Evanilda Souza de Santana Carvalho

Droga de corpo! Imagens e representações do corpo feminino em revistas brasileiras

This documentary, qualitative, descriptive study has the objective to analyze images and representations of the female body and their relation to drug use in the content of articles published in four magazines with national circulation (Veja, Isto E, Boa Forma, Claúdia). The articles selected were submitted to the technique of content analysis, with three thematic groups identified: the body as an incentive to use drugs; risks to the body resulting from drug use; and the search for the perfect body through drug use. The data showed that the media reproduces rigid aesthetic standards, exposing women to social and health offenses that stimulate drug use, either autonomously or by prescription. The search for beauty and the appeal to feminine eroticism, published through the communication channels analyzed limit the social importance of women by using images that link them to the status of sexual object.Estudo documental, qualitativo, descritivo, com objetivo de analisar imagens e representacoes do corpo da mulher e sua relacao com o consumo de drogas nos conteudos de reportagens publicadas em quatro revistas de circulacao nacional (Veja, Isto E, Boa Forma, Claudia). As reportagens selecionadas foram submetidas a tecnica de analise de conteudo, sendo identificados tres grupos tematicos: O corpo como um estimulo para o consumo de drogas; Riscos para o corpo decorrentes do consumo de drogas; A busca do corpo ideal com a utilizacao de drogas. Os dados mostraram que a midia reproduz padroes esteticos rigidos, expondo as mulheres a agravos sociais e de saude que estimulam o consumo de drogas de forma autonoma e/ou por prescricao. A busca pela beleza e a apelacao ao erotismo feminino, divulgados pelos meios de comunicacao analisados, limitam a importância social das mulheres, ao atrelar imagens que lhes atribuem o status de objeto sexual.

Corpos estranhos, mas não esquecidos: representações de mulheres e homens sobre seus corpos feridos

In this qualitative study, which aimed to capture and analyze the representations of the body injured, it were collected, through in-depth interviews, the discourses of eighteen adults, with chronic wounds, users of an outpatient service of a public hospital in the city of Salvador-BA, that cares of wounded individuals. From the analysis of the statements, through Thematic Content Analysis, emerged the following categories, related to the wounded body: It is a strange that promotes suffering; It is constantly watched; It is rejected; It is a prisoner; It is vulnerable to violence; It requires special care, and It is a body in grief. Such representations are anchored in negative images and suffering, and reveal that, very different from the idealized body, the wounded body promotes mixed feelings and self-deprecating. The results showed that people with chronic wounds consider their own bodies as awkward; they experience negative feelings about their image, and mobilize alternatives for self-care andIn this qualitative study, which aimed to capture and analyze the representations of the body injured, it were collected, through in-depth interviews, the discourses of eighteen adults, with chronic wounds, users of an outpatient service of a public hospital in the city of Salvador-BA, that cares of wounded individuals. From the analysis of the statements, through Thematic Content Analysis, emerged the following categories, related to the wounded body: It is a strange that promotes suffering; It is constantly watched; It is rejected; It is a prisoner; It is vulnerable to violence; It requires special care, and It is a body in grief. Such representations are anchored in negative images and suffering, and reveal that, very different from the idealized body, the wounded body promotes mixed feelings and self-deprecating. The results showed that people with chronic wounds consider their own bodies as awkward; they experience negative feelings about their image, and mobilize alternatives for self-care and personal presentation, distinct from those activated before chronic state.

Gênero, violência e viver na rua: vivências de mulheres que fazem uso problemático de drogas

Objective To describe the experience of homeless women and their high risk drug use. Method Qualitative research whose data were produced by semi-structured interviews conducted with seven women enrolled in a CAPSad in Salvador, Bahia, in the period from October to December 2012. Results Theme content analysis was adopted to organize the data that resulted from processing two thematic categories: Gender, violence and drug use: What changes and what is perpetuated in the life of women users; No strings attached: life on the streets. Conclusion The results show that many behaviors experienced in the family context and social constructions are reproduced by women and keep them vulnerable to social and health issues, among them the onset and maintenance of high risk drug use.Objective To describe the experience of homeless women and their high risk drug use. Method Qualitative research whose data were produced by semi-structured interviews conducted with seven women enrolled in a CAPSad in Salvador, Bahia, in the period from October to December 2012. Results Theme content analysis was adopted to organize the data that resulted from processing two thematic categories: Gender, violence and drug use: What changes and what is perpetuated in the life of women users; No strings attached: life on the streets. Conclusion The results show that many behaviors experienced in the family context and social constructions are reproduced by women and keep them vulnerable to social and health issues, among them the onset and maintenance of high risk drug use.

Vivência sexual e afetiva de mulheres com incontinência urinária secundária ao HTLV

Objective To understand the sexuality experience of women with urinary incontinence secondary to human T-cell lymphotropic virus (HTLV). Methods Qualitative study using oral thematic history and data collection through in-depth interview and, for analysis, the content and gender analysis technique. Results Ten women participated and four categories emerged: understanding sexuality; experiencing conflict and violence; experiencing sexuality without pleasure; and experiencing urinary losses during intercourse. Knowledge about sexuality and exercise was limited. Living with incontinence and the virus contributed to conflicts in marital and emotional relationships, surrounded by renunciation, limitation, gender-based violence, as well as life changes and adaptations to learning how to live with the disease. Conclusion Women had difficulty in performing their sexuality, and needed to change their lifestyle and empower themselves to live better.

Perception of women suffering from sickle cell anemia regarding pregnancy: an exploratory study

Aim: To analyze the perception of women suffering from sickle cell anemia regarding pregnancy. Method: This is a qualitative, descriptive and exploratory study, involving 25 women suffering from sickle cell anemia who lived in Bahia. Data were obtained through open interviews and analyzed by the Collective Subject Discourse. Results: Three central ideas emerged from the discourses: fear and anxiety marked the pregnancy of women suffering from sickle cell anemia; dilemmas permeated the decision to abort, and; the desire to be a mother was frustrated by miscarriage. Discussion: Due to the lack of equipment and lack of social support for exercising motherhood, women experience sadness, depression and think of interrupting the pregnancy. Conclusion: The choice to have children, although risky, should be ensured by public policy with an integral assistance to women suffering from sickle cell anemia, involving the totality of their reproductive trajectory.

Characterization of pain resulting from perineal trauma in women with vaginal delivery

BACKGROUND AND OBJECTIVES: Perineal pain in the puerperium of women with perineal traumas can affect the quality of life and interfere with normal activities and physiological needs. In addition, many obstetric practitioners neglect this symptom and an incipient scientific production about the characterization of this pain is observed. Therefore, this study aimed to compare the characteristics of perineal pain in women with perineal traumas due to episiotomy and laceration, according to the Brazilian Version of the McGill Pain Questionnaire, in a public maternity hospital in the interior of Bahia. METHODS: A cross-sectional study was carried out with 499 postpartum women who had a vaginal delivery and who presented with perineal pain associated with local traumas. RESULTS: The characterization of perineal pain was the same for both traumas, being described as “that jerk”, “boring” and “uncomfortable”. CONCLUSION: Perineal pain has considerable intensity and causes discomfort in women. Therefore, it is important that the episiotomy is performed in a restricted way and that the professionals seek to use techniques of perineal protection, as this will reduce the frequency of perineal pain and provide greater comfort to the woman in the immediate puerperium.

MP91-08 COMBINATION OF METABOLIC SYNDROME COMPONENTS TO PREDICT TESTOSTERONE DEFICIENCY IN MEN

of T-dose). Stepwise multivariate Cox regression models revealed fundamental differences in inter-individual effects: hazard ratios for loss of BMI/WC were significantly higher in those subjects with younger age, lower baseline T and higher ratios of delta testosterone over delta estradiol levels induced by treatment (all p<0.01). Advanced age, higher baseline BMI and higher delta estradiol levels resulted in significantly higher hazard ratios for prostate growth/increase in PSA or hematocrit (all p<0.01). Overall, effects were attenuated, but still significant, in subjects with androgen receptor gene CAG repeat length >24, in those with KS or men with non-classical hypogonadism (using non-KS primary hypogonadism as referent, all p<0.05). CONCLUSIONS: Major new findings regarding effects and safety of T substitution in hypogonadal men are provided. This longterm registry on T substitution in hypogonadal men of a wide age-range demonstrates a decrement of weight, factors influencing cardiovascular health and a low, manageable amount of risk factors. Effects are modulated by diagnosis, age and genetic background.

Representações da enfermeira e pessoa em sofrimento psíquico na mostra fotográfica USAnatomy de Steven KleinRepresentaciones de la enfermera y la persona en sufrimiento psíquico en exposición fotográfica USAnatomy de Steven Klein

Objectives To analyze the representations of the nurse and individual in mental suffering portrayed in the photographic work by Steven Klein, in the USAnatomy exhibit held at the Museum of Sculpture (Museu da escultura) in Sao Paulo, in 2011. Methods Qualitative study carried out in 2012. Three photographs were submitted to iconographic analysis. The interpretation of the findings was based on theoretical frameworks of Foucault and Bourdieu on power relations. Results The nurse is represented as a sensual, insensitive person, with the power to control and torture while the person in psychological distress is represented as dirty, imprisoned and subjected to an asymmetrical relationship of power with the nurse. Final considerations Relationships of submission and symbolic dominance, in which the person in psychological distress has their body molded by discipline imposed by the nurse. Stereotypes of the image of the nurse oppose the ideology of the profession, which is to ensure the integrity of those being cared for.Objectives To analyze the representations of the nurse and individual in mental suffering portrayed in the photographic work by Steven Klein, in the USAnatomy exhibit held at the Museum of Sculpture (Museu da escultura) in São Paulo, in 2011. Methods Qualitative study carried out in 2012. Three photographs were submitted to iconographic analysis. The interpretation of the findings was based on theoretical frameworks of Foucault and Bourdieu on power relations. Results The nurse is represented as a sensual, insensitive person, with the power to control and torture while the person in psychological distress is represented as dirty, imprisoned and subjected to an asymmetrical relationship of power with the nurse. Final considerations Relationships of submission and symbolic dominance, in which the person in psychological distress has their body molded by discipline imposed by the nurse. Stereotypes of the image of the nurse oppose the ideology of the profession, which is to ensure the integrity of those being cared for.

Contextual determinants of decentralization of epidemiological surveillance for the family health team

This study examines the contextual determinants of implementing decentralization of epidemiological surveillance for the family health team, in a municipality in the state of Bahia, Brazil. This was an evaluative study using the political model of implementation analysis. Data were obtained through document analysis and semi-structured interviews with managers and healthcare workers. Five themes emerged: planning; training of human resources; organization of the work process; linkage within institutions; and organization of family healthcare units. The results revealed that there are difficulties such as poor infrastructure of healthcare units, creation of flexibility in labor relations and healthcare worker turnover. The study shows that there is a need for stakeholder participation in the process of implementing the policy of decentralization of epidemiological surveillance for the micro-area of intervention that comprises the family health program.Este estudo analisa os determinantes contextuais da implantacao da descentralizacao da vigilância epidemiologica para a Equipe de Saude da Familia, em um municipio do estado da Bahia, Brasil. Trata-se de pesquisa avaliativa, adotando-se o modelo politico da analise de implantacao. Os dados foram obtidos mediante a analise de documentos e entrevistas semiestruturadas aplicadas a gestores e trabalhadores da saude. Emergiram cinco temas: Planejamento; capacitacao de recursos humanos; organizacao do processo de trabalho; articulacao intrainstitucional; organizacao da Unidade de Saude da Familia. Os resultados revelam dificuldades tais como: precaria infraestrutura das unidades de saude, flexibilizacao das relacoes de trabalho, rotatividade dos trabalhadores da saude. O estudo aponta para a necessidade de participacao dos atores no processo de implementacao da politica de descentralizacao da vigilância epidemiologica para um micro-espaco de intervencao que e o Programa de Saude da Familia.

Sexual-affective trajectories of people with chronic leg ulcers: aspects of therapeutic listening

This is a qualitative study that aims to discuss the trajectories of people with chronic sores on the lower limbs,focusing on their affective and sexual experiences. Fifty-one adult outpatients participated and they received care at the infirmary of a public hospital in Salvador-Bahia, between 2008 and 2009. Data was collected through techniques that included themed-story drawings and in-depth interviews, during therapeutic listening sessions,followed by an analysis of the content and an analysis of the drawing contents. Three categories emerged solitary sexual-affective trajectory, fragmented sexual-affective trajectory, and continuous or linear sexual-affective trajectory. It was concluded that the limitations imposed by sores influence the subjectivity of these people, leading them to processes of loss of self-confidence, self-deprecation and fear of sexual- affective demands. It becomes clear, therefore, for the need to promote, not only curative interventions for the body, but also to include therapeutic listening and psychological support in the assistance offered to these people.Estudo qualitativo com o objetivo de discutir as trajetorias de pessoas com feridas cronicas nos membros inferiores, focando as experiencias afetivas e sexuais. Participaram 51 adultos atendidos num ambulatorio de hospital publico em Salvador, Bahia, entre 2008 e 2009. Os dados foram obtidos atraves do desenho estoria-tema e de entrevistas em profundidade, durante a escuta terapeutica. Em seguida foram submetidos a analise de conteudo tematica e a analise de conteudo para desenhos, respectivamente, surgindo tres categorias: “trajetorias solitarias”, “fragmentadas” e “lineares ou continuas”. Conclui-se que as limitacoes corporais impostas pelas feridas influenciam a subjetividade dessas pessoas, conduzindo-as a processos de perda da autoconfianca, autodepreciacao e temor quanto a demandas afetivo-sexuais. Torna-se, pois, evidente a necessidade da promocao, nao apenas de intervencoes curativas para o corpo, mas tambem da escuta terapeutica e do apoio psicologico durante o cuidado proporcionado a essas pessoas.