75 research outputs found
Impact of Fatigue on Quality of Life in People With Parkinson’s Disease
Abstract
Date Presented 3/30/2017
The symptom of fatigue was shown to be an effector for quality of life (QOL) in people with Parkinson’s disease (PD) independently from motor function–related PD symptoms. Intervention to improve specific aspects of fatigue is recommended to promote better QOL for people with PD.
Primary Author and Speaker: Kayoko Takahashi
Contributing Authors: Naoto Kamide, Michinari Fukuda</jats:p
Not informed by the author
O câncer de mama tem motivado pesquisas de avaliação e intervenção psicológica pelos altos índices de mulheres acometidas pela doença, por ser o segundo tipo de câncer mais comum entre as mulheres no mundo e também responsável pelo maior número de mortes. As pacientes com câncer de mama enfrentam o sofrimento psíquico com o diagnóstico e as vicissitudes do tratamento oncológico, necessitando de ajuda psicológica urgente. Definiu-se como objetivo geral desta pesquisa investigar os efeitos terapêuticos da Psicoterapia Breve Operacionalizada (PBO) no atendimento de mulheres diagnosticadas com câncer de mama e em tratamento oncológico. Como objetivos específicos este estudo pretende averiguar os efeitos da técnica da PBO nas situações-problema localizadas nos setores adaptativos e verificar a eficiência da PBO nas situações de crise adaptativa. A pesquisa foi delineada pelo método misto e as participantes foram 17 mulheres, com idade entre 30 e 65 anos, que estavam em tratamento num ambulatório de oncologia do Grande ABC Paulista. Os instrumentos utilizados foram: entrevista clínica preventiva; Escala Diagnóstica Adaptativa Operacionalizada (EDAO) para avaliação da adaptação, antes e após a intervenção psicológica breve e no follow-up; e a PBO. Os resultados mostraram na avaliação inicial que 17,5% das participantes estavam com adaptação ineficaz grave (grupo 5), 53% estavam com adaptação ineficaz severa (grupo 4), 17,5% com adaptação ineficaz moderada (grupo 3) e 13% com adaptação ineficaz leve (grupo 2), sendo que 41,2% estavam em crise adaptativa por perda; o setor Orgânico foi o mais comprometido, seguido do Afetivo-Relacional com soluções pouquíssimo adequadas. A situação-problema da maior parte das participantes estava relacionada ao câncer de mama, o que na compreensão psicodinâmica mostrou-se associada ao intenso desamparo egóico diante do adoecimento e tratamento oncológico. Na avaliação adaptativa final e follow-up, 82,4% das participantes apresentaram evolução de grupo adaptativo. Concluímos que a PBO se mostrou eficiente em todas as idades, estado civil, escolaridade, tempo de diagnóstico, fase de tratamento oncológico e tipo de cirurgia (mastectomia radical ou parcial) e a técnica da interpretação teorizada mostrou-se eficiente para a solução das situações-problema e da crise adaptativa por perda. A motivação, a aliança terapêutica e a transferência positiva foram fundamentais para as participantes no aproveitamento das sessõesBreast cancer has motivated research of evaluation and psychological intervention by the high rates of women affected by the disease, because it is the second most common cancer among women worldwide and also responsible for more deaths. Patients with breast cancer face the psychological suffering with diagnosis and the events of cancer treatment, requiring urgent psychological help. Thus this research had as a general objective investigate the therapeutic effects of Brief Psychotherapy Operationalized (PBO) in the care of women diagnosed with breast cancer and cancer treatment. And the specific objectives were to investigate the effects of PBOs technique in problem-situations located in adaptive sectors and verify the efficiency of the PBO in situations of adaptive crisis. The research was outlined by the mixed method and the participants were 17 women aged 30 to 65, who were being treated in an oncology outpatients clinic in São Paulo. The instruments used were: preventive clinical interview, Adaptative Operational Diagnostic Scale (EDAO) for evaluation of adaptation before and after the brief psychological intervention and follow-up; and the PBO. The results showed in the initial evaluation that 17,5% of participants were in ineffective adaptation serious (group 5), 53% were in ineffective adaptation severe, 17,5% ineffective adaptation moderate and 13% ineffective adaptation light, whereas 41,2% were in the adaptative crisis by loss; the Organic sector was the most committed, followed by the Affective-Relational with solutions very little adequate. The problem-situation of most participants was related to breast cancer, which in psychodynamic understanding was associated to the intense helplessness ego in the face of illness and cancer treatment. In the final adaptive evaluation and follow-up, 82,4% of participants presented evolution of adaptive group. We concluded that the PBO was efficient at all ages, marital status, scholarity, time of diagnosis, cancer treatment stage and type of surgery (radical and partial mastectomy) and the technique of interpretation theorized proved efficient for the solution of problem- situations and adaptive crisis by loss. The motivation, the therapeutic alliance and positive transference were crucial for the participants in harnessing of the session
List of items
Handwritten note listing items, such as towels, pinstripes, threads, tobaccos, vegetable seeds, shoes, coffee, soap, ointment, cheese crackers, drapes, sugar, cough drops, candy, and others. The items are listed for Seijiro Ogawa, Fumko Saito, Kayoko, and Kilr__. The list was compiled by Seijiro Ogawa probably during the war
<ARTICLES>A New Approach to Social Inclusion: The Case of The Big Issue Japan
While the concept of social inclusion has been widely discussed in the academic arena, sociologists such as Ruth Lister have pointed out several associated dilemmas. Modern society is prone to value people according to their contribution to industrial society, and schemes of social inclusion often reflect this. They try to redirect excluded people back into society via some "remedy" or "treatment." This paper explores another possible means of achieving social inclusion, by examining the case of The Big Issue Japan. By tracing the transformation of the measures of social inclusion practiced for the street magazine vendors, the author tries to identify the elements needed to bring about significant changes. First, this paper reviews the literature related to social inclusion and examines the Japanese policy of Jiritsu-Shien-ho, a law aiming to enhance the self-support of homeless people, enacted by the Ministry of Health, Labour and Welfare in 2002. Second, it traces the transformations in social inclusion practiced by The Big Issue Japan by examining its magazine content and organizational outlines. Third, three of the homeless people who act as street vendors for the magazine were interviewed to investigate how their daily practices helped broaden the range of social inclusion possibilities available. In the last chapter, the author investigates how the social inclusion plan embodied by The Big Issue Japan has been transformed under the influence of the decisions made by the organization, the daily practices of the vendors themselves, and by the prevailing social structure
E-books Versus Printed Books in Extensive Reading
This paper presents how e-books and printed books were used in Extensive Reading (ER) in an English course during the first semester of 2015 at Kanazawa Institute of Technology (KIT). By comparing the actual number of e-books and printed books read by students and analyzing the comments about these two types of readers, the author concludes printed books are more useful for the students in ER activity. Finally, suggested improvements to the e-book system are discussed.identifier:2016092802
Evaluation of Structured Academic Portfolio Chart and Workshop for Reflection on Academic Work
AbstractAcademic Portfolio (AP), which is documentation of comprehensive academic work such as education, research, and service, is a practical material for faculty to evaluate and improve academic work. To create AP efficiently and effectively, Structured Academic Portfolio (SAP), which is modified AP with a basic structure of contents, was developed. However, creating SAP takes still three days and it puts a heavy strain on faculty. One possible solution is creating SAP Chart. SAP Chart is a one-page worksheet to show them the overview of the contents and the creation process of SAP and it works as preparation for creating SAP in short time. The chart has potential to reduce time drastically and lead faculty to reflect on and overview whole academic work. In this study, to investigate the availability of creation of SAP Chart, SAP Chart Workshop where faculty can create the chart for three hours was developed and conducted. At the end of the workshop, participants responded to a questionnaire for the evaluation of the SAP Chart creation. In the results, approximately 80% of responders agreed that they could reflect on whole academic work, especially education and relationship between education, research, and service. Additionally, they were satisfied with the chart as a whole and commented positively. Those results demonstrate that the chart shows faculty the overview of their whole academic work and enhances reflection on them. Therefore, SAP Chart can be one of effective and efficient tools for faculty to promote reflection on academic work
Adaptive family diagnosis: a pilot study
A Psicologia Clínica Preventiva vem se desenvolvendo no campo da pesquisa e prática, com o intuito de aprimorar modelos de intervenção clínica que possibilitem a promoção de saúde e a prevenção de problemas psíquicos na comunidade. O atendimento preventivo familiar é um meio de se alcançar a comunidade. Em projetos psicossociais com famílias, constatou-se a necessidade de um instrumento diagnóstico familiar que abrangesse a detecção precoce de sinais e sintomas, abreviando uma ação mais eficaz. Perante essa demanda, o presente trabalho teve por objetivo geral: o estudo piloto de um modelo diagnóstico familiar, com base na concepção da Teoria da Adaptação e da Escala Diagnóstica Adaptativa Operacionalizada (EDAO), para utilização no campo da Prevenção em Psicologia Clínica; e por objetivos específicos: 1) avaliar a adequação das relações familiares nos setores adaptativos; 2) verificar as situações-problema intrafamiliares; e, 3) averiguar quantas entrevistas preventivas são suficientes para abarcar a compreensão psicodinâmica/adaptativa da família. Para tanto, foram realizadas entrevistas preventivas domiciliares com cinco famílias inscritas no Programa de Saúde da Família (PSF). Verificou-se que três a quatro entrevistas preventivas, com duração de uma hora e meia, foram suficientes para obter os dados dos setores adaptativos e definir as situações-problema intrafamiliares. Os principais fatores que influenciaram na duração das entrevistas foram: indicação de brevidade, motivação de cada família, interrupções, capacidade da família em abordar assuntos ansiógenos, a superação ou não de resistências e, a participação de vários membros familiares. Uma das famílias interrompeu sua participação, mas seus dados puderam ser considerados na análise de resultados. A avaliação da adequação setorial indicou que: nenhuma família apresentou respostas adequadas no setor Afetivorelacional, somente, uma apresentou pouco adequada e, a maioria apresentou pouquíssimo adequadas; no setor Produtividade: duas famílias apresentaram respostas adequadas, duas apresentaram pouco adequadas e, uma pouquíssimo adequadas; no Orgânico duas famílias apresentaram respostas adequadas, uma pouco adequadas e duas pouquíssimo adequadas; já no Sociocultural todas as famílias apresentaram respostas adequadas. As situações-problemas foram passíveis de definição e, eram desencadeadas predominantemente por conflitos no setor Afetivo-relacional. Estes dados revelaram maior comprometimento no setor Afetivorelacional com influência no setor Orgânico. Assim, o estudo mostrou que este modelo de diagnóstico é uma proposta possível no que tange ao trabalho preventivo com famílias. Entende-se que a importância deste estudo, recai na possibilidade de promover recursos teóricos e técnicos que inspirem trabalho clínico e preventivo com famíliasPreventive Clinical Psychology has been developing in the research and practical fields with a view to improving clinical intervention models to enable health promotion and psychicproblem prevention in the community. Preventive family assistance is understood as tool to reach the community. In psychosocial projects involving families, the author found the need for a family diagnosis tool to cover the early detection of signs and symptoms, therefore accelerating a more effective action. In view of such demand, the general purpose of this paper is: to develop a pilot study for a family diagnosis model, based on the concept of the Adaptation Theory and Operational Adaptive Diagnostic Scale (EDAO, in Portuguese) to be used in the field of Clinical Psychology Prevention; its specific purposes were: 1) to evaluate the adequacy of family relations in the adaptive areas; 2) to check intra-family problem situations; and 3) to investigate how many preventive interviews are sufficient to cover the psychodynamic/adaptive understanding of the family. For this reason, preventive home interviews were be conducted with five families registered with the Family Health Program (PSF, in Portuguese). We observed that three to four one-hour-and-a-half preventive interviews were sufficient to obtain data from adaptive areas and define intra-family problem situations. The main factors affecting the duration of interviews were: indication of brevity, motivation of each family, interruptions, family ability to address anxiogenic matters, overcoming or not resistance, and participation of several family members. One of the families discontinued participation, but their data could be considered in the results analysis. The evaluation of area adequacy suggested that: none of the families presented proper responses in the affection-relational area, only one of them presented a poor response, most of them presented very poor response; in the productivity area: two families presented proper responses, two presented poor response and one of them presented very poor responses; in the organic area, two families presented proper responses, one of them presented poor responses and two of them presented very poor responses; however, in the social-cultural area, all families presented proper responses. Problem situations were possible to define and were triggered predominantly by conflicts in the affection-relational area. Those data revealed greater commitment in the affection-relational area with influence on the organic area. Therefore, the study showed that this diagnosis model is a viable proposal in regard to preventive work with families. The importance of this study is understood to be related to the possibility of promoting theoretical and technical courses to make feasible a clinical and preventive work with familie
The evolution of the concept of cultivation in modern Japan: The idea of cultivation in the 1930s
The Japanese word Kyoyo (translated as cultivation in this study) embodies a concept which has had significant influence on intellectuals and has shaped higher education in Japan from the 1910s until the present. Kyoyo (cultivation) is a common Japanese word to indicate characteristics of educated persons, but its meaning is different from education or school education in the strict sense of the word. Kyoyo (cultivation) has much to do with the substance of the effects of education or self-education such as character building.This dissertation seeks to correct a post World War II misinterpretation of Japanese intellectual history involving the idea that the concepts of cultivation (personal cultivation) or Kyoyo as articulated in the 1930s by people like Eijiro Kawai (1891-1944) were essentially identical with the Taisho Culturalism articulated in the 1910s by people like Jiro Abe (1883-1959) with a few exceptions like Jun Tosaka (1900-1945) or Kiyoshi Miki (1897-1945). This dissertation shows not only that the idea of cultivation in the 1930s is essentially different from that developed in 1910s but that the development of this idea in the 1930s took a number of different and sometimes conflicting forms. This study traced these conflicting arguments which have been almost completely neglected by contemporary intellectual historians.Based on the analysis of books and articles entitled cultivation from 1925 to 1945, this study found three dimensions of interest in the discussion of cultivation in the 1930s, namely, (a) political aspect of cultivation, (b) reconstruction of the idea of cultivation by eliminating class bias, and (c) cultivation as an insight into social connectedness to cope with the over-specialization.This study concludes that the idea of cultivation in the 1930s was vulnerable as an educational idea, but it prepared an intellectual basis for acceptance of the U.S. general education after World War II.Made available in DSpace on 2011-05-07T13:14:16Z (GMT). No. of bitstreams: 2
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