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In the systemic perspective, family is a system capable of self-organization, which possesses enough resources and ability to solve its own problems. To promote family health, the systemic therapists are required to consider each family member’s opinions and construction to certain problems, and assist them to discover and activate their own resources as well. Promoting family health also requires members to actively develop a sharing pattern within the family, exert the positive role of family rules, develop an authoritative parenting style so as to promote the mental health of children. Family members should ensure the clear and open boundaries between different subsystems, and maintain the stability of subsystem of the husband and wife especially. Furthermore, family members in different subsystems should make reasonable trade-offs and choices corresponding to different situations in order to both minimize conflicts and maintain the satisfying function of the family system. A healthy and ideal intimate relationship is interpreted from the systemic perspective of " evolvable, changeable, associative" on the core of " intimacy, passion and commitment" . The relationship will enhance partners' personal growth, in which the partners can not only examine its dynamic variations together but also deepen the understanding and acceptance of each other under the circumstances of bilateral original families and living environments. In addition, a healthy conjugal relationship has higher requirements such as " kinship" , commitment to two families of the couple and the children, and balancing the benefits between core family and original family.
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Resumo Este ensaio traz o discurso proferido por Ailton Krenak em 25 de março de 2020, na Banca de Doutorado de Nayara Scalco, sob orientação da professora Marília Louvison, no Programa de Pós-Graduação em Saúde Pública da Faculdade de Saúde Pública da Universidade de São Paulo, acrescido de trechos da palestra proferida no Seminário Internacional: A Saúde Indígena e a Ecologia de Saberes no Enfrentamento dos Desafios Atuais: "Tem que ser do nosso jeito"1, em 26 de março de 2020. Neste cenário, traz a importância do diálogo entre diferentes saberes e como o Subsistema de Atenção à Saúde Indígena se constitui. Com foco no debate sobre a relação entre Estado brasileiro e povos indígenas desde os tempos do Brasil colônia, a partir da produção das Epistemologias do Sul que guia a discussão da tese, propõe repensar a saúde e o cuidado para além do saber biomédico.
Abstract This essay presents the speech given by Ailton Krenak on March 25, 2020, at the PhD thesis' defense of Nayara Scalco, advisee of Professor Marília Louvison, in the Graduate Program in Public Health, School of Public Health, University of São Paulo, plus excerpts from the lecture given at the International Seminar: Indigenous Health and Ecology of Knowledges in Facing Current Challenges: "It has to be our way"1, on March 26, 2020. In this context, it highlights the importance of a dialogue between different knowledges and how the Indigenous Health Care Subsystem is constituted. Focusing on the debate about the relationship between the Brazilian State and indigenous peoples since colonial times, based on the production of Epistemologies of the South that guides the discussion of the dissertation, it proposes rethinking health and care beyond biomedical knowledge.
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Humans , Male , Female , Public Policy , Cultural Diversity , Health of Indigenous Peoples , Health Policy , Health Services, Indigenous , Anthropology, CulturalABSTRACT
Objective This paper studied the characteristics and contents of the hospital scientific research management subsystem based on HRP system,analyzing its characteristics and functions,proposing solutions to identified problems to improve the hospital management and core competitiveness.Methods Through the analysis of the characteristics and design module contents of the research management subsystem of HRP system,some problems were identified in the system,such as the long adaptation process of researchers' new or old concepts,unstable research management subsystem affecting the links between departments and so on.Results To better deal with identified problems,this paper put forward some improvement measurements,such as strengthening the monitoring of H RP system's scientific research management subsystem,strengthening the safety construction of both HRP system and scientific research management subsystem.Conclusions HRP system and scientific research management subsystem reflect the refinement,scientific and integration of hospital management,which is a hospital management concept and a means to improve the core competitiveness of the hospital.We should change the percep tions,improve understandings,strengthen the collaboration,and promote the overall development of the hospital.
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Objective To construct subsystem of picture archiving and communicating system (PACS) based on video database of ophthalmology and to evaluate on effectiveness of applying PACS system in postgraduate teaching.Methods PACS subsystem were constructed by collecting audiovisual materials of ophthalmology surgery videos,retinal photography,B-ultrasonography,OCT,UBM of patients.A total of 24 postgraduates were divided into control group (n =12) and experimental group (n=12) by random number table.Students in control group was taught by traditional cases,books and literature while those in experimental by network teaching from PACS subsystem.Two teaching methods were assessed subjectively and objectively.Objective indicators including ophthalmology examination results,operational skill ratings and paper reviewing results as well as subjective indicators including efficiency to accept the knowledge,satisfaction degree of teaching,influencing degree of papers were employed to assess the effectiveness of the two teaching methods.Independent samples t-test and twosample rank sum test were used for statistical analysis,P ＜ 0.05 was considered statistically significant.Results Students in experimental group done better in operation scores and in the assessment of the efficiency of knowledge accepting,satisfaction of teaching and papers effect than control group(P =0.000、0.000、0.000、0.003).The two groups had no significant difference in professional exam achievements and paper review scores (P =0.625、0.354).Conclusions PACS subsystem based on video database of ophthalmology are benefit for postgraduate teaching.
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O recasamento tem ocorrido com bastante frequência, principalmente como decorrência do número de separações e divórcios. Nesta pesquisa, buscou-se compreender a percepção dos filhos ante as mudanças ocorridas em suas vidas devido ao recasamento, de um ou de ambos os genitores, especialmente, no que tange ao subsistema fraterno. Trata-se de uma pesquisa qualitativa, da qual participaram quatro pessoas (uma adolescente e três jovens adultos). Eles responderam a uma entrevista composta de questões referentes ao relacionamento com os irmãos e aos dados sociodemográficos. As respostas à entrevista foram analisadas com base na Análise de Conteúdo Temática. Pode-se concluir que nas fratrias formadas pelos irmãos biológicos as alterações não foram expressivas; no entanto, as fratrias mistas, que são formadas pelos irmãos políticos (filhos do padrasto ou da madrasta, sem vinculo biológico) e os meio-irmãos (irmãos por parte de mãe ou de pai) exigiram várias readaptações
Remarriage has occurred quite frequently, mainly as a result of the number of separations and divorces. This research sought to understand the perception of the children before the changes in their lives due to the remarriage of one or both parents, especially concerning the fraternal subsystem. It is a qualitative research whose participants were four teenagers or young adults. They responded to an interview consisting of questions about siblings relationship and their socio-demographic data. Their answers to the interviews were analyzed based on the thematic content analysis. It can be concluded that in fraternities formed by biological siblings the changes were not significant, however, mixed fraternities, which are formed by political siblings (sons of his stepfather or stepmother with no biological ties) and half-siblings (brothers by part of the mother or father) required several re-adaptations
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Humans , Male , Female , Adolescent , Young Adult , Sibling Relations , Social Adjustment , Marriage , Family Relations , Family CharacteristicsABSTRACT
As a gray and dynamic system,the life science frontier always exists in a dynamic status or alteration with research hotspots.By analyzing and defining the life science frontier,the author brought forward seven representatives of lire science frontier.which at present include genomics and system biology et al.In the meantime,the characteristics of seven frontiers and its significance for the scientific research management were analyzed with the scientific systemic theory.
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El presente artículo es producto de una amplia revisión teórica acerca del crecimiento y desarrollo del niño en su etapa preescolar realizada durante la investigación para diseñar y validar un instrumento que permita la valoración de la adaptación del niño entre los 25 y 72 meses tomando como base el Modelo de Adaptación de la Doctora Callista Roy, investigación que se está llevando a cabo en la Facultad de Enfermería de la Universidad de La Sabana. En el desarrollo del artículo se presentarán los conceptos generales sobre adaptación y mecanismos de afrontamiento, y se analizará con mayor detenimiento el mecanismo cognitivo y su desarrollo en la etapa preescolar, caracterizada por procesos preoperacionales, preconvencionales y premorales, la autonomía, la iniciativa y el inicio de la socialización.
This article is the result of a broad theoretical review about children's growing and development in pre-school stages; this review was done while researching to design and validate an instrument for assessing child's adaptation between 25 and 72 months based on the Roy Adaptation Model. The investigation is being conducted at the Nursing Faculty of La Sabana University. While developing the article, some general concepts about adaptation and confrontation mechanisms will be presented. The cognitive mechanism and its development in pre-school stages will be thoroughly analyzed; this stage is featured by pre-operational, pre-conventional and pre-moral processes, autonomy, initiative and socialization's beginning.
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With the approaches of lifecycle, structurizing and prototype applied, the dynamic management subsystem for medical equipment is developed, and thus the management level and economic benefit can be improved.