Navegando por Palavras-chave "Qualidade De Vida"

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    Adolescentes em conflito com a lei e adolescentes escolares: suas trajetórias, intersecções e distanciamentos
    (Universidade Federal de São Paulo (UNIFESP), 2020-12-01) Silva, Maria Angelica Alves Da [UNIFESP]; Avallone, Denise De Micheli [UNIFESP]; Universidade Federal de São Paulo
    OBJECTIVE: This study aimed to identify, analyze, and relate the profiles of adolescents in conflict with the law (ACL) and school teenagers (AE) on the indicators: school trajectory, quality of life, use of psychoactive substances, resilience, and anger. METHODS: The profiles of 474 adolescents, 203 adolescents institutionalized in Fundação CASA (ACL) and 271 adolescents from state public schools (AE), aged 12 to 21, and were analyzed. The instruments used were a Sociodemographic Questionnaire and a School Trajectory, DUSI - Drug Use Screening Inventory, STAXI - Anger Expression Inventory as a Trait and State, Resilience Scale and WHOQOL-bref. RESULTS: The groups showed differences in family configuration, highlighting the predominance of single-parent families ACL (63%) and AE (34.3%); lag and conflicting relationships were identified in the school ACL’s context, the use of psychoactive substances was also more frequent in this group; however the AE group showed a discrepancy between substance use behavior and related problems. There was a difference regarding the psychoactive substances in which they showed evidence of ACL dependence: marijuana, 73%; alcohol, 48% and tobacco, 44%; AE: alcohol, 32%; tobacco, 12% and marijuana, 10%. On the STAXI scales, ACL had higher scores for State and Trait of Anger, Anger out and in with statistically significant differences. There was no statistically significant difference between the groups regarding the measurement of Resilience. In the WHOQOL-bref AE showed greater satisfaction regarding the general quality of life, while ACL showed greater satisfaction with their health, between the domains there were differences between the groups in DOM4 - Environment (AE: 60.6 ± SD 15.2; ACL: 57.7 ± SD 15.3) and DOM2 - Psychological (AE: 63.6 ± SD19.4; ACL 69.7 ± SD 16.3). In the binary logistic regression, the results showed that the scores of the instruments WHOQOL-bref, DOM1 - Physical and DOM2 - Psychological, DUSI - Area 1 and STAXI - Anger status increase the chances of belonging to the ACL group, while the odds reasons for belonging to the AE group were associated with the highest Resilience scores, WHOQOL-bref at DOM4 - Environment and STAXI – Temperament. CONCLUSION: It is understood that family and school must be invested in public policies that help them to configure in fact the important protective factors that they represent to overcome the vulnerabilities of adolescents and the risk factors of these contexts.
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    Análise da qualidade de sono em estudantes de graduação em enfermagem: repercussões no estado nutricional e qualidade de vida
    (Universidade Federal de São Paulo (UNIFESP), 2019-01-31) Salvi, Carolina Pasquini Praxedes [UNIFESP]; Martino, Milva Maria Figueiredo De [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Nursing students face throughout college life changes in routine, come across with great demand and experiences of everyday academic, and there are those who, besides studying, they work. Consequently, they may present losses in the teaching-learning process, interference in the pattern of the wake-sleep cycle, tiredness, and changes in food patterns and in quality of life. Objective: To analyze the quality of sleep, the quality of life and characterize the eating habits of nursing students. Method: Cross-sectional descriptive study with quantitative approach. The data were obtained through the instruments: socio-demographic questionnaire, questionnaire on food behavior, Pittsburgh sleep quality index and WHOQOL-BREF questionnaire, applied to a sample of 195 students of the Nursing course of a university located in the municipality of São João da Boa Vista-São Paulo. Results: Most participants resided in the city of origin of the university, were female, singles, have an average age of 24 years, did not have children and worked. More than half did not practice physical activity (63,08%), did not smoke (90,77%) and reported no disease (67,18%). Among the participants, 32,62% performed two to three meals, 45,13% consumed one portion of fruit, 40,66% of two to three servings of vegetables, daily, and 50,26% did not consume fast foods. The students reported their weight and height measurements, averaging 69,72 kg and 1,65 cm, respectively, resulting in an average body mass index of 25,61 kg/m2. They rated the general quality of life as neither poor nor good (38,34%) and as good (38,34%), and as for the perception of general health, 36,98% expressed satisfaction. It was observed that 71,05% of the participants presented poor sleep quality, with an average stay in the bed of 6,49 hours. Most students did not use medicines that induce sleep and 98,97% used electronic devices, like cell phone, tablet and notebook, before they slept. Among the study participants, there was a significant association between physical activity and insomnia and the periods studied and a significant correlation between the WHOQOL-BREF domains and the overall PSQI score. Conclusion: The study allowed drawing a profile and panorama of the life of these students, being they young people who study and work, sedentary and overweight. They have a quality of life classified as good and poor sleep quality. Knowledge of this reality may be useful to contribute to other studies and preventive strategies that may benefit the lives of nursing students.
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    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 Paulo
    OBJECTIVE: 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.
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    Avaliação auditiva, vestibular e de qualidade de vida em pacientes com Schwannoma vestibular submetidos a radiocirurgia estereotáxica
    (Universidade Federal de São Paulo (UNIFESP), 2021) Marra, Murilo Bufaical [UNIFESP]; Testa, Jose Ricardo Gurgel [UNIFESP]; Universidade Federal de São Paulo
    Stereotaxic radiosurgery (SRS) is a safe and effective treatment for patients with vestibular schwannoma from internal acoustic meatus and the cerebropontine angle. However there are controversies about the best moment to start the treatment, related to the size of the tumor, the preview hearing level and the dose of cochlear radiation. The goals of this study are to evaluate hearing, balance, tinnitus and quality of life of patients with vestibular schwannomas submited to stereotaxic radiosurgery. Method: non randomizid clinical trial of 30 patients with vestibular schwannomas minors or equal 3,5 cm submited to stereotaxic radiosurgery in a Linear Accelerator with a medium dose of radiation of 12Gy in a single dose from january 2017 to june 2020. We analysed pure tone and vocal audiometry, imitanciometry, vectoeletronistagmography, magnetic resonance of skull and temporal bone and validated questionnaries for Portuguese (hearing, tinnitus and dizziness) handicap inventory and a quality of life questionary (whoqol-bref) pre and pos SRS. Next to these parameters were also analyzed the age, the tumor size and the cochlear radiation dose in order to correlate with hearing, tinnitus, dizziness and quality of life of these patients. The hearing loss was classified according to the American Academy of Otorhinolaryngology and Head and Neck Surgey (AAO-HNS), from 1995. Exclusion criteria: patients that had performed other types of treatment (radiotheraphy or microsurgery) pre or three years after stereotacxic radiosurgery, patients with type 2 neurofibromatosis and patients that could not perform the exams and the questionaries above. Results: There was a worse in hearing after 2 years of treatment with 80% of the patients with level A and B pré treatment and 73,34% C and D after. Patients exposed to intracochlear radiation above 5 Gy, decreased their hearing thresholds, being 66,7% A and B pre treatment and 86,7% C and D pos treatment. About DHI, there was an improvement in dizziness when evaluated before 2 years after treatment with 46,67% of the patients with light dizziness before and 73,34% after treatment. There was an improvement in tinnitus after 2 years of treatment with 20% of patients classified as zero and mild before and 80% after. In relation to Whoqol-Bref there was an improvement of 53,34% classified as A and B before to 80% after treatment.
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    Avaliação da aptidão funcional, da qualidade de vida e da rede de suporte social de idosos participantes de práticas corporais da medicina tradicional chinesa
    (Universidade Federal de São Paulo (UNIFESP), 2019-10-31) Tedeschi, Marcia Regina Martinez [UNIFESP]; Souza, Karen Mendes Jorge De [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To compare functional fitness, quality of life and social support between participating and non-participating elderly users of orientated body practices of Traditional Chinese Medicine. Methods: Observational case-control epidemiological study. A total of 118 elderly (≥ 60 years old), both sexes, participated in the research, being 59 participants of the body practices of Traditional Chinese Medicine (cases) and 59 non-participants (controls). All data collect was performed in four Specialized Units in Traditional Medicine of the Municipal Secretary of Health of the city of São Paulo, from July 2016 to August 2017. Sociodemographic, anthropometric and functional variables were collected. To identify the level of physical activity the International Physical Activity Questionnaire (IPAQ) was used in the long form. Quality of life was measured using the Medical Outcomes Study 36- Item Short-Form Health Survey (SF36) and the identification and characterization of the social support was based on Minimum Map of Relationships of the Elderly (in Portuguese, MMRI). Data analysis was initially performed descriptively, followed by univariate logistic regression and the Kruskal Wallis test. Results: There was a predominance of females (91.5% of cases; 89.8% of controls); mean age of 66.2 years for cases and 66.3 years for controls; average income of 2.4 minimum wages for cases and 2.3 minimum wages for controls; participated in regular physical activity and / or sport spontaneously 57.6% of the cases and 66.1% of the controls. Statistically significant differences were found in favor of the case group in the household chores domains (p=0.033); exercise / leisure-time physical activity (p <0.001) and overall domains (p=0.012) of the IPAQ questionnaire. The average component of the social support was 12.0 people in the case group and 10.6 people in the control group. In the assessment of quality of life (SF36), the case group had higher score in the mental health domain (p = 0.026) compared to the control group. Comparing the case groups with shorter (≤ 24 months) and longer (≥ 24 months) adherence time, with the control group, results were favorable for the case group with longer (≥ 24 months) adherence time in the pain domains (p=0.003), vitality (p=0.021), emotional aspects (p=0.034) and mental health (p=0.020). In the anthropometric variable body mass index there was no statistical significance in the comparison between the mean values of the case (28.8 kg/m2) and control groups (30.2 kg/m2). A better result was observed in the case group with longer (≥ 24 months) time of adherence in the functional test of rising and sitting of the chair (p=0.006). Conclusions: Associations between the body practices of Traditional Chinese Medicine were evidenced in the physical activity level and quality of life of the participants of the case group. Higher scores on quality of life and lower limb strength were found in elderly in the case group with longer (≥ 24 months) adherence time. Participation in the body practices of Traditional Chinese Medicine can contribute to the level of physical activity, quality of life and functional fitness of the elderly, especially lower limb strength.
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    Avaliação Da Capacidade Funcional, Qualidade De Vida E Nível Da Atividade Física De Pacientes Com Fibromialgia E Com Artrite Reumatoide Em Hospital Universitário De Atenção Terciária
    (Universidade Federal de São Paulo (UNIFESP), 2018-03-29) Azevedo, Carolina Bassoli De [UNIFESP]; Simoes, Martin Fabio Jennings [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Fibromyalgia (Fm) Is A Disease Characterized By Disturbances In Pain Control Mechanisms. Rheumatoid Arthritis (Ra) Presents Itself Erosive Synovitis In Small And Large Joints. Both Diseases Can Generate Functional Impairment To The Patient And Reduce Physical Fitness. Objective: The Objective Of The Study (Descriptive Transversal) Was To Evaluate The Functional Capacity, Level Of Physical Activity And Quality Of Life Of Patients With Fm And Ra And Compare To Control Individuals. Material And Methods: Three Groups Were Formed: Fm (N = 30) Ra (N = 42) And Control (N = 30) To Evaluate Clinical Characteristics And Functional Capacity By Questionnaires Haq (Health Assessment Questionnaire) And Fiq (Fibromyalgia Impact Questionnaire), Physical Activity Level By Ipaq (International Physical Activity Questionnaire) And General Quality Of Life (Sf-36 Questionnaire). Results: The Characteristics Of Gender, Age, Body Mass Index (Bmi) And Socioeconomic Between Groups Were Similar. Regarding Haq, The Ra 1.13
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    Avaliação Da Efetividade De Um Programa De Treinamento Resistido Progressivo Para Pacientes Com Fibromialgia: Um Estudo Controlado E Randomizado.
    (Universidade Federal de São Paulo (UNIFESP), 2018-01-31) Vassalli, Mariana Carolina [UNIFESP]; Martinez, Anamaria Jones [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To Evaluate The Impact Of A Global Progressive Resistance Training Program On Pain, Quality Of Life, Functional Capacity And Muscular Strength In Patients With Fibromyalgia. Methods: Patients In The Experimental Group Underwent A Progressive Resistance Training Program, Performed Twice A Week For 12 Weeks. The Charge Intensity Was Progressively Increased From 40% To 80% Of 1rm. The Following Muscle Groups Were Worked: Trunk Flexors And Extensors, Elbow Flexors And Extensors, Knee Flexors And Extensors, Hip Abductors And Adductors And Shoulder Abductors. In Addition To Strength Training, The Experimental Group Also Conducted A Structured Education Program In One Hour Class Once A Week For Five Weeks. Patients In The Control Group Performed The Same Education Program. Results: After The Intervention, Significant Improvements Were Observed In The Experimental Group When The Control Group Was Purchased For The Following Parameters: Pain (P = 0.004), Fiq (P = 0.021), Quality Of Life (With Statistically
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    Avaliação Da Efetividade De Um Programa Educacional Em Pacientes Com Osteoartrite De Joelhos.
    (Universidade Federal de São Paulo (UNIFESP), 2018-01-24) Miura, Lais Yumi [UNIFESP]; Martinez, Anamaria Jones [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Osteoarthritis (Oa) Is One Of The Most Common Chronic Degenerative Diseases Affecting The Adult Population, Affecting About 50% Of The Population Aged 65 Or Over, Its Incidence Tends To Increase According To The Age And Degree Of Incapacity Of The Individuals. The Educational Program Is Considered One Of The Main Methods Of Treatments That Exist For Chronic Diseases. It Is Critical To Inform The Patient About Their Illness And Influence Their Behavior, Thus Helping To Treat It. However, In The Literature, For Oa There Is Still No Standard Of Educational Program To Be Followed. Different Types Are Found, Alternating In Lesson Quantity And Duration Time. Objective: To Evaluate The Effectiveness Of The Educational Group In Patients With Knee Osteoarthritis In Relation To Pain, Function, Anxiety And Quality Of Life. Method: Sixty Patients With A Diagnosis Of Knee Oa, Aged 40 To 80 Years And Of Both Genders, Were Included. The Patients Were Divided Into 2 Groups: Group 1 Performed An Educational Grou
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    Avaliação da qualidade de vida em crianças e adolescentes com espinha bífida com vesicostomia antes e após a cirurgia de ampliação vesical e fechamento da vesicostomia (QUALAS-C e QUALAS-T)
    (Universidade Federal de São Paulo (UNIFESP), 2020-08-07) Silva, Maria Isabel Silva [UNIFESP]; Macedo Junior, Antonio [UNIFESP]; Universidade Federal de São Paulo
    INTRODUCTION. In the latest years, there has been a growing worldwide interest in assessing health-related quality of Life, especially in chronic diseases of adults and children. When validating for the Portuguese the QUALAS questionnaire in our urology service, we identified in our cohort patients a very specific subgroup of the pediatric population with myelomeningocele, the patients with vesicostomy. GOALS. To evaluate the health-related quality of life of children and adolescents with spina bifida with vesicostomy who underwent bladder enlargement with or without catheterization and closure of the vesicostomy, before and after surgery. METHODOLOGY. Health-related quality of Life analysis through the QUALAS questionnaire. The same was applied by the researchers exclusively in two steps, before surgery and on the fourth week after the start of clean intermittent catheterization after surgery. RESULTS. Between January 2017 and July 2018, 10 patients underwent vesicostomy closure surgery with bladder enlargement. According to the patients age group 8 QUALAS-C questionnaires and 2 QUALAS-T questionnaires were performed. It can be observed that there was an improvement in quality of life at the time after surgery, but this did not show to be statistically significant in any of the groups. However, when analyzing the bladder and intestinal domain there was a significant increase in the mean score between the two moments, showing a statistically significant improvement in health-related quality of Life. CONCLUSIONS. After analyzing the quality of life questionnaires, their global analysis and the isolated analysis of the bladder function domain, we observed an improvement in the quality of life of children and adolescents studied after bladder enlargement surgery, which corroborates the search for urinary continence for these patients. Patients with neurogenic bladder and myelomeningocele, especially those with vesicostomy, should be offer definitive surgical treatment as soon it is feasible.
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    Avaliação da qualidade de vida em pacientes com hemocromatose após três anos de tratamento
    (Universidade Federal de São Paulo (UNIFESP), 2019-12-18) Acevedo, Luis Alfredo Utria [UNIFESP]; Santos, Paulo Caleb Junior De Lima [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Hereditary hemochromatosis (HH) is an iron overload of genetic origin caused by hepcidin deficiency. In an earlier phase of this study, quality of life (QoL) was evaluated in 79 patients with HH with the Short Form Health Survey 36 (SF-36) divided according to the genotypic group: group 1 (patients with primary iron overload and homozygous genotype for the HFE mutation p.Cys282Tyr) and group 2 (other genotypes). The QoL scores between the two groups were significantly different in four domains of the eight SF-36 domains. These were: pain, general health, vitality and social aspects. The patients were treated for three years (final phase). The objectives of this study were to compare QoL between the two groups and to evaluate the possible association of serum ferritin values with QoL. Methods: In this final phase, 65 patients were included. The evaluation groups were maintained according to the initial phase. SF-36 was applied, compound that provide evaluate physical and mental components. Results: Both groups significantly decreased serum ferritin concentrations: group 1 from 1,844±1,313 ng/mL to 281±294 ng/mL; and group 2, from 1,216±631 ng/mL to 236±174 ng/mL. Group 1 had lower mean values for six SF-36 domains (Pain; General Health; Vitality; Social Aspects; Emotional Aspects; Mental Health) compared to Group 2, indicating worse QoL. Conclusions: In this final phase, six domains were different between genotypic groups, two more than in the initial phase, reaffirming the impact of the identified genotype on the QOL of patients with HH. In addition, we found no association between ferritin decrease and SF-36 domains, even though there was a significant reduction in this biological parameter in both groups.
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    Avaliação Da Qualidade De Vida Em Pacientes Com Lúpus Eritematoso Sistêmico Do Sexo Masculino
    (Universidade Federal de São Paulo (UNIFESP), 2018-02-22) Lerner, Tatiana Goberstein [UNIFESP]; Sato, Emilia Inoue [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Systemic Lupus Erythematosus (Sle) Is A Chronic, Inflammatory And Autoimmune Disease, With Worldwide Distribution, Multifactorial Etiology And Clinical Course With Exacerbations And Remission. Despite The Predominance In Women, Studies Indicate That Men With Sle Present A More Severe Disease, With More Frequent Renal Involvement, A Greater Number Of Systemic Manifestations And A Greater Need For Immunosuppressive Drugs, In Addition To An Increased Risk Of Organ Damage. Primary Objective: To Evaluate Quality Of Life (Qol) In Men And Women With Sle; Secondary Objectives: To Compare Disease Activity, Damage, Depression, Anxiety And Fatigue Between Men And Women With Sle. Patients And Methods: Cross-Sectional Study With 37 Men And 69 Women With Sle Followed In The Autoimmune Rheumatic Diseases Outpatient Clinic From Hospital São Paulo/Unifesp. Quality Of Life Was Evaluated Through Sf-36 And Sleqol Questionnaires; Depression And Anxiety Were Assessed By Hads And Fatigue By Fss. Disease Activity Was E
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    Avaliação da satisfação e da qualidade de vida na paciente submetida ao tratamento cirúrgico de câncer de mama pelo questionário Breast-Q
    (Universidade Federal de São Paulo (UNIFESP), 2021) Okajima, Karina Helena [UNIFESP]; Nazario, Afonso Celso Pinto [UNIFESP]; Universidade Federal de São Paulo
    Introduction: The Breast-Q is an instrument for evaluating the opinion of the patient through the answers to the questionnaire of the module corresponding to the type of surgery applied for the treatment of breast cancer. Objective: To compare psychological well-being, satisfaction and sexual well-being between groups of patients who underwent mastectomy and breast-conserving surgery using the Breast-Q questionnaire. Methods: Participants in this prospective study were women (aged 18 to 81 years) diagnosed with invasive or in situ breast carcinoma. All selected patients underwent mastectomy (MT) or breast-conserving surgery (QDT) between January 2018 and January 2019 and were invited to complete the BREAST-Q questionnaire module before and up to one month after surgery. We compared the mean difference before and after surgery between the MT and QDT groups using the Wilcoxon test. Inclusion criteria were women over the age of 18 with no prior history of surgery or breast cancer. Results: Breast-Q was applied to 73 women (34 MT, 39 QDT). The mean age was 54 ± 15 years for the TM group and 60 ± 12 years for the QDT group (p=0.08). Patients undergoing QDT group reported better psychosocial well-being when compared to the MT group (8.6 ± 27 vs. – 15 ± 25, respectively, p=0.008). There was a trend towards greater satisfaction with the breasts in the QDT group when compared to the MT group (-6.7 ± 24 vs. – 25 ± 34, respectively, p=0.06). There was no difference between the groups in terms of physical well-being (p=0.6) and sexual well-being (p=0.4). Conclusion: The Breast-Q questionnaire is a valuable tool to qualify patient satisfaction in breast cancer surgery. Conservative surgery was superior to mastectomy for psychosocial well-being and with a tendency towards greater satisfaction with the breasts.
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    Avaliação Da Segurança E Eficácia "In Vitro" Da Cuscuta Racemosa Martius
    (Universidade Federal de São Paulo (UNIFESP), 2017-07-27) Sawicki, Wanda Cristina [UNIFESP]; Belasco, Angelica Goncalves Silva [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objectives: Investigated quality of life (QOL), university alcohol consumption and the impact of Brief Intervention (IB). Methods: Prospective longitudinal study. We evaluated 281 university students, collected sociodemographic, economic information, alcoholic beverage intake and QOL. Research in 4 steps: application of questionnaires; comments on consumption pattern and lecture with information material delivery, re-evaluation and reinforcement of IB. Descriptive and analytical statistics were performed through the tests. Results: Ingested alcohol at any time 90% and 20.6% were abusive or harmful. Less than the age of the first use of alcoholic beverages, the greater the consumption of risk. After IB, there was a significant decrease in alcohol consumption. QoL compromised in the areas of vitality, general health, mental health and emotional aspects. Mental health of students who drank was significantly lower compared to those who did not drink. Conclusion: IB was effective in decreasing alcohol consumption, being important in promoting and improving health and quality of life
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    Avaliação do espaço aéreo anterior da cavidade nasal e qualidade de vida em crianças respiradores bucais submetidos à expansão rápida da maxila
    (Universidade Federal de São Paulo (UNIFESP), 2020-05-28) Nagai, Lucia Hatsue Yamamoto [UNIFESP]; Cappellette Junior, Mario [UNIFESP]; Universidade Federal de São Paulo
    Introduction: The anterior portion of the nasal cavity includes the critical region of maximal resistance to airflow that even small changes in its geometry can have a significant impact on nasal airflow. Objectives: to assess the effects of rapid maxillary expansion (RME) on the anterior skeletal and soft tissue structures of the nasal cavity in mouth-breathing children and correlated these findings with the patient’s quality of life. Methods: 35 mouth-breathing patients (mean age 10.7±2.0 years) submitted to RME were evaluated by means of computed tomography at preRME and 4-5 months thereafter. Subjective symptoms were assessed by using a validated quality of life questionnaire answered by patients and patients’ parents/legal guardians. Results: The total anterior nasal volume increased by 20.47% on average during the overall observation period. The skeletal and soft tissue volumes increased by 26.5% and 17.6% respectively, and a cross-sectional area increased by 19.96% on average. Different combinations of angles were found, however, more significant increases occurred when the angular value of one side was much smaller than opposite side. There was a statistically significant reduction in the mean scores of the quality of life scale, indicating a significant improvement in quality of life between T1 and T2. Conclusions: In the short term, RME promote a significant increase in the anterior nasal volume, with a higher proportion within the skeletal boundaries. This, associated with an increased minimum cross-sectional area, may have contributed to respiratory improvement. In addition, different combinations of nasal valve angles suggest that RME can influence the position of the septum.
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    Avaliação Dos Efeitos A Longo Prazo Da Psicoterapia Psicanalítica Breve De Grupo Na Qualidade De Vida, Depressão, Ansiedade E Estratégias De Enfrentamento Em Pacientes Com Lupus Eritematoso Sistêmico
    (Universidade Federal de São Paulo (UNIFESP), 2018-11-09) Conceicao, Ceu Tristao Martins [UNIFESP]; Sato, Emilia Inoue [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Systemic Lupus Erythematosus (Sle) Is An Autoimmune Disease That Affects Mainly Young Women And Can Compromise Several Organs And Systems. The Quality Of Life Of Sle Patients Is Affected Because, Besides The Organic Impairment, Patients Often Present Anxiety, Depression And Difficulties To Deal With The Disease. Psychotherapy Has Been Used To Complement The Clinical Management Of Patients With Various Chronic Diseases, Including Sle, But There Is No Study Evaluating The Long Term Effects Of Psychotherapy On Quality Of Life, Depression, Anxiety And Coping In Sle Patients. Objectives: Primary Objective: To Assess The Long Term Effects Of Brief Group Psychoanalytic Psychotherapy (Bgpp) On The Quality Of Life Of Sle Patients. Secondary Objectives: 1. To Assess The Long Term Effects Of Bgpp On Depression And Anxiety Levels And Coping Strategies In Sle Patients. 2. To Compare The Results Of Bgpp In The Subgroups Of Sle Patients With Mild Anxiety And Depression Symptoms. 3. To Compare The Results Of Bg
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    Avaliação E Correlação Clínica Da Força Muscular Do Quadríceps Femoral Em Pacientes Hospitalizados Com Insuficiência Cardíaca.
    (Universidade Federal de São Paulo (UNIFESP), 2018-09-14) Peres, Monique Fernanda [UNIFESP]; Guizilini, Solange [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Abstract Purpose: To Verify Whether A Maximal Voluntary Contraction Of The Quadriceps Femoralis Muscle (Qf) Can Predict Functional And Inspiratory Muscle Capacity, As Well As Determine Cutoff Values For Qf Peak Muscle Strength In Hospitalized Heart Failure (Hf) Patients. Methods: Prospective Cross-Sectional Study. A Total Of 130 Hospitalized Hf Patients, Functional Class Ii And Iii (Nyha) Were Eligible After 24 Hours Of Hospitalization And Stabilization Of The Clinical Status. Patients Were Submitted To An Evaluation Of Qf Isometric Strength (Maximum Voluntary Contraction), Performed By A Portable Dynamometer; To An Inspiratory Muscle Testing Performed By Manovacuometry (Maximal Inspiratory Pressure - Mip); Functional Capacity Using The Six-Minute Walk Test (6mwt) And To A Quality Of Life Questionnaire (Minnesota Living With Heart Failure Questionnaire). Results: Data Revealed A Modest And Positive Association Between Left Ventricular Ejection Fraction And Qf Peak Muscle Strength (R = 0.38, P = 0.0053); (R =
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    Avaliação miofuncional orofacial em idosos com Doença de Parkinson
    (Universidade Federal de São Paulo (UNIFESP), 2021) Araujo, Silvia Regina Siqueira De [UNIFESP]; Monteiro, Silvana Bommarito [UNIFESP]; Universidade Federal de São Paulo
    Objective: to evaluate orofacial myofunctional structures in elderly people with Parkinson's Disease (PD) through the protocol of the Orofacial Myofunctional Evaluation with Scores for Elders protocol (OMES-Elders) and observe the association with stages of PD, pharmacological treatment and quality of life of the patient with PD. Method: The sample consisted of a group called the Parkinson's Group (PG) composed of 45 elderly people diagnosed with PD and a Control Group (CG) with elderly people composed of 10 healthy elderly people. Personal data, information on the use and dosage of medications and information on the stage of PD were collected in an interview conducted by the Hoehn & Yahr Scale and the following reports were reported: Mini-Mental State Examination (MMSE), Parkinson's Disease Questionnaire (PDQ-39) and the Orofacial Myofunctional Evaluation with Scores for Elders protocol (OMES-Elders). Results: It was possible to observe no aspect of appearance and condition of difference between the two groups, as well as in the aspect of mobility present the difference between the CG and the PG stages 2, 3 and 4 by Hoehn & Yahr (p <0.05). On the other hand, no significant difference was found for the swallowing and chewing domain. Regarding the total chewing time and the total number of chewing cycles, a significant difference was found in the number of chewing cycles. The total score of OMES-Elders is different between the CG and stages 2, 3 and 4 of the PG (p <0.05). Regarding the PDQ-39, it was possible to observe the difference between the mobility domain and activities of daily living. A negative correlation was found between the scores of the PDQ-39 'Communication' domain and the total OMES-Elders score. No significant difference was found in the swallowing scores in relation to the medications used by the elderly. Conclusion: Elderly with PD presented worse performances in the domains of appearance and posture, mobility and in the total score of the orofacial myofunctional protocol in relation to the elderly in the healthy group; chewing time and number of chewing cycles also differed between groups. As the disease progresses, there is a likelihood of worsening quality of life mainly in the mobility and activity of daily living domains; additionally, the worse the perception of the elderly with PD on their communication will be. The use of drug that are potentially xerogenic or that change the swallowing function did not influence the scores of the swallowing domain of the Evaluation with scores for Elders protocol in patients with PD.
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    Avaliação multidimensional da qualidade de vida, autoimagem corporal e comportamentos de risco de adolescentes brasileiros
    (Universidade Federal de São Paulo (UNIFESP), 2020-06-09) Pinheiro, Bruno De Oliveira [UNIFESP]; Avallone, Denise De Micheli [UNIFESP]; Universidade Federal de São Paulo
    Based on the literature, analyzes and reflections on lifestyles and on the aspects that encourage adolescents to adopt protective or reckless behaviors are necessary so that we can broaden the understanding of the multiple factors involved in quality of life, self-image and health risk behaviors of Brazilian adolescents. The main objective of this study was to assess quality of life, body self-image and health risk behaviors among adolescents; as well as to evaluate the possible association between these factors. The analyzes were based on the responses of 1,081 Brazilian adolescents aged 12 to 19 years old who completed an online questionnaire containing the following instruments: sociodemographic questionnaire, Kidscreen, and Risky Behavior Index (RBI) and Contour Drawing Rating Scale (CDRS). The Jamovi and JASP software, with a 5% significance level, was used to perform descriptive statistical analysis, adjusted logistic regression models, analysis of variance and network analysis. The results were presented in a session containing the raw data and descriptive analyzes regarding the profile of the participating adolescents and in the form of two scientific articles. The main findings of this study presented the definition of the profile of Brazilian adolescents in relation to the quality of life indexes , body self-image and risky behaviors; the evident impact of the socio-cultural context and social experiences on life in adolescents; the bilateral action between the quality of life indexes and risk behaviors in adolescence; the influence of sociodemographic characteristics (gender, age, ethnicity and religion) on the quality of life, body satisfaction and risk behaviors in adolescence and; the impact of variables related to schooling on network analysis (flunk, type of school and level of education). Therefore, this study contributes to the understanding of the impact of multiple subjective variables related to health and present in the lives of Brazilian adolescents.
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    Body-Q: tradução e adaptação cultural de sete escalas para a língua portuguesa do Brasil
    (Universidade Federal de São Paulo (UNIFESP), 2020-03-31) Alves, Marcia Regina [UNIFESP]; Sabino Neto, Miguel [UNIFESP]; Universidade Federal de São Paulo
    Introduction: The increase in obesity and the concern with health-related quality of life has been a constant, this has led to the appearance of instruments to measure results from the perspective of the patient, patientreported outcome measure (PROM). The Body -Q is a new instrument aimed at patients undergoing massive weight loss and/or bariatric surgery and patients looking for body contouring surgeries. There is no instrument available in Brazil to evaluate these groups. Objective: To translate and culturally adapt to the Brazilian Portuguese seven scales of the Body-Q instrument. Methods: According to the guidelines of GUILLEMIN, following the steps of translation by two translators, multidisciplinary analysis, back-translation by two other translators, multidisciplinary analysis, authors’ consent and interviews with patients. The sample consisted of 108 patients in the plastic surgery discipline at EPMUNIFESP. Results: After the translation process, back-translation, interviews and multidisciplinary analysis, a term was adjusted in the expectation scale, with no other changes. Calculated the Cronbach’s α and its Rasch equivalent. Conclusion: Seven scales of the Body-Q instrument were translated into Brazilian Portuguese and culturally adapted to the Brazilian context.
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    Breast-Q" - Breast Reconstruction Expectations Module (Pre Operative) 2.0 " Tradução E Adaptação Cultural Para O Brasil.
    (Universidade Federal de São Paulo (UNIFESP), 2018-04-02) Oliveira, Iara Gama Esteves De [UNIFESP]; Veiga, Daniela Francescato [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Breast cancer is the second most frequent cancer in the world. The Breast reconstruction is considered an integrant part of breast cancer treatment. There is no reliable and specific evaluation instrument available in Brazil that evaluates expectations from the Brazilian women point of view about their breast reconstruction surgery. Purpose: Translating the BREAST-Q® - Breast Reconstruction Expectations Module (preoperative) into portuguese and adapting it to the Brazilian cultural context. Methods: Following the methodology of Beaton et al. (2000), the questionnaire was translated and adapted to the Brazilian culture. The validity of face and content and internal consistency were evaluated. The instrument was applied to 40 (forty) patients. Results: The average age of the patitens was 53.5 years (SD = 9 years). There were good and excellent internal consistencies between the items of coping and appearance (Cronbach's Alpha of 0.878 and 0.909, respectively. The pain item showed moderate consistency (0.738) and for the medical team it was acceptable (0.587). Conclusion: The BREAST-Q® - Breast Reconstructions Expectations Module (preoperative) 2.0 was translated and adapted to the Brazilian cultural context, presenting face and content validity.