Estratégias de cuidado de enfermagem singular e multidimensional à criança e a família no processo de hospitalização

No período de 2008 a 2010, o número de internações pediátricas, no Brasil, foi de 2.985.527. As causas desencadeadoras da hospitalização infantil podem ser biológicas, hereditárias, sociais, econômicas e ambientais. É comum o adoecimento ocorrer pela associação de causas, havendo crianças com predisposição para apresentarem múltiplos fatores de risco. Seja qual for a etiologia, a hospitalização frequentemente gera desconforto à criança e à sua família, por vivenciarem um ambiente impessoal e contraditório às condições do cotidiano. Cabe à equipe de enfermagem prestar um cuidado humanizado, singular e ampliado. Os objetivos do estudo são: compreender o significado do cuidado de enfermagem à criança hospitalizada e identificar estratégias de cuidado de enfermagem singular e multidimensional que atendam às necessidades da criança e da família no processo de hospitalização. Trata-se de uma pesquisa qualitativa, do tipo exploratório-descritivo. Os dados foram coletados por meio da técnica de Grupo Focal com a equipe de enfermagem que atuava em unidades pediátricas de duas instituições hospitalares do Rio Grande do Sul. Para tanto, foram realizados cinco encontros, no mês de setembro de 2013. Os dados foram analisados com base na Análise Focal Estratégica, a qual contemplou tanto as potencialidades e oportunidades, quanto as fragilidades e desafios no cuidado à criança hospitalizada, ampliando, assim, novas discussões para a busca de estratégias de cuidado de enfermagem singular e multidimensional. Os resultados foram sustentados por meio de duas produções científicas, quais sejam: “O cuidado à criança/família no processo de hospitalização na perspectiva de equipes de enfermagem”; “Ampliando estratégias de cuidado de enfermagem singular e multidimensional à criança/família em processo de hospitalização”. A primeira apresentou cinco categorias: Significando o cuidado de enfermagem à criança hospitalizada; Reconhecendo que o cuidado vai além do hospital; Relevância das figuras materna e paterna; Lidando com várias coisas; e Importância do cuidado multidimensional. A segunda produção resultou em três categorias: Encontrando estratégias criativas de cuidado de enfermagem à criança hospitalizada; Reconhecendo estratégias de cuidado à família no processo de hospitalização da criança; e Distinguindo estratégias de cuidado relacionadas à equipe de enfermagem no processo de hospitalização infantil. Foram garantidos todos os critérios que fundamentam a Resolução 466/12, que trata das pesquisas envolvendo seres humanos. Conclui-se que a equipe de enfermagem busca alternativas para minimizar os traumas relacionados à hospitalização, por meio do diálogo com a criança e sua família, a brinquedoteca e ludicidade para melhorar a aceitação da hospitalização, dentre outras.

Scaling up online learning strategic and operational checklist

This checklist highlights key questions for institutions that are considering their online learning provision and relates to the Jisc Scaling up online learning (strategic and operational) guide.

Scaling up online learning Curriculum design and support for online learning checklist

This checklist highlights key questions for institutions that are considering their online learning provision and relates to the Jisc Scaling up online learning Curriculum design and support for online learning guide.

Scaling up online learning technology and tools for online learning checklist

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Um sistema multiagente multidimensional para simulação de processos de produção e gestão social de um ecossistema urbano: uma abordagem baseada na integração de artefatos organizacionais, normativos, físicos e de comunicação no JaCaMo

Esta dissertação apresenta a modelagem de uma ferramenta baseada em SMA para a simulação da produção e gestão social de um ecossistema urbano, a organização social do Projeto da Horta San Jeronimo(SJVG), localizado no Parque San Jeronimo Sevilha, Espanha, que e coordenado pela confederação Ecologistas en Accion . Estes processos sociais observados no projeto do SJVG são caracterizados pela ocorrência de uma serie de interações e trocas sociais entre os participantes. Além disso, os comportamentos periódicos, interações e comunicações são regulados pelo Regimento de Normas Internas, estabelecidos pela comunidade em assembleia, sob a supervisão e coordenação da confederação EA. O SMA foi concebido como um sistema JaCaMo multidimensional, composto por cinco dimensões integradas: a população de agentes, os artefatos normativos (a organização), os artefatos físicos (o ambiente dos agentes), artefatos de comunicação (o conjunto de interações) e os artefatos normativos (política normativa interna). A ferramenta utilizada no projeto e o framework JaCaMo, uma vez que apresenta suporte de alto nível e modularidade para o desenvolvimento das três primeiras dimensões acima mencionadas. Mesmo tendo enfrentado alguns problemas importantes que surgiram adotando o framework JaCaMo para desenvolvimento do Projeto SJVG-SMA, como: (i) a impossibilidade de especificação da periodicidade no modelo MOISE, (II) a impossibilidade de definir normas, seus atributos básicos (nome, periodicidade, papel a que se aplica) e as sanções, e (III) a inexistência de uma infraestrutura modular para a definição de interações através da comunicação, foi possível adotar soluções modulares interessantes para manter a ideia de um SMA de 5 dimensões, desenvolvidos na plataforma JaCaMo. As soluções apresentadas neste trabalho são baseadas principalmente no âmbito do Cartago, apontando também para a integração de artefatos organizacionais, normativos, físicos e de comunicação.

1as Jornadas Internacionais de Saúde da Escola Superior de Saúde da Universidade de Aveiro: abordagem multidimensional à pessoa: contextos emergentes: livro de resumos

Em Abril de 2016, nos dias 7, 8 e 9 realizaram‐se as 1as Jornadas Internacionais de Saúde da Escola Superior de Saúde da Universidade de Aveiro, sob o tema “Abordagem multidimensional à pessoa: contextos emergentes”. Este evento internacional constituiu um espaço de debate interdisciplinar sobre questões e aspetos referentes à abordagem multidimensional à pessoa. (...)

Scaling up online learning checklist: master version

This checklist highlights key questions for institutions that are considering their online learning provision and relates to all three of the Jisc Scaling up online learning guides.

Tensor Completion for Multidimensional Inverse Problems with Applications to Magnetic Resonance Relaxometry

This thesis deals with tensor completion for the solution of multidimensional inverse problems. We study the problem of reconstructing an approximately low rank tensor from a small number of noisy linear measurements. New recovery guarantees, numerical algorithms, non-uniform sampling strategies, and parameter selection algorithms are developed. We derive a fixed point continuation algorithm for tensor completion and prove its convergence. A restricted isometry property (RIP) based tensor recovery guarantee is proved. Probabilistic recovery guarantees are obtained for sub-Gaussian measurement operators and for measurements obtained by non-uniform sampling from a Parseval tight frame. We show how tensor completion can be used to solve multidimensional inverse problems arising in NMR relaxometry. Algorithms are developed for regularization parameter selection, including accelerated k-fold cross-validation and generalized cross-validation. These methods are validated on experimental and simulated data. We also derive condition number estimates for nonnegative least squares problems. Tensor recovery promises to significantly accelerate N-dimensional NMR relaxometry and related experiments, enabling previously impractical experiments. Our methods could also be applied to other inverse problems arising in machine learning, image processing, signal processing, computer vision, and other fields.

ESSAYS ON THE WTO ACCESSION, HOUSEHOLD INCOME AND MULTIDIMENSIONAL POVERTY: EVIDENCE FROM CHINA

In the course of integrating into the global market, especially since China’s WTO accession, China has achieved remarkable GDP growth and has become the second largest economy in the world. These economic achievements have substantially increased Chinese incomes and have generated more government revenue for social progress. However, China’s economic progress, in itself, is neither sufficient for achieving desirable development outcomes nor a guarantee for expanding peoples’ capabilities. In fact, a narrow emphasis on GDP growth proves to be unsustainable, and may eventually harm the life quality of Chinese citizens. Without the right set of policies, a deepening trade-openness policy in China may enlarge social disparities and some people may further be deprived of basic public services and opportunities. To address these concerns, this dissertation, a set of three essays in Chapters 2-4, examines the impact of China's WTO accession on income distribution, compares China’s income and multidimensional poverty reduction and investigates the factors, including the WTO accession, that predict multidimensional poverty. By exploiting the exogenous variation in exposure to tariff changes across provinces and over time, Chapter 2 (Essay 1) estimates the causal effects of trade shocks and finds that China’s WTO accession has led to an increase in average household income, but its impacts are not evenly distributed. Households in urban areas have benefited more significantly than those in rural areas. Households with members working in the private sector have benefited more significantly than those in the public sector. However, the WTO accession has contributed to reducing income inequality between higher and lower income groups. Chapter 3 (Essay 2) explains and applies the Alkire and Foster Method (AF Method), examines multidimensional poverty in China and compares it with income poverty. It finds that China’s multidimensional poverty has declined dramatically during the period from 1989-2011. Reduction rates and patterns, however, vary by dimensions: multidimensional poverty reduction exhibits unbalanced regional progress as well as varies by province and between rural and urban areas. In comparison with income poverty, multidimensional poverty reduction does not always coincide with economic growth. Moreover, if one applies a single measure ─ either that of income or multidimensional poverty ─ a certain proportion of those who are poor remain unrecognized. By applying a logistic regression model, Chapter 4 (Essay 3) examines factors that predict multidimensional poverty and finds that the major factors predicting multidimensional poverty in China include household size, education level of the household head, health insurance coverage, geographic location, and the openness of the local economy. In order to alleviate multidimensional poverty, efforts should be targeted to (i) expand education opportunities for the household heads with low levels of education, (ii) develop appropriate geographic policies to narrow regional gaps and (iii) make macroeconomic policies work for the poor.

Down scaling to regional assessment of greenhouse gas emissions to enable consistency in accounting for emissions reduction projects and national inventory accounts for northern beef production in Australia

This paper explores the effect of using regional data for livestock attributes on estimation of greenhouse gas (GHG) emissions for the northern beef industry in Australia, compared with using state/territory-wide values, as currently used in Australia’s national GHG inventory report. Regional GHG emissions associated with beef production are reported for 21 defined agricultural statistical regions within state/territory jurisdictions. A management scenario for reduced emissions that could qualify as an Emissions Reduction Fund (ERF) project was used to illustrate the effect of regional level model parameters on estimated abatement levels. Using regional parameters, instead of state level parameters, for liveweight (LW), LW gain and proportion of cows lactating and an expanded number of livestock classes, gives a 5.2% reduction in estimated emissions (range +12% to –34% across regions). Estimated GHG emissions intensity (emissions per kilogram of LW sold) varied across the regions by up to 2.5-fold, ranging from 10.5 kg CO2-e kg–1 LW sold for Darling Downs, Queensland, through to 25.8 kg CO2-e kg–1 LW sold for the Pindan and North Kimberley, Western Australia. This range was driven by differences in production efficiency, reproduction rate, growth rate and survival. This suggests that some regions in northern Australia are likely to have substantial opportunities for GHG abatement and higher livestock income. However, this must be coupled with the availability of management activities that can be implemented to improve production efficiency; wet season phosphorus (P) supplementation being one such practice. An ERF case study comparison showed that P supplementation of a typical-sized herd produced an estimated reduction of 622 t CO2-e year–1, or 7%, compared with a non-P supplemented herd. However, the different model parameters used by the National Inventory Report and ERF project means that there was an anomaly between the herd emissions for project cattle excised from the national accounts (13 479 t CO2-e year–1) and the baseline herd emissions estimated for the ERF project (8 896 t CO2-e year–1) before P supplementation was implemented. Regionalising livestock model parameters in both ERF projects and the national accounts offers the attraction of being able to more easily and accurately reflect emissions savings from this type of emissions reduction project in Australia’s national GHG accounts.

Más allá de la cultura: validación de un modelo multidimensional de autoconcepto en adolescentes argentinos

El autoconcepto y autoestima mostraron ser constructos centrales para explicar el desarrollo adolescente. Uno de los modelos más reconocidos sobre este tema plantea un modelo para esta etapa del desarrollo, compuesto por ocho dominios específicos de autoconcepto y un dominio con un nivel mayor de abstracción que representa la autoestima general. Este modelo teórico se operacionalizó con el Perfil de Autopercepción para Adolescentes (SPPA). El objetivo de este estudio fue contrastar estadísticamente la estructura teórica del SPPA en población adolescente de la Ciudad Autónoma de Buenos Aires, Argentina (C.A.B.A./AR). Se administró el SPPA a 467 adolescentes concurrentes a escuelas de educación media de la C.A.B.A./AR. Para confirmar la estructura teórica propuesta se sometieron los datos a un análisis factorial confirmatorio, poniendo a prueba dos modelos alternativos para los dominios del autoconcepto y uno para la autoestima. Los resultados hallados permiten afirmar que se confirma la estructura teórica propuesta en la población adolescente de la C.A.B.A/A.R.

Downstream processing of reverse osmosis brine: Characterisation of potential scaling compounds

Reverse osmosis (RO) brine produced at a full-scale coal seam gas (CSG) water treatment facility was characterized with spectroscopic and other analytical techniques. A number of potential scalants including silica, calcium, magnesium, sulphates and carbonates, all of which were present in dissolved and non-dissolved forms, were characterized. The presence of spherical particles with a size range of 10-1000nm and aggregates of 1-10 microns was confirmed by transmission electron microscopy (TEM). Those particulates contained the following metals in decreasing order: K, Si, Sr, Ca, B, Ba, Mg, P, and S. Characterization showed that nearly one-third of the total silicon in the brine was present in the particulates. Further, analysis of the RO brine suggested supersaturation and precipitation of metal carbonates and sulphates during the RO process should take place and could be responsible for subsequently capturing silica in the solid phase. However, the precipitation of crystalline carbonates and sulphates are complex. X-ray diffraction analysis did not confirm the presence of common calcium carbonates or sulphates but instead showed the presence of a suite of complex minerals, to which amorphous silica and/or silica rich compounds could have adhered. A filtration study showed that majority of the siliceous particles were less than 220nm in size, but could still be potentially captured using a low molecular weight ultrafiltration membrane. © 2015 Elsevier Ltd.

A Multidimensional Approach to Social Support: the Questionnaire on the Frequency of and Satisfaction with Social Support (QFSSS)

The Questionnaire on the Frequency of and Satisfaction with Social Support (QFSSS) was designed to assess the frequency of and the degree of satisfaction with perceived social support received from different sources in relation to three types of support: emotional, informational, and instrumental. This study tested the reliability of the questionnaire scores and its criterion and structural validity. The data were drawn from survey interviews of 2042 Spanish people. The results show high internal consistency (values of Cronbach's alpha ranged from .763 to .952). The correlational analysis showed significant positive associations between QFSSS scores and measures of subjective well-being and perceived social support, as well as significant negative associations with measures of loneliness (values of Pearson's r correlation ranged from .11 to .97). Confirmatory factor analysis using structural equation modelling verified an internal 4-factor structure that corresponds to the sources of support analysed: partner, family, friends, and community (values ranged from .93 to .95 for the Goodness of Fit Index (GFI); from .95 to .98 for the Comparative Fit Index (CFI); and from .10 to .07 for the Root Mean Square Error of Approximation (RMSEA)). These results confirm the validity of the QFSSS as a versatile tool which is suitable for the multidimensional assessment of social support.

Multiple Imputation of missing values in exploratory factor analysis of multidimensional scales: estimating latent trait scores

ABSTRACT Researchers frequently have to analyze scales in which some participants have failed to respond to some items. In this paper we focus on the exploratory factor analysis of multidimensional scales (i.e., scales that consist of a number of subscales) where each subscale is made up of a number of Likert-type items, and the aim of the analysis is to estimate participants' scores on the corresponding latent traits. We propose a new approach to deal with missing responses in such a situation that is based on (1) multiple imputation of non-responses and (2) simultaneous rotation of the imputed datasets. We applied the approach in a real dataset where missing responses were artificially introduced following a real pattern of non-responses, and a simulation study based on artificial datasets. The results show that our approach (specifically, Hot-Deck multiple imputation followed of Consensus Promin rotation) was able to successfully compute factor score estimates even for participants that have missing data.

Composición y abundancia del zooplancton en el área Los Remos, Bahía de Jiquilisco Usulután, El Salvador

Con el objetivo de contribuir al conocimiento sobre la composición y abundancia del zooplancton marino en El Salvador, se realizó un estudio en el área Los Remos, Bahía de Jiquilisco, Usulután, entre los meses de Septiembre –Diciembre de 2013 y Enero-Febrero de 2014. Determinándose la composición de los taxones, la diversidad, equidad y abundancia de los diferentes grupos en relación a los puntos de muestreo, describiendo su variación espacial así como también su relación con las variables de Temperatura, pH, Salinidad, Oxígeno Disuelto y Transparencia del agua. Se encontraron 27 grupos zooplanctónicos diferentes pertenecientes a 29 familias, dentro de los cuales se identificó a 37 organismos, 11 a nivel de familia, 13 a nivel de género y 13 a nivel de especie. La diversidad y equidad de cada punto de muestreo fue determinado por medio de los índices de Shannon-Winner y Pielou respectivamente, encontrándose que el Punto 4 (P4) fue el que presento la mayor diversidad con 1.14 y el menos diverso fue el Punto 1 (P1) con 0.95. En cuanto a los valores de equidad, ninguno de los puntos alcanzó la equidad media (0.5) por lo cual se considera que todos los puntos de muestreo son poco equitativos. El grupo de los copépodos fue el más abundante con un total de 785, 907 organismos / 1000 m3 , seguido por el grupo del estadío nauplio con una cantidad de 61,408 organismos / 1000 m3 y en tercer lugar el grupo de los gastrópodos con 37,854 organismos / 1000 m3 (fórmula para estimar abundancia de Harris et al. 2000) . La variación espacial de los grupos fue determinada por medio del índice de similitud de Bray-Crutis el cual mostró mayor similitud entre los puntos P1, P2 y P6 por un lado y los puntos P3, P4 y P5 por otro. Para determinar si existía una relación entre las abundancias de los diferentes grupos y los parámetros físico-químicos del agua, lo que pudiera influir en la distribución de los mismos en los puntos de muestreo, se aplicó el análisis de Escalamiento Multidimensional (MDS) encontrando que existe relación entre los parámetros físico-químicos del agua con las abundancias de los organismos según el punto de muestreo.