Thesis (D. Min.)--New Orleans Baptist Theological Seminary, 2006. / Includes abstract and vita. Includes final project proposal. Includes bibliographical references (leaves 116-121).

Thesis (D. Min.)--Covenant Theological Seminary, 2005. / Abstract. Includes bibliographical references (leaves 154-160).

Thesis (D. Ed. Min.)--New Orleans Baptist Theological Seminary, 2006. / Abstract and vita. Includes bibliographical references (leaves 145-150, 218-223).

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-03-31T22:29:13Z No. of bitstreams: 1 EduardoAlexandreFerreiraSilva_DISSERT.pdf: 5143100 bytes, checksum: bde142a9e3aca7f67ad215c62956056c (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-04-04T19:38:50Z (GMT) No. of bitstreams: 1 EduardoAlexandreFerreiraSilva_DISSERT.pdf: 5143100 bytes, checksum: bde142a9e3aca7f67ad215c62956056c (MD5) / Made available in DSpace on 2016-04-04T19:38:50Z (GMT). No. of bitstreams: 1 EduardoAlexandreFerreiraSilva_DISSERT.pdf: 5143100 bytes, checksum: bde142a9e3aca7f67ad215c62956056c (MD5) Previous issue date: 2015-02-02 / Sistema-de-sistemas (System-of-Systems - SoS) ? um tipo emergente de sistema computacional formado por um grupo de sistemas constituintes, que s?o independentes e heterog?neos e se unem para compor um sistema de larga escala visando alcan?ar uma miss?o global. Cada sistema constituinte possui seus pr?prios objetivos, miss?es individuais, e colaboram para a realiza??o da miss?o do SoS, chamada miss?o global. Existe uma complexidade inerente no conjunto de miss?es que est?o envolvidas em um SoS, esse deve-se principalmente ? natureza independente dos sistemas constituintes, que tendem a evoluir independentemente, potencialmente mantidos por organiza??es distintas, al?m dos conflitos de interesse que podem surgir com essa evolu??o. Com isso, torna-se essencial prover uma linguagem bem definida para descri??o e avalia??o dessas miss?es, relacionando-as entre si e provendo um documento comum que possa ser utilizado por todas as partes envolvidas. Essa linguagem deve ser capaz de expressar as miss?es individuais e globais, dando suporte a todos os relacionamentos existentes entre essas miss?es, al?m de expressar informa??es relacionadas a realiza??o dessas miss?es. O objetivo desse trabalho ? apresentar e avaliar uma linguagem para descri??o de miss?es. Visando a defini??o dessa linguagem, esse trabalho apresenta um mapeamento sistem?tico acerca dos mecanismos existentes para descri??o de miss?es em SoS, identificando os elementos-chave que comp?em a descri??o de uma miss?o nesse contexto. A partir desse mapeamento, prop?e-se um modelo conceitual para miss?es e uma linguagem para descri??o de miss?es. Essa linguagem independe de documentos de arquitetura e outros tipos de modelos de software, visando possibilitar a integra??o da linguagem de defini??o de miss?es em diferentes modelos de desenvolvimento.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-20T23:56:41Z No. of bitstreams: 1 VanessaAneliseFigueiredoDaRocha_DISSERT.pdf: 3286424 bytes, checksum: 24c0719656054c5257c138e248604c82 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-03T20:01:00Z (GMT) No. of bitstreams: 1 VanessaAneliseFigueiredoDaRocha_DISSERT.pdf: 3286424 bytes, checksum: 24c0719656054c5257c138e248604c82 (MD5) / Made available in DSpace on 2017-03-03T20:01:01Z (GMT). No. of bitstreams: 1 VanessaAneliseFigueiredoDaRocha_DISSERT.pdf: 3286424 bytes, checksum: 24c0719656054c5257c138e248604c82 (MD5) Previous issue date: 2016-10-06 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / Na conquista de novos territ?rios, Portugal contou com o apoio de institui??es, como a Igreja cat?lica, que legitimaram sua expans?o e consolidaram seu Imp?rio. Frades de v?rias ordens religiosas estiveram presentes nas entradas de coloniza??o, mediando o contato de culturas distintas, pacificando e dilatando regi?es fronteiri?as, atrav?s da atividade mission?ria. ? pensando na import?ncia da Igreja para a coloniza??o do Brasil que nossa pesquisa pretende estudar as miss?es de catequese ind?genas, em Pernambuco, administradas pela Ordem de S?o Francisco, objetivando compreender como esses religiosos contribu?ram para delimita??o espacial do territ?rio da dita capitania. Nosso recorte temporal est? compreendido entre 1659, quando foi fundada a Prov?ncia de Santo Ant?nio do Brasil, e 1763, per?odo em que as miss?es foram transformadas em vilas e os franciscanos perderam a jurisdi??o espiritual e temporal sobre os ?ndios. Faremos uso de uma gama de documentos, tendo como principal acervo o Arquivo Provincial Franciscano, que nos permite compreender as rela??es estabelecidas dentro e fora dos aldeamentos, os interesses que os circundaram e o m?todo mission?rio dos frades menores. / In the conquest of new territories, Portugal had the suport of institutions such as the Catholic Church, that legitimated its expansion and consolidate its empire. Friars from various religious orders were present in the colonization of entries, mediating the contact of different cultures, pacifying and dilating border regions, through missionary activity. It is thinking about the importance of the Church for the colonization of Brazil that our research aims to study the indigenous catechetical missions in Pernambuco, administered by the Order of St. Francis, in order to understand how these religious contributed to spatial delimitation of the territory of said captaincy. Our time frame is from 1659, when it was founded the Province of St. Anthony of Brazil, and in 1763, during which the missions were transformed into towns and the Franciscans lost their spiritual and temporal jurisdiction over the Indians. We will use a range of documents, the main collection the Provincial Archives Franciscan, which allows us to understand the relationships established within and outside the villages, the interests that circled and the missionary method of the Friars Minor.

Submitted by Pedro Barros (pedro.silvabarros@ufpe.br) on 2018-07-09T22:24:22Z No. of bitstreams: 2 license_rdf: 811 bytes, checksum: e39d27027a6cc9cb039ad269a5db8e34 (MD5) DISSERTAÇÃO Karla Eveline Ximenes de França.pdf: 1138197 bytes, checksum: 40fec821a93dcc127b07b612175461f7 (MD5) / Made available in DSpace on 2018-07-09T22:24:22Z (GMT). No. of bitstreams: 2 license_rdf: 811 bytes, checksum: e39d27027a6cc9cb039ad269a5db8e34 (MD5) DISSERTAÇÃO Karla Eveline Ximenes de França.pdf: 1138197 bytes, checksum: 40fec821a93dcc127b07b612175461f7 (MD5) Previous issue date: 2017-02-07 / O near miss neonatal é utilizado na atualidade como uma ferramenta útil para estudar os recém-nascidos sobreviventes e algumas condições de risco para a morte neonatal. O estudo objetivou propor um critério de identificação de casos de near miss neonatal precoce a partir dos Sistemas de Informação em Saúde. Este é um estudo com abordagem metodológica, de validação concorrente, realizado no Hospital das Clínicas da Universidade Federal de Pernambuco. Na primeira etapa, com o objetivo de verificar a confiabilidade das variáveis, foram testados o Coeficiente de Correlação Intraclasse e o Coeficiente de Concordância Kappa. Após verificar que a confiabilidade foi aceitável, três critérios foram aplicados em um total de 2097 nascidos vivos, do ano de 2012, por meio dos dados disponíveis no Sistema de Informações sobre Nascidos vivos, no Sistema de Informação Hospitalar e no Censo da Unidade Neonatal. Os sobreviventes às condições de risco ao nascer estudadas, até o 7º dia de vida, foram considerados casos de near miss neonatal precoce, identificados a partir de linkage determinístico com o Sistema de Informações sobre Mortalidade. Para verificar qual variável mais classificou casos, estes foram categorizados por variável de entrada no critério. Na validação concorrente adotou-se como referência os óbitos neonatais precoces, e os valores de sensibilidade, especificidade e valores preditivos positivo e negativo foram comparados através do Intervalo de Confiança de 95% (IC 95%) para os três critérios. Os indicadores de near miss (Taxa de Near Miss Neonatal, Taxa de Desfecho Neonatal Grave, Índice de Mortalidade Neonatal Precoce) foram calculados para cada critério, bem como a Taxa de Mortalidade Neonatal Precoce. Dos 2097 nascidos vivos estudados, 33 foram a óbito no período neonatal precoce, e 153 foram classificados como casos de near miss neonatal precoce de acordo com o critério Silva, 194 de acordo com o critério Pileggi-Castro e 304 de acordo com o critério Estudo. A variável idade gestacional foi a que isoladamente mais classificou casos, exceto no critério Estudo em que internação em Unidade de Terapia Intensiva Neonatal classificou isoladamente 36% dos casos. Não houve diferença no valor da sensibilidade dos três critérios estudados, e o critério Estudo demonstrou sensibilidade de 93,9% (IC 95% 78,4-98,9). Os resultados evidenciaram que é possível monitorar o near miss neonatal precoce com o uso de um critério simples, prático e com dados disponíveis nos Sistemas de Informações em Saúde do Ministério da Saúde. / Neonatal near miss is currently used as a useful tool to study the surviving newborn and some risk conditions for neonatal death. The study aimed to propose a criterion for the identification of early neonatal near miss cases based on Health Information Systems. This is a methodological study, of concurrent validation, carried out at the Hospital das Clínicas of Universidade Federal de Pernambuco. In the first step, in order to verify the reliability of the variables, the Intraclass Correlation Coefficient and the Kappa Concordance Coefficient were tested. After verifying that the reliability was acceptable, three criteria were applied in 2097 live births from the year 2012, using the data available in the Live Birth Information System, the Hospital Information System and in the Neonatal Unit Census. Early neonatal near miss cases were considered as survivors of the risk conditions at birth up to the 7th day of life, identified from a deterministic linkage with the Mortality Information System. To verify which variable most classified cases, these were categorized by input variable in the criterion. Concurrent validation was used to refer to early neonatal deaths, and sensitivity, specificity, and positive and negative predictive values were compared through the 95% Confidence Interval (95% CI) for the three criteria. Near miss indicators (Near Miss Neonatal Rate, Severe Neonatal Outcome Rate, Early Neonatal Mortality Index) were calculated for each criterion, as well as the Early Neonatal Mortality Rate. Of the 2097 live births studied, 33 died in the early neonatal period, and 153 were classified as early neonatal near miss cases according to the Silva criterion, 194 according to the Pileggi-Castro criterion and 304 according to the criterion Estudo. The variable gestational age was the one that isolatedly classified more cases, except in the Estudo criterion in which hospitalization in a Neonatal Intensive Care Unit classified alone 36% of the cases. There was no difference in the sensitivity of the three criteria studied and the Estudo criterion showed the sensitivity of 93.9% (95% CI 78.4-98.9). The results demonstrated that it is possible monitoring early neonatal near miss with the use of a simple, practical criterion and with data available in the Health Information Systems of the Ministry of Health.

In present-day situation many libraries use detectors so that they can be able to prevent attempts too take out books without registering them. The university library in Jonkoping is one of the libraries that have such a detector. But unfortunately it doesn’t always work correct and can also react on other things a part from books. This is a big problem since the library staff don’t have time to check all signals that comes from detector. This paper will focus to help the university library in Jonkoping to identify the causes of the false alarms. This paper have the purpose to help library staff to decrease the false alarms so they can be able to get more time over to examine the essential signals from the detector. To be able to identify the causes of the false alarms two experiments was implemented. 180 persons participated, they were divided into three subgroups. In the other experiment 400 persons participated, of whom 200 was female and 200 male. Astonishing to see was that the outcome of the experiments showed that the cause of the false alarms wasn’t the detector, instead the results showed that it was two other factors that affected the detector. One factor was the books that were send from other libraries in Sweden, they hadn’t been unimagnetised and the other reason was the self-service machine. In the conclusion and discussion two simple recommendations have been given to help the personnel: • To inform all other libraries that send books about the problems that the university library in Jonkoping has with books that aren’t unimagnetised. In this way they will be more careful before they send away the books. • To write a note with information about the self-service machine so that the students learn how to use this service. These simple recommendations will help the library to decrease the false alarm.

Cette thèse concerne la morbidité maternelle de l’accouchement et du post-partum. Elle cherche à mieux comprendre le phénomène en mesurant son ampleur, identifiant ses déterminants. Cette thèse a cherché également à explorer les conséquences de la morbidité maternelle sévère (near miss) lors de l’accouchement et dans le post-partum. Ceci, afin de contribuer à l’amélioration de la prise en charge de la mère et de son nouveau-né.Notre cadre d’analyse s’est appuyé sur deux modèles conceptuels complémentaires. le premier modèle utilisé est celui de Geller et al (2002) qui montre la progression de l’état de santé des femmes tout au long du continuum de la grossesse et le degré d’évolution des complications; celles-ci pouvant éventuellement survenir en post-partum (Geller et al 2002). Le deuxième modèle est celui de Graham et al (2006), qui montre l’importance de décrire les différents facteurs influençant l’évolution de la santé de la femme pendant la grossesse, l’accouchement et en post-partum; à savoir les facteurs liés à l’environnement de la femme et ceux en rapport avec le système de santé. Les résultats de notre recherche sont structurés comme suit:La première étude a défini l’ampleur et les catégories de la morbidité en post-partum. Elle en a également comparé la perception par les femmes et celle diagnostiquée par le médecin. Pour faire aboutir notre démarche, nous avons mené une étude descriptive transversale dans le quartier Al Massira de Marrakech pendant une année (en 2011). Nous avons combiné un examen clinique et un examen de laboratoire (NFS, hémoglobine) à un questionnaire administré au 42ème jour après l’accouchement adressé à 1 210 femmes ayant réalisé une consultation du post-partum. Lors de cette consultation, 44% des femmes ont exprimé au moins une plainte. Concernant les problèmes gynécologiques (20%), les problèmes de santé mentale (10%), des hémorroïdes; et les problèmes mammaires représentant respectivement 6% et 5% des femmes. Lors de cette même consultation, selon le diagnostic du médecin, 60% des femmes ont eu un problème de santé. Les diagnostics les plus fréquents portaient sur des problèmes d’ordre gynécologique (22%), d’anémie confirmée en laboratoire (19%), alors que les problèmes liés à la santé mentale ne se sont retrouvés que chez 5% des femmes. L’analyse comparative de la morbidité ressentie et diagnostiquée met par conséquent en avant une divergence entre les plaintes exprimées par les femmes à la consultation du post-partum et la morbidité clinique établie par le médecin. La deuxième étude, a identifié les déterminants d’apparition des cas de near miss. c’est une étude cas-témoins mixte (quantitative et qualitative), dans les deux districts (Marrakech et Al Haouz) du 1er février au 31 juillet 2012. Nous avons inclus dans notre échantillon tous les cas de near miss maternels (80 cas) détectés durant la période de l’étude. Pour les témoins (219 femmes), nous avons sélectionné les parturientes qui ont eu des complications similaires à celles des near miss, sans pour autant arriver à être un épisode near miss. Pour le volet qualitatif, nous avons pris un échantillon de 30 near miss maternels et 30 témoins, avec lesquels nous avons conduit des entretiens approfondis pour retracer leurs itinéraires de prise en charge. L'incidence des near miss maternels était de 12 ‰ accouchements en intra hospitalier. Les troubles hypertensifs (45%) et l’hémorragie sévère (39%) étaient les catégories de causes directes les plus fréquentes des near miss. Les facteurs de risque des épisodes de near miss étaient le faible niveau d’instruction, le non suivi pendant la grossesse et le fait d’avoir eu des complications pendant celle-ci. Concernant les délais de prise en charge, on constate que les femmes ayant accusé un retard de plus de 24 heures avant de se présenter au prestataire de soins ont eu un risque huit fois plus élevé de développer un épisode de near miss. De même, les femmes ayant attendu plus de 60 minutes au niveau des structures de premiers niveaux ont présenté un risque quatre fois plus important de développer un épisode de near miss. Les principales raisons d’être near miss pour le premier délai à la maison étaient le manque de pouvoir décisionnel des femmes, le manque d’argent, et la peur des établissements de santé. Concernant le retard auprès des structures du premier niveau, la majorité des femmes near miss ont rapporté des raisons liées aux nombreuses références successives et sans explication. Elles ont également fait allusion aux comportements peu accueillants des prestataires de soins.La 3ème étude, avait comme objectif de comprendre l’état de santé physique et mentale des femmes near miss à 8 mois en post-partum. Dans ce sens nous avons réalisé une étude en utilisant une cohorte prospective avec des méthodes mixtes (quantitative et qualitative). Nous avons recruté 80 femmes near miss et 188 femmes ayant un accouchement normal au niveau des trois hôpitaux de référence de Marrakech et d’A Haouz. Un échantillon de 20 cas near miss et de 20 cas de femmes ayant eu un accouchement normal a été sélectionné pour entretiens approfondis. À la consultation de 8 mois en post-partum, 76 cas des near miss et 169 femmes ayant eu un accouchement normal ont eu la consultation médicale. Les femmes near miss étaient plus pauvres et moins instruites que les femmes ayant eu un accouchement sans complication. La proportion des complications graves était plus importante chez les femmes near miss (22%) comparativement aux femmes ayant accouché sans complication (6%) (p = 0,001). Le risque d'avoir une dépression était sept fois plus élevé chez les near miss avec un décès périnatal comparativement à celles avec accouchement normal. Durant les entretiens approfondis, les femmes ont mis l’accent sur le fardeau économique, les complications obstétricales qui ont entraîné des conséquences néfastes et durables sur l’état de santé de la femme et de sa relation avec son conjoint et sa belle-famille.À travers les résultats de notre recherche; nous avons conclu trois points essentiels:  Une meilleure écoute et une compréhension réelle des plaintes exprimées par les femmes sont de facto des éléments phares pour assurer une meilleure qualité de la prise en charge des femmes. La sensibilisation des cliniciens et des sages femmes et la révision du contenu de la formation des médecins, surtout en ce qui concerne les cours en obstétrique, afin d’intégrer le volet relatif à la santé mentale sont également importants. Ces éléments sont importants et pourraient contribuer à une meilleure qualité des soins maternels et néonatals.  L’amélioration de la qualité de prise en charge des femmes et de leurs nouveau-nés est tributaire d’un circuit de référence(s) clairement défini basé sur les profils et les caractéristiques des femmes à orienter rapidement à un niveau plus compétent, et du respect de la filière de soins dans des délais opportuns. Il est enfin primordial de développer des mécanismes de soins de santé maternels et néonatals qui ne se concentrent pas uniquement sur l’épisode de l'accouchement et autour des interventions obstétricales, mais également sur les femmes et leurs nouveau-nés dans le post-partum. Davantage de ressources sont de ce fait nécessaires pour veiller à ce que ces femmes reçoivent des soins adéquats avant et après la sortie de l'hôpital. La sensibilisation et l’implication de la famille et du conjoint à différentes étapes de la grossesse sont essentielles pour le bien-être de la femme et de son nouveau-né. / Doctorat en Sciences de la santé Publique / info:eu-repo/semantics/nonPublished

Orientadores: Jose Guilherme Cecatti, Mary Angela Parpinelli / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-04T02:12:51Z (GMT). No. of bitstreams: 1 Souza_JoaoPauloDiasde_M.pdf: 201299 bytes, checksum: c4c09ce932de896dc48b404ffe7eba4a (MD5) Previous issue date: 2004 / Resumo: Objetivos: Fazer uma ampla revisão da literatura internacional e nacional, compilando dados publicados sobre a ocorrência de morbidade materna grave (near miss) em diferentes contextos; analisar a ocorrência de near miss em uma maternidade brasileira de nível terciário, utilizando diferentes conjuntos de critérios; e caracterizar os determinantes primários da morbidade grave, sua demanda assistencial e o desfecho materno-fetal. Sujeitos e métodos: a revisão foi realizada a partir da busca eletrônica de artigos publicados e indexados nas bases bibliográficas MedLine e SciELO, além da busca manual em periódico brasileiro e na lista de referências bibliográficas dos artigos identificados pelos unitermos ¿maternal near miss¿. Os artigos foram qualitativamente avaliados pelo tipo de desenho de estudo, procedência, disponibilidade de dados originais e tipo de critério utilizado para a definição de near miss. Foi ainda realizado um estudo descritivo em um centro terciário de referência à saúde da mulher, entre 01 de julho de 2003 e 30 de junho de 2004. De 2.929 mulheres que tiveram parto na instituição, foram identificados os casos de morbidade grave segundo critérios propostos por Mantel e Waterstone, através de visita diária às instalações da maternidade. A revisão dos prontuários e a coleta dos dados de interesse foram realizadas no momento da alta hospitalar. As principais medidas de efeito estudadas foram: a ocorrência de near miss e seus fatores determinantes primários, critério de identificação como near miss, tempo total de permanência hospitalar, tempo de permanência em UTI e número e tipos de procedimentos especiais realizados. Resultados: Foram incluídos na revisão 33 estudos da literatura, com uma razão média de near miss de 7,5/1000 partos. No centro de referência foram identificados 124 casos de near miss, correspondente a uma razão de 42/1000 partos, e ocorreram dois óbitos maternos. Foram realizados 126 procedimentos especiais, 102 deles realizados em mulheres admitidas na UTI para suporte intensivo (80,9%). O número médio de procedimentos especiais por mulher foi de 1,04 (±1,91) e os mais freqüentes foram a instalação de acesso venoso central, a realização de ecocardiografia e a ventilação artificial invasiva. A média de permanência hospitalar foi de 10,3 dias (±13,24). O tempo de permanência hospitalar e o número de procedimentos especiais foram significativamente maiores quando utilizados os critérios de Mantel. Conclusões: A incidência de near miss tende a ser maior nos países em desenvolvimento e quando utilizada a definição de disfunção orgânica. A incidência de near miss foi elevada e os critérios propostos por Mantel permitiram a identificação de um subgrupo de mulheres com manejo clínico mais complexo, considerando-se o tempo de permanência hospitalar e a demanda por procedimentos especiais. Os determinantes primários de morbidade materna grave foram coincidentes com as principais causa básicas conhecidas de morte materna / Abstract: Objectives: to perform a wide review of the international and national literature and to combine reported data on the occurrence of severe maternal morbidity (near miss) in several contexts; to evaluate the occurrence of near-miss in a tertiary Brazilian maternity, using different sets of criteria, to identify their primary determinants, their demand for care and the maternal and fetal outcomes. Methods: the review was performed through an electronic search of the published articles indexed in the bibliographic databases of MedLine and SciELO, besides a manual search in Brazilian journal and in the list of references of the articles identified through the uniterms ¿maternal near miss¿. The articles were qualitatively evaluated according to their study design, local, availability of original data and kind of criteria used for the definition of near miss. A descriptive study was also performed at a tertiary referral center for the women¿s health, between 1st. July 2003 to 30th. June 2004. From the total of 2929 women who delivered at the institution during the period, the cases of maternal near miss morbidity were identified through a daily visit in the wards of the maternity according to the criteria proposed by Mantel and by Waterstone. At the moment of hospital discharge a review of the clinical records and data collection were performed. The main outcome measures studied were the occurrence of near miss and their primary determinant factors, criteria for identification as a near miss case, total time of hospital stay, time of stay in ICU and number and kind of special procedures performed. Results: thirty three studies were identified and evaluated as adequate for inclusion in the review and the mean near miss ratio was 7.5/1000 deliveries. A total of 124 cases of near-miss were identified in the referral center, corresponding to a ratio of 42/1000 deliveries, and there were two maternal deaths. For these cases, 126 special procedures were performed, 102 of them among women admitted in ICU for intensive care (80.9%). The mean number of special procedures by each woman was 1.04 (±1.91) and the most frequent were central venous access, echocardiography and invasive mechanical ventilation. The mean total time of hospital stay was 10.3 days (±13.24). The total time of hospital stay and the number of special procedures were significantly higher when the criteria of Mantel were used. Conclusions: there is a trend of higher incidence of near miss in developing countries and when using the definition of organ dysfunction. The incidence of near miss was high and the criteria proposed by Mantel allowed the identification of a sub-group of women with a more complex clinical management, considering the total time of hospital stay and the demand for special procedures. The primary determinants of severe maternal morbidity were coincident with the main known basic causes of maternal death / Mestrado / Tocoginecologia / Mestre em Tocoginecologia

When scuba diving under a physical overhead such as a cave, a mine, a shipwreck, or under a virtual overhead due to decompression requirements, it makes it impossible to safely access the surface in the event of an emergency. Therefore, diving with overhead is often described as technical diving. In this research, I address how technical divers in Outaouais, Quebec, practice this risky sport with unforgiving consequences. Based on fieldwork in Outaouais, I focus on divers, including myself, who perform trimix dives deeper than 200 feet. I argue that the process of becoming a deep diver is a lifelong journey where a diver learns to adapt to a milieu hostile to human life. The basic skills are acquired during classes to ensure that a novice diver will survive in this limit-environment. As divers bend the rules and take more risks to go deeper for longer lengths of time, they will go through a series of limit-experiences and near misses that are essential to their development and found to be regenerative. In turn, those limit-experiences and near-miss events shared with teammates create mutual trust. It is this trust that becomes the foundation of the team and allows the team to improve upon existing techniques and increase the depth and difficulty of their dives.