Krūties vėžys jau daugelį metų yra dažniausia moterų onkologinė liga bei opiausia ir aktualiausia jų sveikatos problema. Problemos aktualumą lemia vis didėjantys susirgimo mastai bei nepaliaujamas sergamumo krūties vėžiu augimas. Atlikus darbą bus išsiaiškinta su kokiais adaptacijos poreikiais susiduria sergančios moterys 1- 4 parą po operacijos (ankstyvuoju pooperaciniu laikotarpiu) ir išvykusios į namus (vėlyvuoju pooperaciniu laikotarpiu). Išsiaiškinus adaptacijos poreikius, būtų galima greičiau bei efektyviau padėti pacientėms susidoroti su iškilusiomis adaptacijos problemomis. Darbo tikslas - įvertinti ir palyginti moterų, sergančių krūties vėžiu, adaptacijos poreikius ankstyvuoju ir vėlyvuoju pooperaciniu laikotarpiu. Šiam tikslui pasiekti buvo naudojami 3 uždaviniai: 1. Palyginti moterų, sergančių krūties vėžiu fizinės adaptacijos poreikius ankstyvuoju bei vėlyvuoju pooperaciniu laikotarpiu remiantis C. Roy adaptacijos modeliu. 2. Palyginti moterų, sergančių krūties vėžiu vaidmens poreikius ankstyvuoju bei vėlyvuoju pooperaciniu laikotarpiu remiantis C. Roy adaptacijos modeliu. 3. Palyginti moterų, sergančių krūties vėžiu tarpusavio ryšio poreikius ankstyvuoju bei vėlyvuoju pooperaciniu laikotarpiu remiantis C. Roy adaptacijos modeliu. 4. Palyginti moterų, sergančių krūties vėžiu asmens tapatumo poreikius ankstyvuoju bei vėlyvuoju pooperaciniu laikotarpiu remiantis C. Roy adaptacijos modeliu. Tyrimo objektas - 25 – 55 metų amžiaus pacientės, sergančios I – II... [toliau žr. visą tekstą] / A breast cancer is the most common malignant disease of women and the most serious and relevant problem of their health. The actuality of this problem depends on the extent of this disease and continuous growth of the incidence of breast cancer. Following the work will clarify what are the adaptation needs for women after 1 – 4 day from surgery (early postoperative period), and during the period of backing home (the late postoperative period). Clarifying the adaptation needs leads the faster and more efficient way to help patients cope with adaptation problems. The objective of the work is to assess and compare the adaptation needs in the early and late postoperative period of the women with breast cancer. To accomplish the object of work was used three tasks: 1. Compare physiological adaptation needs in the early and late postoperative period based on C. Roy adaptation model for women with breast cancer. 2. Compare the self-concept function of early and late postoperative period based on C. Roy adaptation model for women with breast cancer. 3. Compare the needs of interrelation in the early and late postoperative period based on C. Roy adaptation model for women with breast cancer. 4. Compare personal interdependence needs in early and late postoperative period based on C. Roy adaptation model for women with breast cancer. The object of investigation - 25 - 55 year-old patients, suffering from I - II-stage breast cancer, which has been operated and treated at the LSMU KK... [to full text]

Thesis (M.A.)--University of North Carolina Wilmington, 2008. / Title from PDF title page (viewed September 28, 2008) Includes bibliographical references (p. 53-54)

A obra de Roy Wagner trata de um problema candente para a antropologia: a relação com a diferença. A partir do regime de leitura desenvolvido por Jacques Derrida, pretendo seguir os movimentos do texto de Wagner com o objetivo de compreender sua proposta de antropologia e articulá-la ao universo epistemológico mais amplo da disciplina. O texto wagneriano será, assim, articulado ao texto-contexto da antropologia, considerado como um conjunto de linhas de força em tensão e distensão. Na análise da obra de Wagner será privilegiada a relação entre proposta teórica e análise empírica por ser este um aspecto central para a antropologia e também um ponto de ruptura frequente nos textos da disciplina. De modo a estabelecer a mediação entre esses dois níveis, relacionarei em um primeiro momento a ideia de diálogo, no plano de interação em campo, ao conceito de dialética, no plano teórico. Em seguida, acompanharei o movimento de desconstrução e reposição conceitual realizado pelo autor para os conceitos de grupo e cultura com o objetivo de pensar o estatuto da nomeação em seus textos e relacioná-lo à concepção da diferença como alteridade em antropologia. / The work of Roy Wagner deals with a core issue in anthropology, that of the relation to difference. Based on the regime of reading developed by Jacques Derrida, I intend to follow the moves of Wagners text with the purpose of understanding his proposal for anthropology and articulating it to the disciplines broader epistemological universe. Wagners text will thus be articulated to the text-context of anthropology, considered as a set of lines of strength in tension and distension. In the analysis of Wagners work, the relationship between theoretical stance and empirical analysis will be privileged because this is a central aspect to anthropology and frequently the point at which the disciplines texts break. In order to mediate between these two levels, I will first relate the idea of dialogue at the level of field interaction to the concept of dialectic at the theoretical level. I will then follow the movement of conceptual deconstruction and reestablishment carried out by the author for the concepts of group and culture with the purpose of considering the status of nomination in his texts and relating it to anthropologys conception of difference as alterity.

Tableau d’honneur de la Faculté des études supérieures et postdoctorales, 2013-2014. / Ce mémoire présente un recueil de nouvelles traversé par une succession de moments de clarté et d’ombre caractéristiques de la notion de deuil. La réflexion subséquente à ce recueil s’inspire de la vision de la création littéraire de Gabrielle Roy. L’essence de cette «grammaire» de la création est vue comme un ensemble de quatre conditions nécessaires à l’émergence d’une œuvre littéraire. Au moment d'entreprendre l'écriture, il ne faut pas prendre conscience des intentions qui nous habitent, demeurer disponible pour que la grâce de l’inspiration nous permette d’accéder au trésor d’images logé dans notre inconscient, prêt à rejaillir et à être ordonné par le fruit du travail en une œuvre de «vivante vérité» où, à la suite de Gabrielle Roy, il est possible d’atteindre «cette vie mystérieuse que des mots pourtant pareils à ceux de tous les jours parviennent parfois à capter à cause de leur assemblage comme tout neuf».

Thesis advisor: Callista Roy / The purpose of this secondary analysis was to understand the coping and adaptation processes of reservist soldiers and one family member throughout the first year following deployment to Iraq. A directed content analysis based on the Roy (2009, 2011) conceptualization of coping and adaptation was accomplished on 75 interviews from 20 Army Reserve and family participants. Research questions were; which contextual stimuli affected the coping capacity for dealing with focal stimuli; military deployment and reintegration. Second, whether resourceful and focused coping at Wave 1 positively influenced the adaptation level at 52 weeks. Third, whether physical and fixed coping at Wave 1 negatively affected the adaptation level at 52 weeks. Fourth, whether coping capacity varied during the reintegration year. Findings confirmed primary study outcomes (MacDermid, 2006) where participants described individualized reintegration. Informants' depictions were different from the previously published, "New Emotional Cycles of Deployment." Contextual stimuli were complicating or protective and exerted substantial influence on managing the deployment and reintegration. Cognitive-emotional processing the meaning and repercussions of the deployment is part of the reintegration process. Resourceful and focused coping positively affected the adaptation level at 52 weeks. Insufficient reports of physical and fixed coping precluded determining its effect. Coping efforts were a discrete measure of coping extrapolated from narratives, and were found to fluctuate throughout the year. When demands intensified, participants accelerated their coping efforts as predicted by the Roy adaptation model (2009). Coping strategies were effective or ineffective. Concepts of transcendence, transformation, and hope were understood in new ways within the Roy model. Transcendence in individuals and groups was further explicated. Spirit was another concept from Roy's work that was observed in the participants. Implications for policy, theory, nursing practice, education and research are discussed. Keywords: adaptation, adaptation level, coping, coping efforts, Roy adaptation model, spirit, transcendence, transformation, hope, military deployment, post-deployment, reintegration, Reservist, military family, deployment cycle, directed content analysis / Thesis (PhD) — Boston College, 2012. / Submitted to: Boston College. Connell School of Nursing. / Discipline: Nursing.

Orientador: Carlos Roberto Padovani / Resumo: Em diversos experimentos biológicos, mais especificamente nos relacionados à área da saúde, é muito comum ocorrerem situações em que a estrutura dos dados apresenta dependência em suas unidades experimentais (dados longitudinais), portanto, não se deve considerar apenas a variabilidade dos dados, mas também a estrutura de covariância envolvida. Neste estudo, utilizou-se dois grupos de ratos, sendo um induzido à Estenose Aórtica (EAo) pela colocação do clipe de prata na raiz da aorta ascendente e outro submetido apenas ao procedimento cirúrgico chamado Controle (Sham). Ambos foram submetidos à duas diferentes dietas (Normolipídica e Hiperlipídica) em que se avaliou as respostas das variáveis mecânicas tensão desenvolvida (TD) e tensão de repouso (TR) segundo a técnica do músculo papilar isolado, para sete concentrações sequenciais de cálcio, com o propósito de apreciar o processo de remodelação cardíaca. Primeiramente, houve interesse em comparar as médias nos grupos formados pela combinação de dois fatores, que resultaram em quatro grupos (G1 - EAo e Normolipídica (n = 12), G2 - EAo e Hiperlipídica (n = 13), G3 - Sham e Normolipídica (n = 13) e G4 - Sham e Hiperlipíca (n = 14), nas duas variáveis envolvidas. Além disso, houve interesse em descrever o perfil médio de resposta das funções mecânicas nas diferentes concentrações de cálcio (0; 5 mM, 1; 0 mM, 1; 5 mM, 2; 0 mM, 2; 5 mM, 3; 0 mM, 3; 5 mM) empregando o modelo linear multivariado de crescimento (MLMC) via proposta de P... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: In many biological experiments, more specifically that ones concerned to the health field, it is very common that data structure shows in its experimental units some dependency (longitudinal data), therefore we should not consider only data variability, but also the covariance structure involved. In this research, we have used two group of rats, in which one of them was induced to Aortic Stenosis (EAo) by placing a silver clip in ascending aortic root and another was only submitted to surgery process named Control (Sham). Both of groups have been to two different diets (Normolipidic and Hiperlipidic), wherein we evaluated responses of mechanical variables developed tension (DT) and resting tension (RT), according to the isolated papillary muscle’s technique with seven concentrations of calcium in order to appreciate the process of Cardiac Remodeling. At first, we have been interested in to compare means in the groups constituted by the combination of two factors that resulted in four groups (G1 - EAo and normolipidic (n = 12), G2 - EAo and hyperlipidic (n = 13), Sham and normolipidic (n = 13) and G4 - Sham and hyperlipidic (n = 14) about the two involved variables to verify differences in two factors effects and in their interaction, applying multivariate linear model (MLM) for this. In addition, we have concerned in to describe mechanical responses mean profile in different calcium concentrations (0; 5 mM, 1; 0 mM, 1; 5 mM, 2; 0 mM, 2; 5 mM, 3; 0 mM, 3; 5 mM) applying the mu... (Complete abstract click electronic access below) / Doutor

This essay investigates women’s situation at home and in society, in Arundhati Roy’s The God of Small Things, from a gender performance perspective. The essay also explores the pedagogical implications of using the novel in the EFL classroom. The gender performance perspective is explored through the analysis of three female characters, Ammu, Mammachi and Baby Kochamma, whose lives reflect women’s struggle to escape traditional caste values, patriarchy and colonial power. The pedagogical perspective focuses on existing trends in literature and language teaching and the possibilities that postcolonial literary texts have to offer in the EFL classroom.

The Diploma thesis, Jacobite Risings and its Reflection in Literature, deals with historical and literary analysis with the aid of historical texts, which describe events and mood of people in the course of Jacobite risings in Scotland. The aim of this thesis is to compare historical novels from fourth of the chosen authors and to find out if history is only background or the main theme of the story. The chosen representatives of historical novels are Sir Walter Scott, Nigel Tranter, Neil Munro and Anya Seton. The first part of the thesis introduces the theory and characterization of the genre of historical novel and describes historical events at the beginning of the 18th century. The next part focuses on analysis of the chosen historical novels. The objective of the analysis is to point out the differences of the texts and the connection of the story with historical facts.

Gabrielle Roy's novels are filled with images of childhood and aging, of family, of rural and urban French-Canadian settings, and of Roy's experiences as a young, impressionable teacher. The generation gaps present themselves in many human relationships and thread themselves throughout Roy's works. For this thesis, the generation gaps will be studied in three important relationships. Part One presents largely the relationships within the microcosm of the family. It explores the gap between mothers and daughters. La Rue Deschambault, La Route d'Altamont, and Bonheur d'Occasion are included. The relationship between the father and child in La Rue Deschambault, Bonheur d'Occasion, and Alexandre Chenevert will then be explored. Important elements of these relationships are: the circle of life, the inevitable resemblances between parent and child, and their reversal of roles as the parent ages. Part Two focuses on bridging the gap between teacher and student in Gabrielle Roy's works. This relationship is studied extensively in both La Petite Poule d'Eau and Ces Enfants de Ma Vie. The teachers in Roy's works represent the link from the family to the outside world, as education empowers students to progress. Part Two also presents the elderly as teachers of the children in their lives. This special relationship is seen in La Route d'Altamont. Part Three studies the relationship between life and nature. Roy's urban novels, Bonheur d'Occasion and Alexandre Chenevert, in which the author draws contrasts between rural and urban life, are explored. The gap between the urban dweller and nature is focused on in Alexandre Chenevert. The bond that links humankind and animals is studied in La Montagne Secrete. There is an important contrast between the inherent need for solitude and humankind's communion. The artist's place within the universe is shown to be unique. In this macro setting of humankind and the universe, all human relation ships take their places within these interwoven, circular patterns.

Bakgrund: Varje år orsakar influensa stora utbrott av sjukdom där barn och ungdomar drabbas mest frekvent. Vaccin mot influensa ges med avsikt att förhindra smittspridning samt vara samhällsekonomisk lönsam med ett humanitärt utgångsläge. Föräldrars beslutsfattande gällande vaccination av sitt barn kan påverkas av olika faktorer. Syfte: Syftet med denna litteraturöversikt var att beskriva vilka faktorer som kan påverka föräldrars beslutsfattande gällande att vaccinera sitt barn mot influensa. Metod: En litteraturöversikt har genomförts utifrån sökningar av vetenskapliga artiklar från databaserna CINAHL Complete och Pubmed. Analys av elva artiklar har genererat i teman med underliggande subteman. Resultat: De faktorer som påverkade föräldrars beslutsfattande gällande att vaccinera sina barn var: Ansvar för någon annans liv, att fatta beslut för en annan individ samt skydda sitt barn från ohälsa. Information, betydelsen av information samt vad brist på information har för betydelse. Samhällsdebatt och sociala influenser, hur föräldrar påverkas av media, nyhetsrapportering samt familj, släkt och vänner. Biverkningar, oro för vilka konsekvenser som kan uppkomma av att vaccinera sitt barn. Immunförsvaret-vaccinets och dess effekt, övertygelse om immunförsvarets egen förmåga samt oro för vaccinets påverkan. Tidigare erfarenheter, att relatera beslut gällande vaccination till tidigare upplevda händelser. Diskussion: I diskussionen belyses sjuksköterskans funktion i mötet med föräldrar i processen av att fatta beslut gällande att vaccinera sitt barn. Hur sjuksköterskan kan bemöta dessa föräldrar med en strävan om en individanpassad vård. Resultatet relateras i diskussionen till Callista Roys adaptionsmodell (RAM).