101 |
Fatores associados à adequação do pré-natal no BrasilAndries, Maria Madalena Costa 27 February 2014 (has links)
Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-01-22T13:47:34Z
No. of bitstreams: 1
mariamadalenacostaandries.pdf: 601192 bytes, checksum: 984ab20d82627b54486f62e5b20c775f (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-01-25T18:53:54Z (GMT) No. of bitstreams: 1
mariamadalenacostaandries.pdf: 601192 bytes, checksum: 984ab20d82627b54486f62e5b20c775f (MD5) / Made available in DSpace on 2016-01-25T18:53:54Z (GMT). No. of bitstreams: 1
mariamadalenacostaandries.pdf: 601192 bytes, checksum: 984ab20d82627b54486f62e5b20c775f (MD5)
Previous issue date: 2014-02-27 / O trabalho tem por objetivo classificar a adequação do acompanhamento pré-natal no Brasil em diferentes níveis de complexidade e identificar fatores assistenciais, demográficos, socioeconômicos e comportamentais associados à inadequação desta assistência. Para a realização deste trabalho, foi utilizado o banco de dados do PNDS-2006, onde as mães fornecem informações sobre 5.958 nascimentos nas cinco macrorregiões do Brasil. Por meio dos critérios do PHPN, foram definidos os níveis de adequações e sua classificação em adequado e inadequado. Três níveis complementares e de complexidade crescente que se baseiam relativamente na avaliação da utilização da assistência pré-natal (início e número de consultas), nos procedimentos clínico-obstétricos (aferição da pressão arterial, altura uterina e peso materno) e nos exames laboratoriais básicos (sangue, urina e vacina antitetânica). Para a verificação da significância da associação entre os fatores e os níveis, foram aplicados testes qui-quadrado, considerando-se os pesos amostrais, para verificar os fatores associados à adequação. Os fatores significativos foram incluídos em modelos multivariados de regressão logística binomial. As percentagens de inadequação apresentadas pelos níveis foram de (23,2%) para o nível um, (34,7%) para o nível dois e (59,1%) para o nível três. Os fatores que apresentaram um número maior de variáveis significantes nas associações foram os socioeconômicos e comportamentais. Mulheres com uma renda familiar superior a três salários e com maior acesso a bens e serviços apresentaram menores percentagens de inadequação. O fato da mãe não desejar ter o filho ou de desejá-lo para o futuro, mostrou ser de grande relevância para a inadequação do serviço pré-natal. Os resultados poderão subsidiar a formulação de políticas públicas que visem à adequação do pré-natal, ampliando o acesso e o estabelecimento de procedimentos e ações, cujo objetivo principal seja o acompanhamento e a promoção do vínculo entre a assistência ambulatorial e o momento do parto, atendendo assim as diretrizes do SUS e os critérios do PHPN. / The work aims to classify the adequacy of prenatal care in Brazil at different levels of complexity and identify assistance, demographic, socioeconomic and behavioral factors associated with inadequacy of this assistance. For this work, the PNDS - 2006 database, with information provided by the mothers of 5,958 births in the five geographical regions of Brazil, was used. Using the PHPN criteria, levels of adjustments and classification into appropriate and inappropriate were defined. Three complementary and increasingly complex levels that are based on relatively reviewed the use of prenatal care (beginning and number of queries), the clinical and obstetric procedures (measurement of blood pressure, fundal height and maternal weight) and basic laboratory tests (blood, urine, and tetanus vaccine). To check the significance of the association between factors and levels, chi-square tests were applied, considering the sample weights, to verify the adequacy associated factors. Significant factors were included in multivariate models of binomial logistic regression. The percentages of inadequacy presented by the levels were (23.2 %) for level one (34.7 %) and for the level two (59.1 %) to level three. Factors that showed significant associations were greater socioeconomic and behavioral. Women with a family income higher than three minimum wages and greater access to goods and services had lower percentages of inadequacy. The fact that the mother does not wish to have the child or to wish for the future, proved to be of great relevance to the inadequacy of prenatal care services. The results may inform the design of public policies that the adequacy of prenatal care, expanding access and the establishment of procedures and actions whose primary purpose is to monitor and promote the link between outpatient care and delivery, thus meeting the SUS guidelines and PHPN criteria.
|
102 |
Modélisation de trajectoires acceptables de réarrangement de la consommation de sources protéiques pour augmenter l’adéquation nutritionnelle et impacts sur la durabilité / Modelling of acceptable trajectories of rearrangement of protein source consumption to increase nutrient adequacy and impacts on sustainabilityDe Gavelle, Erwan 01 July 2019 (has links)
Dans les pays occidentaux, la consommation de protéines animales, majoritaire, diminue depuis une décennie. Elle est, dans la majorité des cas, associée négativement à différents paramètres de durabilité, et les études modélisant des régimes durables ont montré que les différents paramètres n’étaient pas toujours compatibles. Des régimes améliorant largement différents paramètres de durabilité ont été modélisés, mais la prise en compte de l’acceptabilité culturelle est insuffisante et nécessite des approfondissements. L’objectif de cette thèse était de modéliser des trajectoires acceptables de réarrangement de la consommation de sources protéiques pour augmenter l’adéquation nutritionnelle et d’en évaluer les impacts sur la durabilité. L’étude des consommations de sources de protéines en France a permis de conclure que les apports en protéines sont adéquats pour l’ensemble de la population, mais qu’il existe différents profils de consommation protéique, caractérisés par des niveaux de sécurité nutritionnelle différents. Une étude réalisée en 2018 a permis d’établir que les niveaux de consommation de viande étaient prédits par les attitudes, les normes sociales, et l’auto-efficacité perçue vis-à-vis de la réduction de la consommation de viande. Pour les travaux de modélisation pas-à-pas de l’alimentation, il a été considéré acceptable pour un individu de consommer un nouvel aliment, si celui-ci était largement consommé par des individus au profil de consommation protéique similaire. Cette hypothèse a été validée par une enquête en 2018. Les travaux de modélisation ont permis d’identifier que certaines recommandations alimentaires étaient efficaces pour l’ensemble de la population, mais que d’autres étaient spécifiques à certains profils de consommation protéique, caractérisés par des profils nutritionnels et des répertoires alimentaires spécifiques. Enfin, des modèles ont permis d’identifier que viser systématiquement plus de protéines végétales lors des premières modifications diététiques permet, malgré une adéquation nutritionnelle légèrement plus faible, d’obtenir de meilleurs paramètres de durabilité. / In Western countries, the consumption of animal protein, which is the predominant protein source, has been decreasing over the last decade. This consumption has been negatively associated with different sustainability parameters in the majority of cases, and studies modelling sustainable diets have shown that the different parameters are not always compatible. Diets that significantly improve different sustainability parameters have been modelled, but the consideration of cultural acceptability is insufficient and requires further investigation. The objective of this thesis was to model acceptable trajectories of rearrangement of protein source consumption to increase nutritional adequacy and to evaluate its impacts on sustainability. The study of protein source consumption in France led to the conclusion that protein intake is adequate for the entire population, but that there are different profiles of protein intake characterized by different levels of nutritional security. A study conducted in 2018 found that meat consumption levels were predicted by attitudes, social norms, and perceived behavioral control related to the reduction of meat consumption. For the stepwise dietary modelling study, it was considered acceptable for an individual to consume a new food if it was widely consumed by individuals with a similar profile of protein intake. This hypothesis was validated by a survey conducted in 2018. The modelling work identified that some dietary recommendations were effective for the general population, but others were specific to certain profiles of protein intake characterized by specific nutritional profiles and food repertoires. Finally, models have identified that systematically targeting more plant proteins during the first dietary modifications allows, despite a slightly lower nutritional adequacy, to obtain better sustainability parameters.
|
103 |
An Evaluation of the Bowie Secondary School Bowie, TexasJohnson, C. D. 08 1900 (has links)
This thesis presents findings of an examination conducted on the Bowie, Texas secondary school to discover the characteristics of the school.
|
104 |
The implications of capital structure theory and regulation for South African banking institutionsNaidu, Wesley 27 January 2012 (has links)
The topic of capital structure has been one that has plagued the academic world for a number of years. There have been numerous works published on the subject which have presented such theories as the Modigliani and Miller Propositions, the Trade-off Theory, Pecking Order Theory, Signaling Theory and Agency Cost Theory to name a few. However, little research has been done on the application of these and other theories to banking institutions located in Southern Africa. This adds increased complexity to the determining of a local bank’s capital structure policy and the difficulty is further exacerbated by the increased application of regulatory control. In the wake of the recent global financial crisis, banking institutions have been placed under the spotlight and their capital adequacy levels come into question. A need was identified to investigate the impact that capital adequacy has on a bank’s performance and whether it achieves its purpose of increasing stability amongst banks. This study analysed the determinants of the capital structure of banks in South Africa based on secondary financial data and by performing this analysis attempted to establish trends in capital structure policy and regulatory compliance. The study also attempted to identify best practices that contribute to the overall value and performance of the banking institution. The expectation is that the correct application of capital structure theory and compliance with regulations will decrease a bank’s risk profile and in turn result in a more stable monetary system and economy. Overall, the results of the analysis were inconclusive, but lay the basis for potential future research. Conclusions drawn from the results and literature create greater understanding of the dynamics of capital structure and its implications to South African Banks. Copyright 2011, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. Please cite as follows: Naidu, W 2011, The implications of capital structure theory and regulation for South African banking institutions, MCom dissertation, University of Pretoria, Pretoria, viewed yymmdd < http://upetd.up.ac.za/thesis/available/etd-01272012-122305 / > C12/4/97/gm / Dissertation (MCom)--University of Pretoria, 2011. / Financial Management / unrestricted
|
105 |
Valuation of Contingent Convertible Bonds / Värdering av konvertiblerBack, Alexander, Keith, William January 2016 (has links)
Contingent convertible bonds are hybrid capital instruments, contingent on some form of indicator of financial distress of the issuing bank. Following the financial crisis, these instruments are proposed as a solution to the moral hazard issue of banks too big to fail. With the increased capital requirements of the Basel III directive, contingent capital enables banks to increase their capitalization without issuing expensive equity. Also, in times of historically low interest rates, these instruments might be interesting for investors in search of higher yields, as well as long term investors wanting to implement countercyclical investment strategies. However, due to the high complexity of these instruments, valuation has proven diffcult. The purpose of this thesis is to value instruments contingent on the bank's common equity tier 1 to risk-weighted assets ratio. We build our model upon the work of Glasserman & Nouri (2012), and extend it to include contingency on risk-weighted assets, instant non-continuous conversion to equity, and a combination of fixed imposed loss and fixed conversion price as terms of conversion. We use a capital structure model in continuous time to define asset dynamics, asset claims and the event of conversion and liquidation of the bank. Thereafter we use two important results from Glasserman & Nouri (2012) to value the discounted cash flows to holders of debt and contingent debt. From this, we arrive at closed form solutions for the coupon rates of these securities. / Contingent convertible bonds (villkoradeobligationer) är hybrida kapitalinstrument som beror på någon form av indikator på finansiell instabilitet i den emitterande banken. Efter finanskrisen har dessa finansiella produkter föreslagits som en lösning på dilemmat som uppstår när banker är för stora för att låtas gå omkull. Villkorade obligationer är en väg för banker att ta in kapital och uppfylla de ökade kapitalkrav som ställs av direktiven i Basel III utan att emittera kostsamt aktiekapital. I dessa tider av historiskt låga räntesatser är den relativt höga avkastning, tillsammans med de kontracykliska effekter produkterna ger dessutom intressanta för många investerare. Att värdera dessa produkter har dock visat sig svårt då de är mycket komplexa. Syftet med denna uppsats är att värdera villkorade obligationer som beror på relationen mellan bankens kärnprimärkapital och riskviktade tillgångar. Vi använder omvandling till aktiekapital som förlustabsorberingsmekanism och använder en kombination av fixerade konverteringspris och fixerade ålagda förluster som villkor för konversion. Vi använder en kapitalstrukturell modell i kontinuerlig tid för att definiera tillgångarnas rörelser, fordringar på tillgångarna och händelsen av konversion av kontraktet eller likvideringen av banken. Därefter använder vi två viktiga resultat från Glasserman & Nouri (2012) för att värdera de diskonterade kassaflöden till ägaren av obligationer och villkorade obligationer. Från detta hittar vi analytiska lösningar för storleken av kupongräntorna på obligationerna, villkorade som normala.
|
106 |
Association between Maternal Depressive Symptoms with Overweight/Obesity among Children Aged 0-5 Years According to the 2016 Demographic and Family Health SurveyEchevarría-Castro, Nataly, Matayoshi-Pérez, Andrea, Alvarado, Germán F. 01 July 2020 (has links)
Background: Overweight and obesity among children under the age of 5 have become a public health problem. The worldwide prevalence is 4.9% and 6.0%, whereas in Peru it is 7.4% and 1.9%, respectively. The causes of these problems are multifactorial and must be studied to prevent the multiple consequences on children's health. Methods: Secondary data analysis of the 2016 Demographic and Family Health Survey (DHS). The sample size was 7935 children and their mothers. The dependent variable was childhood overweight/obesity, measured according to the Z-score of the BMI >2 standard deviation (SD), while the main independent variable consisted of the maternal depressive symptoms (DS) (Patient Health Questionnaire-9 score >10 points). The software STATA/MP 14.0 was used for statistical analysis. Results: The prevalence of overweight/obesity among children aged 0-5 years was 4.5% and the prevalence of moderate and severe maternal DS was 7.1%. No maternal depressive symptoms were found to be associated with the outcome [adjusted PR = 1.36 95% confidence interval (CI) = 0.59-3.09 p = 0.47]. An association was found between socioeconomic status (SES) Q3 (adjusted PR = 3.86 95% CI = 1.9-7.6 p < 0.0001), Q4 (adjusted PR = 5.53 95% CI = 2.76-11.1 p < 0.0001), Q5 (adjusted PR = 6.9 95% CI = 3.24-14.7 p = < 0.0001), maternal BMI (adjusted PR = 1.06 95% CI = 1.03-1.08 p < 0.0001), and cesarean delivery (adjusted PR = 1.42 95% CI = 1.01-1.99 p = 0.042). Conclusions: No association was found between maternal depressive symptoms and overweight/obesity among children aged 0-5 years. The upper SES quintiles, maternal BMI, and cesarean delivery were associated with the outcome. / Revisión por pares
|
107 |
Nutrient adequacy and dietary diversity of women in the Gauteng and Eastern Cape provinces, South Africa – focus on micronutrients from the national food fortification programmeFisher, Roxanne January 2021 (has links)
Magister Scientiae (Nutrition Management) - MSc(NM) / Micronutrient deficiencies are of public health concern in South Africa. These deficiencies affect pregnancy outcomes, growth, functional and cognitive development of children and, the health and productivity of women. As an intervention, the South African government implemented the National Food Fortification Programme (NFFP), which was mandated in 2003 and according to which, the staple foods consumed by most of the population e.g. maize meal and wheat flour (and thus bread) are fortified with a premix of thiamin, niacin, riboflavin, vitamin A, folate, vitamin B6, iron and zinc. There is limited data which looks at the contribution fortified staple food to the dietary intakes and measures of nutrient assessment among South African women of reproductive age (WRA).
|
108 |
A Two-Week Low FODMAP Diet Intervention in Irritable Bowel Syndrome: An Evaluation of Efficacy, Nutritional Adequacy, and Dietary ComplianceTurville, Emily A. 27 August 2019 (has links)
No description available.
|
109 |
Nutritional Adequacy of the Low FODMAP Diet Compared to a Diet Based on the Dietary Guidelines for Americans in Irritable Bowel SyndromeThorpe, Marlena M. January 2020 (has links)
No description available.
|
110 |
Banks' Adjustments to Basel III Capital Requirements : Empirical research on a sample of 359 banks between 2015 and 2021Csengoi, Andrea Hajnalka, Ayadi, Nadia January 2023 (has links)
Background: Fifteen years after the Global Financial Crisis, and four years after the enactment of the Basel III Accord, our thesis aims to answer how banks adapted to the new capital requirements. The core objective of the Basel Committee of Banking Supervision was to improve regulation and supervision and address the previous legislation deficiencies. Capital adequacy requirements are crucial parts of the code in preventing national economies from recessions and making the banking sector more resilient. Purpose: Investigate how banks adapted to the increased capital requirements and what strategies did they use to fulfil the new rules? What are the implications of these changes on the business volumes of the banks? Method: Decomposing changes in the capital adequacy ratio and dummy variable regression analysis to control for systematic differences in the development of sample banks' business volumes across categories. Conclusion: The results show that the 1.7 percentage increase in risk-weighted capital ratio originated mainly from higher capital accumulation rather than lower risk weights or smaller asset volumes. Starting capital ratio and the change in capital ratio tend to slow the increase of business volumes. However, the net income to total assets ratio likely accelerated the exposure. Significant divergencies in the coefficients of the explanatory variables indicate a systematic difference in the sample banks' strategies in adapting to the stricter regulatory requirements.
|
Page generated in 0.0912 seconds