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Gendertronics : toward a "lecture féminine" of emerging musical technologies and their aesthetics : gerhard Stäbler, Terre Thaemlitz, Miss Kittin / Gendertronics : vers une "lecture féminine" des esthétiques et des technologies musicales émergentes : gerhard Stäbler, Terre Thaemlitz, Miss KittinShintani, Joyce 12 April 2008 (has links)
Depuis les années 80, le développement rapide des nouvelles technologies microélectroniques a donné naissance à une nouvelle génération d’oeuvres d’art musicales. Souvent, ces oeuvres profitent d’une approche analytique provenant de la théorie des médias. En même temps, de nouveaux courants dans la philosophie ainsi que dans les études culturelles ont engendré une nouvelle notion de genre (anglais : gender), qui vient s’établir dans la musicologie anglo-américaine et, de manière plus conscrite, dans la musicologie allemande ; jusqu’ici, elle ne s’établit guère dans la musicologie française. Cette thèse entreprend une investigation théorique d’oeuvres d’art électroniques, tout en utilisant la notion de gender : gender + electronic = gendertronics. Pour cette investigation, des notions sont employées dérivant de la lecture féminine : une approche pluridisciplinaire associée à l’écriture féminine d’Hélène Cixous (* 1937), écrivain et théoricienne poststructuraliste. Puisque ni la lecture féminine ni la théorie des médias ne prend en compte des éléments musicaux, cette investigation incorpore également des aspects de l’analyse musicale. Trois artistes sont considérées : Gerhard Stäbler (*1943), Terre Thaemlitz (*1968) et Miss Kittin (*1973). L’investigation trace le développement des notions de « sujet » et de « matériau musical » depuis la théorie poststructuraliste et la musique contemporaine jusqu’à des notions philosophiques émergentes du « corps ». Une considération particulière est le genre musical electronica, repérant ses antécédents dans la musique électronique expérimentale en Europe du vingtième siècle et dans les musiques populaires de danse aux Etats-Unis dans les années 80 et 90. L’investigation cherche à joindre les recherches récentes dans ces domaines. Elle ouvre de nouvelles pistes et propose des nouveaux outils pour explorer plus profondément le domaine émergent des gendertronics / Since the 1980s, rapid development of new micro-electronic technologies has spawned a new generation of musical art works employing electronic means. These artworks are often theoretically approached using media theory. Contemporaneously, new developments in philosophy and in cultural studies have given rise to the new notion of gender, which has since found its way into Anglo-American musicological and, to a more limited degree, into German musicology, though not at all into French. The present work undertakes a gendered theoretical investigation of electronic art works – gender + electronics = ‘gendertronics’. For the investigation, notions stemming from lecture féminine are employed, a pluralistic reading approach associated with écriture féminine of the poststructuralist theorist/writer Hélène Cixous (born 1937). Since neither lecture féminine nor abovementioned media theory takes musical elements into account, this investigation also draws on music analysis. Aspects of the works of three artists are considered: Gerhard Stäbler (born 1943), Terre Thaemlitz (born 1968), and DJ Miss Kittin (born 1973). The investigation traces the development of the topics ‘Subject’ and ‘musical material’ from poststructuralist and New Music theory of the 20th century to emerging new philosophical notions of the body. Particular attention is given to the development of the musical genre ‘electronica’, tracing its antecedents from European experimental electronic music of the 20th century and from American popular dance music of the 80s and 90s; subgenres treated include rave, glitch, clicks-and-cuts, electroclash, techno, electro, ambient, and house. The investigation complements recent research addressing lacunae in these areas and offers new paths and tools for future investigation in the emerging area of gendertronics
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Jazykový obraz ženy v časopisecké reklamě v letech 1917-1930 / Linguistic image of woman in the magazine advertising in the yeares 1917 - 1930Štumpf, Michal January 2011 (has links)
68 14 Resumé in English This study is aimed on the image of women as it was perceived by advertising in magazines between 1917 and 1930. The focal points are lexemes: lady, mistress, housewife, a girl, ma'am, miss, household, parent, cook, mother, daughter, child. Their occurrences are statistically processed in the tables according to selected criteria, for example: whether the lexemes are developed by attribute or not. The obtained data are interpreted in the chapters which are divided according to ad focus on three sections: Decoration, Household, Family relationships. The conclusion is based on all of the data created by the image of women as perceived by contemporary advertising compared to what was required of traditional society. The conclusion of the study, including a shift in social values, is supported by a brief comparison of the results of this work, based on knowledge of the study Language image of women in advertising in the late 19th Century (Štumpf, M., RP, Charles University, 2008).
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Em busca da estrutura s?cio-espacial da redu??o de San Francisco de Borja: a sobreviv?ncia do patrim?nio arqueol?gicoBisonhim, Kelli 31 March 2011 (has links)
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Previous issue date: 2011-03-31 / O objeto desta pesquisa foi a miss?o de San Francisco de Borja, erigida em 1682. A proposta deste trabalho constituiu em sugerir uma carta de potencial arqueol?gico para a moderna cidade de S?o Borja/RS. Para isso, buscou-se verificar a distribui??o espacial da malha urbana atual sobreposta a antiga malha reducional. Observando os modelos coloniais para a instala??o de cidades europ?ias, e ainda os padr?es seguidos para erigir as Redu??es Jesu?ticas, procurou-se compreender a utiliza??o do lugar, tendo como base factual ? pesquisa: documentos hist?ricos escritos, iconogr?ficos, arquitet?nicos e arqueol?gicos. Todas as fontes fornecem informa??es para o entendimento da distribui??o espacial da redu??o de San Francisco de Borja, demonstrando a estreita rela??o entre a miss?o jesu?tica e a atual cidade. Pois a cidade seguiu o mesmo tra?ado da antiga miss?o.
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Miss?es, col?gios e aldeamentos jesu?ticos no Brasil Col?nia: ocupa??o territorial das Capitanias do Sul (1549-1759) / The Jesuit? missions, colleges and settlements in the Brazil: territorial occupation of the Provinces of the South. (1549-1759)Rinaldi, Renan Amauri Guaranha 14 February 2014 (has links)
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Previous issue date: 2014-02-14 / In 1549, after the approval of Jesus? Society in Rome, the P. Manuel da N?brega, left Lisbon with the armed Tom? de Souza to conduct the West Portuguese missions. In 1553, after forming the first Brazilian missions Ba?a de Todos os Santos where they landed, he continued to the Captainship of S?o Vicente where he covered the south coast of colonial Brazil. After that, going up through Serra do Mar, N?brega lead the foundation of Aldeia de Piratininga and its school, Col?gio de S?o Paulo, and posteriorly, he enabled the beginning of new entries to the interior of the continent. The implementation of these schools originated the villages or urban areas such as Vila de S?o Paulo, Rio de Janeiro and Vit?ria, afterwards becoming centers of irradiation of colonial expansion forming small network localities. The sites related to these schools and Jesuit? churches and settlements designed to reduce Indian population formed the architectonic sites of the settlements, while the organization of the lodges focused to give support to evangelization and the introduction of Indians to Portuguese life system. This work intends to analyze the acting of Jesus? Society according to the purpose of Portuguese colonizers during the XVI century until half of XVII century, before the pombal political expulsion, and the logic of expansion in the Captainships in the south of Brazilian territory in the colonial period, focusing on territorial expansion accomplished after the influence of Col?gio de S?o Paulo, and Vila de S?o Jos? dos Campos in Vale do Parna?ba and Fazenda de Botucatu in the west side of the Captainship as being the last two stronghold of Jesuit? presence in the territory of colonial period. To accomplish that there will be a support on historiography and analysis of Jesuits letters besides other studies about the rise and expansion of the settlements based on antique and contemporary cartographies demonstrating the presence of Jesuits in the mentioned territory. / Em 1549, logo ap?s a aprova??o da Companhia de Jesus em Roma, o P. Manuel da N?brega partiu de Lisboa na armada de Tom? de Souza juntamente de cinco companheiros para conduzir as Miss?es Portuguesas do Ocidente. Em 1553, ap?s formar as primeiras miss?es brasileiras na Ba?a de Todos os Santos, onde primeiramente aportou, seguiu em dire??o ? Capitania de S?o Vicente onde percorreu o litoral sul do Brasil colonial. Em seguida, subindo a Serra do Mar, N?brega liderou a funda??o da Aldeia de Piratininga e nela implantou o Col?gio de S?o Paulo possibilitando o in?cio das entradas para o interior do continente. As implanta??es destes col?gios por vezes deram origem a n?cleos urbanos, como nos casos das Vilas de S?o Paulo, Rio de Janeiro e Vit?ria, que se tornaram posteriormente centros de irradia??o da expans?o colonial formando redes de pequenas localidades. Os p?tios e terreiros associados a esses col?gios, bem como as igrejas jesu?ticas e os aldeamentos destinados ? redu??o ind?gena formavam os conjuntos arquitet?nicos dos aldeamentos enquanto a organiza??o do espa?o das resid?ncias visava dar suporte ? evangeliza??o e a introdu??o do ?ndio ao sistema de vida portugu?s. Este trabalho tem como prop?sito analisar a atua??o da Companhia de Jesus perante os prop?sitos dos colonizadores portugueses durante o s?culo XVI at? primeira metade do s?culo XVIII, antes da pol?tica pombalina de expuls?o, e a l?gica de expans?o nas Capitanias ao sul do territ?rio brasileiro no per?odo colonial, concentrando o olhar na expans?o territorial realizada a partir da influ?ncia do Col?gio de S?o Paulo, sendo a Vila de S?o Jos? dos Campos no Vale do Para?ba e a Fazenda de Botucatu no oeste da Capitania, os dois ?ltimos redutos da presen?a jesu?tica no territ?rio do per?odo colonial. Para tal, nos apoiaremos na historiografia e na an?lise de cartas jesu?ticas, al?m de estudos sobre os fluxos e expans?o dos assentamentos tendo como base as cartografias antiga e contempor?nea, demonstrando a presen?a dos jesu?tas no territ?rio em quest?o.
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Funda??o de Vila Maria com a presen?a Chiquitana : os povoadores da fronteira oeste da Capitania de Mato Grosso (1778-1827)Cavalcante, Roselli Aparecida 16 March 2015 (has links)
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Previous issue date: 2015-03-16 / This study aims to analyze the foundation of Vila Maria of Paraguay, current C?ceres - MT, with the presence of Chiquitano Indians from Chiquitano Jesuit missions on the eastern side of the Spanish colony in America, now Bolivia, probably, Santa Ana, Santa Rosa, St. John and the Holy Heart of Jesus de Chiquitos. Seeks to highlight the Portuguese settlement strategies with these Indians in the period they were created and consolidated the Portuguese-Spanish border in western Mato Grosso Captaincy with the lands of the Spanish colony in South America especially in Vila Maria of Paraguay. The time frame covers the foundation of Vila Maria from 1778 to 1827, during the view of Hercules Florence to that village. Vila Maria becomes important strategic point between the villages of Cuiab? and Vila Bela of the Trinity in the Guapor? valley and the lack of "white people" to populate it, the Chiquitano and Indians from other ethnic groups, served the Lusitanian project of settlement, occupation and consolidation of their land in this part of the colony. The royal instructions and the urbanization project of the Portuguese crown and the Marquis of Pombal will be the hallmarks of this settlement. / Este estudo tem como objetivo analisar a funda??o de Vila Maria do Paraguai, atual C?ceres ? MT, com a presen?a de ?ndios Chiquitano provenientes de miss?es jesu?ticas Chiquitanas do lado oriental da col?nia espanhola na Am?rica, atual Bol?via, provavelmente de, Santa Ana, Santa Rosa, S?o Jo?o e do Santo Cora??o de Jesus de Chiquitos. Procura evidenciar as estrat?gias de povoamento dos portugueses com esses ?ndios no per?odo em que se criavam e consolidavam a fronteira luso-espanhola no oeste da Capitania de Mato Grosso com as terras da col?nia espanhola na Am?rica do sul, especialmente em Vila Maria do Paraguai. O recorte temporal abrange a funda??o de Vila Maria 1778 a 1827, ocasi?o da vista de Hercules de Florence a essa Vila. Vila Maria torna-se importante ponto estrat?gico entre as Vilas de Cuiab? e Vila Bela da Sant?ssima Trindade no vale do Guapor? e na falta de ?gente branca? para povo?-la, os Chiquitano, bem como ?ndios de outras etnias, serviram ao projeto lusitano de povoamento, ocupa??o e consolida??o de suas terras nesta parte da col?nia. As instru??es r?gias e o projeto de urbaniza??o da coroa portuguesa e do Marqu?s de Pombal ser?o os balizadores deste povoamento.
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Pre-hospital Barriers to Emergency Obstetric Care : Studies of Maternal Mortality and Near-miss in Bolivia and Guatemala / Barreras pre-hospitalarias para la atención obstétrica de emergencia : Estudios de mortalidad materna y morbilidad obstétrica severa en Bolivia y GuatemalaRööst, Mattias January 2010 (has links)
Maternal mortality is a global health concern but inequalities in utilization of maternal health care are not clearly understood. Severe morbidity (near-miss) is receiving increased attention due to methodological difficulties in maternal mortality studies. The present thesis seeks to increase understanding of factors that impede utilization of emergency obstetric care (EmOC) in Bolivia and Guatemala. Studies I and IV employed qualitative interviews to explore the role of traditional birth attendants (TBAs) and the care-seeking behaviour of women who arrived at hospital with a near-miss complication. Studies II–III documented maternal mortality and near-miss morbidity at the hospital level and investigated the influence of socio-demographic factors and antenatal care (ANC) on near-miss upon arrival. The studies identified unfamiliarity with EmOC among TBAs and a lack of collaboration with formal care providers. A perception of being dissociated from the health care system and a mistrust of health care providers was common among near-miss women from disadvantaged social backgrounds. In the Bolivian setting, 187 maternal deaths per 100,000 live births and 50 cases of near-miss per 1000 were recorded. Causes of near-miss differed from those of maternal deaths. Most women with near-miss arrived at hospital in critical condition: severe preeclampsia, complications after childbirth at home and abortions were mostly encountered among them. Lack of ANC, low education, and rural residence were interactively associated with near-miss. ANC reduced socio-demographic differentials for near-miss. Complementing maternal mortality reviews with data on near-miss morbidity increases the understanding of priority needs and quality of maternal health care. Additionally, focusing on near-miss upon arrival was found useful in exploring pre-hospital barriers to EmOC. The findings identified subgroups of women who seemed especially vulnerable to pre-hospital barriers. They also underscored the need for initiatives to reduce the effect of social marginalization and to acknowledge the influential role of formal and informal care providers on the utilization of EmOC. / La mortalidad materna es un tema de inquietud global, sin embargo la comprensión de las desigualdades en la utilización de los servicios de salud materna es limitada. La morbilidad obstétrica severa (near-miss) está recibiendo creciente atención, producto de problemas metodológicos en los estudios de mortalidad materna. El objetivo de la presente tesis es aumentar la comprensión de factores que impiden la utilización de la atención obstétrica de emergencia en Bolivia y Guatemala. Los estudios I y IV usaron metodologías cualitativas en un esfuerzo por explorar el rol de las parteras tradicionales y las estrategias de las mujeres que arriban a los hospitales con una morbilidad obstétrica severa. Los estudios II–III documentaron la mortalidad materna y la morbilidad obstétrica severa en el marco hospitalario e investigaron el impacto de los factores socio-demográficos y el control prenatal en la llegada a los establecimientos de salud con complicaciones severas. Los estudios identificaron la falta de familiaridad con atención obstétrica de emergencia entre las parteras tradicionales y la falta de cooperación con los profesionales de salud formales. La sensación de estar distanciadas del sistema de salud y la desconfianza hacia los profesionales de la salud eran aspectos comunes entre las mujeres de sectores marginales con experiencias de complicaciones severas. En el contexto boliviano, 187 muertes maternas por cada 100,000 nacidos vivos y 50 casos de morbilidad obstétrica severa por cada 1000 fueron registradas. Las causas de la morbilidad obstétrica severa y las muertes maternas se distinguieron. La major parte de las mujeres con morbilidad obstétrica severa llegaron al hospital en condiciones críticas: preeclampsia severa, complicaciones después de partos domiciliarios y abortos eran causas más frecuentes en esta categoría. Combinaciones del bajo nivel de educación con la falta de controles prenatales o la residencia en zonas rurales fueron asociadas con la morbilidad obstétrica severa. El control prenatal redujo diferencias socio-demográficas en lo concerniente a la morbilidad obstétrica severa. La complementación de estudios de mortalidad materna con datos sobre morbilidad obstétrica severa aumenta la comprensión de las prioridades y de la calidad en la atención de la salud materna. Además, centrándose en la morbilidad obstétrica severa a la llegada al establicimiento de salud, ha sido útil para investigar las barreras pre-hospitalarias en relación a la atención de emergencia obstétrica. Los resultados permiten identificar categorías específicas de mujeres que parecen ser especialmente vulnerables a las barreras pre-hospitalarias. Los resultados, también subrayan la necesidad de iniciativas que reduzcan los efectos de la marginalización social, y que reconozcan el importante rol que tanto el personal de salud formal como informal cumplen en la utilización de los servicios de atención obstétrica de emergencia.
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A saúde mental de mulheres com morbidade materna grave e near miss em Sergipe / The mental health of women with severe maternal morbidity and near miss in SergipeSilveira, Mônica Silva 11 May 2017 (has links)
Introduction: The severe maternal morbidity and near miss (MMG / NM) study refers to complications related to pregnancy, childbirth and the puerperium, and, in sequence, brings the discussion about the quality of involved maternal mental health. Objectives: To study the relationship between common mental disorders, adult attachment and maternal postnatal attachment presence and the perceived social support in women who experienced severe maternal morbidity and near miss. Method: Observational, prospective cohort study. It was carried out in two public reference maternity hospitals in Sergipe state. There were 549 participants, divided into two groups, exposed and not exposed to MMG / NM., the Beck inventory for BAI anxiety and the Beck inventory for BDI depression, the Edinburgh EDPS postpartum depression scale, the adult EVA binding scale, the AEAS postnatal attachment scale, the IES impact scale, and the SSQ-6 social support scale, The collection was performed in three distinct periods during 12 months, in sequence mothers and their respective controls. The data were analyzed with the software R version 3.3.2 (R CORE TEAM, 2016). A descriptive statistic was performed with the Mann-Whitney test, chi-square or Fisher's exact test for categorical variables and multivariate analysis to define possible associations. The significance of differences between groups was estimated (χ2) with level of Significance of 0.05. Results: Women exposed to MMG / NM were more frequently from inland districts, did not work, did not prenatal fallow up, and used alcohol. They were more likely to have anxiety disorders (OR 2.77 p <0.000), depression (OR 10.9 p <0.000), postpartum depression (OR 6.5, p <0.000), and post-traumatic stress disorder (RR 2.76 [95% CI 2.44-3.14]); and 20% of intrusion memory (RR 2.07; 95% CI: 1,89-2.26), The lowest social support (0.11, SD: 0.001, p <0.001), greater attachment style with an anxious adult 16,11% and lower comfort with proximity were observed in women exposed to MMG / NM.(p <0.001), and a lower presence of maternal attachment in the postpartum period 43,90 (<0.001). The women exposed to MMG/NM had statistically significant trend for the presence of symptoms for mental illness in the three collection periods (p <0.001). Conclusions: A situation of severe and near miss maternal morbidity has a negative impact on women's psychological health and affects psychosocial relationships. The results of this study aim to contribute to the implementation of specific protocols and practices, integrating mental health and psychosocial care to implement preventive and treatment actions to improve maternal health. / Introdução: O estudo da morbidade materna grave e near miss (MMG/NM) refere-se a complicações relacionadas à gravidez, parto e puerpério, e traz em sequência a discussão sobre a qualidade da saúde mental das mães acometidas Objetivos: Estudar a relação entre o transtorno mental comum, o tipo de vinculação adulto, a presença da vinculação materna no pós-natal e o suporte social percebido em mulheres que vivenciaram à morbidade materna grave e near miss. Método: Estudo observacional, de coorte prospectivo. Realizado em duas maternidades públicas de referência do estado de Sergipe, com 549 participantes, divididas em dois grupos, de expostas à MMG/NM e não expostas. Tipo de amostragem por conveniência. Foram utilizados questionário sociodemográfico, inventário de Beck para ansiedade BAI e inventário de Beck para depressão BDI, escala de depressão pós-parto de Edinburgh EDPS, escala de vinculação adulto EVA, escala de vinculação pós-natal AEAS, escala de impacto IES, e a escala de suporte social SSQ-6, A coleta foi realizado em três períodos distintos, no total de doze meses. Os dados foram analisados no software R versão 3.3.2 (R CORE TEAM, 2016). Foi realizada uma estatística descritiva, com o teste de Mann-Whitney, qui-quadrado ou Teste exato de Fisher para as variáveis categóricas e análise multivariada para definição das possíveis associações, A significância das diferenças entre os grupos foi estimada (χ2) com nível de significância de 0,05. Resultados: Pode-se observar que o maior número de mulheres expostas à MMG/NM era procedente do interior do estado, não trabalhavam (OR: 2,36; IC95%: 1,53-3,62), não fizeram o pré-natal (OR: 10,9; IC95%: 3,28-36,1), e faziam uso de bebida alcoólica (OR: 4,35; IC95%: 2,66-7,11), apresentaram maiores chances de sintomas de ansiedade (OR: 2,77; IC95%: 1,96-3,92), depressão (OR: 10,9; IC95%: 5,83-20,60), depressão pós-parto (OR: 6,5; IC95%: 4,37-9,69) e transtorno de estresse pós-traumático; com 44% de comportamento de esquiva (p<0,001), (RR 2,76; IC95%: 2,44-3,14) e 20% de intrusão (RR 2,07; IC95%: 1,89-2,26]). Foi constatado nas mulheres expostas à MMG/NM a menor quantidade de pessoas e fontes de suporte social SSQ-N (0,11; DP: 0,001; p<0,001; η²=0,151) e menor quantidade de pessoas referente ao suporte familiar SSQ-NF (0,11; DP: 0,001; p<0,001; η²=0,216) com tamanho de efeito mediano, e satisfação do suporte social (0,69; DP: 0,19; p=0,010; η²=0,014) com tamanho de efeito pequeno, maior estilo de vinculação adulto ansioso 16,11% e menor conforto com proximidade 14,50 % (<0,001), e menor vinculação materna no pós-natal 43,90 (<0,001), foi identificou-se a tendência estatisticamente significativa de sintomas para o adoecimento mental nos três períodos de coleta (p<0,001). Ao que refere-se à proporção dos resultados nas três etapas de coleta, as expostas à MMG/NM, apresentaram maior sintomatologia de transtorno mental (<0,001). Conclusão: Constata-se que situação de morbidade materna grave e near miss gera impacto negativo à saúde psicológica da mulher e afeta as relações psicossociais. Espera-se que os resultados deste estudo, possam contribuir para a implementação de protocolos e práticas específicas de integralidade do conhecimento no campo da saúde mental e da assistência psicossocial, ações preventivas e de tratamento voltados para a saúde materna.
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A saúde mental de mulheres com morbidade materna grave e near miss em Sergipe / The mental health of women with severe maternal morbidity and near miss in SergipeSilveira, Mônica Silva 11 May 2017 (has links)
Introduction: The severe maternal morbidity and near miss (MMG / NM) study refers to complications related to pregnancy, childbirth and the puerperium, and, in sequence, brings the discussion about the quality of involved maternal mental health. Objectives: To study the relationship between common mental disorders, adult attachment and maternal postnatal attachment presence and the perceived social support in women who experienced severe maternal morbidity and near miss. Method: Observational, prospective cohort study. It was carried out in two public reference maternity hospitals in Sergipe state. There were 549 participants, divided into two groups, exposed and not exposed to MMG / NM., the Beck inventory for BAI anxiety and the Beck inventory for BDI depression, the Edinburgh EDPS postpartum depression scale, the adult EVA binding scale, the AEAS postnatal attachment scale, the IES impact scale, and the SSQ-6 social support scale, The collection was performed in three distinct periods during 12 months, in sequence mothers and their respective controls. The data were analyzed with the software R version 3.3.2 (R CORE TEAM, 2016). A descriptive statistic was performed with the Mann-Whitney test, chi-square or Fisher's exact test for categorical variables and multivariate analysis to define possible associations. The significance of differences between groups was estimated (χ2) with level of Significance of 0.05. Results: Women exposed to MMG / NM were more frequently from inland districts, did not work, did not prenatal fallow up, and used alcohol. They were more likely to have anxiety disorders (OR 2.77 p <0.000), depression (OR 10.9 p <0.000), postpartum depression (OR 6.5, p <0.000), and post-traumatic stress disorder (RR 2.76 [95% CI 2.44-3.14]); and 20% of intrusion memory (RR 2.07; 95% CI: 1,89-2.26), The lowest social support (0.11, SD: 0.001, p <0.001), greater attachment style with an anxious adult 16,11% and lower comfort with proximity were observed in women exposed to MMG / NM.(p <0.001), and a lower presence of maternal attachment in the postpartum period 43,90 (<0.001). The women exposed to MMG/NM had statistically significant trend for the presence of symptoms for mental illness in the three collection periods (p <0.001). Conclusions: A situation of severe and near miss maternal morbidity has a negative impact on women's psychological health and affects psychosocial relationships. The results of this study aim to contribute to the implementation of specific protocols and practices, integrating mental health and psychosocial care to implement preventive and treatment actions to improve maternal health. / Introdução: O estudo da morbidade materna grave e near miss (MMG/NM) refere-se a complicações relacionadas à gravidez, parto e puerpério, e traz em sequência a discussão sobre a qualidade da saúde mental das mães acometidas Objetivos: Estudar a relação entre o transtorno mental comum, o tipo de vinculação adulto, a presença da vinculação materna no pós-natal e o suporte social percebido em mulheres que vivenciaram à morbidade materna grave e near miss. Método: Estudo observacional, de coorte prospectivo. Realizado em duas maternidades públicas de referência do estado de Sergipe, com 549 participantes, divididas em dois grupos, de expostas à MMG/NM e não expostas. Tipo de amostragem por conveniência. Foram utilizados questionário sociodemográfico, inventário de Beck para ansiedade BAI e inventário de Beck para depressão BDI, escala de depressão pós-parto de Edinburgh EDPS, escala de vinculação adulto EVA, escala de vinculação pós-natal AEAS, escala de impacto IES, e a escala de suporte social SSQ-6, A coleta foi realizado em três períodos distintos, no total de doze meses. Os dados foram analisados no software R versão 3.3.2 (R CORE TEAM, 2016). Foi realizada uma estatística descritiva, com o teste de Mann-Whitney, qui-quadrado ou Teste exato de Fisher para as variáveis categóricas e análise multivariada para definição das possíveis associações, A significância das diferenças entre os grupos foi estimada (χ2) com nível de significância de 0,05. Resultados: Pode-se observar que o maior número de mulheres expostas à MMG/NM era procedente do interior do estado, não trabalhavam (OR: 2,36; IC95%: 1,53-3,62), não fizeram o pré-natal (OR: 10,9; IC95%: 3,28-36,1), e faziam uso de bebida alcoólica (OR: 4,35; IC95%: 2,66-7,11), apresentaram maiores chances de sintomas de ansiedade (OR: 2,77; IC95%: 1,96-3,92), depressão (OR: 10,9; IC95%: 5,83-20,60), depressão pós-parto (OR: 6,5; IC95%: 4,37-9,69) e transtorno de estresse pós-traumático; com 44% de comportamento de esquiva (p<0,001), (RR 2,76; IC95%: 2,44-3,14) e 20% de intrusão (RR 2,07; IC95%: 1,89-2,26]). Foi constatado nas mulheres expostas à MMG/NM a menor quantidade de pessoas e fontes de suporte social SSQ-N (0,11; DP: 0,001; p<0,001; η²=0,151) e menor quantidade de pessoas referente ao suporte familiar SSQ-NF (0,11; DP: 0,001; p<0,001; η²=0,216) com tamanho de efeito mediano, e satisfação do suporte social (0,69; DP: 0,19; p=0,010; η²=0,014) com tamanho de efeito pequeno, maior estilo de vinculação adulto ansioso 16,11% e menor conforto com proximidade 14,50 % (<0,001), e menor vinculação materna no pós-natal 43,90 (<0,001), foi identificou-se a tendência estatisticamente significativa de sintomas para o adoecimento mental nos três períodos de coleta (p<0,001). Ao que refere-se à proporção dos resultados nas três etapas de coleta, as expostas à MMG/NM, apresentaram maior sintomatologia de transtorno mental (<0,001). Conclusão: Constata-se que situação de morbidade materna grave e near miss gera impacto negativo à saúde psicológica da mulher e afeta as relações psicossociais. Espera-se que os resultados deste estudo, possam contribuir para a implementação de protocolos e práticas específicas de integralidade do conhecimento no campo da saúde mental e da assistência psicossocial, ações preventivas e de tratamento voltados para a saúde materna.
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Competências profissionais do enfermeiro no gerenciamento dos eventos adversos UTI neonatalRocha, Raí Moreira January 2016 (has links)
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Previous issue date: 2016 / Mestrado Acadêmico em Ciências do Cuidado em Saúde / Introdução: Trata-se de um estudo sobre as Competências Profissionais do Enfermeiro no Gerenciamento dos Eventos Adversos na UTI Neonatal tendo como problema de pesquisa: Quais competências o enfermeiro deve possuir para gerenciar os eventos adversos na Unidade de Terapia Intensiva Neonatal? A partir disso elencou-se como objetivos:: Mapear as competências do enfermeiro para o gerenciamento dos eventos adversos na UTI Neonatal, descrever as atividades desenvolvidas pelos enfermeiros na UTI Neonatal, identificar os eventos adversos ocorridos na UTI Neonatal, correlacionar as atividades desenvolvidas pelos enfermeiros na UTI Neonatal relacionadas aos eventos adversos com as competências profissionais. Como método, utilizou-se da pesquisa de abordagem qualitativa, de caráter descritivo-exploratório tendo como participantes os enfermeiros e residentes da UTI Neonatal do Hospital Universitário Antônio Pedro. A pesquisa se delineou através de entrevista semi-estruturada e observação não participante. A análise das entrevistas foi realizada pelo software Análise Lexical de Co-ocorrências em Enunciados Simples de um Texto (ALCESTE) e triangulados com os dados das observações não participantes a fim de articular a discussão. Resultados: A partir da análise e da disposição de 5 classes apresentadas pelo software, foram elaboradas 3 categorias temáticas: 1- Ações instrumentais do Enfermeiro na Unidade de Terapia Intensiva Neonatal; 2- O Gerenciamento das Tecnologias utilizadas no Cuidado ao Recém-nascido; 3- A Unidade de Terapia Intensiva Neonatal: a influência do ambiente no surgimento dos eventos adversos. A partir dos resultados das entrevistas e dos dados da observação não participante, foram mapeadas 9 competências profissionais para o gerenciamento dos eventos adversos na UTIN. Conclusão: O estudo demonstrou a relação multifatorial entre as competências profissionais e o gerenciamento dos eventos adversos na Unidade de terapia intensiva neonatal. Ao descrever a atuação do enfermeiro, foi possível identificar a diferença entre o que se faz e o como deve ser feito, o que possibilitou avaliar, através das competências, o ponto chave para melhorar o serviço em saúde. / Introduction: This is a study on the Nurse's Professional Skills in the Adverse Event Management in NICU having as research problem: What skills nurses must have to manage the adverse events in Intensive Care Unit Neonatal From that listed the themselves as goals :: Map the skills of nurses for management of adverse events in the NICU, describe the activities performed by nurses in the NICU, identify adverse events in the NICU, correlate the activities performed by nurses in the NICU related adverse events with professional skills. As a method, we used the qualitative research, descriptive and exploratory having as participants, nurses and residents of Neonatal ICU University Hospital Antonio Pedro. The research is outlined through semi-structured interviews and non-participant observation. The data analysis was performed by Lexical Analysis Software Co-occurrences in Utterances a Simple Text (Alceste) and triangulated with data from observations not participants to articulate the discussion. Results: From the analysis and the provision of 5 classes presented by the software, were developed three thematic categories: 1 instrumental Nurses Shares in the Neonatal Intensive Care Unit; 2. The Management Technologies used in the Care of the Newborn; 3- The Neonatal Intensive Care Unit: the influence of the environment in the emergence of events adversos. A from the results of interviews and data from non-participant observation, were mapped 9 professional skills for the management of adverse events in the NICU. Conclusion: The study showed the multifactorial relationship between professional skills and management of adverse events in the neonatal intensive care unit. In describing the work of nurses, it was possible to identify the difference between what is done and how it should be done, which made it possible to evaluate, through the skills, the key point to improve the health service.
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An Experimental Study to Improve the Casting Performance of Steel Grades Sensitive for CloggingSvensson, Jennie January 2017 (has links)
In this study, the goal is to optimize the process and to reduce the clogging tendency during the continuous casting process. The focus is on clogging when the refractory base material (RBM) in the SEN is in contact with the liquid steel. It is difficult or impossible to avoid non-metallic inclusions in the liquid steel, but by a selection of a good RBM in the SEN clogging can be reduced. Different process steps were evaluated during the casting process in order to reduce the clogging tendency. First, the preheating of the SEN was studied. The results showed that the SEN can be decarburized during the preheating process. In addition, decarburization of SEN causes a larger risk for clogging. Two types of plasma coatings were implemented to protect the RBM, to prevent reactions with the RBM, and to reduce the clogging tendency. Calcium titanate (CaTiO3) mixed with yttria stabilized zirconia (YSZ) plasma coatings were tested in laboratory and pilot plant trials, for casting of aluminium-killed low-carbon steels. For casting of cerium alloyed stainless steels, YSZ plasma coatings were tested in laboratory, pilot plant and industrial trials. The results showed that the clogging tendency was reduced when implementing both coating materials. It is also of importance to produce clean steel in order to reduce clogging. Therefore, the steel cleanliness in the tundish was studied experimentally. The result showed that inclusions originated from the slag, deoxidation products and tundish refractory and that they were present in the tundish as well as in the final steel product. / VINNOVA
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