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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
541

Qualidade do sono em portadores de doença arterial coronariana crônica / Sleep Quality in Patients with Chronic Coronary Artery Disease

Espinheira, Patrícia Farias Sá 20 September 2013 (has links)
Background: Sleep disorders have been considered risk factors for cardiovascular disease, including coronary artery disease (CAD). Therefore, poor sleep quality should be frequent complaint in patients with coronary disease. However, in patients with CAD, the prevalence of poor sleepers and factors associated were not properly investigated. Objectives: To evaluate the frequency and the factors associated with poor sleepers in patients with chronic CAD. Method: We used validated questionnaires to examine sleep quality (Pittsburgh Sleep Quality Index; PSQI), high risk of obstructive sleep apnea (Berlin Questionnaire; BQ), excessive sleepiness (Epworth Sleepiness Scale; ESS), angina-related health status (Seattle Angina Questionnaire; SAQ) and quality of life (Medical Outcomes Study 36-item Short Form; SF-36) in 257 volunteers with stable CAD, mean age 62.5 ± 10.5 years. We categorized and compared good and poor sleepers, according to PSQI global score. Subsequently, adjusted analysis was performed to investigate the factors associated with poor sleepers and demographics, clinical characteristics, risk for obstructive sleep apnea, excessive sleepiness, angina-related health status and quality of life. Results: The majority of CAD patients (75.1%) were poor sleepers. The adjusted analysis indicated that older patients (OR 1.05, 95% CI 1.02 to 1.09; p = 0.004), women gender (OR 3.09, 95% CI 1.48 to 6.45; p = 0.003), lower ejection fraction (OR 1.04, 95% CI 1.01 to 1.06; p = 0.015), lower physical limitation (OR 1.03, 95% CI 1.00 to 1.05; p = 0.020), lower angina stability (OR 1.02, 95% CI 1.00 to 1.04; p = 0.027), worse angina-related quality of life (OR 1.03, 95% CI 1.01 to 1.05; p = 0.002) and lower vitality (OR 1.02, 95% CI 1.00 to 01.03; p = 0.042) were associated with poor sleepers. Conclusion: Poor sleepers were highly frequency in chronic CAD patients. Patients with chronic CAD and poor sleepers present higher age, women gender, lower ejection fraction, higher physical limitation, lower angina stability, lower angina-related quality of life and lower vitality. / Introdução: Distúrbios do sono têm sido considerados fatores de risco para doença cardiovascular, inclusive para doença arterial coronariana (DAC). Portanto, qualidade do sono ruim deve ser queixa frequente em portadores de doença coronariana. Entretanto, em portadores de DAC, a prevalência de qualidade do sono ruim e os fatores associados não foram devidamente investigados. Objetivos: Avaliar a prevalência e investigar os fatores associados à qualidade do sono ruim em pacientes portadores de DAC crônica. Métodos: Foram utilizados questionários validados para examinar a qualidade do sono (Índice de Qualidade de Sono de Pittsburgh; PSQI), o alto risco para apneia obstrutiva do sono (Questionário de Berlim; QB), a sonolência excessiva (Escala de Sonolência de Epworth; ESE), o status funcional relacionado à angina (Questionário de Seattle sobre Crise de Angina; QSA) e a qualidade de vida relacionada à saúde (Questionário de Qualidade de Vida SF-36; SF-36), em 257 voluntários com DAC crônica, com idade média de 62,5 ± 10,5 anos. Os pacientes foram categorizados em dois grupos, boa qualidade do sono e qualidade do sono ruim, de acordo com a pontuação global do PSQI. Posteriormente, foi realizada a análise multivariada para investigar a associação entre qualidade do sono ruim e fatores demográficos, características clínicas gerais, risco para apneia obstrutiva do sono, sonolência excessiva, status funcional relacionado à angina e qualidade de vida relacionada à saúde. Resultados: A maioria dos pacientes com DAC crônica (75,1%) apresentaram qualidade do sono ruim. A Análise multivariada indicou que pacientes com idade avançada (OR 1.05, IC 95% 1.02 - 1.09; p = 0,004), gênero feminino (OR 3.09, IC 95% 1.48 - 6.45; p = 0,003), menor fração de ejeção (OR 1.04, IC 95% 1.01 - 1.06; p = 0,015), maior limitação física (OR 1.03, IC 95% 1.00 - 1.05; p = 0,020), menor estabilidade da angina (OR 1.02, IC 95% 1.00 - 1.04; p = 0,027), pior qualidade de vida relacionada à angina (OR 1.03, IC 95% 1.01 - 1.05; p = 0,002) e menor vitalidade (OR 1.02, IC 95% 1.00 - 1.03; p = 0,042), foram associados à qualidade do sono ruim. Conclusão: Qualidade do sono ruim foi altamente frequente em pacientes com DAC crônica. Pacientes portadores de DAC crônica e pior qualidade do sono apresentam maior probabilidade de serem mais idosos, do gênero feminino, apresentarem menor fração de ejeção, maior limitação funcional, menor estabilidade da angina, pior qualidade de vida relacionada à angina e menor vitalidade.
542

Lumbar spine surgery, results and factors predicting outcome in working-aged patients

Järvimäki, V. (Voitto) 13 March 2018 (has links)
Abstract The aim of this study was to evaluate the results of lumbar spine surgery and determine which factors modify outcome. A follow-up questionnaire, the Beck Depression Inventory (BDI, the Short Form 36 Health Survey (SF-36) and the Oswestry Low Back Disability Questionnaire (ODI) were sent to working-aged patients who had undergone lumbar spine surgery in the Oulu University Hospital between June, 2005 and May, 2008. Those with a BDI ≥ 10 were further classified into either non-melancholic (NmDS) or melancholic depression (MDS) groups. Potential spinal cord stimulation (SCS) candidates were interviewed via telephone. The postal survey was sent to 814 patients, of which 537 (66%) replied. Of these, 361 had undergone disc surgery, 85 stabilizing surgery and 91 decompression. Pain intensity was milder, the frequency of pain more rare, functional disability minimal and quality of life better after disc surgery compared to stabilizing surgery and decompression, which are technically more demanding operations and the patients’ condition are often more serious. Altogether, 213 patients presented with depressive symptoms (DS) defined as having a BDI ≥ 10, and these were further classified into NmDS (n = 153) and MDS (n = 60) subtypes. ODI differed between DS subtypes: those without DS had minimal, NmDS moderate and MDS severe functional disability. Pain was more frequent and more intense among DS patients. In particular, MDS patients suffered from pain, used more pain medication, but received less benefit from it. Disc surgery patients were divided according to body mass index (BMI): normal, pre-obese and obese. Pre-obese and obese patients gained weight during the follow-up. Obese patients had more DS and a worse functional outcome than normal-weighted or pre-obese patients. Of the entire cohort (n = 814), 21 patients received SCS. Eleven respondents underwent SCS treatment after they had replied. Features predicting SCS treatment were daily or continuous pain, higher pain intensity with predominant radicular pain, more severe pain-related functional disability, more DS and reduced benefit from pain medication. The time between lumbar surgery and implantation of a SCS device was extensive. Based on data from phone interviews, it appears that SCS was not offered to all potential candidates. In conclusion, the outcome of lumbar spine surgery was good after disc surgery but less favourable after more demanding stabilizing surgery or decompression. DS, especially of the MDS subtype, and obesity were more often seen in patients with a poorer surgical outcome. SCS treatment was used late and only for patients with very severe pain. / Tiivistelmä Tutkimuksen tarkoitus oli arvioida tuloksia lannerangan kirurgiassa ja kartoittaa tekijöitä, jotka vaikuttavat leikkaustulokseen. Seurantakysely, Beckin depressio¬kysely (BDI), SF-36 elämänlaatukysely ja Oswestryn toiminta¬kyky¬kysely (ODI), lähetettiin työikäisille Oulun yliopistollisessa sairaalassa kesäkuu 2005 - maaliskuu 2008 alaselkäleikatuille potilaille. Beckin depressioasteikko > 10 luokiteltiin ei-melankolisesti masentuneisiin (NmDS) ja melankolisesti masen¬tuneisiin (MDS). Mahdolliset takajuostestimulaatio (TJS) -ehdokkaat haastateltiin puhelimitse. Postikysely lähetettiin 814 potilaalle, joista 537 (66%) vastasi. Näistä 361:lle tehtiin välilevytyräleikkaus, 85:lle stabiloiva leikkaus ja 91:lle juurikanavan avarrusleikkaus. Välilevytyräleikatuilla kipu oli lievempää, harvemmin esiintyvää, toiminnallinen haitta vähäisempää ja elämänlaatu parempaa verrattuna potilaisiin, joille tehtiin vaativampi stabiloiva tai juurikanavan avarrusleikkaus. Kaikkiaan 213 potilaalla oli depressio-oireita (DS, BDI ≥ 10) ja nämä luokiteltiin edelleen NmDS (n = 153) ja MDS (n = 60) alaryhmiin. ODI erottui eri DS alatyyppien välillä: ei-DS-potilailla oli minimaalinen, NmDS-potilailla kohtuullinen ja MDS-potilailla vaikea toiminnallinen haitta. Kipua oli useammin ja voimakkaampana DS-potilailla. Erityisesti MDS-potilaat kärsivät kivuista, käyttivät enemmän kipulääkkeitä ja hyötyivät niistä vähemmän. Välilevytyräleikatut luokiteltiin painoindeksin (BMI) pohjalta normaaleihin, ylipainoisiin ja lihaviin. Ylipainoiset ja lihavat lihoivat seuranta-aikana. Lihavilla potilailla oli enemmän masennusta ja huonompi toiminnallinen tulos verrattuna normaaleihin ja ylipainoisiin. Koko tutkimusryhmässä (n = 814) 21 potilasta oli saanut TJS:n. Yksitoista vastaajaa sai TJS:n kyselytutkimuksen jälkeen. TJS:n saaneilla oli päivittäistä tai jatkuvaa, kovempaa ja pääasiassa jalkaan säteilevää kipua. Kipu aiheutti enemmän toiminnallista haittaa, enemmän masennusta ja nämä saivat vähemmän apua kipulääkityksestä. Aika leikkauksen ja TJS:n asennuksen välillä oli pitkä. Puhelinhaastattelun avulla saatu tieto osoittaa, ettei TJS-hoitoa tarjota kaikille potentiaalisille hyötyjille. Yhteenvetona voidaan todeta, että välilevytyräleikkauksen jälkeen tulos oli hyvä ja vaativampien stabiloivan ja juurikanavan avarrusleikkauksen jälkeen heikompi. DS, etenkin MDS ja lihavuus korostuivat huonommin toipuneissa. TJS-hoitoa käytettiin vain vaikeimmille tapauksille ja odotusajat olivat pitkät.
543

Thermal room modelling adapted to the test of HVAC control systems

Riederer, Peter 28 January 2002 (has links)
Room models, currently used for controller tests, assume the room air to be perfectly mixed. A new room model is developed, assuming non-homogeneous room conditions and distinguishing between different sensor positions. From measurement in real test rooms and detailed CFD simulations, a list of convective phenomena is obtained that has to be considered in the development of a model for a room equipped with different HVAC systems. The zonal modelling approach that divides the room air into several sub-volumes is chosen, since it is able to represent the important convective phenomena imposed on the HVAC system. The convective room model is divided into two parts: a zonal model, representing the air at the occupant zone and a second model, providing the conditions at typical sensor positions. Using this approach, the comfort conditions at the occupant zone can be evaluated as well as the impact of different sensor positions. The model is validated for a test room equipped with different HVAC systems. Sensitivity analysis is carried out on the main parameters of the model. Performance assessment and energy consumption are then compared for different sensor positions in a room equipped with different HVAC systems. The results are also compared with those obtained when a well-mixed model is used. A main conclusion of these tests is, that the differences obtained, when changing the position of the controller's sensor, is a function of the HVAC system and controller type. The differences are generally small in terms of thermal comfort but significant in terms of overall energy consumption. For different HVAC systems the cases are listed, in which the use of a simplified model is not recommended. This PhD has been submitted in accordance to the conditions for attaining both the French and the German degree of a PhD, on a co-national basis, in the frame of a statement of the French government from January 18th, 1994. The research has been carried out in the Automation and Energy Management Group (AGE), Department of Sustainable Development (DDD), at the "Centre Scientifique et Technique du Bâtiment" (CSTB) in Marne la Vallée, France, in collaboration with the "Centre Energétique" (CENERG) at the "Ecole Nationale Supérieure des Mines de Paris" (ENSMP), Paris, France and the Technical University of Dresden (TUD), Germany.
544

Optische Strukturierung ultradünner funktioneller Polymerfilme

Trogisch, Sven 22 April 2003 (has links)
Im Rahmen dieser Arbeit wurde die Strukturierbarkeit ultradünner, funktioneller Polymerfilme anhand von Diazosulfonat-Terpolymer- und Aminoterpolymer-Schichten untersucht. Beide Polymersysteme enthalten eine photoaktive Gruppe in der Seitenkette, die sich durch gezielte UV-Bestrahlung verändern läßt. In den Diazosulfonat-Terpolymeren wird durch die Belichtung die Funktionalität zerstört, während bei den Aminoterpolymeren die Funktionalität durch die Belichtung erst freigelegt wird. Dafür wurden Strukturierungsmethoden für verschiedene Längenskalen erarbeitet und auf ihre Eignung geprüft. Der Nachweis der erfolgreichen Strukturierung wurde durch an die Längenskala angepaßte Methoden geführt und damit die erzeugten Strukturen sichtbar gemacht. Die Veränderungen im optischen Absorptionsverhalten konnten an makroskopischen Probenbereichen nachgewiesen werden. Sowohl der verwendete Aufbau für die Strukturierung (Belichtung) als auch die Detektion mit dem 2-Stahl-Spektrometer erwies sich als geeignet. Es konnte deutlich der Abbau der UV-Absorptionsbande der Diazosulfonat-Terpolymerfilme gezeigt und quantitativ untersucht werden. Dafür wurden Lichtdosen von etwa 0,35 ... 39 nJ/µm² eingebracht und deren Auswirkungen auf die Absorptionsänderung des Polymers direkt festgestellt. Diese Messungen zeigen, daß die eingebrachte Energie und nicht die Leistung (sofern diese unterhalb 2,5 mW liegt) entscheidend für die Modifikation der optischen Eigenschaften dieser Polymere ist. Anhand der Meßergebnisse konnte eine Abschätzung der Quantenausbeute durchgeführt werden, die für die Diazosulfonat-Terpolymerfilme einen Wert von (12 ± 6) % ergab. Auf der Mikrometer-Skala wurden unterschiedliche Ansätze verfolgt, um die optische Strukturierung nachzuweisen. Der Nachweis optischer Modifikationen der Diazosulfonat-Terpolymerfilme wurde nach Belichtung mit hohen Lichtdosen geführt, da er sich nur in diesem Energiebereich mit der erforderlichen Empfindlichkeit realisieren ließ. Für die Aminoterpolymerfilme wurden Strukturen durch Fluoreszenzmarkierung nachgewiesen, welche sich als sehr sensitiv herausstellte. Im Anschluß an die Belichtung konnten topographische Modifikationen mit dem AFM gemessen werden. Mit dem SNOM konnten diese Modifikationen bereits während der Belichtung direkt analysiert werden. Die getesteten Methoden der Raman-Spektroskopie und der Metallisierung mit anschließender Röntgen-Photoelektronenspektroskopie zeigten weder die benötigte Sensitivität noch Selektivität. Die untersuchten Polymersysteme können in Form ultradünner Filme auf unterschiedliche Substrate aufgebracht werden. In diesen Polymerfilmen wurden Strukturen von der Millimeter-Skala bis Nanometer-Skala erzeugt. Anhand von an die Größenskala angepaßten direkten und indirekten Nachweismethoden konnten Veränderungen der optischen, mechanischen und chemischen Eigenschaften der Polymere analysiert werden.
545

Gabriel Pierné's Sonata in D Minor, op. 36: A Study of the Work's Compositional Language and Context, Focusing on the Composer's Transcription for Flute

Le, Huong Thu 05 1900 (has links)
There are very few significant sonatas for flute and piano written between 1880 and 1918, a period of unusually rich stylistic diversity. Gabriel Pierné composed his Sonata in D Minor, Op. 36 for piano and violin in 1900, and later transcribed it for flute and piano. Unfortunately, the work has not been embraced to a significant extent by either violinists or flutists. The wealth of violin sonatas from this period might explain it not becoming part of the canon for violinists, but this is not the case for the flute repertoire, where it seems that it should hold a place of genuine importance. Since little has been written about Pierné as a composer or about this piece in either of its versions, this project is intended to promote an understanding of the work in its historical and theoretical context and to advocate for more frequent performances. This document also suggests an alternate version of several particular passages so it can better represent the characteristics of today's flute and its modern techniques. This research will help other flutists and flute professors to introduce and spread an awareness of its existence and ideally helping to establish its place in the flute repertoire. From a historical standpoint, this dissertation also offers a case study of Gabriel Pierné's place, both stylistically and institutionally, in the history of French music in fin-de-siècle. Both of these goals fill important gaps in the existing research literature.
546

Vilka är de bakomliggande faktorerna som påverkar nedskrivningar av goodwill i börsnoterade företag i Sverige, Finland, Danmark och Norge? : En kvantitativ studie kring företagets val av goodwillnedskrivning

Nowakowska, Klaudia, Lipska, Roksana January 2023 (has links)
The implementation of the IFRS framework in 2005 had a significant impact on the listed companies, as they became obligated to adhere to the new standard in preparing their consolidated financial statements. The new framework replaced annual amortization with regular impairment tests for goodwill. This shift provided management with the opportunity to influence the reporting to their advantage. The aim of this study is to examine the underlying factors that influence companies' decisions regarding goodwill impairments. Among the various factors that can affect goodwill impairments, four specific factors have been chosen for closer investigation in this study: CEO turnover, economic conditions, company size, and low profitability. In the present study, a quantitative method has been used to examine and analyze the research questions. Additionally, a deductive approach has been applied in the study. The data collected is based on annual reports from publicly traded companies listed on the OMX 30, OMXC25, OMXH25, and OSEBX 25 Oslo indexes between the years 2020-2022. The results of the study indicated that factors such as CEO turnover, economic downturn, or low profits did not have a significant impact on firms' decisions to write down goodwill. However, the results were more varied when it came to the factor of firm size. Two out of three statistical tests showed no significant relationship between firm size and goodwill impairments. However, the regression analysis suggested a possible significant relationship between the variables. / Införande av IFRS regelverk år 2005 hade en betydande påverkan på de börsnoterade företagen eftersom från denna tidpunkt blev de skyldiga att följa den nya standarden vid upprättandet av sin koncernredovisning. Det nya regelverket ersatte årliga avskrivningar med regelbundna tester för nedskrivning av goodwill. Detta innebar att företagsledningen fick möjlighet att påverka rapporteringen för sin egen fördel. Syfte med denna studie är att undersöka de bakomliggande faktorerna som påverkar företagens val av goodwillnedskrivningar. Av de olika faktorer som kan påverka goodwillnedskrivningar har fyra faktorer valts för att undersökas närmare i detta arbete. De faktorerna som ska undersökas är: VD-byte, konjunkturläge, företagets storlek samt lågt resultat.  I föreliggande studie har en kvantitativ metod använts för att undersöka och analysera forskningsfrågorna. Dessutom har en deduktiv ansats tillämpats i studien. Data som har samlats in baseras på årsredovisningar från börsnoterade företag på listor OMX 30, OMXC25, OMXH25 samt OSEBX 25 Oslo mellan åren 2020–2022. Resultaten från studier indikerade att faktorer som VD-byte, lågkonjunktur eller lågaresultat inte hade någon signifikant påverkan på förtegens beslut att skriva ned goodwill. Däremot var resultaten mer varierade när det gällde faktorn företagets storlek. Två av tre statistiska tester visat inget signifikant samband mellan företagens storlek och goodwillnedskrivningar. Dock visade regressionsanalysen på ett möjligt signifikant samband mellan variablerna
547

Anticooperación Norte Sur : cuando la coherencia es más importante que la ayuda. El caso de Ecuador y la "cooperación" española

Llistar, David 29 January 2016 (has links)
The thesis states that, as economies become more internationalized and as monetary and physical transnational flows increase, the negative externalities associated with these flows also rise. Externalities are distributed unevenly, reproducing North-South patterns, though with new geographies, new agents and partially new dominant forms, making new categories of development necessary, such as the those of the Global North and South. To analyze and refute this, the thesis introduces the concepts of "transnational interference" and "anticooperation". It puts forward the hypothesis that, in North-South relations, in general, the North-South transnational inteferences that are negative for the buen vivir (good living) of the population of the South (a phenomenon termed "anticooperation") are more significant than the positive effects of international aid. These prevailing forms of anticooperation are largely determined by the context and circumstances of each case. The research explores a case study comparing aid and anticooperation interactions between Ecuador and the Spanish State pver the period 2000-2010. The thesis demonstrates that the buen vivir of the impoverished population of the world will be improved through the implementation of coherent development policies and the mitigation of anticooperation phenomena in the North (and South), rather than by focusing on increasing the effectiveness of international aid. / La tesis postula que en la medida que la internacionalización de las economías aumenta y crecen los flujos transnacionales tanto monetarios como físicos, aumentan las externalidades negativas asociadas a esos flujos. Que las externalidades se distribuyen de forma desigual reproduciendo patrones Norte-Sur aunque con geografías, agentes y formas predominantes parcialmente nuevas, por lo cual se hacen necesarias nuevas categorías del desarrollo como las de Norte y Sur Globales. Para constatarlo se introducen dos conceptos nuevos, el de interferencia transnacional y el de anticooperación. Se lanza la hipótesis que afirma que en las relaciones Norte-Sur, por lo general, el conjunto de las interferencias transnacionales que resultan negativas para el buen vivir de la población del Sur (fenómeno al que llamamos anticooperación) prevalece sobre la ayuda internacional. Que esas formas predominantes de anticooperación quedan en gran medida determinadas por el contexto y circunstancias de cada caso de estudio. La investigación desarrolla un estudio de caso en el que se comparan la ayuda y la anticooperación en el marco de las interacciones entre Ecuador y el Estado español durante el periodo 2000-2010. De la tesis se desprende que se conseguirán mayores resultados sobre el buen vivir de la población empobrecida mundial si desde el Norte (y desde el Sur) se despliegan estrategias de mitigación del universo de fenómenos de anticooperación en lugar de apostarlo todo a la agenda de la eficacia de la ayuda internacional.
548

Empirical approach to the effect of social capital on the lifestyle, eating habits and weight status of a sample of Catalan adolescents. A specific focus on the family environment in different socioeconomic contexts

Carrillo Alvarez, Elena 20 January 2016 (has links)
El capital social, definit com els recursos als quals es té accés gràcies a la participació en grups o xarxes, ha estat reconegut com un determinant social de la salut. No obstant, el seu efecte ha estat poc investigat en relació a l’obesitat i les conductes de salut relacionades en població adolescent. Els mecanismes a través dels quals el capital social influencia diferents aspectes de la salut no estan suficientment descrits. A més, un espai poc explorat en l’estudi del capital social és el context familiar. L’objectiu general d’aquesta tesi doctoral és, doncs, investigar l’efecte del capital social en l’estil de vida, hàbits alimentaris i estatus ponderal d’una mostra d’adolescents catalans de diferents contextos socioeconòmics, amb un focus específic en l’entorn familiar. Els resultats indiquen que els diferents constructes del capital social actuen de manera separada i ens han permès caracteritzar alguns dels diversos mecanismes a través dels quals influeixen en l’estil de vida i conductes de salut en adolescents. Així mateix, en el marc d’aquesta recerca, alts nivells de capital social familiar són el factor més protector vers als indicadors de salut estudiats, i la seva influencia preval sobre el nivell socioeconòmic com a principal predictor social de salut en el nostre estudi. Investigacions futures haurien de contribuir a redefinir el paper del capital social en diferents àmbits, especialment el familiar, com a determinant social de la salut en els adolescents i en relació a altres determinants de la salut. / El capital social, definido como los recursos a los cuales se tiene acceso gracias a la participación en grupos o redes, ha sido reconocido como un determinante social de la salud. Sin embargo, su efecto ha sido poco investigado en relación a la obesidad y las conductas de salud relacionadas en población adolescente. Los mecanismos a través de los cuales el capital social influencia diferentes aspectos de la salud no están suficientemente descritos. Además, un espacio poco explorado en el estudio del capital social es el contexto familiar. El objetivo general de esta tesis doctoral es, pues, investigar el efecto del capital social en el estilo de vida, hábitos alimentarios y el estado ponderal de una muestra de adolescentes catalanes de diferentes contextos socioeconómicos, con un foco específico en el entorno familiar. Los resultados indican que los diferentes constructos del capital social actúan de forma separada y nos han permitido caracterizar alguno de los diversos mecanismos a través de los cuales influyen en el estilo de vida y conductas de salud en adolescentes. Así mismo, en el marco de esta investigación. Altos niveles de capital social familiar son el factor más protector hacia los indicadores de estudiados, y su influencia prevalece sobre el nivel socioeconómico como principal predictor social de salud en nuestro estudio. Investigaciones futuras deberían contribuir a redefinir el papel del capital social en diferentes ámbitos, especialmente el familiar, como determinante social de la salud en los adolescentes y en relación a otros determinantes de la salud. / Social capital, described as the resources that can be accessed thanks to the membership in groups or networks, has been recognized as social determinant of health. However, its effect has been little investigated in relation to obesity and its health related behaviors and in adolescent population. The pathways through which it influences different health outcomes are not sufficiently described. Furthermore, one glaring gap in the social capital related literature is the family domain. Thus, the overall aim of this dissertation is to investigate the effect of social capital on the lifestyle, eating habits and weight status of a sample of Catalan adolescents from different socioeconomic context, with a specific focus on the family environment. Results show that the different constructs of social capital act separately and have allowed to characterize some of the several mechanisms through which they influence lifestyle and health behaviors in adolescents. In the framework of this research, higher levels of social capital in the family domain are the most protective factor for the health outcomes included in this investigation, and its influence on health outplace socioeconomic status as the main social predictor of health in our study. Further research should contribute to refine the role of social capital in different domains, especially the family context, as a social determinant of health in adolescents and in relation to other determinants of health.
549

Blind injustice : Jesus' prophetic warning against unjust judging (Matt 7:1-5)

Chandler, Christopher N. January 2010 (has links)
This dissertation seeks to provide a plausible alternative to the consensus interpretation of Jesus' "do not judge" teaching in Matt 7:1-5. While the overwhelming majority of recent interpreters understand "do not judge" (7:1) and its concurrent sayings such as "take the log out of your own eye" (7:5) to promote a non-judgmental attitude, this monograph seeks to situate this block of teaching within a Jewish second-Temple judicial setting. To this end, an overview of the judicial system during the second Temple era is provided, after which it is argued that Matt 7:1-5 is the Matthean Jesus' halakhic, midrashic comment upon the laws for just legal judging in Lev 19:15-18, 35-36 by which he prophetically criticizes unjust legal judging. Jesus' brother James takes up this teaching in Jas 2:1-13, using it to exhort Jewish Christian leaders who judge cases within Diaspora synagogues/churches. Such an alternative interpretation of Jesus' "do not judge" teaching in Matt 7:1-5 matches well other passages in Matthew which likewise speak of judicial, brotherly conflict such as 5:21-26 and 18:15-35. Some early Christian writers who quote or allude to Matt 7:1-5 reflect a judicial understanding of these verses as well, often relating Matt 7:1-5 to Lev 19:15-18, 35-36 and/or drawing parallels between Matt 7:1-5 and one or more of the NT judicial texts which, this thesis argues, is related to it (Matt 5:21-26, 18:15-35; Jas 2:1-13).
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Acordos incentivados: uma contribuição britânica nos caminhos buscados pelo Judiciário brasileiro / Incentives to settlements: a British contribution in the paths sought by the Brazilian judiciary

Silveira, Susana Amaral 08 June 2010 (has links)
O presente trabalho propôs-se a investigar a conveniência e a possibilidade de introdução, no ordenamento brasileiro, de iniciativas à semelhança dos pre-action protocols (Protocolos) e da Part 36 Offer (Oferta) do direito inglês, em vigor desde o advento das Civil Procedure Rules, em 1999. Aqueles, uma espécie de procedimento que se desenrola antes do processo judicial, incentivando o diálogo e a troca de informações e produção de prova entre as partes, cujo descumprimento importaria a incidência de multa; esta, uma oferta de acordo cuja rejeição ou aceitação traria consigo conseqüências patrimoniais às partes envolvidas na controvérsia, também representada pela aplicação de uma (outra) multa. Embora não indissociáveis, acredita-se que, juntos, potencializam-se mutuamente. Observaram-se os efeitos práticos da experiência inglesa, contemplando seus pontos fortes e fracos, chegando-se a um balanço positivo. Justificados os méritos dos institutos, entendeu-se possível a implantação de sistemática semelhante no Brasil, feitos certos ajustes. Observou-se, ainda, que um dos grandes méritos dos protocolos é a promoção do acordo informado, não do acordo motivado principalmente pela ineficiência e pela demora na prestação jurisdicional. Assim, propôs-se a elaboração de protocolos, preferindo-se os específicos ao genérico, incutindo na população e nos operadores do direito a cultura do diálogo e da cooperação na troca de informações. Observaram-se, ainda, os efeitos que a conduta das partes no desenrolar do protocolo geraria dentro do processo. Propôs-se, ainda, a introdução do que se chamaria de OPAc Oferta Potencializada de Acordo, à semelhança da Oferta inglesa, mas com conseqüências patrimoniais (multa) calculadas sobre a diferença apurada entre a OPAc e a condenação final, no processo, como forma de criar incentivos suficientes, mas não opressivos. / This paper seeks to investigate the desirability and the possibility of introducing, in the Brazilian law, initiatives such as the pre-action protocols (\"Protocols\") and Part 36 Offer (\"Offer\") of the English law, in force since the advent of the Civil Procedure Rules in 1999. The former, a kind of procedure that takes place before the judicial proceedings, encouraging the dialogue, the exchange of information and the disclosure of evidence between the parties, and which failure results in the application of a fine; the latter, a settlement offer which rejection or acceptance would entail financial consequences to the parties to the dispute, also represented by the application of a (another) fine. Although not inseparable, it is believed that, taken together, Protocols and Offer enhance each others effects. The analysis of the practical results of the British experience, considering its strengths and weaknesses, led to a positive balance. Once the merits of those mechanisms have been justified, the implementation in Brazil of a similar systematic provided certain adjustments are undertaken was considered possible. It was also observed that one of the great values of the Protocols is promoting well-informed agreements, instead of settlements mainly motivated by the inefficiency and delay of adjudication. Thus, the drafting of protocols was proposed, preferably the specific over the generic ones, introducing to the people as well as to the legal community a culture of dialogue and cooperation in the exchange of information and evidence. The effects that the conduct of the parties while following the Protocol would generate in the judicial proceedings were also analyzed. Moreover, we proposed the introduction of the so-called OPAc - Oferta Potencializada de Acordo (Enhanced Settlement Offer) - similar, in its concept, to the British Offer, albeit bearing financial consequences (fines) calculated over the difference between the OPAc and the amount as per the decision handed down by the judge, in order to create sufficient - but not oppressive - incentives.

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