Made available in DSpace on 2014-12-17T14:46:46Z (GMT). No. of bitstreams: 1 IsabellePM_DISSERT.pdf: 1853141 bytes, checksum: c1b9542a45d8048b614bdda01b92d40c (MD5) Previous issue date: 2010-12-17 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / The accompanying the growth and development of the child is the guiding line of basic health measures directed at this public, acting within the scope of health monitoring and inferring positively in the rate of infant morbidity and mortality, which are still a preoccupation worldwide and in Brazil. However, mostly, this practice is based on the biomedical model of care, individualized, with emphasis on the medicalization and complaints, favoring the passivity of users. Given this issue, aim to develop accompanying the growth and development of the child in a Basic Unit Family Health, through a collective approach of medical care next to a health team, especially nurses and caregivers. This is a qualitative study, with the research-action method. Involved the four nurses and twenty-six of children's caregivers of the area of Basic Unit Family Health of Cidade Nova, in Natal, in the period from February to July 2010. The results were analyzed following the direction of the thematic analysis of Freire. In the situation analysis of the current reality of the accompanying the growth and development the children in the Basic Unit Family Health, through participant observation and applying a questionnaire to the nurses, we realize that despite these professionals have a knowledge tied to the paradigm of health promotion, in practice the monitoring of child is done through individual consultations in outpatient room, based on complaints brought by caregivers, with little solvability in actions employed. Given the need for change in medical care model, we decided jointly, in the focal group, for the collective monitoring of children's the growth and development, featuring then this proposal to the multidisciplinary team, discussing the participation of professional categories and planned collectively the actions. In the implementation stage of collective action, we contemplate the execution by the caregivers of anamnesis and physical examination, recording data in the Child Health Handbook and discussion of clinical findings, under the supervision of nurses and facilitators. In the evaluation, we found that this collective accompanying strategy allowed to caregivers learn new knowledge, exchange experiences, assistance in home care, beyond reduce the waiting time for medical care and creating opportunity of more time for debate about the children‟s health situation, differing of ambulatory care. As difficulties, we face with a high rate of defaulters (53.8%), lack of motivation and passivity of the users, little participation of other health professionals and nurses' involvement in other activities, technical and bureaucratic in the moment of care. Thus, we note also a strong rooting of individual clinical model on the way of thinking and acting of nurses and caregivers / O acompanhamento do Crescimento e do Desenvolvimento (CD) da crian?a ? o eixo norteador das a??es b?sicas em sa?de voltadas para essa clientela, atuando no ?mbito da vigil?ncia ? sa?de e inferindo positivamente nos ?ndices de morbidade e de mortalidade infantil, que ainda hoje s?o uma preocupa??o no mundo e no Brasil. Por?m, na maioria das vezes, essa pr?tica ? pautada no modelo biom?dico de atendimento, individualizado, com ?nfase nas queixas e medicaliza??o, favorecendo a passividade dos usu?rios. Diante dessa problem?tica, objetivamos desenvolver o acompanhamento do CD da crian?a em uma Unidade B?sica de Sa?de da Fam?lia (UBSF), atrav?s de uma abordagem coletiva de atendimento junto ? equipe de sa?de, em especial as enfermeiras, e cuidadoras. Trata-se de um estudo qualitativo, tendo como m?todo a pesquisa-a??o. Envolveu as quatro enfermeiras e vinte e seis cuidadoras de crian?as da ?rea de abrang?ncia da UBSF de Cidade Nova, no munic?pio de Natal, no per?odo de fevereiro a julho de 2010. Os dados foram analisados seguindo o direcionamento da an?lise tem?tica freireana. No diagn?stico situacional da realidade atual de acompanhamento do CD das crian?as na referida UBSF, atrav?s da observa??o participante e aplica??o de question?rio junto as enfermeiras, percebemos que apesar dessas profissionais terem um conhecimento atrelado ao paradigma de promo??o ? sa?de, na pr?tica o acompanhamento da crian?a ? feito atrav?s de consultas individuais em sala ambulatorial, pautado nas queixas trazidas pelas cuidadoras, com pouca resolubilidade nas a??es empregadas. Vista a necessidade de mudan?a no modelo de atendimento, decidimos conjuntamente, no grupo focal, pelo acompanhamento coletivo do CD das crian?as, apresentando, em seguida, essa proposta ? equipe multiprofissional, sendo discutida a participa??o das categorias profissionais e planejadas coletivamente as a??es. Na etapa de implementa??o da a??o coletiva, contemplamos a execu??o pelas cuidadoras da anamnese e exame f?sico, registro dos dados na Caderneta de Sa?de da Crian?a e discuss?o dos achados cl?nicos, sob supervis?o das enfermeiras e facilitadoras. Na avalia??o, constatamos que essa estrat?gia de acompanhamento coletivo permitiu ?s cuidadoras a aprendizagem de novos conhecimentos, a troca de experi?ncias, o aux?lio nos cuidados domicili?rios, al?m de diminuir o tempo de espera pelo atendimento e oportunizar maior tempo de discuss?o sobre a situa??o de sa?de das crian?as, diferenciando-se do atendimento ambulatorial. Como dificuldades, deparamos-nos com o alto ?ndice de faltosos (53,8%), falta de motiva??o e passividade das usu?rias, pouca participa??o de outros profissionais de sa?de e envolvimento das enfermeiras em outras atividades t?cnicas e burocr?ticas no momento do atendimento. Assim, constatamos ainda um forte enraizamento do modelo cl?nico individual no modo de pensar e agir das enfermeiras e das cuidadoras

Made available in DSpace on 2014-12-17T14:13:43Z (GMT). No. of bitstreams: 1 FranciscoCSJ.pdf: 1235219 bytes, checksum: 99fd9a9cd6382f5c2247c17ecd9cce0b (MD5) Previous issue date: 2009-10-09 / Staphylococcus aureus resistente ? meticilina (MRSA) ? um dos principais agentes de infec??es associadas a servi?os de sa?de em todo o mundo. No Brasil, h? a predomin?ncia de um clone de MRSA multirresistente denominando clone epid?mico brasileiro (CEB). Entretanto, novos clones n?omultirresistentes com alta virul?ncia t?m sido descritos em infec??es comunit?rias e hospitalares. O objetivo desse estudo foi realizar a caracteriza??o fenot?pica e genot?pica de cepas de MRSA isoladas na cidade do Natal/RN. Inicialmente avaliamos 60 amostras de S. aureus quanto a resist?ncia ? meticilina atrav?s de diferentes t?cnicas fenot?picas, utilizando a detec??o do gene mecA por PCR como padr?o. O antibiograma de todas as cepas foi realizado utilizando 12 antimicrobianos conforme descrito pelo CLSI. As cepas de MRSA foram caracterizadas geneticamente atrav?s da tipagem do cassete cromoss?mico estafiloc?cico mec (SCCmec) e da eletroforese em campo el?trico alternado (PFGE). Dos 60 S. aureus estudados, 45 foram resistentes ? meticilina. Observamos que para algumas cepas de MRSA os testes de triagem em ?gar com 6μg/mL de oxacilina e difus?o em meio s?lido com oxacilina-1μg apresentaram dificuldades na sua interpreta??o. No entanto, todas as 45 amostras de MRSA, foram facilmente detectadas pelos testes com o disco de cefoxitina-30μg e pesquisa da PBP2a. A an?lise molecular das cepas de MRSA mostrou 8 padr?es distintos de PFGE (A-H), com predomin?ncia do padr?o A (73%), relacionado ao CEB. Estas carreavam o SCCmec tipo IIIA, e apresentaram uma consider?vel variedade de subtipos (A1-A16). Cinco cepas de MRSA portando SCCmec IV tamb?m foram xiv identificadas, tr?s delas relacionadas geneticamente ao clone USA800 (Padr?o B). Destas cinco, tr?s (2 padr?o F e 1 padr?o B) foram altamente suscept?veis as drogas testadas, entretanto, dois outros isolados, padr?o B, apresentaram multirresist?ncia. As amostras restantes pertenciam a padr?es de PFGE distintos dos clones internacionais predominantes em nosso continente. Para realiza??o deste projeto de pesquisa, a metodologia exigiu a intera??o com pesquisadores de ?reas como: infectologia, microbiologia e biologia molecular. Portanto, esta disserta??o apresentou um car?ter de multidisciplinaridade e transdiciplinaridade no seu desenvolvimento

A high rate of micronutrient deficiencies persists in Africa with the most vulnerable groups being women and children. The Moringa oleifera tree has been identified to help alleviate malnutrition at household level because of its rich content of vitamin A in its plant form - beta-carotene, iron and vitamin C. The objectives of this study was to identify households that consumed Moringa, to identify households that required diet diversification through the use of a Household Dietary Diversity Score (HDDS) and to determine the acceptability of various dishes prepared from Moringa leaves as a possible contribution to the alleviation of malnutrition in resource poor communities. The dietary diversity score of the traditional Bapedi community is 4.7 and the results of the acceptability test of dishes prepared with Moringa indicated that Moringa could be recommended as an additional food ingredient to add micronutrient to the diet of Bapedi communities. / Agriculture and Environmental Sciences / M.A. (Human Ecology)

A high rate of micronutrient deficiencies persists in Africa with the most vulnerable groups being women and children. The Moringa oleifera tree has been identified to help alleviate malnutrition at household level because of its rich content of vitamin A in its plant form - beta-carotene, iron and vitamin C. The objectives of this study was to identify households that consumed Moringa, to identify households that required diet diversification through the use of a Household Dietary Diversity Score (HDDS) and to determine the acceptability of various dishes prepared from Moringa leaves as a possible contribution to the alleviation of malnutrition in resource poor communities. The dietary diversity score of the traditional Bapedi community is 4.7 and the results of the acceptability test of dishes prepared with Moringa indicated that Moringa could be recommended as an additional food ingredient to add micronutrient to the diet of Bapedi communities. / Agriculture and Environmental Sciences / M.A. (Human Ecology)

Text in English / The Batau of Kgaphola are of Swazi origin and migrated to Sekhukhuneland Limpopo Province in South Africa. The community has been involved in chieftainship disputes which date back to 1954 after the death of Chief Lobang III. Within the broader national political framework and execution of policies, the community became divided between the Makhuduthamaga and the Rangers. The Makhuduthamaga were anti-government and the Rangers pro-government. Each of the two groups gained the support of community members. The failure of the royal family to agree on who should lead the community after the death of Chief Lobang III led to a division from within. The former Lebowa government and the current Limpopo government intervened into the Batau chieftainship disputes without success. Commissions such as the Lekoloane, Ralushai and Nhlapo were established to deal with chieftainship disputes but this did not assist communities including the Batau of Kgaphola. The Kgatla Commission was also established and communities are still appearing before it and the Batau are still waiting to present their case. The study explores how the Batau of Mphanama dealt with their differences relating to chieftainship within the community and this instituted external intervention. It also uncovers how disputes within the royal family have affected members of the community and led to divisions. In the final instance the effect of decades of external political intervention and governance is evaluated. / Anthropology and Archaeology / M.A. (Anthropology)

A dissertation submitted to the Faculty of Arts, University of the Witwatersrand, Johannesburg, for the Degree of Master of Arts. / This dissertation is a study of the iconology of paraphernalia produced by women, among the Ntwane. It represents the culmination of primary field research into the matelial culture of this group, as well as supplementary research conducted at the Africana Museum in Johannesburg, the South African Museum in Cape Town, the National Museumin B1u~!mfontein and the Duggan-Cronin Museumin Kimberley. My investigative methods consisted of unstructured interviews with both married and unmarried members of the Ntwane community at :Kwarrielaagte. Although the focus of my research was primarily on paraphernaIia produced and worn by women, I also interviewed Ntwane men in order to obtain a variety of interpretations and opinions as to the 'meanings' of the objects and traditions under analysis. In addition to the above mentioned field work and gallery research, I consulted a wide range of literature on critical theories, auch as marxism, structuralism end paststructuralism, 141 order to supplement my methodological approach to the iconology of women's art among the Ntwane. It also referred to literature on a number of traditional South. African groups, such as the Pedi and Ndebele. in order to identify the cross-cultural influ8nces between these groups and the Ntwane. The literature on these closely related However, this definition constitutes a gross oversimplification of the concept, for it doe) not allow for a shift in aesthetic criteria from culture to culture. It establishes the concept 'aesthetic' as an absolute, whereas in actuality, it is a value-laden term, whose problems of definition are exacerbated '.men attempting cross cultural research. It is therefore necessary at the outset of this dissertation to formulate a working definition of 'aesthetics' within the context of the Ntwane. It is suggeuted that the aesthetic componsnts of Ntwane objects include style. technique and medium, but extend beyond their formal qualities into activities such as ritual and custom. The socio-cultural activities performed by the Ntwane may be regarded as intrinsically significant to the formal characteristics of their paraphernalia. It may therefore be argued that their objects are the concrete. tangible manifestations of a set of underlying constructs. expressed in adherence to particular conventions of representation; furthermore, that the reduction of the aesthetic component of Ntwane objects to merely an ase ssment; of their formal criteria, would constitute an impoverishment of their levels of meaning. A formalist approach to the art of Ntwane women also fails to consider issues of change in the form and function of their paraphernalia and the effects of broader social transformations on the material culture of the Ntwane. Chapter One of my dissertation will comprise a brief survey of the literature on the Ntwane. In addition to identifying the existing information, methodological gaps in the literature will be mentioned. It is the partial aim of this dissertation to "fill in" some of the gaps by groups helped to shed light on signitficant aspects of Ntwane material culture, which in turn, provided me with greater insight into the iconology of their paraphernalia. / Andrew Chakane 2018

Submitted by PPG Pediatria e Sa?de da Crian?a (pediatria-pg@pucrs.br) on 2018-05-17T17:07:44Z No. of bitstreams: 1 DISSERTAC?A?O_ALESSANDRA Homologada.pdf: 2515370 bytes, checksum: ad16338aa10d94f13cf00eb3c4fe55c1 (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-05-28T18:42:00Z (GMT) No. of bitstreams: 1 DISSERTAC?A?O_ALESSANDRA Homologada.pdf: 2515370 bytes, checksum: ad16338aa10d94f13cf00eb3c4fe55c1 (MD5) / Made available in DSpace on 2018-05-28T18:44:59Z (GMT). No. of bitstreams: 1 DISSERTAC?A?O_ALESSANDRA Homologada.pdf: 2515370 bytes, checksum: ad16338aa10d94f13cf00eb3c4fe55c1 (MD5) Previous issue date: 2018-03-08 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Introduction: Measures of quality assessment in Pediatric Intensive Care Units (PICUs) are generally related to clinical parameters. However, parental satisfaction is also considered an important indicator. Satisfaction surveys are already carried out frequently, but the questionnaires are not evaluated in relation to validity and reliability. In the Netherlands, the Empowerment of Parents in the Intensive Care 30 (EMPATHIC-30) questionnaire was developed to assess parental satisfaction in UTIO. In Brazil, validated questionnaires were not found for this purpose, so our aim is to translate, culturally adapt and validate the content of EMPATHIC-30 to evaluate parents' satisfaction in Brazilian PICUs. Methods: : the translation and cultural adaptation was carried out according to the protocol of the translation and cultural adaptation group of the International Society for Pharmacoeconomic Research - ISPOR 2005. The content validation was carried out by a committee of experts. After that, the mean and standard deviation (SD) for all items were calculated, and the content validity coefficient (CVC) for each item and for the instrument as a whole. Conclusion: EMPATHIC-30 was translated and adapted culturally to the Brazilian population. Validation demonstrated a total above-average CVC, confirming the validity of the instrument content. / Introdu??o: As medidas de avalia??o da qualidade em Unidades de Terapia Intensiva Pedi?tricas (UTIP) s?o geralmente relacionadas a par?metros cl?nicos. Contudo, a satisfa??o dos pais tamb?m ? considerada um indicador importante. Pesquisas de satisfa??o j? s?o realizadas com frequ?ncia, por?m os question?rios n?o s?o avaliados em rela??o ? validade e ? confiabilidade. Na Holanda, foi desenvolvido o question?rio Empowerment of Parents in the Intensive Care 30 (EMPATHIC-30) para avaliar a satisfa??o dos pais em UTIP. No Brasil, n?o foram encontrados question?rios validados para este fim, desta forma, nosso objetivo ? traduzir, adaptar culturalmente e validar o conte?do do EMPATHIC-30 para avaliar a satisfa??o dos pais em UTIP brasileiras. M?todos: a tradu??o e adapta??o cultural foi realizada conforme protocolo do grupo de tradu??o e adapta??o cultural da Sociedade Internacional para Pesquisas Farmacoecon?micas ? ISPOR 2005. A valida??o do conte?do foi realizada por uma comiss?o de especialistas. Ap?s foram calculadas a m?dia e Desvio Padr?o (DP) para todos os itens, e o coeficiente de validade de conte?do (CVC) para cada item e para o instrumento como um todo. Resultados: na fase de adapta??o transcultural, as frases foram adaptadas de acordo com a sintaxe brasileira e sofreram poucas modifica??es. Na valida??o de conte?do, o CVC foi abaixo da m?dia em tr?s itens, dois foram mantidos no instrumento e um foi exclu?do. Conclus?o: o EMPATHIC-30 foi traduzido e adaptado culturalmente para a popula??o brasileira. A valida??o demonstrou um CVC total acima da m?dia, confirmando a validade do conte?do do instrumento.

This thesis is a study of British colonial policy in southern Afiica in the 1 gill centwy. More specifically it looks at how British imperial policy, in the period 1875 to 1881, played itself out in two British colonies in southern Africa, Wlder the direction of a British imperial agent, William Owen Lanyon. It sets Lanyon in the context of the frontiers and attempts to link the histories of the people who lived there, the Africans, Boers and British settlers on the one han~ and the histories of colonial policy on the other. In doing so it also unravels the relationship between Lanyon and his superiors in London and those in southern Africa. In 1875 Owen Lanyon arrived in Griqualand West, where his brief was to help promote a confederation policy in southern Africa. Because of the discovery of diamonds some years earlier, Lanyon's administration had to take account of the rising mining industry and the aggressive new capitalist economy. He also had to deal with Griqua and Tlhaping resistance to colonialism. Lanyon was transferred to the Transvaal in 1879, where he was confronted by another community that was dissatisfied with British rule: the Transvaal Boers. Indeed, in Pretoria he was faced with an extremely difficult situation, which he handled very poorly. Boer resistance to imperial rule eventually came to a head when war broke out and Lanyon and his officials were among those besieged in Pretoria. In February 1881 imperial troops suffered defeat at the hands of Boer commandos at Majuba and Lanyon was recalled to Britain. In both colonies Lanyon was caught up in the struggle between the imperial power and the local people and, seen in a larger context, in the conflict for white control over the land and labour of Africans and that between the old pre-mineral South Africa and the new capitalist order. He made a crucial contribution to developments in the sub-continent and it is remarkable that his role in southern Africa has thus far been neglected. / History / D.Litt. et Phil. (History)

This thesis is a study of British colonial policy in southern Afiica in the 1 gill centwy. More specifically it looks at how British imperial policy, in the period 1875 to 1881, played itself out in two British colonies in southern Africa, Wlder the direction of a British imperial agent, William Owen Lanyon. It sets Lanyon in the context of the frontiers and attempts to link the histories of the people who lived there, the Africans, Boers and British settlers on the one han~ and the histories of colonial policy on the other. In doing so it also unravels the relationship between Lanyon and his superiors in London and those in southern Africa. In 1875 Owen Lanyon arrived in Griqualand West, where his brief was to help promote a confederation policy in southern Africa. Because of the discovery of diamonds some years earlier, Lanyon's administration had to take account of the rising mining industry and the aggressive new capitalist economy. He also had to deal with Griqua and Tlhaping resistance to colonialism. Lanyon was transferred to the Transvaal in 1879, where he was confronted by another community that was dissatisfied with British rule: the Transvaal Boers. Indeed, in Pretoria he was faced with an extremely difficult situation, which he handled very poorly. Boer resistance to imperial rule eventually came to a head when war broke out and Lanyon and his officials were among those besieged in Pretoria. In February 1881 imperial troops suffered defeat at the hands of Boer commandos at Majuba and Lanyon was recalled to Britain. In both colonies Lanyon was caught up in the struggle between the imperial power and the local people and, seen in a larger context, in the conflict for white control over the land and labour of Africans and that between the old pre-mineral South Africa and the new capitalist order. He made a crucial contribution to developments in the sub-continent and it is remarkable that his role in southern Africa has thus far been neglected. / History / D.Litt. et Phil. (History)

PhD (African Studies) / Department of African Studies / Mmino wa bana (Children’s songs) are subjected to many changes today; so much so that in time it could cease to exist in its original form or be replaced by genres promoted on televisions. This study focuses on the genre as practised in the Moletjie community. The study explores mmino wa bana by examining its musicological elements, educational validity, and the general social functions within the context of the Moletjie community. By providing insight into these aspects, we could be able to ascertain the transportability of musical elements and philosophies across many contexts. Twenty-one children’s songs were collected for the study. In addition, interviews were conducted with elders and members of the Moletjie royal family to capture the narrative views of the genre. Additional information was also captured in the form of diary notes. The study used an Afrocentric approach as its theoretical framework. The design was qualitative with semi structured interviews functioning as the mode of data collection. For analysis, music programs were used. The body of knowledge emanating from the study is packaged in such a way that it could be used by scholars in African musicology, policy planners, and others interested in the culture of the people of Moletjie community. The school will also find the study to be a useful resource in crafting textbooks for classroom purposes. / NRF