Orientador: Charlotte Marie Chambelland Galves / Dissertação (mestrado) - Universidade Estadual de Campinas, Instituto de Estudos da Linguagem / Made available in DSpace on 2018-08-22T03:43:13Z (GMT). No. of bitstreams: 1 Yano_CynthiaTomoe_M.pdf: 1425568 bytes, checksum: 4e23bdff6f9157ebb8d5279dd5e237e5 (MD5) Previous issue date: 2013 / Resumo: O presente trabalho tem como objetivo compreender melhor o funcionamento do sistema de pontuação do português europeu do período do século XVI ao século XIX, focalizando a análise do emprego da vírgula antes de oração completiva verbal e oração completiva nominal. A escolha desses contextos de uso da vírgula não foi fortuita e se deu por duas razões: primeiro, pela dificuldade dos gramáticos, até o início do século XVIII, em definir as diferenças entre as orações completivas e as relativas restritivas e explicativas e, portanto, o uso de vírgula nesses tipos de construções também, e segundo, pela variação no uso de vírgula que se observa em textos literários escritos e publicados na época. Para a análise foi realizada a leitura de gramáticas e tratados de ortografia publicados do século XVI ao XIX e foi selecionado um corpus composto por quatorze textos de autores portugueses nascidos no mesmo período, do século XVI ao XIX, no qual foram realizadas buscas por todas as sentenças em que ocorrem os tipos de construções citados acima, precedida e não precedida por vírgula, com o auxílio da ferramenta de busca Corpus Search. Todos os dados, posteriormente, foram classificados segundo dois critérios: o primeiro de acordo com o ano e a presença ou não de vírgula antes da oração completiva, e o segundo de acordo com a presença ou não de um elemento interpolado entre o verbo e a oração completiva. Após a análise dos resultados, observou-se que a maioria dos dados tinha como verbo regente um verbo dos tipos de discurso, de pensamento ou de opinião, típicos de discurso relatado. Isso levou à hipótese e à confirmação de que a vírgula possuía mais uma função: de introduzir discurso relatado, além das descritas pelos gramáticos e ortografistas, que foi corroborada pelo fato de haver, nos mesmos textos, ocorrências com os mesmos verbos seguidos de dois pontos, que tem como função primeira introduzir citações e discursos indiretos na escrita. Além disso, notou-se também que, a partir do século XVIII, há uma queda progressiva na porcentagem de ocorrências com orações completivas precedidas por vírgula. Apesar do que as gramáticas da época mostram e alguns estudos, como o de Rocha (1997), afirmam, o modo de empregar a vírgula teria sofrido modificações desde a primeira metade do século XVIII, e não a partir do século XVII e nem mais tarde, a partir da segunda metade do século XVIII. Outro resultado interessante a que se chegou com este estudo, ainda que não seja categórico, foi o de que a variação no uso da vírgula entre uma oração completiva e o verbo que a rege nos textos quinhentistas e seiscentistas, embora à primeira vista pareça aleatória, poderia ter como motivação a presença ou não de um elemento seguindo o verbo. A análise pareceu mostrar que, quando não há nenhum elemento interpolado a preferência é pela não colocação de vírgula antes da oração completiva e quando há um elemento, a colocação de vírgula é mais frequente. Já quanto aos textos setecentistas e oitocentistas, foram poucos os casos com vírgula encontrados e desses, a maioria apresenta uma configuração bastante diferenciada, ou com uma oração relativa, uma oração parentética ou um vocativo, que devem obrigatoriamente ser isolados por pontuação, ou são ambíguos, podendo a oração completiva ser interpretada como complemento do verbo que a precede imediatamente ou como complemento ou adjetivo do verbo ou nome da oração anterior / Abstract: The objective of this study is to gain a better understanding of how the punctuation system of European Portuguese worked from 16th to 19th centuries, focusing on the analysis of the use of the comma before completive clauses selected by verb and noun. These contexts of use of the comma were chosen for two reasons: first, because of the difficulty the grammarians had in defining the differences between completive clauses and restrictive and explicative relative clauses and, therefore, the use of the comma in these contexts; and second, because of the variation in the use of the comma in literary texts written and published in the same period of time. For the analysis, we read grammars and orthography treatises published from 16th to 19th centuries and built a corpus composed of fourteen texts written by Portuguese authors born in the same period of time, in which we searched for all the sentences with a completive clause preceded or not by a comma with the help of the program Corpus Search. All data collected were, afterwards, classified according to two criteria: the author's birth year and whether there was a comma before the completive clause and whether there was an element interpolated between the verb and the completive clause. After analyzing the results, we observed that in most of the data the regent verb was a verb of discourse, thought or opinion, typical of reported speech. That led to the hypothesis that the comma had one more function, besides the one described by grammarians and orthographists: to introduce reported speech. That hypothesis was corroborated by the fact that in the same texts there are instances of the same type of verbs followed by a colon, whose main function is to introduce quotations and indirect speech in written texts. Moreover, we also noticed that from the 18th century on the percentage of instances of a completive clause preceded by a comma declines progressively. Besides what grammars and some works, like Rocha (1997), say, it seems that the use of the comma changed in the first half of the 18th century, and not from the 17th century on nor later, from the second half of the 18th century on. Another interesting result of this research, even though it is not categorical, was that the variation in the use of the comma between a completive clause and the regent verb in the 15th and 16th century texts is not random, but could be motivated by the presence or not of an element following the verb. The analysis showed that when there wasn't an element interpolated, the preference was not to put a comma before the completive clause, and when the element was present, the use of the comma was more frequent. In the 18th and 19th centuries texts only a few data with comma were found, of which most have a relative clause, a parenthetical clause or a vocative that must be isolated by a comma, after the verb, or are ambiguous and the completive clause may be interpreted as a complement of the preceding verb or as a complement or adjective of the verb of noun of the preceding clause / Mestrado / Linguistica / Mestra em Linguística

Cette thèse étudie l'influence du travail sur la qualité de l'emploi et la qualité de vie des individus. Cette dernière est approximée par la perception que les individus ont de leur santé. Le premier chapitre étudie les conséquences de la perte d'emploi liée à la fermeture d'un établissement sur l'ensemble des dimensions de la qualité de l'emploi retrouvé. Nous montrons que ce choc induit une dégradation, y compris sur le long terme, des salaires, de l'insécurité de l'emploi perçue, de la qualité de l'environnement de travail et de la satisfaction des travailleurs. Les deux derniers chapitres tentent de comprendre les déterminants des différences de santé perçue selon le genre. Dans le deuxième chapitre, nous analysons le rôle de la santé mentale dans les écarts de santé déclarée selon le genre. Le troisième chapitre étudie l'influence des normes sociales au travail, sur la santé perçue. Nous montrons que les femmes comme les hommes travaillant dans des collectifs de travail féminins déclarent davantage de problèmes de santé spécifiques que celles et ceux travaillant dans des collectifs masculins. Ce travail souligne donc, d'une part, l'effet négatif de la perte d'emploi sur la qualité de l'emploi retrouvé et la satisfaction à long terme et, d'autre part, l'importance du mal-être et des normes sociales au travail pour comprendre les différences de santé perçue entre les genres. / This thesis studies the influence of work on job and life quality, the latter being considered through the perception that individuals have of their own health. The first chapter focuses on the long-term effects of job losses due to plant closure on job quality. We show that job loss negatively affects wages, perceived job insecurity, the quality of the working environment and job satisfaction, including in the long run. The two last chapters investigate gender differences in self-reported health. The second chapter provides descriptive evidence on the relationships between self-assessed health, gender and mental health problems, i.e. depression and/or affective pains. Finally, in the last chapter, we study the influence of social norms as proxied by the gender structure of the workplace environment, on gender differences in self-reported health. We show that both women and men working in female-dominated environments report more specific health problems than those who work in male-dominated environments. The overall findings of this thesis are twofold. First, losing a job has a negative impact on several dimensions of job quality and satisfaction in the long run. Secondly, mental diseases and social norms at work are important to understand gender-related differences in health perceptions.

The Patient Reported Outcomes Measurement Information System (PROMIS) initiative aims to provide reliable and precise item banks measuring patient-reported outcomes in different health domains.The aimof the present work was to provide a German translation of the PROMIS itembanks for satisfaction with participation and to psychometrically test these German versions. Cognitive interviews followed a forward–backward translation. Distribution characteristics, unidimensionality, Rasch model fit, reliability, construct validity, and internal responsiveness were tested in 262 patients with chronic low back pain undergoing rehabilitation. Results for the final 13- and 10-item

Objective: The primary aim of the study was to examine the automated linguistic analysis of the open-ended problem (PQ) and life-effects (LEQ) questionnaires to understand the psychological effects of tinnitus. Design: The study used a cross-sectional design. Participants completed online questionnaires which included demographic questions, several standardised patient-reported outcome measures (PROMs), and two open-ended questions focussing on PQ and LEQ related to tinnitus. The response to open-ended questions was analysed using the Linguistic Inquiry Word Count (LIWC) software to identify the frequency of text on various linguistic dimensions relevant to tinnitus. Study sample: 336 individuals with tinnitus. Results: The study results point to two broad findings. First, although PQ and LEQ have some similarities with PROMs (e.g. the linguistic dimension negative emotions having a weak positive correlation with anxiety and depression), no correlation with the number of dimensions suggests that the open-ended questions identify additional elements that are not captured in PROMs. Second, more linguistic dimensions from the PQ correlate with PROMs compared to LEQ suggesting that the current PROMs are problem-oriented. Conclusions: The study results support the idea that the use of open-ended questions in addition to PROMs may help optimise the efforts in examining the effects of chronic conditions such as tinnitus.

African American women (AAW) are at a high risk for type 2 diabetes, a debilitating and potentially fatal disease for which there is no cure. The purpose of this study was to extend the research of Mosca et al. (2012) by examining the relationship between caregiver status and self-reported health status for AAW 18 years or older diagnosed with type 2 diabetes. The chronic care model (CCM) provided the theoretical framework for this study. The CCM promoted routine care for patients with chronic illnesses to migrate from acute care to proactive, planned, and risk-based protocols. A binomial logistic regression investigated the relationship between caregiver status, categorized as paid or unpaid, and self-reported health status, which was dichotomized as either good to excellent health or poor to fair health. There was a statistically significant relationship between primary caregiver status and self-reported health status among AAW diagnosed with Type 2 diabetes after controlling for age, education, and marital status (p < .004). Based on the fitted binomial logistic regression model, there were 186 cases of AAW with type 2 diabetes; having a paid caregiver was associated with a lower odds of having good to excellent health (OR = 0.294). About 12.3% of the variance in self-report health status was attributable to caregiver status. Overall, 82.6% of predictions were accurate. Nearly all participants required frequent assistance from a caregiver in the preceding 12 months. These findings suggest a critical need for healthcare service providers to educate caregivers as a means to deliver post-acute care to AAW diagnosed with type 2 diabetes, consistent with the CCM.

Context: Medical management for head and neck cancer (HNC) often includes neck dissection surgery, a side effect of which is shoulder dysfunction. There is no consensus for which patient-reported outcome measure (PRO) is most appropriate to quantify shoulder dysfunction in this population. Objective: The aims of this research study were to: (1) use Rasch methodologies to assess construct validity and overall appropriateness of test score interpretation of Disability of the Arm, Shoulder and Hand (DASH), QuickDASH, Shoulder Pain and Disability Index (SPADI) and Neck Dissection Impairment Index (NDII) in the HNC population; (2) determine appropriateness of use of University of Washington Quality of Life (UW-QoL) shoulder subscale as a screening tool for shoulder impairment; (3) recommend a new PRO, or combination of PROs, that more accurately portrays the construct of shoulder dysfunction in the HNC population. Design: One hundred and eight-two individuals who had received a neck dissection procedure within the past 2 weeks to 18 months completed the PROs. Rasch methodologies were utilized to address the primary aim of the study through consideration of scale dimensionality [principal components analysis, item and person fit, differential item functioning (DIF)], scale hierarchy (gaps/redundancies, floor/ceiling effects, coverage of ability levels), response scale structure, and reliability (person and item reliability and separation statistics). The secondary aim was addressed through correlational analysis of the UW-QoL (shoulder subscale), DASH, QuickDASH, SPADI and NDII. Results: The DASH did not meet criteria for unidimensionality, and was deemed inappropriate for utilization in this sample. The QuickDASH, SPADI and NDII were all determined to be unidimensional. All scales had varying issues with person and item misfit, DIF, coverage of ability levels, gaps/redundancies, and optimal rating scale requirements. The NDII meets most requirements. All measures were found to meet thresholds for person and item separation and reliability statistics. The third aim of this study was not addressed because the NDII was determined to be appropriate for this population. Conclusions: Rasch analysis indicates the NDII is the most appropriate measure studied for this population. The QuickDASH and SPADI are recommended with reservation. The DASH and the UW-QoL (shoulder subscale) are not recommended.

No description available.

Miljöbegreppet har i modern omvårdnadsforskning fått en allt bredare och djupare dimensiondär människan i sin miljö betraktas ur ett holistiskt perspektiv. Personcentrerad vård är ettarbetssätt där man utgår från patienten som person som inte kan reduceras till enbart sinsjukdom. Att som vårdgivare vara medveten om den fysiska miljön, personers handlingar ochhur den organisatoriska filosofin är uppbyggd skapar en större möjlighet att kunna arbetapersoncentrerat. Personcentrering är det som patienten upplever, medan personcentrerad vårdär arbetssättet som genererar patientens upplevelse av personcentrering. Personcentreratklimat är den miljö där personcentrerad vård sker. De förhållanden som formas mellanpatienten, vårdpersonal, närstående och teknik liksom miljöns atmosfär, omgivning ochomvärld, är avgörande för om patienten kommer att uppleva miljön som vårdande eller ickevårdande. Syftet med studien var att undersöka och beskriva förekomst av personcentrerad vård blandpersoner som vårdats i en högteknologisk vårdmiljö i samband med hjärtkirurgi ochhjärtsvikt. Metoden var en icke-experimentell tvärsnittsstudie som genomfördes inom högteknologiskahjärtsjukvård. Datainsamlingen utfördes med hjälp av två patientrapporterade mått: BeingTaken Seriously Questionnaire - Patient version (BTSQ-P) och Person-Centered ClimateQuestionnaire - Patient version (PCQ-P). Resultatet visade att patienterna upplevde att vården var personcentrerad utifrån att bli tagenpå allvar och att den innefattade ett personcentrerat klimat. Regressionsanalysen visade att ettsäkert klimat är den viktigaste komponenten för känslan av att bli tagen på allvar. Slutsatsen var att högteknologisk hjärtsjukvård inte enbart genererar goda medicinska resultatutan också kan bidra till personcentrerad vård. Vidare drar vi lärdom av studiens resultat medkunskapen om att ett säkert klimat är den viktigaste faktorn inom det personcentreradeklimatet, för patientens upplevelse av personcentrering. / In modern nursing research, the concept of the environment has acquired an ever broader anddeeper dimension where people in their environment are viewed from a holistic perspective.Person-centered care is a way of working that is based on the patient as a person who cannotbe reduced to his or her illness alone. As a caregiver, being aware of the physicalenvironment, people's actions and how the organizational philosophy is structured creates agreater opportunity to be able to work person-centered. Person-centeredness is what thepatient experiences, while person-centered care is the way of working that generates thepatient's experience of person-centeredness. Person-centered climate is the environment inwhich person-centered care takes place. The relationships that are formed between the patient,care staff, relatives and technology, as well as the environment's atmosphere, surroundingsand settings, are decisive for whether the patient will experience the environment as caring oruncaring. The aim of the study was to investigate the prevalence of person-centered care amongstpeople who have been cared for in a high-tech care environment in connection with heartsurgery and heart failure. The method was a non-experimental cross-sectional study conducted in high-tech cardiaccare. Data collection was performed using two patient-reported measures: Being TakenSeriously Questionnaire - Patient version (BTSQ-P) and Person-Centered ClimateQuestionnaire - Patient version (PCQ-P). The results showed that the patients felt that the care was person-centered based on beingtaken seriously and that it included a person-centered climate. The regression analysis showedthat a safe climate is the most important component for the feeling of being taken seriously. The conclusion was that high-tech cardiac care not only generates good medical results butcan also contribute to person-centered care. Furthermore, we learn from the study results withthe knowledge that a safe climate is the most important factor in the person-centered climate,for the patient's experience of person-centering.

Background: The prognostic significance of chest pain is well established in patients with coronary artery disease, but still ill defined in primary prevention. Therefore, the aim of our analysis was to assess the prognostic value of different forms of chest pain in a large cohort of primary care subjects under the conditions of contemporary modalities of care in primary prevention, including measurement of serum levels of the biomarker NT-pro-BNP. Design: We carried out a post-hoc analysis of the prospective DETECT cohort study. Methods: In a total of 5570 unselected subjects, free of coronary artery disease, within the 55,518 participants of the cross-sectional DETECT study, we assessed chest pain history by a comprehensive questionnaire and measured serum NT-pro-BNP levels. Three types of chest pain, which were any chest pain, exertional chest pain and classical angina, were defined. Major adverse cardiovascular events (MACEs = cardiovascular death, myocardial infarction, coronary revascularization procedures) were assessed during a 5-year follow-up period. Results: During follow-up, 109 subjects experienced a MACE. All types of reported chest pain were associated with an approximately three-fold increased risk for the occurrence of incident MACEs, even after adjusting for cardiovascular risk factors. Any form of reported chest pain had a similar predictive value for MACEs as a one-time measurement of NT-pro-BNP. However, adding a single measurement of NT-pro-BNP and the information on chest pain resulted in reclassification of approximately 40% of subjects, when compared with risk prediction based on established cardiovascular risk factors. Conclusions: In primary prevention, self-reported chest pain and a single measurement of NT-pro-BNP substantially improve cardiovascular risk prediction and allow for risk reclassification of approximately 40% of the subjects compared with assessing classical cardiovascular risk factors alone.

An inverse relationship exists between self-reported religiousness and substance use. However, we question whether religious culture impacts the veracity of self-reported substance use. The primary aim of this study of low-income pregnant women in South Central Appalachia was to determine the accuracy of self-reported substance use in pregnant women as well as to determine whether there were differences in use rates and/or differences in the degree to which women would accurately report substance use depending on their religiousness. Self-reported use and toxicology screening results taken from a larger prospective, longitudinal, smoking cessation study were compared for five substances (cannabinoids [marijuana or other cannabinoids], benz/barb/sed [including benzodiazepines, barbiturates, or any sedative], opioids [including heroin, methadone or other medication-assisted treatment medications, or other opiates], crack/cocaine [crack or cocaine], and meth/amph [including methamphetamine or any other amphetamine]). Women who attend church frequently reported lower rates of substance use than infrequent or nonattenders, as did women who rated themselves as high in intrinsic religiosity (IR), although the difference between high and low groups is less extreme for IR as opposed to attendance. Women who attended church frequently were far less likely to report use or to have use confirmed than any of the other groups including those high in IR. Rates of positive toxicology screens did not differ statistically across religiousness groupings, but the pattern of proportionally fewer positive toxicology results was seen in frequent attenders but not in women self-reporting as high IR. Women’s tendency to underreport substance use was unrelated to religiousness variables, indicating underreporting is not necessarily driving this difference in reported substance use.