Global ETD Search

941	Análise da relação entre as condutas dos profissionais enfermeiros, técnicos e auxiliares de enfermagem com os processos éticos profissionais junto ao COREN SP / Study of nurses, technicians and assistants conduct within the Ethical Processes at COREN SP Moira Helena Maxwell Penna 16 September 2013 (has links) Objetivo: Identificar as questões antiéticas, aéticas e iatrogênicas dos Profissionais da Enfermagem através da análise qualitativa dos processos ético-profissionais abertos junto ao COREN SP no período de 1º de janeiro de 2001 a 31 de dezembro de 2004. Quantificar o número de processos ético-profissionais abertos; identificar o perfil dos profissionais denunciados; relacionar as infrações éticas com os artigos elencados no Código de Ética dos Profissionais de Enfermagem; analisar os processos ético-profissionais, sistematizando os resultados de modo a obter os principais tipos de denúncia, seus locais de ocorrência e a identificação dos tipos de denunciantes; discutir a iatrogenia como fator predominante da infração ética. Método: Trata-se de uma pesquisa exploratória, documental e de corte qualitativo baseada na coleta de dados contidos nos autos dos processos ético-profissionais, no âmbito do COREN SP, no período de 1º de janeiro de 2001 a 31 de dezembro de 2004, por meio da utilização de um questionário, o questionário se encontra no Anexo 1. Do material coletado foram excluídos os processos ético-profissionais cujos dados não permitiram o preenchimento completo do questionário. Os dados obtidos foram submetidos à análise estatística. Resultados e Conclusões: Foram analisados 189 (cento e oitenta e nove) processos ético-profissionais no período de 1º de janeiro de 2001 até 31 de dezembro de 2004, período de 4 (quatro) anos. A coleta desses dados foi feita no Conselho Regional de Enfermagem de São Paulo - COREN SP, nos anos de 2010 e 2011. A maioria das ocorrências chega ao CORENSP por meio de denuncia feita pelas CEEs, com relação à distribuição do número de descritores agrupados em tipos de infrações éticas envolvidos na denúncia, dos Processos Ético- Profissionais analisados houve uma predominância da iatrogenia 38,83% dentre os descritores dos processos analisados. As denúncias são feitas em sua grande maioria dentro de hospitais públicos, as denúncias entre a cidade de São Paulo e cidades do interior do estado de São Paulo de acordo com a pessoa jurídica (CEE) como parte denunciante indicam um maior número de denúncias feitas pelas Comissões de Ética de Enfermagem - CEEs do interior do estado de São Paulo. As denúncias de pessoas físicas ocorreram no interior em 63,64% do estado de São Paulo e 36,36% na capital, indicando, portanto um maior número de denúncias feito por pessoa física no interior. Houve uma maior caracterização da parte denunciada como pessoa física na capital do que no interior do estado de São Paulo. As pessoas que denunciam 52% são pacientes, seguidos por acompanhantes 32%. A maioria das pessoas físicas como parte denunciada foram os auxiliares de enfermagem em 55,56%, enquanto enfermeiros foram denunciados 33,9%. Com relação à distribuição dos artigos infringidos do Código de Ética dos Profissionais de Enfermagem, segundo o número e a porcentagem em ordem decrescente o artigo mais infringido, artigo 16, aconteceu em 11,13%. Outras importantes variáveis foram estudadas e serão analisadas em trabalhos futuros / Objective: Identify the unethical, non-ethical and iatrogenic issues of the Nursing staff through qualitative analysis of the ethical legal proceedings taken at COREN SP during the period of January 1st 2001 to December 31st 2004. Quantify the number of ethical processes taken; identify the profile of the professionals accused; relate the ethical infractions with articles listed in the Code of Ethics of Professional Nursing; analyze the ethical and professional proceedings, systematizing the results in order to obtain the main types of complaint, their places of occurrence and identify the types of informers; discuss iatrogeny as a predominant factor of ethical offence. Method: This was an exploratory, documentary and qualitative research based on the collection of data in the record of proceedings within the ethical processes under COREN SP during the period January 1st 2001 to December 31st 2004, by use of a questionnaire, which is in Annex 1. Ethical processes whose data did not allow the complete filling out of the questionnaire were excluded. The data were subjected to statistical analysis. Results and Conclusions: One hundred and eighty-nine (189) ethical proceedings from the period of January 1st 2001 to December 31st 2004 were analyzed, a period of four (4) years. The collection was taken at the Regional Council of Nursing São Paulo - COREN SP, within the years 2010 and 2011. Most occurrences reach CORENSP through complaints made by the Nursing Ethics Committees (NEC). With respect to the distribution of the number of descriptors grouped into types of ethical violations involved in the complaint, there was a prevalence of 38.83% of iatrogenic descriptors in the analyzed processes. Complaints are mostly made within public hospitals. The complaints from the city of São Paulo and other cities in the state, in accordance with the legal person (NEC) indicate a greater number of complaints made by Ethics Committees in Nursing - in the state of São Paulo, not in the capital. Reports from individuals occurred in 63.64% within the state of São Paulo, while in the capital it were 36.36%, thus indicating a greater number of complaints made by individuals within the state of São Paulo. There was a greater characterization of the individual as reported in the capital than in the state of São Paulo. People who complain are 52% patients, followed by 32% companions. Most individuals reported were nursing assistants: 55.56%, while nurses were reported by 33.9%. The most violated article in the Code of Ethics of Professional Nursing was Article 16, which means 11.13%. Other important variables were studied and will be analyzed in a future research Avaliação de enfermagem/ética Avaliação de enfermagem/história Códigos de ética Comissão de ética Conselho Internacional de Enfermagem Ética em enfermagem Ética profissional História da enfermagem Legislação de enfermagem/ética Legislação de enfermagem/normas Papel do profissional de enfermagem Processos de enfermagem Questionários Codes of ethics Ethics committees Ethics nursing Ethics professional History of nursing International Council of Nurses Legislation nursing/ethics Legislation nursing/standards Nurses's role Nursing assessment/ethics Nursing assessment/history Nursing process Questionnaires
942	Validação da versão em português da entrevista telefônica para avaliação do estado cognitivo - modificada (TICS-M) em pacientes acometidos por acidente vascular cerebral / Validation of the portuguese version of the telephone interview for cognitive status - modified (tics-m) among post-stroke patients Baccaro, Alessandra Fernandes 04 June 2014 (has links) Introdução: O AVC (acidente vascular cerebral) é uma das mais importantes causas de alterações neuropsicológicas. Uma avaliação cognitiva inicial realizada por telefone implicaria em um diagnóstico mais precoce de prejuízo cognitivo e demência, reduzindo custos e tempo. Objetivo: Examinar as propriedades psicométricas da versão brasileira da Entrevista Telefônica para Avaliação do Estado Cognitivo - Modificada (TICS-M) em pacientes pós-AVC. Métodos: Previamente à validação da TICS-M em indivíduos acometidos por AVC, foi realizada tradução para o Português do Brasil e adaptação transcultural da versão original da TICS-M em uma amostra de 30 sujeitos não clínicos. Após esta fase, um subgrupo de 61 pacientes com AVC, participantes do Estudo da Mortalidade e Morbidade do AVC (EMMA) que ocorre no Hospital Universitário da Universidade de São Paulo, foram convidados a participar da validação da TICS-M, seis meses após o evento agudo. A TICS-M foi aplicada em três momentos: avaliação inicial (entrevista presencial), uma e duas semanas após a primeira avaliação. Na avaliação inicial, além da TICS-M, questionários adicionais foram aplicados para avaliar a cognição: MoCA (Montreal Cognitive Assessment), MEEM (Mini Exame do Estado Mental); e para a depressão, HDRS (Hamilton Depression Rating Scale). Todos os questionários foram aplicados por duas entrevistadoras treinadas para o estudo. A confiabilidade intra-observador da TICS-M foi testada através dos coeficientes de Pearson, Intraclasse e alfa de Cronbach. As características internas do TICS-M também foram avaliadas através de uma análise exploratória utilizando o método Análise de Componentes Principais. A validade discriminatória do instrumento para rastreamento de demência pós-AVC foi avaliada em comparação a MEEM pela análise da área sob a curva (AUC) determinada pela curva ROC. Foram calculadas sensibilidade e especificidade para o ponto de corte ideal para rastrear demência. Resultados: De maneira geral, a TICS-M traduzida para o português apresentou um bom entendimento dos itens na mostra de indivíduos não clínicos. Foi observada uma frequência de 23% sugestiva de demência pós-AVC. O nível de escolaridade esteve positivamente associado ao estado demencial rastreado pelo MEEM. O estado depressivo assim como outras características de base não se associou à demência sugerida pelo MEEM. A confiabilidade teste-reteste intra-observador revelou taxas quase totais nos três momentos avaliados (Pearson Coeficiente > 0,85, Coeficientes de Correlação Intraclasse > 0,85 e Coeficiente alfa de Cronbach: 0,96). A análise fatorial determinou três domínios: memória de trabalho e atenção; memória recente e de evocação e orientação. A área sob a curva (AUC) determinada para a TICS-M em comparação com MEEM foi de 0,89 (intervalo de confiança 95%: 0,80-0,98). O ponto de corte sugerido para TICS-M foi de 14 pontos (escala de 0-39 pontos) para rastrear demência com sensibilidade de 91,5% e especificidade de 71,4%. Resultados semelhantes foram observadas com o MoCA. Conclusão: A versão brasileira da TICS-M sugere ser um instrumento de pesquisa útil e confiável para rastrear demência em pacientes pós-AVC / Introduction: Stroke is one most important cause of neuropsychological disorders. An initial cognitive assessment performed by telephone resulting in an early diagnosis of cognitive impairment and dementia, reducing costs and time. Objective: To examine the psychometric properties of the Brazilian version of the Modified Telephone Interview for Cognitive Status Assessment (TICS-M) for assessment of dementia in post-stroke patients. Methods: Prior to validation of TICS-M in post-stroke patients, translation was performed for the Brazilian-Portuguese and cross-cultural adaptation of the original version of TICS-M in a non-clinical sample of 30 subjects. After this phase, 61 stroke patients enrolled in the Stroke Mortality and Morbidity Study (The EMMA study) that occurs at the University Hospital of the University of São Paulo, were invited to participate in this sub-study to validate the TICS-M six months after the acute event. The TICS-M was applied in three moments: first evaluation (personal interview), one and two weeks after of the first evaluation. At the first evaluation, beyond the TICS-M, additional questionnaires were applied to assess cognition: MoCA (Montreal Cognitive Assessment), MMSE (Mini-Mental Status Examination), and for depression, HDRS (Hamilton Depression Rating Scale). All questionnaires were administered by two trained interviewers for the study. Reliability of the TICS-M was tested by intra-observer rates using Pearson, Intraclass and Cronbach´s alpha coefficients. The internal characteristics of TICS-M were also evaluated by an exploratory analysis using Principal Component Analysis. The discrimination validity of the instrument to assess dementia was evaluated by comparison to the MMSE analysis of the area under the curve (AUC) determined by the ROC curve. Sensitivity and specificity for the ideal cutoff to assess dementia were calculated. Results: In general, the TICS-M translated into Portuguese version showed a good understanding of the items in non-clinical individuals. A frequency of 23% suggestive of post-stroke dementia was observed. The level of education was positively associated with dementia status assessed by MMSE. The depressive status, as well as, other baseline characteristics was not associated with dementia suggested by MMSE. Test-retest reliability intra-observer revealed almost total rates in the three evaluation moments (Pearson coefficient > 0.85, Intraclass Correlation Coefficient > 0.85 and Cronbach\'s alpha coefficient: 0.96). The factorial analysis determined three domains: working memory and attention, recent and recall memory and orientation. The area under the curve (AUC) determined by TICS-M compared to MMSE was 0.89 (95% confidence interval: 0.80-0.98). The cutoff suggested for TICS-M was equal or greater than 14 points (range 0-39 points) to assess dementia (91.5% sensitivity, 71.4 % specificity). Similar results were observed with the MoCA. Conclusion: The Brazilian version of TICSM suggests being a useful and reliable research instrument to evaluate dementia in poststroke patients in epidemiological studies Acidente vascular cerebral/epidemiologia Acidente vascular cerebral/psicologia Brasil/epidemiologia Brazil/epidemiology Cognition disorders/psychology Cognition disorders/complications Cognition disorders/epidemiology Consulta remota Demência/epidemiologia Demência/prevenção e controle Demência/psicologia Dementia/epidemiology Dementia/prevention e control Dementia/psychology Depressão Depression Entrevista como assunto Entrevista psicológica Escalas de graduação psiquiátrica Estudos de validação Interview psychological Interviews as topic Psicometria/métodos Psychiatric status rating scales Psychometrics/methods Questionário Questionnaires Remote consultation Stroke/complications Stroke/epidemiology Stroke/psychology Telefone Telephone Transtornos cognitivos/complicações Transtornos cognitivos/epidemiologia Transtornos cognitivos/psicologia Validation studies
943	Фактори ризика за пад и функционална способност старих особа / Faktori rizika za pad i funkcionalna sposobnost starih osoba / Fall risk factors and functionality in elderly persons Ivanović Sunčica 12 October 2017 (has links) <p>Увод. Годишње најмање 30% особа старијих од 65 година доживи један или више падова. Са повећањем година повећава се и озбиљност компликација услед пада, степен функционалног оштећења и ниво инвалидитета. Одговорност за пад приписује се многим факторима ризика. Због сложености њихове природе, од кључног је значаја да се ревидирају концептуални и методолошки оквири за разумевање и предвиђање пада у популацији старих особа. Циљеви истраживања. Утврдити учесталост падова код особа старијих од 65 година; утврдити најзначајније факторе ризика од пада и проценити њихову интеракцију са функционалним способностима и забринутост због пада. Материјал и методологија. Истраживање је спроведено у од фебруара до јуна 2014. године у виду студије пресека и обухватило је 400 испитаника старијих од 65 година. Испитаници су тестирани у кућним условима приликом посете патронажне службе. Коришћени су следећи инструменти: општи упитник, Elderly Fall Screening Test – ЕFST, Multi-factor Falls Questionnaire – MFQ, Tinetti Balance Assessment, Lawton Instrumental Activities of Daily Living Scale − IADL, Falls Efficacy Scale International FES-I. Стaтистички прорaчуни су вршени прогрaмом SPSS верзијa 20. Резултати истраживања. Резултати студије показују да је пад доживело 55% испитаника. Регресиони модел EFST са варијаблама био је статистички значајан, а као независни предиктори показали су се женски пол (OR = 2,751; < 0,001), године старости (OR = 1,138; p < 0,001), и степен образовања (OR = 0,554; p = 0,027). Слични резултати су добијении и за регресиони модел са Тинетијевим скором где су се као независни предиктори показали пол (Beta = -0,107; p = 0,029) старост (Beta = -0,260; p < 0,001) и степен образовања (Beta = 0,191; p < 0,001). Све корелације између ЕFST, FESI, IADL и скором Тинетијевог теста биле су статистички значајне (p < 0,05). Вредности скора FESI биле су у јакој позитивној корелацији са скором ЕFST и изузетно негативној корелацији са IADL и скором Тинетијевог теста. Скор ЕFST показао је умерену негативну корелацију са скором IADL и јаку негативну са скором Тинетијевог теста, док су скор IADL и скор Тинетијевог теста показали умерену позитивну корелацију. Модел EFST био је статистички значајан и у целини тачно класификује 83,3% случајева. Варијабле које су се показале као независни предиктори били су: Тинети скор (OR = 0,783; p < 0,001), скор (OR = 1,041; p = 0,019) и ортостатска хипотензија (OR = 2,291; p = 0,035). Закључак. У испитиваној популацији падови су веома учестала појава и више од половине особа доживела је пад у последњих годину дана. У повећаном ризику од пада су жене. Такође ризик од пада повећава се са годинама старости. Нижи степен образовања показао се као независни предиктор пада. Предикција ризика од пада утврђеног на основу скрининг тест за пад код старих особа у општој популацији могућа је уз висок степен детерминације на основу скора Тинетијевог теста и, скора FESI и ортостатске хипотензије.</p> / <p>Uvod. Godišnje najmanje 30% osoba starijih od 65 godina doživi jedan ili više padova. Sa povećanjem godina povećava se i ozbiljnost komplikacija usled pada, stepen funkcionalnog oštećenja i nivo invaliditeta. Odgovornost za pad pripisuje se mnogim faktorima rizika. Zbog složenosti njihove prirode, od ključnog je značaja da se revidiraju konceptualni i metodološki okviri za razumevanje i predviđanje pada u populaciji starih osoba. Ciljevi istraživanja. Utvrditi učestalost padova kod osoba starijih od 65 godina; utvrditi najznačajnije faktore rizika od pada i proceniti njihovu interakciju sa funkcionalnim sposobnostima i zabrinutost zbog pada. Materijal i metodologija. Istraživanje je sprovedeno u od februara do juna 2014. godine u vidu studije preseka i obuhvatilo je 400 ispitanika starijih od 65 godina. Ispitanici su testirani u kućnim uslovima prilikom posete patronažne službe. Korišćeni su sledeći instrumenti: opšti upitnik, Elderly Fall Screening Test – EFST, Multi-factor Falls Questionnaire – MFQ, Tinetti Balance Assessment, Lawton Instrumental Activities of Daily Living Scale − IADL, Falls Efficacy Scale International FES-I. Statistički proračuni su vršeni programom SPSS verzija 20. Rezultati istraživanja. Rezultati studije pokazuju da je pad doživelo 55% ispitanika. Regresioni model EFST sa varijablama bio je statistički značajan, a kao nezavisni prediktori pokazali su se ženski pol (OR = 2,751; < 0,001), godine starosti (OR = 1,138; p < 0,001), i stepen obrazovanja (OR = 0,554; p = 0,027). Slični rezultati su dobijenii i za regresioni model sa Tinetijevim skorom gde su se kao nezavisni prediktori pokazali pol (Beta = -0,107; p = 0,029) starost (Beta = -0,260; p < 0,001) i stepen obrazovanja (Beta = 0,191; p < 0,001). Sve korelacije između EFST, FESI, IADL i skorom Tinetijevog testa bile su statistički značajne (p < 0,05). Vrednosti skora FESI bile su u jakoj pozitivnoj korelaciji sa skorom EFST i izuzetno negativnoj korelaciji sa IADL i skorom Tinetijevog testa. Skor EFST pokazao je umerenu negativnu korelaciju sa skorom IADL i jaku negativnu sa skorom Tinetijevog testa, dok su skor IADL i skor Tinetijevog testa pokazali umerenu pozitivnu korelaciju. Model EFST bio je statistički značajan i u celini tačno klasifikuje 83,3% slučajeva. Varijable koje su se pokazale kao nezavisni prediktori bili su: Tineti skor (OR = 0,783; p < 0,001), skor (OR = 1,041; p = 0,019) i ortostatska hipotenzija (OR = 2,291; p = 0,035). Zaključak. U ispitivanoj populaciji padovi su veoma učestala pojava i više od polovine osoba doživela je pad u poslednjih godinu dana. U povećanom riziku od pada su žene. Takođe rizik od pada povećava se sa godinama starosti. Niži stepen obrazovanja pokazao se kao nezavisni prediktor pada. Predikcija rizika od pada utvrđenog na osnovu skrining test za pad kod starih osoba u opštoj populaciji moguća je uz visok stepen determinacije na osnovu skora Tinetijevog testa i, skora FESI i ortostatske hipotenzije.</p> / <p>Introduction. Annually at least 30% of people over 65 experience one or more falls. With the increase in years, the severity of complications due to falls, degree of functional impairment and level of disability also increase. The responsibility for the fall is attributed to many risk factors. Due to the complexity of their nature, it is crucial that the conceptual and methodological frameworks for understanding and predicting the decline in the elderly population are revised. Research goals. Determine the incidence of falls in people over 65 years of age; identify the most important risk factors of the fall and evaluate their interaction with functional abilities and fear for falling. Material and methodology. The survey was conducted from February to June 2014 in the form of a cross sectional study and included 400 respondents over 65 years of age. Respondents were tested at home during a visit of the patronage service. The following instruments were used: general questionnaire, Elderly Fall Screening Test - EFST, Multi-factor Falls Questionnaire - MFQ, Tinetti Balance Assessment, Lawton Instrumental Activities of Daily Living Scale - IADL, Falls Efficacy Scale International FES-I. Statistical calculations were performed by the SPSS version 20 program. Research results. The results of the study show that the fall was experienced by 55% of respondents. The regression model EFST with variables was statistically significant, and as independent predictors the female sex (OR = 2,751; <0,001), age (OR = 1,138; p <0,001), and the level of education (OR = 0,554; p = 0.027) were shown. Similar results were obtained for the regression model with the Tinetti's score, where the gender (Beta = -0.107; p = 0.029) age (Beta = -0.260; p <0.001) and education (Beta = 0.191; p < 0.001) were shown as independent predictors. All correlations between EFST, FESI, IADL and the Tinetti's test score were statistically significant (p <0.05). The FESI score values were in a strong positive correlation with the EFST score and extremely negative correlation with IADL and the Tinetti’s test score. The EFST score showed a moderate negative correlation with the IADL score and a strong negative with the Tinetti’s test score, while the IADL score and the Tinetti test score showed moderate positive correlation. The EFST model was statistically significant and in its entirety accurately classified 83.3% of cases. Variables that proved to be independent predictors were: Tinetti score (OR = 0.783; p <0.001), score (OR = 1.041; p = 0.019) and orthostatic hypotension (OR = 2.291; p = 0.035). Conclusion. In the studied population, falls are a very common occurrence and more than half of the people experienced a fall in the past year. Women are at increased risk of falling. Also, the risk of falling increases with age. A lower level of education has proven to be an independent fall predictor. Prediction of the risk of a fall that has been established on the basis of a screening test for elderly people in the general population is possible with a high degree of determination based on the Tinetti test score and, recent FESI and orthostatic hypotension.</p>
944	La Reforma eclesiàstica i religiosa de les diòcesis de la Tarraconense al llarg de la Baixa Edat Mitjana (a través dels qüestionaris de visites pastorals) Monjas Manso, Luis 19 April 2005 (has links) A través de la transcripción, edición y estudio exhaustivo de los cuestionarios de visita pastoral de Tortosa de 1314, de Gerona de 1329, del sínodo de Tarragona de 1372, de Valencia de 1383-1388, de Tortosa de 1409, de Jaume Marquilles (Barcelona) de 1413-1414, del "llibre de la cadena" (Barcelona) de 1425 y de Zaragoza de 1435, se pone de manifiesto la existencia de unas mismas directrices reformadoras de la iglesia y de la religión católica en todas las diócesis de la provincia eclesiàstica Tarraconense y de los antiguos reinos de la Corona de Aragón desde la celebración del IV Concilio de Letrán (1215) hasta el inicio del Concilio de Trento (1545). La reforma se concreta en los siguientes puntos de forma paralela en todas las diócesis de la Tarraconense, aunque podemos distinguir dos períodos claramente diferenciados: a) Desde el concilio de Lérida de 1229 hasta la vigilia del Cisma de Occidente: el esfuerzo reformador se centró en la moralidad del clero y su misión pastoral, y en la moralidad personal y social de los laicos, las visitas se asemejan a procesos eclesiásticos; b) Desde los inicios del Cisma de Occidente hasta la vigilia del concilio de Trento: el esfuerzo reformador se centró en los aspectos jurídicos y económicos de los beneficios, en la formación teológica sacramental de los curados y, muy especialmente, en la visitatio rerum, con la finalidad de implantar una política de la decoración que dirigía y promovía el incipiente culto eucarístico propio de las devociones populares del momento que, en muchos aspectos, se avanzó a la reforma del Concilio de Trento. No obstante, entre estos dos períodos y el que se inicia con el concilio de Trento, hay más continuidades que rupturas. / Through transcription, edition and exhaustive study of pastoral visits questionnaires of Tortosa in 1314, of Girona in 1329, of the synod of Tarragona in 1372, of Valencia from 1383 until 1388, of Tortosa in 1409, of Jaume Marquilles (Barcelona) from 1413 until 1414, of the "Llibre de la cadena" (Barcelona) in 1425 and of Zaragoza in 1435, the existence of the same church reformation directions and of the Catholic religion in all the diocese of the ecclesiastical province of Tarragona and of the ancient Kingdoms of the Crown of Aragon from the celebration of the Ivth Council of Letran (1215) until the begining of the Council of Trento (1545) is stated. The reformation is produced in a parallel way in all the diocese of Tarragona, although we can single out two clearly distinctive periods: a) From the Lleida Council in 1229 until the vigil of the western schism: the reformation effort was centered in the morality of the clergy and their pastoral mission, and in the social and personal morality of the laymen, the visits are similar to ecclesiastical processes; b) From the initial times of the western schism until the vigil of the Trento Council: the reformation effort was centered in the legal and economic sides of the benefits, in the theological and sacramental education of the priests and especially in the "visitatio rerum" with the intention of stating a decoration policy that was ruling and was promoting the incipient eucharistic cult typical from the popular devotions of the times, and in many ways, it was put forward to the reform of the Trento Council. There is more continuity rather than breaking. misión pastoral beneficios eclesiásticos "visitatio rerum" pastoral visit provincial councils diocesan synods pastoral visits questionnaires reformation Low Middle Ages Crown of Aragon Clergy morality pastoral mission ecclesiastical benefits Tarragona Archdiocese decoration policy of churches and altars "visitatio rerum" moralidad del clero cuestionarios de visita pastoral Corona de Aragón Archidiócesis de Tarragona baja edad media reforma sínodos diocesanos concilios provinciales visita pastoral 94
945	Validação da versão em português da entrevista telefônica para avaliação do estado cognitivo - modificada (TICS-M) em pacientes acometidos por acidente vascular cerebral / Validation of the portuguese version of the telephone interview for cognitive status - modified (tics-m) among post-stroke patients Alessandra Fernandes Baccaro 04 June 2014 (has links) Introdução: O AVC (acidente vascular cerebral) é uma das mais importantes causas de alterações neuropsicológicas. Uma avaliação cognitiva inicial realizada por telefone implicaria em um diagnóstico mais precoce de prejuízo cognitivo e demência, reduzindo custos e tempo. Objetivo: Examinar as propriedades psicométricas da versão brasileira da Entrevista Telefônica para Avaliação do Estado Cognitivo - Modificada (TICS-M) em pacientes pós-AVC. Métodos: Previamente à validação da TICS-M em indivíduos acometidos por AVC, foi realizada tradução para o Português do Brasil e adaptação transcultural da versão original da TICS-M em uma amostra de 30 sujeitos não clínicos. Após esta fase, um subgrupo de 61 pacientes com AVC, participantes do Estudo da Mortalidade e Morbidade do AVC (EMMA) que ocorre no Hospital Universitário da Universidade de São Paulo, foram convidados a participar da validação da TICS-M, seis meses após o evento agudo. A TICS-M foi aplicada em três momentos: avaliação inicial (entrevista presencial), uma e duas semanas após a primeira avaliação. Na avaliação inicial, além da TICS-M, questionários adicionais foram aplicados para avaliar a cognição: MoCA (Montreal Cognitive Assessment), MEEM (Mini Exame do Estado Mental); e para a depressão, HDRS (Hamilton Depression Rating Scale). Todos os questionários foram aplicados por duas entrevistadoras treinadas para o estudo. A confiabilidade intra-observador da TICS-M foi testada através dos coeficientes de Pearson, Intraclasse e alfa de Cronbach. As características internas do TICS-M também foram avaliadas através de uma análise exploratória utilizando o método Análise de Componentes Principais. A validade discriminatória do instrumento para rastreamento de demência pós-AVC foi avaliada em comparação a MEEM pela análise da área sob a curva (AUC) determinada pela curva ROC. Foram calculadas sensibilidade e especificidade para o ponto de corte ideal para rastrear demência. Resultados: De maneira geral, a TICS-M traduzida para o português apresentou um bom entendimento dos itens na mostra de indivíduos não clínicos. Foi observada uma frequência de 23% sugestiva de demência pós-AVC. O nível de escolaridade esteve positivamente associado ao estado demencial rastreado pelo MEEM. O estado depressivo assim como outras características de base não se associou à demência sugerida pelo MEEM. A confiabilidade teste-reteste intra-observador revelou taxas quase totais nos três momentos avaliados (Pearson Coeficiente > 0,85, Coeficientes de Correlação Intraclasse > 0,85 e Coeficiente alfa de Cronbach: 0,96). A análise fatorial determinou três domínios: memória de trabalho e atenção; memória recente e de evocação e orientação. A área sob a curva (AUC) determinada para a TICS-M em comparação com MEEM foi de 0,89 (intervalo de confiança 95%: 0,80-0,98). O ponto de corte sugerido para TICS-M foi de 14 pontos (escala de 0-39 pontos) para rastrear demência com sensibilidade de 91,5% e especificidade de 71,4%. Resultados semelhantes foram observadas com o MoCA. Conclusão: A versão brasileira da TICS-M sugere ser um instrumento de pesquisa útil e confiável para rastrear demência em pacientes pós-AVC / Introduction: Stroke is one most important cause of neuropsychological disorders. An initial cognitive assessment performed by telephone resulting in an early diagnosis of cognitive impairment and dementia, reducing costs and time. Objective: To examine the psychometric properties of the Brazilian version of the Modified Telephone Interview for Cognitive Status Assessment (TICS-M) for assessment of dementia in post-stroke patients. Methods: Prior to validation of TICS-M in post-stroke patients, translation was performed for the Brazilian-Portuguese and cross-cultural adaptation of the original version of TICS-M in a non-clinical sample of 30 subjects. After this phase, 61 stroke patients enrolled in the Stroke Mortality and Morbidity Study (The EMMA study) that occurs at the University Hospital of the University of São Paulo, were invited to participate in this sub-study to validate the TICS-M six months after the acute event. The TICS-M was applied in three moments: first evaluation (personal interview), one and two weeks after of the first evaluation. At the first evaluation, beyond the TICS-M, additional questionnaires were applied to assess cognition: MoCA (Montreal Cognitive Assessment), MMSE (Mini-Mental Status Examination), and for depression, HDRS (Hamilton Depression Rating Scale). All questionnaires were administered by two trained interviewers for the study. Reliability of the TICS-M was tested by intra-observer rates using Pearson, Intraclass and Cronbach´s alpha coefficients. The internal characteristics of TICS-M were also evaluated by an exploratory analysis using Principal Component Analysis. The discrimination validity of the instrument to assess dementia was evaluated by comparison to the MMSE analysis of the area under the curve (AUC) determined by the ROC curve. Sensitivity and specificity for the ideal cutoff to assess dementia were calculated. Results: In general, the TICS-M translated into Portuguese version showed a good understanding of the items in non-clinical individuals. A frequency of 23% suggestive of post-stroke dementia was observed. The level of education was positively associated with dementia status assessed by MMSE. The depressive status, as well as, other baseline characteristics was not associated with dementia suggested by MMSE. Test-retest reliability intra-observer revealed almost total rates in the three evaluation moments (Pearson coefficient > 0.85, Intraclass Correlation Coefficient > 0.85 and Cronbach\'s alpha coefficient: 0.96). The factorial analysis determined three domains: working memory and attention, recent and recall memory and orientation. The area under the curve (AUC) determined by TICS-M compared to MMSE was 0.89 (95% confidence interval: 0.80-0.98). The cutoff suggested for TICS-M was equal or greater than 14 points (range 0-39 points) to assess dementia (91.5% sensitivity, 71.4 % specificity). Similar results were observed with the MoCA. Conclusion: The Brazilian version of TICSM suggests being a useful and reliable research instrument to evaluate dementia in poststroke patients in epidemiological studies Acidente vascular cerebral/epidemiologia Acidente vascular cerebral/psicologia Brasil/epidemiologia Consulta remota Demência/epidemiologia Demência/prevenção e controle Demência/psicologia Depressão Entrevista como assunto Entrevista psicológica Escalas de graduação psiquiátrica Estudos de validação Psicometria/métodos Questionário Telefone Transtornos cognitivos/complicações Transtornos cognitivos/epidemiologia Transtornos cognitivos/psicologia Brazil/epidemiology Cognition disorders/psychology Cognition disorders/complications Cognition disorders/epidemiology Dementia/epidemiology Dementia/prevention e control Dementia/psychology Depression Interview psychological Interviews as topic Psychiatric status rating scales Psychometrics/methods Questionnaires Remote consultation Stroke/complications Stroke/epidemiology Stroke/psychology Telephone Validation studies
946	Cambios dialectales e idiosincrasias en la enseñanza del segundo idioma a estudiantes minoritarios a través de la poesía Afrocubana Fleming, Alicia Ann-Marie 09 January 2013 (has links) Indiana University-Purdue University Indianapolis (IUPUI) / Cotidianamente los profesores se hacen esta pregunta: ¿cómo pueden relacionarse mis estudiantes con la lección? Saben que si los estudiantes pudieran acoplarse con el contenido de la lección, entenderían y aprenderían con gran eficacia. En la mayoría de los distritos escolares urbanos de Indianapolis, Estados Unidos hay muchos estudiantes afroamericanos que están en clases de lengua extranjera que piensan que no existen atributos de conexión --como tradiciones y costumbres-- que tienen aspectos en común con sus propias culturas. Por otro lado, hay estudiantes afrolatinos que son nativos de esas lenguas pero a quienes no se les expone a elementos que pertenecen a su cultura o herencia. Esta investigación se enfocará en cómo los profesores pueden utilizar la poesía para enseñar una lengua extranjera; específicamente, cómo se puede utilizar la poesía afrocubana para vincular la lección a los estudiantes minoritarios y su cultura. Dialect poetry Black English Hispanic Americans Spanish language -- Study and teaching Minorities -- Education -- United States Cuban poetry Communicative competence Intercultural communication Competence and performance (Linguistics) Questionnaires
947	Analýza výskytu vybraných zoonóz v Jihočeském kraji / Analysis of occurrences of selected zoonoses in South Bohemian region SOUMAROVÁ, Michaela January 2015 (has links) This diploma thesis is focused on the evaluation of six selected zoonoses with the occurrence in South Bohemia (campylobacteriosis, salmonellosis, listeriosis, tick-borne meningoencephalitis, Lyme borreliosis, tularemia) between the years 2003-2013. Campylobacteriosis and salmonellosis were evaluated the most common zoonoses in the South Bohemian Region during the monitored period. Their common feature is the alimentary transmission. Between 2003 to 2008 salmonellosis recorded the highest number of reported cases, on the contrary, campylobacteriosis has reported the highest number of occurrences since 2008. District of Czech Budweis showed the highest incidence of both zoonoses during the monitored period (4,139 cases of salmonellosis and 4,924 cases of campylobacteriosis). Another but not less important zoonotic is tick-borne meningoencephalitis, which incidence had the highest number in South Bohemian Region of all the regions of Czech Republic. The second part of the thesis is based on questionnaire studies focused on awareness of zoonoses and the issue of resistance and overuse of antibiotics. In total 479 questionnaires were evaluated. The survey findings may be equally described as interesting and positive, since the respondents had considerable awareness of the issue of antibiotic resistance.
948	Prácticas internacionales en el extranjero y percepciones de la mejoría lingüística y competencia cultural: Una evaluación del programa “Auxiliares de Conversación” Erk, Miranda Richelle 09 January 2013 (has links) Indiana University-Purdue University Indianapolis (IUPUI) / Este estudio analiza las percepciones de mejoría en el español y de conocimiento cultural de los participantes en un programa de ayudantes de inglés, Auxiliares de Conversación, mientras trabajaron en escuelas primarias y secundarias en varias regiones de España. Los participantes provenían de varios países anglófonos, entre ellos los Estados Unidos, el Reino Unido, Canadá, Nueva Zelanda, Australia. Varios participantes rellenaron encuestas a través de internet para evaluar su crecimiento lingüístico y cultural durante el programa, experiencia en los centros educativos y alojamiento. Además, plantearon varias sugerencias para el programa para futuros auxiliares y profesores. Seis auxiliares fueron entrevistados sobre los mismos temas en mayor profundidad. Foreign study Competence and performance (Linguistics) Intercultural communication Sociolinguistics Cross-cultural orientation Communicative competence Language and culture Teachers -- In-service training Spain -- Social life and customs Internet questionnaires
949	Challenges and potentials of channeling local philanthropy towards development and aocial justice and the role of waqf (Islamic and Arab-civic endowments) in building community foundations / the case of Egypt Daly, Marwa El 16 May 2012 (has links) Diese Arbeit bietet eine solide theoretische Grundlage zu Philanthropie und religiös motivierten Spendenaktivitäten und deren Einfluss auf Wohltätigkeitstrends, Entwicklungszusammenarbeit und einer auf dem Gedanken der sozialen Gerechtigkeit beruhenden Philanthropie. Untersucht werden dafür die Strukturen religiös motivierte Spenden, für die in der islamischen Tradition die Begriffe „zakat“, „Waqf“ oder im Plural auch „awqaf-“ oder „Sadaqa“ verwendet werden, der christliche Begriff dafür lautet „tithes“ oder „ushour“. Aufbauend auf diesem theoretischen Rahmenwerk analysiert die qualitative und quantitative Feldstudie auf nationaler Ebene, wie die ägyptische Öffentlichkeit Philanthropie, soziale Gerechtigkeit, Menschenrechte, Spenden, Freiwilligenarbeit und andere Konzepte des zivilgesellschaftlichen Engagements wahrnimmt. Um eine umfassende und repräsentative Datengrundlage zu erhalten, wurden 2000 Haushalte, 200 zivilgesellschaftliche Organisationen erfasst, sowie Spender, Empfänger, religiöse Wohltäter und andere Akteure interviewt. Die so gewonnen Erkenntnisse lassen aussagekräftige Aufschlüsse über philanthropische Trends zu. Erstmals wird so auch eine finanzielle Einschätzung und Bewertung der Aktivitäten im lokalen Wohltätigkeitsbereich möglich, die sich auf mehr als eine Billion US-Dollar beziffern lassen. Die Erhebung weist nach, dass gemessen an den Pro-Kopf-Aufwendungen die privaten Spendenaktivitäten weitaus wichtiger sind als auswärtige wirtschaftliche Hilfe für Ägypten. Das wiederum lässt Rückschlüsse zu, welche Bedeutung lokale Wohltätigkeit erlangen kann, wenn sie richtig gesteuert wird und nicht wie bislang oft im Teufelskreis von ad-hoc-Spenden oder Hilfen von Privatperson an Privatperson gefangen ist. Die Studie stellt außerdem eine Verbindung her zwischen lokalen Wohltätigkeits-Mechanismen, die meist auf religiösen und kulturellen Werten beruhen, und modernen Strukturen, wie etwa Gemeinde-Stiftungen oder Gemeinde-„waqf“, innerhalb derer die Spenden eine nachhaltige Veränderung bewirken können. Daher bietet diese Arbeit also eine umfassende wissenschaftliche Grundlage, die nicht nur ein besseres Verständnis, sondern auch den nachhaltiger Aus- und Aufbau lokaler Wohltätigkeitsstrukturen in Ägypten ermöglicht. Zentral ist dabei vor allem die Rolle lokaler, individueller Spenden, die beispielsweise für Stiftungen auf der Gemeindeebene eingesetzt, wesentlich zu einer nachhaltigen Entwicklung beitragen könnten – und das nicht nur in Ägypten, sondern in der gesamten arabischen Region. Als konkretes Ergebnis dieser Arbeit, wurde ein innovatives Modell entwickelt, dass neben den wissenschaftlichen Daten das Konzept der „waqf“ berücksichtigt. Der Wissenschaftlerin und einem engagierten Vorstand ist es auf dieser Grundlage gelungen, die Waqfeyat al Maadi Community Foundation (WMCF) zu gründen, die nicht nur ein Modell für eine Bürgerstiftung ist, sondern auch das tradierte Konzept der „waqf“ als praktikable und verbürgte Wohlstätigkeitsstruktur sinnvoll weiterentwickelt. / This work provides a solid theoretical base on philanthropy, religious giving (Islamic zakat, ‘ushour, Waqf -plural: awqaf-, Sadaqa and Christian tithes or ‘ushour), and their implications on giving trends, development work, social justice philanthropy. The field study (quantitative and qualitative) that supports the theoretical framework reflects at a national level the Egyptian public’s perceptions on philanthropy, social justice, human rights, giving and volunteering and other concepts that determine the peoples’ civic engagement. The statistics cover 2000 households, 200 Civil Society Organizations distributed all over Egypt and interviews donors, recipients, religious people and other stakeholders. The numbers reflect philanthropic trends and for the first time provide a monetary estimate of local philanthropy of over USD 1 Billion annually. The survey proves that the per capita share of philanthropy outweighs the per capita share of foreign economic assistance to Egypt, which implies the significance of local giving if properly channeled, and not as it is actually consumed in the vicious circle of ad-hoc, person to person charity. In addition, the study relates local giving mechanisms derived from religion and culture to modern actual structures, like community foundations or community waqf that could bring about sustainable change in the communities. In sum, the work provides a comprehensive scientific base to help understand- and build on local philanthropy in Egypt. It explores the role that local individual giving could play in achieving sustainable development and building a new wave of community foundations not only in Egypt but in the Arab region at large. As a tangible result of this thesis, an innovative model that revives the concept of waqf and builds on the study’s results was created by the researcher and a dedicated board of trustees who succeeded in establishing Waqfeyat al Maadi Community Foundation (WMCF) that not only introduces the community foundation model to Egypt, but revives and modernizes the waqf as a practical authentic philanthropic structure. Entwicklung sozialer Wandel Demokratie Bildung Leitfaden Familie Bibel Nachhaltigkeit Vertrauen Krankheit Bewusstsein Datenanalyse Medien Armut Kopten Religion Nichtregierungsorganisationen Transparenz Berufsausbildung Fragebogen qualitativ Sozialarbeit Ägypten philanthropische Organisation Philanthropie Spenden Wohltätigkeit Fürsorge ehrenamtliche Arbeit bürgerschaftliches Engagement zakat zakat al fitr zakat al mal waqf Bar-waqf awqaf sadaqa Stiftung sadaqat tithes ‘ushour nuzur kaffarat sadaqa jariya nachhaltiges Spenden eigenfinanziert Gemeinde-Stiftung soziale Verantwortung takafol takaful soziale Solidarität zivilgesellschaftliche Organisationen CSOs NGOs waqfeyat al maadi community foundation WMCF Buergerstiftung Menschenrechte soziale Gerechtigkeit Arbeit vor Ort quantitativ Spendentrends Wohltätigkeitstrends Kleinprojekte religiös Wissenschaftler Leistungsempfänger Philanthropen Steuern Almosen Hilfsleistungen Aufbau von Kapazitäten ad hoc-Spenden organisierte Spenden institutionalisierte Spenden strategische Philanthropie Wohltätigkeitsspenden Moscheen Kirchen El Daly Marwa Fatma Abou Nawareg Peter Heine Ministerium für soziale Solidarität NGO-Recht Rechtsumfeld wirtschaftliches Umfeld arabische Zivilstiftungen islamische waqf islamische Spenden ewiges Spenden nachhaltige Entwicklung koptische Spenden koptische tithes Diaspora-Spenden Koran hadith Botschaft des Propheten muslimische Spenden christliche Spenden Azhar Universität Universität zu Kairo Prinzessin Fatma Al Demerdash Pasha al adahi Geschenke hibat ahadith habs hubus Gott Allah Ewigkeit Türkei Nazir zivile waqf Minshawy Pasha Prophet Mohamed hujat waqf takaya sabeel Gastfreundlichkeit Erziehung Waisenhäuser Gesundheit Analphabetismus ziviles Engagement Autonomie Waqfeyat al Maadi Al Ahleya Umfrage Koran-Referenzen Bibel-Referenzen Verse Gouvernement Maadi Umgebung Haushalte Beschäftigung sozio-ökonomisch Omar Ben Abd el Aziz masarif al zakat Familiennähe Sippennähe Sippe Nachbarn Gesetz Nummer 84 aus 2002 Scheich Priester Vorstand Vorsitzender Rückgang der waqf Kalif lokale Ressourcen Almosen zahlen Gemeinde-Entwicklungs-Vereinigung philanthropisches Verhalten Lehrplan ihsan Tradition zakat Komitee Steuernachlass Verwandte nachwachsende Generationen-Projekte Programme Finanzhilfen milde Gaben institutionelle Spenden individuelle Spenden Spenden von Person zu Person geographische Zugehörigkeit Schätzungen Diwan al ahbas Philanthropie für sozialen Wandel entwicklungsorientierte Philanthropie Jugend-Spenden Jugend-Freiwilligenarbeit philanthropische Zentren arabischer Frühling development social change survey education human rights sustainability trust data analysis capacity building poverty social justice democracy qualitative social work Egypt philanthropic organization philanthropy giving charity aid volunteering volunteerism zakat zakat al fitr zakat al mal waqf cash waqf awqaf sadaqa endowment sadaqat tithes ‘ushour nuzur kaffarat sadaqa jariya sustainable giving self funding foundations community foundations social responsibility takafol takaful social solidarity corporate social responsibility (csr) civil society organizations CSOs NGOs non-governmental organizations waqfeyat al maadi community foundation WMCF field work quantitative transparency giving trends small project religious religion scholars donors beneficiaries philanthropists taxes alms assistance awareness ad hoc giving organized giving institutionalized giving strategic philanthropy charitable giving right based approach mosques churches El Daly marwa Fatma Abou Nawareg Peter Heine Ministry of Endowment Ministry of Social Solidarity NGO law legal environment economic environment arab civic endowments Islamic waqf Islamic giving perpetuate giving sustainable development Copt Coptic giving Coptic tithes Diaspora giving Quran hadith prophetic sayings Bible Muslim giving Christian giving fiqh Azhar university Cairo University Prinncess Fatma Al Demerdash Pasha al adahi gifts hibat prophet sayings ahadith habs hubus God Allah perpetuity turkey Nazir civic waqf Minshawy Pasha Prophet Mohamed hujat waqf takaya sabeel hospitality orphanages health illiteracy civic service civic engagement autonomy probability proportionate to size (PPS) Waqfeyat al Maadi Al Ahleya questionnaires Quranic references Biblical references verses governorates Maadi surroundings households employment socio economic outlets of zakat Omar Ben Abd el Aziz masarif al zakat close by kin neighbors Law No 84 of 2002family sheikh priest board of trustees chairperson deterioration of waqf caliph Sadaqa Jariyah media local resources paying alms Community Development Association CDA philanthropic behavior curricula ihsan traditions zakat committee tax exemption relatives income generating projects programs vocational training financial aid in kind giving institutional giving individual giving person to person giving geographical affiliation estimates Diwan al ahbas philanthropy for social change development oriented philanthropy youth giving youth volunteering children giving and volunteering philanthropy centers arab spring. 14 Soziologie, Gesellschaft MS 4410 MI 12075 ddc:360

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