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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

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    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. Tradução e adaptação transcultural do instrumento de avaliação do quadril "Harris Hip Score" Translation and cultural adaptation of the Harris Hip Score into portuguese

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    Rodrigo Pereira Guimarães

    2010-01-01

    Full Text Available OBJETIVO: O Harris Hip Score é instrumento de avaliação específica, desenvolvido originalmente para avaliar os resultados da artroplastia total de quadril. O objetivo deste estudo foi traduzir e adaptar culturalmente este instrumento para a língua portuguesa. MÉTODO: O método de tradução e adaptação cultural do Harris Hip Score envolveu quatro etapas: 1 - tradução inicial; 2 - retrotradução; 3 - apreciação das versões com elaboração da versão de consenso; 4 - pré-teste comentado com elaboração da versão final. RESULTADOS: A versão de consenso foi aplicada em 30 pacientes com afecção do quadril, sendo verificadas dificuldades no entendimento de algumas expressões, as quais foram substituídas por termos de mais fácil entendimento. Na reaplicação do questionário com a nova versão houve entendimento por 100% dos pacientes no que diz respeito ao sentido semântico, idiomático e contextual. CONCLUSÃO: A versão brasileira do Harris Hip Score permitiu a disponibilização de mais este instrumento para avaliação da qualidade de vida de pacientes com afecções do quadril. Há necessidade de um estudo de avaliação da confiabilidade e validade da versão adaptada culturalmente, a qual já está em desenvolvimento.OBJECTIVE: The Harris Hip Score is a specific evaluation tool, originally developed to assess the results of hip arthroplasty. The objective of this study was to translate and cross-culturally adapt the Harris Hip Score for the Portuguese language. METHOD: The method of translating and culturally adapting the Harris Hip Score involved four steps: 1 - initial translation, 2 - back-translation, 3 - evaluation of the pre-final versions with the development of a consensus version, 4 - commented pre-test with development of the final version. RESULTS: The consensus version was applied to thirty patients with hip disorders. Some difficulties were identified in understanding some expressions, which were replaced

  3. Nursing Activities Score and Acute Kidney Injury

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    Filipe Utuari de Andrade Coelho

    Full Text Available ABSTRACT Objective: to evaluate the nursing workload in intensive care patients with acute kidney injury (AKI. Method: A quantitative study, conducted in an intensive care unit, from April to August of 2015. The Nursing Activities Score (NAS and Kidney Disease Improving Global Outcomes (KDIGO were used to measure nursing workload and to classify the stage of AKI, respectively. Results: A total of 190 patients were included. Patients who developed AKI (44.2% had higher NAS when compared to those without AKI (43.7% vs 40.7%, p <0.001. Patients with stage 1, 2 and 3 AKI showed higher NAS than those without AKI. A relationship was identified between stage 2 and 3 with those without AKI (p = 0.002 and p <0.001. Conclusion: The NAS was associated with the presence of AKI, the score increased with the progression of the stages, and it was associated with AKI, stage 2 and 3.

  4. Nursing Activities Score and Acute Kidney Injury.

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    Coelho, Filipe Utuari de Andrade; Watanabe, Mirian; Fonseca, Cassiane Dezoti da; Padilha, Katia Grillo; Vattimo, Maria de Fátima Fernandes

    2017-01-01

    to evaluate the nursing workload in intensive care patients with acute kidney injury (AKI). A quantitative study, conducted in an intensive care unit, from April to August of 2015. The Nursing Activities Score (NAS) and Kidney Disease Improving Global Outcomes (KDIGO) were used to measure nursing workload and to classify the stage of AKI, respectively. A total of 190 patients were included. Patients who developed AKI (44.2%) had higher NAS when compared to those without AKI (43.7% vs 40.7%), p <0.001. Patients with stage 1, 2 and 3 AKI showed higher NAS than those without AKI. A relationship was identified between stage 2 and 3 with those without AKI (p = 0.002 and p <0.001). The NAS was associated with the presence of AKI, the score increased with the progression of the stages, and it was associated with AKI, stage 2 and 3. avaliar a carga de trabalho de enfermagem em pacientes de terapia intensiva com lesão renal aguda (LRA). estudo quantitativo, em Unidade de Terapia Intensiva, no período de abril a agosto de 2015. O Nursing Activities Score (NAS) e o Kidney Disease Improving Global Outcomes (KDIGO) foram utilizados para medir a carga de trabalho de enfermagem e classificar o estágio da LRA, respectivamente. foram incluídos 190 pacientes. Os pacientes que desenvolveram LRA (44,2%) possuíam NAS superiores quando comparados aos sem LRA (43,7% vs 40,7%), p<0,001. Os pacientes com LRA nos estágios 1, 2 e 3 de LRA demonstraram NAS superiores aos sem LRA, houve relação entre os estágios 2 e 3 com os sem LRA, p=0,002 e p<0,001. o NAS apresentou associação com a existência de LRA, visto que seu valor aumenta com a progressão dos estágios, tendo associação com os estágios 2 e 3 de LRA.

  5. Instrumentos derivados crediticios

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    Delfiner, Miguel; Gómez, Anabela

    2011-01-01

    Los derivados crediticios constituyen una amplia gama de instrumentos financieros cuyo valor se genera por la ocurrencia de eventos crediticios. Son usualmente negociados en forma bilateral a través del mercado OTC aunque esta tendencia puede modificarse a futuro. Su volumen y complejidad experimentó un crecimiento sustancial en los últimos años, habiéndosele adjudicado un rol importante en la reciente crisis financiera originada por las hipotecas subprime; ello explica que su tratamiento reg...

  6. [Validating the Spanish version of the Nursing Activities Score].

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    Sánchez-Sánchez, M M; Arias-Rivera, S; Fraile-Gamo, M P; Thuissard-Vasallo, I J; Frutos-Vivar, F

    2015-01-01

    Validating workload scores ensures that they are appropriate for the purpose for which they were developed. To validate the Nursing Activities Score (NAS) Spanish version. Observational and prospective study. 1,045 patients who were admitted to a medical-surgical unit and a serious burns unit in 2006 were included. The nurse in charge assessed patient workloads by Nine Equivalent of Nursing Manpower use Score and NAS. To assess the internal consistency of the measurements of NAS, item-test correlations, Cronbach's α and Cronbach's α corrected by omitting each of the items were calculated. The intraobserver and interobserver reliability were assessed with the intraclass correlation coefficient by viewing recordings and Kappa (interobserver reliability) was estimated. For the analysis of internal validity, a factorial principal components analysis was performed. Convergent validity was assessed using the Spearman correlation coefficient values obtained from the Nine Equivalent of Nursing Manpower use Score and Spanish-NAS scales. For internal consistency, 164 questionnaires were analysed and a Cronbach's α of 0.373 was calculated. The intraclass correlation coefficient for intraobserver reliability estimate was 0.837 (95% IC: 0.466-0.950) and 0.662 (95% IC: 0.033-0.882) for interobserver reliability. The estimated kappa was 0.371. For internal validity, exploratory factor analysis showed that the first item explained 58.9% of the variance of the questionnaire. For convergent validity 1006 questionnaires were included and a Spearman correlation coefficient of 0.746 was observed. The psychometric properties of Spanish-NAS are acceptable. Copyright © 2014 Elsevier España, S.L.U. y SEEIUC. All rights reserved.

  7. Desenvolvimento de instrumento para medida dos fatores psicossociais determinantes do comportamento de atividade física em coronariopatas Desarrollo de un instrumento para la medida de los factores psicosociales determinantes del comportamiento de la actividad física en individuos con coronariopatía Development of an instrument to measure psychosocial determinants of physical activity behavior among coronary heart disease patients

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    Roberto Della Rosa Mendez

    2010-09-01

    Full Text Available Este estudo teve como objetivo apresentar o desenvolvimento, a análise de conteúdo e da confiabilidade do Questionário para identificação dos fatores psicossociais determinantes do comportamento de atividade física em coronariopatas, baseado na extensão da Teoria do Comportamento Planejado. O instrumento foi submetido à validade de conteúdo, com realização de sua avaliação por três juízes e pré-teste com cinco sujeitos, até mostrar-se conceitualmente adequado e compreensível aos sujeitos entrevistados. Foi aplicado em 51 sujeitos para a avaliação preliminar da consistência interna, por meio da determinação do coeficiente alfa de Crombach. Foram observados coeficientes alfa de Crombach >0,75 para os constructos Intenção, Atitude, Norma Subjetiva, Autoeficácia e Hábito. O instrumento desenvolvido mostrou evidências de validade de conteúdo e de confiabilidade.Este estudio tuvo como objetivo presentar el desarrollo, el análisis de contenido y de confiabilidad del Cuestionario para la identificación de los factores psicosociales determinantes del comportamiento de actividad física en pacientes afectados de coronariopatías, basado en la extensión de la Teoría del Comportamiento Planificado. Se sometió la validez del contenido del instrumento a la evaluación por parte de tres jueces y pre test con cinco sujetos, hasta mostrarse conceptualmente adecuado y comprensible para los sujetos entrevistados. Fue aplicado en 51 sujetos para la evaluación preliminar de consistencia interna, a través de la determinación del coeficiente Alfa de Cronbach. Fueron observados coeficientes Alfa de Cronbach >0,75 para los constructos Intención, Actitud, Norma Subjetiva, Autoeficacia y Hábito. El instrumento desarrollado evidenció la validez de su contenido, así como su confiabilidad.The aim of this study was to report the development and the analysis of content validity and reliability of the Psychosocial Determinants of

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

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    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.

  9. Dynamic Measurement of Disease Activity in Acute Pancreatitis: The Pancreatitis Activity Scoring System.

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    Wu, Bechien U; Batech, Michael; Quezada, Michael; Lew, Daniel; Fujikawa, Kelly; Kung, Jonathan; Jamil, Laith H; Chen, Wansu; Afghani, Elham; Reicher, Sonya; Buxbaum, James; Pandol, Stephen J

    2017-07-01

    Acute pancreatitis has a highly variable course. Currently there is no widely accepted method to measure disease activity in patients hospitalized for acute pancreatitis. We aimed to develop a clinical activity index that incorporates routine clinical parameters to assist in the measurement, study, and management of acute pancreatitis. We used the UCLA/RAND appropriateness method to identify items for inclusion in the disease activity instrument. We conducted a systematic literature review followed by two sets of iterative modified Delphi meetings including a panel of international experts between November 2014 and November 2015. The final instrument was then applied to patient data obtained from five separate study cohorts across Southern California to assess profiles of disease activity. From a list of 35 items comprising 6 domains, we identified 5 parameters for inclusion in the final weighted clinical activity scoring system: organ failure, systemic inflammatory response syndrome, abdominal pain, requirement for opiates and ability to tolerate oral intake. We applied the weighted scoring system across the 5 study cohorts comprising 3,123 patients. We identified several distinct patterns of disease activity: (i) overall there was an elevated score at baseline relative to discharge across all study cohorts, (ii) there were distinct patterns of disease activity related to duration of illness as well as (iii) early and persistent elevation of disease activity among patients with severe acute pancreatitis defined as persistent organ failure. We present the development and initial validation of a clinical activity score for real-time assessment of disease activity in patients with acute pancreatitis.

  10. 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

    = 10) and selected to cover a wide range of activity at baseline and change in activity, were presented electronically in a partial latin-square design to 9 experienced readers from different countries (Europe, Canada). Readers scored each set of MRI 3 times, using 3 different methods including...... 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...

  11. 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

    ability was assessed using Z-scores (Mann-Whitney test) comparing change in score between patients treated with TNF-blocking drug and placebo. RESULTS: The mean time to score one set of MRI was shortest for the Berlin method. SDC was lowest for the Berlin method and highest for SPARCC. Overall inter...... of 3 different scoring methods for MRI activity and change in activity of the spine in patients with AS. METHODS: Thirty sets of spinal MRI at baseline and after 24 weeks of followup, derived from a randomized clinical trial comparing a tumor necrosis factor (TNF)-blocking drug (n = 20) with placebo (n...... 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...

  12. 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

  13. 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

  14. Longitudinal associations between physical activity and depression scores in Swedish women followed 32 years.

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    Gudmundsson, P; Lindwall, M; Gustafson, D R; Östling, S; Hällström, T; Waern, M; Skoog, I

    2015-12-01

    Physical activity is negatively associated with depressive symptoms. However, few studies consider dynamic associations of changes in physical activity and reciprocal relationships. This study aimed to perform comprehensive evaluations of relationships between physical activity and depression scores in women followed from mid- to late life. The Prospective Population Study of Women in Gothenburg, Sweden, provided repeated measures of self-reported physical activity and depressive symptoms between 1974 and 2005 (baseline N = 676, 84.5% response rate). Depressive symptoms were assessed using the Montgomery-Åsberg Depression Rating Scale, and physical activity was evaluated by the Saltin-Grimby Physical Activity Level Scale. Latent growth curve analyses were used to evaluate associations of change, and cross-lagged models were used to study the reciprocal relationship between physical activity and depression scores. At baseline, lower levels of physical activity were related to higher depression scores. Individuals with decreasing physical activity over time evidenced higher depression scores at 32-year follow-up. Higher average baseline depression score was related to declining levels of physical activity at subsequent examinations. Reduced physical activity may be a long-term consequence of depression. It is important to address individual changes in physical activity and not merely absolute levels of physical activity in relationship to depression. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  15. 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

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    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

  16. 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

  17. 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.

  18. Relationships between spatial activities and scores on the mental rotation test as a function of sex.

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    Ginn, Sheryl R; Pickens, Stefanie J

    2005-06-01

    Previous results suggested that female college students' scores on the Mental Rotations Test might be related to their prior experience with spatial tasks. For example, women who played video games scored better on the test than their non-game-playing peers, whereas playing video games was not related to men's scores. The present study examined whether participation in different types of spatial activities would be related to women's performance on the Mental Rotations Test. 31 men and 59 women enrolled at a small, private church-affiliated university and majoring in art or music as well as students who participated in intercollegiate athletics completed the Mental Rotations Test. Women's scores on the Mental Rotations Test benefitted from experience with spatial activities; the more types of experience the women had, the better their scores. Thus women who were athletes, musicians, or artists scored better than those women who had no experience with these activities. The opposite results were found for the men. Efforts are currently underway to assess how length of experience and which types of experience are related to scores.

  19. 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

    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...... of 3 different scoring methods for MRI activity and change in activity of the spine in patients with AS. METHODS: Thirty sets of spinal MRI at baseline and after 24 weeks of followup, derived from a randomized clinical trial comparing a tumor necrosis factor (TNF)-blocking drug (n = 20) with placebo (n...... 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...

  20. Are students' impressions of improved learning through active learning methods reflected by improved test scores?

    Science.gov (United States)

    Everly, Marcee C

    2013-02-01

    To report the transformation from lecture to more active learning methods in a maternity nursing course and to evaluate whether student perception of improved learning through active-learning methods is supported by improved test scores. The process of transforming a course into an active-learning model of teaching is described. A voluntary mid-semester survey for student acceptance of the new teaching method was conducted. Course examination results, from both a standardized exam and a cumulative final exam, among students who received lecture in the classroom and students who had active learning activities in the classroom were compared. Active learning activities were very acceptable to students. The majority of students reported learning more from having active-learning activities in the classroom rather than lecture-only and this belief was supported by improved test scores. Students who had active learning activities in the classroom scored significantly higher on a standardized assessment test than students who received lecture only. The findings support the use of student reflection to evaluate the effectiveness of active-learning methods and help validate the use of student reflection of improved learning in other research projects. Copyright © 2011 Elsevier Ltd. All rights reserved.

  1. 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

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

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    Evi Berchtold

    Full Text Available 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.

  3. Twitter Activity Associated With U.S. News and World Report Reputation Scores for Urology Departments.

    Science.gov (United States)

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

    2017-10-01

    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 twitter use among urology departments was visibility and 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.

  4. Assessment of the Item Selection and Weighting in the Birmingham Vasculitis Activity Score for Wegener's Granulomatosis

    Science.gov (United States)

    MAHR, ALFRED D.; NEOGI, TUHINA; LAVALLEY, MICHAEL P.; DAVIS, JOHN C.; HOFFMAN, GARY S.; MCCUNE, W. JOSEPH; SPECKS, ULRICH; SPIERA, ROBERT F.; ST.CLAIR, E. WILLIAM; STONE, JOHN H.; MERKEL, PETER A.

    2013-01-01

    Objective To assess the Birmingham Vasculitis Activity Score for Wegener's Granulomatosis (BVAS/WG) with respect to its selection and weighting of items. Methods This study used the BVAS/WG data from the Wegener's Granulomatosis Etanercept Trial. The scoring frequencies of the 34 predefined items and any “other” items added by clinicians were calculated. Using linear regression with generalized estimating equations in which the physician global assessment (PGA) of disease activity was the dependent variable, we computed weights for all predefined items. We also created variables for clinical manifestations frequently added as other items, and computed weights for these as well. We searched for the model that included the items and their generated weights yielding an activity score with the highest R2 to predict the PGA. Results We analyzed 2,044 BVAS/WG assessments from 180 patients; 734 assessments were scored during active disease. The highest R2 with the PGA was obtained by scoring WG activity based on the following items: the 25 predefined items rated on ≥5 visits, the 2 newly created fatigue and weight loss variables, the remaining minor other and major other items, and a variable that signified whether new or worse items were present at a specific visit. The weights assigned to the items ranged from 1 to 21. Compared with the original BVAS/WG, this modified score correlated significantly more strongly with the PGA. Conclusion This study suggests possibilities to enhance the item selection and weighting of the BVAS/WG. These changes may increase this instrument's ability to capture the continuum of disease activity in WG. PMID:18512722

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

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    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.)

  6. Physical activity, stress, and metabolic risk score in 8- to 18-year-old boys.

    Science.gov (United States)

    Holmes, Megan E; Eisenmann, Joey C; Ekkekakis, Panteleimon; Gentile, Douglas

    2008-03-01

    We examined whether physical activity modifies the relationship between stress and the metabolic risk score in 8- to 18-year-old males (n = 37). Physical activity (PA) and television (TV)/videogame (VG) use were assessed via accelerometer and questionnaire, respectively. Stress was determined from self-report measures. A metabolic risk score (MRS) was created by summing age-standardized residuals for waist circumference, mean arterial pressure, glycosylated hemoglobin, and high-density lipoprotein cholesterol. Correlations between PA and MRS were low (r adolescents.

  7. 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.

  8. Histologic scoring indices for evaluation of disease activity in Crohn's disease.

    Science.gov (United States)

    Novak, Gregor; Parker, Claire E; Pai, Rish K; MacDonald, John K; Feagan, Brian G; Sandborn, William J; D'Haens, Geert; Jairath, Vipul; Khanna, Reena

    2017-07-21

    Histologic assessment of mucosal disease activity has been increasingly used in clinical trials of treatment for Crohn's disease. However, the operating properties of the currently existing histologic scoring indices remain unclear. A systematic review was undertaken to evaluate the development and operating characteristics of available histologic disease activity indices in Crohn's disease. Electronic searches of MEDLINE, EMBASE, PubMed, and the Cochrane Library (CENTRAL) databases from inception to 20 July 2016 were supplemented by manual reviews of bibliographies and abstracts submitted to major gastroenterology meetings (Digestive Disease Week, United European Gastroenterology Week, European Crohn's and Colitis Organisation). Any study design (e.g. randomised controlled trial, cohort study, case series) that evaluated a histologic disease activity index in patients with Crohn's disease was considered for inclusion. Study participants included adult patients (> 16 years), diagnosed with Crohn's disease using conventional clinical, radiographic or endoscopic criteria. Two authors independently reviewed the titles and abstracts of the studies identified from the literature search. The full text of potentially relevant citations were reviewed for inclusion and the study investigators were contacted as needed for clarification. Any disagreements regarding study eligibility were resolved by discussion and consensus with a third author.Two authors independently extracted and recorded data using a standard form. The following data were recorded from each eligible study: number of patients enrolled; number of patients per treatment arm; patient characteristics: age and gender distribution; description of histologic disease activity index utilized; and outcomes such as content validity, construct validity, criterion validity, responsiveness, intra-rater reliability, inter-rater reliability, and feasibility. Sixteen reports of 14 studies describing 14 different numerical

  9. 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.

  10. 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.

  11. 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

  12. Match score affects activity profile and skill performance in professional Australian Football players.

    Science.gov (United States)

    Sullivan, Courtney; Bilsborough, Johann C; Cianciosi, Michael; Hocking, Joel; Cordy, Justin; Coutts, Aaron J

    2014-05-01

    To examine the influence of quarter outcome and the margin of the score differential on both the physical activity profile and skill performance of players during professional Australian Football matches. Prospective, longitudinal. Physical activity profiles were assessed via microtechnology (Global Positioning System and accelerometer) from 40 professional AF players from the same team during 15 Australian Football League games. Skill performance measures (involvement and effectiveness) and player rank scores (Champion Data(©) Rank) were provided by a commercial statistical provider. The physical performance variables, skill involvements and individual player performance scores were expressed relative to playing time for each quarter. The influence of the quarter result (i.e. win vs. loss) and score margin (i.e. small: 19 points) on activity profile and skill involvements and skill efficiency performance of players were examined. Skill involvements (total disposals/min, long kicks/min, marks/min, running bounces/min and player rank/min) were greater in quarters won (all p14.5 km h(-1), HSR/min), sprints/min and peak speed were higher in losing quarters (all pProfessional AF players are likely to have an increased physical activity profile and decreased skill involvement and proficiency when their team is less successful. Copyright © 2013 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  13. Histologic scoring indices for evaluation of disease activity in Crohn's disease

    NARCIS (Netherlands)

    Novak, Gregor; Parker, Claire E.; Pai, Rish K.; Macdonald, John K.; Feagan, Brian G.; Sandborn, William J.; D'Haens, Geert; Jairath, Vipul; Khanna, Reena

    2017-01-01

    Histologic assessment of mucosal disease activity has been increasingly used in clinical trials of treatment for Crohn's disease. However, the operating properties of the currently existing histologic scoring indices remain unclear. A systematic review was undertaken to evaluate the development and

  14. Genetic parameter estimates among scale activity score and farrowing disposition with reproductive traits in swine.

    Science.gov (United States)

    Schneider, J F; Rempel, L A; Rohrer, G A; Brown-Brandl, T M

    2011-11-01

    The primary objective of this study was to determine if certain behavior traits were genetically correlated with reproduction. If 1 or both of the behavior traits were found to be correlated, a secondary objective was to determine if the behavior traits could be useful in selecting for more productive females. A scale activity score taken at 5 mo of age and a farrowing disposition score taken at farrowing were selected as the behavioral traits. Scale activity score ranged from 1 to 5 and farrowing disposition ranged from 1 to 3. Reproductive traits included age at puberty, number born alive, number born dead, litter birth weight, average piglet birth weight, number weaned, litter weaning weight, average weaning weight, wean-to-estrus interval, ovulation rate including gilts, and postweaning ovulation rate. Genetic correlations between scale activity score and reproduction ranged from -0.79 to 0.61. Three of the correlations, number born alive (P < 0.01), average piglet birth weight (P < 0.001), and wean-to-estrus interval (P = 0.014), were statistically significant but included both favorable and antagonistic correlations. In contrast, all but 1 of the farrowing disposition correlations was favorable and ranged from -0.66 to 0.67. Although only the correlation with litter birth weight was significant (P = 0.018), the consistent favorable direction of all farrowing disposition correlations, except average weaning weight, shows a potential for inclusion of farrowing disposition into a selection program.

  15. Fatores de risco associados à mortalidade infantil em duas áreas da região metropolitana de São Paulo (Brasil, 1984-1985: proposta de instrumentos preditivos Risk factors associated with infant mortality in two municipalities of the metropolitan area of S.Paulo (Brazil, 1984-1985: proposal for a predictive scoring system

    Directory of Open Access Journals (Sweden)

    Chester L. G. Cesar

    1990-08-01

    Full Text Available Estudou-se a aplicação do conceito de "risco" na área materno-infantil, partindo da proposta da Organização Mundial de Saúde relativa ao "enfoque de risco" na organização dos serviços de saúde. O estudo concentrou-se no desenvolvimento de instrumentos de identificação de grupos de alto risco de óbito infantil, seja no período neonatal, seja no período pós-neonatal, e baseou-se em estudo de caso-controle. O grupo de casos correspondeu a óbitos registrados de menores de um ano de idade, ocorridos nos anos de 1984 e 1985, de pais residentes nos municípios de Cotia e Vargem Grande Paulista, SP (Brasil, totalizando 149 óbitos (casos. O grupo controle foi formado por uma amostra probabilística de 216 crianças nascidas em 1984, filhas de pais residentes nos municípios estudados e que sobreviveram ao primeiro ano de vida, As mães de ambos os grupos responderam a um questionário, aplicado em entrevistas domiciliarias, para a identificação de variáveis independentes associadas ao óbito infantil. As variáveis que mostraram associação estatisticamente significante foram agrupadas em quatro escalas de risco: para uso em pré-natal; para uso por ocasião do parto; para uso no período neonatal; e para uso em puericultura após o período neonatal. As variáveis participaram nas escalas ponderadas pelos valores das razões dos produtos cruzados. As escalas apresentaram diferentes pontos de corte e a cada um destes correspondeu uma dada sensibilidade, especificidade e poder preditivo.The application of the concept of "risk" to maternal and child health was studied, the starting point being the World Health Organization's proposal for a "risk approach" in health services. The study was concerned with the development of a scoring system for the identification of groups at high risk of death during the first year of life, whether in the neonatal or the post-neonatal periods, and was based on a case-control study. The case group

  16. Novel Semiquantitative Bone Marrow Oedema Score and Fracture Score for the Magnetic Resonance Imaging Assessment of the Active Charcot Foot in Diabetes

    Science.gov (United States)

    Meacock, L.; Donaldson, Ana; Isaac, A.; Briody, A.; Ramnarine, R.; Edmonds, M. E.; Elias, D. A.

    2017-01-01

    There are no accepted methods to grade bone marrow oedema (BMO) and fracture on magnetic resonance imaging (MRI) scans in Charcot osteoarthropathy. The aim was to devise semiquantitative BMO and fracture scores on foot and ankle MRI scans in diabetic patients with active osteoarthropathy and to assess the agreement in using these scores. Three radiologists assessed 45 scans (Siemens Avanto 1.5T, dedicated foot and ankle coil) and scored independently twenty-two bones (proximal phalanges, medial and lateral sesamoids, metatarsals, tarsals, distal tibial plafond, and medial and lateral malleoli) for BMO (0—no oedema, 1—oedema  50% of bone volume) and fracture (0—no fracture, 1—fracture, and 2—collapse/fragmentation). Interobserver agreement and intraobserver agreement were measured using multilevel modelling and intraclass correlation (ICC). The interobserver agreement for the total BMO and fracture scores was very good (ICC = 0.83, 95% confidence intervals (CI) 0.76, 0.91) and good (ICC = 0.62; 95% CI 0.48, 0.76), respectively. The intraobserver agreement for the total BMO and fracture scores was good (ICC = 0.78, 95% CI 0.6, 0.95) and fair to moderate (ICC = 0.44; 95% CI 0.14, 0.74), respectively. The proposed BMO and fracture scores are reliable and can be used to grade the extent of bone damage in the active Charcot foot. PMID:29230422

  17. [Inter-rater concordance of the "Nursing Activities Score" in intensive care].

    Science.gov (United States)

    Valls-Matarín, Josefa; Salamero-Amorós, Maria; Roldán-Gil, Carmen; Quintana-Riera, Salvador

    2015-01-01

    To evaluate inter-rater concordance in the valuation of the "Nursing Activities Score". Cross-sectional descriptive study conducted from December 2012 until June 2013 in a general intensive care unit with twelve beds. Three evaluator nurses, simultaneously and independently, through the patient daily charts, scored the nursing workload using Nursing Activities Score scale in all patients admitted over 18 years old. Three hundreds and thirty-nine records were collected. The intra-class correlation coefficient (ICC) between evaluators was 0.92 (0.89-0.94). A perfect concordance was obtained in 39.1% of the items, with 52.2% having a high, and 8.7% having lower concordance, corresponding to two of the items with multiple scoring options. Significant differences between two of the evaluators (P=.049) were found. Although the inter-rater concordance was high, more accurate records are needed to reduce the variability of the items with multiple options and to allow more accuracy in the interpretation and measurement of the data regarding nursing workload. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  18. The Birmingham Vasculitis Activity Score as a Measure of Disease Activity in Patients with Giant Cell Arteritis

    Science.gov (United States)

    Kermani, TA; Cuthbertson, D; Carette, S; Hoffman, GS; Khalidi, NA; Koening, CL; Langford, CA; McKinnon-Maksimowicz, K; McAlear, CA; Monach, PA; Seo, P; Warrington, KJ; Ytterberg, SR; Merkel, PA; Matteson, EL

    2016-01-01

    Objective To evaluate the performance of the Birmingham Vasculitis Activity Score (BVAS) in the assessment of disease activity in giant cell arteritis (GCA). Methods Patients with GCA enrolled in a prospective, multicenter, longitudinal study with symptoms of active vasculitis during any visit were included. Spearman’s rank correlation was used to explore the association of the BVAS with other measures of disease activity. Results During a mean (SD) follow-up of 2.3 (1.6) years, symptoms of active GCA were present in 236 visits in 136 subjects (100 female, 74%). Median (range) BVAS1 (new/worse symptoms) was 1 (0–10) and median (range) BVAS2 (persistent symptoms) was 0 (0–5). Median (range) physician global assessment (PGA) was 4 (0–9) for disease activity in the past 28 days and 2 (0–9) for activity on the day of the visit. Important ischemic manifestations of active vasculitis not captured by the BVAS included tongue/jaw claudication (27%), upper extremity claudication (15%), lower extremity claudication (5%), carotidynia (7%), ischemic retinopathy (5%). During 25 visits (11%) with active disease, all symptoms of active vasculitis were captured in the “Other” category yet still resulted in a BVAS 1 and BVAS 2 of 0. BVAS1 moderately correlated with PGA for the past 28 days (Spearman’s correlation 0.50) and physician-rated disease activity for the past 28 days (Spearman’s correlation 0.46). Conclusions The BVAS has limited utility in GCA. Patients with active GCA can have a BVAS of 0. Many important ischemic symptoms attributable to active vasculitis are not captured in the composite score. PMID:27036388

  19. 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...

  20. Exercise dependence score in patients with longstanding eating disorders and controls: the importance of affect regulation and physical activity intensity.

    Science.gov (United States)

    Bratland-Sanda, Solfrid; Martinsen, Egil W; Rosenvinge, Jan H; Rø, Oyvind; Hoffart, Asle; Sundgot-Borgen, Jorunn

    2011-01-01

    To examine associations among exercise dependence score, amount of physical activity and eating disorder (ED) symptoms in patients with longstanding ED and non-clinical controls. Adult female inpatients (n = 59) and 53 age-matched controls participated in this cross sectional study. Assessments included the eating disorders examination, eating disorders inventory, exercise dependence scale, reasons for exercise inventory, and MTI Actigraph accelerometer. Positive associations were found among vigorous, not moderate, physical activity, exercise dependence score and ED symptoms in patients. In the controls, ED symptoms were negatively associated with vigorous physical activity and not correlated with exercise dependence score. Exercise for negative affect regulation, not weight/appearance, and amount of vigorous physical activity were explanatory variables for exercise dependence score in both groups. The positive associations among exercise dependence score, vigorous physical activity and ED symptoms need proper attention in the treatment of longstanding ED. Copyright © 2011 John Wiley & Sons, Ltd and Eating Disorders Association.

  1. 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

  2. Padrão de intervenções de enfermagem realizadas em vítimas de trauma segundo o Nursing Activities Score

    Directory of Open Access Journals (Sweden)

    Lilia de Souza Nogueira

    2015-12-01

    Full Text Available RESUMO Objetivo Identificar o padrão de intervenções de enfermagem realizadas em vítimas de trauma nas primeiras 24 horas de internação na Unidade de Terapia Intensiva (UTI. Método Estudo prospectivo, realizado na UTI de um hospital em São Paulo, Brasil. O instrumento Nursing Activities Score (NAS foi utilizado para identificar as intervenções de enfermagem. Resultados A casuística foi composta por 200 pacientes, a maioria homens, com idade média de 40,7 anos, vítimas de acidentes de transporte. A média do NAS foi de 71,3% e o padrão de intervenções de enfermagem identificado incluiu as atividades de monitorização e controles; investigações laboratoriais; medicação, exceto drogas vasoativas; procedimentos de higiene; cuidados com drenos; mobilização e posicionamento; suporte e cuidado aos familiares e pacientes; tarefas administrativas e gerenciais; suporte respiratório; cuidado com vias aéreas artificiais; e tratamento para melhora da função pulmonar. Nas intervenções de monitorização e mobilização, houve a necessidade de cuidados além do normalmente requerido por pacientes de UTI. Conclusão Os resultados desta pesquisa trazem importantes contribuições para o planejamento de ações que visem a capacitação e o dimensionamento da equipe de enfermagem na unidade crítica.

  3. Disease activity score in rheumatoid arthritis with or without secondary fibromyalgia

    International Nuclear Information System (INIS)

    Zammurrad, S.; Munir, W.; Farooqi, A.

    2013-01-01

    Objective: To correlate disease activity score (DAS-28) in the patients with rheumatoid arthritis (RA) with and without secondary fibromyalgia. Study Design: Comparative cross-sectional study. Place and Duration of Study: Department of Rheumatology, Pakistan Institute of Medical Sciences, Islamabad, from November 2011 to April 2012. Methodology: Patients aged above 16 years diagnosed to have rheumatoid arthritis according to ACR/EULAR criteria 2010 were included in the study. Fibromyalgia (FM) was diagnosed by ACR 1990 criteria. Patients of other autoimmune diseases or psychiatric illnesses were excluded. DAS was determined and compared using t-test with significance at p < 0.05. Results: The mean age of study subjects was 42.9 years. Thirty one out of total 138 patients had fibromyalgia (22.4%). Female gender was predominant (92.0%); being 96.8% in patients with and in 88.2% without fibromyalgia. The average DAS score was high (5.3 + 1.5) in fibromyalgia patients compared to those without fibromyalgia (3.9 + 1.2); this difference in mean value was statistically significant (p = < 0.001). Conclusion: DAS-28 is a useful tool for assessing rheumatoid arthritis disease status in outpatient setting, however, increased disease activity must be assessed for possible co-existence of fibromyalgia which can spuriously give high DAS value and adversely affect treatment decision. (author)

  4. 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.

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

    International Nuclear Information System (INIS)

    Soares, Thays Soliman; Piovesan, Carla Haas; Gustavo, Andréia da Silva; Macagnan, Fabrício Edler; Bodanese, Luiz Carlos; Feoli, Ana Maria Pandolfo

    2014-01-01

    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

  6. Comparação entre o Disease Activity Score-28 e o Juvenile Arthritis Disease Activity Score na artrite idiopática juvenil

    Directory of Open Access Journals (Sweden)

    Renata Campos Capela

    2015-02-01

    Full Text Available Introdução A avaliação de atividade da artrite reumatoide e da artrite idiopática juvenil é feita por meio de instrumentos distintos, respectivamente pelo DAS-28 e pelo JADAS. Objetivo Comparar o DAS-28 e o JADAS com a pontuação de 71, 27 e 10 articulações, na artrite idiopática juvenil. Método Foram avaliadas 178 visitas em oito pacientes com artrite idiopática juvenil, participantes de um ensaio clínico controlado de fase III, testando eficácia e segurança do abatacepte. Pontuaram-se as articulações ativas e limitadas, a avaliação global pelo médico e pelos pais em escala analógica visual de 0-10 cm e a velocidade de hemossedimentação convertida em escala de 0-10, em todas as visitas. A comparação entre os índices de atividade entre diferentes observações foi por Anova ou modelo ajustado Gama. As observações pareadas entre o DAS-28 e o JADAS 71, 27 e 10, respectivamente, foram analisadas por meio de regressão linear. Resultados Houve diferença significativa entre as medidas individuais, exceto a VHS, nos primeiros quatro meses de tratamento com biológico, quando cinco entre os oito pacientes atingiram a resposta ACR-Pedi 30, com melhora. Os índices DAS-28, JADAS 71, 27 e 10 também apresentaram diferença relevante durante o período de observação. O ajustamento por meio de regressão linear entre o DAS-28 e o JADAS resultou em fórmulas matemáticas para conversão: [DAS-28 = 0,0709 (JADAS 71 + 1,267] (R2 = 0,49; [DAS-28 = 0,084 (JADAS 27 + 1,7404] (R2 = 0,47 e [DAS-28 = 0,1129 (JADAS-10 + 1,5748] (R2 = 0,50. Conclusão A conversão da pontuação do DAS-28 e do JADAS 71, 27 e 10 por esse modelo matemático permitiria a aplicação equivalente de ambos em adolescentes com artrite.

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

    NARCIS (Netherlands)

    van der Heijde, Désirée; Landewé, Robert; Hermann, Kay-Geert; Rudwaleit, Martin; Østergaard, Mikkel; Oostveen, Ans; O'Connor, Phil; Maksymowych, Walter P.; Lambert, Robert G.; Lukas, Cédric; Jurik, Anne Grethe; Boers, Maarten; Baraliakos, Xenofon; Braun, Jürgen

    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

  8. DRAGON score predicts functional outcomes in acute ischemic stroke patients receiving both intravenous tissue plasminogen activator and endovascular therapy.

    Science.gov (United States)

    Wang, Arthur; Pednekar, Noorie; Lehrer, Rachel; Todo, Akira; Sahni, Ramandeep; Marks, Stephen; Stiefel, Michael F

    2017-01-01

    The DRAGON score, which includes clinical and computed tomographic (CT) scan parameters, predicts functional outcomes in ischemic stroke patients treated with intravenous tissue plasminogen activator (IV tPA). We assessed the utility of the DRAGON score in predicting functional outcome in stroke patients receiving both IV tPA and endovascular therapy. A retrospective chart review of patients treated at our institution from February 2009 to October 2015 was conducted. All patients with computed tomography angiography (CTA) proven large vessel occlusions (LVO) who underwent intravenous thrombolysis and endovascular therapy were included. Baseline DRAGON scores and modified Rankin Score (mRS) at the time of hospital discharge was calculated. Good outcome was defined as mRS ≤3. Fifty-eight patients with LVO of the anterior circulation were studied. The mean DRAGON score of patients on admission was 5.3 (range, 3-8). All patients received IV tPA and endovascular therapy. Multivariate analysis demonstrated that DRAGON scores ≥7 was associated with higher mRS ( P DRAGON scores ≤6. Patients with DRAGON scores of 7 and 8 on admission had a mortality rate of 3.8% and 40%, respectively. The DRAGON score can help predict better functional outcomes in ischemic stroke patients receiving both IV tPA and endovascular therapy. This data supports the use of the DRAGON score in selecting patients who could potentially benefit from more invasive therapies such as endovascular treatment. Larger prospective studies are warranted to further validate these results.

  9. 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

  10. Alimentary habits, physical activity, and Framingham global risk score in metabolic syndrome.

    Science.gov (United States)

    Soares, Thays Soliman; Piovesan, Carla Haas; Gustavo, Andréia da Silva; Macagnan, Fabrício Edler; Bodanese, Luiz Carlos; Feoli, Ana Maria Pandolfo

    2014-04-01

    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 study emphasizes the importance of lifestyle modification in the prevention and treatment of cardiovascular diseases.

  11. The Pancreatitis Activity Scoring System predicts clinical outcomes in acute pancreatitis: findings from a prospective cohort study.

    Science.gov (United States)

    Buxbaum, James; Quezada, Michael; Chong, Bradford; Gupta, Nikhil; Yu, Chung Yao; Lane, Christianne; Da, Ben; Leung, Kenneth; Shulman, Ira; Pandol, Stephen; Wu, Bechien

    2018-03-15

    The Pancreatitis Activity Scoring System (PASS) has been derived by an international group of experts via a modified Delphi process. Our aim was to perform an external validation study to assess for concordance of the PASS score with high face validity clinical outcomes and determine specific meaningful thresholds to assist in application of this scoring system in a large prospectively ascertained cohort. We analyzed data from a prospective cohort study of consecutive patients admitted to the Los Angeles County Hospital between March 2015 and March 2017. Patients were identified using an emergency department paging system and electronic alert system. Comprehensive characterization included substance use history, pancreatitis etiology, biochemical profile, and detailed clinical course. We calculated the PASS score at admission, discharge, and at 12 h increments during the hospitalization. We performed several analyses to assess the relationship between the PASS score and outcomes at various points during hospitalization as well as following discharge. Using multivariable logistic regression analysis, we assessed the relationship between admission PASS score and risk of severe pancreatitis. PASS score performance was compared to established systems used to predict severe pancreatitis. Additional inpatient outcomes assessed included local complications, length of stay, development of systemic inflammatory response syndrome (SIRS), and intensive care unit (ICU) admission. We also assessed whether the PASS score at discharge was associated with early readmission (re-hospitalization for pancreatitis symptoms and complications within 30 days of discharge). A total of 439 patients were enrolled, their mean age was 42 (±15) years, and 53% were male. Admission PASS score >140 was associated with moderately severe and severe pancreatitis (OR 3.5 [95% CI 2.0, 6.3]), ICU admission (OR 4.9 [2.5, 9.4]), local complications (3.0 [1.6, 5.7]), and development of SIRS (OR 2.9 [1

  12. Ezetimibe decreased nonalcoholic fatty liver disease activity score but not hepatic steatosis.

    Science.gov (United States)

    Lee, Hyo Young; Jun, Dae Won; Kim, Hyun Jung; Oh, Hyunwoo; Saeed, Waqar Khalid; Ahn, Hyeongsik; Cheung, Ramsey C; Nguyen, Mindie H

    2018-03-20

    A number of clinical trials reported varying effects of cholesterol lowering agents in nonalcoholic fatty liver disease (NAFLD) patients. We, therefore, assessed the changes in hepatic steatosis and NAFLD activity score (NAS) after treatment with cholesterol lowering agents in NAFLD patients by metaanalysis. The Cochrane Library, the MEDLINE, and the Embase databases were searched until May 2015, without any language restrictions, for randomized controlled trials (RCTs) and nonrandomized studies (NRSs). Additional references were obtained from review of bibliography of relevant articles. The quality of evidence was assessed using the grading of recommendations assessment, development and evaluation guidelines. Three RCTs (n = 98) and two NRSs (n = 101) met our study inclusion criteria (adult, NAFLD, liver biopsy). Liver biopsy was performed in all five studies, but only the three studies reported NAS. Ezetimibe significantly decreased NAS (standardized mean difference [SMD], -0.30; 95% confidence interval [CI], -0.57 to -0.03) but not hepatic steatosis in RCT (SMD, -0.1; 95% CI, -0.53 to 0.32), while the effect was significant for both NAS and intrahepatic content in NRSs (SMD, -3.0; 95% CI, -6.9 to 0.91). Ezetimibe decreased NAS without improving hepatic steatosis.

  13. Estimation of Symptom Severity Scores for Patients with Schizophrenia Using ERP Source Activations during a Facial Affect Discrimination Task.

    Science.gov (United States)

    Kim, Do-Won; Lee, Seung-Hwan; Shim, Miseon; Im, Chang-Hwan

    2017-01-01

    Precise diagnosis of psychiatric diseases and a comprehensive assessment of a patient's symptom severity are important in order to establish a successful treatment strategy for each patient. Although great efforts have been devoted to searching for diagnostic biomarkers of schizophrenia over the past several decades, no study has yet investigated how accurately these biomarkers are able to estimate an individual patient's symptom severity. In this study, we applied electrophysiological biomarkers obtained from electroencephalography (EEG) analyses to an estimation of symptom severity scores of patients with schizophrenia. EEG signals were recorded from 23 patients while they performed a facial affect discrimination task. Based on the source current density analysis results, we extracted voxels that showed a strong correlation between source activity and symptom scores. We then built a prediction model to estimate the symptom severity scores of each patient using the source activations of the selected voxels. The symptom scores of the Positive and Negative Syndrome Scale (PANSS) were estimated using the linear prediction model. The results of leave-one-out cross validation (LOOCV) showed that the mean errors of the estimated symptom scores were 3.34 ± 2.40 and 3.90 ± 3.01 for the Positive and Negative PANSS scores, respectively. The current pilot study is the first attempt to estimate symptom severity scores in schizophrenia using quantitative EEG features. It is expected that the present method can be extended to other cognitive paradigms or other psychological illnesses.

  14. Estimation of Symptom Severity Scores for Patients with Schizophrenia Using ERP Source Activations during a Facial Affect Discrimination Task

    Directory of Open Access Journals (Sweden)

    Do-Won Kim

    2017-08-01

    Full Text Available Precise diagnosis of psychiatric diseases and a comprehensive assessment of a patient's symptom severity are important in order to establish a successful treatment strategy for each patient. Although great efforts have been devoted to searching for diagnostic biomarkers of schizophrenia over the past several decades, no study has yet investigated how accurately these biomarkers are able to estimate an individual patient's symptom severity. In this study, we applied electrophysiological biomarkers obtained from electroencephalography (EEG analyses to an estimation of symptom severity scores of patients with schizophrenia. EEG signals were recorded from 23 patients while they performed a facial affect discrimination task. Based on the source current density analysis results, we extracted voxels that showed a strong correlation between source activity and symptom scores. We then built a prediction model to estimate the symptom severity scores of each patient using the source activations of the selected voxels. The symptom scores of the Positive and Negative Syndrome Scale (PANSS were estimated using the linear prediction model. The results of leave-one-out cross validation (LOOCV showed that the mean errors of the estimated symptom scores were 3.34 ± 2.40 and 3.90 ± 3.01 for the Positive and Negative PANSS scores, respectively. The current pilot study is the first attempt to estimate symptom severity scores in schizophrenia using quantitative EEG features. It is expected that the present method can be extended to other cognitive paradigms or other psychological illnesses.

  15. Convergence Insufficiency Symptom Survey Scores for Reading Versus Other Near Visual Activities in School-Age Children.

    Science.gov (United States)

    Clark, Tiana Y; Clark, Robert A

    2015-11-01

    To measure the difference in Convergence Insufficiency Symptom Survey scores for reading vs favorite near visual activities. Comparative validity analysis of diagnostic tools. At a single clinical private practice, 100 children aged 9-18 with normal binocular vision were recruited to receive either the original survey emphasizing reading or a modified survey replacing "reading" with their favorite near activity. Average survey scores and subscores for questions emphasizing fatigue, discomfort, impaired vision, and cognitive performance were compared using t tests, while responses to individual questions were compared using Mann-Whitney U tests. The average reading survey score was significantly greater than the favorite near activity survey score (14.1 ± 11.5 vs 6.7 ± 5.8, P = .0001). The largest difference resulted from questions emphasizing cognitive performance (subscore 5.8 ± 4.3 vs 2.0 ± 2.1, P = .0000002), although significant differences were also found for fatigue (5.4 ± 3.8 vs 3.0 ± 2.7, P = .0003), discomfort (3.9 ± 4.6 vs 1.8 ± 2.2, P = .004), and impaired vision (3.2 ± 3.9 vs 1.8 ± 2.2, P = .02). Significant differences were found for 7 survey questions, with higher symptom scores for the reading survey in every case. Using survey scores ≥16 to diagnose convergence insufficiency, significantly more children taking the reading survey would have been diagnosed with convergence insufficiency than children taking the favorite near activity survey (19 of 50 [38%] vs 5 of 50 [10%], P = .001). By emphasizing reading, the Convergence Insufficiency Symptom Survey score significantly overestimates near visual symptoms in children with normal binocular vision compared with symptoms caused by preferred near activities that require similar amplitudes of accommodation and convergence. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. Instrumentos relacionados ao diabetes mellitus adaptados e validados para a cultura brasileira

    Directory of Open Access Journals (Sweden)

    Raquel Curcio

    2011-06-01

    Full Text Available Trata-se de um estudo de revisão integrativa, cujo objetivo foi buscar evidências disponíveis na literatura sobre os instrumentos e escalas relacionados ao diabetes mellitus adaptados e validados para a cultura brasileira. Após busca nas bases eletrônicas BDENF, SciELO, LILACS, foram incluídos sete instrumentos que atenderam aos critérios de inclusão: Diabetes Mellitus Knowledge (DKN-A; Diabetes Mellitus Attitude (ATT-19; Diabetes Quality of Life Measure (DQOL-Brasil; Diabetes Quality of Life for Youths (DQOLY-Brasil; Diabetes 39 (D-39; Insulin Management Diabetes Self-efficacy (IMDSES; Problem Areas in Diabetes (PAID e Summary of Diabetes Self-Care Activities Questionnaire (QAD. Os resultados permitiram traçar uma comparação entre os instrumentos disponíveis, além de conhecer as limitações quanto ao processo de validação e aplicação clínica. Espera-se que esse estudo possa contribuir para uma maior divulgação dos instrumentos relacionados ao diabetes mellitus disponíveis para a cultura brasileira, e oferecer subsídios para a sua utilização em pesquisa ou assistência de enfermagem.

  17. 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.

  18. An examination of presenteeism measures: the association of three scoring methods with health, work life, and consumer activation.

    Science.gov (United States)

    Terry, Paul E; Xi, Min

    2010-12-01

    The objective of this study was to assess the validity of 3 scoring techniques for presenteeism measures by exploring their relationship with patient activation, health, job satisfaction, and socioeconomic characteristics. The sample consisted of 631 employees from 2 predominantly white-collar employee groups in the northern Midwest. Employees completed the World Health Organization's Health and Work Performance Questionnaire, a wellness profile, and the Patient Activation Measure. Absolute measures reflect self-rated performance, while relative and stratified measures compare self-rated performance to that of co-workers. Multivariate analyses were used to validate scoring measures. All measures of presenteeism were positively correlated with being nonwhite, income, and smoking. The significance of age, employment, mental health, and patient activation depends on how presenteeism is defined. Practitioners must carefully consider which scoring method best addresses their program goals and objectives. Clearer measurement guidelines are needed.

  19. 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...... spine MRI score for activity (ASspiMRI-a), the Berlin method (a modification of the ASspiMRI-a), and the Spondyloarthritis Research Consortium of Canada Magnetic Resonance Imaging Index for Assessment of Spinal Inflammation in AS (SPARCC). All 3 methods were judged to be similar with respect...... to responsiveness and discrimination, although the differences in between-reader intraclass correlation coefficients (ICC) were judged to be relevant (the SPARCC method provided consistently higher ICC). The Berlin and SPARCC methods were preferred most frequently. The development of a new method combining the best...

  20. Association between Children's Physical Activity and Parental Practices Enhancing Children's Physical Activity: The Moderating Effects of Children's BMI z-Score

    Directory of Open Access Journals (Sweden)

    Natalia Liszewska

    2018-01-01

    Full Text Available Objective: Parental practices that aim at increasing children's physical activity were found to be related to children's physical activity. So far, however, the association between these two sets of variables was studied without considering the moderating role of children's BMI z-score, which may determine the effectiveness of parental practices. The present study aims at filling this void.Design: Longitudinal data were collected among 879 dyads of children (6–11 years old and their parents. Seven parental physical activity practices were assessed at baseline. Physical activity, body mass, and height (measured among children were assessed twice (at baseline and 7-month follow-up. Body mass and height were measured objectively. Seven moderation analyses were conducted.Results: Six parental practices emerged to predict physical activity of children: collaborative social control, overall support, stimulation to be active, general encouragement for physical activity, positive social control, and modeling. Children's BMI z-score moderated three associations. The relationships between parental positive social control, overall parental support, and general parental encouragement for physical activity (at baseline, and children's physical activity (at follow-up were significant only among children with low and medium BMI z-score. In turn, collaborative social control and modeling predicted children's physical activity at the follow-up regardless child's BMI z-score.Conclusions: Parental positive social control or overall parental support may be ineffective in children with higher body mass who are in need to increase their physical activity.

  1. Differences in physical-fitness test scores between actively and passively recruited older adults : Consequences for norm-based classification

    NARCIS (Netherlands)

    van Heuvelen, M.J.G.; Stevens, M.; Kempen, G.I.J.M.

    This study investigated differences in physical-fitness test scores between actively and passively recruited older adults and the consequences thereof for norm-based classification of individuals. Walking endurance, grip strength, hip flexibility, balance, manual dexterity, and reaction time were

  2. The effect of routine hoof trimming on locomotion score, ruminating time, activity and milk yield of dairy cows

    NARCIS (Netherlands)

    Hertem, van T.; Parmet, Y.; Steensels, M.; Maltz, E.; Antler, A.; Schlageter Tello, A.A.; Lokhorst, C.; Romanini, C.E.B.; Viazzi, S.; Bahr, C.; Berckmans, D.; Halachmi, I.

    2014-01-01

    The objective of this study was to quantify the effect of hoof trimming on cow behavior (ruminating time, activity, and locomotion score) and performance (milk yield) over time. Data were gathered from a commercial dairy farm in Israel where routine hoof trimming is done by a trained hoof trimmer

  3. 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.

    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:

  4. 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.

  5. Thioredoxin 1 in Prostate Tissue Is Associated with Gleason Score, Erythrocyte Antioxidant Enzyme Activity, and Dietary Antioxidants

    Directory of Open Access Journals (Sweden)

    Terrence M. Vance

    2015-01-01

    Full Text Available Background. Prostate cancer is the most common noncutaneous cancer and second leading cause of cancer-related mortality in men in the US. Growing evidence suggests that oxidative stress is involved in prostate cancer. Methods. In this study, thioredoxin 1 (Trx 1, an enzyme and subcellular indicator of redox status, was measured in prostate biopsy tissue from 55 men from the North Carolina-Louisiana Prostate Cancer Project. A pathologist blindly scored levels of Trx 1. The association between Trx 1 and the Gleason score, erythrocyte antioxidant enzyme activity, and dietary antioxidant intake was determined using Fisher’s exact test. Results. Trx 1 levels in benign prostate tissue in men with incident prostate cancer were positively associated with the Gleason score (P=0.01 and inversely associated with dietary antioxidant intake (P=0.03. In prostate cancer tissue, Trx 1 levels were associated with erythrocyte glutathione peroxidase activity (P=0.01. No association was found for other erythrocyte enzymes. Greater Gleason score of malignant tissue corresponds to a greater difference in Trx 1 levels between malignant and benign tissue (P=0.04. Conclusion. These results suggest that the redox status of prostate tissue is associated with prostate cancer grade and both endogenous and exogenous antioxidants.

  6. 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......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 overestimated. OBJECTIVE: The aim of this study was to evaluate the reliability of DAS28 in RA, especially focusing on a subgroup of patients with a DAS28 score of greater than 3.2. METHODS: Data from RA patients registered in the local part of Danish DANBIO Registry were collected in May 2015. Patients were....... Patients with central sensitization and psychological problems and those with false-positive diagnosis of RA are at high risk of overtreatment.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where...

  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. Development of an ASAS-endorsed disease activity score (ASDAS) in patients with ankylosing spondylitis

    NARCIS (Netherlands)

    Lukas, C.; Landewé, R.; Sieper, J.; Dougados, M.; Davis, J.; Braun, J.; van der Linden, S.; van der Heijde, D.

    2009-01-01

    To develop a new index for disease activity in ankylosing spondylitis (ASDAS) that is truthful, discriminative and feasible, and includes domains/items that are considered relevant by patients and doctors. Eleven candidate variables covering six domains of disease activity, selected by ASAS experts

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

    Science.gov (United States)

    Rademakers, Jany; Maindal, Helle Terkildsen; Steinsbekk, Aslak; Gensichen, Jochen; Brenk-Franz, Katja; Hendriks, Michelle

    2016-10-12

    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 their native languages (Danish, Dutch, German, Norwegian). The aim was to compare the psychometric properties in studies from the different countries and establish whether the scores on the PAM vary between the studies. Data from the four separate studies were subjected to the same data cleaning procedures and statistical analyses. The psychometric properties of the instruments were established with measures of data quality and scale structure. The mean patient activation score and distribution across four predefined activation levels were described and the differences between the four studies were tested with ANOVA (unadjusted and adjusted) followed by a post-hoc Tukey HSD test and the Pearson chi-squared test respectively. The total N of the four studies was 5184. The percentage of missing values was low in all datasets, confirming the good quality of the datasets. Factor analyses revealed moderate to strong factor loadings on the first factor in all datasets. Cronbach's α was high for all version, ranging from .80 (German) to .88 (Dutch). Item-rest correlations varied between .32 and .66, indicating a moderate to strong correlation of the individual items to the sum scale. Both the mean PAM score and the distribution across activation levels differed between the four datasets. After adjustment of the PAM score, patients in Norway in particular had a higher patient activation level. The European translations of PAM-13 (into Danish, Dutch, German and Norwegian) resulted in four instruments with good psychometric capabilities for measuring patient activation. The mean PAM score and the distribution across activation levels differed between the four datasets.

  10. Associations of prepartum body condition score with occurrence of clinical endometritis and resumption of postpartum ovarian activity in dairy cattle.

    Science.gov (United States)

    Kadivar, Ali; Ahmadi, Mohammad Rahim; Vatankhah, Mahmood

    2014-01-01

    This study was performed to investigate the effect of periparturient body condition score on the occurrence of clinical endometritis and postpartum resumption of ovarian activity in dairy cows. Eighty-seven lactating Holstein cows, fed with a total mixed ration diet, were included into the study. Body condition scoring (using a 5-point scale with quarter-point divisions) was performed by the same investigator using the visual technique every 2 weeks, from 2 weeks before until 6 weeks after calving. Palpation of the reproductive tract and ultrasonographic assessment of ovaries for detection of corpus luteum using a rectal linear probe was also performed at 2, 4, and 6 weeks after calving. Cows with clinical endometritis had significantly lower body condition score (BCS) than normal cows at all weeks pre- and postcalving, and cows that did not ovulate until 45 days after calving had a significantly lower BCS pre- and postpartum. Cows that did not ovulate until 45 days after calving also lost more BCS from 2 weeks before to 4 weeks after calving. Besides, first ovulation after calving take occurred later in cows with clinical endometritis compared to normal cows (P < 0.05). In conclusion, low BCS is a risk factor for postpartum endometritis and delayed cyclicity in dairy cows. BCS loss from dry-off to early lactation and occurrence of clinical endometritis can significantly affect postpartum ovarian activity.

  11. Observations on muscle activity in REM sleep behavior disorder assessed with a semi-automated scoring algorithm

    DEFF Research Database (Denmark)

    Jeppesen, Jesper; Otto, Marit; Frederiksen, Yoon

    2018-01-01

    OBJECTIVES: Rapid eye movement (REM) sleep behavior disorder (RBD) is defined by dream enactment due to a failure of normal muscle atonia. Visual assessment of this muscle activity is time consuming and rater-dependent. METHODS: An EMG computer algorithm for scoring 'tonic', 'phasic' and 'any......' submental muscle activity during REM sleep was evaluated compared with human visual ratings. Subsequently, 52 subjects were analyzed with the algorithm. Duration and maximal amplitude of muscle activity, and self-awareness of RBD symptoms were assessed. RESULTS: The computer algorithm showed high congruency...... sleep without atonia. CONCLUSIONS: Our proposed algorithm was able to detect and rate REM sleep without atonia allowing identification of RBD. Increased duration and amplitude of muscle activity bouts were characteristics of RBD. Quantification of REM sleep without atonia represents a marker of RBD...

  12. Interferon-regulated chemokine score associated with improvement in disease activity in refractory myositis patients treated with rituximab.

    Science.gov (United States)

    López De Padilla, Consuelo M; Crowson, Cynthia S; Hein, Molly S; Strausbauch, Michael A; Aggarwal, Rohit; Levesque, Marc C; Ascherman, Dana P; Oddis, Chester V; Reed, Ann M

    2015-01-01

    The purpose of this study was to investigate whether serum interferon (IFN)-regulated chemokine and distinct cytokine response profiles are associated with clinical improvement in patients with refractory inflammatory myopathy treated with rituximab. In a randomised, placebo-phase trial Rituximab in Myositis Trial (RIM), 200 refractory adult and paediatric myositis subjects received rituximab. Following rituximab, clinical response and disease activity were assessed. Serum samples and clinical data were collected at baseline and several time-points after rituximab treatment. Multiplexed sandwich immunoassays quantified serum levels of IFN-regulated chemokines and other pro-inflammatory cytokines. Composite IFN-regulated chemokine and Th1, Th2, Th17 and regulatory cytokine scores were computed. Baseline IFN-regulated chemokine, Th1, Th2, Th17 and regulatory cytokine scores correlated with baseline physician global VAS, whereas the baseline Th1, Th2 and Th17 cytokine scores correlated with baseline muscle VAS. We also found baseline IFN-regulated chemokine scores correlated with specific non-muscular targets such as baseline cutaneous (r=0.29; p=0.002) and pulmonary (r=0.18; p=0.02) VAS scores. Among all cytokine/chemokines examined, the baseline score of IFN-regulated chemokines demonstrated the best correlation with changes in muscle VAS at 8 (r=-0.19; p=0.01) and 16 weeks (r=-0.17; p=0.03) following rituximab and physician global VAS at 16 weeks (r=-0.16; p=0.04). In vitro experiments showed increased levels of IL-8 (p=0.04), MCP-1 (p=0.04), IL-6 (p=0.03), IL-1β (p=0.04), IL-13 (p=0.04), IL-10 (p=0.02), IL-2 (p=0.04) and IFN-γ (p=0.02) in supernatants of TLR-3 stimulated PBMCs from non-responder compared to patients responders to rituximab. IFN-regulated chemokines before treatment is associated with improvement in disease activity measures in refractory myositis patients treated with rituximab.

  13. A Polygenic Risk Score of glutamatergic SNPs associated with schizophrenia predicts attentional behavior and related brain activity in healthy humans.

    Science.gov (United States)

    Rampino, Antonio; Taurisano, Paolo; Fanelli, Giuseppe; Attrotto, Mariateresa; Torretta, Silvia; Antonucci, Linda Antonella; Miccolis, Grazia; Pergola, Giulio; Ursini, Gianluca; Maddalena, Giancarlo; Romano, Raffaella; Masellis, Rita; Di Carlo, Pasquale; Pignataro, Patrizia; Blasi, Giuseppe; Bertolino, Alessandro

    2017-09-01

    Multiple genetic variations impact on risk for schizophrenia. Recent analyses by the Psychiatric Genomics Consortium (PGC2) identified 128 SNPs genome-wide associated with the disorder. Furthermore, attention and working memory deficits are core features of schizophrenia, are heritable and have been associated with variation in glutamatergic neurotransmission. Based on this evidence, in a sample of healthy volunteers, we used SNPs associated with schizophrenia in PGC2 to construct a Polygenic-Risk-Score (PRS) reflecting the cumulative risk for schizophrenia, along with a Polygenic-Risk-Score including only SNPs related to genes implicated in glutamatergic signaling (Glu-PRS). We performed Factor Analysis for dimension reduction of indices of cognitive performance. Furthermore, both PRS and Glu-PRS were used as predictors of cognitive functioning in the domains of Attention, Speed of Processing and Working Memory. The association of the Glu-PRS on brain activity during the Variable Attention Control (VAC) task was also explored. Finally, in a second independent sample of healthy volunteers we sought to confirm the association between the Glu-PRS and both performance in the domain of Attention and brain activity during the VAC.We found that performance in Speed of Processing and Working Memory was not associated with any of the Polygenic-Risk-Scores. The Glu-PRS, but not the PRS was associated with Attention and brain activity during the VAC. The specific effects of Glu-PRS on Attention and brain activity during the VAC were also confirmed in the replication sample.Our results suggest a pathway specificity in the relationship between genetic risk for schizophrenia, the associated cognitive dysfunction and related brain processing. Copyright © 2017 Elsevier B.V. and ECNP. All rights reserved.

  14. 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

    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...

  15. 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

    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...

  16. Depressive symptoms predict future simple disease activity index scores and simple disease activity index remission in a prospective cohort of patients with early inflammatory polyarthritis.

    Science.gov (United States)

    Leblanc-Trudeau, Charlotte; Dobkin, Patricia L; Carrier, Nathalie; Cossette, Pierre; de Brum-Fernandes, Artur J; Liang, Patrick; Masetto, Ariel; Boire, Gilles

    2015-12-01

    To determine whether depressive symptoms assessed in treated patients with early inflammatory polyarthritis (EPA) influence disease activity during follow-up. Consecutively recruited EPA patients were actively treated to remission. Simple disease activity index (SDAI) and Center for Epidemiologic Studies Depression Scale (CES-D) scores were calculated at inclusion and up to 42 months into disease. SDAI scores were log-transformed to compute univariate and multivariate linear regressions. Parametric interval-censored Kaplan-Meier and survival regressions using Weibull distribution were used to assess time to and predictors of SDAI remission. A total of 275 EPA patients were recruited at a median of 4 months into disease. In multivariate linear regression models, accounting for baseline demographic, clinical, serological and functional variables and 12-month inflammation markers, CES-D scores at 12 months into disease were correlated (r(2) = 0.14) with subsequent SDAI scores. Patients with 12-month high CES-D (≥19; suggestive of depression) had a lower proportion of SDAI remission (31.3% vs 84.3%; P < 0.001) and reached SDAI remission less rapidly [hazard ratio = 0.25 (95% CI 0.12, 0.53); P < 0.001]. Each follow-up SDAI correlated significantly with 12-month depressive symptoms, a median of 7 months after initiation of treatment. CES-D scores suggestive of depression at 12 months were strongly correlated with delay and failure to reach remission later on. Depressive symptoms in treated EPA patients represent important clinical issues with long-term association with disease activity. Interventions to alleviate persistent depressive symptoms in treated EPA warrant careful evaluation of their potential to improve disease remission rates. © The Author 2015. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  17. How much structuring is beneficial with regard to examination scores? A prospective study of three forms of active learning.

    Science.gov (United States)

    Reinhardt, Claus H; Rosen, Evelyne N

    2012-09-01

    Many studies have demonstrated a superiority of active learning forms compared with traditional lecture. However, there is still debate as to what degree structuring is necessary with regard to high exam outcomes. Seventy-five students from a premedical school were randomly attributed to an active lecture group, a cooperative group, or a collaborative learning group. The active lecture group received lectures with questions to resolve at the end of the lecture. At the same time, the cooperative group and the collaborative group had to work on a problem and prepare presentations for their answers. The collaborative group worked in a mostly self-directed manner; the cooperative group had to follow a time schedule. For the additional work of preparing the poster presentation, the collaborative and cooperative groups were allowed 50% more working time. In part 1, all groups worked on the citric acid cycle, and in part 2, all groups worked on molecular genetics. Collaborative groups had to work on tasks and prepare presentations for their answers. At the end of each part, all three groups were subjected to the same exam. Additionally, in the collaborative and cooperative groups, the presentations were marked. All evaluations were performed by two independent examiners. Exam results of the active lecture groups were highest. Results of the cooperative group were nonsignificantly lower than the active lecture group and significantly higher than the collaborative group. The presentation quality was nonsignificantly higher in the collaborative group compared with the cooperative group. This study shows that active lecturing produced the highest exam results, which significantly differed from collaborative learning results. The additional elaboration in the cooperative and collaborative learning setting yielded the high presentation quality but apparently could not contribute further to exam scores. Cooperative learning seems to be a good compromise if high exam and

  18. Naturally occurring workplace facilities to increase the leisure time physical activity of workers: A propensity-score weighted population study

    Directory of Open Access Journals (Sweden)

    Aviroop Biswas

    2018-06-01

    Full Text Available The benefit of providing access to physical activity facilities at or near work to support the leisure time physical activity (LTPA of workers is uncertain. We examined the association between access to physical activity facilities at or near work and the LTPA of workers after adjusting for a range of individual and occupational characteristics. Data was obtained from 60,650 respondents to the 2007–2008 Canadian Community Health Survey. Participants were employed adults ≥18 years of age who had no long-term health condition which reduced their participation in physical activity. Latent class analysis determined naturally occurring combinations of physical activity facilities at or near work. Each combination was balanced by 19 individual and occupational covariate characteristics using inverse probability of treatment weights derived from propensity scores. The association between combinations of physical activity facilities at or near work on LTPA level was estimated by multinomial logistic regression. Five different combinations of physical activity facilities were available to respondents at or near work. Data were analyzed in 2017. All possible physical facilities increased the likelihood for LTPA (OR, 2.08, 95% CI, 1.03–4.20 and other combinations were also positively associated. Respondents with no physical activity facilities were characterized as having a low education, low income, high physically demanding work, poor health and mental health, non-white racial background, and being an immigrant. Access to supportive workplace environments can help workers be physically active. Future research should assess a range of personal, social and environmental factors that may be driving this relationship. Keywords: Physical activity, Workplace, Built environment, Health promotion, Exercise

  19. Instrumentos para la evaluación de experiencias Flipped Learning en el aula de primaria

    OpenAIRE

    Núñez Marín, Anunciación

    2015-01-01

    Instrumentos de evaluación de experiencia de trabajo en el aula con la metodología Flipped Classroom. Se incluyen tres instrumentos: registro de observación, cuestionario familias, cuestionario alumnos.

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

    Directory of Open Access Journals (Sweden)

    S.G. Stella

    2005-11-01

    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.

  1. Naturally occurring workplace facilities to increase the leisure time physical activity of workers: A propensity-score weighted population study.

    Science.gov (United States)

    Biswas, Aviroop; Smith, Peter M; Gignac, Monique A M

    2018-06-01

    The benefit of providing access to physical activity facilities at or near work to support the leisure time physical activity (LTPA) of workers is uncertain. We examined the association between access to physical activity facilities at or near work and the LTPA of workers after adjusting for a range of individual and occupational characteristics. Data was obtained from 60,650 respondents to the 2007-2008 Canadian Community Health Survey. Participants were employed adults ≥18 years of age who had no long-term health condition which reduced their participation in physical activity. Latent class analysis determined naturally occurring combinations of physical activity facilities at or near work. Each combination was balanced by 19 individual and occupational covariate characteristics using inverse probability of treatment weights derived from propensity scores. The association between combinations of physical activity facilities at or near work on LTPA level was estimated by multinomial logistic regression. Five different combinations of physical activity facilities were available to respondents at or near work. Data were analyzed in 2017. All possible physical facilities increased the likelihood for LTPA (OR, 2.08, 95% CI, 1.03-4.20) and other combinations were also positively associated. Respondents with no physical activity facilities were characterized as having a low education, low income, high physically demanding work, poor health and mental health, non-white racial background, and being an immigrant. Access to supportive workplace environments can help workers be physically active. Future research should assess a range of personal, social and environmental factors that may be driving this relationship.

  2. Catalytic activity of autoantibodies toward myelin basic protein correlates with the scores on the multiple sclerosis expanded disability status scale.

    Science.gov (United States)

    Ponomarenko, Natalia A; Durova, Oxana M; Vorobiev, Ivan I; Belogurov, Alexey A; Telegin, Georgy B; Suchkov, Sergey V; Misikov, Victor K; Morse, Herbert C; Gabibov, Alexander G

    2006-02-28

    Autoantibodies toward myelin basic protein (MBP) evidently emerge in sera and cerebrospinal fluid of the patients with multiple sclerosis (MS), as well as in a MS rodent model, i.e., experimental autoimmune encephalomyelitis (EAE). The studies of the last two decades have unveiled somewhat controversial data on the diagnostic applicability of anti-MBP autoantibodies as a disease' marker. Here, we present the results of new functional analysis of the anti-MBP autoantibodies isolated from MS (in patients) and EAE (in mice) sera, based on their proteolytic activity against the targeted autoantigen. The activity was shown to be the intrinsic property of the IgG molecule. No activity was found in the sera-derived antibody fraction of healthy donors and control mice. Sera of 24 patients with clinically proven MS at different stages of the disease, and 20 healthy controls were screened for the anti-MBP antibody-mediated proteolytic activity. The activity correlated with the scores on the MS expanded disability status scale (EDSS) (r(2)=0.85, P<0.001). Thus, the anti-MBP autoantibody-mediated proteolysis may be regarded as an additional marker of the disease progression.

  3. Power and color Doppler ultrasound settings for inflammatory flow: impact on scoring of disease activity in patients with rheumatoid arthritis.

    Science.gov (United States)

    Torp-Pedersen, Søren; Christensen, Robin; Szkudlarek, Marcin; Ellegaard, Karen; D'Agostino, Maria Antonietta; Iagnocco, Annamaria; Naredo, Esperanza; Balint, Peter; Wakefield, Richard J; Torp-Pedersen, Arendse; Terslev, Lene

    2015-02-01

    To determine how settings for power and color Doppler ultrasound sensitivity vary on different high- and intermediate-range ultrasound machines and to evaluate the impact of these changes on Doppler scoring of inflamed joints. Six different types of ultrasound machines were used. On each machine, the factory setting for superficial musculoskeletal scanning was used unchanged for both color and power Doppler modalities. The settings were then adjusted for increased Doppler sensitivity, and these settings were designated study settings. Eleven patients with rheumatoid arthritis (RA) with wrist involvement were scanned on the 6 machines, each with 4 settings, generating 264 Doppler images for scoring and color quantification. Doppler sensitivity was measured with a quantitative assessment of Doppler activity: color fraction. Higher color fraction indicated higher sensitivity. Power Doppler was more sensitive on half of the machines, whereas color Doppler was more sensitive on the other half, using both factory settings and study settings. There was an average increase in Doppler sensitivity, despite modality, of 78% when study settings were applied. Over the 6 machines, 2 Doppler modalities, and 2 settings, the grades for each of 7 of the patients varied between 0 and 3, while the grades for each of the other 4 patients varied between 0 and 2. The effect of using different machines, Doppler modalities, and settings has a considerable influence on the quantification of inflammation by ultrasound in RA patients, and this must be taken into account in multicenter studies. Copyright © 2015 by the American College of Rheumatology.

  4. Pesquisa como instrumento da prática

    Directory of Open Access Journals (Sweden)

    Maura Maria Guimarães de Almeida

    1995-06-01

    Full Text Available O trabalho aborda a utilização da pesquisa como instrumento da prática profissional da enfermaria na área de assistência, administração e ensino. Situa a ciência como processo. Ressalta a responsabilidade da enfermeira na produção da conhecimento científico. Destaca os fatores que dificultam e facilitam a pesquisa, além dos aspectos éticos envolvidos.

  5. Proposta de um instrumento para avaliar eventos adversos em odontologia

    Directory of Open Access Journals (Sweden)

    Claudia Dolores Trierweiler Sampaio de Oliveira Corrêa

    2017-11-01

    Full Text Available Resumo: O objetivo deste estudo foi propor um conjunto de rastreadores para a pesquisa de eventos adversos em odontologia ambulatorial no Brasil. O instrumento foi elaborado em duas etapas: (i para construir um conjunto preliminar de rastreadores foi realizada uma revisão da literatura, a fim de identificar a composição das ferramentas de rastreamento utilizadas nas demais áreas da saúde e os principais eventos adversos encontrados em odontologia; (ii para validar os rastreadores preliminarmente construídos foi organizado um painel de especialistas empregando o método Delphi modificado. Foram elaborados quatorze rastreadores para compor um instrumento com critérios explícitos para identificar potenciais eventos adversos no cuidado odontológico, essenciais para os estudos de revisão retrospectiva de prontuários. Pesquisas relacionadas à segurança do paciente em odontologia ainda são bastante incipientes em relação às demais áreas da saúde. Este trabalho pretendeu contribuir para a investigação nesse campo. O aporte da literatura e a ajuda da expertise do painel de especialistas permitiram a elaboração de um conjunto de rastreadores para a detecção de eventos adversos odontológicos, no entanto, são necessários estudos adicionais para testar a validade do instrumento.

  6. 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.

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

    Science.gov (United States)

    Ferrazzano, Gianmaria F.; Roberto, Lia; Catania, Maria Rosaria; Chiaviello, Angela; De Natale, Antonino; Roscetto, Emanuela; Pinto, Gabriele; Pollio, Antonino; Ingenito, Aniello; Palumbo, Giuseppe

    2013-01-01

    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. PMID:24302963

  8. 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, M; 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....

  9. Ectonucleotide pyrophosphatase/phosphodiesterase (E-NPP) and adenosine deaminase (ADA) activities in prostate cancer patients: influence of Gleason score, treatment and bone metastasis.

    Science.gov (United States)

    Battisti, Vanessa; Maders, Liési D K; Bagatini, Margarete D; Battisti, Iara E; Bellé, Luziane P; Santos, Karen F; Maldonado, Paula A; Thomé, Gustavo R; Schetinger, Maria R C; Morsch, Vera M

    2013-04-01

    The relation between adenine nucleotides and cancer has already been described in literature. Considering that the enzymes ectonucleotide pyrophosphatase/phosphodiesterase (E-NPP) and adenosine deaminase (ADA) act together to control nucleotide levels, we aimed to investigate the role of these enzymes in prostate cancer (PCa). E-NPP and ADA activities were determined in serum and platelets of PCa patients and controls. We also verified the influence of the Gleason score, bone metastasis and treatment in the enzyme activities. Platelets and serum E-NPP activity increased, whereas ADA activity in serum decreased in PCa patients. In addition, Gleason score, metastasis and treatment influenced E-NPP and ADA activities. We may propose that E-NPP and ADA are involved in the development of PCa. Moreover, E-NPP and ADA activities are modified in PCa patients with distinct Gleason score, with bone metastasis, as well as in patients under treatment. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  10. Relationships between luteal activity, fertility, blood metabolites and body condition score in multiparous Estonian Holstein dairy cows under different management.

    Science.gov (United States)

    Samarütel, Jaak; Waldmann, Andres; Ling, Katri; Jaakson, Hanno; Kaart, Tanel; Leesmäe, Andres; Kärt, Olav

    2008-11-01

    The objective was to compare the relationships between luteal activity and fertility, and relate these parameters to metabolic indices and body condition changes in multiparous Estonian Holstein cows on two commercial dairy farms under different management and levels of production and nutrition (higher, H, n=54 (71 lactations) and lower, L, n=39 (39 lactations)). For statistical analysis cows were categorized according to their milk progesterone (P4) profiles as follows: normal ovarian function; delayed start of cyclicity (DC) (interval from calving to first luteal response (P45 ng/ml up to and more than 50 d respectively, followed by regular cyclicity); cessation of luteal activity (prolonged interluteal interval, P4bodies, non-esterified fatty acids, total cholesterol) and aspartate aminotransferase, body condition scores (BCS) and fertility parameters between the two farms, and also fertility parameters between the farms within P4 categories. Differences in milk fat/protein ratio, ketone body levels and BCS indicated a deeper negative energy balance (NEB) during the first month after calving on farm L. On both farms nearly 50% of the recently calved dairy cows suffered from ovarian dysfunction during the post-partum period. Delayed start of cyclicity was the most prevalent abnormal P4 profile, 25% and 28% on farms H and L, respectively. Prolonged luteal activity accounted for one-third of atypical ovarian patterns on farm H, and cessation of luteal activity on farm L. On farm L, DC cows had lower BCS values from day 10 to day 90 after calving compared with normal cows (Pcows lost more BCS (1.2 units) during the 40 d after calving than normal resumption cows (0.75 units; P<0.05). On farm H with moderate NEB the delayed start of ovulation post partum did not impair subsequent reproductive performance.

  11. Alcohol Use Among Active Duty Women: Analysis AUDIT Scores From the 2011 Health-Related Behavior Survey of Active Duty Military Personnel.

    Science.gov (United States)

    Jeffery, Diana D; Mattiko, Mark

    2016-01-01

    Numerous studies document higher substance use among military men after deployment; similar studies focused on military women are limited. This study examines alcohol use of active duty women and deployment factors, social/environmental/attitudinal factors, and psychological/intrapersonal factors. Secondary data analysis of the 2011 Survey of Health-Related Behavior of active duty military personnel was conducted using bivariate statistics and multiple regression analyses with Alcohol Use Disorders Identification Test scores as the dependent variable. Nearly 94% had low risk for alcohol use disorders. Length of combat experience and extent of combat exposure were unrelated to Alcohol Use Disorders Identification Test scores; noncombat deployment was unrelated after controlling for marital status, age of first drink, pay grade, and branch of service. Significant motivators (p risk propensity, lifetime prevalence of suicidal ideation, and depressed mood were significant predictors in the regression model after controlling for covariates. Findings suggest that some active duty women use alcohol to cope with adverse emotional states, whereas others use alcohol consistent with propensity for high-risk behaviors. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

  12. Variation in dietary intake and physical activity pattern as predictors of change in body mass index (BMI) Z-score among Brazilian adolescents.

    Science.gov (United States)

    Enes, Carla C; Slater, Betzabeth

    2013-06-01

    To assess whether changes in dietary intake and physical activity pattern are associated with the annual body mass index (BMI) z-score change among adolescents. The study was conducted in public schools in the city of Piracicaba, Sao Paulo, Brazil, with a probabilistic sample of 431 adolescents participating in wave I (2004) (hereafter, baseline) and 299 in wave II (2005) (hereafter, follow-up). BMI, usual food intake, physical activity, screen time, sexual maturation and demographic variables were assessed twice. The association between annual change in food intake, physical activity, screen time, and annual BMI z-score changes were assessed by multiple regression. The study showed a positive variation in BMI z-score over one-year. Among variables related to physical activity pattern only playing videogame and using computer increased over the year. The intake of fruits and vegetables and sugar-sweetened beverages increased over one year, while the others variables showed a reduction. An increased consumption of fatty foods (β = 0.04, p = 0.04) and sweetened natural fruit juices (β = 0.05, p = 0.03) was positively associated with the rise in BMI z-score. Unhealthy dietary habits can predict the BMI z-score gain more than the physical activity pattern. The intake of fatty foods and sweetened fruit juices is associated with the BMI z-score over one year.

  13. Variation in dietary intake and physical activity pattern as predictors of change in body mass index (BMI Z-score among Brazilian adolescents*

    Directory of Open Access Journals (Sweden)

    Carla C. Enes

    2013-06-01

    Full Text Available Objective: To assess whether changes in dietary intake and physical activity pattern are associated with the annual body mass index (BMI z-score change among adolescents. Methods: The study was conducted in public schools in the city of Piracicaba, Sao Paulo, Brazil, with a probabilistic sample of 431 adolescents participating in wave I (2004 (hereafter, baseline and 299 in wave II (2005 (hereafter, follow-up. BMI, usual food intake, physical activity, screen time, sexual maturation and demographic variables were assessed twice. The association between annual change in food intake, physical activity, screen time, and annual BMI z-score changes were assessed by multiple regression. Results: The study showed a positive variation in BMI z-score over one-year. Among variables related to physical activity pattern only playing videogame and using computer increased over the year. The intake of fruits and vegetables and sugar-sweetened beverages increased over one year, while the others variables showed a reduction. An increased consumption of fatty foods (β = 0.04, p = 0.04 and sweetened natural fruit juices (β = 0.05, p = 0.03 was positively associated with the rise in BMI z-score. Conclusions: Unhealthy dietary habits can predict the BMI z-score gain more than the physical activity pattern. The intake of fatty foods and sweetened fruit juices is associated with the BMI z-score over one year.

  14. 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)

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

    2016-04-01

    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. 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. 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. 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. © The Author 2015. Published by Oxford University Press on behalf of the British Society for Rheumatology.

  15. 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...

  16. 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)....

  17. La auditoría de los instrumentos financieros derivados

    Directory of Open Access Journals (Sweden)

    Vernor Mesén Figueroa

    2010-10-01

    Full Text Available El tema de los derivados ha tomado gran relevancia en Costa Rica durante los últimos años, principalmente como consecuencia de la adopción del sistema de bandas para definir el tipo de cambio. Por tratarse de un producto nuevo y de mayor sofisticación es importante dar a conocer los estándares internacionales definidos en materia contable y consecuentemente a nivel de auditoría, siendo este último el objetivo de este artículo. La Norma Internacional de Auditoría 1012 "Auditoría de Instrumentos Financieros Derivados", estipula los procedimientos que se deben tomar en cuenta para determinar la razonabilidad de los instrumentos financieros pertenecientes a una empresa. El presente artículo analiza en forma detallada cada uno de estos procedimientos, con el fin de que los profesionales de auditoría que enfrentan el reto de auditar estos nuevos productos cuenten con una base teórica actualizada para llevar a cabo sus labores en forma adecuada y de acuerdo con los estándares internacionales.

  18. Los instrumentos financieros derivados en el emporio textil de Gamarra 2014

    OpenAIRE

    Ortiz Guillén, Mirtha Patricia

    2015-01-01

    El presente trabajo de investigación titulado: “Los instrumentos financieros derivados en el emporio textil de Gamarra 2014”, representa un aporte a la comunidad académica y exportadora peruana porque recoge información respecto a tres aspectos importantes: el grado de conocimiento del exportador textil de Gamarra sobre los instrumentos financieros derivados, los instrumentos financieros derivados que pueden utilizar los exportadores para reducir pérdidas por tipo de cambio,...

  19. Los instrumentos musicales como causantes de patología bucal

    OpenAIRE

    Masdevall, Judit; Chimenos Küstner, Eduardo

    1998-01-01

    Diversos estudios centrados en músicos o personas que tocan con asiduidad determinados instrumentos musicales demuestran la existencia de una serie de problemas médicos a tener en cuenta. Los más afectados son los que tocan instrumentos de viento y cuerda y los menos, los que tocan instrumentos de percusión. La característica predisponente más importante es el hecho de repetir los mismos movimientos durante horas de práctica, el tamaño y el peso del instrumento, el estrés, etc.

  20. Síntesis musical. Estudio de un instrumento armónico: el clarinete

    OpenAIRE

    Antón López, Óscar

    2014-01-01

    La música ha estado presente en la vida del ser humano prácticamente desde sus inicios: desde los primeros cánticos, hasta la invención de los instrumentos musicales, donde el abanico de posibilidades actual es inmenso. Sin embargo, con la introducción de los instrumentos eléctricos y electrónicos aparece un instrumento que, además de generar sonidos nuevos y variados, puede imitar, con mayor o menor acierto, a cualquier otro instrumento: el sintetizador. De esta idea surge ...

  1. Physical activity, the Framingham risk score and risk of coronary heart disease in men and women of the EPIC-Norfolk study

    NARCIS (Netherlands)

    Arsenault, Benoit J.; Rana, Jamal S.; Lemieux, Isabelle; Després, Jean-Pierre; Wareham, Nicholas J.; Kastelein, John J. P.; Boekholdt, S. Matthijs; Khaw, Kay-Tee

    2010-01-01

    Objective: Test the hypothesis that considering leisure-time and work-related physical activity habits in addition to the Framingham risk score (FRS) would result into better classification of coronary heart disease (CHD) risk than FRS alone. Methods: Prospective, population-based study of 9564 men

  2. 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,…

  3. 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.

  4. Reference Values for the Marx Activity Rating Scale in a Young Athletic Population: History of Knee Ligament Injury Is Associated With Higher Scores.

    Science.gov (United States)

    Cameron, Kenneth L; Peck, Karen Y; Thompson, Brandon S; Svoboda, Steven J; Owens, Brett D; Marshall, Stephen W

    2015-01-01

    Activity-related patient-reported outcome measures are an important component of assessment after knee ligament injury in young and physically active patients; however, normative data for most activity scales are limited. To present reference values by sex for the Marx Activity Rating Scale (MARS) within a young and physically active population while accounting for knee ligament injury history and sex. Cross-sectional study. Level 2. All incoming freshman entering a US Service Academy in June of 2011 were recruited to participate in this study. MARS was administered to 1169 incoming freshmen (203 women) who consented to participate within the first week of matriculation. All subjects were deemed healthy and medically fit for military service on admission. Subjects also completed a baseline questionnaire that asked for basic demographic information and injury history. We calculated means with standard deviations, medians with interquartile ranges, and percentiles for ordinal and continuous variables, and frequencies and proportions for dichotomous variables. We also compared median scores by sex and history of knee ligament injury using the Kruskal-Wallis test. MARS was the primary outcome of interest. The median MARS score was significantly higher for men when compared with women (χ(2) = 13.22, df = 1, P MARS scores between men and women (χ(2) = 0.47, df = 1, P = 0.493) who reported a history of injury. Overall, median MARS scores were significantly higher among those who reported a history of knee ligament injury when compared with those who did not (χ(2) = 9.06, df = 1, P = 0.003). Assessing activity as a patient-reported outcome after knee ligament injury is important, and reference values for these instruments need to account for the influence of prior injury and sex. © 2015 The Author(s).

  5. 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.

  6. 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. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  7. 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

  8. 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...... are interchangeable when assessing RA patients and the two versions of DAS28 are comparable between studies....

  9. Ten Years’ Experience with the CYP2D6 Activity Score: A Perspective on Future Investigations to Improve Clinical Predictions for Precision Therapeutics

    Directory of Open Access Journals (Sweden)

    Andrea Gaedigk

    2018-04-01

    Full Text Available The seminal paper on the CYP2D6 Activity Score (AS was first published ten years ago and, since its introduction in 2008, it has been widely accepted in the field of pharmacogenetics. This scoring system facilitates the translation of highly complex CYP2D6 diplotype data into a patient’s phenotype to guide drug therapy and is at the core of all CYP2D6 gene/drug pair guidelines issued by the Clinical Pharmacogenetics Implementation Consortium (CPIC. The AS, however, only explains a portion of the variability observed among individuals and ethnicities. In this review, we provide an overview of sources in addition to CYP2D6 genotype that contribute to the variability in CYP2D6-mediated drug metabolism and discuss other factors, genetic and non-genetic, that likely contribute to the observed variability in CYP2D6 enzymatic activity.

  10. Adaptación cultural de instrumentos utilizados en salud ocupacional

    Directory of Open Access Journals (Sweden)

    Alexandre Neusa Maria Costa

    2002-01-01

    Full Text Available Se han creado numerosos instrumentos estandarizados para evaluar el estado de salud y la eficacia de los tratamientos. Sin embargo, la mayoría de ellos han sido desarrollados y validados en la lengua inglesa. En la literatura se recomienda la utilización de escalas y cuestionarios estandarizados cuyos resultados puedan ser comparados internacionalmente. Las diferencias culturales no permiten hacer una simple traducción de estos instrumentos. En este artículo se resumen normas sistematizadas para la adaptación cultural de instrumentos utilizados en salud ocupacional, derivadas de investigaciones especializadas.

  11. Esquema de evaluación para instrumentos de política ambiental

    OpenAIRE

    Mariana Bobadilla; Martha Ileana Espejel Carbajal; Francisco Lara Valencia; Saul Álvarez Borrego; Sophie Ávila Foucat; José Luis Fermán Almada

    2013-01-01

    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 d...

  12. Naturally occurring workplace facilities to increase the leisure time physical activity of workers: A propensity-score weighted population study

    OpenAIRE

    Aviroop Biswas; Peter M. Smith; Monique A.M. Gignac

    2018-01-01

    The benefit of providing access to physical activity facilities at or near work to support the leisure time physical activity (LTPA) of workers is uncertain. We examined the association between access to physical activity facilities at or near work and the LTPA of workers after adjusting for a range of individual and occupational characteristics. Data was obtained from 60,650 respondents to the 2007–2008 Canadian Community Health Survey. Participants were employed adults ≥18 years of age who ...

  13. Adaptação transcultural da versão simplificada (s do Behçet's Disease Current Activity Form (BDCAF e comparação do desempenho das versões brasileiras dos dois instrumentos de avaliação da atividade da Doença de Behçet: BR-BDCAF e BR-BDCAF(s Cross-cultural adaptation of simplified version (s of Behçet's Disease Current Activity Form (BDCAF and comparison between two different instruments with Brazilian versions for evaluating Behçet's Disease Activity: BR-BDCAF and BR-BDCAF(s

    Directory of Open Access Journals (Sweden)

    Fabrício de Souza Neves

    2009-02-01

    Full Text Available OBJETIVO: Um instrumento de avaliação da atividade da Doença de Behçet (DB denominado Behçet's Disease Current Activity Form (BDCAF foi originalmente elaborado em língua inglesa e adaptado para a língua portuguesa do Brasil na versão BR-BDCAF. Recentemente, um modelo simplificado desse protocolo (com 12 itens foi apresentado pela Sociedade Internacional para a Doença de Behçet (International Society for Behçet's Disease, ISBD para produzir um índice denominado BDAI (Behçet's Disease Activity Index. Por esse motivo, neste trabalho produzimos o modelo simplificado da versão brasileira, medimos sua confiabilidade e avaliamos a validade dos resultados de ambos os instrumentos, comparando seus desempenhos. MÉTODO: O modelo simplificado da versão brasileira BR-BDCAF, adaptada transculturalmente, foi denominado BR-BDCAF(s. Ambos os protocolos foram aplicados em 25 pacientes com DB. A confiabilidade do BR-BDCAF(s foi avaliada através das reprodutibilidades intra e interobservadores pela estatística kappa. A validade e as propriedades diagnósticas sensibilidade(S, especificidade(E e acurácia dos dois protocolos na definição de casos ativos da doença foram avaliadas pela comparação ao julgamento clínico de um reumatologista perito em DB, e os melhores pontos de corte foram estabelecidos para cada instrumento através da curva ROC (receive-operator characteristic. RESULTADOS E CONCLUSÕES: BR-BDCAF(s apresentou boa confiabilidade nas questões sobre manifestações mucocutâneas e articulares da DB. Os melhores pontos de corte para a definição de casos ativos foram índices maiores que quatro no BR-BDCAF (S = 80,0%, E = 86,7% e maiores que um no BR-BDCAF(s (S = 70,0%, E = 86,7%. Suas acurácias foram semelhantes, sugerindo que ambos podem ser utilizados como instrumentos de medida de atividade da DB.OBJECTIVE: Behçet's Disease Current Activity Form (BDCAF, an instrument for assessing activity of Behçet's Disease (BD, was

  14. My Favorite American Monument. Kindergarten Activity. Schools of California Online Resources for Education (SCORE): Connecting California's Classrooms to the World.

    Science.gov (United States)

    Pardes, Lupita

    For this kindergarten classroom activity, students are asked to pretend they have just won a trip to four historical sites: (1) Lincoln Memorial; (2) Mount Rushmore; (3) White House; and (4) Statue of Liberty. The activity instructs the students to keep a journal of the trip (taken via the Internet) so that a presentation can be given to the class…

  15. 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…

  16. Optimal responses in disease activity scores to treatment in rheumatoid arthritis: Is a DAS28 reduction of >1.2 sufficient?

    Science.gov (United States)

    Mian, Aneela N; Ibrahim, Fowzia; Scott, David L; Galloway, James

    2016-06-16

    The overall benefit of intensive treatment strategies in rheumatoid arthritis (RA) remains uncertain. We explored how reductions in disability and improvements in quality of life scores are affected by alternative assessments of reductions in disease activity scores for 28 joints (DAS28) in two trials of intensive treatment strategies in active RA. One trial (CARDERA) studied 467 patients with early active RA receiving 24 months of methotrexate monotherapy or steroid and disease-modifying anti-rheumatic drug (DMARD) combinations. The other trial (TACIT) studied 205 patients with established active RA; they received 12 months of treatment with DMARD combinations or biologic agents. We compared changes in the health assessment questionnaire (HAQ) and Euroqol-5D (EQ5D) at trial endpoints in European League Against Rheumatism (EULAR) good and moderate EULAR responders in patients in whom complete endpoint data were available. In the CARDERA trial 98 patients (26 %) were good EULAR responders and 160 (32 %) were EULAR moderate responders; comparable data in TACIT were 66 (35 %) and 86 (46 %) patients. The magnitude of change in the HAQ and EQ5D was greater in both trials in EULAR good responders than in EULAR moderate responders. HAQ scores had a difference in of -0.49 (95 % CI -0.66, -0.32) in the CARDERA and -0.31 (95 % CI -0.47, -0.13) in the TACIT trial. With the EQ5D comparable differences were 0.12 (95 % CI 0.04, 0.19) and 0.15 (95 % CI 0.05, 0.25). Both exceeded minimum clinically important differences in HAQ and EQ5D scores. We conclude that achieving a good EULAR response with DMARDs and biologic agents in active RA results in substantially improved mean HAQ and EQ5D scores. Patients who achieve such responses should continue on treatment. However, continuing such treatment strategies is more challenging when only a moderate EULAR response is achieved. In these patients evidence of additional clinically important benefits in measures such as the HAQ

  17. Instrumentos de alfareros de la época Wari

    Directory of Open Access Journals (Sweden)

    1993-01-01

    Full Text Available INSTRUMENTS DE POTIERS DE L'EPOQUE WARI. Une des caractéristiques fondamentales de l’expansion Wari fut l’échange de ses produits artisanaux qui venaient en complément des systèmes de tribut existants. La céramique fut peut-être - si l’on observe sa distribution régionale - un des produits les plus remarquables dans ses réseaux de domination/échange propres des systèmes étatiques. On ne connaît pas suffisament les techniques et les processus de fabrication de la poterie dans les Andes centrales, et en particulier durant l’Horizon Moyen. Dans cet article on décrit les instruments utilisés dans la fabrication de poterie dans les villages de Conchopata et Aqo Wayqo, à la périphérie de la capitale impériale de Wari. L’article recueille également une information ethnologique afin de comparer techniques et instruments de potiers des différents villages d’Ayacucho et contribuer ainsi à la reconstruction des processus de production existants à l’époque préhispanique. Una de las características fundamentales de la expansión Wari fue el intercambio de productos artesanales complementando los sistemas de tributación existentes. La cerámica fue quizás -si observamos su distribución regional- uno de los productos de mayor relevancia en estas redes de dominio/intercambio propias de las formas estatales. A pesar de la importancia, es poco lo que se conoce sobre las técnicas y procesos en la fabricación de cerámica en general en los Andes centrales, y en particular en el Horizonte Medio. En este artículo describimos los instrumentos utilizados en la fabricación de cerámica en los poblados de Conchopata y Aqo Wayqo en la periferia de la capital imperial de Wari. Complementariamente, el artículo recoge información etnográfica con la intención de comparar técnicas e instrumentos de artesanos alfareros de varios poblados ayacuchanos actuales con los hallados en las excavaciones, con el objeto de contribuir a la

  18. Improvements in fundamental movement skill competency mediate the effect of the SCORES intervention on physical activity and cardiorespiratory fitness in children.

    Science.gov (United States)

    Cohen, Kristen E; Morgan, Philip J; Plotnikoff, Ronald C; Barnett, Lisa M; Lubans, David R

    2015-01-01

    Numerous studies have identified a positive association between fundamental movement skill (FMS) competency and physical activity in children; however, the causal pathways have not been established. The aim of this study is to determine if changes in FMS competency mediated the effect of the Supporting Children's Outcomes using Rewards, Exercise and Skills (SCORES) intervention on physical activity and cardiorespiratory fitness in children. Eight primary schools (25 classes) and 460 children (aged 8.5 ± 0.6, 54% girls) were randomised to the SCORES intervention or control group for the 12-month study. The outcomes were accelerometer-determined moderate-to-vigorous physical activity (MVPA) and cardiorespiratory fitness. The hypothesised mediators were actual FMS competency and perceived sport competence. Mediation analyses were conducted using multilevel linear analysis in MPlus. From the original sample, 138 (30.0%) and 370 (80.4%) children provided useable physical activity and cardiorespiratory fitness data at post-test assessments. There were significant treatment effects for locomotor skills and overall FMSs. Changes in MVPA were associated with changes in object-control skills, overall FMSs and perceived competence. The overall FMSs had a significant mediating effect on MVPA (AB = 2.09, CI = 0.01-4.55). Overall FMSs (AB = 1.19, CI = 0.002-2.79) and locomotor skills (AB = 0.74, CI = 0.01-1.69) had a significant mediating effect on cardiorespiratory fitness. The results of this study conclude that actual but not perceived movement skill competency mediated the effect of the SCORES intervention on physical activity and cardiorespiratory fitness.

  19. Incidence of Extraprostatic Extension at Radical Prostatectomy with Pure Gleason Score 3 + 3 = 6 (Grade Group 1) Cancer: Implications for Whether Gleason Score 6 Prostate Cancer Should be Renamed "Not Cancer" and for Selection Criteria for Active Surveillance.

    Science.gov (United States)

    Hassan, Oudai; Han, Misop; Zhou, Amy; Paulk, Adina; Sun, Yue; Al-Harbi, Abdullah; Alrajjal, Ahmed; Baptista Dos Santos, Filipa; Epstein, Jonathan I

    2018-06-01

    We assessed the risk of locally aggressive behavior in pure Gleason score 6 (Grade Group 1) prostate cancer using contemporary grading criteria. To our knowledge this has been studied in only 1 prior cohort. We evaluated consecutive radical prostatectomy specimens from an academic institution, including those from 3,291 men with Gleason score 6 and 4,202 with Gleason score 3 + 4 = 7 (Grade Group 2) disease between 2005 and 2016. For dichotomous variables the Pearson chi-square test was used. Of the 3,288 Gleason score 6 cancer cases 128 (3.9%) showed focal extraprostatic extension compared to 593 of the 4,202 (14.1%) with Gleason score 3 + 4 = 7 (p <0.0001). Of the 3,288 Gleason score 6 cancer cases 79 (2.4%) showed nonfocal extraprostatic extension compared to 639 of the 4,202 (15.2%) with Gleason score 3 + 4 = 7 (p <0.0001). The incidence of focal extraprostatic extension with Gleason score 3 + 4 = 7 with less than 5% Gleason pattern 4 was 129 of 1,147 cases (11.2%), which was between Gleason scores 6 and 3 + 4 = 7 with greater than 5% Gleason pattern 4. The incidence of nonfocal extraprostatic extension in Gleason score 3 + 4 = 7 with less than 5% Gleason pattern 4 was 96 of 1,147 cases (8.4%), which was between Gleason scores 6 and 3 + 4 = 7 with greater than 5% Gleason pattern 4. One of the 3,290 Gleason score 6 cases (0.03%) showed seminal vesicle invasion compared to 93 of the 4,202 (2.2%) of Gleason score 3 + 4 = 7 (p <0.0001). A limitation of our study was its retrospective design. It is not rare for pure Gleason score 6 prostate cancer to locally extend out of the prostate 3.9% focally and 2.4% nonfocally. In extremely rare cases Gleason score 6 can be associated with seminal vesicle invasion and yet not lymph node metastases. Our overall findings support the argument for continuing to use the term cancer for these tumors. Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  20. Adaptación cultural de instrumentos utilizados en salud ocupacional

    OpenAIRE

    Alexandre Neusa Maria Costa; Guirardello Edinêis de Brito

    2002-01-01

    Se han creado numerosos instrumentos estandarizados para evaluar el estado de salud y la eficacia de los tratamientos. Sin embargo, la mayoría de ellos han sido desarrollados y validados en la lengua inglesa. En la literatura se recomienda la utilización de escalas y cuestionarios estandarizados cuyos resultados puedan ser comparados internacionalmente. Las diferencias culturales no permiten hacer una simple traducción de estos instrumentos. En este artículo se resumen normas sistematizadas p...

  1. Emotional eating and routine restraint scores are associated with activity in brain regions involved in urge and self-control.

    Science.gov (United States)

    Wood, Samantha M W; Schembre, Susan M; He, Qinghua; Engelmann, Jeffrey M; Ames, Susan L; Bechara, Antoine

    2016-10-15

    Researchers have proposed a variety of behavioral traits that may lead to weight gain and obesity; however, little is known about the neurocognitive mechanisms underlying these weight-related eating behaviors. In this study, we measured activation of reward circuitry during a task requiring response and inhibition to food stimuli. We assessed participants' emotional eating, external eating, and two subscales of dietary restraint-routine restraint and compensatory restraint-using the Weight-Related Eating Questionnaire. For routine restraint, we found positive associations with activation in the insula, dorsolateral prefrontal cortex, anterior cingulate cortex, orbitofrontal cortex and ventromedial prefrontal cortex in response to high-calorie versus low-calorie foods. For emotional eating, we found positive associations with insula and dorsolateral prefrontal cortex activation in response to high-calorie versus low-calorie foods. We also found positive associations between emotional eating and dorsolateral prefrontal cortex activation in response to approach versus inhibition towards high-calorie foods. Thus, our results demonstrate an increase in activation across brain regions related to self-control and urges in response to high-calorie food associated with both emotional eating and routine restraint. Overall, these results support the construct validity of both emotional eating and routine restraint and provide preliminary evidence that these subscales have similar neural correlates. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Visual scoring of non-cavitated caries lesions and clinical trial efficiency, testing xylitol in caries active adults

    Science.gov (United States)

    Brown, JP; Amaechi, BT; Bader, JD; Gilbert, GH; Makhija, SK; Lozano-Pineda, J; Leo, MC; Chuhe, C; Vollmer, WM

    2013-01-01

    Objectives To better understand the effectiveness of xylitol in caries prevention in adults, and to attempt improved clinical trial efficiency. Methods As part of the Xylitol for Adult Caries Trial (X-ACT), non-cavitated and cavitated caries lesions were assessed in subjects who were experiencing the disease. The trial was a test of the effectiveness of 5 grams/day of xylitol, consumed by dissolving in the mouth five 1 gram lozenges spaced across each day, compared with a sucralose placebo. For this analysis, seeking trial efficiency, 538 subjects aged 21–80, with complete data for four dental examinations were selected from the 691 randomized into the three year trial, conducted at three sites. Acceptable inter and intra examiner reliability before and during the trial was quantified using the kappa statistic. Results The mean annualized non-cavitated plus cavitated lesion transition scores in coronal and root surfaces, from sound to carious favoured xylitol over placebo, during the three cumulative periods of 12, 24, and 33 months, but these clinically and statistically non-significant differences declined in magnitude over time. Restricting the present assessment to those subjects with a higher baseline lifetime caries experience showed possible but inconsistent benefit. Conclusions There was no clear and clinically relevant preventive effect of xylitol on caries in adults with adequate fluoride exposure when non-cavitated plus cavitated lesions were assessed. This conformed to the X-ACT trial result assessing cavitated lesions. Including non-cavitated lesion assessment in this full scale, placebo controlled, multi site, randomized, double blinded clinical trial in adults experiencing dental caries, did not achieve added trial efficiency or demonstrate practical benefit of xylitol. Trial Registration ClinicalTrials.Gov NCT00393055 PMID:24205951

  3. Visual scoring of non cavitated caries lesions and clinical trial efficiency, testing xylitol in caries-active adults.

    Science.gov (United States)

    Brown, John P; Amaechi, Bennett T; Bader, James D; Gilbert, Gregg H; Makhija, Sonia K; Lozano-Pineda, Juanita; Leo, Michael C; Chen, Chuhe; Vollmer, William M

    2014-06-01

    To better understand the effectiveness of xylitol in caries prevention in adults and to attempt improved clinical trial efficiency. As part of the Xylitol for Adult Caries Trial (X-ACT), non cavitated and cavitated caries lesions were assessed in subjects who were experiencing the disease. The trial was a test of the effectiveness of 5 g/day of xylitol, consumed by dissolving in the mouth five 1 g lozenges spaced across each day, compared with a sucralose placebo. For this analysis, seeking trial efficiency, 538 subjects aged 21-80, with complete data for four dental examinations, were selected from the 691 randomized into the 3-year trial, conducted at three sites. Acceptable inter- and intra-examiner reliability before and during the trial was quantified using the kappa statistic. The mean annualized noncavitated plus cavitated lesion transition scores in coronal and root surfaces, from sound to carious favoured xylitol over placebo, during the three cumulative periods of 12, 24, and 33 months, but these clinically and statistically nonsignificant differences declined in magnitude over time. Restricting the present assessment to those subjects with a higher baseline lifetime caries experience showed possible but inconsistent benefit. There was no clear and clinically relevant preventive effect of xylitol on caries in adults with adequate fluoride exposure when non cavitated plus cavitated lesions were assessed. This conformed to the X-ACT trial result assessing cavitated lesions. Including non cavitated lesion assessment in this full-scale, placebo-controlled, multisite, randomized, double-blinded clinical trial in adults experiencing dental caries did not achieve added trial efficiency or demonstrate practical benefit of xylitol. ClinicalTrials.Gov NCT00393055. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  4. 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...

  5. 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…

  6. 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

  7. Hepatic fat quantification using the two-point Dixon method and fat color maps based on non-alcoholic fatty liver disease activity score.

    Science.gov (United States)

    Hayashi, Tatsuya; Saitoh, Satoshi; Takahashi, Junji; Tsuji, Yoshinori; Ikeda, Kenji; Kobayashi, Masahiro; Kawamura, Yusuke; Fujii, Takeshi; Inoue, Masafumi; Miyati, Tosiaki; Kumada, Hiromitsu

    2017-04-01

    The two-point Dixon method for magnetic resonance imaging (MRI) is commonly used to non-invasively measure fat deposition in the liver. The aim of the present study was to assess the usefulness of MRI-fat fraction (MRI-FF) using the two-point Dixon method based on the non-alcoholic fatty liver disease activity score. This retrospective study included 106 patients who underwent liver MRI and MR spectroscopy, and 201 patients who underwent liver MRI and histological assessment. The relationship between MRI-FF and MR spectroscopy-fat fraction was used to estimate the corrected MRI-FF for hepatic multi-peaks of fat. Then, a color FF map was generated with the corrected MRI-FF based on the non-alcoholic fatty liver disease activity score. We defined FF variability as the standard deviation of FF in regions of interest. Uniformity of hepatic fat was visually graded on a three-point scale using both gray-scale and color FF maps. Confounding effects of histology (iron, inflammation and fibrosis) on corrected MRI-FF were assessed by multiple linear regression. The linear correlations between MRI-FF and MR spectroscopy-fat fraction, and between corrected MRI-FF and histological steatosis were strong (R 2  = 0.90 and R 2  = 0.88, respectively). Liver fat variability significantly increased with visual fat uniformity grade using both of the maps (ρ = 0.67-0.69, both P Hepatic iron, inflammation and fibrosis had no significant confounding effects on the corrected MRI-FF (all P > 0.05). The two-point Dixon method and the gray-scale or color FF maps based on the non-alcoholic fatty liver disease activity score were useful for fat quantification in the liver of patients without severe iron deposition. © 2016 The Japan Society of Hepatology.

  8. 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.

  9. Consumption of low-calorie sweeteners among U.S. adults is associated with higher Healthy Eating Index (HEI 2005) scores and more physical activity.

    Science.gov (United States)

    Drewnowski, Adam; Rehm, Colin D

    2014-10-17

    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.

  10. Brief report: enhancement of patient recruitment in rheumatoid arthritis clinical trials using a multi-biomarker disease activity score as an inclusion criterion.

    Science.gov (United States)

    van Vollenhoven, Ronald F; Bolce, Rebecca; Hambardzumyan, Karen; Saevarsdottir, Saedis; Forslind, Kristina; Petersson, Ingemar F; Sasso, Eric H; Hwang, C C; Segurado, Oscar G; Geborek, Pierre

    2015-11-01

    Rheumatoid arthritis (RA) clinical trials often exclude patients who have low C-reactive protein (CRP) levels, which slows enrollment into the trial. The purpose of this study was to determine whether high Multi-Biomarker Disease Activity (MBDA) scores (>44) in RA patients with low CRP levels (≤10 mg/liter) could be used as a complement to CRP levels >10 mg/liter to enhance patient recruitment without affecting clinical trial outcomes. We evaluated patients from the Swedish Pharmacotherapy (SWEFOT) trial, which did not include any selection criteria for CRP levels. Clinical outcomes were assessed after 3 months of methotrexate (MTX) monotherapy in MTX-naive RA patients (n = 220) and after 3-10 months of add-on therapy in patients who were incomplete responders to MTX alone (MTX-IR) (n = 127). Radiographic outcomes were assessed at 1 year in all patients. Within each cohort, the outcomes were compared between patients with a CRP level of ≤10 mg/liter and an MBDA score of >44 at the start of the respective treatment interval versus those with a CRP level of >10 mg/liter. Patients with both a CRP level of ≤10 mg/liter and an MBDA score of >44 at baseline had clinical and radiographic outcomes that were comparable to those in patients with a CRP level of >10 mg/liter at baseline. This broadened definition of the inclusion criteria identified an additional 24% of patients in the MTX-naive cohort and 47% in the MTX-IR cohort. Patient recruitment into RA clinical trials may be substantially enhanced, without any decrease in clinical and radiographic outcomes, by using as an inclusion criterion "a CRP level of >10 mg/liter and/or an MBDA score of >44." © 2015 The Authors. Arthritis & Rheumatology is published by Wiley Periodicals, Inc. on behalf of the American College of Rheumatology.

  11. Timing and Magnitude of Initial Change in Disease Activity Score 28 Predicts the Likelihood of Achieving Low Disease Activity at 1 Year in Rheumatoid Arthritis Patients Treated with Certolizumab Pegol: A Post-hoc Analysis of the RAPID 1 Trial

    NARCIS (Netherlands)

    van der Heijde, Désirée; Keystone, Edward C.; Curtis, Jeffrey R.; Landewé, Robert B.; Schiff, Michael H.; Khanna, Dinesh; Kvien, Tore K.; Ionescu, Lucian; Gervitz, Leon M.; Davies, Owen R.; Luijtens, Kristel; Furst, Daniel E.

    2012-01-01

    Objective. To determine the relationship between timing and magnitude of Disease Activity Score [DAS28(ESR)] nonresponse (DAS28 improvement thresholds not reached) during the first 12 weeks of treatment with certolizumab pegol (CZP) plus methotrexate, and the likelihood of achieving low disease

  12. Positive and negative symptom scores are correlated with activation in different brain regions during facial emotion perception in schizophrenia patients: a voxel-based sLORETA source activity study.

    Science.gov (United States)

    Kim, Do-Won; Kim, Han-Sung; Lee, Seung-Hwan; Im, Chang-Hwan

    2013-12-01

    Schizophrenia is one of the most devastating of all mental illnesses, and has dimensional characteristics that include both positive and negative symptoms. One problem reported in schizophrenia patients is that they tend to show deficits in face emotion processing, on which negative symptoms are thought to have stronger influence. In this study, four event-related potential (ERP) components (P100, N170, N250, and P300) and their source activities were analyzed using EEG data acquired from 23 schizophrenia patients while they were presented with facial emotion picture stimuli. Correlations between positive and negative syndrome scale (PANSS) scores and source activations during facial emotion processing were calculated to identify the brain areas affected by symptom scores. Our analysis demonstrates that PANSS positive scores are negatively correlated with major areas of the left temporal lobule for early ERP components (P100, N170) and with the right middle frontal lobule for a later component (N250), which indicates that positive symptoms affect both early face processing and facial emotion processing. On the other hand, PANSS negative scores are negatively correlated with several clustered regions, including the left fusiform gyrus (at P100), most of which are not overlapped with regions showing correlations with PANSS positive scores. Our results suggest that positive and negative symptoms affect independent brain regions during facial emotion processing, which may help to explain the heterogeneous characteristics of schizophrenia. © 2013 Elsevier B.V. All rights reserved.

  13. Relationship between Bone-Specific Physical Activity Scores and Measures for Body Composition and Bone Mineral Density in Healthy Young College Women.

    Directory of Open Access Journals (Sweden)

    SoJung Kim

    Full Text Available The purpose of this cross-sectional study was to investigate the relationship between bone-specific physical activity (BPAQ scores, body composition, and bone mineral density (BMD in healthy young college women.Seventy-three college women (21.7 ± 1.8 years; 162.1 ± 4.6 cm; 53.9 ± 5.8 kg between the ages of 19 and 26 years were recruited from the universities in Seoul and Gyeonggi province, South Korea. We used dual energy X-ray absorptiometry to measure the lumbar spine (L2-L4 and proximal femur BMD (left side; total hip, femoral neck. The BPAQ scores (past, pBPAQ; current, cBPAQ; total, tBPAQ were used to obtain a comprehensive account of lifetime physical activity related to bone health. We used X-scan plus II instrumentation to measure height (cm, weight (kg, fat free mass (FFM, kg, percent body fat (%, and body mass index (BMI. Participants were asked to record their 24-hour food intake in a questionnaire.There were positive correlations between BPAQ scores and total hip (pBPAQ r = 0.308, p = 0.008; tBPAQ, r = 0.286, p = 0.014 and FN BMD (pBPAQ r = 0.309, p = 0.008; tBPAQ, r = 0.311, p = 0.007, while no significant relationships were found in cBPAQ (p > 0.05. When FFM, Vitamin D intake, cBPAQ, pBPAQ, and tBPAQ were included in a stepwise multiple linear regression analysis, FFM and pBPAQ were predictors of total hip, accounting for 16% (p = 0.024, while FFM and tBPAQ predicted 14% of the variance in FN (p = 0.015. Only FFM predicted 15% of the variance in L2-L4 (p = 0.004. There was a positive correlation between Vitamin D intake and L2-L4 (p = 0.025, but other dietary intakes variables were not significant (p > 0.05.BPAQ-derived physical activity scores and FFM were positively associated with total hip and FN BMD in healthy young college women. Our study suggests that osteoporosis awareness and effective bone healthy behaviors for college women are required to prevent serious bone diseases later in life.

  14. Quantification of temporal changes in calcium score in active atherosclerotic plaque in major vessels by {sup 18}F-sodium fluoride PET/CT

    Energy Technology Data Exchange (ETDEWEB)

    Ishiwata, Yoshinobu; Kaneta, Tomohiro; Nawata, Shintaro; Hino-Shishikura, Ayako; Yoshida, Keisuke; Inoue, Tomio [Yokohama City University, Graduate School of Medicine, Department of Radiology, Yokohama, Kanagawa (Japan)

    2017-08-15

    Our aim was to assess whether {sup 18}F-NaF PET/CT is able to predict progression of the CT calcium score. Between August 2007 and November 2015, 34 patients (18 women, 16 men; age, mean ± standard deviation, 57.5 ± 13.9 years; age range 19-78 years) with malignancy or orthopaedic disease were enrolled in this study, with approximately 1-year follow-up data. Baseline and follow-up CT images were retrospectively evaluated for the presence of calcification sites in major vessel walls. The maximum and mean CT values (CTmax and CTmean, in Hounsfield units), calcification volumetric score (CVS, in cubic millimetres) and Agatston units score (AU) were evaluated for each site. Subsequent changes in CTmax, CTmean, CVS and AU were calculated and expressed as ΔCTmax, ΔCTmean, ΔCVS and ΔAU, respectively. We then evaluated the relationship between {sup 18}F-NaF uptake (using the maximum target-to-background ratio, TBRmax, and the maximum blood-subtracted {sup 18}F-NaF activity, bsNaFmax, which was obtained by subtracting the SUVmax of each calcified plaque lesion and NaF-avid site from the SUVmean in the right atrium blood pool) and the change in calcified plaque volume and characteristics obtained after 1 year. We detected and analysed 182 calcified plaque sites and 96 hot spots on major vessel walls. {sup 18}F-NaF uptake showed very weak correlations with CTmax, CTmean, CVS, CVS after 1 year, AU and AU after 1 year on both baseline and follow-up PET/CT scans for each site. {sup 18}F-NaF uptake showed no correlation with ΔCTmax or ΔCTmean. However, there was a significant correlation between the intensity of {sup 18}F-NaF uptake and ΔCVS and ΔAU. {sup 18}F-NaF uptake has a strong correlation with calcium score progression which was a predictor of future cardiovascular disease risk. PET/CT using {sup 18}F-NaF may be able to predict calcium score progression which is known to be the major characteristic of atherosclerosis. (orig.)

  15. Effects of timing of prednisolone on the duration of early morning stiffness, pain and disease activity score (das-28) in patients with rheumatoid arthritis

    International Nuclear Information System (INIS)

    Gul, H.; Nasim, A.; Salim, B.

    2017-01-01

    To determine the effects of timing of prednisolone on duration of early morning stiffness, pain score, number of swollen and tender joints, erythrocyte sedimentation rate (ESR) and disease activity score 28 (DAS-28) in joints in patients with rheumatoid arthritis. Study Design: It was quasi experimental study. Place and Duration of Study: This study was conducted in the department of rheumatology Fauji Foundation Hospital Rawalpindi over a period of 3 months, from Dec 2015 to Feb 2016. Material and Methods: Total sample size of 85 was calculated by using non probability consecutive sampling technique. Patients with established rheumatoid arthritis diagnosed on the basis of ACR 1987 criteria were included in the study. All these patients had a disease duration of minimum 6 months and were on disease modifying anti rheumatic drugs and were taking =7.5mg of prednisolone and these patients were treated with the same dose of prednisolone given in morning at 8:00 A.M. for the first 15 days followed by treatment with same single daily dose of prednisolone given at the night 10:00 P.M. for next 15 days. This study compared duration of early morning stiffness, pain scores, number of swollen and tender joints, DAS-28 and ESR on day 15th and day 30th. Results: A total of 85 patients of established rheumatoid arthritis were included in the study. All patients were female with a mean duration of disease of 7.87 +- 6.41 years. The mean age of patients was 49.39 +- 10.24 years. Mean of pain score, duration of morning stiffness, DAS-28, number of tender and swollen joint count, and ESR was decreased in patients who took prednisolone at 10:00 pm and had significant statistical difference (p-value<0.001). Conclusions: Administration of low dose of prednisolone at night has good effects on duration of early morning stiffness, pain scores, number of swollen and tender joints, ESR and DAS-28. (author)

  16. Interaction of a genetic risk score with physical activity, physical inactivity, and body mass index in relation to venous thromboembolism risk.

    Science.gov (United States)

    Kim, Jihye; Kraft, Peter; Hagan, Kaitlin A; Harrington, Laura B; Lindstroem, Sara; Kabrhel, Christopher

    2018-06-01

    Venous thromboembolism (VTE) is highly heritable. Physical activity, physical inactivity and body mass index (BMI) are also risk factors, but evidence of interaction between genetic and environmental risk factors is limited. Data on 2,134 VTE cases and 3,890 matched controls were obtained from the Nurses' Health Study (NHS), Nurses' Health Study II (NHS II), and Health Professionals Follow-up Study (HPFS). We calculated a weighted genetic risk score (wGRS) using 16 single nucleotide polymorphisms associated with VTE risk in published genome-wide association studies (GWAS). Data on three risk factors, physical activity (metabolic equivalent [MET] hours per week), physical inactivity (sitting hours per week) and BMI, were obtained from biennial questionnaires. VTE cases were incident since cohort inception; controls were matched to cases on age, cohort, and genotype array. Using conditional logistic regression, we assessed joint effects and interaction effects on both additive and multiplicative scales. We also ran models using continuous wGRS stratified by risk-factor categories. We observed a supra-additive interaction between wGRS and BMI. Having both high wGRS and high BMI was associated with a 3.4-fold greater risk of VTE (relative excess risk due to interaction = 0.69, p = 0.046). However, we did not find evidence for a multiplicative interaction with BMI. No interactions were observed for physical activity or inactivity. We found a synergetic effect between a genetic risk score and high BMI on the risk of VTE. Intervention efforts lowering BMI to decrease VTE risk may have particularly large beneficial effects among individuals with high genetic risk. © 2018 WILEY PERIODICALS, INC.

  17. A combined Fisher and Laplacian score for feature selection in QSAR based drug design using compounds with known and unknown activities.

    Science.gov (United States)

    Valizade Hasanloei, Mohammad Amin; Sheikhpour, Razieh; Sarram, Mehdi Agha; Sheikhpour, Elnaz; Sharifi, Hamdollah

    2018-02-01

    Quantitative structure-activity relationship (QSAR) is an effective computational technique for drug design that relates the chemical structures of compounds to their biological activities. Feature selection is an important step in QSAR based drug design to select the most relevant descriptors. One of the most popular feature selection methods for classification problems is Fisher score which aim is to minimize the within-class distance and maximize the between-class distance. In this study, the properties of Fisher criterion were extended for QSAR models to define the new distance metrics based on the continuous activity values of compounds with known activities. Then, a semi-supervised feature selection method was proposed based on the combination of Fisher and Laplacian criteria which exploits both compounds with known and unknown activities to select the relevant descriptors. To demonstrate the efficiency of the proposed semi-supervised feature selection method in selecting the relevant descriptors, we applied the method and other feature selection methods on three QSAR data sets such as serine/threonine-protein kinase PLK3 inhibitors, ROCK inhibitors and phenol compounds. The results demonstrated that the QSAR models built on the selected descriptors by the proposed semi-supervised method have better performance than other models. This indicates the efficiency of the proposed method in selecting the relevant descriptors using the compounds with known and unknown activities. The results of this study showed that the compounds with known and unknown activities can be helpful to improve the performance of the combined Fisher and Laplacian based feature selection methods.

  18. 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.

  19. Instrumento para avaliação da capacidade de autocuidado de pacientes adultos: CADEM

    Directory of Open Access Journals (Sweden)

    Denise Costa Dias

    1996-09-01

    Full Text Available Este estudo trata do desenvolvimento de um instrumento para facilitar a determinação da capacidade de autocuidado de pacientes adultos, tendo como finalidade a promoção de linguagem clara e objetiva. O instrumento desenvolvido, chamado CADEM, estabelece níveis para determinar a categorização dos pacientes segundo a necessidade de cuidados de enfermagem. Considerou-se que o CADEM é um instrumento válido e que pode auxiliar no planejamento da assistência de enfermagem, e também documentar a evolução do paciente através de sua aplicação sistemática e continuada, servindo de subsídio para embasar mudanças necessárias no plano de cuidados dos pacientes.

  20. 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.

  1. 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.

  2. 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.

  3. Músicos de viento: afecciones bucales asociadas a instrumentos musicales de viento

    OpenAIRE

    Mendes, Claudia Andrea; Fernández, Rocío; Gamino, Adriana; Quevedo, José; Dorati, Pablo Javier; De Vicente, Cecilia; Felipe, Pablo; Barilaro, Hilda Liliana; Canale, Luis; Sirimarco, Karina; González, Stella; Rimoldi, Marta Lidia

    2017-01-01

    Los instrumentos de viento son un elemento extraño en la boca que pueden producir a corto o largo plazo alteraciones orofaciales: apiñamiento, desgastes incisales, hipertonía muscular, maloclusión dental, problemas periodontales, entre otras. El objetivo de este proyecto, surge, en la necesidad de realizar estudios clínicos que nos permitan obtener evidencias de la naturaleza de la relación entre los instrumentos de viento y la cavidad bucal para posteriormente poder optimizar los posibles tr...

  4. 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.

  5. LA LICENCIA AMBIENTAL: ¿INSTRUMENTO DE COMANDO Y CONTROL POR EXCEPCIÓN?

    OpenAIRE

    Sleman-Chams, Juliette; Velásquez-Muñoz, Carlos Javier

    2016-01-01

    Este artículo analiza la realidad del principal instrumento de comando y control existente en la legislación ambiental colombiana: la licencia ambiental. Desde su primera reglamentación, por cuenta del Decreto 1753 de 1994, ha recibido varias modificaciones que al parecer, a pesar de su importancia, la han convertido en instrumento de utilización excepcional. El artículo profundiza en el alcance de cada una de las modificaciones realizadas, y las justificaciones dadas por el gobierno de turno...

  6. Instrumentos para avaliação de apraxia de fala infantil

    OpenAIRE

    Gubiani, Marileda Barichello; Pagliarin, Karina Carlesso; Keske-Soares, Marcia

    2015-01-01

    RESUMO Objetivo: Revisar sistematicamente na literatura os principais instrumentos utilizados para avaliação da apraxia de fala infantil. Estratégia de pesquisa: Realizou-se busca nas bases Scopus, PubMed e Embase Critérios de seleção: Foram selecionados estudos empíricos que utilizaram instrumentos de avaliação da apraxia de fala infantil. Análise dos dados: A seleção dos artigos foi realizada por dois pesquisadores independentes. Resultados: Foram encontrados 695 resumos. Após a l...

  7. Responsiveness of the Ankylosing Spondylitis Disease Activity Score (ASDAS), and clinical and magnetic resonance imaging measures of disease activity in a 1 year follow-up study of patients with axial spondyloarthritis treated with TNF-{alpha} inhibitors

    DEFF Research Database (Denmark)

    Pedersen, Susanne J; Sørensen, Inge J; Hermann, Kay-Geert A

    2010-01-01

    OBJECTIVES: To investigate construct validity and responsiveness of the novel ankylosing spondylitis disease activity score (ASDAS) in patients with spondyloarthritis (SpA). METHODS: In a 46 weeks prospective, longitudinal multi-center study of 60 SpA patients (80% men, median age 40 years (range...... 21-62)) treated with tumor-necrosis-factor-alpha (TNF-alpha) inhibitors (infliximab (n=41), etanercept (n=13), adalimumab (n=6)) responsiveness of ASDAS, conventional clinical measures of disease activity and treatment response, and the Berlin magnetic resonance imaging (MRI) sacroiliac joint (SIJ......) and lumbar spine inflammation scores were compared. RESULTS: After 22 weeks, 58.3% of the patients were clinical responders (50% or 20mm reduction in BASDAI). At baseline, clinical responders had significantly higher ASDAS (median 4.15 (range 1.98-6.04), p=0.008) compared with non-responders (2.99, 2...

  8. Allegheny County Walk Scores

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Walk Score measures the walkability of any address using a patented system developed by the Walk Score company. For each 2010 Census Tract centroid, Walk Score...

  9. Physical activity, the Framingham risk score and risk of coronary heart disease in men and women of the EPIC-Norfolk study.

    Science.gov (United States)

    Arsenault, Benoit J; Rana, Jamal S; Lemieux, Isabelle; Després, Jean-Pierre; Wareham, Nicholas J; Kastelein, John J P; Boekholdt, S Matthijs; Khaw, Kay-Tee

    2010-03-01

    Test the hypothesis that considering leisure-time and work-related physical activity habits in addition to the Framingham risk score (FRS) would result into better classification of coronary heart disease (CHD) risk than FRS alone. Prospective, population-based study of 9564 men and 12165 women aged 45-79 years followed for an average of 11.4 years. A modified FRS which takes into account physical activity (evaluated using a validated lifestyle questionnaire taking into account leisure-time and work-related physical activity) was computed. During follow-up, 2191 CHD events occurred. Among 3369 men who were classified as intermediate risk (event rate of 12.4%) according to the FRS, 413 were reclassified into the low-risk category and 279 were reclassified into the high-risk category after modification of the FRS. After reclassification of these men, CHD event rate was of 5.3% and 18.6%, respectively for men classified at low and high CHD risk. Among 4766 women initially classified as intermediate risk (event rate of 8.4%), 1282 were reclassified into the low-risk category whereas 1071 women were reclassified into the high-risk category. After reclassification of these women, CHD event rate was of 6.8% and 12.2%, respectively for women classified at low and high CHD risk. Results of the present study suggest that asking simple questions about leisure-time and work-related physical activity which can be rapidly obtained by any physician at no cost could be helpful in the estimation of patients' CHD risk.

  10. 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.

  11. El CSTM: un instrumento para la evaluación del comportamiento sexual de personas transexuales

    OpenAIRE

    Bergero, Trinidad; Ballester Arnal, Rafael; Gornemann, Isolde; Cano, Guadalupe; Asiain, Susana

    2012-01-01

    Se presenta un instrumento, el CSTM, compuesto por 73 items que permite una evaluación cualitativa y cuantitativa de la sexualidad de las personas transexuales. The CSTM contains a total of 73 items and permits a qualitative and quantitative evaluation of transsexuals’ sexuality.

  12. PATRIMÔNIO CULTURAL ARQUEOLÓGICO: INSTRUMENTO DE DESENVOLVIMENTO TURÍSTICO

    OpenAIRE

    Rossano Bastos

    2012-01-01

    O presente trabalho trata das perspectivas de aproveitamento do Patrimônio Cultural Arqueológico como instrumento de desenvolvimento turístico.PALAVRAS-CHAVE: Arqueologia; Turismo;Desenvolvimento.ABSTRACT: This work considers some improvement perspectives ofthe archaeological cultural heritage as an instrument of tourism development.KEY-WORDS: Archaeology; Tourism; Development. 

  13. Herramienta web para el aprendizaje autónomo o guiado de instrumentos musicales

    OpenAIRE

    Moreno Rodríguez, Beatriz

    2015-01-01

    El proyecto desarrollado en este trabajo fin de máster consiste en un sitio web pensado para aquellas personas que desean aprender a tocar algún instrumento musical a través de internet, tanto si se prefiere un aprendizaje dirigido como libre.

  14. 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

  15. 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.

  16. Effects of first postpartum progesterone rise, metabolites, milk yield, and body condition score on the subsequent ovarian activity and fertility in lactating Holstein dairy cows.

    Science.gov (United States)

    Kafi, Mojtaba; Mirzaei, Abdolah

    2010-04-01

    Seventy multiparous healthy lactating Holstein cows (fat-corrected milk yield = 7,561.8 kg) were monitored from 14 days before to 70 days after calving. Transrectal ultrasound scanning was performed twice weekly from 7 to 65 days postpartum. Blood samples were also collected twice weekly to measure serum P(4) and biweekly to detect serum beta-hydroxybutyrate (betaHB) and nonesterified fatty acid (NEFA) concentrations. Body condition score (BCS) was taken biweekly after calving. Based on the serum P(4) profile of 59 cows (11 cows were excluded due to the occurrence of postpartum diseases) studied, 27 (45.8%) had normal ovarian activity, while 21 (35.6%), six (10.1%), three (5.1%), and two (3.4%) had delayed ovulation (DOV), prolonged luteal phase (PLP), short luteal phase (SLP), and cessation of ovarian activity, respectively. Cows with PLP had an earlier ovulation compared to that of cows with normal ovarian activity (23.16 +/- 4.02 vs 31.9 +/- 8.35 days; P cows also had a greater mean +/- standard deviation peak milk yield (44.2 +/- 5.8 vs 37.2 +/- 5.7 kg/day, 75 days postpartum; P cows with normal postpartum ovarian activity. The PLP group also had greater milk production in the previous lactation period. Logistic regression analysis indicated that cows with P(4) concentration > or =1 ng/ml on day 24 after calving were more at risk for PLP by 1.1 for each 1 kg increase in mean peak milk yield during 75 days after calving. BCS was lower in cows with DOV compared to that of cows with normal ovarian activity at any time after calving (P cows were significantly higher than that of normal cows on day 42 after calving (0.69 +/- 0.29 vs 0.54 +/- 0.12 mmol/L, P cows in different groups at any time after calving (P > 0.05). The concentrations of P(4) on days 28 and 31 were negatively correlated with betaHB concentration on day 42 after calving in cows with normal ovarian activity (R = -0.44, P = 0.02). In conclusion, these findings suggest that early ovulation and hence

  17. Mapping health assessment questionnaire disability index (HAQ-DI) score, pain visual analog scale (VAS), and disease activity score in 28 joints (DAS28) onto the EuroQol-5D (EQ-5D) utility score with the KORean Observational study Network for Arthritis (KORONA) registry data.

    Science.gov (United States)

    Kim, Hye-Lin; Kim, Dam; Jang, Eun Jin; Lee, Min-Young; Song, Hyun Jin; Park, Sun-Young; Cho, Soo-Kyung; Sung, Yoon-Kyoung; Choi, Chan-Bum; Won, Soyoung; Bang, So-Young; Cha, Hoon-Suk; Choe, Jung-Yoon; Chung, Won Tae; Hong, Seung-Jae; Jun, Jae-Bum; Kim, Jinseok; Kim, Seong-Kyu; Kim, Tae-Hwan; Kim, Tae-Jong; Koh, Eunmi; Lee, Hwajeong; Lee, Hye-Soon; Lee, Jisoo; Lee, Shin-Seok; Lee, Sung Won; Park, Sung-Hoon; Shim, Seung-Cheol; Yoo, Dae-Hyun; Yoon, Bo Young; Bae, Sang-Cheol; Lee, Eui-Kyung

    2016-04-01

    The aim of this study was to estimate the mapping model for EuroQol-5D (EQ-5D) utility values using the health assessment questionnaire disability index (HAQ-DI), pain visual analog scale (VAS), and disease activity score in 28 joints (DAS28) in a large, nationwide cohort of rheumatoid arthritis (RA) patients in Korea. The KORean Observational study Network for Arthritis (KORONA) registry data on 3557 patients with RA were used. Data were randomly divided into a modeling set (80 % of the data) and a validation set (20 % of the data). The ordinary least squares (OLS), Tobit, and two-part model methods were employed to construct a model to map to the EQ-5D index. Using a combination of HAQ-DI, pain VAS, and DAS28, four model versions were examined. To evaluate the predictive accuracy of the models, the root-mean-square error (RMSE) and mean absolute error (MAE) were calculated using the validation dataset. A model that included HAQ-DI, pain VAS, and DAS28 produced the highest adjusted R (2) as well as the lowest Akaike information criterion, RMSE, and MAE, regardless of the statistical methods used in modeling set. The mapping equation of the OLS method is given as EQ-5D = 0.95-0.21 × HAQ-DI-0.24 × pain VAS/100-0.01 × DAS28 (adjusted R (2) = 57.6 %, RMSE = 0.1654 and MAE = 0.1222). Also in the validation set, the RMSE and MAE were shown to be the smallest. The model with HAQ-DI, pain VAS, and DAS28 showed the best performance, and this mapping model enabled the estimation of an EQ-5D value for RA patients in whom utility values have not been measured.

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

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    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

  19. African-American Men with Gleason Score 3+3=6 Prostate Cancer Produce Less Prostate Specific Antigen than Caucasian Men: A Potential Impact on Active Surveillance.

    Science.gov (United States)

    Kryvenko, Oleksandr N; Balise, Raymond; Soodana Prakash, Nachiketh; Epstein, Jonathan I

    2016-02-01

    We assess the difference in prostate specific antigen production between African-American and Caucasian men with Gleason score 3+3=6 prostate cancer. We measured tumor volume in 414 consecutive radical prostatectomies from men with National Comprehensive Cancer Network(®) low risk prostate cancer (348 Caucasian, 66 African-American) who had Gleason score 3+3=6 disease at radical prostatectomy. We then compared clinical presentation, pathological findings, prostate specific antigen, prostate specific antigen density and prostate specific antigen mass (an absolute amount of prostate specific antigen in patient's circulation) between African-American and Caucasian men. The t-test and Wilcoxon rank sum were used for comparison of means. African-American and Caucasian men had similar clinical findings based on age, body mass index and prostate specific antigen. There were no statistically significant differences between the dominant tumor nodule volume and total tumor volume (mean 0.712 vs 0.665 cm(3), p=0.695) between African-American and Caucasian men. Prostates were heavier in African-American men (mean 55.4 vs 46.3 gm, p prostate tissue contributing to prostate specific antigen in African-American men, prostate specific antigen mass was not different from that of Caucasian men (mean 0.55 vs 0.558 μg, p=0.95). Prostate specific antigen density was significantly less in African-American men due to larger prostates (mean 0.09 vs 0.105, p prostate cancer produce less prostate specific antigen than Caucasian men. African-American and Caucasian men had equal serum prostate specific antigen and prostate specific antigen mass despite significantly larger prostates in African-American men with all other parameters, particularly total tumor volume, being the same. This finding has practical implications in T1c cases diagnosed with prostate cancer due to prostate specific antigen screening. Lowering the prostate specific antigen density threshold in African-American men may

  20. 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

  1. “Always Look on the Bright Side of Life!” – Higher Hypomania Scores Are Associated with Higher Mental Toughness, Increased Physical Activity, and Lower Symptoms of Depression and Lower Sleep Complaints

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    Leila Jahangard

    2017-12-01

    Full Text Available Background: In the present study, we explored the associations between hypomania, symptoms of depression, sleep complaints, physical activity and mental toughness. The latter construct has gained interest for its association with a broad variety of favorable behavior in both clinical and non-clinical samples.Subjects and Methods: The non-clinical sample consisted of 206 young adults (M = 21.3 years; age range: 18–24 years; 57.3% males. They completed questionnaires covering hypomania, mental toughness, symptoms of depression, physical activity, and sleep quality.Results: Higher hypomania scores were associated with higher mental toughness, increased physical activity, lower symptoms of depression and lower sleep complaints. No gender differences were observed. Higher hypomania scores were predicted by higher scores of mental toughness subscales of control and challenge, and physical activity.Conclusion: The pattern of results suggests that among a non-clinical sample of young adults, self-rated hypomania scores were associated with higher scores on mental toughness and physical activity, along with lower depression and sleep complaints. The pattern of results further suggests that hypomania traits are associated with a broad range of favorable psychological, behavioral and sleep-related traits, at least among a non-clinical sample of young adults.

  2. "Always Look on the Bright Side of Life!" - Higher Hypomania Scores Are Associated with Higher Mental Toughness, Increased Physical Activity, and Lower Symptoms of Depression and Lower Sleep Complaints.

    Science.gov (United States)

    Jahangard, Leila; Rahmani, Anahita; Haghighi, Mohammad; Ahmadpanah, Mohammad; Sadeghi Bahmani, Dena; Soltanian, Ali R; Shirzadi, Shahriar; Bajoghli, Hafez; Gerber, Markus; Holsboer-Trachsler, Edith; Brand, Serge

    2017-01-01

    Background: In the present study, we explored the associations between hypomania, symptoms of depression, sleep complaints, physical activity and mental toughness. The latter construct has gained interest for its association with a broad variety of favorable behavior in both clinical and non-clinical samples. Subjects and Methods: The non-clinical sample consisted of 206 young adults ( M = 21.3 years; age range: 18-24 years; 57.3% males). They completed questionnaires covering hypomania, mental toughness, symptoms of depression, physical activity, and sleep quality. Results: Higher hypomania scores were associated with higher mental toughness, increased physical activity, lower symptoms of depression and lower sleep complaints. No gender differences were observed. Higher hypomania scores were predicted by higher scores of mental toughness subscales of control and challenge, and physical activity. Conclusion: The pattern of results suggests that among a non-clinical sample of young adults, self-rated hypomania scores were associated with higher scores on mental toughness and physical activity, along with lower depression and sleep complaints. The pattern of results further suggests that hypomania traits are associated with a broad range of favorable psychological, behavioral and sleep-related traits, at least among a non-clinical sample of young adults.

  3. 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.

  4. The Zhongshan Score

    Science.gov (United States)

    Zhou, Lin; Guo, Jianming; Wang, Hang; Wang, Guomin

    2015-01-01

    Abstract In the zero ischemia era of nephron-sparing surgery (NSS), a new anatomic classification system (ACS) is needed to adjust to these new surgical techniques. We devised a novel and simple ACS, and compared it with the RENAL and PADUA scores to predict the risk of NSS outcomes. We retrospectively evaluated 789 patients who underwent NSS with available imaging between January 2007 and July 2014. Demographic and clinical data were assessed. The Zhongshan (ZS) score consisted of three parameters. RENAL, PADUA, and ZS scores are divided into three groups, that is, high, moderate, and low scores. For operative time (OT), significant differences were seen between any two groups of ZS score and PADUA score (all P RENAL showed no significant difference between moderate and high complexity in OT, WIT, estimated blood loss, and increase in SCr. Compared with patients with a low score of ZS, those with a high or moderate score had 8.1-fold or 3.3-fold higher risk of surgical complications, respectively (all P RENAL score, patients with a high or moderate score had 5.7-fold or 1.9-fold higher risk of surgical complications, respectively (all P RENAL and PADUA scores. ZS score could be used to reflect the surgical complexity and predict the risk of surgical complications in patients undergoing NSS. PMID:25654399

  5. 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.

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

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    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

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

    Science.gov (United States)

    Gibson, Susan I

    2015-01-01

    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 had access to the

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

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    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.

  9. 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

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    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.

  10. Desenvolvimento e avaliação de instrumentos de triagem nutricional

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    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.

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

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    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. crítico: proposta de instrumento de coleta de dados

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    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.

  13. Instrumentos governamentais na implementação da política nacional de museus

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    Leila Giandoni Ollaik

    2012-12-01

    Full Text Available Resumo ----- Este artigo identifica como diferentes instrumentos governamentais são utilizados na implementação da Política Nacional de Museus e como se relacionam com o objetivo governamental de democratização do acesso. Os resultados sugerem que o instrumento de assistência financeira apresenta maior capacidade de democratização do acesso, bem como trazem proposições a serem testadas em pesquisas futuras: o instrumento renúncia fiscal, por ser baseado no mercado, reforça a concentração do mercado; o instrumento gestão direta tem seus efeitos limitados aos locais onde há presença do Estado, portanto com limitado poder de desconcentração; e o instrumento assistência financeira é o que apresenta indícios de poder melhor democratizar as oportunidades de acesso. ----- Government Instruments in the Implementation of the National Policy for Museums ----- Abstract ----- This article identifies how different government instruments are used in the implementation of the National Policy for Museums and how they relate to the governmental goal of democratizing access. The first part defines the term government instruments, exposing its theoretical framework. The National Policy for Museums is described and its instruments are identifi ed. The second part explains the methodology used for a comparative analysis, and describes the selected variables: incentives, autonomy, information, and complexity. The third part develops the comparative analysis of three instruments: direct management, tax waver, and fi nancial assistance. The results suggest that the instrument fi nancial assistance has a better ability to democratize access. The conclusion suggests proposals to be tested in future research: the tax waiver instrument, being based on the market, strengths the market concentration; direct management has limited effects, circumscribed to places where there is the presence of the state, with limited power to de-concentrate; and

  14. 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, H J

    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...

  15. Fatty acid composition in serum correlates with that in the liver and non-alcoholic fatty liver disease activity scores in mice fed a high-fat diet.

    Science.gov (United States)

    Wang, Xing-He; Li, Chun-Yan; Muhammad, Ishfaq; Zhang, Xiu-Ying

    2016-06-01

    In this study, we investigated the correlation between the serum fatty acid composition and hepatic steatosis, inflammation, hepatocellular ballooning scores, and liver fatty acids composition in mice fed a high-fat diet. Livers were collected for non-alcoholic fatty liver disease score analysis. Fatty acid compositions were analysed by gas chromatography. Correlations were determined by Pearson correlation coefficient. Exposed to a high-fat diet, mice developed fatty liver disease with varying severity without fibrosis. The serum fatty acid variation became more severe with prolonged exposure to a high-fat diet. This variation also correlated significantly with the variation in livers, with the types of fatty acids corresponding to liver steatosis, inflammation, and hepatocellular ballooning scores. Results of this study lead to the following hypothesis: the extent of serum fatty acid variation may be a preliminary biomarker of fatty liver disease caused by high-fat intake. Copyright © 2016. Published by Elsevier B.V.

  16. 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

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    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

  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. 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:…

  19. 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...

  20. 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.

  1. How to score questionnaires

    NARCIS (Netherlands)

    Hofstee, W.K.B.; Ten Berge, J.M.F.; Hendriks, A.A.J.

    The standard practice in scoring questionnaires consists of adding item scores and standardizing these sums. We present a set of alternative procedures, consisting of (a) correcting for the acquiescence variance that disturbs the structure of the questionnaire; (b) establishing item weights through

  2. 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…

  3. 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.

  4. Papel da motivação na aprendizagem de um instrumento

    OpenAIRE

    Cardoso, Francisco

    2007-01-01

    Este artigo pretende fazer realçar o papel da motivação num contexto específico: a aprendizagem de um instrumento numa escola de ensino especializado. Dada a complexidade dos processos e das competências envolvidas na aprendizagem instrumental é essencial que os professores desenvolvam uma atitude pedagógica que leve os alunos a sentir-se motivados. As teorias da motivação já são objecto de estudo há largas décadas, mas apenas recentemente tem sido estudado o impacto dessas teorias para a apr...

  5. Edmund Stone y el estudio y uso de instrumentos matemáticos

    OpenAIRE

    Blanco Abellán, Mónica

    2014-01-01

    En 1723 Edmund Stone (1695?-1768) publicó The Construction and Principal Uses of Mathematical Instruments. Se trataba esencialmente de una traducción al inglés del Traité de la construction et des principaux usages des instrumens de mathématique de Nicolas Bion, publicado por primera vez en 1709. En el prefacio del traductor, Stone define las matemáticas como ciencia (en relación a la teoría) y como arte (en relación a la práctica). Los instrumentos matemáticos juegan un papel muy...

  6. 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 ...

  7. 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.

  8. Controladoria como Instrumento de Governança no Setor Público

    OpenAIRE

    Mônica Clark Nunes Cavalcante

    2013-01-01

    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 Cont...

  9. Instrumentos alternativos de financiación para las cooperativas españolas

    OpenAIRE

    Sánchez Pachón, Luis Ángel

    2016-01-01

    La búsqueda de financiación constituye un quehacer permanente de la empresa, que se agudiza, particularmente, en los momentos de crisis económica y afecta, también, a las cooperativas. La legislación cooperativa pone a disposición de estas entidades diversos instrumentos de financiación externa a través de la emisión de valores (obligaciones; títulos participativos; participaciones especiales), a ellos se añaden las cuentas en participación, aunque sin mucho detalle en los textos legales. En ...

  10. Instrumentos financieros del mercado de derivados que se manejan en México

    Directory of Open Access Journals (Sweden)

    Cristina Pacheco Ornelas

    2016-02-01

    Full Text Available Las operaciones de comercio internacional, de las que se derivan la movilidad de capitales, intensifican el riesgo de los empresarios inversionistas. En este trabajo se señala la forma para administrar el riesgo; también se presenta un breve bosquejo del marco legal que regula las relaciones entre los presentadores y usuarios de los servicios financieros, así como una breve descripción de los instrumentos financieros que se manejan en el mercado mexicano de derivados y el comportamiento registrado en la demanda de estos servicios.

  11. INSTRUMENTOS PARA GERENCIAMENTO DE CUSTOS: CUSTO-META, CUSTO-PADRÃO E CUSTO KAIZEN

    OpenAIRE

    Daiane Fraga Lerner; Letícia Medeiros da Silva; Marcos Antonio de Souza

    2007-01-01

    No mundo competitivo dos negócios, com o avanço de tecnologias e consumidores cada vez mais exigentes, as empresas buscam constantemente novas formas de gerenciar seus custos. A contabilidade não deve restringir-se apenas à mensuração dos estoques, mas precisa se adequar às novas exigências de mercado, fornecendo informações úteis para a tomada de decisões pelos gestores. Nesse contexto, surgem novos instrumentos para o controle gerencial. Nesta pesquisa mostra-se, em um único estudo, uma téc...

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

    Directory of Open Access Journals (Sweden)

    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

  13. 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...

  14. An Objective Fluctuation Score for Parkinson's Disease

    Science.gov (United States)

    Horne, Malcolm K.; McGregor, Sarah; Bergquist, Filip

    2015-01-01

    Introduction 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. Methods 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. Results 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. Conclusion 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. PMID:25928634

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

    Czech Academy of Sciences Publication Activity Database

    Hylsová, M.; Carbain, B.; Fanfrlík, Jindřich; Musilová, L.; Haldar, Susanta; Köprülüoglu, Cemal; Ajani, Haresh; Brahmkshatriya, Pathik; Jorda, Radek; Kryštof, Vladimír; Hobza, Pavel; Echalier, A.; Paruch, K.; Lepšík, Martin

    2017-01-01

    Roč. 126, Jan 27 (2017), s. 1118-1128 ISSN 0223-5234 R&D Projects: GA ČR(CZ) GA15-15264S; GA ČR(CZ) GBP208/12/G016 Institutional support: RVO:61388963 ; RVO:61389030 Keywords : cyclin-dependent kinase 2 * ATP-competitive type I inhibitors * pyrazolo[1,5-a]pyrimidine * quantum mechanical scoring * protein-ligand binding * molecular dynamics Subject RIV: CC - Organic Chemistry OBOR OECD: Organic chemistry Impact factor: 4.519, year: 2016

  17. El Sistema Penal como Instrumento de Control Social: El Papel del Encarcelamiento

    Directory of Open Access Journals (Sweden)

    Kelly Ribeiro Felix de Souza

    2015-12-01

    Full Text Available El objetivo de este estudio es analizar el sistema penal con el fin de encontrar elementos capaces de entenderlo como una técnica de control social de los considerados indeseables para la vida en sociedad. Adoptando como marco teórico la criminología crítica, más especificamente las contribuciones de autores como Massimo Pavarini y Michel Foucault, así como el método de investigación dialéctico, se busca, desde un enfoque jurídico y sociológico, indicar las transformaciones del poder disciplinario hasta su diseño actual, así como demostrar sus relaciones con uno de los principales instrumentos del poder punitivo hoy en día - la privación de libertad. En este sentido, parece que la selectividad del ejercicio del poder punitivo se muestra como un importante instrumento de control social de los excluidos.

  18. Reproducibilidad de un instrumento para evaluar factores de riesgo de cáncer de piel

    Directory of Open Access Journals (Sweden)

    John Alexander Nova-Villanueva

    2017-09-01

    Full Text Available Objetivo: evaluar la reproducibilidad de un instrumento para la medición de factores de riesgo de cáncer de piel. Métodos: tomando como base algunas variables encontradas en la literatura para medir factores de riesgo de cáncer de piel, se hicieron grupos focales con pacientes y con expertos, para obtener las preguntas de un instrumento de recolección de datos. Posteriormente, se evaluó la reproducibilidad pruebareprueba en 85 casos (cáncer de piel y 85 controles de los ítems seleccionados. Para el análisis se utilizaron los estadísticos kappa, kappa ponderado y coeficiente de correlación de Lin. Resultados: las variables con mayor confiabilidad fueron municipio de residencia (0,86-0.98 y la ocupación al aire libre (0,78-0,83. La variable con menor confiabilidad fue el uso de elementos de protección solar (0,53-0,8. Conclusiones: las variables evaluadas tienen unos niveles de confiabilidad buenos, lo cual es una de las condiciones que se deben tener en cuenta para que sean usadas en la identificación de los factores de riesgo para desarrollar cáncer de piel en nuestra población, de una manera más válida.

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

    Directory of Open Access Journals (Sweden)

    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.

  20. Tempo de enfermagem em centro de diagnóstico por imagem: desenvolvimento de instrumento Nursing time in a diagnostic imaging center: development of an instrument

    Directory of Open Access Journals (Sweden)

    Carla Weidle Marques da Cruz

    2013-01-01

    Full Text Available OBJETIVO: Desenvolver um instrumento para medir o tempo despendido pela equipe de enfermagem, nas intervenções realizadas em centros de diagnóstico por imagem. MÉTODOS: Estudo transversal desenvolvido em hospital geral particular, conforme estas etapas: A Identificação das atividades de enfermagem por meio de revisão bibliográfica e observação em campo. B Mapeamento cruzado das atividades identificadas em intervenções de enfermagem, conforme a Classificação de Intervenções de Enfermagem (NIC. C Validação das intervenções. D Teste-piloto do instrumento com utilização da técnica de amostragem do trabalho. RESULTADOS: Foram validadas pelos juízes 92 atividades de enfermagem correspondentes a 32 intervenções da Classificação de Intervenções de Enfermagem NIC. As intervenções mais frequentes foram: Assistência em Exames, Documentação, Gerenciamento de Caso, Acompanhamento por telefone, Cuidados na admissão e Troca de Informações sobre cuidados de Saúde. CONCLUSÃO: O instrumento proposto para medição do tempo de trabalho da enfermagem, fundamentado nas intervenções de enfermagem em Centro de Diagnóstico por Imagem, foi validado e encontra-se disponível para utilização.OBJECTIVE: To develop an instrument to measure the time spent by nursing staff in interventions performed in diagnostic imaging centers. METHODS: Cross-sectional study conducted in private general hospital, according to these steps: A Identification of nursing activities through literature review and field observation. B Crossed-mapping of the activities identified in nursing interventions, according to the Nursing Interventions Classification (NIC. C Validation of interventions. D Pilot-test with instrument's utilization, with work-sampling technique. RESULTS: Were validated by the judges 92 nursing activities corresponding to 32 interventions NIC.. These interventions were most frequent: Assistance in exams, Documentation, Case Management

  1. 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.

  2. 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.

  3. CONSTRUCCION Y ESTANDARIZACION DE INSTRUMENTOS DE EVALUACION PSICOMETRICA PARA EL DESARRIKKI DE UNA CULTURA DE EVALUACION ETICA Y RIGUROSA

    OpenAIRE

    ROSAS DIAZ, RICARDO RENE

    2012-01-01

    La evaluación psicológica es una práctica profesional que requiere un alto nivel de calidad. La norma internacional demanda el uso de instrumentos con la adaptación local, de acuerdo al contexto particular. Estos requisitos tienen una relación con consecuencias directas sobre la educación, la salud y el ambiente de trabajo, entre otros. Sin embargo, la calidad de la evaluación psicológica en Chile es insuficiente. Los instrumentos y procedimientos de evaluación no cumplen con los ...

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

    OpenAIRE

    Cristian Roncada; Rita Mattiello; Paulo M. Pitrez; Edgar E. Sarria

    2013-01-01

    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 i...

  5. Validez y confiabilidad de un instrumento de satisfacción del usuario con síndrome febril agudo

    OpenAIRE

    Tiga-Loza, Diana C; Villar-Centeno, Luis á; Güiza-Sanabria, Diana R; Martínez-Vega, Ruth A

    2010-01-01

    Objetivo Determinar la validez y la confiabilidad de un instrumento de satisfacción del paciente con Síndrome Febril Agudo en urgencias y consulta oportuna de la Red Pública de Bucaramanga. Métodos Estudio de evaluación de tecnologías diagnósticas en personas con Síndrome Febril Agudo entre el 2008 y 2009. Se diseñó un cuestionario telefónico a partir de 3 instrumentos en español. Se evaluó validez de contenido mediante sometimiento a expertos y a profesionales de salud y validez facial en un...

  6. Diseño y validación de un instrumento para evaluar la colegialidad docente

    OpenAIRE

    Bakieva, Margarita

    2016-01-01

    El estudio trata de diseñar y validar un instrumento de evaluación de la colegialidad docente, como calidad de unión entre el profesorado de los centros docentes de educación primaria de España y México. El instrumento diseñado se basa en seis dimensiones: (1) valores éticos y profesionales compartidos; (2) cohesión y confianza en el grupo, actitudes de alianza, compañerismo; (3) compromiso con la tarea docente, actitud de mejora profesional continua; (4) toma de decisiones colegial sobre la ...

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

    OpenAIRE

    Serey,Jazmín Pérez; Araya,Virna Ortiz

    2013-01-01

    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 e...

  8. DESARROLLO DE UN INSTRUMENTO VIRTUAL PARA EL BALANCEAMIENTO DINAMICO DE ROTORES DEVELOPMENT OF A VIRTUAL INSTRUMENT FOR ROTOR DYNAMICS BALANCING

    OpenAIRE

    Edgar Estupiñán P; César San Martin; Luis Canales M

    2006-01-01

    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 ...

  9. 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.

  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. 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.

  12. The Bayesian Score Statistic

    NARCIS (Netherlands)

    Kleibergen, F.R.; Kleijn, R.; Paap, R.

    2000-01-01

    We propose a novel Bayesian test under a (noninformative) Jeffreys'priorspecification. We check whether the fixed scalar value of the so-calledBayesian Score Statistic (BSS) under the null hypothesis is aplausiblerealization from its known and standardized distribution under thealternative. Unlike

  13. South African Scoring System

    African Journals Online (AJOL)

    2014-11-18

    Nov 18, 2014 ... for 80% (SASS score) and 75% (NOT) of the variation in the regression model. Consequently, SASS ... further investigation: spatial analyses of macroinvertebrate assemblages; and the use of structural and functional metrics. Keywords: .... conductivity levels was assessed using multiple linear regres- sion.

  14. 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.

  15. 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

  16. Oswestry Disability Index scoring made easy.

    Science.gov (United States)

    Mehra, A; Baker, D; Disney, S; Pynsent, P B

    2008-09-01

    Low back pain effects up to 80% of the population at some time during their active life. Questionnaires are available to help measure pain and disability. The Oswestry Disability Index (ODI) is the most commonly used outcome measure for low back pain. The aim of this study was to see if training in completing the ODI forms improved the scoring accuracy. The last 100 ODI forms completed in a hospital's spinal clinic were reviewed retrospectively and errors in the scoring were identified. Staff members involved in scoring the questionnaire were made aware of the errors and the correct method of scoring explained. A chart was created with all possible scores to aid the staff with scoring. A prospective audit on 50 questionnaires was subsequently performed. The retrospective study showed that 33 of the 100 forms had been incorrectly scored. All questionnaires where one or more sections were not completed by the patient were incorrectly scored. A scoring chart was developed and staff training was implemented. This reduced the error rate to 14% in the prospective audit. Clinicians applying outcome measures should read the appropriate literature to ensure they understand the scoring system. Staff must then be given adequate training in the application of the questionnaires.

  17. 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.

  18. 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

  19. 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.

  20. Not only the sugar, early infarct sign, hyperDense middle cerebral artery, age, neurologic deficit score but also atrial fibrillation is predictive for symptomatic intracranial hemorrhage after intravenous recombinant tissue plasminogen activator

    Directory of Open Access Journals (Sweden)

    Sombat Muengtaweepongsa

    2017-01-01

    Full Text Available Background: Symptomatic intracranial hemorrhage (sICH is the most unwanted adverse event in patients with acute ischemic stroke who received intravenous recombinant tissue plasminogen activator (i.v. rt-PA. Many tool scores are available to predict the probability of sICH. Among those scores, the Sugar, Early infarct sign, hyperDense middle cerebral artery, Age, Neurologic deficit (SEDAN gives the highest area under the curve-receiver operating characteristic value. Objective: We aimed to examine any factors other than the SEDAN score to predict the probability of sICH. Methods: Patients with acute ischemic stroke treated with i.v. rt-PA within 4.5 h time window from January 2010 to July 2012 were evaluated. Compiling demographic data, risk factors, and comorbidity (hypertension, diabetes mellitus, dyslipidemia, atrial fibrillation (AF, ischemic heart disease, valvular heart disease, previous stroke, gout, smoking cigarette, drinking alcoholic beverage, family history of stroke, and family history of ischemic heart disease, computed tomography scan of patients prior to treatment with rt-PA, and assessing the National Institutes of Health Stroke Scale (NIHSS score for the purpose of calculating SEDAN score were analyzed. Results: Of 314 patients treated with i.v. rt-PA, there were 46 ICH cases (14.6% with 14 sICH (4.4% and 32 asymptomatic intracranial hemorrhage cases (10.2%. The rate of sICH occurrence was increased in accordance with the increase in the SEDAN score and AF. Age over 75 years, early infarction, hyperdense cerebral artery, baseline blood sugar more than 12 mmol/l, NIHSS as 10 or more, and AF were the risk factors to develop sICH after treated with rt-PA at 1.535, 2.501, 1.093, 1.276, 1.253, and 2.492 times, respectively. Conclusions: Rather than the SEDAN score, AF should be a predictor of sICH in patients with acute ischemic stroke after i.v. rt-PA treatment in Thai population.

  1. A new method of linkage analysis using LOD scores for quantitative traits supports linkage of monoamine oxidase activity to D17S250 in the Collaborative Study on the Genetics of Alcoholism pedigrees.

    Science.gov (United States)

    Curtis, David; Knight, Jo; Sham, Pak C

    2005-09-01

    Although LOD score methods have been applied to diseases with complex modes of inheritance, linkage analysis of quantitative traits has tended to rely on non-parametric methods based on regression or variance components analysis. Here, we describe a new method for LOD score analysis of quantitative traits which does not require specification of a mode of inheritance. The technique is derived from the MFLINK method for dichotomous traits. A range of plausible transmission models is constructed, constrained to yield the correct population mean and variance for the trait but differing with respect to the contribution to the variance due to the locus under consideration. Maximized LOD scores under homogeneity and admixture are calculated, as is a model-free LOD score which compares the maximized likelihoods under admixture assuming linkage and no linkage. These LOD scores have known asymptotic distributions and hence can be used to provide a statistical test for linkage. The method has been implemented in a program called QMFLINK. It was applied to data sets simulated using a variety of transmission models and to a measure of monoamine oxidase activity in 105 pedigrees from the Collaborative Study on the Genetics of Alcoholism. With the simulated data, the results showed that the new method could detect linkage well if the true allele frequency for the trait was close to that specified. However, it performed poorly on models in which the true allele frequency was much rarer. For the Collaborative Study on the Genetics of Alcoholism data set only a modest overlap was observed between the results obtained from the new method and those obtained when the same data were analysed previously using regression and variance components analysis. Of interest is that D17S250 produced a maximized LOD score under homogeneity and admixture of 2.6 but did not indicate linkage using the previous methods. However, this region did produce evidence for linkage in a separate data set

  2. Validity of the rheumatoid arthritis impact of disease (RAID) score and definition of cut-off points for disease activity states in a population-based European cohort of patients with rheumatoid arthritis.

    Science.gov (United States)

    Salaffi, Fausto; Di Carlo, Marco; Vojinovic, Jelena; Tincani, Angela; Sulli, Alberto; Soldano, Stefano; Andreoli, Laura; Dall'Ara, Francesca; Ionescu, Ruxandra; Simić Pašalić, Katarina; Balčune, Ineta; Ferraz-Amaro, Iván; Tlustochowicz, Malgorzata; Butrimienė, Irena; Punceviciene, Egle; Toroptsova, Natalia; Grazio, Simeon; Morović-Vergles, Jadranka; Masaryk, Pavol; Otsa, Kati; Bernardes, Miguel; Boyadzhieva, Vladimira; Cutolo, Maurizio

    2017-05-24

    To assess the validity of the rheumatoid arthritis impact of disease (RAID) for measuring disease activity of rheumatoid arthritis (RA) and to determine cut-off values for defining the disease activity states. A total of 622 RA patients from an European database have been included. Cross-validation was based on assessment of convergent and discriminant validity. Optimal cut-offs were determined against external criteria by calculating the respective 25th and 75th percentiles mean values of RAID. External criteria included definitions for remission (REM), low disease activity (LDA), moderate disease activity (MDA) and high disease activity (HDA), cut-offs of the 28-joint disease activity score-C-reactive protein (DAS28-CRP) score. The RAID showed a moderate degree of correlation with respect to DAS28-CRP (rho=0.417; Pdisease was very good with an area under the curve (AUC) of 0.847 (95% confidence interval [CI]: 0.816 to 0.878; Pdisease activity groups, we propose the following cut-off values for REM: RAID ≤3; for LDA: RAID >3 and ≤4; for MDA: RAID >4 and ≤6; for HDA: RAID >6. Mean RAID differed significantly between patients classified as REM, LDA, MDA or HDA (P=0.001). The cut-offs revealed good measurement characteristics in cross-validation analysis, had great discriminatory performance in distinguishing patients with different levels of disease activity and are suited for widespread use in everyday practice application and research. Copyright © 2017 Société française de rhumatologie. Published by Elsevier SAS. All rights reserved.

  3. 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

  4. 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.

  5. Credit scoring methods

    Czech Academy of Sciences Publication Activity Database

    Vojtek, Martin; Kočenda, Evžen

    2006-01-01

    Roč. 56, 3-4 (2006), s. 152-167 ISSN 0015-1920 R&D Projects: GA ČR GA402/05/0931 Institutional research plan: CEZ:AV0Z70850503 Keywords : banking sector * credit scoring * discrimination analysis Subject RIV: AH - Economics Impact factor: 0.190, year: 2006 http://journal.fsv.cuni.cz/storage/1050_s_152_167.pdf

  6. 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.

  7. 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.

  8. 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.

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

    Directory of Open Access Journals (Sweden)

    Vernor Mesén Figueroa

    2008-06-01

    Full Text Available 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 instrumentos son negociados tanto en mercados organizados como no organizados, más comúnmente conocidos como OTC (Over The Counter y comúnmente son utilizados como instrumento de cobertura o especulación. El presente artículo pretende acercar al lector a este concepto: sus características, tipos, operación y algunas estrategias de negociación de estos productos.

  10. 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.

  11. 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.

  12. Association of the interferon signature metric with serological disease manifestations but not global activity scores in multiple cohorts of patients with SLE

    Science.gov (United States)

    Kennedy, William P; Maciuca, Romeo; Wolslegel, Kristen; Tew, Wei; Abbas, Alexander R; Chaivorapol, Christina; Morimoto, Alyssa; McBride, Jacqueline M; Brunetta, Paul; Richardson, Bruce C; Davis, John C; Behrens, Timothy W; Townsend, Michael J

    2015-01-01

    Objectives The interferon (IFN) signature (IS) in patients with systemic lupus erythematosus (SLE) includes over 100 genes induced by type I IFN pathway activation. We developed a method to quantify the IS using three genes—the IS metric (ISM)—and characterised the clinical characteristics of patients with SLE with different ISM status from multiple clinical trials. Methods Blood microarray expression data from a training cohort of patients with SLE confirmed the presence of the IS and identified surrogate genes. We assayed these genes in a quantitative PCR (qPCR) assay, yielding an ISM from the IS. The association of ISM status with clinical disease characteristics was assessed in patients with extrarenal lupus and lupus nephritis from four clinical trials. Results Three genes, HERC5, EPSTI and CMPK2, correlated well with the IS (p>0.96), and composed the ISM qPCR assay. Using the 95th centile for healthy control data, patients with SLE from different studies were classified into two ISM subsets—ISM-Low and ISM-High—that are longitudinally stable over 36 weeks. Significant associations were identified between ISM-High status and higher titres of anti-dsDNA antibodies, presence of anti extractable nuclear antigen autoantibodies, elevated serum B cell activating factor of the tumour necrosis factor family (BAFF) levels, and hypocomplementaemia. However, measures of overall clinical disease activity were similar for ISM-High and ISM-Low groups. Conclusions The ISM is an IS biomarker that divides patients with SLE into two subpopulations—ISM-High and ISM-Low—with differing serological manifestations. The ISM does not distinguish between high and low disease activity, but may have utility in identifying patients more likely to respond to treatment(s) targeting IFN-α. Clinicaltrials.gov registration number NCT00962832. PMID:25861459

  13. 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

  14. Instrumento para consulta de enfermagem à puérpera na atenção básica

    Directory of Open Access Journals (Sweden)

    Maria Helena Soares da Nóbrega Mazzo

    2016-04-01

    Full Text Available RESUMO Objetivo: construir um instrumento de Consulta de Enfermagem à puérpera na atenção básica. Método: trata-se de uma pesquisa metodológica desenvolvida em cinco etapas: identificação dos indicadores empíricos relativos à puérpera por meio de revisão integrativa da literatura; avaliação dos indicadores empíricos por grupo focal; estruturação do instrumento mediante a categorização dos indicadores; validação do instrumento pelos especialistas pela técnica Delphi; e aplicação e desenvolvimento das afirmativas de diagnóstico e intervenções de Enfermagem. Resultados: o instrumento é constituído por dados de identificação da puérpera, avaliação das necessidades humanas da puérpera e itens do cuidado de Enfermagem. Na versão final, foram selecionados 73 Diagnósticos e 155 Intervenções de Enfermagem. Conclusão: com a conclusão do estudo, a enfermeira disporá de um instrumento para Sistematização da Assistência de Enfermagem à puérpera na Atenção Básica. Além disso, o documento servirá como ferramenta ao ensino e à pesquisa em Enfermagem Obstétrica.

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

    Directory of Open Access Journals (Sweden)

    Carlos Montes Paixão Jr.

    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.

  16. College Math Assessment: SAT Scores vs. College Math Placement Scores

    Science.gov (United States)

    Foley-Peres, Kathleen; Poirier, Dawn

    2008-01-01

    Many colleges and university's use SAT math scores or math placement tests to place students in the appropriate math course. This study compares the use of math placement scores and SAT scores for 188 freshman students. The student's grades and faculty observations were analyzed to determine if the SAT scores and/or college math assessment scores…

  17. Imidazo[1,2-c]pyrimidin-5(6H)-one as a novel core of cyclin-dependent kinase 2 inhibitors: Synthesis, activity measurement, docking, and quantum mechanical scoring.

    Science.gov (United States)

    Ajani, Haresh; Jansa, Josef; Köprülüoğlu, Cemal; Hobza, Pavel; Kryštof, Vladimír; Lyčka, Antonín; Lepsik, Martin

    2018-04-23

    We report on the synthesis, activity testing, docking, and quantum mechanical scoring of novel imidazo[1,2-c]pyrimidin-5(6H)-one scaffold for cyclin-dependent kinase 2 (CDK2) inhibition. A series of 26 compounds substituted with aromatic moieties at position 8 has been tested in in vitro enzyme assays and shown to inhibit CDK2. 2D structure-activity relationships have ascertained that small substituents at position 8 (up to the size of naphtyl or methoxyphenyl) generally lead to single-digit micromolar IC 50 values, whereas bigger substituents (substituted biphenyls) decreased the compounds' activities. The binding modes of the compounds obtained using Glide docking have exhibited up to 2 hinge-region hydrogen bonds to CDK2 and differed in the orientation of the inhibitor core and the placement of the 8-substituents. Semiempirical quantum mechanics-based scoring identified probable favourable binding modes, which will serve for future structure-based design and synthetic optimization of substituents of the heterocyclic core. In summary, we have identified a novel core for CDK2 inhibition and will explore it further to increase the potencies of the compounds and also monitor selectivities against other protein kinases. Copyright © 2018 John Wiley & Sons, Ltd.

  18. ADHD and Disruptive behavior scores – associations with MAO-A and 5-HTT genes and with platelet MAO-B activity in adolescents

    Directory of Open Access Journals (Sweden)

    Larsson Jan-Olov

    2008-04-01

    Full Text Available Abstract Background Pharmacological and genetic studies suggest the importance of the dopaminergic, serotonergic, and noradrenergic systems in the pathogenesis of Attention Deficit Hyperactivity Disorder (ADHD and Disruptive Behavior Disorder (DBD. We have, in a population-based sample, studied associations between dimensions of the ADHD/DBD phenotype and Monoamine Oxidase B (MAO-B activity in platelets and polymorphisms in two serotonergic genes: the Monoamine Oxidase A Variable Number of Tandem Repeats (MAO-A VNTR and the 5-Hydroxytryptamine Transporter gene-Linked Polymorphic Region (5-HTT LPR. Methods A population-based sample of twins, with an average age of 16 years, was assessed for ADHD/DBD with a clinical interview; Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL. Blood was drawn from 247 subjects and analyzed for platelet MAO-B activity and polymorphisms in the MAO-A and 5-HTT genes. Results We found an association in girls between low platelet MAO-B activity and symptoms of Oppositional Defiant Disorder (ODD. In girls, there was also an association between the heterozygote long/short 5-HTT LPR genotype and symptoms of conduct disorder. Furthermore the heterozygote 5-HTT LPR genotype in boys was found to be associated with symptoms of Conduct Disorder (CD. In boys, hemizygosity for the short MAO-A VNTR allele was associated with disruptive behavior. Conclusion Our study suggests that the serotonin system, in addition to the dopamine system, should be further investigated when studying genetic influences on the development of Disruptive Behavior Disorders.

  19. Estimating NHL Scoring Rates

    OpenAIRE

    Buttrey, Samuel E.; Washburn, Alan R.; Price, Wilson L.; Operations Research

    2011-01-01

    The article of record as published may be located at http://dx.doi.org/10.2202/1559-0410.1334 We propose a model to estimate the rates at which NHL teams score and yield goals. In the model, goals occur as if from a Poisson process whose rate depends on the two teams playing, the home-ice advantage, and the manpower (power-play, short-handed) situation. Data on all the games from the 2008-2009 season was downloaded and processed into a form suitable for the analysis. The model...

  20. Resistência à torção de dois instrumentos endodônticos rotatórios de níquel-titânio Torsional resistance of two nickel-titanium rotatory endodontic instruments

    Directory of Open Access Journals (Sweden)

    Cristiane da COSTA

    2000-06-01

    Full Text Available Os autores compararam a resistência à torção entre os instrumentos rotatórios de níquel-titânio Quantec Series 2000 e Pow-R, valendo-se de quarenta instrumentos para cada marca divididos em oito para cada um dos seguintes tamanhos nº 15, nº 20, nº 25, nº 35 e nº 40 com 21 mm e conicidade .02. Com a ajuda de um troptômetro modificado cada instrumento foi fixado em um madril e preso à 3 mm de sua ponta, previamente marcada com uma caneta de tinta permanente, na base do aparelho por uma morsa. Em seguida ativou-se a manivela que continha a escala em graus até notar-se sinal característico da fratura do instrumento registrando-se o valor da quantidade de movimento até este momento. Após tabulação dos dados procedeu-se a análise estatística de acordo com o teste t de Student com nível de significância de 1%. Os resultados mostraram haver diferença estatisticamente significante ao comparar-se limas de mesmo número confrontadas as duas marcas, favorável para o instrumento Pow-R.The authors compared the torsional resistance between the Quantec Series 2000 and Pow-R nickel-titanium rotatory instruments, using forty instruments of each brand, divided in eight of each one of the following numbers: nº 15, nº 20, nº 25, nº 35 and nº 40 with 21 mm and taper .02. Each instrument was fixed in the mandrel of a modified tropometer and held 3 mm away from its tip, on a spot that had been previously stamped with a permanent ink pen, by apprehension claws localized on the base of the equipment. Then the graduated handle was activated until a characteristic break sign of the instrument was noticed, the quantity of movement up to this moment being recorded. After the values were tabulated, the statistical analysis was carried out according to the Student t test. The results revealed a statistically significant difference when instruments of the same number, from both evaluated brands, were compared, favouring the Pow-R instruments.

  1. 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....

  2. La golden share como instrumento de control estatal en empresas privatizadas

    Directory of Open Access Journals (Sweden)

    Helga Maria Saboia Bezerra

    2010-07-01

    Full Text Available Este artículo expone el mecanismo de la golden share, invento británico llevado a cabo con la función de servir de instrumento de control estatal en las empresas privatizadas a partir de la década de ochenta del siglo pasado, emulado por los demás países europeos con diversa denominación y similar finalidad. Presenta la jurisprudencia del Tribunal de Justicia de la Unión Europea en la materia, que le ha llevado a anular varios preceptos legales de Estados miembros que vulneraban, a través de tales restricciones, el principio de libre circulación de capitales y de libertad de establecimiento. Analiza, por fin, la adaptación del mecanismo a la legislación brasileña bajo el título de ação de classe especial, su previsión en los estatutos de concretas empresas privatizadas y el reciente protagonismo que tales instrumentos han tenido en los últimos años, ocasionando el temor a la reestatización por parte de los inversores.Abstract: This paper is concerned with the mechanism of golden share, a British invention carried out in order to serve as a state’s control instrument in privatized enterprises since the 1980’s, emulated by the other European countries with varied denomination and similar purpose. It presents European Courtof Justice’s case law on golden share that has prompted it to annul many Member State’s rules that infringed, through such restrictions,the principles of free movement of capital and freedom of establishment. Finally, it examines the adjustment of the mechanismto the Brazilian legislation, under the title of ação de classe especial (action of special class, its disposal in the articles of association of specific privatized enterprises and the prominence that such instruments have had in the latest years, causing the fear of renationalization by investors.

  3. Instrumentos de avaliação de linguagem infantil: aplicabilidade em deficientes

    Directory of Open Access Journals (Sweden)

    Cristhiane Ferreira Guimarães

    2013-12-01

    Full Text Available Este estudo tem como objetivo analisar testes e provas de avaliação de linguagem infantil de modo a discutir a aplicabilidade na população com deficiência física, auditiva, visual, mental e múltipla. No segundo semestre de 2011, pesquisou-se acerca das deficiências e das avaliações diretas de linguagem infantil oral, gestual e escrita, nacionais ou traduzidas. Consultou-se artigos e teses nas bases de dados online, além de livros e avaliações publicadas. Selecionou-se 28 avaliações, que foram agrupadas por objetivos de aplicação, descritas segundo estímulo e realização esperados, e analisadas pelos seguintes critérios: modalidades de avaliação, habilidades requeridas e conversão de códigos. Encontrou-se 23 modalidades de avaliação, cuja análise sugere que indivíduos que têm possibilidade de uso da visão, membros superiores e mente, e que conseguem compreender e utilizar imagem e português oral ou escrito como códigos, provavelmente terão maior gama de avaliações que os atenda. As dimensões semântica e pragmática pareceram ser as mais acessíveis, corroborando com a aplicação encontrada na literatura. Sobre a possibilidade de avaliação completa, verificou-se que apenas a dupla de habilidades "visão/membros superiores" permitiria isto. Um levantamento das informações sobre o perfil comunicativo do examinando comparado com o perfil comunicativo requisitado na avaliação auxilia na decisão sobre a compatibilidade destes e consequente aplicabilidade. No geral, consideradas as particularidades dos casos e das avaliações, instrumentos pré-selecionados poderão ser aplicáveis a indivíduos deficientes. Contudo, poderá ocorrer que, para alguns pacientes, não será possível realizar uma avaliação completa utilizando apenas instrumentos do tipo direto.

  4. 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.

  5. 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

    International Nuclear Information System (INIS)

    Yeh, Jun-Jun; Chen, Solomon Chih-Cheng; Chen, Cheng-Ren; Yeh, Ting-Chun; Lin, Hsin-Kai; Hong, Jia-Bin; Wu, Bing-Tsang; Wu, Ming-Ting

    2014-01-01

    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.)

  6. 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.)

  7. 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

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

    Directory of Open Access Journals (Sweden)

    Matias Noll

    Full Text Available 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 ambiente escolar. MATERIAIS E MÉTODOS: Foi realizada uma busca sistemática de artigos em bases de dados (Scopus, ScienceDirect, PubMed, SciELO publicados a partir da década de 1980 e no Banco de Teses e Dissertações da Capes. As palavras-chave utilizadas na busca pelos artigos foram back, spine, back injuries, school, back school, postural hygiene program, education, child, student, posture, em combinação com as palavras-chave evaluation, assessment, measurement, e os respectivos termos em português. Os instrumentos propostos deveriam preencher os seguintes critérios: (a avaliar a postura corporal durante a realização de atividades da vida diária (AVDs; (b utilizar critérios pré-definidos de avaliação da postura dinâmica; e (c avaliar a postura a partir de observação, direta ou a partir de filmagem. RESULTADOS: Foram identificados oito artigos originais que apresentam instrumentos de avaliação da postura dinâmica, avaliando a execução de AVDs a partir de critérios biomecânicos pré-definidos por escalas numéricas; destes, apenas quatro instrumentos foram elaborados com o propósito de avaliar a execução de AVDs de escolares. CONSIDERAÇÕES FINAIS: Em geral, os instrumentos apresentam algumas limitações metodológicas, embora sejam de fácil aplicabilidade.

  9. You Score With Nutrition

    Science.gov (United States)

    Dow, Ruth McNabb

    1976-01-01

    The leader's guide and student activity booklet contain learning activities, ideas, information, games, and resources for nutrition instruction designed to appeal to the interests of teens and pre-teens and to improve their knowledge of nutrition and their eating habits. (MS)

  10. 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

  11. 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.

  12. 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.

  13. Prosavana: Instrumento de Cooperação Internacional (Norte-Sul-Sul

    Directory of Open Access Journals (Sweden)

    Andre de Paiva Toledo

    2016-06-01

    Full Text Available Diante da crise energético-alimentar de 2008, a África passa a ser vista pelas instituições internacionais como território de expansão da fronteira agrícola, isto é, local de inserção do agronegócio. Apesar das contestações quanto ao caráter improdutivo do modelo tradicional de produção local, diversos Estados africanos têm estabelecido acordos internacionais de investimento com vistas à modernização de sua agricultura. Nesse contexto, surge o acordo trilateral entre Japão, Brasil e Moçambique, que possibilitará a implementação neste país do Prosavana, o programa de desenvolvimento agrícola da Savana moçambicana. Justificado como resultado da cooperação internacional Sul-Sul em contraposição ao tradicional mecanismo Norte-Sul, verificar-se-á que, na realidade, o Prosavana é um instrumento de cooperação (Norte-Sul-Sul, pelo qual são garantidos determinados interesses incompatíveis com a horizontalidade da cooperação Sul-Sul.

  14. Estudio participativo para el desarrolllo de un instrumento de observación de violencia escolar

    Science.gov (United States)

    Medina Santiago, Nilda G.; Rivera, Tania Cruz; Rodríguez, Maryanes Trenche; Báez Ávila, Loggina S.

    2018-01-01

    La violencia en las escuelas es reconocida como un problema de salud pública a nivel mundial que impacta negativamente el proceso de enseñanza-aprendizaje. Sin embargo, en Puerto Rico las estadísticas oficiales y los medios de comunicación generalmente se enfocan en hechos aislados de violencia extrema donde se utilizan armas o se destruye propiedad y no recogen formas de violencia más comunes que suelen ocurrir a diario en las escuelas. En este estudio se utilizó el Instrumento de Observación de Violencia Escolar (INOVE), preparado con el insumo de las comunidades escolares participantes del Proyecto VIAS (Violence and Asthma Health Disparity Network) de la Universidad del Este (UNE), para recopilar información acerca de las características de la violencia en dos escuelas puertorriqueñas. Entre los hallazgos del estudio se destacan diferencias por sexo en cuanto a categorías de violencia observadas y la observación de agresividad en juegos e interacciones entre estudiantes. Los datos recopilados han servido de base para la toma de decisiones en cuanto a la prevención de la violencia en las escuelas participantes y tienen implicaciones para el desarrollo de estrategias y programas de prevención. PMID:29643972

  15. 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.

  16. 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.

  17. 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.

  18. El Investigador Como Instrumento Flexible de la Indagación

    Directory of Open Access Journals (Sweden)

    Carmen de la Cuesta Benjumea

    2003-12-01

    Full Text Available La reflexividad convierte al investigador en actor de su estudio e instrumento de la indagación con que construye el diseño, como producto de las decisiones que toma. Esto se mostrará con una investigación sobre el cuidado familiar de pacientes con demencia avanzada. En la construcción de la pregunta me presento como sujeto situado (Rosaldo, 1991 y en el desarrollo del estudio como parte del mundo social (Hammersley y Atkinson, 1995; aquí doy cuenta de las oportunidades, ajustes y dificultades que lo moldearon. Con ello pretendo ilustrar el carácter emergente de un estudio, y en concreto resaltar que el investigador lo construya a través de múltiples y superpuestos procesos sociales. Los investigadores cualitativos reconocen su presencia, tratan de comprenderla y explicar sus efectos (Rossman y Rallis, 1998. La reflexividad contribuye a la validez y desde el punto de vista del interaccionismo simbólico, el proceso reflexivo dota al investigador de un self indagador.

  19. 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

  20. Exploración psicológica forense del abuso sexual infantil: revisión de procedimientos e instrumentos

    OpenAIRE

    Pereda Beltran, Noemí; Arch Marín, Mila

    2012-01-01

    El objetivo del presente trabajo fue realizar una revisión de los procedimientos e instrumentos publicados para la exploración psicológica forense del abuso sexual infantil. Se obtuvieron 82 artículos originales con información relativa a instrumentos psicológicos para la evaluación del abuso sexual infantil. El 71,9% de los artículos se centraron en instrumentos clínicos, basados en indicadores psicológicos y emocionales, mientras que el 28,1% se basaron en el análisis de la credibilidad del...

  1. Estudio preliminar de PEP-3 como instrumento de evaluación funcional de niños con Trastorno del Espectro Autista

    OpenAIRE

    Orobal Císcar, Paloma

    2013-01-01

    En el presente estudio, además de traducir, adaptar lingüísticamente y realizar una aplicación preliminar de un instrumento de evaluación funcional del Trastorno del Espectro Autista (TEA) llamado PEP-3 (Perfil Psicoeducativo-3ªEdición); se han realizado dos aplicaciones del instrumento a un grupo de 10 niños y niñas con TEA atendidos en un Centro de Atención Temprana de Valencia con el objetivo de analizar la sensibilidad del instrumento para medir cambios tras tres meses de intervención bas...

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

    OpenAIRE

    Gustavo de Souza e Silva

    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...

  3. Entorno para el diseño y la práctica con instrumentos quirúrgicos virtuales (WESST-IN)

    OpenAIRE

    Vélez Beltrán, Jorge Alberto; Navarro Newball, Andrés Adolfo; Vera, Adriana Ximena; Cardona, Jaime Andrés

    2006-01-01

    Este trabajo presenta un sistema que permite a los practicantes de medicina el modelado, el manejo y la utilización de instrumentos quirúrgicos virtuales. El sistema asume operaciones como actualización, modificación e inclusión de nuevos instrumentos quirúrgicos; además, cuenta con una interfaz gráfica para facilitar el aprendizaje y con un sistema de ayudas entendibles para el usuario final. Esta herramienta contribuye al aprendizaje en el manejo de instrumentos quirúrgicos a estudiantes de...

  4. Oportunidades para el uso de instrumentos económicos en materia de aguas en México

    OpenAIRE

    García Lopez, Tania

    2014-01-01

    En el presente trabajo se reflexiona sobre las oportunidades en México para el uso de instrumentos económicos en materia de aguas. Tras la reforma constitucional del año 2012, en la que se añade un párrafo sexto dentro del artículo cuarto, es necesario cambiar el marco jurídico aplicable a las aguas en el país y este estudio hace una propuesta de redacción de un capítulo relativo a los instrumentos económicos en dicho ordenamiento jurídico. Se distingue, de acuerdo a lo que dispone la Ley Gen...

  5. 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.

    Science.gov (United States)

    Lubans, David R; Morgan, Philip J; Weaver, Kristen; Callister, Robin; Dewar, Deborah L; Costigan, Sarah A; Finn, Tara L; Smith, Jordan; Upton, Lee; Plotnikoff, Ronald C

    2012-06-12

    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. 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. 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 and active. The findings from the study may be used to

  6. 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

    Science.gov (United States)

    2012-01-01

    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 and active. The

  7. 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.

  8. La autopsia clínica como instrumento de calidad en el proceso asistencial y de investigación

    OpenAIRE

    Martín Polo, Rebeca

    2008-01-01

    Este trabajo se centra en el estudio de la autopsia clínica como uno de los más valiosos instrumentos de calidad por cuanto mejora el razonamiento médico para futuros diagnósticos, tratamientos y prevención de enfermedades. La autopsia clínica está considerada por la comunidad científica y gestores hospitalarios como uno de los indicadores más importante de la calidad hospitalaria.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. Breve análise dos instrumentos da política de gestão ambiental brasileira

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    Dalmo Arantes Barros

    2012-12-01

    Full Text Available http://dx.doi.org/10.5007/2175-7984.2012v11n22p155 O objetivo desse trabalho foi descrever os principais instrumentos da política ambiental brasileira, fazendo menção aos principais pontos de discussão do tema. Para isso, realizou-se uma pesquisa qualitativa do tipo exploratória. A principal falha da efetividade dos instrumentos da política do meio ambiente brasileiro está no desconhecimento quase total da política ambiental, de seus benefícios e de seus resultados, nos diferentes níveis  de gestão. Para a eficácia da legislação ambiental, por meio da utilização dos instrumentos da Política Nacional do Meio Ambiente, é necessário mais do que só a normatização de vias de comando e controle. São imprescindíveis outras políticas públicas, como trabalhar junto à população na conscientização e divulgação de políticas educacionais com investimentos nos aspectos voltados para a sustentabilidade, mudança de hábitos de consumo e estilo de vida.

  14. Utilização de Softwares no processo de ensino e aprendizagem de instrumentos de teclado

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    Susana Ester Krüger

    2015-05-01

    Full Text Available Neste trabalho são analisadas algumas pesquisas realizadas sobre software utilizados no processo de ensino e aprendizagem de insrtumentos de teclado. São investigadas as interseções efetuadas em pesquisas quanto as concepções educativas, instrumentos de teclado e uso de software. As pesquisas quanto as concepções educativas, intrumentos de teclado e uso de software. As pesquisas são analisadas de acordo com a forma de atuação do software no processo de ensino e aprendizagem de instrumentos de teclado? Indireta e direta. Constata-se que a utilizaçnao de software pode ser propicia ao desenvolvimento musical de estudante de instrumentos de teclado. São apontadas algumas deficiências e possibilidades do uso de softwares no processo educacional. Por fim, ressalta-se a necessidade e importância de participação dos professores na elaboração dos mesmos, utilizaçnao de concepções educativas no seu processo de criação, de sua avaliação prévia e, de realização de pesquisas mais extensas sobre tema.

  15. El uso de instrumentos de evaluación de riesgo de violencia en Argentina y Chile

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    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.

  16. Comparison of Disease Activity Score in 28 joints with ESR (DAS28), Clinical Disease Activity Index (CDAI), Health Assessment Questionnaire Disability Index (HAQ-DI) & Routine Assessment of Patient Index Data with 3 measures (RAPID3) for assessing disease activity in patients with rheumatoid arthritis at initial presentation.

    Science.gov (United States)

    Kumar, B Siddhartha; Suneetha, P; Mohan, Alladi; Kumar, D Prabath; Sarma, K V S

    2017-11-01

    In patients with rheumatoid arthritis (RA), disease severity assessment is done using Disease Activity Score in 28 joints with ESR (DAS28). Computing DAS28 is time-consuming, requires laboratory testing and an online calculator. There is a need to validate rapid methods of disease severity assessment for routine daily use. This study was conducted to compare DAS28, Clinical Disease Activity Index (CDAI), Health Assessment Questionnaire Disability Index (HAQ-DI) and Routine Assessment of Patient Index Data with 3 measures (RAPID3) to assess the disease activity in patients with RA. We prospectively studied the utility of CDAI, HAQ-DI and RAPID3 scoring in 100 consecutive newly diagnosed, disease modifying antirheumatic drugs (DMARDs) naïve adult patients with RA seen during January 2013 and June 2014 at a tertiary care teaching hospital in south India. The mean age of the patients was 42.1±11.6 yr, there were 82 females. The median [interquartile range (IQR)] symptom duration was 6 (range 4-12) months. The median (IQR) DAS28, CDAI, HAQ-DI and RAPID3 scores at presentation were 7 (6-7), 36 (28-43), 2 (1-2) and 17 (13-19), respectively. A significant positive correlation was observed between DAS28 and CDAI (r=0.568; Pfair' agreement was observed in between DAS28 and CDAI (kappa-statistic=0.296). The agreement between DAS28 and HAQ-DI (kappa-statistic=0.007) and RAPID3 (kappa-statistic=0.072) was less robust. In adult patients with RA, in the setting where illiteracy is high, CDAI emerged as the preferred choice for rapid assessment of severity of disease at the time of initial presentation.

  17. 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…

  18. 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

  19. 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.

  20. 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.

  1. 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.

  2. Desarrollo de un instrumento para medir creencias y actitudes hacia la vasectomía

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    R.D. Hernández-Aguilera

    2015-12-01

    Full Text Available La participación del varón en la planificación familiar es relativamente reciente, pues empezó a raíz de la Conferencia Internacional sobre Población y Desarrollo del Cairo en 1994. Existen muchos mitos acerca de la vasectomía que contribuyen a la renuencia de aceptarla, lo que hace indispensable su estudio. La mayor parte de los estudios que hay sobre el tema son cualitativos, y en la literatura revisada se encontraron únicamente 3 cuestionarios: uno mide solo conocimientos, el segundo está dirigido solamente al personal médico, y el tercero mide solo actitudes negativas sin considerar aspectos positivos. El objetivo del presente estudio fue diseñar y validar en México un cuestionario para medir creencias y actitudes hacia la vasectomía dirigido a hombres sin vasectomía y a mujeres. Fue un estudio transversal dividido en 2 etapas. En la primera participaron 405 hombres y mujeres de 35 a 55 años. Se calculó la validez de contenido y la capacidad discriminatoria de los reactivos, se realizó un análisis de componentes principales y se calculó la confiabilidad usando el alfa de Cronbach. Se obtuvieron 4 factores: disminución de la virilidad, beneficios, miedo a la cirugía y percepción negativa. La confiabilidad total fue de 0.85. En la segunda etapa se probó la sensibilidad del instrumento con 248 participantes, encontrando diferencias significativas en los 4 factores al comparar los resultados de acuerdo a la escolaridad. Se presenta un cuestionario con diferentes aplicaciones, que puede ser usado tanto por investigadores como por profesionales en el campo de la salud reproductiva.

  3. INSTRUMENTOS PARA GERENCIAMENTO DE CUSTOS: CUSTO-META, CUSTO-PADRÃO E CUSTO KAIZEN

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    Daiane Fraga Lerner

    2007-01-01

    Full Text Available No mundo competitivo dos negócios, com o avanço de tecnologias e consumidores cada vez mais exigentes, as empresas buscam constantemente novas formas de gerenciar seus custos. A contabilidade não deve restringir-se apenas à mensuração dos estoques, mas precisa se adequar às novas exigências de mercado, fornecendo informações úteis para a tomada de decisões pelos gestores. Nesse contexto, surgem novos instrumentos para o controle gerencial. Nesta pesquisa mostra-se, em um único estudo, uma técnica de gerenciamento de custos na fase de planejamento do produto (custo-meta, outro utilizado na fase de produção (custo-padrão e um sistema de melhoria contínua (custo kaizen. O objetivo é expor a utilidade e as relações existentes entre estas técnicas. Para tanto, optou-se por apresentar os sistemas na seqüência em que influenciam na determinação e ocorrência dos custos dos produtos. Sendo assim, apresenta-se primeiro o custo-meta e logo após o custopadrão. Por último, analisa-se o custo kaizen. Concluise que estas três ferramentas utilizadas em conjunto auxiliam para que a empresa atinja o resultado esperado, através da possibilidade de gerenciamento de seus custos. Palavras-Chave: Custo-Meta. Custo-Padrão. Custo Kaizen.

  4. 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.

  5. 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...... threshold for reporting CRP is important due to the direct effects of CRP on calculating DAS28, patient classification and subsequent treatment decisions[2] Methods: This study consists of two sections: a theoretical consideration discussing the performance of CRP in calculating DAS28 with regard...... to the biological variation and reporting limit for CRP and a cross sectional study of all RA patients from our department (n=876) applying our theoretical results. In the second section, we calculate DAS28 twice with actual CRP and CRP=9, the latter to elucidate the positive consequences of changing the lower...

  6. 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...... threshold for reporting CRP is important due to the direct effects of CRP on calculating DAS28, patient classification and subsequent treatment decisions[2] Methods: This study consists of two sections: a theoretical consideration discussing the performance of CRP in calculating DAS28 with regard...... to the biological variation and reporting limit for CRP and a cross sectional study of all RA patients from our department (n=876) applying our theoretical results. In the second section, we calculate DAS28 twice with actual CRP and CRP=9, the latter to elucidate the positive consequences of changing the lower...

  7. 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

    Directory of Open Access Journals (Sweden)

    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

  8. Análisis de los instrumentos de observación empleados para el registro de variables temporales en educación física

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    Luis Lozano Moreno

    2006-03-01

    Full Text Available Se trata de un artículo descriptivo cuyo objetivo fundamental es realizar una recopilación de los distintos instrumentos relacionados con el registro de variables temporales utilizados en la observación de los comportamientos de los alumnos, por un lado, y de los profesores por otro, dentro de las clases de Educación Física (EF. Los instrumentos y técnicas de observación están agrupados en función del elemento fundamental de estudio, obteniendo tres clasificaciones: a los relacionados con la observación del comportamiento del alumno; b con la observación del comportamiento del profesor, y c instrumentos globales. De cada instrumento se destaca su uso más importante, estudios donde ha sido aplicado, así como las variables y/o categorías de análisis.

  9. Valoraci ón de los instrumentos de eva luaci ón en los procesos de aprendizaje

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    Oscar Flores Pérez

    2012-09-01

    Full Text Available El objetivo fue valorar los instrumentos de evaluación de los aprendizajes aplicados a los estudiantes en las carreras regulares de URACCAN, Recinto las Minas, 2008.El procedimiento de valoración fue mediante cinco muestras estratificadas en las carreras: Ingeniería, Administración, Ciencias Sociales e Informática para un nivel de significancia de α=0.05.Se realizaron entrevistas y encuestas a estudiantes y docentes así como revisión bibliográfica. Se encontró que se utilizan nueve categorías de ítems en los instrumentos evaluativos y que la planificación es espontánea. Los instrumentos evaluativos másutilizados son las preguntas cortas, respuestas cortas y verdadero – falso.La concordancia de los instrumentos evaluativos aplicados con las teorías que sostienen el proyecto pedagógico no es exhaustiva. Existe poca relación entre aspectos instruccionales, número de reactivos, representatividad de contenidos y niveles cognoscitivosevaluados y la distribución del grado de dificultad tiende a ser muy fáciles.El tipo de categoría de ítems más frecuente fue preguntas cortas (61%, la validez de contenido evaluada por estos reactivos fueron influenciados por el nivel de profundidad exigido por la pregunta. No se encontró fórmula alguna para evaluar la confiabilidad para preguntas con ítem de respuestas engendradas, sólo para las derespuestas seleccionadas, pero sobre la base del puntaje asignado por la o el docente a los instrumentos evaluativos analizados las carreras de Ingeniería Agroforestal, Licenciatura en Administración de Empresas y Ciencias Sociales con mención en Desarrollo Local e Ingeniería en Zootecnia se obtuvieron coeficientes alfa de 0.68,0.48, -0.84 y 0.70, respectivamente.

  10. Predicting occupational personality test scores.

    Science.gov (United States)

    Furnham, A; Drakeley, R

    2000-01-01

    The relationship between students' actual test scores and their self-estimated scores on the Hogan Personality Inventory (HPI; R. Hogan & J. Hogan, 1992), an omnibus personality questionnaire, was examined. Despite being given descriptive statistics and explanations of each of the dimensions measured, the students tended to overestimate their scores; yet all correlations between actual and estimated scores were positive and significant. Correlations between self-estimates and actual test scores were highest for sociability, ambition, and adjustment (r = .62 to r = .67). The results are discussed in terms of employers' use and abuse of personality assessment for job recruitment.

  11. Differences of wells scores accuracy, caprini scores and padua scores in deep vein thrombosis diagnosis

    Science.gov (United States)

    Gatot, D.; Mardia, A. I.

    2018-03-01

    Deep Vein Thrombosis (DVT) is the venous thrombus in lower limbs. Diagnosis is by using venography or ultrasound compression. However, these examinations are not available yet in some health facilities. Therefore many scoring systems are developed for the diagnosis of DVT. The scoring method is practical and safe to use in addition to efficacy, and effectiveness in terms of treatment and costs. The existing scoring systems are wells, caprini and padua score. There have been many studies comparing the accuracy of this score but not in Medan. Therefore, we are interested in comparative research of wells, capriniand padua score in Medan.An observational, analytical, case-control study was conducted to perform diagnostic tests on the wells, caprini and padua score to predict the risk of DVT. The study was at H. Adam Malik Hospital in Medan.From a total of 72 subjects, 39 people (54.2%) are men and the mean age are 53.14 years. Wells score, caprini score and padua score has a sensitivity of 80.6%; 61.1%, 50% respectively; specificity of 80.65; 66.7%; 75% respectively, and accuracy of 87.5%; 64.3%; 65.7% respectively.Wells score has better sensitivity, specificity and accuracy than caprini and padua score in diagnosing DVT.

  12. 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

  13. PROPRIEDADES PSICOMÉTRICAS DE INSTRUMENTOS DE MEDIDAS: BASES CONCEITUAIS E MÉTODOS DE AVALIAÇÃO–PARTE I

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    Maria Elena Echevarría-Guanilo

    2017-01-01

    Full Text Available Objetivo: presentar y discutir bases conceptuales y métodos de evaluaciones que fundamentan importantes propiedades de instrumentos de medidas. En esta primera parte, se presentan y discute los conceptos de confiabilidad, responsividad e interpretabilidad, citados ejemplos de las principales formas de evaluación de esas propiedades. Método: estudio teórico basado en la literatura internacional y nacional y en los instrumentos Consensus-based Standards for the selection of health Measurement Instruments y Evaluating the Measurement of Patient-Reported Outcomes que contemplan conceptos de evaluación de instrumentos para la evaluación de los resultados de los pacientes. Resultados: en este enfoque, se puede percibir que todavía hay divergencias en algunas descripciones conceptuales. Sin embargo, los autores resaltan la importancia de la confiabilidad para evaluar el instrumento de medida. Se destaca la importancia del conocimiento del Modelo Conceptual, de las propiedades de medidas y de los diferentes métodos de evaluación para garantizar, principalmente en estudio de validación de instrumentos, resultados confiables y válidos. Conclusiones : se concluye que la discusión presentada sobre la confiabilidad, responsividad e interpretabilidad contribuye a los profesionales de la salud en el conocimiento teórico y sentido crítico en la elección de instrumentos y en la conducción de análisis sobre esas propiedades de medida.

  14. Model for predicting the injury severity score.

    Science.gov (United States)

    Hagiwara, Shuichi; Oshima, Kiyohiro; Murata, Masato; Kaneko, Minoru; Aoki, Makoto; Kanbe, Masahiko; Nakamura, Takuro; Ohyama, Yoshio; Tamura, Jun'ichi

    2015-07-01

    To determine the formula that predicts the injury severity score from parameters that are obtained in the emergency department at arrival. We reviewed the medical records of trauma patients who were transferred to the emergency department of Gunma University Hospital between January 2010 and December 2010. The injury severity score, age, mean blood pressure, heart rate, Glasgow coma scale, hemoglobin, hematocrit, red blood cell count, platelet count, fibrinogen, international normalized ratio of prothrombin time, activated partial thromboplastin time, and fibrin degradation products, were examined in those patients on arrival. To determine the formula that predicts the injury severity score, multiple linear regression analysis was carried out. The injury severity score was set as the dependent variable, and the other parameters were set as candidate objective variables. IBM spss Statistics 20 was used for the statistical analysis. Statistical significance was set at P  Watson ratio was 2.200. A formula for predicting the injury severity score in trauma patients was developed with ordinary parameters such as fibrin degradation products and mean blood pressure. This formula is useful because we can predict the injury severity score easily in the emergency department.

  15. 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

  16. 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

  17. El portafolio del profesor como instrumento de autoformación

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    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.

  18. 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.

  19. [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.

  20. [Prognostic scores for pulmonary embolism].

    Science.gov (United States)

    Junod, Alain

    2016-03-23

    Nine prognostic scores for pulmonary embolism (PE), based on retrospective and prospective studies, published between 2000 and 2014, have been analyzed and compared. Most of them aim at identifying PE cases with a low risk to validate their ambulatory care. Important differences in the considered outcomes: global mortality, PE-specific mortality, other complications, sizes of low risk groups, exist between these scores. The most popular score appears to be the PESI and its simplified version. Few good quality studies have tested the applicability of these scores to PE outpatient care, although this approach tends to already generalize in the medical practice.

  1. 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.

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

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    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.

  3. DISEÑO DE UN INSTRUMENTO DE MEDICIÓN MULTIDIMENSIONAL DEL VALOR PERCIBIDO ESTUDIANTIL DEL SERVICIO DE CLASES

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    Oscar Álvaro Valdivieso Taborga

    2014-01-01

    Full Text Available El propósito del artículo es el diseño de un instrumento multidimensional del valor percibido del servicio de clases en la industria de servicios de la educación superior. Para el efecto, primero se realizó una revisión de literatura acerca de la medición del valor percibido del servicio por el cliente, encontrándose los siguientes resultados: el concepto del valor percibido es dinámico, abstracto y multifacético, presentando dos conceptualizaciones (la utilitaria y la sociopsicológica y tres enfoques para su medición (medida global de un solo ítem, global unidimensional con múltiples ítems y multidimensional. Asimismo se describieron los constructos antecedentes del valor (calidad de servicio, precio monetario, riesgo percibido, conveniencia, precio comportamental, respuesta emocional y reputación y sus consecuencias (satisfacción e intenciones de comportamiento. Siguiendo la metodología propuesta por Martínez [46], se diseñó un instrumento de medición del valor para el servicio específico de clases universitarias con validez de contenido, creando, modificando y adecuando ítems a partir de baterías propuestas por diferentes investigadores y el juicio de expertos. La batería diseñada contiene 50 ítems distribuidos en siete dimensiones (Valor funcional, social,  emocional, epistémico, por el dinero, reputación e imagen, y sacrificios. Por último, a partir del modelo comprehensivo propuesto por Valdivieso, se proponen investigaciones futuras utilizando el instrumento diseñado del valor percibido.

  4. 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

  5. El uso de los instrumentos clásicos del marketing y la tecnología digital en turismo

    OpenAIRE

    Anato, Mercedes

    2006-01-01

    Este trabajo presenta un análisis de la interacción entre los instrumentos clásicos o tradicionales y las innovaciones o el uso de nuevas tecnologías de la información en los procesos de creación de productos, la promoción y la fijación de precios por Internet. Considera los factores clásicos del marketing mix y su comportamiento en el marketing tradicional y en el marketing moderno, haciendo énfasis en el uso de Internet, las herramientas online y su aplicación al sector turismo. This pap...

  6. Validación del instrumento de estrés laboral para médicos mexicanos

    OpenAIRE

    Hernández González, Angélica Irene; Ortega Andeane, Rosa Patricia; Reidl Martínez, Lucy María

    2012-01-01

    Se plantea la importancia del estudio del estrés laboral, más allá del síndrome de Burnout, puesto que tal síndrome es un tipo de estrés laboral, generado específicamente en ocupaciones que implican relación interpersonal y prestación de un servicio. Se validó el Instrumento de Estrés Laboral, que identifica situaciones ambientales y laborales percibidas como estresantes por 201 médicos practicantes de 19 especialidades en hospitales públicos de Michoacán, Estado de México y Distrito Federal....

  7. Marco jurídico y principales instrumentos de la cooperación transfronteriza institucional en Europa

    OpenAIRE

    Medina García, Eusebio

    2017-01-01

    En este artículo realizamos un recorrido desde los orígenes de la «cooperación transfronteriza institucional» en Europa hasta la actual «cooperación territorial». Definimos y comparamos los conceptos de «cooperación institucional» y «cooperación tradicional” y auguramos un acercamiento entre ambas. Describimos el principal marco legal de la «cooperación transfronteriza institucional» y analizamos sus principales instrumentos, prestando una atención especial a la Eurorregión, a la Agrupación E...

  8. Prácticas de selección de personal, un instrumento de dominación socialmente aceptado

    OpenAIRE

    Hernández Sánchez, Blanca Yenny

    2009-01-01

    El objetivo central de la investigación de la cual se deriva el artículo, es interrogar las prácticas de selección de personal en tanto dispositivo de poder, es decir, se pretende develarlas como instrumentos de dominación socialmente aceptados, con los cuales se incurre en abusos sobre los candidatos participantes. Estos procesos –que hacen parte de la gestión humana y el quehacer administrativo- se cuestionan desde una perspectiva hermenéutica, los cuales tienen sus fundamentos arraigados e...

  9. 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.

  10. 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

  11. El folclore como instrumento político: Los Coros y Danzas de la Sección Femenina

    OpenAIRE

    Asunción Criado, Ana de la

    2017-01-01

    En este artículo se muestran las notables vinculaciones que el folclore tuvo con la política durante la dictadura franquista. A través de la Sección Femenina, el régimen convirtió el folclore en un instrumento de adoctrinamiento social y en una herramienta política a su servicio en cuestiones nacionales e internacionales The present article shows how folklore was linked to politics during Franco dictatorship. Through the Sección Femenina (Women’s Section) the regime made it an instrument o...

  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. © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  13. 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…

  14. 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

  15. 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.…

  16. Matching score based face recognition

    NARCIS (Netherlands)

    Boom, B.J.; Beumer, G.M.; Spreeuwers, Lieuwe Jan; Veldhuis, Raymond N.J.

    2006-01-01

    Accurate face registration is of vital importance to the performance of a face recognition algorithm. We propose a new method: matching score based face registration, which searches for optimal alignment by maximizing the matching score output of a classifier as a function of the different

  17. 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

  18. 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

  19. 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

  20. Thyroid disorders in patients with newly diagnosed rheumatoid arthritis is associated with poor initial treatment response evaluated by disease activity score in 28 joints-C-reactive protein (DAS28-CRP)

    DEFF Research Database (Denmark)

    Emamifar, Amir; Hangaard, Jørgen; Jensen Hansen, Inger Marie

    2017-01-01

    peptide antibody (anti-CCP), and antinuclear antibody (ANA), and also disease activity score in 28 joints-C-reactive protein at the time of diagnosis and after 4 months (±1–2 months) of treatment initiation were extracted from Danish Danbio Registry. Patients’ electronic hospital records for the past 10...... years were reviewed to reveal if they had been diagnosed with thyroid disorders or they had abnormal thyroid test.In all, 439 patients were included, female 60.1%, mean age 64.6 ± 15.0 years and disease duration 2.6 ± 1.7 years. Prevalence of thyroid disorders was 69/439 (15.7%) and hypothyroidism...... treatment compared with patients with isolated RA after 4 months of treatment (P = .02). There were no associations between thyroid disorders and age, disease duration, and also IgM RF positivity.Presence of thyroid disorders in RA patients is suggestive of a more aggressive disease and poor outcome...

  1. 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.

  2. Teoría de la actividad y modelos mentales: Instrumentos para la reflexión sobre la práctica profesional: "aprendizaje expansivo", intercambio cognitivo y transformación de intervenciones de psicólogos y otros agentes en escenarios educativos Activity Theory And Mental Models: Tools For Reflexion On The Professional Practice: "Expansive Learning" Shared Cognition And Transformation Of Intervention Of Psychologists And Other Actors In Educative Scenarios

    Directory of Open Access Journals (Sweden)

    Martín Larripa

    2008-12-01

    Full Text Available Intervenciones profesionales de psicólogos, docentes y otros agentes en escuelas públicas y privadas de ciudad y conurbano bonaerenses se estudian mediante dos unidades de análisis: tercera generación de sistemas de actividad (Engeström y modelos mentales en contexto educativo (Rodrigo, Van Boven &Thompson. Tensiones y conflictos intra e inter sistemas de actividad, aprendizaje expansivo, cambio e intercambio cognitivos en escenarios socioculturales se implican con narrativas sobre modelos mentales generando artefactos para la indagación y reflexión sobre prácticas de intervención. Estudio descriptivo y exploratorio de perspectiva etnográfica, con reelaboración de análisis cualitativos, a partir de entrevistas en profundidad y Cuestionarios sobre Situaciones Problemas de Intervención Profesional administrados a psicólogos y docentes (Erausquin Se analizan convergencias y divergencias discursivas entre distintos agentes sobre problemas e intervenciones con la tercera generación de teoría de actividad. Se indagan dificultades y posibilidades de construcción de objetivos comunes de actividad y mo delos compartidos como entrelazamientos de sentidos.Professionals interventions by psychologists, teachers and other agents in public and private schools of the city and the suburbs of Buenos Aires are studied using two units of analysis: third generation of activity systems (Engeström and mental models in educational contexts (Rodrigo, Van Boven & Thompson. Tensions and conflicts intra and inter systems of activity, expansive learning, cognitive change and exchange in sociocultural stages are embedded with narrations about mental models generating artifacts for research and for reflection over intervention practices. Descriptive and exploratory study of ethnographic perspective, by re-working on qualitative analysis based on deep interviews and Questionnaires on Situations Problems of Professional Intervention administered to

  3. Extension of the lod score: the mod score.

    Science.gov (United States)

    Clerget-Darpoux, F

    2001-01-01

    In 1955 Morton proposed the lod score method both for testing linkage between loci and for estimating the recombination fraction between them. If a disease is controlled by a gene at one of these loci, the lod score computation requires the prior specification of an underlying model that assigns the probabilities of genotypes from the observed phenotypes. To address the case of linkage studies for diseases with unknown mode of inheritance, we suggested (Clerget-Darpoux et al., 1986) extending the lod score function to a so-called mod score function. In this function, the variables are both the recombination fraction and the disease model parameters. Maximizing the mod score function over all these parameters amounts to maximizing the probability of marker data conditional on the disease status. Under the absence of linkage, the mod score conforms to a chi-square distribution, with extra degrees of freedom in comparison to the lod score function (MacLean et al., 1993). The mod score is asymptotically maximum for the true disease model (Clerget-Darpoux and Bonaïti-Pellié, 1992; Hodge and Elston, 1994). Consequently, the power to detect linkage through mod score will be highest when the space of models where the maximization is performed includes the true model. On the other hand, one must avoid overparametrization of the model space. For example, when the approach is applied to affected sibpairs, only two constrained disease model parameters should be used (Knapp et al., 1994) for the mod score maximization. It is also important to emphasize the existence of a strong correlation between the disease gene location and the disease model. Consequently, there is poor resolution of the location of the susceptibility locus when the disease model at this locus is unknown. Of course, this is true regardless of the statistics used. The mod score may also be applied in a candidate gene strategy to model the potential effect of this gene in the disease. Since, however, it

  4. The reproductive performance of female goats treated with melatonin is not improved after introduction to bucks displaying springtime sexual activity if these does are experiencing decreasing body weight/condition score.

    Science.gov (United States)

    Zarazaga, L A; Gatica, M C; Gallego-Calvo, L; Guzmán, J L

    2017-04-01

    The aim of the present work was to determine whether treatment with melatonin modifies the reproductive response of female goats experiencing increasing or decreasing body weight (BW)/body condition score (BCS) when introduced to bucks displaying springtime sexual activity. During natural anoestrus, 53 does were isolated from bucks for a period of 42days and distributed into two groups: 1) low BW/low BCS animals (N=24) (LLg group), which were fed 1.9 times their maintenance requirements so they would experience increasing BW and BCS; and 2) high BW/high BCS animals (N=29) (HHl group), which were fed 0.4 times their maintenance requirements so they would experience decreasing BW and BCS. Half of each group was treated, or not, with melatonin (LLg+Mel N=12, HHl+Mel N=15, LLg-Mel N=12 and HHl-Mel N=14). On 6th May they were introduced to six males, showing natural sexual activity, fitted with marking harnesses (thus permitting the detection of oestrous activity). The ovulation rate was assessed by transrectal ultrasonography and confirmed via the plasma progesterone concentration (measured twice per week in blood samples). Plasma glucose, IGF-1 and non-esterified fatty acid concentrations were also determined, along with the conception rate, fertility, prolificacy and productivity of the does. LH concentrations and LH pulsatility were also recorded in the hours around introduction to the males. 'Oestrous plus ovulation' was observed only in does treated with melatonin. A higher conception rate and greater fertility and productivity were observed among the LLg+Mel does. These females showed higher glucose and IGF-1 concentrations after the introduction of the males. LH concentrations increased after male introduction independent of all other conditions. In conclusion, the present results show that treatment with melatonin does not enhance reproductive performance in does experiencing decreasing BW/BCS, but can improve it when does are experiencing increasing BW

  5. 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.

  6. DESCRIPCIÓN Y EXPLICACIÓN DEL DISEÑO DE INSTRUMENTOS QUE MIDEN LA COMPETENCIA TRADUCTORA Y TERMINOLÓGICA EN TRADUCTORES PROFESIONALES

    Directory of Open Access Journals (Sweden)

    Olga Umaña Corrales

    2013-08-01

    Full Text Available Este artículo presenta la descripción y explicación del diseño de cuatro instrumentos que miden la competencia terminológica (Cabré, 1998 y las subcompetencias de la competencia traductora (PACTE, 2000. Nuestro objetivo es explicar en detalle cada uno de los instrumentos: (1 textos etiquetados con problemas de traducción; (2 instrumento de valoración de los textos etiquetados; (3 cuestionario sobre el proceso traductor – entrevista semi-estructurada; (4 instrumento de operacionalización de categorías–entrevista estructurada. Para llevar a cabo la selección de los textos especializados se tuvieron en cuenta algunos criterios: nivel de especialidad, densidad terminológica, diversidad en los problemas de traducción y de terminología. Para el etiquetaje de dichos textos, se tuvieron en cuenta los aportes de Nord (1991 y Orozco (2000, en cuanto a la definición y clasificación de los problemas de traducción. Los instrumentos diseñados constituyen una propuesta para llenar un vacío identificado en los ámbitos de la traducción y la terminología, así como un insumo para el desarrollo de herramientas de traducción.

  7. Propiedades psicométricas del instrumento prácticas derivadas del aprendizaje social del profesorado

    Directory of Open Access Journals (Sweden)

    Ana Karen Hurtado Espinoza

    2017-01-01

    Full Text Available El objetivo fue establecer las propiedades psicométricas de un instrumento para medir en qué grado las acciones derivadas de la socialización con estudiantes, especialistas educativos-­‐disciplinares y pares académicos contribuyen en la formación docente de los profesores universitarios. Se seleccionó de forma no probabilística a 196 profesores que se encuentran adscritos a una institución pública del Sur de Sonora, de los cuales 100 son mujeres (M edad=36.5, DE=9.4 años, y 96 hombres (M edad=42.2, DE=11.7 años. Los resultados reflejan que la escala tiene confiabilidad medida por Alfa de Cronbach de .94; en el análisis factorial exploratorio se utilizó el método de ejes principales y rotación Oblimin, se obtuvo una solución de tres factores que explican el 56.46% de la varianza de los puntajes. En conclusión, el instrumento presenta evidencias de confiabilidad y validez. Además, es una escala potencial para medir las prácticas derivadas del aprendizaje social que contribuyen a la formación docente de los profesores universitarios.

  8. 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.

  9. Un estudio de los indicadores sintéticos de sostenibilidad como instrumentos de planificación

    Directory of Open Access Journals (Sweden)

    Molina Luque, Julián

    2007-01-01

    Full Text Available Desde finales de los ochenta el desarrollo sostenible se ha constituido como el objetivo a alcanzar en todos los ámbitos. La gestión de este nuevo objetivo lleva implícita la consideración simultánea de numerosa información de naturaleza económica, social y medioambiental. En los últimos años viene siendo práctica común la definición de un sistema de indicadores de sostenibilidad como principal instrumento de planificación. No obstante, la toma de decisiones de los agentes implicados en la planificación basada en la información proporcionada por dicho sistema no es una tarea sencilla. Para facilitar la utilización de la información contenida en este sistema por parte de los planificadores, los indicadores sintéticos constituyen un importante instrumento. En este contexto, en el presente trabajo se elaboran indicadores sintéticos de sostenibilidad para el caso del sector turístico español, centrando nuestro análisis en el caso de los destinos costeros. Para la obtención de estas medidas se aplican procedimientos de agregación alternativos basados en el Análisis de Componentes Principales y el indicador de distancia DP2.

  10. 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

  11. 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....

  12. Gobernar mediante instrumentos. Algunas reflexiones sobre el “instrumento metrovivienda” como parte de la política pública de vivienda de interés social en Bogotá

    Directory of Open Access Journals (Sweden)

    Jean François Jolly

    2007-01-01

    Full Text Available El presente “artículo de investigación” presenta algunas reflexiones sobre el “instrumento Metrovivienda” como parte de la política pública de VIS en Bogotá en las tres últimas administraciones de Peñalosa, segunda de Mockus y Garzón. Se basa en los resultados del proyecto de investigación 1879, Políticas públicas, gobernancia y territorio: el caso de la vivienda de interés social-vis en Bogotá y Chiquinquirá” , realizado por el autor en el marco del Grupo de Investigación Políticas Urbanas del Departamento de Arquitectura de la Pontificia Universidad Javeriana. Es también un “artículo de reflexión” que complementa varios artículos del mismo autor sobre los primeros resultados de esta investigación, los elementos analíticos y el marco teórico general de análisis de las políticas públicas en el territorio. El artículo se organiza así: • Unas reflexiones sobre la territorialización de la acción pública, los conceptos de gobierno y gobernancia y su relación con la instrumentación de la acción pública. • El análisis del Metrovivienda de Peñalosa como la implementación del “modelo de gestión controlada por el Estado”, en el cual “Metrovivienda es la política pública de vis”. • El análisis del Metrovivienda de Mockus como el esbozo de “un modelo ciudadano” y un instrumento, entre otros, de una política habitacional. • El análisis de las vacilaciones en cuanto al Metrovivienda de Garzón como la búsqueda de la respuesta a la cuestión ¿se puede mantener el instrumento Metrovivienda para una nueva política pública de vis? • Unas conclusiones sobre el “matrimonio indisoluble” entre iap y política pública.

  13. 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......-temporal alignment in the resulting emotional congruency of nondiegetic music. Whereas imaginary aspects of immersive presence are systemically affected by the presentation of dynamic music, sensory spatial aspects show higher sensitivity towards the arousal potential of the music score. It is argued...

  14. The scoring of movements in sleep.

    Science.gov (United States)

    Walters, Arthur S; Lavigne, Gilles; Hening, Wayne; Picchietti, Daniel L; Allen, Richard P; Chokroverty, Sudhansu; Kushida, Clete A; Bliwise, Donald L; Mahowald, Mark W; Schenck, Carlos H; Ancoli-Israel, Sonia

    2007-03-15

    The International Classification of Sleep Disorders (ICSD-2) has separated sleep-related movement disorders into simple, repetitive movement disorders (such as periodic limb movements in sleep [PLMS], sleep bruxism, and rhythmic movement disorder) and parasomnias (such as REM sleep behavior disorder and disorders of partial arousal, e.g., sleep walking, confusional arousals, night terrors). Many of the parasomnias are characterized by complex behaviors in sleep that appear purposeful, goal directed and voluntary but are outside the conscious awareness of the individual and therefore inappropriate. All of the sleep-related movement disorders described here have specific polysomnographic findings. For the purposes of developing and/or revising specifications and polysomnographic scoring rules, the AASM Scoring Manual Task Force on Movements in Sleep reviewed background literature and executed evidence grading of 81 relevant articles obtained by a literature search of published articles between 1966 and 2004. Subsequent evidence grading identified limited evidence for reliability and/or validity for polysomnographic scoring criteria for periodic limb movements in sleep, REM sleep behavior disorder, and sleep bruxism. Published scoring criteria for rhythmic movement disorder, excessive fragmentary myoclonus, and hypnagogic foot tremor/alternating leg muscle activation were empirical and based on descriptive studies. The literature review disclosed no published evidence defining clinical consequences of excessive fragmentary myoclonus or hypnagogic foot tremor/alternating leg muscle activation. Because of limited or absent evidence for reliability and/or validity, a standardized RAND/UCLA consensus process was employed for recommendation of specific rules for the scoring of sleep-associated movements.

  15. Evaluación in vitro de la fractura de los instrumentos rotatorios Mtwo® y ProTaper®

    Directory of Open Access Journals (Sweden)

    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.

  16. O SENSORIAMENTO REMOTO E A CARTOGRAFIA COMO INSTRUMENTOS PEDAGÓGICOS NO ENSINO DE GEOGRAFIA

    Directory of Open Access Journals (Sweden)

    Ana Letícia Silva Ferreira

    2016-03-01

    Full Text Available O sensoriamento remoto e a cartografia são campos do conhecimento geográfico e, como tais, não se devem dissociá-los ou negligenciar a sua existência, como comumente se observa em escolas de nível fundamental. O aluno do século XXI é por excelência um dominador nato da tecnologia. O objetivo deste artigo é demonstrar como pode ser utilizado o sensoriamento remoto e a cartografia enquanto instrumentos para melhoria da qualidade do componente curricular geografia no nível fundamental. Dentre os procedimentos metodológicos, foram feitos levantamentos bibliográficos, escolha do campo de aplicação e nível de ensino, bem como a preparação das propostas de trabalho. Durante a realização da pesquisa percebeu-se o interesse e a facilidade com que os alunos têm de aprender a cartografia (modos de implantação: pontual, linear e zonal, quando feita uma abordagem através de imagens de sensoriamento remoto (padrões de interpretação, conseguindo obter uma melhor percepção do espaço geográfico. Concluiu-se que aliar os conhecimentos do sensoriamento remoto e da cartografia, no contexto do ensino, permite aos alunos, conhecer melhor seu lugar, familiarizar-se com a visão vertical, fazer inter-relações entre problemáticas, bem como desenvolver o domínio da linguagem cartográfica. Palavras-chave: Ensino de Geografia; Geotecnologias; Cartografia; Ensino Fundamental.     THE REMOTE SENSING AND CARTOGRAPHY AS EDUCATIONAL TOOLS IN GEOGRAPHY TEACHING ABSTRACT Remote sensing and mapping are fields of geographical knowledge and as such, it should not dissociate them or neglect their existence, as commonly observed in elementary schools. The student of the XXI century is par excellence a born domineering technology. The purpose of this article is to demonstrate how you can use the remote sensing and cartography as a tool for improving the quality of curricular geography component at the fundamental level. Among the methodological

  17. Componentes de tecnologías para la pesca (instrumentos Traful en ambientes lacustres y boscosos andinos norpatagónicos, Argentina

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    Alberto Enrique Pérez

    2017-12-01

    Full Text Available La funcionalidad de los Instrumentos Traful es incierta luego de 70 años de su descripción. A partir de su diseño morfológico, el contexto ambiental y arqueológico asociado, postulamos que son parte de un “instrumento compuesto” especializado en la pesca. Si bien presentan características singulares en el contexto lacustre y rivereño del interior de la Patagonia noroccidental argentina, se asemejan en cuestiones básicas a los pesos de líneas marinos de gran distribución magallánica.

  18. Enseñanza de la Guitarra Barroca como instrumento solista: un estudio para el desarrollo de directrices didàcticas.

    OpenAIRE

    Navarro González, Julián

    2008-01-01

    La tesis presenta un estudio detallado del repertorio de la guitarra barroca solista mediante el análisis de 2933 piezas bajo 68 diferentes parámetros. La investigación comienza con la definición del contexto histórico de la guitarra barroca, basado en las publicaciones hechas para el instrumento durante los siglos XVII y XVIII; posteriormente se analiza la situación actual, en donde se mencionan los centros existentes de enseñanzas de Instrumentos de Cuerda Pulsada del Renacimiento y el Barr...

  19. Diseño de un instrumento musical de viento a partir de la gaita hembra de la costa atlántica colombiana

    OpenAIRE

    Rincón Gómez, Ana María; Mesa Trujillo, Daniel

    2007-01-01

    Los instrumentos musicales autóctonos de la costa atlántica, así como de cualquier región Colombiana, son un importante legado de nuestros antepasados. Los conocimientos acerca de su elaboración y su interpretación se han ido transmitiendo a través de las generaciones, conservando su tradición. Muchos de los procesos de fabricación de estos instrumentos no han sido industrializados y siguen siendo netamente artesanales.

  20. Validez y confiabilidad del instrumento “percepción de comportamientos de cuidado humanizado de enfermería PCHE clinicountry 3ª versión”

    OpenAIRE

    González Hernández, Oscar Javier

    2014-01-01

    El objetivo del presente estudio metodológico fue determinar la validez y confiabilidad del instrumento “Percepción de Comportamientos de Cuidado Humanizado de Enfermería PCHE Clinicountry 3ª versión”, instrumento con una trayectoria de más de 10 años, que permite evaluar las características de la atención humanizada de enfermería en escenarios hospitalarios. Este se desarrolló en Centro Policlínico del Olaya, IPS de tercer nivel con la participación de 320 pacientes hospitalizados. Se aplica...

  1. Sistema de garantías: financiamiento a las PyMEs a través del mercado de capitales en Argentina. Instrumento: cheque de pago diferido

    OpenAIRE

    Gonzalez Barros, Ariel

    2014-01-01

    Este trabajo propone realizar un análisis exhaustivo sobre uno de los nuevos instrumentos disponibles para brindar financiamiento a las PyMEs en la Argentina a través del Mercado de Capitales. Específicamente se abordará el estudio del financiamiento a dicho segmento a través de la negociación del cheque de pago diferido, instrumento derivado de la obtención de avales por parte de las Sociedades de Garantía Reciproca. Se detallará la evolución del marco normativo vigente, tendiente a operativ...

  2. 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.

  3. 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

    Directory of Open Access Journals (Sweden)

    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

  4. 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

  5. El Psicodiagnóstico de Rorschach como instrumento evaluador de grupos: un estudio de 1,200 casos

    Directory of Open Access Journals (Sweden)

    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.

  6. Perfiles de involucramiento del consumidor y el instrumento de medición para consumidores mexicanos "IP6"

    Directory of Open Access Journals (Sweden)

    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

  7. Evaluación ambiental estratégica: Instrumento para la planificación territorial urbana

    Directory of Open Access Journals (Sweden)

    Mabel Ximena Molina Urra

    2012-05-01

    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.

  8. Fundo Nacional do Idoso: um instrumento de fortalecimento dos Conselhos e de garantia de direitos da pessoa idosa

    Directory of Open Access Journals (Sweden)

    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.

  9. El teatro como instrumento pedagógico para el desarrollo de competencias: una experiencia en el campo del management

    Directory of Open Access Journals (Sweden)

    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.

  10. 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...

  11. Direito Internacional Privado: o diálogo como instrumento de efetivação dos Direitos Humanos

    Directory of Open Access Journals (Sweden)

    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.

  12. 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.

  13. 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.

  14. A Comparison of the Diabetes Risk Score in HIV/AIDS Patients on Highly Active Antiretroviral Therapy (HAART and HAART-Naïve 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.

  15. The persistence of depression score

    NARCIS (Netherlands)

    Spijker, J.; de Graaf, R.; Ormel, J.; Nolen, W. A.; Grobbee, D. E.; Burger, H.

    2006-01-01

    Objective: To construct a score that allows prediction of major depressive episode (MDE) persistence in individuals with MDE using determinants of persistence identified in previous research. Method: Data were derived from 250 subjects from the general population with new MDE according to DSM-III-R.

  16. Score distributions in information retrieval

    NARCIS (Netherlands)

    Arampatzis, A.; Robertson, S.; Kamps, J.

    2009-01-01

    We review the history of modeling score distributions, focusing on the mixture of normal-exponential by investigating the theoretical as well as the empirical evidence supporting its use. We discuss previously suggested conditions which valid binary mixture models should satisfy, such as the

  17. 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.

  18. Construção e validação de um instrumento para avaliação da regulação emocional

    Directory of Open Access Journals (Sweden)

    José Maurício Haas Bueno

    2014-05-01

    Full Text Available Considerando a inexistência de um instrumento para avaliação de habilidades relacionadas à inteligência emocional (IE no mercado brasileiro e as relações que a regulação de emoções (uma das habilidades relacionadas com a IE vem mostrando com critérios externos, esse trabalho propõe a construção e investigação das propriedades psicométricas de um instrumento para avaliação da regulação emocional. Para tanto, foram construídas provas baseadas na técnica do Stroop Emocional, utilizando palavras e imagens como estímulos emocionais e a nomeação de cores como tarefa cognitiva. Esse instrumento foi aplicado a uma amostra de 207 participantes adultos, de ambos os sexos. Uma análise fatorial revelou dois fatores que se estruturaram em função do tipo de estímulo emocional (imagens e palavras, porém esses fatores apresentaram um padrão de correlações neutras com traços de personalidade e raciocínio abstrato. Esses resultados foram discutidos à luz de pesquisas anteriores e caminhos foram apontados para a continuidade do desenvolvimento do instrumento.

  19. CONSTRUÇÃO E VALIDAÇÃO DE CONTEÚDO DE INSTRUMENTO DE COLETA DE DADOS EM UNIDADE NEONATAL

    Directory of Open Access Journals (Sweden)

    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.

  20. Validez y confiabilidad del instrumento de vínculo parental (Parental Bonding Instrument, PBI en una muestra de varones mexicanos

    Directory of Open Access Journals (Sweden)

    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.

  1. O vídeo como instrumento de pesquisa para o aluno de 5 ª série: um estudo exploratório

    Directory of Open Access Journals (Sweden)

    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.

  2. Visão como instrumento da percepção na assistência em enfermagem traumato-ortopédica

    Directory of Open Access Journals (Sweden)

    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.

  3. Validación de instrumentos para la evaluación formativa de la biología en estudiantes de grado sexto

    Directory of Open Access Journals (Sweden)

    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.

  4. 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

    Directory of Open Access Journals (Sweden)

    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

  5. DISEÑO Y VALIDACIÓN DE UN INSTRUMENTO DE MEDIDA DEL CLIMA EN CENTROS DE EDUCACIÓN SECUNDARIA

    Directory of Open Access Journals (Sweden)

    Jesús Miguel Rodríguez Mantilla

    2015-01-01

    Full Text Available El presente estudio forma parte de una investigación acerca de la influencia del clima institucional en el síndrome de burnout. El objetivo, en este caso, es elaborar y validar un instrumento de medida del clima de los centros de Secundaria. Tras la elaboración y aplicación del instrumento a una muestra de 794 docentes de la Comunidad de Madrid, se analizó la fiabilidad, la validez de contenido y de constructo (esta última a través de Modelos de Ecuaciones Estructurales con la aplicación informática AMOS 7.0. Los resultados obtenidos en el análisis de fiabilidad (alfa de Cronbach = 0,947 para la totalidad del instrumento, 0,842, 0,923 y 0,964 para las dimensiones de Relación Profesor-Alumnos, Profesor-Compañeros y Profesor-Superiores respec¬tivamente y en el Análisis Factorial Confirmatorio fueron altamente satisfactorios (CMIN/DF = 2,899, CFI = 0,904, RMSEA = 0,049, PRATIO = 0,946. Los valores del coeficiente de discriminación de los ítems del instrumento final oscilaron entre 0,29 y 0,78. Por todo ello, el instrumento presentado reúne las características técnicas exigidas para ser considerada una herramienta válida y fiable para medir el clima de los centros.

  6. Combining Teacher Assessment Scores with External Examination ...

    African Journals Online (AJOL)

    Combining Teacher Assessment Scores with External Examination Scores for Certification: Comparative Study of Four Statistical Models. ... University entrance examination scores in mathematics were obtained for a subsample of 115 ...

  7. Scoring System Improvements to Three Leadership Predictors

    National Research Council Canada - National Science Library

    Dela

    1997-01-01

    .... The modified scoring systems were evaluated by rescoring responses randomly selected from the sample which had been scored according to the scoring systems originally developed for the leadership research...

  8. 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.

  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. Wearable PPG sensor based alertness scoring system.

    Science.gov (United States)

    Dey, Jishnu; Bhowmik, Tanmoy; Sahoo, Saswata; Tiwari, Vijay Narayan

    2017-07-01

    Quantifying mental alertness in today's world is important as it enables the person to adopt lifestyle changes for better work efficiency. Miniaturized sensors in wearable devices have facilitated detection/monitoring of mental alertness. Photoplethysmography (PPG) sensors through Heart Rate Variability (HRV) offer one such opportunity by providing information about one's daily alertness levels without requiring any manual interference from the user. In this paper, a smartwatch based alertness estimation system is proposed. Data collected from PPG sensor of smartwatch is processed and fed to machine learning based model to get a continuous alertness score. Utility functions are designed based on statistical analysis to give a quality score on different stages of alertness such as awake, long sleep and short duration power nap. An intelligent data collection approach is proposed in collaboration with the motion sensor in the smartwatch to reduce battery drainage. Overall, our proposed wearable based system provides a detailed analysis of alertness over a period in a systematic and optimized manner. We were able to achieve an accuracy of 80.1% for sleep/awake classification along with alertness score. This opens up the possibility for quantifying alertness levels using a single PPG sensor for better management of health related activities including sleep.

  11. Resiliency scoring for business continuity plans.

    Science.gov (United States)

    Olson, Anna; Anderson, Jamie

    Through this paper readers will learn of a scoring methodology, referred to as resiliency scoring, which enables the evaluation of business continuity plans based upon analysis of their alignment with a predefined set of criteria that can be customised and are adaptable to the needs of any organisation. This patent pending tool has been successful in driving engagement and is a powerful resource to improve reporting capabilities, identify risks and gauge organisational resilience. The role of business continuity professionals is to aid their organisations in planning and preparedness activities aimed at mitigating the impacts of potential disruptions and ensuring critical business functions can continue in the event of unforeseen circumstances. This may seem like a daunting task for what can typically be a small team of individuals. For this reason, it is important to be able to leverage industry standards, documented best practices and effective tools to streamline and support your continuity programme. The resiliency scoring methodology developed and implemented at Target has proven to be a valuable tool in taking the organisation's continuity programme to the next level. This paper will detail how the tool was developed and provide guidance on how it can be customised to fit your organisation's unique needs.

  12. Blind Grid Scoring Record No. 290

    National Research Council Canada - National Science Library

    Overbay, Larry; Robitaille, George

    2005-01-01

    ...) utilizing the APG Standardized UXO Technology Demonstration Site Blind Grid. Scoring Records have been coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

  13. Blind Grid Scoring Record No. 293

    National Research Council Canada - National Science Library

    Overbay, Larry; Robitaille, George; Archiable, Robert; Fling, Rick; McClung, Christina

    2005-01-01

    ...) utilizing the YPG Standardized UXO Technology Demonstration Site Blind Grid. Scoring Records have been coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

  14. Open Field Scoring Record No. 298

    National Research Council Canada - National Science Library

    Overbay, Jr., Larry; Robitaille, George; Fling, Rick; McClung, Christina

    2005-01-01

    ...) utilizing the APG Standardized UXO Technology Demonstration Site Open Field. Scoring Records have been coordinated by Larry Overbay and the Standardized UXO Technology Demonstration Site Scoring Committee...

  15. Open Field Scoring Record No. 299

    National Research Council Canada - National Science Library

    Overbay, Larry; Robitaille, George

    2005-01-01

    ...) utilizing the YPG Standardized UXO Technology Demonstration Site Open Field. Scoring Records have been coordinated by Larry Overbay and the standardized UXO Technology Demonstration Site Scoring Committee...

  16. Instrumento de medición de los resultados del trabajo en estomatología general integral

    Directory of Open Access Journals (Sweden)

    Moraima Puente Benítez

    1998-12-01

    Full Text Available Se prueba la capacidad de un instrumento de trabajo ideado para evaluar la eficiencia de las acciones de salud practicadas por el estomatólogo general integral en las familias asignadas. Sus objetivos son reflejar el estado de salud de la población, hallar los factores de riesgo que inciden sobre ella, establecer estrategias de trabajo que garanticen el mejoramiento del estado de salud y la disminución de los factores de riesgo, elaborar metas y verificar periódicamente la eficiencia de las estrategias. Este proyecto se realiza en 200 individuos de 2 consultorios del policlínico «Tomás Romay» de Artemisa, tomando como fuente sus historias de salud bucal familiar. Entre sus resultados se muestra que los factores de riesgo que más disminuyen son la mala higiene bucal (de 17,3 a 5 % y la dieta cariogénica (de 53,3 a 38,5 % en la población menor de 15 años, y se logra incrementar en un mayor porcentaje el grupo de sanos (de 25,2 a 62,4 % y disminuir el grupo de enfermos (de 56,6 al 19,6 %. Se demuestra que el instrumento es capaz de medir y guiar la labor del estomatólogo general integral.Capacity of a work method, devised to evaluate effectiveness of health actions, applied by integral general stomatologist in selected families was proved. Their goals are: to reveal health state of people, to find risk factors effecting on it, to stablish work strategies warranting improvement in health state, to decrease risk factors, to prepare the aims, and to check in a periodical way, effectiveness of such strategies. This proyect is carried out in 200 individual from 2 outpatient department of «Tomás Romay» Polyclinic in Artemisa, taking as sources their family oral health histories. Results show that the lower risk factors are the poor oral health (from 17,3 % to 5 % and cariogenic diet (from 53,3 % to 38,5 % in age group under 15 years and increase in a great percentage the healthy gruoup (from 25,2 % to 62,4 %, and decrease the sick person

  17. EDUTOOL®: UN INSTRUMENTO PARA LA EVALUACIÓN Y ACREDITACIÓN DE LA CALIDAD DE LOS MOOCS

    Directory of Open Access Journals (Sweden)

    Miguel Baldomero Ramírez-Fernández

    2015-01-01

    Full Text Available Esta investigación analiza la calidad normativa de los cursos MOOCs (Massive Open Online Courses a través del instrumento EduTool®, marca registrada en la Oficina Española de Patentes y Marcas (3.087.298, en vigor. Surge de una línea de trabajo de investigación de la Universidad Pablo de Olavide (Sevilla y desarrollada en el Laboratorio de Inteligencia Computacional (LIC. EduTool® se desarrolla bajo los auspicios de la norma UNE 66181 y en el LIC se han analizado las ponderaciones de los subfactores de cada una de las dimensiones (reconocimiento de la formación, metodología de aprendizaje y niveles de accesibilidad de esta norma sobre la Gestión de la Calidad de la Formación Virtual a los MOOCs mediante lógica difusa. En este sentido, la agregación de las variables lingüísticas de 10 jueces expertos se realizó mediante la función OR probabilística y se desfuzzificaron mediante el método del centroide de área para calcular las citadas ponderaciones. Para medir la calidad de los cursos se procedió a buscar y seleccionar relevantes plataformas MOOC: Udacity, EdX, MiríadaX y Coursera. Posteriormente, por muestreo no probabilístico intencional se seleccionaron los cursos MOOCs más relevantes relativos a las categorías de informática y ciencias de la computación. Para este procedimiento de recogida de información, se habilitaron en dichas plataformas a dos ingenieros informáticos para la codificación y valoración de la calidad de estos cursos utilizando el citado instrumento. Los resultados analíticos y gráficos muestran que, de forma general, la calidad de la media de los MOOCs analizados en cada plataforma se sitúa por encima de la puntuación que describe el mínimo exigido (50 %. Así pues, se apreció una calidad media superior en las plataformas Coursera (66,34 % y EdX (62,62 %, intermedia en la plataforma Udacity (54,92 % y algo inferior en la plataforma MiríadaX (50,40 %.

  18. Estudio de validez y confiabilidad de los instrumentos evaluativos aplicados en el examen ordinario de Química

    Directory of Open Access Journals (Sweden)

    Marilyn Díaz Vázquez

    2017-04-01

    Full Text Available El perfeccionamiento del sistema de evaluación de la asignatura de Química en función de las adecuaciones del programa según el nuevo Plan D de estudio, responde a la línea de trabajo metodológico de la Escuela Latinoamericana de Medicina, “La evaluación formativa”. Es por ello que este trabajo se propone como objetivo validar la calidad de los instrumentos evaluativos aplicados en el examen ordinario de Química de la ELAM, en el curso 2015-2016. Para la investigación se utilizó el método histórico-lógico, el enfoque sistémico y el análisis estadístico. La validez se valoró mediante la consulta a los expertos y la determinación y el análisis de los índices de facilidad (IF y de discriminación (ID de los temarios utilizados en el examen ordinario de la asignatura. Para establecer la confiabilidad de los instrumentos aplicados se calculó el alfa de Cronbach. Según los valores del índice de facilidad promedio, se comprobó que en ambos temarios predominan las preguntas fáciles y adecuadas. No hay incisos difíciles y diez de ellos se consideran muy fáciles (IF>92%. El índice de discriminación promedio, arrojó que en cada temario las preguntas se consideran entre excelentes y buenas. Solo hay un total de diez incisos por debajo de los límites para revisar y uno malo, que deben ser reelaborados. Los valores del alfa de Cronbach oscilaron en un rango entre 0,6 y 0,8 para 75% de las preguntas de ambos temarios, considerándose estas confiables y solo dos preguntas deben ser reelaboradas.

  19. Instrumentos clínicos de avaliação funcional do tornozelo: revisão sistemática Clinical measurement tools for ankle functional assessment: a systematic review

    Directory of Open Access Journals (Sweden)

    Tarcísio Santos Moreira

    2010-03-01

    Full Text Available A entorse lateral do tornozelo é umas das lesões mais comuns em atletas e adultos fisicamente ativos. A utilização de instrumentos de avaliação confiáveis e válidos é fundamental na determinação da intervenção terapêutica adequada e, portanto, do sucesso do tratamento. O objetivo deste trabalho foi fazer um levantamento crítico, por meio de uma análise sistemática da literatura, dos instrumentos de medida adequados (questionários e escalas funcionais disponíveis para a avaliação dos indivíduos que sofreram entorse lateral do tornozelo. Após busca nos bancos de dados Medline e Scielo foram incluídos 11 questionários para avaliação funcional do tornozelo. A escala funcional de extremidade inferior LEFS (Lower extremity functional scale e a medida funcional de pé e tornozelo FAAM (Foot and ankle ability measure foram as que apresentaram melhor qualidade metodológica, além de mais informações sobre suas propriedades de medida e suas aplicações práticas - mas não foram traduzidas para o português. Foram encontrados dois questionários traduzidos e adaptados para a população brasileira, o instrumento de instabilidade de tornozelo CAIT (Cumberland Ankle Instability Tool e a escala de tornozelo e retropé AOFAS (American Orthopaedic Foot and Ankle Society - ankle-hindfoot scale. A AOFAS apresentou uma análise mais completa de suas propriedades, sendo portanto o instrumento mais recomendado para avaliação funcional do complexo pé-tornozelo atualmente no Brasil.Lateral ankle sprain is the most common injury among athletes and physically active adults. The adoption of valid and reliable clinical assessment instruments is basic for determining the most adequate therapeutic intervention, hence to achieve better rehabilitation. This is a systematic literature review to search for available and reliable outcome measures (questionnaires and functional scales in the assessment of individuals who suffered lateral ankle

  20. Interval Coded Scoring: a toolbox for interpretable scoring systems

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    Lieven Billiet

    2018-04-01

    Full Text Available Over the last decades, clinical decision support systems have been gaining importance. They help clinicians to make effective use of the overload of available information to obtain correct diagnoses and appropriate treatments. However, their power often comes at the cost of a black box model which cannot be interpreted easily. This interpretability is of paramount importance in a medical setting with regard to trust and (legal responsibility. In contrast, existing medical scoring systems are easy to understand and use, but they are often a simplified rule-of-thumb summary of previous medical experience rather than a well-founded system based on available data. Interval Coded Scoring (ICS connects these two approaches, exploiting the power of sparse optimization to derive scoring systems from training data. The presented toolbox interface makes this theory easily applicable to both small and large datasets. It contains two possible problem formulations based on linear programming or elastic net. Both allow to construct a model for a binary classification problem and establish risk profiles that can be used for future diagnosis. All of this requires only a few lines of code. ICS differs from standard machine learning through its model consisting of interpretable main effects and interactions. Furthermore, insertion of expert knowledge is possible because the training can be semi-automatic. This allows end users to make a trade-off between complexity and performance based on cross-validation results and expert knowledge. Additionally, the toolbox offers an accessible way to assess classification performance via accuracy and the ROC curve, whereas the calibration of the risk profile can be evaluated via a calibration curve. Finally, the colour-coded model visualization has particular appeal if one wants to apply ICS manually on new observations, as well as for validation by experts in the specific application domains. The validity and applicability

  1. Tradução e adaptação para a língua portuguesa do In-hospital Utstein Style Traducción y adaptación al idioma portugués del instrumento In-hospital Utstein Style Translation and adaptation of the In-Hospital Utstein Style into the portuguese language

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    Patrícia do Amaral Avansi

    2008-09-01

    Full Text Available A parada cardiorrespiratória (PCR é um evento potencialmente letal e a qualidade do atendimento prestado depende da agilidade, conhecimento e habilidade de toda a equipe envolvida. Desenvolvido em 1997, o In-hospital Utstein Style é um relatório padrão para coleta de dados significativos em PCR. O estudo objetivou realizar a tradução e adaptação à língua portuguesa do instrumento. O instrumento foi submetido ao processo de tradução e adaptação cultural. O resultado deste processo gerou um instrumento aplicado em fase de pré-teste a 20 pacientes vítimas de PCR. As variáveis de resultado não foram coletadas, pois pressupõe o acompanhamento destes pacientes ao longo do tempo. O ritmo de PCR mais comum foi atividade elétrica sem pulso (65%; o tempo médio para desfibrilar foi de 1,25 minutos. Houve itens sem resposta. Podemos concluir que o instrumento é aplicável à realidade brasileira, buscando melhor atendimento ao evento da PCR.El paro cardiopulmonar (PCP es un estado potencialmente letal, donde la calidad del servicio depende de la agilidad, conocimiento y habilidad del equipo involucrado. El In-hospital Utstein Style fue elaborado en 1997. Este instrumento que recolecta datos de importancia durante un PCP fue traducido y adaptado al portugués. De esta forma fue sometido al proceso de traducción y adaptación cultural. Se obtuvo como resultado un instrumento, el cual fue aplicado a 20 victimas de PCP a través de un pre-test. Las variables de resultado no fueron consideradas en la recolección de datos, pues suponía el seguimiento de los pacientes por un periodo prolongado. El ritmo del PCP más común fue la actividad eléctrica sin pulso (65% y el tiempo promedio de desfibrilación fue de 1,25 minutos. Algunos ítems no fueron respondidos. Se concluye que el instrumento puede ser aplicado al contexto brasileño, en busca de una mejor atención en casos de PCP.Cardiopulmonary arrest (CPA is a potentially lethal event

  2. Test–retest reliability of the Disease Activity Score 28 CRP (DAS28-CRP), the Simplified Disease Activity Index (SDAI) and the Clinical Disease Activity Index (CDAI) in rheumatoid arthritis when based on patient self-assessment of tender and swollen joints

    DEFF Research Database (Denmark)

    Heegaard, Cecilie; Dreyer, Lene; Egsmose, Charlotte

    2013-01-01

    and physician-derived scores. Thirty out-clinic RA patients with stable disease were included. A joint count was performed two times 1 week apart by the patient and by an experienced physician. Test-retest reliability was expressed as the least significant difference (LSD), as the LSD in percent of the mean...... score (%LSD) and as intra-individual coefficients of variation (CVi). Mean scores based on physician vs. patient joint counts (visit 1) were: DAS28-CRP(4v) 3.5 ± 1.0 vs. 3.6 ± 1.1 (not significant (NS)), DAS28-CRP(3v) 3.4 ± 0.9 vs. 3.5 ± 0.9 (NS), SDAI 14.2 ± 9.4 vs.14.1 ± 9.4 (NS) and CDAI 13.4 ± 9.......3 vs. 13.3 ± 9.4 (NS). The LSDs (%LSD) for duplicate assessments of patient-derived scores (visit 2 vs. 1) were: DAS28-CRP(4v) 0.8 (23.2), DAS28-CRP(3v) 0.9 (25.2), SDAI 8.3 (59.9) and CDAI 8.4 (63.8). Similar LSDs were found for differences between duplicate assessments of physician-derived scores...

  3. COMPETÊNCIA TÉCNICA NA PREVENÇÃO DO HIV/AIDS: VALIDAÇÃO DE UM INSTRUMENTO COMPETENCIA TÉCNICA EN LA PREVENCIÓN DE HIV/AIDS: VALIDACIÓN DE UN INSTRUMENTO TECHNICAL COMPETENCE IN THE PREVENTION OF HIV/AIDS: VALIDATION OF AN INSTRUMENT

    Directory of Open Access Journals (Sweden)

    Gilson de Vasconcelos Torres

    2001-11-01

    Full Text Available O estudo teve como objetivo construir e validar um instrumento para mensurar a competência técnica das ações educativas desenvolvidas pelo enfermeiro, na prevenção do HIV/AIDS nas unidades básicas de saúde (UBS. As etapas percorridas para a construção e testagem da fidedignidade do instrumento, foram: elaboração de itens relacionados a competência técnica na prevenção do HIV/AIDS; aplicação do instrumento numa amostra de 30 enfermeiros de diferentes instituições hospitalares e de ensino. O instrumento apresentou um nível satisfatório de estabilidade, homogeneidade e reprodutibilidade.El estudio tuvo como objetivo construir y validar un instrumento para medir la competencia de las acciones educativas desarrolladas por el enfermero en la prevención de HIV/AIDS en las unidades básicas de salud (UBS. Las etapas recorridas para la construcción y prueba de fidedignidad del instrumento, fueron: elaboración de ítems relacionados con la competencia técnica en la prevención de HIV/AIDS; aplicación del instrumento en una muestra de 30 enfermeros de diferentes instituciones hospitalarias y de enseñanza. El instrumento presentó un nivel satisfactorio de estabilidad, homogeneidad y reproductibilidad.This study aimed at building and validating an instrument to measure the technical competence of educational actions developed by nurses in the prevention of HIV/AIDS in Basic Health Units (BHU. The phases for constructing and testing the fidelity of the instrument were: elaboration of items related to the technical competence in the prevention of HIV/AIDS; application of the instrument in a sample of 30 male nurses from different hospitals and teaching institutions. The instrument presented a satisfactory level of stability, homogeneity and reproduction.

  4. Development and reliability of an instrument to measure psychosocial determinants of salt consumption among hypertensive patients Desarrollo y confiabilidad de un instrumento para medir los factores psicosociales determinantes en el consumo de sal entre hipertensos Desenvolvimento e confiabilidade de instrumento para mensuração dos fatores psicossociais determinantes do consumo de sal entre hipertensos

    Directory of Open Access Journals (Sweden)

    Marília Estevam Cornélio

    2009-10-01

    Full Text Available This study aimed to present the content validity and reliability analyses of an instrument to study the determinant factors of salt consumption among hypertensive subjects, based on an extension of the Theory of Planned Behavior. Content validity was assessed by 3 experts and a pre-test was carried out with 5 subjects. The final tool, comprising 3 different behaviors related to salt consumption and corresponding psychosocial variables, was applied to 32 subjects for internal consistency and temporal stability (15-day interval analysis. Cronbach's alpha coefficients > 0.70 and significant intra-class correlation coefficients were observed for most variables, indicating the temporal stability of the measured concepts. The developed instrument exhibited evidence of both content validity and reliability.Este estudio tuvo como objetivo presentar el análisis de validez de contenido y de confiabilidad de un instrumento para estudiar los factores determinantes del consumo de sodio entre hipertensos, basado en la extensión de la Teoría del Comportamiento Planificado. El instrumento fue sometido a validez de contenido por 3 jueces y a una prueba piloto con 5 sujetos. El instrumento final, compuesto por 3 comportamientos relacionados al consumo de la sal y por las variables psicosociales correspondientes, fue aplicado a 32 sujetos para evaluación de la consistencia interna y de la estabilidad temporal (intervalo de 15 días. Fueron observados coeficientes alfa de Cronbach>0,70 para la mayoría de las variables y coeficientes de correlación entra clases significativas, que apuntaron la estabilidad temporal de los conceptos mensurados. El instrumento desarrollado mostró evidencias de validez de contenido y de confiabilidad.Este estudo teve como objetivo apresentar a análise da validade de conteúdo e da confiabilidade de um instrumento para estudo dos fatores determinantes do consumo de sódio entre hipertensos, baseado na extensão da Teoria do

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

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    López-Carmona Juan Manuel

    2003-01-01

    Full Text Available 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 sometido a revisión por un panel multidisciplinario de expertos para determinar su validez lógica y de contenido. Se aplicó el instrumento en dos días diferentes a 412 sujetos adultos con diabetes mellitus. Fueron depurados los ítems considerando la frecuencia de selección de sus opciones de respuesta, su correlación ítem-total y su carga significativa en los dominios durante el análisis factorial. RESULTADOS: Completaron el estudio 389 (94.7% sujetos. Los coeficientes de correlación intra-clase para la validez lógica y de contenido fueron de 0.91 y 0.95, respectivamente. Después de la depuración de ítems se obtuvo un instrumento conformado por 25 preguntas cerradas, distribuidas en siete dominios: nutrición, actividad física, consumo de tabaco, consumo de alcohol, información sobre diabetes, emociones y adherencia terapéutica. El a de Cronbach para la calificación total fue de 0.81 y el coeficiente de correlación test-retest de 0.84. CONCLUSIONES: El instrumento para medir el estilo de vida en diabéticos es el primer cuestionario específico para sujetos con diabetes mellitus tipo 2 y tiene validez aparente, validez de contenido y buen nivel de consistencia.

  6. O Cloze como instrumento de avaliação de leitura nas séries iniciais

    Directory of Open Access Journals (Sweden)

    Márcia Maria Peruzzi Elia da Mota

    Full Text Available A literatura na área tem apontado a importância das habilidades referentes à leitura e escrita, especialmente quando se estuda o processo de alfabetização e suas dificuldades. Buscando verificar a validade do Cloze como instrumento de avaliação de leitura, o presente estudo foi elaborado tendo como principal objetivo comparar os escores do Cloze com o Teste de Desempenho Escolar (TDE, que apresenta, além de estudos de validade e precisão, também uma proposta de normatização. A amostra do estudo constituiu-se de quarenta e duas crianças, das quais dezenove eram alunas da 1ª série e vinte e três da 2ª série (no sistema atual, 2º ano e 3º ano do Ensino Fundamental de escolas particulares situadas no Interior de Minas. Os resultados mostram evidências de validade de critério e convergência para o Cloze e indicam sua utilidade como um teste de avaliação de leitura.

  7. Propiedades psicométricas de un instrumento de acoso cibernético en estudiantes universitarios mexicanos

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    López Pérez, Mistli Guillermina

    2016-02-01

    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.

  8. El funcionamiento del sistema de protección ambiental de la Unión Europea: principios, instituciones, instrumentos

    Directory of Open Access Journals (Sweden)

    Judith Domínguez

    2007-01-01

    Full Text Available La política ambiental europea es una de las más completas y coherentes que se han conformado en los últimos años en la consecución de un desarrollo sustentable. El conjunto de instrumentos, normas, estrategias y acciones está orientado a ser efectivo; cuenta con mecanismos de evaluación y corrección, e integra derechos fundamentales, la solidaridad entre regiones y la diversidad del territorio europeo. En este artículo se presenta el proceso que ha seguido desde que se estableció como una política por sí misma, y se exponen los principios que la sitúan en el camino de una gobernanza ambiental global o al menos regional. Se analizan los factores clave para el logro de objetivos ambientales en sistemas jurídicos afines al mexicano, lo que puede servir de referencia para la conformación, instrumentación y evaluación de la política ambiental mexicana (sobre todo se revisan los factores críticos, que se reflejan como debilidades en nuestro sistema. Se revisan modelos o marcos de referencia y actuación ante problemas ambientales similares, sin que ello signifique una transferencia automática de políticas públicas.

  9. Estilos motivacionais de professores: propriedades psicométricas de um instrumento de avaliação

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    Sueli Édi Rufini Guimarães

    Full Text Available O objetivo deste estudo foi submeter à análise fatorial exploratória um instrumento de avaliação de estilos motivacionais de professores, elaborado por Deci e colaboradores, denominado Problems in School. O teste original, na forma de escala Likert, considerava a existência de um continuum com quatro diferentes estilos que contribuem para a promoção da autonomia dos estudantes. Traduzido para o português, o teste foi aplicado a 582 professores do ensino fundamental e médio de diversas regiões do Brasil. Embora os resultados da análise fatorial tenham revelado uma solução de quatro fatores ortogonalmente distintos, a suposição inicial dos autores (existência do continuum não foi confirmada. De fato, apenas dois estilos opostos (altamente promotores de autonomia e de controle corresponderam à proposta original de Deci et al. Surgiram problemas em relação à validade dos demais estilos. Os resultados foram discutidos e uma versão revisada da escala foi desenvolvida. São também sugeridas direções para futuras pesquisas.

  10. Instrumentos de gestion de suelo para vivienda de interes social en colombia: Análisis de caso

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    César García-Ubaque

    2014-01-01

    Full Text Available Disponer de suelo urbanizable es requisito indispensable para cumplir el propósito de brindar viviendas a la población, pero, el acceso a este suelo enfrenta obstáculos de tipo técnico, administrativo y normativo, que generan procesos caóticos de urbanización en las principales ciudades del país. En este artículo se analizan los instrumentos de gestión de suelo disponibles y utilizados en proyectos desarrollados por Metrovivienda en la localidad de Bosa en Bogotá D.C. Como resultado, se encuentra que las principales causas son: la escasez y los altos precios del suelo urbanizable y la persistencia del fenómeno de urbanización ilegal que pretende cubrir la demanda insatisfecha, especialmente para población no vinculada al mercado laboral formal. La Política Pública de Vivienda se enfoca principalmente en la asignación de subsidios a la demanda y la implementación de proyectos de construcción, pero, sin una Política Pública de Suelo que regule el uso y mercado, no se podrá planear a largo plazo y será muy difícil disminuir la brecha entre la oferta y la demanda de viviendas y lograr un desarrollo eficiente, equitativo y ordenado de la ciudad.

  11. Instrumentos de avaliação do transtorno de ansiedade social Instruments for the assessment of social anxiety disorder

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    Flávia de Lima Osório

    2005-01-01

    Full Text Available O transtorno de ansiedade social (TAS é um distúrbio de difícil diagnóstico pelos clínicos, o que estimula o estudo e desenvolvimento de instrumentos que favoreçam seu reconhecimento precoce e sistemático. Objetiva-se identificar na literatura indexada entre janeiro de 1999 e julho de 2004, artigos relativos a estudos psicométricos sobre instrumentos para avaliação do TAS. Procedeu-se à busca sistemática nos indexadores PsycoInfo, Lilacs e Medline, utilizando-se as palavras-chaves: social phobia scale, social phobia validity, social phobia reliability e social anxiety, identificando-se 26 artigos. Para a análise, os estudos foram agrupados em dois conjuntos: a onze relativos à Liebowitz Social Anxiety Scale (LSAS, e b quinze relativos a outras escalas já validadas ou em validação. Dos estudos com a LSAS, seis trabalharam com a versão hetero-aplicada e quatro com a auto-aplicada, tendo identificado qualidades psicométricas satisfatórias quanto à validade no idioma original (inglês, e outros idiomas: francês, hebraico, turco e espanhol. Do mesmo modo, bons índices de fidedignidade foram encontrados e quanto à análise fatorial, o modelo de quatro fatores foi considerado o mais adequado. Dos estudos com outras escalas, sete trabalharam com instrumentos já validados e oito com novas escalas, identificando valores satisfatórios quanto à validade e fidedignidade. As principais limitações verificadas nos estudos relacionaram-se à diversidade de padrão-ouro adotada, composição amostral com ausência de claros critérios de inclusão e exclusão, e pequeno número de estudos com amostras não-clínicas, dificultando o uso dos instrumentos para rastreamento na população geral Estudos futuros que visem aprimorar a validação de critério com base na análise fatorial e de cluster, parecem necessários e oportunos.Social anxiety disorder (SAD is difficult to diagnose by clinicians, a fact that stimulates the study and

  12. UTILIZAÇÃO DA MULTIMÍDIA NO ENSINO FUNDAMENTAL COMO INSTRUMENTO DE ENSINO DE TEMAS EM CLIMATOLOGIA

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    Ercilia Torres Steinke

    2014-09-01

    Full Text Available O ensino de temas em Climatologia, na escola, necessita de mais estudos para proporcionar resultados que auxiliem os professores a transformar as complexas questões do clima e do tempo em aulas mais interessantes, isto é, que despertem a curiosidade dos alunos e que demonstre o significado para suas vidas. Para isso, os recursos materiais são ferramentas fundamentais. Esse texto tem como objetivo apresentar os primeiros produtos do projeto “Climatologia Fácil” e demonstrar a aplicabilidade de alguns deles como material didático para contribuir com o processo de ensino-aprendizagem. Três passos foram fundamentais: a planejamento inicial, b desenvolvimento do conteúdo e c aplicação em sala de aula. Os resultados mostraram que, com a adequada mediação do professor, a multimídia interativa pode ser um instrumento didático e pedagógico que estimula a dinamização nas aulas e motiva os alunos em favor do processo da efetiva aprendizagem.

  13. El poder aéreo, instrumento decisivo para la resolución de las crisis del siglo XXI

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    Lombo López, Juan Antonio

    2002-02-01

    Full Text Available Aquí, su autor, el antiguo Jefe del estado Mayor del Aire (1997-2001, desarrolla de forma clara las características fundamentales del Poder Aéreo, sus cometidos y misiones principales y ciertas consideraciones en el empleo del mismo.
    Para ello, se da a conocer el papel que desempeña el Poder Aéreo como componente estratégico principal de la acción de los Ejércitos, estudiando los aspectos claves, político, estratégico y operativo de cualquier campaña militar, así como las características fundamentales, cometidos y misiones más usuales del Poder Aéreo.
    Todo lo anterior desde la óptica del puesto en el que le ha tocado vivir las actuaciones del Poder Aéreo en los últimos años, le lleva a la conclusión de que éste es un instrumento sumamente flexible y rentable para su utilización en cualquier tipo de crisis, desde las acciones humanitarias hasta los conflictos abiertos.

  14. Supervisión de psicoterapeutas sistémicos: un crisol para devenir instrumentos de cambio

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    Ángela Hernández Córdoba

    2007-01-01

    Full Text Available Este artículo es una reflexión basada en mi ya larga experiencia como supervisora de psicoterapeutas en formación. Comprendo la supervisión como un escenario clínico-formativo y como un proceso generativo y transformador en el cual las personas desarrollan sus competencias. Es a la vez una forma de enseñar un enfoque específico de terapia y una práctica reflexiva sobre la propia práctica terapéutica. Como contexto de aprendizaje y de cambio es isomórfico a la psicoterapia, cuya dinámica relacional emerge en el entrelazamiento de la construcción individual con la co-construcción en el equipo. El objetivo de la supervisión es activar los recursos interaccionales de los terapeutas para que amplíen y complejicen sus posibilidades de relación y sean instrumento de cambio más versátiles y efectivos. El equipo de supervisión siempre opera a través de conversaciones reflexivas con el acompañiento de un supervisor que es además soporte emocional, consultor, colega, docente y promotor de una sinergia que hace de la supervisión una fascinante experiencia vital para consultantes, terapeuta y supervisor.

  15. Risk Management in Technovigilance: construction and Validation of a Medical-Hospital Product Evaluation Instrument Administración de riesgo en tecnovigilancia: construcción y validación de un instrumento de evaluación de producto Médico hospitalario Gerenciamento de risco em tecnovigilância: construção e validação de instrumento de avaliação de produto médico-hospitalar

    Directory of Open Access Journals (Sweden)

    Cleuza Catsue Takeda Kuwabara

    2010-10-01

    Full Text Available With the continuous incorporation of health technologies, hospital risk management should be implemented to systemize the monitoring of adverse effects, performing actions to control and eliminate their damage. As part of these actions, Technovigilance is active in the procedures of acquisition, use and quality control of health products and equipment. This study aimed to construct and validate an instrument to evaluate medical-hospital products. This is a quantitative, exploratory, longitudinal and methodological development study, based on the Six Sigma quality management model, which has as its principle basis the component stages of the DMAIC Cycle. For data collection and content validation, the Delphi technique was used with professionals from the Brazilian Sentinel Hospital Network. It was concluded that the instrument developed permitted the evaluation of the product, differentiating between the results of the tested brands, in line with the initial study goal of qualifying the evaluations performed.Con la continua incorporación de tecnologías en la salud, la administración de riesgo hospitalario debe ser implantada para sistematizar la monitorización de eventos adversos, ejecutando acciones para el control y eliminación de sus daños. Como parte de esas acciones, la Tecnovigilancia actúa en los procedimientos de adquisición, utilización y control de calidad de productos y equipamientos en el área de la salud. El objetivo de este estudio fue construir y validar un instrumento de evaluación de productos Médico hospitalarios. Se trata de un estudio cuantitativo, exploratorio, longitudinal y de desarrollo metodológico, fundamentado en el modelo de gestión de calidad Seis Sigma, que tiene como base principal las etapas componentes del Ciclo DMAIC. Para la obtención de datos y la validación de contenido, se utilizó la técnica Delphi con profesionales de la Red Brasileña de Hospitales Centinela. Se concluyó que el

  16. Exploring a Source of Uneven Score Equity across the Test Score Range

    Science.gov (United States)

    Huggins-Manley, Anne Corinne; Qiu, Yuxi; Penfield, Randall D.

    2018-01-01

    Score equity assessment (SEA) refers to an examination of population invariance of equating across two or more subpopulations of test examinees. Previous SEA studies have shown that score equity may be present for examinees scoring at particular test score ranges but absent for examinees scoring at other score ranges. No studies to date have…

  17. Evaluación de la salud pública en algunos zoológicos de colombia. fase i: diseño y validación de instrumentos

    OpenAIRE

    Agudelo-Suárez, Angela N.; Villamil-Jiménez, Luis C.

    2012-01-01

    Objetivo Diseñar y validar instrumentos para identificar problemas de Salud Pública en algunos zoológicos de Colombia, que permitan la evaluación de la misma. Métodos Se diseñaron y validaron cuatro instrumentos con la participación de cinco zoológicos. La validación de los instrumentos se abordó en las dimensiones de apariencia, contenido, sensibilidad al cambio, pruebas de confiabilidad y determina¬ción de la utilidad. Para la calificación se construyó una escala que asignó un máximo ...

  18. O processo civil como instrumento para concretização do direito fundamental de acesso à justiça

    Directory of Open Access Journals (Sweden)

    Thais Aranda Barrozo

    2011-12-01

    Full Text Available O texto analisa o papel do processo civil como instrumento para concretização de direitos fundamentais, neles incluído o de acesso à justiça. Trata das tutelas jurídica e jurisdicional dos direitos fundamentais no modelo estatal vigente, com destaque à necessidade de busca de meios que garantam efetividade à norma constitucional, para que se cumpra a tarefa estatal concretizadora. Aponta, ao final, o ativismo judicial e a utilização de novas técnicas processuais, mais adequadas à finalidade de efetivação de direitos fundamentais, como possível caminho para que o processo sirva, de fato, como instrumento para realização de justiça social.

  19. El sistema de evaluación de impacto ambiental y la implementación de los instrumentos de regulación territorial urbanos e interurbanos

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    Pedro Lira Olmo

    1997-08-01

    Full Text Available A continuación se presentan algunas consideraciones en relación a lo establecido por la Ley de Bases del Medio Ambiente, para la evaluación ambiental de los instrumentos de regulación territorial urbana e interurbana. La inquietud que motiva esta ponencia radica en que publicado el Reglamento del Sistema de Evaluación de Impacto Ambiental con fecha 3 de abril de 1997, el Sistema se vuelve obligatorio e incluye a los instrumentos en comento. Esta situación presenta, como se expondrá, singularidades que será preciso definir por la autoridad, para permitir un desarrollo fluido del SEIA y los Planes de Desarrollo Urbano e Interurbano.

  20. Uma proposta de instrumento de pesquisa para a avaliação do desempenho do Escritório de Gerenciamentos de Projetos

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    Ronielton Rezende Oliveira

    2014-09-01

    Full Text Available RESUMOÉ intrínseco a natureza humana medir para conhecer, sendo este um objetivo direto ou indireto do processo de geração de informação e absorção de conhecimento. Diante da lacuna existente na disciplina do Gerenciamento de Projetos em relação à disponibilização de instrumentos de pesquisa validados, o propósito deste artigo é apresentar as etapas de elaboração de um instrumento para a pesquisa quantitativa nesta área de conhecimento. As afirmações foram validadas por especialistas nacionais e internacionais. Este poderá ser utilizado para a coleta de dados em outro estudo, com o objetivo de avaliar um modelo conceitual que se destina a medir o desempenho do Escritório de Gerenciamento de Projetos.

  1. Aplicación de los instrumentos de reincidencia en violencia HCR-20 y SVR-20 en dos grupos de delincuentes colombianos

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    Ángela Tapias Saldaña

    2011-06-01

    Full Text Available Esta investigación, de tipo exploratorio, cuenta con un diseño no experimental y transversal o transeccional; tuvo por objeto determinar si los instrumentos de evaluación psicológica forense HCR-20 y SVR-20 discriminan entre un grupo de reincidentes en delitos de acceso carnal violento y un grupo de sujetos judicializados por delitos menores. Hubo presencia de los indicadores, tanto del HCR-20 como del SVR-20, en los grupos. Se encontraron diferencias significativas en los puntajes de los grupos para el SVR- 20, pero no para el HCR-20. Finalmente, se observaron nuevos factores de riesgo, que podrían incluirse en instrumentos forenses.

  2. Instrumento Jurídico Utilizado en las Estructuras de Intercambio entre la Compañía Pública y su Subsidiaria e Pdropiedad Total

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    Luciano Monti Favaro

    2016-11-01

    Full Text Available El presente trabajo tiene como objetivo estudiar acerca de la subsidiaria de propiedad total, tal como se define en el artículo 251 de la Ley de Sociedades. En particular, se presentará a sus características, así como sus órganos de administración . Después se abordará en el establecimiento de propiedad total de las companhias públicas como una forma de descentralizar sus operaciones en el mercado. ¿Cuál es el instrumento legal para ser ejecutado entre la compañía pública y su subsidiaria en compartir estructuras? En conclusión, se constató que el instrumento utilizado es un Acuerdo (artículo 116, § 1 Ley 8.666/93.

  3. EDUCAÇÃO POPULAR COMO INSTRUMENTO PARTICIPATIVO PARAA PREVENÇÃO DO CÂNCER GINECOLÓGICO: PERCEPÇÃO DE MULHERES

    OpenAIRE

    Ramos de Souza, Kaliandra; do Nascimento Paixão, Gilvânia Patrícia; do Sacramento de Almeida, Eliana; Reis de Sousa, Anderson; Gonçalves dos Santos Lirio, Josinete; Moura Campos, Luana

    2015-01-01

    Introdução: A detecção precoce do câncer de colo de útero através da realização do exame citológico de Papanicolau tem sido instrumento de confiabilidade na diminuição dos indicadores de morbimortalidade desse câncer. Objetivou-se neste estudo avaliar a percepção de mulheres sobre o câncer do colo do útero, através da prática de educação popular como instrumento participativo. Materiais e Métodos: Tratou-se de uma pesquisa-ação com abordagem qualitativa, desenvolvida em uma Unidade Básica de ...

  4. O enfermeiro como instrumento de ação no cuidar do idoso El enfermero como instrumento de accion en el cuidado del anciano The nurse as an action tool in care for the aged

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    Ana Karine Ramos Brum

    2005-12-01

    Full Text Available Trata-se de um estudo que contextualiza a enfermagem gerontológica na concepção do cuidar. A situação estudada envolve as necessidades de cuidados da pessoa hospitalizada, tendo como objetivo refletir sobre o significado da ação de cuidar do idoso hospitalizado na realidade de enfermagem. A investigação foi desenvolvida mediante a abordagem teórico-metodológica da Sociologia Compreensiva, tendo como cenário um Serviço de Terapia Intensiva de um Hospital Municipal - RJ. Os sujeitos foram enfermeiros que cuidam de idosos sem expectativa de recuperação, abordados mediante uma entrevista fenomenológica. A análise compreensiva dos significados da ação permitiu identificar como típico desta ação, o cuidar instrumentalizado por estar junto, proporcionando ao mesmo tempo conforto físico e bem-estar, visando o enfrentamento da situação vivida. O estudo permitiu apontar algumas contribuições para as áreas do cuidado, da assistência, do ensino e da pesquisa, contemplando a atitude do enfermeiro como instrumento de ação no cuidar do idoso.Se trata de un estudio que contextualiza la enfermería gerontológica en la concepción del cuidado. Fueron estudiadas las necesidades de cuidado de personas hospitalizadas, teniéndose como objetivo reflectar sobre el significado para enfermería de cuidar del anciano que se encuentra hospitalizado. La investigación fue desarrollada utilizando el referencial teórico-metodológico de la Sociología Comprensiva, teniéndose como escenario el Sector de Terapia Intensiva de un Hospital Municipal de Rio de Janeiro - Brasil. Los sujetos fueron enfermeros que cuidan de ancianos que no tienen perspectivas de recuperación, los cuales fueron abordados mediante una entrevista fenomenológica. El análisis comprehensivo del significado de esa acción permitió identificar como típico de esa acción el cuidado instrumentalizado, que permite estar junto dando conforto físico y bienestar en el

  5. La Comprensión Narrativa en Edad Preescolar: Un Instrumento para su Medición Narrative Comprehension in the Preschool Age: An Assessment Instrument

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    Katherine Strasser

    2010-05-01

    Full Text Available La comprensión narrativa es una habilidad fundamental en la alfabetización infantil, poco atendida por investigadores y educadores por las dificultades para comprenderla y medirla, sobre todo a edades tempranas. Se reportan resultados de un estudio cuyo objetivo fue elaborar y validar un instrumento para la medición de la comprensión narrativa en niños en edad preescolar. Participaron 117 niños y niñas chilenos entre 3 años 6 meses y 5 años 1 mes de edad, pertenecientes a jardines infantiles de la Región Metropolitana. Se encontró evidencia que apoya la confiabilidad y la validez concurrente del instrumento, de fácil y rápida aplicación y codificación. Se discuten las implicancias de contar con un instrumento para medir comprensión narrativa que sea adecuado a la población preescolar chilena, así como estudios futuros necesarios para mejorar el instrumento.Narrative comprehension is a fundamental ability for children's literacy development that has been largely ignored by researchers and educators, due to the difficulties in understanding and measuring it, particularly in the early ages. The results of a study, whose goal was to construct and validate an instrument to measure narrative comprehension in preschool age children, are presented. Participants were 117 Chilean children aged 3 years and 6 months to 5 years and 1 month. Evidence was found to support the reliability and concurrent validity of the instrument, which is simple and quick to administer and code. The implications of having an instrument to measure narrative comprehension that is adequate for the Chilean preschool population are discussed, as are future studies to improve the instrument.

  6. Desarrollo y validación de un instrumento autoaplicado para la evaluación del trastorno de estrés postraumático (EGEP)

    OpenAIRE

    Gómez Gutierrez, María del Mar

    2010-01-01

    El objetivo general de esta investigación es el diseño, desarrollo y validación, en población sometida a distintos tipos de acontecimientos traumáticos, de un instrumento de evaluación autoaplicado en castellano, que permita el diagnóstico y caracterización del Trastorno de Estrés Postraumático (TEPT) en adultos.

  7. Modelos e instrumentos para estudios sobre espesor óptico de aerosoles y su relación con el forzamiento radiativo terrestre

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    Pamela Piñas Sumalave

    2015-12-01

    Full Text Available El objetivo fue dar a conocer sobre los modelos e instrumentos necesarios para recabar, procesar e interpretar datos de los aerosoles atmosféricos y sub variables necesarias para su estudio. Así mismo del posible forzamiento radiativo que debido a las propiedades ópticas de los aerosoles generaría en la ciudad de Huancayo. Los aerosoles generados por la quema de biomasa en el Perú en un alto porcentaje provienen de la Amazonía, a esto se añade los provenientes de otros países. Entre los instrumentos disponibles en la ciudad de Huancayo para estos estudios se tiene el Fotómetro Solar CIMEL CE318 de la Red AERONET, red que cuenta con más de 450 fotómetros alrededor del mundo; este instrumento recaba información de variables como el espesor óptico de aerosoles, coeficiente de angstrom y otros. Para corroborar esta información se tiene acceso a datos proporcionados por el espectroradiómetro MODIS a bordo de los satélites Terra y Aqua. Los modelos atmosféricos utilizados para el procesamiento de datos de aerosoles y el forzamiento radiativo son el HYSPLIT y el SBDART. En conclusión es necesario tener consolidada la información, acerca de las variables como de los instrumentos y modelos que son necesarios e indispensables para la investigación de esta problemática que tiene su punto de origen en las quemas de biomasa, con consecuencia en la contaminación atmosférica y que finalmente perjudica a todo un entorno social y medioambiental.

  8. Desenvolvimento e reprodutibilidade do instrumento De Avaliação da Promoção da Saúde na Universidade - IAPSU

    Directory of Open Access Journals (Sweden)

    Ana Maria Fontenelle Catrib

    2015-09-01

    Full Text Available Objetivo: Apresentar o Instrumento de Avaliação da Promoção da Saúde na Universidade (IAPSU e seu processo de avaliação de reprodutibilidade. Métodos: Estudo transversal realizado entre maio e julho de 2014 com 50 acadêmicos de uma universidade de Fortaleza- CE, o qual desenvolveu o IAPSU a partir da análise de documentos governamentais e de uma revisão sistemática da literatura acerca de uma universidade potencialmente saudável. O instrumento possui 41 questões, divididas em cinco domínios: atividade física, alimentação, fatores ambientais, fatores psicossociais e consumo de álcool e drogas, e práticas integrativas e complementares. Para avaliação da reprodutibilidade interobservador, os acadêmicos responderam duas vezes ao questionário, aplicado por examinadores distintos; para a avaliação intraobservador, outra aplicação do instrumento ocorreu sete dias depois. Resultados: Participaram do estudo 40 alunos do curso de Enfermagem e 10 do curso de Fisioterapia, com idade média de 25 ± 5,4 anos, sendo 88% do sexo feminino e predomínio da raça branca. Na análise da reprodutibilidade, foram observados fortes coeficientes de correlação intraclasse, intraexaminador e interexaminador, acima de 0,8 em todos os domínios estudados. Conclusão: Conclui-se que o IAPSU é um instrumento reprodutível e confiável para avaliação da promoção da saúde no âmbito universitário.

  9. O Processo de Avaliação de Estagiários da Comissão Nacional de Energia Nuclear - CNEN: focalizando seu instrumento

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    Regina Márcia Rocha Lidington

    2010-01-01

    Full Text Available O artigo apresenta o processo avaliativo e os resultados da avaliação do instrumento utilizado para a avaliação de estagiários da Comissão Nacional de Energia Nuclear - CNEN, denominado Avaliação do Estágio pelo Supervisor. A avaliação se concentrou na definição dos cinco Conceitos utilizados para avaliar os nove Aspectos que compõem o instrumento, buscando estabelecer Padrões capazes de minimizar o efeito das interferências subjetivas capazes de comprometer a avaliação do estagiário. Foram utilizadas as abordagens Centrada nos Consumidores, Centrada em Especialistas e Responsiva. Participaram do processo avaliativo os três públicos interessados: Ex-estagiários, Orientadores/Supervisores de Estágio e profissionais da área de Recursos Humanos que atuam no gerenciamento do Programa de Estágios, na Instituição. Os resultados do estudo englobam sugestões de ordem quantitativa e qualitativa para cada um dos Padrões propostos no instrumento.

  10. Análise do grau de evidenciação das operações com instrumentos financeiros derivativos pelas companhias brasileiras listadas no Ibovespa

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    Marcelo Augusto Ambrozini

    2014-01-01

    Full Text Available La eviden cia de las operaciones con derivados se ha hecho cada vez más compleja, debido a las particularidades de esos tipos de instrumentos financieros y al ambiente altamente volátil de los mercados financieros. El objetivo de este trabajo es evaluar el grado de observancia de las orientaciones de evidencia de instrumentos financieros derivados emanadas por el CPC 40 (R1 por parte de las compañías abiertas brasileñas con acciones negociadas en la Bolsa de Valores de San Pablo. Por medio de un estudio documental d e análisis de contenido, fueron enumerados puntos para verificación en los informes contables finalizados el 31/12/2013 ,de 45 empresas brasileñas de capital abierto que operaron con derivados. En relación a los estudios recientes que se referían a esta pr oblemática, las evidencias presentadas por este estudio indican que el grado de evidencia de los instrumentos financieros derivados en las demostraciones contables de las empresas brasileñas mostró una mejora considerable después de la introducción de las normas IFRS.

  11. Fomentando la innovación de producto en las empresas nuevas: ¿Qué instrumentos públicos son más efectivos?

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    Raquel Antolín-López

    2016-01-01

    Full Text Available A pesar de la importancia atribuida a la innovación y al emprendimiento como factores clave para promover el desarrollo socioeconómico de los países, existe un gran desconocimiento sobre qué instrumentos públicos de innovación son más efectivos para las empresas nuevas. Este estudio analiza las características de las empresas nuevas y cómo los principales instrumentos públicos de innovación responden a ellas. Dichas relaciones se analizan empíricamente en una muestra de 438 empresas nuevas europeas. Los resultados muestran que los préstamos para la financiación de proyectos de innovación, ayudas para la creación de redes, para la provisión de información y para la asistencia a ferias tienen un efecto positivo en la innovación de producto. Sin embargo, instrumentos públicos más tradicionales como son las subvenciones y las reducciones de impuestos no parecen ser efectivos. Este estudio tiene importantes implicaciones teóricas y prácticas para el diseño más eficaz y eficiente de políticas públicas de innovación para las empresas nuevas.

  12. A new concept for an old instrument: flexible corneal scrapping spatula Um novo conceito para um antigo instrumento: espátula corneana flexível

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    Acacio Lima Filho

    1999-12-01

    Full Text Available We describe a new methods to produce an instrument to scrap the cornea. It is made from either a fine needle or a cannula. The material is flattened by means of a laminator or a hammer and a flat metal surface. A sandpaper is used to rough the front end and round it. The tip is slightly bent and the device is submitted to ethylene oxide for sterilization. A handle may be used to hold the instrument, which may be reusable, after washing and sterilization using local heat at the tip, or gas.Os autores descrevem um novo método para produzir um instrumento para colheita de material de córnea. Tal instrumento pode ser manufaturado com uma cânula ou agulha fina. O material é moldado de forma plana com o auxílio de um laminador, ou de um martelo e placa de metal. Lixa fina é utilizada para arredondar as bordas e a ponta é ligeiramente dobrada. Um cabo pode ser adicionado de modo a facilitar a manipulação do instrumento, que pode ser reutilizado após lavagem e esterilização local na ponta do metal, ou por óxido de etileno.

  13. Síndrome de Boreout: Diseño, confiabilidad y validación preliminar de un instrumento para su medición

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    Luis Eduardo Cabrera Noriega

    2014-12-01

    Full Text Available Introducción: El síndrome de boreout es una condición relacionada con el aburrimiento, el desinterés y la infraexigencia, lo cual genera trastornos a la población trabajadora así como pérdidas cuantiosas a las empresas. Objetivo: El presente estudio tiene el propósito de diseñar un instrumento que permita recabar información sobre el síndrome de boreout. Material y métodos:: Partiendo de la revisión teórica se diseñó un instrumento que se aplicó a 150 trabajadores ofimáticos de una empresa privada de la ciudad de Valencia (Carabobo, Venezuela, el cual abarca los tres componentes reconocidos del síndrome de boreout, y consta de tres partes. Parte 1: datos sociodemográficos; Parte 2: 18 ítems con una escala tipo Likert para frecuencia (seis para cada componente; Parte 3: estrategias pro-boreout. Resultados: Para la Confiabilidad se utilizó el alfa de Cronbach (0,868, para la validez de criterio el juicio de expertos, validez de contenido y validez de constructo (análisis factorial. Conclusiones: Se puede concluir que el instrumento es apto para su propósito.

  14. Elaboração de um instrumento para avaliar a responsividade do serviço de enfermagem de um hospital universitário

    Directory of Open Access Journals (Sweden)

    Ana Vanessa Deffaccio Rodrigues

    2012-02-01

    Full Text Available Um indicador de qualidade introduzido pela Organização Mundial da Saúde no campo da avaliação em saúde é a responsividade. Assim, o objetivo do trabalho foi elaborar um instrumento para avaliar a opinião do cliente sobre a responsividade do serviço de enfermagem de um hospital universitário público. A pesquisa desenvolveu-se nas seguintes etapas: construção do instrumento com base em levantamento bibliográfico, validação aparente, teste de aplicabilidade e teste piloto. O instrumento permite identificar as Expectativas e as Percepções do cliente, subdivididas em aspectos relacionados à Estrutura, Processo e Resultados, mensurados por meio da escala Likert com valores de 0 a 7. Com base nos resultados do teste piloto foi possível estabelecer uma indicação numérica da Taxa de Satisfação Relativa e do seu intervalo. O trabalho proporcionou a construção de uma escala de percentual de aceitabilidade para o intervalo, que pode indicar quanto o serviço de enfermagem responde às expectativas dos clientes.

  15. Instrumento de consulta de enfermagem para pessoas com coinfecção pelo vírus da imunodeficiência humana/tuberculose

    Directory of Open Access Journals (Sweden)

    Alexsandra Rodrigues Feijão

    2015-01-01

    Full Text Available Objetivo: verificar opiniones de jueces acerca de instrumento para consulta de enfermería a personas con coinfección por el virus de la inmunodeficiencia humana y tuberculosis. Métodos: estudio metodológico, involucrando la construcción de instrumento basado en la teoría del autocuidado de Orem, y sumisión de esto a evaluación de expertos jueces en el área, que evaluaron organización, claridad y relevancia. Resultados: el instrumento obtuvo evaluación positiva para los criterios de evaluación, con concordancia mayor que 75,0% e Índice de Validez el Contenido mayor que 0,80 en la mayoría de los ítems. Según pareceres, tres artículos fueron excluidos y dos modificados. Conclusión: hubo adecuación de la herramienta de consulta de enfermería para personas con coinfección VIH/tuberculosis cuanto a la organización en subdivisiones e ítems. Se percibió reducido desacuerdo entre jueces en el análisis de las cuestiones. La mayoría de los ítems fueron evaluados positivamente, pero otros estudios de validación son necesarios.

  16. Translation and validation of the new version of the Knee Society Score - The 2011 KS Score - into Brazilian Portuguese.

    Science.gov (United States)

    Silva, Adriana Lucia Pastore E; Croci, Alberto Tesconi; Gobbi, Riccardo Gomes; Hinckel, Betina Bremer; Pecora, José Ricardo; Demange, Marco Kawamura

    2017-01-01

    Translation, cultural adaptation, and validation of the new version of the Knee Society Score - The 2011 KS Score - into Brazilian Portuguese and verification of its measurement properties, reproducibility, and validity. In 2012, the new version of the Knee Society Score was developed and validated. This scale comprises four separate subscales: (a) objective knee score (seven items: 100 points); (b) patient satisfaction score (five items: 40 points); (c) patient expectations score (three items: 15 points); and (d) functional activity score (19 items: 100 points). A total of 90 patients aged 55-85 years were evaluated in a clinical cross-sectional study. The pre-operative translated version was applied to patients with TKA referral, and the post-operative translated version was applied to patients who underwent TKA. Each patient answered the same questionnaire twice and was evaluated by two experts in orthopedic knee surgery. Evaluations were performed pre-operatively and three, six, or 12 months post-operatively. The reliability of the questionnaire was evaluated using the intraclass correlation coefficient (ICC) between the two applications. Internal consistency was evaluated using Cronbach's alpha. The ICC found no difference between the means of the pre-operative, three-month, and six-month post-operative evaluations between sub-scale items. The Brazilian Portuguese version of The 2011 KS Score is a valid and reliable instrument for objective and subjective evaluation of the functionality of Brazilian patients who undergo TKA and revision TKA.

  17. The BRICS (Bronchiectasis Radiologically Indexed CT Score): A Multicenter Study Score for Use in Idiopathic and Postinfective Bronchiectasis.

    Science.gov (United States)

    Bedi, Pallavi; Chalmers, James D; Goeminne, Pieter C; Mai, Cindy; Saravanamuthu, Pira; Velu, Prasad Palani; Cartlidge, Manjit K; Loebinger, Michael R; Jacob, Joe; Kamal, Faisal; Schembri, Nicola; Aliberti, Stefano; Hill, Uta; Harrison, Mike; Johnson, Christopher; Screaton, Nicholas; Haworth, Charles; Polverino, Eva; Rosales, Edmundo; Torres, Antoni; Benegas, Michael N; Rossi, Adriano G; Patel, Dilip; Hill, Adam T

    2018-05-01

    The goal of this study was to develop a simplified radiological score that could assess clinical disease severity in bronchiectasis. The Bronchiectasis Radiologically Indexed CT Score (BRICS) was devised based on a multivariable analysis of the Bhalla score and its ability in predicting clinical parameters of severity. The score was then externally validated in six centers in 302 patients. A total of 184 high-resolution CT scans were scored for the validation cohort. In a multiple logistic regression model, disease severity markers significantly associated with the Bhalla score were percent predicted FEV 1 , sputum purulence, and exacerbations requiring hospital admission. Components of the Bhalla score that were significantly associated with the disease severity markers were bronchial dilatation and number of bronchopulmonary segments with emphysema. The BRICS was developed with these two parameters. The receiver operating-characteristic curve values for BRICS in the derivation cohort were 0.79 for percent predicted FEV 1 , 0.71 for sputum purulence, and 0.75 for hospital admissions per year; these values were 0.81, 0.70, and 0.70, respectively, in the validation cohort. Sputum free neutrophil elastase activity was significantly elevated in the group with emphysema on CT imaging. A simplified CT scoring system can be used as an adjunct to clinical parameters to predict disease severity in patients with idiopathic and postinfective bronchiectasis. Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  18. Validação de um instrumento que classifica os pacientes em quatro graus de dependência do cuidado de enfermagem Elaboración de un instrumento que clasifica a los pacientes en cuatro grados de dependencia de cuidados realizados por enfermeros Validation of an instrument that classifies patients in four levels of dependence to nursing care

    Directory of Open Access Journals (Sweden)

    Eleine Aparecida Penha Martins

    2000-04-01

    Full Text Available Esta pesquisa apresenta o processo de validação de um instrumento que classifica os pacientes em quatro graus de dependência do cuidado de enfermagem realizado em um hospital universitário público. O estudo proporcionou aos enfermeiros participantes a oportunidade para analisar as necessidades dos pacientes, tornando-se o instrumento uma ferramenta de trabalho eficiente na prática de enfermagem.Esta investigación presenta el proceso de elaboración de un instrumento que clasifica a los pacientes en cuatro grados de dependencia de cuidados realizados por enfermeros en un hospital universitario público. El estudio ha proporcionado a los enfermeros participantes, la oportunidad de analizar las necesidades de los pacientes, constituyéndose el instrumento en una herramienta de trabajo importante en la práctica de la enfermería.This study presents the process of validation of a tool that classifies patients in four levels of dependence to the nursing care delivered at a University Hospital. The research gave to participants an opportunity to analyse patients' needs, showing the instrument as an efficient tool for nursing practice.

  19. El indicador sintético DCP como instrumento de medición de la sostenibilidad turística

    Directory of Open Access Journals (Sweden)

    Guerrero Casas, Flor Mª

    2009-01-01

    Full Text Available RESUMEN Actualmente, los procesos de planificación turística están orientados para que sean los agentes locales quienes formulen las actuaciones necesarias en cada destino. Sin embargo, en la práctica estos agentes no cuentan con la información suficiente para realizar esta tarea. Necesitan de herramientas que les permitan evaluar el actual grado de sostenibilidad de la actividad turística y determinar las medidas necesarias para mejorarlo. En este trabajo proponemos como instrumento de medición un sistema de indicadores de turismo sostenible. Para facilitar el uso de la información del mismo, obtenemos indicadores sintéticos que proporcionan una visión de conjunto mediante un procedimiento que combina el Análisis en Componentes Principales y la distancia a un punto de referencia, de forma que el indicador sintético obtenido, que denominamos DCP, tenga una menor subjetividad asociada. Finalmente, analizamos la sostenibilidad de los destinos costeros en Andalucía para ilustrar la forma en la que se aplica la metodología propuesta y se interpretan los resultados obtenidos.ABSTRACT Nowadays, local agents formulate the necessary public measures in the processes of tourism planning of each destination. However, in the practice these agents do not have enough information to carry out this task. They need tools to assess the current level of sustainability of tourism activity and identify the necessary measures to improve it. In this paper we propose a system of sustainable tourism indicators as a measuring tool. In order to facilitate the use of information system, we also develop synthetic indicators that provide an overview. They are obtained with a methodology that combines Principal Components Analysis and the distance to a reference point, so that this synthetic indicator, called DCP indicator, have a smaller associate subjectivity. Finally, we apply the proposed methodology to Andalusian coastal destinations and we illustrate how

  20. Validity and Reliability of Nintendo Wii Fit Balance Scores

    Science.gov (United States)

    Wikstrom, Erik A.

    2012-01-01

    Context: Interactive gaming systems have the potential to help rehabilitate patients with musculoskeletal conditions. The Nintendo Wii Balance Board, which is part of the Wii Fit game, could be an effective tool to monitor progress during rehabilitation because the board and game can provide objective measures of balance. However, the validity and reliability of Wii Fit balance scores remain unknown. Objective: To determine the concurrent validity of balance scores produced by the Wii Fit game and the intrasession and intersession reliability of Wii Fit balance scores. Design: Descriptive laboratory study. Setting: Sports medicine research laboratory. Patients or Other Participants: Forty-five recreationally active participants (age  =  27.0 ± 9.8 years, height  =  170.9 ± 9.2 cm, mass  =  72.4 ± 11.8 kg) with a heterogeneous history of lower extremity injury. Intervention(s): Participants completed a single-limb–stance task on a force plate and the Star Excursion Balance Test (SEBT) during the first test session. Twelve Wii Fit balance activities were completed during 2 test sessions separated by 1 week. Main Outcome Measure(s): Postural sway in the anteroposterior (AP) and mediolateral (ML) directions and the AP, ML, and resultant center-of-pressure (COP) excursions were calculated from the single-limb stance. The normalized reach distance was recorded for the anterior, posteromedial, and posterolateral directions of the SEBT. Wii Fit balance scores that the game software generated also were recorded. Results: All 96 of the calculated correlation coefficients among Wii Fit activity outcomes and established balance outcomes were interpreted as poor (r Wii Fit balance activity scores ranged from good (intraclass correlation coefficient [ICC]  =  0.80) to poor (ICC  =  0.39), with 8 activities having poor intrasession reliability. Similarly, 11 of the 12 Wii Fit balance activity scores demonstrated poor intersession reliability, with

  1. Validity and reliability of Nintendo Wii Fit balance scores.

    Science.gov (United States)

    Wikstrom, Erik A

    2012-01-01

    Interactive gaming systems have the potential to help rehabilitate patients with musculoskeletal conditions. The Nintendo Wii Balance Board, which is part of the Wii Fit game, could be an effective tool to monitor progress during rehabilitation because the board and game can provide objective measures of balance. However, the validity and reliability of Wii Fit balance scores remain unknown. To determine the concurrent validity of balance scores produced by the Wii Fit game and the intrasession and intersession reliability of Wii Fit balance scores. Descriptive laboratory study. Sports medicine research laboratory. Forty-five recreationally active participants (age = 27.0 ± 9.8 years, height = 170.9 ± 9.2 cm, mass = 72.4 ± 11.8 kg) with a heterogeneous history of lower extremity injury. Participants completed a single-limb-stance task on a force plate and the Star Excursion Balance Test (SEBT) during the first test session. Twelve Wii Fit balance activities were completed during 2 test sessions separated by 1 week. Postural sway in the anteroposterior (AP) and mediolateral (ML) directions and the AP, ML, and resultant center-of-pressure (COP) excursions were calculated from the single-limb stance. The normalized reach distance was recorded for the anterior, posteromedial, and posterolateral directions of the SEBT. Wii Fit balance scores that the game software generated also were recorded. All 96 of the calculated correlation coefficients among Wii Fit activity outcomes and established balance outcomes were interpreted as poor (r Wii Fit balance activity scores ranged from good (intraclass correlation coefficient [ICC] = 0.80) to poor (ICC = 0.39), with 8 activities having poor intrasession reliability. Similarly, 11 of the 12 Wii Fit balance activity scores demonstrated poor intersession reliability, with scores ranging from fair (ICC = 0.74) to poor (ICC = 0.29). Wii Fit balance activity scores had poor concurrent validity relative to COP outcomes and SEBT

  2. El material didáctico expuesto en clase como instrumento de Educación para la Paz

    Directory of Open Access Journals (Sweden)

    Martha Esthela Gómez Collado

    2014-05-01

    Full Text Available La educación tradicional utiliza con mayor frecuencia en el aula de clases el pizarrón y la exposición oral, pero en la época actual caracterizada por grandes avances tecnológicos, los profesores recurrimos a materiales didácticos que sirven de apoyo a la docencia. Por ello, consideramos importante conocer a través de una encuesta la percepción de los estudiantes de la Facultad de Ciencias Políticas y Sociales de la UAEMéx. la utilidad y pertinencia de estos materiales empleados para exposiciones en clase; a fin de determinar cuáles son los que contribuyen al cumplimiento de los objetivos planeados y favorecen el aprendizaje de los estudiantes, tales como: power point, prezi, flash, fotografías digitales, Podcast, programas de radio y televisión, grabaciones, canciones, videos, documentales, películas, reportajes, blogs, redes sociales, páginas web, ejercicios en línea. Los resultados y conclusiones más importantes fueron identificar las opciones con mayor aceptación y reproducción en el salón de clase, para así diseñarlos o modificarlos a efecto de mejorar la transmisión del conocimiento y con ello elevar la calidad educativa. Además, los profesores utilizamos mucho el power point en las exposiciones y es fundamental el diálogo entre profesores y alumnos para crear mejor material didáctico como instrumento de educación para la paz.

  3. Educación física y deporte: ¿Instrumentos de integración de inmigrados?

    Directory of Open Access Journals (Sweden)

    Ángeles Arjona Garrido

    2016-01-01

    Full Text Available El objetivo del artículo es comprobar si las prácticas escolares físico-deportivas, que se realizan en centros educativos, actúan como instrumentos de interculturalidad e integración social de jóvenes inmigrados. Para ello, se ha tomado como referencia el Modelo de Responsabilidad elaborado por Hellinson (2003, el cual establece cuatro principios: afianzar relaciones, conocer fortalezas, compartir responsabilidades y fomentar la reflexión, elementos que deben estar presentes en un programa físico-deportivo que, además de la mejora de aspectos físicos, también busca un desarrollo personal y social. La información se obtiene a partir de la realización de diecisiete entrevistas semi -estructuradas a docentes de la disciplina de Educación Física y Deporte en centros educativos con una tasa de inmigración superior o igual al 15% en Almería (España. El análisis de la información se realiza con el software Nudist Vivo. Los resultados muestran que el profesorado apenas desarrolla los diferentes niveles que el modelo aconseja, especialmente, la autonomía personal y liderazgo del alumno. A todo ello se añade la escasa implicación del profesorado en formación sobre interculturalidad. Se concluye que la actividad física y el deporte son herramientas privilegiadas para la integración si se elaboran programas cuyos objetivos, contenidos y estrategias estén definidos perfectamente.

  4. El liderazgo de servicio como instrumento fundamental de productividad en las organizaciones universitarias de gestión privada

    Directory of Open Access Journals (Sweden)

    Marcos Albarrán

    2014-01-01

    Full Text Available 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 alternativas de respuesta, a saber: siempre, frecuentemente, algunas veces, casi nunca, nunca. El cálculo de confiabilidad mediante la aplicación del coeficiente de Alfa de Cronbach, obteniéndose un índice de 0.945. Los resultados obtenidos permiten establecer que la población objeto de estudio tiene to-das las características del liderazgo de servicio consideradas, siendo las que menos utilizan en su gestión la conciencia que ayuda a entender los aspectos relacionados con la ética y los valores, la disposición de servicio y la participación. En este sentido, se concluye que las autoridades entrevistadas, suelen poner en práctica la colaboración y el trabajo en equipo, asumir en su gestión las características del liderazgo de servicio, conjugando en si conductas que se corresponden con el estilo de liderazgo analizado, pero no tienden a usar estas características para lograr la productividad porque carecen de la empatía que les permita establecer una filoso-fía de gestión en consonancia con el talento humano que tienen a su cargo.

  5. El liderazgo de servicio como instrumento fundamental de productividad en las organizaciones universitarias de gestión privada

    Directory of Open Access Journals (Sweden)

    Marcos Albarrán

    2014-05-01

    Full Text Available 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 alternativas de respuesta, a saber: siempre, frecuentemente, algunas veces, casi nunca, nunca. El cálculo de confiabilidad mediante la aplicación del coeficiente de Alfa de Cronbach, obteniéndose un índice de 0.945. Los resultados obtenidos permiten establecer que la población objeto de estudio tiene todas las características del liderazgo de servicio consideradas, siendo las que menos utilizan en su gestión la conciencia que ayuda a entender los aspectos relacionados con la ética y los valores, la disposición de servicio y la participación. En este sentido, se concluye que las autoridades entrevistadas, suelen poner en práctica la colaboración y el trabajo en equipo, asumir en su gestión las características del liderazgo de servicio, conjugando en si conductas que se corresponden con el estilo de liderazgo analizado, pero no tienden a usar estas características para lograr la productividad porque carecen de la empatía que les permita establecer una filosofía de gestión en consonancia con el talento humano que tienen a su cargo.

  6. La competencia mediática en personas mayores. Propuesta de un instrumento de evaluación

    Directory of Open Access Journals (Sweden)

    Ramón Tirado Morueta

    2012-07-01

    Full Text Available 0 0 1 174 959 mod 7 2 1131 14.0 Normal 0 21 false false false ES JA X-NONE El artículo muestra el proceso de creación y validación, a través de prueba piloto, de un test para evaluar la competencia mediática de personas mayores de 60 años. Partiendo de la revisión de literatura sobre las diferentes concepciones de competencia mediática, y de la propuesta de Ferrés y Aguaded (2011 sobre el grado de competencia de la ciudadanía en España, así como de otros instrumentos semejantes utilizados en otros países de la Unión Europea, se propone utilizando la triangula de expertos, un test que trata de medir el nivel de competencia mediática de la ciudadanía de más de 60 años que participan en experiencias formativas universitarias. El método de validación es la aplicación de una prueba piloto a una muestra de 17 personas con 60 años o más, entre los cuales seis tienen estudios primarios, otros seis poseen estudios medios, y cinco estudios universitarios. Como resultado del estudio se propone un test, que en su aplicación a muestras mayores continuará en proceso de validación, en el que disminuye el número de ítems tratándose de adecuar a la realidad del colectivo indicado de personas mayores.

  7. Linkage between company scores and stock returns

    Directory of Open Access Journals (Sweden)

    Saban Celik

    2017-12-01

    Full Text Available Previous studies on company scores conducted at firm-level, generally concluded that there exists a positive relation between company scores and stock returns. Motivated by these studies, this study examines the relationship between company scores (Corporate Governance Score, Economic Score, Environmental Score, and Social Score and stock returns, both at portfolio-level analysis and firm-level cross-sectional regressions. In portfolio-level analysis, stocks are sorted based on each company scores and quintile portfolio are formed with different levels of company scores. Then, existence and significance of raw returns and risk-adjusted returns difference between portfolios with the extreme company scores (portfolio 10 and portfolio 1 is tested. In addition, firm-level cross-sectional regression is performed to examine the significance of company scores effects with control variables. While portfolio-level analysis results indicate that there is no significant relation between company scores and stock returns; firm-level analysis indicates that economic, environmental, and social scores have effect on stock returns, however, significance and direction of these effects change, depending on the included control variables in the cross-sectional regression.

  8. The Rectal Cancer Female Sexuality Score

    DEFF Research Database (Denmark)

    Thyø, Anne; Emmertsen, Katrine J; Laurberg, Søren

    2018-01-01

    BACKGROUND: Sexual dysfunction and impaired quality of life is a potential side effect to rectal cancer treatment. OBJECTIVE: The objective of this study was to develop and validate a simple scoring system intended to evaluate sexual function in women treated for rectal cancer. DESIGN......: This is a population-based cross-sectional study. SETTINGS: Female patients diagnosed with rectal cancer between 2001 and 2014 were identified by using the Danish Colorectal Cancer Group's database. Participants filled in the validated Sexual Function Vaginal Changes questionnaire. Women declared to be sexually active...... in the validation group. PATIENTS: Female patients with rectal cancer above the age of 18 who underwent abdominoperineal resection, Hartmann procedure, or total/partial mesorectal excision were selected. MAIN OUTCOME MEASURES: The primary outcome measured was the quality of life that was negatively affected because...

  9. Cardiovascular risk scores for coronary atherosclerosis.

    Science.gov (United States)

    Yalcin, Murat; Kardesoglu, Ejder; Aparci, Mustafa; Isilak, Zafer; Uz, Omer; Yiginer, Omer; Ozmen, Namik; Cingozbay, Bekir Yilmaz; Uzun, Mehmet; Cebeci, Bekir Sitki

    2012-10-01

    The objective of this study was to compare frequently used cardiovascular risk scores in predicting the presence of coronary artery disease (CAD) and 3-vessel disease. In 350 consecutive patients (218 men and 132 women) who underwent coronary angiography, the cardiovascular risk level was determined using the Framingham Risk Score (FRS), the Modified Framingham Risk Score (MFRS), the Prospective Cardiovascular Münster (PROCAM) score, and the Systematic Coronary Risk Evaluation (SCORE). The area under the curve for receiver operating characteristic curves showed that FRS had more predictive value than the other scores for CAD (area under curve, 0.76, P MFRS, PROCAM, and SCORE) may predict the presence and severity of coronary atherosclerosis.The FRS had better predictive value than the other scores.

  10. Una dimensión didáctica y conceptual de un instrumento para la Valoración de Objetos Virtuales de Aprendizaje. El caso de las fracciones

    Directory of Open Access Journals (Sweden)

    Mónica María Triana-Muñoz

    2016-01-01

    Full Text Available Estudios realizados sobre el tema de valoración de objetos virtuales de aprendizaje han aportado instrumentos que en gran medida han sido pensados para atender la generalidad de aspectos estructurales y no han profundizado en aspectos metodológicos, ni han atendido a particularidades intrínsecas de los conocimientos propios de una disciplina, lo que sugirió la necesidad de proponer e investigar sobre la definición de las características de un instrumento de valoración, atendiendo a las particularidades de las matemáticas y de sus contenidos. Para consolidar la construcción del instrumento de valoración de objetos virtuales de aprendizaje, se llegó a la conclusión que este debería atender a la relación entre el contenido, la pedagogía y la tecnología, aspectos que se profundizan en el marco teórico de la investigación. Un instrumento de carácter didáctico-conceptual, que abarca varias dimensiones y cuenta con unas orientaciones generales para los temas del área de matemáticas, en específico para la enseñanza de las fracciones, proporcionando un espacio de participación al profesor para la construcción del instrumento como tal. El instrumento de valoración fue validado en varias etapas, donde fueron partícipes profesores de matemáticas de diferentes niveles educativos. Como resultado de este proceso investigativo surgió un Instrumento nombrado “Valoración de Objetos Virtuales de Aprendizaje para la enseñanza de las fracciones” , que pretendió llenar el vacío estructural y de contenido identificado en los demás instrumentos existentes.

  11. Ansiedade infantil e instrumentos de avaliação: uma revisão sistemática Childhood anxiety and assessment instruments: a systematic review

    Directory of Open Access Journals (Sweden)

    Wildson Vieira da Silva

    2005-12-01

    Full Text Available OBJETIVO: Fazer um levantamento dos principais instrumentos de avaliação da ansiedade em crianças, quando surgiram, que tipos de estudos foram realizados com os mesmos, verificando os países de maior incidência de aplicação dos testes, bem como a realidade dos instrumentos no Brasil. MÉTODOS: Revisão sistemática em bancos de dados eletrônicos _ Psychoinfo (1940 _ Maio 2002, Psyclit (1887 _ maio 2002, Medline (1966 _ maio 2002 e Eric (1966 _ maio 2002. Busca de informações fundamentada em comunicação pessoal e capítulos de livros. O critério de inclusão foi: estudos realizados com crianças, nos quais o construto ansiedade foi avaliado por algum instrumento psicométrico. Critérios de exclusão: artigos alusivos à pesquisa com adolescentes, adultos e animais; artigos utilizando testes projetivos ou sem a indicação do instrumento. Os artigos indexados repetidamente em dois ou mais bancos foram considerados apenas uma vez. RESULTADOS: Esta revisão apontou 1.911 estudos que utilizaram, no mínimo, um instrumento de avaliação de ansiedade; 118 instrumentos foram usados para este fim. Conclusões: Atualmente, existem inúmeros instrumentos disponíveis para avaliação da ansiedade em crianças; entretanto, no Brasil, a escala disponível no mercado está desatualizada e as mais modernas encontram-se somente em centros clínicos acadêmicos.OBJECTIVE: To make a survey of the principal anxiety instruments available for children, when they appeared, the type of methods used, verifying which countries have the highest number of children anxiety instruments and also how is the Brazilian reality on this matter. METHODS: A systematic review on electronic databases _ Psychoinfo (1940 _ May 2002, Psyclit (1887 _ May 2002, Medline (1966 _ May 2002 e Eric (1966 _ May 2002. Information collected on personal communications and books chapters. The inclusion criterion utilized: studies realized with children, where the anxiety were

  12. Configuração glótica em tocadores de instrumento de sopro Glottic configuration in wind instrument players

    Directory of Open Access Journals (Sweden)

    Claudia Alessandra Eckley

    2006-02-01

    Full Text Available O conhecimento dos problemas de saúde relacionados à voz ocupacional torna-se cada vez mais importante à medida que mais indivíduos usam a voz como instrumento de trabalho. Os músicos tocadores de instrumento de sopro são um grupo bastante específico de indivíduos que usa o trato vocal intensamente no exercício de suas atividades profissionais. Curiosamente, pouco ou nada temos relatado sobre a atuação direta da laringe nesta modalidade profissional. OBJETIVO: O objetivo do atual estudo foi avaliar o comportamento da laringe e do trato vocal de músicos tocadores de instrumento de sopro. MATERIAL E MÉTODO: Foram estudados 10 indivíduos tocadores profissionais de instrumento de sopro através de videonasofibrolaringoscopia, sendo observados o comportamento da laringe, faringe e língua durante o tocar do instrumento. RESULTADOS: Em todos os participantes deste estudo observamos que os tons musicais foram produzidos durante a adução das pregas vocais. O relato de maior dificuldade técnica de tocar determinada peça musical estava relacionado a uma maior tensão glótica (constricção látero-lateral e supraglótica. CONCLUSÕES: A glote participa ativamente da produção sonora do instrumento de sopro e que alterações na configuração glótica podem interferir na produção sonora musical final. Estes conhecimentos sugerem a necessidade de incluir os músicos tocadores de instrumento de sopro no grupo dos chamados profissionais da voz.INTRODUCTION: Knowledge of occupational voice disorders has gained increased importance as more individuals rely on their voices for their work. Wind instrument players are a specific group of individuals that present intensive use of the vocal tract associated with blowing their instrument. Interestingly, only a small number of reports focus on the laryngeal function of such professionals. AIM: The current study evaluated the laryngeal and vocal tract movement of wind instrument players. MATERIAL

  13. Dynamic Scoring Through Creative Destruction

    NARCIS (Netherlands)

    van Oudheusden, P.

    2012-01-01

    Abstract: We examine the dynamic feedback effects of fiscal policies on the government budget and economy activity in a calibrated general equilibrium framework featuring endogenous growth through creative destruction. For several European countries, we find that making tax incentives with respect

  14. Interobserver variability of the neurological optimality score

    NARCIS (Netherlands)

    Monincx, W. M.; Smolders-de Haas, H.; Bonsel, G. J.; Zondervan, H. A.

    1999-01-01

    To assess the interobserver reliability of the neurological optimality score. The neurological optimality score of 21 full term healthy, neurologically normal newborn infants was determined by two well trained observers. The interclass correlation coefficient was 0.31. Kappa for optimality (score of

  15. Semiparametric score level fusion: Gaussian copula approach

    NARCIS (Netherlands)

    Susyanyo, N.; Klaassen, C.A.J.; Veldhuis, Raymond N.J.; Spreeuwers, Lieuwe Jan

    2015-01-01

    Score level fusion is an appealing method for combining multi-algorithms, multi- representations, and multi-modality biometrics due to its simplicity. Often, scores are assumed to be independent, but even for dependent scores, accord- ing to the Neyman-Pearson lemma, the likelihood ratio is the

  16. Breaking of scored tablets : a review

    NARCIS (Netherlands)

    van Santen, E; Barends, D M; Frijlink, H W

    The literature was reviewed regarding advantages, problems and performance indicators of score lines. Scored tablets provide dose flexibility, ease of swallowing and may reduce the costs of medication. However, many patients are confronted with scored tablets that are broken unequally and with

  17. Validation of Automated Scoring of Science Assessments

    Science.gov (United States)

    Liu, Ou Lydia; Rios, Joseph A.; Heilman, Michael; Gerard, Libby; Linn, Marcia C.

    2016-01-01

    Constructed response items can both measure the coherence of student ideas and serve as reflective experiences to strengthen instruction. We report on new automated scoring technologies that can reduce the cost and complexity of scoring constructed-response items. This study explored the accuracy of c-rater-ML, an automated scoring engine…

  18. Construcción y validación inicial de un instrumento para medir el estilo de vida en pacientes con diabetes mellitus tipo 2 Development and initial validation of an instrument to measure lifestyle of type 2 diabetes mellitus patients

    Directory of Open Access Journals (Sweden)

    Juan Manuel López-Carmona

    2003-08-01

    Full Text Available 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 sometido a revisión por un panel multidisciplinario de expertos para determinar su validez lógica y de contenido. Se aplicó el instrumento en dos días diferentes a 412 sujetos adultos con diabetes mellitus. Fueron depurados los ítems considerando la frecuencia de selección de sus opciones de respuesta, su correlación ítem-total y su carga significativa en los dominios durante el análisis factorial. RESULTADOS: Completaron el estudio 389 (94.7% sujetos. Los coeficientes de correlación intra-clase para la validez lógica y de contenido fueron de 0.91 y 0.95, respectivamente. Después de la depuración de ítems se obtuvo un instrumento conformado por 25 preguntas cerradas, distribuidas en siete dominios: nutrición, actividad física, consumo de tabaco, consumo de alcohol, información sobre diabetes, emociones y adherencia terapéutica. El a de Cronbach para la calificación total fue de 0.81 y el coeficiente de correlación test-retest de 0.84. CONCLUSIONES: El instrumento para medir el estilo de vida en diabéticos es el primer cuestionario específico para sujetos con diabetes mellitus tipo 2 y tiene validez aparente, validez de contenido y buen nivel de consistencia.OBJECTIVE: To develop and validate a specific instrument to measure lifestyle of type 2 diabetes mellitus (DM2 patients. MATERIAL AND METHODS: A longitudinal, observational, prospective study was conducted between March 2001 and April 2002 at family medicine healthcare units of

  19. Timing of Emergency Medicine Student Evaluation Does Not Affect Scoring.

    Science.gov (United States)

    Hiller, Katherine M; Waterbrook, Anna; Waters, Kristina

    2016-02-01

    Evaluation of medical students rotating through the emergency department (ED) is an important formative and summative assessment method. Intuitively, delaying evaluation should affect the reliability of this assessment method, however, the effect of evaluation timing on scoring is unknown. A quality-improvement project evaluating the timing of end-of-shift ED evaluations at the University of Arizona was performed to determine whether delay in evaluation affected the score. End-of-shift ED evaluations completed on behalf of fourth-year medical students from July 2012 to March 2013 were reviewed. Forty-seven students were evaluated 547 times by 46 residents and attendings. Evaluation scores were means of anchored Likert scales (1-5) for the domains of energy/interest, fund of knowledge, judgment/problem-solving ability, clinical skills, personal effectiveness, and systems-based practice. Date of shift, date of evaluation, and score were collected. Linear regression was performed to determine whether timing of the evaluation had an effect on evaluation score. Data were complete for 477 of 547 evaluations (87.2%). Mean evaluation score was 4.1 (range 2.3-5, standard deviation 0.62). Evaluations took a mean of 8.5 days (median 4 days, range 0-59 days, standard deviation 9.77 days) to complete. Delay in evaluation had no significant effect on score (p = 0.983). The evaluation score was not affected by timing of the evaluation. Variance in scores was similar for both immediate and delayed evaluations. Considerable amounts of time and energy are expended tracking down delayed evaluations. This activity does not impact a student's final grade. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. Aplicação de instrumentos de avaliação de estados de humor na detecção da síndrome do excesso de treinamento Aplicación de instrumentos de evaluación de los estados de humor en la detección del síndrome de exceso de entrenamiento Application of mood states validation instruments in the detection of the overtraining syndrome

    Directory of Open Access Journals (Sweden)

    Izabel Cristina Provenza de Miranda Rohlfs

    2004-04-01

    Full Text Available As pressões provocadas pelas exigências do esporte competitivo levam muitos atletas a excederem os limites de sua capacidade física e psicológica, acarretando a manifestação da síndrome do excesso de treinamento (overtraining. O intuito deste artigo de revisão é, a partir do material original, discutir o processo de validação do Perfil dos Estados de Humor-Adolescentes (POMS-A para uso em adultos(1. Esse instrumento foi desenvolvido para permitir uma rápida mensuração dos estados de humor entre populações de adolescentes e adultos, já tendo sido demonstrada, em recentes pesquisas, sua eficácia no diagnóstico desses estados alterados pelo treinamento intensivo. O POMS-A foi administrado a atletas adultos de competição, atletas estudantes adultos, atletas adolescentes de competição e estudantes adolescentes. Um subgrupo de atletas estudantes adultos foi utilizado para testar a validade do critério do POMS-A. A análise do fator confirmatório deu suporte para a validade fatorial do modelo de 24 itens e seis fatores, usando ambas as análises: independente e amostras múltiplas. Relações entre os escores do POMS-A e medidas validadas previamente, que eram coerentes com fundamentações teóricas, sustentaram a validade do critério de medida. Evidências foram encontradas dando suporte à integridade psicométrica do POMS-A quando se estendeu de adolescentes para populações de adultos. Tais evidências sugerem que o POMS-A é um instrumento apropriado para avaliação de perfis do humor, além do que a brevidade do teste facilita a coleta de dados em ambientes de pesquisa. Pretende-se, em estudos posteriores, validar e aplicar o instrumento BRUMS (nome atual do POMS-A na detecção da síndrome do excesso de treinamento em atletas brasileiros, para o que já existe autorização dos autores Terry, Lane e Fogarty(1.Las presiones provocadas por las exigencias del deporte competitivo llevan muchos atletas a exceder los l

  1. Um instrumento para a avaliação de sistemas de gestão integrados

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    Camila Fabrício Poltronieri

    Full Text Available Resumo: A utilização de sistemas de gestão, tais como ISO 9001, ISO 14001 e OHSAS 18001, tem aumentado, assim como a necessidade de integrá-los. A integração traz diversos benefícios como melhora na tomada de decisão, diminuição do risco de se ter atividades redundantes e contraditórias, bem como melhor utilização de recursos. É importante se estabelecer uma forma de avaliar o grau de maturidade em Sistemas de Gestão Integrados (SGI, tendo em vista que a integração proporciona muitos benefícios. Um instrumento que faça essa avaliação poderá propor melhorias visando uma integração maior. Por meio de uma revisão na literatura, foi possível notar que não há trabalhos que realizem a avaliação da maturidade da integração de sistemas de gestão tomando como ponto de apoio o conceito de modelos de maturidade e a estrutura utilizada pelo modelo apresentado na ISO 9004. Foi feita uma revisão exploratória seguida de uma revisão bibliográfica sistemática sobre SGI, assim como foi realizada uma pesquisa bibliográfica sobre modelo de maturidade. O passo seguinte foi o desenvolvimento de uma ferramenta que recebeu a avaliação de especialistas acadêmicos e profissionais da indústria. Conta com 21 questões divididas em 4 áreas, sendo elas: Política; Planejamento; Implementação/Execução; e Verificação/Ação. Como resultado alcançado, é possível destacar a apresentação de um panorama geral sobre as pesquisas em SGI, bem como a proposta de uma ferramenta de avaliação do grau de maturidade da integração dos sistemas de gestão. Conclui-se que têm aumentado, ao longo dos anos, trabalhos relacionados à SGI e que tal estudo é importante tanto do ponto de vista do mercado como acadêmico.

  2. Um instrumento para a avaliação de sistemas de gestão integrados

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    Camila Fabrício Poltronieri

    2015-01-01

    Full Text Available A utilização de sistemas de gestão, tais como ISO 9001, ISO 14001 e OHSAS 18001, tem aumentado, assim como a necessidade de integrá-los. A integração traz diversos benefícios como melhora na tomada de decisão, diminuição do risco de se ter atividades redundantes e contraditórias, bem como melhor utilização de recursos. É importante se estabelecer uma forma de avaliar o grau de maturidade em Sistemas de Gestão Integrados (SGI, tendo em vista que a integração proporciona muitos benefícios. Um instrumento que faça essa avaliação poderá propor melhorias visando uma integração maior. Por meio de uma revisão na literatura, foi possível notar que não há trabalhos que realizem a avaliação da maturidade da integração de sistemas de gestão tomando como ponto de apoio o conceito de modelos de maturidade e a estrutura utilizada pelo modelo apresentado na ISO 9004. Foi feita uma revisão exploratória seguida de uma revisão bibliográfica sistemática sobre SGI, assim como foi realizada uma pesquisa bibliográfica sobre modelo de maturidade. O passo seguinte foi o desenvolvimento de uma ferramenta que recebeu a avaliação de especialistas acadêmicos e profissionais da indústria. Conta com 21 questões divididas em 4 áreas, sendo elas: Política; Planejamento; Implementação/Execução; e Verificação/Ação. Como resultado alcançado, é possível destacar a apresentação de um panorama geral sobre as pesquisas em SGI, bem como a proposta de uma ferramenta de avaliação do grau de maturidade da integração dos sistemas de gestão. Conclui-se que têm aumentado, ao longo dos anos, trabalhos relacionados à SGI e que tal estudo é importante tanto do ponto de vista do mercado como acadêmico.

  3. La Lista Suja como Instrumento Eficaz para Reprimir la Explotación Laboral en Condiciones Similares a la Esclavitud

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    Maria da Conceição Maia Pereira

    2015-12-01

    Full Text Available Con la firma de la Lei Áurea en 1888, Brasil fue el último país de América Latina en abolir la esclavitud. Sin embargo, el uso de mano de obra en condiciones análogas a la esclavitud perdura hasta nuestros días. Tanto es así que, en 1995, el gobierno de Brasil reconoció oficialmente su responsabilidad en la existencia de esta llaga social y se comprometió a juzgar y punir a los que utilizan de tal práctica y adoptar medidas para erradicarla y prevenirla. Entre los diversos instrumentos utilizados por el gobierno brasileño para reprimir la explotación laboral en condiciones similares a la esclavitud en su territorio, lo que atenta contra la dignidad de la persona humana, hay el Registro de Empleadores atrapados por mantener los trabajadores en condiciones similares a la esclavitud, la llamada lista suja (N.T.: lista sucia, en español. Establecida por un decreto del Ministerio de Trabajo y Empleo, contra la cual hubo la presentación de la Acción Directa de Inconstitucionalidad ante la Corte Suprema, la lista suja revela a la sociedad, basado en la Ley de Acceso a la Información, los empleadores que todavía practican la esclavitud contemporánea. En este contexto, este artículo trata de abordar la cuestión de la existencia de trabajo en condiciones análogas a la esclavitud en el siglo XXI, presentando el concepto de práctica tan odiosa, cuales son las medidas adoptadas por el gobierno para erradicar y combatir la esclavitud contemporánea en el país y, en concreto, analizar la efectividad y sostener el mantenimiento de la "lista suja". Con este objetivo, la metodología adoptada será la investigación bibliográfica.

  4. Conceitos de asma e instrumentos de levantamentos epidemiológicos de prevalência

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    M.M. Vasconcelos

    2004-07-01

    Full Text Available RESUMO: A asma, doença multifactorial, de alta prevalência, com recorrência frequente, acomete indivíduos independentemente de idade, sexo e área geográfica. Por não haver consenso quanto à sua definição, diversos questionários foram desenvolvidos para padronização dos critérios epidemiológicos de suspeição ou diagnóstico, entre eles o da Comunidade Europeia de Saúde Respiratória (European Community Respiratory Health Survey - ECRHS, ferramenta importante para o estudo da prevalência em adultos com idade entre 20 e 44 anos, conferindo melhoria da qualidade metodológica dos levantamentos epidemiológicos, tornando-os comparáveis em tempo e local. Os objectivos deste artigo são comentar a evolução do conceito de asma e suas repercussões sobre os levantamentos epidemiológicos, historiar os instrumentos utilizados nesses levantamentos, relevando a importância do ECRHS, e apresentar dados epidemiológicos de asma em 351 trabalhadores de hospital-escola, na cidade de Recife – Pernambuco - Brasil.REV PORT PNEUMOL 2004; X (4: 319-329 ABSTRACT: Introduction: Asthma, as a multifatorial disease, with high prevalence and frequent recurrence, attack people, independently of age, sex and geographical area. Because of lack of consensus about the definition of asthma, many questionnaires have been developed to standardize epidemiological criteria of suspicion and diagnosis. Among them, the European Community Respiratory Health Survey (ECRHS is an important tool for prevalence studies on adults aged from 20 to 44 years old, that represented a methodological improvement of epidemiological surveys, turning them comparable about time and place. The objectives of this article are to comment the evolution of asthma concepts and its repercussion on epidemiological surveys, as well as to chronicle the tools used on these surveys, emphasizing the importance of ECRHS and

  5. Desenvolvimento e aplicação de instrumento administrativo para orientação das pesquisas em telefonoaudiologia

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    Paulo Marcos Zanferrari

    2016-04-01

    Full Text Available RESUMO Objetivo: desenvolver e aplicar um instrumento para orientação das pesquisas em Telefonoaudiologia e identificar os pontos fortes e fracos destes projetos. Métodos: foi desenvolvido um questionário, abordando quatro competências distintas: administrativa, tecnológica, financeira e de sustentabilidade. Realizou-se a aplicação com 11 docentes que desenvolviam projetos na área de Telefonoaudiologia. Tais dados foram analisados por meio de estatística descritiva e aplicada a Matriz SWOT, que possibilitou identificar os pontos fortes e fracos, bem como o Diagrama de Ishikawa, para identificar os efeitos e causas. Resultados: foram aplicados os questionários e analisados 32 projetos em que os pontos fortes foram: a missão do projeto, a qualidade das informações, os canais de comunicação e os benefícios proporcionados aos usuários, tendo como principais causas a utilização de multimeios específicos, a educação continuada, a quantidade de informações disponibilizadas e o comprometimento do capital humano. Quanto aos pontos fracos, constatou-se a ausência de especialização da mão de obra em determinadas etapas do projeto, a falta de atualização de hardware e software, a exclusão digital de usuários e a obsolescência do projeto, sendo as principais causas concentradas na dificuldade de suporte técnico, profissionais para divulgação e treinamento, estratégias de marketing e a manutenção dos projetos desenvolvidos. Conclusão: foi desenvolvido e aplicado o questionário, sendo identificados os pontos fortes e pontos fracos, estando associados a especialização do capital humano. A maximização do tempo e a atualização dos recursos digitais foram identificados como insumos importantes para ampliar os benefícios dos projetos de Telessaúde, rumo à vantagem competitiva organizacional.

  6. Un instrumento para evaluar cambios en las etapas de preocupaciones de profesores: el inventario de preocupaciones de profesores

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    Carlos MARCELO GARCÍA

    2009-11-01

    Full Text Available RESUMEN: Se describe el proceso de elaboración y validación de un instrumento para analizar la evolución en las etapas de preocupaciones de profesores. El modelo CBAM Q'Concern Based Adoption Model", se desarrolló a partir de los trabajos de Fuller. Tratamos de conocer los cambios que se producen en profesores principiantes que participaban en un programa de formación. El Inventario de Preocupaciones de Profesores consta de 42 items que responden a siete dimensiones: No Preocupación, Información, Personal, Gestión, Alumnos, Colaboración y Renovación. A través de análisis factorial, de Cronbach contrastamos la validez y Habilidad del inventario. Se realizan también entrevistas para contrastar la validez.ABSTRACT: The process of elaboration and validiting of an instrument for the analysis of changes in teachers' stages of concern is described. The model CBAM ("Concern Based Adoption Model", was developed from the work of Fuller. In this research we try to evalúate the changes in beginning teachers1 concern produced for the participation in a staff development semminar. The Teachers1 Concern Inventory has 42 items grouped in seven dimensions: No Concern, Information, Personal, Management, Pupils, Colaboration, and Restructuring. Factor analysis and Cronbach' were used for valídate and reliability.RESUME: L1 objectif de ce travail est de dresser un inventaire de preocupation de professeurs débutants. Dans ce etude nous faisson l'evaluation d'un programme pour la formation de professeurs débutants. Le Inventaire de Preocupations de Professeurs a 2 items agroupé dans 7 dimensions. L'article décrit l'Inventaire de Preocupations de Professeurs ainsi que le processus de validation et les résultats obtenus aprés son application a un groupe de professeurs débutants.

  7. Nutritional screening tools application in a general hospital: a comparative study Aplicação de instrumentos de triagem nutricional em hospital geral: um estudo comparativo

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    Janaína Damasceno Bezerra

    2012-05-01

    Full Text Available Introduction: There are many nutritional screening tools and it becomes difficult to choose which one is the best to be used in clinical nutrition practice. Objective: To compare five nutritional screening tools (MST, NRS-2002, MUST, MNA and MNA-SF in adults and elderly hospitalized. Materials and Methods: A cross-sectional study, with the application of nutritional screening tools in adult and elderly patients in the first 48 hours of hospitalization was performed. Nutritional risk occurrence between adult and elderly patients was compared. Statistical analyses were performed using descriptive data and a non-parametric test (Man Whitney. Results: We evaluated 77 patients, 51 (66.2% adults and 26 (33.8% elderly, aged 53.6 (standard deviation of 17.9 years, with female predominance (53.2%. The main reasons for hospitalization were neoplasia and nephrolithotripsy. Overall, one quarter of patients was at nutritional risk. Nutritional risk in adults was detected with similarity by MUST and MST. However it was underestimated by NRS-2002. The MNA and MNA-SF, exclusively for the elderly, also had similar result to detect nutritional risk. In relation to the time of application, the MNA was the instrument with longer application time. Conclusion: Considering the higher detection of patients with nutritional risk, the easiness and the lower application time, we suggest, respectively, MUST and MNA-SF to be used in adult and elderly patients admitted in this hospital.Introdução: Com inúmeros instrumentos de triagem nutricional existentes, é difícil eleger o mais adequado para os protocolos de nutrição hospitalar. Objetivo: Comparar cinco instrumentos de triagem nutricional (MST, NRS-2002, MUST, MNA e MNA-SF em adultos e idosos hospitalizados. Materiais e Métodos: Nesse estudo transversal, cinco instrumentos de triagem nutricional foram aplicados aos pacientes nas primeiras 48 horas de internação hospitalar. A ocorrência de risco nutricional

  8. Validación de instrumento para identificar el nivel de vulnerabilidad de los trabajadores de la salud a la tuberculosis en instituciones de salud (IVTS TB-001

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    Óscar Andrés Cruz Martínez

    2015-12-01

    Full Text Available La Salud y Seguridad en el trabajo son una prioridad en los trabajadores que cuidan la salud, dada su permanente exposición a factores de riesgo en el proceso de trabajo que desarrollan. De forma particular, la exposición a la tuberculosis en los trabajadores sanitarios, se considera una problemática frecuente y relevante en su estudio, lo cual precisa la necesidad de desarrollar procesos metodológicos y de validación de instrumentos sólidos, que contribuyan a la identificación e intervención de los factores de vulnerabilidad de los trabajadores del sector salud a la tuberculosis. Objetivo: Diseñar y validar un instrumento que permita identificar el nivel de vulnerabilidad de los Trabajadores de la Salud a la Tuberculosis en Instituciones de Salud. Materiales y Métodos: Estudio de tipo metodológico, correspondiente al diseño y validación de un instrumento en sus fases de validación aparente y validación de contenido, que permita identificar el nivel de vulnerabilidad de los Trabajadores de la Salud a la Tuberculosis en Instituciones de Salud Resultados: Se efectuó el diseño del instrumento, en sus 4 dimensiones, 19 subdimensiones y 50 ítems, con su posterior validación aparente en la población objeto, mediante la valoración de la comprensibilidad, en una muestra aleatoria de N° = (502 trabajadores de la salud de dos instituciones en las cuales se brinda atención a pacientes con diagnóstico de tuberculosis. La valoración de la Comprensibilidad del instrumento en los trabajadores, fue del (97,8%. De igual manera, se realizó juicio de expertos y se obtuvo un índice mayor de > 0.58 en la comprensión de los ítems con N= (0.90, una precisión del N = (0.90, y una claridad del N = (0.92. En la validación de contenido se obtuvo una razón de validez de Lawshe modificado por Tristán del N = (0,91, demostrando características de validez aparente y de contenido. Conclusión: El diseño y validación del instrumento (IVTS TB

  9. Combination of scoring schemes for protein docking

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    Schomburg Dietmar

    2007-08-01

    Full Text Available Abstract Background Docking algorithms are developed to predict in which orientation two proteins are likely to bind under natural conditions. The currently used methods usually consist of a sampling step followed by a scoring step. We developed a weighted geometric correlation based on optimised atom specific weighting factors and combined them with our previously published amino acid specific scoring and with a comprehensive SVM-based scoring function. Results The scoring with the atom specific weighting factors yields better results than the amino acid specific scoring. In combination with SVM-based scoring functions the percentage of complexes for which a near native structure can be predicted within the top 100 ranks increased from 14% with the geometric scoring to 54% with the combination of all scoring functions. Especially for the enzyme-inhibitor complexes the results of the ranking are excellent. For half of these complexes a near-native structure can be predicted within the first 10 proposed structures and for more than 86% of all enzyme-inhibitor complexes within the first 50 predicted structures. Conclusion We were able to develop a combination of different scoring schemes which considers a series of previously described and some new scoring criteria yielding a remarkable improvement of prediction quality.

  10. Forecasting the value of credit scoring

    Science.gov (United States)

    Saad, Shakila; Ahmad, Noryati; Jaffar, Maheran Mohd

    2017-08-01

    Nowadays, credit scoring system plays an important role in banking sector. This process is important in assessing the creditworthiness of customers requesting credit from banks or other financial institutions. Usually, the credit scoring is used when customers send the application for credit facilities. Based on the score from credit scoring, bank will be able to segregate the "good" clients from "bad" clients. However, in most cases the score is useful at that specific time only and cannot be used to forecast the credit worthiness of the same applicant after that. Hence, bank will not know if "good" clients will always be good all the time or "bad" clients may become "good" clients after certain time. To fill up the gap, this study proposes an equation to forecast the credit scoring of the potential borrowers at a certain time by using the historical score related to the assumption. The Mean Absolute Percentage Error (MAPE) is used to measure the accuracy of the forecast scoring. Result shows the forecast scoring is highly accurate as compared to actual credit scoring.

  11. Development of the siriraj clinical asthma score.

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    Vichyanond, Pakit; Veskitkul, Jittima; Rienmanee, Nuanphong; Pacharn, Punchama; Jirapongsananuruk, Orathai; Visitsunthorn, Nualanong

    2013-09-01

    Acute asthmatic attack in children commonly occurs despite the introduction of effective controllers such as inhaled corticosteroids and leukotriene modifiers. Treatment of acute asthmatic attack requires proper evaluation of attack severity and appropriate selection of medical therapy. In children, measurement of lung function is difficult during acute attack and thus clinical asthma scoring may aid physician in making further decision regarding treatment and admission. We enrolled 70 children with acute asthmatic attack with age range from 1 to 12 years (mean ± SD = 51.5 ± 31.8 months) into the study. Twelve selected asthma severity items were assessed by 2 independent observers prior to administration of salbutamol nebulization (up to 3 doses at 20 minutes interval). Decision for further therapy and admission was made by emergency department physician. Three different scoring systems were constructed from items with best validity. Sensitivity, specificity and accuracy of these scores were assessed. Inter-rater reliability was assessed for each score. Review of previous scoring systems was also conducted and reported. Three severity items had poor validity, i.e., cyanosis, depressed cerebral function, and I:E ratio (p > 0.05). Three items had poor inter-rater reliability, i.e., breath sound quality, air entry, and I:E ratio. These items were omitted and three new clinical scores were constructed from the remaining items. Clinical scoring system comprised retractions, dyspnea, O2 saturation, respiratory rate and wheezing (rangeof score 0-10) gave the best accuracy and inter-rater variability and were chosen for clinical use-Siriraj Clinical Asthma Score (SCAS). A Clinical Asthma Score that is simple, relatively easy to administer and with good validity and variability is essential for treatment of acute asthma in children. Several good candidate scores have been introduced in the past. We described the development of the Siriraj Clinical Asthma Score (SCAS) in

  12. A diagnostic scoring system for myxedema coma.

    Science.gov (United States)

    Popoveniuc, Geanina; Chandra, Tanu; Sud, Anchal; Sharma, Meeta; Blackman, Marc R; Burman, Kenneth D; Mete, Mihriye; Desale, Sameer; Wartofsky, Leonard

    2014-08-01

    To develop diagnostic criteria for myxedema coma (MC), a decompensated state of extreme hypothyroidism with a high mortality rate if untreated, in order to facilitate its early recognition and treatment. The frequencies of characteristics associated with MC were assessed retrospectively in patients from our institutions in order to derive a semiquantitative diagnostic point scale that was further applied on selected patients whose data were retrieved from the literature. Logistic regression analysis was used to test the predictive power of the score. Receiver operating characteristic (ROC) curve analysis was performed to test the discriminative power of the score. Of the 21 patients examined, 7 were reclassified as not having MC (non-MC), and they were used as controls. The scoring system included a composite of alterations of thermoregulatory, central nervous, cardiovascular, gastrointestinal, and metabolic systems, and presence or absence of a precipitating event. All 14 of our MC patients had a score of ≥60, whereas 6 of 7 non-MC patients had scores of 25 to 50. A total of 16 of 22 MC patients whose data were retrieved from the literature had a score ≥60, and 6 of 22 of these patients scored between 45 and 55. The odds ratio per each score unit increase as a continuum was 1.09 (95% confidence interval [CI], 1.01 to 1.16; P = .019); a score of 60 identified coma, with an odds ratio of 1.22. The area under the ROC curve was 0.88 (95% CI, 0.65 to 1.00), and the score of 60 had 100% sensitivity and 85.71% specificity. A score ≥60 in the proposed scoring system is potentially diagnostic for MC, whereas scores between 45 and 59 could classify patients at risk for MC.

  13. Proposta de um instrumento de medida para avaliar a satisfação de clientes de bancos utilizando a Teoria da Resposta ao Item Proposal of tool to assess the satisfaction of bank customers using the Item Response Theory

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    Alceu Balbim Junior

    2011-01-01

    Full Text Available Este artigo apresenta um instrumento de medida para avaliação da satisfação de clientes de bancos utilizando a Teoria da Resposta ao Item (TRI. Satisfazer os clientes tem sido uma busca constante das organizações que procuram manterem-se competitivas no mercado. Estudos constatam a relação entre a qualidade percebida pelos clientes, a satisfação e fidelidade. A avaliação da satisfação pode ser realizada por meio da qualidade percebida pelos clientes e a construção de ferramentas de avaliação deve contemplar características específicas da atividade em questão. Embasando-se em artigos que avaliam a satisfação de clientes de bancos, propõe-se um instrumento formado por 29 itens. Os itens foram aplicados a 240 clientes a fim de avaliar a satisfação com o banco de maior relacionamento. Utilizando a Teoria da Resposta ao Item, foram identificados os parâmetros dos itens e a curva de informação. A análise do grau de discriminação dos itens indicou que todos são apropriados. A curva de informação obtida evidenciou o intervalo no qual o instrumento apresenta melhores estimativas para níveis de satisfação. O trabalho apresentou o nível médio de satisfação da amostra e a concentração de clientes nos diferentes níveis de satisfação da escala.This paper presents a model for assessing the satisfaction of bank customers using the Item Response Theory (IRT. Organizations are constantly making effort to satisfy customers seeking to remain competitive. Several studies have reported on the relationship between perceived quality, satisfaction, and loyalty. The assessment of satisfaction can be accomplished through the perceived quality, and the development of assessment tools should address specific features of the activity in question. Based on articles that assess the satisfaction of bank customers, this study proposes an assessment tool consisting of 29 items. The items were applied to 240 clients to assess their

  14. A Escala de Humor de Brunel (Brums: instrumento para detecção precoce da síndrome do excesso de treinamento Brunel Mood Scale (BRUMS: an instrument for early detection of overtraining syndrome

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    Izabel Cristina Provenza de Miranda Rohlfs

    2008-06-01

    Full Text Available A síndrome do excesso de treinamento tem uma grande relevância no âmbito esportivo, principalmente no que se refere a atletas de elite que buscam superar seus limites e àqueles que se submetem à prática de atividade física sem orientação especializada. O uso periódico do instrumento POMS, Perfil dos Estados de Humor, tem demonstrado eficácia na detecção de sinais iniciais da síndrome, prevenindo seu desenvolvimento completo. Em 2003, uma de suas versões abreviadas, passou a se denominar BRUMS, Escala de Humor de Brunel. O objetivo desse trabalho é apresentar a escala traduzida para a língua portuguesa juntamente com os dados obtidos em atletas brasileiros, referentes à primeira etapa do seu processo de validação no Brasil. O instrumento foi submetido ao método tradução-tradução reversa. A amostra foi composta por 34 atletas de futebol profissional, do gênero masculino, adolescentes e adultos. A aplicação do instrumento foi efetuada antes e depois de um treino com cargas moderadas e antes e depois de um jogo com cargas de alta intensidade. Para verificar a sensibilidade do BRUMS nas duas situações, foi realizado um teste t de student, entre pré e pós de cada variável, e aplicado uma correlação linear de Pearson, para verificar a relação entre os estados de humor. Os resultados indicaram que a raiva e a confusão mental reduziram significativamente (pThe overtraining syndrome has a great relevance in the sportive scope, mainly as for elite athletes who search to transcend their limits and for those who submit to physical activity practice without specialized orientation. The periodic use of the POMS instrument, Profile of Mood States, has demonstrated effectiveness in the detection of the syndrome’s initial signals, preventing its complete development. In 2003, one of its shortened versions, started to be called BRUMS, Brunel Mood Scale. The objective of this work is to present the scale translated into

  15. Propuesta de mejora de los instrumentos de evaluación del Servicio de Políticas de Diversidad y Ciudadanía de la Diputación de Barcelona

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    Anabel Díaz Pineda

    2013-10-01

    Full Text Available El presente trabajo describe el proceso de mejora de los instrumentos de evaluación del Servicio de Políticas de Diversidad y Ciudadanía de la Diputación de Barcelona que se llevó a cabo como parte de la adaptación de dicha institución a las nuevas demandas de los gobiernos locales. Así, se analizan los instrumentos de evaluación del Servicio detectándose una serie de carencias. En concreto, se observa una necesidad de adecuación del sistema de indicadores a la nueva realidad presupuestaria; una necesidad de definir los indicadores de tal manera que se pueda estudiar la tendencia temporal de las acciones llevadas a cabo; la necesidad de mejorar la información recogida que, hasta el momento, no reflejaba con claridad la realidad del Servicio así como las variables utilizadas, que no contaban con una definición precisa de los elementos que las componían. Para superar dichas carencias, se presenta una propuesta de sistema de indicadores de gestión adecuado al Servicio haciendo especial referencia al diseño, la definición y la gestión interna de dichos indicadores de gestión. This paper describes the process of improving the evaluation instruments of the Diversity and Citizenship Policy Service of the Barcelona Provincial Council, process that was held as part of the institution adaptation to the new demands of local governments. Thus, we analyze the evaluation instruments of the Service detecting a number of shortcomings. In particular, we observe the need to adapt the system of indicators to new budgetary reality; the need to define the indicators to allow the study of the temporal trend of the activities carried out; the need to improve the information given that the information collected so far did not reflect properly the reality of the Service, and the variables used given that they did not have a precise definition of their composing elements. To overcome these shortcomings we present a proposal of performance indicators

  16. Formation of borrower’s bank credit scoring integrated model

    Directory of Open Access Journals (Sweden)

    O.V. Lysenok

    2017-03-01

    Full Text Available The article proposes the borrower’s bank credit scoring model that is of particular relevance in an unstable world and Ukrainian financial markets. The essence of this integrated model is the consistent definition of indicators, which analyze the financial and economic situation and development of scoring that allows to calculate overall index, that is, the integral factor of credit scoring level of the bank to calculate which one uses the formed set of factors characterizing riskiness, profitability and liquidity of the banking institution. The author determines the factors according to their functional purpose; the former ones are divided into four groups: capital adequacy, loan portfolio quality, profitability and liquidity. Each group consists of four indicators; each indicator is assigned thresholds to determine the appropriate credit scoring level of the bank for one or another direction. The higher is the value of the integral factor, the more efficient and less risky is the financial and economic activity of banks and the higher is their credit scoring level. The study concludes that the proposed model for bank credit scoring differs with its transparency and clarity due to use in its implementation only public information. The disadvantages include the presence of the subjective factor in assigning a certain number of points based on expert and normative methods.

  17. Evidenciação de instrumentos financeiros derivativos nas demonstrações contábeis: uma análise das empresas brasileiras

    Directory of Open Access Journals (Sweden)

    Leandro Luís Darós

    2005-12-01

    Full Text Available Dentro da perspectiva de governança corporativa e de acordo com a Instrução Normativa 235 da Comissão de Valores Mobiliários - CVM, este trabalho apresenta uma pesquisa empírica sobre as formas de evidenciação de instrumentos financeiros derivativos nas Demonstrações Contábeis divulgadas no Brasil. Foram analisadas as Demonstrações Contábeis das vinte maiores empresas brasileiras não financeiras classificadas de acordo com a receita líquida. Como resultado constatou-se que a grande maioria das empresas não atende às determinações da CVM e não evidencia, de forma clara, concisa e objetiva, as informações referentes às suas operações envolvendo instrumentos financeiros derivativos. As principais divergências estão na falta de avaliação dos instrumentos a preços de mercado, ausência de divulgação das políticas de investimento em derivativos e falta de controle do risco de mercado, câmbio e crédito.In the context of financial statement disclosure and in accordance with determinations by the Brazilian Securities and Exchange Commission, this study presents rules and ways to disclose derivatives in financial statements. In the empirical analysis, we examined the financial statements of the twenty biggest public companies arranged by revenue. We verified that many companies do not comply with the Brazilian Securities and Exchange Commission's determinations and do not present a clear, concise and objective disclosure of related financial information. The main problems were related to the lack of evaluation in terms of fair value, lack of dissemination of investment policies in derivatives and quantitative and qualitative control of market, credit and exchange risks.

  18. A Comparison of Two Scoring Methods for an Automated Speech Scoring System

    Science.gov (United States)

    Xi, Xiaoming; Higgins, Derrick; Zechner, Klaus; Williamson, David

    2012-01-01

    This paper compares two alternative scoring methods--multiple regression and classification trees--for an automated speech scoring system used in a practice environment. The two methods were evaluated on two criteria: construct representation and empirical performance in predicting human scores. The empirical performance of the two scoring models…

  19. Verificação da e-TailQ como instrumento para mensurar a qualidade no varejo eletrônico

    OpenAIRE

    Vieira, Valter Afonso

    2008-01-01

    Para entender a percepção do consumidor quanto ao varejo eletrônico em sua dimensionalidade, este artigo objetiva (a) verificar as propriedades psicométricas do instrumento e-TailQ no varejo eletrônico brasileiro e (b) identificar a associação dos fatores da escala com variáveis de marketing. A amostra é composta por 344 pessoas que já compraram bens no varejo eletrônico, e é configurada como uma survey do tipo bola de neve por conveniência. Os resultados demonstraram que o subconstruto quali...

  20. Uma avaliação do nível de evidenciação das companhias abertas, no Brasil, no tocante aos instrumentos financeiros

    Directory of Open Access Journals (Sweden)

    Jorge Vieira da Costa Junior

    2003-08-01

    Full Text Available O propósito deste trabalho é o de levantar o quadro atual da política de evidenciação de instrumentos financeiros por parte das companhias abertas no Brasil, através de suas demonstrações contábeis (data base de 31.12.2000. Uma pesquisa junto a 215 companhias abertas foi levada a efeito visando a avaliar se a divulgação de fatores de risco de mercado e de sua gestão foi feita adequadamente (de forma qualitativa e quantitativa, se as estratégias dispensadas ao uso dos instrumentos financeiros foram adequadamente reveladas, se foram computados e revelados os valores justos dos instrumentos financeiros, enfim, se os ditames da Instrução CVM nº 235/95, de 23.03.95, foram observados rigorosamente pelas companhias abertas. O resultado da pesquisa indicou que as companhias abertas no Brasil, não prestam informações adequadas em suas demonstrações contábeis, no que concerne aos instrumentos financeiros.This paper aimed to investigate the current stage of the disclosure policy of publicly-held companies in Brazil with respect to financial instruments, by means of the analysis of their financial statements (fiscal year ending at December 31st 2000. A research of 215 publicly-held companies was realized in order to evaluate the adequate disclosure (qualitatively and quantitatively speaking of risk market factors and their management, the adequate revelation of the strategies for using financial instruments, the adequate calculation and revelation of the fair values of the financial instruments, and finally, if the paragraphs of CVM Instruction nº. 235/95, from March 23rd 1995, were strictly observed by the publicly-held companies. Moreover, the role of the independent auditors in this context was evaluated through the analysis of their audit opinions. The research result indicated that the publicly-held companies in Brazil do not render appropriate information about the financial instruments in their financial statements, with the

  1. Encuestas y elecciones presidenciales de 2006: instrumento de investigación mercadotécnica y/o vaticinio electoral

    Directory of Open Access Journals (Sweden)

    Francisco de Jesús Aceves González

    2007-01-01

    Full Text Available En este trabajo se analiza el papel de las encuestas electorales en la reciente contienda presidencial desde una perspectiva que destaca su doble dimensión: como instrumentos de la mercadotecnia política y como pronóstico electoral. En el primer caso, lo que interesa es identificar el uso de las mismas en la implementación de las estrategias comunicacionales de los candidatos mayoritarios; y en el segundo, evaluar su valor predictivo respecto a los resultados derivados de la votación emitida en la jornada electoral.

  2. La evaluación del profesorado de educación básica en México: políticas, programas e instrumentos

    OpenAIRE

    Luna, Edna; Cordero, Graciela; López Gorosave, Gema; Castro, Antelmo

    2012-01-01

    El propósito de este trabajo es describir las políticas, estrategias, programas e instrumentos que actualmente se utilizan en México para evaluar las diferentes etapas de la profesión docente en el Subsistema de Educación Básica: desde el ingreso a las escuelas formadoras hasta el ejercicio profesional de los profesores de este nivel educativo. Para facilitar el análisis, se dividió la trayectoria de un maestro en tres momentos: formación inicial, ingreso a la carrera docente y ejercicio prof...

  3. Planejamento para o desenvolvimento: sustentável? Análise dos instrumentos de ordenamento territorial da faixa litorânea do Ipojuca

    OpenAIRE

    Silva Pontes, Mariana

    2009-01-01

    A sustentabilidade espacial é atingida através de instrumentos normativos capazes de equilibrar os interesses presentes nas relações sociais que se processam no espaço, evitando a degradação ambiental. Os impactos ambientais decorrentes do uso e da ocupação do solo feitos de maneira desordenada são reflexos do desequilíbrio na relação homem meio ambiente, com conseqüências diretas sobre a qualidade de vida da população e do meio natural. O planejamento urbano se apresenta como ...

  4. Desarrollo y pruebas psicométricas del Instrumento "cuidar" - versión corta para medir la competencia de cuidado en el hogar

    Directory of Open Access Journals (Sweden)

    Gloria Mabel Carrillo González

    2016-06-01

    Full Text Available Introducción: Se requiere contar con escalas que midan la competencia para el cuidado en el hogar de pacientes con enfermedades crónicas por cuanto estos reciben excesivos lineamientos para su cuidado y se enfrentan a terapéuticas en extremo complejas. Objetivo: Desarrollar y realizar pruebas psicométricas del instrumento "CUIDAR" versión abreviada para valorar la competencia para el cuidado en el hogar de una persona con enfermedad crónica. Método: Estudio transversal de validación de instrumento en el que a partir de la versión original de la escala "CUIDAR" se desarrolló su versión abreviada, se realizaron pruebas de validez facial y de contenido por medio de panel de expertos, validez de constructo con análisis factorial exploratorio y pruebas de confiabilidad mediante análisis de consistencia interna con el alfa de Cronbach. Resultados: El instrumento "CUIDAR" que mide la competencia de una persona con enfermedad crónica para el cuidado en el hogar en su versión abreviada consta de 20 ítems que incluyen seis dimensiones: el Conocimiento, la Unicidad o condiciones personales para el cuidado, la Instrumental o procedimental, el Disfrute o condiciones mínimas de bienestar, la Anticipación o capacidad de prever e identificar situaciones de alarma y la Relación e Interacción social o red de apoyo con que cuenta el paciente. Su estratificación tiene niveles bajo, medio y alto. La validez con expertos evidenció claridad, coherencia, suficiencia y relevancia de la escala. El análisis factorial ratificó sus seis componentes mediante la rotación Varimax con asociación de los ítems en las mismas categorías propuestas en la versión original. El alfa de Cronbach fue de 0.928. Conclusiones: El Instrumento "CUIDAR" versión abreviada evalúa integralmente la competencia para el Cuidado en el hogar de una persona con enfermedad crónica, demostró validez de contenido, de constructo y alta consistencia interna para su uso en el

  5. A importância da equoterapia como instrumento de apoio no processo de ensino e aprendizagem de crianças atendidas nesta modalidade terapêutica

    OpenAIRE

    Andrade, Gracielle Pinheiro da Silva; Universidade do estado do Mato Grosso, Sinop; Cunha, Marion Machado

    2014-01-01

    Este artigo aborda a importância da equoterapia como instrumento de apoio no processo de ensino e aprendizagem de crianças atendidas nesta modalidade terapêutica. Impulsionou este trabalho o intuito de analisar como ocorrem as relações entre equoterapia e as evoluções pedagógicas do aluno. Foi uma pesquisa qualitativa de observação participante. A definição de equoterapia fundamenta-se em um método terapêutico e educacional, utilizando-se o cavalo numa abordagem interdisciplinar nas áreas de ...

  6. Revisão sistemática de instrumentos de avaliação de rede de suporte social para idosos

    Directory of Open Access Journals (Sweden)

    Marisa Accioly Domingues

    2013-10-01

    Full Text Available É essencial analisar o suporte social segundo a visão do indivíduo para que seja possível a identificação da composição, da função e da qualidade de cada rede de suporte social. Para tanto, há instrumentos que possibilitam essa compreensão. Com base nesse contexto, objetivamos realizar uma breve descrição sobre os tipos de validação de instrumentos e analisaremos alguns questionários, escalas e gráficos que podem ser úteis durante a avaliação a rede de suporte social dos idosos e que são amplamente utilizados no Brasil e no exterior. Realizou-se levantamento bibliográfico por meio de estratégia de busca com base nos termos: “instruments of social networks”, “instruments of social support”, “elderly and social relations”. E seus correspondentes em português para busca na LILACS. Os resumos dos artigos recuperados foram analisados para verificar o atendimento aos critérios de inclusão e exclusão. A avaliação das relações sociais é cada vez mais necessária, para uma atenção integral à pessoa idosa. O apoio familiar, fonte primeira de atenção ao idoso, está diminuindo acentuadamente, o que nos coloca frente a um grande desafio: estimular o apoio comunitário, para que identifiquemos potenciais recursos de apoio social. Para tanto, faz-se necessária a aplicação de instrumentos que nos permitam a realização de avaliações das relações de apoio, para posterior mobilização da rede social. Os instrumentos apresentados nesse estudo fornecem uma vasta orientação do tipo de ferramenta que melhor se adapta às necessidades do profissional, frente à demanda da pessoa idosa, possibilitando uma escolha adequada a cada situação, colaborando para uma abordagem integradora na área gerontológica.

  7. Um estudo sobre o uso da gestão ambiental como instrumento de marketing verde em empresa fabricante de produtos naturais

    OpenAIRE

    Melo, Alberto Bezerra de

    2002-01-01

    Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro Socio-econômico. Programa de Pós-Graduação em Administração. O presente trabalho objetivou verificar até que ponto a gestão ambiental está sendo utilizada como instrumento de marketing verde em empresa fabricante de produtos naturais. A pesquisa caracterizou-se como um estudo do tipo exploratório-descritivo, de abordagem qualitativa. Foi concretizada por meio de um estudo de caso de uma empresa fabricante de produtos ...

  8. El Aeropuerto El Dorado como elemento de planeamiento multiescalar y articulador urbano regional : instrumentos y actores de la planeación

    OpenAIRE

    Molina Vega, Ángela Natalia

    2012-01-01

    El trabajo de investigación se desarrolla desde la identificación de las debilidades, falencias y desarticulación que se presentan en la planeación del Aeropuerto Eldorado y su entorno urbano regional a través del análisis de los instrumentos y proyectos desarrollados en la planeación de este. De In investigación se concluye que la escala subregional prácticamente no ha sido desarrollada y que en el contexto planeamiento multiescalar (concepto central de la investigación) dicha escala es estr...

  9. Un instrumento de medida para conocer las tendencias de los directivos en la priorización de las acciones de Responsabilidad Social Empresarial (RSE

    Directory of Open Access Journals (Sweden)

    Elsa Del Castillo Mory

    2010-06-01

    Full Text Available La Responsabilidad Social Empresarial (RSE ha evolucionado como concepto. En sus inicios, las mencionesen la literatura sobre el tema vinculaban la RSE con los principios y valores corporativos. Con el paso deltiempo, estos principios y valores se han hecho tangibles en los sistemas de gestión empresarial. Es así quediversos instrumentos internacionales han recogido una gran variedad de prácticas deseables en los distintosámbitos de la actuación de la empresa. Si bien existe abundancia de instrumentos, no hay evidencia de suvalidación en términos de rigurosidad académica. El trabajo aquí presentado ha buscado sistematizar losaportes de diversos instrumentos utilizados en el ámbito internacional, y particularmente en el de Latinoamérica,para producir una escala de medida –validada estadísticamente– que permita la priorización de acciones deRSE. A partir de la aplicación de este instrumento en una muestra de cien de las más grandes empresas queoperan en el Perú, las autoras analizan la forma en que los directivos de estas organizaciones otorgan mayoro menor relevancia a los posibles campos de la actuación responsable. Una mayor comprensión de estadinámica de decisión puede contribuir al desarrollo de mecanismos más efectivos para promover en losdirectivos una visión integral de la gestión de la RSE.Los hallazgos de esta investigación dan cuenta de una visión de la RSE aún heterogénea y lejana al desarrollo deuna conceptualización integral de la actuación responsable, donde el mayor énfasis está puesto en aquellasacciones directamente identificadas con el resultado económico del negocio, en contraposición a aquellas otrasque fortalecen relaciones más amplias con otros grupos de interés de la empresa. Los ámbitos que obtuvieron laspuntuaciones promedio más elevadas fueron: «la oferta de productos y servicios al mercado» y «la gestióninterna», en contraposición con otros ámbitos que exigen una alta

  10. A Mediação como Instrumento Fortalecedor do Acesso à Justiça e da Democracia na Resolução de Conflitos Familiares

    Directory of Open Access Journals (Sweden)

    José Ricardo Suter

    2017-07-01

    Full Text Available O Estado Democrático de Direito sugere e instiga a utilização das formas consensuais de resolução de conflitos que superem o modelo judicial tradicional. Este trabalho apresenta a aplicação da mediação como meio de resolução de conflitos no direito de família no intuito de apontar esta técnica como importante instrumento fortalecedor do acesso à justiça e da democracia.

  11. A contabilidade ambiental como instrumento de gestão turística: o caso da hotelaria de Caxias do Sul

    OpenAIRE

    Genta, Maria Mônica Pereira

    2006-01-01

    A massificação do turismo provocou impactos negativos ao ambiente natural, forçando as empresas integrantes do setor turístico, especialmente a hotelaria, a introduzir práticas de proteção ambiental aos seus procedimentos de gestão. A Contabilidade Ambiental, enquanto instrumento de avaliação e auxílio à gestão ambiental, pode evidenciar e divulgar as medidas adotadas e os resultados alcançados nessas práticas. Partindo desta premissa, e tendo como fundamentação teórica a perspectiva de enten...

  12. Construcción de un instrumento para identificar el perfil de emprendedores bogotanos de la última década

    OpenAIRE

    Alban Bravo, Nathalia; Caro Gonzalez, Juan Jose

    2012-01-01

    El proyecto de investigación que se trabaja centra su atención en la siguiente cuestión: determinar un instrumento de recolección que permita identificar cuáles son las competencias que caracterizan a los emprendedores bogotanos creadores de empresas de rápido crecimiento. La presente es una investigación cualitativa que busca la mejor manera de preparar a los futuros emprendedores desde la educación superior. Si se conocen las competencias que acompañan al emprendedor se puede comprender mej...

  13. El instrumento de evaluación de metodologías innovadoras (EMI PRE) en la Universidad. Fiabilidad y validez

    OpenAIRE

    Álvarez Fernández, María Lourdes; García Sánchez, Jesús N.; Martínez Cocó, Begoña; Robledo Ramón, Patricia; Díez González, Carmen; Fernández Martínez, Marta; Fidalgo Redondo, Raquel; Arias-Gundín, Olga; Marbán Pérez, Josefina M.; Caso Fuertes, Ana María de; Pacheco Sanz, Deilis I.; Rodríguez Pérez, Celestino

    2008-01-01

    El proceso de convergencia europea ha servido de incentivo para plantearse, en materia de educación superior, verdaderos y profundos cambios en la metodología docente. Con el fin de poder evaluar la introducción de estas metodologías para la adaptación y armonización al EEES se ha construido un Instrumento de Evaluación de las metodologías Innovadoras en el contexto universitario y que se presenta aquí (EMI, García et al., 2008). El EMI pre fue aplicado a 892 alumnos pertenecie...

  14. Os Valores da paisagem como instrumento de gestão territorial na area de proteção ambiental da Baleia Franca Santa Catarina - Brasil

    OpenAIRE

    dos Santos Delfino, Deisiane,

    2017-01-01

    Departament responsable de la tesi: Departament de Geografia A presente tese trata da gestão da paisagem como instrumento de gestão territorial em Áreas de Proteção Ambiental (APA) no Brasil. As APAs são unidades de conservação ambiental de uso sustentável, que permitem a presença de comunidades tradicionais e o desenvolvimento de atividades econômicas em seu interior. Representam 1/3 das áreas protegidas no País e demandam um novo olhar sobre a gestão territorial pelo grau de complexidade...

  15. Low-cost microprocessed instrument for evaluating soil temperature profile Instrumento microprocessado de baixo custo para avaliação da temperatura em perfil de solo

    Directory of Open Access Journals (Sweden)

    PAULO ESTEVÃO CRUVINEL

    2000-11-01

    Full Text Available This paper describes a low-cost microprocessed instrument for in situ evaluating soil temperature profile ranging from -20.0°C to 99.9°C, and recording soil temperature data at eight depths from 2 to 128 cm. Of great importance in agriculture, soil temperature affects plant growth directly, and nutrient uptake as well as indirectly in soil water and gas flow, soil structure and nutrient availability. The developed instrument has potential applications in the soil science, when temperature monitoring is required. Results show that the instrument with its individual sensors guarantees ±0.25°C accuracy and 0.1°C resolution, making possible localized management changes within decision support systems. The instrument, based on complementary metal oxide semiconductor devices as well as thermocouples, operates in either automatic or non-automatic mode.Este artigo descreve um instrumento microprocessado de baixo custo para avaliação in situ da temperatura em perfil de solo na faixa de -20,0°C a 99,9°C com armazenagem de dados de até oito profundidades, de 2 a 128 centímetros. A temperatura do solo é de grande importância para o crescimento de plantas, absorção de nutrientes, fluxo de gases e estrutura. O instrumento desenvolvido encontra várias aplicações na área da ciência do solo, onde o monitoramento de temperatura do solo é requerido. Resultados mostram que a caracterização do instrumento e seus sensores individuais garantem uma acurácia de ±0,25°C e uma resolução de 1,0°C. Também proporciona a produtores ou pesquisadores a oportunidade do manejo localizado para sistemas de tomada de decisão. O instrumento é baseado em dispositivos semicondutores com tecnologia de óxido metálico complementar e termopares. E pode operar tanto no modo manual quanto no modo automático.

  16. Principios, objetivos e instrumentos de la educación superior universitaria en el Perú, para la convergencia europea

    OpenAIRE

    Chiyon Carrasco, Isabel del Rosario; Palma Lama, Francisco Martin; Cazorla Montero, Adolfo

    2011-01-01

    El presente documento hace un recorrido sobre la situación de la Educación Superior Universitaria en el Perú y un breve recorrido por los principales documentos europeos que se ocupan del Espacio Europeo de Educación Superior, destacando los principios sobre los que se apoya, así como los objetivos estratégicos que plantea y los instrumentos para su consecución, con la finalidad de la adaptación de nuestra gestión de la educación superior universitaria en el Perú al Espacio Europeo de Ed...

  17. Comparison of Sports Sciences and Education Faculty Students' Aggression Scores

    Science.gov (United States)

    Atan, Tülin

    2016-01-01

    The aim of this study was to compare the aggression scores of Sports Sciences Faculty and Education Faculty students and also to examine the effects of some demographic variables on aggression. Two hundred Sports Sciences Faculty students (who engage in sporting activities four days a week for two hours) and 200 Education Faculty students (who do…

  18. [The diagnostic scores for deep venous thrombosis].

    Science.gov (United States)

    Junod, A

    2015-08-26

    Seven diagnostic scores for the deep venous thrombosis (DVT) of lower limbs are analyzed and compared. Two features make this exer- cise difficult: the problem of distal DVT and of their proximal extension and the status of patients, whether out- or in-patients. The most popular score is the Wells score (1997), modi- fied in 2003. It includes one subjective ele- ment based on clinical judgment. The Primary Care score 12005), less known, has similar pro- perties, but uses only objective data. The pre- sent trend is to associate clinical scores with the dosage of D-Dimers to rule out with a good sensitivity the probability of TVP. For the upper limb DVT, the Constans score (2008) is available, which can also be coupled with D-Dimers testing (Kleinjan).

  19. Instrumentos sistemáticos e formais de avaliação da linguagem de pré-escolares no brasil: uma revisão de literatura

    Directory of Open Access Journals (Sweden)

    Tâmara Andrade Lindau

    2015-04-01

    Full Text Available Instrumentos sistemáticos e formais de avaliação da linguagem em crianças com idade entre dois e cinco anos são de suma importância, tanto para a investigação de possíveis alterações quanto para propor intervenção fonoaudiológica. No entanto, atualmente, são poucos os instrumentos disponíveis no Português brasileiro para investigações e uso clínico. O objetivo do presente estudo, portanto, foi apresentar uma revisão bibliográfica sobre instrumentos sistemáticos e formais de avaliação da linguagem falada em pré-escolares, utilizados em investigações científicas no Brasil, construídos em âmbito nacional ou em processo de adaptação e validação. Foram descritos sete diferentes instrumentos em 22 artigos científicos, número este baixo em comparação a outros países e, sobretudo, em comparação a publicações não científicas, que não necessariamente validam a eficiência do instrumento. Sugere-se maior investimento, tanto na construção de instrumentos quanto na adaptação e validação de instrumentos já utilizados em outras línguas.

  20. Desconfortos associados às cirurgias de extração dentária e construção de instrumento de medida (QCirDental. Parte I: impactos e consistência interna

    Directory of Open Access Journals (Sweden)

    Marcelo Carlos Bortoluzzi

    Full Text Available Resumo O estudo objetivou criar um instrumento de medida que pudesse quantificar os desconfortos associados ao procedimento cirúrgico de pacientes submetidos a cirurgias dento-alveolares (QCirDental. O instrumento QCirDental foi desenvolvido em duas etapas iniciais: (1 geração e seleção das perguntas ou itens e, (2 teste do instrumento com avaliação das propriedades de medida (consistência interna e responsividade. A amostra foi composta por 123 pacientes. Nenhum deles apresentou qualquer dificuldade em entender o QCirDental. O instrumento mostrou excelente consistência interna com coeficiente alfa de Cronbach de 0,83. A análise de componentes principais (Kaiser-Meyer-Olkin Measure of Sampling Adequacy 0,72 e Bartlett's Test of Sphericity com p < 0,001 mostrou seis (6 dimensões do instrumento que explicam 67,5% da variância. O QCirDental possui excelente consistência interna, sendo um instrumento de fácil leitura e interpretação compatível com uma adequada validade semântica e de conteúdo. Mais de 80% dos pacientes submetidos a extrações dentárias de rotina odontológica apresentam algum desconforto ou incomodo no período transoperatório o que ressalta a necessidade de utilização de um instrumento para avaliação de cuidados.

  1. Coesão de equipes: a adaptação do instrumento de pesquisa norte-americano Multidimensional Sport Cohesion Instrument para a realidade empresarial e esportiva no Brasil

    Directory of Open Access Journals (Sweden)

    Sandra Martins Moreira

    Full Text Available Resumo: O objetivo do presente estudo foi adaptar um instrumento coesivo de equipe válido e confiável da área do esporte norte-americano para o meio empresarial e esportivo brasileiro. A primeira versão do instrumento adaptado foi aplicada a um teste-piloto com 45 participantes, demonstrando alta consistência interna e baixa variação entre as 22 questões que o compõem. Após o teste-piloto, o instrumento foi submetido a um juiz para definir a versão para teste e reteste. O estudo completo pesquisou 173 membros de diferentes equipes. Após as duas aplicações, de teste e reteste, os resultados foram tabulados e, utilizando-se das orientações de Cronbach (2004, foi calculado o coeficiente α (alfa de Cronbach, que apresenta uma estimativa de confiabilidade sobre o instrumento. O coeficiente α encontrado para o instrumento global foi de α = 0,9599 no teste, e de α = 0,9648 no reteste. Os resultados apontam a consistência interna dos 22 itens de coesão de equipe como muito alta. Os estudos demonstram os coeficientes α (alfa de Cronbach das variáveis que compõem o instrumento, nomeadas de atração ao grupo, qualidade de trabalho, unidade de propósito e papéis valorizados. O instrumento adaptado possui consistência aceitável nas quatro dimensões, assim como para os diversos tipos de equipes estudadas no meio empresarial e esportivo brasileiro.

  2. Perme Intensive Care Unit Mobility Score and ICU Mobility Scale: translation into Portuguese and cross-cultural adaptation for use in Brazil.

    Science.gov (United States)

    Kawaguchi, Yurika Maria Fogaça; Nawa, Ricardo Kenji; Figueiredo, Thais Borgheti; Martins, Lourdes; Pires-Neto, Ruy Camargo

    2016-01-01

    To translate the Perme Intensive Care Unit Mobility Score and the ICU Mobility Scale (IMS) into Portuguese, creating versions that are cross-culturally adapted for use in Brazil, and to determine the interobserver agreement and reliability for both versions. The processes of translation and cross-cultural validation consisted in the following: preparation, translation, reconciliation, synthesis, back-translation, review, approval, and pre-test. The Portuguese-language versions of both instruments were then used by two researchers to evaluate critically ill ICU patients. Weighted kappa statistics and Bland-Altman plots were used in order to verify interobserver agreement for the two instruments. In each of the domains of the instruments, interobserver reliability was evaluated with Cronbach's alpha coefficient. The correlation between the instruments was assessed by Spearman's correlation test. The study sample comprised 103 patients-56 (54%) of whom were male-with a mean age of 52 ± 18 years. The main reason for ICU admission (in 44%) was respiratory failure. Both instruments showed excellent interobserver agreement ( > 0.90) and reliability ( > 0.90) in all domains. Interobserver bias was low for the IMS and the Perme Score (-0.048 ± 0.350 and -0.06 ± 0.73, respectively). The 95% CIs for the same instruments ranged from -0.73 to 0.64 and -1.50 to 1.36, respectively. There was also a strong positive correlation between the two instruments (r = 0.941; p composta por 103 pacientes, sendo a maioria homens (n = 56; 54%), com média de idade = 52 ± 18 anos. O principal motivo de internação nas UTIs foi insuficiência respiratória (em 44%). Os dois instrumentos apresentaram excelente concordância interobservador (> 0,90) e confiabilidade ( > 0,90) em todos os domínios. Constatou-se um baixo viés interobservador na EMU e no Perme Escore (-0,048 ± 0,350 e -0,06 ± 0,73, respectivamente). Os IC95% para os mesmos instrumentos variaram

  3. 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

    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.Este estudo, realizado entre abril e julho de 2008, teve como objetivo desenvolver e validar um instrumento para orientar a avaliação de enfermagem em parâmetros assistenciais e docentes, em Santa Cruz, na Bolívia. Participaram do estudo doze enfermeiras bolivianas, e utilizaram-se a análise de documentos e técnicas de consenso para definir as categorias e critérios a incluir no instrumento. As categorias definidas foram a avaliação física e os onze Padrões Funcionais da Saúde de Gordon. O instrumento caracteriza-se por ser breve, de fácil compreensão e por centrar-se no enfermeiro. Não foram incluídos elementos de avaliação física avançada, mas sim critérios de estilos de vida e autonomia do paciente. O desenvolvimento do instrumento contribuiu para a qualidade dos registros, favorecendo o juízo clínico e a aplicação do processo à enfermagem, reforçando o papel do enfermeiro e contribuindo para a sistematização da sua prática.The objective of this study, conducted in Bolivia from April to

  4. Instrumento para a abordagem psicossocial do indivíduo e da família na assistência domiciliar: condições de aplicabilidade Instrumento para el abordaje psicosocial del indivíduo y familia en la asistencia domiciliaria: las condiciones de aplicabilidad Psychosocial instrument to approach person and family in home care: conditions of applicability

    Directory of Open Access Journals (Sweden)

    Vilanice Alves de Araújo Püschel

    2005-06-01

    Full Text Available Na Assistência Domiciliar (AD, o modelo clínico e hospitalar tem sido hegemônico. A abordagem psicossocial mostra-se necessária para os problemas identificados no âmbito domiciliar. Este artigo tem como objetivos: apresentar um instrumento de abordagem psicossocial do indivíduo e da família na assistência domiciliar e mostrar as condições de aplicabilidade do modelo psicossocial no domicílio, a partir da utilização desse instrumento. Esse instrumento foi aplicado pelas participantes de um curso de capacitação para a AD numa abordagem psicossocial, em pessoas doentes e familiares que estavam recebendo o cuidado no domicílio. Verificou-se que este é viável, porém à onipotência própria da clínica se sobrepõe uma impotência quase absoluta de raciocínio clínico-psicossocial. Há necessidade de validação desse instrumento e da composição de um campo de pesquisa significativo para a qualificação do ensino e da prática assistencial na AD.En la asistencia domiciliaria (AD el modelo clínico y hospitalario ha sido hegemónico. El abordaje psicosocial muestra que es necesario para los problemas identificados en el ámbito domiciliario. Este artículo tiene como objetivos: presentar un instrumento de abordaje psicosocial al individuo y a la familia en la asistencia domiciliaria y mostrar las condiciones de aplicabilidad del modelo psicosocial en el domicilio a partir de la utilización de ese instrumento. El instrumento fue aplicado, por las participantes de un curso de capacitación para la AD con abordaje psicosocial, en personas enfermas y familiares que estaban recibiendo el cuidado en el domicilio. Se verificó que éste es viable, sin embargo la omnipotencia propia de la clínica se sobrepone a una impotencia casi absoluta de raciocinio clínico-psicosocial. Hay necesidad de validar el instrumento y de la composición de un campo de investigación significativo para la calificación de la enseñanza y de la pr

  5. Scoring an Abstract Contemporary Silent Film

    OpenAIRE

    Frost, Crystal

    2014-01-01

    I composed an original digital audio film score with full sound design for a contemporary silent film called Apple Tree. The film is highly conceptual and interpretive and required a very involved, intricate score to successfully tell the story. In the process of scoring this film, I learned new ways to convey an array of contrasting emotions through music and sound. After analyzing the film's emotional journey, I determined that six defining emotions were the foundation on which to build an ...

  6. The FAt Spondyloarthritis Spine Score (FASSS)

    DEFF Research Database (Denmark)

    Pedersen, Susanne Juhl; Zhao, Zheng; Lambert, Robert Gw

    2013-01-01

    an important measure of treatment efficacy as well as a surrogate marker for new bone formation. The aim of this study was to develop and validate a new scoring method for fat lesions in the spine, the Fat SpA Spine Score (FASSS), which in contrast to the existing scoring method addresses the localization......Studies have shown that fat lesions follow resolution of inflammation in the spine of patients with axial spondyloarthritis (SpA). Fat lesions at vertebral corners have also been shown to predict development of new syndesmophytes. Therefore, sco