Qualidade dos cuidados a idosos dependentes de cuidadores informais com risco de úlcera de pressão

Para garantir a qualidade nos cuidados de saúde é necessário conhecer as principais componentes do conceito de qualidade, elaborar um programa de garantia da qualidade, avaliar de uma forma sistemática a execução do programa e definir o modelo conceptual a aplicar. A prevenção das úlceras de pressão é uma preocupação dos profissionais de saúde que prestam cuidados aos idosos dependentes de cuidadores informais, sendo a sua prevenção um desafio para a equipa de enfermagem, uma vez que a incidência de úlcera de pressão é frequente nestes. A aposta na prevenção e tratamento da UP terá um efeito positivo na qualidade de cuidados prestados. Tendo em conta esta problemática, foi feito o diagnóstico de situação com base na observação dos registos de enfermagem, bem como os procedimentos inerentes à prevenção e tratamento de úlceras de pressão, com a finalidade de contribuir para a implementação de um programa de melhoria contínua da qualidade dos cuidados a idosos dependentes de cuidadores informais com risco de úlceras de pressão. Após esta fase definiram-se algumas estratégias que consideramos pertinentes implementar. Com as atividades desenvolvidas neste trabalho, esperamos melhorar a informação produzida conseguindo obter dados que permitem melhorar os cuidados de enfermagem aos idosos/família com risco de UP, assim como, contribuir para a identificação de problemas e definições de estratégias de melhoria no futuro.

The specific shapes of gender imbalance in scientific authorships : a network approach

Gender differences in collaborative research have received little at- tention when compared with the growing importance that women hold in academia and research. Unsurprisingly, most of bibliomet- ric databases have a strong lack of directly available information by gender. Although empirical-based network approaches are often used in the study of research collaboration, the studies about the influence of gender dissimilarities on the resulting topological outcomes are still scarce. Here, networks of scientific subjects are used to characterize patterns that might be associated to five categories of authorships which were built based on gender. We find enough evidence that gen- der imbalance in scientific authorships brings a peculiar trait to the networks induced from papers published in Web of Science (WoS) in- dexed journals of Economics over the period 2010-2015 and having at least one author affiliated to a Portuguese institution. Our re- sults show the emergence of a specific pattern when the network of co-occurring subjects is induced from a set of papers exclusively au- thored by men. Such a male-exclusive authorship condition is found to be the solely responsible for the emergence that particular shape in the network structure. This peculiar trait might facilitate future network analyses of research collaboration and interdisciplinarity.

A organização do processo de projeto de arquitetura no meio profissional: uma análise da produção em escritórios

This paper examines, through case studies, the organization of the production process of architectural projects in architecture offices in the city of Natal, specifically in relation to building projects. The specifics of the design process in architecture, the production of the project in a professional field in Natal, are studied in light of theories of design and its production process. The survey, in its different phases, was conducted between March 2010 and September 2012 and aimed to identify, understand, and analyze comparatively, by mapping the design process, the organization of production of building projects in two offices in Natal, checking as well the relationships of their agents during the process. The project was based on desk research and exploration, adopting, for both, data collection tools such as forms, questionnaires, and interviews. With the specific aim of mapping the design process, we adopted a technique that allows obtaining the information directly from employee agents involved in the production process. The technique consisted of registering information by completing daily, during or at the end of the workday, an individual virtual agenda, in which all agent collaborators described the tasks performed. The data collected allowed for the identification of the organizational structure of the office, its hierarchy, the responsibilities of agents, as well as the tasks performed by them during the two months of monitoring at each office. The research findings were based on analyses of data collected in the two offices and on comparative studies between the results of these analyses. The end result was a diagnostic evaluation that considered the level of organization and elaborated this perspective, as well as proposed solutions aimed at improving both the organization of the process and the relationships between the agents under the lens analyzed

AMPLITUDE-VERSUS-ANGLE ANALYSIS AND WIDE-ANGLE-INVERSION OF CROSSWELL SEISMIC DATA IN A CARBONATE RESERVOIR

Crosswell data set contains a range of angles limited only by the geometry of the source and receiver configuration, the separation of the boreholes and the depth to the target. However, the wide angles reflections present in crosswell imaging result in amplitude-versus-angle (AVA) features not usually observed in surface data. These features include reflections from angles that are near critical and beyond critical for many of the interfaces; some of these reflections are visible only for a small range of angles, presumably near their critical angle. High-resolution crosswell seismic surveys were conducted over a Silurian (Niagaran) reef at two fields in northern Michigan, Springdale and Coldspring. The Springdale wells extended to much greater depths than the reef, and imaging was conducted from above and from beneath the reef. Combining the results from images obtained from above with those from beneath provides additional information, by exhibiting ranges of angles that are different for the two images, especially for reflectors at shallow depths, and second, by providing additional constraints on the solutions for Zoeppritz equations. Inversion of seismic data for impedance has become a standard part of the workflow for quantitative reservoir characterization. Inversion of crosswell data using either deterministic or geostatistical methods can lead to poor results with phase change beyond the critical angle, however, the simultaneous pre-stack inversion of partial angle stacks may be best conducted with restrictions to angles less than critical. Deterministic inversion is designed to yield only a single model of elastic properties (best-fit), while the geostatistical inversion produces multiple models (realizations) of elastic properties, lithology and reservoir properties. Geostatistical inversion produces results with far more detail than deterministic inversion. The magnitude of difference in details between both types of inversion becomes increasingly pronounced for thinner reservoirs, particularly those beyond the vertical resolution of the seismic. For any interface imaged from above and from beneath, the results AVA characters must result from identical contrasts in elastic properties in the two sets of images, albeit in reverse order. An inversion approach to handle both datasets simultaneously, at pre-critical angles, is demonstrated in this work. The main exploration problem for carbonate reefs is determining the porosity distribution. Images of elastic properties, obtained from deterministic and geostatistical simultaneous inversion of a high-resolution crosswell seismic survey were used to obtain the internal structure and reservoir properties (porosity) of Niagaran Michigan reef. The images obtained are the best of any Niagaran pinnacle reef to date.

Three Essays on Dual-Class Stock Structure

Dual-class stock structure is characterized by the separation of voting rights and cash flow rights. The departure from a common “one share-one vote” configuration creates ideal conditions for conflicts of interest and agency problems between controlling insiders (the holders of voting rights) and remaining shareholders. The owners of voting rights have the opportunity to extract private benefits and act in their personal interest; as a result, dual-class firms are often perceived to have low transparency and high information asymmetry. This dissertation investigates the quality of information and the information environment of firms with two classes of stock. The first essay examines the quality of information by studying accruals in dual-class firms in comparison to firms with only one class of stock. The results suggest that the quality of accruals is better in dual-class firms than in single-class firms. In addition, the difference in the quality of accruals between firms that abolish their dual-class share structure by unification and singe-class firms disappears in the post-unification period. The second essay investigates the earnings informativeness of dual-class firms by examining the explanatory power of earnings for returns. The results indicate that the earnings informativeness is lower for dual-class firms as compared to single-class firms. Earnings informativeness improves in firms that unify their shares. The third essay compares the level of information asymmetry between dual-class firms and single-class firms. It is documented that the information environment for dual-class firms is worse than for single-class firms. Also, the finding suggests that the difference in information environment between dual-class firms and single-class firms disappears after dual-class stock unification.

Reprogramming of DNA Methylation in Pollen Guides Epigenetic Inheritance via Small RNA

Epigenetic inheritance is more widespread in plants than in mammals, in part because mammals erase epigenetic information by germline reprogramming. We sequenced the methylome of three haploid cell types from developing pollen: the sperm cell, the vegetative cell, and their precursor, the postmeiotic microspore, and found that unlike in mammals the plant germline retains CG and CHG DNA methylation. However, CHH methylation is lost from retrotransposons in microspores and sperm cells and restored by de novo DNA methyltransferase guided by 24 nt small interfering RNA, both in the vegetative nucleus and in the embryo after fertilization. In the vegetative nucleus, CG methylation is lost from targets of DEMETER (DME), REPRESSOR OF SILENCING 1 (ROS1), and their homologs, which include imprinted loci and recurrent epialleles that accumulate corresponding small RNA and are premethylated in sperm. Thus genome reprogramming in pollen contributes to epigenetic inheritance, transposon silencing, and imprinting, guided by small RNA.

Library, Archives and Museum Annual Assessment Report, 2004-2005

The Library, Archives and Museum are a major component of South Carolina’s only state-assisted military college, The Citadel. They participate in the teaching, research, and public service programs of The Citadel: by providing scholarly information; by the acquisition, organization, management, preservation, and arrangement of collections for access and use; by provision of supportive reference and instruction services; and by a variety of cooperative and reciprocal programs in the local area, the region and the state. This annual report discusses their activities for the year 2004/05.

STIP Statewide Transportation Improvement Program 2017-2022

The South Carolina Statewide Transportation Improvement Program is the six-year transportation improvement program for all projects and program areas receiving federal funding, including pavements, bridges, upgrades, freight, safety, congestion mitigation and air quality, transportation alternatives program, railroad crossings, planning, State Infrastructure Bank payments, preventative maintenance and operations, and public transportation. The STIP is formatted to include summaries of statewide programming, as well as project information by county. In addition, regional project tables are included to account for multi-jurisdictional projects.

As representações do ofício de professor : uma investigação empírica

Este trabalho de investigação, de natureza empírica, procurou conhecer e reflectir sobre as representações do ofício de Professor para os entrevistados, fossem eles docentes ou não docentes. As diversas questões que permeiam o debate sobre a formação docente e a qualidade do ensino são destacadas pelos profissionais da educação e por profissionais de áreas completamente distintas. O papel do Professor é o foco central das entrevistas e a profissão docente, apesar das dificuldades apontadas, é reconhecida e exaltada como uma profissão de fundamental importância para quem almeja a construção de um mundo melhor e de uma sociedade mais justa. A metodologia de pesquisa utilizada é, quanto ao fim, descritiva e, em relação aos meios de investigação, bibliográfica e de pesquisa de campo. Neste trabalho, foi utilizado o método de análise de conteúdo baseado em BARDIN. Este método aparece como um conjunto de técnicas de análise das comunicações que utiliza procedimentos sistemáticos e objectivos de descrição do conteúdo das mensagens. As respostas dos entrevistados foram categorizadas segundo as regras de análise de categorização das informações por homogeneidade, exaustividade, exclusividade, objectividade e adequação ou pertinência. Seguindo-se esta metodologia e com o objectivo assumido de contribuir para o debate acerca da formação docente, foi realizado o presente estudo de investigação, que agora se apresenta. /ABSTRACT: This research, empirical, sought to know and reflect on the representations of the Professor's profession on respondents, teachers and non teachers. The various issues in the debate over teacher formation and teaching quality are highlighted by education professionals and professionals from other areas. The teacher's role is the central focus of the interviews and, despite the perceived difficulties, the teaching is recognized and praised as a profession of fundamental importance for anyone who longs the building of a better wor1d and a fairer society. A descriptive research was used, based on literature and field research. ln this study, we used the method of content analysis based on Bardin. This method appears as a set of techniques of communication that uses systematic and objective description of the messages contents. The respondents' answers were categorized according to the rules of analysis of categorization of information by homogeneity, completeness, uniqueness, suitability or appropriateness and objectivity. Following this methodology and with the admitted goal of contributing to the debate on teacher education, was conducted this research study, which now presents itself.

Sistema de referenciação geográfica

Nos dias de hoje o acesso à informação por parte das empresas é vital para o bom desempenho das suas funções. As empresas de telecomunicações não fogem à regra, a sua posição no mercado está dependente das decisões que são tomadas com base na avaliação dessa informação. Para suportar os processos de apoio à decisão é coerente recorrer-se a Data Warehouses que permitem integrar informação de diversas fontes, verificando a sua qualidade, actualização e coerência, organizando-a para um fácil acesso e consulta de vários pontos de vista. Numa empresa de telecomunicações móvel, um Data Mart geográfico baseado na informação de tráfego da companhia que pode identificar as localizações preferenciais dos utilizadores na rede é muito importante porque fornece indicadores muito úteis para o departamento de marketing e negócio da empresa de maneira a que se saiba onde e como actuar para permitir que esta se desenvolva e ganhe vantagem no mercado. ABSTRACT: Today the access to information by enterprises is vital for the company’s performance. Telecommunications companies are no exception. Their position in the market is dependent on the decisions that are taken based on the evaluation of such information. To support the decision making process Data Warehouse is today an extremely useful tool; it integrates information from different sources, checking on its validity, quality and update, coherence, organizing it for an easy access and search from various perspectives. ln a mobile telecommunications company a geographical Data Mart-based traffic information that can identify the preferential locations of users on the network is very important It provides useful indicators to the Department of Marketing and Business there by allowing you to know where and how to act and boosting the development of the company.

Criação de uma ontologia e respectiva povoação a partir do processamento de relatórios médicos

A evolução tecnológica tem provocado uma evolução na medicina, através de sistemas computacionais voltados para o armazenamento, captura e disponibilização de informações médicas. Os relatórios médicos são, na maior parte das vezes, guardados num texto livre não estruturado e escritos com vocabulário proprietário, podendo ocasionar falhas de interpretação. Através das linguagens da Web Semântica, é possível utilizar antologias como modo de estruturar e padronizar a informação dos relatórios médicos, adicionando¬ lhe anotações semânticas. A informação contida nos relatórios pode desta forma ser publicada na Web, permitindo às máquinas o processamento automático da informação. No entanto, o processo de criação de antologias é bastante complexo, pois existe o problema de criar uma ontologia que não cubra todo o domínio pretendido. Este trabalho incide na criação de uma ontologia e respectiva povoação, através de técnicas de PLN e Aprendizagem Automática que permitem extrair a informação dos relatórios médicos. Foi desenvolvida uma aplicação, que permite ao utilizador converter relatórios do formato digital para o formato OWL. ABSTRACT: Technological evolution has caused a medicine evolution through computer systems which allow storage, gathering and availability of medical information. Medical reports are, most of the times, stored in a non-structured free text and written in a personal way so that misunderstandings may occur. Through Semantic Web languages, it’s possible to use ontology as a way to structure and standardize medical reports information by adding semantic notes. The information in those reports can, by these means, be displayed on the web, allowing machines automatic information processing. However, the process of creating ontology is very complex, as there is a risk creating of an ontology that not covering the whole desired domain. This work is about creation of an ontology and its population through NLP and Machine Learning techniques to extract information from medical reports. An application was developed which allows the user to convert reports from digital for¬ mat to OWL format.

A Pedagogical Strategy for Integrated Education of Spanish in the 4th to 6th Grades of the General Basic Education

Language teaching has become a priority in the Costa Rican educational system, considering it as a tool for communication and development of thought. Without language, there is no access to other curriculum disciplinary knowledge. A successful experience conducted some years ago, with students from 4th to 6th grade, was the basis for the design and implementation of a professional development activity addressed to promoting an integration strategy previously adjusted according to the Ministry’s requirements and the existing national regulations. This study is developed in the framework of a qualitative paradigm including research-action and systematization. A purposive sample was selected based on a suitability factor, through which individuals are informed about the strategy, and then the strategy is applied to a group of students from urban-marginal areas. The techniques used include literature review, analysis of curriculum and Ministry’s regulations, application of an in-depth interview, discussions from the course’s participant in a portfolio, and discussions from students to whom the strategy was applied. We analyzed the considerations of teachers and students, as well as the theoretical and regulatory information by triangulation. The study’s conclusion is the necessity of a communicative approach in language teaching and our recommendation is to implement the strategy developed in the Costa Rican classrooms as provided in this paper.

INTERNET Y LA GEOGRAFÍA

 Los geógrafos ahora tienen a su disposición la red mundial de INTERNET. Esta res es mucho más que un depósito gigante de datos y programas. Es un cúmulo de experiencias humanas que incluyen texto, artículos, imagen,  video y foros de discusión. Es una nueva forma de procesamiento a la información de formas que antes considerábamos imposibles. El profesional que continúe procesando y obteniendo información de la manera tradicional se estará quedando al margen de nuevo conocimiento disponible a diario en INTERNET. El profesional de hoy no se limita a recopilar información en una biblioteca o librería, sino que accesa directamente sitios de búsqueda que le permitirán encontrar rápidamente los datos que busca. Un ejemplo, son los meteorólogos que tienen en INTERNET su mejor herramienta, ya que pueden recuperar imágenes sobre el clima casi inmediatamente después que son almacenadas desde el satélite, lo cual les permite evaluar y discernir sobre el estado actual del clima (Aberdeen University Compiting Center, 1996). Las imágenes las pueden ver y bajar a su computadora individual para su propio uso. Los profesores en la actualidad brindan al estudiante todo su material almacenándolo en INTERNET. La relación profesor-estudiante ya no es la misma. Al estudiante se le exige encontrar la información en su computadora y asimilarla. El viejo cuaderno no es necesario, las lecciones pueden ser recuperadas para su estudio sin que el profesor tenga que impartirlas, como se hace en la mayoría de las universidades de los Estados Unidos (Ohio State University, 1996). En general, este articulo persigue mostrar a los profesionales de las ciencias geográficas, dónde encontrar la información que buscan t cómo localizar más de lo que imaginan con la red INTERNET.  ABSTRACT Geographers now have at their disposition the world network of INTERNET. This network is much more than just a large deposit of digital data and programs. It is an accumulation of human experiences that include text, articles, images, videos, and discussion bulletin boards. It is a new form of processing and managing information that was previously considered impossible. The professional who continues searching and obtaining information by traditional methods will be left on the fringes of this new wave of digital information and material available daily on INTERNET. Hence, a professional is not limited to compiling information in libraries or bookstores as direct and rapid access of desired research materials is available on the INTERNET. For example, meteorologists have in INTERNET their best tool in that they can acquire meteorologic satellite images, which permit them to evaluate and discern the actual present climatic situation (Aberdeen University Computing Center, 1996). One can see and then down load to one´s personal computer imagines of interest for personal use. Professors can offer to students all their materials for a class through and stores on the INTERNET. The relationship between professor and student is not the same. Students can be asked to access and assimilate the information via individual computers connected to the INTERNTET. Notebooks are becoming obsolete given that all class lectures and materials could be placed on the INTERNET for review without a professor having to give a lecture, as is being done in many universities of the United States (Ohio State University, 1996).This article pursues showing, in general, where professionals in Geographical Sciences can find available information and much more on the INTERNET.

Scrittura, sociabilità e strategie di persuasione: Marie-Anne Paulze-Lavoisier, secrétaire (1758-1836)

Attraverso uno studio di caso, centrato su Marie-Anne Paulze-Lavoisier (1758-1836), la tesi tratta di pratiche legate all’annotazione e, più in generale, alla registrazione di informazioni su supporti cartacei tra gli anni ’70 del Settecento e gli anni ‘30 dell’Ottocento. Nota oggi come moglie e collaboratrice del chimico Antoine-Laurent Lavoisier (1743-1794), di cui avrebbe promosso le teorie attraverso un’attività di traduttrice e illustratrice, Paulze-Lavoisier è qui presentata nella veste di “secrétaire”, ossia di figura incaricata di mettere per iscritto osservazioni di varia natura. Ci si concentra, in particolare, sui Registres de laboratoire di Lavoisier, 14 quaderni petit in-folio a cui sono affidati i resoconti di esperimenti condotti a Parigi tra il 1772 e il 1788 e che rilevano in misura significativa della mano di lei. Oggetto finora di una storia del pensiero scientifico, interessata alle “idee” in essi contenute, i Registres sono da noi riletti alla luce di un approccio “materiale”, attento alle pratiche e alle condizioni della loro compilazione e del loro riutilizzo nel tempo. Si indagano quindi le funzioni di questi quaderni rispetto alla pratica sperimentale, ricostruendo al contempo i tratti e le evoluzioni del ruolo di segretaria affidato a Paulze-Lavoisier. Il focus su Paulze-Lavoisier permette da un lato a sollevare nuove domande in merito al rapporto tra scrittura delle note, genere e sociabilità ma anche, ad un altro livello, alla cosiddetta “invisibilità” degli assistenti; dall’altro offre la materia per una storia lunga dei Registres, che dai primi gesti in essi da lei operati agli inizi degli anni ’70 del Settecento arriva fino alle manipolazioni a cui sono sottoposti, per sua volontà, nei primi decenni dell’Ottocento.

How do Firms ask for Consumers’ Data Permission? The Value of Companies Data Practices.

On May 25, 2018, the EU introduced the General Data Protection Regulation (GDPR) that offers EU citizens a shelter for their personal information by requesting companies to explain how people’s information is used clearly. To comply with the new law, European and non-European companies interacting with EU citizens undertook a massive data re-permission-request campaign. However, if on the one side the EU Regulator was particularly specific in defining the conditions to get customers’ data access, on the other side, it did not specify how the communication between firms and consumers should be designed. This has left firms free to develop their re-permission emails as they liked, plausibly coupling the informative nature of these privacy-related communications with other persuasive techniques to maximize data disclosure. Consequently, we took advantage of this colossal wave of simultaneous requests to provide insights into two issues. Firstly, we investigate how companies across industries and countries chose to frame their requests. Secondly, we investigate which are the factors that influenced the selection of alternative re-permission formats. In order to achieve these goals, we examine the content of a sample of 1506 re-permission emails sent by 1396 firms worldwide, and we identify the dominant “themes” characterizing these emails. We then relate these themes to both the expected benefits firms may derive from data usage and the possible risks they may experience from not being completely compliant to the spirit of the law. Our results show that: (1) most firms enriched their re-permission messages with persuasive arguments aiming at increasing consumers’ likelihood of relinquishing their data; (2) the use of persuasion is the outcome of a difficult tradeoff between costs and benefits; (3) most companies acted in their self-interest and “gamed the system”. Our results have important implications for policymakers, managers, and customers of the online sector.