Submitted by Lago Edileide (leyde-landy@hotmail.com) on 2013-04-08T16:24:36Z No. of bitstreams: 4 Edjane4.pdf: 6720704 bytes, checksum: 43780a3ed3bacc07803915d8ba5db172 (MD5) Edjane3.pdf: 4406877 bytes, checksum: 67f5f183475b6cd6972a21c3131a8675 (MD5) Edjane2.pdf: 2408807 bytes, checksum: a9c94011513b2000c2404377f1e71fbc (MD5) Edjane1.pdf: 1189705 bytes, checksum: ef5928a2e70953b6d1b7a934c0901f31 (MD5) / Approved for entry into archive by Lêda Costa(lmrcosta@ufba.br) on 2013-04-18T12:29:33Z (GMT) No. of bitstreams: 4 Edjane4.pdf: 6720704 bytes, checksum: 43780a3ed3bacc07803915d8ba5db172 (MD5) Edjane3.pdf: 4406877 bytes, checksum: 67f5f183475b6cd6972a21c3131a8675 (MD5) Edjane2.pdf: 2408807 bytes, checksum: a9c94011513b2000c2404377f1e71fbc (MD5) Edjane1.pdf: 1189705 bytes, checksum: ef5928a2e70953b6d1b7a934c0901f31 (MD5) / Made available in DSpace on 2013-04-18T12:29:33Z (GMT). No. of bitstreams: 4 Edjane4.pdf: 6720704 bytes, checksum: 43780a3ed3bacc07803915d8ba5db172 (MD5) Edjane3.pdf: 4406877 bytes, checksum: 67f5f183475b6cd6972a21c3131a8675 (MD5) Edjane2.pdf: 2408807 bytes, checksum: a9c94011513b2000c2404377f1e71fbc (MD5) Edjane1.pdf: 1189705 bytes, checksum: ef5928a2e70953b6d1b7a934c0901f31 (MD5) Previous issue date: 2010-07-05 / Esta dissertação propõe-se a apresentar o estudo referente à produção artística da representação do Menino Jesus do Monte produzida pelas religiosas do Recolhimento de Nossa Senhora dos Humildes, em Santo Amaro da Purificação/BA, no século XIX. A pesquisa fundamentou-se no método de análise formal de quinze imagens, selecionadas por apresentarem semelhanças quanto à técnica empregada na manufatura e materiais utilizados na ornamentação. Foram utilizados também os métodos comparativo e iconográfico-iconológico, como forma de identificar influências provenientes de composições artísticas com temáticas similares, estabelecendo semelhanças e diferenças. Considerou-se ainda o objeto de estudo dentro do seu contexto histórico, embasado na história religiosa e história da arte. Foram consultadas fontes primárias e secundárias, documentações museológicas, além das fontes materiais e orais. Mostrou-se o grande número de interpretações iconográficas referentes à infância de Jesus, destacando os aspectos culturais e estéticos que envolveram sua produção e difusão. Identificou-se, nas imagens confeccionadas no Recolhimento dos Humildes, uma grande variedade de elementos utilizados na sua ornamentação, através de um estudo detalhado dos objetos, evidenciando a técnica empregada no trabalho manual das religiosas. A análise dos dados revelou que, apesar de conter elementos iconográficos encontrados em representações artísticas similares, como as esculturas indo-portuguesas do Bom Pastor ou os tradicionais presépios de origem européia, a incorporação e predomínio de elementos da cultura local propiciaram à representação do Menino Jesus do Monte a construção de um modelo iconográfico único. Conclusivamente destacou-se que, sua estética singular, fruto da devoção e sensibilidade feminina, ressalta e revela valores primordiais da produção artística sacra nacional, relevantes para a história da arte. / Salvador

Baby spinach is a relatively new crop in South Africa with both commercial significance and reputed health benefits. It is known to assist in combating degenerative conditions associated with ageing, such as heart disease, cardiovascular disease, Alzheimer’s disease, cataracts and several forms of cancer. Three parallel NPK trials were conducted to investigate the effects of nitrogen (N), phosphorus (P) and potassium (K) on the growth and development of baby spinach. N and P treatments were arranged as (0, 45, 75, 105, 120 kg.ha -1 N and P), and K treatments were arranged as (0, 63, 85, 127, 148 kg.ha -1) in a randomised complete block designed with four replicates. Results showed that yield, dry matter, chlorophyll content and Leaf Area Index (LAI) were significantly increased by increasing the N application, while K had a significant effect on the LAI but not on yield, dry matter, chlorophyll content or stomatal conductance. Nitrogen treatments quadrupled fresh yield, dry matter and chlorophyll content, reaching maximum impact at 75 kg.ha-1 N. Phosphorus application showed significantly increased yields, dry matter and chlorophyll content, reaching maximum impact at 75 kg.ha-1 P. Therefore, to achieve optimum growth with N and P, 75 kg.ha-1 is recommended. The optimum rates of N, P and K were then used to formulate a NPK combined trial which was arranged as 0, 30:30:40, 45:45:60, 60:60:70, 75:75:90 kg.ha-1 in a randomised complete block design with three replicates. The results showed that maximum impact on yield, chlorophyll content, fresh and dry matter was achieved when combined NPK was applied at 45:45:60 / Agriculture and  Animal Health / M. Sc. (Agriculture)

Faces de bebês são um estímulo emocional extremamente saliente para humanos. O objetivo deste estudo foi comparar a interferência emocional de faces de bebês e estímulos de ameaça (faces adultas com medo) na atenção automática de homens e mulheres com e sem filhos. Após estudo piloto, recrutou-se 61 homens e mulheres de 20 a 35 anos. Os participantes responderam a uma tarefa Go/No-Go na qual imagens de bebês com expressões de sofrimento, alegria ou neutra e imagens de adultos com expressões de medo, alegria e neutra, eram apresentadas. Foram calculados os vieses de atenção para faces de bebês em sofrimento, faces de adultos com medo e faces de bebês vs. adultos. Participantes com filhos, de ambos os sexos, apresentaram mais viés de cuidado (bebês vs adultos) do que os sem filhos. Os resultados indicaram que apenas status parental influenciou o viés para faces de bebês. / Babies are extremely salient emotional stimuli to human beings. The current study aimed to compare the emotional interference of baby faces and threat stimuli (adult fearful faces) on the automatic attention of men and women, parents and non-parents. A pilot study was conducted to adapt instruments and procedures. For the main study 61 men and women aged 20 to 35 years with minimum complete elementary school were recruited. Images of distressed, happy and neutral baby faces and fearful, happy and neutral adult faces were used in a Go/No-Go paradigm. Attentional bias indexes were calculated for biases towards baby distress, adult fear and baby vs. adult faces. Parents, regardless of sex, showed a higher nurturing attentional bias (baby vs. adult faces) in comparison to non-parents. This finding demonstrates that parental status influences the attentional bias to babies.

Thesis is focused on aspects of nursing care in a child hematooncology and their impact on nurses. Cancer by children in the Czech Republic are the second leading cause of death in childhood. The incidence of childhood cancer has increased at the beginning of the second half of last century by about 1 % per year, but since the late 80 years is no longer apparent increase in incidence. Tumors in children most often arise in hematopoietic tissue and ranks at the top of the various types of tumors in children. The work is divided into two parts, theoretical and practical. The theoretical part describes the problems in each chapter hematooncology children, hospitalized child and his needs, the role of nurses, mental and physical workload, burnout and mental hygiene. The practical part was the task of verifying three goals. The first objective was to find out the specifics of children's nurses work hematooncology. The second objective was to find out what demands are made for nurses working in child hematooncology. The third objective was to find out how nurses working in this department handle mental stress. To achieve the objective method was used qualitative research project, in the form of two half standardized interview and standardized questionnaires. The research sample consisted of thirteen nurses working on the unit hematoonklogie children. Of which there were three sisters from České Budějovice Hospital, two nurses from University Hospital Motol in Prague, five sisters from the University Hospital Brno and three nurses from University Hospital Olomouc. It emerged from research that nurses consider the work of the department for children hematooncology very professional. The specifics of their department nurses find different ways. The greatest majority of respondents consider the specifics of the presence of parents in the nursing department, long-term hospitalization of children and work with cytostatics. Demands on the work of nurses according to their testimony are significant. Their work places increased demands on the skills and manual dexterity. They consider the greatest burden as the psychological burden, especially in the care of a child with end stage, and his subsequent death. The interviews revealed that most nurses in the department are satisfied. They consider their work is very diverse and specific. The output of the thesis will be creating a Power Point presentation (Annax n. 7) that will be used as presentation material at the Fifth International Conference on Present and Future of Nursing and Midwifery, which will be held on 6 - 7 September 2012 in the České Budějovice. It is planned to make these materials and technical paper subsequently published in peer-reviewed medical journal with the theme.

At present media often deal with the topic of children growing up in institutions. The society's effort is that children grow up in functional families. Also, based on the UNICEF?s criticism a reform has been created. The Czech Republic has been making an effort for a long time already to decrease the number of children not growing up in natural family environment. A few measures had been proposed and some of them implemented but they have been ineffective in achieving their desired outcomes. The transformation of the alternative upbringing system should be made on a complex basis. However, concerns and disagreements arise over the proposed solution. Advantages and disadvantages are published in various coverages, discussions, as well as in professional literature. The thesis title: The attitude of social and welfare workers towards closing baby and children's homes. The thesis is divided into two parts. The theoretical part deals with the topics of today's family, institutional upbringing, alternative family-based care, and particular steps in the effort to reduce the number of children growing up in institutions. The practical part aims at mapping the attitudes of social workers at baby and children's homes concerning the closing these institutions. A partial objective was to investigate whether the age and practical experience influence the attitudes of social workers of baby and children's homes. Another partial objective was to compare attitudes of social workers of baby and children's homes among different regions of the Czech Republic. I set out two hypotheses. Hypothesis 1: "Social workers have negative attitudes towards closing baby and children's homes." Hypothesis 2: "Social workers' opinions of closing baby and children?s homes do not show any differences among regions of the Czech Republic." Empiric data were collected using a quantitative research, interviewing, and questionnaire technique. The research sample was composed of social workers of selected childcare institutions. The number of questionnaires sent to healthcare institutions (baby homes, baby homes at children's homes, children's homes for 1 - 3 aged and child centres) was 34. Other respondents from children's homes were addressed; in total 148 in the Czech Republic. Thus the research sample was composed of 182 respondents. Every institution was contacted twice as to increase the returnability. The population was represented by the same size as the selected sample, that means it is an exhaustive subpopulation. In total 80 questionnaires returned, i.e. the selected sample returnability (filled questionnaires) reached 44%. Obtained results were statistically processed using scaled classification of data in contexts with obtained nominal, ordinal, and cardinal variables. To analyse categorical data, the chi-square test of independence was used. The hypothesis 1 was statistically confirmed. The hypothesis 2 was not possible to adequately evaluate statistically due to the high number of categories (CR regions) into which the data were divided. Results were placed into nominal statistic tables. The descriptive statistics show that the negative attitudes of social workers prevail. Results of the thesis can be used to analyse opinions of social workers concerning the transformation of the system of care of at risk children. There are many studies relating to the underway transformation of the system of care for at risk children that should be elaborated before the reform is launched. In working out the thesis, I identified many topics that might originate writing further theses. They are e.g. opinions of social workers from the competent authority for social and legal protection of children, attitudes of children in institutional care, creation of an optimal model for at risk children, etc.

The injuries happening to children in the household or during leisure time activities constitute the most frequent injury types. The injuries caused by shaking constitute a specific group. The information of lay public in the Czech Republic with regard of the Shaken Baby Syndrome is almost at zero level. The basic precondition to reduce the injury rate consists in identification of risk factors causing the origination of the injury or making the individual vulnerable. The factors include environment, health, behaviour, socio-demographic and social factors. The goal of the thesis consists in mapping children injuries in the household and during leisure time activities. A partial goal consists in mapping the use of protective devices for injury prevention. Another goal of the thesis consists in mapping the information of the parents on the Shaken Baby Syndrome, as well as in mapping the techniques of comforting crying babies and the related parents' feelings. The research method consists in quantitative prospective research; two structured questionnaires are used for data collection. The data collection took place in 2009-14. The first questionnaire is focused on acquisition of information on child injuries in the household and during leisure time activities. The goal of the study consists in analyzing children's injuries in ages from 0 to 18 years. The second questionnaire is focused on the Shaken Baby Syndrome and consists of several partial areas: child crying, techniques of managing and comforting child crying, parents' feelings and level of information on Shaken Baby Syndrome (SBS). Based on the research results, the approach to primary prevention of children's injuries can be improved by increased observation of the child, by increased efficiency of preventive procedures, by increased dispensarization, control or increased efficiency of implemented primary injury prevention.

Apesar de existirem evidências suficientes sobre benefícios do aleitamento materno (AM), apenas 35% das crianças são amamentadas exclusivamente até o quarto mês de vida. Visando estender esta prática, OMS/UNICEF lançaram a Iniciativa Hospital Amigo da Criança (IHAC), que estabelece sistema de credenciamento para maternidades de acordo com grau de incentivo ao AM. Esta dissertação pretende investigar a efetividade da IHAC na duração de dois tipos de aleitamento materno: exclusivo (AME) e predominante (AMP) entre crianças usuárias de Unidades Básicas de Saúde (UBS) do Rio de Janeiro. Trata-se de estudo transversal, sendo a população de estudo constituída de 811 mães de crianças menores de 5 meses de idade, selecionadas aleatoriamente em cinco UBS na cidade do Rio de Janeiro. A variável de exposição foi categorizada em local de nascimento ocorridos em HAC, naqueles em vias de receber titulação (EVHAC) e naqueles sem titulação. Os desfechos considerados foram duração do AME e do AMP, que inclui também crianças em AME (AMEP). Na análise dos dados, optou-se pelo modelo log-log complementar, que permitiu recompor experiência longitudinal da coorte através do recordatório alimentar de 7 dias e da informação da idade das mesmas, caracterizando abordagem tipo current status data. Mesmo após controle por variáveis sociodemográficas, relativas ao estilo de vida e aos aspectos psicossociais maternos, à utilização dos serviços de saúde, idade e saúde da criança, houve maior duração do AME e AMEP em crianças nascidas em HAC e EVHAC. As taxas de AME e de AMEP são mais de duas vezes maiores entre recém-nascidos que nasceram em HAC e EVHAC. Tal efeito diminui ao longo da idade da criança, mantendo-se evidente até quatro (EVHAC) e dois (HAC) meses de vida quando se considera AME e até dois (EVHAC) e cinco (HAC) meses quando se considera AMEP. Os resultados confirmam a efetividade da IHAC nesta clientela,especialmente na manutenção de AME e AMEP nos primeiros meses de vida. Estes também sugerem necessidade de fortalecimento da IHAC e maior integração entre maternidades e UBS, visando garantir aleitamento exclusivo até seis meses de vida / Although there are sufficient evidences about breastfeeding (BF) benefits, only 35% of infants worldwide are exclusively breastfed during the first four months of life. As an effort to extend BF duration, WHO/UNICEF launched the Baby-Friendly Hospital Initiative (BFHI), which establishes hospitals accreditation as Baby-Friendly Hospitals (BFH) when it meets the Ten Steps for Successful Breastfeeding. This dissertation aims to investigate the effectiveness of the BFHI on exclusive breastfeeding (EBF) and exclusive plus predominant breastfeeding (EPBF) duration. This is a cross-sectional study with collected information throughout interviews of 811 mothers of children under 5 months old, randomly selected at five health centers in Rio de Janeiro. Exposure variable was classified according to hospitals compliance with the Ten Steps. There were three possible status: accredited hospitals (BFH), working in becoming BFH or certified hospitals (CBFH) and hospitals without BFHI accreditation or certification. Outcomes were EBF and EPBF duration. Data was analyzed by complementary log-log transformation models, which allowed capture cohort longitudinal experience through 7-day feeding recordatory and infants age (current status data). Even after adjusting analysis for sociodemographic, life style and psychological maternal factors, health services use and babies age and state of health, there was longer duration of EBF and EPBF of infants born in BFH and CBFH. EBF and EPBF rates were twice higher in newborns born in BFH and CBFH. This protective effect on EBF and EPBF decreases along childs age and its noticed until four (CBFH) and two (BFH) months of age when EBF is considered and until two (CBFH) and five (EBF) months for EPBF. The finding indicates the effectiveness of BFHI in maintaining EBF and EPBF through the first months of life in this population. In order to extend BF duration until six months of life, as recommended by WHO, it would be necessary not only to strengthen the BFHI but also to develop and encourage more actions in favor of breastfeeding, focusing on primary health care facilities

Esta pesquisa teve por objetivo compreender as vicissitudes da experiência de tornar-se mãe de um bebê em situação de risco neonatal. Emergiu da experiência da autora no acompanhamento psicológico prestado às mães e familiares de recém-nascidos de alto risco internados em uma Unidade de Terapia Intensiva Neonatal (UTI Neonatal). Foi possível perceber ali que a puérpera que tinha seu filho internado em situação de risco logo após o nascimento vivenciava uma experiência de intenso sofrimento, permeada por conflitos e angústias específicas, tais como: o sentimento de incapacidade pelo parto prematuro e/ou pela malformação fetal, a dor/luto diante da situação de risco e eminência de perda do filho, o medo e a ambivalência na relação afetiva com o bebê. Tais vivências podem representar uma ameaça para a construção do vínculo inicial entre pai/mãe/filho, bem como para a própria saúde psíquica da mulher e do bebê em constituição. Para uma aproximação da experiência subjetiva destas mulheres/mães, optou-se pela pesquisa qualitativa na abordagem psicanalítica. A compreensão do fenômeno foi possibilitada pela análise do discurso das mães que tiveram seus filhos internados na UTI Neonatal, através do método de observação participante dos atendimentos grupais prestados pelo Serviço de Psicologia da instituição, bem como pela análise documental das fichas de acompanhamento psicológico destas mulheres. Participaram do estudo, as mulheres/mães que acompanharam seus filhos internados na UTI Neonatal do Núcleo Perinatal do Hospital Universitário Pedro Ernesto (HUPE), da Universidade do Estado do Rio de Janeiro (UERJ) e que receberam atendimento psicológico grupal: Grupo Mães Presentes durante um período de três meses. A compreensão e interpretação dos aspectos essenciais do fenômeno foram fundamentadas nos pressupostos psicanalíticos da teoria do amadurecimento pessoal de Donald W. Winnicott e em outros autores atuais de referência no campo materno-infantil. Acredita-se que este trabalho servirá de reflexão e contribuição para a construção, na assistência neonatal, de um lugar de acolhimento para a experiência subjetiva dessas mulheres/mães e suas repercussões, a partir de uma perspectiva de cuidado humanizado e integral a saúde, tal como preconizado pelas políticas públicas atuais. / This research aims to understand the unexpected changes of the experience of becoming a mother of a newborn baby at risk. It emerged from the author's experience in counseling provided to mothers and families of newborns at high risk hospitalized in a Neonatal Intensive Care Unit (NICU). It could be observed that there had recently given birth to her son hospitalized at risk soon after birth was willing to live an experience of intense suffering, permeated by conflicts and specific anxieties, such as the feeling of failure by prremature birth and/or fetal malformation, pain/grief due to the risk and imminent loss of her child, fear and ambivalence in the affective relationship with the baby. Such experiences may cause a threat to the construction of the initial bond between father/mother/child as well as for the mother and child's mental health. In order to make an approximation of the subjective experience of these women/mothers, we opted for qualitative research in the psychoanalytic approach. The nderstanding of the phenomenon was made possible by analisys of the discourse of mothers who had their children admitted in the NICU, by the method of participant observation in counselling groups organized by the Psychology Department of the institution , as well as the documentary analysis of these women's counseling records. The study women/mothers with their child admitted to the Neonatal Intensive Care Unit of the Nucleo Perinatal, Hospital Universitário Pedro Hernesto, (HUPE), Universidade do Estado do Rio de Janeiro (UERJ) and receiving psychological treatment group: "Grupo Mães Presentes" during a period of three months. The understanding and interpretation of key aspects of the phenomenon were based on the assumptions of the psychoanalytic theory of personal maturity of Donald W. Winncott and other contemporary authors of reference in maternal and child health care. It is believed that this work will serve as a reflection and contribution for the construction, neonatal care, a place that cares for the subjective experience of these women/mothers and their consequences, from a humanized care perspective and comprehensive health, such as suggested by the Brazilian current public policies.

Abstract Objective: The research study is to characterize the nurses´ role in the prevention of chronic respiratory disease, focusing on smoking prevention. The next objective is to raise awareness among parents about the negative impacts of smoking on the health of their children. It was then established, how many informations have got parents smokers about adverse effect on the health of their children. In relation to these objectives was established six research questions. The way of achieving the objective: To achieve the objectives a method of qualitative research was chosen, which was implemented through in-depth interviews. On the basis of specified research questions were created individual categories for getting answers to the research questions. It was elected a methode of intentional choice. Survey research took place in outpatient offices in the districts Znojmo and Brno Venkov. 10 parents smokers and 10 nourses agreed to be interwieved through using a method of anonymous questioning. Scientific benefits: A research study presents an overview of the impact of smoking on the health of children, the possibilities for intervention in the prevention of chronic diseases of children and and helping their parents smokers in the treatment of tobacco dependence. It will find application in primarily preventive and inpatient care as well. The knowledges gained and their conclusions: Baby nurse has important and irreplaceable role in the healthy development of children and in the prevention of risks to their health. Risk behaviour of children and youth is currently a serious social problem. The educational efforts has to be directed to change lifestyle and its components and is connected with the support of health. The results of our investigation shows that parents smokers often underestimate the influence smoking on the health of their children and are not very willing to do something for children. Parents also underestimate the effect of passive smoking, even though most of them have sufficient information about the risks. Whereas, children usually can't decide on environment, where they live, health professionals would aim interventions to protect children including the unborn ones. Question of health education is included in the nurse´s competences and is ordered to the doctors and nurses by law. It is therefore desirable that paramedics, having used their authority, increase their efforts and interventions to promote non-smoking. Nurse can help the patient with motivation and treatment their addiction and intervene according to recommendations based on scientific evidences. To a short 10 minute intervention has nurse opportunity apply in every contact with the patient, during his visit at doctor´s office or at the hospital in the pacients admitted to hospital. At least ask about smoking and give the smokers clear recommandation how to stop smoking and offer clear advice to the treatment referred in the brochure, with information of the harmful effects of smoking on the health of children. Use for practice: The conclusions were accepted in the scientific magazine Pediatry for practice and magazine Florence.

[pt] O presente trabalho apresenta um modelo etiológico para a dissociação patológica a partir do referencial conceitual da teoria do apego. Sob esta perspectiva, processos de desorganização do apego e da intersubjetividade são considerados como um trauma oculto . A teoria do apego vem sendo ampliada, a partir de novas ideias e pesquisas sobre intersubjetividade. Nesta ampliação, a teoria passa a enfatizar o papel central de processos intersubjetivos de comunicação afetiva na organização, não apenas do sistema de apego, mas também do self. Estudos longitudinais prospectivos recentes mostram uma relação significativa entre apego desorganizado no bebê e dissociação patológica na vida adulta. Os resultados destas pesquisas, analisados à luz da teoria do apego, sustentam uma proposta de redefinição do trauma nos primeiros anos de vida. As pesquisas atuais sugerem que o estresse gerado por mecanismos sutis de comunicação afetiva disruptiva na díade bebê-cuidador pode gerar processos de desorganização do sistema de apego e do self. Tais processos podem dar início a uma trajetória de desenvolvimento em direção à dissociação patológica. / [en] This dissertation presents an etiological model for pathological dissociation based on attachment theory. From this perspective, attachment and intersubjective disorganization processes may be considered a hidden trauma . The new ideas from intersubjectivity theory and research has widened the scope of attachment theory. This widened version of attachment theory stresses the central role of intersubjective processes, not only in the organization of the attachment system, but also in the organization of the self. Longitudinal prospective studies show a remarkable relation between infant disorganized attachment and pathological dissociation in young adults. The results from these studies, analyzed from an attachment theory perspective, support a proposition for redefinition of early trauma. Current studies suggest that the stress generated by subtle parent-infant disruptive affective communication mechanisms may give rise to disorganization processes that affect the development of the attachment system and of the self. Such processes may be the beginning of a developmental trajectory towards pathological dissociation.