Hypotheses on the efficiency of evidence-based printed materials can be directed by health communication concepts. These concepts can provide a general framework that goes beyond the traditional vulgarization point of view: instead, it points towards a strategy to obtain health outcomes and provoke behavior change, from a disease prevention, management and health promotion perspective. The present study proposes a comprehensive framework based on concepts from health risk communication, Tarde's theory of social values, usability, readability and plain language. Using the mapping approach, an evaluation grid was applied to printed evidence-based materials with proven effectiveness, in order to reveal the underlying strategy and isolate the characteristics of effective materials. The results allowed us to define two types of printed evidence-based materials, according to the robustness of the evidence they contain and the target audience. It was also possible to identify indicators of notions that are translated into operationalized items, frequent in those materials that might be responsible for their efficiency: clear purpose of the documents, limited scope, learning motivation and correspondence to the logic, experience and language of readers. Effectiveness of printed evidence-based materials could also be correlated to numeracy, objectiveness, standard definitions, constant timeframes and denominators, risks enumerated in order of importance, effective response, and high degree of threat, urgency, novelty and visibility of the disease. It was also possible to identify some missing communication concepts: cultural diversity, narrative, increased easiness of procedures and aesthetic advantage for the patient. In the process of work, the theory of social values emerged as a dynamic component that can bring together and explain many concepts, as well as physician’s acceptance of the guidelines. Value in terms of usefulness and truth plays a major role in cognitive appreciation of the documents. This concept gives a strategic meaning to the whole work and allows us to better understand attitude and behavior change.

In the late 18th century and the first two decades of the 19th, Spanish seapower in the Pacific was in a state of decline, though it remained strong enough to contribute to the overthrow of the first attempt of the Chileans to liberate their colony from Spain, in 1814. By the time of the second, successful, emancipation of Chile in 1817, the patriots had realised the need for seapower. In that year they took into their service Lord Cochrane, a noted British naval officer then unemployed. Lord Cochrane arrived in Chile at the end of 1818. The squadron at that time is described. With this squadron Lord Cochrane made his first cruise, a reconnaissance in force of the royalist-held Peruvian coast during which Callao was attacked without success. Arising from this reconnaissance, the physical environment of the Mar del Sur is reviewed, together with the state of navigational knowledge. The intention of Lord Cochrane's second cruise, which began in September 1819, was to stage a major attack on Callao. This object was not achieved because of the' squadron's inadequate means and the viceroy's defensive measures, so in December 1819 Lord Cochrane sailed to Valdivia, a fortified city in the south of Chile still in Spanish hands, and captured it by assault in February 1820. There has been same debate about his intentions when he sailed for Valdivia. By early 1820 some of the basic social characteristics of the Chilean navy had emerged and these are examined, firstly from the point of view of the manning of the ships and secondly from the point of view of the problems of discipline and morale that arose. At the same time, the system of naval administration should be examined as its defects and malfunctioning had serious effects on the operating of the squadron, and its efficiency. This data forms the background to the squadron's participation in the liberation of Peru. Initially it played a significant role, firstly by shipping the expedition to Peru and secondly by boarding and taking out of Callao harbour the principal Spanish warship there. These successes were in 1820; in 1821 the squadron's role became less important as the relations between Lord Cochrane and San Martin, the commander-in-chief, deteriorated as a result of the refusal or inability of the latter to pay the squadron. In September 1821 Lord Cochrane seized the Peruvian public funds, allegedly to indemnify the expenses of the squadron, and left Peru. His last cruise, from October 1821 to May 1822, had the object of hunting down the remaining Spanish warships in the Pacific. This cruise here receives its first full account. The cruise completed, though not as successfully as he had hoped, Lord Cochrane returned to Chile. His brief remaining stay in that country was disturbed by difficulties in paying off the ships, disputes with San Martin, and the deteriorating political position of the government. When he received an invitation in November 1822 to take command of the Brazilian navy he accepted, resigned from the Chilean service, and left the country at the beginning of 1823. The dissertation is supplemented by the inventory of the papers in the Dundonald collection which relate to the period of Lord Cochrane's service with Chile. These amount to 2286 items.

Hypotheses on the efficiency of evidence-based printed materials can be directed by health communication concepts. These concepts can provide a general framework that goes beyond the traditional vulgarization point of view: instead, it points towards a strategy to obtain health outcomes and provoke behavior change, from a disease prevention, management and health promotion perspective. The present study proposes a comprehensive framework based on concepts from health risk communication, Tarde's theory of social values, usability, readability and plain language. Using the mapping approach, an evaluation grid was applied to printed evidence-based materials with proven effectiveness, in order to reveal the underlying strategy and isolate the characteristics of effective materials. The results allowed us to define two types of printed evidence-based materials, according to the robustness of the evidence they contain and the target audience. It was also possible to identify indicators of notions that are translated into operationalized items, frequent in those materials that might be responsible for their efficiency: clear purpose of the documents, limited scope, learning motivation and correspondence to the logic, experience and language of readers. Effectiveness of printed evidence-based materials could also be correlated to numeracy, objectiveness, standard definitions, constant timeframes and denominators, risks enumerated in order of importance, effective response, and high degree of threat, urgency, novelty and visibility of the disease. It was also possible to identify some missing communication concepts: cultural diversity, narrative, increased easiness of procedures and aesthetic advantage for the patient. In the process of work, the theory of social values emerged as a dynamic component that can bring together and explain many concepts, as well as physician’s acceptance of the guidelines. Value in terms of usefulness and truth plays a major role in cognitive appreciation of the documents. This concept gives a strategic meaning to the whole work and allows us to better understand attitude and behavior change.

Hypotheses on the efficiency of evidence-based printed materials can be directed by health communication concepts. These concepts can provide a general framework that goes beyond the traditional vulgarization point of view: instead, it points towards a strategy to obtain health outcomes and provoke behavior change, from a disease prevention, management and health promotion perspective. The present study proposes a comprehensive framework based on concepts from health risk communication, Tarde's theory of social values, usability, readability and plain language. Using the mapping approach, an evaluation grid was applied to printed evidence-based materials with proven effectiveness, in order to reveal the underlying strategy and isolate the characteristics of effective materials. The results allowed us to define two types of printed evidence-based materials, according to the robustness of the evidence they contain and the target audience. It was also possible to identify indicators of notions that are translated into operationalized items, frequent in those materials that might be responsible for their efficiency: clear purpose of the documents, limited scope, learning motivation and correspondence to the logic, experience and language of readers. Effectiveness of printed evidence-based materials could also be correlated to numeracy, objectiveness, standard definitions, constant timeframes and denominators, risks enumerated in order of importance, effective response, and high degree of threat, urgency, novelty and visibility of the disease. It was also possible to identify some missing communication concepts: cultural diversity, narrative, increased easiness of procedures and aesthetic advantage for the patient. In the process of work, the theory of social values emerged as a dynamic component that can bring together and explain many concepts, as well as physician’s acceptance of the guidelines. Value in terms of usefulness and truth plays a major role in cognitive appreciation of the documents. This concept gives a strategic meaning to the whole work and allows us to better understand attitude and behavior change.

Nursing is a permanently developing field of activity. Research plays an irreplaceable role in this field. We moreover more and more often see the term Evidence Based Practice nowadays. However a lot of general nurses do not know that this term also relates to the field of nursing, where it is called Evidence Based Nursing. Quantitative research was chosen for this thesis. The research was performed in South Bohemian and Central Bohemian regions among general nurses with bachelor degree. The aim of the questionnaire research was to confirm or refute the hypotheses set for this thesis. The first goal of the thesis was to find out whether general nurses with bachelor degree were willing to participate in research in nursing. The second goal was to find out whether general nurses with bachelor degree had come across the term Evidence Based Practice. The third goal was focused on finding whether general nurses with bachelor degree knew the names of databases that might be used in planning nursing care based on evidence. The fourth goal was to find out whether general nurses with bachelor degree were willing to participate on application of research results to nursing practice. The fifth goal was to find out whether general nurses with bachelor degree had met with application of research results to nursing practice. The goals of the thesis have been met. Five hypotheses were set for achievement of the above goals. H1: General nurses with bachelor degree are willing to participate in research in nursing. H2: General nurses with bachelor degree are able to define the term Evidence Based Practice. H3: General nurses with bachelor degree know the names of databases they may use in planning nursing care based on evidence. H4: General nurses with bachelor degree are willing to participate in introduction and application of research results to nursing practice. H5: General nurses with bachelor degree meet application of research results to nursing practice. The first, second and fourth hypotheses were confirmed, the third and fifth ones were not confirmed. Although the issues of Evidence Based Practice appear more and more often in literature, and we might expect nurses with tertiary education to apply the practice based on evidence in nursing, there are still general nurses who have lack of information in this sphere. Nevertheless there are a lot of general nurses with tertiary education who would like to participate in research and application of the research results to nursing practice. A proposal for a whole-life educational course focused on application of Evidence Based Practice to nursing was elaborated upon the research results. The results may also be used in hospital seminars and in education of nursing students.

Made available in DSpace on 2014-06-11T19:33:27Z (GMT). No. of bitstreams: 0 Previous issue date: 2013-09-23Bitstream added on 2014-06-13T21:06:11Z : No. of bitstreams: 1 000733675.pdf: 772007 bytes, checksum: a4852fff8773ba08aabb9493ea417288 (MD5) / O intento desta tese é investigar a contribuição de Roberto Simonsen para o conhecimento e a melhora das condições de vida dos trabalhadores no Brasil. Nossa hipótese é a de que o intelectual contribuiu de maneira fundamental para que o tema das condições de vida dos trabalhadores, especialmente dos operários, fosse inserido em uma agenda mais ampla, a do nacional-desenvolvimentismo, para a qual também contribuiu de maneira significativa, conforme debateremos ao longo deste trabalho. A obra de Simonsen é ampla e aborda aspectos variados, que se estendem desde os problemas centrais de nossa história econômica e social até questões relativas ao associativismo empresarial. Optamos por este tema porque entendemos que Simonsen tinha uma especial atenção para o tema das condições de vida e entendia que a superação da pobreza era a chave para que o Brasil se tornasse um país desenvolvido economicamente. Entendemos e pretendemos demonstrar ao longo do trabalho que foi a partir da constatação da situação de carestia em que a classe trabalhadora vivia no Brasil que o autor desenvolveu seus importantes conceitos sobre a economia e sobre a necessidade da industrialização como forma de superação da pobreza, sendo o tema o centro de suas teorias, o cerne, o alicerce do qual partiu para erguer o corolário de ideias sobre o Brasil e o mundo que o consagraram como um pensador do Brasil / The intent of this thesis is to investigate the contribution of Roberto Simonsen, for knowledge and improvement of living conditions of workers in Brazil. Our hypothesis is that the intellectual contributed in a fundamental way to the theme of the living conditions of workers, especially workermens, was inserted into a broader agenda, that of national developmentalism, to which she also contributed significantly, as we will discuss throughout this work. The work of Simonsen is broad and covers various aspects, which extend from the central problems of our economic and social history to issues relating to business associations. We chose this theme because we believe that Simonsen had a special attention to the issue of living conditions and understand that overcoming poverty was the key for Brazil, to become a developed country economically. We understand and we intend to demonstrate over the work, that was based on the statement of the situation of famine in the working class lived in Brazil, that the author developed his important concepts, about the economy and about the need for industrialization as a means of overcoming poverty, and the subject at the center of their theories, the core, the foundation of which went to build the corollary ideas about Brazil and the world consecrated as a thinker of Brazil

Background: The coronavirus disease 2019 (COVID-19) presents diagnostic evaluation and patient management challenges, including uncertainty regarding the role of imaging tests. This series of reviews from the suite of Cochrane ‘living systematic reviews’ aims to evaluate the accuracy of chest imaging (computed tomography (CT), X-ray and ultrasound) for diagnosis and management of individuals with suspected COVID-19. Methods: The Bern COVID-19 Living Database, Cochrane COVID-19 Register, and CDC Library were searched through 30 September 2020 (for review version 3) and 17 February 2021 (for review version 4). Diagnostic accuracy studies involving participants with suspected COVID-19 were included. Screening, data extraction, and risk of bias assessments (using the QUADAS-2 tool) were completed independently, in duplicate. Pooled accuracy estimates and 95% confidence intervals (CIs) were determined using a bivariate random effects model. Results: In the third version of the review, chest CT (41 studies, 16133 participants, 8110 (50%) cases) had a pooled sensitivity of 87.9% (95%CI 84.6-90.6) and specificity of 80.0% (74.9-84.3). Chest X-ray (9 studies, 3694 participants, 2111 (57%) cases) had a pooled sensitivity of 80.6% (69.1-88.6) and specificity of 71.5% (59.8-80.8). Ultrasound of the lungs (5 studies, 446 participants, 211 (47%) cases) had a pooled sensitivity of 86.4% (72.7-93.9) and specificity of 54.6% (35.3-72.6). Indirect comparisons showed that chest CT gave higher specificity (P=0.0052) and similar sensitivity (P=0.77) compared to ultrasound. There were no differences (P≥0.05) in accuracy between CT and X‐ray, or X‐ray and ultrasound. In the fourth version of the review, chest CT (69 studies, 28285 participants, 14342 (51%) cases) had a pooled sensitivity of 86.9% (83.6-89.6) and specificity of 78.3% (73.7-82.3). Chest X‐ray (17 studies, 8530 participants, 5303 (62%) cases) had a pooled of sensitivity=73.1% (64.1-80.5) and specificity of 73.3% (61.9-82.2). Ultrasound of the lungs (15 studies, 2410 participants, 1158 (48%) cases) had a pooled sensitivity of 88.9% (84.9-92.0) and specificity of 72.2% (58.8-82.5). Indirect comparisons showed that chest CT and ultrasound had similar sensitivities (P=0.42), and each gave higher sensitivities than X-ray (P=0.0003 and P=0.001, respectively). All modalities had similar specificities (P≥0.05). Conclusion: The most recent evidence indicates that both chest CT and ultrasound of the lungs are sensitive and moderately specific for diagnosing individuals with suspected COVID-19, while chest X-ray is moderately sensitive and moderately specific. Chest CT and ultrasound may be useful for ruling out COVID‐19, but not for distinguishing COVID-19 from other illnesses. Research assessing the prognostic value of imaging for predicting morbidity and mortality in individuals with COVID-19 is underway and will also be published in the suite of Cochrane ‘living' systematic reviews.

Orientador: Alvaro Gabriel Bianchi Mendez / Dissertação (mestrado) - Universidade Estadual de Campinas, Instituto de Filosofia e Ciências Humanas / Made available in DSpace on 2018-08-18T13:04:33Z (GMT). No. of bitstreams: 1 Aquino_Arthurde_M.pdf: 1984246 bytes, checksum: 56075ea128709e1c609955b8b32e394c (MD5) Previous issue date: 2011 / Resumo: Essa dissertação discorre sobre os efeitos que a 'Controvérsia' entre Roberto Simonsen e Eugênio Gudin tiveram na consolidação do projeto político industrialista. O célebre debate entre eles ocorreu em dois momentos: em 1943, na Comissão de Redação do I Congresso Brasileiro de Economia; e entre 1944-1945 durante o debate travado na Comissão de Planejamento Econômico. Planejamento, protecionismo, atividades econômicas do Estado, pobreza, e industrialização, foram os principais temas discutidos nesses espaços de tomada de decisão, e mesmo o momento é crítico, em vista do Estado Novo em vias de desagregação e a perspectiva do fim da II Guerra Mundial. Defende-se aqui que o debate consistiu numa disputa pela hegemonia entre dois projetos de nação concorrentes / Abstract: This dissertation concerns about the effects nettle by 'Controversy' between Roberto Simonsen and Eugênio Gudin has been in industrialist political project's consolidation. The renowned debate between they has been in two moments: in 1943, in the Editorship Comission of I Congresso Brasileiro de Economia; and between 1944-1945 until the debate maked in the Comissão de Planejamento Econômico. Planning, protectionism, States' economic actives, poverty, and industrialization, was be the main issues discussed on this policy-making arenas, and in fact the moment is critical, because of the Estado Novo in straightened circumstances and end' perspective of II World War. I argue with the debate concerns in hegemony struggle between two nations' project competitors / Mestrado / Ciencia Politica / Mestre em Ciência Política