Thesis (M.Arch.)--University of Hong Kong, 1996. / Includes special report study entitled : Management on materials handling systems : improvement on the operatio & services of an independent perinatal care centre. Includes bibliographical references. Also available in print.

Thesis (M.S.)--Catholic University of America. / Includes bibliographical references.

Despite popular and professional concerns with childbirth and prenatal care there are few empirical studies of behavior in hospitals where these events typically occur. The problem set for the study reported here was to observe behavior in the maternity department of a hospital and to provide a theoretical description of what was observed in terms relevant to sociologists' interest in the social organization of work routines of professional staff members serving a lay client population. The thesis is thus a description of medical staff members' work routines, with an analytic interest in how that relates to features of work routines of service occupations in general. Specifically, the study reports upon the ways lay patients may differ from professional medical staff members in their perspectives on prenatal care and childbirth and how staff members see these divergences as often resulting in organizational problems when they try to provide care which is "complete, " efficient and expeditious. Further, the study describes how staff members develop interactional (and other) methods for managing patients, especially those who adhere to these nonmedical perspectives, so as to cope with such practical pressures as the need to schedule patients and their demands, provide a visibly competent performance for superiors, peers and patients, and prepare the patient for efficient and expeditious processing at subsequent organizational stages. It is asserted that these practical pressures (termed demand characteristics) are features commonly found in work routines of service occupations in general. Finally, it is argued that an ethnographic study of work routines of professional staff members of service institutions, e_. g., hospitals, may be necessary to explain adequately features of apparently natural or biological events, such as childbirth, that occur within them. / Arts, Faculty of / Anthropology, Department of / Graduate

No description available.

Thesis (M. Arch.)--University of Hong Kong, 1996. / Includes special report study entitled: Management on materials handling systems : improvement on the operatio & services of an independent perinatal care centre. Includes bibliographical references.

Background; Gynecological cancer is a common term for cancer in the female genitals and 2013 there were about 2800 women in Sweden that was diagnosed. This form of cancer and the treatment that is used, affects the sexuality and also the fertility of the women. Aim; The purpose with the essay was to illustrate the experience of the sexuality after the treatment of gynecological cancer. Method; The method used in the essay was a systematic translation of different literature. Of all the articles used there were eight that was qualitative, two quantitative and one was a combination of both methods. The analytic process was accomplish with the support of the Friberg (2006) analytic method. Results; The analysis resulted in two categories; Physical changes after the treatment and the treatments impact on the sexuality of the women. The physical changes that occurred because of the treatment was recurring and it showed that it was primarily surgery that hurt the woman body. It was also shown that the biggest impact that the treatment had on sexuality was pain and reduced desire for sex. And it also showed that sexuality got a new meaning for the women and they found new ways to express their feelings towards their partner. Conclusion; It was showed that the sexual experience primarily was affected by the physical consequences that the treatment had and not only because of the cancer itself. And it can because of this conclution be of significance that the nurse focus on the effects of the treatment, like vaginal anatomy and physical and psychological effects to be able to support the womans sexual well-being

published_or_final_version / Architecture / Master / Master of Architecture

For most of us, thoughts about our own mortality are largely unconscious, an invisible backdrop to our daily living. However, when forced to face a potentially life threatening event, these otherwise underlying thoughts about human transience rise to consciousness. Given the seemingly inherent link between receiving a cancer diagnosis and developing an increased awareness of one’s own mortality, the present study sought to address the following research question, “What are the experiences and processes by which women with gynecologic cancer construct meaning and manage death anxiety in the face of their cancer diagnosis?” Based on an interpretive grounded theory paradigm, 10 women with gynecologic cancer were interviewed to gather rich, nuanced information about the phenomenology of death anxiety in this understudied cancer population. The primary ways in which participants managed the threat of mortality were to engage in certain socially-sanctioned behaviors related to religion, spirituality, family, identity, and social obligations. These activities served a dual purpose by (1) giving participants the opportunity to fight symbolically or literally against death and (2) allowing them to derive a sense of meaning and purpose in life. Findings from this study offer a unique conceptual understanding of the cancer experience. Implications for theory, research, and practice are discussed.

Orientador: Plínio Trabasso / Texto em português e inglês / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-25T16:43:11Z (GMT). No. of bitstreams: 1 Madeira_MariaZeliadeAraujo_M.pdf: 1405070 bytes, checksum: 92d0a92bffeb8403785ffcb448a2afbb (MD5) Previous issue date: 2014 / Resumo: INTRODUÇÃO: As Infecções do Sítio Cirúrgico (ISC), compreendendo de 14% a 16% das encontradas em pacientes hospitalizados, são classificadas em incisional superficial, incisional profunda ou de órgão/cavidade. Entre 12% e 84% dessas infecções são detectadas depois que o paciente deixa o hospital, daí a importância da realização da vigilância pós-alta hospitalar. OBJETIVOS: Implementar um serviço de vigilância pós-alta de ISC em mulheres que realizaram cirurgia ginecológica em um Hospital de Ensino em Teresina-PI; monitorizar a ocorrência de ISC e sua associação com fatores de risco; caracterizar o perfil sociodemográfico desse contingente; determinar a taxa de incidência de ISC no ambulatório de ginecologia por meio da vigilância; e identificar o perfil das ISC diagnosticadas após a alta hospitalar. MÉTODO: Estudo quantitativo e prospectivo, realizado no ambulatório de ginecologia do Hospital Getúlio Vargas, o qual é de ensino público, geral, de grande porte e de referência em saúde para o Estado do Piauí e demais regiões do Norte e Nordeste do Brasil. A população foi de 1.026 mulheres egressas do hospital de ensino, que realizaram cirurgia ginecológica, no período de junho de 2011 a março de 2013. O projeto foi aprovado pelo Comitê de Ética e Pesquisa da UFPI, sob o CAAE: 0059. 045. 000.11. RESULTADOS: Utilizou-se a vigilância epidemiológica às ISC do tipo busca ativa, por 30 dias, no ambulatório de ginecologia, por meio de contato presencial e telefônico. A taxa de retorno das mulheres para o ambulatório foi de 86,6% e a incidência de ISC foi de 5,8%, destas, 71,7% foram classificadas como incisional superficial e 28,3% como incisional profunda. O tempo médio entre a cirurgia e o diagnóstico de ISC foi de 12,9 dias; a maior incidência se encontra na faixa etária de 25 a 44 anos (44,3%) de idade; procediam da capital 57,8% e, do interior do Estado, 42,2%; 63% são casadas, 61% tinham até o ensino fundamental; economicamente, 46,4% declararam renda familiar de 1 (um) salário mínimo. Os fatores de risco para o desenvolvimento de ISC foram: Tempo PO (dias), Neoplasia e Diabetes mellitus. CONCLUSÃO: Evidenciou-se o incremento da notificação de incidência de ISC, o que aponta para a importância do acompanhamento das mulheres sob vigilância pós-alta, utilizando uma estratégia sistematizada. Palavras chaves: Vigilância epidemiológica, Procedimentos Cirúrgicos em Ginecologia, Infecção de ferida operatória / Abstract: INTRODUCTION: The Surgical Site Infection (SSI) understanding 14% to 16% of those found in intern patients, and be assorted in superficial incisional SSI, deep incisional SSI, or organ or space SSI. Between 12% and 84% those infections are detected after the patient leaves hospital, hence the importance of post-discharge surveillance. OBJECTIVES: The post-discharge surveillance woman service implementation who underwent gynecological surgery in school hospital in Teresina - PI; monitor the occurrence of ISC and association with risk factors; characterizing the socio-demographic profile; appoint incidence rate (SSI) in gynecological ambulatory for surveillance method, and identify the profile of SSI misdiagnosed after discharge. METHODS: Prospective and quantitative study, accomplished in gynecological ambulatory in Getulio Vargas Hospital, which is for public education, and a large general hospital, and the health reference for the state of Piauí and further the North and Northeast regions of Brazil. The population was 1026 patient women which has undergone gynecological surgery in period from june 2011 to march 2013. The project was approved for the UFPI Research Ethics Committee, under the CAAE: 0059 045 000.11. RESULTS: It was used SSI epidemiologic surveillance, type active report for 30 days in gynecological ambulatory, by face or telephonic contact. Return rate of women to gynecological ambulatory was 86,6% and SSI incidence was 5,8%, those 71,1% was classed in superficial incisional and 28,3% deep incisional. The average time betwixt surgery and SSI diagnosis was 12,9 days; the highest incidence is in the age group 25-44 years (44.3%); came from the city (57,8%) e countryside of the State (42,2%), 63% married women, had basic education 61%, 46,4% declare having minimum wage. The risk factors to SSI development was: OP Time (days), neoplasm and Diabetes mellitus. CONCLUSION: Highlighted the increased incidence of SSI notification, pointing to the importance of accompanying the women in post-discharge surveillance, using a systematic strategy. Key words: Epidemiological surveillance, Gynecologic Surgical Procedures, Surgical wound infection / Mestrado / Ciencias Biomedicas / Doutora em Ciências Médicas

Purpose of study: To examine change in balance-related fall risk and daily functional abilities in the first 2 postoperative weeks and up to 6 weeks after gynecologic surgery. Materials and methods: Prospective cohort study in gynecologic surgery patients age 65 and older. Balance confidence (Activities-specific Balance Confidence Scale) and functional status (basic and instrumental activities of daily living) were recorded pre-and post-operatively daily for 1 week and twice the second week. Physical performance balance and functional mobility were measured pre-and 1 week post-operatively using the Tinetti Fall Risk Scale, Timed Up and Go, and 6-Minute Walk test. Measures were repeated 6 weeks after surgery. Nonparametric tests for paired data were used comparing scores baseline to post-operative (POD) 7 and to POD 42. Results: Median age was 72 years (range 65-88). Fall risk was elevated during the first 2 post-operative weeks, greatest on the median discharge day, POD 2 (p < 0.01). Balance performance and functional mobility at 1 week were significantly lower than baseline (p < 0.01). Functional abilities declined, including new dependence in medication management at home in 22% of these independent and cognitively intact women. Conclusions: After gynecologic surgery, older women's fall risk is highest on POD 2 and remains elevated from baseline for 2 weeks. Functional limitations in the early home recovery period include the anticipated (bathing, cooking, etc.) and some unanticipated (medication management) ones. This information may help with postoperative discharge planning.