Construção e validação do "CADE-Q" para educação de pacientes em programas de reabilitação cardíaca

FUNDAMENTO: O conhecimento sobre a doença arterial coronariana pode ser considerado o primeiro passo para reduzir o risco de complicações cardíacas. OBJETIVOS: Construir e validar um instrumento capaz de avaliar e descrever o conhecimento do paciente coronariano em programas de reabilitação cardíaca, com a finalidade de educação. MÉTODOS: Para construção, foi realizada análise de artigos e estudo de campo para a apresentação de itens a uma equipe multidisciplinar associada à reabilitação cardíaca. Após análise, foi gerada a versão testada em um estudo-piloto. O instrumento, nomeado CADE-Q (Questionário para Educação do Paciente Coronariano), foi aplicado em 155 pacientes com idade de 61 ± 9 anos (mín = 36 ; máx = 86), participantes de programas de reabilitação cardíaca. Dos 155 pacientes, 114 eram homens. A consistência interna foi verificada pelo coeficiente Alpha de Cronbach. A reprodutibilidade foi testada através do coeficiente de correlação intraclasse (CCIC) e a validade de construto por análise fatorial exploratória. Foi realizada análise comparando os escores totais em função de características da população e entre os grupos de reabilitação (privado e público). RESULTADOS: A versão final possui 19 questões com 4 alternativas, com 4 quadrantes de conhecimento. O Alpha de Cronbach foi de 0,68 e CCIC foi de 0,783. A análise fatorial revelou 6 fatores, abrangendo três áreas de conhecimento, o que demonstra a multifatoriedade do instrumento. A análise das características da população em função do escore total apresentou diferenças significativas em função das variáveis do nível socioeconômico (tipo de reabilitação, renda familiar e escolaridade). CONCLUSÃO: O instrumento CADE-Q apresenta validade e confiabilidade adequadas para sua utilização na população brasileira em futuras pesquisas.

Le Q-sort, un outil pour la recherche en soins le cas des représentations chez les infirmiers en psychiatrie de l'âge avancé [Q-sort, a useful research method in care in cases of psychiatric nursing of the aged]

Q-sort is a research method which allows defining profiles of attitudes toward a set of statements, ordered in relation to each other. Pertaining to the Q Methodology, the qualitative analysis of the Q-sorts is based on quantitative techniques. This method is of particular interest for research in health professions, a field in which attitudes of patients and professionals are very important. The method is presented in this article, along with an example of application in nursing in old age psychiatry.

Del jingle a las canciones pop: una aproximación al uso de la música en la publicidad

Del jingle a la música pop: una aporximació a l’us de la música en la publicitat és un treball de fi de carrera en el que s’exposa la evolució que ha patit la cançó publicitària. En una primera part s’expliquen el diferents tipus de música que existeixen, en la segona la història de la música a la publicitat espanyola i conclou amb un Top-10 de les millors cançons dels anuncis.

Detecting and measuring deprivation in primary care: development, reliability and validity of a self-reported questionnaire: the DiPCare-Q.

OBJECTIVES: Advances in biopsychosocial science have underlined the importance of taking social history and life course perspective into consideration in primary care. For both clinical and research purposes, this study aims to develop and validate a standardised instrument measuring both material and social deprivation at an individual level. METHODS: We identified relevant potential questions regarding deprivation using a systematic review, structured interviews, focus group interviews and a think-aloud approach. Item response theory analysis was then used to reduce the length of the 38-item questionnaire and derive the deprivation in primary care questionnaire (DiPCare-Q) index using data obtained from a random sample of 200 patients during their planned visits to an ambulatory general internal medicine clinic. Patients completed the questionnaire a second time over the phone 3 days later to enable us to assess reliability. Content validity of the DiPCare-Q was then assessed by 17 general practitioners. Psychometric properties and validity of the final instrument were investigated in a second set of patients. The DiPCare-Q was administered to a random sample of 1898 patients attending one of 47 different private primary care practices in western Switzerland along with questions on subjective social status, education, source of income, welfare status and subjective poverty. RESULTS: Deprivation was defined in three distinct dimensions: material (eight items), social (five items) and health deprivation (three items). Item consistency was high in both the derivation (Kuder-Richardson Formula 20 (KR20) =0.827) and the validation set (KR20 =0.778). The DiPCare-Q index was reliable (interclass correlation coefficients=0.847) and was correlated to subjective social status (r(s)=-0.539). CONCLUSION: The DiPCare-Q is a rapid, reliable and validated instrument that may prove useful for measuring both material and social deprivation in primary care.

Parallel spinors on pseudo-riemannian spin(q) manifolds

We study simply-connected irreducible non-locally symmetric pseudo-Riemannian Spin(q) manifolds admitting parallel quaternionic spinors.

El pop y el rock como productos de gran consumo: Los Beatles como marca

El treball final de carrera El pop i el rock com a productes de gran consum: els Beatles com a marca, té l’objectiu de demostrar la dimensió del màrketing en el cas dels Beatles. Primerament exposa la evolució dels gèneres musicals i dels compositors i grups més influents de la música pop i rock. Seguidament una breu contextualització dels Beatles, per posteriorment abordar l’objectiu principal del projecte, el qual pretén demostrar que el conjunt de Liverpool va ser una gran marca nascuda de la barreja d’estils musicals i del consumisme.

Mieloma múltiple: rendimiento del estudio del cariotipo por técnicas convencionales y de hibridación in situ fluorescente. Significado pronóstico de las ganacias de 1 q.

En éste estudio analizamos el rendimiento de las técnicas citogenéticas utilizadas en los protocolos diagnósticos del MM (CC y técnicas de FISH). En primer lugar caracterizamos la serie de pacientes y los estratificamos en grupos de riesgo según los sistemas de estadificación actuales. Después estudiamos el porcentaje de cariotipos patológicos con cada una de las técnicas y en conjunto, encontrando un 40% de cariotipos patológicos por CC y de estos un 11,5% pertenecían a estudios con recuentos de CP ≤20% por citomorfología. La técnica de FISH aumentó hasta un 68% los cariotipos patológicos. También hemos realizado la caracterización de los pacientes con ganancias de 1q y su impacto en la evolución de la enfermedad.

Human invariant V alpha 24-J alpha Q TCR supports the development of CD1d-dependent NK1.1+ and NK1.1- T cells in transgenic mice.

A sizable fraction of T cells expressing the NK cell marker NK1.1 (NKT cells) bear a very conserved TCR, characterized by homologous invariant (inv.) TCR V alpha 24-J alpha Q and V alpha 14-J alpha 18 rearrangements in humans and mice, respectively, and are thus defined as inv. NKT cells. Because human inv. NKT cells recognize mouse CD1d in vitro, we wondered whether a human inv. V alpha 24 TCR could be selected in vivo by mouse ligands presented by CD1d, thereby supporting the development of inv. NKT cells in mice. Therefore, we generated transgenic (Tg) mice expressing the human inv. V alpha 24-J alpha Q TCR chain in all T cells. The expression of the human inv. V alpha 24 TCR in TCR C alpha(-/-) mice indeed rescues the development of inv. NKT cells, which home preferentially to the liver and respond to the CD1d-restricted ligand alpha-galactosylceramide (alpha-GalCer). However, unlike inv. NKT cells from non-Tg mice, the majority of NKT cells in V alpha 24 Tg mice display a double-negative phenotype, as well as a significant increase in TCR V beta 7 and a corresponding decrease in TCR V beta 8.2 use. Despite the forced expression of the human CD1d-restricted TCR in C alpha(-/-) mice, staining with mCD1d-alpha-GalCer tetramers reveals that the absolute numbers of peripheral CD1d-dependent T lymphocytes increase at most by 2-fold. This increase is accounted for mainly by an increased fraction of NK1.1(-) T cells that bind CD1d-alpha-GalCer tetramers. These findings indicate that human inv. V alpha 24 TCR supports the development of CD1d-dependent lymphocytes in mice, and argue for a tight homeostatic control on the total number of inv. NKT cells. Thus, human inv. V alpha 24 TCR-expressing mice are a valuable model to study different aspects of the inv. NKT cell subset.

The A-B-C of B-B-Q

Whatever the weather, the allure of summer dining alfresco is very appealing. And while eating outdoors can be a real pleasure, far too often the good habits we follow in the kitchen go up in smoke when the barbecue is lit. When planning a barbecue this summer, bear in mind the 6 simple rules outlined in this report, so your friends, family and neighbours go home with memories of a good time - andnot a bug to remember you by!

Le Règne, Jésus et la Loi (Q 16,16-18)

(Résumé de l'ouvrage) Le Dieu qui juge : voilà un sujet de la théologie biblique qui n'est pas sans poser problème ! Le jugement est-il l'expression de la violence de Dieu ou d'un esprit vindicatif ? S'y manifeste-t-il une image choquante de Dieu, en particulier à une époque qui, à raison, se montre sensible à toute sorte de violence légitimée par des motifs religieux ? Les auteurs de ce volume, amis et collègues de Raymond Kuntzmann, professeur d'Ancien Testament à l'université Marc-Bloch de Strasbourg, ont abordé ce thème du jugement afin de faire apparaître la multitude d'aspects que revêt ce terme trop général. D'où le besoin d'examiner à frais nouveaux tout un ensemble de textes pour replacer le jugement dans tous ses contextes, tant historiques que théologiques. A y regarder ainsi de plus près, il résulte que l'idée de jugement est étroitement liée à celles de droit et de justice, valeurs dont Dieu s'avère être le garant ultime, et à celles de miséricorde et de salut. Et l'on suivra ici ses transformations remarquables au fil de l'évolution de la théologie biblique. Le présent volume, qui est consacré aux textes de l'Ancien Testament, est complété par un autre portant sur les textes du Nouveau Testament.

Validation statistique et structurale du questionnaire analytique de diagnostic de la personnalité (Q.A.P.)

The French Analytical Questionnaire of diagnostic of the Personality (Q.A.P., 1996), who took over from the characterological questionnaire of Berger (1950), is a interesting one for psychologists and characterologists because this test is based on very coherent theoretical corpus. This questionnaire is divided in two parts, the first one consists of three factor or fundamental scales which allow to determine the characterological type of individuals, the second part is made of nine complementary scales allowing to determine more precisely the personality of the subjects. We have done a structural validation of that questionnaire using a large sample (n=865). Several factor analyses were conducted on both part of the test. We also made a reliability analysis of each scale using the alpha of Cronbach and a homogeneity analysis of each question. Thank to these analyses we were able to evalue that instrument and we were able to set up that the factorial structure of the test corresponds to the theoretical one developped by the french school of characterology. The Analytical Questionnaire of diagnostic of the Personnality is globaly reliable in particullary the fist part which is very consistent. The second part is less reliable, and this is partly on due to the correlations between the scales. We have also done a correlational analysis between the first part of the Q.A.P., the questionnaire of Berger and the Rapid Questionnaire of Diagnostic of the Personnality (Q.R.D.P., 1996). The Q.A.P. might be the more reliable one. Finally we have evaluated the impact of gender, age and profession on the factors of the Analytical Questionnaire of diagnostic of the Personnality.

1.° Q. Horatii Flacci carmina, ars poëtica et satyrae, cum glossis. — 2.° M. Annaei Lucani Pharsalia, sive de bello civili libri decem : initium et finis desiderantur.

Colbertinus