Reliability of the information about the history of diagnosis and treatment of hypertension. Differences in regard to sex, age, and educational level. The pró-saúde study

OBJECTIVE: To assess the intraobserver reliability of the information about the history of diagnosis and treatment of hypertension. METHODS: A multidimensional health questionnaire, which was filled out by the interviewees, was applied twice with an interval of 2 weeks, in July '99, to 192 employees of the University of the State of Rio de Janeiro (UERJ), stratified by sex, age, and educational level. The intraobserver reliability of the answers provided was estimated by the kappa statistic and by the coefficient of intraclass correlation (CICC). RESULTS: The general kappa (k) statistic was 0.75 (95% CI=0.73-0.77). Reliability was higher among females (k=0.88, 95% CI=0.85-0.91) than among males (k=0.62, 95% CI=0.59-0.65).The reliability was higher among individuals 40 years of age or older (k=0.79; 95% CI=0.73-0.84) than those from 18 to 39 years (k=0.52; 95% CI=0.45-0.57). Finally, the kappa statistic was higher among individuals with a university educational level (k=0.86; 95% CI=0.81-0.91) than among those with high school educational level (k=0.61; 95% CI=0.53-0.70) or those with middle school educational level (k=0.68; 95% CI=0.64-0.72). The coefficient of intraclass correlation estimated by the intraobserver agreement in regard to age at the time of the diagnosis of hypertension was 0.74. A perfect agreement between the 2 answers (k=1.00) was observed for 22 interviewees who reported prior prescription of antihypertensive medication. CONCLUSION: In the population studied, estimates of the reliability of the history of medical diagnosis of hypertension and its treatment ranged from substantial to almost perfect reliability.

Experimental validation of a proposed single-phase five-level active rectifier operating with model predictive current control

This paper presents a model predictive current control applied to a proposed single-phase five-level active rectifier (FLAR). This current control strategy uses the discrete-time nature of the active rectifier to define its state in each sampling interval. Although the switching frequency is not constant, this current control strategy allows to follow the reference with low total harmonic distortion (THDF). The implementation of the active rectifier that was used to obtain the experimental results is described in detail along the paper, presenting the circuit topology, the principle of operation, the power theory, and the current control strategy. The experimental results confirm the robustness and good performance (with low current THDF and controlled output voltage) of the proposed single-phase FLAR operating with model predictive current control.

Las transformaciones de la burocracia provincial: capacidades del Estado en la provincia de Córdoba. Transformations of provincial bureaucracy: State´s capacities in the province of Córdoba.

A partir de las políticas de descentralización llevadas adelante en Argentina desde la década de los ochenta, las provincias han adquirido desde entonces una importante serie de nuevas funciones lo cual las ha obligado a ampliar y diversificar sus estructuras burocráticas y administrativas. Lo que este proyecto busca abordar es un análisis de las transformaciones ocurridas durante los últimos veinte años en la organización burocrática del estado provincial en Córdoba. El proyecto pretende indagar dos aspectos de la organización burocrática: por un lado, el diseño organizacional institucional (leyes de Ministerios) y la división del trabajo que ello implica; y por otro lado, los principales procesos administrativos transversales que articulan funcionalmente las diferentes áreas de la burocracia provincial (administración financiera y recursos humanos). A partir de ello nos interesa poner en relación estas transformaciones con los cambios que va experimentando la agenda gubernamental. Suponemos, en este sentido, que los cambios organizacionales responden a cambios en dicha agenda y a la relación de fuerzas políticas que va implícita en la conformación de las mismas. De este modo, nuestra hipótesis plantea que los cambios organizaciones generados por la transformación de las agendas se manifiestan de forma más inmediata en la dimensión del diseño organizacional, mientras que los procesos administrativos transversales experimentan cambios más graduales y no necesariamente vinculados a las transformaciones de la primera dimensión. El objetivo general es analizar las transformaciones de la Administración Pública Provincial (APP) en la provincia de Córdoba, a través de dos dimensiones (el diseño de la organización burocrática y los procesos administrativos transversales), desde el retorno a la democracia (1983) a la actualidad. La investigación será realizada a la luz de posturas epistemológicas y metodológicas que en las ciencias sociales sustentan la triangulación de métodos. Recurriremos tanto a fuentes documentales y estadísticas para reconstruir el proceso de transformación de la APP, como a entrevistas semiestructuradas con actores claves para indagar sobre las dimensiones identificadas en el proyecto. Se encuadra en lo que metodológicamente se denomina "estudio de caso". La investigación permitirá fortalecer el estudio de la administración y las organizaciones públicas, lo que representa una tarea altamente significativa (y necesaria) para el mejoramiento del sector público y las necesidades de la ciudadanía. El impacto esperable es la explicitación y sistematización de las transformaciones del aparato burocrático, que puedan ser observadas, mejoradas y desarrolladas por el conjunto de las carteras ministeriales, y la confección de estrategias y tecnologías de gestión que permitan incrementar las capacidades de la administración pública provincial en la realización de las políticas y la resolución de los problemas sociales.

Tourism education in Ireland : an analysis of the provision of third level tourism education in Ireland focusing on the needs of the public, private and voluntary sectors

Tourism education in Ireland has witnessed a transformation within the last four decades since CERT introduced the first fundamentals of training in the 1960’s. An analysis of the provision of tourism education in Ireland, focusing on the needs of the public, private and voluntary sectors was the main focus of this study and concentrates mainly on third level provision of tourism education within the island of Ireland. The study examines the role of tourism education in Ireland, establishing any current or emerging trends in third level tourism provision. It identifies and analyses the main stakeholders in the public, private and voluntary sectors and investigates if any requirements exist in the provision of third level education. The multi-faceted nature of the tourism industry has resulted in the provision of a diverse range of educational courses. As a result of this diversity, a question hangs over the status of tourism as a professional discipline within itself. Other issues identified through this study are the over provision of tourism courses and the current and future disparity within tourism education. The qualitative nature of the research involved questioning of major stakeholders and educators who influence tourism education provision and developing an overview of the current status of tourism education provision in Ireland identifying the present needs of each sector. Finally several strategies are suggested which may enhance third level tourism education in the future.

Quality management for education (second level schools)

Quality Management is a well-developed and widely used approach within industry to gain competitive edge and increased market share. It is a new management approach for schools who are now applying it without having the culture or experience of its evolution. Industrially based Quality management systems and excellence models have been developed. These excellence models and frameworks are based on the principles and concepts of TQM which are recognised as essential elements of high performing organisations. Schools are complex social institutions that provide a service. Like any other service industry, the customers of education are expecting and demanding a better service or else they will go elsewhere. Schools are beginning to reform and change to adapt to such demands. This has been reflected in Ireland in the Education Act, 1998. It is now the right time to develop a quality management system specifically for schools. The existing industrial excellence models have been modified for use in the private and public sector and some have been specifically tailored for education. The problem with such models is that they are still too sophisticated and the language still too industrial for schools. This Thesis develops and Excellence Model for Second Level Schools and provides guidance and school specific tools for its implementation.

Level of Physical Activity and In-Hospital Course of Patients with Acute Coronary Syndrome

Abstract Background: Acute coronary syndrome (ACS) is one of the main causes of morbidity and mortality in the modern world. A sedentary lifestyle, present in 85% of the Brazilian population, is considered a risk factor for the development of coronary artery disease. However, the correlation of a sedentary lifestyle with cardiovascular events (CVE) during hospitalization for ACS is not well established. Objective: To evaluate the association between physical activity level, assessed with the International Physical Activity Questionnaire (IPAQ), with in-hospital prognosis in patients with ACS. Methods: Observational, cross-sectional, and analytical study with 215 subjects with a diagnosis of ACS consecutively admitted to a referral hospital for cardiac patients between July 2009 and February 2011. All volunteers answered the short version of the IPAQ and were observed for the occurrence of CVE during hospitalization with a standardized assessment conducted by the researcher and corroborated by data from medical records. Results: The patients were admitted with diagnoses of unstable angina (34.4%), acute myocardial infarction (AMI) without ST elevation (41.4%), and AMI with ST elevation (24.2%). According to the level of physical activity, the patients were classified as non-active (56.3%) and active (43.7%). A CVE occurred in 35.3% of the cohort. The occurrence of in-hospital complications was associated with the length of hospital stay (odds ratio [OR] = 1.15) and physical inactivity (OR = 2.54), and was independent of age, systolic blood pressure, and prior congestive heart failure. Conclusion: A physically active lifestyle reduces the risk of CVE during hospitalization in patients with ACS.

Hypermodelling : next level software engineering with data warehouses

Magdeburg, Univ., Fak. für Informatik, Diss., 2013

A study of the mammals of Iran: resulting from the Street Expedition of 1962-63 [by] Douglas M. Lay.

v.54(1967)

A survey of the mammals of Afghanistan, resulting from the 1965 Street Expedition (excluding bats) [by] Jerry D. Hassinger.

v.60(1973)

Siphonaptera collected during the 1965 Street Expedition to Afghanistan [by] Robert E. Lewis.

v.64(1973)

Measuring sustained superior performance at the firm level

This paper proposes a two-dimensional Strategic Performance Measure (SPM) to evaluate the achievement of sustained superior performance. This proposal builds primarily on the fact that, under the strategic management perspective, a firm's prevalent objective is the pursuit of sustained superior performance. Three basic conceptual dimensions stem from this objective: relativity, sign dependence, and dynamism. These are the foundations of the SPM, which carries out a separate evaluation of the attained superior performance and of its sustainability over time. In contrast to existing measures of performance, the SPM provides: (i) a dynamic approach by considering the progress or regress in performance over time, and (ii) a cardinal measurement of performance differences and its changes over time. The paper also proposes an axiomatic framework that a measure of strategic performance should comply with to be theoretically and managerially sound. Finally, an empirical illustration of the Spanish banking sector during 1987-1999 is herein provided by discussing some relevant cases.

A note on Spatial Autocorrelation at a Local Level

In this paper we analyze the existence of spatial autocorrelation at a local level in Catalonia using variables such as urbanisation economies, population density, human capital and firm entries. From a static approach, our results show that spatial autocorrelation is weak and diminishes as the distance between municipalities increases. From a dynamic approach, however, spatial autocorrelation increased over the period we analysed. These results are important from a policy point of view, since it is essential to know how economic activities are spatially concentrated or disseminated. Key words: spatial autocorrelation, municipalities. JEL classification: R110, R120