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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
151

O uso de substâncias psicoativas e papéis ocupacionais entre adolescentes em cumprimento de medida socioeducativa na liberdade assistida / The use of psychoactive substances and occupational roles among adolescents serving social-educational measures in assisted freedom

Perruci, Ludmila Gonçalves 14 May 2018 (has links)
O estudo teve por objetivo avaliar as relações entre o uso de drogas, atos infracionais e papéis ocupacionais entre adolescentes. Trata-se de um estudo transversal realizado com 150 adolescentes que estavam cumprindo medida socioeducativa (MSE) em Liberdade Assistida (LA). O Drug Abuse Screening Test (DAST-20), o Teen Addiction Severity Index (T-ASI) e a Lista de Identificação de Papéis Ocupacionais (LIPO) foram utilizados. Os adolescentes eram de ambos os sexos, raça negra, evangélicos, baixo nível de escolaridade, família monoparental com cinco ou mais pessoas na família, envolvimento no tráfico de drogas e desconhecimento da renda familiar. As drogas mais usadas foram a maconha e o álcool (últimos 30 dias). O uso recente de tabaco, inalantes e paiero predominou com nível de problema moderado de drogas. Diferenciaram-se por consumirem álcool (últimos 30 dias) e concomitante com drogas, gasto com o uso de bebidas alcoólicas. Observou-se ainda o uso recente de maconha (63%), paiero (30%) e inalantes (42%) na vida. O papel ocupacional mais desempenhado no passado foi amigo (90,7%), no presente (89,3%); e para o futuro (98%), a família. O mais prejudicado foi o de estudante, já que os índices de abandono escolar são elevados (86,4% no Ensino Médio), com uso de inalantes (69,4%) e problema médio/moderado de drogas (68,3%). Os papéis ocupacionais de continuidade foram serviços domésticos, relações com amigos, membros da família, religiosos (evangélicos 47,1%) e atividades de passatempo (mulheres 81,4%). Todavia, pretendiam mudanças em atividades voluntárias, religiosas, tráfico de drogas e participação em organizações. Os resultados podem contribuir para a elaboração de propostas de trabalhos preventivos perante o uso de drogas entre os adolescentes em MSE na LA. Principalmente, em relação ao papel ocupacional de estudante, uma vez que limita que o adolescente exerça de forma produtiva os papéis ocupacionais socialmente esperados nessa etapa do ciclo de vida / This study was aimed to evaluate the relationships among drug use, infractions and occupational roles among adolescents. This is a cross-sectional study performed with 150 adolescents serving social-educational measures (SEM) in Assisted Freedom (AF). We used the Drug Abuse Screening Test (DAST-20), the Teen Addiction Severity Index (T-ASI) and the Lista de Identificação de Papéis Ocupacionais (LIPO). Adolescents were males and females, black race, evangelicals, with low schooling level, single-parent family with five or more people in the household, engagement in drug trafficking and unknown family income. The most commonly used drugs were marijuana and alcohol (last 30 days). The recent use of tobacco, inhalants and straw cigarette has predominated with moderate level of drug problem. They were differentiated by consuming alcohol (last 30 days) concomitantly with illegal drugs, spent with the use of alcoholic beverages. Moreover, we have observed the recent use of marijuana (63%), straw cigarette (30%) and inhalants (42%) in their lives. The most performed occupational role in the past was friend (90.7%), in the present (89.3%); and for the future (98%), the family. The most undermined was student, since school dropout rates are high (86.4% in High School), with the use of inhalants (69.4%) and medium/moderate drug problem (68.3%). The occupational roles of continuity were domestic services, relationships with friends, family members, religious (evangelicals 47.1%) and hobby activities (women 81.4%). However, they longed to achieve changes in voluntary and religious activities, drug trafficking and participation in organizations. The results may contribute to the elaboration of proposals for preventive works concerning the use of drugs among adolescents undergoing SEM in AF. Especially, in relation to the occupational role of student, since it hinders the adolescent from exercising productively the socially expected occupational roles in this stage of the life cycle
152

Psychosocial factors in the epidemiology of acute respiratory infection

Graham, Neil M. H. (Neil Murray Hamilton) January 1987 (has links) (PDF)
Bibliography: leaves 107-119.
153

Psychosocial factors in the epidemiology of acute respiratory infection / Neil M.H. Graham

Graham, Neil M. H. (Neil Murray Hamilton) January 1987 (has links)
Bibliography: leaves 107-119 / viii, 149 leaves : / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Thesis (M.D.)--University of Adelaide, Dept. of Community Medicine, 1987
154

Hur män med prostatacancer upplever sin livskvalitet efter en prostatektomi / How men with prostate cancer experience their quality of life after a prostatectomy

Capanov, Mitko, Lindström, John January 2010 (has links)
<p><strong>Bakgrund- </strong>Prostatacancer är en av de vanligaste cancerformerna i Sverige och nästan 34 % av alla fall av cancer hos män är prostatacancer. Radikal prostatektomi är en behandling som innebär att hela prostatan och intilliggande körtlar tas bort. Prostatektomi kan ha negativ påverkan på livskvaliteten p.g.a. ingreppets komplikationer.</p><p><strong>Syfte- </strong>att belysa hur män upplever sin livskvalitet efter att ha genomgått en prostatektomi.</p><p><strong>Metod- </strong>En systematisk litteraturstudie. Artiklar har sökts fram i elektroniska databaser. Tio artiklar har granskats enligt kriterier för kvalitetsgranskning där nio kvalificerats och används i resultatet. Inspireras av kvalitativ analys och identifierat olika teman i texten. Vi kom fram till fyra kategorier som vi redovisar resultaten ifrån: fysiska, psykiska, sociala och omvårdnadsaspekter.</p><p><strong>Resultat- </strong>Sexualitet, relationer, männens upplevelse av självkänsla och kontroll över sin kropp samt informationsbrist var de viktigaste områdena där livskvaliteten påverkades negativt.</p><p><strong>Slutsats</strong>- Radikal prostatektomi innebar en stor förändrig för männens livskvalitet och deras liv. Vi tror att mer forskning behövs inom ämnesområdet för att få en djupare förståelse för hur männen upplever sin livskvalitet efter operationen.</p>
155

Clinical utility and incremental validity of brief screening for traumatic event exposure in female university health service patients

Watson, Susan Brooks January 2005 (has links)
Mode of access: World Wide Web. / Thesis (Ph. D.)--University of Hawaii at Manoa, 2005. / Evidence suggests that routine screening of primary care patients for exposure to traumatic life events, and particularly assaultive trauma, may yield both clinical and cost benefits for healthcare systems (e.g., Green, Epstein, Krupnick, & Rowland, 1997; Lecrubier, 2004). However, although advocated by authorities, such screening has yet to be widely adopted. A sample of female university healthcare patients (N = 339) was assessed for exposure to trauma in order to examine several unaddressed issues that may diminish the clinical utility of screening for trauma in primary care patients. First, because the length of the traditional trauma history assessment makes it less acceptable for use in time-pressured primary care settings, the discriminative validity of a brief, self-administered screening question about exposure to trauma, the Structured Clinical Interview for DSM-IV (SCID) posttraumatic stress disorder (PTSD) module's screening question (First, Spitzer, Williams & Gibbon, 1997) was compared to a longer, inventory method of assessment, the Traumatic Life Events Questionnaire (TLEQ, Kubany et al., 2000). Second, because it is unclear whether patients who have experienced assaultive trauma will disclose these experiences when asked in a primary care setting, the relative predictive efficacy of informing respondents that their responses would, or would not be, disclosed to health center personnel was evaluated. Two versions of the brief screening question were assessed across two instructional sets regarding disclosure, to determine each condition's relative classification accuracy for identifying respondents who reported experiences of sexual or physical assault, and/or symptoms of PTSD. The brief screen identified more than three-quarters of the survivors of traumatic assault; and more importantly, identified almost all of the women who reported significant PTSD symptomatology: the inventory method identified only 2 additional women of the 47 who met criteria for PTSD. Although survivors of sexual assault were significantly less likely to disclose their history to their provider, no differences were found for those assault survivors who also reported symptoms of PTSD. Results suggest that a brief screening question about traumatic life events may be an acceptable option in settings where more time-consuming assessment procedures are not practical. / Includes bibliographical references (leaves 83-98). / Electronic reproduction. / Also available by subscription via World Wide Web / x, 98 leaves, bound 29 cm
156

The stress hypothesis : implications for the induction of diabetes-related autoimmunity in children? /

Sepa, Anneli, January 2004 (has links)
Diss. (sammanfattning) Linköping : Univ., 2004. / Härtill 6 uppsatser.
157

Trauma, posttraumatic stress and dissociation among Swedish adolescents : evaluation of questionnaires /

Nilsson, Doris, January 2007 (has links)
Diss. (sammanfattning) Linköping : Linköpings universitet, 2007. / Härtill 4 uppsatser.
158

Positioning in Somali narratives in the Saldanha bay municipality area on the west coast of South Africa

Swanepoel, Lehahn Searle 12 1900 (has links)
Thesis (MPhil )--Stellenbosch University, 2011. / ENGLISH ABSTRACT: This study is interested in discourses of displacement in which migrants articulate the experience of seeking improved life chances in a community considerably removed from their place of origin. Not only physical and environmental distance, but also distance related to cultural, linguistic and religious differences distinguish the (im)migrants from the local indigenous population, which is already a culturally and linguistically diverse community. This study investigates how histories of displacement and experiences of alienation or integration may be discursively managed among a group of young Somali males aged between 15 and 35 who entered South Africa in their late teens or early twenties. Specifically, this thesis considers how young Somali men who relocated to a rural Western Cape town and make a living through trading, present themselves in English-language narratives elicited during informal interviews. The study was conducted in Vredenburg, the administrative centre and economic hub of the Saldanha Bay Municipal area on the West Coast of South Africa. The data for the study was collected by means of audio recorded interviews. To supplement this data and gain more perspective on the situatedness of the discourses, the researcher further relied on field notes as well as additional informal conversations with the participants. The data was collected over a period of five months in 2007. To analyse the data, the researcher draws on the theoretical frameworks of Labov's structural analysis of narratives and Wodak and Reisigl's (2001) discourse-historical approach, and Bamberg's (1997) narrative constructivist perspective. The research aims to determine (i) how the narrators construct themselves in their narratives, and (ii) how speakers position themselves towards the content of their narratives, and towards their actual and imagined audiences. This study shows that displacement brings about new contexts characterised by uncertainty, conflict and inequalities, and this influences the way narrators orient themselves. The Somali narrators, in interviews conducted in English with a community outsider, position themselves as displaced and marginalised. During their narratives, the participants used several linguistic strategies to present themselves in various ways to actual or imagined audiences, which lead to negative otherpresentation and positive self-presentation and construction of in-group and out-group membership. / AFRIKAANSE OPSOMMING: Hierdie studie fokus op diskoerse van ontworteling waarin migrante hul ervaring verwoord van ’n soeke na beter lewensgeleenthede in ’n gemeenskap ver verwyderd van hul plek van herkoms. Buiten vir die fisiese en omgewingsafstand, is daar ook afstand daargestel deur kulturele, linguistiese en godsdiensverskille, wat die (im)migrante onderskei van die plaaslike bevolking – op sigself ’n kultureel en linguisties diverse gemeenskap. Hierdie studie doen ondersoek na hoe geskiedenisverhale oor ontworteling en ervarings van vervreemding of integrasie diskursief bestuur kan word binne ’n groep jong Somaliese mans van 15 tot 35 jaar wat Suid-Afrika in hul laat tienerjare of vroeë twintigerjare binnegekom het. Die tesis fokus spesifiek op hoe jong Somaliese mans wat na ’n plattelandse Wes-Kaapse dorp migreer het en ’n handelsbestaan voer, hulself voorstel in Engelstalige narratiewe wat ontlok is tydens informele onderhoude. Die studie is gedoen in Vredenburg, die administratiewe en ekonomiese kern van die Saldanhabaai Munisipale Area aan die Weskus van Suid-Afrika. Die data vir die studie is ingesamel deur middel van klankopnames van onderhoude. Ten einde dié data aan te vul en meer perspektief te verkry ten opsigte van die plasing van die diskoerse, het die navorser verder gesteun op veldnotas sowel as bykomende informele gesprekke met die deelnemers. Die data is oor ’n tydperk van vyf maande in 2007 versamel. In die ontleding van die data maak die navorser gebruik van die teoretiese raamwerke van Labov se strukturele analise van narratiewe en Wodak en Reisigl (2001) se diskoers-historiese benadering, asook Bamberg (1997) se narratief-konstruktivistiese perspektief. Die navorsing het ten doel om vas te stel (i) hoe die vertellers hulself in hul narratiewe konstrueer, en (ii) hoe sprekers hulself posisioneer ten opsigte van die inhoud van hul narratiewe en ten opsigte van hul werklike en denkbeeldige gehore. Hierdie studie toon dat ontworteling nuwe kontekste skep wat gekenmerk word deur onsekerheid, konflik en ongelykhede en ’n invloed het op die wyse waarop vertellers hulself orienteer. Tydens onderhoude met ’n gemeenskapsbuitestaander, uitgevoer in Engels, posisioneer die Somaliese vertellers hulself as ontwortel en gemarginaliseer. In hul narratiewe gebruik hulle verskeie linguistiese strategieë om hulself op verskillende maniere voor te stel aan werklike en denkbeeldige gehore wat lei tot ’n negatiewe voorstelling van die Ander, ’n positiewe voorstelling van die Self en die daarstelling van binne- en buite-groep lidmaatskap.
159

Impak van werksverlies op die huweliksverhouding

Stoop, Therese Jeanette 01 1900 (has links)
Text in Afrikaans / Hoë werkloosheid het 'n permanente kenmerk van die moderne samelweing geword en daarom word daar huidiglik baie aandag geskenk aan die psigologiese impak van werkloosheid op die werklose persoon en sy gesin. Die teoretiese benadering van hierdie studie is dat werksverlies 'n stresvolle lewensgebeurtenis is waarvan die impak binne 'n sistemiese benadering bestudeer is. Die kwalitatiewe navorsingsmetode is gevolg. Die navorsingsresultate is verkry deur in-diepte onderhoude te voer met agt blanke getroude pare. Die resultate van die onderhoude is vergelyk met bestaande navorsing oor die impak van onwillekeurige werksverlies op die individu en sy gesin. Resultate dui daarop dat werksverlies 'n verpletterende ervaring is vir sommige pare terwyl dit in ander huwelikke lei tot groter intimiteit en persoonlike groei. Veranderlikes wat vir hierdie verskille verantwoordelik is, word geidentifiseer. Implikasies vir toekomstige navorsing word bespreek. / High unemployment has become a permanent feature of modern-day society. As a result there has been an increased interest in the psychological impact of involuntary job loss on the individual and his family. The theoretical appraoch of this study is that job loss is a stressful life event which is studies within the subsystem of the family. The research design is the qualitative method that was executed by conducting depth interviews with eight white couples. The results of the interviews were compared with those of previous research relating to the impact of involuntary job loss on the individual and his family. Results show that job loss is a devastating experience for some couples while other couples experience it as a opportunity for personal growth and increased intimacy in the relationship. Factors that account for these differences are identified. Implications for future research are discussed. / Psychology / M.A. (Sielkundige Navorsing)
160

Fissuras orofaciais : compreensão da vivência do paciente e percepção de familiares.

Gois, Diego Noronha de 25 March 2011 (has links)
Conselho Nacional de Desenvolvimento Científico e Tecnológico / Orofacial clefts are congenital malformations of the face, which have a multifactorial etiology and a significant incidence on the population, thus being considered the most common craniofacial complex anomaly. The morphological and functional implications are dependent on the clinical characteristics. However, there seems to be a subdued of psychosocial issues related to this defect. Thus, the purpose of this study was to understand the individual life experience of cleft patients and perception of family members about this condition. A quantitative study was conducted in which 30 patients with oral clefts treated in the Specialized Society Attending Cleft Patient of Sergipe State SEAFESE were submitted to The House - Tree - Person Projective Drawing Technique protocol (H-T-P). Similarly, family members were asked about the impact of oral conditions (presence of the cleft or its correction) in the execution of eight daily activities Oral Impact on Daily Performances (OIDP). Data analysis revealed a homogeneous pattern of patients according to gender, with predominance of transincisive foramen cleft (80.0%); among the pairs, own mothers were the great majority (83.3%). In general, relatives‟ perception showed that, before the first surgery, when the cleft was open, functional dimensions for speaking and eating had considerable emphasis over the psychosocial aspects. Once restored the anatomical integrity, the talk dimension remained in the foreground, but the psychosocial activities were mentioned more often. The impact on the execution of activities was less for the current moment (after surgery), confirming the understanding that corrective surgery is fundamental to patient recovery. Whereas, the understanding of oral cleft patients‟ life experience revealed remarkably negative characteristics, ranging from a simple introversion to strong features indicative of depression. Objective data showed anxiety and insecurity features in 73.3% e 86.7% of children; the feeling of rejection was perceived in 50.0% of the sample and some characteristics ran towards an insufficient egoic development, with fragilities, in 63.3% of surveyed ones. A more specific discussion about these data showed that family members had a real understanding of the cleft physical limitations in developing some daily activities, especially related to the skills of sucking, swallowing, breathing, voice and speech, with consistency and agreement with the literature. However, there seems to be a sub-judgement of emotional aspect in detriment of organic functionality, reflecting the perception of a surgically normal being, in the view of those family members. There is indeed an emotional maladjustment of children and teens about the aspects of their physical and emotional reality, allowing to conclude that family members have a limited perception about the impact of reality on children's quality of life, restrict to the presence (at birth) or not (after surgery) of cleft, although hints of compromise have been mentioned. / As fissuras orofaciais são malformações congênitas da face, de etiologia multifatorial e de expressiva incidência na população, sendo considerada a anomalia mais comum do complexo craniofacial. As implicações morfo-funcionais estão na dependência das variações clínicas dessa condição. Entretanto, parece haver um subjulgamento quanto às questões psicossociais relacionadas a este defeito. Assim, o objetivo deste estudo foi compreender a experiência individual de vida de pacientes com fissuras orofaciais e a percepção de familiares acerca dessa condição. Realizou-se um estudo quantitativo, no qual 30 pacientes com fissuras orofaciais atendidos na Sociedade Especializada no Atendimento ao Fissurado do Estado de Sergipe SEAFESE foram submetidos ao protocolo da técnica projetiva do desenho H-T-P (Casa-Árvore-Pessoa). De modo semelhante, os familiares foram questionados acerca do impacto da condição bucal (presença ou correção da fissura) na execução de oito atividades diárias Impacto Oral no Desempenho Diário (IODD). A análise dos dados revelou uma distribuição homogênea dos pacientes quanto ao gênero, com predomínio das fissuras transforame (80,0%); os pares avaliados foram, em sua grande maioria (83,3%), as próprias mães. A avaliação da percepção dos familiares revelou que, antes da primeira cirurgia, quando a fissura encontrava-se aberta, as dimensões funcionais para falar e comer apresentavam ênfase considerável em relação aos aspectos psicossociais. Após restaurada a integridade anatômica, a dimensão falar permaneceu em primeiro plano, mas as atividades psicossociais foram mais mencionadas. O impacto na execução das atividades foi menor após a realização da cirurgia, o que ratifica o entendimento de que as cirurgias corretivas são fundamentais para o restabelecimento do paciente. Por outro lado, a compreensão da experiência de vida dos pacientes com fissuras orofaciais revelou um panorama marcadamente repleto de características negativas, desde uma simples introversão a traços fortes indicativos de depressão. Dados mais objetivos mostraram traços de ansiedade e insegurança em 73,3% e 86,7% das crianças; o sentimento de rejeição foi percebido em 50,0% da amostra e várias outras características concorreram para um desenvolvimento egóico insuficiente, com fragilidades, em 63,3% dos pesquisados. Uma discussão mais específica acerca desses dados mostrou que os familiares apresentam um real entendimento da condição física limitante da fissura para o desenvolver de algumas atividades diárias, relacionadas às habilidades de sucção, deglutição, respiração, voz e fala, com coerência e concordância em relação à literatura. Entretanto, parece haver um subjulgamento do aspecto emocional em detrimento da funcionalidade orgânica, com reflexos na percepção do ser cirurgicamente normal, na visão dos familiares. Observou-se um desajustamento emocional das crianças e adolescentes quanto aos aspectos de sua realidade física e emocional, o que permitiu concluir que os familiares apresentam uma percepção restrita quanto ao impacto da realidade dos filhos na qualidade de vida, resumida à presença (ao nascer) ou não (após a cirurgia) da fissura, embora nuances de comprometimento tenham sido mencionadas.

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