Mary Bileski;
Brazilian Journal of Pharmaceutical Sciences , 2009, DOI: 10.1590/S1984-82502009000100003
Abstract: dietary fibers are defined as the component of the plants or analog carbohydrates that are resistant to digestion and absorption in the human small bowel. the america dietetic association recommends an ingestion of 20-30g of fiber per day. evidences suggest that a diet rich in fibers brings benefits to health maintenance, by reducing the risk and the time of treatment of chronic diseases such as obesity, cardiovascular diseases, diverticulitis and diabetes. fibers are classified as a soluble and insoluble with distinct physiological effects. ingestion of insoluble fibers increases the fecal bolus and reduces the transit time of food through the bowel. soluble fibers delay gastric emptying and glucose absorption reducing the post prandial glycemia and reduce blood cholesterol levels due to a physic characteristic that confers viscosity to the luminal content. beta-glucans are highly viscous and their consumption has been related to the attenuation of post-prandial glycemic and insulin response. dietary beta-glucans have impact on starch degradation and carbohydrates availability and consequently at the glycemic index of the ingested food. consumption of beta-glucans is recommended aiming to modulate the glycemia and the insulin needs, to manage the obesity, cardiovascular diseases and diabetes. this paper brings information about dietary fibers and the use of beta-glucans on the treatment of diabetes.
Saúde e mídia na constru??o da obesidade e do corpo perfeito
Serra,Giane Moliari Amaral; Santos,Elizabeth Moreira dos;
Ciência & Saúde Coletiva , 2003, DOI: 10.1590/S1413-81232003000300004
Abstract: this text presents the results of a study aimed to address the discourses on obesity control published in the magazine capricho. through the analyses of discourses, the "diets" for loosening weight published in this adolescents driven magazine were analyzed contrasting the technical-scientific contents to those media framed. result shows that there is a struggle between the health technical discourse and the media discursive construction. the media hybrid text that includes several symbolic fields and meanings (technical-scientific and audience related) is framed with ambiguities. this might contribute more to the marketing of light products or a life style and body than to an adequate and nutritional education for the adolescents.
Altera??es na qualidade de raízes de mandioca(Manihot esculenta Crantz) minimamente processadas
Alves, Andreia;Cansian, Rogério Luis;Stuart, Giane;Valduga, Eunice;
Ciência e Agrotecnologia , 2005, DOI: 10.1590/S1413-70542005000200009
Abstract: post harvest of cassava roots has been a great concern in food industries and producers due to the short shelf life and high perishability. several phenomena have been pointed out as responsible for root deterioration. among them there are physiological aspects, that lead to losses in initial quality through vascular discoloration of parenchymatous tissue. on the other hand, phenomena from microbial origin, which follow the physiological alterations, are responsible for product decomposition. in this context, this work was aimed at investigating the conservation of cassava roots (manihot esculenta crantz) submitted to chlorinated water, and stored using different packings: expanded polystyrene trays covered with pvc, multi-shell packing (polyester saram-13.5μ/polyethylene-100μ) with and without vacuum and exposed to a cold environment (5 ± 0.5°c). physico-chemical, microbiological, physiological and sensorial analyses were conducted in this study. results showed that conservation of cassava roots minimally processed under refrigeration seems to be feasible, resulting in adequate conservation for up to 7 day in trays and 24 days for samples kept sealed and under vacuum.
A monitoriza o residencial da press o arterial e o controle de um grupo de hipertensos Monitoreo residencial de la presión arterial y control de un grupo de hipertensos Home blood pressure monitoring and control in a group of hypertensive patients
Giane Christina Alves da Silva,Angela Maria Geraldo Pierin
Revista da Escola de Enfermagem da USP , 2012, DOI: 10.1590/s0080-62342012000400020
Abstract: Comparar a medida de consultório com a monitoriza o residencial da press o arterial (MRPA), avaliar o controle da press o e caracterizar o efeito do avental branco. Pesquisa de campo, quantitativa com 71 hipertensos. A medida da press o em consultório foi feita pela enfermeira. A monitoriza o residencial da press o arterial foi realizada durante 7 dias. O efeito do avental branco foi quantificado para diferen as entre a medida de consultório e a monitoriza o residencial da press o arterial nas faixas 1 a 5, 6 a 10 e > 10 mmHg. A medida da press o de consultório foi significativamente maior (p<0,05) do que a monitoriza o residencial da press o arterial. O controle da press o foi 9,9% na medida de consultório e 23,9% na MRPA. O efeito do avental branco > 10 mmHg para a sistólica foi 57,7% e para a diastólica, 32,4%, na faixa de 6 a 10 mmHg. A medida da press o em casa avaliou melhor o controle dos hipertensos. Comparación de la medición en consultorio con el monitoreo residencial de la presión arterial (MRPA), evaluación del control de presión y caracterización del efecto del delantal blanco. Investigación de campo, cuantitativa, con 71 hipertensos. La medición de presión en consultorio fue realizada por la enfermera. El MRPA se efectuó durante siete días. El efecto del delantal blanco se cuantificó para diferencias entre la medición de consultorio y el MRPA en las fajas 1-5, 6-10 y >10mmHg. La medición de presión en consultorio fue significativamente mayor (p<0,05) que el monitoreo residencial de presión arterial. La presión se mantuvo bajo control en el 9,9% de la medición de consultorio y 23,9% de la MRPA. El efecto del delantal blanco >10 mmHg para la sistólica fue de 57,7% y para la diastólica, 32,4%, en la faja 6-10 mmHg. La medición de presión domiciliaria evaluó mejor el control de los hipertensos. This qualitative study was performed with 71 hypertensive patients, with the objectives to compare outpatient and home blood pressure monitoring (HBPM), to assess blood pressure control, and characterize white-coat hypertension. A nurse performed the outpatient blood pressure measurement. The home blood pressure monitoring was carried out over seven days. White-coat hypertension was quantified as a difference between the outpatient measurement and home blood pressure monitoring in the ranges from 1 to 5, 6 to 10 and > 10 mmHg. The outpatient blood pressure measurement was significantly higher (p<0.05) than the home blood pressure measurement. Pressure control corresponded to 9.9% in the outpatient measurement and 23.9% in the home blood pressure mea
Descri o do índice de massa corporal e do padr o do consumo alimentar das integrantes de uma Universidade da terceira idade no interior do RS
Camila Boz,Jacqueline Schaurich dos Santos,Karina Giane Mendes
Revista Brasileira de Ciências do Envelhecimento Humano , 2010,
Abstract: Atualmente, a longevidade vem se destacando como um fator marcante na popula o brasileira, passando por um processo de envelhecimento populacional com transi o epidemiológica e nutricional, aumento das doen as cr nicas n o transmissíveis e declínio das doen as infectocontagiosas. Há uma tendência crescente para os casos de sobrepeso e obesidade em todo o mundo. O objetivo deste estudo foi descrever o estado nutricional através do índice de massa corporal e o consumo alimentar através de Questionário de Frequência Alimentar e pesquisa sobre hábitos alimentares de mulheres a partir de 50 anos, participantes do grupo Medita o Ativa da Universidade da Terceira Idade – UNTI. A pesquisa caracterizou-se por um estudo do tipo transversal. As participantes foram divididas em dois grupos: mulheres com idade entre 50 e 59 anos (n=27) e mulheres com idade igual ou superior a 60 anos (n= 33). Para o primeiro grupo, constatou-se 29,6% de sobrepeso e 44,4% de obesidade, segundo a classifica o da OMS, enquanto que para as idosas (mulheres a partir de 60 anos de idade), observou-se 66,7% de sobrepeso (OMS) e 42,4% de excesso de peso (Lipschitz). Na avalia o do consumo alimentar, os resultados mostraram alguns aspectos de inadequa o alimentar. O estudo conclui maior prevalência de obesidade entre as mulheres com menos de 60 anos e elevada propor o de sobrepeso nas mulheres idosas. Esses dados refor am a importancia dos programas de educa o nutricional para eleva o da qualidade de vida e de saúde dessa popula o.
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