Promoção, comunicação e educação em saúde: a prática da acupuntura e da fitoterapia

Esta pesquisa discute a Comunicação em Saúde no contexto das Práticas Integrativas e Complementares (PIC) no Sistema Único de Saúde (SUS), no que concerne ao tratamento do câncer realizado num hospital público de Campinas. O arcabouço teórico se debruça sobre as diretrizes do ideário da Promoção da Saúde e sobre as discussões da Educação em Saúde, por serem premissas fundamentais para que a Comunicação em Saúde seja participativa e democrática, e que a Comunicação das PIC conquiste maior espaço na Saúde Pública. O objetivo geral foi investigar o processo de comunicação entre profissionais de saúde e usuários do SUS participantes do Projeto de Construção do Cuidado Integrativo (PCCI). A metodologia utilizada foi a qualitativa tendo como instrumentos pesquisa documental e entrevistas semi-estruturadas para a coleta dos dados. Os participantes do estudo foram usuários que fizeram parte do grupo de Acupuntura e de Fitoterapia e usaram práticas complementares ao tratamento convencional do câncer, e também os profissionais de saúde envolvidos no PCCI realizado no Hospital de Clínicas da Universidade Estadual de Campinas (UNICAMP)/SP. Os dados foram analisados por meio da análise temática de conteúdo de Bardin, que permitiu identificar as seguintes categorias: Medo da intervenção, Analgesia como resultado, Continuidade do tratamento, Falta de informação e Divulgação das práticas. Os resultados mostraram que houve dificuldades de comunicação, indicando lacunas importantes em relação à infraestrutura, à falta de divulgação e continuidade do tratamento complementar com as PIC, a falta de valorização da participação popular e estímulo à autonomia como preconiza o ideário da Promoção da Saúde. Concluiu-se que o modelo de saúde vigente, de base biomédica, não tem permitido a participação dos usuários, e, mais ainda, tem dificultado o desenvolvimento da comunicação democrática, humanizada e solidária. O Projeto (PCCI) foi importante em sua execução, uma vez que trouxe resultados positivos com o uso das PIC por melhorar as condições da qualidade de vida dos usuários e ter promovido analgesia, conferido maior disposição e recuperação dos movimentos. Entretanto, o Projeto (PCCI) não teve potencial o suficiente para provocar uma mudança na lógica do tratamento convencional que está hegemonicamente imerso no modelo biomédico, com isso limitando a inserção e a comunicação das PIC na Saúde Pública e dificultando a abertura para o diálogo entre os diferentes saberes. Entende-se que este é um dos principais desafios da Medicina Tradicional e Complementar (MTC).

Assessment of University External Internships. Towards a Mixed Model for Measuring the Acquisition of Skills and the Satisfaction of Parties Involved

The continuous improvement of management and assessment processes for curricular external internships has led a group of university teachers specialised in this area to develop a mixed model of measurement that combines the verification of skill acquisition by those students choosing external internships with the satisfaction of the parties involved in that process. They included academics, educational tutors of companies and organisations and administration and services personnel in the latter category. The experience, developed within University of Alicante, has been carried out in the degrees of Business Administration and Management, Business Studies, Economics, Advertising and Public Relations, Sociology and Social Work, all part of the Faculty of Economics and Business. By designing and managing closed standardised interviews and other research tools, validated outside the centre, a system of continuous improvement and quality assurance has been created, clearly contributing to the gradual increase in the number of students with internships in this Faculty, as well as to the improvement in satisfaction, efficiency and efficacy indicators at a global level. As this experience of educational innovation has shown, the acquisition of curricular knowledge, skills, abilities and competences by the students is directly correlated with the satisfaction of those parties involved in a process that takes the student beyond the physical borders of a university campus. Ensuring the latter is a task made easier by the implementation of a mixed assessment method, combining continuous and final assessment, and characterised by its rigorousness and simple management. This report presents that model, subject in turn to a persistent and continuous control, a model all parties involved in the external internships are taking part of. Its short-term results imply an increase, estimated at 15% for the last course, in the number of students choosing curricular internships and, for the medium and long-term, a major interweaving between the academic world and its social and productive environment, both in the business and institutional areas. The potentiality of this assessment model does not lie only in the quality of its measurement tools, but also in the effects from its use in the various groups and in the actions that are carried out as a result of its implementation and which, without any doubt and as it is shown below, are the real guarantee of a continuous improvement.

TIC em hospitais privados: estudo do uso, do custo e da integração

A tese estuda e analisa as Tecnologias da Informação e Comunicação (TIC) disponíveis em hospitais no Brasil, associados à ANAHP – Associação Nacional de Hospitais Privados que patrocinou a coleta de dados e apoiou a pesquisa com dois temas centrais: uso e custo; integração e interoperabilidade das TIC. A Organização para a Cooperação e Desenvolvimento Econômico (OECD), em estudo sobre TIC em saúde, afirmou que, se implantadas de maneira eficiente, as TIC podem resultar em melhoria da qualidade na prestação de serviços de saúde, aumento da segurança no atendimento ao paciente e custos menores. Para permitir a comparação de resultados e o uso de modelos de pesquisa confiáveis, este estudo adaptou o Modelo de Pesquisa de Uso de TI utilizado pelo GVcia - Centro de Tecnologia da Informação Aplicada da FGV – EAESP e realizou uma complementação dos instrumentos de pesquisa para levantar dados específicos da integração das TIC em hospitais utilizando com referência uma pesquisa aplicada a hospitais norte-americanos. A coleta de dados foi realizada para o período 2009 a 2015 em duas etapas. Na primeira, foi enviado o questionário eletrônico, validado por executivos de hospitais e apresentado no apêndice A. Na segunda etapa, os dados enviados foram validados e aspectos da integração foram esclarecidos por meio de entrevistas. O estudo de custo e uso das TIC resultou no cálculo de diversos indicadores. Gastos e investimentos com TIC em hospitais privados atingiu a 3,5% do faturamento anual dos hospitais da amostra enquanto que o setor da saúde, por sua vez, gastou e investiu 6,4% do faturamento anual com as TIC que implementou. Outro indicador inédito e importante para futuros estudos no setor é o custo anual das TIC por leito hospitalar que permaneceu estável em torno de US$ 39.000 entre 2010 e 2014 e caiu para US$ 36.000 em 2015, valor equivalente a R$ 120.000 de dezembro de 2015. Outras estatísticas e indicadores apresentados no estudo ajudam a entender a evolução e o desempenho das TIC na prestação de serviços de saúde e poderão ser úteis para decidir se as TIC ajudarão a melhorar a segurança e atenção ao paciente, aos profissionais de saúde no acesso a dados do paciente, e a necessária sintonia com o Modelo da Saúde Digital (e-Saúde), a custos adequados. Os resultados do presente estudo são comparáveis aos americanos semelhantes e permitem inferir que o parque tecnológico em uso nos hospitais privados brasileiros poderá alavancar a integração de sistemas existentes, permitindo a sintonia com Modelos de Saúde Digital, com a melhoria de desempenho da cadeia estendida da saúde na atenção ao cidadão que poderá ser assistido onde estiver, a qualquer momento, com segurança. Ação gerencial e investimentos são os tópicos centrais que envolvem a integração.

A articulação entre a estratégia saúde da família e o Centro de Atenção Psicossocial: análise de experiência em município do Nordeste brasileiro

The antimanicomial psychiatric reform is a process that seeks to deconstruct the exclusionary logic caused by hospitalizations, providing strategies for social reintegration of individuals. In this sense, the primary care through the Family Health Strategy - FHS comes progressively becoming strategic space in mental health interventions, configured as a field of practice and production of new modes of care. In this perspective, there has been a process of implementing this proposal in the Areia Branca City/RN, through the articulation of Psychosocial Care Network and the Family Health Strategy / ESF. However, this process has not been able to bring changes in practices. From the view that the relationship between mental health and primary care is a challenge currently being faced, that improving the care provided and the expansion of the access to services with guaranteed continuity of care depend on the effectiveness of this joint, established themselves as research objective: To investigate how is the relationship between the FHS team and CAPS team in care mental health in the town of Areia Branca - RN from the speeches of professionals. And if you had specific purposes: 1) Know the demand in existing mental health in the town of White Sand - RN served by FHS; 2) Identify limits and difficulties in the relationship between the ESF teams and CAPS; 3) Identify potential for linkages between ESF teams and CAPS for the establishment of local RAPS. This was a descriptive, exploratory study with a qualitative methodological design, whose subjects were professionals from the Family Health Strategy, professionals Psychosocial Care Center and responsible for the conduct / management of mental health in the municipality. The research tools used informal observations, semistructured interviews and focus groups were used. The data obtained were analyzed for the content analysis of Bardin, allowing discuss the relevance of the theoretical framework with data obtained through observation and interpretation of the relationship between the Family Health Strategy and the network of Psychosocial Care in Areia Branca-RN. On the one hand, there was strong demand for mental health arising from users and their families and / or caregivers. On the other, it was verified that although there is some progress with regard to perceptions of mental health, there are still practical, historical and contextually rooted, which act as barriers to effective response to this demand in view of deinstitutionalization. In this sense, it is considered important to emphasize that the teams of the Family Health Strategy should be trained to ensure the health practice with integrity and incorporating the mental health network in the municipality. This training must occur through continuing health education.

IMPROVING THE PERFORMANCE OF DATABASE-CENTRIC APPLICATIONS THROUGH PROGRAM ANALYSIS

Modern software applications are becoming more dependent on database management systems (DBMSs). DBMSs are usually used as black boxes by software developers. For example, Object-Relational Mapping (ORM) is one of the most popular database abstraction approaches that developers use nowadays. Using ORM, objects in Object-Oriented languages are mapped to records in the database, and object manipulations are automatically translated to SQL queries. As a result of such conceptual abstraction, developers do not need deep knowledge of databases; however, all too often this abstraction leads to inefficient and incorrect database access code. Thus, this thesis proposes a series of approaches to improve the performance of database-centric software applications that are implemented using ORM. Our approaches focus on troubleshooting and detecting inefficient (i.e., performance problems) database accesses in the source code, and we rank the detected problems based on their severity. We first conduct an empirical study on the maintenance of ORM code in both open source and industrial applications. We find that ORM performance-related configurations are rarely tuned in practice, and there is a need for tools that can help improve/tune the performance of ORM-based applications. Thus, we propose approaches along two dimensions to help developers improve the performance of ORM-based applications: 1) helping developers write more performant ORM code; and 2) helping developers configure ORM configurations. To provide tooling support to developers, we first propose static analysis approaches to detect performance anti-patterns in the source code. We automatically rank the detected anti-pattern instances according to their performance impacts. Our study finds that by resolving the detected anti-patterns, the application performance can be improved by 34% on average. We then discuss our experience and lessons learned when integrating our anti-pattern detection tool into industrial practice. We hope our experience can help improve the industrial adoption of future research tools. However, as static analysis approaches are prone to false positives and lack runtime information, we also propose dynamic analysis approaches to further help developers improve the performance of their database access code. We propose automated approaches to detect redundant data access anti-patterns in the database access code, and our study finds that resolving such redundant data access anti-patterns can improve application performance by an average of 17%. Finally, we propose an automated approach to tune performance-related ORM configurations using both static and dynamic analysis. Our study shows that our approach can help improve application throughput by 27--138%. Through our case studies on real-world applications, we show that all of our proposed approaches can provide valuable support to developers and help improve application performance significantly.

Dark Places Catalogue (First ed.)

Exhibition Catalogue of Dark Places. As one of four co-curators, I worked with John Hansard to produce the publication. The catalogue contains additional information on artists, the positioning of the work with a commissioned essay by Sally O'Reilly. In addition to a descriptive entry on the Dark Places database,as Director of Office of Experiments we also designed Research Tools for independent researchers wishing to undertake work in the field. This included an ID card, with observational notes that correspond to the taxonomy of the database and a researched guide to legal issues for documenting and photographing secret sites.

Fatores de longevidade do programa Central do Cidadão no Rio Grande do Norte

The public management reform in Brazil, since 1995, provoked new experiences in public administration. Among the new models of public service the one-stop shopping has distinguished and was adopted at Rio Grande do Norte with the Citizens Center Program. The one-stop shopping assembles in the same place many public services with appropriate structure, enabled human resources and citizens focus processes. The goal of this research was understand how citizens focus processes help to explain Citizens Center Program s longevity. It was made a case study and the research tools were applied with Citizen Center Programs workers and citizen-users at South Unit of Citizen Center Program placed at Via Direta Mall, Natal. The major contributions for Citizen Center Program s longevity were imputed to Basic Operation Processes. The most spoken features in Citizen Center Program mentioned were quality, efficiency, celerity e personal appearance, what demonstrate concern and care with citizen-users. Worker s personal appearance, accommodation, celerity, politeness and attending capacity planning were high evaluated by citizen-users revealing the wisely choice of use a large quality concept and citizenship concept in public administration. Citizen-users also pointed the necessity of refine and enlarge the communication ways that form an essential mechanism to public citizen focus administration. Not ignoring the policy aspect citizen focus processes were noticed like especial management actions that make easier citizen s activities and public service access, what generate satisfaction to citizen-users. It s possible to conclude that the high level approving evaluation of Citizen Center Program consolidates it an especial public policy that serves citizen s necessities e create appropriate legitimacy conditions of the public policy making harder the choice of ending the policy even in more fragile moments strongly contributing for its longevity

Warunki wstępne interpretacji doświadczenia religijnego. Pomiędzy »logos spermatikos« a »qehal el«

Nowadays we observe social transformations that have no counterparts in previous ages. Social dependences are expressed in forms that change and increase with unprecedented intensity. Human beings in their individual experience, particularly religious, realize themselves through dynamic relations to the surrounding world, other people and God. People desire a deepened interpretation what they experience. In this article I seek research tools which can help investigations in the area of fundamental theology which is expected to transform or translate individual experience in a rational way into an objective interpretative pattern. We seek such models of reality, which will ground theological investigations in the social relation of an individual person to world [in general] and to transcendence. Two investigative categories from the Christian tradition are accepted in the article: logos spermatikos and assembly of God – qehal which especially take into account the salvific perspective of the history of creation. These notions allow us to describe phenomena not only as static; they also allow us to interpret dynamic relations underway in our time. In the accepted investigative model (model 2) both the beginning and the aim of creation are qualified as dynamic realities. They influence and react to everything that happens in creation. We should therefore interpret the precondition of individual religious experience as dynamic. This will let us describe the .transient relations. as a basis in these investigations. Such an approach will prevent us from deprecating individuality in favor of the community, or the reverse.

Fatores de longevidade do programa Central do Cidadão no Rio Grande do Norte

The public management reform in Brazil, since 1995, provoked new experiences in public administration. Among the new models of public service the one-stop shopping has distinguished and was adopted at Rio Grande do Norte with the Citizens Center Program. The one-stop shopping assembles in the same place many public services with appropriate structure, enabled human resources and citizens focus processes. The goal of this research was understand how citizens focus processes help to explain Citizens Center Program s longevity. It was made a case study and the research tools were applied with Citizen Center Programs workers and citizen-users at South Unit of Citizen Center Program placed at Via Direta Mall, Natal. The major contributions for Citizen Center Program s longevity were imputed to Basic Operation Processes. The most spoken features in Citizen Center Program mentioned were quality, efficiency, celerity e personal appearance, what demonstrate concern and care with citizen-users. Worker s personal appearance, accommodation, celerity, politeness and attending capacity planning were high evaluated by citizen-users revealing the wisely choice of use a large quality concept and citizenship concept in public administration. Citizen-users also pointed the necessity of refine and enlarge the communication ways that form an essential mechanism to public citizen focus administration. Not ignoring the policy aspect citizen focus processes were noticed like especial management actions that make easier citizen s activities and public service access, what generate satisfaction to citizen-users. It s possible to conclude that the high level approving evaluation of Citizen Center Program consolidates it an especial public policy that serves citizen s necessities e create appropriate legitimacy conditions of the public policy making harder the choice of ending the policy even in more fragile moments strongly contributing for its longevity

Towards an understanding of Pakistani undergraduates’ current attitudes towards learning and speaking English

The English language has an important place in Pakistan and in its education system, not least because of the global status of English and its role in employment. Realising the need to enhance language learning outcomes, especially at the tertiary level, the Higher Education Commission (HEC) of Pakistan has put in place some important measures to improve the quality of English language teaching practice through its English Language Teaching Reforms (ELTR) project. However, there is a complex linguistic, educational and ethnic diversity in Pakistan and that diversity, alongside the historical and current role of English in the country, makes any language teaching reform particularly challenging. I argue, in this thesis, that reform to date has largely ignored the issues of learner readiness to learn and learner perceptions of the use of English. I argue that studying learner attitudes is important if we are to understand how learners perceive the practice of learning and the use of English in their lives. This study focuses on the attitudes of undergraduate learners of English as a foreign language at two universities in the provinces of Sindh and Balochistan in Pakistan. These provinces have experienced long struggles and movements related to linguistic and ethnic rights and both educate students from all of the districts of their respective provinces. Drawing on debates around linguistic imperialism, economic necessity, and linguistic and educational diversity, I focus on learners’ perceptions about learning and speaking English, asking what their attitudes are towards learning and speaking English with particular reference to socio-psychological factors at a given time and context, including perceived threats to their culture, religion, and mother tongue. I ask how they make choices about learning and speaking English in different domains of language use and question their motivation to learn and speak English. Additionally, I explore issues of anxiety with reference to their use of English. Following a predominantly qualitative mixed methods research approach, the study employs two research tools: an adapted Likert Scale questionnaire completed by 300 students and semi-structured interviews with 20 participants from the two universities. The data were analysed through descriptive statistics and qualitative content analysis, with each set of data synthesised for interpretation. The findings suggest that, compared with the past, the majority of participants hold positive attitudes towards learning and speaking English regardless of their ethnic or linguistic backgrounds. Most of these undergraduate students do not perceive the use of English as a threat to their culture, mother tongue or religious values but, instead, they have a pragmatic and, at the same time, aspirational attitude to the learning and use of English. I present these results and conclude this thesis with reference to ways in which this small-scale study contributes to a better understanding of learner attitudes and perceptions. Acknowledging the limitations of this study, I suggest ways in which the study, enhanced and extended by further research, might have implications for practice, theory and policy in English language teaching and learning in Pakistan.

Społeczny kontekst kształtowania się tożsamości osób z niepełnosprawnością intelektualną w okresie późnej adolescencji i wyłaniającej się dorosłości

Wydział Nauk Społecznych: Instytut Psychologii

Prática de ensino supervisionada em educação pré-escolar e ensino do 1º ciclo do ensino básico - A hora do conto: relato de práticas

O presente relatório da Prática de Ensino Supervisionada surge no âmbito do Mestrado em Educação Pré-Escolar e Ensino do 1º Ciclo do Ensino Básico da Universidade de Évora e é o resultado de uma investigação sustentada pela ação educativa desenvolvida ao longo da Prática de Ensino Supervisionada, no Pré-Escolar e no 1º Ciclo do Ensino Básico. Esta investigação tem como principais objetivos compreender de que forma se processa a hora do conto nos dois contextos onde realizei a minha prática, nomeadamente compreender qual a sua importância na promoção da leitura. Para isso, pretendi responder às seguintes questões: Que práticas devo realizar para promover a leitura, para formar leitores competentes, autónomos, e para desenvolver a capacidade linguística das crianças? E como dinamizar a hora do conto no ambiente educativo? Neste sentido, procedeu-se à construção do quadro teórico que sustenta a investigação do tema “A hora do conto: Relato de práticas”, onde procuro compreender a importância e a dinamização da hora do conto, nomeadamente na promoção da leitura. Para além da fundamentação teórica, a metodologia adotada foi a investigação-ação, onde propus uma prática de dinamização e promoção da leitura. Importa também realçar a importância dos instrumentos de investigação utilizados durante a PES, que contribuíram para a recolha de dados, nomeadamente a entrevista semiestruturada realizada à educadora e professora cooperante, possibilitando assim o alcance dos objetivos acima enunciados. Assim, a investigação permitiu contribuir de forma significativa para a ampliação dos estudos acerca da importância da Hora do Conto como um importante veículo para a formação de leitores, uma vez que o gosto pelas histórias começa na voz dos pais, passa pelos contadores, educadores, professores, os quais assumem uma grande responsabilidade de introduzir a criança no mundo da literatura; ABSTRACT: This report of the Supervised Teaching Practice comes under the Master’s Degree in Pre-school Teaching and Primary Education of the University of Évora and is the result research supported by the education developed throughout Supervised Teaching Practice in Preschool and in Primary Education. The main objectives of this inquiry are to understand how story time is processed in two contexts where I did my practice, in particular to understand what is the importance in promoting reading. For this reason, I wanted to answer the following questions: What practices should I take to promote reading, to form competent readers, autonomous, and to develop the linguistic ability of children? And how to encourage story time within the educational environment? In this sense, a theoretical framework was designed which supports the inquiry of the theme "The Story Time: Reporting practices", where I try to understand the importance and the encouragement of story time, particularly in the promotion of reading. In addition to the theoretical foundation, the methodology adopted was research-action, where I proposed a practice of stimulation and promotion of reading. It is also important to emphasize the importance of the research tools used during the PES, which contributed to the collection of data, in particular structured interviews held with the teacher and teacher’s assistant, thus enabling to achieve the objectives set out above. This way the investigation significantly contributed to the expansion of the studies about the importance of story time as as an important vehicle for the formation of readers, since the taste for stories begins in the parental voice, passes by storytellers, educators , teachers who take on a great responsibility to introduce the child in the world of literature.

Succession in the Family Business: Need to Transfer the ‘Socio-Emotional Wealth’ (SEW)

Rather often we have to confront with the pessimistic views on the future of the family business. Contrary to these prognosis, the FB is not only present but also improving its position in the global economy and playing a key role in the European economy too. They represent 60 % of employment and more than 60 million jobs in the private sector. Among many internal challenges of FB in the five years’ time, the importance of the ‘company succession’ is increasing together with the renewing technology and ‘attracting the right sills/ talents’ (Global Family Survey, 2015). This article is focusing on the transfer of socio-economic wealth (SEW) as a key intangible asset within the intergenerational changes in the FB. The paper outlines the various concepts (narrow vs. broad) of the SEW and special attention is paid to the risk prone [taken] and risk adverse entrepreneurial attitudes. In this relation, the authors made distinction between the ‘opportunity’ and ‘necessity entrepreneurs’. Using empirical experiences based on multi-site company case studies in the three INSIST project countries, the various sub-sections are focusing on the transfer of the following key components of the SEW to the next generation: trust-based social-system, generic human values (i.e. openness, mutual respect, correctness, reliability, responsibility etc.) and ‘practice based – embedded collective knowledge’. Key lesson of this analysis is the following: transferring physical assets in the succession process seems to us less important than the transfer of the intangible one embedded in the company’s culture community. Further systematic national and international investigations – combining quantitative and qualitative research tools – are necessary to acquire more accurate picture on the impacts of transferring both intangible and tangible assets in the succession process in the FB.

Lire à l’ère du numérique « Le nénuphar et l’araignée » de Claire Legendre

Cet article se veut exploratoire en deux temps : une piste de réflexion sur l’impact du numérique sur les sciences humaines, et une lecture de l’essai « Le nénuphar et l’araignée » de Claire Legendre, publié le 4 février 2015 chez Les Allusifs. Notre hypothèse est qu’il est nécessaire de jeter les bases d’une théorie et d’une pensée du numérique, comme de poursuivre et de favoriser l’implémentation de nouveaux outils de recherche conçus par et pour les humanités, en lien direct avec les questions d’édition, de diffusion, d’encodage, de fouille, de curation, ou encore de visualisation et de représentation des données textuelles, sonores et visuelles. Cet article propose ainsi une première piste d’exploration de l’usage de ces nouvelles possibilités pour la littérature québécoise.

Improving the Performance of Database-Centric Applications Through Program Analysis

Thesis (Ph.D, Computing) -- Queen's University, 2016-09-30 09:55:51.506