This research aimed to evaluate the level of Spiritual/Religious Coping (SRC) of women with breast cancer. This is a quantitative, descriptive, cross-sectional study. A total of 94 mastectomized women who participated in the study were enrolled in a rehabilitation center of a higher education institution of São Paulo. Data were collected from October 2013 to June 2014 using a questionnaire with sociodemographic, clinical, and spiritual/religious data, stressor stimulus associated with breast cancer, and the SRCOPE-Short Scale. All participants used SRC, 76.6% at high/very high level, and 23.4% at medium level; positive SRC (mean 3.41; standard deviation 0.59) was more used than negative SRC (mean 1.27; standard deviation 0.40), confirmed by the NSRC/PSRC ratio (mean 0.38; standard deviation 0.14). The SRC proved to be an important coping strategy in stress situations experienced by women with breast cancer and helpful in coping with the disease and the consequences of the treatments.

This is a descriptive study which aimed to investigate the impact of the effects of reconstructive surgery in the life of women with breast cancer. Semistructured and audiorecorded, interviews were held with 14 women who had had mastectomies, who were registered in a rehabilitation center. Social Representation Theory was used for discussion of the data. Thematic analysis guided the analysis of the data. The categories which emerged from the interviews are related to the way in which the woman sees herself after the reconstruction, and what this meant in her life, and how she perceives its benefits and lives with the resulting limitations. The reconstruction of the breast, in some cases, allowed recovery of self-image and overcoming of the trauma caused by the disease. On the other hand, the postoperative complications gave rise to fear of further loss, fear of compromise in the sexual sphere, and fear in the perception of the reconstructed breast. The health team must offer appropriate information such that the woman may participate in the decisions regarding the operation.

Objetivo: identificar a conduta dos profissionais de saúde no manejo de mulheres com atipias noexame citopatológico, atendidas em Unidades de Atenção Primária à Saúde.Método: estudo documental, retrospectivo, com 175 mulheres que apresentaram examescitopatológicos com atipias, entre 2006 e 2014, num município do estado de São Paulo, comanálise descritiva dos dados.Resultados: 157 (90%) mulheres retornaram à unidade para verificar o resultado do exame. Entreas com atipias, 103 (86%) receberam manejo adequado, porém 85 (83%) repetiram o exame emtempo menor que o preconizado. Entre as que precisaram de colposcopia, 30 (79%) receberammanejo adequado.Conclusão: o manejo de mulheres com atipias foi adequado, porém o índice de positividade baixo,escassez de registros em prontuários e temporalidade inadequada para repetição do examecitopatológico demonstram um programa de rastreamento oportunístico, podendo ocasionarbaixa cobertura da população alvo, alto índice de detecção tardia, e super-rastreamento.

Objectives: This study aims to determine the association between parental competence (warmth, demandingness, and parental education in fortitude and in privacy) and pornography use. Methods: This study presents cross-sectional data from an ongoing international study (YOURLIFE Project) about the opinions and lifestyles of adolescents with respect to affectivity, love, and sexuality. Adolescents (N = 2516) aged 12–15 from Chile, Mexico, Peru, and Spain were included. Multiple logistic regressions were performed to analyze the association between family assets (parental demandingness, warmth, and parental fortitude and privacy education) and pornography use. Results: The results indicated an association between parental warmth and pornography use among boys and girls. Furthermore, privacy education was highly associated with less pornography use only in girls. Parental demandingness and parental fortitude education were not associated with pornography use. Conclusion: Our findings suggest that new educational perspectives including privacy issues should be considered within programs for pornography use prevention among adolescents. Parents should incorporate these variables when discussing pornography with their adolescents and not only focus on filters or demandingness.

JUSTIFICATIVA E OBJETIVOS: O trauma tem importância no âmbito mundial por ser uma das principais causas de morte e invalidez. A dor aguda sempre acompanha os pacientes vítimas de trauma e os profissionais da saúde têm dificuldade em identificá-la e consequentemente controlá-la. O objetivo deste foi caracterizar a percepção e as dificuldades da equipe de enfermagem frente à identificação, quantificação e manuseio da dor dos pacientes vítimas de trauma e treiná-la para sua avaliação e adequado tratamento. MÉTODO: Estudo prospectivo e quantitativo no qual foram incluídos 51 profissionais de enfermagem que atuam em unidade de terapia intensiva destinada à pacientes vítima de trauma. Foi aplicado um questionário com perguntas relacionadas à caracterização dos profissionais e a maneira pela qual eles identificam, quantificam e intervêm no tratamento da dor, antes e depois de um curso de capacitação dos profissionais, no qual foram ministradas aulas que abordavam os temas contidos no questionário. RESULTADOS: A maioria dos profissionais incluídos no estudo conhecia o conceito "dor o quinto sinal vital”, os instrumentos para quantificar a dor, os medicamentos utilizados no tratamento e seus efeitos adversos, porém com treinamento, o conhecimento sobre a avaliação e tratamento da dor aumentou significativamente. CONCLUSÃO: A maioria dos profissionais de enfermagem tem conhecimento insuficiente sobre a identificação, quantificação e tratamento da dor. O treinamento propiciou a sua atualização, para atuar de forma mais adequada e eficiente no controle e alívio da dor.

Objective: to analyze the perceptions of women with breast cancer about the benefits and barriers to the participation in rehabilitation groups, according to the Health Belief Model. Method: a descriptive study with qualitative approach, conducted in 2011. Participants were eight women, aged from 54 to 67 years, after surgery for breast cancer, and members of a rehabilitation group. Data was collected through semi-structured interviews and focus groups. thematic Content analysis of the data was performed. Results: perceived benefits: physical improvement with possibility to return to daily activities; bond with multidisciplinary team; psychological support; opportunity to share experiences, clarify doubts and feel like “equals” Perceived barriers: appointment day and time; physical space; housework; time consuming and disposal. Conclusion: women saw benefits of having a preventive health behavior; however, they recognized significant barriers that must be faced in the rehabilitation process.