Navegando por Palavras-chave "qualitative research"

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    Are medicinal herbs safe? The opinion of plant vendors from Diadema (São Paulo, southeastern Brazil)
    (Sociedade Brasileira de Farmacognosia, 2012-02-01) Lanini, Juliana [UNIFESP]; Duarte-Almeida, Joaquim Mauricio [UNIFESP]; Nappo, Solange Aparecida [UNIFESP]; Carlini, Elisaldo Araujo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Medicinal plants (MP) have been used world-wide for the treatment or prevention of health conditions and due to their natural origin; they have been historically considered harmless. Semi-structured interviews were carried out with an intentional sample of twenty plant vendors in the city of Diadema to explore their knowledge and beliefs on the safety and efficacy of MP. Different levels of perceptions about the safety of MP were found, varying from completely safe to completely harmful. The majority of the interviewees declared that if herbs have an effect, they are also likely to have a side effect, depending on many factors such as dosage, concomitant use of other drugs, characteristics of the plant material and consumer related factors, specially those related to pregnant women, children and elderly people. Thirty-nine unexpected events related to 21 species of MP were reported. One case of serious gastrointestinal disease related to the consumption of a contaminated slim mixture was also described. Adverse events and other problems that result from MP are relatively uncommon, but they are almost certainly underreported and occur more often than acknowledged. This study strengthens the call for further research and educational efforts into this complex area.
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    Bulimia e transtorno da compulsão alimentar periódica: revisão sistemática e metassíntese
    (Sociedade de Psiquiatria do Rio Grande do Sul, 2006-12-01) Espíndola, Cybele Ribeiro [UNIFESP]; Blay, Sergio Luis [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: The aim of this systematic review is to identify the scope of qualitative investigations on the life experience of patients with bulimia and binge eating disorder. METHODOLOGY: Searches were conducted using the following databases: PubMed, ISI, PsycInfo, Embase, LILACS and Scielo, for articles published between 1990 and 2005. Inclusion criteria were: 1) articles with main focus on bulimia or binge eating disorders; 2) original research reported in English, Spanish, French or Portuguese; 3) use of any qualitative method, such as interview, focal group or field observation. Exclusion criteria were exclusively theoretical articles and those assessing children or elderly subjects. A meta-ethnographic approach was used to synthesize the data. Each study was carefully read, and their thematic categories were interpreted and compared to the categories of all other studies. RESULTS: Fifteen studies were included of a total of 3,415 articles. Seven overlapping main themes were identified: illness representation; negative feelings (fear, guilt, anger, loneliness, loss of control); positive feelings (self-control, power); symptom function; interpersonal relationships; sociocultural context; recovery. CONCLUSIONS: Although many issues were negative, the overall experience was not reported as being only bad. Some aspects of eating disorders were considered beneficial by the patients.
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    Changes in cocaine use as viewed by key informants: A qualitative study carried out in 1994 and 1999 in Sao Paulo, Brazil
    (Haight-ashbury Publ, 2001-07-01) Nappo, S. A.; Galduroz, J. C.; Raymundo, M.; Carlini, E. A.; Universidade Federal de São Paulo (UNIFESP)
    The characteristics of coca products use in Sao Paulo, Brazil during the years of 1994 and 1999 were investigated through interviews with 26 key informants (KIs; persons with knowledge of coca product users) in each of these years. The following information was yielded by the KIs: (1) there has been a large increase in coca products use in Sao Paulo from 1994 to 1999; concomitantly, there has been a decrease of hydrochloride use; (2) the increase has occurred due to the dissemination of crack which became cheap and easily available; (3) reasons for crack use changed greatly: in 1994, use was attributed mostly to pleasurable sensations produced by smoking; in 1999, use was intended to overcome compulsion/dependence or to put up with frustration/family conflicts; (4) crack users in 1999 came from practically all social classes of Sao Paulo; (5) use of alcohol and/or marijuana to cut down the anxiety and excitement produced by crack increased from 1994 to 1999; (6) even when police repression of traffic was effective, which rarely occurred, it affected only the price of coca products; (7) treatment services available were considered insufficient both in number and quality, and were run by ill-trained health professionals (this situation deteriorated even more in 1999); (8) many KIs heavily criticized the prevention programs because of the use of scare techniques; and (9) all KIs in 1999 believed that, unless the government changes its policy toward the drug problem, the situation would become worse in the next few years.
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    Clonazepam, um campeão de vendas no Brasil. Por quê?
    (Universidade Federal de São Paulo (UNIFESP), 2016-06-01) Cruz, Nelma Lourenco de Matos [UNIFESP]; Carlini, Elisaldo Luiz de Araujo [UNIFESP]; http://lattes.cnpq.br/5948335656347039; http://lattes.cnpq.br/8459051263596166; Universidade Federal de São Paulo (UNIFESP)
    Clonazepam, a benzodiazepine, is the leading seller in Brazil and the most consumed version of Ordinance 344/98. It is used in the treatment of central nervous system disorders including epilepsy, anxiety, social phobia, insomnia, affective bipolar disorders, panic disorders and akathisia. Clonazepam has high therapeutic efficacy, low toxicity and can lead to dependence after six to eight weeks of use – withdrawal symptoms may occur if there is abrupt discontinuation of use, even in therapeutic doses. This study aims to analyse the various reasons for high sales and consumption of the drug in Brazil. Methodology: the high consumption of clonazepam is a phenomenon of unknown causes and effects; therefore, qualitative research was employed. The focus groups of nineteen patients, five doctors and four pharmacists was formed within two research sites: Funilândia (Minas Gerais) and São Paulo (São Paulo). Interviews were conducted with semi-structured scripts and content analysis with the help of NVivo software. Results – Patients: After use of Clonazepam, patients declared feeling symptoms of sleepiness, relaxation, comfort and security. The range of dosage patients self-administer can be dependent on the emotional state of the users, who do not report taking high doses of clonazepam. The period of use of the drug among patients was up to fifteen years. Information is exchanged between users, and many of them are friends or relatives. Many of them reported being able to get a prescription for clonazepam without receiving medical consultation. Many patients also tried to stop the use of the drug, but were not able to. All of them reported never having received guidance from pharmacists, and only a few received instruction from doctors. Doctors: The main stated reason for prescribing the drug to patients was “renewing a previous prescription from another doctor”. They also declared that were aware of the dosage flexibility, but that the patients do not abusive it. Doctors trust the drug and find it safe, believing that patients use Clonazepam in order to treat ‘problems’. Pharmacists: Pharmacists do not feel co-responsible for the prescription of Clonazepam. They believe that the control of sales of the drug is inefficient and easy to get around – there have been sales of the drug without the correct prescription produced. One of the pharmacists in the study declared that they sell the drug without prescription, something that was witnessed during during the interview. Pharmaceutical laboratories - were not forthcoming in their interest to be a part of the research, and they refused the invitation to participate. Conclusions: The abuse and misuse of Clonazepam is a public health problem. The results of the research indicate failure in the use, the prescription, and the control of sales of Clonazepam. It is necessary to restructure systems that monitor the production, prescription and sales of the drug. Refresher training for health professionals should be encouraged in order to promote rational and sensible use of medicines, especially in the case of psychotropic medicine. Finally, there should be further promotion of actions aimed at users of Clonazepam seeking to educate them about the benefits and risks of using such drugs, self-medication and appropriate use of medicines.
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    Concepções de doença por familiares de pacientes com diagnóstico de esquizofrenia
    (Associação Brasileira de Psiquiatria - ABP, 1999-03-01) Villares, Cecília C. [UNIFESP]; Redko, Cristina P.; Mari, Jair de Jesus [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Family conceptions of the nature of their relative's illness are part of the coping process and reveal the cultural construction of the illness experience. As part of a larger qualitative study conducted at the Schizophrenia Program of the Department of Psychiatry, Escola Paulista de Medicina - UNIFESP, 14 relatives of 8 out-patients diagnosed with schizophrenia were interviewed and invited to talk freely about their ideas and feelings concerning their relative's problem. Qualitative analysis was conducted to elicit categories of illness representations. Three main categories are presented for discussion, Problema de Nervoso, Problema na Cabeça and Problema Espiritual (Nerves, Head and Espiritual Troubles). The authors sustain that these categories can be interpreted as culturally constituted and discuss the relevance of popular illness concepts for a broader understanding of the course and outcome of schizophrenia and for the planing of culturally meaningful intervention programs.
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    Conceptions of health, illness and treatment of patients who use homeopathy in Santos, Brazil
    (Elsevier B.V., 2008-01-01) Patriam Justo, C. M. [UNIFESP]; Andrea Gomes, Mara H. de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To investigate the conceptions of health and illness, the reasons for seeking homeopathy and continuing treatment, compliance and the meaning of the relationship between religiosity and health for patients who adhere to homeopathy.Methods: A qualitative study of 20 adult patients in Santos (Brazil) treated by homeopaths in the public and private sector for at least 2 years. Semi-structured interviews, organized by predefined thematic categories, the content of the interviews was analyzed.Results: the conceptions of health and illness of the interviewed patients are related to the idea of vital balance/imbalance mediated by body-mind interaction. Dissatisfaction with conventional treatment, family influence and suggestions of others were the reasons for seeking homeopathic treatment. Patients continued homeopathic treatment due to positive therapeutic results, cure without being aggressive to the organism, the holistic integrated approach, the preventive nature of the treatment and low prices of medicine. for these patients, the availability of homeopathy in the public health sector extends the possibility of access. the need for a wider dissemination of homeopathy and the difficulties in following the prescription are the main problems involved in continuing treatment. Faith is an important component. We found a correlation between the conceptions of health and illness and the principles of homeopathy, assimilated through a strong bond between patients and the homeopathic practitioners.Conclusion: To investigate the beliefs, values and meanings that patients attribute to homeopathy helps to understand subjective aspects that may interfere with treatment compliance.
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    Conceptualizations of illness among relatives of patients diagnosed with schizophrenia
    (Taylor & Francis Ltd, 2017) Villares, Cecilia C. [UNIFESP]; Redko, Cristina P.; Mari, Jair J. [UNIFESP]
    Family concepts of a relative's illness are an important part of the coping process and reveal the cultural construction of the experience of illness. As part of a qualitative study conducted in the Schizophrenia Outpatient Clinic of the Department of Psychiatry, Escola Paulista de Medicina UNIFESP, 14 relatives of eight outpatients diagnosed with schizophrenia were interviewed and invited to talk freely about their ideas and feelings concerning their relative's problem. Qualitative analysis was used to identify categories of illness representations. Three main categories were discussed, including Problema de Nervoso, Problema na Cabec, a and Problema Espiritual (Problem of the Nerves, Problem in the Head and Spiritual Problem). The authors present evidence of these categories as cultural constructions, and discuss the relevance of popular notions of illness to the understanding of the course and outcome of schizophrenia, and the planning of culturally meaningful interventions.
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    Costs and benefits of secrecy: the dilemma experienced by adolescents seropositive for HIV
    (Routledge Journals, Taylor & Francis Ltd, 2017) Galano, Eliana [UNIFESP]; Turato, Egberto Ribeiro; Succi, Regina Célia de Menezes [UNIFESP]; de Souza Marques, Heloisa Helena; Della Negra, Marinella; da Silva, Mariliza Henrique; Carmo, Fabiana Bononi do [UNIFESP]; Gouvêa, Aida de Fátima Thomé Barbosa [UNIFESP]; Delmas, Philippe; Cote, Jose; Machado, Daisy Maria [UNIFESP]
    This study explored the experiences of the first generation of adolescents who acquired HIV through vertical transmission when disclosing their diagnosis to friends and romantic partners. The study sample was selected by convenience, with 20 patients (13-20 years old) participating in a qualitative investigation using individual interviews (language: Portuguese
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    Crack Cocaine Use in Barcelona: A Reason of Worry
    (Informa Healthcare, 2010-11-01) Oliveira, Lucio Garcia; Ponce, Julio de Carvalho; Nappo, Solange Aparecida [UNIFESP]; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)
    In Spain, crack cocaine use is silently increasing. in Barcelona, an intentional sample was selected to describe the general characteristics of this consumption. Participants were submitted to an interview and data were analyzed through qualitative research procedures. Users are young males and of low socioeconomic status and formal education. the major pattern of use is compulsive. Illegal income activities are the choice for crack cocaine or money acquisition, increasing individual and social health costs. Polydrug use is a matter of concern. Although these findings can not be generalized, they should be considered for the development of public policies to adequately address crack cocaine users' needs.
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    Crack na cidade de São Paulo: acessibilidade, estratégias de mercado e formas de uso
    (Faculdade de Medicina da Universidade de São Paulo, 2008-01-01) Oliveira, Lúcio Garcia de [UNIFESP]; Nappo, Solange Aparecida [UNIFESP]; Centro de Informações sobre Saúde e Álcool; Universidade Federal de São Paulo (UNIFESP)
    BACKGROUND: In Brazil, survey data have pointed to an increase in crack cocaine lifetime use, possibly due to changes on its accessibility, market strategies and ways of use. OBJECTIVE: To identify such issues in the crack cocaine culture of use, in São Paulo, according to the user point of view. METHODS: An intentional sample was selected, composed by crack users (n = 45) and former users (n = 17). Recruited through key-informants and chain sampling methods, each participant was submitted to an in-depth semi-structured interview. RESULTS: Nowadays, as reported by interviewees, it is quite simple to get crack cocaine, especially through new market strategies as crack cocaine delivery. Rocks have been replaced by crack powder, the cheapest and easily changeable crack cocaine. Although makeshift aluminum pipes are the commonest way of use, others have been identified, among them, shotgun and the combined use with tobacco or marijuana. DISCUSSION: Although preliminary in nature, this study points that crack cocaine quality, market strategies and ways of use have changed, implying in potential heath risks to users suggesting its utilization to the health public policies and intervention methods updating.
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    Entre o técnico e o humano: vivências e questionamentos de farmacêuticos hospitalares da cidade de São Paulo através de narrativas de história oral de vida
    (Universidade Federal de São Paulo (UNIFESP), 2015-05-08) Rossello, Gabriel Barreto [UNIFESP]; Gallian, Dante Marcello Claramonte [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The Clinical pharmacist is a professional who aims to take care of drug therapy of patients in hospital environments. This work aimed to raise a discussion on the actuality of these professionals working in the area of the Pharmacy Service in hospitals of São Paulo city; understanding their place in the current context of health care, their expectations and demands. A qualitative study was developed based on the Oral History of life as appropriate methodological approach to achieve our goals. We conducted seven interviews, which followed a set of procedures required by Oral History: recording of interviews; preparation of the written document: transcript and narrative creation; conference and written document validation; analysis and return of the final product. In this way, through open interviews made to professionals of hospital pharmacy service, data has been generated that subsequently underwent analysis based on the phenomenological model of immersion and crystallization. Through the life history of employees it was possible to identify the following issues: the difficulty in choosing the pharmaceutical profession; the important questions about the current educational models; why pharmaceutical care presents itself as an attractive alternative although the implementation and consolidation in the public health system is difficult, and finally, how the hospital pharmacist has conquered space in hospitals. These findings have given space to approach the discussion on the humanization and the dehumanization as a theme emerging in the profession. The results obtained are of great importance to rethink the educational approaches and the implementation of public policies involving the insertion of pharmacists in hospital health care.
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    Experience of recovery from a first-episode psychosis
    (Wiley-Blackwell, 2012-11-01) Eisenstadt, Paula [UNIFESP]; Monteiro, Vera B. [UNIFESP]; Diniz, Matheus J. A. [UNIFESP]; Chaves, Ana C. [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Aim: To understand the subjective factors involved in the recovery process following a first-episode psychosis.Method: Sixteen individuals from a First Episode Program in São Paulo, Brazil were evaluated by a semistructured interview designed to elicit an in-depth narrative of participants' subjective experience of recovery after a first-episode psychosis. Eligibility was established by using the Structured Clinical Interview for DSM-IV Axis I Disorders. the interviews were recorded, the transcripts were coded and themes were grouped together to form conceptual categories.Results: the participants described the recovery course as a slow and gradual process. Improvement was perceived as based on a decrease or absence of psychotic symptoms, changes in social relationships, renewed autonomy and independence, and restoration of self-reliance and trust in others.Conclusions: Recovering after a first-episode psychosis can be considered a complex process correlated with treatment, social support, and individual experiences and characteristics. These are important areas to be addressed in first psychotic psychosis interventions, and gains can probably only be obtained in specialized first-episode psychosis programmes.
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    A experiência dissociativa no trauma: uma abordagem qualitativa
    (Universidade Federal de São Paulo (UNIFESP), 2015-06-26) Mattos, Patricia Ferreira [UNIFESP]; Mello, Marcelo Feijo de Mello [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Peritraumatic dissociation has been considered an important feature to development of post-traumatic stress disorders, but this concept still remains unclear. Studies on the concept of dissociation are rare and prospective studies during or immediately after a trauma event are scarce. Most of them are retrospective, based on standardized questionnaires and carried out long after the trauma event. In order to adequately explore the peritraumatic dissociative phenomenon, we considered the nature of conscious human experience and the subjectivity of our object of study. We interviewed eight patients, victims of urban violence up to 1 month after the traumatic event. The interviews? content were compared, analyzed and encoded according to the Grounded Theory. The reported alterations by these individuals were coded on (A) their perceptions about the inner world, (B) the outer world, (C) as well as the impressions of third-party including the examiner?s observations. Patients manifested entire intermeshed experiences of feelings, expressions, beliefs and actions, all permeated with biographical details, but not integrated enough to allow their perceptual experience to be congruent, consistent and meaningful as the experience of being/existing. Peritraumatic dissociative experience presented itself as a failure in the capacity to synthesize the emerging signs of the inner (their mind/body unit) and outer world (other people and objects, including the space-time flow structure) in a consistent and meaningful way, departing from intact cognitive-perceptual tools. Adequate and faithful distinctions of a concept are the fundamental basis for classification, research and treatment. This finding implies on critical positioning to manage peritraumatic dissociation.
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    Newsmaking on Drugs: A Qualitative Study with Journalism Professionals
    (Haight-ashbury Publ, 2008-09-01) Mastroianni, Fabio C. [UNIFESP]; Noto, Ana Regina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Drugs are a frequent subject in the news media. Despite the existence of an important dynamic interplay between the print media, public opinion, and public policies, studies on these relationships are still scarce regarding the drug issue. The objective of this study is to understand the newsmaking process regarding drugs from the vantage point of Brazilian journalism professionals. Using qualitative research, semistructured interviews were conducted among an intentional sample of 22 professionals who write news stories and articles about drugs in nationwide news media. Interviewees mentioned illegality and crime as the main factors leading to the production of stories and articles. They claimed that by instilling fear among readers, newspapers and magazines tend to increase their audiences and/or sales. Most interviewees considered the coverage of drugs in Brazil as weak. Main problems reported include lack of knowledge on the subject, and not enough time to prepare the stories. It was concluded that the newsmaking process regarding drugs undergoes a series of interferences that compromise the content of the stories, therefore social strategies are needed in order to improve the quality of the material published in Brazil.
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    Política pública de redução de danos: estudo etnográfico em uma entidade do terceiro setor (ETS) na cidade de São Paulo
    (Universidade Federal de São Paulo (UNIFESP), 2015-10-04) Costa, Regis Cicero da [UNIFESP]; Pereira, Pedro Paulo Gomes [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    This research aimed to analyse how the É de Lei acts out with the health politics for alcohol and others drugs as named Harm Reduction (HR). It observed and followed the actions of the workers of É de Lei in the way to handle and signify the life and bodies of its assisted, considering the way of workers understand the HR. About the methodology, it treats the qualitative research realized in the Assisted Center É de Lei utilizing de interviews with its professionals who act out with the vulnerable population in the street situation and the population that assists, that lives fixed or is in the region named Cracolândia in the city of São Paulo. The found results were: A) The important role of the É de Lei in the constitution of the public politics in health under the perspective of HR; B) The bond of the assisted individuals by the HR workers during the service afforded a (re)construction of the affective attachment. The worked collective activities offered the facility of the process of renew the citizenship; C) The HR faces the conflicts to get legitimacy that is configured, nowadays, between two contradictory main directions of services in the capital of the state; D) The conflict to get resources and to reduce the stigmas of the practices in HR, the É de Lei searched to redesign its Cross-Category to an institution that expresses, mainly, by the culture; E) Among the challenges to make the work at É de Lei with HR, the question ?border? as a side effect and undesirable, is reaffirmed in its actions and while knowledge production and F) The observation that HR is controversial health politics because it is in the opposite of the prohibitionist paradigm, designing up as a new ethical paradigm, clinical and political for the public and collective health.
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    Post-Traumatic Stress Disorder and Urban Violence: An Anthropological Study
    (Mdpi Ag, 2013-11-01) Silva-Mannel, Juliana da [UNIFESP]; Andreoli, Sergio Baxter [UNIFESP]; Martin, Denise [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The study aimed to understand how distress is experienced by patients with Post-Traumatic Stress Disorder (PTSD) in the social-cultural context of São Paulo, Brazil, an urban environment marked by social inequality and high levels of violence. A qualitative study was conducted between 2008 and 2010 with PTSD patients (F43.1, ICD-10, 1997) who had been victims of robberies and kidnappings in São Paulo. Dense ethnographic observations were carried out, as well as in-depth semi-structured interviews with ten adult patients. the analysis method used was based on anthropology. the results show that it is particularly important to distinguish between perceptions of different forms of the experience of social suffering and perceptions of health and illness held by victims and biomedical experts. the cause of PTSD is more often associated with the personal problems of the victim than with the specific traumatic event. the distress described in terms of what is considered a normal reaction to violence and what is considered a symptom of PTSD. the findings indicate that the diagnostic of PTSD can be understood in relation to the different contexts within a culture. the ethnographic approach serves not only to illuminate individual suffering but also the social suffering experienced by the residents of São Paulo.
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    Primary Care and Children's Mental Health in Brazil
    (Elsevier B.V., 2009-07-01) Paula, Cristiane Silvestre de [UNIFESP]; Nakamura, Eunice [UNIFESP]; Wissow, Lawrence; Bordin, Isabel Altenfelder Santos [UNIFESP]; Nascimento, Rosimeire do [UNIFESP]; Leite, Álvaro Jorge Madeiro [UNIFESP]; Cunha, Antonio; Martin, Denise [UNIFESP]; Univ Prebiteriana Mackenzie; Universidade Federal de São Paulo (UNIFESP); Johns Hopkins Univ; Univ Fed Ceara; Universidade Federal do Rio de Janeiro (UFRJ); Univ Catolica Santos
    Objective.-Primary care offers opportunities to expand children's access to mental health (MH) services, but a given practice's community context and staff attitudes may influence which integration models are feasible. The aim of this study was to explore the possibility of using community-based primary care to increase access to MH services in low-income communities in Brazil.Methods.-A qualitative study was undertaken using focus groups with adolescents aged 11 to 16 (n = 46), parents (n = 40), and primary care clinicians and staff (n = 52) from public-sector health centers in 6 low-income Brazilian communities chosen for their geographic diversity.Results.-Parents felt they had little support in parenting and attributed much of their children's behavior and mood problems to life in violent, poor communities. Parents thought that primary care could potentially be a source of MH care, but that clinicians often seemed rushed or uninterested. Clinicians classified many child problems as issues with parenting rather than MH. Nonprofessional staff was more likely to be a source of support to parents, except at one center that had a truly integrated MH service. Adolescents reported little need for MH services.Conclusions.-Expanding the role of primary care in child MH may require close attention to how parents, adolescents, and clinicians define their problems and on the causes to which they attribute them. These factors interact with differences in how centers organize MH care, and the extent to which they take advantage of patient interactions with nonprofessional staff.
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    A profile of ecstasy (MDMA) use in Sao Paulo, Brazil: An ethnographic study
    (Haight-ashbury Publ, 2006-03-01) Battisti, Murilo Campos; Noto, Ana Regina; Nappo, Solange; Carlini, Elisaldo de Araujo; CEBRID; Universidade Federal de São Paulo (UNIFESP)
    The use of Ecstasy in Brazil has gained visibility in recent years. Nevertheless, scientific data on this issue remain scarce. The present study focused on clarifying this phenomenon by means of qualitative and ethnographic research. Observational studies (N = 8), information obtained from key informants (N = 14) and interviews with Ecstasy users (N = 32) from the city of Sao Paulo were part of this study. The results pointed to night clubs and rave parties where electronic music is played as the main context of use. Interviews with users revealed a sample of young adult members of the highest layers of society, with a good educational background and access to the labor market. Furthermore, polydrug use was manifested. Users' typology was established regarding the pattern of drug use, showing two profiles of users: the Rave Generation, consisting of more recent users who initiated this use with the arrival of the large-sized rave parties at the end of the 1990s. The second profile, the Sons of the Hell's Club, consisted of more experienced users (beginning in the early 1990s) and showed a richer history of use. Neither profile group had sought help regarding their Ecstasy use, and both showed positive beliefs related to the safety of use.
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    Restless legs syndrome: A qualitative analysis of psychosocial suffering and interdisciplinary attention
    (Sage Publications Ltd, 2013-10-01) Varela, Maria Jose V. [UNIFESP]; Coin-Carvalho, Joao E. [UNIFESP]; Carvalho, Luciane B. C. [UNIFESP]; Varela, Maite V. [UNIFESP]; Potasz, Clarisse [UNIFESP]; Prado, Lucila B. F. [UNIFESP]; Prado, Gilmar F. do [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The aim of this study is to investigate psychosocial factors related to the diagnosis and treatment of patients with restless legs syndrome. Fifteen patients were interviewed at the Neuro-Sono Outpatient Clinic, Universidade Federal de São Paulo. the results were submitted to a qualitative analysis. We identified four content categories: illness description, illness history, illness experience, and relationships. Lack of control over the body and lack of recognition by professionals produce stigma and lead patients to suffering. the research underscores the relevance of psychosocial factors to the diagnosis and treatment of patients with restless legs syndrome and the importance of having interdisciplinary teams when attending patients with restless legs syndrome.
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    O sentido da maternidade em gestantes portadoras de transplante renal: uma abordagem fenomenológica
    (Universidade Federal de São Paulo (UNIFESP), 2015-12-31) Belardi Neto, Vera Lucia Lotufo [UNIFESP]; Sass, Nelson Sass [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The literature on research with pregnant kidney transplant in the field of psychology is quite sparce, since the possibility of getting pregnant is recent for these women. This study aimed to understand how the psychological sense of motherhood to these women who have submitted kidney transplantation in the Hypertention and Nephropaty Ambulatory at the Paulista Medicine School, EPM-UNIFESP. We used the phenomenological hermeneutics method by collecting speeches of fourteen pregnant kidney transplantation women with average of 27,5 years were included in the study; all patients investigated beyond the 20th week of pregnancy to delivery, followed-up between 2011 and 2012. The analysis of the narratives followed guidance of qualitative research and hermeneutics of meaning through non-directive interviews and the research question. The results shows: 50% of them believe that conception is God?s will, 60% of them felt ambivalence of feelings (hapiness and fear of death or fear of the graft loss), 28,5% of women consider that to be pregnant is a power of women, 85,71% consider that pregnant brings feelings of greatness, hapiness for the new life that is being born. Conclusion: pregnant kidney transplanted know the risks of pregnancy, are afraid of complications such as graft loss, maternal or fetal death, however they still choose to be mothers because brings feelings of hapiness and greatness. We observed the importance of the couple be guided and monitored through pregnancy by the health team.