Effective communication with the parents of pediatric clients is considered an essential skill and encompasses the verbal exchanging of ideas, listening, and non-verbal communication (Taylor, 2020). Similarly, the therapeutic use of self is integral to the practice of occupational therapy and consists of the conscious enhancement of communication through the use of planned strategies for intentional client-therapist interactions (Taylor, 2020). However, many occupational therapy practitioners report communication challenges, such as parent emotional expressions (Andrews et al., 2013) and discussing parent roles and expectations (Kruijsen-Terpstra et al., 2016 ), and implementing the therapeutic use of self in practice (Bonsaksen et al., 2013). Furthermore, factors such as the limited availability of communication skills training, a limited understanding of how to practice reflection to enhance communication self-awareness (King et al., 2017), and decreased self-efficacy (Coad et al., 2018) hinder the opportunity for practitioners to enhance their communication competencies. The following chapters discuss the evidence base and guiding theories informing the development of the proposed program, Communicate to Collaborate. Communicate to Collaborate is a communication skills training that aims to strengthen pediatric therapy practitioners’ interpersonal communication skills so that how they communicate with families becomes an active, mediating ingredient in their therapy interventions. Through program participation, it is anticipated practitioners will gain greater awareness of both their personal communication approaches and parent’s communication preferences and increased self-efficacy in how to communicate intentionally with parents, thus enhancing their therapeutic use of self in practice and improving the quality of family-centered pediatric therapy services.

Ocean ambient noise is one of the important parameters which affect sonar system performance. If the ocean ambient noise is estimated accurately, the prediction accuracy of sonar system performance can be promoted significantly. Ocean ambient noise includes various and diverse sources, so the characteristics of the ocean ambient noise should be analyzed by long-term observations and statistical methods. Therefore, ocean ambient noise database was developed to facilitate management, preservation, and application of these datasets which increase with time. There were two datasets of acoustic and three datasets of wind speed in this database at this point. To develop this database systematically, this study applied Entity-Relationship Model to describe the relationship between different data and Relational Model to design the required categories. The database was constructed based on Microsoft Office Access, and user-friendly graphical interfaces based on MATLAB were provided for users: wind speed regression, time series, spectrogram, and spectrum tendency for users to query the database. As the results of analysis, the intermittent, unknown, and high-level sources at southwestern sea of Taiwan in spring and summer made the noise level of low frequency about 8 to 10 dB higher in the night-time than that in the day-time. According to wind speed regression analysis, if there were sufficient data, the method would be practicable to pick a wind speed data nearby the location of acoustic data for noise estimation. As the results of the typhoon effects analysis, the noise level of 1 to 8 kHz was increased significantly by typhoons. Besides, the noise level didn¡¦t decrease immediately and significantly after the pass of typhoon because of southwestern air current caused typhoon. After the database was developed, new acoustic data will keep being measured and collected, and the network capability will be integrated into the database to make the database more accessible to users.

Barn med funktionsnedsättning tenderar att ha svårigheter att delta och engagera sig i aktiviteter. I familjecentrerat arbete involverar arbetsterapeuten föräldrarna i barnets terapiprocess. Detta då föräldrarna har kunskaper kring hela familjesituationen och har kunskaper kring barnet som arbetsterapeuten behöver ta hänsyn till. Syftet med studien var att i familjecentrerat arbete kartlägga arbetsterapeutens förhållningssätt till föräldrar vars barn har en funktionsnedsättning. Mer specifikt att beskriva arbetsterapeutens interaktion till föräldrarna utifrån The Intentional relationship Model (IRM) samt beskriva positiva och negativa mellanmänskliga händelser som uppstår i interaktionen utifrån varje förhållningssätt. En litteraturstudie användes som metod och databassökningen genomfördes i de tre databaserna PsycINFO, PubMed och Cinahl. IRM användes i analysen för att granska om arbetsterapeuten, i interaktionen med föräldrarna, använde förhållningssätten empatiskt, samarbetande, problemlösande, uppmuntrande, instruerande eller förespråkande. I resultatet framkom att arbetsterapeuter använde alla förhållningssätt utifrån IRM. Det samarbetande förhållningssättet och det empatiska förhållningssättet användes mest, uppmuntrande och förespråkande minst. Studien visar att arbetsterapeutens val av förhållningssätt är viktigt för att undvika att negativa mellanmänskliga händelser påverkar den terapeutiska relationen. Dessa uppstod ofta i interaktionen med föräldrar med annan etnicitet. Studien belyser också att kunskapen om de olika förhållningssätten bör utökas. Mer specifikt bör kunskap kring när och hur ett förhållningssätt kan användas undersökas genom forskning. / Children with disabilities tend to have difficulties with participating and engaging in activities. Occupational therapists who work in family-centered care involve the parents in the children´s therapy process. This is because the parents have knowledge about the family situation and they also know about factors in the children’s life which the occupational therapist needs to recognize. The purpose of this study was to map the occupational therapist’s approach to parents in family-centered care in cases which involve children with disabilities. More specifically, the study described the occupational therapist´s interaction with parents based on the Intentional Relationship Model (IRM). Also, it described positive and negative interpersonal events in the occupational therapist´s interaction with parents based on each relationship. This was a literature review, and a database search was made in PsycINFO, PubMed and Cinahl. IRM was used in the analysis to review the occupational therapist´s interaction and to determine whether it was empathizing, collaborating, problem-solving, encouraging, instructing or advocating. The results showed that occupational therapists used all of the approaches in IRM. Collaborating and empathizing occurred more than the other types of interaction, while encouraging and advocating occurred the least. The study has shown that the occupational therapist's choice of approach is important in order to avoid any negative interpersonal events that can have an impact on the therapeutic relationship. Connections occur between parents of another ethnicity and negative interpersonal events. The study also highlighted that knowledge about the different approaches should be expanded. In particular, knowledge about how and when to use a specific approach should be examined.

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Submitted by JOSIANE SANTOS DE OLIVEIRA (josianeso) on 2018-09-21T15:03:56Z No. of bitstreams: 1 Fabiano Mattana_.pdf: 3816938 bytes, checksum: e533a5d2119b0afeba12f4cbf525b176 (MD5) / Made available in DSpace on 2018-09-21T15:03:56Z (GMT). No. of bitstreams: 1 Fabiano Mattana_.pdf: 3816938 bytes, checksum: e533a5d2119b0afeba12f4cbf525b176 (MD5) Previous issue date: 2018-04-11 / Nenhuma / Este estudo procurou atender ao objetivo geral de mensurar o nível de satisfação com o modelo de relacionamento digital dos clientes dos Escritórios de Negócios Exclusivos do Banco do Brasil situados no Rio Grande do Sul. O estudo de caso foi realizado em uma das maiores instituições financeiras brasileiras e mundiais. Conforme a estratégia corporativa do Banco do Brasil, a empresa realizou uma reestruturação no modelo de relacionamento com clientes, em implementação desde 2015, criando novas estruturas de atendimento específicas para determinados segmentos, dentre eles os escritórios exclusivos. A pesquisa teve uma etapa qualitativa, com uma análise documental interna da instituição e a realização de uma entrevista semiestruturada com os gestores dos escritórios, com o intuito de verificar a estratégia e as bases do modelo de negócios, bem como identificar as percepções e as dificuldades encontradas na implantação dessa nova estrutura. A etapa quantitativa foi realizada para mensurar o nível de satisfação dos clientes em relação à qualidade dos serviços prestados pelos escritórios, com aplicação de uma survey eletrônica utilizando como base a Escala Servqual, de Parasuraman, Zeithaml e Berry (1988), que mede a diferença entre as expectativas e a percepção dos clientes em cinco dimensões: tangibilidade, confiabilidade, compreensão, segurança e empatia. Os dados gerados foram tratados com a aplicação de análises estatísticas multivariadas. Os resultados obtidos demonstram que os clientes do Banco do Brasil estão satisfeitos com os serviços oferecidos através do modelo digital e a nova estrutura de negócios, no qual lhes é oferecido um atendimento humanizado agregado ao melhor da tecnologia. Percebeu-se, também, que o “mundo digital” provavelmente não substituirá o “mundo físico”, eles serão complementares, os escritórios digitais e as agências físicas irão coexistir e que o Banco do Brasil está aprimorando, assim, a entrega da proposta de valor e de uma melhor experiência aos clientes, permitindo rentabilizá-los, satisfazê-los e fidelizá-los. / This study sought to meet general measure goal of measuring the level of satisfaction with the digital relationship model customers of Banco do Brasil Exclusive Business Offices situated in Rio Grande do Sul. The case study was conducted in one of the largest Brazilian and global financial institutions. As the Banco do Brasil corporate strategy, the company conducted a restructuring relationship model with customers, in implementation since 2015, creating new specific service structures for certain segments, among them exclusive offices. Research had a qualitative step analyzing several documents of the institution and internal conducting a semi-structured interview with managers offices, in order to check the strategy and the foundations of business model, as well as identify perceptions and the difficulties encountered in implementing this new structure. Quantitative step was held to measure the level of customer satisfaction to the quality of services provided by offices, with applying an electronic survey using as a base the Servqual Scale of Parasuraman, Zeithaml and Berry (1988), which measures the difference between customers’ expectations and perception in five dimensions: tangibility, reliability, understanding, safety and empathy. The data generated were treated through with the application multivariate statistical analysis. The results show that Banco do Brasil customers are satisfied with the services offered through the digital model and the new business structure, in which they are offered a service humanized household with the best technology. It was noticed, also, that the “digital world” probably won’t replace the “physical world”, they are complementary, digital offices and physical agencies will coexist and that Banco do Brasil is improving, like this, value proposition delivery and customers better experience, allowing monetize them, satisfy them and loyalty them.

A criação do projeto conceitual de um bancos de dados que represente adequadamente um determinado domínio de aplicação continua sendo um dos principais desafios da área de banco de dados. Por outro lado, a discussão sobre métodos ágeis de desenvolvimento de software alcançou, recentemente, a comunidade de banco de dados. Este trabalho apresenta o projeto conceitual de bancos de dados sob a luz de métodos ágeis de desenvolvimento. Desenvolvemos uma extensão do arcabouço Naked Objects que permite uma validação ágil e precisa do projeto conceitual junto ao especialista do domínio. Em nossa abordagem, o projeto conceitual de bancos de dados é descrito por meio de anotações que representam as abstrações de dados em um ambiente dinâmico de validação. / Creating a conceptual database design that adequately represents a specific application domain continues to be one of the main challenges in the database research. On the other hand, the discussion regarding agile methods of software development has recently become a subject of interest to the database community. This work presents a new approach to create a conceptual database design according to agile methods. We have created an extension of the Naked Objects framework that allows an agile and precise validation of the conceptual database design by the domain specialist. In our approach, the conceptual database design is described through annotations that represent data abstractions in a dynamic validation environment.

A criação do projeto conceitual de um bancos de dados que represente adequadamente um determinado domínio de aplicação continua sendo um dos principais desafios da área de banco de dados. Por outro lado, a discussão sobre métodos ágeis de desenvolvimento de software alcançou, recentemente, a comunidade de banco de dados. Este trabalho apresenta o projeto conceitual de bancos de dados sob a luz de métodos ágeis de desenvolvimento. Desenvolvemos uma extensão do arcabouço Naked Objects que permite uma validação ágil e precisa do projeto conceitual junto ao especialista do domínio. Em nossa abordagem, o projeto conceitual de bancos de dados é descrito por meio de anotações que representam as abstrações de dados em um ambiente dinâmico de validação. / Creating a conceptual database design that adequately represents a specific application domain continues to be one of the main challenges in the database research. On the other hand, the discussion regarding agile methods of software development has recently become a subject of interest to the database community. This work presents a new approach to create a conceptual database design according to agile methods. We have created an extension of the Naked Objects framework that allows an agile and precise validation of the conceptual database design by the domain specialist. In our approach, the conceptual database design is described through annotations that represent data abstractions in a dynamic validation environment.

Abstract In visible light communication (VLC), light emitting diodes (LEDs) are used as transmitters; the air is the transmission medium and the photodiodes are used for receivers. This is often referred to as light fidelity (Li-Fi). In this thesis, we provide the methodology to evaluate the performance of VLC hotspot networks in the context of data downloading on the move scenarios by using throughput-distance relationship models. In this context, first we study the different properties of optical transceiver elements, noise sources, characterization and modelling of artificial light interference, different link topologies and then we introduce the throughput-distance relationship model. Secondly, the analytically based throughput-distance relationship has been developed for evaluating the performance of VLC hotspot networks in indoor environment in both day and night conditions. Simulation results reveal that background noise has a significant impact on the performance of VLC hotspots. As expected, in both indoor and outdoor environments the VLC hotspot performs better at night than during day. The performance of VLC hotspot networks is also quantified in terms of received file size at different bit error rate requirements and velocities of the mobile user. Thirdly, we study the performance of hybrid (Radio-Optical) WLAN-VLC hotspot and compare its performance with stand-alone VLC-only or WLAN-only hotspot cases. In this case, we also consider the data download on the move scenarios in an indoor environment for a single-user as well as for multi-user cases. In this hybrid WLAN-VLC hotspot, both the WLAN and the VLC are characterized by their throughput and communication range. Simulations have been performed to evaluate the performance of such network for data downloading on the move scenario by taking into account performance metrics such as filesize, average connectivity and system throughput. Simulation results reveal that the considered hybrid WLAN-VLC performs always better than stand-alone VLC-only or WLAN-only hotspot both for a single and multi-user cases. Finally, this thesis analyses the feasibility and potential benefits of using hybrid radio-optical wireless systems. In this respect, cooperative communication using optical relays are also introduced in order to increase the coverage and energy efficiency of the battery operated device. Potential benefits are identified as service connectivity and energy efficiency of battery operated device in an indoor environment. Simulation results reveal that user connectivity and energy efficiency depend on user density, coverage range ratio between single-hop and multi-hop, relay probabilities and mobility of the user. / Tiivistelmä Näkyvään valoon pohjautuvassa tiedonsiirrossa (VLC) valodiodeja (LED) käytetään lähettiminä, ilma on siirtokanava ja valoilmaisimia käytetään vastaanottimina. Tätä kutsutaan usein nimellä light fidelity (Li-Fi). Tässä työssä tarjoamme menetelmiä VLC ”hotspot” verkkojen suorituskyvyn arviointiin tiedonsiirtonopeus-etäisyysmalleilla skenaarioissa, jossa tietoa ladataan liikkeessä. Tässä kontekstissa tutkimme ensin optisen lähettimen komponenttien eri ominaisuuksia, kohinan lähteitä, keinovalon häiriömalleja ja tiedonsiirtolinkkien topologioita, jonka jälkeen esittelemme tiedonsiirtonopeuden ja etäisyyden välisen mallin. Toiseksi kehitetyn analyyttisen tiedonsiirto-etäisyys mallia käytetään arvioitaessa VLC hotspot verkkojen suorituskykyä sisäympäristössä sekä päivä että yö olosuhteissa. Simulointien tulokset osoittavat, että taustakohinalla on suuri vaikutus VLC verkkojen suorituskykyyn. Kuten odotettua, sisä- ja ulkotiloissa VLC hotspot toimii paremmin yöllä kuin päivällä. VLC hotspot verkkojen suorituskyky arvioidaan myös vastaanotetun tiedoston koon, eri bittivirhesuhteen vaatimuksilla ja liikkuvan käyttäjän nopeuden suhteen. Kolmanneksi tutkimme hybridi WLAN-VLC hotspot verkon suorituskykyä ja vertaamme sen suorituskykyä pelkän VLC- tai WLAN hotspot tapauksessa. Käsittelemme myös skenaarioita jossa tiedoston lataus tapahtuu liikkeessä sisätilassa yhden käyttäjän sekä monen käyttäjän tapauksissa. Tässä hybridi WLAN-VLC hotspot, sekä erilliset WLAN- ja VLC verkot ovat määritelty niiden tiedonsiirtonopeuden ja kantaman perusteella. Näiden verkkojen suorituskykyä arvioitaessa on tehty joukko tietokonesimulointeja verkossa tapahtuvasta tietojen lataamisesta liikkeessä ottamalla huomioon suorituskyvyn mittarit kuten tiedoston koko, keskimääräinen yhteyden kesto ja saavutettu läpäisy. Simuloinnin tulokset paljastavat, että hybridi WLAN-VLC toimii aina paremmin kuin pelkkä VLC tai WLAN hotspot sekä yhden että monen käyttäjän tapauksessa. Lopuksi työssä analysoidaan ehdotetun järjestelmän toteutettavuus ja mahdolliset edut käytettäessä hybridejä radio-optisia langattomia järjestelmiä. Tältä osin esitellään myös kooperatiiviseen viestintään perustuvat optiset releet parantamaan verkon kattavuutta ja energiatehokkuutta akkukäyttöisissä laitteissa. Mahdolliset hyödyt tunnistetaan palvelun konnektiivisuudessa ja energiatehokkuudessa akkukäyttöisissä laitteissa sisätiloissa. Simulointien tulokset osoittavat, että käyttäjien konnektiivisuus ja energiatehokkuus riippuvat käyttäjätiheydestä, kantaman ja etäisyyden välisestä suhteesta yhden hypyn ja monen hypyn välillä, releointi todennäköisyydestä ja käyttäjien mobiliteetista.

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The purpose of this study is to design a database of resources for rational therapy. An investigation of the current health situation and reorientation towards primary health care (PHC) in South Africa evidenced the need for a database of resources which would meet the demand for rational therapy information made on the Helderberg College Library by various user groups as well as make a contribution to the national health information infrastructure. Rational therapy is viewed as an approach within PHC that is rational, common-sense, wholistic and credible, focusing on the prevention and maintenance of health. A model of the steps in database design was developed. A user study identified users' requirements for design and the conceptual schema was developed. The entities, attributes, relationships and policies were presented and graphically summarised in an Entity-Relationship (E-R) diagram. The conceptual schema is the blueprint for further design and implementation of the database. / Information Science / M.Inf.