Made available in DSpace on 2016-04-28T20:38:34Z (GMT). No. of bitstreams: 1 Maria Aparecida Mello.pdf: 7216440 bytes, checksum: 1fb3883fe52b08e8cbfe55c3e950cdd9 (MD5) Previous issue date: 2012-10-26 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / This PhD Thesis is the result of research "Old Age and Spirituality in Perspective of Analytical Psychology" performed at Department of Psychosomatics and Hospital Psychology from PUCSP. The quantitative and qualitative methods were used for analysis of the results. The general objective of the study was to understand the perception of the elderly on the aging process and the experience of spirituality in this phase of life. This research was conducted with a sample of 100 elderly people, and average age of 74.8 years. Data collection was conducted in two institutions that assist the elderly in the city of São Paulo and metropolitan region of São Paulo. The instruments used in data collection were: Mini-Mental State Exam (MMSE), translated and adapted by Bertolucci et al. (1994), Semi-Structured Interview, developed by the researcher; Spiritual Well-Being Scale (SWB Scale), Paloutzian & Ellison (1982), translated from English to Portuguese by Mello (2010). The general results of the narratives of the participants indicate that the meaning of old age is linked to the social support of the family, health and physical vigour, participation in group activities, autonomy to new learning, life quality and spirituality, experience / maturity / wisdom. The sense of spirituality in old age was linked to close contact with God / prayer, harmony with the universe, faith, love of neighbor, coping capacity and old age as a time to live fully spirituality. Regarding to distribution of Spiritual Well-being Scale results, 51% of the sample has a moderate sense of spiritual well-being and 49% high sense of spiritual well-being. We conclude this research considering for most of the elderly, aging is characterized as a propitious moment to experience spirituality, an essential element in the individuation process, consciousness expansion, self-transcendence, encounter with the oneself / Esta Tese de Doutorado é resultado da pesquisa "Velhice e Espiritualidade na Perspectiva da Psicologia Analítica" realizada no Núcleo de Psicossomática e Psicologia Hospitalar da PUC-SP. Foi utilizado os métodos quantitativo e qualitativo na análise dos resultados. O objetivo geral do estudo foi compreender a percepção do idoso acerca do processo de envelhecimento e da vivência da espiritualidade nessa fase da vida. Esta pesquisa foi realizada com uma amostra de 100 idosos, a média de idade é de 74,8 anos. A coleta dos dados foi realizada em duas instituições que prestam assistência à população idosa na cidade de São Paulo e na Grande São Paulo. Os instrumentos utilizados na coleta de dados foram: Mini-Exame do Estado Mental (MEEM), traduzido e adaptado por Bertolucci e cols. (1994); Entrevista Semiestruturada, elaborada pela pesquisadora; Escala de Bem-Estar Espiritual (SWB Scale), de Ellison & Paloutzian (1982), traduzida da língua inglesa para língua portuguesa por Mello (2010). Os resultados gerais das narrativas dos participantes indicam que o sentido da velhice está relacionado ao suporte social do núcleo familiar, saúde e vigor físico, participação em atividades grupais, autonomia para novas aprendizagens, qualidade de vida e espiritualidade, experiência/maturidade/sabedoria. Já o sentido da espiritualidade na velhice foi associado ao contato íntimo com Deus/oração, sintonia com o universo, fé, amor ao próximo, capacidade para os enfrentamentos e velhice como momento de viver plenamente a espiritualidade. Quanto à distribuição dos resultados da Escala de Bem-Estar Espiritual, 51% da amostra tem senso de bem-estar espiritual alto e 49% senso de bem-estar espiritual moderado. Concluímos esta pesquisa considerando que para grande maioria dos idosos, a velhice é caracterizada como momento propício para vivenciar a espiritualidade, elemento essencial no processo de individuação, ampliação de consciência, auto-transcendência, encontro do si-mesmo

Este trabalho examina Qualidade de Vida no Trabalho nas manufaturas, de médio porte que obtiveram certificação ISO 9000. Nosso principal objetivo foi investigar as prováveis relações entre esforço da empresa e satisfação dos empregados através de indicadores empresariais selecionados com critérios da abordagem biopsicossocial. O método de pesquisa foi estudo de campo, com o modelo de variáveis dependentes e independentes. Os dados foram coletados em 26 empresas e 446 questionários, na Região de São Paulo. Os resultados demonstram inicialmente comparações através de análise exploratória entre gerência de recursos humanos e empregados. A seguir, levantaram-se fatores de satisfação dos empregados, quais sejam: atuação organizacional, necessidades biológicas, inclusão social, prestação de serviços; e fatores de esforço das empresas: imagem, desenvolvimento profissional, administração de recursos humanos, saúde e ética, demandas legais e reposição de energias. Através de análise de conglomerados foram obtidos perfis de atitudes dos empregados. Os perfis são diferenciados entre realização, desconfiança ou crítica à empresa. Finalmente, obtivemos resultados sobre tipos de gestão. Os tipos identificados foram estruturado, reativo e aleatório. Relacionando-se esses tipos de gestão e perfis dos empregados, constatou-se que a satisfação dos empregados localiza-se mais na imagem da empresa e em programas de atendimento a saúde e benefícios, que no tipo de gestão. / This work deals with Life Quality at Work at medium-sized manufacturers that had been awarded ISO 9000 certificate. We targeted investigating the potential relationship between companys effort and employees satisfaction through the selected companys indicators based on criteria of the bio-psycho-social approach. Research method was the field study with the model of dependent and independent variables. Data were collected at 26 companies by 446 questionnaires in the São Paulo Region. Results show first comparisons through exploratory analysis of human resources management and employees. Following, employees satisfaction factors were identified as follows: organizational acting, biological needs, social integration, service rendering; so were the companys effort factors: image, professional development, human resources management, health and ethics, legal actions and energy recovery. By means of a cluster analysis, the employees attitude profile was obtained. They were made distinct among accomplishment, discredit or criticism about the company. Finally, we have obtained results related to kinds of management. Identified kinds were structured, reactive and random. After relating these kinds of management and employees profiles, we could find out that employees satisfaction is based more on the companys image and on medical services and benefits than on the kind of management.

<p>In 2005 a public housing company in Uppsala, Sweden introduced the service quarter host. The focus on comfort (life quality in American programmes) is similar to the non-tolerance programmes. The idea of non-tolerance derived from the theory of Broken windows. The purpose is to examine how the service works according to the theories of Broken windows and social control. The aim is also to examine if the manifest and the latent functions are the same in different areas. Hosts from four different areas have been interviewed in a comparative case study. The result tells that the hosts practice according to the Broken windows model when they prevent damage to, or around the buildings by checking them. And to the non-tolerance when they are taking care of minor problems, defined by them. The manifest functions of the service are the same in all four areas. The latent functions are different related to the host’s apprehension of the people in the areas. How the manifest services are carried out influences the latent function. Social control cannot be excluded as a latent function. The resemblances with the more social administration in Gothenburg points out public housing in the direction of being social housing.</p>

In 2005 a public housing company in Uppsala, Sweden introduced the service quarter host. The focus on comfort (life quality in American programmes) is similar to the non-tolerance programmes. The idea of non-tolerance derived from the theory of Broken windows. The purpose is to examine how the service works according to the theories of Broken windows and social control. The aim is also to examine if the manifest and the latent functions are the same in different areas. Hosts from four different areas have been interviewed in a comparative case study. The result tells that the hosts practice according to the Broken windows model when they prevent damage to, or around the buildings by checking them. And to the non-tolerance when they are taking care of minor problems, defined by them. The manifest functions of the service are the same in all four areas. The latent functions are different related to the host’s apprehension of the people in the areas. How the manifest services are carried out influences the latent function. Social control cannot be excluded as a latent function. The resemblances with the more social administration in Gothenburg points out public housing in the direction of being social housing.

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Goal of the research is to analyze and evaluate the life quality of paraplegics. Object of research is life quality of paraplegics. Tasks of research: to evaluate the life quality of paraplegics according to age and physical activity; to evaluate the life quality of paraplegics according to level of medulla injury, duration of trauma; to analyze the expression of life quality components of paraplegics in gender aspect. There are numerous researches analyzing the quality of life, but we could not find any research analyzing the life quality of paraplegics. Research of such character would enable to better clarify factors having impact on life quality of paraplegics depending on gender, age, level of medulla injury, duration of medulla injury, physical activity. In order to evaluate life quality according to a standard, extensive scientific research is needed. Research was carried out in summer 2005 at the therapy and rehabilitation centre “Landšaftas” in Monsiškės, and in recreation centre “Balčio Šilas“. Research was conducted among 41 paraplegic: 29 men and 12 women. Quality of Life Questionnaire, 2001 was applied, and supplemented with questions from questionnaire of research on socialization of disabled by Williams (1994). Summarizing the obtained research results one can state that life quality of paraplegics of younger age (21-40 years) is better than that of aged paraplegics (41-60 years). After life quality evaluation according to level and duration of medulla injure... [to full text]

Tyrimo tikslas - atskleisti, kaip skirtingi tėvystės patirties aspektai (išoriniai ir vidiniai) yra susiję su vyrų gyvenimo kokybės pokyčiais pirmaisiais metais po kūdikio gimimo. Tyrime dalyvavo 170 vyrų auginančių kūdikius iki metų laiko, dalis tiriamųjų pašalinta iš analizės, todėl tyrimo analizė atlikta su 157 tiriamaisiais. Tiriamieji tyrimui atrinkti patogiosios atrankos būdu. Tyrimas atliktas Lietuvos mastu, kadangi anketos platintos per internetinius portalus tokius, kaip „supermama“, „mamų klubas“, „tavo mažylis“, „tindi rindi“, „facebook“ ir pan. Be internetinės apklausos surinkta ir keletas anketų raštu. Anketa sudaryta iš keleto klausimynų. Ją sudaro tokios dalys: demografiniai dalykai, motinos kompetencijos klausimynas, su sveikata susijusios gyvenimo kokybės pokyčių klausimynas, tėvystės kompetencijos klausimynas. Bendras klausimų skaičius anketoje – 86 klausimai. Atskiros dalys sudarytos iš skirtingo skaičiaus klausimų. Tyrimo rezultatai parodė, jog vyrų gyvenimo kokybės pokyčiai pirmaisiais metais po kūdikio gimimo yra susiję su išoriniais, fiziniais, socialiniais ir materialiniais veiksniais tokiais kaip materialinės sąlygos kūdikio auginimui, socialinis partnerių palaikymas, kūdikio ramumas, partnerių pasiruošimas motinystei. Individualūs psichologiniai veiksniai (vyrų savo tėvystės įgūdžių vertinimas, tėvystės siekiamumas, pasiruošimas šiam vaidmeniui, įtampa susijusi su tėvyste) turi reikšmingas sąsajas su teigiamais su sveikata susijusios gyvenimo... [toliau žr. visą tekstą] / The aim of the research is to reveal how different parental experience aspects (external and internal) are related to the male life quality and its changes. There were 170 male participants in the research, parenting infants under 12 months age, due to the elimination of some respondents from the research, the research analysis was conducted with 157 respondents. The research respondents were selected by convenience sampling. The research was conducted on the local scale in Lithuania as the surveys were distributed by online portals such as „supermama“, „mamų klubas“, „tavo mažylis“, „tindi rindi“,„facebook“ etc. Besides the online survey, some surveys in a written form were collected. The survey consists of several questionnairies. It is formed of the following parts: demographics, mother competence questionnaire, the life quality changes in relation to health questionnaire, parenting sense of competence questionnaire. The total number of questions in the survey is 86. The seperate parts are formed from different number of questions. The research results demonstrated that men‘s life quality changes during the first year after the childbirth are related to external, physical, social and material aspects such as material conditions for the child raising, the support of social partners, the infant‘s calmness, the preparation of partners for the motherhood. Individual psychological factors ( men‘s self-evaluation of parental skills, the pursuit for parenting, the preparation... [to full text]

Background: According to current guidelines the cost of productivity loss should be considered in pharmacoeconomic analyses. The cost of health-related productivity loss in psoriasis patients is unknown. Objective: To estimate the cost of productivity loss in psoriasis and its association with health-related quality of life and clinical disease severity. Methods: Cross-sectional study, recruitment of adult participants through Internet advertisements. 201 (72.3%) out of 278 eligible participants completed the study. Health-related work productivity loss, quality of life and clinical severity of psoriasis were assessed by standardized instruments. Results: Indirect costs of productivity loss clearly exceed the total direct cost. In contrast to objective clinical disease severity, health-related quality of life (measured by the Dermatology Life Quality Index) is an independent predictor of work productivity. Conclusions: There is good reason to believe that intervention can reduce health-related productivity loss by improving patients’ quality of life. Savings from increased work productivity might offset comparatively high acquisition costs of biological agents. / Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.

Background: Chronic plaque-type psoriasis is a major dermatosis, but a significant question is still unanswered: What defines severity in chronic plaque-type psoriasis? While objective assessments like the Psoriasis Area and Severity Index (PASI) have frequently been used in clinical trials, quality of life (QOL) questionnaires are currently becoming more and more popular. Objective: This article summarizes the most important objective and subjective measurements of severity in psoriasis. For every dermatologist it is critically important to distinguish between severe psoriasis and psoriasis that severely affects QOL. Even if the PASI also has disadvantages, it is the most adequate instrument available to evaluate severity in plaque-type psoriasis. Result: We provide reasons why PASI >12 defines severe, PASI 7–12 moderate and PASI <7 mild chronic plaque-type psoriasis. / Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.

Pastarąjį dešimtmetį nustatyta, kad vitaminas D dalyvauja ne tik skeleto sistemos metaboliniuose procesuose, bet jo trūkumas siejamas ir su įvairiomis kitomis patologinėmis būsenomis, nes daugumoje organizmo ląstelių yra išsidėstę vitamino D receptoriai. Įvertinę šią vitamino D svarbą, epideminio pobūdžio jo trūkumą įvairiose šalyse bei tai, kad iki šiol panašaus pobūdžio mokslinių tyrimų mūsų šalyje neatlikta, nuspendėme įvertinti jaunų vyrų – Lietuvos kariuomenės šauktinių – vitamino D koncentracijos, kūno sandaros, endokrininės, psichologinės būklės ir gyvenimo kokybės rodiklių tarpusavio sąsajas. Daugumai tirtųjų nustatytas ženklus vitamino D trūkumas (95 proc. tyrimo pradžioje ir 96,7 proc. tyrimo pabaigoje). Tyrimo pabaigoje buvo nustatytas didesnis vitamino D trūkumas, kuris sąlygojo reikšmingą prieskydinių liaukų hormono koncentracijos padidėjimą, tačiau osteokalcino koncentracija reikšmingai nesikeitė. Taip pat nustatyta, kad didesnė vitamino D koncentracija teigiamai koreliuoja su didesne raumenų ir liesąja kūno mase, o tiems, kuriems nustatytas ryškus vitamino D trūkumas (≤10 ng/ml), būdinga mažesnė testosterono koncentracija. Be to, nustatyta, kad mažesnė vitamino D koncentracija sąlygoja depresiškumą–liūdesį ir įtampą–nerimą bei blogesnę psichologinę ir fizinę gyvenimo kokybę. Reikšmingų vitamino D koncentracijos ir pažintinių funkcijų tarpusavio ryšių bei sąsajų su tirtais stresiniais hormonais (kortizoliu, prolaktinu, tireotropiniu hormonu) nenustatyta. / Over the last decade it has been established that vitamin D is involved not only in the skeletal system metabolic processes, but its deficiency is associated with a variety of other pathological conditions, because vitamin D receptors are located in most of the body cells. Taking into consideration the importance of vitamin D, epidemic deficiency in different countries worlwide and the fact that similar studies in our country have not been performed yet, we evaluated vitamin D levels, body composition, endocrine, psychological status and quality of life in young men - Lithuanian army conscripts. Vitamin D deficiency was determined in the majority of the studied young men (95% at the beginning and 96.7% at the end of the study). There was a greater vitamin D deficiency determined at the end of the study, which conditioned a significant increase in parathyroid hormone concentration; however, there were no significant changes in the osteocalcin concentration observed. Vitamin D deficiency correlated with a smaller amount of lean body and muscle mass. A significantly smaller testosterone concentration was determined in the group of a lower vitamin D concentration (≤10 ng/mL). It was determined that a lower vitamin D concentration conditioned depression-sadness and tension-anxiety as well as psychological and physical life quality. No significant correlations between vitamin D concentration and cognitive functions, concentrations of cortisol, prolactin and thyreotropic hormone... [to full text]