During pregnancy glucose tolerance in the mother is affected. Glucose tolerance in pregnancy, as in the non-pregnant state is a continuum, represented by a distribution curve shifted to the right, with no clear divide between normal and abnormal. Many of the problems associated with overt diabetic pregnancies can be seen in infants of GDM pregnancies, such as macrosomia, neural tube defects, neonatal hypocalcemia, birth trauma and subsequent childhood and adolescent obesity. Impaired glucose intolerance (IGT) in pregnancy is also a major risk factor for the development of NIDDM (non-insulin dependent diabetes mellitus) and IGT in later life and is associated with not only an increased risk for coronary heart disease (CHD) disease but also many other morbidities and mortalities associated with overt diabetes. The problem remaining to be resolved is the precise level of glucose intolerance in pregnancy that poses a significant risk for the later health of the mother. Nor is increased gestational glucose intolerance the only reproductive event that has been linked with future NIDDM risk. Other factors have been known to predispose pregnant women to the risk of future diabetes (e.g. BMI, age and weight change). The findings of the present study suggest that the association of glucose intolerance during pregnancy, with the subsequent incidence of diabetes and certain co-morbidities in the mother, is continuous throughout the range of glucose concentrations studied. The risk of future diabetes is also affected by certain maternal characteristics (BMI at index pregnancy and at follow-up, weight change).

Hyperacusis and Disorders of Sound Intolerance: Clinical and Research Perspectives is a professional resource for audiology practitioners involved in the clinical management of patients who suffer from sound tolerance concerns. The text covers emerging assessment and intervention strategies associated with hyperacusis, disorders of pitch perception, and other unusual processing deficits of the auditory system. In order to illustrate the patients perspectives and experiences with disorders of auditory processing, cases are included throughout. This collection of diagnostic strategies and tools, evidence-based clinical research, and case reports provides practitioners with avenues for supporting patient management and coping. It combines new developments in the understanding of auditory mechanisms with the clinical tools developed to manage the effects such disorders exert in daily life. Topics addressed include unusual clinical findings and features that influence a patient s auditory processing such as their perceptual accuracy, recognition abilities, and satisfaction with the perception of sound. Hyperacusis is covered with respect to its effects, its relation to psychological disorders, and its management. Hyperacusis is often linked to trauma or closed head injury and the text also considers the management of patients with traumatic brain injury as an opportunity to illustrate the effectiveness of interprofessional care in such cases. Interventions such as cognitive behavioral therapy, self-efficacy training, and hearing aid use are reported in a way that enhances clinicians' ability to weave such strategies into their own work, or into their referral system. Hyperacusis and Disorders of Sound Intolerance illuminates increasingly observed auditory-related disorders that challenge students, clinicians, physicians, and patients. The text elucidates and reinforces audiologists contributions to polytrauma and interprofessional care teams and provides clear definitions, delineation of mechanisms, and intervention options for auditory disorders. / https://dc.etsu.edu/etsu_books/1210/thumbnail.jpg

Os séculos XIX e XX se caracterizaram por um grande afluxo de imigrantes, principalmente europeus, para a América. Nesse contexto histórico, a interação entre o Estado, a sociedade local e os imigrantes passou por diversas tensões, que envolviam preconceitos e intolerâncias manifestadas de diferentes formas (racial, social, lingüística, cultural, econômica etc.). Por estar presente tanto em Estados nacionais, quanto em sociedades, grupos e pessoas, o preconceito e a intolerância têm uma dupla dimensão: privada e pública. Nosso trabalho tem por objetivo analisar o fenômeno da intolerância lingüística na relação entre sociedade e Estado brasileiros e imigrantes. Para a constituição de nosso corpus, efetuamos como recorte histórico o período compreendido entre 1875 a 1945, ou seja, do fim da Monarquia até a Era Vargas. Para analisar a intolerância lingüística em suas duas dimensões, pública e privada, dividimos nosso trabalho em dois capítulos distintos: no primeiro, foram examinados os decretos e as leis que organizavam o processo imigratório e que tratavam da naturalização de estrangeiros; no outro capítulo, foram analisados três textos de autores representativos da sociedade na Monarquia, na Primeira República e na Era Vargas (Menezes e Souza, Silvio Romero e Oliveira Viana, respectivamente); e analisamos também nesse segundo capítulo, depoimentos de imigrantes e uma autobiografia para apresentar a perspectiva daqueles que sofreram a intolerância. Para realizar essas análises, utilizamos a semiótica discursiva de linha francesa. Nessa perspectiva teórica, consideramos o preconceito como um modo de ser passional (ser malevolente) em relação ao outro e a intolerância (e também a intolerância lingüística) como um fazer malevolente (fazer mal a um outro), que pressupõe o preconceito. Para a realização desse fazer são utilizadas estratégias diferentes que se assentam na certeza do intolerante de que seus valores são melhores do que os do outro. Por isso, é possível pensar a língua como um elemento de preconceito e de intolerância, não apenas por estar envolvida na construção da imagem negativa de imigrantes, mas também por ser um elemento de exclusão ou ainda de assimilação de imigrantes por parte da sociedade e do Estado brasileiros / The 19th and 20th centuries had been characterized for a great influx of immigrants to America, mainly from Europe. In this historical context, the interaction among the State, the local society and the immigrants passed through different tensions that involved different types of prejudice and intolerance (racial, social, linguistic, cultural, economic etc.). The prejudice and he intolerance have a double dimension: private and public, present in national tates, society, groups and peoples. Our work aimed to analyze the phenomenon of the linguistic intolerance in the relation among Brazilian society, State and immigrants. For the constitution of our corpus, we selected the period between 1875 and 1945, or either, the end of the Monarchy until the Vargas\' Era. To analyze the linguistic intolerance in its two dimensions, private and public, we divided our work in two distinct chapters: in the first one, we examined the laws that organized the immigration and the naturalization processes of foreigners; and in the other chapter, three texts of representative authors of the society in the Monarchy (Menezes e Souza), the First Republic (Sílvio Romero) and the Vargas\' Era (Oliveira Viana) were analyzed. We also analyzed in this chapter, reports from immigrants and one autobiography to show the perspective from those who had suffered the intolerance. To make these analyses, we used the French\'s discursive semiotics. In this theoretical perspective, we considered the prejudice as a way of to be passionate (to be malevolence) in relation to the other and the intolerance (and also the linguistic intolerance) as one to make malevolence (to make badly to the other), that presuppose the prejudice. The certainty of the intolerants about theirs values (the values of the intolerants are better than of the others) is the responsible for the accomplishment of this to action, using different strategies. Therefore, it is possible to think the language as an element of prejudice and intolerance, not only for being involved in the construction of the negative image of immigrants, but also for being an element of immigrant\'s exclusion or assimilation by the Brazilian society and the State.

Os séculos XIX e XX se caracterizaram por um grande afluxo de imigrantes, principalmente europeus, para a América. Nesse contexto histórico, a interação entre o Estado, a sociedade local e os imigrantes passou por diversas tensões, que envolviam preconceitos e intolerâncias manifestadas de diferentes formas (racial, social, lingüística, cultural, econômica etc.). Por estar presente tanto em Estados nacionais, quanto em sociedades, grupos e pessoas, o preconceito e a intolerância têm uma dupla dimensão: privada e pública. Nosso trabalho tem por objetivo analisar o fenômeno da intolerância lingüística na relação entre sociedade e Estado brasileiros e imigrantes. Para a constituição de nosso corpus, efetuamos como recorte histórico o período compreendido entre 1875 a 1945, ou seja, do fim da Monarquia até a Era Vargas. Para analisar a intolerância lingüística em suas duas dimensões, pública e privada, dividimos nosso trabalho em dois capítulos distintos: no primeiro, foram examinados os decretos e as leis que organizavam o processo imigratório e que tratavam da naturalização de estrangeiros; no outro capítulo, foram analisados três textos de autores representativos da sociedade na Monarquia, na Primeira República e na Era Vargas (Menezes e Souza, Silvio Romero e Oliveira Viana, respectivamente); e analisamos também nesse segundo capítulo, depoimentos de imigrantes e uma autobiografia para apresentar a perspectiva daqueles que sofreram a intolerância. Para realizar essas análises, utilizamos a semiótica discursiva de linha francesa. Nessa perspectiva teórica, consideramos o preconceito como um modo de ser passional (ser malevolente) em relação ao outro e a intolerância (e também a intolerância lingüística) como um fazer malevolente (fazer mal a um outro), que pressupõe o preconceito. Para a realização desse fazer são utilizadas estratégias diferentes que se assentam na certeza do intolerante de que seus valores são melhores do que os do outro. Por isso, é possível pensar a língua como um elemento de preconceito e de intolerância, não apenas por estar envolvida na construção da imagem negativa de imigrantes, mas também por ser um elemento de exclusão ou ainda de assimilação de imigrantes por parte da sociedade e do Estado brasileiros / The 19th and 20th centuries had been characterized for a great influx of immigrants to America, mainly from Europe. In this historical context, the interaction among the State, the local society and the immigrants passed through different tensions that involved different types of prejudice and intolerance (racial, social, linguistic, cultural, economic etc.). The prejudice and he intolerance have a double dimension: private and public, present in national tates, society, groups and peoples. Our work aimed to analyze the phenomenon of the linguistic intolerance in the relation among Brazilian society, State and immigrants. For the constitution of our corpus, we selected the period between 1875 and 1945, or either, the end of the Monarchy until the Vargas\' Era. To analyze the linguistic intolerance in its two dimensions, private and public, we divided our work in two distinct chapters: in the first one, we examined the laws that organized the immigration and the naturalization processes of foreigners; and in the other chapter, three texts of representative authors of the society in the Monarchy (Menezes e Souza), the First Republic (Sílvio Romero) and the Vargas\' Era (Oliveira Viana) were analyzed. We also analyzed in this chapter, reports from immigrants and one autobiography to show the perspective from those who had suffered the intolerance. To make these analyses, we used the French\'s discursive semiotics. In this theoretical perspective, we considered the prejudice as a way of to be passionate (to be malevolence) in relation to the other and the intolerance (and also the linguistic intolerance) as one to make malevolence (to make badly to the other), that presuppose the prejudice. The certainty of the intolerants about theirs values (the values of the intolerants are better than of the others) is the responsible for the accomplishment of this to action, using different strategies. Therefore, it is possible to think the language as an element of prejudice and intolerance, not only for being involved in the construction of the negative image of immigrants, but also for being an element of immigrant\'s exclusion or assimilation by the Brazilian society and the State.

One in 133 Americans has celiac disease and an unknown number have an intolerance to gluten, an abnormal response to the ingestion of gluten. With the average length of diagnosis ranging from 7 to 11 years, people with celiac disease or gluten intolerance often live in a state of malnutrition for years before diagnosis and treatment. Currently, the only treatment currently for celiac disease or gluten intolerance is lifelong adherence to a gluten-free diet. The purpose of this paper is to review pertinent research related to the role of the nurse in the diagnosis and management of the spectrum of gluten sensitivity at both the registered nurse and advanced practice nurse level.

published_or_final_version / Medicine / Master / Master of Philosophy

No description available.

No description available.

The present paper consists of two studies intended to further the understanding of intolerance of uncertainty and its relationship to worry. The first study examined the psychometric properties of the English version of the Intolerance of Uncertainty Scale (IUS), which has already been validated in French. Factor analysis indicated that the IUS has a 4-factor structure that represents the idea that uncertainty is stressful and upsetting, uncertainty leads to the inability to act, uncertain events are negative and should be avoided, and being uncertain is not fair. The IUS has excellent internal consistency, good test-retest reliability, and convergent and divergent validity when assessed with symptom measures of worry, depression, and anxiety. The second study attempted to assess the unique relationship between intolerance of uncertainty and worry, beyond constructs already associated with worry such as perfectionism and control. Furthermore, the study assessed the distinction between intolerance of uncertainty and intolerance of ambiguity. The results suggest that worry has a stronger relationship with intolerance of uncertainty than perfectionism, control, and intolerance of ambiguity. Moreover, the results indicate that intolerance of uncertainty and intolerance of ambiguity are distinct constructs. Overall, this study suggests that the IUS is a sound measure of intolerance of uncertainty and supports the idea that intolerance of uncertainty is an important construct involved in worry.

<p> The primary goal of the present study was to examine whether avoidance and intolerance of uncertainty predict depression and anxiety through rumination over a two week time period. Results indicated that cognitive, behavioral, and experiential avoidance all individually predicted depressive and anxious symptoms over two weeks. Cognitive, behavioral, and experiential avoidance all predicted rumination one week later. Intolerance of uncertainty predicted higher levels of anxiety and depression but not rumination. No evidence emerged that rumination acted as a mechanism of action between any of the hypothesized mediational models for depressive symptoms. Only the cognitive and experiential avoidance mediational models indicated mediation for anxiety. </p>