published_or_final_version / Public Administration / Master / Master of Public Administration

INTRODUCTION Insomnia became an object of concern in Aristotelian times, when he wrote a monograph on sleep disorders (350 BC). Although community of science and medicine has been interested in sleep disorders for almost 2000 years, however, there are not much information about the prevalence of insomnia, especially among citizens of developing countries. Epidemiological information about prevalence of insomnia and sleep complaints varies in different countries [Roth et.al., 1996], because of diversity of methodology for data collection. According to data of research carried out in the United States of America, Europe and Australia, 10–49% of population are not satisfied with their sleep quality. [Walsh, Ustun, 1999]. According to data of lifestyle research in Lithuania (1996), insomnia was a problem for 22.5% of male (from 20 to 64 years old) and 29.3% of female [Grabauskas, Klumbienė, 1998]. Sleep complaints among Lithuanian citizens have not been researched up to now, although, as foreign scientists maintain, sleep disorder can accelerate development of many somatic as well as mental diseases, besides, after a few sleepless nights, follows irritability, decrease of efficiency, it is difficult to concentrate, considerably increases risk of traffic accidents or accidents at work [Balter, Uhlenhuth, 1992]. Supposedly, there is a connection among heart and vascular diseases, sleep disorders and depression [Mahowald et.al., 1989]. Research that was carried out abroad proved... [to full text]

Viena aktualiausių visuomenės sveikatos problemų yra vaikų ir jaunimo sveikata. Šiandien dominuojantys neigiami socialiniai, elgsenos ir aplinkos veiksniai žaloja jauno žmogaus sveikatą, ilgainiui sukeldami neigiamas pasekmes – somatinius ar psichinius sveikatos sutrikimus. Pastaraisiais metais Lietuvoje atlikti moksleivių, jaunimo elgesio ir gyvenimo būdo tyrimai parodė didelį psichosomatinių negalavimų ir sveikatos sutrikimų paplitimą. Tyrimų duomenys taip pat rodo ir tendenciją, kad didėjant amžiui, jaunuoliai savo sveikatą vertina prasčiau. Tyrimo tikslas: palyginti vyresniojo mokyklinio amžiaus moksleivių ir jaunimo sveikatos savivertę, psichosomatinių negalavimų ir vaistų vartojimo paplitimą ir įvertinti sveikatą sąlygojančius veiksnius. Užsibrėžtam tikslui pasiekti buvo iškelti šie uždaviniai: 1. Palyginti vyresniojo mokyklinio amžiaus moksleivių ir jaunimo savo sveikatos įvertinimą. 2. Palyginti psichosomatinių negalavimų ir vaistų vartojimo paplitimą tarp vyresniojo mokyklinio amžiaus moksleivių ir jaunimo. 3. Įvertinti vyresniojo mokyklinio amžiaus moksleivių ir jaunimo sveikatą įtakojančius veiksnius. Atsitiktinės atrankos būdu, naudojant anoniminę anketą, buvo apklausta 220 respondentų iš įvairių Lietuvos regionų, iš kurių 88 moksleiviai (23 vaikinai ir 65 merginos) ir 132 jaunimo atstovai (51 vaikinas ir 81 mergina). Moksleivių amžius 14 – 17 metų, o jaunimo atstovų 18 – 24 metai. Atliktas tyrimas parodė, kad dauguma vyresniojo mokyklinio amžiaus moksleivių (53,4... [toliau žr. visą tekstą] / One of the most topical society‘s health problems is the health of youth and children. Negative social, behavioural and environmental factors dominating today cripple the health of a young person generating eventually negative consequences – somatic and psychological health disorders. Researches of schoolchildren and youth behaviour and lifestyle performed in Lithuania in these latter years revealed a wide spread of psychosomatic complaints and health disorders. Also research data indicates the tendency that with age young people estimate their health worse. The aim of the research: compare self-health evaluation of senior schoolchildren and youth as well as the spread of psychosomatic complaints and usage of medicine, evaluate factors affecting health. Tasks set to achieve the aim of the research: 1. Compare self-health evaluation of senior schoolchildren and youth. 2. Compare the spread of psychosomatic complaints and usage of medicine among senior schoolchildren and youth. 3. Evaluate factors affecting health of senior schoolchildren and youth. Using random selection and anonymous questionnaire 220 respondents from various regions of Lithuania were surveyed. 88 of them are schoolchildren (23 boys and 65 girls) and 132 are representatives of youth (51 boys and 81 girls). Schoolchildren are 14 – 17 years of age, youth – 18 to 24. The research showed that most senior schoolchildren (53,4%) and youth (46,2%) think their health is good (p>0,05). 19,3% of schoolchildren and 15... [to full text]

Cognitive functioning is important for managing work and life in general. However, subjective cognitive complaints (SCC), involving self-perceived difficulties with concentration, memory, decision making, and clear thinking are common in the general and in the working population and can be coupled with both lowered well-being and work ability. The present thesis investigated the extent to which SCC among people in the work force can be explained by objective cognitive functioning (study I &amp; II) and working conditions (study III), utilizing samples from the working population. The potential roles of other common psychological problems which often co-occur with SCC were also investigated in studies I-III. In Study I, high levels of SCC were associated with significantly poorer episodic memory performance during high executive demands and a trend was found towards poorer episodic memory, while not being associated with semantic memory. In Study II, high levels of SCC were associated with significantly poorer executive cognitive performance on all three executive cognitive tests used. Symptoms of depression, chronic stress and sleeping problems were found to play an important role in the relations between SCC and episodic memory during divided attention in study I and executive cognitive functioning in study II. In Study III, in all cross-sectional data analyses, high quantitative demands, information and communication technology (ICT) demands, underqualification in the work situation and inter-personal conflicts were positively associated with SCC, whereas social support, good resources at work and overqualification in the work situation were negatively associated with SCC. In all prospective data analyses, quantitative job demands, ICT demands and underqualification were positively associated with future SCC, including when adjusted for baseline cognitive complaints. The findings may guide prevention of and interventions for SCC among people in the work force. / <p>At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 1: Submitted. Paper 2: Accepted.</p>

Syftet med enkätstudien var att undersöka hur en omfattande renovering av en lågstadieskola Huutoniemen ala-aste ändrade elevernas subjektiva upplevelse av skolmiljön samt elevernas besvär och symptom. Som jämförelse undersöktes även en referensskola Palosaaren ala-aste som redan tidigare hade genomgått en omfattande renovering. Synpunkter och annan information insamlades med en standardiserad och prövad enkät utarbetad av Yrkesmedicinska kliniken i Örebro, Sverige. Enkäten delades ut till samtliga ca 470 elever i skolorna före och efter renoveringen och vid samma tidpunkt av åren 1997 och 2000. Tekniska mätningar av inomhusluftens CO2, relativa fuktighet och temperatur gjordes före och efter renoveringen och på samma tid av året i 6-8 klassrum/skola. Elevernas svar (Huutoniemen ala-aste) från tiden före renoveringen 1997 jämfördes med motsvarande svar efter renoveringen 2000. På samma sätt jämfördes elevernas svar i Huutoniemen ala-aste och elevernas svar från referensskolan år 1997. Resultatet testades med SPSS med Chi Square test av beroende (p&lt;0,05 eller p&lt;0,01). Elevernas subjektiva bedömning av skolmiljön i formav luftkvalitet, utrymmen, temperatur städning, belysning och bullerförhållanden var sämre i objektskolan än i referensskolan men blev signifikant bättre efter renoveringen. Prevalensen av elevernas hösnuva och långdragna hostperioder var högre i objektskolan än i referensskolan men minskade signifikant efter renoveringen. Prevalensen av elevernas nuvarande symtom av huvudvärk samt besvär av ögonen var högre i objektskolan än i referensskolan men minskade signifikant i objektskolan efter renoveringen.Elevernas subjektiva bedömning av skolan somorsak till nuvarande symtom: trötthet, huvudvärk, besvär av ögonen eller näsa, hosta, besvär av hud i ansiktet, fjällning/klåda i hårbotten/öron samt torr/kliande rodnad hud på händerna var högre i objektskolan än i referensskolan men minskade signifikant efter renoveringen. Medelvärdet av CO2 minskade i den renoverade skolan drastiskt under lektioner från en nivå 2220ppm till 870 ppm och var efter renoveringen på en ungefär samma nivå som i referensskolan. Renoveringen av Huutoniemen ala-aste har givit mycket bättre skolmiljö för elever och lärare. / The aim of the questionnaire study was to investigate what kind of changes a large renovation of the primaryschool Huutoniemen ala-aste had for the subjective experience of the environment as well as complaints and symptoms of the pupils. The reference school was the primary school Palosaaren ala-aste in which a major renovation was made earlier. The opinions of the pupils and other information were collected with a standardized and verified questionnaire produced byClinic of Occupational Medicine in the City ofÖrebro, Sweden. The questionnaire was sent to over 470 pupils in both schools before and after the renovation at the same time of the year in 1997 and 2000. Technical measurements of CO2, relative humidity and temperature in the indoor air were made before and after the renovation and at the same time of the year in 6-8 classrooms/school. The answers of the pupils in Huutoniemen ala-aste from the time before the renovation 1997 were compared to the answers after the renovation in 2000. In a similar way answers of the pupils in Huutoniemen ala-aste were compared to the answers from the reference school in 1997. The results were tested by the SPSS with Chi Square test for independence (p&lt;0,05 or p&lt;0,01). The subjective evaluation of the pupils of the environment as air quality, rooms, temperature, cleaning, lighting and noise were significantly worse in the object school than inthe reference school but became significantly better after the renovation. The prevalence of hay fever and long periods of cough duringthe previous yearwere significantly higher in the object school than in the reference school but were reduced significantly in the object school after the renovation. The prevalence of the present symptoms with headache and eye irritation was higher in the object school than in the reference school but was reduced in the object school significantlyafter the renovation. The subjective view whether the school was the cause of the present symptoms as tiredness, head-ache, eye irritation, symptoms of the nose, cough and the skin of the face and itch/tickle on the hair scalp/ears and symptomsof the skin of the hands were higher in the object school than in the reference school but were reduced significantly after the renovation. The medium level of the CO2 decreased dramatically in the object school during the lectures froma level of about 2220 ppm to about 870 ppmafter the renovation and was approximately at the same level as in the reference school. The renovation of the primary school Huutoniemen ala-aste gave a much better environment in the school for the pupils and teachers. / <p>ISBN 91-7997-108-3</p>

Univ., Diss.--Würzburg, 2001. / Engl. summary. Literaturverz. S. 690 - 703.

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DA SILVA.pdf: 2325631 bytes, checksum: fa128c01180a68bacf894a1df24fcd5b (MD5) / A Educação Infantil no Brasil organiza-se em uma história tecida por tensões, avanços e retrocessos; um percurso que tem em seu início a ação das Santas Casas de Misericórdia a partir da implantação das “rodas dos expostos ou enjeitados” (um mecanismo de acolhimento para as crianças abandonadas) juntamente aos asilos do século XVIII; sofreu influências da luta pelo aumento da sua oferta em função da inserção de mulheres no mercado de trabalho, a partir da Revolução Industrial, e hoje se organiza como lugar formal de educação e cuidado de crianças na faixa etária de zero a cinco anos. Um lugar que possui características específicas de funcionamento, definidas a partir de avanços legais acerca do entendimento da infância, estes garantidos nos últimos 40 anos e que compreendem a experiência escolar neste contexto, diferente dos anos seguintes do percurso de escolarização. No contato diário com professoras da Educação Infantil, na condição de psicólogo escolar em uma escola de um bairro popular da cidade do Salvador-BA, foi possível entrar em contato com falas e ações que compreendiam as crianças a partir de uma concepção diferente daquela pertinente à Educação Infantil. Quanto às crianças, essas também não atendiam às expectativas das professoras em termos de comportamento e aprendizagem. Nesse sentido, a presente pesquisa possui como objetivo compreender a constituição das queixas escolares acerca de crianças de uma turma de cinco anos da Educação Infantil de uma escola de bairro popular na cidade do Salvador-BA, a partir da perspectiva da professora e das próprias crianças. Situada no campo da pesquisa de natureza qualitativa e metodologicamente concebida como um estudo de caso de inspiração etnográfica, o presente estudo se materializa a partir da observação participante da dinâmica do espaço escolar, da entrevista semidirigida com a professora e da realização de grupo com as crianças. A análise e articulação dos materiais de campo foram pensadas a partir dos fundamentos teóricos propostos pela Psicologia Escolar em uma perspectiva crítica, norteada por pesquisas e reflexões de Maria Helena Souza Patto acerca do conceito de fracasso escolar no Brasil, de importantes autoras que pensam criticamente a queixa escolar e de outros autores como Frantz Fanon, José Moura Gonçalves Filho e Moysés Kuhlmann Junior, nomes considerados como fundamentais na análise do material de campo. Como achados temos o entendimento de que as queixas escolares já surgem na Educação Infantil e que, em bairros populares, podem ser marcadas, significativamente, por fatores sociais e históricos que atravessam tal contexto. Pode-se dizer, também, que como espaço de aprendizagem e cuidado de crianças pequenas, ainda é marcado pelo disciplinamento moral sustentado pelo preconceito que permeia as relações entre educadores (as), as crianças pobres/negras e suas famílias. Espera-se, com essa pesquisa, contribuir com reflexões e práticas no campo da Educação Infantil. / ABSTRACTThe Early Childhood Education in Brazil was organized in a story crossed by tensions, advances and setbacks; a route that has at his beginning the action of the Holy Houses of Mercy (Santas Casas de Misericórdia) from the implementation of the “baby hatch or foundlings” (a host mechanism for abandoned children) along with the asylums of the eighteenth century; was influenced by the movement related to the increase of its offer due to the inclusion of women in the labor market since the Industrial Revolution, and today is organized as a formal place of education and care of children aged zero to five years. A place that has specific operating characteristics defined from legal advances about childhood understanding guaranteed in the last forty years and includes school experience in this context, different from the others following years of schooling route. As a pshycologist and through daily contact with teachers of early childhood education in a school of popular neighborhood in Salvador-BA, there are some speeches and actions about children in a different ways of that pertaining to Early Childhood Education. In relation to children, they also do not meet the expectations of the teachers in terms of behavior and learning. In this sense, this research aims to understand the constitution of school complaints about children in a class of the Early Childhood Education (children with five years age) in a school of popular neighborhood in the city of Salvador-BA from the perspective by the teacher and the children themselves. Inserted in the field of qualitative research and methodologically conceived as an ethnographic case study, this work was materialized from the participant observation of school dynamics, semistructured interview with the teacher and an intervention with a group of children. The analysis and the articulation of field materials were discussed from the theoretical foundations proposed by the School Psychology in a critical perspective, guided by the work and reflections of Maria Helena Souza Patto about the concept of school failure in Brazil, relevant authors who critically think the school complaints and other names such Frantz Fanon, José Moura Gonçalves Filho and Moysés Kuhlmann Junior, authors who help us in understanding the field material. We found that the school complaints already appear in Early Childhood Education and in popular neighborhoods it can be marked significantly by social and historical factors that cross this kind of context. We could also say that, as a learning space and care of young children, is still marked by moral discipline sustained by prejudice that pervades relations among educators and poor/black children and their families. With this research we hope to offer some contribution with reflections and practices in the field of Early Childhood Education.

The master’s thesis is focused on evaluation of present process of managment of complaints in particular company in 2014. The evaluation is made by quality managment tools and with using correlation analysis. On the basis of acquired pieces of information there will be suggest corrective measures. These correctives measures will lead to improvement of managment process of complaints and reduce customer complaints.

L'intériorité se redéfinissant par l'expérience de la maladie somatique chronique et de ses thérapeutiques, une des formes de travail psychique que nous nous proposons d'étudier est celui de l'hypocondrie. Après avoir proposé l’hypothèse générale d’un travail de l’hypocondrie-signal d’alarme, nous avons affiné trois hypothèses : face à la mort, le travail de l’hypocondrie permet de lutter pour la vie ; face aux traumatismes, le travail de l’hypocondrie permet une surveillance de l’état traumatique et une défense contre l’état traumatique ; enfin, face à l’innommable et le non figurable de la mort, le travail de l’hypocondrie permet un travail de figurabilité et du négatif. Cinq cas cliniques de psychothérapies de sujets en insuffisance rénale chronique d’origine héréditaire, pendant leurs temps d’hémodialyse, se situent aux sources de ces réflexions. Cette clinique nous a conduits à discuter du travail de l’hypocondrie chez l’insuffisant rénal chronique hémodialysé en lien aux traumatismes cumulatifs, aux deuils infinis et aux figures de cruauté, telles que la sur-vivance, le vampirisme, l’hématophilie, l’identification cadavérique et l’introjection cannibalique. Nous avons ensuite interrogé la question du mythe transgénérationnel et des scènes primitives notamment lorsque la maladie était d’origine génétique et héréditaire. Cette discussion nous a amené à rappeler la recherche d’un corps pour rêver en lien à la réserve de l’incréable. Ce travail de rêve des plaintes, du corps et de l’hypocondrie permet une resexualisation des images crues du corps malade somatiquement, chroniquement voire génétiquement et héréditairement. Il leur (re)donne de la chair, une chair psychique. Ainsi ce travail psychique favorise une ré-animation, une ré-humanisation, et une ré-objectalisation du sujet par ce retour à un travail de mentalisation, jusqu’à l’auto-scopie du soi-cadavre, il re-substantifique le sujet. / The way the interiority of the body define itself is changing with the experiment of a somatic and chronic disease and its therapeutics. In this thesis, we propose to study the work of hypochondria. After we proposed to consider the general hypothesis of the work of hypochondria as an alarm signal, we proposed three hypothesis: dealing with death, the work of hypochondria is a fight for life; dealing with traumatisms, the work of hypochondria is a watch of the traumatic state of mind, a defense against it; finally, dealing with the unspeakable and the non figurability of death, the work of hypochondria furthers a work of psychic figurability and a work of the negative. In psychotherapy during their time of hemodialysis, five subjects with hereditary chronic renal failure are the heart of this reflections. Those clinical cases conduce us to discuss the work of hypochondria related to cumulative traumatisms, about infinite work of mourning and cruelty, as out-live, vampirism, haematophilia, corpse’s identification and corpses’ introjection. Then we worked the question of transgenerational myths and primitives scenes, especially when the chronic renal failure provide from a genetic and hereditary way. This discussion conduced us to remind us the need of a body for dreaming, related to the reserve of the uncreatable. The dreamwork of the complaints, the body and the hypochondria resexualizes the cruel images of a ill body. This brings (back) flesh, a psychic flesh. This psychic work furthers a re-animation, a re-humanization, a re-objectalisation of the subject by a way back to a work of mentalization.

Made available in DSpace on 2015-07-22T20:50:41Z (GMT). No. of bitstreams: 0 Previous issue date: 2008-01-30 / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / Associação Fundo de Incentivo à Psicofarmacologia (AFIP) / Centros de Pesquisa, Inovação e Difusão (CEPID) / Centro de Estudos Multidisciplinar em Sonolência e Acidentes (CEMSA) / Os trabalhadores em turnos das usinas nucleares devem manter um alto desempenho e atenção ao longo do seu turno. No entanto, encontra-se consolidado na literatura que os distúrbios do sono podem prejudicar a atenção e o desempenho dos trabalhadores que são submetidos a diferentes horários de sono. Objetivo: O objetivo deste estudo foi descrever as queixas subjetivas sobre o sono e os parâmetros polissonográficos dos trabalhadores em turnos das usinas nucleares brasileiras. Método: Foi realizada uma avaliação subjetiva com a aplicação do Questionário UNIFESP do sono, no qual os trabalhadores que relataram alguma queixa referente ao sono, foram encaminhados para a realização de uma avaliação polissonográfica noturna. Resultados: Dos 327 trabalhadores que responderam ao questionário, 113 relataram queixas de sono; sendo estes também mais velhos, com um maior IMC e que trabalhavam por turnos há mais tempo, quando comparados aos sem queixas de sono. Dentre os 113 que apresentaram queixas e que foram encaminhados para a polissonografia, 90 apresentaram alterações no sono, apresentando como resultado uma maior proporção no estágio 1, um maior índice de microdespertares, um maior índice de apnéia e de hipopnéia e um maior índice de movimento das pernas, quando comparados com os demais. Destes, 18 (20%) apresentaram movimentos periódicos de pernas, 30 (33%) foram considerados como tendo apnéia, e 42 (47%) apresentaram estas duas condições combinadas. A maioria dos casos foi considerada como de grau leve. Conclusões: De maneira geral, os dados do presente estudo corroboram com os já evidenciados na literatura os quais mostram que, subjetivamente (no questionário), os trabalhadores em turnos apresentam queixas de sono. E com a polissonografia xi ii foi constatado que além de queixas a grande maioria dos trabalhadores apresenta índices preditores de distúrbios do sono. As porcentagens encontradas são próximas às da população em geral, mas é importante ressaltar que estas queixas influenciam diretamente para uma diminuição da qualidade de vida destes trabalhadores bem como, no que diz respeito ao desempenho e o aumento do risco de acidentes durante a jornada de trabalho. / It is widely recognized in the literature that shift workers present more health complaints than the general population. The objective of this study was to describe and diagnose the sleep complaints and sleep disorders of shift workers in two Brazilian Nuclear Power Plants. Three hundred and twenty seven (327) shift workers participated in the study. They worked in three rotating shifts: afternoon (3pm-11pm), morning (7am-3pm) and night (11pm-7am). We carried out a subjective evaluation with a sleep questionnaire. Based on these results, the interviewees that reported sleep-related complaints more than three times a week were referred for a Polysomnographic Evaluation. Out of the 327 volunteers initially evaluated, 145 were referred to Polysomnography. Of these, 111 (34%) workers presented some kind of sleep disorder, these being: 31 (21%) with Obstructive Sleep Apnea (OSA) and 30 (21%) with Periodic Limb Movement (PLM). Fifty subjects (34%) presented both disorders and 34 (23%) presented none. The present study shows that 37% of the population evaluated presented some sort of sleep disorder. This high percentage should be investigated for associations with other aspects of work, such as working hours, working schedule, years performing shift work and access to health services. Due to the strong association between sleep disorders and the incidence of fatigue and sleepiness (and, therefore, a higher probability of accidents), the evaluation of the sleep patterns and complaints of shift workers is essential and should be considered to be one of the basic strategies of the companies to prevent accidents. / FAPESP: 05/57.525-1 / CEPID: 98/14303-3 / TEDE / BV UNIFESP: Teses e dissertações