Medical social workers, have, since the first decade of the twentieth century, been involved in helping general hospital patients to plan for convalescence when they are no longer in need of active hospital treatment. Recent advances in medical science, and changing attitudes about the role of the family in modern society, have brought about increased demands for social casework help for patients who must plan for a period of convalescence before returning to their former or optimum level of health. This thesis reviews the problems of convalescence as shown by a group of patients at the Vancouver General Hospital, who were referred to the Social Service Department of the Hospital, and analyzes the nature of the help with planning for convalescence which the patients received from social workers. Schedules were used to collect data from the case records of these patients, and a questionnaire was used to obtain additional data from the social workers who worked with them. Information obtained included data as to age, sex, marital status, and occupation, together with an appraisal of the problems of these patients as they affected themselves, or involved their families and friends of the community. Information obtained from the questionnaire concerned the types of casework services offered in meeting the problems the patients presented. The questionnaire was adapted from that developed by a previous research student, in studying casework services in a mental hospital. Whereas his study described, by "operational definition", the specific casework services offered by a social service department, this s tudy attempts to describe, similarly, the specific services offered to meet one particular problem which confronts a social service department. The study reveals that three main types of problems occur: (a) accommodation problems, (b) financial problems, and (c) psychological problems, and they confront (d) the patient; (e) his family and friends, and (f) the community. Specific casework services have been developed by social workers in dealing with these problems, and are rendered directly to the patient, or indirectly through his family and friends or the community. A considerable measure of appropriateness was revealed in the services offered to meet these problems. The main results indicate that problems of accommodation far outnumber other problems that arise in convalescence; and that further research is needed to determine the effectiveness of services as they are, and how they might be improved. Medical social workers have a three-fold responsibility to patients, to hospital, and to community. These responsibilities are recognized, and considerable efforts are being made to meet them. There is, however, a need for better and more comprehensive social work recording, in order that interpretation to hospital and community can be effectively carried out. / Arts, Faculty of / Social Work, School of / Graduate

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No description available.

This thesis presents practical research into sound production on instruments, working collaboratively with players, in order to build an understanding of the sounds available. I have explored the way in which instrumental technique can be extended in such a way as to function as the basis for musical material. The function of ‘figuration’ has also be brought into question, by employing seemingly primitive, residual material pushed to such a degree that it is possible to hear what happens underneath a gesture. Research in this area has been conducted by, among others, Helmut Lachenmann and Rebecca Saunders; I am drawn to the way their work highlights the tangible quality of sound. The exploration of the physicality of sound production inevitably encounters the problem that the finished work becomes a catalogue of extended techniques. My research has drawn on the work of these composers and has attempted to resolve this problem by exploring the way in which texture can suggest ‘line’ and the structural implications of sculpting self-referential material through angular and polarized divisions. This facilitates a Braille-like reading of a sound’s progress by foregrounding a non-thematic sound-surface of resonance and decay. This takes a positive and active approach to the problems of musical language, by questioning the functions and expectations put upon music. The possible solutions have been worked through in a series of works for mixed chamber ensembles, in order to investigate the palette possibilities of fusing instruments in intimate settings.

Thesis (Ed.D.)--University of Tulsa, 1981. / Bibliography: leaves 43-46.

Thesis (Ed.D.)--University of Tulsa, 1981. / Bibliography: leaves 43-46.

Frances has recently survived a near-fatal car accident, and a period of convalescence in which she was cared for by her eccentric mother. Now, with the help of her friend, Jane, she’s landed a job at an AIDS Service Organization where she has the opportunity to slowly come back to life. Touching on themes of female friendship, marriage, and intimacy through technology, and with undertones of capitalism, racism, and patriarchy, We Are Not Supposed to Be Happy is a love story in every direction.

Made available in DSpace on 2016-04-27T17:27:11Z (GMT). No. of bitstreams: 1 Gilmar Dias da Conceicao.pdf: 521227 bytes, checksum: d5b9fc242a55387bcbf636d0d4befb59 (MD5) Previous issue date: 2015-08-11 / The objective of this dissertation paper in Masters is the study of the itinerary followed by Nietzsche in elaborating his perspective on the body, starting from the antecedents that determined its devaluation. In this journey, we shall be examining, among other points, the Nietzsche perspective on the human decadency process, with emphasis on what the above mentioned thinker understands by Physiology and the art of convalescence, and showing how it configures the process of human sickness both individually and collectively / O intuito desta dissertação de mestrado é o de estudar o itinerário seguido por Nietzsche na elaboração da sua perspectiva sobre o corpo, a partir dos antecedentes que determinaram sua desvalorização. Nesta trajetória examinaremos, entre outros pontos, a perspectiva de Nietzsche sobre o processo da decadência do homem, salientando o que o referido pensador entende por fisiologia e arte da convalescença, mostrando como se configura o processo da doença no homem individual e no coletivo

Inguinal hernia repair is the most common operation in general surgery. Its main challenge is to achieve low recurrence rates. With the introduction of mesh implants, first in open and later in laparoscopic repair, recurrence rates have decreased substantially. Therefore, the focus has been shifted from clinical outcome, such as recurrence, towards patient-experienced endpoints, such as chronic pain. In order to compare the results of open and laparoscopic hernia repair, a randomised multicentre trial - the Swedish Multicentre trial of Inguinal hernia repair by Laparoscopy (SMIL) - was designed by a study group from 11 hospitals. Between November 1996 and August 2000, 1512 men aged 30-70 years with a primary inguinal hernia were randomised to either laparoscopic (TEP, Totally ExtraPeritoneal) or open (Lichtenstein) repair. The primary endpoint was recurrence at five years. Secondary endpoints were short-term results, frequency of chronic pain and a cost analysis including complications and recurrences up to five years after surgery. In total, 1370 patients, 665 in the TEP and 705 in the Lichtenstein group, underwent operation. With 94% of operated patients available for follow-up after 5.1 years, the recurrence rate was 3.5% in the TEP and 1.2% in the Lichtenstein group. Postoperative pain was lower in the TEP group up to 12 weeks after operation, resulting in five days less sick leave and 11 days shorter time to full recovery. Patients in the TEP group had a slightly increased risk of major complications. Chronic pain was reported by 9-11% of patients in the TEP and 19-25% in the Lichtenstein group at the different follow-up points. Hospital costs for TEP were higher than for Lichtenstein, while community costs were lower due to shorter sick leave. By avoiding disposable laparoscopic equipment, the cost for TEP would be almost equal compared with Lichtenstein. In conclusion, both TEP and Lichtenstein repair have advantages and disadvantages for the patient. Depending on local resources and expertise both methods can be used and recommended for primary inguinal hernia repair.

Bien que l'infarctus du myocarde soit un évènement majeur pour l'homme et la femme, l'expérience de l'évènement ischémique chez la femme concerne des particularités à l'égard de l'incidence, des facteurs de risque, des symptômes, de l'accès aux soins, du diagnostic, de l'évolution, de la maladie ainsi que du suivi. Le rétablissement post-infarctus représente un phénomène des plus pertinents compte tenu de l'impact de l'infarctus du myocarde sur la fonctionnalité physique, psychologique et sociale, Le rétablissement clinique post-infarctus prédomine dans les domaines de l'intervention et de la recherche, privilégiant une approche plutôt standardisée du retour à la santé centrée sur la réduction de symptômes et la reprise de rôles. Au cœur de ce mémoire, l'idée est plutôt d'en savoir davantage sur les spécificités du vécu des femmes en matière de rétablissement post-infarctus, considérant le peu d'études s'y étant intéressées et le manque de compréhension de ce vécu. Ce dernier renvoie au rétablissement expérientiel, lequel provient du champ de la santé mentale et qui représente un centre d'intérêt depuis trois décennies. Ce mémoire emprunte donc à ce champ d'expertise la théorie descriptive à large spectre du rétablissement expérientiel (Provencher, 2002, 2008), laquelle a permis de générer une théorie spécifique à la situation à partir de l'analyse de contenu des récits de 10 participantes. La théorie descriptive générée comprend un concept central, soit le rétablissement expérientiel post-infarctus, et trois grandes dimensions, soit le contexte, les stratégies et le résultat. Conceptualisé comme un processus singulier d'adaptation en période post-infarctus, le rétablissement expérientiel post-infarctus est décrit à l'aide de barrières et facilitateurs, de stratégies cognitives et comportementales et du résultat, c'est-à-dire les critères subjectifs de rétablissement et l'état subjectif de rétablissement. Finalement, la théorie du rétablissement expérientiel post-infarctus du myocarde guide la mise en place de diverses interventions cliniques tout en devant faire l'objet d'autres travaux empiriques. / Although myocardial infarction is a major event for both men and women, the experience of the ischemic event in women concerns particularities regarding incidence, risk factors, symptoms, access to care, diagnosis, evolution, illness, and follow-up. Post-infarction recovery represents a most relevant phenomenon considering the impact of myocardial infarction on physical, psychological, and social functionality. Post-infarction clinical recovery predominates in the fields of intervention and research, favoring a rather standardized approach to the return to health focused on symptom reduction and role recovery. Instead, the focus of this thesis is to find out about the specificities of the experience of women in terms of post-infarction recovery, considering the few studies that have been interested in it and the lack of understanding of this experience. This one refers to experiential recovery, which comes from the field of mental health and has been a focus of interest for three decades. This thesis therefore borrows from this field of expertise the broad-spectrum descriptive theory of experiential recovery (Provencher, 2002, 2008), which made it possible to generate a theory specific to the situation from the content analysis of the accounts of 10 participants. The descriptive theory generated includes a central concept, experiential post-infarction recovery, and three major dimensions, namely context, strategies, and outcome. Conceptualized as a singular process of adaptation during the post-infarction period, experiential post-infarction recovery is described using barriers and facilitators, cognitive and behavioral strategies, and the outcome, namely the subjective criteria of recovery and the subjective state of recovery. Finally, the theory of experiential post-infarction recovery guides the implementation of various clinical interventions while having to be the subject of other empirical work.