In my thesis I have dealt with the overweight and obesity and its reduction by using interventional program lasting 12 weeks. The whole research was a part of a three-year research project called {\clqq}Positive Effects of Self-Control and Self-Esteem Development on Overweight control through Intervention of Yoga training`` and this project was supported by a grant from the Czech Grant Agency GACR No 406/05/2431 aimed at gender, age and overweight reduction, where four hundred volunteers took part. In my researching project 30 elderly men suffering from overweight and obesity of the first degree participated. I have used the interventional active plan with 15 elderly people in the experimental group from February 2008 till May 2008. The program of my diploma work focused not only on measuring the degree of overweight and obesity by using the values of BMI, BIA, and by measuring the amount of subcutaneous fat with a caliper, but also on identifying the role of Self-concept and Self-esteem and consequently on the positive influence of that on their mental and social parameters during the process of decreasing the current body weight by using yoga training and keeping healthy lifestyle. On concluding of the interventional active plan the gained results were evaluated by the use of statistic methods, which are included in the publication from doc. Krejčí, Factors of self-control and self-esteem in overweight reduction. The results proved that through doing yoga training regularly, at least 30 minutes a day, along with keeping healthy diet and practicing relaxation techniques, we managed decrease overweight and obesity of the first degree, maintained the weight and improved the mental state.

Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-05-19T11:30:22Z No. of bitstreams: 1 januacaeligervasiogalvao.pdf: 963197 bytes, checksum: 1b0768b4590408da143940560dca0710 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-07-01T18:55:53Z (GMT) No. of bitstreams: 1 januacaeligervasiogalvao.pdf: 963197 bytes, checksum: 1b0768b4590408da143940560dca0710 (MD5) / Made available in DSpace on 2016-07-01T18:55:53Z (GMT). No. of bitstreams: 1 januacaeligervasiogalvao.pdf: 963197 bytes, checksum: 1b0768b4590408da143940560dca0710 (MD5) Previous issue date: 2012-07-18 / Este trabalho, um Plano de Ação Educacional (PAE), tem por objetivo analisar como a gestão escolar de duas escolas públicas do Estado de Minas Gerais/Brasil, que alcançaram bons resultados nas avaliações externas, se apropria do Programa de Intervenção Pedagógica (PIP); e a partir daí, analisar como essa apropriação impacta positivamente no desempenho dos alunos. Para tanto, buscou conhecer melhor a fase de implementação dessa política que se efetiva na escola sob a coordenação do gestor, envolvendo todos os demais atores escolares (Professoras e Especialistas de Educação Básica). Assim, visa identificar condicionantes comuns nos dois contextos escolares pesquisados que garantem o sucesso na implementação da política pública, PIP, bem como apontar o perfil de liderança e as dimensões de gestão escolar evidenciados nas escolas. A metodologia de pesquisa utilizada foi a análise de documentos relativos ao referido programa, entrevistas semiestruturadas (com Diretoras, Professoras e Especialistas de Educação Básica envolvidos no desenvolvimento do PIP) e ainda observação do cotidiano escolar por meio de visitas in loco, no qual foram levantados dados e informações sobre a relação da ação de gestão escolar e os bons resultados dos alunos e das escolas. Todo o trabalho foi acompanhado por meio de levantamento e estudo de referencial teórico e pesquisas alusivas ao papel do gestor, enquanto membro da equipe de gestão escolar, com possibilidades de intervir positivamente na melhoria da qualidade do ensino da instituição escolar. Os dados encontrados demonstram que há relevância da atuação da gestão escolar com foco na gestão pedagógica na implementação eficaz e eficiente de uma política pública e nos bons resultados dos alunos e da escola. Sendo assim, apresentam-se os resultados positivos traduzidos em “boas práticas” identificadas nessa pesquisa para divulgação, por meio de um projeto, às demais escolas pertencentes à Superintendência Regional de Ensino (SRE) do município de Nova Era/Minas Gerais, com o intuito de aprimorar, adaptar e disseminar as possibilidades de uma gestão pedagógica bem sucedida. / This work, an Education Action Plan (PAE), has as purpose to analyze how school management of two public schools of the Minas Gerais/Brasil, that achieved good results in external evaluations, is part or the Pedagogic Interventional Program (PIP) and from there it analyzes its positive influence in the performance of the students. For that, it was necessary to know better the implementation stage of this policy, applied on the school under the manager’s coordination, involving all school personnel (Teachers and Primary School Experts). Thus, it aims to identify common points in both school contexts that ensures the success of a Public Policy Implementation (PIP), as well as to point the leadership profile and the dimensions of school management seen in schools. The methodology used in this search was the analysis of documents of the pedagogic program, semi structured interviews (with Head Teachers, Teachers and Primary School Experts involved in the PIP development) and school environment observation by in loco visits, where data and information were collected about the relation between the school management action and the good results of students and schools. All work was supported by collection and study of a theoretical background and allusive search to the role of the manager, while member of the school management team, with possibilities to positively intervene in the improvement of teaching quality of the school. All the data show demonstrate there is relevance of the school management’s performance focusing the pedagogic management and efficient and effective implementation of a public policy and in the good results of students and school of the Regional Superintendence of Teaching (SRE) in Nova Era. Therefore, the positive results and its “good practices” in this search have the purpose of improve, adapt and spread the possibilities of a successful pedagogic management.

Les ablations thermiques percutanées guidées par IRM sont actuellement contrôlées en temps réel grâce à la thermométrie IRM. Cependant, aucune information directement associée aux changement de propriétés intrinsèques du tissu n’est disponible pendant la procédure. Ces travaux offrent la possibilité d’un monitorage plus complet des ablations thermiques grâce à l’Elastographie par Résonance Magnétique (ERM) combinée à la thermométrie IRM. Le système proposé est composé d’un excitateur à aiguille, d’une séquence d’encodage du mouvement synchronisée sur la respiration et d’une méthode de reconstruction en temps réel de carte d’élasticité et de température. Les changements d’élasticité et de température se produisant lors d’ablations thermiques par laser ont été mesurés in vivo en temps réel avec succès grâce à ce système. Une nouvelle méthode de traitement des données ERM sans reconstruction d’images de phase est aussi proposée afin de s'affranchir d'étapes conventionnelles fastidieuses. / MR-guided percutaneous thermal ablations are currently monitored by MR thermometry. However, no information related to intrinsic property changes of the tissue is available during the procedure. The feasibility of monitoring in vivo thermal ablations by simultaneous Magnetic Resonance Elastography (MRE) and MR-thermometry is demonstrated in this work. The interventional MRE system includes a needle MRE driver, a respiratory triggered gradient-echo sequence with motion encoding, and an online reconstruction method that provides elasticity and temperature measurements in real-time. Changes in elasticity and temperature occurring during laser thermal ablations were successfully measured in vivo thanks to this interventional MRE system. An innovative method for MRE data processing without phase image reconstruction is also proposed in order to avoid challenging steps of the conventional process.

The theoretical part of the diploma thesis deals with possible adjustments to the education of pupils with specific learning disabilities (SLD) throughout primary school of the main educational system. The theoretical part defines specific learning disabilities, their aetiology, and psychological impacts of SLD on the pupils, their school performance and family. Attention is paid to the counselling system, intervention services in schools, and the most frequently used approaches. The empirical part of the work combines the quantitative and qualitative research. It was determined, using a questionnaire survey, what forms and methods of teaching and intervention approaches are provided to pupils. The questionnaire was also concerned with the number of pupils with special educational needs in classes, and the representation of special counsellor and psychologists in school counselling. The piece of the research part is an example of good practice in primary school. The results of this work demonstrate the extent of interventional approaches, and adjustments of education, that can help students with SLD to meet their educational goals, as well as they demonstrate the representation of these experts in school counselling centres in more than in half of the schools surveyed. KEYWORDS specific learning...

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Ziel: Minimalinvasive Techniken, wie die videoassistierte Thoraxchirurgie (VATS), sind heutzutage zur Resektion vor allem peripher gelegener Rundherde Methode der Wahl. Um eine schnelle und sichere intraoperative Lokalisation zu gewährleisten, haben sich diverse Markierungstechniken etabliert. Wir berichten über die Erfahrungen bei 184 Markierungen mittels eines speziellen Lungenmarkierungsdrahts, der CT-gestützt präoperativ an den Herd gebracht wird. Material und Methoden: Bei 184 Patienten (97 m, 87w, mittleres Alter: 58,1 ± 13,7 Jahre) wurde unmittelbar vor der VATS eine CT-gesteuerte Markierung des Rundherds mithilfe eines Spiraldrahts vorgenommen. Evaluiert wurden anschließend die Erfolgsrate, die Sicherheit der Intervention, die Notwendigkeit eines Umstiegs zur Thorakotomie sowie die Histologie der Patienten. Ergebnisse: Der Markierungsdraht konnte in 181 Fällen (98,4 %) erfolgreich platziert werden. Eine Markierung musste aufgrund eines nicht beherrschbaren Pneumothorax abgebrochen werden. Geringgradige, methodisch nicht vermeidbare Komplikationen wie Mantelpneumothoraces (53,3 %) oder perifokale Blutungen (30,4 %) bedurften keiner Therapie. Die makroskopisch vollständige Entfernung der markierten Herde gelang bei 98,4 % der Patienten. Aufgrund intraoperativer Komplikationen (Adhäsionen, Blutungen, Drahtdislokationen) war in 29 Fällen (15,9 %) die Konversion zur Thorakotomie erforderlich. Die Histologie ergab in 96 Fällen (52,5 %) einen benignen Befund, in 87 Fällen (47,5 %) einen malignen, wobei insgesamt lediglich 21 Herde (11,5 %) einem primären Lungenkarzinom entsprachen. Schlussfolgerung: Die Kombination aus CT-gesteuerter Herdfixierung mittels Spiraldraht und die anschließende thorakoskopische Entfernung ist eine effiziente und sichere Methode zur Diagnostik von unklaren intrapulmonalen Rundherden, insbesondere für periphere, subpleural gelegene Herde.

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Introdução: Os stents farmacológicos (SF) de primeira geração surgiram com o intuito de reduzir as taxas de reestenose intra-stent e de revascularização da lesão-alvo, sendo mais eficazes quando comparados aos stents não-farmacológicos (SNF), porém com aumento de risco de trombose do stent (TS) muito tardia. A cobertura tecidual incompleta e a má aposição tardia das hastes dos stents podem estar vinculadas à TS. O SF de segunda geração BioMatrix®, que utiliza um polímero bioabsorvível, surgiu na expectativa de redução da TS. Devido à alta acurácia e reprodutibilidade e à análise precisa da cobertura tecidual e da aposição das hastes dos stents, a tomografia de coerência óptica (TCO) vem se tornando um método útil na análise desses aspectos. O objetivo desse estudo foi avaliar a cobertura tecidual e a aposição das hastes do SF BioMatrix® após longo período do implante. Métodos: Vinte pacientes submetidos ao implante do SF BioMatrix® (n = 15) ou do SNF S-Stent® (n = 5) foram acompanhados por um período mínimo de cinco anos e avaliados por meio da angiografia coronária quantitativa (ACQ), da ultrassonografia intracoronária (USIC) e da TCO. Para a análise estatística, foram utilizados os programas SPSS® versão 16.0 e SAS versão 9.2. O valor de p < 0,05 era considerado estatisticamente significante. As variáveis categóricas foram expressas em números absolutos e porcentuais e comparadas pelo teste exato de Fisher. As variáveis contínuas foram expressas em média e desvio padrão e/ou mediana e intervalo interquartílico e foram comparadas pelo teste não paramétrico de Mann-Whitney. Resultados: A ACQ demonstrou diferença, porém não significativa na perda tardia da luz entre o SF BioMatrix® e o S-Stent® [0,40 (0,21; 0,77) mm vs 0,68 (0,66; 0,82) mm, p = 0,205]. Os pacientes tratados com o SF BioMatrix® apresentaram porcentual de obstrução do stent significativamente menor quando comparados àqueles que receberam o S-Stent® [5,6 (4,4; 9,7)% vs 28,6 (24,7; 29,0)%, p =0,001]. A análise da TCO demonstrou 126 (8,7%) hastes não cobertas nos stents BioMatrix® e 23 (4,0%) nos S-Stents® (p = 0,297), estando a maioria delas bem apostas (117/126 e 21/23, respectivamente, p = 0,292). Apenas nove (0,6%) hastes nos SF e duas (0,4%) hastes nos SNF estavam simultaneamente sem cobertura tecidual e mal apostas (p = 0,924). No grupo BioMatrix®, apenas 1 (11,1%) paciente teve todas as hastes cobertas. Já no grupo S-Stent, 66,7% dos pacientes (2/3) apresentaram cobertura completa das hastes (p = 0,127). Conclusões: A avaliação tardia do SF BioMatrix® pela TCO mostrou cobertura tecidual e aposição em quase a totalidade de suas hastes, de maneira similar àquela encontrada nos SNF S-Stents®. / Introduction: First generation drug-eluting stents (DES) have emerged as a strategy to prevent in-stent restenosis and the need of target-vessel revascularization when compared to bare metal stents (BMS); but at the expense of a higher risk of very late stent thrombosis (ST). Uncovered and malapposed struts may be associated with both late and very late ST. It has been postulated that the second generation DES, the biolimus-eluting stent BioMatrixTM with biodegradable polymer, may reduce the incidence of ST. Given its high accuracy and reproducibility with precise analysis of the complete strut apposition and strut coverage, the optic coherence tomography (OCT) has been extensively used for stent analysis. The aim of this study was to assess the struts coverage and apposition of DES BioMatrixTM in a long-term follow up. Methods: Twenty patients undergoing a BioMatrixTM (n = 15) or BMS S-StentTM (n = 5) implantation were followed up for a period of at least five years and evaluated by means of OCT, quantitative coronary angiography (QCA) and intravascular ultrasound (IVUS). All statistical analyses were performed using SPSSTM (v.16.0) and SAS (v.9.2) software. Statistical significance was considered at p values < 0.05. Categorical variables were expressed as counts and percentages, and continuous variables as mean SD and/or median and interquartile range. For per-patient level comparison, the difference between two stent types was evaluated by nonparametric Mann-Whitney U test while categorical variables were evaluated by the Fisher exact test. Results: QCA analysis showed no differences in the occurrence of intrastent late loss between the groups [0.40 (0.21; 0.77) mm vs 0.68 (0.66; 0.82) mm, p = 0.205 for BioMatrixTM and S-StentsTM, respectively]. The vessel, stent and lumen volumes assessed by IVUS after the procedure and 5 years later were similar between the two groups. Patients treated with BioMatrixTM had significantly less stent obstruction percentage when compared to those treated with S-StentTM [5.6 (4.4; 9.7)% vs 28.6 (24.7; 29.0)%, p = 0.001]. OCT analysis demonstrated 126 (8.7%) uncovered struts in the BioMatrixTM group compared to 23 (4.0%) in the S-StentsTM group (p = 0.297), being the majority of them well apposed (117/126 and 21/23, respectively, p = 0.292). Only 9 (0.6%) struts in the DES and 2 (0.4%) struts in the BMS groups were imultaneously uncovered and malapposed (p = 0.924). Among the BioMatrixTM patients, 55.6% (5/9) had more than 95% of covered struts and in only 1 (11.1%) patient all struts were covered. On the other hand, among the S-StentTM patients, 66.7% (2/3) had complete covered struts (p = 0.127). Conclusion: Long term assessment of DES BioMatrixTM by OCT showed tissue coverage and apposition in almost all struts, similary to those found in the BMS S-StentsTM.

As fístulas arteriovenosas da região do seio cavernoso constituem as fístulas carotidocavernosas que podem ser diretas ou indiretas. As indiretas são raras, a sua sintomatologia é variada e o tratamento é controverso. Este estudo compreendeu a análise prospectiva de 44 pacientes portadores de fístulas carotidocavernosas indiretas (FCCI) no período de 01 de janeiro de 1994 e 31 de janeiro de 2004, 42 com etiologia espontânea e dois pacientes com etiologia traumática, sendo estes analisados separadamente. Doze (12) pacientes foram submetidos à conduta expectante e orientados a realizar manobras de compressão carótido-jugular. O tratamento endovascular foi realizado por via arterial, venosa ou combinação dos dois, num total de 30 pacientes. Considerando o grupo inteiro, ocorreu trombose espontânea em aproximadamente 24% dos pacientes. Os sintomas e o aspecto angiográfico após o tratamento evoluíram com melhora ou cura em 100% dos casos, com oclusão completa das FCCI em 63,3%, a grande maioria destes submetidos a apenas um procedimento. Além dos acessos venosos tradicionais aos seios cavernosos, vias de acesso alternativas através da veia oftálmica superior foram realizadas por punção percutânea de veia facial, veia supratroclear ou veia frontal. O material embolizante mais utilizado foi o adesivo tissular líquido, \"cola\", isoladamente ou em conjunto com outros materiais. Houve complicações transitórias em 13,3% dos pacientes tratados e nenhuma complicação permanente foi observada, o que demonstrou a baixa morbidade deste procedimento / The arteriovenous fistulas of the cavernous sinus (CS) region constitute the carotid-cavernous fistula, which can be direct or indirect. The indirect type is quite rare, its clinical features is very inespecific and its treatment modalities controversial. Forty-four patients with indirect carotid-cavernous fistulas (ICCF) were studied in a prospective manner between January 1994 to January 2004, 42 with spontaneous etiology and 2 with traumatic etiology, being these analyzed separately. Twelve (12) patients were submitted to a expectant management and instructed to perform carotid-jugular compression. Endovascular treatment was accomplished by arterial approach, vein approach or combination of both, in a total of 30 patients. Considering the entire group, spontaneous thrombosis was observed in approximately 24%. Symptoms and the angiographic features after endovascular treatment improved or disappeared in 100% of the cases, with total obliteration in 63.3%, most of them submitted to just one procedure. Despite the traditional venous routes to the CS, alternative accesses through the superior ophthalmic vein (SOV) were accomplished by percutaneous puncture of the facial, supratrochlear or frontal vein. Liquid adhesive (glue) was the most often embolic material used isolated or with other materials. No permanent complication was observed and only 13,3% of the patients treated cursed with transitory complications, what demonstrated the low morbidity of this procedure