Stress e Emergência Médica: níveis e factores de stress em profissionais de emergência pré–hospitalar

O stress é a doença da actualidade, devido à exigência e à pressão emocional que o meio pode exercer sobre todas as pessoas, quer no seu ambiente pessoal quer no ambiente profissional. O termo stress serve cada vez mais como justificação ou forma de expressão de irritações, mal-estar físico e mental, cansaço, ansiedade e depressões. Todavia torna-se pertinente percebermos a evolução do stress enquanto conceito e enquanto doença. Neste trabalho contextualizamos o stress no âmbito da Emergência Pré – Hospitalar, explorando-o, avaliando-o e analisando-o, de modo a podermos perceber os níveis de stress e de que forma os Profissionais de Emergência a ele estão sujeitos. Considerando a base teórica deste estudo definimos, como objectivo geral do trabalho, a avaliação de níveis e factores de stress percepcionados pelos profissionais de emergência médica e como objectivos específicos do estudo a descrever e caracterizar, a nível da região centro, os indivíduos que desempenham funções na emergência préhospitalar, verificar a percepção dos mesmos no que respeita ao stress na sua vida profissional, conhecer como percepcionam os níveis de stress em situações profissionais de emergência e identificar a sua percepção no que concerne aos níveis de stress diário no seu quotidiano. Com estes objectivos, utilizamos uma amostra de 184 profissionais de Emergência Médica divididos por quatro profissões [Médicos, Enfermeiros, Técnicos de Ambulância de Emergência (TAE) e Operadores de Central de Emergência Médica(OPCEM)], com idades compreendidas entre os 20 e os 56 anos. Realizámos ainda um estudo descritivo explorando os questionários de stress no INEM (Instituto Nacional de Emergência Médica) e o Questionário de Vulnerabilidade do Stress com variáveis do estudo demográfico. Podemos concluir que o stress está presente nas actividades de emergência. A sua presença relaciona-se, por um lado, com uma maior ou menor discriminação dos factores stressantes e, por outro, numa maior ou menor centração no sujeito, nomeadamente, um maior perfeccionismo e intolerância à frustração que se apresentam como distressantes para a actividade profissional de emergência. Os aspectos estudados permitem-nos clarificar o sentido e a utilidade do conceito, a sua operacionalidade e a sua importância nos profissionais de emergência. / Stress is the disease of our time, due to the requirement and emotional pressure that the media can have on all people, both in their personal environment and in the professional environment. The word stress increasingly serves as a justification or form of expression of irritation, physical discomfort and mental fatigue, anxiety and depression. However it is pertinent to realize the evolution of stress as a concept and as a disease. In this work, we contextualize under the stress of the Pre - Hospital Emergency, exploring it, assessing it and analyzing it, so you can see the stress levels and how the Emergency Professionals are subject to it. Whereas the theoretical basis of this study as a strategic objective of the work, the assessment of levels and stress factors perceived by medical emergency professionals and specific objectives of the study description and characterization, the level of the center, individuals who perform functions in pre-hospital emergency, check their perception with regard to the stress in your life, know how they experience the stress levels of professionals in emergency situations and identify the perceptions of individuals regarding the levels of daily stress in their daily lives. For this we used a sample of 184 professionals of Medical Emergency divided by four professions [(Doctors, Nurses, Technicians Ambulance Emergency (TAE), Operators of Emergency Medical Center (OPCEM)], aged 20 to 56 years. We conducted a descriptive study also exploring the questionnaires of stress in INEM(National Institute of Medical Emergency) and Vulnerability Questionnaire Stress with variables of the study population. We can conclude that stress is present in emergency activities. Its presence is related to, first, with more or less stressful factors of discrimination and, secondly, a greater or lesser concentration on the subject, in particular, greater perfectionism and intolerance to frustration that stand as unstressed for the activity of emergency professionals. The areas studied will clarify the meaning and usefulness of the concept, its operation and its importance in day-to-day occupation of emergency.

Livsfrågor och religionskunskap : En belysning av ett centralt begrepp i svensk religionsdidaktik

This thesis focuses on “livsfrågor” (questions of life) a typical Swedish concept introduced in the RE syllabus in the curriculum for compulsory schools in 1969. The study poses three questions: what can qualify as a “livsfråga”, why are they regarded important, and how do they fit into teaching? The main purpose is to study differences of the concept in two materials. Primarily interviews with Teacher educators all over Sweden and, secondly in the R.E. syllabus for compulsory and secondary schools from 1962 until today. Finally, the two materials used, will be brought together, and foci are recognized with the help of a tool for thought.  The study is using the concept dialogicity from Bachtin. Syllabus are viewed as compromises in accordance with a German tradition. In the syllabus, “livsfrågor” is one within many different words used with none what so ever stringency. It is not necessarily the most important term, as “livsåskådningsfrågor” (questions within philosophies of life)  is often dominating in objectivities. Also “existential questions” etc is used. The relation between the words are never made clear.  The syllabus are in one sense monologial as different meanings of the word are not made explicit, and other utterances are not invoked. In the interviews the dialogicity is more obvious. Philosophy is mentioned, eg.. Martin Buber, Viktor Frankl, theology (Paul Thillich), but also literature (Lars Gyllensten) and existentialism in a general sence. Other words are not as frequent – but “livsåskådningsfrågor” are of course mentioned, eg. Faith vs. knowledge. In the last chapter “livsfrågor” is problematized with the help of Andrew Wright and his three metanarrativies within the modern R.E. And the assumption, especially in the syllabus, of “livsfrågor”, as common between cultures and over time is problematized with the help of . feministic theory of knowledge.

Atração e retenção de talentos em empresas de engenharia consultiva no setor de petróleo e gás natural da cidade de Natal

This study addresses the question of attraction and retention of talent in companies that produce engineering projects in the area of oil and natural gas in the city of Natal. The objectives were to identify the mechanisms that these companies use to attract and retain talented professionals and what the relationship between these practices and performance of these organizations in the market. This is a case study of a qualitative nature which were included in the fullness of companies that work in that class in the capital Potiguar. Have been applied to the managers of these companies structured questionnaires with eleven issues orientativas based on theoretical reference adopted. The research finds that managers understand the word "talent", recognize the importance of the appreciation of its employees and the development of their innate abilities to better organizational performance, much due to the fact they are acting in a market of fierce competition. His companies - though not submit the formal procedures related to the subject in question - have mechanisms that can be characterized as the attraction and retention of talent. The relationships identified in this study are consistent with the results found in other studies and put the information here can serve as the basis for that other managers, including other areas, to reach excellence in their respective industries

Exact Probability Distribution versus Entropy

The problem addressed concerns the determination of the average numberof successive attempts of guessing a word of a certain length consisting of letters withgiven probabilities of occurrence. Both first- and second-order approximations to a naturallanguage are considered. The guessing strategy used is guessing words in decreasing orderof probability. When word and alphabet sizes are large, approximations are necessary inorder to estimate the number of guesses. Several kinds of approximations are discusseddemonstrating moderate requirements regarding both memory and central processing unit(CPU) time. When considering realistic sizes of alphabets and words (100), the numberof guesses can be estimated within minutes with reasonable accuracy (a few percent) andmay therefore constitute an alternative to, e.g., various entropy expressions. For manyprobability distributions, the density of the logarithm of probability products is close to anormal distribution. For those cases, it is possible to derive an analytical expression for theaverage number of guesses. The proportion of guesses needed on average compared to thetotal number decreases almost exponentially with the word length. The leading term in anasymptotic expansion can be used to estimate the number of guesses for large word lengths.Comparisons with analytical lower bounds and entropy expressions are also provided.

Condições de trabalho e saúde na perspectiva de bem-estar : um estudo realizado com os profissionais de saúde da Policlínica Zona Oeste de Natal/RN

This study had like general objective analyzed the relation observed between working conditions and healthy, in the welfare perspective, by the Policilínica Zona Oeste´s healthy professionals. Were used like theoretical bases the categories of working conditions of Borges et al. (2013): working conditions and contractual legal; physical working conditions and materials; working conditions and characteristics of the work processes and working conditions and social management. For the analise of personal wellness in the job, were used the categories of Dessen and Paz (2010): friendship relations, relationship with the organization, growth opportunity, relations with customers , valuation and realization. For this, this research use the descriptive statistic and Bardin (1977) ´s content analysis besides the help of Manyeyes software, using the word clouds and trees words. Was possible identify that the working conditions have strong relations with the health of the health professionals of Policlínica, mainly about the physical and materials conditions that are precarious and influences the other dimensions of working conditions and conditions health. The welfare professionals is spoiled in the dimensions of realization and growth opportunity and influences the professional´s health

Do modelo geométrico ao modelo físico: o tridimensional na educação do arquiteto e urbanista

In the teaching practice of architecture and urbanism in Brazil, educational legislation views modeling laboratories and workshops as an indispensable component of the infrastructure required for the good functioning of any architectural course of study. Although the development of information technology at the international level has created new possibilities for digital production of architectural models, research in this field being underway since the early 1990s, it is only from 2007 onwards that such technologies started to be incorporated into the teaching activity of architecture and urbanism in Brazil, through the pioneering experience at LAPAC/FEC/UNICAMP. It is therefore a recent experiment whose challenges can be highlighted through the following examples: (i) The implementation of digital prototyping laboratories in undergraduate courses of architecture and urbanism is still rare in Brazil; (ii) As a new developing field with few references and application to undergraduate programs, it is hard to define methodological procedures suitable for the pedagogical curricula already implemented or which have already been consolidated over the years; (iii) The new digital ways for producing tridimensional models are marked with specificities which make it difficult to fit them within the existing structures of model laboratories and workshops. Considering the above, the present thesis discusses the tridimensional model as a tool which may contribute to the development of students skills in perceiving, understanding and representing tridimensional space. Analysis is made of the relation between different forms of models and the teaching of architectural project, with emphasis on the design process. Starting from the conceptualization of the word model as it is used in architecture and urbanism, an attempt is made to identify types of tridimensional models used in the process of project conception, both through the traditional, manual way of model construction as well as through the digital ones. There is also an explanation on how new technologies for digital production of models through prototyping are being introduced in undergraduate academic programs of architecture and urbanism in Brazil, as well as a review of recent academic publications in this area. Based on the paradigm of reflective practice in teaching as designed by Schön (2000), the experiment applied in the research was undertaken in the integrated workshop courses of architectural project in the undergraduate program of architecture and urbanism at Universidade Federal do Rio Grande do Norte. Along the experiment, physical modeling, geometric modeling and digital prototyping are used in distinct moments of the design process with the purpose of observing the suitability of each model to the project s phases. The procedures used in the experiments are very close to the Action Research methodology in which the main purpose is the production of theoretical knowledge by improving the practice. The process was repeated during three consecutive semesters and reflection on the results which were achieved in each cycle helped enhancing the next one. As a result, a methodological procedure is proposed which consists of the definition of the Tridimensional Model as the integrating element for the contents studied in a specific academic period or semester. The teaching of Architectural Project as it is developed along the fifth academic period of the Architecture and Urbanism undergraduate program of UFRN is taken as a reference

Radiação-x no diagnóstico em Medicina Dentária

A radiação-x foi descoberta há mais de uma centena de anos e com o avanço tecnológico diversas formas de aplicação têm vindo a ser descobertas. A utilização constante, devido à ajuda preciosa que estes dispositivos fornecem aos clínicos de Medicina Dentária, faz com que o paciente venha, de forma crescente, a ser exposto a este tipo de radiação. Este trabalho de revisão descritiva tem como principal propósito analisar os riscos, as formas de avaliação e de proteção da radiação-x, no âmbito do seu uso em Medicina Dentária. Para o efeito, realizou-se uma revisão da literatura, tendo-se recorrido ao motor de busca EBSCO host©, utilizando as frases boleanas: (X-ray risk OR Radiography risk OR Dental x-ray risk) AND (Dental Medicine OR Oral), foi substituída a palavra risk por “evaluation” e por “protection”. Desta pesquisa resultaram 82 documentos como referências bibliográficas. Esta revisão de literatura permitiu compreender a diferença entre radiação ionizante e não ionizante, quais os dispositivos utlizados na Medicina Dentária e o seu funcionamento geral, quais as unidades de medida da radiação, quais os riscos iminentes à exposição cumulativa e quais as suas consequências biológicas, perceber de que forma a legislação Portuguesa tem evoluído em matéria de radiação ionizante, quais as diversas formas de redução da dose absorvida pelo paciente e quais as medidas de proteção para os profissionais de saúde expostos à radiação ionizante.

La tortura in Italia. Il reato che non c’è

Presentata una definizione del termine e un excursus storico delle condotte di attuazione della tortura, citando noti eventi individuali (rapimento Dozier) o di massa (G8 di Genova), il presente lavoro discuterà della carenza normativa di tale reato nel nostro Paese, per concludere con alcuni elementi ravvisabili nel profiling criminologico del torturatore. After having introduced a definition of the word “torture” and briefly analysed from a historic point of view, this behaviour thanks to well-known events (Dozier kidnapping and G8 summit in Genoa), in this article the author will first discuss the lack of an appropriate legislation on this topic in Italy. Then, she will analyse some aspects of the criminological profile of a torturer.

Dramaturgia do aqui e agora: presença, recepção e sentido no corpo do ator

The actor is an actor during all the phases of creation and development of his character. (S) He goes beyond the moment of interpreting. In this sense, in her (his) daily life, the actor may use her (his) potential to extract from reality the necessary elements for the work of creation. This is a theoretical research which focus on the concept of presence in the actor s work, stretching the concept beyond the scene, encompassing different components such as the body, the word, the silence, the technique and the acting as the actor s stance in regards to his own reality. The objective of such stance is to integrate him (her) self in the environment, balancing his (hers) inner life with the outside life flow. To reach this objective, the research drew theoretical resources from the concept of presence in the actor s work according to BROOK, BARBA, GROTOWSKI and MNOUCHKINE and the studies on reception theory in ISER, 1996; GUMBRECHT, 2010. Thus, the dialogue between reader and actor high lights both as receivers in this work. A practical description of a street theater Kamchàtka show, featured by the Kamchàtka Company is used as an example of the research on the presence. The elements localized in this show are: play, listening, word, silence, meaning, relationship with here and now and the effects of the said presence

Which way is up? Grounded mental representations of space

Processing language is postulated to involve a mental simulation, or re-enactment of perceptual, motor, and introspective states that were acquired experientially (Barsalou, 1999, 2008). One such aspect that is mentally simulated during processing of certain concepts is spatial location. For example, upon processing the word “moon” the prominent spatial location of the concept (e.g. ‘upward’) is mentally simulated. In six eye-tracking experiments, we investigate how mental simulations of spatial location affect processing. We first address a conflict in previous literature whereby processing is shown to be impacted in both a facilitatory and inhibitory way. Two of our experiments showed that mental simulations of spatial association facilitate saccades launched toward compatible locations; however, a third experiment showed an inhibitory effect on saccades launched towards incompatible locations. We investigated these differences with further experiments, which led us to conclude that the nature of the effect (facilitatory or inhibitory) is dependent on the demands of the task and, in fitting with the theory of Grounded Cognition (Barsalou, 2008), that mental simulations impact processing in a dynamic way. Three further experiments explored the nature of verticality – specifically, whether ‘up’ is perceived as away from gravity, or above our head. Using similar eye-tracking methods, and by manipulating the position of participants, we were able to dissociate these two possible standpoints. The results showed that mental simulations of spatial location facilitated saccades to compatible locations, but only when verticality was dissociated from gravity (i.e. ‘up’ was above the participant’s head). We conclude that this is not due to an ‘embodied’ mental simulation, but rather a result of heavily ingrained visuo-motor association between vertical space and eye movements.

As habilidades sociais em dependentes de álcool: Um estudo exploratório

A vida social de um indivíduo dependente do álcool é na maioria das vezes um factor de risco para continuar ou aumentar o consumo excessivo de bebidas alcoólicas. Um dos grandes fracassos do alcoólico é não cumprir adequadamente um papel social desejado, o que resulta em prejuízos para si mesmo e para os outros. O indivíduo que abusa no consumo, depressa perde a sua reputação junto de colegas, amigos e familiares, o que o deixa mais intolerante à frustração e aumenta o consumo. A mentira toma-se então sua aliada, pois através dela ele vai reduzindo a ansiedade causada pelo fracasso na vida social e que os outros teimam em deixar bem nítido. Identificar os problemas sociais dos quais o indivíduo padece, é fundamental para planear melhor uma estratégia de intervenção, quer seja ela de prevenção, de psicoterapia ou de reabilitação. Os programas de tratamento habitualmente propostos para a abordagem dos problemas derivados do consumo de álcool centram a sua atenção, quase exclusivamente, no comportamento aditivo como guia orientador da intervenção e como indicador objectivo do êxito do próprio programa Mas na maioria dos casos o comportamento aditivo é sim a manifestação mais objectiva de um profundo desajuste entre o sujeito consigo mesmo e com o seu meio ambiente. É por isso, objectivo dos processos de recuperação oferecer-lhe a possibilidade de recuperar a crença na palavra ou aprender o seu valor como meio de comunicação fundamental entre os homens. Para além de possibilitar aos sujeitos dependentes de álcool este valor, importa também incutir nos sujeitos o valor positivo de viver com limites; pois são especialistas em tentar sabotar a acção dos técnicos e em descobrir as suas debilidades para as utilizarem em seu interesse. Importa por isso, que aprendam o valor das leis e a utilidade, para todos, de cumpri-las (Kalina, 2001). Assim, o treino de habilidades sociais constitui uma parte importante dos tratamentos para os sujeitos com problemas de abuso de álcool e drogas. Foi nesse sentido que nos propusemos a identificar o nível de habilidades sociais em pessoas dependentes de álcool. O estudo que desenvolvemos é de carácter exploratório/descritivo, para o qual optámos por utilizar uma metodologia quantitativa. A amostra foi constituída por 229 indivíduos, do sexo masculino, dependentes de álcool, em instituições nacionais de referência na área da alcoologia O instrumento de recolha de dados é constituído por um Questionário de dados sócio demográficos, uma Escala de Habilidades Sociais e uma Escala de Auto-apreciação Pessoal. Constatamos que a amostra constituída por indivíduos dependentes de álcool apresenta uma pontuação média na Escala de Habilidades Sociais de 89.96, equivalente ao percentil 55 na tabela de parametrização de Gismero (2002). Este valor é claramente inferior ao conseguido por qualquer uma das outras amostras analisadas, seja a do estudo preliminar, seja a do estudo comparativo, constituída por indivíduos da população em geral e que conseguiram um percentil 70. ABSTRACT; The social life of a person dependent on alcohol is, most of the time, a risk factor to continue or increase the alcohol excessive consumption. One of the alcoholic failures is the fact that he is unable to perform an adequate social role, to the detriment of himself and others. A person, who abuses alcohol consumption, soon loses his reputation next to his colleagues, friends and relatives, which makes him intolerant of frustration and increases the alcohol consumption. To lie becomes his best ally, because it helps him to reduce the anxiety caused by the failure of his social life, what is promptly pointed out by others. To identify the individual social problems is essential to plan the best intervention strategy. This can be of prevention, psychotherapy or rehabilitation. The treatment programmers, usually proposed to deal with the problems caused by alcohol consumption, focus almost exclusively on the addictive behaviour, as a guide line for the intervention and as an objective indicator of the success of the programme itself. But, in most cases, the addictive behaviour is an objective manifestation of a deep break off of the individual with himself and with his environment. That is why the aim of the recuperation process is to offer the individual the possibility to recover their belief on the word or to learn its value as an essential means of communication for men. Besides getting the message trough, it is also important to make the individuals aware of the positive value of living within limits. These individuals are specialists on trying to sabotage the technicians’ actions, discovering their weaknesses so they can use them on their own behalf. That is why it is so important that they learn the value of rules and the importance of accomplishing them (Kalina, 2001). Therefore, the training of the social skills is an important part of the treatment of individuals with problems of alcohol or dugs addiction. So, we committed ourselves to identifying the level of social skills on people who have an alcohol addiction. The study we developed is exploratory/ descriptive and we chose to use a quantitative methodology. The sample was of 229 male alcohol dependent individuals, staying in national institutes of reference in the area of alcohol abuse and alcoholism. The means to collect data were a social demographic data questionnaire, a scale of social skills and a scale of personal self- assessment. We realized that the sample of alcohol dependent individuals presents an average score in social skills of 89.96, equivalent to a percentile of 55 in the parameterization of Gismero (2002). This is clearly a lower value than the one obtained by any other sample we analyzed, whether in the preliminary study or in the comparative study, constituted by individuals of the common population that achieved a percentile of 70.

Marketing do produto turístico "Mergulho" nos Açores

Dissertação de Mestrado, Gestão do Turismo Internacional, 6 de Julho de 2016, Universidade dos Açores.

O desenvolvimento lexical como potenciador do processo de aquisição da leitura em contexto do 1º. Ciclo do Ensino Básico

Trabalho de Projeto apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Ciências da Educação: área de especialização em Animação da Leitura.

Meios de divulgação promocionais de cinema : estudo sobre o impacto nos consumidores

O cinema, desde o seu início, teve uma constante necessidade de se promover. Os filmes, para além de serem um produto cultural, são também um produto que necessita de rentabilidade, tornando fulcral uma receita adequada de bilhetes vendidos para garantir retorno no dinheiro gasto à produção dos mesmos. Sendo assim, os filmes exibidos em salas de cinema são anunciados semanas ou até meses antes da sua estreia, criando, desta forma, complexas campanhas de marketing e publicidade de forma a garantir que o maior número de pessoas tome conhecimento da sua existência. No presente projeto procura-se conhecer e compreender os fatores determinantes na frequência de ida às salas de cinema, tendo como objetivo principal analisar a promoção de cinema, cada um dos meios de divulgação cinematográficos e o seu respetivo papel comunicativo, na tentativa de se perceber de que forma estes se destacam em modos promocionais, incentivando o consumidor a visionar um filme numa sala de cinema. O estudo desenvolveu-se através de uma análise conceptual teórica da promoção e consumo de cinema, dos seus respetivos meios de divulgação, e da utilização de uma abordagem quantitativa que consistiu na análise e interpretação dos resultados de um questionário que contou com a participação de 380 sujeitos. O questionário procurou compreender os hábitos de obtenção de informação cinematográfica dos inquiridos, bem como os fatores que os influenciam a ver filmes nas salas de cinema e os meios de divulgação que mais impacto causam nas suas preferências. A análise dos dados recolhidos revela que existe uma ligação entre a ida às salas de cinema e a ideia da crescente falta de tempo das pessoas, associada ao reduzido poder de compra. Já no que se refere aos fatores e meios de divulgação determinantes na escolha de filmes, os participantes destacaram a Internet e o “bocaa- boca” como principais influenciadores. Os resultados alcançados sugerem assim tendências que devem ser consideradas na implementação de uma estratégia cuja intenção seja a do aumento da frequência da ida às salas de cinema.