In dieser Arbeit wurde „Die Bedeutung der ‚Datschenwirtschaft’ für die Ernährungs-, Gesundheits- und soziokulturelle Situation der Großstadt-Bevölkerung in der Republik Belarus“ untersucht. Die Quellenlage ist dürftig, weil die Datschen einerseits Ergebnis der sozialistischen Mangelwirtschaft sind, aber andererseits kein Interesse an deren Untersuchung bestand. Aufgrund des aktuell geringen Kenntniszustandes hat diese Arbeit einen stärker explorativen und empirisch-deskriptiven Charakter. Es wurden 10 Wirkungsvermutungen entwickelt und im Hinblick auf ihre Plausibilität überprüft. Die Datschen leisten einen unverzichtbaren Beitrag zur Verbesserung der Ernährungssituation der Datschenfamilien und ihres Umfeldes. Ohne die Datschenernten kann die Ernährung der belarussischen Bevölkerung nicht gewährleistet werden. Die Datschen verbessern die Einkommenssituation, sie tragen durch verminderten Einkauf bzw. durch Verkauf von Datschenprodukten zum Einkommen der Familien bei. Die Datschen verbessern die Gesundheitssituation, können aber je nach Einzelsituation gleichzeitig gesundheitliche Gefährdungen bewirken. Die Datschen binden Zeit und Arbeitskraft der Bevölkerung und tragen damit zur politischen Systemstabilisierung bei. Sie gewähren nur einen begrenzten Freiraum gegenüber der Politik. Vor dem Zusammenbruch der SU leisteten die Datschen einen indirekten Beitrag zur Erhaltung der Religion, indem auf den Datschen diese mit einem geringeren Gefährdungspotential praktiziert werden konnte. Die Datschen leisten einen Beitrag zur Erhaltung von Volkskunst und Brauchtum, indem diese zwischen mehreren Generationen übertragen werden. Die Datschen begünstigen zwischenmenschliche Beziehungen durch relativ homogene Interessen und Erweiterung der Begegnungsmöglichkeiten. Sie ermöglichen Selbstverwirklichung und bewirken soziale Anerkennung. Auf den Datschen sind vielerlei Kultur- sowie Baumaßnahmen und damit das Realisieren vieler Fantasien möglich. Die Entwicklung der Datschenwirtschaft ist untrennbar mit der politischen und wirtschaftlichen Entwicklung verbunden. Im Falle weiterer Restriktionen wird sich die Datschenwirtschaft als zwingende Notwendigkeit erweisen. Im Falle von Demokratisierung und wirtschaftlicher Entwicklung wird ihre Bedeutung für die Nahrungsmittelproduktion sinken. / In this investigation "the significance of the ''dacha economy'' for the diet, health and socio-cultural situation of the city population in the Republic of Belarus" was examined. The existing literature about this topic is quite miserable because the meaning of dacha economy results from the socialist economy of scarcity and in so far there was no official interest in that type of examination. Due to the currently low knowledge about the topic this investigation has a more strongly explorative and descriptive character. In a theoretical framework assumptions about the role and importance of dacha were developed and empirically checked with regard to their plausibility. The dacha economy makes an essential contribution to the improvement for diet situation of the families and their neighbourhood. Without the dacha production the diet of the Byelorussian population cannot be ensured. The dachas improve the income situation; they contribute to the income of the families by reduced purchase or by sale of products. The dachas improve the health situation; however, at the same time they can also endanger human health depending on individual situation. The dachas are occupying time and labour of the population and contribute with that to the stabilization of the political system. They offer a limited freedom against the political system. Before the collapse of the Soviet regime the dachas made an indirect contribution to the preservation of the religion because of being able to be practiced on the dacha with a lower threat. The dachas contribute to the preservation of folk art and customs by being able to be transferred between several generations. The dacha favour human relations by relatively homogeneous interests and expansion of the meeting points. It approves self-realisation and causes social recognition. By practising cultural habits as well as constructing buildings are opens chances to realize many imaginations on the dachas. The development of the dacha economy is inseparably connected to the political and economic development of the country. In the case of further restrictions the dacha economy will prove to be a mandatory necessity. In the case of democratisation and economic development it will likely lose its meaning for the food production

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No. of bitstreams: 1 Dissertacao completa Fabio de Souza Terra.pdf: 1253899 bytes, checksum: 97e2a9b443864eee5e5db5722e7f2770 (MD5) Previous issue date: 2007-03-23 / Coordenacao de Aperfeicoamento de Pessoal de Nïvel Superior / This study evaluated the QL of end-stage renal patients submitted to hemodialysis and their adhesion to daily pharmacologic treatment knowing their life expectancy and the main complications presented during HD It is an epidemiologic descriptive tranversal and quantitative research carried out at a hemodialysis clinic of a university hospital of Alfenas State of Minas Gerais Brazil with the participation of all the 30 dialysis patients in the period of the collection of data A questionnaire was used for the obtainment of data about the participants' characterization adhesion to pharmacologic treatment and life expectation QL was analyzed through the instrument WHOQOL-bref of the World Health Organization The data were tabulated in the statistical program SPSS version 10.0 and analyzed by means of the medium score with application of the following tests Qui-square Coefficient of Correlation of Pearson Test of Wilcoxon Student s t test Cronbach s Alpha Coefficient The results showed that most of the interviewees referred that HD interfered in their professional activities and in leisure and recreation but 53.33% were calm during the permanence in the clinic The most frequent complications were the arterial hypotension vomit and dizziness All the patients take medicines mainly antihypertensives With regard to knowledge of the indication of the medicines 40% of the dialysis patients know all the drugs that they take Thirty patients informed to take the medicines daily but 16.66% have already interrupted the treatment on their own account due to adverse reactions The average scores of QL were General QL 3.26 physical domain 3.10 psychological domain 3.58 social relationships 4.19 and environment 3.54 Therefore the participants of the study classified their QL as being above "neither bad, nor good" while the domain social relationships was evaluated between "good" and "very good" The variables did not interfere in the patients' QL in other words they did not present any correlation with the domains of WHOQOL-bref Through the reproducibility it was verified that the interviewees' QL was stable between the "test" and the "retest" having satisfactory reliability while the internal consistency of WHOQOL-bref was acceptable for the facets and domains indicating a homogeneity in the appraised items The main expectation of the patients' life is receiving a renal transplantation 82.35% are in the waiting list and 47.06% encountered the refusal of their relatives in donating the organ It can be verified that the instrument WHOQOL-bref showed to be effective to evaluate QL of end-stage renal patients submitted to HD thus being a reliable instrument for such a measure Finally dialysis patients will have a better QL when they are informed about their disease and treatment when cared for in a solid supportive system and rehabilitation in order to make them capable to lead an active productive and self-sufficient life / Este estudo avaliou a QV dos nefropatas crônicos submetidos à hemodiálise e sua adesão ao tratamento farmacológico de uso diário conhecer a expectativa de vida dessa população com relação ao futuro e as principais complicações apresentadas durante a HD Trata-se de uma pesquisa epidemiológica descritiva transversal e quantitativa realizada em uma clínica de hemodiálise de um hospital universitário de Alfenas-MG com todos os 30 pacientes submetidos à HD no período da coleta de dados Utilizou-se para a coleta um questionário com dados sobre a caracterização dos participantes adesão ao tratamento farmacológico e expectativa de vida e a QV foi analisada por meio do instrumento WHOQOL-bref da Organização Mundial da Saúde Os dados foram tabulados no programa estatístico SPSS versão 10.0 e analisados por meio do escore médio com aplicação dos seguintes testes Qui-quadrado Coeficiente de Correlação de Pearson Teste de Wilcoxon Teste t de Student Coeficiente Alfa de Cronbach Os resultados mostraram que a maioria dos entrevistados referiram que a HD interferiu em suas atividades profissionais e de lazer e recreação mas 53,33% se sentem tranqüilos durante a permanência na clínica As complicações de maior ocorrência foram a hipotensão arterial vômito e tontura Todos os pacientes fazem uso de medicamentos sendo os antihipertensivos os mais utilizados Quanto ao conhecimento da indicação dos medicamentos 40% dos renais crônicos conhecem todos os fármacos que usam Os 30 pacientes estudados informaram tomar os medicamentos diariamente mas 16,66% já interromperam o uso por conta própria devido a reações adversas Os escores médios referentes à QV foram QV geral 3,26 domínio físico 3,10 psicológico 3,58 relações sociais 4,19 e meio ambiente 3,54 Assim os participantes do estudo classificaram a QV como sendo acima do nem ruim nem boa enquanto o domínio relações sociais foi avaliado entre boa e muito boa As variáveis estudadas não interferiram na QV dos pacientes ou seja elas não apresentaram correlação com os domínios do WHOQOL-bref Por meio da reprodutibilidade verificou-se que a QV dos entrevistados foi estável entre o teste e o reteste tendo uma confiabilidade satisfatória enquanto a consistência interna do WHOQOL-bref foi aceitável para as facetas e domínios indicando uma homogeneidade nos itens avaliados A principal expectativa de vida dos pacientes é a realização do transplante renal sendo que 82,35% estão na lista de espera e 47,06% se depararam com a recusa dos familiares em doar o órgão Pode-se verificar que o instrumento WHOQOL-bref mostrou-se eficaz para avaliar a QV de renais crônicos submetidos à HD sendo confiável para essa medida Por fim o paciente submetido à HD terá uma melhor QV quando ele for informado acerca de sua doença e tratamento quando existir um sólido sistema de suporte e reabilitação e ser capaz de levar uma vida ativa produtiva e autosuficiente