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Queimadas de cana-de-açúcar e condições climáticas: mapeamento e estudo das relações com a saúde da população na região de Araraquara - SP / Burning of sugarcane and weather conditions: mapping and study of the relationship with the health of the population in the region of Araraquara - SPFaccini, Luiz Gustavo 26 February 2013 (has links)
Introdução: A cana-de-açúcar é cultivada no Brasil desde o período colonial, e está se expandindo desde a década de 1970. A queima da cana-de-açúcar na pré-colheita ocorre para facilitar o trabalho de corte, reduzir o volume de resíduos, controlar pragas, evaporar e concentrar o açúcar na haste e eliminar animais perigosos do canavial. A queima da cana-de-açúcar e os efeitos à saúde humana é o objeto de diversas pesquisas recentes. Objetivos: Verificar a evolução das queimadas e da produção de cana-de-açúcar, e sua correlação com as leis vigentes na região de Araraquara, no período de 2003 a 2011. Estudar, por diferentes métodos, a relação entre fatores climáticos, variáveis socioeconômicas, queimadas de cana-de-açúcar e doenças respiratórias e cardiovasculares. Metodologia: Revisão bibliográfica. Composição de banco de dados geográficos com as variáveis em estudo. Análise da qualidade dos dados. Elaboração de mapas temáticos e gráficos das variáveis. Cálculo do índice de Moran global das variáveis de estudo. Estatística por varredura, aglomerados espaço-temporais de dados de focos de queimadas e internações. Modelagem e análise por atribuição de pesos. Elaboração de mapas temáticos de comparação e análise a partir dos aglomerados espaço-temporais. Descrição dos resultados. Resultados: A revisão bibliográfica, entre outras coisas, mostrou que em diferentes países estão ocorrendo avanços em relação às queimadas de cana-de-açúcar, inclusive no Brasil. A produção de cana-de-açúcar aumentou nos últimos anos, consequentemente aumentando a quantidade de queimadas em oposição ao previsto nas leis vigentes. A análise por pesos não foi satisfatória os resultados de vulnerabilidade obtidos não representaram bem as relações entre as variáveis estudadas. A elaboração dos aglomerados espaço-temporais foi satisfatória. Os aglomerados espaciais dos focos de queimadas mostraram as áreas com maior intensidade de queimadas ao longo dos anos. Os aglomerados temporais dos focos de queimadas mostraram que a maior quantidade de focos ocorreu durante o período de safra da cana. Com os aglomerados espaciais das internações foi possível observar as áreas mais sensíveis, principalmente para as doenças respiratórias. Os aglomerados temporais das doenças mostraram os períodos do ano que a população sofre mais com as doenças. Os mapas de comparação mostraram os fatores climáticos que podem influenciar nas internações por doenças associados às queimadas de cana-de-açúcar foram: alta amplitude térmica, baixas temperaturas, queda de temperatura e direção dos ventos. Conclusões: No período de 2003 a 2011 ocorreu aumento no número de focos de queimadas associado ao aumento da produção de cana-de-açúcar. A diminuição das queimadas objetivada pelas leis vigentes não ocorre. Os aglomerados espaço-temporais representam as áreas e os períodos dos anos que têm maior influência das queimadas de cana-de-açúcar, das variáveis socioeconômicas e do clima sobre as doenças na população. No geral as restrições para as queimadas de cana-de-açúcar estão melhorando, mas novas pesquisas e ações do poder público devem continuar existindo / Introduction: The sugarcane is grown in Brazil since colonial times, and is expanding since the 1970s. The burning of sugarcane in the pre-harvest occurs to facilitate the work of the cutting, reduce the volume of waste, pest control, evaporate and concentrate the sugar in the cane and eliminate dangerous animals of the plantation. The burning of sugarcane and the effects on human health is the subject of several recent studies. Aims: Check the evolution of fires and the production of sugarcane, and its correlation with the current laws in the region of Araraquaras city, Brazil, in the period from 2003 to 2011. Study by different methods, the relationship between climatic factors, socioeconomic variables, burning of sugarcane and respiratory and cardiovascular diseases. Methods: Literature review. Compose geographic database with the study variables. Data quality analysis. Preparation of thematic maps and graphs of the variables. Calculation of global Moran index of variables. Stats for scanning, space-time clusters of fires and admissions. Modeling and analysis by assigning weights. Preparation of thematic maps for comparison and analysis from the space-time clusters. Description of results. Results: The literature review, among other things, showed that advances are occurring in different countries over the burning of sugarcane, including Brazil. The production of sugarcane grown in recent years, thereby increasing the amount of fires in opposition to the planned laws. The analysis weights was unsatisfactory results obtained vulnerability did not represent well the relationships between variables. The development of space-time clusters was satisfactory. The spatial clusters of fires showed the areas with greatest intensity of fires over the years. The temporal clusters of fires showed that the largest number of fires occurred during the sugarcane harvest. With the clusters of hospitalizations was possible to observe the most sensitive areas, especially for respiratory diseases. The temporal clusters of disease showed periods of the year that people suffer more from diseases. The comparison maps showed the climatic factors that can influence admissions for diseases associated with the burning of sugarcane were high thermal amplitude, low temperature, temperature drop and wind direction. Conclusions: In the period 2003 to 2011 there was an increase in the number of fires associated with increased production of sugarcane. The decrease of burning objectified by laws does not occur. The space-temporal clusters represent areas and periods of the years that there are most influence of sugarcanes burning, socioeconomic variables and climate on diseases in the population. In general restrictions for the burning of sugarcane are improving, but further research and actions of the government should continue to exist
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Queimadas de cana-de-açúcar e condições climáticas: mapeamento e estudo das relações com a saúde da população na região de Araraquara - SP / Burning of sugarcane and weather conditions: mapping and study of the relationship with the health of the population in the region of Araraquara - SPLuiz Gustavo Faccini 26 February 2013 (has links)
Introdução: A cana-de-açúcar é cultivada no Brasil desde o período colonial, e está se expandindo desde a década de 1970. A queima da cana-de-açúcar na pré-colheita ocorre para facilitar o trabalho de corte, reduzir o volume de resíduos, controlar pragas, evaporar e concentrar o açúcar na haste e eliminar animais perigosos do canavial. A queima da cana-de-açúcar e os efeitos à saúde humana é o objeto de diversas pesquisas recentes. Objetivos: Verificar a evolução das queimadas e da produção de cana-de-açúcar, e sua correlação com as leis vigentes na região de Araraquara, no período de 2003 a 2011. Estudar, por diferentes métodos, a relação entre fatores climáticos, variáveis socioeconômicas, queimadas de cana-de-açúcar e doenças respiratórias e cardiovasculares. Metodologia: Revisão bibliográfica. Composição de banco de dados geográficos com as variáveis em estudo. Análise da qualidade dos dados. Elaboração de mapas temáticos e gráficos das variáveis. Cálculo do índice de Moran global das variáveis de estudo. Estatística por varredura, aglomerados espaço-temporais de dados de focos de queimadas e internações. Modelagem e análise por atribuição de pesos. Elaboração de mapas temáticos de comparação e análise a partir dos aglomerados espaço-temporais. Descrição dos resultados. Resultados: A revisão bibliográfica, entre outras coisas, mostrou que em diferentes países estão ocorrendo avanços em relação às queimadas de cana-de-açúcar, inclusive no Brasil. A produção de cana-de-açúcar aumentou nos últimos anos, consequentemente aumentando a quantidade de queimadas em oposição ao previsto nas leis vigentes. A análise por pesos não foi satisfatória os resultados de vulnerabilidade obtidos não representaram bem as relações entre as variáveis estudadas. A elaboração dos aglomerados espaço-temporais foi satisfatória. Os aglomerados espaciais dos focos de queimadas mostraram as áreas com maior intensidade de queimadas ao longo dos anos. Os aglomerados temporais dos focos de queimadas mostraram que a maior quantidade de focos ocorreu durante o período de safra da cana. Com os aglomerados espaciais das internações foi possível observar as áreas mais sensíveis, principalmente para as doenças respiratórias. Os aglomerados temporais das doenças mostraram os períodos do ano que a população sofre mais com as doenças. Os mapas de comparação mostraram os fatores climáticos que podem influenciar nas internações por doenças associados às queimadas de cana-de-açúcar foram: alta amplitude térmica, baixas temperaturas, queda de temperatura e direção dos ventos. Conclusões: No período de 2003 a 2011 ocorreu aumento no número de focos de queimadas associado ao aumento da produção de cana-de-açúcar. A diminuição das queimadas objetivada pelas leis vigentes não ocorre. Os aglomerados espaço-temporais representam as áreas e os períodos dos anos que têm maior influência das queimadas de cana-de-açúcar, das variáveis socioeconômicas e do clima sobre as doenças na população. No geral as restrições para as queimadas de cana-de-açúcar estão melhorando, mas novas pesquisas e ações do poder público devem continuar existindo / Introduction: The sugarcane is grown in Brazil since colonial times, and is expanding since the 1970s. The burning of sugarcane in the pre-harvest occurs to facilitate the work of the cutting, reduce the volume of waste, pest control, evaporate and concentrate the sugar in the cane and eliminate dangerous animals of the plantation. The burning of sugarcane and the effects on human health is the subject of several recent studies. Aims: Check the evolution of fires and the production of sugarcane, and its correlation with the current laws in the region of Araraquaras city, Brazil, in the period from 2003 to 2011. Study by different methods, the relationship between climatic factors, socioeconomic variables, burning of sugarcane and respiratory and cardiovascular diseases. Methods: Literature review. Compose geographic database with the study variables. Data quality analysis. Preparation of thematic maps and graphs of the variables. Calculation of global Moran index of variables. Stats for scanning, space-time clusters of fires and admissions. Modeling and analysis by assigning weights. Preparation of thematic maps for comparison and analysis from the space-time clusters. Description of results. Results: The literature review, among other things, showed that advances are occurring in different countries over the burning of sugarcane, including Brazil. The production of sugarcane grown in recent years, thereby increasing the amount of fires in opposition to the planned laws. The analysis weights was unsatisfactory results obtained vulnerability did not represent well the relationships between variables. The development of space-time clusters was satisfactory. The spatial clusters of fires showed the areas with greatest intensity of fires over the years. The temporal clusters of fires showed that the largest number of fires occurred during the sugarcane harvest. With the clusters of hospitalizations was possible to observe the most sensitive areas, especially for respiratory diseases. The temporal clusters of disease showed periods of the year that people suffer more from diseases. The comparison maps showed the climatic factors that can influence admissions for diseases associated with the burning of sugarcane were high thermal amplitude, low temperature, temperature drop and wind direction. Conclusions: In the period 2003 to 2011 there was an increase in the number of fires associated with increased production of sugarcane. The decrease of burning objectified by laws does not occur. The space-temporal clusters represent areas and periods of the years that there are most influence of sugarcanes burning, socioeconomic variables and climate on diseases in the population. In general restrictions for the burning of sugarcane are improving, but further research and actions of the government should continue to exist
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Neglected Environmental Health Impacts of China's Supply-Side Structural ReformZhang, Wei, Zhang, Lei, Li, Ying, Tian, Yuling, Tian, Yuling, Li, Xiaoran, Zhang, Xue, Mol, Arthur P.J., Sonnenfeld, David A., Liu, Jianguo, Ping, Zeyu, Chen, Long 01 June 2018 (has links)
“Supply-side structural reform” (SSSR) has been the most important ongoing economic reform in China since 2015, but its important environmental health effects have not been properly assessed. The present study addresses that gap by focusing on reduction of overcapacity in the coal, steel, and iron sectors, combined with reduction of emissions of sulfur dioxide (SO2), nitrogen oxide (NOx), and fine particulate matter (PM2.5), and projecting resultant effects on air quality and public health across cities and regions in China. Modeling results indicate that effects on air quality and public health are visible and distributed unevenly across the country. This assessment provides quantitative evidence supporting projections of the transregional distribution of such effects. Such uneven transregional distribution complicates management of air quality and health risks in China. The results challenge approaches that rely solely on cities to improve air quality. The article concludes with suggestions on how to integrate SSSR measures with cities' air quality improvement attainment planning and management performance evaluation
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Scaling methods, health preferences and health effectsCubí Mollá, Patricia 16 March 2009 (has links)
No description available.
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Developing and evaluating rural environmental health indicators: a focus on agricultural pesticides and health outcomes in ManitobaMagoon, Jennifer 12 December 2006 (has links)
The thesis objectives were to a) create environmental health indicators (EHIs) of the use and risk of crop farming pesticides; b) conduct an epidemiological study of the association between the pesticide EHIs and health outcomes, in rural crop farming areas of Manitoba. Pesticide indicators included the average annualized percent of Census Consolidated Subdivision land acreage where any pesticides, herbicides, fungicides, or insecticides were applied as well as an indicator of pesticide risk. In multilevel models, the use of insecticides was significantly associated with perinatal conditions (males: OR=1.08, p=0.005; females: OR=1.07, p=0.01), congenital anomalies in males (OR=1.04, p=0.04), and eye disorders (males: OR=1.03, p<0.001; females: OR=1.02, p=0.012). Eye disorders in males were also significantly associated with the use of any pesticide (OR=1.001, p<0.001) and pesticide risk (OR=1.06, p<0.001). Regular pesticide use in crop farming, especially insecticides, may be adversely affecting the health of the rural residents of Southern Manitoba.
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Developing and evaluating rural environmental health indicators: a focus on agricultural pesticides and health outcomes in ManitobaMagoon, Jennifer 12 December 2006 (has links)
The thesis objectives were to a) create environmental health indicators (EHIs) of the use and risk of crop farming pesticides; b) conduct an epidemiological study of the association between the pesticide EHIs and health outcomes, in rural crop farming areas of Manitoba. Pesticide indicators included the average annualized percent of Census Consolidated Subdivision land acreage where any pesticides, herbicides, fungicides, or insecticides were applied as well as an indicator of pesticide risk. In multilevel models, the use of insecticides was significantly associated with perinatal conditions (males: OR=1.08, p=0.005; females: OR=1.07, p=0.01), congenital anomalies in males (OR=1.04, p=0.04), and eye disorders (males: OR=1.03, p<0.001; females: OR=1.02, p=0.012). Eye disorders in males were also significantly associated with the use of any pesticide (OR=1.001, p<0.001) and pesticide risk (OR=1.06, p<0.001). Regular pesticide use in crop farming, especially insecticides, may be adversely affecting the health of the rural residents of Southern Manitoba.
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Exposition aux bactéries environnementales dans l’habitat : méthodes de mesure et impacts sur la santé des occupants / Exposure to the environmental bacteria in the housing environment : methods of measure and impacts on the health of the occupantsGuenoune, Yanis 21 December 2017 (has links)
La qualité de l’air des environnements intérieurs est essentielle pour la santé. Le manque de renouvellement d’air et l’humidité dans les habitats favorise la prolifération microbienne. Les effets sur la santé sont multiples et souvent associés à des maladies chroniques respiratoires, tel que l’asthme. Ces effets sont plus ou moins graves selon le niveau d’exposition et la vulnérabilité des occupants et le rôle des moisissures est pointé. Cependant, le manque d’outils valides permettant d’évaluer quantitativement l’exposition aux bactéries environnementales constitue une des principales difficultés pour mieux appréhender leur impact sur la santé humaine. Un protocole expérimental basé sur les techniques culturales a été développé et testé au laboratoire pour mesurer la survie des bactéries dans des poussières domestiques collectées au sol. L’analyse de ces poussières a permis de déterminer le temps de survie des bactéries testées. Cependant, les méthodes culturales actuelles sont limitées et n’apportent pas assez d’informations sur la composition de la flore bactérienne dans l’habitat. L’utilisation des méthodes moléculaires, tel que le séquençage haut débit, est nécessaire pour y remédier. Par ailleurs, les poussières domestiques pourraient constituer un substrat intégrateur de l’exposition chronique des occupants. Outre le développement, la standardisation, et la validation d’outils de mesure, une approche globale de sensibilisation et de prévention du risque d’exposition aux contaminants des environnements intérieurs est recommandée, en particulier chez les populations vulnérables. / Indoor air quality is essential for health. Lack of ventilation and presence of humidity in habitats promotes microbial growth. The health effects are multiple and often associated with chronic respiratory diseases, such as asthma. These effects are more or less serious depending on the level of exposure and the vulnerability of occupants and the role of mold is pointed out. However, the lack of valid tools for quantitatively assessing exposure to environmental bacteria is one of the main difficulties in better understanding their impact on human health. An experimental protocol based on cultural techniques was developed and tested in the laboratory to measure the survival of bacteria in domestic dust collected on the ground. The analysis of these dusts made it possible to determine the survival time of the bacteria tested. However, current culture methods are limited and do not provide enough information on the composition of the bacterial flora in the habitat. The use of molecular methods, such as high throughput sequencing, is needed to address this. In addition, domestic dust could be an integrating substrate for chronic occupant exposure. In addition to the development, standardization, and validation of measurement tools, a comprehensive approach to raising awareness and preventing the risk of indoor exposure to contaminants is recommended, particularly for vulnerable populations.
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Selection and prioritization of organic contaminants for monitoring in the drinking water value chainNcube, Esper Jacobeth 09 October 2010 (has links)
The occurrence of organic contaminants in the drinking water value chain (from source to tap) is a growing concern for the Drinking Water industry and its consumers given the high risk these contaminants can cause to the general public. These adverse health effects include such as endocrine disruption, toxicity teratogenicity, mutagenicity and carcinogenicity. Some of these organic contaminants are included in national and international drinking water quality guidelines or standards. However, although there are similarities in the list of organic contaminants used by each organization or country, the organic contaminants are never the same given the local conditions. There are also noticeable differences in the concentration limits set as targets or criteria for organic contaminants for public health protection via the use of drinking water. A further question requiring the response from drinking water regulators was whether the standards listed in the international literature would be applicable in other countries like South Africa. Complicating this decision is the fact that the South African National Drinking Water Standard (SANS 241) does not adequately address this component of drinking water quality management. The current standard only provides for dissolved organic carbon (DOC), total trihalomethanes (TTHMs) and phenols. However, the standard contains a statement which specifies that if there is a known organic contaminant, that may pose a health threat, it should be included in the monitoring programme and evaluated against World Health Organization (WHO) guidelines. To safeguard Drinking Water industry customers, it was deemed necessary to investigate this matter and establish a tool to assist with the identification of a list of organic contaminants to be monitored in the drinking water value chain. To achieve this a specific procedure/protocol needed to be developed, hence the aim of this study which was to develop a generic protocol for the selection and prioritization of organic contaminants for monitoring in the drinking water value chain (from source to tap). To achieve this, a critical evaluation and synthesis of the available literature on the approaches for the selection and prioritization of organic variables of priority to the drinking water industry was undertaken as a first step. From the literature review it was evident that there are currently many selection and prioritization approaches which are characterized mainly by the purpose for which the exercise has been conducted for. Approaches that prioritize chemicals according to their importance as environmental contaminants have been developed by government agencies and private industries such as the Health Canada’s Canadian Environmental Protection Agency (CEPA), the United Kingdom’s Institute for Environmental Health (IEH), the European Community’s Oslo and Paris (OSPAR) convention exercise for the protection of the Northeast Atlantic marine environment and the European Union (EU)’s combined monitoring based and modelling based priority setting scheme (EU-COMMPs). A few approaches such as ones published by the United States Environmental Protection Agency (USEPA), address the needs of the Drinking Water industry and there is no generic approach to the selection, prioritization and monitoring of organic contaminants in the drinking water value chain. From the review of selection and prioritization approaches, a generic model was developed. The model consists of three main steps, the compilation of a “pool of organic contaminants, the selection of relevant parameters and criteria to screen organic contaminants and finally the application of criteria to select priority organic contaminants. It was however realized that these steps were not enough if the protocol to be develop will serve its purpose. Selection and prioritization approaches are typically intended to be fairly simple and quick methods for determining the health and environmental hazards posed by the use and release of chemical substances into different environmental systems. This was taken into account during the development of the current protocol. Understanding that a protocol is a predefined written procedural method in the design and implementation of tasks and that these protocols are written whenever it is desirable to standardize a method or procedure to ensure successful reproducibility in a similar set up, a generic protocol was developed based on the model. The protocol developed in this study, operates as a multidisciplinary contaminants management and proactive protocol, thus exchanges toxicological, water quality, agricultural, chemical and public health information. The protocol uses previous or readily available information as a point of departure. It seeks to address the challenge facing the water industry in managing the current and emerging organic contaminants that are relevant to public health protection via the use of drinking water. Once the protocol was developed, it was validated in a prototype drinking water value chain. The exercise comprised of testing each step of the protocol from the selection of the “pool of organic contaminants (Step I) to recommending the final priority list of organic contaminants (Step VII). The implementation was successfully conducted in the Rand Water drinking water value chain. Emphasis of expert judgment was made as each step was validated and the opinion of key stakeholders used to shape the process. During Step III of the protocol, an intensive literature review was conducted to determine organic contaminants that have been identified in ground and surface water systems across the world. As a result of this review, major groups of organic contaminants that have been found to occur in source water resources across the world were identified. The identified groups of organic contaminants include, pesticides, polynuclear aromatic hydrocarbons, per and polyfluoroorganic compounds, polycyclic aromatic hydrocarbons, alkanes and alkenes, C10-C13 Chloroalkanes, pharmaceuticals and personal care products [PPCPs], surfactants, benzotriazoles, cyanotoxins and Carbon-based engineered nanoparticles. The risk profile of the identified organic contaminants was established using the persistence, bio-accumulation and toxicity criteria and the development of water quality monographs as an information dissemination tool. A conceptual framework for the implementation of the protocol by water utilities and relevant institutions has been developed from the experiences learnt during the validation exercise and a priority list of organic contaminants for the monitoring in the drinking water value chain to be used by Rand Water and other water utilities was identified. Some of the organic contaminants on this are currently being analyzed for in The Rand Water’s routine organic monitoring programme. During the validation exercise, the following were noted, <ul> <li>During the identification of the “pool of organic contaminants” from the consulted information sources such as the WHO guidelines for drinking water quality, Health Canada drinking water quality guidelines, the USEPA drinking water quality standards, the New Zealand drinking water quality standards, USEPA IRIS database, the PAN-UK list of registered pesticides for South Africa, the IARC list for recognized carcinogens and the Department of Agriculture pesticides manuals duplications were observed. </li> <li>The time allocated could not allow for the development of water quality monographs for all organic contaminants of concern but for a few selected contaminants whose information was inadequate to allow for decision-making. </li> <li>The determination of concentration levels of organic contaminants in fish, sediment and water samples could have been limited by the failure of current analytical instruments to go down to lower levels at which they occur in the drinking water value chain. <l/i> <li>Only two events could be planned, during the wet season (high flow) and dry season (low flow) based on time and budget constraints. </li> <li>Although various experts were consulted and invited to attend workshops in order to validate the process, the attendance could not be extended to all nine provinces given the time and budget constraints. <br></li></ul> Based on the above, recommendations were made for the dissemination and use of the products emanating from this study. For example, it is recommended that the current protocol be made available to water utilities and the process of revising the current priority list be repeated every 5 years. Further research should be conducted to obtain full coverage of organic contaminants impacting on source water quality in all ground water and surface water systems used as sources for drinking water production. Another major recommendation is the investigation of potential analytical methods that current chromatographic methods with high resolution mass spectrometry to ensure that organic contaminants can be detected at the ng/l to pg/l using a single enrichment method in order to make sure that those organic contaminants that occur at very low concentration in environmental samples can be detected. For example, the realisation that compounds such as synthetic organic polymer residues, emerging disinfectant by-products, detergent metabolites, chlorinated benzenes, alkyl phenol, polyethoxylates, their metabolites and cyanotoxins are continuously discharged into the environment via wastewater and industrial effluent discharges which increases their concentration in aquatic environment and concomitantly their potential to exert adverse health effects in water used as source for the production of drinking water necessitates that each of these groups be added to the current monitoring programme. The current water quality monographs can be used for the benefit of the Drinking Water industry. It is also recommended that a training manual on the production and use of water quality monographs is produced to facilitate their dissemination. CD-ROMs on the water quality monographs can be produced and distributed with the manual. / Thesis (PhD)--University of Pretoria, 2010. / School of Health Systems and Public Health (SHSPH) / PhD / Unrestricted
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Djurens läkande kraft : En litteraturstudie om äldre patienters erfarenheter av djur som en del av omvårdnaden. / The healing power of animals : A literature study on elderly patient's experiences of animals as a part of nursing.Wallin, Frida, Johansson, Elin January 2021 (has links)
Bakgrund: Det är varje människas rättighet att uppnå bästa möjliga hälsa och äldreomsorgen ska vara inriktad på att de äldre känner välbefinnande och lever ett värdigt liv. Djur har visats ha positiv inverkan i flera bemärkelser och människor är i allmänhet öppna för djurterapi som behandlingsform. För att kunna bedriva personcentrerad vård är det av vikt att som sjuksköterska vara lyhörd för patientens önskemål så att dennes unika behov kan tillgodoses. Syfte: Syftet med litteraturstudien var att belysa äldre patienters erfarenheter av djur som en del av omvårdnaden. Metod: Litteraturstudien genomfördes med induktiv ansats. Resultat: Studien bygger på tio vetenskapliga artiklar som i resultatet speglar äldre patienters erfarenheter av djurterapi på ett socialt, mentalt och fysiskt plan. Resultatet tyder på övervägande positiva erfarenheter där det bland annat beskrivs ökad livskvalitet, mindre ensamhet och motivation till fysisk aktivitet under rubrikerna Utökad social interaktion, Ökat välbefinnande och Positiva fysiologiska effekter. Konklusion: I studien framkom att ytterligare forskning krävs men att den upplevda erfarenheten är positiv, vilket bör motivera för att i större utsträckning nyttja denna terapiform i framtiden. / Background: It is a human right to achieve the best health possible and the elderly care must be focused on the well-being of the elderly and that they have a dignified life. Animals have been shown to have a positive impact in several regards and people are generally open to animal therapy as a form of treatment. In order to be able to perform person-centered care, it is important as a nurse to be sensitive to the patient's wishes so that his or her unique needs are met. Aim: The aim of the literature study was to illustrate older patient's experiences of animals as a part of nursing. Method: The literature study was conducted with an inductive approach. Results: The study is based on ten scientific articles and the results reflects older patient's experiences of animal therapy on a social, mental and physical aspect. The results indicate several positive experiences where increased quality of life, less loneliness and motivation for physical activity amongst other are described under the headings Increased social interaction, Increased well-being and Positive physiological effects. Conclusion: The study showed that further research is required but also that the experience has been positive, which should motivate to use this form of therapy to a greater extent in the future.
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Gravidyoga : En mångfacetterad upplevelse / Pregnancy Yoga : A Multifaceted ExperienceHargius, Elice January 2022 (has links)
En graviditet är en fysisk och psykisk utvecklingsperiod i livet. Det är individuellt hur graviditeten påverkar hälsan, men upplevelser av oro och bäckenrelaterad smärta är vanligt förekommande. Då det framkommit att yoga potentiellt genererat ökat välmående samt trygghet vid graviditet, var syftet att beskriva gravida personers upplevelse av gravidyoga med inriktning på dess hälsoeffekter och komponenter. En kvalitativ deskriptiv design tillämpades med induktiv ansats. Personer som utövade gravidyoga på ett privat center rekryterades för att medverka i individuella telefonintervjuer. Databearbetning utfördes med tematisk analys. De identifierade temana belyste en mångfacetterad upplevelse av gravidyogan. Det framgick att den praktiska och miljömässiga utformningen samt gruppsammanhanget hade betydelse för upplevelsen. Likaså beskrevs gravidyogan generera varierande fysiska och psykiska hälsoeffekter samt förberedning inför barnafödandet. Efter en avvägning av fynden relaterat till tidigare studier blev konklusionen att gravidyoga potentiellt skulle kunna tillämpas i större utsträckning inom barnmorskans förebyggande och hälsofrämjande arbete. Studien har bidragit till ett ökat kunskapsunderlag för gravidyoga och därmed till evidensen gällande traditionell och komplementär medicin. Dock behövs troligtvis mer forskning för en ökad implementering. / A pregnancy is a period of physical and mental development in life. It varies between individuals how pregnancy affects health, but experiences of anxiety and pelvic-related pain are common. Since it has emerged that yoga may generate increased wellbeing and security during pregnancy, the aim was to describe pregnant people's experience of pregnancy yoga with a focus on its health effects and components. A qualitative descriptive design was applied with an inductive approach. People who practiced pregnancy yoga at a private center were recruited to participate in individual telephone-interviews. Data analysis was performed with thematic analysis. The identified themes highlighted a multifaceted experience of pregnancy yoga. The practical and environmental design and the group context was shown to be important for the experience. Pregnancy yoga was also described as generating varying physical and mental health effects and preparation for childbirth. Considering the findings in relation to previous studies, it was concluded that pregnancy yoga could potentially be applied to a greater extent in the midwife's preventive and healthpromoting work. The study has contributed to an increased knowledge base for pregnancy yoga and to the evidence regarding traditional and complementary medicine. However, more research is probably needed for increased implementation.
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