Evaluation of communication behavior in persons with dementia during caregivers’ singing

The number of persons with dementia (PWD) is increasing rapidly worldwide. Cognitive impairments and communication difficulties are common among PWD. Therefore, gaining mutual togetherness in caring relation between PWD and their caregivers is important. This study was to investigate the effects of music therapeutic care (MTC) during morning care situations on improving verbal and nonverbal communication behaviors in people with dementia. An observation study with 10 PWD participating. Videotaped interactions (VIO) between PWD and their caregivers were conducted during eight weekly sessions, four recordings consisted of usual morning care and four recordings were of morning care with MTC intervention. The Verbal and Nonverbal Interaction Scale was used to analyze the recorded interactions at a later time. The unsociable verbal variable Cursing decreased significantly (P=.037) during MTC when compared with the baseline measurement. A significant (P=.000) reduction was observed for the unsociable nonverbal variable Does not respond to question. MTC significantly (P=.01) increased the mean score for the sociable nonverbal variable – Calm – relaxed. For sociable verbal communication, significant differences were observed for the variables Use coherent communication (P=.012), Use relevant communication (P=.009), Responds to questions (P=.000), Humming (P=.004), Singing (P=.000). MTC during morning care situations can be an effective non-pharmacological treatment, as well as nursing intervention in order to improve sociable communication behaviors, as well as reduce unsociable communication behaviors of PWDs

Older people's experience of utilisation and administration of medicines in a health- and social care context

BACKGROUND: People living at home who lack ability to manage their medicine are entitled to assistance to improve adherence provided by a home care assistant employed by social care. AIM: The aim was to describe how older people with chronic diseases, living at home, experience the use and assistance of administration of medicines in the context of social care. DESIGN: A qualitative descriptive study. METHODS: Ten participants (age 65+) living at home were interviewed in the participants' own homes. Latent content analysis was used. FINDINGS: The assistance eases daily life with regard to practical matters and increases adherence to a medicine regimen. There were mixed feelings about being dependent on assistance; it interferes with self-sufficiency at a time of health transition. Participants were balancing empowerment and a dubious perception of the home care assistants' knowledge of medicine and safety. Physicians' and district nurses' professional knowledge was a safety guarantee for the medicine process. CONCLUSIONS: Assistance eases daily life and medicine regimen adherence. Dependence on assistance may affect self-sufficiency. Perceived safety varied relating to home care assistants' knowledge of medicine. RELEVANCE TO CLINICAL PRACTICE: A well-functioning medicine assistance is crucial to enable older people to remain at home. A person-centred approach to health- and social care delivery is efficient and improve outcome for the recipient of care.

Reactions of Persons with Dementia to Caregivers Singing in Morning Care Situations

Music therapeutic caregiving', when caregivers sing for or together with persons with severe dementia during care situations, has been suggested as a way to reduce problematic behaviors in dementia care. The present study implemented this technique as an intervention in dementia care. Six caregivers participated in group interviews about their experiences of morning care situations without and with'Music therapeutic caregiving'. Through a qualitative content analysis two themes emerged.'Being in a different reality' was based on'usual' morning care situations. The caregivers' experienced the persons with dementia as absent-minded; communication and cooperation were difficult. The second theme,'Being present', was based on morning care situations with the intervention. The caregivers described communication as enhanced; the persons with dementia expressed themselves more appropriately, making cooperation possible. The results indicate that'Music therapeutic caregiving' might lead to a more positive experience of the person with dementia and seems to increase receptivity to caregiving.  

Humming as a mean of communicating during meal time situations : A Single Case study involving a women with severe dementia and her caregiver

Objective: ‘Music Therapeutic Caregiving’, when caregivers sing for or together with persons with dementia during morning care situations, has been shown to increase verbal and nonverbal communication between persons with dementia and their caregivers, as well as enhance positive and decrease negative emotions in persons with dementia. No studies about singing during mealtimes have been conducted, and this pilot project was designed to elucidate this. However, since previous studies have shown that there is a risk that persons with dementia will start to sing along with the caregiver, the caregiver in this study hummed such that the person with dementia did not sing instead of eat. The aim of this pilot project was threefold: to describe expressed emotions in a woman with severe dementia, and describe communication between her and her caregivers without and with the caregiver humming. The aim was also to measure food and liquid intake without and with humming. Method: The study was constructed as a Single Case ABA design in which the ordinary mealtime constituted a baseline which comprised a woman with severe dementia being fed by her caregivers in the usual way. The intervention included the same woman being fed by the same caregiver who hummed while feeding her. Data comprised video observations that were collected once per week over 5 consecutive weeks. The Verbal and Nonverbal Interaction Scale and Observed Emotion Rating Scale were used to analyze the recorded interactions. Results: A slightly positive influence of communication was shown for the woman with dementia, as well as for the caregiver. Further, the women with dementia showed a slight increase in expressions of positive emotions, and she ate more during the intervention. Conclusion: Based on this pilot study no general conclusions can be drawn. It can be concluded, however, that humming while feeding persons with dementia might slightly enhance communication, and positive expressed emotions in persons with dementia. To confirm this, more studies on group levels are needed. Because previous studies have found that caregiver singing during caring situations influences persons with dementia positively it might be desirable to test the same during mealtime.

Manager's task to support integrated autonomy at the workplace : Results from an intervention

A new managerial task arises in today’s working life: to provide conditions for and influence interaction between actors and thus to enable the emergence of organizing structure in tune with a changing environment. We call this the enabling managerial task. The goal of this paper is to study whether training first line managers in the enabling managerial task could lead to changes in the work for the subordinates. This paper presents results from questionnaires answered by the subordinates of the managers before and after the training. The training was organized as a learning network and consisted of eight workshops carried out over a period of one year (September 2009–June 2010), where the managers met with each other and the researchers once a month. Each workshop consisted of three parts, during three and a half hours. The first hour was devoted to joint reflection on a task that had been undertaken since the last workshop; some results were presented from the employee pre-assessments, followed by relevant theory and illuminating practices, finally the managers created new tasks for themselves to undertake during the following month. The subordinates’ answers show positive change in all of the seventeen scales used to assess it. The improvements are significant in scales measuring the relationship between the manager and the employees, as well as in those measuring interaction between employees. It is concluded that the result was a success for all managers that had the possibility of using the training in their management work.

Avaliação quanto à carga poluidora dos efluentes líquidos de quatro hospitais de diferentes especialidades no município de Porto Alegre

Este trabalho avaliou o lançamento de efluentes líquidos de quatro hospitais, de diferentes especialidades médicas, no município de Porto Alegre – RS, Brasil. Foi realizada uma pesquisa previa, nas especialidades de Traumatologia, Pneumologia, Oncologia e Geral, a fim de obter dados referentes ao descarte dos respectivos efluentes. Após foram realizadas cinco amostragens de cada especialidade hospitalar durante um ano. Os parâmetros determinados seguiram a Portaria Nº 05/89 – SSMA que aprova a Norma Técnica SSMA Nº 01/89 – DMA, que dispõe sobre critérios e padrões de efluentes líquidos a serem observados por todas as fontes poluidoras que lançam seus efluentes nos corpos d’água interiores do Estado do Rio Grande do Sul. Dos trinta e cinco parâmetros avaliados em cada amostragem, para cada hospital, vinte e oito apresentaram, concentração dentro do limite de descarte determinado pela Portaria 05/89, e sete ultrapassaram os limites de concentração da mesma Legislação. O consumo médio de água e a geração de esgotos, relacionados ao número de leitos, aproximase com os valores apresentados nas referências bibliográficas, considerando que, o número de atendimentos influencia diretamente na geração de efluentes hospitalares. A relação entre os resultados de DBO5 e DQO, de todas as especialidades, indica semelhança aos efluentes domésticos. Os resultados das concentrações de DBO5, DQO, Nitrogênio Total, Fósforo Total, pH, Coliformes Fecais e Coliformes Totais, tratados estatisticamente, apresentam semelhanças entre as amostragens e as especialidades comprovando que não há diferenças significativas entre efluentes líquidos nas especialidades hospitalares estudadas.

Bright minds, big rent: gentrification and the rising returns to skill

In 1980, housing prices in the main US cities rose with distance to the city center. By 2010, that relationship had reversed. We propose that this development can be traced to greater labor supply of high-income households through reduced tolerance for commuting. In a tract-level data set covering the 27 largest US cities, years 1980-2010, we employ a city-level Bartik demand shifter for skilled labor and find support for our hypothesis: full-time skilled workers favor proximity to the city center and their increased presence can account for the observed price changes, notably the rising price premium commanded by centrality.

Influence of irrigation on wheat crop

O uso da irrigação na triticultura tem aumentado significativamente nos últimos anos no Brasil. Neste trabalho, objetivou-se avaliar a influência da irrigação na produtividade, na qualidade tecnológica da farinha e no sistema radicular do trigo. em experimento de campo no IAPAR, em Londrina, Paraná, a cultivar IPR 118 foi cultivada sob irrigação por aspersão convencional (Tratamento Irrigado) e sem irrigação (Tratamento Sequeiro). A produtividade foi determinada, colhendo-se três amostras de 25 m² por tratamento. Nestas mesmas amostras, procedeu-se à análise da qualidade tecnológica da farinha, sendo avaliada, entre outros parâmetros, a força de glúten (W). A avaliação do sistema radicular foi realizada após a colheita, no perfil de 0 a 45 cm de profundidade do solo, amostrando-se oito plantas em cada tratamento. O método da parede do perfil foi utilizado para determinar o número de raízes (NR) e o método do monólito para determinar a massa seca de raízes (MSR). A irrigação aumentou em três vezes a produtividade do trigo, porém diminuiu o W na farinha. Ainda assim, o valor de W encontrado no Tratamento Irrigado (249 10-4 J) foi suficiente para manter a classificação do trigo como tipo-pão, a mesma para o qual a cultivar IPR 118 é classificada. Os valores medidos de NR e a MSR foram iguais ou maiores no Tratamento Sequeiro.

Test of a microlysimeter for measurement of soil evaporation

A quantificação da evaporação do solo é requerida em estudos de balanço hídrico de culturas e em aplicações que visam a aumentar a eficiência do uso da água pelos cultivos. O objetivo deste trabalho foi testar um modelo de microlisímetro (ML) para medir a evaporação do solo em condições irrigada e não irrigada. Os MLs foram construídos utilizando tubos de PVC rígido, medindo 100 mm de diâmetro interno, 150 mm de profundidade e 2,5 mm de espessura da parede. Quatro MLs foram assentados sobre a superfície de dois lisímetros de pesagem de alta precisão conduzidos com solo nu, previamente instalados no Iapar, em Londrina-PR. Os lisímetros tinham dimensões de 1,4 m de largura, 1,9 m de comprimento e 1,3 m de profundidade, e estavam sendo conduzidos com e sem irrigação. A evaporação medida nos MLs (E ML) foi comparada com a medida nos lisímetros (E L), durante quatro períodos do ano. As diferenças entre E ML e E L foram mínimas para condições de baixa e elevada demanda atmosférica, e também para condições de solo irrigado ou não irrigado, indicado que o modelo de ML testado neste trabalho é adequado para medir a evaporação do solo.

The adaptive potential of a plant pathogenic fungus, Rhizoctonia solani AG-3, under heat and fungicide stress

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Determinação de benzeno, tolueno, etilbenzeno e xilenos em gasolina comercializada nos postos do estado do Piauí

Automotive gasoline consists of a complex mixture of flammable and volatile hydrocarbons derived from crude oil with carbon numbers within the range of 4-12 and boiling points range of 30-225 ºC. Its composition varies with the kind of crude oil and the type of refinery process that they undergone. Aromatics hydrocarbons, in particular benzene, toluene, ethylbenzene and isomeric xylenes (BTEX) are the toxic group constituents presents. GC-FID was employed to quantify these hydrocarbons in 50 commercial gasoline samples from Piauí state. Statistical analysis techniques, such as PCA and HCA were used to analyze the data. Moreover, several validation parameters were evaluated.

Respiratory chemoreceptor function in vertebrates - Comparative and evolutionary aspects

The sensing of blood gas tensions and/or pH is an evolutionarily conserved, homeostatic mechanism, observable in almost all species studied from invertebrates to man. In vertebrates, a shift from the peripheral O2-oriented sensing in fish, to the central CO2/pH sensing in most tetrapods reflects the specific behavioral requirements of these two groups whereby, in teleost fish, a highly O2-oriented control of breathing matches the ever-changing and low oxygen levels in water, whilst the transition to air-breathing increased the importance of acid-base regulation and O2-related drive, although retained, became relatively less important. The South American lungfish and tetrapods are probably sister groups, a conclusion backed up by many similar features of respiratory control. For example, the relative roles of peripheral and central chemoreceptors are present both in the lungfish and in land vertebrates. In both groups, the central CO2/pH receptors dominate the ventilatory response to hypercarbia (60-80), while the peripheral CO2/pH receptors account for 20-30. Some basic components of respiratory control have changed little during evolution. This review presents studies that reflect the current trends in the field of chemoreceptor function, and several laboratories are involved. An exhaustive review on the previous literature, however, is beyond the intended scope of the article. Rather, we present examples of current trends in respiratory function in vertebrates, ranging from fish to humans, and focus on both O2 sensing and CO2 sensing. As well, we consider the impact of chronic levels of hypoxia - a physiological condition in fish and in land vertebrates resident at high elevations or suffering from one of the many cardiorespiratory disease states that predispose an animal to impaired ventilation or cardiac output. This provides a basis for a comparative physiology that is informative about the evolution of respiratory functions in vertebrates and about human disease. Currently, most detail is known for mammals, for which molecular biology and respiratory physiology have combined in the discovery of the mechanisms underlying the responses of respiratory chemoreceptors. Our review includes new data on nonmammalian vertebrates, which stresses that some chemoreceptor sites are of ancient origin.

Active labor market programs for the integration of youths and immigrants into the labor market: the Nordic experience

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Emprego feminino no Brasil: mudanças institucionais e novas inserçoes no mercado de trabalho

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