Submitted by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-06-30T18:42:15Z No. of bitstreams: 1 DIS_MARCIA_SANTOS_SARTORI_PARCIAL.pdf: 392876 bytes, checksum: 924d61414c003df5ac8874dd0d8c9b26 (MD5) / Made available in DSpace on 2017-06-30T18:42:15Z (GMT). No. of bitstreams: 1 DIS_MARCIA_SANTOS_SARTORI_PARCIAL.pdf: 392876 bytes, checksum: 924d61414c003df5ac8874dd0d8c9b26 (MD5) Previous issue date: 2017-03-13 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / This dissertation is composed of two studies that aimed at the construction of a Correction System and the search for evidence of validity of the Writing Subtest of the TDE-II. The first deals with the development of the Correction System over four stages and the analysis of six expert judges. The first stage included the analysis of the methods of correction of national and international instruments that evaluate the written production. From the results of this analysis, in the second one the guiding criteria were defined for the construction of the preliminary version of the Correction System, being proposed categories for the classification in micro and macro-structure of the word. In the third stage, the preliminary version of the Correction System was constructed, based on the parameters of step 2. The fourth step was the last analysis of the preliminary version. After that, two correction screens were created: one for students from 1st to 4th year (Version A) and another for students from 5th to 9th grade (Version B), as well as a manual with guidelines for the evaluators. The second study tested evidence of validity, of the convergent type, of the Writing Subtest. 160 students from public and private schools in Porto Alegre / RS and metropolitan region participated. The results showed that the scores of the two versions presented moderate and strong correlations with the tasks of oral language, reading and writing. The dissertation was completed resulting in the Correction System of the Writing Subtest of the TDE-II, as well as obtaining evidence of convergent validity of the Writing Subtest of the TDE-II. / Esta disserta??o de mestrado ? composta por dois estudos que objetivaram a constru??o de um Sistema de Corre??o e a busca de evid?ncias de validade do Subteste de Escrita do TDE-II. O primeiro aborda o desenvolvimento do Sistema de Corre??o ao longo de quatro etapas e a an?lise de seis ju?zes especialistas. A primeira etapa compreendeu a an?lise dos m?todos de corre??o de instrumentos nacionais e internacionais que avaliam a produ??o escrita. A partir dos resultados dessa an?lise, na segunda definiram-se os crit?rios norteadores para a constru??o da vers?o preliminar do Sistema de Corre??o sendo propostas categorias para a classifica??o em micro e macroestrutura da palavra. Na terceira etapa houve a constru??o da vers?o preliminar do Sistema de Corre??o, com base nos par?metros da etapa 2. A quarta etapa constituiu a ?ltima an?lise da vers?o preliminar. Ap?s, originaram-se dois crivos de corre??o: um para estudantes de 1? a 4? ano (Vers?o A) e outro para estudantes de 5? a 9? ano (Vers?o B) al?m de um manual com orienta??es aos avaliadores. O segundo estudo testou evid?ncias de validade, do tipo convergente, do Subteste de Escrita. Participaram 160 estudantes de escolas p?blicas e privadas de Porto Alegre/RS e regi?o metropolitana. Os resultados apontaram que os escores das duas vers?es apresentaram correla??es moderadas e fortes com as tarefas de linguagem oral, leitura e escrita. A disserta??o foi conclu?da tendo como resultado o Sistema de Corre??o do Subteste de Escrita do TDE-II, bem como a obten??o de evid?ncias de validade convergente do Subteste de Escrita do TDE-II.

Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2017-08-17T13:48:58Z No. of bitstreams: 1 VASQUES_ADRIANA_MACHADO.pdf: 2518120 bytes, checksum: 7a0b3e0350846d9ac6cc0584973c0a19 (MD5) / Rejected by Caroline Xavier (caroline.xavier@pucrs.br), reason: Devolvido devido a falta de capa institucional. on 2017-08-21T12:19:24Z (GMT) / Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2017-08-21T17:07:52Z No. of bitstreams: 1 VASQUES_ADRIANA_MACHADO_TESE.pdf: 6462123 bytes, checksum: b1fc71519ef4d65f8d2f3ed44e760d5a (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-08-22T13:29:59Z (GMT) No. of bitstreams: 1 VASQUES_ADRIANA_MACHADO_TESE.pdf: 6462123 bytes, checksum: b1fc71519ef4d65f8d2f3ed44e760d5a (MD5) / Made available in DSpace on 2017-08-22T13:50:20Z (GMT). No. of bitstreams: 1 VASQUES_ADRIANA_MACHADO_TESE.pdf: 6462123 bytes, checksum: b1fc71519ef4d65f8d2f3ed44e760d5a (MD5) Previous issue date: 2017-06-21 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / With seniors increasing faster than younger populations, the average age of car drivers has gone up, and ageing-associated cognitive decline may interfere with the skills needed for safe driving. However, driving provides autonomy and quality of life, and being considered unfit to perform this task may restrict social life and lead to depression. As such, any restrictive measures should be based on careful assessment; however, the instruments available to evaluate the cognitive functions and the driving performance of the elderly need to be largely improved. Objective: To investigate the cognitive functions of elderly drivers and relate them to performance in a driving simulator, and to identify the most effective parameters of evaluation, thus contributing to traffic safety and to the creation of public policies. Method: This is a cross-sectional, descriptive-analytic study, involving 34 elderly drivers evaluated by a driving simulator and cognitive tests (Wechsler Intelligence Scale Codes, Divided Attention Test - TEADI, Trail Making test, Revised Addenbrooke Cognitive Examination - ACE-R and Rey Verbal Learning Test - RAVLT). Results: The tests that evaluate the cognitive functioning, especially those of verbal memory and the visuoconstructive abilities were the ones that demonstrated more relation with the performance in the driving simulator. Conclusions: The comparison between performance in cognitive tests and scores in the drive simulator shows a correlation between both, indicating that the worst performance in the simulator is associated with worse cognitive performance, proving to be a useful instrument to contribute to the evaluation of elderly drivers. / Com o aumento expressivo da popula??o idosa, cresce o n?mero de condutores automotivos em uma faixa et?ria frequentemente acometida por decl?nios cognitivos que podem interferir nas habilidades para uma condu??o segura. Sendo a condu??o automotiva essencial para a manuten??o da autonomia e qualidade de vida e sua interrup??o associada a efeitos negativos como restri??o ? vida social e aumento de sintomas depressivos, sua continuidade ou n?o deveria basear-se em uma avalia??o criteriosa. No entanto, apesar de relevante, ainda n?o foram estabelecidos os instrumentos mais eficazes para avaliar as fun??es cognitivas e o desempenho de idosos na condu??o automotiva. Objetivo: investigar as fun??es cognitivas de motoristas idosos e relacionar com o desempenho em um simulador de dire??o, buscando identificar os par?metros mais eficazes de avalia??o, contribuindo para seguran?a no tr?nsito e para a cria??o de pol?ticas p?blicas. M?todo: estudo do tipo transversal com abordagem descritivo-anal?tica, envolvendo 34 condutores idosos avaliados atrav?s de um simulador de dire??o e testes cognitivos (C?digos, da Escala de intelig?ncia Wechsler, Teste de aten??o Dividida-TEADI, Trail Making teste-TMT, Exame Cognitivo de Addenbrooke Revisado-ACE-R e Teste de aprendizado Verbal de Rey- RAVLT). Resultados: os testes que avaliam o funcionamento cognitivo, especialmente os de mem?ria verbal e as habilidades visuoconstrutivas foram os que mais demonstraram rela??o com o desempenho no simulador de condu??o. Conclus?es: a compara??o entre o desempenho nos testes cognitivos e os escores no simulador de dire??o, evidencia correla??o entre ambos, indicando que o pior desempenho no simulador associa-se ao pior desempenho cognitivo, revelando-se um instrumento ?til para contribuir na avalia??o de condutores idosos.

Submitted by PPG Psicologia (psicologia-pg@pucrs.br) on 2018-01-15T18:33:05Z No. of bitstreams: 1 ADRIANA_MIELE_DIS.pdf: 1002381 bytes, checksum: 5fd2027201c45d3b962df499461190e3 (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-01-26T11:35:12Z (GMT) No. of bitstreams: 1 ADRIANA_MIELE_DIS.pdf: 1002381 bytes, checksum: 5fd2027201c45d3b962df499461190e3 (MD5) / Made available in DSpace on 2018-01-26T11:37:01Z (GMT). No. of bitstreams: 1 ADRIANA_MIELE_DIS.pdf: 1002381 bytes, checksum: 5fd2027201c45d3b962df499461190e3 (MD5) Previous issue date: 2015-01-16 / The manifestation of sexual behavior in childhood is expected and present in typical child development. However, disorders involving sexual behavior are often related to cases of sexual abuse. The variable sexual behavior is therefore taken into account in most psychological assessments aimed at diagnosing situations and abusive sexual experiences. For the inclusion of the assessment of these behaviors in an objective and reliable sexual victimization diagnostic procedure, the use of adequate evaluation tools for the child's cultural context is required. This study inquires about the sexual behavior of children between six and twelve years and compares the differences in the frequency and intensity of these behaviors from children of three different groups: victims of sexual abuse, victims of abuse and with clinical symptoms. The empirical section investigates the differences in the occurrence of sexual behavior between groups and the influence of social-demographic variables. In order to accomplish this, the translation and adaptation of the Child Sexual Behavior Inventory (CSBI) (Friedrich, 1997) was held, which served as a tool to survey the type, intensity and frequency of sexual behaviors in the studied sample. No significant differences were found between the groups in the total score of CSBI. However, the instrument's domain responsible for investigating sexual knowledge inappropriate for the child's age was different between groups, with the group who experienced sexual abuse presenting significantly more behaviors related to that domain. Besides the empirical section, a theoretical study, focused upon academic works that have addressed the issue of sexual behaviors in childhood and its relation to the experience of sexual abuse, was developed. The studies that made up the review were published between the years 2003 and 2013. Eight studies, from five different countries, were selected. Most instruments used in these studies were the CSBI and the CBCL. There were no studies in the national context that addressed the issue of sexual behaviors. Noteworthy is also the small number of works addressing the selected theme. / A manifesta??o de comportamentos sexuais na inf?ncia ? esperada e est? presente no desenvolvimento infantil t?pico. Todavia, dist?rbios envolvendo condutas sexuais s?o, ami?de, relacionados ? hip?tese de abusos sexuais. A vari?vel comportamento sexual ?, portanto, levada em considera??o em grande parte das avalia??es psicol?gicas que visam a diagnosticar situa??es e viv?ncias sexualmente abusivas. Para que a avalia??o das condutas sexuais possa ser inclu?da de maneira objetiva e confi?vel nos processos de diagn?stico da vitimiza??o sexual, ? necess?rio que haja ferramentas adequadas para o contexto cultural em que a crian?a est? inserida. O objetivo deste estudo foi investigar os comportamentos sexuais de crian?as entre seis e doze anos, bem como verificar se h? diferen?as na frequ?ncia e intensidade dos comportamentos sexuais de crian?as de tr?s grupos distintos: crian?as v?timas de abusos sexuais, crian?as v?timas de maus-tratos e crian?as com sintomas cl?nicos. Na sess?o emp?rica da disserta??o, foram investigadas poss?veis diferen?as entre grupos na manifesta??o dos comportamentos sexuais, bem como a influ?ncia de vari?veis sociodemogr?ficas na manifesta??o dessas condutas. Para que este objetivo fosse alcan?ado, foi realizada a tradu??o e adapta??o do instrumento Child Sexual Behavior Inventory (CSBI), o qual serviu como ferramenta para o levantamento do tipo, intensidade e frequ?ncia das condutas sexuais na amostra pesquisada. N?o foram encontradas diferen?as significativas entre os grupos no escore total do CSBI. Entretanto, o dom?nio do instrumento que investiga conhecimentos sexuais inapropriados para a idade apresentou diferen?a entre grupos, tendo as crian?as do grupo que vivenciou abuso sexual apresentado significativamente mais comportamentos relacionados a esse dom?nio. A disserta??o integrou ainda um estudo te?rico, o qual identificou e caracterizou estudos que abordaram o tema dos comportamentos sexuais na inf?ncia e sua rela??o com a viv?ncia de abusos sexuais. Os estudos que integraram a revis?o foram publicados entre os anos de 2003 e 2013. Foram selecionados oito estudos com esta tem?tica, produzidos em cinco diferentes pa?ses: Estados Unidos, Canad?, Inglaterra, Austr?lia e Nova Zel?ndia. Os instrumentos mais empregados nestes estudos foram o CSBI e o CBCL. N?o foram encontradas pesquisas no contexto nacional que contemplassem a tem?tica dos comportamentos sexuais. Os estudos apontaram a viv?ncia de abuso sexual, viol?ncia dom?stica, idade e g?nero como fatores relacionados ao aparecimento de problemas de comportamento sexual. Destaca-se, ainda, o pequeno n?mero de investiga??es com o tema selecionado.

Submitted by PPG Psicologia (psicologia-pg@pucrs.br) on 2018-01-31T13:45:36Z No. of bitstreams: 1 CRISTIANE_FRIEDRICH_FEIL_DIS.pdf: 1759994 bytes, checksum: d62283d424edad01e0f803bf248b3e9c (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-02-07T11:07:24Z (GMT) No. of bitstreams: 1 CRISTIANE_FRIEDRICH_FEIL_DIS.pdf: 1759994 bytes, checksum: d62283d424edad01e0f803bf248b3e9c (MD5) / Made available in DSpace on 2018-02-07T11:12:10Z (GMT). No. of bitstreams: 1 CRISTIANE_FRIEDRICH_FEIL_DIS.pdf: 1759994 bytes, checksum: d62283d424edad01e0f803bf248b3e9c (MD5) Previous issue date: 2018-01-09 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Draw-a-Person Test (DAP) is an evaluation technique that is very questioned as to its validity due to the lack of empirical studies. However, it is among the most used and studied by Psychologists and Psychology Students. In order to contribute to research on this instrument and its usefulness in the psychological evaluation of children, two studies were conducted. The first one, with the objective of searching for Validity and Reliability Evidence of the Clinical Scale of the Draw-a-Person Test (CS DAP), evaluated 423 children from 6 to 12 years old and compared the DAP data with the performance in the CBCL / 6-18. The results shows that CS DAP wasn?t sensitive to identify total problems of behavior, internalizing problems and to differentiate psychotherapy group from the without psychotherapy group. The second study has as its objective identify the DPT indicators according to the specific symptomatology presented by the child. 273 draws from children aged 6 to 12 years were analyzed and the results were compared in CS DPT with the symptoms identified in the behavior assessment questionnaires (CBCL / 6-18 and SDQ). The results support that CS DAP showed adequate ability to differentiate hyperactivity problems in girls aged 6 to 8 years, behavioral problems, social problems and hyperactivity in boys aged 6 to 8 years. In spite of that, the group of 9 to 12 years wasn?t sensitive to discriminate any symptomatology in neither of the genres. Beyond this, it wasn?t possible to find a pattern related to items punctuated according to children's symptoms. / O Desenho da Figura Humana (DFH) ? uma t?cnica de avalia??o muito questionada quanto a sua validade pela falta de estudos emp?ricos, no entanto, encontra-se entre as mais utilizadas e estudadas por Psic?logos e Estudantes de Psicologia. Buscando contribuir com as pesquisas sobre esse instrumento e a sua utilidade perante a avalia??o psicol?gica de crian?as, foram realizados dois estudos. O primeiro com o objetivo de buscar Evid?ncias de Validade e Fidedignidade da Escala Cl?nica do Desenho da Figura Humana (EC DFH), avaliou 423 crian?as de 6 a 12 anos e comparou os dados do DFH com o desempenho no CBCL/6-18. Os resultados indicam que a EC DFH n?o foi sens?vel para identificar problemas totais do comportamento, problemas internalizantes e diferenciar o grupo de psicoterapia e sem psicoterapia. O segundo estudo, teve como objetivo identificar os indicadores do DFH de acordo com a sintomatologia espec?fica apresentada pela crian?a. Foram analisados desenhos de 273 crian?as de 6 a 12 anos e comparados os resultados na EC DFH com os sintomas identificados nos question?rios de avalia??o do comportamento (CBCL/6-18 e o SDQ). Os resultados apontaram que a EC DFH demonstrou adequada capacidade de diferenciar problemas de hiperatividade nas meninas de 6 a 8 anos, problemas de comportamento, problemas sociais e de hiperatividade nos meninos de 6 a 8 anos. No entanto, no grupo de 9 a 12 anos tanto nas meninas como nos meninos n?o foi sens?vel para discriminar nenhuma sintomatologia. Al?m disso, n?o foi poss?vel encontrar um padr?o em rela??o aos itens pontuados de acordo com os sintomas das crian?as.

Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2018-02-15T17:07:30Z No. of bitstreams: 1 KIK_RAQUEL_MILANI_ EL_TESE.pdf: 2404454 bytes, checksum: a337a96830d5dfc5031b99d093f84bc7 (MD5) / Rejected by Caroline Xavier (caroline.xavier@pucrs.br), reason: Devolvido devido ? falta de capa institucional no arquivo PDF. on 2018-02-16T13:07:06Z (GMT) / Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2018-02-19T11:33:51Z No. of bitstreams: 1 KIK_RAQUEL_MILANI_ EL_TESE.pdf: 2561273 bytes, checksum: 00cae5ff653147fac3f019240bc91347 (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-02-23T17:07:08Z (GMT) No. of bitstreams: 1 KIK_RAQUEL_MILANI_ EL_TESE.pdf: 2561273 bytes, checksum: 00cae5ff653147fac3f019240bc91347 (MD5) / Made available in DSpace on 2018-02-23T17:11:48Z (GMT). No. of bitstreams: 1 KIK_RAQUEL_MILANI_ EL_TESE.pdf: 2561273 bytes, checksum: 00cae5ff653147fac3f019240bc91347 (MD5) Previous issue date: 2017-10-30 / The frequency of malnutrition in hospitalized elderly patients is high and, consequently, generates an increase in morbimortality. In order to identify malnutrition in hospitalized elderly patients, it is necessary to make a nutritional assessment. Some limitations related to the application of traditional nutritional assessment tools used in elderly patients can be seen, like anthropometric parameters and even the Mini Nutritional Assessment? (MNA?) when such patients present physical or mental limitations, what can be an even more serious problem when they are unaccompanied. Thus, in the search for nutritional assessment tools, which do not depend on the patient?s colaboration, are easy to find and inexpensive, the measurement of adductor pollicis muscle thickness (APMT) has been studied as an anthropometric parameter. Several studies have used APMT in elderly patients in different surgical and clinical conditions. Despite that, few studies have included only elderly patients and none has analyzed the association between APMT and MNA? and checked the accuracy of APMT in relation to the nutritional risk and malnutrition, considering MNA? as a gold standard. In this context, this thesis presents three original articles with cross-sectional design. In the first article entitled ADDUCTOR POLLICIS MUSCLE THICKNESS IN HOSPITALIZED ELDERLY PATIENTS: RELATION BETWEEN GENDER AND AGE, it was attempted to relate the adductor pollicis muscle thickness of hospitalized elderly patients to gender and age. In this study, 119 hospitalized elderly patients were assessed and no significant difference of the APMT measurement between the dominant and non-dominant hands was observed and it was also observed that such measurement was bigger in the younger individuals (60 and 79 years old) and the male individuals. In the second article entitled ASSOCIATION BETWEEN ADDUCTOR POLLICIS MUSCLE THICKNESS AND NUTRITIONAL PARAMETERS IN HOSPITALIZED ELDERLY PATIENTS, the association between APMT and nutritional parameters in hospitalized elderly patients was analyzed. In this study, 331 hospitalized elderly patients were assessed and the association between APMT and all the nutritional parameters was investigated (MNA?, calf circumference, arm circumference, body mass index and handgrip strength) regardless of gender and age was observed, what reinforces its applicability in the nutritional assessment of elderly patients. In the third article entitled ADDUCTOR POLLICIS MUSCLE THICKNESS ACCURACY IN THE SCREENING OF NUTRITIONAL RISK AND MALNUTRITION IN HOSPITALIZED ELDERLY PATIENTS. This study, that evaluated 291 elderly people, was attempted to determine the cut-off points of APMT and its accuracy as a tool to screen the nutritional risk and malnutrition in hospitalized elderly patients. It was observed that APMT did not reach satisfactory levels of accuracy for nutritional risk and malnutrition for both men and women. Longitudinal studies are suggested in order to advance in the investigation of the role of APMT in the screening of nutritional risk and malnutrition. / A frequ?ncia de desnutri??o em idosos hospitalizados ? alta e tem como consequ?ncia o aumento da morbimortalidade. Para identificar a desnutri??o em idosos hospitalizados ? necess?rio realizar uma avalia??o nutricional. Podem ser verificadas algumas limita??es na aplica??o de instrumentos de avalia??o nutricional tradicionalmente utilizados em idosos, como os par?metros antropom?tricos e at? mesmo a Mini Avalia??o Nutricional? (MNA?), quando h? presen?a de limita??es f?sicas e mentais no idoso, o que ainda se agrava quando o idoso n?o possui acompanhante. Assim, na busca por instrumentos de rastreio nutricional que n?o dependam da colabora??o do paciente, que sejam de r?pida obten??o e de baixo custo, a medida da Espessura do M?sculo Adutor do Polegar (EMAP) tem sido estudada como um par?metro antropom?trico. Diversos estudos t?m utilizado a EMAP com idosos em diferentes condi??es cl?nicas cir?rgicas. Apesar disso, poucos estudos inclu?ram apenas indiv?duos idosos e nenhum analisou a associa??o entre EMAP e MNA? e verificou a acur?cia da EMAP em rela??o ao risco de desnutri??o e desnutri??o, tendo a MNA? como padr?o-ouro. Nesse contexto, esta tese apresenta tr?s artigos originais com delineamento transversal. No primeiro artigo, intitulado ?Espessura do m?sculo adutor do polegar em idosos hospitalizados: rela??o com sexo e idade?, buscou-se relacionar a espessura do m?sculo adutor do polegar de idosos hospitalizados com sexo e idade. Nesse estudo foram avaliados 119 idosos hospitalizados, e n?o foi observada diferen?a significativa da medida da EMAP entre as m?os dominante e n?o dominante. Essa medida apresentou-se maior nos indiv?duos mais jovens (60-79 anos) e nos do sexo masculino. No segundo artigo, intitulado ?Associa??o entre espessura do m?sculo adutor do polegar e par?metros nutricionais em idosos hospitalizados?, foi analisada a associa??o entre EMAP e par?metros nutricionais em idosos hospitalizados. Nesse estudo, foram avaliados 331 idosos hospitalizados, e constatou-se a associa??o da EMAP com todos os par?metros nutricionais investigados (MNA?, circunfer?ncia da panturrilha, circunfer?ncia do bra?o, ?ndice de massa corporal e for?a de preens?o palmar), independentemente do sexo e da idade, o que refor?a sua aplicabilidade na avalia??o nutricional de idosos. No terceiro artigo, intitulado ?Acur?cia da espessura do m?sculo adutor do polegar no rastreio de risco de desnutri??o e de desnutri??o em idosos hospitalizados?, buscou-se determinar os pontos de corte da EMAP e sua acur?cia como instrumento de rastreio do risco de desnutri??o e de desnutri??o em idosos hospitalizados. Neste estudo, que envolveu a avalia??o de 291 indiv?duos idosos, verificou-se que a EMAP n?o atingiu n?veis satisfat?rios de acur?cia para risco nutricional e desnutri??o em ambos os sexos. Sugere-se a realiza??o de estudos longitudinais para avan?ar na investiga??o do papel da EMAP no rastreio do risco de desnutri??o e de desnutri??o em idosos hospitalizados.

Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2018-02-26T12:34:45Z No. of bitstreams: 1 KIK_RAQUEL_MILANI_ EL_TESE.pdf: 2561273 bytes, checksum: 00cae5ff653147fac3f019240bc91347 (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-02-26T16:58:45Z (GMT) No. of bitstreams: 1 KIK_RAQUEL_MILANI_ EL_TESE.pdf: 2561273 bytes, checksum: 00cae5ff653147fac3f019240bc91347 (MD5) / Made available in DSpace on 2018-02-26T17:04:52Z (GMT). No. of bitstreams: 1 KIK_RAQUEL_MILANI_ EL_TESE.pdf: 2561273 bytes, checksum: 00cae5ff653147fac3f019240bc91347 (MD5) Previous issue date: 2017-10-30 / The frequency of malnutrition in hospitalized elderly patients is high and, consequently, generates an increase in morbimortality. In order to identify malnutrition in hospitalized elderly patients, it is necessary to make a nutritional assessment. Some limitations related to the application of traditional nutritional assessment tools used in elderly patients can be seen, like anthropometric parameters and even the Mini Nutritional Assessment? (MNA?) when such patients present physical or mental limitations, what can be an even more serious problem when they are unaccompanied. Thus, in the search for nutritional assessment tools, which do not depend on the patient?s colaboration, are easy to find and inexpensive, the measurement of adductor pollicis muscle thickness (APMT) has been studied as an anthropometric parameter. Several studies have used APMT in elderly patients in different surgical and clinical conditions. Despite that, few studies have included only elderly patients and none has analyzed the association between APMT and MNA? and checked the accuracy of APMT in relation to the nutritional risk and malnutrition, considering MNA? as a gold standard. In this context, this thesis presents three original articles with cross-sectional design. In the first article entitled ADDUCTOR POLLICIS MUSCLE THICKNESS IN HOSPITALIZED ELDERLY PATIENTS: RELATION BETWEEN GENDER AND AGE, it was attempted to relate the adductor pollicis muscle thickness of hospitalized elderly patients to gender and age. In this study, 119 hospitalized elderly patients were assessed and no significant difference of the APMT measurement between the dominant and non-dominant hands was observed and it was also observed that such measurement was bigger in the younger individuals (60 and 79 years old) and the male individuals. In the second article entitled ASSOCIATION BETWEEN ADDUCTOR POLLICIS MUSCLE THICKNESS AND NUTRITIONAL PARAMETERS IN HOSPITALIZED ELDERLY PATIENTS, the association between APMT and nutritional parameters in hospitalized elderly patients was analyzed. In this study, 331 hospitalized elderly patients were assessed and the association between APMT and all the nutritional parameters was investigated (MNA?, calf circumference, arm circumference, body mass index and handgrip strength) regardless of gender and age was observed, what reinforces its applicability in the nutritional assessment of elderly patients. In the third article entitled ADDUCTOR POLLICIS MUSCLE THICKNESS ACCURACY IN THE SCREENING OF NUTRITIONAL RISK AND MALNUTRITION IN HOSPITALIZED ELDERLY PATIENTS. This study, that evaluated 291 elderly people, was attempted to determine the cut-off points of APMT and its accuracy as a tool to screen the nutritional risk and malnutrition in hospitalized elderly patients. It was observed that APMT did not reach satisfactory levels of accuracy for nutritional risk and malnutrition for both men and women. Longitudinal studies are suggested in order to advance in the investigation of the role of APMT in the screening of nutritional risk and malnutrition. / A frequ?ncia de desnutri??o em idosos hospitalizados ? alta e tem como consequ?ncia o aumento da morbimortalidade. Para identificar a desnutri??o em idosos hospitalizados ? necess?rio realizar uma avalia??o nutricional. Podem ser verificadas algumas limita??es na aplica??o de instrumentos de avalia??o nutricional tradicionalmente utilizados em idosos, como os par?metros antropom?tricos e at? mesmo a Mini Avalia??o Nutricional? (MNA?), quando h? presen?a de limita??es f?sicas e mentais no idoso, o que ainda se agrava quando o idoso n?o possui acompanhante. Assim, na busca por instrumentos de rastreio nutricional que n?o dependam da colabora??o do paciente, que sejam de r?pida obten??o e de baixo custo, a medida da Espessura do M?sculo Adutor do Polegar (EMAP) tem sido estudada como um par?metro antropom?trico. Diversos estudos t?m utilizado a EMAP com idosos em diferentes condi??es cl?nicas cir?rgicas. Apesar disso, poucos estudos inclu?ram apenas indiv?duos idosos e nenhum analisou a associa??o entre EMAP e MNA? e verificou a acur?cia da EMAP em rela??o ao risco de desnutri??o e desnutri??o, tendo a MNA? como padr?o-ouro. Nesse contexto, esta tese apresenta tr?s artigos originais com delineamento transversal. No primeiro artigo, intitulado ?Espessura do m?sculo adutor do polegar em idosos hospitalizados: rela??o com sexo e idade?, buscou-se relacionar a espessura do m?sculo adutor do polegar de idosos hospitalizados com sexo e idade. Nesse estudo foram avaliados 119 idosos hospitalizados, e n?o foi observada diferen?a significativa da medida da EMAP entre as m?os dominante e n?o dominante. Essa medida apresentou-se maior nos indiv?duos mais jovens (60-79 anos) e nos do sexo masculino. No segundo artigo, intitulado ?Associa??o entre espessura do m?sculo adutor do polegar e par?metros nutricionais em idosos hospitalizados?, foi analisada a associa??o entre EMAP e par?metros nutricionais em idosos hospitalizados. Nesse estudo, foram avaliados 331 idosos hospitalizados, e constatou-se a associa??o da EMAP com todos os par?metros nutricionais investigados (MNA?, circunfer?ncia da panturrilha, circunfer?ncia do bra?o, ?ndice de massa corporal e for?a de preens?o palmar), independentemente do sexo e da idade, o que refor?a sua aplicabilidade na avalia??o nutricional de idosos. No terceiro artigo, intitulado ?Acur?cia da espessura do m?sculo adutor do polegar no rastreio de risco de desnutri??o e de desnutri??o em idosos hospitalizados?, buscou-se determinar os pontos de corte da EMAP e sua acur?cia como instrumento de rastreio do risco de desnutri??o e de desnutri??o em idosos hospitalizados. Neste estudo, que envolveu a avalia??o de 291 indiv?duos idosos, verificou-se que a EMAP n?o atingiu n?veis satisfat?rios de acur?cia para risco nutricional e desnutri??o em ambos os sexos. Sugere-se a realiza??o de estudos longitudinais para avan?ar na investiga??o do papel da EMAP no rastreio do risco de desnutri??o e de desnutri??o em idosos hospitalizados

Made available in DSpace on 2015-12-03T18:32:58Z (GMT). No. of bitstreams: 1 Francisco_Orlando_Oliveira_Ribeiro.pdf: 485219 bytes, checksum: b53241079b96b9388b621a8de9b022e8 (MD5) Previous issue date: 2002-11-05 / A company administrator should be capable to decide an investment is a valuable enterprise or no and to be capable to choose, between two or more options. To get that it is necessary the knowledge of techniques of investment analysis to evaluate, to compare and to select projects. The main Objective of this work is to verify the companies, of S??o Jos?? dos Campos and area, they use or they know techniques for evaluation and selection of investment projects. In the accomplished research it was verified that only 4,5% of the small ones and averages companies use techniques of analysis of investment of discounted cash flow (DCF). We can end that the leaders of the small ones and averages companies know little or anything of techniques of investment analysis. The small companies need to do everything that they are able to compete in an effective way with great companies. The no-knowledge or no-use of techniques of investment analysis in the selection of projects for the small ones and averages companies, it can be putting on itself a competitive disadvantage, because the big ones already use those techniques, as it points our research. / Um administrador de empresa deve ser capaz de decidir se um investimento ?? um empreendimento valioso ou n??o e ser capaz de escolher, entre duas ou mais op????es. Para conseguir isso ?? necess??rio o conhecimento de t??cnicas de an??lise de investimento para avaliar, comparar e selecionar projetos. O Objetivo principal deste trabalho ?? verificar se as empresas, de S??o Jos?? dos Campos e regi??o, usam ou conhecem t??cnicas para avalia????o e sele????o de projetos de investimento. Na pesquisa realizada constatou-se que s?? 4,5% das pequenas e m??dias empresas utilizam t??cnicas de an??lise de investimento de fluxo de caixa descontado (FCD). Pode-se concluir que os dirigentes das pequenas e m??dias empresas conhecem pouco ou nada de t??cnicas de an??lise de investimento. As pequenas empresas precisam fazer tudo o que podem para competir de maneira eficaz com grandes empresas. O n??o-conhecimento ou n??o-uso de t??cnicas de an??lise de investimento na sele????o de projetos pelas pequenas e m??dias empresas, pode estar colocando sobre si uma desvantagem competitiva, pois as grandes j?? usam essas t??cnicas, conforme aponta a nossa pesquisa.

Made available in DSpace on 2015-12-03T18:33:14Z (GMT). No. of bitstreams: 1 Guilherme_Arevalo_Leal.pdf: 867348 bytes, checksum: 54a59ca7b3f8a507c316893086a7d458 (MD5) Previous issue date: 2014-12-15 / The work aims to verifythe determinants oftrade creditof listed companies in Brazil'sStock Exchange overthe period from 2003 to2013, considereda credit expansion period for our economy. International studieshave testeddataincross sectionandshort-periodpanel, with significant resultsin explainingthe volume of non-financialcompanies trade credit (measured by accounts receivable and accounts payable). International andlocalliterature on this matteranalyzed theimpactsofvariablessuchthatsize, leverage, liquidity accounts andcyclicalprofitability.This study analyzed84non-financiallisted companieswith available data for the whole period. For the Accounts Receivable Model,thevolume of credit grantedisnegatively related tofirm size, the volume of highliquidityresourcesin other accounts(cash andstock), indicating that the greater amount invested in other high liquidityaccounts is inversely related tothe credit supply to customers.The variables ofaccounts payable,debt andoperating profitshowed positive andsignificant coefficient with the volume oftrade credittakenby companies.The companytends togivemorecreditto their customersas theytakemorecreditfrom their suppliersand obtainbank financing.In addition, ahigher generation ofoperating incomeis relatedto increasedlending.ForAccounts Payablemodel, thefirm sizevariablewas found to benegativeandsignificant coefficient.This resultis supported by thepositive and significantcoefficient of thevariableaccountsreceivablepresent in the model. Inventories,however,had a positiveand significantsignal on thepanelspecification, indicating that companies withhigher inventoriestend to gethigher volume ofcredit fromsuppliers. / O objetivo deste trabalho ?? analisar os fatores determinantes do trade credit das empresas listadas na bolsa de valores do Brasil ao longo do per??odo de 2003 a 2013, considerado macroeconomicamente como intervalo de expans??o do cr??dito brasileiro. Estudos internacionais j?? testaram dados em cross section e per??odos curtos em painel, apresentando resultados significantes na explica????o da concess??o e da tomada de cr??dito de empresas n??o financeiras. A literatura internacional e nacional sobre o tema j?? analisaram os impactos de vari??veis tais quais tamanho, endividamento, contas c??clicas e rentabilidade. Este estudo analisou 84 empresas n??o financeiras listadas que apresentaram seus dados anualmente entre 2003 e 2013, evidenciando a capacidade explicativa das vari??veis j?? utilizadas tanto para modelos cuja vari??vel dependente ?? tanto o volume de contas a receber quanto o volume de contas a pagar.Para o modelo de Contas a Receber, o volume de cr??dito concedido ?? negativamente relacionado com o tamanho da empresa, o volume de recursos de alta liquidez em outras contas (caixa e estoques), indicando que maior a presen??a de liquidez imediata est?? inversamente relacionada com a oferta de financiamento aos seus clientes, por meio de concess??o de prazo de pagamento. As vari??veis de contas a pagar, endividamento e rentabilidade operacional apresentaram rela????o positiva e significante com o volume de trade credit tomado pelas empresas. A empresa tende a conceder mais cr??dito aos seus clientes ?? medida em que toma mais cr??dito de seus fornecedores e obt??m financiamento banc??rio. Al??m disso, uma maior gera????o de resultado operacional est?? relacionada a uma maior concess??o de cr??dito. Para o modelo de Contas a Pagar, a vari??vel de tamanho da empresa mostrou-se com coeficiente negativo e significante, indicando que empresas de maior tamanho tendem a apresentar menores volumes tanto de cr??dito concedido aos clientes como tamb??m de cr??dito tomado de fornecedores. Este resultado ?? corroborado pelo coeficiente positivo e significante da vari??vel de contas a receber presente no modelo. A vari??vel de estoques, no entanto, apresentou sinal positivo e significante na especifica????o de painel, indicando que empresas com estoques tendem a obter maior volume de cr??dito concedido por fornecedores.

Made available in DSpace on 2015-12-04T11:45:25Z (GMT). No. of bitstreams: 1 Ricardo_Maroni_Neto.pdf: 1248901 bytes, checksum: 82715bdfdcb6be6e82c810f5057b7bf6 (MD5) Previous issue date: 2001-12-11 / The main objective for this thesis is to compare models that evaluate results in order to identify the presence and handling given to the environmental factors and, with this to demonstrate the model that better evaluates the effectiveness of an organization. The work starts with critic of the accounting model and the existence of alternative and competing models for the evaluation results. Among the existing models some of them were intentionally chosen and here they are: Economic Value Added (EVA), Economic Management (GECON), and Balanced Scorecard (BSC). They were selected because they have similarities with relation to the managemental system and the value's measure. This study describes initially the economic environmental: the agents, the economic functions exerted by these, and the incoming environmental pressures. This picture is completed by the identification of the environmental factors. It is ended by a presentation of one model that is based on the environmental factors. After that, the chosen models are, separately, analyzed to understand their theorical conception and their structural and methodological aspects. The model "EVA", which has a simplified language, is a financial tool that is applied to manage and control an organization. The model "GECON", which is conceptually wealthy, shows that it's possible to observe a vast knowledge from many areas, and evaluates the assets of the company from its transactions. The model "BSC" is composed of four sets of pointers that show the formation of the value under some perspectives: finance, customers, internal processes, and the maturation and learning stage. It is a model with management features, going back to the implantation of the strategy, from the focus of the objectives. The comparison between the models looks to answer the following possible problem: among the stated models, which one best reflects the environmental factors in the company's result? Therefore, is the effectiveness more clarified? It is assumed, in such a way, the hypothesis is "if the model shows the environmental factors and the handling based on them, then the evaluation results are clearer to the organization's effectiveness". The accomplishment of the comparative analysis made use of the model of the environmental factors as comparison parameters. With the contrast, it was possible to notice that the models consist of distinct conceptions of the results and the environment, but all are aimed for the continuation of the organization. The conclusion points to the Model "GECON" which better reflects the environmental factors and clarifies the company's effectiveness. Therefore, not rejecting, the formulated hypothesis, once it contains all the environmental factors, it has standards to treat each one of the adopted premises and answer them in the best way. / Esta disserta????o tem por objetivo principal comparar modelos de mensura????o de resultados para identificar a presen??a e o tratamento ministrado aos fatores ambientais e com isto, evidenciar o modelo que melhor avalia a efic??cia da organiza????o. O trabalho tem como ponto de partida as cr??ticas ao modelo cont??bil e ?? exist??ncia de modelos alternativos e concorrentes para mensura????o do resultado. Dentre os modelos existentes escolheu-se intencionalmente os modelos Economic Value Added - EVA, Gest??o Econ??mica - GECON e Balanced Scorecard - BSC por apresentarem similaridades com rela????o ao sistema gerencial e a mensura????o do valor. O estudo descreve inicialmente o ambiente econ??mico: os agentes, as fun????es econ??micas exercidas por estes e as press??es ambientais decorrentes. Completa este quadro a identifica????o dos fatores ambientais. Por fim, ?? apresentado um modelo de resultados com base nos fatores ambientais. Em seguida, s??o analisados, separadamente, os modelos escolhidos para compreender sua concep????o te??rica e seus aspectos estruturais e, metodol??gicos. O Modelo EVA ?? uma ferramenta financeira, aplicada na dire????o e controle das organiza????es, possuindo linguagem simplificada. Sobre o Modelo Gecon pode-se observar que abarca conhecimentos de v??rias ??reas, rico conceitualmente, que mensura a riqueza da empresa a partir das transa????es. O Modelo BSC ?? composto por quatro conjunto de indicadores que mostram a forma????o do valor sob as perspectivas: financeira, dos clientes, dos processos internos e da aprendizagem e crescimento. ?? um modelo com caracter??sticas administrativas, voltado para a implanta????o da estrat??gia, a partir da congru??ncia de objetivos. A compara????o entre os modelos, procura responder ?? seguinte situa????oproblema: dentre os modelos enfocados, qual melhor reflete os fatores ambientais no resultado da empresa, e, por conseguinte, ?? mais explicativo da efic??cia? Assume-se, para tanto, como hip??tese que "se o modelo explicitar os fatores ambientais e o tratamento que os dispensa, ent??o o resultado mensurado ?? mais explicativo da efic??cia da organiza????o." A realiza????o da an??lise comparativa emprega o modelo dos fatores ambientais como par??metro de cotejo. Com a compara????o foi poss??vel notar que os modelos possuem concep????es distintas de resultado e do ambiente, mas todos objetivam a continuidade da organiza????o. As conclus??es apontam para o Modelo Gecon como o que melhor reflete os fatores ambientais e o mais explicativo da efic??cia da empresa. N??o rejeitando, portanto, a hip??tese formulada, uma vez que contem todos os fatores ambientais, possui crit??rios para tratar cada um e responde da melhor forma as premissas adotadas.

Made available in DSpace on 2015-12-04T11:45:28Z (GMT). No. of bitstreams: 1 Paulo_Zanotto_de_Paschoal.pdf: 1039456 bytes, checksum: d3e4b570e4a064a4e2fb99757197c2a0 (MD5) Previous issue date: 2003-10-24 / This research paper attempted to identify the representativity of the use of management systems based on indicators of performance with the objective of verifying the preference of major Brazilian enterprises in the use of such systems. In order to meet this objective the following concepts of management systems based on indicators of performance were used: The Balanced Scorecard (BSC) and the system proposed by Funda????o para Pr??mio Nacional da Qualidade (FPNQ). A field research of the survey type was carried out and the information obtained was treated in a quantitative as well as qualitative form The sample was delimited for the 300 major private enterprises as classified by the Exame magazine July of 2002 issue, where the Southeast region of Brazil was selected for representing 80% of the invoices concentration, compared to the other geographic regions of Brazil. The analysis of data verified that among the users of Management Systems based in Indicators of Performance (SGBID), there is preference for the use of System Measuring Performance (FPNQ) over the (BSC), and it was observed in both systems a stressed representation of users of (SGBID) in enterprises of industrial order. The analysis of data verified also aspects related to the preference for the use of a specific system of strategy management as origin of stock capital which showed greater representativity in enterprises with its stock capital of foreign origin which shows a cultural aspect that is reinforced by the fact that 50% of the respondents were unknowing of the (SGBID). / O presente trabalho buscou identificar a representatividade do uso de sistema de gest??o baseado em indicadores de desempenho, com intuito de verificar qual a prefer??ncia das maiores empresas brasileiras na utiliza????o de tais sistemas. Para atender esse objetivo utilizou-se o conceito de sistemas de gest??o baseado em indicadores de desempenho: Balanced Scorecard - (BSC) e o sistema proposto pela Funda????o para o Pr??mio Nacional da Qualidade - (FPNQ). Foi realizada uma pesquisa de campo do tipo Survey e as informa????es obtidas foram tratadas de forma quantitativa e qualitativa. A amostra foi delimitada para as 300 maiores empresas do setor privado, segundo a classifica????o da revista Exame edi????o de julho de 2002, onde foi selecionada a regi??o sudeste por representar 80% da concentra????o do faturamento em rela????o ??s demais regi??es do Brasil. A an??lise dos dados permitiu verificar que, entre os usu??rios de Sistemas de Gest??o Baseada em Indicadores de Desempenho - (SGBID), existe uma prefer??ncia pelo uso do Sistema de Medi????o de Desempenho (FPNQ) em rela????o ao (BSC), sendo que houve em ambos os sistemas uma representa????o acentuada de usu??rios dos (SGBID) pelas empresas de atividade industrial. A an??lise dos dados tamb??m verificou aspectos relacionados ?? prefer??ncia de utiliza????o de determinado sistema na gest??o estrat??gica, como origem do capital acion??rio, que apresentou uma maior representatividade de empresas com o seu capital acion??rio de origem estrangeira, que denota um aspecto cultural. Que tamb??m ?? refor??ado pelo fato de 50% dos respondentes desconhecerem os (SGBID).