Följande uppsats syftade till att undersöka hur en standardiserad bedömningsmetod för rekrytering av familjehem (BRA-fam) implementerats utifrån ett urval av de kommuner som deltog i Socialstyrelsens pilotstudie (bilaga 1). Även sambandet mellan delaktighet och tillfredsställelse med implementering och förhållandet mellan forskning, profession och brukare undersöktes. Empirin har samlats in kvantitativt genom telefonintervjuer baserade på strukturerade enkäter. 46 kommuner som ingick i pilotstudien kontaktades, varav 30 familjehemsutredare besvarade frågorna (bilaga 2). Svaren har därefter redovisats och tolkats i form av tabeller och i text. Resultaten som analyserats och relaterats till teorier visar att utredning med BRA-fam-metoden upplevdes ha hög validitet och reliabilitet. Dock fanns svagheter i resultatet avseende delaktigheten i både metodval och implementering av metoden vilket kan bero på för få deltagare i undersökningen.Sammanfattningsvis framkom behov av att utvärdera rekryteringsmetoder inom familjehemsvården då implementering och användningen av metoden skiljer sig åt.Kommunerna har inte implementerat BRA-fam i sin helhet utifrån Socialstyrelsens rekommendationer. Användandet av metoden kan även skilja sig mellan såväl kommuner som privata aktörer. Förslag på förbättringsåtgärder och utvecklingsområden avseende implementering av metoder redovisas under rubrik Diskussioner och slutsatser.Ytterligare förslag ges för att närma sig en evidensbaserad, likvärdig och enhetlig rekryterings-metod inom familjehemsvården i Sverige. Detta för att om möjligt stödja, stärka och främja relationen mellan forskning, profession och brukare framöver och för att kunna möta de förändringar och utmaningar som ett samhälle utsätts och bär ansvar för. / The following essay purpose was to examine how a standardized assessment method for recruitment of foster homes (BRA-fam) implemented on a selection of the municipalities that participated in the National Board of Health and Welfare´s pilot study (appendix 1). The connection between participation and satisfaction with the implementation and the relationship between research, professionals and foster care system were also examined. Empirical data was gathered through quantity telephone interviews based on structured questionnaires. 46 municipalities who participated in the pilot study were contacted, of which 30 foster investigators answered the questions (appendix 2). The answers are then interpreted and reported in the form of tables and in the text. The results were analyzed and related to theories shows that investigation with BRA-fam method was perceived to have high validity and reliability. However, there were weaknesses concerning participation in both the methodology and implementation of this but might be consequences due to few participants.In summary, it emerged the need to evaluate the recruitment methods in practices within the foster home system and BRA-fam because the implementation and use of the method may differ. The municipalities have not implemented BRA-fam in its entirely based on the National Board of Health and Welfare recommendations. The use of the method differs between both municipalities and private operators. Suggestions for improvement and developmental areas regarding implementation of methods are presented in Discussion and conclusions.Further suggestions are given for approaching an evidence based, equitable and consistent recruitment method in foster care in Sweden. To support, strengthen and promote the relationship between research, professionals and social service users in the future and to meet the changes and challenges that a society is exposed to and responsible.

Submitted by SBI Biblioteca Digital (sbi.bibliotecadigital@puc-campinas.edu.br) on 2018-05-25T13:34:12Z No. of bitstreams: 1 PAULO CESAR RICCI ROM?O.pdf: 1602137 bytes, checksum: d47857906fcaf4a6c30e111a5ae518a9 (MD5) / Made available in DSpace on 2018-05-25T13:34:13Z (GMT). No. of bitstreams: 1 PAULO CESAR RICCI ROM?O.pdf: 1602137 bytes, checksum: d47857906fcaf4a6c30e111a5ae518a9 (MD5) Previous issue date: 2018-02-21 / This research aims to analyze the experience of ex-beneficiaries of the Bolsa Fam?lia program in higher and lower prestige courses in Higher Education of a University of the interior of the State of S?o Paulo. The research sought to identify the perceptions of the interviewees about the Bolsa Fam?lia and Universidade para Todos Programs in their social and educational trajectories and to understand how these programs may or may not have collaborated to break the intergenerational circle of poverty and to improve their living conditions, based on their future expectations about the chosen course. As a method, we opted for the analysis of semi-structured interviews with eight former beneficiaries of the Bolsa Fam?lia program and beneficiaries of the University for All Program (Prouni). The micro-data of the socioeconomic information provided by the Social Assistance Center of the research institution was also analyzed, in order to trace the socioeconomic profile of the interviewees, especially in the light of sociologist Pierre Bourdieu and similar research based on his work. After understanding the phenomenon of educational stratification throughout the history of Higher Education in Brazil, and especially after its increasing expansion after the 1960s, we performed the analysis of the data obtained in the interviews and the socioeconomic profile. Eight interviews were carried out, with 5 interviews with students from the courses considered as having the least prestige and 3 interviews with students from the courses considered to be of the highest prestige. We present the results obtained based on four axes of analysis: the socioeconomic profile of the interviewees, their trajectory to Higher Education, their perceptions about the Bolsa Fam?lia Program and about Prouni and its future perspectives. Among the main results are the educational trajectories permeated by difficulties, usually of a social nature, the positive influences of institutions or affirmative policies as a stimulus to the continuity of studies, the issue of prejudice as a beneficiary of Prouni or because of different social classes of the majority. There is also a divergence in perceptions about these programs, showing Prouni as a public policy, in the view of the interviewees, with greater significance in their educational trajectories than the Bolsa Fam?lia Program. Also noteworthy are the difficulties of prounistas regarding the permanence in the courses of superior education. Finally, the future perspectives of the interviewees are presented, considering what they expect personally and professionally to obtain through the courses of more or less prestige that they chose. There is a difference in the process of selectivity of the courses, in which the less prestigious are those that are possible within the reality of the students, whereas the ones with the highest prestige are the ones desired. As for future expectations, undergraduate degrees seek work in non-formal education and more prestigious courses aim for more immediate financial return careers. / Esta pesquisa tem por objetivo analisar a viv?ncia de ex-benefici?rios do programa Bolsa Fam?lia em cursos de maior e menor prest?gio no Ensino Superior de uma Universidade do interior do Estado de S?o Paulo. A pesquisa buscou identificar as percep??es dos entrevistados sobre os Programas Bolsa Fam?lia e Universidade para Todos em suas trajet?rias sociais e educacionais e compreender como como tais programas podem (ou n?o) ter colaborado para o rompimento do c?rculo intergeracional da pobreza e para a melhoria de suas condi??es de vida, com base em suas expectativas futuras sobre o curso escolhido. Como m?todo, optamos pela an?lise de entrevistas semiestruturadas com oito alunos ex-benefici?rios do programa Bolsa Fam?lia e benefici?rios do Programa Universidade para Todos (Prouni). Foram analisados tamb?m os micro-dados das informa??es socioecon?micas disponibilizadas pelo N?cleo de Assist?ncia Social da institui??o pesquisada, de modo a tra?ar o perfil socioecon?mico dos entrevistados, especialmente ? luz do soci?logo da educa??o Pierre Bourdieu e de pesquisas similares fundamentadas em seu trabalho. Ap?s compreender o fen?meno da estratifica??o educacional ao longo da hist?ria do Ensino Superior do Brasil e, em especial, ap?s a sua crescente expans?o ap?s a d?cada de 1960, realizamos a an?lise dos dados obtidos nas entrevistas e do perfil socioecon?mico. Foram realizadas 8 entrevistas, sendo 5 entrevistas com alunos dos cursos tidos como de menor prest?gio e 3 entrevistas com alunos dos cursos tidos como de maior prest?gio. Apresentamos os resultados obtidos apoiando-nos em quatro eixos de an?lise: perfil socioecon?mico dos entrevistados, sua trajet?ria at? o Ensino Superior, suas percep??es sobre o Programa Bolsa Fam?lia e sobre o Prouni e suas perspectivas futuras. Dentre os principais resultados, enfatizam-se as trajet?rias educacionais permeadas por dificuldades, geralmente de cunho social, as influ?ncias positivas de institui??es ou pol?ticas afirmativas como est?mulo ? continuidade dos estudos, a quest?o do preconceito enquanto benefici?rio do Prouni ou por ser de classes sociais diversas das da maioria. Nota-se tamb?m uma diverg?ncia nas percep??es acerca dos referidos programas, mostrando-se o Prouni como uma pol?tica p?blica, na vis?o dos entrevistados, com maior signific?ncia em suas trajet?rias educacionais do que o Programa Bolsa Fam?lia. Destacam-se ainda as dificuldades dos prounistas quanto ? perman?ncia nos cursos de ensino superior. Por fim, s?o apresentadas as perspectivas futuras dos entrevistados, tendo em vista o que esperam pessoal e profissionalmente obter por meio dos cursos de maior ou menor prest?gio que escolheram. Nota-se uma diferen?a no processo de seletividade dos cursos, em que os de menor prest?gio s?o aqueles poss?veis dentro da realidade dos alunos, enquanto os de maior prest?gio s?o aqueles desejados. Quanto ?s expectativas futuras, as licenciaturas almejam trabalho na educa??o n?o-formal e s cursos de maior prest?gio almejam carreiras de retorno financeiro mais imediato.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-20T22:48:58Z No. of bitstreams: 1 AndreaCristianeDosSantos_DISSERT.pdf: 1301714 bytes, checksum: ed24f8b603865d40b94d0362cc1fe020 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-24T18:21:43Z (GMT) No. of bitstreams: 1 AndreaCristianeDosSantos_DISSERT.pdf: 1301714 bytes, checksum: ed24f8b603865d40b94d0362cc1fe020 (MD5) / Made available in DSpace on 2017-03-24T18:21:43Z (GMT). No. of bitstreams: 1 AndreaCristianeDosSantos_DISSERT.pdf: 1301714 bytes, checksum: ed24f8b603865d40b94d0362cc1fe020 (MD5) Previous issue date: 2016-08-12 / O presente trabalho pretende analisar o dia-a-dia dos agentes comunit?rios de sa?de na ?rea de abrang?ncia da Estrat?gia Sa?de da Fam?lia, em um bairro popular de Natal, a partir de sua inser??o na equipe e intera??o com os usu?rios do servi?o de sa?de local. O agente fortalece elos entre a comunidade e os servi?os de sa?de, pois atua diretamente com as fam?lias, cadastrando e acompanhando-as. Pretende-se, assim, refletir sobre o preparo destes agentes frente ?s novas fichas de cadastros individuais e domiciliares, analisando os tipos de rela??es que se estabelecem entre estes profissionais e as fam?lias por eles atendidas, a partir de uma perspectiva de g?nero. / This study aims to do an analysis about the day-by-day of community health agents in the area of coverage of the Family Health Strategy, situated in a popular neighborhood of Natal/RN, from their insertion in the team and the interaction with users of the local health service. The agent strengthens bonds between the community and the health services, as it acts directly with the families, registering and accompanying them. Thus, this text aims to reflect about the preparation of these agents in front of the new records of individual and household registers, doing on this inset, an analysis about the types of relationships that are established between these professionals and the families they serve in a gender perspective.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-06-02T23:06:55Z No. of bitstreams: 1 MariaIsabelSilvaGuilherme_DISSERT.pdf: 906758 bytes, checksum: 2058c4d8b9fe0b47dfd03949f5c1c402 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-06-12T19:19:54Z (GMT) No. of bitstreams: 1 MariaIsabelSilvaGuilherme_DISSERT.pdf: 906758 bytes, checksum: 2058c4d8b9fe0b47dfd03949f5c1c402 (MD5) / Made available in DSpace on 2017-06-12T19:19:54Z (GMT). No. of bitstreams: 1 MariaIsabelSilvaGuilherme_DISSERT.pdf: 906758 bytes, checksum: 2058c4d8b9fe0b47dfd03949f5c1c402 (MD5) Previous issue date: 2016-08-30 / O cuidado na Aten??o B?sica ? estrat?gico devido sua abrang?ncia no contexto do SUS na organiza??o dos sistemas de sa?de, ? medida que se constitui a principal porta de entrada dos usu?rios, demandando uma imprescind?vel articula??o com a aten??o de m?dia e alta complexidade e com a??es de vigil?ncia em sa?de, facilitando o acesso das equipes aos usu?rios e vice-versa. Por esta caracter?stica, ? comum que os profissionais de Sa?de se encontrem rotineiramente com pessoas em situa??o de sofrimento ps?quico, uma vez que a sa?de mental n?o est? dissociada da sa?de geral, fazendo-se necess?rio reconhecer que estas demandas est?o presentes em diversas queixas dos usu?rios da Aten??o B?sica. Desse modo, aos profissionais da Aten??o B?sica, demanda-se o desafio de perceber e intervir sobre essas quest?es, que mais recentemente, contam com o apoio da prerrogativa do apoio matricial em sa?de mental e da refer?ncia poss?vel de ser articulada atrav?s dos N?cleos de Apoio ? Sa?de da Fam?lia (NASF) em localidades que disp?em desse dispositivo de aten??o. O objetivo do presente estudo foi investigar possibilidades e limites de a??es de sa?de mental na Estrat?gia Sa?de da Fam?lia (ESF) em um contexto de zona rural. Trata-se de uma pesquisa descritiva-explorat?ria com abordagem qualitativa, realizada nas ESF localizadas na zona rural do munic?pio de Ass? no estado do Rio Grande do Norte. Utilizou-se a entrevista semiestruturada para coleta e registro sobre a problem?tica investigada. No contexto estudado, verificamos que as dificuldades vivenciadas pelas equipes de sa?de da fam?lia as colocam frente ao impasse de efetivar e garantir na pr?tica os princ?pios norteadores do SUS e basilares da Reforma Psiqui?trica. Observamos uma fragmenta??o da rede de assist?ncia ? sa?de e do processo de trabalho, onde o pouco investimento na qualifica??o/capacita??o dos profissionais incide sobre o despreparo das equipes para lidar com a sa?de mental dos usu?rios. Assim, ? imprescind?vel a expans?o do apoio matricial em sa?de mental para maior e melhor possibilidades da Rede de Aten??o Psicossocial (RAPS) no contexto do estado do Rio Grande do Norte, particularmente, no munic?pio de Ass?-RN. / Care in Primary Care is strategic because of its scope in the context of SUS in the organization of health systems, as it is the main gateway for users, requiring an indispensable link with the attention of medium and high complexity and actions health surveillance, making it easier for teams to users and vice versa. For this feature, it is common for health professionals routinely meet with people in psychological distress, since mental health is not separated from general health, making it necessary to recognize that these demands are present in several complaints from users Primary Care. Thus, professionals of primary care, demand is the challenge to understand and intervene on these issues, which more recently have the support of the prerogative of matrix support in mental health and possible reference to be articulated through the Support Centers Family Health (NASF) in locations that have such attention device. The aim of this study was to investigate the possibilities and limits of mental health actions in the Family Health Strategy (FHS) in a context of countryside. This is a descriptive and exploratory research with a qualitative approach, carried out in the ESF located in rural Ass? municipality in the state of Rio Grande do Norte. We used a semi-structured interview to collect and record on the issue investigated. In the context studied, we found that the difficulties experienced by family health teams put forward the deadlock effect and ensure in practice the guiding principles of the NHS and basic of the Brazilian Psychiatric Reform. We observed a fragmentation of care network to health and work process, where the little investment in the qualification / training of professionals focuses on the unpreparedness of the teams to deal with the mental health of users. Thus, it is essential to expand the matrix support in mental health for bigger and better possibilities of Psychosocial Care Network (RAPS) in the context of the state of Rio Grande do Norte, particularly in the municipality of Ass?-RN.

Made available in DSpace on 2014-12-17T13:53:34Z (GMT). No. of bitstreams: 1 KadmaLSM_DISSERT_CAPA_A_PAG 55.pdf: 4418826 bytes, checksum: 1352411c9af22967fd6a7a925ca3aef7 (MD5) Previous issue date: 2012-08-28 / The balance between the demands of two important spheres of human life, work and family, has become a challenge due to the pressures of the contemporary that is expanding around the difficulties of reconciling these two com?nios. In this sense, this research aimed to understand the work-family interaction in the perception of executive secretaries. The analysis approach used was qualitative research, by worrying about a reality that can not be quantified due to the subjectivity of his goal. The data collection technique used was the semistructured interview to twenty executive secretaries, servants of a Federal Institution of Higher Education. For the understanding and interpretation of the data, we used the technique of content analysis. The results of both analyzes identified the existence of conflict as enrichment in this interaction. The time was identified as the largest generator of conflict work. The overload, relationship stress and conflict emerged as elements common to both domains. As main implications of labor disputes, were revealed: problamas health for secretaries and stress. As main implications of family conflicts emerged: motivation for work, lower performance and lack of concentration. The attempt at balance was identified as the strategy most used by secretaries to minimize work-family conflict. The work-family enrichment was seen as resources that contribute to improving the lives of the secretary in both domains. The opportunity to add knowledge was highlighted as enriching element of work and family values ??as elements enriching family. The support and experience emerged as enrichment items common to both domains. Regarding the implications of enrichment resulting from the interaction of work and family, the more perceived by respondents were: increased knowledge and skills, material and psychological benefits, improved quality of life and personal and professional fulfillment. From the perception of executive secretaries, work and family spheres of human life are essential and complementary, and that help is contrary, however, this relationship is the primary management of conflicts, ie, how the individual sees and manages the negative side of the work-family / O equilibrio entre as demandas de duas esferas importantes da vida humana, o trabalho e a fam?lia, tornou-se um desafio em decorrencia das press?es do contempor?neo que vem ampliando as dificuldades em torno da concilia??o entre esses dois com?nios. Nesse sentido, esta pesquisa objetivou compreender a intera??o trabalho-fam?lia na percep??o de secret?rios executivos. A abordagem de an?lise utilizada foi a pesquisa qualitativa, por preocupar-se com uma realidade que n?o pode ser quantificada devido ? subjetividade do seu objetivo. A t?cnica de coleta de dados utilizada foi a entrevista semiestruturada, aplicada a vinte secret?rios executivos, servidores de uma Institui??o Federal de Ensino Superior. Para a compreens?o e interpreta??o dos dados, foi utilizada a t?cnica de an?lise de conte?do. Os resultados das an?lises identificaram a existencia tanto de conflito quanto de enriquecimento nessa intera??o. O tempo foi identificado como o maior gerador de conflito do trabalho. A sobrecarga, o relacionamento e o estresse emergiram como elementos de conflito comuns aos dois dom?nios. Como principais implica??es dos conflitos de trabalho, foram revelados: problamas de sa?de para os secret?rios e estresse. Como principais implica??es dos conflitos da fam?lia, emergiram: desmotiva??o para o trabalho, queda no rendimento e falta de concentra??o. A tentativa de equil?brio foi identificada como a estrat?gia mais utilizada pelos secret?rios para minimizar o conflito trabalho-fam?lia. O enriquecimento trabalho-fam?lia foi entendido como recursos que contribuem para a melhoria da vida do secret?rio em ambos os dom?nios. A oportunidade de agregar conhecimentos foi destacada como elemento enriquecedor do trabalho e os valores da fam?lia como elementos enriquecedor da fam?lia. O apoio e a experiencia emergiram como elementos de enriquecimento comuns aos dois dom?nios. Quanto ?s implica??es do enriquecimento resultante da intera??o trabalho-fam?lia, as mais percebidas pelos entrevistados foram: aumento de conhecimento e habilidades, benef?cios materiais e psicol?gicos, melhoria da qualidade de vida e realiza??o pessoal e profissional. A partir da percep??o dos secret?rios executivos, fam?lia e trabalho s?o esferas da vida humana essenciais e complementares, que se ajudam e se contrar?am, contudo, o primordial nessa rela??o ? o gerenciamento dos conflitos, ou seja, a maneira como o indiv?duo encara e administra o lado negativo da rela??o trabalho-fam?lia

BACKGROUND: Delirium is an “acute change in cognition” prevalent in the elderly population (9). It is a clinical diagnosis which results from complex relationships between patient vulnerability and precipitating medical factors (2,9). Delirium has a complex relationship with dementia and often these two cognitive impairments occur together. While delirium occurrence is exceptionally high in dementia patients, it’s recognition by physicians is unfortunately low (10). Delirium prevalence in dementia patients can be as high as 80% and failure to recognize occurs in as many as 75% of cases (10). Recognition of delirium is important due to its association with poor outcomes and potential for prevention by avoiding precipitating causes. Common poor outcomes associated with delirium include, prolonged cognitive and physical impairment, longer hospital stays, institutionalization and death. With the increasing aging population and the rising cost of healthcare in the United States more attention has been focused on better detection of costly conditions including delirium. Efforts have been made to develop tools for universal screening to aid in the recognition of delirium; however, these are not widely used outside of research. One of the challenges in recognizing delirium is that providers lack knowledge of the patient’s baseline cognitive status, making it difficult to determine whether an acute change has occurred. Caregivers are an untapped resource, holding this key piece of information, in the early recognition of delirium. SPECIFIC AIMS: The goal of this study is to build an argument for the implementation of a training program which would teach caregivers to complete the Family Confusion Assessment method (FAM-CAM) interviews on their loved ones at home in an effort to aid in the early recognition of delirium. This will be accomplished through the followings specific aims. Aim 1: Complete a comprehensive literature review to assess the need for family based screening for delirium. An attempt will be made to identify a gap in the literature for efficient and effective delirium screening and utilization of family caregivers. Aim 2: Data collected in a completed prospective observational study “Family Member Identification of Delirium in the Emergency Department” will be analyzed to assess family caregivers’ role in recognition of delirium, and family caregivers’ receptiveness and interest in a training program. METHODS: The information in this thesis used to build the argument for FAM-CAM training was found through a comprehensive review of published literature on delirium. Resources were found mainly through Pub Med and the Hospital Elder Life Program’s Delirium Bibliography. The study; “Family Member Identification of Delirium in the Emergency Department” enrolled 63 patients for CAM only and 108 Dyads for CAM and FAM-CAM with a total N of 171. RESULTS: Results showed that in 60% of cases of delirium that were recognized by physicians, a caregiver was present and provided information on the patient. Without being made aware of potential benefits of FAM-CAM training, 34% of caregivers reported that training on the instrument would be helpful, and 46% showed interest in participating in the training. Concurrent with current research a high percentage of patients with history of dementia were found to be delirious, further exemplifying the link of risk between these two conditions and identifying caregivers of dementia patients as a good population to implement FAM-CAM training. DISCUSSION: This literature review and accompanying study data suggests that, if implemented, FAM-CAM training could lead to potential future benefits including, reduced delirium associated healthcare cost, improved patient outcomes, and an improved experience for caregivers.

Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-07-03T21:43:18Z No. of bitstreams: 1 AnaCarolinaMartinLopesDissertacao2016.pdf: 3391544 bytes, checksum: c183157a8ebb930600331048fc76b531 (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-07-03T21:45:45Z (GMT) No. of bitstreams: 1 AnaCarolinaMartinLopesDissertacao2016.pdf: 3391544 bytes, checksum: c183157a8ebb930600331048fc76b531 (MD5) / Made available in DSpace on 2017-07-03T21:45:45Z (GMT). No. of bitstreams: 1 AnaCarolinaMartinLopesDissertacao2016.pdf: 3391544 bytes, checksum: c183157a8ebb930600331048fc76b531 (MD5) Previous issue date: 2016-02-15 / UCB / The migration dynamics in Brasilia has shown a decrease over the years, however, data point to a population of 53% of people who come from other states, seeking, for the most part, better living through work. Currently the most attractive areas the one that encompasses business activities and the civil service, offered by different spheres of the government sector. The migrant profile that demand Brasilia as the destination has been changing gradually, with an increase in age of those people who usually move with their families. Weint end this study to know aspects of the relationship of couples and families who migrate to Brasilia because of appro valor transfer of a spouse in an open competition, identifying the changes that migration causes in marital and family relationships, identify the timing of the lifecycle What happens to move to Brasilia, the sources of support before and after migration, the strategies used by the family to deal with the possible difficulties of adaptation, as well as meet the future expectations of the family. Participated in this study three families at different stages of the lifecycle, a family with teenage son, a family with little son and a childless couple. The families residing in Brasilia, at most 5 years. It is a qualitative ere search by means of case study, using the following instruments for data collection: semi-structured interview, genogram and family ecopama. An interview with each family, recorded and transcribed was held. Data were analyzed based on the constructive-interpretative method of Gonzalez-Rey. Eight zones of meaning were built from the axis of analysis and indicators. Responding to the specific objectives of the study, it was observed that: the wives showed greater difficulty in establishing meaningful links in Brasilia situation hampered by lack of own goals in the non-domestic sphere; that they have a social network provided by the work favored men make friends and experience to adapt more effectively; the most frequent contact with family members living in the home cities is more common in the family that created less ties in the new town after the change; the lack of social support networks in Brasilia seems to overload the family system may cause difficulties in the marital relationship; the possibility of the return to origin city presents itself as a strategy to sustain the initial difficulties of migration, however, when the system is more adapted and adjusted to the new reality, no longer uses this feature with the same intensity; families that were more adapted to life in the capital and they have devised the migration process in a satisfactory manner are those who can think of a future in Brasilia, not considering returning to hometowns. This work helped in understanding the current migratory dynamics off families seeking Brasilia as a destination city. / A din??mica migrat??ria em Bras??lia vem apresentando um decr??scimo ao longo dos anos, no entanto, dados apontam para uma popula????o de 53% de pessoas que vem de outros Estados, buscando, em sua grande maioria, melhores condi????es de vida atrav??s do trabalho. Atualmente, a ??rea mais atrativa ?? a que engloba atividades comerciais e o funcionalismo p??blico, oferecidos por diferentes esferas do setor governamental. O perfil do migrante que procura Bras??lia como destino vem se alterando gradativamente, havendo um aumento na idade dessas pessoas que, normalmente, mudam-se com as fam??lias. Pretendeu-se neste estudo conhecer aspectos da rela????o de casais e fam??lias que migram para Bras??lia por motivo de aprova????o ou transfer??ncia de um dos c??njuges em concurso p??blico, identificando as mudan??as que a migra????o provoca nas rela????es conjugais e familiares, o momento do ciclo de vida em que acontece a mudan??a para Bras??lia, as fontes de apoio antes e ap??s a migra????o, as estrat??gias utilizadas pela fam??lia para lidar com as poss??veis dificuldades na adapta????o, al??m de conhecer as expectativas futuras da fam??lia. Participaram deste estudo tr??s fam??lias em diferentes est??gios do ciclo de vida, uma fam??lia com filho adolescente, uma fam??lia com filho pequeno e um casal sem filhos. As fam??lias residem em Bras??lia h??, no m??ximo, 5 anos. Trata-se de uma pesquisa qualitativa realizada por meio de estudo de caso, com a utiliza????o dos seguintes instrumentos para a coleta de dados: roteiro de entrevista semi-estruturado, genograma familiar e ecopama. Foi realizada uma entrevista com cada fam??lia, gravada e transcrita. Os dados foram analisados com base no m??todo construtivo-interpretativo de Gonz??les-Rey. Foram constru??das oito zonas de sentido a partir dos eixos de an??lise e indicadores. Respondendo aos objetivos espec??ficos do estudo, foi poss??vel observar que: as esposas demonstraram maior dificuldade em estabelecer v??nculos significativos em Bras??lia, situa????o dificultada pela falta de objetivos pr??prios no ??mbito n??o dom??stico; o fato de terem uma rede social proporcionada pelo trabalho favoreceu aos homens criar amizades e vivenciar a adapta????o de forma mais efetiva; o contato mais frequente com os familiares que moram nas cidades de origem ?? mais comum na fam??lia que criou menos la??os na nova cidade ap??s a mudan??a; a falta de redes sociais de apoio em Bras??lia parece sobrecarregar o sistema familiar podendo ocasionar dificuldades na rela????o conjugal; a possibilidade do retorno ?? cidade de origem apresenta-se como uma estrat??gia para sustentar as dificuldades iniciais da migra????o, no entanto, quando o sistema se encontra mais adaptado e ajustado ?? nova realidade, n??o utiliza mais esse recurso com a mesma intensidade; as fam??lias que se mostraram mais adaptadas ?? vida na Capital e que conseguiram elaborar o processo migrat??rio de maneira satisfat??ria, s??o aquelas que conseguem pensar em um futuro em Bras??lia, n??o considerando voltar ??s cidades de origem. Esse trabalho auxiliou na compreens??o da din??mica migrat??ria atual das fam??lias que buscam Bras??lia como cidade de destino.

Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-08-16T17:00:00Z No. of bitstreams: 1 EdianeSantosCairesDissertacao2015.pdf: 1101397 bytes, checksum: 6cad8132318feef960f0ba4b00fc7062 (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-08-16T17:00:05Z (GMT) No. of bitstreams: 1 EdianeSantosCairesDissertacao2015.pdf: 1101397 bytes, checksum: 6cad8132318feef960f0ba4b00fc7062 (MD5) / Made available in DSpace on 2017-08-16T17:00:05Z (GMT). No. of bitstreams: 1 EdianeSantosCairesDissertacao2015.pdf: 1101397 bytes, checksum: 6cad8132318feef960f0ba4b00fc7062 (MD5) Previous issue date: 2015-01-01 / Introduction: The increased morbidity and mortality of males and decreased life expectancy of man, and the lack of prevention habits underlie current discussions of Men's Health in order to seek reflections that bring men to the assistance health through pragmatic change in men's attitude. Objective: To assess the knowledge and adherence to the Family Health Strategy and prostate cancer in men Bahian farmers. Methodology: We conducted two semistructured interviews, where the first had specific issues classified into eight categories: the participation of men in family health strategy (ESF), knowledge about prostate cancer, demand for health services, education level the socio - economic, age, marital status and quality of life. The second interview was conducted by a validated multidimensional instrument for assessing the quality of life, and the SF 36. Results: The sample 354 men, and 328 (92.7%) farmers, with an average age of 57.94 ?? 11, 74 years (40-87), 282 married (79.9%) and 288 (81.6%) with an income equal to the minimum wage. The school was found up to four years of study to 322 men (91.2%). Of the total interviewed 287 subjects (81.1%) know the unity of the Family Health Strategy, however, the demand on health services is mainly for Disease Control 188 men (53.3%) and prevention for 139 men 39.5%. The questioning of the AC Prostate, 340 men (95.80%) have heard about this subject, and 258 people (72.90%) have knowledge of the examinations related to this disease, 149 individuals (42.10%) already performed the rectal exam and 191 respondents (54.20%) PSA testing, on demand of men to health services only 15 subjects (4.2%) of the total interviewed seek health services. Regarding quality of life, there was a significant difference in the field vitality when compared Group 1 characterized by individuals who are part of the ESF with the Group 2 made up of individuals who are not part of the ESF, we find an average of 62, 50 ?? 18.80 vs. 59.93 ?? 21.09 respectively (p = 0.05). Conclusion: It was found that most men had knowledge of pathology and examinations necessary for independent prevention education level. However, when it was discussed the conduct of these tests it was found that half of the men even though endowed with knowledge, did not perform the tests. The education of men to the attention of Prostate CA showed no direct relationship, in relation to preventive tests, it was found that the number of individuals who have not made the digital rectal exam is higher of that feature up to four years of education. The completion of the examination is not subject to family income as men despite having knowledge about the theme does not perform the usual preventive exams. Regarding the quality of life it became clear that the accession of the man prioritized the actions taken by the health team providing a better quality of life to participating users. / Introdu????o: O aumento da morbimortalidade do sexo masculino e a diminui????o da expectativa de vida do homem, bem como a escassez de h??bitos de preven????o fundamentam as discuss??es atuais acerca da Sa??de do Homem com o intuito de buscar reflex??es que tragam os homens para a assist??ncia em sa??de por meio de mudan??as pragm??ticas na postura masculina. Objetivo: Verificar o conhecimento e ades??o ?? Estrat??gia de Sa??de da Fam??lia em homens lavradores baianos. Metodologia: Foram realizadas duas entrevistas semiestruturadas, onde a primeira apresentava quest??es especificas classificadas em oito categorias: a participa????o do homem na estrat??gia de sa??de da fam??lia (ESF), o conhecimento sobre c??ncer de pr??stata, procura pelos servi??os de sa??de, o n??vel de escolaridade, a condi????o s??cio ??? econ??mica, a idade, o estado civil e a qualidade de vida por meio de uma segunda entrevista com o instrumento multidimensional validado para an??lise, o SF 36. Resultados: Participaram da amostra 354 homens, sendo 328 (92,7%) lavradores, com idade m??dia de 57,94 ?? 11,74 anos (40-87), 282 casados (79,9%) e 288 (81,6%) com renda igual a um sal??rio m??nimo. A escolaridade encontrada foi de at?? quatro anos de estudo para 322 homens (91,2%). Do total dos entrevistados 287 indiv??duos (81,1%) conhecem a unidade de Estrat??gia de Sa??de da Fam??lia, por??m, a procura nos servi??os de sa??de ?? principalmente para controle de doen??as para 188 homens (53,3%) e preven????o para 139 homens 39,5%. Ao questionar sobre o CA de Pr??stata, 340 homens (95,80%) j?? ouviram falar sobre este tema, sendo que 258 pessoas (72,90%) tem conhecimento sobre os exames relacionados a esta patologia, 149 indiv??duos (42,10%) j?? realizaram o exame de toque retal e 191 dos entrevistados (54,20%) o exame de PSA, sobre a procura dos homens aos servi??os de sa??de somente 15 indiv??duos (4,2%) do total entrevistado procuram os servi??os de sa??de. Em rela????o a qualidade de vida, verificou-se diferen??a significativa no dom??nio vitalidade, quando compara-se o Grupo 1 caracterizado por indiv??duos que fazem parte da ESF com o Grupo 2 formado por indiv??duos que n??o fazem parte da ESF, encontrando um valor m??dio de 62,50 ?? 18,80 vs 59,93 ?? 21,09 respectivamente (p= 0,05). Conclus??o: Verificou-se que a maioria dos homens apresentaram conhecimento acerca da patologia e dos exames necess??rios para a preven????o independentemente do n??vel de escolaridade. Entretanto, quando foi discutido a realiza????o destes exames observou-se que metade dos homens ainda que dotado de conhecimento, n??o realizou os exames. A escolaridade dos homens ao conhecimento do CA de Pr??stata n??o apresentou rela????o direta, em rela????o aos exames de detec????o precoce, verificou-se que o n??mero dos indiv??duos que n??o fizeram o toque retal encontra-se maior entre com que apresentam at?? quatro anos de instru????o. A realiza????o do exame n??o est?? condicionada a renda familiar j?? que os homens apesar de apresentar conhecimento acerca da tem??tica n??o realiza os exames habituais de preven????o. Em rela????o ?? qualidade de vida evidenciou-se que ?? ades??o do homem priorizou as a????es desenvolvidas pela equipe de sa??de proporcionando uma melhor qualidade de vida aos usu??rios participantes.

Submitted by Biblioteca Digital de Teses e Disserta????es (sdi@ucb.br) on 2017-11-08T13:42:46Z No. of bitstreams: 1 CamilaGabrielMeirelesDissertacao2013.pdf: 1149081 bytes, checksum: 8e6c517bee29e8690be7248afcf7bc72 (MD5) / Approved for entry into archive by Biblioteca Digital de Teses e Disserta????es (sdi@ucb.br) on 2017-11-08T13:43:03Z (GMT) No. of bitstreams: 1 CamilaGabrielMeirelesDissertacao2013.pdf: 1149081 bytes, checksum: 8e6c517bee29e8690be7248afcf7bc72 (MD5) / Made available in DSpace on 2017-11-08T13:43:03Z (GMT). No. of bitstreams: 1 CamilaGabrielMeirelesDissertacao2013.pdf: 1149081 bytes, checksum: 8e6c517bee29e8690be7248afcf7bc72 (MD5) Previous issue date: 2013-01-01 / This study aims to understand, from a comparative perspective, the perception of children / adolescents and their families on institutional care. Based on a qualitative approach, we performed the case study of four teenagers, two of whom were still welcomed institutionally and two had returned to the care of their families. As for the procedures used, individual interviews were conducted with children and adolescents and with members of the family group, more specifically mothers, and complementary technique was employed in the preparation of drawings to support the interview one of the teenagers. The results indicated that the members of the families interviewed have different perceptions between themselves, both on the protective measure of institutional care much about the institution under which the protective measure was performed. Family members interviewed tended to justify the measure as a host factor and need to protect their children, who might have access to basic social rights such as food, shelter and education. However, the perception of those members of the institution where the research took place was extremely negative and meant as a factor of "risk" to their children, exemplified by the sale and use of drugs by teenagers in the shelter. Unlike the members of the families surveyed, interviews of children and adolescents have not offered support for the measure perception host as a protective factor. However, their perceptions coincided regarding unprotected offered by the host unit where the research was conducted. In this sense, the perceptions of children and teenagers on the institution-researched exacerbated the representation of host unit as equivalent to a prison unit without control over drug use, an environment unwelcoming and cold, with rules that more resemble a scheme prison. Data from this study highlight the challenge of units that receive institutional care adolescents under socio remain in its mission of "protection unit" and not become "unit socioeducation". / Este estudo tem o objetivo de compreender, numa perspectiva comparativa, a percep????o de crian??as/adolescentes e suas fam??lias sobre o acolhimento institucional. Com base em uma abordagem qualitativa, foi realizado o estudo de caso de quatro adolescentes, sendo que dois deles estavam ainda acolhidos institucionalmente e dois j?? haviam retornado aos cuidados de seus familiares. Quanto aos procedimentos utilizados, foram realizadas entrevistas individuais com crian??as e adolescentes e com membros do grupo familiar, mais especificamente com m??es, e complementarmente foi empregada a t??cnica da elabora????o de desenhos para dar suporte ?? entrevista de um dos adolescentes. Os resultados indicaram que os membros das fam??lias entrevistadas possuem percep????es diferenciadas entre si mesmos, tanto sobre a medida protetiva de acolhimento institucional quanto sobre a institui????o abrigo onde a medida protetiva foi executada. Os membros das fam??lias entrevistadas tenderam a justificar a medida de acolhimento como uma necessidade e fator de prote????o de seus filhos, que poderiam ter acesso a direitos sociais b??sicos, como alimenta????o, abrigo e educa????o. Contudo, a percep????o desses membros sobre a institui????o onde a pesquisa se realizou foi extremamente negativa e significada como um fator de ???risco??? para seus filhos, exemplificada com a venda e o uso de drogas pelos adolescentes dentro do abrigo. Diferentemente dos membros das fam??lias pesquisadas, as entrevistas das crian??as e adolescentes n??o ofereceram suporte para percep????o da medida de acolhimento como fator de prote????o. Contudo, suas percep????es coincidiram em rela????o ?? desprote????o oferecida pela unidade de acolhimento onde a pesquisa foi realizada. Nesse sentido, as percep????es das crian??as e adolescentes sobre a institui????o-pesquisada exacerbaram a representa????o da unidade de acolhimento como equiparada a uma unidade prisional sem controle sobre o uso de drogas, um ambiente pouco acolhedor e frio, com regras que mais lembram um esquema de pris??o.

Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2018-01-22T11:19:16Z No. of bitstreams: 1 CiceroNunesMenezesDissertacaoParcial2017.pdf: 646589 bytes, checksum: ca09294acd18678b43be8dd09a3833c2 (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2018-01-22T11:19:33Z (GMT) No. of bitstreams: 1 CiceroNunesMenezesDissertacaoParcial2017.pdf: 646589 bytes, checksum: ca09294acd18678b43be8dd09a3833c2 (MD5) / Made available in DSpace on 2018-01-22T11:19:33Z (GMT). No. of bitstreams: 1 CiceroNunesMenezesDissertacaoParcial2017.pdf: 646589 bytes, checksum: ca09294acd18678b43be8dd09a3833c2 (MD5) Previous issue date: 2017-07-25 / Obesity is considered a worldwide epidemic, while grade III obesity is one of the most deadly diseases in the world. Research shows that the number of obese people in Brazil is 20.8% and reaches 36.9% worldwide. Today there are several treatments for the disease, and bariatric surgery the most effective method to control obesity and its comorbidities. However, weight regain accounts for about 7% to 50% of patients undergoing surgery. According to the systemic perspective, there are mutual influences between the individual and his primary system of development, which is the family. This system can be a context of health and also illness of its members. Thus, it is understood that the family can have influence in the emergence, as well as in the prevention and treatment of several diseases. Consistent with the need for a better understanding of this phenomenon and the search for more effective solutions, the present study had as its main objective: to understand how the family dynamics of adults submitted to bariatric surgery may or may not influence the weight regain after surgery. The specific objectives were: to identify aspects of the family structure, such as rules of relationship, types of borders and communication among its members; Know the family history, regarding the onset and development of obesity, treatments and context of the decision to do surgery and post-surgical period; To describe the family food pattern in the period before and after bariatric surgery, identifying the quality and amount of food and familiar situations involving food. Identify possible influences of other social systems (church, work school, health services) in the regain or not of weight by the women after the bariatric surgery. The qualitative methodology was privileged through the case study. Two families residing in Administrative Regions of the Federal District participated in the study, with adult women who underwent bariatric surgery; One of the patients presented a regain of weight above 10% in relation to the minimum weight reached after bariatric surgery while the other did not. Two meetings were held with each family, using a semi-structured interview script and the construction of the family genogram. The information collected was analyzed according to the interpretive constructive method, and discussed based on the family systemic approach. The results showed that in the patients family who presented a significant weight regain family boundaries and rules are diffuse and there are difficulties in the differentiation in relation to the extended family, and there is ambiguity in understanding the rules; In the patients family who did not have a weight regain there are clear rules of relationship and definition of the roles of their members; In both cases we observed the multifactorial aspect of obesity, since in addition to the genetic factors some characteristics of the family dynamics may have contributed in both cases; Adherence to treatment and family and social support contributed to the current picture of the cases studied. The data presented reinforce the importance of including the family and the social support network in the prevention, treatment and follow-up of obese patients before and after bariatric surgery. / A obesidade ?? considerada uma epidemia mundial, enquanto a obesidade grau III ?? uma das doen??as que mais matam no mundo. Pesquisas mostram que o n??mero de pessoas obesas no Brasil ?? de 20,8% e chega a 36,9% em todo o mundo. Hoje j?? existem v??rios tratamentos para a doen??a, sendo a cirurgia bari??trica o m??todo mais eficazes no controle da obesidade e de suas comorbidades. No entanto, o reganho de peso atinge cerca de 7 a 50% dos pacientes submetidos ?? cirurgia. De acordo com a perspectiva sist??mica, h?? influ??ncias m??tuas entre o indiv??duo e seu sistema prim??rio de desenvolvimento, que ?? a fam??lia. Este sistema pode ser um contexto de sa??de e tamb??m de adoecimento dos seus membros. Assim, entende-se que a fam??lia pode ter influ??ncia no surgimento, bem como na preven????o e tratamento de v??rias doen??as. Consoante com a necessidade de uma melhor compreens??o sobre esse fen??meno e a busca de solu????es mais eficazes, o presente estudo teve como objetivo principal: compreender como a din??mica familiar de adultos submetidos ?? cirurgia bari??trica pode influenciar ou n??o no reganho de peso p??s cirurgia. Os objetivos espec??ficos foram: identificar aspectos da estrutura familiar, como as regras de relacionamento, tipos de fronteiras e comunica????o entre seus membros; conhecer a hist??ria familiar, no que diz respeito ao in??cio e desenvolvimento da obesidade, tratamentos e contexto da decis??o de fazer a cirurgia e per??odo p??s-cir??rgico; descrever o padr??o alimentar da fam??lia no per??odo anterior e posterior ?? cirurgia bari??trica, identificando a qualidade e quantidade de alimentos e situa????es familiares envolvendo a alimenta????o; Identificar poss??veis influ??ncias de outros sistemas sociais (igreja, escola trabalho, servi??os de sa??de) no reganho ou n??o de peso pelas mulheres ap??s a cirurgia bari??trica. Privilegiou-se a metodologia qualitativa por meio do estudo de caso. Participaram da pesquisa duas fam??lias residentes em Regi??es Administrativas do Distrito Federal, com mulheres adultas que foram submetidas ?? cirurgia bari??trica; uma das pacientes apresentou reganho de peso acima de 10% em rela????o ao peso m??nimo alcan??ado ap??s a cirurgia bari??trica enquanto a outra n??o. Foram realizados dois encontros com cada fam??lia, utilizando um roteiro de entrevista semiestruturado e a constru????o do genograma familiar. As informa????es levantadas foram analisadas de acordo com o m??todo construtivo interpretativo, e discutidas com base na abordagem sist??mica da fam??lia. Os resultados mostraram que na fam??lia da paciente que apresentou significativo reganho de peso as fronteiras e regras familiares s??o difusas e h?? dificuldades na diferencia????o em rela????o ?? fam??lia extensa, e existe ambiguidade na compreens??o das regras; na fam??lia da paciente que n??o teve reganho de peso existem regras claras de relacionamento e defini????o dos pap??is de seus membros; em ambos os casos observamos o aspecto da multifatorialidade da obesidade, pois al??m dos fatores gen??ticos algumas caracter??sticas da din??mica familiar podem ter contribu??do nos dois casos; a ades??o ao tratamento e o apoio familiar e social contribu??ram para que o quadro atual dos casos estudados. Os dados apresentados refor??am a import??ncia da inclus??o da fam??lia e da rede de apoio social na preven????o, tratamento e acompanhamento de pacientes obesos antes e ap??s a cirurgia bari??trica.