DECATHLON TRAINING Thesis objectives: The aim of the thesis was to describe an actual performance process, to characterize an athletic training in its three stages, and to analyse in more detail a training in the last three years training cycles. The other aim was an evaluation of the last three seasons, searching for unbalanced results, and estimation of further performance possibilities. Methods: The methods used in the thesis were description, comparison and analysis. Results: We found out the individual training cycles are consistent to a large extent. The performance had a rising tendency almost to the final training cycle; nevertheless, the performance according to possible performance potential heretofore was not achieved. Better results are achieved in individual competitions, than in the whole decathlon. Keywords: decathlon, training, performance

Many children diagnosed with autism spectrum disorder have difficulties identifying and labeling feelings and emotions of others. Three adolescent males all diagnosed with autism spectrum disorder participated in this study. In a multi-element design, the participants were trained to tact private events of others in context using novel video-based scenarios. Two of the three participants were able to increase and maintain their responding for all trained and derived relations, as well as a transformation of stimulus function task. The third participant required multiple exemplar training to novel stimuli to increase his responding for all the video-based scenarios. The results of the study support the utility of relational training for teaching children with autism to identify private events of others in context.

xiii, 75 p. : ill. (some col.) / Uplift rates associated with 12 episodic tremor and slip events on the Cascadia Subduction Zone occurring between 1997 and 2010 have been determined from hourly water level records from 4 NOAA tide gauges (Neah Bay, Port Angeles, Port Townsend, and Seattle). Displacements inferred from water levels generally agree with displacements inferred from modeling GPS data. Examination of uplift between events shows an inter-event deformation rate approximately equal in magnitude, with ETS events, on average, releasing strain accumulated between events, suggesting that ETS is consistent with the elastic rebound theory. Additionally, while the GPS record only extends to the late 1990s and the tremor record includes only recent decades for Cascadia, tidal records in the Pacific Northwest and around the world span many decades. Thus, by showing that ETS can be resolved in tidal records we open up the possibility that tidal records could be used to study ETS where other tools are not available. This thesis contains unpublished coauthored material. / Committee in charge: Dr. David A. Schmidt, Chair; Dr. Ray J. Weldon, Advisor; Dr. Dean Livelybrooks, Member

As korrektief op die tradisionele opvatting dat geskiedenis primer politieke geskiedenis is, word 'n holistiese benadering tot die Ballingskaptydperk (586-538 v C) voorgestel om 'n meer komprehensiewe beeld van die tyd te vorm. 'n Vierledige ondersoek na die Judese volk se situasie in Juda, Babilonie en Egipte word aan die hand van die politieke, die sosio-kulturele, die godsdienstig-ideologiese en die literere dimensies gedoen. Die dimensies word af sonderlik bespreek, en in die laaste hoofstuk word 'n poging tot integrering gedoen. Die krisis van die Judese volk kom in die volgende tot uiting: polities was hulle aan Babilonie onderhorig, met 'n deel van die bevolking wat Juda verlaat het. Sosio-kul tureel was toestande in dele van Juda haglik, terwyl die ballinge in Babilonie verskillende dimensies van lyding ervaar het. Tog het sommige in Babilonie en Egipte ekonomies vooruitstrewend geword. Godsdienstig-ideologies moes 'n interpretasie vir die politieke ramp gesoek word, want die Sionsteologie kon dit nie verklaar nie. Dit het gelei tot die opbloei van literere aktiwiteit wat in die Ou Testament neerslag gevind het / Traditional scholarship tends to regard history as mainly of political nature. This dissertation suggests a holistic approach towards the history of the Judaean Exile (586-538 BC) . The examination of the political, the socio-cultural, the religiousideological and the literary dimensions are involved. Being examined separately, an attempt is made to integrate the dimensions in the last chapter. The crisis of the Judaean people consists of the following: politically the Babylonians were their overlords; some were exiled from Judah. Socio-culturally parts of Judah experienced disaster; in Babylonia the exiles encountered different dimensions of suffering. However, some exiles in Babylonia and Egypt became prosperous people. Religious-ideologically various interpretations for the political disaster were offered, because the Zion theology failed to explain it. This led to a flourishing of literary activity which is reflected in the Old Testament / Biblical and Ancient Studies / M. A. (Bybelkunde)

Submitted by EDIANA PREISLER MELCHIADES null (edianapm@hub.unimedbauru.com.br) on 2016-04-16T13:59:09Z No. of bitstreams: 1 DEFESA_ EDIANA - Versão__Final_15_04_2016.pdf: 1698796 bytes, checksum: 05889a00538697ede2c7a88aad092e31 (MD5) / Approved for entry into archive by Felipe Augusto Arakaki (arakaki@reitoria.unesp.br) on 2016-04-18T20:55:13Z (GMT) No. of bitstreams: 1 melchiades_ep_me_bot.pdf: 1698796 bytes, checksum: 05889a00538697ede2c7a88aad092e31 (MD5) / Made available in DSpace on 2016-04-18T20:55:13Z (GMT). No. of bitstreams: 1 melchiades_ep_me_bot.pdf: 1698796 bytes, checksum: 05889a00538697ede2c7a88aad092e31 (MD5) Previous issue date: 2016-02-29 / A segurança do paciente e o gerenciamento de riscos são requisitos fundamentais para fortalecimento do processo de gestão na organização. O presente estudo teve como objetivo principal identificar e analisar eventos notificados ao Núcleo de Segurança do Paciente em hospital privado do Estado de São Paulo, Brasil. Trata-se de um estudo descritivo, exploratório, retrospectivo com análise quantitativa dos dados dos eventos relacionados à assistência e envolvendo produtos de saúde, no período de janeiro a dezembro de 2014. Foram analisadas 711 notificações relacionadas à assistência ao paciente e produtos de saúde. O tempo de análise das notificações relacionadas a processos assistenciais foi significativamente maior que o da assistência direta ao paciente. As unidades que mais receberam notificações de eventos foram: Cirúrgicas I e II (23,63%), Unidade de Terapia Intensiva Adulto (17,30%), Farmácia (11,11%) e Clínica Médica (10,27%). Os grupos de eventos mais notificados foram: erro de medicação (14,21%), perda de sonda nutricional (13,22%) e lesão de pele (11,95%). Os cargos que mais notificaram eventos do grupo de assistência direta ao paciente e de processo assistencial foram: coordenador de enfermagem e enfermeiro assistencial. Pode-se concluir que a notificação de eventos relacionados à assistência do paciente e envolvendo produtos de saúde é de fundamental importância dentro da instituição e contribui para a adoção de estratégias de prevenção de incidentes e melhoria da qualidade da assistência. A partir da pesquisa, foram elaborados dois produtos para serem adotados na instituição envolvida: a) Plano de Segurança do Paciente, de acordo com as exigências da RDC no 36 de 25 de julho de 2013 e b) Matriz de Gestão de Risco por unidade com base na metodologia do HFMEA. / Patient safety and risk management are key requirements for strengthening the management process in the organization. This study aimed to identify and analyze events reported to the Patient Safety Unit in a private hospital in the state of São Paulo, Brazil. It is a descriptive, exploratory study, retrospective with a quantitative data analysis of the events related to assistance and involving health products, from January to December 2014. Seven hundred and eleven (711) notifications related to patient care and health care products were analyzed . The time analysis of the notifications related to care processes was significantly higher than that of direct patient care. The units that received most event notifications were: Surgical I and II (23.63 %), Adult Intensive Care Unit (17.30%), Pharmacy (11.11%) and Internal Medicine (10.27 %). Most reported event groups were: medication error (14.21%), loss of nutritional probe (13,22 %) and skin lesions (11.95 %). The positions that most reported events of the direct assistance group to the patient and care process were: nursing care coordinator and nurse. It can be concluded that the notification of events related to patient care and involving health products is fundamentally important within the institution and contributes to the adoption of incident prevention strategies and improvement of the quality of the provided care. From the research, we developed two products to be adopted in the institution involved : a) Patient Safety Plan , in accordance with the requirements of the official directives (DRC number 36 of July 25, 2013) b ) Risk Management Matrix per unit based on the Healthcare Failure Mode and Effect Analysis (HFMEA) methodology.

Made available in DSpace on 2014-06-11T19:26:15Z (GMT). No. of bitstreams: 0 Previous issue date: 2011-06-02Bitstream added on 2014-06-13T19:54:22Z : No. of bitstreams: 1 pellegrina_gj_me_bauru.pdf: 2660732 bytes, checksum: 0864cbe76a5ee930256a1d9b1dc513e7 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / A proposta dessa pesquisa foi apresentar um procedimento metodológico para aplicação de um banco de dados de eventos severos em estudos de problemas geoambientais. Sua eficácia foi avaliada considerando ocorrências de movimentos de massa significativos em 15 municípios paulistas, cobrindo o período de setembro de 2009 a fevereiro de 2010. As características geológicas, geomorfológicas, hidrológicas e de ocupação foram consideradas e confrontadas com as situações de tempo atmosférico que contribuíram para a deflagração dos eventos calamitosos. observou-se que o domínio da Zona de Convergência do Atlântico Sul está associado às ocorrências mais catastróficas, especialmente em locais de relevo de morros, saprólitos ou contatos solo-rocha, no Complexo Cristalino também relacionado à ocupação desordenada. O estudo também aplicou os índices de risco e vulnerabilidade proposto por Marcelino et al. (2006), que apontou maior risco nos municípios com reincidências de escorregamentos e maior vulnerabilidade em locais com alta densidade demográfica, elevado índice de pobreza e grande número de idosos. Dessa maneira, a aplicação do banco de dados de eventos severos para problemas de geotecnia ambiental, mostrou-se uma importante ferramenta na determinação de áreas de risco, podendo assim, servir de suporte logístico para órgãos que trabalham com a assistência aos vitimados / The research aimed to present a methodology for implementing a database of severe weather events for geo-environmental evaluations. Its efficiency was assessed by considering significant mass movements occurrences in 15 municipalities of São Paulo state between September 2009 and February 2010. The geological, geomorphological, hydrological, as well as the occupation characteristics of selected areas were compared with the previling weather that contributed to the outbreak of calimitous events. Most of the episodes accurred in hills, saprolits or soil-rock contacts in the Crystalline Complex. The unplanned occupational pattern was also an important contributor to the calamitous occurences. The risk and vulnerability index proposed by Marcelino et al. (2006) was applied and lead to high risk in the municipalities with repeated landslides. The vulnerability was greater in area with high population density, poverty rates end number of elderly people. The study enhanced the importance of a database of calamitous events to evaluate geotechnical problems and proved to be an important tool for determining risk areas. Thus, it may serve as logistical support for agencies that work with the assistance to victims

Orientador: Silvana Andrea Molina Lima / Abstract: Patient safety and risk management are key requirements for strengthening the management process in the organization. This study aimed to identify and analyze events reported to the Patient Safety Unit in a private hospital in the state of São Paulo, Brazil. It is a descriptive, exploratory study, retrospective with a quantitative data analysis of the events related to assistance and involving health products, from January to December 2014. Seven hundred and eleven (711) notifications related to patient care and health care products were analyzed . The time analysis of the notifications related to care processes was significantly higher than that of direct patient care. The units that received most event notifications were: Surgical I and II (23.63 %), Adult Intensive Care Unit (17.30%), Pharmacy (11.11%) and Internal Medicine (10.27 %). Most reported event groups were: medication error (14.21%), loss of nutritional probe (13,22 %) and skin lesions (11.95 %). The positions that most reported events of the direct assistance group to the patient and care process were: nursing care coordinator and nurse. It can be concluded that the notification of events related to patient care and involving health products is fundamentally important within the institution and contributes to the adoption of incident prevention strategies and improvement of the quality of the provided care. From the research, we developed two products to be adopted in the institution involved : a) Patient Safety... (Complete abstract click electronic access below) / Resumo: A segurança do paciente e o gerenciamento de riscos são requisitos fundamentais para fortalecimento do processo de gestão na organização. O presente estudo teve como objetivo principal identificar e analisar eventos notificados ao Núcleo de Segurança do Paciente em hospital privado do Estado de São Paulo, Brasil. Trata-se de um estudo descritivo, exploratório, retrospectivo com análise quantitativa dos dados dos eventos relacionados à assistência e envolvendo produtos de saúde, no período de janeiro a dezembro de 2014. Foram analisadas 711 notificações relacionadas à assistência ao paciente e produtos de saúde. O tempo de análise das notificações relacionadas a processos assistenciais foi significativamente maior que o da assistência direta ao paciente. As unidades que mais receberam notificações de eventos foram: Cirúrgicas I e II (23,63%), Unidade de Terapia Intensiva Adulto (17,30%), Farmácia (11,11%) e Clínica Médica (10,27%). Os grupos de eventos mais notificados foram: erro de medicação (14,21%), perda de sonda nutricional (13,22%) e lesão de pele (11,95%). Os cargos que mais notificaram eventos do grupo de assistência direta ao paciente e de processo assistencial foram: coordenador de enfermagem e enfermeiro assistencial. Pode-se concluir que a notificação de eventos relacionados à assistência do paciente e envolvendo produtos de saúde é de fundamental importância dentro da instituição e contribui para a adoção de estratégias de prevenção de incidentes e melhoria da qu... (Resumo completo, clicar acesso eletrônico abaixo) / Mestre

Introduction Citalopram is a preferred medication used for the treatment of depression and belongs to a group known as selective serotonin reuptake inhibitors (SSRI). When used on a long-term basis, it leads to a significant decrease of serotonin in thrombocytes. Citalopram-treated patients often display haemorrhagia that is explained by its anti-platelet effect, which is also - more or less - the case for other medications from the SSRI group. Aim of the Thesis The aim of the thesis was to find out: a) Whether citalopram treatment (2 weeks) has influence on the plasma concentration of thromboxane B2; b) Whether there is a relation between the expected decrease of thromboxane B2 levels and the plasma concentration of citalopram. Methods and Patient Population We carried out clinical and laboratory tests on a study population consisting of elderly and polymorbid patients who underwent a 14-day citalopram treatment with daily doses of 20mg. Among other tests, we observed the plasma concentration of thromboxane and citalopram. Out of 160 patients examined, 78 patients were assessed. Results Our study has proved that even a short-term citalopram treatment results to a significant increase in the plasma concentration of thromboxane B2 and the suppression rate of thromboxane B2 correlates with the higher...

A quantidade de novos casos de câncer, o número de mortes causadas por ele e a quantidade de pessoas convivendo com a doença (cinco anos após o diagnóstico) têm crescido em todo o mundo. Em função disso, analisar dados de pacientes com câncer torna-se uma ferramenta necessária para avaliar os programas de tratamento e monitorar o progresso das iniciativas de controle da doença. No que tange a análise, a mortalidade é um dos parâmetros utilizados para avaliar os resultados dessa área e as metodologias tradicionalmente utilizadas compreendem o método de Kaplan-Meier e o modelo de Cox. Ambos, porém, desprezam que um paciente com câncer pode vir a óbito por um câncer diferente do primeiro diagnosticado ou, até mesmo, por causas não relacionadas à doença. Portanto, propomos a utilização e entendimento de métodos de análise de sobrevivência que consideram eventos competitivos a fim avaliar incidências, letalidades e fatores associados ao óbito de pacientes com câncer primário atendidos no Hospital de Clínicas de Porto Alegre entre 2002 e 2009. Os resultados obtidos permitiram um melhor conhecimento dos tipos de cânceres com maiores incidências (pele (1.920 casos), próstata (1.080 casos), brônquios e pulmões (950 casos), mama (893 casos), sistema hematopoiético e reticuloendotelial (654 casos), cólon (573 casos), esôfago (497 casos), estômago (422 casos), neoplasia maligna secundária e não especificada dos gânglios linfáticos (360 casos) e colo do útero (328 casos)) e letalidades (pâncreas (145 óbitos; 57,1%), brônquios e pulmões (527 óbitos; 55,5%) e esôfago (262 óbitos, 52,7%)), considerando os eventos competitivos. Em função das vantagens do método, recomenda-se aos pesquisadores que não desprezem, em seus estudos, situações com eventos competitivos, uma vez que há softwares e diversos materiais disponíveis que auxiliam e facilitam sua aplicação. / The amount of new cancer cases, the number of deaths caused by it, and the number of people living with the disease (five years after the diagnosis) have grown around the world. Due that, analyzing cancer patient’s data becomes a necessary tool for evaluating treatment programs and monitor the progress of the disease control initiatives. Regarding the analysis, mortality is one of the parameters used to evaluate the results of this area and the methodologies traditionally used include the Kaplan-Meier and Cox model. However, these methodologies do not consider the fact that the death of a cancer patient can be caused by a different cancer diagnosed or even by causes unrelated to the disease. Therefore, we propose the use and understanding of survival analysis methods that consider competing events in order to assess incidence, lethality and factors associated with death in patients with primary cancer attended at Hospital de Clínicas de Porto Alegre from 2002 to 2009. The results allowed a better understanding of the types of cancers with higher incidence (skin (1,920 cases), prostate (1,080 cases), bronchi and lungs (950 cases), breast (893 cases), hematopoietic and reticuloendothelial system (654 cases), colon (573 cases), esophagus (497 cases), stomach (422 cases), second malignancy and not specified lymph nodes (360 cases) and cervix (328 cases)) and lethality (pancreas (145 deaths; 57.1%), bronchi and lungs (527 deaths; 55.1%) and esophagus (262 deaths; 52.7%)), considering the competing events. In addition, we also evaluated how gender and age contribute to the risk of death from some cancers: women has bigger risk of death for esophageal cancer, while age was associated with the risk of death for prostate cancer. This study allowed characterizing the profile of cancers attended by the hospital by considering the competing events into the estimates methods. Due the advantages of the method, we recommend to researchers do not despise, in their studies, situations with competing events, since there are many softwares and materials available to help and facilitate its implementation.

As estratégias para tornar as empresas mais competitivas apontam para a necessidade de redução de custos de produção e melhoria da qualidade dos produtos. Nesta direção o trabalho apresentado visa a incorporação dos princípios Lean de como diminuir os custos de produção e melhorar a qualidade dos produtos baseada na utilização dos elementos da manufatura enxuta através da técnica de eventos Kaizen. O uso isolado de ferramentas como o mapa de fluxo de valor fornece direção clara do que melhorar e possibilita enxergar o todo. Porém, ela não dá a receita de como transformar ou como fazer com que as pessoas contribuam para atingir os estados futuros. Existe a necessidade de transformar os processos e, também, as pessoas que neles trabalham. É preciso dar poder às pessoas para contribuir. A técnica de eventos Kaizen preconiza o comprometimento das pessoas e em muitos casos tem início de forma rápida e positiva, mas em pouco tempo as pessoas envolvidas esmorecem, pois os resultados na forma de lucros e melhoria substancial da qualidade não aparecem. Os eventos são realizados de forma isolada com utilização dos recursos em situações que aparentemente não são os pontos críticos do sistema. Em outras situações, as ferramentas aplicadas nos eventos não estão claramente entendidas pelos participantes e não conseguem resolver o problema focado. Por fim, nos eventos eficazes, os resultados não são sustentados por falta de acompanhamento das ações implantadas, ou mesmo, dos indicadores relacionados ao desempenho da área. Neste panorama, após uma revisão teórica dos principais elementos que levam uma organização a tornar-se Lean, o trabalho busca verificar se fatores como processo decisório de onde aplicar a técnica, assim como, os indicadores de monitoramento implicam na eficácia e sustentação dos resultados dos eventos. A verificação foi realizada através da análise e estudo de uma seqüência de eventos realizados de 2002 a 2005 na unidade escolhida, gerando algumas recomendações para se melhorar o processo decisório baseando-se em indicadores financeiros relevantes e um diagnóstico da área avaliada. / The strategies to transform companies more competitive direct to enhance the regional market, production cost reduction and quality improvement. It is clear the necessity of studying effective ways to accomplish these targets. In this direction this dissertation intend to study a technique that reduces the production costs and improve the quality levels based on the implementation of lean concepts through a Kaizen events technique. The isolated use of tools like value stream mapping gives a clear view of the whole picture but does not give the direction of how implement the future state and more important make the people committed allowing them contribute for the change. There is a need for change the process as well as the people. To accomplish this, the Kaizen technique can help or not depending how it is implemented. At first the technique really stimulates people to participate and get involved but soon the events do not give the expected results and the people involvement decrease. The events are realized in areas not relevant and the events are not sustained due to lack of monitoring process. In this scenario after a theory review of the lean journey, the dissertation verified if factors such as decision process on where to apply the technique and how to measure the improvement reached influence on the effectiveness and sustainability of the events’ results. It ended up with recommendations of a decision process based on financials metrics and a lean diagnosis of the evaluated area in order to really identify the business problem as well as the priority to address it solution.