Outcomes after stroke: Basic and instrumental activities of daily living, community reintegration and generic health status

This study describes the discharge destination, basic and instrumental activities of daily living (ADL), community reintegration and generic health status of people after stroke, and explored whether sociodemographic and clinical characteristics were associated with these outcomes. Participants were 51 people, with an initial stroke, admitted to an acute hospital and discharged to the community. Admission and discharge data were obtained by chart review. Follow-up status was determined by telephone interview using the Modified Barthel Index, the Assessment of Living Skills and Resources, the Reintegration to Normal Living Index, and the Short-Form Health Survey (SF-36). At follow up, 57% of participants were independent in basic ADL, 84% had a low risk of experiencing instrumental ADL difficulties, most had few concerns with community reintegration, and SF-36 physical functioning and vitality scores were lower than normative values. At follow up, poorer discharge basic ADL status was associated with poorer instrumental ADL and community reintegration status, and older participants had poorer instrumental ADL, community reintegration and physical functioning. Occupational therapists need to consider these outcomes when planning inpatient and post-discharge intervention for people after stroke.

Type X pottery, Morobe Province, Papua New Guinea: Petrography and possible Micronesian relationships

Type X is one of four Post-Lapita pottery styles reported from Huon Peninsula and the Siassi Islands of Papua New Guinea. Previous petrographic work was inconclusive about its likely area of origin but indicated a possible Huon Peninsula source. Renewed analysis of a larger sample supports this conclusion and confirms the use of grog temper. This kind of temper is otherwise not recorded in the New Guinea region, and its use in the production of Type X was probably culturally driven. Comparisons between Type X and grog-tempered pottery from Palau, Yap, and Pohnpei in Micronesia lead to the suggestion that Type X probably derived from an otherwise unrecorded contact between Huon Peninsula and Palau about 1000 years ago. The article reviews other evidence for interaction between the New Guinea-Bismarck Archipelago region and various parts of Micronesia and concludes that the proposed Type X connection with Palau is but one of several prehistoric contacts between different parts of the regions. Recognition of such contacts, which could have been unintentional and on a small scale, may contribute to explaining the complex ethnolinguistic situation of Huon Peninsula.

Celebração da vida Vitalidade e mística na pneumatologia trinitária em Jürgen Moltmann

Esta dissertação é um estudo sobre a teologia de Jürgen Moltmann, em particular a sua pneumatologia. No primeiro momento foi privilegiada a sua trajetória históricopneumatológica através das suas duas grandes produções teológicas. No segundo momento o objetivo é compreender o Espírito da vida a partir da experiência e da sua ação na história. É quando emergem as categorias vitalidade e mística, ora assumidas explicitamente ora implicitamente pelo teólogo de Hamburgo. No terceiro momento o objetivo é enfatizar o lado concreto da sua pneumatologia, através dos temas liberdade, justiça e vida.(AU)

A SOTERIOLOGIA SOCIAL DE JOHN WESLEY com consideração especial de seus aspectos comunitários, sinergéticos e públicos

Este estudo investiga os elementos da soteriologia de John Wesley e seus aspectos dinamizantes. Em vez de favorecer um determinado período da vida de Jonh Wesley, a biografia teológica de John Wesley é desenvolvida a partir do conceito da sedimentação de experiência. Dessa forma, a theologia viatorum de John Wesley é desenvolvida com foco nos seus elementos transversais e os crescentes desdobramentos dos mesmos segundo os seus aspectos comunitários, sinergéticos e públicos. Segundo esta tese, a theologia viatorum de John Wesley ganha em profundidade e vitalidade com a sua crescente e consciente aprendizagem e compromisso com o povo inglês e, em especial, com os pobres da Inglaterra. Acompanhado por uma cuidadosa auto-análise, Wesley parte para a análise do efeito de diversas soteriologias dos seus dias no cotidiano, as quais são marcadas pela demorada transição entre a época medieval e a modernidade. Surge uma re-construção característica da soteriologia, designado por nós como soteriologia social. Entendemos esta soteriologia social como o eixo principal da teologia de John Wesley que se manifesta numa típica antropologia, cristologia, pneumatologia, escatologia e eclesiologia soteriológica. Os aspectos comunitários, sinergéticos e públicos desta soteriologia social são vistos e desenvolvidos por Wesley a partir da auto-experiência e da convivência com o povo, suas dinâmicas, sua cultura, suas necessidades e suas competências. Tais aspectos levam, passo a passo, a uma práxis que começa a contemplar o entrelaçamento entre a reforma da igreja, da nação e a transformação de pessoas. Este movimento é comotivado por um horizonte soterioló gico utópico que prevê a continuação da theologia viatorum até na transformação do cosmo inteiro. A soteriologia social é parecida com a um tecido que acompanha a topografia socio-econômica e religiosa da época, procurando caminhos para a superação dos seus impasses, da sua desesperança e irresponsabilidade em relação aos pobres.(AU)

PARA UMA POÉTICA DA VITALIDADE: religião e antropologia na escritura machadiana (Uma leitura de Memórias póstumas de Brás Cubas, de Machado de Assis)

A literatura de Machado de Assis foi revisitada nesta tese porque tínhamos a convicção de que o tema da religião e suas implicações para o ser humano machadiano se constituíam como uma tarefa de investigação que esperava por ser feita. Para localizar o objetivo central da presente tese no campo das discussões travadas entre religião e literatura construímos, na primeira parte, um caminho que nos levou a constatação da efetiva aproximação entre elas. Amparados pela inabarcável discussão que trata das imagens religiosas e teológicas presentes nos textos literários, bem como pelas inúmeras construções metodológicas que visam a propiciar uma aproximação mais profícua entre religião e literatura, buscamos uma interpretação da literatura machadiana que apontasse para a expressão religiosa do ponto de vista de sua antropologia. O nosso eixo interpretativo foi construído a partir da teoria hermenêutica de Paul Ricoeur, mais especificamente a partir do conceito de metáfora. A reflexão que construímos em torno da expressão religiosa da antropologia machadiana foi inicialmente devedora do conceito de vitalidade de Jürgen Moltmann. A expressão religiosa da antropologia machadiana emergida do romance Memórias Póstumas de Brás Cubas (1881) apresenta-se sob a perspectiva de uma incondicionalidade a partir da qual a vida de Brás Cubas é tomada. Esta característica da antropologia machadiana fez com que estabelecêssemos um recurso conceitual para dar conta de sua particularidade. Propomos, portanto, que o ser humano do espaço literário machadiano seja chamado de homo vitalis.(AU)

QUALIDADE DE VIDA DE PROFESSORES DA REDE PÚBLICA DE SÃO BERNARDO DO CAMPO

A presente dissertação de mestrado teve como objetivo avaliar a qualidade de vida e a saúde mental de 154 professores do ensino fundamental da rede publica de São Bernardo do Campo. Trata-se de um estudo descritivo do tipo transversal e os dados foram coletados nas escolas onde lecionam nos horários de HTPC. Os instrumentos utilizados foram: WHOQOL-bref, Questionário sócio-demográfico, Questionário de avaliação de nível sócio-econômico, Questionário de Morbidade Psiquiátrica de adultos - QMPA e o SF-36. Os resultados obtidos mostraram que a qualidade de vida dos professores (WHOQOL-bref) tende a ser regular, no SF-36 a qualidade de vida na capacidade funcional, aspecto físico e aspectos sociais tendem a ser positivas. Mas, os indicadores das facetas: dor, estado geral de saúde, aspectos emocionais, saúde mental e principalmente vitalidade tendem a ser negativos. Os dados obtidos no questionário de morbidade psiquiátrica indicaram morbidade psiquiátrica em 33% dos professores. As correlações estabelecidas mostraram que quanto maior os indicadores psicopatológicos (QMPA) pior a qualidade de vida (WHOQOL-bref e SF-36). Concluiu-se nesse estudo que um professor com a qualidade de vida e com saúde mental é um professor com uma jornada de trabalho não extensa, que garanta um tempo para o descanso e momentos de lazer. Os professores mais velhos que diminuíram sua carga de trabalho apresentam melhor qualidade de vida e ausência de morbidade psiquiátrica

AVALIAÇÃO DE SINTOMAS DEPRESSIVOS E DA QUALIDADE DE VIDA EM PACIENTES COM SÍNDROME FIBROMIÁLGICA

Fibromialgia é uma síndrome de etiologia desconhecida com dor difusa, generalizada e crônica. O diagnóstico da fibromialgia deve ser feito de acordo com o critério do American College of Rheumatology (ACR) 1990. O paciente deve apresentar dor difusa por mais de três meses e relatar dor à palpação em pelo menos 11 de 18 pontos sensíveis, chamados de tender points , caracaterizando assim a síndrome. A maioria dos pacientes acometidos são mulheres, e o pico de incidência etária na ocasião do diagnóstico está entre 40 e 50 anos. A dor crônica promove um impacto na qualidade de vida dessas pessoas, diminuindo sua auto-estima, isolando-as do convívio social e fazendo com que percam o controle dos seus pensamentos e sentimentos. Sintomas depressivos podem ser o resultado da disfunção orgânica, associada às condições de limitação das atividades diárias.Este estudo tem como objetivo investigar a presença dos sintomas depressivos e analisar o impacto dos mesmos sobre a qualidade de vida das pacientes com SF. Foram selecionadas 30 mulheres com diagnóstico de SF, em atendimento no período de outubro a novembro de 2005, as quais responderam a dois questionários: Inventário de Depressão de Beck, para investigar a presença de sinto- mas depressivos e o SF-36 Medical Outcome Survey Short Form -36, para avaliar a qualidade de vida. Os resultados obtidos na estatística pelo programa SPS demons- tram que os sintomas depressivos são responsáveis pelo impacto na qualidade de vida dessas pessoas, principalmente nos domínios: aspectos físicos, aspectos sociais, saú- de mental, vitalidade e saúde geral. A análise dos dados sugere que os sintomas depressivos podem influenciar negativamente a qualidade de vida das mulheres fibromiálgicas, pois aumenta a sensação de incapacidade física, diminui a qualidade das relações sociais, aumenta o pessimismo, a fadiga e o desânimo

Past historic in obituaries: chronicle of a death foretold

The French Past Historic (passé simple: PS), as a perfective past, is ideally suited to the obituary genre narrating the highlights of a life in chronological order. However, 20th century linguists have claimed that this tense has become obsolete. It is, therefore, worth exploring the presence of PS in obituaries. This paper explores three types of variation (diachronic, diastratic and diatopic) on a corpus of diachronic 20th century sources, and contemporary Parisian and regional newspapers. The study has noticed a diachronic diminution of the quantitative use of PS and a lesser decline of its functions as a foregrounded tense, and greater vitality in Western and Southern papers. However the geographical factor was less influential than the distribution. The readership may prove decisive as we have seen the most productive uses in the most conservative papers, the most formulaic in the left-wing paper, and the least developed in the populist paper.

Health related quality of life and perception of stigmatisation in adolescents living with sickle cell disease in Nigeria:a cross sectional study

Background: Sickle cell disease impacts the physical, emotional and psychological aspects of life of the affected persons, often times exposing them to disease associated stigma from the society and alters the health related quality of life (HRQoL). This study compared the HRQoL of adolescents with sickle cell disease with their healthy peers, identified socio-demographic and clinical factors impacting HRQoL, and determined the extent and effects of SCD related stigma on quality of life. Procedure: We conducted a cross-sectional survey among 160 adolescents, 80 with SCD and 80 adolescents without SCD. Socio-demographic and clinical data were collected using a pre-tested questionnaire. HRQoL was investigated using the Short Form (SF-36v2) Health Survey. SCD perceived stigma was measured using an adaptation of a perceived stigma questionnaire. Results: Adolescents with SCD have significantly worse HRQoL than their peers in all of the most important dimensions of HRQoL (physical functioning, physical roles limitation, emotional roles limitation, social functioning, bodily pain, vitality and general health perception) except mental health. Recent hospital admission and SCD related complication further lowered HRQoL scores. Over seventy percent of adolescents with SCD have moderate to high level of perception of stigmatisation. Hospitalisation, SCD complication, SCD stigma were inversely, and significantly associated with HRQoL. Conclusions: Adolescents living with SCD in Nigeria have lower health related quality of life compared to their healthy peers. They also experience stigma that impacts their HRQoL. Complications of SCD and hospital admissions contribute significantly to this impairment. Pediatr Blood Cancer 2015;62:1245-1251.

Occupy! A global movement

This book is an urgent and compelling account of the Occupy movements: from the M15 movement in Spain, to the wave of Occupations flooding across cities in American, Europe and Australia, to the harsh reality of evictions as corporations and governments attempted to reassert exclusive control over public space. Across a vast range of international examples over twenty authors analyse, explain and helps us understand the movement. These movements were a novel and noisy intervention into the recent capitalist crisis in developed economies, developing an exceptionally broad identity through a call to arms addressed to 'the 99%', and emphasizing the importance of public space in the creation and maintenance of opposition. The novelties of these movements, along with their radical positioning and the urgency of their claims all demand analysis. This book investigates the crucial questions of how and why this form of action spread so rapidly and so widely, how the inclusive discourse of 'the 99%' matched up to the reality of the practice. It is vital to understand not just the choice of tactics and the vitality of protest camps in public spaces, but also how the myriad of challenges and problems were negotiated. This book was published as a special issue of Social Movement Studies.

Modelling the growth of young individuals of Pinus nigra on thin carbonate soils under climate change in Hungary

Climate change highly impacts on tree growth and also threatens the forest of the karstic terrains. From the 1980s the frequency of decay events of the Pinus nigra Arnold forests showed a marked increase in Hungary. To understanding the vulnerability of Pinus nigra forests to climate change on shallow karstic soils in continental-sub Mediterranean climatic conditions we developed the study of three sampled population in the typical karstic landscape of Veszprém in North Transdanubia. We built our model on non-invasive approach using the annual growth of the individuals. MPI Echam5 climate model and as aridity index the Thornthwaite Agrometeorological Index were used. Our results indicate that soil thickness up to 11 cm has a major influence on the main growth intensity, however, aridity determines the annual growth rate. Our model results showed that the increasing decay frequency in the last decades was a parallel change to the decreasing growth rate of pines. The climate model predicts the similar, increased decay frequency to the presents. Our results can be valid for a wider areas of the periphery of Mediterranean climate zone while the annual-growth based model is a cost-effective and simple method to study the vitality of pine trees in a given area.

The empire beats on: Oyo, Bata drums and hegemony in nineteenth-century Cuba

The Lukumí people of Cuba, currently known as Yoruba, are descendants of one of the mightiest West African kingdoms, the Oyo, Empire. The Oyo-Yoruba were important cultural contributors to certain areas of the New World such as Cuba, Brazil, Trinidad, and to some degree Haiti and the Lesser Antilles. Anthropologist William Bascom has said that “no African group has had greater influence on New World culture than the Yoruba.” ^ After the devastation of the empire around 1825, two new Oyos resuscitated. The first, New Oyo, was established about 80 miles south of the ancient site around 1830. The second Oyo was instituted on the other side of the Atlantic Ocean, in the city of Havana and its surrounding towns. Much of Oyo lie, as ancient Oyo is now called, was transported to the New World, reformed and adapted according to its new surroundings, and, it preserved its reign over its “subjects” through the retention and dissemination of its cultural and religious practices. ^ Using an interdisciplinary approach, this investigation will argue that of all the African groups brought to Cuba, the Oyo-Yoruba were the most influential in shaping Afro-Cuban culture since their introduction in the nineteenth century. The existence of batá drums in Cuba and the cultural components of this musical genre will serve as one of many examples to illustrate the vitality of Oyo cultural hegemony over Afro-Cubans. It is arguable that these drums and the culture that surrounded them were very important instruments used by the Oyo to counter the acculturation of many Africans in Cuba. Likewise, this culture became acculturative in itself by imposing its religious world views on non-Oyo ethnics and their descendants. Oral histories and narratives collected among Lukumí practitioners on the island and abroad have been invaluable archives to supplement and/or complement primary and secondary sources of information. ^

Food customs of rural and urban Inupiaq elders and their relationships to select nutrition parameters, food insecurity, health, and physical and mental functioning

The Inupiaq Tribe resides north of the Arctic Circle in northwestern Alaska. The people are characterized by their continued dependence on harvested fish, game and plants, known as a subsistence lifestyle (Lee 2000:35-45). Many are suggesting that they leave their historical home and move to urban communities, places believed to be more comfortable as they age. Tribal Elders disagree and have stated, "Elders need to be near the river where they were raised" (Branch 2005:1). The research questions focused on differences that location had on four groups of variables: nutrition parameters, community support, physical functioning and health. A total of 101 Inupiaq Elders ≥ 50 years were surveyed: 52 from two rural villages, and 49 in Anchorage. Location did not influence energy intake or intake of protein; levels of nutrition risk and food insecurity; all had similar rates between the two groups. Both rural and urban Elders reported few limitations of ADLs and IADLs. Self-reported general health scores (SF-12.v2 GH) were also similar by location. Differences were found with rural Elders reporting higher physical functioning summary scores (SF-12.v2 PCS), higher mental health scores (SF-12.v2 MH), higher vitality and less pain even though the rural mean ages were five years older than the urban Elders. Traditional food customs appear to support the overall health and well being of the rural Inupiaq Elders as demonstrated by higher intakes of Native foods, stronger food sharing networks and higher family activity scores than did urban Elders. The rural community appeared to foster continued physical activity. It has been said that when Elders are in the rural setting they are near "people they know" and it is a place "where they can get their Native food" (NRC 2005). These factors appear to be important as Inupiaq Elders age, as rural Inupiaq Elders fared as well or better than Inupiaq Elders in terms of diet, mental and physical health.

The effects of manipulation of sedimentary iron and organic matter on sediment biogeochemistry and seagrasses in a subtropical carbonate environment

The microbial metabolism of organic matter (OM) in seagrass beds can create sulfidic conditions detrimental to seagrass growth; iron (Fe) potentially has ameliorating effects through titration of the sulfides and the precipitation of iron-sulfide minerals into the sediment. In this study, the biogeochemical effects of Fe availability and its interplay with sulfur and OM on sulfide toxicity, phosphorous (P) availability, seagrass growth and community structure were tested. The availability of Fe and OM was manipulated in a 2 × 2 factorial experiment arranged in a Latin square, with four replicates per treatment. The treatments included the addition of Fe, the addition of OM, the addition of both Fe and OM as well as no addition. The experiment was conducted in an oligotrophic, iron-deficient seagrass bed. Fe had an 84.5% retention efficiency in the sediments with the concentration of Fe increasing in the seagrass leaves over the course of the experiment. Porewater chemistry was significantly altered with a dramatic decrease in sulfide levels in Fe addition plots while sulfide levels increased in the OM addition treatments. Phosphorus increased in seagrass leaves collected in the Fe addition plots. Decreased sulfide stress was evidenced by heavier δ34S in leaves and rhizomes from plots to which Fe was added. The OM addition negatively affected seagrass growth but increased P availability; the reduced sulfide stress in Fe added plots resulted in elevated productivity. Fe availability may be an important determinant of the impact that OM has on seagrass vitality in carbonate sediments vegetated with seagrasses.

Ethics, Value Systems And The Professionalization Of Hoteliers

In the discussion - Ethics, Value Systems And The Professionalization Of Hoteliers by K. Michael Haywood, Associate Professor, School of Hotel and Food Administration, University of Guelph, Haywood initially presents: “Hoteliers and executives in other service industries should realize that the foundation of success in their businesses is based upon personal and corporate value systems and steady commitment to excellence. The author illustrates how ethical issues and manager morality are linked to, and shaped by the values of executives and the organization, and how improved professionalism can only be achieved through the adoption of a value system that rewards contributions rather than the mere attainment of results.” The bottom line of this discussion is, how does the hotel industry reconcile its behavior with that of public perception? “The time has come for hoteliers to examine their own standards of ethics, value systems, and professionalism,” Haywood says. And it is ethics that are at the center of this issue; Haywood holds that component in an estimable position. “Hoteliers must become value-driven,” advises Haywood. “They must be committed to excellence both in actualizing their best potentialities and in excelling in all they do. In other words, the professionalization of the hotelier can be achieved through a high degree of self-control, internalized values, codes of ethics, and related socialization processes,” he expands. “Serious ethical issues exist for hoteliers as well as for many business people and professionals in positions of responsibility,” Haywood alludes in defining some inter-industry problems. “The acceptance of kickbacks and gifts from suppliers, the hiding of income from taxation authorities, the lack of interest in installing and maintaining proper safety and security systems, and the raiding of competitors' staffs are common practices,” he offers, with the reasoning that if these problems can occur within ranks, then there is going to be a negative backlash in the public/client arena as well. Haywood divides the key principles of his thesis statement - ethics, value systems, and professionalism – into specific elements, and then continues to broaden the scope of each element. Promotion, product/service, and pricing are additional key components in Haywood’s discussion, and he addresses each with verve and vitality. Haywood references the four character types - craftsmen, jungle fighters, company men, and gamesmen – via a citation to Michael Maccoby, in the portion of the discussion dedicated to morality and success. Haywood closes with a series of questions derived from Lawrence Miller's American Spirit, Visions of a New Corporate Culture, each question designed to focus, shape, and organize management's attention to the values that Miller sets forth in his piece.