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[PMID]:29206976
[Au] Autor:Brotman S; Drummond J; Silverman M; Sussman T; Orzeck P; Barylak L; Wallach I; Billette V
[Ad] Endereço:School of Work, McGill University, 3506 University Street, Montreal, Quebec, Canada.
[Ti] Título:Talking about Sexuality and Intimacy with Women Spousal Caregivers: Perspectives of Service Providers.
[So] Source:Health Soc Work;41(4):263-270, 2016 Nov 20.
[Is] ISSN:0360-7283
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article reports the findings of an exploratory study examining service provider perceptions and experiences of addressing sexuality and intimacy with women spousal caregivers. The caregiver-provider encounter is examined, and challenges faced by service providers in addressing sexuality are considered. Themes identified include ambivalence and discomfort, personal and institutional barriers, meanings attributed to sexuality and intimacy, and lack of opportunities to discuss experiences. Strategies to overcome silence and invisibility on the part of service providers in the health and social services system are considered.
[Mh] Termos MeSH primário: Cuidadores/psicologia
Papel Profissional
Sexualidade
Assistentes Sociais
Cônjuges/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Entrevistas como Assunto
Masculino
Meia-Idade
Pesquisa Qualitativa
Comportamento Sexual
Parceiros Sexuais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.1093/hsw/hlw040


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[PMID]:29206956
[Au] Autor:Yaman S; Ayaz S
[Ad] Endereço:Nursing Department, Faculty of Health Sciences, Gazi University, Ankara, Turkey.
[Ti] Título:Psychological Problems Experienced by Women with Gynecological Cancer and How They Cope with It: A Phenomenological Study in Turkey.
[So] Source:Health Soc Work;41(3):173-181, 2016 Aug 01.
[Is] ISSN:0360-7283
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study was carried out to reveal, in detail, the psychosocial problems faced by women in Turkey during their illness with gynecological cancer, and how they cope with these problems. The phenomenological approach used for the methodology is consistent with that described by Clark Moustakas's transcendental phenomenology. The sample included 17 married women. A semistructured, in-depth question directive was used to collect the data. The psychological problems found in the women in the study included frustration and despair, depression, inability to control anger, disruption in body image, and problems with their sex lives. The women in the study stated that, among other activities, they prayed frequently. They also emphasized that social support from family and others was important in coping. The majority said that they were able to cope through denial. Women under treatment for gynecological cancer should be evaluated from a psychosocial standpoint, and spiritual care and social support should be provided as they frequently use these to cope with their illness. It is recommended that a team be created, consisting of nurses, psychiatrists or psychologists, and religious staff to meet these needs.
[Mh] Termos MeSH primário: Adaptação Psicológica
Neoplasias dos Genitais Femininos/psicologia
[Mh] Termos MeSH secundário: Adulto
Imagem Corporal/psicologia
Depressão/psicologia
Emoções
Feminino
Seres Humanos
Entrevista Psicológica
Meia-Idade
Pesquisa Qualitativa
Sexualidade/psicologia
Apoio Social
Turquia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.1093/hsw/hlw030


  3 / 5896 MEDLINE  
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Registro de Ensaios Clínicos
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[PMID]:29385166
[Au] Autor:Hubscher CH; Herrity AN; Williams CS; Montgomery LR; Willhite AM; Angeli CA; Harkema SJ
[Ad] Endereço:Department of Anatomical Sciences and Neurobiology, University of Louisville, Louisville, Kentucky, United States of America.
[Ti] Título:Improvements in bladder, bowel and sexual outcomes following task-specific locomotor training in human spinal cord injury.
[So] Source:PLoS One;13(1):e0190998, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Locomotor training (LT) as a therapeutic intervention following spinal cord injury (SCI) is an effective rehabilitation strategy for improving motor outcomes, but its impact on non-locomotor functions is unknown. Given recent results of our labs' pre-clinical animal SCI LT studies and existing overlap of lumbosacral spinal circuitries controlling pelvic-visceral and locomotor functions, we addressed whether LT can improve bladder, bowel and sexual function in humans at chronic SCI time-points (> two years post-injury). STUDY DESIGN: Prospective cohort study; pilot trial with small sample size. METHODS: Eight SCI research participants who were undergoing 80 daily one-hour sessions of LT on a treadmill using body-weight support, or one-hour of LT and stand training on alternate days, as part of another research study conducted at the Kentucky Spinal Cord Injury Research Center, University of Louisville, were enrolled in this pilot trial. Urodynamic assessments were performed and International Data Set questionnaire forms completed for bladder, bowel and sexual functions at pre-and post-training time points. Four usual care (non-trained; regular at-home routine) research participants were also enrolled in this study and had the same assessments collected twice, at least 3 months apart. RESULTS: Filling cystometry documented significant increases in bladder capacity, voiding efficiency and detrusor contraction time as well as significant decreases in voiding pressure post-training relative to baseline. Questionnaires revealed a decrease in the frequency of nocturia and urinary incontinence for several research participants as well as a significant decrease in time required for defecation and a significant increase in sexual desire post-training. No significant differences were found for usual care research participants. CONCLUSIONS: These results suggest that an appropriate level of sensory information provided to the spinal cord, generated through task-specific stepping and/or loading, can positively benefit the neural circuitries controlling urogenital and bowel functions. TRIAL REGISTRATION: ClinicalTrials.gov NCT03036527.
[Mh] Termos MeSH primário: Colo/fisiopatologia
Locomoção
Sexualidade
Traumatismos da Medula Espinal/reabilitação
Bexiga Urinária/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Estudos Prospectivos
Recuperação de Função Fisiológica
Traumatismos da Medula Espinal/fisiopatologia
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180201
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190998


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[PMID]:28402223
[Au] Autor:Schmitz RM; Tyler KA
[Ad] Endereço:a Department of Sociology and Anthropology , University of Texas Rio Grande Valley , Edinburg , Texas , USA.
[Ti] Título:LGBTQ+ Young Adults on the Street and on Campus: Identity as a Product of Social Context.
[So] Source:J Homosex;65(2):197-223, 2018.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Lesbian, gay, bisexual, queer, and other sexual and gender minority (LGBTQ+) young adults face unique identity-related experiences based on their immersion in distinctive social contexts. The predominant framework of performing separate analyses on samples of LGBTQ+ young people by their primary social status obfuscates more holistic understandings of the role of social context. Using 46 in-depth interviews with LGBTQ+ college students and LGBTQ+ homeless young adults, we ask: How are LGBTQ+ young adults' capacities for "doing" their gender and sexual identities shaped by their distinctive social contexts? In developing their identities, both groups of LGBTQ+ young adults navigated their social environments to seek out resources and support. Most college students described their educational contexts as conducive to helping them develop their identities, or "undo" rigid norms of gender and sexuality. Homeless young adults' social environments, meanwhile, imposed complex barriers to self-expression that reinforced more normative expectations of "doing" gender and sexual identities.
[Mh] Termos MeSH primário: Minorias Sexuais e de Gênero/psicologia
Meio Social
Estudantes/psicologia
Universidades
[Mh] Termos MeSH secundário: Adulto
Bissexualidade
Feminino
Homossexualidade Feminina
Seres Humanos
Masculino
Comportamento Sexual
Sexualidade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170413
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1314162


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[PMID]:29280868
[Au] Autor:Turini T; Weck Roxo AC; Serra-Guimarães F; Abreu ML; de Castro CC; Aboudib JH; Nahas FX
[Ad] Endereço:Rio de Janeiro and São Paulo, Brazil From the Division of Plastic and Reconstructive Surgery, Pedro Ernesto University Hospital, Rio de Janeiro State University; and the Division of Plastic Surgery, Federal University of São Paulo.
[Ti] Título:The Impact of Labiaplasty on Sexuality.
[So] Source:Plast Reconstr Surg;141(1):87-92, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Labiaplasty is one of the aesthetic procedures that has shown the greatest increase in the number of operations in recent years, although the absolute number of these procedures is still very low. Labia minora hypertrophy causes not only functional discomfort and sexual difficulties, but also embarrassment and aesthetic concern. The aim of this study was to assess the impact of labiaplasty on the patient's quality of life, self-esteem, and sexual function. METHODS: Twenty-four consecutive sexually active patients, who expressed the desire to undergo labiaplasty, were divided into two groups of 12 patients each: the intervention group that underwent labiaplasty immediately after responding the first questionnaires, and the control group that received no intervention during the study period. All patients were assessed for health-related quality of life, self-esteem, and sexual function using the Brazilian Portuguese versions of the Medical Outcomes Study 36-Item Short Form Health Survey, the Brazilian version of the Rosenberg Self-Esteem scale, and the Female Sexual Function Questionnaire, respectively. The questionnaires were administered at inclusion and at 3 and 6 months later in both groups. Comparisons within and between groups were performed. Statistical analysis was performed at a significance level of p < 0.05. RESULTS: No significant differences in Rosenberg Self-Esteem scale or Medical Outcomes Study 36-Item Short Form Health Survey score were found in either group during the study period. However, a significant improvement was found in the Female Sexual Function Questionnaire total score in the pain and enjoyment domains. CONCLUSION: Labiaplasty had a positive impact on sexual functioning of the study population.
[Mh] Termos MeSH primário: Técnicas Cosméticas/psicologia
Qualidade de Vida
Autoimagem
Disfunções Sexuais Fisiológicas/etiologia
Disfunções Sexuais Psicogênicas/etiologia
Sexualidade
Vulva/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seguimentos
Seres Humanos
Hipertrofia/complicações
Hipertrofia/psicologia
Hipertrofia/cirurgia
Meia-Idade
Estudos Prospectivos
Disfunções Sexuais Fisiológicas/diagnóstico
Disfunções Sexuais Fisiológicas/cirurgia
Disfunções Sexuais Psicogênicas/diagnóstico
Disfunções Sexuais Psicogênicas/cirurgia
Resultado do Tratamento
Vulva/patologia
Adulto Jovem
[Pt] Tipo de publicação:CONTROLLED CLINICAL TRIAL; JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003921


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[PMID]:29280869
[Au] Autor:Hamori CA
[Ad] Endereço:Duxbury, Mass. From the Christine Hamori Cosmetic Surgery and Skin Spa.
[Ti] Título:Discussion: The Impact of Labiaplasty on Sexuality.
[So] Source:Plast Reconstr Surg;141(1):93, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Comportamento Sexual
Sexualidade
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000004010


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[PMID]:29281135
[Au] Autor:Hilhorst D; Porter H; Gordon R
[Ad] Endereço:Professor of Humanitarian Aid and Reconstruction, International Institute of Social Studies, Erasmus University Rotterdam, Netherlands.
[Ti] Título:Gender, sexuality, and violence in humanitarian crises.
[So] Source:Disasters;42 Suppl 1:S3-S16, 2018 Jan.
[Is] ISSN:1467-7717
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Gender, sexuality, and violence have attracted significant attention in the sphere of humanitarianism in recent years. While this shift builds on the earlier 'Gender and Development' approach and the 'Women, Peace, and Security Agenda', analytical depth is lacking in practice. Notably, 'gender' often means a singular concern for women, neglecting questions of agency and the dynamic and changing realities of gendered power relations. This introductory paper examines why this neglect occurs and proposes a more relational approach to gender. It explores how the contributions to this special issue of Disasters revisit classic gender issues pertaining to violence, livelihoods, and institutions in different settings of humanitarian emergencies, while expanding one's vision beyond them. It draws from the seven papers a number of lessons for humanitarianism, concerning the entangled nature of gender relations, the risks of the unintended effects of gender programming, and the importance of paying sustained attention to how gender relations unfold in a time of crisis.
[Mh] Termos MeSH primário: Altruísmo
Relações Interpessoais
Sexualidade
Violência
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:INTRODUCTORY JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1111/disa.12276


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[PMID]:28453509
[Au] Autor:Hungr C; Sanchez-Varela V; Bober SL
[Ad] Endereço:Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute/Harvard Medical School, Boston, USA.
[Ti] Título:Self-Image and Sexuality Issues among Young Women with Breast Cancer: Practical Recommendations.
[So] Source:Rev Invest Clin;69(2):114-22, 2017 Mar-Apr.
[Is] ISSN:0034-8376
[Cp] País de publicação:Mexico
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Younger breast cancer survivors face a unique set of treatment-related issues that have enormous impact on quality of life and psychological well-being. Although there is often a profound and distressing impact of treatment on self-image and sexual function, women rarely receive any attention for these issues. Unfortunately, most clinicians receive no training on how to inquire about these problems and most clinicians feel unprepared to discuss them. Often this silence is due to a lack of ready resources and uncertainty of appropriate strategies for rehabilitation. Cultural barriers may also contribute to lack of attention to these issues. OBJECTIVE: The aim of this paper is to not only elucidate common problems regarding self-image and sexual dysfunction, but to also offer concrete guidance about inquiry using a simple checklist approach as well as tips for resources and other evidence-based intervention strategies. Samples of a checklist and resource sheet for women written in Spanish are included, and cultural considerations within a Hispanic/Latina framework will be noted. As the great majority of young breast cancer patients are now becoming long-term survivors, it is essential for clinicians to learn how to address distressing treatment-related late effects including diminished self-image and sexual dysfunction.
[Mh] Termos MeSH primário: Neoplasias da Mama/psicologia
Sobreviventes de Câncer/psicologia
Qualidade de Vida
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Neoplasias da Mama/epidemiologia
Feminino
Seres Humanos
Autoimagem
Disfunções Sexuais Psicogênicas/epidemiologia
Disfunções Sexuais Psicogênicas/etiologia
Sexualidade/psicologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29180388
[Au] Autor:Cornelson BM
[Ad] Endereço:Medical Director, East Calgary Family Care Clinic; Clinical Professor, Department of Family Medicine, University of Calgary, Calgary, Alta.
[Ti] Título:Sexual orientation not included in analysis.
[So] Source:CMAJ;189(47):E1464, 2017 11 27.
[Is] ISSN:1488-2329
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Comportamento Sexual
Sexualidade
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171219
[Lr] Data última revisão:
171219
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1503/cmaj.733401


  10 / 5896 MEDLINE  
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Registro de Ensaios Clínicos
[PMID]:27770819
[Au] Autor:Willging CE; Green AE; Ramos MM
[Ad] Endereço:Behavioral Health Research Center of the Southwest, Pacific Institute for Research and Evaluation, 612 Encino Place NE, Albuquerque, NM, USA. cwillging@pire.org.
[Ti] Título:Implementing school nursing strategies to reduce LGBTQ adolescent suicide: a randomized cluster trial study protocol.
[So] Source:Implement Sci;11(1):145, 2016 10 22.
[Is] ISSN:1748-5908
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Reducing youth suicide in the United States (U.S.) is a national public health priority, and lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) youth are at elevated risk. The Centers for Disease Control and Prevention (CDC) endorses six evidence-based (EB) strategies that center on meeting the needs of LGBTQ youth in schools; however, fewer than 6 % of U.S. schools implement all of them. The proposed intervention model, "RLAS" (Implementing School Nursing Strategies to Reduce LGBTQ Adolescent Suicide), builds on the Exploration, Preparation, Implementation, and Sustainment (EPIS) conceptual framework and the Dynamic Adaptation Process (DAP) to implement EB strategies in U.S. high schools. The DAP accounts for the multilevel context of school settings and uses Implementation Resource Teams (IRTs) to facilitate appropriate expertise, advise on acceptable adaptations, and provide data feedback to make schools implementation ready and prepared to sustain changes. METHODS/DESIGN: Mixed methods will be used to examine individual, school, and community factors influencing both implementation process and youth outcomes. A cluster randomized controlled trial will assess whether LGBTQ students and their peers in RLAS intervention schools (n = 20) report reductions in suicidality, depression, substance use, bullying, and truancy related to safety concerns compared to those in usual care schools (n = 20). Implementation progress and fidelity for each EB strategy in RLAS intervention schools will be examined using a modified version of the Stages of Implementation Completion checklist. During the implementation and sustainment phases, annual focus groups will be conducted with the 20 IRTs to document their experiences identifying and advancing adaptation supports to facilitate use of EB strategies and their perceptions of the DAP. DISCUSSION: The DAP represents a data-informed, collaborative, multiple stakeholder approach to progress from exploration to sustainment and obtain fidelity during the implementation of EB strategies in school settings. This study is designed to address the real-world implications of enabling the use of EB strategies by school nurses with the goal of decreasing suicide and youth risk behaviors among LGBTQ youth. Through its participatory processes to refine and sustain EB strategies in high schools, the RLAS represents a novel contribution to implementation science. TRIAL REGISTRATION: ClinicalTrials.gov, NCT02875535.
[Mh] Termos MeSH primário: Comportamento do Adolescente/psicologia
Bullying/prevenção & controle
Serviços de Enfermagem Escolar/métodos
Minorias Sexuais e de Gênero/psicologia
Sexualidade/psicologia
Suicídio/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Bissexualidade/psicologia
Análise por Conglomerados
Feminino
Homossexualidade/psicologia
Seres Humanos
Masculino
New Mexico
Projetos de Pesquisa
Suicídio/psicologia
Transexualismo/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171210
[Lr] Data última revisão:
171210
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE



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