1000 resultados para Especial needs


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Recull comentat de recursos en línia, d'abast general, relacionats amb la lectura fàcil. Donada la relació directa, s'hi inclouen recursos sobre serveis especials en biblioteques, adreçats a persones amb alguna discapacitat (psíquica o motora) o amb dificultats de lectura, és a dir, polítiques integradores, proinclusió social, polítiques d¿alfabetització i promoció de la lectura, etc. S'hi ressenyen directoris, guies, reculls d'adreces web, revistes, lectures recomanades, etc.

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El artículo trata de una manera extensiva la figura del "Accertamento con adesione del contribuente" o liquidaciones tributarias con acuerdo del contribuyente. Se incluye en el marco de los mecanismos de resolución alternativa de los conflictos tributarios en Italia.

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The Iowa Department of Public Health Bureau of Family Health and the Child Health Specialty Clinics embarked on a five-year needs assessment in March 2008 with a daylong strategic planning session involving key administrative and staff personnel from both agencies. As part of the strategic planning, the participants began preparation of a comprehensive assessment to identify the need in Iowa for: preventive and primary care services for pregnant women, mothers, and infants; preventive and primary care services for children; and services for children and youth with special health care needs.

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Objectives The purpose of this study is to assess short and long term changes in knowledge, attitudes, and skills among medical residents following a short course on cultural competency and to explore their perspectives on the experience. Methods Eighteen medical residents went through a short training programme comprised of two seminars lasting 30' and 60' respectively over two days. Three months later, we conducted three focus groups, with 17 residents to explore their thoughts, perspectives and feedback about the course. To measure changes over time, we carried out a quantitative sequential survey before the seminars, three days after, and three months later using the Multicultural Assessment Questionnaire. Results Residents expressed a wide variety of perspectives on the main themes related to the content of the training - culture, trialogue, stereotypes, status, epidemiology, history and geopolitics - and related to its organization - relevance, volume, timing, target audience, training tools, and working material. Using the MAQ, we observed a higher global performance score (n=16) at three days (median=38) compared to results before the training (median=33) revealing a median difference of 5.5 points (z=2.4, p=0.015). This difference was still present at three months (∆=4.5, z=2.4, p=0.018), mainly due to knowledge acquisition (∆=3) rather than attitudes (∆=0) or skills (∆=1). Conclusions Cross-cultural competence training not only brings awareness of multicultural issues but also helps participants understand their own cultures, perception of others and preconceived ideas. Physicians' education should however also focus on improving implementation of acquired knowledge in cross-cultural competence.

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Following the decision of the Swiss Association for Home Care Services to adopt the Resident Assessment Instrument (RAI), the RAI-Home Care is gradually implemented in all home care services in Switzerland. Based on a comprehensive geriatric assessment, the RAI not only allows to establish an individualized plan of care, but also generates quality indicators and a case-mix classification system that helps financing and planning resources. This article describes the five steps of the RAI-Home Care process and discusses the strengths, future and limitations of the RAI.

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According to the Centers for Disease Control and Prevention (CDC), the number of adults reporting a disability is expected to increase, along with the need for appropriate medical and public health services. People with disabilities (PWD) face many barriers to good heath, including having overall poorer health, less access toadequate health care, limited access to health insurance, skipping mediacl care because of cost, and engaging in risky health behaviors including smoking and physical inactivity. The goals of the Iowa public health needs assessment were to assess the burden of disability in Iowa counties including health risk factors such as chronic conditions, determine access to preventive health care, and determine the effect of socioeconomic conditions. The state level assessment was based on th 2009-2012 American Community Survey (ACS) and publiccally available Behavioral Risk FactorSurveillance System (BRFSS) 2011 survey. The 2001-2010 combined BRFSS data was used for county level assessment. The needs assessment led us to conclude that adult Iowans with idsabilities face several challenges compared to non-disabled adults. They are more likely to suffer from debilitating chronic conditions and social disparities. Counties with the higher levels of poverty were more likely to have PWD with higher levels of disability related disparities.

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En el presente trabajo se comenta la línea jurisprudencial iniciada por el Auto de la Sala Especial de Conflictos de Competencia del Tribunal Supremo de 27 de diciembre de 2001, por la que se atribuye al orden civil la competencia para enjuiciar las demandas dirigidas conjuntamente contra la Administraciónpública y su aseguradora de responsabilidad extracontractual, reabriendo la polémica que parecía zanjada tras la triple reforma legislativa de 1998 y 1999, que afirmó la competencia exclusiva de la jurisdicción contencioso-administrativa para conocer de los pleitos de responsabilidad patrimonial de la Administración.

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En aquest treball es comenta la línia jurisprudencial iniciada per la Interlocutòria de la Sala Especial de Conflictes de Competència del Tribunal Suprem de 27 de desembre de 2001, per la qual s¿atribueix a l'orde civil la competència per jutjar les demandes dirigides conjuntament contra l'Administració pública i la seva asseguradora de responsabilitat extracontractual, reobrint la polèmica que semblava tancada després de la triple reforma legislativa de 1998 i 1999, que afirmà la competència exclusiva de la jurisdicció contenciosa administrativa per conèixer dels plets de responsabilitat patrimonial de l'Administració.

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Iowa Counties have been experiencing significant tort claim liability due to the signing of local roads. One such problem is relative to the real or alleged need for signing at uncontrolled intersections of local roads. It has been assumed that the standard CROSS ROAD sign, which calls for a yellow diamond with a black cross, was sufficient to provide the necessary warning that a driver may be approaching an intersection which requires special precautionary driving attention. However, it is possible that this sign on a through highway might conflict with the legal status of the local county road. In light of this situation, it seemed worthwhile to know the extent to which uncontrolled local road intersections were perceived as a potential liability problem; the degree to which the standard CROSS ROAD sign communicated to the driver the message a county engineer wanted at these local road intersections; and whether there were any better signing alternatives available to communicate this hazard to the driver in this situation.

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En este artículo, al tiempo que se reclama la necesidad de llevar a cabo investigaciones que permitan conocer qué está pasando en la escuela primaria, se señalan y analizan cuatro aspectos que pueden servir como indicadores de una situación que se define como de «calma blanca», es decir, de tiempo de espera en el que casi nada sucede: (a) la preeminencia de la noción de aprendiz frente a la de sujeto pedagógico; (b) el papel de los libros de texto como mediadores de aprendizaje; (c) las concepciones sobre la enseñanza y el aprendizaje y (d) la organización del curriculum por materias. Estos cuatro aspectos se consideran como ejemplos de una situación en la educación primaria, frente a la que se proponen algunas vías para repensar el estado actual de cosas y salir de él.

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This study aimed to assess the psychometric robustness of the French version of the Supportive Care Needs Survey and breast cancer (BC) module (SCNS-SF34-Fr and SCNS-BR8-Fr). Breast cancer patients were recruited in two hospitals (in Paris, France and Lausanne, Switzerland) either in ambulatory chemotherapy or radiotherapy, or surgery services. They were invited to complete the SCNS-SF34-Fr and SCNS-BR8-Fr as well as quality of life and patient satisfaction questionnaires. Three hundred and eighty-four (73% response rate) BC patients returned completed questionnaires. A five-factor model was confirmed for the SCNS-SF34-Fr with adequate goodness-of-fit indexes, although some items evidenced content redundancy, and a one-factor was identified for the SCNS-BR8-Fr. Internal consistency and test-retest estimates were satisfactory for most scales. The SCNS-SF34-Fr and SCNS-BR8-Fr scales demonstrated conceptual differences with the quality of life and satisfaction with care scales, highlighting the specific relevance of this assessment. Different levels of needs could be differentiated between groups of BC patients in terms of age and level of education (P < 0.001). The SCNS-SF34-Fr and SCNS-BR8-Fr present adequate psychometric properties despite some redundant items. These questionnaires allow for the crucial endeavour to design appropriate care services according to BC patients' characteristics.

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The purpose of this study is to provide recommendations relative to the location and construction needs for highway maintenance facilities within the state of Iowa. These recommendations were to be developed with consideration being given to the public's expectations and priorities for highway maintenance services. As a part of the study effort, a review was made of the methods used by other states to deliver highway maintenance services. To accomplish the study, Wilbur Smith Associates undertook a series of tasks. These efforts included gathering of data and information to characterize the various maintenance programs and the delivery of maintenance and operations services by the Department. We researched the delivery of highway maintenance services in other states. Interviews with Iowa DOT maintenance personnel were accomplished. A schedule of public hearings was developed and ten hearings were held. All the information was integrated and various analyses were made. From these analyses we drew conclusions and developed recommendations.

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This project examines similarities and differences between the automated condition data collected on and off county paved roads and the manual condition data collected by Iowa Department of Transportation (DOT) staff in 2000 and 2001. Also, the researchers will provide staff support to the advisory committee in exploring other options to the highway need process. The results show that the automated condition data can be used in a converted highway needs process with no major differences between the two methods. Even though the foundation rating difference was significant, the foundation rating weighting factor in HWYNEEDS is minimal and should not have a major impact. In terms of RUTF formula based distribution, the results clearly show the superiority of the condition-based analysis compared to the non-condition based. That correlation can be further enhanced by adding more distress variables to the analysis.

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En la actualitat, la circulació de vehicles s'ha convertit en una activitat bàsica per al desenvolupament de l'economia mundial a la vegada que ha comportat una innumerable quantitat d'avantatges per als individus en àmbits tan dispars com són els laborals o els d'oci. Els progressos de la indústria automobilística han estat extraordinaris. No obstant això, ni el procés d'aprenentatge i adaptació per part dels conductors ni la millora del sistema d'infraestructures ha estat tan espectacular com l'augment del parc mòbil. A més, la informació subministrada pels mass media, en general, ha propiciat més que previngut la conducció irresponsable i perillosa. En conseqüència, el número de morts i ferits en accidents de trànsit es tan important que es pot considerar que estem davant un autèntic problema de salut pública mundial. Els poders públics han promogut campanyes publicitàries a favor d'una conducció responsable, han invertit en educació vial, han millorat la xarxa de carreteres i han creat un sistema sancionador administratiu i penal per castigar les infraccions a les normes de trànsit. Els resultats obtinguts han estat positius, reduint-se la mortalitat en Espanya en més d'un 50%. No obstant això, davant la persistència del número d'accidents mortals o amb greus lesions, el legislador ha optat per incrementar el sistema punitiu, limitant principis constitucionals tan bàsics com són els de presumpció d'innocència o de defensa.