When an energy simulation is performed for buildings it generates in lower energy consumption than what is later measured. This can often be a problem because of the building regulations which have requirements on the specific energy consumption. What distinguishes the newly built care and nursing accommodation Furugården, the building that the study deals with, is that it is differs from the normal case by having a lower measured energy consumption than what was originally planned. This study aims to find out which parts of the building's technical systems and residents' behavior that contributes to the low energy demand by means of the building energy simulation program BV2, a survey and monitored energy consumption. It can be concluded that the users' behavior has a great impact on the building's low energy consumption. Their behaviors were determined by surveys. It is mainly the low hot tap water usage that contributes to the low energy.

Vår åldrande befolkning har ett ökande behov av vårdande för att upprätthålla sitt välbefinnande. Kanske kan djur användas som en del av vårdandet för att främja boendes välbefinnande inom äldrevården. Bakgrund: Historiskt har djur oftast använts inom psykiatrin och då framförallt i vården av barn. Under 1990-talet började det bli vanligt att införa sällskapsdjur inom äldrevården och mycket forskning publicerades, som pekade på hälsofrämjande effekter av djurassisterat vårdande. Syfte: Syftet med detta examensarbete var att beskriva den inverkan djurassisterat vårdande kan ha på boendes välbefinnande inom äldrevården. Metod: En systematisk litteraturstudie genomfördes för att besvara syfte och frågeställning. Data samlades in både manuellt och genom databassökning. Endast vetenskapliga forskningsartiklar inkluderades och datamaterialet var både kvantitativt och kvalitativt. Datamaterialet analyserades för att identifiera kategorier. Resultat: Nio kategorier identifierades varav åtta beskriver hur djurs medverkan i vården främjat välbefinnande hos äldre. Den nionde kategorin beskriver på vilka sätt djuren orsakat uttryck för illabefinnande. Slutsats: Fördelarna med djurassisterat vårdande uppvägde nackdelarna med god marginal, vilket gör att författarna anser att examensarbetets resultat pekar på att djurassisterat vårdande kan användas i praktiken för att främja boendes välbefinnande inom äldrevården. / Our ageing population have an increasing need of caring to maintain their sense of well-being. Companion animals have the ability to listen without judging, they can offer friendship and make the elders feel needed. Background: Historically, animals have been used in the psychiatric setting and foremost when caring for children. During the 1990s, introduction of animals into the nursing home setting became common and a substantial amount of research was published, indicating health-promoting effects of animal-assisted caring. Aim: The aim of this exam paper was to describe the potential impact of animal-assisted caring on well-being of older adults in the nursing home setting. Method: A systematic review was conducted in response to the aim and study question. Data was collected both manually and by searching a database. Only research-based journal articles were included and both quantitative and qualitative data was retrieved. The data was analyzed to identify categories. Results: Nine categories were identified including eight categories describing how animal contribution led to promotion of well-being among the elderly. The ninth category describes the ways animal-assisted caring caused expressions of ill-being. Conclusion: The benefits of animal-assisted caring outweighed the disadvantages by far, which led the authors to conclude that the results of this exam paper supports the implementation of animal-assisted caring in practice to promote well-being in elderly nursing home residents.

Tinkamas informacijos apie maistą pateikimas, įskaitant maisto produktų ženklinimą, yra svarbi priemonė skatinti sveikatą stiprinantį gyvenimo būdą ir užtikrinti saugų maisto produktų vartojimą. Lietuvoje atliktų tyrimų duomenys rodo, kad ligų profilaktikos tikslu maisto produktus renkasi tik nedidelė dalis gyventojų, tačiau trūksta duomenų apie tai, kokios yra gyventojų maisto produktų pasirinkimo sąsajos su informacija apie maistą. Šio darbo tikslas – ištirti ir įvertinti informacijos apie maistą sąsajas su Lietuvos suaugusių gyventojų maisto produktų pasirinkimu visuomenės sveikatos požiūriu. Tyrimo rezultatai rodo, kad daugumos Lietuvos suaugusių gyventojų nuomone, maisto produktų ženklinimo informacija nėra visiškai suprantama ir aiškiai įskaitoma. Lietuvos suaugę gyventojai kaip labiausiai maisto produktų pasirinkimui darančią įtaką ženklinimo informaciją nurodė maisto produktų tinkamumo vartoti terminą, kainą ir kilmės šalį. Daugiau kaip pusė jų pageidauja, kad ženklinant maisto produktus būtų pateikiama maistingumo informacija. Labiausiai pageidaujama informacijos apie maisto produkto energinę vertę, riebalus, cholesterolį ir vitaminus. Daugiau moterų negu vyrų, aukštesnį išsilavinimą negu žemesnį išsilavinimą turinčių gyventojų domisi informacija apie maisto produktų maistingumą. Vertinant visuomenės sveikatos požiūriu, nenustatyta reikšmingų sąsajų tarp Lietuvos suaugusių gyventojų nuomonės apie informaciją apie maistą ir jų mitybos įpročių, tačiau sveikiau... [toliau žr. visą tekstą] / Appropriate provision of information regarding food, including foodstuff labeling, is considered to be an efficient tool to promote healthy lifestyle and ensure a safe use of foods. Research conducted in Lithuania indicate that just a small percentage of Lithuanian residents choose foods to prevent disease, however, there is a lack of data concerning the links between food information and the choice of foods of Lithuanian adults. The aim of the study is to investigate and evaluate the links between food information and choice of foodstuffs from a public health viewpoint. The results of the research show, that most of Lithuanian adult residents consider that food labelling information is not fully comprehensible and legible. Lithuanian adult residents reported that their food choice is mostly influenced by the minimum durability date, price and country of origin. More than half of Lithuanian adult residents wish nutrition labelling information to be presented on food labels. Females more than males, higher educated persons more than lower educated persons are interested in nutrition labelling information. From the public health viewpoint, significant links between Lithuanian adult residents’ dietary habits and their attitudes towards information about food were not found, however, those who had a healthier diet were more likely to wish nutrition labelling, its placement on the most visible side of the food package and information not only about fats, carbohydrates, proteins... [to full text]

Appropriate provision of information regarding food, including foodstuff labeling, is considered to be an efficient tool to promote healthy lifestyle and ensure a safe use of foods. Research conducted in Lithuania indicate that just a small percentage of Lithuanian residents choose foods to prevent disease, however, there is a lack of data concerning the links between food information and the choice of foods of Lithuanian adults. The aim of the study is to investigate and evaluate the links between food information and choice of foodstuffs from a public health viewpoint. The results of the research show, that most of Lithuanian adult residents consider that food labelling information is not fully comprehensible and legible. Lithuanian adult residents reported that their food choice is mostly influenced by the minimum durability date, price and country of origin. More than half of Lithuanian adult residents wish nutrition labelling information to be presented on food labels. Females more than males, higher educated persons more than lower educated persons are interested in nutrition labelling information. From the public health viewpoint, significant links between Lithuanian adult residents’ dietary habits and their attitudes towards information about food were not found, however, those who had a healthier diet were more likely to wish nutrition labelling, its placement on the most visible side of the food package and information not only about fats, carbohydrates, proteins... [to full text] / Tinkamas informacijos apie maistą pateikimas, įskaitant maisto produktų ženklinimą, yra svarbi priemonė skatinti sveikatą stiprinantį gyvenimo būdą ir užtikrinti saugų maisto produktų vartojimą. Lietuvoje atliktų tyrimų duomenys rodo, kad ligų profilaktikos tikslu maisto produktus renkasi tik nedidelė dalis gyventojų, tačiau trūksta duomenų apie tai, kokios yra gyventojų maisto produktų pasirinkimo sąsajos su informacija apie maistą. Šio darbo tikslas – ištirti ir įvertinti informacijos apie maistą sąsajas su Lietuvos suaugusių gyventojų maisto produktų pasirinkimu visuomenės sveikatos požiūriu. Tyrimo rezultatai rodo, kad daugumos Lietuvos suaugusių gyventojų nuomone, maisto produktų ženklinimo informacija nėra visiškai suprantama ir aiškiai įskaitoma. Lietuvos suaugę gyventojai kaip labiausiai maisto produktų pasirinkimui darančią įtaką ženklinimo informaciją nurodė maisto produktų tinkamumo vartoti terminą, kainą ir kilmės šalį. Daugiau kaip pusė jų pageidauja, kad ženklinant maisto produktus būtų pateikiama maistingumo informacija. Labiausiai pageidaujama informacijos apie maisto produkto energinę vertę, riebalus, cholesterolį ir vitaminus. Daugiau moterų negu vyrų, aukštesnį išsilavinimą negu žemesnį išsilavinimą turinčių gyventojų domisi informacija apie maisto produktų maistingumą. Vertinant visuomenės sveikatos požiūriu, nenustatyta reikšmingų sąsajų tarp Lietuvos suaugusių gyventojų nuomonės apie informaciją apie maistą ir jų mitybos įpročių, tačiau sveikiau... [toliau žr. visą tekstą]

Objectif : L'évaluation de l'acuité visuelle (AV) chez la personne âgée atteinte de troubles cognitifs peut être limitée par le manque de collaboration ou les difficultés de communication du patient. Très peu d'études ont examiné l'AV chez les patients atteints de déficits sévères de la cognition. L’objectif de cette étude était d’évaluer l'AV chez la personne âgée vulnérable ayant des troubles cognitifs à l'aide d'échelles variées afin de vérifier leur capacité à répondre à ces échelles. Méthodes: Trois groupes de 30 sujets chacun ont été recrutés. Le premier groupe était constitué de sujets jeunes (Moy.±ET: 24.9±3.5ans) et le second, de sujets âgés (70.0±4.5ans), ne présentant aucun trouble de la cognition ou de la communication. Le troisième groupe, composé de sujets atteints de démence faible à sévère (85.6±6.9ans), a été recruté au sein des unités de soins de longue durée de l’Institut Universitaire de Gériatrie de Montréal. Le test du Mini-Mental State Examination (MMSE) a été réalisé pour chaque sujet afin de déterminer leur niveau cognitif. L’AV de chaque participant a été mesurée à l’aide de six échelles validées (Snellen, cartes de Teller, ETDRS-lettres,-chiffres,-Patty Pics,-E directionnel) et présentées selon un ordre aléatoire. Des tests non paramétriques ont été utilisés afin de comparer les scores d’AV entre les différentes échelles, après une correction de Bonferroni-Holm pour comparaisons multiples. Résultats: Le score moyen au MMSE chez les sujets atteints de démence était de 9.8±7.5, alors qu’il était de 17.8±3.7 et 5.2±4.6 respectivement, chez les sujets atteints de démence faible à modérée (MMSE supérieur ou égal à 13; n=11) et sévère (MMSE inférieur à 13; n=19). Tous les sujets des groupes 1 et 2 ont répondu à chacune des échelles. Une grande majorité de sujets avec démence ont répondu à toutes les échelles (n=19) alors qu’un seul sujet n’a répondu à aucune échelle d’AV. Au sein du groupe 3, les échelles d’AV fournissant les scores les plus faibles ont été les cartes de Teller (20/65) et les Patty Pics (20/62), quelque soit le niveau cognitif du sujet, alors que les meilleurs scores d’AV ont été obtenus avec les échelles de Snellen (20/35) et les lettres ETDRS (20/36). Une grande proportion de sujets avec démence sévère ont répondu aux cartes de Teller (n=18) mais le score d’AV obtenu était le plus faible (20/73). Au sein des trois groupes, l’échelle de lettres-ETDRS était la seule dont les scores d’AV ne différaient pas de ceux obtenus avec l’échelle de Snellen traditionnelle. Conclusions: L’acuité visuelle peut être mesurée chez la personne âgée atteinte de troubles cognitifs ou de la communication. Nos résultats indiquent que les échelles les plus universelles, utilisant des lettres comme optotypes, peuvent être utilisées avec de bons résultats chez les personnes âgées atteintes de démence sévère. Nos résultats suggèrent de plus que la mesure d’acuité visuelle doit être tentée chez toutes les personnes, peu importe leur niveau cognitif. / Purpose: The evaluation of visual acuity (VA) in cognitively impaired older individuals may be limited by a reduced ability to cooperate or communicate. To date, no study has been performed to guide the clinician as to which VA chart to use in older individuals with moderate to severe dementia. This is important knowing that dementia affects more than 30% of seniors above 85 yrs of age, many of whom will be affected by the most severe stages of the disease. The objective of this research was to assess VA in older institutionalized individuals with moderate to severe dementia, using various acuity charts, and to verify their ability to respond to each of these charts. Methods: Three groups of 30 subjects each were recruited. The first group consisted of young subjects (Avg ± SD: 24.9 ± 3.5 yrs) and the second one, older subjects (70.0 ± 4.5 yrs) with no history of cognitive or communication disorders. The third group (85.6 ± 6.9 yrs) included subjects with mild to severe dementia residing in long-term care units. The Mini Mental-State Examination (MMSE) was performed for each institutionalized subject to verify their cognitive level. The VA of each participant was measured using six validated VA charts (Snellen, Teller cards, ETDRS-letters, -numbers, -Patty Pics, -Tumbling E's) presented in random order. Non parametric tests were used to compare VA scores obtained between the various charts, after Bonferroni-Holm corrections for multiple comparisons Results: The average MMSE scores of subjects with dementia was 9.8 ± 7.5, while it was 17.8 ± 3.7 and 5.2 ± 4.6, for those with mild to moderate (MMSE ≥ 13; n=11) and severe (MMSE < 13; n= 19) dementia. All subjects in groups 1 and 2 responded to each of the charts. A large proportion of subjects with dementia responded to all charts (n= 19) while only one did not respond to any chart. In group 3, VA charts with the lowest scores were the Teller cards (20/65) and Patty Pics (20/62), regardless of the level of dementia, while the best VA scores were obtained with the Snellen (20/35) and ETDRS-letter (20/36) charts. More subjects with severe dementia responded to the Teller cards (n= 18) but the VA obtained was the lowest (20/73). Across all groups, the ETDRS-letter chart was the only one whose scores did not differ from those obtained with the standard Snellen chart. Time to read the letter charts was faster than for the other optotypes. Conclusions: Visual acuity can be measured, and should at least be attempted, in older cognitively impaired individuals having a reduced ability to communicate. Our results indicate that the most universal scales, using letters as optotypes, can be used with good results in people with more severe dementia. Testing requires, however, more time and encouragement in individuals with more severe cognitive deficits in order to obtain and maintain their collaboration.

This study investigates the reasons for apparent differences in entrepreneurship rates in rural and urban areas using a Survey of Rural Kentucky Residents (SRKR) and the Panel Study of Entrepreneurial Dynamics (PSED) data. We estimate the determinants of dissimilar characteristics for rural and urban areas in two aspects: one is individual and contextual resources; the other is cultural tendencies of resources. The results of the analysis suggest that the difference in available individual, economic, and social support resources does not explain the observed difference in entrepreneurship rate. The results also indicate that gender, ethnicity, income, and number of children in the family have different effects on entrepreneurial intentions in rural and urban settings. The results suggest that policy makers need to account for cultural or geographical differences when designing entrepreneurial educational and support programs in order to enhance the establishment of new business between rural and urban areas.

This study was designed to answer the following research questions: "Are those at risk for coronary heart disease being screened for high blood cholesterol?" and "Are those with high blood cholesterol being treated according to the national guidelines?" The importance of early detection and treatment of high blood cholesterol is vital for preventive health care. A chart review of patient records was conducted to determine the behavior of the family practice residents. From the analysis of data it was determined that the residents screened their patients 83.0% of the time and when compared with national guidelines, treated those patients identified with high blood cholesterol 52.8% of the time. Third year residents screened their patients more (88.7%) for blood cholesterol than first (82.1%) or second (74.7%) year residents. Male residents screened a higher percent of their patients (84.8%) than female residents (75.0%). / Department of Physiology and Health Science

This basic qualitative study examines the parental investment strategies of first-generation African American rural college graduates in cultivating college student success. Extant literature has demonstrated that the role of the family is necessary to support the college student and that the investment of the parent is paramount to student college completion. Although educational attainment is an important goal for African American rural residents, research detailing strategies that cultivated student college completion among this population is needed to fill the gaps in the literature. The objectives were to discuss communication, involvement, and factors of influence to determine how these parents transferred their educational beliefs to their children and supported them through college graduation. These stories of success were told through the eyes of first-generation parents and their second-generation adult offspring. Research detailing the parental investment strategies toward college completion is necessary to inform parents, educational institutions, and rural college student completion in postsecondary institutions of the strategies necessary to ensure college success in this population. Lieberman’s transgenerational theory, along with concepts extracted from parental investment as it relates to education, provided the conceptual lens for the study. Data collected through interviews and documents were analyzed utilizing content analysis. Ten semistructured interviews were conducted with parents and their adult offspring. Interviews gleaned the lived experiences of the participants. Data analysis revealed six themes: (a) Catch Them Early, (b) Set the Tone, (c) Keep Them Busy, (d) Don’t Let Them “Break Rank,” (e) Encourage Advancement, and (f) Tell the Generations. The findings support the importance of developing a family investment team, how a return on parental investment occurs, making use of rural extracurricular programming, and transferring positive beliefs regarding higher education.

Orientador: José Walter Canoas / Banca: Maria Ângela Rodrigues Alves de Andrade / Banca: Alfredo Argus / Resumo: O objetivo deste trabalho de pesquisa é discutir a importância da organização comunitária para a busca de melhor qualidade de vida, na cidade de Franca/SP. Para o estudo, foram escolhidos dois bairros: o Conjunto Habitacional Jardim Palma e o Parque Residencial Santa Maria, ambos construídos no final da década de oitenta e início da década de noventa. Período em que a cidade estava se expandindo, devido a grande concentração de pessoas na zona urbana, em decorrência do emprego nas indústrias calçadistas. Para abordar a qualidade de vida destes bairros, houve a necessidade de discutir, primeiramente, os significados do termo qualidade e qualidade de vida, fazendo uma relação com a concepção de desenvolvimento humano que norteiam parcialmente o cálculo dos Índices de Desenvolvimento Humano (IDH), apontados pelo Programa das Nações Unidas para o Desenvolvimento (PNUD), como instrumento de medição da qualidade de vida dos países. Utilizando algumas informações do IDH e do Índice de Desenvolvimento Humano Municipal (IDH-M), realizou-se um estudo sobre as condições sócio-econômicas do Brasil e da cidade de Franca/SP, já que estas condições influenciam na vida cotidiana das pessoas nos bairros. A organização dos moradores surge como um mecanismo de resistência às questões sociais e de representatividade na luta pela garantia dos direitos humanos. Todo esforço deste trabalho, contempla a hipótese de que os índices criados quantitativamente para medir a qualidade de vida, não são capazes de abarcar a complexidade da vida humana em relação a sua qualidade e que esta qualidade tem maior facilidade e possibilidade de ser melhorada se os moradores estiverem politicamente organizados. / Abstract: The intention of this work is to discuss the importance of community organization in the search of a better quality of life in the city of Franca/SP. For the study two neighborhoods have been chosen: the Conjunto Habitacional Jardim Palma and the Parque Residencial Santa Maria, both were built at the end of the 1980 and beginning of the 1990. At this period the city was expanding due to the great concentration of people in the city pessoas promoted by the jobs at footwear industries. To deal with the life quality of these neighborhoods, there was the necessity of discussing, at first, the meaning of the terms quality and life quality, making a relation with the conception of human development that is taken in consideration when calculalting the Human Development Index (HDI), pointed by the United Nations Development Programme (UNPD), as the instrument of measurement of the quality of life in countries. Using some pieces of information from HDI and Municipal Human Development Index (MHDI), a study was made on the social and economical conditions of Brazil and the city of Franca/SP, hence these conditions have na influence on people's everyday life on these neighborhoods. The resident's organization appears as a mechanism of resistence to the social questions and it also represents them at the fight for the human rights warranty. All this effort considers the hypothesis that the indices created to measure life quality are not capable of analyzing the complexity of human life in relation to its quality, and that this quality is easier and also more possible of being improved if the residents are politically organized. / Mestre

Made available in DSpace on 2014-12-17T15:51:35Z (GMT). No. of bitstreams: 1 KalineMS_DISSERT.pdf: 2014476 bytes, checksum: 56bb8d8f961f6ad985c7566a4a119245 (MD5) Previous issue date: 2014-01-31 / The tourist activity , which appropriates spaces and natural , cultural , social and economic scenarios in a given locality , requires a model of integrated development necessarily reconciling the support of residents. In this perspective , this study aims to analyze the factors influencing the support of residents in tourism development in archaeological sites , specifically in the two counties of Parelhas and Carna?ba dos Dantas , in Rio Grande do Norte, in the region of Serid? Potiguar as well as the interrelationship existing between these factors . To achieve the proposed objective of the research , a descriptive -exploratory and quantitative study based on the study of Nunkoo and Hamkisson (2012 ) , using the technique of Structural Equation Modeling - SEM to explain the relationships of the constructs used in this research. Data collection was performed during the periodof May 2013 to July 2013. Among other studies, results indicate that , for the profile of the interviewees used , the higher the confidence of the community residing in the government agencies responsible for, the largest tourism will support the resident to the tourism development and that this supply relationship institutions and government agencies an opportunity to enhance their development strategies and social thinking of the resident agent of tourism . It was also found that the analysis model proposed has a better structural relationship when used interviewees who have knowledge about the activities in the archaeological sites , then suggesting the need for further research on the effect of the level of knowledge of the interviewee on the object and support of residents to tourism development / A atividade tur?stica, que se apropria de espa?os e cen?rios naturais, culturais, sociais e econ?micos em uma determinada localidade, requer um modelo de desenvolvimento integrado, conciliando necessariamente o apoio dos residentes. Nesta perspectiva, este estudo se prop?e a analisar os fatores capazes de influenciar o apoio da comunidade residente no desenvolvimento do turismo em s?tios arqueol?gicos, especificamente nos dois munic?pios de Parelhas e Carna?ba dos Dantas, na regi?o do Serid? Potiguar, assim como a inter-rela??o existente entre esses fatores. Para alcan?ar o objetivo proposto pela pesquisa, foi realizado um estudo de car?ter descritivo-explorat?rio e quantitativo baseado no estudo de Nunkoo e Hamkisson (2012), utilizando-se a t?cnica de Modelagem de Equa??es Estruturais - MEE para explicar as rela??es dos constructos usados nessa pesquisa. A coleta de dados foi realizada durante o per?odo de Maio de 2013 a Julho de 2013. Entre outros estudos, resultados indicam que, para o perfil de entrevistados utilizado, quanto maior a confian?a da comunidade residente nos ?rg?os governamentais respons?veis pelo turismo maior ser? o apoio do residente ao desenvolvimento do turismo e que dessa rela??o oferta as institui??es e aos ?rg?os governamentais uma possibilidade de aprimorar as suas estrat?gias de desenvolvimento pensando no residente como agente social do turismo. Verificou-se tamb?m que o modelo de an?lise proposto apresenta uma melhor rela??o estrutural quando utilizados entrevistados que t?m conhecimento sobre as atividades desenvolvidas nos s?tios arqueol?gicos, sugerindo ent?o a necessidade de uma maior investiga??o sobre o efeito do n?vel de conhecimento do entrevistado sobre o objeto e o apoio deste residente ao desenvolvimento do turismo