Univ., Diss.--Marburg, 2001.

Thesis (M.H.A.)--University of Michigan, 1965.

Thesis (M.N.)--University of Alberta, 2009. / A thesis submitted to the Faculty of Graduate Studies and Research in partial fulfillment of the requirements for the degree of Master of Nursing, Faculty of Nursing. Title from pdf file main screen (viewed on September 4, 2009). Includes bibliographical references.

Thesis (Ph. D.)--Oregon State University, 2008. / Includes bibliographical references (leaves 112-124). Also available on the World Wide Web.

Thesis (Degrees of Naval Engineer and M.S. in Mechanical Engineering)--Massachusetts Institute of Technology, 2006. / "June 2006." Description based on title screen as viewed on June 1, 2010. DTIC Descriptor(s): Maintenance, Diesel Engines, Nuclear Reactors, Generators, Nuclear Powered Submarines, Commerce, Emergencies, Submarines, Standby Generators, Backup Systems, Auxiliary Power Plants, Naval Vessels, Navy, Propulsion Systems, Electric Power, Supplies. Includes bibliographical references (p. 41). Also available in print.

Thesis (M.A. in Security studies (Homeland Security and Defense))--Naval Postgraduate School, March 2005. / Thesis Advisor(s): Maria Rasmussen. Includes bibliographical references (p. 85-88). Also available online.

Submitted by KELVIANI LUDMILA DOS SANTOS ALMEIDA null (kelviani@hotmail.com) on 2018-04-04T23:50:26Z No. of bitstreams: 1 DISSERTAÇÃO MP. KELVIANI LUDMILA DOS SANTOS ALMEIDA. 04.04.pdf: 10787734 bytes, checksum: c995ddd4d0c22eccd545fc83a2573033 (MD5) / Approved for entry into archive by Luciana Pizzani null (luciana@btu.unesp.br) on 2018-04-06T14:42:13Z (GMT) No. of bitstreams: 1 almeida_kls_me_bot.pdf: 10787734 bytes, checksum: c995ddd4d0c22eccd545fc83a2573033 (MD5) / Made available in DSpace on 2018-04-06T14:42:13Z (GMT). No. of bitstreams: 1 almeida_kls_me_bot.pdf: 10787734 bytes, checksum: c995ddd4d0c22eccd545fc83a2573033 (MD5) Previous issue date: 2018-02-05 / Introdução. Em todo o mundo, nos últimos anos, percebeu-se um aumento significativo da procura de atendimento nos serviços de urgência e emergência, essa demanda está atrelada ao aumento das estatísticas de acidentes automobilísticos, da violência e a procura para cuidados não urgentes. A superlotação desses serviços é algo preocupante, uma vez que compromete a segurança dos pacientes envolvendo elevado tempo de espera, a classificação de risco, a educação do paciente e da equipe em relação a finalidade desse atendimento surgem como métodos de organização do fluxo. Objetivo. Identificar o perfil da demanda atendida na Unidade de Pronto Atendimento (UPA) de Itapeva, considerando a classificação de risco, e desenvolver material educativo digital a partir do perfil caracterizado. Método. O estudo foi realizado em 3 etapas, a primeira consistiu em uma revisão integrativa da literatura, que teve por objetivo conhecer o motivo da busca por atendimento da demanda não urgente, esta resultou em uma amostra de 8 estudos a partir da busca nas bases de dados: Biblioteca virtual em saúde (BVS), Web of Science, Embase, PubMed, Scopus e Cinahal. A etapa seguinte consistiu em um estudo quantitativo, transversal e descritivo que teve intuito de analisar o perfil de atendimentos da UPA do município de Itapeva. Quanto à amostragem, foi realizado cálculo estatístico para o tamanho amostral, considerando 95% de confiança e uma margem de erro de 5%, sendo recomendada amostra com n de 370 pacientes. A coleta de dados ocorreu através de acesso aos prontuários físicos localizados no setor de arquivo, no período de março a junho de 2017, referentes aos pacientes atendidos de janeiro a abril de 2017. A última etapa correspondeu a um estudo de desenvolvimento tecnológico com o objetivo de elaborar um material digital para educação em saúde, tanto para profissionais quanto para pacientes. O desenvolvimento foi realizado com o apoio do Núcleo de Educação a Distância Tecnologia e Informação em Saúde da FMB- UNESP. Resultados e discussão. A revisão integrativa evidenciou que a demanda não urgente procura atendimento pela facilidade de acesso e pela tecnologia que o serviço de urgência e emergência oferece. A análise da demanda atendida na UPA de Itapeva foi capaz de mostrar que quase 80% dos atendimentos tratavam de demanda não urgente, com queixas não recentes, e apenas aproximadamente 2% da amostra necessitou ser removida para o hospital de referência do município, o que apresenta a alta resolubilidade das unidades de pronto atendimento. Uma limitação do estudo foi a insuficiente capacitação do profissional enfermeiro para exercer atividade do acolhimento com classificação de risco. Foi necessário, portanto, elaborar estratégias que pudessem contribuir com essa necessidade da unidade, assim como colaborar com a educação dos pacientes para o uso do pronto atendimento. Esses levantamentos deram subsídios para a criação de dois produtos: um website e um vídeo educativo, o primeiro voltado aos profissionais e o outro voltado para a população. Conclusão. A população realiza uso indiscriminado da unidade de pronto atendimento, seja por desconhecimento da sua finalidade ou por conveniência de atendimento. A maior parte dos atendimentos consiste em demanda não urgente, e se faz necessária intervenção, como estratégias de educação em saúde, que possa direcionar a população para o oportuno atendimento, assim como a capacitação profissional, buscando alcançar melhores resultados na assistência. / Introduction. In recent years, there has been a significant increase in the demand for emergency services across the world. This demand is linked to the statistical increase of car accidents, violence and the search for non-urgent care. The overcrowding of these services is somewhat worrisome, since it compromises the safety of patients, involving high waiting time. Risk classification, patient and team education on the purposes of such services arise as methods of flow organization. Objective. Identify the profile of the demand served by the Itapeva Emergency Care Unit (UPA), considering the risk classification, and to develop digital educational material based on the characterized profile. Method. The study was carried out in 3 stages. The first consisted of an integrative review of the literature, which aimed to know the reasons involving the search for non-urgent care. It resulted in a sample of 8 studies taken from the database: Virtual Health Library (VHL), Web of Science, Embase, PubMed, Scopus and Cinahal. The next step consisted of a quantitative, cross-sectional and descriptive study which aimed to analyze the care profile of the UPA in the city of Itapeva. As for sampling, a statistical calculation was performed for the sample size, considering 95% confidence, a margin of error of 5%, and a sample with n corresponding to 370 patients. Data collection was taken from physical files located in its archive sector, from March to June 2017, referring to the patients attended from January to April 2017. The last step corresponded to a technological development study with aiming to develop digital material for health education for both professionals and patients. The development was carried out with the support of the Nucleus of Distance Education Technology and Information in Health of FMB- UNESP. Results and discussion. The integrative review showed that non-urgent demand seeks care due to the ease of access and the technology offered by the emergency service. The demand analysis at Itapeva’s UPA showed that almost 80% of the cases dealt with non-urgent demands, with no recent complaints, and only approximately 2% of the cases analysed needed to be sent to the reference hospital in the municipality, which demonstrates the high resolubility of the immediate care units services. One limitation of the study was the insufficient training of nurses to carry out host activity with risk classification. It was therefore necessary to devise strategies which could contribute to that necessity, as well as collaborate with the education of patients regarding the use of immediate care. Those surveys provided support for the creation of two products: a website and an educational video, the first aimed at professionals and the second aimed at the population. Conclusion. The population makes indiscriminate use of the immediate care service, either for lack of knowledge of its purpose or for convenience of service. The majority of the visits consisted of non-urgent demand, which requires intervention such as health education strategies which can direct the population to the appropriate service, as well as professional qualification, seeking to achieve better results in care.

Orientador: Silvana Andrea Molina Lima / Resumo: Introdução. Em todo o mundo, nos últimos anos, percebeu-se um aumento significativo da procura de atendimento nos serviços de urgência e emergência, essa demanda está atrelada ao aumento das estatísticas de acidentes automobilísticos, da violência e a procura para cuidados não urgentes. A superlotação desses serviços é algo preocupante, uma vez que compromete a segurança dos pacientes envolvendo elevado tempo de espera, a classificação de risco, a educação do paciente e da equipe em relação a finalidade desse atendimento surgem como métodos de organização do fluxo. Objetivo. Identificar o perfil da demanda atendida na Unidade de Pronto Atendimento (UPA) de Itapeva, considerando a classificação de risco, e desenvolver material educativo digital a partir do perfil caracterizado. Método. O estudo foi realizado em 3 etapas, a primeira consistiu em uma revisão integrativa da literatura, que teve por objetivo conhecer o motivo da busca por atendimento da demanda não urgente, esta resultou em uma amostra de 8 estudos a partir da busca nas bases de dados: Biblioteca virtual em saúde (BVS), Web of Science, Embase, PubMed, Scopus e Cinahal. A etapa seguinte consistiu em um estudo quantitativo, transversal e descritivo que teve intuito de analisar o perfil de atendimentos da UPA do município de Itapeva. Quanto à amostragem, foi realizado cálculo estatístico para o tamanho amostral, considerando 95% de confiança e uma margem de erro de 5%, sendo recomendada amostra com n de 370 pacientes... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Introduction. In recent years, there has been a significant increase in the demand for emergency services across the world. This demand is linked to the statistical increase of car accidents, violence and the search for non-urgent care. The overcrowding of these services is somewhat worrisome, since it compromises the safety of patients, involving high waiting time. Risk classification, patient and team education on the purposes of such services arise as methods of flow organization. Objective. Identify the profile of the demand served by the Itapeva Emergency Care Unit (UPA), considering the risk classification, and to develop digital educational material based on the characterized profile. Method. The study was carried out in 3 stages. The first consisted of an integrative review of the literature, which aimed to know the reasons involving the search for non-urgent care. It resulted in a sample of 8 studies taken from the database: Virtual Health Library (VHL), Web of Science, Embase, PubMed, Scopus and Cinahal. The next step consisted of a quantitative, cross-sectional and descriptive study which aimed to analyze the care profile of the UPA in the city of Itapeva. As for sampling, a statistical calculation was performed for the sample size, considering 95% confidence, a margin of error of 5%, and a sample with n corresponding to 370 patients. Data collection was taken from physical files located in its archive sector, from March to June 2017, referring to the patients atte... (Complete abstract click electronic access below) / Mestre

This thesis deals with issue of preparedness of EMS Central Bohemia on multiple victims' emergencies. In addition to preparedness of EMS Central Bohemia the thesis also analyses the system of training and education of employees in the management of mass casualty. The theoretical part discusses the legislation on EMS, files from Catalogue of model activities related to this issue, coordination of parts of Integrated Rescue System (IRS) on site of event and role of EMS on-site emergencies. Further, the specifics of EMS Central Bohemia are described, the development of EMS Central Bohemia since its establishment (inception) to the present, organizational structure, mass casualty's emergencies preparedness, EMS dispatch (medical operations center), system of emergency calls management and finally Traumatology plan of EMS Central Bohemia. Aim of the thesis was based on analysis of the current status to propose optimal system of deployment and activation of forces and resources, and to propose system of employees' education and system of testing exercises. Based on research, SWOT analysis was developed (composed) and the results were compared with pre-established hypotheses. From obtained findings the comprehensive overview of forces and resources of EMS Central Bohemia region for mass casualty management was prepared. In particular, the number of available resources on duty, system of backups, modules and containers for mass casualties and their deployment. When evaluating resources for mass casualty management also an economic aspect was taken into consideration, as well as ambulance crews' knowledge on possible use of these resources. Based on this review, it was found that in terms of securing forces and resources, the readiness of EMS Central Bohemia is appropriate. Hereby the hypothesis nr.1, which presumed that EMS Central Bohemia has sufficient number of forces and resources to deal with emergencies with multiple victims has been confirmed. The hypothesis nr.2, which presumed that forces and resources deployment is not ideal, on the contrary has not been confirmed. In this thesis the current status of employees' preparation for mass casualty was also discussed. It was found that the base of this preparation is Course for leading employee of rescue service, organized by Department of crisis preparedness. At the same time the conception is set that after first four pilot courses this education system will be applied to particular areas, thereby should be secured sufficient education of crews of EMS Central Bohemia region in this issue. Other education options were also defined, which are now already available in the organization. The hypothesis nr.3, which presumed that system of preparation and training focused on mass casualty is not appropriate, have thus managed to disprove. However it was found that although a clear conception and education options in this field exist, it's not well known to ordinary employees. One of the conclusions is therefore also a recommendation to managers of EMS Central Bohemia to more inform their employees about these options. One of the goals of this thesis was to suggest a system of learning and testing exercises. This proposal is described in the conclusion the proposed number of testing exercises is at least 4 times a year. The total number of employees of the organization and the number of those who may have the capacity and operational reasons to participate on similar exercises has been taken into consideration here. The education system was found appropriate, only with above mentioned objection regarding to awareness of ordinary employees about it.

Made available in DSpace on 2014-06-11T19:35:39Z (GMT). No. of bitstreams: 0 Previous issue date: 2013-09-16Bitstream added on 2014-06-13T19:25:00Z : No. of bitstreams: 1 pinheiro_rs_dr_botfm.pdf: 1389225 bytes, checksum: 2c108fdebc884ce68badd9bc7e56c349 (MD5) / No Brasil, a maioria dos partos é hospitalar, mas nas zonas rurais, ribeirinhas e de difícil acesso ocorrem partos domiciliares e são as parteiras tradicionais que prestam assistência à mulher e ao recém-nascido.Descrever quem são as parteiras tradicionais das regiões norte e nordeste do Brasil, quais suas percepções sobre asfixia e reanimação neonatal e quais são suas práticas no parto domiciliar. Estudo observacional de corte transversal, com entrevista das parteiras antes do treinamento em reanimação neonatal, durante o ano de 2012. Foram incluídas 155 parteiras não indígenas, do Amazonas, Amapá, Sergipe, Paraíba e Pernambuco. Variáveis independentes: idade, escolaridade e experiência prévia. Desfecho: respostas às questões da entrevista. Para os dados categorizados foram calculadas as frequências absolutas e relativas. As parteiras são mulheres maduras, com baixa escolaridade e pouca experiência. Identificam o risco de asfixia no neonato que não chora ou chora pouco. Não ligam o cordão umbilical até a saída da placenta, enxugam o recém-nascido com panos secos e aquecidos, aspiram boca e narina do bebê com a própria boca e para estimular a respiração sacodem e sopram sua boca e nariz. Se o neonato não chora ou não melhora pedem ajuda e encaminham para o hospital. A maioria das parteiras acompanha o bebê no transporte. As parteiras sabem pouco sobre reanimação neonatal, atuam de forma precária, mas realizam os passos iniciais da reanimação. Capacitações periódicas para parteiras podem melhorar o atendimento ao nascimento no domicílio / In Brazil, most births occur in hospitals, but in rural, riparian and remote areas, home births happen frequently, and traditional birth attendants (TBAs or midwives) assist the women and their newborns. Describe the traditional TBAs in North and Northeast regions of Brazil, including their perceptions on neonatal asphyxia and resuscitation and their practices regarding home birth. An observational cross-sectional study which interviewed TBAs before a neonatal resuscitation training conducted during the year 2012. We included 155 non-indigenous midwives from Amazonas, Amapá, Sergipe, Pernambuco and Paraíba. Independent variables: age, education and prior experience. Endpoint: answers given during the interview. For categorical data we calculated absolute and relative frequencies. These midwives are middle-aged women with low education and little experience. The risk of birth asphyxia is detected when the newborn does not cry or shows a weak cry after delivery. These TBAs do not cut the umbilical cord until the delivery of the placenta. Common practices are wiping the baby with dry and warm cloths, aspiring the newborn mouth and nostril with their own mouth and stimulating breathing shaking the baby and blowing air into the newborn’s nose and mouth. When the infant does not cry or does not show any improvement, these women ask for help to send the baby to a hospital. Most midwives accompany the newborn baby to the hospital. Brazilian midwives know little about neonatal resuscitation, their work happen in a precarious way, but they do perform the initial steps of resuscitation. Regular training for midwives might improve their service during home births