Bakgrund: I Sverige rapporterades cirka 61 781 fall av hjärtstopp utanför sjukhus underåren 1990–2011. Vid ett hjärtstopp krävs det att åtgärder snabbt sätts in för att patientenska överleva. Att överleva ett hjärtstopp är vanligen en traumatisk upplevelse som ävenkan leda till kognitiva och fysiska funktionsnedsättningar. Syfte: Syftet med denna studie är att belysa patienters erfarenhet av livet efter ett hjärtstopp. Metod: Kvalitativ litteraturstudie baserad på åtta vetenskapliga artiklar. Sökningengenomfördes i två databaser: Cinahl och Pubmed Resultat: I resultatöversikten utformades två huvudkategorier ”Att återvända tillvardagen” och ”Det nya jaget”. I resultatet framkom upplevelse av kroppslig och emotionellförändring, minnesluckor och trötthet. Det var viktig för deltagarna att söka samhörighethos andra personer med gemensam erfarenhet av att överleva hjärtstopp. Deltagarnaupplevde oro och rädsla över att drabbas igen och fick ett nytt perspektiv på livet eftersomde hade varit nära att möta döden. Konklusion: Denna studie visar att patienterna saknade kunskap kring sitt nuvarandetillstånd och hade ett stort behov av stöd och tydlig information från sjukvårdpersonalen.För att uppnå adekvat omvårdnad behöver sjuksköterskan sträva efter att kunna tillgodosedessa specifika behov. / Background: In Sweden, approximately 61,781 cases of cardiac arrest were reported out-of- hospital during the years 1990–2011. In the event of a cardiac arrest, measures must be taken quickly in order for the patient to survive. The survival of cardiac arrest is usually a traumatic experience that can lead to cognitive and physical disabilities. Aim: The aim of this study is to illustrate patient’s life experience after cardiac arrest. Methods: Qualitative literature study based on eight scientific articles. The search was conducted in two databases: Cinahl and Pubmed Result: In the results overview, two main categories were designed "Returning to everyday life" and "The new self". The result showed experience of physical and emotional change, memory loss and fatigue. It was important for the participants to search for affiliation with others who shared the experience of surviving cardiac arrest. The participants experienced anxiety and fear to be affected again and gained new life perspective because they were close to facing death. Conclusion: This study shows that the patients lacked knowledge about their current condition and had great need of support and clear information from the healthcare staff. To achieve adequate care, a nurse must strive for their specific needs.

Submitted by Angela Maria de Oliveira (amolivei@uepg.br) on 2018-11-29T17:31:44Z No. of bitstreams: 2 license_rdf: 811 bytes, checksum: e39d27027a6cc9cb039ad269a5db8e34 (MD5) Raony Tullio .pdf: 2047862 bytes, checksum: 2def5c64709cc226dbf775cc21e9be3f (MD5) / Made available in DSpace on 2018-11-29T17:31:44Z (GMT). No. of bitstreams: 2 license_rdf: 811 bytes, checksum: e39d27027a6cc9cb039ad269a5db8e34 (MD5) Raony Tullio .pdf: 2047862 bytes, checksum: 2def5c64709cc226dbf775cc21e9be3f (MD5) Previous issue date: 2018-09-25 / O presente trabalho tem como objetivo compreender como o espaço constitui as práticas de sobrevivência cotidiana das pessoas que transformam a rua em casa na cidade de Ponta Grossa, Paraná. O fenômeno da população “(em situação)” de rua está em evidente crescimento nas grandes e médias cidades do mundo. Em Ponta Grossa, Paraná, segundo dados do Centro de Referência Especializada de Assistência Social para a População de Rua (Creas POP) da cidade, existem entre 120 e 140 pessoas transformando a rua em casa na cidade. Os dados da pesquisa foram obtidos através de trabalho de campo nas ruas, praças e parques da cidade e no Ministério Melhor Viver, instituição cristã que acolhe pessoas em situação de vulnerabilidade social, principalmente que estão transformando a rua em casa. Foram realizadas 8 entrevistas semi-estruturadas com essa população nas ruas e na instituição. Através dessas entrevistas foi possível categorizar as principais espacialidades citadas e analisar como contribuem para as práticas de sobrevivência cotidiana. As espacialidades de auxílio, a rua, as espacialidades das casas de familiares, o trabalho e as espacialidades das drogas foram as que mais apareceram nas entrevistas. Os espaços para a população de rua são em alguns momentos performáticos. Através desses espaços a população que transforma a rua em casa na cidade de Ponta Grossa-PR (sobre)vive na relação com as instituições de assistência, outras pessoas 'em situação' de rua, com as autoridades de segurança pública, as conflituantes relações familiares, com o tráfico de drogas e com o alcoolismo. Ademais, esses corpos são lidos enquanto abjetos e passíveis de morte, ou melhor, 'devem' morrer / The present work has as objective to gather space in the practice of daily actions of the people that transform the street in house in the city of Ponta Grossa, Paraná. The phenomenon of the population "in situation" of street is located in large growing in the large and medium-sized cities of the world. In Ponta Grossa, Paraná, according to data from Creas POP of the city, between 120 and 140 people transforming the street at home in the city. The survey data were seen through fieldwork on the streets, squares and parks of city and in the Ministério Melhor Viver, the Christian institution that shelter people in situations of social vulnerability, mainly who are transforming the street at home. Eight semi-structured interviews were carried out with this population at the streets and in the institution. Through these interviews it was possible to categorize the main spatialities mentioned and analyze how they contribute to daily survival practices. The aid spatialities, the street, the spatiality of the family houses, the work and the spatialities of drugs were the ones that appeared the most in the interviews. The spaces for the street population are sometimes performative. Through these spaces, the population that transforms the street at home in the city of Ponta Grossa-PR survives in the relationship with the care institutions, other people 'in situation' of street, with the authorities of public security, the conflicting family relations, with drug trafficking and alcoholism. Moreover, these bodies are read as abject and liable to death, or rather, 'should' die.

Neste trabalho são apresentados dois modelos de sobrevivência com fração de cura e efeitos aleatórios, um baseado no modelo de Chen-Ibrahim-Sinha para fração de cura e o outro, no modelo de mistura. São estudadas abordagens clássica e bayesiana. Na inferência clássica são utilizados estimadores REML. Para a bayesiana foi utilizado Metropolis-Hastings. Estudos de simulação são feitos para avaliar a acurácia das estimativas dos parâmetros e seus respectivos desvios-padrão. O uso dos modelos é ilustrado com uma análise de dados de câncer na orofaringe. / In this work, it is shown two survival models with long term survivors and random effects, one based on Chen-Ibrahim-Sinha model for models with surviving fraction and the other, on mixture model. We present bayesian and classical approaches. In the first one, we use Metropolis-Hastings. For the second one, we use the REML estimators. A simulation study is done to evaluate the accuracy of the applied techniques for the estimatives and their standard deviations. An example on orofaringe cancer is used to illustrate the models considered in the study.

Neste trabalho são apresentados dois modelos de sobrevivência com fração de cura e efeitos aleatórios, um baseado no modelo de Chen-Ibrahim-Sinha para fração de cura e o outro, no modelo de mistura. São estudadas abordagens clássica e bayesiana. Na inferência clássica são utilizados estimadores REML. Para a bayesiana foi utilizado Metropolis-Hastings. Estudos de simulação são feitos para avaliar a acurácia das estimativas dos parâmetros e seus respectivos desvios-padrão. O uso dos modelos é ilustrado com uma análise de dados de câncer na orofaringe. / In this work, it is shown two survival models with long term survivors and random effects, one based on Chen-Ibrahim-Sinha model for models with surviving fraction and the other, on mixture model. We present bayesian and classical approaches. In the first one, we use Metropolis-Hastings. For the second one, we use the REML estimators. A simulation study is done to evaluate the accuracy of the applied techniques for the estimatives and their standard deviations. An example on orofaringe cancer is used to illustrate the models considered in the study.

Probiotics products are an integral part of the current market. Products containing probiotics cultures are also cosmetic products. The first part of the study focuses on testing of bacterial survival abilities in the environment of preservatives presented in cosmetic products. Collection strains of genus Lactobacillus were used for these tests. Another part of the study focuses on isolation of bacterial DNA from probiotic cosmetic products Ryor, Yoghurt of Bulgaria, FeminaMed and Lactovit Activit in PCR-ready quality. DNA was isolated by fenol extraction and with magnetic particles. Presence of bacteria was proved by genus and species specific PCRs Lactobacillus. Species specific PCR for identification of Lactobacillus pentosus was optimalized. Species identification was in accord with data declared by producers.

5 Abstract This thesis deals with topic concerning photography and its relation to reality in work of French philosopher and art historian Georges Didi-Huberman. The thesis is divided into two main chapters. The first main part includes introduction to Didi- Huberman's approach and familiarization with his terms as well as theoretical analysis of photography through his work. This part also includes comparison with approach of the other authors, for example with Roland Barthes. The goal of this thesis is to identify possible ways thinking about photography, from the perspective of photography as a construct and photography as a testimony. The goal of the second main part is to use Didi-Huberman's approach and apply it on several selected photographies within contemporary context. Key Words Didi-Huberman, photograph, construction, testimony, surviving images

Sepsis is a severe blood stream infection that claim the lives of almost 220,000 Americans annually. Delayed patient treatment results in multi-organ failure, morbidity, mortality, and increased hospital length of stay. Timely sepsis management enables hospitals to have decreased expenses, increased patient survival, and judicious interventions. The problem addressed in this project was the lack of sepsis- training for registered nurses (RNs) working in the emergency department (ED) of a 628-bed hospital in the southeastern United States. Under the direction of the director of the ED, 269 patient charts were reviewed during 2014 to February 2015 for data related to a sepsis diagnosis. Data showed that 19.4% (n = 103) of patients diagnosed with sepsis had the sepsis order set implemented by the ED nurse. The purpose of this project was to create an educational sepsis-training program for ED nurses. The program included a 2-hour educational module on signs and symptoms of sepsis, including guidelines from the Surviving Sepsis Campaign and the Emergency Nurses' Association. Stetler's Model of Research Utilization and Benner's Novice to Expert conceptual frameworks supported the project. The director of professional practice provided formative feedback on module content and the program evaluation tool. Director feedback indicated that content was beneficial in educating ED nurses on the signs and symptoms of early sepsis recognition. The ED director has now mandated that all ED nurses take the training module and posttest. The project has the potential to improve early sepsis recognition by ED staff and to improve patient outcomes, thus promoting positive social change for patients, families, and nurses.

Bakgrund: Under 2019 överlevde ca 18% av de som drabbats av hjärtstopp. Dödligheten vid hjärtstopp är hög och konsekvenserna kan bli stora och konvalescensen lång. För att förstå vad patienter upplever efter överlevnad krävs kunskap om ämnet. Syfte: Att belysa patienters upplevelser efter att ha överlevt ett hjärtstopp. Metod: En litteraturöversikt med kvalitativ design genomfördes. Resultat: Analysen resulterade i temat ett främmande liv med nytt perspektiv innehållande tre subteman; att vakna i kaos, att leva i närvaron av sitt hjärtstopp och att se livet med andra ögon, samt temat ett begränsat liv i ett nytt sammanhang innehållande fyra subteman; att inte lita på sin kropp, att leva i skuggan av mental ohälsa, att vara i behov av stöd och att fortsätta leva livet. Slutsats: Överlevnad var förenat med upplevelser av lidande vilket medförde begränsningar i det dagliga livet men det gav också nya perspektiv. Det upplevdes svårt att komma hem efter utskrivning relaterat till osäkerhet och minskad tillit till kroppen. Sjukvården upplevdes inte tillmötesgå patienternas behov av information och rådgivning vilket förorsakade ytterligare lidande. Att i framtiden utforska behovet av stöd och uppföljning utifrån ett långsiktigt perspektiv är relevant då studieresultatet visar att det har upplevts saknats för patienterna. / Background: Mortality from cardiac arrest is high and the consequences can be big and the convalescence long. In terms of being able to understand what patients experience after survival, more knowledge is required. Aim: To illuminate patients' experiences after surviving a cardiac arrest. Method: A literature review with qualitative design was conducted. Results: The analysis resulted in the theme of a foreign life with a new perspective containing three subthemes; to wake up in chaos, to live in the presence of the cardiac arrest and to see life with different eyes. The other theme was a limited life in a new coherence containing four subthemes; not to trust their body, to live in the shadow of mental illness, to be in need of support and to continue living life. Conclusions: Survival was associated with experiences of suffering, which led to limitations in daily life, but also gave new perspectives on life. It was difficult to come home after discharge related to insecurity and decreased confidence in the body. Healthcare was perceived as not being able to meet patients' needs for information and advice, which caused further suffering. According to the result, it is relevant to further explore the need for.

The right of habitation is the one given by the law; it consists that, after the death of the testator, the surviving spouse or the surviving cohabitant who doesn’t have   enough resources is allowed to have the house-room gratuitously and for life.In this article, the author explains some differences and similarities of the Peruvian regulation of such right of habitation compared with those existing in other Civil Codes, its necessary requirements, the possible consequences it may have on the rest of the heirs and the situations in which this right canbe applied. / El derecho de habitación es aquel por el cualla ley permite que, ante la muerte del testador, el cónyuge supérstite o el sobrevivientede la unión de hecho, en caso de no contar conrecursos  suficientes,  puedan  adjudicarse  la casa-habitación de forma gratuita y vitalicia.En el presente artículo, el autor establece algunas diferencias y semejanzas de la regulación de dicha figura con relación a otros códigos civiles, los requisitos para que proceda dicho derecho, las posibles consecuencias que pueden tener en los demás herederos y los escenarios en que se puede presentar.

The purpose of my final thesis "Matrimonial property in the context of inheritance proceedings" is to analyse law dealings with settlements of matrimonial property and its application in inheritance proceedings. I emphasize problems caused by a lack of interconnection between the legislation of matrimonial property and the law of succession where I focus on both the substantial as well as procedural law. Furthermore, I discuss a tension between two principles - free will and protection of a surviving spouse - which emerges during the settlements of matrimonial property in the inheritance proceedings and which is apparent from the amount of rights given to the surviving spouse under the law of succession. Additionally, I compare the Czech legislation in this matter to the English law, even though England belongs to different legal culture where the concept of matrimonial property has not been fully introduced yet. However, considering the need for adjusting the Czech legislation of matrimonial property to the law of succession, I suggest that the protection which is given to the surviving spouse under English law might be inspiring for the Czech legislator.