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1.
J Clin Ethics ; 30(3): 218-222, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31573965

RESUMO

Children's age and developmental capacity leave them incapable of making medical decisions for themselves. Decisions for children are traditionally made under the best interest standard. Ross calls into question whether the best interest standard can function as both a guidance and intervention principle, able to be applied across the spectrum of pediatric decision making. Ross describes constrained parental autonomy as an alternative model, arguing that it affords parents the ability to make decisions within the context of their family while upholding a child's current and future interests. Although the model provides a robust framework for intrafamilial decision making, I question whether it can be broadly applied to children living in non-intimate families.


Assuntos
Tomada de Decisões , Pais , Autonomia Pessoal , Criança , Saúde da Família , Humanos
2.
Exp Suppl ; 111: 29-32, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31588526

RESUMO

In this brief chapter, clinically very important topics of family screening and genetic counseling are discussed that are also pivotal in endocrine genetics. Genetic screening makes possible to diagnose a genetic disease at an early stage or to exclude its presence. Family members have to be screened if a heritable disease is diagnosed. Personal consultation with the patient and the relatives is inevitable in every genetically determined disease. The main function of genetic counseling is the transfer of important pieces of information to the patient about the congenital or later-manifesting diseases. This process via the informed consent should give enough information to the patient and the relatives to make decisions about the disease. Genetic data should be considered as special data; therefore the protection of the personal data and the confidentiality obligation should be prevailed intensively. The chief goal of the genetic counseling is the prevention of the conception or the birth of a person who would suffer from a severe genetic disease and/or to present information of the chance for having an affected descendant. If the prevention is not feasible, the alternative aim is to prevent the development of the consequences or to moderate its severity. Genetic counseling has important ethical aspects such as prenatal genetic investigations; hereditary, but treatable, nonlethal diseases; and genetic diseases that manifest late, predominantly in the adulthood.


Assuntos
Saúde da Família , Aconselhamento Genético , Testes Genéticos , Confidencialidade , Humanos , Consentimento Livre e Esclarecido
3.
Rev. Ciênc. Plur ; 5(2): 68-93, ago. 2019. ilus
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1021761

RESUMO

Introdução:A Educação Popular em Saúde (EPS) remete indivíduos e grupos à troca de saberes e experiências, permitindo-lhes associar a saúde ao resultado das suas condições de vida levando a uma emancipação do sujeito. Objetivo:Promover ações educativas com portadores de Diabetes Mellitus (DM);realizar oficinas de capacitação em EPS com trabalhadores de saúde; e avaliar os resultados das ações realizadas para os trabalhadores e usuários, em uma Unidade de Saúde da Família em Natal/RN. Método:Trata-se de uma pesquisa-ação com o referencial teórico da Teoria da Educação Libertadora, centrada na pedagogia problematizadora. Participaram da pesquisa trinta trabalhadores de saúde e trinta e seis usuários diabéticos. As ações foram organizadas através de rodas de conversa, dinâmicas de grupo, narrativas de vida, relatos de experiências, e explicitação de saberes, desejos, limitações, crenças e valores socialmente construídos. A coleta dos dados foi realizada através da Técnica de Associação Livre de Palavras, entrevista semiestruturada e grupo focal. O material empírico foi submetido à análise de ocorrência com auxílio do programa IRAMUTEQ. Resultados:Foram geradas palavras, expressões e categorias, a partir dos temas abordados e de situações criativas mostrando que a EPS vem sendo incorporada timidamente no processo educativo dos sujeitos deste estudo e bem distante dos princípios de participação, organização de um trabalho político, ampliação dos espaços de diálogo, respeito, de solidariedade e tolerância entre os diversos atores envolvidos no enfrentamento dos problemas de saúde, fundamentais para o aperfeiçoamento na construção de práticas saudáveis da atenção básica. Conclusões:A utilização de práticas ativas de ensino-aprendizagem, centradas na ampliação da escuta e em capacitações sobre EPS, poderá possibilitar mudanças no cenário onde os usuários e trabalhadores de saúde atuam com a diabetes mellitus (AU).


Introduction:Popular Health Education (EPS) refers to individuals and groups to exchange knowledge and experiences, allowing them to associate health to the outcomes of their living conditions.Objective:To know and promote educational actions with patients with diabetes Mellitus (DM); Perform training workshops in EPS with health workers; To know and develop participatory educative actions with diabetic groups; and evaluate the results of theactions performed for workers and users, in a family health unit in Natal/RN.Methods:This is an action research with the theoretical framework of liberating education theory, centered on problematizing pedagogy. Thirty health workers and 36 diabetic users participated in the study. The actions were organized through conversation wheels, group dynamics, life narratives, reports of experiences, and explication of knowledge, desires, limitations, beliefs and socially constructed values. Data collection was performed through the free word association technique, semi-structured interview and focal group. The empirical material was subjected to occurrence analysis (Bardin) with the aid of the Iramuteq program (Ratinaud; Marchand).Results:The data analyses originated words, expressions, categories, themes and creative situations showing that EPS is in process of construction, but still very incipient in primary care. words, expressions and categories were generated from the themes addressedand creative situations showing that the EPS has been incorporated timidly in the educational process of the subjects of this study and far from the principles of participation, organization of a political work, expansion of the spaces of dialogue, respect, solidarity and tolerance among the various actors involved in coping with health problems, fundamental for the improvement in the construction of Healthy practices of primary care.Conclusions:The use of active teaching-learning practices, centered on the amplification of listening and in training on EPS, may enable changes in the scenario where users and health workers act with diabetes mellitus (AU).


Assuntos
Humanos , Masculino , Feminino , Saúde da Família , Saúde do Idoso , Educação em Saúde , Grupos Focais/métodos , Pesquisa Qualitativa , Brasil , Diabetes Mellitus , Aprendizagem
4.
Codas ; 31(3): e20180116, 2019 Jun 27.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31271580

RESUMO

OBJETIVO: Avaliar a efetividade de um programa de intervenção para famílias de crianças com deficiência auditiva. MÉTODO: Pesquisa de intervenção, com delineamento longitudinal e análise estatística inferencial. Foram realizadas 20 sessões de intervenção, durante oito meses; destas, 19 ocorreram em situação de grupo e uma sessão foi individual. Para a análise dos dados pré e pós-intervenção, foram aplicados instrumentos específicos e realizado o registro em vídeo da interação da família com a criança após quatro e oito meses. RESULTADOS: Houve mudança clínica positiva confiável nas interações comunicativas das famílias com seus filhos, após 8 meses de intervenção. A necessidade de informações das famílias se modificou ao longo da intervenção e diminuiu para todas as famílias. CONCLUSÃO: verificou-se a efetividade da proposta de programa de intervenção para famílias de crianças com deficiência auditiva.


Assuntos
Promoção da Saúde/métodos , Perda Auditiva/reabilitação , Adulto , Brasil , Saúde da Família , Feminino , Comportamentos Relacionados com a Saúde , Humanos , Lactente , Estudos Longitudinais , Avaliação de Programas e Projetos de Saúde , Fatores Socioeconômicos , Adulto Jovem
5.
Rev Bras Enferm ; 72(3): 721-727, 2019 Jun 27.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31269138

RESUMO

OBJECTIVE: to measure the organizational climate in the work of professionals from Family Health Strategy (FHS) teams. METHOD: a cross-sectional study carried out with 458 professionals belonging to 72 FHS teams in a municipality in Southern Brazil. Data collection occurred between March and July of 2016 with self-application of the Team Climate Inventory (TCI). Data were analyzed by means of a non-parametric ANOVA. RESULTS: "Team Participation" was the best-rated domain (8.11), while "Task orientation" was the worst (7.51). Nurses obtained the highest mean in TCI (8.05), and dentists, the lowest (7.45). CONCLUSION: TCI is an appropriate and innovative tool for assessing the teamwork climate at the FHS. Identifying fragilities such as "task orientation" and relationships among professional categories of the team supports the planning of actions for organizational climate improvements and teamwork at the FHS.


Assuntos
Cultura Organizacional , Equipe de Assistência ao Paciente/normas , Adolescente , Adulto , Idoso , Análise de Variância , Brasil , Estudos Transversais , Saúde da Família/tendências , Feminino , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Equipe de Assistência ao Paciente/tendências , Estatísticas não Paramétricas , Inquéritos e Questionários
6.
Rev Med Chil ; 147(3): 305-313, 2019 Mar.
Artigo em Espanhol | MEDLINE | ID: mdl-31344167

RESUMO

BACKGROUND: The Chilean public health system is based on Primary Health Care (PHC), whose assessment is challenging due to the heterogeneity of services and multi-dimensionality of expected results. The Primary Care Assessment Tool was adapted and validated for Chile. AIM: To analyze, from the provider's perspective, the structure and functioning of the health centers, to determine the achievement of PHC's core functions: access, continuity, coordination, comprehensiveness of care, cultural competence, family centeredness and community orientation. MATERIAL AND METHODS: All professionals working in primary care in a commune of Metropolitan Santiago were invited to answer an online version of the Primary Care Assessment Tool. RESULTS: One hundred and nine professionals (51% of those invited) from four Family Health Centers, two Community Health Centers, and a Community Mental Health Center, answered the online questionnaire. Their distribution by profession and health units does not resemble the whole research population, which should be considered when interpreting the results. Data show a good performance of the system: general and domain specific scores are all near three for a maximum score of four. Family centeredness obtained the highest score, whereas cultural competence had the lowest. CONCLUSIONS: Reinforcing intercultural skills and a wider approach to psycho-social problems is recommended to strengthen the new healthcare model implementation.


Assuntos
Pessoal de Saúde , Acesso aos Serviços de Saúde , Atenção Primária à Saúde , Inquéritos e Questionários , Chile , Competência Cultural , Saúde da Família , Humanos , Pessoa de Meia-Idade , Satisfação do Paciente , População Urbana
7.
Rev Lat Am Enfermagem ; 27: e3058, 2019 Jul 18.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31340338

RESUMO

OBJECTIVE: to evaluate the process and outcome indicators of the prenatal care developed in primary care, comparing traditional care models and the Family Health Strategy. METHOD: this is a cohort study, conducted with an intentional sample of 273 mothers/babies from the neonatal period and followed up for one year. Donabedian evaluation was adopted and data were discussed based on the Social Determination of Health. The independent variable was the care model. The dependent variables in the process evaluation were related to the quality of prenatal care and to the quality score created and the evaluation of the outcome, to the conditions of birth and the first year of life. The evaluation of the process was performed by estimating the relative risk and the evaluation of the outcome was performed by the Cox Multiple Regression Model. RESULTS: lower income and risk of the low prenatal quality score were identified in the Family Health Units, where there were more puerperium consultation and health education actions. There was no difference in outcome indicators. CONCLUSION: possibly the best quality of prenatal care was able to minimize negative socioeconomic effects found in family health, so the outcome indicators were similar in both models of the primary care.


Assuntos
Cuidado Pré-Natal/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Indicadores de Qualidade em Assistência à Saúde , Brasil , Saúde da Criança , Saúde da Família , Feminino , Humanos , Avaliação de Programas e Projetos de Saúde , Estudos Prospectivos , Fatores Socioeconômicos , Saúde da Mulher , Adulto Jovem
8.
Rev Lat Am Enfermagem ; 27: e3157, 2019 Jul 18.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31340345

RESUMO

OBJECTIVE: to analyze the relationship between perception of social support and emotional and physical symptoms associated with psychiatric conditions among women. METHOD: a cross-sectional, quantitative study was carried out with a randomized random sample of 141 women attended at a Family Health Unit of the city of Ribeirão Preto/SP. A sociodemographic questionnaire, the Social Support Questionnaire and the Self-Report Questionnaire were used. RESULTS: there was no association between sociodemographic characteristics and mental disorder, but between aspects such as low income and schooling. The exercise of professions culturally considered as of low prestige gave rise to some reflections related to gender inequality. There was a significant difference in the satisfaction scores between the women who reported or not the symptoms of tiredness and sadness and the number of supporters among those who reported or not the symptom of fatigue. Spouses and children were the most mentioned supporters, and having mental disorder was significantly associated with having no friends in the support network. CONCLUSION: issues related to gender equity and satisfaction with social support are important aspects of care. For the promotion of mental health, efforts must be made to make women feel more connected and supported by the supporters available in their social environment.


Assuntos
Transtornos Mentais , Saúde Mental , Apoio Social , Adolescente , Adulto , Idoso , Brasil , Estudos Transversais , Saúde da Família , Feminino , Humanos , Transtornos Mentais/diagnóstico , Pessoa de Meia-Idade , Autorrelato , Fatores Socioeconômicos , Inquéritos e Questionários , Saúde da Mulher , Adulto Jovem
9.
Fortschr Neurol Psychiatr ; 87(9): 476-482, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-31261412

RESUMO

BACKGROUND: Patients who suffer from amyotrophic lateral sclerosis sometimes show pathological changes in behaviour and cognition. Some even develop frontotemporal dementia. The family caregivers of the patients are faced with additional challenges. AIM: To describe the effect of changes in behaviour and cognition on the emotional state and the perceived stress and burdens of family caregivers. METHOD: Different search terms were used for searching in several databases. Ten trials were included in the study. Further examinations of this topic on the basis of additional literature are described in the discussion section. RESULTS: Changes in behaviour and cognition can lead to symptoms of anxiety and depression in family caregivers. The findings also show a correlation between apathy, disinhibition and executive dysfunction combined with an increase in caregiver burden. CONCLUSION: Changes in behaviour and cognition in patients with ALS have a negative impact on the emotional state of family caregivers and contribute to increased feelings of being burdened. Early and detailed information concerning possible disease-induced changes is necessary.


Assuntos
Esclerose Amiotrófica Lateral/terapia , Cuidadores/psicologia , Saúde da Família , Estresse Psicológico/etiologia , Esclerose Amiotrófica Lateral/complicações , Ansiedade/etiologia , Depressão/etiologia , Demência Frontotemporal/complicações , Humanos
10.
Rev. pesqui. cuid. fundam. (Online) ; 11(4): 1065-1071, jul.-set. 2019.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1005589

RESUMO

Objetivo: descrever a percepção e a vivência de famílias de crianças com epilepsia. Método: Estudo descritivo de caráter qualitativo, realizado no município de Guarapuava/PR. Os dados foram coletados nos meses de janeiro e fevereiro de 2016, por meio de entrevistas semiestruturadas realizadas junto a sete familiares de crianças com epilepsia. Os relatos foram transcritos e submetidos à análise categorial temática. Resultados: Os resultados ressaltam o impacto social da doença na família, desde o momento do diagnóstico, com implicações para desenvolvimento de atitudes de superproteção, até mudanças na dinâmica familiar, além do enfrentamento do estigma da doença. Conclusão: O desvelamento da percepção e da vivência de famílias de crianças com epilepsia permitiu verificar em que medida estas influenciam o cuidado dispensado a elas, ao mesmo tempo em que ressalta a importância do apoio a estas famílias no cuidado, por meio de uma assistência humanizada e qualificada, pautada nas reais necessidades de cada unidade familiar


Objective: to describe the perception and the experience of families composed by children with epilepsy. Method: Descriptive study of a qualitative character, carried out in the city of Guarapuava-PR. The data were collected in the month of January and February of 2016, by means of a semi-structured instrument, it was obtained participation of 7 relatives of children with epilepsy. The reports were transcribed and submitted to the Analysis of thematic content modality. Results: they call attention to the social impact of the disease in the family, from the moment of diagnosis, with implications for the development of attitudes of overprotection, to changes in family dynamics, and the stigma of epilepsy. Conclusion: understanding the perception and the experience of families, reveals that this may influence the care of the child with epilepsy. In addition, it denotes the importance of supporting the family in care, with an assistance based on the real needs of the family and therefore, more humanized and qualified


Objetivo: describir la percepción y la vivencia de famílias compuestas por niños con epilepsia. Método: Estudio descriptivo de carácter cualitativo, realizado em El municipio de Guarapuava-PR. Los datos fueron recolectados em El mes de enero y febrero de 2016, por medio de instrumento semi estructurado, se obtuvo La participación de 7 familiares de niños con epilepsia. Los relatos fueron trascritos y sometidos al analise de Contenido modalidad temática. Resultados: llaman La atención sobre el impacto social de La enfermedad em La familia, desde el momento del diagnóstico, com implicaciones para el desarrollo de actitudes de sobre protección, hasta los câmbios ocurridos em La dinámica familiar, además del estigma de la epilepsia. Conclusión: La comprensión de La percepción y la vivencia de lãs familias, revela que ésta puede influir em el cuidado delniño con epilepsia. Además denota La importancia de apoyar a La família enel cuidado, con una asistencia pautada em lãs reales necesidades de La familia y por lo tanto, más humanizada y calificada


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adulto , Cuidado da Criança/psicologia , Saúde da Família , Epilepsia/psicologia , Enfermagem Familiar
11.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde, LIS-bvsms | ID: lis-LISBR1.1-46607

RESUMO

A Estratégia Saúde da Família (ESF) busca promover a qualidade de vida da população brasileira e intervir nos fatores que colocam a saúde em risco, como falta de atividade física, má alimentação e o uso de tabaco. Com atenção integral, equânime e contínua, a ESF se fortalece como uma porta de entrada do Sistema Único de Saúde (SUS).


Assuntos
Saúde da Família
12.
BMC Med Genet ; 20(1): 105, 2019 06 11.
Artigo em Inglês | MEDLINE | ID: mdl-31185933

RESUMO

BACKGROUND: Axenfeld-Rieger syndrome (ARS) is an autosomal dominant genetic disorder that is characterized by specific abnormalities of the anterior segment of the eye. Heterozygous mutations in two developmental transcription factor genes PITX2 and FOXC1 have been identified within ARS patients, accounting for 40 to 70% of cases. Our purpose is to describe clinical and genetic findings in a Chinese family with ARS. METHODS: An ARS family with three affected members was recruited. The patients underwent a series of complete ophthalmologic examinations, general physical examination and dental radiography. DNA samples of proband II-1 were used for targeted exome sequencing of the FOXC1 and PITX2 genes. Sanger sequencing was used to validate the variation in PITX2. Quantitative real-time PCR was carried out to detect the expression of PITX2 in patients and normal controls. RESULTS: All affected members showed iris atrophy, corectopia, shallow anterior chamber, complete or partial angle closure, and advanced glaucoma. In addition, they revealed systemic anomalies, including microdontia, hypodontia, and redundant periumbilical skin. A novel heterozygous frameshift variation, c.515delA, in PITX2 was found in the proband, which might lead to a truncated PITX2 protein (p.Gln172ArgfsX36). Sanger sequencing validated that the variation completely cosegregated with the ARS phenotype among this family, but was absent in 100 unrelated controls. Quantitative real-time PCR analysis revealed that the mRNA expression of PITX2 was significantly decreased in patients compared with that in unrelated normal controls. CONCLUSIONS: PITX2 c.515delA (p.Gln172ArgfsX36) was the genetic etiology of our pedigree. The mutation led to decreased PITX2 gene expression and a truncated mRNA transcript.


Assuntos
Segmento Anterior do Olho/anormalidades , Anormalidades do Olho/genética , Oftalmopatias Hereditárias/genética , Mutação da Fase de Leitura , Predisposição Genética para Doença/genética , Proteínas de Homeodomínio/genética , Fatores de Transcrição/genética , Sequenciamento Completo do Exoma/métodos , Adolescente , Adulto , Grupo com Ancestrais do Continente Asiático , China , Anormalidades do Olho/etnologia , Oftalmopatias Hereditárias/etnologia , Saúde da Família , Feminino , Predisposição Genética para Doença/etnologia , Humanos , Masculino , Linhagem , Adulto Jovem
13.
Gan To Kagaku Ryoho ; 46(4): 673-677, 2019 Apr.
Artigo em Japonês | MEDLINE | ID: mdl-31164505

RESUMO

Safety measures against occupational exposure to anticancer drugs are practiced in line with guidelines; however, countermeasures against exposure for families in pediatric areas have not yet been considered. We investigated the recognition and practice of anticancer drug exposure measures for children and families by nurses working in pediatric cancer hospitals(15 facilities in total). The results suggest that the current situation of anticancer drug exposure measures, including family guidance, are not practiced adequately.


Assuntos
Antineoplásicos , Saúde da Família , Neoplasias , Enfermeiras e Enfermeiros , Exposição Ocupacional , Antineoplásicos/efeitos adversos , Institutos de Câncer , Criança , Hospitais , Humanos , Neoplasias/tratamento farmacológico , Exposição Ocupacional/prevenção & controle , Inquéritos e Questionários
14.
BMC Public Health ; 19(1): 828, 2019 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-31242885

RESUMO

BACKGROUND: In order to prevent health and social problems later in life, it is important to identify childhood conditions related to the development of somatic symptoms. This prospective study expands on previous research by investigating whether negative childhood conditions are related to somatization later in life, taking other risk factors into account. This study aims to investigate whether somatic symptoms of the participants' parents, poor family functioning, or negative life events during childhood result in somatic symptoms in early or late adolescence. METHODS: The study population includes participants from the West Jutland Cohort Study who responded to the survey on their somatic symptoms at age 15 (n = 2963) and/or age 18 (n = 2341). The study also includes additional questionnaire information about the participants' poor family functioning, number of negative life events, and parental reports of somatic symptoms as well as register information about parental socioeconomic background. Generalized linear models for the binomial family were used and the results were presented as relative risks (RR) and risk differences (RD) with 95% confidence intervals (95%-CI). RESULTS: Experiencing poor family functioning at age 15 showed associations with somatic symptoms at age 15 (RR 1.75, 95%-CI, 1.43-2.14 and RD 18, 95%-CI, 11-25%) and 18 (RR 1.32, 95%-CI, 1.00-1.75 and RD 7, 95%-CI, 0.2-14%). The relative risks between poor family functioning and somatic symptoms were 2.5 for the boys at age 15 and 1.71 for the girls at age 18. Having experienced two or more negative life events up to the age of 15 was associated with reporting somatic symptoms at age 15 (RR 1.73, 95%-CI, 1.31-2.28 and RD 24, 95%-CI, 11-37%). No relative risks above 1.35 were found between parents reporting somatic symptoms and participants reporting somatic symptoms at ages 15 or 18. CONCLUSIONS: An increased awareness of the association between a poor social climate in the family and somatic symptoms may help professionals in health and educational systems prevent the development of such symptoms among adolescents.


Assuntos
Saúde do Adolescente , Experiências Adversas da Infância , Saúde da Família , Família , Sintomas Inexplicáveis , Transtornos Somatoformes/etiologia , Adolescente , Criança , Estudos de Coortes , Feminino , Humanos , Masculino , Pais , Estudos Prospectivos , Fatores de Risco , Classe Social , Inquéritos e Questionários
15.
Acta colomb. psicol ; 22(1): 82-94, ene.-jun. 2019. tab
Artigo em Espanhol | LILACS | ID: biblio-989076

RESUMO

Resumen El presente estudio tuvo como objetivo describir el funcionamiento familiar, la relación conyugal y la coparentalidad en familias, además de identificar las asociaciones entre estas variables con problemas emocionales y comportamentales en niños de 5 a 11 años. En total, se entrevistó a 50 madres cuyos hijos seguían tratamiento psicológico en los Servicios de Salud Pública. Los instrumentos utilizados fueron el FACES IV, la Entrevista de Identificación Familiar, el SDQ, la Escala de Relación Coparental, el Inventario de Percepción Parental (PPI) y la Escala Floreal. Los resultados señalan que el funcionamiento familiar enmarañado se encuentra correlacionado con síntomas de hiperactividad y con problemas relacionales y conductuales en el niño; mientras que una buena relación madre-hijo correlaciona negativamente con síntomas de hiperactividad y dificultades emocionales; y las prácticas educativas negativas correlacionan positivamente con problemas de comportamiento, síntomas de hiperactividad, y problemas emocionales y de conducta. Finalmente, el funcionamiento familiar enmarañado tuvo mayor repercusión en los síntomas de problemas de conducta y de relación con pares. Los resultados sugieren que diferentes tipos de problemas emocionales y comportamentales del niño son influenciados e influencian diferentemente la dinámica familiar, y que el funcionamiento de la familia está asociado con la salud mental del niño.


Abstract This study aimed to describe family functioning, marital relationship and coparenting in families, and identify the associations of these variables with the emotional and behavioral problems of children aged 5 to 11 years. 50 mothers whose children received psychological treatment in Public Health Services were interviewed. The instruments used were: FACES IV, Family Identification Interview, SDQ, Co-parenting Relationship Scale, Parent Perception Inventory (PPI) and Floreal Scale. Results showed that enmeshed family functioning was correlated with hyperactivity symptoms, relationship problems, and conduct problems of the child. Good mother-child relationship was negatively associated with symptoms of hyperactivity and emotional difficulties. Negative educational practices were positively correlated with behavioral problems, symptoms of hyperactivity, emotional and behavioral problems. Entangled family functioning had greater repercussion on symptoms of behavior problems and issues in relating with peers. Results suggest that different types of child's emotional and behavioral problems are influenced and influence family dynamics differently. Findings show that family functioning is associated with the child's mental health.


Resumo Este estudo teve como objetivo descrever o funcionamento familiar, a relação conjugal e a coparentalidade em famílias, além de identificar as associações entre essas variáveis com problemas emocionais e comportamentais em crianças de 5 a 11 anos. No total, foram entrevistadas 50 mães cujos filhos seguiam tratamento psicológico nos Serviços de Saúde Pública. Os instrumentos utilizados foram FACES IV, a Entrevista de Identificação Familiar, o SDQ, a Escala de Relação Coparental, o Inventário de Percepção Parental (PPI) e a Escala Floreal. Os resultados indicam que o funcionamento familiar emaranhado se encontra correlacionado com sintomas de hiperatividade e com problemas de relacionamento e de conduta na criança; enquanto uma boa relação mãe-filho correlaciona negativamente com sintomas de hiperatividade e dificuldades emocionais; as práticas educativas negativas correlacionam positivamente com problemas de comportamento, emocionais e sintomas de hiperatividade. Finalmente, o funcionamento familiar emaranhado teve maior repercussão nos sintomas de problemas de conduta e de relacionamento com pares. Os resultados sugerem que diferentes tipos de problemas emocionais e comportamentais da criança são influenciados e influenciam diferentemente a dinâmica familiar, e que o funcionamento da família está associado com a saúde mental da criança.


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Adulto , Saúde Mental , Saúde da Família , Poder Familiar , Relações Familiares
16.
Espaç. Saúde (Online) ; 20(1): [19-28], jun.2019. tab
Artigo em Português | LILACS | ID: biblio-1007849

RESUMO

Este artigo teve como objetivo analisar o entendimento de 62 Agentes Comunitários de Saúde da cidade de Campo Bom, no Rio Grande do Sul (Brasil), sobre as definições estabelecidas por eles acerca de sua identidade, proporcionando uma reflexão referente às práticas do cotidiano do trabalho. As entrevistas individuais e questionários auto preenchidos foram analisadas pelo seu conteúdo a partir da construção do Discurso do Sujeito Coletivo. As percepções apontam para a autodefinição do agente como um trabalhador que possui escuta qualificada; elo entre a equipe e a comunidade; múltiplas ações, que muitas vezes vão além do estabelecido legalmente; realizações pessoais condicionadas ao "sucesso" profissional; trabalho sob a lógica da educação em saúde. Esta pesquisa demonstrou que, por vezes, é o próprio trabalhador que se coloca na condição de "super-herói", o que nos faz pensar o quanto os processos de trabalho devem ser amplamente e continuamente discutidos.


Assuntos
Humanos , Atenção Primária à Saúde , Saúde da Família , Saúde do Trabalhador
17.
Prax Kinderpsychol Kinderpsychiatr ; 68(5): 402-418, 2019 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-31250720

RESUMO

Having an Eye for Families? - Standardized Family Diagnostics in Socialpediatric Centres In socialpediatric centres (SPZ) children and adolescents with mental and/or physical disorders/impairments are diagnosed and treated together with their families. This cross-sectional study researches to what extent standardized family diagnostic questionnaires are used in this context. One third of the 152 German SPZ participated in this questionnaire study (N = 50). While nearly all SPZ use intelligence tests (98 %) and symptom questionnaires (100 %) (s. Sydow u. Homes, in prep.), family diagnostic is applied remarkably seldom in German socialpediatric centres up to now: Only 14 of 28 family questionnaires whose use we had evaluated systematically, ever were used by the participating SPZs. Implications for research and clinical practice are derived.


Assuntos
Saúde da Família , Transtornos Mentais/diagnóstico , Inquéritos e Questionários , Adolescente , Criança , Estudos Transversais , Pessoas com Deficiência/psicologia , Alemanha , Humanos , Testes de Inteligência , Transtornos Mentais/terapia
18.
Artigo em Russo | MEDLINE | ID: mdl-31251854

RESUMO

The purpose of survey is to identify behavioral characteristics in family life-style and intra-family educational practices in dynamics of observation as health indicator. The life-style is analyzed according the results of questionnaire survey of 297 respondents, fostering school age children. The comparative analysis of behavior of adults and children is carried out based on the results of questionnaire surveys in 2007 and 2013. The verbal affirmations concerning importance of health and observance of healthy life-style in family have no concordance with actual behavior. The deterioration of of family function in healthy generation fostering is established. About 36,7% of parents pay no attention to their children. The passivity concerning organization of comfortable domestic conditions and inadequate medical activity in children health support are manifested by parents. The responsibility of parents for health of their children decreases too. The changing of priorities in hierarchy of life values occurs. The health loses its primary value. The decreasing of health in adults and children is logical due to effect relationship between life-style and health.


Assuntos
Atitude Frente a Saúde , Saúde da Família , Estilo de Vida , Pais , Adulto , Criança , Humanos , Inquéritos e Questionários
19.
BMC Med Genet ; 20(1): 90, 2019 05 24.
Artigo em Inglês | MEDLINE | ID: mdl-31126250

RESUMO

BACKGROUND: Hereditary spherocytosis (HS) is a common type of hereditary hemolytic anemia. According to the current diagnostic criteria of HS, patients with a family history of HS, typical clinical features and laboratory investigations could be diagnosed without the requirement of any additional tests, including genetic analysis. However, the clinical heterogeneities incur difficulties in HS diagnosis. We therefore aimed to investigate the application of genetic diagnosis in a family-based cohort. CASE PRESENTATION: In the present Chinese family, two probands sharing similar clinical manifestations, including jaundice, cholelithiasis, splenomegaly and spherocytes, while the clinical features of other family members were inconclusive. Whole-exome sequencing (WES) unexpectedly unveiled two separate disease-causing mutations in the two probands. SPTB R1625X mutation detected in proband D was a de novo mutation; while proband W inherited the SLC4A1 c.G1469A mutation from her mother, which was also inherited by her brother. However, the clinical features of proband W and her mother and brother were discrepant: proband W suffered from significant splenomegaly, jaundice and cholelithiasis, which resulted in cholecystectomy and splenectomy; while her mother and brother's HS were not complicated by cholelithiasis, and their splenomegaly and elevated serum bilirubin were moderate. In addition, additional genomic defects involved with HS-related symptoms have not been detected in this family. CONCLUSIONS: Both genotypes and phenotypes could be heterogeneous in the same HS family. The analysis of pathogenic gene mutations may endeavor to play an indispensable role in the accurate diagnosis and genetic consultation of HS individuals and their family members.


Assuntos
Saúde da Família , Heterogeneidade Genética , Mutação , Esferocitose Hereditária/genética , Adulto , Grupo com Ancestrais do Continente Asiático/genética , China , Feminino , Genótipo , Humanos , Masculino , Pessoa de Meia-Idade , Fenótipo , Esferocitose Hereditária/etnologia , Esferocitose Hereditária/patologia , Sequenciamento Completo do Exoma/métodos
20.
BMC Med Genet ; 20(1): 91, 2019 05 27.
Artigo em Inglês | MEDLINE | ID: mdl-31132985

RESUMO

BACKGROUND: Hereditary sensory and autonomic neuropathy (HSAN) type II is a group of extremely rare autosomal recessive neurological disorders with heterogeneous clinical and genetic characteristics. METHODS: We performed high-depth next-generation targeted sequencing using a custom-ordered "HSAN" panel, covering WNK1, NTRK1, NGF, SPTLC1 and IKBKAP genes, to identify pathogenic variants of the proband as well as the family members. We also performed whole exome sequencing to further investigate the potential occurrence of additional pathogenic variants in genes that were not covered by the "HSAN" panel. Quantitative real-time PCR was used to identify pathogenic copy number variations (CNVs) and to analyze the mRNA level of WNK1 gene of the family. Western blot analysis was performed to evaluate the WNK1 protein expression level. RESULTS: After sequencing, a novel nonsense variant (c.2747 T > G, p.Leu916Ter) in exon 9 of WNK1 gene was identified in two patients (hemizygous) and their mother (heterozygous). This variant is absent in all public databases as well as in 600 Han Chinese healthy controls. The region of this variant is evolutionary highly conserved. Furthermore, by quantitative real-time PCR using DNA of the pedigree, we revealed a large deletion containing the whole WNK1 gene in two patients. The WNK1 expression levels of the patients were significantly reduced. CONCLUSIONS: Our study firstly revealed that the coexistence of a novel WNK1 nonsense variant and a CNV resulted in HSAN type IIA in a Han Chinese family.


Assuntos
Códon sem Sentido , Variações do Número de Cópias de DNA , Neuropatias Hereditárias Sensoriais e Autônomas/genética , Proteína Quinase 1 Deficiente de Lisina WNK/genética , Sequência de Aminoácidos , Sequência de Bases , Análise Mutacional de DNA , Saúde da Família , Feminino , Neuropatias Hereditárias Sensoriais e Autônomas/metabolismo , Neuropatias Hereditárias Sensoriais e Autônomas/patologia , Sequenciamento de Nucleotídeos em Larga Escala/métodos , Humanos , Masculino , Linhagem , Homologia de Sequência de Aminoácidos , Proteína Quinase 1 Deficiente de Lisina WNK/metabolismo
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