Thesis (Ph. D.)--Rutgers University, 2008. / "Graduate Program in Psychology." Includes bibliographical references (p. 58-62).

Regensburg, Univ., Diss., 2010.

Regensburg, Univ., Diss., 2010.

Thesis (M.A.)--Marquette University, 2010. / Available for download on Dec. 7, 2010. John F. LaDisa, Lars Olson, Joseph Cava, Margaret Samyn, Kimberly Gandy, Laura Ellwein, Advisors.

Thesis (M.S.)--University of Wisconsin--Madison, 1984. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 41-43).

Thesis (M.S.)--University of Wisconsin--Madison, 1982. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 68-71).

Proefschrift Maastricht. / Met lit. opg. - Met samenvatting in het Duits en Nederlands.

M.Cur. (Intensive General Nursing) / The rehabilitation of the coronary artery bypass patient should be a continuation of the contact which exists during the hospitalisation phase, with specific reference to the pre-dismissal phase. As a member of the health team, the nurse makes the most important inputs during this phase because she is the one who is in constant contact with the patient and his family. The purpose of this study is to determine, by means of set criteria and within a nursing perspective, the contributions that are made by various support groups to the rehabilitation of persons who have undergone coronary artery bypass surgery.

M.A. (Clinical Psychology) / This research was undertaken in an attempt to validate the hypotheses that depression reported after coronary artery bypass grafting could be attributed to cognitive distortion, learned helplessness and loss of appropriate social reinforcement. Thirty subjects from the J.G. Strijdom Hospital in Johannesburg were randomly selected from a population of 80 patients who had undergone their first coronary artery bypass graft and assessed for depression and the related dimensions of the hypotheses. Mood was also assessed. On the basis of Beck Depression Inventory scores, 17 subjects were divided into experimental and control groups of depressed and non- depressed patients. The differences between the two groups were then compared. Overall, no support was found for the learned helplessness, cognitive distortion or loss of social reinforcement hypotheses, although fatigue, sadness and egotism were found to be the most significant differences between depressed and non-depressed post-operative patients. Contrary to indications in the literature, only 40 percent of patients in this study were found to be clinically depressed. The findings of this research may be seen to offer support for the "coronary-prone Behaviour" hypothesis, suggesting post-operative psychotherapeutic programmes for coronary artery bypass graft patients should address themselves to changing the behavioural styles of these patients both pre- and post-operatively.

CAHETÉ, Helga Cristina Almeida Wahnon Alhinho, também é conhecida em citações bibliográficas por: ALHINHO, Helga Cristina Almeida Wahnon / Submitted by Fernanda Rodrigues de Lima (fernanda.rlima@ufpe.br) on 2018-09-20T19:52:33Z No. of bitstreams: 2 license_rdf: 811 bytes, checksum: e39d27027a6cc9cb039ad269a5db8e34 (MD5) DISSERTAÇÃO Helga Cristina Almeida Wahnon Alhinho Caheté.pdf: 2094376 bytes, checksum: 7d9bf86dc7fd1472a7d7635fc70eff41 (MD5) / Approved for entry into archive by Alice Araujo (alice.caraujo@ufpe.br) on 2018-09-21T18:31:38Z (GMT) No. of bitstreams: 2 license_rdf: 811 bytes, checksum: e39d27027a6cc9cb039ad269a5db8e34 (MD5) DISSERTAÇÃO Helga Cristina Almeida Wahnon Alhinho Caheté.pdf: 2094376 bytes, checksum: 7d9bf86dc7fd1472a7d7635fc70eff41 (MD5) / Made available in DSpace on 2018-09-21T18:31:38Z (GMT). No. of bitstreams: 2 license_rdf: 811 bytes, checksum: e39d27027a6cc9cb039ad269a5db8e34 (MD5) DISSERTAÇÃO Helga Cristina Almeida Wahnon Alhinho Caheté.pdf: 2094376 bytes, checksum: 7d9bf86dc7fd1472a7d7635fc70eff41 (MD5) Previous issue date: 2017-02-08 / Introdução: A fístula gástrica é uma das mais graves complicações da cirurgia bariátrica. O tratamento preconizado envolve procedimentos cirúrgicos de grande porte e elevada morbi-mortalidade. Objetivos: Analisar o tempo de cura e evolução de pacientes com fístula gástrica após gastrectomia vertical (GV) ou após Derivação Gástrica em Y de Roux (DGYR), submetidos a tratamento endoscópico. Métodos: série de casos, retrospectiva, longitudinal, através da coleta de dados de prontuários médicos. Foram selecionados vinte e três pacientes, por conveniência, com fístula gástrica após DGYR e GV atendidos no ambulatório de Cirurgia Geral da UFPE. Todos os dados foram colhidos retrospectivamente, e incluiu o seguinte: dados demográficos, dos procedimentos cirúrgicos e endoscópicos, além do seguimento antes e depois da cura da fístula. Introdução de prótese auto-expansível, dilatação com balão, estenotomia, septotomia. Foram avaliados os aspectos clínicos, a morbimortalidade, a evolução de acordo com tratamento proposto e o tempo de cura para os dois tipos de fístula estudados. Resultados: dentre os 23 pacientes selecionados, 13 eram do sexo feminino (56,5%). Dez pacientes foram submetidos a DGYR e 13 a GV. O tempo médio para surgimento da fístula foi de 5,8 dias (2 – 20 dias). O diagnóstico foi dado através de evidências clínicas (n= 5), endoscópicas (n= 5), laparoscópicas (n=2), radiológica (n=1) e de uma combinação de dados clínicos, cirúrgicos e de exames de imagem (n= 9). Quanto ao local da fístula, o ângulo de His foi envolvido em 18 (78,3%) pacientes e o restante encontrava-se na anastomose gastrojejunal (21,7%). Os pacientes usaram as seguintes vias para nutrição: enteral (52,2%), nutrição parenteral total (4,3%) e a combinação das duas vias (39,1%). O tempo médio de internamento foi de 38 dias nos dois tipos de cirurgia. Para o tratamento específico da fístula, a prótese endoscópica (esofagogástrica) foi usada em 17 (73,9%) casos, sendo 11 submetidos a GV. Foram usadas as seguintes próteses: plástica (64,7%) e metálica (35,3%), com permanência entre 3 a 22 dias (média = 17 dias). A taxa média de migração distal foi de 20% (3/15). Ocorreu um episódio de sangramento autolimitado. Terapia endoscópica complementar sob a forma de dilatação (n= 6 / 26,1%) e septotomia (n=5 / 21,7%) foi efetuada nos pacientes em que a cura da fístula não foi evidenciada logo após a retirada da prótese e naqueles que evoluíram com estenose gástrica subsequente. Com esta abordagem endoscópico-cirúrgica, o tempo médio de cura da fístula gástrica após DGYR e GV foi de 31,7 dias, variando de 7 a 120 dias, com taxa de sucesso de 86,9%. Conclusão: O tempo de cura da fístula gástrica após Derivação Gástrica em Y de Roux e Gastrectomia Vertical é semelhante devido ao diagnóstico e a terapêutica precoces. / Background: Nowadays, Roux-en-Y Gastric Bypass and Sleeve Gastrectomy are the two most performed bariatric surgeries, with proven safety and efficacy. However, complications, such as gastric fistula, can occur, greatly increasing morbimortality. Objective: To analyze the healing time and the outcomes of patients with gastric fistula after Sleeve gastrectomy (SG) and after Roux-en-Y gastric bypass (RYGB) who were submitted to endoscopic treatment. Methods: This is a retrospective, observational, longitudinal, consecutive case series, performed at the General Surgery Department of the Federal University of Pernambuco - Brazil. Patients underwent endoscopic treatment through placement of self-expandable stent, balloon dilatation, stenotomy, septotomy. Fistula healing aspects, morbidity and mortality, related to the endoscopic procedures, and the closure time for the two types of fistula were analyzed. This study has local Ethics Committee approval. Results: We identified 23 selected patients: 13 (56.5%) were women, with preoperative body mass index of 42 (35.1 – 65.0) kg/m². Ten patients had a RYGB and 13 a SG. Mean time from surgery to leak diagnosis was 5.8 (2 – 20) days. The diagnosis was made through clinical (n= 5), endoscopic (n= 5), laparoscopic (n= 2), radiological (n= 1) and a combination of clinical, surgical and imaging (n= 9). Eighteen patients (78.3%) had their site of leakage located in His angle, and five (21.7%) in the gastrojejunal anastomosis. 52.2% (n= 12) of the patients were feeded through nasoenteric tube, and 39.1% (n= 9) was assisted by a combination of enteral and total parenteral nutrition (TPN). TPN was performed in one (4.3%). The length of hospital stay was similar for both types of surgery, with a mean time of 38 (7 - 120) days. Stents were used in 17 (73.9%) patients. Plastic stent was used in 64.7% (n= 11), while the metallic one had a low rate of use (35.3%). Median length of stent use was 17 (3 – 22) days. There were three migrations. A self-limited bleeding episode occurred. Complementary endoscopic therapy as dilatation (n= 6 / 26.1%) and septotomy (n= 5 / 21.7%) was required in whom the cure of the fistula was not evident soon after stent removal and in those who evolved with subsequent gastric stenosis. With this endoscopic-surgical approach, the mean closure time was 31.7 (7 - 120) days. There was no significant difference when comparing the two types of surgery. Conclusions: Healing time of gastric fistula after Roux-en-Y Gastric Bypass and Sleeve Gastrectomy is similar due to early diagnosis and therapy.