Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2015-10-26T12:02:28Z No. of bitstreams: 2 Tese - Renata Ferreira Rios - 2014.pdf: 1699231 bytes, checksum: f24d3099939db05ab997893acab51399 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2015-10-26T12:04:12Z (GMT) No. of bitstreams: 2 Tese - Renata Ferreira Rios - 2014.pdf: 1699231 bytes, checksum: f24d3099939db05ab997893acab51399 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Made available in DSpace on 2015-10-26T12:04:12Z (GMT). No. of bitstreams: 2 Tese - Renata Ferreira Rios - 2014.pdf: 1699231 bytes, checksum: f24d3099939db05ab997893acab51399 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2014-09-19 / The mediator should consider the cognitive and emotional aspects of the disputants and, at the same time, maintain rationality in the conduct of the conflict in order to achieve the proper interpretation of the situation. The understanding of the conflict and the actions undertaken by participants can be provided through the description of disagreements within the Conversation Analysis. The present work analyzes disagreement sequences carried on by the other part, and objetive to check other resources that enhance the worsening from their occurrences in face to face interactions, institutional, in PROCON conciliation hearings. It was observed that the correction by the other with polar terms, overlapping and contiguous clamps and non afilliative co-construction are means that maximize the worsening provided by the correction by the other in disagreement sequences. It was observed that the closing worsening disagreement sequence occurs with the retreat of one of the participants and that this decline can be signaled by the extent of the turn. It was also observed that at the time of worsening of disagreements, discursive strategies are directed to the weakening of the other’s arguments that motivate his retreat. A detailed description of these means provides new categories to conversational analysis and also assist the mediator to understand the intensification of the conflict and the actions of the participants in this particular interactional moment. / O mediador deve considerar aspectos cognitivos e emocionais dos disputantes e, ao mesmo tempo, manter sua própria neutralidade na condução do conflito, com o intuito de atingir a interpretação adequada da situação. A compreensão do conflito e das ações realizadas pelos participantes pode ser proporcionada por meio da descrição de discordâncias, no âmbito da Análise da Conversa. O presente trabalho tem por objeto de análise sequências de discordância levadas adiante por correções pelo outro, e seu objetivo é verificar recursos que intensificam o agravamento proporcionado por esse tipo de discordância. São analisadas ocorrências de interações face a face, institucionais, realizadas em audiências de conciliação do PROCON. Observou-se que a correção pelo outro com termos polares, sobreposições e engatamentos contíguos, e coconstrução desafiliativa são recursos que maximizam o agravamento proporcionado pela correção pelo outro em sequências de discordância. Observou-se que o encerramento da sequência de discordância agravada ocorre com o recuo de um dos participantes e que esse recuo pode ser sinalizado pela extensão reduzida do turno. Observou-se ainda que, no momento de agravamento das discordâncias, estratégias discursivas são direcionadas ao enfraquecimento dos argumentos do outro, que motivam o recuo deste. A descrição minuciosa desses recursos fornece o conhecimento de novas categorias para a análise conversacional de discordâncias. Essas categorias podem proporcionar compreensão da intensificação do conflito e das ações dos participantes nesse momento específico da interação, não somente no contexto do PROCON, mas em outras instituições públicas ou privadas em que a ação do mediador for necessária para que os direitos de ambos os disputantes sejam garantidos.

Computational ECG (electrocardiogram) analysis enables accurate and faster diagnosis and early prediction of heart failure related symptoms (heart failure worsening). Machine learning, particularly deep learning, has been applied for ECG data successfully. The previous applications, however, either mainly focused on classifying occurrent, known patterns of on-going heart failure or heart failure related diseases such arrhythmia, which have undesirable predictability beforehand, or emphasizing on data from pre-processed public database data. In this dissertation, we developed an approach, however, does not fully capitalize on the potential of deep learning, which directly learns important features from raw input data without relying on a priori knowledge. Here, we present a deep transfer learning pipeline which combines an image-based pretrained deep neural network model with manifold learning to predict the precursors of heart failure (heart failure-worsening and recurrent heart failure related re-hospitalization) using raw ECG time series from wearable devices. In this dissertation, we used the unprocessed real-life ECG data from the SENTINEL-HF study by Dovancescu, et al. to predict the precursors of heart failure worsening. To extract rich features from ECG time series, we took a deep transfer learning approach where 1D time-series of five heartbeats were transformed to 2D images by Gramian Angular Summation Field (GASF) and then the pretrained models, VGG19 were used for feature extraction. Then, we applied UMAP (Uniform Manifold Approximation and Projection) to capture the manifold of the standardized feature space and reduce the dimension, followed by SVM (Support Vector Machine) training. Using our pipeline, we demonstrated that our classifier was able to predict heart failure worsening with 92.1% accuracy, 92.9% precision, 92.6% recall and F1 score of 0.93 bypassing the detection of known abnormal ECG patterns. In conclusion, we demonstrate the feasibility of early alerts of heart failure by predicting the precursor of heart failure worsening based on raw ECG signals. We expected that our approached provided an innovative method to assess the recovery and successfulness for the treatment patient received during the first hospitalization, to predict whether recurrent heart failure is likely to occur, and to evaluate whether the patient should be discharged.

Širdies ir kraujagyslių ligos, tame tarpe ir išeminės širdies ligos, laikomos pagrindine naujojo amžiaus sveikatos problema - tai ligos, kurių daugėja vykstant progresui ir kylant pragyvenimo lygiui. Darbe buvo nagrinėti vieni iš svarbiausių psichologinių IŠL rizikos veiksnių: nerimastingumas, pablogėjusi nuotaika ir tipo A elgsena, taip pat IŠL sergančiųjų sveikatai palankus elgesys, išskirtinį dėmesį skiriant IŠL sergančiųjų nerimastingumui ir pablogėjusiai nuotaikai bei jų kitimams stacionarinio gydymo metu. Šio Tyrimo tikslas – nustatyti išemine širdies liga sergančiųjų nerimastingumo ir pablogėjusios nuotaikos kitimus gydantis stacionare. Tyrime dalyvavo 178 28 – 74 metų (53,52 ± 9,03) respondentai. Iš jų 107 29 – 74 metų (53,91 ± 9,14) asmenys, sergantys IŠL ir 71 28 – 73 metų (52,94 ± 8,89) nesergantys IŠL (lyginamoji grupė). Pablogėjusiai nuotaikai ir nerimastingumui nustatyti naudota A.S. Zigmondo ir R.P.Snaitho ligoninės nerimo ir depresijos skalė (HAD – angl. Hospital Anxiety and Depression Scale). Elgsenos aktyvumui (A tipui) nustatyti naudotas sutrumpintas D. Dženkinso klausimyno (Jenkins Activity Survey – JAS) variantas, kurį sudarė trylika klausimų bei Framinghamo 10 klausimų skalė tipo A elgsenai nustatyti. Besigydančių stacionare IŠL sergančių pacientų nerimastingumas ir pablogėjusi nuotaika sumažėja stacionarinio gydymo pabaigoje. Tačiau nerimastingumas sumažėjo vyrų, sergančių IŠL, grupėje, o pablogėjusi nuotaika sumažėjo moterų, sergančių IŠL, grupėje... [toliau žr. visą tekstą] / Heart and blood vessels diseases including ischemic heart diseases are considered a major issue of health care in the modern age as these are the diseases which are growing in numbers in the times of progress and increasing level of subsistence. The thesis explores some major psychological ischemic heart disease risk factors: anxiety, worsening mood and type A behaviour as well as health-favouring behaviour of ischemic heart disease patients, essentially concentrating upon ischemic heart disease patients’ anxiety and worsening mood and its alterations in the process of hospital treatment. The aim of this analysis is to explore alterations of ischemic heart disease patients’ anxiety and worsening mood at the time of hospital treatment. The analysis covered 178 individuals aged 28 to 74 (53.52±9.03) including 107 ischemic heart disease patients aged 29 to 74 (53.91±9.14) and 71 members of the control group aged 28 to 73 (52.94±8.89) who are not ischemic heart disease patients. In order to assess worsening mood and anxiety, A.S. Zigmond and R.P. Snaith’s Hospital Anxiety and Depression Scale was employed. The assessment of the activeness of behaviour was performed by the brief variant of Jenkins Activity Survey containing thirteen questions and 10 questions scale by Framingham for the identification of type A behaviour. Anxiety and worsening mood of ischemic heart disease patients treated in hospital improve in the final stages of hospital treatment. However, anxiety decreased... [to full text]

The aim of this proposal is socialogical analysis, interpretation, construction and urbanistic recommendation related to an impact of social changes in specific neighborhood on life standarts and real estates‘ costs in the area. Social changes could be negative, such as social degradation of certain area, worsening of quality of the environment, worsening relationships and also social deviation (for example criminality). Positive changes represents mostly gentrification, which includes positive changes of social and tangible environment. These are followed by price encrease of life standarts which is displacing old settlers. In our experience these areas of life standarts and real estates prices are linked and it is possible to use synergistic influence of changes to adjust tangible and social environment.