Hélio Serejo: por uma literatura entre as orilhas da fronteira

Pós-graduação em Letras - IBILCE

The unspoken disease: symptom experience in women with vulval neoplasia and surgical treatment: a qualitative study

Women with vulval neoplasia often experience severe post-surgical complications. This study focuses on symptom experience of women during the first 6 months following surgical treatment for vulval neoplasia considering their socio-cultural context. In this qualitative study using a critical hermeneutic approach, narrative interviews were conducted. A purposeful sample of 20 patients was recruited from one Swiss and two German university hospitals. Content analysis was employed to analyse the transcribed interviews considering women's experiences and social perceptions. Narratives showed eight interrelated themes: delayed diagnosis, disclosed disease, disturbed self-image, changed vulva care, experienced wound-related symptoms, evoked emotions, affected interpersonal interactions and feared illness progression. The women experienced a general lack of information pertaining to above themes and all described strategies used to handle their situation, which affected their distress. The communication, assessment and treatment of symptoms were hampered by the society's and the health system's tendency to overlook these symptoms and leave them in the realm of the unspeakable. Health professionals need new strategies to support these women to recognise, assess and evaluate the seriousness of symptoms, and to communicate their symptom experience so that timely medical treatment is sought. This support may minimise potentially preventable complications and symptom-related distress.

Eastern Temperate Forests

Human activity in the last century has led to a substantial increase in nitrogen (N) emissions and deposition. This N deposition has reached a level that has caused or is likely to cause alterations to the structure and function of many ecosystems across the United States. One approach for quantifying the level of pollution that would be harmful to ecosystems is the critical loads approach. The critical load is dei ned as the level of a pollutant below which no detrimental ecological effect occurs over the long term according to present knowledge. The objective of this project was to synthesize current research relating atmospheric N deposition to effects on terrestrial and aquatic ecosystems in the United States and to identify empirical critical loads for atmospheric N deposition. The receptors that we evaluated included freshwater diatoms, mycorrhizal fungi and other soil microbes, lichens, herbaceous plants, shrubs, and trees. The main responses reported fell into two categories: (1) biogeochemical, and (2) individual species, population, and community responses. The range of critical loads for nutrient N reported for U.S. ecoregions, inland surface waters, and freshwater wetlands is 1 to 39 kg N ha-1 y-1. This broad range spans the range of N deposition observed over most of the country. The empirical critical loads for N tend to increase in the following sequence for different life forms: diatoms, lichens and bryophytes, mycorrhizal fungi, herbaceous plants and shrubs, trees. The critical loads approach is an ecosystem assessment tool with great potential to simplify complex scientii c information and effectively communicate with the policy community and the public. This synthesis represents the i rst comprehensive assessment of empirical critical loads of N for ecoregions across the United States.

Sviluppo e applicazione di nuovi criteri per la verifica a fatica multiassiale di componenti strutturali in leghe di acciaio e alluminio

La presente Tesi ha per oggetto lo sviluppo e la validazione di nuovi criteri per la verifica a fatica multiassiale di componenti strutturali metallici . In particolare, i nuovi criteri formulati risultano applicabili a componenti metallici, soggetti ad un’ampia gamma di configurazioni di carico: carichi multiassiali variabili nel tempo, in modo ciclico e random, per alto e basso/medio numero di cicli di carico. Tali criteri costituiscono un utile strumento nell’ambito della valutazione della resistenza/vita a fatica di elementi strutturali metallici, essendo di semplice implementazione, e richiedendo tempi di calcolo piuttosto modesti. Nel primo Capitolo vengono presentate le problematiche relative alla fatica multiassiale, introducendo alcuni aspetti teorici utili a descrivere il meccanismo di danneggiamento a fatica (propagazione della fessura e frattura finale) di componenti strutturali metallici soggetti a carichi variabili nel tempo. Vengono poi presentati i diversi approcci disponibili in letteratura per la verifica a fatica multiassiale di tali componenti, con particolare attenzione all'approccio del piano critico. Infine, vengono definite le grandezze ingegneristiche correlate al piano critico, utilizzate nella progettazione a fatica in presenza di carichi multiassiali ciclici per alto e basso/medio numero di cicli di carico. Il secondo Capitolo è dedicato allo sviluppo di un nuovo criterio per la valutazione della resistenza a fatica di elementi strutturali metallici soggetti a carichi multiassiali ciclici e alto numero di cicli. Il criterio risulta basato sull'approccio del piano critico ed è formulato in termini di tensioni. Lo sviluppo del criterio viene affrontato intervenendo in modo significativo su una precedente formulazione proposta da Carpinteri e collaboratori nel 2011. In particolare, il primo intervento riguarda la determinazione della giacitura del piano critico: nuove espressioni dell'angolo che lega la giacitura del piano critico a quella del piano di frattura vengono implementate nell'algoritmo del criterio. Il secondo intervento è relativo alla definizione dell'ampiezza della tensione tangenziale e un nuovo metodo, noto come Prismatic Hull (PH) method (di Araújo e collaboratori), viene implementato nell'algoritmo. L'affidabilità del criterio viene poi verificata impiegando numerosi dati di prove sperimentali disponibili in letteratura. Nel terzo Capitolo viene proposto un criterio di nuova formulazione per la valutazione della vita a fatica di elementi strutturali metallici soggetti a carichi multiassiali ciclici e basso/medio numero di cicli. Il criterio risulta basato sull'approccio del piano critico, ed è formulato in termini di deformazioni. In particolare, la formulazione proposta trae spunto, come impostazione generale, dal criterio di fatica multiassiale in regime di alto numero di cicli discusso nel secondo Capitolo. Poiché in presenza di deformazioni plastiche significative (come quelle caratterizzanti la fatica per basso/medio numero di cicli di carico) è necessario conoscere il valore del coefficiente efficace di Poisson del materiale, vengono impiegate tre differenti strategie. In particolare, tale coefficiente viene calcolato sia per via analitica, che per via numerica, che impiegando un valore costante frequentemente adottato in letteratura. Successivamente, per validarne l'affidabilità vengono impiegati numerosi dati di prove sperimentali disponibili in letteratura; i risultati numerici sono ottenuti al variare del valore del coefficiente efficace di Poisson. Inoltre, al fine di considerare i significativi gradienti tensionali che si verificano in presenza di discontinuità geometriche, come gli intagli, il criterio viene anche esteso al caso dei componenti strutturali intagliati. Il criterio, riformulato implementando il concetto del volume di controllo proposto da Lazzarin e collaboratori, viene utilizzato per stimare la vita a fatica di provini con un severo intaglio a V, realizzati in lega di titanio grado 5. Il quarto Capitolo è rivolto allo sviluppo di un nuovo criterio per la valutazione del danno a fatica di elementi strutturali metallici soggetti a carichi multiassiali random e alto numero di cicli. Il criterio risulta basato sull'approccio del piano critico ed è formulato nel dominio della frequenza. Lo sviluppo del criterio viene affrontato intervenendo in modo significativo su una precedente formulazione proposta da Carpinteri e collaboratori nel 2014. In particolare, l’intervento riguarda la determinazione della giacitura del piano critico, e nuove espressioni dell'angolo che lega la giacitura del piano critico con quella del piano di frattura vengono implementate nell'algoritmo del criterio. Infine, l’affidabilità del criterio viene verificata impiegando numerosi dati di prove sperimentali disponibili in letteratura.

The experiences and perceptions of fathers attending the birth and immediate care of their baby

Fathers in the United Kingdom (UK) usually attend the birth and immediate care of their baby. They also have an increasing presence during complicated and preterm childbirth, newborn resuscitation and early neonatal unit(NNU) care. However, there is limited evidence about the effect of these experiences on them. The aim of this study was to gain an understanding of the experiences of fathers encountering these situations. The study consisted of three phases and was undertaken in one National Health Service trust in the UK. Qualitative semi-structured interviews using a phenomenological approach were undertaken with 20 first-time fathers present at the delivery, resuscitation and/or admission of their baby to the NNU. Direct observations were made of 22 normal and complicated deliveries and initial newborn care and qualitative semi-structured interviews using the critical incident approach were undertaken with 37 health care professionals (HCPs). The study generated qualitative and quantitative data that were analysed accordingly. The findings show that most fathers were involved for at least some of the time and often spontaneously initiated their involvement. Their most important need was for information. They were usually more concerned about their partner, irrespective of the baby?s need for resuscitation and NNU care. To facilitate their involvement, fathers needed guidance and support from HCPs, particularly delivery suite midwives. Most HCPs recognised the needs of fathers and ways in which they could be helped to connect with their experience. However, these needs were not always met, usually because of inadequate staffing levels, a lack of resources or a mother-centred philosophy of care. The findings suggest the service often determines the extent to which fathers are involved. It is anticipated that these findings will inform HCP education and training and the development of both policy and health education thereby enhancing the quality of care provision for fathers.

The impact of a father's presence during newborn resuscitation:a qualitative interview study with healthcare professionals

Objective: To explore healthcare professionals’ experiences around the time of newborn resuscitation in the delivery room, when the baby’s father was present. Design: A qualitative descriptive, retrospective design using the critical incident approach. Tape-recorded semistructured interviews were undertaken with healthcare professionals involved in newborn resuscitation. Participants recalled resuscitation events when the baby’s father was present. They described what happened and how those present, including the father, responded. They also reflected upon the impact of the resuscitation and the father’s presence on themselves. Participant responses were analysed using thematic analysis. Setting: A large teaching hospital in the UK. Participants: Purposive sampling was utilised. It was anticipated that 35–40 participants would be recruited. Forty-nine potential participants were invited to take part. The final sample consisted of 37 participants including midwives, obstetricians, anaesthetists, neonatal nurse practitioners, neonatal nurses and paediatricians. Results: Four themes were identified: ‘whose role?’ ‘saying and doing’ ‘teamwork’ and ‘impact on me’. While no-one was delegated to support the father during the resuscitation, midwives and anaesthetists most commonly took on this role. Participants felt the midwife was the most appropriate person to support fathers. All healthcare professional groups said they often did not know what to say to fathers during prolonged resuscitation. Teamwork was felt to be of benefit to all concerned, including the father. Some paediatricians described their discomfort when fathers came to the resuscitaire. None of the participants had received education and training specifically on supporting fathers during newborn resuscitation. Conclusions: This is the first known study to specifically explore the experiences of healthcare professionals of the father’s presence during newborn resuscitation. The findings suggest the need for more focused training about supporting fathers. There is also scope for service providers to consider ways in which fathers can be supported more readily during newborn resuscitation.

ICT adoption and ebusiness development:Understanding ICT adoption amongst ethnic minority businesses

This paper builds upon a series of studies that have identified the comparatively low uptake of ICT amongst EMBs (Ram and Smallbone, 1999; Foley and Ram 2002; Allinson et al., 2004). Existing studies have only tentatively considered the causal factors for this lower adoption rate in comparison to non-EMBs. Within the context of a pilot study, aiming to understand ICT adoption amongst EMBs, an action research approach is adopted as a means of influencing, evaluating and underpinning ICT adoption (Beckinsale and Ram, 2006). The approach is methodologically distinctive in its utilization of action research with a critical realist approach as a means of policy evaluation; this is conducive to 'policy learning', and the understanding of causal mechanisms in the EMBs. Actors involved in the implementation were interviewed, as well as the business owners themselves. Another distinguishing feature is the application of Yap et al.'s (1992) schema to identify causal mechanisms, to examine actions and experiences and to understand the impact on the EMBs studied. The findings highlight the complex interaction and relationships of internal and external factors in shaping approaches to ICT implementation. Factors such as size, strategy and business age are germane but so too, albeit to a lesser degree, are cultural influences such as involvement in co-ethnic networks. Significantly, changes to particular causal mechanisms such as business support altered adoption and implementation of ICT. Distinct issues for Chinese and Asian-owned business and potentially more broadly EMBs are identified providing a framework for other EMBs. © The Author(s) 2010.

Achievement of generic baccalaureate student nurses using computer -assisted instruction simulations during a nursing review course

The use of computer assisted instruction (CAI) simulations as an instructional strategy provides nursing students with a critical thinking approach for evaluating risks and benefits and choosing correct alternatives in "safe" patient care situations. It was hypothesized that using CAI simulations during an upper level nursing review course would have a positive effect on the students' posttest scores. Subjects (n = 36) were senior nursing students enrolled in a nursing review course in an undergraduate baccalaureate program. A limitation of the study was the small sample size. The study employed a modified group experimental design using the t test for independent samples. The group who received the CAI simulations during the physiological system review demonstrated a significant increase (p $<$.01) in the posttest score mean when compared to the lecture-discussion group score mean. There was no significant difference between high and low clinical grade point average (GPA) students in the CAI and lecture-discussion groups and their score means on the posttest. However, score mean differences of the low clinical GPA students showed a greater increase for the CAI group than the lecture-discussion group. There was no significant difference between the groups in their system content subscore means on the exit examination completed three weeks later. It was concluded that CAI simulations are as effective as lecture-discussion in assisting upper level students to process information for clinical decision making. CAI simulations can be considered as an instructional strategy to supplement or replace lecture content during a review course, allowing more efficient use of faculty time. It is recommended that the study be repeated using a larger sample size. Further investigations are recommended in comparing the effectiveness of computer software formats and various instructional strategies for other learning situations and student populations. ^

O lugar da hispanoamérica no processo de ensino-aprendizagem de espanhol como língua estrangeira no ensino secundário português

Tendo em conta um enfoque comunicativo experiencial (Fernández- Corbacho, 2014) e uma pedagogia crítica emancipatória (Jiménez Raya, Lamb & Vieira, 2007), enriquecida por enfoques multissensoriais (Arslan, 2009), é nossa intenção, com este projeto, contribuir para a implementação de práticas que espelhem as variedades linguísticas e culturais da Hispanoamérica (Liceras, 1995; Beave, 2000) na aula de espanhol como língua estrangeira no ensino secundário português. Neste estudo, através duma perspetiva metodológica de índole qualitativa, pretendemos, como ponto de partida, analisar: a) as representações de alunos portugueses sobre o lugar da Hispanoamérica no processo de ensino-aprendizagem de espanhol como língua estrangeira (Altmann & Vences, 2004; Pérez, 2003), através de inquéritos por questionário; e, ainda, b) as abordagens das variedades linguísticas e culturais do espanhol, que surgem nos manuais utilizados no ensino secundário português. Por outro lado, através de um estudo de caso (Benson, Chik, Gao, Huang & Wang, 2009), procurámos evidenciar uma mostra de possíveis boas práticas didático-pedagógicas e materiais, com vista a um trabalho sistemático e próativo com as variedades linguísticas e culturais do espanhol, baseado numa (hiper)pedagogia crítica e encarando a língua enquanto objeto manipulável e potenciador de cidadãos verdadeiramente conscientes do mundo. Para tal, criámos materiais físicos e digitais, que foram posteriormente implementados com alunos do 11º ano de escolaridade, no nível de iniciação de espanhol, num agrupamento de escolas da região de Aveiro. Os resultados mostram que práticas e materiais desta natureza poderão favorecer aprendizagens comunicativas experienciais, quanto à criação de futuros cidadãos críticos e ativos, fomentando o desenvolvimento das suas competências comunicativa plurilingue e pluricultural e duma consciência cultural crítica (Byram, Gribkova & Starkey, 2002) dos alunos, no contexto de ensino-aprendizagem do ensino secundário.

Diagnóstico Social participativo de la comunidad de Tocaimita, Localidad de Usme

112 p.

Elementos para a rejeição da ética na filosofia de Martin Heidegger : contribuição para uma metaética fenomenológico-existencial

Dissertação (mestrado)—Universidade de Brasília,Instituto de Ciências Humanas, Programa de Pós-Graduação em Filosofia, 2015.

Estereotipos sobre el envejecimiento según el periodo del desarrollo y el género

Teniendo en cuenta el drástico aumento en Colombia y el mundo de la población adulta mayor la pirámide poblacional se ha invertido. Lo que ha generado que cada vez haya más adultos mayores y la esperanza de vida sea mayor. Motivo por el cual surge la importancia de conocer diversos aspectos del envejecimiento, entre ellos los estereotipos. Adicionalmente hay muy poca investigación relacionada con los estereotipos sobre el envejecimiento según el género y el periodo de desarrollo. Levy (2009) encontró que son los jóvenes quienes tienen más estereotipos negativos sobre el envejecimiento pues estos sienten que la vejez está muy lejos de su realidad actual y no es en una amenaza personal. Por otro lado Bodner, Bergman y Cohen (2012), encontraron que son los hombres quienes tienen más estereotipos negativos sobre el envejecimiento. La presente investigación tuvo como objetivo describir el efecto del periodo del desarrollo y el género en los estereotipos sobre el envejecimiento en 860 adultos colombianos. Se midió la variable de estereotipos sobre el envejecimiento a través del cuestionario de Ramírez y Palacios (2015) y el periodo del desarrollo y el género a través de un cuestionario de datos sociodemograficos. Contrario a lo esperado, los resultados mostraron que no existe relación entre los estereotipos negativos con el género, el periodo del desarrollo, ni en la interacción de estos. En cambio, se encontraron diferencias entre los estereotipos positivos el género y el periodo de desarrollo. Se considera importante continuar realizando investigaciones relacionadas con esta temática pues cada vez son más los adultos mayores y la manera en que nos relacionemos con ellos, va a determinar un mejor proceso de envejecimiento para ellos.

Participación de niños y niñas en los grupos armados ilegales de Colombia : una revisión de la literatura de los procesos de reclutamiento, permanencia y desmovilización desde el enfoque psicosocial

El presente trabajo tuvo como objetivo realizar una revisión de la literatura sobre la participación de niños y niñas en los grupos armados ilegales de Colombia en estudios nacionales, para analizar desde un enfoque psicosocial los procesos de reclutamiento/vinculación, permanencia y desmovilización. Se revisaron 26 investigaciones publicadas entre 2005 y 2015 de bases de datos especializadas y catálogos de universidades. Los resultados mostraron que la mayoría de los estudios realizados sobre participación de niños y niñas en los grupos armados se concentran en los procesos de vinculación y desvinculación. Puntualmente, los estudios desde el enfoque psicosocial encontrados hacen referencia a la comprensión del fenómeno desde el enfoque ecológico. En ello, abordan temas como la configuración de la identidad, las motivaciones, las interacciones con su entorno cercano y con las instituciones sociales y políticas.

La construcción de sentido (‘sensemaking’) de un entorno estratégico turbulento por parte de los altos directivos: un estudio en una multinacional automotriz

Este artículo presenta los resultados de una investigación realizada al interior de dos contextos. Por un lado, el teórico, en el marco de uno de los discursos más relevantes en los campos de la estrategia organizacional, de la managerial and organizational cognition (MOC) y, en general, de los estudios organizacionales (organization studies): la construcción de sentido (sensemaking). Por el otro, el empírico, en una de las grandes compañías multinacionales del sector automotriz con presencia global. Esta corporación enfrenta una permanente tensión entre lo que dicta la casa matriz, en relación con el cumplimiento de metas y estándares específicos, considerando el mundo entero, y los retos que, teniendo en cuenta lo regional y lo local, experimentan los altos directivos encargados de hacer prosperar la empresa en estos lugares. La aproximación implementada fue cualitativa. Esto en atención a la naturaleza de la problemática abordada y la tradición del campo. Los resultados permiten ampliar el actual nivel de comprensión acerca de los procesos de sensemaking de los altos directivos al enfrentar un entorno estratégico turbulento.

Equità di genere e pratiche trasformative in educazione fisica

A partire da un paradigma ecologico ad indirizzo critico, seguendo il filone degli studi femministi, le finalità della ricerca sono state: smascherare le forme di oppressione di genere nei contesti educativi (finalità trasformativa) e produrre un sapere utile alla pratica (finalità emancipativa). Data la complessità del contesto educativo scolastico e dell’argomento stesso che interseca vari domini di sapere, è stato adottato un approccio metodologico di metodo misto (mixed method) per poter dapprima costruire una configurazione del fenomeno oggetto d’interesse attraverso strumenti quantitativi e poi approfondirlo attraverso l’impiego di tecniche qualitative. Gli strumenti utilizzati sono stati: il questionario, l’intervista strutturata, le osservazioni, le biografie professionali, i focus-group. In sintesi, le evidenze emerse in letteratura ed empiriche mettono in luce la presenza di stereotipi di genere nelle lezioni di EF, sotto forma di pratiche inconsapevoli che gli insegnanti riproducono a seguito di un habitus socializzato in forma binaria secondo i due sessi e gerarchizzato. La dipendenza dell’EF dal mondo sportivo, dove gli stereotipi di genere sono presenti per ragioni storico-culturali e dal quale gli insegnanti attingono spesso parte del loro sapere professionale, li rende partecipi inconsapevoli del sistema di rinforzo degli stereotipi stessi, attraverso le pratiche che vanno sotto il nome di curricolo nascosto. Il termine nascosto sottolinea l’inconsapevolezza di tali pratiche, appunto nascoste alla coscienza e si deduce che la possibilità di svelarle necessita di una formazione specifica per gli insegnanti, una formazione che attinga ai processi riflessivi.