Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Ciências da Saúde. Programa de Pós-Graduação em Enfermagem. / Made available in DSpace on 2012-10-19T20:58:34Z (GMT). No. of bitstreams: 1 189023.pdf: 513257 bytes, checksum: 7b6597b53dcc9f4141ffc7a7f651d24e (MD5) / O puerpério compreende um período de mudanças e adaptações na vida da mulher, que variam de acordo com o contexto e necessidades próprias. Entre elas, observam-se as necessidades educativas relacionadas ao cuidado de si e do recém-nascido. Partindo deste pressuposto, proponho, neste trabalho, identificar as necessidades de orientação das mulheres no primeiro puerpério, por meio da abordagem cultural, proposta por Leininger (1991), apontando caminhos para concretizar o processo educativo. Trata-se de uma pesquisa convergente-assistencial que teve a participação de sete primipuérperas, em três encontros: o primeiro, na Unidade Obstétrica de um hospital privado de Santa Maria - RS, seguido de duas visitas domiciliares, no período de maio a agosto de 2001. Para a coleta dos dados foi utilizada a técnica de entrevista semi-estruturada. A partir dos relatos, evidenciavam-se as dúvidas e as práticas de cuidado realizadas e, posteriormente, implementava-se os três modos de ações de cuidado cultural enunciados por Leininger (1991): manutenção, negociação e repadronização. Foi possível apreender que, independente da condição sócio-econômica e cultural, as puérperas apresentam necessidade de cuidado educativo, o que oportuniza a enfermeira a oferecer suporte, provendo uma assistência integral e participativa.

O estudo, de natureza comparativo-correlacional, tem, como objetivos : a) caracterizar as mulheres adolescentes e adultas que se tornam mães; b) identificar os conhecimentos de saÚde que elas possuem sobre cuidado pÓs-natal; c) verificar a relação entre tais conhecimentos e as demais variáveis - idade, escolaridade, nível socioeconomico, paridade, experiência no cuidado do recém-nascido, realização de pré-natal e orientações recebidas na gestação. Inicialmente , focaliza os aspectos do desenvolvimento na adolescência e as implicações desta frente a maternidade. Completa-se o estudo com pesqu1sa de campo, feita mediante entrevista com oitenta e sete mães internadas, quando do pÓs-parto, em três maternidades de Porto Alegre ( RS). O tratamento estatístico envolveu métodos e técnicas descritivos, Coeficiente Alfa de Cronbach, Teste de Correlação de Pearson e regressão múltipla, quando apropriados. Os resultados demonstraram a necessidade de atendimento diferenciado para as adolescentes-mães. Finalmente, apresentam-se as implicaçÕes do estudo, mediante proposta de um programa educativo de saúde para as jovens mães. / This investigation is a comparative and correlational study, that has the follow ing objectives: a) to caracterize the adolescent and adult women who g1ve birth ; b) to identify their level of health knowledge about postnatal care; c) to verify the rel ationship between health knowledge and the variables - age, schooling , socioeconomic level, parity, experience 1n caring for newborn infants, attendance to prenatal outpatient clinic and health counseling received during pregnancy . In its first part, the study focuses on adolescence and its implications for maternity. The next part presents a field of survey with eighty seven interviews with mothers after giving birth in three maternities of the city of Porto Alegre. The statistical analysis of the data consisted of descritive methods such as Cronbach's Alfa coefficient, Pearson correlation and multiple regression. The results indicate the need for special assistance for adolescent mothers. In the last part, the implications of the study are presented in a proposal for an educative health program for young mothers.

O estudo, de natureza comparativo-correlacional, tem, como objetivos : a) caracterizar as mulheres adolescentes e adultas que se tornam mães; b) identificar os conhecimentos de saÚde que elas possuem sobre cuidado pÓs-natal; c) verificar a relação entre tais conhecimentos e as demais variáveis - idade, escolaridade, nível socioeconomico, paridade, experiência no cuidado do recém-nascido, realização de pré-natal e orientações recebidas na gestação. Inicialmente , focaliza os aspectos do desenvolvimento na adolescência e as implicações desta frente a maternidade. Completa-se o estudo com pesqu1sa de campo, feita mediante entrevista com oitenta e sete mães internadas, quando do pÓs-parto, em três maternidades de Porto Alegre ( RS). O tratamento estatístico envolveu métodos e técnicas descritivos, Coeficiente Alfa de Cronbach, Teste de Correlação de Pearson e regressão múltipla, quando apropriados. Os resultados demonstraram a necessidade de atendimento diferenciado para as adolescentes-mães. Finalmente, apresentam-se as implicaçÕes do estudo, mediante proposta de um programa educativo de saúde para as jovens mães. / This investigation is a comparative and correlational study, that has the follow ing objectives: a) to caracterize the adolescent and adult women who g1ve birth ; b) to identify their level of health knowledge about postnatal care; c) to verify the rel ationship between health knowledge and the variables - age, schooling , socioeconomic level, parity, experience 1n caring for newborn infants, attendance to prenatal outpatient clinic and health counseling received during pregnancy . In its first part, the study focuses on adolescence and its implications for maternity. The next part presents a field of survey with eighty seven interviews with mothers after giving birth in three maternities of the city of Porto Alegre. The statistical analysis of the data consisted of descritive methods such as Cronbach's Alfa coefficient, Pearson correlation and multiple regression. The results indicate the need for special assistance for adolescent mothers. In the last part, the implications of the study are presented in a proposal for an educative health program for young mothers.

Submitted by Fabio Sobreira Campos da Costa (fabio.sobreira@ufpe.br) on 2015-05-14T12:24:04Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Tese de Jose Petronilo da Silva Junior.pdf: 7003255 bytes, checksum: af8fc1e4b03627c4224f4bd00a923e1c (MD5) / Made available in DSpace on 2015-05-14T12:24:04Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Tese de Jose Petronilo da Silva Junior.pdf: 7003255 bytes, checksum: af8fc1e4b03627c4224f4bd00a923e1c (MD5) Previous issue date: 2015-02-13 / CNPq, PDSE / Consequência de uma interação marítima e continental, as Dunas em Natal/RN são feições geomorfológicas que resultam de um lento processo de transporte de sedimentos recentes oriundos de ambiente marinhos para a superfície de praia. No Brasil, especificamente no Rio Grande do Norte, tal feição se faz representada no litoral, ambiente este palco de crescente dinâmica econômica e imobiliária e que cria condicionantes de conflito frente aos sistemas geomorfológicos costeiros. O objetivo deste trabalho é a avaliação da atual situação geomorfológica da Zona de Proteção Ambiental 1 de Natal/RN frente a ação tecnógena em curso, sendo utilizado para tal referências geosistêmicas e de suporte ao conhecimento do período geológico denominado quinógeno/tecnógeno. Dessa forma, foi possível apreender particularidades, similaridades e distinções no ambiente dunar estudado que consequentemente subsidiaram a proposição de ações voltadas para o fortalecimento das iniciativas conservacionista em curso. Nessa perspectiva, a apreensão das bases do geoconservacionismo português, durante fase de estágio de doutoramento sanduiche, foi imprescindível para nossa reflexão no Brasil sobre os encaminhamentos necessários para a proteção da geodiversidade geomorfológica brasileira, com destaque para espaço dunar de Natal/RN, em micro escala.

Orientador: Denise Pontes Cavalcanti / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-07-27T03:21:36Z (GMT). No. of bitstreams: 1 Salomao_MariaAntonieta_M.pdf: 3856774 bytes, checksum: c779e959ed794de0759536b6ab27464f (MD5) Previous issue date: 2000 / Resumo: Este estudo illiciou-se a partir da observação clínica do aumento dos casos de hidrocefalias em recém- nascidos no CAISM desde o início da década de 90, com o objetivo de analisar essa incidência, bem como estudar os casos clínicos de hidrocefalias associadas a outros defeitos congênitos (DC). Foram registrados todos os casos de hidrocefalia nascidos no CAISM de setembro de 1987 a dezembro de 1998. Os dados foram coletados dos arquivos do Programa de Genética Perinatal (fichas ECLAMC e do Ambulatório de Genética Perinatal) e de prontuários hospitalares, seguindo-se um protocolo com informações de histórico familiar, dados do pré-natal, exame físico e exames complementares de todos os casos de hidrocefalia. Registraram-se também dados de toda a população de nascimentos contidos no informe mensal do ECLAMC e os dados da ficha ECLAMC para 77 controles pareados por sexo, anotados a partir de 1992. De 35.112 nascimentos ocorreram 111 casos de hidrocefalia. Esses casos foram classificados clinicamente em: hidrocefalia isolada - 38 casos, hidrocefalia associada a infecção congênita -23 casos, hidrocefalia sindrômica- 16 casos e hidrocefalia associada a outros DC sem diagnóstico clínico-etiológico ou polimalformados - 34 casos. A incidência de DC no período estudado foi de 5,74% e de hidrocefalia de 3,16/1.000 nascimentos. Dos 111 casos, 92 (91,1 %) illiciaram o pré-natal em outro serviço e foram encaminhados ao CAISM por patologia materna ou fetal ou para o parto. Dos casos encaminhados ao CAISM, durante o pré-natal e para o parto, 68 foram por hidrocefalia e 35 por diferentes causas (outras anomalias fetais, patologia materna ou para o parto). As curvas de incidência, no período, mostraram tendência de aumento estatisticamente significativo para o grupo geral das hidrocefalias (P=0,001), para hidrocefalias encaminhadas com diagnóstico prévio (p=0,001), para as hidrocefalias encaminhadas por outros motivos (p=0,043) e para as hidrocefalias isoladas (p=0,001). As diferenças encontradas entre o grupo das hidrocefalias e a população geral foram: menor peso, maior perímetro cefálico, menor idade gestacional ao nascimento, predomínio de parto cesáreo e maior relato de outros casos de hidrocefalia na família. O subgrupo dos casos sindrômicos tinha illicialmente 9 casos; após reestudado e complementada a investigação diagnóstica, mais 7 casos, em que se encontrou um diagnóstico clínico-etiológico provável, foram reclassificados e passaram do subgrupo dos polimalformados para os sindrômicos. Os dados mostraram um importante aumento na incidência de bidrocefalia no período' estudado, o qual parece estar relacionado a um crescimento concomitante do diagnóstico pré-natal por ultra-sonografia e encaminhamento preferencial a um serviço terciário da região. Em 45% dos casos a hidrocefalia estava associada a outros DC e essa fteqüente associação reforça a necessidade de uma investigação ampla, sempre que ela for detectada / Abstract: Since the early 1990's there has been an increase in the number of children born with hydrocephalus at CAISM - UNICAMP. This observation has motivated the current study which airns to investigate this higher incidence, looking for the possible causes, as well as to analyse those cases of hydrocephalus associated with other congenital defects(CD). It has been registered the hydrocephalus' cases which were born at CAISM ITom September, 1987 to December, 1998. Data were collected ITom the Program ofPerinatal Genetics (ECLAMC and Perinatal Genetics Arnbulatory) as welI as Tom medical registers, according to a protocol containing information about family history, prenatal data, physical examination and laboratory exams of alI the cases of hydrocephalus. Other data were colIected as shown: information about the whole population of newborn children contained in the data of ECLAMC as well as information about 77 control cases paired up by sex, registered since 1992. From the 35.112 newborns, 111 cases of hydrocephalus were registered. These cases were clinically divided in: isolated hydrocephalus - 38 cases, hydrocephalus associated with congenital infection - ~3 cases, hydrocephalus associated with syndromes - 16 cases and hydrocephalus associated with other CD with no clinical-etiological diagnosis or children with malformations - 34 cases. The incidence of CD during the period was 5,74% and the incidence of hydrocephalus was 3,1611000 newborns. Considering the total amount of 111 cases, 92 cases (91,1%) started the prenatal folIow up in other 'hospitals and were sent to CAISM by maternal or fetal indication or by the ocasion of delivery. From those cases sent to CA):SM during the prenatal folIow up and by the ocasion of delivery, 68 had previous diagnosis ofhydrocephalus and 35 cases were sent for other reasons (other fetal malformations, maternal diseases or to give birth). The incidence, within this period, showed an statistically significant increase in the general group ofhydrocephalus (p=O,OOI), in the group sent to CAISM with previous diagnosis of hydrocephalus (p=O,OOl), in the group sent to CAISM for other reasons (p=0,043) and in the group of isolated hydrocephalus (p=O,ool)' The differences found between the hydrocephalus' group and the general population were: lower (birth) weight, higher cephalic perimeter, lower gestation age, higher incidence of cesarean section and higher incidence of other hydrocephalus' cases in the farnily. The subgroup of syndromes consisted of 9 cases at first. After this current investigation and study, 7 cases were reclassified as syndromes and changed ITom the multimalformed subgroup to the svndrornic SUb!!roUD. Data show that the increased incidence of hydrocephalus is strongly in the period studied, related to an increase in the prenatal diagnosis (by ultrasound method) and the consequent concentration of these cases in a specialized center (CAISM) of the region. In 45% of the cases, hydrocephalus was associated with other CD and this fiequent association shows the importance of making a complete investigation every time a case of hydrocephalus is detected. / Mestrado / Mestre em Pediatria

The South African government has introduced mechanisms and plans to alleviate poverty and to monitor and evaluate the impact of the policies and programmes to the reduction of poverty. In its quest to eradicate and alleviate poverty, the government has prioritized poverty alleviation in its development agenda. In efforts to fight poverty, the government has since 1994, implemented various programmes that are aimed at alleviating poverty through stimulating employment, developing skills and improving service delivery. The poverty alleviation programme is one of the strategies that was implemented by the government, as a means to eradicate poverty. At the community level, depending on the nature of the programme, efforts have been made to incorporate mechanisms which enable poor people to play an active role in deciding how the benefits from programmes are distributed. The study was based on the projects identified by the community of Amajuba district in Dannhauser area in KwaZulu Natal. The Dannhauser Municipality in partnership with the Department of Agriculture and Environmental affairs have played a vital role in this regard by supporting the establishment of the Thuthukani project in 2004. In an attempt to assess the impact of the poverty alleviation projects, this study investigated the role played by the Thuthukani project in local economic development of the Dannhauser community in the Dannhauser Municipality. Participants included the Thuthukani project members, and the extension officer from the Department of Agriculture and Environmental affairs. The study found that, indeed poverty alleviation projects play a role in local economic development since they contribute towards job creation and improvement of the socio-economic status of the local community.

This dissertation is an extended essay dealing with historical productions on the late independent era (the late “pre-colonial” epoch) of the wider KwaZulu-Natal region. The project pays particular attention to the development of the historiography and examines how it has shaped and in turn been shaped by the source material over time. Attention is also drawn to issues with terminology and disciplinary convention, including the distinction which is traditionally made between ‘primary' and ‘secondary' sources. The dissertation's scope extends beyond the discipline of history to interrogate how influences from the fields of anthropology, art history, archaeology, and literary criticism have shaped the production of history. It also examines the productions of African intellectuals whose works were excluded from the discipline of history during the late colonial and apartheid eras. Among other things, this essay draws attention to historiographical breaks in the literature and considerers where paradigm shifts and epistemic ruptures can be discerned.

A dissertation submitted in partial fulfillment of the requirements for the degree of Master of Arts (Counselling Psychology) in the Department of Psychology in the Faculty of Arts at the University Of Zululand, South Africa, 2012. / The overarching aim of this study was to explore the use of mental health services in UMhlathuze district. A further aim was to explore the experiences and opinions of mental health users. Sixty mental health users participated in the study. The mental health needs of the predominantly poor, black population and people in rural areas are consequently left unmet. For mental health services to be improved and stay effective, constant evaluation is necessary. This will allow the use of mental health services as well as delivery to build upon its strengths as well as respond to short comings and new emerging needs indicated by research participants. This study investigated the use of mental health service in certain parts of UMhlathuze district. It records valuable aspects of the mental health services usage and identifies experiences and opinions for improvement. Findings in this study were guided by mental health service users from different service providers. The procedure for data collection involved direct conversations in which participants reflected on their experiences when mental health services are offered to them. A convenient sample was used in that the criterion of inclusion of participants in the sample was based on people consulting at health care facilities for mental health services, for example mental health users from psychology clinic, district hospital and NGOs. The opinions given were speaking back to the experiences thus participants came up with suggestions on how mental health services can be improved. Participants' experiences of the mental health service delivery were generally positive and negative on the other hand. The experiences of mental health users mainly appreciated for the essential services provided to the community and the fact that it also easy to access services because of providing psychological services at affordable rates. / National Research Foundation

A dissertation submitted to the Faculty of Arts in partial fulfilment of the requirements for the Masters of Recreation and Tourism in the Department of Recreation and Tourism at the the University of Zululand, 2000. / Community participation in tourism developments in KwaNgcolosi (KwaZulu-Natal) forms an integral part of the government objectives in the tourism industry which are inter alia to, build a world class tourism industry and to integrate historically disadvantaged people into the mainstream of the industry. The aim of this study is to investigate the extent to which KwaNgcolosi communities are involved in tourism development in their area. It also aims to undertake a feasibility study of the establishment of the Zulu Cultural Village at KwaNgcolosi by the community members where they could be really involved and benefit. The following objectives were set for this study: ^> To reveal the level of involvement by the local community in the development of tourism infrastructure. => To establish the social, economic and environmental benefits and problems the community experiences from the existence of the KwaNgcolosi reserve. => To identify problems that hinder the community's participation in tourism development in their area. => To undertake a feasibility study on the development of a Zulu Cultural Village where the KwaNgcolosi community will be involved. The results from the survey indicate that there are a number of local people who really want to get involved in the tourism business as traditional dancers; sell traditional craft work; become cleaners and so forth. At the present moment KwaNgcolosi community's involvement in tourism development in their area is mostly at the level of temporary jobs which are occasionally offered to unskilled labour. Jobs offered to semi-skilled and skilled labour are limited. Problems seem to be more prominent than benefits. Some of the problems identified are: the lack of jobs from KwaNgcolosi reserve; no improvement in the general infrastructure; local artistic talent not used and pollution from cars. The lack of tourism awareness has been identified as one major contributing factor that hinders community participation in tourism development, as well as the breakdown of communication between Msinsi Holdings which is a company that is responsible for the administration of KwaNgcolosi reserve and the KwaNgcolosi chief. The feasibility study of the proposed Zulu Cultural Village was successful. It is anticipated that the findings of this study will encourage the establishment of the proposed Zulu Cultural Village. Some of the recommendations that emerged from the study include the following: => Mechanisms should be made by Msinsi Holdings and the KwaNgcolosi chief to provide kiosks or shelter for community members who want to sell their traditional handcraft in or near the KwaNgcolosi reserve. => The KwaNgcolosi chief must work hand in hand with Msinsi Holdings to improve the general infrastructure in KwaNgcolosi area. => Tourism awareness campaigns are needed in KwaNgcolosi community. => Community members interested in establishing a Zulu Cultural Village project, must be encouraged and supported by all stakeholders. The researcher concludes by indicating that there is a potential for community participation in tourism development at KwaNgcolosi, because the type of tourism product to be developed is related to their culture and they have most of the cultural skills, they only need to be empowered with business running skills and financial support to start the proposed Zulu Cultural Village business. It is only when the community benefits financially, socially and otherwise, that their participation in tourism development will become meaningful to them. / University of Zululand

A dissertation of limited scope submitted to the Faculty of Arts in partial fulfilment of the requirements for the degree coursework of Master of Recreation and Tourism in the Department of Geography and Environmental Studies at the University of Zululand, 1998. / Heritage tourism is gaining widespread acceptance as a special-interest tourist attraction and as part of overall tourism planning. The tourism industry is discovering how the planned integration of historic, cultural and natural resources can help sustain local economics and contribute to a greater appreciation of each unique heritage. Heritage tourism is emerging as one of the most promising areas of economic development. Recent studies show that the single greatest motivator for travel in the 1990 is to understand culture. What has become known as 'heritage' attraction here is based on the history of the region, the buildings, historic monuments as well as traditional events and cultural performances. This study examines how the areas of Mpanza Valley and Ngome near Greytown, affected by the Bhambatha Rebellion of 1906, can develop heritage tourism. It also investigates how local communities can meaningfully participate in, and benefit from this unique feature of their culture. In order to put the investigation in perspective, the study briefly traces the events of the Bhambatha Rebellion and highlights important factors in heritage tourism planning and management. An investigative approach to the study was adopted. Six workshops and meetings were held with the Bhambatha Commemoration Committee. Other interviewees included officials from the Department of Economic Affairs and Tourism, the Greytown Museum as well as the Directorate for Arts, Culture Museums and Youth Affairs. Findings of the study indicate that local communities, government departments and agencies are already making attempts at tourism development within the region. In conclusion, the study found that there was a significant opportunity for tourism development and that the study area has the potential to attract local as well as overseas tourists.