No description available.

Home visits are a required training component of many Family Medicine residency programs in the United States. However, they are becoming less popular due to such factors as increasing resident responsibilities, decreasing reimbursement, and a decline in resident intention to incorporate home visits into future practice. This study’s aims are: (1) to evaluate the current practices of one Family Medicine residency training program’s time and resource expenditure to conduct home visits, and (2) to evaluate resident and faculty experiences of home visits. Residents and faculty in a Family Medicine training program were provided with a 12- question survey immediately after completing a home visit. A total of 19 surveys from residents and faculty were collected and analyzed. Average reported time spent per home visit was 90 minutes (range = 50-180 minutes), and the home visit teams included an average of 4 members (range = 2-6 members). The providers felt that they knew their patients and the patients’ circumstances better after the home visit with a score of 4.1 (on a 1-5 scale with 5 being a positively framed statement). Resident opinions were neutral (average score 3.1 on a 1-5 scale) regarding whether they found home visits to be educational to their residency training in Family Medicine. Residents also had mixed feelings (average score 2.9) regarding whether they would perform more home visits during their residency training if given the opportunity. Most faculty members (5/7) indicated they had done home visits during their residency training and all faculty (7/7) felt that home visits added value to their training in Family Medicine. Finally, qualitative recommendations were collected from respondents which may allow this training program to improve home visits in the future. Overall, significant time is currently being spent conducting home visits, with a difference in perceived efficacy between residents and faculty. Future research may include a cost analysis to quantify financial value, as well as expanding data collection to other Family Medicine residency training programs to improve generalizability.

Kontakt med naturen har bevisats vara viktigt för människors välbefinnande, humör och känslostämning. Av den anledningen är skogen och naturen mycket viktig, speciellt i tätortsnära områden. I tidigare undersökningar har man kommit fram till skogen förändrar känslostämningen hos människor och att framför allt positiva känslor väcks. Syftet med denna studie var att ta reda på vilka specifika känslor som väcks och vad som kan påverka dessa. Undersökningen genomfördes som en enkätundersökning på plats vid naturreservatet Älvrummet i Trollhättan. Resultatet har sedan sammanställts och analyserats med chi-2-test för att se ifall det fanns några signifikanta samband. Studiens resultat påvisar som många andra undersökningar att ett skogsbesök har en påverkan på känslostämningen. Resultatet visar också att det är framför allt positiva känslor som väcks. Till viss mån påverkade umgänge, aktivitet och besökta attraktioner några enstaka känslor, men i de flesta fall fanns inget samband mellan studerade faktorer och känslostämningen.

Background: Parenting is life-changing, a stable and secure social network, and a well-functioning relationship contributes to a positive perceived parenting. It’s essential to be able to adapt parenting support and to discover parents with increased need for support early, in which home-visits can be an important part. This study describes parents' experiences of a care intervention that involves professional support in form of extended home-visits during pregnancy and the child's first fifteen months of life. Aim: To describe parents' experiences of receiving support through extended home-visits during pregnancy and the child's first fifteen months of life. Method: Qualitative study with inductive approach. Twelve semi-structured interviews were conducted. Phenomenographic method was used for data analysis. Results: Parents' experiences of receiving support through extended home-visits resulted in three categories: The place and form of the meeting are important for parents' sense of coherence; Home-visits promote parents' sense of security and strengthen the parental role; Home-visits promote parental involvement, integration and relationships. Parents described that everything fell into place and became more real when they received support at home. Conclusion: Home-visits and support in the home environment increased parents' sense of coherence, participation, sense of security and strengthened their role as parents.

中文摘要 家庭訪問是親師溝通的重要管道，教師與家長常常藉此進行教育理念的溝通或教養方式的協調，教師與家長常會在訪談中變換身份，彼此在不同時機以不同角色進行互動。如何選擇適合的身份進行溝通，在社會文化中是極其自然的現象，研究者希望藉由家訪在社會活動脈絡中具有的獨特意義，解釋日常生活中的常識性知識如何被人們理解與運用的現象。 　　本研究透過成員類別分析法，探知家庭訪問中教師、家長及學生在溝通時，如何使用大量類別知識溝通的樣貌，研究者以國民中學十則家庭訪問對話記錄作 為分析個案，描繪以下三類現象：第一，家訪的樣貌；第二，家訪機制中的成員類別內涵；第三，成員類別身份轉換。 　　首先，藉由訪問者語言工具箱的整體提問順序、開場白及結語、問問題、人稱代名詞，勾勒出家訪的樣貌；其次，描繪出教師、家長身份的類別內涵，以及親師言談建構出的學生形象。 　　教師擁有教育者或輔導者的身份，也有轉換為私領域身份（如女兒、太太、媽媽）的現象；家長是照顧者，同時也是教育者；國中生在家長與老師眼中是不成熟的青少年、面臨抉擇的轉大人階段、更是背負著期許的承繼者。研究者藉由家訪中的言語對談，闡述以上這些身份的類別內涵，描繪出社會文化對於教師與家長、學生有何種身份期待的文化現象。 　　最後，陳述教師與家長轉換身份的時機點：教師在交談時因為爭取話權、居中協商、提供教養方式，而不自覺地轉換身份；家長在交談時則因為闡述事實、釐清觀念、尋求支持，而不自覺地轉換身份。教師 /家長的關係成為朋友/朋友之間的關係，運用相通的社會知識溝通，採用社會類別的特徵表達，或是藉著存在於社會中的類別知識協商，這些都呈現了社會文化的一部份。 關鍵字詞：親師溝通、家庭訪問、身份轉換、成員類別分析 / Abstract Home visits are important channels for communication between teachers and parents. Through this, teachers and parents often carry out communication of educational philosophy or coordination of teaching and rearing approaches. Oftentimes, teachers and parents go through identity transformation during their conversations. They take on different identities at different times to interact with each other. How to choose an appropriate identity to proceed with conversations has become a very natural phenomenon in social culture. Through the unique significance of home visits in the context of social activities, the researcher hopes to explain the phenomenon of how commonsense knowledge is understood and utilized by people. Through membership categorization analysis, this study explores how the considerable amount of knowledge communication is used between teachers, parents, and students as they communicate with each other during home visits. The research used ten recorded conversations of junior high school home visits as case studies. The following three phenomena are depicted: First, the appearance of home visits; Second, implications of membership categorization of home visits’ mechanism; Third, identity transformation of membership categorization. First, the appearance home visits is depicted through interviewers’ language toolkit, including the overall order of questioning, opening and closing remarks, asking questions, and personal pronoun. Second, the categorization connotation of identities of teachers and parents are illustrated. The image of students created by parents and teachers through their conversations is also illustrated. Teachers have the identity of educators or counselors. The phenomenon of transforming into a private identity (such as a daughter, wife, or mother) was seen. Parents are caregivers; they are also educators at the same time. Junior high school students are immature teenagers in the eyes of parents and teachers. They are at the stage of becoming adults, which is associated with decision-making. They are also successors burdened with expectations. Through the conversations during home visits, the researcher expounded the categorization connotation of the above identities. The kind of cultural phenomena of teachers, parents, and students expected by the social culture are illustrated. Finally, the points of time of identity transformation of teachers and parents are presented. During conversations, to fight for the authority of their words, coordinate, and provide teaching and rearing approaches, teachers underwent identity transformation unconsciously. During conversations, to set forth facts, clarify perspectives, and seek support, parents underwent identity transformation unconsciously. A teacher-parent relationship was transformed into a friend-friend relationship. This is done through utilization of common social knowledge to communicate, adoption of social category’s characteristic expression, or by the categorial knowledge consultation existed in the society. These have all presented a part of social culture. Keywords: Parent-teacher communication, Home visit, Identity transformation,Membership categorization analysis

No description available.

Cette thèse examine l’influence de la nuit sur la réception d’une visite de musée. Elle propose d’envisager le paramètre horaire comme participant de la construction de l’expérience et plus largement du sens donné à sa visite. Or, ce rapport de la nuit à l’expérience de visite est encore peu interrogé malgré les nombreuses occasions qui permettent de visiter de nuit des institutions culturelles telles que les musées ou les monuments historiques. L’analyse phénoménologique et sémiotique de cette situation de réception permet de comprendre ce que les visiteurs vivent et ressentent au cours d’une visite nocturne. Elle révèle une variation du sens qui se construit autour de l’émergence de la nuit à la fois comme donnée physique, naturelle, dans l’exposition et comme donnée mentale dans l’état d’esprit des visiteurs. À travers l’étude comparative de la réception de la cour Marly au musée du Louvre, de jour et de nuit, c’est l’univers du discours des visiteurs qui est mis en question. Les interactions entre la nuit, les visiteurs et l’exposition marquent, par rapport à la journée, un processus de transformation du sens donné par le message de l’exposition et du sens reçu par les visiteurs. Autrement dit, le changement lumineux intervenant entre jour et nuit influence la recomposition du discours de l’exposition par les visiteurs de nocturnes. La dimension émotionnelle ainsi que la fantasmatique de la nuit interviennent dans l’interprétation du discours de l’exposition et le transforment. / The aim of this work is to analyse the impact of the night on the visitors’experience. Here, the time of the day is considered as a parameter of the processof meaning building within the visitor’s experience.The link between visitors’ experience and night has not yet been thouroughlyresearched although a lot of cultural events take place at night time and provideand occasion for visiting museums.The phenomenological and semiotic analysis of the night impact, and perception,lead to the understanding of the emotional experience of the visitors during anight time visit. It reveals a variation of the meaning created by the apparition ofthe actual night in the museum and of the idea of night in the visitors’ mind.A night and day comparison of the reception of the cour Marly, in the musée duLouvre, questions the visitors’ speeches. It shows a network of interactionsbetween the night, the visitors and the exhibition which initiates a transformationof the meaning given by the exhibition and received by the visitors.In other words, the lighting modification between night and day affects thereconstruction of the exhibition’s message operated by the visitors at night. Theemotional aspect as well as the night phantasmagoria partake in the interpretationof the exhibition’s message and change it.Key words: night - reception - visitors’ experience - interpretation - - - - - phantasmagoria - night visit

Objetivo: Analisar a percepção dos profissionais de saúde das equipes de Estratégia de Saúde da Família (ESF) sobre o conhecimento, a utilização, as vantagens e dificuldades encontradas na aplicação das escalas existentes sobre classificação das famílias (CF). Casuística e Métodos: A percepção dos profissionais foi analisada por meio da aplicação de um roteiro de entrevista semiestruturada a 35 profissionais atuantes nas equipes da ESF das Unidades de Saúde da Família vinculadas a uma universidade em Ribeirão Preto/SP. O roteiro de entrevista possuía variáveis relacionadas ao perfil do serviço de saúde e seus profissionais; o conhecimento e a utilização de instrumentos para a CF e vantagens, críticas e sugestões para a adequação deste instrumento. A análise das variáveis quantitativas foi realizada a partir da estatística descritiva, e para as associações entre variáveis categóricas foram aplicados os testes de Fisher, Mann-Whitney e de Kruskal-Wallis. A abordagem qualitativa foi realizada por meio da análise de conteúdo na vertente temática, sendo identificados 16 Núcleos de Sentido e três Grandes Temas: \"Característica da Assistência Domiciliar na Perspectiva dos profissionais da ESF\", \"A experiência dos profissionais de saúde na utilização da CF\" e \"Sistema de Informação em Saúde na prática na ESF\". Resultados: O estudo revelou predominância do sexo feminino, com profissionais qualificados para atuar na ESF e médicos e agentes comunitários de Saúde com maior tempo de atuação nessas equipes. Todos os membros da equipe realizavam visitas domiciliares e referiram se utilizarem de alguma estratégia para priorizar os usuários e suas famílias nos seus atendimentos de forma não sistematizada, fosse por lista de pacientes acamados, necessidade de procedimentos, prioridades estabelecidas pelo Ministério da Saúde, ou pelo levantamento das necessidades durante as reuniões de equipe. A maioria conhecia a CF por cores (91%) e 52% dos profissionais utilizavam na prática. \"Dificuldades da aplicação\" foi o Núcleo de Sentido mais citado, devido à inexperiência de sua utilização e limitações do próprio instrumento. O segundo Núcleo de Sentido mais encontrado foi \"vantagens de sua utilização\", relacionado à priorização do cuidado favorecendo a equidade. Com isso, o estudo revelou fortalezas quanto ao processo de trabalho na ESF e fragilidades relacionadas à utilização das CF. Dentre as fortalezas, está a identificação das vulnerabilidades da população favorecendo o acesso do usuário na Atenção Primária em Saúde, sem necessariamente o uso de uma escala formal para classificar as famílias. Já em relação às fragilidades, cita-se a pouca utilização das CFs pelos profissionais de saúde, visto que se tratam de Unidades de Saúde da Família vinculadas à Universidade e com espaços reservados para a Educação Permanente e para o matriciamento das equipes. Conclusão: O estudo, por meio de seus resultados, poderá contribuir para a adequação de novas CFs e também para a melhor formação dos profissionais / Objective: This dissertation aimed to analyze the perception of health professionals of the Family Health Strategy teams regarding the knowledge, use, found in the application of the existing scales on family classification. Casuistic and Methods: The professionals\' perception was analyzed through the application of a semi-structured interview to 35 professionals working in the FHS teams of the Family Health Units linked to a university in Ribeirão Preto-SP. The interview script had variables related to the profile of the health service and its professionals; the knowledge and use of instruments to classify families and advantages, criticisms and suggestions for the adequacy of this instrument. Quantitative variables were analyzed using descriptive statistics and Fisher\'s tests and the Mann-Whitney and Kruskal-Wallis tests were performed for associations between categorical variables. The qualitative approach was carried out by the content analysis in the thematic area and 16 Core of Sense and three Main Themes were raised: \"Characteristics of Home Care in the perspective of FHS professionals\", \"The experience of health professionals in the use of Classification of Families \"and\" Health Information System in the practice of the FHS\". Results: The result of the study revealed a female predominance, with professionals qualified to work in the FHS and physicians and community health workers with a longer time working in these teams. All the members of the team made home visits and reported using some strategy to prioritize users and their families in their non-systematized care, either by list of patients in bed, need for procedures, priorities established by the Ministry of Health by surveying the needs during team meetings. The majority knew the classification of families by color (91%) and 52% of professionals used in practice. The \"Difficulties of application\" was the Center of Sense most cited, referring to difficulties related to the inexperience of its use and limitations of the instrument itself. The second most found Core of Sense was \"Advantages of its use\" related to the prioritization of care favoring equity. Thus, the study revealed strengths regarding the work process in the FHS and weaknesses regarding the use of Classifications of Families. Among the strengths is the identification of vulnerabilities of the population favoring the access of the user in the Primary Health Care, without necessarily using a formal scale to classify the families. Regarding the weaknesses, there is little use of health professionals as the Classification of Families, since these are Family Health Units linked to the University and with spaces reserved for Continuing Education and for the matrix support of the teams. Conclusion: The study, through its results, may contribute to the adequacy of new Classification of Families and contribute to a better training of the professionals

Dagens teknologi tillåter inte att göra kopplingar i konsumentdata mellan hemsida och den  fysiska butiken. Det innebär att företag går miste om värdefull kunskap om sina kunders beteende och effekten av deras marknadsföringsåtgärder. Syftet med uppsatsen är att undersöka vilket hemsidebeteende som föregår köp i fysisk butik och hur beteendet skiljer sig jämfört med köp online. Uppsatsen syftar även till att undersöka hur hemsidebeteendet påv​erkar fysiska butikers ​konsumenters köpstorlek samt hur ​konsumenters köpsituation påverkar hemsidebeteendet. Studien gjordes i samarbete med ett möbel- och heminredningsföretag, och datainsamling skedde genom en enkätundersökning i butik, Google Analytics samt observationsstudie i samband med enkätundersökningen. Resultaten visar påtagliga skillnader i hemsidebeteende beroende på köpkanal och att konsumenter spenderar mer i fysisk butik om hemsidan besökts inför köp. Studien visar även att det är mer troligt att otåliga och engagerade konsumenter besöker hemsidan inför köp jämfört med konsumenter som värderar shoppingupplevelsen i sig.

Att besöka museum är ett populärt nöje, och ett sätt att erhålla ny kunskap. Tidigare studier har visat på positiva resultat av att öka meningsfullheten av besöken genom användning av teknologi. Denna forskning introducerade en design som framtagits genom deltagande design. Forskningen visar på möjligheten att förstärka upplevelsen av museibesöket genom digitalt gåvo-givande beteende. Deltagarna besöker ett museum som ett par, där den ena parten agerar gåvogivare och den andra mottagare. Under besöket ritar deltagarna sketcher, hittar objekt, svarar på frågor angående utställningsföremålen och samlar därigenom ledtrådar för att avkryptera gåvan. Denna forskning förklarar hur gåvo-givande beteende bidrar till den sociala upplevelsen mellan romantiska par och hur denna bidrar till upplevelsen av museibesöket. Resultatet erbjuder möjligheter för vidare forskning om hur nära förhållanden påverkar meningsfulla upplevelser. / Museums are popular among people to relax and obtain knowledge. Prior studies showed great efforts on increasing meaningfulness of the museum tour with the support of technology. This research introduces a design created through participatory design practice. The interaction presents its potential of enhancing the museum visiting experience for visitors in intimate relationships through digital gift- giving behavior. Participants visit the museum as couples, with one party acting as the gift giver and the other as the gift receiver. During the visit, participants draw sketches, find objects, answer questions related to the objects and collect the clues to decrypt the given gift. This research explains how gift- giving behavior enhances the social experience between the intimate couple and how social interaction between intimate couple enhances the museum visiting experience. This research suggests the opportunity for research on the effect of the close relationship on meaningful experiences.