scholarly journals DEPRESSION IN MASTECTOMIZED WOMEM: A BRIEF REPORT

2019 ◽  
pp. 1-10
Author(s):  
Carlos César Messias Silva ◽  
Giovanni Machado Ferreira ◽  
Eron Castro Maia ◽  
Leonardo Messias de Oliveira ◽  
Hanna Monyelle Ferreira Do Carmo

Only in the year 2018, over two million cases of breast cancer worldwide have been reported, often treated through mastectomy, showing the importance of the study of this procedure, in relation to the physical, psychological and spiritual sequelae of the patients. The objective was to evaluate how these sequels favor the development of post-surgery depression. A bibliometric research was developed in the Portal of Periodicals of the Coordination for the Improvement of Higher Education Personnel, using the following key words ["mastectomized women" and "depression"] 32 articles found. The results were submitted to the "peer-reviewed journals" filter and “Articles in English and Portuguese”, resulting in 10 selected articles that were then merged compiled with information collected from the official WHO and INCA websites to compose this work. Mastectomy aesthetically affects an important component of assertion of womanliness, sexuality and womanhood, post-surgical depression is a common reaction in these patients. Part of these consequences are of a sexual, affective, social and even altered bodily perception. The importance of family, social and professional support in the rehabilitation of these women is also emphasized. The review of these articles allowed us to verify the need to analyze the reconstruction of the breast in mastectomized women as a matter of mental health, and not only as an aesthetic desire for them.

2017 ◽  
Vol 64 (2) ◽  
pp. 121-140 ◽  
Author(s):  
Colleen S. Conley ◽  
Jenna B. Shapiro ◽  
Alexandra C. Kirsch ◽  
Joseph A. Durlak

Author(s):  
Olga Gloria Barbón Pérez ◽  
Julia Añorga Morales

El esclarecimiento de algunas de las concepciones que constituyen la base de los procesos de profesionalización pedagógica es un paso esencial para el éxito de los mismos. El presente artículo tiene como propósito aunar reflexiones que posibiliten un acercamiento hacia una concepción teórico-metodológica de los procesos de profesionalización pedagógica en la Educación Superior.El diseño y la puesta en práctica de los procesos de profesionalización pedagógica en la Educación Superior no pueden ser improvisados. Exigen, como actividad consciente, la consideración de determinados presupuestos teóricos y metodológicos que lo sustenten, y de su consideración como proceso pedagógico especial. Palabras clave: concepción teórica, concepción metodológica, profesionalización pedagógica.   ABSTRACT   Gaining on clarity concerning some of the conceptions that lie under the pedagogical professionalization processes is an essential step towards their own success. The article focuses on gathering insights that help get a more comprehensive understanding of a theoretic-methodological conception of the pedagogical professionalization processes in higher education. Both design and practice of these processes can not be improvised. They demand, as any other conscious activity, to take into account theoretical and methodological grounds and their consideration as a especial pedagogical process.   Key words: theoretical conception, methodological grounds, pedagogical professionalization.   Clarifying some of the concepts that form the basis of the processes of pedagogical professionalization is an essential step for their success.  This paper aims to join some reflections that enable the approaching to a theoretical-methodological conception of the processes of pedagogical professionalization in Higher Education.  Designing and implementing the processes of pedagogical professionalization cannot be improvised.  They demand, as a conscious activity, the consideration of certain supporting assumptions in theory and method, and their consideration as a special pedagogical process.   Keywords: theoretical conception, methodological conception, pedagogical professionalization. Recibido: Julio 2013 Aprobado: Agosto 2013


MicroRNA ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. 58-63
Author(s):  
Batool Savari ◽  
Sohrab Boozarpour ◽  
Maryam Tahmasebi-Birgani ◽  
Hossein Sabouri ◽  
Seyed Mohammad Hosseini

Background: Breast cancer is the most common cancer diagnosed in women worldwide. So it seems that there's a good chance of recovery if it's detected in its early stages even before the appearances of symptoms. Recent studies have shown that miRNAs play an important role during cancer progression. These transcripts can be tracked in liquid samples to reveal if cancer exists, for earlier treatment. MicroRNA-21 (miR-21) has been shown to be a key regulator of carcinogenesis, and breast tumor is no exception. Objective: The present study was aimed to track the miR-21 expression level in serum of the breast cancer patients in comparison with that of normal counterparts. Methods: Comparative real-time polymerase chain reaction was applied to determine the levels of expression of miR-21 in the serum samples of 57 participants from which, 42 were the patients with breast cancer including pre-surgery patients (n = 30) and post-surgery patients (n = 12), and the others were the healthy controls (n = 15). Results: MiR-21 was significantly over expressed in the serum of breast cancer patients as compared with healthy controls (P = 0.002). A significant decrease was also observed following tumor resection (P < 0.0001). Moreover, it was found that miR-21 overexpression level was significantly associated with tumor grade (P = 0.004). Conclusion: These findings suggest that miR-21 has the potential to be used as a novel breast cancer biomarker for early detection and prognosis, although further experiments are needed.


Author(s):  
Evangeline Tabor ◽  
Praveetha Patalay ◽  
David Bann

AbstractDespite increasing policy focus on mental health provision for higher education students, it is unclear whether they have worse mental health outcomes than their non-student peers. In a nationally-representative UK study spanning 2010–2019 (N = 11,519), 17–24 year olds who attended higher education had lower average psychological distress (GHQ score difference =  − 0.37, 95% CI − 0.60, − 0.08) and lower odds of case-level distress than those who did not (OR = 0.91, 95% CI 0.81, 1.02). Increases in distress between 2010 and 2019 were similar in both groups. Accessible mental health support outside higher education settings is necessary to prevent further widening of socioeconomic inequalities in mental health.


Author(s):  
Zhuang Wei ◽  
Ming-Yue Gao ◽  
Mary Fewtrell ◽  
Jonathan Wells ◽  
Jin-Yue Yu

Abstract Background The aim of this study is to evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on breastfeeding women and to identify predictors of maternal mental health and coping. Methods Mothers aged ≥ 18 years with a breast-fed infant ≤ 18 months of age during the COVID-19 pandemic in Beijing, China, completed a questionnaire. Descriptive analysis of lockdown consequences was performed and predictors of these outcomes were examined using stepwise linear regression. Results Of 2233 participants, 29.9%, 20.0% and 34.7% felt down, lonely, and worried, respectively, during the lockdown; however, 85.3% felt able to cope. Poorer maternal mental health was predicted by maternal (younger age, higher education) and infant (older age, lower gestation) characteristics, and social circumstances (husband unemployed or working from home, receiving advice from family, having enough space for the baby, living close to a park or green space). Conversely, better maternal mental health was predicted by higher income, employment requiring higher qualifications, more personal space at home, shopping or walking > once/week and lack of impact of COVID-19 on job or income. Mothers with higher education, more bedrooms, fair division of household chores and attending an online mother and baby group > once/week reported better coping. Conclusion The findings highlight maternal characteristics and circumstances that predict poorer mental health and reduced coping which could be used to target interventions in any future public health emergencies requiring social restrictions.


2016 ◽  
Vol 12 (2) ◽  
pp. 172-174 ◽  
Author(s):  
Daniel C. McFarland ◽  
Megan Johnson Shen ◽  
Kirk Harris ◽  
John Mandeli ◽  
Amy Tiersten ◽  
...  

QUESTIONS ASKED: Preferences of patients with breast cancer for provider-specific pharmacologic management of anxiety and depression are unknown. Use of patient-guided treatment preferences for the treatment of depression and anxiety are known to improve adherence and treatment outcomes in primary care settings, but these preferences are not known in women with breast cancer. This may be especially true shortly after the patient receives a diagnosis of cancer and is most psychologically symptomatic, yet committed to following through with her oncologic care. Do breast cancer patients have preferences regarding having their anxiety and depression assessed and treated by their oncologists versus being cared for by a psychiatrist or mental health provider? SUMMARY ANSWER: The majority of patients accepted antidepressant prescribing by their oncologist; only a minority preferred treatment by a mental health professional. These findings are consistent with previous data from medically ill patients that demonstrated a preference for medical providers to address and treat their depression or anxiety. Twenty percent of participants would not want any treatment. Patients who met depression criteria were less likely to prefer a mental health referral. Patients who were already taking an antidepressant or demonstrated higher levels of chronic stress were more likely to prefer a mental health referral. METHODS: Patients with breast cancer (stages 0-IV) were asked two questions: (1) “Would you be willing to have your oncologist treat your depression or anxiety with an antidepressant medication if you were to become depressed or anxious at any point during your treatment?” and (2) “Would you prefer to be treated by a psychiatrist or mental health professional for problems with either anxiety or depression?” In addition, the Distress Thermometer and Problem List, Hospital Anxiety and Depression Scale, Risky Families Questionnaire, and demographic information were assessed. BIAS, CONFOUNDING FACTORS, DRAWBACKS: This was a survey of only women who were asked to self-report hypothetical preferences. Although minimal differences were noted for the 16.8% of participants who were already taking an antidepressant medication, it is not clear how they might have interpreted the questions in a more realistic setting. REAL-LIFE IMPLICATIONS: These findings suggest a benefit for promoting education of oncologists to assess psychological symptoms and manage anxiety and depression as a routine part of an outpatient visit. It highlights a fertile opportunity for oncologists to integrate mental health treatment for their patients by beginning pharmacologic treatment, discussing their anxiety or depressive symptoms, and initiating or comanaging pharmacologic treatment of anxiety or depression. Early recognition and management of distress, anxiety, and depression would limit the delay in obtaining appropriate treatment, especially during the first year after a cancer diagnosis when patients are most symptomatic and have many difficult treatment decisions to make. The oncologist’s use of antidepressant medications to treat anxiety and depression may benefit patients most by following guidelines. A collaborative care model offers one potential solution that could establish ownership, expand resources, disseminate knowledge, and provide a system of integration for mental health and oncology providers. [Table: see text]


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