Assessing the physical environment of older people’s residential care facilities: development of the Swedish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM)

Background There is emerging evidence that the physical environment is important for health, quality of life and care, but there is a lack of valid instruments to assess health care environments. The Sheffield Care Environment Assessment Matrix (SCEAM), developed in the United Kingdom, provides a comprehensive assessment of the physical environment of residential care facilities for older people. This paper reports on the translation and adaptation of SCEAM for use in Swedish residential care facilities for older people, including information on its validity and reliability. Methods SCEAM was translated into Swedish and back-translated into English, and assessed for its relevance by experts using content validity index (CVI) together with qualitative data. After modification, the validity assessments were repeated and followed by test-retest and inter-rater reliability tests in six units within a Swedish residential care facility that varied in terms of their environmental characteristics. Results Translation and back translation identified linguistic and semantic related issues. The results of the first content validity analysis showed that more than one third of the items had item-CVI (I-CVI) values less than the critical value of 0.78.  After modifying the instrument, the second content validation analysis resulted in I-CVI scores above 0.78, the suggested criteria for excellent content validity. Test-retest reliability showed high stability (96% and 95% for two independent raters respectively), and inter-rater reliability demonstrated high levels of agreement (95% and 94% on two separate rating occasions). Kappa values were very good for test-retest (κ= 0.903 and 0.869) and inter-rater reliability (κ= 0.851 and 0.832). Conclusions Adapting an instrument to a domestic context is a complex and time-consuming process, requiring an understanding of the culture where the instrument was developed and where it is to be used. A team, including the instrument’s developers, translators, and researchers is necessary to ensure a valid translation and adaption. This study showed preliminary validity and reliability evidence for the Swedish version (S-SCEAM) when used in a Swedish context. Further, we believe that the S-SCEAM has improved compared to the original instrument and suggest that it can be used as a foundation for future developments of the SCEAM model.

Faktorer som påverkar patienters upplevelse av omvårdnad under sin vistelse på akutmottagning. : - En litteraturstudie

Bakgrund: På en akutmottagning kommer patienter i olika tillstånd och behov. Det är sjuksköterskan som ofta gör de första bedömningarna och därför är det av stor vikt att bemötandet från sjuksköterskan är positivt för att skapa trygghet. Ökat patientflöde och långa väntetider är några faktorer som är påvisade att kunna påverka upplevelsen för patienterna av sin vistelse på akutmottagningen. Syfte: Syftet med litteraturöversikten var att beskriva faktorer som påverkar patienters upplevelse av omvårdnad under sin vistelse på akutmottagning. Metod: Studien genomfördes som en litteraturöversikt. Databaserna CINAHL och PubMed användes för att söka efter artiklar. Resultat: Sex underkategorier valdes ut: bemötande, delaktighet, information, väntetid, kommunikation och kontinuitet, sjuksköterskans kunskap och kompetens. Resultatet visade att många patienter ansåg att sjuksköterskan var skicklig i sina arbetsuppgifter och var nöjda med bemötandet från sjuksköterskan, men att långa väntetider och bristande information påverkade upplevelsen av omvårdnad. Det fanns en tydlig önskan över att få mer information om sin väntetid, behandling och undersökningar. Brister i detta, skapade en otrygghet och en känsla av vara bortglömd hos patienterna. Slutsats: Sjuksköterskor på en akutmottagning behöver besitta en stor kommunikationsförmåga. Detta för att kunna ge patienterna en så bra upplevelse som möjligt. Slutsatser av resultatet har påvisat att det krävs förbättring inom flera områden för att ge patienter en bättre upplevelse av omvårdnaden under sin vistelse på akutmottagningen.

Fachada flexível para casa padronizada em condomínios

The employment of flexibility in the design of façades makes them adaptable to adverse weather conditions, resulting in both minimization of environmental discomfort and improvement of energy efficiency. The present study highlights the potential of flexible façades as a resource to reduce rigidity and form repetition, which are usually employed in condominiums of standardized houses; as such, the work presented herein contributes to field of study of architectural projects strategies for adapting and integrating buildings within the local climate context. Two façade options were designed using as reference the bionics and the kinetics, as well as their applications to architectural constructions. This resulted in two lightweight and dynamic structures, which cater to constraints of comfort through combinations of movements, which control the impact of solar radiation and of cooling in the environment. The efficacy and technical functionality of the façades were tested with comfort analysis and graphic computation software, as well as with physical models. Thus, the current research contributes to the improvement of architectural solutions aimed at using passive energy strategies in order to offer both better quality for the users and for the sustainability of the planet

Site-specific concentrations of carotenoids in adipose tissue: relations with dietary and serum carotenoid concentrations in healthy adults

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Deforestation in the Amazon Basin: magnitude, dynamics and soil resource effects

Includes bibliography

Agroforestry in the Amazon Basin: practice, theory and limits of a promising land use

Includes bibliography

Fragmentos do contemporâneo: leituras

Pós-graduação em Letras - IBILCE

Figurações contemporâneas do espaço na literatura

Neste livro abre-se a uma diversidade de acepções que o conceito de espaço abriga nos objetos e cenários literários contemporâneos. O próprio texto como um espaço espacializante, na sua textualidade como corpo ou na visualidade da escrita, configura um espaço de linguagem. O contexto cultural e histórico envolve referências e dados situados em determinados momentos que articulam um espaço de relações com o texto literário. O espaço da institucionalização, com as representações de poder, o espaço social, o espaço como paisagem, nas configurações natural, regional, física e psicológica, e o espaço do mito com suas imagens e sentidos simbólicos, são outras formas de mobilização do conceito. O espaço pictórico, quer como elemento componente da pintura ou como a própria linguagem na composição da escritura, que se vale de técnicas plásticas, também é contemplado, assim como esse tipo de diálogo abriga outros meios e linguagens, como o cinema, a propaganda, a fotografia, nas relações entre as artes. Há também a possibilidade de se rever o objeto literário, em termos de espacialidade, sob essa perspectiva múltipla do olhar contemporâneo. Ou seja, no lugar daquele sentido restrito de categoria estrutural, o conceito incorpora uma visão ampla e metafórica, dentro da qual o próprio texto faz emergir uma concepção e função da espacialidade por meio de suas estratégias de construção. Diante de tantas possibilidades de leitura do conceito, o presente livro reúne textos que abordam aspectos da simbolização espacial em obras literárias que implicam um olhar contemporâneo para essas figurações.

O labirinto dificultoso da poesia de Frederico Barbosa

Frederico Barbosa’s poetry builds an intricate and amazing maze of words and meanings in which negativity and emptiness concepts emerge to be the expressing voice of the lyric subject. This article aims to follow the routes of this poetry in terms of its poetic and linguistic procedures, of giving shape to its critical point of view on poetry itself and on the fears and edges of humanity.

A recusa do fácil como experiência estética na poesia de Frederico Barbosa

This essay aims to drive the paths of Frederico Barbosa’s poetry to experience the refusal of the effortless. The dimensions of the emptiness, of the about and the nothing, are here under investigation as a style of expression that builds the structure of the poem. The utopian response to these themes could be in the deviation of the effortless by a refusal gesture of the language that mimetically works the paths of a style that refuses the easy way of making poetry itself.

A Recusa do Fácil na como experiência estética na poesia de Frederico Barbosa

This essay aims to drive the paths of Frederico Barbosa’s poetry to experience the refusal of the effortless. The dimensions of the emptiness, of the about and the nothing, are here under investigation as a style of expression that builds the structure of the poem. The utopian response to these themes could be in the deviation of the effortless by a refusal gesture of the language that mimetically works the paths of a style that refuses the easy way of making poetry itself.

João Miramar e as dobras do texto

This study about Memórias Sentimentais de João Miramar, by Oswald de Andrade, aims to explore the voices that organize the space of language in the narrative. Such space has an operative vision called polyphony, by which the signs organize themselves out of a hierarchical scale, although the chronological axis of the life of João Miramar is the guiding principle of the episodes.

Entre o cinema e a poesia, a memória e a imagem

The aim of this essay is to analyze common aspects between cinema and poetry such as image and memory. Images represent the subject’s perception, whose memory of things and feelings are built artistically (fragmentary sequences, a new idea of time and space, no-narrative style) into the language of cinema and poetry. Homological relations between both languages are put in evidence in this essay in order to bring to discussion those aspects that show the tinny frontiers that separate artistic systems.