Research illuminating which therapist techniques are used in care-as-usual couple therapy, and under what circumstances, can contribute to a fuller understanding of how therapy works. The overall goal of the present study was to better understand care-as-usual couple therapy by investigating session-by-session techniques and session content to determine how therapists modify them based on the timing of the session and couples? pre-treatment characteristics. A total of 123 heterosexual couples were examined. Therapists frequently used acceptance techniques and discussion of recent or ongoing conflict or problem. Therapists typically used the same levels of techniques and session contents over a course of therapy. In addition, there were relatively few predictors of change in therapy techniques and session content.

The child-therapist alliance is believed to be a critical ingredient of successful psychotherapy for youth depression. However, only a few studies have examined the association between the alliance and clinical outcomes in the treatment of youth depression. The present thesis examined the alliance-outcome association in two treatments for youth depression: cognitive-behavioral therapy (CBT) and usual clinical care (UC). Data were from an effectiveness trial conducted in six community clinics (see Weisz et al., 2009). Forty-one youth were randomly assigned to receive CBT or UC from community clinicians. The observed early alliance, alliance shifts, and self-reported alliance did not significantly predict child- or parent-reported depression outcome. However, the direction and strength of the alliance-outcome associations differed across alliance methodology (self- and observer-report) and condition (CBT and UC). Early child alliance did significantly predict treatment satisfaction. Implications and limitations of the results are discussed.

In this study, we analyzed elderly people in Thailand to identify the validity of suggested cutoff points of physical measures, handgrip strength, usual walking speed, and a composite score of both measures to predict functional limitations. Moreover, we examined whether these physical performance measures are accurate indicators of the investigated health outcomes. Methods: Using Receiver Operating Characteristics (ROC) analysis, we investigated a sample of 8272 respondents aged 60 to 79 years. All data were based on the 2009 National Health Examination Survey (NHES IV) of Thailand. Results: For males aged 60 to 69 years, handgrip strength was used as an indicator of functional limitations. The cutoff point for disabilities in the activities of daily living (ADLs) was 29.5 kg, while in other limitations it ranged from 28.7 to 31.3 kg. In contrast, usual walking speed was able to indicate ADL disabilities at 0.7 m per second (m/s). As one might expect, the cutoff points for males aged 70 to 79 years were lower than for males in the 60 to 69 age group. For females, handgrip strength was able to indicate ADL disabilities at 16.5 kg for both the 60 to 69, and 70 to 79 age groups. Likewise, walking speed was indicative of ADL disabilities at 0.6 m/s for both age groups. Interestingly, the composite measure increases the ability to detect ADL disabilities in the younger group but not in the older group. The area under the curve (AUC) of cutoffs measuring the detection power of a diagnostic test was varied, ranging from 0.535 to 0.7386. Conclusions: The cutoff points of three measures varied according to sex and type of functional limitations. Our findings also showed that physical performance measures were useful for identifying people with an increased risk of functional limitations, particularly for ADL disabilities. However, although the AUC of the cutoffs of other functional limitations were relatively low, they should be considered with caution.

Introdução O consumo alimentar está associado com prevenção ou com risco de doenças e por isso sua estimativa pode ser utilizada como importante fonte de informação para o planejamento de políticas públicas em nutrição. Objetivo Estudar a ingestão habitual de nutrientes em uma amostra representativa de adultos e idosos residentes no município de São Paulo, segundo características sociodemográficas. Métodos Estudo transversal, com amostra representativa da população de adultos e idosos do município de São Paulo, conduzido no ano de 2003 (ISA-2003). Foi coletado um recordatório alimentar de 24 horas (R24h) para cada participante (n=1663), além de dados socioeconômicos e antropométricos. A medida de variabilidade da ingestão foi calculada por meio de duas replicações do R24h em uma subamostra desta população, no ano de 2007 (ISA-2007). A ingestão habitual foi estimada por meio do método desenvolvido pelo Iowa State University no programa PC-SIDE. As prevalências de inadequação foram calculadas pelo método da EAR como ponto de corte, segundo sexo, escolaridade do chefe da família, escolaridade do indivíduo e estado nutricional, posteriormente comparados utilizando o teste de proporções. Foram calculadas as razões de variância intrapessoal sobre a interpessoal entre os sexos. Resultados As prevalências de inadequação mais elevadas foram relativas às vitamina A (67por cento e 58por cento ), vitamina C (52por cento e 62por cento ), tiamina (41por cento e 50por cento ) e riboflavina (29por cento e 19por cento ), para o sexo masculino e feminino, respectivamente. A proporção de indivíduos com ingestão superior ao recomendado de cálcio foi menor que 2por cento e de sódio maior do que 99por cento . A prevalência de inadequação de vitaminas A, C, tiamina, riboflavina e niacina e dos minerais cobre, fósforo e selênio foi mais elevada entre os indivíduos com menor escolaridade, tanto do chefe da família como do indivíduo. Observaram-se diferenças nas frações das variâncias intrapessoais de alguns nutrientes segundo gênero. Conclusão Os adultos e idosos residentes do município de São Paulo apresentaram altas prevalências de inadequação na ingestão das vitaminas A, C, tiamina e riboflavina em ambos os sexos, principalmente entre os com menor escolaridade / Introduction Food intake is associated with prevention or risk of disease and so this estimation can be used as important source of information for planning public policy in nutrition. Objective To study the usual intake of nutrients in a representative sample of adults and older people living in São Paulo, according to sociodemographic characteristics. Methods Cross-sectional study with a representative sample of the adults and older people population in São Paulo, conducted in the year 2003 (ISA-2003). We collected a 24-hour dietary recall (24HR) for each participant (n=1663), and anthropometric and socioeconomic data. The measurement of intake variability was calculated by two replications of 24HR in a subsample of this population in 2007 (ISA-2007). The usual intake was estimated using the PC-SIDE program, which uses the method developed by Iowa State University. The prevalence of inadequacy were calculated by EAR cut-point method, according to sex, education of household head, education and nutritional status of individual, compared using proportion test. Ratios of within- to between-person variation were calculated according to sex. Results The highest prevalence of inadequate intake were related to vitamin A (67per cent and 58per cent ), vitamin C (52per cent and 62per cent ), thiamin (41per cent and 50per cent ) and riboflavin (29per cent and 19per cent ), for male and female, respectively. The proportion of individuals with more than the recommended intake of calcium was less than 2per cent and this percent of sodium was greater than 99per cent . The prevalence of inadequate intake of vitamins A, C, thiamin, riboflavin and niacin and of minerals copper, phosphorus and selenium were higher among individuals with less education, both of the head of the family as the individual. Differences were observed in the ratios of intraindividual variances of some nutrients by sex. Conclusion Adults and older people living in São Paulo presented high prevalence of inadequate intake of vitamins A, C, thiamin and riboflavin for both sexes, especially among the less educated people

The topic of this thesis is "Impact assessment of locality on the usual price of real estate price comparison in region of south Bohemia". The basic targets were to map the theoretical terms usually used in the valuation of real estate, as well as obtain data necessary for real estate comparison. The first part is a literature review focused on definitions of valuation namely ownership, the valuation of residential units, houses and buildings. The thesis describes the differences between the concepts of price and value. The last part of this literature review is focused on impact assessment locality on real estate price. In the practical part are presented the data obtained on the property, which are then compared. The main outputs of this thesis are graphic representations of the market segments variations, which are always described in words. This text part is aimed at explaining the price differences between the localities.

Submitted by JUC?LIA RODRIGUES (jucelia.emerenciano@gmail.com) on 2016-10-27T19:09:07Z No. of bitstreams: 1 Projeto, constru??o e avalia??o de um pasteurizador de leite alternativo para comunidades rurais - disserta??o (PDF) (4).pdf: 62959510 bytes, checksum: 3ff96eeba3dd8300afd145f2392a215f (MD5) / Approved for entry into archive by Maria Maia (aniolly@bczm.ufrn.br) on 2016-10-27T19:25:26Z (GMT) No. of bitstreams: 1 Projeto, constru??o e avalia??o de um pasteurizador de leite alternativo para comunidades rurais - disserta??o (PDF) (4).pdf: 62959510 bytes, checksum: 3ff96eeba3dd8300afd145f2392a215f (MD5) / Made available in DSpace on 2016-10-27T19:25:26Z (GMT). No. of bitstreams: 1 Projeto, constru??o e avalia??o de um pasteurizador de leite alternativo para comunidades rurais - disserta??o (PDF) (4).pdf: 62959510 bytes, checksum: 3ff96eeba3dd8300afd145f2392a215f (MD5) Previous issue date: 1996 / CAPES / Foi desenvolvido e construindo um pasteurizador de leite alternativo, pelo m?todo de pasteuriza??o lente. O Equipamento se destina a pequenos e m?dios produtores de leite u de produtos an?logos, de 32 litros e 55 litros de ?gua para o banho. A fim de avaliar seu desempenho foram levantados par?metros de projeto e de opera??o, ?s temperaturas de pasteuriza??o de 63?C, 65?C, 67?C e 69?C com banho a 80?C e o fluido com agita??o mec?nica de 147 rpm e manual de 86 rpm, na regi?o de menor transfer?ncia de calor. O leite cru apresentou os seguintes resultados: pH(6,1-7,0), acidez(14-16?D), densidade(1,019-1,035 g/l), EST(11,83-14,50%), ESD(8,23-10,00%) e teor de gordura(3,5-4,5%), e no leite pasteurizado, pH(6,1-6,6), acidez(16-18?D), densidade(1,030-1,035 g/l), EST(11,82-14,52%), ESD(8,22-10,00%) e teor de gordura(3,7-4,5%). A contagem total de mes?filos variou entre 105 e 106 no leite cru e entre 102 e 103 no pasteurizado, a contagem de coliforme fecal no leite cru >110 NMP/ml e no pasteurizado em 3 experimentos variou entre 0,36-2,3 NMP/ml, sendo nos restantes negativo. A efic?cia da pasteuriza??o variou entre 75,0-99,9%. Nas an?lises bioqu?micas do leite pasteurizado as atividades das enzimas fosfatase foi negativa e peroxidase positiva, indicando uma pasteuriza??o eficaz / A pasteurizer was developed and constructed as na alternative for the use of the method of slow pasteurisation. This device is intended to the producers of Milk and its by-products at small scale. The pasteuriser has the capacity for using 32 litres of milk and 55 litres of water inthe bath. The design and operational parameters such as, pasteurisation temperature at de 63?C, 65?C, 67?C e 69?C, with the bath temperature of 80?C as well as the fluid agitation, mechanically at 147 rpm and manually at 86 rpm at the region where the least heat transfer occurred were evaluated. The following results were obtained using raw milk: pH(6.0-7.5), acidity(14-16?D), density(1.029-1.035 g/ml), EST(11.84-14.05?), ESD(8.23-10.00%) and the fat content(3.7-4.5%). The mesphiles count varied between 105 and 106 in raw milk, and 102 and 103 in pasteurised milk. The count of faecal coliforms in raw mil kwas 110 NMP/ml and in pasteurised milk in three counts varied between (0.36-2.3) NMP/ml, while in the other two experiments they were negative. The efficiency of the pasteurisation process varied between 75.0 to 99.9%. biochemical analysis of the pasteurised milk showed the enzymatic activities of phosphatase being negative and that of peroxidase positive, indicating an efficient pasteurisation

Introdução O consumo alimentar está associado com prevenção ou com risco de doenças e por isso sua estimativa pode ser utilizada como importante fonte de informação para o planejamento de políticas públicas em nutrição. Objetivo Estudar a ingestão habitual de nutrientes em uma amostra representativa de adultos e idosos residentes no município de São Paulo, segundo características sociodemográficas. Métodos Estudo transversal, com amostra representativa da população de adultos e idosos do município de São Paulo, conduzido no ano de 2003 (ISA-2003). Foi coletado um recordatório alimentar de 24 horas (R24h) para cada participante (n=1663), além de dados socioeconômicos e antropométricos. A medida de variabilidade da ingestão foi calculada por meio de duas replicações do R24h em uma subamostra desta população, no ano de 2007 (ISA-2007). A ingestão habitual foi estimada por meio do método desenvolvido pelo Iowa State University no programa PC-SIDE. As prevalências de inadequação foram calculadas pelo método da EAR como ponto de corte, segundo sexo, escolaridade do chefe da família, escolaridade do indivíduo e estado nutricional, posteriormente comparados utilizando o teste de proporções. Foram calculadas as razões de variância intrapessoal sobre a interpessoal entre os sexos. Resultados As prevalências de inadequação mais elevadas foram relativas às vitamina A (67por cento e 58por cento ), vitamina C (52por cento e 62por cento ), tiamina (41por cento e 50por cento ) e riboflavina (29por cento e 19por cento ), para o sexo masculino e feminino, respectivamente. A proporção de indivíduos com ingestão superior ao recomendado de cálcio foi menor que 2por cento e de sódio maior do que 99por cento . A prevalência de inadequação de vitaminas A, C, tiamina, riboflavina e niacina e dos minerais cobre, fósforo e selênio foi mais elevada entre os indivíduos com menor escolaridade, tanto do chefe da família como do indivíduo. Observaram-se diferenças nas frações das variâncias intrapessoais de alguns nutrientes segundo gênero. Conclusão Os adultos e idosos residentes do município de São Paulo apresentaram altas prevalências de inadequação na ingestão das vitaminas A, C, tiamina e riboflavina em ambos os sexos, principalmente entre os com menor escolaridade / Introduction Food intake is associated with prevention or risk of disease and so this estimation can be used as important source of information for planning public policy in nutrition. Objective To study the usual intake of nutrients in a representative sample of adults and older people living in São Paulo, according to sociodemographic characteristics. Methods Cross-sectional study with a representative sample of the adults and older people population in São Paulo, conducted in the year 2003 (ISA-2003). We collected a 24-hour dietary recall (24HR) for each participant (n=1663), and anthropometric and socioeconomic data. The measurement of intake variability was calculated by two replications of 24HR in a subsample of this population in 2007 (ISA-2007). The usual intake was estimated using the PC-SIDE program, which uses the method developed by Iowa State University. The prevalence of inadequacy were calculated by EAR cut-point method, according to sex, education of household head, education and nutritional status of individual, compared using proportion test. Ratios of within- to between-person variation were calculated according to sex. Results The highest prevalence of inadequate intake were related to vitamin A (67per cent and 58per cent ), vitamin C (52per cent and 62per cent ), thiamin (41per cent and 50per cent ) and riboflavin (29per cent and 19per cent ), for male and female, respectively. The proportion of individuals with more than the recommended intake of calcium was less than 2per cent and this percent of sodium was greater than 99per cent . The prevalence of inadequate intake of vitamins A, C, thiamin, riboflavin and niacin and of minerals copper, phosphorus and selenium were higher among individuals with less education, both of the head of the family as the individual. Differences were observed in the ratios of intraindividual variances of some nutrients by sex. Conclusion Adults and older people living in São Paulo presented high prevalence of inadequate intake of vitamins A, C, thiamin and riboflavin for both sexes, especially among the less educated people

Abstract Interstitial lung diseases (ILD), including interstitial pneumonias (IP), represent disorders with variable degrees of parenchymal inflammation and/or fibrosis offer an ideal model to investigate the histopathological features in relation to the course of these diseases. The most common IP is idiopathic pulmonary fibrosis (IPF) with the histological pattern of usual interstitial pneumonia (UIP) exhibiting the histological hallmark of fibroblast foci (FF). Surgical lung biopsy (SLB) is not usually needed for diagnosis of IPF, but the lung biopsy samples taken by SLB confers the diagnosis in atypical cases. The safety of SLB in IPF/UIP has been a controversial issue. The acute exacerbation occasionally occurs during the course of IPF/UIP, but pathological features related to this event are poorly understood. Recent studies suggest that one important determinant in the pathogenesis of ILDs, as in IPF, is oxidant stress and an imbalance of the redox-state in the lung. Thiol containing redox-regulated proteins which paticipate in the antioxidant defence of the lung include thiorexin (Trx) and gamma-glutamylcysteine synthetase (γGCS), also called glutamate-cysteine ligase (GLCL), the rate-limiting enzyme of glutathione (GSH) synthesis. The goal of this research was to evaluate the safety of SLB and the relationships between the histological findings and the course of IPF/UIP, and to investigate the above mentioned defense mechanisms in a variety of ILDs by means of immmunohistochemical analyses, Western Blotting and immunoelectronmicroscopy. No deaths occurred in the following 30 days after 34 video-assisted thoracoscopic lung biopsy (VATS). The number of FF in the lung sample predicted the survival, but it was not associated with acute exacerbation of IPF/UIP before death. Diffuse alveolar damage was a common feature in autopsy samples. The studied redox regulated defense enzymes were expressed in bronchial epithelium, metaplastic alveolar epithelium and alveolar macrophages, but the fibrotic areas generally showed no expression. In IPF/UIP VATS is a safe diagnostic method and counting the number of FF represents a reproducible and reliable method for predicting patient survival. Alterations in the redox regulated defense enzymes further point to the importance of oxidant burden in the fibrotic lung.

Infants who experience multiple risk factors, such as preterm birth, developmental delay, and low socioeconomic status, are at greater risk for mental health problems. Mental health interventions for infants typically target infants from high-risk groups, and there is strong evidence that some intervention programs for infants can prevent long-term negative outcomes and promote long-term positive outcomes. Despite emerging research and federal initiatives promoting early intervention, minimal research has examined community-based mental health services during infancy. Improving the effectiveness and efficiency of routine care requires close examination of current practices. The current study characterized current usual care practices in infant mental health through a survey of mental health providers. Provider, practice, and client characteristics, provider use of intervention strategies and intervention programs, and provider attitudes toward and knowledge of evidence-based practices are described. Study findings are discussed in the context of previous usual care research. Implications and directions for future research are discussed.

The diploma thesis deals with decisive factors effecting the usual price of family houses in town Břeclav. The long-term research was conducted on Czech real estate server Sreality.cz and on the server of Czech Office for Surveying, Mapping and Cadastre cuzk.cz. Based on this research the situation on real estate market was described in details in the thesis and the databases were built. Furthermore, the administrative price and the usual price were determined for three chosen family houses located in different parts of the city (in Břeclav center, in Stará Břeclav, in Poštorná). The final part of diploma thesis is devoted to the analysis of critical influences, especially the influence of the location. Both of comparison of results from individual parts of the city and comparison with existing knowledge found by search activities were made.