Esta dissertação tem como objetivo discutir o papel da propaganda na construção discursiva da identidade da mulher de meia-idade ao longo de cinco décadas. O trabalho pretende trazer contribuições para o campo dos estudos de gênero, mais especificamente ao estudo das mudanças na forma como tem sido representada a meia-idade pela mídia. A fim de melhor compreender tais mudanças foi decidido que a pesquisa teria como foco a revista CLÁUDIA, identificada como uma publicação de alta circulação, destinada à mulher de classe média, branca, brasileira. Outra particularidade da revista, que muito influenciou a decisão de fazer dela a única fonte desta pesquisa, é o fato de esta publicação ter sido lançada no início dos anos sessenta, estendendo-se até os dias de hoje, adequando-se, assim, à proposta deste trabalho: estudar diacronicamente as mudanças nas representações da meiaidade (desde os anos sessenta até a presente década). A fundamentação teórica está calcada no conceito de multimodalidade de Kress e van Leeuwen (2001 / 2006). Para os autores, discurso é conhecimento socialmente construído de algum aspecto da realidade, e a produção de sentidos é entendida como resultado da articulação entre imagem e elementos verbais. O estudo dos autores é baseado na gramática funcional sistêmica de Michael Halliday (1985), adotada neste trabalho no que se refere à metafunção interpessoal da linguagem. São também relevantes para esta pesquisa os conceitos de identidade de Hall (2005) e o conceito de poder e corpo na visão de Foucault (2006). O foco das análises recai na representação visual e verbal da mulher de meia-idade nas propagandas publicadas pela revista CLÁUDIA, relacionando-as às mudanças na sociedade brasileira. São dois os desdobramentos desta pesquisa: por um lado são sugeridas mudanças na representação discursiva da mulher madura em relação a uma dissociação gradual do poder patriarcal. Por outro lado, os resultados sugerem que um novo regime discursivo é proposto à mulher brasileira de meia-idade, representada na CLÁUDIA, estendendo à mulher na maturidade os padrões de jovialidade, beleza, saúde e independência, exigidos da mulher mais jovem / This study investigates the role of advertising in the discursive construction of middleaged women, in an attempt to contribute to studies of gender, specifically to the study of the changes in the ways mature women have been represented in the media. In order to better apprehend such changes, it was decided that the research would focus on CLÁUDIA, a magazine that is widely read by the middle class, white, Brazilian woman. One particular aspect of this magazine has also influenced its choice: the fact that it started being published in the early sixties and is still published nowadays, which makes it adequate for the purpose of this research, with its emphasis on change. The theoretical framework for this research is found in Kress and van Leeuwens study of multimodality (2001, 2006). To the authors, discourse is socially constructed knowledge of some aspect of reality, with the production of meaning being understood as the result of the articulation of image and verbal texts. Kress and van Leeuwens work draws on Hallidays systemic functional grammar, also used in this research for the analysis of the interpersonal component of language. Also relevant to this research are: first, the concept of identity (Hall, 2005), and second the discussion of power and the body (Foucault, 2006). The focus of the analysis is on the visual and verbal representation of middle-aged women in ads published by CLAUDIA in the decades of 60 through the first decade of 2000, relating them to changes in Brazilian society. The findings of this research are twofold: on the one hand, they suggest changes in the discursive representation of mature women concerning a gradual dissociation from patriarchal power. On the other, the findings suggest that a new discursive regime is being imposed on the Brazilian mature women represented in CLAUDIA: a discursive regime which extends to women in maturity the requirements of youth, beauty, health and independence postulated for women at a younger age. Key words: discourse analysis; multimodality; identity; middle-aged woman; advertisements; changes

Orientador: Maria da Consolação Gomes Cunha Fernandes Tavares. / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Educação Física / Made available in DSpace on 2018-08-20T04:29:16Z (GMT). No. of bitstreams: 1 Caetano_AlethaSilva_D.pdf: 2182285 bytes, checksum: c98cbfee70be59532f606118ac84e5c6 (MD5) Previous issue date: 2011 / Resumo: O objetivo desta pesquisa foi realizar a tradução, adaptação cultural e estudo da estrutura fatorial das escalas Body Shape Questionnaire (BSQ); Body Esteem Questionnaire (BES) e Body Appreciation Scale (BAS) entre mulheres brasileiras na meia-idade. Para a realização da tradução e adaptação cultural dos instrumentos, foi utilizado um guia internacional para tradução e adaptação transcultural de escalas. A análise estatística descritiva foi aplicada para os dados demográficos e clínicos, e a Análise Fatorial Exploratória (AFE) foi realizada para o estudo da estrutura fatorial dos instrumentos para a população alvo da pesquisa. Participaram deste estudo 500 mulheres entre 40 e 60 anos de idade residindo na cidade de Campinas (Estado de São Paulo) e região. Após a realização do AFE foram obtidos os seguintes resultados: BSQ - 1 fator que foi chamado de "Atitudes, pensamentos e sentimentos em relação ao corpo"; BES - 4 fatores denominados: "Características físicas que podem ser alteradas com o exercício físico e alimentação"; "Características físicas que não podem ser alteradas com o exercício físico e alimentação"; "Condição física"; e "Sexualidade"; e BAS - 1 fator denominado: "Apreciação corporal". Os resultados mostraram que as mulheres na meia-idade, apresentam diferenças em alguns aspectos da imagem corporal em relação à população de mulheres mais jovens, uma vez que os estudos das estruturas fatoriais das três escalas estudadas revelaram diferentes soluções considerando somente mulheres na meia-idade. Conhecer essas particularidades representa um conhecimento essencial para o profissional que trabalha com o corpo para a realização de uma intervenção adequada e coerente e que vá ao encontro das necessidades e desejos dessas mulheres / Abstract: The aim of this study was to make the translation, cultural adaptation and verify the factorial structure of the Body Shape Questionnaire (BSQ); Body Esteem Scale (BES) and Body Appreciation Scale (BAS) among Brazilian middle-aged women. This study followed the steps from an international guide to translate and to make the cultural adaptation for scales. It was performed a descriptive statistical analysis was applied to the demographic and clinical data and Exploratory Factor Analysis (EFA) was performed in order to verify the factor structure of the scales to this specific population. Participants were 500 women between 40 and 60 years old from around Campinas (State of São Paulo). The results from EFA found 1 factor to BSQ that was called 'Attitudes, thoughts and feelings concerning to body image'; 4 factors to BES which were called 'characteristics which are modifiable from exercising and eating'; 'Physical characteristics which are not modifiable by the exercise and eating'; Physical Condition' and 'Sexuality' and finally 1 factor to BAS that was called 'Body Appreciation'. The results of this study have showed that middle aged women present a different perception of body image in relation to younger population, once studies of the factorial structures for those three scales revealed different solutions considering only women in middle age. Knowing about body image perception among middle-aged women is essential for the professional who works with the body to conduct an adequate and successful intervention that meets the needs and desires of these women / Doutorado / Atividade Fisica, Adaptação e Saude / Doutor em Educação Física

Many mid-life daughters are primary caregivers to their elderly mothers. However, in most research studies daughters have been grouped with other caregivers; thus, the daughters' experiences have not been specifically identified. Without this information nurses will be unable to adequately assist mid-life caregiving daughters to attain their optimal levels of health. The phenomenological research method was the methodology used to elicit the experiences of the mid-life daughters. The phenomenological method was congruent with the feminist perspective -- the conceptual framework -- which guided the study. The feminist perspective elucidated the importance of eliciting not only the visible caregiving experiences of the mid-life daughters, but also their internal experiences -- their feelings -- and the meanings they gave to their experiences. The researcher recruited subjects for the study through a daughters-of-aging-parents program which was held at the Women's Resource Centre in Vancouver, British Columbia. In order to collect the data, the researcher interviewed the subjects. Congruent with the phenomenological method, data collection and data analysis ran concurrently throughout the study. The conclusions that the researcher drew from the findings of this study include the following: at the start of a caregiving daughter-mother relationship, a daughter is very responsive to the needs of her mother; when a daughter realizes that she is self-sacrificing herself in order to care for her mother, she becomes less responsive to her mother's needs and focuses, instead, on caring for herself; a daughter who is able to identify her own needs and then act on them Is able to care for her mother and herself in a manner that meets both their needs; a daughter experiences a number of emotions while providing care for her mother; a daughter uses the logical process of working towards healthy differentiation in order to counterbalance her emotional reactivity, and a daughter who successfully counterbalances her emotions with logic discovers her basic self and becomes an entity distinct from, yet interdependent with, her mother. / Applied Science, Faculty of / Nursing, School of / Graduate

Depression is a common clinical and subclinical psychiatric disorder in the middle-age to older adult population. This study examined the relationship between depression and activities of daily living (ADLs) in middle-age to older adults. This study examined longitudinal data from the 1998, wave 4, and 2000, wave 5, of the Health and Retirement Study (HRS), a National Panel Study sponsored by the National Institute on Aging. A negative cross-sectional and longitudinal relationship between higher ADL scores and depression was hypothesized. A goal of the present study was to determine the temporal precedence of these two constructs using a cross-lag panel design to first examine the cross-sectional relationship between ADLs and depression at time-one and at time-two, and then the time-one to time-two longitudinal relationships to examine temporal precedence possible causal relationships. Finally, differences in these correlational relationships by retirement status and then by marital status were tested. There were several interesting findings, including those who were retired in both 1998 and 2000 reported fewer ADLs (i.e., worse functioning), but also reported better health than those who were working in both 1998 and 2000. Similarly, those people who were not married in both 1998 and 2000 reported fewer ADLs but better health than those who were married in both 1998 and 2000. Married individuals reported fewer depressive symptoms than those who were not married.

This study was designed to identify possible risk factors about physical activity in middle-aged disabled African American women (AAW) aged 45 to 64 years. Disabled middle-aged AAW has a disproportionate prevalence of obesity and chronic illness than nondisabled women. Most disabled middle-aged AAW leads a sedentary lifestyle, and they do not meet the recommended physical activity (PA) guidelines. Little is known about this group, and a social ecological model was used to explain PA patterns. Data were extracted from the 2009 Behavioral Risk Factor Surveillance System (N = 1,599) for women who responded yes to indicate that they needed specialized equipment. This cross-sectional quantitative study used univariate and multivariate analysis to assess the relationship between age, education, and income among middle-aged disabled AAW. A general linear model revealed younger disabled AAW (ages 45 to 54) engaged in more physical activity time per week than did their older counterparts (estimate = 76.012, p = .001). Individuals with less education reported more minutes of physical activity than college graduates (estimate = 142.522, p = .001). Respondents with annual incomes from $35,000-$49,999 (estimate = 184.590, p = .000) were more physically active than their more affluent counterparts. Smoking, demographic variables, and emotional well-being did not affect minutes of moderate physical activity. This research may contribute to positive social change by suggesting that programs intended to increase physical activity among disabled AAW be targeted toward those who are older, are more educated, and have higher incomes.

Research has related both physical fitness and religiosity to health. This study combined these ideas and examined the relationship between religiosity and physical fitness among middle aged Mormon men (n=110). Mormons are an ideal population for study because of their strict health code. Fitness variables were grip strength, waist/hip ratio, body mass index (BMI) and estimated maximal oxygen uptake (VO2max). A questionnaire assessed level of religiosity and separated subjects into two groups: highly religious (n=35) and less religious (n=14). Moderately religious subjects (n=61) were omitted. A one way ANOVA (between-groups design) found no significant differences in fitness variables between groups. Results indicate that fitness and religiosity do not appear to be related among Mormon men. These factors were found to be related in Mormon women (Blakemore, 1997:16). Therefore, an increase in religiosity may be associated with improved physical fitness for Mormon women, however, based on this study no such association can be made for Mormon men.

This article explores homeless individuals' experiences of satisfaction with health care, and explores the interrelationship among experiences of being homeless, health perceptions of participants, and experiences of satisfaction with health care. It presents the findings of a phenomenological study that was conducted using participants selected from five sites in one southeastern state. Participant interviews were conducted at a nurse-managed primary health care clinic for homeless, at a night time soup-kitchen, and at three private, not-for-profit, homeless shelters in two different towns. The study was part of a larger study designed to develop and validate a reliable measure of client satisfaction with primary health care among homeless individuals. Face-to-face in-depth interviews with 17 homeless individuals were conducted, with the semistructured interview constituting the primary data source. Common themes were identified and the interrelationship of theme clusters was explored. Analysis of the data yielded five distinct themes that represent the lived experiences of satisfaction with health care. These themes were mediated and directly informed by five themes of homelessness and three themes of health identified in the shared experiences of the participants. The themes identified suggest that satisfaction with health care for homeless persons differs from currently identified dimensions of satisfaction with care, and that some aspects of homelessness are seen by participants as positive and health promoting.

The selective serotonin reuptake inhibitors appear to have a much wider margin of safety than most other classes of antidepressants. Although there is limited experience with acute overdoses of fluoxetine alone, few serious adverse effects have been reported. There has been almost no experience, however, with significant fluoxetine overdoses in children. This report describes the accidental ingestion of as much as 43 mg/kg of fluoxetine by a 4-year-old child. In this case, serum blood levels of the drug and its major metabolite were consistent with a large ingestion and are among the highest reported in the medical literature. Toxic effects were relatively mild and consisted of a brief spell of unresponsiveness, sinus tachycardia, and moderate psychomotor agitation and dyskinesia. Supportive care was provided and the child recovered completely.

Yes / To determine whether or not jugular venous reflux (JVR) is associated with structural brain parenchyma changes in individuals with mild cognitive impairment (MCI) and Alzheimer's disease (AD). 16 AD patients (mean (SD): 81.9 (5.8) years), 33 MCI patients (mean (SD): 81.4 (6.1) years) and 18 healthy elderly controls (mean (SD): 81.5 (3.4) years) underwent duplex ultrasonography and magnetic resonance imaging scans to quantify structural brain parenchyma changes. Normalized whole brain (WB), gray matter (GM) and white matter (WM) volumes were collected, together with CSF volume. JVR was strongly associated with increased normalized WB (p = 0.014) and GM (p = 0.002) volumes across all three subject groups. There was a trend towards increased WB and GM volumes, which was accompanied by decreased CSF volume, in the JVR-positive subjects in both the MCI and AD groups. When the MCI and AD subjects were aggregated together significant increases were observed in both normalized WB (p = 0.009) and GM (p = 0.003) volumes for the JVR-positive group. No corresponding increases were observed for the JVR-positive subjects in the control group. Through receiver operating characteristic analysis of the brain volumetric data it was possible to discriminate between the JVR-positive and negative AD subjects with reasonable accuracy (sensitivity = 71.4%; specificity = 88.9%; p = 0.007). JVR is associated with intracranial structural changes in MCI and AD patients, which result in increased WB and GM volumes. The neuropathology of this unexpected and counterintuitive finding requires further investigation, but may suggest that JVR retrogradely transmits venous hypertension into the brain and leads to brain tissues swelling due to vasogenic edema.

Yes / Passive prosthetic devices are set up to provide optimal function at customary walking speed and thus may function less effectively at other speeds. This partly explains why joint kinetic adaptations become more apparent in lower-limb amputees when walking at speeds other than customary. The present study determined whether a trans-tibial prosthesis incorporating a dynamic-response foot that was attached to the shank via an articulating hydraulic device (hyA-F) lessened speed-related adaptations in joint kinetics compared to when the foot was attached via a rigid, non-articulating attachment (rigF). Eight active unilateral trans-tibial amputees completed walking trials at their customary walking speed, and at speeds they deemed to be slow-comfortable and fast-comfortable whilst using each type of foot attachment. Moments and powers at the distal end of the prosthetic shank and at the intact joints of both limbs were compared between attachment conditions. There was no change in the amount of intact-limb ankle work across speed or attachment conditions. As speed level increased there was an increase on both limbs in the amount of hip and knee joint work done, and increases on the prosthetic side were greater when using the hyA-F. However, because all walking speed levels were higher when using the hyA-F, the intact-limb ankle and combined joints work per meter travelled were significantly lower; particularly so at the customary speed level. This was the case despite the hyA-F dissipating more energy during stance. In addition, the amount of eccentric work done per meter travelled became increased at the residual knee when using the hyA-F, with increases again greatest at customary speed. Findings indicate that a trans-tibial prosthesis incorporating a dynamic-response foot reduced speed-related changes in compensatory intact-limb joint kinetics when the foot was attached via an articulating hydraulic device compared to rigid attachment. As differences between attachment conditions were greatest at customary speed, findings indicate a hydraulic ankle-foot device is most effectual at the speed it is set-up for.