988 resultados para therapeutic community


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Smartphones and other powerful sensor-equipped consumer devices make it possible to sense the physical world at an unprecedented scale. Nearly 2 million Android and iOS devices are activated every day, each carrying numerous sensors and a high-speed internet connection. Whereas traditional sensor networks have typically deployed a fixed number of devices to sense a particular phenomena, community networks can grow as additional participants choose to install apps and join the network. In principle, this allows networks of thousands or millions of sensors to be created quickly and at low cost. However, making reliable inferences about the world using so many community sensors involves several challenges, including scalability, data quality, mobility, and user privacy.

This thesis focuses on how learning at both the sensor- and network-level can provide scalable techniques for data collection and event detection. First, this thesis considers the abstract problem of distributed algorithms for data collection, and proposes a distributed, online approach to selecting which set of sensors should be queried. In addition to providing theoretical guarantees for submodular objective functions, the approach is also compatible with local rules or heuristics for detecting and transmitting potentially valuable observations. Next, the thesis presents a decentralized algorithm for spatial event detection, and describes its use detecting strong earthquakes within the Caltech Community Seismic Network. Despite the fact that strong earthquakes are rare and complex events, and that community sensors can be very noisy, our decentralized anomaly detection approach obtains theoretical guarantees for event detection performance while simultaneously limiting the rate of false alarms.

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The proliferation of smartphones and other internet-enabled, sensor-equipped consumer devices enables us to sense and act upon the physical environment in unprecedented ways. This thesis considers Community Sense-and-Response (CSR) systems, a new class of web application for acting on sensory data gathered from participants' personal smart devices. The thesis describes how rare events can be reliably detected using a decentralized anomaly detection architecture that performs client-side anomaly detection and server-side event detection. After analyzing this decentralized anomaly detection approach, the thesis describes how weak but spatially structured events can be detected, despite significant noise, when the events have a sparse representation in an alternative basis. Finally, the thesis describes how the statistical models needed for client-side anomaly detection may be learned efficiently, using limited space, via coresets.

The Caltech Community Seismic Network (CSN) is a prototypical example of a CSR system that harnesses accelerometers in volunteers' smartphones and consumer electronics. Using CSN, this thesis presents the systems and algorithmic techniques to design, build and evaluate a scalable network for real-time awareness of spatial phenomena such as dangerous earthquakes.

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An extreme dry-down and muck-removal project was conducted at Lake Tohopekaliga, Florida, in 2003-2004, to remove dense vegetation from inshore areas and improve habitat degraded by stabilized water levels. Vegetation was monitored from June 2002 to December 2003, to describe the pre-existing communities in terms of composition and distribution along the environmental gradients. Three study areas (Treatment-Selection Sites) were designed to test the efficacy of different treatments in enhancing inshore habitat, and five other study areas (Whole-Lake Monitoring Sites) were designed to monitor the responses of the emergent littoral vegetation as a whole. Five general community types were identified within the study areas by recording aboveground biomasses and stem densities of each species. These communities were distributed along water and soils gradients, with water depth and bulk density explaining most of the variation. The shallowest depths were dominated by a combination of Eleocharis spp., Luziola fluitans, and Panicum repens; while the deeper areas had communities of Nymphaea odorata and Nuphar luteum; Typha spp.; or Paspalidium geminatum and Hydrilla verticillata. Mineralized soils were common in both the shallow and deep-water communities, while the intermediate depths had high percentages of organic material in the soil. These intermediate depths (occurring just above and just below low pool stage) were dominated by Pontederia cordata, the main species targeted by the habitat enhancement project. This emergent community occurred in nearly monocultural bands around the lake (from roughly 60–120 cm in depth at high pool stage) often having more diverse floating mats along the deep-water edge. The organic barrier these mats create is believed to impede access of sport fish to shallow-water spawning areas, while the overall low diversity of the community is evidence of its competitive nature in stabilized waters. With continued monitoring of these study areas long-term effects of the restoration project can be assessed and predictive models may be created to determine the efficacy and legitimacy of such projects in the future.

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The objectives of this essay are twofold. First it reviews the reason for abstaining (or casting a null or blank vote) in elections. It also provides the data of abstention in the elections to the European Parliament. Fewer data are available on blank and null votes. These are provided for some countries. The second objective is to analyze the data of the elections in the Basque Autonomous Community since 1977. The evolution through time is commented. The main features are the low participation in the European elections on the one hand and the importance of the null vote in the 2003-2009 period.

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The objectives of this essay are twofold. First it reviews the reason for abstaining (or casting a null or blank vote) in elections. It also provides the data of abstention in the elections to the European Parliament. Fewer data are available on blank and null votes. These are provided for some countries. The second objective is to analyze the data of the elections in the Basque Autonomous Community since 1977. The evolution through time is commented. The main features are the low participation in the European elections on the one hand and the importance of the null vote in the 2003-2009 period.

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Widespread pollution by heavy metals generated by various industries has serious adverse effects on human health and the environment. Cadmium is a heavy metal recognised as one of the most hazardous environmental pollutants. It is a non-essential and non-beneficial element to organisms, causing toxicity and other deleterious effects on various components of the aquatic environment. The ability of algal periphyton to concentrate cadmium from fresh water is well known. Moreover, periphyton communities are able to accumulate large amounts of cadmium despite its low concentration in fresh water. Many researchers use algal periphyton as an indicator of water quality in aquatic environments. In the present study, the authors ask two basic questions: Does cadmium accumulate along a food chain consisting of the periphyton community and a grazer species (Physa sp.) under semi-natural conditions provided by artificial streams? If not, which one can better indicate the water quality?

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Egeria densa (PLANCH.) ST. JOHN, a submerged plant invader, forms a wide submerged plant zone, particularly along the west coast of the south basin, Lake Biwa. The macrophyte occupies over 82% of the plant zone in the basin and its biomass reaches 93% of the total. The estimated annual net production was approximately 1 kg dry wt./m2 in a dense area, which is about 4.5 times as much as the net production by phytoplankton in an offshore area of the basin. Although the area covered by the macrophyte is only 5.8% of the total of the basin, it produced about one-tenth of the total annual primary production. In the most productive season Egeria produced 46% of the total primary productivity. Thus, the macrophyte never be neglected when one considers the energy flow or material circulation in the basin. This study was initiated in order to clarify the role of submerged macrophytes, particularly E. densa, in Lake Biwa. The following points are reported in this paper: the distribution of macrophytes in the south basin; seasonal change in standing crop of E. densa; seasonal change in values related to production, utilizing a model proposed by Ikushima with its parameters experimentally determined.

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This review examines water quality and stress indicators at levels of organisation from the individual to the community and beyond by means of three case studies concentrating on rocky shores within the north-east Atlantic. Responses of dogwhelks (Nucella) to tributyltin pollution from antifouling paints is examined as the main case study. There are effects at the individual level (development of male sexual characteristics in the female leading to effective sterility) and population level (reduction in juveniles, few females and eventual population disappearance of dogwhelks in badly contaminated areas) but information on community level effects of dogwhelk demise is sparse. Such effects were simulated by dogwhelk removal experiments on well studied, moderately exposed ledges on shores on the Isle of Man. The removal of dogwhelks reduced the size and longevity of newly established Fucus clumps that had escaped grazing. Removal of dogwhelks also increased the likelihood of algal escapes. In a factorial experiment dogwhelks were shown to be less important than limpets \{Patella) in structuring communities but still had a significant modifying effect by increasing the probability of algal escapes. Community level responses to stress on rocky shores are then explored by reference to catastrophic impacts such as oil spills, using the Torrey Canyon as a case study. Recovery of the system in response to this major perturbation took between 10-15 years through a series of damped oscillations. The final case study is that of indicators of ecosystem level change in response to climate fluctuations, using ratios of northern \{Semibalanus balanoides) and southern (Chthamalus spp.) barnacles. Indices derived from counts on the shore show good correlations with inshore sea-water temperatures after a 2-year lag phase. The use of barnacles to measure offshore changes is reviewed. The discussion considers the use of bioindicators at various levels of organisation.

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O presente trabalho estuda os encaminhamentos realizados por médicos de família para avaliação psiquiátrica. As avaliações são realizadas pelo autor deste estudo dentro do PSF de Arrozal, distrito do município de Piraí, interior do Estado do Rio de Janeiro. A impressão era de que havia uma configuração do cuidado em saúde semelhante ao panóptico descrito por Foucault, ou seja, um sistema de vigilância daquela comunidade que desencadeava processos de medicalização dentro do Programa de Saúde da Família. Estudamos se os encaminhamentos para avaliação psiquiátrica são motivados por uma concepção da Psiquiatria enquanto uma instância disciplinadora e se existiriam outros processos de medicalização envolvidos nos encaminhamentos, além de subsidiar a Secretaria de Saúde de Piraí com os dados da pesquisa. Procedemos a análise de encaminhamentos por escrito por médicos de família para avaliação psiquiátrica e entrevistas semi-estruturadas com os médicos que realizam os encaminhamentos. Constatamos que os processos de medicalização ocorrem no cotidiano do PSF em estudo. Dispositivos como espaços de construção coletiva de projetos terapêuticos e educação em saúde e conceitos como resiliência e territorialidade são discutidos.

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O controle da Hipertensão Arterial é central para que seja alcançada maior eficiência na redução de eventos adversos secundários ao descontrole crônico da pressão arterial. Os resultados de uma atenção integral aos portadores não se esgotam no acesso e disponibilização de fármacos eficazes no controle da pressão arterial. Ela envolve a rede integrada de serviços, orientada pela atenção primária, com serviços especializados e hospitalares na atenção das intercorrências. O cuidado aos portadores destes agravos crônicos exige dos serviços e profissionais da atenção primária a implantação de estratégias de acolhimento, efetivação de vínculos e projetos terapêuticos e uma intervenção que abrange a promoção, prevenção, assistência e reabilitação. Com esta questão em mente é que este projeto buscou analisar a atenção prestada aos portadores de Hipertensão Arterial no município de Piraí com base nos registros dos prontuários ambulatoriais e hospitalares. Foram computados e analisados os prontuários de pacientes internados por agravos que, direta ou indiretamente, estão relacionados ao descontrole da pressão arterial. Identificaram-se um total de 61 pacientes internados com diagnóstico de internação de Crise Hipertensiva e Acidente Vascular Encefálico no ano de 2010, no Hospital Flávio Leal. A partir dos registros hospitalares foram selecionados 35 pacientes. Estes eram moradores do município de Piraí, adscritos a equipes básicas no município e tiveram seus diagnósticos de internação confirmados na alta hospitalar. A segunda etapa do estudo analisou, na Unidade de Saúde da Família, os prontuários familiares dos casos de internação. Foi observado que não havia uniformidade na forma de registro e de arquivamento dos prontuários entre as unidades básicas. Nos prontuários clínicos não havia campos destinados aos registros de aspectos psicossociais, mudança de comportamento ou adesão. As anotações eram centradas na doença e nos tratamentos farmacológicos. A participação de profissionais não médicos nos registros clínicos era escassa. A Ficha B do SIAB (Ficha de Acompanhamento do Paciente Hipertenso) que contém os dados sobre comportamento e risco cardiovascular foi encontrada apenas em 3 das 8 unidades visitadas. Segundo os dados dos prontuários analisados a distribuição de consultas e visitas domiciliares foi muito irregular. Com um total de 10 prontuários sem registros de consultas no ano em que o pacientes foi internado. A gravidade dos pacientes internados pode ser identificada pelo elevado número de óbitos entre os casos analisados. Muitos dos casos apresentavam sequelas neurológicas e comorbidades que provavelmente dificultava suas idas às unidades de saúde da família. Aspectos psicossociais, familiares e da comunidade estavam, em sua maioria, ausente dos prontuários familiares analisados dos pacientes internados. Também não foram encontrados anotações sobre projetos terapêuticos multidisciplinares que individualizassem e hierarquizassem os agravos e os riscos físicos e psicossociais dos pacientes. A análise evidencia que os registros nos prontuários não traduzem a abrangência de uma atenção integral aos portadores de Hipertensão Arterial no âmbito da Atenção Primária.

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For efficient use of conservation resources it is important to determine how species diversity changes across spatial scales. In many poorly known species groups little is known about at which spatial scales the conservation efforts should be focused. Here we examined how the community turnover of wood-inhabiting fungi is realised at three hierarchical levels, and how much of community variation is explained by variation in resource composition and spatial proximity. The hierarchical study design consisted of management type (fixed factor), forest site (random factor, nested within management type) and study plots (randomly placed plots within each study site). To examine how species richness varied across the three hierarchical scales, randomized species accumulation curves and additive partitioning of species richness were applied. To analyse variation in wood-inhabiting species and dead wood composition at each scale, linear and Permanova modelling approaches were used. Wood-inhabiting fungal communities were dominated by rare and infrequent species. The similarity of fungal communities was higher within sites and within management categories than among sites or between the two management categories, and it decreased with increasing distance among the sampling plots and with decreasing similarity of dead wood resources. However, only a small part of community variation could be explained by these factors. The species present in managed forests were in a large extent a subset of those species present in natural forests. Our results suggest that in particular the protection of rare species requires a large total area. As managed forests have only little additional value complementing the diversity of natural forests, the conservation of natural forests is the key to ecologically effective conservation. As the dissimilarity of fungal communities increases with distance, the conserved natural forest sites should be broadly distributed in space, yet the individual conserved areas should be large enough to ensure local persistence.

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In this project study the characteristic and dynamics of the residential housing market in the Basque country. When strong expansion and colapsing emerged in 2007,studied the differents adjustment.