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Utredningar av socialt utsatta barn : en genomlysning av risk- och skyddsfaktorerGustafsson Collén.[Gustafsson}, Kristina, Lindström, Helene January 2006 (has links)
The aim of this study is to, from a child’s family relations, describe the usage of terms relating to factors of risk and safety in science and in investigations concerning children in need of protection. It is also of importance in what way the terms are used when the Social Services suggest that measures should be taken, and in which way the children have been heard in the investigations. The issues raised in this study are: (a) How is the current life situation and life quality of the children discussed? (b) The value of factors concerning risks and protection. (c) How is the children’s own descriptions taken in to consideration? (d) Is gender issues considered? (e) How is Lagerberg’s model (Lagerberg, 1998) useful in investigations? The method of analysis is mainly qualitative however it is combined with analysis of literature relevant to the study. The empirical material has been obtained from social files concerning recommendations of placing children in alternative homes. The study includes 13 cases when recommendations have been given according to the Social Services Act (SoL) or to the Care of Young Persons Act (LVU). The cases concern children between the age 7 and 12 years old in two communities in the middle of Sweden. The result of the study is given in terms of risks, safety and quality of life. When needed, it is also given in terms of gender. For instance, the study shows that the children are able to talk about their situation in 50% of the cases. Furthermore, it shows that girls tend to talk more about their concerns about their family situation than boys do. The ambition is that this study will be of assistance for the Social Services in cases concerning children in need. Keywords: Child perspective, attachment, ecology of human development, gender, factors of risk, protective factors, life quality and prognoses.
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Situações de risco e proteção à saúde de adolescentes da Comunidade São Remo / Situations of risk and protection to the health among adolescents of São Remo CommunityShimizu, Eli Ikuta 27 March 2007 (has links)
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Previous issue date: 2007-03-27 / One in every five people in the world is an adolescent, a person between 10
and 19 years old. About 85% of that living in developing countries (WHO, 2006).
In Brazil 21% of the population is in this age range, (IBGE, 2002). Adolescents
are generally thought to be healthy, but it is recognizes the increase of the
mortality in accident, suicide, violence, pregnancy related complication and
other illnesses that are either preventable or treatable. The objective of this
study is to investigate the situations of risk and protection to the health, for a low
income adolescents. It is a qualitative descriptive study, carried through in the
community of São Remo, São Paulo City, characterized for the poverty and the
violence. The method used for collection of data was the focus group. 20
adolescents participated, divided in two groups, one of 12 to 14 years and
another one of 15 to 18 years. Three meetings with each group were carried.
The meetings were recorded, transcribed and the content of these data were
analised according to Bardin (1977). The research results demonstrated that
situations of risks to the health are consequence of the fragil familiar support,
physical violence caused by third with emphasis in the police violence,
psychological violence, test of social inclusion at school, use of drugs and
transgressive behaviors. The factors of protection detected were: family,
particulary the mother figure, religions, teacher as reference and future projects.
The results demonstrate that the situations of risk to the health of low income
adolescents are more evident than for those concerning protection. / No mundo, um em cada cinco pessoas estão na faixa etária de 10 a 19 anos,
sendo que 85% habitam países em desenvolvimento (WHO, 2006). Brasil, 21%
do total da população está nesta faixa etária (IBGE, 2002). A adolescência é
considerada um dos períodos mais saudáveis da vida humana, porém é
reconhecido o aumento dos índices de mortalidade em acidentes, suicídios,
violência, complicações na gestação e outras doenças que podem ser
prevenidas ou tratadas. O objetivo deste estudo é investigar as situações de
risco e de proteção à saúde e à vida, vivenciadas por um grupo de
adolescentes de baixa renda. É um estudo descritivo qualitativo, realizado na
Comunidade São Remo, município de São Paulo, caracterizada pela pobreza e
violência. O método utilizado para a coleta de dados foi o grupo focal.
Participaram 20 adolescentes, divididos em dois grupos, um de 12 a 14 anos e
outro de 15 a 18 anos, foram realizadas três reuniões com cada grupo. As
reuniões foram gravadas, posteriormente transcritas e os conteúdos foram
analisado, segundo os propostos de Bardin (1977). Os resultados da pesquisa
demonstraram que situações de riscos à saúde estão presentes na fragilidade
do suporte familiar, violência física causada por terceiros (com ênfase na
violência policial), violência psicológica, situações de exclusão social
vivenciadas na escola, uso de drogas e condutas transgressoras. Os fatores de
proteção detectados foram: família com ênfase na mãe, religiosidade, professor
como referência e projetos futuros. Os resultados demonstram que as
situações de risco à saúde são mais evidentes do que de proteção para este
grupo de adolescentes de baixa renda.
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Associação entre as atividades desenvolvidas e os fatores de risco para doenças cardiovasculares de enfermeiros de um hospital universitário / Association between the activities developed and the risk factors for cardiovascular disease nurses in a university hospitalBruno Ferreira do Serrado Barbosa 02 March 2015 (has links)
Trata-se de um estudo de caráter descritivo, transversal com abordagem quantitativa. Este estudo transversal de base populacional possui como população de estudo enfermeiros trabalhadores de um hospital universitário do Estado do Rio de Janeiro. Possui como objetivo primário do estudo estimar a magnitude da associação entre as atividades profissionais dos enfermeiros e os fatores de risco para doenças cardiovasculares, e como objetivos secundários descrever o perfil demográfico e profissional dos enfermeiros do estudo; correlacionar a presença dos fatores de risco para doenças cardiovasculares com o tipo de atividade desenvolvida; e estabelecer a relação dos fatores de risco para doenças cardiovasculares com o nível de estresse dos enfermeiros. Selecionou-se para o estudo um total de 61 participantes. Os sujeitos foram acessados através de suas chefias imediatas e pela chefia geral de Enfermagem do hospital, que se dispusera a ajudar nesse contato. Listas com os nomes e setores foram disponibilizadas e os contatos assim foram realizados. As variáveis que foram analisadas no estudo são do tipo sociodemográficas, variáveis laborais e variáveis relacionadas aos fatores de risco para doenças cardiovasculares. Foi utilizado um questionário estruturado para a avaliação de variáveis socioeconômicas; variáveis sobre conhecimento da hipertensão, diabetes, dislipidemia, tabagismo, etilismo e atividade física; aferições sobre peso, altura e pressão arterial; informações sobre o trabalho. Para a avaliação de estresse no trabalho foi utilizada a Escala Bianchi de Estresse.. Após análises estatísticas secundárias, a mensuração do Escore Bianchi de Estresse e Escore de Risco Global para doenças cardiovasculares, foi identificado que as variáveis estatisticamente significativas associadas ao risco cardiovascular foram sexo, idade e o grupo de estresse (baixo e médio). Com a regressão logística foi possível identificar o tamanho da associação. O sexo masculino possui a chance de apresentar risco cardiovascular 5,66 vezes maior que o sexo feminino. A faixa etária entre 40 e 59 anos apresenta um risco cardiovascular 4,37 vezes maior que a faixa etária entre 20 e 39 anos. Os sujeitos com Escore de Bianchi de Estresse (EBS) classificados como Médio apresentam risco cardiovascular 6,63 vezes maior do que quem tem EBS baixo. A associação entre estresse e risco cardiovascular foi de 3,23. Concluiu-se que o existe uma nítida associação entre estresse, avaliado pelo Escore Bianchi de Estresse e aumento do risco cardiovascular global, através da ER Global. Os profissionais que trabalham em setores fechados apresentam um maior risco cardiovascular global. Os enfermeiros conhecem os fatores de risco para doenças cardiovasculares. Paradoxalmente encontramos que os enfermeiros que possuem apenas um emprego apresentam um risco global intermediário. Os profissionais homens, em nosso estudo, apresentam um risco cardiovascular global maior que as mulheres. / This is a descriptive transverse study with a quantitative approach. This cross-sectional population-based study has as study population workers nurses of a university hospital in the State of Rio de Janeiro. It owns as primary objective of this study to estimate the magnitude of association between the professional activities of nurses and the risk factors for cardiovascular disease, and as second purpose to describe the demographic and professional profile of the study nurses; correlate the presence of risk factors for cardiovascular disease with the type of activity developed; and establish the relationship of risk factors for cardiovascular disease with the stress level of nurses. It was selected for the study a total of 61 participants. The subjects were accessed through their immediate supervisors and the general management of hospital nursing, who was willing to help in this contact. Lists of names and sectors were made available and contacts so were performed. The variables that were analyzed in the study are the socio-demographic type, labor variables and variables related to risk factors for cardiovascular disease. A structured questionnaire for the evaluation of socioeconomic variables was used; variables on knowledge of hypertension, diabetes, dyslipidemia, smoking, alcohol consumption and physical activity; measurements of weight, height and blood pressure; information about the job. For the evaluation of job stress was used Bianchi Stress Scale. After secondary statistical analysis, the measurement of score Bianchi Stress Score and Global Risk for cardiovascular disease, it was identified that the statistically significant variables associated with cardiovascular risk were sex, age and stress group (low and medium). With logistic regression was possible to identify the size of the association. The male has a chance to present cardiovascular risk 5.66 times larger than the female. The age group between 40 and 59 years has a cardiovascular risk 4.37 times bigger than age group between 20 and 39 years. The individuals with Bianchi Stress Score (EBS) classified as Medium have cardiovascular risk 6.63 times higher than those with low EBS. The association between stress and cardiovascular risk was 3.23. It was concluded that there is a clear association between stress, assessed by the Bianchi Stress Score and increased overall cardiovascular risk by ER Global. The professionals working in closed sectors have a higher global cardiovascular risk. Nurses know the risk factors for cardiovascular disease. Paradoxically found that nurses who have only one job present a global risk intermediary. Men professional, in our study, present a global cardiovascular risk greater than women.
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Influ?ncia de fatores ambientais na Leishmaniose visceral no Rio Grande do NorteCabral, Angela Pardo 23 October 2007 (has links)
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Previous issue date: 2007-10-23 / The Visceral Leishmaniose (LV) disease is endemic in some places in Brazil. It is caused by the protozoa Leishmania chagasi, being transmitted for vector, the phlebotomies, Lutzomyia longipalpis. In virtue of the expansion of the illness in Rio Grande do Norte, it is necessary to evaluate the determinative ambient factors in the proliferation of the vector for better control of the illness. The variable rainfall and the social variables had been analyzed using space regression with two models and the ambient variable of ZANE and the variables analyzed in 205 houses in the cities of Natal, Extremoz, N?sia Floresta, S?o Gon?alo do Amarante, S?o Jose do Mipibu, Parnamirim and Maca?ba the Person and ML Chi-square were used . The analyses had shown that high rainfall, plain relief, the forest, the humid tropical climate the activities of production culture of sugar cane and fruit culture and the presence of bovines increase the risk of the LV. The work showed that it has space aggregation and that ambient factors influence in the LV in the State / A Leishmaniose Visceral (LV) ? uma doen?a end?mica em algumas regi?es do Brasil causada pelo protozo?rio Leishmania chagasi, sendo transmitida por vetor, o flebotom?neo, Lutzomyia longipalpis. Em virtude da expans?o da doen?a no Rio Grande do Norte, ? necess?rio avaliar os fatores ambientais determinantes na prolifera??o do vetor para melhor controle. Foram analisadas as vari?veis pluviom?tricas e sociais utilizando a regress?o espacial com dois modelos. Para as vari?veis ambientais do Zoneamento Agroecol?gico do Nordeste e as analisadas nos munic?pios de Natal, Extremoz, N?sia Floresta, S?o Gon?alo do Amarante, S?o Jos? do Mipibu, Parnamirim e Maca?ba, onde foram georeferenciadas 205 casas, utilizando-se o coeficiente de Pearson e tamb?m o qui-quadrado para as primeiras. Os resultados mostraram que alta pluviosidade, relevo plano, a presen?a de floresta, o clima tropical ?mido as atividades de produ??o cultivo de cana de a??car e fruticultura e a presen?a de bovinos aumentam o risco da LV. Foi confirmada que h? agrega??o espacial e que fatores ambientais influenciam na LV no Estado
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Associação entre as atividades desenvolvidas e os fatores de risco para doenças cardiovasculares de enfermeiros de um hospital universitário / Association between the activities developed and the risk factors for cardiovascular disease nurses in a university hospitalBruno Ferreira do Serrado Barbosa 02 March 2015 (has links)
Trata-se de um estudo de caráter descritivo, transversal com abordagem quantitativa. Este estudo transversal de base populacional possui como população de estudo enfermeiros trabalhadores de um hospital universitário do Estado do Rio de Janeiro. Possui como objetivo primário do estudo estimar a magnitude da associação entre as atividades profissionais dos enfermeiros e os fatores de risco para doenças cardiovasculares, e como objetivos secundários descrever o perfil demográfico e profissional dos enfermeiros do estudo; correlacionar a presença dos fatores de risco para doenças cardiovasculares com o tipo de atividade desenvolvida; e estabelecer a relação dos fatores de risco para doenças cardiovasculares com o nível de estresse dos enfermeiros. Selecionou-se para o estudo um total de 61 participantes. Os sujeitos foram acessados através de suas chefias imediatas e pela chefia geral de Enfermagem do hospital, que se dispusera a ajudar nesse contato. Listas com os nomes e setores foram disponibilizadas e os contatos assim foram realizados. As variáveis que foram analisadas no estudo são do tipo sociodemográficas, variáveis laborais e variáveis relacionadas aos fatores de risco para doenças cardiovasculares. Foi utilizado um questionário estruturado para a avaliação de variáveis socioeconômicas; variáveis sobre conhecimento da hipertensão, diabetes, dislipidemia, tabagismo, etilismo e atividade física; aferições sobre peso, altura e pressão arterial; informações sobre o trabalho. Para a avaliação de estresse no trabalho foi utilizada a Escala Bianchi de Estresse.. Após análises estatísticas secundárias, a mensuração do Escore Bianchi de Estresse e Escore de Risco Global para doenças cardiovasculares, foi identificado que as variáveis estatisticamente significativas associadas ao risco cardiovascular foram sexo, idade e o grupo de estresse (baixo e médio). Com a regressão logística foi possível identificar o tamanho da associação. O sexo masculino possui a chance de apresentar risco cardiovascular 5,66 vezes maior que o sexo feminino. A faixa etária entre 40 e 59 anos apresenta um risco cardiovascular 4,37 vezes maior que a faixa etária entre 20 e 39 anos. Os sujeitos com Escore de Bianchi de Estresse (EBS) classificados como Médio apresentam risco cardiovascular 6,63 vezes maior do que quem tem EBS baixo. A associação entre estresse e risco cardiovascular foi de 3,23. Concluiu-se que o existe uma nítida associação entre estresse, avaliado pelo Escore Bianchi de Estresse e aumento do risco cardiovascular global, através da ER Global. Os profissionais que trabalham em setores fechados apresentam um maior risco cardiovascular global. Os enfermeiros conhecem os fatores de risco para doenças cardiovasculares. Paradoxalmente encontramos que os enfermeiros que possuem apenas um emprego apresentam um risco global intermediário. Os profissionais homens, em nosso estudo, apresentam um risco cardiovascular global maior que as mulheres. / This is a descriptive transverse study with a quantitative approach. This cross-sectional population-based study has as study population workers nurses of a university hospital in the State of Rio de Janeiro. It owns as primary objective of this study to estimate the magnitude of association between the professional activities of nurses and the risk factors for cardiovascular disease, and as second purpose to describe the demographic and professional profile of the study nurses; correlate the presence of risk factors for cardiovascular disease with the type of activity developed; and establish the relationship of risk factors for cardiovascular disease with the stress level of nurses. It was selected for the study a total of 61 participants. The subjects were accessed through their immediate supervisors and the general management of hospital nursing, who was willing to help in this contact. Lists of names and sectors were made available and contacts so were performed. The variables that were analyzed in the study are the socio-demographic type, labor variables and variables related to risk factors for cardiovascular disease. A structured questionnaire for the evaluation of socioeconomic variables was used; variables on knowledge of hypertension, diabetes, dyslipidemia, smoking, alcohol consumption and physical activity; measurements of weight, height and blood pressure; information about the job. For the evaluation of job stress was used Bianchi Stress Scale. After secondary statistical analysis, the measurement of score Bianchi Stress Score and Global Risk for cardiovascular disease, it was identified that the statistically significant variables associated with cardiovascular risk were sex, age and stress group (low and medium). With logistic regression was possible to identify the size of the association. The male has a chance to present cardiovascular risk 5.66 times larger than the female. The age group between 40 and 59 years has a cardiovascular risk 4.37 times bigger than age group between 20 and 39 years. The individuals with Bianchi Stress Score (EBS) classified as Medium have cardiovascular risk 6.63 times higher than those with low EBS. The association between stress and cardiovascular risk was 3.23. It was concluded that there is a clear association between stress, assessed by the Bianchi Stress Score and increased overall cardiovascular risk by ER Global. The professionals working in closed sectors have a higher global cardiovascular risk. Nurses know the risk factors for cardiovascular disease. Paradoxically found that nurses who have only one job present a global risk intermediary. Men professional, in our study, present a global cardiovascular risk greater than women.
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Untersuchungen zur Altersassoziierten Innenohrschwerhörigkeit / Examination about Age Related Hearing ImpairmentLauterbach, Hans-Heinz 20 January 2014 (has links) (PDF)
In Europa leiden etwa 120 Millionen aller 18- bis 80-jährigen an einer Hörbehinderung (16% Prävalenz). Die altersassoziierte Innenohrschwerhörigkeit (Age related hearing impairment, ARHI) hat damit Anschluss gefunden an die großen Volkskrankheiten: Ischämische Herzerkrankungen (5,9 %), Demenz (5,8 %), Diabetes mellitus und Cerebralen Erkrankungen (je 5,5 %).
Der erste Teil der Arbeit befasst sich mit der Theorie des Hörens und seinen Störungen, der cochleären Durchblutung, den metabolischen Risikofaktoren, der Molekularbiologie und Epigenetik des Innenohres. Obwohl in der Literatur weitgehend Konsens über den Einfluss exogener Faktoren auf ARHI herrscht, wie Diabetes mellitus, Herz-Kreislauferkrankungen (Framingham Studie und CVD), Hypertonie, Rauchen, Body mass index (BMI) und genderspezifische hormonelle Einflüsse, gibt es kaum HNO-ärztliche Studien dazu.
Der zweite Teil geht in einer Praxis-Fallstudie an 202 Patienten folgenden Fragen nach:
1. Gibt es zwischen metabolischen Erkrankungen, wie Adipositas, Störungen des Fett- und Glucosestoffwechsels, der Hypertonie und der Zunahme von Innenohrschwerhörigkeiten im Erwachsenenalter klinische Zusammenhänge?
2. Könnte eine erste Ohrsymptomatik Prädikator einer okkulten pathologischen Stoffwechselveränderung sein?
3. Gibt es Möglichkeiten einer Prävention?
Im Ergebnis zeigten sich bei Patienten mit ARHI im Verhältnis Männer/Frauen: Störung des Glukosestoffwechsels bei 97 %/84 %, Lipidstoffwechselstörungen bei 76 %/85 %, eine Homocysteinämien bei 70 %/62 %, ein Anstieg des Plasminogen-Aktivator-Inhibitors (PAI) bei 65 %/38 % und eine Harnsäureerhöhung bei 48 %/15 %.
Auch bei ersten Ohrsymptomen (Ohrdruck, Tinnitus, einzelne Frequenzsenken) fanden sich in jedem einzelnen Fall metabolische Veränderungen, die entweder allein oder in unterschiedlichen Kombinationen vorlagen. Männern mit metabolisch initiierten KHK-Erkrankung haben als Prädikator häufig eine erektile Dysfunktion. Erste auditorische Symptomen könnten Prädikator okkulter metabolischer Störungen bei Männern und Frauen sein. Anamnestisch unklare Innenohrprobleme sollten daher auf Stoffwechselstörungen untersucht werden, da diese Risikofaktoren darstellen, die leitlinienbasiert zu therapieren sind. Eine Prognose ist in keinem Einzelfall möglich, da die Folgen auf die molekularbiologischen Prozesse im Innenohres individuell nicht erkennbar sind. Doch sahen wir bei einigen Patienten deutliche Verbesserungen der Symptome und einen Hörschwellenanstieg. Andere Patienten zeigten innerhalb des Beobachtungszeitraums keine Änderung der audiogenen Symptomatik. Behandlungen über einen längeren Zeitraum an einer größeren Fallzahl wären daher sinnvoll. Die Ergebnisse könnten als erste sekundärpräventive Behandlung betrachtet werden, die im Einzelfall eine Hörgeräteversorgung entbehrlich machte. Sie stellen einen Beitrag zu Pfisters Empfehlung dar, mit den vorhandenen Erkenntnissen exogener Risikomechanismen, dringend neue therapeutische Präventionsstrategien für die HNO-ärztliche Tätigkeit zu entwickeln, die die neurale und molekulare Basis anstelle der Symptome der Erkrankung fokussieren.
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Risk factors for multiple sclerosis in the Northern Isles of ScotlandWeiss, Emily Margaret January 2018 (has links)
This thesis looks at risk factors for multiple sclerosis (MS), a chronic, degenerative autoimmune disease which is usually diagnosed between the ages of 20 and 50 years. It is estimated to affect over 100,000 people in the UK. The research setting was Orkney and Shetland, two archipelagos situated north of mainland Scotland, and both of which have very high MS prevalence as do other countries at high latitudes. I examine genetic and environmental risk factors in Orkney and Shetland using multiple methods over four studies. I also review the vitamin D and UV exposure literatures as these are risk factors pertinent to MS in Orkney and Shetland. After devoting three chapters to introducing the purpose of the thesis, MS, and Orkney and Shetland, in the fourth chapter, I aim to establish whether the birthplace of cases show any spatial, temporal, or spatiotemporal clustering. Evidence of these kinds of clustering may indicate that there are environmental risk factors present in some areas or that were present over particular periods, which raise risk of developing MS. Although I find statistically significant temporal, spatial, and spatiotemporal clustering in Orkney, and a spatial cluster in Shetland, for multiple reasons these results need to be interpreted with caution. I conclude that the clusters are very likely to be artefacts. Furthermore, there are multiple possible alternative explanations for such clusters that could not be explored by the available data. Chapter 5 examines the heritability of MS in Orkney and Shetland to estimate the proportion of phenotypic variance attributable to additive genetic effects. I also look at the birthplaces of ancestors of cases and controls to see if any locations contribute a greater amount of ancestral DNA to the gene pool of modern MS cases, which I term ‘genetic clustering’. In Orkney I obtained a heritability estimate of 0.36 (95% CI -0.26, 0.98); in Shetland this estimate was 0.20 (95% CI -1.88, 2.28). These modest estimates are consistent with the heritability literature. The genetic clustering analyses highlight two Orkney registration districts, Kirkwall and Westray, which earlier studies identified as areas of MS clustering. I also identify three Shetland registration districts, however these locations had not shown any evidence of clustering in earlier studies. Again, I advise caution in interpreting results, particularly as all the error bars across registration districts overlap. Chapter 6 presents a scoping review to map the literature and identify evidence of an association between vitamin D and UV exposure with MS. In methodically searching the literature, I identify a large and heterogeneous evidence base comprising multiple observational, intervention, and genetic studies. Overall, many studies support an association between vitamin D deficiency and MS. There is also evidence for an association between UV exposure and MS, although UV exposure is considerably less explored than vitamin D. I finally identify gaps in the literature and make suggestions for future research. In Chapter 7 I aim to compare vitamin D levels in Orkney and mainland Scotland, and establish the determinants of vitamin D status in Orkney. I firstly compare mean vitamin D and prevalence of deficiency in cross-sectional data from studies in Orkney and mainland Scotland. I secondly use multivariable regression to identify factors associated with vitamin D levels in Orkney. I find that mean (standard deviation) vitamin D is significantly higher in Orkney compared to mainland Scotland (35.3 (18.0) and 31.7 (21.2), respectively), and prevalence of severe deficiency is lower in Orkney (6.6% to 16.2% p = 1.1 x 10-15). Factors associated with higher vitamin D in Orkney include older age, farming occupations and foreign holidays. I conclude that although mean vitamin D levels are higher in Orkney compared to mainland Scotland, there is substantial variation within the Orkney population which may influence MS risk. Chapter 8 examines the correlates and determinants of UVB exposure in Shetland. I firstly construct correlation matrices to visualise how 1) personal characteristics such as sex, occupation, and skin type, 2) physical activity, and 3) body weight and fat, correlate with UVB exposure. I then use multivariable regression to identify factors associated with UVB exposure in Shetland. I run two multivariable models. The first includes the full sample size where activity data were measured by questionnaires. The second includes both questionnaire physical activity data and step-count data from pedometers, however as only a subset of participants had been supplied with pedometers, this analysis comprises a smaller sample size. I find that the amount of skin exposed was most strongly correlated with UVB exposure. Step count and activity minutes were also moderately positively correlated, and indoor occupations moderately negatively correlated, with UVB exposure. The regression analysis using the full sample with questionnaire activity data found that factors associated with greater UVB exposure were age and ambient UVB, while working indoors was significantly associated with lower UVB exposure. The model including the pedometer data found that found that age, total steps, and the amount of ambient UVB were significantly associated with greater UVB exposure. I conclude that atmospheric conditions, working outdoors and older age are important factors in UVB exposure in Shetland. It remains to be seen how UVB exposure translates to vitamin D levels in Shetland. I found evidence for environmental and genetic risk factors for MS in Orkney and Shetland. The two environmental risk factors, vitamin D deficiency and reduced UV exposure, are more likely to affect the younger population who are still within their lifetime risk of developing MS.
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Vliv lidského činitele na bezpečnost průmyslových pecí / Impact of Human Factor on Industrial Furnace SafetyMukhametzianova, Leisan January 2019 (has links)
The presented doctoral thesis is focused on assessment of human factor impact on safety of industrial furnaces. Industrial furnaces are classified as machinery and belong to a group of industrial thermal equipment. The operation of industrial furnaces is burdened with the risks which the manufacturers and the furnace operators realize. The first part of the thesis presents an analysis of the current situation of legislation and scientific knowledges in the field of assessment of human factor impact on safety of industrial furnaces. In this part of the thesis the issue of human factor in other industrial branches: chemical industry, aviation and nuclear industry is also described. On the basis of conducted research the main aim of the thesis was established: preparation of a methodology for assessment of human factor impact on safety of industrial furnaces. Secondary targets were also listed. The second part deals with the assessment of risks connected with the operation of industrial furnaces and the assessment of human factor impact on safety of industrial furnaces. The furnace safety requirements, the process of furnaces risk assessment, the methods used for risk assessment and problems connected with the risk assessment are described. This part of the thesis explains the concept of human factor, presents a classification and description of the methods used for human reliability assessment, as well as the factors influencing the reliability of the operator. The third part of the thesis contains a proposed methodology for assessment of human factor impact on safety of industrial furnaces. Within the methodology performance shaping factors are stated, qualitative and quantitative assessment of human factor impact on safety of industrial furnaces is made and the system integration of the knowledges into the developed methodology is proposed – qualitative model for improvement of system state. The methodology is further verified on a real equipment – a hardening furnace.
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Resilience and emotional distress in young people : risk, promotive and cultural factorsMalik, Aiysha January 2015 (has links)
Resilience, as a trait, process or outcome, is the negation of an undesirable outcome or of an expected maladjustment in the context of an adversity. Young people represent a developmental stage in which there is a vulnerability to experience deleterious outcomes during adversity. The literature on risk and promotive factors for resilience in youth is compounded by narrative reviews which have not applied a rigorous search methodology and which have failed to operationalise resilience. To date, the majority of research in resilience for emotional distress has focussed on data collected in high income countries. The first paper presents a systematic review of the literature on risk and promotive factors for trait resilience in youth. The findings indicate that there are differences in the magnitude of association between trait resilience and various risk and promotive factors, which were conceptualised into biological, intrapersonal, interpersonal and environmental factors. The largest body of evidence reviewed pertained to intrapersonal risk and promotive factors for trait resilience. Factors predicting trait resilience were also identified. Implications for future research include addressing the methodological and sampling limitations of the reviewed studies. The second paper presents an empirical study investigating factors within a microsystem which differentiate adolescents with resilience for emotional distress and those vulnerable to emotion distress in India (<i>N</i> = 967) and in Peru (<i>N</i> = 606). Factors which predict low emotional distress in each country and factors which differentiate between low emotional distress Indian and Peruvian adolescents were additionally investigated. A cross-sectional exploratory investigation of secondary data was employed. The findings suggest that the profile of low vulnerability for emotional distress differs between different cultural contexts and contribute to an extraordinarily limited evidence-base in low and middle income contexts. Extensive additional research is required to delineate culturally-specific profiles of resilience for emotional distress in a bid to develop culturally-sensitive treatment targets.
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Ověření odhadu předpokladů pro zkrácení výkonu trestu / The verification of detected assumptions for the reduction of servis a sentenceHorynová, Kateřina January 2012 (has links)
This Diploma thesis engages in problematic of the identification of needs and evaluation of risks by offenders of crime acts in the standpoint of developing the prediction tool, which could be used as a common tool in a prison and justice profession. This thesis is divided into two parts - the theoretical one and the empirical one. In the first - theoretical - part I introduce the basic concept of the evaluation of risks and its utilization in current prediction tools. I also mention here a historical development of these tools and their dividing according to the usage of statistical or dynamical factors. After that I also shortly introduce these days most common used tools in other countries. Then I focus on the development of czech (czechoslovak) evaluation tools and their specifics. Last chapter of the theoretical part introduces SARPO project in the meaning of slight description of its history and showing main ideas. Data analysis is based on dataset from SARPO 1 research (2009), which had to verify SARPO 1 utility tool. Besides the presentation of results and characteristics of dataset I will verify the propriety of designed mathematical model for calculation of risk through first and also second validization essay. Part of the analysis is also suggestion of alternative model for prediction...
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