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No. of bitstreams: 1 ppgcom - renato pezzotti.pdf: 6860607 bytes, checksum: 5e44ad543a1e9f5c2f20f20e56c44653 (MD5) Previous issue date: 2018-03-27 / The main theme of this study is the self-management convocation strategies sighted in Bravus Race’s media images - a national sporting event. Thus, the research problem defined is: how the media biossociability convocation strategies are produced in Bravus Race’s obstacle photos, regarding the meanings attributed to the body and the self? We deepen the phenomenon of consumption and management of the self in contemporary society, approaching notions as interdisciplinary, interconnectedness and imaginary discursive memory of the French discourse analysis. The discourse analysis theoretical inspiration is Courtine (2011) and Milanez’s (2013) methodology, crossing elements of the rhetoric image, with Barthes (1990) and Eco (2001). The general theoretical framework is organized in three axes: the first tracks the path of communication, media, and contemporary society’s interfaces, for which we rely on authors such as Silverstone (2002), Prado (2013) and Hoff. (2016). The second finds its foundations in the rhetoric and interconnectivity of the image, passing through the narrative space of the photographic reportages. Finally, the third addresses the body, the high performance worship and the biossociability, with Rose (2006), Rabinow (2002), Ehrenberg (2010), Ortega (2003) and Hoff (2016). Therefore, the corpus is composed by a photo-portal published on Veja's website, which houses 38 photos of one of the stages of Bravus Race, held in São Paulo. Alongside our methodological course, we divided the images into six distinct groups, starting from the identification and classification of imagery composition techniques, revealing composition elements and what each one of them intends to transmit in a connotative way. Following on, we analyzed the interconnectivity in the competition’s photos, relating Barthes' techniques to the concept developed by Courtine (2011). At last, we refer to codification levels; identifying the figures of speech present in the images and how the discursive memory founds the production of sense. In conclusion, we investigated the self/body-management convocation according to biossociability concept. The results demonstrate that these media biossociability convocations are in line with the contemporary capitalism “spirit”. In addition, the production of meaning privileges a self-management, through the “conduct of the body/self” - both in physical and mental dimension. / Esta dissertação tem como tema as estratégias de convocação para gestão de si em imagens midiáticas de um evento esportivo nacional. Deste modo, definimos o problema de pesquisa: como são produzidas as estratégias midiáticas de convocação de biossociabilidade nas fotos da corrida de obstáculos Bravus Race, considerando os sentidos atribuídos ao corpo? Problematizamos o fenômeno do consumo e a gestão de si na sociedade atual, aproximando as noções de interdiscurso, intericonicidade e memória discursiva imagética da análise de discurso francesa. A inspiração teórica geral deste trabalho é a análise de discurso, a partir de Courtine (2011) e Milanez (2013), utilizando elementos da retórica imagem, com Barthes (1990) e Eco (2001). O referencial teórico organiza-se em três eixos: o primeiro trilha o caminho das interfaces de comunicação, mídia e consumo na sociedade atual, para o qual nos apoiamos em autores como Silverstone (2002), Prado (2013) e Hoff (2016). O segundo, por sua vez, encontra seus alicerces na retórica da imagem e na intericonicidade, a partir de Barthes, Eco e Courtine, respectivamente, passando pelo espaço narrativo da fotorreportagem. Por fim, o terceiro aborda o corpo, o culto da performance e a biossociabilidade, com Rose (2006), Rabinow (2002), Ehrenberg (2010), Ortega (2003) e Hoff (2016). O corpus é composto por uma fotorreportagem publicada no portal de internet da Revista Veja, que abriga 38 fotos de uma das etapas da Bravus Race, prova esportiva disputada em São Paulo. Em nosso percurso metodológico, dividimos as imagens em seis grupos distintos, a partir da identificação e classificação de técnicas de composição imagética, demonstrando quais os elementos de composição presentes e o que cada um deles pretende transmitir de forma conotativa. Após esta etapa, analisamos a intericonicidade das fotografias, relacionando as técnicas de Barthes com o conceito desenvolvido por Courtine e, por fim, remetemos aos níveis de codificação, identificando quais figuras de linguagem estão presentes nas imagens e como a memória discursiva alicerça a produção de sentido. Por fim, investigamos as convocações para gestão do corpo à luz do conceito de biossociabilidade. Os resultados alcançados demonstram que as convocações midiáticas de biossociabilidade estão em consonância com os sentidos do capitalismo contemporâneo e que a produção de sentido privilegia a gestão de si, por meio da gestão do corpo – seja na dimensão física, seja na dimensão mental.

<p>Dijabetes melitus je metaboliĉki poremećaj koji karakteri&scaron;e hroniĉna hiperglikemija i predstavlja veoma ozbiljan javno-zdravstveni problem u celom svetu. Najveći potencijal za pobolj&scaron;anje zdravlja obolelih leţi u postizanju i odrţavanju optimalne glikoregulacije. Podaci iz literature pokazuju da se sprovođenjem strukturiranih edukativnih programa o tipu 2 dijabetesa postiţu pozitivni efekti na zdravstveno pona&scaron;anje i glikoregulaciju kod obolelih koji su pohađali edukaciju. Cilj ovog istraţivanja bio je da se proceni efekat strukturirane edukacije o tipu 2 dijabetesa u primarnoj zdravstvenoj za&scaron;titi na promenu nivoa znanja, zdravstveno pona&scaron;anje, antropometrijske i biohemijske parametre glikoregulacije pacijenata. Istraživanje je sprovedeno u vidu prospektivne studije od februara do avgusta 2018. godine u Savetovali&scaron;tu za dijabetes Doma zdravlja Subotica. Ispitivanje je obuhvatilo 91 pacijenta sa dijagnostikovanim tipom 2 dijabetesa. Ispitanici su pohađali strukturirani &scaron;estonedeljni grupni edukativni program, kreiran za potrebe ovog istraţivanja. U cilju procene efekata edukativnog programa, na poĉetku i ĉetiri meseca nakon edukacije, prikupljeni su podaci o: zdravstvenom pona&scaron;anju, nivou znanja o dijabetesu (Diabetes Knowledge Test), o aktivnostima samonege u prethodnih sedam dana (The Summary of Diabetes Self-Care Activities) i o aktivnostima samonege prethodnih osam nedelja (The Diabetes Self-Management Questionnaire), određeni su antropometrijski (telesna teţina, indeks telesne mase, obim struka i nivo arterijskog krvnog pritiska) i biohemijski parametri glikoregulacije (nivo &scaron;ećera u krvi na&scaron;te, dva sata nakon jela, nivo HbA1c) i lipidni status pacijenata. Na početku strukturirane edukacije 79% pacijenata imalo je nizak nivo znanja o dijabetesu, prosečna vrednost na DKT bila je 46,4%. Nivo samonege pacijenatna bio je nizak i prethodnih 7 dana (SDSCA 45,8%) i prethodnih 8 nedelja (DSMQ 6,75). Trećina (35%) pacijenata imala je prekomernu telesnu masu, a njih 45% bilo je gojazno (BMI 29,85&plusmn;5,47). Povi&scaron;ene vrednosti sistolnog krvnog pritiska imalo je 43%, a dijastolnog 54% pacijenata. Polovina (54,9%) pacijenata imala je idealnu glikoregulaciju (HbA1c 6,56&plusmn;0,96%). Trećina (35%) pacijenata imala je visokorizičan nivo holesterola, a 26% visokoriziĉan nivo triglicerida u krvi. Ispitivanja sprovedena ĉetiri meseca nakon strukturirane edukacije pokazuju značajno povi&scaron;en nivo znanja pacijenata o dijabetesu, tj. visok nivo sa prosečnom vredno&scaron;ću DKT 81,5%. Nivo aktivnosti samonege prethodnih 7 dana i prethodnih 8 nedelja dostigao je umeren nivo (SDSCA 57,7%; DSMQ 7,9). Utvrđeno je značajno smanjenje telesne mase pacijenata za 1,5 kg i indeksa telesne mase, BMI, za 0,58 kg/m2. Procenat gojaznih pacijenata smanjen je na 40%. Povi&scaron;ene vrednosti sistolnog krvnog pritiska imalo je 26,4% (uz proseĉno smanjenje od 4 mmHg), a dijastolnog krvnog pritiska kod 44% pacijenata (uz prosečno smanjenje od 3 mmHg). Utvrđeno je znaĉajno smanjenje nivoa HbA1c za 0,36%, idealnu glikoregulaciju postiglo je 68% pacijenata. Zabeleţeno je smanjenje nivoa ukupnog holesterola za 0,3 mmol/L i nivoa triglicerida u krvi pacijenata za 0,23 mmol/L. Broj pacijenata sa visokorizičnim nivoom holesterola smanjen je za 19,6%, a u visokoriziĉnoj kategoriji triglicerida za 12%. Rezultati studije ukazuju da su efekti strukturiranog edukativnog programa o tipu 2 dijabetesa u primarnoj zdravstvenoj za&scaron;titi značajni, povećani su nivoi znanja i aktivnosti samonege, znaĉajno je smanjena telesna masa, vrednosti arterijskog krvnog pritiska su smanjene a pobolj&scaron;ane su vrednosti pokazatelja glikoregulacije i lipidnog statusa pacijenata.</p> / <p>Diabetes Mellitus is a metabolic disorder characterised by chronic hyperglycaemia and is a very serious public health issue worldwide. Achieving and maintaining optimal glucoregulation represents major potential for the improvement of affected persons&rsquo; health. According to information available in relative literature, the implementation of restructured Type 2 diabetes education programmes, positive results on health behaviour and glucoregulation in persons who took part in the education. The objective of the research was to assess the effect of structured education on Type 2 diabetes in primary health care, on changes in the level of knowledge, health behaviour and the anthropometric and biochemical parameters of patients&rsquo; glucoregulation. The research was conducted in the form of a prospective study between February and August 2018 in the Diabetes Support Group of the Subotica Health Centre. The research included 91 patients who were diagnosed with Type 2 diabetes. Research subjects attended a structured six-week group educational programme, which was specifically developed for the purpose of this research. In order to assess the effects of this educational programme from its outset and four months following the education, data concerning the following were gathered: health behaviour, level of knowledge on diabetes (Diabetes Knowledge Test - DKT), self care activities in the past seven days (The Summary of Diabetes Self-Care Activities - SDSCA) and self care activities in the past eight weeks (The Diabetes Self-Management Questionnaire - DSMQ). These data were anthropomorphic measurements (weight, height, waist circumference and the level of arterial blood pressure) and biochemical glucoregulation parameters (blood sugar levels on an empty stomach, two hours after a meal, HbA1c levels) and patient lipid status. When the structured education first started, 79% patients had a low level of knowledge on diabetes, and the average score at the DKT was 46.4%. The level of patient self care was also low in the past seven days (SDSCA 45.8%) and past eight weeks (DSMQ 6.75%). One third (35%) of patients had excess body mass, of whom 45% were obese (Body Mass Index &ndash; BMI 29.85&plusmn;5.47). 43% of patients had higher systolic blood pressure values while 54% had higher diastolic blood pressure values. In one half of patients (54.9%), glucoregulation was ideal (HbA1c 6.56&plusmn;0.96%). One third of patients (35%) had highly elevated cholesterol levels, with 26% who had highly elevated triglyceride blood levels. Research conducted during the four-month structured education show a significantly higher level of patient knowledge of diabetes, i.e. high level with the average DKT score of 81.5%. The level of self care activities in the past seven days and eight weeks reached a moderate level (SDCA 57.7%; DSMQ 7.9). A significant reduction in body mass by 1.5 kg as well as Body Mass Index, BMI by 0.58 kg/m2 was determined. The percentage of obese patients was reduced to 40%. 26.4% of patients had increased values of systolic blood pressure (with an average reduction of 4 mmHg), diastolic blood pressure 44% of patients (with an average reduction of 3 mmHg). A significant reduction in HbA1c level by 36% was determined, while 68% of patients achieved ideal glucoregulation. The reduction of total cholesterol level by 0.3% mmol/L as well as triglycerides level by 0.23% mmol/L was recorded. The number of patients with a high-risk cholesterol level was reduced by 19.6%, and the number of patients in high-risk category of triglycerides by 12%. The results of the study indicate that the effects of a structured educational programme on Type 2 diabetes in primary health care are significant. Knowledge levels were increased along with self care activities, body mass was significantly reduced, arterial blood pressure values were reduced and glucoregulation and lipid status values improved.</p>