Theoretical Foundations Catheter ablation is an intervention focused on targeted removal of or damage to an area that causes arrhythmias. This intervention began to be performed at the turn of the 1980s and 1990s because it had been found that treatment with antiarrhythmic drugs was expensive and the drugs had to be taken throughout patients' lives. Thanks to its high success rate and low risk of complications, it has been used in the treatment of supraventricular tachyarrhythmias. At present, the success rate is around 75 %, and the intervention sometimes needs to be repeated to achieve its desired effect. Objectives of the thesis The first objective was to find out whether patients with a history of catheter ablation changed their personal and professional lives. The second objective was to map out which areas of the patients' live were affected most by the catheter ablation treatment. The third objective was to find out about differences in the patients' lives before and after catheter ablation. Research questions V1: In what areas are the patients' lives limited most? V2: What changes have occurred in their lives after catheter ablation? Methodology The research part of the thesis was carried out using a qualitative survey conducted by means of semi-structured interviews with patients suffering from arrhythmias. The total of 9 respondents, 5 males and 4 females, were interviewed. The information obtained was processed using programme Atlas.ti. The results are presented as networks created in this programme. Results The research questions can be answered using the data obtained from the respondents suffering from arrhythmias. The first research question was aimed at finding out in what areas the patients' lives were limited most. It was found out, through the semi-structured interviews, that the most limited area was personal life, in which arrhythmia caused most difficulties to the respondents during sports activities. Because of their health problems, most of the respondents limited their sports activities or abandoned them altogether in favour of their health. Other problems are caused during physical strain and under physical load. That was also the thing that the addressed respondents preferred to avoid. The respondents are also limited in the performance of their work, when the main cause of their problems is psychological stress, mental stress resulting in arrhythmia symptoms in the respective respondents. The second research question examined what changes occurred in their lives after catheter ablation. The changes that occurred related to the care of the family and the household in which they are able to engage in multiple activities. The respondents were able to pay more attention to their families by whom they are encouraged in the treatment. There was an overall improvement in their health, enabling better integration into everyday life. The most frequently mentioned area of changes was sport. During the period after catheter ablation, the respondents began to return gradually to their hobbies. Conclusion The thesis describes the restrictions that arrhythmia caused to the respondents and also the changes that have occurred in the individual respondents after catheter ablation treatment. The results can be used in practice in the education of patients who wait for the catheter ablation treatment and in subsequent measures using the prepared mind maps.

Submitted by PATRICIA APARECIDA FRANCELINO CREPALDE null (patyfrancelino@hotmail.com) on 2016-04-25T18:37:18Z No. of bitstreams: 1 Dissertação final 25042016.pdf: 2555633 bytes, checksum: 7dd6dc7e149f14d20c4a3b7468c1c711 (MD5) / Approved for entry into archive by Felipe Augusto Arakaki (arakaki@reitoria.unesp.br) on 2016-04-27T20:05:32Z (GMT) No. of bitstreams: 1 crepalde_paf_me_bot.pdf: 2555633 bytes, checksum: 7dd6dc7e149f14d20c4a3b7468c1c711 (MD5) / Made available in DSpace on 2016-04-27T20:05:32Z (GMT). No. of bitstreams: 1 crepalde_paf_me_bot.pdf: 2555633 bytes, checksum: 7dd6dc7e149f14d20c4a3b7468c1c711 (MD5) Previous issue date: 2016-03-02 / Introdução: O estomizado é o indivíduo submetido à cirurgia de desvio do trânsito intestinal, que consiste na abertura da parede abdominal de um segmento, desviando os efluentes para o meio externo. Objetivo: Avaliar a qualidade de vida dos estomizados assistidos em serviço especializado e estudar a associação destes desfechos com as características sociodemográficas e clínicas. Método: Trata-se de um estudo transversal analítico. Este estudo foi realizado no Núcleo de Assistência ao Ostomizado, do Hospital das Clínicas de Botucatu, no período de outubro de 2014 a agosto de 2015, e aprovado pelo Comitê de Ética e Pesquisa da Faculdade de Medicina de Botucatu-Unesp, por meio do protocolo nº 291.707/2013. A amostra foi composta de 60 pacientes. Para a coleta de dados utilizou-se dois instrumentos, sendo o primeiro um formulário, compreendido pelas etapas: caracterização sociodemográficas e clínicas, aspectos fisiológicos, psicossociais, nutricionais e legais; e para a avaliação da QV, utilizou-se o instrumento WHOQOL-bref, composto por 2 questões gerais de QV e 24 facetas, que se referem a quatro domínios: físico, psicológico, relações sociais e meio ambiente. Resultados: Do total de 60 pacientes estomizados predominou o sexo feminino (51,7%), idade acima de 61 anos (60%), da cor branca (93,3%), residentes em Botucatu (53,3%), vivem com companheiro (55%), têm renda familiar entre 1 a 3 salários mínimos (78,3%), são aposentados (63,3%) e o ensino fundamental, com (61,7%). Referente ao tempo de estomizado (71,7%), está em média há 6 anos. O motivo que levou a confecção do estoma foi câncer (61,7%) e o agravo crônico que prevaleceu entre os indivíduos estomizados foi a hipertensão arterial sistêmica (31,7%). Quanto à derivação, evidenciaram-se as colostomias descendentes, com (53,3%). O seguimento médico regular é evidente em (90%) dos indivíduos. No que diz respeito ao dispositivo coletor, (80%) utiliza de uma peça drenável, variando de 25 a 102 milímetros de diâmetro; com relação à troca do dispositivo, (33,3%) troca a cada três dias e relata ter “muita” dificuldade no autocuidado com o estoma (65%) e com a bolsa coletora (61,7%). Quanto à presença da insônia, (35%) referiu insônia após a estomia. A atividade sexual foi mantida pela minoria, (31,5%), após a presença do estoma. Referente aos aspectos emocionais de dependência (50%) evidenciou ser fato, após o estoma. A respeito da ajuda recebida após estomia, (100%) relata ter a família como suporte. Quanto às orientações recebidas no pós-operatório, (96,7%) dos indivíduos relataram ter recebido orientação. Do total de 60 pacientes estomizados, (80%) relatou que os dispositivos são suficientes no mês e apenas (20%) dos indivíduos estomizados conhecem os seus direitos legais. O domínio psicológico apresentou a média mais elevada, 70,8, evidenciando que mesmo a autoimagem podendo estar prejudicada pela confecção de um estoma, esse domínio teve uma avaliação melhor, comparada com outros domínios da QV. Considerando p>0,10, as seguintes associações, foram realizadas: ter diabetes mellitus, fazer seguimento médico regularmente, sentir dependência após estomia, ter atividade sexual após estomia, visitar os amigos após estomia, índice de massa corporal ser mais elevado e conhecer os direitos legais. As variáveis que associaram negativamente na QV no domínio físico foram “diabetes mellitus” (p=0,021) e “sente dependência após a estomia” (p=0,016). Nos domínios físico e psicológico, a variável “faz seguimento médico regularmente” (p=0,007 e p=0,062) melhorou a QV, respectivamente. A variável “visitar os amigos após estomia” (p=0,000 e p=0,007) associou positivamente nos domínios psicológico e social. Ainda no domínio psicológico, a variável “ter atividade sexual após estomia” (p=0,035) contribui para uma melhor QV. A variável “conhecer os direitos” (p=0,001), no domínio ambiental, associou positivamente na QV do indivíduo estomizado. Como produto deste estudo foi construído uma cartilha com a descrição de conceitos sobre o estoma e suas causas, o fluxo de atendimento nos diferentes níveis de atenção à saúde, e as diretrizes legais que subsidiam a assistência do indivíduo estomizado. Conclusão: Portanto, pode-se concluir que os indivíduos estomizados deste estudo, avaliaram a QV de maneira positiva e que com a aquisição de novos conhecimentos dos direitos legais, poderá haver uma melhora da QV. / Introduction: An ostomized individual is the one who underwent an intestinal transit bypass surgery, which consists of opening the abdominal wall of a segment to diverting the effluent to the outside. Objective: To evaluate the quality of life of ostomized patients assisted in specialized service and study the association of those outcomes with the sociodemographic and clinical characteristics. Method: This is an analytical cross-sectional study. This study was conducted at the Ostomized Patients Assistance Center of Botucatu Clinical Hospital, from October 2014 to August 2015, and approved by the Research Ethics Committee of Botucatu - Unesp Medical School, through protocol No. 291,707 / 2013. The sample consisted of 60 patients. To collect the data we used two instruments: first, a form consisting of sociodemographic and clinical characterization, physiological, psychosocial, nutritional and legal aspects. To evaluating their quality of life, we used the WHOQOL -BREF instrument , consisting of two general questions of quality of life and 24 facets, which relate to four realms: physical, psychological, social relationships and environmental. Results: Of the 60 ostomized prevalences were: females (51.7%) , above the age of 61 years (60%), white (93.3%), living in Botucatu (53.3%), living with partner (55%), family income between 1-3 minimum wages (78.3%), retired (63.3%) and elementary schooling (61.7%). Referring to a colostomy time, (71.7%) had been ostomized for 6 years on average. The reason that led to the stoma was cancer (61.7%) and the chronic aggravation that prevailed among the ostomized individuals was hypertension (31.7%). As for the derivation, the descending colostomies stood out (53.3%). Regular medical follow-up is evident in (90%) of the individuals. With respect to pickup device 80 uses a draining % workpiece, ranging from 25 to 102 mm diameter; regarding the device exchange, (33.3%) changed every three days and reports having "a lot of of" difficulty in self-care of the stoma and 65% with the collection bag (61.7%). For the presence of insomnia, (35%) reported insomnia after ostomy. Sexual activity was maintained by the minority (31.5%) after the presence of stoma. Referring to the emotional aspects of dependence, (50%) showed to be real. Regarding the aid received after ostomy, (100%) reported having help in the family. The Guidelines received in the postoperative period, (96.7%) reported having received guidance. Of the total 60 ostomized patients, (80%) reported that the devices are sufficient in the month and only (20%) knew their legal rights. The psychological domain had the highest average (70.8%), showing that even the self-image can be impaired by making a stoma, this area had a better evaluation, compared with other areas of quality of life. Associations were made, but only a few were associated ( p> 0.10) , as having diabetes mellitus, regular medical follow-up, dependency feeling after ostomy, sexual activity after ostomy , visit friends after ostomy, body mass index being higher and knowledge of legal rights. The variables that negatively associated quality of life in the physical domain were "diabetes mellitus" (p = 0.021) and "feels dependence after stoma" (p = 0.016). The physical and psychological domains, the variable" makes regular medical follow-up" (p = 0.007 and p = 0.062) improved quality of life, respectively. The variable visiting friends after stoma" (p = 0.000, p = 0.007) positively associated in the psychological and social domains. Even in the psychological domain, the variable "sexual activity after stoma" (p = 0.035) contributes to a better quality of life. The variable "know your rights" (p = 0.001), in the environmental field, associated positively on the quality of life of ostomized patients individual. As a product of this study a booklet was made, with descriptions of concepts about the stoma and its causes, the flow of care at different levels of health care, and legal guidelines that support the care of ostomized individuals. Conclusion: Therefore, we can conclude that the ostomized individuals in this study evaluated their quality of life in a positive way and that, with the acquisition of new knowledge of their legal rights, there can be a better quality of life.

Made available in DSpace on 2014-06-11T19:25:36Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-02-25Bitstream added on 2014-06-13T19:12:35Z : No. of bitstreams: 1 dallanezi_g_me_botfm.pdf: 1120836 bytes, checksum: a83007c7fba0e34011ee8765a0efdf3b (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O esqueleto representa um dos maiores sistemas do corpo humano, apresentando como principais funções, a manutenção da estrutura corporal e o armazenamento de minerais e proteínas. É composto pelos ossos endocondral, trabecular e cortical. A osteoporose se constitui em um problema clínico e social de relevância, com sérias conseqüências para a saúde dos indivíduos, as quais podem ter grande impacto no desenvolvimento das atividades cotidianas, influenciando no bem-estar e na qualidade de vida relacionada à saúde. Freqüentemente, os pacientes apresentam limitações para exercer suas atividades profissionais, sociais e de lazer, e apresentam uma afecção emocional importante. Além disso, os recursos humanos e financeiros utilizados no tratamento da osteoporose e, principalmente, das fraturas, são significativos, com desequilíbrio na qualidade de vida não só dos pacientes como também de seus familiares. A atividade física (AF) vem sendo, recentemente, listada como um dos principais indicadores de saúde. A Organização Mundial de Saúde vem estimulando a participação dos profissionais de saúde, familiares e a comunidade, para que programas de estímulo à AF sejam desenvolvidos. Os exercícios físicos não precisariam ser vigorosos, bastando serem moderados, contanto que praticados de forma regular. Segundo o American College of Sports Medicine e o Center for Disease Control, todos os indivíduos, a partir da idade dos dois anos, devem desenvolver 30 minutos de atividade física de moderada a intensa, durante pelo menos 3 a 5 dias (dependendo da intensidade do exercício e grau de condicionamento da pessoa), podendo chegar até a todos os dias da semana. Os indivíduos que não se enquadram dentro desse conceito são considerados sedentários. A interface entre a prática de atividade física e a prevenção e tratamento da osteoporose se constitui... / The skeleton is the largest system in the human body. Its primary functions are support of the body structure and storage of minerals and proteins. It is formed by the endochondral, trabecular and cortical bones. Osteoporosis is a clinical and social problem of relevance with serious consequences to health. It has a great impact on everyday activities influencing the well being and quality of life of the individuals affected. The professional, social and leisure activities of these individuals are often limited and associated with emotional impairment. Moreover, the human and financial resources spent in the treatment of osteoporosis and fractures, in particular, may significantly imbalance the quality of life of the patients as well as that of their family members. Physical activity (PA) has been recently listed as one of the major health indicators. The World Health Organization encourages the participation of health professionals, family members and the community in the development of programs to stimulate PA. Moderate, rather than vigorous activity is enough, provided that physical exercises are regularly taken. According to the American College of Sports Medicine and the Center for Disease Control, all individuals older than 2 years should engage in 30 minutes of moderate to intense physical activity on at least 3-5 days (depending on exercise intensity and individual fitness level) to, preferably all, days of the week. The individuals that do not fall into this category are considered sedentary. The relation of physical activity practice with the prevention and treatment of osteoporosis is an instigating object of investigation. Patients with reduced bone mass do not get enough physical activity. to evaluate the level of physical activity and quality of life among patients with osteoporosis and osteopenia attending the outpatient clinic of Calcium Disorders of Botucatu Medical School... (Complete abstract click electronic access below)

Made available in DSpace on 2014-06-11T19:35:04Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-08-13Bitstream added on 2014-06-13T18:46:08Z : No. of bitstreams: 1 hasimoto_en_dr_botfm.pdf: 5280488 bytes, checksum: 4230222ce058647457e4b958519e742d (MD5) / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / Hiperidrose é um distúrbio caracterizado pela secreção inapropriada e excessiva de suor. Sua etiologia pode ser primária (HP) ou idiopática e secundária (HS) a outras desordens e sua prevalência não é bem definida. Estabelecer a prevalência da hiperidrose na cidade de Botucatu- Brasil. Orientar os pacientes quanto à patologia e suas prováveis formas de tratamento e avaliar a qualidade de vida relacionada à HP. Foi realizado um inquérito populacional para identificar os casos de hiperidrose em indivíduos maiores de cinco anos, moradores na zona urbana da cidade de Botucatu, localizados por intermédio de amostragem sistemática de conglomerados. Foi calculado um número amostral de 4.033 participantes, utilizando-se os mapas censitários da cidade; a seguir, foram sorteadas quadras de cada setor para obter-se os domicílios. Dez entrevistadores previamente treinados foram responsáveis por aplicar um questionário que avaliou a presença de sudorese excessiva. Após análise dos questionários os indivíduos que referiram hiperidrose foram entrevistados por um médico para confirmação ou não do diagnóstico. Todos os indivíduos foram orientados e, caso houvesse indicação, o tratamento foi oferecido. Foram visitados 1.351 domicílios totalizando 4.113 moradores, sendo 2.150 (52,3%) do gênero feminino. A idade variou de cinco a 97 anos (média ± DP = 38,3 ± 21,2). Oitenta e cinco indivíduos (2,07%) queixavam-se de suor excessivo, sendo 51 (60%) do gênero feminino com idade variando de cinco a 72 anos (média ± DP = 33,9 ± 17,3). O efeito psicossocial mais frequente devido à sudorese foi o constrangimento, e o fator predisponente mais frequente foi o nervosismo. Cinquenta e um indivíduos (60%) concordaram em receber a visita médica para a confirmação do diagnóstico. Vinte e três (45%) apresentavam HP (prevalência de 0,93%)... / The hyperhidrosis is characterized by the excessive sweating and its etiology can be primary or idiopathic (PH) and secondary (SH) to other diseases but its prevalence is not well defined. To establish the PH prevalence in the city of Botucatu- Brazil. To perform orientation related to the pathology and its probable forms of treatment and evaluate the quality of life related to PH. A population survey was performed in order to identify the cases of hyperhidrosis in individuals aged over five years, residents in Botucatu urban area and selected by cluster systematic sampling. A sample number of 4,033 participants was calculated using the Census maps from the city and a selection of blocks in each sector was carried out in order to obtain the households. Ten previously trained interviewers were responsible for applying a questionnaire that evaluated the presence of excessive sweating. After the questionnaires analysis the individuals that referred hyperhidrosis were interviewed by a physician in order to confirm the diagnosis. All subjects were instructed and the treatment was offered in case of indication. 1,351 households were surveyed with a total of 4,113 residents, in which 2,150 (52.3%) were female. The age ranged from five to 97 years (average ± MD = 38.3 ± 21.2). Eighty-five individuals complained about excessive sweating (2.07% prevalence); 51 female (60%), anging from five to 72 years (average ± MD = 33.9 ± 17.3). The most frequent psychosocial effect related to excessive sweating was the embarrassment whereas the most frequent predisposing factor was nervousness. Fifty-one individuals (60%) agreed to receive medical evaluation in order to confirm the diagnosis. Twenty-three (45%) had PH (0.93% prevalence), 15 (29.4%) had SH caused by obesity as well as menopause or thyroid disorder and 13 (25.5%) individuals had normal sweating. If any... (Complete abstract click electronic access below)

Background: The definition of urinary incontinence is involuntary loss of urine that is objectively detectable and results in a social and hygienic inconvenience for the individual. There are different types and causes of urinary incontinence and the symptoms often occur more frequently with higher age. Women are affected to a greater extent than men. Urinary incontinence may affect everyday life and lead to changes in quality of life. Aim: To illuminate women's experiences of living with urinary incontinence. Method: A literature study was conducted using qualitative analysis through five steps. An analysis of ten qualitative articles was carried out. Results: Four main themes emerged, a suffering in everyday life, perceived body perception, feelings about sexuality and hope and despair. The results showed that living with urinary incontinence affected everyday life activities. The women felt limited and learned to cope through different strategies. Urinary incontinence affected the women's body image and could result in less confidence and the feeling of powerlessness. The complex situation sometimes leads to negative sexual effects. Women lived with the hope to recover but at the same time there were feelings of despair for what the future would hold for them. Conclusion: Women suffering from urinary incontinence experience restrictions in their everyday life, in physical, mental and social aspects. It creates a feeling of loss of control. And many women suffer in silence without seeking help. Urinary incontinence has a negative effect on their quality of life.

abstract: Autism Spectrum Disorder (ASD) holds potential for significantly impacting the primary caregiver and family, as well as the child with ASD. In particular, sleep problems occur frequently among children with ASD, and their poor sleep may negatively affect that of their caregivers. Health-related quality of life (HRQoL) and Family Quality of Life (FQoL) are salient indices of caregiver and family well-being. This pilot study explored associations between family caregiver sleep problems and caregiver sense of coherence (SOC) or coping on HRQoL and FQoL. Additionally, this study examined relationships between child sleep and behavior problems on caregiver sleep and well-being. Sixty-two family caregivers of children with ASD (M =7.61, range: 6-11 years old) participated in this survey study. Participants provided demographic information and completed measures of HRQoL, FQoL, caregiver sleep, SOC, parental stress, child sleep, and child behavior. Caregivers with longer sleep duration reported better mental health and better FQol. Caregivers who reported insomnia symptoms, non-restorative sleep, and insufficient sleep were more likely to report poorer mental health than caregivers who did not report these sleep disorder symptoms. A stronger caregiver SOC was associated with lower caregiver stress, better mental health, and better FQoL. Significant relationships were found between shorter caregiver sleep duration or sleep disorder symptoms (i.e., difficulty staying asleep, early morning awakening, insufficient sleep) and greater child sleep problems. Moreover, short sleep duration or insufficient sleep among caregivers was significantly associated with greater parenting stress. Notably, biological parents with Restless Legs Syndrome (RLS) had children with more restless sleep and higher rates of some behavior problems. There are a number of potential connections between sleep problems of children with ASD and sleep problems of their caregivers that are likely rooted in genetic, environmental, socio-economic, and behavioral factors. Interventions for sleep problems must address the context of the family and consider that sleep problems may be common to the caregiver and the child. The results of this study support findings from many prior studies and point to salient variables for future research and interventions to promote healthy caregiver sleep. / Dissertation/Thesis / Doctoral Dissertation Nursing and Healthcare Innovation 2014

abstract: This study examined poverty, material hardship, financial capability, and quality of life among residents of a subsidized housing complex for seniors and adults with disabilities in Phoenix, Arizona. Respondents (N-25) completed a 42-item questionnaire in March of 2017. Data analysis revealed reports of incomes as low as 200% of the poverty level, difficulty paying for food, medications, recreation, and transportation. The study found a positive correlation between the presence of a disability and obtaining sufficient food. In addition, the results indicated lowered financial literacy, reduced ability to keep up with monthly expenses, and a positive correlation between lower income and inability to come up with $2000 in the event of an unexpected expense. Respondents reported minimal use of non-mainstream financial services; most had checking accounts, while fewer reported savings accounts. Scores on financial literacy questions were low and respondents indicated interest in a financial literacy course. The study also revealed low perceived quality of life among the majority of respondents and a positive relationship with material hardship and lower quality of life scores. Implications include the need for further research within the population. / Dissertation/Thesis / Masters Thesis Social Work 2017

Orientador: Cléa Adas Saliba Garbin / Banca: Renato Moreira Arcieri / Banca: Paula Caetano Araújo / Resumo: A AIDS tornou-se uma doença crônica devido ao avanço na terapêutica. Porém, a adesão a TARV é difícil devido à natureza exigente da terapia e os desafios enfrentados pelos pacientes com HIV. Ainda assim, houve um aumento na expectativa de vida, implicando na necessidade de avaliação da qualidade de vida, o que a torna um importante critério para análise da efetividade dos tratamentos. Trata-se de um estudo epidemiológico transversal quantitativo, realizado no Ambulatório do Serviço de Assistência Especializada em HIV/AIDS do Sistema Único de Saúde - SAE/SUS. Foram convidados a participar da pesquisa, todos os indivíduos atendidos neste local, no período de 8 meses. Para a coleta dos dados, utilizaram-se os instrumentos CEAT- VIH, para avaliar a adesão ao tratamento, e HAT-QoL para verificar a qualidade de vida. Para a análise estatística foram utilizados os testes t de Student, análise de variância e coeficiente de Pearson. Fizeram parte do estudo 109 indivíduos, sendo o perfil dos entrevistados composto predominantemente pelo sexo masculino (56%), cor da pele branca (59%), nível escolar primário (45%) e desempregado (56%). A adesão ao tratamento antirretroviral foi classificada como insuficiente em 80,7% dos casos e houve associação entre adesão à TARV e as variáveis: presença de sintomas e/ou infecção oportunista (p=0,008) e situação econômica (p<0,001). Na análise da qualidade de vida HAT-QoL, os domínios mais afetados foram preocupação com sigilo (M=46; DP=33), seguido d... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: AIDS has become a chronic disease due to advances i n therapy. However, adherence to ART is difficult due to the demanding nature of therapy and the challenges faced by HIV patients. Nevertheless, the re was an increase in life expectancy, implying the need to evaluate the quali ty of life, which makes it an important criterion for the analysis of the effecti veness of the treatments. This was a quantitative cross-sectional epidemiological study, carried out in a Specialized HIV/AIDS Assistance Center of the Unifi ed Health System. All individuals attended at this location were invited to participate in the study, in a period of 8 months. Data were collected using CEAT- VIH instruments to assess adherence to treatment, and HAT-QoL to assess quali ty of life. Statistical analysis was performed using Student's t-tests, ana lysis of variance and Pearson's coefficient. A total of 109 individuals w ere interviewed. The interviewees' profile was composed predominantly of males (56%), white skin color (59%), primary school level (45%) and unemplo yed (56%). Adherence to antiretroviral treatment was classified as insuffic ient in 80.7% of the cases and there was an association between ART adherence and the variables: presence of symptoms and / or opportunistic infection (p = 0 .008) and economic situation (p <0.001). In the HAT-QoL quality of life analysis, the most affected domains were confidentiality concerns (M = 46, SD = 33), fo llowed by financial concerns (M = 47, SD = 37). Among the various statistical as sociations found in the study, we found that schooling (p <0.002), occupati on (p = 0.008), financial situation (p <0.001), ethnicity (p = 0.013), and pr esence of symptom and/or opportunistic infection <0.001), were the most infl uential variables in the instrument used. Based on the data obtained, it is concluded that the adherence to ART... (Complete abstract electronic access below) / Mestre

Orientador: Helen Barbosa Raiz Engler / Banca: Rita de Cássia Lopes de Oliveira Mendes / Banca: Josiani Julião Alves de Oliveira / Banca: Ubaldo Silveira / Banca: Mário José Filho / Resumo: O presente estudo consistiu em compreender a representação dos trabalhadores técnicos-administrativos da Faculdade de Ciências Humanas e Sociais, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Câmpus de Franca, sobre qualidade de vida e qualidade de vida no trabalho e também, entender e explicar o sentido do trabalho no cotidiano organizacional, e como apresenta-se na qualidade de vida e na qualidade de vida no trabalho dos referidos trabalhadores. As mudanças no mundo do trabalho refletem uma dimensão que se apresenta sob a forma da reestruturação produtiva, em suas múltiplas variantes concretas, no sistema de produção das necessidades sociais e autorreprodução do capital. Todas as formas particulares de técnicas e gestão organizacional do processo de trabalho trazem, como consequências imediatas, a precarização e a intensificação do trabalho. A busca em apreender dialeticamente as particularidades das formas sociais de relações de trabalho é fundamental para compreender os processos e a centralidade do trabalho no cotidiano organizacional. Na pesquisa foi utilizada a abordagem quantitativa para traçar o perfil dos sujeitos, quanto a idade, sexo, formação escolar, média da faixa salarial, composição familiar, função e tempo de trabalho e, também, para mensurar a qualidade de vida de todo o universo dos sujeitos da pesquisa. Utilizou-se da pesquisa qualitativa, por meio da entrevista individual, com uso do gravador para capturar as falas dos e trabalhadores, com roteiro semiestruturado de questões norteadoras e consideradas fundamentais para o desenvolvimento do objeto de pesquisa. Optou-se pela análise do conteúdo das entrevistas, para evidenciar as categorias significativas baseadas nos questionamentos que nortearam este estudo: a representação da qualidade de vida e a qualidade de vida no trabalho dos técnico... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The current study consist of understanding the representation of the technicaladministrative workers from Faculdade de Ciências Humanas e Sociais, Universidade Estadual Paulista "Júlio de Mesquita Filho" Campus from Franca, about the quality of life and quality of life at work and also to understand and explain the meaning of it in the organization and how it impacts in life and work life for these workers. The changes in work reflect in a dimension that is presented as a productive restructuration in all multiple concrete variants in production system of social needs and auto-reproduction of capital. All particular kind of techniques and organizational management of work process bring as one of the immediate consequences the precariousness and intensification of work. The search for learning in dialectic way all the particularities of new social relationships at work is essential to understanding the processes and the centrality of work in the organizational quotidian. In the research a quantitative view was used to map the individual profiles, regarding to sex, scholarship background, salary average, family composition, function and work background, and also to evaluate the quality of life in whole researched group. A qualitative research was used, through individual interviews, with a semi-structured script of guiding questions, considered fundamental for the development of the research objectives. The decision was to analyze the interviews content, to let evident the significant categories based on the questions around this study; the quality of life representation and the quality of work life of the technical-administrative workers from Faculdade de Ciências Humanas e Sociais, Universidade Estadual Paulista "Júlio de Mesquita Filho" -Campus from Franca.Besides, this study had as a purpose in the organization to disclose... (Complete abstract click electronic access below) / Doutor

Este estudo teve como objetivos: descrever a qualidade de vida relacionada à saúde de um grupo de mulheres grávidas assistidas em um serviço de pré-natal e; identificar a influência da idade gestacional, do número de queixas, da renda per capita e da percepção da suficiência da renda na qualidade de vida relacionada à saúde das mulheres grávidas. A amostra constou de 202 gestantes matriculadas em um serviço filantrópico de pré-natal de baixo risco, de São Paulo, SP, no ano de 2005. Os dados sociodemográficos e obstétricos foram obtidos por meio de entrevista e o da avaliação da qualidade de vida relacionada à saúde por meio do questionário auto-aplicado, o “MEDICAL OUTCOMES STUDY 36-ITEM SHORT FORM HEALTH SURVEY (MOS-SF-36)”. Os dados sociodemográficos das gestantes mostraram: idade média 24,97 anos, raça caucasiana (51,5%), escolaridade média de 8,88 anos, com parceiro fixo (89,6%), procedente de diferentes regiões da cidade de São Paulo; 52,5% exerciam atividades domésticas; 36,6% moravam em casas de alvenaria alugadas; renda familiar média de R$984,25 e per capita de R$312,80. Para 67,2% das gestantes a satisfação das necessidades básicas pela renda familiar foi percebida como pouco suficiente ou insuficiente. As características obstétricas foram: média de gestação de 2,09, 37,1% primigestas, 51,98% tinham filhos com idade média de 5,13 anos, idade gestacional média de 24,97 semanas, 85,1% citaram alguma queixa como dor em baixo ventre, náuseas e vômitos, lombalgia, pirose, dor em membros inferiores e cefaléia. Os coeficientes Alfa de Cronbach dos domínios variaram de 0,81 (Capacidade Funcional e Saúde Mental) a 0,41 (Aspecto Social). Em relação à qualidade de vida o maior escore médio foi em Estado Geral de Saúde e o menor em Aspectos Físicos. A idade gestacional apresentou uma fraca associação inversa com os domínios de Capacidade Funcional, Aspectos Físicos e Dor. Gestantes sem queixas diferiram das com três ou mais queixas nos domínios Dor, Estado Geral de Saúde, Vitalidade, Aspectos Sociais e Saúde Mental. A renda per capita não mostrou significância estatística em nenhum domínio. A percepção da suficiência da renda mostrou diferenças estatisticamente significantes nos domínios Dor, Vitalidade, Aspectos Emocionais e Saúde Mental. / The objectives of this study was to describe the health related quality of life of a group of pregnant women enrolled in a pre-natal service and identify the influence of the gestational period, number of complaints, per capita income and perception of sufficient income in the pregnant women’s health related quality of life. The sample consisted of 202 pregnant women registered in a low-risk prenatal philanthropic service of the city of Sao Paulo in the year 2005. The obstetric and demographic data were obtained through interviews and a self-administered questionnaire, the “MEDICAL OUTCOMES STUDY 36-ITEM SHORT FORM HEALTH SURVEY (MOS-SF-36)” to evaluate the health related quality of life. The demographic data showed an average age of 24.97; Caucasian (51.5%); average schooling of 8.99 years; 89.6% had a partner; coming from different regions of the city of Sao Paulo; 52.5% engaged in domestic activities; 36.6% lived in rented houses; and the average family income was R$984.25 and per capita was R$312.80. For 67.2% of the pregnant women, the satisfaction of basic necessities by the family income was perceived as barely sufficient or insufficient. The obstetric characteristics were: gestational average of 2.09; 37.1% primigravida; 51.98% had children with the average age of 5.13; average gestational age of 24.97 weeks; 85.1% reported complaints such as lower abdominal pain, nausea, vomiting, lumbago, pyroses, legs pain and cephalalgia. The Alfa de Cronbach’s coefficients of the domains varied from 0.81 (Physical Functioning and Mental Health) to 0.41 (Social Functioning). In relation to the quality of life, the highest average score was in General Health and the lowest was in Role Limitation due to Physical Problems. The gestational ages showed a weak inverse relationship with the Physical Functioning, Role Limitation due to Physical Problems and Bodily Pain domains. The subjects without complaints differed from those with three or more complaints in the Bodily Pain, General Health, Vitality, Social Functioning and Mental Health domains. The per capita income did not show to be statistically significant in any category. Unlike the perception of sufficient income, which provided statistically significant differences in the Bodily Pain, Vitality, Role Limitation due emotions and Mental Health domains.