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  • 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.
21

Prevalência de subnotificação de acidentes com material biológico pela equipe de enfermagem de um hospital de urgência / Prevalence of underreporting of accidents with biological material by the nursing team of an emergency hospital.

Facchin, Luiza Tayar 21 December 2009 (has links)
Introdução: a subnotificação de acidentes ocupacionais com material biológico é um desafio para prevenção e controle deste tipo de acidente. Objetivo: identificar a prevalência de subnotificação de acidentes ocupacionais com material biológico pela equipe de enfermagem de um hospital de urgência terciário brasileiro. Materiais e Métodos: trata-se de um estudo de corte transversal aprovado pelo Comitê de Ética em Pesquisa de um hospital publico especializado em urgência e emergência e de nível terciário. Dos 512 profissionais de enfermagem da instituição, 451 aceitaram participar do estudo e foram entrevistados individualmente, no período de abril a julho de 2009. Resultados: dos 451 sujeitos entrevistados, 237 referiram ter sofrido 425 acidentes com material biológico. A prevalência de subnotificação foi de 23,63% e houve indivíduos que não notificaram até sete acidentes. Em relação aos acidentes subnotificados 53,47% foram percutâneos, 10,89% cutâneo-mucosa e 35,64% pele íntegra. Destaca-se que em 67,33% das subnotificações o fluido envolvido foi o sangue. Os principais motivos referidos para não notificação foram: falta de conhecimento sobre mecanismo de notificação, medo de comunicar a chefia, excesso de burocracia para preenchimento dos formulários e atribuição de baixo risco ao acidente. Conclusões: a prevalência de subnotificação foi baixa quando comparada com outros estudos, porém exposições classificadas como de alto risco, ou seja, por via percutânea e envolvendo sangue deixaram de ser notificadas, evidenciando a subestimação do risco. Ao se considerar que a notificação dos acidentes confere respaldo legal aos profissionais e contribui para o real conhecimento da epidemiologia dos acidentes, mecanismos para aumentar a notificação devem ser implementados pelas instituições de saúde. / Introduction: underreporting of occupational accidents with biological material is a challenge for the prevention and control of this type of accident. Objective: to identify the prevalence of underreporting of occupational accidents with biological material by the nursing team of a Brazilian tertiary care emergency hospital. Material and method: this is a cross-sectional study approved by the Ethics Research Committee of a public tertiary hospital specialized in urgency and emergency. Of the 512 nursing professionals in the facility, 451 agreed to participate in the study and were individually interviewed between April and July 2009. Results: Of the 451 interviewed individuals, 237 reported 425 accidents with biological material. The prevalence of underreporting was 23.63% and there were individuals who did not report up to seven accidents. In relation to under reported accidents, 53.47% were percutaneous, 10.89% mucocutaneous and 35.64% intact skin. We highlight that blood was the fluid involved in 67.33% of underreporting. The main reported reasons for under notification were: lack of knowledge about the notification mechanism, fear of communicating the direction, excess of bureaucracy in filling out forms, and considered the accident of low risk. Conclusions: the prevalence of underreporting was low when compared to other studies, however exposure classified as high risk, whether through percutaneous via or involving blood were not reported evidencing that risks were underestimated. When we consider that the report of accidents ensures legal support to professionals and contribute to the knowledge about the real scenario of the epidemiology of accidents, mechanisms to increase notifications should be implemented by health institutions.
22

Dois ensaios em economia do crime / Two essays in the economics of crime

Gustavo Carvalho Moreira 09 March 2017 (has links)
O estudo da criminalidade é multidisciplinar e, em razão de suas consequências negativas para o bem-estar social, recentemente, o crime também se tornado um tema de interesse dos economistas. No Brasil, país que apresenta o maior número absoluto de homicídios dolosos no mundo, este interesse surgiu principalmente a partir do início do século XXI. Em meio à crescente literatura sobre o tema, essa tese buscou, por meio de dois artigos, contribuir para a análise e o entendimento deste fenômeno. No primeiro artigo, recorrendo a uma Análise de Fronteira Estocástica, estimou-se e analisou-se o subregistro de crimes contra a propriedade em Minas Gerais. O estudo justifica-se tendo em vista que o subregistro deve afetar a eficiência das políticas de segurança pública, principalmente, no que tange à alocação de recursos. Os resultados do artigo permitiram verificar os principais determinantes do subregistro e, além disso, encontrar importantes consequências do fenômeno. Entre os principais resultados, pode-se destacar que: o subregistro afeta a interpretação das estatísticas oficiais; este fenômeno influencia a atividade criminosa e; há evidências de que o registro de um crime é realizado por meio de uma avaliação de benefício-custo. No segundo artigo desta tese, que pode ser lido de modo independente do primeiro, o objetivo foi verificar, empiricamente, a existência do efeito do custo moral, aproximado pelo capital social, sobre o risco de vitimização para crimes contra a propriedade. O capital social deve afetar a criminalidade tanto pela ótica da vítima, quanto do criminoso. Pela ótica da vítima, maiores níveis de capital social entre os indivíduos elevam a probabilidade de estes cooperarem para um benefício mútuo, como o combate à criminalidade. Sob a ótica do criminoso, o capital social deve elevar o custo moral da atividade criminosa, reduzindo os benefícios da prática e, consequentemente, o risco de vitimização. Apesar da relevância teórica desta variável para explicar a criminalidade, dada a dificuldade de mensuração empírica, na literatura sobre o tema, o custo moral tem sido negligenciado ou considerado através de proxies incapazes de captá-lo adequadamente. Ademais, são escassos na literatura os estudos empíricos que comprovam essa relação, principalmente no Brasil. Como resultado principal do estudo, tem-se que a hipótese de que incrementos no capital social são capazes de reduzir o risco de vitimização não pôde ser rejeitada. / The study of crime is multidisciplinary and, because of its negative consequences for social welfare, crime has also recently become a subject of interest to economists. In Brazil, the country with the highest absolute number of intentional homicides in the world, this interest arose mainly after the beginning of the 21st century. In the midst of the growing literature on the subject, this thesis sought, in two articles, to contribute to the analysis and understanding of this phenomenon. In the first article, using Stochastic Frontier Analysis, the underreporting of crimes against property in Minas Gerais was estimated and analyzed. The study is justified considering that underreporting may affect the efficiency of public security policies, especially regarding resource allocation. The results of the article allowed to verify the main determinants of underreporting and, in addition, to find important consequences of the phenomenon. Among the main results, it can be highlighted that: underreporting affects the interpretation of the official statistics; that this phenomenon influences criminal activity, and that there is evidence that filing a crime report is carried out by means of a benefit-cost evaluation. In the second article of this thesis, which can be read independently of the first one, the objective was to verify the existence of a moral cost effect, approached by social capital, on the risk of victimization for crimes against property. Social capital must affect crime both from the perspective of the victim and of the criminal. From the point of view of the victim, higher levels of social capital among individuals increase the likelihood of cooperating for mutual benefit, such as combating crime. From the point of view of the criminal, social capital must raise the moral cost of criminal activity, reducing the its benefits and, consequently, the risk of victimization. Despite the theoretical relevance of this variable to explain crime, given the difficulty of empirical measurement, moral cost has either been neglected in the literature on the subject or considered through proxies that are unable to assess it adequately. In addition, there are few empirical studies in the literature that prove this relationship, specially in Brazil. As a main result of the study, we conclude that we cannot reject the hypothesis that increases in social capital can reduce the risk of victimization.
23

Maternal Mortality in Sweden : Classification, Country of Birth, and Quality of Care

Esscher, Annika January 2014 (has links)
After decades of decrease, maternal mortality rates have shown a slight increase in Europe. Immigrants, especially Africans, have shown to be at higher risk than native women. This could not be explained solely by well-known obstetric and socio-economic risk factors. The aim of this thesis was to study incidence, classification and quality of care of maternal deaths in Sweden, with focus on the foreign-born population. The study population was identified through linkage of the Cause of Death Register, Medical Birth Register, and National Patient Register, and medical records obtained from hospitals. Data from registers, death certificates, and medical records were reviewed. Suboptimal care was studied by structured implicit review of medical records. Differences between foreign- and Swedish-born women were analysed by relative risks, Chi2- and Fisher’s exact test. Underreporting of maternal mortality was shown to be substantial: as compared to the official statistics, 64% more maternal deaths were identified. Women born in low-income countries were identified as being at highest risk of dying during reproductive age in Sweden. The relative risk of dying from diseases related to pregnancy was 6.6 (95% confidence interval 2.6–16.5) for women born in low-income countries, as compared to Swedish-born women. Major and minor suboptimal factors related to care-seeking, accessibility, and quality of care were found to be associated with a majority of maternal deaths and significantly more often to foreign-born women. Suboptimal factors identified included non-compliance, communication barriers, and inadequate care. The rate of suicides during pregnancy or within one year after delivery did not change during the last three decades, and was higher for foreign-born women. A majority of women who committed suicide had been under psychiatric care, but such documentation at antenatal care was inconsistent, and planning for follow-up postpartum was generally lacking. The conclusion of this thesis is that foreign-born women are a high-risk group for maternal death and morbidity that calls for clinical awareness with respect to their somatic and psychiatric history, care-seeking behaviour, and communication barriers. Cross-disciplinary care is necessary, both in obstetric emergencies and in cases of maternal psychiatric illness, to avert maternal death and suicide.
24

Prevalência de subnotificação de acidentes com material biológico pela equipe de enfermagem de um hospital de urgência / Prevalence of underreporting of accidents with biological material by the nursing team of an emergency hospital.

Luiza Tayar Facchin 21 December 2009 (has links)
Introdução: a subnotificação de acidentes ocupacionais com material biológico é um desafio para prevenção e controle deste tipo de acidente. Objetivo: identificar a prevalência de subnotificação de acidentes ocupacionais com material biológico pela equipe de enfermagem de um hospital de urgência terciário brasileiro. Materiais e Métodos: trata-se de um estudo de corte transversal aprovado pelo Comitê de Ética em Pesquisa de um hospital publico especializado em urgência e emergência e de nível terciário. Dos 512 profissionais de enfermagem da instituição, 451 aceitaram participar do estudo e foram entrevistados individualmente, no período de abril a julho de 2009. Resultados: dos 451 sujeitos entrevistados, 237 referiram ter sofrido 425 acidentes com material biológico. A prevalência de subnotificação foi de 23,63% e houve indivíduos que não notificaram até sete acidentes. Em relação aos acidentes subnotificados 53,47% foram percutâneos, 10,89% cutâneo-mucosa e 35,64% pele íntegra. Destaca-se que em 67,33% das subnotificações o fluido envolvido foi o sangue. Os principais motivos referidos para não notificação foram: falta de conhecimento sobre mecanismo de notificação, medo de comunicar a chefia, excesso de burocracia para preenchimento dos formulários e atribuição de baixo risco ao acidente. Conclusões: a prevalência de subnotificação foi baixa quando comparada com outros estudos, porém exposições classificadas como de alto risco, ou seja, por via percutânea e envolvendo sangue deixaram de ser notificadas, evidenciando a subestimação do risco. Ao se considerar que a notificação dos acidentes confere respaldo legal aos profissionais e contribui para o real conhecimento da epidemiologia dos acidentes, mecanismos para aumentar a notificação devem ser implementados pelas instituições de saúde. / Introduction: underreporting of occupational accidents with biological material is a challenge for the prevention and control of this type of accident. Objective: to identify the prevalence of underreporting of occupational accidents with biological material by the nursing team of a Brazilian tertiary care emergency hospital. Material and method: this is a cross-sectional study approved by the Ethics Research Committee of a public tertiary hospital specialized in urgency and emergency. Of the 512 nursing professionals in the facility, 451 agreed to participate in the study and were individually interviewed between April and July 2009. Results: Of the 451 interviewed individuals, 237 reported 425 accidents with biological material. The prevalence of underreporting was 23.63% and there were individuals who did not report up to seven accidents. In relation to under reported accidents, 53.47% were percutaneous, 10.89% mucocutaneous and 35.64% intact skin. We highlight that blood was the fluid involved in 67.33% of underreporting. The main reported reasons for under notification were: lack of knowledge about the notification mechanism, fear of communicating the direction, excess of bureaucracy in filling out forms, and considered the accident of low risk. Conclusions: the prevalence of underreporting was low when compared to other studies, however exposure classified as high risk, whether through percutaneous via or involving blood were not reported evidencing that risks were underestimated. When we consider that the report of accidents ensures legal support to professionals and contribute to the knowledge about the real scenario of the epidemiology of accidents, mechanisms to increase notifications should be implemented by health institutions.
25

Underrapporteras psykologiska könsskillnader av forskare?

Hjelmqvist, Gustav January 2022 (has links)
Studien undersökte potentiell bias inom psykologi att underrapportera eller överrapporterakönsskillnader genom att koda ett urval bestående av 819 socialpsykologiska artiklar somvaldes för att könsfördelningen bland områdets forskare är nästan jämn. Bias definieradessom diskrepansen mellan hur pass detaljerat könsskillnader rapporterades eller analyserades istudierna i relation till dess relevans. Två variabler kodades till varje artikel, Data ochMotivation. Data beskriver om det var möjligt för en artikel att rapportera könsskillnader ochhur data användes. Motivation beskriver om könsskillnader var relevanta och möjliga attrapportera eller analysera. Den kodade kombinationen av kategorierna från Data ochMotivation avgör vilka artiklar som underrapporterade könsskillnader och överrapporteradeskillnaderna. Resultatet var att 254 artiklar hade underrapporterade könsskillnader och ingenöverrapporterade. Därför var slutsatsen att det verkar finnas en bias inom socialpsykologi attunderrapportera könsskillnader och samma bias finns möjligen också inom andrapsykologiska områden. Denna studie kommer förhoppningsvis att bidra till att flera forskareöverväger att rapportera och analysera könsskillnader än idag. / This study investigated potential bias in psychology to underreport or overreport sexdifferences by coding a sample consisting of 819 socialpsychological articles which werechosen because the sex ratio among the fields’ scientists is almost even. Bias was defined asthe discrepency between how detailed sex differences were reported or analyzed in thesestudies in relation with its relevance. Two variables were coded to each article, Data andMotivation. Data describes if it was possible for an article to report sex differences and howthe data was used. Motivation describes if sex differences were relevant and possible toreport or analyze. The coded combination of the categories from Data and Motivationdetermined which article underreported sex differences and overreported those differences.The result from the main analysis was that 254 articles underreported sex differences andnone overreported. Therefor the conclusion was that there seems to be a bias withinsocialpsychology to underreport sex differences and the same bias possibly exists in otherpsychological fields aswell. This study will hopefully contribute to more scientistsconsidering to report and analyze sex differences than today
26

Organisationsstrukturen och tidsstyrningens påverkan på revisorsassistenter : En kvalitativ studie / The organizational structure and the impact of time management on audit assistants : A qualitative study

Karlsson, Linus, Tornkvist, Anton January 2023 (has links)
Tidsbudgetering är ett styrverktyg som används inom revision för att planera och budgetera revisionen. Detta har i tidigare forskning haft ett kritiskt perspektiv och belystunderrapportering av tid. Den ökade kommersialismen har resulterat i snävare budgetar, samtidigt som kraven på att ett effektivt och kvalitativt arbete utförs kvarstår. Negativa effekter har uppstått för anställdas fortlevnad inom branschen, specifikt för att behålla kvinnor inom yrket. Uppsatsens syfte är att öka kunskapen om revisorsassistenters förståelse om tidsstyrning och rådande strukturer inom revision. Tio intervjuer har genomförts där fem kvinnliga respektive fem manliga revisorsassistenter har tillfrågats vilket utgör vår empiri. Uppsatsens resultat uppmärksammar en förmildrande effekt i en informell struktur utanför hierarkin som förekom hos revisionsbyråerna. I denna struktur upplevde de anställda en lättsamhet att prata med vem som helst, oavsett rang i hierarkin. Vidare skapades en tydlig genomgående lagkänsla mellan alla nivåer, som betonades vara en nyckel till att snabbt kunna lösa problem och lära av varandra för att kunna hålla sig inom tidsbudgeten. Framför allt minskades den upplevda tidspressen, som orsakades av tidsbudgetens utformande. Upplevelsen av förutsättningarna att avancera inom revision skilde sig inte åt i den utsträckning som på förhand målats upp. Trots det kunde en varsamhet utläsas hos de kvinnliga revisorsassitenterna. Detta eftersom deras framtidstro inom revisionsyrket oftast kolliderade med viljan att skaffa familj, som medförde en känsla av att ett val behöver göras. Det är något som kan liknas vid tidigare studiers redogörelse för kvinnors vision om framtiden inom revisionsyrket. Detta kan samtidigt visa att förutsättningarna upplevs mer jämlika. Underrapportering av tid upplevs genomgående som något negativt. Fenomenet förekommer i mindre utsträckning av både manliga och kvinnliga respondenter. Det finns förväntningar och en press att leverera som leder till att revisorsassistenter känner att tiden inte räcker till. Utöver detta upplevs en otillräcklighet att inte lyckas prestera lika bra som alla andra, vilket gör att underrapportering av tid förekommer. / Time budgeting is a management tool used in auditing to plan and budget the audit. In previous research, this has had a critical perspective and highlighted underreporting of time. The increased commercialism has resulted in tighter budgets, while the demands for efficient and qualitative work to be carried out remain. Negative effects have occurred for employee retention within the sector, specifically for retaining women in the profession. The purpose of this essay is to increase knowledge of auditing assistants' understanding of time management and the prevailing structures within auditing. Ten interviews have been conducted where five female and five male audit assistants have been inquired, which constitutes our empirical data. The paper's results draw attention to a mitigating effect in the form of an informal structure outside of the prevailing hierarchy that occurred at the audit firms. In this structure, employees experienced an ease of talking to anyone, regardless of rank in the hierarchy. Furthermore, a clear overall sense of a team was created between all levels. Which was emphasized as a key to being able to quickly solve problems and learn from each other in order to stay within the time budget. Above all, the perceived time pressure, which was caused by the design of the time budget, was reduced. The experience of the conditions to advance in auditing did not differ to the extent that was previously presented. Despite that, a caution could be interpreted by the female auditing assistants. This is because their imagined future within the auditing profession often collided with the desire to start a family, which entailed a feeling that a choice needed to be made. This can be compared to previous studies' account of women's vision of the future within the auditing profession. At the same time, this can show that the conditions are perceived to be more equal. Underreporting of time is consistently perceived as something negative. The phenomenon occurs to a lesser extent in both male and female respondents. There are expectations and a pressure to deliver that lead to auditing assistants feeling that the time was not enough. In addition to this, there is a perceived insufficiency of not being able to perform as well as everyone else, which entails that underreporting of time occurs.
27

Tidspressens påverkan på revisionen : En studie om hur svenska revisorer motiverar sina tidsbesparande handlingar när de jobbar under tidspress

Puhls, Elizabeth, Svedin, Linnea January 2016 (has links)
SAMMANFATTNING   Titel: Tidspressens påverkan på revisionen: En studie om hur svenska revisorer motiverar sina tidsbesparande handlingar under tidspress. Nivå: C-uppsats i ämnet företagsekonomi. Författare: Elizabeth Puhls och Linnea Svedin. Handledare: Jan Svanberg. Datum: 2016- januari.   Syfte: Tidigare forskning har lagt lite fokus på revisorns egna uppfattningar kring revisorers agerande på grund av tidspress. Studiens syfte är att få en förståelse för hur svenska revisorer på små och medelstora revisionsbyråer motiverar åtgärderna som de brukar vidta för att få fram ett bra revisionsarbete inom snäva tidsbudgetar.   Metod: Insamlingen av det empiriska materialet sker med hjälp av kvalitativa semistrukturerade intervjuer. Analysen genomförs genom att jämföra egna empiriska data med redan existerande teori. Våra slutsatser dras från egna iakttagelser och insikter.   Resultat och slutsats: Revisor rättfärdigar sitt agerande genom att stödja sig på begreppen väsentlighet och risk vilket de kopplar till klientkännedom och helhetsbedömningar. Revisorns förmåga att förhålla sig professionellt skeptisk har visat sig ha en inverkan på förekomsten av RAQ-acts (Reduced audit quality acts).   Förslag till fortsatt forskning: Återkommande i studien var begreppen väsentlighet och risk. Vi ser potential för att utforska dess betydelse för tidspressen och revisorernas agerande ännu mer. Vi ser möjligheter till att utveckla intervjuguiden och lägga mer fokus på dessa begrepp i den fortsatta forskningen.   Uppsatsens bidrag: Studien lämnar bidrag till redovisningslitteraturen, personer som utövar revisionsyrket samt klienter genom förståelse för hur revisorerna själva ställer sig till de genvägar som de ibland tar för att spara in på tiden.   Nyckelord: revision, pressfaktorer, tidsbudget, tidspress, revisionskvalitet, underrapportering av tid, professionell skepticism. / ABSTRACT   Title: Time pressure's impact on auditing. A study of how Swedish auditors justify their timesaving actions when they work under time pressure. Level: Final assignment for Bachelor Degree in Business Administration. Authors: Elizabeth Puhls and Linnea Svedin. Supervisor: Jan Svanberg. Date: 2016 - January.   Aim: Little focus has been put on auditors’ own perceptions about their reaction to time pressure. Our aim, therefore, is an understanding of how Swedish auditors, working in small and medium sized firms, justify the solutions they take to obtain credible accounting work within a tight time budget.   Method: The collection of empirical material is done using qualitative semi-structured interviews. The analysis is carried out by comparing the empirical data with existing theory. Our conclusions are drawn from own observations and insights.   Result and conclusions: Auditors justify their actions by relying on the concepts essentiality and risk, which they relate to client awareness and overall assessments. It’s been shown that auditors’ ability to maintain their professional skepticism has an effect on the existence of RAQ-acts (Reduced audit quality acts).   Suggestions for future research: The concepts essentiality and risk were consistently repeated by the auditors in the study. We see the potential to explore further their significance related to time pressure. We see opportunities to develop the interview guide in order to place more focus on these concepts in future research.   Contribution of the thesis: This study contributes to accounting literature, people who practice auditing and clients by presenting an understanding of how auditors themselves justify the shortcuts they take in order to meet their time budgets.   Key words: Audit, pressure factors, time budget, time pressure, audit quality, underreporting of time, professional skepticism.
28

Validade das estimativas de ingestão energética de três métodos de avaliação do consumo alimentar, em relação à água duplamente marcada / Validity of the energy intake estimates obtained by three dietary assessment methods, in relation to doubly labeled water

Scagliusi, Fernanda Baeza 22 November 2007 (has links)
O gasto energético total (GET) pode ser usado como medida da ingestão energética (IE). Existe um constante sub-relato da IE obtida por métodos de avaliação do consumo alimentar, mas poucos estudos o investigaram em nações em desenvolvimento. Objetivos: a) comparar a validade das estimativas de IE de um questionário de freqüência alimentar, três recordatórios alimentares e um diário alimentar de três dias, segundo a água duplamente marcada; b) determinar a influência da prática de atividade física, do índice de massa corporal e de fatores psicossociais no sub-relato e; c) comparar as taxas de sub-relato entre agrupamentos de padrões alimentares. Métodos: Sessenta e cinco mulheres responderam aos métodos de inquérito supracitados, a partir dos quais foi estimada a IE. O GET foi medido pela água duplamente marcada. A prática de atividade física, índice de massa corporal, escolaridade, renda, idade, conhecimento nutricional, insatisfação corporal, restrição dietética, compulsão alimentar e o desejo de aceitação social foram correlacionados ao sub-relato. Os padrões alimentares foram obtidos pela análise de cluster. Resultados: O GET foi de 2.622 ± 490 kcal, enquanto que a IE, mensurada respectivamente pelo recordatório, diário e questionário, foi de 2.078 ± 430 kcal; 2.044 ± 479 kcal e 1.984 ± 832 kcal. A proporção de sub-relatores foi de 24,6% para o recordatório, 29,2% para o diário e 53,8% para o questionário (p < 0,005). Os sub-relatores apresentaram menores médias de renda e escolaridade e maiores valores de idade, insatisfação corporal e desejo de aceitação social. O sub-relato foi mais comum no padrão alimentar mais frugal. Conclusão: Os três métodos de avaliação do consumo alimentar apresentaram erros sistemáticos, embora o questionário de freqüência alimentar tenha tido o pior desempenho. O sub-relato foi influenciado por diversos fatores psicossociais e variou conforme o padrão alimentar relatado, o que pode comprometer a avaliação do consumo / Total energy expenditure (TEE) may be used as a measure of energy intake (EI). There is a constant underreporting of EI obtained by dietary assessment methods, but few studies have investigated it in developing nations. Objectives: a) to compare the validity of EI estimates obtained by a food-frequency questionnaire, three diet recalls and a three-day food record; b) to determine the influence of physical activity, body mass index and psychosocial factors on underreporting and; c) to compare underreporting rates between dietary pattern\'s clusters. Methods: Sixty-five women completed the dietary assessment methods, which were used to estimate EI. TEE was measured by doubly labeled water. Physical activity practice, body mass index, education, income, age, nutritional knowledge, body dissatisfaction, dietary restraint, binge eating and social desirability were correlated to underreporting. Dietary patterns were obtained by cluster analysis. Results: TEE was 2,622 ± 490 kcal, while EI, measured respectively by the diet recall, food record and food-frequency questionnaire, was 2,078 ± 430 kcal; 2,044 ± 479 kcal and 1,984 ± 832 kcal. Proportion of underreporters was 24.6% (recall), 29.2% (record) and 53.8% (questionnaire) (p < 0.005). Underreporters had smaller income and education and greater age, body dissatisfaction and social desirability. Underreporting was more common in the \'frugal foods\' pattern. Conclusions: The three dietary assessment methods presented systematic errors, although the foodfrequency questionnaire had the worst performance. Underreporting was influenced by psychosocial factors and varied according the reported dietary pattern, which may compromise dietary assessment
29

Validade das estimativas de ingestão energética de três métodos de avaliação do consumo alimentar, em relação à água duplamente marcada / Validity of the energy intake estimates obtained by three dietary assessment methods, in relation to doubly labeled water

Fernanda Baeza Scagliusi 22 November 2007 (has links)
O gasto energético total (GET) pode ser usado como medida da ingestão energética (IE). Existe um constante sub-relato da IE obtida por métodos de avaliação do consumo alimentar, mas poucos estudos o investigaram em nações em desenvolvimento. Objetivos: a) comparar a validade das estimativas de IE de um questionário de freqüência alimentar, três recordatórios alimentares e um diário alimentar de três dias, segundo a água duplamente marcada; b) determinar a influência da prática de atividade física, do índice de massa corporal e de fatores psicossociais no sub-relato e; c) comparar as taxas de sub-relato entre agrupamentos de padrões alimentares. Métodos: Sessenta e cinco mulheres responderam aos métodos de inquérito supracitados, a partir dos quais foi estimada a IE. O GET foi medido pela água duplamente marcada. A prática de atividade física, índice de massa corporal, escolaridade, renda, idade, conhecimento nutricional, insatisfação corporal, restrição dietética, compulsão alimentar e o desejo de aceitação social foram correlacionados ao sub-relato. Os padrões alimentares foram obtidos pela análise de cluster. Resultados: O GET foi de 2.622 ± 490 kcal, enquanto que a IE, mensurada respectivamente pelo recordatório, diário e questionário, foi de 2.078 ± 430 kcal; 2.044 ± 479 kcal e 1.984 ± 832 kcal. A proporção de sub-relatores foi de 24,6% para o recordatório, 29,2% para o diário e 53,8% para o questionário (p < 0,005). Os sub-relatores apresentaram menores médias de renda e escolaridade e maiores valores de idade, insatisfação corporal e desejo de aceitação social. O sub-relato foi mais comum no padrão alimentar mais frugal. Conclusão: Os três métodos de avaliação do consumo alimentar apresentaram erros sistemáticos, embora o questionário de freqüência alimentar tenha tido o pior desempenho. O sub-relato foi influenciado por diversos fatores psicossociais e variou conforme o padrão alimentar relatado, o que pode comprometer a avaliação do consumo / Total energy expenditure (TEE) may be used as a measure of energy intake (EI). There is a constant underreporting of EI obtained by dietary assessment methods, but few studies have investigated it in developing nations. Objectives: a) to compare the validity of EI estimates obtained by a food-frequency questionnaire, three diet recalls and a three-day food record; b) to determine the influence of physical activity, body mass index and psychosocial factors on underreporting and; c) to compare underreporting rates between dietary pattern\'s clusters. Methods: Sixty-five women completed the dietary assessment methods, which were used to estimate EI. TEE was measured by doubly labeled water. Physical activity practice, body mass index, education, income, age, nutritional knowledge, body dissatisfaction, dietary restraint, binge eating and social desirability were correlated to underreporting. Dietary patterns were obtained by cluster analysis. Results: TEE was 2,622 ± 490 kcal, while EI, measured respectively by the diet recall, food record and food-frequency questionnaire, was 2,078 ± 430 kcal; 2,044 ± 479 kcal and 1,984 ± 832 kcal. Proportion of underreporters was 24.6% (recall), 29.2% (record) and 53.8% (questionnaire) (p < 0.005). Underreporters had smaller income and education and greater age, body dissatisfaction and social desirability. Underreporting was more common in the \'frugal foods\' pattern. Conclusions: The three dietary assessment methods presented systematic errors, although the foodfrequency questionnaire had the worst performance. Underreporting was influenced by psychosocial factors and varied according the reported dietary pattern, which may compromise dietary assessment
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“Det ena utesluter inte det andra” : En kvalitativ studie om socialsekreterares förutsättningar att arbeta med våldsutsatta män i nära relationer / “One does not exclude the other” : A qualitative study on the conditions of social workers working with men subjected to violence in close relationships

Börjesson, Linus, Fatahi, Daniel January 2024 (has links)
Syftet med studien var att undersöka socialsekreterarnas arbete med våldsutsatta män i nära relation (VNR) genom att undersöka arbetsmoment såsom information, bemötande, rutiner, insatser och samverkan inom socialtjänsten. Studien genomfördes med hjälp av kvalitativ metod i form av semistrukturerade intervjuer från sex socialsekreterare inom socialtjänsten. Studien har utgått från social rollteori och det pedagogiska perspektivet för att skapa en bättre förståelse av det insamlade materialet. En kvalitativ innehållsanalys genomfördes för att analysera insamlat material. Resultatet i studien visade att socialsekreterarnas uppfattning var att mäns utsatthet i nära relation har ignorerats av samhället och att den gemensamma bilden var att det även föreligger ett stort mörkertal bland våldsutsatta män. Socialsekreterarna beskrev att normativa föreställningar i samhället låg till grund för bakomliggande orsaker. Studien visade även att organisationernas struktur och resurser påverkar socialsekreterarnas förutsättningar att utveckla sin kompetens och kunskap inom våld i nära relation. Slutsatsen är att våldsutsatta män saknar tillgång till information om hjälpsökande och att det föreligger behov av att fler organisationer arbetar med att utveckla och synliggöra information specifikt riktat till våldsutsatta män. Det föreligger även ett behov av att uppmärksamma våldsutsatta män med hjälp av politiska diskussioner, ökad uppmärksamhet inom media samt att bredda kunskapen om ämnet genom vidare forskning. Detta bör generera i fler utfall där våldsutsatta män i högre utsträckning söker hjälp med utgångspunkt i att ökad kunskap skapar bättre förutsättningar i samhället. / The purpose of the study was to examine the work of social workers with men subjected to violence in close relationships (VNR) by investigating work aspects such as information, approach, procedures, interventions, and collaboration within social services. The study was conducted using a qualitative method, specifically semi-structured interviews with six social workers in a medium-sized municipality. The study drew on social role theory and the pedagogical perspective to gain a better understanding of the collected material. A qualitative content analysis was conducted to analyse the gathered data. The results of the study indicated that social workers perceived that men's vulnerability in close relationships had been ignored by society, and there was a common perception that there is a significant underreporting among men subjected to violence. Social workers described that normative beliefs in society underlie the root causes. The study also revealed that organizational structures and resources affect social workers' conditions to develop their competence and knowledge within intimate partner violence. In conclusion, the study found that men subjected to violence lack access to information about seeking help, highlighting the need for more organizations to work on developing and promoting information specifically targeted at men subjected to violence. There is also a need to draw attention to men subjected to violence through political discussions, increased media attention, and broadening knowledge on the subject through further research. This should result in more instances where men subjected to violence are more likely to seek help, based on the understanding that increased knowledge creates better conditions in society.

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