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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
81

O brincar em grupos de crianças com alterações visuais / Children with visual alterations at play

Ruiz, Letícia Coelho, 1980- 19 August 2018 (has links)
Orientador: Cecília Guarnieri Batista / Dissertação (mestrado profissional) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-19T13:56:20Z (GMT). No. of bitstreams: 1 Ruiz_LeticiaCoelho_M.pdf: 1089709 bytes, checksum: bf8d92d2105df69402d550a6f1933b76 (MD5) Previous issue date: 2011 / Resumo: O brincar tem sido abordado sob diversos aspectos e reconhecido como um indicador de desenvolvimento infantil. Alguns autores discutem o brincar em crianças com alterações no desenvolvimento, e sua contribuição para o desenvolvimento. Com base nesses estudos, esta pesquisa analisa questões referentes ao brincar em grupos de crianças na faixa etária de 5 a 8 anos, com diagnósticos de deficiência visual ou alteração visual. As crianças foram organizadas em dois grupos e o material foi coletado por meio de videogravações de oito sessões em cada um dos grupos e registros em diário de campo. A análise qualitativa de episódios propiciou a discussão sobre a interação dos participantes entre si, com os brinquedos e a atuação do adulto na relação com o grupo. Observou-se a organização de brincadeiras conjuntas e a elaboração de enredos de faz de conta, que se tornaram mais complexos e envolveram maior atividade conjunta entre as crianças ao longo das sessões. Considerou-se que o contexto de brincadeira relativamente livre propiciou o aparecimento de habilidades pouco relatadas nas entrevistas com as mães e nas descrições diagnósticas do serviço. Na análise dos resultados, foram descritos e discutidos incentivos e estratégias do pesquisador, de forma a propiciar essas brincadeiras e de superar os obstáculos identificados para a interação entre crianças com alterações visuais. A pesquisa traz subsídios para a intervenção educacional, especialmente no que se refere à situação de brincadeira em grupo, ao destacar seu papel para o processo de desenvolvimento / Abstract: Play has been approached in several ways and recognized as an indicator of child development. Some authors discuss the role of play among children with developmental alterations, and its contribution to development. Based on these studies, this research aims to discuss issues related to play (with focus on make-believe play) in groups of children aged 5-8 years, with diagnoses of visual impairment or visual alterations. The children were organized into two groups and the material was collected by means of video recordings of eight sessions in each group and entries in a field diary. Qualitative analysis of episodes led the discussion on the interaction among the participants themselves, with toys and adults action inside the group There was the organization of joint play and development of make-believe scenarios that have become more complex and involved greater joint activity among children throughout the sessions. It was considered that the context of relatively free play enabled the emergence of skills rarely described in interviews with the mothers and the descriptions of the diagnostic service. In analyzing the results, were described and discussed incentives and strategies of the researcher, in order to provide these games and to overcome identified obstacles to the interaction between children with visual impairment. The research provides grants to educational intervention, especially with regard to the situation of playing in groups, to highlight its role in the development process / Mestrado / Interdisciplinaridade e Reabilitação / Mestre em Saúde, Interdisciplinaridade e Reabilitação
82

Escala de autoaceitação para pessoas com cegueira congênita ou precoce = desenvolvimento e investigação psicométrica = Self-acceptance acale for people with congenital or early blindness : development and psychometric analysis / Self-acceptance acale for people with congenital or early blindness : development and psychometric analysis

Morgado, Fabiane Frota da Rocha, 1980- 22 August 2018 (has links)
Orientador: Maria da Consolação Gomes Cunha Fernandes Tavares / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Educação Física / Made available in DSpace on 2018-08-22T01:05:04Z (GMT). No. of bitstreams: 1 Morgado_FabianeFrotadaRocha_D.pdf: 3909521 bytes, checksum: 5e4d5ae673ae47c748b049a91523a2a0 (MD5) Previous issue date: 2013 / Resumo: A autoaceitação é a aceitação de si mesmo da maneira que se é por meio do reconhecimento das próprias características positivas e negativas e da valorização daquelas características consideradas positivas. Esse constructo é considerado um mecanismo psicológico central para o quadro de imagem corporal positiva, portanto, um importante elemento para o desenvolvimento integrado da personalidade. Embora sua importância, há uma lacuna no conhecimento atual a respeito da autoaceitação de pessoas com cegueira congênita ou precoce, a qual pode estar relacionada a uma observada escassez de instrumentos válidos e precisos para investigar essa questão. O objetivo desta pesquisa foi ampliar as possibilidades de avaliar a autoaceitação em pessoas com cegueira congênita ou precoce, por meio da criação e investigação das qualidades psicométricas de uma escala específica para essa finalidade, denominada "Escala de Autoaceitação para pessoas com cegueira congênita ou precoce" (EAC). Três estudos compuseram esta pesquisa. No estudo 1, foram gerados 33 itens iniciais para a EAC, dispostos em quatro fatores distintos - "gostar do corpo", "cuidar do corpo", "proteger-se de estigmas sociais" e "sentir-se capaz". Para essa finalidade, foram utilizadas informações provindas da literatura especializada e de dois grupos focais realizados com 11 adultos com cegueira congênita ou precoce. No estudo 2, nove peritos e 22 sujeitos com cegueira congênita ou precoce avaliaram o conteúdo da EAC. Como resultado, sete itens foram excluídos, um item foi incluído e 22 itens foram reformulados, o que determinou indícios de validade de conteúdo da nova escala. No estudo 3, as qualidades psicométricas da EAC foram avaliadas. A amostra foi composta por 318 sujeitos com cegueira congênita ou precoce. Utilizando a análise fatorial confirmatória como a principal estratégia para a análise dos dados, a versão final da escala foi composta de 18 itens, distribuídos em três fatores - "aceitação corporal", "proteção de estigmas sociais" e "sentimentos e crenças de capacidade" - com adequados parâmetros de validade convergente, discriminante e confiabilidade. Esperamos que a EAC possibilitasse o desenvolvimento de pesquisas futuras que investiguem a autoaceitação em pessoas que não enxergam desde idades precoces, contribuindo tanto para ampliação consistente do conhecimento nesta área, quanto para inclusão expressiva desse grupo nos estudos da área da imagem corporal / Abstract: Self-acceptance is the acceptance of oneself, as the person is, through the recognition of its own positive and negative characteristics and the valorization of those characteristics considered as positive. This construct is considered as a central psychological characteristic for the positive body image, and therefore, an important element for the integrate personality development. Although its importance, there is a theoretical lack of knowledge about the self-acceptance of persons with congenital or early blindness, which could be related with scarcity of psychometric sound scales to investigate this issue. The aim of this research was amplify the possibilities of self-acceptance evaluation in persons with congenital or early blindness, with the development and psychometric analysis of a specific scale, called "Self-acceptance Scale for people with congenital or early blindness" (SAS). Three studies were made in this research to achieve our aims. In study 1, 33 initial items were generated for SAS, organized in four theoretical distinct factors - "body appreciation", "body care", "and self-protection from social stigmas", "feeling oneself capable". Item generation was based in specialized theoretical information form literature review and information collected from two focus groups, realized with 11 adults with congenital or early blindness. In study 2, nine experts and 22 participants with congenital or early blindness evaluated the content of SAS. The resulted point for the exclusion of 7 items, an inclusion of an additional item, and the review and reformulation of 22 items, which determined the content validity of SAS. In study 3, the psychometric parameters of SAS were evaluated. The samples were composed by 318 participants with congenital or early blindness. Confirmatory factor analyses were used as main statistic method for data analysis. The scale final version was composed by 18 items, distributed in 3 factors - "body acceptance", "self-protection from social stigmas", "felling and believing in oneself capacities", showing adequate evidences of concurrent and discriminant validity and internal reliability. We hope that SAS could possibility o development of future researches focused in investigate self-acceptance in persons that are not able to see since early ages, contributing both for the consistent growth of the knowledge in this area and the consistent inclusion of this group in body image research / Doutorado / Atividade Fisica Adaptada / Doutor em Educação Física
83

Des frontières du corps aux frontières de l'identité : l'expérience d'une vie au quotidien avec des incapacités motrices majeures / From the boundaries of the body to the frontiers of self : the experience of everyday life with severe motor impairments

Beyrie, Adeline 21 October 2013 (has links)
Les incapacités motrices lourdes engendrent des situations de handicap au cours desquelles l’autonomie du corps et du sujet sont bousculées. Les attendus et les évidences du corps valide sont suspendus. Ne pouvant plus agir directement sur elle-même ou sur son environnement, la personne en situation de handicap doit passer par l’intermédiaire d’un dispositif d’aide polymorphe constitué à la fois d’aides humaines et techniques. Au cours de chacune des interactions avec ce dispositif, les limites entre soi et l’autre, entre l’intérieur et l’extérieur, se brouillent.A partir de trois enquêtes ethnographiques réalisées auprès de personnes en situation de handicap vivant à domicile, la recherche doctorale a pour objet l’analyse de cette expérience corporelle. Dans une première partie, la thèse montre que la singularité de cette expérience repose sur le principe d’une distribution du corps, alternant entre déconstruction de soi et renégociations empiriques des frontières à partir de la définition d’une intimité. La recherche distingue ensuite trois formes possibles d’une existence au quotidien avec des incapacités motrices. Chacune d’entre elles se traduit par unedistribution singulière des frontières de l’identité / Severe motor impairments generate disability situations in which the autonomy of body and of the subject are disrupted. Expectations and taken-for-granted attitudes regarding the valid body are challenged. No longer in capacity to act directly on themselves or on their environment, persons with disabilities must interact with polymorphic help devices consisting of both human and technical aids. In these interactions, limitations between self and others or between inside and outside are blurred.Based on three ethnographic studies conducted with persons with disabilities living at home, the doctoral research aims at analyzing their specific corporal experience. The first part of the dissertation analyzes the experience of people with severe motor impairments as an experience of a distributed body, alternating between self-destruction and empirical negotiations of body frontiers with reference to intimacy. The second part distinguishes three forms of the experience of everyday life with severe motor impairments, which result in different distributions of the frontiers of self
84

Analysing the spontaneous speech of children with Foetal Alcohol Spectrum Disorder (FASD)

Martin, Linique January 2016 (has links)
Magister Artium - MA / Foetal Alcohol Spectrum Disorder (FASD) is a global problem that affects various communities. FASD denotes a pattern of abnormalities intermittently seen in children born to women who consume huge quantities of alcohol during pregnancy (Church & Kaltenbach, 1997). Church and Kaltenbach (1997) suggest that FAS may be one of the primary causes of hearing, speech and other language problems in children. The two main approaches used to determine the effects of FASD on language are standardised language test (using a statistical approach to test some or all four domains of language, namely, phonology, syntax, morphology and semantics) applied to close-ended questionnaire answers and, to some extent, narrative analysis (in the course of which researchers use wordless picture books to analyse narratives in order to determine the social-communicative characteristics of individuals with FASD). Although the use of standardized measures of language might be helpful to determine problematic areas in relation to the different language domains (Wyper & Rasmussen, 2011), they do not show the difficulty with social-communicative functions which these children might be facing (Coggins, Friet, & Morgan, 1998). On the other hand, while narrative analysis addresses an important level of language (discourse level), it does not foreground the inherently interactive nature of language use and the problems that may be associated with communicative interactions. These shortcomings, in turn, suggest possible limitations in the interventions intended to address the language needs of children with FASD. There is, therefore, a need for complementary approaches that offer a more rounded picture of language impairment in children with FASD. In this study, three approaches are used in identifying features of the speech of children with FASD against the backdrop of comparisons with features in the speech of normally developing children. Firstly, conversational analysis (applied to spontaneous, open-ended speech) is introduced as a means to determine the more social-interactive aspects of speech impairment in children with FASD. Secondly, measures of linguistic aspects of speech (the mean length of utterance, Index of Productive Syntax and the number of different word roots) designed specifically for spontaneous speech are employed (they are applied to the same spontaneous data as the conversational analysis data). Thirdly, the more traditional standardized language test measures applied to non-spontaneous speech are used (covering the four domains of syntax, phonology, semantics, and pragmatics). The study’s objectives are to (1) compare patterns in the interactive speech of FASD children and normally developing children; (2) explore the relationship between FASD children and normally developing children in relation to both spontaneous speech measures and standardized measures of language; and (3) compare the impact of the primary caregiver's level of education on testing through spontaneous measures versus standardised measures. Using data from 14 children in the Bellville suburb of Cape Town, South Africa, the study finds that, on the conversational analysis measures, children with FASD, in contrast to normally developing children, tend to obey fewer rules of turn-taking, to overlap less, to engage less in self-repair and to struggle with management and maintenance of topics. The study also finds that children whose scores on the standardized language tests (with non-spontaneous data) suggest they have no language difficulty, especially in terms of phonology, obtained scores in measures of spontaneous speech that indicated language difficulty. The study also found that the socio-economic status of caregivers was a credible explanation for certain features in the speech of children with FASD is very similar to features in the speech of normally developing children. This finding highlights the role of family setting in mitigating the effects of FASD. / National Research Foundation (NRF)
85

[en] INVESTIGATION OF SENSORY PROBLEMS IN AUTISTIC CHILDREN: RELATIONSHIP WITH THE SEVERITY OF THE DISORDER / [pt] INVESTIGAÇÃO DE PROBLEMAS SENSORIAIS EM CRIANÇAS AUTISTAS: RELAÇÕES COM O GRAU DE SEVERIDADE DO TRANSTORNO

ROBERTA COSTA CAMINHA 31 October 2016 (has links)
[pt] Setenta anos após as primeiras descrições de autismo, os prejuízos sensoriais parecem finalmente ganhar um espaço no cenário do transtorno. Hoje já parece haver um consenso de que esses problemas realmente existem e possivelmente estão por trás de muitos dos sintomas encontrados nos autistas. Pesquisas científicas sugerem que até 95 porcento de crianças autistas apresentam problemas sensoriais. Diante da inclusão de critérios sensoriais no próximo DSM-5, torna-se fundamental um número cada vez maior de estudos a fim de esclarecer melhor a especificidade desses problemas no autismo, seus mecanismos de ação, sua prevalência e sua relação com sintomas oficiais do transtorno (prejuízos de interação e comunicação social com padrões restritos e repetitivos de comportamentos, interesses e atividades). Esse trabalho representa, portanto, um ponto de partida de estudos dessa natureza no Brasil. Seu objetivo foi investigar através do questionário Short Sensory Profile (SSP) os prejuízos sensoriais em uma amostra de 28 crianças autistas brasileiras e explorar a relação desses padrões sensoriais com o grau de severidade do transtorno, avaliado através do Childhood Autism Rating Scale, Second Edition (CARS2-ST). Apesar de questões metodológicas, os resultados foram consistentes com a literatura. A maioria das crianças autistas da pesquisa, 82,1 porcento apresentou algum grau de problema sensorial. No grupo de crianças com autismo severo, a incidência de problemas sensoriais foi de 94,4 porcento. Uma análise do perfil sensorial geral revelou que 85,7 porcento das crianças apresentaram dificuldades na categoria Auditory Filtering, 60,7 porcento na categoria Low Energy/Weak e 53,6 porcento na categoria Underresponsive/Seeks Sensation, sendo esta última a categoria que apresentou a maior correlação com o grau de severidade do autismo. Os resultados, assim como as limitações do estudo e orientações futuras são discutidos. / [en] Seventy years after the first descriptions of autism, sensory problems seem to finally have its place in the scenario of the disorder. There seems to be a consensus about the existence of these problems and their possible role behind many of the symptoms found in autism. Scientific research suggests that up to 95 percent of children with autism have sensory issues. Given the inclusion of a sensory criteria in the upcoming DSM-5, it becomes essential to have a growing number of studies to further clarify the specificity of these problems in autism, their mechanisms of action, its prevalence and its relationship with the official symptoms of the disorder (social communication and interaction impairments with restricted and repetitive patterns of behaviors, interests and activities). This work therefore represents a starting point for studies of this nature in Brazil. Its goal was to investigate, through the Short Sensory Profile (SSP), sensory problems in a sample of 28 Brazilian children with autism and explore the relationship of the sensory patterns with the severity of the disorder, measured by the Childhood Autism Rating Scale, Second Edition (CARS2-ST). Despite methodological issues, the results were consistent with the literature. Most of the children assessed, 82.1 percent had some degree of sensory impairment. In the group of children with severe autism, the incidence of sensory problems was 94.4 percent. A sensory profile analysis revealed that overall 85.7 percent of the children had difficulties in the Auditory Filtering category, 60.7 percent in the Low Energy / Weak category and 53.6 percent in the Underresponsive / Seeks Sensation, the latter being the only category that correlated the most with the severity of autism. The results, as well as the study s limitations and future directions are discussed.
86

The profile and outcomes of stroke patients discharged from a hospital In the Eastern Cape

Cunningham, Natalie Lorinda January 2012 (has links)
Magister Scientiae (Physiotherapy) - MSc(Physio) / Stroke is the third leading cause of death and disability worldwide. The Uitenhage Provincial Hospital admits many stroke patients. To date, no in-depth study has been conducted on stroke patients admitted to the Hospital. This study identified the profile of stroke patients admitted to the Uitenhage Provincial Hospital and explored the challenges that these patients experienced post stroke. A concurrent mixed model design was used to collect the data. Firstly retrospective data was obtained by means of a quantitative data gathering instrument designed by the researcher. The information obtained, included data relating to demographic characteristics, reported risk factors relating to stroke, stroke onset-admission interval and length of hospital stay, as well as information relating to the process of physiotherapy. Secondly quantitative prospective information was collected by means of the Barthel Index, the Modified Rankin Scale and the Facilitators And Barriers Survey. The sample for the quantitative phase was drawn from medical records of 168 stroke patients admitted to the Uitenhage Provincial Hospital from the 1 of January 2008 up to and including the 31 of December 2009. For the second prospective quantitative part of the study, participants were selected conveniently from the admitted patients. In the qualitative phase, nine participants taken of the sampled participants were selected. The Microsoft Excel 2007 Package and the SPSS 18 for social sciences were used to analyse the quantitative data. Means, standard deviations, frequencies and percentages were calculated for descriptive purposes and the Chi-square test was used to test for associations between variables. Qualitative analysis began with the transcription of voice recordings and the translation of relevant Afrikaans transcription into English. Emerging categories were identified within the pre-determined themes. Permission and ethical clearance was obtained from the Higher Degrees Committee and the Senate Research and Grants and Study Leave Committee of the University of the Western Cape and permission to conduct this study was also obtained from the Medical Superintendent of the Uitenhage Provincial Hospital. Altogether 461 patients had been admitted with stroke during the relevant period, but only 168 could be included in the retrospective quantitative study. The mean age of the participants was 61,54 years; 59% were females and 41% males. The majority of the participants (86,9%) were admitted on the same day of stroke onset, and the mean length of hospital stay was 7,38 days. Hypertension was the most common reported risk factor, at 79%. Only 165 of the participants received physiotherapy while hospitalised, with the mean total physiotherapy sessions being 2,56 sessions. In 90% of the cases, physiotherapy sessions were discontinued due to the patient being discharged from the Hospital. The mean Barthel Index score was 81,46 and the family care domain of the Modified Rankin Scale was the most affected. Participants experienced participation restrictions and activity limitations due to stairs, gravel surfaces and kerb cuts. During the qualitative interviews participants reported activity limitations related to walking and activities of daily living. The participants also experienced participation restrictions, which included dependency on others, decreased social support and an array of emotions experienced post stroke. The current study’s findings suggest that the discharge of patients from the hospital post stroke should follow a mulitidisciplinary approach. Rehabilitation professionals should play an active role in the discharge process in providing patient and caregiver education.
87

Prevalence, severity, risk indicators and impact of visual impairment among diabetic patients in Mkuranga district, Tanzania

Chibuga, Emeritus Bugimbi January 2012 (has links)
Magister Public Health - MPH
88

Restauration, par thérapie génique, de l'audition et de l'équilibre chez des souris modèles de surdités et troubles vestibulaires humains / Viral gene therapy restores hearing and balance in mice model for human deafness ad vestibular defect

Emptoz, Alice 16 September 2016 (has links)
La surdité est le déficit sensoriel le plus fréquent chez l'Homme et touche plus de 360 millions de personnes dans le monde. En France, un enfant sur 700 naît avec une surdité sévère ou profonde, et un enfant sur 1000 deviendra malentendant avant l'âge adulte. Environ 80% des cas de surdité neurosensorielle ont une cause génétique. La surdité peut être associée à des troubles de l'équilibre rendant difficile l'exécution de simples taches quotidiennes. La cause la plus fréquente de déficience auditive et vestibulaire, sont l'atteinte de, respectivement, la cochlée, organe sensoriel de l'audition, et du vestibule, organe sensoriel de l'équilibre, localisés dans l'oreille interne.Face à l'inexistence de traitement curatif, la thérapie génique semble être une alternative afin de traiter les patients atteints de surdités et/ou de troubles vestibulaires héréditaires. L'objectif de mon projet de thèse est de restaurer l'audition et l'équilibre dans des souris modèles des surdités et troubles vestibulaires humains (DFNB9, DFNB59, syndrome de Usher de type 1G et 3A), en utilisant la thérapie génique virale.Les résultats obtenus ont apporté une preuve de principe que le transfert intracochléaire de gènes thérapeutiques contenus dans un adénovirus associé in vivo, permet de restaurer la structure et la fonction des cellules ciliées sensorielles de l'oreille interne, au niveau de l'appareil mécano-sensitif et de la synapse. Ainsi, nous avons restauré de manière significative l'audition, et corriger complètement le trouble vestibulaire. Ce projet ouvre la voie à de nouvelles approches thérapeutiques pour des patients atteints de formes génétiques d'atteinte de l'oreille interne. / Hearing loss is one of the most common human sensory deficits affecting over 360 millions people worldwide. In France, over one child out of 700 suffers from profound deafness at birth, and 1/1000 will be affected by hearing impairment prior to adulthood. The early-onset forms of severe, nonsyndromic deafness are mostly genetic in origin. Deafness can be associated with vestibular impairments which can complicate daily simple tasks. In most cases, hearing and vestibular impairments are due to defects in, respectively, the cochlea, the hearing organ, and the vestibule, the balance organ.In front of the non-existence of curative treatment, gene transfer technology is an alternative therapeutic approach to rescue hereditary deafness and vestibular impairments. The aim of my project is the use of viral gene therapy to restore hearing and balance in mice established as model for human deafness (DFNB9, DFNB59, Usher syndrome type IG and 3A). Our results provide a proof-of-principle that in vivo intracochlear delivery of therapeutic genes using adeno-associated virus can restore the structure and the function of inner ear sensory hair cells, at the mecano-sensitive apparatus and at the synapse. Thus, we restore significantly the hearing, and completely the vestibular impairment. This project open the way to new methods for restoring hearing in patients with genetic forms of deafness.
89

Living with a sibling with Autism/PDD: assessing the effects using play therapy methods

Buys, Ada C 22 October 2004 (has links)
This research deals with the effects that living with a sibling with Autism/PDD has. The aim of the research was to investigate the effect of living with a sibling with Autism/PDD by using play therapy methods. In order to achieve this goal the researcher undertook a literature study to provide a better insight into the dimensions and complexities of defining Autism/PDD and its related conditions, an in-depth look at the triad of impairments and the influence this has on the functioning of siblings of children with Autism/PDD. The second objective was to undertake an empirical study with regards to the influence of Autism/PDD on the functioning of these siblings. The third objective was to make recommendations to parents and people working in families with children with Autism/PDD that will enable them to respond to the needs of these siblings. The researcher made use of applied research. The data collection phase consisted of unstructured interviews, conducted in the form of a play process. The research question was the following: What is the effect of living with a sibling with Autism/PDD? Qualitative research was used in this study to enable the researcher to do a subjective exploration of reality as opposed to the outsider perspective of quantitative research. This study focused on the following aspects: helping, advocacy, awareness and a need for information, positive and negative feelings that the respondents experienced about their siblings, the effect on the child in middle childhood as well as family stresses. The researcher came to the conclusion that siblings of children with Autism/PDD experience both positive and negative feelings with regards to their brother/sister with Autism/PDD. / Dissertation (MSD (Play Therapy))--University of Pretoria, 2005. / Social Work / unrestricted
90

Avaliação da visão funcional infantil em serviço oftalmológico universitário / Functional vision evaluation for children in university ophthalmological service

Zimmermann, Anita, 1959- 22 August 2018 (has links)
Orientadores: Keila Miriam Monteiro de Carvalho, Rodrigo Pessoa Cavalcanti Lira / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-22T10:04:39Z (GMT). No. of bitstreams: 1 Zimmermann_Anita_D.pdf: 2614474 bytes, checksum: 1d6ddd4b27c92b25dfed8b28ff8b7940 (MD5) Previous issue date: 2013 / Resumo: Objetivo: Avaliar a Visão Funcional de crianças de zero a 5 anos e 11 meses de idade, após diagnóstico oftalmológico de Baixa Visão, para identificar a necessidade de Estimulação Visual no grupo estudado do Serviço de Estimulação Visual/VSN/OFTALMOLOGIA/HC/FCM/UNICAMP. Materiais e Métodos: Trata-se de estudo transversal analítico, aprovado pelo Comitê de Ética em Pesquisa, nº 1025/2010. Foi utilizado instrumento de Avaliação da Visão Funcional Infantil, organizado após estudos na literatura de autores nacionais e internacionais, na busca por avaliações da visão funcional que contemplassem a necessidade do serviço. Considerando-se as diferentes faixas etárias infantis propostas neste estudo, com n = 143, ponderou-se sobre a efetividade de algumas avaliações pesquisadas, organizando-se instrumento avaliatório, com tópicos, desenvolvidos de maneira a se obter respostas visuais eficientes para determinar condutas em Estimulação Visual. O Instrumento de Avaliação da Visão Funcional Infantil foi aplicado em grupo controle, com mesmo n (n=143) para sua validação. Resultados: As afecções oftalmológicas, responsáveis pelas deficiências visuais do grupo estudado foram: Retinopatia da Prematuridade, Afecções de Nervo Óptico, Deficiência Visual Cortical, Coriorretinite Macular Infecciosa, Malformações Oculares, Catarata Infantil, Degenerações Primárias da Retina, Glaucoma Congênito, Ceratopatias e Trauma Ocular ou Orbitário. A distribuição por idades foi determinada pela proximidade de respostas visuais esperadas para cada faixa etária deste estudo. Em relação ao Desenvolvimento Neuro Psico Motor (DNPM), 44 (30%) crianças apresentavam Bom desenvolvimento Neuro Psico Motor (BDNPM) e 99 (70%) Retardo no Desenvolvimento Neuro Psico Motor (RDNPM). No grupo controle, 2 crianças (1,4%) apresentaram RDNPM. Após aplicação do Instrumento de Avaliação da Visão Funcional Infantil, Parte 1 e Parte 2 (Teste com Cartões de Teller), das 143 crianças estudadas, 107, representando 74% do total, receberam indicação para Estimulação Visual. No grupo controle, independente do DNPM, nenhuma criança recebeu indicação para estimulação visual. Conclusão: O Instrumento de Avaliação da Visão Funcional Infantil, em sua composição com o teste com Cartões de Teller, foi eficiente para determinar condutas em estimulação visual / Abstract: Objective: To evaluate the Functional Vision in children between zero and 5 years and 11 months old, after ophthalmological diagnosis of Low Vision, in order to identify the necessity of Visual Stimulation in the studied group from the Visual Stimulation Service/VSN/OPHTHALMOLOGY/HC/FCM/UNICAMP. Materials and Methods: This is a transversal analytical study, approved by the Research Ethics Committee, nº 1025/2010. It was used an Instrument for Functional Vision Evaluation for Children, organized after studies in the literature of national and international authors, in the search for functional vision evaluations which addressed the need for the service. Considering the different infant ages proposed on this study, with n = 143, the effectiveness of some evaluations surveyed were pondered, resulting in the organization of an evaluation instrument, with topics, developed in order to obtain efficient visual answers to determine Visual Stimulation conducts. The Instrument for Functional Vision Evaluation was applied in the Control Group, with similar n (n=143) for its validation. Results: The ophthalmologic diseases, responsible for the visual deficiencies of the studied group were: Retinopathy of Prematurity, Optical Nerve Disorder, Cortical Visual Deficiency, Infectious Macular Chorioretinitis, Ocular Malformations, Child Cataract, Retinal Primary Degenerations, Congenital Glaucoma, Ceratopatias and Ocular or Orbital Trauma. The age distribution was determined by the proximity of visual responses expected for each group age on this study. Regarding to the Psycho Neuro Motor Development (PNMD), 44 (30%) of the children presented Good Psycho Neuro Motor Development (GPNMD) and 99 (70%) presented Retardation of Psycho Neuro Motor Development (RPNMD). After the application of the Instrument for Functional Vision Evaluation for Children, Part 1 and Part 2 (Test with Teller Cards), on the 143 evaluated children, 107, representing 74% of the total, received indication for Visual Stimulation. In the control group, independently from the PNMD, no children has received indication for visual stimulation. Conclusion: The Instrument for Functional Vision Evaluation for Children, in its composition with the Test with Teller Cards, was efficient to identify conducts in Visual Stimulation / Doutorado / Ciencias Biomedicas / Doutora em Ciências Médicas

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