Thèses : « Card Party »

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Williams, Christina Devin. « Playing the Hungarian card| An assessment of radical right impact on Slovak and Hungarian party systems and post-Communist democratic stability ». Thesis, The University of North Carolina at Chapel Hill, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1538070.

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Through comparative case studies of Slovakia and Hungary, I explore the competitive relationship between governing parties and radical right parties in post European Union accession parliaments. This research highlights the roles of ethno-nationalism and populism and employs Slovakia’s ethnic Hungarian minority, as manifested through the 2009 Slovak language law and the 2010 Hungarian citizenship law, as a focal point of competition between party groups. I argue that this competition reveals a more influential role than typically attributed to radical right parties. The first half of the article tests these cases against Meguid’s (2008) position, salience, and ownership theory of competition between unequals. The second half of the article analyzes this competition and points to electoral strategies, coalition and opposition policy payoffs, governing party reputations, and each country’s legal landscape as areas affected by the radical right’s presence.

Keywords: Radical right; Hungarian minority; language; citizenship; accommodation, issue ownership, issue salience; competition.

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Chávez, Gonzales Paolo, Lozada Alejandro Fabrizzio Dávila, Vásquez Daniela Lozano, Román Angel Rodrigo Quichiz et Bernal Renzo Enrique Sayán. « Trabajo de investigación Cars&Parts ». Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/652310.

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Durante los últimos años, el sector automotriz ha tenido muchas falencias especialmente con el incremento de la informalidad en el mercado de autopartes, generando mucha desconfianza por parte de los usuarios y promoviendo el mercado negro en el Perú, obteniendo un rechazo por parte de los inversionistas por incursionar e incrementar las ventas de autopartes en nuestro país. Lo que buscamos con este proyecto es poder hacer atractivo el modelo de negocio formal de autopartes en el Perú por medio de una sofisticada integración de red de proveedores a nivel nacional para satisfacer las necesidades de una demanda mal atendida. Cars&Parts es una plataforma digital que se puede utilizar desde un Smartphone o una computadora, en donde podrás buscar el autoparte o repuesto de la marca que necesites. Ayudamos a los usuarios a ahorrar tiempo y dinero, brindando productos de calidad con el mejor servicio especializado en el rubro automotriz. Nuestros clientes podrán navegar y buscar sus repuestos en nuestras 10 categorías o por las tiendas oficiales que se encuentran en nuestro Marketplace. La conclusión de nuestro trabajo de investigación es que el modelo de negocio Cars&Parts es sostenible y especialmente rentable, todo esto se comprueba a lo largo este proyecto.
During the last years, the automotive sector has had many shortcomings, especially with the increase in informality in the autoparts market, generating a lot of distrust on the part of users and promoting the black market in Peru, obtaining a rejection from investors. for entering and increasing auto parts sales in our country. What we are looking for with this project is to be able to make the formal auto parts business model in Peru attractive by means of a sophisticated integration of the supplier network at the national level to satisfy the needs of a poorly attended demand. Cars & Parts is a digital platform that can be used from a smartphone or a computer, where you can search for the auto part or replacement of the brand you need. We help users save time and money, providing quality products with the best specialized service in the automotive field. Our customers can browse and search for their parts in our 10 categories or through the official stores found in our marketplace. The conclusion of our research work is that the Cars&Parts business model is sustainable and especially profitable, all this is verified throughout this project.
Trabajo de investigación

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Плохута, Тетяна Миколаївна, Татьяна Николаевна Плохута, Tetiana Mykolaivna Plokhuta et B. Ilchyshyn. « Video card as a part of a computer system ». Thesis, Видавництво СумДУ, 2008. http://essuir.sumdu.edu.ua/handle/123456789/16010.

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Wehlmann, Oliver. « Jeu de cartes d'Igor Stravinsky : un jeu de clefs d'analyses ». Electronic Thesis or Diss., Université Gustave Eiffel, 2021. http://www.theses.fr/2021UEFL2043.

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Ma thèse explore Jeu de cartes de Stravinsky. Je centre mon discours sur les concepts du modèle analytique, de la théorie du jeu et sur les relations possibles entre un texte littéraire et une partition. Je me concentre sur les façons d'extraire de l'information d'une partition ; les résultats de mon analyse m'intéressent moins. La première donne est analysée par les outils classiques de l'analyse musicale. Pour la deuxième donne j'ai forgé un outil analytique complexe basé sur une phénoménologie du jeu de société et observé en quoi il présente un intérêt pour développer une mise en scène qui respecte les règles du poker. La troisième donne est confrontée avec un article de Heinz-Klaus Metzger sur Stravinsky et la nécrophilie. J'ouvre le champs de l'utilisation d'outils analytiques extra-musicaux et considère le meurtre dans l'œuvre de Stravinsky.Jeu de cartes sert de cas d'étude pour élaborer un bilan analytique des analyses musicales menées
My doctoral thesis is about „The Card Party“ of Stravinsky. I'm dealing with concepts such as analytic models, game theory, or the possible relationships between a literary text and a music score. Its interest lies in the analysis of the ways you may obtain information from a score, not in the results themselves. During the first section I'm applying a series of traditional analytic methods to the first round of the „Card Party“. The second section constructs a synthetic analytical situation where, thanks to a kind of game phenomenology, Stravinsky's second round is supposed to deliver the scenic action of the ballet. In the third section a text from Heinz-Klaus Metzger about Stravinsky and necrophilia is put in contact with the third round as an analytic agent, raising questions as to how to comment murder musically.Instead of resuming results in a conclusive section, I prefer to present a balance about analytical methods. Stravinsky's score is employed as a pretext to discuss the relation between analytical projects and their resulting conclusions

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Wilson, Nicola Ann. « Modelling intermediate care services as part of an integrated care pathway ». Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/20290.

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This study explores the implications of implementing enhanced or redesigned intermediate care initiatives in the Western Cape of South Africa from the 2014/15 financial year onwards. Using a dynamic modelling methodology, we developed an empirical model of an integrated care system to explain the linkages, relationships and interactions among service components and analyse the implications of one of the proposed Healthcare 2030 policy interventions - intermediate care - on hospital admissions, waiting times and length of stay of all patients. We tested and compared a number of alternative intervention points using a simulation model parameterised with service component data from the Department of Health Information Systems. The findings from the study show the inconsistencies between the perceived structure and the available data from the respective service components that describe the resultant behavioural effects on an integrated care system, especially when care pathways cross organisational boundaries. The main managerial learning was around the existence and nature of organisational boundaries that require joint working and sharing of information. We conclude from the simulation results for the alternative scenarios tested that the implementation of enhanced or redesigned intermediate care initiatives can moderate the rate of growth in the demand for hospital services by reducing a percentage of hospital readmissions.

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Robinson, Joshua J. Beil Richard O. « Rising health care costs and the two price market the impact of third-party payers / ». Auburn, Ala, 2007. http://repo.lib.auburn.edu/2007%20Fall%20Theses/Robinson_Joshua_35.pdf.

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Farhan, Uday H. « An integrated computer-aided modular fixture design system for machining semi-circular parts ». Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2013. https://ro.ecu.edu.au/theses/555.

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Productivity is one of the most important factors in manufacturing processes because of the high level of market competition. In this regard, modular fixtures (MFs) play an important role in practically improving productivity in flexible manufacturing systems (FMSs) due to this technology using highly productive computer numerical control (CNC) machines. MFs consist of devices called jigs and fixtures for accurately holding the workpiece during different machining operations. The design process is complex, and traditional methods of MF design were not sufficiently productive. Computer-aided design (CAD) software has rapidly improved as a result of the development of computer technology, and has provided huge opportunities for modular fixture designers to use its 3D modelling capabilities to develop more automated systems. Computer-aided fixture design (CAFD) systems have become automated by the use of artificial intelligence (AI) technology. This study will investigate the further improvement of automated CAFD systems by using AI tools. In this research, an integrated CAFD is developed by considering four main requirements: · a 3D model of the workpiece, · an expert system, · assembly automation of MFs, · an efficient feature library. The 3D model is an important factor that can provide the appropriate specification of the workpiece; SolidWorks is used the CAD environment for undertaking the 3D modelling in this study. The expert system is applied as a tool to make right decisions about the CAFD planning process, including locating and clamping methods and their related element selection. This helps achieve a feasible fixture design layout. SolidWorks API and Visual Basic programming language are employed for the automating and simulation of the assembly process of MFs. A feature library of modular fixture elements is constructed as a means to simplify the fixture design process.

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Al-Tuwaijiri, A. M. « Primary eye care in Saudi Arabia : an integral part of the primary health care system ». Thesis, Swansea University, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.635734.

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Blindness is a serious socioeconomic handicap and most causes of blindness are preventable. The Primary Health Care System has been identified by the World Health Organisation as the 'first line of defence' in tackling the health care problems of developing countries. This is as true for eye care as it is for the whole range of other diseases and illnesses that affect a country's population. The Primary Eye Care system is, therefore, essential in the prevention of many ocular disorders that may cause blindness. The aim of the thesis is to define the current status of primary eye care systems in the Kingdom of Saudi Arabia. It will concern itself with identifying and assessing the current resources and facilities that are available for eye patients at the primary health care level. It will also determine the strengths and weaknesses of the existing primary eye care system in the country according to geographical location, covering both urban and rural areas. Specific recommendations for action are formulated, in the light of the data collected, aimed at the reduction, control or elimination of avoidable and curable blindness. The ultimate goal of this thesis is, therefore, to add to the existing knowledge of eye care problems in the Kingdom and to put forward a series of recommendations to help in the prevention of blindness in the Kingdom of Saudi Arabia.

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Eynan-Harvey, Rahel. « When death do us part, nurses on post-mortem care ». Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq25974.pdf.

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Fornazari, Denise Helena. « Atuação da equipe de enfermagem na assistência à mulher durante o trabalho de parto, parto e pós-parto imediato no município de Piracicaba/SP ». Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-08012010-124403/.

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Há anos a redução da taxa de mortalidade materna vem sendo discutida em todo mundo, sendo considerada um dos indicadores de qualidade à saúde. É consenso mundial que a presença de profissionais qualificados durante o ciclo gravídico-puerperal diminui o número das morbi-mortalidades de mulheres e recém-nascidos. Diante desta situação a Confederação Internacional das Parteiras (ICM) preconizou as competências essenciais que os profissionais devem possuir para realizar uma atenção qualificada em todas as fases do ciclo reprodutivo. Objetivo: descrever o perfil dos profissionais de enfermagem que atuam na assistência de enfermagem durante o trabalho de parto, parto e pós parto imediato no município de Piracicaba/SP e identificar os procedimentos que estes realizam segundo a preconização da ICM. Metodologia: estudo quantitativo de natureza descritivo-exploratória. Os dados foram coletados em duas instituições. Foram entrevistados através de questionário semi-estruturado 57 profissionais: 8 enfermeiros obstetras, 4 enfermeiros, 38 técnicos de enfermagem e 7 auxiliares de enfermagem. Através de observação não participativa foram acompanhados 24 acolhimentos para primeiro atendimento, 30 trabalhos de parto, 20 partos e pós partos imediato. Para análise dos dados foi utilizada a estatística descritiva. Resultados: Perfil da equipe de enfermagem: todos profissionais são do sexo feminino, com média de idade de 30 anos, 45,61% convivem com parceiro fixo, 57,89% não possuem filhos, média diária de trabalho de 7,42 horas, 77,19% destes participaram de eventos científicos após conclusão dos seus estudos, apenas profissionais com nível superior realizaram partos. Todos afirmaram gostar de trabalhar na assistência ao parto. Competências essenciais: em geral, as práticas obstétricas recomendadas pela Organização Mundial de Saúde (OMS) são adotadas, embora em muitas situações estas sejam realizadas de maneira incompleta em especial as que se referem à humanização da assistência. No entanto, notou-se que as atribuições são delegadas segundo categoria profissional e não em relação à competência profissional. Conclusão: o estudo demonstrou a necessidade de abolir a divisão das funções segundo formação profissional, permitindo que o atendimento seja realizado de acordo com a qualificação profissional em especial no que se refere ao atendimento a mulher durante o parto. Há necessidade de investimentos na reciclagem dos profissionais e na reorganização do modelo da assistência para contribuir com a melhoria da assistência durante o trabalho de parto, parto e pós-parto imediato no município de Piracicaba/SP.
For years, the reduction of maternal mortality has been globally discussed and is considered one of the indicators of quality of health. It is a global consensus that the presence of trained professionals during the pregnancy-puerperium cycle decreases the number of morbidities and mortalities of women and newborns. Thus, the International Confederation of Midwives (ICM) recommended the essential competences that professionals should have to provide quality care in all phases of the reproductive cycle. Objective: to describe the profile of nursing professionals who work in nursing care during labor, delivery and immediate postpartum in the city of Piracicaba-SP, and to identify the procedures they perform according to the recommendation of the ICM. Method: quantitative, descriptive and exploratory study. Data were collected in two institutions. Using a semi-structured questionnaire, 57 workers were interviewed: 8 nurse-midwives, 4 nurses, 38 nursing technicians and 7 nursing auxiliaries. Through non-participatory observation, 24 first welcomes, 30 labors, 20 deliveries and immediate postpartum were followed. Descriptive statistics was used for data analysis. Results: Nursing team profile: all workers are female, with average age of 30 years, 45.61% have fixed partners, 57.89% do not have children, the average daily workload is 7,42 hours, 77.19% of them participated in scientific events after finishing their studies, and only workers with higher education performed delivery care. All participants reported liking to work in delivery care. Essential competences: in general, the obstetric practices recommended by the World Health Organization (WHO) are adopted, although in several situations they are carried out incompletely, mainly the ones referring to the humanization of care. However, it was noticed that the attributions are delegated according to professional category and not in relation to professional competence. Conclusion: the study showed the need to extinguish the division of functions according to professional degree, permitting care to be delivered according to professional qualification, especially with regard to care to women in delivery. Investment in professional recycling and in the reorganization of the care model as to improve care during labor, delivery and immediate postpartum in the city of Piracicaba/SP is needed.

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Hussey-Smith, Kelly. « apart & ; a part : a new kind of archive ». Thesis, Griffith University, 2017. http://hdl.handle.net/10072/371138.

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apart & a part: a new kind of archive For many individuals who spent time in institutional and out-of-home care as children during the twentieth century in Australia, the experience was marked by longing, loss, and displacement. apart & a part is a visual artwork that was created in collaboration with six Australian care leavers as the outcome of my doctoral research. The project has focused on the legacy of the institutional or out-of-home care experience on the individual and the subsequent need to produce narratives of the self. It has traced the affective dimensions of trauma and memory through a lengthy period of collaborative dialogue with care leavers. Drawing on the notion of trauma as a quotidian experience, apart & a part explores how care leavers navigate everyday encounters with their past. The artworks featured in the installation create an expanded archive of visual responses and narrative fragments that address the felt experiences often absent from historical or institutional records. The immersive installation blends photography, video, sound, and archival images to communicate the ongoing impacts of institutional thinking on individuals. Drawn from our collaborative dialogues and actions, the works in apart & a part traverse expanded documentary, social practice, and contemporary political art. The project explores the non-linear and sensorial structure of trauma, and advances its potential to represent the affective dimensions of lived experience. The project frames lived experiences as a continuum rather than an event, thereby acknowledging the impact of abuse and trauma but not allowing them to become life-defining. Accompanying the artwork, this exegesis, apart & a part: a new kind of archive, interrogates the conceptual underpinnings of the creative research. It provides a necessary socio-political and historical context through which to understand the mass removal of children (First Nations and non-First Nations) in Australia during the twentieth century. This leads to an exploration of trauma theory and the limits of the victim–survivor narrative to grasp the complexity of these experiences. The politics of collaboration are discussed through a series of case studies specific to the project, where I argue for a transdisciplinary approach to collaborative practices that privilege story over form. Learning to understand care leavers on their own terms resulted in a long period of collaborative dialogue and conceptualisation. This catalysed the development of a consultative, meaningful, and inclusive framework for participants, with the intention of engaging a secondary audience. The intimate act of performing, recording, and memorialising lived experience transformed these personal experiences into artworks. As such, I draw on the field of reparative aesthetics to navigate shame in apart & a part, and argue for the effectiveness of reparative strategies in collaborative projects that traverse trauma and memory.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
Queensland College of Art
Arts, Education and Law
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Whelan, Peter Timothy. « CAD/CAM data base management systems requirements for mechanical parts ». Diss., Georgia Institute of Technology, 1989. http://hdl.handle.net/1853/17692.

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Yang, Jingqing Social Sciences &amp International Studies Faculty of Arts &amp Social Sciences UNSW. « The power relationships between doctors, patients and the party-state under the impact of red packets in the Chinese health-care system ». Publisher:University of New South Wales. Social Sciences & ; International Studies, 2008. http://handle.unsw.edu.au/1959.4/43116.

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The paper examines ??red packets?? ?? a form of informal payment ?? in the Chinese health-care system from the perspectives of power and ??inxit?? theories. Drawing on qualitative data collected from focus groups, interviews and documentary sources, the research investigates, from doctors?? perspective, the giving, taking, declining and disciplining of and solutions for red packets. Findings testify to four hypotheses developed from the theoretical perspectives, leading to the conclusion that red packets emerged from and can exert an influence on the power relationships between doctors, the Party-state and patients, and are a response to distrust and quality shortage in the health-care system.

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Hafey, Sandra M. « Exploring end of life issues a four part workshop for adult Catholics / ». Chicago, IL : Catholic Theological Union at Chicago, 2006. http://dx.doi.org/10.2986/tren.033-0847.

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Chintamaneni, Prashantkumar. « Integration of unigraphics and cost advantage for aircraft engine parts configuaration ». Ohio : Ohio University, 2000. http://www.ohiolink.edu/etd/view.cgi?ohiou1171569577.

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Yan, Yan, et 甄昕. « Automatic draft angles addition for moulded parts in an assembly ». Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B29368960.

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Nunes, Michelly Christiny Marcondes. « Entre o idealizado e o possível : limites da assistência ao parto no Centro de Parto Normal de uma maternidade pública ». Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/7/7141/tde-17082011-100316/.

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As transformações no modelo de assistência ao parto e nascimento e a criação de Centros de Parto Normal (CPN) no âmbito do Sistema Único de Saúde (SUS) remetem à importância de explorar a assistência ao parto neste contexto. O presente estudo teve o objetivo de compreender e descrever as crenças e os valores que norteiam as práticas dos profissionais em um CPN. Foi utilizada a abordagem qualitativa de pesquisa e o método etnográfico em um CPN de uma maternidade pública localizada na cidade de Osasco, Estado de São Paulo, Brasil. Os dados foram coletados por meio do processo de observação participante e de entrevistas etnográficas. Foram entrevistados todos os membros da equipe profissional, composta por enfermeiro obstetra, técnico de enfermagem, médico obstetra e médico neonatologista, que estavam diretamente envolvidos na assistência ao parto, e os gestores da instituição. A análise indutiva e interpretativa dos dados resultou em quatro subtemas culturais, que correspondem a cada uma das categorias profissionais: Enfermeira obstetra: Este CPN não é como deveria ser: inúmeros obstáculos dificultam a prestação da assistência humanizada ao parto; Técnicas de enfermagem: Fazendo o que é possível: satisfação com a assistência que é prestada mediante superação de muitas dificuldades; Médico obstetra: Um árduo cotidiano que impede o desenvolvimento da assistência desejada; Médico neonatologista: Dificuldades existem porque são comuns no serviço público, mas há satisfação em relação à assistência prestada no CPN. Destes subtemas culturais emergiu o tema cultural Entre o idealizado e o possível: os limites na assistência humanizada ao parto, que representa o cotidiano da assistência ao parto no CPN que foi foco desta pesquisa. As limitações para o desenvolvimento da assistência humanizada ao parto estavam relacionadas, não somente aos problemas relativos à precariedade da estrutura física e de recursos humanos ou aos déficits provocados pelo financiamento insuficiente da assistência ao parto. Estavam envolvidos também as crenças e os valores dos profissionais e o seu grau de envolvimento com a filosofia de humanização da assistência ao parto. Contatou-se que a efetivação da assistência humanizada ao parto, como preconizada pelos organismos nacionais e internacionais, depende da superação das inúmeras dificuldades descritas neste estudo. Um grande desafio deste âmbito está representado pela necessidade de articulação entre a grade curricular dos cursos da área da saúde com os fundamentos da Medicina Baseada em Evidências Científicas. Portanto, é de fundamental importância a existência de serviços exemplares, que prestam assistência humanizada ao parto, para os estudantes de graduação e para os profissionais.
The transformation in the model of childbirth assistance and the creation of Birth Centers within the Brazilian Unified Health System referred to the importance of exploring the delivery assistance. This study aimed to understand and describe the beliefs and values that guide the practice of professionals in a Birth Center. We used a qualitative research approach and ethnographic method was developed in a Birth Center in a public hospital at the city of Osasco, São Paulo, Brazil. Data were obtained through the process of participant observation and ethnographic interviews. We interviewed all members of the professional team consisting of nurse midwife, technical nurse assistant, obstetrician and neonatologist physician, who were directly involved in delivery care and management of the institution. The inductive analysis and interpretation of data resulted in four sub-cultural themes, which correspond to each of the professions: nurse midwife: \"The Birth Center is not as it should be, many obstacles interfere on a humanized assistance of a childbirth; Technical nurse assistant: \"Doing what is possible: satisfaction with the giving assistance throught overcoming many difficulties\"; Obstetrician Doctor: \"A hard routine restrains the development of a good assistance; Medical neonatologist:\" Difficulties exist because they are common in the public service, but there is a satisfaction in relation to the assistance provided at the Birth Center. \" From sub-cultural themes emerged a cultural theme \"Between the idealized and the possible: the limits in the humanized delivery care\", which represents the everyday care delivery in the Birth Center that was the focus of this research. The limitations for the development of humanized childbirth were related not only to problems related to the precarious physical infrastructure and human resources or deficits caused by insufficient funding of childbirth care. They were also involved in the beliefs and values of professionals and their degree of involvement with the philosophy of humanization of childbirth care. It was noted that the effectiveness of humanized delivery care, as recommended by national and international organizations, depends on overcoming the several difficulties described in this study. A major challenge in this context is represented by the need to articulate the courses academic subjects in the health field with the fundamentals of Scientific Evidence-Based Medicine. Therefore it is very importante to the existence of exemplary service to the graduate students and professionals.

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Lamas, Abraira Laura. « The whole and its parts care circulation and children’s life paths in qingtianese transnational families ». Doctoral thesis, Universitat Autònoma de Barcelona, 2019. http://hdl.handle.net/10803/667942.

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La metáfora de las partes y el todo sirve para ilustrar los diferentes niveles y capas de esta investigación. El ‘todo’ del título hace referencia al cuidado y a su circulación en familias transnacionales Qingtianesas, divididas – mayormente – entre Qingtian (China) y España. Dicha circulación se da dentro y a través de las diferentes fronteras, siendo la dimensión transnacional clave. La ‘parte’ alude al lugar de los hijos/as de estas familias en dicha circulación, pero también al lugar del cuidado en las trayectorias de éstos. Además, la exploración del cuidado – como hecho social total (Durkheim, 1982) – torna una excusa para describir las dinámicas sociales más amplias que articulan el espacio transnacional entre Qingtian y España. Esta tesis está estructurada en tres partes. El marco teórico incluye una revisión crítica a la investigación sobre los cuidados, la familia transnacional y la idea de infancia; y dos capítulos complementarios a modo de contextualización: una aproximación a la familia china como institución y una introducción a la historia y características de la migración china en España. La segunda parte está centrada en el diseño de la investigación y la práctica. Los datos cualitativos han sido recolectados mediante una etnografía multi-situada llevada a cabo entre España y China, durante 6 y 13 meses respectivamente. Además, el trabajo de campo se articula como un proceso continuo, a través de la participación en plataformas virtuales como la aplicación de WeChat. La parte final incluye dos capítulos basados en los datos etnográficos. Usando el marco de la circulación del cuidado (Baldassar y Merla, 2014), el primero de ellos presenta una visión general sobre cómo el cuidado, desde una perspectiva multidimensional y multigeneracional – incluyendo hasta cuatro generaciones– circula en estas familias. Sobre esta base se asienta el segundo capítulo etnográfico, que explora las trayectorias vitales de la generación menor: desde sus primeros años hasta su condición actual de adolescentes y jóvenes adultos, combinando los testimonios en retrospectiva y tiempo presente con sus expectaciones futuras sobre el cuidado y la familia. En conjunto, esta tesis ofrece una perspectiva novedosa e integrada del estudio de las familias transnacionales y las trayectorias de los hijos/as de los inmigrantes, en la cual el cuidado es el hilo conductor. En esta investigación, clase social, género y lugar de socialización emergen como categorías clave para comprender muchos de los fenómenos analizados y su articulación en el espacio social transnacional. Además, los datos recogidos apuntan a la necesidad de superar la perspectiva adultocéntrica que domina la investigación sobre migración, dando voz y visibilidad a otros actores y de situar las prácticas y significados en contexto. Primero, la información etnográfica cuestiona los modelos hegemónicos de familia, infancia y cuidado y la supuesta disfuncionalidad de modelos alternativos. Segundo, desafía las asunciones – basadas en estereotipos en torno a la edad, concepciones etnocéntricas y la prevalencia de modelos de corte económico en los estudios sobre migración – acerca de la dirección de los flujos de cuidado en familias transnacionales. Tercero, revela un rol activo de los menores así como de la generación de los abuelos/as, desafiando el estereotipo de ambas generaciones como pasivas y dependientes, y abogando por el reconocimiento de sus valiosas contribuciones a familias y sociedades. Finalmente, cuestiona la asunción de que los descendientes de emigrantes tienden a disminuir el grado de interacción transnacional y los lazos con el país de origen de sus familias, sugiriendo que la movilidad social y la generalización y abaratamiento de los modos de transporte y comunicación promueve una mayor interacción y genera nuevas dinámicas en el espacio social transnacional.
The metaphor of the whole and its parts serves to illustrate the various levels and layers of this research. The ‘whole’ of the title refers to care and its circulation in Qingtianese transnational families, that are split mainly – but not only – between China and Spain. Such circulation takes place within each country and across borders, the transnational dimension being key. The ‘part’ refers to the place of Qingtianese transnational families’ children within this circulation; but it also alludes to the place of care within these children's life paths. Moreover, in this research, the exploration of care – as a social fact (Durkheim, 1982)– becomes a means by which to describe the broader social dynamics articulating the Qingtian-Spain transnational space. This thesis is structured in three parts. The first part includes the theoretical framework, which takes a critical approach to the research on care, transnational families and childhood, and two additional chapters which serve to contextualise the research: an overview of the Chinese family as an institution, and an exploration of the history and main features of Chinese migration to Spain. The second part offers an insight into the research design and practice. The qualitative data was collected through a multi-sited ethnography carried out between Spain and China, lasting 6 and 13 months, respectively. In fact, the fieldwork was a continuous process, connected through ongoing participation in virtual platforms, such as the WeChat app. The final part includes two chapters that are driven by the ethnographic data. Drawing on Baldassar and Merlas’ care circulation framework (2014), the first of these provides an overview of how care circulates, from a multi-dimensional and multi-generational perspective – including four-generations families – in Qingtianese transnational families. This provides the foundation for the second ethnographic chapter, which reviews the paths these families’ children have taken through their lives so far: from their early years to their current position as adolescents and young-adults, combining their retrospective and present-day accounts with their expectations about care and family in the future. Taken as a whole, this thesis takes an alternative and novel approach to integrated research on transnational families and children’s life paths, in which care is the unifying thread. In the Qingtian-Spain transnational social space, social class, gender and the place of socialisation, have shown themselves to be essential categories for understanding most of the phenomena addressed. Moreover, field data posits the need of moving beyond the adult-centred perspective that dominates migration research to give a voice and visibility to other actors, and to situate practices and meanings in context. Firstly, it has served to question hegemonic models of family, childhood and care which sanctions alternative models as dysfunctional. Secondly, it has challenged prejudiced assumptions – based on the ageist stereotypes, ethnocentric conceptions and financially-focused models prevalent in migration research – regarding the direction of flows of care in transnational families. Thirdly, it has revealed the active care role of minor children and the grandparents’ generation, challenging the stereotype of both as being passive and dependent, and calling for the recognition of their contributions to families and societies. And finally, it questions the assumption that the descendants of migrants engage in a decreasing degree of transnational interaction and ties with the family’s origin country, suggesting that families’ social mobility and the ongoing development and affordability of transportation and communication technologies promote an increasing transnational interaction and new dynamics in the social transnational space.

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Vivat, Bella. « The whole and the parts : spiritual aspects of care in a West of Scotland hospice ». Thesis, University of Edinburgh, 2006. http://hdl.handle.net/1842/21589.

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This thesis is an exploration of the spiritual aspects of hospice care, from the perspective of my understanding of the theory of the social construction of knowledge, and my particular interest in how people implement theories, beliefs and knowledge’s, especially excluded knowledge’s, in practices. The study examines the relationship between the dominant understandings and structures of allopathic medicine, the claim that hospices provide “total” or “holistic” care (which includes spiritual care) for dying people, and the practices of workers in a particular hospice. In addition, it considers the relevance for my own research practice of feminist research methodologies and the attempt to integrate ways of knowing which are considered, on the one hand, “emotional” and/or “subjective,” and, on the other hand, “rational” and/or “objective.” The thesis begins with a chapter which considers the theory of the social construction of knowledge, focusing predominantly on Thomas Kuhn’s concept of the “disciplinary matrix,” and discussing the relationship of this concept to new, particularly challenging theories, such as theory of social construction of knowledge itself and Cicely Saunders’ theory of “total pain” and “total care.” The thesis proceeds to outline my methodological approach, using feminist ethnographic methods, and to discuss my approach to analysing the data I collected through my fieldwork. This chapter is followed by two chapters which discuss my empirical findings. The first of these two chapters, drawing predominantly on material gathered through participant observation, reflects upon general aspects of care in the hospice, and notes the difficulties of observing spiritual aspects of care. The second empirical chapter considers workers’ perceptions and talk about these particular aspects of care, primarily through the material I gathered through one-to-one interviews. I argue that the particular hospice I studied was not a uniform place, but rather an assembly of distinct spaces, and workers’ practices differed both between these different parts of the hospice and between workers within each area. Thus, there was not a uniform approach to care in the hospice, and it varied depending on which particular workers were involved with a particular patient.

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Chan, Richard Wilkin. « Esthetics and Smile Characteristics From the Layperson’s Perspective : A Computer Based Survey Study, Part II ». The Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=osu1207962963.

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Gwyther, Elizabeth. « How is palliative care part of the right to health ? The South African evidence ». Doctoral thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/30368.

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Palliative care is an appropriate and compassionate response to the needs of patients with life threatening illness. International human rights law establishes palliative care as part of the right to health. But what does this mean in practice? How is palliative care part of the right to health at the country level and in everyday patient experience? This thesis addresses this question with evidence from South Africa. South Africa is important for a number of reasons. The government, despite the country’s progressive Constitution (No 108, 1996) which entrenches the right of access to health care has yet to take responsibility for palliative care. Most recently, the South African government co-sponsored the World Health Assembly (2014) resolution on palliative care and thus has a commitment to implementing the resolution. The thesis employs General Comment 14 on the Right to Health to frame the four nested studies that were carried out to address the key research question. General Comment 14 (2000), adopted by the United Nations Committee on Economic, Social and Cultural Right, describes the normative content of the right to health (Article 12 International Covenant on Economic, Social and Cultural Rights) to include four overlapping elements – availability, accessibility acceptability and quality. Aim of the research: to evaluate current provision of palliative care in South Africa in terms of the Human Rights considerations of availability, accessibility and quality. Study One commences the thesis by estimating the need for palliative care in South Africa. Using mortality data for 2010 for conditions determined a priori to require palliative care, approximately 0.52% of the population were estimated to require palliative care, which translates into an average need of 698.5 persons per 100000 or 1 in 143 people every year. While this is a considerable burden, it is also likely to be a significant under-estimate, given limitations to the methods identified in the study. Study Two examines availability of services to meet the need for palliative care. A survey was completed by 131 palliative care organisations between March 2011 and October 2011. Only 3% of services were located within the public sector. The estimated number of patients who received care during the year was 46,347. This is approximately 18% of the need identified earlier in Study One. Availability of morphine, as a marker for palliative care, was found to be dependent on employment of and level of palliative care training of doctors and was especially poorly supplied in the rural areas. Thus, the availability of Palliative Care appears to be limited by health system factors. Study Three investigates access to palliative care in Cape Town, via two pathways 1) referral of patients requiring palliative care and 2) palliative care in their current care settings. A prospective cohort study over six months followed up 162 participants from three groups: 1) patients with metastatic cancer; 2) patients living with HIV with a CD4 count of < 200 cells/mm3 ; and3) patients diagnosed with motor neuron disease (MND). A questionnaire and a validated patient-reported outcome scale, the African Palliative Care Association (APCA) African Palliative Outcome Scale (POS), was administered at first visit. Thereafter participants were followed up telephonically once a month. Few patients (5%)were referred to palliative care services even though a significant number of patients died during the course of the study, indicating a failure to access palliative care when needed. Patient outcomes for people living with HIV improved significantly whereas the majority of patient outcomes in the cancer and MND groups did not improve. Thus, the accessibility of palliative care to patients already in the health system appears to be poor, except when palliative care is integrated into primary care, as is the case for patients with HIV on ARV treatment. Study Four evaluated the quality of care delivered to patients requiring palliative care in accredited hospice and non-hospice non-governmental services in five of the nine provinces of South Africa. A survey was conducted with 459 patient participants and 253 family members who were followed up over a 4-6 week period. Perceptions of quality care were explored through narrative questions and patient-reported outcomes were assessed using the APCA African POS. The results show significant improvement in patient reported outcome measures in both hospice and non-hospice groups, with pain and worry showing the most improvement. Content analysis of the narrative questions identified 5 themes: Quality of Care, Place of care, Staff values and attitudes, Information-sharing and Problems experienced by participants Conclusion: The thesis presents evidence that despite nominal commitment by the state, palliative care is not yet implemented as part of the right to health in South Africa. The need is great but availability of palliative care services is insufficient to meet the need. Access is poor even where palliative care is available but is facilitated by integration of palliative care into primary care services. However, when access is achieved, quality of care is generally good and patient outcomes improve over time with evidence that palliative care values patients as individuals. The study considers concepts relating to dignity and human rights in health as core to both human rights and palliative care. Implications: In South Africa, the planned National Health Insurance Policy lists palliative care as a service in the primary health care setting. In addition, a National Palliative Care Policy has been approved with strategies to integrate palliative care into public health facilities. As General Comment 14 has proved useful for the thesis, for the future, it may also provide a framework to monitor state accountability on the basis of Availability, Accessibility, Acceptability, and Quality of palliative care that can be transferred to other countries.

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Marlow, Gregory. « Week 02, Video 02 : Car Modeling Part 1 ». Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/digital-animation-videos-oer/15.

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Marlow, Gregory. « Week 02, Video 03 : Car Modeling Part 2 ». Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/digital-animation-videos-oer/16.

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Kuramoto, Cintia. « Assistência ao parto de mulheres imigrantes : a vivência do enfermeiro obstetra/obstetriz ». Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-30092016-164021/.

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Este estudo descritivo, com abordagem qualitativa, teve como objetivo compreender como se dá a assistência do enfermeiro obstetra/obstetriz à mulher imigrante, durante o trabalho de parto e parto. Para obtenção dos dados, foram realizadas entrevistas com 11 enfermeiras obstetras/obstetrizes que tiveram a experiência de assistir mulheres imigrantes, durante o trabalho de parto e parto. Para o tratamento dos dados, foi utilizado o método de análise temática proposto por Bardin, utilizando o referencial da Teoria da Transculturalidade de Leininger, e foi possível obter três temas principais: o primeiro abordou a experiência ao realizar a assistência às mulheres imigrantes, trazendo os sentimentos vivenciados pelas enfermeiras obstetras/obstetrizes nessa experiência; o segundo, as dificuldades encontradas, com categorias relacionadas à linguagem e à cultura e o terceiro sobre os meios encontrados para facilitar a assistência às mulheres imigrantes. Neste estudo, os profissionais que atenderam a mulheres imigrantes relataram dificuldades principalmente relacionadas às barreiras linguísticas e culturais. Indicaram que perceber que a assistência às mulheres imigrantes é diferente é o primeiro passo para o cuidado transcultural. Apontaram que admitir a existência de dificuldades e considerá-las como um obstáculo que necessita ser enfrentado, fazendo com que essa experiência se torne positiva tanto para o profissional quanto para a mulher que está sendo atendida, é importante para que a assistência se torne cada vez melhor. É necessário um maior conhecimento sobre essa população para a adaptação da assistência às especificidades culturais, e o enfermeiro obstetra/obstetriz deve ser sensível a essas diferenças e adaptar seu cuidado. Os dados obtidos neste estudo podem oferecer subsídios para a implementação de ações no âmbito do atendimento às mulheres imigrantes, envolvendo os profissionais de saúde, as instituições de saúde e a população imigrante
This descriptive study, which takes a qualitative approach, sought to understand the workings of assistance given by obstetrics nurse/midwifes to immigrant women during labor and delivery. To obtain this data, interviews were carried out with 11 obstetrics nurses/obstetricians with experience assisting immigrant women during labor and delivery. Interpretation of this data was done via the thematic analysis method proposed by Bardin and by utilizing Leininger\'s Transcultural Theory, which allowed us to find three main themes: the first touches on the experience of carrying out assistance to immigrant women and concerns the sentiments felt by the obstetrics nurses/midwifes during this experience; the second, the challenges faced, with categories related to language and culture; and third, the ways that were found to facilitate assistance to immigrant women. In this study, the professionals that served immigrant women noted difficulties related primarily to language and cultural barriers. They noted that the perception that there is a difference when assisting immigrant women is the first step in transcultural care. They noted that admitting the existence of difficulties and considering these as obstacles that need to be overcome - turning the experience into something positive for both the professionals and the women being cared for - are important for continuously improving care. It is necessary to have a better understanding of this population to adapt assistance to specific cultures, and the obstetrics nurse/midwifes should be sensitive to these differences and adapt care accordingly. The data obtained in this study can offer support for the implementation of activities to serve immigrant women, involving health professionals, health institutions, and the immigrant population

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Picão, Vanessa dos Santos. « O ACOLHIMENTO NOS MOMENTOS QUE ANTECEDEM O PARTO : A VIVÊNCIA DA PARTURIENTE ». Pontifícia Universidade Católica de Goiás, 2016. http://tede2.pucgoias.edu.br:8080/handle/tede/3601.

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In Brazil, policies concerning women’s health are relatively new in Brazil, and in many states a program called Rede Cegonha is only gradually being realized. The present dissertation focuses the experience of obstetric intake at a service in hinterland of the state of Bahia. Objective: to investigate the experience of women in an obstetric unit during the moments immediately before childbirth. Method: Grounded Theory (GT) was chosen as theoretical and methodological reference for this study. Eleven women who had recently given birth were interviewed about their perception, feelings and experiences about the intake in the unit. Results: The analysis suggests three axes: Starting point, the Person in her context and e the Physical environment. These were constructed based on nine categories. The “Starting point” unites experiences and difficulties of transport to the unit. Many reported troubles in getting to the unit. The “Person in her context” describes vulnerabilities of the intake process, feeling cared for or not, valued or neglected. The recent mothers were sensitive to the interpersonal relation with the team, and to the rejection of their request to have a partner accompany them. However, most of them valued the service and the help they received. The axis “Physical environment” contains important ambient elements that positively or negatively influence the experience of the intake. Conclusion: Policies of personcentered care in obstetrics still have not been able to meet women’s real needs. Failure to meet the needs of women giving birth in the obstetric context leads to maladjustment in the process of delivery and birth. The perspectives analyzed in this study show that women are sensible to aspects like the personal relationship with the health professionals, care centered on the person with her vulnerabilities and the adequacy of the physical environment. Such factors can impact positively or negatively, depending on the experience of the woman giving birth. The same factors, when linked to the nursing practice, can also, aid or hinder adequate patient care.
As políticas de atenção à saúde da mulher no Brasil são relativamente novas e em muitos estados a Rede Cegonha ainda se encontra em fase de implantação. Esta dissertação enfoca a vivência do acolhimento à parturiente num serviço de obstetrícia no interior do estado de Bahia. Objetivo: investigar a vivência da parturiente em uma unidade obstétrica até os momentos que antecedem o parto. Método: a Grounded Theory (GT) ou Teoria Fundamentada nos Dados (TFD) foi escolhida como referencial teórico e metodológico para a realização deste estudo. Onze puérperas foram entrevistadas e as entrevistas concerniram à sua percepção, sentimentos e vivências acerca do acolhimento na unidade. Resultados: da análise das entrevistas surgiram três eixos norteadores, a saber: Ponto de partida, A pessoa no seu contexto e Ambiente físico; estes foram construídos a partir de nove categorias. O “Ponto de partida” abarcou vivências e complicações do deslocamento. Grande parte das parturientes apresentou dificuldade no transporte. “A pessoa no seu contexto” descreveu as fragilidades do processo, de sentir-se ou não assistida, valorizada ou negligenciada. As parturientes mostraram-se sensíveis à relação interpessoal com a equipe e à não permissão de acompanhante; contudo, quase todas valorizaram o serviço e o atendimento prestado, mesmo quando o percebiam de forma incompleta. O eixo “Ambiente físico” abarcou elementos importantes da ambiência que influenciam a vivência do acolhimento, positiva ou negativamente. Conclusão: as políticas e os programas de humanização na área obstétrica ainda não atendem às necessidades das parturientes. Falha em atender às necessidades das parturientes no contexto parto culmina em desajustes no processo de parto e nascimento. As perspectivas analisadas neste estudo mostram que as mulheres são sensíveis a aspectos como relacionamento com os profissionais, cuidados centrados na pessoa com suas fragilidades e adequação do ambiente físico. Tais fatores podem implicar positiva e/ou negativamente, a depender da vivência da parturiente. Essas mesmas vertentes, quando relacionadas à prática do enfermeiro, podem também, facilitar ou dificultar a assistência de enfermagem.

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Agostinho, Cláudia Catarina Granjo. « Competências clínicas e de investigação para um nascimento positivo ». Master's thesis, Universidade de Évora, 2020. http://hdl.handle.net/10174/27695.

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Introdução. A aquisição do grau de mestre concorre para o exercício profissional autónomo, fundamentado na evidência científica, que aplicado de forma individualizada permite ganhos em saúde materna. Objetivo. Descrever a experiência dos vários contextos de aprendizagem através das oportunidades clínicas e de investigação para a aquisição de competências. Metodologia. Descrição dos campos de estágio, análise das experiências clínicas e de investigação empírica sobre as expectativas e experiências do casal, face ao momento de nascimento. A amostra da vertente de investigação apresenta-se através de estatísticas descritivas. Resultados. A aquisição de competências clínicas teve balanço positivo, com mais/melhor conhecimento e desenvolvimento de competências. Da investigação resultou, que a aplicação do Plano de Parto, definido pela mulher/casal constitui medida optimizadora da experiência de nascimento. Conclusões. Em simultâneo com aquisição de competências, contribuiu-se para desocultar o fenómeno e promover experiências positivas no casal; ABSTRACT: Clinical and research skills for a positive birth Background. The purpose in graduating in a nursing master contributes to empowered nursing practice, based in scientific evidence, which when applied in an individualized way allows gains in maternity care. Objective. To examine the experiences in the different learning environments experienced through clinic nursing practice and research opportunities to competences development. Methods. Describing the internship places and to analyze clinical experiences and empirical research about parents’ experiences and expectations on the childbirth. This investigation is an exploratory descriptive study, using a qualitative approach. Results. The clinical competences acquisition had a great positive balance, with greater expertise and competences development. This study evidenced that the birth plan, designed by the mother or both parents, is an optimizing measure of the birth experience. Conclusion. Simultaneously with clinical competences development, the birth plan contributes with beneficial effects in regard of fear and concerns about the childbirth and promotes positive experiences between the couple.

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Angel, Elizabeth Sharon. « In search of parity : the Hospital Employees’ Union in the British Columbia long term care industry ». Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24394.

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In the decade between 1974 and 1984, union certifications for service workers in the B.C. long term care industry increased from twenty-one to one hundred and fourteen. From 1976 to 1984 wages increased as much as two hundred percent in some facilities while the cost of living, went up by ninety percent. These substantial changes were due largely to the efforts of the Hospital Employees' Union (HEU). The HEU wanted to expand into long term care and attain for its long term care members the rates found in its acute care Master Agreement. This thesis analyzes the development of the HEU as the principal union representing service workers in long term care and the extent to which the Union was successful in achieving its goals. Previous to 1973 long term care unions had difficulty achieving first collective agreements due to employer intransigence. Invoking Section 73 of the provincial Labour Code, they could circumvent this problem through arbitrated settlements, thus removing one of the major impediments to union growth. The growth of non-profit facilities after 1978, brought about by public funding of the industry, acted as a catalyst to union growth. In non-profit facilities employer resistance to organizing was less than in proprietary facilities and bed capacities were generally larger, making organizing less costly for unions. In 1984 the HEU held more than two-thirds of all certifications in long term care. The Union was more willing to make use of Section 73 than the other long term care unions. It also had financial and organizational resources that contributed to its organizing success in the industry. There are two employers' associations in long term care, the Health Labour Relations Association (HLRA) and the Continuing Care Employee Relations Association (CCERA). CCERA will likely emerge as the dominant employers' association in the industry. CCERA's forerunner, the labour relations function of the Long Term Care Association, was set up by non-profit long term care employers with the help of the provincial government to provide an alternative to HLRA as HLRA mainly represents acute care employers. However, through arbitration the HEU has been able to establish its Master Agreement as the appropriate rate of remuneration for long term care employees. The greater consolidation of bargaining structure that has occurred and the creation of a separate long term care employers' association does not appear to have prevented this outcome. Through arbitrated and negotiated settlements, the HEU has achieved Master Agreement rates, or at least 95% of Master Agreement rates, in all of its long term care facilities except for those without first collective agreements, or those that achieved first collective agreements after the Compensation Stabilization Program was implemented. Arbitrators agreed with the HEU's position that its long term care members were entitled to the same rates of pay as its members in general hospitals, as the work performed was comparable. However, until the industry became publicly funded in 1978, they felt obliged to consider the employer's ability to pay an increase. From 1978 on arbitration awards more closely reflected Master Agreement rates. However, it was not until government officials publicly stated that the costs of arbitrated settlements would be covered by the Ministry of Health that arbitrators consistently began to award Master Agreement rates. The Compensation Stabilization Act, passed in 1982, has had the effect of preventing the attainment of Master Agreement rates in all HEU facilities. Although arbitrators have continued to award the Master Agreement, the Commissioner has rejected many of the resulting "compensation plans" stating that the proposed increases fall outside the Program's Guidelines. In April 1985 long term care workers represented approximately thirteen percent of the HEU's total membership. Expansion into this industry has increased significantly the Union's size. It is unlikely, however, that the HEU has yet benefited financially from this growth. Since there are five other unions in the industry, the HEU is unlikely to ever be the sole representative of long term care service workers. However, the HEU holds seventy-seven certifications in the industry while the union with the next largest membership holds only twelve certifications. The health care union clearly has come to dominate long term care.
Business, Sauder School of
Graduate

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Giner, Rodrigo Carlos. « Third-party logistics suppliers under Just-in-sequence : A case in the Spanish Automotive Industry ». Thesis, Högskolan i Gävle, Avdelningen för Industriell utveckling, IT och Samhällsbyggnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-19728.

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Purpose - The purpose of the bachelor thesis is to describe the relationship between Third-party logistics (3PL) suppliers and car assemblers under Just-in-sequence (JIS). The paper refers to a case in the Spanish automotive industry and the main target is to identify and analyse the potential problems between both parts and explain how they work together. Methodology – The paper is based on a case study research, with the aid of interviews with people of the industry and participant-observations, to explain how this part of the supply chain works, the relationships along the chain and the difficulties of sequencing. Results – The paper identifies and analyses the potential problems between both parts and relates how a mistake from one of them can affect the other one. Then, the results are discussed and associated with some concepts of the theoretical framework. Limitations - The results of this case study can only be related to the Spanish automotive industry, for car assemblers that work under a JIS context with several 3PL suppliers. The case study only identifies and analyses the problems, solutions and measures for managing them are not provided.

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Brink, F. J. « The development of a financial plan to partly cover the cost of frail care in a retirement village in George ». Thesis, Port Elizabeth Technikon, 2002. http://hdl.handle.net/10948/84.

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The world population is ageing, and this is also relevant to South Africa. At the same time the potential support ratio (the number of persons aged 15 to 64 years per one older person aged 65 years or older) is falling, and the dependency burden on potential workers increases. To alleviate the financial burden on the aged, and their families, it has become necessary to develop a financial plan to cover the cost of frail care. The overall purpose of this research is to determine whether any financial plans exist which are relevant. If nothing existed, a plan had to be developed. The research methodology for this study comprised the following steps: Firstly, the demographics of the world and South Africa were researched. The concept of frail (long-term) care in the United States of America and New Zealand was investigated to determine what is available. The subsidisation concept of the South African Government towards caring for the elderly was also investigated. Secondly, a questionnaire was sent to the residents of five retirement complexes in George to determine their interest in such a plan. The records of the frail care unit that these residents utilise were analysed to determine the number of residents needing frail care. A comparative study of the cost of frail care in the Southern Cape was undertaken. Thirdly, two options to partly subsidise the cost of frail care were examined, where the first option covers the running cost, and the second option, subsidising one third of the frail care cost, builds up a sustainable fund after the first five year period. The funds of the second option can then be utilised in the subsequent years to increase the subsidisation portion of frail care cost. The final step of this study entailed the formulation of recommendations to implement the frail care nursing levy as soon as possible, with special attention given to the following: a) It must be compulsory for new residents to join the fund. b) A yearly capital amount of R100 000 or more is needed to sustain the fund. c) A contract must be drafted to set out all the rules and regulations to the residents. d) An attitude change amongst some residents is required. Individuals must realise that the success of this plan depends upon themselves and with the necessary support could make a significant contribution towards their own peace of mind if and when frail care is needed.

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Wright, Tracey Emily. « Providing therapy in the context of third party determined time limits : A mixed methods study of psychologists' experiences of working in pre-set timeframes ». University of Sydney, 2010. http://hdl.handle.net/2123/6407.

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Doctor of Philosophy
Psychological services in Australia are frequently provided in the context of third party payers who impose time limits based on reasons other than particular client (or therapist) characteristics. Time limits may function as a useful clinical factor in the provision of therapy, for example through accelerating treatment. Less is known about the third party imposition of time limits and the impact they may have on psychotherapy from the perspective of psychologists. The present study investigates the impact of time limits imposed in this manner from the viewpoint of practising psychologists. Practising psychologists took part in a mixed methods study. Twenty seven participated in a semi-structured interview, and eighty-five completed a mailed questionnaire. Interviews were analysed thematically, while both qualitative content analysis and statistical analyses were applied to questionnaires. The interview and questionnaire findings were congruent, both showing that a time limit makes a difference to psychologists. Psychologists are less satisfied with treatment that can be provided in the time limited as opposed to time unlimited context. However, they also perceived benefit in terms of improved client access to psychologists and improvements in the efficiency of therapy. Participants reported that the system of third party referrals had an impact on them that was over and above the impact that a time limit itself had, for example, the fact they were externally managed. The broader context therefore reportedly brought with it the need for psychologists to adapt their treatment to the context of the service. Psychologists reported that, in response to time limits, they often changed their treatment type, for example, from a psychodynamic to cognitive behavioural approach. They also made more general changes, such as moving quicker through the process of therapy and becoming more directive and less client-centred. Perceived outcomes were also affected by the time-limited context. How psychologists conceive of, report, and achieve outcomes is different in this context, and overall outcomes were perceived as weaker. In conclusion, this study has demonstrated that time limits impact upon psychologists in important ways with regard to the process and outcomes of psychotherapy. The broader system of third party referrals has implications for the delivery of psychological services in Australia, which clinical understandings of time limitation have not accounted for. Previous research has shown that the number of sessions available makes a difference, but the present research shows that a time limit cannot be separated from the system under which it is imposed, because once it is imposed, it has implications throughout the whole process.

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Wright, Tracey Emily. « Providing therapy in the context of third party determined time limits : A mixed methods study of psychologists' experiences of working in pre-set timeframes ». Thesis, The University of Sydney, 2009. http://hdl.handle.net/2123/6407.

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Psychological services in Australia are frequently provided in the context of third party payers who impose time limits based on reasons other than particular client (or therapist) characteristics. Time limits may function as a useful clinical factor in the provision of therapy, for example through accelerating treatment. Less is known about the third party imposition of time limits and the impact they may have on psychotherapy from the perspective of psychologists. The present study investigates the impact of time limits imposed in this manner from the viewpoint of practising psychologists. Practising psychologists took part in a mixed methods study. Twenty seven participated in a semi-structured interview, and eighty-five completed a mailed questionnaire. Interviews were analysed thematically, while both qualitative content analysis and statistical analyses were applied to questionnaires. The interview and questionnaire findings were congruent, both showing that a time limit makes a difference to psychologists. Psychologists are less satisfied with treatment that can be provided in the time limited as opposed to time unlimited context. However, they also perceived benefit in terms of improved client access to psychologists and improvements in the efficiency of therapy. Participants reported that the system of third party referrals had an impact on them that was over and above the impact that a time limit itself had, for example, the fact they were externally managed. The broader context therefore reportedly brought with it the need for psychologists to adapt their treatment to the context of the service. Psychologists reported that, in response to time limits, they often changed their treatment type, for example, from a psychodynamic to cognitive behavioural approach. They also made more general changes, such as moving quicker through the process of therapy and becoming more directive and less client-centred. Perceived outcomes were also affected by the time-limited context. How psychologists conceive of, report, and achieve outcomes is different in this context, and overall outcomes were perceived as weaker. In conclusion, this study has demonstrated that time limits impact upon psychologists in important ways with regard to the process and outcomes of psychotherapy. The broader system of third party referrals has implications for the delivery of psychological services in Australia, which clinical understandings of time limitation have not accounted for. Previous research has shown that the number of sessions available makes a difference, but the present research shows that a time limit cannot be separated from the system under which it is imposed, because once it is imposed, it has implications throughout the whole process.

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Darzins, Susan. « Validity and clinical utility of the Personal Care - Participation Assessment and Resource Tool (PC-PART) ». Thesis, Australian Catholic University, 2015. https://acuresearchbank.acu.edu.au/download/91dd2b99644ad17086f0227b9543d89eedb72a0682db07b97101ecdc513e9d1c/18972145/201509_DARZINS_THESIS.pdf.

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Inpatient rehabilitation aims to facilitate people’s functional recovery and return to participation in daily life roles and occupations. A critical aspect of rehabilitation is enabling people’s accomplishment of activities of daily living (ADL) required for community life. Functioning in ADL is typically assessed by occupational therapists in preparation for discharge to community living using a combination of standardised and non-standardised assessment methods. Typically used standardised assessments are important but their measurement constructs are limited in scope compared to the measurement needs of the rehabilitation context. The International Classification of Functioning, Disability and Health (ICF) provides a useful internationally recognised framework to help clinicians conceptualise and operationalise measurement of the breadth of human health status and functioning. In accordance with this framework, the Personal Care-Participation Assessment and Resource Tool (PCPART) aims to measure service-users’ participation restrictions in ADL required for community life, an aspect of functioning not typically measured in rehabilitation settings. The PC-PART may fill an important measurement gap in rehabilitation and contribute to comprehensive and clinically meaningful measurement of outcomes that are relevant to service-users’ life situations.

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Baraldi, Nayara Girardi. « Período pós-parto : práticas de cuidado adotadas pela puérpera ». Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/7/7141/tde-18122012-105359/.

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O puerpério é considerado uma fase de modificações biossocioculturais que, muitas vezes, não são compreendidas pela mulher, o que exige maior atenção dos profissionais, dos familiares e das redes de contato envolvidos em seu cuidado. A literatura e a prática profissional mostram que as crenças sobre o cuidado da puérpera têm relevância em seu cotidiano e, muitas vezes, se sobrepõem às orientações recebidas na instituição de saúde. Diante desta situação, este estudo teve como objetivo: explorar as práticas de cuidado adotadas no pós-parto pela mulher usuária de uma Unidade Básica de Saúde da cidade de Rio Claro, SP. Trata-se de estudo qualitativo, que teve como referencial teórico o Modelo de Competência Cultural de Purnell e cujos dados foram tratados pelo Discurso do Sujeito Coletivo (DSC). A pesquisa foi aprovada por Comitê de Ética em Pesquisa e atendeu à Resolução 196/96. Os dados foram coletados em 2011, por meio de entrevistas realizadas com 20 puérperas entre o 30º e 45º dias de pós-parto. Identificou-se a condição sociodemográfica e familiar das entrevistadas, além de sua vivência no puerpério. Os dados mostraram que as puérperas eram jovens, apresentavam baixo índice de tabagismo, etilismo e drogadição, com renda média em torno de 3 salários mínimos. Os relatos obtidos originaram 21 DSC, cujos conteúdos mostraram a influência de crenças sobre as práticas de cuidado no puerpério; crenças que foram transmitidas intergerações pelos cuidadores de sua rede familiar e cultural. Os profissionais de saúde se fizeram presentes por meio de orientações de práticas, com enfoque no biológico, oferecidas de maneira verticalizada e, por vezes, fragmentada e divergente, o que demonstrou sua dificuldade em acompanhar as influências culturais envolvidas no processo. Por conta disso, as práticas de cuidado no puerpério sofreram maior influência das crenças e dos padrões da cultura da mulher, como também das informações obtidas na internet, que preencheram lacunas e apontaram caminhos para a mulher seguir com maior segurança nesta fase do ciclo gravídico-puerperal. Diante dos achados, propõem-se o estabelecimento de estratégias para incorporação da bagagem cultural da mulher à assistência prestada pelo profissional de saúde, de modo a prover o cuidado culturalmente competente; a programação de grupos voltados à educação em saúde, focados na vivência do puerpério, para a mulher e sua rede de contato; a implementação da Estratégia Saúde da Família; e a inclusão do egresso de curso de Obstetrícia nos programas de saúde dos municípios, para agregar este novo profissional no cuidado da mulher e de seu recém-nascido.
Puerperium is considered a phase with biological, social and cultural changes often not correctly understood by women, the main reason why requires special attention from professionals, and caregivers networks involved on the care. Literature and professional practice shows that beliefs about postpartum care has a strong relevance in a womans routine and often overlaps guidance received at the health institutions. From this perspective, this study had as objective to explore practices adopted in postpartum by women served in the Basic Health Unit in a city of Rio Claro state of São Paulo (Brazil). This is a qualitative study and followed Purnell Cultural Competence Model as a theoretical approach and whose data was treated by the Collective Subject Speech (CSS). The data was approved by Ethics in Research Committee and complied with Resolution 196/96. The data was collected in 2011 through interviews with 20 women in the puerperium between 30 and 45 days of postpartum. We identified social and demographic conditions from each interviewed as well as from her family, besides their experiences at the puerperal period. The data showed that women in the puerperium were young, had low smoking rates, alcoholism or drugs addictions, and on average had an income that was equivalent to 3 minimum salaries. The reports had originated 21 CSS, and the contents showed the stronger beliefs influence on postpartum care practices; beliefs that were passed by intergenerational family and cultural caregivers. Health professionals demonstrated their presence through guidelines with practices with a biological focus and offered in a vertical manner, and sometimes divergent and fragmented, which demonstrated difficulty in following the cultural influences involved in the process. For this reason, puerperal care practices had suffered greatly due to the influence of beliefs and cultural woman patterns, as well as information obtained from the Internet. The Internet filled gaps and provided greater security methods to follow at pregnancy stage, childbirth as well as at puerperium. Upon reviewing the results, it is suggested that the following take place to incorporate the cultures of women to the experiences of the health care professionals to provide a culturally competent care; programming groups on health education focused on the puerperium experience for women and her caregivers; the implementation of Family Health Program, and the inclusion of Midwifery in the health programs to allow this new professional to take care the woman and her newborn.

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Marr, Gregory M. « Development of a Methodology for Creating Families of Parts ». Digital WPI, 1999. https://digitalcommons.wpi.edu/etd-theses/823.

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The purpose of this thesis was to develop methodologies and procedures for the construction and use of CAD part families. This project uses the software CADDS5 created by Computervision, Inc., and its "Family of Parts" module. This software allows the creation of an entire family of similar parts using a single parametric master model and a text file containing the necessary parameters for each member of the family. CADDS5 users at Raytheon were surveyed to determine how they use standard parts, what types of standard parts are used, and typical modeling strategies. A set of criteria were developed to determine which groups of parts would be good candidates to be used as test cases. Four test cases were used to develop the methodology or procedure for the creation of families of parts. In addition, efficient use of these part families required the development of a set of search engines to allow the users to find parts more easily, and a parts server to generate new family members. The Family of Parts software in CADDS5 serves as a starting point for the creation of a usable library of standard parts. However, it has a poor user interface and has no system for part management and database administration. This thesis has made up for several of these shortcomings, and has created the core of a working library that can be easily used by all of the designers without requiring detailed knowledge of the details behind the implementation. The methodology developed during this project provides the necessary information for designers to create the majority of standard parts in use at Raytheon. For those who want to expand the library, it has provided useful information that will help them create high-quality parts that will work well with this system.

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Carlson, Shane A. « Development of a Variational Part Model Using In-Process Dimensional Measurement Error ». Diss., CLICK HERE for online access, 2006. http://contentdm.lib.byu.edu/ETD/image/etd1341.pdf.

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Andrade, Paula Cristina Barros. « Parti??o de recursos entre carn?voros simp?tricos (Didelphimorphia e Carn?vora) em um arroio de Mata Atl?ntica no sul do Brasil ». UFVJM, 2017. http://acervo.ufvjm.edu.br/jspui/handle/1/1740.

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Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2018-07-04T19:40:19Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) paula_cristina_barros_andrade.pdf: 4804696 bytes, checksum: 4747b9532db16586177823f2a1eb0977 (MD5)
Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2018-07-18T13:01:12Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) paula_cristina_barros_andrade.pdf: 4804696 bytes, checksum: 4747b9532db16586177823f2a1eb0977 (MD5)
Made available in DSpace on 2018-07-18T13:01:12Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) paula_cristina_barros_andrade.pdf: 4804696 bytes, checksum: 4747b9532db16586177823f2a1eb0977 (MD5) Previous issue date: 2017
Funda??o de Amparo ? Pesquisa do estado de Minas Gerais (FAPEMIG)
Investigar as rela??es ecol?gicas entre esp?cies simp?tricas e suas intera??es com o habitat, s?o importantes para a compreens?o dos mecanismos que controlam a estrutura da comunidade ecol?gica. Entretanto, informa??es a respeito dos mecanismos que permitam a coexist?ncia entre mam?feros simp?tricos s?o ainda escassas. Descrevemos no presente estudo, os padr?es de dieta dos carn?voros simp?tricos Chironectes minimus e Lontra longicaudis, analisamos os poss?veis mecanismos de particionamento de recursos entre essas esp?cies, a partir das dimens?es de nicho alimentar, temporal e espacial e discutimos o potencial para intera??es interespec?ficas, como a competi??o e preda??o. Os h?bitos alimentares dos carn?voros foram estudados a partir das an?lises de amostras de fezes coletadas entre novembro de 2008 e fevereiro de 2012, em fragmentos de Mata Atl?ntica no arroio Morungava, localizado no munic?pio de Gravata?, Rio Grande do Sul, Brasil. Foram coletadas 85 amostras de C. minimus e 21 amostras de Lontra longicaudis, distribu?das entre 23 latrinas encontradas ao longo das margens direita e esquerda do arroio. A cu?ca d??gua e a lontra neotropical apresentaram h?bitos alimentares especialistas, por?m, com dietas distintas, especialmente com rela??o as preferencias alimentares e ? frequ?ncia dos itens consumidos, o que provavelmente se reflete no baixo ?ndice de sobreposi??o de nicho tr?fico entre as esp?cies. Chironectes minimus apresentou uma dieta primordialmente carnivora, no entanto, bastante diversificada, consumindo principalmente crust?ceos dec?podos (100%), insetos (69%) e peixes (40%), enquanto L. longicaudis apresentou uma dieta baseada principalmente no consumo de peixes (95%), seguidos por insetos (71%), e anf?bios anuros (67%). Observamos um padr?o de segrega??o espacial e temporal entre a cu?ca d??gua e a lontra neotropical na ?rea de estudo, embora, evid?ncias demonstrem que essas esp?cies coexistem em algum momento, tanto no espa?o quanto no tempo, j? que, registramos a preda??o da cu?ca d??gua pela lontra neotropical. Este ? o primeiro estudo de particionamento de recursos entre C. minimus e L. longicaudis, fornecendo informa??es importantes sobre os h?bitos alimentares destes mam?feros semiaqu?ticos e sobre os mecanismos ecol?gicos respons?veis pela estrutura desta guilda de carn?voros na Mata Atl?ntica.
Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Biologia Animal, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2017.
Investigate the ecological relationships between sympatric species and their interactions with the habitat are important for understanding the mechanisms that control the structure of ecological communities. However, informations regarding the mechanisms that allow the coexistence among sympatric mammals are still scarce. Here we described the feeding habits of two sympatric carnivores, Chironectes minimus and Lontra longicaudis, analyzed the resource partitioning mechanisms investigating different niche dimensions such as feeding, spatial and temporal niches, and also discussed the potential for interspecific interactions, such as intrespecific competition and predation. The feeding habits were studied from the analysis of fecal samples collected between November 2008 and February 2012, in fragments of Atlantic Forest in the Morungava stream, located in the city of Gravata?, Rio Grande do Sul, Brazil. 85 samples of C. minimus and 21 samples of Lontra longicaudis distributed among 23 latrines found along the right and left banks of the stream were collected, Water opossum and Neotropical otter presented specialized food habits, however, with different diets, especially regarding food preferences and frequency of consumed items, which is probably reflected by the slight trophic niche overlap between species. Chironectes minimus presented a primordial carnivorous diet, however, very diversified, consuming decapod crustaceans (100%), insects (69%) and fishes (40%), while L. longicaudis presented a diet based mainly on fish consumption 95%), followed by insects (71%), and anuran amphibians (67%). We observed a spatial and temporal segregation pattern among the water opossum and the Neotropical otter in the study site, although, evidences show that these species coexist at some time, both in space and time, since we recorded the predation of the water opossum by the Neotropical otter. This is the first study of resource partitioning among C. minimus and L. longicaudis, providing significant information about the feeding habits of these semi-aquatic mammals and about the ecological mechanisms responsible for the structure of this carnivorous guild in Atlantic Forest.

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Berning, Carl Clemens [Verfasser], André [Akademischer Betreuer] Kaiser et Elmar [Akademischer Betreuer] Schlüter. « Radical Right-Wing Populist Party Preference and Perceived Group Threat : Time, Context, and Moderators / Carl Clemens Berning. Gutachter : André Kaiser ; Elmar Schlüter ». Köln : Universitäts- und Stadtbibliothek Köln, 2015. http://d-nb.info/1067228683/34.

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Scarton, Juliane. « VIVÊNCIAS DE MULHERES-PRÍMIPARAS NAS PRÁTICAS DE CUIDADO AO PARTO VAGINAL ». Universidade Federal de Santa Maria, 2015. http://repositorio.ufsm.br/handle/1/7438.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
The birth is one of the major events in women's lives, because it establishes the transition to motherhood. In this sense, although the birth of a child usually be one of happiness overflowed event, one can not ignore that commonly this also constitutes a time of anxiety and fear determined by the experience of something unknown. To that end, all the attention in the birth process, from the beginning of labor, should be carried out taking into account the respect in the relationship between work, laboring woman and family. Based on the above, this study was guiding question "how was the experience of women-primiparous regarding care practices performed by nursing professionals during labor and delivery in a hospital in the state of Rio Grande South / Brazil? ", the objective was to know the experience of women-primiparous regarding care practices provided by nurses in labor and delivery. It was a field research, a qualitative approach with descriptive approach, performed in a maternity hospital in the interior of Rio Grande do Sul State, with ten women-gilts. Data production was due to the use of semi-structured interview, recorded in full, and the transcribed data and, subsequently, analyzed by qualitative analysis following the Proposal Operations. The ethical principles were observed under Resolution number 466/2012. This research was approved by the Research Ethics Committee, under the General Certificate of Appreciation for Ethics CAEE 26452313.8.0000.5346. Among the results emerged, care practices relating to non-pharmacological methods and evaluation of maternal and fetal well-being. Highlights included the active participation of nursing professionals, showing the present, concerned and helpful to the needs of women and also guided care in the clarification and guidance on how to proceed in the second stage and how to face the pain of uterine contractions in labor and delivery. On the other hand, it was found, the water and food restriction and routine performance of unnecessary procedures and without scientific evidence by nursing professionals. Moreover, it was found that professionals remained indifferent to the moment experienced by the woman and her family. In conclusion, the experience of care played by nurses in labor and delivery in attention to women-primiparous is intrinsically linked to the way the professional plays his care. It is hoped that this study will contribute in the care given to women in labor and delivery, through reflection and reformulation care behaviors in this area, both in hospitals and in the construction of knowledge on the subject in educational institutions, order to be consolidated from the needs of the key players involved in the birth scene, ie women, their babies and their families.
O nascimento constitui um dos principais acontecimentos na vida da mulher, pois estabelece a transição ao papel de mãe. Nessa direção, apesar de o nascimento de um filho ser habitualmente um acontecimento transbordado de felicidade, não se pode desconsiderar que comumente este também se constitui em um momento de ansiedade e medo determinados pela vivência de algo desconhecido. Nesse intuito, toda a atenção no processo parturitivo, desde o início do trabalho de parto, deve ser realizada levando-se em consideração o respeito na relação entre profissional, parturiente e família. Com base no exposto, este estudo teve como questão norteadora como foi a vivência de mulheres-primíparas em relação às práticas de cuidado realizadas pelos profissionais de enfermagem durante o trabalho de parto e parto, em uma instituição hospitalar do interior do estado do Rio Grande do Sul/Brasil? , o objetivo foi conhecer a vivência de mulheres-primíparas em relação às práticas de cuidado prestadas pelos profissionais de enfermagem no trabalho de parto e parto. Tratou-se de uma pesquisa de campo, de abordagem qualitativa, com enfoque descritivo, realizada em uma maternidade do interior do Estado do Rio Grande do Sul, com dez mulheres-primíparas. A produção dos dados deu-se pela utilização de entrevista semiestruturada, gravada na íntegra, sendo os dados transcritos e, após, analisados pela Análise de Conteúdo Temática seguindo a Proposta Operativa. Os preceitos éticos foram observados conforme a Resolução número 466/2012. Esta pesquisa obteve aprovação do Comitê de Ética em Pesquisa, sob o Certificado de Apresentação para Apreciação Ética CAEE 26452313.8.0000.5346. Entre os resultados, emergiram, as práticas de cuidado referentes aos métodos não farmacológicos e de avaliação do bem-estar materno e fetal. Destacaram-se a participação ativa dos profissionais de enfermagem, mostrando-os presentes, preocupados e solícitos às necessidades das mulheres e, também, cuidados pautados no esclarecimento e em orientações de como proceder no período expulsivo e de como enfrentar a dor das contrações uterinas no trabalho de parto e parto. Por outro lado, encontrou-se, a restrição hídrica e alimentar e a realização rotineira de procedimentos desnecessários e sem evidências científicas pelos profissionais de enfermagem. Ademais, constatou-se profissionais que permaneceram indiferentes ao momento vivido pela mulher e sua família. Conclui-se que, a vivência do cuidado desempenhado pelos profissionais de enfermagem no trabalho de parto e parto na atenção às mulheres-primíparas está intrinsicamente ligada à forma com que o profissional desempenha o seu cuidado. Espera-se que esse estudo possa contribuir no cuidado prestado às mulheres em trabalho de parto e parto, por meio da reflexão e reformulação de condutas de cuidados nesta área, tanto em maternidades quanto na construção do conhecimento acerca deste tema nas instituições de ensino, a fim de que seja consolidado a partir das necessidades das principais protagonistas envolvidos na cena do parto, ou seja, as mulheres, seus bebês e sua família.

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Croake, Sarah. « State mandates for mental health parity an effective tool in reducing unmet need for mental health care ? / ». CONNECT TO ELECTRONIC THESIS, 2008. http://dspace.wrlc.org/handle/1961/4557.

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Higgins, Philip C. « Is the Waiting the Hardest Part ? : How Cancer Family Caregivers Experience Quality of Care at the End of Life ». Thesis, Boston College, 2013. http://hdl.handle.net/2345/bc-ir:103541.

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Thesis advisor: Kathleen McInnis-Dittrich
Cancer caregivers are key stakeholders across the cancer trajectory, particularly in the final weeks of life and the bereavement period that follows. Current measures are limited in capturing caregiver assessment of the quality of end-of-life (EOL) care. Because none include caregiver perception of patient suffering or prolongation of death, the author sought to develop and validate a new measure of caregiver-perceived quality of EOL care that includes these dimensions. Data for this study comes from Coping with Cancer (CwC), a multisite, prospective, longitudinal study of advanced cancer patients and their caregivers (N=275 dyads). CwC investigators interviewed cancer patients and caregivers prior to the patient's death, and then caregivers again following the patient's death, on a range of psychosocial issues related to EOL care and bereavement. The present study represents a refinement of the author's previous work in developing and validating the Caregiver Evaluation of Quality of End-of-Life Care (CEQUEL) scale, a comprehensive measure of caregiver-perceived quality of EOL care. Factor analysis revealed four distinct factors: Prolongation of Death, Perceived Suffering, Shared Decision-Making, and Preparation for the Death. Each item loaded strongly on only a single factor. The author examined the new measure's factor structure, and evaluated its reliability (using Cronbach's α) and convergent validity (via associations between CEQUEL and key EOL outcomes). CEQUEL and its subscales showed moderate to acceptable Cronbach's α (range: 0.52-0.78). Higher scores (indicating better perceived quality of care) were positively associated with therapeutic alliance (ρ=.13; p≤.05) and hospice enrollment (z=-2.09; ≤;.05), and negatively associated with bereaved caregiver regret (ρ=-.36, p≤.001) and a diagnosis of Posttraumatic Stress Disorder (z=-2.06; p≤.05). Scores did not vary by caregiver characteristics other than religious affiliation, with Catholics scoring lower than non-Catholics, and those without religious affiliation scoring lower than those with an affiliation. Models predicting CEQUEL scores were compared using multiple regression analysis and AICc values. In unadjusted analyses, dying in a hospital, inpatient hospice length of stay (LOS) < 1 week, patients feeling seen as a whole person by their physician, and caregiver religiosity predicted CEQUEL scores. Only dying in a hospital (B=-1.65, SE=0.42, p=0.000) and inpatient hospice LOS < 1 week (B=-1.87, SE=-.69, p=0.008) remained significant in adjusted analysis. These findings suggest that CEQUEL is a brief, valid measure of quality of EOL care from the caregiver's perspective. This study also identifies key factors that can be modified to improve caregiver evaluation of quality of care and associated bereavement outcomes. CEQUEL is the first scale of its kind to include perceived suffering and prolongation of death. If validated in future work, it may prove a useful quality indicator for the delivery of EOL care and a risk indicator for poor bereavement adjustment. Implications for research, clinical practice and policy are discussed
Thesis (PhD) — Boston College, 2013
Submitted to: Boston College. Graduate School of Social Work
Discipline: Social Work

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Rangan, Ravi M. « Engineering data integration in a discrete part design and manufacturing environment ». Diss., Georgia Institute of Technology, 1990. http://hdl.handle.net/1853/18837.

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Hoeft, Steven L. « A financial analysis of resource sharing agreements as part of the TRICARE Managed Care Support Contracts ». Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1998. http://handle.dtic.mil/100.2/ADA359565.

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Thesis (M.S. in Management) Naval Postgraduate School, December 1998.
Thesis advisor(s): Richard Doyle, Bill Gates. "December 1998." Includes bibliographical references (p. 83-84). Also available online.

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Kia, Hossein. « "I'm part of this family" : how five care-giving partners of gay men story their experiences ». Thesis, University of British Columbia, 2011. http://hdl.handle.net/2429/36702.

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This study, whose purpose was to develop insight into the experiences of gay care-givers, examined how five Canadian care-giving partners of gay men storied their experiences, or how they constructed their subjective realities in the form of narratives. The five participants, all of whom were recruited either directly or indirectly with the help of community agencies, took part in two in-depth semi-structured interviews designed to invoke narratives relating to their identification as care-givers, their experiences mitigating challenges and encountering rewards, and their overall stories as gay carers. Though each of the participants' stories was analyzed individually, a cross-case analysis revealed a number of common themes spanning the respondents' stories. These realities included perceiving “choice” in committing to care, experiencing anticipated, felt, and overt expressions of homophobia and heterosexism, valuing gay-friendly sources of support, and constructing unique definitions of “family” and “partnership” in the context of care. A close analysis of the study's findings suggested that though many of the participants appeared to story complex issues found in the context of same-sex caring partnerships by attributing subjective meaning or significance to these realms of experience, an intricate array of structural factors also appeared to influence how these carers storied their lives as gay care-givers. Implications of the study's findings on social work practice at various levels of intervention, as well as recommendations for the pursuit of future research in related fields of inquiry, were outlined.

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Worswick, Louise. « Becoming part of behind the scenes : patients' experiences of co-learning with primary health care teams ». Thesis, Bournemouth University, 2013. http://eprints.bournemouth.ac.uk/21486/.

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Current debates about the involvement of health service users in service delivery, research and education focus on the purpose of their involvement, the methods of their involvement, barriers to their involvement and the impact of their involvement. There is little reported about the experience of service user involvement from the service user perspective although some reports are beginning to emerge. This research study explored the experiences of a group of health service users (patient representatives) who brought their experience of being a patient to contribute to an educational initiative about quality improvement and back pain. That study – the Learning to Improve the Management of Back Pain in the Community (LIMBIC) project, utilised a mixed methods approach to evaluate the impact of the educational initiative on clinical practice and patient outcomes for the management of back pain. Eleven patient representatives, uniquely placed as co-learners, participated with general practice teams learning about quality improvement principles and methods and implementing quality improvements in practice. To build on this learning initiative, the current study used semi-structured interviews to explore the patient representative experience and integrated the findings with existing LIMBIC data. The study illuminated aspects of the service user experience which led to the proposal for a model for co-learning with service users to bring about change. It contributes to the wider knowledge of service user involvement by identifying features of their experience that worked well for them and features that could be improved. The co-learner role is a new direction for service user involvement and represents a new movement in the field of inquiry about opportunities for service user involvement in the future. A debate has been opened about managing expectations of service users and about their potential for leadership and influencing change.

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Hextall, Ronald. « Implementation of government policy in relation to part two of the Registered Homes Act 1984 ». Thesis, University of Newcastle Upon Tyne, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.300358.

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Mutapcic, Emir, et n/a. « Optimised part programs for excimer laser-ablation micromachining directly from 3D CAD models ». Swinburne University of Technology. Faculty of Engineering and Industrial Sciences, 2006. http://adt.lib.swin.edu.au./public/adt-VSWT20061117.154651.

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Fabrication of a 3D structure and surface texture using excimer laser mask projection ablation processes typically requires the machine operator to develop a specific NC part program for the desired structure geometry, and also incorporate appropriate machine parameters to achieve the desired surface finish. The capability of the laser ablation process could therefore be significantly improved by developing a CAD/CAM system that automatically generates the NC part program using the 3D information of the CAD model of the desired structure. Accordingly, the focus of this research was to develop such a system that is, an effective CAD/CAM system specifically for excimer laser mask projection micromachining tools. To meet these requirements, a unique combination of commercially available systems was used to develop the new CAD/CAM system. The systems used comprised of a computer aided, feature based parametric design system (SolidWorks), together with its extended programming capabilities based on Automated Programming Interface (API) functions for Windows applications, and Visual Basic (VB) 6.0 programming utilities. The system's algorithms use a novel methodology to extract the 3D geometry of a microstructure. Two different techniques have been developed to extract the 3D data. First, where 3D geometry information from a CAD model was defined as a Stereolithography (STL) file, and second, where this information has been contained in a set of bit-map (BMP) files that represent a sliced or layered structure of a CAD model. Based on this, first an algorithm to create NC part programs to support Step-and-repeat micromachining technique was developed and then successfully extended to be applicable for another commonly used micromachining method, Workpiece-Dragging technique. The systems algorithms for both techniques are based on the raster-colour programming technique, resulting in substantially reduced mathematical complexity and computational time. This is the first time this approach has been used to support direct conversion of 3D geometry from a CAD model into an NC part program compatible with the excimer laser CNC controller. 2D mathematical models for controlling edge and stitching errors were also implemented in the system. An additional technique, named as 'Common Nest' has been developed with the aim to enable automatic NC part programming when microstructure design to be completed successfully, requires use of multiple complex mask patterns as a projection tool instead of just a single square aperture. The effectiveness of the system was verified by NC part program generation for several 3D microstructures and subsequent machining trials using polycarbonate (PC) and Polyethylene terephthalate (PET), and optimised processing parameters. Excellent agreement was obtained between the laser machined geometries and the microstructure CAD models. The Laser Scanning Confocal Microscope (LSCM) measured the lateral dimensions tolerance of 2m. The system was also successfully applied for a practical micro-engineering application, for the development of a microfluidics cell transportation device.

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Silva, Helena Margarida Câmara Pires Plantier Martins da. « Alta precoce pós-parto : proposta de modelo hospitalar no Algarve ». Master's thesis, Universidade de Évora, 2017. http://hdl.handle.net/10174/22650.

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A alta precoce de puérperas, com partos eutócicos sem complicações, assenta nas premissas: bem-estar da mãe/recém-nascido e redução de custos na saúde. Vários países adotam a alta precoce, sendo o modelo europeu o mais próximo da realidade do nosso país. Aconselha- se a decisão concertada entre mulher e profissionais, prevalecendo as necessidades da mulher. O objetivo do projeto era criar um modelo de alta precoce pós-parto, no centro hospitalar universitário do Algarve (CHUA). Aplicaram-se questionários a 304 puérperas e 75 enfermeiros dos hospitais de Faro e Portimão, para conhecer a sua opinião e disponibilidade de utilização deste modelo. Os resultados mostraram que caso existisse internamento de 24h, com contacto telefónico e visita domiciliária, cerca de 76% das puérperas o utilizariam e 57% dos enfermeiros concordariam em trabalhar neste contexto. Consideram os enfermeiros que a função de Gestor de Caso, deveria ser atribuída a especialista em saúde materna e obstetrícia. A alta precoce necessita critérios e protocolos propostos neste trabalho. Desenvolveram-se competências especializadas, convergindo para mais conhecimento e perícia, defendendo-se a ideia de que os cuidados em saúde materna e obstétrica teriam ganhos difundindo a oferta de alta precoce, associando cuidados de saúde primários e hospitalares; ABSTRACT: Title: Early Postpartum discharge: Proposal of hospital model in the Algarve Early discharge of postpartum mothers, with uncomplicated vaginal delivery is based on two assumptions: mother/ newborn well-being and reduction of health cost. Several countries adopted early discharge, being the European model the one that could best be adapted in Portugal. It is advised that early discharge be driven by the needs and choice of the women and concerted decision between women and professionals. The current project was designed to create a postpartum early discharge model at the Centro Hospitalar Universitário do Algarve (CHUA). Questionnaires were applied to a sample of 304 women and 75 nurses from the hospitals of Faro and Portimão. It was identified that if there were an option of 24 hours discharge, with telephone contact and home visit; 76% of the women would use it, and that 57% of the nurses would work on it. The role of Case Management should be assigned to a midwife. Early discharge at 24 hours requires well defined criteria and protocols proposed in this work. Specialized competencies were developed, contributing to additional knowledge and technical capacity. It is advocated that early discharge can benefit mother and new born and that primary care and hospital care should be well interrelated for this purpose.

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Faroleira, António José Ganchinho. « Relação na preparação para o parto com o Empowerment da puérpera na parentalidade ». Master's thesis, Universidade de Évora, 2021. http://hdl.handle.net/10174/29166.

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Enquadramento: Empowerment na gravidez é entendido como resultado da distribuição de informação, recursos e oportunidades cujo objetivo é fortalecer o conhecimento, a participação e os direitos dos utilizadores em relação às decisões. Objetivos: Analisar as atividades desenvolvidas nos diferentes contextos de prática clínica onde decorreu o Estágio de Natureza Profissional, demonstrando a aquisição de competências; Apresentar os contributos que visem melhorar as intervenções dos Enfermeiros Especialistas em Enfermagem de Saúde Materna e Obstétrica, no empowerment da grávida, nomeadamente através da relação com as aulas de preparação para o parto. Metodologia: Estágio realizado sob metodologia de supervisão clínica e realizado estudo descritivo e de abordagem quantitativa. Resultados: Foram cumpridas as experiências clínicas. No estudo verificou-se um nível de empowerment ligeiramente superior nas grávidas que participaram na preparação para nascimento e parentalidade. Conclusões: Objetivos do estágio e da pesquisa foram atingidos. A pesquisa demonstra que a participação na preparação para nascimento e parentalidade não tem influência no empowerment da grávida; Relationship in Childbirth Preparation with the Empowerment of Childbirth Abstract: Background: Empowerment in pregnancy is understood as a result of the distribution of information, resources and opportunities whose objective is to strengthen the knowledge, participation and rights of users in relation to decisions. Objectives: To analyze the activities developed in the different contexts of clinical practice where the Professional Nature Internship took place, demonstrating the acquisition of skills; To present the contributions that aim to improve the interventions of Specialist Nurses in Maternal and Obstetric Health Nursing, in empowering the pregnant woman, namely through the relationship with the preparation classes for childbirth. Methodology: Internship carried out under clinical supervision methodology and carried out a descriptive study with a quantitative approach. Results: Clinical experiments were carried out. In the study, there was a slightly higher level of empowerment in pregnant women who participated in the preparation for birth and parenting. Conclusions: Internship and research objectives were achieved. Research shows that participation in preparation for birth and parenting has no influence on the empowerment of pregnant women.

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Molopi, Malebane Reitumetse. « The experiences amongst caregivers of mental health care users with schizophrenia in the southern-western parts of Johannesburg ». Diss., University of Pretoria, 2019. http://hdl.handle.net/2263/76727.

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Due to the global push for deinstitutionalisation, the care of psychiatric patients has been transferred to their family members. Evidence worldwide however suggests that the rate of deinstitutionalisation has not been matched with the sufficient increase of community resources to support both the caregiver and the patient in the community where they reside (Lippi, 2016:1). The conducted study undertook to explore and describe the experiences of caregivers of Mental Health Care Users (MHCUs) with a diagnosis of Schizophrenia in the southern- western parts of Johannesburg. The goal of the present study was to explore the experiences of the caregivers of MHCUs with schizophrenia in the southern- western parts of Johannesburg. A qualitative research approach was utilised to conduct the study. The researcher made use of purposive sampling and semi-structured, face to face interviews were utilised to collect data. Ten interviews were conducted with caregivers of MHCUs in Lenasia South. The researcher however reports on 9 of the 10 interviews due to the fact that the recording device was stolen in the home of the researcher before the recording could be backed up. The findings of the study indicate that the caregivers of MHCUs often do not know the name of the diagnosis and do not understand the diagnosis. Many of the caregivers held the belief that the MHCU was bewitched. The social lives, health and finances of caregivers were negatively affected by the task of caregiving. The study found that caregivers are reluctant to leave the MHCU alone or in the care of other people, because they are constantly worried about their well-being. The study found that caregivers were stigmatised together with the MHCU in their communities. Community resources to support the caregiver and provide psychoeducation are non-existent in the experience of these caregivers. The study found that caregivers had minimal to no experience at all of receiving support from a social worker. The study concludes that the experiences of caregivers are difficult because of the lack of understanding of the illness, a lack of support and psycho-education and a lack of community resources that can aid the caregiver. Recommendations in the study include making a referral to be seen by a social worker mandatory for each case, social workers facilitating the start-up of peer support groups for the caregivers and being intentional about psycho-educating caregivers.
Mini Dissertation (MSW)--University of Pretoria, 2019.
Social Work and Criminology
MSW
Unrestricted

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Melo, Gleydson Ferreira de. « Análise da autonomia da gestante na escolha do tipo de parto ». Universidade Federal de Goiás, 2016. http://repositorio.bc.ufg.br/tede/handle/tede/5516.

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The pregnant woman's autonomy of analysis in choosing the type of delivery and the guidelines on prenatal care, the woman as an active agent in the parturition process. Objective: To analyze the autonomy of pregnant women face the choice of the type of delivery. It is a descriptive research field with a qualitative approach. The data were collected through semi-structured interviews were interviewed 80 pregnant women in a public unit of public health Goiania, Goiás, from August to September 2015. In the analysis and interpretation of data emerged the theme: autonomy pregnant women in choosing the type of delivery was drawn up three thematic categories: the pregnant woman's autonomy in choosing the type of delivery; Partner opinion and family and the influence of professionals in the puerperal gravid period. The study found that during the health unit prenatal did not favor dialogue with the pregnant woman in the types of delivery. It was identified break in the empowerment of women, the decisions of pregnant women are motivated by family experiences and or close pairs, but the doctor's professional statement directly influences the decision of pregnant women. The level of women's education directly influence the choice of the type of delivery; it was found that the previous experience of strengthen the type of delivery of the decision in subsequent pregnancies. Thus, the discussion of the results confirms the need to review and improvement of care programs pregnant women, especially in the public service, where there were great achievements in government policies, which advanced to ratify a quality and efficient service for women who seek comprehensive care at birth and childbirth.
Análise da autonomia da gestante na escolha do tipo de parto e as orientações no pré-natal, à mulher como agente ativa no processo de parturição. Objetivo: analisar a autonomia da gestante frente à escolha do tipo de parto. Trata-se de pesquisa descritiva de campo com abordagem qualitativa. A coleta de dados ocorreu por meio de entrevistas semiestruturadas, foram entrevistadas 80 gestantes atendidas em uma unidade pública de saúde pública de Goiânia, Goiás, no período de agosto a setembro de 2015. Na análise e interpretação dos dados emergiram o tema: A autonomia da gestante na escolha do tipo de parto elaborou-se três categorias temáticas: autonomia da gestante na escolha do tipo de parto; opinião do parceiro e familiares e a influência dos profissionais no período gravídico puerperal. O estudo revelou que durante o pré-natal a unidade de saúde não favoreceu o diálogo com a gestante quanto aos tipos de parto. Identificou-se ruptura na autonomia da mulher, as decisões das gestantes são motivadas por experiências familiares e ou pares próximos, entretanto a indicação do profissional médico influencia diretamente na decisão das gestantes. O grau de instrução da mulher influência diretamente na escolha do tipo de parto; constatou-se que as experiências anteriores de parturições fortalecem a decisão do tipo de parto em gestações subsequentes. Sendo assim, a discussão dos resultados encontrados, confirma a necessidade da revisão e do aperfeiçoamento dos programas de atendimento as gestantes, em especial no serviço público, onde ocorreram grandes conquistas nas políticas governamentais, que avançaram para ratificar um atendimento de qualidade e eficiente para as mulheres que buscam a assistência integral ao nascimento e ao parto.

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