Made available in DSpace on 2016-04-04T18:28:04Z (GMT). No. of bitstreams: 1 Greici Maestri Bussoletto.pdf: 2207825 bytes, checksum: e9d557a268bf04641cc3e03659a689ec (MD5) Previous issue date: 2012-02-24 / Pontif?cia Universidade Cat?lica de Campinas / Given the high rates of mortality from cardiovascular disease, it is necessary to promote of prevention and rehabilitation addressing physical and emotional aspects. This study sought assessing with patients after acute myocardial infarction (AMI), whether there was any change in lifestyle and incidence of stress with the passage of time on three different occasions: on admission, after three months and after six months .The sample consisted of 31 participants, 26 men and five women, aged between 40 and 82 years old admitted to the Hospital of UNICAMP. To collect data was used semi-structured interviews and the Inventory of Stress Symptoms for Adults Lipp (ISSL). For quantitative data analysis was used for statistical and qualitative data content analysis along the lines of Bardin.The results showed the prevalence of overweight patients (n = 14), with hypertension (n = 23), previous myocardial infarction in their medical history (n = 19) and the presence of family history of hypertension (n = 19), diabetes mellitus (n = 16), myocardial infarction (n = 20), stroke (n = 17) and sudden death (n = 13). Looking at the habits of life through the passage of time, it was found significant change for better between the assessments regarding: physical activity (p = 0,022), quitting smoking (p = 0,001), and the type of food elected (p <0,01). Moreover, it was noted that the resumption of activities after the event was impaired (p = 0,012). In relation to stress, 100% of the sample had with significant symptoms of stress in the first evaluation, 96.43% in the second one and 89.29% in the third one. In phase three evaluations of the stress resistance was more prevalent. Physical symptoms were more prevalent in the first evaluation (n = 16), in the second and the third one, the psychological symptoms were the most prevalent (n = 12) and (n = 13) respectively. The results showed that the way the patients relate to the team and with its treatment, as well with as the changes resulting from AMI can positively or negatively influence adherence to the treatment. / Diante das altas taxas de mortalidade por doen?as cardiovasculares, ? necess?rio que se promovam trabalhos de preven??o e reabilita??o que abordem aspectos f?sicos e emocionais. Buscou-se nesse estudo compreender a ades?o do paciente coronariopata ao tratamento p?s-infarto avaliando poss?veis mudan?as nos h?bitos de vida e na incid?ncia de stress na passagem do tempo em tr?s momentos: na interna??o, tr?s e seis meses ap?s o evento. A amostra contou com 31 participantes, sendo 26 homens e cinco mulheres; com idade entre 40 a 82 anos internados no hospital das cl?nicas da UNICAMP. Na coleta dos dados foram utilizados um roteiro de entrevista semiestruturada e o Invent?rio de Sintomas de Stress para Adultos de Lipp (ISSL). Para os dados quantitativos foi utilizada a an?lise estat?stica e para os dados qualitativos a an?lise de conte?do segundo os moldes de Bardin. Os resultados apontaram uma preval?ncia de pacientes com sobrepeso (n=14), com hipertens?o arterial instalada (n=23), com IAM pr?vios em seu hist?rico m?dico (n=19) e com a presen?a de antecedentes familiares de hipertens?o arterial (n=19), de diabetes mellitus (n=16), de IAM (n=20), de acidente vascular cerebral (n=17) e de morte s?bita (n=13), considerados fatores de risco no desencadear de doen?as cardiovasculares. Analisando os h?bitos de vida, constatou-se que houveram mudan?as significativas, para melhor, em rela??o a: realiza??o de atividade f?sica (p=0,022); ao ato de parar de fumar (p=0,001); e ao tipo de alimenta??o consumida (p<0,001). A retomada de atividades ap?s o IAM ficou prejudicada (p=0,012). Em rela??o ao stress, 100% da amostra apresentava sintomas significativos na primeira avalia??o, 96,43% na segunda e 89,29% na terceira. Nas tr?s avalia??es a fase do stress mais prevalente foi da resist?ncia. Os sintomas f?sicos prevaleceram na primeira avalia??o (n=16), na segunda (n=12) e terceira (n=13), prevaleceram os psicol?gicos. Os resultados demonstraram que a forma como o paciente se relaciona com a equipe, com o seu tratamento e com as mudan?as decorrentes do infarto, podem influenciar positiva ou negativamente na ades?o ao tratamento.

Made available in DSpace on 2016-04-28T14:56:20Z (GMT). No. of bitstreams: 1 Michel Cardoso.pdf: 285596 bytes, checksum: e021aeca652bc3b1ad648b8db8f92e3c (MD5) Previous issue date: 2010-03-12 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / This work aimed to study the feasibility of using tannins from the bark of Pinus oocarpa as tannin-formaldehyde adhesive to produce OSB. For the pine-bark oocarpa were tested eight forms of extraction of tannins. After evaluation of the chemical properties of tannic extracts was decided to employ the extraction with distilled water / 5% sodium sulfite to prepare for the tannin-formaldehyde adhesive. Adhesive phenol formaldehyde and urea-formaldehyde were modified with 10% tannin Pinus oocarpa and the effect of this addition on the quality of the adhesive was evaluated. OSB panels were manufactured with tannin adhesives from Pinus oocarpa (TF), Urea-Formaldehyde (UF), Phenol-Formaldehyde (PF) of UF modified with tannin and pine tannin FF modified with pine, using two times pressing . The analysis were based on the tests of static bending, tensile strength perpendicular to surface, thickness swelling and water absorption. The average density of the panels was 0.47 g/cm3. The addition of tannic extract from the bark of Pinus oocarpa proved adequate for the manufacture of OSB having in view the results for the physical and mechanical properties. The results also showed that it is possible to manufacture panels with adhesive based on pure tannin of Pinus oocarpa, however, the panels showed low strength and low dimensional stability. / Esse trabalho teve por objetivo estudar a viabilidade de utiliza??o dos taninos da casca de Pinus oocarpa como adesivo para produ??o de pain?is OSB. Para a casca de Pinus oocarpa foram testadas oito formas de extra??o dos taninos. Ap?s a avalia??o das propriedades qu?micas dos extratos t?nicos optou-se por empregar a extra??o com ?gua destilada sob adi??o de 5 % de sulfito de s?dio para confec??o do adesivo tanino-formalde?do. Adesivo Fenol- Formalde?do e Ur?ia-Formalde?do foram modificados com 10% de tanino de Pinus oocarpa e o efeito desta adi??o sobre a qualidade do adesivo foi avaliado. Foram fabricados pain?is OSB com adesivos de tanino de Pinus oocarpa (TF), de Ur?ia-Formalde?do (UF), Fenol-Formalde?do (FF), de UF modificado com tanino de pinus e FF modificado com tanino de pinus, utilizando dois tempos de prensagem. Os pain?is foram avaliados quanto ? resist?ncia a flex?o est?tica (MOR e MOE), resist?ncia ? tra??o perpendicular, (liga??o interna-LI), densidade e estabilidade dimensional (inchamento em espessura IE e absor??o em ?gua AA). O valor m?dio da densidade dos pain?is foi de 0,47 g/cm3. A adi??o de extrato t?nico da casca de Pinus oocarpa mostrou-se adequada para a fabrica??o de pain?is OSB tendo-se em vista os resultados obtidos para as propriedades f?sico-mec?nicas. Os resultados mostraram tamb?m que ? poss?vel fabricar pain?is com adesivo puro ? base de tanino de Pinus oocarpa; entretanto, os pain?is apresentaram baixa resist?ncia mec?nica e baixa estabilidade dimensional.

Submitted by Fernanda Ciolfi (fernanda.ciolfi@puc-campinas.edu.br) on 2016-04-06T19:54:16Z No. of bitstreams: 1 Vanessa Marques Gibran Victorio.pdf: 3683968 bytes, checksum: ecd76cc22be836555ddbe6f02f5cf33a (MD5) / Made available in DSpace on 2016-04-06T19:54:16Z (GMT). No. of bitstreams: 1 Vanessa Marques Gibran Victorio.pdf: 3683968 bytes, checksum: ecd76cc22be836555ddbe6f02f5cf33a (MD5) Previous issue date: 2016-02-26 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Type 1 Diabetes Mellitus (DM1) is a chronic health condition characterized by excess blood glucose and deficient production of insulin by the pancreas, requiring daily intake of insulin for metabolic control. Metabolic control is affected by psychosocial variables, especially during adolescence, a phase in which individuals are at the risk of stress responses. The way adolescents deal with stress partially depends on their coping repertoire. Adaptive coping strategies enable better glycemic control and adherence to treatment, which is based on medication and self-care behavior, such as following a specific diet, blood sugar monitoring and exercising. Considering the characteristics of this development phase and DM1, this study analyzed the relationships among stressors, coping and treatment adherence in adolescents with DM1 based on the Motivational Theory of Coping. Ten adolescents participated in the study, five of each sex, aged between 12 and 15 years old, with a medical diagnosis of DM1, attending elementary/middle school (7) or high school (3). A sociodemographic questionnaire including the Brazil Economic Classification Criteria, the Diabetes Self-Care Activities Measure (DSCA), the Questionnaire on Stress in Patients with Diabetes (QSD-R), the Adolescent/Child?s Self-Report Responses to Stress (RSQ-Pediatric Diabetes- DPed) with linguistic validation authorized by the authors, together with the Coping Diabetes Scale for Adolescents (COPE-DIA), especially developed for this study, were individually applied. Data were collected in the Associa??o de Diabetes Juvenil [Juvenile Diabetes Association] facility in Birigui, SP, Brazil and at the adolescents? homes. Data analysis was quantitative using non-parametric statistics and qualitative with the description of two cases. Behavior with greater adherence, verified through DSCA, were Blood glucose monitoring and Medication taking (insulin and/or pills). According to the QSD-R, Stress caused by hypoglycemia was considered the most significant stressor by most adolescents, followed by Therapeutic Regime and Somatic Complaints. The most frequent stressors, according to the two instruments that assessed diabetes stressors, were linked to diabetes treatment and feelings of guilt for not complying with medical recommendations. According to RSQ-D-Ped, the adolescents dealt with DM1 by using the following coping strategies: Involuntary Engagement (Excitement and Rumination) and Secondary Control Coping (Positive Thinking, Acceptance, Distraction and Cognitive Restructuring). According to COPE-DIA, stressors were more frequently considered a challenge than a threat to the individuals? basic needs for Relationship, Competence and Autonomy, presenting the following coping strategies: Search for Information, Search for Support, Problem-Solving, Isolation (related to the need of Relationship), Escape, Delegation and Helplessness (related to the need of Competence). Anger was the most frequently reported emotional response. Coping seems to affect the relationship between the therapeutic regimen and exercise. This analysis of motivational variables involved in the process of treatment adherence among adolescents with diabetes provided prescriptive data for future interventions directed to this population. This study also contributed to the field of research proposing a more developmentalist analysis of variables relevant for treatment adherence in this age group. / O Diabetes Mellitus Tipo 1 (DM1) ? uma condi??o cr?nica de sa?de caracterizada pelo excesso de glicose no sangue e produ??o deficiente de insulina pelo p?ncreas, exigindo a ingest?o di?ria de insulina para o controle metab?lico. Este ? afetado por vari?veis psicossociais, especialmente durante a adolesc?ncia, que ? uma fase de risco para rea??es de estresse. A forma como o adolescente lida com o estresse depende, em parte, de seu repert?rio de enfrentamento. As estrat?gias de enfrentamento [EE] adaptativas permitem um melhor controle glic?mico e maior ades?o ao tratamento. Este ?ltimo est? baseado em medicamentos e comportamentos de autocuidado, como o seguimento de dieta alimentar, o monitoramento da glicemia e a realiza??o de atividades f?sicas. Considerando as caracter?sticas dessa fase de desenvolvimento e do DM1, esta pesquisa analisou as rela??es entre estressores, o enfrentamento da doen?a e a ades?o ao tratamento, em adolescente com DM1, a partir da Teoria Motivacional do Coping. Participaram 10 adolescentes, 5 de cada sexo, com idade entre 12 e 15 anos e diagn?stico m?dico de DM1; cursavam o Ensino Fundamental (7) e o Ensino M?dio (3). Foram aplicados, individualmente, um Question?rio Sociodemogr?fico, com o Crit?rio de Classifica??o Socioecon?mica Brasil, o Question?rio de Atividades de Autocuidado (QAD), o Question?rio de Estresse Face ? Diabetes-R (QSD-R), o Adolescente/Child?s Self-Report Responses to Stress (RSQ-Pediatric Diabetes- D-Ped), com valida??o lingu?stica autorizada, e a Escala de Coping do Diabetes para Adolescentes (COPE-DIA) especialmente elaborada. Os dados foram coletados na Associa??o de Diabetes Juvenil (ADJ), na cidade de Birigui/SP e nas resid?ncias dos adolescentes. A an?lise de dados foi quantitativa, atrav?s de an?lise estat?stica n?o param?trica, e qualitativa, com descri??o de dois casos. Os comportamentos do QAD com maior ades?o foram: Monitoramento da glicemia e Uso de Medica??o (insulina e/ou comprimidos). O Estresse Face ? Hipoglicemia foi considerado o estressor mais significativo pela maioria dos adolescentes, seguido do Regime Terap?utico e das Queixas Som?ticas, no QSD-R. Considerando os dois instrumentos que avaliaram os estressores do diabetes, foram mais frequentes aqueles ligados aos cuidados com o tratamento do diabetes e ao sentimento de culpa pelo n?o cumprimento das orienta??es m?dicas. Os adolescentes lidavam com o DM1 com EE de Engajamento Involunt?rio (Excita??o Emocional e Rumina??o) e Engajamento de Controle Secund?rio (Pensamento Positivo, Aceita??o, Distra??o e Reestrutura??o Cognitiva), segundo o RSQ-D-Ped. Pelo COPE-DIA, avaliaram os estressores mais como um desafio do que amea?a ?s suas necessidades b?sicas de Relacionamento, Compet?ncia e Autonomia, apresentando EE de Busca de Informa??o, Busca de Suporte, Resolu??o de Problemas, Isolamento (relativos ? necessidade de Relacionamento), Fuga, Delega??o e Desamparo (relativos ? necessidade de Compet?ncia). A rea??o emocional de raiva foi a mais frequente. O coping parece afetar a rela??o entre o regime terap?utico e a atividade f?sica. Essa an?lise das vari?veis motivacionais envolvidas no processo de ades?o ao tratamento em adolescentes com diabetes forneceu dados prescritivos para futuras interven??es com essa popula??o. Contribui tamb?m para a ?rea de pesquisa, ao propor uma an?lise mais desenvolvimentista das vari?veis relevantes ? ades?o ao tratamento nessa faixa et?ria.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-07-25T22:06:09Z No. of bitstreams: 1 MayaraMirnaDoNascimentoCosta_DISSERT.pdf: 1039364 bytes, checksum: 1afc397838112ac2d72f466cfe22c8b5 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-08-03T21:41:34Z (GMT) No. of bitstreams: 1 MayaraMirnaDoNascimentoCosta_DISSERT.pdf: 1039364 bytes, checksum: 1afc397838112ac2d72f466cfe22c8b5 (MD5) / Made available in DSpace on 2016-08-03T21:41:34Z (GMT). No. of bitstreams: 1 MayaraMirnaDoNascimentoCosta_DISSERT.pdf: 1039364 bytes, checksum: 1afc397838112ac2d72f466cfe22c8b5 (MD5) Previous issue date: 2016-01-29 / No in?cio da d?cada de 1990, um marco importante no tratamento da S?ndrome da Imunodefici?ncia Adquirida foi o desenvolvimento da terapia antirretroviral combinada de alta pot?ncia. O grande benef?cio gerado pelo uso dessa terap?utica foi o prolongamento da sobrevida das pessoas que adquiriram essa doen?a, uma vez que esta deixou de ser considerada fatal, tornando-se uma condi??o cr?nica. Apesar das melhorias geradas por esta terap?utica, restam ainda muitas dificuldades a serem superadas. Uma delas ? a ades?o do paciente ao seu tratamento, trazendo desafios aos servi?os e aos profissionais de sa?de. Da? adv?m ? necessidade de se identificar precocemente o diagn?stico de enfermagem Falta de Ades?o para que solu??es sejam buscadas pelo enfermeiro junto ao paciente e sua fam?lia. Com essa problem?tica, soma-se a dificuldade do enfermeiro assistencial em inferir esse diagn?stico, especialmente na identifica??o de suas caracter?sticas definidoras. Nesse contexto, objetivou-se avaliar a acur?cia dos indicadores cl?nicos do diagn?stico de enfermagem Falta de ades?o ao tratamento antirretroviral em pessoas vivendo com a S?ndrome de imunodefici?ncia adquirida. A pesquisa ocorreu em duas etapas. A primeira composta pela avalia??o dos indicadores do diagn?stico em estudo; e a segunda, pela infer?ncia diagn?stica realizada por enfermeiros especialistas. A primeira etapa ocorreu em um Hospital de refer?ncia no tratamento de doen?as infectocontagiosas do Nordeste do Brasil, e os dados foram obtidos por meio de um instrumento para realiza??o de anamnese e exame f?sico e analisado quanto ? presen?a ou aus?ncia dos indicadores do diagn?stico. Na segunda etapa, os dados foram encaminhados a especialistas, que julgaram a presen?a ou aus?ncia do diagn?stico na clientela estudada. O projeto foi submetido ao Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte, obtendo-se aprova??o com o Certificado de Apresenta??o para Aprecia??o ?tica (CAAE) n? 46206215.3.0000.5537. Os dados foram analisados por meio da estat?stica descritiva e inferencial. Utilizou-se o teste exato de Fisher, Teste qui-quadrado de Pearson e regress?o log?stica. J? a acur?cia dos indicadores cl?nicos foi mensurada por meio da especificidade, sensibilidade, valores preditivos, raz?es de verossimilhan?a. Como resultados, identificou-se a presen?a do diagn?stico Falta de ades?o em 69% (n=78) dos pacientes do estudo. As caracter?sticas definidoras que apresentaram signific?ncia estat?stica na associa??o com o diagn?stico estudado foram: comportamento de falta de ades?o, complica??o relativa ao desenvolvimento, falta a compromissos agendados, falha em alcan?ar os resultados, e exacerba??o de sintomas. A caracter?stica com maior sensibilidade foi comportamento de falta de ades?o e a de maior especificidade foi exacerba??o dos sintomas. A Regress?o Log?stica demonstrou como fatores preditores para o diagn?stico faltam de ades?o: comportamento de falta de ades?o, falta a compromissos agendados, falha em alcan?ar os resultados, e exacerba??o de sintomas. Foi poss?vel concluir que a identifica??o de indicadores cl?nicos de forma acurada permitiu uma boa predi??o do diagn?stico de enfermagem Falta de ades?o em pessoas vivendo com a S?ndrome de imunodefici?ncia adquirida, contribuindo para que o enfermeiro desenvolva de forma precoce estrat?gias para a promo??o da ades?o ao uso dos antirretrovirais. / In the early 1990s, a major milestone in the treatment of Acquired Immune Deficiency Syndrome was the development of highly active combination antiretroviral therapy. The great benefit generated by the use of this therapy was prolonging the survival of the people who got this disease, since it is no longer considered fatal, becoming a chronic condition. Despite improvements generated by this therapy, there are still many difficulties to be overcome. One is the patient adherence to their treatment, bringing challenges to services and health professionals. Hence the need for early identification of nursing diagnosis Lack of Accession so that solutions are sought by the nurse with the patient and his family. With this problem, adds to the difficulty of hospital nurses in inferring that diagnosis, especially in identifying their defining characteristics. In this context, the objective was to evaluate the accuracy of clinical indicators of nursing diagnosis Lack of Adherence to antiretroviral treatment for people living with the Acquired Immunodeficiency Syndrome. The research took place in two stages. The first consists of the evaluation of the diagnostic indicators in the study; and second, the diagnostic inference performed by specialist nurses. The first step took place in a referral hospital in the treatment of infectious diseases in the Northeast of Brazil, and data were collected through an instrument for carrying out history and physical examination and analyzed for the presence or absence of the diagnostic indicators. In the second stage, the data were sent to experts, who judged the presence or absence of the diagnosis in the studied clientele. The project was submitted to the Ethics Committee of the Federal University of Rio Grande do Norte, obtaining approval with the General Certificate for Ethics Assessment (CAAE) No 46206215.3.0000.5537. Data were analyzed using descriptive and inferential statistics. Test were used Fisher's exact, chi-square test of Pearson and logistic regression. Since the accuracy of clinical indicators was measured by sensitivity, specificity, predictive values, likelihood ratios. As a result, we identified the presence of diagnosis Lack of Accession on 69% (n = 78) of the study patients. The defining characteristics that showed statistically significant association with the diagnosis studied were: lack of adherence behavior, complications related to development, missing scheduled appointments, failure to achieve results, and exacerbation of symptoms. The characteristic with greater sensitivity was missing scheduled appointments and the highest specificity behavior of noncompliance. The logistic regression showed as predictors for the diagnosis Lack of Accession: lack of adherence behavior, missing scheduled appointments, failure to achieve results, and exacerbation of symptoms. It was concluded that the identification of clinical indicators accurately enabled a good prediction of the nursing diagnosis Lack of Accession on people living with the Acquired Immune Deficiency Syndrome, helping nurses develop early on strategies for promoting adherence to the use of antiretrovirals.

Made available in DSpace on 2016-04-04T18:29:41Z (GMT). No. of bitstreams: 1 Renato Marchi.pdf: 1336693 bytes, checksum: bcdd5e2f052a29bb390cf3fc87b8af07 (MD5) Previous issue date: 2008-02-12 / Bipolar disorder (BD) is associated with ps ychosocial and family relationships disturbing, mortality and economic burden high rates . The treatment aims the acute episodes and prevents new episodes. There are high rates of non-adherence in BD. The objective of this study was to develop and validate a clinical rating scale capable to predict the patient compliance to treatment in BD in both gend ers. The procedure involved the search in pertinent scientific literature for reports of factors of non-adherence of bipolar patients, analysis of patients during pilot studies and contact with professionals who deal with those patients in order to develop a comprehensive list of possible symptoms. This procedure was followed by items' selection and testing of the preliminary form of the clinical rating scale. The scale was analyzed statistically. Reliability study showed a high level of internal consistency. Factor analysis revealed five factors related to the clinical treatment: behaviors and beliefs of the patient, therapeutic alliance, therapeutic procedures, association of psychotherapy interventions and adverse effects of drug therapy. Predictive validation showed that items' factors were able to measure the non - adherence to treatment. It was concluded that the Clinical Rating Scale to Predict the Compliance to Treatment in Bipolar Disorder can be considered a valid instrument to predict the patient compliance to medical treatment . / O Transtorno Bipolar do Humor (TBH) est? associado a altas taxas de desajustes psicossociais e familiares, mortalidade e preju?zos econ?micos. O tratamento visa o controle de epis?dios agudos e preven??o de novos epis?dios. As taxas de n?o - ades?o ao tratamento s?o altas em TBH. Este trabalho teve por objetivo elaborar e validar uma escala de avalia??o clinica , capaz de indicar a probabilidade de ades?o ao tratamento medico clinico dos pacientes bipolares de ambos os g?neros. O procedimento foi constitu?do de levantamento dos fatores ligados a n?o-ades?o ao tratamento em TBH na literatura pertinente, analise de pacientes bipolares durante estudo piloto, analise por juizes, sele??o dos itens e aplica??o da escala em sua fase inicial, para subseq?ente an?lise psicom?trica. A analise de precis?o do instrumento evidenciou n?vel satisfat?rio de consist?ncia interna. Extra?ram-se cinco fatores de acordo com a analise fatorial explorat?ria, ligados ao tratamento medico clinico: atitudes e cren?as do paciente, alian?a terap?utica, procedimentos terap?uticos, associa??o de interven??es psicoter?picas e efeitos adversos dos psicof?rmacos. A valida??o preditiva revelou que os itens referentes a tais fatores medem a n?o-ades?o ao tratamento. Conclui -se que a ECPAT-TBH pode ser considerada um instrumento v?lido para prever a ades?o ao tratamento m?dico.

Made available in DSpace on 2014-12-17T15:38:51Z (GMT). No. of bitstreams: 1 MarciaTMR.pdf: 675691 bytes, checksum: 8421c03f2a9a714352355d7c7ea5ed53 (MD5) Previous issue date: 2003-06-26 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The high blood pressure is a multifactorial chronic disease which possesses emotional and social features in the illness appearance and evolution and in the adherence to the treatment which involves a decision-making through patient so that he or she process the necessary changes on harmful living habits. Adhesion, traditionally, it is referred to the patient to answer to the doctor orientations or of other health professional, about the appearance to the appointment with a doctor, about the use of medicine or lifestyle changes and maintaining this adhesion is the main problem to be overcame. It is expected the adhesion will ever be a continual, stable and satisfactory action, disregarding the complexity of subjectivity processes which permeate the sicken. This research aimed to investigate the difficulties which the person with high blood pressure has to adhere to the treatment, from the signification processes which give sense to the actions dealing with the adhesion. The study was carried out with 48 users of assistance program to the high blood pressure patient from Hospital Universit?rio from Natal RN, between 40-65 age. The answers were submitted to a double analysis process: 1) answer systematization in categories and codes and admission in statistical program SPSS (Statistical Package of Social Science), for generation of descriptive statistics; 2) Sense and signification analysis which permeated the deepener statement and interpretatively. The greater difficulties found are present on low-salt and law-calorie diets, in the dealing with everyday feeling and stress, being these factors cited as direct motive to the high blood pressure, regardless of interviewee s sex. It is observed there is not adhesion, but adhering, as an experienced everyday process. This work contributes with its results, assessing the used strategies by program with the aim of increasing the adhesion rates / A Hipertens?o Arterial ? uma doen?a cr?nica, multifatorial, possuindo caracter?sticas emocionais e sociais implicadas no aparecimento e evolu??o da doen?a e na ader?ncia ao tratamento, que envolve uma tomada de decis?o por parte do seu portador para que sejam processadas as mudan?as necess?rias nos h?bitos de vida nocivos. Ades?o, tradicionalmente, refere-se ao paciente atender ?s orienta??es do m?dico ou de outro profissional de sa?de, no comparecimento ?s consultas marcadas, no uso do medicamento ou mudan?as de estilo de vida e manter esta ades?o ? o grande problema a ser vencido. Espera-se que a ades?o seja uma a??o cont?nua, est?vel e satisfat?ria sempre, desconsiderando a complexidade dos processos de subjetiva??o que permeiam o adoecer. A pesquisa objetivou investigar as dificuldades que a pessoa portadora de hipertens?o tem de aderir ao tratamento, a partir dos processos de significa??o que d?o sentido ?s a??es lidando com a ades?o. O estudo foi realizado com 48 usu?rios do programa de assist?ncia ao hipertenso do Hospital Universit?rio de Natal/RN, com idade entre 40 e 65 anos. As respostas foram submetidas a um duplo processo de an?lise: 1) sistematiza??o das respostas em categorias e c?digos e ingresso no programa estat?stico SPSS (Statistical Package of Social Science), para gera??o de estat?sticas descritivas; 2) an?lise dos sentidos e significados que permearam os depoimentos de forma mais aprofundada e interpretativa. As maiores dificuldades encontradas est?o presentes na dieta hiposs?dica e hipocal?rica, no lidar com sentimentos e stress da vida di?ria, sendo esses fatores citados como motivo direto para o aumento da press?o arterial, independentemente do sexo dos entrevistados. Observou-se que n?o existe ADES?O e sim ADERINDO, como um processo vivenciado diariamente. Este trabalho contribui, com os seus resultados, para avaliar as estrat?gias utilizadas pelo programa, visando um aumento dos ?ndices de ades?o

Made available in DSpace on 2014-12-17T14:06:48Z (GMT). No. of bitstreams: 1 TacioDBG.pdf: 1757176 bytes, checksum: 3cabe1cee719475706ab99a62bb862f6 (MD5) Previous issue date: 2007-11-13 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / &#65279;The work presents the effect of plasma treatment when applied in fibers or carbon/glass posts in the adhesion fiber/resin and posts/cement. This has for objective the modification of the surface of the fibers, as well as the wettability of the posts, seeking the improvement of the adhesion and of the connection fiber/resin in the processing of polymeric composites reinforced with the same ones. 120 posts (Reforpost) were used and 30 meters of fibers of carbon and of glass (Fibrex), of the company Angelus. The samples were divided in three groups of 40 specimens: GROUP I - 20 posts of glass fiber and 20 of carbon without treatment to it shapes, GROUP II -20 posts of glass fiber and 20 of carbon treated to it shapes in the surface and GROUP III - 20 posts of glass fiber and 20 of carbon make with fibers in natura after plasma treatment. The plasma treatment was accomplished with oxygen and with temperature in the camera fixed at 200?C, for one hour of exhibition. The posts and the fibers were characterized before and after the treatment. The wettability was measure by pendent drop method, and interface fiber/resin and posts/cement were observed by optical and electronic microscopy. It was observed that both wettability and texture were increased with plasma treatment / &#65279;O presente trabalho aborda o tratamento superficial a plasma de pinos e fibras de carbono e de vidro, para uso odontol?gico. Este tem por objetivo a modifica??o da superf?cie das fibras, bem como a superf?cie dos pinos, visando a melhoria da ades?o fibra/resina e pino/cimento. Foram utilizados 120 pinos (Reforpost) e 30 metros de fibras de carbono e de vidro (Fibrex), da empresa Angelus. As amostras foram divididas em tr?s grupos de 40 esp?cimes: GRUPO I - 20 pinos de fibra de vidro e 20 de fibra de carbono sem tratamento em plasma, GRUPO II -20 pinos de fibra de vidro e 20 de carbono tratados a plasma na superf?cie e GRUPO III- 20 pinos de fibra de vidro e 20 de carbono confeccionados a partir do tratamento em plasma da fibra in natura . O tratamento em plasma foi realizado com atmosfera de oxig?nio durante 1 hora. Tanto as fibras como os pinos foram colocados a uma dist?ncia de 7cm, de modo a evitar o aquecimento dos mesmos. A temperatura do catodo foi de 200?C. Os pinos e as fibras foram caracterizados antes e ap?s o tratamento, atrav?s de metalografia, microscopia ?tica e eletr?nica de varredura. Em seguida, foram realizados ensaios de capilaridade das fibras, tor??o e molhabilidade nos pinos. Os resultados mostram que o tratamento empregado modifica a superf?cie das fibras, aumenta a molhabilidade dos pinos, modifica a textura superficial de ambos quando em compara??o com as amostras sem tratamento, como tamb?m demonstra um aumento da ades?o das interfaces fibra/matriz e pino/cimento resinoso

Made available in DSpace on 2014-12-17T14:47:07Z (GMT). No. of bitstreams: 1 SamillyMDL_DISSERT.pdf: 2432551 bytes, checksum: 39a06155ddac056ef776f3527c721cf7 (MD5) Previous issue date: 2014-08-01 / The therapeutic adherence is still a big problem among people with venous ulcers (VU) because the treatment is long, expensive and demand changes in lifestyle. In this context, this study aims to examine treatment adherence and quality of life (QOL) of people with VU assisted at primary health care. This is an analytical, cross-sectional study with a quantitative approach to treatment and data analysis. The study had the scenario 13 Family Health Units and 02 Units Mixed of Natal. The target population consisted of 44 persons with UV indicated by the teams of the Family Health Strategy between February and April 2014. Three instruments were used: an instrument to characterize the sociodemographic, health and care aspects, the Multidimensional Scale of Adherence Therapy composed of the dimensions: healthy lifestyle, compressive therapy and neurovascular monitoring and the Charing Cross Venous Ulcer Questionnaire (CCVUQ) that evaluates QOL in persons with VU composed by the domains: Total Score, Social Interaction, Domestic Activities, Aesthetics and Emotional State. The study was approved by the Ethics Committee in Research of the Federal University of Rio Grande do Norte, CAAE: 07556312.0.0000.5537. The data concerning the sociodemographic characteristics showed that there was a predominance of females (65.9%), age range as of 60 years (59.1%) and income of up to 1 minimum wage (81.8%). With the characterization of health, it was evident that most people reported chronic diseases (63.6%), sleep more than 6 hours (81.8%), present pain (81.8%), denying alcoholism (86 4%) and smoking (77.3%) and showed a number greater than or equal to 1 (77.3%) recurrences. Concerning the therapeutic adherence was found that in the dimension compressive therapy there poor adherence. No associations between the domains of adherence and sociodemographic and health variables were found. Was observed, however, better adherence among individuals without pain and with higher schooling. When analyzed the averages of the dimensions of therapeutic adherence with the care characteristics there was statistical significance between: adherence to compression therapy and guidance for use of compressive therapy (p = 0.002) and guidance for regular exercise (p = 0.026). Considering the mean of total score of CCVUQ (mean 51.47, SD 18.33) it is observed that the overall QOL of respondents has approximate value of the median of the scale (50). The mean of the domain Social Interaction (mean 44.23, SD 21.38) and Domestic Activities (mean 45.70, SD 23.21) were those who reported better QOL. There were weak correlations but significant between adherence to healthy lifestyle and Domains Total Score (p = 0.012), social interaction (p-value = 0.048), Aesthetics (p-value = 0.025) and Emotional State (0.017) of CCVUQ. From the data analysis it is concluded that among people with UV, there poor adherence to compressive therapy. Furthermore, we found no statistically significant association between treatment adherence and sociodemographic and health characteristics. It is added that there was a correlation between the healthy lifestyle dimension and domains CCVUQ / A ades?o terap?utica ainda ? um grande problema entre pessoas com ?lceras venosas (UV), uma vez que a presen?a dessa les?o demanda um tratamento longo, dispendioso, e altera??es no estilo de vida. Nesse contexto, este estudo tem como objetivo geral analisar a ades?o ao tratamento e a qualidade de vida (QV) das pessoas com UV atendidas na aten??o prim?ria ? sa?de. Trata-se de estudo anal?tico, transversal, com abordagem quantitativa de tratamento e an?lise de dados. O estudo teve como cen?rio 13 Unidades de Sa?de da Fam?lia e duas Unidades Mistas da cidade de Natal. A amostra foi composta por 44 pessoas com UV indicadas pelas equipes da Estrat?gia Sa?de da Fam?lia entre fevereiro e abril de 2014. Utilizaram-se tr?s instrumentos: instrumento de caracteriza??o dos aspectos sociodemogr?ficos, de sa?de e assistenciais; a Escala Multidimensional de Ades?o Terap?utica, composta pelas dimens?es: estilo de vida saud?vel, terapia compressiva e vigil?ncia neurovascular; e o Charing Cross Venous Ulcer Questionnaire (CCVUQ), que avalia QV em pessoas com UV atrav?s de quatro dom?nios: Intera??o Social, Atividades Dom?sticas, Est?tica e Estado Emocional, al?m de gerar um Escore Total. A pesquisa obteve parecer favor?vel do Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte, CAAE: 07556312.0.0000.5537. Os dados referentes ? caracteriza??o sociodemogr?fica demonstraram que houve predomin?ncia do sexo feminino (65,9%), da faixa et?ria a partir de 60 anos (59,1%) e renda de at? 1 sal?rio m?nimo (81,8%). A caracteriza??o de sa?de evidenciou que a maioria das pessoas relatou doen?as cr?nicas associadas (63,6%), sono maior que 6 horas (81,8%), presen?a de dor (81,8%) e mais de uma recidiva (77,3%). A maior parte negou etilismo (86,4%) e tabagismo (77,3%). Em rela??o ? ades?o terap?utica verificou-se pior ades?o na dimens?o terapia compressiva. N?o foram encontradas associa??es entre os dom?nios da ades?o e as vari?veis sociodemogr?ficas e de sa?de. Observou-se, no entanto, melhor ades?o entre os indiv?duos sem dor e com maior escolaridade. Ao analisar a rela??o das dimens?es da ades?o terap?utica com as caracter?sticas da assist?ncia observou-se associa??o entre: ades?o ? terapia compressiva e orienta??es para uso de terapia compressiva (p-valor = 0,002) e para exerc?cios regulares (p-valor = 0,026). Considerando a m?dia do escore total do CCVUQ (m?dia 51,47 e DP 18,33) observa-se que a QV geral dos pesquisados tem valor aproximado ao da mediana da escala (50). Os participantes apresentaram melhor qualidade de vida nos dom?nios Intera??o Social e Atividades Dom?sticas. Verificaram-se correla??es significativas, por?m fracas, entre ades?o ao estilo de vida saud?vel e o Escore Total (p = 0,012), Intera??o Social (p = 0,048), Est?tica (p = 0,025) e Estado Emocional (p = 0,017) do CCVUQ. A partir da an?lise dos dados conclui-se que a maior dificuldade de ades?o entre as pessoas com UV refere-se ? terapia compressiva. Observou-se correla??o apenas entre a dimens?o estilo de vida saud?vel e os dom?nios do CCVUQ

Made available in DSpace on 2014-12-17T13:51:38Z (GMT). No. of bitstreams: 1 FernandoPSO_TESE.pdf: 2860613 bytes, checksum: c176b9a96ce41e332623f6fc2475170a (MD5) Previous issue date: 2014-08-11 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / This study approaches bureaucratic organizational structures with the aim to understand the adherence procedure to virtual technologies in the stricto sensu educational administrative process. Thus, the author navigates through the formation of these organizations in Brazil with the intent to demonstrate the bureaucratic organizational culture and the consequent form of domination of those who detain power. In this epistemological construction, the author explores the culture s bureaucratic environment and the organizational power. In the analyses, it was observed the technological phenomenon in the ODL s administrative environment, which can explain the adherence procedure to structures and technological instruments for stricto sensu courses that, hypothetically, dilutes the traditional inherited organizational axiom. Therefore, it was utilized as object of study the Professional Master s degree in National Scale Public Administration PROFIAP, hence analyzing the documental content and the legislation related to institutionalization as well as the positioning of professors/coordinators and of the director of CAPES/MEC. Considering this axioms, it was concluded that the bureaucratic structures can admit ODL in the stricto sensu s environment. However, this can only be done as long as the adherence does not imply in a dilution of the traditional forms of power and institutional bureaucratic inherited dominance, as well as the alleged hegemony of the governmental structure in the educational administration adopted in person by the stricto sensu courses in Brazil / O estudo aborda as estruturas organizacionais burocr?ticas, a fim de compreender a forma da ades?o ?s tecnologias virtuais no processo administrativo-educacional para o stricto sensu. Para tanto, o autor navega na forma??o das organiza??es no Brasil, visando demostrar a cultura organizacional burocr?tica e a consequente forma de dom?nio daqueles que det?m o poder. Nessa constru??o epistemol?gica, o autor explora o ambiente burocr?tico da cultura e poder organizacional. Para tal an?lise, observa-se o fen?meno da tecnologia no ambiente administrativo da EAD, o qual pode explicar a forma da ades?o ?s estruturas e instrumentos tecnol?gicos para o stricto sensu, que, em tese, dilui o axioma organizacional tradicional herdado. Portanto, foi utilizado, enquanto objeto de estudo, o caso do Mestrado Profissional em Administra??o P?blica em Rede Nacional PROFIAP, analisando o conte?do documental e da legisla??o relacionada ? institucionaliza??o e o posicionamento de professores/coordenadores e diretor da CAPES/MEC. Concluiu-se, sob tais axiomas, que as estruturas burocr?ticas podem admitir, sim, a EAD no ambiente do stricto sensu. Isso desde que a ades?o n?o conote diluir as formas tradicionais de poder e dom?nio burocr?tico institucional herdado, assim como a suposta hegemonia da estrutura de governan?a da administra??o na educa??o adotada presencialmente pelo stricto sensu no Brasil

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2015-12-02T19:49:15Z No. of bitstreams: 1 DaniloCavalcanteBraz_TESE.pdf: 28469447 bytes, checksum: 99cbc13da13290f58060715e274f57b9 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2015-12-09T00:10:10Z (GMT) No. of bitstreams: 1 DaniloCavalcanteBraz_TESE.pdf: 28469447 bytes, checksum: 99cbc13da13290f58060715e274f57b9 (MD5) / Made available in DSpace on 2015-12-09T00:10:10Z (GMT). No. of bitstreams: 1 DaniloCavalcanteBraz_TESE.pdf: 28469447 bytes, checksum: 99cbc13da13290f58060715e274f57b9 (MD5) Previous issue date: 2014-06-27 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico - CNPq / A utiliza??o de materiais biom?dicos tendo como constituinte os nitretos, ?xidos e oxinitretos de tit?nio vem crescendo devido ?s propriedades biocompat?veis. Sendo assim, superf?cies de tit?nio foram tratadas termoquimicamente em atmosferas de plasma contendo misturas de Ar+N2+O2 e estudada a influ?ncia das diferentes superf?cies sobre a resposta da ades?o e agrega??o plaquet?ria. Foi verificado por an?lises de difra??o de raios-X com incid?ncia rasante (GIXRD) e espectroscopia micro Raman a presen?a de nitretos, oxinitretos e ?xidos de tit?nio, obtendo assim, diferentes propriedades em cada superf?cie. No caso da rugosidade, as amostras tratadas somente com arg?nio e nitrog?nio, foram as que obtiveram maior valor, sendo que o processo de sputtering ocasionado por esses dois gases ocasionou menores valores nos ensaios de nanodureza. Na an?lise de ?ngulo de contato com a ?gua, apesar de todas apresentarem car?ter hidrof?lico, houve uma diminui??o no valor do ?ngulo para amostras tratadas com adi??o de apenas com nitrog?nio ou oxig?nio, em compara??o com aquelas oxinitretadas. O ensaio de ?ngulo de contato tamb?m foi realizado com o plasma sangu?neo e foi obtida uma tend?ncia ao mesmo comportamento com a ?gua, ou seja, maiores valores para as superf?cies oxinitretadas. Com respeito aos ensaios de ades?o e agrega??o plaquet?ria verificou-se que as atmosferas contendo menor concentra??o de arg?nio (menor dilui??o) a distancia m?dia entre as plaquetas foi menor para amostras nitretadas e oxidadas quando comparadas com as amostras oxinitretadas. Para o grupo com maior concentra??o de arg?nio, al?m de apresentarem menores distancias m?dias entre as plaquetas, verificou-se maior tamanho de agregrado plaquet?rio, indicando o inicio da forma??o de trombos na superf?cie do material. A morfologia das plaquetas tamb?m informa o inicio do processo de agrega??o, e para as amostra nitretadas, as plaquetas apresentaram forma??o de psed?podes indicando a uma maior ader?ncia a superf?cie.