Thesis (Ph. D.)--University of Missouri--Columbia, 1997. / "May 1997" Typescript. Vita. Includes bibliographical references (l. 66-71). Also available on the Internet.

Thesis (Ph. D.)--Ohio State University, 2004. / Title from first page of PDF file. Document formatted into pages; contains xiii, 148 p.; also includes graphics Includes bibliographical references (p. 142-148). Available online via OhioLINK's ETD Center

Thesis (M.S.)--University of Wisconsin-Madison, 1980. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 39-48).

Thesis (M. Ed.)--University of Hong Kong, 1993.

Thesis (M.Ed.)--University of Hong Kong, 1993. / Also available in print.

Thesis (M.Med.Sc.)--University of Hong Kong, 2004. / Also available in print.

Thesis (doctoral)--Vrije Universiteit te Amsterdam, 1987. / Summary in Dutch. Includes bibliographical references (p. 315-321).

Orientador: Maria Beatriz Duarte Gavião / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-08-10T12:37:49Z (GMT). No. of bitstreams: 1 Barbosa_TaisdeSouza_M.pdf: 1685317 bytes, checksum: 7aaeb0f9822b99fbb6aec351a46ce7e5 (MD5) Previous issue date: 2008 / Resumo: Atualmente, o interesse pela qualidade de vida e saúde bucal em crianças vem aumentando, já que as desordens orais provavelmente apresentam efeito negativo na qualidade de vida das mesmas. Um tema que vem recebendo grande destaque é a comparação entre os relatos de qualidade de vida relacionada à saúde bucal originários das crianças e dos pais. Assim, três revisões sistemáticas foram desenvolvidas neste trabalho com o objetivo de revisar a literatura em informações válidas e consistentes provenientes das crianças e pais considerando a qualidade de vida relacionada à saúde bucal em crianças, e identificar o padrão de concordância/discordância entre ambos. O levantamento bibliográfico, de 1985 a 2007, foi feito nas bases de dados Medline, ISI, Lilacs e Scielo. Dois pesquisadores realizaram a busca individualmente e selecionaram os artigos que utilizaram instrumentos validados, com medidas quantitativas de saúde bucal da criança e direcionados às percepções das crianças e dos pais sobre qualidade de vida relacionada à saúde bucal em crianças. Na primeira revisão foram encontrados 89 artigos e selecionados treze, os quais demonstraram validade construtiva adequada. Entretanto, o autoentendimento da criança em relação à saúde bucal e ao bem-estar foi afetado pelas variáveis: idade, gênero, raça, educação, cultura, experiências relacionadas às condições bucais e à idade, oportunidade de tratamento, estágio de desenvolvimento, adaptação cultural dos questionários e auto-percepção da necessidade de tratamento. Doze artigos de 402 inicialmente identificados foram incluídos na segunda revisão. Os resultados demonstraram que as relações entre qualidade de vida e saúde bucal em crianças não são diretas, mas mediadas por variáveis pessoais, sociais e ambientais, assim como pelo desenvolvimento da criança, o qual influencia a compreensão da relação entre saúde, doença e qualidade de vida. Na terceira revisão, dos 87 artigos que foram criticamente avaliados, cinco estudos foram selecionados, os quais demonstraram que as crianças e os pais não apresentam necessariamente as mesmas percepções sobre a qualidade de vida relacionada à saúde bucal. Embora o relato dos pais seja incompleto, devido ao desconhecimento sobre algumas experiências da criança, informações úteis podem ser obtidas. Estas revisões sistemáticas foram relevantes não somente para identificar, revisar e avaliar os estudos prévios sobre a qualidade de vida relacionada à saúde bucal em crianças, mas principalmente para o início de uma série de pesquisas nas populações de crianças e pais brasileiros neste contexto. Sendo assim, dois estudos transversais foram realizados. No primeiro estudo realizou-se a tradução dos questionários Child Perceptions Questionnaires (CPQ8-10 e CPQ11-14) para língua portuguesa, as respectivas adaptações culturais (n=80) e a verificação da validade (n=210) e confiabilidade (n=40). Os resultados demonstraram que ambos os questionários são válidos e confiáveis para uso na população de crianças brasileiras, embora a validade discriminativa tenha sido esporádica, inconsistente ou inexistente. O segundo estudo consistiu da tradução do questionário Parental Perceptions Questionnaire (PPQ) para a língua portuguesa e as adaptações culturais necessárias (n=20), além da avaliação da respectiva validade (n=210), confiabilidade (n=20) e concordância entre os relatos da criança e dos pais (210 pares de crianças e pais) sobre a qualidade de vida relacionada à saúde bucal das crianças. Os resultados demonstraram que a versão brasileira do PPQ apresentou propriedades psicométricas adequadas. Alguns pais apresentaram conhecimento limitado sobre a qualidade de vida relacionada à saúde bucal das crianças. Considerando que as percepções dos pais e das crianças mensuram percepções diferentes da mesma realidade, informações provenientes desses podem ser complementos na avaliação da criança / Abstract: More recently, there has been increasing interest in the oral health-related quality of life (OHRQoL) of children, since pediatric oral disorders are likely to have a negative effect on the child quality of life (QoL). One issue that receives a great deal of attention is the comparison of the measurement of children OHRQoL reports with those of their parents. In this way, three systematic reviews were carried out to review the literature on valid and reliable informations from children and parents concerning child OHRQoL, and to identify the pattern of agreement/disagreement between their reports. The literature was searched using Medline, ISI, Lilacs and Scielo, from 1985-2007. Two researchers independently checked and then selected only articles that used well-validated instruments, provided quantitative measurements of child clinical oral health status, and presented children and parental perceptions of child OHRQoL. In the first systematic review, from 89 records found, thirteen fulfilled the criteria. All selected studies suggested good construct validity. However, child understanding of oral health and well-being are affected by age, age-related experiences, gender, race, education, culture, experiences related to oral conditions, opportunities for treatment, childhood period of changes, back-translating questionnaire and child self-perceived treatment need. Twelve of 402 articles originally identified were included in the second systematic review. The results showed that the relationships between clinical oral health status and QoL in children were not direct, but mediated by a variety of personal, social and environmental variables, as well as by the child development, which have influence on the comprehension about the relationship among health, illness and QoL. In the third one, out of 87 articles that were critically assessed, five studies were selected, which showed that children and parents do not necessarily share similar views about child OHRQoL. Although the parental reports may be incomplete due to lack of knowledge about certain experiences, they still provide useful information. These systematic reviews were important not only to identify, to review and to assess the literature findings on child OHRQoL, but principally to start a series of researches on Brazilian child and parent populations concerning child OHRQoL. In this way, two cross-sectional studies were conducted. The first one translated the Child Perceptions Questionnaires (CPQ8-10 and CPQ11-14) into Portuguese language, made the necessary cultural adaptations (n=80) and evaluated their validity (n=210) and reliability (n=40). The results showed that both questionnaires were valid and reliable for use in Brazilian child population, although discriminant validity had been sporadic, inconsistent or non-existent. The second study translated the Parental Perceptions Questionnaire (PPQ) into Portuguese, made the necessary cultural adaptations (n=20), tested its validity (n=210) and reliability (n=20) and evaluated the concordance between parent and child reports (210 pairs of parents and children) concerning child OHRQoL. The results showed that the Portuguese version of PPQ had good psychometric properties. Some parents have limited knowledge about child¿ OHRQoL. Given that parental and child reports are measuring different perceptions of the same reality, information provided by parents can complement the child¿ evaluation / Mestrado / Odontopediatria / Mestre em Odontologia

Le contrôle de l'asthme est défini comme la mesure dans laquelle les différentes manifestations de l'asthme ont été réduites ou éliminées par le traitement. Ce paramètre est un élément central dans l'évaluation des patients asthmatiques. Selon les recommandations actuelles, il doit aider le clinicien à déterminer le type et le dosage des médicaments à prescrire.Le travail réalisé au cours de cette thèse avait pour but de contribuer à l'évaluation fonctionnelle des patients asthmatiques. Ceci en particulier à propos de l'utilisation des questionnaires destinés à évaluer le niveau de contrôle de l'asthme.Dans une première étude, nous avons cherché à déterminer les degrés d'accord qu'il y avait entre cinq questionnaires de contrôle de l'asthme couramment utilisés en pratique clinique. Les résultats ont montré un degré d’accord modéré, signifiant que ces outils ne sont pas interchangeables. Par conséquent, nous conseillons d’être attentif lors de la lecture des publications qui n’utilisent pas les mêmes questionnaires.Du fait que la limitation d'activité était le seul thème commun aux cinq questionnaires étudiés, notre travail a été orienté vers l'étude de ce thème. Nous avons donc réalisé une revue de littérature approfondie destinée à décrire l'état actuel des connaissances sur la limitation des activités chez les patients souffrant d'asthme. Celle-ci à mis en évidence que le niveau de connaissance est assez faible. Ceci particulièrement à propos des liens entre ce que le patient ressent au sujet de sa limitation d’activité et la réalité de ses capacités physiques.L'objectif de la troisième partie fut donc d’étudier plus en détails ce sujet. Nous avons demandé à des patients asthmatiques exacerbés d’évaluer leurs sensations au sujet de leur limitation d'activité. Pendant ce temps, ils ont réalisés plusieurs tests fonctionnels et une actimétrie. L'analyse des corrélations entre ces différentes données a montré qu’en réponse à la question sur la limitation de l'activité, les patients ne répondent pas au sujet de leur limitation physique, mais plutôt au sujet de leur charge psychologique associé à cette contrainte.L’ensemble de ces résultats nous ont permis de conclure au sujet de l’évaluation du contrôle de l’asthme que, comme dans d’autres domaines, le choix de l’outils de mesure est tout aussi important que la compréhension de son contenu. L’étude des différentes modalités d’évaluation de la limitation d’activité des patients asthmatiques devrait donc être poursuivie afin d’optimaliser l’évaluation fonctionnelle de ce groupe de patients. / Doctorat en Sciences de la motricité / info:eu-repo/semantics/nonPublished

Background There is a need for high quality research to improve perioperative patient care in Africa. The aim of this study was to understand the particular barriers to clinical research in this environment. Methods Electronic survey of African Surgical Outcomes Study (ASOS) investigators, including 29 quantitative Likert scale questions and eight qualitative questions with subsequent thematic analysis. Protocol compliant and non-compliant countries were compared according to the WHO statistics for research and development, health workforce data and world internet statistics. Results Responses were received from 134/418 invited researchers in 24/25 (96%) participating countries, and three non-participating countries. Barriers included the lack of a dedicated research team (47.7%), reliable internet access (32.6%), staff skilled in research (31.8%) and team commitment (23.8%). Protocol compliant countries had significantly more physicians per 1000 population (4 vs 0.9 p<0.01), internet penetration (38% vs 28% p=0.01) and published clinical trials (1461 vs 208 p<0.01) compared to non-compliant countries. Facilitators of research included establishing a research culture (86.9%), simple data collection tools (80%) and ASOS team interaction (77.9%). Most participants are interested in future research (93.8%). Qualitative data reiterated human resource, financial resource, and regulatory barriers. However, the desire to contribute to an African collaboration producing relevant data to improve patient outcomes, was expressed strongly by the ASOS investigators. Conclusions: Barriers to successful participation in ASOS related to resource limitations and not the motivation of clinician investigators. Practical solutions to individual barriers may increase the success of multi-centre perioperative research in Africa.