Made available in DSpace on 2016-04-28T20:17:29Z (GMT). No. of bitstreams: 1 2008 - Marcelo Santos de Oliva.pdf: 3554572 bytes, checksum: 0fae31785d5eaf0f107b4791b1e03628 (MD5) Previous issue date: 2008-11-13 / Mussels are bivalve mollusks that developed a filtrating system enabling them to uptake nutrients from water. This is a not selective mechanism, so mussels microbiological analysis shows up the aquatic environment quality. Therefore, the present work aimed to isolate and identify bacterial microbiota from bivalve mollusks incrustated into the rocky coast of Arquip?lago de Santana, Maca?, RJ. The antimicrobial resistance pattern of prevalent microorganisms isolated was also analyzed. The surrounding water microbiological quality was also evaluated in order to detect contamination source from fishing and subaquatic activities in the studied region. From the bacteriological analysis it was obtained a total of 51 isolates of Vibrio spp., being V. damsela (n=15) the prevalent specie, followed by V. harveyi (n=13) and V. alginolyticus (n=07). It was also obtained a total of 20 isolates of Enterobacteriaceae species, being Escherichia coli (n=06) the prevalent one, followed by Proteus vulgaris (n=04). Vibrio spp. isolates presented 100% of sensitivity to tested antimicrobials, except for ampicillin with no detected sensitivity corroborating to literature. For enterobacteria, it was detected a high percentile of sensitivity to all testes antimicrobials. In the six samples of ocean water analyzed it was not possible to detect total or fecal coliforms. The low percentile of isolated microorganisms from mussels at Arquip?lago de Santana can be justified for its location at the open sea, far away from the coast and influenced by sea currents, in a environment not yet altered by human action. / Os mexilh?es s?o moluscos bivalves filtradores que se alimentam de microrganismos captados pela corrente de ?gua e n?o apresentam capacidade seletiva de filtra??o do seu alimento, consequentemente, a an?lise dos mexilh?es reflete a qualidade microbiol?gica do habitat aqu?tico. Desse modo, o presente trabalho objetivou executar o isolamento e identifica??o da microbiota bacteriana a partir de moluscos bivalves incrustados em cost?es rochosos no Arquip?lago de Santana, Maca?- RJ, bem como analisar o perfil de resist?ncia dos microrganismos prevalentes. Tamb?m se buscou avaliar a qualidade da ?gua de modo a detectar poss?veis contamina??es decorrentes das atividades pesqueiras e subaqu?ticas nesta regi?o. A partir das an?lises bacteriol?gicas foi obtido um total de 51 col?nias de Vibrio spp. com preval?ncia da esp?cie V. damsela (n=15), seguida de V. harveyi (n=13) e V. alginolyticus (n=07) e um total de 20 col?nias de enterobact?rias com preval?ncia de Escherichia coli (n=06) seguida de Proteus vulgaris (n=04). Os isolados de Vibrio spp. apresentaram 100% de sensibilidade aos antimicrobianos testados, com exce??o da ampicilina, para a qual n?o foi detectada qualquer sensibilidade a semelhan?a de outros relatos na literatura. Nos isolados de enterobact?rias avaliados, foram detectados elevados percentuais de sensibilidade aos antimicrobianos testados. No total de seis amostras de ?gua do mar analisadas, n?o foi detectada a presen?a de coliformes totais e termotolerantes. O baixo percentual de microrganismos isolados de mexilh?es no Arquip?lago de Santana pode ser justificado por ser um local de mar aberto, afastado da costa e sobre a influ?ncia de correntes mar?timas, e ainda pouco impactado pela a??o humana.

Submitted by Sandra Pereira (srpereira@ufrrj.br) on 2017-01-24T16:23:42Z No. of bitstreams: 1 2015 - Eriane de Lima Caminotto.pdf: 1339748 bytes, checksum: 753de2c181b04ca05748c103c2d6ec8b (MD5) / Made available in DSpace on 2017-01-24T16:23:42Z (GMT). No. of bitstreams: 1 2015 - Eriane de Lima Caminotto.pdf: 1339748 bytes, checksum: 753de2c181b04ca05748c103c2d6ec8b (MD5) Previous issue date: 2015-10-21 / Funda??o Carlos Chagas Filho de Amparo ? Pesquisa do Estado do RJ - FAPERJ / Glaucoma is a disease that causes more blindness in dogs and has no cure, only treatment. The difficulty in the drainage of aqueous humor (AH) results in an increase in intraocular pressure (IOP), representing a significant risk factor for the occurrence of this condition, leading to irreversible damage to the progressive loss of visual field and vision as a whole death of retinal ganglion cells (RGC), loss of axons in the optic nerve and excavation of the same. In addition to this, several mechanisms may contribute to the development and progression of this disease, for example, unbalances of the renin-angiotensin-system (RAS), and cardiovascular and renal diseases. The measurement of IOP and the examination of the fundus are the methods used to diagnose this condition. The treatment of choice is based on eye drops that stimulate drainage of HA and / or decrease their production resulting in IOP control; however in many cases the treatment does not attain the desired effect, culminating in blindness. In an attempt to change this therapeutic perspective, this study compared, in healthy and normotensive Beagle dogs, systemic and ocular action of three drugs: timolol maleate 0.5% (non-selective beta-blocker used in cases of glaucoma) , captopril 0.1% and 0.5% (ECA1 inhibitor never before studied in greater concentration in dogs) and aceturato of diminazene - DIZE 0.1% and 0.5% (endogenous activator of ACE2, never before researched in eyes canines). The latter two drugs were formulated for ophthalmic use for the reduction of IOP, since it is known about the existence of SARS eye level, and that they have been successfully administered systemically at reducing systemic arterial pressure (SAP). Thus, before and after treatment, 18 dogs underwent the Schirmer Tear Test (TLS1) and blood collection for measuring the concentration of angiotensin-converting enzyme (ECA1) serum. For three consecutive days before treatment and at three times (6h, 12h and 18h) all animals have gone through four exams, always following the same order: evaluation of pupil size, IOP measurement, measurement of HR and SAP. After obtaining the normal range, the animals had the left eye subjected to predetermined protocols initially with 1 drop every 12 hours, 7 days a lower concentration and, in the other seven days, in the highest concentration. The adelfos eyes were control and every day in the three different times dogs went through the same initial exams. All drugs were good penetration and no adverse eye level. As for tear production, captopril is the most suitable for glaucoma patients and patients with keratoconjunctivitis sicca, while timolol is contraindicated for them. All decreased IOP values, and in the second week of treatment, with higher concentrations, reductions were more significant. The bradycardia was observed in captopril-treated animals 0.5%, with a reduction of almost 9% in HR compared to captopril in lower concentrations / O glaucoma ? uma das doen?as que mais causa cegueira em c?es e n?o possui cura, apenas tratamento. A dificuldade na drenagem do humor aquoso (HA) resulta no aumento da press?o intra-ocular (PIO) que representa um fator de risco significativo para a ocorr?ncia dessa afec??o, conduzindo ? danos irrevers?veis como a perda progressiva do campo visual e da vis?o como um todo, morte das c?lulas ganglionares da retina (CGR), perda de ax?nios do nervo ?ptico e escava??o do mesmo. Al?m deste, diversos mecanismos podem contribuir para o desenvolvimento e progress?o desta doen?a como, por exemplo, os desequil?brios do sistema-renina-angiotensina (SRA) e as doen?as cardiovasculares e renais. A mensura??o da PIO e o exame do fundo de olho s?o os m?todos mais utilizados para diagnosticar essa afec??o. O tratamento de escolha se baseia em col?rios que estimulam a drenagem do HA e/ou diminuam sua produ??o resultando no controle da PIO; por?m em muitos casos a terapia n?o atinge o efeito desejado e culmina em cegueira. Na tentativa de mudar essa perspectiva terap?utica, o presente trabalho comparou, em c?es sadios e normotensos da ra?a Beagle, a a??o sist?mica e ocular de tr?s f?rmacos: maleato de timolol 0,5% (beta-bloqueador n?o seletivo usado nos casos de glaucoma), captopril 0,1% e 0,5% (inibidor de ECA1 nunca antes estudado nesta maior concentra??o em c?es) e aceturato de diminazeno ? DIZE 0,1% e 0,5% (ativador end?geno de ECA2, nunca antes pesquisado em olhos caninos). Os dois ?ltimos f?rmacos foram formulados para uso oftalmol?gico visando a redu??o da PIO, uma vez que ? sabido sobre a exist?ncia do SRA a n?vel ocular e que os mesmos j? foram administrados sistemicamente com sucesso na redu??o press?o arterial sist?mica (PAS). Dessa forma, antes e ap?s os tratamentos, 18 c?es foram submetidos ao teste lacrimal de Schirmer (TLS1) e ? coleta sangu?nea para dosagem da concentra??o da enzima conversora de angiotensina (ECA 1) do soro.Durante tr?s dias consecutivos antes dos tratamentos e em tr?s hor?rios distintos (6h, 12h, e 18h) todos os animaispassaram por quatro exames, seguindo sempre a mesma ordem: avalia??o do di?metro pupilar, aferi??o da PIO, aferi??o da FC e da PAS.Ap?s a obten??o dos valores normais, os animais tiveram o olho esquerdo submetido aos protocolos pr?-determinados inicialmente com 1 gota, a cada 12 horas, por 7 dias na menor concentra??o e, nos demais 7 dias, na maior concentra??o. Os olhos adelfos foram o controle e, todos os dias nos tr?s hor?rios distintos os c?es passaram pelos mesmos exames iniciais. Todos os f?rmacos tiveram boa penetrabilidade e aus?ncia de efeitos adversos a n?vel ocular. Quanto ? produ??o lacrimal, o captopril ? o mais indicado para os pacientes glaucomatosos e portadores de ceratoconjuntivite seca, enquanto que o timolol ? contra-indicado para os mesmos. Todos diminu?ram os valores da PIO, sendo que na segunda semana de tratamento, com concentra??es maiores, as redu??es foram mais significativas. A bradicardia foi observada nos animais tratados com captopril 0,5%, com uma redu??o de quase 9% na FC, quando comparado com o captopril em menor concentra??o.

Submitted by Sandra Pereira (srpereira@ufrrj.br) on 2017-02-14T12:00:15Z No. of bitstreams: 1 2016 - Gabriela Mastrangelo Gon?alves.pdf: 1218648 bytes, checksum: d31754b24278f68ec75382b5ff3932c0 (MD5) / Made available in DSpace on 2017-02-14T12:00:15Z (GMT). No. of bitstreams: 1 2016 - Gabriela Mastrangelo Gon?alves.pdf: 1218648 bytes, checksum: d31754b24278f68ec75382b5ff3932c0 (MD5) Previous issue date: 2016-02-23 / Funda??o Carlos Chagas Filho de Amparo ? Pesquisa do Estado do RJ - FAPERJ / Several drugs in current use were discovered during experimental tests and by observing animals. When a new compound looks promising, it usually undergoes changes in its chemical structure in order to perfect its selectivity, potency and therapeutic efficacy. The aim of this study was to evaluate the antinociceptive and anti-inflammatory activities of a new synthetic hybrid compound (?)-4-chloro-6-(naphthalen-1-yl)-tetrahydro-2H-pyran-2-yl-methanol (CTHP) prepared from a previous prototype acid, (?) - cis- (6-ethyl-tetrahydropyran-2-yl) Formic. The compound CTHP was evaluated in acute pain induction assays. Oral administration of the compound was able to induce antinociceptive activity in models of writhing induced by acetic acid, formalin (both stages) and tail flick. To elucidate the mechanism of action of the compound, the tail flick model was used. This model was perform by prior administration of naloxone (opioid antagonist non-selective), where we observed the inhibition of the effect produced by the compound. The selective involvement of opioid receptors (?, ? and ?) was then evaluated by prior administration of methylnaltrexone, naltrindol, and nor-binaltorphimine, respectively, where only nor-binaltorphimine was able to reduce the analgesic effect of the compound. To evaluate the possible role of the NO/cGMP/KATP, animals were pretreated with N-nitro-L-arginine methyl ester (L-NAME), 1H- [1,2,4 ] oxadiazolo [4,3-a] quinoxalin-1-one (ODQ) (inhibitor of guanylate cyclase sensitive to nitric oxide), and glibenclamide (blocker of the ATP-regulated potassium channels), where reduction was observed with the administration of analgesic effect prior to all of these. In the tolerance induction test, both morphine and compound developed tolerance, however the compound perform at a slower rate and developed cross-tolerance with morphine. To assess the involvement of serotonin pathway in the activity of the compound, daily administration for 3 days of 4-chloro-DL-phenylalanine (inhibitor of the enzyme tryptophan hydroxylase) was performed. No changes in the analgesic effect of the compound was noted, with regard to the involvement of serotonin pathway. The open field model was used to assess the possibility of interference from motor performance on the analgesic effect, which demonstrated absence of this interference. As for anti-inflammatory activity results in paw edema test indicate anti-oedematogenic effect of compound. There was a decrease in the number of total leukocytes, indicating that the compound was able to reduce existing inflammation in leukocyte migration in the air pouch model. The compound also demonstrated an inhibitory activity on TNF-? production and selective inhibition of COX-2 enzyme. These results indicate significant antinociceptive activity of the compound without evidence of motor impairment. The compound CTHP showed central analgesic effect, which has contribution of opioid systems (selective for the ?-like receptors) and nitrergic in its mechanism of action. It has also showed an anti-inflammatory activity, with inhibition of leukocyte migration, TNF-? production and selective inhibitory activity on COX-2. / Diversos f?rmacos de uso corrente foram descobertos durante ensaios experimentais e mediante a observa??o em animais. Quando um novo composto parece promissor, geralmente este sofre altera??es em sua estrutura qu?mica a fim de aperfei?oar a sua seletividade, pot?ncia e efic?cia terap?utica. O objetivo deste estudo foi avaliar as atividades antinociceptiva e anti-inflamat?ria de um novo composto sint?tico (?)-4-cloro-6-(naftaleno-1-il)-tetrahidro-2h-pirano-2-il-metanol (CTHP) preparado a partir de um prot?tipo anterior, ?cido (?)-cis-(6-etil-tetrahidropirano-2-il) f?rmico. O composto CTHP foi avaliado em ensaios de indu??o de dor aguda. A administra??o oral do composto foi capaz de induzir atividade antinociceptiva nos modelos de contor??es abdominais induzidas por ?cido ac?tico, formalina (em ambas as fases) e retirada da cauda. Para elucida??o do mecanismo de a??o do composto, o modelo de retirada de cauda foi utilizado. Neste modelo foi realizada a administra??o pr?via de naloxona (antagonista opioide n?o-seletivo), em que foi observada a inibi??o do efeito produzido pelo composto. Assim, foi ent?o avaliada a participa??o seletiva de receptores opioides (?, ? e ?), atrav?s de administra??o pr?via de metilnaltrexona, naltrindol e nor-binaltorfimina, respectivamente, onde somente a nor-binaltorfimina foi capaz de reduzir o efeito antinociceptivo do composto. Para avaliar a poss?vel participa??o da via NO/GMPc/KATP, os animais foram pr?-tratados com N-nitro-arginina-L-metil ?ster (L-NAME), 1H-[1,2,4]Oxadiazolo[4,3-a]quinoxalina-1-ona (ODQ) (inibidor da guanilato ciclase sens?vel ao ?xido n?trico) e glibenclamida (bloqueador de canais de pot?ssio regulados por ATP), foi observado redu??o do efeito antinociceptivo com a administra??o pr?via de todos estes. No teste de indu??o de toler?ncia, tanto a morfina quanto o composto desenvolveram toler?ncia, por?m o composto de forma mais lenta e houve desenvolvimento de toler?ncia cruzada com a morfina. Para avaliar o envolvimento da via serotonin?rgica na atividade do composto, foi realizada a administra??o di?ria por 3 dias de 4-cloro-DL-fenilalanina (inibidor da enzima triptofano hidroxilase). Nenhuma altera??o no efeito antinociceptivo do composto foi observado, no que diz respeito ao envolvimento da via serotonin?rgica. J? o modelo de campo aberto foi utilizado para avaliar a possibilidade de interfer?ncia da performance motora sobre o efeito antinociceptivo, foi demonstrada aus?ncia desta interfer?ncia. Quanto ? atividade anti-inflamat?ria, o resultado no teste de edema de pata indica efeito antiedematog?nico do composto. Houve uma diminui??o na quantidade de leuc?citos totais, indicando que o composto foi capaz de reduzir a migra??o leucocit?ria na inflama??o existente na bolsa de ar subcut?neo. O composto tamb?m demonstrou atividade inibit?ria sobre a produ??o de TNF-? e inibi??o seletiva da enzima COX-2. Esses resultados indicam atividade antinociceptiva significativa do composto, sem evid?ncias de comprometimento motor. O composto CTHP demonstrou efeito antinociceptivo central, tendo este ?ltimo contribui??o dos sistemas opioide (seletivo para receptores do tipo ?) e nitr?rgico em seu mecanismo de a??o. E ainda, atividade anti-inflamat?ria, com inibi??o da migra??o leucocit?ria, de TNF-? e atividade inibit?ria seletiva sobre COX-2.

Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2017-02-06T13:35:50Z No. of bitstreams: 1 DIS_RAQUEL_SEIBEL_PARCIAL.pdf: 457430 bytes, checksum: 6c0764371d25783fd26367cb421a27b3 (MD5) / Made available in DSpace on 2017-02-06T13:35:50Z (GMT). No. of bitstreams: 1 DIS_RAQUEL_SEIBEL_PARCIAL.pdf: 457430 bytes, checksum: 6c0764371d25783fd26367cb421a27b3 (MD5) Previous issue date: 2016-05-31 / The Mini Nutritional Assessment Short Form (MNA?-SF) is a nutritional status-screening tool in the elderly including body mass index or calf circumference as anthropometric parameter. However, it is not always possible to obtain these parameters. Thus, it is important to search for alternative parameters such as the circumference of the arm that is also used in the evaluation of nutritional status. This dissertation presents an original article entitled ACCURACY OF ARM CIRCUMFERENCE IN THE MINI NUTRITIONAL ASSESSMENT SHORT FORM whose objectives were to describe the nutritional status of elderly patients in primary health care and determine the accuracy of the use of the arm circumference in MNA?-SF for screening of nutritional status. Therefore, a cross-sectional, descriptive and analytical study was conducted, with a sample of 539 individuals aged 60 years or more, registered in the Family Healthcare in Porto Alegre-RS and were evaluated in the Epidemiological and Clinical Study Seniors Attended by the Family Healthcare in the City of Porto Alegre (EMI-SUS). Variables were investigated, such as Socio-demographic (genre, age, race, marital status, family income and education); Anthropometric [body mass index (BMI), calf circumference (CC) and arm circumference (AC)] and nutritional status (MNA? and MNA?-SF). For the classification of the AC, two variations were used, one with three categories (AC3= <21cm: 0 points; ?21 or ?22cm: 1.5 points; >22cm: 3 points) and one with two categories (AC2= < 21cm: 0 points and ?21: 3 points), taking into account the minimum and maximum values established for categories of BMI of MNA? due to its replacement by AC2, AC3. For CC, the cutoff points used were already determined to MNA?-SF (<31cm: 0 points; ?31cm: 3 points). To determine the accuracy, MNA? was considered the gold standard for nutritional risk. The mean age was 68.7 ? 6.8 years (60-100 years). Most seniors were female (63.1%). Regarding nutritional status, they were classified as being at nutritional risk or undernourished, 24.1% of the elderly by MNA? and 33.4% by MNA?-SF. Regarding the socio-demographic variables, association only between nutritional status and marital status and education was observed. Separate individuals were more often eutrophic and widowers and illiterates were more often malnourished. Correlation analysis between BMI, CC and AC was significant, positive and strong (r> 0.750, P <0.001). The agreement between the MNA?-SF with IMC and MNA?-SF with CC, MNA?-SF with IMC and MNA?-SF with AC2, MNA?-SF with IMC and MNA?-SF with AC3 was excellent (?>0.90; P<0.001). The accuracy of the four instruments showed that they all had high accuracy [MNA?-SF with IMC (aucROC= 0.940), MNA?-SF with CP (aucROC = 0.932), MNA?-SF with CB2 (aucROC = 0.926) and MNA?-SF with CB3 (aucROC = 0.927)], with good sensitivity. Thus, it can be concluded that the use of the arm circumference in MNA?-SF proved accurate for tracking the nutritional status of elderly assisted in the Family Healthcare. / A Mini Avalia??o Nutricional Vers?o Reduzida (MNA?-SF) ? um instrumento de rastreio do estado nutricional de idosos que inclui o ?ndice de massa corporal ou a circunfer?ncia da panturrilha como par?metro antropom?trico. Contudo, nem sempre ? poss?vel obter esses par?metros. Dessa forma, torna-se importante a busca por par?metros alternativos, como a circunfer?ncia do bra?o que tamb?m ? utilizada na avalia??o do estado nutricional. Nesta disserta??o ? apresentado um artigo original intitulado ACUR?CIA DA CIRCUNFER?NCIA DO BRA?O NA MINI AVALIA??O NUTRICIONAL VERS?O REDUZIDA cujos objetivos foram descrever o estado nutricional de idosos atendidos na aten??o b?sica ? sa?de e determinar a acur?cia da utiliza??o da circunfer?ncia do bra?o na MNA?-SF para rastreio do estado nutricional. Para tanto, foi realizado um estudo transversal, descritivo-anal?tico, com uma amostra constitu?da por 539 individuos, com 60 anos ou mais, cadastrados na Estrat?gia Sa?de da Fam?lia de Porto Alegre-RS e que foram avaliados no Estudo Epidemiol?gico e Cl?nico dos Idosos Atendidos pela Estrat?gia Sa?de da Fam?lia do Munic?pio de Porto Alegre (EMI-SUS). Foram investigadas vari?veis sociodemograficas (g?nero, idade, faixa et?ria, ra?a, estado civil, renda familiar e escolaridade); antropom?tricas [?ndice de massa corporal (IMC), circunfer?ncia da panturrilha (CP) e circunfer?ncia do bra?o (CB)] e do estado nutricional (MNA? e MNA?-SF). Para a classifica??o da CB, foram usadas duas varia??es, uma com tr?s categorias (CB3= <21cm: 0 pontos; ?21 ou ?22cm: 1,5 pontos; >22cm: 3 pontos) e outra com duas categorias (CB2= <21cm: 0 pontos e ?21: 3 pontos), levando-se em considera??o os valores m?nimos e m?ximos estabelecidos para as categorias do IMC da MNA? em fun??o de sua substitui??o por CB2, CB3. Para a CP, foram utilizados os pontos de corte j? determinados para a MNA?-SF (<31cm: 0 pontos; ?31cm: 3 pontos). Para determina??o da acur?cia, a MNA? foi considerada padr?o-ouro para risco nutricional. A m?dia da idade foi de 68,7?6,8 anos, (60-100 anos). A maioria dos idosos era do sexo feminino (63,1%). Quanto ao estado nutricional, foram classificados como sob risco nutricional ou desnutridos 24,1% dos idosos pela MNA? e 33,4% pela MNA?-SF. Em rela??o ?s vari?veis sociodemograficas, observou-se associa??o somente entre estado nutricional e estado civil e escolaridade. ?ndividuos separados eram mais frequentemente eutr?ficos e vi?vos e analfabetos eram mais frequentemente desnutridos. A an?lise de correla??o entre IMC, CP e CB mostrou-se significativa, positiva e forte (r>0,750; P<0,001). A concord?ncia entre os instrumentos MNA?-SF com IMC e MNA?-SF com CP, MNA?-SF com IMC e MNA?-SF com CB2, MNA?-SF com IMC e MNA?-SF com CB3 foi excelente (?>0,90; P<0,001). A acur?cia dos quatro instrumentos mostrou que todos tinham alta precis?o [MNA?-SF com IMC (aucROC= 0,940), MNA?-SF com CP (aucROC= 0,932), MNA?-SF com CB2 (aucROC= 0,926) e MNA?-SF com CB3 (aucROC= 0,927)], com boa sensibilidade. Dessa forma, pode-se concluir que a utiliza??o da circunfer?ncia do bra?o na MNA?-SF mostrou-se acurada para rastreio do estado nutricional de idosos atendidos na Estrat?gia Sa?de da Fam?lia.

Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2017-02-06T14:07:43Z No. of bitstreams: 1 TES_LETICIA_RIBEIRO_SOUTO_PINHEIRO_PARCIAL.pdf: 1712483 bytes, checksum: 4bc7db245ed4fe5af92a3626c298e67f (MD5) / Made available in DSpace on 2017-02-06T14:07:43Z (GMT). No. of bitstreams: 1 TES_LETICIA_RIBEIRO_SOUTO_PINHEIRO_PARCIAL.pdf: 1712483 bytes, checksum: 4bc7db245ed4fe5af92a3626c298e67f (MD5) Previous issue date: 2016-12-09 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / The present dissertation aims to investigate the prevalence and predictors related to managers' work addiction, as well as evaluate if life satisfaction could be a measurement variable in the relation between work addiction and psychological well-being. This work is composed by three articles, structured in sections. Section I introduces a theoretical study that aims to show a systematic review of international bibliography about the factors related to work addiction in managers carried out in the EBSCO database. The results point to the existence of consensus and controversy around variables related to the work addiction dimensions, showing the need of a step forward in the research agenda on the theme, considering the identified gaps. Section II shows two empirical studies. The first one identifying the prevalence, checking if the sociodemographic, labor, work engagement, professional performance, motivation and life satisfaction variables predict work addiction in managers. The results showed that overpressure work dimension revealed a predictor model in the variables of life satisfaction, dedication, absorption, technology use time and current role, while the compulsive work dimension was explained by the absorption, life satisfaction, worked weekend hours, prevention focus and worker age. On the other hand, the second empirical study evaluated if life satisfaction could be a mediator variable in the relation between work addiction and psychological well-being. The results showed the importance of life satisfaction as a variable and that it may attenuate the impact of compulsive and excessive work in the psychological well-being, assisting the understanding of one of the possible protection mechanisms for the psychological health. The set of empirical studies aims to: (1) make important contributions in the Occupational Health Psychology area, mainly in the Brazilian context; (2) an environment characterized by hours and tasks excess may help in the rising of work addiction; (3) both the variables related to labor context and the individual ones composed the explicative model of work addiction, reinforcing, therefore, that work addiction is a psychosocial phenomenon; (4) the importance of intervention that contemplate the balance between labor and extralabor activities in managers as a preventive and rehabilitation measure of psychological health. Keywords: work addiction; workaholism; occupational health; managers. / A presente tese de doutorado tem como objetivo investigar a preval?ncia e os preditores associados ? adi??o ao trabalho em gestores, bem como avaliar se a satisfa??o com a vida seria uma vari?vel mediadora na rela??o entre a adi??o ao trabalho e o bem-estar psicol?gico. Sua composi??o envolve tr?s artigos, estruturados sob forma de se??es. A se??o I apresenta um estudo te?rico que teve como objetivo apresentar uma revis?o sistem?tica da literatura internacional sobre os fatores associados ? adi??o ao trabalho em gestores realizado na base de dados EBSCO. Os resultados demonstram que existem consensos e controv?rsias sobre vari?veis associadas ?s dimens?es da adi??o ao trabalho, evidenciando, assim, a necessidade de um avan?o na agenda de pesquisas acerca da tem?tica, considerando as lacunas identificadas. Na se??o II, s?o apresentados dois artigos emp?ricos, tendo o primeiro deles buscado identificar a preval?ncia, verificando se as vari?veis sociodemogr?ficas, laborais, engajamento no trabalho, desempenho profissional, motiva??o e satisfa??o com a vida predizem a adi??o ao trabalho em gestores. Os resultados identificaram que a dimens?o de trabalho excessivo revelou um modelo preditor constitu?do das vari?veis de satisfa??o com a vida, dedica??o, absor??o, horas di?rias de utiliza??o de tecnologias e fun??o atual, enquanto que a dimens?o do trabalho compulsivo foi explicada pelas vari?veis de absor??o, satisfa??o com a vida, horas trabalhadas no final de semana, foco na preven??o e idade do trabalhador. Por sua vez, o segundo estudo emp?rico buscou avaliar se a satisfa??o com a vida poderia funcionar como vari?vel mediadora na rela??o entre a adi??o ao trabalho e o bem-estar psicol?gico. Os resultados indicaram a import?ncia da satisfa??o com a vida como vari?vel que pode atenuar o impacto do trabalho compulsivo e excessivo no bem-estar psicol?gico, auxiliando, com isso, o entendimento de um dos poss?veis mecanismos de prote??o para a sa?de psicol?gica. O conjunto dos estudos emp?ricos e te?ricos aponta para: (1) contribui??es importantes na ?rea da Psicologia da Sa?de Ocupacional, especialmente no contexto brasileiro; (2) um ambiente caracterizado pelo excesso de horas e de tarefas pode auxiliar no surgimento da adi??o ao trabalho; (3) tanto as vari?veis relacionadas ao contexto laboral quanto as individuais compuseram o modelo explicativo da adi??o ao trabalho, refor?ando, portanto, que a adi??o ? um fen?meno psicossocial; (4) a import?ncia de interven??es que contemplem o equil?brio entre atividades laborais e extralaborais em gestores como medida de preven??o e reabilita??o da sa?de psicol?gica.

Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2018-08-08T14:17:43Z No. of bitstreams: 1 SAFIAN_CLAUDIA_ALINE_DIS.pdf: 2337155 bytes, checksum: 87ead8f6373020e0552079ac1ee57eef (MD5) / Approved for entry into archive by Sheila Dias (sheila.dias@pucrs.br) on 2018-08-09T12:39:31Z (GMT) No. of bitstreams: 1 SAFIAN_CLAUDIA_ALINE_DIS.pdf: 2337155 bytes, checksum: 87ead8f6373020e0552079ac1ee57eef (MD5) / Made available in DSpace on 2018-08-09T13:06:32Z (GMT). No. of bitstreams: 1 SAFIAN_CLAUDIA_ALINE_DIS.pdf: 2337155 bytes, checksum: 87ead8f6373020e0552079ac1ee57eef (MD5) Previous issue date: 2018-03-07 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Introduction: Brazil has undergone considerable changes in the age distribution of its population, with the elderly being responsible for almost 26 million inhabitants. Allied to this reality, is a series of nutritional disorders in this population segment. An important factor related to quality of life and healthy aging is good nutrition throughout life. Objective: To observe the possible relationship between the nutritional status and the body composition of the longevity. Methodology: This is a descriptive, cross-sectional and analytical study, with elderly individuals aged 90 years or older. The instruments used were the Mini Nutritional Assessment to evaluate nutritional status, Anthropometry to evaluate weight, height and BMI, and bioimpedance to evaluate body composition. Results: The sample consisted of 72 elderly individuals, with a mean age of 93.7 years, most female(72%), white (82%) and widowed (64%). Of the total longevity, 19.4% were classified with nutritional risk based on the Mini Nutritional Assessment. All anthropometric parameters presented lower averages among participants with nutritional risk. Regarding the bioimpedance parameters, in general the risk-free individuals presented higher averages of weight, maximum ideal weight, minimum ideal weight, BMI, lean mass, fat mass, percentage of fat mass and minimum percentage of fat mass. Conclusions: It was observed that most of the longevity were classified without nutritional risk based on MAN. The importance of not only nutritional assessment and diet quality in the multiprofessional care of the longevity, but also the presence of a nutritionist was clear, since the measurement of the nutritional risk in the third age requires the joint analysis of the several existing methods for the nutritional evaluation, in order to obtain global diagnosis and accurate analysis of the nutritional status of the longevity. / Introdu??o:O Brasil vem passando por mudan?as consider?veis na distribui??o et?ria da sua popula??o, sendo os idosos respons?veis por quase 26 milh?es de habitantes. Aliada a essa realidade, encontra-se uma s?rie de desordens nutricionais nesse segmento populacional. Um importante fator relacionado ? qualidade de vida e ao envelhecimento sadio ? a boa nutri??o durante toda a vida. Objetivo:Observar a poss?velrela??o entre o estado nutricional e a composi??o corporal de longevos. Metodologia: Trata-se de um estudo descritivo, transversal e anal?tico, com idosos longevos de idade igual ou superior a 90 anos. Os instrumentos utilizados foram a Mini Avalia??o Nutricional (MAN) para avaliar o estado nutricional, Antropometria para avaliar o peso, altura e IMC, e a Bioimped?ncia para avaliar a composi??o corporal.Resultados:A amostra foi composta por 72 idosos longevos, com m?dia de idade de 93,7 anos, a maioria (72%) era mulher, cor branca (82%) e estado civil vi?vo (64%). Do total de longevos, 19,4% foram classificados com risco nutricional com base na Mini Avalia??o Nutricional. Todos os par?metros antropom?tricos apresentaram m?dias menores entre os participantes com risco nutricional. Em rela??o aos par?metros de bioimped?ncia, em geral os indiv?duos sem risco apresentaram maiores m?dias de peso, peso ideal m?ximo, peso ideal m?nimo, IMC, massa magra, massa gorda.Conclus?es:Observou-se que a maioria dos longevos foram classificados sem risco nutricional baseado no MAN. Ficou clara a import?ncia n?o somente da avalia??o nutricional e da qualidade da dieta na aten??o multiprofissional do longevo, mas tamb?m a presen?a de um nutricionista, poisa mensura??o do risco nutricional na terceira idade requer a an?lise conjunta dos diversos m?todos existentes para a avalia??o nutricional, a fim de obter diagn?stico global e an?lise acurada do estado nutricional do longevo.

Submitted by PPG Filosofia (filosofia-pg@pucrs.br) on 2018-09-25T20:17:37Z No. of bitstreams: 1 TES_M?RCIA DE C?SSIA CASSIMIRO.pdf: 2463749 bytes, checksum: 385f8cdc256f0fbd00f0f9b9f4ee466b (MD5) / Approved for entry into archive by Sheila Dias (sheila.dias@pucrs.br) on 2018-09-27T12:04:42Z (GMT) No. of bitstreams: 1 TES_M?RCIA DE C?SSIA CASSIMIRO.pdf: 2463749 bytes, checksum: 385f8cdc256f0fbd00f0f9b9f4ee466b (MD5) / Made available in DSpace on 2018-09-27T12:11:57Z (GMT). No. of bitstreams: 1 TES_M?RCIA DE C?SSIA CASSIMIRO.pdf: 2463749 bytes, checksum: 385f8cdc256f0fbd00f0f9b9f4ee466b (MD5) Previous issue date: 2018-08-29 / This thesis investigates based on Axel Honneth's Theory of Recognition, Conflicts of Interest [COIs] and integrity in the process of emancipation and management of a diversity of border issues such as: disrespect [Mi?achtung] and violation [Verletzung] to the citizen, capable of provoking profound transformations and changes to society in the face of the peculiar characteristics of a concrete social reality of participatory democratic domination. The thesis discusses the impact of violations on patients, research participants, society, and institutions; besides issues related to injustice and dishonesty arising from misconduct. COIs and misconduct provoke political, technical, ethical, and moral offenses when individuals are affected | violated in nonrecognition dynamics. The three patterns [affective, legal, solidarity] can have as consequence: [i] psychic death in the first pattern of [affective] recognition; [ii] social death in the second [legal] standard; and [iii] social humiliation in the third standard [solidarity]. The struggle for recognition is the condition for conflicts to be normative. There are models of justice such as: redistributive; economist, and recognition. But this thesis is delimited around the contribution of recognition to the theoretical confrontation of COIs and integrity. It is presumed that the struggle for recognition is a fundamental element in order to initiate research on COIs and integrity, thus articulating an interdisciplinary approach [Philosophy and Health]. COIs is a set of circumstances or conditions in which professional judgment of a primary interest such as integrity and quality in research tends to be unduly influenced by a secondary interest such as personal financial gain. COIs are classified into primary and secondary interests. Primary interests are determined by the professional duties of the researcher, physician, counselor and other professionals of the institution, and are related to the integrity of these different actors, and to the patient's well-being. Secondary interests are any type of interest that may affect the primary interest priority. They are harmful when they influence, corrupt or distort integrity and affect the judgment of the practitioner in relation to patient health and integrity. In addition to the definition proposed by Emanuel et al. [2008], this research comprehensively covers several areas of knowledge and institutions [universities, pharmaceutical industries, editors, professional and patient associations, and Research Ethics Committees]. Integrity has broad domain with many emphases, and demands commitment from various actors [institution, citizen, governors, patients, development agencies, etc.], that is, it involves a more reflective point of view on guidelines focusing on the development of multiple spheres, abilities or even virtues of the individual. It is imperative to recognize that COIs in clinical research and violations of integrity affect not only health professionals but every society, thus justifying the citizen's struggle not only against social order but against the social place to which, at present, science is being condemned. This is not the sole responsibility of scientists, but of the whole society and in particular of its rulers, researchers and professionals. Partnerships between researchers, teaching and research institutions, universities, patient associations, government, laboratories and universities are important for the development of science. Therefore, there is no pretense of stigmatizing these partnerships involving different actors. / Esta tese investiga com base na Teoria do Reconhecimento de Axel Honneth, os Conflitos de interesses [COIs] e a integridade no processo de emancipa??o e manejo de uma diversidade de quest?es lim?trofes tais como: desrespeito [Mi?achtung] e viola??o [Verletzung] ao cidad?o, capazes de provocar profundas transforma??es e mudan?as ? sociedade em face das caracter?sticas peculiares de uma realidade social concreta de dom?nio democr?tico participativo. A tese discute o impacto das viola??es causadas aos pacientes, aos participantes de pesquisa, a sociedade, e as institui??es; al?m de quest?es relacionadas a injusti?a e desonestidade decorrentes da m? conduta. COIs e m? conduta provocam impasses pol?ticos, t?cnicos, ?ticos, e ofensa moral, quando os indiv?duos s?o afetados | violados em din?micas de n?o reconhecimento [nonrecognition]. Os tr?s padr?es [afetivo, jur?dico, solidariedade] podem ter como consequ?ncia: [i] morte ps?quica no primeiro padr?o de reconhecimento [afetivo]; [ii] morte social no segundo padr?o [jur?dico]; e [iii] humilha??o social no terceiro padr?o [solidariedade]. A luta por reconhecimento ? a condi??o para que os conflitos sejam normativos. H? modelos de justi?a tais como: redistributivo; economicista, e de reconhecimento. Mas esta tese ? delimitada em torno da contribui??o do reconhecimento para o enfrentamento te?rico dos COIs e da integridade. Presume-se que a luta por reconhecimento constitui elemento fundamental para instanciar a investiga??o sobre COIs e integridade, articulando desta forma uma abordagem interdisciplinar [Filosofia e Sa?de]. COIs ? um conjunto de circunst?ncias ou condi??es nas quais o julgamento profissional de um interesse prim?rio como integridade e qualidade na pesquisa tende ser influenciado indevidamente por um interesse secund?rio, como ganho financeiro pessoal. Os COIs s?o classificados em interesses prim?rios e secund?rios. Os interesses prim?rios s?o determinados pelos deveres profissionais do pesquisador, m?dico, orientador e demais profissionais da institui??o, e est?o relacionados ? integridade destes distintos atores, e ao bem-estar do paciente. Os interesses secund?rios s?o qualquer tipo de interesse que possa afetar a prioridade do interesse prim?rio. S?o prejudiciais quando influenciam, corrompem ou distorcem a integridade e afetam o julgamento do profissional em rela??o ? sa?de do paciente, e a integridade. Para al?m da defini??o proposta por Emanuel et al. [2008], de maneira ampla esta pesquisa abrange diversas ?reas do conhecimento e institui??es [universidades, ind?strias farmac?uticas, editores, associa??es profissionais e de pacientes, e Comit?s de ?tica em Pesquisa]. Integridade possui dom?nio amplo com v?rias ?nfases, e demanda compromisso de diversos atores [institui??o, cidad?o, governantes, pacientes, ag?ncias de fomento, etc.], ou seja, envolve um ponto de vista mais reflexivo sobre diretrizes com foco no desenvolvimento de m?ltiplas esferas, capacidades ou mesmo virtudes do indiv?duo. ? imprescind?vel reconhecer que os COIs em pesquisa cl?nica e as viola??es de integridade n?o afetam apenas os profissionais da sa?de, mas toda sociedade, justificando assim a luta do cidad?o n?o apenas contra a ordem social, mas contra o lugar social ao qual, na atualidade, a ci?ncia est? sendo condenada. Esta n?o ? uma responsabilidade exclusiva dos cientistas, mas de toda a sociedade e em particular dos seus governantes, pesquisadores e profissionais. Parcerias entre pesquisadores, institui??es de ensino e pesquisa, universidades, associa??es de pacientes, governo, laborat?rios e universidades s?o importantes para o desenvolvimento da ci?ncia. Portanto, n?o h? pretens?o de estigmatizar estas parcerias envolvendo distintos atores.

Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2018-11-26T10:29:25Z No. of bitstreams: 1 CEOLIN_JAMILE_DIS.pdf: 5734789 bytes, checksum: a5fc91e4d004e1c48342aa425f83a4e8 (MD5) / Approved for entry into archive by Sheila Dias (sheila.dias@pucrs.br) on 2018-11-28T11:06:54Z (GMT) No. of bitstreams: 1 CEOLIN_JAMILE_DIS.pdf: 5734789 bytes, checksum: a5fc91e4d004e1c48342aa425f83a4e8 (MD5) / Made available in DSpace on 2018-11-28T11:14:21Z (GMT). No. of bitstreams: 1 CEOLIN_JAMILE_DIS.pdf: 5734789 bytes, checksum: a5fc91e4d004e1c48342aa425f83a4e8 (MD5) Previous issue date: 2018-03-28 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Performance of anthropometric indicators in the prediction of metabolic syndrome in elderly people attended basic care. 2018. 118f. Dissertation (Master in Biomedical Gerontology) - Escola de Medicina da Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2018. Introduction: Metabolic syndrome (MetS) is frequent among the elderly and is associated with negative outcomes such as cardiovascular morbidity, cancer and mortality. Studies have demonstrated the performance of anthropometric indicators in the prediction of metabolic syndrome, however, studies involving the elderly population in general and Brazilian in particular are insipient. Objectives: To describe the frequency of MetS and its components in elderly patients assisted in basic care and to determine the performance of anthropometric indicators in the prediction of metabolic syndrome. Methods: This is a cross-sectional study with 479 elderly people who were evaluated in the Epidemiological and Clinical Study of the Elderly Attended by the Family Health Strategy of the Municipality of Porto Alegre (EMI-SUS). For the diagnosis of MetS, the revised NCEP-ATPIII criterion was used. The variables under investigation were: MetS and its components (central obesity, decreased HDL-c and triglycerides, high blood pressure and glucose); (age, sex and age) and five anthropometric indicators (neck circumference, sagittal abdominal diameter (SAD), SAD/height ratio, sagittal index and conicity index]. The predictive power and cut-off points of the anthropometric indicators were determined using Receiver Operating Characteristic (ROC) curves. The anthropometric indicators that presented area under the curve (auROC)> 0.70 were considered as adequate performance. Results: The majority of the sample was female (63.5%) and had MetS (60.5%). The most frequent MetS was high blood pressure (69.5%) and the least frequent was decreased HDL cholesterol (34.9%). In the total sample, the anthropometric indicators that demonstrated adequate performance were SAD/height (cutoff point: 0.14, auROC: 0.810, 95% CI: 0.771-0.850), SAD (cut-off point: 24.65 cm, 0.777, 95% CI: 0.734-0.820) and conicity index (cut-off point: 1.57, aROC: 0.706, 95% CI: 0.660-0.753). In females, anthropometric indicators with adequate performance were the SAD (cut-off point: 23.34 cm, auROC: 0.820, 95% CI: 0.766-0.875), SAD/height (cutoff point: 0.13, auROC: 0.810 , 95% CI: 0.755-0.865), neck circumference (cutoff point: 34.09 cm, auROC: 0.782, 95% CI: 0.727-0.838), and conicity index (cutoff point: 1.56, auROC: 0.727; 95% CI: 0.666-0.788). In males, the indicators with adequate performance were SAD/height (cutoff point: 0.14, auROC: 0.768, 95% CI: 0.695-0.841), SAD (cutoff point: 25.04 cm, auROC: 0.760; %: 0.685-0.835), and conicity index (cutoff point: 1.61, auROC: 0.724, 95% CI: 0.649-0.799). Conclusions: The elderly attending the Family Health Strategy had a high frequency of metabolic syndrome (60.5%). It was observed that, of the five anthropometric indicators investigated, three (SAD/height, SAD, and conicity index) performed well in the total sample, four (SAD, SAD/height, neck circumference and conicity index) in women and three in men (SAD/height, SAD and conicity index). That is, SAD, SAD/height and conicity index were adequate in all three segments. / Desempenho de indicadores antropom?tricos na predi??o de s?ndrome metab?lica em idosos assistidos na aten??o b?sica. 2018. 118f. Disserta??o (Mestrado em Gerontologia Biom?dica) ? Escola de Medicina da Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2018. Introdu??o: A s?ndrome metab?lica (SM) ? frequente entre idosos e associa-se a desfechos negativos como morbidades cardiovasculares, c?ncer e mortalidade. Estudos t?m demonstrado o desempenho de indicadores antropom?tricos na predi??o de s?ndrome metab?lica, contudo, estudos envolvendo a popula??o idosa em geral e brasileira em particular s?o insipientes. Objetivos: Descrever a frequ?ncia de SM e de seus componentes em idosos assistidos na aten??o b?sica e determinar o desempenho de indicadores antropom?tricos na predi??o de s?ndrome metab?lica. M?todos: Trata-se de um estudo com delineamento transversal, com 479 idosos que foram avaliados no Estudo Epidemiol?gico e Cl?nico dos Idosos Atendidos pela Estrat?gia Sa?de da Fam?lia do Munic?pio de Porto Alegre (EMI-SUS). Para o diagn?stico de SM foi utilizado o crit?rio NCEP-ATPIII revisado. As vari?veis em investiga??o foram: SM e seus componentes (obesidade central, HDL-c diminu?do e triglicer?dios, press?o arterial e glicose elevados); vari?veis demogr?ficas (idade, sexo e faixa et?ria) e cinco indicadores antropom?tricos [circunfer?ncia do pesco?o, di?metro abdominal sagital (DAS), rela??o DAS/estatura (DAS/estatura), ?ndice sagital e ?ndice de conicidade]. O poder preditivo e os pontos de corte dos indicadores antropom?tricos foram determinados por meio de curvas Receiver Operating Characteristic (ROC). Os indicadores antropom?tricos que apresentaram ?rea sob a curva (auROC) >0,70 foram considerados como desempenho adequado. Resultados: A maioria da amostra era do sexo feminino (63,5%) e apresentava SM (60,5%). O componente da SM mais frequente foi press?o arterial elevada (69,5%) e o menos frequente foi HDL-colesterol diminu?do (34,9%). Na amostra total, os indicadores antropom?tricos que demonstraram desempenho adequado foram o DAS/estatura (ponto de corte:0,14; auROC:0,810; IC95%:0,771-0,850), DAS (ponto de corte:24,65 cm; auROC:0,777; IC95%:0,734-0,820) e ?ndice de conicidade (ponto de corte:1,57; auROC:0,706; IC95%:0,660-0,753). No sexo feminino, os indicadores antropom?tricos com desempenho adequado foram o DAS (ponto de corte:23,34 cm; auROC:0,820; IC95%:0,766-0,875), DAS/estatura (ponto de corte:0,13; auROC:0,810; IC95%:0,755-0,865), circunfer?ncia do pesco?o (ponto de corte:34,09 cm; auROC:0,782; IC95%:0,727-0,838) e ?ndice de conicidade (ponto de corte:1,56; auROC:0,727; IC95%:0,666-0,788). No sexo masculino, os indicadores com desempenho adequado foram DAS/estatura (ponto de corte:0,14; auROC:0,768; IC95%:0,695-0,841), DAS (ponto de corte:25,04 cm; auROC:0,760; IC95%:0,685-0,835), e ?ndice de conicidade (ponto de corte:1,61; auROC:0,724; IC95%:0,649-0,799). Conclus?es: Os idosos atendidos na Estrat?gia Sa?de da Fam?lia apresentaram elevada frequ?ncia de s?ndrome metab?lica (60,5%). Observou-se que, dos cinco indicadores antropom?tricos investigados, tr?s (DAS/estatura, DAS, e ?ndice de conicidade) apresentaram bom desempenho na amostra total, quatro (DAS, DAS/estatura, circunfer?ncia do pesco?o e ?ndice de conicidade) nas mulheres e tr?s nos homens (DAS/estatura, DAS e ?ndice de conicidade). Ou seja, DAS, DAS/estatura e ?ndice de conicidade mostraram-se adequados nos tr?s segmentos.

Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-05-12T18:10:35Z No. of bitstreams: 1 AriodaSilvaToledoDissertacao2003.pdf: 905086 bytes, checksum: 1d3c27378fdf449e4cf88420c2eaf0be (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-05-12T18:10:55Z (GMT) No. of bitstreams: 1 AriodaSilvaToledoDissertacao2003.pdf: 905086 bytes, checksum: 1d3c27378fdf449e4cf88420c2eaf0be (MD5) / Made available in DSpace on 2017-05-12T18:10:55Z (GMT). No. of bitstreams: 1 AriodaSilvaToledoDissertacao2003.pdf: 905086 bytes, checksum: 1d3c27378fdf449e4cf88420c2eaf0be (MD5) Previous issue date: 2003-01-01 / The purpose of the present study was to identify the social representations of the Physical Education professional which are built by health professionals so as to determine their concepts and to infer their practice. In order to achieve such goals, a psycho-sociological approach as well as Social Representations and Central Nucleus theories were used. It was concluded with the collection of nuclear and peripheral structural elements, and with the realization of the anchorage of the social representation under study. Ninety volunteer health professionals who work in Teaching and Health Institutions in the Federal District were interviewed. Two research instruments were used. The first one was a questionnaire in order to collect data regarding the multidisciplinary health teams which exist at the researched institutions themselves. The second one was an interview in which the free association technique was used. The inducing term was ???the Physical Education professional???. The data collected was processed by the Evoc (Ensemble de Programmes Permettant l'Analyse des ??vocations) software and later analyzed by the researcher. As a result, it was identified that the images of ???healthy??? and ???physical conditioning??? naturally appeared in the social representations of the Physical Education professional built by health professionals. It was clearly identified that health, physical conditioning, and physical activities are socially as well as historically linked with the Physical Education professional. Those associations with a positive aspect probably will lead to favorable attitudes, not making it difficult for the Physical Education professional to have access to multidisciplinary health teams. / O presente estudo teve como objetivo identificar as representa????es sociais do profissional de educa????o f??sica constru??das por profissionais de sa??de a fim de determinar suas concep????es e inferir suas pr??ticas. Para alcan??ar tais prop??sitos, utilizou-se uma abordagem psicossociol??gica e as teorias das Representa????es Sociais e do N??cleo Central, concluindo-se com a obten????o dos elementos estruturais nucleares e perif??ricos e com a realiza????o da ancoragem da representa????o social em pauta. Foram entrevistados noventa profissionais de sa??de, volunt??rios, que atuam nas Institui????es de Ensino e de Sa??de do Distrito Federal. Foram utilizados dois instrumentos de pesquisa, sendo o primeiro um question??rio para captar informa????es a respeito das equipes multidisciplinares de sa??de existentes nas pr??prias institui????es pesquisadas e o segundo uma entrevista na qual se utilizou a t??cnica livre, tendo como termo indutor ???o profissional de educa????o f??sica???. O dados colhidos foram processados pelo software Evoc (Ensemble de Programmes Permettant l'Analyse des ??vocations) e analisados posteriormente pelo pesquisador. Como resultado, identificou-se que as imagens de ???sa??de??? e ???condicionamento f??sico??? surgiram espontaneamente nas representa????es sociais do profissional de educa????o f??sica, elaboradas pelos profissionais de sa??de. Identificou-se claramente que a sa??de, o condicionamento f??sico e as atividades f??sicas est??o social e historicamente associadas ao profissional de educa????o f??sica. Essas associa????es de aspectos positivos provavelmente conduzir??o a atitudes favor??veis, n??o dificultando o acesso do profissional de educa????o f??sica ??s equipes multidisciplinares de sa??de.

Submitted by Natalie Mendes (nataliermendes@gmail.com) on 2015-07-29T00:25:33Z No. of bitstreams: 1 LUCIANA SOUZA DE FREITAS MACHADO.pdf: 2494481 bytes, checksum: 01ee67e7c3a7c41dd1d27b44964503f7 (MD5) / Made available in DSpace on 2015-07-29T00:25:33Z (GMT). No. of bitstreams: 1 LUCIANA SOUZA DE FREITAS MACHADO.pdf: 2494481 bytes, checksum: 01ee67e7c3a7c41dd1d27b44964503f7 (MD5) Previous issue date: 2013-03-15 / The work is essential to human life, but the context in which it is developed, as well as the interaction of the worker with their work activities can trigger stress, maladjustment and consequent illness. Among the various types of professional activities performed by man, the nursing work in hospitals was chosen as the focus of this work. Amid health workers, studies indicate nursing as one of the occupations with high risk for illness, especially for those who develop their activities in the hospital environment, since this is an institution considered unhealthy due to situations, activities and factors that presents risk. Objective: To estimate the occurrence of health problems reported by the nursing staff (assistants, technicians, nurses) and associated factors in a public hospital in Feira de Santana, Bahia. Methodology: This is an epidemiological study population, cross-sectional, developed in a public hospital. The study in question is derived from the project: "Working conditions and common mental disorders in nursing staff in a public general hospital in Feira de Santana - Bahia", conducted by the State University of Feira de Santana in 2010, which was used the database. The data were processed and analyzed using the Statistical Package for Social Science (SPSS ?) version 9.0 for Windows. Results: The most frequent health complaints were related to musculoskeletal symptoms and mental health. Among the highlights were musculoskeletal complaints: leg pain 66.4% (192) and back pain 61.8% (178). Among the predominant mental health-related mental fatigue 47% (131) 33.7% and nervousness (93). The results showed that nurses had a higher frequency of postural disorders, complaints related to mental health (17.5%) and sleep (13.3%), while technicians - nursing assistants musculoskeletal complaints (19.2%) and injuries as back pain (53.9%) and urinary tract infection (39.9%). Conclusion: The present findings indicate a high rate of illness among nursing workers who may be related to the extensive labor hours and inadequate working conditions, highlighting the need to develop prevention and control of disease as a strategy to improve the quality and life these professionals. / O trabalho ? essencial para a vida humana, no entanto o contexto no qual ? desenvolvido, bem como a intera??o do trabalhador com sua atividade laboral podem desencadear tens?o, desajuste e conseq?ente adoecimento. Dentre os v?rios tipos de atividades profissionais executadas pelo homem, o trabalho de enfermagem em institui??es hospitalares foi escolhido como foco desta pesquisa. Em meio aos trabalhadores da sa?de, estudos apontam a enfermagem como uma das ocupa??es com alto risco para adoecimento, em especial para aqueles que desenvolvem suas atividades no ambiente hospitalar, visto que esta ? uma institui??o considerada insalubre, devido ?s situa??es, atividades e fatores de risco que apresenta. Objetivo: Estimar a ocorr?ncia dos agravos ? sa?de referidos pelos trabalhadores de enfermagem (auxiliares, t?cnicos, enfermeiros) e os fatores associados em um hospital p?blico de Feira de Santana, Bahia. Metodologia: Trata-se de um estudo epidemiol?gico populacional, de corte transversal, desenvolvido em um hospital p?blico. O estudo em quest?o ? derivado do projeto: ?Condi??es de trabalho e transtornos mentais comuns na equipe de enfermagem em um hospital geral p?blico em Feira de Santana ? Bahia?, realizado pela Universidade Estadual de Feira de Santana no ano de 2010, do qual foi utilizado o banco de dados. As informa??es foram processadas e analisadas utilizando-se o software Statistical Package for the Social Science (SPSS?) version 9.0 for Windows. Resultados: As queixas de sa?de mais frequentes estavam relacionadas a sintomas osteomusculares e sa?de mental. Dentre as queixas osteomusculares destacaram-se: dor nas pernas 66,4% (192) e dor nas costas 61,8% (178). Entre as relacionadas ? sa?de mental predominaram cansa?o mental 47% (131) e nervosismo 33,7% (93). Os resultados apontaram que enfermeiros apresentaram maior frequ?ncia de agravos posturais, queixas relacionadas ? sa?de mental (17,5%) e ao sono (13,3%), enquanto t?cnicos - auxiliares de enfermagem queixas osteomusculares (19,2%) e agravos como lombalgia (53,9%) e infec??o urin?ria (39,9%). Conclus?o: Os achados apontaram elevado ?ndice de adoecimento entre os trabalhadores de enfermagem que podem estar relacionados ?s extensas jornadas laborais e as inadequadas condi??es de trabalho, apontando a necessidade de se desenvolverem a??es de preven??o e controle do adoecimento como estrat?gia para melhorar a qualidade e vida destes profissionais.