This diploma thesis deals with the topic of clients after lower limb/s amputation and their social rehabilitation afterwards in home care. Beginning of thesis describes the current situation and the concept of social rehabilitation as one of the comprehensive rehabilitation process of people in early post-amputation stage. Next section of thesis shows difficulties that occurs after amputation and impact upon personal life that is materially changed. Describing the process of coping with this unpleasant health change is based on traditional model of two important people in this field Mr. Kübler-Ross and Mr. Křivohlavý. At the same time, analysis of the formal support system in Ústí nad Labem is being evaluated. This system provides support not only to disabled people but also to people who take infromal care of the one injured. Informal care plays significant role in the process of social rehabilitation of people starting new life stage due to physical change. In thesis are mentioned possibilities of developing skills of informal caregivers, usage of financial benefits for disabled people and possible providers support of medical and social services in a given location. However, it also focuses on possible troubles associated with care provided by family members or other persons. At the same time,...

Submitted by Priscilla Araujo (priscilla@ibict.br) on 2018-08-08T18:53:09Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) TESE VF.pdf: 5912664 bytes, checksum: 8f5ffa8815f9f91b4a11babe28dd5801 (MD5) / Made available in DSpace on 2018-08-08T18:53:09Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) TESE VF.pdf: 5912664 bytes, checksum: 8f5ffa8815f9f91b4a11babe28dd5801 (MD5) Previous issue date: 2014 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Esta pesquisa está fundada na interlocução entre dois campos de saberes e práticas: o campo da Ciência da Informação (CI), no qual se inscrevem as ações e os regimes de informação, e o campo da Saúde Coletiva relacionado à saúde como fenômeno social. Abrange ainda, como interface de investigação, os fluxos informacionais e comunicacionais presentes nas interações entre os profissionais dos serviços de saúde da Atenção Básica. São fundamentais, nesse processo, as relações sociais e as ações de informação nas quais o cuidado desempenha papel metafórico e de mediação das relações humanas no cotidiano institucionalizado da saúde. Utilizando-se da Análise das Redes Sociais foi investigada as relações infocomunicacionais entre 150 profissionais de saúde de 2 Clínicas da Família, um Centro de Saúde e uma equipe do Núcleo de Apoio da Saúde da Família (NASF), na Área Programática (AP) 5.2 do município do Rio de Janeiro. Os resultados apontam para a existência de barreiras à implementação da Política Nacional de Atenção Básica no que tange a política do cuidado. A estrutura das redes infocomunicacionais levantadas constrangem as ações de informação que poderiam disseminá-la. Esses obstáculos refletem as percepções sobre cuidado dos agentes responsáveis pela implementação da política, os profissionais de saúde. A principal barreira a ser equacionada é a fronteira do próprio sistema de saúde em relação a necessidade de saúde dos usuários, pouco permeável ao reconhecimento do discurso da população alvo. Entre os profissionais de saúde apenas 20% descrevem o cuidado como forma de reconhecimento do outro, ou seja, como sendo o sentido operador da fronteira capaz de selecionar novos recursos informacionais no entorno, permitindo a produção compartilhada entre saberes científicos e comuns na construção do conceito positivo e ampliado de saúde. Também apontam os resultados para algumas formas complementares possíveis de promover a difusão do cuidado como reconhecimento do outro. Os caminhos desta promoção assinalados pelos resultados da tese são: pelo NASF, pelas lideranças das redes, pelo grupo dos agentes comunitários de saúde, pela educação em serviço. / The present research is based on the interlocution between two fields of knowledge and practices: the field of Information Science, to which actions and information regimes belong, and the field of Collective Health, which is associated to health as a social phenomenon. Furthermore, as an interface for research, it comprises flows of informational and communication skills existing in the interaction between basic healthcare professionals. In this process, social relations and information actions in which care plays a metaphorical and mediation role in human relations within everyday institutionalized health care are essential. Infocomunicational relations between one hundred and fifty (150) healthcare professionals of two (2) Family Clinics, one (1) Health Center and one (1) team of the Family Health Support Center (Núcleo de Apoio da Saúde da Família - NASF) in the Programmatic Area (Área Programática - AP) 5.2 of Rio de Janeiro county were investigated by means of Social Network Analysis. The results support the existence of a barrier to the implementation of the National Policy of Basic Health Care (Política Nacional de Atenção Básica) in terms of care policy. The infocomunicational network structures surveyed constrain information actions that could disseminate it. Such obstacles reflect how healthcare professionals, who are responsible for applying this policy, perceive care itself. The main barrier to be addressed is the frontier of the health system in relation to its users need for health, not very easily influenced by the recognition of the target population discourse. In between health professionals, only 20% describe care as means of recognizing the other, that is, as being the sense that operates the frontier capable of selecting new informational resources in the surrounding environments allowing a shared production between scientific and common knowledge in the building of a positive and enlarged concept of health. Moreover, the results also show a few complementary forms that might promote the dissemination of care as the recognition of the other. According to the thesis results, the paths for such promotion are via: NASF, network leadership, groups of health community agents, and education in service.

The main part of the doctoral thesis analyses the form of terraced housing in Czechoslovakia in the years 1945-1990. It searches for the original roots, the principles of formation and the characteristic types. The purpose was to find an answer to the question of where its values lie, because the state-controlled standardization negatively influenced the appearance of an average terraced house. The quest of seeking positive approaches the pre-war development of terraced housing and examines parallels between the groups of the 70s and the present. The subject is embedded in the wider framework of the state housing policy and its impact on the character of the new development. The thesis focuses on the period of the 70s, when family development culminat-ed. The main part analyzes three selected groups of terraced houses from the seventies. It is based on the study of available project documentations, which was made accessible by the archives of building authorities. Selected groups are considered in terms of public space and new types of terraced houses. The thesis highlights the diversity of typologi-cal forms of terraced houses of this period. The last part is devoted to the characteristics of terraced housing after 1990. The thesis summarizes the causes of the negative phenomena in suburban locations and shows the transformation of typical terraced houses. It analyses new approaches in urban development of family houses on selected groups. In the context of new concepts, it researches the solutions of public space and types of terraced houses. Finally, the thesis summarizes the transformation of the urban development of the terraced housing from 1945 to the present and proposes the other areas and problems suitable for exploration. The annexed documentary studies of three selected groups from the seventies, which were only partially published. Parts of the appendix are bar charts that evaluate the extent of the family development in individual time periods from 1945 to the present.