ResumoTrata-se de um estudo sobre resiliência-capacidade do ser humano de enfrentar, sobrepor-se e ser fortalecido por experiências de adversidade que tem por objetivo discuti-la de acordo com a visão de Viktor Emil Frankl: a logoteoria. Descrevem-se vários conceitos de resiliência e a questão dos fatores de risco e fatores protetores. Em seguida, faz-se um estudo da logoteoria destacando os conceitos que tornam possível a resiliência: a dimensão noética do homem, visto como unidade múltipla, do que decorre a força de resistência do espírito e a responsabilidade; a busca de sentido como motivação primária; a autotranscendência e o autodistanciamento propiciado pelo humor e pela autocompreensão. Conclui-se que a resiliência torna-se uma das conseqüências de se encontrar o sentido da vida e movimentar-se para realizá-lo, permitindo dizer um "sim" à vida apesar de tudo. Abstract This is a study about resilience -the human capacity to face, to overcome and to gain strength through experiences of adversity -which aims to discuss the issue according to the views of Viktor Emil Frankl: (logotheory). Various concepts of resilience are described, as is the issue of risk factors and protective factors.There then follows a study on logotheory, highlighting the concepts which make resilience possible: the human being´s noetic dimension, man seen as a multiple unit, from which come strength of spirit and responsibility; the search for meaning as the primary motivation; self-transcendence; self-distancing -provided by humor and self-comprehension. In conclusion, resilience becomes one of the consequences of finding a meaning for life and moving towards its fulfillment, which makes it possible to say "yes" to life, despite everything.
Estudo teórico, em que se apresenta a Logoterapia de Viktor Frankl, enfatizando sua concepção sobre a busca e a descoberta/ encontro com o sentido da vida, bem como o vazio existencial, e suas decorrências. Apresenta-se brevemente o movimento da Saúde Coletiva. Propõe-se reflexão sobre contribuições de Viktor Frankl para a Saúde coletiva: é possível um diálogo profícuo entre Saúde Coletiva e Logoterapia.
Objective: To understand how elderly persons perceive subjective aspects linked to current and other life experiences related to the process of becoming frail. Method: A qualitative study, anchored in interpretative anthropology, was performed. The elderly were selected from the FIBRA Network database from those classified as robust or pre-frail, according to the frailty phenotype of Fried et al., in Belo Horizonte, Minas Gerais, Brazil in 2009. We interviewed 15 elderly people of different genders, ages, income, religion and functional status, in 2016. In data collection and analysis, the "signs, meanings and actions" analysis model was used, which allows the understanding of the elements that are significant for a population to read a given situation and to position themselves in relation to it. Results: From the analysis the following categories emerged: a) suffering throughout life and b) suffering and the resources to deal with them. Conclusion: The interviewees described sufferings of different aspects that constitute their life, from birth to aging, according to experiences related to pain, loss and learning. The perception of current frailty refers to their life history, marked by physical or mental suffering, whether insidious or temporary -as well as illnesses, how they manifest themselves today, and a lack of financial resources and urban security. The narratives bring us closer to the perception of frailty as being constitutive of human beings, who can easily break.
Objective :To seek an understanding of how frail elderly persons construct resilience. Method: The “signs, meanings and actions” model was used. The population was randomly selected among elderly persons classified as robust or pre-frail in the FIBRA-study, Belo Horizonte, Minas Gerais, Brazil. Thirteen elderly persons (aged 69 to 86) were interviewed. Results: a) the construction of bonds - a healthy relationship with spouses, sons, daughters, grandchildren and great-grandchildren brings meaning to and sustains life and contributes to its organization; b) the reinvention of oneself - when suffering trauma, elderly people seek paths that can give sense to life, even if difficult memories persist; c) religiosity: catholic, evangelical or spiritualist experiences strengthen; cures, protections and so-called miracles are valued, and the religious community represents a space for belonging. Conclusion: Resilience is constructed through the bonds between the elderly person and those close to them, and in the search for solutions, including through the religious experience.
11e15 years (51.0%), followed by 16 years and older (31.1%). The most common hearing complaint was hearing loss (27.4%), followed by otalgy (17.9%) and tinnitus (16.0%). The occurrence of suppurative otitis media was related by 12.3% of patients and 18.9% presented tympanic membrane perforation at the time of hearing evaluation. Patients with hearing loss had higher prevalence of hearing complaints than those with normal hearing: otorrhoea (92.9%37.1%; p<0.001), tinnitus (76.5%323,5%; p<0.001), otalgy (68.4%331.6%; p¼0.001) and sensation of fullness in the ear (61.5%338.5%; p¼0.039). There was no difference according to dizziness (36.4%363.6%; p¼0.970). Conclusion It is extremely important to precociously detect, evaluate and observe any hearing complaints that these patients may present. These are important signs that if detected and treated early, can avoid serious consequences like hearing loss. Cancer affects millions of people each year worldwide and represents a major challenge for healthcare systems. Information based on populational data, such as Cancer Registries, are essential to endorse health planning and provision of cancer care services. This paper aims to present a data quality evaluation of breast cancer incidence data from the Population Based Cancer Registry of the Municipality of São Paulo, Brazil. The study included 46 311 new breast cancer cases recorded during a two 5-year periods (1997e2001 and 2002e2006). Data analysis was focused on variables such as: date and age at diagnosis, clinical stage, topographic distribution and tumour morphology. For women aged between 40 and 69 years, the most common diagnosis was the malignant neoplasm of breast, unspecified (ICD-10 C50.9), (87,6% of all cases), which does not specify clearly the topography and extent of disease. Problems of information completeness for important variables such as clinical and pathological staging were identified on time-series analysis. Hence, data quality of cancer registries are crucial for breast cancer survival analysis as well as for planning cancer control policies, enhancements on data collection are required. P2-283
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