Vård i livets slut av personer med demens. Personal och anhörigas upplevelse av given vård : En metasyntes

Palliativt förhållningssätt kännetecknas av helhetssyn av människan och uppnås genom stöttning av individen att leva med värdighet och största möjliga välbefinnande till livets slut oavsett diagnos eller ålder. Demens är en sjukdom som är svårt handikappande för den som drabbas och för de anhöriga är sjukdomen förödande. Den palliativa vården av personer med demens är inte optimerad. Studier visar att det dels beror på demenssjukdomen som är svår att vårda och dels för att stöd till de personer som vårdar sina anhöriga och det sociala kommunala nätverket har brister. Syfte: Att analysera upplevelsen av given vård i livets slutskede hos personer med demensdiagnos ur personalens och anhörigas perspektiv. Metod: Metasyntes utförd med Howell Major och Savin-Badins analysmodell, Qualitative Research Synthesis. Resultat: Kunskap och personcentrering var de två begrepp som blev produkten av syntesen. Begreppen fungerar som motsatser, om det finns kunskap och personcentrering så finns en bra upplevelse av given vård hos personal och anhöriga och om det brister i kunskap och personcentrering blir upplevelsen sämre. Diskussion: Kunskap om demens bland personal har i syntesen visats vara en indikator för god vård vid livets slut. Utbildning i demenssjukdom bör ske kontinuerligt och på olika nivåer beroende på vilken personalkategori som utbildas. Konklusion: Palliativ vård och demens måste få utrymme i utbildningarna av all personal, från undersköterska till specialistläkare.

Stranger in a Strange Land: The struggle for cultural and personal identity in Haruki Murakami's Hard-Boiled Wonderland and the End of the World

In order to explicate Murakami's version of the official culture, I have analyzed the novel with the works of several different theorists. Primarily, I drew my own understanding of the official culture from Raymond Williams's examination of culture in Marxism and Literature. His terminology became helpful in writing about the operation of the System and the Town, though it did not define that operation precisely. Williams's work also introduced me to the theory behind the official culture's manipulation and exclusion of historical aspects in order to create their "official" version of history, from which the official culture draws its identity. For further analysis of the treatment of history, I turned to Friedrich Nietzsche's On the Advantage and Disadvantage of History for Life. Though it examines the official culture's manipulation of history in a much more in-depth manner, it seems to have influenced Murakami's treatment of individual memories and cultural histories. For instance, the herd ofunicoms in the End of the World resembles Nietzsche's description of the ''unhistorical herd," or has the potential to resemble it. With these theories I was able to access the mechanisms of cultural control that Murakami depicts in the form of the System and the Town, and from there I was able to develop a model for how the narrator struggles to subvert that control. Both sides of that struggle are depicted and re-imagined many times throughout Hard-Boiled Wonderland and the End of the World.

Informação, comunicação e saúde: o avanço tecnológico e uso de PDA (Personal Data Assistent) no mapeamento de situações de risco de dengue

artigo apresentado em congresso nacional de comunicação

Política de recursos humanos del personal civil de la administraçión pública directa: um estudio comparado entre Brasil y Colombia a nível federal e nacional respectivamente

El presente trabajo tiene como objetivo el conocimiento a través de un estudio comparado de la política de desarrollo y valoración de los recursos humanos que han sido definidas desde la década de los treinta ( 30), en los gobiemos de Brasil y Colombia, determinando acciones que vienen siendo adoptadas en la actualidad, en su público-alvo, los funcionarios públicos civiles a nivel federal y nacional respectivamente, en la administración directa. Las organizaciones en general, particulares y gubemamentales, tienen la responsabilidad en fomentar el desarrollo de los recursos humanos. Existirá siempre la necesidad de esfuerzos creativos para que la profesionalización en todos los niveles, alcance las metas necesarias para su sólida afirmación, contribuyendo de ésta manera a acelerar el proceso de desarrollo, fundamental en la globalización que en la actualidad enfrentan todos éstos países. Para lograr éste objetivo, hemos hecho una descripción de las experiencias de reformas que éstos dos países vienen atravezando, con el objetivo de modernizar la administración pública, utilizando como instrumento para el respectivo análisis, una metodología cualitativa de identificación y cuestionamiento de las informaciones.

Mobilidades Urbanas - The Mobilities Turn in the Social Sciences

Em uma conjuntura de expansão urbana, intensificação do consumo, mudança climática e escassez de petróleo, o tema das mobilidades assume inquestionável importância econômica, social e ambiental. O seminário internacional "Mobilidades Urbanas: Alicerces para Pesquisas Transnacionais" volta-se, por um lado, para a fomentação do debate em torno do paradigma das novas mobilidades - envolvendo mobilidade espacial e socioeconômica, entre outras - e de sua aplicabilidade no contexto brasileiro; por outro, para a capacitação de pesquisadores cujas investigações tematizam os processos de mobilidade social e espacial a partir de perspectivas comparativas e transnacionais.

Mobilidades Urbanas - Brevíssimas notas sobre o projeto 'Emerging Middle Classes and Low Carbon Mobilities: Setting long term foundations for transnational research'

Em uma conjuntura de expansão urbana, intensificação do consumo, mudança climática e escassez de petróleo, o tema das mobilidades assume inquestionável importância econômica, social e ambiental. O seminário internacional "Mobilidades Urbanas: Alicerces para Pesquisas Transnacionais" volta-se, por um lado, para a fomentação do debate em torno do paradigma das novas mobilidades - envolvendo mobilidade espacial e socioeconômica, entre outras - e de sua aplicabilidade no contexto brasileiro; por outro, para a capacitação de pesquisadores cujas investigações tematizam os processos de mobilidade social e espacial a partir de perspectivas comparativas e transnacionais.

Involving users to successfully meet the challenges of the digital library: a 30 year personal reflection

Trabalho apresentado na conferência Os Desafios das Bibliotecas Digitais realizado na Fundação Getulio Vargas em agosto 2014

Medical students' personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative study

Background: The increase in overall rates of cesarean sections (CS) in Brazil causes concern and it appears that multiple factors are involved in this fact. In 2009, undergraduate students in the first and final years of medical school at the University of Santa Catarina answered questionnaires regarding their choice of mode of delivery. The aim of the study was to evaluate whether the education process affects decision-making regarding the waay of childbirth preferred by medical students.Methods: A cross-sectional, quantitative study was conducted based on data obtained from questionnaires applied to medical students. The questions addressed four different scenarios in childbirth, as follows: under an uneventful pregnancy; the mode of delivery for a pregnant woman under their care; the best choice as a healthcare manager and lastly, choosing the birth of their own child. For each circumstance, there was an open question to explain their choice.Results: A total of 189 students answered the questionnaires. For any uneventful pregnancy and for a pregnant woman under their care, 8.46% of the students would opt for CS. As a healthcare manager, only 2.64% of the students would recommend CS. For these three scenarios, the answers of the students in the first year did not differ from those given by students in the sixth year. In the case of the student's own or a partner's pregnancy, 41.4% of those in the sixth year and 16.8% of those in the first year would choose a CS. A positive association was found between being a sixth year student and a personal preference for CS according to logistic regression (OR = 2.91; 95%CI: 1.03-8.30). Pain associated with vaginal delivery was usually the reason for choosing a CS.Conclusions: A higher number of sixth year students preferred a CS for their own pregnancy (or their partner's) compared to first year students. Pain associated with vaginal delivery was the most common reason given for haven chosen a CS. The students' preference for childbirth changed over time during their graduation in favor of cesarean sections. This finding deserves considerable attention when structuring medical education in Obstetrics.

Walking for leisure among adults from three Brazilian cities and its association with perceived environment attributes and personal factors

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

REFEREE PERSONAL MEANING: PERCEPTION of FOOTBALL OFFICIALS

The aim of this study was to evaluate the personal meaning of refereeing for Portuguese football referees. Participants were 47 football referees from the 1st Portuguese Professional Football League evaluated through an open question: "Write down what refereeing means to you". The analysis was made according to Miles & Huberman (1994) procedures. The 5 categories are: relation with the football; costs of the practice; emotion for the arbitration; social interaction and way of life. The results show that be connected to the world of the football, passion and the relationship with other referees are important motivational factors, with that the referees have a high grade of excitement and pleasure in his labor activity. on the other hand the task of refereeing is generating of stress and burnout.