Made available in DSpace on 2014-12-17T14:13:50Z (GMT). No. of bitstreams: 1 AuriniceSIM_DISSERT.pdf: 523192 bytes, checksum: d28bf5a5e1dd30cfeab1db694982f134 (MD5) Previous issue date: 2010-10-07 / The epilepsy is one of the neurological disorders more common in the pediatric period, and which interferes significantly in the psycho and social life of children and teenagers. The objective of this study was analyzing the practice of sedentary practices, physicals, traditional infant fun and games of children and teenagers with and without epilepsy. The study was prospective, transversal descriptive, done with 60 children and teenagers with epilepsy (Epileptic Group - EG) patients from Pediatric Neurology Clinic of the Centre Integrated Health Lineu Ara?jo and 60 children and teenagers without epilepsy (Control Group - CG) students from municipal public school, both of the two groups paired with the same age (age group 7 to 14 years) of both the genders (female = 25/41,6% and male = 35/58,3%) of the Teresina city Piau?. It was done two pattern questionnaires, one applied to children and teenagers of the EG and CG to identify the sedentary activities, physical and traditional infant games and other to the parents/responsible of the EG about the clinical and demographic information. The results permitted the elaboration of two manuscripts: a) the first one titled The Practice of Sedentary and Physical Activities of Children and Teenagers with Epilepsy which showed significant difference in the sedentary activities of playing with car toy (p=0,021) to the EG and reading to the CG (p=0,001); in the physical activities the school physical education (p=0,001) and riding a bike (p=0,014) to the CG; b) the second one The Practice of Infant Games and Fun the children and teenagers with and without Epilepsy in this one the playing with marble presented significant difference (p=0,016) to the CG, despite the girls of the two groups don t do this activity. Observing the distribution of frequencies, it was verified that in the play catch-up and hide-and-seek and burn the EG plays more than the CG both in female and male gender. The girls of the EG play less skip, 60 while the boys of the two groups don t play. Elastic jump the girls of the two groups play in a same frequency and the boys don t participate of this fun. The seizures were found to occur during: soccer (23,3%); hide-and-seek (6,6%) and running (3,3%). In the sedentary activities, seizures were reported to occur: resting and watching TV (18,3%), sleeping (36,0%); sitting (13,3%) and lying down (11,7%). Our results showed that the epileptic group and the controls group engage in the same activities, although the epileptic group participates less than the controls. Although the EG had presented a bigger percentage of generalized attacks, they don t occur during the practice of formal physical activities. The research was developed by a multidisciplinary team, and this contributed a lot to the realization of this study / A epilepsia ? uma das desordens neurol?gicas mais comuns na faixa pedi?trica e que interfere significativamente na vida psico-social de crian?as e adolescentes. O objetivo deste estudo foi analisar a pr?tica de atividades sedent?rias, f?sicas, brincadeiras e jogos infantis de crian?as e adolescentes com e sem epilepsia. O estudo foi prospectivo, transversal descritivo, realizado com 60 crian?as e adolescentes com epilepsia (Grupo Epilepsia - GE) pacientes do Ambulat?rio de Neuropediatria do Centro Integrado de Sa?de Lineu Ara?jo e 60 crian?as e adolescentes sem epilepsia (Grupo Controle - GC), escolares de uma escola p?blica municipal, sendo os dois grupos pareados com a mesma idade (faixa et?ria 7 a 14 anos) de ambos os g?neros (feminino = 25/41,6% e masculino = 35/58,3%) da cidade de Teresina Piau?. Utilizou-se dois question?rios padr?o, um aplicado as crian?as e adolescentes dos GE e GC para identificar as atividades sedent?rias, f?sicas e jogos tradicionais infantis, e outro aos pais/respons?veis do GE sobre as informa??es cl?nicas e demogr?ficas. Os resultados permitiram a elabora??o de dois manuscritos: a) o primeiro intitulado - A Pr?tica de Atividades Sedent?rias e F?sicas de Crian?as e Adolescentes com Epilepsia - que mostrou diferen?a significante nas atividades sedent?rias de brincar de carrinho (p=0,021) para o GE e leitura para o GC (p=0,001); nas atividades f?sicas a educa??o f?sica escolar (p=0,001) e andar de bicicleta (p=0,014) para o GC; b) o segundo A Pr?tica de Jogos e Brincadeiras Infantis de crian?as e adolescentes com e sem Epilepsia neste, o brincar com bola de gude apresentou diferen?a significante (p=0,016) para o GC, apesar das meninas dos dois grupos n?o brincarem dessa atividade. Observando as distribui??es de freq??ncias, verificou-se que nas brincadeiras de pega-pega, esconde-esconde e queimada o GE brinca mais que o GC tanto no g?nero feminino como no masculino. Pular corda, as meninas do GE brincam menos, enquanto os meninos dos dois grupos n?o brincam. Pular el?stico, as meninas dos dois grupos brincam numa mesma freq??ncia e os meninos n?o participam desta brincadeira. Quanto ?s crises epil?pticas, elas aconteceram durante as brincadeiras livres como: jogando bola (23,3%); esconde-esconde (6,6%); correndo (3,3%). Nas atividades sedent?rias: assistindo TV (18,3%); dormindo (36,0%); sentado (13,3%); deitado (11,7%) e em mais de uma atividade: jogando bola/assistindo TV (6,6%); dormindo/assistindo TV (3,3%) e correndo/dormindo (2/3,3%). De um modo geral, conclui-se que as crian?as e adolescentes dos dois grupos praticam os mesmos tipos de atividades, sendo que o GE pratica numa freq??ncia menor. Embora o GE tenha apresentado um maior percentual de crises generalizadas, elas n?o ocorreram durante a pr?tica de atividades f?sicas formais. Esta pesquisa foi desenvolvida por uma equipe multidisciplinar, o que muito contribuiu para a realiza??o deste estudo

Made available in DSpace on 2014-12-17T14:14:03Z (GMT). No. of bitstreams: 1 RichardsonARS.pdf: 244790 bytes, checksum: 7ec9324fdc574c3d106b56b638713650 (MD5) Previous issue date: 2006-05-19 / This study had as objective to identify to the perception of mothers and professionals of health on the attention to the health of HIV-Positive children/adolescents in the city of Natal-RN. It is a descriptive-exploratory study with quantitative and qualitative approach, carried through in the Giselda Trigueiro Hospital and in the State and Municipal Health Councils in Natal - RN, from march to december of 2005. The sample was composed by 56 participants, 33 mothers of children who use specialized assistance and 23 professionals. Data collection occurred with the application of a half-structuralized interview. Quantitative data were analyzed through descriptive statistics and qualitative data were submitted to content analysis. Prevailing categories in relation to the cartography of the attention to seropositive children and adolescents in Natal were: Organization and dynamics of the attention; Institutional management and human development; Control and prevention; other contexts of attention; relationship/communication team-patient and organization and functioning of the services. The profile epidemiologist of the children, adolescents and of the people/mothers, who take care of them with HIV/Aids, followed the evolution of the epidemic in the country and the world. It was verified that mothers need care and information; however they make a positive evaluation of the attendance they receive. It was also observed many gaps in the services of assistance, in which the researched group was attended, beyond imperfections in the communication between health professionals and users. The professionals recognize the advances that the politics represent for the assistance of people with Aids; however feel themselves limited by the precariousness of the system and the partner-economic conditions of the people. According to these data, it can be verified great challenges to go through in the context of integrality of the assistance to HIV positive children and adolescents in the city of Natal and in the improvement of the communication in the institution of reference / Este estudo teve como objetivo Identificar a percep??o de m?es e profissionais de sa?de sobre a aten??o ? sa?de de crian?as/adolescentes soropositivos no munic?pio de Natal-RN. Tratou-se de um estudo descritivo-explorat?rio com abordagem quantiqualitativa, realizado no Hospital Giselda Trigueiro e nas Secretarias Estaduais e Municipais de Sa?de situados em Natal RN, no per?odo de mar?o a Dezembro de 2005. A amostra foi formada por 56 participantes, sendo 33 m?es de crian?as usu?rias da assist?ncia especializada e 23 profissionais. A coleta de dados ocorreu com a aplica??o de uma entrevista estruturada. Os dados quantitativos foram analisados atrav?s da estat?stica descritiva e os dados qualitativos foram submetidos ? an?lise de conte?do. As categorias prevalentes em rela??o ? cartografia da aten??o as crian?as e adolescentes soropositivos em Natal foram: Organiza??o e din?mica da aten??o; Gest?o Institucional e desenvolvimento humano; Controle e preven??o; Outros Entornos de aten??o; relacionamento/comunica??o equipe-paciente e organiza??o e funcionamento do servi?o. O perfil epidemiol?gico das crian?as, adolescentes e seus respectivos cuidadores/m?es com HIV/Aids, foi semelhante ? evolu??o da epidemia no pa?s e no mundo. Observou-se que essas m?es s?o carentes de cuidados e informa??es, por?m fazem uma avalia??o positiva do atendimento que recebem. Foram verificadas diversas lacunas nos servi?os de assist?ncia, no qual o grupo pesquisado foi atendido, al?m de falhas na comunica??o entre equipe de sa?de e usu?rios. Os profissionais reconhecem os avan?os que as pol?ticas representam para a assist?ncia de pessoas com Aids, por?m sentem-se limitados pela precariedade do sistema e das condi??es s?cioecon?micas das pessoas. Diante desses dados, constatam-se os grandes desafios a serem percorridos no contexto da integralidade da assist?ncia a crian?as e adolescentes portadores de HIV no munic?pio de Natal e na melhoria da comunica??o na institui??o de refer?ncia

Made available in DSpace on 2014-12-17T14:16:33Z (GMT). No. of bitstreams: 1 MelinaBL_DISSERT.pdf: 4468439 bytes, checksum: 05a71c9a22430196d211e6d7c8feea61 (MD5) Previous issue date: 2008-09-22 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / Diabetes Mellitus (DM) and osteoposes are chronic diseases with great socioeconomic consequences, mainly due to the late complications and consequent disabilities. The potential effects of DM on bone metabolism remain a very conroversial issue, and disagreement exists with regard to the clinical implications of diabetic osteopenia and the mechanism of its ocurrence. The issue is further complicated by the contribuicion of the especific factors, such as duration of disease an dthe degree of metabolic control. The objective of this study is to identify the osteopathy in children and adolescents with DM 1 assisted in the hospital of pediatrics, UFRN, through biochemical markers of bone and mineral metabolism and the extent of bone mineral density. The study was composed by 74 diabetics type 1 patients (DM1) of both gender and aged 6 to 20 yars. Normoglic?mic group was composed by 97 healthy subjects of both genders, which showed the same age range of DM1, in addition to same socioeconomic class. These individuals qere students from the networks of public education in the city of Natal-RN, randomly invited to paticipate in our study. Both groups DM1 and NG were divided intofour subgroups, according to the classification of tanner , T1, T2, T3, T4 for achieving a benchmark. Diabetic individuals showed up with a poor glycemic control. the group DN1 T4 showed an incresead value for total protein, albumin, urea and microalbumiuria are predictors of grumelura injury in DM1 patients . The total alkaline phosphatase activitywas kept on high levels for both groups because they are in a stature development age. For osteocalcin there were decreased levels for groups Dm1 T1, T2, and T3 when compared to their NG (s), suggesting that this decrease could be associated with reduction in the number and/or differentiation os osteoblasts thereby contributing to reducing bone formation. There were no changes in the activity of TRAP. The serum concentrations of total and ionized calcium, phosphorus and magnesium were included within the RV. It was observed that the BMD (Z- SCORE ) has always been within the RV for both groups, despite to DM1 T4. Taking all together, our results support the hypothesis that children and adolescents with type 1 DM present the risk in the long run to suffer a reduction in the bone mass, associated to poor glicemic control and disease duration. It could limit the bone growth and increase the probality of development of osteopenia, as well as other complications surch as retinopathy and renal failure / Diabetes mellitus (DM) a osteoporose s?o doen?as cr?nicas com grandes consequ?ncias socioecon?micas, sobretudo devido ? complica??es tardias e consequente desabilidades. Os efeitos potenciais do DM no metabolismo ?sseo continua a ser uma quest?o controversa, e ainda n?o existe um consenso no que diz respeito ?s implica??es cl?nicas da osteopenia diab?tica e os mecanismos da sua ocorr?ncia. Entretanto, a contribui??o de fatores espec?ficos, tais como a dura??o da doen?a e o grau de controle metab?lico tem sido muito discutidos. O objetivo do presente estudo foi identificar precocemente a osteopatia diab?tica em crian?as e adolescentes com DM 1 atendidos no Hospital de Pediatria da UFRN atrav?s de marcadores bioqu?micos do metabolismo mineral e ?sseo, marcadores da fun??o renal e da medida da densidade mineral ?ssea (DXA; Z-score L1-L4) . O estudo foi constitu?do por uma amostra de 74 pacientes diab?ticos tipo 1 (DM1) de ambos os sexos, com faixa et?ria entre 6 a 20 anos. O grupo normoglic?mico (NG) foi constitu?do por 97 indiv?duos saud?veis, de ambos os sexos, os quais apresentaram a mesma faixa et?ria do DM1, al?m de compreenderem a mesma classe socioecon?mica. Estes indiv?duos eram alunos de escolas da rede p?blica de ensino da cidade de Natal-RN, convidados aleatoriamente a participar do nosso estudo. Tanto o grupo DM1 quanto o NG foram divididos em quatro subgrupos, de acordo com a Classifica??o de Tanner, T1, T2, T3, T4, para viabilizar uma avalia??o comparativa. Os indiv?duos diab?ticos apresentaram um controle glic?mico insatisfat?rio, com valores de glicemia e HbA1C significativamente superiores aos obtidos para os NG. O grupo DM1 T4 apresentou valores aumentados de prote?nas totais, albumina, ur?ia e microalbumin?ria, sugerindo assim um in?cio de comprometimento renal, visto que os valores elevados de microalbumin?ria s?o preditores de les?o glomerular em pacientes DM1. A atividade da fosfatase alcalina total mostrou-se acima dos VR nos grupos DM1 e NG por estes estarem numa faixa et?ria de desenvolvimento estatural. Observa-se uma diminui??o da concentra??o de osteocalcina para os grupos DM1 T1, T2 e T3 quando comparados aos respectivos NG (s), sugerindo que esta diminui??o estaria associada a diminui??o do n?mero e/ou da diferencia??o dos osteoblastos no seu est?gio final de matura??o, contribuindo consequentemente para a redu??o da forma??o ?ssea. N?o foram observadas altera??es na atividade da TRAP. As concentra??es s?ricas de c?lcio total e ionizado, f?sforo e magn?sio estavam compreendidos dentro dos VR, mas os grupos diab?ticos apresentaram hipozincemia e hiperzinc?ria. A DMO (Z-score L1-L4; DXA) esteve sempre dentro dos VR para os grupos estudados, entretanto os grupos DM1 apresentaram sempre valores abaixo do seu respectivo NG, alca?ando uma diferen?a significativa para DM1 T4. O conjunto de resultados obtidos indicam que o baixo controle glic?mico e o tempo de doen?a representaram fatores de risco importantes para o desenvolvimento precoce da osteopenia diab?tica, bem como para o comprometimento renal e sinais de retinopatia.

Made available in DSpace on 2014-12-17T14:19:45Z (GMT). No. of bitstreams: 1 VaniaVBC.pdf: 1064188 bytes, checksum: 7ffd5d9ec323a5c054fc5562bae66030 (MD5) Previous issue date: 2007-12-17 / This research is responsible for the investigation and problematization of the violence production process in children and teenagers through deviant behaviour, especially the drug s use and traffic, given that the deviant behaviour named juvenile criminality is something built and that can t be disassociated from the social and institutional relations that are ideological and violent, as well as the construction of, social and individual, positive identities can become important instruments for the process of democratization and the effective juvenile citizenship. In relation to the teorical referential, the work was developed from readings beyond the social science camp, without getting far from it, searching for support in other scientific camps and making your bases on Manuel Castells formulations about the power of the identity, and on Nancy Fraser and Axel Honneth in relation to the recognition struggle. In the empiric field, the discourses and graphic representations from twenty four children and teenagers that attend a social project were privileged, and compared to those shown at the documentary and the book Falc?o Meninos do Tr?fico produced by MV Bill, in relation to the social profile and life trajectory. From the study subjects' perspective, the data suggest that the children and the teenagers conceive violence as a natural thing, either as victims or persecutors. However, the research shows that, despite the subjects of the two studied groups reveled in your discourses the influence of the violent relations in their daily lives, the subjects got recognition during the process of identity construction by the groups with which they maintained the sense of belonging, either it being the family, the community or the school, they were positively influenced and established a positive representation of themselves and didn t show any deviant and violent tendency or behaviour. Therefore, we demonstrate the role of the school for an education for peace, as well as the participation of the family, the community and the stimulation of the juvenile protagonism as transforming practices, capable of awaking the citizenship and avoiding the construction of people that reproduce deviant and violent behaviour / Esta pesquisa tratou da investiga??o e problematiza??o do processo de produ??o de viol?ncia manifestado em crian?as e adolescentes atrav?s de comportamentos desviantes, especialmente o uso e tr?fico de drogas, partindo da premissa de que a conduta desviante denominada de criminalidade juvenil ? algo constru?do e que n?o se desvincula das rela??es sociais e institucionais ideol?gicas e violentas, bem como que a constru??o de identidades, sociais e individuais, positivas podem se tornar instrumentos importantes para o processo de democratiza??o e o exerc?cio pleno da cidadania infanto-juvenil. No que tange ao referencial te?rico, o trabalho se desenvolveu a partir de leituras que transcendem ao campo das ci?ncias sociais, sem, contudo afastar-se dele, buscando subs?dios em outros campos da ci?ncia e alicer?ando-se nas formula??es de Manuel Castells sobre poder e identidade, e de Nancy Fraser e Axel Honneth no que tange a luta por reconhecimento. No campo emp?rico, foram privilegiados os discursos e representa??es gr?ficas de vinte e quatro crian?as e adolescentes atendidos por um Projeto Social, sendo os seus discursos comparados com aqueles apresentados no document?rio e no livro Falc?o - Meninos do Tr?fico produzido por MV Bill, no que tange ao perfil social e trajet?ria de vida. Da perspectiva dos sujeitos do estudo, os dados sugerem que as crian?as e adolescentes concebem a viol?ncia de forma naturalizada, quer seja na posi??o de v?timas ou algozes. Entretanto, a pesquisa aponta que, apesar dos sujeitos dos dois grupos pesquisados revelarem em seus discursos as influ?ncias das rela??es violentas nas din?micas de seus cotidianos, os sujeitos que obtiveram reconhecimento no processo de constru??o de sua identidade por parte dos grupos com os quais mantinha um sentimento de perten?a, quer seja na fam?lia, na comunidade ou na escola, foram influenciados positivamente e estabeleceram uma representa??o positiva de si e n?o apresentaram tend?ncia ou comportamentos desviantes e violentos. Assim, evidenciamos o papel da escola para uma educa??o para a paz, bem como a participa??o da fam?lia, da comunidade e o est?mulo ao protagonismo infanto-juvenil como pr?ticas transformadoras, capazes de despertar a cidadania e evitar a constru??o de sujeitos reprodutores de condutas desviantes e violentas

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-06-23T19:39:11Z No. of bitstreams: 1 AntonielliJatobaBezerraTinoco_DISSERT.pdf: 3301408 bytes, checksum: 02587cba4107f12626c6d822a5cc1b88 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-06-27T18:04:52Z (GMT) No. of bitstreams: 1 AntonielliJatobaBezerraTinoco_DISSERT.pdf: 3301408 bytes, checksum: 02587cba4107f12626c6d822a5cc1b88 (MD5) / Made available in DSpace on 2016-06-27T18:04:52Z (GMT). No. of bitstreams: 1 AntonielliJatobaBezerraTinoco_DISSERT.pdf: 3301408 bytes, checksum: 02587cba4107f12626c6d822a5cc1b88 (MD5) Previous issue date: 2014-12-19 / Os conceitos de inf?ncia fazem parte de uma constru??o cultural, variando conforme a hist?ria em sua diversidade pol?tica, econ?mica e social. Os nomes ?inf?ncia?, bem como ?crian?a?, n?o existiam como unidade de sentido em per?odos anteriores ? modernidade, refor?ando o car?ter hist?rico dos mesmos, conceitos esses que foram constru?dos socialmente tal como defende a Psicologia S?cio Hist?rica, perspectiva te?rica que dar? suporte a esta pesquisa. Diante desse contexto ? necess?rio fazer a distin??o conceitual entre inf?ncia e crian?a j? que muitos autores os utilizam como sin?nimos. Sobre isso, Siqueira (2011) diferencia os termos ao dizer que crian?a e inf?ncia s?o interdependentes, n?o sendo poss?vel deixar de apreender na crian?a a inf?ncia, nem mesmo reconhecer na inf?ncia uma express?o da crian?a, contudo as duas categorias n?o s?o as mesmas, se constituindo como categorias hist?ricas e sociais; a crian?a revela o indiv?duo e a inf?ncia revela o tempo em que esse indiv?duo se constitui e constr?i sua hist?ria. A Sociologia da Inf?ncia faz a distin??o dos termos e traz mudan?a na abordagem do pesquisador adulto junto ?s crian?as, objetivando dar voz ? crian?a. Quando se trata de definir o papel das crian?as nas pesquisas, o pesquisador deve levar em considera??o v?rios crit?rios relevantes, como a idade, o g?nero, o tempo, a escuta dos adultos pr?ximos ?s crian?as, o n?vel de linguagem e escolaridade e quais as crian?as que ser?o ouvidas em um grupo. Diante de tantas especificidades, surgem alguns questionamentos: como as crian?as est?o sendo ouvidas nas pesquisas? Quais condi??es essas crian?as assumem nessa investiga??o cient?fica? E os cuidados ?ticos, est?o sendo espec?ficos para esse p?blico-alvo? ? a partir desta discuss?o, considerando-se a import?ncia da participa??o das crian?as em pesquisas que se estabelece o objetivo desta, qual seja, analisar os aspectos te?rico-metodol?gicos e os cuidados ?ticos considerados no processo de pesquisa com crian?as, por pesquisadores da UFRN, apresentando como objetivos espec?ficos: analisar e discutir, a partir dos relat?rios de pesquisa, os procedimentos ?ticos adotados e os m?todos utilizados em pesquisas com crian?as. Definido o objetivo, iniciou-se uma busca dos Grupos de Pesquisa da UFRN no SIGAA com intuito de selecionarmos aqueles que investigam crian?as para serem participantes de nossa pesquisa. Dentre os Centros da UFRN, selecionamos o Centro de Ci?ncias Sociais Aplicadas - CCSA, o Centro de Ci?ncias Humanas, Letras e Artes - CCHLA, o Centro de Bioci?ncias - CB e o Centro de Ci?ncias da Sa?de - CCS, totalizando 64 relat?rios finalizados a serem analisados. Assim, neste estudo, optamos pela an?lise documental dos relat?rios finalizados dos projetos de pesquisa dos professores/pesquisadores da UFRN como procedimento para a constru??o do corpus da pesquisa. A an?lise dos dados foi realizada a partir da An?lise de Conte?do Tem?tica em que foram estabelecidas as seguintes categorias: conceito de inf?ncia, conceito de crian?a, faixa et?ria dos sujeitos pesquisados, contexto da pesquisa, cuidados te?rico-metodol?gicos adotados e cuidados ?ticos. Espera-se que este estudo contribua com reflex?es acerca dos cuidados ?ticos e te?rico-metodol?gicos em investiga??es com crian?as. / The concepts of childhood are part of a cultural construction and vary throughout history politically, economically and socially. Nouns such as "childhood" and "child" did not exist as sense of unity in periods prior to modernity, reinforcing their historical character as concepts that have been socially constructed as profess the Historical Social Psychology, theoretical perspective which will support this research. The sociology of childhood distinguishes the terms and changes the approach toward the adult researcher approach with respect to children, aiming to give voice to the child. When it comes to defining the role of children in research, the researcher must take into consideration several relevant criteria such as age, gender, time, listening to the adults close to the children, the level of language and education and which children that will be heard in a group. It is from this discussion, considering the importance of children's participation in the research that are established the purpose of this work, namely, to analyze the theoretical and methodological aspects and ethical guidelines considered in the research process with children, by researchers at the UFRN, presenting as specific objectives: analyze and discuss, from research reports, the adopted ethical procedures and methods used in research with children. Set the goal, it was made a search of the UFRN Research Groups in SIGAA in order to select those which investigate children for participating in our survey. Among the centers of UFRN, we selected the Health Sciences Centre - CCSA, the Humanities Center, Letters and Arts - CCHLA, the Biosciences Center - CB and the Health Sciences Center - CCS, a total of 64 finalized reports to be analyzed. And here it is the observation that the foolish reports were not analyzed for ethical reasons as the guiding of this dissertation is the coordinator of the research group mentioned. In this study, we chose the documentary analysis of the finalized reports from UFRN research projects teachers / researchers as procedure to set up the corpus of the research. Data analysis was performed from the qualitative analysis in the following categories were established: the concept of childhood, concept of child, age of the subjects, the research context, theoretical and methodological care adopted and ethical care. It is hoped that this study will contribute with reflections on the ethical and theoretical and methodological care on research with children. The research showed how some of the results: significant number of reports excluded by repetition, most reports did not bring any closing remarks, no different procedures for children, with rare exceptions, the ethical issue was not mentioned in 50% of reports.

Made available in DSpace on 2014-12-17T15:32:17Z (GMT). No. of bitstreams: 1 AndreaFS.pdf: 584148 bytes, checksum: 1823dffba43267f037cb07f5493ee540 (MD5) Previous issue date: 2004-12-20 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Regarding the morbidity potential of oral complications in patients with leukemia, it evaluated the cl?nical and microbiologic changes of oral mucosal in children with LLA, with age range of O to 15 years old, undergone the chemotherapy antineoplastic and for the use prophylactic of chlorhexidine gluconate 0,12% during ten days, that was utilized in each chemotherapy treatment stage. The collect for rnicrobiological study was obtained preferentiality in intensification stage at the end prophylatic treatment. The study grouup had 20 children, where it observed clinically decrease in frequency of mucositis, with 8 cases (40%) only. In microbiological examination observed one reduced incidence of pathogenic microorganisms with Staphylococcus coagulase- negative (40%), Klebsiella pneumoniae (5%), Escherichia coZi enteropathogenic (15%), Stenotrophomonas maltophilia (5%) e Candida albicans (35%). The findings obtained in the present trial suggest that the use of chlorhexidine gluconate 0,12% can be responsible for incidence reduced of mucositis, but it wasn t possible to make correlation between isolated pathogenic microorganisms and mucositis development / Considerando o potencial de morbidade das complica??es orais em pacientes com leucemia, procurou-se avaliar as altera??es clinicas e microbiol?gicas da mucosa, em crian?as com LLA. na faixa et?ria de O a 15 OOos, submetidas a quimioterapia antineopl?sica e ao uso profil?tico do gluconato de clorexidina a 0,12%, durante dez dias, o qual era administrado em todas as fases do tratamento quimioter?pico. A coleta para o estudo microbiol?gico foi obtida, preferencialmente, na fase de intensifica??o, ao t?rmino do tratamento profil?tico. A amostra foi constituida por 20 crian?as, na qual evidenciou-se em nivel clinico, uma freq??ncia reduzida de mucosite, com 8 ocorr?ncias (40%) apenas. No exame microbiol?gico, constatou-se a presen?a de reduzido n?mero de microrganismos patog?nicos, como Staphylococcus coagulase-negativo (40%), Klebsiella pneumoniae (5%), Escherichia coli-enteropatog?nica (15%), Stenotrophomonas maltophilia (5%) e Candida albicans (35%). Diante dos resultados, sugeriu-se que o uso do referido antiss?ptico contribuiu para a reduzida ocorr?ncia de mucosite, no entanto, n?o foi possivel estabelecer correla??o entre os microrganimos isolados e o desenvolvimento da mucosite

Made available in DSpace on 2014-12-17T15:32:19Z (GMT). No. of bitstreams: 1 ManuelAGN.pdf: 643376 bytes, checksum: 66d328a589e98f0954a600fdd751c6b4 (MD5) Previous issue date: 2006-05-19 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / The childhood cancer is characterized by a predominance of hematogenic and lymphatic system neoplasm, although a fTequency of the central nervous system tumors and sarcomas are widely common. Particularities of many childhood cancers and the adverses effect of the antineoplastic agents can change radically the oral environrnent and predisposes to the risk of oral complications. This study assessment clinically the oral health of 40 children on treatment for different types of malignant neoplasm with age range of O to 1S years old (Group I) and compared to 38 nonnal children in the same age range (Group lI). The results shown that nonnal patients had a gingival bleeding index (GBI) and caries experience minar than patients of Group lI, the visivel plaque index (VPI) was lightly higher in patients of Group 1. There was not difference statistically significant in the variables. Sixteen patients of Group I developed together 61 oral complications with predominance of mucositis, followed by spontaneous oral bleeding, candidiasis and xerostomy, that complication were most commons in patients with systemic neoplasm. Its was concluded that patients submitted to antineoplastic therapy with poor oral health had a higher risk to develop oral complications / O C?ncer na inf?ncia caracteriza-se pela predomin?ncia de neoplasias dos sistemas hematol?gicos e linf?tico,tumores do sistema nervoso central e v?rios tipos de sarcomas. Particularidades da pr?pria doen?a,assim como os efeitos colaterais dos agentes antineopl?sicos podem alterar radicalmente o meio ambiente bucal e predispor ? ocorr?ncia de complica??es estomatol?gicas.Este estudo avaliou clinicamente a sa?de bucal de 40 crian?as em tratamento para diferentes neoplasias malignas na faixa et?ria de 0 a 15 anos(Grupo I) e 38 crian?as saud?veis na mesma faixa et?ria (GrupoII).Os resultados mostraram que os pacientes do GrupoI apresentaram ISG e experi?ncia de carie menores que os GrupoII,enquanto que,o IPV foi levemente maior nos pacientes do GrupoI,por?m n?o foi observada diferen?a estatisticamente significativa no valor destas vari?veis entre os grupos avaliados.No GrupoI,16 pacientes desenvolveram em conjunto 61 casos de complica??es estomatol?gicas,com predomin?ncia da mucosite,seguida do sangramento oral espont?neo,candid?ase e xerostomia,as quais foram mais comuns nos pacientes em tratamento para neoplasias sist?micas.Concluimos que pacientes sob tratamento antineopl?sico, apresentado higiene oral deficiente,t?m um maior risco de desenvolver complica??es orais

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-06-02T21:42:58Z No. of bitstreams: 1 FelintoGadelhaSegundo_DISSERT.pdf: 1272491 bytes, checksum: 3f5331872cffb23af00d6a22e185dd75 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-06-07T18:57:29Z (GMT) No. of bitstreams: 1 FelintoGadelhaSegundo_DISSERT.pdf: 1272491 bytes, checksum: 3f5331872cffb23af00d6a22e185dd75 (MD5) / Made available in DSpace on 2017-06-07T18:57:29Z (GMT). No. of bitstreams: 1 FelintoGadelhaSegundo_DISSERT.pdf: 1272491 bytes, checksum: 3f5331872cffb23af00d6a22e185dd75 (MD5) Previous issue date: 2017-03-29 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / A pesquisa empreendida consiste em analisar como o programa de ensino de filosofia para crian?as do professor Matthew Lipman pode formar crian?as e jovens na perspectiva de uma educa??o emancipat?ria que vise ? forma??o do sujeito aut?nomo. O estudo tem sua relev?ncia mediante os embates pol?ticos e ideol?gicos que envolvem as discuss?es a cerca da obrigatoriedade, ou n?o, da disciplina de filosofia nas escolas e de como este ensino de filosofia pode apresentar-se como alternativa para uma educa??o significativa que possibilita o desenvolvimento das habilidades para o pensar aut?nomo desde a inf?ncia. Para tanto, partimos da hip?tese na qual seria poss?vel encontrarmos na metodologia do ensino de filosofia para crian?as aspectos pedag?gicos e did?ticos dos quais conjecturam com a proposta de uma educa??o reflexiva e cr?tica, que leva a crian?a e ao jovem a capacidade de pensar por si mesmos. Para tal an?lise, levantamos arcabou?o te?rico conceitual a partir da cr?tica que Adorno e Horkheimer faz ao tipo de educa??o moderna, cuja est? atrelada ao conceito de Ind?stria Cultural e a civiliza??o moderna racionalista e tecnol?gica perante a penetra??o da realidade social humana. A metodologia de an?lise bibliogr?fica nos permitiu fazer infer?ncias sobre o programa de ensino de filosofia para crian?as por interm?dio de an?lise da obra de Lipman e dos conceitos abstra?dos das obras dos frankfurtianos Adorno e Horkheimer (Dial?tica do esclarecimento e Educa??o e emancipa??o). Esta metodologia de ensino permite uma an?lise cr?tica que auxilia a pr?tica docente, da qual considera a participa??o ativa das crian?as no processo de ensino e aprendizagem e no desenvolvimento de habilidades para o pensar, integrantes da forma??o aut?noma, cr?tica e reflexiva do sujeito, em vistas de uma educa??o para a cidadania, ou seja, para emancipa??o do sujeito que resiste ao assujeitamento da industria cultural a partir da autoconsci?ncia cr?tica. / The purpose of this study is to analyze how Professor Matthew Lipman?s philosophy teaching program for children can educate young people in the perspective of an emancipatory education that aims at the training of the autonomous subject. This research has its relevance through the political and ideological conflicts that involve a lot of arguments around having Philosophy, or not, as a mandatory subject in schools and how about this teaching of Philosophy can be the new alternative and the new structure that would bring meaningful savings for our education that allows the development Abilities for autonomous thinking since childhood. From this part, we already started with the hypothesis that would be possible to find in the methodology of children?s Philosophy pedagogical and didactic aspects which conjecture with the proposal of a reflexive and critical education that leads the child and the young person to develop the ability to think for themselves. For this analysis, we got the concept of criticism that Adorno and Horkheimer make about the kind of modern education, that comes together with the concept of Cultural Industry and a modern rationalist and technological civilization before the entrance of human social reality. The methodology of bibliographic analysis allowed us to make inferences about the philosophy teaching program for children through an analysis of Lipman's work and the abstracted concepts of the works of Frankfurtians Adorno and Horkheimer (Dialectics of Enlightenment and Education and Emancipation). This teaching methodology allows for critical analysis that supports the teaching practice, which considers the active participation of the children in the process of both teaching and learning, as well as the development of thinking skills. This process also helps with the autonomous, critical or reflexive formation of a subject from the perspective of a citizenship education. That is to say, the free discussion of this subject may help young people to resist the cultural pressures that begin with critical self - consciousness.

Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2016-07-15T00:58:46Z No. of bitstreams: 1 Disserta??o vers?o final p?s defesa.pdf: 1222902 bytes, checksum: 40007ee76422c5102a64eba0abe995f4 (MD5) / Made available in DSpace on 2016-07-15T00:58:46Z (GMT). No. of bitstreams: 1 Disserta??o vers?o final p?s defesa.pdf: 1222902 bytes, checksum: 40007ee76422c5102a64eba0abe995f4 (MD5) Previous issue date: 2015-03-25 / Objective: To analyze the survival and factors associated with death in children, adolescents and young adults infected with HIV through vertical transmission, enrolled in the Municipal Reference Center (CRM) STD / HIV / AIDS Feira de Santana. Methods: An observational, longitudinal study, developed from a cohort of HIV-positive to HIV, infected by vertical transmission from secondary data obtained from the review of clinical records of 37 children, 21 adolescents and five (5) young adults, ranging age between 0 and 24 years enrolled in the Specialized Care Service (SAE) of CRM, from 2003 to 2014. In the analyzes we used Pearson X2 test, exact Fisher test and its value p, to investigate factors associated with death. In addition, it used survival analysis with construction of Kaplan-Meier curves and log-rank test to verify statistically significant association between groups of variables listed. Finally, we used regression Cox proportional hazards to estimate adjusted risk factors for death. Results: There was a predominance of groups of 0-12 years (58.7%) and 13-19 years (33.3%), female (52.4%) and black / mulatto (71.8%). Most of the study population made use of ART (71.4%), 82.5% had no comorbidities and 65.1% were not affected by non-oral opportunistic infections, though, 85.7% had at least one episode oral candidiasis. . Of the subjects studied, 71.4% were alive at the end of the follow-up period; 23.8% had AIDS as a cause death and three 4.8% patients died from other causes. Risk factors associated with death highlighted the variables "age" (p = 0.02), "non-oral opportunistic infection" (p = 0.00), " oral candidiasis "(p = 0.00)," CD4 "(p = 0.03). Survival analysis showed reduction in the probability of survival time only for individuals who came to the service with CD4 cell counts less than 350 cells / mm 3 (p = 0.00). The median overall survival time was 8.8 years, and the individuals using HAART had a higher survival (10.6 years) compared to those who have not used antiretroviral (6.0 years). In the multivariate analysis, statistically significant variables were age (<13 years), behaving as a protective factor (HR: 0.88; 95% CI: 0.78 to 0.98) and non-oral opportunistic infection as a factor of risk of death (HR: 4.3; 95% CI 1.51 to 12.1). Conclusion: This study points to the increased survival among infected by vertical route, evidenced by the significant number of individuals who have reached adolescence and possibly this is due to the use of antiretroviral with longer survival time among those who used the therapy, which shows that good results can be achieved, even in countries with limited resources. Causes of death resembled the national standard, although this is in transition, considering the causes unrelated to AIDS. The opportunistic infection remained a risk factor for death, according to the literature. The results show continuing need for adjustments and developments, in order to deal with the challenge of a chronic infection among individuals in a vulnerable stage, own youth. / Objetivo: analisar a sobrevida e fatores associados ao ?bito em crian?as, adolescentes e adultos jovens infectados pelo HIV , por transmiss?o vertical, matriculados no Centro de Refer?ncia Municipal (CRM) DST/HIV/AIDS de Feira de Santana. M?todos: estudo observacional, longitudinal, desenvolvido a partir de uma coorte de soropositivos para HIV, infectados por transmiss?o vertical, a partir de dados secund?rios obtidos da revis?o de prontu?rios cl?nicos de 37 crian?as, 21 adolescentes e cinco (5) adultos jovens, na faixa et?ria compreendida entre 0 e 24 anos , matriculados no Servi?o de Aten??o Especializada (SAE) do CRM, no per?odo de 2003 a 2014. Nas an?lises foi utilizado teste ?2 de Pearson, teste exato de Fisher e respectivo valor p, para investigar fatores associados ao ?bito. Al?m disso, foi utilizada an?lise de sobrevida com constru??o das curvas de Kaplan-Meier e teste log-rank a fim de verificar associa??o estatisticamente significante entre os grupos das vari?veis elencadas. Finalmente, utilizou-se regress?o de riscos proporcionais de cox para estimativa ajustada dos fatores de risco para ?bito. Resultados: Houve predom?nio das faixas de 0-12 anos (58,7%) e 13 a 19 anos (33,3%), sexo feminino (52,4%) e cor negra/parda (71,8%).. A maioria da popula??o estudada fazia uso de TARV (71,4%), 82,5% n?o apresentavam comorbidades e 65,1% n?o foram acometidos por infec??es oportunistas n?o orais, embora, 85,7% apresentaram, pelo menos, um epis?dio de candid?ase oral. . Dos indiv?duos estudados, 71,4% estavam vivos at? o fim do per?odo de seguimento; 23,8% tiveram Aids como causa morte e tr?s 4,8% ?bitos ocorreram por outras causas. Como fatores de risco associados ao ?bito destacaram-se as vari?veis ?faixa et?ria? (p=0,02), ?infec??o oportunista n?o oral? ( p=0,00), ?candid?ase oral? (p=0,00), ?contagem de c?lulas CD4? (p=0,03). A an?lise de sobreviv?ncia demonstrou probabilidade na redu??o do tempo de sobrevida apenas para indiv?duos que chegaram ao servi?o com contagem de c?lulas CD4 menor que 350 c?lulas/mm3 ( p=0,00). A mediana do tempo de sobrevida geral foi de 8,8 anos, sendo que os indiv?duos em uso de TARV apresentaram sobrevida maior (10,6 anos) quando comparados aos que n?o usaram antirretroviral (6,0 anos). Na an?lise multivariada, as vari?veis estatisticamente significativas foram idade (< 13 anos), comportando-se como fator de prote??o (HR:0,88; IC 95%: 0,78-0,98) e infec??o oportunista n?o oral como fator de risco para ?bito (HR:4,3; IC 95%: 1,51-12,1). Conclus?o: Este estudo aponta para o aumento da sobrevida entre infectados por via vertical, evidenciado atrav?s do n?mero significativo de indiv?duos que chegaram ? adolesc?ncia e, possivelmente, isto deve-se ? utiliza??o de antirretroviral com tempo de sobrevida maior entre aqueles que faziam uso da terapia, o que demonstra que bons resultados podem ser alcan?ados, mesmo em pa?ses com recursos limitados. As causas de ?bito assemelharam-se ao padr?o nacional, embora esse esteja em processo de transi??o, considerando as causas n?o relacionadas ? Aids. A infec??o oportunista permaneceu como fator de risco para ?bito, concordando com a literatura. Os resultados apontam necessidade cont?nua de adequa??es e empreendimentos, a fim de lidar com o desafio de uma infec??o cr?nica entre indiv?duos em fase de vulnerabilidade, pr?prias da juventude.

Submitted by Jadson Francisco de Jesus SILVA (jadson@uefs.br) on 2018-07-20T21:53:39Z No. of bitstreams: 1 DISSERTA??O PAULO ROBERTO finalz?o 09 03.pdf: 3626215 bytes, checksum: a916a4a7fbf307b65ccad4330d1dd18c (MD5) / Made available in DSpace on 2018-07-20T21:53:39Z (GMT). No. of bitstreams: 1 DISSERTA??O PAULO ROBERTO finalz?o 09 03.pdf: 3626215 bytes, checksum: a916a4a7fbf307b65ccad4330d1dd18c (MD5) Previous issue date: 2018-02-22 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Study qualitative, exploratory, with the objective of understanding the experiences of families of children with microcephaly by Zika virus. For the production of empirical data we explore the narratives of relatives contained in videos posted on the YouTube Internet platform published between 10/01/2015 and 07/31/2016, as well as narratives obtained from an in-depth interview, of the story-theme design applied in 11 family members of children with microcephaly attended at the Association of Parents and Friends of the Exceptional in Feira de Santana, as well as field diary material. The data collection took place between September and November 2017. For the treatment of the data we adopted the thematic content analysis and the iconographic analysis. The results are organized in: Article 1 - Bad news: experiences and feelings of families regarding the diagnosis of microcephaly by Zika virus; A session entitled: Understanding the family dynamics of study participants; Article 2 - "Well run, very fast ...": experiences of care of mothers of children with microcephaly by Zika; Article 3 - Family organization to take care of the child with microcephaly by z?ka virus. Microcephaly is revealed in the prenatal period, through imaging tests, or during the immediate or late postpartum. Relatives live with feelings of sadness, despair, pain, fright, commotion, disorientation and terror. After diagnosis, family members seek to understand microcephaly through internet resources, and question God's permission and the relevance of scientific knowledge. Mothers experience day-to-day organizing and cleaning the home environment, caring for their children and the specific care of the child with microcephaly, regarding lullaby, since children cry frequently, requiring the mother to spend hours with the child in the lap; Give a shower; change diapers; to feed; play; and, stimulate. They learn to differentiate cognitive, psychomotor, auditory, and visual impairments; recognize progress in the development and new needs of children; identify episodes of seizure; consider patience and attention relevant to care; and, seek to learn about new thematic and unknown terms such as calcifications. Family members build a network of solidarity and unity for the benefit of the child, family relationships are strengthened, bringing together previously conflicting relationships. Caregivers include mothers, fathers, grandparents, sisters, cousins, aunts, friends and neighbors, with the mother being the protagonist who also coordinates and defines the roles played by other people. Family members practice care that has been organized in four dimensions: "Take care"; Encourage; Access Resources and Services. We recommend that family members and health workers attend to the restriction of social interaction, weakening marital relationships, jealousy behaviors on the part of siblings, worsening of grandparents' health conditions, and financial difficulties that may affect the family of children with microcephaly. / Estudo qualitativo, do tipo explorat?rio, com objetivo de compreender as experi?ncias de fam?lias de crian?as com microcefalia por Zika v?rus. Para produ??o de dados emp?ricos exploramos as narrativas de familiares contidas em v?deos postados na plataforma virtual da internet YouTube publicados entre 01/10/2015 e 31/07/2016, e tamb?m narrativas obtidas de entrevista em profundidade, do desenho est?ria-tema aplicados em 11 familiares de crian?as com microcefalia atendidos na Associa??o de Pais e Amigos dos Excepcionais em Feira de Santana, al?m de material do di?rio de campo. A coleta de dados ocorreu entre setembro a novembro de 2017. Para tratamento dos dados adotamos a an?lise de conte?do tem?tica e a an?lise iconogr?fica. Os resultados encontram-se organizados em: Artigo 1 ? M?s not?cias: experi?ncias e sentimentos de fam?lias face o diagn?stico de microcefalia por Zika v?rus; Uma se??o intitulada: Compreendendo a din?mica familiar dos participantes do estudo; Artigo 2 ? ?Bem corrido, muito corrido...?: experi?ncias de cuidado de m?es de crian?as com microcefalia por Zika; Artigo 3 ? Organiza??o familiar para cuidar da crian?a com microcefalia por z?ka v?rus. A microcefalia ? revelada no per?odo pr?-natal, atrav?s de exames de imagens, ou durante o p?s-parto imediato ou tardio. Os familiares convivem com sentimentos de tristeza, desespero, dor, susto, como??o, desorienta??o e terror. Ap?s o diagn?stico, os familiares buscam compreender a microcefalia atrav?s dos recursos da internet, e questionam a permiss?o de Deus e a relev?ncia do conhecimento cient?fico. As m?es experienciam o dia a dia organizando e limpando o ambiente dom?stico, exercendo os cuidados aos filhos e o cuidado espec?fico ? crian?a com microcefalia, referentes a: ninar, pois as crian?as choram com frequ?ncia, necessitando que a m?e passe horas com a crian?a no colo; dar banho; trocar fralda; alimentar; brincar; e, estimular. Elas aprendem a diferenciar as defici?ncias cognitivas, psicomotoras, auditivas e visuais; reconhecem os avan?os no desenvolvimento e as novas necessidades das crian?as; identificam epis?dios de convuls?o; consideram a paci?ncia e a aten??o relevantes para o cuidado; e, buscam apreender sobre novas tem?ticas e termos desconhecidos como calcifica??es. Os familiares constroem uma rede de solidariedade e uni?o em prol da crian?a, as rela??es familiares s?o fortalecidas, aproximando rela??es antes conflituosas. Participam do cuidado as m?es, pais, av?s, irm?s (os), primos (as), tias (os), amigas e vizinhas, havendo protagonismo da m?e que tamb?m coordena e define os papeis desempenhados pelas outras pessoas. Os familiares exercem cuidados que foram organizados em quatro dimens?es: Cuidar Integralmente; ?Tomar Conta?; Estimular; Acessar Recursos e Servi?os. Recomendamos que os familiares e trabalhadores da sa?de atentem para a restri??o do conv?vio social, enfraquecimento das rela??es conjugais, comportamentos que indiquem ci?mes por parte dos irm?os, agravamento das condi??es de sa?de das av?s e dificuldades financeiras que podem repercutir na fam?lia de crian?as com microcefalia.