Barriers in health care to breast cancer: perception of womenGonçalves LLC, Travassos GL, Almeida AM, Guimarães AMDN, Gois CFL RESUMENObjetivo: Identificar las barreras en el acceso a la atención en salud percibidos por mujeres con cáncer de mama en tratamiento quimioterapéutico. Método: Estudio descriptivo-exploratorio, cuya muestra estuvo constituida por 58 mujeres con cáncer de mama en quimioterapia inscritas en el servicio ambulatorio público de oncología de Aracaju-Sergipe. La recolección de datos fue realizada entre octubre de 2011 a marzo de 2012, por medio de entrevistas semi-estructuradas. Los datos fueron procesados en el software SPSS, versión 17. Resultados: Entre las entrevistadas, 37 mu jeres (63,8%) relataron haber enfrentado por lo menos una barrera en la trayectoria de cuidado del cáncer de mama. Las barreras organizacionales o de los servicios de salud fueron las más citadas en los periodos de investigación y tratamiento del cáncer de mama. Conclusión: Las barreras deben ser consideradas en las políticas pú-blicas de salud y de los programas de control del cáncer de mama en Sergipe. DESCRIPTORES Mujeres Neoplasías de la mama Acceso a los Servicios de Salud Diagnóstico tardío Enfermería oncológica ABSTRACTObjective: Identifying the barriers in the access to health care to breast cancer perceived by women undergoing chemotherapy. Method: An exploratory descriptive study. The sample consisted of 58 women with breast cancer receiving chemotherapy and registered in the public oncology ambulatory of Aracaju-Sergipe. Data collection was carried out between October 2011 and March 2012 by semistructured interviews, and data were processed using the SPSS, version 17. Results: Among the interviewed women, 37 (63.8%) reported at least a barrier in the trajectory of care for breast cancer. The organizational and health services barriers were the most reported in the periods of investigation and treatment of breast cancer. Conclusion: In face of these findings, the barriers should be considered in public health policies and programs for the control of breast cancer in Sergipe. DESCRIPTORS INTRODUCTIONBreast cancer has become a public health problem worldwide. In 2008, the estimate was of 1,380 new cases and 458,000 deaths from breast cancer. Among these, approximately 59% occurred in countries of low and middle income (1) . Most cases diagnosed in developing countries are in more advanced stages of the disease, which complicates treatment (2)(3)(4)(5) . Barriers to access to health services, incomplete or missing information, difficulties in infrastructure, socioeconomic, ethnic and geographical conditions are some of the problems that lead to delay in diagnosis, both from other diseases as neoplasms (3,5) .Breast cancer, when detected at early stages, has the best prognosis and ensures lower costs to the health system (6) . Due to do this fact, the access to health services is of paramount importance, and goes beyond the mere availability of resources, resulting from a combination of factors, such as favor...
OBJETIVOS: conhecer os aspectos clínicos e patológicos dos casos de câncer de mama feminino cadastrados num serviço público de oncologia de Sergipe. MÉTODOS: procurou-se fazer uma associação do estadiamento com as características presentes nos tumores. A coleta de dados foi realizada em 165 prontuários de mulheres cadastradas no período de 2005 a 2008 no ambulatório de oncologia do Hospital Cirurgia, localizado em Aracaju-Sergipe, por meio de formulário de coleta de dados, em 2009. RESULTADOS: identificou-se o carcinoma ductal invasivo como o tipo de neoplasia mamária mais frequente com 80,8% dos casos; 76 (46,1%) neoplasias foram diagnosticadas em estádio avançado (IIB, III e IV) e a mastectomia prevaleceu como tipo de cirurgia utilizado no tratamento independente do estadiamento. Quanto aos receptores hormonais todos apresentaram associação com o grau do estádio e, ainda, notou-se que a positividade do estrogênio e progesterona é fator de proteção para um pior prognóstico. CONCLUSÃO: é notável que os casos de câncer de mama estudados apresentam maior agressividade biológica, cursando com pior prognóstico, considerando o estádio clínico. Fazem-se necessárias ações de detecção precoce voltadas ao câncer de mama na atenção básica de Sergipe para redução da morbi-mortalidade, melhora da sobrevida e qualidade de vida entre as mulheres acometidas por essa neoplasia.
Introduction: Despite the success of antiretrovirals, human immunodeficiency virus (HIV) coinfections continue to cause mortality. We investigated the prevalence of coinfections in women with HIV/acquired immunodeficiency syndrome in Sergipe, Brazil. Methods: We conducted a cross-sectional study. The coinfections investigated were syphilis, hepatitis B and C, toxoplasmosis, rubella, tuberculosis, and cytomegalovirus. Results: Among the 435 women, 85 (19.5%) had coinfections. The most prevalent was HIV/syphilis, followed by tuberculosis, toxoplasmosis, hepatitis C, hepatitis B, and rubella. Additionally, 300 (96.2%) were seropositive for cytomegalovirus immunoglobulin G. Conclusions: Despite significant progress in the treatment for people with HIV, coinfections continued to affect this population.
Effects of two kinds of aerobic training on body fat content and serum lipid profile in cadets Study aim: To assess the effects of aerobic training on body fat content and serum lipid profile. Material and methods: A group of 45 male members of Brazilian Military Police Academy, aged 18 - 32 years, were subjected randomly assigned into 3 subgroups and to 12-week programmes: aerobic fatmax zone training (FG; n = 18), traditional military training (TM; n = 15) and non-training control group (C; n = 12). Body fat content (3 skinfolds), serum lipid profile (total cholesterol, LDL, HDL and triglycerides), waist circumference (WC) and O2max (12-min test) were determined. Results: O2max significantly (p<0.05) increased and body fat content decreased in both experimental group compared with the control one. Significant (p<0.05) reductions in WC and LDL vs. control group were observed in the TM group only. Conclusions: The applied aerobic training induced a decrease in percent body fat irrespectively of the kind of training.
, coordenadora local do Dinter, pela colaboração e parceria. A todos os docentes do Programa Interunidades que, ao transmitirem seus conhecimentos, contribuíram para o meu amadurecimento e aprimoramento profissional. À Profa. Dra. Ana Maria de Almeida que, para mim, não foi somente uma orientadora dedicada e competente, mas uma amiga. À Clínica Onco Hematos Ltda. responsável pelo ambulatório de oncologia da Fundação Beneficente Hospital Cirurgia, por ter concedido a realização da coleta de dados e a todos os seus colaboradores. À Universidade Federal de Sergipe por possibilitar a realização deste doutorado. À Coordenação de Aperfeiçoamento de Pessoal de Nível Superior-CAPES, edital 005/2009 Ação Novas Fronteiras da CAPES/MEC. RESUMO Gonçalves, L.L.C. Trajetória de mulheres com câncer de mama: dos sinais e sintomas ao tratamento. 2013. 143 f. Tese (Doutorado)
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