Navegando por Palavras-chave "Neoplasia Da Mama"
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- ItemSomente MetadadadosAções para o controle do câncer de mama entre usuárias da atenção primária em dois municípios da Amazônia ocidental(Universidade Federal de São Paulo (UNIFESP), 2020-03-05) Silva, Maria Susana Barboza Da [UNIFESP]; Gabrielloni, Maria Cristina [UNIFESP]; Universidade Federal de São PauloObjective: Evaluate the implementation of actions for early detection of breast cancer in Primary Health Care (PHC) by users of Basic Health Units (UBS) in two municipalities of Western Amazon. Method: Cross-sectional study. The sample consisted of 736 women from 35 to 69 years old, eligible UBS users. The collection took place in Family Health Strategy UBS from September / 2017 to March 2018, using a structured questionnaire, based on national protocols and guidelines published until 2015 as references. Statistical analysis was performed using the R® Core Team (2018) software, applying Chi-square or Fisher Exact tests, with a significance level of 5%. Results: Among the 736 women, 82.3% lived in the urban area, 40.1% were married, 76.4% of mixed race / brown color, 48.2% were illiterate or had not completed elementary school and 63.9% were from the city. class of. The frequency of breast examination in women at high risk and standard risk was 39.7% and mammography 42%. The adequacy of clinical breast examination reached 21% of women at risk for breast cancer. Proper mammography was performed in 66.7% in high-risk women and 5.8% in standard-risk women. Most women were instructed to have mammography after 40 years, consequently, the prevalence of annual mammographic examination was higher in women from 40 to 49 years. There was greater adequacy in the clinical examination of breasts and mammography in women with standard risk for breast cancer in Cruzeiro do Sul than in Rodrigues Alves, but this is much lower than recommended. Conclusion: In the socio-demographic characterization of the age groups, it was found that low education and income are more frequent in women from 50 to 69 years old than in women from 35 to 39 years old and from 40 to 49 years old, making them more vulnerable. socially. The early detection actions implemented are in disagreement with national recommendations, which may pose a higher risk to women. Given this, it is necessary to create strategies to increase the adherence of health professionals to government proposals, as well as continuous evaluation of actions performed in PHC services.
- ItemSomente MetadadadosAções para o controle do câncer de mama na atenção primária à saúde na perspectiva das usuárias(Universidade Federal de São Paulo (UNIFESP), 2019-09-28) Goncalves, Valterli Conceicao Sanches [UNIFESP]; Gutierrez, Maria Gaby Rivero De [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: Cancer is considered an important public health problem, due to its epidemiological, social and economic relevance, in both developed and developing countries. For early detection of this condition, the Ministry of Health recommends diagnostic and screening actions, making clear the need for the tripod: population warned of signs and symptoms; health professionals trained to evaluate suspected cases and health systems, and services prepared to ensure timely diagnostic confirmation, with quality and guarantee of comprehensive care throughout the care line. It is relevant to know preventive practices related to early detection and diagnosis, since this information can support the planning of effective strategies in Primary Health Care. Objective: To evaluate the implementation of opportunistic screening actions for breast cancer control, proposed by the Ministry of Health, in Primary Health Care, through information from users. Method: Cross-sectional study conducted in 18 BHUs in the municipality of Diadema, with 675 users, aged 35-69 years, from November 2014 to March 2015. It is linked to the multicenter project entitled “Actions on Breast Cancer Control: identification of practices in Primary Care” developed by the Nursing Schools of the Federal University of São Paulo (Paulista School of Nursing / UNIFESP) and the University of São Paulo - Ribeirão Preto College of Nursing (EERP-USP), which purpose is to portray the implementation of the actions recommended by the Ministry of Health for the screening of breast cancer among users of Primary Health Care. Used a validated questionnaire which was applied after approval of the UNIFESP Research Ethics Committee. The project was approved under CAAE No. 20021714.5.0000.5505. The collected data were analyzed descriptively and analytically. Results: Of the users, 50.5% declared to be white; 44.3% married; 32.2% said they were illiterate or had completed Elementary School. 61.6% belonged to social class C and 62.1% do not perform any paid activity. Most (83.8%) used exclusively Unified Health Care System services and only 16.2% had health insurance, using it for consultations and exams. As for the risk for breast cancer, 4.7% reported having family risk factor for the neoplasm and 63.1% said the health professional asked about family risk for breast cancer; 37.5% of users at high risk for breast cancer reported having undergone breast clinical examination annually; 20.9% of users aged 50 to 69 years and at population risk performed mammography. Only 8.7% of users reported having attended an educational meeting on breast cancer. Regarding the adequacy of the parameters established by the Consensus for mammography and clinical breast examination, rates of 8.9%, 10.6% and 7.7% were found for age groups 35 to 39, 40 to 49 and 50. to 60 years, respectively. Conclusion: the opportunistic screening actions for breast cancer, carried out by Primary Health Care, need to be adjusted to comply with the guidelines proposed by the Ministry of Health in all age groups studied.
- ItemAcesso aberto (Open Access)Análise integrada de genes e miRNAs diferencialmente expressos em carcinomas de ovário seroso de alto grau de pacientes com distintas respostas à quimioterapia(Universidade Federal de São Paulo (UNIFESP), 2021) Melo, Natalia Cruz E [UNIFESP]; Rocha, Rafael Malagoli [UNIFESP]; Universidade Federal de São PauloOBJECTIVE: This study intended to evaluate the action of acupuncture on myelodepression in women with breast cancer during treatment with anthracyclines and quality of life, before and after chemotherapy. METHODS: The population of this study was composed of women newly diagnosed with breast cancer at the UNIFESP Mastology outpatient clinic and with indication for chemotherapy with anthracyclines. Patients were randomized into two groups: the Acupuncture Group (GA) and the Control Group (CG). All participants, before and at the end of treatment with anthracyclines and at the end of it, answered the quality of life questionnaire (FACT-G) and were monitored for leukocyte and neutrophil levels in peripheral blood as an indicator of the level of spinal depression. The GA underwent intervention with Acupuncture for up to 10 sessions, starting before the first infusion of chemotherapy and continuing throughout the treatment. The points were used: GV14, CV6, ST36, SP6, KI3, GB39. RESULTS: A total of 26 women were randomized into 2 groups: GA (10) and CG (16). Of these, 7 (26.92%) received a dense dose indication (according to the service protocol) and, therefore, received the granulocyte stimulating factor G- CSF from the first cycle. Thus, for the analysis of the protective effect of acupuncture on the myeloprotective medulla, 2 women from GA and 5 from GC were excluded. The Quality of Life (QOL) analysis was performed for the total sample and also in the subgroups that received G-CSF. The need for secondary prophylaxis with G-CSF occurred in 72.7% (08/11) in the control group and in 12% (08/01) in the acupuncture group (p-value = 0.009). Regarding quality of life (QOL), the initial and final FACT-G showed a difference between the groups, where the mean GA at the end rose from 80.68 to 90.12 (p-value = 0.004) and in the CG mean fell from 81.95 to 70.59 (p-value = 0.003) .In the analysis of subgroups that used G-CSF, the QoL of women in GA showed better QoL (p-value = 0.036). CONCLUSION: Based on the results presented, acupuncture showed efficiency in the prophylaxis of myelosuppression induced by chemotherapy with anthracyclines and increased the quality of life of women during treatment, including those who needed G-CSF.