Made available in DSpace on 2011-12-27T14:14:30Z (GMT). No. of bitstreams: 2 000397724-0.pdf: 31852 bytes, checksum: 7d01184e2770e23cbda44f3f48d24eaf (MD5) license.txt: 581 bytes, checksum: 44ea52f0b7567232681c6e3d72285adc (MD5) / This research was developed inside the qualitative constructivist paradigm, through the description of cases of patients with Gorlin-Goltz syndrome already treated and monitored in a post-graduate program in Surgery and Bucomaxilofacial Traumatology of FO-PUCRS. The objective of this study went realize a descriptive and comparative approach of patients with Gorlin-Goltz Syndrome those were early diagnosis versus those with late diagnosis. This comparative assessment tries getting greater emphasis on early diagnosis and surgical treatment of Keratocystic Odontogenic Tumor. Since the first lesions appear in the oral cavity, the bucomaxilofacial surgeon have the responsibility of the early diagnosis and referral to other specialties. The multiple congenital anomalies that patients have and the many difficulties which patients with the syndrome suffer forward to the need of multidisciplinary treatment in various public institutions of health to obtain the definitive diagnosis of the syndrome were studied. / Esta pesquisa foi desenvolvida dentro do paradigma qualitativo construtivista, por meio da descrição de casos de pacientes com Síndrome de Gorlin-Goltz já tratados e em acompanhamento no programa de pós-graduação em Cirurgia e Traumatologia Bucomaxilofacial da FO-PUCRS. Este estudo teve por objetivo realizar uma abordagem descritiva e comparativa de pacientes com Síndrome de Gorlin-Goltz que foram diagnosticados precocemente daqueles com diagnóstico tardio. Nesta avaliação comparativa procurou-se dar maior ênfase ao diagnóstico precoce e tratamento cirúrgico dos Tumores Odontogênicos Ceratocístico, por serem, segundo a literatura, as primeiras lesões a surgirem nos pacientes portadores da síndrome. Haja vista que as primeiras lesões surgem na cavidade bucal, cabem ao cirurgião bucofacial a responsabilidade do diagnóstico precoce e encaminhamento a outras especialidades. Também procurou-se abordar as múltiplas anomalias congênitas que os pacientes apresentam e as inúmeras dificuldades com que os pacientes com a síndrome padecem frente à necessidade do tratamento multidisciplinar nas varias instituições públicas de saúde até obterem o diagnóstico definitivo da síndrome.

Made available in DSpace on 2015-04-14T13:29:14Z (GMT). No. of bitstreams: 1 397724.pdf: 31852 bytes, checksum: 7d01184e2770e23cbda44f3f48d24eaf (MD5) Previous issue date: 2007-12-10 / Esta pesquisa foi desenvolvida dentro do paradigma qualitativo construtivista, por meio da descri??o de casos de pacientes com S?ndrome de Gorlin-Goltz j? tratados e em acompanhamento no programa de p?s-gradua??o em Cirurgia e Traumatologia Bucomaxilofacial da FO-PUCRS. Este estudo teve por objetivo realizar uma abordagem descritiva e comparativa de pacientes com S?ndrome de Gorlin-Goltz que foram diagnosticados precocemente daqueles com diagn?stico tardio. Nesta avalia??o comparativa procurou-se dar maior ?nfase ao diagn?stico precoce e tratamento cir?rgico dos Tumores Odontog?nicos Ceratoc?stico, por serem, segundo a literatura, as primeiras les?es a surgirem nos pacientes portadores da s?ndrome. Haja vista que as primeiras les?es surgem na cavidade bucal, cabem ao cirurgi?o bucofacial a responsabilidade do diagn?stico precoce e encaminhamento a outras especialidades. Tamb?m procurou-se abordar as m?ltiplas anomalias cong?nitas que os pacientes apresentam e as in?meras dificuldades com que os pacientes com a s?ndrome padecem frente ? necessidade do tratamento multidisciplinar nas varias institui??es p?blicas de sa?de at? obterem o diagn?stico definitivo da s?ndrome.

Die Arbeit untersucht erstmals die evangelischen Vereine für weibliche Jugendliche, die so genannten Jungfrauenvereine, von ihrer Entstehung in den 1840er Jahren bis zum 1. Weltkrieg, sowie insbesondere den 1893 gegründeten Verband der evangelischen Jungfrauenvereine Deutschlands (später Evangelischer Verband zur Pflege der weiblichen Jugend Deutschlands, ab 1929 Evangelischer Reichsverband weiblicher Jugend). <br><br> In der ersten Hälfte des 19. Jahrhundert begann ein Teil des protestantischen Bürgertums damit, für die hochmobilen Unterschichts-Jugendlichen, die im Zuge der Industrialisierung als Handwerksgesellen und Dienstmädchen, später als Fabrikarbeiter und -arbeiterinnen in die expandierenden Großstädten gingen, Herbergen und Vereine zu gründen. Damit trugen die Initiatoren wesentlich zur Entstehung eines öffentliches Bewusstsein für die prekäre Lebenssituation der Unterschichtsjugend und für die Notwendigkeit präventiver Jugendarbeit bei. Der Verband initiierte dann in den Jahren um 1900 zahlreiche innovative soziale Projekte in der weiblichen Jugendpflege und Jugendfürsorge. Die Arbeit untersucht drei Bereiche: 1. Vereine (sog. Abendheime) und Wohnheime für Fabrikarbeiterinnen; 2. die 1894 begonnene Bahnhofmission, die sich der mobilen weiblichen Jugendlichen direkt an die Bahnhöfen annahm; 3. Erholungshäuser für erwerbstätige Jugendliche. Bei allen Initiativen arbeitete der Verband eng mit seinem lokalen Partner, dem Berliner Verein zur Fürsorge für die weibliche Jugend zusammen, der neue Arbeitsbereiche in der Praxis testete. <br><br> Neben der Verbandsgeschichte im engeren Sinne thematisiert die Untersuchung auch die Konzeption und die Inhalte der Vereinsarbeit. Orientiert an dem Konzept einer christlichen Persönlichkeitsbildung sollte die Vereinsarbeit möglichst viele Bereiche jugendlichen Lebens umfassen: Arbeit (inkl. Erholungsurlaub), Wohnen, Freizeit (Geselligkeit, Lektüre), Gesundheit und Bildung. Da jedoch aufgrund der Orientierung an einem konservativen Frauenbild der Bereich jugendlicher Sexualität bewusst ausgeklammert wurde, erreichte man mit diesem Konzept präventiver Jugendarbeit im wesentlichen nur die ohnehin wohlanständigen Jugendlichen. <br><br> Die Spannung zwischen einem konservativen Frauenbild einerseits und den modernisierenden Impulsen einer Jugendarbeit mit weiblichen Jugendlichen andererseits zeigt sich auch daran, dass der Verband durch die Gründung eines Berufsverbandes für Sozialarbeiterinnen (Verband der Berufsarbeiterinnen der Inneren Mission) und der Einrichtung von Ausbildungsstätten wesentlichen Anteil an den modernisierenden Prozessen der Verberuflichung der sozialen Arbeit und der kirchlichen Jugendpflege zu Berufen bürgerlicher Frauen hatte. / This is the first study into the Protestant association for female youths, the so-called Jungfrauenvereine, from their origins in the 1840s until World War I, and especially the German Young Women’s Christian Association (YWCA) founded in 1893. <br><br> In the first half of the 19th century, members of the Protestant middle-class began founding hostels and associations for the highly mobile youth from the lower classes that went to the expanding cities to find jobs as manual labourers or housemaids, then later as factory workers. As a consequence, the initiators of Protestant youth welfare contributed significantly to the common awareness for the precarious situation of lower class youth (females) and of the necessity for preventive youth care. <br><br> In the decade preceding and subsequent to 1900, the Association initiated various pioneering social projects in the area of female youth work and youth welfare. This study examines three areas: 1. The associations and homes for young female workers; 2. The Railway Station Mission (Bahnhofsmission) which was founded in 1894 and cared for mobile female youths directly at the central stations of big cities. 3. Rest homes for young working women. In all these efforts the national associations worked together very closely with their local partner, the Berlin Association for the Welfare of Female Youths (Berliner Verein zur Fürsorge für die weibliche Jugend), which tested and practised new forms of social work. <br><br> Apart from the history of the German Young Women’s Christian Association in a narrower sense, this study also explores the conception and content of the Association’s work. Based on the concept of Christian inspired personal development, the work of the Association sought to encompass various parts of juvenile life such as: work (including holiday), living, leisure (social gatherings, reading), health and education. Because of the focus on conservative female role models, juvenile sexuality was explicitly ignored. This meant that this concept of preventive youth care only reached those young women who already conducted themselves in the perceived decency. <br><br> The tension between the conservative female role model on the one hand and the modernising impact of new models of youth welfare on the other hand is also visible in the fact that the Association made an essential contribution to the institutionalisation of new social professions for middle-class women by founding a vocational association of social workers and vocational schools and colleges.