Rev Esc Enferm USP2005; 39(4):469-74.Crianças com câncer e suas famílias 469 CHILDREN WITH CANCER AND THEIR FAMILIES NIÑOS CON CÁNCER Y SUS FAMILIAS
O genograma e o ecomapa têm se mostrado como valiosos instrumentos para a compreensão de processos familiares. Este trabalho tem o objetivo de descrever a experiência da utilização desses instrumentos no levantamento de dados de uma pesquisa qualitativa, desenvolvida com nove famílias de crianças com câncer, que utilizou o interacionismo simbólico e a teoria fundamentada em dados como referencial teórico-metodológico a fim de compreender as vivências dessas famílias. Apresenta os aspectos positivos desses dispositivos, tais como: facilitar a abordagem entre o entrevistador e o entrevistado; visualizar de forma objetiva as relações intra e extrafamiliares; discutir e evidenciar opções de mudanças na família; identificar características comuns e únicas de cada membro da família e possibilitar ao entrevistado manifestações através da linguagem não-verbal. Conclui realçando algumas vantagens da utilização desses instrumentos e, alertando para suas limitações.
Within the context of their grieving families, this grounded theory study explored survivors' experiences of healing following youth suicide. The major theme developed in this study, Journeying Toward Wholeness, is conceptualized as a process involving the inter-relationships among three sub-themes: Grieving in Response to Youth Suicide, Mourning in Response to Youth Suicide, and Healing in Response to Youth Suicide. Initially, grieving, mourning, and healing occur within individual and family realms. Theoretically congruent with systems theory, this mid-range grounded theory suggests that grieving, mourning, and healing are embedded within a broader social context. This theory purports that grieving, mourning, and healing are related, dynamic, and seamless processes influencing each person's journey toward wholeness following youth suicide. This theory supplements the basis of holistic practice, directs us to accept a broad range of survivors' expressions of movement towards wholeness and health, stresses the importance of working with survivors' stories, and encourages us in relational practice.The increase in the incidence of youth suicide in recent years is a complex and disturbing fact of contemporary society. Despite an increase in the number of *This research study was funded by The
The floral development of Nelumbo nucifera was compared with that noted in previous studies of Nelumbo, Nymphaeaceae, and other basal angiosperms. Important features include developmental evidence of only two sepals, development of an androecial ring meristem, and an apocarpous gynoecium composed of ascidiate carpels that become embedded in an expanded receptacle. Secretory papillate trichomes cover the stigma and line the stylar canal. The unique apocarpous gynoecium, which lacks a conical residual floral apex, and a greatly expanded receptacle distinguish Nelumbonaceae from the Nymphaeaceae, as does the distinctive an droecial ring. Nelumbo is characterized by polysymmetric floral development, with some organs originating spirally (petals) and some in simultaneous whorls (stamens and carpels). This pattern of floral development, as well as the pattern of carpel closure by secretion, is common in several paleoherbs and eudicots and indicates phylogenetic affinity between Nelumbonaceae and basal angiosperms. Because of its unique floral development and anatomy, Nelumbo appears to be an isolated member of the eudicot dade.
The aim of this study was to examine the stability of the second edition of the Bayley Scales of Infant Development (Bayley II) by correlating Bayley II scores during the first year of life with Bayley II scores at approximately 18 months of age. Bayley II Mental and Motor Scales were administered to 119 infants (69 males, 50 females) during their first year of life; mean age for low‐risk group 7 months (SD 3.01) and mean age for high‐risk group 7.8 months (SD 2.46). A second set of Bayley II scores was collected on 104 of the infants at 17 to 22 months of age; mean age for low‐risk group 18.5 months (SD 1.07) and mean age for high‐risk group 18.9 months (SD 1.11). Mean time interval between the two assessments was 11.5 months for the low‐risk group and 11.15 months for the high‐risk group. Stability of the scores over time was assessed. Correlations for the Bayley II Mental Developmental Index and Psychomotor Developmental Index between administrations during the first and second years of life were r=0.49 (p<0.001) and r=0.48 (p<0.001) respectively. We conclude that approximately 23 to 24% of the variance in the infants' later Bayley II scores could be explained by the earlier scores. This is one of only two studies to examine the stability of Bayley II over time. Replication studies are needed to evaluate the consistency of these findings across other samples of infants.
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