Thesis (MNutr (Human Nutrition))--University of Stellenbosch, 2009. / ENGLISH ABSTRACT: Background Patients with chronic renal failure must deal not only with the disease itself, but also have to follow a strict dietary regimen. In South Africa there is currently a great demand for new and updated recipes based on the South African Renal Exchange Lists. The focus of this research was the development and testing of recipes commonly used by renal patients following a westernised diet. Objectives The main objectives of the study were to develop and test recipes that meet the nutritional requirements of patients with chronic renal failure. The secondary objectives were to determine the gender and racial differences in participants’ responses during consumer sensory testing. Methodology The study population consisted of patients with chronic renal failure on hemodialysis and continuous ambulatory peritoneal dialysis from Tygerberg Academic Hospital (TAH). Data was collected in three phases, using census sampling: Phase 1 included the development and adaptation of recipes to suit the renal diet. Phase 2 included the consumer sensory testing of the recipes by the dialysis patients, using the 9-point hedonic scale. Phase 3 included the rating of the recipes, the final nutritional analysis and allocation of renal exchanges to one portion of each recipe, as well as the final formatting of the recipe to make it more user-friendly for the renal patient. Results In total, 45 patients took part in the sensory evaluation of 30 recipes. Eighty percent of the subjects were coloured, 4% were white while 16% were black. Fifty-one percent (n=23) were female and 49% (n=22) were male. Of the 30 recipes that were evaluated for overall acceptance, appearance, smell, texture and taste, only 7 were deemed unacceptable. Recipes were unacceptable when less than 80% of the study participants gave a mean overall score of more than 6. Significant differences in the overall acceptability scores were found between the male and female subgroups for the Fish and Vegetable Pie (p=0.031), Chicken Pilaf (p=0.008) and Date Fingers (p=0.002). The females showed a greater preference for these two main meals while the males showed a greater preference for the Date Fingers. Significant differences were found between the black and westernised subgroups for the Rice Salad (p=0.006), Wheat and Mushroom Casserole (p=0.022), Curried Wheat Salad (p=0.043) and the Coconut Ice (p=0.005), with the westernised subgroup showing a greater preference for the dishes than the black subgroup. Conclusion The 23 recipes that were acceptable to the study participants are recommended for inclusion in the RenalSmart Software programme. These recipes are suitable for patients following a westernised diet. It is proposed that recipes suitable for the black and Indian population must be developed in future research. / AFRIKAANSE OPSOMMING: Agtergrond Pasiënte met chroniese nierversaking moet nie net slegs die siektetoestand hanteer nie, maar moet ook ‘n streng dieet regime volg. Daar is huidiglik in Suid-Afrika ‘n groot behoefte vir nuwe en opgedateerde resepte gebasseer op die Suid-Afrikaanse Nier Ruillyste. Die fokus van hierdie navorsing was om resepte te ontwikkel en te toets wat algemeen ingeneem word deur nierversaking pasiënte wat ‘n westerse dieet volg. Doelwitte Die hoof doelwitte van die studie was om resepte te identifiseer en te toets wat voldoen aan die nutrisionele behoeftes van nierpasiënte met kroniese nierversaking. Die sekondêre doelwitte was om geslag en ras verskille in die deelnemers se reaksies tydens verbruiker sensoriese evaluering te bepaal. Metodologie Die studie populasie het bestaan uit pasiënte met chroniese nierversaking op hemodialise en aaneenlopende ambulatoriese peritoneale dialise van Tygerberg Akademiese Hospitaal (TAH). Data was versamel in drie fases deur gebruik te maak van sensus steekproeftrekking: Fase 1 het die ontwikkeling en aanpassings van die resepte, om dit toepaslik te maak vir die nier dieet, ingesluit. Fase 2 het die verbruiker sensoriese evaluering van die resepte deur die dialise pasiënte, met behulp van die 9-punt hedoniese skaal, ingesluit. Fase 3 het die klassifisering van die resepte, die finale nutrisionele analise en die toekenning van nier ruile per porsie van elke resep, sowel as die finale formatering om die resep meer gebruikersvriendelik te maak vir die nierpasiënt, ingesluit. Resultate In totaal het 45 pasiënte aan die sensoriese evaluering van die 30 resepte deelgeneem. Tagtig persent van die deelnemers was kleurling, 4% was wit en 16% was swart. Een en vyftig persent (n=23) was vroulik en 49% (n=22) was manlik. Van die 30 resepte wat geevalueer is vir algehele aanvaarding, voorkoms, reuk, tekstuur en smaak, was slegs 7 onaanvaarbaar gevind. Resepte is as onaanvaarbaar beskou indien minder as 80% van die deelnemers ‘n gemiddelde algehele telling van meer as 6 gegee het. Beduidende verskille in die algehele aanvaarbaarheid tellings is gevind tussen die mans en vroue vir die Vis en Groente Pastei (p=0.031), Hoender Pilaf (p=0.008) en Dadelvingers (p=0.002). Die vrouens het ‘n groter voorkeur vir die twee hoofgeregte getoon terwyl die mans ‘n groter voorkeur vir die Dadelvingers getoon het. Beduidende verskille is gevind tussen die swart en westerse sub-groepe vir die Rysslaai (p=0.006), Koring en Sampioen Kasserol (o=0.022), Kerrie Koringslaai (p=0.043) en die Klapperys (p=0.005), met die westerse sub-groep wat ‘n groter voorkeur vir dié geregte toon as die swartes. Gevolgtrekking Die 23 resepte wat aanvaarbaar gevind is sal voorgestel word om ingesluit te word in die RenalSmart Sagteware program. Die resepte is toepaslik vir pasiënte wat ‘n westerse dieet volg. Daar word voorgestel dat resepte toepaslik vir die swart en Indiër populasie ontwikkel word in toekomstige navorsing.

Chronic obstructive pulmonary disease (COPD) has been recognized as a leading cause of mortality in older adults involving acute exacerbations as life-threatening events that lead to frequent hospitalization for care. Informal caregivers have been essential to helping older adults with COPD during an acute exacerbation of chronic obstructive pulmonary disease (AECOPD). A lack of empirical knowledge exists regarding the experience of informal caregivers of older adults with AECOPD in situation awareness for recognizing, understanding, and responding to an AECOPD in an emergent situation. This qualitative descriptive study explored situation awareness and its components of perception, comprehension and projection of next steps, including the caregiver’s confidence level during the AECOPD event. Fifteen informal caregivers, ages 31-77 years (mean age 48), who provided care for older adults with COPD were interviewed from an underserved community health center. The overarching theme derived from this study was something was wrong and something needed to be done. Subthemes emerged as a heightened sense of awareness, caregiver tipping point, planning next steps, caregiver confidence, and caregiver commitment. This study utilized situation awareness theory as a relevant guiding framework in exploring the experience of lay informal caregivers caring for older adults with AECOPD events. Study findings provided a description of the complex processes involved, including confidence level, for informal caregiver’s in situation awareness to recognize and respond to an AECOPD event in the older adult. Future targeted interventions need to address strategies to enhance individualized care for older adults with AECOPD events for managing care at home.

Made available in DSpace on 2014-07-22T13:14:37Z (GMT). No. of bitstreams: 2 Daniele Borges de Mello.pdf: 1010147 bytes, checksum: e8013e045c233e79ed96596a0cd2bd72 (MD5) license.txt: 1914 bytes, checksum: 7d48279ffeed55da8dfe2f8e81f3b81f (MD5) Previous issue date: 2011 / Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Ensino. Programa de Pós-Graduação em Saúde da Criança e da Mulher. Rio de Janeiro, RJ, Brasil. / A presente pesquisa discute o adoecimento cronico na juventude no contexto das trocas sociais baseadas na teoria da dádiva. O objetivo é analisar os significados de ser jovem com doença renal crônica no universo das trocas sociais de bens de cuidado. De natureza qualitativa a pesquisa foi realizada em um serviço de saúde especializado no atendimento a jovens com doença renal crônica na cidade do Rio de Janeiro. Participaram do esudo, 11 usuários com idade entre 12 e 20 anos, e 4 profissionais de saúde envolvidos no cuidado a esse grupo. O trabalho de campo, que durou quatro meses, incluiu a observação participante e as entrevistas com os participantes do estudo. Como referencial teórico-metodológico nos guiamos pela Sociologia Compreensiva que permite explorar as relações sociais a partir da experiência do sujeito.. Os resultados apontam para a importância da troca simbólica entre o jovem e o serviço na constituição e vivência plena da juventude e a relevância da perspectiva do jovem na construção do cuidado e da prática profissional dos cuidadores. A partir desse estudo, ficou evidente a importância de refletirmos sobre a ampliação do protagonismo juvenil realizado por esses jovens e estimulado pelo serviço de saúde na tentativa de reconhecermos, potencialmente, esse grupo como agente de sua própria saúde, bem como de outros sujeitos que compartilham o universo da doença crônica. A voz do jovem com doença renal crônica deve ser escutada e valorizada, no que concerne à criação de ações e estratégias de cuidado, principalmente, na construção de políticas públicas voltadas a esse segmento. / The present research discusses the chronic illness process in the youth in the context of the social exchanges based on the gifty theory. The objective is to analyse the meanings of being a young person with chronic kidney disease in the universe of the social exchanges of goods of care. Of qualitative nature, the research was carried out in one health care specialized in the service to young persons with chronic kidney disease in the city of the Rio de Janeiro. The participation of the study was with 11 young people with age between 12 and 20 years, and 4 professionals of health care wrapped in the care to this group. The work of field, which lasted four months, included the partaking observation and the interviews with the participants of the study. The referential methodologic and theoretic system was guided for the Understanding Sociology that allows to explore the social relationship from experience of the subject. The results reveals the importance of the symbolic exchange between the young person and the health care in the constitution and life experience of the fully youth and the perspective of the young person in construction of the care and of health care professional practice. From this study, it was obvious the importance of we considered to enlarge the youthful protagonism carried out by these young persons and stimulated by the health care in the attempt of we recognized, potentially, this group as agent of his own health, as well as of other subjects that share the universe of chronic disease. The voice of the young person with chronic kidney disease must be listened and valued, in what it concerns the creation of actions and strategies of care, mainly, in construction of public policies when they were turned to this segment.

Submitted by priscila santos amorim (priscilaamorimufba@gmail.com) on 2015-06-19T01:03:09Z No. of bitstreams: 1 DISSERTAÇÃO Priscila Santos amorim - para impressão.pdf: 3946797 bytes, checksum: 6810f7401c9c1dc5868bce4fc507de4c (MD5) / Approved for entry into archive by Maria Auxiliadora da Silva Lopes (silopes@ufba.br) on 2015-08-27T14:53:52Z (GMT) No. of bitstreams: 1 DISSERTAÇÃO Priscila Santos amorim - para impressão.pdf: 3946797 bytes, checksum: 6810f7401c9c1dc5868bce4fc507de4c (MD5) / Made available in DSpace on 2015-08-27T14:53:53Z (GMT). No. of bitstreams: 1 DISSERTAÇÃO Priscila Santos amorim - para impressão.pdf: 3946797 bytes, checksum: 6810f7401c9c1dc5868bce4fc507de4c (MD5) / Esta pesquisa trata da escolarização de crianças/adolescentes em hemodiálise e que por sua vez, vivem a maior parte do seu tempo em função dos cuidados à saúde e à manutenção da vida. A hemodiálise consiste em uma terapia substitutiva da função renal, após o diagnóstico da insuficiência renal crônica (IRC) em estágio mais avançado. O objetivo da pesquisa foi investigar os significados do processo de escolarização de crianças/adolescentes com Insuficiência Renal Crônica, que realizam tratamento de Hemodiálise, em um hospital público da cidade de Salvador-BA. O referencial teórico-metodológico que a orienta, situa-se no campo da fenomenologia, a partir de uma abordagem socioantropológica para a realização de leituras possíveis do fenômeno em estudo. Desenvolveu-se um trabalho de campo, utilizando-se observações e entrevistas com quatorze participantes, sendo sete pacientes (três meninos e quatro meninas) do serviço de nefrologia pediátrica de um hospital público de Salvador-BA e suas respectivas mães acompanhantes. A partir daí, foi possível organizar o material empírico para realizar a análise e assim, descrever e problematizar as questões relativas à escolarização destas crianças/adolescentes na vivência com a doença e a hemodiálise. Tal estudo possibilitou visualizar em meio às experiências apreendidas, as consequências da doença e sua terapêutica nas questões que envolvem as rupturas na vida destas pessoas, a adoção de novos estilos de vida, os cuidados, as alterações no próprio corpo, o medo da morte, o sofrimento, as esperanças e expectativas que implicam nos seus percursos e no que significam para estas pessoas o processo de escolarização. Como resultados, identificou-se que para estas pessoas a escolarização no contexto da IRC e da hemodiálise pressupõe a adaptação à realidade da forma como esta se apresenta, quer seja na escola comum ou na classe hospitalar, não sendo possível falar da educação escolar destas pessoas, sem antes perceber o peso marcado pela doença em suas vidas e as dificuldades e possibilidades encontradas em seus percursos carregados de emoções em seus cuidados, privações e rearranjos que, por vezes, são necessários nos inesperados de suas trajetórias existenciais. Entender as necessidades de crianças e adolescentes com doença crônica renal para a partir daí, garantir a assistência plena em saúde, educação e seu processo de inclusão, se faz importante no caminhar de todas as ações que os envolvem. / ABSTRACT This research deals with the children's and adolescents' education on hemodialysis which in turn, live most of their time in terms of health care and the maintenance of life, being deprived of their full cognitive, socio-affective and emotional development. Hemodialysis is a renal replacement therapy after diagnosis of chronic renal failure (CRF) in a more advanced stage. The objective was to investigate the meanings of the children's and adolescents' educational process with Chronic Renal Failure who perform Hemodialysis treatment at a public hospital in the city of Salvador-BA. The theoretical and methodological framework that guides this research lies in the field of phenomenology from a socio-anthropological approach to the realization of possible readings of the phenomenon under study. It was developed using fieldwork observations and interviews with fourteen participants, seven of them were patients (three boys and four girls) of pediatric nephrology service of a public hospital in Salvador - BA and their seven accompanying mothers. From there, it was possible to organize the empirical material to perform the analysis and so, describe and discuss issues related to these children's and adolescents' education in living with the disease and hemodialysis. This study enabled to view the experiences learned, the consequences of the disease and its treatment on issues involving disruptions in the lives of these people, the adoption of new life-styles, care, changes in the body itself , the fear of death , suffering , hopes and expectations involving in their journeys and what these people mean to the educational process. As a result, it was found that for these people, the education in the context of CRF and hemodialysis requires adaptation to the reality of how it presents itself, either in regular schools or in the hospital class, it is not possible to speak of these people's education without prior noticing the weight marked by illness in their lives and the difficulties and opportunities found in their paths carried with emotions in their care, deprivation and rearrangements which are sometimes necessary in unexpected of its existential trajectories. Understanding the children's and adolescents' needs with chronic kidney disease to thereafter ensure full assistance in health and education and the process of inclusion, it becomes important in the journey of all actions involving them.

CFS/ME (Chronic Fatigue Syndrome/Myalgic Encephalomyelitis) is a distressing and potentially debilitating condition. It can also be understood as a contested condition, surrounded by controversy about its nature, causes and treatment. Previous research indicates that those affected experience this climate of contestation as a troubling and discrediting assault, not only on the nature of their condition, but also on their identities. However, little attention has been paid to the voices of young people living with CFS/ME. This thesis extends a relatively small literature in new directions, focusing a constructionist, discursive narrative lens on the accounts of ten young people (aged 13-18) living with a diagnosis of CFS/ME. Narratives constructed during repeated interviews over a year, and drawing on multimodal materials collected by participants over that period, were analysed for their content, structure and performance, with reference to the local and broader contexts of their production. This analysis demonstrates that teenagers construct rich, multi-layered narratives with the potential to enhance understanding of their situation and broader features of the social world. As they speak of the onset of illness, attempts to live with enduring, unpredictable symptoms and their psychosocial consequences, and (for some) the possibility of 'moving on' from the worst of illness, this analysis throws new light on how young people's narratives can be understood as simultaneously constructing the condition ('M.E.') and the identities of those involved ('me' and others), in ways that engage with, reflect and resist prevailing discourses. It is argued that the discursive contexts of CFS/ME and adolescence raise particular challenges for young people as they try to construct credible narratives that convey the full extent of their difficulties, while resisting stigmatising identities (eg, as 'complaining', 'lazy' or otherwise 'not normal'). This analysis highlights implications for them, their families and those who work professionally with them; and for the ongoing social construction of CFS/ME in young people.

Submitted by Daniele Amaral (daniee_ni@hotmail.com) on 2016-09-28T18:21:54Z No. of bitstreams: 1 DissDCSB.pdf: 2906934 bytes, checksum: 3b23ea5fc5f62698539955a6d797f785 (MD5) / Approved for entry into archive by Ronildo Prado (ronisp@ufscar.br) on 2016-10-04T18:36:42Z (GMT) No. of bitstreams: 1 DissDCSB.pdf: 2906934 bytes, checksum: 3b23ea5fc5f62698539955a6d797f785 (MD5) / Approved for entry into archive by Ronildo Prado (ronisp@ufscar.br) on 2016-10-04T18:36:51Z (GMT) No. of bitstreams: 1 DissDCSB.pdf: 2906934 bytes, checksum: 3b23ea5fc5f62698539955a6d797f785 (MD5) / Made available in DSpace on 2016-10-04T18:43:09Z (GMT). No. of bitstreams: 1 DissDCSB.pdf: 2906934 bytes, checksum: 3b23ea5fc5f62698539955a6d797f785 (MD5) Previous issue date: 2015-02-24 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Kidney transplantation is an effective treatment recommended to chronic kidney disease. The discovery of the disease and the waiting for transplant affects hardly all the family. The research aims was to understand the impact of kidney transplantation in family life in the transplant recipient perspective, and understand how he realizes the importance of his family to the success of his transplant. This is a qualitative study using as theoretical and methodological framework Symbolic Interactionism and the Narrative, respectively. The identification of individuals was performed using a survey of the High Cost of Pharmacy county, since it is the location where they do drug withdrawal for treatment. The participants were 12 kidney transplant recipients who underwent transplantation in a period of up to 5 years who had primary caregiver a family member and who demonstrated clear thinking and consciousness. Data collection was made in a municipality in the state of São Paulo, through semi-structured interviews were audio recorded and were transcribed accurately. The analysis of the data emerged three themes: share the suffering: composed of 6 categories that depict the full impact that the family suffers from the illness until after transplantation; have a haven: represented by 5 categories that show all family effort to rebuild the face of adversity and fight for successful treatment and transplantation; and move on with the family: represented by four categories that describe the influence that the family has in the transplanted behavior throughout the experiment. Despite all the negative impact that the family suffers, it demonstrates is able to rebalance and provide the care and support needed for successful transplantation and coping with difficulties which affect the transplanted. / O transplante renal é um tratamento eficaz recomendado para tratar a insuficiência renal crônica. A descoberta da doença e a espera pelo transplante afeta duramente o indivíduo e a família. O objetivo desta pesquisa foi compreender a percepção do transplantado sobre a experiência de sua família no processo de adoecimento e transplante. Trata-se de um estudo qualitativo que utilizou como referencial teórico e metodológico o Interacionismo Simbólico e a Narrativa, respectivamente. A identificação dos sujeitos foi realizada através de levantamento no cadastro de transplantados renais na Farmácia de Alto Custo de um município localizado no interior do estado de São Paulo, Brasil. A pesquisa foi desenvolvida com 12 participantes que realizaram o transplante renal em período de até 5 anos, que tiveram como cuidador principal um membro da família e que demonstraram clareza de raciocínio e consciência. A coleta dos dados foi desenvolvida através de entrevistas semi-estruturadas. Da análise dos dados emergiram 3 temas: compartilhar o sofrimento: composto por 6 categorias que retratam todo o impacto que a família sofre desde o adoecimento até após o transplante; contar com um porto seguro: representado por 5 categorias que evidenciam todo esforço da família por(para) se reerguer frente às adversidades e lutar pelo sucesso do tratamento e do transplante; e seguir em frente com a família: representado por 4 categorias que descrevem a influência que a família tem no comportamento do transplantado ao longo da experiência. Apesar de todo impacto negativo que a família sofre, ela demonstra-se capaz de reequilibrar-se e prover o cuidado e apoio necessário para o sucesso do transplante e enfrentamento das dificuldades que o acometem o transplantado.

Submitted by ELOISA PELIZZON DIB null (eloisapdib@hotmail.com) on 2016-07-13T00:55:27Z No. of bitstreams: 2 Eloisa Pelizzon Dib-Mestrado - 4.pdf: 1216413 bytes, checksum: 930e99a0ae13b21f7f14091961165675 (MD5) Eloisa Pelizzon Dib-Mestrado - 4.pdf: 1216413 bytes, checksum: 930e99a0ae13b21f7f14091961165675 (MD5) / Rejected by Ana Paula Grisoto (grisotoana@reitoria.unesp.br), reason: Solicitamos que realize uma nova submissão seguindo as orientações abaixo: Foram submetidos 2 arquivos PDF’s, apenas 1 arquivo deve ser submetido. O arquivo PDF não deve estar protegido e a dissertação/tese deve estar em um único arquivo, inclusive os apêndices e anexos, se houver. Corrija estas informações e realize uma nova submissão contendo o arquivo correto. Agradecemos a compreensão. on 2016-07-15T16:41:25Z (GMT) / Submitted by ELOISA PELIZZON DIB null (eloisapdib@hotmail.com) on 2016-07-16T01:54:29Z No. of bitstreams: 1 Eloisa Pelizzon Dib-Mestrado - 4.pdf: 1216413 bytes, checksum: 930e99a0ae13b21f7f14091961165675 (MD5) / Approved for entry into archive by Felipe Augusto Arakaki (arakaki@reitoria.unesp.br) on 2016-07-18T16:52:54Z (GMT) No. of bitstreams: 1 dib_ep_me_bot.pdf: 1216413 bytes, checksum: 930e99a0ae13b21f7f14091961165675 (MD5) / Made available in DSpace on 2016-07-18T16:52:54Z (GMT). No. of bitstreams: 1 dib_ep_me_bot.pdf: 1216413 bytes, checksum: 930e99a0ae13b21f7f14091961165675 (MD5) Previous issue date: 2016-06-03 / Há evidencias na literatura mostrando que depressão e ansiedade crônica materna têm reflexos nas relações da díade mãe-criança e acabam afetando a interação. Neste estudo, pretendeu-se identificar as características da interação de crianças de um ano e suas mães, portadoras de sintomas de ansiedade ou depressão crônica, comparando-as com as características interativas de díades em que a mãe não apresentou problemas de saúde mental. A amostra foi composta por 40 díades mães/bebês selecionadas de um estudo de coorte prospectivo anterior, em que elas foram avaliadas quanto à ansiedade, pela escala IDATE traço/estado e depressão pelo Inventário de Depressão de Beck (BDI), em três momentos: na gestação, aos 6 e 14 meses de vida do bebê. Formaram-se três grupos: 10 mães com sintomas de ansiedade crônica, 8 mães com sintomas de depressão crônica e 22 mães no grupo controle, sem problemas de saúde mental, nas três avaliações. As mães responderam a um questionário socioeconômico e em seguida foi gravado um episódio interativo da díade, de 7 minutos, avaliando-se cada minuto, a partir das categorias sugeridas do Protocolo de Avaliação de Interação Diádica (NUDIF). Dois observadores independentes categorizaram as observações e foi calculado o índice de fidedignidade. Após análise descritiva dos dados, se realizou associação estatística entre os sintomas maternos crônicos e interação mãe/filho. Houve alta correlação entre as categorias de comportamentos maternos e as categorias de comportamentos infantis, caracterizando o episódio como interativo. Identificou-se que quanto mais sensíveis, estimuladoras e positivamente afetivas eram as mães, as crianças se mostravam mais envolvidas e integradas, demonstravam mais afeto positivo. Ao comparar os comportamentos interativos nos três grupos, pode-se observar que mães com sintomas de depressão crônica foram significativamente menos sensíveis, mais desengajadas e demonstravam menos afeto positivo que as mães do grupo controle. Elas também estimulavam menos e demonstravam mais afeto negativo, quando comparadas tanto com grupo controle quando com grupo com sintomas ansiosos crônicos. As mães do grupo controle, por sua vez, apresentaram menor intrusividade quando comparadas tanto com as mães do grupo com sintomas ansiosos, quanto com grupo de depressão crônica. Quanto às crianças, os filhos de mães com sintomas de depressão crônica interagiram significativamente menos que mães com sintomas crônicos de ansiedade e controle. Os resultados alertam para atenção especial em nível de políticas públicas voltadas para identificação precoce de problemas da saúde mental materna, fim de minimizar ao máximo suas consequências para a interação mãe/bebe. / There are evidences in the literature indicating that chronic maternal anxiety and depression have influence over a mother-child relationship and then it affects the interaction. This study aims to identify characteristics in the interaction between one-year children and their mothers, who have symptoms of chronic depression or anxiety, and to compare them with characteristics in the interaction of pairs with mothers who did not have mental health problems. A sample was composed of 40 mother/child pairs selected from a previous prospective cohort study where they were evaluated for anxiety, with state-trait anxiety inventory (STAI), and for depression, with Beck's depression inventory (BDI), at three instants: on pregnancy, at a baby’s 6-month and 14-month of life. Those mothers who scored in all the three evaluations were considered chronic patients. Three groups were formed: 10 mothers with chronic anxiety symptoms, 8 mothers with chronic depression symptoms, and 22 mothers with no mental health problem. First, all mothers filled out a social economic survey. Following the survey, a 7-minute interactive episode of one pair was recorded and categorized minute by minute through categories suggested at the Dyadic Interaction Assessment Form (NUDIF) by two independent investigators. After a descriptive data analysis, an inferential statistical analysis was performed. Correlation was high between maternal behaviors and child behaviors, and the episode was deemed interactive. It was noted that the more sensitive, stimulating and positively affective mothers were, the more integrated and involved the children acted, showing more positive affection. Comparing the three groups, mothers with chronic depression symptoms were significantly less sensitive, showed less positive affection and had less involvement in the interaction when compared with mothers in chronic anxiety symptom group and control group. On the other hand, children of chronic depressive mothers took part in the interaction less than children in other groups. Regarding the group of mothers with chronic anxiety symptoms, their children’s behaviors and their own behaviors were similar to those in the control group. Results of this study emphasize that maternal mental health has been a problem requiring special attention from public policies for its early identification, improvement in assistance and treatment, in order to minimize as low as possible the consequences in the mother/baby interaction.

Submitted by Renata Lopes (renatasil82@gmail.com) on 2017-11-06T17:20:57Z No. of bitstreams: 1 wanderbarrosdocarmo.pdf: 5928813 bytes, checksum: 037dd80cfdb306664ced5c224b1e68e4 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2017-11-09T14:32:09Z (GMT) No. of bitstreams: 1 wanderbarrosdocarmo.pdf: 5928813 bytes, checksum: 037dd80cfdb306664ced5c224b1e68e4 (MD5) / Made available in DSpace on 2017-11-09T14:32:09Z (GMT). No. of bitstreams: 1 wanderbarrosdocarmo.pdf: 5928813 bytes, checksum: 037dd80cfdb306664ced5c224b1e68e4 (MD5) Previous issue date: 2017-09-19 / Introdução: A doença renal crônica (DRC) caracteriza-se por múltiplas alterações metabólicas e clínicas que levam a alta taxa de morbimortalidade em longo prazo. O distúrbio mineral ósseo relacionado a DRC é caracterizado por alterações laboratoriais, modificações no metabolismo ósseo e calcificações de tecidos não ósseos. O tratamento de tal distúrbio é complexo, e uma das terapias mais comumente utilizada é o uso de substâncias quelantes de fosfato. Existem muitas opções de quelantes no mercado, porém ultimamente os quelantes sem conteúdo cálcico são formulações de escolha por proporcionar efeito quelante associado a menor risco de calcificação vascular. Uma nova classe de quelantes não cálcicos foi recentemente introduzida com resultados promissores, tendo como elemento quelante principal o ferro. Um novo polímero de quitosana e ferro foi produzido no Laboratorio de Química da Universidade do Vale do Itajaí e demonstrou nos primeiros testes in vivo e in vitro ação quelante de fosfato em animais com função renal normal. Objetivos: avaliar a ação quelante de fosfato do polímero quitosana ferro(III) (QTS-Fe III) em animais com DRC e sua ação no metabolismo ósseo. Métodos: Avaliamos 120 animais, divididos igualmente em 5 grupos: controle, DRC, QTS-Fe III, DRC/QTS-Fe III e DRC/carbonato de cálcio (DRC/CaCO3), ao longo de 7 semanas. A DRC foi induzida por dieta enriquecida com adenina (0,75% nas primeiras 4 semanas e 0,1% nas 3 semanas seguintes), suplementada com 1% de fósforo. O polímero QTS-Fe III foi administrado na dose de 30mg/kg/dia e o CaCO3 na dose de 500mg/kg/dia, por gavagem, ambos a partir da terceira semana até o final do estudo. Todos os animais receberam uma dieta suplementada com 1% de fósforo. Oito animais de cada grupo foram eutanasiados nas semanas 4, 6 e 7 para coleta de sangue, urina e fêmur. Foram avaliados no sangue e urina a função renal, distúrbio mineral e ósseo e foi feita histomorfometria para avaliação da doença óssea. O grupo DRC apresentou: elevação significativa da creatinina em relação ao controle (0,47 ± 0,25 vs 0,95 ± 0,21 mg/dl, p = 0,001), hiperfosfatemia (6,82 ± 0,52 vs 10,6 ± 2,49 mg / dl; p = 0,001), elevada fração excretada de fósforo (FeP) (0,2 ± 0,17 vs 0,71 ± 0,2; p = 0,0001) e maiores níveis de FGF23 (7,42 ± 1,96 vs. 81,36 ± 37,16 pg/ml, p = 0,011). O uso dos quelantes proporcionou redução significativa de FeP (Controle: 0,71 ± 0,20, DRC/QTS-Fe III: 0,40 ± 0,16, DRC/CaCO3: 0,34 ± 0,15, p = 0,001), sem alteração do FGF23. A histomorfometria mostrou uma doença óssea de alta remodelação nos animais urêmicos que não foi alterada com o uso dos quelantes. Conclusão: QTS-Fe III reduziu a sobrecarga de fosfato, sem causar alterações no nível sérico de FGF23 ou no perfil da doença óssea. Estes resultados corroboram para a ação da QTS-Fe III como um potencial quelante de fosfato não cálcico. / Introduction: The Chronic Kidney Disease (CKD) is characterized by multiple clinical and metabolic changes that lead to long-term high rates of morbidity and mortality. The CKD mineral and bone disorder (CKD-MBD) is characterized by abnormal laboratory results, bone metabolic variations and soft tissue calcifications. CKD-MBD requires a complex treatment based on phosphate binders substances. There are many options of phosphate binders available on market, however calcium-free formulations are preferable in order to provide a binding phosphate’s effect with lower risk of vascular calcification. A new class of calciumfree phosphate binders, in which iron is the main binder element, was recently introduced and has presented promising results. A new polymer of chitosan and iron was developed at Universidade do Vale do Itajaí Chemical’s Laboratory and have shown phosphate’s binder activity on primary tests in vivo and in vitro tests in animals with normal renal function. Objective: to evaluate the phosphate chelator effect of the chitosan-Fe III polymer (QTS-Fe III) and its activity in bone metabolism in animals with CKD. We evaluated 120 animals, divided equally into 5 groups: control, CKD, QTS-Fe III, CKD/QTS-Fe III and CKD/Calcium carbonate (CKD/CaCO3), over 7 weeks. We induced CKD by feeding animals with an adenine-enriched diet (0.75% in the first 4 weeks and 0.1% in the following 3 weeks) supplemented with 1% phosphorus. We administered 30mg/kg daily of the QTS-Fe III polymer and 500mg/kg daily of the CaCO3, by gavage, both from the third week until the end of the study. Eight animals from each group were submitted to euthanasia at weeks 4, 6 and 7 for collection of blood, urine and femur. By blood and urine tests we evaluated renal function and bone metabolic disorder, and by bone disease by bone histomorphometry. Results: The DRC group presented a significant elevation of creatinine in relation to the control (0.47 ± 0.25 vs 0.95 ± 0.21 mg / dl, p = 0.001), hyperphosphatemia (6.82 ± 0.52 vs 10.6 ± 2.49 mg/dl; p = 0.001), elevated excreted phosphorus fraction (FeP) (0.2 ± 0.17 vs 0.71 ± 0.2; p = 0.0001) and higher FGF23 (7.42 ± 1.96 vs. 81.36 ± 37.16 pg/ml, p = 0.011). The use of chelators provided significant reduction of FeP (Control: 0.71 ± 0.20, CKD/QTS-Fe III: 0.40 ± 0.16, CKD/CaCO3 : 0.34 ± 0.15, p = 0.001), without alteration of FGF23 levels. Histomorphometry showed a high turnover bone disease in uremic animals that was not altered with the use of chelators. Conclusion: QTS-Fe III reduced the phosphate overload, without causing changes in the FGF23 serum level or bone disease profile. These results corroborate to the QTS-Fe III activity as a potential calcium-free phosphate binder.

Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2016-09-27T11:52:11Z No. of bitstreams: 2 Tese - Márcio Rodrigues Costa - 2016.pdf: 2910843 bytes, checksum: 62ef04b309bbf0cca3a09b8973a910c7 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2016-09-27T11:52:38Z (GMT) No. of bitstreams: 2 Tese - Márcio Rodrigues Costa - 2016.pdf: 2910843 bytes, checksum: 62ef04b309bbf0cca3a09b8973a910c7 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2016-09-27T11:52:38Z (GMT). No. of bitstreams: 2 Tese - Márcio Rodrigues Costa - 2016.pdf: 2910843 bytes, checksum: 62ef04b309bbf0cca3a09b8973a910c7 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2016-09-20 / Objective: The objective of this study was to determine the prevalence, severity, factors associated and that influence erectile function in patients with chronic kidney disease on conservative treatment. Methods: This transversal study was developed between May 2013 and December 2015. Male volunteer patients, heterosexual, 18 years of age or older, carriers of chronic renal disease on conservative treatment participated of this study. The patients had follow up in the specific ambulatories of chronic renal disease in two hospitals of Goiânia. The erectile dysfunction of the patients was assessed using the six erectile function domain questions (questions numbers 1 to 5 and 15) of the International Index of Erectile Dysfunction. While the questions of the International Index of Erectile Dysfunction were applied, the researchers reviewed medical records and filled search forms containing lifestyle habits, clinical, laboratory and sociodemographic data. The factors associated with erectile dysfunction in patients with chronic renal disease in conservative treatment were determined by univariate and multivariate logistic regression analysis. The prevalence and degree of erectile dysfunction among patients with chronic renal disease in conservative treatment in stage III versus IV/V were compared with the application of chi-square test. The correlation between glomerular filtration rate and International Index of Erectile Dysfunction score was estimated by Pearson correlation coefficient. Results: Among 245 patients with chronic renal disease on conservative treatment in the study, 71.02% had erectile dysfunction and the sexual disorder was severe in 36.73%. Individual analysis of the variables in these patients, without excluding the influence of one over the other, pointed erectile dysfunction associated with the age more than 50 years, body mass index less than 25, diabetes mellitus, stage IV/V of chronic kidney disease, cardiac arrhythmias and conduction disorders, benign prostatic hyperplasia, present or prior cigarette use, cigarette use for 10 years or more, pack-year cigarette index greater or equal to 20, alcohol usage time equal to or greater than 10 years, albumin less than 3.5 g /100 mL and creatinine clearance levels between 15 and 29 mL/min/1.73 m2. The conjunct analysis of the variables studied in this same group of patients has showed an independent association of erectile dysfunction with diabetes mellitus (P = 0.015). A comparison of patients with chronic renal disease on conservative treatment stage III versus IV/V has demonstrated a higher prevalence of erectile dysfunction in more advanced stages of chronic renal disease (P = 0.001) and similar frequency of severe, moderate, moderate to mild and mild erectile dysfunctions. Glomerular filtration rate has showed a positive correlation with the score of the International Index of Erectile Dysfunction. Conclusions: The prevalence of erectile dysfunction in patients with chronic renal disease in conservative treatment is high. Many factors are associated with erectile dysfunction in chronic renal disease population on conservative treatment. The only factor associated with erectile dysfunction that is not subject to influence from other agents is diabetes mellitus. The prevalence of erectile dysfunction increases with the progression of chronic renal disease on conservative treatment. / Objetivo: O objetivo deste estudo foi determinar a prevalência, gravidade e os fatores associados e influenciadores na função erétil de pacientes portadores de doença renal crônica em tratamento conservador. Material e métodos: Este estudo transversal desenvolveu-se entre maio de 2013 a dezembro de 2015. Participaram do estudo pacientes masculinos, voluntários, heterossexuais, com 18 anos de idade ou mais, portadores de doença renal crônica em tratamento conservador. Os pacientes tinham seguimento em ambulatórios específicos de doença renal crônica de dois hospitais em Goiânia. A disfunção erétil dos pacientes foi avaliada com as seis perguntas do domínio de função erétil (questões números 1 a 5 e 15) do International Index of Erectile Dysfunction. Enquanto as questões do IIEF eram aplicadas, os pesquisadores revisavam prontuários e preenchiam os formulários de pesquisa, que continham hábitos de vida, dados clínicos, laboratoriais e sociodemográficos. Os fatores associados à disfunção erétil nos portadores de doença renal crônica em tratamento conservador foram determinados por análise de regressão logística uni e multivariada. Compararam-se a prevalência e o grau de disfunção erétil entre pacientes com doença renal crônica em tratamento conservador em estágios III versus IV/V, com a aplicação do teste qui-quadrado. A correlação da taxa de filtração glomerular com o IIEF foi estimada pelo coeficiente de correlação de Pearson. Resultados: Dentre os 245 pacientes com doença renal crônica em tratamento conservador que participaram do estudo, 71,02% tinham disfunção erétil e, em 36,73%, o distúrbio sexual era grave. A análise individual das variáveis estudadas nestes pacientes, sem excluir a influência de uma sobre a outra, apontou associação de disfunção erétil com idade superior a 50 anos, índice de massa corpórea inferior a 25, diabetes mellitus, estágios IV/V de doença renal crônica, arritmias cardíacas e distúrbios de condução, hiperplasia prostática benigna, uso atual ou prévio de cigarro, uso de cigarro por 10 anos ou mais, índice maço-ano de cigarro maior ou igual a 20, tempo do uso de álcool igual ou superior a 10 anos, albumina inferior a 3,5 g/100 mL e níveis de depuração da creatinina entre 15 e 29 mL/min/1,73 m2. A análise conjunta das variáveis estudadas nesse mesmo grupo de pacientes apontou associação independente de disfunção erétil com diabetes mellitus (P = 0,015). A comparação entre portadores de doença renal crônica em tratamento conservadores estágios III versus IV/V demonstrou maior prevalência de disfunção erétil nos graus mais avançados de doença renal crônica (P = 0,001) e frequência similar de disfunção erétil grave, moderada, moderada a leve e leve. A taxa de filtração glomerular demonstrou correlação positiva com a pontuação do IIEF. Conclusões: A prevalência de disfunção erétil em portadores de doença renal crônica em tratamento conservador é alta. Muitos fatores associam-se à disfunção erétil na população portadora de doença renal crônica em tratamento conservador. O único fator associado à disfunção erétil que não está sujeito à influência de outros agentes é a diabetes mellitus. A prevalência de disfunção erétil aumenta com a progressão da doença renal crônica em tratamento conservador.

Introdução: A prevalência de disfunção musculoesquelética entre trabalhadores usuários de computador (TUC) pode variar entre 10 a 62% e os lugares mais acometidos são os membros superiores, pescoço, cabeça e a coluna vertebral. As queixas musculoesqueléticas nesses trabalhadores apresentam etiologia multifatorial e dentre as principais causas é possível citar aspectos posturais e fatores psicossociais. O Maastricht Upper Extremity Questionnaire (MUEQ-Br) é uma das poucas ferramentas existentes na literatura para avaliar aspectos ergonômicos e psicossociais relacionados ao trabalho com uso do computador. A dor cervical é a queixa musculoesquelética mais comum em trabalhadores de escritório usuários de computador. A coexistência entre dor cervical e disfunção temporomandibular (DTM) é comumente citada na literatura. A adoção da postura em anteriorização da cabeça para uso do computador pode estar associada ao aparecimento de sintomas orofaciais e cervicais. A posição sentada é a mais adotada nos ambientes de trabalho especialmente quando este envolve o uso de computador, entretanto, a manutenção dessa posição por tempo prolongado pode acarretar a adoção de posturas inadequadas e intensificar a sobrecarga nas estruturas do sistema musculoesquelético. Desta forma, a manutenção da postura sentada pode estar relacionada ao desenvolvimento de alterações de postura corporal, DTM e disfunção cervical. Objetivo: O objetivo deste estudo foi verificar associações entre dor cervical, DTM e alterações na postura estática em trabalhadores de escritório usuários de computador com e sem relato de dor cervical crônica. Material e Métodos: A amostra desse estudo foi selecionada a partir da aplicação do Maastricht Upper Extremity Questionnaire que contempla 7 domínios (posto de trabalho, postura corporal, controle do trabalho, demanda de trabalho, pausas, ambiente de trabalho e suporte social), preenchidos por trabalhadores usuários de computador. Participaram deste estudo 52 mulheres trabalhadoras de escritório usuárias de computador em dois grupos: Grupo com dor cervical crônica e incapacidade (GD, n=26 - 36.50 anos - IC95%: 33.40-36.60; 66.37 kg - IC 95%: 62.48-70.26 e 1.62 m - IC95%: 1.60-1.65) e Grupo sem relato de dor cervical (GS, n=26 - 33.81 anos - IC 95%: 33.66-36.95, 71.75 kg - IC95%: 65.90-77.60 e 1.64 m - IC95%: 1.62-1.67). Como critérios de inclusão as funcionárias deveriam exercer a mesma função há pelo menos 12 meses (GD, 110 meses - IC95%: 73-147 /GS, 91 meses - IC95%:63-119) e utilizar o computador ao menos 4 horas por dia durante a jornada de trabalho (GD, 7.46 horas/dia - IC95%: 7.10-7.83 /GS, 7.58 horas/dia - IC95%: 7.23-7.92). No grupo com dor cervical crônica as trabalhadoras deveriam apresentar relato positivo de dor crônica cervical e se enquadrarem nos seguintes critérios: a) dor cervical há pelo menos 3 meses; b) dor de intensidade 3 na maioria dos dias em uma escala numérica de dor (END) (0 a 10, sendo 0 = sem dor e 10 = pior dor possível) e c) limitação funcional, pelo menos leve, no Índice de incapacidade relacionada ao pescoço (NDI): 10-28% (5-14 pontos) - incapacidade leve; 30-48% (15- 24 pontos) - incapacidade moderada; 50-68% (25 35 pontos) - incapacidade severa;72% ou mais (36 pontos ou mais) incapacidade completa. Foram realizadas avaliações clínicas para diagnóstico da DTM por meio do Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), avaliação da dor cervical e mastigatória através da palpação manual e algometria por pressão para obtenção do limiar de dor por pressão (LDP) de estruturas crânio-cervicais, bem como avaliação da postura corporal estática dessas trabalhadoras usando a fotogrametria. Os dados demonstraram distribuição normal de acordo com o teste Shapiro Wilks. O teste-t de student para amostras independentes (p<0.05) foi utilizado para comparar a pontuação máxima de cada domínio do MUEQ-Br entre os grupos sem e com dor cervical crônica. Para verificar diferenças entre os valores médios de LDP e palpação muscular entre os grupos de trabalhadores sem dor e com dor cervical crônica e para verificar diferenças entre os ângulos posturais foi utilizado também o teste-t de Student. Para análise das associações entre as variáveis disfunção temporomandibular, incapacidade relacionada à disfunção cervical, cervicalgia e aspectos do trabalho (domínios do MUEQ) foi utilizada a análise de regressão linear múltipla. Para verificação de diferenças entre valores de porcentagem foi utilizado o teste de Qui-quadrado (p<0.05). O pacote estatístico utilizado foi o SPSS versão 22. Resultados: Os resultados deste estudo demonstraram que ao compararmos os domínios do MUEQ-Br, o grupo com dor cervical crônica obteve maior pontuação no domínio postura corporal (GD, 12.58 - IC95%: 11.21-13.94/ GS, 9.42 - IC95%: 8-10.84) e no item queixas (GD, 17.46- IC95%: 14.17-20.75/ GS, 8.58 - IC95%: 6.14-11.02), bem como na pontuação total do questionário (GD, 40.08 - IC95%: 35.01-45.15/ GS, 33.31 - IC95%: 28.99-37.63). Os voluntários com dor cervical apresentaram maior porcentagem de diagnósticos de DTM quando comparados com o grupo sem dor (42.30% vs. 23.07%, p<0.05). O grupo com dor apresentou maior intensidade de dor na palpação manual dos músculos cervicais, trapézio (ponto médio) lado direito (GD, 4.03 - IC95%: 3.02-5.06/ GS, 1.46 - IC95%: 0.69-2.23) e suboccipitais direito (GD, 2.58 - IC95%: 1.64-3.51/ GS, 1.0 - IC95%: 0.42-1.58) e esquerdo (GD, 2.15 - IC95%: 1.21-3.09/ GS, 1.0 - IC95%: 0.46-1.54), porém os valores do LDP não foram significativos para nenhum dos músculos avaliados entre os grupos com e sem dor cervical crônica. Também não foram encontradas diferenças significativas na avaliação postural entre os grupos para os ângulos analisados no plano frontal face e vista anterior e para os ângulos analisados no plano sagital. Na análise de associação entre as variáveis, foi observado que quando a incapacidade foi considerada variável dependente em relação à cervicalgia, total da pontuação do MUEQ-Br (aspectos de trabalho) e DTM, foi observado um R2 = 0.93 e todos os preditores mostraram-se significativos no modelo. Nossos resultados demonstram que a incapacidade cervical é influenciada pela DTM, dor no pescoço e aspectos físicos e psicossociais relacionados ao trabalho com uso do computador. Os trabalhadores com dor cervical apresentaram maior porcentagem de diagnósticos de DTM quando comparados com o grupo de trabalhadores sem dor, bem como a intensidade da dor à palpação dos músculos cervicais mostrou-se significativamente maior nos trabalhadores usuários de computador com dor cervical. Assim, é possível sugerir uma associação entre relato de dor cervical, incapacidade cervical e DTM no contexto de trabalho envolvendo o computador em mulheres com dor relato de dor cervical crônica. / Introduction: The prevalence of musculoskeletal disorders among computer office workers (COW) can vary between 10-62% and the most affected regions affected are the upper extremities, neck, head and spine. Musculoskeletal complaints in these workers have a multifactorial etiology and the main causes are postural aspects and psychosocial factors. The Maastricht Upper Extremity Questionnaire (MUEQ-Br) is one of the few tools available in the literature to evaluate ergonomic and psychosocial aspects of work related to computer use. Neck pain is the most common musculoskeletal complaints in COW. Coexistence between neck pain and Temporomandibular Disorders (TMD) are commonly cited in the literature. The adoption of forward head posture for computer use may be linked to the onset of orofacial symptoms. The sitting position is the most widely adopted in the workplace especially when it involves the use of computer, however, to maintain this position for long periods, the adoption of awkward postures could be necessary, increasing the strain on the musculoskeletal system structures. Thus, maintenance of sitting posture may be related to the development of changes in body posture, TMD and neck disorders. Aim: The aim of this study was to examine associations between neck pain, TMD and changes in static body posture on COW with and without chronic neck pain. Material and Methods: The sample of this study was selected from the application of the Maastricht Upper Extremity Questionnaire which includes seven domains (work station, body posture, job control, job demands, break time, work environment and social support). The study included 52 women which work using computer into two groups: Group with chronic neck pain and disability (NPG, n = 26 - 36.50 years confidence interval 95% (CI): 33.40-36.60; 66.37 kg -CI: 62.48-70.26 and 1.62m - 95% CI: 1.60-1.65) and group without neck pain (WONPG, n = 26 - 33.81 years - CI: 33.66-36.95, 71.75 kg - CI: 65.90-77.60 m and 1.64 - CI: 1.62-1.67). As criteria inclusion, the employees should exercise the same function for at least 12 months (NPG, 110 months - CI: 73-147 / WONPG, 91 months - CI: 63-119) and use the computer for at least 4 hours day during the work day (NPG, 7:46 hours / day - CI: 7.10-7.83 / WONPG, 7:58 hours/day - CI: 7.23-7.92). In the group with chronic neck pain workers should present a positive report of chronic neck pain and falling within the criteria: a) neck pain for at least 3 months; b) pain intensity 3 on most days on a numerical pain scale (NPS) (0-10, where 0 = no pain and 10 = worst possible pain) and c) Neck pain related disability at least mild in the Neck Disability Index (NDI): 10-28% (5-14 points) - mild disability; 30-48% (15- 24 points) - moderate disability; 50-68% (25 - 35 points) - severe disability, 72% or more (36 or more points) - Complete. Clinical assessments for diagnosis of TMD was conducted using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), evaluation of masticatory and neck pain through manual palpation and algometry pressure to obtain the pressure pain threshold (PPT) of craniocervical structures as well as evaluation of the static body posture by the use of photogrammetry. The data showed normal distribution according to the Shapiro Wilks test. The Student\'s t-test for independent samples (p <0.05) was used to compare the maximum score for each domain MUEQ-Br between the groups with and without chronic neck pain. Differences between the mean values of LDP and muscle tenderness between groups of workers without pain and chronic neck pain and to check for differences between the postural angles were verified by student t-test. For analysis of associations between TMD, disability related to neck pain, neck pain and \"aspects of the job\" (domains of MUEQ) a multivariate regression analysis was used. Differences between the percentage values were verified using chi-square test (p <0.05). The statistical package used was SPSS version 22. Results: The results showed that when comparing the domains of MUEQ-Br, the group with chronic neck pain scored highest in the area posture (NPG, 12.58 points - CI: 11.21-13.94 / WONPG, 9.42 - CI: 8-10.84) and complaints item (NPG, 17.46 - CI: 14.17-20.75 / WONPG, 8.58 - CI: 6.14 -11.02), and the total score of the questionnaire (NPG, 40.08 - CI: 35.01-45.15 / WONPG, 33.31 points - CI: 28.99-37.63). The volunteers with neck pain showed a higher percentage of diagnoses of TMD when compared with the group without pain (42.30% vs. 23:07%, p <0.05). The group with pain had higher pain intensity on manual palpation of the neck muscles, trapezius (midpoint) right (NPG, 4.03 - CI: 3.02-5.06 / WONPG, 1.46 - CI: 0.69-2.23) and right suboccipital (WONPG, 2.58 NPS - CI: 1.64-3.51 / WONP, 1.0 - CI: 0.42-1.58) and left (NPG, 2.15 - CI: 1.21-3.09 / WONP, 1.0 - CI: 0.46 -1.54) but the values of the LDP were not significant for any of the muscles tested between the groups with and without chronic neck pain. Also no significant differences were found in postural assessment between groups for the analyzed angles in the frontal plane face and anterior views and angles analyzed in the sagittal plane. The analysis of association between the variables, it was observed that when disability was considered the dependent variable in relation to the neck pain, total score MUEQ-Br (aspects of work) and TMD, we observed a strong association (R2 = 0.93) and all predictors showed significant in the model. Our results demonstrate that cervical disability is influenced by the TMD, neck pain and physical and psychosocial aspects of the computer work. Workers with neck pain showed a higher percentage of diagnoses of TMD when compared with the group of workers without neck pain, and the pain intensity on palpation of the neck muscles was significantly higher in computer workers with neck pain. Thus, it is possible to suggest an association between reporting of neck pain, neck related disability and TMD in the context of work involving the computer in women reporting chronic neck pain.