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Asmenybės adekvatumo identifikavimo informacinės sistemos tyrimas ir taikymas / The information system of personality adequacy identificationMotiejaitienė, Ieva 25 May 2004 (has links)
The identification of personality adequacy includes complete research of a person. There are various psycho diagnostic testing methods for such researches. The most testing methods are being created abroad, therefore it takes a lot of time to evaluate the results and to adapt them to the Lithuanians situation. This means that the psychologist have to make a lot of tests of different patient’s groups as well. At the moment, there is no program in Lithuania, which would be helpful by creating computerized version of tests and able to collect all data related to the patient and to the process of theinvestigation. Such program would be able to computerize confidential methods as well. All data related to the patient and the method of research, has to be protected. The information system of personality adequacy identification gives a possibility for the psychologists to register the investigative persons and the process of this investigation. It also helps to create textual and visual tests, to test the investigative persons, to accumulate the diagnosis and the experience of the applied methodic. The created system of programs helps the psychologists to work more efficiently and to generalize the date of Lithuanian’s patients groups as well. This program is going to ensure the required grade of confidentially and security of tests data.
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An assessment of the dietary intake of pregnant women in the West Coast / Winelands region, Western Cape Province: relation to low birth weight.Jaffer, Sharmilah. January 2008 (has links)
<p>This secondary analysis aimed to develop dietary scores to assess the dietary intake of pregnant women in the West Coast/ Winelands region and determine the association with LBW. Further to determine the association between the dietary scores and maternal socioeconomic and socio-demographic characteristics and maternal smoking and/or alcohol consumption during pregnancy.</p>
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ANTENATAL AND DELIVERY CARE UTILIZATIONIN URBAN AND RURAL CONTEXTS IN VIETNAM : A study in two health and demographic surveillance sitesTran Khanh, Toan January 2012 (has links)
Background. Pregnant women need adequate antenatal care (ANC) and delivery care fortheir own health and for healthy children. Availability of such care has increased in Vietnam but maternal mortality remains high and variable between population groups. Aims. The general aim of this thesis is to describe and discuss the use of antenatal and delivery care in relation to demographic and socio-economic status and other factors in two health and demographic surveillance sites (HDSS), one rural and one urban. One specificaim of the thesis is to present experiences of running the urban HDSS. Methods. Between April 2008 and December 2009, 2,757 pregnant women were identifiedin the sites. Basic information was obtained from 2,515 of these. The use of ANC was followed to delivery for 2,132. Three indicators were used. ANC was considered overall adequate if the women started ANC within the first trimester, used three or more visits and received all the six recommended core services at least once during pregnancy. Delivery care was studied for all the 2,515 women. Main Findings. Nearly all 2,132 participants used ANC. The mean numbers of visits were 4.4 and 7.7 in the rural and urban areas. Mainly due to less than recommended use of core ANC services, overall ANC adequacy was low in some groups, particularly in the rural area (15.2%). The main risk factors for not having adequate ANC were (i) living in a rural area,(ii) low level of education, (iii) low economic status and (iv) exclusive use of private ANC providers. Rural women accessed ANC mainly at commune health centers and private clinics. Urban women accessed ANC and gave birth at central hospitals and provincial hospitals. Caesarean section (CS) was common among urban women (38.5%). Good socioeconomic condition and male babies were associated with delivery in hospitals and CS births. Almost all women had one or more antenatal ultrasound examination, the mean was about 4.5. Rural women spent 3.0% and 19.0% of the reported annual household income percapita for ANC and delivery care, respectively, compared to 6.1% and 20.6% for urbanwomen. The relative economic burden was heaviest for poor rural women. Conclusion. The coverage of ANC was high in both contexts but with large variations between population subgroups. The major concerns are that poor women in the rural area received incomplete services according to recommendations and that many women, particularly the well-off, in the urban area appeared to overuse technology, ultrasound scanning, delivery in highlevel health care and CS delivery. National maternal healthcare programs should focus on improving ANC service content in rural areas and controlling technology preference in urban. The pregnant women with relatives and friends as well as ANC providers share the responsibility for a positive development. All parties involved must be targeted to improve knowledge, attitudes and practices.
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Stochastic modelling in bank management and optimization of bank asset allocationSchalkwyk, Garth Van January 2009 (has links)
>Magister Scientiae - MSc / The Basel Committee published its proposals for a revised capital adequacy framework(the Basel II Capital Accord) in June 2006. One of the main objectives of this framework is to improve the incentives for state-of-the-art risk management in banking, especially in the area of credit risk in view of Basel II. The new regulation seeks to provide incentives for greater awareness of differences in risk through more risk-sensitive minimum capital requirements based on numerical formulas. This attempt to control bank behaviour has a heavy reliance on regulatory ratios like the risk-based capital adequacy ratio (CAR). In essence, such ratios compare the capital that a bank holds to the level of credit, market and operational risk that it bears. Due to this fact the objectives in this dissertation are as follows. Firstly, in an attempt to address these problems and under assumptions about retained earnings, loan-loss reserves, the market and shareholder-bank owner relationships,
we construct continuous-time models of the risk-based CAR which is computed
from credit and market risk-weighted assets (RWAs) and bank regulatory capital (BRC) in a stochastic setting. Secondly, we demonstrate how the CAR can be optimized in terms of equity allocation. Here, we employ dynamic programming for stochastic optimization, to obtain and verify the results. Thirdly, an important feature of this study is that we apply the mean-variance approach to obtain an optimal strategy that diversifies a portfolio consisting of three assets. In particular, chapter 5 is an original piece of work by the author of this dissertation where we demonstrate how to employ a mean-variance optimization approach to equity allocation under certain conditions.
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Modelling of asset allocation in banking using the mean-variance approachKaibe, Bosiu C. January 2012 (has links)
>Magister Scientiae - MSc / Bank asset management mainly involves profit maximization through invest-
ment in loans giving high returns on loans, investment in securities for reducing
risk and providing liquidity needs. In particular, commercial banks grant loans
to creditors who pay high interest rates and are not likely to default on their
loans. Furthermore, the banks purchase securities with high returns and low
risk. In addition, the banks attempt to lower risk by diversifying their asset
portfolio. The main categories of assets held by banks are loans, treasuries
(bonds issued by the national treasury), reserves and intangible assets. In this
mini-thesis, we solve an optimal asset allocation problem in banking under the
mean-variance frame work. The dynamics of the different assets are modelled
as geometric Brownian motions, and our optimization problem is of the mean-
variance type. We assume the Basel II regulations on banking supervision. In
this contribution, the bank funds are invested into loans and treasuries with
the main objective being to obtain an optimal return on the bank asset port-
folio given a certain risk level. There are two main approaches to portfolio
optimization, which are the so called martingale method and Hamilton Jacobi
Bellman method. We shall follow the latter. As is common in portfolio op-
timization problems, we obtain an explicit solution for the value function in
the Hamilton Jacobi Bellman equation. Our approach to the portfolio prob-
lem is similar to the presentation in the paper [Hojgaard, B., Vigna, E., 2007.
Mean-variance portfolio selection and efficient frontier for defined contribution
pension schemes. ISSN 1399-2503. On-line version ISSN 1601-7811]. We pro-
vide much more detail and we make the application to banking. We illustrate
our findings by way of numerical simulations.
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Avaliação da reprodutibilidade dos parâmetros de adequação da hemodiálise crônica / Evaluation of reproducibility of adequacy Parameters in chronic hemodialysisManente, Marislei January 2002 (has links)
Justificativa: Doses inadequadas de diálise estão associadas a maior morbidade e mortalidade em pacientes com uremia terminal em tratamento hemodialítico. Atualmente os métodos mais utilizados para medir a adequação da hemodiálise baseiam-se no cálculo da depuração fracional de uréia (Kt/V) e da taxa de redução da uréia (URR). Nesse estudo avaliou-se a reprodutibilidade do Kt/V e da URR e analisou-se o número aceitável de medidas mensais destes parâmetros para determinar de forma fidedigna a adequação da hemodiálise. Métodos: Avaliamos 43 pacientes clinicamente estáveis, em cinco sessões de hemodiálise (sessões 1 a 5), durante três semanas. Três diálises consecutivas na primeira semana (sessões 1, 2, 3) e duas sessões de meio de semana, nas duas semanas subseqüentes (sessões 4 e 5). Resultados: Não houve diferença entre a média dos Kt/Vs obtidos em diálises seqüenciais (1, 2 e 3) comparada a média dos Kt/Vs obtidos em diálises no meio da semana (2, 4 e 5). O mesmo aconteceu com a URR e com os coeficientes de variação do Kt/V e da URR. Também não encontramos diferença entre uma medida mensal (Kt/V 2) e três medidas mensais (média dos Kt/Vs 2, 4 e 5). O mesmo ocorreu com a URR. A diferença entre o Kt/V 2 e a média dos Kt/Vs 2, 4 e 5 foi de – 0,02 unidades e entre a URR 2 em relação a média das URRs 2, 4 e 5 foi de – 0,5%. Além disso, se fizermos apenas uma medida mensal (Kt/V 2) 80% dos pacientes estarão a uma distância de no máximo 0,16 unidades abaixo da média dos Kt/Vs 2, 4 e 5 e no máximo 0,12 unidades acima. Em relação a URR 80% dos pacientes estarão a uma distância de no máximo 4,37% abaixo da média das URRs 2, 4 e 5 e no máximo 3,37% acima. O grau de concordância entre o Kt/V 2 e a média dos Kt/Vs 2, 4 e 5 é bom para pontos de corte do Kt/V igual ou superior a 1,3. No caso da URR a concordância é boa para pontos de corte acima de 65%. Conclusão: Concluímos que nesta população de pacientes clinicamente estáveis os parâmetros de adequação da hemodiálise mostraram-se reprodutíveis não havendo necessidade de aumentar o número de medidas mensais da quantidade de diálise ofertada. / Background: Inadequate doses of dialysis are associated with higher morbidity and mortality rates for end-stage renal disease (ESRD) patients undergoing hemodialysis treatment. Most methods aimed at measuring dialysis adequacy use the calculation of fractional clearance of urea (Kt/V) and urea reduction ratio (URR). This study evaluates the reproducibility of Kt/V and URR and analyzes the acceptable number of monthly measurements of these parameters to determine hemodialysis adequacy. Methods: We evaluated 43 clinically stable patients in five hemodialysis sessions (1 to 5) along three weeks. Three consecutive sessions were carried out in the first week (1, 2, 3), while the two other studied sessions were carried out in the middle of the week at weekly intervals (4, 5). Results: There was no difference between mean Kt/V in sessions 1, 2, and 3 and in sessions 2, 4, and 5. The same was observed for URR and the coefficients of variation for Kt/V and URR. Either differences were found between one monthly measurement (2) or three monthly measurements (mean of 2, 4, and 5) for Kt/V and URR. The difference between Kt/V 2 and the arithmetic mean of Kt/Vs 2, 4, and 5 was – 0.02 units, and between URR 2 and the mean of URRs 2, 4, and 5 was – 0.5%. When only one monthly measurement (Kt/V 2) was considered, 80% of the patients presented ≤0.16 unit below or ≤0.12 above the mean of Kt/Vs 2, 4, and 5. For URR, 80% of patients presented ≤4.73% below or ≤3.37% above the arithmetic mean of URRs 2, 4, and 5. The degree of agreement between Kt/V 2 and the mean of Kt/Vs 2, 4 and 5 is good for Kt/Vs of 1.3 or higher. URR agreements are good for URR of 65% or higher. Conclusion: In this population, hemodialysis adequacy parameters were reproducible, and an increase in the number of monthly measurements seems not to be necessary.
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Entre o projetado e o apropriado : mosaico de transformações urbanas : o caso Guajuviras em Canoas/RSMog, William January 2016 (has links)
A presente dissertação objetiva compreender a influência do processo de adequação entre o espaço concebido originalmente a partir de um projeto e o espaço vivido temporalmente a partir das apropriações nas dinâmicas cotidianas do espaço percebido. Para tal, optou-se por analisar a história de consolidação do espaço físico e social do Conjunto Habitacional Guajuviras como o estudo de caso deste trabalho. Este conjunto popular foi projetado e implantado em Canoas/RS entre as décadas de 1970 e 1980 a partir do Banco Nacional da Habitação (BNH) e da Companhia Habitacional (COHAB) local e passou por um processo conturbado de apropriação e ocupação irregular. Hoje o Bairro Guajuviras vivencia uma série de contradições físicas e sociais em função das transformações e adaptações que originaram regiões distintas dentro de um mesmo lugar. Juntas estas diferentes parcelas e seus respectivos cotidianos configuram um mosaico de espaços conhecido popularmente como “Guaju” que é abordado aqui em função de três momentos complementares. Primeiramente, analisa-se a história do conjunto destacando a origem das diferentes regiões. Em seguida, objetiva-se mapear o processo de adequação considerando as adaptações físicas de cada região. E, por ultimo, pretende-se apreender os percursos cotidianos enfatizando as diferentes fronteiras a serem atravessadas pelos moradores de cada região. Após cada um dos momentos, o objeto de estudo é aprofundado em função de uma reconstrução do espaço que é ao mesmo tempo histórica, física e social. / This dissertation aims to understand the influence of the adequacy process between the space originally designed from a project and the space temporally lived from the appropriations in the everyday dynamics of the perceived space. To this end, it was decided to analyze the consolidation history of physical and social space Housing Guajuviras set as the case study of this work. This popular housing was designed and implemented in Canoas/RS between the 1970s and 1980s from the National Housing Bank (BNH) and the Housing Company (COHAB) site and went through a troubled process of appropriation and illegal occupation. Today Guajuviras district experience a series of physical and social contradictions due to the changes and adaptations that led to different regions within the same place. Together these different plots and their everyday configure a space mosaic popularly known as "Guaju" which is addressed here in terms of three complementary moments. First, it analyzes the history of the housing highlighting the origin of the different regions. Then the objective is to map the adequacy process considering the physical adaptations of each region. And lastly, it is intended to grasp the daily routes emphasizing the different borders to be crossed by the residents of each region. After each of the moments, the object of study is deepened due to a reconstruction of the space that is historical, physical and social.
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A study to determine the forensic quality of records and record keeping by dentists in the greater Cape Town areaOpperman, Johan Frank January 2018 (has links)
Magister Chirurgiae Dentium - MChD (Maxillo-Facial & Oral Surgery) / South African dentists have a legal and ethical obligation to maintain complete and
comprehensive dental records. In addition to the legal and ethical requirements, dental records
are also important in the case of medico-legal issues, quality assurance processes and forensic
purposes. Valuable forensic evidence contained in dental records are used in the identification
of victims of mass disasters, personal victim identification e.g. in severely decomposed or
skeletonized remains where DNA or other biometric data are not available. The victim
identification process is highly dependent on complete, legible and accurate dental records. A
review of the literature however shows that dental record keeping practices are sub-optimal
worldwide.
There is a paucity of studies in South Africa regards to dental record keeping practices. The
aim of this study was to assess the record keeping practices of a sample of private practicing
dentists in Cape Town and surrounding towns, for forensic dental purposes. Knowledge and
awareness regards to forensic odontology as well as adherence to the guidelines prescribed by
the Health Professional Council of South Africa were also assessed. This was a cross-sectional
descriptive study, employing a researcher-administered questionnaire and a dental checklist for
forensic valuable items in the dental file. The results were entered in a MS Excel spreadsheet
and statistically analysed using IMB SPSS Statistics.
This study concluded that most of the dental records kept by Cape Town dentists are near to
optimal and would be helpful during forensic odontology investigations. However,
shortcomings in record keeping practices exists which may compromise the forensic accuracy
of their dental records. The study also shows a significant difference in dental record keeping
practices by dentists practicing in lower income areas in Cape Town, compared to those
practicing in economic affluent areas. The dentists in this study adhered to most of the
guidelines prescribed by the Health Professional Council of South Africa however, important
medico-legal information was missing from most dental records. This study hopes to contribute
to future comprehensive studies in the broader South Africa to determine the validity of dental
records for forensic odontology purposes.
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Avaliação da reprodutibilidade dos parâmetros de adequação da hemodiálise crônica / Evaluation of reproducibility of adequacy Parameters in chronic hemodialysisManente, Marislei January 2002 (has links)
Justificativa: Doses inadequadas de diálise estão associadas a maior morbidade e mortalidade em pacientes com uremia terminal em tratamento hemodialítico. Atualmente os métodos mais utilizados para medir a adequação da hemodiálise baseiam-se no cálculo da depuração fracional de uréia (Kt/V) e da taxa de redução da uréia (URR). Nesse estudo avaliou-se a reprodutibilidade do Kt/V e da URR e analisou-se o número aceitável de medidas mensais destes parâmetros para determinar de forma fidedigna a adequação da hemodiálise. Métodos: Avaliamos 43 pacientes clinicamente estáveis, em cinco sessões de hemodiálise (sessões 1 a 5), durante três semanas. Três diálises consecutivas na primeira semana (sessões 1, 2, 3) e duas sessões de meio de semana, nas duas semanas subseqüentes (sessões 4 e 5). Resultados: Não houve diferença entre a média dos Kt/Vs obtidos em diálises seqüenciais (1, 2 e 3) comparada a média dos Kt/Vs obtidos em diálises no meio da semana (2, 4 e 5). O mesmo aconteceu com a URR e com os coeficientes de variação do Kt/V e da URR. Também não encontramos diferença entre uma medida mensal (Kt/V 2) e três medidas mensais (média dos Kt/Vs 2, 4 e 5). O mesmo ocorreu com a URR. A diferença entre o Kt/V 2 e a média dos Kt/Vs 2, 4 e 5 foi de – 0,02 unidades e entre a URR 2 em relação a média das URRs 2, 4 e 5 foi de – 0,5%. Além disso, se fizermos apenas uma medida mensal (Kt/V 2) 80% dos pacientes estarão a uma distância de no máximo 0,16 unidades abaixo da média dos Kt/Vs 2, 4 e 5 e no máximo 0,12 unidades acima. Em relação a URR 80% dos pacientes estarão a uma distância de no máximo 4,37% abaixo da média das URRs 2, 4 e 5 e no máximo 3,37% acima. O grau de concordância entre o Kt/V 2 e a média dos Kt/Vs 2, 4 e 5 é bom para pontos de corte do Kt/V igual ou superior a 1,3. No caso da URR a concordância é boa para pontos de corte acima de 65%. Conclusão: Concluímos que nesta população de pacientes clinicamente estáveis os parâmetros de adequação da hemodiálise mostraram-se reprodutíveis não havendo necessidade de aumentar o número de medidas mensais da quantidade de diálise ofertada. / Background: Inadequate doses of dialysis are associated with higher morbidity and mortality rates for end-stage renal disease (ESRD) patients undergoing hemodialysis treatment. Most methods aimed at measuring dialysis adequacy use the calculation of fractional clearance of urea (Kt/V) and urea reduction ratio (URR). This study evaluates the reproducibility of Kt/V and URR and analyzes the acceptable number of monthly measurements of these parameters to determine hemodialysis adequacy. Methods: We evaluated 43 clinically stable patients in five hemodialysis sessions (1 to 5) along three weeks. Three consecutive sessions were carried out in the first week (1, 2, 3), while the two other studied sessions were carried out in the middle of the week at weekly intervals (4, 5). Results: There was no difference between mean Kt/V in sessions 1, 2, and 3 and in sessions 2, 4, and 5. The same was observed for URR and the coefficients of variation for Kt/V and URR. Either differences were found between one monthly measurement (2) or three monthly measurements (mean of 2, 4, and 5) for Kt/V and URR. The difference between Kt/V 2 and the arithmetic mean of Kt/Vs 2, 4, and 5 was – 0.02 units, and between URR 2 and the mean of URRs 2, 4, and 5 was – 0.5%. When only one monthly measurement (Kt/V 2) was considered, 80% of the patients presented ≤0.16 unit below or ≤0.12 above the mean of Kt/Vs 2, 4, and 5. For URR, 80% of patients presented ≤4.73% below or ≤3.37% above the arithmetic mean of URRs 2, 4, and 5. The degree of agreement between Kt/V 2 and the mean of Kt/Vs 2, 4 and 5 is good for Kt/Vs of 1.3 or higher. URR agreements are good for URR of 65% or higher. Conclusion: In this population, hemodialysis adequacy parameters were reproducible, and an increase in the number of monthly measurements seems not to be necessary.
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Entre o projetado e o apropriado : mosaico de transformações urbanas : o caso Guajuviras em Canoas/RSMog, William January 2016 (has links)
A presente dissertação objetiva compreender a influência do processo de adequação entre o espaço concebido originalmente a partir de um projeto e o espaço vivido temporalmente a partir das apropriações nas dinâmicas cotidianas do espaço percebido. Para tal, optou-se por analisar a história de consolidação do espaço físico e social do Conjunto Habitacional Guajuviras como o estudo de caso deste trabalho. Este conjunto popular foi projetado e implantado em Canoas/RS entre as décadas de 1970 e 1980 a partir do Banco Nacional da Habitação (BNH) e da Companhia Habitacional (COHAB) local e passou por um processo conturbado de apropriação e ocupação irregular. Hoje o Bairro Guajuviras vivencia uma série de contradições físicas e sociais em função das transformações e adaptações que originaram regiões distintas dentro de um mesmo lugar. Juntas estas diferentes parcelas e seus respectivos cotidianos configuram um mosaico de espaços conhecido popularmente como “Guaju” que é abordado aqui em função de três momentos complementares. Primeiramente, analisa-se a história do conjunto destacando a origem das diferentes regiões. Em seguida, objetiva-se mapear o processo de adequação considerando as adaptações físicas de cada região. E, por ultimo, pretende-se apreender os percursos cotidianos enfatizando as diferentes fronteiras a serem atravessadas pelos moradores de cada região. Após cada um dos momentos, o objeto de estudo é aprofundado em função de uma reconstrução do espaço que é ao mesmo tempo histórica, física e social. / This dissertation aims to understand the influence of the adequacy process between the space originally designed from a project and the space temporally lived from the appropriations in the everyday dynamics of the perceived space. To this end, it was decided to analyze the consolidation history of physical and social space Housing Guajuviras set as the case study of this work. This popular housing was designed and implemented in Canoas/RS between the 1970s and 1980s from the National Housing Bank (BNH) and the Housing Company (COHAB) site and went through a troubled process of appropriation and illegal occupation. Today Guajuviras district experience a series of physical and social contradictions due to the changes and adaptations that led to different regions within the same place. Together these different plots and their everyday configure a space mosaic popularly known as "Guaju" which is addressed here in terms of three complementary moments. First, it analyzes the history of the housing highlighting the origin of the different regions. Then the objective is to map the adequacy process considering the physical adaptations of each region. And lastly, it is intended to grasp the daily routes emphasizing the different borders to be crossed by the residents of each region. After each of the moments, the object of study is deepened due to a reconstruction of the space that is historical, physical and social.
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