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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.
71

Fatores associados ao padrão de comportamento sedentário em professores da rede pública de ensino / Factors associated with the pattern of sedentary behavior in teachers of the public school system

Delfino, Leandro Dragueta [UNESP] 28 February 2018 (has links)
Submitted by Leandro Dragueta Delfino null (ledragueta@hotmail.com) on 2018-04-02T19:27:50Z No. of bitstreams: 1 Dissertação_Leandro_Defesa_Inteira_PDF.pdf: 1838222 bytes, checksum: b546a4c10abf24dd15039cf08767e6b4 (MD5) / Approved for entry into archive by ALESSANDRA KUBA OSHIRO ASSUNÇÃO (alessandra@fct.unesp.br) on 2018-04-03T12:11:32Z (GMT) No. of bitstreams: 1 delfino_ld_me_prud.pdf: 1838222 bytes, checksum: b546a4c10abf24dd15039cf08767e6b4 (MD5) / Made available in DSpace on 2018-04-03T12:11:32Z (GMT). No. of bitstreams: 1 delfino_ld_me_prud.pdf: 1838222 bytes, checksum: b546a4c10abf24dd15039cf08767e6b4 (MD5) Previous issue date: 2018-02-28 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Introdução: Atualmente, os seres humanos passam grande parte de seu tempo diário em atividades denominadas sedentárias, exemplificada pelo crescente tempo sentado, seja no trabalho, no transporte ou no lazer; tais atividades estão associadas a doenças crônicas. O trabalho tem sido o cenário em que a grande proporção de comportamentos sedentários tem sido acumulados. Entretanto, dúvidas existem se o sedentarismo se manifesta da mesma maneira em indivíduos envolvidos com atividades profissionais predominantemente não sedentárias; Objetivos: Verificar a prevalência e a associação do comportamento sedentário e suas quebras com as variáveis de estilo de vida (hábitos alimentares, prática de atividade física, tabagismo e consumo de bebidas alcoólicas), obesidade e variáveis cardiovasculares (pressão arterial e freqüência cardíaca) em docentes da rede estadual de ensino da cidade de Presidente Prudente-SP; Métodos: Todas as escolas estaduais da cidade foram convidadas a participar do estudo. Os dados concernentes ao comportamento sedentários, as quebras e variáveis de estilo de vida foram obtidos mediante aplicação de questionário. Medidas antropométricas e cardiovasculares foram realizadas no ambiente de trabalho dos professores por indivíduos treinados; Resultados: Amostra composta por 245 indivíduos (186 mulheres - 76%), com média de idade de 45 anos. A prevalência de comportamento sedentário foi de 55,3%, e o elevado tempo em atividades sedentárias foi relacionado: a menores chances de consumo de carne branca (OR=0,44 e [IC=0,24-0,79]) e maiores chances de elevado consumo de bebida alcoólica (OR=1,96 e [IC=1,17-3,28]) e obesidade abdominal (OR= 2,21 [IC= 1,23-3,97]). Quanto a quebra do comportamento sedentário no trabalho, professores com maior frequência de interrupções tiveram maiores chances de ter consumo elevado de cereais (OR=2,49 e [IC=1,05-5,92]), de serem moderada (OR=2,60 e [IC=1,28-5,28]) e suficientemente ativos fisicamente (OR=2,57 e [IC=1,14-5,77]). Já aqueles com elevada pausa desse comportamento no lazer possuíam maiores chances de elevado consumo de frutas (OR=2,33 e [IC=1,28-4,23]) e vegetais (OR=1,91 e [IC=1,05-3,49]), de serem fisicamente ativos (OR=2,34 e [IC=1,03-5,35]), e de menores chances de ter pressão arterial elevada (OR= 0,58 [IC= 0,32-0,98]); Conclusão: O elevado comportamento sedentário foi associado a hábitos alimentares inadequados, ao consumo elevado de álcool e a presença de obesidade abdominal. Indivíduos com maiores interrupções do comportamento sedentário apresentaram maiores chances de possuírem hábitos alimentares adequados, de serem fisicamente ativos e de apresentar menores chances de hipertensão. / Introduction: Humans now spend much of their daily time in so-called sedentary activities, exemplified by increased sitting time, whether at work, in transportation, or at leisure; such activities are associated with chronic diseases. Work has been the scenario in which the large proportion of sedentary behaviors has been accumulated. However, doubts exist if sedentarism manifests itself in the same way in individuals involved with predominantly non-sedentary occupational activities; Objectives: To verify the prevalence and association of sedentary behavior and its breaks with lifestyle variables (eating habits, physical activity, smoking and alcohol consumption), obesity and cardiovascular variables (blood pressure and heart rate) in teachers of the state education network of the city of Presidente Prudente-SP; Methods: All state schools in the city were invited to participate in the study. Data concerning sedentary behavior, breaks and lifestyle variables were obtained through questionnaire application. Anthropometric and cardiovascular measures were performed in the work environment of the teachers by trained individuals; Results: Sample composed of 245 individuals (186 women - 76%), with mean age of 45 years. The prevalence of sedentary behavior was 55.3%, and the long time in sedentary activities was related to: the lower chances of consumption of white meat (OR = 0.44 and [CI = 0.24-0.79]) and higher odds of high alcohol consumption (OR = 1.96 and [CI = 1.17-3.28]) and abdominal obesity (OR = 2.21 [CI = 1.23-3.97]). As for the breakdown of sedentary behavior at work, teachers with more frequent interruptions were more likely to have high cereal consumption (OR = 2.49 and [CI = 1.05-5.92]), if they were moderate (OR = 2.60 and [CI = 1.28-5.28]) and sufficiently physically active (OR = 2.57 and [CI = 1.14-5.77]). On the other hand, those with a high pause of leisure behavior had higher chances of high fruit consumption (OR = 2.33 and [CI = 1.28-4.23]) and vegetables (OR = 1.91 and [CI = (OR = 2.34 and [CI = 1.03-5.35]), and less likely to have high blood pressure (OR = 0.58 [CI = 0.32-0.98]); Conclusion: High sedentary behavior was associated with inadequate eating habits, high alcohol consumption and the presence of abdominal obesity. Individuals with greater interruptions of sedentary behavior were more likely to have adequate eating habits, to be physically active and to present lower chances of hypertension. / 3300412-9
72

[en] DERAILED CAREERS: WORK-FAMILY CONFLICT AND INTERRUPTION OF PROFESSIONAL TRAJECTORIES / [pt] CARREIRAS DESCARRILHADAS: CONFLITO TRABALHO-FAMÍLIA E INTERRUPÇÃO DE TRAJETÓRIAS PROFISSIONAIS

ALANE DE OLIVEIRA BARBOSA 30 November 2018 (has links)
[pt] Este estudo teve a intenção de descrever as experiências de mulheres profissionais que tiveram que interromper suas carreiras devido ao conflito trabalho-família. A pesquisa teve como foco mulheres que são mães e que possuem formação superior. Seu objetivo foi entender os motivos que as levaram a interromper suas carreiras profissionais, bem como descrever suas vivências atuais, afastadas do mercado de trabalho e dedicadas integralmente à maternidade. A metodologia de pesquisa escolhida para o estudo foi de natureza qualitativa, tendo sido entrevistadas 10 mulheres, com profissões variadas, que interromperam a carreira devido à maternidade. Os resultados desta pesquisa sugerem que as entrevistadas, em sua maioria, se recusaram a terceirizar a criação e educação dos filhos e que a obrigação em cumprir longas jornadas de trabalho foi determinante na sua decisão de parar de trabalhar. Além disso, o apoio dos maridos, tanto emocional como financeiro, foi imprescindível para que elas pudessem tomar a decisão de se dedicarem à maternidade, integralmente. As vivências, após a interrupção da carreira, revelam sentimentos de inutilidade, baixa autoestima e preconceitos vividos por muitas das entrevistadas. Planos profissionais para o futuro são relatados, mas a maioria deseja mudar de profissão ou diminuir as horas de trabalho, pois buscam a flexibilidade de horário por acreditarem que, ao terem maior controle sobre seu horário de trabalho será possível a conciliação dos papéis profissional e materno. / [en] This study was intended to describe the experiences of professional women who had to interrupt their careers due to the work-family conflict. The research focused on women who are mothers and who have higher education. Its purpose was to understand the reasons that led to them to interrupt their professional careers, as well as to describe their current experiences, away from the job market and fully dedicated to motherhood. The research methodology chosen for the study was qualitative, with 10 women interviewed of several professions, who interrupted the career due to maternity. The results of this research suggest that interviewees, in the majority, refused to outsource the raising and education of children and the obligation to undertake long working hours was decisive in their decision to stop working. In addition, the husband s support, both emotional and financial, was imperative so that they could make the decision to dedicate themselves to motherhood, in its entirety. The experiences, after the interruption of the career, reveal feelings of uselessness, low self-esteem and prejudices experienced by many of the women interviewed. Professional plans for the future are reported, but most want to change their carreer or shorten working hours, because they seek flexibility in scheduling due to the belief that by having control over their working hours it will be possible to reconcile professional and maternal roles.
73

Místo svědomí v postabortivním syndromu / Role of Conscience in the Post Abortion Syndrome

BICANOVÁ, Lenka January 2015 (has links)
The diploma thesis deals with the connection between human conscience and the Post Abortion Syndrome that is described in selected sources. The aim is an analysis of the role of the conscience in Post Abortive Syndrome. The thesis is divided into four chapters. The first chapter deals with the concept of conscience and its value in our lives as well as the question of when and how our conscience affects our behaviour. The next text focuses on the connection of our conscience and actions as well as our decision making. This connection is described from philosophical, theological and psychological points of view. The second chapter focuses on abortion and the difference between miscarriage and abortion. Furthermore, the reasons for undergoing abortion, methods of abortion, and possible consequences are described. The third chapter deals with the Post Abortion Syndrome, its definition and symptoms, and information how to help affected women. In the last chapter are summarized the information and is presented the connection between conscience and Post Abortive Syndrome. The information from primary and secondary sources is supplemented with interviews with professional who come in touch with women affected by the Post Abortive Syndrome. These interviews are very valuable for deeper insight.
74

Smysl života ženy v současné společnosti, se zaměřením na problém mateřství a interrupce / Woman's sence of life in the contemporary society with the orientation on motherhood and interruption

HRUŠKOVÁ, Martina January 2013 (has links)
The dissertation deals with contemporary women's sence of life with a view to the sphere of motherhood and interruption. The dissertation is divided into two main parts. The theoretic part deals with possible understanding and creating of woman's sence of life, which can become the motherhood. But it can hit a lot of obstructions. These are mostly a long-time studies, a longing to build a career, feeling of being to young or worry about the partner relationship. A main role take contraceptive measures, which allow to plan a family or avoid it. In consequence of social changes was the attention aimed at the possibility of artificial termination of a pregnancy. The practical part tries to map the womens opinions on the position of a child in their life. On the basis of the above mentioned obstructions three spheres of research were defined - namely sence of life in connection with values, relationship to children, relationship between the motherhood and the career and relationship to mechanisms, wherby women refuse to have children.
75

Sonho desfeito: anencefalia e experiência emocional dos pais / A broken dream: anencephaly and parents emotional experience

Walkiria Cordenonssi Cia 28 April 2014 (has links)
O desenvolvimento tecnológico contemporâneo permite a detecção precoce de malformações fetais, tais como a anencefalia, que inviabilizam a sobrevivência do bebê. Tal constatação implica imediata revelação diagnóstica aos pais, que deverão decidir pela continuidade ou interrupção da gravidez. O presente trabalho tem como objetivo investigar a experiência emocional de casais que se deparam com o diagnóstico de anencefalia fetal, tendo em vista trazer subsídios para um melhor atendimento psicológico. A investigação organizou-se como pesquisa qualitativa, com método psicanalítico, estruturada ao redor de procedimentos investigativos de acesso, registro, interpretação e interlocuções reflexivas sobre atendimentos clínicos. A partir de sessões com casais parentais, realizadas ao longo de oito anos, foram elaboradas duas narrativas transferenciais ficcionais, que preservam elementos essenciais da dramática em pauta. Uma das narrativas aborda uma situação de opção por interrupção gestacional, enquanto a outra focaliza uma decisão de continuidade. Os procedimentos interpretativos permitiram a \"criação/encontro\" dos seguintes campos de sentido afetivo-emocional ou inconscientes relativos: É um pesadelo?, Quem ou o quê está aí?, É preciso decidir. O quadro geral aponta que grande parte do trabalho clínico tem lugar num campo bastante singular, É preciso decidir, que se define pela urgência de tomada de decisão relativa à eventual interrupção de processos vitais. O campo É um pesadelo? aponta para o fato deste tipo de revelação diagnóstica, derivada do uso de uma tecnologia, que detecta problemas que não estão sendo vivenciados como sinais ou sintomas físicos, gerar muito frequentemente reações dissociativas, cujo manejo torna-se, assim, clinicamente indispensável. O outro campo, Quem ou o quê está aí?, assume uma posição de centralidade, nesta clínica, na medida em que porta consigo uma interrogação radical acerca do estatuto ontológico do feto, vivido como um bebê ou como um não-bebê. Uma compreensão sensível e atenta acerca dos diferentes modos como cada casal habita este campo parece fundamental para a provisão de um cuidado psicoterapêutico / The contemporary technological development allows the early detection of fetal malformations, such as anencephaly, which makes the babys survival unfeasible. This assumption leads to the immediate revelation of the diagnosis to the parents who will decide either to continue or interrupt the pregnancy. This paper focuses on the investigation of the emotional experience that couples have when facing a fetal anencephaly diagnosis, bringing instruments for a better psychological care. The investigation process was organized as a qualitative research, through psychoanalytic approach, based on the investigation procedures of access, register, interpretation and reflexive interlocution on clinical care sessions. From the sessions with couples, during eight years, two transferential fictional narratives, that preserve essential elements of drama at stake, were created. One of the narratives approaches a situation of choice for pregnancy interruption, while the other aims at the decision to keep it. The interpretative procedures allowed the \"creation / finding\" of the following fields of affective-emotional sense or relative unconscious: Is it a nightmare?, Who or what is there?, We have to make a decision. The big picture shows that great part of the clinical work takes place in a singular field, We have to make a decision, defined by the sense of urgency around the decision about the eventual interruption of vital processes. The field Is it a nightmare? leads to the fact that this kind of diagnosis revelation, derived from the technology which detects problems that were not being lived as physical signals or symptoms, frequently generates dissociative reactions, making the clinical care mandatory. The other field Who or what is there? has a central role, in this clinic, as soon as it contains an extreme question around the fetuss ontological statute, being a baby or a non-baby. A sensible and attentive comprehension of the different ways in which couples deal with this field is essential for a psychotherapeutic care
76

Lucros cessantes: análise das medidas de mensuração contábil utilizadas pelo Tribunal de Justiça do Estado de São Paulo / Lost profits: analyzing accounting measures used by the Tribunal de Justiça do Estado de São Paulo

Edgard Nogueira Junior 23 April 2013 (has links)
Este estudo teve como objetivo principal verificar se há consonância entre as medidas de mensuração das perdas por lucros cessantes expressas nos acórdãos emitidos pelo Tribunal de Justiça do Estado de São Paulo (TJSP) e aquelas referenciadas na literatura de Contabilidade aplicável ao tema. Além disso, buscou identificar o entendimento recorrente do TJSP a respeito das medidas de mensuração aplicáveis a essas apurações. O estudo trata de maneira específica da interrupção de atividades ou negócios, quando o prejudicado é uma entidade jurídica. Foi analisado o conteúdo de 104 acórdãos emitidos pelo TJSP, no período de junho de 2012 a setembro de 2012. As decisões foram analisadas à luz da técnica de análise de conteúdo e por meio de recursos da estatística descritiva, basicamente frequências relativas e acumuladas. A análise dos dados revelou que: (i) existe relação entre as medidas de mensuração expressas nos acórdãos emitidos pelo TJSP e a literatura aplicável ao tema, e (ii) a extensão dessa relação, no que se refere a concordância com a literatura aplicável, é parcial, correspondendo a 52,2% das locuções identificadas na amostra analisada. Verificou-se, também, que 80,4% das locuções utilizadas pelo TJSP para se referir a medidas de mensuração dos lucros perdidos são representadas por cinco (5) diferentes expressões. Essas expressões não possuem o mesmo significado contábil. Outro aspecto constatado foi o uso do termo \'faturamento\' como referência de medida de lucro aplicável às apurações. Além do fato de que esse termo não é referenciado pela literatura como uma medida válida, identificou-se decisão do STJ que descredencia o seu uso em pleitos de indenização por danos dessa natureza. Observou-se, também, como parte dos outros achados, que os acórdãos do TJSP utilizam expressões que representam diferentes critérios para a mensuração dos lucros perdidos. A principal expressão corresponde ao termo \'razoável\', cuja interpretação para fins de operacionalização da apuração, é subjetiva. A conclusão é de que o uso de uma terminologia contábil que não tenha consonância com a literatura aplicável ao tema pode comprometer a apuração do valor do dano e a eficácia da decisão judicial. Nesse contexto, não há segurança de que o valor apurado atenda ao que era a intenção do relator do acórdão nem de que corresponda ao dano sofrido pelo prejudicado. / This study aims at verifying whether there is consonance between the measures used for the measurement of the damages for lost profits issued by the Tribunal de Justiça do Estado de São Paulo (TJSP) and those referenced in the Accounting literature applicable to the subject. Furthermore, we sought to identify TJSP\'s understanding of the measures applicable to such measurement calculations applicable to these findings. The study treats the interruption of the activities or of the business itself in a very specific manner, when the injured party is a legal entity. The content of 104 judgments issued by TJSP was analyzed from June 2012 to September 2012. The decisions were analyzed in light of the technique for content analysis and by means of descriptive statistics, basically relative and cumulative frequency analyses. Data analysis revealed that: (i) there is a connection between measures informed in the judgments issued by TJSP and the literature applicable to the subject, and (ii) the extent of this connection, regarding the concordance with the applicable literature, is partial, corresponding to 52.2% of the phrases identified in the analyzed sample. It was also found that 80.4% of the phrases used by TJSP to refer to the measures of the lost profits are represented by five (5) different idioms, which in turn, do not have the same meaning in accounting. Another aspect observed was the use of the term \'turnover\' as a reference to measure of profits applicable to the findings. Besides the fact that this term is not referenced in the literature as a valid measure, we identified STJ\'s decision to invalidate its use in claims for such damages. It could also be seen that, as part of other findings, TJSP\'s judgments use idioms that represent different criteria to measure lost profits. The main idiom corresponds to the term \'reasonable\', whose interpretation in order to operationalize the findings is subjective. The conclusion is that the use of accounting terms which do not have consonance with the literature to the subject may compromise the findings of the value of the damage and the effectiveness of the legal decision. In this context, there is not guarantee as to whether the value found faithfully describes the judge\'s intent in the judgment or that it matches the damage suffered by the injured party.
77

Tactics of interruption : provoking participation in performance art

Campbell, Lee January 2016 (has links)
This thesis addresses a research study predicated on practice in order to explore aspects of participation in Performance Art. The study makes a contribution to knowledge in participative performance practice and the positive deployment of using interruptive processes; this is in order to provoke participation within the context of Performance Art as well as gain a better understanding of the operations of power relations at play. Within the discourse of impoliteness study (Bousfield, 2008; Culpeper, 2011 et al.), there is a term that deserves much greater attention: interruption . Examining interruption and exploiting its virtues using practice brings out some productive insights that go beyond abstract theorisation. Working in response to Nicolas Bourriaud s conception (1998) of participation in Relational Aesthetics as a means of attacking power relations, I use my practice as an artist/performance provocateur and amplify consideration of my previous usage of interruption in order to provoke participation and then interrogation of power relations. Slapstick and heckling as extreme versions of interruptive processes that are physical in nature are put forward as tactics of interruption that extend comedy tactics within my practice. Circumventing commentary of interruption that often posits the term and its affiliation with impoliteness and capacity to be disruptive as negative (Bilmes, 1997), interruption is used for the purposes of my study as the key strategy that underpins the performance Lost for Words (2011) and the collaborative project Contract with a Heckler (2013), and are presented as prime examples of the operations of interruption in practice. Lost for Words supports the difficulties of participation when interruptive processes connected to physical and bodily slapstick are structurally engineered into a live performance and Contract with a Heckler supports power relations when live performance is predicated upon physical and linguistic interruptive processes relating to heckling. Both Lost for Words and Contract with a Heckler demonstrate a complex knitting of theory and practice whereby argument is supported by the undertaking of action (by the necessity of experiencing interruption in practice). The written dimension of the thesis operates in conjunction with the accompanying photographs and video recordings included here as documentation serving to deconstruct the examples of practice presented. Writing adds detail in the form of critical analysis, reflective commentary and personal experience to the supplied documentation and is used as a tool to communicate that working with interruption on a theoretical, practical and emotional level can be exciting, provocative and dangerous.
78

Sjuksköterskans erfarenheter av avbrott i omvårdnaden av patienten i triagering på akutmottagningen : en litteraturöversikt / The nurse´s experiences of interruptions in the care of the patient in triage at the emergency department : a literature review

Brandt, Helena, Kleinerud, Charina January 2022 (has links)
Bakgrund: Dygnet runt på akutmottagningar utför sjuksköterskor triagering av patienter för att identifiera allvarhetsgraden hos den vårdsökande. Triagering behöver ske så att rätt patienter får rätt vård, vid rätt tillfälle och av rätt profession. Avbrott kan påverka sjuksköterskan i triageringen och det kan medföra konsekvenser för hens bedömningen av patienten och dennes omvårdnadsbehov. Avbrott är vanligt förekommande problem som ofta uppfattades på akutmottagningen mer som ett arbetssätt än ett avbrott.    Syftet: Syftet var att belysa sjuksköterskans erfarenheter av avbrott i omvårdnadsbedömningen av patienten i triagering på akutmottagningen. Metod: Litteraturöversikt gjordes med integrerad analys. Modellen SPICE användes för att formulera en frågeställning och utifrån den skapades sökord. Sökningar inledningsvis genom databaserna CINAHL, PubMed, Swepub samt i fritextsökning. Sjutton vetenskapliga artiklar utvaldes och analyserades. Resultat: Det framkom nio underkategorier: Utsatthet (våld) och arbetsbelastningen, erfarenhet, kommunikation och utbildning, Avbrottskälla, kollegor, anhöriga och patienten Dessa underkategorier leder i sin tur till följande tre huvudkategorier, sjuksköterskans yrkeserfarenhet, arbetsmiljön vid triagering, Avbrott i omvårdnads bedömningen, Generella avbrott. Avbrottets natur var av betydelse i uppfattningen hur det inverkade på sjuksköterskornas omvårdnadsbedömningar. Tid till att hantera avbrott var att i första hand att skapa olika strategier som pausade triagen och omedelbart ta sig an avbrottet, delegera avbrottet eller ignorera avbrottet. Slutsats: Resultatet belyser att sjuksköterskornas erfarenheter av avbrott i triagen kan beröra omvårdnaden av patienten i sjuksköterskans omvårdnadsbedömning. Att avbrott är en del av sjuksköterskans arbetsmiljö/ livsstilen /arbetssättet på akutmottagningen. Frekventa avbrott, våldsamma patienter och en varierande tillströmning av patienter medför att komplexiteten är stor på en akutmottagning. Livserfarenhet har en avgörande roll för sjuksköterskan på akutmottagningen för att hantera avbrott. / Background: Around the clock in emergency rooms, nurses perform triage of patients to identify the severity of the care seeker. Triage needs to take place so that the right patients receive the right care, at the right time and by the right profession. Interruptions can affect the nurse in the triage and this can have consequences for her assessment of the patient and her nursing needs. Interruptions are common problems that were often perceived in the emergency department more as a way of working than an interruption. Aim: The purpose was to shed light on the nurse's experiences of interruptions in the care of the patient in triage in the emergency department. Methods: Literature review was done with integrated analysis. The SPICE model was used to formulate a question and based on it, keywords were created. Searches initially through the databases CINAHL, PubMed, Swepub and in free text search. Seventeen scientific articles were selected and analyzed. Results: Nine subcategories emerged: Vulnerability (violence) and workload, experience, communication and education, Source of interruption, colleagues, relatives and the patient These subcategories in turn lead to the following three main categories, the nurse's professional experience, the work environment during triage, interruptions in the nursing assessment, general interruptions. The nature of the interruption was important in the perception of how it affected the nurses' assessments. Time to deal with disruption was to primarily create different strategies that paused the triage and immediately address the disruption, delegate the disruption or ignore the disruption. Conclusion: The result highlights that the nurses' experiences of interruptions in the triage may affect the nursing of the patient in the nurse's nursing assessment. That interruptions are part of the nurse's work environment / lifestyle / way of working in the emergency department. Frequent interruptions, violent patients and a varying influx of patients due to the great complexity of an emergency department. Life experience plays a crucial role for the nurse in the emergency department to handle interruptions.
79

Mediating ICU patient situation-awareness with visual and tactile notifications

Srinivas, Preethi 29 March 2016 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / Healthcare providers in hospital intensive care units (ICUs) maintain patient situation awareness by following task management and communication practices. They create and manipulate several paper-based and digital information sources, with the overall aim to constantly inform themselves and their colleagues of dynamically evolving patient conditions. However, when increased communication means that healthcare providers potentially interrupt each other, enhanced patient-situation awareness comes at a price. Prior research discusses both the use of technology to support increased communication and its unintended consequence of (wanted and unwanted) notification interruptions. Using qualitative research techniques, I investigated work practices that enhance the patient-situation awareness of physicians, fellows, residents, nurses, students, and pharmacists in a medical ICU. I used the Locales Framework to understand the observed task management and communication work practices. In this study, paper notes were observed to act as transitional artifacts that are later digitized to organize and coordinate tasks, goals, and patient-centric information at a team and organizational level. Non digital information is often not immediately digitized, and only select information is communicated between certain ICU team members through synchronous mechanisms such as face-to-face or telephone conversations. Thus, although ICU providers are exceptionally skilled at working together to improve a critically ill patient’s condition, the use of paper-based artifacts and synchronous communication mechanisms induces several interruptions while contextually situating a clinical team for patient care. In this dissertation, I also designed and evaluated a mobile health technology tool, known as PANI (Patient-centered Notes and Information Manager), guided by the Locales framework and the participatory involvement of ICU healthcare providers as co designers. PANI-supported task management induces minimal interruptions by: (1) rapidly generating, managing, and sharing clinical notes and action-items among clinicians and (2) supporting the collaboration and communication needs of clinicians through a novel visual and tactile notification system. The long-term contribution of this research suggests guidelines for designing mobile health technology interventions that enhance ICU patient situation-awareness and reduce unwanted interruptions to clinical workflow.
80

ANALYSIS OF SIGNAL INTERRUPTION PROBABILITY FOR GNSS UTILIZATION IN FOREST CONDITIONS / 森林域におけるGNSS利用のための信号分断度(SIP)の分析

Alex Souza Bastos 24 September 2013 (has links)
京都大学 / 0048 / 新制・課程博士 / 博士(農学) / 甲第17902号 / 農博第2025号 / 新制||農||1017(附属図書館) / 学位論文||H25||N4798(農学部図書室) / 30722 / 京都大学大学院農学研究科森林科学専攻 / (主査)教授 德地 直子, 教授 吉岡 崇仁, 准教授 長谷川 尚史 / 学位規則第4条第1項該当 / Doctor of Agricultural Science / Kyoto University / DFAM

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