ABSTRACT ABSTRACT Objective: to understand the relationship between spirituality and cancer under cancer patients' perspective. Method: qualitative study, with the participating of fourteen cancer patients under chemotherapy treatment and analyzed according to inductive thematic content analysis. Results: reports were organized into three categories: cancer diagnosis, faith for coping to the cancer, the search for cancer cure. It was understood that cancer patients search spirituality as a way to cope with the disease, aiming to minimize their suffering or obtaining a higher hope of cure with treatment. Final consideration: the central theme "cancer frightens and spirituality renews" shows the importance of recognizing spirituality as a coping strategy in planning care to cancer patients. K K K K Key wor ey wor ey wor ey wor ey words: ds: ds: ds: ds: Spirituality; Culture; Neoplasms; Nursing care. RESUMEN RESUMEN RESUMEN RESUMEN RESUMEN Objetivo: comprender la relación entre espiritualidad y cáncer en la perspectiva de pacientes oncológicos. Método: estudio cualitativo realizado con catorce pacientes con cáncer en quimioterapia y analizado según el análisis de contenido temático inductivo. Resultados: los relatos fueron organizados en tres categorías: el descubrimiento del cáncer, la fe como enfrentamiento del cáncer, la búsqueda por la cura del cáncer. Se comprendió que el paciente oncológico busca la espiritualidad como forma de enfrentar la enfermedad, para minimizar el sufrimiento u obtener mayor esperanza de cura con el tratamiento. Consideración final: el tema central "el cáncer amedrenta y la espiritualidad renueva" demuestra la importancia de reconocer la espiritualidad como estrategia de enfrentamiento en la planificación de la atención al paciente oncológico.

Depression and fatigue symptoms increased during radiotherapy treatment, while QoL levels decreased. This demonstrates that these symptoms are strongly correlated and that their presence negatively influenced QoL. At the start of treatment, nurses need to advise patients and plan care, offering interventions to decrease these symptoms and improve QoL.

Guerrero GP, Beccaria LM, Trevizan MA. Standard operating procedure: use in nursing care in hospital services.Rev Latino-am Enfermagem 2008 novembro-dezembro; 16(6)

AGRADECIMENTOS À Deus por gerar a vida, prover minha existência e trajetória, conceber tudo que me rodeia e pelas infinitas oportunidades a fim de lapidar meu ser. À minha orientadora, Profa. Dra. Namie Okino Sawada pelo apoio, confiança, incentivo, ensinamentos, paciência e por proporcionar meu crescimento profissional e pessoal.

Frequently, flow monitoring is directed by consultants or engineers with minimal input from the field operatives. Using this approach, flow monitoring is often short term, not allowing for development of accurate baseline and weather related data. This common approach fails to take advantage of the collection system knowledge that only operations personnel can provide. Since initiating its flow monitoring program, the City of Duluth has incorporated the expertise and knowledge of operations field personnel, Utility Operators (UO), to maintain program integrity, build strong baseline data and maximize the effectiveness of equipment.Duluth's flow monitoring program is employed to evaluate sewer basins identified as problematic for Sanitary Sewer Overflows (SSO), to follow up on questionable high flows reported by field crews, to evaluate changes in the sewer system (new services, pipe sizes, future capacity etc.) to determine sizing for sanitary storage basins, to document the success of the Inflow and Infiltration program including disconnection of footing and roof drains and lining of laterals, and to support the sewer sampling program. Flow monitoring in Duluth is on-going, not limited to specific seasons, or defined projects.Operations takes a leadership role in many flow monitoring components. Up front input from field staff is the essential component of site selection in order to avoid problems with safety, traffic, manhole configuration, access, flows and velocity that frequently are not visible on maps. Field operations personnel design the monitoring and tracking of each site. From experience, UOs have identified six frequently encountered problems for data collection including material trapped on the sensors, equipment failures, improper equipment set up, not enough or too much flow, not enough maintenance, and excessive clear water. UOs perform the first evaluation of data and provide information on causative factors, before data is used in project evaluation.With an operations team that works with the equipment and data on a year-round basis Duluth has been able to produce a history of the system that can be used by operations supervisors for maintenance and planning, by engineers and consultants for design and for general problem solving. By developing a field team that understands both the system and the process, the value of flow monitoring increases exponentially.