Após a conclusão do tratamento, os sobreviventes ao câncer estão suscetíveis a diversos sintomas, referidos muitas vezes como efeitos a longo prazo e/ou tardios. Dentre os efeitos tardios, encontra-se a infertilidade, que, nos sobreviventes mais jovens, poderá afetar a sua qualidade de vida. Esta pesquisa objetivou conhecer as preocupações e incertezas de adolescentes e adultos jovens sobreviventes ao câncer infantojuvenil no que diz respeito à fertilidade. Trata-se de um estudo de natureza descritiva e exploratória, com análise qualitativa de dados. Participaram 24 adolescentes e adultos jovens, com idade entre 18 e 24 anos, sobreviventes ao câncer na infância e adolescência, em acompanhamento em ambulatório de um hospital-escola do interior paulista. Utilizamos a entrevista como técnica de coleta de dados, e a sua análise ocorreu de acordo com os pressupostos da análise de conteúdo do tipo temática indutiva. Os dados empíricos embasaram a construção de duas unidades de sentido: \"Sobrevivendo ao câncer\", relacionada aos aspectos biológicos, sociais, subjetivos e afetivos, representativos para os participantes que sobreviveram ao câncer infantojuvenil e vivenciaram o processo de transferência para o Ambulatório de Curados, bem como a convivência com possíveis efeitos tardios do tratamento. Já a segunda, \"Falando da condição reprodutiva\", ilustra os aspectos dos dados empíricos relacionados com a condição reprodutiva dos participantes. Observamos que os sobreviventes convivem com a incerteza de poderem ou não ter filhos. Para os sobreviventes, os riscos de infertilidade são muitas vezes deixados à deriva em comparação ao urgente desejo de sobreviver ao câncer, enfatizando a autopercepção de que o mais importante é estar vivo. A partir dos resultados desta pesquisa, esperamos fornecer subsídios para a produção de cuidados em saúde que atendam às reais necessidades desta clientela que tem demandas de acompanhamento de longo prazo / After the end of treatment, the survivors of cancer are susceptible to a variety of symptoms, often referred to as long-term and / or late effects. Among the late effects is infertility, which, in younger survivors, may affect your quality of life. This research aimed to know the concerns and uncertainties of adolescents and young adults survivors of cancer in childhood and adolescence related to fertility. This is a descriptive and exploratory study, with qualitative data analysis. The participants were 24 adolescents and young adults, aged between 18 and 24, survivors of cancer in childhood and adolescence, followed up at a University Hospital ambulatory in the state of São Paulo. Interviews were used as data collection technique and its analysis was conducted in the perspective of the inductive thematic Content Analysis. As a complement, after the interview, the participants\' health records were used as a source of information on peculiarities of the therapeutic protocol. The empirical data supported the construction of two meaning units: \"Surviving cancer\" related to biological, social, subjective and emotional aspects, representatives for those participants who survived cancer during childhood and adolescence and experienced the process of moving to the Healed Clinic, and also related to the experience with possible late treatment effects. The second meaning unit, \"Speaking of the reproductive condition,\" illustrates empirical data aspects related to the participants\' reproductive condition. It was observed that the survivors live with the uncertainty of whether or not to be able to have children. For them, the infertility risks are often placed in the background due to the urgent desire to survive cancer, emphasizing the self-perception that the most important is to be alive. From the results of this research it is expected to provide subsidies for production of health care that could meet the real needs of this clientele that has long-term health follow-up demands

Made available in DSpace on 2016-04-28T20:38:38Z (GMT). No. of bitstreams: 1 Thais Lyrio Lima.pdf: 1879604 bytes, checksum: d96b09e22e03490c557c5d810d92bdc0 (MD5) Previous issue date: 2013-03-19 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This work had as objective to understand the meanings attributed to obesity and family for an obese young adult, under the systemic theory perspective. Despite the number of studies and significant advances, the obesity problem appears to not be solved effectively by the approaches that have been proposed and evidence the need to reflect about new ways to follow the obese subject, in the present study with a proposal of a relational approach. In order to that, we adopted the qualitative method of survey that was designed by a case study and it was used a semi-structured interview, Genogram and a Timeline as data collect instruments. It was interviewed an obese young adult with 27 years old, BMI of 36.1 kg/m² , that means obesity level II. The results indicated a family behavior based on rigidity and inability to deal with crisis and conflicts, beyond the presence of secrets that work for holding off and keeping way relationships. It was noted also the relationship between food and affection in this family, that as well as the overweight, represent the identity of the familiar group and give to the participant the belonging feeling. Thus, we could reflected about her loyalty and the limitation imposed by her, complicating the identification out of the family system and the constitution of an autonomous and adult identity. Understanding the histories of the individuals and their families is a facilitator strategy in the development of interventions that are connected with family beliefs and needs and can imply as an important agent of changing. In this way, the Family Therapy proved to be a relevant resource in working with obese individuals / Este trabalho teve como objetivo compreender os significados atribuídos à obesidade e família por uma jovem adulta obesa, sob a perspectiva da teoria sistêmica. Apesar do número de estudos e avanços significativos, o problema da obesidade parece não responder de forma efetiva às abordagens que vêm sendo propostas, o que evidencia a necessidade de refletir sobre novas formas de acompanhar o indivíduo obeso, no presente estudo com uma proposta de abordagem relacional. Para tanto, adotamos o método qualitativo de pesquisa delineado por meio de estudo de caso e utilizamos a entrevista semiestruturada, o Genograma e a Linha do Tempo como instrumentos de coleta de dados com uma jovem adulta obesa, universitária, de 27 anos e IMC igual a 36.1 kg/m², ou seja, obesidade de grau II. Os resultados indicaram um funcionamento na família da participante marcado pela rigidez e inabilidade para lidar com crises e conflitos, além da presença de segredos que operam no sentido de distanciar e afastar relacionamentos. Mostraram ainda a relação existente entre comida e afeto nesta família, que, assim como o excesso de peso, constitui a identidade do grupo familiar e dão à participante o sentimento de pertencimento. Pudemos, então, refletir sobre sua lealdade e a limitação que ela impõe, dificultando uma identificação fora do sistema familiar e o estabelecimento de uma identidade autônoma e adulta. Conhecer, portanto, as histórias dos indivíduos e suas famílias é uma estratégia facilitadora no desenvolvimento de intervenções que sejam conectadas com as crenças e necessidades da família e que possam implicá-la como um importante agente de mudança. Neste sentido, a Terapia Familiar se mostrou um recurso relevante na atuação com indivíduos obesos

Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2015-07-29T00:08:00Z No. of bitstreams: 1 DISSERTA??O BIANCA.pdf: 7659120 bytes, checksum: 07cedc8bc1354313063c6b3f7449f5f0 (MD5) / Made available in DSpace on 2015-07-29T00:08:00Z (GMT). No. of bitstreams: 1 DISSERTA??O BIANCA.pdf: 7659120 bytes, checksum: 07cedc8bc1354313063c6b3f7449f5f0 (MD5) Previous issue date: 2013-03-22 / Funda??o de Amparo ? Pesquisa do Estado da Bahia - FAPEB / Introduction: There are approximately 34 million people have contracted HIV globally, it is estimated that 10 millions have between 15 and 24 years of age. The high incidence of HIV/AIDS in adolescents and young adults has been characterized a serious public health problem and has excelled in the International policies agendas for prevention and control. Objective: investigate the epidemiological profile and factors associated with HIV/AIDS in adolescents and young adults registered in the Reference Center STD/HIV/AIDS in Feira de Santana - BA, in the period from 2007 to 2011. Method: analytical study with lineation cross-sectional using data from SIS/CTA of Feira de Santana ? BA, totaling 1.032 adolescents and 2.736 young adults. The variables studied were: Socio-demographics (gender, age, city and area of residence, scholarity, occupation, marital status and skin color), concerning exposure with partner (condom use, reasons for non-use of condoms and partner type) and related to lifestyle (use of alcohol and other drugs, sharing syringes, presence and treatment of STDs, sexual orientation, multiple sexual partners and type of exposure to HIV). Were calculated simple and absolute frequencies and performed Stratified analysis of variables grouped, as well as calculated the prevalences (P) and the prevalence ratios (RP), to evaluate possible associations between the serological status and exposure factors in both sexes. Was adopted a confidence level of 95% and significance ? 0.05%. Results: adolescents and young adults showed equivalence regarding sociodemographic factors, however the seropositive women aged 20 to 24 years differed as for marital status, being that the majority were married. The occurrence of STDs in males was in greater proportion in the seropositives, with regard to females was observed the opposite, the majority had treated the STDs with help the health services, emphasizing that the proportions of those who were not treated or treated by themselves, was considerably higher in the seropositive group. Regarding condom use with steady or casual partner, over 80% reported do not make use, due to motivations linked to personal factors and related to the partner. As for the factors associated with HIV infection, in females, observed a significant association with the use of alcohol and other drugs, stable Union or marriage, beyond of the not utilization of condoms related to personal and external factors. In males, the significant results were linked to use of other drugs and to sexual orientation; in both sexes, associated with to stable partner be a carrier of HIV or STD. Conclusions: socio-demographic and behavioral characteristics can impact in the process of transmission and infection of disease, they become aspects of extremely relevance at the promotion of actions in service. In reaction to vulnerability of adolescent and young adult, it is considered fundamental the development of awareness and attitude change, in order to tackle the AIDS epidemic, seeking a type of comportment of self-preservation. / Introdu??o: Em n?vel mundial existem cerca de 34 milh?es de pessoas infectadas pelo HIV cujas estimativas apontam 10 milh?es na faixa-et?ria de 15-24 anos. A presen?a de HIV/ AIDS em adolescentes e adultos jovens tem se caracterizado como um grave problema de sa?de p?blica e tem se destacado nas agendas das pol?ticas de controle e preven??o, em n?vel nacional e internacional, tendo em vista a elevada susceptibilidade deste grupo ? infec??o. Objetivo: investigar o perfil epidemiol?gico e os fatores associados ? ocorr?ncia de HIV/AIDS em adolescentes e adultos jovens cadastrados no Centro de Refer?ncia Municipal DST/HIV/AIDS, em Feira de Santana, no per?odo de 2007 a 2011. M?todo: estudo anal?tico com delineamento transversal com dados do SIS/CTA de Feira de Santana, totalizando 1.032 adolescentes 2.736 adultos jovens As vari?veis estudadas foram sociodemogr?ficas: sexo, idade, munic?pio e zona de resid?ncia, escolaridade, ocupa??o, idade, situa??o conjugal, cor da pele, relacionadas a exposi??o com parceiro: uso do preservativo, motiva??o para n?o uso do preservativo, tipo de parceiro e relacionadas ao h?bitos de vida: uso de ?lcool e outras drogas, compartilhamento de seringas, presen?a e tratamento de DST, orienta??o sexual, multiplicidade de parceiros, tipo de exposi??o ao HIV. Foram calculadas frequ?ncias simples e absolutas e realizadas an?lises estratificadas das vari?veis agrupadas, assim como calculadas as preval?ncias (P) e raz?o de preval?ncia (RP), para avaliar poss?veis associa??es entre status sorol?gico e fatores de exposi??o em ambos os sexos. Adotou-se n?vel de confian?a de 95% e signific?ncia ? 0,05%. Resultados: adolescentes e adultos jovens mostraram equival?ncia, quanto aos fatores sociodemogr?ficos (cor da pele, escolaridade, munic?pio e zona de resid?ncia, situa??o conjugal e ocupa??o), entretanto as mulheres soropositivas de 20-24 anos diferiram quanto ? situa??o conjugal, onde a maioria era casada. A ocorr?ncia de DST no sexo masculino se deu em maior propor??o em homens soropositivos, enquanto que com as mulheres foi exatamente o contr?rio, onde maioria tratou das DST, nos servi?os de sa?de, ressaltando que as propor??es daqueles que n?o trataram ou se automedicaram, foi consideravelmente superior no grupo de soropositivos. Em rela??o ao uso do preservativo com parceiro est?vel ou eventual, mais 80% relataram n?o fazer uso, cujas motiva??es para aus?ncia dessa pr?tica estavam ligadas aos fatores pessoais e relacionados ao parceiro. Quanto aos fatores associados a infec??o pelo HIV, no sexo feminino, observou-se associa??o significante para o uso de drogas, sendo ?lcool e outras drogas, uni?o est?vel/casamento, al?m da n?o utiliza??o do preservativo relacionado a fatores pessoais e externos. No sexo masculino, os resultados significantes estavam ligados ao uso de outras drogas e ? orienta??o sexual; em ambos os sexos, associado ao parceiro est?vel ser portador de HIV ou DST. Conclus?es: caracter?sticas sociodemogr?ficas e comportamentais podem ter impacto no processo de transmiss?o e infec??o da doen?a, constituindo-se como aspectos de extrema relev?ncia na promo??o de a??es em servi?o. Frente ? vulnerabilidade do adolescente a adulto jovem, considera-se fundamental o desenvolvimento da consci?ncia e mudan?a de atitude, frente ? epidemia de AIDS, adotando comportamento de autoprote??o.

OBJETIVOS: Avaliar associações prospectivas dos transtornos de humor e da religiosidade com o risco de suicídio em adultos jovens provenientes da população geral. MÉTODO: Coorte prospectiva de base populacional. Adultos jovens (18-24 anos) foram recrutados e acompanhados em média cinco anos depois. Risco de suicídio, transtornos de humor e de ansiedade foram avaliados usando o Mini-International Neuropsychiatric Interview. Transtornos por uso de substâncias foram avaliados utilizando o Alcohol, Smoking and Substance Involvement Screening Test. A religiosidade foi avaliada na linha de base e agrupada de acordo com a afiliação religiosa e de acordo com a freqüência de participação. RESULTADOS: A amostra incluiu 1560 adultos jovens na linha de base, com 1244 reavaliados no seguimento (80,6%). Os episódios depressivos, tanto atuais como prévios, tiveram um impacto significativo no risco de suicídio. Os episódios maníacos prévios, no entanto, foram associados com uma menor consistência a um risco de suicídio. Nenhuma associação da religiosidade com o risco de suicídio foi encontrada nas duas etapas da pesquisa. Este resultado permaneceu na análise em todas as afiliações religiosas, mesmo quando subdivididas de acordo com a freqüência de participação. CONCLUSÕES: Os episódios depressivos têm um robusto efeito prospectivo, independente, sobre o risco de suicídio. O efeito dos episódios maníacos, por outro lado, foi dependente da análise e merece uma melhor investigação. Embora existam evidências prévias sugerindo um papel protetor da religiosidade sobre o risco de suicídio, essas não foram confirmadas nessa amostra específica de adultos jovens. / OBJECTIVES: To assess the prospective associations of mood disorders, religiosity and suicidality in a community sample of young adults. METHODS: Prospective population-based cohort study. Young adults (18-24 years old) were recruited and followed-up five years later. Suicidality, mood and anxiety disorders were assessed using the Mini-International Neuropsychiatric Interview. Substance use disorders were assessed using the Alcohol, Smoking and Substance Involvement Screening Test. Religiosity were assessed at baseline and grouped according to religious affiliation and according to attendance frequency. RESULTS: The sample included 1560 young adults at baseline, with 1244 reassessed at follow-up (80.6%). Depressive episodes, both current and past had a significant impact on suicidality. Previous manic episodes, however, were less consistently associated with suicidality. No association of religiosity with suicidality was found in the two waves of the research. This effect is maintained in all religious affiliations, even when subdivided the analysis according to the frequency of attendance in religious service. CONCLUSIONS: Depressive episodes have an independent and robust effect on prospective suicidality. The effect of manic episodes, on the other hand, was dependent on the analysis and deserves further exploration. Although there is prior general evidence suggesting a protective role of religiosity on suicidality, these were not confirmed in this specific sample of young adults.

Traditional historical writing focuses on the cause and effect of human action, assuming that it is the historian's responsibility to recount the ebbs and flows of human progress. In the process of laying hold of the past as a narrative of human action, historical writing has developed the tendency to marginalise nature and undermine its power to influence the historical narrative. My investigation explores the fantastic in historical fantasy as a means of resisting historical writing's anthropocentrism. Historical fantasy uses fantastical elements to create counterfactual and alternative historical realities that have the potential to resist and undermine history's anthropocentric norm. My thesis examines four contemporary young adult historical fantasy trilogies that reimagine key turning points in history such as industrialisation, the American frontier, European imperialism, and World War I. They share the theme of retrieving and subverting anthropocentric discourses in the history of human development and thereby creating space for nature's presence and agency. My study finds that the fantastic is an effective means of subverting historical writing's anthropocentrism. But it also uncovers ambiguities and contradictions in historical fantasy's ecological revisionism, pointing to the idea that despite the fantastic's capacity for subversion, historical representations of nature cannot be separated from considerations of human identity and survival.

Institutions of higher learning have required students to take general education courses since such they were conceived and implemented in the 1940s. Requirements vary widely across institutions, but there is a broad consensus that a literature course be required in order to graduate. While these courses feature many types of literature, one literary field is overwhelmingly overlooked: young adult literature. Brigham Young University has recently implemented a young adult literature course that will fulfill a general education requirement. This case study examines the question, "What might be the rationale for including a course in young adult literature as part of the general education curriculum?" The findings of this case study suggest teaching YA literature as a GE course benefits students' emotional and intellectual intelligence. Drawing on observations, interviews, students' work, and students' reflections, analysis concludes that young adult literature has the ability to be used in a university general education class to successfully teach intellectual abilities and to impart and improve emotional intelligence.

Wrinkles in Our Clothing One night after a party Andrew realizes that he has never truly lived. Christine finds her passion somewhere she never thought she could have it. These two young adults, making their way through college, realize that now is the time to decide how they will choose to live their lives. They face the challenges that most young adults face such as societal expectations, a parent’s ideal image of their child, and having the courage to take that first step. Although these two do not meet in the lives of their characters they appear to know each other in a few places throughout the play. This is a device to reflect the common ground of those who struggle with identity. They meet in an opening sequence of the play as a device to introduce the play as their story. Their lives are each affected by the same person. A person who cares about the lives of those around her, Janet.

The popular Harry Potter series serves as the basis for my study of the oracles that appear throughout the series. By focusing specifically on Professor Sybill Trelawney, Ron Weasley, and the Sorting Hat, I show the relationships between Harry Potter and the Oracles. I also focus on a few of Trelawney's various methods of Divination and her prophecies.

"You Must Climb The Tree If You Want to Eat The Fruits" will teach your child or children the invaluable lesson of hard work and persistence. It teaches children about the invaluable lesson of hard work and persistence in order to partake of good things. In this story, Roland sets out to climb an age old tree called "Vine Grove." Vine Grove was full of juicy, tempting and ripe fruits. Day after day, Roland sat under the tree and dreamt about eating the fruits. He thought it was impossible to climb the tree because it was a very big tree. Twice he attempted to climb the tree but he fell down and could not reach the fruits. Roland became desperate to eat of its fruits. Finally one day, Roland embarks on this life changing journey of climbing the tree and eating the fruits on the tree. / https://dc.etsu.edu/etsu_books/1079/thumbnail.jpg

"You Cannot Chase Two Antelopes at the Same Time" will teach your child(ren) the invaluable lesson of determination and focus. This heart-warming story about the courage and determination of a little boy and his sister who set out to chase two antelopes unsuccessfully, extracts in a vivid illustrative style, the important character trait of determination and focus. The little boy and girl set out to accomplish an impossible task and try different approaches, but to no avail. They finally figured out that in life some pursuits are too delicate to focus on multiple things at the same time. The vivid imagery of antelopes and their incredible sense of swiftness will thrill, entertain and motivate your children. / https://dc.etsu.edu/etsu_books/1080/thumbnail.jpg