Condom use with steady partners among heterosexual people living with HIV in Europe: testing the information-motivation-behavioral skills model.

Guided by a modified information-motivation-behavioral skills model, this study identified predictors of condom use among heterosexual people living with HIV with their steady partners. Consecutive patients at 14 European HIV outpatient clinics received an anonymous, standardized, self-administered questionnaire between March and December 2007. Data were analyzed using descriptive statistics and two-step backward elimination regression analyses stratified by gender. The survey included 651 participants (n = 364, 56% women; n = 287, 44%). Mean age was 39 years for women and 43 years for men. Most had acquired HIV sexually and more than half were in a serodiscordant relationship. Sixty-three percent (n = 229) of women and 59% of men (n = 169) reported at least one sexual encounter with a steady partner 6 months prior to the survey. Fifty-one percent (n = 116) of women and 59% of men (n = 99) used condoms consistently with that partner. In both genders, condom use was positively associated with subjective norm conducive to condom use, and self-efficacy to use condoms. Having a partner whose HIV status was positive or unknown reduced condom use. In men, higher education and knowledge about condom use additionally increased condom use, while the use of erectile-enhancing medication decreased it. For women, HIV disclosure to partners additionally reduced the likelihood of condom use. Positive attitudes to condom use and subjective norm increased self-efficacy in both genders, however, a number of gender-related differences appeared to influence self-efficacy. Service providers should pay attention to the identified predictors of condom use and adopt comprehensive and gender-related approaches for preventive interventions with people living with HIV.

A construção de um ambiente virtual de aprendizagem para educação a distância: uma estratégia educativa em serviço

Este estudo objetivou descrever sobre construção de um Ambiente Virtual de Aprendizagem (AVA) em rede social para a implementação da Educação a Distância (EAD), desenvolvido em instituição hospitalar pública cardiológica por 23 enfermeiros do Grupo de Educação. A construção e a implementação foram realizadas em serviço, seguindo as etapas de estruturação do Grupo de Educação, Construção e Avaliação do AVA para EAD no olhar de tutores e alunos. Verificou-se que houve aprendizado e evolução do conhecimento tecnológico e valorização da construção e utilização do AVA. As dificuldades relacionaram-se à falta de conhecimento específico, tempo e infraestrutura. Também foram identificadas limitações relacionadas às ferramentas e ao acesso à internet. Para viabilizar o projeto, o enfermeiro desenvolveu competências de conhecimento específico e tecnológico atualizado, criatividade, busca de recursos alternativos para superação de dificuldades estruturais, mobilização coletiva e implementação de processos educativos inovadores em serviço.

Museu Virtual da Cidade Velha

Na actual sociedade da informação, a internet tem-se afirmando enquanto ferramenta de comunicação e fonte de informação, tornando importante que as mais variadas instituições marquem presença neste mundo digital online. Neste contexto, os museus têm vindo a adoptar estas ferramentas na sua relação com os públicos, sendo importante o conhecimento da realidade internacional. Assim, o presente trabalho de investigação teve por objectivos a determinação tanto dos conteúdos disponibilizados pelos museus virtuais como das ferramentas disponíveis para o desenvolvimento do Museu Virtual da Cidade Velha. Para tal, foi feita uma análise de alguns museus virtuais existentes que foram importantes para as tomadas de decisão durante o desenvolvimento do Museu da Cidade Velha. No que respeita aos conteúdos disponibilizados nos museus analisados podemos concluir que estes oferecem, sobretudo, informações de apresentação do museu, sobre colecções, exposições físicas e trabalhos de serviços educativos, sendo essa a forma de comunicação privilegiada em termos de internet. Realizou-se ainda, uma fundamentação teórica acerca dos principais conceitos relativos a museu virtual. Também foi feito um estudo sobre as tecnologias de implementação Web nomeadamente o Joomla e o DNN. Das conclusões tiradas com base nas análises, foi feito uma implementação de um protótipo para o Museu Virtual da Cidade Velha que poderá ser acessível através da Web.

Virtual Guide On Ocular Self-Examination To Support The Self-Care Practice For People With HIV/AIDS

Objetivou-se descrever processo de desenvolvimento da cartilha virtual sobre autoexame ocular para pessoas com HIV/aids. A proposta metodológica seguiu as cinco etapas preconizadas por Falkembach: análise e planejamento, modelagem, implementação, avaliação e distribuição. A adequação da versão impressa para virtual requereu a construção de um vídeo tutorial, agregação de fotos ilustrativas para visualização de possíveis alterações oculares e ferramenta de interatividade com demonstração do resultado do exame ao usuário. Na avaliação inicial do material, foram diagnosticadas falhas no layout. Assim, comandos foram recolocados, unificados, dispostos em local de fácil visualização e foi feita a adequação da linguagem. Considera-se possível promover aproximação do usuário com métodos de prevenção na área da saúde ocular por meio de cartilha virtual, contribuindo para desenvolvimento de habilidades e divulgação do autoexame.


Evaluation of Virtual Reality Snowplow Simulator Training: A Literature Review, September 2006

Each winter, the Iowa Department of Transportation (Iowa DOT) maintenance operators are primarily responsible for plowing snow off federal and state roads. Drivers typically work long shifts under treacherous conditions. In addition to properly navigating the vehicle, drivers are required to operate several plowing mechanisms simultaneously, such as plow controls and salt sprayers. However, operators have few opportunities during the year to practice and refine their skills. An ideal training program would provide operators with the opportunity to practice these skills under realistic yet safe conditions, as well as provide basic training to novice or less-experienced operators. Recent technological advancements have made driving simulators a desirable training and research tool. This literature review discusses much of the recent research establishing simulator fidelity and espousing its applicability. Additionally, this report provides a summary of behavioral and eye tracking research involving driving simulators. Other research topics include comparisons between novice and expert drivers’ behavioral patterns, methods for avoiding cybersickness in virtual environments, and a synopsis of current personality measures with respect to job performance and driving performance. This literature review coincides with a study designed to examine the effectiveness of virtual reality snowplow simulator training for current maintenance operators, using the TranSim VS III truck and snowplow simulator recently purchased by the Iowa DOT.

La gestió dels llibres electrònics a la Biblioteca virtual de la UOC

El text que es presenta mostra com es du a terme la gestió dels llibres electrònics a la Biblioteca virtual (d'ara endavant BV) de la Universitat Oberta de Catalunya (d'ara endavant UOC). La BV posa un èmfasi especial en l'adquisició de llibres digitals per millorar l'accés als usuaris als recursos i col¿leccions d'una universitat que es caracteritza per la virtualitat. El document presenta, en primer lloc, l'entorn en què s'adquireixen i s'utilitzen els llibres electrònics: s'expliquen els diferents escenaris d'adquisició en els quals es pot trobar la biblioteca i es defineixen els circuits interns que en permeten la gestió i els processos tècnics dels documents. A continuació es mostren les diferents opcions d'accés i consulta de llibres electrònics que actualment s'ofereixen des de la biblioteca i s'expliquen les anàlisis d'usos d'aquests documents. Finalment es presenten les conclusions a les quals arriba la BV sobre el nou context de llibres electrònics.

Virtual Environment: assistance in nursing care for the deaf based on the protocol of Primary Care

Objective: Presenting a Virtual Environment (VE) based on the Protocol of Treatment of Hypertension and Diabetes Mellitus type 2, used in Primary Care for evaluation of dietary habits in nursing consultations. Method: An experimental study applied by two nurses and a nurse manager, in a sample of 30 deaf patients aged between 30 and 60 years. The environment was built in Visual Basic NET and offered eight screens about feeding containing food pictures, videos in Libras (Brazilian sign language) and audio. The analysis of the VE was done through questionnaires applied to patients and professionals by the Poisson statistical test. Results: The VE shows the possible diagnostics in red, yellow, green and blue colors, depending on the degree of patients’ need. Conclusion: The environment obtained excellent acceptance by patients and nurses, allowing great interaction between them, even without an interpreter. The time in consultation was reduced to 15 minutes, with the preservation of patient privacy.

Museu Virtual da Cidade Velha

Na actual sociedade da informação, a internet tem-se afirmando enquanto ferramenta de comunicação e fonte de informação, tornando importante que as mais variadas instituições marquem presença neste mundo digital online. Neste contexto, os museus têm vindo a adoptar estas ferramentas na sua relação com os públicos, sendo importante o conhecimento da realidade internacional. Assim, o presente trabalho de investigação teve por objectivos a determinação tanto dos conteúdos disponibilizados pelos museus virtuais como das ferramentas disponíveis para o desenvolvimento do Museu Virtual da Cidade Velha. Para tal, foi feita uma análise de alguns museus virtuais existentes que foram importantes para as tomadas de decisão durante o desenvolvimento do Museu da Cidade Velha. No que respeita aos conteúdos disponibilizados nos museus analisados podemos concluir que estes oferecem, sobretudo, informações de apresentação do museu, sobre colecções, exposições físicas e trabalhos de serviços educativos, sendo essa a forma de comunicação privilegiada em termos de internet. Realizou-se ainda, uma fundamentação teórica acerca dos principais conceitos relativos a museu virtual. Também foi feito um estudo sobre as tecnologias de implementação Web nomeadamente o Joomla e o DNN. Das conclusões tiradas com base nas análises, foi feito uma implementação de um protótipo para o Museu Virtual da Cidade Velha que poderá ser acessível através da Web.

Testing new identity models and processes in French-speaking adolescents and emerging adults students

Developing a sense of identity is a crucial psychosocial task for young people. The purpose of this study was to evaluate identity development in French-speaking adolescents and emerging adults (in France and Switzerland) using a process-oriented model of identity formation including five dimensions (i.e., exploration in breadth, commitment making, exploration in depth, identification with commitment, and ruminative exploration). The study included participants from three different samples (total N = 2239, 66.7% women): two samples of emerging adult student and one sample of adolescents. Results confirmed the hypothesized five-factor dimensional model of identity in our three samples and provided evidence for convergent validity of the model. The results also indicated that exploration in depth might be subdivided in two aspects: a first form of exploration in depth leading to a better understanding and to an increase of the strength of current commitments and a second form of exploration in depth leading to a re-evaluation and a reconsideration of current commitments. Further, the identity status cluster solution that emerged is globally in line with previous literature (i.e., achievement, foreclosure, moratorium, carefree diffusion, diffused diffusion, undifferentiated). However, despite a structural similarity, we found variations in identity profiles because identity development is shaped by cultural context. These specific variations are discussed in light of social, educational and economic differences between France and the French-speaking part of Switzerland. Implications and suggestions for future research are offered.

Evaluation of Virtual Reality Snowplow Simulator Training, January 2007

Each winter, Iowa Department of Transportation (Iowa DOT) maintenance operators are responsible for plowing snow off federal and state roads in Iowa. Drivers typically work long shifts under treacherous conditions. In addition to properly navigating the vehicle, drivers are required to operate several plowing mechanisms simultaneously, such as plow controls and salt spreaders. There is little opportunity for practicing these skills in real-world situations. A virtual reality training program would provide operators with the opportunity to practice these skills under realistic yet safe conditions, as well as provide basic training to novice or less-experienced operators. In order to provide such training to snowplow operators in Iowa, the Iowa DOT purchased a snowplow simulator. The Iowa DOT commissioned a study through Iowa State University designed to (1) assess the use of this simulator as a training tool and (2) examine personality and other characteristics associated with being an experienced snowplow operator. The results of this study suggest that Iowa DOT operators of all ages and levels of experience enjoyed and seemed to benefit from virtual reality snowplow simulator training. Simulator sickness ratings were relatively low, implying that the simulator is appropriate for training a wide range of Iowa DOT operators. Many reported that simulator training was the most useful aspect of training for them.

Limited clinical benefit of minority K103N and Y181C-variant detection in addition to routine genotypic resistance testing in antiretroviral therapy-naive patients.

OBJECTIVE: The presence of minority nonnucleoside reverse transcriptase inhibitor (NNRTI)-resistant HIV-1 variants prior to antiretroviral therapy (ART) has been linked to virologic failure in treatment-naive patients. DESIGN: We performed a large retrospective study to determine the number of treatment failures that could have been prevented by implementing minority drug-resistant HIV-1 variant analyses in ART-naïve patients in whom no NNRTI resistance mutations were detected by routine resistance testing. METHODS: Of 1608 patients in the Swiss HIV Cohort Study, who have initiated first-line ART with two nucleoside reverse transcriptase inhibitors (NRTIs) and one NNRTI before July 2008, 519 patients were eligible by means of HIV-1 subtype, viral load and sample availability. Key NNRTI drug resistance mutations K103N and Y181C were measured by allele-specific PCR in 208 of 519 randomly chosen patients. RESULTS: Minority K103N and Y181C drug resistance mutations were detected in five out of 190 (2.6%) and 10 out of 201 (5%) patients, respectively. Focusing on 183 patients for whom virologic success or failure could be examined, virologic failure occurred in seven out of 183 (3.8%) patients; minority K103N and/or Y181C variants were present prior to ART initiation in only two of those patients. The NNRTI-containing, first-line ART was effective in 10 patients with preexisting minority NNRTI-resistant HIV-1 variant. CONCLUSION: As revealed in settings of case-control studies, minority NNRTI-resistant HIV-1 variants can have an impact on ART. However, the implementation of minority NNRTI-resistant HIV-1 variant analysis in addition to genotypic resistance testing (GRT) cannot be recommended in routine clinical settings. Additional associated risk factors need to be discovered.

Espacio físico y espacio virtual en prácticas educativas avanzadas

El treball proposat és el resultat d'una investigació l'objectiu general de la qual ha estat l'estudi de les modificacions dels espais didàctics, tant físics com a virtuals, amb les quals el món de l'educació s'està enfrontant i amb les quals haurà d’enfrontar-se dins un futur pròxim. La investigació analitza models teòrics que puguin ajuda'ns a comprendre els canvis estructurals de la societat del tercer mil•lenni que puguin afectar també al món de l'educació, entre els que destaquem la introducció de les TIC, el Lifelong Learning i un canvi paradigmàtic des del concepte de temps precís (Kronos) fins al concepte de temps escaient (Kairos)