Identificar os sentimentos e as experiências relacionados ao câncer de mama torna-se importante para que as pessoas de seu convívio social compreendam essa etapa da vida da mulher. Uma revisão da literatura foi realizada buscando identificar quais são os pensamentos e os sentimentos mais comuns experimentados pelas mulheres depois do diagnóstico de câncer de mama. Foi realizada por meio de busca bibliográfica no LILACS e MEDLINE, e as palavras-chave utilizadas foram: breast, câncer, feeling, female, representações, sentimentos. Conteúdos do câncer foram abordados, como o significado da doença e suas implicações para a vida emocional e social da mulher. Concluiu-se que as experiências relacionadas ao câncer de mama têm um âmbito muito individual, tendo representações diferenciadas para cada mulher.

Objectives to translate and culturally adapt to Brazilian Portuguese the Developing Nurses' Thinking model, used as a strategy for teaching clinical reasoning. Method the translation and cultural adaptation were undertaken through initial translation, synthesis of the translations, back-translation, evaluation by a committee of specialists and a pre-test with 33 undergraduate nursing students. Results the stages of initial translation, synthesis of the translations and back-translation were undertaken satisfactorily, small adjustments being needed. In the evaluation of the translated version by the committee of specialists, all the items obtained agreement over 80% in the first round of evaluation and in the pre-test with the students, so the model was shown to be fit for purpose. Conclusion the use of the model as a complementary strategy in the teaching of diagnostic reasoning is recommended, with a view to the training of nurses who are more aware regarding the diagnostic task and the importance of patient safety.

Artigo extraído da dissertação de mestrado apresentada ao Curso de Pós-Graduação em Enfermagem da Faculdade de Ciências Médicas da UNICAMP RESUMOTrata-se de um estudo para avaliar a prevalência da incontinência urinária (IU) e fatores associados entre mulheres profissionais de enfermagem de um hospital-escola. INTRODUÇÃONa população feminina, a experiência com episódios de perda urinária é uma condição que ocorre não somente entre mulheres idosas, mas também entre mulheres jovens e na meia-idade. Os problemas urinários não são conseqüências naturais da idade e nem é um problema exclusivo do envelhecimento (1) .A incontinência urinária (IU) foi definida pela Sociedade Internacional de Continência (International Continence Society -ICS) como "perda involuntária de urina que é um problema social ou higiênico" (2) . A definição como um problema social ou higiênico tem sido consistente em vários estudos realizados, no entanto, pode ou não se tornar um problema higiênico ou social, porque nem todas as mulheres consideram que a IU interfere nas atividades diárias (3) .A mulher incontinente reporta uma pior qualidade de vida comparada com a mulher continente (2)(3)(4) e estudos demonstram que a depressão e a doença do pânico são altamente prevalentes em mulheres com IU (5) .Alguns fatores influenciam os índices de prevalência da IU na mulher, fazendo com que os resultados não tenham a mesma consistência nos diversos estudos. Estes índices variam de acordo com a metodologia adotada para o estudo, como: características da população (faixa etária, atividade

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Background and Objective: To automatically identify patients with diabetes mellitus (DM) who have high risk of developing diabetic foot, via an unsupervised machine learning technique. Methods: We collected a new database containing 54 known risk factors from 250 patients diagnosed with diabetes mellitus. The database also contained a separate validation cohort composed of 73 subjects, where the perceived risk was annotated by expert nurses. A competitive neuron layer-based method was used to automatically split training data into two risk groups. Results: We found that one of the groups was composed of patients with higher risk of developing diabetic foot. The dominant variables that described group membership via our method agreed with the findings from other studies, and indicated a greater risk for developing such a condition. Our method was validated on the available test data, reaching 71% sensitivity, 100% specificity, and 90% accuracy. Conclusions: Unsupervised learning may be deployed to screen patients with diabetes mellitus, pointing out high-risk individuals who require priority follow-up in the prevention of diabetic foot with very high accuracy. The proposed method is automatic and does not require clinical examinations to perform risk assessment, being solely based on the information of a questionnaire answered by patients. 2 Our study found that discriminant variables for predicting risk group membership are highly correlated with expert opinion.

Objective: Describe the sociodemographic, clinical, and sexual profile, identify profile variables that affect the Health-Related Quality of Life (HRQoL), and evaluate the correlation between two HRQoL questionnaires used in a pelvic floor rehabilitation program. Method: This is an observational, analytical, and cross-sectional study, based on patient records and two questionnaires for HRQoL evaluation. Results: Women presented a mean age of 55.4 years; were married; white; had stress, urge, or mixed urinary incontinence (UI) of moderate to large urine release; and daily or diurnal UI. Only 50.5% had an active sex life and most had sexual complaints. The change in sexual activity and some types of UI affected the HRQoL. The two questionnaires presented a correlation. Conclusion: The profile and correlation between the questionnaires are consistent with the literature. The type of UI and changes in sexual activity affect the HRQoL.

There is evidence in the literature of pressure alterations associated with different hormonal contraceptives and that personal history of morbidities are to be considered in an attempt to reduce the effects on the cardiovascular system.

OBJECTIVE:To understand experiences of nurses caring for women who have suffered sexual violence. METHODOLOGICAL PROCEDURES:Qualitative-clinical study in which six nurses from a health care service for women who had suffered sexual violence were interviewed in the city of Campinas, Southeastern Brazil, between April and May 2007. Semi-guided interview technique with open questions was used. Data were analyzed following the content analysis technique, based on a psychodynamic framework. The following analytical categories were produced: what they think about, how they feel, how they act and how they react to the work with sexual violence victims. ANALYSIS OF RESULTS:Interviewees indicated receptiveness as key to provide humanized health care and form a bond with clients. Feelings such as fear, insecurity, impotence, ambivalence, anguish and anxiety were reported, causing behavioral changes and interfering with one's personal life, in addition to feelings of professional achievement and satisfaction. Technical qualifi cation and activities aimed at providing psychological support were mentioned as strategies to help this type of care. CONCLUSIONS:Although dealing with feelings such as impotence, fear and indignation, the nurses' perception of relief when fulfi lling their job tasks and the personal satisfaction felt when helping these women seem to surpass other feelings, as a form of gratifi cation. The desire to "run away" from the health care service and the willingness to do one's best occur simultaneously and are used as inner mechanisms in the sense of minimizing pain and suffering. DESCRIPTORS: Experiences in healthcare of sexual violence Reis MJ et alSexual violence is an underreported crime and a serious health problem due to high rates of female morbidity and mortality. 6 According to the Brazilian Ministry of Health, sexually abused women need humanized care when interacting with health service professionals.a However, while caring for women who have suffered sexual violence, these professionals frequently have to deal with their own anguish, facing human limitations, and somehow show their feelings to others. 3A phenomenological 3 study showed that such professionals feel powerless. Lack of resolvability might lead to a feeling of impotence, because they confuse their objectives and limitations with those of the people cared for. Authors comment that this impotence causes perceptible tension among professionals, along with sadness and anguish.The impact on professionals resulting from caring for people who suffer sexual violence may infl uence the quality of care provided. These professionals start to share the experience that causes a feeling of impotence and to underestimate their own capabilities and knowledge. In addition, they overlook the resources and possibilities of those who have suffered such violence. 3These reactions are not only evident when caring for sexual violence cases. Professionals who care for battered children and adolescents react similarly. They also feel impotent, an...