Thesis (Ph. D.)--Université de Montréal, 1999. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Thesis (M.S.)--West Virginia University, 1999. / Title from document title page. Document formatted into pages; contains v, 66 p. : map. Includes abstract. Includes bibliographical references (p. 55-56).

Thesis (Ph. D)--University of Washington, 1999. / Includes bibliographical references (leaves 364-392).

Thesis (Ph.D.) -- University of Texas Southwestern Medical Center at Dallas, 2005. / On campus access only. Vita. Bibliography: 120-147.

Thesis (Ph.D.)--University of British Columbia, 1999. / Title from PDF t.p. (viewed Sept. 22, 2005). Includes bibliographical references and index. Issued also in microfiche. Issued also in print.

Thesis (M.S.)--University of Michigan, 1996.

<p>Patienten med demens behöver vårdas av personal med erforderlig utbildning. Omvårdnaden av dess patienter är i högsta grad lika viktig som den medicinska vården. I syfte att belysa omvårdnad som förebygger och åtgärdar oro och agitation hos patienter med demenssjukdom användes en systematisk litteraturstudie. Intresseområdet definierades och en fråga ställdes till litteraturen relaterad till syftet, kriterier för avgränsning av artiklar, fastställdes, sökningar genomfördes i databaser och genom manuell sökning i tidskrifter. Relevanta artiklar granskades utifrån kvalitet och bevisvärde. Följande kategorier framkom genom innehållsanalys: Integritets stödjande vård, Bemötande av plockbeteende, Patient centrerad omvårdnad, Minskande av tvång och konfrontation, Konkreta omvårdnadsåtgärder/strategier och teknik. Kommunikation som var anpassad till patientens nivå av kognitiv förmåga och omvårdnadsplan, var det viktigaste. En arbetsmetod som var tillbakadragande/avledande/lämna ifred teknik, var en användbar arbetsmetod som minskade oro och agitation. Det viktigaste var att ha ett bemötande, anpassat med den specifika kunskap i omvårdnad/bemötande som finns.</p> / <p>Patients with dementia are in need of care by educated personal with required knowledge. Nursing is indeed just as important as medical care. To highlight nursing as a way to prevent and measure anxiety and agitation in patients with dementia a systematic literature study was carried out. Subject of interest was defined and a question related to the aim of the study was put to the literature, inclusion criteria were chosen. The literature search was carried out in Databases and manually in magazines. Relevant articles were examined from the perspective of quality and degree of evidence. The following categories appeared thru content analyse: Support of integrity, Refutation of a picking behaviour, Patient centred care,, Reducing compulsion and confrontation, Tangible nursing measures, techniques and strategies. Communication adapt to the patients level of understanding and nursing planning was found most important. Attitude of withdrawal/diversion/leave alone were useful working methods that may less anxiety and agitation. The main thing is however an adjustable encounter with the patient, using the specific knowledge of nursing measures.</p>

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Made available in DSpace on 2015-05-14T12:56:07Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 1184583 bytes, checksum: e7d5f827d1dea31a7b5d11cc69a3c72d (MD5) Previous issue date: 2009-12-11 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The aim of the present study was to assess the oral health status of children infected with HIV virus. A prospective, observational, descriptive, case-control study was carried out in the city of João Pessoa, PB, Brazil. The sample consisted of a study group (SG) made up of 21 children infected with HIV in treatment at the Infectology Unit of the Clementino Fraga Hospital Complex and a control group (CG) of 28 children with no history of HIV infection covered by the Jardim Miramar II Family Health Program. Dental caries indices, (DMFT and deft), gingival status indices (VPI, GBA, OHI-S), resting and stimulated salivary flow and salivary buffer capacity were determined. The deft index was 3.19 ± 3.21(95%CI 1.73-4.66) in the SG and 2.54 ± 1.9 (95%CI 1.78-3.29) in the CG; the DMFT was 3.52 ± 2.6 (95%CI 2.34-4.71) in the SG and 1.32 ± 1.4 (95%CI 0.74-1.90) in the CG (p=0.002). There were statistically significant differences between groups in the decayed component for both the primary (p=0.02) and permanent (p<0.0001) dentition as well as in the filled component for the primary dentition (p<0.0001). The presence of visible biofilm was 52.9% in the SG and 47.1% in the CG (p=0.031). Gingivitis, measured by the gingival bleeding index (GBI) was absent in 57.1% of the SG and 78.5% of the CG (p=0.09). There was a difference between groups in resting saliva flow (p=0.01). There was a high frequency of caries in the SG. The most prevalent need for treatment in the SG was extraction, whereas the most prevalent treatment need in the CG was for procedures of low complexity. The organization of services is suggested for addressing this clinical demand and a health promotion program should be implemented for this population. / Este estudo teve como objetivo avaliar as condições de saúde bucal de crianças infectadas ou não pelo vírus HIV. A amostra foi composta por um grupo de estudo (GE), constituído por 21 crianças infectadas pelo HIV, atendidas no setor de infectologia do Complexo Hospitalar Clementino Fraga e por um grupo controle (GC) de 28 crianças sem história de infecção pelo HIV, atendidas no Programa de Saúde da Família Jardim Miramar II. A pesquisa é do tipo descritiva, observacional, prospectiva, e do tipo caso-controle, e foi desenvolvido em João Pessoa, PB, Brasil. Em ambos os grupos foram determinados o índice de cárie dentária (ceo-d e CPO-D), índices da condição gengival (IPV, ISG, IHO-S), além do fluxo salivar em repouso e o estimulado, e a capacidade tampão da saliva. A análise estatística foi feita através de testes de associação, como o Qui-quadrado e Exato de Fisher, além do teste de Mann-Whitney; todos com nível de significância de 95% (p<0,05). Observou-se ceo-d de 3,19 ± 3,21(IC95% 1,73 - 4,66) GE e 2,54 ± 1,9 (IC95% 1,78- 3,29) GC, já o CPO-D foi de 3,52 ± 2,6 (IC 95% 2,34 - 4,71) GE e 1,32 ± 1,4 (IC95% 0,74 - 1,90) GC (p=0,002). Em relação aos componentes verificou-se diferença estatística para o componente c cariado tanto na dentição decídua (p=0,02) como na permanente (p<0,0001) e para o componente O obturado na dentição decídua (p<0,0001). Observou-se presença de biofilme visível em 52,9% (GE) e 47,1% (GC) (p=0,031). A ausência de gengivite pelo índice de Sangramento Gengival (ISG) foi de 57,1% (GE) e 78,5% (GC) (p=0,09). Observou-se diferença entre os grupos para o fluxo salivar em repouso (p=0,01). Verificou-se alto índice de cárie nas crianças do GE. A necessidade de tratamento mais prevalente foi a extração (GE), enquanto que para o GC foi de procedimentos de baixa complexidade. As condições da saúde bucal das crianças com HIV não foram satisfatórias quando comparadas às do GC.

Acquired Brain Injury (ABI) has been associated with significant family disruption, yet few studies explore the experiences of child-relatives. This cross-sectional study sought to explore the experiences of young people and their families (n = 3) following parental ABI. The major aims were (1) to develop an understanding of the processes by which family members make sense of events, and (2) to explore the implications for adjustment in young people and their families. A Personal Construct Psychology (PCP) methodology was implemented and construal processes were identified through individual interviews facilitated by Perceiver Element Grids (PEG; Procter, 2002). The Family Assessment Device (FAD; Epstein et al., 1983) and the Strengths and Difficulties Questionnaire (SDQ; Goodman, 1997) were used to explore aspects of adjustment. Data analysis comprised of two parts; intra-family and inter-family exploration of similarities and differences in construal. The themes identified suggest that following ABI, family members may be faced with a process of reconstrual, in which they are required to assimilate new information into their construct systems, renegotiate their roles, and come to terms with loss. The research offers an insight into some of the processes that may contribute to patterns of interpersonal relating that may negatively impact on adjustment. Psychological support following parental ABI may therefore be a crucial component of supporting young people and their families through these changes whilst reducing the impact on their own psychosocial wellbeing. This research offers an insight into the experiences of three families at one moment in time. Further exploration is recommended to better inform clinical practice, and ensure that the needs of this population are not overlooked.