913 resultados para Conners’ parent rating scale


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Dissertação para obtenção do grau de Mestre em Engenharia Química

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Objetivos – Demonstrar o potencial da espetroscopia (1H) por ressonância magnética na doença degenerativa discal lombar e defender a integração desta técnica na rotina clínico‑imagiológica para a precisa classificação da involução vs degenerescência dos discos L4‑L5 e L5‑S1 em doentes com lombalgia não relacionável com causa mecânica. Material e métodos – O estudo incluiu 102 discos intervertebrais lombares de 123 doentes. Foram estudados 61 discos de L4‑L5, 41 discos de L5‑S1 e 34 discos de D12‑L1. Utilizou‑se um sistema de ressonância magnética de 1,5 T e técnica monovoxel. Obtiveram‑se os rácios [Lac/Nacetyl] e [Nacetyl/(Lac+Lípidos)] e aplicou‑se a ressonância de lípidos para avaliar a bioquímica do disco com o fim de conhecer o estado de involução vs degenerescência que o suscetibilizam para a instabilidade e sobrecarga. Avaliou‑se o comportamento dos rácios e do teor lipídico dos discos L4‑L5‑S1 e as diferenças apresentadas em relação a D12‑L1. Foi também realizada a comparação entre os discos L4‑L5, L5‑S1 e D12‑L1 na ponderação T2 (T2W), segundo a classificação ajustada (1‑4) de Pfirrmann. Resultados – Verificou‑se que os rácios e o valor dos lípidos dos discos L4‑L5‑S1 apresentaram diferenças estatisticamente significativas quando relacionados com os discos D12‑L1. O rácio [Lac/Nacetyl] em L4‑L5‑S1 mostrou‑se aumentado em relação a D12‑L1 (p=0,033 para os discos com grau de involução [1+2] e p=0,004 para os discos com grau [3+4]). Estes resultados sugerem que a involução vs degenerescência dos discos nos graus mais elevados condiciona um decréscimo do pico do Lactato. O rácio [Nacetyl/(Lac+Lip)] discrimina os graus de involução [1+2] do [3+4] no nível L4‑L5, apresentando os valores dos rácios (média 0,65 e 0,5 respetivamente com p=0,04). O rácio médio de [Nacetyl/(Lac+Lip)] dos discos L4‑L5 foi 1,8 vezes mais elevado do que em D12‑L1. O espetro lipídico em L4‑L5‑S1 nos graus mais elevados não mostrou ter uma prevalência constante quanto às frequências de ressonância. Conclusão – A espetroscopia (1H) dos discos intervertebrais poderá ter aplicação na discriminação dos graus de involução vs degenerescência e representar um contributo semiológico importante em suplemento à ponderação T2 convencional. As ressonâncias de lípidos dos discos L4‑L5 e L5‑S1, involuídos ou degenerados, devem ser avaliadas em relação a D12‑L1, utilizando este valor como referência, pois este último é o nível considerado estável e com baixa probabilidade de degenerescência.

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Dissertação para a obtenção do Grau de Mestre em Contabilidade e Finanças Orientador: Mestre Adalmiro Álvaro Malheiro de Castro Andrade Pereira

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This paper describes the communication stack of the REMPLI system: a structure using power-lines and IPbased networks for communication, for data acquisition and control of energy distribution and consumption. It is furthermore prepared to use alternative communication media like GSM or analog modem connections. The REMPLI system provides communication service for existing applications, namely automated meter reading, energy billing and domotic applications. The communication stack, consisting of physical, network, transport, and application layer is described as well as the communication services provided by the system. We show how the peculiarities of the power-line communication influence the design of the communication stack, by introducing requirements to efficiently use the limited bandwidth, optimize traffic and implement fair use of the communication medium for the extensive communication partners.

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OBJECTIVES: Estimate the frequency of online searches on the topic of smoking and analyze the quality of online resources available to smokers interested in giving up smoking. METHODS: Search engines were used to revise searches and online resources related to stopping smoking in Brazil in 2010. The number of searches was determined using analytical tools available on Google Ads; the number and type of sites were determined by replicating the search patterns of internet users. The sites were classified according to content (advertising, library of articles and other). The quality of the sites was analyzed using the Smoking Treatment Scale- Content (STS-C) and the Smoking Treatment Scale - Rating (STS-R). RESULTS: A total of 642,446 searches was carried out. Around a third of the 113 sites encountered were of the 'library' type, i.e. they only contained articles, followed by sites containing clinical advertising (18.6) and professional education (10.6). Thirteen of the sites offered advice on quitting directed at smokers. The majority of the sites did not contain evidence-based information, were not interactive and did not have the possibility of communicating with users after the first contact. Other limitations we came across were a lack of financial disclosure as well as no guarantee of privacy concerning information obtained and no distinction made between editorial content and advertisements. CONCLUSIONS: There is a disparity between the high demand for online support in giving up smoking and the scarcity of quality online resources for smokers. It is necessary to develop interactive, customized online resources based on evidence and random clinical testing in order to improve the support available to Brazilian smokers.

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Na esteira dos estudos sobre a relação creche-família e sobre o modelo Touchpoints, surgiu o interesse de elaborar uma investigação-ação, na qual se pretende implementar práticas reflexivas Touchpoints e avaliar o seu impacto na satisfação dos pais, das educadoras de infância, no desenvolvimento infantil, na qualidade do contexto educativo, nas rotinas da família e no desenvolvimento das crianças. Para o efeito e assumindo um duplo papel enquanto educadoras de infância e investigadoras, foram convidados a participar neste estudo 22 pais de 23 crianças, com idades compreendidas entre os 13 e os 33 meses, que frequentam as salas de creche onde exercemos a nossa atividade profissional, em duas instituições distintas. Esta investigação assentou em quatro fases de trabalho, de forma a cumprir os objetivos propostos: 1ª) a recolha de dados, antes da formação em Touchpoints, recorrendo aos seguintes instrumentos e observações: Escala de Desenvolvimento Infantil Growing Skills II, observação da interação pais-criança com a escala Care-Index, avaliação da satisfação dos pais e das educadoras com a Parent Caregiver Relationship Scale (PCRS), avaliação do contexto educativo com a ITERS-R, e os Mapas de Rotinas Semanais da família; 2ª) formação Touchpoints com uma equipa interdisciplinar; 3ª) Práticas reflexivas Touchpoints – as educadoras como agentes de mudança refletem sobre as suas práticas com guiões prévios e coaching (supervisão com formadores que visitaram a creche, a equipa educativa e a sala da educadora); 4ª) repetição da recolha de dados no final do projeto. O estudo indicou que o desenvolvimento infantil, as relações pais-filhos, as rotinas familiares, a satisfação pais-educadoras e educadoras-pais, assim como a própria prática das educadoras, mudaram após o treino com as práticas reflexivas em Touchpoints. Embora estes resultados não possam ser generalizados e o controlo das variáveis seja afetada por uma metodologia de investigação-ação (portanto, não possamos inferir que todos estes ganhos se devem às praticas reflexivas Touchpoints), os principais resultados obtidos neste estudo permitem-nos repensar formas de relacionamento entre a creche e a família e sobre o impacto que a prática reflexiva dos educadores de infância pode ter na qualidade destas relações. Julgamos que a presente investigação suscita questões sobre a relação educadores-pais e sobre o contributo das práticas reflexivas em Touchpoints nas práticas de creche.

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Collective behaviours can be observed in both natural and man-made systems composed of a large number of elemental subsystems. Typically, each elemental subsystem has its own dynamics but, whenever interaction between individuals occurs, the individual behaviours tend to be relaxed, and collective behaviours emerge. In this paper, the collective behaviour of a large-scale system composed of several coupled elemental particles is analysed. The dynamics of the particles are governed by the same type of equations but having different parameter values and initial conditions. Coupling between particles is based on statistical feedback, which means that each particle is affected by the average behaviour of its neighbours. It is shown that the global system may unveil several types of collective behaviours, corresponding to partial synchronisation, characterised by the existence of several clusters of synchronised subsystems, and global synchronisation between particles, where all the elemental particles synchronise completely.

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In spite of the significant amount of scientific work in Wireless Sensor Networks (WSNs), there is a clear lack of effective, feasible and usable WSN system architectures that address both functional and non-functional requirements in an integrated fashion. This poster abstract outlines the EMMON system architecture for large-scale, dense, real-time embedded monitoring. EMMON relies on a hierarchical network architecture together with integrated middleware and command&control mechanisms. It has been designed to use standard commercially– available technologies, while maintaining as much flexibility as possible to meet specific applications’ requirements. The EMMON WSN architecture has been validated through extensive simulation and experimental evaluation, including through a 300+ node test-bed, the largest WSN test-bed in Europe to date

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Wireless sensor networks (WSNs) have attracted growing interest in the last decade as an infrastructure to support a diversity of ubiquitous computing and cyber-physical systems. However, most research work has focused on protocols or on specific applications. As a result, there remains a clear lack of effective and usable WSN system architectures that address both functional and non-functional requirements in an integrated fashion. This poster outlines the EMMON system architecture for large-scale, dense, real-time embedded monitoring. It provides a hierarchical communication architecture together with integrated middleware and command and control software. It has been designed to maintain as much as flexibility as possible while meeting specific applications requirements. EMMON has been validated through extensive analytical, simulation and experimental evaluations, including through a 300+ nodes test-bed the largest single-site WSN test-bed in Europe.

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Most research work on WSNs has focused on protocols or on specific applications. There is a clear lack of easy/ready-to-use WSN technologies and tools for planning, implementing, testing and commissioning WSN systems in an integrated fashion. While there exists a plethora of papers about network planning and deployment methodologies, to the best of our knowledge none of them helps the designer to match coverage requirements with network performance evaluation. In this paper we aim at filling this gap by presenting an unified toolset, i.e., a framework able to provide a global picture of the system, from the network deployment planning to system test and validation. This toolset has been designed to back up the EMMON WSN system architecture for large-scale, dense, real-time embedded monitoring. It includes network deployment planning, worst-case analysis and dimensioning, protocol simulation and automatic remote programming and hardware testing tools. This toolset has been paramount to validate the system architecture through DEMMON1, the first EMMON demonstrator, i.e., a 300+ node test-bed, which is, to the best of our knowledge, the largest single-site WSN test-bed in Europe to date.

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Wireless sensor networks (WSNs) have attracted growing interest in the last decade as an infrastructure to support a diversity of ubiquitous computing and cyber-physical systems. However, most research work has focused on protocols or on specific applications. As a result, there remains a clear lack of effective, feasible and usable system architectures that address both functional and non-functional requirements in an integrated fashion. In this paper, we outline the EMMON system architecture for large-scale, dense, real-time embedded monitoring. EMMON provides a hierarchical communication architecture together with integrated middleware and command and control software. It has been designed to use standard commercially-available technologies, while maintaining as much flexibility as possible to meet specific applications requirements. The EMMON architecture has been validated through extensive simulation and experimental evaluation, including a 300+ node test-bed, which is, to the best of our knowledge, the largest single-site WSN test-bed in Europe to date.

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We focus on large-scale and dense deeply embedded systems where, due to the large amount of information generated by all nodes, even simple aggregate computations such as the minimum value (MIN) of the sensor readings become notoriously expensive to obtain. Recent research has exploited a dominance-based medium access control(MAC) protocol, the CAN bus, for computing aggregated quantities in wired systems. For example, MIN can be computed efficiently and an interpolation function which approximates sensor data in an area can be obtained efficiently as well. Dominance-based MAC protocols have recently been proposed for wireless channels and these protocols can be expected to be used for achieving highly scalable aggregate computations in wireless systems. But no experimental demonstration is currently available in the research literature. In this paper, we demonstrate that highly scalable aggregate computations in wireless networks are possible. We do so by (i) building a new wireless hardware platform with appropriate characteristics for making dominance-based MAC protocols efficient, (ii) implementing dominance-based MAC protocols on this platform, (iii) implementing distributed algorithms for aggregate computations (MIN, MAX, Interpolation) using the new implementation of the dominance-based MAC protocol and (iv) performing experiments to prove that such highly scalable aggregate computations in wireless networks are possible.

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OBJETIVO: Estimar a confiabilidade teste-reteste dos itens do Resource Generator scale para avaliação de capital social no Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil).MÉTODOS: A escala de capital social foi aplicada em subamostra de 281 participantes dos seis Centros de Investigação do ELSA, em duas oportunidades, com intervalo de sete a 14 dias. O instrumento é constituído por 31 itens que representam situações concretas para avaliar o acesso a diferentes tipos de recursos, além de avaliar a fonte dos recursos disponíveis (familiares, amigos ou conhecidos). A análise estatística foi realizada por meio de estatísticas kappa (k) e kappa ajustado pela prevalência (ka).RESULTADOS: Os recursos sociais investigados foram encontrados com grande frequência (acima de 50%). Em relação à presença ou ausência dos recursos, as estimativas de confiabilidade ajustadas pela prevalência (ka) variaram de 0,54 a 0,97. No que se refere à fonte de recurso, essas estimativas variaram de ka = 0,45 (alguém que tenha bons contatos com a mídia) a ka = 0,86 (alguém que se formou no Ensino Médio).CONCLUSÕES: A escala apresentou níveis adequados de confiabilidade, que variaram de acordo com o tipo de recurso.