Navegando por Palavras-chave "ambulatório hospitalar"
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- ItemAcesso aberto (Open Access)Anorexia nervosa: estudo de caso com uma abordagem de sucesso(Universidade Federal Fluminense, Departamento de Psicologia, 2008-12-01) Cañete, Márcia Cecília Vianna [UNIFESP]; Vitalle, Maria Sylvia de Souza [UNIFESP]; Silva, Flávia Calanca da [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Anorexia nervosa (AN) is a severe disease of multifactorial etiology, that involves genetic predisposition, sociocultural factors, biological and psychological vulnerabilities. This article aims to analyze the kind of psychotherapeutic treatment used, in heterogenous group, without focusing on the anorexic behaviour through the description of a case of AN. We have also approached the implications of the disease in the social and family aspects, in the education and sexuality of the patient. The kind of psychotherapeutic treatment used, in heterogenous group, without focusing in the anorexic behaviour, proved effective in the adherence to treatment as well as in the evolution of the case.
- ItemSomente MetadadadosEstudo do sono em pacientes após acidente vascular cerebral avaliados no ambulatório de neurovascular do hospital São Paulo(Universidade Federal de São Paulo (UNIFESP), 2016-12-09) Oliveira, Giuliano da Paz [UNIFESP]; Coelho, Fernando Morgadinho Santos Coelho [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: Caractherize the pattern of sleep and the factors related those could be predictive for subjective sleep quality in patients after stroke. Methods: Cross-sectional study involving 68 post-stroke patients seen at the Stroke Clinic. The data collected were age, sex, BMI, neck circumference, TOAST, NIHSS, modified Rankin Scale, and the presence of comorbidities such as hypertension, diabetes mellitus and smoking - and questionnaires - SF-36, PSQI, STOP-BANG, SEE, RLS. Results: The mean age was 59.8 ± 12.9 years, most of them (51.5%) were men. 48.5% had SED (ESE?10) and only 13.2% had RLS. Correlations among lower quality of life, lower age and higher BMI with low quality sleep were observed. It was also found that poor sleepers have worse quality of life and greater STOP-BANG scores. The STOP-BANG was a predictor of a poor quality of sleep, with relative risk of 1.6. Conclusion: This study confirmed the higher prevalence of poor sleep in post-stroke patients. This issue must be highlighted in care of these patients to minimize the impact in their quality of life, secondary risk, and rehabilitation. The STOP-BANG can be an interesting option to identify a poor quality of sleep in patients with underlying stroke.