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Urinary incontinence: an interdisciplinary approach in the Basic Health Care Incontinência urinária: abordagem interdisciplinar em uma Unidade Básica de Saúde
Caroline Helena Lazzarotto de Lima,Gabriela Tomedi Leites,Lidiane Bernardy,Marcielli Lilian Trevisan
Ciência & Saúde , 2010,
Abstract: Introduction: The urinary incontinence (UI) occurs among 30 and 60% of women during menopause. It generates a negative impact interfering in aspects such as physical, psychological and social women daily routine, affecting their quality of life. Considering these implications and, based on the consideration that every woman experience this problem in a unique way, an integrated approach is required, anchored in humanized precepts. Objective: To report the implementation of a women′s group focused in the health education, urinary incontinence prevention and treatment in a Basic Health Unit in the city of Porto Alegre. Description of the experience: The work was based in an open group dynamic, focused on achievement and learning of kinesiotherapeutic techniques to reeducate the pelvic floor function, along with the promotion of a support program to exchange urinary incontinence related information and experiences. The meetings were held weekly and divided into two parts: open dialogue and, after, the kinesiotherapy program. Conclusion: The activities encouraged the exchange of experiences and knowledge construction in the aspects related to UI. The group work showed to be viable and inexpensive, allowing easy access to information about UI to a greater number of women. The group implementation, with an interdisciplinary focus, contributed to expand the health vision in order to an integral and humanized assistance in urinary incontinence related aspects. Introdu o: A incontinência urinária (IU) ocorre entre 30 e 60% das mulheres durante o climatério. O impacto negativo gerado pela IU no cotidiano repercute nos ambitos físico, social e psicológico da mulher, afetando sua qualidade de vida. Frente a essas implica es e, partindo da considera o de que cada mulher vivencia este problema de forma singular, torna-se necessária uma abordagem integral, ancorada nos preceitos de um atendimento humanizado. Objetivo: Relatar as atividades realizadas por uma equipe multiprofissional em um grupo voltado à educa o para a saúde, à preven o e ao tratamento da IU em uma Unidade Básica de Saúde (UBS) da cidade de Porto Alegre/RS. Descri o da experiência: O trabalho baseou-se na dinamica de grupo aberto, voltado à realiza o e ao aprendizado de técnicas cinesioterapêuticas para a reeduca o do assoalho pélvico, juntamente com a promo o de um espa o de suporte, troca de informa es e experiências em rela o a IU. Os encontros eram realizados semanalmente e divididos em duas partes: diálogo aberto e, após, cinesioterapia. Considera es finais: As atividades favoreceram
As no es de educa o e disciplina em pais que agridem seus filhos
Vasconcelos, Alexsandra Cassol de,Souza, Marjane Bernardy
Psico , 2006,
Abstract: O presente trabalho investigou as no es de educa o e disciplina em pais que agridem seus filhos e os recursos educativos por eles utilizados. Participam do estudo cinco m es que haviam apresentado algum episódio de abuso físico contra seus filhos. As informa es obtidas foram examinadas através de uma análise de conteúdo qualitativa que gerou seis categorias temáticas. Os achados da pesquisa sugerem que as m es acreditavam no valor da obediência e da puni o física como recursos educativos. Ainda, os dados obtidos permitiram notas que as participantes consideravam o diálogo e o afeto como técnicas educativas importantes, porém n o conseguiram colocar em prática estas formas de educar.
Efficacy of hypnosis/guided imagery in fibromyalgia syndrome - a systematic review and meta-analysis of controlled trials
Kathrin Bernardy, Nicole Füber, Petra Klose, Winfried H?user
BMC Musculoskeletal Disorders , 2011, DOI: 10.1186/1471-2474-12-133
Abstract: We screened http://ClinicalTrials.gov webcite, Cochrane Library, MEDLINE, PsycINFO and SCOPUS (through December 2010). (Quasi-) randomized controlled trials (CTs) comparing H/GI with controls were analyzed. Outcomes were pain, sleep, fatigue, depressed mood and health-related quality of life (HRQOL). Effects were summarized using standardized mean differences (SMD).Six CTs with 239 subjects with a median of 9 (range 7-12) H/GI-sessions were analysed. The median number of patients in the H/GI groups was 20 (range 8-26). Three studies performed follow-ups. H/GI reduced pain compared to controls at final treatment (SMD -1.17 [95% CI -2.21, -0.13]; p = 0.03). H/GI did not reduce limitations of HRQOL at final treatment (SMD -0.90 [95% CI -2.55, 0.76]; p = 0.29) compared to controls. Effect sizes on fatigue, sleep and depressed mood at final treatment and follow-up and on pain and HRQOL at follow-up were not calculated because of limited data available. The significant effect on pain at final treatment was associated with low methodological and low treatment quality.Further studies with better treatment quality and adequate methodological quality assessing all key domains of FMS are necessary to clarify the efficacy of H/GI in FMS.The key symptoms of fibromyalgia syndrome (FMS) are chronic widespread pain, fatigue (physical exhaustion and cognitive disturbances) and non-restorative sleep [1]. Besides these symptoms global multidimensional function ( = health related quality of life [HRQOL]) and tenderness are regarded to be the key domains of therapeutic trials in FMS [2].Patients with FMS use a lot of pharmacological and non-pharmacological therapies resulting in high costs of health services [3]. Pharmacological and physical therapies are more frequently used than psychological treatments. Although hypnotic pain relief is among the oldest treatments for pain, interest in hypnotic treatments for chronic pain appears to rise only in the last decade [4]. In an internet sur
Short Note: A new still for the prevention of mercury poisoning in small-scale gold mining by amalgam extraction
J. M. Pinzón,R. Contreras,C. Bernardy
Geofísica internacional , 2003,
Abstract: A system for the recovery of mercury in small-scale gold mining in Colombia has been designed and tested. Distillation of up to 300 g of gold amalgam takes ten to 20 minutes, and more than 90% of the mercury formerly lost in the atmosphere is recovered for recycling. The equipment pays for itself and may be locally built using available materials. It has been widely accepted by miners because of the improved safety to miners and their families. The furnace can be fueled either with gasoline or LP gas. It may also be used for smelting small amounts of gold, thus getting rid of the sponginess which detracts from marketability. The new system is popular in Colombia because of the improved safety to mine operators.
Análise da Varia o Populacional e os Impactos no Desenvolvimento da Associa o dos Municípios do Oeste de Santa Catarina - Amosc
Rógis Juarez Bernardy,Augusto Fischer,Juliana Rammé
Desenvolvimento em Quest?o , 2012,
Abstract: A region has phenomena that are individuals in function of his territorial, space, cultural, social and economical configuration. In this context, this research was focused on analyzing the demographic variation, of the twenty counties that make part of the Association of the Counties of the West of Santa Catarina (Amosc), in the period from 1991 to 2010, on basis of the data of the demographic censuses, of the IBGE and his impacts in the municipal development. Also, there were analysed the rates and variations of the rural, urban, and total population espatialized through thematic maps. As results, was observed that the population variations were expressive, both negative and positive, which shows that the Amosc has a tendency to decrease (depletion of peripheral counties) and concentration (in medium-sized city like Chapecó and next to the road). The knowledges of this research guide to public strategic policies aimed to the economic and social development of their respective municipalities, with different configurations regarding the mobility of their populations.
Guest Editorial: 2010 VA/DOD Clinical Practice Guideline for Management of Post-Traumatic Stress: How busy clinicians can best adopt updated recommendations
Nancy C. Bernardy, PhD,Matthew J. Friedman, MD, PhD
Journal of Rehabilitation Research and Development , 2012,
Abstract: The continued wars in Iraq and Afghanistan have brought an increased focus on posttraumatic stress disorder (PTSD) and have made PTSD a part of a national conversation. Since the first edition of the Department of Veterans Affairs (VA)/Department of Defense (DOD) Clinical Practice Guideline (CPG) for PTSD was issued in 2004 at the beginning of these conflicts, more than 750,000 returning new Veterans have sought mental health care in the VA. It is anticipated that this number will climb dramatically as more than 1 million Veterans will leave the military in the next 5 years. This makes it all the more important that VA and DOD healthcare providers have clear guidance on best management practices for PTSD and an understanding of how they can best use the revised VA/DOD Clinical Practice Guideline for Management of Post-Traumatic Stress issued in the fall of 2010. As coeditors, our goal with the production of this special issue of JRRD is to publish a series of articles that go beyond the recommendations in the new CPG by providing, in addition to a comprehensive overview of the latest scientific evidence, practical guidance for busy clinicians who wish to adopt the CPG recommendations within their various clinical settings.
Martinha versus Lucrécia: ensaios e entrevistas
Lidiane Soares Rodrigues
Tempo Social , 2012, DOI: 10.1590/s0103-20702012000100016
Dos ro ados do nordeste, das periferias urbanas aos laranjais paulistas: migra o e condi es de trabalho na citricultura brasileira
Lidiane M. Maciel
International Journal on Working Conditions , 2012,
Abstract: Este artigo atenta para as condi es de vida e trabalho da popula o que atua na safra de cítricos no Estado de S o Paulo - Brasil. A for a de trabalho utilizada pelo setor é essencialmente de migrante, uma popula o empobrecida que habita as cidades próximas aos laranjais ou que realizam migra es sazonais no período da safra. O estudo parte da uni o de duas pesquisas quali-quantitativas realizadas entre os anos de 2009 – 2012, nas cidades de S o Carlos e Mat o no Estado de S o Paulo – destino migratório – e Jaicós no Estado do Piauí – origem migratória. No Estado de S o Paulo nos últimos quarenta anos o setor de cítricos se fortaleceu dado à vincula o ao mercado internacional, que compra oitenta por cento da produ o do Brasil. Esse país é responsável pelo abastecimento de cinquenta por cento desse mercado. O potente setor criou um sólido mercado de trabalho que necessita de muita m o de obra pouco especializada, e ent o é nos rinc es do interior do nordeste brasileiro e nas periferias urbanas das cidades citadas que o setor alimenta sua necessidade de m o de obra barata.
Lidiane Ramirez de Amorim
Revista Perspectivas de la Comunicación , 2009,
Abstract: Las tecnologías de información y comunicación han sido responsables por una infinidad de transformaciones, incluso nuevas relaciones entre los sujetos y los distintos medios. Son nuevas funciones cuya aparición coincide con el paso de una comunicación centralizada, hacia un modelo de infinitas posibilidades, que resultan del fenómeno de la mediatización. El presente artículo ofrece algunas reflexiones sobre estos cambios, desde la comprensión acerca de la evolución de los conceptos de audiencia y recepción, hasta la injerencia de estos cambios en la práctica del periodismo, especialmente en la televisión. La discusión aborda algunas posibilidades alcanzadas por este nuevo receptor, que está representada en lo que se ha llamado de periodismo ciudadano o participativo. Una modalidad periodística que está creciendo en el Brasil, pero ya ha transformado este oficio en otras partes del mundo.
By Penelope’s hands: building our political thought? Pelas m os de Penélope: tecer as linhas de nosso pensamento político
Lidiane Soares Rodrigues
Estudos de Sociologia , 2009,
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