Thesis (M.S.)--University of Michigan, 1987.

Thesis (M.S.)--University of Michigan, Ann Arbor, 1975. / Typescript (photocopy). Includes bibliographical references (leaves 57-60). Also issued in print.

Thesis (M.S.)--University of Michigan, 1987.

Thesis (M.S.)--University of Michigan, Ann Arbor, 1983. / Typescript (photocopy). eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 45-48).

Thesis (M.S.)--University of Michigan, 1983.

Thesis (M.S.)--University of Michigan, 1972.

Thesis (M.S.)--University of Michigan, Ann Arbor, 1975. / Typescript (photocopy). eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 57-60).

Thesis (M.A.)--University of Wisconsin--Madison, 1969. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Submitted by Maria Creuza Silva (mariakreuza@yahoo.com.br) on 2013-10-11T19:19:28Z No. of bitstreams: 1 Tese Jean Márcia Mascarenhas. 2013.pdf: 2459532 bytes, checksum: 722afaa58e4302dc9614255aa38e1405 (MD5) / Approved for entry into archive by Maria Creuza Silva(mariakreuza@yahoo.com.br) on 2013-10-11T19:19:41Z (GMT) No. of bitstreams: 1 Tese Jean Márcia Mascarenhas. 2013.pdf: 2459532 bytes, checksum: 722afaa58e4302dc9614255aa38e1405 (MD5) / Made available in DSpace on 2013-10-11T19:19:41Z (GMT). No. of bitstreams: 1 Tese Jean Márcia Mascarenhas. 2013.pdf: 2459532 bytes, checksum: 722afaa58e4302dc9614255aa38e1405 (MD5) Previous issue date: 2013 / Estima-se que 300 milhões de pessoas no mundo sejam portadoras de asma. A asma é uma doença crônica com alta prevalência principalmente na infância. Considerando a prevalência elevada de sintomas de asma em Salvador, Bahia, assim como a escassez de conhecimentos sobre os fatores associados a esse tipo de ocorrência os objetivos desta pesquisa foram: verificar a validade do questionário de frequência alimentar (QFA) utilizado na obtenção dos padrões alimentares, identificar os padrões de consumo e investigar os determinantes demográficos, sociais e econômicos dos diferentes padrões encontrados; e identificar os fatores associados a sintomas de asma nos adolescentes. Foi estudada uma amostra total de 1.330 indivíduos com idade de 11 a 17 anos, alunos da rede pública de ensino de Salvador, Bahia, Brasil. Neste estudo a validação do QFA foi satisfatória para maioria dos nutrientes. Foram identificados três padrões de consumo alimentares: misto, tradicional e saudável. Analisando as características da população observou-se o predomínio do sexo feminino, 56,9%, e idade maior que 13 anos, 79,2%. O sexo e o indicador da condição econômica estão associados aos padrões alimentares. Os adolescentes da classe econômica mais baixa e do sexo masculino adotam consumo alimentar mais saudável em relação àqueles das classes econômicas mais altas e do sexo feminino. Foi encontrada prevalência de sintomas de asma de 7.6% e chiado no peito nos últimos 12 meses de 8.6%. Pode-se concluir que a prevalência de asma nesta amostra se encontra abaixo da média mundial e da encontrada no Brasil e Salvador, Bahia. Os sintomas para asma foram mais prevalentes nos adolescentes do sexo masculino, entre os portadores de rinite e menos prevalente entre os adolescentes com consumo moderado de alimentos que integram o padrão saudável. Com isso pode-se concluir que o consumo de alimentos considerados saudáveis atua como protetores para sintomas de asma. / Salvador

The published literature indicates that large information system implementations are often expensive failures with costs to human safety largely because of missing or corrupt information. This has generated the overall research question of “What do Key Informants think about Information Quality in Acute Care?” This dissertation research examined information quality using a Grounded Theory analytic method for coding and analyzing semi structured interview responses from ten clinical (nurses, physicians, pharmacist) and ten non-clinical (IT support) interviewees in several public sector health organizations across Canada. The semi structured interview questions focused on five key areas: information quality, acute care setting, information systems, risk (as a function of poor information quality) and patient safety. A key finding from the interview data is that information is missing and unstable within the two key health care information systems: the paper chart, the main repository of narrative unstructured data, and the electronic health record system, of structured data. The interviewees mentioned pressure to information standardization such as fixed patient identity information anchoring patient data in the rest of the patient record. However, there is resistance to standardizing other information because the users, nurses and physicians, resist fettering in order to be able to tell the patient’s story in narrative unstructured data form. A descriptive socio-technical model, the Systems Engineering Initiative for Patient Safety (SEIPS) Model that organizes elements for analysis under the headings of person, task, technology and tools, organization, external environment and patient outcomes, was considered for further discussion in the context of the study. The SEIPS Model analysis also helps to identify gaps in the Model including what missing and uncertain information might mean. Key points from this discussion include how the information system maps to the real world, the patient, and to the user’s perception of the real world. This mapping can never be totally accurate and complete so gaps exist. The discussion of information and information flow lead to enhancements of the SEIPS Model, placing information and information quality in its rightful place as a “glue” for the acute care system. This is an important contribution to knowledge that can lead to future research so there can be a better fit between the real world, information, information systems and people to provide safer care. / Graduate