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Educação profissional em enfermagem: prazer e sofrimento no trabalho docente / Nursing Professional Education: pleasure and suffering in teachingLima, Marcello Antonio Benedini 26 October 2015 (has links)
Mediante as mudanças socioeconômicas ocorridas nas últimas décadas, resultado da globalização da economia, novas configurações à organização do trabalho foram impostas, repercutindo diretamente no modo como os relacionamentos interpessoais acontecem. Nesse contexto, foi realizada a presente pesquisa com o objetivo de compreender e analisar as vivências de prazer e sofrimento no trabalho dos docentes da Educação Profissional de Nível Médio em Enfermagem. A pesquisa, de natureza qualitativa, descritivo exploratória, contou com a participação de oito professores em duas instituições de ensino profissionalizante privadas, localizadas no município de Ribeirão Preto - SP. Em concordância à Resolução 1466/2012 e aprovada pelo Comitê de Ética em Pesquisa da Escola de Enfermagem de Ribeirão Preto - USP, a coleta de dados foi realizada por meio de entrevistas semiestruturadas, gravadas e transcritas com o consentimento dos participantes. O referencial da psicodinâmica do trabalho foi utilizado como base teórica, visando ao aprofundamento nas dinâmicas de prazer e sofrimento resultantes das situações de trabalho, sendo a análise de dados feita por meio da análise de conteúdo temática. Os resultados apresentaram como principais fatores desencadeantes de sofrimento nos professores, a sobrecarga de trabalho, a falta de reconhecimento, a desvalorização social, a má remuneração, além de dificuldades afetivas na relação professor-aluno. Os sentimentos de prazer e gratificação dos docentes emergiram ligados às experiências de reconhecimento e realização pessoal no trabalho e ao bom convívio com os alunos. A partir da investigação de aspectos subjetivos no trabalho dos professores e de sua análise, foram reafirmadas as condições precárias e a sobrecarga de trabalho, às quais os docentes são submetidos, em ratificação à bibliografia existente sobre o tema. Faz-se necessário ressaltar que o sofrimento vivido no trabalho docente pode causar doenças somáticas e psíquicas, entretanto, os resultados da pesquisa também indicaram condições favoráveis à transformação do sofrimento patogênico em sofrimento criativo, por meio da cooperação e do reconhecimento do trabalho dos professores, como presume a teoria psicodinâmica do trabalho / By socio-economic changes in recent decades, as result of economic globalization, new configurations of work organization were imposed, impacting directly on how interpersonal relationships happen. In this context, it was conducted this research in order to understand and analyze the experiences of pleasure and suffering in the work of teachers of Professional Education of Nursing in Middle Level. The research, with qualitative, exploratory descriptive nature, has the participation of eight teachers in two private training institutions, located in Ribeirão Preto - SP. In accordance with Resolution 1466/2012 and approved by the Ethics Committee of the Ribeirão Preto College of Nursing - USP, data collection was carried out through semi-structured interviews, recorded and transcribed with the consent of the participants. The psychodynamics framework of work was used as a theoretical basis, aimed at deepening the dynamics of pleasure and suffering resulting from work situations, and data analysis occurred through content analysis. The results showed as main factors of triggering suffers in teachers, work overload, lack of recognition, social devaluation, poor income, and emotional difficulties in the teacher-student relationship. The feelings of pleasure and gratification of teachers emerged linked to experience of recognition and personal accomplishment in the work and good contact with students. From the research of subjective aspects in the work of teachers and its analysis, were reaffirmed the precarious conditions and work overload, to which teachers are subjected, in ratifying the existing literature on the subject. It is necessary to emphasize that the suffering experienced in teaching can cause somatic and psychic diseases; however, the search results also indicated favorable conditions for the transformation of pathogenic suffering in creative suffering, through cooperation and the recognition of teachers\' work, as presumed by psychodynamic theory work
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Percepções relacionadas à execução de tratamentos endodônticos eletivos e perfis de ansiedade, qualidade de sono e qualidade de vida em alunos de graduação em Odontologia : abordagens quantitativa e qualitativa / Perceptions related to the execution of elective endodontic treatments and anxiety, quality of sleep and quality of life profiles fromundergraduate students from a Dental School : quantitative and qualitative approachesLuz, Luciana Batista January 2016 (has links)
A Endodontia é considerada pelos acadêmicos como uma das especialidades mais difíceis e estressantes do curso de Odontologia. Poucos são os estudos existentes que avaliam os sentimentos e percepções dos alunos quanto à realização de procedimentos endodônticos eletivos, nem mesmo os perfis de ansiedade, qualidade de vida e qualidade de sono nessa população. O presente estudo teve como objetivo avaliar a experiência dos alunos de graduação em Odontologia da Universidade Federal do Rio Grande do Sul (UFRGS)ao realizar tratamentos endodônticos eletivos, bem como os seus perfis de ansiedade, qualidade de sono e qualidade de vida. Para isso, participaram do estudo um total de 43 participantes, sendo 22 provenientes da Clínica Odontológica I (CO-I) e 23 da Clínica Odontológica III (CO-III). Num primeiro momento, os alunos que realizariam atendimentos endodônticos eletivos foram convidados a participar do estudo. Após os participantes concordarem e assinarem o Termo de Consentimento Livre e Esclarecido, o instrumento IDATE-Estado e as escalas analógica visual e numérica para ansiedade pré-operatória foram preenchidas por eles antes de solicitar a presença do paciente no ambulatório. No segundo momento do estudo, correspondente ao final do atendimento, os participantes responderam aos instrumentos: IDATE-Traço, WHOQOL-BREF, DASS-21 e PSQI, além de um questionário para avaliar o nível de confiança para realizar os procedimentos endodônticos eletivos, um formulário específico com o número de tratamentos endodônticos eletivos, os tipos de dentes endodonticamente tratados por eles anteriormente à pesquisa e as escalas analógica visual e numérica para ansiedade pós-operatória O terceiro momento do estudo foi realizado com um sorteio de nove participantes de cada Clínica Odontológica para fazer parte de um grupo focal. Os participantes da CO-III sentiram-se mais confiantes nas etapas de "inserção de medicação intracanal" e "selamento entre sessões" do que os participantes da CO-I. O grupo CO-I teve níveis de qualidade de vida maiores do que o grupo CO-III para o domínio "físico" do WHOQOL-BREF (medianas de 76,79 e 64,30 para os grupos CO-I e CO-III respectivamente). Os participantes da CO-I e CO-III apresentaram pontuações maiores para o IDATE-Estado em comparação com o IDATE-Traço. O grupo de CO-I apresentou níveis de ansiedade maiores no momento pré-operatório, comparado com o momento pós-operatório para as escalas VAS e NRS. Ambos os grupos tiveram perfis de qualidade de sono ruim para o instrumento PSQI.Sendo assim, foi possível observar que a ansiedade pré-operatória para participantes de CO-I era maior do que o momento pós-operatório. Além disso, a ansiedade avaliada pelo IDATE permite concluir que a ansiedade no momento do tratamento endodôntico eletivo é maior do que como eles geralmente se sentem. A partir desta análise, sugere-se que a avaliação curricular deve ser feita periodicamente a fim de tornar o ambiente acadêmico propício a favorecer um aprendizado de qualidade. / According to the undergraduate students, Endodontics is one of the most difficult and stressful areas in Dental School. There are few reports in the current literature that assessed the feelings and perceptions of students on performing endodontic elective procedures. The quality of life and sleep quality profiles were barely described in this population. The aim of this study was to assess the experience of dental students of the Federal University of Rio Grande do Sul (UFRGS) when perform ingroutine endodontic treatments and their anxiety, quality of life and sleep quality profiles. Forty-three participants were enrolled for the research, 22 belonging to the Dental Clinic I (CO-I) and 23 to the Dental Clinic III (CO-III).The students who would perform endodontic elective treatments were invited to join the study. All the participants signed an informed consent for clinical research in humans. Then, the STAI-state, the visual and the numerical analogic scales for pre-operative anxiety were filled by the students. After the patient’s appointment, participants answered the instruments: STAI-Trait, WHOQOL-BREF, DASS-21 e PSQI, and a questionnaire to assess their demographic data, previous experiences on root canal treatment, and the level of confidence to perform routine endodontic treatments and the visual and the numerical analogic scales for post-operative anxiety. Nine participants from each Dental Clinics were invited to join a Focal Group. Participants of CO-III felt more confident to perform "insertion intracanal medication" and the "sealing between sessions" than the participants of the CO-I. The CO-I group showed higher levels of quality of life than the CO-group III for the "physical" domain of the WHOQOL-BREF (medians value: CO-I = 76.79; CO-III = 64.30). The two groups showed high scores for the STAI-state than forthe STAI-Trait. The CO-I group showed higher levels of anxiety in the preoperative period, compared with the postoperative time for VAS and NRS scales. Both groups had poor sleep quality profiles, according to the PSQI instrument. Therefore, it was observed that the pre-operative anxiety in CO-I participants was greater than the post-operative moment. Furthermore, anxiety assessed by STAI showed that anxiety at endodontic elective treatment higher than they usually feel. Based on this analysis, it is suggested that the curriculum evaluation should be done periodically in order to make the academic environment favorable to improve the acquisition of skills in the clinical practice in Endodontics.
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Effects of stress and hormonal factors on the synthesis of heat shock protein 70 in the seabream, sparus sarba.January 1997 (has links)
by Lo Ka-Man. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1997. / Includes bibliographical references (leaves 175-197). / Chapter I --- Title page --- p.i / Chapter II --- Thesis committee --- p.ii / Chapter II --- Acknowledgment --- p.iii-iv / Chapter III --- Abstract --- p.v-vi / Chapter IV --- Table of content --- p.vii-xiv / Chapter V --- List of figures --- p.xv-xviii / Chapter VI --- List of tables --- p.xix-xx / Forewords: / Overall objectives --- p.1 / Introduction on the fish used in this research study --- p.2 / Chapter Chapter 1: --- Literature Review on Biomarkers of Stress in Teleosts --- p.5 / Chapter 1.1 --- Definition of stress --- p.7 / Chapter 1.2 --- Classification of stress indicators --- p.8 / Chapter 1.2.1 --- Primary stress indicators --- p.8 / Chapter 1.2.1.1 --- Molecular stress indicators --- p.8 / Chapter 1.2.1.2 --- Hormonal stress indicators --- p.9 / Chapter (I) --- Corticosteroid --- p.9 / Chapter (II) --- Catecholamines --- p.11 / Chapter 1.2.2 --- Secondary stress indicators --- p.12 / Chapter 1.2.2.1 --- Metabolic changes --- p.12 / Chapter (I) --- Glucose metabolism --- p.13 / Chapter (II) --- Lactic acid --- p.14 / Chapter 1.2.2.2 --- Osmoregulatory changes --- p.15 / Chapter 1.2.2.3 --- Haematological changes --- p.16 / Chapter 1.2.2.4 --- Reproductive changes --- p.17 / Chapter 1.2.3 --- Tertiary stress indicators --- p.18 / Chapter 1.2.3.1 --- Histopathological indicators --- p.18 / Chapter 1.2.3.2 --- Ecological indicators --- p.19 / Chapter 1.3 --- Recent trends on the study of biomarkers --- p.20 / Chapter 1.3.1 --- Use of detoxification enzymes for specific indication of toxic pollutants in aquatic environment --- p.20 / Chapter 1.3.1.1 --- Metallothioneins (MTs) --- p.20 / Chapter 1.3.1.2 --- Cytochrome P450 monoxygenase (CYP450) --- p.21 / Chapter 1.3.2 --- Use of HSP 70 as a biomarker in teleost --- p.22 / Chapter 1.4 --- Future perspectives on the study of biomarkers in fish --- p.24 / Chapter Chapter 2: --- Literature Review on Heat Shock Proteins (HSPs) --- p.28 / Chapter 2.1 --- General Characteristics of HSPs --- p.29 / Chapter 2.1.1 --- HSP90 family --- p.30 / Chapter 2.1.2 --- HSP70 family --- p.31 / Chapter 2.1.3 --- HSP60 family (Chaperonin-60) --- p.32 / Chapter 2.1.4 --- Low-molecular weight HSPs (HSP20) --- p.33 / Chapter 2.2 --- Structure of HSP70 encoding gene --- p.33 / Chapter 2.2.1 --- General characteristics of HSP70-encoding gene --- p.33 / Chapter 2.2.2 --- Heat shock transcription factor (HSF) --- p.35 / Chapter 2.2.3 --- Heat shock elements (HSE) --- p.35 / Chapter 2.3 --- Stress-mediated control of HSP70 transcription --- p.36 / Chapter 2.4 --- Characterization of HSP70 expression in teleost --- p.38 / Chapter 2.4.1 --- Tissues-specific expression of HSP70 in teleost --- p.39 / Chapter 2.4.2 --- Inter-relationship of HSP70 expression with seasonal variation and thermotolerance of teleost --- p.40 / Chapter 2.4.3 --- Induction of HSP70 in teleost upon acute thermal stress --- p.41 / Chapter 2.4.4 --- Induction of HSP70 in teleost by non-thermal stressors --- p.43 / Chapter 2.4.4.1 --- Heavy metal-induced HSP70 expression --- p.43 / Chapter 2.4.4.2 --- Handling stress-induced HSP70 expression --- p.43 / Chapter Chapter 3: --- "Induction of HSP70 in blood cells of seabream, Sparus sarba subjected to in vivo and in vitro thermal stress" --- p.48 / Chapter 3.1 --- Introduction --- p.49 / Chapter 3.2 --- Materials and Methods --- p.52 / Chapter 3.2.1 --- Overall experimental design --- p.52 / Chapter 3.2.2 --- Fish --- p.53 / Chapter 3.2.3 --- Blood sampling --- p.53 / Chapter 3.2.4 --- Preparation of blood cells --- p.54 / Chapter 3.2.5 --- Thermal stress regimes --- p.54 / Chapter 3.2.5.1 --- Time couse of HSP70 induction profile in blood cells after in vitro exposure to thermal stress --- p.54 / Chapter 3.2.5.2 --- HSP70 synthesis in blood cells taken from fish subjected to in vivo hyper- thermic stress --- p.55 / Chapter 3.2.5.3 --- Transcriptional inhibitory effect of actinomycin D on the synthesis of HSP70 in blood cells subjected to in vitro thermal stress --- p.55 / Chapter 3.2.6 --- Protein analysis --- p.56 / Chapter 3.2.7 --- Gel electrophoresis --- p.57 / Chapter 3.2.8 --- Immunoblotting (Western blot analysis) --- p.57 / Chapter 3.2.9 --- Autroradiography --- p.58 / Chapter 3.3 --- Results --- p.59 / Chapter 3.3.1 --- Time course of HSP70 induction profile in blood cells subjected to in vitro thermal treatments --- p.59 / Chapter 3.3.1.1 --- Results of immunoblotting from blood cells of fish acclimated to 26°C --- p.59 / Chapter 3.3.1.2 --- Results of immunoblotting in blood cells from 18°C-acclimated fish --- p.60 / Chapter 3.3.1.3 --- Results of immunoblotting in blood cells from fish acclimated to 20°C --- p.60 / Chapter 3.3.1.4 --- 35S-methionine labelling of de novo protein synthesis in blood cells of fish acclimated to 15 and 20°C --- p.61 / Chapter 3.3.2 --- Blood cell HSP70 levels in 20°C-acclimated fish subjected to in vivo hyperthermic stress --- p.61 / Chapter 3.3.3 --- Transcriptional inhibitory effect of actinomycin D on HSP70 induction in blood cells subjected to in vitro thermal stress --- p.62 / Chapter 3.4 --- Discussions --- p.60 / Chapter 3.4.1 --- Characteristics of HSP70 induction in blood cells of seabream subjected to in vitro temperature stress --- p.72 / Chapter 3.4.1.1 --- Induction profile of HSP70 in blood cells --- p.72 / Chapter 3.4.1.2 --- Time course ofHSP70 induction in blood cells --- p.75 / Chapter 3.4.1.3 --- Effect of acclimation temperature of fish on the induction of HSP70 --- p.76 / Chapter 3.4.2 --- Comparison of HSP70 induction in in vitro and in vivo thermal treatment on blood cells --- p.78 / Chapter 3.4.3 --- "Effect of transcriptional inhibitor, actinomycin D, on the de novo synthesis of HSP70" --- p.80 / Chapter 3.5 --- Conclusions --- p.70 / Chapter Chapter 4: --- "Effects of seasonal variation and transportation stress on level of HSP70, serum glucose and serum Cortisol in seabream, Sparus sarba" --- p.86 / Chapter 4.1 --- Introduction --- p.87 / Chapter 4.2 --- Materials and methods --- p.90 / Chapter 4.2.1 --- Overall experimental design --- p.90 / Chapter 4.2.2 --- Fish and blood sampling --- p.91 / Chapter 4.2.3 --- Preparation of blood samples --- p.92 / Chapter 4.2.4 --- Determination of HSP70 levels in blood cells sampled from seabream upon different seasons --- p.92 / Chapter 4.2.5 --- Immunoblotting analysis --- p.92 / Chapter 4.2.6 --- Enzyme-linked Immnosorbent Assay (ELISA) --- p.93 / Chapter 4.2.7 --- Measurement of serum parameter in seabream --- p.95 / Chapter 4.2.7.1 --- Serum glucose --- p.95 / Chapter 4.2.7.2 --- Serum Cortisol --- p.96 / Chapter 4.3 --- Results --- p.96 / Chapter 4.3.1 --- Determination of HSP70 levels in blood cells sampled from seabream in different seasons --- p.96 / Chapter 4.3.1.1 --- Immunoblotting analysis --- p.96 / Chapter 4.3.1.2 --- Enzyme-linked immunosorbent assay (ELISA) --- p.96 / Chapter 4.3.2 --- Serum analysis of seabream sampled from fish farm in different seasons --- p.98 / Chapter 4.3.2.1 --- Serum glucose --- p.98 / Chapter 4.3.2.2 --- Serum Cortisol --- p.99 / Chapter 4.4 --- Discussions --- p.117 / Chapter 4.4.1 --- Characterization of HSP70 expression in blood cells of seabream --- p.117 / Chapter 4.4.2 --- Dynamicity of HSP70 content and thermo- tolerance of fish in different seasons --- p.118 / Chapter 4.4.3 --- Effect of transportation stress on HSP70 induction in blood cells of seabream --- p.121 / Chapter 4.4.4 --- Dynamicity of serum glucose level in seabream subjected to seasonal variations --- p.123 / Chapter 4.4.5 --- Effect of transportation stress on the serum glucose level of seabream in different seasons --- p.124 / Chapter 4.4.6 --- Dynamicity of senam Cortisol level in seabream subjected to seasonal variations --- p.125 / Chapter 4.4.7 --- Effect of transportation stress on the serum Cortisol level of seabream in different seasons --- p.126 / Chapter 4.4.8 --- "Comments on the use of HSP70, serum Cortisol and serum glucose as biomarkersin environmental supervision" --- p.126 / Chapter 4.5 --- Conclusions --- p.129 / Chapter Chapter 5: --- "In vitro and in vivo effects of Cortisol, dexamethasone and adrenaline on the induction of HSP70 in seabream, Sparus sarba" --- p.131 / Chapter 5.1 --- Introduction --- p.132 / Chapter 5.2 --- Materials and methods --- p.133 / Chapter 5.2.1 --- Overall experimental design --- p.133 / Chapter 5.2.2 --- Acclimation of fish and regimes of treatment --- p.133 / Chapter 5.2.3 --- Serum Cortisol and adrenaline analysis --- p.135 / Chapter 5.2.4 --- "Protein analysis, gel electrophoresis, immuno- blotting and ELISA analysis" --- p.136 / Chapter 5.3 --- Results --- p.137 / Chapter 5.3.1 --- "HSP70 level in blood cells treated with Cortisol, dexamethasone and adrenaline in vitro" --- p.137 / Chapter 5.3.2 --- "Serum hormones and HSP70 level in tissues of fish injected with Cortisol, adrenaline and dexamethasone invivo" --- p.137 / Chapter 5.3.2.1 --- Serum Cortisol and adrenaline level of fish after hormone injections --- p.137 / Chapter 5.3.2.2 --- "HSP70 level in blood cells, brain and liver tissue of fish after hormone injections" --- p.138 / Chapter (I) --- Level of HSP70 in blood cells of fish after hormone injections --- p.138 / Chapter 5.4 --- Discussions --- p.156 / Chapter 5.4.1 --- In vitro and in vivo study of the hormonal effect on HSP70 level in blood cells of seabream --- p.156 / Chapter 5.4.2 --- Hypothetical mechanism of hormone-receptor mediated HSP70 regulation --- p.158 / Chapter 5.4.3 --- In vivo study of the hormonal effect on HSP70 level in blood cells of seabream --- p.160 / Chapter 5.4.4 --- In vivo study on the hormonal effect of HSP70 synthesis in liver of seabream --- p.163 / Chapter 5.4.5 --- In vivo study on the hormonal effect of HSP70 synthesis in brain tissue of seabream --- p.165 / Chapter 5.4.6 --- HSP70 level in different tissues of fish in relation to the induction and sensitivity against stress --- p.166 / Chapter 5.5 --- Conclusions --- p.169 / Chapter Chapter 6: --- Summary --- p.171 / References --- p.175
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Estresse e espiritualidade em pacientes com diagnóstico de câncer de pulmão.Lourenção, Vanessa Cristina 08 July 2015 (has links)
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Previous issue date: 2015-07-08 / Introduction: Stress may have a negative impact on quality of life and spirituality, independently of religion, and is considered an important coping strategy. Cancer diagnostic is a stressor that has an important impact on global or psychosocial functioning. Objective: to assess level of stress and spirituality among patients diagnosed with lung cancer. Patients and method: participants were 52 lung cancer patients receiving treatment at theInstituto do Câncer de São José do Rio Preto – SP. Data collection used a semi-structured interview, a distress thermometer, and the Functional Assessment of Chronic IllnessTherapy-Spiritual Well-Being – FACIT. Results: 57% of the patients were male and age varied between 48 and 88 years (64.29 ± 9.89); treatment duration media was 69.53 days; 82.69% reported a history of smoking and 72% had quit smoking; 88.46% have a religion and all reported to believe in God. For 61.46% of the patients, diagnosis came as “a shock”; all patients stated that religion beliefs influence health and 94% considered themselves as religious/spiritualized. 82.69% considered religiosity an important theme to be discussed by their doctor; 57.69% presented distress (negative stress) during last week, with mainly physical and emotional problems. FACIT mean score was 28.15 (sd=6.78); mean scores for sense and peace were 16,28 (sd = 3.98); mean scores for faith were 12.11 (sd=3.20). Conclusion: most patients were male and smokers, with high levels of stress. The Spirituality Scale scores were below average for sense and peace, when compared to literature and faith above average. / Introdução: O estresse pode afetar negativamente a qualidade de vida e a espiritualidade, independente da religião, é uma importante estratégia de enfrentamento. Receber um diagnóstico de câncer é um estressor que tem importante impacto sobre o funcionamento global ou biopsicossocial do indivíduo. Objetivo: Avaliar nível de estresse e espiritualidade em pacientes com diagnóstico de câncer de pulmão. Casuística e método: participaram 52 pacientes com câncer de pulmão, acompanhados na oncologia clínica do Instituto do Câncer de São José do Rio Preto – SP. Foram utilizados na coleta dos dados: Entrevista Semi-Dirigida; Termômetro de Distresse; Functional Assessment of Chronic Illness Therapy - Spiritual Well-Being - FACIT. Resultados: 57% dos pacientes eram do sexo masculino e a idade variou entre 48 e 88 anos (64,29 ± 9,89); o tempo médio de tratamento foi 69,53 dias; 82,69% relataram história de tabagismo e 72% pararam de fumar; 88,46% seguem alguma religião e todos relataram acreditar em Deus. Para 61,46% o diagnóstico veio como "um choque"; todos afirmaram que as crenças religiosas influenciam na saúde e 94% se consideram pessoas religiosas/espiritualizadas; 82,69% consideram relevante que o médico aborde a questão da religiosidade; 57,69% dos pacientes apresentaram distress (estresse negativo) na última semana, com problemas principalmente físicos e emocionais. Os dados da FACIT indicaram escore médio de 28,15 (±6,78); sentido e paz com média 16,28 (dp = 3,98) e fé com média de 12,11 (dp = 3,20). Conclusão: houve predomínio de pacientes do sexo masculino e tabagistas, com xii importante nível de estresse. A Escala de Espiritualidade apontou aspectos relacionados a "sentido e paz" abaixo da média descrita na literatura e "fé" acima da média.
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A utopia do ensinarConstantino, Elaine 23 March 2018 (has links)
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Previous issue date: 2018-03-23 / The present study aims to verify the stressors of teachers in the classroom with students of inclusion in public schools, in the face of constant complaints of physical and psychological problems presented by these professionals, in addition to the increase in dismissal and difficulties in dealing with inclusion. The research sample was effective teachers of the public education network that were actives for more than three years, graduated in pedagogy and postgraduate in the area of education, with at least one inclusion per class. The research also seeks to raise teachers' absenteeism motives as to how they deal with varied diagnoses in the absence of a multifunctional support team, noting satisfactory teaching / learning outcomes. All the professors participated of their own free will and signed the consent form as requested by the Ethics Committee of “Faculdade de Medicina de São José do Rio Preto” / SP. / presente estudo tem a finalidade de verificar fatores estressores de professores em sala de aula com alunos de inclusão nas escolas públicas, frente a queixas constantes de problemas físicos e psicológicos, apresentados por esses profissionais, além do aumento de abandono de cargo e dificuldades em lidar com a inclusão. A amostra para a pesquisa contou com professores concursados efetivos da rede pública em atuação por mais de três anos, graduados em pedagogia e com pós – graduação na área da educação, com no mínimo uma inclusão por classe. A pesquisa também procura levantar os motivos do absenteísmo dos professores frente ao modo de como lidam com diagnósticos variados na ausência de uma equipe multifuncional de apoio, observando se há resultados satisfatórios de ensino/aprendizagem. Todos os professores participaram de livre e espontânea vontade e assinaram o termo de consentimento conforme requisição do Comitê de Ética da Faculdade de Medicina de São José do Rio Preto/SP.
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Condições de vulnerabilidade sociodemográfica e estresse psicossocial materno como marcadores de risco para morbidade e estado nutricional em lactentes / Socio-demographic conditions of vulnerability and maternal psychosocial stress as risk markers for infant morbidity and nutritional statusJosiane Sales Alves Ferreira 31 July 2018 (has links)
No Brasil, assim como em outros países, vários são os fatores externos associados às condições de saúde e nutrição da população, dentre eles, os fatores sociodemográficos e os fatores maternos, mais especificamente o estresse psicossocial materno. Há evidências que sugerem efeitos a longo prazo tanto do estresse materno quanto das condições sócias do início da vida. O objetivo deste trabalho foi estudar a associação entre os fatores sociodemográficos e o estresse psicossocial materno com o número de internações hospitalares e a nutrição dos lactentes de O a 12 meses, nascidos em condições de vulnerabilidade social no município de São Paulo, SP. Trata- se de um estudo epidemiológico longitudinal, uma coorte de nascimento de base populacional com quatro momentos de avaliação: terceiro trimestre da gestação; segundo, sexto e décimo segundo mês de vida do lactente. Foram avaliados os dados referentes ao nascimento, à alimentação no primeiro ano de vida, aos fatores sociodemográficos e aos transtornos mentais maternos nos períodos gestacional e puerperal de 892 díades mãe-filho. O uso de substâncias e os transtornos ansiosos foram os mais associados às alterações padrão dietético do lactente, com menor aleitamento materno e oferta de alimentos precocemente. A escolaridade materna foi o marcador mais associado com o erro alimentar, mais frequente entre mãe com Ensino Fundamental 11, do que aquelas com mais e menos escolaridade. Solteiras/sem companheiros também tenderam a mais erros alimentares. A violência mostrou- se associada à internação hospitalar. O estudo conclui que o estresse psicossocial materno e a vulnerabilidade sociodemográfica são, portanto, marcadores da morbidade e nutrição do lactente / In Brazil, as in other countries, many are the external factors that are associated with the conditions of health and nutrition of the population. Among them, the focus of this study is the socio-demographic and maternal factors, more specifically the maternal psychosocial stress. There is evidence suggesting long term effects of maternal stress and early social conditions. The aim of this work was to study the association between socio-demographic / maternal psychosocial stress and infant hospitalization, nutrition from O to 12 months, among children who were born in conditions of high social vulnerability in the municipality of Sao Paulo, Brazil. It is a longitudinal epidemiological study, a population based birth cohort, with four moments of assessments: third trimester of pregnancy, second, sixth and twelfth months of life. Data on birth, feeding practices during the first year of life, socio-demographic factors and maternal mental disorders (both during pregnancy and postpartum) of 892 dyads mother-infant were collected. It was seen that substance use and anxiety were associated with inadequate feeding practices - less breastfeeding and earlier weaning. Maternal schooling was a good marker for bad feeding practices, as well as being a single mother. Domestic violence against the pregnant women was associated with hospitalization. In conclusion, maternal social stress and social vulnerability are markers of infant morbidity and nutrition
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Diferença entre gêneros na percepção do estresse e estratégias de coping de pacientes em tratamento quimioterápico para câncer colorretal / Perceived stress and coping differences between genders on colorectal cancer patients undergoing chemotherapyBenavente, Sonia Betzabeth Ticona 09 November 2012 (has links)
O estresse é comum entre pacientes com câncer, especialmente naqueles em tratamento quimioterápico. Assim, cabe mencionar que a percepção, resposta e adaptação ao estresse caracterizam-se por componentes fisiológicos e comportamentais, os quais são determinados por diferentes fatores, incluindo o gênero. Objetivo: Analisar as diferenças entre gêneros na percepção do estresse e as estratégias de coping utilizadas pelos pacientes com câncer colorretal em tratamento quimioterápico. Método: Este estudo tem delineamento transversal e de campo, com abordagem quantitativa. A amostra foi composta de 100 pacientes em tratamento ambulatorial no Hospital A.C. Camargo, formada por 47 mulheres e 53 homens. Após a aprovação pelo Comitê de Ética em Pesquisa da instituição acima referida, deu-se início à coleta de dados. Nesta amostra, foram utilizados um questionário para a coleta dos dados clínicos e sociodemográficos e duas perguntas abertas que se referiam aos sentimentos e preocupações; ainda, foram utilizados a Escala de Estresse Percebido PSS-10 e o Inventário de Estratégias de Coping de Folkman e Lazarus. Nesta pesquisa foram utilizados o qui-quadrado, correlação de Pearson e regressão linear. Resultados: A pontuação do nível de estresse da amostra de estudo foi, em média, 12. Identifica-se que o gênero feminino possui maior nível de estresse, sendo esta diferença estatisticamente significante (p<0,05). Em relação às estratégias de coping, homens utilizaram-nas em maior número e houve diferença estatisticamente significativa (p0,05) para o gênero no domínio Resolução de problemas com predominância do gênero masculino. Finalmente, mediante o modelo de regressão linear para o estresse, gênero e coping, identifica-se que o gênero não está correlacionado com o estresse; porém, com o domínio Confronto, a correlação é positiva. Já com os domínios Resolução de problemas e Reavaliação positiva, a correlação é negativa. A partir da análise qualitativa, verificamos que a maioria dos pacientes consideram a quimioterapia um processo difícil, porém necessário para sua melhoria e posterior restabelecimento. Encontrou-se diferença estatisticamente significativa na categoria outros aspectos da experiência negativa, com predomínio do gênero masculino. Em relação ao suporte utilizado, identifica-se diferença estatisticamente significativa com a prática religiosa com predomínio das mulheres. Conclusão: Mediante estes resultados, podemos afirmar que, o gênero feminino possui maior nível de estresse, o gênero masculio utiliza em maior número de estratégias de coping e houve diferença estatisticamente significativa no domínio Resolução de problemas com predominância do gênero masculino e, embora a quimioterapia seja um tratamento agressivo, a utilização das estratégias de coping orientadas à resolução de problemas e à reavaliação positiva diminui os níveis de estresse de forma eficaz. Portanto, as intervenções da equipe de saúde devem ser orientadas a motivar e fortalecer nos pacientes essas duas estratégias. / Among cancer patients, stress is common, specially between the ones undergoing chemotherapy. Thus, we can say that the perception, response, and adaptation to stress are characterized by physiological and behavioral components, that are determined by several factors, including the gender. Aim: To analyze gender differences on stress perception and coping strategies used by colorectal cancer patients undergoing chemotherapy. Method: This research is a cross sectional study, on field, with quantitative approach. The sample was composed of 100 ambulatorial patientes of A. C. Camargo Hospital, with 47 women and 53 men. After approval from Ethics on Research Committee from above institution, was begun the data collection. In this sample, were used a socio-demographic and clinical questionnaire, and two open questions about feelings and worries; were used too, the Perceived Stress Scale PSS-10 and the Folkman and Lazarus Ways of Coping Questionnaire. The chi squared, Pearson correlation and linear regression analysis were used to analyse the data. Results: The average stress level score was 12. Female gender has greater stress level, statistically significant (p<0.05). Regarding the coping strategies, men used more variety, with statistically significant difference (p0.05) for the domain Planful problem-solving with male predominance. Finally, through the linear regression model for stress, gender and coping, was identified that gender have no correlation with stress; however, with the Confrontative coping there is a positive correlation. For the Planful problem-solving and Positive reappraisal, the correlation is negative. From the qualitative analysis, was verified that majority of patients consider the chemotherapy a dificult process, but necessary for his improvement and recuperation. A statistically significant difference was identified, at the category other issues of negative experience, having male gender predominance. Regarding to the use of supporting, the women have predominance statistically significant at spiritual support. Conclusion: From this results, we can state that, female gender has greater stress level, regarding the coping strategies, men used more variety, with statistically significant difference for the domain Planful problem-solving with male predominance and despite that chemotherapy is a aggressive treatment, using \"Planful Problem-Solving\" and \"Possitive Reappraisal\" coping strategies, reduces the stress level effectively. Consequently, the health care team interventions should be targeted to motivate and strengthen this strategies in the patients.
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High school teachers' perceptions of their working environment in Newfoundland : a grounded theory study /Younghusband, Lynda J., January 2005 (has links)
Thesis (Ph.D.)--Memorial University of Newfoundland, 2005. / Bibliography: leaves 206-219.
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Predicting child cognitive development in low-income families /Wacharasin, Chintana. January 2001 (has links)
Thesis (Ph. D.)--University of Washington, 2001. / Vita. Includes bibliographical references (leaves [109]-122).
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The association between stress and physical fitness testing in the 2005 Department of Defense population survey.Johnson, Valerie Victoria Tigno. Herbold, John R., Gimeno, David January 2009 (has links)
Source: Masters Abstracts International, Volume: 47-06, page: 3549. Adviser: John R. Herbold. Includes bibliographical references.
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