(内部障害系理学療法5)

Submitted by Fabio Sobreira Campos da Costa (fabio.sobreira@ufpe.br) on 2016-07-11T14:09:12Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Dissert_AlexandreCorreia_BC.pdf: 3522945 bytes, checksum: 1bb7eee383a0aacbbda4a08a073f340e (MD5) / Made available in DSpace on 2016-07-11T14:09:12Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Dissert_AlexandreCorreia_BC.pdf: 3522945 bytes, checksum: 1bb7eee383a0aacbbda4a08a073f340e (MD5) Previous issue date: 2015-08-31 / O presente estudo teve como objetivo principal a realização de um diagnóstico macroergonômico a fim de identificar a percepção dos servidores acerca da qualidade de vida no trabalho em uma Instituição de Ensino com o intuito de elaborar e implantar uma Política de Qualidade de Vida no Trabalho no Instituto. Para isto buscou-se identificar a relação das variáveis pessoais (sexo, idade e escolaridade) e funcionais (tempo de serviço, unidade de trabalho e cargo) com qualidade de vida no trabalho em relação aos aspectos de segurança, ambiente físico adequado e seguro, relações interpessoais e organização do trabalho. Para esta pesquisa, utilizou-se um questionário composto de questões objetivas e de instruções necessárias aos respondentes. Para a mensuração da opinião de cada respondente foi utilizada uma escala de avaliação contínua, sugerida por Stone et al. (1974) e amplamente utilizada por Guimarães (2008) em suas pesquisas. Esta escala tem 15 centímetros de comprimento e ao longo dela o sujeito deverá marcar a sua percepção sobre o item. A intensidade de cada resposta deverá variar no intervalo de 0 (zero) a 15 (quinze). Os dados dos questionários são tabulados e priorizados em função do nível de importância, satisfação. O peso de cada item é gerado por meio da sua média aritmética. A segunda parte, destinava-se ao levantamento dos dados demográficos dos respondentes, bem como um campo dissertativo para registro de considerações julgadas importantes sobre o tema. Os questionários e entrevistas foram aplicados em quatro unidades da Instituição de Ensino, totalizando uma amostra de servidores. Percebeu-se que ficou claro como a reestruturação organizacional afeta na percepção de satisfação dos funcionários em relação aos fatores de QVT. As análises descritivas mostraram que os funcionários percebem com insatisfação os aspectos relacionados à segurança no trabalho e as preocupações com a saúde física por parte da instituição. Em termos de correlação significativa, os resultados mostraram que as unidades de trabalho exercem influência na percepção da QVT. Estes resultados evidenciam a relevância em criar um ambiente onde as pessoas possam se sentir bem com a chefia, com elas mesmas e entre seus colegas de trabalho. / The present study had as main objective to identify the servers ' perception about the quality of life at work in an educational institution in order to develop and implement a policy of quality of life at work in the Institute. For this we sought to identify the relationship of personal variables (sex, age and education) and functional (service time, work unit and Office) with quality of life at work with regard to safety aspects, appropriate and safe physical environment, interpersonal relations and work organization. For this research, it was used a questionnaire composed of objective issues and necessary instructions to respondents. For the measurement of opinion of each respondent was used a range of continuous assessment, suggested by Stone et al. (1974) and widely used by Guimarães (2008) in their research. This scale has 15 centimeters long and along it the subject should check their perception on the item. The intensity of each answer must vary in the range from 0 (zero) to 15 (fifteen). The data from the questionnaires are tabulated and prioritized according to the level of importance, satisfaction. The weight of each item is generated through their arithmetic mean. The second part was the lifting of the demographics of the respondents, as well as an argumentative field to record considerations deemed important. The questionnaires and interviews were applied in four units of educational institution, totaling a sample of servers. It was noticed that it became clear as the organizational restructuring affects the perception of satisfaction of employees with regard to QOL factors. The descriptive analysis showed that employees perceive the dissatisfaction with aspects related to safety at work and physical health concerns on the part of the institution. In terms of significant correlation, the results showed that the units of work influence on perception of QOL. These results demonstrate the importance in creating an environment where people can feel good about the leadership, with themselves and among their co-workers.

A citricultura brasileira se destaca no mercado global de citros, apresentando altos valores de produção e produtividade. Dentre as diversas doenças que afetam a cultura, a podridão floral dos citros (PFC) vem ganhando destaque com o deslocamento de áreas produtoras para regiões mais favoráveis à ocorrência desta doença. A PFC, causada por espécies dos complexos Colletotrichum acutatum e C. gloeosporioides, é especialmente problemática em anos de temperaturas amenas e alta umidade. Os citricultores realizam pulverizações preventivas para o controle da PFC todos os anos, embora condições climáticas favoráveis à doença ocorram apenas ocasionalmente. Além do impacto econômico, as frequentes pulverizações com fungicidas aumentam a pressão de seleção sobre isolados resistentes, o que pode interferir na eficiência do controle químico. A utilização de sistemas de previsão de epidemias pode evitar que pulverizações desnecessárias de fungicidas sejam realizadas caso não haja condições favoráveis à ocorrência da doença. Para o desenvolvimento destes sistemas, é imprescindível determinar um limiar de ação para a aplicação de fungicidas nos pomares. Dessa forma, o presente trabalho teve por objetivos: (i) estabelecer um limiar de ação para a aplicação de fungicidas com base na germinação de conídios de C. acutatum que permita o controle a doença igualmente ou de forma mais eficiente do que o sistema de pulverização adotado pelos citricultores do sudoeste paulista; (ii) caracterizar a sensibilidade de isolados dos complexos C. gloeosporioides e C. acutatum à trifloxistrobina e ao tebuconazol in vitro e molecularmente, para identificar possíveis mudanças de sensibilidade das espécies a estes fungicidas. Para a definição do limiar de ação, tratamentos baseados em índices de risco foram comparados ao tratamento testemunha e ao calendário fixo de aplicações, usualmente adotado pelos produtores. A aplicação de fungicidas quando limiar de 15% de germinação de conídios era atingido, foi eficiente em controlar a doença e reduzir o número de aplicações de fungicidas. Nos ensaios de sensibilidade a fungicidas dois métodos foram utilizados para a determinação da CE50: o da diluição em gradiente espiral para trifloxistrobina e tebuconazol e o da inibição da germinação de conídios para a trifloxistrobina. Foram utilizados isolados coletados entre 1999 e 2016. A CE50 média da coleção de isolados de acordo com o método da diluição em gradiente espiral variou de 0,158 a 0,297 μg/ml e 0,1 a 0,182 μg/ml para trifloxistrobina e tebuconazol, respectivamente. Para a trifloxistrobina, de acordo com o método da inibição da germinação, a CE50 média foi de 0,002 μg/ml. Não foram verificadas características moleculares nem valores de CE50 atrelados à mudança de sensibilidade dos isolados. / Brazilian citrus industry represents a significant share in the global citrus market. Amongst several diseases that affect the crop, postbloom fruit drop (PFD) has been gaining prominence in Sao Paulo with the displacement of citrus areas to regions in which weather conditions are more favorable to the occurrence of this disease. PFD, caused by species of the complexes Colletotrichum acutatum and C. gloeosporioides, is especially problematic in years of mild temperatures and high humidity. Citrus growers spray the orchards preventively for PFD control every year, although favorable climatic conditions do not occur regularly. In addition to the economic impact, this practice increases the selection pressure of fungicide resistant isolates, and may decrease the efficiency of chemical control in a long term. The use of disease forecasting systems is able to prevent unnecessary fungicide sprays. For the development of such systems, it is essential to determine an action threshold for the application of fungicides in the orchards. The objectives of this work were: (i) to establish an action threshold for fungicide sprays based on the germination of C. acutatum conidia; (ii) to characterize the sensitivity of C. gloeosporioides and C. acutatum isolates to trifloxystrobin and tebuconazole in vitro and molecularly. Regarding the definition of the action threshold, treatments based on risk indices were compared to the control treatments and calendar based sprays, usually adopted by growers. The 15% conidia germination threshold was efficient in controlling the disease and reducing the number of fungicide applications. In the fungicide sensitivity tests, two methods were used to determine the EC50, the spiral gradient dilution for trifloxystrobin and tebuconazole, and the method of conidial germination inhibition for trifloxystrobin. Isolates collected between 1999 and 2016 were used. The mean EC50 of the isolate collection determined by the spiral gradient dilution method ranged from 0.158 to 0.297 μg/ml and from 0.1 to 0.182 μg/ml for trifloxystrobin and tebuconazole, respectively. Mean EC50 of trifloxystrobin estimated by the conidial germination inhibition method was 0.002 μg/ml. No mutations or EC50 values indicated shifts of fungicide sensitivity on the isolates.

The purpose of this study was to explore the self-perception of compassion satisfaction, compassion fatigue, and burnout by student conduct administrators working in the United States of America. Additionally, this study looked at the years of experience, job responsibilities, on-call responsibilities and direct student contact hours which may impact an individual’s overall professional quality of life. To accomplish the objectives outlined in the purpose statement, the following research questions were explored: 1. What is the relationship between student conduct professionals’ compassion satisfaction, burnout, and secondary traumatic stress? 2. What is the relationship between student conduct professionals’ years of experience and compassion satisfaction, burnout, and secondary traumatic stress? 3. What is the relationship between student conduct professionals’ responsibility areas and compassion satisfaction, burnout, and secondary traumatic stress? 4. What is the relationship between student affairs professionals serving in an on-call capacity and compassion satisfaction, burnout, and secondary traumatic stress? 5. What is the relationship between student conduct professionals’ amount of direct student contact and the compassion satisfaction, burnout, and secondary traumatic stress? This study utilized a quantitative methodology to collect data. For the purposes of this study, members of the Association for Student Conduct Administration were selected as the intended sample population. The study sample was comprised of 381 individuals (n=381). The web-based survey included Stamm’s (2010) Professional Quality of Life Scale (ProQOL), closed-ended questions as well as a demographic survey. The study findings indicated that student conduct and behavior intervention professionals exhibited average levels of compassion satisfaction, burnout, and secondary traumatic stress. Correlations within the study sample existed negatively between compassion satisfaction and secondary traumatic stress with a positive correlation between burnout and secondary traumatic stress. Statistically significant results included the relationship between compassion satisfaction and the job responsibilities of academic integrity and alternative dispute resolution. Additionally, a statistically significant finding between burnout and the job responsibilities of student organizational conduct and Title IX investigation and adjudication. Lastly, a statistically significant difference between hours of direct student contact hours and secondary traumatic stress as well as a statistically significant predictor between hours of direct student contact hours and compassion satisfaction were established.

The number of annual implantable cardioverter defibrillator (ICD) implants has substantially increased over the last 5 years and is expected to grow rapidly. Implantable cardioverter defibrillators have a proven mortality benefit by terminating the life-threatening arrhythmias, even near end of life. In patients with moderate/severe symptomatic heart failure, enough clinical literature representing mortality benefits has been published, but limited numbers of studies have reviewed the dwindling risk-benefit profile near end of life, studying quality of life (QoL)/psychosocial impact. Criteria outlining either continued use or deactivation policy/procedures near end of life have not been clearly defined and/or largely implemented, which in turn requires more focused research using multifactorial approach to determine improved patient-centered outcomes.

IN ENGLISH The diploma thesis presents physical activity and quality of life. Thesis characterizes these two areas, discusses the influences that affect these two areas and then compares the influence of themselves - or the influence of one of them on the other, the impact of physical activity on the quality of life. The theoretical part presents physical activity as a tool of benefit, a determinant of health, part of an active lifestyle. The quality of life is discussed in a similar way. The practical part examines the influence of physical activity on the quality of life in individual age categories. In addition to the influence of physical activity on the quality of life in general, practical part is also testing the influence of this activity on individual dimensions of quality of life. Two questionnaires - WHO QOL-BREF and GPAQ - are used to determine the values needed for the research.

Objectives: Quality of life (QOL) is increasingly used as indicator in health research. The aim of this paper was an updated psychometric validation and a new standardization of the German version of the EUROHIS-QOL using a sample of the German general population assessed in 2021. The study focused on socio-economic characteristics and on anxiety and depressiveness as major indicators of mental health. Methods: With 8 items, the EUROHIS-QOL is an economical instrument for self-assessment. Results: Statistical tests revealed good psychometric properties. Gender- and age-group-specific norm values were calculated. The EUROHIS-QOL showed good discriminant validity for anxiety and depression symptoms. Participants without clinically relevant scores for depressiveness and anxiety reported significantly higher QOL. Multiple regression analysis showed that unemployment, younger age, not living with a partner, and an immigrant background were important predictors of lower QOL, whereas higher income, living in one's own home, and a high level of education predicted higher QOL. Conclusion: The EUROHIS-QOL was confirmed as an economical and reliable instrument for assessing QOL in the German general population.

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Hintergrund Ziel der vorliegenden Untersuchung war die Erfassung der Lebensqualität von älteren Menschen mit leichten kognitiven Störungen im Vergleich zu kognitiv gesunden älteren Menschen. Die Prävalenz von leichten kognitiven Störungen in der Bevölkerung wird in epidemiologischen Studien mit 3 bis 19 % der über 65-Jährigen angegeben (Ritchie, 2004). Methode Es handelt sich um eine 2012 bundesweit durchgeführte bevölkerungsrepräsentative Befragung zur subjektiven Lebensqualität von 997 Probanden (60 Jahre und älter). Die Erfassung erfolgte mittels der Messinstrumente WHOQOL-BREF und dem speziell für ältere Menschen entwickelten WHOQOL-OLD. Zudem wurden die ermittelten Werte für die Lebensqualität in den soziodemografischen Kontext gesetzt, um eventuelle Faktoren zu ermitteln, die die unterschiedlichen Bereiche der Lebensqualität beeinflussen. Zur Identifikation kognitiver Störungen wurde der DemTect eingesetzt. Bei Verdacht auf Demenz fand das Interview nicht statt. Probanden mit leichten kognitiven Beeinträchtigungen wurden interviewt. Das Ergebnis des DemTects bestimmte die Zuteilung der Probanden in die jeweilige Gruppe (leichte kognitive Störungen vs. kognitiv gesund). Die Kriterien für die Gruppe der Probanden mit leichten kognitiven Störungen erfüllten 267 Probanden, für 730 Teilnehmer fanden sich keine Anzeichen einer kognitiven Beeinträchtigung. Ergebnis Die befragten Probanden im Alter ab 60 Jahre mit leichten kognitiven Störungen schätzten ihre Lebensqualität in allen Bereichen des WHOQOL-BREF und WHOQOL-OLD (außer im Bereich Ängste und Befürchtungen hinsichtlich Tod und Sterben) geringer ein als kognitiv gesunde Probanden. Schlussfolgerung Es konnte gezeigt werden, dass bereits leichte kognitive Störungen mit einer erheblichen Reduktion der subjektiven Lebensqualität einhergehen.

Quality of life (QOL) is an extremely important concept in the promotion of appropriate and successful health care programmes. However, there is a need for conceptual clarity to unravel the complexities of terminology in different medical conditions and the underlying factors that have a direct influence on the quality of life for people with coronary heart disease. The primary objective of this thesis is to propose a theoretical model which specifies the domains of QOL and the interrelationships among these domains. The objectives of the study are four-fold: (1) To examine whether a cardiac rehabilitation programme has a beneficial effect on cardiac heart disease patients; (2) To evaluate the primary components of generic health-related quality of life assessment tools for people with coronary heart disease; (3) To identify the main factors governing disease-specific health-related quality of life assessment tools amongst patients with coronary heart disease; (4) To examine a variety of conceptual models of QOL and to determine their relevance to cardiac patients. First, in order to provide conceptual clarity, a comprehensive review of QOL measures was undertaken. Second, data was collected on a cardiac rehabilitation programme in a county hospital using Short Form-36 (SF-36) and Quality of Life for Myocardial Infarction (QLMI) instruments. This data was analysed using a number of techniques including (l)meta-analysis; (2)discriminant analysis; (3)factor analysis and (4)structural equation modelling. Analysing the data in this way enabled the development and clarification of the specific domains of the quality of life model. Meta-analysis involved pooling the results of several studies, these were then analysed to provide a systematic, quantitative review of the data. The results found that the related studies did not have consistent outcomes to support the positive effects of a cardiac exercise rehabilitation programme on quality of life in coronary patients. Findings from the SF-36 indicate that older people with coronary heart disease gain more pain relief than their younger counterparts. After a cardiac exercise rehabilitation progranune, statistically significant improvements occurred in physical function, social function, role limitation/physical, energy/vitality, body pain, and change in health-related dimensions of quality of life. The first-order five domains model includes the symptom domain, the restriction domain, the confidence domain, the self-esteem domain and the emotion domain. This model represents an appropriate model of quality of life for people with coronary heart disease compared to the three-domain model and the four-domain model. In terms of the second-order QOL model, the five-domain model also has an adequate fit to the data. According to the result of structural equation modelling, three models, including the null model, the alternative model I and the alternative model n, did not fit the data perfectly. However, the construct of full latent variable model gradually increased the fit statistics from the null model to the alternative model I and from the null model to alternative model n. Therefore, it can be concluded that the paths and indicators of the three models need to be further adjusted in order to provide a more appropriate model. Nevertheless, this is a first trial to examine a full model of quality of life for people with coronary heart disease using the structural equation analyses. As such, this study provides a new approach to examining the difference between empirical studies and theoretical approaches.