Made available in DSpace on 2016-04-04T18:27:30Z (GMT). No. of bitstreams: 1 Flavia Urbini.pdf: 268291 bytes, checksum: 8e79c56903cfc5e622f2251b90bd83fc (MD5) Previous issue date: 2007-02-07 / Pontif?cia Universidade Cat?lica de Campinas / Hypertension has been studied by many health professionals. According to many researches hypertension is caused by an association of many different risk factors, and stress could be one of them. There are several of studies that demonstrate stress effects on hypertensive patients. The purpose of this study was to verify the possible association between stressful events and hypertensive crises occurrence. This sample was comprised by 20 women whose age was around 45-55. All data were collected in one-section interview with hypertensive urgency patients, and the instruments used were: The Inventory of Stress Symptoms (ISSL), and the Stress Sources Scale. According to the results, most of the subjects had the stress diagnosis, and the present stressors average in the last 6 months was 3,15. The most frequent stressor found was threat to personal integrity These results suggest that new and larger researches are necessary to deeply understand the influence of stressful events on the hypertensive urgency occurrence. / A hipertens?o tem sido muito estudada pelos profissionais da ?rea da sa?de. Considera-se a hipertens?o uma doen?a causada pela associa??o de diferentes fatores de risco, entre eles o stress. Os efeitos do stress no paciente hipertenso, assim como em pacientes com outras doen?as, v?m merecendo aten??o, considerando-se sua grande influ?ncia. O objetivo deste estudo foi avaliar a poss?vel rela??o entre os eventos estressantes e a ocorr?ncia da urg?ncia hipertensiva. Participaram vinte mulheres com idade m?dia de 45-55 nos. Os dados foram coletados em um ?nico encontro com o paciente em urg?ncia hipertensiva. Foram utilizados os seguintes instrumentos: Invent?rio de Sintomas de Stress para Adultos e Escala de Fontes de Stress. A maioria dos participantes apresentou o diagn?stico de stress e a m?dia do n?mero de fontes estressoras presentes nos ?ltimos seis meses foi 3,15. O tipo de fonte de stress mais freq?ente foi a amea?a ? integridade. Esses resultados sugerem novas pesquisas nessa ?rea com maior n?mero de participantes para uma melhor compreens?o da influ?ncia dos eventos estressantes na ocorr?ncia da urg?ncia hipertensiva.

Made available in DSpace on 2016-04-26T20:22:31Z (GMT). No. of bitstreams: 1 Andre Ribeiro Dantas.pdf: 949613 bytes, checksum: c2db7c161a125f7ddcbffd00edbb2041 (MD5) Previous issue date: 2013-12-20 / The present study focuses on the possibility of granting measures of urgency and evidence in arbitration. We divided this study in two parts, the first part, more theoretical, we analysed the concept, features, the specifics functions of this type of jurisdiction and also the powers granted by law to the arbitrator or compromissarius, to conclude about the legal classification of the arbitration At the second part, after considerations related to the constitutional basis of measures of urgency and evidence used in the arbitration, we studied several hypothesis for granting such temporary measures, before or even after it had started the arbitration, in cases that the Arbitration Agreement or the arbitration clause allows, or the clause omit or even prohibit , to grant measures of urgency and evidence. Finally, we considered the possibilities of review by the referee, of urgent measures granted by the Judicial System, and vice versa / O presente estudo versa sobre a possibilidade de concessão de tutelas de urgência e de evidência na arbitragem. Na primeira parte, de cunho mais teórico, são analisados o conceito, as características e as funções próprias à jurisdição bem como os poderes concedidos, pela lei, ao árbitro , para se concluir acerca da natureza jurisdicional da arbitragem. Já na segunda parte, após considerações sobre o fundamento constitucional das tutelas de urgência e de evidência, são estudadas as diversas hipóteses de concessão dessas tutelas provisórias antes ou durante a arbitragem nos casos em que a convenção de arbitragem permita, seja omissa ou proíba a concessão de tutelas de urgência ou de evidência. Por fim, são consideradas as possibilidades de revisão, pelo árbitro, de medidas urgentes concedidas pelo Judiciário, e vice-versa

Impulsive personality traits have been found to be robust predictors of substance use and problems in both cross-sectional and longitudinal research. Studies examining the relations of substance use and impulsive personality over time indicate bidirectional effects, where substance use is also predictive of increases in later impulsive personality. The mechanism(s) accounting for the impact of substance use on later personality remain unknown. The present study sought to explore the bidirectional relations of alcohol use with the impulsive personality traits over three time points, and to examine two potential mechanisms that could account for the impact of alcohol use on personality: the development of alcohol-related problems and social norms for substance use. Participants were 525 college students (48.0% male, 81.1% Caucasian), who completed self-report measures assessing personality traits and a structured interview assessing past and current substance use. Data collection took place at three different time points: the first occurred during participants’ first year of college (T1), and follow-ups took place approximately one-year (T2) and two-years (T3) later. Bidirectional relations were examined using structural equation modeling to control for the relations among the variables of interest within time points and the stability of the variables across time. T1 sensation seeking and lack of premeditation predicted higher levels of alcohol use at T3, and T1 alcohol use predicted higher levels of all three impulsive traits at T3. T2 friend norms for drug use were found to significantly mediate the relation between T1 alcohol use and T3 sensation seeking, and T2 alcohol problems were found to significantly mediate the relation between T1 alcohol use and T3 negative urgency. Findings provide greater resolution in characterizing the bidirectional relation between impulsive personality traits and substance use, and demonstrate that sensation seeking and negative urgency are impacted through distinct mechanisms.

It is well established that there is an increase in substance use among college students. In the literature, this increase in use has been attributed to different personality factors, such as sensation seeking. However, what has not received sufficient attention is the possibility that the new peer groups, afforded by the transition to college, introduce unique influence on the relationship between personality and substance use. The purposes of the current study were to explore whether personality predicted substance use across the transition to college whether peer substance use moderated that relationship. The current study examined developmentally the relations among personality, peers, and substance use as students transitioned to college. It built upon previous work by disentangling how the multifaceted trait of impulsivity may interact with the aspects unique to the transition to college, such as dynamic peer groups and substance use behavior in different contexts. This study added to the literature as it was the first to examine negative urgency and its relation to peer influence. The results of the current study aid in understanding the development of substance use among college students and the environmental contexts likely to influence use across time. Participants (N= 229) were assessed longitudinally in order to examine changes in substance use. The participants completed an array of measures that included personality measures (i.e. sensation seeking and negative urgency), a life history calendar of substance use, a measure of problematic alcohol use, and a questionnaire examining the substance use of peers. The current study suggests differences in the way that sensation seeking and negative urgency predict alcohol use and problematic drinking across the transition to college and demonstrated that peers’ drinking had a moderating effect on the relationship between personality and drinking during particular times during the transition to college.

While the overall stability of personality across the lifespan has been well-documented, there is also evidence of meaningful personality change. This is particularly true when individuals are going through periods of developmental transition. Over time, one sees incremental changes not just in behavior but in basic personality as well. 1,906 early adolescents were assessed for urgency scores, levels of maladaptive behavior engagement (drinking, smoking, and binge eating), and pubertal status every six months for four years. Zero-Inflated Poisson structural equation modeling (SEM) was used to test the model of reciprocal influence between behavior and personality. Across most six-month intervals over the course of the four-year study, urgency predicted increased engagement in the maladaptive behaviors. Strikingly, the reverse was true as well: engagement in behaviors predicted subsequent increases in urgency, which is otherwise a stable personality trait. This study is the first to find reciprocal prediction between engagement in maladaptive, risky behaviors and endorsement of the maladaptive personality trait of urgency during the early adolescent years. One implication of these findings is the apparent presence of a positive feedback loop of risk, in which maladaptive behaviors increase high-risk personality traits, which in turn further increase the likelihood of maladaptive behaviors.

This dissertation investigates discourses of anti-violence strategies in the context of international development. While violence against women is, of course, an urgent problem, this dissertation explores how the urgency to end violence against women is socially, culturally, economically, and politically constructed. I consider the manufacturing of urgency in three case studies of contemporary anti-violence initiatives: i) American foreign policy including what has been branded as “The Hillary Doctrine” and proposed International Violence Against Women Act; ii) the World Bank’s report entitled The Cost of Violence; and iii) the United Nation’s UNiTE To End Violence Against Women and Say NO campaigns. In doing so, I argue that World Bank, the United Nations, and American foreign policies are too often technocratic, narrow, depoliticized, and are executed in an urgent manner in the interest of neoliberal economic growth, security concerns, and “feel good” aid at the expense of more holistic, effective and accountable responses to global violence against women.

Pour de nombreuses personnes sans-abri, les services hospitaliers d’urgences, ouverts à tous en continu, représentent une voie de recours privilégiée dans la recherche de soins, d’assistance ou d’hébergement. Cependant, face aux phénomènes d’engorgement des urgences, les politiques de santé s’orientent vers une restriction de l’accueil au noyau des pathologies graves. L’exemple du patient en situation de grande précarité pousse alors à son paroxysme les tensions qui se manifestent dans ces services, tiraillés entre leurs compétences pour traiter l’urgence vitale et leur fonction traditionnelle d’accueil du « tout-venant ». Une enquête de terrain, conduite au sein d’un service hospitalier d’urgences, démontre la diversité des formes de mobilisation des personnels autour des patients sans-abri, dans leurs dimensions à la fois morales et organisationnelles. / For many homeless people, emergency hospital services open to all continuous represent a privileged channel of recourse in seeking care, assistance or accommodation. However, due to overcrowding in emergency events, health policies are moving towards a restriction of the welcome to the kernel serious pathologies. The example of patient precarious situation then pushes its climax tensions that occur in these services, torn between their skills to treat life- threatening emergency and traditional hospitality function "all-comers". A fieldwork conducted in a hospital emergency department, shows the diversity of personal forms of mobilization around homeless patients in their dimensions both moral and organizational.

A Síndrome da Bexiga Hiperativa (SBH) é caracterizada por urgência urinária com ou sem incontinência, acompanhada de freqüência e noctúria. O tratamento é inicialmente clínico, visando o relaxamento do musculo detrusor com uso de anticolinérgicos e antidepressivos tricíclinos. Os anticolinérgicos reduzem a atividade contrátil do detrusor por bloquear os receptores muscarínicos na junção neuromuscular. A Imipramina é um antidepressivo tricíclico que possui ação anticolinérgica e alfa-adrenérgica indireta, relaxando o detrusor e aumentando a pressão intrauretral, diminuindo os episódios de perda urinária, sendo uma boa alternativa para a Incontinência Urinária Urgência (IUU) e Incontinência Urinária Mista (IUM). OBJETIVOS: Validar a Imipramina como opção para paciente com SBH e verificar a ocorrência e a freqüência dos efeitos adversos. MATERIAIS E MÉTODOS: Ensaio clínico randomizado cruzado com mulheres com mais de 18 anos com queixa de IUU ou IUM atendidas no Ambulatório de Uroginecologia do Hospital de Clínicas de Porto Alegre (HCPA). Para uma melhora de 71% no grupo da imipramina e 16% do grupo dos exercícios perineais, com “p” de 0,05 e um poder de 80%, são necessários 19 pacientes em cada grupo (Epi-Info). Totalizamos um “n” de 38 pacientes, estimando 20% de perdas. RESULTADOS e CONCLUSÕES: 38 mulheres foram randomizadas, sendo 6 pacientes excluídas. 32 pacientes foram submetidas à três meses de tratamento conservador e três meses de uso de Imipramina. Ao final de 6 meses foi realizada a análise estatística. 24 pacientes mantiveram o uso da medicação após o término do estudo. Não houve diferença entre os grupos em relação aos dados demográficos, comorbidades, uso de medicações, cirurgias, distopias genitais, presença de efeitos colaterais com uso da medicação, tempo de suspensão da medicação e Pressão de Perda Urinária (VLPP). Houve diferença estatística em relação à presença de Contrações Não Inibidas (CNI) durante a Avaliação Urodinâmica. Em relação aos questionários, o uso imipramina mostrou uma melhora de 16,8 vezes em relação à alocação quando comparadas com uma melhora de 2,1 vezes do tratamento conservador. Em relação à Percepção Geral da Saúde (PGS), não houve diferença estatística, mas em relação à avaliação do Impacto da Incontinência (II), houve diferença significativa no grupo de realizou tratamento com Imipramina. Demostrou-se uma melhora da perda urinária de 16, 3 vezes quando comparadas ao início da alocação. A análise do escore final mostrou uma significância estatística na interação do grupo com o tipo de tratamento utilizado em determinado momento do tempo. Em conclusão, como única medicação disponível no Sistema Único de Saúde (SUS) para tratar essa patologia podemos passar a utilizá-la, com cautela, como opção terapêutica ao anticolinérgico hoje mais usado, a oxibutinina, uma vez que se mostrou segura em relação aos efeitos colaterais e apresentou significância estatística em relação ao tratamento conservador. Entretanto, acredita-se que mais ensaios clínicos devem ser realizados com um “n” maior de pacientes e, talvez, comparando a imipramina com a oxibutinina, uma vez que é medicação de referência para tal patologia. / Overactive Bladder Syndrome (SBH) is characterized by urinary urgency with or without incontinence, accompanied by frequency and nocturia. Treatment is initially clinical, aimed at relaxing the detrusor muscle with the use of anticholinergics, antispasmodics and antidepressants tricíclinos. Anticholinergics reduce the contractile activity of the detrusor muscle by blocking muscarinic receptors at the neuromuscular junction. Imipramine is a tricyclic antidepressant that has anticholinergic action and alpha-adrenergic indirect, relaxing muscles and increasing detrusor pressure intrauretral, reducing the frequency of urinary leakage, being a good alternative for Urgency Urinary Incontinence (IUU) and mixed urinary incontinence (IUM). OBJECTIVES: To validate Imipramine as an option for patients with SBH and to verify the occurrence and frequency of adverse effects. METHODS: A randomized crossover clinical trial, with women over 18 years with complaints of IUU or IUM treated at the Urogynecology Clinic of Hospital de Clinicas de Porto Alegre (HCPA). For an improvement of 71% in the imipramine group and 16% of perineal exercises, with "p" of 0.05 and a power of 80%, 19 patients are needed in each group (Epi-Info). Totaled an "n" of 38 patients, an estimated 20% loss. RESULTS AND CONCLUSIONS: 38 women were randomized, with 6 patients excluded. 32 patients underwent three months of conservative treatment and three months of use of imipramine. At the end of 6 months was performed statistical analysis. 24 patients maintained their use of medication after the study. There was no difference between groups regarding demographics, comorbidities, medication use, surgery, genital dystopias, presence of side effects with the medication, time of drug discontinuation and urinary loss pressure (VLPP). There was statistical difference in relation to the presence of uninhibited contractions (CNI) during urodynamic evaluation. Regarding the questionnaires, the use of imipramine showed an improvement of 16.8 times over the allocation when compared to a 2.1 times improvement in the conservative treatment. Regarding the General Health Perception (PGS), there was no statistical difference, but in relation to assessing the impact of incontinence (II), there was significant difference in the group treated with imipramine performed. Demonstrated to an improvement in urinary loss of 16, 3 times when compared to the beginning of the allocation. The analysis of the final score showed a statistical significance in the group's interaction with the type of treatment used in a given moment in time. In conclusion, as the only medication available in the Brazilian Public Health System (SUS) to treat this disease that affects a substantial number of women, since it proved to be safe in relation to the side and made statistically significant compared to conservative treatment, we can move to use it with caution, as a therapeutic option for today's most commonly used anticholinergic, oxybutynin. However, it is believed that more trials should be conducted with more patients and perhaps comparing imipramine with oxybutynin, because it is a reference for this pathology.

O presente estudo pretende analisar a relação entre direito material e direito processual à luz do paradigma do formalismo-valorativo, a fim de buscar a solução para intrigantes problemas existentes em matéria de tutela jurisdicional de urgência, em especial a delimitação dessa modalidade diferenciada de tutela, a adequação procedimental, suas técnicas e a influência que sofre do direito material quanto ao preenchimento dos requisitos autorizadores de sua aplicação e quanto à escolha do meio a ser empregado em sua efetivação. / The present study analyzes the relations between Material Law and Process in the light of the methodological paradigm of axiological formalism. It is aimed at seeking the solution to intriguing problems related to urgency jurisdictional tutelage, focusing on limiting this distinctive tutelage kind, its procedural adequacy and the influence it suffers from the Material Law in regards to meeting the authorization requirements to be applied and also in choosing the executive means to enforce it.

Submitted by Maria Creuza Silva (mariakreuza@yahoo.com.br) on 2015-04-16T20:38:59Z No. of bitstreams: 1 DISS MP Miralva Ferraz. 2014.pdf: 311178 bytes, checksum: 47f0198c49e7f7cbdd4fe538cf771e3b (MD5) / Approved for entry into archive by Maria Creuza Silva (mariakreuza@yahoo.com.br) on 2015-04-16T21:02:41Z (GMT) No. of bitstreams: 1 DISS MP Miralva Ferraz. 2014.pdf: 311178 bytes, checksum: 47f0198c49e7f7cbdd4fe538cf771e3b (MD5) / Made available in DSpace on 2015-04-16T21:02:41Z (GMT). No. of bitstreams: 1 DISS MP Miralva Ferraz. 2014.pdf: 311178 bytes, checksum: 47f0198c49e7f7cbdd4fe538cf771e3b (MD5) / Ações de qualificação dos profissionais da urgência e emergência são escassas e realizadas de forma pontual, não preparando os profissionais para atuarem no sistema único de saúde (SUS). A Educação a distância é uma modalidade que potencializa o processo educativo, podendo ser utilizada de forma problematizadora, crítica e reflexiva para a transformação das práticas, não se restringindo à formação técnica. O objetivo deste estudo é identificar e discutir características relevantes da Educação a Distância (EAD) para a estruturação de cursos de capacitação/qualificação dos profissionais da urgência e emergência nessa modalidade. De modo exploratório, consiste na revisão de literatura sobre a educação permanente em saúde na urgência e emergência e sobre EAD, identificando-se elementos teóricos e metodológicos que permitam uma reflexão crítica acerca das potencialidades e limites dessa modalidade para a qualificação de profissionais na urgência e emergência. As experiências exitosas encontradas na literatura consultada evidenciam o potencial da EAD na qualificação dos profissionais da área da saúde. No tocante à qualificação dos profissionais da área da urgência, devido à especificidade do processo de trabalho, faz-se necessária a adequação de diferentes abordagens pedagógicas, ferramentas e recursos audiovisuais para a efetividade do processo educativo.