Pacientes com Líquen Plano Oral: estresse, enfrentamento e eficácia adaptativa

Pós-graduação em Psicologia do Desenvolvimento e Aprendizagem - FC

Estratégias de aprendizagem e autonomia na produção oral dos alunos de licenciatura intensiva em inglês

O presente trabalho tem como objetivo averiguar de que forma os acadêmicos do curso de licenciatura em língua inglesa, em caráter intensivo do Campus de Altamira da Universidade Federal do Pará, apreendem práticas autônomas, utilizando as estratégias de aprendizagem para melhoria da prática oral. No retorno à academia, depois dos períodos sem aulas, os alunos relatam sentirem-se incapazes de participar efetivamente das aulas expondo suas ideias oralmente. Deste modo, a proposta desta pesquisa é atuar em prol de mudanças que levem a um aprimoramento das práticas de produção oral por meio da instrução das estratégias de aprendizagem. A metodologia utilizada é a pesquisa ação de abordagem qualitativa. Os dados foram coletados por meio de narrativas, questionários e entrevistas semi-estruturadas. Participaram desta pesquisa oito de 24 alunos. Eles cursavam o segundo ano da graduação. A coleta de dados foi realizada nos períodos de julho e agosto de 2011 e janeiro e fevereiro de 2012. Os resultados mostraram que a instrução das estratégias foi relevante para que os alunos se tornassem mais conscientes e mais proficientes na prática da oralidade durante e após o período sem aulas. Além disso, alguns alunos passaram a utilizar outras estratégias de maneira autônoma. Alguns deles também passaram a ensiná-las a outros aprendentes. Outros alunos continuaram utilizando as mesmas estratégias anteriores à instrução.

O insumo linguístico oral em aulas de inglês como língua estrangeira para crianças: a fala do professor em foco

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Validation of a measuring instrument for the perception of oral health in women

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Predictors of oral health quality of life in older adults

There is limited information regarding oral health status and other predictors of oral health-related quality of life. An association between oral health status and perceived oral health-related quality of life (OHQOL) might help clinicians motivate patients to prevent oral diseases and improve the outcome of some dental public health programs. This study evaluated the relationship between older persons' OHQOL and their functional dentition, caries, periodontal status, chronic diseases, and some demographic characteristics. A group of 733 low-income elders (mean age 72.7 [SD = 4.71, 55.6% women, 55.1% members of ethnic minority groups in the U.S. and Canada) enrolled in the TEETH clinical trial were interviewed and examined as part of their fifth annual visit for the trial. OHQOL was measured by the Geriatric Oral Health Assessment Index (GOHAI); oral health and occlusal status by clinical exams and the Eichner Index; and demographics via interviews. Elders who completed the four-year assessment had an average of 21.5 teeth (SD = 6.9), with 8.5 occluding pairs (SD = 4.6), and 32% with occlusal contacts in all four occluding zones. Stepwise multiple regressions were conducted to predict total GOHAI and its subscores (Physical, Social, and Worry). Functional dentition was a less significant predictor than ethnicity and being foreign-born. These variables, together with gender, years since immigrating, number of carious roots, and periodontal status, could predict 32% of the variance in total GOHAI, 24% in Physical, 27% in Social, and 21% in the Worry subscales. These findings suggest that functional dentition and caries influence older adults' OHQOL, but that ethnicity and immigrant status play a larger role.

The Adaptation Effect in Bilingual People who Stutter: An Examination of the Oral-Motor Rehearsal Theory

The present study provided further information about stuttering among bilingual populations and attempted to assess the significance of repeated oral-motor movements during an adaptation task in two bilingual adults. This was accomplished by requesting that bilingual people who stutter to complete an adaptation task of the same written passage in two different languages. Explored was the following research question: In bilingual speakers who stutter, what is the effect of altering the oral-motor movements by changing the language of the passage read during an adaptation task? Two bilingual adults were each requested to complete an adaptation task consisting of 10 readings in two separate conditions. Participants 1 and 2 completed two conditions, each of which contained a separate passage. Condition B consisted of an adaptation procedure in which the participants read five successive readings in English followed by five additional successive readings in Language 1 (L1). Following the completion of the first randomly assigned condition, the participant was given a rest period of 30 minutes before beginning the remaining condition and passage. Condition A consisted of an adaptation procedure in which the participants read five successive readings in L1 followed by five additional successive readings in English. Results across participants, conditions, and languages indicated an atypical adaptation curve over 10 readings characterized by a dramatic increase in stuttering following a change of language. Closer examination of individual participants revealed differences in stuttering and adaptation among languages and conditions. Participants 1 and 2 demonstrated differences in adaptation and stuttering among languages. Participant 1 demonstrated an increase in stuttering following a change in language read in Condition B and a decrease in stuttering following a change in language read in Condition A. It is speculated that language proficiency contributed to the observed differences in stuttering following a change of language. Participant 2 demonstrated an increase in stuttering following a change in language read in Condition A and a minimal increase in stuttering following a change in language read in Condition B. It is speculated that a change in the oral-motor plan contributed to the increase in stuttering in Condition A. Collectively, findings from this exploratory study lend support to an interactive effect between language proficiency and a change in the oral-motor plan contributing to increased stuttering following a change of language during an adaptation task.

Invariantes del pensamiento en los arquitectos de Madrid. Primera década del siglo XXI. Una historia de transmisión oral

Invariantes del pensamiento en los arquitectos de Madrid. Primera década del siglo XXI. Una historia de transmisión oral es una Tesis Doctoral que parte de la elaboración de un archivo documental inédito, archivo que aglutina los testimonios de los más importantes arquitectos de Madrid presentes durante los primeros diez años del siglo XXI. Estos testimonios se recogen ordenadamente a modo de conversaciones transcritas, reflexiones puntuales y audios. La incorporación de los audios al trabajo documental permite comprobar a futuros investigadores, de manera directa, la certeza de las conclusiones o, incluso, establecer interpretaciones distintas. Los documentos sonoros son el germen de este trabajo. La Tesis Doctoral ordena e interpreta los testimonios en su apartado de ANÁLISIS/ DESARROLLO permitiendo entender a través de constantes demostraciones un hilo conductor del pensamiento en los arquitectos de Madrid. Se trata de una Tesis Doctoral que se entiende como un documento vivo, abierto y que gracias a su carácter inédito descubre matices y reflexiones de los arquitectos nunca antes recogidos en otros trabajos. Se ha conseguido reunir y ordenar por primera vez la voz y el pensamiento de los más importantes arquitectos de Madrid, muchos de ellos ya fallecidos. Se ha establecido un árbol genealógico ordenado y completo de los arquitectos de referencia indiscutibles desde el año 1939. Se ha conseguido reunir en un solo documento a los arquitectos y personajes más citados y recurrentes en el discurso de los arquitectos de Madrid, pudiendo constatar así sus referentes culturales más utilizados. Se ha descubierto y argumentado un pensamiento común dividido en cuatro conceptos: Oportunidad, Orden, Compromiso y Contención. Se produce una aproximación al arquitecto y a su pensamiento de la manera más natural y espontánea. Las grabaciones nos permitirán introducirnos, sin imposturas, no solo en el fondo, sino también en la forma de lo que se comunica, en el cómo. Una vez seleccionados los documentos sonoros más adecuados para el objetivo de este trabajo se ha procedido a su transcripción al papel. En este proceso se depura el lenguaje y se liman defectos de forma, al mismo tiempo se resumen las conversaciones y se recogen solo los comentarios más interesantes. En el proceso de transcripción, así como en la elección de las preguntas, existe una labor editorial, la aplicación de un criterio a la hora de seleccionar, resumir, corregir, completar, etc. Para abordar las conversaciones se ha recurrido a la bibliografía de referencia de cada uno de los arquitectos. Una vez transcritas las entrevistas, se establece una valoración crítica, una aproximación teórica al tema principal de la conversación. Bien puede tratarse de una reflexión sobre el arquitecto y su trabajo o sobre algunas de las opiniones o temas vertidos durante la charla. Para situar a cada uno de los arquitectos que se citan, se ha establecido un apartado genealógico completo donde cada uno se coloca en su lugar correspondiente conforme a sus apariciones en los textos principales de la historiografía reciente desde Carlos Flores hasta el año 2010. Esta Tesis Doctoral es un testigo de la diversidad de pensamientos y actitudes así como de las coincidencias. Las conversaciones mantenidas, las reflexiones y las opiniones vertidas al respecto han tocado reiteradamente muchos temas que aparecerán ordenados en el ANÁLISIS/DESARROLLO y en el apartado DESCRIPTORES. A partir de estos y otros temas genéricos, los pensamientos se aglutinan en torno a cuatro puntos que resumen las actitudes y los planteamientos conceptuales más recurrentes y coincidentes. Estos cuatro puntos definen de una manera concreta al arquitecto de Madrid. Oportunidad, Orden, Compromiso y Contención. Identidad generada a través de una historia de transmisión oral, desde los arquitectos de las primeras generaciones de posguerra hasta hoy. ABSTRACT Invariable thought in the architects of Madrid. First decade of the XXI century. A history of oral transmission is a Doctoral Thesis that starts with the development of a new documentary file, a file which brings together the testimonies of the most important architects of Madrid present during the first ten years of this century. These testimonies include conversations, punctual reflections and audio bites. Incorporating audio allows future researchers to check certain conclusions directly or even to have different interpretations. Sound bites are the seed of this work. This Doctoral Thesis orders and interprets the testimonies in the ANALYSIS / DEVELOPMENT section, through which a common thread of thought in Madrid architects can be ascertained. This doctoral thesis is meant as a living, open document, which, thanks to its unprecedented nature, discovers nuances and reflections of architects that had never been collected in previous studies. It has brought together and sorted for the first time the voice and thoughts of the most important architects of Madrid, many of them already deceased. It has established an orderly and comprehensive reference guide to the most important architects since 1939. It has brought together in one document the most cited and recurring architects and characters in the discourse of the architects of Madrid, which enables us to observe the cultural references they used the most. We have discovered and put forward a common thought divided into four concepts: Opportunity, Order, Commitment and Containment. The architect and his thoughts are revealed as naturally and spontaneously as possible. The recordings allow us to ascertain, without impositions, not only the substance but also the form of what is communicated. After selecting the most appropriate sound bites for the purpose of this work, we have proceeded to transcribe them to paper. In this process the language has been purified and formal defects have been dealt with, and at the same time the conversations have been summarized and only the most interesting comments have been kept. The transcription process and the choice of questions entails editorial work, applying a criterion when selecting, summarizing, amending, supplementing, etc. To address the conversations, the bibliographic reference of each of the architects has been used. Once the interviews have been transcribed, a critical appraisal and a theoretical approach to the main topic of conversation are established. It may be a reflection on the architect and his work or some of the views or issues discussed during the talk. In order to place each of the cited architects, a complete family tree has been devised in which each architect is situated according to his appearances in the main text of recent historiography, from Carlos Flores until 2010. This Doctoral Thesis is a witness to the diversity of thoughts, attitudes and coincidences. The conversations, reflections and opinions expressed in this regard have repeatedly touched many issues that will be sorted in the ANALYSIS/DEVELOPMENT and the KEYWORDS section. From these and other generic issues, thoughts coalesce around four points which summarize the attitudes and the most recurrent and similar conceptual approaches. These four points define the architect of Madrid in a concrete way. Opportunity, order, engagement and containment. An identity generated by a history of oral transmission, from the architects of the first post-war generations until today.

Oral Health Experiences of Social Workers Serving Children in the Foster Care System: Assessing the Feasibility of a Social Worker-Driven Oral Health Intervention

Thesis (Master's)--University of Washington, 2016-06

The experiences and perceptions of unit managers in facilitating oral health in adults with intellectual disability

This qualitative research investigated the experiences and perceptions of unit managers regarding their involvement with oral health management of adults with intellectual disability. Semi-structured individual interviews were conducted with eight participants working in four different area offices of a metropolitan disability service, whose experience as unit managers ranged from 1 to 17 years. Key themes identified in the interview data focused on unit managers' views of the oral health of this group, the support roles involved in the oral health of adults with intellectual disability, the priority of oral health, the experiences of the participants within the oral health system, and the strategies for supporting adults with intellectual disability in oral health management. Implications of the findings included the need to improve education for all persons involved in the oral health of adults with intellectual disability, to encourage a collaborative approach to oral health by workers within accommodation support services and the oral health system, and to enable adults with intellectual disability to maximally participate in their own oral health management.

Patients' perceptions and experiences of taking oral glucose-lowering agents: a longitudinal qualitative study

Aims The aims of this study were to examine Type 2 diabetic patients' expectations, perceptions and experiences of oral glucose-lowering agents (OGLAs), including their reasons for taking/not taking these drugs as prescribed and to provide recommendations for developing interventions to improve OGLA adherence. Methods Longitudinal, qualitative study using repeat in-depth interviews with patients (n = 20) over 4 years following clinical diagnosis. Respondents were recruited from primary and secondary care settings across Lothian, Scotland, UK. Results Despite experiences of side-effects, dislikes and concerns about taking multiple drugs and a belief that OGLAs could themselves cause one's diabetes to progress, most respondents appeared motivated to take these drugs as prescribed. This motivation seemed to arise from respondents' experiences of taking OGLAs and observing them to 'work'. Some respondents described feeling better after taking OGLAs, others, typically those who were asymptomatic, used blood glucose self-monitoring and/or glycated haemoglobin results to observe and evidence the effects of their OGLAs. Most respondents demonstrated a 'passive' expectation that health professionals should be responsible for decisions about medications. Hence, non-adherence typically resulted from forgetfulness rather than ambivalence about either medication or consultation style. Respondent concern about OGLA's largely centred upon lack of knowledge about the medication and what to do when doses were missed. Conclusion The findings call for multifaceted strategies to promote adherence. These could include education to address misconceptions and advise patients how to respond to missed doses; reminders to help patients remember to take their drugs; and structured feedback on the impact of OGLAs on glycaemic control.

Psychological influence of the media on patients commencing oral anticoagulation in atrial fibrillation:a qualitative analysis

Background: Oral anticoagulation (OAC) reduces stroke risk in patients with atrial fibrillation (AF); however it is still underutilized and sometimes refused by patients. Two inter-related studies were undertaken to understand the experiences and what influences this un- derutilisation of warfarin treatment in AF patients. These studies explored physician and patient experiences of AF and OAC treatment. The paper focuses on specific sub-themes from the study that explored patients’ experiences will be discussed. Aim: The study in question aimed to explore the experiences which influence patients’ decisions to accept, decline or discontinue OAC. Methods: Semi-structured individual interviews with patients were con- ducted. Three sub-groups of patients (n = 11) diagnosed with AF were interviewed; those who accepted, refused, and who discontinued war- farin. Interpretative phenomenological analysis (IPA) was used to examine the data. IPA is a qualitative method that focuses on how participants make sense of an experiences phenomenon Results: Three over-arching themes comprised patients’ experiences: (i)the initial consultation, (ii) life after the consultation, and (iii) patients’reflections. In the last theme, patients reflected on their perceptions ofaspirin and warfarin. Aspirin was perceived as a natural wonder-drugwhile warfarin was perceived as a dangerous drug usually given to peo-ple at the end of their life. Interestingly they perceive both drugs as‘old’. However, for aspirin it had a positive association, old meaningtried and tested. While for warfarin, old meant ‘has been around fortoo long’.Conclusion: Media had an important role in how patients’ perceptionsof these two drugs were influenced. Literature shows that framingtechniques, i.e. using certain words or phrases such as ‘rat poison’, areprocesses adopted by media to alter medical knowledge into lay per-son’s language. Patients in turn form negative cognitive schemas,between the word ‘poison’ and warfarin, leading to the negative per-ception of warfarin which could influence non-adherence to treatment.This qualitative research highlighted the potential influences of themedia on AF patient perceptions commencing OAC treatment. Theassociation between media stimuli and patient perceptions on OACshould be further explored. The influential power of lay-media couldalso be instrumental in disseminating appropriate educational materialto the public

The experiences of con sultations on oral anticoagula-tion for AF:the importance of qualitative research incardiovascular sciences

Objectives: Multiple-perspective qualitative designs can aid researchersto develop a more multifaceted account of a phenomenon and as aform of triangulation of data. Two interlinking studies aimed toexplore patients’ and physicians’ experiences of atrial fibrillation (AF)and warfarin.Methods: Audio-recorded semistructured individual interviews wereused. Study 1: Three AF patient subgroups were interviewed (n = 11);accepted, refused, or discontinued warfarin. Study 2: Four physiciansubgroups (n = 16): consultant cardiologists, consultant general physi-cians, general practitioners, and cardiology registrars. Data was ana-lyzed using interpretative phenomenological analysis, a qualitativemethodology.Results: Study 1: Three overarching themes comprised patients’ experi-ences: the initial consultation, life after the consultation, and patients’reflections. Patients commented on the reassurance experienced duringthe consultation, but they perceived the decision-making processmostly led by the physician. Lack of education and take-home materi-als during the initial consultation were highlighted. Patients’ uptake ofinformation was influenced by past experiences and knowledge ofstroke and/or bleeding. Study 2: Two overarching themes covered phy-sicians’ experiences: communicating information and challenges withwarfarin prescription for AF. Physicians’ approach to the consultationstyle shifted through a continuum of compliance-adherence-concor-dance during the consultation. Time and the perceived patient trust inthem as the expert led to physicians to adopt a paternalistic approach.Guideline adherence and the need to adopt a multidisciplinaryapproach were pointed out as current challenges.Conclusion: There is a need to target patients’ and physicians’ abilityto communicate with each other in a comprehensible way. This projecthas illustrated the benefit of using a qualitative approach to under-stand the lived experience of the physician–patient consultation.Disclosure of Interest: None declare

Dean of the school board: An oral history of the distinguished career of G. Holmes Braddock

Effective school board leadership is often an ephemeral ideal in today's highly politicized public education arena. However, effective leadership is necessary in order to ensure a fair and equitable education for all students. This dissertation described and explained one school board member's perspective of his career as a lens from which to view and assess public educational policy making in Miami-Dade County. ^ Now retired after thirty-eight years of service, G. Holmes Braddock is the longest serving, contemporary, urban school board member in the country. Spanning nearly four decades, his perspective provides a comprehensive view of urban education both locally and nationally. The significance of his longevity and the impact of his leadership on educational policy-making was the focus of indepth interviews with Mr. Braddock and other key educational “influentials.” From this transcript data, recurring themes were revealed and categorized. Five elements of his perspective, i.e., teacher professionalization; desegregation; athletics; bilingual education; and his comprehensive leadership role, were identified and analyzed, as were five variables of his perspective, i.e., fairness; integrity; honesty; courage; and the situational context. Other secondary source material, such as excerpts from newspaper articles, school board minutes, and items from Mr. Braddock's own personal effects further augmented and triangulated the data. ^ Given that the purpose of this study was to describe and explain Mr. Braddock's perspective of his school board career, the findings can be understood from two different viewpoints. The elements of Mr. Braddock's perspective describe or characterize his career and represent the significant policy issues in which he demonstrated exceptional vision and leadership. However, taken alone, these elements cannot fully explain his distinguished career. Rather, an analysis of the variables of Mr. Braddock's perspective provides an explanation for the effectiveness of his leadership role. Personality traits such as fairness, integrity, honesty and courage and the impact of the situational context were factors that strongly influenced Mr. Braddock's decision-making. Thus, Mr. Braddock's school board career can be holistically understood as the intersection of person, place and time with significant public education policy issues. ^ The results of this study provide a unique and historical perspective of school board politics in Miami-Dade County. From Mr. Braddock's perspective, we are able to view one individual's leadership role over time and its impact on local public education policy. ^

U.S. Army front line artillery observation during the 1945 Okinawa campaign: An oral history case study

This dissertation explores the role of artillery forward observation teams during the battle of Okinawa (April–June 1945). It addresses a variety of questions associated with this front line artillery support. First, it examines the role of artillery itself in the American victory over the Japanese on Okinawa. Second, it traces the history of the forward observer in the three decades before the end of World War II. Third, it defines the specific role of the forward observation teams during the battle: what they did and how they did it during this three-month duel. Fourth, it deals with the particular problems of the forward observer. These included coordination with the local infantry commander, adjusting to the periodic rotation between the front lines and the artillery battery behind the line of battle, responding to occasional problems with "friendly fire" (American artillery falling on American ground forces), dealing with personnel turnover in the teams (due to death, wounds, and illness), and finally, developing a more informal relationship between officers and enlisted men to accommodate the reality of this recently created combat assignment. Fifth, it explores the experiences of a select group of men who served on (or in proximity to) forward observation teams on Okinawa. Previous scholars and popular historians of the battle have emphasized the role of Marines, infantrymen, and flame-throwing armor. This work offers a different perspective on the battle and it uses new sources as well. A pre-existing archive of interviews with Okinawan campaign forward observer team members conducted in the 1990s forms the core of the oral history component of this research project. The verbal accounts were checked against and supplemented by a review of unit reports obtained from the U.S. National Archives and various secondary sources. The dissertation concludes that an understanding of American artillery observation is critical to a more complete comprehension of the battle of Okinawa. These mid-ranking (and largely middle class) soldiers proved capable of adjusting to the demands of combat conditions. They provide a unique and understudied perspective of the entire battle.

História oral de vida de pessoas com úlcera venosa nos serviços de atenção primária à saúde

The Chronic Venous insufficiency is characterized as a set of physical changes including how most serious complication of venous ulcers, characterized by irregular and progressive loss of continuity of the skin. The occurrence of venous ulcers in people with chronic venous insufficiency generates dependence on them with health services, with long-term treatments that cause limitations and high-impact changes, affecting their quality of life, affecting the physical, psychological, social, cultural and spiritual as an important public health problem. This study aimed to describe the experience of having a venous ulcer, in the scenario of primary health care services to Health, which includes Primary Care Units and Family Health Strategy in the city of Natal / RN, based on the life histories of users. This is a qualitative study, exploratory and descriptive, with the Oral History of Life as a methodological framework. From the ponto zero was the recruitment of participants who formed the network, totaling six employees, of both sexes and aged between 57 and 79 years. After approval by the Research Ethics Committee - UFRN under the Protocol 653 788/2014 and CAAE 30408014.0.0000.5537 was held data collection, between the months of July and August, through interviews, using identification and characterization of the instrument employees and open questions. Interviews were recorded, transcribed, transcriadas and returned to employees for a conference. The narratives were subjected to Content thematic analysis technique, according to Bardin, allowing the construction of three themes that encompass categories, namely: Axis I - Perspectives on the changes: the impact wound in social relations (changes with ulcer venous, venous ulcer and social and family relationships); Axis II - Brands in body and soul: the story of being hurt (conceptions of the body injured; therapeutic itinerary in primary care services); and Axis III - Reconstruction of being hurt: coping mechanisms (redefinition of the wounded body, resilience to chronic wound). The impact of having a chronic venous ulcer generates impact of physical, psychological and social order. As aspects related to changes after the appearance of venous ulcers, survey participants reported the presence of pain, physical limitations, psychological distress, social and emotional isolation, incapacity, aesthetic discomfort and dependency on health services; the family was the aspect thatshowed no significant change after the occurrence of wound for most participants, an ally in the therapeutic process as a support network. The redefinition of the body and the wound are the main coping mechanism of chronic condition. The services in the Primary Care Network play a fundamental role in the rehabilitation of patients with venous ulcers, although there are difficulties in accessing appropriate treatment and need for expanded services, with permanent professional training of health teams and providing the resources managers to strengthen the comprehensive care of people with venous ulcers in Health Primary Care.