Is it possible to describe questing for truth as a fundamental moral claim? If so, in what meaning than? The goal of the submitted work is to find the answer to these questions. As the starting point of reflections serves a characteristic of a man as a person in spirit of dialogical personalism. This correspond with personal project conception of moral truth. That is put in connection with the life story of Jesus of Nazareth as a true man. With the assistence of the terms "conscience" and "liberty" is the final conception of moral truth set in a wider purview of ethical reflections and consequently confrontated with teaching of encyclical "Veritas splendor".

Pharmaceutical product claim and help-seeking advertisements have prompted the types and purposes of medical dermatology service(s) that patients have used in the United States. Indeed, researchers have demonstrated that 94% of working nurse practitioners affirmed receiving from their patients a request for a cancer drug advertised. However, adult dermatology patients members of Saint Nicholas Catholic Church or/and patients at MedStar Clinic in Houston, Texas, have not been of interest for any study so far. The purpose of this quantitative study was to assess the relationship between product claim, help-seeking, types, and purposes of medical dermatology services used amongst males and females aged at least 18 years. Prospect theory (PT) was the theoretical framework used to analyze the purpose of this study. A cross-sectional survey approach permitted to collect primary data from 120 participants who were members of Saint Nicholas Catholic Church or/and patients at MedStar Clinic. The results, based on a forced entry multiple regression analysis at 95% confidence interval, indicated that product claim and help-seeking significantly explained (p -?¤ .05) the variances of certain types and purposes of medical dermatology services used. Thus, product claim and help-seeking predicted the types and purposes of medical services used by the study population. Pharmaceutical announcers may benefit from the results of this study by using the study results to create new direct-to-consumers advertisements for the dermatology health promotion. The study population may benefit healthy skin, hairs, and nails by using medical dermatology services after exposure to the new pharmaceutical direct-to-consumer advertisements.

Dissertation deals with the design of appropriate procedures for modeling of construction costs in accordance with contractors bid, considering possible risks of construction project with focus on one type of FIDIC contract conditions, the so-called Red Book. The description of the potential risk and cost impacts on the construction contract in the pre-production stage of the bid preparation and in the implementation phase.

No description available.

No description available.

[pt] O setor de saúde, mais especificamente o ambiente hospitalar, pode ser classificado como um dos cenários de maior complexidade, no que se refere à cuidados com a saúde humana e a interface com outras aspectos indissociáveis para a execução de sua atividade-fim, como a arquitetura, os processos de gestão e monitoramento das condições ideais. Riscos de falhas e acidentes são inerentes a todo o processo do cuidado e existem alguns fatores que aumentam a probabilidade das falhas: a gravidade de doenças e estado do paciente; a tecnologia utilizada e seus mecanismos; o volume de atendimentos concorrendo com a atenção dos prestadores de cuidado; a velocidade com que as decisões precisam ser tomadas. Acidentes com ambiente, que promovam interrupções parciais ou definitivas e, em pior grau, danos ao paciente ou a população circulante, em um hospital, são lamentáveis e indesejáveis. No entanto, podem estar relacionados diretamente à assistência ao paciente, com os riscos com a terapêutica, com equipamentos e insumos ou ainda, com temas relacionados à infraestrutura (sistemas elétricos, sistemas de gases medicinais, sistemas de climatização, entre outros). O maior ou menor grau de vulnerabilidade de todo o sistema funcionante depende de como o tratamos, como o planejamos e o controlamos. Com metodologia de análise de conteúdo, as experiências de gestores da área de operações hospitalares formam a escolha do presente estudo, com representantes do segmento privado de grandes grupos de saúde do Brasil. Identificar os fatores intervenientes que afetam a gestão dos riscos, em especial, os estruturais, em hospitais, foi o objetivo do estudo. Destaque para a ótica do gestor de operações que faz parte da execução das atividades que permitem que o cotidiano aconteça, mas que não deve dissociar-se do planejamento de todo o mecanismo de funcionamento e estratégia de crescimento do negócio. Os registros provocaram nos próprios gestores, uma avidez por transformações a partir das oportunidades identificadas, com mais conexão com a gestão de riscos e suas derivações e aplicabilidades que afetam direta ou indiretamente toda a administração hospitalar, fomentando interesse por conhecimento e a expectativa de práticas mais seguras. / [en] The health sector, more specifically the hospital environment, can be classified as one of the most complex scenarios, with regard to human health care and the interface with other inseparable aspects for the execution of its core activity, such as architecture, management processes and monitoring of ideal conditions. Risks of failures and accidents are inherent to the entire care process and there are some factors that increase the probability of failures: the severity of illnesses and the patient s condition; the technology used and its mechanisms; the volume of care competing with the attention of care providers; the speed with which decisions need to be made. Environmental accidents, which cause partial or permanent interruptions and, to a worse extent, damage to the patient or the circulating population, in a hospital, are regrettable and undesirable. However, they may be related to patient care, risks associated with therapy, equipment, and supplies or even issues related to infrastructure (electrical systems, medical gas systems, air conditioning systems, among others). The greater or lesser degree of vulnerability of the entire functioning system depends on how we treat it, how we plan and control it. Using content analysis methodology, the experiences of managers in hospital operations were the choice for this study, with representatives from the private segment of large health groups in Brazil. Identifying the intervening factors that affect risk management, especially structural ones, in hospitals was the objective of the study. Highlighting the perspective of the operations manager who is part of the execution of activities that allow everyday life to happen, but which must not be dissociated from the planning of the entire operating mechanism and business growth strategy. The records provoked in the managers themselves, an avidity for transformations based on the opportunities identified, with more connection with risk management and its derivations and applicability that directly or indirectly affect the entire hospital administration, fostering interest in knowledge and the expectation of safers practices.

Land in its nature and destination is a peculiar real estate. Issues of land ownership are topical to all, as most of us were affected by problems of property right restoration, others wish to acquire new land lots for private building. Land belongs not to private persons, but to the state, municipalities. Persons owning land lots according to title are interested in the opportunity to conclude real estate transactions. The appearing disagreement and disputes regarding title are settled in the manner prescribed by laws. In the present Master theses the ways and conditions of acquiring land for ownership are discussed, private land ownership right is considered and also the right of state and municipalities to have land in their ownership is analyzed. In another chapter the law of disposal of land, land transactions peculiarities are analyzed comparing them with other real estate transactions. In the third part the inviolability of ownership right and protection of land ownership law consolidated in the Constitution is analyzed.

This study sought to examine the value of modus operandi (MO) information in the investigation of short-term insurance fraud. A comprehensive literature study was conducted concerning the dynamics of MO information in forensic investigation and short-term insurance fraud in South Africa and internationally, and individual semi-structured interviews were conducted with forensic investigators at Santam and MiWay to promote knowledge and understanding of the importance of MO information in short-term insurance fraud investigations. Results of this research indicate that participants did grasp the significance of MO information in the investigation of short-term insurance fraud. It is, however, apparent that they did not optimally exploit MO information regarding insurance fraud as a result of limited experience, ineffective databases and the inaccessibility of available data – all of which prevent the improvement of utilising MO data pertaining to short-term insurance fraud. Forensic investigators in the short-term insurance industry isolate themselves from each other and fail to share the available MO information amongst each other, resulting in a non-systematic fragmented approach to short-term insurance fraud investigation. The study identifies the challenges and shortcomings experienced by forensic investigators at Santam and MiWay that prevent the optimal utilisation of MO information in the investigation of short-term insurance fraud. The study then suggests a set of recommendations that could assist forensic investigators and other role-players in enhancing the utilisation of such information. / Criminology and Security Science / M. Tech. (Forensic Investigation)

The main aim of the study was to determine the prescribing patterns of antibiotics with an emphasis on fluoroquinolones in the private health sector of South Africa. The empirical study followed a quantitative, descriptive, observational method using retrospective, longitudinal medicine claims data provided by a nationally representative Pharmaceutical Benefit Management company (PBM) from 1 January 2005 to 31 December 2012. Penicillins, cephalosporins, carbapenems, aminoglycosides, chloramphenicol, fluoroquinolones, macrolides, tetracyclines, sulphonamides and trimethoprim were considered in the study. A total of 5 155 262 (44.8%) patients received at least one antibiotic prescription out of the total number of registered beneficiaries included in the database. The average number of antibiotic prescriptions per patient per year ranged from 2.22 ± 1.89 (95% CI 2.22-2.22) in 2005 to 1.98 ± 1.62 (95% CI 1.98-1.99) in 2012. The number of antibiotics per prescription per year remained fairly constant at 1.05 ± 0.19 (95% CI 1.05-1.05) in 2005 to 1.06 ± 0.21 (95% CI 1.06-1.06) in 2012. The prevalence of patients receiving antibiotic prescriptions decreased from 46.1% (n = 789 247) in 2005 to 38.2% (n = 480 159) in 2012. Antibiotics were mostly prescribed for females (54.9%, n = 2 831 686) and in patients aged 0 to 18 years (26.5%, n = 1 366 824) and least in patients above 65 years (9.5%, n = 490 496). The prevalence of patients receiving antibiotic prescriptions was highest in Gauteng (41.9%, n = 2 159 360) and lowest in the Northern Cape (1.7%, n = 87 720). Antibiotics were mostly prescribed during the winter period. Penicillins were the most prescribed antibiotics (43%) and carbapenem the least (0.1%) out of the total number of antibiotics claimed. No practically significant association was found between antibiotic prescribing and gender, age, province and season. A total of 1 983 622 prescriptions for fluoroquinolones were claimed in patients older than 18 years. The average number of fluoroquinolone prescriptions per patient per year ranged from 1.45 ± 0.92 (95% CI 1.44-1.45) in 2005 to 1.31 ± 0.71 (95% CI 1.31-1.32) in 2012. The highest prevalence of fluoroquinolone prescribing was observed in females (64.1%, n = 850 253) and in patients between 45 and 65 years (38.6%, n = 511 542). The total fluoroquinolone use by the study population decreased from 2.85 DID in 2005 to 2.41 DID in 2012. Norfloxacin was the only first-generation fluoroquinolone prescribed. The second-generation fluoroquinolones accounted for more than 50% of the total DID, with ciprofloxacin being the most used active ingredient in this generation. Moxifloxacin was the most prescribed third-generation fluoroquinolone; its use ranging from 0.51 DID in 2005 to 0.44 DID in 2012. Between 2005 and 2012, a total of 57 325 prescriptions for fluoroquinolones were claimed by patients 18 years and younger. The prevalence of patients receiving fluoroquinolone prescriptions decreased from 3.6% (n = 8 329) in 2005 to 2.9% (n = 3 310) in 2012. Fluoroquinolones were mostly prescribed to females and in patients between 12 and 18 years. In all age groups, prescribing was mainly done by general medical practitioners. Ciprofloxacin was the most prescribed fluoroquinolone, followed by levofloxacin. In conclusion, this study established estimates on the prevalence of antibiotic prescribing covering an eight-year period. Secondly, baseline estimates for fluoroquinolone prescribing in adults using the ATC/DDD methodology were determined. Fluoroquinolone prescribing patterns in children and adolescents were determined, with specific reference to the comparison between the prescribed daily and recommended daily dosages in the different age groups and by prescribers’ specialties. / MPharm (Pharmacy Practice), North-West University, Potchefstroom Campus, 2015

The main aim of the study was to determine the prescribing patterns of antibiotics with an emphasis on fluoroquinolones in the private health sector of South Africa. The empirical study followed a quantitative, descriptive, observational method using retrospective, longitudinal medicine claims data provided by a nationally representative Pharmaceutical Benefit Management company (PBM) from 1 January 2005 to 31 December 2012. Penicillins, cephalosporins, carbapenems, aminoglycosides, chloramphenicol, fluoroquinolones, macrolides, tetracyclines, sulphonamides and trimethoprim were considered in the study. A total of 5 155 262 (44.8%) patients received at least one antibiotic prescription out of the total number of registered beneficiaries included in the database. The average number of antibiotic prescriptions per patient per year ranged from 2.22 ± 1.89 (95% CI 2.22-2.22) in 2005 to 1.98 ± 1.62 (95% CI 1.98-1.99) in 2012. The number of antibiotics per prescription per year remained fairly constant at 1.05 ± 0.19 (95% CI 1.05-1.05) in 2005 to 1.06 ± 0.21 (95% CI 1.06-1.06) in 2012. The prevalence of patients receiving antibiotic prescriptions decreased from 46.1% (n = 789 247) in 2005 to 38.2% (n = 480 159) in 2012. Antibiotics were mostly prescribed for females (54.9%, n = 2 831 686) and in patients aged 0 to 18 years (26.5%, n = 1 366 824) and least in patients above 65 years (9.5%, n = 490 496). The prevalence of patients receiving antibiotic prescriptions was highest in Gauteng (41.9%, n = 2 159 360) and lowest in the Northern Cape (1.7%, n = 87 720). Antibiotics were mostly prescribed during the winter period. Penicillins were the most prescribed antibiotics (43%) and carbapenem the least (0.1%) out of the total number of antibiotics claimed. No practically significant association was found between antibiotic prescribing and gender, age, province and season. A total of 1 983 622 prescriptions for fluoroquinolones were claimed in patients older than 18 years. The average number of fluoroquinolone prescriptions per patient per year ranged from 1.45 ± 0.92 (95% CI 1.44-1.45) in 2005 to 1.31 ± 0.71 (95% CI 1.31-1.32) in 2012. The highest prevalence of fluoroquinolone prescribing was observed in females (64.1%, n = 850 253) and in patients between 45 and 65 years (38.6%, n = 511 542). The total fluoroquinolone use by the study population decreased from 2.85 DID in 2005 to 2.41 DID in 2012. Norfloxacin was the only first-generation fluoroquinolone prescribed. The second-generation fluoroquinolones accounted for more than 50% of the total DID, with ciprofloxacin being the most used active ingredient in this generation. Moxifloxacin was the most prescribed third-generation fluoroquinolone; its use ranging from 0.51 DID in 2005 to 0.44 DID in 2012. Between 2005 and 2012, a total of 57 325 prescriptions for fluoroquinolones were claimed by patients 18 years and younger. The prevalence of patients receiving fluoroquinolone prescriptions decreased from 3.6% (n = 8 329) in 2005 to 2.9% (n = 3 310) in 2012. Fluoroquinolones were mostly prescribed to females and in patients between 12 and 18 years. In all age groups, prescribing was mainly done by general medical practitioners. Ciprofloxacin was the most prescribed fluoroquinolone, followed by levofloxacin. In conclusion, this study established estimates on the prevalence of antibiotic prescribing covering an eight-year period. Secondly, baseline estimates for fluoroquinolone prescribing in adults using the ATC/DDD methodology were determined. Fluoroquinolone prescribing patterns in children and adolescents were determined, with specific reference to the comparison between the prescribed daily and recommended daily dosages in the different age groups and by prescribers’ specialties. / MPharm (Pharmacy Practice), North-West University, Potchefstroom Campus, 2015