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Beliefs and practices of healthcare providers regarding obesity: a systematic review

Revista da Associação Médica Brasileira (English Edition) 2012年第2期58卷 254-262页

作者： Filipa Valente Teixeira José Luis Pais-Ribeiro Ângela Rosa Pinho da Costa Maia PhD Program Student in Psychology Psychology and Education Science School Universidade do Porto Portugal PhD in Psychology Universidade do Porto Portugal Associate Professor Psychology and Education Science School Universidade do Porto Portugal PhD in Healthcare Psychology Universidade do Minho Portugal Assistant Professor Psychology School Universidade do Minho Portugal

Despite the implementation of various intervention measures, the number of obese individuals remain high; thus, it is important to consider what is contributing to this scenario. Authors have been striving to understand the role healthcare providers, especially in primary healthcare, seem to play in this context. The present review aims to synthesize the main investigation results regarding beliefs, attitudes, and practices of healthcare providers, as they seem to negatively influence the practitioner's actions. The words “obesity”, “beliefs”, “healthcare professionals”, “general practitioners”, “attitudes”, “practices”, “health physicians”, and “family practitioners” were entered into databases, such as EBSCOHost, ScienceDirect, PsychInfo, PubMed, and SciELO. Thirteen studies from 1991 to 2011 were reviewed. The data indicate a lack of appropriate understanding and adequate competence regarding obesity, which likely contributes to ambivalent belief development and negative attitudes toward obese individuals, who are described as unmotivated, lazy, and lacking self-control. These professionals consider it hard to deal with obesity, manifesting low expectations of success regarding weight loss, thus considering themselves unsuccessful. Their practices are inconsistent, mirroring a certain skepticism towards the efficacy of available interventions. Either during graduation or as active practitioners, it is imperative to make healthcare providers aware of the impact their beliefs regarding obesity can exert on their practices, as these may impair appropriate and effective treatment delivery to obese individuals.

关键词： Knowledge attitudes and practices in healthcare obesity general practitioners

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Book reviews

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Roeper Review 1999年第4期21卷 326页

作者： Hruby, George G [a] Program chair of the Brain and Education Special Interest Group American Educational Research Association [b] Associate Professor Department of Educational Psychology University of Nevada Las Vegas [c] MA student in Educational Psychology Simon Fraser University Burnaby British Columbia [d] PhD student in Curriculum Theory and Implementation Simon Fraser University Burnaby British Columbia [e] Visiting Scholar at Simon Fraser University Canada

Reviews the book `Teaching With the Brain in Mind,' by E. Jensen.

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Depressive symptoms among medical intern students in a Brazilian public university

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Revista da Associação Médica Brasileira (English Edition) 2012年第1期58卷 53-59页

作者： Edméa Fontes de Oliva Costa Ygo Santos Santana Ana Teresa Rodrigues de Abreu Santos Luiz Antonio Nogueira Martins Enaldo Vieira de Melo Tarcísio Matos de Andrade PhD Student Postgraduate Program in Medicine and Health Sciences Universidade Federal da Bahia (UFBA) Adjunct Professor of Psychiatry Universidade Federal de Sergipe (UFS) Aracaju SE Brazil Graduated in Medicine UFS Aracaju SE Brazil MSc Student Postgraduate Program in Medicine and Health Sciences UFBA Medical Graduation Program Instructor in Pediatrics UFBA Salvador BA Brazil PhD Associate Professor Department of Psychiatry and Medical Psychology Universidade Federal de São Paulo (UNIFESP) Consultant at Fundação de Amparo à Pesquisa do Estado de São Paulo São Paulo SP Brazil MSc in Medicine Assistant Professor Department of Medicine UFS Aracaju SE Brazil PhD in Medicine and Health Sciences Associate Professor Medical School UFBA Medical Psychology Professor Postgraduate Program in Medicine and Health Sciences UFBA Salvador BA Brazil

Objective To estimate, among Medical School intern students, the prevalence of depressive symptoms and their severity, as well as associated factors. Methods Cross-sectional study in May 2008, with a representative sample of Medical intern students (n = 84) from Universidade Federal de Sergipe (UFS). Beck Depression Inventory (BDI) and a structured questionnaire containing information on sociodemographic variables, teaching-learning process, and personal aspects were used. The exploratory data analysis was performed by descriptive and inferential statistics. Finally, the analysis of multiple variables by logistic regression and the calculation of simple and adjusted ORs with their respective 95% confidence intervals were performed. Results The general prevalence was 40.5%, with 1.2% (95% CI: 0.0–6.5) of severe depressive symptoms; 4.8% (95% CI: 1.3–11.7) of moderate depressive symptoms; and 34.5% (95% CI: 24.5–45.7) of mild depressive symptoms. The logistic regression revealed the variables with a major impact associated with the emergence of depressive symptoms: thoughts of dropping out (OR 6.24; p = 0.002); emotional stress (OR 7.43; p = 0.0004); and average academic performance (OR 4.74; p = 0.0001). Conclusion The high prevalence of depressive symptoms in the study population was associated with variables related to the teaching-learning process and personal aspects, suggesting immediate preemptive measures regarding medical school graduation and student care are required.

关键词： Depression mental disorders medical students mental health medical education

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Depression, emotional and social aspects in the abortion context: a comparison between two Brazilian capitals

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Revista da Associação Médica Brasileira (English Edition) 2011年第6期57卷 630-636页

作者： Roseli Mieko Yamamoto Nomura Gláucia Rosana Guerra Benute George Dantas de Azevedo Elza Maria do Socorro Dutra Cristina Gigliotti Borsari Melina Séfora Souza Rebouças Mara Cristina Souza de Lucia Marcelo Zugaib Associate Professor Department of Obstetrics and Gynecology Faculdade de Medicina Universidade de São Paulo (FMUSP) São Paulo SP Brazil PhD in Sciences Psychologist Division of Psychology Instituto Central Hospital das Clínicas FMUSP São Paulo SP Brazil PhD in Medical Sciences Main Area: Ob/Gyn Professor of the Department of Morphology and Postgraduate Program in Health Sciences Universidade Federal do Rio Grande do Norte (UFRN) Natal RN Brazil PhD in Clinical Psychology Professor of the Department of Psychology Centro de Ciências Humanas Letras e Artes UFRN Natal RN Brazil Psychologist Student of the Postgraduate Program Department of Obstetrics and Gynecology FMUSP São Paulo SP Brazil MSc in Psychology Professor at the Department of Psychology Centro de Ciências Humanas Letras e Artes UFRN Natal RN Brazil Director of the Psychology Division Instituto Central Hospital das Clínicas FMUSP São Paulo SP Brazil Full Professor Department of Obstetrics and Gynecology FMUSP São Paulo SP Brazil

Objective To assess emotional and social aspects in the experience of abortion and the diagnosis of major depression, comparing women from two Brazilian cities (São Paulo – SP, Natal – RN). Methods A transversal study was carried out from January 2009 to May 2010, through semi-directed interviews with women undergoing an abortion (up to 22 weeks gestation) treated at university hospitals in São Paulo – SP (n = 166) and Natal – RN (n = 150). The Portuguese version of the Primary Care Evaluation of Mental Disorders (PRIME-MD) instrument was applied for the diagnosis of depression. Results There was no significant difference (p = 0.223) in the proportion of induced abortions when comparing the two capital cities: Natal (7.3%) and São Paulo (12.0%). The diagnosis of depression was high among women undergoing an abortion and was significantly higher in Natal than in São Paulo (50.7% vs. 32.5%, p < 0.01). Regarding emotional aspects, there was no difference in the occurrence of guilt feelings (Natal 27.7%; São Paulo 23.3%; p = 0.447). The partner's involvement was considered satisfactory by women in similar proportions in the two capitals (Natal 62.0%; São Paulo 59.0%, p = 0.576). No difference was found in the proportion of women who reported violence, related or not to the abortion (Natal 22.9%; São Paulo 16.6%; p = 0.378). Conclusion Although there was no difference between the emotional and social aspects in the comparison between the two capitals, there was a high proportion of women with major depression, more frequent in the city of Natal than in São Paulo, which demonstrates the importance of psychosocial support in the women's healthcare system.

关键词： Abortion, induced abortion, spontaneous depression mental health

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5th National Congress of the Italian Society of Physiotherapy

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Archives of Physiotherapy 2016年第1期6卷 1-42页

作者： Alessandro Aina Elisabetta Sarasso Marco Barbero Barbara Cagnie Elena Castelli Chad Cook Silvano Ferrari Andrea Foglia Paolo Bizzarri Donatella Giraudo Chris Littlewood Paolo Pillastrini Daniele Piscitelli Michele Romano Andrea Tettamanti Carla Vanti Stefano Vercelli Lennard Voogt Aceto Maria Spina Emanuele Silvestre Francesco Carotenuto Antonio Cerillo Ilaria Orefice Giuseppe Paone Paolo Bassi Raffaele Fiorito Serena Aina Alessandro M. Bonfanti M. Pasquetti Bortolami Arianna Pillastrini Paolo Vanti Carla D. Brioschi A. Pedretti M. Vitali G. Fraschini A. Tettamanti G. Castellini S. Gianola L. Moja S. Bonovas G. Banfi Greta Castellini Monica Gasparini Silvia Gianola Valentina Pecoraro Lorenzo Moja A. Andreano Pamela Frigerio Michela Agostini Andrea Turolla Rosa Bolotta Davide Corbetta Valeria Sirtori Paolo Gozzer Erica Guariento Linda Li G Castellini L Moja S Gianola S Bonovas Alessandro Chiarotto Caroline B. Terwee Maarten Boers Raymond W. Ostelo Lara J. Maxwell George A. Wells Peter Tugwell Ron Clijsen Cesar Fernandez-de-las-Penas Ciceri Matteo Rossetti Sara Vercelli Stefano M. Cislaghi G. Penone G. Marinelli G. Rezzan G. Melegati R. Gatti Colombo Claudio Tolosa Francesca Andrea Moriondo Stefano Doronzio Matteo Paci Marco Monticone Garzonio Fabiola Zanetta Anna Bargeri Serena Cerone Giorgia Sartorio Francesco Filippo Ghirlanda Alessandro Schneebeli Corrado Cescon G. Gioia S. Faccendini A. Aina G. Granzotto F. Gattinoni L. Coppola I. Gava M. Frassinelli Lorenzo Guidotti Marco Postiglione Bruna Lombardi Diego Leoni Michele Egloff Davide Storer Roberto Gatti Magno Tiziano Tettamanti Andrea Daniele Maremmani Giuseppe Plebani Sebastiano Cencini Federica Moresi Matteo Isnardi Alberto Gallace N. Moretti Maselli M. Testa Stefano Negrini Sabrina Donzelli Francesco Saveri Alessandra Negrini Silvana Parzini Fabio Zaina Leonardo Nesi Francesco Ferrarello Valeria Anna Maria Bianchi Luca Nannetti Giuditta Mini Mariangela Marchettini Fabio Piccolo Federica Agosta Massimo Filippi Andrea Falini Paola Adamo Federico Temporiti Rob Physiotherapist Dip. MDT private practice Milan Italy Laboratory of Movement Analysis Division of Neuroscience San Raffaele Scientific Institute and Vita-Salute San Raffaele University Milan Italy Neuroimaging Research Unit San Raffaele Scientific Institute Vita-Salute San Raffaele University Milan Italy Rehabilitation Research Laboratory Department of Business Economics Health and Social Care University of Applied Sciences and Arts of Southern Switzerland SUPSI Manno Switzerland Department of Business Health and Social Care University of Applied Sciences and Arts of Southern Switzerland (SUPSI) Manno Switzerland Department of Business Economics Health and Social Care University of Applied Sciences and Arts of Southern Switzerland SUPSI Manno Switzerland Department of Rehabilitation Sciences and Physiotherapy Ghent University Ghent Belgium San Raffaele Scientific Institute and Vita Salute University Milan Italy Division of Physical Therapy Duke University Durham NC USA Master of Manual Therapy and Musculoskeletal Rehabilitation Molecular Medicine Department of Human Anatomy University of Padova Padova Italy Master of Manual Therapy and Musculoskeletal Rehabilitation University of Padova Padova Italy Physiotherapists Orthopaedic Manual Therapists (OMT) Private practitioners Civitanova Marche Italy San Raffaele Turro Hospital Milan Italy University of Sheffield Sheffield UK Department of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy Ph.D. Candidate in Neuroscience Department of Translational Medicine and Surgery University of Milano-Bicocca Milano Italy Department of Translational medicine and Surgery Program in Physical Therapy University of Bicocca Milan Italy Rehabilitation Department S. Anna Hospital Como Italy ISICO Istituto Scientifico Italiano Colonna Vertebrale Milan Italy Laboratory of Analysis and Rehabilitation of Motor Function Neuroscience Division San Raffaele Hospital Milan Italy School of Physiotherapy

S1 Criteria for exercises selection in subjects with low back painAlessandro AinaS2 Recent advances in pathophysiology and treatment of myofascial trigger pointsMarco BarberoS3 Rehabilitation of scapular dyskinesiaBar... 详细信息

S1 Criteria for exercises selection in subjects with low back pain

Alessandro Aina

S2 Recent advances in pathophysiology and treatment of myofascial trigger points

Marco Barbero

S3 Rehabilitation of scapular dyskinesia

Barbara Cagnie

S4 Musculoskeletal rehabilitation in subjects affected by neurological disorders

Elena Castelli

S5 Which examination tests suggest the best candidates for manual therapy

Chad Cook

S6 Case study: the role of the measurements for the identification of targets and guidance of the treatment

Silvano Ferrari

S7 Assessment of joint mobility: state of the art

Andrea Foglia, Paolo Bizzarri

S8 Core stabilization exercises in the treatment of urinary incontinence

Donatella Giraudo

S9 Preventing surgical subacromial decompression through rotator cuff rehabilitation

Chris Littlewood

S10 Methodological aspects of Clinical Prediction Rules in the rehabilitation of Low Back Pain

Paolo Pillastrini

S11 Interpretability of outcome measures in musculoskeletal rehabilitation

Daniele Piscitelli

S12 Conservative treatment of the misalignment of the spine: state of the art and perspectives

Michele Romano

S13 Balance training in subjects with musculoskeletal disorders

Andrea Tettamanti

S14 Dosage of manual therapy: principles for clinical practice

Carla Vanti

S15 Are there speed limits in post-surgery lower limb rehabilitation?

Stefano Vercelli

S16 Classification of predominant neuropathic, nociceptive or central sensation pain

Lennard Voogt

P1 A wearable proprioceptive stabilizer (Equistasi®) for rehabilitation of balance disorders in multiple sclerosis patients: preliminary results of a randomized, double-blind, versus placebo controlled study

Aceto Maria, Spina Emanuele, Paone Paolo, Silvestre Francesco, Carotenuto Antonio, Ceri

关键词： Motor Imagery Oswestry Disability Index Manual Therapy Myofascial Pain Syndrome Clinical Prediction Rule

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