• Refine Query
  • Source
  • Publication year
  • to
  • Language
  • 665
  • 657
  • 221
  • 175
  • 91
  • 34
  • 30
  • 22
  • 21
  • 20
  • 16
  • 14
  • 12
  • 11
  • 10
  • Tagged with
  • 2287
  • 400
  • 312
  • 281
  • 250
  • 237
  • 233
  • 233
  • 231
  • 185
  • 183
  • 182
  • 160
  • 156
  • 155
  • 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.
141

Desenvolvimento e validação de questionário para avaliação do conhecimento de boas práticas em pesquisa clínica / Development and validation of a questionnaire to evaluate knowledge in good clinical practices

Ladenthin, Ana Carolina Melo 13 February 2019 (has links)
Ensaios Clínicos controlados e randomizados representam um pilar para a medicina baseada em evidência e, para que estes sejam confiávéis, a condução deve se basear nos princípios e padrões estabelecidos pelas Boas Práticas em Pesquisa Clínica (BPC). Segundo as BPC, o investigador e sua equipe são responsáveis pela execução do estudo e, por isso, precisam ser qualificados por treinamentos. Deste modo, visto a diversidade de pesquisadores, ambiente heterogêneo para recrutamento e potencial técnico dos profissionais de saúde da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo foi desenvolvido e validado o conteúdo de um questionário para avaliação de conhecimento em BPC. Por meio de levantamento bibliográfico, tradução e consulta com especialistas em Pesquisa Clínica, as temáticas do questionário foram estruturadas em três dimensões principais: guia de BPC, legilação brasileira quanto à participação de seres humanos em pesquisa e Termo de Consentimento Livre e Esclarecido (TCLE). Dentro destas dimensões foram trabalhados os domínios: conceito BPC; princípios das BPC; responsabilidades; eventos adversos; controle de dados; Resoluções brasileiras 466/12, 441/11 e 251/97; princípios éticos; e, TCLE quanto a populações vulneráveis, pessoas com incapacidade, crianças, pacientes críticos, ressarcimento e indenização. A avaliação da validade de conteúdo, conforme relevância e representatividade, foi definida por meio do Indice de Validação de Conteúdo (CVI). As afirmações formuladas, verdadeiras ou falsas, foram validadas por seis juízes, com experiência em Pesquisa Clínica, conforme grau de relevância, clareza da informação (texto e estrutura), e se concordavam com a resposta. O instrumento foi estruturado por meio do site SurveyMonkey e foi desenhado questionário demográfico para que fosse possível a caracterização da amostra investigada. Na sequência foi realizado estudo piloto com uma amostra da população alvo e, executou-se o refinamento do instrumento por meio da análise das respostas e avaliação textual. Por fim, o questionário validado contém uma pergunta em que declara o consentimento para a pesquisa, doze perguntas para caracterizar o perfil da amostra e 34 questões de conhecimento em BPC e Bioética conforme dimensão e domínios préestabelecidos. Tal instrumento será utilizado para compor o plano de Gestão do Conhecimento da Unidade de Pesquisa Clínica, de modo a identificar falhas de conhecimento em BPC e bioética e, consequentemente, gerar dados para melhorar os treinamentos rotineiramente realizados pela Unidade / Controlled and randomized clinical trials represent a mainstay for evidencebased medicine and, for these to be reliable, their conduct should be based on the principles and standards established by Good Clinical Practice (GCP). The GCP recognizes that the investigator and the team of individuals at a trial site are responsible for the execution of the trial and, therefore, must be qualified by training. Thus, considering the diversity of researchers, heterogeneous environment for recruitment and technical potential of the health professionals of the Ribeirão Preto Medical School of the University of São Paulo, a questionnaire was developed and had its content validated to evaluate knowledge in GCP. Through literature review and consultation with clinical trials experts, the questionnaire themes were structured into three main dimensions: GCP guideline, Brazilian laws involving human research and Informed Consent Form (ICF). Within these dimensions were worked the domains: concept BPC; principles of GCP; responsibilities; adverse events; data management; Brazilian Resolutions; ethical principles; and, ICF regarding vulnerable subjects, people with disabilities, children, critical patients, compensation and reparation. The assessment of content validity, according to relevance and representativeness, was defined through the Content Validation Index (CVI). The statements formulated, as true or false, were validated by six judges, with experience in Clinical Trials, according to degree of relevance, textual and structural clarity of information, agreement with the question. The instrument was structured through the SurveyMonkey site and a demographic questionnaire was designed to allow the characterization of the sample to be investigated. A pilot study was carried out with a sample of the target population, and the refinement of the instrument was performed through the analysis of the responses and textual evaluation. Finally, the validated questionnaire contains a question in which it declares consent for the research, twelve questions to characterize the profile of the sample and 34 questions of knowledge in GCP and Bioethics according to the pre-established dimensions and domains. Such instrument will be used to compose the Knowledge Management plan of the Clinical Trial Unit, in order to identify knowledge gaps in GCP and bioethics and, consequently, providing data to improve the training regularly performed by the Unit
142

Trenér sprinterů / Coach of Sprinters

Ptáčníková, Hana January 2019 (has links)
Title: Coach of sprinters Objectives: The aim of the thesis was to assess whether the opinions of the athletic sprint trainers are consistent with what the literature refers to sprint`s training in general and sprint`s training for the U17 category. Next, try to present the model characteristics of a young coach of sprinters. Methods: Eighty five athletic trainers were approached who train at least one sprinter and have at least the 3rd coaching class qualification. I received answers from 41 of them. The survey method was used to determine opinions. The survey was based on previous studied literature. Internet server vypln.to was used for data collection. Coaches were approached by email and facebook. The analyzed data were evaluated verbally, in tables and graphs. Results: All coaches agreed that two-way communication is important not only about training, but also for example about school, family ect. Eighty eight percent of coaches confirmed with the basics of training planning and 98 % of coaches agreed on the importance of training evaluation. However, 53 % of them said that they cooperate with the mentee in planning and only 51 % use special tests to determine the sprinter's training status. More than half of the trainers checked the possibility of organizing the warm-up and regeneration of...
143

Investigation of dementia screening tools in a cohort with Down syndrome and intellectual disability

Williams, Laura January 2016 (has links)
Objectives: The following thesis is presented within two separate pieces of work. A systematic literature review (SLR) aimed to evaluate the individual characteristics and psychometric properties of four dementia screening tools. These were the Dementia Questionnaire for People with Learning Disabilities (DLD) (Evenhuis, 2007), the Dementia Scale for Down Syndrome (DSDS) (Gedye, 1995), the Dementia Screening Questionnaire for Individuals with Intellectual Disabilities (DSQIID) (Deb et al, 2007a) and the Adaptive Behaviour Dementia Questionnaire (ABDQ) (Prasher et al, 2004). The empirical research (ER) aimed to evaluate the clinical utility and longitudinal accuracy of two of these tools; the DLD and the ABDQ in a clinical population with intellectual disability (ID) and Down syndrome (DS). Methods: For the SLR a comprehensive list of electronic academic databases were searched to identify studies which included information relating to the psychometric properties of the DLD, DSDS, DSQIID and the ABDQ. Information within the studies was then extracted and rated using two quality assessment measures. These were the Characteristics of Assessment Instruments for Psychiatric Disorders in Persons with Intellectual Developmental Disabilities (CAPS-IDD) (Zeilinger et al, 2013b) and the Qualsyst (Kmet, 2004). For the ER, a repeated measures MANOVA was used to assess change over time between two groups of people with intellectual disabilities and Down syndrome; one with dementia and one without. Results: In the SLR, 16 studies were identified and rated using the CAPS-IDD and the Qualsyst. Detailed information related to the dementia screening tools and quality ratings of the papers are provided. In the ER both the ABDQ and the DLD demonstrated a clear difference between those who develop dementia and those who do not, with those in the ‘dementia’ group exhibiting increasing scores over time. Conclusions: The SLR concludes that the evidence base for these dementia screening tools remain limited. The largest evidence base was evidenced for the DLD. The ER concludes that the ABDQ and the DLD are useful tools to differentiate between those who develop dementia and those who do not. Further analysis incorporating the exploration of individual component items of tools is recommended.
144

Adaptação cultural e validação da versão brasileira do questionário de avaliação de saúde em esclerodermia / Cross-cultural adaptation and validation of the brazilian-portuguese version of the Scleroderma Health Assessment Questionnaire (SHAQ)

Rocha, Luiza Fuoco da 27 September 2013 (has links)
Introdução: O Questionário de Avaliação de Saúde em Esclerodermia (SHAQ) é uma ferramenta clínica que avalia especificamente os diversos sistemas acometidos por esta doença. Este instrumento tem sido amplamente utilizado como uma avaliação adicional para a Esclerose Sistêmica (ES). Objetivo: Adaptar culturalmente e validar a versão brasileira do SHAQ. Métodos: A validade de construção foi avaliada com base nas correlações entre SHAQ e o questionário genérico de qualidade de vida Medical Outcome Study Short From-36 (SF-36v2TM) e do índice de incapacidade - HAQ-DI (do inglês, HAQ disatibily index). A correlação entre o SHAQ e gravidade da doença foi avaliada pelo coeficiente de correlação de Spearman. A reprodutibilidade do SHAQ foi avaliada pelo Coeficiente de Correlação Intraclasse (ICC). Resultados: Entre os 151 pacientes consecutivamente avaliados no ambulatório, 59% eram do subtipo limitado de ES. A Escala Visual Analógica (EVA) de avaliação global de doença, que compõe o SHAQ, apresentou correlação estatisticamente significativa com HAQ-DI, EVA de dor e o escore Sumário dos Componentes Físicos (PCS) que compõem o SF-36v2TM (r=0,595, r=0,612, r=-0,582, respectivamente, p<0,001). Uma análise mais aprofundada revelou correlação significativa entre EVA de gravidade de doença e os seguintes componentes do SF-36v2TM: dor corporal (r=-0,621, p<0,001), vitalidade (r=-0,544, p<0,001), capacidade funcional (r=-0,510, p<0,001) e aspecto físico (r=-0,505, p<0,001). Além disso, a EVA digestiva, pulmonar e de avaliação global de gravidade de doença foram correlacionadas com o número de órgãos envolvidos (r=0,178, p=0,029; r=0,214, p=0,008; r=0,282, p<0,001). A reprodutibilidade do SHAQ também foi demonstrada (ICC:0,757, 95% (IC=0,636-0,842). Conclusão: A versão brasileira do SHAQ demonstrou ter validade de construção e discriminante, bem como uma boa reprodutibilidade / Background: The Scleroderma Health Assessment Questionnaire (SHAQ) is a feasible multisystem specific tool that has been extensively used as an additional assessment for systemic sclerosis (SSc). Aims: To cross-culturally adapt and validate the Brazilian Portuguese version of the SHAQ. Methods: Construct validity was assessed based on the correlations between SHAQ and both the Medical Outcomes Survey Short Form 36 version 2 (SF-36v2TM) and the HAQ-DI. The correlation between the SHAQ and disease severity was assessed by Spearman´s correlation coefficient. The reproducibility of the SHAQ was evaluated by intra-class correlation coefficient (ICC). Results: Among the 151 consecutive outpatients evaluated, 59% had limited SSc subtype. The overall disease severity visual analogue scale (VAS) of the SHAQ was statistically significant correlated to HAQ-DI, pain VAS and the SF-36v2TM physical component summary (PCS) score (r=0.595; r=0.612; r=-0.582, respectively; p<0.001). Further analysis of all SF-36v2TM components revealed statistically significant correlations between overall disease severity VAS and bodily pain (r=0.621, p<0.001), vitality (r=-0.544, p<0.001), physical function (r=-0.510, p<0.001) and role limitation-physical dimensions (r=-0.505, p<0.001). Moreover, digestive, pulmonary and overall disease severity VAS were statistically significant correlated to the number of organs involved (r=0.178, p=0.029; r=0.214, p=0.008; r=0.282, p<0.001). We also demonstrated high reproducibility for SHAQ (ICC:0.757, 95% (CI=0.636-0.842). Conclusion: The Brazilian-Portuguese version of the SHAQ demonstrated both construct and discriminant validity, as well as good reproducibility
145

Análise da formação acadêmica e técnicas de reparos de restaurações pré-existentes na Rede de Atenção em Saúde Bucal / Analysis of academic training and repair techniques of pre-existing restorations in the Oral Health Care Network

D'oro Junior, Ubiratan 07 February 2018 (has links)
A substituição total de restaurações dentais que apresentam pequenos defeitos são encontradas com muita frequência na prática da Odontologia. Entretanto, a possibilidade de reparos dessas porções defeituosas podem ser considerados alternativas viáveis à substituição. No entanto, pouco se conhece sobre a aplicação da técnica reparadora. O objetivo deste estudo foi analisar a formação acadêmica e as técnicas de reparos empregados em restaurações dentárias pré-existentes realizadas pelos Cirurgiões-Dentistas na Rede de Atenção em Saúde Bucal, em uma Capital da região Sul do Brasil. Identificando se os cirurgiões-dentistas realizam reparos em restaurações defeituosas, quando e como realizam, além de avaliar se receberam alguma forma de orientação no período acadêmico e se julgam obter sucesso em seus tratamentos reparadores. Para o desenvolvimento do estudo, foi escolhida a cidade de Curitiba. Dos 10 Distritos Sanitários que possui, foram selecionados 5 Distritos, totalizando 58 Unidades Básicas de Saúde. Um total de 134 Cirurgiões-Dentistas na ativa participaram da pesquisa e foram entrevistados aplicando-se um questionário realizado por um único pesquisador. Os questionários incluíam: dados pessoais, realização de reparos em restaurações; formação acadêmica para a execução desta conduta e a técnica empregada. Os resultados foram submetidos ao Teste Qui quadrado ou o Teste de Fisher e o software usado nas análises foi o Statistica 7.0 com nível de significância empregado de 5%. 99% dos Participantes relataram realizar reparos em restaurações e 69% deles não receberam orientação sobre a técnica de reparo durante o período acadêmico (graduação). Dos Participantes da pesquisa, 90% realizam o reparo independente do Profissional que realizou a primeira restauração (p=0,0001). As restaurações diretas são as mais comumente reparadas (65%) e a resina composta foi o material eleito (34%) para a realização do reparo (p=0,003). 77% dos Participantes pretendem utilizar o reparo em todas as situações possíveis (p=0,0001); 25% dos Participantes da pesquisa disseram que realizam o reparo da restauração independente da extensão da cárie (p=0,132); todas as idades são passíveis de receberem o reparo de restaurações defeituosas. A maioria dos Participantes realizam somente retenções adicionais no material restaurador remanescente e na estrutura dental (54%), 49% realizam retenções adicionais e bisel. Para o preparo do material restaurador remanescente e da estrutura dental, utilizam o ácido fosfórico e a aplicação do adesivo (98%) e somente 2% dos Participantes aplicam o silano previamente à aplicação do adesivo. As restaurações de reparo são muito bem aceitas pelos pacientes (98%) e o sucesso dos procedimentos de reparo, de acordo com os Participantes, é de 98%. Praticamente todos os Participantes da pesquisa (97%) acreditam que as técnicas de reparo devem fazer parte do currículo de graduação dos futuros Cirurgiões-Dentistas. Conclui-se que apesar da maioria dos Participantes afirmarem não ter recebido nenhuma orientação durante o período acadêmico (graduação) sobre a técnica de reparos, praticamente todos realizam reparos em restaurações defeituosas e julgam obter sucesso com esse tipo de tratamento. / The total replacement of dental restorations that present small defects are found very frequently in the practice of Dentistry. However, the possibility of repairing these defective portions can be considered viable alternatives to substitution. However, almost nothing is known about the application of the repair technique. The objective of this study was to analyze the academic training and repair techniques used in preexisting dental restorations performed by Dental Surgeons in the Dental Health Care Network in a Capital of Southern Brazil. Identifying whether dentists perform repairs on defective restorations, when and how they perform, and evaluate whether they have received some form of counseling in the academic period and are judged to succeed in their remedial treatments. For the development of the study, the city of Curitiba was chosen. Of the 10 Sanitary Districts it has, 5 Districts were selected, totaling 58 Basic Health Units. A total of 134 Active Dental Surgeons participated in the research and were interviewed applying a questionnaire carried out by a single researcher. The questionnaires included: personal data, repair of restorations; academic background for the execution of this conduct and the technique employed. The results were submitted to the Chi-square test or Fisher\'s test and the software used in the analyzes was Statistica 7.0 with a significance level of 5%. 99% of the Participants reported repairs on restorations and 69% of them did not receive orientation on the repair technique during the academic (graduation) period. The participants of the research, 90% performed the independent repair of the Professional who performed the first restoration (p = 0.0001). The direct restorations were the most commonly repaired (65%) and the composite resin was the material chosen (34%) to perform the repair (p = 0.003). 77% of Participants intend to use the repair in all possible situations (p = 0.0001); 25% of the participants of the study said that they performed repair of the restoration regardless of the extent of caries (p = 0.132); all ages are likely to receive repair of defective restorations. Most Participants only perform additional retentions on the remaining restorative material and dental structure (54%), 49% perform additional retentions and bevel. In order to prepare the remaining restorative material and dental structure, they use phosphoric acid and the adhesive application (98%) and only 2% of the participants apply the silane prior to the application of the adhesive. Repair restorations are very well accepted by patients (98%) and the success of repair procedures, according to the Participants, is 98%. Virtually all Research Participants (97%) believe that repair techniques should be part of the undergraduate curriculum of future Dental Surgeons. It is concluded that although most of the Participants affirm that they did not receive any orientation during the academic period (undergraduate) on the technique of repairs, practically all repairs in defective restorations and believe to be successful with this type of treatment.
146

Surveying mathematics teachers' knowledge of formative assessment : a study of teachers in the Federal District of Brazil

Vallim Reis Camargo, Melise Maria January 2018 (has links)
The research presented in this dissertation involves a quantitative study of mathematics teachers' knowledge of formative assessment. Formative assessment is understood as a process in which both teachers and students actively become the agents of the process, responsible for their own knowledge and practice. In this process, formally gathered evidence is used to formulate feedback and inform decisions; and informal evidence (e.g. observation, conversations) is used to generate teacher and peer-feedback to improve learning (Hargreaves, 2005; Wiliam & Leahy, 2015). The focus of the study is on mathematics teachers in state secondary schools in the Brazilian Federal District. The research design employs survey methodology with a structured e-questionnaire. The questionnaire was designed based on six domains of knowledge extracted from existing research literature. The several piloting phases, and a field test conducted with a larger sample, demonstrate the validity and reliability of the instrument and provide information about mathematics teachers' knowledge of formative assessment. The evidence shows that teachers in the Federal District did relatively better in terms of interpreting evidence of students' learning and helping students to use assessment information. On the other hand, they had a relatively lower performance in terms of choosing/developing assessment methods (e.g. classroom activities, discussions) to elicit evidence of students' learning. The overall performance of teachers in the Federal District was lower than that of teachers sampled from the other states of Brazil. The original contribution of this research is methodological in the development, piloting and application of a new instrument to assess mathematics teachers' knowledge of formative assessment; and to knowledge in providing information and a unique insight into Brazilian mathematics teachers' knowledge of formative assessment. There are important implications for policy and practice, focussing on teachers' professional development with regards to formative assessment and clarifying Brazilian teachers' roles as assessors.
147

Prověření a vyhodnocení spokojenosti zaměstnanců Nemocnice Pelhřimov / Verification and Evaluation of Employees' Satisfaction in Pelhřimov Hospital

Motáčková, Hana January 2011 (has links)
This thesis deals with the analysis and the evaluation of Hospital Pelhřimov, p. o. employees satisfaciton. The aim of this study is to evaluate employees satisfaction, to find out what motivates hospital staff most and to propose recommendation that could lead to increased satisfaction. The survey was conducted by collecting data through a questionnaire. The verification of the first statistical hypothesis -- "Are Hospital Pelhřimov, p. o. employees satisfied at work", was focused on the factors that affect employees most at work. The second survey dealt with the hypothetical question -- "Is group of workers in hospital -- non medicals motivated enough?". After the evaluation of the questionnaires there are submitted several proposals and recommendation that could lead to increased employees satisfaction. In this thesis there is further described the structure of the hospital, the method of remuneration, care for employees, employees benefits, working hours, working conditions and working aids.
148

Adaptação transcultural e propriedades psicométricas do COPE breve em uma amostra brasileira / Cross-cultural adaptation and psychometric properties of the brief COPE in a brazilian sample

Brasileiro, Sarah Vieira 30 March 2012 (has links)
Submitted by Erika Demachki (erikademachki@gmail.com) on 2014-10-15T19:55:27Z No. of bitstreams: 2 Dissertação - Sarah Vieira Brasileiro - 2012.pdf: 1160405 bytes, checksum: b447baafe8b8b6924a80db0ea434688c (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Approved for entry into archive by Jaqueline Silva (jtas29@gmail.com) on 2014-10-16T18:08:33Z (GMT) No. of bitstreams: 2 Dissertação - Sarah Vieira Brasileiro - 2012.pdf: 1160405 bytes, checksum: b447baafe8b8b6924a80db0ea434688c (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Made available in DSpace on 2014-10-16T18:08:33Z (GMT). No. of bitstreams: 2 Dissertação - Sarah Vieira Brasileiro - 2012.pdf: 1160405 bytes, checksum: b447baafe8b8b6924a80db0ea434688c (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2012-03-30 / Evidence indicates that some strategies of coping may play an important role in the disease psychological adaptation. It is important to evaluate the different ways of how people respond to stressful situations. Questionnaires for the assessment of coping have been widely used and recommended both in clinical practice and for research. The aim of this study was therefore to adapt the Brief COPE for the Brazilian population and to evaluate the psychometric properties of this instrument in a Brazilian sample. The cross-cultural adaptation of the Brief COPE followed procedures recommended by Beaton et al. and the final version was tested on a sample of 30 patients. Two hundred and thirty-seven individuals participated in the evaluation of the psychometric properties of the adapted version (Brief COPE). The intra-observer reliability was assessed in the reapplication of the Brief COPE after four weeks by the same observer. Factor analysis was conducted to evaluate the factorial validity of the Brief COPE. The internal consistency was estimated using the Cronbach’s alpha, calculated for each sub-scale and full scale factors. Regarding the results, the test-retest rateswere mostly above 0.75, demonstrating good reliability. Cronbach’s alpha for the whole Brief Cope was 0.84; 2 out of 14 sub-scales achieved Cronbach's alpha of at least 0.70, the other sub-scales were below this parameter. Factor analysis revealed four factors. We conclude that the Brief COPE was properly translated for use in the Brazilian population, demonstrating to be a reliable instrument to assess coping strategies. / Evidências indicam que algumas estratégias de coping podem desempenhar um papel importante na adaptação psicológica à doença. Faz-se importante avaliar as diferentes formas de como as pessoas respondem a situações estressantes. Questionários para avaliação do coping têm sido amplamente utilizados e recomendados tanto na prática clínica como em pesquisas. O Brief COPE é um inventário usado para investigar as diferentes formas de como as pessoas respondem a situações estressantes. O objetivo deste estudo, portanto, foi adaptar culturalmente o Brief COPE para a população brasileira e avaliar as propriedades psicométricas deste instrumento em uma amostra de brasileiros. A adaptação transcultural do Brief COPE seguiu procedimentos recomendados por Beaton et al. e a versão final foi testada em uma amostra de 30 pacientes. Duzentos e trinta e sete indivíduos participaram da avaliação das propriedades psicométricas da versão adaptada (COPE Breve). A confiabilidade intra-observador foi avaliada na reaplicação do COPE Breve após quatro semanas pelo mesmo observador. A análise fatorial exploratória foi conduzida para avaliar a validade fatorial do COPE Breve. A avaliação da consistência interna foi estimada por meio do Coeficiente Alfa de Cronbach, calculado para cada sub-escala, fatores e escala total. Com relação aos resultados, os índices de confiabilidade apresentaram valores elevados, onde a maioria ficou acima de 0,75. A escala total apresentou Alfa de Cronbach = 0,84, demonstrando elevada consistência. A análise fatorial revelou quatro fatores. Concluímos que o Brief COPE foi adequadamente traduzido para ser utilizado na população brasileira, demonstrando ser um instrumento confiável para avaliar a estratégias de coping.
149

Adaptação cultural e validação da versão brasileira do questionário de avaliação de saúde em esclerodermia / Cross-cultural adaptation and validation of the brazilian-portuguese version of the Scleroderma Health Assessment Questionnaire (SHAQ)

Luiza Fuoco da Rocha 27 September 2013 (has links)
Introdução: O Questionário de Avaliação de Saúde em Esclerodermia (SHAQ) é uma ferramenta clínica que avalia especificamente os diversos sistemas acometidos por esta doença. Este instrumento tem sido amplamente utilizado como uma avaliação adicional para a Esclerose Sistêmica (ES). Objetivo: Adaptar culturalmente e validar a versão brasileira do SHAQ. Métodos: A validade de construção foi avaliada com base nas correlações entre SHAQ e o questionário genérico de qualidade de vida Medical Outcome Study Short From-36 (SF-36v2TM) e do índice de incapacidade - HAQ-DI (do inglês, HAQ disatibily index). A correlação entre o SHAQ e gravidade da doença foi avaliada pelo coeficiente de correlação de Spearman. A reprodutibilidade do SHAQ foi avaliada pelo Coeficiente de Correlação Intraclasse (ICC). Resultados: Entre os 151 pacientes consecutivamente avaliados no ambulatório, 59% eram do subtipo limitado de ES. A Escala Visual Analógica (EVA) de avaliação global de doença, que compõe o SHAQ, apresentou correlação estatisticamente significativa com HAQ-DI, EVA de dor e o escore Sumário dos Componentes Físicos (PCS) que compõem o SF-36v2TM (r=0,595, r=0,612, r=-0,582, respectivamente, p<0,001). Uma análise mais aprofundada revelou correlação significativa entre EVA de gravidade de doença e os seguintes componentes do SF-36v2TM: dor corporal (r=-0,621, p<0,001), vitalidade (r=-0,544, p<0,001), capacidade funcional (r=-0,510, p<0,001) e aspecto físico (r=-0,505, p<0,001). Além disso, a EVA digestiva, pulmonar e de avaliação global de gravidade de doença foram correlacionadas com o número de órgãos envolvidos (r=0,178, p=0,029; r=0,214, p=0,008; r=0,282, p<0,001). A reprodutibilidade do SHAQ também foi demonstrada (ICC:0,757, 95% (IC=0,636-0,842). Conclusão: A versão brasileira do SHAQ demonstrou ter validade de construção e discriminante, bem como uma boa reprodutibilidade / Background: The Scleroderma Health Assessment Questionnaire (SHAQ) is a feasible multisystem specific tool that has been extensively used as an additional assessment for systemic sclerosis (SSc). Aims: To cross-culturally adapt and validate the Brazilian Portuguese version of the SHAQ. Methods: Construct validity was assessed based on the correlations between SHAQ and both the Medical Outcomes Survey Short Form 36 version 2 (SF-36v2TM) and the HAQ-DI. The correlation between the SHAQ and disease severity was assessed by Spearman´s correlation coefficient. The reproducibility of the SHAQ was evaluated by intra-class correlation coefficient (ICC). Results: Among the 151 consecutive outpatients evaluated, 59% had limited SSc subtype. The overall disease severity visual analogue scale (VAS) of the SHAQ was statistically significant correlated to HAQ-DI, pain VAS and the SF-36v2TM physical component summary (PCS) score (r=0.595; r=0.612; r=-0.582, respectively; p<0.001). Further analysis of all SF-36v2TM components revealed statistically significant correlations between overall disease severity VAS and bodily pain (r=0.621, p<0.001), vitality (r=-0.544, p<0.001), physical function (r=-0.510, p<0.001) and role limitation-physical dimensions (r=-0.505, p<0.001). Moreover, digestive, pulmonary and overall disease severity VAS were statistically significant correlated to the number of organs involved (r=0.178, p=0.029; r=0.214, p=0.008; r=0.282, p<0.001). We also demonstrated high reproducibility for SHAQ (ICC:0.757, 95% (CI=0.636-0.842). Conclusion: The Brazilian-Portuguese version of the SHAQ demonstrated both construct and discriminant validity, as well as good reproducibility
150

Perception of Key Barriers in Using and Publishing Open Data

Polleres, Axel, Umbrich, Jürgen, Figl, Kathrin, Beno, Martin January 2017 (has links) (PDF)
There is a growing body of literature recognizing the benefits of Open Data. However, many potential data providers are unwilling to publish their data and at the same time, data users are often faced with difficulties when attempting to use Open Data in practice. Despite various barriers in using and publishing Open Data still being present, studies which systematically collect and assess these barriers are rare. Based on this observation we present a review on prior literature on barriers and the results of an empirical study aimed at assessing both the users' and publishers' views on obstacles regarding Open Data adoption. We collected data with an online survey in Austria and internationally. Using a sample of 183 participants, we draw conclusions about the relative importance of the barriers reported in the literature. In comparison to a previous conference paper presented at the conference for E-Democracy and Open Government, this article includes new additional data from participants outside Austria, reports new analyses, and substantially extends the discussion of results and of possible strategies for the mitigation of Open Data barriers.

Page generated in 0.0864 seconds