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Texto completo SciELO Uruguai
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Id: biblio-1124136
Autor: Ruiz Salazar, Leandro Agustín; Muñoz Velázquez, Erika; Gaye Saavedra, Gustavo Andrés; Pons Prattes, Richard Alejandro; Ordoqui, Joaquín; Gonzalez, Catalina; Gil Yacobazzo, Juan Eduardo.
Título: Complicaciones neurológicas y extra neurológicas en pacientes con ACV internados en el Hospital de Clínicas de Montevideo durante un período de 2 años / Neurological and extra-neurological complications in stroke patients treated at Hospital de Clinicas during a 2 years period / Complicações neurológicas e extraneurológicas em pacientes com AVC internados no Hospital de Clínicas de Montevidéu por um período de 2 anos
Fonte: An. Facultad Med. (Univ. Repúb. Urug., En línea);7(1), 2020. tab.
Idioma: es.
Resumo: Introducción: Los pacientes con Ataque Cerebrovascular (ACV) presentan un elevado riesgo de complicaciones durante la internación, que pueden condicionar su pronóstico. Objetivos: Describir las complicaciones neurológicas y extra neurológicas durante la internación. Evaluar sus características y diferencias de acuerdo al tipo de ACV. Identificar factores predictores de complicaciones y de mortalidad intrahospitalaria. Pacientes y métodos: Fueron incluidos en el estudio los pacientes atendidos en el Hospital de Clínicas (HC) de Montevideo con diagnóstico de ACV entre 1/1/14 y 31/12/15. Se analizaron las principales características clínico-epidemiológicas de los pacientes, se pesquisó la presencia o no de complicaciones según el subtipo y se clasificaron en Neurológicas y Extra Neurológicas (Sistémicas y Cardiovasculares). Resultados: Se analizaron 206 pacientes, 57 % de los cuales presentaron complicaciones, indistintamente del subtipo de ACV. Las más habituales fueron las sistémicas, en 49 % de los casos. La edad, diabetes, NIHSS al ingreso, cardiopatía previa y trombólisis se asociaron en forma significativa e independiente a complicaciones. La mortalidad intrahospitalaria fue 11 %, siendo significativamente menor en los pacientes que ingresaron a la Unidad de ACV del centro. Conclusiones: Las complicaciones fueron muy frecuentes y la principal causa de muerte, siendo las sistémicas las más prevalentes. Ciertas variables se asociaron a un mayor riesgo de complicaciones: edad, diabetes, cardiopatía previa, NIHSS al ingreso, y la trombolisis. La Unidad de ACV descendió la mortalidad en forma significativa.

Introduction: Stroke patients present high risk of complications conditioning its prognosis. Objectives: To describe neurological and extra-neurological complications during admission. To evaluate complications according with stroke subtype, identifying morbidity and mortality predictive factors. Patients and methods : All patients treated at the Hospital de Clínicas (HC) with a diagnosis of stroke between 01/01/14 and 12/31/15 were analyzed. The presence or absence of complications was also analyzed according to stroke subtype during the hospital stay and were classified into three groups: neurological and extra-neurological, the last ones subdivided into systemic and cardiovascular diseases. Results: Sample of 206 patients. 57 % of them presented complications, regardless to the stroke subtype. The most common complications were the systemic ones (49 %). Age, diabetes, NIHSS at admission, previous cardiac disease and thrombolysis were significantly associated with complications. Overall mortality was 11 %. Mortality was significantly lower for patients admitted to the institutional Stroke Unit. Conclusions : Stroke complications were very frequent and are the main cause of mortality, with systemic complications being the most common. Furthermore, there are other variables which are associated with a greater risk of complications such as older age, diabetes, previous heart disease, NIHSS at admission, and thrombolysis. Admission to stroke unit resulted in a significant decrease in the mortality rate.

Introdução: Pacientes com Ataque Cerebrovascular (AVC) apresentam alto risco de complicações durante a hospitalização, o que pode condicionar seu prognóstico. Objetivos: Descrever as complicações neurológicas e extra neurológicas durante a hospitalização. Avalie suas características e diferenças de acordo com o tipo de ACV. Identifique fatores que predizem complicações e mortalidade hospitalar. Pacientes e métodos: Os pacientes atendidos no Hospital de Clínicas (HC) de Montevidéu com diagnóstico de acidente vascular cerebral entre 1/1/14 e 31/12/15 foram incluídos no estudo. As principais características clínico-epidemiológicas dos pacientes foram analisadas e a presença ou ausência de complicações de acordo com o subtipo foi investigada e classificada em Neurológica e Extra Neurológica (Sistêmica e Cardiovascular). Resultados: foram analisados 206 pacientes, 57 % dos quais apresentaram complicações, independentemente do subtipo ACV. Os mais comuns foram sistêmicos, em 49 % dos casos. Idade , diabetes, NIHSS na admissão, Trombólise foram significativamente associados a complicações. A mortalidade intra-hospitalar foi de 11 %, sendo significativamente menor nos pacientes internados na Unidade de ACV do centro. Conclusões: As complicações foram muito freqüentes e a principal causa de morte, sendo as sistêmicas as mais prevalentes. Certas variáveis foram associadas a um risco aumentado de complicações: idade, diabetes, doença cardíaca prévia, NIHSS na admissão e trombólise. A Unidade de ACV diminuiu significativamente a mortalidade.
Descritores: AVC Isquêmico/complicações
AVC Hemorrágico/complicações
-Prognóstico
Epidemiologia Descritiva
Fatores de Risco
Mortalidade Hospitalar
Fatores de Proteção
AVC Isquêmico/mortalidade
AVC Hemorrágico/mortalidade
Limites: Humanos
Masculino
Feminino
Adulto
Pessoa de Meia-Idade
Idoso
Idoso de 80 Anos ou mais
Tipo de Publ: Estudo Observacional
Responsável: UY1.1 - BINAME - Biblioteca Nacional de Medicina


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Id: biblio-1252248
Autor: Department of Health SciencesZuanetti, Patrícia Aparecida; Department of Neuroscience and Behavioral SciencesAvezum, Marina Dias Macedo de Melo; Department of OphthalmologyFerretti, Marita Iannazzo; Department of Neuroscience and Behavioral SciencesPontes-Fernandes, Angela Cristina; Department of Neuroscience and Behavioral SciencesNunes, Marina Estima Neiva; Department of Neuroscience and Behavioral SciencesLiporaci, Nelson Macedo; Department of Health SciencesFukuda, Marisa Tomoe Hebihara; Department of Neuroscience and Behavioral SciencesHamad, Ana Paula Andrade.
Título: Development of language and arithmetic skills: risk and protective factors. Comparative cross-sectional study
Fonte: Säo Paulo med. j;139(3):210-217, May-June 2021. tab.
Idioma: en.
Projeto: Hospital das Clínicas, Ribeirão Preto Medical School, University of São Paulo.
Resumo: ABSTRACT BACKGROUND: In a literate society, linguistic/arithmetic performance is highly valued. Based on defined risk factors, strategies for promotion of better performance can be developed. OBJECTIVE: To ascertain the risk and protective factors relating to development of language and arithmetic. DESIGN AND SETTING: Observational comparative cross-sectional study at a public elementary school in Ribeirão Preto (SP), Brazil. METHODS: A total of 66 children (41% females) attending first to fifth grades participated in this study. They were divided into two groups: G1, children classified as presenting language or arithmetic deficits; G2, average performance. Language (oral and written) and arithmetic skills were assessed through standardized tests. Variables relating to social skills, home environment resources and behavioral problems were assessed through standardized scales. Data on other variables (pre, peri and postnatal complications, maternal variables and others) were collected through interviews. The logistic regression technique with LASSO was used (α = 0.05). RESULTS: Teenage pregnancy and consumption of psychoactive substances during pregnancy or complications during pregnancy were risk factors for performance regarding arithmetic and language. Higher schooling level for the mother was a protective factor in the development of arithmetic and language. Being female and having a history of otitis were risk factors for language. Altered social skills (responsibility and civility) and complaints of inattention were risk factor for arithmetic. Adequate linguistic development was a protective factor for the development of arithmetic. CONCLUSION: The risk/protective factors included variables relating to the gestational period, mother's age when pregnant, mother's schooling, social skills, behavior and development issues.
Descritores: Idioma
Desenvolvimento da Linguagem
-Brasil/epidemiologia
Estudos Transversais
Fatores de Proteção
Matemática
Limites: Humanos
Masculino
Feminino
Criança
Adolescente
Responsável: BR1.1 - BIREME


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Id: biblio-1055415
Autor: Can, Senanur; Canbek, Mediha.
Título: Protective Effects of Geraniol on Long Term Renal Ischemia/Reperfusion Injury in Rats
Fonte: Braz. arch. biol. technol;62:e19180438, 2019. tab, graf.
Idioma: en.
Resumo: Abstract Possible protective effects of geraniol, known as antioxidant properties, were analyzed biochemically and histologically on experimental long-term renal ischemia/reperfusion I/R injury in rats. This study used 3-4 months old male Wistar albino rats and were divided into 4 groups (n = 7) by random selection: Group I (Sham Group), Group II (I/R+SF), Group III (I/R+50 mg/kg geraniol), and Group IV (I/R+100 mg/kg geraniol). A right nephrectomy was performed in all groups under anesthesia. Groups I and II were inoculated with SF (1 ml/kg) and Groups III and IV were inoculated with 50 mg/kg and 100 mg/kg of geraniol, injected intraperitoneally. For Groups II, III, and IV, I/R durations were determined to be 60 mins ischemia and 24 hours reperfusion. At the end of the experiment, Urea (BUN), Creatinine (CRE) activities in the blood serum and the catalase (CAT), glutathione peroxidase (GPx) and Superoxide dismutases (SOD), enzyme activities in kidney tissue were measured. Histologic sections were examined by light microscopy using Hematoxylin & Eosine. As a result, it was determined that 100 mg / kg geraniol against renal I/R injury shows more antioxidant effect and protection than 50 mg / kg geraniol.
Descritores: Reperfusão
Isquemia/terapia
Antioxidantes/uso terapêutico
-Ratos Wistar
Modelos Animais
Fatores de Proteção
Limites: Animais
Ratos
Responsável: BR1.1 - BIREME


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Akerman, Marco
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Id: biblio-1133769
Autor: Akerman, Marco; Mendes, Rosilda; Lima, Samira; Guerra, Henrique Leonardo; Silva, Rafael Afonso da; Sacardo, Daniele Pompei; Fernandez, Juan Carlos Aneiros.
Título: Religion as a protective factor for health / Religião como fator protetor para saúde
Fonte: Einstein (Säo Paulo);18:eED5562, 2020.
Idioma: en.
Descritores: Religião
Nível de Saúde
Senso de Coerência
-Saúde Mental
Fatores de Proteção
Responsável: BR1.1 - BIREME


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Id: lil-779624
Autor: Aguirre Roldán, Adriana María; Quijano Barriga, Ana María.
Título: Síndrome por quemarse en el trabajo y variables familiares y laborales de los médicos generales de Bogotá. Una estrategia de calidad laboral / Burnout Syndrome, Family and Work Related Variables on General Practitioners in Bogota. A Strategy of Work Quality
Fonte: Rev. colomb. psiquiatr;44(4):198-205, oct.-dic. 2015. ilus, tab.
Idioma: es.
Resumo: Introducción: El síndrome por quemarse en el trabajo (SQT) es un conjunto de síntomas relacionados con desgaste laboral y agotamiento en respuesta al estrés emocional en el trabajo y sus respectivas consecuencias. El objetivo del estudio es medir la frecuencia del SQT entre los médicos generales de tres instituciones privadas de Bogotá y determinar los factores asociados según las variables consideradas. Métodos: Es un estudio de corte transversal descriptivo, para el que se utilizó el cuestionario para la evaluación del síndrome de quemarse por el trabajo (CESQT). Constituyeron la población 106 médicos generales. Resultados: Se encontró que el 6,6% de la población presenta un nivel crítico. Las variables muestran que tener pareja estable e hijos es un factor protector y, por lo contrario, trabajar en urgencias es un factor de riesgo.

Background: The burnout syndrome is a set of work-related symptoms related to weariness and exhaustion, in response to the emotional stress at work and its consequences. The aim of the study was to measure the frequency of burnout in General Practitioners (GPs) from 3 private institutions in Bogotá, Colombia and to determine the associated factors according to the variables taken into account. Methods: It is a descriptive cross-sectional study which was used to analyse the Questionnaire for Burnout Syndrome (CESQT). The population was 106 GPs. Results: The level of burnout was at a critical level in 6.6% of the GP population. The variables showed that having a stable partner and children are a protective factor. By contrast, work in emergency rooms is a risk factor.
Descritores: Trabalho
Esgotamento Profissional
Família/psicologia
Inquéritos e Questionários
-Organizações
Fatores de Risco
Gestão da Qualidade
Emergências
Serviço Hospitalar de Emergência
Fatores de Proteção
Esgotamento Psicológico
Angústia Psicológica
Limites: Humanos
Masculino
Feminino
Adulto
Responsável: CO78 - Asociación Colombiana de Psiquiatría


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Id: biblio-960140
Autor: Moreno-Montoya, José; Palacios-Espinosa, Ximena; Gracia-Ruiz, Jennifer.
Título: Association Between Religion and Suicidal Behaviors in Cancer Patients / Asociación entre religión y conductas suicidas en pacientes con cáncer
Fonte: Rev. colomb. psiquiatr;46(4):209-214, oct.-dic. 2017. tab.
Idioma: en.
Resumo: Abstract Background: Whereas most studies have focused on how the religious beliefs positively interfere with the presence or execution of suicidal behaviors, few have identified differences among religious beliefs and how these can not only be consider as a protective factor for suicide, but also as a variable that influences the expression of the suicidal related behaviors. Objective: To provide evidence about the effect of religious practices and beliefs on suicidal behavior in cancer patients in Colombia. Methods: This is a hospital-based cross-sectional study with a sample of 132 patients with cancer. Socio-demographic data were measured, in which the religious affiliation was included. The instruments used include the Scale of Suicidal Ideation (SSI), the item 9 of Beck Depression Scale (BDI-IA) and the Beck Hopelessness Inventory (BHS). Results: In our study, 93% of the patients had advanced stages of cancer, where 51.52% of them were in stage IV. Cancer patients who reported non-Catholic Christians were 3 and 4 times more likely to have some manifestation of suicidal behavior. Conclusions: It is recognized in non-Catholic Christians patients a greater chance to express suicidal ideation, which could be related to their level of suicide acceptability. It is considered that religion and their perception of death affects the expression and acceptance of suicidal ideation, reason why it is necessary more research on the effect of different religions on suicidal behavior, in order to include these aspects in the patient intervention.

Resumen Introducción: Mientras que la mayoría de los estudios se han centrado en cómo las creencias religiosas interfieren positivamente con la presencia ola ejecución de conductas suicidas, pocos han identificado diferencias entre creencias religiosas y cómo estas no solo se pueden considerar un factor protector contra el suicidio, sino también una variable que influye en la expresión de los comportamientos suicidas. Objetivo: Proporcionar evidencia sobre el efecto de las prácticas y creencias religiosas en la conducta suicida de los pacientes con cáncer en Colombia. Métodos: Es un estudio transversal con una muestra de 132 pacientes con cáncer. Se aplicó la Escala de Ideación Suicida (SSI), el ítem 9 del Inventario de Depresión de Beck (BDI-IA) y el Inventario de Desesperanza de Beck (BHS); además, en la entrevista se recogieron datos sociodemográficos entre los que se incluye la afiliación religiosa. Resultados: El 93% de los pacientes presentaban estadios de cáncer avanzados, de los que el 51,52% estaba en estadio IV. Los pacientes con cáncer que informaron ser cristianos no católicos tienen 3 y 4 veces más probabilidades de alguna conducta suicida. Conclusiones: Se distingue en los pacientes cristianos no católicos una mayor expresión de la ideación suicida, lo que podría estar relacionado con el grado de aceptabilidad del suicidio. Se considera que la religión y su percepción de la muerte afecta a la expresión y la aceptación de las ideas suicidas, por lo que se requiere más investigación sobre el efecto de las diversas religiones en las conductas suicidas, con el objetivo de incluir estos aspectos en la intervención de los pacientes.
Descritores: Religião
Ideação Suicida
Neoplasias
-Percepção
Suicídio
Comportamento
Estudos Transversais
Dados Demográficos
Depressão
Fatores de Proteção
Limites: Humanos
Feminino
Adulto
Pessoa de Meia-Idade
Responsável: CO78 - Asociación Colombiana de Psiquiatría


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Texto completo SciELO Chile
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Id: biblio-961433
Autor: Wikee, Germán; Martella, Diana.
Título: Capacidad física y reserva cognitiva como factores protectores de las funciones atencionales en adultos mayores / Physical activity and cognitive reserve as protective factors for attentional functioning in older people
Fonte: Rev. méd. Chile;146(5):570-577, mayo 2018. tab, graf.
Idioma: es.
Resumo: Background: Attention is considered a central control mechanism in cognitive processing systems. Attention deficits contribute to the symptomatic profile of Alzheimer's disease (AD). Physical exercise and cognitive reserve, could delay cognitive impairment and constitute a protective factor against clinical manifestations of AD. Aim: To relate the functionality of the attentional networks with physical activity and cognitive reserve. Material and Methods: Three groups of 20 older adults each (control, physical activity and with osteoarthritis) were studied. The Functional capacity assessment test, Cognitive Reserve Questionnaire and the Attention Networks Test - for Interactions and Vigilance or ANTI-V were applied to participants. Results: Significant differences were observed in the response times of the alert, orientation and executive network, and the percentage of success in the network orientation and executive network. No differences between groups were observed for the different indicators of vigilance. Conclusions: These results confirm the benefits of physical exercise as a protective factor for attentional functioning.
Descritores: Atenção/fisiologia
Exercício Físico/fisiologia
Função Executiva/fisiologia
Reserva Cognitiva/fisiologia
Testes Neuropsicológicos
-Tempo de Reação
Estudos Transversais
Estudos de Coortes
Escolaridade
Fatores de Proteção
Limites: Humanos
Masculino
Feminino
Idoso
Tipo de Publ: Estudo Comparativo
Responsável: CL1.1 - Biblioteca Central


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Id: biblio-1280629
Autor: Andrade, Maria Betânia Tinti de; Felipe, Andriana Olimpia Barbosa; Vedana, Kelly Graziani Giacchero; Scorsolini-Comin, Fabio.
Título: O nexo entre religiosidade/espiritualidade e o comportamento suicida em jovens / The nexus between religiosity/spirituality and suicidal behavior in young people / El nexo entre religiosidad/espiritualidad y comportamiento suicida en los jóvenes
Fonte: SMAD, Rev. eletrônica saúde mental alcool drog;16(4):109-121, out.-dez. 2020. ilus.
Idioma: pt.
Resumo: OBJETIVO: avaliar as evidências científicas referentes à relação entre religiosidade/espiritualidade (R/E) e o comportamento suicida. MÉTODO: estudo de revisão integrativa da literatura, nas bases de dados: LILACS, PubMed e CINAHL, de janeiro de 2011 a fevereiro de 2020. Foram identificados 1044 artigos, dos quais sete foram incluídos no estudo. RESULTADOS: Predominaram estudos quantitativos (71,4%), realizados com universitários (57,14%), que investigaram a religião (71,43%) e diferentes dimensões do comportamento suicida (85,7%). A maioria dos estudos retratara benefícios da religião e da espiritualidade, mesmo que indiretamente na vida dos jovens e apontaram para efeitos protetivos da R/E em relação ao comportamento suicida. CONCLUSÃO: A R/E pode ser um fator importante para adolescentes e adultos jovens que merece ser explorada em investigações e ações que fortaleçam os fatores protetores contra o comportamento suicida e permitam o aumento da literacia em saúde mental entre lideranças religiosas.

OBJECTIVE: to evaluate the scientific evidence regarding the relationship between religiosity/spirituality (R/S) and suicidal behavior. METHOD: an integrative literature review study, conducted in the following databases: LILACS, PubMed and CINAHL, from January 2011 to February 2020. A total of 1,044 articles were identified, of which seven were included in the study. RESULTS: quantitative studies (71.4%), carried out with university students (57.14%), which investigated religion (71.43%) and different dimensions of suicidal behavior (85.7%) predominated. Most of the studies portrayed the benefits of religion and spirituality, even if indirectly in the lives of young people and pointed to the protective effects of R/S in relation to suicidal behavior. CONCLUSION: R/S can be an important factor for adolescents and young adults that deserve to be explored in investigations and actions that strengthen the protective factors against suicidal behavior and allow for an increase in mental health literacy among religious leaderships.

OBJETIVO: evaluar la evidencia científica sobre la relación entre religiosidad/espiritualidad (R/E) y conducta suicida. MÉTODO: revisión integradora de la literatura, en las bases de datos: LILACS, PubMed y CINAHL, de enero de 2011 a febrero de 2020. Se identificaron 1044 artículos, de los cuales, siete fueron incluidos en el estudio. RESULTADOS: predominaron los estudios cuantitativos (71,4%), realizados con estudiantes universitarios (57,14%), que investigaron religión (71,43%) y diferentes dimensiones de la conducta suicida (85,7%). La mayoría de los estudios han retratado los beneficios de la religión y la espiritualidad, incluso indirectamente en la vida de los jóvenes, y han señalado los efectos protectores de la R/E en relación con la conducta suicida. CONCLUSIÓN: la R/E puede ser un factor importante para los adolescentes y adultos jóvenes que merece ser explorado en investigaciones y acciones que fortalezcan los factores protectores contra la conducta suicida y permitan un aumento de los conocimientos en salud mental entre los líderes religiosos.
Descritores: Religião
Estudantes
Suicídio
Tentativa de Suicídio
Universidades
Espiritualidade
Fatores de Proteção
Limites: Humanos
Masculino
Feminino
Adolescente
Adulto
Tipo de Publ: Revisão
Responsável: BR26.1 - Biblioteca Central


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Id: biblio-1254509
Autor: Diniz, Adriane Pinto; Minucci, Gabriel Silvestre; Roama-Alves, Rauni Jandé; Souza, Luís Paulo Souza e.
Título: Espiritualidade e Religiosidade como práticas de enfrentamento ao uso abusivo de drogas / Spirituality and Religiosity as coping practices in abuse use of drugs
Fonte: Rev. Psicol., Divers. Saúde;9(1):88-102, Março 2020. ilus.
Idioma: pt.
Resumo: Objetivou-se conhecer a relação entre a espiritualidade e a religiosidade com o uso abusivo de álcool e outras drogas, por meio da análise de publicações em revistas científicas. Foi realizada revisão integrativa da literatura de acordo com publicações encontradas nas bases de dados eletrônicas PePSIC, Index Psi, BDENF e LILACS. Utilizaram-se os seguintes descritores: "Espiritualidade"; "Religiosidade"; "Usuários de drogas"; "Abuso de álcool"; "Fatores de proteção". Para seleção das publicações, foram aplicados os seguintes critérios de inclusão: pertencer à faixa temporal de 2007 a 2017; estar disponível na íntegra, eletrônica e gratuitamente; estar em português; ser identificada a temática foco de análise no título e/ ou resumo e/ou na leitura integral do artigo. O único critério de exclusão adotado foi a repetição entre as bases de dados. Selecionaram-se 13 artigos. Como resultado, verificou-se efeitos protetores da espiritualidade e da religiosidade na maioria dos estudos, como: aspecto preventivo entre adolescentes; promoção de hábitos saudáveis entre gestantes; promoção de hábitos saudáveis via comunidades religiosas; prevenção de recaídas durante o processo de desintoxicação do uso abusivo de drogas lícitas e ilícitas. Porém, houve neutralidade da mediação dessas crenças e práticas em grupos de universitários e hapatopatas. Tais dados favorecem o fortalecimento da discussão científica da espiritualidade e da religiosidade, tanto em seus aspectos positivos, negativos e neutros, no cotidiano e na singularidade dos usuários, dentro da lógica da integralidade e humanização na promoção da saúde.

The objective of this study was to know the relationship between spirituality and religiosity with the abuse of alcohol and other drugs, through the analysis of publications in scientific journals. An integrative literature review was performed according to publications found in the electronic databases PePSIC, Index Psi, BDENF and LILACS. The following descriptors were used: "Spirituality"; "Religiosity"; "Drug users"; "Alcohol abuse"; "Protection Factors". For the selection of publications, the following inclusion criteria were applied: belong to the time range from 2007 to 2017; be available in full, electronically and for free; to be in Portuguese; be identified the thematic focus of analysis in the title and/or abstract and/ or in the full reading of the article. The only exclusion criterion adopted was the repetition between the databases. Thirteen articles were selected. As a result, there were protective effects of spirituality and religiosity in most studies, such as: preventive aspect among adolescents; promotion of healthy habits among pregnant women; promotion of healthy habits via religious communities; prevention of relapse during the detoxification process of licit and illicit drug abuse. However, there was neutrality in the mediation of these beliefs and practices in groups of university students and hapatopaths. These data favor the strengthening of the scientific discussion of spirituality and religiosity, both in its positive, negative and neutral aspects, in the daily life and uniqueness of users, within the logic of comprehensiveness and humanization in health promotion.
Descritores: Espiritualidade
-Preparações Farmacêuticas
Fatores de Proteção
Tipo de Publ: Revisão
Responsável: BR333.2 - Biblioteca - Campus II


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Id: biblio-1134199
Autor: Liu, Zhenhua; Wang, Haifeng; Chen, Yuke; Jin, Jie; Yu, Wei.
Título: Obesity: An independent protective factor for localized renal cell carcinoma in a systemic inflammation state
Fonte: Int. braz. j. urol;46(4):585-598, 2020. tab, graf.
Idioma: en.
Resumo: ABSTRACT Objectives To explore the prognostic value of obesity (measured by BMI) on RCC in a systemic inflammation state. Patients and Methods Clinicopathological and hematological data of 540 surgically treated Chinese localized RCC patients between 2005 and 2010 were retrospectively collected. Found by receiver operating characteristic (ROC) curve for cancer-specific survival (CSS), the optimal cutoff values of neutrophil-lymphocyte ratio (NLR, an indicator of systemic inflammation state) and BMI were 2.12 and 23.32, respectively. Survival curves were drawn using Kaplan-Meier method. Univariate and multivariate Cox regression analyses were used to evaluate the prognostic value of BMI in localized RCC patients with different NLR. Results Overall, 36 patients died with a median follow-up of 70 months. Median overall survival (OS) was 66 months and the 5-year OS rate was 92.7%. In the multivariate analysis of total patients, higher BMI was an independent protective factor for CSS in total patients (p=0.048). While in systemic inflammation subgroup (high NLR subgroup) patients, higher BMI (obesity) turned out to be an independent protective factor for both CSS (p=0.025) and RFS (p=0.048). Conclusion In localized RCC patients, obesity was an independent protective factor for CSS and RFS in a systemic inflammation state.
Descritores: Carcinoma de Células Renais
Neoplasias Renais
-Prognóstico
Linfócitos
Estudos Retrospectivos
Fatores de Proteção
Inflamação
Pessoa de Meia-Idade
Neutrófilos
Obesidade/complicações
Limites: Humanos
Masculino
Feminino
Responsável: BR1.1 - BIREME



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