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Sample records for activities score instrumento

  1. APLICATIVO INFORMATIZADO COM O NURSING ACTIVITIES SCORE: INSTRUMENTO PARA GERENCIAMENTO DA ASSISTÊNCIA EM UNIDADE DE TERAPIA INTENSIVA

    Directory of Open Access Journals (Sweden)

    Meire Cristina Novelli e Castro

    2009-01-01

    Full Text Available La gravedad de la enfermedad del paciente o el número de intervenciones no son siempre proporcionales a la carga de trabajo de la enfermería. Este estudio descriptivo tuvo como objetivo demostrar la trayectoria de la construcción de un aplicativo (software con el contenido del Nursing Activities Score y sus características operacionales. Se realizó un test piloto con 12 pacientes y se recolectaron los datos por 90 días consecutivos en 123 pacientes. Hubo compatibilidad en la transmisión de datos del Personal Digital Assistent para la computadora de mesa inalámbrica. La construcción del aplicativo resultó en un sistema con recolección y administración de datos y permitió realizar la interfaz gráfica. La utilización del aplicativo posibilita el uso de un sistema tecnológico para aplicación diaria, con alimentación de un banco de datos sobre las características de los cuidados requeridos. Conociendo la evolución de estas variables durante la hospitalización, el enfermero podrá planificar, intervenir y evaluar la calidad del cuidado.

  2. Nursing activities score

    NARCIS (Netherlands)

    Miranda, DR; Nap, R; de Rijk, A; Schaufeli, W; Lapichino, G

    Objectives. The instruments used for measuring nursing workload in the intensive care unit (e.g., Therapeutic Intervention Scoring System-28) are based on therapeutic interventions related to severity of illness. Many nursing activities are not necessarily related to severity of illness, and

  3. Dimensionamento de enfermagem em Unidade de Terapia Intensiva: evidências sobre o Nursing Activities Score

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    Patrícia Cabral Ferreira

    2014-01-01

    Full Text Available El objetivo fue identificar el uso del Nursing Activities Score para dimensionar la carga de trabajo de enfermería en Unidad de Cuidados Intensivos. Revisión realizada en las bases de datos SCOPUS, CINAHL, PubMed y LILACS, en junio de 2013, en que se incluyeron 18 artículos publicados desde 2002. Los estudios se concentran en el Brasil; los medios Nursing Activities Score fue mayor que 50%, reflejando incompatibilidad con el recomendado por el Ministerio de la Salud brasileño. El Nursing Activities Score fue el instrumento más adecuado para estimar la cantidad de personal de enfermería en Unidad de Cuidados Intensivos; la correlación del Nursing Activities Score con variables demográficas y clínicas no está bien definida en los resultados de búsqueda, presentándose variaciones en los estudios analizados. El Nursing Activities Score es una herramienta relativamente nueva que presenta gran potencial de expansión por los resultados eficaces obtenidos con su uso hasta el momento.

  4. The Disease Activity Score and the EULAR response criteria.

    NARCIS (Netherlands)

    Fransen, J.; Riel, P.L.C.M. van

    2009-01-01

    The Disease Activity Score (DAS), its modified version the DAS28, and the DAS-based European League Against Rheumatism (EULAR) response criteria are well-known measures of disease activity in rheumatoid arthritis (RA). The DAS is a clinical index of RA disease activity that combines information from

  5. The Disease Activity Score and the EULAR response criteria.

    NARCIS (Netherlands)

    Fransen, J.; Riel, P.L.C.M. van

    2005-01-01

    In rheumatoid arthritis (RA), inflammatory activity cannot be measured using one single variable. For this reason the Disease Activity Score (DAS). has been developed. The DAS is a clinical index of RA disease activity that combines information from swollen joints, tender joints, the acute phase

  6. The Disease Activity Score and the EULAR response criteria.

    NARCIS (Netherlands)

    Fransen, J.; Riel, P.L.C.M. van

    2005-01-01

    In rheumatoid arthritis (RA), inflammatory activity cannot be measured using one single variable. For this reason the Disease Activity Score (DAS). has been developed. The DAS is a clinical index of RA disease activity that combines information from swollen joints, tender joints, the acute phase res

  7. The Disease Activity Score and the EULAR response criteria.

    NARCIS (Netherlands)

    Fransen, J.; Riel, P.L.C.M. van

    2009-01-01

    The Disease Activity Score (DAS), its modified version the DAS28, and the DAS-based European League Against Rheumatism (EULAR) response criteria are well-known measures of disease activity in rheumatoid arthritis (RA). The DAS is a clinical index of RA disease activity that combines information from

  8. Validity of the disease activity score in undifferentiated arthritis.

    NARCIS (Netherlands)

    Fransen, J.; Visser, K.; Dongen, H. van; Huizinga, T.; Riel, P.L.C.M. van; Heijde, D.M.F.M. van der

    2010-01-01

    OBJECTIVE: To study whether the Disease Activity Score (DAS) is a valid measure of disease activity in undifferentiated arthritis (UA). METHODS: Data from a randomized, double-blind, placebo-controlled trial of methotrexate (MTX) and placebo involving 110 patients with UA were used. Data included ba

  9. Pemphigus Vulgaris Activity Score and Assessment of Convergent Validity

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    Cheyda Chams-Davatchi

    2013-04-01

    Full Text Available Pemphigus is a rare autoimmune blistering disease with different phenotypes. The evaluation of therapeutic interventions requires a reliable, valid and feasible to use measurement. However, there is no gold standard to measure the disease activity in clinical trials. In this study we aimed to introduce the pemphigus vulgaris activity score (PVAS measurement and to assess the convergent validity with the experts’ opinion of disease activity. In PVAS scoring, the distribution of pemphigus vulgaris antigen expression in different anatomical regions is taking in to account with special consideration of the healing process. PVAS is a 0-18 scale, based on the extent of mucocutaneous involvement, type of lesion and the presence of Nikolsky’s sign. The sum of the scores of total number of lesions, number of different anatomic regions involvement and Nikolsky’s sign is weighted by the type of lesion. In the present study, PVAS was assessed in 50 patients diagnosed with pemphigus vulgaris by one dermatologist. Independently, five blinded experts scored all the patients through physician’s global assessment (PGA. The convergent validity with experts’ opinion was assessed. The Spearman coefficient of correlation showed the acceptable value of 0.751 (95%CI: 0.534- 0.876. PVAS is a valid, objective and simple-to-use scoring measurement. It showed a good correlation with PGA of pemphigus disease activity in Iranian patients with pemphigus vulgaris

  10. Pemphigus vulgaris activity score and assessment of convergent validity.

    Science.gov (United States)

    Chams-Davatchi, Cheyda; Rahbar, Ziba; Daneshpazhooh, Maryam; Mortazavizadeh, Seyed Mohammad Ali; Akhyani, Maryam; Esmaili, Nafiseh; Balighi, Kamran

    2013-05-07

    Pemphigus is a rare autoimmune blistering disease with different phenotypes. The evaluation of therapeutic interventions requires a reliable, valid and feasible to use measurement. However, there is no gold standard to measure the disease activity in clinical trials. In this study we aimed to introduce the pemphigus vulgaris activity score (PVAS) measurement and to assess the convergent validity with the experts' opinion of disease activity. In PVAS scoring, the distribution of pemphigus vulgaris antigen expression in different anatomical regions is taking in to account with special consideration of the healing process. PVAS is a 0-18 scale, based on the extent of mucocutaneous involvement, type of lesion and the presence of Nikolsky's sign. The sum of the scores of total number of lesions, number of different anatomic regions involvement and Nikolsky's sign is weighted by the type of lesion. In the present study, PVAS was assessed in 50 patients diagnosed with pemphigus vulgaris by one dermatologist. Independently, five blinded experts scored all the patients through physician's global assessment (PGA). The convergent validity with experts' opinion was assessed. The Spearman coefficient of correlation showed the acceptable value of 0.751 (95%CI: 0.534- 0.876). PVAS is a valid, objective and simple-to-use scoring measurement. It showed a good correlation with PGA of pemphigus disease activity in Iranian patients with pemphigus vulgaris.

  11. Influence of activity on quality of life scores after RYGBP.

    Science.gov (United States)

    Forbush, Steven W; Nof, Leah; Echternach, John; Hill, Cheryl

    2011-08-01

    Gastric bypass is one of the medically acceptable interventions for weight loss for the obese. Quality of life greatly improves after surgery. Most improvements in quality of life (QOL) after these surgeries are attributed to the weight loss. Few studies have demonstrated any contribution of other variables to positive outcomes in QOL. The purpose of this study was to suggest variables that improve QOL in this post-surgical population. The Arizona Activity Frequency Questionnaire, the Arizona Food Frequency Questionnaire, and the SF-36 survey were sent to all of the Roux-en-Y gastric bypass procedure (RYGBP) patients who had surgery 1-5 years prior to the study and performed through the same bariatric surgery center (n = 805; respondents = 265; 33%). Analysis was performed through ANOVA testing to determine relationships between selected behaviors and the SF-36 of the respondents. Comparisons of differences in SF-36 scores were analyzed using the variables of hours of activity/day (HOAD) and energy in activity/day (EEAD). Patients with more EEAD and HOAD demonstrated significantly better SF-36 scores in both mental component and physical component scores (p = 0.05) when compared to those with less EEAD or HOAD. Outcomes measured by the SF-36 tool were improved after RYGBP, if the patient expended more energy/day or was active more hours/day. The post-bariatric surgery populations will have improved QOL if the patients expend more energy and are active more hours as demonstrated in activity/day after their surgery.

  12. Demanda de intervenções de enfermagem a pacientes sob cuidados intensivos: nas - nursing activities score Demanda de intervenciones de enfermería a pacientes que necesitsan cuidados intensivos: nas - nursing activities score Demand for nursing interventions to patients under intensive care: nas - nursing activities score

    Directory of Open Access Journals (Sweden)

    Manuella Carvalho Feitosa

    2012-12-01

    Full Text Available Na assistência de enfermagem a pacientes críticos, a utilização de instrumentos capazes de quantificar a demanda de cuidados é fundamental para adequação da equipe de enfermagem e, com isso, melhorar o planejamento e a qualidade da assistência. Estudo descritivo e quantitativo, realizado de setembro a outubro/2011, com objetivo de avaliar a demanda de cuidados de enfermagem pela aplicação do Nursing Activities Score (NAS. Amostra de 45 pacientes, maioria do sexo feminino (64,4%, média de 51,4 anos recrutados em duas Unidades Intensivas de um Hospital Público em Teresina-Piauí. Foram realizadas 328 medidas do NAS, com média do escore total de 67,3%, variando de 39,2% a 133,7%. Os itens mais pontuados foram referentes às categorias "Atividades básicas", "Tarefas administrativas e gerenciais" e "Suporte respiratório". Uma média do NAS elevada permitiu concluir que essa clientela apresentou acentuada necessidade de cuidados, indicando o NAS como um bom instrumento para gerenciar recursos humanos de enfermagem.En los cuidados de enfermería de los pacientes críticos, el uso de instrumentos capaces de cuantificar la demanda de cuidados es fundamental para la adecuación del equipo de enfermería y, así, mejorar la planificación y calidad de la atención en salud. El objetivo de la investigación era evaluar la demanda de cuidados de enfermería mediante la aplicación del Nursing Activities Score (NAS en dos unidades de cuidados intensivos de un hospital público de Teresina, Piauí. Este estudio cuantitativo, descriptivo y retrospectivo fue realizado de Septiembre a Octubre/2011. Contó con una muestra de 45 pacientes, en su mayoría mujeres (64,4%, con un promedio de 51,4 años de edad. Las 328 mediciones del NAS obtuvieron una puntuación media total de 67,3%, que van desde el 39,2% a 133,7%, con artículos relacionados a las categorías: "Actividades básicas", "Tareas administrativas y de gestión" y "Soporte respiratorio

  13. [The NAS system: Nursing Activities Score in mobile technology].

    Science.gov (United States)

    Catalan, Vanessa Menezes; Silveira, Denise Tolfo; Neutzling, Agnes Ludwig; Martinato, Luísa Helena Machado; Borges, Gilberto Cabral de Mello

    2011-12-01

    The objective of this study was to present the computerized structure that enables the use of the Nursing Activities Score (NAS) in mobile technology. It is a project for the development of technology production based on software engineering, founded on the theory of systems development life cycle. The NAS system was built in two modules: the search module, which is accessed using a personal computer (PC), and Data Collection module, which is accessed through a mobile device (Smartphone). The NAS system was constructed to allow other forms, in addition to the NAS tool, to be included in the future. Thus, it is understood that the development of the NAS will bring nurses closer to mobile technology and facilitate their accessibility to the data of the instrument relating to patients, thus assisting in decision-making and in staffing to provide nursing care.

  14. Auditory short-term memory activation during score reading

    OpenAIRE

    Simoens, Veerle L; Mari Tervaniemi

    2013-01-01

    Performing music on the basis of reading a score requires reading ahead of what is being played in order to anticipate the necessary actions to produce the notes. Score reading thus not only involves the decoding of a visual score and the comparison to the auditory feedback, but also short-term storage of the musical information due to the delay of the auditory feedback during reading ahead. This study investigates the mechanisms of encoding of musical information in short-term memory during ...

  15. Auditory short-term memory activation during score reading.

    Directory of Open Access Journals (Sweden)

    Veerle L Simoens

    Full Text Available Performing music on the basis of reading a score requires reading ahead of what is being played in order to anticipate the necessary actions to produce the notes. Score reading thus not only involves the decoding of a visual score and the comparison to the auditory feedback, but also short-term storage of the musical information due to the delay of the auditory feedback during reading ahead. This study investigates the mechanisms of encoding of musical information in short-term memory during such a complicated procedure. There were three parts in this study. First, professional musicians participated in an electroencephalographic (EEG experiment to study the slow wave potentials during a time interval of short-term memory storage in a situation that requires cross-modal translation and short-term storage of visual material to be compared with delayed auditory material, as it is the case in music score reading. This delayed visual-to-auditory matching task was compared with delayed visual-visual and auditory-auditory matching tasks in terms of EEG topography and voltage amplitudes. Second, an additional behavioural experiment was performed to determine which type of distractor would be the most interfering with the score reading-like task. Third, the self-reported strategies of the participants were also analyzed. All three parts of this study point towards the same conclusion according to which during music score reading, the musician most likely first translates the visual score into an auditory cue, probably starting around 700 or 1300 ms, ready for storage and delayed comparison with the auditory feedback.

  16. Auditory short-term memory activation during score reading.

    Science.gov (United States)

    Simoens, Veerle L; Tervaniemi, Mari

    2013-01-01

    Performing music on the basis of reading a score requires reading ahead of what is being played in order to anticipate the necessary actions to produce the notes. Score reading thus not only involves the decoding of a visual score and the comparison to the auditory feedback, but also short-term storage of the musical information due to the delay of the auditory feedback during reading ahead. This study investigates the mechanisms of encoding of musical information in short-term memory during such a complicated procedure. There were three parts in this study. First, professional musicians participated in an electroencephalographic (EEG) experiment to study the slow wave potentials during a time interval of short-term memory storage in a situation that requires cross-modal translation and short-term storage of visual material to be compared with delayed auditory material, as it is the case in music score reading. This delayed visual-to-auditory matching task was compared with delayed visual-visual and auditory-auditory matching tasks in terms of EEG topography and voltage amplitudes. Second, an additional behavioural experiment was performed to determine which type of distractor would be the most interfering with the score reading-like task. Third, the self-reported strategies of the participants were also analyzed. All three parts of this study point towards the same conclusion according to which during music score reading, the musician most likely first translates the visual score into an auditory cue, probably starting around 700 or 1300 ms, ready for storage and delayed comparison with the auditory feedback.

  17. Methodological issues in the design of a rheumatoid arthritis activity score and its cut-offs

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    Collignon O

    2014-07-01

    Full Text Available Olivier Collignon Centre de Recherche Public de la Santé (CRP-Santé, Competences Centre for Methodology and Statistics (CCMS, Strassen, Luxembourg Abstract: Activity of rheumatoid arthritis (RA can be evaluated using several scoring scales based on clinical features. The most widely used one is the Disease Activity Score involving 28 joint counts (DAS28 for which cut-offs were proposed to help physicians classify patients. However, inaccurate scoring can lead to inappropriate medical decisions. In this article some methodological issues in the design of such a score and its cut-offs are highlighted in order to further propose a strategy to overcome them. As long as the issues reviewed in this article are not addressed, results of studies based on standard disease activity scores such as DAS28 should be considered with caution. Keywords: DAS28, disease activity score, penalized logistic regression, clinical prediction, modeling

  18. Development and validation of modified disease activity scores in rheumatoid arthritis

    DEFF Research Database (Denmark)

    Baker, Joshua F; Conaghan, Philip G; Smolen, Josef S

    2014-01-01

    -CDAI) were generated for each subject in the validation cohort. The M-DAS28, M-SDAI, and M-CDAI scores were compared to conventional scores of disease activity with regard to associations with MRI measures of synovitis and radiographic progression, assessed using Pearson's and Spearman's correlations, linear......OBJECTIVE: To develop and validate composite disease activity scores, based on widely available clinical measures, that would demonstrate improved correlation with detection of synovitis on magnetic resonance imaging (MRI) and radiographic progression, in comparison with conventional measures.......15 × SJC28 + 0.22 × EvGA + 1 and M-SDAI = CRP + SJC28 + EvGA. Both modified and conventional disease activity scores correlated significantly with MRI measures of synovitis. Modified scores showed superior correlation with synovitis, as compared to conventional scores, at all time points (P

  19. A disease activity score for ENT involvement in granulomatosis with polyangiitis (Wegener's)

    DEFF Research Database (Denmark)

    Del Pero, Marcos Martinez; Chaudhry, Afzal; Rasmussen, Niels

    2013-01-01

    Accurate assessment of disease activity in patients with otorhinolaryngological manifestations of granulomatosis with polyangiitis (Wegener's) (ENT/GPA) is necessary for treatment decisions and clinical trials. We have designed a disease activity score (ENT/GPA DAS) for this purpose....

  20. Scoring inflammatory activity of the spine by magnetic resonance imaging in ankylosing spondylitis: a multireader experiment

    DEFF Research Database (Denmark)

    Lukas, Cédric; Braun, Jürgen; van der Heijde, Désirée

    2007-01-01

    OBJECTIVE: Magnetic resonance imaging (MRI) of the spine is increasingly important in the assessment of inflammatory activity in clinical trials with patients with ankylosing spondylitis (AS). We investigated feasibility, inter-reader reliability, sensitivity to change, and discriminatory ability...... the Ankylosing Spondylitis spine Magnetic Resonance Imaging-activity [ASspiMRI-a, grading activity (0-6) per vertebral unit in 23 units]; the Berlin modification of the ASspiMRI-a; and the Spondyloarthritis Research Consortium of Canada (SPARCC) scoring system, which scores the 6 vertebral units considered......) assessed by Z-scores was good and comparable among methods. CONCLUSION: This experiment demonstrates the feasibility of multiple-reader MRI scoring exercises for method comparison, provides evidence for the feasibility, reliability, sensitivity to change, and discriminatory capacity of all 3 tested scoring...

  1. Adaptação cultural de instrumento que avalia atividades do trabalho e sua relação com sintomas osteomusculares Adaptación cultural de un instrumento que evalúa actividades del trabajo y su relación con síntomas osteomusculares Cross-cultural adaptation of an instrument to measure work-related activities that may contribute to osteomuscular symptoms

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    Marina Zambon Orpinelli Coluci

    2009-01-01

    Full Text Available OBJETIVO: Traduzir e adaptar culturalmente o questionário Work-related activities that may contribute to job-related pain and/or injury para o português falado no Brasil e verificar a validade de conteúdo desta nova versão. MÉTODOS: A adaptação cultural seguiu normas internacionalmente aceitas com as etapas de tradução, síntese, retro-tradução, avaliação por um comitê de especialistas e pré-teste. Esta versão do instrumento foi aplicada em 40 trabalhadores. RESULTADOS: O procedimento de adaptação cultural foi realizado com sucesso. O comitê de especialistas verificou a validade de conteúdo e realizou algumas modificações. No pré-teste, 7,5% dos indivíduos indicaram sugestões para um item do questionário e 17,5% demonstraram dificuldades no entendimento da instrução. Informações adicionais foram incluídas para tornar o instrumento final mais compreensível. CONCLUSÕES: A versão brasileira deste instrumento foi obtida com sucesso.OBJETIVO: Traducir y adaptar culturalmente el cuestionario Work-related activities that may contribute to job-related pain and/or injury al portugués hablado en el Brasil y verificar la validez de contenidos de esta nueva versión. MÉTODOS: La adaptación cultural siguió normas internacionalmente aceptadas con las etapas de traducción, síntesis, retro-traducción, evaluación por un comité de especialistas y pre test. Esta versión del instrumento fue aplicada a 40 trabajadores. RESULTADOS: El procedimiento de adaptación cultural fue realizado con éxito. El comité de especialistas verificó la validez de contenido y realizó algunas modificaciones. En el pre test, el 7,5% de los individuos indicaron sugerencias para un item del cuestionario y el 17,5% demostraron dificultades en el entendimiento de la instrucción. Las informaciones adicionales fueron incluidas para conseguir que el instrumento final sea más comprensible. CONCLUSIONES: La versión brasileña de este instrumento

  2. The Relationship Between Physical Activity and the Metabolic Syndrome Score in Children.

    Science.gov (United States)

    DuBose, Katrina D; McKune, Andrew J; Brophy, Patricia; Geyer, Gabriel; Hickner, Robert C

    2015-08-01

    The relationship between physical activity levels and the metabolic syndrome (MetSyn) score was examined in 72 boys and girls (9.5 ± 1.2 years). A fasting blood draw was obtained; waist circumference and blood pressure measured, and an accelerometer was worn for 5 days. Established cut points were used to estimate time spent in moderate, vigorous, moderate-to-vigorous (MVPA), and total physical activity. A continuous MetSyn score was created from blood pressure, waist circumference, high-density-lipoprotein, triglyceride, and glucose values. Regression analysis was used to examine the relationship between physical activity levels, the MetSyn score, and its related components. Logistic regression was used to examine the association between meeting physical activity recommendations, the MetSyn score, and its related components. All analyses were controlled for body mass index group, age, sex, and race. Time spent in different physical activity levels or meeting physical activity recommendations (OR: 0.87, 95%CI: 0.69-1.09) was not related with the MetSyn score after controlling for potential confounders (p > .05). Moderate physical activity, MVPA, and meeting physical activity recommendations were related to a lower diastolic blood pressure (p .05). While physical activity participation was not related with the MetSyn, lower diastolic blood pressure values were related to higher physical activity levels.

  3. Carga de trabajo en tres grupos de pacientes de UCI Española según el Nursing Activities Score Carga de trabalho em três grupos de pacientes em uma UTI espanhola segundo Nursing Activites Score Assessment of nursing workload in three groups of patients in a Spanish ICU using the Nursing Activities Score Scale

    Directory of Open Access Journals (Sweden)

    Francisco Javier Carmona-Monge

    2013-04-01

    Full Text Available Se objetivó valorizar la carga de trabajo al ingreso y al alta en tres grupos de pacientes (síndrome coronario agudo, insuficiencia respiratoria aguda y sepsis en terapia intensiva. Estudio descriptivo, prospectivo, de 27 meses, incluyéndose 563 pacientes, valorando carga de trabajo según Nursing Activities Score. Existieron diferencias significativas en la carga de trabajo al ingreso y en el alta entre los grupos de pacientes, siendo superior en ambos momentos la de pacientes con insuficiencia respiratoria aguda y sepsis frente a pacientes coronarios. Durante los siete primeros días de estancia se mantuvo esta diferencia, desapareciendo a partir del octavo día, equilibrándose la carga de trabajo para los tres grupos. Para conseguir una adecuada dotación de personal es fundamental contar con instrumentos para medir las necesidades de cuidados y conocer la carga de trabajo de los distintos grupos de enfermos que ingresan con mayor frecuencia en las unidades de terapia intensiva.O objetivo deste estudo foi avaliar a carga de trabalho na admissão e alta dos pacientes de três grupos (síndrome coronária aguda, insuficiência respiratória aguda e sepsis em cuidados intensivos. Trata-se de estudo prospectivo, descritivo, que decorreu durante 27 meses, incluindo 563 pacientes. Para a avaliação da carga de trabalho utilizou-se a escala Nursing Activities Score. A partir dos resultados do estudo parecem existir diferenças significativas na carga de trabalho no dia da admissão e alta entre os grupos de pacientes, sendo a carga maior em ambos os tempos a dos pacientes com insuficiência respiratória aguda e sepsis. Durante os primeiros sete dias de internamento essa diferença manteve-se, desaparecendo no oitavo dia, o que equilibrou a carga de trabalho para os três grupos. Conclui-se que para se conseguir os recursos adequados é essencial dispor de instrumentos para medir as necessidades de cuidados e conhecer a carga de trabalho dos

  4. The relationship between objectively measured physical activity, salivary cortisol, and the metabolic syndrome score in girls.

    Science.gov (United States)

    DuBose, Katrina D; McKune, Andrew J

    2014-08-01

    The relationship between physical activity levels, salivary cortisol, and the metabolic syndrome (MetSyn) score was examined. Twenty-three girls (8.4 ± 0.9 years) had a fasting blood draw, waist circumference and blood pressure measured, and wore an ActiGraph accelerometer for 5 days. Saliva samples were collected to measure cortisol levels. Previously established cut points estimated the minutes spent in moderate, vigorous, and moderate-to-vigorous physical activity. A continuous MetSyn score was created from blood pressure, waist circumference, high-density-lipoprotein (HDL), triglyceride, and glucose values. Correlation analyses examined associations between physical activity, cortisol, the MetSyn score, and its related components. Regression analysis examined the relationship between cortisol, the MetSyn score, and its related components adjusting for physical activity, percent body fat, and sexual maturity. Vigorous physical activity was positively related with 30 min post waking cortisol values. The MetSyn score was not related with cortisol values after controlling for confounders. In contrast, HDL was negatively related with 30 min post waking cortisol. Triglyceride was positively related with 30 min post waking cortisol and area under the curve. The MetSyn score and many of its components were not related to cortisol salivary levels even after adjusting for physical activity, body fat percentage, and sexual maturity.

  5. Cuadro de mando integral para el diseño y validación de instrumentos para valorar el desempeño académico de docentes The balance score card for the construction and validation of instruments to measure professors'academic performance

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    Alexis Tejedor de León

    2010-01-01

    Full Text Available La valoración de la labor docente es un pilar de la acreditación universitaria. En un momento, particularmente sensible relacionado a esta tendencia global y a la imagen que emerge de las diferentes unidades académicas y adminsitrativas, se torna importante, no solamente, recolocar el asunto de conocer si éstas ponen en práctica aquello que realmente enseñan, sino también conocer el grado de satisfacción de los" stakeholders" sobre los procesos de enseñanza-aprendizaje a nivel universitario. En este contexto, esta investigación tiene como objetivo diseñar y validar instrumentos dirigidos a explorar el entorno de la labor académica del docente universitario del Centro Regional de Veraguas de la Universidad Tecnológica de Panamá, considerando como ejes dimensionales la planificación, el desarrollo y las actividades psicopedagógicas propias de la labor académica. Para la realización de la investigación se utilizó la metodología del Cuadro de Mando Integral en las etapas de planificación estratégica del programa de evaluación académico y se utilizó la técnica Delphi para la validación de contenido y de constructo de los instrumentos. En la validación de la confiabilidad se determinó el valor Alpha de Cronbach utilizándose el programa para la PC de SPSS® para la toma de decisones.The evaluation of faculty work is a pillar in university accreditation. Moreover, particularly in a period sensitive to this tendency of faculty work evaluation and the image that emerges from the different academic and administrative units, it is important not only to restate the subject of whether what is taught is also put into practice, but also to know the degree of satisfaction expressed by the stakeholders in the teaching and learning process at the higher education level. In this context, the research aim is to develop and validate the instruments directed to explore the internal academic environment of the faculty at the Veraguas

  6. Load-specific physical activity scores are related to tibia bone architecture.

    Science.gov (United States)

    Kindler, Joseph M; Ross, Hannah L; Laing, Emma M; Modlesky, Christopher M; Pollock, Norman K; Baile, Clifton A; Lewis, Richard D

    2015-04-01

    Assessment of physical activity in clinical bone studies is essential. Two bone-specific physical activity scoring methods, the Bone Loading History Questionnaire (BLHQ) and Bone-Specific Physical Activity Questionnaire (BPAQ), have shown correlations with bone density and geometry, but not architecture. The purpose of this study was to determine relationships between physical activity scoring methods and bone architecture in non-Hispanic white adolescent females (N = 24; 18-19 years of age). Bone loading scores (BLHQ [hip and spine] and past BPAQ) and energy expenditure (7-day physical activity recall) were determined from respective questionnaires. Estimates of trabecular and cortical bone architecture at the nondominant radius and tibia were assessed via magnetic resonance imaging. Total body and regional areal bone mineral density (aBMD), as well as total body fat mass and fat-free soft tissue (FFST) mass were assessed via dual energy X-ray absorptiometry. Pearson's correlations and partial correlations adjusting for height, total body fat mass, and FFST were performed. Hip BLHQ scores were correlated with midtibia cortical volume (r = .43; p = .03). Adjusted hip and spine BLHQ scores were correlated with all midtibia cortical measures (r = .50-0.58; p < .05) and distal radius apparent trabecular number (r = .46-0.53; p < .05). BPAQ scores were correlated with all midtibia cortical (r = .41-0.51; p < .05) and most aBMD (r = .47-0.53; p < .05) measures. Energy expenditure was inversely associated with femoral neck aBMD only after statistical adjustment (r = .49, p < .05). These data show that greater load-specific physical activity scores, but not energy expenditure, are indicative of greater midtibia cortical bone quality, thus supporting the utility of these instruments in musculoskeletal research.

  7. Scoring inflammatory activity of the spine by magnetic resonance imaging in ankylosing spondylitis: a multireader experiment

    DEFF Research Database (Denmark)

    Lukas, Cédric; Braun, Jürgen; van der Heijde, Désirée

    2007-01-01

    OBJECTIVE: Magnetic resonance imaging (MRI) of the spine is increasingly important in the assessment of inflammatory activity in clinical trials with patients with ankylosing spondylitis (AS). We investigated feasibility, inter-reader reliability, sensitivity to change, and discriminatory ability...... the Ankylosing Spondylitis spine Magnetic Resonance Imaging-activity [ASspiMRI-a, grading activity (0-6) per vertebral unit in 23 units]; the Berlin modification of the ASspiMRI-a; and the Spondyloarthritis Research Consortium of Canada (SPARCC) scoring system, which scores the 6 vertebral units considered...

  8. Metabolic syndrome risk score and time expended in moderate to vigorous physical activity in adolescents

    OpenAIRE

    Stabelini Neto,Antonio; Campos,Wagner de; dos Santos, Géssika Castilho; Mazzardo Junior, Oldemar

    2014-01-01

    Background The clustering of metabolic syndrome risk factors is inversely related to the amount of physical activity. However, the question remains as to how much daily physical activity is enough to prevent the onset of metabolic disorders in adolescents? Therefore, the objectives of this study were to associate the metabolic risk score with the moderate to vigorous physical activity (MVPA) and to identify the amount of daily physical activity to prevent the onset of the metabolic risk facto...

  9. Nursing Activities Score e demanda de trabalho de enfermagem em terapia intensiva Nursing Activities Score y demanda de trabajo de enfermería em cuidados intensivos Nursing Activities Score and demand of nursing work in intensive care

    Directory of Open Access Journals (Sweden)

    Illoma Rossany Lima Leite

    2012-01-01

    Full Text Available OBJETIVO: Medir e caracterizar a carga de trabalho de enfermagem em Unidade de Terapia Intensiva (UTI por meio da aplicação do Nursing Activities Score (NAS. MÉTODOS: Estudo descritivo quantitativo, retrospectivo, realizado em uma das UTIs de um Hospital Filantrópico de Teresina- PI, de setembro a outubro de 2010, com amostra de 66 pacientes. Foram realizadas 285 medidas do escore NAS. RESULTADOS: Quanto à carga de trabalho de enfermagem, foi verificada uma média do escore total do NAS de 68,1% (51,5% e 108,3%, correspondendo à porcentagem de tempo gasto pelo profissional de enfermagem na assistência direta ao paciente nas 24 horas. Houve correlação estatística entre NAS e desfecho clínico (p= 0,001. Já entre NAS e tempo de internação (p= 0,073 e NAS e idade (p=0,952, não houve significância estatística. CONCLUSÃO: Os resultados mostraram que os pacientes apresentaram elevada necessidade de cuidados, refletida pela média elevada do NAS.OBJETIVO: Medir y caracterizar la carga de trabajo de enfermería en una Unidad de Cuidados Intensivos (UCI por medio de la aplicación del Nursing Activities Score (NAS. MÉTODOS: Estudio descriptivo cuantitativo, retrospectivo, realizado en una de las UCIs de un Hospital Filantrópico de Teresina-PI, de setiembre a octubre del 2010, con una muestra de 66 pacientes. Se realizaron 285 medidas del score NAS. RESULTADOS: En cuanto a la carga de trabajo de enfermería, se verificó una media del score total del NAS del 68,1% (51,5% e 108,3%, correspondiendo al porcentaje de tiempo gastado por el profesional de enfermería en la asistencia directa al paciente en las 24 horas. Hubo correlación estadística entre NAS y deshecho clínico (p= 0,001. Ya entre NAS y tiempo de internamiento (p= 0,073 y NAS y edad (p=0,952, no hubo significancia estadística. CONCLUSIÓN: Los resultados mostraron que los pacientes presentaron elevada necesidad de cuidados, reflejada por la elevada media del NAS

  10. Evaluating Transcription Factor Activity Changes by Scoring Unexplained Target Genes in Expression Data

    Science.gov (United States)

    Berchtold, Evi; Csaba, Gergely; Zimmer, Ralf

    2016-01-01

    Several methods predict activity changes of transcription factors (TFs) from a given regulatory network and measured expression data. But available gene regulatory networks are incomplete and contain many condition-dependent regulations that are not relevant for the specific expression measurement. It is not known which combination of active TFs is needed to cause a change in the expression of a target gene. A method to systematically evaluate the inferred activity changes is missing. We present such an evaluation strategy that indicates for how many target genes the observed expression changes can be explained by a given set of active TFs. To overcome the problem that the exact combination of active TFs needed to activate a gene is typically not known, we assume a gene to be explained if there exists any combination for which the predicted active TFs can possibly explain the observed change of the gene. We introduce the i-score (inconsistency score), which quantifies how many genes could not be explained by the set of activity changes of TFs. We observe that, even for these minimal requirements, published methods yield many unexplained target genes, i.e. large i-scores. This holds for all methods and all expression datasets we evaluated. We provide new optimization methods to calculate the best possible (minimal) i-score given the network and measured expression data. The evaluation of this optimized i-score on a large data compendium yields many unexplained target genes for almost every case. This indicates that currently available regulatory networks are still far from being complete. Both the presented Act-SAT and Act-A* methods produce optimal sets of TF activity changes, which can be used to investigate the difficult interplay of expression and network data. A web server and a command line tool to calculate our i-score and to find the active TFs associated with the minimal i-score is available from https://services.bio.ifi.lmu.de/i-score. PMID:27723775

  11. Twitter Activity Associated With US News and World Report Reputation Scores for Urology Departments.

    Science.gov (United States)

    Ciprut, Shannon; Curnyn, Caitlin; Davuluri, Meena; Sternberg, Kevan; Loeb, Stacy

    2017-06-29

    To analyze the association between US urology department Twitter presence and U.S. News and World Report (USNWR) reputation scores, to examine the content, informational value, and intended audience of these platforms, and to identify objectives for Twitter use. We identified Twitter accounts for urology departments scored in the 2016-2017 USNWR. Correlation coefficients were calculated between Twitter metrics (number of followers, following, tweets, and Klout influence scores) with USNWR reputation scores. We also performed a detailed content analysis of urology department tweets during a 6-month period to characterize the content. Finally, we distributed a survey to the urology department accounts via Twitter, inquiring who administers the content, and their objectives for Twitter use. Among 42 scored urology departments with Twitter accounts, the median number of followers, following, and tweets were 337, 193, and 115, respectively. All of these Twitter metrics had a statistically significant positive correlation with reputation scores (P reputation, and urologists are considered the most important target audience. There is statistically significant correlation between Twitter activity and USNWR reputation scores for urology departments. Our results suggest that Twitter provides a novel mechanism for urology departments to communicate about academic and educational topics, and social media engagement can enhance reputation. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. La auditoria de los instrumentos financieros derivados

    National Research Council Canada - National Science Library

    Mesen Figueroa, Vernor

    2010-01-01

    ... este ultimo el objetivo de este articulo. La Norma Internacional de Auditoria 1012 "Auditoria de Instrumentos Financieros Derivados", estipula los procedimientos que se deben tomar en cuenta para determinar la razonabilidad...

  13. Assessing pediatric ileocolonic Crohn's disease activity based on global MR enterography scores

    Energy Technology Data Exchange (ETDEWEB)

    Pomerri, Fabio; Zuliani, Monica; Giorgi, Benedetta; Muzzio, Pier Carlo [University of Padova, Department of Medicine-DIMED, Padova (Italy); Al Bunni, Faise [Rovigo Hospital, Radiology Unit, S. Maria della Misericordia, Rovigo (Italy); Guariso, Graziella; Gasparetto, Marco; Cananzi, Mara [University of Padova, Department of Women and Child Health, Padova (Italy)

    2017-03-15

    This study was aimed at correlating a magnetic resonance index of activity (MaRIA) and a magnetic resonance enterography global score (MEGS) with activity indexes in a paediatric population with Crohn's disease (CD). This retrospective study included 32 paediatric patients (median age 14.5 years, 18 male) with proven CD who underwent magnetic resonance enterography (MRE). A correlation analysis was performed on the MRE-based scores, the simplified endoscopic score for CD (SES-CD), the paediatric Crohn's disease activity index (PCDAI), and C-reactive protein (CRP) levels. Based on PCDAI, comparison of both global MaRIA and MEGS was made between patients with mild and moderate/severe disease activity. Global MaRIA correlated with SES-CD (r = 0.70, p = 0.001) and PCDAI (r = 0.42, p = 0.016). MEGS correlated with PCDAI (r = 0.46, p = 0.007) and CRP levels (r = 0.35, p = 0.046). MEGS differed significantly (p = 0.027) between patients grouped by clinical disease severity. MRE-based global scores correlated with clinical indexes of CD activity. Therefore, they represent a potential useful tool to predict CD activity and severity, as well as a possible promising alternative to endoscopy, to monitor paediatric patients with CD during their follow-up. (orig.)

  14. Schizotypal perceptual aberrations of time: correlation between score, behavior and brain activity.

    Directory of Open Access Journals (Sweden)

    Shahar Arzy

    Full Text Available A fundamental trait of the human self is its continuum experience of space and time. Perceptual aberrations of this spatial and temporal continuity is a major characteristic of schizophrenia spectrum disturbances--including schizophrenia, schizotypal personality disorder and schizotypy. We have previously found the classical Perceptual Aberration Scale (PAS scores, related to body and space, to be positively correlated with both behavior and temporo-parietal activation in healthy participants performing a task involving self-projection in space. However, not much is known about the relationship between temporal perceptual aberration, behavior and brain activity. To this aim, we composed a temporal Perceptual Aberration Scale (tPAS similar to the traditional PAS. Testing on 170 participants suggested similar performance for PAS and tPAS. We then correlated tPAS and PAS scores to participants' performance and neural activity in a task of self-projection in time. tPAS scores correlated positively with reaction times across task conditions, as did PAS scores. Evoked potential mapping and electrical neuroimaging showed self-projection in time to recruit a network of brain regions at the left anterior temporal cortex, right temporo-parietal junction, and occipito-temporal cortex, and duration of activation in this network positively correlated with tPAS and PAS scores. These data demonstrate that schizotypal perceptual aberrations of both time and space, as reflected by tPAS and PAS scores, are positively correlated with performance and brain activation during self-projection in time in healthy individuals along the schizophrenia spectrum.

  15. Nursing Activities Score: an updated guideline for its application in the Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Katia Grillo Padilha

    2015-12-01

    Full Text Available ABSTRACT Objective To describe nursing workload in Intensive Care Units (ICU in different countries according to the scores obtained with Nursing Activities Score (NAS and to verify the agreement among countries on the NAS guideline interpretation. Method This cross-sectional study considered 1-day measure of NAS (November 2012 obtained from 758 patients in 19 ICUs of seven countries (Norway, the Netherlands, Spain, Poland, Egypt, Greece and Brazil. The Delphi technique was used in expertise meetings and consensus. Results The NAS score was 72.8% in average, ranging from 44.5% (Spain to 101.8% (Norway. The mean NAS score from Poland, Greece and Egypt was 83.0%, 64.6% and 57.1%, respectively. The NAS score was similar in Brazil (54.0% and in the Netherlands (51.0%. There were doubts in the understanding of five out 23 items of the NAS (21.7% which were discussed until researchers’ consensus. Conclusion NAS score were different in the seven countries. Future studies must verify if the fine standardization of the guideline can have a impact on differences in the NAS results.

  16. A cross-sectional study of the Birmingham Vasculitis Activity Score version 3 in systemic vasculitis

    NARCIS (Netherlands)

    Suppiah, Ravi; Mukhtyar, Chetan; Flossmann, Oliver; Alberici, Federico; Baslund, Bo; Batra, Rajbir; Brown, Denise; Holle, Julia; Hruskova, Zdenka; Jayne, David R. W.; Judge, Andrew; Little, Mark A.; Palmisano, Alessandra; Stegeman, Coen; Tesar, Vladimir; Vaglio, Augusto; Westman, Kerstin; Luqmani, Raashid

    2011-01-01

    Methods. A total of 238 patients with vasculitis from seven countries in Europe were evaluated at a single time point. Spearman's correlation coefficients were calculated between BVAS v. 3 scores, vasculitis activity index (VAI), physician's global assessment (PGA), the physician's treatment decisio

  17. A cross-sectional study of the Birmingham Vasculitis Activity Score version 3 in systemic vasculitis

    NARCIS (Netherlands)

    Suppiah, Ravi; Mukhtyar, Chetan; Flossmann, Oliver; Alberici, Federico; Baslund, Bo; Batra, Rajbir; Brown, Denise; Holle, Julia; Hruskova, Zdenka; Jayne, David R. W.; Judge, Andrew; Little, Mark A.; Palmisano, Alessandra; Stegeman, Coen; Tesar, Vladimir; Vaglio, Augusto; Westman, Kerstin; Luqmani, Raashid

    Methods. A total of 238 patients with vasculitis from seven countries in Europe were evaluated at a single time point. Spearman's correlation coefficients were calculated between BVAS v. 3 scores, vasculitis activity index (VAI), physician's global assessment (PGA), the physician's treatment

  18. Carga de trabajo en tres grupos de pacientes de UCI Española según el Nursing Activities Score

    Directory of Open Access Journals (Sweden)

    Francisco Javier Carmona-Monge

    2013-04-01

    Full Text Available Se objetivó valorizar la carga de trabajo al ingreso y al alta en tres grupos de pacientes (síndrome coronario agudo, insuficiencia respiratoria aguda y sepsis en terapia intensiva. Estudio descriptivo, prospectivo, de 27 meses, incluyéndose 563 pacientes, valorando carga de trabajo según Nursing Activities Score. Existieron diferencias significativas en la carga de trabajo al ingreso y en el alta entre los grupos de pacientes, siendo superior en ambos momentos la de pacientes con insuficiencia respiratoria aguda y sepsis frente a pacientes coronarios. Durante los siete primeros días de estancia se mantuvo esta diferencia, desapareciendo a partir del octavo día, equilibrándose la carga de trabajo para los tres grupos. Para conseguir una adecuada dotación de personal es fundamental contar con instrumentos para medir las necesidades de cuidados y conocer la carga de trabajo de los distintos grupos de enfermos que ingresan con mayor frecuencia en las unidades de terapia intensiva.

  19. Carga de trabajo en tres grupos de pacientes de UCI Española según el Nursing Activities Score

    Directory of Open Access Journals (Sweden)

    Francisco Javier Carmona-Monge

    Full Text Available Se objetivó valorizar la carga de trabajo al ingreso y al alta en tres grupos de pacientes (síndrome coronario agudo, insuficiencia respiratoria aguda y sepsis en terapia intensiva. Estudio descriptivo, prospectivo, de 27 meses, incluyéndose 563 pacientes, valorando carga de trabajo según Nursing Activities Score. Existieron diferencias significativas en la carga de trabajo al ingreso y en el alta entre los grupos de pacientes, siendo superior en ambos momentos la de pacientes con insuficiencia respiratoria aguda y sepsis frente a pacientes coronarios. Durante los siete primeros días de estancia se mantuvo esta diferencia, desapareciendo a partir del octavo día, equilibrándose la carga de trabajo para los tres grupos. Para conseguir una adecuada dotación de personal es fundamental contar con instrumentos para medir las necesidades de cuidados y conocer la carga de trabajo de los distintos grupos de enfermos que ingresan con mayor frecuencia en las unidades de terapia intensiva.

  20. Toward Development of a Fibromyalgia Responder Index and Disease Activity Score: OMERACT Module Update

    DEFF Research Database (Denmark)

    Mease, Philip J; Clauw, Daniel J; Christensen, Robin

    2011-01-01

    Following development of the core domain set for fibromyalgia (FM) in Outcome Measures in Rheumatology Clinical Trials (OMERACT) meetings 7 to 9, the FM working group has progressed toward the development of an FM responder index and a disease activity score based on these domains, utilizing...... outcome indices of these domains from archived randomized clinical trials in FM. Possible clinical domains that could be included in a responder index and disease activity score include pain, fatigue, sleep disturbance, cognitive dysfunction, mood disturbance, tenderness, stiffness, and functional...... spondylitis represents heuristic models for our work, but FM is challenging in that there is no clear algorithm of treatment that defines disease activity based on treatment decisions, nor are there objective markers that define thresholds of severity or response to treatment. The process of developing...

  1. Metabolic syndrome risk score and time expended in moderate to vigorous physical activity in adolescents.

    Science.gov (United States)

    Stabelini Neto, Antonio; de Campos, Wagner; Dos Santos, Géssika Castilho; Mazzardo Junior, Oldemar

    2014-02-14

    The clustering of metabolic syndrome risk factors is inversely related to the amount of physical activity. However, the question remains as to how much daily physical activity is enough to prevent the onset of metabolic disorders in adolescents? Therefore, the objectives of this study were to associate the metabolic risk score with the moderate to vigorous physical activity (MVPA) and to identify the amount of daily physical activity to prevent the onset of the metabolic risk factors in Brazilian adolescents. The study involved 391 participants aged 10 to 18 years. Physical activity was measured by accelerometry. The counts obtained in the different activities were transformed into metabolic equivalents and classified as light (≥ 1.5 but pressure, blood glucose, HDL-C and triglycerides. Time spent in MVPA was inversely associated with the continuous risk score for metabolic syndrome (p adolescents must perform at least 88 minutes per day of MVPA. These findings reinforce previous evidence that physical activity relates to metabolic syndrome in adolescents. This population should be encouraged to gradually replace part of their sedentary time with physical activities.

  2. Development and First Validation of a Disease Activity Score for Gout

    Science.gov (United States)

    Carrara, Greta; Viroli, Cinzia; Cimmino, Marco A.; Taylor, William J.; Manara, Maria; Govoni, Marcello; Salaffi, Fausto; Punzi, Leonardo; Montecucco, Carlomaurizio; Matucci‐Cerinic, Marco; Minisola, Giovanni; Ariani, Alarico; Galossi, Alessandra; Lauriti, Ciro; Fracassi, Elena; Idolazzi, Luca; Bardelli, Marco; Selvi, Enrico; Tirri, Enrico; Furini, Federica; Inverardi, Flora; Calabrò, Andrea; Porta, Francesco; Bittelli, Raffaele; Venturino, Francesco; Capsoni, Franco; Prevete, Immacolata; Sebastiani, Giandomenico; Selmi, Carlo; Fabbriciani, Gianluigi; D'Avola, Giovanni; Botticella, Giulia; Serale, Francesca; Seminara, Giulia; D'Alessandro, Giuseppe; Santo, Leonardo; Longato, Lorena; Zaccara, Eleonora; Sinigaglia, Luigi; Atteritano, Marco; Broggini, Marco; Caprioli, Marta; Favero, Marta; Sallì, Salvatore; Scarati, Marco; Parisi, Simone; Malavolta, Nazzarena; Corvaglia, Stefania; Scarpato, Salvatore; Veneto, Vittorio

    2016-01-01

    Objective To develop a new composite disease activity score for gout and provide its first validation. Methods Disease activity has been defined as the ongoing presence of urate deposits that lead to acute arthritis and joint damage. Every measure for each Outcome Measures in Rheumatology core domain was considered. A 3‐step approach (factor analysis, linear discriminant analysis, and linear regression) was applied to derive the Gout Activity Score (GAS). Decision to change treatment or 6‐month flare count were used as the surrogate criteria of high disease activity. Baseline and 12‐month followup data of 446 patients included in the Kick‐Off of the Italian Network for Gout cohort were used. Construct‐ and criterion‐related validity were tested. External validation on an independent sample is reported. Results Factor analysis identified 5 factors: patient‐reported outcomes, joint examination, flares, tophi, and serum uric acid (sUA). Discriminant function analysis resulted in a correct classification of 79%. Linear regression analysis identified a first candidate GAS including 12‐month flare count, sUA, visual analog scale (VAS) of pain, VAS global activity assessment, swollen and tender joint counts, and a cumulative measure of tophi. Alternative scores were also developed. The developed GAS demonstrated a good correlation with functional disability (criterion validity) and discrimination between patient‐ and physician‐reported measures of active disease (construct validity). The results were reproduced in the external sample. Conclusion This study developed and validated a composite measure of disease activity in gout. Further testing is required to confirm its generalizability, responsiveness, and usefulness in assisting with clinical decisions. PMID:26815286

  3. Imagem corporal em homens: instrumentos avaliativos

    Directory of Open Access Journals (Sweden)

    Pedro Henrique Berbert de Carvalho

    Full Text Available Este estudo teve como objetivo avaliar os instrumentos disponíveis para avaliação da imagem corporal de adultos do sexo masculino, bem como verificar as qualidades psicométricas avaliadas no processo de criação/adaptação destes. Foi realizada busca nas bases de dados: Scopus, Web of Science, BIREME, e Banco de Teses da CAPES; limitadas ao período de 2009 a 2013, por meio das palavras chave: body image, scales, questionnaires, validation e translations. Esta pesquisa constatou um aumento do número de instrumentos disponíveis para a população brasileira, além de uma diversificação das populações estudadas. Entretanto, ainda são poucos os instrumentos específicos para adultos do sexo masculino. Há necessidade de criação e adaptação de novos instrumentos que contemplem a complexidade do construto da imagem corporal.

  4. Is modified clinical activity score an accurate indicator of diplopia progression in Graves' orbitopathy patients?

    Science.gov (United States)

    Kim, Ji Won; Woo, Young Jun; Yoon, Jin Sook

    2016-12-30

    The aim of this study is to describe characteristics of Graves' orbitopathy (GO) patients with progressive diplopia and to consider whether modified clinical activity score (CAS) is a useful indicator for prediction of diplopia progression. Medical records and images of GO patients with progressive diplopia were retrospectively reviewed. Clinical parameters (e.g., modified CAS, modified NOSPECS score, exophthalmometry results, score of diplopia, and prevalence of optic neuropathy) were evaluated. Thyroid stimulating hormone receptor autoantibody (TRAb) values were determined. Maximum recti muscle diameters and extraocular muscle (EOM) indices were evaluated. Sixty-three of the 435 GO patients had progressive diplopia; 44.4% (28/63) of these patients had a low CAS (diplopia, prevalence of optic neuropathy and the positive rate and level of TRAb were not significantly different between groups. There were no differences in maximum recti muscle diameters or EOM indices between the two groups. Diplopia may progress even in patients with a low modified CAS. CAS may not reflect the inflammatory activity of myopathy, especially in mild to moderate GO with low NOSPECS and exophthalmos values. Careful patient follow-up using subjective and objective measures for diplopia should be performed.

  5. A cross-sectional study of the Birmingham Vasculitis Activity Score version 3 in systemic vasculitis

    DEFF Research Database (Denmark)

    Suppiah, Ravi; Mukhtyar, Chetan; Flossmann, Oliver;

    2011-01-01

    Objective. Assessment of disease activity in vasculitis can be achieved using the BVAS, a clinical checklist of relevant symptoms, signs and features of active disease. The aim of this study was to revalidate the BVAS version 3 (BVAS v. 3) in a cohort of patients with systemic vasculitis. Methods....... A total of 238 patients with vasculitis from seven countries in Europe were evaluated at a single time point. Spearman's correlation coefficients were calculated between BVAS v. 3 scores, vasculitis activity index (VAI), physician's global assessment (PGA), the physician's treatment decision, CRP...... and the vasculitis damage index (VDI) to demonstrate that the BVAS v. 3 measures disease activity. Results. WG (63%), Churg-Strauss syndrome (9%) and microscopic polyangiitis (9%) were the most common diagnoses. The BVAS v. 3 showed convergent validity with the VAI [¿¿=¿0.82 (95% CI 0.77, 0.85)], PGA [¿¿=¿0.85 (95...

  6. Clinical performance of two visual scoring systems in detecting and assessing activity status of occlusal caries in primary teeth

    DEFF Research Database (Denmark)

    Braga, M M; Ekstrand, K R; Martignon, S

    2010-01-01

    This study aimed to compare the clinical performance of two sets of visual scoring criteria for detecting caries severity and assessing caries activity status in occlusal surfaces. Two visual scoring systems--the Nyvad criteria (NY) and the ICDAS-II including an adjunct system for lesion activity...

  7. Lack of physical activity in young children is related to higher composite risk factor score for cardiovascular disease

    DEFF Research Database (Denmark)

    Tanha, Tina; Wollmer, Per; Thorsson, Ola

    2011-01-01

    This study evaluates whether accelerometer-measured physical activity is related to higher composite risk factor scores for cardiovascular disease (CVD) in children.......This study evaluates whether accelerometer-measured physical activity is related to higher composite risk factor scores for cardiovascular disease (CVD) in children....

  8. Translating DPYD genotype into DPD phenotype: using the DPYD gene activity score.

    Science.gov (United States)

    Henricks, Linda M; Lunenburg, Carin A T C; Meulendijks, Didier; Gelderblom, Hans; Cats, Annemieke; Swen, Jesse J; Schellens, Jan H M; Guchelaar, Henk-Jan

    2015-01-01

    The dihydropyrimidine dehydrogenase enzyme (DPD, encoded by the gene DPYD) plays a key role in the metabolism of fluoropyrimidines. DPD deficiency occurs in 4-5% of the population and is associated with severe fluoropyrimidine-related toxicity. Several SNPs in DPYD have been described that lead to absent or reduced enzyme activity, including DPYD*2A, DPYD*13, c.2846A>T and c.1236G>A/haplotype B3. Since these SNPs differ in their effect on DPD enzyme activity, a differentiated dose adaption is recommended. We propose the gene activity score for translating DPYD genotype into phenotype, accounting for differences in functionality of SNPs. This method can be used to standardize individualized fluoropyrimidine dose adjustments, resulting in optimal safety and effectiveness.

  9. The Reliability of Disease Activity Score in 28 Joints-C-Reactive Protein Might Be Overestimated in a Subgroup of Rheumatoid Arthritis Patients, When the Score Is Solely Based on Subjective Parameters

    DEFF Research Database (Denmark)

    Jensen Hansen, Inger Marie; Asmussen Andreasen, Rikke; Van Bui Hansen, Mark Nam

    2017-01-01

    BACKGROUND: Disease Activity Score in 28 Joints (DAS28) is a scoring system to evaluate disease activity and treatment response in rheumatoid arthritis (RA). A DAS28 score of greater than 3.2 is a well-described limit for treatment intensification; however, the reliability of DAS28 might be overe...

  10. Alimentary Habits, Physical Activity, and Framingham Global Risk Score in Metabolic Syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Soares, Thays Soliman; Piovesan, Carla Haas; Gustavo, Andréia da Silva; Macagnan, Fabrício Edler; Bodanese, Luiz Carlos; Feoli, Ana Maria Pandolfo, E-mail: anamariafeoli@hotmail.com [Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS (Brazil)

    2014-04-15

    Metabolic syndrome is a complex disorder represented by a set of cardiovascular risk factors. A healthy lifestyle is strongly related to improve Quality of Life and interfere positively in the control of risk factors presented in this condition. To evaluate the effect of a program of lifestyle modification on the Framingham General Cardiovascular Risk Profile in subjects diagnosed with metabolic syndrome. A sub-analysis study of a randomized clinical trial controlled blind that lasted three months. Participants were randomized into four groups: dietary intervention + placebo (DIP), dietary intervention + supplementation of omega 3 (fish oil 3 g/day) (DIS3), dietary intervention + placebo + physical activity (DIPE) and dietary intervention + physical activity + supplementation of omega 3 (DIS3PE). The general cardiovascular risk profile of each individual was calculated before and after the intervention. The study included 70 subjects. Evaluating the score between the pre and post intervention yielded a significant value (p < 0.001). We obtained a reduction for intermediate risk in 25.7% of subjects. After intervention, there was a significant reduction (p < 0.01) on cardiovascular age, this being more significant in groups DIP (5.2%) and DIPE (5.3%). Proposed interventions produced beneficial effects for reducing cardiovascular risk score. This study emphasizes the importance of lifestyle modification in the prevention and treatment of cardiovascular diseases.

  11. [ASSESSMENT OF QOL BY URTICARIA ACTIVITY SCORE IN PEDIATRIC PATIENTS WITH CHRONIC URTICARIA].

    Science.gov (United States)

    Asaumi, Tomoyuki; Iikura, Katsuhito; Yanagida, Noriyuki; Sato, Sakura; Ebisawa, Motohiro

    2016-02-01

    There is no standard for assessing pediatric chronic urticaria in Japan. UAS7, weekly total values of the Urticaria Activity Score (UAS), has correlation with Dermatology Life Quality Index (DLQI) which assesses Quality of Life (QOL). The current European Academy of Allergy and Clinical Immunology (EAACI) guidelines recommend assessing disease activity in chronic urticaria by using UAS. We translated UAS into Japanese version, and evaluated usefulness of UAS by comparing with QOL score. Subjects were 42 patients who had received treatments in our clinic from February to September in 2014. They wrote UAS at home. They wrote Children's Dermatology Life Quality Index (CDLQI) when they visited hospital. We assessed correlation UAS7 with CDLQI. Male/Female ratio was 1:1. Median age was 7.5 years old. Duration of chronic urticaria was 5.5 months. Anti-histamine was used in 75%. UAS7 values reflected chronic urticaria patients' quality of life impairment. Change in UAS7 values reflected change in chronic urticaria patients' quality of life impairment. UAS may be a useful tool for assessing QOL in pediatric patients with chronic urticaria.

  12. Is there a preferred method for scoring activity of the spine by magnetic resonance imaging in ankylosing spondylitis?

    DEFF Research Database (Denmark)

    van der Heijde, Désirée; Landewé, Robert; Hermann, Kay-Geert

    2007-01-01

    This report summarizes the discussion during a module update at OMERACT 8 on scoring methods for activity in the spine on magnetic resonance imaging. The conclusion was that the 3 available scoring methods are all very good with respect to discrimination and feasibility: the Ankylosing Spondylitis...

  13. Is there a preferred method for scoring activity of the spine by magnetic resonance imaging in ankylosing spondylitis?

    DEFF Research Database (Denmark)

    van der Heijde, Désirée; Landewé, Robert; Hermann, Kay-Geert

    2007-01-01

    This report summarizes the discussion during a module update at OMERACT 8 on scoring methods for activity in the spine on magnetic resonance imaging. The conclusion was that the 3 available scoring methods are all very good with respect to discrimination and feasibility: the Ankylosing Spondyliti...

  14. A multi-biomarker disease activity score for monitoring rheumatoid arthritis

    Directory of Open Access Journals (Sweden)

    Hirata S

    2015-10-01

    physicians with a convenient measurement tool to monitor patients in a clinical setting and support rapid treatment adjustment and tighter disease control. This article examines peer-reviewed publications cited in PubMed that describe the multi-biomarker disease activity score, its development and validation, and its applications as an objective disease assessment tool in patients with RA. Keywords: algorithm, multi-biomarker disease activity score, disease activity, rheumatoid arthritis, Vectra DA

  15. Scoring inflammatory activity of the spine by magnetic resonance imaging in ankylosing spondylitis: a multireader experiment

    DEFF Research Database (Denmark)

    Lukas, Cédric; Braun, Jürgen; van der Heijde, Désirée

    2007-01-01

    ) assessed by Z-scores was good and comparable among methods. CONCLUSION: This experiment demonstrates the feasibility of multiple-reader MRI scoring exercises for method comparison, provides evidence for the feasibility, reliability, sensitivity to change, and discriminatory capacity of all 3 tested scoring...... by the reader as the most abnormal, with additional scores for "depth" and "intensity." Both the order of the methods used by each reader and the timepoints (before/after treatment) were randomized. Feasibility of each scoring system was evaluated by measuring the mean time needed to score each set of MRI...

  16. Nursing activities score (NAS): a proposal for practical application in intensive care units.

    Science.gov (United States)

    Gonçalves, Leilane Andrade; Padilha, Katia Grillo; Cardoso Sousa, Regina M

    2007-12-01

    For over 30 years in an attempt to demonstrate the cost-benefit ratio of the intensive care unit (ICU) a variety of tools have been developed to measure not only the severity of illness of the patient but also to capture the true cost of nursing workload. In this context, the nursing activities score (NAS) was developed as a result of modifications to the therapeutic interventions scoring system-28 (TISS-28). The NAS is a tool to measure nursing workload ICU and it has been shown to be twice as effective in measuring how nurses spend their time caring for critically ill patients than the TISS-28. This paper discuss the introduction of the NAS into everyday use in an intensive care unit in Brazil and highlights the challenges of standardisation of operational definitions, training requirements and accurate completion of the documentation when using such a tool. The rationale and steps undertaken to achieve this are outlined and the benefits of such a process are highlighted.

  17. Nursing intervention/activity mapping at a Chemotherapy Center: an instrument for workload assessment Levantamiento de intervenciones/actividades de los enfermeros en Centro Quimioterápico: instrumento para evaluación de la carga de trabajo Mapeamento de intervenções/atividades dos enfermeiros em centro quimioterápico: instrumento para avaliação da carga de trabalho

    Directory of Open Access Journals (Sweden)

    Célia Alves de Souza

    2013-04-01

    Full Text Available OBJECTIVES: identify the interventions/activities nurses develop at a Chemotherapy Center (CTC using standardized language and validate their contents. METHOD: data triangulation was used through the combination of three information sources: semistructured interview, document analysis and questionnaire. The instrument, constructed in accordance with the Nursing Interventions Classification (NIC taxonomy, was submitted to content validation through meetings with the participants. RESULTS: Thirty-five interventions and 48 activities were mapped and validated, organized in five domains (physiological: basic and physiological: complex, behavioral, safety and health system and 11 classes. CONCLUSION: The identification of nurses' interventions/activities at CTC supports the determination of the time consumed and permits measuring the workload. It also helps to define these professionals' role, which permits the redesign of the work process and optimizes productivity. OBJETIVOS: identificar las intervenciones/actividades desarrolladas por enfermeros en un Centro Quimioterápico (CQT, utilizando lenguaje estandarizado, y validar su contenido. MÉTODO: fue utilizada triangulación de datos a través de la combinación de tres fuentes de informaciones: entrevista semiestructurada, análisis de documentos y cuestionario. El instrumento, construido en la taxonomía de la Clasificación de Intervenciones de Enfermería (NIC fue sometido a la validación de contenido mediante reuniones con los participantes. RESULTADOS: Fueron mapeadas y validadas 35 intervenciones y 48 actividades organizadas en cinco dominios (fisiológico básico y fisiológico complexo, de la conducta, seguridad y sistema de salud y 11 clases. CONCLUSIÓN: La identificación de las intervenciones/actividades del enfermero en CQT instrumentaliza la determinación del tiempo consumido y posibilita medir la carga de trabajo. También auxilia en la definición del papel de este profesional

  18. Scoring inflammatory activity of the spine by magnetic resonance imaging in ankylosing spondylitis: a multireader experiment

    DEFF Research Database (Denmark)

    Lukas, C; Braun, J; van der Heijde, D;

    2007-01-01

    ) assessed by Z-scores was good and comparable among methods. CONCLUSION: This experiment demonstrates the feasibility of multiple-reader MRI scoring exercises for method comparison, provides evidence for the feasibility, reliability, sensitivity to change, and discriminatory capacity of all 3 tested scoring...

  19. Further optimization of the reliability of the 28-joint disease activity score in patients with early rheumatoid arthritis

    OpenAIRE

    Liseth Siemons; ten Klooster, Peter M.; Vonkeman, Harald E.; van de laar, Mart A. F. J.; Glas, Cees A. W.

    2014-01-01

    BACKGROUND: The 28-joint Disease Activity Score (DAS28) combines scores on a 28-tender and swollen joint count (TJC28 and SJC28), a patient-reported measure for general health (GH), and an inflammatory marker (either the erythrocyte sedimentation rate [ESR] or the C-reactive protein [CRP]) into a composite measure of disease activity in rheumatoid arthritis (RA). This study examined the reliability of the DAS28 in patients with early RA using principles from generalizability theory and evalua...

  20. UNASUR, un instrumento de seguridad para Brasil

    OpenAIRE

    Forero Garzón, Manuel Ernesto

    2011-01-01

    "UNASUR, UN INSTRUMENTO DE SEGURIDAD PARA BRASIL". UNASUR, es una estructura política que refleja el liderazgo de Brasil, que intenta lograr una estabilización política y unifica una propuesta de seguridad de todo el subcontinente con proyección a toda América Latina, en donde Brasil, asume en la región la protección de recursos estratégicos, consolidando su área de influencia y propicia que, su política exterior, concentre recursos políticos, económicos, comerciales y militares en otras área...

  1. Disease activity in Graves' ophthalmopathy: diagnosis with orbital MR imaging and correlation with clinical score.

    Science.gov (United States)

    Tortora, Fabio; Cirillo, Mario; Ferrara, Marco; Belfiore, Maria Paola; Carella, Carlo; Caranci, Ferdinando; Cirillo, Sossio

    2013-10-01

    In Graves' ophthalmopathy (GO) it is important to distinguish acute inflammation at an early stage, responsive to immunosuppressive treatment, from inactive fibrotic end stage disease, unresponsive to the same treatment. The purpose of this study was to identify the most relevant signal intensities on orbital MR imaging with contrast administration both to classify patients according to their clinical activity score (defined by a cut-off value of 3) and to make a prediction of patient's CAS. Such threshold was considered as widely used in literature. Sixteen consecutive patients with a diagnosis of GO in different phases of thyroid disease based on clinical and orbital MR imaging signs, and six normal volunteers were examined. Orbital MR imaging was performed on a 1.5 Tesla MR Unit. MR scans were assessed by an experienced neuroradiologist, blinded to the clinical examinations. We found a statistical correlation between CAS and both STIR and contrast enhanced T1-weighted sequences. There was also a statistically significant correlation between STIR and contrast-enhanced T1 images disclosing the possibility of avoiding the injection of contrast medium. Our study proved that signal intensity values on STIR sequence increase in the inflammatory oedematous phase of disease. We confirmed the correlation between signal intensities on this sequence and CAS, showing an increase in signal intensity proportional to the CAS value. So we validated MRI use to establish the activity phase of disease more sensitively than CAS alone.

  2. Physical activity and better medication compliance improve mini-mental state examination scores in the elderly.

    Science.gov (United States)

    Guimarães, Fabiana Costa; Amorim, Paulo Roberto dos Santos; Reis, Fernando Fonseca dos; Bonoto, Robson Teixeira; Oliveira, Wederson Candido de; Moura, Tiago Augusto da Silva; Assis, Cláudia Loures de; Palotás, András; Lima, Luciana Moreira

    2015-01-01

    In addition to hypertension, dyslipidemia, atherosclerosis, and diabetes, a sedentary lifestyle plays a pivotal role in cerebro- and cardiovascular disease and progressive cognitive decline, including vascular dementia and Alzheimer's disease. The present study investigated whether controlling the key risks and participating in physical activity have a beneficial impact on these disorders. Elderly volunteers were enrolled in a 3-month program that consisted of structured exercise three times per week. The daily routine, medical treatment, and vital parameters were evaluated and correlated with the subjects' neuropsychiatric status. High blood pressure was found in 40% of the participants, with no significant differences between the sexes. A higher proportion of females (55%) than males (18%) forgot to take their medication during the observation period. Significant negative correlations were found between Mini-Mental State Examination (MMSE) scores and age, lack of a caregiver, and increased pulse rate before or after exercise. These results suggest that the presence of home assistance and subsequent improvement in medication compliance, vital parameter optimization, and regular physical activity may yield better MMSE results and a lower risk for cerebro- and cardiovascular disease. © 2014 S. Karger AG, Basel.

  3. Disease Activity in Graves' Ophthalmopathy: Diagnosis with Orbital MR Imaging and Correlation with Clinical Score

    Science.gov (United States)

    Tortora, Fabio; Cirillo, Mario; Ferrara, Marco; Belfiore, Maria Paola; Carella, Carlo; Caranci, Ferdinando; Cirillo, Sossio

    2013-01-01

    Summary In Graves' ophthalmopathy (GO) it is important to distinguish acute inflammation at an early stage, responsive to immunosuppressive treatment, from inactive fibrotic end stage disease, unresponsive to the same treatment. The purpose of this study was to identify the most relevant signal intensities on orbital MR imaging with contrast administration both to classify patients according to their clinical activity score (defined by a cut-off value of 3) and to make a prediction of patient's CAS. Such threshold was considered as widely used in literature. Sixteen consecutive patients with a diagnosis of GO in different phases of thyroid disease based on clinical and orbital MR imaging signs, and six normal volunteers were examined. Orbital MR imaging was performed on a 1.5 Tesla MR Unit. MR scans were assessed by an experienced neuroradiologist, blinded to the clinical examinations. We found a statistical correlation between CAS and both STIR and contrast enhanced T1-weighted sequences. There was also a statistically significant correlation between STIR and contrast-enhanced T1 images disclosing the possibility of avoiding the injection of contrast medium. Our study proved that signal intensity values on STIR sequence increase in the inflammatory oedematous phase of disease. We confirmed the correlation between signal intensities on this sequence and CAS, showing an increase in signal intensity proportional to the CAS value. So we validated MRI use to establish the activity phase of disease more sensitively than CAS alone. PMID:24199816

  4. Interpreting the multi-biomarker disease activity score in the context of tocilizumab treatment for patients with rheumatoid arthritis.

    Science.gov (United States)

    Reiss, William G; Devenport, Jenny N; Low, Jason M; Wu, George; Sasso, Eric H

    2016-02-01

    The multi-biomarker disease activity (MBDA) score measures 12 proteins involved in the pathophysiology of rheumatoid arthritis (RA) to assess disease activity (DA). Previous studies demonstrated correlations between MBDA and clinical DA scores with some RA therapies. In this analysis, the relationship between DA and MBDA scores and changes in MBDA component biomarkers were evaluated in tocilizumab (TCZ)-treated patients. Patients from the ACT-RAY study were included in this analysis if they had DA measures and serum collected at pre-specified time points with sufficient serum for MBDA testing at ≥1 visit. Descriptive statistics, associations between outcomes, and percentage agreement between DA categories were calculated. Seventy-eight patients were included and were similar to the ACT-RAY population. Correlations between MBDA score and DAS28-CRP were ρ = 0.50 at baseline and ρ = 0.26 at week 24. Agreement between low/moderate/high categories of MBDA score and DAS28-CRP was observed for 77.1 % of patients at baseline and 23.7 % at week 24. Mean changes from baseline to weeks 4, 12, and 24 were proportionately smaller for MBDA score than DAS28-CRP. Unlike some other MBDA biomarkers, interleukin-6 (IL-6) concentrations increased in most patients during TCZ treatment. Correlations and agreement between MBDA and DAS28-CRP or CDAI scores were lower at week 24 versus baseline. The proportionately smaller magnitude of response observed for MBDA score versus DAS28-CRP may be due to the influence of the increase in IL-6 concentrations on MBDA score. Thus, MBDA scores obtained during TCZ treatment should be interpreted cautiously and in the context of available clinical information.

  5. Does body mass index (BMI) influence the Ankylosing Spondylitis Disease Activity Score in axial spondyloarthritis?

    Science.gov (United States)

    Rubio Vargas, Roxana; van den Berg, Rosaline; van Lunteren, Miranda; Ez-Zaitouni, Zineb; Bakker, Pauline A C; Dagfinrud, Hanne; Ramonda, Roberta; Landewé, Robert; Molenaar, Esmeralda; van Gaalen, Floris A; van der Heijde, Désirée

    2016-01-01

    Objective Obesity is associated with elevated C reactive protein (CRP) levels. The Ankylosing Spondylitis Disease Activity Score (ASDAS) combines patient-reported outcomes (PROs) and CRP. We evaluated the effect of body mass index (BMI) on CRP and on ASDAS, and studied if ASDAS can be used in obese axial spondyloarthritis (axSpA) patients to assess disease activity. Methods Baseline data of patients with chronic back pain of short duration included in the SPondyloArthritis Caught Early (SPACE) cohort were used. Collected data included BMI and ASDAS. Patients were classified according to the ASAS axSpA classification criteria and BMI (overweight ≥25 and obese ≥30). Correlation and linear regression analyses were performed to assess the relation between BMI and ASDAS. Linear regression models were performed to assess if age or gender were effect modifiers in the relation between BMI and CRP, and between BMI and ASDAS. Results In total, 428 patients were analysed (n=168 axSpA; n=260 no-axSpA). The mean age was 31.1 years, 36.9% were male, 26.4% were overweight and 13.3% obese, median CRP was 3 mg/L and the mean ASDAS was 2.6. Gender was the only factor modifying the relationship between BMI and CRP as BMI had an influence on CRP only in females (β=0.35; p<0.001). Correlations between BMI and CRP or PROs were generally weak, and only significant for CRP in female patients. BMI was not related to ASDAS in axSpA patients. Conclusions ASDAS is not affected by BMI in axSpA patients. Therefore, based on our data it is not necessary to take BMI in consideration when assessing disease activity using ASDAS in axSpA patients. PMID:27403336

  6. Comparison of contemporary risk scores for predicting outcomes after surgery for active infective endocarditis.

    Science.gov (United States)

    Wang, Tom Kai Ming; Oh, Timothy; Voss, Jamie; Gamble, Greg; Kang, Nicholas; Pemberton, James

    2015-03-01

    Decision making regarding surgery for acute bacterial endocarditis is complex given its heterogeneity and often fatal course. Few studies have investigated the utility of operative risk scores in this setting. Endocarditis-specific scores have recently been developed. We assessed the prognostic utility of contemporary risk scores for mortality and morbidity after endocarditis surgery. Additive and logistic EuroSCORE I, EuroSCORE II, additive Society of Thoracic Surgeon's (STS) Endocarditis Score and additive De Feo-Cotrufo Score were retrospectively calculated for patients undergoing surgery for endocarditis during 2005-2011. Pre-specified primary outcomes were operative mortality, composite morbidity and mortality during follow-up. A total of 146 patients were included with an operative mortality of 6.8 % followed for 4.1 ± 2.4 years. Mean scores were additive EuroSCORE I: 8.0 ± 2.5, logistic EuroSCORE I: 13.2 ± 10.1 %, EuroSCORE II: 9.1 % ± 9.4 %, STS Score: 32.2 ± 13.5 and De Feo-Cotrufo Score: 14.6 ± 9.2. Corresponding areas under curve (AUC) for operative mortality 0.653, 0.645, 0.656, 0.699 and 0.744; for composite morbidity were 0.623, 0.625, 0.720, 0.714 and 0.774; and long-term mortality 0.588, 0.579, 0.686, 0.735 and 0.751. The best tool for post-operative stroke was EuroSCORE II: AUC 0.837; for ventilation >24 h and return to theatre the De Feo-Cotrufo Scores were: AUC 0.821 and 0.712. Pre-operative inotrope or intra-aortic balloon pump treatment, previous coronary bypass grafting and dialysis were independent predictors of operative and long-term mortality. In conclusion, risk models developed specifically from endocarditis surgeries and incorporating endocarditis variables have improved prognostic ability of outcomes, and can play an important role in the decision making towards surgery for endocarditis.

  7. Composite functional genetic and comedication CYP2D6 activity score in predicting tamoxifen drug exposure among breast cancer patients.

    Science.gov (United States)

    Borges, Silvana; Desta, Zeruesenay; Jin, Yan; Faouzi, Azzouz; Robarge, Jason D; Philips, Sanosh; Philip, Santosh; Nguyen, Anne; Stearns, Vered; Hayes, Daniel; Rae, James M; Skaar, Todd C; Flockhart, David A; Li, Lang

    2010-04-01

    Accurate assessment of CYP2D6 phenotypes from genotype is inadequate in patients taking CYP2D6 substrate together with CYP2D6 inhibitors. A novel CYP2D6 scoring system is proposed that incorporates the impact of concomitant medications with the genotype in calculating the CYP2D6 activity score. Training (n = 159) and validation (n = 81) data sets were obtained from a prospective cohort tamoxifen pharmacogenetics registry. Two inhibitor factors were defined: 1 genotype independent and 1 genotype based. Three CYP2D6 gene scoring systems, and their combination with the inhibitor factors, were compared. These 3 scores were based on Zineh, Zanger, and Gaedigk's approaches. Endoxifen/NDM-Tam plasma ratio was used as the phenotype. The overall performance of the 3 gene scoring systems without consideration of CYP2D6-inhibiting medications in predicting CYP2D6 phenotype was poor in both the training set (R(2) = 0.24, 0.22, and 0.18) and the validation set (R(2) = 0.30, 0.24, and 0.15). Once the CYP2D6 genotype-independent inhibitor factor was integrated into the score calculation, the R(2) values in the training and validation data sets were nearly twice as high as the genotype-only scoring model: (0.44, 0.43, 0.38) and (0.53, 0.50, 0.41), respectively. The integration of the inhibitory effect of concomitant medications with the CYP2D6 genotype into the composite CYP2D6 activity score doubled the ability to predict the CYP2D6 phenotype. However, endoxifen phenotypes still varied substantially, even with incorporation of CYD2D6 genotype and inhibiting factors, suggesting that other, as yet unidentified factors must be involved in tamoxifen activation.

  8. Internet como instrumento para la Yihad

    Directory of Open Access Journals (Sweden)

    Alfonso Merlos García

    2006-01-01

    Full Text Available Las extraordinarias ventajas que ofrece Internet lo han convertido en un instrumento clave y dinámico en la estrategia de los yihadistas. Los medios de comunicación, la clase política y las agencias de seguridad e información han tendido a concentrar sus esfuerzos en la neutralización del ciberterrorismo sin prestar suficiente atención a los múltiples usos de Internet que están haciendo los neosalafistas: para la propaganda y para la guerra psicológica, para el reclutamiento y para la financiación, para la documentación y para la planificación de atentados. Las democracias deberían considerar el coste que tendrá la derrota frente al movimiento yihadista globalizado en la batalla por el ciberespacio

  9. A preliminary score for the assessment of disease activity in hereditary recurrent fevers: results from the AIDAI (Auto-Inflammatory Diseases Activity Index) Consensus Conference

    Science.gov (United States)

    Piram, Maryam; Frenkel, Joost; Gattorno, Marco; Ozen, Seza; Lachmann, Helen J; Goldbach-Mansky, Raphaela; Hentgen, Véronique; Neven, Bénédicte; Stankovic Stojanovic, Katia; Simon, Anna; Kuemmerle-Deschner, Jasmin; Hoffman, Hal; Stojanov, Silvia; Duquesne, Agnès; Pillet, Pascal; Martini, Alberto; Pouchot, Jacques; Koné-Paut, Isabelle

    2012-01-01

    Background The systemic autoinflammatory disorders (SAID) share many clinical manifestations, albeit with variable patterns, intensity and frequency. A common definition of disease activity would be rational and useful in the management of these lifelong diseases. Moreover, standardised disease activity scores are required for the assessment of new therapies in constant development. The aim of this study was to develop preliminary activity scores for familial Mediterranean fever, mevalonate kinase deficiency, tumour necrosis factor receptor-1-associated periodic syndrome and cryopyrin-associated periodic syndromes (CAPS). Methods The study was conducted using two well-recognised consensus formation methods: the Delphi technique and the nominal group technique. The results from a two-step survey and data from parent/patient interviews were used as preliminary data to develop the agenda for a consensus conference to build a provisional scoring system. Results 24 of 65 experts in SAID from 20 countries answered the web questionnaire and 16 attended the consensus conference. There was consensus agreement to develop separate activity scores for each disease but with a common format based on patient diaries. Fever and disease-specific clinical variables were scored according to their severity. A final score was generated by summing the score of all the variables divided by the number of days over which the diary was completed. Scores varied from 0 to 16 (0–13 in CAPS). These scores were developed for the purpose of clinical studies but could be used in clinical practice. Conclusion Using widely recognised consensus formation techniques, preliminary scores were obtained to measure disease activity in four main SAID. Further prospective validation study of this instrument will follow. PMID:21081528

  10. Examining the Relationship Between the Functional Movement Screen and the Landing Error Scoring System in an Active, Male Collegiate Population.

    Science.gov (United States)

    Everard, Eoin M; Harrison, Andrew J; Lyons, Mark

    2017-05-01

    Everard, EM, Harrison, AJ, and Lyons, M. Examining the relationship between the functional movement screen and the landing error scoring system in an active, male collegiate population. J Strength Cond Res 31(5): 1265-1272, 2017-In recent years, there has been an increasing focus on movement screening as the principal aspect of preparticipation testing. Two of the most common movement screening tools are the Functional Movement Screen (FMS) and the Landing Error Scoring System (LESS). Several studies have examined the reliability and validity of these tools, but so far, there have been no studies comparing the results of these 2 screening tools against each other. Therefore, the purpose of this study was to determine the relationship between FMS scores and LESS scores. Ninety-eight male college athletes actively competing in sport (Gaelic games, soccer, athletics, boxing/mixed martial arts, Olympic weightlifting) participated in the study and performed the FMS and LESS screens. Both the 21-point and 100-point scoring systems were used to score the FMS. Spearman's correlation coefficients were used to determine the relationship between the 2 screening scores. The results showed a significant moderate correlation between FMS and LESS scores (rho 100 and 21 point = -0.528; -0.487; p < 0.001). In addition, r values of 0.26 and 0.23 indicate a poor shared variance between the 2 screens. The results indicate that performing well in one of the screens does not necessarily equate to performing well in the other. This has practical implications as it highlights that both screens may assess different movement patterns and should not be used as a substitute for each other.

  11. Hubungan antara Kadar Interleukin-6 (IL-6) dengan Disease Activity Score-28 (DAS28) pada Artritis Reumatoid

    OpenAIRE

    Ariestine, Dina Aprillia

    2012-01-01

    Background and Aim: Rheumatoid arthritis is a chronic inflammation disorder which various cytokines have important roles in inflammatory process and joint destruction. One of these is interleukin-6 (IL-6), abundantly expressed in the serum and synovial fibroblasts of patients with rheumatoid arthritis and its level correlates with the disease activity and joint destruction. Disease Activity Score-28 (DAS28) has been the most commonly used to measure the disease activity. This study aimed to d...

  12. Average vs item response theory scores: an illustration using neighbourhood measures in relation to physical activity in adults with arthritis.

    Science.gov (United States)

    Mielenz, T J; Callahan, L F; Edwards, M C

    2017-01-01

    Our study had two main objectives: 1) to determine whether perceived neighbourhood physical features are associated with physical activity levels in adults with arthritis; and 2) to determine whether the conclusions are more precise when item response theory (IRT) scores are used instead of average scores for the perceived neighbourhood physical features scales. Information on health outcomes, neighbourhood characteristics, and physical activity levels were collected using a telephone survey of 937 participants with self-reported arthritis. Neighbourhood walkability and aesthetic features and physical activity levels were measured by self-report. Adjusted proportional odds models were constructed separately for each neighbourhood physical features scale. We found that among adults with arthritis, poorer perceived neighbourhood physical features (both walkability and aesthetics) are associated with decreased physical activity level compared to better perceived neighbourhood features. This association was only observed in our adjusted models when IRT scoring was employed with the neighbourhood physical feature scales (walkability scale: odds ratio [OR] 1.20, 95% confidence interval [CI] 1.02, 1.41; aesthetics scale: OR 1.32, 95% CI 1.09, 1.62), not when average scoring was used (walkability scale: OR 1.14, 95% CI 1.00, 1.30; aesthetics scale: OR 1.16, 95% CI 1.00, 1.36). In adults with arthritis, those reporting poorer walking and aesthetics features were found to have decreased physical activity levels compared to those reporting better features when IRT scores were used, but not when using average scores. This study may inform public health physical environmental interventions implemented to increase physical activity, especially since arthritis prevalence is expected to be close to 20% of the population in 2020. Based on NIH initiatives, future health research will utilize IRT scores. The differences found in this study may be a precursor for research on how past

  13. Psychometric Properties of the Scores on the Behavioral Inhibition and Activation Scales in a Sample of Norwegian Children

    Science.gov (United States)

    Bjornebekk, Gunnar

    2009-01-01

    The primary aim of this study was to examine the psychometric properties of the scores on a version for children of the Carver and White Behavioral Inhibition and Activation scales (the BIS-BAS scales). This involved administering the BIS-BAS scales, the Positive and Negative Affect Schedule, the Junior Eysenck Personality Questionnaire…

  14. The persistence of chronic spontaneous urticaria in childhood is associated with the urticaria activity score.

    Science.gov (United States)

    Arik Yilmaz, Ebru; Karaatmaca, Betul; Cetinkaya, Pinar Gur; Soyer, Ozge; Sekerel, Bulent E; Sahiner, Umit Murat

    2017-03-01

    There is little information regarding the etiology and natural course of chronic spontaneous urticaria (CSU) in childhood. To investigate the etiology, prognosis, and the factors associated with the prognosis of CSU in children. Data from children with CSU who had been diagnosed between 1992 and 2015 were analyzed. A telephone interview was done to assess the current status of these patients. Remission was defined as the disappearance of urticaria for >6 months. A total of 222 children with CSU were evaluated. The median age of symptom onset was 8.8 years (interquartile range [IQR], 4.6-12.3 years), median duration of urticaria was 23 months (IQR, 7-48 months), and the median sum of the daily urticaria activity score of 7 consecutive days (UAS7) was 28 (IQR, 21-42). Accompanying angioedema was reported by 107 patients (48.2%), whereas 27.1% of the study population had autoantibody positivity. Autologous serum skin testing results were positive in 43 (34.1%); skin-prick testing results revealed atopy in 55 children (27.9%). Parasites (4.8%), pollen sensitization (1.5%), food allergy (0.9%), urinary tract infection (0.9%), and Hashimoto thyroiditis (0.5%) were determined as etiologic factors of CSU. The patients were followed up for a median time of 15 months (IQR, 5-36.5 months). Remission was observed in 10.6, 29.3, and 44.5% of the patients in 1, 3, and 5 years, respectively. In multivariate regression analysis, a UAS7 of >28 at admission was found to be a risk factor for persistence of urticaria (odds ratio 6.22 [95% confidence interval, 1.54-25.15; p = 0.010). The etiology of CSU in children was mostly idiopathic despite detailed investigation. In childhood, the natural course of CSU was favorable, and nearly half of the patients recovered after 5 years of disease duration. A high UAS7 at admission seemed to be a significant risk factor for the persistence of symptoms.

  15. MODIFIED DISEASE-ACTIVITY SCORES THAT INCLUDE 28-JOINT COUNTS - DEVELOPMENT AND VALIDATION IN A PROSPECTIVE LONGITUDINAL-STUDY OF PATIENTS WITH RHEUMATOID-ARTHRITIS

    NARCIS (Netherlands)

    PREVOO, MLL; VANTHOF, MA; KUPER, HH; VANLEEUWEN, MA; VANDEPUTTE, LBA; VANRIEL, PLCM

    1995-01-01

    Objective. The development and validation of Modified Disease Activity Scores (DAS) the include different 28-joint counts. Methods. These scores were developed by canonical discriminant analyses and validated for criterion, correlational, and construct validity. The influence of disease duration on

  16. Amplitude-integrated electroencephalographic activity is suppressed in preterm infants with high scores on illness severity

    NARCIS (Netherlands)

    ter Horst, Hendrik J.; Jongbloed-Pereboom, Marjolein; van Eykern, Leo A.; Bos, Arend F.

    2011-01-01

    Background: The neonatal acute physiology score. SNAP-II, reflects the severity of illness in newborns. In term newborns, amplitude integrated EEG (aEEG), is depressed following asphyxia. In preterm infants aEEG is discontinuous, and therefore more difficult to assess compared to term infants. Aims:

  17. The effects of activating prior topic and metacognitive knowledge on text comprehension scores

    NARCIS (Netherlands)

    Kostons, Danny; van der Werf, Margaretha

    2015-01-01

    Background Research on prior knowledge activation has consistently shown that activating learners' prior knowledge has beneficial effects on learning. If learners activate their prior knowledge, this activated knowledge serves as a framework for establishing relationships between the knowledge they

  18. Serum interleukin-18 and interleukin-10 levels in systemic lupus erythematosus: correlation with SLEDAI score and disease activity parameters

    Directory of Open Access Journals (Sweden)

    Sahar Abou El-Fetouh

    2014-01-01

    Conclusion The circulating IL-18 and IL-10 concentrations were significantly elevated in SLE patients and correlated with the SLEDAI score. The study emphasized that there exists an upregulated proinflammatory as well as anti-inflammatory responses in patients with active SLE; however, the anti-inflammatory response is not enough to suppress the active disease. Identifying the exact contribution of the currently studied cytokines might provide future insights for targeted therapeutic strategies in SLE.

  19. CORRELATION OF PEMPHIGUS VULGARIS ANTIBODY TITERS BY INDIRECT IMMUNOFLUORESCENCE WITH ACTIVITY OF DISEASE BASED ON PEMPHIGUS AREA AND ACTIVITY SCORE (PAAS

    Directory of Open Access Journals (Sweden)

    H. Mortazavi

    2008-06-01

    Full Text Available Indirect immunofluorescence (IIF has been used to identify and measure autoantibody levels in pemphigus vulgaris but data about relationship between clinical severity of disease and antibody titers by IIF have been conflicting. We conducted this cross-sectional study to correlate the severity of oral and/or cutaneous involvement in patients with pemphigus vulgaris based on Pemphigus Area and Activity Score with IIF titers. Sixty-one new pemphigus vulgaris patients were included in this study. Human prepuce was used as substrate for IIF and assessment of disease severity was based on Pemphigus Area and Activity Score. The mean±SD age was 44.04±30.46 years, with a range of 18 to 79 years. IIF was positive in 56 (91.8% patients. There was a significant relationship between total disease score and IIF titers ((P<0.001. Also a significant relationship was found between skin score (P=0.04 and mucosal score (P=0.04 with IIF titers. Our results show that there is a significant relationship between disease activity based on Pemphigus Area and Activity Score and antibody titers by IIF. Further studies are recommended to determine the usefulness of this technique for monitoring disease.

  20. El lenguaje como instrumento de poder

    Directory of Open Access Journals (Sweden)

    MARÍA TERESA SUÁREZ GONZÁLEZ

    2009-01-01

    Full Text Available La investigación denominada 'El lenguaje como instrumento de poder' planteó dos interrogantes que permitieron, por un lado, evidenciar ¿cuáles estrategias discursivas permiten analizar la relación entre lenguaje y poder en el discurso de la segunda posesión del presidente Álvaro Uribe Vélez y, por otro, analizar las implicaciones que tienen las mencionadas estrategias en la construcción de sentido. Lo anterior con el fin de mirar cómo se ejerce poder mediante las prácticas discursivas, dado que quien emite un discurso busca, ante todo, convencer y cambiar la mentalidad de los receptores, a través de la comunicación de creencias, actitudes, valores y un sinnúmero de saberes tomados de su entorno y de la cultura, por medio de estrategias discusivas que son empleadas de manera consciente, de acuerdo con el fin que se persiga. Teniendo en cuenta lo anterior, esta ponencia presenta los resultados obtenidos en la investigación, desarrollada en la Maestría en Lingüística de la UPTC, los cuales muestran el discurso como una interacción a través de la cual se evidencian marcas de poder y se construyen los acontecimientos y las identidades de los sujetos, mediante la comunicación.

  1. Only the good... get pirated: game piracy activity vs. metacritic score

    DEFF Research Database (Denmark)

    Drachen, Anders; Bauer, Kevin; Veitch, Robert W. D.

    2011-01-01

    the substantial interest in game piracy, there is very little objective information available about its magnitude or its distribution across game titles and game genres. This paper presents a large-scale analysis of the illegal distribution of digital game titles, which was conducted by monitoring the Bit...... encompass 5.27 million aggregated unique peers alone. In addition to genre, review scores were found to be positively correlated with the logarithm of the number of unique peers per game (p

  2. Endoscopic Scores for Evaluation of Crohn's Disease Activity at Small Bowel Capsule Endoscopy: General Principles and Current Applications.

    Science.gov (United States)

    Rosa, Bruno; Pinho, Rolando; de Ferro, Susana Mão; Almeida, Nuno; Cotter, José; Saraiva, Miguel Mascarenhas

    2016-01-01

    The small bowel is affected in the vast majority of patients with Crohn's Disease (CD). Small bowel capsule endoscopy (SBCE) has a very high sensitivity for the detection of CD-related pathology, including early mucosal lesions and/or those located in the proximal segments of the small bowel, which is a major advantage when compared with other small bowel imaging modalities. The recent guidelines of European Society of Gastrointestinal Endoscopy (ESGE) and European Crohn's and Colitis Organisation (ECCO) advocate the use of validated endoscopic scoring indices for the classification of inflammatory activity in patients with CD undergoing SBCE, such as the Lewis Score or the Capsule Endoscopy Crohn's Disease Activity Index (CECDAI). These scores aim to standardize the description of lesions and capsule endoscopy reports, contributing to increase inter-observer agreement and enabling a stratification of the severity of the disease. On behalf of the Grupo de Estudos Português do Intestino Delgado (GEPID) - Portuguese Small Bowel Study Group, we aimed to summarize the general principles and clinical applications of current endoscopic scoring systems for SBCE in the setting of CD, covering the topic of suspected CD as well as the evaluation of disease extent (with potential prognostic and therapeutic impact), evaluation of mucosal healing in response to treatment and evaluation of post-surgical recurrence in patients with previously established diagnosis of CD.

  3. The Effects of Activating Prior Topic and Metacognitive Knowledge on Text Comprehension Scores

    Science.gov (United States)

    Kostons, Danny; van der Werf, Greetje

    2015-01-01

    Background: Research on prior knowledge activation has consistently shown that activating learners' prior knowledge has beneficial effects on learning. If learners activate their prior knowledge, this activated knowledge serves as a framework for establishing relationships between the knowledge they already possess and new information provided to…

  4. AutoDock-GIST: Incorporating Thermodynamics of Active-Site Water into Scoring Function for Accurate Protein-Ligand Docking.

    Science.gov (United States)

    Uehara, Shota; Tanaka, Shigenori

    2016-11-23

    Water plays a significant role in the binding process between protein and ligand. However, the thermodynamics of water molecules are often underestimated, or even ignored, in protein-ligand docking. Usually, the free energies of active-site water molecules are substantially different from those of waters in the bulk region. The binding of a ligand to a protein causes a displacement of these waters from an active site to bulk, and this displacement process substantially contributes to the free energy change of protein-ligand binding. The free energy of active-site water molecules can be calculated by grid inhomogeneous solvation theory (GIST), using molecular dynamics (MD) and the trajectory of a target protein and water molecules. Here, we show a case study of the combination of GIST and a docking program and discuss the effectiveness of the displacing gain of unfavorable water in protein-ligand docking. We combined the GIST-based desolvation function with the scoring function of AutoDock4, which is called AutoDock-GIST. The proposed scoring function was assessed employing 51 ligands of coagulation factor Xa (FXa), and results showed that both scoring accuracy and docking success rate were improved. We also evaluated virtual screening performance of AutoDock-GIST using FXa ligands in the directory of useful decoys-enhanced (DUD-E), thus finding that the displacing gain of unfavorable water is effective for a successful docking campaign.

  5. [Therapeutic efficacy during active phases of multiple sclerosis: gait analysis and comparison with the EDSS score].

    Science.gov (United States)

    Fauchard-Renard, C; Renard, J F; Miret, N; Hannequin, D; Mihout, B; Weber, J

    2001-07-01

    Fifteen patients experiencing a flare-up of multiple sclerosis were given 1 g methylprednosolone per day for 5 days. The EDSS score and gait analysis using spatio-temporal variables were recorded for these patients on days 0, 5 and 45. Both methods evidenced significant improvement but the significance was observed between day 0 and day 5 for the EDSS and between day 5 and 45 for gait speed and between day 0 and 45 for step rate. Gait speed was correlated with the pyramidal scale but not with the other functional scales of the EDSS. These results suggest that EDSS and spatio-temporal gait analysis are different tools for the assessment of therapeutic effect. Gait analysis can provide a precise quantitative assessment of the locomotor handicap as a function of the proposed treatment.

  6. Changes in Gleason score grading on serial follow-up biopsies in prostate cancer patients undergoing active surveillance.

    Science.gov (United States)

    Guijarro, A; Hernández, V; López, B; Capitán, C; Pérez-Fernández, E; de la Peña, E; de la Morena, J M; Llorente, C

    2015-04-01

    Active surveillance for prostate cancer has grown systematically in the recent years with more robust mid-term outcomes. However, changes in Gleason score during serial biopsies are not detailed in many of these reports. To evaluate changes in Gleason score on follow-up biopsies in low-risk prostate cancer in patients undergoing AS program in our center. Series of patients diagnosed of prostate cancer between 2004 and 2013 have been analyzed. The inclusion criteria were: PSA ≤ 10 ng/ml + Gleason ≤ 6 + T1c/T2a + ≤ 2 positive cores, and no more than 50% of affected core. The pathology of each of the biopsies was analyzed. We studied a series of 175 patients undergoing AS. Mean follow-up was 3.96 years (SD 2.4). Follow-up biopsies with Gleason scores ≥ 7 were: 5.72% in the first biopsy, 7.39% and 7.41% in subsequent biopsies. By contrast, in 42.03% of cases did not show evident tumor involvement in the first biopsy, 40.74% and 51.85% in the second and third biopsies respectively. Median stay in the AS program was: 90.99 months (95% CI: 53.53-128.46) in patients with first positive biopsy vs. 96.66 months (95% CI: 63.19-130.13) in those without evidence of tumor. In our series the pathological data of the first 3 biopsies remain stable in terms of the positive biopsy rate, Gleason score, or indication of active treatment proportions. Those patients who do not show evidence of malignancy in the first follow-up biopsy are less likely to need active treatment than the other patients in the series. Copyright © 2014 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  7. A cross-sectional study of the Birmingham Vasculitis Activity Score version 3 in systemic vasculitis.

    LENUS (Irish Health Repository)

    Suppiah, Ravi

    2011-05-01

    Assessment of disease activity in vasculitis can be achieved using the BVAS, a clinical checklist of relevant symptoms, signs and features of active disease. The aim of this study was to revalidate the BVAS version 3 (BVAS v. 3) in a cohort of patients with systemic vasculitis.

  8. The role of physical activity and fitness on the metabolic syndrome in adolescents: effect of different scores. The AFINOS Study.

    Science.gov (United States)

    Martínez-Gómez, D; Eisenmann, J C; Moya, J M; Gómez-Martínez, S; Marcos, A; Veiga, O L

    2009-09-01

    The aim of this study was to examine the associations of objectively measured physical activity (PA) and cardiorespiratory fitness (CRF) with different continuous metabolic syndrome (MetS) scores in adolescents. A cross-sectional sub-sample of 202 adolescents (99 girls), aged 13-17 years, were selected from the AFINOS Study. Body mass index, sum of 6 skindfold, waist circumference, systolic and diastolic blood pressure, insulin, glucose, triacylglycerol, and HDL-cholesterol levels were determined. Moderate PA (MPA), vigorous PA (VPA) and moderate to vigorous PA (MVPA) were assessed by the ActiGraph accelerometer for 7 consecutive days and CRF was estimated by the 20-m shuttle run test. Three continuous MetS scores were calculated according to the methodology of the Corpus Christi Child Heart Study (CCCHS), the Aerobic Center Longitudinal Study (ACLS), and the European Youth Heart Study (EYHS). VPA and MVPA were significantly related with CRF. Only CRF, and not patterns of PA, was inversely and independently associated with the three MetS scores although with different magnitudes (ranged: beta = 0.22 to 0.36, p < 0.05). A significant VPA x CRF interaction (p = 0.011) was found using the ACLS MetS score. Trends across VPA-CRF groups were significantly different with ACLS and EYHS (p = 0.002 and p = 0.006, respectively), but not with CCCHS (p = 0.313) continuous MetS scores. These findings support the key role of CRF on the MetS and the relevance of PA, especially VPA, to provide CRF in adolescents. A unified pediatric definition of MetS might minimize the discrepancies among studies.

  9. Repeated High-Intensity Effort Activity in Relation to Tries Scored and Conceded during Rugby League Match-Play.

    Science.gov (United States)

    Gabbett, Tim J; Gahan, Caleb W

    2015-09-21

    To examine the nature and frequency of rugby league repeated high-intensity effort (RHIE) activity in relation to tries scored and conceded in successful and unsuccessful teams. One-hundred and eighty-five semi-professional rugby league players (mean ± SD age: 23.7 ± 3.2 yr) from 11 teams participated in this study. Global positioning system (GPS) data was collected during 21 matches. Data were analysed for the total number of RHIE bouts, efforts per bout, duration of efforts and recovery between efforts. Using notational analysis, a RHIE bout frequency distribution, representing 0-60s, 61-120s, 121-180s, 181-240s, and 241-300s prior to scoring and conceding a try was established. Over 50% of RHIE bouts occurred within five minutes of a try. Bottom 4 teams performed a greater proportion of bouts within five minutes of a try than Top 4 teams (61.5% vs. 48.2%, effect size, ES = 0.69 ± 0.28, p=0.0001). Top 4 teams performed a greater number of RHIE bouts per conceded try (3.0 ± 2.1 vs. 1.6 ± 0.7, ES = 0.74 ± 0.51, pteams performed a greater number of RHIE bouts per try scored (3.6 ± 2.5 vs. 2.1 ± 1.7, ES = 0.70 ± 0.71, p=0.10). The majority of rugby league RHIE bouts occur at critical periods during match-play. Successful rugby league teams perform more RHIE bouts prior to conceding tries, while unsuccessful teams perform more bouts prior to scoring tries. These findings demonstrate that unsuccessful teams are required to work harder to score tries while successful teams work harder to prevent tries.

  10. Estimation of tamoxifen metabolite concentrations in the blood of breast cancer patients through CYP2D6 genotype activity score.

    Science.gov (United States)

    Wu, Alan H B; Lorizio, Wendy; Tchu, Simone; Lynch, Kara; Gerona, Roy; Ji, Wuyang; Ruan, Weiming; Ruddy, Kathryn J; Desantis, Stephen D; Burstein, Harold J; Ziv, Elad

    2012-06-01

    Tamoxifen, a prodrug used for adjuvant breast cancer therapy, requires conversion to the active metabolite endoxifen through CYP 2D6. We aimed to construct an algorithm to predict endoxifen concentrations based on a patient’s CYP 2D6 genotype, demographic factors, and co-medication use. Eighty-eight women enrolled in the UCSF TamGen II study and 81 women enrolled in a prospective study at Dana-Farber Cancer Institute were included in this analysis. All the women had been on tamoxifen for at least 3 months before blood collection. Demographic information included the patient’s age, race/ethnicity, body mass index (where available), and self-reported and measured medications and herbals that affect 2D6 activity. DNA was extracted and genotyped for 2D6 (Amplichip, Roche Diagnostics). An activity score was calculated based on genotypes and adjusted for use of medications known to inhibit 2D6. Serum was tested for tamoxifen and metabolite concentrations and for the presence of drugs by liquid chromatography/mass spectrometry. Univariate and multivariate regression analysis were computed for age, body mass index, ethnicity, and adjusted activity score to predict tamoxifen metabolite concentrations in the training data-set of UCSF patients, and the resulting algorithm was validated in the Dana-Farber patients. For the training set, the correlation coefficient (r2) for log endoxifen and N-desmethyltamoxifen:endoxifen ratio to activity score, age, and race, were 0.520 and 0.659, respectively; 0.324 and 0.567 for the validation; and 0.396 and 0.615 for both the datasets combined. An algorithm that incorporates genotype and demographic variables can be used to predict endoxifen concentrations for women on tamoxifen therapy. If endoxifen levels are confirmed to be predictive of tamoxifen benefit, then this algorithm may be helpful to determine which women warrant endoxifen testing.

  11. Instrumento para avaliação de detergentes enzimáticos Instrumento para evaluación de detergentes enzimáticos An instrument for evaluating enzymatics detergents

    Directory of Open Access Journals (Sweden)

    Denise Rodrigues Costa Schmidt

    2008-06-01

    Full Text Available Estudo de desenvolvimento metodológico que teve por objetivo construir um instrumento de avaliação de detergentes enzimáticos e analisar a ação dos produtos sobre os instrumentais. O instrumento foi submetido à análise de três juízes. O pré-teste foi realizado com 25 instrumentos. A amostra para a análise de campo foi constituída por mais 25 instrumentais cirúrgicos. Os resultados obtidos permitiram a construção de um instrumento com 19 itens e a análise de campo constatou que houve diferenças nos escores das soluções avaliadas. O produto P5 obteve a melhor média 78,7 (DP 6,68 e mediana 80,2 e o produto P4 obteve o pior desempenho, média 56,2 (DP 7,09 e mediana 56,7, em um intervalo possível de 19 a 95. O instrumento de medida mostrou-se confiável ao estudo, apresentando valor do Alpha de Cronbach de 0,83.Se trata de un estudio de desarrollo metodológico que tuvo como objetivo construir un instrumento de evaluación de detergentes enzimáticos y analizar la acción de los productos sobre los instrumentales. El instrumento fue sometido al análisis de tres jueces. El pre test fue realizado con 25 instrumentos. La muestra para el análisis de campo estuvo constituida por más de 25 instrumentales quirúrgicos. Los resultados obtenidos permitieron la construcción de un instrumento con 19 items y por el análisis de campo se constató que hubo diferencias en los escores de las soluciones evaluadas. El producto P5 obtuvo el mejor pro-medio de 78,7 (DP 6,68 y mediana de 80,2 y el producto P4 obtuvo el peor desempeño, promedio de 56,2 (DP 7,09 y mediana de 56,7, en un intervalo posible de 19 a 95. El instrumento de medida se mostró confiable para el estudio, presentando valor del Alpha de Cronbach de 0,83.The objective of this study was to develop an instrument for measuring the quality of enzymatic detergents and analyze their cleaning action on surgical instruments. The instrument was submitted to a panel of three judges

  12. Investigation of a multi-biomarker disease activity score in rheumatoid arthritis by comparison with magnetic resonance imaging, computed tomography, ultrasonography, and radiography parameters of inflammation and damage.

    Science.gov (United States)

    Krabbe, S; Bolce, R; Brahe, C H; Døhn, U M; Ejbjerg, B J; Hetland, M L; Sasso, E H; Chernoff, D; Hansen, M S; Knudsen, L S; Hansen, A; Madsen, O R; Hasselquist, M; Møller, J; Østergaard, M

    2017-09-01

    To investigate the multi-biomarker disease activity (MBDA) score by comparison with imaging findings in an investigator-initiated rheumatoid arthritis (RA) trial (HURRAH trial, NCT00696059). Fifty-two patients with established RA initiated adalimumab treatment and had magnetic resonance imaging (MRI), ultrasonography (US), computed tomography (CT), and radiography performed at weeks 0, 26, and 52. Serum samples were analysed using MBDA score assays and associations between clinical measures, MBDA score, and imaging findings were investigated. The MBDA score correlated significantly with MRI synovitis (rho = 0.65, p  44) MBDA scores, respectively. In this cohort, the MBDA score correlated poorly with MRI/US inflammation. However, the MBDA score and MRI/US were generally concordant in showing signs of inflammation in most patients in clinical remission during anti-tumour necrosis factor (anti-TNF) therapy. MBDA scores were elevated in all patients with structural damage progression.

  13. Development of an activity disease score in patients with uveitis (UVEDAI).

    Science.gov (United States)

    Pato, Esperanza; Martin-Martinez, Mª Auxiliadora; Castelló, Adela; Méndez-Fernandez, Rosalía; Muñoz-Fernández, Santiago; Cordero-Coma, Miguel; Martinez-Costa, Lucia; Valls, Elia; Reyes, Miguel; Francisco, Félix; Esteban, Mar; Fonollosa, Alex; Sanchez-Alonso, Fernando; Fernández-Espartero, Cruz; Diaz-Valle, Teresa; Carrasco, José Miguel; Beltran-Catalán, Emma; Hernández-Garfella, Marisa; Hernández, María Victoria; Pelegrin, Laura; Blanco, Ricardo; Diaz-Valle, David

    2017-04-01

    To develop a disease activity index for patients with uveitis (UVEDAI) encompassing the relevant domains of disease activity considered important among experts in this field. The steps for designing UVEDAI were: (a) Defining the construct and establishing the domains through a formal judgment of experts, (b) A two-round Delphi study with a panel of 15 experts to determine the relevant items, (c) Selection of items: A logistic regression model was developed that set ocular inflammatory activity as the dependent variable. The construct "uveitis inflammatory activity" was defined as any intraocular inflammation that included external structures (cornea) in addition to uvea. Seven domains and 15 items were identified: best-corrected visual acuity, inflammation of the anterior chamber (anterior chamber cells, hypopyon, the presence of fibrin, active posterior keratic precipitates and iris nodules), intraocular pressure, inflammation of the vitreous cavity (vitreous haze, snowballs and snowbanks), central macular edema, inflammation of the posterior pole (the presence and number of choroidal/retinal lesions, vascular inflammation and papillitis), and global assessment from both (patient and physician). From all the variables studied in the multivariate model, anterior chamber cell grade, vitreous haze, central macular edema, inflammatory vessel sheathing, papillitis, choroidal/retinal lesions and patient evaluation were included in UVEDAI. UVEDAI is an index designed to assess the global ocular inflammatory activity in patients with uveitis. It might prove worthwhile to motorize the activity of this extraarticular manifestation of some rheumatic diseases.

  14. Apgar score

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/003402.htm Apgar score To use the sharing features on this page, ... birth. Virginia Apgar, MD (1909-1974) introduced the Apgar score in 1952. How the Test is Performed The ...

  15. Comparing Active Game-Playing Scores and Academic Performances of Elementary School Students

    Science.gov (United States)

    Kert, Serhat Bahadir; Köskeroglu Büyükimdat, Meryem; Uzun, Ahmet; Çayiroglu, Beytullah

    2017-01-01

    In the educational sciences, many discussions on the use of computer games occur. Most of the scientists believe that traditional computer games are time-consuming software and that game-playing activities negatively affect students' academic performance. In this study, the accuracy of this general opinion was examined by focusing on the real…

  16. DAS28 score vs. ultrasound examination for assessment of rheumatoid arthritis disease activity: comparison and discussion of pros and cons.

    Science.gov (United States)

    Barczyńska, Tacjana Anna; Dura, Marta; Blumfield, Einat; Węgierska, Małgorzata; Żuchowski, Pawel; Wilińska-Jankowska, Arnika; Jeka, Sławomir

    2015-01-01

    Rheumatoid arthritis (RA) is a chronic systemic connective tissue disease which is characterized by symetrical multiple joints involvement and extra-articular symptoms. Current EULAR diagnostic criteria for RA include disease activity parameters, such as erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP), which are used to calculate disease activity scores, including DAS and DAS28. Recently attempts have been made to assess disease activity using imaging diagnostic modalities, such as magnetic resonance imaging (MRI) and ultrasonography (US). Due to significant progress in therapy effectiveness and early RA diagnosis possibility, imaging modalities become increasingly meaningful and many clinical trials confirm their usefulness. However, there are no consistent criteria for objective assessment of therapy effectiveness based on US. Moreover, it is not US availability that limits its common use, but rather significant variability between operators. This is why US remains only an additional tool to assess therapy efficacy with regard to DAS/DAS28 index.

  17. UPDRS ACTIVITY OF DAILY LIVING SCORE AS MARKER OF PARKINSON’S DISEASE PROGRESSION

    OpenAIRE

    Harrison, Madaline B.; Wylie, Scott A.; Frysinger, Robert C.; Patrie, James T.; Huss, Diane S.; Currie, Lillian J.; Wooten, G. Frederick

    2009-01-01

    The Activities of Daily Living (ADL) subscore of the UPDRS captures the impact of Parkinson’s Disease (PD) on daily function and may be less affected than other subsections by variability associated with drug cycle and motor fluctuations. We examined UPDRS mentation, ADL and motor subscores in 888 patients with idiopathic PD. Multiple linear regression analyses determined the association between disease duration and UPDRS subscores as a function of medication status at examination and in a su...

  18. Validity of PALMS GPS Scoring of Active and Passive Travel Compared to SenseCam

    Science.gov (United States)

    Carlson, Jordan A.; Jankowska, Marta M.; Meseck, Kristin; Godbole, Suneeta; Natarajan, Loki; Raab, Fredric; Demchak, Barry; Patrick, Kevin; Kerr, Jacqueline

    2014-01-01

    Purpose To assess validity of the Personal Activity Location Measurement System (PALMS) for deriving time spent walking/running, bicycling, and in vehicle, using SenseCam as the comparison. Methods 40 adult cyclists wore a Qstarz BT-Q1000XT GPS data logger and SenseCam (camera worn around neck capturing multiple images every minute) for a mean of 4 days. PALMS used distance and speed between GPS points to classify whether each minute was part of a trip (yes/no), and if so, the trip mode (walking/running, bicycling, in vehicle). SenseCam images were annotated to create the same classifications (i.e., trip yes/no and mode). 2×2 contingency tables and confusion matrices were calculated at the minute-level for PALMS vs. SenseCam classifications. Mixed-effects linear regression models estimated agreement (mean differences and intraclass correlations [ICCs]) between PALMS and SenseCam with regards to minutes/day in each mode. Results Minute-level sensitivity, specificity, and negative predictive value were ≥88%, and positive predictive value was ≥75% for non mode-specific trip detection. 72–80% of outdoor walking/running minutes, 73% of bicycling minutes, and 74–76% of in-vehicle minutes were correctly classified by PALMS. For minutes/day, PALMS had a mean bias (i.e., amount of over or under estimation) of 2.4–3.1 minutes (11–15%) for walking/running, 2.3–2.9 minutes (7–9%) for bicycling, and 4.3–5 minutes (15–17%) for vehicle time. ICCs were ≥.80 for all modes. Conclusions PALMS has validity for processing GPS data to objectively measure time walking/running, bicycling, and in vehicle in population studies. Assessing travel patterns is one of many valuable applications of GPS in physical activity research that can improve our understanding of the determinants and health outcomes of active transportation as well as its impact on physical activity. PMID:25010407

  19. Lack of utility of risk score and gynecological examination for screening for sexually transmitted infections in sexually active adolescents

    Directory of Open Access Journals (Sweden)

    Côrtes Rejane LM

    2009-03-01

    Full Text Available Abstract Background Sexually transmitted infections constitute the main health risk among adolescents. In developing countries the diagnosis and treatment of cervical infections is based on the syndromic approach. In this study we estimated the prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae among female adolescents from a Health Sector of the city of Goiânia, Brazil, and validated cervicitis diagnosis using World Health Organization/Ministry of Health risk score and gynecological examination. Methods A cross-sectional community-based sample of 914 15- to 19-year-old female teenagers was randomly selected and referred to the local Family Health Program. Of these, 472 (51.6% were sexually active and gynecological examinations were carried out for 427. Endocervical samples were collected to perform the polymerase chain reaction for C. trachomatis and N. gonorrhoeae. Performance of risk score, the presence of mucopurulent discharge, friability, ectopia and pain during cervical maneuver were compared with the presence of C. trachomatis or N. gonorrhoeae or both. Results The prevalence of C. trachomatis and N. gonorrhoeae was 14.5% and 2.1%, respectively. The risk score had a specificity of 31.9% (95% confidence interval, 21.2 to 44.2 and a positive predictive value of 20.8% (95% confidence interval, 13.5 to 29.7. Friability was the component of the gynecological examination that presented the best performance with a sensitivity of 43.5%, specificity of 81.0%, and 30.6% of positive predictive value. Conclusion The prevalence of infection by C. trachomatis and N. gonorrhoeae was high among these sexually active adolescents. The syndromic approach is clearly inadequate for screening and treating these infections in this population. Therefore, the implantation of other strategies to control these infections among adolescents is urgently required.

  20. Systems view of adipogenesis via novel omics-driven and tissue-specific activity scoring of network functional modules

    Science.gov (United States)

    Nassiri, Isar; Lombardo, Rosario; Lauria, Mario; Morine, Melissa J.; Moyseos, Petros; Varma, Vijayalakshmi; Nolen, Greg T.; Knox, Bridgett; Sloper, Daniel; Kaput, Jim; Priami, Corrado

    2016-07-01

    The investigation of the complex processes involved in cellular differentiation must be based on unbiased, high throughput data processing methods to identify relevant biological pathways. A number of bioinformatics tools are available that can generate lists of pathways ranked by statistical significance (i.e. by p-value), while ideally it would be desirable to functionally score the pathways relative to each other or to other interacting parts of the system or process. We describe a new computational method (Network Activity Score Finder - NASFinder) to identify tissue-specific, omics-determined sub-networks and the connections with their upstream regulator receptors to obtain a systems view of the differentiation of human adipocytes. Adipogenesis of human SBGS pre-adipocyte cells in vitro was monitored with a transcriptomic data set comprising six time points (0, 6, 48, 96, 192, 384 hours). To elucidate the mechanisms of adipogenesis, NASFinder was used to perform time-point analysis by comparing each time point against the control (0 h) and time-lapse analysis by comparing each time point with the previous one. NASFinder identified the coordinated activity of seemingly unrelated processes between each comparison, providing the first systems view of adipogenesis in culture. NASFinder has been implemented into a web-based, freely available resource associated with novel, easy to read visualization of omics data sets and network modules.

  1. Effects of type of physical exercise and leisure activities on the depression scores of obese Brazilian adolescent girls

    Directory of Open Access Journals (Sweden)

    Stella S.G.

    2005-01-01

    Full Text Available Several studies have indicated that depressive states may lead to hypokinesia with diminished metabolic rate and energy use. Hypokinesia associated with certain eating behaviors may lead to an unfavorable energy balance that can contribute to the emergence and prevalence of obesity among children and adults. The purpose of the present study was to examine the possibility of reducing depression inventory scores in female adolescents with third-degree obesity while testing the effectiveness of different exercise programs in reducing anxiety and depression scores. The sample consisted of 40 female subjects (mean age 16 ± 1.56 years divided into 4 groups (aerobic training, anaerobic training, leisure activities, and control. Subjects had a body mass index of 95% or more in relation to the 50th percentile. The aerobic program consisted of three ergometric bicycle sessions per week over a 3-month period (12 weeks and the activities were prescribed after determining the anaerobic ventilatory threshold (VO2 threshold. Anaerobic training was based on the Wingate anaerobic power test. The leisure program consisted of a varied range of activities (games, exercises, etc.. A nutritionist interviewed the members of these two groups and the control group every week in order to adapt them to the nutritional guidelines proposed for the study. The study showed that all three programs (aerobic exercise, anaerobic exercise and leisure activities were effective in reducing body mass. However, we found a significant reduction when analyzing the depression scores only for aerobic exercise (18.9 ± 9.33 to 10.6 ± 9.56 or 43.9% but no significant alterations for anaerobic exercise (11.36 ± 5.23 to 9.63 ± 4.78 or 15.22% and leisure (17.28 ± 7.55 to 15.07 ± 7.54 or 12.78%, thus indicating that in principle this type of activity could be included to improve emotional well-being of obese adolescent girls.

  2. UPDRS activity of daily living score as a marker of Parkinson's disease progression.

    Science.gov (United States)

    Harrison, Madaline B; Wylie, Scott A; Frysinger, Robert C; Patrie, James T; Huss, Diane S; Currie, Lillian J; Wooten, G Frederick

    2009-01-30

    The activities of daily living (ADL) subscore of the Unified Parkinson's Disease Rating Scale (UPDRS) captures the impact of Parkinson's disease (PD) on daily function and may be less affected than other subsections by variability associated with drug cycle and motor fluctuations. We examined UPDRS mentation, ADL and motor subscores in 888 patients with idiopathic PD. Multiple linear regression analyses determined the association between disease duration and UPDRS subscores as a function of medication status at examination and in a subset of patients with multiple examinations. Independent of medication status and across cross-sectional and longitudinal analyses, ADL subscores showed a stronger and more stable association with disease duration than other UPDRS subscores after adjusting for age of disease onset. The association between disease duration and the motor subscore depended on medication status. The strong association between ADL subscore and disease duration in PD suggests that this measure may serve as a better marker of disease progression than signs and symptoms assessed in other UPDRS sections.

  3. Effects of a therapeutic climbing program on muscle activation and SF-36 scores of patients with lower back pain.

    Science.gov (United States)

    Kim, Se-Hun; Seo, Dong-Yel

    2015-03-01

    [Purpose] This study examined the effects of lumbar stability exercises on chronic lower back pain by using a therapeutic climbing program on lumbar muscle activity and function. [Subjects and Methods] Thirty adult subjects with chronic back pain participated. The subjects were assigned to 2 exercise groups, namely the lumbar stabilization (Mat Ex) and therapeutic climbing exercise groups (TC Ex). Each group trained for 30 minutes, 3 times a week for 4 weeks. The Short-form 36-item Questionnaire (SF-36) was administered and the surface electromyographic (sEMG) activities of the lumbar muscles were measured. [Results] Both therapy groups showed significant increases in the SF-36 score, and the increase was greater in the TC Ex group. Significant increases in the sEMG activities of the lumbar muscles were found in both groups. The increases in the sEMG activities of the rectus abdominis and internal and external oblique muscles of the abdomen were greater in the TC Ex group than in the Mat Ex group. [Conclusion] These findings demonstrate that TC Ex, which is similar to normal lumbar stabilization exercise, is effective at activating and improving the function of the lumbar muscles. These results suggest that TC Ex has a positive impact on the stabilization of the lumbar region.

  4. Apgar Scores

    Science.gov (United States)

    ... Stages Listen Español Text Size Email Print Share Apgar Scores Page Content Article Body As soon as your ... the syringe, but is blue; her one minute Apgar score would be 8—two points off because she ...

  5. Investigation of a multi-biomarker disease activity score in rheumatoid arthritis by comparison with magnetic resonance imaging, computed tomography, ultrasonography, and radiography parameters of inflammation and damage

    DEFF Research Database (Denmark)

    Krabbe, S.; Bolce, R.; Brahe Pedersen, C.

    2017-01-01

    resonance imaging (MRI), ultrasonography (US), computed tomography (CT), and radiography performed at weeks 0, 26, and 52. Serum samples were analysed using MBDA score assays and associations between clinical measures, MBDA score, and imaging findings were investigated. Results: The MBDA score correlated......Objectives: To investigate the multi-biomarker disease activity (MBDA) score by comparison with imaging findings in an investigator-initiated rheumatoid arthritis (RA) trial (HURRAH trial, NCT00696059). Method: Fifty-two patients with established RA initiated adalimumab treatment and had magnetic...

  6. Instrumentos de molienda: evidencias del procesamiento de recursos vegetales en la laguna de Castillos (Rocha, Uruguay

    Directory of Open Access Journals (Sweden)

    Irina Capdepont

    2005-12-01

    Full Text Available Se presentan los resultados obtenidos del estudio de instrumentos de molienda recuperados en la Excavación I del montículo A del sitio Guardia del Monte -laguna de Castillos- Uruguay. Para realizar el trabajo se procedió a la caracterización de los instrumentos de molienda mediante el relevamiento de los atributos físicos y de las características funcionales. Para esto último se aplicó la Técnica de Extracción e Identificación de Partículas Biosilíceas, con el objetivo de realizar correlaciones entre instrumentos particulares y tipos de recursos vegetales específicos. Asimismo, se emplearon fuentes escritas profundizando en los aspectos relacionados con la molienda y uso de recursos vegetales. Los resultados obtenidos permitieron identificar el procesamiento de vegetales con aplicaciones alimenticias (preparación de harinas, bebidas fermentadas, etc. y tecnológicas (textilería, cordelería, cestería, entre los que se identificaron recursos silvestres y cultivados o manejados. Algunos instrumentos presentaron evidencias de procesamiento de recursos alimenticios, otros de recursos tecnológicos y finalmente otros con indicios de multifuncionalidad. Asimismo, se constató una cierta correlación entre algunos de los atributos físicos de los instrumentos y la funcionalidad atribuida a partir de los vegetales identificados y los usos referidos en las fuentes etnográficas.This paper presents the results from studies performed on milling stone tools recovered at Excavation I, Mound A from Guardia del Monte Site, Castillos lagoon, Uruguay. Physical attributes and functional features were used for the characterization of grinding artefacts. To this end opal phytoliths were extracted and analyzed in order to correlate different kinds of artefacts with specific vegetable resources. Written sources were used additionally to reach a deeper understanding of other aspects related to grinding activities and use of vegetable resources. The

  7. Association of a multibiomarker disease activity score at multiple time-points with radiographic progression in rheumatoid arthritis: results from the SWEFOT trial

    Science.gov (United States)

    Hambardzumyan, Karen; Bolce, Rebecca J; Saevarsdottir, Saedis; Forslind, Kristina; Wallman, Johan K; Cruickshank, Scott E; Sasso, Eric H; Chernoff, David; van Vollenhoven, Ronald F

    2016-01-01

    Objectives In rheumatoid arthritis (RA), predictive biomarkers for subsequent radiographic progression (RP) could improve therapeutic choices for individual patients. We previously showed that the multibiomarker disease activity (MBDA) score in patients with newly diagnosed RA identified patients at risk for RP. We evaluated the MBDA score at multiple time-points as a predictor of RP during 2 years of follow-up. Methods A subset of patients with RA (N=220) from the Swedish Farmacotherapy (SWEFOT) trial were analysed for MBDA score, disease activity score of 28 joints (DAS28), C reactive protein (CRP) and erythrocyte sedimentation rate (ESR) at baseline (BL), month 3 and year 1, for predicting RP based on modified Sharp/van der Heijde scores at BL, year 1 and year 2. Results Patients with persistently low MBDA (44) MBDA scores. Among methotrexate non-responders with a high MBDA score at BL or month 3, significantly more of those who received triple therapy had RP at year 2 compared with those who received antitumour necrosis factor therapy. Conclusions Measuring the MBDA score both before and during treatment in RA was useful for the assessment of individual patient risk for RP during 2 years of follow-up. In comparison with low CRP, ESR or DAS28, a low MBDA score at any time-point was associated with numerically lower proportions of RP. Trial registration number NCT00764725. PMID:26958364

  8. Additional prognostic role of EGFR activating mutations in lung adenocarcinoma patients with brain metastasis: integrating with lung specific GPA score.

    Science.gov (United States)

    Lee, Dae-Won; Shin, Dong-Yeop; Kim, Jin Wook; Keam, Bhumsuk; Kim, Tae Min; Kim, Hak Jae; Kim, Dong-Wan; Wu, Hong-Gyun; Paek, Sun Ha; Kim, Young Whan; Heo, Dae Seog; Kim, Dong Gyu; Lee, Se-Hoon

    2014-12-01

    While several prognostic models have been presented in NSCLC patients with brain metastasis, none of these models have included molecular markers as an index. The aim of our study was to evaluate the prognostic value of EGFR mutations and to integrate these EGFR mutations into the prognostic index in NSCLC patients with brain metastasis. We analyzed retrospectively 292 lung adenocarcinoma patients with brain metastasis. Clinico-pathological features and overall survival (OS) were compared between patients with EGFR mutations and patients with EGFR wild type. EGFR mutation status was integrated with lung specific graded prognostic assessment (GPA) score. Among 292 patients, EGFR mutation status was tested in 183 patients. One hundred and five patients (57.4%) had EGFR activating mutations, 14 (7.7%) had EGFR non-activating mutations and 64 (35.0%) had EGFR wild type. OS was significantly longer in patients with EGFR activating mutations than in those with EGFR wild type patients (20.4 vs. 10.1 months, p = 0.002). However, patients with EGFR non-activating mutations did not show superior OS compared with EGFR wild type patients (14.6 vs. 10.1 months, p = 0.83). Multivariate analysis revealed that the presence of EGFR activating mutation is an independent positive prognostic factor for OS (adjusted hazard ratio 0.56, p = 0.002). EGFR activating mutations have a prognostic role in lung adenocarcinoma patients with brain metastasis that is independent of other known prognostic factors. The frequency of EGFR mutation was higher than expected. The presence of EGFR activating mutations should be included as an index in the prognostic models for lung adenocarcinoma patients with brain metastasis. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  9. Modelling Cost-Effectiveness of Biologic Treatments Based on Disease Activity Scores for the Management of Rheumatoid Arthritis in Spain

    Directory of Open Access Journals (Sweden)

    Ariel Beresniak

    2011-01-01

    Full Text Available Background. The objective of this simulation model was to assess the cost-effectiveness of different biological treatment strategies based on levels of disease activity in Spain, in patients with moderate to severe active RA and an insufficient response to at least one anti-TNF agent. Methods. Clinically meaningful effectiveness criteria were defined using DAS28 scores: remission and Low Disease Activity State (LDAS thresholds. Monte-Carlo simulations were conducted to assess cost-effectiveness over 2 years of four biological sequential strategies composed of anti-TNF agents (adalimumab, infliximab, abatacept or rituximab, in patients with moderate to severe active RA and an insufficient response to etanercept as first biological agent. Results. The sequential strategy including etanercept, abatacept and adalimumab appeared more efficacious over 2 years (102 days in LDAS compared to the same sequence including rituximab as second biological option (82 days in LDAS. Cost-effectiveness ratios showed lower costs per day in LDAS with abatacept (427 € compared to rituximab as second biological option (508 €. All comparisons were confirmed when using remission criteria. Conclusion. Model results suggest that in patients with an insufficient response to anti-TNF agents, the biological sequences including abatacept appear more efficacious and cost-effective than similar sequences including rituximab or cycled anti-TNF agents.

  10. Validity and predictive ability of the juvenile arthritis disease activity score based on CRP versus ESR in a Nordic population-based setting

    DEFF Research Database (Denmark)

    Nordal, E B; Zak, Marek Stanislaw; Aalto, K

    2012-01-01

    To compare the juvenile arthritis disease activity score (JADAS) based on C reactive protein (CRP) (JADAS-CRP) with JADAS based on erythrocyte sedimentation rate (ESR) (JADAS-ESR) and to validate JADAS in a population-based setting.......To compare the juvenile arthritis disease activity score (JADAS) based on C reactive protein (CRP) (JADAS-CRP) with JADAS based on erythrocyte sedimentation rate (ESR) (JADAS-ESR) and to validate JADAS in a population-based setting....

  11. Screening and Scoring of Antimicrobial and Biological Activities of Italian Vulnerary Plants against Major Oral Pathogenic Bacteria

    Directory of Open Access Journals (Sweden)

    Gianmaria F. Ferrazzano

    2013-01-01

    Full Text Available This study aims to evaluate the activity of Italian vulnerary plants against the most important oral pathogenic bacteria. This estimate was accomplished through a fivefold process: (a a review of ethnobotanical and microbiological data concerning the Italian vulnerary plants; (b the development of a scoring system to rank the plants; (c the comparative assessment of microbiological properties; (d the assessment of potential cytotoxic effects on keratinocyte-like cells and gingival fibroblasts in culture by XTT cell viability assay; (e clinical evaluation of the most suitable plant extract as antibacterial agent in a home-made mouthwash. The study assays hexane (H, ethanol (E, and water (W extracts from 72 plants. The agar diffusion method was used to evaluate the activity against Streptococcus mutans, Streptococcus sobrinus, Lactobacillus casei, and Actinomyces viscosus. Twenty-two plants showed appreciable activity. The extracts showing the strongest antibacterial power were those from Cotinus coggygria Scop., Equisetum hyemale L., Helichrysum litoreum Guss, Juniperus communis L., and Phyllitis scolopendrium (L. Newman subsp. scolopendrium. The potential cytotoxic effect of these extracts was assessed. On the basis of these observations, a mouth-rinse containing the ethanolic extract of H. litoreum has been tested in vivo, resulting in reduction of the salivary concentration of S. mutans.

  12. Evaluation of Crohn's disease activity: Initial validation of a magnetic resonance enterography global score (MEGS) against faecal calprotectin

    Energy Technology Data Exchange (ETDEWEB)

    Makanyanga, Jesica C.; Dikaios, Nikolaos [University College London, Centre for Medical Imaging, London (United Kingdom); Pendse, Doug; Atkins, Elaine; Cuthbertson, Terry [University College London Hospitals, Department of Specialist Radiology, London (United Kingdom); Bloom, Stuart; McCartney, Sara; Forbes, Alastair [University College London Hospitals, Department of Gastroenterology, London (United Kingdom); Helbren, Emma; Punwani, Shonit; Halligan, Steve; Taylor, Stuart A. [University College London, Centre for Medical Imaging, London (United Kingdom); University College London Hospitals, Department of Specialist Radiology, London (United Kingdom)

    2014-02-15

    To develop an MRI enterography global score (MEGS) of Crohn's disease (CD) activity compared with a reference standard of faecal calprotectin (fC), C-reactive protein (CRP) and Harvey-Bradshaw index (HBI). Calprotectin, CRP and HBI were prospectively recorded for 71 patients (median age 33, male 35) with known/suspected CD undergoing MRI enterography. Two observers in consensus scored activity for nine bowel segments, grading mural thickness, T2 signal, mesenteric oedema, T1 enhancement and pattern, and haustral loss. Segmental scores were multiplied according to disease length. Five points each were added for lymphadenopathy, comb sign, fistulae and abscesses to derive the MEGS. A previously validated MRI CD activity score (CDAS) was also calculated. MRI scores were correlated with clinical references using Spearman's rank. A logistic regression diagnostic model was built to discriminate active (fC > 100 μg/g) from inactive disease. MEGS and CDAS were significantly correlated with fC (r = 0.46, P < 0.001) and (r = 0.39, P = 0.001) respectively. MEGS correlated with CRP (r = 0.39, P = 0.002). The model for discriminating active from inactive disease achieved an area under the receiver-operating curve of 0.75 and 0.66 after leave-one-out analysis. A magnetic resonance enterography global score (MEGS) of CD activity correlated significantly with fC levels. (orig.)

  13. MR Enterography Assessment of Bowel Inflammation Severity in Crohn Disease Using the MR Index of Activity Score: Modifying Roles of DWI and Effects of Contrast Phases.

    Science.gov (United States)

    Kim, Jin Sil; Jang, Hye Young; Park, Seong Ho; Kim, Kyung-Jo; Han, Kyunghwa; Yang, Suk-Kyun; Ye, Byong Duk; Park, Sang Hyoung; Lee, Jong Seok; Kim, Hyun Jin

    2017-05-01

    The purpose of this article is to appraise the use of the MR index of activity (MaRIA) score in evaluating Crohn disease (CD) on present-day MR enterography images, with an emphasis on determining the modifying roles of DWI and the effects of different contrast enhancement phases. Fifty patients prospectively underwent MR enterography, including DWI and enteric and portal phase scans, and ileocolonoscopy with segmental CD endoscopic index of severity (CDEIS) scoring within a week. Thirty-nine terminal ilea and 40 right-sided colons (mean [± SD] segmental CDEIS score, 14.3 ± 12.1) from 42 patients with CD (mean age, 27 ± 6.2 years) were finally analyzed by three independent readers. Original and modified (ulcer replaced with DWI grade) MaRIA scores were compared regarding their correlation with segmental CDEIS score, accuracy in diagnosing active (segmental CDEIS score ≥ 3) and severe (segmental CDEIS score ≥ 12) inflammation, and interobserver reproducibility. The primary analysis used portal phase data, and the agreement between portal and enteric phase scores was analyzed. MaRIA and modified MaRIA scores correlated similarly with CDEIS scores (r = 0.737 and 0.742; p = 0.387) and did not significantly differ in terms of AUC values for the diagnosis of active (0.909 and 0.903; p = 0.571) or severe (0.907 and 0.892; p = 0.443) inflammation. The intraclass correlation coefficient was significantly higher for modified MaRIA than for MaRIA (0.845 and 0.701; p < 0.001). The mean difference between portal and enteric phase scores (i.e., portal minus enteric) was 0.33-0.36 score points for individual readers, and the Bland-Altman repeatability coefficient was 0.9-1.42 score points. Interobserver reproducibility in evaluating the severity of bowel inflammation in CD using the MaRIA score can be improved by modification with DWI. MaRIA scoring provides steady results across enteric and portal phases.

  14. Validity of a three-variable Juvenile Arthritis Disease Activity Score in children with new-onset juvenile idiopathic arthritis

    Science.gov (United States)

    Mcerlane, Flora; Beresford, Michael W; Baildam, Eileen M; Chieng, S E Alice; Davidson, Joyce E; Foster, Helen E; Gardner-Medwin, Janet; Lunt, Mark; Wedderburn, Lucy R; Thomson, Wendy; Hyrich, Kimme L

    2013-01-01

    Objectives To investigate the validity and feasibility of the Juvenile Arthritis Disease Activity Score (JADAS) in the routine clinical setting for all juvenile idiopathic arthritis (JIA) disease categories and explore whether exclusion of the erythrocyte sedimentation rate (ESR) from JADAS (the ‘JADAS3’) influences correlation with single markers of disease activity. Methods JADAS-71, JADAS-27 and JADAS-10 were determined at baseline for an inception cohort of children with JIA in the Childhood Arthritis Prospective Study. JADAS3-71, JADAS3-27 and JADAS3-10 were determined using an identical formula but with exclusion of ESR. Correlation of JADAS with JADAS3 and single measures of disease activity/severity were determined by category. Results Of 956 eligible children, sufficient data were available to calculate JADAS-71, JADAS-27 and JADAS-10 at baseline in 352 (37%) and JADAS3 in 551 (58%). The median (IQR) JADAS-71, JADAS-27 and JADAS-10 for all 352 children was 11 (5.9–18), 10.4 (5.7–17) and 11 (5.9–17.3), respectively. Median JADAS and JADAS3 varied significantly with the category (Kruskal–Wallis p=0.0001), with the highest values in children with polyarticular disease patterns. Correlation of JADAS and JADAS3 across all categories was excellent. Correlation of JADAS71 with single markers of disease activity/severity was good to moderate, with some variation across the categories. With the exception of ESR, correlation of JADAS3-71 was similar to correlation of JADAS-71 with the same indices. Conclusions This study is the first to apply JADAS to all categories of JIA in a routine clinical setting in the UK, adding further information about the feasibility and construct validity of JADAS. For the majority of categories, clinical applicability would be improved by exclusion of the ESR. PMID:23256951

  15. Multibiomarker disease activity score and C-reactive protein in a cross-sectional observational study of patients with rheumatoid arthritis with and without concomitant fibromyalgia

    Science.gov (United States)

    Hackett, James; Frits, Michelle; Iannaccone, Christine K.; Shadick, Nancy A.; Weinblatt, Michael E.; Segurado, Oscar G.; Sasso, Eric H.

    2016-01-01

    Objectives. To examine the association between a multibiomarker disease activity (MBDA) score, CRP and clinical disease activity measures among RA patients with and without concomitant FM. Methods. In an observational cohort of patients with established RA, we performed a cross-sectional analysis comparing MBDA scores with CRP by rank correlation and cross-classification. MBDA scores, CRP and clinical measures of disease activity were compared between patients with RA alone and RA with concomitant FM (RA and FM) by univariate and multivariate analyses. Results. CRP was ⩽1.0 mg/dl for 184 of 198 patients (93%). MBDA scores correlated with CRP (r = 0.755, P < 0.001), but were often discordant, being moderate or high for 19%, 55% and 87% of patients with CRP ⩽0.1, 0.1 to ⩽0.3, or 0.3 to ⩽1.0 mg/dl, respectively. Among patients with CRP ⩽1.0 mg/dl, swollen joint count (SJC) increased linearly across levels of MBDA score, both with (P = 0.021) and without (P = 0.004) adjustment for CRP, whereas CRP was not associated with SJC. The 28-joint-DAS-CRP, other composite measures, and their non-joint-count component measures were significantly greater for patients with RA and FM (n = 25) versus RA alone (n = 173) (all P ⩽ 0.005). MBDA scores and CRP were similar between groups. Conclusion. MBDA scores frequently indicated RA disease activity when CRP did not. Neither one was significantly greater among patients with RA and FM versus RA alone. Thus, MBDA score may be a useful objective measure for identifying RA patients with active inflammation when CRP is low (⩽1.0 mg/dl), including RA patients with concomitant FM. PMID:26608972

  16. Influência da penetração de instrumentos, empregados na condensação lateral ativa, na qualidade da obturação de canais radiculares Influence of the penetration of instruments, used in the active lateral condensation, in the quality of root canal filling

    Directory of Open Access Journals (Sweden)

    Bethânia Camargo Pinheiro

    2003-09-01

    Full Text Available OBJETIVO: comparar a qualidade da obturação e a diferença de profundidade de penetração, no interior do canal radicular, dos espaçadores digitais (Finger Spreader, limas tipo Kerr, Flexofile e Nitiflex, quando utilizados como espaçadores, durante a obturação pela Técnica da Condensação Lateral Ativa. MATERIAL E MÉTODOS: foram utilizados 40 dentes molares permanentes humanos, extraídos, instrumentados pela Técnica de Goerig Modificada e divididos em quatro grupos. No grupo I foi utilizado o espaçador digital C; no grupo II, lima tipo Kerr; no grupo III, lima Flexofile e, no grupo IV, lima Nitiflex, todos com diâmetro (D1 ou diâmetro da ponta correspondente ao diâmetro de uma lima 30 (0,30mm, para abertura de espaço para colocação dos cones secundários, durante a Técnica da Condensação Lateral Ativa. Avaliou-se e submeteu-se à análise estatística (Kruskal-Wallis e teste de Dunn a qualidade radiográfica da obturação e a profundidade de penetração dos instrumentos. RESULTADOS E CONCLUSÃO: quanto à análise radiográfica da qualidade da obturação, o grupo II foi o que apresentou o melhor resultado, seguido dos grupos I, IV e III, respectivamente. Em relação à profundidade de penetração dos instrumentos, o grupo IV aproximou-se mais da distância desejada, ou seja, 1 milímetro aquém do comprimento de trabalho, seguido, respectivamente, dos grupos II, III e I.PURPOSE: the purpose of this study was to compare the quality of the obturation and the difference of penetration depth inside the root canal of the instruments Finger Spreader, file type Kerr, Flexofile and Nitiflex when used as spreaders during the filling by Active Lateral Condensation Technique. MATERIAL AND METHOD: 40 extracted permanent human teeth were instrumented by the Modified Goerig Technique and divided in four groups. In the group I the finger spreader was used; in the group II, files type Kerr was used; in the group III, files Flexofile

  17. Responsiveness of the Ankylosing Spondylitis Disease Activity Score (ASDAS) and clinical and MRI measures of disease activity in a 1-year follow-up study of patients with axial spondyloarthritis treated with tumour necrosis factor alpha inhibitors

    DEFF Research Database (Denmark)

    Pedersen, Susanne Juhl; Sørensen, Inge Juul; Hermann, Kay-Geert A

    2010-01-01

    To investigate construct validity and responsiveness of the novel ankylosing spondylitis (AS) disease activity score (ASDAS) in patients with spondyloarthritis (SpA).......To investigate construct validity and responsiveness of the novel ankylosing spondylitis (AS) disease activity score (ASDAS) in patients with spondyloarthritis (SpA)....

  18. Responsiveness of the Ankylosing Spondylitis Disease Activity Score (ASDAS) and clinical and MRI measures of disease activity in a 1-year follow-up study of patients with axial spondyloarthritis treated with tumour necrosis factor alpha inhibitors

    DEFF Research Database (Denmark)

    Pedersen, Susanne Juhl; Sørensen, Inge Juul; Hermann, Kay-Geert A

    2010-01-01

    To investigate construct validity and responsiveness of the novel ankylosing spondylitis (AS) disease activity score (ASDAS) in patients with spondyloarthritis (SpA).......To investigate construct validity and responsiveness of the novel ankylosing spondylitis (AS) disease activity score (ASDAS) in patients with spondyloarthritis (SpA)....

  19. Maderas tropicales Para la manufactura de instrumentos de viento antiguos

    OpenAIRE

    Serrano Márquez, Carlos; profesor asociado a los departamentos de Música y Biología de la Pontificia Universidad Javeriana. Así mismo, es director del conjunto de música antigua Música Ficta, el cual se especializa en la interpretación de música del Renacimiento y la Colonia. Desde el punto de vista instrumental, este conjunto está basado principalmente en flautas dulces.

    2004-01-01

    El término "música antigua" com­prende los períodos históricos de la Edad Media, el Renacimiento, y el Barroco en la música. Durante este extenso período, el cual abarca aproxi­madamente desde el siglo XI hasta mediados del siglo XVIII, muchos de los instrumentos utilizados son hoy día casi totalmente desconocidos

  20. Score Correlation

    OpenAIRE

    Fabián, Z. (Zdeněk)

    2010-01-01

    In this paper, we study a distribution-dependent correlation coefficient based on the concept of scalar score. This new measure of association of continuous random variables is compared by means of simulation experiments with the Pearson, Kendall and Spearman correlation coefficients.

  1. Grading Crohn disease activity with MRI: interobserver variability of MRI features, MRI scoring of severity, and correlation with Crohn disease endoscopic index of severity.

    Science.gov (United States)

    Tielbeek, Jeroen A W; Makanyanga, Jesica C; Bipat, Shandra; Pendsé, Doug A; Nio, C Yung; Vos, Frans M; Taylor, Stuart A; Stoker, Jaap

    2013-12-01

    The purpose of this article is to assess the interobserver variability for scoring MRI features of Crohn disease activity and to correlate two MRI scoring systems to the Crohn disease endoscopic index of severity (CDEIS). Thirty-three consecutive patients with Crohn disease undergoing 3-T MRI examinations (T1-weighted with IV contrast medium administration and T2-weighted sequences) and ileocolonoscopy within 1 month were independently evaluated by four readers. Seventeen MRI features were recorded in 143 bowel segments and were used to calculate the MR index of activity and the Crohn disease MRI index (CDMI) score. Multirater analysis was performed for all features and scoring systems using intraclass correlation coefficient (icc) and kappa statistic. Scoring systems were compared with ileocolonoscopy with CDEIS using Spearman rank correlation. Thirty patients (median age, 32 years; 21 women and nine men) were included. MRI features showed fair-to-good interobserver variability (intraclass correlation coefficient or kappa varied from 0.30 to 0.69). Wall thickness in millimeters, presence of edema, enhancement pattern, and length of the disease in each segment showed a good interobserver variability between all readers (icc = 0.69, κ = 0.66, κ = 0.62, and κ = 0.62, respectively). The MR index of activity and CDMI scores showed good reproducibility (icc = 0.74 and icc = 0.78, respectively) and moderate CDEIS correlation (r = 0.51 and r = 0.59, respectively). The reproducibility of individual MRI features overall is fair to good, with good reproducibility for the most commonly used features. When combined into the MR index of activity and CDMI score, overall reproducibility is good. Both scores show moderate agreement with CDEIS.

  2. An external validation study reporting poor correlation between the claims-based index for rheumatoid arthritis severity and the disease activity score

    OpenAIRE

    Desai, Rishi J.; Solomon, Daniel H.; Michael E Weinblatt; Shadick, Nancy; Kim, Seoyoung C.

    2015-01-01

    Introduction: We conducted an external validation study to examine the correlation of a previously published claims-based index for rheumatoid arthritis severity (CIRAS) with disease activity score in 28 joints calculated by using C-reactive protein (DAS28-CRP) and the multi-dimensional health assessment questionnaire (MD-HAQ) physical function score. Methods: Patients enrolled in the Brigham and Women’s Hospital Rheumatoid Arthritis Sequential Study (BRASS) and Medicare were identified and t...

  3. Prehospital electrocardiographic acuteness score of ischemia is inversely associated with neurohormonal activation in STEMI patients with severe ischemia

    DEFF Research Database (Denmark)

    Fakhri, Yama; Schoos, Mikkel Malby; Sejersten-Ripa, Maria;

    2017-01-01

    BACKGROUND: Elevated levels of N-terminal pro brain natriuretic peptide (NT-proBNP) are associated with adverse cardiovascular outcome after ST elevation myocardial infarction (STEMI). We hypothesized that decreasing acuteness-score (based on the electrocardiographic score by Anderson-Wilkins acu...

  4. Higher burnout scores in paediatric residents are associated with increased brain activity during attentional functional magnetic resonance imaging task.

    Science.gov (United States)

    de Andrade, Anarella Penha Meirelles; Amaro, Edson; Farhat, Sylvia Costa Lima; Schvartsman, Claudio

    2016-06-01

    Burnout syndrome is common in healthcare workers. We evaluated its prevalence in paediatric residents and investigated its influence on cerebral function correlations, using functional magnetic resonance imaging (MRI), when they carried out an attentional paradigm. This cross-sectional descriptive study involved 28 residents from the Department of Paediatrics at the University of São Paulo. The functional MRI was carried out while the residents completed the Stroop colour word task paradigm to investigate their attentional task performance. The Maslach Burnout Inventory (MBI) was applied, and stress was assessed using the Lipp Inventory of Stress Symptoms for Adults and by a visual analogue mood scale. The MBI subscales of depersonalisation and emotional exhaustion indicated that 53.1% of the residents had moderate or high burnout syndrome. The whole-brain multivariate analysis showed positive correlations between the blood oxygenation level dependent effect and the MBI depersonalisation and emotional exhaustion indices in the dorsolateral prefrontal cortex, which controls for anxiety. Increased brain activation during an attention task, measured using functional MRI, was associated with higher burnout scores in paediatric residents. This study provides a biological basis for the implementation of measures to reduce burnout syndrome at the start of residency training programmes. ©2016 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  5. Activated TLR signaling in atherosclerosis among women with lower Framingham risk score: the multi-ethnic study of atherosclerosis.

    Directory of Open Access Journals (Sweden)

    Chiang-Ching Huang

    Full Text Available BACKGROUND: Atherosclerosis is the leading cause of cardiovascular disease (CVD. Traditional risk factors can be used to identify individuals at high risk for developing CVD and are generally associated with the extent of atherosclerosis; however, substantial numbers of individuals at low or intermediate risk still develop atherosclerosis. RESULTS: A case-control study was performed using microarray gene expression profiling of peripheral blood from 119 healthy women in the Multi-Ethnic Study of Atherosclerosis cohort aged 50 or above. All participants had low (100 and carotid intima-media thickness (IMT >1.0 mm, whereas controls (N = 71 had CAC<10 and IMT <0.65 mm. We identified two major expression profiles significantly associated with significant atherosclerosis (odds ratio 4.85; P<0.001; among those with Framingham risk score <10%, the odds ratio was 5.30 (P<0.001. Ontology analysis of the gene signature reveals activation of a major innate immune pathway, toll-like receptors and IL-1R signaling, in individuals with significant atherosclerosis. CONCLUSION: Gene expression profiles of peripheral blood may be a useful tool to identify individuals with significant burden of atherosclerosis, even among those with low predicted risk by clinical factors. Furthermore, our data suggest an intimate connection between atherosclerosis and the innate immune system and inflammation via TLR signaling in lower risk individuals.

  6. Prediction of Upper Limb Recovery, General Disability, and Rehabilitation Status by Activity Measurements Assessed by Accelerometers or the Fugl-Meyer Score in Acute Stroke

    NARCIS (Netherlands)

    Gebruers, Nick; Truijen, Steven; Engelborghs, Sebastiaan; De Deyn, Peter P.

    2014-01-01

    Objective This study investigated the clinical predictive value of the Fugl-Meyer Assessment (FMA) arm score and the upper limb activity assessed by accelerometers in patients with hemiparesis after acute stroke. Design The prospective cohort (n = 129) was recruited from a general hospital; activity

  7. Young Zanzibari Children with Iron Deficiency, Iron Deficiency Anemia, Stunting, or Malaria Have Lower Motor Activity Scores and Spend Less Time in Locomotion

    Science.gov (United States)

    Motor activity improves cognitive and social-emotional development through a child’s exploration of his or her physical and social environment. This study assessed anemia, iron deficiency, hemoglobin (Hb), length-for-age Z-score (LAZ), and malaria infection as predictors of motor activity in 771 chi...

  8. Prebiotic activity score and bioactive compounds in longan (Dimocarpus longan Lour.): influence of pectinase in enzyme-assisted extraction.

    Science.gov (United States)

    Thitiratsakul, Boossara; Anprung, Pranee

    2014-09-01

    The optimal extraction of bioactive compounds from longan fruit pulp using Pectinex® Ultra SP-L pectinase hydrolysis of the fruit homogenate was evaluated. The highest degree of hydrolysis (DH), as determined by the amount of reducing sugars released from the longan pulp, was obtained at a pectinase concentration of 2.5 % (v/w) (257 polygalacturonase units/g fruit) for 4 h. The level of bioactive compounds obtained from the pectinase-treated longan pulp increased with increasing DH to a maximum at the highest DH (21 %) obtained, with an antioxidant activity of 0.083 EC50 μg fresh mass (FM)/μg diphenyl-(2,4,6-trinitrophenyl)iminoazanium and 92.7 μM Trolox equivalent/g FM, respectively. The total phenolic and flavonoid contents in the 21 % DH extract were 196.0 mg gallic acid equivalents/g FM and 19.6 mg catechin equivalents/g FM, respectively. The 21 % DH longan extract showed an enhanced (3.6- to 4.0-fold) inhibition of lipid peroxidation of oil compared to the untreated (0 % DH) extract. In addition, the 21 % DH longan extract had the highest soluble dietary fiber content, which was related to the decreased particle size of 345 μM, and displayed enhanced prebiotic activity scores of 1.69 and 1.44 for Lactobacillus acidophilus La5 and Bifidabacterium lactis Bb12, respectively. Most of the 33 detected volatile compounds differed in their relative proportions after enzymic extraction (15 increased, 15 decreased with three showing no significant change) with the 0 % and 21 % DH hydrolysates exhibiting 25 and 22 different volatile compounds, respectively, with 11 and eight unique compounds between them, respectively.

  9. Validity and Agreement between the 28-Joint Disease Activity Score Based on C-Reactive Protein and Erythrocyte Sedimentation Rate in Patients with Rheumatoid Arthritis

    DEFF Research Database (Denmark)

    Nielung, Louise; Christensen, Robin; Danneskiold-Samsøe, Bente;

    2015-01-01

    Objective. To validate the agreement between the 28-joint disease activity score based on erythrocyte sedimentation rate (DAS28-ESR) and the 28-joint disease activity score based on C-reactive protein (DAS28-CRP) in a group of Danish patients with rheumatoid arthritis (RA). Methods. Data from 109...... Danish RA patients initiating biologic treatment were analysed at baseline and following one year of treatment. Participants were retrospectively enrolled from a previous cohort study and were considered eligible for this project if CRP and ESR were measured at baseline and at the follow-up visit...

  10. Revisión entre pares como instrumento de aprendizaje

    OpenAIRE

    Crespo García, Raquel; Villena Román, Julio

    2005-01-01

    Proyecto de Innovación Docente en las asignaturas de Organización de Contenidos Audiovisuales y e Inteligencia en Redes de Comunicaciones Este artículo describe la experiencia de innovación docente llevada a cabo este último curso basada en la aplicación de la metodología de revisión entre iguales como instrumento para el aprendizaje, desarrollada en las asignaturas Organización de Contenidos Audiovisuales (Ingeniería Técnica de Telecomunicación, especialidad Sonido e Imagen) durante el cu...

  11. Instrumentos innovadores para el financiamiento rural en el Cono Sur

    OpenAIRE

    Banco Interamericano de Desarrollo (BID)

    2003-01-01

    El presente trabajo muestra los esfuerzos que se han llevado a cabo en Argentina, Chile y Uruguay para desarrollar instrumentos de financiamiento rural que permitan articular la economía rural con el mercado de capitales. Luego de la experiencia vivida con la reciente recesión en Argentina y Uruguay, el acceso al financiamiento es una de las principales barreras para el sector agroexportador. Por ello, existe un creciente interés en las opciones que ofrecen el mercado de capitales, con especi...

  12. TIENDA DE INSTRUMENTOS MUSICALES ORBIS [Material gráfico

    OpenAIRE

    Fundación para la Etnografía y el Desarrollo de la Artesanía Canaria

    1990-01-01

    Antiguedad: SIGLO XX Calificación del suelo: URBANO CONSOLIDADO Clasificación del suelo: URBANO Declaración BIC:No EL COMERCIO SE ENCUENTRA EN LA CALLE TRIANA ESQUINA A LA CALLE TRAVIESO. EL ESTABLECIMIENTO APENAS HA SUFRIDO TRANSFORMACIONES O ALTERACIONES, ÚNICAMENTE SE HA ADAPTADO DESDE LA VENTA DE ELECTRODOMÉSTICOS A LA DE INSTRUMENTOS MUSICALES, INCORPORANDO LAS VIGAS. EL MOSTRADOR PRINCIPAL ES DE LOS AÑOS 70 DEL SIGLO XX. EL LOCAL ES EN PLANTA EN "L". SE LOCALIZA ENTRE ...

  13. El temperamento igual en los instrumentos de cuerda con trastes

    OpenAIRE

    2011-01-01

    [ES]Francisco de Salinas fue el primer teórico en describir con precisión matemá- tica el temperamento igual y en proponerlo abiertamente para los instrumentos de cuerda con trastes en su tratado de 15771. Este dato es conocido desde hace tiempo; aparece en el ya clásico Tuning and temperaments de Barbour, en el igualmente clásico Estudios de historia de la teoría musical de León Tello, en el magnífico libro para Alianza de Javier Goldáraz y en textos de otros autores entre ...

  14. Scoring with the Berlin MRI method for assessment of spinal inflammatory activity in patients with ankylosing spondylitis: a calibration exercise among rheumatologists.

    Science.gov (United States)

    Carmona, Loreto; Sellas, Agusti; Rodríguez-Lozano, Carlos; Juanola, Xavier; García Llorente, José Francisco; Fernández Sueiro, José Luis; Linares, Luis Francisco; de Castro, M Carmen; Moreno, Mireia; Zarco, Pedro; Ariza, Rafael; Baraliakos, Xenofon; de Miguel, Eugenio

    2013-01-01

    To test the reliability of the Berlin MRI scoring method and the effect of a calibration exercise on the score's reliability among untrained readers in MRI examinations of patients with established ankylosing spondylitis (AS). Eleven rheumatologists read blinded images of 20 AS patients before and after a two-day workshop on the Berlin MRI scoring method. Reliability (intra- and inter-reader) and concordance with the expert (all measured by intraclass correlation coefficient (ICC)) were compared before and after 2 weeks of the training. Feasibility in terms of time and difficulty was also measured. The mean Berlin score increased from (mean ± standard deviation) 5.04 ± 6.41 before to 6.40±7.08 after the calibration exercise (pexercise, with ICC = 0.59 (95% CI 0.45-0.76) before vs. ICC = 0.65 (95% CI 0.50-0.80) after training. The Berlin method is a reliable scoring method for assessment of spinal inflammatory activity by using MRI in patients with AS, even in the hands of inexperienced readers. A calibration exercise can improve feasibility and sensitivity of the scoring method.

  15. Nutritional Quality of Breakfast and Physical Activity Independently Predict the Literacy and Numeracy Scores of Children after Adjusting for Socioeconomic Status

    Science.gov (United States)

    O'Dea, Jennifer A.; Mugridge, Anna C.

    2012-01-01

    Health-related behaviors [physical activity (PA), nutritional quality of breakfast and sleep]; personal variables (self-esteem, attitudes to PA and gender) and socioeconomic status (SES) (school SES and parental education), were examined in relation to literacy and numeracy scores of 824 grade 3-7 children. Participants completed a questionnaire,…

  16. THE RELATIONSHIP OF THE GENERAL REACTION SCORE WITH THE NATURAL KILLER CELLS ACTIVITY AMONG WOMEN WITH AIRCRAFT NOISE EXPOSURE IN THE AREA OF ADI SOEMARMO AIRPORT SOLO (Hubungan antara general reaction score dengan aktivitas sel NK pada wanita

    Directory of Open Access Journals (Sweden)

    Hartono Hartono

    2011-07-01

    performance. For other effects such as changes in the immune system and birth defects, the evidence is limited.The aims of the research is  to find out the correlation of the general reaction score with The Natural Killer cell activity among women with aircraft noise exposure in the area of Adi Sumarmo Airport Solo.The research findings are expected to contribute to the scientific knowledge development and to give benefits for local government and among people in the area of Adi Sumarmo Airport in preventing the effect of aircraft noise. The research design was an analytical survey with a cross sectional approach, taking place at the Dibal and Gagak Sipat Village, Ngemplak Sub district, Boyolali District. The research was conducted from July 2008 to June 2009. The number of respondens was 39. They were divided into 3 groups; group 1 was exposed to 92.29 dB of noise level (13 respondents; group 2 was exposed to 71.79 dB of noise level (13 respondents; and group 3 was exposed to 52.17 dB of noise level (13 respondents. The samples were taken using simple random sampling. The data were analyzed by Pearson Correlation and Anova followed by Post Hoc Test using LSD test completed with Homogenous Subsets. The Anova test showed that there was significant differences in the general reaction score among all groups (p = 0.000. The Pearson correlation test showed that there was a negative association between the general reaction score with the Natural Killer cells activity (r = - 0.613; p < 0.05.

  17. The immediate effects of ankle balance taping with kinesiology tape on ankle active range of motion and performance in the Balance Error Scoring System.

    Science.gov (United States)

    Lee, Sun-Min; Lee, Jung-Hoon

    2017-05-01

    This study investigated the changes in ankle active range of motion (AROM) and performance on the Balance Error Scoring System (BESS) in cases in which no tape, placebo taping or ankle balance taping (ABT) with kinesiology tape was used. Randomized cross-over trial. University laboratory. Fifteen physically active individuals (7 men, 8 women). Postural control was assessed based on performances on the BESS. Active ankle flexibility was assessed by measuring the ankle AROM of both ankles under each taping condition in a random order at 1-week intervals. The ankle AROM among the taping conditions were not significantly different. There were no significant differences in the error scores of single-leg and tandem stances on a firm surface among the taping conditions. Compared to those obtained in the absence of taping, the error scores of the single-leg and tandem stances on a foam surface were significantly lower with ABT, but they did not significantly differ from the placebo taping scores. This study showed that ABT with kinesiology tape immediately improved postural control on unstable surfaces without changes in ankle AROM. Copyright © 2016 Elsevier Ltd. All rights reserved.

  18. ¿Cómo validar un instrumento de medida de la salud?

    Directory of Open Access Journals (Sweden)

    A. Carvajal

    Full Text Available Cada vez es más necesario disponer de instrumentos de medida en el ámbito de la salud que se puedan utilizar en la práctica clínica e investigación. Para garantizar la calidad de su medición es imprescindible que los instrumentos sean sometidos a un proceso de validación. Este proceso consiste en adaptar culturalmente un instrumento al medio donde se quiere administrar y comprobar sus características psicométricas como: fiabilidad, validez, sensibilidad y factibilidad. Hay instrumentos de medida del ámbito de la salud, disponibles en otros idiomas pero sin validar al español. Además la metodología para validar un instrumento es poco conocida por profesionales sanitarios, lo que explica el uso indiscriminado de instrumentos sólo adaptados o validados de manera poco consistente. El objetivo de esta revisión es realizar una puesta al día del proceso de validación de un instrumento de medida de la salud y en qué consiste de manera práctica. La accesibilidad de instrumentos de evaluación adaptados culturalmente y validados en distintos idiomas facilitará comparar resultados obtenidos con el mismo instrumento y desarrollar estudios internacionales en distintas culturas.

  19. Handedness and behavioural inhibition system/behavioural activation system (BIS/BAS) scores: A replication and extension of Wright, Hardie, and Wilson (2009).

    Science.gov (United States)

    Beaton, Alan A; Kaack, Imogen H; Corr, Philip J

    2015-01-01

    The Annett Hand Preference Questionnaire (AHPQ) as modified by Briggs and Nebes was administered along with Carver and White's behavioural inhibition system (BIS) and behavioural activation system (BAS) scale and a shortened form of the Big Five personality questionnaire to 92 university students. After eliminating the data from five respondents who reported having changed handedness and one outlier, there was a significant sex difference in mean BIS scores, with females (n = 43) scoring higher than males (n = 43). Replicating the results of Wright, Hardie and Wilson, non-right-handers (n = 36) had significantly higher mean BIS score than right-handers (n = 50). Controlling for sex of participant, neuroticism and BAS sub-scale scores in hierarchical regression analyses left this BIS effect substantially unaffected. There was no handedness or sex difference on any of the three BAS sub-scales. Further analyses revealed no association between strength, as distinct from direction, of handedness and BIS (or BAS) scores. The findings are discussed with reference to recent developments in reinforcement sensitivity theory on which BIS/BAS variables are based.

  20. The creation of a healthy eating motivation score and its association with food choice and physical activity in a cross sectional sample of Irish adults.

    Science.gov (United States)

    Naughton, Paul; McCarthy, Sinéad N; McCarthy, Mary B

    2015-06-06

    This study aimed to develop a healthy eating motivation score and to determine if dietary, lifestyle and activity behaviours vary across levels of motivation to eat a healthy diet with a view to informing health promotion interventions. A cross-sectional survey of food intake, physical activity, lifestyles and food choice attitudes was conducted in a nationally representative sample of 1262 adults in the Republic of Ireland aged 18 years and over. Increasing score for health motivation was significantly and positively related to healthy eating and exercise. Women, increasing age, normal BMI, regular exercise and increasing intakes of fruit and vegetables were associated with a higher odds ratio (OR) for having a high healthy eating motivation score. However, despite a high motivation score only 31% of consumers in the strong motivation group achieved the recommendations for daily fruit and vegetable consumption, while 57% achieved the fat recommendation. A higher intake of calorie dense foods from the top shelf of the food pyramid and increased time spent watching T.V. was associated with a decreased OR for positive motivation towards healthy eating. Healthy eating promotions directed at women and older adults should focus on supporting people's motivations to attain a healthy diet by addressing issues such as dietary self-control and self-regulation. For men and younger adults, healthy eating promotions will need to address the issues underlying their weak attitudes towards healthy eating.

  1. Explicit treatment of active-site waters enhances quantum mechanical/implicit solvent scoring: Inhibition of CDK2 by new pyrazolo[1,5-a]pyrimidines.

    Science.gov (United States)

    Hylsová, Michaela; Carbain, Benoit; Fanfrlík, Jindřich; Musilová, Lenka; Haldar, Susanta; Köprülüoğlu, Cemal; Ajani, Haresh; Brahmkshatriya, Pathik S; Jorda, Radek; Kryštof, Vladimír; Hobza, Pavel; Echalier, Aude; Paruch, Kamil; Lepšík, Martin

    2017-01-27

    We present comprehensive testing of solvent representation in quantum mechanics (QM)-based scoring of protein-ligand affinities. To this aim, we prepared 21 new inhibitors of cyclin-dependent kinase 2 (CDK2) with the pyrazolo[1,5-a]pyrimidine core, whose activities spanned three orders of magnitude. The crystal structure of a potent inhibitor bound to the active CDK2/cyclin A complex revealed that the biphenyl substituent at position 5 of the pyrazolo[1,5-a]pyrimidine scaffold was located in a previously unexplored pocket and that six water molecules resided in the active site. Using molecular dynamics, protein-ligand interactions and active-site water H-bond networks as well as thermodynamics were probed. Thereafter, all the inhibitors were scored by the QM approach utilizing the COSMO implicit solvent model. Such a standard treatment failed to produce a correlation with the experiment (R(2) = 0.49). However, the addition of the active-site waters resulted in significant improvement (R(2) = 0.68). The activities of the compounds could thus be interpreted by taking into account their specific noncovalent interactions with CDK2 and the active-site waters. In summary, using a combination of several experimental and theoretical approaches we demonstrate that the inclusion of explicit solvent effects enhance QM/COSMO scoring to produce a reliable structure-activity relationship with physical insights. More generally, this approach is envisioned to contribute to increased accuracy of the computational design of novel inhibitors.

  2. Instrumento cuidado de comportamiento profesional: validez y confiabilidad

    Directory of Open Access Journals (Sweden)

    Yariela González-Ortega

    2008-01-01

    Full Text Available Propósito: determinar la validez y confiabilidad en español del instrumento Cuidado de comportamiento profesional "forma A", elaborado por la doctora Sharon Horner, con el fin de conocer, desarrollar y medir los fenómenos de enfermería relacionados con el cuidado en el contexto panameño. Método: investigación de tipo metodológico realizada en cuatro fases: proceso de traducción, en el cual se utilizó una muestra de tres expertos; fase de validación facial o aparente, con una muestra de diez docentes de la Facultad de Enfermería de la Universidad Nacional de Colombia, y diez docentes de la Facultad de Enfermería de la Universidad de Panamá; fase preliminar de ajuste, tomando una muestra de diez pacientes hospitalizados, y fase de confiabilidad, cuya muestra fue de 284 pacientes hospitalizados. En el proceso de traducción hubo corrección de escritura en los ítems 12 y 21, y reestructuración del ítem 20. En la validez facial se realizaron cambios de redacción de los ítems, sin perder el sentido original de los mismos, y se reemplazó la escala original por: siempre, casi siempre, algunas veces y nunca. Resultados: la prueba preliminar de ajuste indicó comprensión por parte de los pacientes. En la prueba de confiabilidad se obtuvo un coeficiente de confiabilidad Alfa de Cronbach de 0,80 con factores que oscilaron entre 0,25 y 0,69, y por ítem se obtuvieron alfas entre 0,78 y 0,80. Conclusión: el instrumento presenta validez facial o aparente y consistencia interna, lo que demuestra que es apto para ser utilizado en el contexto panameño.

  3. Indicadores competenciales: un instrumento para la mejora del desarrollo de la competencia matemática

    Directory of Open Access Journals (Sweden)

    Montserrat Torra

    2014-11-01

    Full Text Available En este artículo presentaremos el CESIRE-CREAMAT. Haremos un recorrido por sus objetivos y actividades plasmadas en su página web y nos detendremos en un documento que propone diez indicadores competenciales y que se ha convertido en un buen instrumento para mejorar el desarrollo de la competencia matemática del alumnado. Indicators of competence: a tool for improving the development of mathematical competence. This article presents the CESIRE-CREAMAT. We will visit our objectives and activities, which are reflected in their website and we will show a document which proposes ten indicators of competence and it has become a good instrument to improve the development of mathematical competence of students.

  4. Rapid activity prediction of HIV-1 integrase inhibitors: harnessing docking energetic components for empirical scoring by chemometric and artificial neural network approaches

    Science.gov (United States)

    Thangsunan, Patcharapong; Kittiwachana, Sila; Meepowpan, Puttinan; Kungwan, Nawee; Prangkio, Panchika; Hannongbua, Supa; Suree, Nuttee

    2016-06-01

    Improving performance of scoring functions for drug docking simulations is a challenging task in the modern discovery pipeline. Among various ways to enhance the efficiency of scoring function, tuning of energetic component approach is an attractive option that provides better predictions. Herein we present the first development of rapid and simple tuning models for predicting and scoring inhibitory activity of investigated ligands docked into catalytic core domain structures of HIV-1 integrase (IN) enzyme. We developed the models using all energetic terms obtained from flexible ligand-rigid receptor dockings by AutoDock4, followed by a data analysis using either partial least squares (PLS) or self-organizing maps (SOMs). The models were established using 66 and 64 ligands of mercaptobenzenesulfonamides for the PLS-based and the SOMs-based inhibitory activity predictions, respectively. The models were then evaluated for their predictability quality using closely related test compounds, as well as five different unrelated inhibitor test sets. Weighting constants for each energy term were also optimized, thus customizing the scoring function for this specific target protein. Root-mean-square error (RMSE) values between the predicted and the experimental inhibitory activities were determined to be <1 (i.e. within a magnitude of a single log scale of actual IC50 values). Hence, we propose that, as a pre-functional assay screening step, AutoDock4 docking in combination with these subsequent rapid weighted energy tuning methods via PLS and SOMs analyses is a viable approach to predict the potential inhibitory activity and to discriminate among small drug-like molecules to target a specific protein of interest.

  5. Discriminant validity of the Ankylosing Spondylitis Disease Activity Score (ASDAS) in patients with non-radiographic axial spondyloarthritis and ankylosing spondylitis: a cohort study.

    Science.gov (United States)

    Kilic, Erkan; Kilic, Gamze; Akgul, Ozgur; Ozgocmen, Salih

    2015-06-01

    The aim of this study was to assess discriminant validity of Ankylosing Spondylitis Disease Activity Score (ASDAS)-C-reactive protein (-CRP) and ASDAS-erythrocyte sedimentation rate (-ESR) and to compare with The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) as clinical tools for the measurement of disease activity in patients with non-radiographic axial spondyloarthritis (nr-axSpA) and ankylosing spondylitis (AS). Also, the cut-off values for ASDAS-CRP in nr-axSpA and AS is revisited. Patients with axSpA were recruited from Erciyes Spondyloarthritis Cohort (ESPAC) and were assessed for disease activity, quality of life and functional measures. The discriminatory ability of ASDAS-CRP and ASDAS-ESR was assessed using standardized mean differences and receiver operating characteristic (ROC) curves analysis. Optimal cut-off values for disease activity scores were calculated. Two hundred and eighty-seven patients with axSpA (nr-axSpA:132, AS:155) were included in this study. Two ASDAS versions and BASDAI had good correlations with patient's and physician's global assessment in both groups. Discriminatory ability of ASDAS-CRP, ASDAS-ESR and BASDAI were similar in patients with nr-axSpA and AS when the patients were assigned into low and high disease activity according to the ASAS partial remission, patient's and physician's global assessment scores (based on the comparison of ROC curves). ASDAS cut-off values are quite similar between groups indicating that ASDAS-CRP works similarly well in nr-axSpA and AS. The performance of ASDAS to discriminate low and high disease activity and cut-off values are quite similar in patients with AS and non-radiographic axial SpA.

  6. Litter Control Achievement - Ohio 4-H Club Score Sheet [and] Activity Guides 1 through 7. 4-H Pilot Program 918.

    Science.gov (United States)

    Ohio State Univ., Columbus. Cooperative Extension Service.

    Seven activity guides, evaluation sheet, and club scoresheet have been prepared for Ohio 4-H clubs' litter education program. Topics of the seven activity guides include: (1) general guidelines and types of activities; (2) little known facts about waste/litter; (3) guidelines for a walking tour; (4) fact sheet (questionnaire) related to garbage;…

  7. Sítios assistenciais em Unidade de Terapia Intensiva e relação do nursing activities score com a infecção hospitalar Sitios asistenciales en la Unidad de Terapia Intensiva y la relación de nursing activities score con la infección hospitalaria Assistance sites in the Intensive Care Unit and the relation from nursing activities score with the hospital infection

    Directory of Open Access Journals (Sweden)

    Claudia Maria Silva Cyrino

    2012-12-01

    Full Text Available O Sistema de Classificação de Pacientes tornou-se essencial na prática gerencial e assistencial do enfermeiro. Este estudo analisou a implantação de Sítios Assistenciais na Unidade de Terapia Intensiva Adulto como forma de organização e classificação de pacientes, bem como suas implicações na qualidade do cuidado de acordo com o Nursing Activities Score e a relação com a Infecção Hospitalar. Trata-se de um estudo quantitativo, prospectivo, descritivo e transversal. A coleta foi realizada de julho a outubro de 2010. A amostra foi constituída por 214 pacientes, a maioria do sexo masculino, de neurocirurgia e com idade média de 57 anos. O Nursing Activities Score médio foi de 71,72%. Com relação à Infecção Hospitalar antes e após a implantação, houve redução nas taxas de pneumonia, porém, a carga de trabalho de enfermagem permaneceu constante. Ficou evidenciada a importância da utilização do Nursing Activities Score como indicador e da implantação de novas formas de classificação de pacientes para melhorar a organização da assistência.El Sistema de Clasificación de Pacientes se tornó esencial para la práctica gerencial y asistencial del enfermero. Este estudio analizó la implantación de Sitios Asistenciales en la Unidad de Terapia Intensiva Adulta como forma de organización y clasificación de pacientes, bien como sus implicaciones en la calidad del cuidado de acuerdo con el Nursing Activities Score y la relación con Infección Hospitalaria. Se trata del estudio cuantitativo, prospectivo, descriptivo y transversal. La colección de datos fue realizada de julio a octubre de 2010. La muestra fue constituida por 214 pacientes, la mayoría hombres, neurocirúrgicos y con edad media de 57 años. El Nursing Activities Score medio fue 71,72%. Con relación a la Infección Hospitalaria hubo reducción en los niveles de Neumonía, sin embargo, la carga de trabajo de enfermería permaneció constante. Qued

  8. Esquema de evaluación para instrumentos de política ambiental

    Directory of Open Access Journals (Sweden)

    Mariana Bobadilla

    2013-01-01

    Full Text Available La evaluación de la política ambiental ha avanzado lentamente en México por varias razones que incluyen la novedad y rápida evolución de los instrumentos de política ambiental; la complejidad de los problemas ambientales y la inexistencia de modelos de evaluación estandarizados para los evaluadores de dicha política. Este artículo propone un esquema metodológico para la evaluación en tres etapas de los instrumentos de política ambiental. El método identifica la funcionalidad del instrumento desde su origen. Se espera que los instrumentos de política ambiental vigentes se evalúen antes de crear nuevos instrumentos para la solución de un problema ambiental recurrente.

  9. Rocks: A Concrete Activity That Introduces Normal Distribution, Sampling Error, Central Limit Theorem and True Score Theory

    Science.gov (United States)

    Van Duzer, Eric

    2011-01-01

    This report introduces a short, hands-on activity that addresses a key challenge in teaching quantitative methods to students who lack confidence or experience with statistical analysis. Used near the beginning of the course, this activity helps students develop an intuitive insight regarding a number of abstract concepts which are key to…

  10. Adaptação de instrumento para dimensionar horas diárias de assistência de enfermagem residencial Adaptacion de instrumento para medir horas diarias de atención de enfermería domiciliaria Adaptation of an instrument for the measurement of daily hours for nursing care at patient's home

    Directory of Open Access Journals (Sweden)

    Luiza Watanabe Dal Ben

    2004-03-01

    Full Text Available O Therapeutic Intervention Scoring System Intermediate: TISS-Intermediário foi traduzido para a língua portuguesa e adaptado para estabelecer horas diárias de assistência domiciliar. O processo de modificação do instrumento, desenvolvido através da Técnica Delphi, teve como participantes 16 enfermeiros, que atuam em empresas de assistência domiciliar e determinam horas diárias de assistência de enfermagem para pacientes na residência, após a hospitalização. Ao término do estudo obteve-se um instrumento com 104 itens, para ser no futuro validado clinicamente. Tal instrumento ajudará enfermeiros a estender cuidados de enfermagem a pacientes em casa, após a alta hospitalar, especialmente na tomada de decisões relativas à avaliação dos pacientes.El Therapeutic Intervention Scoring System Intermediate: TISS-Intermedio, fue traducido para el idioma portugués y adaptado para establecer las horas diarias de asistencia en el domicilio. Dieciséis enfermeros participaron del proceso de modificación del instrumento desarrollado a través de la Técnica Delphi. Esos enfermeros actúan en empresas de atención a domicilio y determinan las horas diarias de atención de enfermería a los pacientes en su domicilio después del alta. Al término del estudio se obtuvo un instrumento con 104 items para ser validado clínicamente.Tal instrumento ayudará a los enfermeros a extender sus cuidados de enfermería a pacientes que se encuentran en casa, después del alta hospitalario, especialmente en la toma de decisiones relacionadas con la evaluación de los pacientes.The Therapeutic Intervention Scoring System Intermediate: TISS-Intermediate, was translated into Portuguese and adapted to establish the number of hours daily of home care. The adaptation process of the instrument, developed with the Delphi Technique, used 16 nurses, who work in home care service providers and helped in calculating the number of nursing care hours for patients at

  11. The effect of a physical activity consultation on body mass index z-score of overweight adolescents: results from a pediatric outpatient obesity clinic.

    Science.gov (United States)

    Videira-Silva, A; Fonseca, H

    2017-05-01

    Physical activity (PA) is recognized as having many health benefits. Despite of all the efforts, the majority of the overweight adolescents still present low levels of PA. PA consultation can be a cost-effective way of enhancing PA and improve weight status among overweight adolescents. The main aim of this study was to analyze whether adolescents attending a PA consultation in a clinical setting show more therapeutic success at 6 months, based on body mass index (BMI) z-score and waist circumference (WC), compared to those only followed by the pediatrician and nutritionist. Clinical records from 396 patients were analyzed: PA consultation (PAc) group, n = 198; standard consultation (STc) group, n = 198. Baseline differences between groups were analyzed using chi-square and independent sample t tests. Changes within groups and between groups were analyzed using paired sample t tests and independent sample t tests, respectively. Patients in both groups decreased their BMI z-score. The PAc has shown a higher decrease in the BMI z-score (PAc -0.12, p pediatric and nutrition interventions may further improve the BMI z-score outcome at 6 months. What is Known: • Physical activity (PA) plays an important role in weight management. However, most adolescents, in particular those who are overweight, present low levels of PA. • There is no consensus whether PA counseling influences PA behavior. What is New: • A PA consultation (a structured form of PA counseling) as part of a multidisciplinary team may further be useful for weight management of overweight adolescents followed at the clinical setting, compared to the traditional approach including only the pediatric and nutrition consultations. • Waist-to-height ratio may be more suitable than waist circumference per se to track changes in abdominal adiposity among adolescents who are still growing.

  12. Low bone mineral density in COPD patients with osteoporosis is related to low daily physical activity and high COPD assessment test scores

    Directory of Open Access Journals (Sweden)

    Liu WT

    2015-09-01

    Full Text Available Wen-Te Liu,1,2,* Han-Pin Kuo,3,* Tien-Hua Liao,4 Ling-Ling Chiang,1 Li-Fei Chen,3 Min-Fang Hsu,5 Hsiao-Chi Chuang,1 Kang-Yun Lee,2,6 Chien-Da Huang,3 Shu-Chuan Ho11School of Respiratory Therapy, College of Medicine, Taipei Medical University, 2Division of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, 3Department of Thoracic Medicine, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 4Department of Respiratory Therapy, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taipei, 5Department of Healthcare Administration, Asia University, Wufeng, Taichung, 6Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan*These authors contributed equally to this workAbstract: COPD patients have an increased prevalence of osteoporosis (OP compared with healthy people. Physical inactivity in COPD patients is a crucial risk factor for OP; the COPD assessment test (CAT is the newest assessment tool for the health status and daily activities of COPD patients. This study investigated the relationship among daily physical activity (DPA, CAT scores, and bone mineral density (BMD in COPD patients with or without OP. This study included 30 participants. Ambulatory DPA was measured using actigraphy and oxygen saturation by using a pulse oximeter. BMD was measured using dual-energy X-ray absorptiometry. OP was defined as a T-score (standard deviations from a young, sex-specific reference mean BMD less than or equal to -2.5 SD for the lumbar spine, total hip, and femoral neck. We quantified oxygen desaturation during DPA by using a desaturation index and recorded all DPA, except during sleep. COPD patients with OP had lower DPA and higher CAT scores than those of patients without OP. DPA was significantly positively correlated with (lumbar spine, total hip, and femoral neck BMD (r=0.399, 0.602, 0.438, respectively

  13. Normativa chilena: instrumentos, actores, hitos y desafíos

    Directory of Open Access Journals (Sweden)

    José Pedro Campos

    2015-03-01

    Full Text Available El artículo abordará la actual estructura de los principales instrumentos que regulan la construcción, los actores que participan en su elaboración y definición –públicos y privados- las condiciones e hitos relevantes que han permitido e impulsado las principales modificaciones legales, reglamentarias y normativas de la construcción, tales como la colaboración y articulación público-privada, el manejo de los déficit cuantitativos, todo el desarrollo reglamentario y normativo a partir de la “Ley de la Calidad” del año 1996, y el terremoto y maremoto del 27 de febrero de 2010. Además, se presentará el rol que ha tenido, y tiene, el Instituto de la Construcción en la elaboración e impulso del mejoramiento de la normativa de la construcción nacional.

  14. A clinically prognostic scoring system for patients receiving highly active antiretroviral therapy: results from the EuroSIDA study

    DEFF Research Database (Denmark)

    Lundgren, Jens Dilling; Mocroft, Amanda; Gatell, Jose M

    2002-01-01

    The risk of clinical progression for human immunodeficiency virus (HIV)-infected persons receiving treatment with highly active antiretroviral therapy (HAART) is poorly defined. From an inception cohort of 8457 HIV-infected persons, 2027 patients who started HAART during prospective follow-up wer...

  15. The Positive Influence of Active Learning in a Lecture Hall: An Analysis of Normalised Gain Scores in Introductory Environmental Engineering

    Science.gov (United States)

    Kinoshita, Timothy J.; Knight, David B.; Gibbes, Badin

    2017-01-01

    Burgeoning college enrolments and insufficient funding to higher education have expanded the use of large lecture courses. As this trend continues, it is important to ensure that students can still learn in those challenging learning environments. Within education broadly and undergraduate engineering specifically, active learning pedagogies have…

  16. A clinically prognostic scoring system for patients receiving highly active antiretroviral therapy: results from the EuroSIDA study

    DEFF Research Database (Denmark)

    Lundgren, Jens Dilling; Mocroft, Amanda; Gatell, Jose M;

    2002-01-01

    The risk of clinical progression for human immunodeficiency virus (HIV)-infected persons receiving treatment with highly active antiretroviral therapy (HAART) is poorly defined. From an inception cohort of 8457 HIV-infected persons, 2027 patients who started HAART during prospective follow-up wer...

  17. Nutritional quality of breakfast and physical activity independently predict the literacy and numeracy scores of children after adjusting for socioeconomic status.

    Science.gov (United States)

    O'Dea, Jennifer A; Mugridge, Anna C

    2012-12-01

    Health-related behaviors [physical activity (PA), nutritional quality of breakfast and sleep]; personal variables (self-esteem, attitudes to PA and gender) and socioeconomic status (SES) (school SES and parental education), were examined in relation to literacy and numeracy scores of 824 grade 3-7 children. Participants completed a questionnaire, and their national literacy and numeracy test scores were retrieved. Mothers (N = 755) completed a telephone interview. Students of highest school SES, maternal education, nutritional quality of breakfast, more sedentary time and female gender had higher literacy scores. SES, maternal education, male gender and total minutes of daily PA were predictors of numeracy with an interaction between greater total PA in boys and greater numeracy. Even though the socioeconomic factors that have predicted children's academic achievement for many decades are still clearly set in place, there are also other modifiable health influences that affect literacy and numeracy and are independent of SES. The current findings provide evidence for health educators and school administrators who may garner support for both breakfast programs and daily school PA for the dual purposes of health promotion as well as for the improvement of literacy and numeracy in settings in which social class may be acting against the educational interests of disadvantaged children.

  18. Reconocimiento de avisos acústicos para la validación de cuadro de instrumentos

    OpenAIRE

    Bentolila Sapiani, David Ricardo

    2009-01-01

    Con el presente trabajo se espera, mediante la integración de un sistema capaz de reconocer los avisos acústicos de los cuadros de instrumento, adaptar y actualizar un equipo de visión artificial para la validación completa y automática del funcionamiento de los cuadros de instrumentos de la marca SEAT. En una primera fase se realiza un estudio del funcionamiento de la electrónica de un cuadro de instrumentos, para luego poder comprender cómo el sistema existente controla y ana...

  19. INSTRUMENTO DE TAMIZAJE NUTRICIONAL PARA VALORAR RIESGO NUTRICIONAL EN ADULTOS MAYORES DEL MEDIO RURAL

    OpenAIRE

    Ortiz Andrade, María

    2012-01-01

    INTRODUCCIÓN.- Los cambios inherentes al proceso de envejecimiento influyen contra una buena nutrición. En nuestro medio no se cuenta con ningún Instrumento que sea accesible al médico familiar para realizar un Tamizaje Nutricional adecuado enfocado específicamente a los adultos mayores. Debido a la necesidad de contar con un instrumento confiable, de fácil aplicación, accesible y económico para determinar el Riesgo Nutricional del adulto mayor se diseñó un instrumento de Ta...

  20. Consumption of Low-Calorie Sweeteners among U.S. Adults Is Associated with Higher Healthy Eating Index (HEI 2005 Scores and More Physical Activity

    Directory of Open Access Journals (Sweden)

    Adam Drewnowski

    2014-10-01

    Full Text Available The possibility that low-calorie sweeteners (LCS promote lower quality diets and, therefore, weight gain has been noted as a cause for concern. Data from a representative sample of 22,231 adults were obtained from five cycles of the National Health and Nutrition Examination Survey (1999–2008 NHANES. A single 24-hour recall was used to identify consumers of LCS beverages, foods and tabletop sweeteners. Diet quality was assessed using the Healthy Eating Index 2005 (HEI 2005 and its multiple subscores. Health behaviors of interest were physical activity, smoking and alcohol use. LCS consumers had higher HEI 2005 scores than did non-consumers, largely explained by better SoFAAS subscores (solid fats, added sugar and alcohol. LCS consumers had better HEI subscores for vegetables, whole grains and low-fat dairy, but worse subscores for saturated fat and sodium compared to non-consumers. Similar trends were observed for LCS beverages, tabletop LCS and LCS foods. Consumers of LCS were less likely to smoke and were more likely to engage in recreational physical activity. LCS use was associated with higher HEI 2005 scores, lower consumption of empty calories, less smoking and more physical activity.

  1. Acidentes de trabalho com instrumentos perfurocortantes entre os trabalhadores de enfermagem Accidentes de trabajo con instrumentos perforo cortantes entre enfermeros trabajadores Accidents with sharp instruments among nursing workers

    Directory of Open Access Journals (Sweden)

    Leila Maria Mansano Sarquis

    2002-09-01

    Full Text Available O presente estudo analisou os acidentes de trabalho ocorridos com trabalhadores de enfermagem, de um hospital público, provocados por instrumentos perfurocortantes. A instituição campo de estudo foi um hospital público do interior de São Paulo. A população foi composta por 787 trabalhadores de enfermagem. Na coleta de dados foram usados dois instrumentos: o primeiro foi o questionário que se destinou ao levantamento dos dados referentes aos acidentes de trabalho ocorridos no ano de 1996; o segundo foi a entrevista realizada com estes trabalhadores que sofreram acidentes com instrumentos perfurocortantes. Os resultados encontrados mostram a significativa freqüência desse tipo de acidente entre os auxiliares de enfermagem. A interação do trabalhadores de enfermagem com instrumentos perfurocortantes, indica a grande exposição aos riscos biológicos e às graves doenças.El presente estudio analizó los accidentes de trabajo ocurridos con enfermeros trabajadores, de un hospital público, ocasionados por instrumentos perforo cortantes. La institución campo de estudio fue un hospital público del interior de San Pablo. La población fue compuesta por 787 enfermeros trabajadores. En la coleta de datos fueran usados dos instrumentos: el primer fue un cuestionario que se destinó al examen de datos referentes a los accidentes de trabajo ocurridos en el ano de 1996; el segundo fue una cita con estos trabajadores que sufrieron accidentes con instrumentos perforo cortantes. Los resultados mostran la significativa frecuencia de ese tipo de accidente entre los auxiliares de enfermero. La interacción de los enfermeros trabajadores con instrumentos perforo cortantes indica la grande exposición a los riesgos biológicos y a las graves enfermedades.The present study analyzed the accidents happened at work with the nursing staff of a public hospital, provoked by sharp instruments. All the nursing staff composed the study population. In the

  2. Reproducibility of joint swelling assessments in long-lasting rheumatoid arthritis: influence on Disease Activity Score-28 values (SEA-Repro study part I).

    Science.gov (United States)

    Marhadour, Thierry; Jousse-Joulin, Sandrine; Chalès, Gérard; Grange, Laurent; Hacquard, Cécile; Loeuille, Damien; Sellam, Jérémie; Albert, Jean-David; Bentin, Jacques; Chary Valckenaere, Isabelle; d'Agostino, Maria-Antonietta; Etchepare, Fabien; Gaudin, Philippe; Hudry, Christophe; Dougados, Maxime; Saraux, Alain

    2010-05-01

    To evaluate the reproducibility of clinical synovitis assessments in rheumatoid arthritis and the effect of variability on the Disease Activity Score-28 (DAS28). Seven healthcare professionals from different cities examined the same patients with active non-early rheumatoid arthritis (RA; duration > 4 yrs), for whom a treatment change was being considered. There was no training session and the examination was to be performed as quickly as possible. The healthcare professionals assessed the 28 joints of the DAS28 in 7 patients (196 joints), then reexamined the same 28 joints in 4 of these 7 patients (112 joints), who had been rendered unrecognizable. Then 7 sonographers examined each of the 7 patients twice, using B-mode and power Doppler ultrasound (PD). The reference standards were presence of synovitis according to at least 50% of clinical examiners and 50% of sonographers. Agreement was assessed by Cohen's kappa statistic. Intraobserver reliability ranged from 0.31 (least experienced research technician) to 0.77 (most experienced physician). Interobserver reliability ranged from 0.18 to 0.62. The largest difference between the lowest and the highest swollen joint counts in the same patient was 15, and the greatest variation in the DAS28 score was 0.92. Agreement between clinical and sonographic reference standards was 0.46, 0.37, and 0.36 for B-mode, PD, and both, respectively. Clinical inter- and intraobserver reliability is highly dependent on the examiner. Consequences on the DAS28 score can be substantial. Agreement with sonography is poor when both B-mode and PD are used but seems better, although low, when B-mode is used alone.

  3. Las colecciones de instrumentos cientificos de los institutos de ensenanza secundaria del siglo XIX en Espana

    National Research Council Canada - National Science Library

    Bertomeu Sanchez, Jose Ramon; Cuenca Lorente, Mar; Garcia Belmar, Antonio; Simon Castel, Josep

    2011-01-01

    El objetivo de este trabajo consiste en ofrecer una revision de la historia de las colecciones de instrumentos cientificos en los institutos de ensenanza secundaria en Espana, la mayor parte creadas...

  4. Las agendas interinstitucionales ambientales: un instrumento para la resolucion de conflictos ambientales

    National Research Council Canada - National Science Library

    Guiza Suarez, Leonardo; Londono Toro, Beatriz; Rodriguez Barajas, Cristhian David; Zuluaga, Juliana

    2015-01-01

    .... Este articulo expone la figura de las Agendas Interinstitucionales Ambientales (AIA) como un instrumento idoneo para la resolucion de dichos conflictos a traves de la construccion de acuerdos entre los actores involucrados...

  5. A case study found that a regression tree outperformed multiple linear regression in predicting the relationship between impairments and Social and Productive Activities scores.

    Science.gov (United States)

    Allore, Heather; Tinetti, Mary E; Araujo, Katy L B; Hardy, Susan; Peduzzi, Peter

    2005-02-01

    Many important physiologic and clinical predictors are continuous. Clinical investigators and epidemiologists' interest in these predictors lies, in part, in the risk they pose for adverse outcomes, which may be continuous as well. The relationship between continuous predictors and a continuous outcome may be complex and difficult to interpret. Therefore, methods to detect levels of a predictor variable that predict the outcome and determine the threshold for clinical intervention would provide a beneficial tool for clinical investigators and epidemiologists. We present a case study using regression tree methodology to predict Social and Productive Activities score at 3 years using five modifiable impairments. The predictive ability of regression tree methodology was compared with multiple linear regression using two independent data sets, one for development and one for validation. The regression tree approach and the multiple linear regression model provided similar fit (model deviances) on the development cohort. In the validation cohort, the deviance of the multiple linear regression model was 31% greater than the regression tree approach. Regression tree analysis developed a better model of impairments predicting Social and Productive Activities score that may be more easily applied in research settings than multiple linear regression alone.

  6. Relatieve validiteit van een vragenlijst naar lichamelijke activiteit volgens de beweegnorm [The relative validity of a questionnaire on physical activity according to the mean physical activity score

    NARCIS (Netherlands)

    Urlings, I.J.M.; Douwes, M.; Hildebrandt, V.H.; Stiggelbout, M.; Ooijendijk, W.T.M.

    2000-01-01

    The validity is explored of a short and simple questionnaire to differentiate populations into physical active and physical inactive persons according to recent guidelines on the required amount of physical activity (how many days a week they have physical activities for minimal 30 minutes a day). 2

  7. Fetal Biophysical Profile Scoring

    Directory of Open Access Journals (Sweden)

    H.R. HaghighatKhah

    2009-01-01

    significance. Fetal breathing movements, amniotic fluid volume, and the non-stress test are the most powerful variables. For example, when the biophysical profile score is 2, the perinatal mortality varies between 428/1000 with only fetal movement present to 66/1000 if the non-stress test is reactive and all of the ultrasound parameters are absent (Manning 1990b. Some authors have, therefore, proposed utilization of a modified biophysical profile that incorporates only the non-stress test and amniotic fluid volume (Miller 1996. Although the positive predictive value of these 2 tests is equivalent to a biophysical profile score of 6, the perinatal mortality is still increased over a normal test score of 8 or 10 (Manning 1990b. The false positive rate with the modified biophysical profile score is also substantially higher. "nConclusions: The fetus expresses its well being or compromised status through a number of different biophysical activities that are controlled by different central nervous system centers. The utilization of the biophysical score for antepartum surveillance in high-risk patients has resulted in a reduction in perinatal mortality when compared to historical controls. The appropriate management of the viable fetus with an abnormal biophysical profile score may also decrease long-term neurological morbidity (Manning 1998. "nIt is unlikely that in the future additional variables will be added to the biophysical profile score. However, perhaps the incorporation of the fetal state (i.e., eye movements and Doppler flow studies of specific fetal vessels (umbilical artery, middle cerebral artery, ductus venosus will be incorporated into a complete assessment of the fetal condition "n "nTable 1. Components of the 30 Minute Biophysical Profile Score "nComponent "nDefinition "nFetal movements "n> 3 body or limb movements "nFetal tone "nOne episode of active extension and flexion of the limbs; opening and closing of hand "nFetal breathing movements "n>1

  8. Greater Independence in Activities of Daily Living is Associated with Higher Health-Related Quality of Life Scores in Nursing Home Residents with Dementia

    Directory of Open Access Journals (Sweden)

    Charice S. Chan

    2015-06-01

    Full Text Available Health-related quality of life (HRQL for nursing home residents is important, however, the concept of quality of life is broad, encompasses many domains and is difficult to assess in people with dementia. Basic activities of daily living (ADL are measured routinely in nursing homes using the Resident Assessment Instrument-Minimum Data Set Version 2.0 (RAI-MDS and Functional Independence Measure (FIM instrument. We examined the relationship between HRQL and ADL to assess the future possibility of ADL dependency level serving as a surrogate measure of HRQL in residents with dementia. To assess ADL, measures derived from the RAI-MDS and FIM data were gathered for 111 residents at the beginning of our study and at 6-month follow-up. Higher scores for independence in ADL were correlated with higher scores for a disease-specific HRQL measure, the Quality of Life—Alzheimer’s Disease Scale. Preliminary evidence suggests that FIM-assessed ADL is associated with HRQL for these residents. The associations of the dressing and toileting items with HRQL were particularly strong. This finding suggests the importance of ADL function in HRQL. The RAI-MDS ADL scales should be used with caution to evaluate HRQL.

  9. A preliminary score for the assessment of disease activity in hereditary recurrent fevers : results from the AIDAI (Auto-Inflammatory Diseases Activity Index) Consensus Conference

    NARCIS (Netherlands)

    Piram, Maryam; Frenkel, Joost; Gattorno, Marco; Ozen, Seza; Lachmann, Helen J.; Goldbach-Mansky, Raphaela; Hentgen, Veronique; Neven, Benedicte; Stojanovic, Katia Stankovic; Simon, Anna; Kuemmerle-Deschner, Jasmin; Hoffman, Hal; Stojanov, Silvia; Duquesne, Agnes; Pillet, Pascal; Martini, Alberto; Pouchot, Jacques; Kone-Paut, Isabelle

    2011-01-01

    Background The systemic autoinflammatory disorders (SAID) share many clinical manifestations, albeit with variable patterns, intensity and frequency. A common definition of disease activity would be rational and useful in the management of these lifelong diseases. Moreover, standardised disease acti

  10. A preliminary score for the assessment of disease activity in hereditary recurrent fevers: results from the AIDAI (Auto-Inflammatory Diseases Activity Index) Consensus Conference.

    NARCIS (Netherlands)

    Piram, M.; Frenkel, J.; Gattorno, M.; Ozen, S.; Lachmann, H.J.; Goldbach-Mansky, R.; Hentgen, V.; Neven, B.; Stojanovic, K.S.; Simon, A.; Kuemmerle-Deschner, J.; Hoffman, H.; Stojanov, S.; Duquesne, A.; Pillet, P.; Martini, A.; Pouchot, J.; Kone-Paut, I.

    2011-01-01

    BACKGROUND: The systemic autoinflammatory disorders (SAID) share many clinical manifestations, albeit with variable patterns, intensity and frequency. A common definition of disease activity would be rational and useful in the management of these lifelong diseases. Moreover, standardised disease act

  11. Test Scoring [book review].

    Science.gov (United States)

    Meijer, Rob R.

    2003-01-01

    This book discusses how to obtain test scores and, in particular, how to obtain test scores from tests that consist of a combination of multiple choice and open-ended questions. The strength of the book is that scoring solutions are presented for a diversity of real world scoring problems. (SLD)

  12. Patient activation in Europe: an international comparison of psychometric properties and patients’ scores on the short form Patient Activation Measure (PAM-13)

    NARCIS (Netherlands)

    Rademakers, J.; Terkildsen Maindal, H.; Steinsbekk, A.; Gensichen, J.; Brenk-Franz, K.; Hendriks, M.

    2016-01-01

    Background: To allow better assessment of patients’ individual competencies for self-management, the Patient Activation Measure (PAM) has been developed in the USA. Because the American studies have shown the PAM to be a valuable tool, several European countries have translated the instrument into t

  13. Assessment of Disease Activity in Small Bowel Crohn’s Disease: Comparison between Endoscopy and Magnetic Resonance Enterography Using MRIA and Modified MRIA Score

    Directory of Open Access Journals (Sweden)

    Arnaldo Scardapane

    2015-01-01

    Full Text Available Objectives. To retrospectively compare the results of the MRIA (magnetic resonance index of activity with a modified MRIA (mMRIA, which was calculated excluding from MRIA formula the data of relative contrast enhancement (RCE. Materials and Methods. MR-E and corresponding endoscopic records of 100 patients were reviewed. MRIA, mMRIA, and SES endoscopic index were calculated for all the patients. Namely, MRIA was calculated as follows: (1.5 × wall thickening + 0.02 × RCE + 5 × intramural edema + 10 × ulcers, while mMRIA was calculated with the modified formula (1.5 × wall thickening + 5 × intramural edema + 10 × ulcers. Results. Mean MRIA and mMRIA values were 19.3 and 17.68, respectively p<0.0001. A significant correlation p<0.0001 was observed between MRIA and mMRIA scores and between both MR indexes and SES p<0.0001. Conclusions. mMRIA was comparable to MRIA in the evaluation of disease activity in Crohn’s disease.

  14. Construção de um instrumento de coleta de dados de enfermagem em ginecologia

    OpenAIRE

    2005-01-01

    Trata-se de pesquisa Survery descritivo exploratório. Teve como objetivo a construção de um instrumento de coleta de dados, visando a implantação da sistematização da assistência de enfermagem em uma clínica de cirurgias ginecológicas. O instrumento foi elaborado com base no Modelo Bifocal da Prática Clínica de Carpenito, construído segundo os Padrões Funcionais de Saúde descritos por Gordon. Buscou-se na elaboração do instrumento uma forma de organizar e registrar um maior número de informaç...

  15. Revisión de instrumentos de evaluación de clima organizacional

    Directory of Open Access Journals (Sweden)

    Diego Raúl Cardona Echeverri

    2014-01-01

    Full Text Available Este artículo presenta una caracterización de diferentes instrumentos de evaluación del clima organizacional. Para este fin se realizó un estudio de revisión sistemática de la literatura de publicaciones en los últimos 15 años en donde se encontraron 10 artículos que presentaban instrumentos de evaluación de clima organizacional. De estos artículos se realizó un análisis de las propiedades psicométricas y de las dimensiones evaluadas. Se halló que existe un grupo de 8 dimensiones que se repiten en la mayoría de los instrumentos: toma de decisiones, claridad organizacional, liderazgo, interacción social, motivación institucional, sistema de recompensas e incentivos, apertura organizacional y supervisión.

  16. Instrumento de apoio para a primeira entrevista em psicoterapia cognitivo-comportamental

    Directory of Open Access Journals (Sweden)

    Sheila Giardini Murta

    2014-12-01

    Full Text Available A primeira entrevista em psicoterapia é, usualmente, vivenciada com grande ansiedade por estagiários de Psicologia. Visando facilitar essa transição profissional e colaborar para a formação de terapeutas iniciantes, este artigo tem por objetivo apresentar um instrumento para uso por estagiários de Psicoterapia Cognitivo-Comportamental na primeira sessão individual. O instrumento é apresentado na forma de uma lista de checagem, contendo aspectos a serem abordados no decorrer da sessão, além de questões abertas sobre a vivência emocional e autoavaliação do desempenho na sessão. São discutidos achados de pesquisa em psicoterapia que fundamentam o instrumento. Adicionalmente, são sugeridos estudos para avaliação de seu potencial didático na formação de psicoterapeutas.

  17. Instrumentos para a avaliação dos transtornos alimentares

    Directory of Open Access Journals (Sweden)

    Freitas Silvia

    2002-01-01

    Full Text Available Este artigo descreve os principais instrumentos e métodos utilizados para mensurar os aspectos psicopatológicos gerais e específicos dos transtornos alimentares. São revistos treze instrumentos auto-aplicáveis e duas entrevistas clínicas semi-estruturadas. Os autores apresentam para cada instrumento de avaliação uma breve descrição de sua estrutura, sua utilização preferencial e se existe versão para o português. Ao final do artigo, é apresentada uma sugestão de protocolo psicométrico para anorexia nervosa, bulimia nervosa e transtorno da compulsão alimentar periódica.

  18. Revisión de instrumentos de evaluación de clima organizacional

    Directory of Open Access Journals (Sweden)

    Diego Raúl Cardona Echeverri

    2014-04-01

    Full Text Available Este artículo presenta una caracterización de diferentes instrumentos de evaluación del clima organizacional. Para este fin se realizó un estudio de revisión sistemática de la literatura de publicaciones en los últimos 15 años en donde se encontraron 10 artículos que presentaban instrumentos de evaluación de clima organizacional. De estos artículos se realizó un análisis de las propiedades psicométricas y de las dimensiones evaluadas. Se halló que existe un grupo de 8 dimensiones que se repiten en la mayoría de los instrumentos: toma de decisiones, claridad organizacional, liderazgo, interacción social, motivación institucional, sistema de recompensas e incentivos, apertura organizacional y supervisión.

  19. La interpretación e integración de los instrumentos de Derecho Comercial

    Directory of Open Access Journals (Sweden)

    Maximiliano Rodríguez Fernández

    2013-12-01

    Full Text Available El proceso de armonización a que se encuentran sometidas las normas del Derecho Comercial Internacional se realiza usualmente en tres etapas: concepción, redacción y aceptación del instrumento; adopción del instrumento internacional en los ordenamientos locales, e interpretación (aplicación del instrumento internacional. El presente artículo se refiere a la tercera, y tal vez más importante de esas etapas, esto es, la de interpretación internacional de los textos de Derecho uniforme o armónico, y particularmente lo que será la interpretación de las Reglas de Rotterdam.

  20. COMPROBACIÓN DE VALIDEZ Y CONFIABILIDAD DEL INSTRUMENTO CONSTRUIDO PARA EVALUAR EL VALOR DE MARCA

    Directory of Open Access Journals (Sweden)

    Rosalba Oviedo Marín

    2013-08-01

    Full Text Available Se aplicó la técnica estadística multivariante análisis factorial al instrumento de Ramírez F. (2012, que consta de 12 preguntas agrupadas en cuatro temas principales: Lealtad, Calidad, Notoriedad e Imagen. Con la prueba se identificó la validez de las dimensiones: mismas que resultaron confiables al aplicarles el alfa de Cronbach lo que implica que localmente, el instrumento de valor de marca no requiere ser modificado manteniendo la cantidad de ítem y de factores, obteniendo la información de una manera clara y sencilla.

  1. Instrumento de apoio para a primeira entrevista em psicoterapia cognitivo-comportamental

    OpenAIRE

    Sheila Giardini Murta; Sheila Giovana Morais Rocha

    2014-01-01

    A primeira entrevista em psicoterapia é, usualmente, vivenciada com grande ansiedade por estagiários de Psicologia. Visando facilitar essa transição profissional e colaborar para a formação de terapeutas iniciantes, este artigo tem por objetivo apresentar um instrumento para uso por estagiários de Psicoterapia Cognitivo-Comportamental na primeira sessão individual. O instrumento é apresentado na forma de uma lista de checagem, contendo aspectos a serem abordados no decorrer da sessão, além de...

  2. Vigencia y eficacia de los instrumentos normativos en el derecho laboral

    Directory of Open Access Journals (Sweden)

    Héctor-Hugo Barbagelata

    2015-09-01

    Full Text Available El presente articulo, es la reconstrucción de la exposición formulada el 7 d ejunio de 1995, sobre el tema VI del II Congreso Internacional de Direito Material e Processual do Trabalho de Santa Catarina y III Congreso de GENESIS- Rev. de Die do Trab.Contenido: Introducción. Particularismos de los instrumentos normativos en el derecho del trabajo. Conflictos entre vigencia y eficacia de los instrumentos normativos del Derecho del Trabajo. Breves conclusiones

  3. Afinar o movimento educação do corpo no ensino de instrumentos musicais

    OpenAIRE

    Flora Maria Gomide Vezzá

    2013-01-01

    A aquisição do movimento durante o aprendizado de um instrumento musical é fruto da plasticidade do sistema nervoso, que conduz à automatização de padrões motores. A tensão excessiva está relacionada a problemas de sonoridade e de saúde. Tornar-se músico muitas vezes significa tornar-se professor de instrumento, ofício que se aprende na prática e que esconde dificuldades como a de falar sobre o movimento e a música. O objetivo foi conhecer a formação de instrumentistas de cordas orquestrais p...

  4. DESVIACIONES DEL INSTRUMENTO FORMAL MANIFESTACIÓN DE IMPACTO AMBIENTAL EN MÉXICO

    OpenAIRE

    2013-01-01

    Este artículo trata de evidenciar algunas de las deficiencias de la legislación mexicana y de determinadas herramientas de la misma, particularmente en el área ambiental y en lo referente al empleo del instrumento legal denominado Manifestación de Impacto Ambiental (MIA). Para lo cual fue practicado un análisis crítico propositivo de la aplicación del instrumento de estudio en el ejercicio real de cinco casos de expresiva importancia actual. Se muestran algunas de las disrupciones y limitacio...

  5. VALIDACIÓN DE UN INSTRUMENTO PARA MEDIR COMPRENSIÓN LECTORA EN ALUMNOS UNIVERSITARIOS MEXICANOS

    Directory of Open Access Journals (Sweden)

    Jorge Guerra García

    2013-01-01

    Full Text Available El objetivo de esta investigación fue validar un instrumento para evaluar la com- prensión lectora. Para ello, se seleccionó a cinco profesores universitarios como jueces, a quienes se les entregó un texto, una serie de reactivos sobre su con- tenido y una serie de preguntas con diversos criterios para que evaluaran cada uno de los ítems. Con sus opiniones y sugerencias se rediseñó el instrumento, resultando válido. Se discute sobre su utilidad para docentes universitarios.

  6. Necessidades em saúde e atenção básica: validação de instrumentos de captação Necesidades en salud & atención primaria: validación de instrumentos de captación Health needs & primary care: validation of the needs assessment tool

    Directory of Open Access Journals (Sweden)

    Paula Hino

    2009-12-01

    Full Text Available O estudo objetivou validar dois instrumentos, para identificar como os serviços de saúde e as equipes de saúde da família reconhecem as necessidades de saúde da população. Trata-se de um estudo de desenvolvimento metodológico, para o qual foram elaborados instrumentos baseados em um guia de captação da realidade objetiva, adaptado para caracterizar a realidade de serviços de saúde e equipes de saúde da família. Para validação dos instrumentos, estabeleceu-se o grau de concordância mínimo de 85%, participando como juízes docentes pesquisadores do tema Necessidade em Saúde e enfermeiros que atuam em unidades de saúde da família, totalizando 11 juízes. A validação ocorreu em duas etapas pois, na primeira, alguns itens não atingiram a meta de concordância proposta. Após a segunda validação, obteve-se concordância acima de 85% nos itens avaliados. Os Instrumentos de captação propostos visam contribuir para a prática dos serviços de saúde na identificação de necessidades em saúde da população.Este estudio de desarrollo metodológico buscó validar instrumentos para conocer las herramientas utilizadas, por servicios de salud y equipos del programa salud familiar brasileño, para reconocer las necesidades en salud de la población. Se crearon instrumentos, basados en una guía de captación de la realidad objetiva, adaptada para caracterizar la realidad de servicios y equipos de salud familiar. Para validar los instrumentos, se estableció 85% como porcentaje mínimo de concordancia entre los 11 jueces participantes, que fueron docentes, investigadores del tema necesidades en salud y enfermeros de unidades de salud familiar. La validación ocurrió en dos etapas, dado que en la primera, algunos ítems no alcanzaron 85% de concordancia. En la segunda etapa se obtuvo 85% de concordancia. Los resultados permiten considerar validados los instrumentos para alcanzar los fines propuestos. Se espera contribuir para que

  7. Subgroup Balancing Propensity Score

    OpenAIRE

    DONG, JING; Zhang, Junni L; Li, Fan

    2017-01-01

    We investigate the estimation of subgroup treatment effects with observational data. Existing propensity score matching and weighting methods are mostly developed for estimating overall treatment effect. Although the true propensity score should balance covariates for the subgroup populations, the estimated propensity score may not balance covariates for the subgroup samples. We propose the subgroup balancing propensity score (SBPS) method, which selects, for each subgroup, to use either the ...

  8. Fingerprinting of music scores

    Science.gov (United States)

    Irons, Jonathan; Schmucker, Martin

    2004-06-01

    Publishers of sheet music are generally reluctant in distributing their content via the Internet. Although online sheet music distribution's advantages are numerous the potential risk of Intellectual Property Rights (IPR) infringement, e.g. illegal online distributions, disables any innovation propensity. While active protection techniques only deter external risk factors, additional technology is necessary to adequately treat further risk factors. For several media types including music scores watermarking technology has been developed, which ebeds information in data by suitable data modifications. Furthermore, fingerprinting or perceptual hasing methods have been developed and are being applied especially for audio. These methods allow the identification of content without prior modifications. In this article we motivate the development of watermarking and fingerprinting technologies for sheet music. Outgoing from potential limitations of watermarking methods we explain why fingerprinting methods are important for sheet music and address potential applications. Finally we introduce a condept for fingerprinting of sheet music.

  9. Associations of genetic risk score with obesity and related traits and the modifying effect of physical activity in a Chinese Han population.

    Science.gov (United States)

    Zhu, Jingwen; Loos, Ruth J F; Lu, Ling; Zong, Geng; Gan, Wei; Ye, Xingwang; Sun, Liang; Li, Huaixing; Lin, Xu

    2014-01-01

    Recent large-scale genome-wide association studies have identified multiple loci robustly associated with BMI, predominantly in European ancestry (EA) populations. However, associations of these loci with obesity and related traits have not been well described in Chinese Hans. This study aimed to investigate whether BMI-associated loci are, individually and collectively, associated with adiposity-related traits and obesity in Chinese Hans and whether these associations are modified by physical activity (PA). We genotyped 28 BMI-associated single nucleotide polymorphisms (SNPs) in a population-based cohort including 2,894 unrelated Han Chinese. Genetic risk score (GRS), EA and East Asian ancestry (EAA) GRSs were calculated by adding BMI-increasing alleles based on all, EA and EAA identified SNPs, respectively. Interactions of GRS and PA were examined by including the interaction-term in the regression model. Individually, 26 of 28 SNPs showed directionally consistent effects on BMI, and associations of four loci (TMEM18, PCSK1, BDNF and MAP2K5) reached nominal significance (Ptraits. Genetic predisposition to increased BMI is attenuated by PA in this population of Han Chinese.

  10. Rheumatologists' adherence to a disease activity score steered treatment protocol in early arthritis patients is less if the target is remission.

    Science.gov (United States)

    Akdemir, G; Markusse, I M; Goekoop-Ruiterman, Y P M; Steup-Beekman, G M; Grillet, B A M; Kerstens, P J S M; Lems, W F; Huizinga, T W J; Allaart, C F

    2017-02-01

    To compare rheumatologists' adherence to treatment protocols for rheumatoid arthritis (RA) targeted at Disease Activity Score (DAS) ≤2.4 or <1.6. The BeSt-study enrolled 508 early RA (1987) patients targeted at DAS ≤2.4. The IMPROVED-study included 479 early RA (2010) and 122 undifferentiated arthritis patients targeted at DAS <1.6. We evaluated rheumatologists' adherence to the protocols and assessed associated opinions and conditions during 5 years. Protocol adherence was higher in BeSt than in IMPROVED (86 and 70 %), with a greater decrease in IMPROVED (from 100 to 48 %) than in BeSt (100 to 72 %). In BeSt, 50 % of non-adherence was against treatment intensification/restart, compared to 63 % in IMPROVED and 50 vs. 37 % were against tapering/discontinuation. In both studies, non-adherence was associated with physicians' disagreement with DAS or with next treatment step and if patient's visual analogue scale (VAS) for general health was ≥20 mm higher than the physician's VAS. In IMPROVED, also discrepancies between swelling, pain, erythrocyte sedimentation rate, and VASgh were associated with non-adherence. Adherence to DAS steered treatment protocols was high but decreased over 5 years, more in a DAS <1.6 steered protocol. Non-adherence was more likely if physicians disagreed with DAS or next treatment step. In the DAS <1.6 steered protocol, non-adherence was also associated with discrepancies between subjective and (semi)objective disease outcomes, and often against required treatment intensification. These results may indicate that adherence to DAS-steered protocols appears to depend in part on the height of the target and on how physicians perceive the DAS reflects RA activity.

  11. The Apgar Score.

    Science.gov (United States)

    2015-10-01

    The Apgar score provides an accepted and convenient method for reporting the status of the newborn infant immediately after birth and the response to resuscitation if needed. The Apgar score alone cannot be considered as evidence of, or a consequence of, asphyxia; does not predict individual neonatal mortality or neurologic outcome; and should not be used for that purpose. An Apgar score assigned during resuscitation is not equivalent to a score assigned to a spontaneously breathing infant. The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists encourage use of an expanded Apgar score reporting form that accounts for concurrent resuscitative interventions.

  12. Instrumentos de evaluación en rehabilitación psicosocial.

    OpenAIRE

    Susana Ochoa; María Ribas; María José Escandell; Emma Casas

    2010-01-01

    Se realiza una revisión de los instrumentos de evaluación disponibles en castellano en seis áreas: rehabilitación psicosocial general, necesidades, discapacidad, calidad de vida, psicopatología y carga familiar.

  13. Confiabilidade de um instrumento para classificar o recém-nascido segundo a complexidade assistencial

    Directory of Open Access Journals (Sweden)

    Caroline de Souza Bosco

    2013-08-01

    Full Text Available Na maioria das maternidades, a classificação, a avaliação e a definição da unidade a encaminhar o recém-nascido (RN após o nascimento são realizadas pelo médico. A avaliação ocorre na sala de parto considerando: peso ao nascer; idade gestacional; condutas que definem quadro clínico e doença. Este estudo observacional teve como objetivo avaliar a confiabilidade de um instrumento de classificação de RN. A pesquisa foi realizada no berçário de um hospital público, São Paulo. Nove enfermeiras aplicaram o instrumento a 63 RN, sendo duas simultaneamente em cada um dos cinco setores do berçário. Verificou-se que o nível de concordância Kappa entre as enfermeiras foi excelente para a maioria das áreas de cuidado (69,0%. Concluiu-se que houve consenso e concordância das enfermeiras quanto ao instrumento ser completo, de fácil entendimento e aplicável, porém despende muito tempo. As enfermeiras reconhecem a importância do instrumento para o dimensionamento dos profissionais, organização e planejamento do cuidado.

  14. Los derechos humanos en el sistema interamericano. Compilación de Instrumentos

    OpenAIRE

    Instituto de Estudios Latinoamericanos, Temas de Nuestra América

    2016-01-01

    Para el Centro por la Justicia y el Derecho Internacional (CEJIL) es motivo de gran satisfacción presentar la tercera edición de Los Derechos Humanos en el Sistema Interamericano: Compilación de Instrumentos

  15. Elaboração de um instrumento de coleta de dados para pesquisa com idosos

    Directory of Open Access Journals (Sweden)

    Fernanda Rochelly do Nascimento Mota

    2011-04-01

    Full Text Available Relato de experiência que visa demonstrar a importância da participação de acadêmicos de enfermagem na elaboração um instrumento de coleta de dados para avaliação das famílias com idosos. Para construção do instrumento, os discentes entraram em contato com o referencial teórico do estudo. Logo após elaborou-se o instrumento, realizando em seguida o teste piloto permitindo encontrar falhas relativas à clareza e objetividade das questões. Posteriormente readaptou-se e aplicou-se nas famílias com idosos. Após a coleta de dados instrumento mostrou-se adequado para estudos a serem realizados nas áreas de abrangência da Estratégia Saúde da Família. Além disso, a pesquisa possibilitou o desenvolvimento do senso crítico, criatividade e raciocínio científico dos graduandos envolvidos nesta.

  16. Instrumentos de evaluación en rehabilitación psicosocial.

    Directory of Open Access Journals (Sweden)

    Susana Ochoa

    2010-01-01

    Full Text Available Se realiza una revisión de los instrumentos de evaluación disponibles en castellano en seis áreas: rehabilitación psicosocial general, necesidades, discapacidad, calidad de vida, psicopatología y carga familiar.

  17. La colección de instrumentos antiguos del Real Instituto y Observatorio de la Armada

    Directory of Open Access Journals (Sweden)

    González González, Francisco José

    1999-12-01

    Full Text Available Not available.El Real Instituto y Observatorio de la Armada de San Fernando, fundado en Cádiz en 1753, es una institución científica que, a lo largo de más de dos siglos, ha reunido un importante patrimonio cultural e histórico, del que forma parte la colección de instrumentos científicos a la que se refiere este articulo. Tras un capítulo introductorio sobre el origen y las misiones de la institución, se estudia la evolución histórica de la adquisición de los principales instrumentos del Observatorio durante los siglos XVIII, XIX y XX. Por último, se describen las características y organización de la exposición de instrumentos instalada en el edificio principal del Real Observatorio de la Armada, y se incluye un apéndice con la relación de instrumentos expuestos ordenados alfabéticamente.

  18. El CAD-S, un instrumento para la evaluacion de la adaptacion al divorcio-separacion

    National Research Council Canada - National Science Library

    Yarnoz Yaben, Sagrario; Comino Gonzalez, Priscila

    2010-01-01

    ... de la investigacion sobre el tema del divorcio y sus consecuencias en adultos y ninos (Hetherington, 2005; vease tambien Amato, 2000; y Kelly, 2000, para una amplia revision) que puede servir de base a posibles tratamientos o intervenciones preventivas es importada de paises como los Estados Unidos. Lo mismo ocurre con los instrumentos de evaluacion. En el momento ...

  19. Rasgos de personalidad asociados con la ejecucion de determinados instrumentos musicales

    Directory of Open Access Journals (Sweden)

    Viviana Noemí Lemos de Ciuffardi

    2000-01-01

    Full Text Available El presente estudio tuvo como objetivo evaluar la relación existente entre la ejecución de determinados instrumentos musicales y los rasgos recurrentes de personalidad, en una muestra compuesta por 222 músicos profesionales y alumnos avanzados en el estudio de un instrumento musical. Se utilizó el Revised NEO Personality Inventory (NEO-PI-R de Costa y McCrae (1992, que permite evaluar diferentes rasgos de personalidad basándose en el modelo teórico de los cinco grandes factores de personalidad. Los resultados indicaron que existe una relación significativa entre las familias de instrumentos musicales (cuerdas, vientos bronce, vientos madera y las distintas facetas de personalidad contempladas por el NEO-PI-R (F de Hotelling = .97; P = .017. Esta relación significativa también se observó en los instrumentos específicamente seleccionados: (a flauta traversa, (b clarinete, (c trompeta, (d piano, (e guitarra, y (f saxofón; (F de Hotelling = 2.07; P = .002 Ylos cinco"grandes factores de personalidad que operacionaliza el NEO-PI-R. También se encontró una asociación significativa entre el sexo de los sujetos y la elección de ejecutar determinados instrumentos musicales. Los resultados por familias de instrumentos musicales dieron X2 (4, N~ 208 = 2.23; P = .000 y los resultados por instrumentos específicos elegidos dieron X2 (5, N=76 = 5.37 ; P = .000. Los factores cuyas relaciones resultaron significativas fueron: 1.- Extraversión: (cantidad e intensidad de las interacciones interpersonales. Dentro de este factor las facetas cuyas relaciones puntuaron estadísticamente significativas fueron: (a Sentimiento Gregario, (b Asertividad, (c Búsqueda de Excitación, y (d Emociones Positivas. Los instrumentistas que obtuvieron puntajes más altos en estas facetas fueron los ejecutantes de vientos bronces y quienes obtuvieron los puntajes más bajos fueron los ejecutantes de cuerdas, especialmente la guitarra y también al piano. 2

  20. Instrumentos para evaluar el currículum formal en carreras pedagógicas

    Directory of Open Access Journals (Sweden)

    María Teresa Castañeda

    2013-03-01

    Full Text Available Uno de los desafíos centrales para las instituciones formadoras actualmente es acreditar la calidad de la formación ofrecida, para esto es clave lograr la coherencia del diseño curricular. En este marco, la creación de instrumentos para evaluar diseños curriculares se inscribe en la investigación evalua- tiva del currículum de formación de carreras pedagógicas en relación con su fase de formula- ción, a partir de un caso. Tiene como propósito proponer procedimientos e instrumentos para el estudio del currículum formal o diseñado, por cuanto, se delinearon un conjunto de instrumentos que permitieron la indagación en torno a los componentes formales del currículum. Con ellos se evaluó la coherencia de los principios pedagógicos, el perfil del egresado de la carrera de pedagogía, declarados y la revisión de la presencia o no de dichos referentes en los programas de las distintas asignaturas pertenecientes al área. Este estudio permitió contar con instrumentos perti- nentes para examinar y analizar los componentes curriculares, dejando en evidencia las discrepan- cias existentes entre estos. Cabe señalar, que la posibilidad de crear estos instrumentos surge de la necesidad de avanzar en la evaluación sistemática del currículum formal; así como, en la búsqueda de mecanismos que den mayor confiabilidad, proporcionando información oportuna y relevante acerca de la coherencia de los diseños curriculares generados con pautas y rutas articuladas con los propósitos declarados.

  1. Determinantes do nível de disclosure de instrumentos financeiros derivativos em firmas brasileiras

    Directory of Open Access Journals (Sweden)

    Patrícia Vasconcelos Rocha Mapurunga

    2011-12-01

    Full Text Available A pesquisa teve por objetivo verificar a existência de associação entre a divulgação de informações acerca de instrumentos financeiros derivativos e características econômicas de sociedades brasileiras de Capital Aberto. Para tanto, realizou-se levantamento em demonstrações financeiras padronizadas de 75 companhias listadas nos Níveis Diferenciados de Governança Corporativa da BM&FBovespa. Na primeira etapa, pesquisa documental identificou as informações acerca dos instrumentos financeiros derivativos divulgados pelas empresas, adotando-se métrica desenvolvida a partir dos dispositivos constantes do Pronunciamento Técnico CPC 14 - Instrumentos Financeiros: Reconhecimento, Mensuração e Evidenciação. Em análise preliminar, verificou-se que nenhuma das empresas da amostra apresentou todos os itens de evidenciação requeridos, bem como que apenas 11, dos 30 itens de evidenciação, foram divulgados por mais de 50% das companhias constantes da amostra. Em seguida, procedeu-se à Análise de Correspondência (ANACOR para verificar a associação entre os atributos das firmas e seu nível de evidenciação. No que tange aos resultados obtidos, verificou-se que os atributos 'Tamanho' e 'Lucro' estão, positivamente, associados à divulgação de informações sobre instrumentos financeiros derivativos, não se verificando associação significante entre os atributos 'Endividamento' e 'Rentabilidade', com a divulgação de informações sobre instrumentos financeiros derivativos.

  2. Promoting an active form of learning out-of-class via answering online “study questions” leads to higher than expected exam scores in General Biology

    Directory of Open Access Journals (Sweden)

    Susan I. Gibson

    2015-10-01

    Full Text Available A rising need for workers in science, technology, engineering and mathematics (STEM fields has fueled interest in improving teaching within STEM disciplines. Numerous studies have demonstrated the benefits of active learning approaches on student learning outcomes. However, many of these studies have been conducted in experimental, rather than real-life class, settings. In addition, most of these studies have focused on in-class active learning exercises. This study tested the effects of answering questions outside of class on exam performance for General Biology students at the University of Minnesota. An online database of 1,020 multiple-choice questions covering material from the first half of the course was generated. Students in seven course sections (with an average of ∼265 students per section were given unlimited access to the online study questions. These students made extensive use of the online questions, with students answering an average of 1,323 questions covering material from the half of the semester for which the questions were available. After students answered a set of questions, they were shown the correct answers for those questions. More specific feedback describing how to arrive at the correct answer was provided for the 73% of the questions for which the correct answers were not deemed to be self-explanatory. The extent to which access to the online study questions improved student learning outcomes was assessed by comparing the performance on exam questions of students in the seven course sections with access to the online study questions with the performance of students in course sections without access to the online study questions. Student performance was analyzed for a total of 89 different exams questions that were not included in the study questions, but that covered the same material covered by the study questions. Each of these 89 questions was used on one to five exams given to students in course sections that

  3. Relationship between the climbing up and climbing down stairs domain scores on the FES-DMD, the score on the Vignos Scale, age and timed performance of functional activities in boys with Duchenne muscular dystrophy

    OpenAIRE

    Lilian A. Y. Fernandes; Fátima A. Caromano; Assis,Silvana M. B.; Hukuda,Michele E.; Mariana C. Voos; CARVALHO, Eduardo V.

    2014-01-01

    BACKGROUND: Knowing the potential for and limitations of information generated using different evaluation instruments favors the development of more accurate functional diagnoses and therapeutic decision-making. OBJECTIVE: To investigate the relationship between the number of compensatory movements when climbing up and going down stairs, age, functional classification and time taken to perform a tested activity (TA) of going up and down stairs in boys with Duchenne muscular dystrophy (DMD). M...

  4. Avaliação da carga de trabalho no pós-operatório de cirurgia cardíaca segundo o Nursing Activities Score

    Directory of Open Access Journals (Sweden)

    Larissa Bertacchini de Oliveira

    2015-12-01

    Full Text Available RESUMO Objetivo Identificar os fatores associados à carga de trabalho de enfermagem no cuidado a pacientes no pós-operatório de cirurgia cardíaca. Método Estudo de coorte prospectivo, conduzido com 187 pacientes da Unidade de Terapia Intensiva Cirúrgica (UTI do Instituto do Coração. Os dados foram coletados nas primeiras 24 e 72 horas do paciente na UTI. A variável dependente foi a carga de trabalho calculada por meio do Nursing Activities Score (NAS e as independentes foram de natureza demográfico-clínicas e escores de morbimortalidade. Para análise dos dados utilizou-se os testes de Wilcoxon-Mann-Whitney e de correlação de Spearman, e a regressão linear com modelo de efeitos mistos. Resultados A maioria dos pacientes era do sexo masculino (59,4%, com média de idade de 61 anos (±12,7 e 43,9% desenvolveram algum tipo de complicação no pós-operatório. Nas 24 horas, a carga de trabalho foi de 82,4% (±3,4 e foi de 58,1% (±3,4 nas 72 horas. Os fatores associados ao aumento do NAS foram: tempo de internação do paciente na UTI (p=0,036 e a presença de complicações (p<0,001. Conclusão A gravidade do paciente nas 24 horas, em oposição a inúmeros estudos, não influenciou no aumento da carga de trabalho, a qual se mostrou associada ao tempo de internação e às complicações.

  5. High disease activity according to the Ankylosing Spondylitis Disease Activity Score is associated with accelerated radiographic spinal progression in patients with early axial spondyloarthritis: results from the GErman SPondyloarthritis Inception Cohort.

    Science.gov (United States)

    Poddubnyy, Denis; Protopopov, Mikhail; Haibel, Hildrun; Braun, Jürgen; Rudwaleit, Martin; Sieper, Joachim

    2016-12-01

    The aim of this work was to investigate the association between disease activity measured by the Ankylosing Spondylitis Disease Activity Score (ASDAS) and radiographic spinal progression in patients with early axial spondyloarthritis (axSpA). Altogether, 178 patients with definite axSpA (100 with ankylosing spondylitis and 78 with non-radiographic axSpA) were included. Spinal radiographs (baseline and year 2) were assessed according to the modified Stoke Ankylosing Spondylitis Spine Score (mSASSS) and for the presence of syndesmophytes. Clinical and lab data were collected at baseline and every 6 months thereafter. Time-averaged (over 2 years) values of the C-reactive protein based ASDAS were calculated. There was a clear positive association between disease activity according to ASDAS and radiographic spinal progression. In the logistic regression analysis, mSASSS progression by ≥2 points over 2 years was significantly associated with the time-averaged ASDAS: unadjusted OR=1.64 (95% CI 1.03 to 2.62), adjusted (for presence of syndesmophytes at baseline, smoking status and intake of non-steroidal anti-inflammatory drugs) OR=1.80 (95% CI 1.04 to 3.13). Syndesmophyte formation/progression demonstrated an even stronger association with the time-averaged ASDAS: unadjusted OR=2.62 (95% CI 1.46 to 4.68), adjusted OR=2.45 (95% CI 1.26 to 4.77). Persisting high disease activity according to the ASDAS is associated with accelerated radiographic spinal progression in early axSpA. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  6. Relationship between the climbing up and climbing down stairs domain scores on the FES-DMD, the score on the Vignos Scale, age and timed performance of functional activities in boys with Duchenne muscular dystrophy

    Directory of Open Access Journals (Sweden)

    Lilian A. Y. Fernandes

    2014-12-01

    Full Text Available BACKGROUND: Knowing the potential for and limitations of information generated using different evaluation instruments favors the development of more accurate functional diagnoses and therapeutic decision-making. OBJECTIVE: To investigate the relationship between the number of compensatory movements when climbing up and going down stairs, age, functional classification and time taken to perform a tested activity (TA of going up and down stairs in boys with Duchenne muscular dystrophy (DMD. METHOD: A bank of movies featuring 30 boys with DMD performing functional activities was evaluated. Compensatory movements were assessed using the climbing up and going down stairs domain of the Functional Evaluation Scale for Duchenne Muscular Dystrophy (FES-DMD; age in years; functional classification using the Vignos Scale (VS, and TA using a timer. Statistical analyses were performed using the Spearman correlation test. RESULTS: There is a moderate relationship between the climbing up stairs domain of the FES-DMD and age (r=0.53, p=0.004 and strong relationships with VS (r=0.72, p=0.001 and TA for this task (r=0.83, p<0.001. There were weak relationships between the going down stairs domain of the FES-DMD-going down stairs with age (r=0.40, p=0.032, VS (r=0.65, p=0.002 and TA for this task (r=0.40, p=0.034. CONCLUSION: These findings indicate that the evaluation of compensatory movements used when climbing up stairs can provide more relevant information about the evolution of the disease, although the activity of going down stairs should be investigated, with the aim of enriching guidance and strengthening accident prevention. Data from the FES-DMD, age, VS and TA can be used in a complementary way to formulate functional diagnoses. Longitudinal studies and with broader age groups may supplement this information.

  7. Relationship between the climbing up and climbing down stairs domain scores on the FES-DMD, the score on the Vignos Scale, age and timed performance of functional activities in boys with Duchenne muscular dystrophy.

    Science.gov (United States)

    Fernandes, Lilian A Y; Caromano, Fátima A; Assis, Silvana M B; Hukuda, Michele E; Voos, Mariana C; Carvalho, Eduardo V

    2014-01-01

    Knowing the potential for and limitations of information generated using different evaluation instruments favors the development of more accurate functional diagnoses and therapeutic decision-making. To investigate the relationship between the number of compensatory movements when climbing up and going down stairs, age, functional classification and time taken to perform a tested activity (TA) of going up and down stairs in boys with Duchenne muscular dystrophy (DMD). A bank of movies featuring 30 boys with DMD performing functional activities was evaluated. Compensatory movements were assessed using the climbing up and going down stairs domain of the Functional Evaluation Scale for Duchenne Muscular Dystrophy (FES-DMD); age in years; functional classification using the Vignos Scale (VS), and TA using a timer. Statistical analyses were performed using the Spearman correlation test. There is a moderate relationship between the climbing up stairs domain of the FES-DMD and age (r=0.53, p=0.004) and strong relationships with VS (r=0.72, p=0.001) and TA for this task (r=0.83, pstairs domain of the FES-DMD-going down stairs with age (r=0.40, p=0.032), VS (r=0.65, p=0.002) and TA for this task (r=0.40, p=0.034). These findings indicate that the evaluation of compensatory movements used when climbing up stairs can provide more relevant information about the evolution of the disease, although the activity of going down stairs should be investigated, with the aim of enriching guidance and strengthening accident prevention. Data from the FES-DMD, age, VS and TA can be used in a complementary way to formulate functional diagnoses. Longitudinal studies and with broader age groups may supplement this information.

  8. Validade do instrumento WHO VAW STUDY para estimar violência de gênero contra a mulher Validez de instrumento para estimar violencia de género contra la mujer Validity of the WHO VAW study instrument for estimating gender-based violence against women

    Directory of Open Access Journals (Sweden)

    Lilia Blima Schraiber

    2010-08-01

    ntima y puede ser utilizado en estudios sobre el tema. El mismo tiene alta consistencia interna y capacidad de discriminar las formas de violencia psicológica, física y sexual, perpetrada en contextos sociales diversos. El instrumento también caracteriza a la mujer agredida y su relación con el agresor, facilitando análisis de género.OBJECTIVE: To validate the instrument of the World Health Organization Violence Against Women (WHO VAW study on psychological, physical and sexual violence against women perpetrated by intimate partners. METHODS: This was a cross-sectional study conducted in several countries between 2000 and 2003, including Brazil. Representative random samples of women aged 15-49 years with intimate partners were selected, living in the city of São Paulo (n = 940 and in the Zona da Mata, Pernambuco (n = 1,188, southeastern and northeastern regions, respectively. Exploratory factor analysis on questions relating to violence was performed (four psychological, six physical and three sexual questions, with varimax rotation and creation of three factors. Cronbach's alpha was calculated to analyze the internal consistency. To validate through extreme groups, mean scores (0 to 13 points for violence were tested in relation to the following outcomes: self-rated health, daily activities, presence of discomfort or pain, suicidal ideation or attempts, heavy alcohol consumption and presence of common mental disorders. RESULTS: Three factors were defined, with similar accumulated variance (0.6092 in São Paulo and 0.6350 in the Zona da Mata. For São Paulo, the first factor was determined by physical violence, the second by sexual violence and the third by psychological violence. For the Zona da Mata, the first factor was formed by psychological violence, the second by physical violence and the third by sexual violence. Cronbach's alpha coefficients were 0.88 in São Paulo and 0.89 in the Zona da Mata. The mean scores for violence were significantly higher for

  9. Comparação dos instrumentos de avaliação do sono, cognição e função no acidente vascular encefálico com a classificação internacional de funcionalidade, incapacidade e saúde (CIF Comparison of instruments for sleep, cognition and function evaluation in stroke patients according to the international classification of functioning, disability and health (ICF

    Directory of Open Access Journals (Sweden)

    Tania F. Campos

    2012-02-01

    sleep, cognition and function in stroke patients according to the ICF. METHODS: Twelve patients (6 women with a mean age of 55.4 (±6.2 years and a recovery time from 7 to 36 months took part in the study. Patients were evaluated using the Pittsburgh Sleep Quality Index (PSQI, the Mini-Mental State Examination (MMSE and Barthel Index (BI. A frequency comparison of ICF categories and those of the above-mentioned instruments was performed using Fisher's exact test and chi-square. Agreement regarding the categories was recorded by two evaluators and assessed with the Kappa index. RESULTS: Mean scores of 5.0 (±3.0, 22.5 (±3.4 and 74.6 (±17.2 were found for the PSQI, MMSE and BI, respectively. The changes identified in the other instruments were recorded in 46 ICF categories, with the most frequent component being "Body Functions", followed by "Activities and Participation". We found an inter-rater agreement of 0.87 for the PSQI (substantial, 0.44 for the MMSE (moderate and 0.39 for BI (fair. CONCLUSIONS: The results indicate that the instruments' concordance differed greatly, which suggests a more thorough use of these instruments in physical therapy to optimize the formulation and standardization of diagnoses.

  10. Comparison between neuropsychological evaluation instruments for severe dementia Comparação de instrumentos de avaliação neuropsicológica para a demência grave

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    José Roberto Wajman

    2006-09-01

    Full Text Available OBJECTIVE: To study the correlation between two tools for cognitive evaluation, Mini-Mental State Examination-severe (MMSE-s and Severe Impairment Battery (SIB, and the Bristol Daily Activities Functional Scale. METHOD: 50 patients from the Behavioral Neurology Section - EPM-UNIFESP - were evaluated. Mean age was 76.8±7.9 (range 57 to 95; 32% were males; mean education was 5.0±2.3 years (range 4 to 15; mean disease duration was 3.9±1.5 years (range 2 to 10. RESULTS: Preliminary results in a small sample drawn from the study group do indicate a difference between the three cognitive scales. SIB and MMSE-s had a better correlation with functional score than MMSE, and MMSE-s had a correlation slightly better than SIB. CONCLUSION: These data indicate that it is possible to follow dementia patients up to severe stage as long as adequate instruments are used, and that there may be differences between scales with regard to sensitivity.OBJETIVO: Avaliar a correlação entre dois instrumentos de avaliação cognitiva, o Mini-Exame do Estado Mental-grave (MEEM-g e a Bateria para Comprometimento Grave (SIB, e compara-los com a Escala Funcional de Atividades Diárias Bristol. MÉTODO: Foram avaliados 50 pacientes provenientes do Setor de Neurologia do Comportamento - UNIFESP-EPM - com idade entre 57 e 95 anos (média 76,84 anos, desvio-padrão 7,94 anos e mediana 77,00 anos; 16 (32,0% eram do sexo masculino; tempo de escolaridade era 4 a 15 anos (média 5,08±2,31 anos e mediana 4,00 anos. RESULTADOS: Foi possível observar aspectos de sensibilidade entre o MEEM tradicional e os outros dois instrumentos de avaliação para fases avançadas. CONCLUSÃO: É possível seguir acompanhando o paciente demenciado, mesmo em fases avançadas da doença, em relação às avaliações cognitiva e funcional.

  11. Las redes sociales como instrumento de mediación pedagógica: alcances y limitaciones

    Directory of Open Access Journals (Sweden)

    Abarca Araya, Steven

    2013-05-01

    Full Text Available Resumen: El presente ensayo surgió de una revisión bibliográfica que permitió conocer los alcances y las limitaciones de utilizar la Internet y las redes sociales como instrumento de mediación pedagógica. La Internet y las redes sociales han pasado a ocupar un espacio preponderante en la sociedad actual, utilizándose para promover bienes, servicios, entretenimiento y, en algunos casos, como instrumento de mediación pedagógica. Como resultado de la revisión realizada se pudo constatar que la utilización de las redes sociales como instrumento de mediación pedagógica ha permitido identificar sus bondades como mayor cobertura, asincronía en la mediación, aprendizaje colaborativo, aprendizaje autónomo, entre otros. Sin embargo, en contraste con las bondades que presenta, también tiene sus limitación es como la falta de pericia de docentes y estudiantes en el uso de la tecnología, el acceso, mayor inversión de tiempo en la mediación pedagógica, la renuencia de algunas personas al uso de la tecnología, la dificultad para controlar si es realmente el estudiante quien participa en las actividades pedagógicas, entre otros. Se concluye que todavía es muy apresurado hacer conjeturas acerca del futuro que le espera al uso de las redes sociales como instrumento de mediación pedagógica, pues algunos de estos alcances y limitaciones irán desapareciendo conforme vayamos adquiriendo mayor experiencia en su utilización, y su presencia sea cotidiana en nuestro sistema educativo, mientras que otros se seguirán manteniendo o, incluso, se pueden incrementar, por lo que debe analizarse su uso a la luz del contexto y la realidad de cada institución educativa.Abstract: This essay emerged from a literature review that yielded information on the scope and limitations of using the Internet and social media as a tool for teaching mediation. The Internet and social networks have come to occupy a prominent space in today´s society, being

  12. Uma revisão sobre instrumentos de avaliação do estado funcional do idoso A review of functional status evaluation instruments in the elderly

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    Carlos Montes Paixão Jr.

    2005-02-01

    Full Text Available A avaliação geriátrica se baseia em diagnósticos funcionais interdisciplinares, sendo correntemente denominada Avaliação Geriátrica Ampla. Inicia-se pela avaliação do estado funcional, dimensão central neste contexto. Este pode ser definido como o nível com o qual a pessoa desempenha funções e atividades da vida diária. São utilizados instrumentos que, por sua vez, necessitam estar bem estudados. Importam questões psicométricas como validade e confiabilidade. Este estudo procurou revisar o histórico, utilização e adaptação dos instrumentos de avaliação funcional no âmbito internacional e no Brasil. Utilizou-se uma revisão sistemática da literatura médica em livros, textos e nas bases de dados LILACS e MEDLINE. Escolhidos os instrumentos, realizou-se, em seguida, um escrutínio sistemático dos estudos de validação, confiabilidade e adaptação transcultural dos instrumentos selecionados. Dos trinta instrumentos escolhidos por critérios explícitos, apenas dois, o Medical Outcomes Study SF-36 e o Health Assessment Questionnaire, possuem adaptação para o português. Entretanto, alguns dos instrumentos revisados vêm sendo utilizados em nosso meio sem adaptação formal prévia. Conclui-se que a adaptação de instrumentos de avaliação do estado funcional é incompleta e pouco sistematizada no Brasil.The Comprehensive Geriatric Assessment is characterized as a functional and interdisciplinary evaluation. The first step is the assessment of functional status, which lies at the core of the procedure and can be defined by the level at which an individual performs roles and activities of daily living. Such assessment can be carried out by instruments (questionnaires whose conceptual framework and psychometric properties must be well-defined. The present study systematically reviewed published data on the properties of the functional status measurement instruments and their adaptation and use in Brazil, through a

  13. The macrophage activation marker sCD163 combined with markers of the Enhanced Liver Fibrosis (ELF) score predicts clinically significant portal hypertension in patients with cirrhosis

    DEFF Research Database (Denmark)

    Sandahl, T D; McGrail, R; Møller, Holger Jon

    2016-01-01

    BACKGROUND: Noninvasive identification of significant portal hypertension in patients with cirrhosis is needed in hepatology practice. AIM: To investigate whether the combination of sCD163 as a hepatic inflammation marker and the fibrosis markers of the Enhanced Liver Fibrosis score (ELF) can...... predict portal hypertension in patients with cirrhosis. METHODS: We measured sCD163 and the ELF components (hyaluronic acid, tissue inhibitor of metalloproteinase-1 and procollagen-III aminopeptide) in two separate cohorts of cirrhosis patients that underwent hepatic vein catheterisation. To test...... the predictive accuracy we developed a CD163-fibrosis portal hypertension score in an estimation cohort (n = 80) and validated the score in an independent cohort (n = 80). A HVPG ≥10 mmHg was considered clinically significant. RESULTS: Both sCD163 and the ELF components increased in a stepwise manner...

  14. SCORE - A DESCRIPTION.

    Science.gov (United States)

    SLACK, CHARLES W.

    REINFORCEMENT AND ROLE-REVERSAL TECHNIQUES ARE USED IN THE SCORE PROJECT, A LOW-COST PROGRAM OF DELINQUENCY PREVENTION FOR HARD-CORE TEENAGE STREET CORNER BOYS. COMMITTED TO THE BELIEF THAT THE BOYS HAVE THE POTENTIAL FOR ETHICAL BEHAVIOR, THE SCORE WORKER FOLLOWS B.F. SKINNER'S THEORY OF OPERANT CONDITIONING AND REINFORCES THE DELINQUENT'S GOOD…

  15. La investigación social como instrumento en las luchas vecinales

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    Beatriz Ramos Jurado

    2009-12-01

    Full Text Available En el presente artículo se plantea la utilización de la investigación social –más concretamente la antropología, sin menospreciar la incursión en otras áreas de las ciencias sociales- para crear instrumentos que se pongan al servicio de la gente afectada por los procesos de transformación de las ciudades y la violencia urbanística que ello supone. Se trataría de ver la antropología más como un medio para, que como un fin en sí misma. Algunos ejemplos de la conversión de la investigación social en práctica activa son: el estudio “Aprendiendo a decir NO. La Fuerza Social como reacción a los procesos de gentrificación en Granada”, que analiza la formación de una fuerza social (grupos de resistencia vecinales que lucha contra los procesos de gentrificación; los análisis de prensa de los diferentes conflictos; la edición de memorias analíticas de las actividades realizadas; y las catalogaciones etnológicas como estrategia de protección del patrimonio intangible._____________________ABSTRACT:This paper shows how social investigation –specially Anthropology without denying the incursion in other areas in Social Science- to create instruments in order to be used for people affected by processes in which cities get transformed and the urbanity violence that it suppose. It means to consider Anthropology as a medium instead of a goal by itself. Some examples of this conversion of social investigation in a active practice are: the study “Learning to say NO. The Social Force as a reaction to gentrification processes in Granada”, that analyses the creation of a social force (neighbour’s resistant groups that fights against gentrification processes; press analyses of different conflicts; edition of analytical memories from the activities that have been done; and ethnological classification as a strategy for protection of intangible patrimony.

  16. Construção de instrumento para avaliação sócio-funcional em idosos

    OpenAIRE

    Francielli Brito da Fonseca; Maria Lucia Frizon Rizzotto

    2008-01-01

    Se trata de una investigación realizada con el objetivo de construir un instrumento de evaluación para ancianos. La investigación fue desarrollada entre marzo y septiembre de 2007, por medio de la revisión de literatura, identificación y análisis de diversos instrumentos/escalas propuestos para la evaluación funcional. A partir del análisis de nueve escalas, se construyó el Instrumento de Evaluación Socio-funcional en Ancianos, que se compone de dos partes: la primera, cuyo objetivo es obtene...

  17. Desarrollo y validación de un instrumento para la evaluación inicial de enfermeira

    OpenAIRE

    Cayetano Fernández-Sola; José Granero-Molina; Judith Mollinedo-Mallea; María Hilda Peredo de Gonzales; Gabriel Aguilera-Manrique; Mara Luna Ponce

    2012-01-01

    Este estudio, desarrollado de abril a julio de 2008, objetiva desarrollar y validar un instrumento para orientar la evaluación de enfermería en parámetros asistenciales y docentes en Santa Cruz, Bolivia. Participaron doce enfermeras bolivianas y se utilizaron el análisis de documentos y técnicas de consenso para definir las categorías y criterios a ser incluidas en el instrumento. Estas categorías son: la evaluación física y los 11 Patrones Funcionales de Salud de Gordon. El instrumento se ca...

  18. Scoring of synovial membrane hypertrophy and bone erosions by MR imaging in clinically active and inactive rheumatoid arthritis of the wrist

    DEFF Research Database (Denmark)

    Østergaard, Mikkel; Gideon, P; Sørensen, K

    1995-01-01

    MRI-scores of synovial membrane hypertrophy and bone erosions of the RA-wrist are introduced. Gadolinium-DTPA enhanced magnetic resonance imaging (MRI) and conventional radiography (CR) of the wrist were performed in 16 patients with rheumatoid arthritis (RA) and 3 healthy controls. A MRI...

  19. Increasing Active Student Responding in a University Applied Behavior Analysis Course: The Effect of Daily Assessment and Response Cards on End of Week Quiz Scores

    Science.gov (United States)

    Malanga, Paul R.; Sweeney, William J.

    2008-01-01

    The study compared the effects of daily assessment and response cards on average weekly quiz scores in an introduction to applied behavior analysis course. An alternating treatments design (Kazdin 1982, "Single-case research designs." New York: Oxford University Press; Cooper et al. 2007, "Applied behavior analysis." Upper Saddle River:…

  20. Increasing Active Student Responding in a University Applied Behavior Analysis Course: The Effect of Daily Assessment and Response Cards on End of Week Quiz Scores

    Science.gov (United States)

    Malanga, Paul R.; Sweeney, William J.

    2008-01-01

    The study compared the effects of daily assessment and response cards on average weekly quiz scores in an introduction to applied behavior analysis course. An alternating treatments design (Kazdin 1982, "Single-case research designs." New York: Oxford University Press; Cooper et al. 2007, "Applied behavior analysis." Upper Saddle River:…

  1. An objective fluctuation score for Parkinson's disease.

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    Malcolm K Horne

    Full Text Available Establishing the presence and severity of fluctuations is important in managing Parkinson's Disease yet there is no reliable, objective means of doing this. In this study we have evaluated a Fluctuation Score derived from variations in dyskinesia and bradykinesia scores produced by an accelerometry based system.The Fluctuation Score was produced by summing the interquartile range of bradykinesia scores and dyskinesia scores produced every 2 minutes between 0900-1800 for at least 6 days by the accelerometry based system and expressing it as an algorithm.This Score could distinguish between fluctuating and non-fluctuating patients with high sensitivity and selectivity and was significant lower following activation of deep brain stimulators. The scores following deep brain stimulation lay in a band just above the score separating fluctuators from non-fluctuators, suggesting a range representing adequate motor control. When compared with control subjects the score of newly diagnosed patients show a loss of fluctuation with onset of PD. The score was calculated in subjects whose duration of disease was known and this showed that newly diagnosed patients soon develop higher scores which either fall under or within the range representing adequate motor control or instead go on to develop more severe fluctuations.The Fluctuation Score described here promises to be a useful tool for identifying patients whose fluctuations are progressing and may require therapeutic changes. It also shows promise as a useful research tool. Further studies are required to more accurately identify therapeutic targets and ranges.

  2. Instrumentos relacionados con la actividad textil de época tardoantigua y altomedieval en Cantabria

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    Gutiérrez Cuenca, E.

    2010-01-01

    Full Text Available Los instrumentos relacionados con la actividad textil son relativamente abundantes en el repertorio de cultura material de época tardoantigua y altomedieval en Cantabria. Muchos de estos objetos han pasado desapercibidos o no han sido correctamente identificados en trabajos previos. Recogemos en este estudio un inventario detallado de los diferentes instrumentos, relacionados con el hilado (fusayolas, ganchos de huso, ruecas de mano y con el tejido (punzones, pesas de telar, con numerosos paralelos en diferentes zonas de Europa. La mayor parte de los hallazgos procede de cuevas, algunas con depósitos sepulcrales, y se pueden datar en líneas generales entre los siglos VI y X.

  3. Instrumento para evaluar la adherencia a tratamientos en pacientes con factores de riesgo cardiovascular

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    CONSUELO ORTIZ SUÁREZ

    2010-12-01

    Full Text Available El presente estudio es de tipo descriptivo metodológico con abordaje cuantitativo; tuvo como objetivo determinar la validez de constructo y confiabilidad del instrumento “Factores que influyen en la adherencia al tratamiento farmacológico y no farmacológico en pacientes con factores de riesgo de enfermedad cardiovascular”. Para obtener la información se aplicó el instrumento, diseñado por Bonilla y De Reales en al año 2006, conformado por 53 ítems y cuatro dimensiones, la cual cuenta con validez facial, de contenido y confiabilidad a 485 pacientes que cumplían los criterios de inclusión. Al instrumento se le realizó la validez de constructo por medio del análisis factorial de tipo exploratorio para determinar la correlación entre las variables y las cuatro dimensiones, por el método de extracción de componentes principales y rotación varimax con Kaiser. La consistencia interna del instrumento se realizó con los resultados que arrojó el análisis factorial (24 ítems y 4 dimensiones, a través del coeficiente alfa de Cronbach. Los resultados del estudio mostraron que la validez de constructo realizada al instrumento permitió reducir el número de ítems de 53 a 24 a través del análisis factorial, sin afectar las 4 dimensiones del instrumento; el índice de consistencia interna por medio del método del alfa de Cronbach fue de 0,60, lo cual se considera adecuado. Con la exclusión de los 29 ítems se generó una nueva versión del instrumento, que agrupa los 24 ítems en cuatro factores que explican el 45% de la varianza, lo que demostró que las variables se correlacionaban con lo que se pretendía medir, permitiendo sustentar teóricamente el constructo, haciéndolo más práctico en su aplicabilidad para los profesionales de enfermería en diferentes escenarios de cuidado. Esto demuestra que el instrumento es válido y confiable, y se puede aplicar en futuros estudios acerca de la adherencia, a fin de obtener una mejor

  4. Routine Assessment of Patient Index Data 3 score (RAPID3) correlates well with Bath Ankylosing Spondylitis Disease Activity index (BASDAI) in the assessment of disease activity and monitoring progression of axial spondyloarthritis.

    Science.gov (United States)

    Danve, Abhijeet; Reddy, Anusha; Vakil-Gilani, Kiana; Garg, Neha; Dinno, Alexis; Deodhar, Atul

    2015-01-01

    Routine Assessment of Patient Index Data 3 (RAPID3) is a composite index, very useful for assessment of disease activity of various rheumatic diseases including RA. If RAPID3 can also reliably measure disease activity in axial spondyloarthritis (axSpA), it may prove to be a practical and effective quantitative assessment tool in busy practices. We studied the association of RAPID3 with Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). Patients with Ankylosing Spondylitis (AS) seen from 2007 to 2012 were classified as having AS or non-radiographic axial spondyloarthritis (nr-axSpA) using modified New York criteria and Assessment of SpondyloArthritis International Society criteria, respectively. Patients with simultaneous BASDAI and RAPID3 scores were enrolled (N = 112; 105 with AS, seven with nr-axSpA). Multiple regression and nonparametric receiver operating characteristics were used. Baseline mean (SD) BASDAI and RAPID3 were 4.2 (2.5) and 3.8 (2.3), respectively. Multiple linear regressions modeled a quadratic relationship between BASDAI and RAPID3 for 321 observations in 112 patients with axSpA (1) cross-sectionally: BASDAI predicted by RAPID3 (β = 1.171; s.e. = 0.113, p < 0.001) and RAPID3(2) (β = -0.037; s.e. = 0.014, p = 0.011) with an adjusted R (2) of 0.676; and (2) longitudinally: BASDAI predicted by RAPID3 (β = 1.196; s.e. = 0.111, p < 0.001), RAPID3(2) (β = -0.042; s.e. = 0.014, p = 0.004), and visit number (β = -0.142; s.e. = 0.038, p < 0.001) with an adjusted R (2) of 0.689. RAPID3 (correctly classified) corresponded to BASDAI scores of 2, 4, and 6: 1.40 (85.8 %), 3.33 (81.9 %), and 5.43 (87.1 %), respectively. RAPID3 correlates well with BASDAI in monitoring axSpA patients (including AS) in cross-sectional and longitudinal follow-up. Since it also correlates with measures of disease activity of other rheumatic diseases including RA, RAPID3 could be an attractive measure

  5. The Bandim tuberculosis score

    DEFF Research Database (Denmark)

    Rudolf, Frauke; Joaquim, Luis Carlos; Vieira, Cesaltina

    2013-01-01

    Background: This study was carried out in Guinea-Bissau ’ s capital Bissau among inpatients and outpatients attending for tuberculosis (TB) treatment within the study area of the Bandim Health Project, a Health and Demographic Surveillance Site. Our aim was to assess the variability between 2...... physicians in performing the Bandim tuberculosis score (TBscore), a clinical severity score for pulmonary TB (PTB), and to compare it to the Karnofsky performance score (KPS). Method : From December 2008 to July 2009 we assessed the TBscore and the KPS of 100 PTB patients at inclusion in the TB cohort and...

  6. Saber ambiental: instrumento interdisciplinar para a produção de saúde

    OpenAIRE

    Marta Regina Cezar-Vaz; Maria Cristina Flores Soares; Sibele da Rocha Martins; Janaína Sena; Liane Rossales dos Santos; Lilian Teles Rubira; Valdecir Zavarese da Costa; Ana Luiza Lucillo-Baisch

    2005-01-01

    Este texto trata de una introducción a la discusión teórica concerniente al saber ambientalcomo instrumento interdisciplinario para la producción de la salud. A través de la lectura en el pensamientode Enrique Leff, se expresa el concepto de ambiente en el sentido de aclarar las conexiones necesariaspara argumentar el concepto de producción y de reproducción de la salud.

  7. Saber ambiental: instrumento interdisciplinar para a produção de saúde

    Directory of Open Access Journals (Sweden)

    Marta Regina Cezar-Vaz

    2005-01-01

    Full Text Available Este texto trata de una introducción a la discusión teórica concerniente al saber ambientalcomo instrumento interdisciplinario para la producción de la salud. A través de la lectura en el pensamientode Enrique Leff, se expresa el concepto de ambiente en el sentido de aclarar las conexiones necesariaspara argumentar el concepto de producción y de reproducción de la salud.

  8. Reporting Valid and Reliable Overall Scores and Domain Scores

    Science.gov (United States)

    Yao, Lihua

    2010-01-01

    In educational assessment, overall scores obtained by simply averaging a number of domain scores are sometimes reported. However, simply averaging the domain scores ignores the fact that different domains have different score points, that scores from those domains are related, and that at different score points the relationship between overall…

  9. EVALUACIÓN NEUROPSICOLÓGICA EN POBLACIÓN ADULTA; INSTRUMENTOS DE EVALUACIÓN

    Directory of Open Access Journals (Sweden)

    Esperanza Bausela Herreras

    2008-01-01

    Full Text Available En este artículo nos centraremos en la evaluación neuropsicológica como proceso consistente en la utilización de diversas técnicas clínicas, psicométricas o neurológicas para conocer las peculiaridades del procesamiento en población normal y en personas que presentan algún trastorno, lesión o disfunción en el sistema nervioso. Analizaremos inicialmente qué se entiende por evaluación neuropsicológica, los ámbitos que toda evaluación neuropsicológica debe abarcar y que nos va a permitir obtener un perfil neuropsicológico comprehensivo. En coherencia con los ámbitos de exploración, analizamos los instrumentos que deben ser utilizados. Estos instrumentos pueden ser divididos en dos clases: instrumentos que, no habiéndose creado con una finalidad neuropsicológica, son utilizados en este campo con la intención de conocer el sustrato neurológico subyacente, y baterías de evaluación neuropsicológica propiamente dichas, tomando como referencia de ellas, la batería Luria-DNA.

  10. crítico: proposta de instrumento de coleta de dados

    Directory of Open Access Journals (Sweden)

    Daniela Borges Bittar

    2006-01-01

    Full Text Available La recolección de datos fundamenta la sistematización de la asistencia de enfermería, metodología esta que permite al enfermero aplicar los conocimientos técnico-científicos que fundamentan la profesión. Este estudio tuvo con objetivo elaborar un instrumento de recolección de datos, teniendo en mente el registro de manera eficiente y la validación en su forma aparente/y de contenido. Investigamos las señales y los síntomas frecuentemente encontrados en clientes de una Unidad de Cuidados Intensivo- Adulto y los clasificamos en Necesidades Humanas Básicas. Posteriormente, el instrumento fue sometido a validaciones aparente/y de contenido. Con relación a la estructura del instrumento, se detectó la necesidad de reducirlo, siendo este más práctico. Con respecto al contenido, los jueces concordaron que éste sería suficiente para el establecimiento de los diagnósticos de enfermería, favoreciendo el desarrollo de la sistematización de la asistencia al cliente crítico en la Unidad de Cuidados Intensivos.

  11. OPINIÃO DE ENFERMEIROS SOBRE INSTRUMENTO DE ATENDIMENTO SISTEMATIZADO A PACIENTE EM EMERGÊNCIA

    Directory of Open Access Journals (Sweden)

    Candice Abdon Miranda

    2012-01-01

    Full Text Available Estudio exploratorio cuyo objetivo fue identificar la opinión de enfermeros acerca de instrumento de atención basado en la Sistematización de la Atención de Enfermería, para uso en emergencia. El estudio se realizó en hospital de Recife, Pernambuco, Brasil, de junio a agosto de 2009, con muestra accidental de 30 enfermeros de la emergencia. Los datos fueron recogidos por medio de cuestionario y analizados bajo la estadística descriptiva. La mayoría de los enfermeros tiene opinión favorable acerca de la contribución del instrumento para: el trabajo en la emergencia (96,6%; la calidad de la atención de enfermería (86,6%; el planeamiento de las acciones (97,0%; la autonomía del enfermero (86,9%; y la comunicación e integración del equipo multiprofesional (83,6%. Además, los enfermeros opinaron que el uso de la ficha es viable (80,0%. Las sugerencias para mejorar el instrumento fueron de naturaleza organizacional y de adicción a su contenido.

  12. Análise de instrumentos para triagem do desenvolvimento infantil

    Directory of Open Access Journals (Sweden)

    Ana Regina Lucato Sigolo

    2011-04-01

    Full Text Available A literatura mostra a importância da identificação precoce de sinais de atraso no desenvolvimento infantil e a dificuldade na escolha de instrumentos de avaliação. Os objetivos foram comparar o Denver II e a EDC com uma escala de referência (EEDP quanto à identificação de crianças com atraso de desenvolvimento, verificar diferença nos resultados considerando gênero dos participantes e averiguar a convergência dos resultados das escalas. Participaram 24 bebês de cinco a onze meses, de ambos os sexos, frequentadores de creches municipais. Os instrumentos foram aplicados individualmente e em sequência pré-definida. A análise estatística revelou que a escala EDC e o Denver II não podem ser considerados semelhantes à escala EEDP. Quanto ao gênero, não houve diferença significativa. Não houve convergência de itens falhos segundo as áreas. Assim, é importante ter cautela na escolha de instrumentos para triagem e obter informações de diferentes fontes sobre o desenvolvimento da criança.

  13. Desenvolvimento e avaliação de instrumentos de triagem nutricional

    Directory of Open Access Journals (Sweden)

    Rita de Cássia Aquino

    2012-08-01

    Full Text Available Esse estudo tem por objetivo descrever o desenvolvimento e a avaliação de instrumentos de triagem nutricional para identificação de risco de desnutrição em pacientes hospitalizados. A partir da identificação de variáveis preditivas, o paciente deve ser encaminhado à equipe multidisciplinar de terapia nutricional para intervenção. Foram estudados 300 pacientes de um hospital de São Paulo-SP, aplicada uma avaliação nutricional com levantamento de variáveis de risco e conduzida uma regressão logística múltipla para a seleção dos fatores preditivos. As variáveis associadas à desnutrição foram: perda de peso involuntária, ossatura aparente, redução de apetite, diarreia, ingestão energética inadequada e gênero masculino. Um instrumento de triagem nutricional foi desenvolvido e apresentou adequada concordância com instrumentos validados.

  14. Validación de un instrumento para medir competencias conductuales en personas VIH positivas

    Directory of Open Access Journals (Sweden)

    Piña-López Julio Alfonso

    2003-01-01

    Full Text Available OBJETIVO: Estudiar la confiabilidad y validez de un instrumento que mide competencias conductuales en personas que viven con VIH/sida. MATERIAL Y MÉTODOS: Estudio transversal, efectuado en los meses de noviembre y diciembre de 2002 en la ciudad de Hermosillo, estado de Sonora, México. En él se manejó un instrumento que consta de 24 reactivos y fue aplicado a una muestra de 60 personas VIH positivas que reciben atención en dos instituciones del sector salud, México. Se emplearon los siguientes procedimientos estadísticos: para la discriminación de los reactivos se utilizó la prueba t; para la validez de constructo se efectuó un análisis de su estructura factorial, mientras que para la confiabilidad se recurrió al estadístico alfa de Cronbach. RESULTADOS: Excepto dos reactivos, el resto discriminó correctamente; el análisis factorial arrojó tres factores, que en su conjunto explican 47.99% de la varianza, y un índice conformado por dos reactivos; finalmente, la encuesta en su conjunto alcanzó un alfa de Cronbach de 0.856. CONCLUSIONES: Este instrumento tiene las ventajas de ser claro, con una buena discriminación de los reactivos y de poseer validez de constructo.

  15. Volleyball Scoring Systems.

    Science.gov (United States)

    Calhoun, William; Dargahi-Noubary, G. R.; Shi, Yixun

    2002-01-01

    The widespread interest in sports in our culture provides an excellent opportunity to catch students' attention in mathematics and statistics classes. One mathematically interesting aspect of volleyball, which can be used to motivate students, is the scoring system. (MM)

  16. Volleyball Scoring Systems.

    Science.gov (United States)

    Calhoun, William; Dargahi-Noubary, G. R.; Shi, Yixun

    2002-01-01

    The widespread interest in sports in our culture provides an excellent opportunity to catch students' attention in mathematics and statistics classes. One mathematically interesting aspect of volleyball, which can be used to motivate students, is the scoring system. (MM)

  17. Consciência metatextual: evidências de validade para instrumento de medida Consciencia metatextual: evidencias de validez para instrumento de medida Metatextual awareness: evidence of validity for measuring instrument

    Directory of Open Access Journals (Sweden)

    Acácia Aparecida Angeli dos Santos

    2012-08-01

    Full Text Available O objetivo estabelecido nesta pesquisa descritivo-correlacional foi a averiguação da consciência metatextual por meio de um questionário especialmente elaborado para este fim, analisando sua validade pela relação com medidas de compreensão de leitura e o critério de diferenciação do nível escolar. Participaram 315 alunos do 3º ao 5º ano do ensino fundamental, de escolas públicas, cujas idades variaram de 8 a 13 anos, sendo 169 meninos. Os escores obtidos com a medida de avaliação da consciência metatextual (QACM foram convergentes com a pontuação em compreensão de leitura e o instrumento mostrou-se sensível para captar o progresso das crianças em identificar os gêneros textuais com o avanço da escolaridade. Dessa forma, o estudo forneceu evidências de validade tanto no que se refere à convergência de construtos, identificada com base nas medidas relacionadas, como de critério, distinguindo os alunos pelo seu nível de escolaridade.El objetivo establecido en esta investigación descriptivo-correlacional fue averiguar la consciencia metatextual a través de un cuestionario especialmente diseñado para este fin, analizando su validez por la relación con medidas de comprensión de lectura y el criterio de diferenciación por nivel escolar. Participaron 315 alumnos del 3º al 5º año de la enseñanza básica, de escuelas públicas, cuyas edades variaron de 8 a 13 años, siendo 169 niños. Los puntajes obtenidos con la medida de evaluación de la consciencia metatextual (QACM fueron convergentes con los de la comprensión de lectura y el instrumento se mostró sensible para captar el desarrollo de los niños en identificar los géneros textuales con el avance de la escolaridad. De esa forma, el estudio forneció evidencias de validez por la convergencia de constructos, identificada con base en las medidas relacionadas, como de criterio, distinguiendo los alumnos por su nivel de escolaridad.The stated goal of this

  18. Adaptação cultural de instrumento para avaliação da capacidade física em cardiopatas Adaptación cultural de instrumento para evaluación de la capacidad física en cardiópatas Cultural adaptation of an instrument to assess physical fitness in cardiac patients

    Directory of Open Access Journals (Sweden)

    Gabriela de Barros Leite Domingues

    2011-04-01

    Full Text Available OBJETIVO: Validar o conteúdo e avaliar a confiabilidade do instrumento Veterans Specific Activity Questionnaire, adaptado culturalmente para uso na população brasileira de cardiopatas. MÉTODOS: O instrumento foi traduzido, retrotraduzido e analisado por comitê de juízes para avaliação das equivalências semântico-idiomática e cultural. As atividades físicas indicadas no instrumento incomuns ao cotidiano da população-alvo foram substituídas. Outro comitê de especialistas analisou a equivalência metabólica das atividades substituídas. A proporção de concordância de avaliação dos juízes foi quantificada pelo Índice de Validade de Conteúdo. O pré-teste foi realizado em duas etapas (n1 e n2 = 15. A confiabilidade foi avaliada por meio do teste re-teste (intervalo de 7-15 dias, n = 50. RESULTADOS: Na avaliação das equivalências semântico-idiomática e cultural, os itens com Índice de Validade de Conteúdo OBJETIVO: Validar el contenido y la confiabilidad del instrumento Veterans Specific Activity Questionnaire, adaptado culturalmente para uso en la población brasileña de cardiópatas. MÉTODOS: El instrumento fue traducido y retro traducido y analizado por comité de árbitros para evaluación de las equivalencias semántico-idiomática y cultural. Las actividades físicas indicadas en el instrumento, no comunes a lo cotidiano de la población de interés fueron sustituidas. Otro comité de especialistas analizó la equivalencia metabólica de las actividades sustituidas. La proporción de concordancia de evaluación de los árbitros fue cuantificada por el Índice de Validez de Contenido. La pre-test fue realizada en dos etapas (n1 y n2=15. La confiabilidad fue evaluada por medio de la prueba re-test (intervalo de 7-15 días, n=50. RESULTADOS: En la evaluación de las equivalencias semántico-idiomática y cultural, los itens con Índice de Validez de Contenido OBJECTIVE: To validate the content and to evaluate the

  19. Regulação emocional: a construção de um instrumento e resultados iniciais Regulación emocional: construcción de un instrumento y resultados preliminares Emotional regulation: the construction of an instrument and preliminary results

    Directory of Open Access Journals (Sweden)

    Miriam Cruvinel

    2010-09-01

    mantener la alegría. Se sugiere que estudios futuros sean conducidos con base en el instrumento desarrollado, teniendo en cuenta contribuir para su refinamiento.This study is aimed at both describing the steps of construction of a qualitative instrument to investigate the emotional regulation strategies of Brazilian students, and reporting preliminary results. The sample was composed of 54 third and fourth grade basic education students of a public school in Campinas. The instrument consists of a 24 interview questions grouped into four emotions: sadness, anger, fear and happiness. It also includes eight boards with pictures of children expressing each of the emotions investigated. Students' answers to interview questions were studied through content analysis. A system of categories was developed for each question and the reliability of the coding procedures was evaluated by two independent raters. The percentage of agreement between them was acceptable. The results showed that engagement in pleasant activities was the most frequent strategy to deal with sadness, anger, fear and to keep happiness. Future studies employing this instrument should be carried out to better refine it.

  20. Instant MuseScore

    CERN Document Server

    Shinn, Maxwell

    2013-01-01

    Get to grips with a new technology, understand what it is and what it can do for you, and then get to work with the most important features and tasks. Instant MuseScore is written in an easy-to follow format, packed with illustrations that will help you get started with this music composition software.This book is for musicians who would like to learn how to notate music digitally with MuseScore. Readers should already have some knowledge about musical terminology; however, no prior experience with music notation software is necessary.

  1. Caracterização da microfauna em estação de tratamento de esgotos do tipo lodos ativados: um instrumento de avaliação e controle do processo Microfauna characterization in activated sludge wastewater treatment plant: an instrument of assessment and control of process

    Directory of Open Access Journals (Sweden)

    Alessandra Pellizzaro Bento

    2005-12-01

    Full Text Available A microfauna presente em uma ETE por lodos ativados foi caracterizada, correlacionada com parâmetros físico-químicos e utilizada em modelos existentes de avaliação de sistemas. Durante 351 dias o lodo ativado manteve-se estável com flocos compactos, pequenos e com poucos filamentos. Os protozoários predominantes no lodo foram as tecamebas e os ciliados predadores de flocos, indicando estabilidade do sistema. Os métodos propostos em literatura, baseados no IBL, na densidade total da microfauna e na relação entre ciliados predadores de flocos e ciliados fixos, mostraram-se eficientes para o diagnóstico das condições depurativas do sistema. A análise qualitativa do lodo, englobando o tamanho, quantidade de filamentos, compactação e a identificação das espécies dominantes, foi suficiente para uma caracterização imediata das condições depurativas do sistema de tratamento.Microfauna found in an activated sludge WTP was characterized, correlated to the physical-chemical parameters and used in existing assessment models. During 351 days, the activated sludge remained stable with compacted and small poorly filamentous flocs. It was composed mainly by testate amoebas and crawling ciliates that indicated the stability of the system. The application of the existent system evaluation models to microfauna (SBI, crawling ciliate/attached ciliate relation and total density was found to be efficient for the assessment of the system depurative conditions. The sludge qualitative analysis, which included the flocs size, amount of filaments, compacting and the identification of the dominant microfauna species, was enough to an immediate diagnosis of the treatment system depurative conditions.

  2. Therapeutic intervention scoring system-28 (TISS-28: diretrizes para aplicação Therapeutic intervention scoring system-28 (tiss-28: directrices para su aplicación Therapeutic intervention scoring system-28 (tiss-28: directions for application

    Directory of Open Access Journals (Sweden)

    Katia Grillo Padilha

    2005-06-01

    Full Text Available O Therapeutic Intervention Scoring System-28 (TISS-28 é um instrumento que permite dimensionar carga de trabalho de enfermagem em Unidade de Terapia Intensiva e estimar gravidade da doença. Apresenta-se nesta publicação as definições operacionais para sua aplicação, proposta por um grupo de especialistas na área, com vistas a uniformizar o significado de cada um dos itens e evitar vieses de interpretação.El Therapeutic Intervention Scoring System-28 (TISS-28 es un instrumento que permite dimensionar carga de trabajo de enfermería en una Unidad de Terapia Intensiva y estimar la gravedad de la enfermedad. Se presenta en esta publicación las definiciones operacionales para su aplicación, propuesta por un grupo de especialistas en el área, con vistas a uniformizar el significado de cada uno de los items y evitar sesgos de interpretación.Therapeutic Intervention Scoring System-28 (TISS-28 is a tool that enables the measurement of the nursing work load in Intensive Care Units and the estimate of how grave the disease is. In this study are presented the operational definitions for its application, proposed by a group of specialists in the area, with the aim of rendering uniform the meaning of each of the items and preventing interpretation biases.

  3. Tensorial Orientation Scores

    NARCIS (Netherlands)

    van de Gronde, Jasper J.; Azzopardi, George; Petkov, Nicolai

    2015-01-01

    Orientation scores are representations of images built using filters that only select on orientation (and not on the magnitude of the frequency). Importantly, they allow (easy) reconstruction, making them ideal for use in a filtering pipeline. Traditionally a specific set of orientations has to be c

  4. Developing Scoring Algorithms

    Science.gov (United States)

    We developed scoring procedures to convert screener responses to estimates of individual dietary intake for fruits and vegetables, dairy, added sugars, whole grains, fiber, and calcium using the What We Eat in America 24-hour dietary recall data from the 2003-2006 NHANES.

  5. The lod score method.

    Science.gov (United States)

    Rice, J P; Saccone, N L; Corbett, J

    2001-01-01

    The lod score method originated in a seminal article by Newton Morton in 1955. The method is broadly concerned with issues of power and the posterior probability of linkage, ensuring that a reported linkage has a high probability of being a true linkage. In addition, the method is sequential, so that pedigrees or lod curves may be combined from published reports to pool data for analysis. This approach has been remarkably successful for 50 years in identifying disease genes for Mendelian disorders. After discussing these issues, we consider the situation for complex disorders, where the maximum lod score (MLS) statistic shares some of the advantages of the traditional lod score approach but is limited by unknown power and the lack of sharing of the primary data needed to optimally combine analytic results. We may still learn from the lod score method as we explore new methods in molecular biology and genetic analysis to utilize the complete human DNA sequence and the cataloging of all human genes.

  6. ASPECTOS DE APLICABILIDADE DOS INSTRUMENTOS JURÍDICOS DE CONTROLE DA POLUIÇÃO POR AGROTÓXICOS

    Directory of Open Access Journals (Sweden)

    Alexandre Rossi

    2001-01-01

    Full Text Available Juridical instruments of pollution control are important components of the public politics related to natural resources and public health. In certain conditions, those instruments can be used to assure the public politics mentioned. The Brazilian juridical system hsa those instruments available to confront the possibility or the occurrence of the pollution for pesticides. Initial analysis of basic notions and terminology involved justify themselves because of the importance of the research activity and its evaluation. Those are used so much in documents, as in another bibliographical source, that it can be understood in many ways. It includes relationship of dates, facts and geopolitics situation concerning about the theme, and it comments, besides the implication with the social reaction to that pollution type. The new interpretations of the parameters of application has to be proposed and defended by the juridical responsability and the pesticide's registration concerning right. Basic references taken to sustainable development approach and the precautionary approach, both inserted in the Brazilian positive juridical system as it bases. It is still recognized in the Brazilian context the lack of control instruments for pesticides pollution that they did not include in the repressive group or control bureaucratic through the licensing. It was verified that the financial mechanismsmotivated the pesticides' employment, as well as rural credit. = Importantes componentes das políticas públicas relacionadas aos recursos naturais e à saúde pública, os instrumentos jurídicos de controle de poluição, em determinadas condições, podem ser utilizados para assegurar a efetivação dessas políticas. Trata-se dos instrumentos disponíveis no ordenamento jurídico brasileiro paraenfrentar a possibilidade ou a ocorrência da poluição por agrotóxicos. A análise de conceitos básicos e da terminologia envolvida justifica-se por sua import

  7. Automated Essay Scoring

    Directory of Open Access Journals (Sweden)

    Semire DIKLI

    2006-01-01

    Full Text Available Automated Essay Scoring Semire DIKLI Florida State University Tallahassee, FL, USA ABSTRACT The impacts of computers on writing have been widely studied for three decades. Even basic computers functions, i.e. word processing, have been of great assistance to writers in modifying their essays. The research on Automated Essay Scoring (AES has revealed that computers have the capacity to function as a more effective cognitive tool (Attali, 2004. AES is defined as the computer technology that evaluates and scores the written prose (Shermis & Barrera, 2002; Shermis & Burstein, 2003; Shermis, Raymat, & Barrera, 2003. Revision and feedback are essential aspects of the writing process. Students need to receive feedback in order to increase their writing quality. However, responding to student papers can be a burden for teachers. Particularly if they have large number of students and if they assign frequent writing assignments, providing individual feedback to student essays might be quite time consuming. AES systems can be very useful because they can provide the student with a score as well as feedback within seconds (Page, 2003. Four types of AES systems, which are widely used by testing companies, universities, and public schools: Project Essay Grader (PEG, Intelligent Essay Assessor (IEA, E-rater, and IntelliMetric. AES is a developing technology. Many AES systems are used to overcome time, cost, and generalizability issues in writing assessment. The accuracy and reliability of these systems have been proven to be high. The search for excellence in machine scoring of essays is continuing and numerous studies are being conducted to improve the effectiveness of the AES systems.

  8. Instrumento mensurador de adesao para hipertensos: contribuicao da Teoria da Resposta ao Item

    Directory of Open Access Journals (Sweden)

    Malvina Thais Pacheco Rodrigues

    2013-06-01

    Full Text Available OBJETIVO: Analisar instrumento de medição da adesão ao tratamento da hipertensão por meio da "Teoria da Resposta ao Item". MÉTODOS: Estudo analítico com 406 hipertensos com complicações associadas, atendidos na atenção básica em Fortaleza, CE, 2011, pela "Teoria da Resposta ao Item". As etapas de execução foram: teste de dimensionalidade, calibração dos itens; tratamento dos dados e construção da escala, analisadas com base no modelo de resposta gradual. Estudo da dimensionalidade do instrumento foi feito pela análise da matriz de correlação policórica e análise fatorial de informação completa. Utilizou-se o software Multilog para calibração dos itens e estimação dos escores. RESULTADOS: Os itens referentes ao tratamento medicamentoso foram os mais diretamente relacionados à adesão, enquanto aqueles referentes ao tratamento não medicamentoso precisam ser reformulados, pois possuíram menor quantidade de informação psicométrica e baixa discriminação. A independência dos itens, o reduzido número de níveis da escala e as baixas variâncias explicadas no ajuste dos modelos mostraram as principais fragilidades do instrumento analisado. A "Teoria da Resposta ao Item" mostrou-se relevante para análise, pois avaliou o respondente quanto à adesão ao tratamento da hipertensão, ao nível de dificuldade dos itens e à sua capacidade de discriminação entre indivíduos com diferentes níveis de adesão, o que gerou maior quantidade de informação. CONCLUSÕES: O instrumento analisado é limitado para medir a adesão ao tratamento da hipertensão, mediante análise pela "Teoria da Resposta ao Item", e necessita de ajustes. A adequada formulação dos itens é importante para medir precisamente o traço latente desejado.

  9. LAS REDES SOCIALES COMO INSTRUMENTO DE MEDIACIÓN PEDAGÓGICA: ALCANCES Y LIMITACIONES

    Directory of Open Access Journals (Sweden)

    Steven Abarca Araya

    2013-01-01

    Full Text Available El presente ensayo surgió de una revisión bibliográfica que permitió conocer los alcances y las limitaciones de utilizar la Internet y las redes sociales como instrumento de mediación pedagógica. La Internet y las redes sociales han pasado a ocupar un espacio preponderante en la sociedad actual, utilizándose para promover bienes, servicios, entretenimiento y, en algunos casos, como instrumento de mediación pedagógica. Como resultado de la revisión realizada se pudo constatar que la utilización de las redes sociales como instrumento de mediación pedagógica ha permitido identificar sus bondades como mayor cobertura, asincronía en la mediación, aprendizaje colaborativo, aprendizaje autónomo, entre otros. Sin embargo, en contraste con las bondades que presenta, también tiene sus limitación es como la falta de pericia de docentes y estudiantes en el uso de la tecnología, el acceso, mayor inversión de tiempo en la mediación pedagógica, la renuencia de algunas personas al uso de la tecnología, la dificultad para controlar si es realmente el estudiante quien participa en las actividades pedagógicas, entre otros. Se concluye que todavía es muy apresurado hacer conjeturas acerca del futuro que le espera al uso de las redes sociales como instrumento de mediación pedagógica, pues algunos de estos alcances y limitaciones irán desapareciendo conforme vayamos adquiriendo mayor experiencia en su utilización, y su presencia sea cotidiana en nuestro sistema educativo, mientras que otros se seguirán manteniendo o, incluso, se pueden incrementar, por lo que debe analizarse su uso a la luz del contexto y la realidad de cada institución educativa.

  10. La valoración del paisaje cultural como instrumento de intervención territorial

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    JUAN CARLOS ETULAIN

    2010-06-01

    Full Text Available El artículo presenta una perspectiva del ordenamiento entendiendo al territorio como Paisaje Cultural, producto del binomio naturaleza-sociedad, y también como una estrategia de política de valoración del territorio como patrimonio, buscando y encontrando identidad. Se pone énfasis en la necesidad de un abordaje multiescalar y se presentan los principales instrumento de intervención territorial (mecanismo institucional, de gestión, técnico, de análisis e intervención.

  11. Fidedignidade do Instrumento de Avaliação Neuropsicológica Breve Neupsilin

    OpenAIRE

    Pawlowski, Josiane; Parente,Maria Alice de Mattos Pimenta; Bandeira, Denise Ruschel

    2013-01-01

    La investigación examinó la fiabilidad del Instrumento de Evaluación Neuropsicológica Breve Neupsilin, desarrollado en Brasil. Participaron 102 hombres y mujeres brasileños, de 18 a 40 años de edad. Se evaluó la fiabilidad del test-retest del Neupsilin y de la corrección, por distintos evaluadores, de la prueba para evaluación de apraxia constructiva. Se analizaron los datos con: el test de correlación de Spearman, el coeficiente de correlación intraclase y el coeficiente alpha de Cronbach. L...

  12. Fiabilidad del Instrumento de Evaluación Neuropsicológica Breve Neupsilin

    OpenAIRE

    Josiane Pawlowski; Maria Alice de Mattos Pimenta Parente; Denise Ruschel Bandeira

    2013-01-01

    La investigación examinó la fiabilidad del Instrumento de Evaluación Neuropsicológica Breve Neupsilin, desarrollado en Brasil. Participaron 102 hombres y mujeres brasileños, de 18 a 40 años de edad. Se evaluó la fiabilidad del test-retest del Neupsilin y de la corrección, por distintos evaluadores, de la prueba para evaluación de apraxia constructiva. Se analizaron los datos con: el test de correlación de Spearman, el coeficiente de correlación intraclase y el coeficiente alpha de Cronbach. L...

  13. Innovación en la Evaluación de Competencias Transversales. El Instrumento PIAESCE

    OpenAIRE

    Pilar Munuera Gómez; Enrique Navarro Asencio

    2015-01-01

    Se presenta el Instrumento de Asimilación, Evaluación y Seguimiento de Competencias Transversales para estudiantes (PIAESCE), con el objetivo de conseguir la participación activa del estudiante sobre la adquisición, evaluación y seguimiento de sus competencias transversales. Este soporte es fruto de una investigación sobre la relevancia de las competencias transversales en la que han tomado parte profesores y estudiantes del Grado en Trabajo Social de la Universidad Complutense de Madrid, pre...

  14. La permacultura como instrumento de desarrollo local e innovación social

    OpenAIRE

    Serrano García, Patricia

    2013-01-01

    En este artículo se presenta la permacultura como una forma de hacer desarrollo local, tomando como esencia las culturas ancestrales aunadas con nuestra cultura reciente, en un resultado de innovación social y creatividad. Su ética universal (fundamentos éticos), su marco organizativo (principios de diseño), aplicado y funcional, y sus ámbitos de actuación (flor de la permacultura), definen las líneas estratégicas de este instrumento que diseña hábitats sostenibles. En un momento en que la vu...

  15. VALIDEZ Y CONFIABILIDAD DE UN INSTRUMENTO PARA MEDIR ADICCIÓN AL CIBERSEXO

    OpenAIRE

    Marco Antonio Pulido Rull; Yanetta Arellano Sandoval; Ana Gordillo Arenas; Macarena Heredia Canseco; Carlos Rodríguez Gutiérrez; Ana Cecilia Ruiz Galindo; Ana Bárbara Serrano; Daniela Vázquez Luévano

    2015-01-01

    Este trabajo presenta tres estudios que tuvieron por objetivo evaluar la validez y confiabilidad de la Escala de Adicción al Cibersexo ( ISST ). En el primero de ellos, se evaluó la correlación entre la adic - ción y la satisfacción de pareja; en el segundo, la que hay entre la adicción al cibersexo, la ansiedad y la depresión, medidas estas últimas mediante las escalas de Beck, y en el último estudio, la correla - ción entre el ISST e instrumentos que miden la adicción a Internet ( CUPI ...

  16. Mapa conceitual: seu potencial como instrumento avaliativo Conceptual map: its potential as an assessment instrument

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    Nadia Aparecida de Souza

    2010-12-01

    Full Text Available Os instrumentos avaliativos são numerosos; dentre eles, o mapa conceitual é uma das alternativas. Entretanto, cumpre questionar: quais as vantagens e as limitações do mapa conceitual como instrumento avaliativo? Assim, o presente trabalho objetivou delinear e analisar as vantagens e as limitações inerentes ao uso do mapa conceitual como instrumento avaliativo. A pesquisa privilegiou a abordagem qualitativa, na forma do estudo de caso. Desenvolvido durante o primeiro semestre de 2006 com 32 alunas do 3º ano de um curso de Pedagogia de uma universidade pública paranaense, o estudo utilizou questionário, entrevista e observação para a coleta de dados. A análise de conteúdo clássica facultou determinar as aprendizagens decorrentes da vivência, bem como a incidência de diferentes aspectos enunciados como facilitadores ou limitadores na utilização do mapa conceitual como instrumento avaliativo. Estes foram analisados não como antagônicos, mas como facetas de um mesmo fenômeno e, por isso, complementares e interdependentes.There is a great variety of instruments to assess learning. Conceptual maps are questioned in this text, as one of these possibilities. The objectives of this study are to identify and analyze the advantages and limitations inherent to the use of conceptual maps as assessment instruments. In the study, especially the qualitative approach is used in a case study. It was carried out during the first semester of 2006, involving 32 3rd-year students of a pedagogy course at a public university in the state of Paraná. The research was based on a questionnaire, an interview and observation for data collection. The analysis of the material allowed us to determine the actual learning emerging from the experience, as well as the incidence of different aspects which might have facilitated or hindered the use of conceptual maps as assessment instruments. These aspects were analyzed, not as opposites, but as complementary

  17. El proyecto de arquitectura : El rigor científico como instrumento poético

    OpenAIRE

    Pina Lupiáñez, Rafael

    2011-01-01

    EL PROYECTO DE ARQUITECTURA. El rigor científico como instrumento poético Resumen. El punto de atención principal del presente trabajo, se fija, como indica el propio título, en el proyecto arquitectónico. Entre las diferentes acepciones que adquiere el término proyecto, interesa especialmente aquella que se refiere al proceso mediante el cual la arquitectura se piensa y se genera. Saenz de Oíza, citando a Unamuno, considera el proyecto como problema, es decir, como a...

  18. O planejamento estratégico: um instrumento para o gestor da escola pública

    OpenAIRE

    Dalcorso, Claudia Zuppini

    2011-01-01

    Esta pesquisa tem como objetivo refletir sobre o papel do gestor escolar na perspectiva do profissional que entende a qualidade da educação como a promoção da aprendizagem dos alunos, e o uso do planejamento estratégico como instrumento gerencial para promover melhor desempenho na gestão dos processos internos da escola. O foco é analisar se, com o uso do planejamento estratégico, os gestores privilegiam ações efetivas para proporcionar uma melhoria na aprendizagem dos aluno...

  19. Instrumentos para el desarrollo de dueños de pequeñas tierras forestales

    OpenAIRE

    José Rente Nascimento; José Luis B. Mota Villanueva

    2004-01-01

    Una de las formas de enfrentar los problemas derivados de la fragmentación de las tierras de vocación forestal (TVF) es la adopción de estrategias de intervención que lleven a la integración de las pequeñas propiedades en unidades productivas mayores o que permitan la utilización de tecnologías propias para propiedades mayores. Este es uno de los resultados del estudio "Instrumentos para el desarrollo de pequeñas tierras de vocación forestal". Dicha investigación utilizó una metodología de re...

  20. Modelos de crisis y el uso de los instrumentos financieros derivados

    OpenAIRE

    Roberto Soto Esquivel; Eugenia Correa Vázquez

    2008-01-01

    Con el rompimiento de Bretton Woods, los mercados financieros se han vuelto más inestables y volátiles, lo que ha provocado escenarios de crisis más recurrentes, cada vez más profundas. Los teóricos ortodoxos han buscado predecir este tipo de crisis por medio de los llamados modelos de primera, segunda y tercera generación, pero están carentes del planteamiento, del análisis y de la interpretación de los instrumentos financieros derivados, los cuales pueden modificar el comportamiento de las ...

  1. Diagnóstico do clima organizacional como instrumento de gestão empresarial

    OpenAIRE

    Nepomuceno, Carlos Alberto

    2004-01-01

    Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro Tecnológico. Programa de Pós-Graduação em Engenharia de Produção. Este estudo objetivou identificar, através do diagnóstico do clima organizacional, instrumentos de gestão empresarial que visam melhorar o ambiente interno da Companhia Siderúrgica Belgo Mineira, particularmente a Belgo Usina de João Monlevade. Tal objetivo evidencia o tipo de pesquisa realizada, que se caracteriza como sendo exploratório-descritiva. Seg...

  2. El dibujo infantil: un instrumento útil de evaluación en África subsahariana

    OpenAIRE

    Mwenge Ngoie, Jean-Paul

    2013-01-01

    Esta investigación propone el dibujo del niño como un material útil de evaluación en la África subsahariana, zona marcada por una falta de instrumentos asequibles y adecuados para el diagnóstico de la salud mental infantil. Los objetivos de nuestro estudio han sido primero evaluar a través del Test de dibujo de la familia la incidencia de normalidad y de psicopatología en una muestra de 50 escolares en enseñanza primaria de dos centros de Yaundé (Camerún), uno en medio urbano y otro en medio ...

  3. La permacultura como instrumento de desarrollo local e innovación social

    OpenAIRE

    Serrano García, Patricia

    2013-01-01

    En este artículo se presenta la permacultura como una forma de hacer desarrollo local, tomando como esencia las culturas ancestrales aunadas con nuestra cultura reciente, en un resultado de innovación social y creatividad. Su ética universal (fundamentos éticos), su marco organizativo (principios de diseño), aplicado y funcional, y sus ámbitos de actuación (flor de la permacultura), definen las líneas estratégicas de este instrumento que diseña hábitats sostenibles. En un momento en que la vu...

  4. Credit scoring for individuals

    Directory of Open Access Journals (Sweden)

    Maria DIMITRIU

    2010-12-01

    Full Text Available Lending money to different borrowers is profitable, but risky. The profits come from the interest rate and the fees earned on the loans. Banks do not want to make loans to borrowers who cannot repay them. Even if the banks do not intend to make bad loans, over time, some of them can become bad. For instance, as a result of the recent financial crisis, the capability of many borrowers to repay their loans were affected, many of them being on default. That’s why is important for the bank to monitor the loans. The purpose of this paper is to focus on credit scoring main issues. As a consequence of this, we presented in this paper the scoring model of an important Romanian Bank. Based on this credit scoring model and taking into account the last lending requirements of the National Bank of Romania, we developed an assessment tool, in Excel, for retail loans which is presented in the case study.

  5. Earthquake forecast enrichment scores

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    Christine Smyth

    2012-03-01

    Full Text Available The Collaboratory for the Study of Earthquake Predictability (CSEP is a global project aimed at testing earthquake forecast models in a fair environment. Various metrics are currently used to evaluate the submitted forecasts. However, the CSEP still lacks easily understandable metrics with which to rank the universal performance of the forecast models. In this research, we modify a well-known and respected metric from another statistical field, bioinformatics, to make it suitable for evaluating earthquake forecasts, such as those submitted to the CSEP initiative. The metric, originally called a gene-set enrichment score, is based on a Kolmogorov-Smirnov statistic. Our modified metric assesses if, over a certain time period, the forecast values at locations where earthquakes have occurred are significantly increased compared to the values for all locations where earthquakes did not occur. Permutation testing allows for a significance value to be placed upon the score. Unlike the metrics currently employed by the CSEP, the score places no assumption on the distribution of earthquake occurrence nor requires an arbitrary reference forecast. In this research, we apply the modified metric to simulated data and real forecast data to show it is a powerful and robust technique, capable of ranking competing earthquake forecasts.

  6. Revisión de dos instrumentos de simulación neurocognitiva y su utilidad en el contexto forense

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    Álvaro Aliaga

    2013-07-01

    Full Text Available Gran parte de la precisión de la evaluación neuropsicológica, depende que los instrumentos que utiliza, sean medidas estandarizadas, válidas y confiables. Sin embargo, la simulación, la exageración y el bajo esfuerzo son aspectos que pueden interferir en los resultados de los test. El objetivo de esta revisión pretende describir y analizar dos instrumentos en el contexto de la Neuropsicología Forense que evalúan simulación de síntomas cognitivos: el Test of Memory Malingering (TOMM y el Victoria Symptoms Validity Test (VSVT. Se realizó una búsqueda dirigida no exhaustiva, en diversas bases de datos y libros afines. El criterio de inclusión fue la utilización o revisión de los test. Se seleccionaron 68 trabajos publicados. Cada uno de los cuales fue analizado en base a las características técnicas de los instrumentos. La revisión ha demostrado que el TOMM y el VSVT son instrumentos pertinentes para valorar simulación y exageración de sintomatología cognitiva. Estos instrumentos cuentan con un cúmulo de investigaciones que avalan sus propiedades, pero también las limitaciones y restricciones de su utilización.

  7. Instrumento Virtual para el control a distancia del radar FURUNO-2117

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    Jorge Esteban Santos-Toural

    2015-01-01

    Full Text Available Eltrabajo describe un instrumento virtual desarrollado con el LabWindows/CVI9.0que realiza el control a distancia de un radar naval. El control se realiza con una computadora personal, que se encuentra en una unidad de mando, en la cual se ejecuta un softwareque reemplaza a la Unidad de Control real del radar y se comunica por medio de Internet con un adaptador Protocolo de Internet/Protocolo RS422 que se encuentra en las cercanías de la estación de radar. El instrumento virtual permite realizar el control del radar desde cualquier lugar mejorando la operatividad, el tiempo de respuesta en la toma de decisiones y las oportunidades de supervivencia. En el trabajo se describe la estructura del sistema, las fases de desarrollo y las herramientas necesarias para decodificar el lenguaje de comunicación entre la Unidad de Control y la Unidad de Procesamiento. También se muestra la interfaz gráfica del softwaredesarrollado.

  8. Simulador gráfico de Movimiento Armónico como instrumento para integrar conocimientos

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    Bongianino, Ruben

    2012-01-01

    Full Text Available La incorporación y uso adecuado de las TIC‟s durante el proceso de enseñanza-aprendizaje puede convertirse en un instrumento que ayuda a lograr aprendizajes significativos por un lado al construir el código fuente de un simulador, y por otro cuando se lo utiliza realizando experiencias virtuales. El trabajo presenta el desarrollo de un instrumento virtual de aprendizaje para ser utilizado como un simulador de un sistema mecánico aplicado en este caso sobre una masa, un resorte y un amortiguador (Simulador_MRA, con el objetivo de facilitar la incorporación de temas conceptuales del área mediante la realización de distintas experiencias. Durante las mismas se visualizan en la pantalla en tiempo real el movimiento de la masa y del resorte conjuntamente con las gráficas asociadas a la posición, velocidad, aceleración, y energías del sistema en función del tiempo. Las simulaciones se realizan en lenguaje Java, a través de un software para tal fin (Easy Java Simulations. A su vez se analizan las ventajas en la realización y utilización del Simulador_MRA frente a otros similares que se encuentran disponibles en la red.

  9. Instrumentos de sobre-excitabilidade: uma revisão sistemática

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    Juliana Célia de Oliveira

    2014-01-01

    Full Text Available Los estudios demuestran que la sobre excitabilidad (SE es fuerte predictora de la superdotación. Con el fin de hacer una revisión sistemática de la literatura sobre los instrumentos que miden la SE, artículos que contienen los términos overexcitability o overexcitabilities y assessment , measure o evaluation fueron recuperados en las bases de datos Portal CAPES y Google Académico. La producción científica sobre este tema parece estar creciendo y se compone principalmente de los estudios empíricos realizados con muestras de participantes con superdotación. Sólo se identificaron cinco medidas de SE: Overexcitability Questionnaire , Overexcitability Questionnaire Two , Me Scale, ElemenOE y Adult Questionnaire . La validez de criterio y consistencia interna son las propiedades psicométricas más descritas en la literatura. Fortalezas, limitaciones, y los usos más adecuados de estos instrumentos son enfatizados. Se destaca su uso en la identificación de la superdotación.

  10. ADAPTACIÓN DE UN INSTRUMENTO PARA EVALUAR LA AUTOEFICACIA COMPUTACIONAL EN ESTUDIANTES VENEZOLANOS

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    Sofía E. Peinado de Briceño

    2010-01-01

    Full Text Available El objetivo del presente trabajo fue adaptar y evaluar algunas propiedades psicométricas del Inventario de Autoeficacia Computacional (IAC de Torkzadeh y Koufteros en una muestra de estudiantes universitarios venezolanos de carreras tecnológicas. El IAC evalúa la autopercepción de las capacidades para utilizar adecuadamente el computador y los medios de comunicación asíncronos en la realización de actividades académicas a distancia. La muestra se integró por 311 estudiantes de una universidad venezolana, cuyas edades estuvieron comprendidas entre 17 y 24 años. El procedimiento se inició con la traducción, adaptación del instrumento y estudio de su validez a través un análisis factorial de componentes principales con rotación varimax. Los resultados muestran que el IAC presenta dos subescalas de autoeficacia: habilidades básicas y habilidades avanzadas. Además, mostró una alta consistencia interna. Se estima que este instrumento es una valiosa contribución para evaluar la autoeficacia computacional en estudiantes universitarios venezolanos.

  11. O cantor Hermeto Pascoal: os instrumentos da voz The singer Hermeto Pascoal: the voice's instruments

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    Luiz Costa-Lima Neto

    2010-12-01

    Full Text Available Artigo sobre a utilização da voz na música do compositor Hermeto Pascoal, seja cantando, falando, gritando, sussurrando, rezando, tossindo, gargalhando, assobiando, produzindo sons guturais, sozinha ou simultaneamente com instrumentos de sopro, de teclas, com objetos sonoros não convencionais ou, ainda, de outras formas. Ao contemplar a produção vocal na obra e na vida de Hermeto Pascoal, de maneira abrangente, pretendo mostrar uma faceta pouco conhecida do versátil compositor alagoano, além de revelar que a sua música e a sua personalidade partilham uma mesma ética, da qual a voz é instrumento.Article about Brazilian composer Hermeto Pascoal's utilization of his voice in his music, whether singing, talking, shouting, whispering, praying, coughing, laughing, whistling, producing guttural sounds, alone or simultaneously with wind instruments, keyboards, non-conventional sound objects or even other forms. In considering the use of the voice in the work and life of Hermeto Pascoal, in a comprehensive way, I am seeking to show a lesser known facet of the versatile composer from Northeastern Brazil, as well as revealing that his music and his personality share the same ethics, in which the voice is the instrument.

  12. Validación de un instrumento para medir la creatividad en adolescentes sobresalientes

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    Arelli García Mendoza

    2009-01-01

    Full Text Available Este reporte documenta el proceso de validación de un instrumento para medir la creatividad de adolescentes yucatecos. Para esto, se utilizó el instrumento Evaluación Multifactorial de la Creatividad (EMUC (Sánchez, 2006, el cual se administró a 3 grupos de 21 estudiantes cada uno; estos grupos fueron cualitativamente diferentes: alumnos sobresalientes de secundaria, estudiantes de primer semestre de la Facultad de Arquitectura y alumnos regulares de secundaria. Los resultados indicaron que la EMUC es una prueba confiable, con una alfa de Cronbach de .8643. En cuanto a su validez externa,esta prueba muestra resultados generales diferenciales entre los grupos, y por tanto puede discriminar a las personas creativas de las que no lo son. La creatividad visomotora, se correlacionó positiva y significativamente con la creatividad aplicada en los 3 criterios evaluados: fluidez, flexibilidad y originalidad y se aprecia independencia entre la creatividad aplicada y la creatividad verbal.

  13. INSTRUMENTOS DE PROMOCIÓN DE LOS VINOS EN LOS RESTAURANTES DE ALTO NIVEL

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    Gil Saura, I.

    2009-01-01

    Full Text Available En los últimos años, la comercialización de vinos está adquiriendo un peso creciente en los establecimientos de restauración. El aumento en la complejidad de la oferta de vinos determina que la elección del consumidor esté condicionada por la oferta presente en la carta y por la influencia del personal de sala. El objetivo del presente trabajo es identificar y caracterizar los instrumentos relevantes de promoción de los vinos que utilizan los restaurantes, en función de la presencia de personal formado en vinos. Como resultado de un estudio realizado para una muestra de restaurantes de alto nivel, observamos que el contenido y el diseño de la carta de vinos se encuentran en granmedida condicionados por la presencia de sumiller, constituyéndose ambos en instrumentos básicos de promoción de los vinos en el restaurante.

  14. Los Atlas de Riesgo municipales en México como instrumentos de ordenamiento territorial

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    Naxhelli Ruiz Rivera

    2015-01-01

    Full Text Available Los Atlas de Riesgos municipales constituyen uno de los instrumentos que el gobierno mexicano ha privilegiado en los últimos años, con la finalidad de apoyar el ordenamiento de los asentamientos humanos en México. Este artículo recupera los principales antecedentes conceptuales, metodológicos, institucionales y legales de estos productos cartográficos, y analiza sus alcances y limitaciones reales en cuanto instrumentos de regulación de usos de suelo y gestión de riesgo en el caso mexicano. Para ello, utiliza los conceptos de juridificación, cumplimiento de marcos normativos (enforcement y gestión multi-escalar, con el objeto de analizar las condiciones en las que estos atlas surgen como dispositivos jurídicos en el contexto de una descentralización parcial del ordenamiento teritorial y la protección civil, así como la distancia que los separa de los efectos territoriales esperados de ellos. El artículo sustenta las razones para la relativa inoperancia de los atlas en el contexto de los gobiernos municipales; entre estas razones destacan la indefinición en el marco legal sobre su contenido y uso; la falta de claridad sobre las instancias responsables de su implementación, y la carencia de sanciones que conlleva su incumplimiento en la mayoría de las legislaciones estatales.

  15. Questionario do ELSA-Brasil: desafios na elaboracao de instrumento multidimensional

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    Dora Chor

    2013-06-01

    Full Text Available O artigo apresenta o processo de elaboração do questionário utilizado no Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil. Iniciamos pelo relato sobre a "Seleção de Temas" abordados no questionário, cujo conteúdo teria que abranger o conhecimento disponível acerca da complexa rede de causalidade dos desfechos de interesse, assim como possibilitar a comparabilidade com estudos semelhantes. Contextualizamos a "tradução e a adaptação de instrumentos de medida", necessárias no caso de escalas de avaliação de vizinhanças, do instrumento para diagnóstico de transtornos depressivos e de ansiedade, e do questionário de frequência alimentar. A seguir, comentamos os critérios que nortearam a "ordem dos blocos temáticos" e finalmente a importância prática dos "pré-testes e estudos-piloto". As relações entre o conjunto de informações reunidas no ELSA poderão constituir contribuição original sobre os fatores que causam ou agravam os desfechos de interesse no contexto brasileiro, assim como sobre seus fatores de proteção.

  16. A Comparison between Two Instruments for Assessing Dependency in Daily Activities: Agreement of the Northwick Park Dependency Score with the Functional Independence Measure

    Directory of Open Access Journals (Sweden)

    Siv Svensson

    2012-01-01

    Full Text Available Background. There is a need for tools to assess dependency among persons with severe impairments. Objectives. The aim was to compare the Functional Independence Measure (FIM and the Northwick Park Dependency Score (NPDS, in a sample from in-patient rehabilitation. Material and Methods. Data from 115 persons (20 to 65 years of age with neurological impairments was gathered. Analyses were made of sensitivity, specificity, positive predictive value, and negative predictive value. Agreement of the scales was assessed with kappa and concordance with Goodman-Kruskal’s gamma. Scale structures were explored using the Rank-Transformable Pattern of Agreement (RTPA. Content validation was performed. Results. The sensitivity of the NPDS as compared to FIM varied between 0.53 (feeding and 1.0 (mobility and specificity between 0.64 (mobility and 1.0 (bladder. The positive predictive value varied from 0.62 (mobility to 1.0 (bladder, and the negative predictive value varied from 0.48 (bowel to 1.0 (mobility. Agreement between the scales was moderate to good (four items and excellent (three items. Concordance was good, with a gamma of −.856, an asymptotic error (ase of .025, and P<.000. The parallel reliability between the FIM and the NPDS showed a tendency for NPDS to be more sensitive (having more categories when dependency is high. Conclusion. FIM and NPDS complement each other. NPDS can be used as a measure for severely injured patients who are sensitive when there is a high need of nursing time.

  17. Diseño e Implementación de Instrumentos Electrónicos de Medida con Herramientas Hardware y Software Arduino

    OpenAIRE

    Velázquez Díaz, Oliver

    2014-01-01

    En este trabajo se va a estudiar la posible sustitución de instrumentos electrónicos de medida físicos por instrumentos electrónicos de medida virtuales en laboratorios tanto docentes como de investigación. Para crear estos instrumentos electrónicos de medida virtuales se van a utilizar herramientas de hardware (Arduino) y software (Labview). Se diseñan desde equipos básicos como multímetros, hasta sistemas más complejos como osciloscopios. Tras diseñar estos instrumentos, se procederá a vali...

  18. Observation on Intestinal Inflammatory Activity Index Score Before and after Changyuning Treatment%观察肠愈宁治疗溃疡性结肠炎前后肠炎症活动指数评分

    Institute of Scientific and Technical Information of China (English)

    谢晶日; 许明月; 刘朝霞; 李明

    2012-01-01

    目的:观察肠愈宁对活动期溃疡性结肠炎患者疗前与疗后肠炎症活动指数评分的影响.方法:活动期溃疡性结肠炎患者90例,1随机分为中药组、西药组及中药+西药组3组,分别予以口服肠愈宁颗粒,关沙拉嗪及肠愈宁颗粒和美沙拉嗪同时服用,疗前肠炎症活动指数(DAI)评分,分别服用药物治疗8周后对患者再次进行肠炎症活动指数(DAI)评分.结果:经药物治疗后通过肠炎症活动指数(DAI)评分表明中药+西药组治疗效果明显好于中药组,中药组治疗效果明显好于西药组.结论:肠愈宁治疗溃疡性结肠炎疗效显著.%Objective:To observe intestinal inflammatory activity index score before and after treatment of active ulcerative colitis patients treated with Changyuning granules. Methods :90 cases of active ulcerative colitis patients were randomly divided into TCM group,the western medicine group and TCM plus western medicine group,in which Changyuning granules,mesalamine and Changyuning granules and mesalazine only were respectively used. The intestinal inflammatory activity index ( DAI) score was measured before treatment,eight weeks after treatment,the score was measured again. Results: After drug treatment, intestinal inflammatory activity index( DAI) score showed that the treatment effect of TCM plus Western medicine group was significantly better than that of the TCM group,and the effect of TCM group treatment was significantly better than that of the Western medicine group. Conclusion: Changyuning could treat wlcerative colitis effectively.

  19. Instrumentos marginais de percussão na música contemporânea: uma expansão técnico-interpretativa de instrumentos latino-americanos

    OpenAIRE

    Santos, Bruno Soares

    2015-01-01

    O presente trabalho propõe-se a investigar estruturas interpretativas em obras para instrumentos latino-americanos explorando os conceitos de ‘instrumento marginal’ e ‘literatura menor’. Esta investigação desenvolveu-se através de três estudos de caso. O primeiro estudo de caso concentra-se na obra Temazcal de Javier Alvarez para maracas e tape. O segundo foca-se no repertório para tambores de mão latino-americanos. O terceiro sugere uma estrutura para uma improvisação para ...

  20. Construcción de un instrumento de colecta de datos de enfermería ginecología

    OpenAIRE

    2005-01-01

    Trata-se de pesquisa Survery descritivo exploratório. Teve como objetivo a construção de um instrumento de coleta de dados, visando a implantação da sistematização da assistência de enfermagem em uma clínica de cirurgias ginecológicas. O instrumento foi elaborado com base no Modelo Bifocal da Prática Clínica de Carpenito, construído segundo os Padrões Funcionais de Saúde descritos por Gordon. Buscou-se na elaboração do instrumento uma forma de organizar e registrar um maior número de informaç...

  1. Arctic Animals of Alaska. First Grade Activity. Schools of California Online Resources for Education (SCORE): Connecting California's Classrooms to the World.

    Science.gov (United States)

    Boe, Sandra

    The Arctic is covered with ice and snow for most of the year. Animals that live in Alaska's arctic region must be able to survive long winters and very cold temperatures. Surprisingly, many animals live in the harsh, cold climate. This first-grade activity plan helps students learn about the animals of the far north. The plan gives six steps for…

  2. Orange Juice--From the Tree to the Glass! Second Grade Activity. Schools of California Online Resources for Education (SCORE): Connecting California's Classrooms to the World.

    Science.gov (United States)

    Ricchiuti, Linda M.

    The goal of this lesson plan is for second-grade students to understand the steps in how food is made and delivered to the grocery store. Students create a play where each person plays a part in the production and distribution of food. The lesson suggests that the class perform the play on parents' night. It provides five activities for students…

  3. Using Momentary Time Sampling to Estimate Minutes of Physical Activity in Physical Education: Validation of Scores for the System for Observing Fitness Instruction Time

    Science.gov (United States)

    Heath, Edward M.; Coleman, Karen J.; Lensegrav, Tera L.; Fallon, Jennifer A.

    2006-01-01

    The System for Observing Fitness Instruction Time (SOFIT) is a direct observation system specifically developed for use during physical education (PE; McKenzie, 1991; McKenzie, Sallis, & Nader, 1991). The purpose of this study was to validate the estimates of time spent in various physical activity intensities obtained with the paper and pencil…

  4. A comparison of manual therapy and active rehabilitation in the treatment of non specific low back pain with particular reference to a patient's Linton & Hallden psychological screening score: a pilot study

    Directory of Open Access Journals (Sweden)

    Stephenson Richard

    2007-11-01

    Full Text Available Abstract Background Clinical guidelines for the management of back pain frequently recommend 'manual therapy' as a first line intervention, with psychosocial screening and 'active rehabilitation' for those not improving at 6 weeks post onset. The potential for psychosocial factors to predict treatment response and therefore outcome has not been adequately explored. The purpose of this pilot study was to determine the feasibility of a study to compare manual therapy and active rehabilitation outcomes for subjects with sub-acute/chronic back pain, investigate whether any difference in outcome was related to psychosocial factors, and to inform the design of a main study. Methods A convenience sample of 39 patients with non-specific low back pain referred to the physiotherapy department of an acute NHS Trust hospital was recruited over a nine month period. Patients completed the Linton and Hallden psychological screening questionnaire (LH and were allocated to a low LH (105 or below or high LH (106 or above scoring group. The low or high LH score was used to sequentially allocate patients to one of two treatment groups – Manual Therapy comprising physiotherapy based on manual means as chosen by the treating therapist or Active Rehabilitation comprising a progressive exercise and education programme – with the first low LH scoring patient being allocated to active rehabilitation and the next to manual therapy and so on. Treatment was administered for eight sessions over a four-week period and outcome measures were taken at baseline and at four weeks. Measures used were the Roland Morris Questionnaire (RMQ, two components of the Short Form McGill (total pain rating index [PRI] and pain intensity via visual analogue scale [VAS], and the LH. Results The manual therapy group demonstrated a greater treatment effect compared with active rehabilitation for RMQ (mean difference 3.6, 95% CI 1.1 – 6.2, p = 0.006 and PRI (7.1, 95% CI 2.0 – 12.2, p = 0

  5. The International Bleeding Risk Score

    DEFF Research Database (Denmark)

    Laursen, Stig Borbjerg; Laine, L.; Dalton, H.

    2017-01-01

    The International Bleeding Risk Score: A New Risk Score that can Accurately Predict Mortality in Patients with Upper GI-Bleeding.......The International Bleeding Risk Score: A New Risk Score that can Accurately Predict Mortality in Patients with Upper GI-Bleeding....

  6. Instrumentos aplicados en la evaluación de la voz en profesores: estudio bibliográfico

    Directory of Open Access Journals (Sweden)

    Jazmín Pérez Serey

    2013-10-01

    Full Text Available El objetivo de este trabajo es realizar un estudio bibliográfico focalizado en los instrumentos que se utilizan para evaluar de forma objetiva y cualitativa la voz en profesores. Se realizó un levantamiento bibliográfico de las publicaciones catalogadas en Pubmed y Scielo durante los últimos 5 años, que tuvieran relación con la evaluación de la voz en profesores. Los instrumentos utilizados en los 15 artículos encontrados muestran que un 80% de los estudios ocupan cuestionarios, 40% realiza evaluación perceptivo-auditiva de la voz, 40% utiliza videoestroboscopía o telelaringoscopía, 33% realiza evaluación foniátrica o fonoaudiológica, 27% realiza análisis acústico de la voz, 27% hace evaluación laríngea, 27% utiliza protocolo de caracterización de la muestra, 13% utiliza escala VHI, 13% evalúa los parámetros aerodinámicos y solo un 7% utiliza auto-co-heteroevaluación, escala GRBAS, evaluación de articulación y postura, evaluación de la motricidad orofacial y evaluación odontológica. Se encontraron diversos instrumentos de evaluación que dan cuenta de la heterogeneidad de los recursos para evaluar la voz, tanto de los instrumentos utilizados, como de los procedimientos, sobre todo en lo que respecta a cuestionarios, protocolos y evaluación subjetiva. Los instrumentos médicos tienen un protocolo de aplicación estandarizado que permite replicar el procedimiento de la misma forma en distintos lugares del mundo; en cambio, en fonoaudiología, los procedimientos parecen depender de la experiencia del profesional, y los instrumentos que estén disponibles.

  7. There Is No Further Gain from Calculating Disease Activity Score in 28 Joints with High Sensitivity Assays of C-Reactive Protein Because of High Intraindividual Variability of CRP

    DEFF Research Database (Denmark)

    Jensen Hansen, Inger Marie; Asmussen Andreasen, Rikke; Antonsen, Steen

    2016-01-01

    Background/Purpose: The threshold for reporting of C-reactive protein (CRP) differs from laboratory to laboratory. Moreover, CRP values are affected by the intra individual biological variability.[1] With respect to disease activity score in 28 joints (DAS28) and Rheumatoid Arthritis (RA), precise...... reporting limit for CRP to minimumFigure 1). The logarithmic transformation of CRP in DAS28 formula has an important role Cross sectional study: 769 patients fulfilled the ACR criteria for RA were included, 107 excluded due to missing parameter used...

  8. There Is No Further Gain from Calculating Disease Activity Score in 28 Joints with High Sensitivity Assays of C-Reactive Protein Because of High Intraindividual Variability of CRP: A Cross Sectional Study and Theoretical Consideration

    DEFF Research Database (Denmark)

    Jensen Hansen, Inger Marie; Asmussen Andreasen, Rikke; Antonsen, Steen

    Background/Purpose: The threshold for reporting of C-reactive protein (CRP) differs from laboratory to laboratory. Moreover, CRP values are affected by the intra individual biological variability.[1] With respect to disease activity score in 28 joints (DAS28) and Rheumatoid Arthritis (RA), precise...... reporting limit for CRP to minimumFigure 1). The logarithmic transformation of CRP in DAS28 formula has an important role Cross sectional study: 769 patients fulfilled the ACR criteria for RA were included, 107 excluded due to missing parameter used...

  9. The association between physical activity, sedentary behavior, sleep, and body mass index z-scores in different settings among toddlers and preschoolers

    OpenAIRE

    Kuzik, Nicholas; Carson, Valerie

    2016-01-01

    Background Physical activity, sedentary behavior, and sleep are all movement behaviors that range on a continuum from no or low movement, to high movement. Consistent associations between movement behaviors and adiposity indicators have been observed in school-age children. However, limited information exists in younger children. Since approximately 50 % of Canadian children ≤5 years of age attend non-parental care, movement behaviors within and outside of the child care setting are important...

  10. O conceito de risco e os seus efeitos simbólicos nos acidentes com instrumentos perfurocortantes El concepto de riesgo y sus efectos simbólicos en accidentes con instrumentos perfurocortantes The concept of risk and its symbolic effects in accidents with sharp instruments

    Directory of Open Access Journals (Sweden)

    Everaldo José da Silva

    2012-10-01

    Full Text Available O estudo objetivou compreender o risco ocupacional como um processo simbólico que estrutura as atividades diárias dos profissionais da área de saúde que manipulam instrumentos perfurocortantes. Pesquisa descritiva realizada em um hospital universitário com dados coletados por meio do levantamento dos acidentes de trabalho no Centro de Tratamento Intensivo adulto e na Lavanderia, pela aplicação de um questionário a 105 profissionais de saúde. Os dados foram analisados por meio de uma perspectiva interdisciplinar para conciliar a análise quantitativa e qualitativa dos dados. Os resultados revelaram que, embora os dados indiquem baixo índice de acidentes, ainda é preciso aprimorar instrumentos como o mapa de riscos e o uso de equipamentos de segurança, bem como investir na capacitação das equipes.El estudio tuvo como objetivo comprender los riesgos profesionales en los procesos simbólicos que dan forma a las actividades diarias de los trabajadores de salud que manipulan instrumentos cortantes. Investigación descriptiva realizada en un hospital universitario de con los datos recogidos a través de la encuesta del accidentes de trabajo en la Unidad de Cuidados Intensivos y en el Servicio de lavandería, mediante la aplicación de 105 cuestionarios. Los datos fueron analizados con una perspectiva interdisciplinaria, para una posible conciliación de las análisis cuantitativa y cualitativa. Los resultados revelaron que, aunque los datos indican bajas tasas de accidentes, se necesita mejorar instrumentos tales como el mapa de riesgo, el uso de equipo de seguridad y capacitación del personal.The study aims to understand the occupational risks as symbolic processes that shapes the daily activities of health professionals that manipulate sharps objects. Descriptive research was conducted at a university hospital, with information collected through the survey on the accidents at work in Intensive Care and hospital laundry, with the

  11. Los instrumentos financieros derivados: concepto, operación y algunas estrategias de negociación

    OpenAIRE

    2008-01-01

    Uno de los instrumentos financieros más sofisticados y que ha presentado mayor crecimiento en los volúmenes negociados durante los últimos años, son los derivados, por ello el interés en escribir acerca de este tema. Un derivado es un instrumento financiero el cual está vinculado al valor de un activo subyacente, que pueden ser commodities, acciones, bonos, tasas de interés, divisas, entre otros. Existen diferentes tipos de derivados, entre ellos: futuros, forwards, opciones y swaps. Estos in...

  12. Qualidade de vida em sobreviventes de acidente vascular cerebral: instrumentos de avaliação e seus resultados

    OpenAIRE

    Mota,Juliana Ferreira; Nicolato, Rodrigo

    2008-01-01

    OBJETIVOS: Os objetivos deste estudo foram identificar os instrumentos genéricos e específicos utilizados na avaliação da qualidade de vida (QV) e os seus resultados em sobreviventes de acidente vascular cerebral (AVC). MÉTODOS: Realizou-se revisão da literatura dos últimos dez anos, com população acima de 18 anos, nos bancos de dados MedLine e Lilacs, cujas publicações utilizassem instrumentos padronizados e validados no país de origem. Combinaram-se os descritores quality of life, cerebrova...

  13. Instrumentos de avaliação da postura dinâmica: aplicabilidade ao ambiente escolar

    OpenAIRE

    Noll, Matias; Candotti, Cláudia Tarragô; Vieira,Adriane

    2013-01-01

    INTRODUÇÃO: Para que a avaliação da postura dinâmica seja efetivada é necessário, primeiramente, conhecer os diversos instrumentos, disponíveis e validados na literatura, apropriados para esse fim. OBJETIVO: O objetivo deste artigo de revisão sistemática foi descrever, sintetizar e analisar criticamente os instrumentos encontrados na literatura que objetivem avaliar a postura dinâmica, tanto em adultos quanto em escolares, e refletir sobre a possibilidade de utilização desses métodos no ambie...

  14. A física das oscilações mecânicas em instrumentos musicais: exemplo do berimbau

    OpenAIRE

    Kandus, Alejandra; Gutmann,Friedrich Wolfgang; Castilho,Caio Mário Castro de

    2006-01-01

    Neste trabalho apresentamos uma breve discussão sobre a propagação de ondas mecânicas em meios elásticos, em particular ao longo de cordas e no ar. Os princípios básicos da propagação de ondas são ilustrados com o funcionamento de instrumentos musicais, tomando como exemplo um instrumento típico do estado da Bahia e conhecido por todos os brasileiros, o berimbau.

  15. Qualidade de vida em sobreviventes de acidente vascular cerebral: instrumentos de avaliação e seus resultados

    OpenAIRE

    Mota,Juliana Ferreira; Nicolato,Rodrigo

    2008-01-01

    OBJETIVOS: Os objetivos deste estudo foram identificar os instrumentos genéricos e específicos utilizados na avaliação da qualidade de vida (QV) e os seus resultados em sobreviventes de acidente vascular cerebral (AVC). MÉTODOS: Realizou-se revisão da literatura dos últimos dez anos, com população acima de 18 anos, nos bancos de dados MedLine e Lilacs, cujas publicações utilizassem instrumentos padronizados e validados no país de origem. Combinaram-se os descritores quality of life, cerebrova...

  16. Diseño de un instrumento para caracterizar la cultura organizacional de una empresa del Estado

    OpenAIRE

    Claudia Cecilia Medina Rincón

    2007-01-01

    En el presente artículo la autora expone los resultados de la investigación que buscó proponer un instrumento que permite caracterizar la cultura organizacional de una empresa del sector público; el instrumento diseñado en forma de encuesta considera cuatro categorías para acercarse a la cultura organizacional que son estructura organizacional, clima organizacional, valores y comunicación y consta de 155 preguntas distribuidas de la siguiente manera: 144 preguntas con cuatro...

  17. Influencia de la direccionalidad de los ítem en los resultados de instrumentos de medición

    OpenAIRE

    2014-01-01

    El trabajo ilustra los aspectos principales donde la direccionalidad de los ítems incide en la validez, la objetividad y la confiabilidad de los instrumentos de medición utilizados en educación, psicología y salud. Se trata de un elemento a tomar en cuenta en el diseño del modelo de evaluación, en la definición de las variables, la elaboración del banco de ítems para la construcción del instrumento y la forma de presentar e interpretar los reportes. La direccionalidad no depende solam...

  18. Herramientas de Conservación: Un Menú de Instrumentos para el Corredor Amboró-Madidi

    OpenAIRE

    Kathryn Anderson; Andersen, Lykke E.

    2006-01-01

    Este documento revisa una gran variedad de instrumentos que se pueden usar para inducir cambios en los usos de recursos naturales con el fin de alinear los intereses de actores locales con otros intereses que también son afectados por estos usos. Los instrumentos se agrupan en cinco categorías principales: 1) Oportunidades para la conservación voluntaria sobre tierras privadas, 2) Proyectos Integrados de Conservación y Desarrollo, 3) Pagos para Servicios Ambientales, 4) Conservación por Manda...

  19. Confiabilidad de un instrumento para evaluar la aptitud clínica en residentes de medicina familiar

    OpenAIRE

    E Soler-Huerta; C. Sabido-Sighler; L Sainz-Vázquez; H Mendoza-Sánchez; I Gil-Alfaro; R. González-Solís

    2005-01-01

    Objetivo: Elaborar y validar un instrumento para evaluar la aptitud clínica de los médicos residentes de medicina familiar durante el primer año de entrenamiento. Material y métodos: Se realizó un estudio descriptivo y transversal en las unidades de medicina familiar No. 66 y 57 IMSS de Xalapa y Veracruz, México. Se elaboró un instrumento de 562 preguntas construido con casos clínicos reales de los servicios de medicina familiar, medicina interna, pediatría y gineco-obstetricia, con respuesta...

  20. Diseño de un instrumento para caracterizar la cultura organizacional de una empresa del Estado

    OpenAIRE

    Claudia Cecilia Medina Rincón

    2007-01-01

    En el presente artículo la autora expone los resultados de la investigación que buscó proponer un instrumento que permite caracterizar la cultura organizacional de una empresa del sector público; el instrumento diseñado en forma de encuesta considera cuatro categorías para acercarse a la cultura organizacional que son estructura organizacional, clima organizacional, valores y comunicación y consta de 155 preguntas distribuidas de la siguiente manera: 144 preguntas con cuatro...

  1. El uso de la jurisprudencia como instrumento de aprendizaje y práctica del derecho colectivo del trabajo

    OpenAIRE

    Alcázar Ortiz, Sara

    2011-01-01

    La innovación docente se plantea como un reto y una oportunidad para los profesores universitarios. La jurisprudencia, como instrumento tradicional en el estudio y la práctica del Derecho, se ha revelado como factor clave en la moderna metodología docente. El uso de la jurisprudencia como instrumento de aprendizaje y práctica del Derecho Colectivo del Trabajo en los Programas conjuntos de Derecho-Administración y Dirección de Empresas pone de manifiesto un acercamiento real y deseado entre la...

  2. Evaluación in vitro de la fractura de los instrumentos rotatorios mtwo® y protaper®

    OpenAIRE

    Sandra Bibiana Rodríguez Gutiérrez; Claudia Marcela Díaz Romero; Luis Fernando Gamboa Martínez; Javier Laureano Niño Barrera

    2012-01-01

    Introducción: el éxito del tratamiento endodóntico depende dela eliminación de los microorganismos con la preparación quimiomecánica. Los instrumentos rotatorios de Níquel-Titanio ofrecenuna mayor flexibilidad y eficiencia en el corte, pero la fracturade estos puede ocurrir inesperadamente por fatiga del metal.Objetivo: determinar in vitro el primer instrumento que presentefractura y el número de usos antes de observarla en los sistemasrotatorios Mtwo® y ProTaper®. Metodología: estudio experi...

  3. Diseño y validación de instrumento para evaluar coordinación motriz en primaria

    OpenAIRE

    Cenizo Benjumea, J. M.; Ravelo Afonso, J.; Morilla Pineda, S.; Ramírez Hurtado, J. M.; Fernández-Truan, J. C.

    2016-01-01

    La coordinación motriz es un proceso evolutivo complejo de adquisición progresiva. La edad óptima para la adquisición de esos procesos coordinativos es de 6 a 11 años (Educación Primaria). El objetivo del presente estudio es diseñar y validar un instrumento que permita evaluar el nivel de coordinación motriz del alumnado Método: Los sujetos son alumnado de Primaria en centros públicos. Muestreo por conveniencia, con una muestra total de 2512 sujetos. Instrumento: Test cualitativo de observ...

  4. Instrumentos em Lingua Brasileira de Sinais para avaliacao da qualidade de vida da populacao surda

    Directory of Open Access Journals (Sweden)

    Neuma Chaveiro

    2013-06-01

    Full Text Available OBJETIVO: Construir a versão em Língua Brasileira de Sinais dos instrumentos WHOQOL-BREF e WHOQOL-DIS para avaliar a qualidade de vida da população surda brasileira. MÉTODOS: Utilizou-se metodologia proposta pela Organização Mundial da Saúde (WHOQOL-BREF e WHOQOL-DIS para a construção dos instrumentos adaptados para população surda em Língua Brasileira de Sinais (Libras. A pesquisa para execução do instrumento consistiu de 13 etapas: 1 criação do sinal qualidade de vida; 2 desenvolvimento das escalas de respostas em Libras; 3 tradução por um grupo bilíngue; 4 versão reconciliadora; 5 primeira retrotradução; 6 produção da versão em Libras a ser disponibilizada aos grupos focais; 7 realização dos grupos focais; 8 revisão por um grupo monolíngue; 9 revisão pelo grupo bilíngue; 10 análise sintática/semântica e segunda retrotradução; 11 reavaliação da retrotradução pelo grupo bilíngue; 12 filmagem da versão para o software; 13 desenvolvimento do software WHOQOL-BREF e WHOQOL-DIS em Libras. RESULTADOS: Características peculiares da cultura da população surda apontaram a necessidade de adaptações na metodologia de aplicação de grupos focais quando compostos por pessoas surdas. As convenções ortográficas da escrita das línguas sinalizadas não estão consolidadas, o que trouxe dificuldades em registrar graficamente as etapas de tradução. As estruturas linguísticas que causaram maiores problemas de tradução foram as que incluíram expressões idiomáticas do português, muitas sem conceitos equivalentes entre o português e a Libras. Foi possível construir um software do WHOQOL-BREF e WHOQOL-DIS em Libras. CONCLUSÕES: O WHOQOL-BREF e o WHOQOL-DIS em Libras possibilitarão que os surdos se expressem autonomamente quanto a sua qualidade de vida, o que permitirá investigar com maior precisão essas questões.

  5. Desarrollo de un instrumento para medir percepciones sobre el contexto de construccion del conocimiento cientifico de estudiantes universitarios de nuevo ingreso

    Science.gov (United States)

    Garcia-Ramirez, Jaime Antonio

    En esta investigacion, se desarrollo un instrumento que permite medir percepciones relacionadas al contexto de constriccion del conocimiento cientifico. Se examinaron instrumentos existentes y se encontro que el VOSTS (Views on science, technology, and society), instrumento desarrollado empiricamente en Canada por Aikenhead, Ryan y Fleming, podia traducirse y validarse en el contexto cultural puertorriqueno. El instrumento es extenso, consta de 113 reactivos, cada uno con una premisa basica relacionada a la tematica ciencia, tecnologia y sociedad y un numero de alternativas relacionadas a la premisa que oscila entre siete y trece. Se delimito su utilizacion a los quince reactivos identificados por los autores como relacionados a la construccion social del conocimiento cientifico. Metodologicamente, se procedio a utilizar el modelo de adaptacion intercultural, que permite que el instrumento desarrollado satisfaga las dimensiones de equivalencia semantica, de contenido, tecnica, de criterio y conceptual, atemperado asi al instrumento original. Se cumplio con este proposito mediante la traduccion de la version original en ingles al espanol y viceversa. Se utilizaron comites para examinar la traduccion y la retro-traduccion del instrumento. Se realizo una prueba piloto con estudiantes universitarios de nuevo ingreso, utilizando el instrumento traducido para asegurar su intelegibilidad. La confiabilidad del instrumento se determino mediante la intervencion de un panel de expertos quienes clasificaron las distintas posiciones dentro de cada reactivo en: realista, con merito e ingenua; se transformaron estas opciones en valores numericos lo que permitio establecer una escala Likert para cada una. Se suministro el instrumento a una muestra de estudiantes universitarios de nuevo ingreso con caracteristicas similares a las de la poblacion puertorriquena en cuanto a ejecucion en las pruebas de aptitud verbal y matematica del College Board. Los resultados de sus contestaciones

  6. [Scoring--criteria for operability].

    Science.gov (United States)

    Oestern, H J

    1997-01-01

    For therapeutic recommendations three different kinds of scores are essential: 1. The severity scores for trauma; 2. Severity scores for mangled extremities; 3. Intensive care scores. The severity of polytrauma patients is measurable by the AIS, ISS, RTS, PTS and TRISS which is a combination of RTS, ISS, age, and mechanism of injury. For mangled extremities there are also different scores available: MESI (Mangled Extremity Syndrome Index) and MESS (Mangled Extremity Severity Score). The aim of these scores is to assist in the indication with regard to amputate or to save the extremity. These scoring indices can be used to evaluate the severity of a systemic inflammatory reaction syndrome with respect to multiple organ failure. All scores are dynamic values which are variable with improvement of therapy.

  7. Acerca de la contratransferencia: ¿obstáculo o instrumento?

    Directory of Open Access Journals (Sweden)

    Jozef Corveleyn

    1997-12-01

    Full Text Available El artículo discute las distintas perspectivas que dentro del mismo psicoanálisis existen sobre el estatuto de la contratransferencia en el proceso terapéutico. Mientras que para unos (la tendencia clásica ésta debe ser radicalmente reprimida para salvaguardar el ideal de una neutralidad aséptica, para otros (la tendencia humanista ésta puede ser incorporada para consolidar los aspectos externos y reales de la alianza terapéutica. Junto con la postura clásica de Theodor Reik y la más moderna de Harold Searles, el autor plantea que los sentimientos y reacciones contratransferenciales pueden ser usados como un instrumento legítimo que oriente tanto la relación con el paciente como la labor interpretativa.

  8. Innovación en la Evaluación de Competencias Transversales. El Instrumento PIAESCE

    Directory of Open Access Journals (Sweden)

    Pilar Munuera Gómez

    2015-01-01

    Full Text Available Se presenta el Instrumento de Asimilación, Evaluación y Seguimiento de Competencias Transversales para estudiantes (PIAESCE, con el objetivo de conseguir la participación activa del estudiante sobre la adquisición, evaluación y seguimiento de sus competencias transversales. Este soporte es fruto de una investigación sobre la relevancia de las competencias transversales en la que han tomado parte profesores y estudiantes del Grado en Trabajo Social de la Universidad Complutense de Madrid, pretendiendo de analizar los elementos claves que promuevan la participación activa de los estudiantes en su formación en competencias según las directrices marcadas por el Espacio Europeo de Educación Superior (EEES.

  9. EVALUACIÓN AMBIENTAL ESTRATÉGICA: INSTRUMENTO PARA LA PLANIFICACIÓN TERRITORIAL URBANA

    Directory of Open Access Journals (Sweden)

    Mabel Ximena Molina Urra

    2012-01-01

    Full Text Available El presente estudio tiene por finalidad relevar la Evaluación Ambiental Estratégica (EAE como una herramienta útil para la generación de los Instrumentos de Planificación Territorial en la Región de La Araucanía. Se identificaron y caracterizaron los distintos niveles de planificación urbana,según lo establecido por la Ley General de Urbanismo y Construcciones; contrastando el ingreso de estos al Sistema de Evaluación de Impacto Ambiental (SEIA definido en la Ley 19.300 de Bases del Medio Ambiente y su posterior modificación a través de la Ley 20.417. Para contrastar ambos procedimientos se desarrolló un proceso exploratorio descriptivo, utilizando tanto fuentes primarias, a través de la aplicación de entrevistas a actores claves como secundarios.

  10. Algo básico sobre los instrumentos de medida: validez, fiabilidad, sensibilidad y especificidad.

    Directory of Open Access Journals (Sweden)

    Castro Bouzas, M

    2005-09-01

    Full Text Available Abstract:In this article basic topics about the main properties of measuring instruments are provided. In accordance with this objective, concepts on validity, accuracy, sensitiveness and specificity are explained and likewise, their relations with concrete examples on them are given. After defining these concepts, namely from a practical point of view, it is remarked the need of using only instruments fulfilling those required properties.Resumen:En este artículo se dan los conceptos básicos sobre las principales propiedades de los instrumentos de medida. Siguiendo ese objetivo se explican los conceptos de validez, fiabilidad, sensibilidad y especificidad y se proporcionan ejemplos concretos sobre los mismos. Tras definir los conceptos, principalmente desde un punto de vista práctico, se resalta la necesidad de usar unicamente instrumenos que cumplan adecuadamente con estos requisitos.

  11. Modelos de crisis y el uso de los instrumentos financieros derivados

    Directory of Open Access Journals (Sweden)

    Roberto Soto Esquivel

    2008-01-01

    Full Text Available Con el rompimiento de Bretton Woods, los mercados financieros se han vuelto más inestables y volátiles, lo que ha provocado escenarios de crisis más recurrentes, cada vez más profundas. Los teóricos ortodoxos han buscado predecir este tipo de crisis por medio de los llamados modelos de primera, segunda y tercera generación, pero están carentes del planteamiento, del análisis y de la interpretación de los instrumentos financieros derivados, los cuales pueden modificar el comportamiento de las variables fundamentales e interferir en el desempeño de la autoridad monetaria y financiera así como en el cumplimiento de sus objetivos.

  12. desarrollo y validación de un instrumento de medida

    Directory of Open Access Journals (Sweden)

    Arménio Rego

    2005-01-01

    Full Text Available El artículo describe cómo un instrumento de medida de la Inteligencia Emocional fue construido y validado. Cuatro etapas fueron seguidas: 1 Fueron escritos 96 ítems con base en la literatura y en trabajo propio de los autores; 2 Fue elaborado un cuestionario y aplicado a una muestra de 339 individuos; 3 Se procedió a un análisis factorial de las componentes principales; 4 Se relacionaron los factores emergentes con una medida de satisfacción con la vida. Los resultados sugirieron una solución factorial de seis componentes. Las consistencias internas de las escalas son invariablemente superiores a 0.70. Las seis dimensiones explican el 29% de la varianza de la medida de satisfacción con la vida

  13. Métodos modernos de valoración de los instrumentos financieros

    Directory of Open Access Journals (Sweden)

    Martinez Barbeito, Josefina

    2001-01-01

    Full Text Available Durante los 30 últimos años, los mercados financieros han registrado un enorme desarrollo. La introducción de los derivados financieros tales como opciones y futuros sobre subyacentes (títulos, obligaciones, monedas extranjeras, etc han conducido a una nueva cualidad de la seguridad de los riesgos financieros. La idea básica de un derivado financiero es comprar un seguro que cubra los activos arriesgados en el mercado, es decir, encontrar participantes en el mercado que traten de compartir los riesgos y los beneficios de los desarrollos futuros en el mercado en el que están sometidos a la incertidumbre. Una valoración de estos instrumentos financieros está basada en una teoría estadísticomatemática muy avanzada, llamada “Cálculo estocástico aplicado al campo financieroactuarial”. El modelo básico asociado a los precios de los títulos (valores, está expresado mediante el movimiento Browniano y ecuaciones diferenciales estocásticas. La valoración de una opción call Europea por Black, Scholes y Merton en 1973, fue un descubrimiento respecto a la comprensión y valoración de los derivados financieros. Su enfoque ha llegado a ser la base empresarial para las matemáticas financiero-actuariales modernas que utilizan instrumentos tales como la “teoría de martingalas” y “control estocástico” para obtener soluciones adecuadas en lo relativo a la valoración de un amplio campo del creciente número de derivados.

  14. Instrumento de coleta de dados para pacientes críticos fundamentado no modelo das necessidades humanas básicas de horta Instrumento de recolección de datos para pacientes críticos fundamentada en la teoría de las necesidades humanas básicas Instrument to collect data for critical patients based on the theory of basic human needs

    Directory of Open Access Journals (Sweden)

    Rosaura Costa Bordinhão

    2012-06-01

    Full Text Available Trata-se de um estudo exploratório descritivo, com abordagem qualitativa, que teve como objetivo construir coletivamente um instrumento de coleta de dados para pacientes de Unidade de Terapia Intensiva (UTI, fundamentado na Teoria das Necessidades Humanas Básicas (NHB. A coleta de dados ocorreu por meio de Grupo Focal, com quatro enfermeiras de UTI e quatro residentes de Enfermagem da Residência Integrada em Saúde (RIS, em sete encontros, em 2009. As discussões produzidas em cada sessão foram analisadas conforme o preconizado por Horta. O instrumento ficou estruturado em sete grupos e 17 subgrupos de necessidades. Após testagem e sugestões das participantes, elaborou-se a versão final do instrumento e um manual de orientação para o seu preenchimento, conforme necessidade manifestada pelo grupo. Sugere-se a validação do instrumento e do manual e a inclusão do ensino do Processo de Enfermagem no programa de atividades da RIS.Este es un estudio exploratorio con enfoque cualitativo con el objetivo de construir colectivamente un instrumento de recolección de datos para los pacientes en la Unidad de Cuidados Intensivos (UCI, fundamentado en la Teoría de las Necesidades Humanas Básicas (NHB. La recolección de datos fue a través de grupos focales con cuatro enfermeras de la UCI y cuatro residentes de la Residencia Integrada en Salud (RIS en siete reuniones en 2009. Las discusiones producidas se analizaron según lo recomendado por Horta. El instrumento se dividió en siete grupos y 17 subgrupos de las necesidades. Después de las pruebas y sugerencias de los participantes, se elaboró la versión final del instrumento y un manual de orientación para su llenado, como la necesidad expresada por el grupo. Se sugiere validar el instrumento y el manual y la inclusión de la enseñanza del PE en el programa de actividades de la RIS.This is an exploratory study based on qualitative approach that aimed to collectively construct an instrument

  15. A high-resolution computed tomography-based scoring system to differentiate the most infectious active pulmonary tuberculosis from community-acquired pneumonia in elderly and non-elderly patients

    Energy Technology Data Exchange (ETDEWEB)

    Yeh, Jun-Jun [Ditmanson Medical Foundation Chia-Yi Christian Hospital, Section of Thoracic Imaging, Department of Chest Medicine and Family Medicine, Chiayi City (China); Chia Nan University of Pharmacy and Science, Tainan (China); Meiho University, Pingtung (China); Pingtung Christian Hospital, Pingtung (China); Chen, Solomon Chih-Cheng; Chen, Cheng-Ren [Ditmanson Medical Foundation Chia-Yi Christian Hospital, Department of Medical Research, Chiayi City (China); Yeh, Ting-Chun; Lin, Hsin-Kai; Hong, Jia-Bin; Wu, Bing-Tsang [Ditmanson Medical Foundation Chia-Yi Christian Hospital, Department of Family Medicine, Chiayi City (China); Wu, Ming-Ting [Department of Radiology, Kaohsiung Veterans General Hospital, Section of Thoracic and Circulation Imaging, Kaohsiung (China); School of Medicine, National Yang Ming University, Faculty of Medicine, Taipei (China)

    2014-10-15

    The objective of this study was to use high-resolution computed tomography (HRCT) imaging to predict the presence of smear-positive active pulmonary tuberculosis (PTB) in elderly (at least 65 years of age) and non-elderly patients (18-65 years of age). Patients with active pulmonary infections seen from November 2010 through December 2011 received HRCT chest imaging, sputum smears for acid-fast bacilli and sputum cultures for Mycobacterium tuberculosis. Smear-positive PTB was defined as at least one positive sputum smear and a positive culture for M. tuberculosis. Multivariate logistic regression analyses were performed to determine the HRCT predictors of smear-positive active PTB, and a prediction score was developed on the basis of receiver operating characteristic curve analysis. Of 1,255 patients included, 139 were diagnosed with smear-positive active PTB. According to ROC curve analysis, the sensitivity, specificity, positive predictive value, negative predictive value, false positive rates and false negative rates were 98.6 %, 95.8 %, 78.5 %, 99.8 %, 4.2 % and 1.4 %, respectively, for diagnosing smear-positive active PTB in elderly patients, and 100.0 %, 96.9 %, 76.5 %, 100.0 %, 3.1 % and 0.0 %, respectively, for non-elderly patients. HRCT can assist in the early diagnosis of the most infectious active PTB, thereby preventing transmission and minimizing unnecessary immediate respiratory isolation. (orig.)

  16. Relationship of Apgar Scores and Bayley Mental and Motor Scores

    Science.gov (United States)

    Serunian, Sally A.; Broman, Sarah H.

    1975-01-01

    Examined the relationship of newborns' 1-minute Apgar scores to their 8-month Bayley mental and motor scores and to 8-month classifications of their development as normal, suspect, or abnormal. Also investigated relationships between Apgar scores and race, longevity, and birth weight. (JMB)

  17. Objective assessment of topical anti-inflammatory drug activity on experimentally induced nickel contact dermatitis: comparison between visual scoring, colorimetry, laser Doppler velocimetry and transepidermal water loss.

    Science.gov (United States)

    Queille-Roussel, C; Duteil, L; Padilla, J M; Poncet, M; Czernielewski, J

    1990-01-01

    Four topical anti-inflammatory drugs were investigated for their effect on allergic contact dermatitis. Nickel dermatitis was chosen for its high incidence in European healthy volunteers. Experimental lesions were treated twice daily with two steroids, two non-steroidal anti-inflammatory drugs and a blank base for 4.5 days without occlusion. The influence of treatments was assessed by daily visual grading and one site was left untreated for comparison over the same period. To quantify drug activities objectively, skin colour (colorimetry), skin blood flow (laser Doppler velocimetry) and transepidermal water loss (evaporimetry) were measured before drugs were first applied, then 6 hr after the last application. As expected, only Dermoval cream significantly improved the spontaneous clinical evolution in comparison with the other creams (Hydrocortisone Aster à 1%. Parfenac, indomethacin 2.5% and Skinbase) and the untreated site. Colorimetric parameter a* (redness) and L* (luminance) showed more differences between treatments than the other criteria and a close relationship was obtained between these two parameters and skin blood flow, all three being highly correlated to visual grading. Transepidermal water loss appeared less related to clinical improvement but this parameter could prove helpful for detecting compounds which could be irritant to diseased skin.

  18. Instrumentos específicos para avaliar a qualidade de vida em crianças e adolescentes com asma

    Directory of Open Access Journals (Sweden)

    Cristian Roncada

    2013-06-01

    Full Text Available OBJETIVO: Identificar e descrever os instrumentos específicos que avaliam a QVRS de crianças e adolescentes com asma. FONTES DOS DADOS: Realizamos buscas nas bases de dados PubMed, Ovid e LILACS utilizando várias combinações de descritores (MeSH terms, selecionando artigos originais sobre desenvolvimento de questionários específicos de QVRS, publicados em inglês, português ou espanhol, entre 1990 e 2012. SÍNTESE DOS DADOS: Foram identificados 15 instrumentos que preencheram os critérios de inclusão. A maioria dos estudos avaliou confiabilidade mediante consistência interna e/ou reprodutibilidade e/ou sensibilidade às mudanças. A validade foi avaliada mediante a comparação com hígidos (validade discordante ou análise fatorial. CONCLUSÕES: Dos 15 instrumentos, três são os mais utilizados, o PAQLQ, o PedsQL-Asthma e DISABKIDS. Em geral, estes três instrumentos possuem características psicométricas adequadas e são práticos de aplicar, mas apenas o PAQLQ completou a adaptação cultural para o Brasil.

  19. Inteligência Emocional: Parâmetros Psicométricos de Um Instrumento de Medida

    Directory of Open Access Journals (Sweden)

    Marilda Aparecida Dantas

    2014-05-01

    Full Text Available O presente trabalho teve como objetivo investigar evidências de validade fatorial do Mayer Salovey Caruso Emotional Intelligence Test (MSCEIT bem como os índices de precisão do instrumento. O construto Inteligência Emocional, avaliado pelo teste, consiste na capacidade de perceber, entender e usar as emoções para facilitar o pensamento, assim como gerenciar as emoções para facilitar os processos cognitivos e promover o crescimento pessoal e intelectual. Participaram da pesquisa 270 universitários de diferentes cursos (psicologia, biologia, matemática e Educação Física, no qual responderam ao MSCEIT. Os resultados encontrados na análise fatorial indicaram que o instrumento apresenta a existência de dois fatores, a saber, Experiencial e Extratégica. Quanto aos índices de precisão alpha de Cronbach, os dados evidenciaram que o instrumento alcançou precisão suficiente, com exceção da tarefa Mistura (a = 0,545. Os achados desta pesquisa indicaram validade fatorial do instrumento, bem como índices de precisão satisfatórios de acordo com o exigido.

  20. A responsabilidade pré-contratual em alguns instrumentos de regulamentação do direito privado internacional

    OpenAIRE

    Moreira, Sónia

    2012-01-01

    Este trabalho analisa sumariamente a forma como a responsabilidade pré-contratual se encontra consagrada em alguns instrumentos de regulamentação do direito privado internacional: Princípios Unidroit, PECL (Principles of European Contract Law), DCFR (Draft Common Frame of Reference), Código Gandolfi.

  1. Desarrollo y validación de un instrumento para la evaluación inicial de enfermeira

    Directory of Open Access Journals (Sweden)

    Cayetano Fernández-Sola

    Full Text Available Este estudio, desarrollado de abril a julio de 2008, objetiva desarrollar y validar un instrumento para orientar la evaluación de enfermería en parámetros asistenciales y docentes en Santa Cruz, Bolivia. Participaron doce enfermeras bolivianas y se utilizaron el análisis de documentos y técnicas de consenso para definir las categorías y criterios a ser incluidas en el instrumento. Estas categorías son: la evaluación física y los 11 Patrones Funcionales de Salud de Gordon. El instrumento se caracteriza por ser breve, de sencilla comprensión y por centrarse en el enfermero. No incluye elementos de evaluación física avanzada, pero sí criterios de estilos de vida y autonomía del paciente. El desarrollo de estos instrumentos contribuye a la calidad de los registros, favorece el juicio clínico y la aplicación del proceso a la enfermería, refuerza el papel del enfermero, favoreciendo la sistematización de su práctica.

  2. Desarrollo y validación de un instrumento para la evaluación inicial de enfermeira

    Directory of Open Access Journals (Sweden)

    Cayetano Fernández-Sola

    2012-12-01

    Full Text Available Este estudio, desarrollado de abril a julio de 2008, objetiva desarrollar y validar un instrumento para orientar la evaluación de enfermería en parámetros asistenciales y docentes en Santa Cruz, Bolivia. Participaron doce enfermeras bolivianas y se utilizaron el análisis de documentos y técnicas de consenso para definir las categorías y criterios a ser incluidas en el instrumento. Estas categorías son: la evaluación física y los 11 Patrones Funcionales de Salud de Gordon. El instrumento se caracteriza por ser breve, de sencilla comprensión y por centrarse en el enfermero. No incluye elementos de evaluación física avanzada, pero sí criterios de estilos de vida y autonomía del paciente. El desarrollo de estos instrumentos contribuye a la calidad de los registros, favorece el juicio clínico y la aplicación del proceso a la enfermería, refuerza el papel del enfermero, favoreciendo la sistematización de su práctica.

  3. Validación de un instrumento para medir la responsabilidad social empresarial en consumidores de México

    Directory of Open Access Journals (Sweden)

    TEODORO RAFAEL WENDLANDT AMEZAGA

    Full Text Available El presente estudio se propuso evaluar la sustentabilidad empírica de un instrumento de medición de la responsabilidad social empresarial (RSE en consumidores de México. Para ello, se seleccionó una muestra no probabilística de 436 estudiantes de una universidad pública, la cual fue dividida en dos submuestras (n = 218. Mediante un análisis factorial exploratorio y un análisis factorial confirmatorio, los resultados obtenidos demostraron la validez empírica del modelo. Se propone que al utilizar dicho instrumento se obtenga información empírica suficiente que sirva para la toma de decisiones estratégicas, así como para enriquecer y sustentar las ideas y teorías existentes sobre la RSE, muchas de las cuales no han sido validadas dentro del contexto latinoamericano. Es importante señalar que, debido a la naturaleza del tema y el tipo de escala, existe la posibilidad de cierta deseabilidad social en las respuestas del instrumento. Se concluye que el instrumento puede ser utilizado por otros investigadores para valorar de manera sustentable la RSE.

  4. Credit Scoring Modeling

    Directory of Open Access Journals (Sweden)

    Siana Halim

    2014-01-01

    Full Text Available It is generally easier to predict defaults accurately if a large data set (including defaults is available for estimating the prediction model. This puts not only small banks, which tend to have smaller data sets, at disadvantage. It can also pose a problem for large banks that began to collect their own historical data only recently, or banks that recently introduced a new rating system. We used a Bayesian methodology that enables banks with small data sets to improve their default probability. Another advantage of the Bayesian method is that it provides a natural way for dealing with structural differences between a bank’s internal data and additional, external data. In practice, the true scoring function may differ across the data sets, the small internal data set may contain information that is missing in the larger external data set, or the variables in the two data sets are not exactly the same but related. Bayesian method can handle such kind of problem.

  5. A Comparison of Sleep Scored from Electroencephalography to Sleep Scored by Wrist Actigraphy

    Science.gov (United States)

    1993-09-01

    actigraphy in insomnia. S . 15(4): 293-301. Kripke, D. F., Mullaney, D. J., Messin, S., and Wyborney, V. G. 1978. Wrist actigraphic measures of sleep and...Cl•anificatiort) (U) A Comparison of Sleep Scored from Electroencephalography to Sleep Scored by Wrist Actigraphy 12. PERSONAL AUTHOR(S) J.L. Caldwell...how much rest soldiers receive, various methods of monitoring activity have been used. One unobtrusive method is to use wrist activity monitors

  6. Developmental Sentence Scoring for Japanese

    Science.gov (United States)

    Miyata, Susanne; MacWhinney, Brian; Otomo, Kiyoshi; Sirai, Hidetosi; Oshima-Takane, Yuriko; Hirakawa, Makiko; Shirai, Yasuhiro; Sugiura, Masatoshi; Itoh, Keiko

    2013-01-01

    This article reports on the development and use of the Developmental Sentence Scoring for Japanese (DSSJ), a new morpho-syntactical measure for Japanese constructed after the model of Lee's English Developmental Sentence Scoring model. Using this measure, the authors calculated DSSJ scores for 84 children divided into six age groups between 2;8…

  7. Do Test Scores Buy Happiness?

    Science.gov (United States)

    McCluskey, Neal

    2017-01-01

    Since at least the enactment of No Child Left Behind in 2002, standardized test scores have served as the primary measures of public school effectiveness. Yet, such scores fail to measure the ultimate goal of education: maximizing happiness. This exploratory analysis assesses nation level associations between test scores and happiness, controlling…

  8. Line Lengths and Starch Scores.

    Science.gov (United States)

    Moriarty, Sandra E.

    1986-01-01

    Investigates readability of different line lengths in advertising body copy, hypothesizing a normal curve with lower scores for shorter and longer lines, and scores above the mean for lines in the middle of the distribution. Finds support for lower scores for short lines and some evidence of two optimum line lengths rather than one. (SKC)

  9. Uma revisão sobre instrumentos de rastreamento de violência doméstica contra o idoso

    Directory of Open Access Journals (Sweden)

    Carlos Montes Paixão Jr.

    2006-06-01

    Full Text Available Os dados sobre violência contra o idoso são escassos no Brasil. Para estudos adequados sobre a magnitude, fatores de risco e cuidados às vítimas, é necessária documentação sistemática e acurada. Este artigo revisou os instrumentos de rastreamento e avaliação de violência no idoso visando examinar o progresso no contexto internacional e brasileiro. Utilizando as bases de dados MEDLINE, PsycINFO, LILACS, CANE, OVIDs citations e livros de referência, realizou-se uma revisão sistemática da literatura para a seleção dos instrumentos. Fez-se, também, um escrutínio dos estudos de psicometria e utilização dos instrumentos, aplicando-se critérios para avaliar a qualidade dos estudos. Dos dezessete instrumentos encontrados, somente a Conflicts Tactics Scale foi adaptada para o Brasil, ainda que para uso em um grupo etário mais jovem. Alguns outros com boas características psicométricas também foram encontrados, como o Caregiver Abuse Screen, Elder Abuse Assessment Tool, Hwalek Sengstok Abuse Screening Test, Indicators of Abuse Screen, Qualcare scale e Vulnerability to Abuse Screening Scale. Ainda assim, de forma geral, há lacunas importantes nos processos de concepção, validação e adaptação desses instrumentos no Brasil e no exterior.

  10. Track score processing of multiple dissimilar sensors

    OpenAIRE

    Patsikas, Dimitrios

    2007-01-01

    In this thesis, a data fusion problem when a number of different types of sensors are deployed in the vicinity of a ballistic missile launch is studied. An objective of this thesis is to calculate a scoring function for each sensor track, and the track file with the best (optimum) track score can then be used for guiding an interceptor to the threat within the boost phase. Seven active ground-based radars, two space-based passive infrared sensors and two active light detection and rangin...

  11. Instrumento de Medida do Sentimento de Impotência para pacientes adultos Instrumento de medida del sentimiento de impotência para pacientes adultos Powerlessness assessment tool for adult patients

    Directory of Open Access Journals (Sweden)

    Cristiane Giffoni Braga

    2009-12-01

    Full Text Available O objetivo deste artigo é relatar a construção de um instrumento para medir o sentimento de impotência em pacientes adultos internados. Para a construção deste instrumento, utilizamos procedimentos teóricos, empíricos e analíticos (estatísticos com base na psicometria. O instrumento foi testado com 210 pacientes para seleção de itens, confiabilidade e validade e ficou constituído por 12 itens com três domínios: capacidade de realizar comportamento (alfa=0,845, percepção da capacidade de tomar decisões (alfa=0,834; e resposta emocional ao controle das situações (alfa=0,578. O alfa total foi de 0,799. Estimativas de validade de critério foram obtidas por associação entre o instrumento desenvolvido e uma afirmação geral sobre a percepção de controle (pEl objetivo de este artículo es relatar la construcción de un instrumento para medir el sentimiento de impotencia en pacientes adultos internados. Procedimientos teóricos, empíricos y analíticos, con base en psicometría, fueran aplicados para la construcción de este instrumento. El instrumento fue testado con 210 pacientes para selección de ítems, confiabilidad y validad. El instrumento quedo constituido por 12 ítems con tres dominios: capacidad de realizar comportamiento (alfa=0,845, percepción de la capacidad de tomar decisiones (alfa=0,834; y respuesta emocional al control de las situaciones (alfa=0,578. El alfa total fue de 0,799. Estimación de validad de criterio fueron obtenidas por la asociación entre el instrumento desarrollado y una afirmación general sobre la percepción de control (pThe objective of this article is to report the development of a tool to assess powerlessness in adult patients. Theoretical, empirical and analytical psychometric based procedures were applied to develop the tool. The tool was tested in 210 patients for item selection, reliability and validation estimate and it consisted of 12 items in three domains: "Capacity to perform

  12. El comercio internacional un instrumento para alcanzar el desarrollo de Costa Rica

    Directory of Open Access Journals (Sweden)

    Álvaro Martín Parada Gómez

    2011-12-01

    Full Text Available El comercio internacional es un instrumento para la consecución del económico en los países subdesarrollados.  En Costa Rica las ventajas del libre comercio están asociadas a la generación de exportaciones, así como a la mayor producción y generación de nuevas oportunidades de empleo en comparación con las fuentes tradicionales.  No obstante, persisten desventajas asociadas al tamaño del país, la presencia de imperfecciones de mercado, las fuertes distorsiones causadas por la intervención estatal por la excesiva regulación, entre otras causas.  El propósito es explicar las ventajas y desventajas que tienen las empresas y los sectores productivos para competir en el comercio internacional y sugerir lineamientos estratégicos que fortalezcan la posición de las empresas en el mercado internacional.  Las dos principales interrogantes que orientan este trabajo son: ¿cuáles obstáculos enfrentan las empresas de países en desarrollo como Costa Rica para posicionarse exitosamente en los mercados internacionales?, y ¿cuál estrategia podría seguir Costa Rica para competir adecuadamente en esos mercados? La principal conclusión es que los tratados de libre comercio son instrumentos para la consecución del desarrollo económico y, por tanto, no es adecuado poner todos los esfuerzos en ellos como única fuente de superación de las múltiples necesidades sociales y económicas que experimentan las economías en desarrollo. Con seguridad, se requerirá formular políticas adicionales en el campo de la infraestructura, tecnología, salud, educación, entre otros, para posicionar mejor al país en los mercados internacionales.

  13. EVALUACIÓN PSICOMÉTRICA DE UN INSTRUMENTO DE DESEABILIDAD SOCIAL PARA NIÑOS

    Directory of Open Access Journals (Sweden)

    CÉSAR MERINO SOTO

    2014-01-01

    Full Text Available El objetivo del estudio realizado fue evaluar las propiedades psicométricas de una medida de deseabilidad social (8 ítemes para niños , elabo- rado en habla hispana (Lemos, 2005, y que se distingue por su brevedad, respaldo de la literatur a científica, novedad y originalmente construido en habla hispana. El instrumento es particular- mente relevante para la investigación que usa el auto-reporte como medida de recolección de da- tos en niños, la cual es muy frecuente en niños y adultos. Sin embargo, hay apenas algunos estu- dios en niños con este constructo en habla his- pana, especialmente con el desarrollo de test para su medición. La validación original muestra pro- piedades psicométricas que posiblemente no son replicables por cuestiones metodológicas. De- bido a la importancia de describir y cuantificar este constructo en población infantil, se evaluó su estructura interna (análisis factorial confirmatori o de grupo múltiple, validez de constructo (dife- rencias de edad y sexo y confiabilidad (consis- tencia interna, KR-20 con modificación Horst en una muestra peruana de 202 niños de nivel pri- mario de una institución educativa pública, de educación regular. Los análisis mostraron que solo una dimensión retiene mejor la variancia de los ítemes (contrastando con la bidimensionalidad original, algunos ítemes tienen bajas correlacio- nes inter-ítem y cargas factoriales, la consistencia interna es baja, y que las correlaciones con la edad no siguieron el patrón esperado. Se discuten los resultados estructurales en el marco del sesgo producido por el fraseo de los ítemes y las dife- rencias metodológicas del estudio que se informa, aspectos que pueden influir en las propiedades psicométricas del instrumento.

  14. Propuesta para el desarrollo de instrumentos de autoevaluación para programas educativos a distancia

    Directory of Open Access Journals (Sweden)

    Verónica García Martínez

    2011-01-01

    Full Text Available El presente trabajo expone la etapa inicial de un proyecto conjunto entre la Universidad Juárez Autónoma de Tabasco (UJAT y la Universidad Autónoma de Chiapas (UNACH, México; se trata de una estrategia diseñada para elaborar mecanismos que permitan a los programas virtuales autoevaluarse. La propuesta surge como resultado de la aplicación de un modelo de autoevaluación de programas a distancia diseñado por la Asociación Nacional de Universidades e Instituciones de Educación Superior (ANUIES y tomado como referencia para instrumentar en la UJAT, un ejercicio de autodiagnóstico durante el periodo 2008-2009. Los resultados mostraron la necesidad de pensar en mecanismos de evaluación situados en el contexto regional. La propuesta descansa, principalmente, en la revisión documental y en el panel de expertos elegidos mediante el método Delphi y Método combinado TZ. La estrategia metodológica consta de cuatro etapas: a revisión de modelos de evaluación; b la selección de expertos de dos universidades de los Estados de Tabasco y Chiapas que cuentan desde hace más de diez años con programas virtuales; c el diseño de instrumentos de auto diagnóstico y d la calificación de los instrumentos por los expertos. El reporte describe tres de las cuatro etapas del estudio. El promedio del índice de expertos en la autoevaluación fue similar en las dos universidades; se concluye, por lo tanto, que los expertos comparten un nivel de conocimiento afín, en especial en el diseño de materiales u objetos de aprendizaje, no así en indicadores de calidad estimados para la educación virtual.

  15. Pharmacophore-based similarity scoring for DOCK.

    Science.gov (United States)

    Jiang, Lingling; Rizzo, Robert C

    2015-01-22

    Pharmacophore modeling incorporates geometric and chemical features of known inhibitors and/or targeted binding sites to rationally identify and design new drug leads. In this study, we have encoded a three-dimensional pharmacophore matching similarity (FMS) scoring function into the structure-based design program DOCK. Validation and characterization of the method are presented through pose reproduction, crossdocking, and enrichment studies. When used alone, FMS scoring dramatically improves pose reproduction success to 93.5% (∼20% increase) and reduces sampling failures to 3.7% (∼6% drop) compared to the standard energy score (SGE) across 1043 protein-ligand complexes. The combined FMS+SGE function further improves success to 98.3%. Crossdocking experiments using FMS and FMS+SGE scoring, for six diverse protein families, similarly showed improvements in success, provided proper pharmacophore references are employed. For enrichment, incorporating pharmacophores during sampling and scoring, in most cases, also yield improved outcomes when docking and rank-ordering libraries of known actives and decoys to 15 systems. Retrospective analyses of virtual screenings to three clinical drug targets (EGFR, IGF-1R, and HIVgp41) using X-ray structures of known inhibitors as pharmacophore references are also reported, including a customized FMS scoring protocol to bias on selected regions in the reference. Overall, the results and fundamental insights gained from this study should benefit the docking community in general, particularly researchers using the new FMS method to guide computational drug discovery with DOCK.

  16. Swap, futuro e opções: impacto do uso de instrumentos derivativos sobre o valor das firmas brasileiras.

    Directory of Open Access Journals (Sweden)

    José Luiz Rossi Júnior

    2013-02-01

    Full Text Available O trabalho analisa o impacto do uso de derivativos e a direção e magnitude do prêmio de cobertura relacionado a cada tipo de instrumento derivativo no valor da firma para uma amostra de empresas brasileiras não financeiras de capital aberto no período de 2004 a 2007. Os resultados indicam que a utilização de derivativos está relacionada a um impacto positivo e significativo sobre o valor de mercado das empresas. As evidências mostram que o uso de derivativos está associado a um “prêmio de cobertura” (hedging premium. Dessa maneira, é possível afirmar que as firmas que fazem uso da gestão de risco com derivativos têm um valor de mercado superior, no mercado brasileiro, quando comparadas a firmas que não utilizam esses instrumentos financeiros (hedging premium. Os resultados também indicam que, quando a análise se concentra no tipo de instrumento utilizado, a gestão de risco com tipos distintos de derivativos gera impacto de magnitude heterogênea no valor da firma. Contratos de swap e futuro/termo apresentam um impacto positivo e estatisticamente significante. Já para as opções, o impacto, embora positivo, não é estatisticamente significativo. Portanto, os resultados obtidos não só confirmam as expectativas de que a utilização de instrumentos derivativos exerce um impacto positivo e estatisticamente significativo sobre o valor da firma, mas também mostram que existe uma diferença relevante no efeito associado a derivativos distintos. Em conjunto, os resultados corroboram o fato de que investidores estão dispostos a pagar um maior valor por firmas que fazem gestão ativa de risco financeiro em ambientes mais voláteis como o Brasil, e essa disposição varia de acordo com o instrumento utilizado e com a eventual combinação de derivativos financeiros. Em pesquisa futura, uma análise das causas do impacto heterogêneo dos distintos instrumentos derivativos deve ser realizada para um melhor entendimento dos

  17. O PDI da UFT: instrumento burocrático ou instrumento de gestão? Uma breve análise

    Directory of Open Access Journals (Sweden)

    Míriam Lucas da Silva Parente

    2015-12-01

    Full Text Available Diante do desafio em se adequar às constantes e rápidas transformações do mundo contemporâneo, as Instituições Federais de Ensino Superior (IFES vem desenvolvendo novos processos de gestão frente a situação atual. Neste trabalho, destacou-se o Plano de Desenvolvimento Institucional (PDI como instrumento de planejamento estratégico das IFES, criado pelo Decreto nº 5.773/2006. A pesquisa consistiu em uma análise documental dos PDIs da Universidade Federal do Tocantins (UFT com o objetivo de avaliar se os PDIs da Universidade estão condizentes com as exigências legais. Através da análise, observou-se uma evolução e aperfeiçoamento na elaboração do PDI, do ponto de vista de que este deixa de ser apenas um instrumento burocrático, para se tornar um instrumento de gestão. PALAVRAS-CHAVE: IFES. PDI. Planejamento Estratégico. UFT.   ABSTRACT Faced with the challenge in adjusting to constant and rapid changes of the contemporary world, the Federal Institutions of Higher-Education (IFES has developed new front management processes the current situation. In this work, the highlight was the Institutional Development Plan (PDI as a strategic planning tool of IFES, created by Decree No. 5.773/2006. The research consisted of a desk review of the IDPs from the Federal University of Tocantins, in order to assess whether the IDPs University are consistent with the legal requirements. Through the analysis, there was an evolution and improvement in the preparation of PDI from the point of view that this is no longer just a bureaucratic instrument to become a management tool. KEYWORDS: IFES. PDI. Strategic planning. UFT.     RESUMEN Ante el reto de adaptarse a los cambios constantes y rápidos del mundo contemporáneo, las Instituciones Federales de Educación Superior-IFES ha desarrollado una nueva gestión ante los procesos de la situación actual. En este trabajo, lo más destacado fue el Plan de Desarrollo Institucional (PDI como

  18. La evaluación docente en la pedagogía Montessori: propuesta de un instrumento A avaliação docente na pedagogia Montessori: proposta de um instrumento Teacher Evaluation in Montessori Education: A Proposed Tool

    Directory of Open Access Journals (Sweden)

    Ana María Mendoza-Páez

    2008-06-01

    Full Text Available El objetivo del presente estudio fue el diseño, la construcción y la validación del contenido de un instrumento que permita evaluar el desempeño docente en un colegio con metodología Montessori. Dicho instrumento se validó a través del método de jueces expertos en relación con la pertinencia, coherencia y redacción de cada ítem (participaron tres jueces; la fiabilidad de los jueces se obtuvo a través del coeficiente de concordancia o índice kappa, el cual puntuó alto (total acuerdo. Conforme a los resultados se eliminaron 27 ítems de los 102 propuestos, y quedaron 75 en el instrumento de aplicación. El instrumento contiene las dimensiones del ser, saber, saber hacer y saber comprender del docente. Posteriormente se hizo una aplicación piloto a los 30 participantes, los cuales pertenecen al colegio Montessori British School, institución que utiliza como pedagogía el método Montessori. En el análisis de la consistencia interna, obtenida por los índices alfa de Cronbach, estos fueron altos en todas las dimensiones evaluadas (promedio .88.Neste artigo, o objetivo foi desenhar, construir e validar o contido de um instrumento que permita avaliar o desempenho docente em uma escola com pedagogia Montessori. Esse instrumento foi validado pelo método de juízes expertos em quanto pertinência, coerência e redação de cada item (participaram três juízes. A fiabilidade dos juízes foi lograda mediante o coeficiente de concordância ou índice de kappa, o qual pontuou alto (acordo total. Seguindo os resultados, foram eliminados 27 itens dos 102 propostos. Os outros 75 permaneceram no instrumento de aplicação. O instrumento contem as dimensões do ser, saber, saber fazer e saber compreender do docente. Depois foi feita uma aplicação piloto aos 30 participantes, pertencentes à escola Montessori British School, instituição que emprega o método Montessori. Na análise da consistência interna, obtida mediante os índices alfa

  19. Medida do impacto da doença: validade de constructo de instrumento entre coronariopatas

    Directory of Open Access Journals (Sweden)

    Rafaela Batista dos Santos Pedrosa

    2013-08-01

    Full Text Available Este estudo estimou a validade de constructo pelo teste de grupos conhecidos do Instrumento para Mensuração do Impacto da Doença no Cotidiano do Valvopata (IDCV quanto a sinais e sintomas, função ventricular sistólica, fração de ejeção do ventrículo esquerdo (FEVE e qualidade de vida relacionada à saúde (QVRS em 153 coronariopatas em seguimento ambulatorial. Os dados foram obtidos pela aplicação do IDCV e das versões brasileiras do The Medical Study 36-item Short Form Health Survey – SF-36 e MacNew Heart Disease Health-related Quality of Life Questionnair e. Foi utilizado o teste de Mann-Whitney para verificar a capacidade do IDCV em discriminar o impacto quanto a sinais e sintomas, FEVE e disfunção sistólica ventricular, bem como o teste de Kruskal-Wallis para verificar seu poder de discriminação em relação à QVRS. Constatou-se que o IDCV discriminou o impacto entre aqueles que pontuaram nos quartis (≤Q1, Q1-Q3, ≥Q3 de QVRS. Os achados deste estudo contribuem para o refinamento do IDCV na mensuração do impacto da doença entre coronariopatas.

  20. Bioindicadores ambientais: insetos como um instrumento desta avaliação

    Directory of Open Access Journals (Sweden)

    Marco Antonio de Oliveira

    2014-12-01

    Full Text Available Atividades agrícolas, florestais e do setor imobiliário vêm, ao longo do tempo, modificando ambientes ecologicamente estruturados. As consequências são drásticas e, por isso, faz-se necessária a busca por ferramentas e instrumentos para diagnosticar e monitorar a diversidade biológica desses locais. Os insetos têm-se destacado como potenciais organismos bioindicadores e isso se deve ao fato de apresentarem grande capacidade perceptiva, no que se refere a alterações do meio ambiente, principalmente por seu apurado sistema sensorial, que lhes permite qualificar condições ambientais em determinadas situações e, ainda, quantificar danos causados ao meio. Um dos problemas que podem ser associados a este setor é a falta de padronização e definição de protocolos de coleta e avaliação da biodiversidade, para que esses resultados possam ser analisados e extrapolados para diferentes ambientes antropizados. Neste trabalho, é contextualizada a importância da entomofauna como bioindicadora, em ecossistemas.

  1. Enteógenos e Inteligência Existencial: Plantas Mestres como Instrumentos Cognitivos

    Directory of Open Access Journals (Sweden)

    Kenneth Tupper

    2012-09-01

    Full Text Available DOI: 10.12957/periferia.2011.3946 A partir de recentes mudanças nas legislações em relação às drogasem diferentes países, investiguei o potencial dos enteógenos (i.e.,plantas psicoativas usadas como sacramentos espirituais comoinstrumentos para favorecer a inteligência existencial. PlantasMestres das Américas como a ayahuasca, os cogumelos depsilocibina, o peiote e o soma indo-ariano da Eurásia, são alguns dosexemplos de enteógenos que foram e continuam a ser utilizados, nopassado e no presente. Todas estas plantas foram reverenciadas porpessoas e culturas diferentes como instrumentos cognitivos quepromovem um mais rico entendimento cosmológico do mundo. Utilizoa teoria das múltiplas inteligências revisada por Gardner (1999 e suaformulação de uma inteligência “existencial” como uma lente teóricaatravés da qual se deve considerar as possibilidades cognitivas dosenteógenos e explorar potenciais caminhos na Educação.

  2. Means for the regulation of renewable energies; Instrumentos de regulacion para renovables

    Energy Technology Data Exchange (ETDEWEB)

    Peraza, Alejandro [Comision Reguladora de Energia, Mexico (Mexico)

    2007-06-15

    It is basically described in this presentation, those means used by the Comision Reguladora de Energia (CRE) in order to control the distribution of the available renewable energies, as well as to show the modifications done to its contracts. Besides, there are described the most relevant information about the CRE's law. There are mentioned some of the changes done to some clauses of different contracts, among the contracts found here there can be: contract for the interconnection of renewable energies, contract for the interconnection for a small source of solar energy. [Spanish] En esta presentacion se describen primordialmente los instrumentos que la Comision Reguladora de Energia (CRE) utiliza con el fin de reglamentar la distribucion de las diversas energias renovables disponibles, asi como mostrar las modificaciones que se han realizado en sus contratos. Ademas, se describen los principales aspectos de la Ley de la CRE. Asimismo, se mencionan algunas de las modificaciones que se les ha hecho a diversos contratos: Contrato de interconexion de renovables, contrato de interconexion para fuente de energia solar en pequena escala.

  3. Aproximación diagnóstica de psicopatía mediante instrumento autoinformado

    Directory of Open Access Journals (Sweden)

    Elizabeth León Mayer

    2013-12-01

    Full Text Available Introducción: Dada la relevancia clínica y social que tiene la psicopatía, resulta útil contar con instrumentos autoinformados para la aproximación diagnóstica a la psicopatía. Objetivos: Evaluar la congruencia interna y la validez convergente del Self Report of Psychopathy-Short Form. Material y métodos: Se evaluaron 208 personas condenadas, alojadas en el Centro de Cumplimiento Penal de la Provincia de Los Andes, Chile. Se utilizaron el SRP-III-SF, el PCL-R y la HCR-20. Resultados: La distribución de valores del SRP-III-SF tuvo una media de 61,6 y fue normal. El Coeficiente de Alfa de Cronbach para el total fue 0,8 y para los factores 1, 2, 3 y 4 fue 0,7, 0, 4, 0,7 y 0,5, respectivamente. La correlación del SRP-III-SF con el PCL-R fue 0,4 (p = 0,01 y con HCR 20, 0,5 (p < 0,001. El riesgo de diagnóstico de psicopatía con el PCL-R aumentó en forma lineal para cada cuartil de la distribución del SRP-SF. El área bajo la curva ROC fue 0,66 (p = 0,05; 95% IC 0,5; 0,8.

  4. PROPIEDADES PSICOMÉTRICAS DE UN INSTRUMENTO DE ACOSO CIBERNÉTICO EN ESTUDIANTES UNIVERSITARIOS MEXICANOS

    Directory of Open Access Journals (Sweden)

    Mistli Guillermina López Pérez

    2016-01-01

    Full Text Available El objetivo del artículo fue analizar la estructura factorial de la Escala de Victimización a través del teléfono móvil y de Internet en una muestra de 170 estudiantes universitarios de una institución educativa pública de Morelos (México de las facultades de psicología, medicina, derecho y administración. Se realizó un análisis factorial exploratorio y un análisis factorial confirmatorio, se analizó la confiabilidad de cada uno de los factores. El porcentaje de varianza total explicada fue de 43.48%. Se encontró un índice de confiabilidad aceptable tanto para el factor de teléfono móvil (.65 como para el de Internet (.63. Cinco reactivos presentaron dificultades en sus cargas factoriales, en su ubicación factorial o en ambos. El análisis factorial confirmatorio mostró un adecuado ajuste del modelo de dos factores con los índices SRMR = .05, RMSEA = .07, GFI = .97, CFI = .96, AGFI = .92 y NNFI = .92. La Escala de Victimización a través del teléfono móvil y de Internet puede ser empleada como un instrumento de medición válido y confiable en estudios mexicanos con estudiantes universitarios.

  5. Proposta de instrumento para avaliar conhecimento de jovens sobre métodos contraceptivos

    Directory of Open Access Journals (Sweden)

    Nancy Capretz Batista da Silva

    2007-12-01

    Full Text Available No Brasil, as ocorrências de gravidez na adolescência têm gerado discussões e preocupação no âmbito da saúde pública. Visto que a associação com o uso inadequado de métodos contraceptivos é direta, torna-se essencial avaliar o conhecimento de adolescentes sobre tais métodos para intervir adequadamente. Este estudo realizou este levantamento e avaliou a eficácia de um questionário construído para medir tal conhecimento de estudantes do nível médio de uma cidade do interior de São Paulo. Foi encontrada falta de conhecimento adequado sobre os métodos contraceptivos (como são, uso, eficácia, indicação, independente do sexo e do tipo de escola. O instrumento apresentou níveis psicométricos satisfatórios, adequado para ser disponibilizado e os dados obtidos por meio dele mostram-se confiáveis. Sua utilização enquanto recurso técnico de avaliação poderá servir como apoio para a elaboração de intervenções que almejem maior conhecimento sobre métodos contraceptivos, sexo seguro e menores taxas de gravidez na adolescência.

  6. Instrumentos usados para medir clima ético en organizaciones de salud

    Directory of Open Access Journals (Sweden)

    Gloria Lucía Arango Bayer

    2011-01-01

    Full Text Available El estudio del clima ético se ha convertido en un asunto de obligatorio abordaje para la bioética, que se enfrenta al reto de buscar climas éticos que promuevan la coherencia entre lo que las organizaciones sanitarias dicen ser y hacer y lo que efectivamente son y hacen. Esto con el objeto, entre otros, de reducir los conflictos éticos que se suscitan en los profesionales de la salud cuando ocur ren estas diferencias. El objetivo de este artículo es identificar los instrumentos que han sido usados para medir el constructo "clima ético" en las organizaciones de salud, de manera que sirva a los académicos y a las organizaciones de salud en el diseño de estudios sobre este tópico y les permita identificar sus particularidades. Los resultados sugieren la necesidad de continuar explorando en un concepto de clima ético que incorpore los valores, los principios y los derechos que han de considerarse desde la bioética en la búsqueda de organizaciones que atiendan a los objetivos de las profesiones y los sistemas de salud hoy.

  7. Fiabilidad del Instrumento de Evaluación Neuropsicológica Breve Neupsilin

    Directory of Open Access Journals (Sweden)

    Josiane Pawlowski

    2013-01-01

    Full Text Available La investigación examinó la fiabilidad del Instrumento de Evaluación Neuropsicológica Breve Neupsilin, desarrollado en Brasil. Participaron 102 hombres y mujeres brasileños, de 18 a 40 años de edad. Se evaluó la fiabilidad del test-retest del Neupsilin y de la corrección, por distintos evaluadores, de la prueba para evaluación de apraxia constructiva. Se analizaron los datos con: el test de correlación de Spearman, el coeficiente de correlación intraclase y el coeficiente alpha de Cronbach. Las habilidades de lenguaje, memoria, praxias y funciones ejecutivas presentaron las más altas correlaciones para los resultados del test-retest. Se encontró una concordancia de moderada a alta entre los correctores de la tarea de praxia constructiva. Los resultados indicaron fiabilidad temporal para las tareas evaluadas por el Neupsilin y fiabilidad del corrector para la tarea praxia constructiva. Se presentan sugerencias para perfeccionar las tareas y mejorar la fiabilidad y la validez de la prueba.

  8. Instrumentos de avaliação em espondilite anquilosante Outcome measures in ankylosing spondylitis

    Directory of Open Access Journals (Sweden)

    Themis Mizerkowski Torres

    2006-06-01

    Full Text Available A espondilite anquilosante (EA é uma doença inflamatória crônica caracterizada por acometimento predominante do esqueleto axial. Ocorre de forma insidiosa e é potencialmente debilitante, levando à redução na qualidade de vida dos indivíduos acometidos. A sua etiopatogenia ainda não está totalmente esclarecida, dificultando estratégias no seu diagnóstico e manejo. O avanço da terapia com agentes biológicos veio reforçar discussões sobre a melhor forma de avaliação destes pacientes. Nesta revisão, discutimos os principais instrumentos utilizados para avaliar pacientes com EA e o consenso do grupo internacional (ASAS working group - Assessments in Ankylosing Spondylitis Working Group determinado no OMERACT IV (Outcome Measures in Rheumatology.Ankylosing spondylitis is a chronic and progressive disease involving predominantly the axial skeleton. It is insidious and potentially debilitating, compromising the quality of life of patients suffering from the disease. The etiopathogenesis is still uncertain, which difficult strategies in its diagnosis and treatment. Advances in biological therapies are reforcing discussions in the best way of managing the disease. In this paper, we revise the outcome instruments available for ankylosing spondylitis and the consensus from the ASAS working group (Assessments in Ankylosing Spondylitis Working Group established at the OMERACT IV (Outcome Measures in Rheumatology.

  9. Crítica del acomodo razonable como instrumento jurídico del multiculturalismo

    Directory of Open Access Journals (Sweden)

    Eduardo Ruiz Vieytez

    2009-07-01

    Full Text Available En el marco de las actuales sociedades multiculturales se hace necesario explorar vías de profundización democrática que permitan adaptar nuestros parámetros jurídicos tradicionales a la creciente y cambiante diversidad. El acomodo razonable se nos presenta como uno de los instrumentos jurídicos que puede adquirir un importante protagonismo en este proceso de pluralización democrática. Desde la experiencia canadiense y quebequesa del acomodo razonable debe plantearse la posibilidad de importar a Europa este modo de flexibilizar el ejercicio de los derechos fundamentales en atención a la diversidad cultural o identitaria. Esto implica plantear una crítica a su funcionalidad puesto que aún no se ha demostrado la eficacia general de la técnica del acomodo razonable aplicada a los distintos ámbitos de la identidad humana, religiosa o lingüística. 

  10. El Estudio de casos, un instrumento de aprendizaje en la Relación de Cuidado

    Directory of Open Access Journals (Sweden)

    Aintzane Orkaizagirre Gómara

    2014-12-01

    Full Text Available La Relación de Cuidado es considerada como un proceso de atención integral que incluye los aspectos físicos, emocionales, comunicativos y espirituales que se sustenta en la individualización de los cuidados cuyos ejes principales son la construcción de una relación de confianza y seguridad y el fomento de la autonomía de la persona. El Estudio de casos es un método útil para analizar diferentes situaciones clínicas, identificar puntos fuertes y débiles de la Relación de Cuidado establecida por la enfermera y plantear soluciones y estrategias para mejorarla. Con este trabajo pretendemos mostrar las potencialidades del Estudio de casos como instrumento para aprender y visibilizar la Relación de Cuidado, de manera que pueda ser utilizado tanto para comunicar experiencias obtenidas en la práctica clínica, como para el adiestramiento del estudiante en ciclos de grado y posgrado.

  11. VALIDEZ Y CONFIABILIDAD DE UN INSTRUMENTO PARA MEDIR ADICCIÓN AL CIBERSEXO

    Directory of Open Access Journals (Sweden)

    Marco Antonio Pulido Rull

    2015-01-01

    Full Text Available Este trabajo presenta tres estudios que tuvieron por objetivo evaluar la validez y confiabilidad de la Escala de Adicción al Cibersexo ( ISST . En el primero de ellos, se evaluó la correlación entre la adic - ción y la satisfacción de pareja; en el segundo, la que hay entre la adicción al cibersexo, la ansiedad y la depresión, medidas estas últimas mediante las escalas de Beck, y en el último estudio, la correla - ción entre el ISST e instrumentos que miden la adicción a Internet ( CUPI y CAS . En los tres estudios se emplearon muestras no probabilísticas de estudiantes universitarios de la Ciudad de México. Los resultados del primer estudio mostraron una correlación inversa entre el ISST y la satisfacción de pareja; los del segundo, una correlación directa entre el ISST , el BAI y el BDI , y los del tercero, que el ISST , el CUPI y el CAS correlacionan de manera directa. Los resultados se discuten en términos de lo que sugieren la validez y la confiabilidad del ISST , y también en términos de su congruencia con los modelos contemporáneos que buscan explicar la adicción a las nuevas tecnologías.

  12. As redes sociais como instrumento estratégico para a inteligência competitiva

    Directory of Open Access Journals (Sweden)

    Adriana Rosecler Alcará

    Full Text Available O mapeamento das redes sociais permite a visualização das ligações entre atores no ambiente organizacional, constituindo-se, assim, importante recurso para o compartilhamento da informação e do conhecimento. Neste artigo, resultado de um estudo teórico, apresentamos as redes sociais como um dos instrumentos para o processo de inteligência competitiva, com o objetivo de evidenciar a inter-relação entre eles e demonstrar sua complementaridade. Os resultados indicam que as redes sociais colaboram para o fortalecimento da cultura organizacional voltada para o compartilhamento da informação e do conhecimento. Além disso, o mapeamento das redes possibilita rastrear os fluxos da informação, permitindo a identificação da estrutura informacional que permeia o ambiente da organização. Assim, as redes sociais podem contribuir, de forma efetiva, para a compreensão e elaboração de melhores estratégias para o processo de inteligência competitiva e, conseqüentemente, para o funcionamento do contexto organizacional.

  13. [Propensity score matching in SPSS].

    Science.gov (United States)

    Huang, Fuqiang; DU, Chunlin; Sun, Menghui; Ning, Bing; Luo, Ying; An, Shengli

    2015-11-01

    To realize propensity score matching in PS Matching module of SPSS and interpret the analysis results. The R software and plug-in that could link with the corresponding versions of SPSS and propensity score matching package were installed. A PS matching module was added in the SPSS interface, and its use was demonstrated with test data. Score estimation and nearest neighbor matching was achieved with the PS matching module, and the results of qualitative and quantitative statistical description and evaluation were presented in the form of a graph matching. Propensity score matching can be accomplished conveniently using SPSS software.

  14. Confidence scores for prediction models

    DEFF Research Database (Denmark)

    Gerds, Thomas Alexander; van de Wiel, MA

    2011-01-01

    modelling strategy is applied to different training sets. For each modelling strategy we estimate a confidence score based on the same repeated bootstraps. A new decomposition of the expected Brier score is obtained, as well as the estimates of population average confidence scores. The latter can be used...... to distinguish rival prediction models with similar prediction performances. Furthermore, on the subject level a confidence score may provide useful supplementary information for new patients who want to base a medical decision on predicted risk. The ideas are illustrated and discussed using data from cancer...

  15. DESARROLLO DE UN INSTRUMENTO PARA EVALUAR PRERREQUISITOS EN EL SISTEMA HACCP DESENVOLVIMENTO DE UM INSTRUMENTO PARA AVALIAR PRÉ-REQUISITOS NO SISTEMA HACCP DEVELOPMENT OF AN INSTRUMENT TO EVALUATE PREREQUISITES TO HACCP SYSTEM

    Directory of Open Access Journals (Sweden)

    NELSON GUTIÉRREZ

    2010-06-01

    Full Text Available En este artículo se presenta la construcción y validación inicial del instrumento GHYCAL (Gestión de la Higiene y Calidad, aplicable en el diagnóstico de los 7 planes previos de higiene y trazabilidad, necesarios para implantar un protocolo Análisis de Peligros y Puntos Críticos de Control (HACCP en cualquier empresa del sector agroalimentario. Para su construcción se elaboró un primer instrumento que contenía 78 criterios relacionados con gestión de la higiene en la industria agroalimentaria, que fue sometido a un proceso de validación de contenido por expertos conocedores de temas relacionados con inocuidad, seguridad alimentaria e higiene de alimentos, utilizando la metodología conocida como sesiones Delphi; posteriormente, se realizó el cálculo de confiabilidad utilizando como medida de consistencia interna el coeficiente Alfa de Cronbach, mediante la aplicación del instrumento en 53 empresas del sector agroalimentario; por último, se determinó la validez de criterio, comparando los resultados de aplicación del instrumento GHYCAL con los resultados de aplicación del instrumento Safety and Quality on Food (S&Q, en las mismas 53 empresas del sector agroalimentario. El instrumento final compuesto por 77 ítems contenidos en 7 sets de preguntas que corresponden a los mismos prerrequisitos establecidos en el protocolo HACCP, obtuvo valores de alfa de Cronbach entre 0,83 y 0,94 para los sets de preguntas y de 0,98 para el total del cuestionario, con respecto a la evidencia relacionada con el criterio, los resultados similares permiten adoptar el concepto de validez concurrente.Neste artigo se apresenta a construção e validação inicial do instrumento GHYCAL (Gestão da Higiene e Qualidade; aplicável no diagnóstico dos 7 planos prévios de higiene e rastreabilidade, necessários para implantar um protocolo de Análise de Perigos e Pontos Críticos de Controle (HACCP em qualquer empresa do setor agroalimentício. Para a sua

  16. Validez y confiabilidad del instrumento “Percepción de comportamientos de cuidado humanizado de enfermería PCHE 3ª versión”

    OpenAIRE

    2015-01-01

    Objetivo: determinar la validez y confiabilidad del instrumento “Percepción de comportamientos de cuidado humanizado de enferme- ría (PCHE) 3ª versión ”. Método: estudio descriptivo de tipo metodológico que hizo pruebas psicométricas al instrumento PCHE, que evalúa las características de la atención de enfermería en escenarios hospitalarios. El instrumento se revisó con la participación de 320 pacientes hospitalizados, y se realizaron mediciones de validez y confiabilidad mediante la valo...

  17. Construcción y validación inicial de un instrumento para medir el estilo de vida en pacientes con diabetes mellitus tipo 2

    OpenAIRE

    López-Carmona Juan Manuel; Ariza-Andraca Cuauhtémoc Raúl; Rodríguez-Moctezuma José Raymundo; Munguía-Miranda Catarina

    2003-01-01

    OBJETIVO: Construir y validar un instrumento específico para medir el estilo de vida en los pacientes con diabetes mellitus tipo 2. MATERIAL Y MÉTODOS: Entre marzo de 2001 y abril de 2002 se hizo un estudio observacional, longitudinal y prospectivo en unidades de medicina familiar de la delegación Estado de México Oriente, del Instituto Mexicano del Seguro Social. Se diseñó un instrumento de autoadministración, denominado instrumento para medir el estilo de vida en diabéticos, el cual fue som...

  18. Novos instrumentos de financiamento do agronegócio brasileiro e uma análise das alternativas de investimentos para o CDA/WA

    OpenAIRE

    2006-01-01

    O instrumento tradicional de financiamento é aquele utilizado pelo Sistema Nacional de Crédito Rural - SNCR e que possui como fonte o orçamento do governo, as exigibilidades bancárias, a poupança verde etc. Os instrumentos não tradicionais podem ser considerados os novos mecanismos com fonte de recursos privados e que pretendem substituir os instrumentos tradicionais no financiamento agropecuário. A Lei n° 11.076, de 30 de dezembro de 2004, oficializou cinco títulos de créditos que deverão se...

  19. O conceito de risco e os seus efeitos simbólicos nos acidentes com instrumentos perfurocortantes

    Directory of Open Access Journals (Sweden)

    Everaldo José da Silva

    Full Text Available O estudo objetivou compreender o risco ocupacional como um processo simbólico que estrutura as atividades diárias dos profissionais da área de saúde que manipulam instrumentos perfurocortantes. Pesquisa descritiva realizada em um hospital universitário com dados coletados por meio do levantamento dos acidentes de trabalho no Centro de Tratamento Intensivo adulto e na Lavanderia, pela aplicação de um questionário a 105 profissionais de saúde. Os dados foram analisados por meio de uma perspectiva interdisciplinar para conciliar a análise quantitativa e qualitativa dos dados. Os resultados revelaram que, embora os dados indiquem baixo índice de acidentes, ainda é preciso aprimorar instrumentos como o mapa de riscos e o uso de equipamentos de segurança, bem como investir na capacitação das equipes.

  20. O conceito de risco e os seus efeitos simbólicos nos acidentes com instrumentos perfurocortantes

    Directory of Open Access Journals (Sweden)

    Everaldo José da Silva

    2012-10-01

    Full Text Available O estudo objetivou compreender o risco ocupacional como um processo simbólico que estrutura as atividades diárias dos profissionais da área de saúde que manipulam instrumentos perfurocortantes. Pesquisa descritiva realizada em um hospital universitário com dados coletados por meio do levantamento dos acidentes de trabalho no Centro de Tratamento Intensivo adulto e na Lavanderia, pela aplicação de um questionário a 105 profissionais de saúde. Os dados foram analisados por meio de uma perspectiva interdisciplinar para conciliar a análise quantitativa e qualitativa dos dados. Os resultados revelaram que, embora os dados indiquem baixo índice de acidentes, ainda é preciso aprimorar instrumentos como o mapa de riscos e o uso de equipamentos de segurança, bem como investir na capacitação das equipes.

  1. O uso dos equipamentos de proteção individual entre os trabalhadores de enfermagem acidentados com instrumentos perfurocortantes

    Directory of Open Access Journals (Sweden)

    Leila Maria Mansano Sarquis

    2000-12-01

    Full Text Available O presente estudo analisou os acidentes de trabalho ocorridos com trabalhadores de enfermagem em um hospital público do interior de São Paulo. A amostra foi composta por todos os trabalhadores de enfermagem. Os resultados obtidos mostram a significativa freqüência de acidentes com instrumentos perfurocortantes. Nesse tipo de acidente, os mais altos foram encontrados na categoria auxiliar de enfermagem, o que mostra também que o trabalhador de enfermagem muitas vezes não utiliza o equipamento de proteção individual, mesmo que seja fornecido no local de trabalho. A manipulação de instrumentos perfurocortantes por profissionais dessa área mostra a grande exposição aos riscos biológicos e graves doenças. Esses resultados, evidenciam a necessidade de prevenir tais acidentes.

  2. Principais instrumentos para avaliação da disfunção temporomandibular, parte II: critérios diagnósticos; uma contribuição para a prática clínica e de pesquisa Main instruments for assessing temporomandibular disorders, part II: diagnostic criteria; a contribution to clinicians and researchers

    Directory of Open Access Journals (Sweden)

    Thaís Cristina Chaves

    2008-01-01

    questionnaires were presented in part I; and, here in part II, one functional questionnaire and two sets of diagnostic criteria. Indices consist of organized forms for assigning scores to signs and symptoms thus obtaining severity degrees. Questionnaires are better employed for epidemiological purposes. Functional questionnaires are better used to assess impact of TMD on daily life activities. There are few specific sets of systematised diagnostic criteria available for diagnosing TMD. The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD has been partially translated into Portuguese and had its accuracy and most psychometric properties validated, hence seems the best choice for assessing TMD.

  3. Rationale and study protocol for the supporting children’s outcomes using rewards, exercise and skills (SCORES group randomized controlled trial: A physical activity and fundamental movement skills intervention for primary schools in low-income communities

    Directory of Open Access Journals (Sweden)

    Lubans David R

    2012-06-01

    Full Text Available Abstract Background Many Australian children are insufficiently active to accrue health benefits and physical activity (PA levels are consistently lower among youth of low socio-economic position. PA levels decline dramatically during adolescence and evidence suggests that competency in a range of fundamental movement skills (FMS may serve as a protective factor against this trend. Methods/design The Supporting Children’s Outcomes Using Rewards Exercise and Skills (SCORES intervention is a multi-component PA and FMS intervention for primary schools in low-income communities, which will be evaluated using a group randomized controlled trial. The socio-ecological model provided a framework for the 12-month intervention, which includes the following components: teacher professional learning, student leadership workshops (including leadership accreditation and rewards, e.g., stickers, water bottles, PA policy review, PA equipment packs, parental engagement via newsletters, FMS homework and a parent evening, and community partnerships with local sporting organizations. Outcomes will be assessed at baseline, 6- and 12-months. The primary outcomes are PA (accelerometers, FMS (Test of Gross Motor Development II and cardiorespiratory fitness (multi-stage fitness test. Secondary outcomes include body mass index [using weight (kg/height (m2], perceived competence, physical self-esteem, and resilience. Individual and environmental mediators of behavior change (e.g. social support and enjoyment will also be assessed. The System for Observing Fitness Instruction Time will be used to assess the impact of the intervention on PA within physical education lessons. Statistical analyses will follow intention-to-treat principles and hypothesized mediators of PA behavior change will be explored. Discussion SCORES is an innovative primary school-based PA and FMS intervention designed to support students attending schools in low-income communities to be more skilled

  4. Correlation of signal intensity ratio on orbital MRI-TIRM and clinical activity score as a possible predictor of therapy response in Graves' orbitopathy - a pilot study at 1.5 T

    Energy Technology Data Exchange (ETDEWEB)

    Kirsch, Eberhard C.; Kaim, Achim H. [Hirslanden Clinic Aarau, Neuroradiology and Cranio-Facial-Center Hirslanden, Aarau (Switzerland); Oliveira, Marion Gregorio de [University Eye Clinic Basel, Basel (Switzerland); Arx, Georg von [basedow.ch, Interdiscipinary Centre for Graves' Orbitopathy, Olten (Switzerland)

    2010-02-15

    This study seeks to describe the predictive value of the signal intensity ratio (SIR) in magnetic resonance imaging-turbo inversion recovery magnitude (MRI-TIRM) in patients with Graves' orbitopathy (GO) with regard to predictability of therapy response. Included in this prospective pilot study were 36 consecutive patients with GO and 25 control subjects. Patients were clinically assessed according to the European Group on Graves' Orbitopathy recommendations with active GO defined by a clinical activity score (CAS) {>=} 3. On magnetic resonance (MR) imaging, muscle inflammation was measured with a region of interest set within the brightest extra-ocular muscle both on coronal turbo inversion recovery magnitude (TIRM) and on fat suppressed gadolinium-enhanced T1-weighted sequences. To calculate the SIR, the measured signal intensity was set in proportion to that of the ipsilateral temporalis muscle. Signal intensity ratio in coronal T2-weighted TIRM sequences in either group ranged from 1.22 to 4.92 (mean 2.04) in patients with GO and from 1.18 to 2.4 (mean 1.63) in controls without GO. The observed differences were significant on the TIRM sequences (right eye p = 0.023; left eye p = 0.022), whereas, no significant differences could be detected on the T1-weighted sequences (right eye p = 0.396; left eye p = 0.498). A cut off value of SIR > 2.5 for a CAS {>=} 4 to discriminate active from inactive patients was statistically calculated. T2 relaxation time is a reliable tool in detecting active GO. The difference in T2-SIR versus T1-SIR is helpful to distinguish inflammatory oedema of the extra ocular muscles from intra-orbital congestion due to reduced venous outflow. (orig.)

  5. Instrumentos para la evaluación de la sobrecarga del cuidador familiar de personas con demencia

    Directory of Open Access Journals (Sweden)

    África Martos Martínez

    2015-08-01

    Full Text Available El envejecimiento poblacional en los países desarrollados es una realidad que ha dado paso al aumento de las enfermedades degenerativas, entre ellas la demencia. Los cambios que se producen en la demencia, suponen una perdida funcional que vuelve a la persona afectada más dependiente de los demás para el desempeño de las actividades, por lo que estas pasan a ser una función asumida por el cuidador. El proceso de convertirse en cuidador supone la aparición, en muchos casos de sobrecarga, esto es, la percepción que el cuidador tiene acerca de la influencia que el cuidado tiene sobre su salud, su vida social, personal y económica. La cuantificación del riesgo de agotamiento, debería ser un procedimiento común. Por ello, este estudio pretende realizar una revisión de los instrumentos de evaluación de la sobrecarga del cuidador familiar de la persona con demencia. El método que se siguió fue la recisión sistemática de las bases de datos Lilacs, ProQuest, PsycARTICLES y Dialnet Plus, tras la cual, se pasó a buscar la fuente primaria de los instrumentos utilizados en los estudios hallados. Así, se encontraron 4 instrumentos distintos y 6 versiones de estos. En 34 de los 42 estudios, fue utilizado como instrumento de evaluación de la sobrecarga la escala de Zarit (Zarit Caregiver Burden Interview o una versión o adaptación del mismo. Estos resultados indican que la preferencia por esta escala para la evaluación de la sobrecarga en los cuidadores, es un continuo que no ha variado desde los años 90.

  6. Modelling sequentially scored item responses

    NARCIS (Netherlands)

    Akkermans, W.

    2000-01-01

    The sequential model can be used to describe the variable resulting from a sequential scoring process. In this paper two more item response models are investigated with respect to their suitability for sequential scoring: the partial credit model and the graded response model. The investigation is c

  7. Classification of current scoring functions.

    Science.gov (United States)

    Liu, Jie; Wang, Renxiao

    2015-03-23

    Scoring functions are a class of computational methods widely applied in structure-based drug design for evaluating protein-ligand interactions. Dozens of scoring functions have been published since the early 1990s. In literature, scoring functions are typically classified as force-field-based, empirical, and knowledge-based. This classification scheme has been quoted for more than a decade and is still repeatedly quoted by some recent publications. Unfortunately, it does not reflect the recent progress in this field. Besides, the naming convention used for describing different types of scoring functions has been somewhat jumbled in literature, which could be confusing for newcomers to this field. Here, we express our viewpoint on an up-to-date classification scheme and appropriate naming convention for current scoring functions. We propose that they can be classified into physics-based methods, empirical scoring functions, knowledge-based potentials, and descriptor-based scoring functions. We also outline the major difference and connections between different categories of scoring functions.

  8. The Machine Scoring of Writing

    Science.gov (United States)

    McCurry, Doug

    2010-01-01

    This article provides an introduction to the kind of computer software that is used to score student writing in some high stakes testing programs, and that is being promoted as a teaching and learning tool to schools. It sketches the state of play with machines for the scoring of writing, and describes how these machines work and what they do.…

  9. Skyrocketing Scores: An Urban Legend

    Science.gov (United States)

    Krashen, Stephen

    2005-01-01

    A new urban legend claims, "As a result of the state dropping bilingual education, test scores in California skyrocketed." Krashen disputes this theory, pointing out that other factors offer more logical explanations of California's recent improvements in SAT-9 scores. He discusses research on the effects of California's Proposition 227,…

  10. Quadratic prediction of factor scores

    NARCIS (Netherlands)

    Wansbeek, T

    1999-01-01

    Factor scores are naturally predicted by means of their conditional expectation given the indicators y. Under normality this expectation is linear in y but in general it is an unknown function of y. II is discussed that under nonnormality factor scores can be more precisely predicted by a quadratic

  11. Trends in Classroom Observation Scores

    Science.gov (United States)

    Casabianca, Jodi M.; Lockwood, J. R.; McCaffrey, Daniel F.

    2015-01-01

    Observations and ratings of classroom teaching and interactions collected over time are susceptible to trends in both the quality of instruction and rater behavior. These trends have potential implications for inferences about teaching and for study design. We use scores on the Classroom Assessment Scoring System-Secondary (CLASS-S) protocol from…

  12. D-score: a search engine independent MD-score.

    Science.gov (United States)

    Vaudel, Marc; Breiter, Daniela; Beck, Florian; Rahnenführer, Jörg; Martens, Lennart; Zahedi, René P

    2013-03-01

    While peptides carrying PTMs are routinely identified in gel-free MS, the localization of the PTMs onto the peptide sequences remains challenging. Search engine scores of secondary peptide matches have been used in different approaches in order to infer the quality of site inference, by penalizing the localization whenever the search engine similarly scored two candidate peptides with different site assignments. In the present work, we show how the estimation of posterior error probabilities for peptide candidates allows the estimation of a PTM score called the D-score, for multiple search engine studies. We demonstrate the applicability of this score to three popular search engines: Mascot, OMSSA, and X!Tandem, and evaluate its performance using an already published high resolution data set of synthetic phosphopeptides. For those peptides with phosphorylation site inference uncertainty, the number of spectrum matches with correctly localized phosphorylation increased by up to 25.7% when compared to using Mascot alone, although the actual increase depended on the fragmentation method used. Since this method relies only on search engine scores, it can be readily applied to the scoring of the localization of virtually any modification at no additional experimental or in silico cost.

  13. Clinical validation of the Preterm Oral Feeding Readiness Assessment Scale La validación clínica del Instrumento de Evaluación de la Prontitud de los Prematuros para Iniciación de la Alimentación por Vía Oral Validação clínica do Instrumento de Avaliação da Prontidão do Prematuro para Início da Alimentação Oral

    Directory of Open Access Journals (Sweden)

    Cristina Ide Fujinaga

    2013-02-01

    Full Text Available INTRODUCTION: Health professionals have great difficulties to establish the adequate and safe time to start breast feeding in preterm infants. There is a need to develop a standardized tool to help health professionals to comprehensively evaluate preterm infant readiness to transition preterm infants´ feeding from gastric to oral, and encourage breast feeding practice in neonatal units. Aims: To clinical validate the accuracy of a Preterm Oral Feeding Readiness Assessment Scale with 60 clinically stable preterm infants. METHODS: Global accuracy, sensitivity and specificity of Preterm Oral Feeding Readiness Assessment Scale cut-offs, compared to milk intake through translactation, were estimated through ROC curves (Receiver Operating Characteristic Curves. RESULTS: The global accuracy of Preterm Oral Feeding Readiness Assessment Scale was 74.38%. The highest sensitivity and specificity were obtained for three cut-offs: 28, 29 and 30. Since higher specificity (75.68% for the Preterm Oral Feeding Readiness Assessment Scale was found at a score cut-off=of 30 showed higher specificity (75.68%, it should be used as a cut-off score to select initiate breastfeeding the preterm newborns' oral feeding readiness. CONCLUSION: The Preterm Oral Feeding Readiness Assessment Scale is considered valid to assist health professionals to initiate preterm feeding in view of promoting safe and objective breastfeeding.INTRODUCCIÓN: Profesionales de la salud tienen grandes dificultades para establecer el momento adecuado y seguro para iniciar la lactancia en prematuros. Hay una necesidad de se desarrollar un instrumento para ayudar a estos profesionales en la transición de la alimentación gástrica para oral en prematuros mediante el fomento de la lactancia en las unidades neonatales. Objetivo: Evaluar la precisión de el Instrumento de Evaluación de la Prontitud de los Prematuros para Iniciación de la Alimentación por Vía Oral. MÉTODO: Participaron 60

  14. El uso de instrumentos de evaluación de riesgo de violencia en Argentina y Chile

    Directory of Open Access Journals (Sweden)

    Jay P. Singh

    2013-12-01

    Full Text Available Introducción: En las últimas décadas hubo importantes avances científicos en la sistematización de la evaluación del riesgo de violencia, pero esas contribuciones no se implementan de manera rápida ni uniforme en la práctica latinoamericana. Objetivos: Describir qué instrumentos de evaluación de riesgo de violencia se utilizan en Chile y Argentina, y qué características tiene esa práctica profesional. Material y método: Se realizó una encuesta a través de la web, a profesionales relacionados con la salud mental registrados en listas nacionales e internacionales de 17 países, entre septiembre y diciembre del 2012. En el estudio se informan resultados de 46 respondientes de Chile y Argentina. Resultados: El 78% de los psiquiatras, el 93% de los psicólogos y el 100% de los trabajadores sociales utilizaron instrumentos para ERV; la amplia mayoría los consideró relativamente útiles. Los instrumentos más utilizados fueron HCR-20, PCL-R y PCL-SV.

  15. Los instrumentos de preadhesión (IPA: una puerta abierta de la Unión Europea

    Directory of Open Access Journals (Sweden)

    Walfa Constanza Téllez

    2011-11-01

    Full Text Available El instrumento de preadhesión se ha convertido en el mecanismo jurídico y formal que deben surtir los países interesados en ingresar y ser parte de la Unión Europea (UE. En ese sentido, su existencia y cumplimiento constituyen el paso obligado para que los Estados accedan a la Unión. El abanico de requisitos y condiciones establecidos en este instrumento ponen de manifiesto el interés particular de la UE de evidenciar, en los Estados aspirantes, su ideal de democracia mediante aspectos importantes como el fortalecimiento institucional, el bienestar social, el desarrollo económico, la cooperación transfronteriza, el respeto de los derechos humanos y la consolidación de la participación ciudadana. En este orden de ideas, el presente artículo explica las principales características de este instrumento y reflexiona sobre su efectividad en términos del eje democrático europeo.

  16. Diseño de un instrumento para caracterizar la cultura organizacional de una empresa del Estado

    Directory of Open Access Journals (Sweden)

    Claudia Cecilia Medina Rincón

    2007-12-01

    Full Text Available En el presente artículo la autora expone los resultados de la investigación que buscó proponer un instrumento que permite caracterizar la cultura organizacional de una empresa del sector público; el instrumento diseñado en forma de encuesta considera cuatro categorías para acercarse a la cultura organizacional que son estructura organizacional, clima organizacional, valores y comunicación y consta de 155 preguntas distribuidas de la siguiente manera: 144 preguntas con cuatro posibilidades de respuesta (siempre, periódicamente, muy de vez en cuando, nunca; seis preguntas abiertas para cada una de las variables (excepto comunicación que permiten complementar la información obtenida en las 144 preguntas cerradas y por último se hacen otras cinco preguntas con opción múltiple de respuesta. El estudio se basa en una revisión teórica sobre diferentes planteamientos que existen acerca de la cultura organizacional, las diversas categorías que permiten caracterizarla y las conclusiones a las que se llegó con base en la información obtenida en la aplicación de la prueba piloto del instrumento a 20 funcionarios de la empresa estudiada.

  17. Construcción y validación de un instrumento para medir las competencias ciudadanas en estudiantes universitarios

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    Elizabeth Zambrano Ojeda

    2014-01-01

    Full Text Available El objeto de esta investigación fue construir y validar un instrumento para medir las competencias ciudadanas en estudiantes universitarios. Se hizo la construcción del instrumento tomando como referencia las Pruebas Saber de Competencias Ciudadanas de los años 2003-2005 y los estándares de Competencias Ciudadanas del Ministerio de Educación Nacional (MEN de la República de Colombia. Este instrumento se estructuró en cinco componentes distribuidos en conocimientos (ciudadanos y competencias (comunicativas, emocionales, cognitivas e integradoras. Las competencias se subdividen en: ambientes democráticos, empatía, emociones, pensamiento crítico, consideración de consecuencias, y acciones y actitudes. Se evaluaron tres tipos de validez. Validez de contenido: haciendo uso de la bibliografía relacionada, la valoración de un par académico y las recomendaciones de los expertos en elaboración de cuestionarios; validez de constructo: utilizando el análisis factorial; y la validez de consistencia y confiabilidad: utilizando el método Alfa de Cronbach, el cual arrojó 0.75, un nivel de consistencia interna bueno.

  18. Instrumentos para valorar al paciente con insuficiencia cardíaca avanzada: una revisión de la literatura

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    J. Martín

    2015-12-01

    Full Text Available Una cuarta parte de las personas con insuficiencia cardíaca se encuentran en una etapa avanzada de la enfermedad durante la cual experimentan numerosos síntomas, comunes y angustiantes, que impactan en todas las esferas de la persona. En este contexto, la valoración y el seguimiento clínico de los pacientes se debe realizar de manera frecuente. A través de esta revisión, se pretende identificar cuáles son los instrumentos que se utilizan en la valoración de enfermos con insuficiencia cardíaca avanzada. Para este trabajo se ha considerado instrumento a cualquier tipo de cuestionario, escala, test o prueba funcional, que se utilice para valorar algún aspecto de estos enfermos. Se han identificado 49 herramientas que permiten valorar síntomas, aspectos psicológicos, cognitivos, espirituales y de calidad de vida. La información proporcionada sobre los instrumentos más utilizados y su disponibilidad y aplicabilidad constituye un primer paso para su posible integración en la práctica clínica diaria. De este modo, los profesionales que trabajan con estos enfermos, podrán mejorar la identificación de necesidades específicas, posibilitando el posterior manejo de las mismas y su seguimiento.

  19. COMPORTAMENTOS PROMOTORES DE SAÚDE: PROPRIEDADES PSICOMÉTRICAS DE UM INSTRUMENTO DE AVALIAÇÃO

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    Catarina Cardoso Tomás

    2015-01-01

    Full Text Available Con el objetivo de evaluar las propiedades psicométricas de un instrumento para evaluar los niveles de comportamientos promotores de la salud, así como para conocerlos en una muestra de 1213 adolescentes portugueses en relación a su edad, sexo y años de escolaridad, se realizó este estudio de tipo cuantitativo, descriptivo, correlacional, retrospetivo y transversal. El instrumento tiene buena consistencia interna (Cronbach’s Alpha de 0,889 y correlación razonable entre los elementos (entre -0,009 e 0,788, confirmado por los seis factores definidos por los autores de la escala. Los niveles de comportamientos promotores de la salud en la muestra son buenos (x=3,70, siendo mayor en las niñas que en los niños, y la juventud en detrimento de los jóvenes mayores. Por lo tanto se demuestra la confiabilidad del instrumento en la evaluación de los comportamientos saludables en los adolescentes portugueses y la necesidad de una intervención de salud en esta población.

  20. Adaptación de instrumentos para la evaluación de aspectos organizaciones en ONG's

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    M.ª CELESTE DÁVILA DE LEÓN

    2003-01-01

    Full Text Available En los últimos años se ha evidenciado que las actitudes hacia la organización o hacia la actividad en sí juegan un importante papel en la explicación de la continuidad de los voluntarios en las organizaciones. A pesar de ello, aún no se cuenta con instrumentos de evaluación adecuados que permitan un estudio más exhaustivo de estas actitudes en los voluntarios. En este artículo se presenta la adaptación a este ámbito de algunos instrumentos habitualmente utilizados para estudiar dichas actitudes en personal remunerado. El Organizational Commitment Questionarie (OCQ de Mowday, Steers y Porter, el Job Involvement de Lodahl y Kejner y el Job Diagnostic Survey de Hackman y Oldham adaptados a la población voluntaria se aplicaron a 419 voluntarios que realizaban muy diferentes actividades. El análisis de algunas de las propiedades psicométricas de estos instrumentos muestra que tanto el Organizational Commitment Questionarie como el Job Diagnostic Survey parecen adaptarse bien a las peculiaridades del voluntariado, en cambio, con el Job Involvement se encuentran resultados que permiten cuestionar su validez y adecuación, por lo que será necesario desarrollar más investigaciones para su rechazo o su afirmación definitiva en el estudio del voluntariado.

  1. VALIDACIÓN DE UN INSTRUMENTO PARA MEDIR LA CALIDAD DE SERVICIO EN PROGRAMAS DE ESTUDIOS UNIVERSITARIOSALIMENTICIAS

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    Agustín Mejías Acosta

    2005-01-01

    Full Text Available

    Este artículo reporta los resultados de un estudio para validar un instrumento para medir la calidad de servicio en programas universitarios. Tiene como base, el modelo SERVQUAL, adaptado a la realidad universitaria, y considerando solo las percepciones de la calidad de servicio. Se hace énfasis en la validación del instrumento para futuras aplicaciones. Los resultados indican que la escala obtenida es un instrumento fiable y válido para evaluar la calidad percibida en los servicios prestados en la Escuela de Ingeniería Industrial de la Universidad de Carabobo, y que puedeaplicarse en otros programas de estudios universitarios.

     

  2. VALIDACIÓN DE UN INSTRUMENTO PARA MEDIR LA CALIDAD DE SERVICIO EN PROGRAMAS DE ESTUDIOS UNIVERSITARIOS

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    Agustín Mejías Acosta

    2005-09-01

    Full Text Available

    Este artículo reporta los resultados de un estudio para validar un instrumento para medir la calidad de servicio en programas universitarios. Tiene como base, el modelo SERVQUAL, adaptado a la realidad universitaria, y considerando solo las percepciones de la calidad de servicio. Se hace énfasis en la validación del instrumento para futuras aplicaciones. Los resultados indican que la escala obtenida es un instrumento fiable y válido para evaluar la calidad percibida en los servicios prestados en la Escuela de Ingeniería Industrial de la Universidad de Carabobo, y que puedeaplicarse en otros programas de estudios universitarios.

     

  3. Validez de contenido y validez facial del instrumento "Percepción de comportamientos de cuidado humanizado"

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    NADIA CAROLINA REINA GAMBA

    2008-12-01

    Full Text Available Se presenta la realización de una investigación metodológica que tuvo como objetivo determinar la validez facial y la validez de contenido del instrumento "Percepción de comportamientos de cuidado humanizado de enfermería" de Rivera y Triana, con doce pacientes y/o su cuidador permanente, que estuvieron hospitalizados en la Clínica Country, y con once expertos en el área de investigación en enfermería. Los resultados del proceso de validez a través de las pruebas psicométricas señalan que el instrumento mencionado tiene una validez facial con pacientes alta, con un índice de acuerdo de 0,94, una validez facial con expertos en el área de enfermería, con un índice medio, por un índice de acuerdo de 0,78 y una validez de contenido alta, con un índice de validez de contenido de 0,83. Sin embargo, en el análisis cualitativo de la validez facial y de contenido realizado por los expertos se encontraron diversas observaciones acerca de la operacionalización del concepto de percepción de comportamientos de cuidado humanizado de Enfermería, que llevan a sugerir que el respaldo teórico del instrumento debe ser revisado nuevamente.

  4. Encaje mínimo legal: Su efectividad como instrumento de control monetario en Costa Rica, 1988-1995

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    Ivannia Solano Chacón

    2011-09-01

    Full Text Available En los últimos años la política monetaria en Costa Rica ha descansado fundamentalmente en las Operaciones de Mercado Abierto (OMA y el Encaje Mínimo Legal (EML. Sin embargo, en razón de la naturaleza y magnitud de las pérdidas que enfrenta el BCCR, existe un alto grado de inflexibilidad en el uso de ambos instrumentos.A pesar de que en el plano internacional la tendencia es a reducir o eliminar del todo los requisitos de encaje, este instrumento sigue siendo ampliamente utilizado en Costa Rica. No obstante, con la nueva Ley Orgánica del BCCR (Ley 7558 vigente a partir del 27 de noviembre de 1995 se modifica la aplicación y cobertura del encaje mínimo legal. En efecto, se reducirán las tasas y modo de empleo de tal instrumento, contando el BCCR con 4 años a partir de la aprobación de su nueva Ley Orgánica para reducir el encaje mínimo legal hasta un 15%, porcentaje a ser aplicado a todos los tipos de depósitos. Por otra parte, la cobertura del encaje se extenderá no solo a todas las captaciones del público que impliquen intermediación financiera, tales como: los OPAB, fideicomisos, comisiones de confianza, sino a otros intermediarios que anteriormente no estaban regulados.

  5. Instrument of student assessment based on nursing managerial competences Instrumento de evaluación del alumno con base en las competencias gerenciales del enfermero Instrumento de avaliação do aluno com base nas competências gerenciais do enfermeiro

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    Daisy Maria Rizatto Tronchin

    2008-01-01

    Full Text Available When the students conclude the Curricular Training on Nursing Management discipline from the Professional Guidance Department at USP School of Nursing (EE-USP, they answer a self-assessment which scores from zero to ten the trainee program and a also participates in a group assessment, carried out by the professor and nurses from the units, practice fields. In this process, it was applied an instrument aiming at measuring students performance concerning managerial contents. With the purpose of accompanying students' background development according to the Pedagogical-Political Project by EE-USP, aiming at a meaningful learning that minimizes the theory/practice dichotomy, a new instrument was developed to assess students having nursing managerial competences as baseline. This study aims at describing the experience of building up an instrument for students assessment related to the nursing managerial competences. This paper has the purpose of reporting the following prognosticators: planning, decision-taking, supervision, human resource management, material resource management, information system, interpersonal relationship, responsibility, commitment and case study.Al concluir la disciplina Práctica Curricular de Administración en Enfermería del Departamento de Orientación Profesional de la Escuela de Enfermería de la USP (EE-USP, el alumno realiza una auto-evaluación atribuyendo notas de cero a diez a las prácticas y participa de la evaluación conjunta, realizada por el docente y enfermeros de las unidades, campos de práctica. En este proceso, era empleado un instrumento observando y midiendo el desempeño del alumno a partir de los contenidos de administración. Buscando acompañar la formación del alumno fundamentado en el Proyecto Político Pedagógico de la EE-USP, observando un aprendizaje significativo que minimice la dicotomía teoría/práctica fue elaborado un nuevo instrumento capaz de evaluar las competencias gerenciales

  6. Flexibilidade como Direcionador de Uso dos Instrumentos de Derivativos no Brasil

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    Luiz Alberto Orsi Climeni

    2005-05-01

    Full Text Available Este trabalho buscou investigar a possível influência de fato- res na utlização dos instrumentos de derivativos. Em parti- cular, a pesquisa procurou analisar se percepções sobre sub- tipos de flexibilidade de produto (flexibilidade de cláusulas, flexibilidade de proteção, flexibilidade de estrutura e flexibili- dade de anonimato podem estar associados à freqüência de uso de derivativos. A partir de uma amostra de 102 profissi- onais da área financeira, respondentes de um questionário, foram realizadas análises para testar as hipóteses da pesquisa. Considerando a análise de regressão utilizada, apesar de os resultados não serem significativos do ponto de vista estatís- tico, sugerem que, com relação aos contratos de swaps, a flexibilidade das cláusulas é mais relevante na freqüência de uso. De maneira análoga, para os contratos a termo, a flexibi- lidade de proteção parece constituir fator mais relevante. Com relação aos contratos futuros, as flexibilidades de cláu- sula e de proteção surgem com coeficientes diferentes de zero na regressão dando indícios da influência destes sub-tipos de flexibilidade na freqüência de utilização do derivativo. Final- mente, para os contratos de opções, não se observou relacio- namento adequado entre sub-tipos de flexibilidade de pro- duto e o seu grau de utilização. Uma possível causa pode ser a complexidade destes instrumentos que torna menos freqüente sua utilização, mesmo tendo diversas características de flexibilidade. Dadas as limitações metodológicas do estu- do como, por exemplo, baixo número de observações na amostra e violações dos dados às premissas das técnicas estatísticas, os resultados não podem ser generalizados. Apesar das limitações, a pesquisa abordou o tema sob uma perspectiva, dentro da literatura sobre uso de derivativos, pouco explorada. Outros estudos comumente analisam o porte da empresa, o segmento de atuação, o nível de

  7. Red urbana, instrumento de equidad, cohesión y desarrollo

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    João Ferrão

    1998-03-01

    Full Text Available Este documento busca la definición de orientaciones estratégicas que transformen el sistema urbano portugués en un instrumento eficiente de equidad territorial, cohesión nacional y desarrollo sustentable. El texto se estructura en cuatro partes: En la primera parte se reconoce el "regreso de la ciudad" como factor esencial para la construcción de la actual sociedad cognitiva, hilándose algunas consideraciones sobre la polarización geográfica que inevitablemente se asocia a esta tendencia. En la segunda parte se identifican las principales modificaciones recientes operadas en la morfología de los sistemas urbanos, subrayándose las amenazas y las oportunidades creadas, además del impacto de esas transformaciones sobre el modo como se piensa hoy se debe actuar sobre los sistemas urbanos. En la tercera parte se registran los objetivos que deben ser ambicionados en una óptica de transformación de los sistemas urbanos en tanto que instrumento de desarrollo. Finalmente, en la última parte, se sintetizan los resultados de algunos estudios recientes sobre la red urbana portuguesa y, con base en la comparación de esos resultados con las observaciones efectuadas en los capítulos anteriores, se sugieren las orientaciones que deberían ser tomadas en consideración si se quiere que el título de este texto se transforme en realidadThis document searches for a definition of strategic guidelines that transform the Portuguese urban system into an efficient instrument for territorial equity, national cohesion and sustainable development. The text is made up of four parts. In the first part, the "return of the City" is acknowledged as an essential factor for the construction of the current cognitive society, making some considerations about geographical polarisation which inevitably is associated with this tendency. In the second part, the main modifications that recently have taken place in the morphology of the urban system are identified

  8. Los atlas como instrumentos para la toma de decisiones a nivel regional en salud

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    Miguel González

    2013-01-01

    Full Text Available El objetivo de este documento es exponer la forma en que los llamados Atlas en Salud se han de convertir en instrumentos para el fomento, la democratización y el derecho a la información pública en salud gracias a la aplicación de las nuevas Tecnologías de la Información y la Comunicación. Creemos que al igual que ha sido en épocas anteriores, esta herramienta apoya una toma de decisiones mejor contextualizada y focalizada, no sólo del sector de la salud pública sino también en sectores afines. Con ello se pretende responder a las crecientes peticiones sobre información generadas por varios organismos públicos y privados, pero principalmente, por la Secretaría de Salud de Jalisco, México, la cual es la institución que norma y dirige las decisiones en el ramo. Se trata de vincular, en un sólo espacio comunicativo, datos e información relevantes por medio de una plataforma de acceso a través de Internet. Para ello se está realizando el proyecto titulado Atlas de Salud del Estado de Jalisco, que ha sido financiado por el Consejo Estatal de Ciencia y Tecnología de Jalisco, a través del Centro Universitario de Ciencias Sociales y Humanidades, dependencia de la Universidad de Guadalajara.

  9. PHQ-2 COMO PRIMER INSTRUMENTO DE CRIBADO DE LA DEPRESIÓN PRENATAL

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    María de la Fe Rodríguez-Muñoz

    2017-01-01

    Full Text Available La depresión prenatal es un importante problema de salud pública que apenas recibe tratamiento. La depresión durante este período está asociada con consecuencias negativas tanto para la madre como para el bebé. Por ello, es importante realizar un cribado adecuado en mujeres embarazadas. El objetivo del presente estudio fue conocer la capacidad discriminativa y el punto de corte del cuestionario PHQ-2 como primer instrumento de cribado para identificar la depresión en mujeres embarazadas que viven en España. Método: Participaron voluntariamente 1.019 mujeres, de edad comprendida entre los 19 y los 45 años, que acudieron a revisión obstétrica en el primer trimestre del embarazo. Las participantes completaron un cuestionario sociodemográfico y los cuestionarios PHQ9 y PHQ2. La investigación fue desarrollada en dos hospitales públicos de dos comunidades autónomas diferentes. Se llevó a cabo entre los años 2014 y 2016. Se realizó un análisis con curva ROC para determinar la capacidad discriminativa y el punto de corte del PHQ-2. Resultados: De las 1.019 participantes el 11,1% fueron diagnosticadas de depresión. El área bajo la curva del PHQ2 fue de 0,84 p<0,001. Con el punto de corte de 2 la sensibilidad y especificidad fueron de 85,4% y 79,5% respectivamente. Conclusiones: La puntuación de corte ≥2 es adecuada para la discriminación de la depresión durante el embarazo mediante el cuestionario PHQ2 y podría servir como cribado previo al PHQ-9.

  10. Seguimiento a egresados de contaduria y administracion: instrumento estrategico de la educacion superior

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    Barragan, J. N.

    2004-07-01

    Full Text Available Durante el proceso de vinculación de trabajos de investigación en centros educativos en las áreas de estudio de contaduría y administración, ha sido posible el llegar a constatar que en varios de estos centros educativos, no se da un seguimiento formal y profesional a egresados de las diferentes carreras de contaduría y administración, y las pocas universidades que tiene implementado un sistema de seguimiento a egresados, no le otorgan crédito, ni mucho menos importancia como instrumento de planeación estratégica. Se limitan simplemente a la creación de bancos de datos, comúnmente llamados de “ex alumnos”, cuyo principal objetivo es servir de directorio actualizado para envío de invitaciones a eventos de capacitación y fiestas y celebraciones institucionales. Como se menciona anteriormente, no se ha sabido apreciar por parte de las escuelas de contaduría y administración, la importancia que tiene un programa de seguimiento de egresados, para el desarrollo y soporte de la planeación estratégica de estos centros educativos, y sobre todo me llama la atención, que no se ha sido posible apreciar, la real falta de orientación, o por que no llamarle “tutoría”, que leude requerir un egresado al enfrentarse al campo profesional, además de constituir una invaluable fuente de retroalimentación y medida de evaluación para la institución, sobre el nivel académico de sus egresados, y en consecuencia, monitor del progreso obtenido en su práctica profesional.

  11. Arteterapia: a arte como instrumento no trabalho do Psicólogo

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    Alice Casanova dos Reis

    Full Text Available A arteterapia é um método baseado no uso de várias formas de expressão artística com uma finalidade terapêutica. O presente artigo aborda a arteterapia tendo como objetivo refletir sobre a arte como instrumento de trabalho no campo específico da Psicologia. Apoiando-se na revisão de literatura sobre a temática, o artigo parte de um olhar histórico, examinando o contexto em que a arteterapia surge e seu desenvolvimento no Brasil. A seguir, são analisados os pressupostos fundamentais que norteiam o psicólogo nessa prática, assim como os aspectos conceituais e metodológicos próprios a cada uma das abordagens principais em arteterapia: psicanalítica, junguiana e gestáltica. A reflexão desenvolvida mostra que, apesar das diferentes molduras teóricas, a arteterapia é perpassada por uma concepção estética do humano, visto como um ser criativo, capaz de se transformar em artista da própria vida. Conclui-se, então, que a arte pode ser uma ferramenta valiosa para a atuação do psicólogo nos mais diferentes contextos, vinculada ao seu compromisso ético de contribuir para que o sujeito se (reconstitua como autor da própria história.

  12. Inqueritos populacionais como instrumentos de gestao e os modelos de atencao a saude

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    Flavia Reis de Andrade

    2013-12-01

    Full Text Available O artigo faz uma breve sistematização dos modelos de atenção em saúde, enfatiza o papel do inquérito populacional como instrumento de gestão e analisa o caso específico da Pesquisa Nacional de Saúde Bucal (SBBrasil 2010, ressaltando a sua contribuição no processo de consolidação de modelos de atenção compatíveis com os princípios do Sistema Único de Saúde. Ainda que no plano legal o Sistema Único de Saúde corresponda a um modelo de atenção em saúde, no plano concreto das políticas públicas e das ações, o sistema dá origem a um modelo que resulta não de textos jurídicos nem de formulações teóricas, mas da práxis dos agentes envolvidos. Considerando que a gestão do cotidiano em saúde é um espaço privilegiado e prioritário para a produção e consolidação dos modelos de atenção à saúde, é necessário estimular e apoiar o desenvolvimento de competências técnicas e operacionais diferentes daquelas necessárias à gerência dos cuidados relacionados às demandas individuais.

  13. Controladuría como Instrumento de Gobernanza en el Sector Público

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    Márcia Martins Mendes De Luca

    2013-03-01

    Full Text Available La Controladuría es considerada un instrumento de Gobernanza Corporativa, en la medida en que puede contribuir para la reducción de la asimetría informacional y de conflictos de intereses, derivados de los problemas de agencia entre propietarios y gestores de las organizaciones, por medio de la puesta a disposición de informaciones que posibiliten la evaluación de la entidad y la verificación del alcance de sus objetivos. La transparencia y la accountability son pilares básicos tanto de la Gobernanza Corporativa como de la Controladuría. El Comité del Sector Público (PSC de la Federación Internacional de Contadores (IFAC desarrolló un estudio sobre gobernanza para el contexto público, teniendo en cuenta que los principios de gobernanza deberían estar presentes en las entidades públicas reflejados en cuatro dimensiones, dos de las cuales se refieren al control y a la puesta a disposición de informes externos Federación Internacional de los Contadores [IFAC] (2001. La presente pesquisa tiene como principal objetivo identificar qué informaciones puestas a disposición por la Controladuría General de la Unión (CGU, en su portal electrónico, atienden al tipo y al contenido de las recomendaciones de la IFAC referentes al control y a los informes externos, en tanto dimensiones de gobernanza en el sector público. Por medio de pesquisa bibliográfica y documental, fue constatado que solamente las informaciones referentes a los informes presupuestarios y financieros atienden al tipo y al contenido recomendado por la IFAC. La pesquisa reveló asimismo que informaciones relacionadas a la auditoría interna y a la prestación de cuentas anual del Gobierno contemplan parcialmente el contenido recomendado por la IFAC.

  14. Controladuría como Instrumento de Gobernanza en el Sector Público

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    Mônica Clark Nunes Cavalcante

    2013-01-01

    Full Text Available La Controladuría es considerada un instrumento de Gobernanza Corporativa, en la medida en que puede contribuir para la reducción de la asimetría informacional y de conflictos de intereses, derivados de los problemas de agencia entre propietarios y gestores de las organizaciones, por medio de la puesta a disposición de informaciones que posibiliten la evaluación de la entidad y la verificación del alcance de sus objetivos. La transparencia y la accountability son pilares básicos tanto de la Gobernanza Corporativa como de la Controladuría. El Comité del Sector Público (PSC de la Federación Internacional de Contadores (IFAC desarrolló un estudio sobre gobernanza para el contexto público, teniendo en cuenta que los principios de gobernanza deberían estar presentes en las entidades públicas reflejados en cuatro dimensiones, dos de las cuales se refieren al control y a la puesta a disposición de informes externos Federación Internacional de los Contadores [IFAC] (2001. La presente pesquisa tiene como principal objetivo identificar qué informaciones puestas a disposición por la Controladuría General de la Unión (CGU, en su portal electrónico, atienden al tipo y al contenido de las recomendaciones de la IFAC referentes al control y a los informes externos, en tanto dimensiones de gobernanza en el sector público. Por medio de pesquisa bibliográfica y documental, fue constatado que solamente las informaciones referentes a los informes presupuestarios y financieros atienden al tipo y al contenido recomendado por la IFAC. La pesquisa reveló asimismo que informaciones relacionadas a la auditoría interna y a la prestación de cuentas anual del Gobierno contemplan parcialmente el contenido recomendado por la IFAC.

  15. Instrumento predictor de obesidad en adolescentes en el Policlínico Universitario “Manuel González Díaz”, 2013-2014

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    Carlos Enrique Piña Borrego

    2015-01-01

    Conclusiones: El instrumento permite predecir el riesgo de desarrollo de obesidad en adolescentes con una sensibilidad aceptable y alta especificidad. Su aplicación rutinaria sería interesante en consultas de puericultura.

  16. Construção e validação de instrumento para Avaliação de Estresse em Estudantes de Enfermagem (AEEE Construcción y validación de instrumento para evaluación de estrés en estudiantes de enfermería Construction and validation of an instrument for the assessment of stress among nursing students

    Directory of Open Access Journals (Sweden)

    Ana Lucia Siqueira Costa

    2009-12-01

    Full Text Available O estresse tem sido evidenciado de maneira significativa entre os estudantes de Enfermagem. Este artigo descreve uma pesquisa quantitativa, de desenvolvimento metodológico que teve como objetivo construir e validar um instrumento para avaliar os fatores de estresse em estudantes de enfermagem. A construção dos itens baseou-se no modelo de Pasquali e o referencial teórico de estresse foi o de Lazarus e Folkman. O instrumento ficou composto por 30 itens, agrupados em seis domínios: Realização das atividades práticas; Comunicação profissional; Gerenciamento do tempo; Ambiente; Formação profissional; Atividade teórica. A análise fatorial confirmou o modelo conceitual e os domínios propostos. A consistência interna dos domínios estimada pelo alfa de Cronbach variou de 0,71 a 0,87. Foram criados 4 pontos de corte para os escores de cada domínio. O instrumento poderá ser utilizado para avaliar a intensidade dos fatores de estresse entre os estudantes de enfermagem.El estrés ha sido evidenciado de manera significativa entre los estudiantes de Enfermería. Este artículo describe una investigación cuantitativa, de desenvolvimiento metodológico que tuvo como objetivo construir y validar un instrumento para evaluar los factores de estrés en estudiantes de enfermería. La construcción de los ítems se fundamentó en el modelo de Pasquali y la referencia teórica de estrés fue de Lazarus y Folkman. El instrumento fue compuesto por 30 ítems, agrupados en seis dominios: Realización de las actividades prácticas; Comunicación profesional; Gerenciamiento del tiempo; Ambiente; Formación profesional; Actividad teórica. El análisis factorial confirmó el modelo conceptual y los dominios propuestos. La consistencia interna de los dominios estimada por el alfa de Cronbach varió de 0,71 a 0,87. Fueron creados 4 puntos de corte para los escores de cada dominio. Se concluyó que el instrumento podrá ser utilizado para evaluar la

  17. Obstetrical disseminated intravascular coagulation score.

    Science.gov (United States)

    Kobayashi, Takao

    2014-06-01

    Obstetrical disseminated intravascular coagulation (DIC) is usually a very acute, serious complication of pregnancy. The obstetrical DIC score helps with making a prompt diagnosis and starting treatment early. This DIC score, in which higher scores are given for clinical parameters rather than for laboratory parameters, has three components: (i) the underlying diseases; (ii) the clinical symptoms; and (iii) the laboratory findings (coagulation tests). It is justifiably appropriate to initiate therapy for DIC when the obstetrical DIC score reaches 8 points or more before obtaining the results of coagulation tests. Improvement of blood coagulation tests and clinical symptoms are essential to the efficacy evaluation for treatment after a diagnosis of obstetrical DIC. Therefore, the efficacy evaluation criteria for obstetrical DIC are also defined to enable follow-up of the clinical efficacy of DIC therapy.

  18. What Is the Apgar Score?

    Science.gov (United States)

    ... Development Infections Diseases & Conditions Pregnancy & Baby Nutrition & Fitness Emotions & Behavior School & Family Life First Aid & Safety Doctors & ... 2 being the best score: A ppearance (skin color) P ulse (heart rate) G rimace response (reflexes) ...

  19. From Rasch scores to regression

    DEFF Research Database (Denmark)

    Christensen, Karl Bang

    2006-01-01

    Rasch models provide a framework for measurement and modelling latent variables. Having measured a latent variable in a population a comparison of groups will often be of interest. For this purpose the use of observed raw scores will often be inadequate because these lack interval scale propertie....... This paper compares two approaches to group comparison: linear regression models using estimated person locations as outcome variables and latent regression models based on the distribution of the score....

  20. Commercial Building Energy Asset Score

    Energy Technology Data Exchange (ETDEWEB)

    2017-05-26

    This software (Asset Scoring Tool) is designed to help building owners and managers to gain insight into the as-built efficiency of their buildings. It is a web tool where users can enter their building information and obtain an asset score report. The asset score report consists of modeled building energy use (by end use and by fuel type), building systems (envelope, lighting, heating, cooling, service hot water) evaluations, and recommended energy efficiency measures. The intended users are building owners and operators who have limited knowledge of building energy efficiency. The scoring tool collects minimum building data (~20 data entries) from users and build a full-scale energy model using the inference functionalities from Facility Energy Decision System (FEDS). The scoring tool runs real-time building energy simulation using EnergyPlus and performs life-cycle cost analysis using FEDS. An API is also under development to allow the third-party applications to exchange data with the web service of the scoring tool.

  1. 5种ANCA相关性血管炎活动性评分量表的比较%Comparison of Five Different Disease Activity Scoring Scales for ANCA-associated Vasculitis

    Institute of Scientific and Technical Information of China (English)

    张立民; 吴庆军; 冯胜; 曾小峰

    2010-01-01

    目的 比较5种系统性血管炎活动性评分量表的可靠性及相关性,以指导临床应用.方法 以45例抗中性粒细胞胞浆抗体(anti-neutrophil cytoplasmic autoantibody,ANCA)相关性血管炎(ANCA-associated vasculitis,AAV)患者为研究对象,其中包括韦格纳肉芽肿(wegener's granulomatosis,WG)患者30例和显微镜下多血管炎(microscopic polyangitis,MPA)患者15例.由2名评测者分别根据下述5种目前国际上常用的活动指数评价量表进行计分:伯明翰血管炎活动性评分(the Birmingham Vasculitis Activity Score,BVAS1994),韦格纳肉芽肿专用的BVAS(the BVAS for Wegener granulomatosis,BVAS/WG) ,BVAS2003,疾病累及范围指数(the Disease Extent Index,DEI),5因子评分(the Five Factor Score,FFS).结果 5种评分量表均有很高的重复信度(ICC 0.97~0.98)和评测者间信度(ICC 0.93~0.98).BVAS1994与BVAS2003(rs=0.961)、BVAS/WG(rs =0.872)、及DEI(rs=0.818),BVAS2003与BVAS/WG(rs=0.872)、DEI(rs=0.826),BVAS/WG与DEI(rs=0.776)间有较高的相关性,P值均小于0.001.FFS与其他评分量表之间无相关性.结论 目前AAV活动性评分量表是可靠、有效的.应用不同评分量表所得数据之间可以相互比较.

  2. Instrumentos de avaliação clínica e funcional em cirurgia da coluna vertebral Instrumentos de evaluación clínica y funcional en cirugía de la columna vertebral Instruments of clinical and functional evaluation in spine surgery

    Directory of Open Access Journals (Sweden)

    Asdrubal Falavigna

    2011-01-01

    Full Text Available Alguns dos indivíduos submetidos à cirurgia de coluna vertebral terão desfechos pós-operatório desfavoráveis, independente do êxito técnico. Esse insucesso gera aumento da morbidade e dos custos socioeconômicos. Sabe-se que fatores psicossociais interferem na impressão do sujeito. Com o propósito de identificá-los, tem-se estimulado a busca de preditores prognósticos por meio de instrumentos de triagem. Porém, a eleição do mais adequado pode ser difícil, já que existe um grande número de questionários. Entre os aspectos abordados por eles, podemos citar: incapacidade funcional, qualidade de vida, satisfação, dor, depressão, distúrbios do humor e atividade funcional. O trabalho objetiva revisar as particularidades, indicações e limitações dos instrumentos de avaliação do paciente com doença na coluna vertebral.Algunos individuos, sometidos a la cirugía de columna vertebral, tendrán resultados posoperatorios desfavorables, independientemente del éxito técnico. Esta falla causa aumento de la morbilidad y de los costos socioeconómicos. Se sabe que factores psicosociales interfieren en las impresiones del sujeto. Con la finalidad de identificarlos, se ha estimulado la búsqueda de predictores pronosticadores mediante instrumentos de selección. Sin embargo, elegir el más adecuado puede ser difícil, ya que existe un gran número de cuestionarios. Entre los aspectos abarcados por estos, podemos citar: incapacidad funcional, calidad de vida, satisfacción, dolor, depresión, disturbios del humor y actividad funcional. El trabajo tiene el objetivo de revisar las particularidades, indicaciones y limitaciones de los instrumentos de evaluación del paciente con enfermedad en la columna vertebral.Some individuals submitted to spine surgery will have unfavorable postoperative outcomes, regardless of the success of the technical procedure. This failure leads to an increase in morbidity and socioeconomic costs. Also, it is

  3. Planejamento do parto - instrumento educativo compartilhado com gestantes na UBS Jardim Simus

    Directory of Open Access Journals (Sweden)

    Janie Maria de Almeida

    2015-10-01

    Full Text Available A gravidez é um período de dúvidas e expectativas para a mulher. Estimular a participação materna nesse processo é importante pelos benefícios que traz para ao binômio mãe-filho. O plano de parto, como um instrumento educativo favorece a reflexão sobre os tipos de parto e os procedimentos realizados na internação. Objetivos: incentivar a participação materna para compreender os procedimentos hospitalares, por meio do plano de parto, bem como a percepção materna da assistência ao parto. Metodologia: estudo exploratório descritivo realizado na UBS Jd. Simus, Sorocaba-SP, com gestantes inscritas no pré-natal, a partir de 24 semanas de gestação, maiores de 18 anos e mediante assinatura do TCLE. A coleta de dados consistiu na aplicação de questionário em dois momentos, durante a gestação e no pós-parto, ações educativas foram empregadas durante a elaboração do Plano de Parto. Resultados: Os dados das participantes, 13 gestantes e 12 no pós-parto foram analisados quantitativamente e comparativamente em dois momentos. As mulheres apresentavam ensino médio, idade entre 20 a 30 anos, empregadas com carteira assinada, em união estável com parceiro de nível médio e empregados. A preferência inicial pelo parto normal foi majoritária, o desfecho foi ao contrário do desejado. O parceiro foi o acompanhante de maior escolha e participou em 4 partos. A maioria das parturientes foi submetida à indução com ocitocina/misoprostol, o banho de chuveiro foi o método mais utilizado para alívio da dor e era desconhecido pelas gestantes como método de alivio da dor, a episiotomia foi realizada em um parto. Houve grande adesão à amamentação. Conclusão: Na perspectiva das participantes, a elaboração do plano de parto se mostrou válida e importante, podendo ser um fator de satisfação na parturição.

  4. El portafolio del profesor como instrumento de autoformación

    Directory of Open Access Journals (Sweden)

    Atienza, Encarna

    2009-10-01

    Full Text Available En estas líneas, voy a presentar y describir una herramienta al servicio del profesorado, el portafolio, planteado para la mejora de su competencia docente. A esta herramienta la denominaremos portafolio del profesor, de formación o del docente, indistintamente. Lo cierto es que, desde hace poco menos de una década, en la Universidad española se habla del portafolio como herramienta de formación y evaluación del profesorado. Ante esta nueva realidad emergente, son muchos los interrogantes que abordan al profesor y al investigador: 1. ¿Qué es un portafolio? ¿Qué es el portafolio en educación? ¿Qué es y qué no es el portafolio de formación? 2. ¿Qué fuentes teóricas convergen en el uso de esta herramienta de formación? 3. ¿Qué distingue a los portafolios?, ¿qué diferencia un portafolio de un diario de aprendizaje, por ejemplo? ¿Qué aporta el portafolio docente a la formación de profesores? 4. ¿Cuál es la estructura de un portafolio de formación? 5. Si la clave del portafolio es fomentar la reflexión, ¿qué es reflexionar? ¿Con qué recursos cuenta el profesor para reflexionar? 6. ¿Existen distintos tipos de portafolios? 7. ¿Cuáles son las ventajas como instrumento de formación?, ¿y los inconvenientes? Este artículo pretende dar respuesta sucinta a los interrogantes planteados. Los tres primeros bloques corresponden a la acotación del concepto en sí, a su epistemología. Los cuatro últimos comportan un acercamiento a la estructura de dicha herramienta, hecho que se ilustrará con algunos portafolios de profesores en formación de diferentes instituciones.

  5. INSTRUMENTO PARA EVALUAR EL NIVEL DE SATISFACCIÓN EN LOS USUARIOS DE LOS SERVICIOS ASISTENCIALES

    Directory of Open Access Journals (Sweden)

    Yamilé Amaya Rodríguez

    2009-05-01

    Full Text Available

    El presente trabajo constituye un resultado parcial de la investigación conjunta que se lleva a cabo entre el Centro de Estudios de Técnicas de Dirección (CETDIR y el Hospital Pediátrico Universitario “William Soler”, cuyo objetivo general consiste en proyectar e implantar un proceso de transformación organizacional con un enfoque de Dirección Estratégica Integrada en el Hospital, para contribuir a alcanzar un alto desempeño en términos de satisfacción de las necesidades sociales y eficiencia hacia una medicina de excelencia.

    El instrumento fue aplicado en los Servicios de Urgencias y Cirugía General: las dimensiones de calidad del servicio a las que los usuarios otorgaron mayor importancia fueron seguridad y fiabilidad. Las dimensiones de calidad del servicio en las que los usuarios reportaron menor nivel de satisfacción fueron: elementos tangibles y capacidad de respuesta. El 91.75% de los usuarios en el Servicio de Urgencias y el 98.96% de los usuarios en el Servicio de Cirugía General encuestados, expresaron estar satisfechos de forma general con los servicios recibidos, y esto se debe a que las dimensiones de calidad que los usuarios le atribuyeron mayor importancia coinciden con que son las dimensiones que presentan mayor nivel de satisfacción.

  6. Controladoria como Instrumento de Governança no Setor Público

    Directory of Open Access Journals (Sweden)

    Mônica Clark Nunes Cavalcante

    2013-03-01

    Full Text Available A Controladoria é considerada um instrumento de Governança Corporativa, na medida em que pode contribuir para a redução da assimetria informacional e de conflitos de interesses, decorrentes dos problemas de agência entre proprietários e gestores das organizações, por meio da disponibilização de informações que possibilitem a avaliação da entidade e a verificação do alcance dos seus objetivos. A transparência e a accountability são pilares básicos tanto da Governança Corporativa quanto da Controladoria. O Comitê do Setor Público (PSC da Federação Internacional de Contadores (IFAC desenvolveu estudo sobre governança para o contexto público, levando em conta que os princípios de governança deveriam estar presentes nas entidades públicas refletidos em quatro dimensões, duas das quais se referem ao controle e à disponibilização de relatórios externos Federação Internacional dos Contadores [IFAC] (2001. A presente pesquisa tem como principal objetivo identificar quais informações disponibilizadas pela Controladoria Geral da União (CGU, em seu portal eletrônico, atendem ao tipo e ao conteúdo das recomendações da IFAC referentes ao controle e aos relatórios externos, enquanto dimensões de governança no setor público. Por meio de pesquisa bibliográfica e documental, constatou-se que apenas as informações referentes aos relatórios orçamentários e financeiros atendem ao tipo e ao conteúdo recomendado pela IFAC. A pesquisa revelou ainda que informações relacionadas à auditoria interna e à prestação de contas anual do Governo contemplam parcialmente o conteúdo recomendado pela IFAC.

  7. A Escala de Comportamento Ecológico: desenvolvimento e validação de um instrumento de medida Ecological Behavior Scale: validation of an instrument

    Directory of Open Access Journals (Sweden)

    Claudia Marcia Lyra Pato

    2006-12-01

    Full Text Available O interesse por estudos sobre as relações entre o homem e o meio ambiente tem sido cada vez maior. Entretanto, aqueles dedicados à investigação da complexidade do fenômeno comportamental associado ao meio ambiente são recentes. A inexistência de instrumento para medir o comportamento ecológico adequado à realidade brasileira, que permita a compreensão desse fenômeno em nosso contexto sociocultural, destaca a importância e a necessidade de se construírem instrumentos confiáveis e adequados ao estudo dessa temática no Brasil. Este trabalho descreve a elaboração e a validação da Escala de Comportamento Ecológico (ECE no contexto brasileiro. A amostra consistiu em 234 estudantes de ensino universitário e médio, com média de idade de 20,5 anos, sendo 142 mulheres e 88 homens (4 não indicaram seu gênero. Os resultados apontaram para a multidimensionalidade do comportamento ecológico. Os quatro fatores específicos foram ativismo-consumo, economia de água e de energia, limpeza urbana e reciclagem.Interest in studies about the relationship between human beings and the environment has continuously increased. Nevertheless, studies concerning the investigation of the complexity of behavior phenomenon linked to environment are recent. The lack of instruments to measure ecological behavior in the Brazilian context, in order to understand this phenomenon in the social and cultural framework of the country, highlights the importance and need to establish reliable and suitable instruments for the study of this subject in Brazil. This paper describes the development and validation of the Ecological Behavior Scale (EBS for use within the Brazilian context. The study involved 234 high school and university students (142 female and 88 male and 4 missing; average age equals 20.5. The results point to the multidimensionality of ecological behavior. The four factors found were activism-consume, water and energy saving, urban cleanliness

  8. DESARROLLO DE UN INSTRUMENTO VIRTUAL PARA EL BALANCEAMIENTO DINAMICO DE ROTORES DEVELOPMENT OF A VIRTUAL INSTRUMENT FOR ROTOR DYNAMICS BALANCING

    Directory of Open Access Journals (Sweden)

    Edgar Estupiñán P

    2006-08-01

    Full Text Available El presente trabajo resalta la importancia del balanceamiento de rotores como principal herramienta dentro de las tareas correctivas del mantenimiento predictivo, con el fin de que se reduzcan las vibraciones y sus efectos secundarios en las máquinas rotatorias. Se ha desarrollado un instrumento virtual para el balanceamiento dinámico de rotores, basado en un sistema de adquisición de datos (SAD. El instrumento tiene incluidos todos los cálculos necesarios para balancear rotores en un plano y en dos planos, a partir de la medición de los datos de vibración, utilizando el procedimiento de los coeficientes de influencia o utilizando un procedimiento de medición sin fase. También se ha incluido un módulo para determinar la severidad vibratoria del rotor y un módulo de análisis de vibraciones, que incluye análisis espectral y de la forma de onda. Este instrumento virtual es una herramienta útil para el balanceamiento de rotores en laboratorio así como también en la industria.This article highlights the importance of rotor balancing like the most important corrective action included in a predictive maintenance program, whose main objective is reducing the vibrations level and its secondary effect in rotary machines. A virtual instrument, based in a data acquisition system has been developed for rotor balancing. With this instrument it is possible to balance rotors in a single or two-plane, using the influence coefficient method or a no phase method. Also the instrument includes a function to determine the vibration severity and a function of vibration analysis with spectral and waveform analysis included. This virtual instrument is useful for rotor balancing in the laboratory as well as in the industry.

  9. Influencia de la direccionalidad de los ítem en los resultados de instrumentos de medición

    Directory of Open Access Journals (Sweden)

    Viviana Marycel Céspedes Cuevas

    2014-01-01

    Full Text Available El trabajo ilustra los aspectos principales donde la direccionalidad de los ítems incide en la validez, la objetividad y la confiabilidad de los instrumentos de medición utilizados en educación, psicología y salud. Se trata de un elemento a tomar en cuenta en el diseño del modelo de evaluación, en la definición de las variables, la elaboración del banco de ítems para la construcción del instrumento y la forma de presentar e interpretar los reportes. La direccionalidad no depende solamente de los fundamentos teórico-conceptuales asociados con el modelo de medición y con la propia práctica (educativa o clínica, por ejemplo, sino que está regida por un comportamiento o res - puesta “típica” de las personas que integran la pobla - ción focal en estudio. Se muestra que la codificación de los ítems no debe hacerse en términos de “presencia-ausencia”, sino del crecimiento de la variable de “poco” a “mucho” del rasgo medido en términos de respuesta “típica-atípica”, “apropiada-no apropiada” u otro atributo distintivo de la variable unidimensional que puede representarse en un eje cartesiano. Se aplican los elementos del modelo de direccionalidad a un instrumento diseñado para medir la experiencia de los síntomas de mujeres con Síndrome Coronario Agudo a partir del Modelo Conceptual del Manejo del Síntoma.

  10. Competencia digital en la educación superior: instrumentos de evaluación y nuevos entornos.

    Directory of Open Access Journals (Sweden)

    Francesc Esteve Mon

    2013-12-01

    Full Text Available El rápido avance de la sociedad, la información y el conocimiento exige nuevas habilidades y competencias, así como sugiere nuevos escenarios y entornos de formación. La competencia digital, entendida, no sólo como las habilidades, conocimientos y actitudes hacia con las tecnologías de información y comunicación TIC, sino también por su aplicación efectiva y crítica frente a un propósito determinado configura una de las principales competencias clave del siglo XXI. Sin embargo, los instrumentos existentes para su desarrollo y evaluación no siempre cubren todas las áreas o dimensiones de estas competencias, por lo cual resulta esencial explorar nuevos entornos y estrategias que den respuesta a esta demanda. En el presente artículo, se parte de una definición de competencia digital que engloba diferentes alfabetizaciones para así, analizar la diversidad de instrumentos para su evaluación de las cuales, se mencionan el Inventario de Competencias TIC (Incotic, el Instant Digital Competence Assessment (iDCA, el International Computer Driving License (ICDL, el apartado TIC del Programa Internacional para la Evaluación de Estudiantes (PISA, y el instrumento iSkills Assessment. Finalmente, se describe una experiencia piloto llevada a cabo en una universidad española para el uso de los entornos de simulación 3D en la evaluación de la competencia digital. Una tecnología que permite simular la realidad a través de la acción y evaluar tal competencia mediante el uso y la operatividad de indicadores internacionales como los de National Educational Technology Standards (NETS de la International Society for Technology in Education (ISTE

  11. Regulação emocional: a construção de um instrumento e resultados iniciais Regulación emocional: construcción de un instrumento y resultados preliminares Emotional regulation: the construction of an instrument and preliminary results

    OpenAIRE

    2010-01-01

    Este estudo descreve os passos da construção de um instrumento qualitativo para investigar estratégias de regulação emocional de estudantes brasileiros e relata os resultados iniciais obtidos com a aplicação do instrumento. Participaram 54 alunos de 3ª e 4ª séries de uma escola pública de Campinas. O instrumento é composto por uma entrevista com 24 questões relativas a quatro emoções: tristeza, raiva, medo e alegria, e oito pranchas com figuras de crianças expressando cada emoção investigada....

  12. Desarrollo y validación de un instrumento para la evaluación inicial de enfermeira Desenvolvimento e validação de um instrumento para a avaliação inicial de enfermagem Development and validation of an instrument for initial nursing assessment

    OpenAIRE

    2012-01-01

    Este estudio, desarrollado de abril a julio de 2008, objetiva desarrollar y validar un instrumento para orientar la evaluación de enfermería en parámetros asistenciales y docentes en Santa Cruz, Bolivia. Participaron doce enfermeras bolivianas y se utilizaron el análisis de documentos y técnicas de consenso para definir las categorías y criterios a ser incluidas en el instrumento. Estas categorías son: la evaluación física y los 11 Patrones Funcionales de Salud de Gordon. El instrumento se ca...

  13. UN INSTRUMENTO PARA EVALUAR FACTORES DISPOSICIONALES RELACIONADOS CON LA ADHERENCIA A LA DIETA EN PACIENTES DIABÉTICOS

    OpenAIRE

    María de Lourdes Rodríguez Campuzano; Eugenio Díaz-González Anaya; Juan Carlos García Rodríguez

    2013-01-01

    En el presente estudio se describe la lógica conceptual con la que se elaboró un instrumento para evaluar la importancia atribuida a distintos factores psicoló- gicos en el rompimiento de la dieta hecha por pacientes con diabetes mellitus tipo II. Su creación responde al propósito de encontrar factores disposicionales que interfieren con el apego al régimen en tales pacientes. La adherencia a la dieta es un comportamiento medular para evitar las complicaciones de esta en- fermedad y controlar...

  14. Instrumento para avaliar a implanta????o do programa nacional de controle da dengue no ??mbito municipal

    OpenAIRE

    Pimenta Junior,Fabiano Geraldo

    2005-01-01

    O presente trabalho prop??e um instrumento para avaliar a implanta????o do Programa Nacional de Controle da Dengue - PNCD no ??mbito municipal.A import??ncia da dengue no contexto da sa??de p??blica ?? apresentada, procurando demonstrar a evolu????o da situa????o epidemiol??gica e as diferentes formas que o governo brasileiro organizou as a????es de preven????o e controle.Com o objetivo de fundamentar a proposta s??o discutidos os conceitos de vigil??ncia, monitoramento e avalia????o em sa??d...

  15. Instrumentos de avaliação de leitura em adultos: um estudo psicométrico

    Directory of Open Access Journals (Sweden)

    Natália Martins Dias

    Full Text Available RESUMO Objetivo: investigar as propriedades psicométricas de um teste de desempenho para avaliação de reconhecimento de palavras e de um checklist de autorrelato de dificuldades de leitura/indicadores de dislexia, em uma amostra de adultos. Métodos: foram avaliados 54 sujeitos, idades entre 18 e 57 anos (M=24,16; DP = 7,34, com Ensino Médio completo ou cursando a graduação. As avaliações foram realizadas utilizando o Teste Computadorizado de Competência de Leitura de Palavras para Adultos (TCLP-2 e o questionário de autorrelato Adult Dyslexia Checklist (ADC. Resultados: não foram observadas diferenças de desempenho em função da escolaridade e do gênero. O tempo de resposta foi menor no julgamento dos itens Corretos do TCLP-2 em relação aos itens incorretos (inversão, troca fonológica, erro ortográfico e pseudopalavra homófona. 18,5% dos participantes relataram dificuldades mais severas no ADC. Análise de grupos extremos mostrou que participantes com maiores pontuações/dificuldades no ADC tiveram pior desempenho nos itens Corretos do TCLP-2. Análise fatorial retornou solução com fator único para tipos de itens do TCLP-2. Dados de precisão se mostraram adequados para ambos os instrumentos, com valores de Spearman-Brown e alfa de Cronbach maiores que 0,70. Relações de baixa a moderadas foram observadas entre os dois instrumentos, provendo evidências de validade a ambos. Conclusão: o estudo apresentou dados psicométricos de dois instrumentos para avaliação de leitura em adultos. Ambos mostraram índices satisfatórios de precisão e evidências de validade por relação com outras variáveis. Frente à carência de instrumentos padronizados para avaliação de leitura em adultos no contexto nacional, o estudo estende sua contribuição à futura instrumentalização desta área.

  16. Uso de grupo focal como instrumento de avaliação de programa educacional em saúde

    OpenAIRE

    Cássia Baldini Soares; Diva Reale; Cristina Maria Brites

    2000-01-01

    Este estudo objetiva identificar potencialidades e limitações do grupo focal como instrumento de avaliação através de um estudo de caso no qual o grupo focal foi utilizado para avaliar um treinamento em saúde. Entre as conclusões destacam-se: é possível comparar os resultados dos grupos realizados antes e depois do treinamento se o mesmo grupo for mantido; o grupo focal mostrou-se adequado para desvendar a natureza das deficiências do treinamento porque permitiu analisar a complexidade ineren...

  17. Fuentes manuscritas para la cartografía histórica iberoamericana: Guía de instrumentos descriptivos

    Directory of Open Access Journals (Sweden)

    Hilton, Sylvia L.

    1997-06-01

    Full Text Available Not available.

    Recopilación bibliográfica que recoge 175 referencias de guías, catálogos, inventarios y otros instrumentos descriptivos en los que se localizan y describen fondos cartográficos de interés para el estudio de Iberoamérica y sus regiones de influencia histórica. La información se presenta ordenada según la ubicación original de los fondos descritos en la respectiva bibliografía.

  18. Qualidade de Vida de pacientes hipertensos e comparação entre dois instrumentos de medida de QVRS

    Directory of Open Access Journals (Sweden)

    Michelle Adler Normando Carvalho

    2012-05-01

    Full Text Available FUNDAMENTO: Medir Qualidade de Vida (QV relacionada à saúde auxilia na avaliação da eficiência de um tratamento e identifica problemas de maior impacto na QV do paciente. No entanto, essas medidas são mais seguras se avaliadas por instrumentos genéricos e específicos conjuntamente, fazendo-se necessário verificar se há compatibilidade entre esses e evitar repetições e contradições entre os domínios. OBJETIVO: Descrever o perfil de qualidade de vida de pacientes hipertensos e avaliar a compatibilidade de um instrumento específico (MINICHAL e outro genérico (SF-36. MÉTODOS: Cem pacientes hipertensos adultos em tratamento ambulatorial entrevistados. A média da QVRS medida pelo MINICHAL foi de 6,64 (DP 6,04 no estado mental e média de 5,03 (DP 4,11 no estado manifestações somáticas. As médias para o instrumento SF-36 foram por ordem de classificação: limitação por aspectos físicos 47,3 (DP 42,9, vitalidade 57,4 (DP 19,7, limitação por aspectos emocionais 58 (DP 44,7, capacidade funcional 58,7 (DP 27,8, dor 60,4 (DP 26,3, estado geral de saúde 60,7 (DP 22,7, saúde mental 66,8 (DP 22,1 e aspectos sociais 78 (DP 26,1. RESULTADOS: O MINICHAL apresentou correlação significativa (p < 0,001 com o SF-36 em todos os domínios. CONCLUSÃO: O MINICHAL provou ser um instrumento útil na avaliação da QVRS em pacientes hipertensos. (Arq Bras Cardiol. 2012; [online].ahead print, PP.0-0

  19. El liderazgo de servicio como instrumento fundamental de productividad en las organizaciones universitarias de gestión privada

    OpenAIRE

    Marcos Albarrán; Cira de Pelekais; Rene Aguirre

    2014-01-01

    El propósito de la investigación estuvo centrado en analizar el liderazgo de servicio como instrumento fundamental de productividad en las Organizaciones Universitarias de gestión privada. De tipo analítica - descriptiva - de campo y un diseño no experimental - transeccional - descriptivo. La población estuvo conformada por 37 autoridades de la URU, UJGH y UNICA. La técnica de recolección de datos fue la encuesta mediante la aplicación de un cuestionario, conformado por 36 ítems con 5 alterna...

  20. Construcción de un instrumento para evaluar competencias en situaciones no vinculadas con estrés

    OpenAIRE

    Rodríguez Campuzano, María de Lourdes; Universidad Nacional Autónoma de México

    2014-01-01

    El propósito de este trabajo es presentar las bases para la construcción de un instrumento para evaluar competencias en situaciones objetivamente no vinculadas con estrés, así como la relación entre éstas y la presencia o ausencia de enfermedad. La propuesta se basa en el modelo psicológico de la salud de Ribes y responde a la necesidad de comprender la influencia de diversos factores psicológicos en el estado de salud-enfermedad. Se considera que el modelo predice una relación entre el grado...

  1. As demonstrações financeiras em US GAAP tomadas como instrumento gerencial da CST: um estudo de caso

    OpenAIRE

    2001-01-01

    A finalidade desta pesquisa é avaliar as demonstrações financeiras da CST preparadas de acordo com os princípios contábeis geralmente aceitos nos Estados Unidos, como um instrumento de tomada de decisões, pela administração da CST, ao invés dos demonstrativos preparados de acordo com os princípios contábeis geralmente aceitos no Brasil. Como estudo de caso da CST, os seus relatórios financeiros, incluindo demonstrações financeiras, relatórios de administração, press release,...

  2. Skin scoring in systemic sclerosis

    DEFF Research Database (Denmark)

    Zachariae, Hugh; Bjerring, Peter; Halkier-Sørensen, Lars

    1994-01-01

    Forty-one patients with systemic sclerosis were investigated with a new and simple skin score method measuring the degree of thickening and pliability in seven regions together with area involvement in each region. The highest values were, as expected, found in diffuse cutaneous systemic sclerosis...... (type III SS) and the lowest in limited cutaneous systemic sclerosis (type I SS) with no lesions extending above wrists and ancles. A positive correlation was found to the aminoterminal propeptide of type III procollagen, a serological marker for synthesis of type III collagen. The skin score...

  3. Skin scoring in systemic sclerosis

    DEFF Research Database (Denmark)

    Zachariae, Hugh; Bjerring, Peter; Halkier-Sørensen, Lars

    1994-01-01

    Forty-one patients with systemic sclerosis were investigated with a new and simple skin score method measuring the degree of thickening and pliability in seven regions together with area involvement in each region. The highest values were, as expected, found in diffuse cutaneous systemic sclerosis...... (type III SS) and the lowest in limited cutaneous systemic sclerosis (type I SS) with no lesions extending above wrists and ancles. A positive correlation was found to the aminoterminal propeptide of type III procollagen, a serological marker for synthesis of type III collagen. The skin score...

  4. La resolución de problemas como instrumentos para la modelización matemática:Ejemplos para la vida real

    Directory of Open Access Journals (Sweden)

    Sixto Romero Sánchez

    2015-07-01

    Full Text Available ESPAÑOl: No hace muchos años que los investigadores en Educación Matemática han centrado su atención en el diseño de actividades basado en la modelización matemática de situaciones reales con el convencimiento de obtener una mayor garantía en la ganancia, por parte de nuestros alumnos, del aprendizaje matemático, y por ende en la enseñanza por parte de los enseñantes. El trabajo que presentamos, en el contexto del CURSO DE VERANO-2014-Matemáticas a lo largo de la vida, en las IV Jornadas de Modelización Matemática,  pretende utilizar la Resolución de Problemas (RdP´s como un instrumento útil y necesario para llegar al concepto de Modelización Matemática. INGLÉS: Not many years ago that researchers in mathematics education have focused on designing activities based on mathematical modelling of real situations with the conviction to get a better guarantee on profit, by our students, the mathematical learning, and thus teaching by the teachers. The work presented in the context of the Summer-2014-Mathematics throughout life, in the Fourth Conference on Mathematical Modelling, intends to use the Problem Solving (PS as a useful and necessary tool to reach the concept of Mathematical Modelling.

  5. Steam sterilization of previously-assembled laparoscopic instruments Esterilización por vapor de los instrumentos laparoscópicos previamente armados Esterilização pelo vapor dos instrumentos laparoscópicos previamente montados

    Directory of Open Access Journals (Sweden)

    Tamara Carolina de Camargo

    2008-01-01

    Full Text Available Video-laparoscopy represents one of the greatest surgical advances in the recent past. Reprocessable laparoscopic instruments are complex devices that, if completely disassembled for sterilization, would cause problems for the surgical teams at the moment of their use in the surgery. The method of choice for the sterilization of this equipment is saturated steam under pressure. The goal of this review was to describe the state-of-the-art in the search for safe results in autoclaving the previously-assembled reprocessable laparoscopic instruments, since they are difficult to assemble at the moment of surgery. The PUBMED database was consulted, using controlled and free keywords, as well as their combinations, without time or language restrictions. The study investigating the exact issue of this research found contamination in both assembled (1/24 and disassembled (1/30 instruments, demonstrating equivalent risks. In view of the results and considering the lack of studies, a new experimental laboratory study is recommended, using a contamination challenge.El video-laparoscopía representa uno de los mayores avances en el área de la cirugía en los últimos tiempos. Los instrumentos laparoscópicos reprocesables son artículos complejos, que si son esterilizados totalmente desarmados ocasionan trastornos a los equipos quirúrgicos en el momento de su utilización en el campo operatorio. El método de elección para la esterilización de esos instrumentos es el vapor saturado bajo presión. El objetivo de esta revisión fue describir el estado del arte en búsqueda de los resultados de la seguridad en el autoclavado del instrumental laparoscópico reprocesable, previamente armado, teniendo presente las dificultades de su montaje en el momento de la cirugía. Se consultó la base de datos PUBMED, usando vocablos controlados, libres y la combinación de ambos, sin restricción de tiempo e idioma. Fueron localizados apenas dos artículos que

  6. Construção de instrumento para avaliar a acurácia diagnóstica Construcción de instrumento para evaluar la exactitud diagnóstica Development of an instrument to evaluate diagnosis accuracy

    Directory of Open Access Journals (Sweden)

    Fabiana Gonçalves de Oliveira Azevedo Matos

    2009-12-01

    Full Text Available Diagnósticos acurados são importantes para a escolha adequada de intervenções. Neste artigo relata-se pesquisa metodológica de desenvolvimento de instrumento para estimar a acurácia de diagnósticos de enfermagem a partir de dados escritos da avaliação de paciente. Elaborou-se a definição de acurácia e a construção dos itens que compõem o instrumento, submetendo-os a validação de conteúdo e teste piloto. O instrumento foi denominado Escala de Acurácia de Diagnóstico de Enfermagem - EADE e foi composto por 4 itens: Presença de pistas; Relevância da pista; Especificidade da pista e Coerência da pista. As respostas de 12 enfermeiros especialistas à aplicação da EADE aos diagnósticos de 5 casos escritos permitiram identificar valores para cada item e estimar a validade e confiabilidade da EADE.Diagnósticos precisos son importantes para la elección adecuada de las intervenciones. Este artículo se refiere al desarrollo de herramienta metodológica de investigación para estimar la precisión de los diagnósticos de enfermería apartir de datos escritos de la evaluación de paciente. Se elaboró la definición de la precisión y la construcción de los elementos que componen el instrumento, sometiéndolos a prueba del contenido y el test piloto. El instrumento fue llamado Exactitud Diagnóstica de Enfermería - EADE y estaba compuesto por 4 elementos: Presencia de pistas; Pertinencia de la pista; especificidad de la pista y la coherencia de la pista. Las respuestas de 12 enfermeros especialistas a la aplicación de EADE a los diagnósticos de 5 casos por escrito permitiran identificar los valores para cada tema y estimar la validez y la fiabilidad de EADE.Accurate diagnoses are important for choosing adequate interventions. This study reports on a methodological research that developed an instrument to estimate nursing diagnosis accuracy, based on written data from patients' assessment. A definition of accuracy was

  7. Development of the Crohn's disease digestive damage score, the Lémann score

    DEFF Research Database (Denmark)

    Pariente, Benjamin; Cosnes, Jacques; Danese, Silvio

    2011-01-01

    Crohn's disease (CD) is a chronic progressive destructive disease. Currently available instruments measure disease activity at a specific point in time. An instrument to measure cumulative structural damage to the bowel, which may predict long-term disability, is needed. The aim of this article...... is to outline the methods to develop an instrument that can measure cumulative bowel damage. The project is being conducted by the International Program to develop New Indexes in Crohn's disease (IPNIC) group. This instrument, called the Crohn's Disease Digestive Damage Score (the Lémann score), should take...

  8. Triaje: instrumentos de priorización de las urgencias pediátricas

    Directory of Open Access Journals (Sweden)

    Karla Isis Avilés-Martínez

    2016-02-01

     verosimilitudes positivo 5.2 (OR 92.3; p < 0.001; para SAVE A CHILD sensibilidad de 90%, especificidad de 23% y cociente de verosimilitudes positivo 1.2 (OR 15.2; p < 0.001. Conclusiones: el estudio demostró que el Triángulo de Evaluación Pediátrica, el Sistema de Alerta Temprana y SAVE A CHILD fueron instrumentos útiles para identificar y clasificar la gravedad de una emergencia pediátrica; el mejor resultado se obtuvo cuando se emplearon en conjunto.

  9. ¿Cómo validar un instrumento de medida de la salud? How is an instrument for measuring health to be validated?

    Directory of Open Access Journals (Sweden)

    A. Carvajal

    2011-04-01

    Full Text Available Cada vez es más necesario disponer de instrumentos de medida en el ámbito de la salud que se puedan utilizar en la práctica clínica e investigación. Para garantizar la calidad de su medición es imprescindible que los instrumentos sean sometidos a un proceso de validación. Este proceso consiste en adaptar culturalmente un instrumento al medio donde se quiere administrar y comprobar sus características psicométricas como: fiabilidad, validez, sensibilidad y factibilidad. Hay instrumentos de medida del ámbito de la salud, disponibles en otros idiomas pero sin validar al español. Además la metodología para validar un instrumento es poco conocida por profesionales sanitarios, lo que explica el uso indiscriminado de instrumentos sólo adaptados o validados de manera poco consistente. El objetivo de esta revisión es realizar una puesta al día del proceso de validación de un instrumento de medida de la salud y en qué consiste de manera práctica. La accesibilidad de instrumentos de evaluación adaptados culturalmente y validados en distintos idiomas facilitará comparar resultados obtenidos con el mismo instrumento y desarrollar estudios internacionales en distintas culturas.It is increasingly necessary to have a measuring instrument available in the health field that can be used in clinical practice and research. In order to guarantee the quality of their measurements it is essential that the instruments should be subjected to a process of validation. This process consists in adapting the instrument culturally to the setting where its psychometric characteristics are to be administered and checked, such as: reliability, validity, sensitivity and feasibility. There are measuring instruments from the health field available in other languages but that have not been validated into Spanish. Besides, the methodology for validating an instrument is little understood by the health professionals, which explains the indiscriminate use of

  10. Developing Scoring Algorithms (Earlier Methods)

    Science.gov (United States)

    We developed scoring procedures to convert screener responses to estimates of individual dietary intake for fruits and vegetables, dairy, added sugars, whole grains, fiber, and calcium using the What We Eat in America 24-hour dietary recall data from the 2003-2006 NHANES.

  11. Diseño y validación de un instrumento para evaluar los contenidos conceptuales sobre voleibol en Educación Secundaria Obligatoria

    Directory of Open Access Journals (Sweden)

    Elena Hernández Hernández

    2013-03-01

    Full Text Available El objetivo del presente trabajo fue validar un instrumento para la evaluación de los contenidos a nivel conceptual en la iniciación al voleibol en la etapa de ESO. El instrumento estuvo compuesto por dos cuestionarios: a cuestionarios de evaluación de los contenidos conceptuales para primer curso de ESO, y b cuestionario para evaluar los contenidos conceptuales para tercer curso de ESO. En primer lugar se realizó una validación de contenido a través del acuerdo y consenso de nueve jueces expertos a nivel cualitativo (grado de comprensión, adecuación en la redacción, pertinencia de las preguntas, etc. y cuantitativo (valoración global, escala 0 a 10 del instrumento. En segundo lugar se aplicó el instrumento a una muestra de 96 alumnos, de 1.º y 3.er curso de la ESO. Se calculó la fiabilidad mediante la aplicación de la prueba test-retest. Los resultados indicaron que el instrumento de evaluación de los contenidos a nivel conceptual sobre voleibol dispone de los niveles óptimos de fiabilidad y validez para poder evaluar dichos conocimientos en la etapa de educación secundaria obligatoria.

  12. Re-Scoring the Game’s Score

    DEFF Research Database (Denmark)

    Gasselseder, Hans-Peter

    2014-01-01

    This study explores immersive presence as well as emotional valence and arousal in the context of dynamic and non-dynamic music scores in the 3rd person action-adventure video game genre while also considering relevant personality traits of the player. 60 subjects answered self-report questionnai......This study explores immersive presence as well as emotional valence and arousal in the context of dynamic and non-dynamic music scores in the 3rd person action-adventure video game genre while also considering relevant personality traits of the player. 60 subjects answered self...... that a compatible integration of global and local goals in the ludonarrative contributes to a motivational-emotional reinforcement that can be gained through musical feedback. Shedding light on the implications of music dramaturgy within a semantic ecology paradigm, the perception of varying relational attributes...

  13. Estimating Decision Indices Based on Composite Scores

    Science.gov (United States)

    Knupp, Tawnya Lee

    2009-01-01

    The purpose of this study was to develop an IRT model that would enable the estimation of decision indices based on composite scores. The composite scores, defined as a combination of unidimensional test scores, were either a total raw score or an average scale score. Additionally, estimation methods for the normal and compound multinomial models…

  14. Avaliação formativa em Psicologia: instrumento para análise de material instrucional

    Directory of Open Access Journals (Sweden)

    Fabiana Queiroga

    Full Text Available Livros de texto para o ensino superior muito raramente são objeto de avaliação formativa. Este estudo teve como objetivo desenvolver e validar para o contexto brasileiro um instrumento para a captação de dados de avaliação formativa, visto que no Brasil ainda são escassas as tentativas de aplicação de avaliações dessa natureza. Contou-se com a participação de duas turmas de estudantes da graduação do curso de Psicologia e duas do curso de Administração de uma universidade pública federal. Após ser submetido a uma análise fatorial exploratória, o instrumento apresentou indicadores psicométricos que apontaram evidências de validade de construto, sendo útil para a avaliação de materiais instrucionais. Espera-se que este estudo possa contribuir para o fortalecimento do processo de avaliação formativa de materiais didáticos no contexto brasileiro.

  15. Competências Relacionais de Ajuda nos enfermeiros: validação de um instrumento de medida

    Directory of Open Access Journals (Sweden)

    Rosa Cândida Carvalho Pereira de Melo

    2011-12-01

    Full Text Available Considerando a importância da avaliação das competências relacionais de ajuda nos enfermeiros, torna-se necessário utilizar instrumentos fiáveis e adaptados aos contextos. Assim, o objectivo deste estudo foi avaliar as propriedades psicométricas do Inventário de Competências Relacionais de Ajuda (ICRA, através da realização de estudos de fiabilidade e validade, no sentido de aumentar o grau de confiança ou de exatidão que podemos ter na informação obtida por meio da utilização deste instrumento. O estudo quantitativo foi realizado numa amostra de 690 enfermeiros, que exerciam funções em seis hospitais e oito centros de saúde em Portugal. Os resultados obtidos indicam a existência de uma estrutura multidimensional das competências relacionais de ajuda diferenciando-se em quatro dimensões (competências genéricas, empáticas, de comunicação e de contacto, com correlações positivas entre si. O valor de Alpha Cronbach obtido por dimensão foi superior a .79, revelador de uma boa consistência interna dos itens por fator.

  16. Aplicando instrumentos metodológicos: alimentación en hogares urbanos de S. S. de Jujuy

    Directory of Open Access Journals (Sweden)

    Quintana, Sonia B.

    2005-01-01

    Full Text Available En el marco del proyecto "Auxología humana, nivel socioeconómico familiar y hábitos alimentarios en Jujuy (Argentina" y luego de estimar con técnicas antropométricas el estado nutricional de los alumnos concurrentes a la escuela Nº 430 del Barrio Norte de la capital jujeña, decidimos profundizar la investigación, buscando la interrelación con aspectos socioeconómicos y efectivas prácticas alimentarias. Para cumplir con este objetivo, recurrimos a instrumentos y técnicas de investigación que metodológicamente dieran cuenta de la complejidad del fenómeno. De este modo, se realizaron -en hogares seleccionados- entrevistas semiestructuradas dirigidas principalmente a aspectos sociodemográficos y socioeconómicos, y a continuación se aplicó anamnesis alimentaria a los/as encargados/as de la alimentación familiar. Luego del diseño, se efectuaron dos pruebas piloto, con la correspondiente adecuación de los instrumentos, surgiendo: a la conveniencia de aplicar primero la entrevista para facilitar el diálogo con el informante, y luego la encuesta al permitir repreguntar y corroborar respuestas antes dadas; y b la importancia de tener en cuenta la representación que el informante construye de su interlocutor y el rol que le asigna.

  17. VALIDAÇÃO DE UM INSTRUMENTO DE INVESTIGAÇÃO DE CONHECIMENTO SOBRE O ATENDIMENTO INICIAL AO QUEIMADO

    Directory of Open Access Journals (Sweden)

    Marli Aparecida Joaquim Balan

    2014-01-01

    Full Text Available Investigación de desarrollo metodológico de abordaje cuantitativo, cuyo objetivo fue validar un instrumento sobre atención inicial al quemado dirigido al conocimiento de médicos y enfermeros, utilizando la etapa teórica de Pasquali. Los datos fueron recolectados en junio-agosto de 2008, en dos momentos: análisis aparente y de contenido por 18 jueces; y análisis de la consistencia interna, por la Teoría de Respuesta al Ítem, por 42 profesionales médicos y enfermeros de un hospital escuela. Después del análisis, 35 cuestiones sobre conocimiento general, médico y enfermería presentaron concordancia por encima de 80% en los conceptos. A través del análisis de la consistencia interna, aplicada a las cuestiones de conocimiento general, fueron desechadas tres por no estar correlacionadas al constructo. Las otras siete (70% presentaron baja discriminación de los participantes, grado de dificultad variado y probabilidad de acierto al acaso similares. El instrumento final contiene 32 cuestiones y se encuentra disponible para utilización.

  18. Historia clínica de enfermería: un instrumento de aprendizaje y mucho más

    Directory of Open Access Journals (Sweden)

    Gloria Isabel Hernández-López

    2011-12-01

    Full Text Available Introducción: Éste articulo muestra un documento denominado Historia Clínica de Enfermería (HCE, el cual actúa como instrumento y estrategia de enseñanza- aprendizaje, en la docencia de la práctica clínica para el cuidado disciplinar. Para ello todos los conocimientos teóricos del área, su epistemología y el pensamiento científico se combinan dotándolo de la calidad documental que exige la normatividad de la sociedad moderna. Materiales y Métodos: El artículo de reflexión presenta un documento (HCE que actúa como instrumento de aprendizaje y cuyo objetivo es vincular la teoría académica con la práctica clínica. Es elaborado durante cada día de la rotación en donde se le asigna un paciente al estudiante, se pretende que lo ejecute en un 50% durante el mismo turno y el resto lo realice bajo investigación bibliográfica. Tiene un modelo flexible, diseñado teniendo en cuenta los aportes temáticos de los pedagogos contemporáneos. Es un formato de lista de comprobación que incluye palabras claves y símbolos que hacen el registro manual o electrónico más fácil. Es guiado por el profesor y elaborado por el estudiante, quien empleando conjuntamente las técnicas de la valoración física organiza datos y detecta las necesidades del paciente. El esquema obliga a preguntar ordenadamente, almacenar, recuperar, manejar, codificar hacia el diagnostico de enfermería, investigar y diseñar un plan de cuidados adecuado, también a evaluarlo, desarrollando un pensamiento crítico, y a la vez autorregulado su aprendizaje. El Instrumento (HCE, básicamente, tiene el cabezote institucional, la identificación del paciente, anamnesis, tablas de: signos vitales, de control de líquidos, de los medicamentos recibidos, la ponderación de riesgo. Cuadros para: la valoración cefalo-caudal, de resultados de exámenes, la descripción de la patología, el análisis de situación de cuidado, diagnósticos de enfermería y las notas de

  19. Genetic effect on apgar score

    Directory of Open Access Journals (Sweden)

    Carla Franchi-Pinto

    1999-03-01

    Full Text Available Intraclass correlation coefficients for one- and five-min Apgar scores of 604 twin pairs born at a southeastern Brazilian hospital were calculated, after adjusting these scores for gestational age and sex. The data support a genetic hypothesis only for 1-min Apgar score, probably because it is less affected by the environment than 4 min later, after the newborns have been under the care of a neonatology team. First-born twins exhibited, on average, better clinical conditions than second-born twins. The former showed a significantly lower proportion of Apgar scores under seven than second-born twins, both at 1 min (17.5% vs. 29.8% and at 5 min (7.2% vs. 11.9%. The proportion of children born with "good" Apgar scores was significantly smaller among twins than among 1,522 singletons born at the same hospital. Among the latter, 1- and 5-min Apgar scores under seven were exhibited by 9.2% and 3.4% newborns, respectively.Os coeficientes de correlação intraclasse foram calculados para os índices de Apgar 1 e 5 minutos após o nascimento de 604 pares de gêmeos em uma maternidade do sudeste brasileiro, depois que esses índices foram ajustados para idade gestacional e sexo. Os dados obtidos apoiaram a hipótese genética apenas em relação ao primeiro índice de Apgar, provavelmente porque ele é menos influenciado pelo ambiente do que 4 minutos depois, quando os recém-nascidos já estiveram sob os cuidados de uma equipe de neonatologistas. Os gêmeos nascidos em primeiro lugar apresentaram, em média, melhor estado clínico que os nascidos em segundo lugar, visto que os primeiros mostraram uma proporção de índices de Apgar inferiores a 7 significativamente menor do que os nascidos em segundo lugar, tanto um minuto (17,5% contra 29,8% quanto cinco minutos após o nascimento (7,2% contra 11,9%. A proporção de recém-nascidos com índices de Apgar que indicam bom prognóstico foi significativamente menor nos gêmeos do que em 1.522 conceptos

  20. Validation of the 28-joint Disease Activity Score (DAS28) and European League Against Rheumatism response criteria based on C-reactive protein against disease progression in patients with rheumatoid arthritis, and comparison with the DAS28 based on erythrocyte sedimentation rate.

    NARCIS (Netherlands)

    Wells, G.; Becker, J.C.; Teng, J.; Dougados, M.; Schiff, M.; Smolen, J.; Aletaha, D.; Riel, P.L.C.M. van

    2009-01-01

    OBJECTIVE: To validate and compare the definition of the Disease Activity Score 28 based on C-reactive protein (DAS28 (CRP)) to the definition based on erythrocyte sedimentation rate (ESR). METHODS: Data were analysed from two randomised, double-blind, placebo-controlled trials of abatacept of

  1. Validation of the 28-joint Disease Activity Score (DAS28) and European League Against Rheumatism response criteria based on C-reactive protein against disease progression in patients with rheumatoid arthritis, and comparison with the DAS28 based on erythrocyte sedimentation rate

    NARCIS (Netherlands)

    Wells, G.; Becker, J-C; Teng, J.; Dougados, M.; Schiff, M.; Smolen, J.; Aletaha, D.; van Riel, P. L. C. M.

    2009-01-01

    Objective: To validate and compare the definition of the Disease Activity Score 28 based on C-reactive protein (DAS28 (CRP)) to the definition based on erythrocyte sedimentation rate (ESR). Methods: Data were analysed from two randomised, double-blind, placebo-controlled trials of abatacept of 6-mon

  2. Validation of the 28-joint Disease Activity Score (DAS28) and European League Against Rheumatism response criteria based on C-reactive protein against disease progression in patients with rheumatoid arthritis, and comparison with the DAS28 based on erythrocyte sedimentation rate.

    NARCIS (Netherlands)

    Wells, G.; Becker, J.C.; Teng, J.; Dougados, M.; Schiff, M.; Smolen, J.; Aletaha, D.; Riel, P.L.C.M. van

    2009-01-01

    OBJECTIVE: To validate and compare the definition of the Disease Activity Score 28 based on C-reactive protein (DAS28 (CRP)) to the definition based on erythrocyte sedimentation rate (ESR). METHODS: Data were analysed from two randomised, double-blind, placebo-controlled trials of abatacept of 6-mon

  3. A Comparison of the Diabetes Risk Score in HIV/AIDS Patients on Highly Active Antiretroviral Therapy (HAART and HAART-Naive Patients at the Limbe Regional Hospital, Cameroon.

    Directory of Open Access Journals (Sweden)

    Christian Akem Dimala

    Full Text Available Highly active antiretroviral therapy (HAART has been associated with dysglycaemia. However, there is scarce data on the risk of developing diabetes mellitus (DM in HIV/AIDS patients in Africa.Primarily to quantify and compare the risk of having diabetes mellitus in HIV/AIDS patients on HAART and HAART-naïve patients in Limbe, Cameroon; and secondarily to determine if there is an association between HAART and increased DM risk.A cross-sectional study was conducted at the Limbe Regional Hospital HIV treatment center between April and June 2013, involving 200 HIV/AIDS patients (100 on first-line HAART regimens for at least 12 months matched by age and gender to 100 HAART-naïve patients. The Diabetes Risk Score (DRS was calculated using a clinically validated model based on routinely recorded primary care parameters. A DRS ≥ 7% was considered as indicative of an increased risk of developing DM.The median DRS was significantly higher in patients on HAART (2.30% than in HAART-naïve patients (1.62%, p = 0.002. The prevalence of the increased DM risk (DRS ≥ 7% was significantly higher in patients on HAART, 31% (95% CI: 22.13-41.03 than in HAART-naïve patients, 17% (95% CI: 10.23-25.82, p = 0.020. HAART was significantly associated with an increased DM risk, the odds ratio of the HAART group compared to the HAART-naïve group was 2.19 (95% CI: 1.12-4.30, p = 0.020. However, no association was found after adjusting for BMI-defined overweight, hypertension, age, sex, family history of DM and smoking (Odds ratio = 1.22, 95% CI: 0.42-3.59, p = 0.708. Higher BMI and hypertension accounted for the increased risk of DM in patients on HAART. Also, more than 82% of the participants were receiving or had ever used Zidovudine based HAART regimens.HIV/AIDS patients on HAART could be at a greater risk of having DM than HAART-naïve patients as a result of the effect of HAART on risk factors of DM such as BMI and blood pressure.

  4. Evidências de validade e fidedignidade do instrumento de avaliação neuropsicológica breve neupsilin

    OpenAIRE

    Josiane Pawlowski

    2007-01-01

    A Neuropsicologia estuda a expressão comportamental das disfunções cerebrais, cuja avaliação requer instrumentos válidos, precisos e com dados normativos de grupos clínicos e não-clínicos. Contudo, essa área carece de instrumentos com tais propriedades psicométricas no Brasil. Por essa razão, foi elaborado o Instrumento de Avaliação Neuropsicológica Breve NEUPSILIN, com o objetivo de fornecer um perfil neuropsicológico breve através da avaliação de áreas de competência e déficits nas funções ...

  5. Propiedades psicométricas de un instrumento de las competencias genéricas del egresado de una universidad privada de Cali, Colombia

    Directory of Open Access Journals (Sweden)

    Víctor Hugo Charria Ortiz

    2012-01-01

    Full Text Available El presente estudio tiene como propósito elaborar y validar un instrumento de autopercepción de las competencias genéricas del egresado de una universidad privada de la ciudad de Cali, necesarias para enfrentar las demandas del entorno laboral actual. Se identificaron y se seleccionaron 37 competencias comunes a once carreras de pregrado mediante la revisión de los antecedentes empíricos y teóricos; estas fueron sometidas a validación de contenido por once jueces expertos, y a una prueba piloto con 22 egresados de las carreras de pregrado. Se aplicó a una muestra de 574 egresados pertenecientes a las once carreras, obteniendo un instrumento final con 33 competencias genéricas, con un coeficiente alfa de Cronbach de 0,912 y se aceptan los 33 ítems del instrumento.

  6. Desenvolvimento de um instrumento para avaliação da força labial e modelagem computacional do músculo orbicular da boca

    OpenAIRE

    Tatiana Vargas de Castro Perilo

    2012-01-01

    O músculo orbicular da boca, que constitui os lábios humanos, participa ativamente de funções importantes como a sucção, mastigação, deglutição, fala, respiração e mímica facial. O objetivogeral deste estudo foi desenvolver um instrumento para medição da força dos lábios e como objetivos específicos analisar as características do instrumento bem como da força labial e o desenvolvimento de um modelo computacional do músculo orbicular da boca. Para construção do instrumento foi projetado e conf...

  7. Validation of Walk Score for estimating access to walkable amenities.

    Science.gov (United States)

    Carr, Lucas J; Dunsiger, Shira I; Marcus, Bess H

    2011-11-01

    Proximity to walkable destinations or amenities is thought to influence physical activity behaviour. Previous efforts attempting to calculate neighbourhood walkability have relied on self-report or time-intensive and costly measures. Walk Score is a novel and publicly available website that estimates neighbourhood walkability based on proximity to 13 amenity categories (eg, grocery stores, coffee shops, restaurants, bars, movie theatres, schools, parks, libraries, book stores, fitness centres, drug stores, hardware stores, clothing/music stores). The purpose of this study is to test the validity and reliability of Walk Score for estimating access to objectively measured walkable amenities. Walk Scores of 379 residential/non-residential addresses in Rhode Island were manually calculated. Geographic information systems (GIS) was used to objectively measure 4194 walkable amenities in the 13 Walk Score categories. GIS data were aggregated from publicly available data sources. Sums of amenities within each category were matched to address data, and Pearson correlations were calculated between the category sums and address Walk Scores. Significant correlations were identified between Walk Score and all categories of aggregated walkable destinations within a 1-mile buffer of the 379 residential and non-residential addresses. Test-retest reliability correlation coefficients for a subsample of 100 addresses were 1.0. These results support Walk Score as a reliable and valid measure of estimating access to walkable amenities. Walk Score may be a convenient and inexpensive option for researchers interested in exploring the relationship between access to walkable amenities and health behaviours such as physical activity.

  8. Evaluación in vitro de la fractura de los instrumentos rotatorios Mtwo® y ProTaper®

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    Sandra Bibiana Rodríguez Gutiérrez

    2012-11-01

    Full Text Available Introducción: el éxito del tratamiento endodóntico depende dela eliminación de los microorganismos con la preparación quimiomecánica. Los instrumentos rotatorios de Níquel-Titanio ofrecenuna mayor flexibilidad y eficiencia en el corte, pero la fracturade estos puede ocurrir inesperadamente por fatiga del metal.Objetivo: determinar in vitro el primer instrumento que presentefractura y el número de usos antes de observarla en los sistemasrotatorios Mtwo® y ProTaper®. Metodología: estudio experimentalin vitro con presentación de resultados descriptivos comparativos.Se utilizó un total de 50 instrumentos rotatorios ProTaper® y40 Mtwo® para preparar cubos acrílicos Maillefer® con curvassimuladas registrándose cuál es la primera lima de cada serie quese fracturó y cuántos usos soportó cada juego de limas antes de lafractura. Resultados: el número de usos antes de la fractura paraProTaper® es 3.9 y para Mtwo® es 9.7 La primera lima ProTaper®en fracturarse fue la F1 y para Mtwo® es la 25/.06. Conclusión: laduración de los instrumentos rotatorios de Mtwo® es mayor a losde ProTaper® (p 0.0001. Se observó una incidencia relativamentealta de fractura para el instrumento F1 del sistema ProTaper® a los4 usos y del instrumento 25/.06 para el sistema Mtwo® a los 10 usos,con una baja incidencia de deformación o cambio en la estructuraidentificable macroscópicamente antes de presentarse la falla.

  9. Interpreting force concept inventory scores: Normalized gain and SAT scores

    Directory of Open Access Journals (Sweden)

    Vincent P. Coletta

    2007-05-01

    Full Text Available Preinstruction SAT scores and normalized gains (G on the force concept inventory (FCI were examined for individual students in interactive engagement (IE courses in introductory mechanics at one high school (N=335 and one university (N=292, and strong, positive correlations were found for both populations (r=0.57 and r=0.46, respectively. These correlations are likely due to the importance of cognitive skills and abstract reasoning in learning physics. The larger correlation coefficient for the high school population may be a result of the much shorter time interval between taking the SAT and studying mechanics, because the SAT may provide a more current measure of abilities when high school students begin the study of mechanics than it does for college students, who begin mechanics years after the test is taken. In prior research a strong correlation between FCI G and scores on Lawson’s Classroom Test of Scientific Reasoning for students from the same two schools was observed. Our results suggest that, when interpreting class average normalized FCI gains and comparing different classes, it is important to take into account the variation of students’ cognitive skills, as measured either by the SAT or by Lawson’s test. While Lawson’s test is not commonly given to students in most introductory mechanics courses, SAT scores provide a readily available alternative means of taking account of students’ reasoning abilities. Knowing the students’ cognitive level before instruction also allows one to alter instruction or to use an intervention designed to improve students’ cognitive level.

  10. Interpreting force concept inventory scores: Normalized gain and SAT scores

    Directory of Open Access Journals (Sweden)

    Jeffrey J. Steinert

    2007-05-01

    Full Text Available Preinstruction SAT scores and normalized gains (G on the force concept inventory (FCI were examined for individual students in interactive engagement (IE courses in introductory mechanics at one high school (N=335 and one university (N=292 , and strong, positive correlations were found for both populations ( r=0.57 and r=0.46 , respectively. These correlations are likely due to the importance of cognitive skills and abstract reasoning in learning physics. The larger correlation coefficient for the high school population may be a result of the much shorter time interval between taking the SAT and studying mechanics, because the SAT may provide a more current measure of abilities when high school students begin the study of mechanics than it does for college students, who begin mechanics years after the test is taken. In prior research a strong correlation between FCI G and scores on Lawson’s Classroom Test of Scientific Reasoning for students from the same two schools was observed. Our results suggest that, when interpreting class average normalized FCI gains and comparing different classes, it is important to take into account the variation of students’ cognitive skills, as measured either by the SAT or by Lawson’s test. While Lawson’s test is not commonly given to students in most introductory mechanics courses, SAT scores provide a readily available alternative means of taking account of students’ reasoning abilities. Knowing the students’ cognitive level before instruction also allows one to alter instruction or to use an intervention designed to improve students’ cognitive level.

  11. Desarrollo de IEMAC, un Instrumento para la Evaluación de Modelos de Atención ante la Cronicidad Development of an instrument for the assessment of chronic care models

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    Roberto Nuño-Solinís

    2013-04-01

    Full Text Available Objetivos: Presentar el contexto, los objetivos y el proceso de elaboración de IEMAC, Instrumento de Evaluación de Modelos de Atención ante la Cronicidad, desarrollado para trasladar al terreno operativo los marcos conceptuales del Chronic Care Model (CCM, en el entorno del Sistema Nacional de Salud. Métodos: Mediante técnicas de investigación cualitativa y contando sucesivamente con expertos nacionales de diferentes perfiles, se desarrolló el IEMAC para operativizar el CCM a nuestro contexto sanitario. Se construyó una matriz considerando qué dimensiones básicas debían conformar el nuevo modelo. Se identificaron y categorizaron posibles acciones en cada dimensión, creando una taxonomía de componentes e intervenciones. Se evaluó la claridad, la pertinencia y el nivel de evidencia de cada intervención. El cuestionario resultante fue validado por otros expertos de diversas disciplinas y ámbitos. Finalmente, el instrumento IEMAC 1.0ha sido pilotado a niveles macro, meso y micro. Resultados: IEMAC es un instrumento para ser autoadministrado por organizaciones sanitarias a niveles macro, meso y micro. Consta de 6 dimensiones, 27 componentes y 80 intervenciones, cuya implantación se evalúa en una escala que combina despliegue, evaluación sistemática y orientación a la mejora. IEMAC tiene un enfoque sistémico y poblacional, integrando promoción, prevención y coordinación con servicios sociales. Conclusiones: IEMAC muestra un conjunto de intervenciones que pueden servir de hoja de ruta a decisores, gestores y clínicos interesados en construir un modelo de excelencia para la atención a pacientes crónicos, a la vez que permite que las organizaciones sanitarias conozcan su situación basal y el progreso alcanzado tras intervenciones de mejora.Objective: To present the context, aim and process of designing the Instrument for the Assessment of Chronic Care Models (Instrumento de Evaluación de Modelos de Atención ante la

  12. PLANTAS USADAS POR LOS GUARANÍES DE MISIONES (ARGENTINA PARA LA FABRICACIÓN Y EL ACONDICIONAMIENTO DE INSTRUMENTOS MUSICALES

    Directory of Open Access Journals (Sweden)

    Héctor A. Keller

    2010-01-01

    Full Text Available Se presenta un estudio etnobotánico en el cual se toman en consideración los recursos vegetales que utilizan los guaraníes de la Provincia de Misiones, Argentina, para elaborar los instrumentos musicales que utilizan en sus ceremonias religiosas y otros eventos propios de su cultura. Se describen los instrumentos, se detallan las plantas con las que se confeccionan y sus nombres vulgares. Asimismo, se brinda información sobre su obtención y aplicaciones.

  13. Clasificación Sachs-Hornbostel de instrumentos musicales: una revisión y aplicación desde la perspectiva americana

    OpenAIRE

    Pérez de Arce,José; Gili,Francisca

    2013-01-01

    El sistema de clasificación de instrumentos musicales ideado por Curt Sachs y Erich Moritz von Horbonstel en 1914 es universalmente usado hasta hoy. En este artículo se analizan las razones de esta permanencia y se revisa en general la historia de los distintos criterios usados para clasificar los instrumentos musicales. Igualmente se explica, de acuerdo con nuestra experiencia, el porqué el sistema de Sachs-Hornbostel nos parece el más apropiado para la realidad americana, con énfasis en la ...

  14. Diseño de un instrumento de bajo costo para la calibración de micromanómetros diferenciales

    Directory of Open Access Journals (Sweden)

    Luis Pablo Constantino

    2014-12-01

    Full Text Available Este artículo describe el diseño y construcción de un prototipo de sistema primario basado en el sistema de campana invertida para la calibración de medidores de presión diferencial de rangos bajos. Se discute la construcción del instrumento, se realiza una caracterización dimensional y se efectúa la calibración de un sensor diferencial electrónico, comparando estos resultados con los obtenidos por el Centro Español de Metrología (CEM para el mismo instrumento.

  15. Elaboración de un instrumento de colecta de datos para identificar los diagnósticos de enfermería de la parturiente

    OpenAIRE

    Satie Lúcia Nishimaru Sumita; Ana Cristina Freitas de Vilhena Abrão; Heimar de Fátima Marin

    2005-01-01

    OBJETIVO: Construção de um instrumento de coleta de dados da parturiente. MÉTODOS: as variáveis selecionadas foram os dados sociodemográficos, clínico-obstétricos e diagnósticos de enfermagem. RESULTADOS: O instrumento foi estruturado e organizado com base na Taxonomia II - NANDA. CONSIDERAÇÕES FINAIS: para facilitar o direcionamento da coleta de informações relevantes das pacientes e o manuseio das informações que levam ao julgamento clínico e que servirão como base na formulação do diagnóst...

  16. OS INSTRUMENTOS DE GESTÃO TERRITORIAL DE APOIO AO ECOTURISMO NO PARQUE DO JALAPÃO-TO

    Directory of Open Access Journals (Sweden)

    Maria do Carmo de Lima Bezerra

    2014-03-01

    Full Text Available O trabalho analisa as políticas públicas de proteção ambiental e de promoção do ecoturismo com objetivo de identificar as convergências e divergências entre seus principios e instrumentos  de modo a viabilizar o turismo em unidades  de conservação. Parte da premissa que  a trajetória diferenciada da base conceitual na qual estão  ancoradas as duas politicas pode auxiliar no entendimento das divergências que ocorrem na pr[atica do ecoturismo em unidades de conservação no Brasil, qual seja  os conceitos de preservação e conservação. Estuda o caso do parque estadual do Jalapão no Estado do Tocantins e adota  a análise comparativa como método de trabalho tendo como objeto de análise os Planos de Uso Público do Parque Estadual do Jalapão e Desenvolvimento do Ecoturismo da Região do Jalapão. Como resultado é aprentada uma matriz que classifica princípios e proppsições  dos dois instrumentos de gestão territorial analisados destacando que no nível dos princípios  existe uma certa convergência mas que predominam as divergências na proposição dos instrumentos de gestão. O método utilizado possibilita um diálogo franco entre os atores  envolvidos na  gestão das duas politicas sendo um facilitador da promoção do turismo sustentável não só no caso do Parque do Jalapão mas  em outras Unidades de conservação já que o método utilizado se fundamenta na legislação que embasa as duas políticas públicas no pais.

  17. O USO DE INSTRUMENTOS FINANCEIROS DERIVATIVOS PELAS INSTITUIÇÕES INTERMEDIÁRIAS FINANCEIRAS LISTADAS NA BM&FBOVESPA

    Directory of Open Access Journals (Sweden)

    Tatiane de Oliveira Marques

    2014-06-01

    Full Text Available O presente trabalho teve como objetivo identificar variáveis que influenciam o uso de instrumentos financeiros derivativos pelas instituições intermediárias financeiras do Brasil listadas na BM&FBOVESPA, bem como identificar para qual finalidade estas instituições utilizam os instrumentos financeiros derivativos no período de 2006 a 2011. A coleta dos dados foi realizada por meio de análise de conteúdo nas Notas Explicativas e no Balanço Patrimonial disponíveis no sítio da Bolsa de Valores de São Paulo - BOVESPA, e os dados foram analisados por meio da técnica de regressão para dados em painel, estimados pelo Método Generalizado dos Momentos (GMM de Arellano e Bond (1991. Os resultados demonstraram que as instituições analisadas utilizam derivativos principalmente para o gerenciamento de risco (68%, ou seja, usam derivativos para se proteger de prejuízos que possam ocorrer devido as variações nos preços e taxas do mercado. Quanto aos tipos de derivativos mais utilizados, verificou-se que foram os contratos de opções (56,3%, swap (20% e contratos futuros (19,2%. Já derivativos indexados em taxa de juro (41% e taxa de câmbio (35% apresentam-se em maior proporção. Com base nas análises de regressão pode-se determinar que as variáveis que influenciam positivamente o uso de instrumentos financeiros derivativos estão relacionadas com as próprias variáveis dependentes defasadas em um período, a variável ATIVO e a variável do mercado financeiro TXCÂMBIO. Já em relação à influência negativa, destacaram-se PL, RECEITA e TXJURO.

  18. CEI-UCI: instrumento para evaluar el cuidado de enfermería individualizado de adultos en la UCI

    Directory of Open Access Journals (Sweden)

    Ángela María Henao Castaño

    2015-01-01

    Full Text Available El propósito de este estudio fue diseñar el instrumento Cuidado de Enfermería Individualizado en Unidad de Cuidado Intensivo (CEI-UCI para identificar las intervenciones de cuidado de enfermería individualizado en pacientes con ventilación mecánica invasiva en la UCI. Metodología: Estudio psicométrico, exploratorio-observacional, con n = 156 enfermeras que laboraban en la UCI con pacientes adultos en ventilación mecánica. Se diseñaron un total de 85 ítems para iniciar las pruebas. Para la validez facial se utilizó la V. Aiken por encima de 0,70. Para la validez de contenido se realizó el cálculo de Lawshe Modificado igual o mayor a de 0,58. La validez de constructo se obtuvo por medio del análisis factorial con ocho dominios NANDA. La confiabilidad se reportó con test-retest para los días 1, 2 y 3 de estadía de los pacientes en UCI. Resultados: El CEI-UCI presentó una validez facial con rangos entre 0,75-0,82, con un CVI con rangos entre 0,58-0,90. La validez de constructo se confirmó con una varianza total explicada del 73% para cuatro factores. La confiabilidad por el test-retest entre los tres primeros días de aplicado el instrumento se presentó con un rango de 0,662 a 1,00. Conclusiones: El instrumento CEI-UCI posee 53 ítems y seis dimensiones con validez facial, aparente y consistencia interna. La validez de constructo derivada del análisis factorial de cuatro factores se denominaron Dimensiones, a saber: F1, Protección y seguridad (17 ítems; F2, Interacción fisiológica y social (3 ítems; F3, Roles y conexiones sociales (13 ítems; y F4, Autopercepción y nutrición (11 ítems. Además, hubo dos dimensiones permanentes y centinelas: Perceptual-Cognitivo y el de Confort.

  19. Instrumentos psicológicos utilizados em seleção profissional Psychological instruments of recruiting process

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    Silvia Leite de Godoy

    2005-06-01

    Full Text Available Considerando a importância que os instrumentos de avaliação psicológica possuem nos contextos profissionais do psicólogo, entre os quais as organizações, o presente estudo teve como objetivos: a identificar os instrumentos mais utilizados em seleção profissional; e b identificar as técnicas mais empregadas nos processos seletivos. Participaram como sujeitos desta pesquisa 15 estudantes último anistas do curso de Psicologia de uma instituição de ensino superior particular do interior paulista e 15 psicólogos recrutadores e selecionadores da região de Campinas. O material utilizado se constituiu de um questionário enviado aos profissionais por e-mail e distribuído aos estudantes na universidade. Os resultados mostraram que os instrumentos psicológicos mais utilizados nas seleções foram Wartegg, Atenção Concentrada, Teste de Inteligência Não Verbal G36, Bateria CEPA e Palográfico e as técnicas mais empregadas foram entrevistas individuais, dinâmicas de grupo e testes psicológicos. Sugere-se novos estudos na área como fomento para ações seguras relacionadas à avaliação psicológica.Considering the importance of psychological assessment instruments in professional contexts of the psychologist (in organizations among others, the present study has the purpose of identifying not only the main useful strategies of recruiting people, but also the most innovative practices in the recruiting process. A group of 15 graduate students, in their last year of the Psychology Course at a private university in São Paulo's countryside, and 15 psychologists, who work as recruiters in the city of Campinas, participated in this research. A questionnaire was emailed to professionals and handled out to the university students. The results showed that the Wartegg, Concentrated Attention, Non-Verbal Intelligence Test G36, "Bateria CEPA" and "Palográfico" were the instruments most frequently used in the recruiting process, and the most

  20. INSTRUMENTOS PEDAGÓGICOS INTERATIVOS NO ENSINO DE FISIOLOGIA E NOÇÕES DE SAÚDE PARA JOVENS

    Directory of Open Access Journals (Sweden)

    Ana Maria Caliman Filadelfi

    2015-04-01

    courses at UFPR University. Furthermore, the initiative provided educational materials and training for educators from partner institutions, and collected and analyzed data obtained through a survey on the overall health, housing and sanitation conditions of young people and their neighbors. The themes approached in the classes (e.g., “The human body”, and “Biological Rhythms” were presented by dialogued lectures and several practical activities during which there was a great deal of participation of young people. In the present article such activities are described, as well as their rank of preference among the adolescents. Finally, the data from the survey instrument used to assess health, housing and sanitation conditions are presented, and their relation with the Project activities are discussed. Key words: Education, Practical Learning Activities, Human Body, Adolescents, Citizenship. Herramientas educacionales interactivas para la enseñanza de la Fisiologia y nociones básicas de la salud  para los jóvenes Resumen: El Proyecto "Fisiología en la educación de jóvenes para la ciudadanía" fue dirigido a incrementar la educación cívica de los jóvenes y consiste en la planificación, ejecución y evaluación de clases (prácticas y teóricas, que abarcaran 10 temas, estimulando el auto cuidado y el conocimiento del cuerpo humano. Las clases fueron dictadas en dos instituciones asociadas ubicadas en la ciudad de Curitiba: Centro Sócio Educativo Padre Giocondo y Projeto Abrindo Caminhos. El proyecto contribuyó para: (i ampliar la formación de los estudiantes de Enfermería y Medicina de la Universidade Federal do Paraná; (ii proporcionar materiales educativos y de formación para los educadores de las instituciones asociadas; (iii recoger y analizar datos sobre la salud en general, la vivienda y el saneamiento de los jóvenes y sus vecinos, obtenidos a través de un cuestionario. Los temas de las clases (p. Ej., “El cuerpo humano”, “Los ritmos

  1. Determinación de la confiabilidad del instrumento de efectividad familiar Determinação da confiabilidade do instrumento de efetividade familiar Determining the reliability of the family effectiveness instrument

    Directory of Open Access Journals (Sweden)

    Rosalba Leal Carrillo

    2011-07-01

    Full Text Available Se realizó un estudio cuyos objetivos fueron determinar la confiabilidad de la versión en español del instrumento Escala de Evaluación de la Funcionalidad Familiar, de Marie Luise Friedemann, e identificar la efectividad de la funcionalidad familiar, mediante la aplicación del instrumento en 883 familias de la ciudad de Villavicencio. La metodología incluyó un diseño de tipo descriptivo con abordaje cuantitativo, transversal. La confiabilidad se valoró por el método de fiabilidad de alfa de Cronbach con cada ítem. Entre los resultados se evidenció que los coeficientes intraindividuales del instrumento se encuentran entre 0,691 y 0,742; hubo consistencia interna entre los ítems. En la efectividad de la funcionalidad familiar, la clasificación de las dimensiones y metas de las familias en estudio fue de niveles bajo y medio con los siguientes porcentajes: dimensiones de coherencia, 46%; individuación, 47,5%; mantenimiento, 29%; cambio en el sistema, 52%. Metas de: crecimiento, 49%; control, 52% y espiritualidad, 47%. En conclusión, el 49,3% de las familias se clasificó en niveles bajo e intermedio de efectividad de la funcionalidad familiar, lo cual es coherente con el obtenido en las dimensiones y metas, y refleja deficiente incorporación de conocimientos para adquirir nuevas conductas, problemas en la comunicación efectiva, no compartir experiencias y sentimientos, dificultad para adaptarse a nuevos valores, estilos de vida, ausencia de relaciones con otros sistemas familiares, deficiencias en acciones colectivas, dificultad para incorporar nuevos conocimientos y apropiarse de conductas para transformar la cultura (morfogénesis; lo anterior ocasiona deterioro en la evolución del sistema familiar.Realizou-se um estudo que objetivou determinar a confiabilidade da versão em espanhol do instrumento Escala de Avaliação da Funcionalidade Familiar, de Marie Luise Friedemann, e identificar a efetividade da funcionalidade familiar

  2. Cross-cultural adaptation and validation of the instrument Diabetes - 39 (D-39: brazilian version for type 2 diabetes mellitus patients - stage 1 Adaptación cultural y validación del instrumento Diabetes - 39 (D-39: versión para brasileños con diabetes mellitus tipo 2-fase 1 Adaptação cultural e validação do instrumento Diabetes - 39 (D-39: versão para brasileiros com diabetes mellitus tipo 2 - fase 1

    Directory of Open Access Journals (Sweden)

    Flávia Alline de Queiroz

    2009-10-01

    Full Text Available The study aimed to accomplish a cross-cultural adaptation of the "Diabetes - 39 - D-39" instrument for Brazil, to test the validity of the adapted version in a sample of type 2 diabetes mellitus patients and to describe the participants of the study, according to the scores obtained on the Likert-type scale. The instrument adaptation process followed several steps: instrument translation; achievement of the consensus in Portuguese; evaluation by an expert committee; back-translation; achievement of the consensus in English; comparison of the original and consensus versions in English; semantic analysis and pre-test of the Portuguese version. Results showed that the instrument items, in the first stage of cultural adaptation to Portuguese, presented high internal consistency levels.Este estudio tuvo como objetivos adaptar, culturalmente, para el Brasil el "Diabetes - 39 - D-39", comprobar la validez de la versión adaptada, en una muestra de personas con diabetes mellitus tipo 2, y describir los participantes del estudio, según los puntajes obtenidos por medio de la aplicación de la escala tipo Likert. El proceso de adaptación del instrumento siguió las siguientes etapas: traducción del instrumento, obtención del consenso en portugués, evaluación por un comité de jueces, back-translation, obtención del consenso en inglés, comparación de las versiones originales y consenso en inglés, análisis semántica y prueba piloto de las versiones en portugués. Los resultados mostraron que el instrumento, en su primera fase de adaptación cultural para el portugués, presentó índices elevados de consistencia interna de sus ítems.Este estudo teve como objetivos adaptar, culturalmente, para o Brasil o "Diabetes - 39 - D-39", testar a validade da versão adaptada, em uma amostra de pessoas com diabetes mellitus tipo 2, e descrever os participantes do estudo, segundo os escores obtidos por meio da aplicação da escala tipo Likert. O processo de

  3. Evaluating Damage Potential in Security Risk Scoring Models

    Directory of Open Access Journals (Sweden)

    Eli Weintraub

    2016-05-01

    Full Text Available A Continuous Monitoring System (CMS model is presented, having new improved capabilities. The system is based on the actual real-time configuration of the system. Existing risk scoring models assume damage potential is estimated by systems' owner, thus rejecting the information relying in the technological configuration. The assumption underlying this research is based on users' ability to estimate business impacts relating to systems' external interfaces which they use regularly in their business activities, but are unable to assess business impacts relating to internal technological components. According to the proposed model systems' damage potential is calculated using technical information on systems' components using a directed graph. The graph is incorporated into the Common Vulnerability Scoring Systems' (CVSS algorithm to produce risk scoring measures. Framework presentation includes system design, damage potential scoring algorithm design and an illustration of scoring computations.

  4. Bias Adjusted Precipitation Threat Scores

    Directory of Open Access Journals (Sweden)

    F. Mesinger

    2008-04-01

    Full Text Available Among the wide variety of performance measures available for the assessment of skill of deterministic precipitation forecasts, the equitable threat score (ETS might well be the one used most frequently. It is typically used in conjunction with the bias score. However, apart from its mathematical definition the meaning of the ETS is not clear. It has been pointed out (Mason, 1989; Hamill, 1999 that forecasts with a larger bias tend to have a higher ETS. Even so, the present author has not seen this having been accounted for in any of numerous papers that in recent years have used the ETS along with bias "as a measure of forecast accuracy".

    A method to adjust the threat score (TS or the ETS so as to arrive at their values that correspond to unit bias in order to show the model's or forecaster's accuracy in extit{placing} precipitation has been proposed earlier by the present author (Mesinger and Brill, the so-called dH/dF method. A serious deficiency however has since been noted with the dH/dF method in that the hypothetical function that it arrives at to interpolate or extrapolate the observed value of hits to unit bias can have values of hits greater than forecast when the forecast area tends to zero. Another method is proposed here based on the assumption that the increase in hits per unit increase in false alarms is proportional to the yet unhit area. This new method removes the deficiency of the dH/dF method. Examples of its performance for 12 months of forecasts by three NCEP operational models are given.

  5. El teatro como instrumento pedagógico para el desarrollo de competencias: una experiencia en el campo del management

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    Joaquín Camps

    2010-06-01

    Full Text Available En el mundo empresarial se está imponiendo, dentro de la función de recursos humanos, la gestión por competencias. En el artículo se clarifica el concepto de competencia en la empresa, para a continuación plantear su naturaleza experiencial y, por tanto, la necesidad de su desarrollo a través del aprendizaje vivencial. Se finaliza describiendo una experiencia docente llevada a cabo durante los últimos cinco años en la universitat de València en la que se ha intentado utilizar el teatro como instrumento de aprendizaje vivencial para el desarrollo de competencias ligadas a la Dirección de Empresas.

  6. El ordenamiento territorial y su construcción social en Colombia: ¿un instrumento para el desarrollo sustentable?

    Directory of Open Access Journals (Sweden)

    Hernández Peña Yolanda Teresa

    2010-10-01

    Full Text Available El presente artículo tiene como objetivo principal realizar una reflexión sobre algunos de los aspectos del ordenamiento territorial en Colombia. Establece un análisis sobre los planes de ordenamiento como instrumentos actuales en la construcción de “un orden deseado” y sobre las posibilidades para lograr un modelo de ocupación que permita orientar el territorio hacia un desarrollo sustentable. Para esto se analizan los resultados del proceso realizado hasta el momento y se señalan algunos factores a tener en cuenta con el fin de mejorar las dinámicas que se establecen en los niveles locales y regionales.

  7. El Psicodiagnóstico de Rorschach como instrumento evaluador de grupos: un estudio de 1,200 casos

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    Matilde Ráez de Ramírez

    1986-06-01

    Full Text Available El presente trabajo intenta demostrar la utilidad del Psicodiagnóstico de Rorschach como instrumento que permite evaluar cuantitativamente y cualitativamente aspectos internos de la personalidad de grupos específicos. Para tal efecto se administró la prueba colectivamente a 1,200 sujetos de ambos sexos entre los 19 y 38 años que se encontraban postulando a un instituto superior o una promoción laboral. El análisis de los contenidos permite ubicar semejanzas y diferencias entre los grupos dentro de la normalidad, de acuerdo al sexo, edad y grado de instrucción, siendo este último el que parece identificar mayores diferencias.

  8. A educação ambiental não-formal como instrumento de sensibilização

    OpenAIRE

    Mertz, Harri Gurth

    2004-01-01

    Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro Tecnológico. Programa de Pós-Graduação em Engenharia de Produção. O presente trabalho tem por objetivo avaliar um programa de educação ambiental não-formal desenvolvido na região lindeira ao Lago da Usina Hidrelétrica de Itaipu, também conhecida como Costa Oeste do Estado do Paraná. A principal contribuição desta pesquisa é a demonstração de que esta modalidade educacional é um importante instrumento para sensibilizaçã...

  9. Historia clínica de enfermería: un instrumento de aprendizaje y mucho más

    OpenAIRE

    Gloria Isabel Hernández-López

    2011-01-01

    Introducción: Éste articulo muestra un documento denominado Historia Clínica de Enfermería (HCE), el cual actúa como instrumento y estrategia de enseñanza- aprendizaje, en la docencia de la práctica clínica para el cuidado disciplinar. Para ello todos los conocimientos teóricos del área, su epistemología y el pensamiento científico se combinan dotándolo de la calidad documental que exige la normatividad de la sociedad moderna. Materiales y Métodos: El artículo de reflexión presenta un documen...

  10. Fundo Nacional do Idoso: um instrumento de fortalecimento dos Conselhos e de garantia de direitos da pessoa idosa

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    Alexandre de Oliveira Alcântara

    2013-12-01

    Full Text Available O Fundo Nacional do Idoso, instituído pela Lei Federal n.º 12.213, está sob a jurisdição do Conselho Nacional dos Direitos do Idoso - CNDI, que deve fixar os critérios de sua utilização em Resolução, servindo de parâmetro para os Fundos Municipais, Distrital, e Estaduais. Este artigo relata a experiência e visa a registrar e divulgar como se deu a gestão inaugural deste Fundo que é um potencial instrumento de fortalecimento dos Conselhos e garantia dos direitos de idosos brasileiros. Palavras-chave: Direitos; Fundo Especial; Idoso.

  11. El ordenamiento territorial y su construcción social en Colombia: ¿un instrumento para el desarrollo sustentable?

    Directory of Open Access Journals (Sweden)

    Yolanda Teresa Hernández Peña

    2010-01-01

    Full Text Available El presente artículo tiene como objetivo principal realizar una reflexión sobre algunos de los aspectos del ordenamiento territorial en Colombia. Establece un análisis sobre los planes de ordenamiento como instrumentos actuales en la construcción de "un orden deseado" y sobre las posibilidades para lograr un modelo de ocupación que permita orientar el territorio hacia un desarrollo sustentable. Para esto se analizan los resultados del proceso realizado hasta el momento y se señalan algunos factores a tener en cuenta con el fin de mejorar las dinámicas que se establecen en los niveles locales y regionales.

  12. O direito penal tributário e os instrumentos de política criminal fiscal

    OpenAIRE

    Thadeu José Piragibe Afonso

    2011-01-01

    O objetivo do presente trabalho consiste na análise crítica dos efeitos da política criminal fiscal brasileira sobre a proteção do bem jurídico protegido pelo Direito Penal Tributário, investigando se instrumentos de política criminal fiscal auxiliam na proteção do bem jurídico tutelado pelo Direito Penal Tributário. Para tanto, primeiramente, será analisada a criminalidade econômica, bem como os institutos básicos dos delitos tributários. Posteriormente, estudar-se-á o bem jurídico tutelado ...

  13. Evaluación ambiental estratégica: Instrumento para la planificación territorial urbana

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    Mabel Ximena Molina Urra

    2015-03-01

    Full Text Available El presente estudio tiene por finalidad relevar la Evaluación Ambiental Estratégica (EAE como una herramienta útil para la generación de los Instrumentos de Planificación Territorial en la Región de La Araucanía. Se identificaron y caracterizaron los distintos niveles de planificación urbana, según lo establecido por la Ley General de Urbanismo y Construcciones; contrastando el ingreso de estos al Sistema de Evaluación de Impacto Ambiental (SEIA definido en la Ley 19.300 de Bases del Medio Ambiente y su posterior modificación a través de la Ley 20.417. Para contrastar ambos procedimientos se desarrolló un proceso exploratorio descriptivo, utilizando tanto fuentes primarias, a través de la aplicación de entrevistas a actores claves como secundarios.

  14. Perfiles de involucramiento del consumidor y el instrumento de medición para consumidores mexicanos "IP6"

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    Jorge Vera Martínez

    2003-01-01

    Full Text Available Este escrito pretende esencialmente dos propósitos. En primer lugar se trata de presentar una visión general sobre el involucramiento del consumidor en el proceso de compra como una línea de investigación dentro de la mercadotecnia y el comportamiento de consumo. Además, se introduce al concepto del involucramiento en un sentido multifacético, al que se ha llamado “perfiles de involucramiento”, dependiente de diferentes factores que afectan a un consumidor cuando está en una situación de elección de compra; de igual forma se presenta una revisión de los diferentes modelos e instrumentos de medición que se han ofrecido para medir el involucramiento en este sentido multivariable. Son propuestas de operacionalización del involucramiento que se han diseñado en otros países y en idiomas distintos al español. El segundo objetivo, y más importante, radica en presentar los resultados sobre el diseño de un instrumento de medición basado en esta visión multifacética del involucramiento y en los inventarios desarrollados anteriormente en otros países; también se intenta ofrecer un instrumento que mida “los perfiles de involucramiento del consumidor en la elección de compra de un producto” en idioma español y aplicable en México. Para esto se diseñan, confiabilizan y validan (al menos de forma inicial una serie de reactivos en consumidores mexicanos que pretenden medir las distintas variables relacionadas con esta concepción del involucramiento. Este enfoque y su instrumento de medición pretende ser nombrado como el “IP6” (modelo de involucramiento de 6 perfiles. Asimismo, se obtienen 6 conjuntos de 3 reactivos cada uno con indicadores aceptables de confiabilidad y validez para medir cada perfil de involucramiento pretendido: “interés hacia el producto”, “placer percibido en su compra”, “valor simbólico que representa”, “importancia del riesgo al elegirlo”, “probabilidad percibida de ese riesgo” e

  15. The HEART score for chest pain patients

    NARCIS (Netherlands)

    Backus, B.E.

    2012-01-01

    The HEART score was developed to improve risk stratification in chest pain patients in the emergency department (ED). This thesis describes series of validation studies of the HEART score and sub studies for individual elements of the score. The predictive value of the HEART score for the occurrence

  16. Scoring and Standard Setting with Standardized Patients.

    Science.gov (United States)

    Norcini, John J.; And Others

    1993-01-01

    The continuous method of scoring a performance test composed of standardized patients was compared with a derivative method that assigned each of the 131 examinees (medical residents) a dichotomous score, and use of Angoff's method with these scoring methods was studied. Both methods produce reasonable means and distributions of scores. (SLD)

  17. Instrumentos científicos antiguos en el Instituto San Isidro. Recuperación y contextualización

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    González de la Lastra, Leonor

    2011-06-01

    Full Text Available This paper presents the results of the labours undertaken in the Instituto San Isidro regarding the conservation, documentation and contextualization of the XIXth century scientific instruments that still belong to this institution. In order to achieve an historical understanding of the collection, the attention is focused on the political and educational decisions taken by the Spanish authorities in the period considered. Besides, particular attention is paid to technological pieces, which in general were used, as in other countries, to illustrate the “applied side” of physics.

    En el presente artículo se tratan las tareas de recuperación y documentación del material científico antiguo existente en el actual instituto San Isidro de Madrid tras el traslado en 1985 de una parte importante al Museo Nacional de Ciencia y Tecnología. Para contextualizar dicha colección, destinada en su mayoría a la enseñanza de la Física en el s. XIX, se estudia su creación y desarrollo, relacionándolos con la historia del centro, así como con los acontecimientos políticos y educativos que condicionaron sus características. Asimismo, se señala la presencia en esta colección de instrumentos tecnológicos, tema insuficientemente tratado en los trabajos disponibles, vinculados a las enseñanzas de Física. A la hora de describir las tareas destinadas a recuperar los instrumentos científicos mencionados se describe tanto la metodología seguida como los resultados, ejemplificados en la documentación de dos piezas representativas, una de Física y otra de carácter tecnológico.

  18. Direito Internacional Privado: o diálogo como instrumento de efetivação dos Direitos Humanos

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    Gisele Cittadino

    2012-07-01

    Full Text Available The Private international law, having as the axiological axis the man, is one of the most important tools of legal science in the recognition and preservation of dignity and human rights. The intercultural dialogue, in turn, is an instrument used by private international law as a way to find a common denominator between the rights of different peoples from different cultures. The standardization and codification of Private International Law, through the composition of large spaces of debate and negotiation, as the Permanent Convention Hague, allow respect for cultural and social differences. Consequently, during the construction of the best law to be applied or even the substantive law adopted by the Convention, it’s built a solid and legitimate set of rules that provides promotion to the individual.Resumo: O Direito Internacional Privado, tendo como eixo axiológico o homem, é um dos mais importantes instrumentos da ciência jurídica no reconhecimento e preservação da dignidade e dos direitos humanos. O dialogo intercultural, por sua vez, é instrumento utilizado pelo Direito Internacional Privado como forma de encontrar um denominador comum entre os direitos dos mais diversos povos das mais diversas culturas. A uniformização e a codificação do Direito Internacional Privado, por meio da composição de grandes ambientes de debates e negociação, como a Convenção Permanente da Haia, possibilitam o respeito às diferenças culturais e sociais. Consequentemente, no momento da construção da melhor lei a ser aplicada ou até mesmo da lei material adotada pela Convenção, constrói-se um conjunto normativo sólido e legítimo que fornece ao indivíduo sua promoção.

  19. ¿Qué evalúan los instrumentos de evaluación?. Valoraciones de estudiantes

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    Porto Currás, Mónica

    2013-04-01

    Full Text Available The instruments used for information gathering provide the information to assess whether students have achieved the competences set out in the training plan. Therefore, knowing how they understand and describe the capabilities and skills they are demonstrating is useful information to be considered at times of change and curriculum restructuring. In this paper we describe the results of study in which students describe what is involved in each of the assessment techniques they have undergone during their undergraduate studies and what skills were used in each case. With this information, we have tried to organise the types of tools to collect information with skills developed from the perceptions of students, presenting a continuum of cognitive abilities.Los instrumentos empleados para la recogida de información aportan la información para evaluar si se han logrado las competencias previstas en un plan formativo. Por ello, conocer cómo entienden y describen los estudiantes las capacidades y destrezas que están demostrando en ellos, es una información a tener en cuenta en momentos de cambio y reestructuraciones de los planes de estudio. En este artículo mostramos los resultados obtenidos en una investigación, en la que los estudiantes describen qué implica cada una de las técnicas de evaluación que han realizado a lo largo de sus estudios de licenciatura y qué destrezas debían emplear en cada una de ellas. Con la información recogida, hemos intentado organizar las tipologías de instrumentos de recogida de información con las capacidades desarrolladas desde las percepciones de los estudiantes, presentando un continuo de habilidades cognitivas.

  20. INSTRUMENTOS CLAVES DE LA GESTIÓN ESCOLAR. EL CASO DE LA SUBVENCIÓN ESCOLAR PREFERENCIAL DE CHILE

    Directory of Open Access Journals (Sweden)

    Fabian Castro Valle

    2016-01-01

    Full Text Available El objetivo general de este artículo es mostrar los resultados de una investigaciónrealizada entre los años 2013 y 2014 en cuatro escuelas de educación básica de dependencia municipal, en la comuna de Recoleta, Región Metropolitana de Santiago de Chile. El estudio tuvo un enfoque cualitativo, con un alcance exploratorio y descriptivo, fundamentado a partir de un diseño de estudio de caso. Se analiza la relación entre el Proyecto Educativo Institucional (PEI y el Plan de Mejoramiento Educativo (PME en estas escuelas, para determinar la coherencia entre ambos instrumentos de gestión e identificar los contenidos del PEI que requieren ser ajustados sobre la base del PME. Los resultados de la investigación muestran que: i los PEI de las escuelas presentan estructuras e identidades distintas y los PME tienen una sola lógica de elaboración con propósitos similares; ii en las cuatro escuelas se detectó que los integrantes de la comunidad educativa tienen una participación diferenciada en los procesos de elaboración, difusión, implementación y evaluación del PEI y PME; iii con respecto al grado de coherencia entre PEI y PME, se detectó que, tres escuelas presentan una coherencia mediana y la restante una alta coherencia referida a la relación explícita entre PEI y PME ; iv los contenidos del PEI de una de las escuelas no requiere ajuste, mientras que aquellos de las otras tres escuelas requieren un mediano nivel de ajuste. Destacando la relevancia de la coherencia en los instrumentos de gestión y el reconocimiento de factores identitarios para las escuelas.

  1. Turismo como instrumento de desarrollo: Una visión alternativa desde factores humanos, sociales e institucionales

    Directory of Open Access Journals (Sweden)

    Ana Isabel Muñoz Mazón

    2012-01-01

    Full Text Available Se da un tácito consenso asumiendo que la actividad turística es un instrumento efi caz y efi ciente de desarrollo económico y social. Sin embargo, a pesar de las frecuentes declaraciones de índole política a tal respecto, es notoria la falta de un marco teórico-práctico de turismo para el desarrollo. Muchas cuestiones clave necesitan un análisis más profundo: (i qué entendemos como desarrollo a estos efectos; (ii cuál es la contribución del turismo a ese desarrollo; y (iii qué formulación y alcance deben tener las políticas turísticas y su gobernanza para que el turismo sea realmente un instrumento de desarrollo. En este artículo se expone un breve análisis-respuesta a estas cuestiones. A la vista de los paradigmas de desarrollo de las últimas décadas (modernización, neoliberalismo, dependencia, y sostenibilidad, se consideran propuestas apoyadas en la Nueva Economía Institucional y la Teoría del Capital Social, y posibles contenidos de la política y gobernanza del turismo vis-à-vis el desarrollo. Se presentan también a este respecto los resultados de la consulta, realizada en 2011, a 60 expertos de 15 países, en los ámbitos académico, profesional y político.

  2. INECO frontal screening: um instrumento para avaliar as funções executivas na depressão

    Directory of Open Access Journals (Sweden)

    Daniela Nunes

    2014-12-01

    Full Text Available O comprometimento das funções executivas constitui um dos défices mais robustos na perturbação depressiva. Contudo, poucos instrumentos têm sido concebidos para avaliar de forma breve e específica as funções executivas na depressão. Este estudo objetiva avaliar as funções executivas em doentes com depressão, analisar a relação existente entre a gravidade da depressão e o desempenho do funcionamento executivo, e verificar a sensibilidade e especificidade do INECO Frontal Screening (IFS comparativamente com a Behavioural Assessment of Dysexecutive Syndrome (BADS na avaliação das funções executivas em doentes com depressão. 50 participantes com depressão (Média idades = 43.46, DP = 10.71 e 35 participantes pertencentes ao grupo de controlo (Média idades = 40.91, DP = 10.46, de ambos os géneros, foram avaliados através do IFS e da BADS. Os participantes com depressão apresentaram um funcionamento executivo deficitário comparativamente ao grupo de controlo tanto no IFS como na BADS e o aumento da gravidade da depressão fez-se acompanhar por um maior comprometimento do funcionamento executivo. O IFS demonstrou-se tão sensível e específico quanto a BADS na deteção da disfunção executiva em doentes com depressão. Este estudo sugere que o IFS é um instrumento breve, sensível e específico para avaliar as funções executivas na depressão.

  3. Score lists in multipartite hypertournaments

    CERN Document Server

    Pirzada, Shariefuddin; Iványi, Antal

    2010-01-01

    Given non-negative integers $n_{i}$ and $\\alpha_{i}$ with $0 \\leq \\alpha_{i} \\leq n_i$ $(i=1,2,...,k)$, an $[\\alpha_{1},\\alpha_{2},...,\\alpha_{k}]$-$k$-partite hypertournament on $\\sum_{1}^{k}n_{i}$ vertices is a $(k+1)$-tuple $(U_{1},U_{2},...,U_{k},E)$, where $U_{i}$ are $k$ vertex sets with $|U_{i}|=n_{i}$, and $E$ is a set of $\\sum_{1}^{k}\\alpha_{i}$-tuples of vertices, called arcs, with exactly $\\alpha_{i}$ vertices from $U_{i}$, such that any $\\sum_{1}^{k}\\alpha_{i}$ subset $\\cup_{1}^{k}U_{i}^{\\prime}$ of $\\cup_{1}^{k}U_{i}$, $E$ contains exactly one of the $(\\sum_{1}^{k} \\alpha_{i})!$ $\\sum_{1}^{k}\\alpha_{i}$-tuples whose entries belong to $\\cup_{1}^{k}U_{i}^{\\prime}$. We obtain necessary and sufficient conditions for $k$ lists of non-negative integers in non-decreasing order to be the losing score lists and to be the score lists of some $k$-partite hypertournament.

  4. Disclosure Risk from Factor Scores

    Directory of Open Access Journals (Sweden)

    Drechsler Jörg

    2014-03-01

    Full Text Available Remote access can be a powerful tool for providing data access for external researchers. Since the microdata never leave the secure environment of the data-providing agency, alterations of the microdata can be kept to a minimum. Nevertheless, remote access is not free from risk. Many statistical analyses that do not seem to provide disclosive information at first sight can be used by sophisticated intruders to reveal sensitive information. For this reason the list of allowed queries is usually restricted in a remote setting. However, it is not always easy to identify problematic queries. We therefore strongly support the argument that has been made by other authors: that all queries should be monitored carefully and that any microlevel information should always be withheld. As an illustrative example, we use factor score analysis, for which the output of interest - the factor loading of the variables - seems to be unproblematic. However, as we show in the article, the individual factor scores that are usually returned as part of the output can be used to reveal sensitive information. Our empirical evaluations based on a German establishment survey emphasize that this risk is far from a purely theoretical problem.

  5. Braden Scale cumulative score versus subscale scores: are we missing opportunities for pressure ulcer prevention?

    Science.gov (United States)

    Gadd, Molly M

    2014-01-01

    Hospital-acquired pressure ulcer incidence rates continue to rise in the United States in the acute care setting despite efforts to extinguish them, and pressure ulcers are a nursing-sensitive quality indicator. The Braden Scale for Predicting Pressure Sore Risk instrument has been shown to be a valid and reliable instrument for assessing pressure ulcer risk. This case study represented 1 patient out of a chart audit that reviewed 20 patients with confirmed hospital-acquired pressure ulcers. The goal of the audit was to determine whether these ulcers might be avoided if preventive interventions based on Braden subscale scores versus the cumulative score were implemented. This case study describes a patient who, deemed at low risk for pressure ulcer development based on cumulative Braden Scale, may have benefited from interventions based on the subscale scores of sensory perception, activity, and mobility. Further research is needed to determine whether interventions based on subscales may be effective for preventing pressure ulcers when compared to a protocol based exclusively on the cumulative score.

  6. La coordinación entre niveles asistenciales: una sistematización de sus instrumentos y medidas Coordination among healthcare levels: systematization of tools and measures

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    Rebeca Terraza Núñez

    2006-12-01

    Full Text Available La mejora de la coordinación asistencial es una prioridad para muchos sistemas de salud y, especialmente, para la atención de problemas de salud crónicos en los que intervienen múltiples profesionales y servicios. La abundancia de estrategias y mecanismos de coordinación promovidos requiere una sistematización que ayude a utilizarlos de forma adecuada. El objetivo del artículo es analizar la coordinación asistencial y sus instrumentos, a partir de la teoría organizacional. Los mecanismos se pueden clasificar según el proceso básico utilizado para la coordinación de las actividades, programación o retroalimentación. La combinación óptima de mecanismos dependerá de 3 factores: grado de diferenciación de las actividades asistenciales, volumen y tipo de interdependencias y grado de incertidumbre. Históricamente, los servicios sanitarios han confiado la coordinación a la estandarización de las habilidades y, de manera más reciente, de los procesos mediante guías, mapas y planes. Su utilización resulta insuficiente para enfermedades crónicas en las que intervienen diversos profesionales con interdependencias recíprocas, variabilidad en la respuesta y un volumen de información procesada elevado. En este caso, son más efectivos los mecanismos basados en la retroalimentación, como grupos de trabajo, profesionales de enlace y sistemas de información vertical. La evaluación de la coordinación asistencial ha sido realizada hasta el momento de forma poco sistemática, mediante la utilización de indicadores de estructura, proceso y resultado. Las diversas estrategias e instrumentos se han aplicado, sobre todo, en los niveles sociosanitario y de salud mental; uno de los retos para la coordinación es extender y evaluar su uso a lo largo del continuo asistencial.Improving healthcare coordination is a priority in many healthcare systems, particularly in chronic health problems in which a number of professionals and services

  7. Confiabilidade do Instrumento para Classificação de Idosos quanto à Capacidade para o Autocuidado Reliability of the Instrument for Classifying Elderly People's Capacity for Self-care

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    Maria Helena Morgani de Almeida

    2008-04-01

    Full Text Available OBJETIVO: Avaliar a confiabilidade do Instrumento para Classificação de Idosos quanto à Capacidade para o Autocuidado, desenvolvido para auxiliar o terapeuta ocupacional na atenção a idosos em unidades básicas de saúde. MÉTODOS: Foram realizados testes de estabilidade e consistência interna. Para validação do Instrumento, os testes foram aplicados à amostra de 30 indivíduos com 60 anos ou mais, em dois momentos. A análise estatística foi realizada a partir de agrupamentos criteriosos de respostas, o que levou à formulação de uma versão simplificada do Instrumento. A estabilidade desta versão foi avaliada pelo coeficiente kappa e a consistência interna pelo coeficiente alpha de Cronbach. RESULTADOS: A estabilidade variou de moderada a excelente. A consistência interna foi verificada somente para áreas que se mostraram adequadas para o uso da metodologia baseada no cálculo do alpha de Cronbach: três das seis questões da área "perfil social" e os blocos das atividades básicas e instrumentais de vida diária da área "capacidade funcional", respectivamente com nove e oito atividades. CONCLUSÕES: Após os testes de estabilidade e consistência interna, o Instrumento possibilita classificação sucinta e simplificada de idosos quanto à capacidade funcional para atividades básicas e instrumentais e sua caracterização quanto aos demais aspectos do autocuidado. Evidências acerca de sua confiabilidade e validade podem ser ampliadas por meio de novos estudos.OBJECTIVE: To evaluate the reliability of an instrument for classifying elderly people regarding their capacity for self-care, which was developed to assist occupational therapists in attending elderly people at primary healthcare units. METHODS: Stability and internal consistency tests were carried out. To validate the instrument, tests were applied to a sample of 30 individuals aged 60 years and over, on two occasions. The statistical analysis was performed after

  8. Validación de instrumentos para la evaluación formativa de la biología en estudiantes de grado sexto

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    Salin Polania Polo

    2015-12-01

    Full Text Available Este artículo recoge la experiencia de validación de los instrumentos que se utilizarán para la evaluación desde el enfoque formativo en la enseñanza de la biología en estudiantes de grado sexto del Colegio Integrado de Fontibón de acuerdo a las categorías establecidas en el trabajo de investigación. Parte desde el concepto de evaluación y su enfoque formativo para los aprendizajes, lo que promueve en el profesor acciones de enseñanza dirigidas hacia sus estudiantes encaminadas a un diálogo permanente entre estos actores favoreciendo el aprendizaje desde la retroalimentación y la contextualización de las temáticas. Para ello se revisaron distintos autores que fundamentan la evaluación formativa y determinan las condiciones que caracterizan los instrumentos evaluativos adecuados para el enfoque formativo, los cuales se ajustan a un programa de intervención en la asignatura de biología de acuerdo al plan de estudios para grado sexto. Palabras claves: Evaluación formativa, instrumentos de evaluación, enseñanza de la biología, validación instrumentos.

  9. Validez y confiabilidad del instrumento de vínculo parental (Parental Bonding Instrument, PBI en una muestra de varones mexicanos

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    Erika Robles Estrada

    2016-01-01

    Full Text Available El objetivo de esta investigación fue obtener la validez y confiabilidad del instrumento de vínculo parental en una muestra de varones mexicanos. En total fueron 125 participantes. El instrumento original es de Parker, Tupling y Brown (1979; mide la percepción de la conducta y actitud de los padres hacia sus hijos hasta los 16 años. La aplicación se llevó de manera colectiva con consentimiento informado. Los datos se analizaron con análisis factorial y Alfa de Cronbach. Los resultados arrojaron la permanencia de los factores del instrumento: sobreprotección y cuidado. La confiabilidad fue de .900. Se puede concluir que el instrumento es válido y confiable para muestras mexicanas de varones. Abstract The objective of this research was to obtain the validity and reliability of the Parental Bonding Instrument in sample of Mexican males. In total there were 125 participants. The original instrument is Parker, Tupling & Brown (1979; it measures the perception of the conduct and attitude of parents until the age of 16. The application took collectively with informed consent. Data were analyzed with analysis, factorial and Cronbach Alpha. The results threw the permanence of the factors of the instrument: care and overprotection. Reliability was of .900. It can be concluded that the instrument is valid and reliable for Mexican males.

  10. CONSTRUÇÃO E VALIDAÇÃO DE CONTEÚDO DE INSTRUMENTO DE COLETA DE DADOS EM UNIDADE NEONATAL

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    Natalie Dantas Costa Lima

    2009-01-01

    Full Text Available Para efectos de posibilitar la recogida de datos sistematizada, el estudio tuvo como objetivo construir y validar un instrumento de evaluación clínica para neonatos internados en Unidad de Vigilancia Intensiva. Estudio metodológico realizado durante los me- ses de enero a junio del 2008. Éste fue organizado en dos fases: recopilación bibliográfica para subvencionar la construcción del instrumento y evaluación de la adecuación del contenido por expertos del Estado de Ceará. El instrumento estaba compuesto por diez secciones: datos personales de la madre y recién nacido, signos vitales, integridad física/cutáneo-mucosa, cabeza/cuello, evaluación de los sistemas: nervioso, respiratorio, cardiovascular, gastrointestinal, genitourinario y binomio madre-hijo. Se incluyeron diagnósticos de enfermería pertinentes para cada sección. Todas las secciones fueron consideradas adecuadas. Cuatro secciones recibieron resultado máximo de consentimiento, siendo éstas: datos personales de la madre y recién nacido, cabeza/cuello, sistema cardiovascular y sistema genitourinario. Se cree que la implementación de este instrumento podrá contribuir para que enfermeros identifiquen indicadores que reflejarán posibles diagnósticos de enfermería.

  11. O vídeo como instrumento de pesquisa para o aluno de 5 ª série: um estudo exploratório

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    Eneida Baccaro Modonezi

    Full Text Available MODONEZI, E. B. O vídeo como instrumento de pesquisa para o aluno de 5 ª série: um estudo exploratório. 146 fl. 2008. Dissertação (Mestrado em Educação – Faculdade de Educação, Universidade Estadual de Campinas, Campinas, 2008.

  12. Visão como instrumento da percepção na assistência em enfermagem traumato-ortopédica

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    Lys Eiras Cameron

    2011-03-01

    Full Text Available A visão, mais do que um sentido, é um poderoso instrumento que identifica e seleciona, de forma que tudo depende do que já se viu antes para determinar a maneira como interpretamos o que está sendo visto. O objetivo deste artigo é discutir o papel da visão como instrumento para uma assistência de enfermagem holística e de qualidade. É um estudo exploratório, de abordagem qualitativa, utilizando o método da Sociopoética. Os dados foram agrupados nas seguintes categorias: (1 Visão como instrumento e (2 Alterações corporais externas. Como em traumato-ortopedia, os enfermeiros devem ser capazes de conduzir à assistência a pacientes em condições complexas em um ambiente de cuidado que muda rapidamente. Os resultados demonstraram a visão como poderoso instrumento de cuidado em Enfermagem Traumato-Ortopédica, permitindo uma atuação profissional verdadeiramente adequada às necessidades do paciente.

  13. O teatro espontâneo do cotidiano como um instrumento terapêutico nas ressignificações de ser um portador de transtorno mental

    National Research Council Canada - National Science Library

    Assad, Francine Baltazar; Pedrão, Luiz Jorge

    2013-01-01

    O teatro espontâneo do cotidiano constitui-se em importante ferramenta na assistência à saúde mental. Este estudo objetivou compreender o significado de ser um portador de transtorno mental e oferecer um instrumento para...

  14. A anticoncepção como instrumento do planejamento familiar e da saúde = Contraception as a family planning and health tool

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    Poli, Marcelino Espírito Hofmeister

    2006-01-01

    Conclusões: O uso correto de métodos contraceptivos recomenda acompanhamento médico e representa uma forma de atrair as pessoas, especialmente aquelas com menos recursos, aos postos de atendimento médico e, por isso, constitui instrumento adequado e competente de promoção de saúde

  15. Instrumentos e mecanismos de gestão: contribuições ao processo decisório em conselhos de políticas públicas

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    Maria Elisabeth Kleba

    2015-08-01

    Full Text Available A administração pública no Brasil conta com diretrizes e parâmetros estabelecidos em documentos, a exemplo de leis, políticas ou planos, que se constituem em instrumentos para nortear e qualificar a gestão democrática das políticas públicas. A investigação buscou identificar instrumentos e mecanismos de gestão utilizados no processo decisório pelos Conselhos Municipais de Assistência Social e de Saúde em Chapecó (SC. A partir da leitura de atas (2005 a 2009, obtiveram-se como instrumento mais citado os relatórios de prestação de contas, embora esses não evidenciarem articulação com objetivos e metas definidos no plano municipal. Os mecanismos mais utilizados são comissões internas, capacitação, conferências e comunicação com outras organizações. Os conselhos estudados recorrem a instrumentos e mecanismos com potencial para ampliar a participação na gestão pública municipal.

  16. Los instrumentos de la conferencia de La Haya de derecho internacional privado que facilitan el desarrollo de los negocios internacionales y las inversiones

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    Ignacio Goicoechea

    2015-03-01

    Full Text Available El propósito de este trabajo es compartir algunas ideas sobre la manera en que el Derecho Internacional Privado, y en particular algunos instrumentos desarrollados por la Conferencia de La Haya, contribuyen al desarrollo de la infraestructura jurídica propicia para promover los negocios internacionales y las inversiones.

  17. El lenguaje verbal como instrumento matemático A linguagem verbal como ferramenta matemática Verbal Language as a Mathematical Tool

    National Research Council Canada - National Science Library

    Héctor Hernando Díaz

    2009-01-01

    ... de función en estudiantes de ingeniería, tomando como instrumento de comunicación el lenguaje verbal, y haciendo transferencia de este concepto a los otros tres lenguajes con que cuenta la matemática: algebraico, aritmético y geométrico...

  18. Propuesta de un instrumento para la estratificación en el Departamento de Urgencias del paciente diabético con hiperglucemia aguda no complicada

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    Luís Alberto Corona Martínez

    2014-04-01

    Full Text Available Los servicios de asistencia médica de urgencia tienen en la estratificación de pacientes una herramienta organizativa de evidente utilidad. En este trabajo se presenta un instrumento para la estratificación en el Departamento de Urgencias de los pacientes diabéticos con hiperglucemia aguda no complicada. Para su elaboración fue utilizada la discusión grupal; proceso que estuvo orientado por varios lineamientos o principios. El instrumento de estratificación permite la clasificación del paciente en alguno de cuatro grupos que se distinguen entre sí por tributar a una conducta diferente con el enfermo. Este instrumento se basa en el análisis de la información clínica complementada con las cifras de glucemia, en función específicamente de la toma de decisiones con el paciente; cada grupo tiene definido el contexto que lo determina, la conducta a seguir y los pilares del manejo terapéutico, con énfasis fundamentalmente en la insulinoterapia. El instrumento se acompaña de un flujograma para el manejo en área amarilla del diabético con hiperglucemia aguda no complicada.

  19. Avaliação de um instrumento para classificação de pacientes pediátricos oncológicos

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    Sandra de Andrade

    2012-08-01

    Full Text Available Este estudo teve como objetivos avaliar a reprodutibilidade interavaliadores do instrumento para a classificação de pacientes pediátricos portadores de câncer; verificar se o instrumento de classificação de pacientes é adequado a pacientes pediátricos portadores de câncer e elaborar uma proposta de modificação do instrumento, permitindo a adaptação para pacientes pediátricos oncológicos. Foram avaliados, na unidade de internação pediátrica de um Hospital de câncer, 34 pacientes pelas equipes de médicos, enfermeiros e técnicos de enfermagem. Para a avaliação do grau de concordância entre os escores obtidos pelos avaliadores foi utilizado o coeficiente Kappa, que revelou um valor intermediário/alto nas classificações objetivas, e um valor baixo nas subjetivas. Conclui-se que o instrumento é confiável e reprodutível, porém, para classificação do paciente pediátrico oncológico, sugere-se a complementação de itens para atingir um resultado mais compatível com a realidade dessa população.

  20. Como afecta la practica de instrumentos musicales en la aparición de patologías del sistema estomatognático

    OpenAIRE

    Miguel Mur, Alfredo de

    2014-01-01

    En elpresente trabajo tratamos de demostrar la vinculación existente entre la práctica de instrumentos musicales y la aparición de patologías del sistema estomatognático, demostréndose que si que existe una vinculación entre los mismos