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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
11

Qualidade do sono em mulheres com disfunções do trato urinário inferior

Albanezi, Daniele Furtado 24 June 2016 (has links)
Submitted by Aelson Maciera (aelsoncm@terra.com.br) on 2017-05-19T16:20:50Z No. of bitstreams: 1 TeseDFA.pdf: 1296450 bytes, checksum: 24008ae06853ce7a0a15f5fa95858f85 (MD5) / Approved for entry into archive by Ronildo Prado (ronisp@ufscar.br) on 2017-05-22T19:18:10Z (GMT) No. of bitstreams: 1 TeseDFA.pdf: 1296450 bytes, checksum: 24008ae06853ce7a0a15f5fa95858f85 (MD5) / Approved for entry into archive by Ronildo Prado (ronisp@ufscar.br) on 2017-05-22T19:18:23Z (GMT) No. of bitstreams: 1 TeseDFA.pdf: 1296450 bytes, checksum: 24008ae06853ce7a0a15f5fa95858f85 (MD5) / Made available in DSpace on 2017-05-22T19:22:54Z (GMT). No. of bitstreams: 1 TeseDFA.pdf: 1296450 bytes, checksum: 24008ae06853ce7a0a15f5fa95858f85 (MD5) Previous issue date: 2016-06-24 / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / Climacteric women have considerable prevalence of both disorders of the pelvic floor, such as urinary incontinence (UI) and nocturia, as sleep disorders, which can compromise the quality of life and sleep. Therefore, this thesis aims to: (1) compare the sleep of quality women's with and without UI and correlate the sleep of quality with the quality of life of women; (2) determine the effects of treatment with electrical stimulation of the tibial nerve (ENT) on the sleep of quality in women with nocturia. The two studies used to evaluate the slee´of quality the Pittsburgh Sleep Quality Index (PSQI), the King's Health Questionnaire (KHQ) to assess quality of life in addition to these two tools, the study (2) used the Scale Epworth sleepiness to assess daytime sleepiness and by vaginal palpation and perineometer evaluated the pelvic floor muscles before and after treatments. For the study (1) were evaluated 60 women incontinence (UI stress-SUI, urgency incontinence-IUU or mixed IU-IUM) and continents, while for the study (2) were evaluated 40 women with nocturia allocated for the two types of proposed treatments, one group received ENT (GENT) and another group received training of the pelvic floor muscles + behavioral therapy (GTMAP + CT) for 12 weeks with a weekly service. Given the results presented in the study (1), it can be observed that women with UUI and MUI had worse overall PSQI score and worst sleep area and provision of KHQ, compared to women with SUI also IUM was related to worst score of areas: limitation of activities of daily living (compared to SUI), physical limitations (compared to SUI and UUI), personal relationships (compared to UUI). Both women continents as those presented IUU had worse habitual sleep efficiency, compared to those with SUI. Nocturia showed moderate positive correlation with sleep area and provision of KHQ and the total PSQI score in women with UI. After the two treatments proposed in the study (2) was observed improvement in quality according to the domains of PSQI sleep: subjective sleep quality, latency, sleep duration, total score. Moreover, 35% of them now have no more nocturia, indicating that both techniques are effective to reduce the number of awakenings during the night to urinate. The improvement in daytime sleepiness was observed in GTMAP + CT, and daytime dysfunction (PSQI) in GENT. Regarding quality of life, both groups improved in the KHQ domains: AVD limitation, emotions, sleep and mood and severity measures; the GTMAP + CT showed a significant improvement in UI impact area compared to GENT. Faced with the above results, it is concluded that women with MUI and UUI have worse sleep quality and life than women with SUI, and that with the treatment of ENT or TMAP + CT can improve the sleep of quality and quality of life women with nocturia. / Mulheres climatéricas apresentam consideráveis prevalências tanto de disfunções do assolho pélvico, como incontinência urinária (IU) e noctúria, quanto de distúrbios do sono, o que pode comprometer a qualidade de vida e de sono. Diante disso, essa tese tem como objetivos: (1) comparar a qualidade do sono de mulheres com e sem IU e correlacionar a qualidade do sono com a qualidade de vida destas mulheres; (2) verificar os efeitos do tratamento com eletroestimulação do nervo tibial (ENT) sobre a qualidade do sono de mulheres com noctúria. Os dois estudos utilizaram para avaliação da qualidade de sono o Índice de qualidade de sono de Pittsburgh (PSQI), o King´s Health Questionnaire (KHQ) para avaliar qualidade de vida, além destas duas ferramentas, o estudo (2) utilizou a Escala de sonolência de Epworth para avaliar sonolência diurna e por meio da palpação vaginal e perineômetro avaliou musculatura do assoalho pélvico, antes e após os tratamentos. Para o estudo (1) foram avaliadas 60 mulheres incontinentes (IU de esforço-IUE, IU de urgência-IUU e IU mista-IUM) e continentes, enquanto que para o estudo (2) foram avaliadas 40 mulheres com noctúria, alocadas para um dos dois tipos de tratamentos propostos, um grupo recebeu ENT (GENT) e outro grupo recebeu treinamento da musculatura do assoalho pélvico + terapia comportamental (GTMAP+TC), por 12 semanas com um atendimento semanal. Diante dos resultados apresentados no estudo (1), pode-se observar que as mulheres com IUU e IUM apresentaram pior escore total do PSQI e pior domínio sono e disposição do KHQ, quando comparadas ás mulheres com IUE, além disso IUM relacionou-se com pior escore dos domínios: limitação de atividade de vida diária (comparado ao IUE), limitação física (comparado ao IUE e IUU), relações pessoais (comparado ao IUU). Tanto as mulheres continentes quanto as que apresentaram IUU tiveram pior eficiência habitual do sono, comparadas àquelas com IUE. Noctúria apresentou correlação positiva moderada com o domínio sono e disposição do KHQ e com o escore total do PSQI, em mulheres com IU. Após os dois tratamentos propostos no estudo (2) foi possível observar melhora na qualidade do sono de acordo com os domínios do PSQI: qualidade subjetiva do sono, latência e a duração do sono, escore total. Além disso, 35% delas passaram a não ter mais noctúria, apontando que ambas as técnicas são eficazes para reduzir o número de despertares noturnos para urinar. A melhora na sonolência diurna foi observada no GTMAP+TC, e da disfunção diurna (PSQI) no GENT. Em relação a qualidade de vida, os dois grupos melhoraram nos domínios do KHQ: limitação de AVD, emoções, sono e disposição e medidas de gravidade; o GTMAP+TC apresentou melhora significativa do domínio Impacto da IU em comparação ao GENT. Diante dos resultados expostos, conclui-se que mulheres com IUM e IUU apresentam pior qualidade do sono e de vida do que mulheres com IUE, além de que com o tratamento de ENT ou TMAP+TC, pode-se melhorar a qualidade de sono e de vida das mulheres com noctúria. / FAPESP: 2013/06412-9
12

The Dragons in your Dreams

Walther, Jacquelyn 09 May 2012 (has links)
What if every craving that you ever felt stayed with you forever? Suppose facades couldn’t exist, and what should only be the deepest, densest core of a desire was formed into a mass, a body. Its will matching yours in its physical presence. I make creatures that are embodiments of emotions. In this study I mainly focus on desires and inhibitions surrounding romance. I explore anatomical structures and how material make-up can directly reflect emotional character. In this exploration, the materiality of clay allows for a thorough manipulation of the composition of the creatures. In this I am also able to manipulate the material properties of clay to reflect states of existential discomfort, pushing the limits of material structure and stability. The final presentation of these creatures are as specimens of inhibitions, drawing in the viewer with empathy and repulsion as a fantastic other.
13

Experiential Avoidance in Chronic Tic Disorders: an Online Survey and Pilot Treatment Study Using Habit Reversal and Acceptance and Commitment Therapy

Best, Stephanie Helena January 2009 (has links)
<p>Among some researchers, there is an emerging conceptualization of chronic tic disorders (CTDs) as conditions that are partially rooted in avoidance of tic-related private experiences (i.e., painful or difficult thoughts and feelings) and internal sensations (i.e., premonitory urges to tic). The first specific aim of the present research was to investigate the possibility that experiential avoidance is related to tic severity and perceived quality of life in individuals with CTDs. The second aim was to determine whether the efficacy of Habit Reversal Training (HRT), the most prevalent and effective behavioral intervention for CTDs to date, might be enhanced by combining it with Acceptance and Commitment Therapy (ACT), an intervention that directly targets experiential avoidance. These aims were addressed by conducting two related studies. Study I, an online survey, included 239 adults (<italic>M</italic> = 37.6 years; <italic>SD</italic> = 13.8 years) who reported having been previously diagnosed with a CTD. Results showed that levels of premonitory urges, as well as both general and tic-specific experiential avoidance, were significantly positively related to tic severity. General and tic-specific experiential avoidance were also significantly negatively related to perceived quality of life. Psychometric analyses of two novel measures developed for Study I (i.e., the Yale Global Tic Severity Scale-Self-Report Version and the Acceptance and Action Questionnaire-Tic-Specific Version) demonstrated excellent internal consistency and convergent validity. Study II, a multi-site pilot investigation, involved 13 adolescents (<italic>M</italic> = 15.4 years; <italic>SD</italic> = 1.3 years) who were treated with either HRT alone or a novel HRT+ACT intervention. Results suggest that the HRT+ACT treatment is feasible, highly acceptable to both patients and parents, and as effective as HRT alone at reducing tic severity from pre-treatment through week 22 follow-up. Participants in both groups reported clinically significant post-treatment decreases in general and tic-specific experiential avoidance and improvements in overall functioning. Researchers concluded that experiential avoidance plays an important role in tic expression and overall functioning for individuals with CTDs. Results support additional development and testing of the promising HRT+ACT intervention, to evaluate its efficacy alone and in comparison to other relevant psychosocial and pharmacological interventions.</p> / Dissertation
14

The impact of ad, personal, and situational characteristics on positive affect and felt urge to buy impulsively.  A quantitative study in the Facebook context

Bjuhr, Beatrice, Pham, My Tra January 2015 (has links)
Social media has grown in importance as an advertising communication tool, and companies take advantages of this by using social media marketing to meet their marketing objectives. The research context in this study is chosen to be the social media Facebook, mainly since it is the biggest and most used social media in Sweden but also since Facebook offers companies many different commercial options. We detected a research gap, since there is a lack of theory on Facebook’s customized advertisements on a more specific context that is felt urge to buy impulsively. We could also identify a research gap since there is no study investigating how positive affect and felt urge to buy impulsively are affected by different characteristics in Umeå, Sweden or in the Facebook context among Umeå members. The purpose with this study is to investigate the effects of ad characteristics, personal consumption characteristics, and situational characteristics on positive affect and felt urge to buy impulsively. The characteristics consist of nine constructs; felt urge to buy impulsively, positive affect, promotional effect, atmospheric effect, impulse buying tendency, hedonic consumption, customized advertisement, time availability and money availability. To fulfill the purpose of this thesis, we conducted a quantitative study. In the quantitative study we conducted a web-based self-selected survey. The link to the survey was posted in four different Facebook groups and on our own Facebook pages. The link the survey was also distributed by flyers to randomly targeted people at Umeå University and Umeå center. By conducting a survey we were able to detect effects between the variables. When analyzing the results using regression analysis we concluded there are eight supported hypothesizes. The first multiple regression analysis showed that promotional effect, atmospheric effect, hedonic consumption tendency, customized advertisement and time availability had a significant positive effect on positive affect. In the second multiple regression analysis we concluded that hedonic consumption tendency and customized advertisement had a significant positive effect on felt urge to buy impulsively. The last regression analysis showed that positive affect had a significant positive effect on felt urge to buy impulsively. From the result we could confirm some of previous study’s findings and also contribute with new findings. We also suggest practical recommendations for companies using Facebook as an advertising channel, and how they can improve the advertising to make a good impression on the consumers.
15

Tratamento da síndrome da bexiga hiperativa neurogênica feminina na doença de Parkinson através da estimulação transcutânea do nervo tibial posterior

Araújo, Tatiane Gomes de January 2017 (has links)
Base teórica: Disfunções do trato urinário inferior são sintomas não motores comuns na Doença de Parkinson (DP) e incluem a Síndrome da Bexiga Hiperativa Neurogênica (SBHN), caracterizada pela urgência miccional, com ou sem urgeincontinência, acompanhada de aumento da frequência urinária e noctúria. A estimulação do nervo tibial posterior (ENTP) é uma das modalidades de tratamento disponíveis para o tratamento da SBHN. Objetivo: Determinar e comparar os efeitos do tratamento com ENTP em pacientes com DP e sintomas de SBHN e a manutenção dos resultados em 1 e 3 meses após o término do tratamento. Métodos: Ensaio-clínico, duplo-cego, randomizado, controlado e comparado com placebo. A pesquisa foi realizada com mulheres com DP e sintomas de SBHN no Hospital de Clínicas de Porto Alegre. Para o tratamento com ENTP domiciliar por 12 semanas as pacientes foram divididas em dois grupos: grupo ENTP e grupo ENTP sham/placebo. A avaliação da resposta pré e pós-tratamento foi realizada através de formulário específico, questionários de avaliação da incontinência urinária e qualidade de vida (OAB-V8 e KHQ) e de um diário miccional (DM) de 24 horas. Após, o fim do tratamento foi feito seguimento dos resultados para avaliação da melhora subjetiva em 30 e 90 dias. Resultados: O grupo ENTP apresentou uma diminuição da noctúria, número de episódios de urgência micciional e urge-incontinência, número de uso de proteções para incontinência, pontuação OAB-V8 e em sete domínios do KHQ (p <0,001). Embora, o grupo controle também tenha apresentado melhora dos sintomas, o grupo ENTP apresentou uma melhora superior no final do tratamento nas medidas do DM, OAB-V8 e na maioria dos domínios do KHQ. A ETNTP foi considerada um tratamento efetivo para SBHN em 93,3%, enquanto 33,3% dos tratados com placebo também melhoraram (p = 0,002). No seguimento de 30 e 90 dias, 53,3% e 33,31%, respectivamente, do grupo ENTP relataram que mantinham- se melhores dos sintomas da SBHN. Conclusão: a ENTP foi um tratamento efetivo para as pacientes com DP e SBHN. Nossa hipótese de superioridade clínica do grupo ENTP foi confirmada e a melhora subjetiva foi considerada positiva, mesmo que parcialmente em 30 e 90 dias após fim do tratamento. / Blackround: Lower urinary tract dysfunctions are common non-motor symptoms in Parkinson's disease (PD) and include Neurogenic Overactive Bladder Syndrome (NOBS), characterized by urinary urgency, with or without urge incontinence, accompanied by increased urinary frequency and nocturia . Posterior Tibial Nerve Stimulation (PTNS) is one of the treatment modalities available for the treatment of NOBS. Objective: To determine and compare the effects of PTNS treatment in patients with PD and NOBS symptoms and to maintain long-term results (1 and 3 months). Methods: Controlled, randomized, double-blind and compared with placebo clinical trial. The research was carried out with women with PD and symptoms of NOBS at the Hospital de Clínicas de Porto Alegre. For treatment with PTNS at 12 weeks, patients were divided into two groups: PTNS group and PTNS sham/placebo group. The evaluation of the pre- and post-treatment response was through a specific form, questionnaires to evaluate incontinence and quality of life (OVA-V8 and KHQ), and a voiding diary. After the end of the treatment, the results were followed up to evaluate the subjective improvement in 30 and 90 days. Results: The PTNS group presented a decreased nighttime urinary frequency, number of urgency and urinary incontinence episodes, number of incontinence protection, OAB-V8 and 7 domains of KHQ (p<0.001). Although the control group also showed improvement of the symptoms, the ENTP group presented a superior improvement at the end of the treatment in DM, OAB-V8 and most KHQ domains. PTNS was considered an effective treatment for OAB in 93.3%, while 33.3% of those treated with placebo was considered a responder (p=0.002). After 30 and 90 days, 53.3% and 33.31%, respectively, of the ENTP group reported that they maintained better SBHN symptoms. Conclusion: PTNS was an effective treatment for patients with PD and NOBS. Our hypothesis of clinical superiority of the ENTP group was confirmed and the subjective improvement was considered positive, even if partially at 30 and 90 days after the end of the treatment.!
16

Tratamento da síndrome da bexiga hiperativa neurogênica feminina na doença de Parkinson através da estimulação transcutânea do nervo tibial posterior

Araújo, Tatiane Gomes de January 2017 (has links)
Base teórica: Disfunções do trato urinário inferior são sintomas não motores comuns na Doença de Parkinson (DP) e incluem a Síndrome da Bexiga Hiperativa Neurogênica (SBHN), caracterizada pela urgência miccional, com ou sem urgeincontinência, acompanhada de aumento da frequência urinária e noctúria. A estimulação do nervo tibial posterior (ENTP) é uma das modalidades de tratamento disponíveis para o tratamento da SBHN. Objetivo: Determinar e comparar os efeitos do tratamento com ENTP em pacientes com DP e sintomas de SBHN e a manutenção dos resultados em 1 e 3 meses após o término do tratamento. Métodos: Ensaio-clínico, duplo-cego, randomizado, controlado e comparado com placebo. A pesquisa foi realizada com mulheres com DP e sintomas de SBHN no Hospital de Clínicas de Porto Alegre. Para o tratamento com ENTP domiciliar por 12 semanas as pacientes foram divididas em dois grupos: grupo ENTP e grupo ENTP sham/placebo. A avaliação da resposta pré e pós-tratamento foi realizada através de formulário específico, questionários de avaliação da incontinência urinária e qualidade de vida (OAB-V8 e KHQ) e de um diário miccional (DM) de 24 horas. Após, o fim do tratamento foi feito seguimento dos resultados para avaliação da melhora subjetiva em 30 e 90 dias. Resultados: O grupo ENTP apresentou uma diminuição da noctúria, número de episódios de urgência micciional e urge-incontinência, número de uso de proteções para incontinência, pontuação OAB-V8 e em sete domínios do KHQ (p <0,001). Embora, o grupo controle também tenha apresentado melhora dos sintomas, o grupo ENTP apresentou uma melhora superior no final do tratamento nas medidas do DM, OAB-V8 e na maioria dos domínios do KHQ. A ETNTP foi considerada um tratamento efetivo para SBHN em 93,3%, enquanto 33,3% dos tratados com placebo também melhoraram (p = 0,002). No seguimento de 30 e 90 dias, 53,3% e 33,31%, respectivamente, do grupo ENTP relataram que mantinham- se melhores dos sintomas da SBHN. Conclusão: a ENTP foi um tratamento efetivo para as pacientes com DP e SBHN. Nossa hipótese de superioridade clínica do grupo ENTP foi confirmada e a melhora subjetiva foi considerada positiva, mesmo que parcialmente em 30 e 90 dias após fim do tratamento. / Blackround: Lower urinary tract dysfunctions are common non-motor symptoms in Parkinson's disease (PD) and include Neurogenic Overactive Bladder Syndrome (NOBS), characterized by urinary urgency, with or without urge incontinence, accompanied by increased urinary frequency and nocturia . Posterior Tibial Nerve Stimulation (PTNS) is one of the treatment modalities available for the treatment of NOBS. Objective: To determine and compare the effects of PTNS treatment in patients with PD and NOBS symptoms and to maintain long-term results (1 and 3 months). Methods: Controlled, randomized, double-blind and compared with placebo clinical trial. The research was carried out with women with PD and symptoms of NOBS at the Hospital de Clínicas de Porto Alegre. For treatment with PTNS at 12 weeks, patients were divided into two groups: PTNS group and PTNS sham/placebo group. The evaluation of the pre- and post-treatment response was through a specific form, questionnaires to evaluate incontinence and quality of life (OVA-V8 and KHQ), and a voiding diary. After the end of the treatment, the results were followed up to evaluate the subjective improvement in 30 and 90 days. Results: The PTNS group presented a decreased nighttime urinary frequency, number of urgency and urinary incontinence episodes, number of incontinence protection, OAB-V8 and 7 domains of KHQ (p<0.001). Although the control group also showed improvement of the symptoms, the ENTP group presented a superior improvement at the end of the treatment in DM, OAB-V8 and most KHQ domains. PTNS was considered an effective treatment for OAB in 93.3%, while 33.3% of those treated with placebo was considered a responder (p=0.002). After 30 and 90 days, 53.3% and 33.31%, respectively, of the ENTP group reported that they maintained better SBHN symptoms. Conclusion: PTNS was an effective treatment for patients with PD and NOBS. Our hypothesis of clinical superiority of the ENTP group was confirmed and the subjective improvement was considered positive, even if partially at 30 and 90 days after the end of the treatment.!
17

Tratamento da síndrome da bexiga hiperativa neurogênica feminina na doença de Parkinson através da estimulação transcutânea do nervo tibial posterior

Araújo, Tatiane Gomes de January 2017 (has links)
Base teórica: Disfunções do trato urinário inferior são sintomas não motores comuns na Doença de Parkinson (DP) e incluem a Síndrome da Bexiga Hiperativa Neurogênica (SBHN), caracterizada pela urgência miccional, com ou sem urgeincontinência, acompanhada de aumento da frequência urinária e noctúria. A estimulação do nervo tibial posterior (ENTP) é uma das modalidades de tratamento disponíveis para o tratamento da SBHN. Objetivo: Determinar e comparar os efeitos do tratamento com ENTP em pacientes com DP e sintomas de SBHN e a manutenção dos resultados em 1 e 3 meses após o término do tratamento. Métodos: Ensaio-clínico, duplo-cego, randomizado, controlado e comparado com placebo. A pesquisa foi realizada com mulheres com DP e sintomas de SBHN no Hospital de Clínicas de Porto Alegre. Para o tratamento com ENTP domiciliar por 12 semanas as pacientes foram divididas em dois grupos: grupo ENTP e grupo ENTP sham/placebo. A avaliação da resposta pré e pós-tratamento foi realizada através de formulário específico, questionários de avaliação da incontinência urinária e qualidade de vida (OAB-V8 e KHQ) e de um diário miccional (DM) de 24 horas. Após, o fim do tratamento foi feito seguimento dos resultados para avaliação da melhora subjetiva em 30 e 90 dias. Resultados: O grupo ENTP apresentou uma diminuição da noctúria, número de episódios de urgência micciional e urge-incontinência, número de uso de proteções para incontinência, pontuação OAB-V8 e em sete domínios do KHQ (p <0,001). Embora, o grupo controle também tenha apresentado melhora dos sintomas, o grupo ENTP apresentou uma melhora superior no final do tratamento nas medidas do DM, OAB-V8 e na maioria dos domínios do KHQ. A ETNTP foi considerada um tratamento efetivo para SBHN em 93,3%, enquanto 33,3% dos tratados com placebo também melhoraram (p = 0,002). No seguimento de 30 e 90 dias, 53,3% e 33,31%, respectivamente, do grupo ENTP relataram que mantinham- se melhores dos sintomas da SBHN. Conclusão: a ENTP foi um tratamento efetivo para as pacientes com DP e SBHN. Nossa hipótese de superioridade clínica do grupo ENTP foi confirmada e a melhora subjetiva foi considerada positiva, mesmo que parcialmente em 30 e 90 dias após fim do tratamento. / Blackround: Lower urinary tract dysfunctions are common non-motor symptoms in Parkinson's disease (PD) and include Neurogenic Overactive Bladder Syndrome (NOBS), characterized by urinary urgency, with or without urge incontinence, accompanied by increased urinary frequency and nocturia . Posterior Tibial Nerve Stimulation (PTNS) is one of the treatment modalities available for the treatment of NOBS. Objective: To determine and compare the effects of PTNS treatment in patients with PD and NOBS symptoms and to maintain long-term results (1 and 3 months). Methods: Controlled, randomized, double-blind and compared with placebo clinical trial. The research was carried out with women with PD and symptoms of NOBS at the Hospital de Clínicas de Porto Alegre. For treatment with PTNS at 12 weeks, patients were divided into two groups: PTNS group and PTNS sham/placebo group. The evaluation of the pre- and post-treatment response was through a specific form, questionnaires to evaluate incontinence and quality of life (OVA-V8 and KHQ), and a voiding diary. After the end of the treatment, the results were followed up to evaluate the subjective improvement in 30 and 90 days. Results: The PTNS group presented a decreased nighttime urinary frequency, number of urgency and urinary incontinence episodes, number of incontinence protection, OAB-V8 and 7 domains of KHQ (p<0.001). Although the control group also showed improvement of the symptoms, the ENTP group presented a superior improvement at the end of the treatment in DM, OAB-V8 and most KHQ domains. PTNS was considered an effective treatment for OAB in 93.3%, while 33.3% of those treated with placebo was considered a responder (p=0.002). After 30 and 90 days, 53.3% and 33.31%, respectively, of the ENTP group reported that they maintained better SBHN symptoms. Conclusion: PTNS was an effective treatment for patients with PD and NOBS. Our hypothesis of clinical superiority of the ENTP group was confirmed and the subjective improvement was considered positive, even if partially at 30 and 90 days after the end of the treatment.!
18

Projeto Educativo E Político-Pedagógico Da Escola De Ensino Médio: Tradições E Contradições Na Gestão E Na Formação Para O Trabalho / The Midlle Schoool Educational and Politic Pedagogic Project: traditions and contradictions in the managment and formation for work.

RAMOS, Jeannette Filomeno Pouchain January 2009 (has links)
RAMOS, Jeannette Filomeno Pouchain. Projeto educativo e político-pedagógico da escola De ensino médio: tradições e contradições na gestão e na formação para o trabalho. 2009. 245f. Tese (Doutorado em Educação) – Universidade Federal do Ceará, Faculdade de Educação, Programa de Pós-Graduação em Educação Brasileira, Fortaleza-CE, 2009. / Submitted by Maria Josineide Góis (josineide@ufc.br) on 2012-07-09T11:46:49Z No. of bitstreams: 1 2009_Tese_JFPRamos.pdf: 2192405 bytes, checksum: 71c4d8335d8c1d60c3331ea87534ab26 (MD5) / Approved for entry into archive by Maria Josineide Góis(josineide@ufc.br) on 2012-07-13T11:18:44Z (GMT) No. of bitstreams: 1 2009_Tese_JFPRamos.pdf: 2192405 bytes, checksum: 71c4d8335d8c1d60c3331ea87534ab26 (MD5) / Made available in DSpace on 2012-07-13T11:18:44Z (GMT). No. of bitstreams: 1 2009_Tese_JFPRamos.pdf: 2192405 bytes, checksum: 71c4d8335d8c1d60c3331ea87534ab26 (MD5) Previous issue date: 2009 / The Brazilian education, founded by the logic submission of the educational project from the Jesuits, and the influences from the French, English and Americans, passed on to be considered a national problem with the proclamation of the republic in 1980. The attempt to regulate and to consolidate the social function propaedeutics, which denies the work, the industrialization who demanded the instrumental education for work and the reestablishment of the democracy in the state which reorganized the flexible production and impose the formation of a new type of worker (KUENZER, 1998) presents contradictories movements. In agreement with transformation the scientific technical conception of organization adopted participative democratic mechanism. Recognizing the contradiction in keeping distinct types of logic and the tendency of the liberal logic over the social logic, the challenger of the work management is to reverse this premise. As an alternative to the educational middle class project, the polytechnic education proposes to overcome the dual structure and history by omni lateral formation (SAVIANI, 2003). The elementary and middle school should be guided by the work as an excellent base for education (PISTRAK, 2005). The school, known as the work product of man, should be linked to school life as a social transformation combined with school education with material production and to promote self and social emancipation. In context, the general objective is to analyze the experience of reorganizing the educational work in creation of the politic pedagogic project of middle school, identifying perspectives, limits, possibilities, and resistances. The specifics objectives are to examine the evolution of the educational project in the social politic and economic history of Brazil, highlighting the management of school work and the formation of the young for work; analyze fundamentals, intentions and practices which guide the politic pedagogic project and identify and analyze the limits, possibilities and ways of group resistances in the management project. We choose as a theoretical methodological referential the Critic Theory and the method with materialistic history base. As instruments of qualitative and quantitative data collection we applied questionnaires, semi-structures interviews and focal groups. Among hypothesis should public school follow the educational project of middle class or should it follow the lines of vocational extent, instrumental; to attend to middle class project of the popular sector? The hard format of school has accomplished changes in the lines of directions? The politic pedagogic project working at Liceu do Maracanaú establish four pillars which reorganize the work in the school bearing in mind the full formation of the young. This school thinks, conceives and evaluates opposition to the others schools; it breaks with the traditional format of the work organization. The multiples intelligences are understood as principles, the project of work is the means to transformation of popular knowledge to the scientific knowledge with practice and social application of ideas in development of competencies and abilities, as means an half-yearly organizational and the evaluation as the learning observation. Scientific initiation in middle level education attends the interests of the school, highlighting the talents, improving the indicators and presenting results. This project is contradictory because the fundamentals and practice pedagogic reassures the principles of the traditional format and the process of schooling. This way the study confirms that is possible reorganize the work and this is done by the politic pedagogic project (PPP). Faced with the new demands the schools find themselves in a cross road and their functionality is placed at doubt. As a result of this, we point out the crises of education, formation of young and the society. It is necessary to invest in the contradictions of the system and take possession of them to construct another, the opposite and reverse. It is up to the intellectuals and educators to do their job. / A educação brasileira, permeada pela lógica da submissão do projeto educativo dos jesuítas, das influências francesas, inglesas e dos Estados Unidos da América, passa a ser considerada como problema nacional com a Proclamação da República em 1890. As tentativas de regulamentação e consolidação da função social propedêutica, que nega o trabalho, a industrialização que demandou a educação instrumental para o trabalho e a redemocratização do Estado que reorganizou a produção em flexível e impõe a formação do novo tipo de trabalhador (KUENZER, 1998) apresentam movimentos contraditórios. Em consonância com estas transformações a concepção técnico-científica de organização adota mecanismos democráticos-participativos. Como alternativa ao projeto educativo burguês, a educação politécnica propõe superar a dualidade estrutural e histórica por meio da formação omnilateral (SAVIANI, 2003). A escola fundamental e média deve guiar-se pelo trabalho como base excelente da educação (PISTRAK, 2005), portanto, deve vincular a vida escolar com a transformação social combinando educação escolar com produção material e promover a auto-emancipação e a emancipação social. Neste contexto, o objetivo geral é analisar a experiência de reorganização do trabalho educativo na constituição do projeto político-pedagógico da escola de ensino médio, identificando perspectivas, limites, possibilidades e resistências. Os objetivos específicos são examinar a evolução do projeto educativo na história sociopolítica e econômica do Brasil, destacando a gestão do trabalho escolar e a formação do jovem para o trabalho; analisar os fundamentos, intencionalidades e práticas que norteiam o projeto político-pedagógico e identificar e analisar os limites, possibilidades e formas de resistência coletiva na gestão do projeto. Optamos como referencial teórico-metodológico pela Teoria Crítica e pelo método de base materialista-histórica. Como instrumento de coleta de dados quantitativos e qualitativos foram aplicados questionários, grupos focais e entrevistas semiestruturadas. Entre os questões levantadas destacamos se escola pública deve seguir o projeto educativo da burguesia – propedêutica – ou deve se pautar na dimensão profissionalizante, instrumental, por atender ao projeto burguês para o setor popular? A escola mineralizada tem conseguido ressignificar diretrizes? O projeto político-pedagógico (PPP) em curso no Liceu do Maracanaú estabelece quatro pilares que reorganizam o trabalho na escola tendo em vista a formação integral do jovem. Esta escola pensa concebe e avalia e na contramão da maioria das escolas, rompe com o formato tradicional de organização do trabalho. As inteligências múltiplas são compreendidas como princípio, os projetos de trabalho como meio para a transformação do saber popular para o saber científico com aplicação prática e social dos conteúdos no desenvolvimento de competências e habilidades, a organização semestral como meio e a avaliação como monitoramento da aprendizagem. A iniciação cientifica destaca os talentos, melhora os indicadores e apresenta resultados. Este projeto é contraditório, pois os fundamentos e a prática pedagógica reafirmam os princípios liberais e o processo de escolarização excludente. Deste modo, o estudo confirma que é possível reorganizar o trabalho e este se concretiza por intermédio do PPP. Diante destas novas demandas, as escolas se encontram numa encruzilhada e sua funcionalidade é colocada em dúvida. Como prognóstico, apontamos o aprofundamento da crise da educação, da formação do jovem e da sociedade. Urge investir nas contradições inerentes ao sistema, apropriar-se delas para construção do outro, do contrário. Cabe, portanto, aos intelectuais e educadores cumprirem com a sua tarefa.

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