Includes bibliographical references (18 leaves). / 2 v. : ill., maps ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Examines the factors that predict attendence to mammography screening by comparing various groups of attenders and non-attenders. / Thesis (Ph.D.)--University of Adelaide, Dept. of Public Health, 1999

Bakgrund: År 2020 var bröstcancer den cancerdiagnosen med flest nya fall. Globalt avled en fjärdedel av patienterna med bröstcancer till följd av diagnosen. Mastektomi är ett kirurgiskt ingrepp som kan utföras vid bröstcancer och innebär att delar av, eller hela bröstet opereras bort för att undvika metastasering. I litteraturöversikten användes Afaf Meleis transitionsteori som referensram och går att applicera när förändring hos individ eller dess miljö sker. Syfte: Syftet var att beskriva kvinnors upplevelse av välbefinnande i samband med mastektomi vid bröstcancer. Metod: Litteraturöversikt med kvalitativ ansats där 12 artiklar granskats för att sammanställa resultatet. Artiklarna har hämtats från databaserna Cinahl och Medline och har genomgått kvalitetsgranskning för kvalitativa artiklar. Fribergs fem steg (2022a) användes för att genomföra dataanalysen. Resultat: Att få diagnosen bröstcancer kom med många utmaningar för kvinnor och ställningstagande för mastektomi behövdes göras. Att genomgå mastektomi innebar utmaningar i kroppsuppfattning och kvinnorna ställdes inför samhällets stigmatisering. Ingreppet påverkade sexuella relationer och stöd från familj och vänner var viktigt. Slutsats: Resultatet ger en bild av hur kvinnor kan uppleva välbefinnande i samband med mastektomi. Utifrån resultatet framkommer stigmatisering för kvinnor som är mastektomerade. Därmed är det viktigt att fortsätta bedriva forskning inom ämnet för att uppnå välbefinnande. I litteraturöversikten belyses huvudfynden kroppsbild, sexualitet och stöd från omgivningen. / Background: In 2020 breast cancer was the cancer diagnosis with the most cases. Globally, a quarter of patients with breast cancer died as a result of the diagnosis. Mastectomy is a surgical procedure that can be performed in cases of breast cancer and means that parts of or the whole breast are surgically removed to avoid metastasis. Afaf Meleis transition theory was used as a frame of reference and can be applied when a change occurs in an individual or it’s environment. Aim: The aim was to describe women´s experience of well-being associated to mastectomy due to breast cancer. Method: Literature review with a qualitative approach where 12 articles were studied to compile the results. The articles have been retrieved from the databases Cinahl and Medline and have been reviewed according to qualitative articles. Friberg’s five steps (2022a) were used to carry out the data analysis. Results: Being diagnosed with breast cancer came with many challenges for the women and decision regarding mastectomy needed to be done. Undergoing a mastectomy meant challenges in body image and the women were faced with societal stigma. The surgery affected sexual relationships and support from family and friends was important.Conclusion: The result provide a picture of how women can experience well-being associated to mastectomy. Based on results, one can infer stigmatization for mastectomised women. It is important to continue research in the subject in order to achieve well-being. Main findings in this literature review was body image, sexuality and support from family and friends.

Made available in DSpace on 2016-12-23T13:46:58Z (GMT). No. of bitstreams: 1 Maria Aparecida Amaral Musso.pdf: 1476967 bytes, checksum: c7dd9674c00f324acc9688cf114c4d8e (MD5) Previous issue date: 2013-03-22 / BACKGROUND: Oral health deserves special attention when dealing with cancer patients because lesions in the oral cavity are the most frequent complications associated with chemotherapy, due to the high sensitivity of oral structures to toxic effects of chemotherapy. OBJECTIVE: This study aimed to evaluate oral manifestations - caries, gingivitis, mucositis, xerostomia and thrush - before and during chemotherapy in women with breast cancer undergoing treatment at St. Rita Hospital, in Vitoria city in the State of ES. METHODOLOGY: This was a longitudinal study conducted in three phases: Moment 1 - before the 1st session of chemotherapy (CT) with a sample of 89 patients; moment 2 - after the 1st session of CT, and now 3 - after the 2nd session CT. Moments 2 and 3 had a final sample of 41 patients. Clinical examinations were carried out - caries, mucositis, xerostomia, gingivitis and thrush - using a semi-structured interview to collect clinical data - color / race, income, education, socioeconomic status, age and comorbidities. Next, descriptive analysis of the data were run by means of frequency tables with numbers and percentages for each of the three stages of the research. The McNemar test was used to determine the direction of the disagreement and the Kappa test was used to identify levels of agreement in three stages. The significance level used in the tests was 5%. The statistical package - Social Science Statistical Package (SPSS) - version 20 was used for analysis. RESULTS: The final sample was composed mostly by women aged above 50 years, with complete basic education, race / white color, socioeconomic status and income of level C up to two minimum wages. Most women needed prosthesis due to the large number of missing teeth. In this study, no statistically significant differences oral manifestations of xerostomia and gingivitis among the three moments; mucositis had only two cases in point 3; sore and showed a statistically significant improvement in the third stage of the research. CONCLUSION: The presence of a dental surgeon is very important in the multidisciplinary team to monitor cancer patients before, during and after neoplastic treatment / INTRODUÇÃO: A saúde bucal merece atenção especial no manejo de pacientes oncológicos porque as lesões na cavidade oral são as mais frequentes complicações da quimioterapia, devido à alta sensibilidade das estruturas orais aos efeitos tóxicos dos quimioterápicos. OBJETIVO: Este estudo objetivou avaliar as manifestações bucais cárie, gengivite, mucosite, xerostomia e afta antes e durante o tratamento quimioterápico em mulheres com câncer de mama em tratamento no Hospital Santa Rita de Cássia, Vitória/ES. METODOLOGIA: Trata-se de um estudo longitudinal realizado em três momentos: 1 antes da 1ª sessão de quimioterapia (QT) com amostra de 89 pacientes; 2 após a 1ª sessão de QT; e 3 após a 2ª sessão de QT. Os momentos 2 e 3 tiveram uma amostra final de 41 pacientes. Realizou-se exame clínico cárie, mucosite, xerostomia, gengivite e afta e entrevista utilizando um roteiro semiestruturado para coleta de dados não clínicos raça/cor, renda, escolaridade, condição socioeconômica, idade e comorbidades. Procedeu-se à análise descritiva dos dados, por meio de tabelas de frequência com número e percentual para cada um dos três momentos da pesquisa. O teste McNemar foi utilizado para verificar a direção da discordância, e o teste Kappa para identificar os níveis de concordância nos três momentos. O nível de significância adotado nos testes foi 5%. O pacote estatístico Social Package Statistical Science (SPSS) versão 20 foi utilizado para análise. RESULTADOS: A amostra final foi composta, em sua maioria, por mulheres na faixa etária acima de 50 anos, com até o ensino fundamental completo, de raça/cor branca, condição socioeconômica C e renda de até dois salários mínimos. A maioria das mulheres apresentou necessidade de uso de prótese devido ao grande número de dentes perdidos. Neste estudo, não houve diferenças estatísticamente significantes das manifestações bucais xerostomia e gengivite entre os três momentos estudados; a mucosite teve apenas dois casos no momento 3; e a afta apresentou uma melhora estatísticamente significante no terceiro momento da pesquisa. CONCLUSÃO: É de grande importância o cirurgião-dentista na equipe multiprofissional para acompanhar os pacientes oncológicos antes, durante e depois do tratamento neoplásico, com a finalidade de prevenir, tratar e acompanhar esses pacientes

The aim of this study is to analyse how women talk about their breasts, how their breasts affect their orientations in the world as well as how their relationship to their breasts changes throughout life. The study is based on semi-structured interviews with eight white and heterosexual cisgender women between the ages of 23-64 years old. The main theoretical frameworks for the study are phenomenology and the life schedule. The interpretational work has been conducted through thematic analysis.  The study shows how the women meet different expectations and ideals connected to their breasts throughout their lives. The heteronormative life schedule is relevant for understanding how these experiences are formed. Starting from the women´s entry into puberty and when they develop breasts, their place in the world changes. The breasts bear a strong meaning for how the women in the study construct themselves as sexual beings as well as heterosexual subjects. The meaning of the breasts is generally mirrored against the male desire. The relationship to their own breasts is formed by ideals of normative breasts which shape their experience of having breasts. The ideals are perceived as more intense during younger years, whereas age is a way of negotiating the meaning of the breasts. The empirical material show that the meaning of the breasts changes with the different stages of life but always plays a vital part in the women’s orientation and how they perceive themselves in their everyday life.

Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-07-26T12:41:50Z No. of bitstreams: 1 melissadefatimafranca.pdf: 3155000 bytes, checksum: 747df8478e7d858eeb23d7713906b20c (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-07-27T11:28:26Z (GMT) No. of bitstreams: 1 melissadefatimafranca.pdf: 3155000 bytes, checksum: 747df8478e7d858eeb23d7713906b20c (MD5) / Made available in DSpace on 2016-07-27T11:28:26Z (GMT). No. of bitstreams: 1 melissadefatimafranca.pdf: 3155000 bytes, checksum: 747df8478e7d858eeb23d7713906b20c (MD5) Previous issue date: 2015-02-27 / O câncer constitui uma preocupação crescente da população, já que vem ganhando uma dimensão maior e convertendo-se em um evidente problema de saúde pública mundial. A Política Nacional de Controle do Câncer tem o intuito de reduzir a incidência e a mortalidade do câncer através da conscientização dos fatores de risco e medidas para a detecção precoce dos cânceres passíveis de rastreamento, com acesso a um tratamento equitativo e de qualidade. Diante da importância da realização de pesquisas nessa área o presente estudo teve como objetivos analisar a realização de exames preventivos das neoplasias do colo do útero e de mama nas funcionárias Técnico-Administrativas em Educação (TAE) de uma Universidade Pública e seus fatores associados. Para isso foi realizado um estudo epidemiológico de delineamento transversal com 399 TAEs. Como instrumento de coleta de dados utilizou-se um questionário autopreenchível com questões relacionadas à realização de exames preventivos do câncer de colo de útero e de mama e aos fatores sócio demográficos, condições de saúde e hábitos de vida. Os dados foram processados através dos programas estatísticos Statistical Package for the Social Sciences (SPSS) e Stata. Para o desfecho “não realização de Papanicolaou” as variáveis faixa etária 60-69 anos (RP 4,17 IC 95% 2,47-7,04), não ter ficado impedida de realizar atividades habituais por problemas de saúde nas duas últimas semanas (RP 2,22 IC 95% 1,04-4,75) e não estar em dia com a realização da mamografia (RP 5,00 IC 95% 2,65-9,41) aumentaram a probabilidade de não estar em dia ou não realizar o exame preventivo. Com relação à “não realização do exame clínico das mamas” as variáveis consumo adequado de verduras (RP 0,92 IC 95% 0,86-0,99), possuir um ou mais parentes com quem possa se falar sobre quase tudo (rede social) (RP 0,85 IC 95% 0,76-0,95) e possuir horário de trabalho irregular (RP 0,83 IC 95% 0,75-0,91) diminuíram a probabilidade de não realizar tal exame. O fato de não realizar ou não estar em dia com a mamografia aumentou a probabilidade de não fazer o exame clínico das mamas (RP 1,22 IC 95% 1,14-1,30). Já quanto à “não realização de mamografia” o fato de não realizar ou não estar em dia com os exames Papanicolaou (RP 3,07 IC 95% 1,86- 5,08) e exame clínico das mamas (RP 4,99 IC 95% 2,61-9,53) aumentaram a probabilidade de também não realizar o exame de mamografia. Destaca-se assim a importância da prática e incentivo de ações de prevenção do câncer na população de mulheres trabalhadoras, visando a uma melhor condição de saúde e qualidade de vida das mesmas. / Cancer is a growing concern of the population, as has been gaining increasing in size and becoming an obvious problem of global public health. The National Cancer Control Policy aims to reduce the incidence and mortality of cancer by raising awareness of risk factors and measures for the early detection of cancers amenable to screening with access to fair treatment and quality. Given the importance of conducting research in this area this study aimed to analyze the preventive examinations of cancer of the cervix and breast cancer in employees Technical and Administrative Education (TAE) of a public university and its associated factors. To this was accomplished an epidemiological cross-sectional study with 399 TAE’s. As data collection instrument used a self-administered questionnaire with questions related to preventive examinations of cervical and breast cancer and sociodemographic factors, health and lifestyle habits. Data were analyzed using the statistical software Statistical Package for Social Sciences (SPSS) and Stata. For the outcome not for Papanicolaou the variables age group 60-69 years (PR 4.17 95% CI 2.47 to 7.04), have not been prevented from performing daily activities due to health problems in the last two weeks (PR 2.22 95% CI 1.04 to 4.75) and not be up to date with mammography (PR 5.00 95% CI 2.65 to 9.41) increased the likelihood of not being up to date or not perform the screening. Regarding the non-completion of the clinical examination of the variables adequate intake of vegetables breasts (PR 0.92 95% CI from 0.86 to 0.99), have one or more relatives with whom you can talk about almost anything (social network) (PR 0.85 95% CI 0.76 to 0.95) and have irregular working hours (PR 0.83 95% CI 0.75 to 0.91) decreased the probability of not conduct such an examination. Failure to perform or not keep up with mammography increased the probability of not doing clinical breast exam (PR 1.22 95% CI 1.14 to 1.30). As for the non-completion of mammography the failure to perform or not keep up with the Papanicolaou (PR 3.07 95% CI 5.08 1, 86) and clinical breast exam (PR 4.99 95% CI 2.61 to 9.53) increased the likelihood of also not perform the examination mammography. Stands out as well the importance of practice and encouragement cancer prevention actions in the population of working women in order to better health condition and quality of life for them.