<p>The aim of this study was to describe how persons with Whiplash associated disorder experience how the pain affects them in their daily life. The design of the study was descriptive with qualitative, individual interviews, questionnaire with background facts of the examination group, and diary notes from persons with pain of WAD. Method for selection was convenience. Through contact with the association of whiplash group in a county in middle of Sweden, the majority of the examination group for the study was found. Five persons where given information about the study, one of them choose not to take part of the study, and one of the persons did not complete the study. One further person was asked to participate in the study and did take part and completed. Four persons choose to take part and completed the study, all women and between the ages 31-60. The result is presented in categories: To live with pain of WAD, Loss of quality of life, Changes in life after injury, Consequences of activity, Relations and isolation, Pain and sleep. The legible emerge that could be seen in the study was that planning the days was necessary to handle the intensity of pain. The pain controlled the days and the social relations to friends and relatives experience deteriorated because the degree of experienced pain controlled the day. All persons in the examine group emphasized that their injury can not be seen, and because that the acceptance for their injury and pain is low from the society.</p>

The aim of this study was to describe how persons with Whiplash associated disorder experience how the pain affects them in their daily life. The design of the study was descriptive with qualitative, individual interviews, questionnaire with background facts of the examination group, and diary notes from persons with pain of WAD. Method for selection was convenience. Through contact with the association of whiplash group in a county in middle of Sweden, the majority of the examination group for the study was found. Five persons where given information about the study, one of them choose not to take part of the study, and one of the persons did not complete the study. One further person was asked to participate in the study and did take part and completed. Four persons choose to take part and completed the study, all women and between the ages 31-60. The result is presented in categories: To live with pain of WAD, Loss of quality of life, Changes in life after injury, Consequences of activity, Relations and isolation, Pain and sleep. The legible emerge that could be seen in the study was that planning the days was necessary to handle the intensity of pain. The pain controlled the days and the social relations to friends and relatives experience deteriorated because the degree of experienced pain controlled the day. All persons in the examine group emphasized that their injury can not be seen, and because that the acceptance for their injury and pain is low from the society.

Introdução: A obesidade é um problema de saúde pública, de etiologia multifatorial, relacionada à incidência de comorbidades, como as doenças cardiovasculares - causa número um de mortes, globalmente. Contudo, os tratamentos para reverter essa condição não surtem efeito em longo prazo, fazendo com que novas intervenções para seu tratamento sejam utilizadas, como a abordagem Health at Every Size® (HAES®), que ainda mostra resultados inconclusivos quanto à melhora no perfil lipídico relacionado às doenças cardiovasculares. Objetivo: Analisar os efeitos de uma nova intervenção interdisciplinar baseada na abordagem HAES®, sobre o perfil lipídico relacionado às doenças cardiovasculares em mulheres obesas. Métodos: Estudo quantitativo, baseado em ensaio clínico randomizado controlado com duração de sete meses. Noventa e sete participantes foram recrutadas, após aprovação nos critérios de inclusão e exclusão da amostra, e foram aleatoriamente dividas nos grupos \"Intervenção\" ou \"Controle\", cujas atividades conduzidas tiveram os princípios da abordagem HAES® como norteadores. Participantes do grupo \"Intervenção\" realizaram cinco oficinas filosóficas, aconselhamento nutricional quinzenalmente e atividade física três vezes por semana. Já as participantes do grupo \"Controle\" participaram bimestralmente de palestras relativas à filosofia, nutrição e atividade física. A coleta e análise foram realizadas antes e depois da intervenção para os seguintes parâmetros: triglicérides, colesterol total, colesterol não-HDL, colesterol-VLDL, colesterol-LDL e colesterol-HDL. Variáveis foram comparadas antes e depois da intervenção usando Teste T de Student. Resultados: Foram observadas reduções para colesterol total, colesterol LDL e colesterol NHDL em ambos os grupos. Já para colesterol VLDL e triglicerídeos, houve aumento nos níveis observados. Quanto ao colesterol HDL, o grupo \"Intervenção\" teve uma diminuição após o estudo, ao passo que o grupo \"Controle\" teve um aumento no mesmo. Contudo, para todas as variáveis observadas, não houveram diferenças estatisticamente significativas. Conclusão: a intervenção por si não foi suficientemente eficaz para provocar mudanças no perfil lipídico. / Introduction: Obesity is a public health problem, with multifactorial etiology, related to the incidence of comorbidities, such as cardiovascular diseases - the number-one cause of death globally. However, treatments to reverse this condition have no long-term effect, and new interventions to treat obesity are formulated, such as the Health at Every Size® (HAES®) approach, which still shows inconclusive results regarding the improvement in metabolic profile related to cardiovascular diseases. Objective: To analyze the effects of a new interdisciplinary intervention based on the HAES® approach on biochemical markers related to cardiovascular diseases in obese women. Methods: Prospective, quantitative study based on a randomized controlled clinical trial lasting seven months. Ninety-seven participants were recruited, after approval in the inclusion and exclusion criteria of the sample, and were randomly assembled into the \"Intervention\" or \"Control\" groups, whose activities had the principles of the HAES® approach as guides. Participants in the Intervention group held five philosophical workshops, nutritional counseling every two weeks and physical activity three times a week. The participants of the \"Control\" group participated bimonthly in lectures related to philosophy, nutrition and physical activity. Data collection and analysis were performed before and after the intervention for the following parameters: triglycerides, total cholesterol, non-HDL cholesterol, VLDL-cholesterol, LDL-cholesterol and HDL-cholesterol. Variables were compared before and after the intervention using Student\'s t-test. Results: Reductions were observed for total cholesterol, LDL cholesterol and NHDL-cholesterol in both groups. On the other hand, for VLDL-cholesterol and triglycerides, there was an increase in the levels observed. As for HDL-cholesterol, the \"Intervention\" group had a decrease after the study, whereas the \"Control\" group had an increase in the same. However, for all observed variables, there were no statistically significant differences. Conclusion: The intervention itself was not effective enough to cause changes in the lipid profile.

Introdução: A obesidade é um problema de saúde pública, de etiologia multifatorial, relacionada à incidência de comorbidades, como as doenças cardiovasculares - causa número um de mortes, globalmente. Contudo, os tratamentos para reverter essa condição não surtem efeito em longo prazo, fazendo com que novas intervenções para seu tratamento sejam utilizadas, como a abordagem Health at Every Size® (HAES®), que ainda mostra resultados inconclusivos quanto à melhora no perfil lipídico relacionado às doenças cardiovasculares. Objetivo: Analisar os efeitos de uma nova intervenção interdisciplinar baseada na abordagem HAES®, sobre o perfil lipídico relacionado às doenças cardiovasculares em mulheres obesas. Métodos: Estudo quantitativo, baseado em ensaio clínico randomizado controlado com duração de sete meses. Noventa e sete participantes foram recrutadas, após aprovação nos critérios de inclusão e exclusão da amostra, e foram aleatoriamente dividas nos grupos \"Intervenção\" ou \"Controle\", cujas atividades conduzidas tiveram os princípios da abordagem HAES® como norteadores. Participantes do grupo \"Intervenção\" realizaram cinco oficinas filosóficas, aconselhamento nutricional quinzenalmente e atividade física três vezes por semana. Já as participantes do grupo \"Controle\" participaram bimestralmente de palestras relativas à filosofia, nutrição e atividade física. A coleta e análise foram realizadas antes e depois da intervenção para os seguintes parâmetros: triglicérides, colesterol total, colesterol não-HDL, colesterol-VLDL, colesterol-LDL e colesterol-HDL. Variáveis foram comparadas antes e depois da intervenção usando Teste T de Student. Resultados: Foram observadas reduções para colesterol total, colesterol LDL e colesterol NHDL em ambos os grupos. Já para colesterol VLDL e triglicerídeos, houve aumento nos níveis observados. Quanto ao colesterol HDL, o grupo \"Intervenção\" teve uma diminuição após o estudo, ao passo que o grupo \"Controle\" teve um aumento no mesmo. Contudo, para todas as variáveis observadas, não houveram diferenças estatisticamente significativas. Conclusão: a intervenção por si não foi suficientemente eficaz para provocar mudanças no perfil lipídico. / Introduction: Obesity is a public health problem, with multifactorial etiology, related to the incidence of comorbidities, such as cardiovascular diseases - the number-one cause of death globally. However, treatments to reverse this condition have no long-term effect, and new interventions to treat obesity are formulated, such as the Health at Every Size® (HAES®) approach, which still shows inconclusive results regarding the improvement in metabolic profile related to cardiovascular diseases. Objective: To analyze the effects of a new interdisciplinary intervention based on the HAES® approach on biochemical markers related to cardiovascular diseases in obese women. Methods: Prospective, quantitative study based on a randomized controlled clinical trial lasting seven months. Ninety-seven participants were recruited, after approval in the inclusion and exclusion criteria of the sample, and were randomly assembled into the \"Intervention\" or \"Control\" groups, whose activities had the principles of the HAES® approach as guides. Participants in the Intervention group held five philosophical workshops, nutritional counseling every two weeks and physical activity three times a week. The participants of the \"Control\" group participated bimonthly in lectures related to philosophy, nutrition and physical activity. Data collection and analysis were performed before and after the intervention for the following parameters: triglycerides, total cholesterol, non-HDL cholesterol, VLDL-cholesterol, LDL-cholesterol and HDL-cholesterol. Variables were compared before and after the intervention using Student\'s t-test. Results: Reductions were observed for total cholesterol, LDL cholesterol and NHDL-cholesterol in both groups. On the other hand, for VLDL-cholesterol and triglycerides, there was an increase in the levels observed. As for HDL-cholesterol, the \"Intervention\" group had a decrease after the study, whereas the \"Control\" group had an increase in the same. However, for all observed variables, there were no statistically significant differences. Conclusion: The intervention itself was not effective enough to cause changes in the lipid profile.

No description available.

The everyday survival of the other at the border between ‘East’ and ‘West’ is the object of this study. The country in-between, Estonia, is a ‘melting pot’ of Russian, Western and Nordic influence, what makes this zone an active, diverse, nevertheless invisible in the global awareness. The process of transition and rapid neoliberalization, which is characteristic for the post-socialist country such as Estonia, brings together number of side-effects, lots of redundant people, who could not adapt to the new regime, who speculate and trade. The investigation of ‘Russian’ semi-official spaces of trade in Estonian capital, Tallinn, reveals the values and defects of the open-air markets.  The thesis highlights the need to politicize the processes around the disappearing and/or transforming the open-air markets in the city. In spite of the fact, that the informal trading is often connected with poverty, illegality, low hygiene, distrust and crime, this work explores the alternative ways of trading, the power of immediacy and aesthetics in confrontation to the global capital. The architecture as the transversal practice cuts across the patterns of trading based on irresponsible consumerism and desire, and experiments with the original concept of the market with the dialogue in front. The speculative interventions are the sites of the common life, production and renewal.

Thesis advisor: Michael Hartney / This thesis analyzes the sporadic and incoherent federal approaches to education policy over the last half century to reveal a theory of policymaking constraints that elucidates the tensions between political will for equity and implementation capacity that are intrinsic to federal education policy. I then apply this theory to the Every Student Succeeds Act (ESSA). I find that consistent with my theory of policymaking constraints, a majority of states responded to the increased flexibility in ESSA by retreating from equity concerns. I then explore possible predictive factors for cross-state variation, presenting evidence that wealthy citizen satisfaction with local schools was associated with a decrease in attention to equity in state ESSA plans and that states that evaded accountability measures under No Child Left Behind continued to do so under the Every Student Succeeds Act. These results contribute to an important debate about the retreat from equity commitments under ESSA and furthermore, the theoretical framework that explains the policy zigzag in education policy since 1965. / Thesis (BA) — Boston College, 2018. / Submitted to: Boston College. College of Arts and Sciences. / Discipline: Departmental Honors. / Discipline: Political Science.

Introdução: Novas condutas terapêuticas e de prevenção frente à obesidade tornam-se objetos de estudo, entre elas a abordagem Health at Every Size® (HAES®). A abordagem HAES® aponta para o prazer em comer como crucial para a promoção de saúde e sustentabilidade no tratamento. A condenação cultural do prazer em paralelo à negligência do prazer no tratamento da obesidade forma um cenário de crítica, em que a mulher obesa é alvo de múltiplas desvantagens, entre elas a culpabilização do comer. Assumimos, para este estudo, a importância de aprofundar-se nas relações entre novas perspectivas no cuidado à mulher obesa e o estímulo ao prazer em comer. Objetivos: Investigar as percepções de mulheres na condição de obesidade acerca do prazer em comer antes e após uma intervenção interdisciplinar, não prescritiva e pautada na abordagem do HAES®. Métodos: Estudo qualitativo a partir de um ensaio clínico randomizado controlado com seguimento de sete meses nos anos de 2015 e 2016. Incluiu 97 mulheres na condição de obesidade de 25 a 50 anos de idade, com índice de massa corporal entre 30 e 39,9Kg/m², sendo alocadas em dois grupos: Intervenção e Controle. Ao final do estudo, 39 mulheres concluíram no grupo Intervenção (62,90 por cento ) e 19 concluíram no Controle (54,28 por cento ). Para os dois grupos, as atividades tiveram como linha condutora a abordagem do HAES®. O grupo Intervenção trouxe uma proposta original, com oferta de atividade física 3 vezes na semana, acompanhamento nutricional individual e oferta de discussões no formato de cinco oficinas filosóficas. O grupo Controle baseou-se ao modelo tradicional de aplicação da abordagem HAES®, com palestras expositivas bimestrais. A construção dos dados ocorreu a partir de grupos focais. Para análise das transcrições dos grupos, foi realizado o método de Análise de Conteúdo, sendo construídos temas pela técnica de Cutting e Sorting, os quais fundamentaram a argumentação teórica neste estudo. Resultados: Vinte e três temas sobre as percepções do prazer em comer das mulheres estudadas foram construídos. Após a intervenção, foram construídos de maneira significativa para o grupo Intervenção temas sobre maior autocontrole e reflexão sobre os próprios desejos; sensação de empoderamento para escolher o que e quando comer; aumento do prazer em comer acompanhada; aumento do prazer em comer comidas feitas por si própria; aumento dos discursos sobre comer sem culpa; diminuição da sensação de não sentir prazer e ainda diminuição do comer por emoções como ansiedade. Conclusão: A nova intervenção proposta promoveu efeitos positivos na relação das mulheres com o prazer em comer, evidenciando a desculpabilização do prazer em comer e melhora de outros aspectos da prática alimentar, como a comensalidade. Percebemos que este efeito se deu sobretudo a partir do estímulo a um processo reflexivo sobre corpo, comida e saúde, ficando claro que o prazer em comer sem culpa é um desfecho necessário quando falamos da saúde da mulher obesa / Introduction: New therapies and prevention practices directed to obesity become objects of study. The Health at Every Size® (HAES®) approach is one of them. The HAES® approach indicate the pleasure in eating as crucial for health promotion and sustainability of treatments. The cultural condemnation of pleasure and its disregard in the treatment of obesity created a critic scenario in which the obese woman is target of multiple disadvantages, such as blame for eating. We assume, for this study, the importance to deepen the relationship between new approaches to the care of obese woman and the encouragement of pleasure of eating. Objectives: To investigate obese women perceptions about the pleasure of eating, before and after an interdisciplinary, non-prescriptive and based on HAES® approach intervention. Methods: Qualitative study branch of a randomized controlled clinical trial, conducted over seven months in 2015 and 2016. It included 97 obese women, with 25 to 50 years old, with a body mass index between 30 and 39, 9 kg/m². The women were randomized to two groups: intervention and control. At the end, 39 women concluded in the Intervention Group (62.90 per cent ) and 19 in Control Group (54.28 per cent ). The two groups received activities based on HAES® approach. The Intervention Group, however, brought an original proposal, with physical activity 3 times a week, individual nutritional counseling and philosophical discussions in form of workshops. The Control Group received traditional model of HAES® approach application, with bimonthly expository lectures. The data construction occurred from Focus Groups. Analysis of the Focus Groups transcripts was conducted with Analysis of Content method, in which themes were built of Cutting and Sorting technique, and were used to theoretical arguments that substantiated this study. Results: Twenty-three themes about the perceptions of pleasure in eating of the studied women were built. After the intervention, more significantly for the Intervention Group, themes manifested greater self-control on the own desires; increased hunger and satiety response; sense of empowerment to choose what and when to eat; increase of the pleasure in eating accompanied; increase of the pleasure in eating food made by herself; increase of speeches about \"eat without guilt\"; decreased perception of not feeling pleasure and even decreased eating by emotions such as anxiety. Conclusion: The new proposed intervention promoted positive effects on women\'s relationship with pleasure in eating, showing decrease of guilt on pleasure in eating and improvements of other aspects of the eating practices, such as commensality. We realize that this effect occurred mainly due to stimulus to a reflection about body, food and health, becoming clear that the pleasure in eating without guilt is a necessary outcome when we talk about obese woman health

Introdução: Novas condutas terapêuticas e de prevenção frente à obesidade tornam-se objetos de estudo, entre elas a abordagem Health at Every Size® (HAES®). A abordagem HAES® aponta para o prazer em comer como crucial para a promoção de saúde e sustentabilidade no tratamento. A condenação cultural do prazer em paralelo à negligência do prazer no tratamento da obesidade forma um cenário de crítica, em que a mulher obesa é alvo de múltiplas desvantagens, entre elas a culpabilização do comer. Assumimos, para este estudo, a importância de aprofundar-se nas relações entre novas perspectivas no cuidado à mulher obesa e o estímulo ao prazer em comer. Objetivos: Investigar as percepções de mulheres na condição de obesidade acerca do prazer em comer antes e após uma intervenção interdisciplinar, não prescritiva e pautada na abordagem do HAES®. Métodos: Estudo qualitativo a partir de um ensaio clínico randomizado controlado com seguimento de sete meses nos anos de 2015 e 2016. Incluiu 97 mulheres na condição de obesidade de 25 a 50 anos de idade, com índice de massa corporal entre 30 e 39,9Kg/m², sendo alocadas em dois grupos: Intervenção e Controle. Ao final do estudo, 39 mulheres concluíram no grupo Intervenção (62,90 por cento ) e 19 concluíram no Controle (54,28 por cento ). Para os dois grupos, as atividades tiveram como linha condutora a abordagem do HAES®. O grupo Intervenção trouxe uma proposta original, com oferta de atividade física 3 vezes na semana, acompanhamento nutricional individual e oferta de discussões no formato de cinco oficinas filosóficas. O grupo Controle baseou-se ao modelo tradicional de aplicação da abordagem HAES®, com palestras expositivas bimestrais. A construção dos dados ocorreu a partir de grupos focais. Para análise das transcrições dos grupos, foi realizado o método de Análise de Conteúdo, sendo construídos temas pela técnica de Cutting e Sorting, os quais fundamentaram a argumentação teórica neste estudo. Resultados: Vinte e três temas sobre as percepções do prazer em comer das mulheres estudadas foram construídos. Após a intervenção, foram construídos de maneira significativa para o grupo Intervenção temas sobre maior autocontrole e reflexão sobre os próprios desejos; sensação de empoderamento para escolher o que e quando comer; aumento do prazer em comer acompanhada; aumento do prazer em comer comidas feitas por si própria; aumento dos discursos sobre comer sem culpa; diminuição da sensação de não sentir prazer e ainda diminuição do comer por emoções como ansiedade. Conclusão: A nova intervenção proposta promoveu efeitos positivos na relação das mulheres com o prazer em comer, evidenciando a desculpabilização do prazer em comer e melhora de outros aspectos da prática alimentar, como a comensalidade. Percebemos que este efeito se deu sobretudo a partir do estímulo a um processo reflexivo sobre corpo, comida e saúde, ficando claro que o prazer em comer sem culpa é um desfecho necessário quando falamos da saúde da mulher obesa / Introduction: New therapies and prevention practices directed to obesity become objects of study. The Health at Every Size® (HAES®) approach is one of them. The HAES® approach indicate the pleasure in eating as crucial for health promotion and sustainability of treatments. The cultural condemnation of pleasure and its disregard in the treatment of obesity created a critic scenario in which the obese woman is target of multiple disadvantages, such as blame for eating. We assume, for this study, the importance to deepen the relationship between new approaches to the care of obese woman and the encouragement of pleasure of eating. Objectives: To investigate obese women perceptions about the pleasure of eating, before and after an interdisciplinary, non-prescriptive and based on HAES® approach intervention. Methods: Qualitative study branch of a randomized controlled clinical trial, conducted over seven months in 2015 and 2016. It included 97 obese women, with 25 to 50 years old, with a body mass index between 30 and 39, 9 kg/m². The women were randomized to two groups: intervention and control. At the end, 39 women concluded in the Intervention Group (62.90 per cent ) and 19 in Control Group (54.28 per cent ). The two groups received activities based on HAES® approach. The Intervention Group, however, brought an original proposal, with physical activity 3 times a week, individual nutritional counseling and philosophical discussions in form of workshops. The Control Group received traditional model of HAES® approach application, with bimonthly expository lectures. The data construction occurred from Focus Groups. Analysis of the Focus Groups transcripts was conducted with Analysis of Content method, in which themes were built of Cutting and Sorting technique, and were used to theoretical arguments that substantiated this study. Results: Twenty-three themes about the perceptions of pleasure in eating of the studied women were built. After the intervention, more significantly for the Intervention Group, themes manifested greater self-control on the own desires; increased hunger and satiety response; sense of empowerment to choose what and when to eat; increase of the pleasure in eating accompanied; increase of the pleasure in eating food made by herself; increase of speeches about \"eat without guilt\"; decreased perception of not feeling pleasure and even decreased eating by emotions such as anxiety. Conclusion: The new proposed intervention promoted positive effects on women\'s relationship with pleasure in eating, showing decrease of guilt on pleasure in eating and improvements of other aspects of the eating practices, such as commensality. We realize that this effect occurred mainly due to stimulus to a reflection about body, food and health, becoming clear that the pleasure in eating without guilt is a necessary outcome when we talk about obese woman health

Abstract: Anthropological accounts of the state are often voiced from the perspective of the public, demonstrating the potential for danger or illegibility in encounters with the state. Less has been said, however, about how functionaries of the state perceive their interactions with the public. This perspectival bias needs to be overcome through ethnographies of the state, which can help scholars to look critically at our understanding of the state in everyday practice. This article examines one such “illegible” state bureaucracy, the Immigration Services Branch of the South African Department of Home Affairs, documenting some of the factors which inform the actions of street-level bureaucrats. It illustrates how officials develop systems of meaning to help them navigate the challenges posed by a mysterious populace and an unpredictable management hierarchy, and to effectively stabilize these two unstable entities. These systems of meaning also enable officials to act in ways which might run counter to official discourse, while simultaneously upholding its legitimacy. Their efforts at stabilization therefore incite a destabilization of the state, leading it to appear as “magical” or “illegible” to the public.