Resilience of School Adolescents in a Socially Vulnerable Situation in the Light of Tidal Model.

BACKGROUND AND PURPOSE: Adolescents in contexts of social vulnerability experience obstacles in the development of their resilience, which compromises the development of coping/response strategies to daily adversities. This study aimed to understand the resilience process of school adolescents in situations of social vulnerability in the light of Barker's and Buchanan-Barker's Tidal Model. METHODS: This qualitative and exploratory study was carried out at a public school in the city of Recife, Pernambuco State, Brazil. The sample was composed of 17 adolescents. Data collection was carried out through in-depth narrative interviews. The material was analyzed with the aid of the software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires, interpreted through the assumptions of Tidal Model. RESULTS: The dendrogram demonstrated the corpus delimited in five classes named as "Navigation Plan," "Storms," "Ocean of Experiences," "Rescue," and "Safe Harbor." CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Through learning from narratives, nurses understand the important resources of a recovery journey and take care "with" adolescents, supporting the development of resilience to face storms by taking the helm of the vessel and resuming their travel.

Exercise in Pregnancy: The Impact of an Intervention Program in the Duration of Labor and Mode of Delivery.

OBJECTIVE: To access the benefits or harms of an exercise program, based on the current American College of Obstetricians and Gynecologists guidelines, on the mode of delivery, duration and onset of labor. METHODS: A study performed at the Hospital Senhora da Oliveira between October 2015 and February 2017. This was a quasi-experimental study involving 255 women divided into two groups: an intervention group engaged in a controlled and supervised exercise program during pregnancy (n = 99), and a control group that did not participate in the exercise program (n = 156). Data were collected in two stages: during the 1st trimester biochemical screening (before the beginning of the program), through a written questionnaire, and after delivery, from the medical files of the patients. The significance level in the present study was 5% (p = 0.05). RESULTS: The control group had higher odds of induced labor (odds ratio [OR] 2.71; 95% confidence interval [CI]: 1.42-5.17; p = 0.003), when compared with women who underwent the intervention. No differences were found between the groups in instrumental vaginal deliveries, cesarean rate, time until the beginning of the active phase, duration of the active phase, and duration of the second stage of labor. CONCLUSION: The implementation of a controlled and supervised exercise program in pregnancy was associated with significantly lower odds of induced deliveries.

OBJETIVO: Avaliar o efeito de um programa de exercícios na gravidez (baseado nas recomendações do American College of Obstetricians and Gynecologists) na via, duração e início do trabalho de parto. MéTODOS: Estudo realizado no Hospital Senhora da Oliveira entre outubro de 2015 e fevereiro de 2017. Trata-se de um estudo quasi-experimental com 255 grávidas, divididas em dois grupos: grupo de intervenção, constituído por mulheres que participaram de um programa controlado e supervisionado de exercícios físicos (n = 99), e um grupo de controle, formado por grávidas que não participaram do programa de exercícios (n = 156). Os dados foram colhidos em dois momentos: durante o rastreio bioquímico do primeiro trimestre (antes do início do programa), através de um questionário escrito, e após o parto, através da consulta do processo clínico da paciente. O nível de significância estatística adotado neste projeto foi de 5% (p = 0,05). RESULTADOS: O grupo controle apresentou maior probabilidade de indução do trabalho de parto (razão de chances [RC] 2,71; intervalo de confiança [IC] 95%: 1,42­5,17; p = 0,003) quando comparado com o grupo de intervenção. Não foram encontradas diferenças estatisticamente significativas entre os dois grupos em relação à via de parto, tempo até início da fase ativa, duração da fase ativa e duração do segundo estadio do trabalho de parto. CONCLUSãO: A implementação de um programa de exercícios controlado e supervisionado na gravidez foi associada a uma probabilidade significativamente menor de indução do trabalho de parto.

Association between body dissatisfaction and bullying in children of socioeconomically vulnerable areas.

HIGHLIGHTS: The association between body image, body composition and school bullying was evaluated.409 children with 11.14 years in high social vulnerability in Brazil participated.Victim-aggressor bullying participants are dissatisfied with thinness.Girls aged 8-10 years and with high fat % have dissatisfaction with excess.Body dissatisfaction showed associations with body composition and bullying. AIM: To analyze the association between dissatisfaction with body image and weight status and the roles assumed in school bullying in children and adolescents living in a socioeconomically vulnerable area. METHOD: 409 children and adolescents with average age of 11 years, from Florianópolis, Brazil, participated in this study. The body image was self-assessed through the Body Silhouettes Scale, the weight state through the body mass index (BMI) and the roles of participation in bullying through the Olweus Questionnaire. RESULTS: It was verified a significant association between "dissatisfaction with thinness" and (i) weight status, (ii) sex and (iii) roles of participation in bullying. In addition, low weight, boys and bully-victims presented a greater odds of body dissatisfaction due to thinness. The variable "dissatisfaction with excess" was negatively associated with age and weight status. Participants aged 11-12 years and 13 and 16 years, as well as children and adolescents with low weight, had lower odds of having excessive dissatisfaction. CONCLUSION: The associations found in this study are important tools for developing interventions to avoid or minimize the effects of early body dissatisfaction and consequently violence at school, especially in children with increased determinants such as those living in socioeconomically vulnerable areas.