Compreender o que pensam os visitantes do portador de aids é um tema de pesquisa relevante, no contexto de uma prática de saúde na qual se pressupõe uma participação ativa daqueles que recebem o cuidado. Este estudo abordou, através de entrevistas individuais, semi-estruturadas, dez visitantes de clientes com aids, internados em uma unidade especializada, de um hospital geral, com o objetivo que compreender os sentimentos dos familiares e amigos que visitavam uma pessoa próxima portadora. A caracterização desses visitantes mostrou que a maioria deles é mulher com vínculos de consangüinidade com o portador: mãe, irmã, tia, entre outros. A análise das entrevistas foi realizada com base no referencial teórico-metodológico das representações sociais e centrou-se em categorias prévias que circunscreveram o tempo que cerca a construção dessas representações, quais sejam: tempo longo, tempo vivido e tempo curto. No contexto do tempo longo, apareceram conteúdos de construção da representação da aids que remeteram a questões, como estigma, preconceito e morte. No contexto do tempo vivido, foram representadas as razões para a manutenção e/ou reatamento dos vínculos entre visitante e portador, sustentadas nas relações de dar, receber e retribuir, que são os fundamentos da solidariedade entre essas pessoas. No contexto do tempo curto, apareceram os significados do adoecimento e suas repercussões imediatas na vida dos participantes. Reitera-se, aqui, a importância destes achados tendo em vista a demanda que se impõe aos profissionais da saúde, de um modo geral, que atuam junto a portadores de doenças cujo tratamento estende-se por um período longo de tempo e com os quais têm grande proximidade. / Understanding the visitor’s feelings is an important research topic inside a practice of health that assumes an active participation that receive the care. This estudy approached in individuals interviews, ten visitors of people with aids, commited in a special unit of a general hospital, with the goal of comprehending the feelings of family and friends that visited a close sick person. The carahacterization of theses visitors showed tha maiority us woman with blood reation with client: mothers, uncles, sisters and other people. The interview analysis was conducted based on theorical-methodological reference of social representation and principal points in previous cathegories that limited the theme about construction of these representations: long time, life time and short time. In the context of long time contents of construction of aid’s representation appear, that take questions like stigma, preconception and death. In the content of life time we presented razions of maintence or treatment of visitor relation with client, supported in relations of giving, receiving, retributing, based solidarity with these people. In the context of a life of participants. This result is important because of demand to health profissionales, that work theses clients, whose treatment lasts for a long time and withwhom has much proximity.

Made available in DSpace on 2014-06-12T18:28:24Z (GMT). No. of bitstreams: 2 arquivo1055_1.pdf: 691685 bytes, checksum: 880a436eb252d3cd5a6bddf2cb54130a (MD5) license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) Previous issue date: 2010 / Há poucos relatos sobre a freqüência do envolvimento ocular pelo Mycobacterium tuberculosis (M. tuberculosis) em pacientes co-infectados com tuberculose/aids, embora estas lesões possam levar a um importante acometimento da função visual, caso não seja diagnosticado e tratado a tempo. O objetivo desta pesquisa foi avaliar e descrever as principais manifestações oftalmológicas e a frequência da tuberculose ocular encontradas entre os pacientes co-infectados com HIV/TB em dois hospitais de referência na cidade de Recife em pacientes, de ambos os sexos, com idade entre 21 e 64 anos, com diagnósticos de tuberculose e aids, no período de setembro de 2009 a março de 2010, encaminhados pelos infectologistas de dois hospitais públicos da cidade do Recife, PE. Os pacientes se caracterizaram por: 35 (58,33%) apresentarem tempo de soropositividade para o HIV menor do que 5 anos; 45 (75%) apresentarem a medida da carga viral entre 10.001 a 100.000 cópias; 52 (86,66%) estarem fazendo uso da TARV regularmente; 39 (65%) apresentarem contagem de linfócitos TCD4 (≤ 200 células/mm3 ); 54 (93,33%) dos 60 pacientes havia iniciado tratamento para a TB, 34 (56,66%) apresentaram tuberculose pulmonar, 14 (23,33%) tuberculose disseminada e 12 (20%) apresentaram associação das duas formas. Todos os pacientes foram submetidos ao exame oftalmológico completo com oftalmoscopia binocular indireta. 2 (3,33%) pacientes apresentaram acometimento ocular pelo Mycobacterium tuberculosis (M. tuberculosis ), as lesões incluíam com tuberculomas de coróide e granuloma de coróide, tendo ambos respondido bem ao tratamento com as drogas antituberculose. Concluiu-se que apesar da alta prevalência tanto da aids como da tuberculose em nossa região, este estudo não apresentou uma frequência maior de tuberculose ocular do que a demonstrada pela literatura em pacientes co-infectados com tuberculose/aids

Submitted by Biblioteca da Faculdade de Farmácia (bff@ndc.uff.br) on 2017-03-27T18:50:16Z No. of bitstreams: 1 Piccoli, Nilo Jorge [Dissertação, 2014].pdf: 2401045 bytes, checksum: 047d0576783cb7604f40dd81976b04ab (MD5) / Made available in DSpace on 2017-03-27T18:50:16Z (GMT). No. of bitstreams: 1 Piccoli, Nilo Jorge [Dissertação, 2014].pdf: 2401045 bytes, checksum: 047d0576783cb7604f40dd81976b04ab (MD5) / O fortalecimento das políticas de Assistência Farmacêutica aos usuários com HIV/AIDS é de grande importância para garantir a sustentabilidade do programa, principalmente pelos altos custos envolvidos para sua implantação e execução. Neste trabalho foi realizada uma avaliação da Assistência Farmacêutica em HIV/AIDS no município de Niterói, com ênfase no seu gerenciamento. O trabalho teve como objetivo responder duas perguntas avaliativas: As condições de estrutura e os processos de trabalho existentes são adequados para que se exerça uma assistência farmacêutica de qualidade às pessoas vivendo com HIV/AIDS (PHVA) atendidas no município de Niterói? As condições de estrutura e os processos de trabalho existentes são adequados para que se garanta o acesso aos medicamentos ARV e para infecções oportunistas às PHVA atendidas no município de Niterói? O desenho da avaliação foi o de um estudo de caso, e a abordagem utilizada foi uma avaliação normativa com foco na qualidade, envolvendo análise da estrutura, do processo e dos resultados, através da construção de um modelo lógico teórico. Das oito UDM existentes no município, seis foram avaliadas neste trabalho. Foram construídas matrizes de relevância e de análise e julgamento, em que os indicadores foram divididos em quatro grupos, de acordo com os componentes da assistência farmacêutica sob a responsabilidade do município descritos no modelo lógico. Os indicadores foram inicialmente analisados individualmente, destacando-se como pontos positivos a disponibilidade dos ARV, a ausência de medicamentos vencidos e de prescrições em desacordo com o consenso de tratamento para pacientes com HIV/AIDS, bem como a boa orientação dos pacientes no uso dos medicamentos ARV. Como problemas destacaram-se os baixos índices de conformidade em relação a boas práticas de dispensação e armazenamento e um prazo elevado para a distribuição dos medicamentos. Foram também efetuadas análises por componente da assistência farmacêutica, em que apenas o componente distribuição obteve um grau de qualidade aceitável. Considerando-se as dimensões de avaliação disponibilidade de recursos, organização da assistência e qualidade técnica, os resultados mostraram deficiências na dimensão organização da assistência. O resultado individual de cada UDM mostrou que apenas duas possuem grau de qualidade bom, e o resultado geral para a FMS de Niterói foi de 50,3% de atendimento aos critérios de qualidade, considerado apenas regular. Foram sugeridas propostas de ações e intervenções, entre elas, a melhoria nas condições estruturais das farmácias das unidades de saúde do município, e aumento na capacitação dos profissionais envolvidos com a assistência para melhoria dos processos de trabalho / The strengthening of the pharmaceutical services to patients having HIV/AIDS is of major importance to maintain the sustainability mainly for its high implementation and execution costs. On this paper it was performed an evaluation of the pharmaceutical HIV services in the city of Niterói, emphasizing its management. The study aimed to answer two evaluative questions: The structure and existing work processes are suitable for guarantee pharmaceutical services’ quality to people living with HIV (PHVA) in Niterói? The structure and existing work processes are adequate to ensure access to medicines for opportunistic infections and ARV patients to PHVA in Niterói? The evaluation design was a case study, and a normative approach focusing on quality was also used, involving analysis of the structure, process and results, by building a logical theoretical model. Out of the eight existing UDM in the city, six were evaluated in this study. Matrices of relevance and analysis and judgment were created, in which the indicators were divided into four groups according to the components of the pharmaceutical services under the responsibility of the city described in the logical model. The indicators were initially analyzed individually, where as positive points, the availability of ARVs, the absence of expired drugs and prescriptions in disagreement with the consensus of treatment for patients with HIV / AIDS as well as good guide of patients in the use of antiretroviral medications were highlighted. The main problems identified were the low levels of conformity against good practice criteria of dispensing and storage and a high period for the medicine distribution. Pharmaceutical services components were also analyzed and distribution was the only component that obtained an acceptable level of quality. The dimensions availability of resources, organization of services and technical quality were investigated and the organization of services aspect obtained the lowest grade. The individual result of each UDM showed that only two achieved good quality degrees, and the overall result to Niterói’s FMS was 50.3 %, which was considered only regular. Actions and interventions have been suggested, amongst them, the improvement of the structural conditions of pharmacies’ health facilities in the city, and an increase in the training of professionals involved with assistance to improve work processes

D.Ed. / HIV/AIDS presents a major challenge in South Africa. HIV/AIDS was officially diagnosed as a disease in South Africa since the early 1980’s. Initially people did not want to acknowledge the existence of HIV/AIDS. In South Africa there are many people living with HIV and some are already dying of AIDS-related diseases. This study investigated the perceptions of learners, educators, and Department of Education officials on the influence of HIV/AIDS in schools in informal settlements. The aim of this study was firstly, to establish what the perceptions were of learners, educators and Departmental officials about the influence that HIV/AIDS has on the education sector; secondly, to describe how the research would be undertaken; thirdly, to establish ways how to integrate HIV/AIDS issues in the curriculum that will provide specific skills and information to help avoid risky and immoral sexual behaviour and to reduce the spread of HIV and other STI’s; and ultimately, to strive towards achieving a tendency to promote abstinence. The naturalistic research design was used to establish what these perceptions were of the influence HIV/AIDS have on learners, educators, and Department of Education officials. Focus group interviews and discussions, observations and field notes were the data sources. The focus group discussions were tape-recorded for transcriptions. Transcriptions were studied and analysed; different colours were used for decoding and clustering of the findings, in order to identify themes and categories. The findings of this study confirm that the respondents from the education sector, more specifically the learners, the educators, and the officials in service of the Department of Education, are aware of the enormous influence that HIV/AIDS have on education in general and schools more specifically. The findings also represent the daunting challenge that South Africa as a society has. The influence stemmed from different dimensions as represented in the categories and themes that were identified, but they are all interrelated. The most serious challenge that South Africa faces in this era of HIV/AIDS however, is still poverty. South Africa is a country of widespread and persistent poverty and therefore deep inequalities exist. Poverty and HIV/AIDS are interrelated. Poverty provides the context for AIDS and AIDS exacerbates poverty. Poor households are more likely to feel the impact of AIDS resulting in an increase in the extent of poverty. Poverty and the HIV/AIDS epidemic are two of the most devastating diseases ever to hit South Africa. The influence thereof is now beginning to sink in among most communities. Already the influence of living with HIV/AIDS in the midst of poverty is being felt in hundred of thousands of house¬holds across the country. Education is a sector central to human development. Increasing evidence of HIV/AIDS will reduce the capacity of learners to attend school and to learn. Expansion of enrolments and improvement of teaching will be eroded by staff losses and reduced institutional efficiency. All this is experienced at the time when the Department of Education has rationalised teacher-training colleges and very few students register for a teaching degree at higher institutions of learning. Current shortages of educators in the schools as a result of HIV/AIDS compromise the quality of education in our country and undermine the fundamental objectives of ensuring that there are sufficient numbers of skilled people in the economy. The significance of this study is situated in breaking the silence, making participants talk about the subject of HIV/AIDS openly. This in itself is a major breakthrough in any research that has thus far been undertaken, and the facts that were uncovered and discussed in the interviews contribute hugely to the body of scientific knowledge on this monstrous disease. The further contribution of this thesis is to be found in the written up findings, conclusions, recommendations and the suggestions provided in Chapter 5 that will inculcate abstinence and ultimately enforce disclosure of one’s status. It is the researchers’ belief that this study will further help to mitigate the influence of HIV/AIDS within the education sector and throughout the Republic of South Africa.

In response to the crisis created by the HIV and AIDS pandemic in this country, South African education departments are demanding that educators play a significant role in creating awareness amongst children and adults alike. This task is challenging for teachers who are already working under the pressure of demanding workloads. In order to achieve the intended outcome of AIDS awareness, training of highly efficacious teachers is required. The education module, PSED201, Issues in School and Society, offered as part of a BEd degree for in-service mathematics and science teachers at the Nelson Mandela Metropolitan University, provides one such training opportunity. This study investigates the impact of this module on the self-efficacy of 128 teachers with respect to their role as HIV and AIDS educators. Both quantitative and qualitative methods were used and data were collected by means of questionnaires and interviews. The results suggest that there has been an improvement in all four areas of teacher self-efficacy examined in this research. As such, it may be concluded that an important outcome of this intervention has been achieved. As highly efficacious teachers are more likely to influence the behaviour of their learners, the findings of this research should make a meaningful contribution to the debate around AIDS education in South African schools.

Class of 2006 Abstract / Objectives: The HIV/AIDS Awareness series aims to broaden the College of Pharmacy’s impact and service to the community by educating and increasing awareness about the many facets of HIV/AIDS not only locally, but also globally. Our innovative educational series entitled “AIDS Awareness Week,” will enable many students and faculty to come together to learn in a community forum setting. Our purpose is to describe the general activities included in the Week, as well as to describe the general reaction to the program. Methods: A questionnaire was developed and administered every day of the week long series from November 28 – December 1 2005 at the University of Arizona, College of Pharmacy. Results: Data was utilized for a total of 222 participants to the 2005 AIDS Awareness Week educational series. Of the 222, 41.4% (n=92) were male, and 59% (n=130) were female. The following faculties were represented during the week; College of Pharmacy 72.5% (n=161), the College of Nursing 14% (n=30), the College of Medicine 7.2% (n=16), the College of Public Health 1.4% (n=3), and those from “other” programs at 1.4% (n=3). Of those in attendance, 94% (n=209) were students, 2.3% (n=5) were faculty, 2.3% (n=5) fell into the “other” category, and 1.4% (n=3) were health professionals. Of significance was the number of “return” participants to the different 2005 educational series. The number of “return participants” was as follows: On day 2, 63.3% (n=38) of the 60 in attendance had been to the previous day. On day 3, 48% (n=30) of 63 participants had been to Day 1, and 62% (n=39) had also attended Day 2. On Day 4, 52% (n=26) of the 50 in attendance had attended Day1, 58% (n=29) for Day 2, and 44% (n=22) for Day 3. Implications: Overall, the series went very well and attendance was high. Positive feedback regarding the events was taken via anecdotal comments and that people returned to each session. This program is easily duplicated and can be used as a template in any university setting to promote awareness of sensitive subjects as well as foster community learning and relationships between the professions. It is hoped that this educational series will aid in bridging the gap within healthcare professionals, as well as provide an open forum for students from different backgrounds to come and learn the information together.

D.Cur. (Psychiatric Nursing) / Malawi has a population of 9 million people with AIDS the leading cause of death in the age group of 20 • 40. The HIV prevalence rate, estimated at 23% in urban areas and 8% in rural areas, is one of the highest in the world (AIDSEC, 1994: I). Evaluation of counselling practices showed poor results with counsellors feeling ineffective and inadequate. Patients are mostly tested on medical indication but testing is increasingly refused by patients who do not see the benefit of knowing their HIV status. The counselling practice as it is known in the Western world is a foreign concept for patients living in rural Malawi. The high stigma of AIDS complicates support of the patients. The goal of this research study is to describe a model of counselling that would meet the needs of an AIDS patient in a rural community in Malawi. A qualitative research design that is explorative, descriptive and contextually specific to rural Malawi was used for the study. In order to describe a counselling model it was important to understand the illness experience of HIV reactive patients. The patients are seen in group context congruent with the African culture and therefore the experience of the primary care giver of AIDS patients is also examined. The experience of counsellors of AIDS patients is explored as the other major factor in the phenomenon examined. In the first phase of the study in-depth phenomenological interviews were conducted with identified groups. Focus interviews were conducted with a hundred AIDS patients to identify the needs and resources of the patients and to compile a demographic profile. Focus group discussions were conducted with counsellors for more complete comprehension. Data analysis and a literature control were undertaken. In the second phase of the study theory generation was used in order to develop a counselling model for AIDS patients and guidelines for implementing the model were generated. Based on the results of the analysis the major concept enable was identified as the essence of a model for counselling AIDS patients in rural Malawi.

Dissertation submitted to the FacuIty ofArts for the Masters degree in Clinical Psychology in the Department of Psychology at the University of Zululand, 1997. / This report documents a qualitative description of the special needs expressed by persons with late stage AIDS in the Richards Bay area. A phenomenological research design and methods were employed to impose rigour on this event. Once the needs of persons with late stage AIDS had been made explicit, these were collated with services rendered or planned through state and welfare structures in the Richards Bay area in an effort to identify salient unfulfilled needs that could be addressed through the establishment of an AIDS Care Centre. This provided important cues regarding the types of services and facilities required at the AIDS Care Centre. Additionally the unstructured interviews employed in the research provided the interviewees with an opportunity to suggest a format of care at the AIDS Care Centre that would be most suitable for them.

A DISSERTATION SUBMITTED IN PARTIAL FULFILMENT OF THE REQUIREMENT FOR THE DEGREE: MASTERS IN EDUCATIONAL PSYCHOLOGY IN THE DEPARTMENT OF EDUCATIONAL PSYCHOLOGY AND SPECIAL EDUCATION UNIVERSITY OF ZULULAND, 2007 / The purpose of this study was to investigate teachers' attitudes towards the HIV/AIDS programmes, which the government had supplied to the schools a few years ago. This concern was triggered by the researcher's own experience in dealing with these teachers whom he found to be protective, passionate about the disabled children and often treated them as separate from those of the regular school system. To collect data, a questionnaire was administered to teachers at all the three special schools in the education district. In the questionnaire, items sought to establish whether or not teachers ever received training in HTV7AIDS prevention programmes as well as their knowledge about how HIV was transmitted. Findings showed that these teachers were not trained in HTV/AIDS prevention programmes but there was a strong positive correlation between their knowledge about HIV/AIDS and positive attitude. It was also revealed that they were not involved in any HTV/AIDS prevention programme at their schools. Many of them were not even aware of the material said to have been provided by the Department of Education to be used in raising awareness programmes.

AIDS education for adolescents has become a major concern. Not only are adolescents one of the fastest growing groups of individuals becoming infected with HIV, they are also one of the most challenging groups to reach with this vitally important information. Although previous studies have found that the content of an AIDS educational curriculum is important, they also show that teachers' presentation styles have a significant impact upon the effectiveness of lessons about AIDS. This study of twelve health and physical education teachers teaching about AIDS, looked at how their perceptions and attitudes about the task at hand influenced their teaching strategies. The study found that these twelve teachers had a variety of concerns about their roles as AIDS educators, and that their concerns impacted their level of commitment to teaching about AIDS. Through classroom observations and in-depth interviews, three distinct categorizations of commitment by the teachers were found: teachers who were "enthusiastically committed", teachers who were "unenthusiastically committed" and teachers who were "uncommitted". / Thesis / Master of Arts (MA)