921 resultados para Prone to accidents


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Huntington avait-il raison lorsqu’il déclarait que la religion serait un élément sujet à diviser ? Loin de déclarer qu’il existe une recrudescence de conflits dans le monde, force est de constater que la dimension religieuse dans les conflits est quant à elle sur le devant de la scène. Les cas du Liban, de l’Irlande du Nord ou de l’Ex-Yougoslavie, des cas classiques, illustrent parfaitement cette dimension dans l’exacerbation d’un conflit. Toutefois, ce mémoire tend à expliciter un phénomène particulier ; celui de l’Albanie. Située dans la région des Balkans, un véritable carrefour des religions d’une part et considéré comme un pays multiconfessionnel d’autre part, elle n’a jamais connu de conflit à caractère religieux. Qu’est-ce qui explique que cet État, composé de musulmans, de chrétiens orthodoxes et de catholiques, n’a jamais vu un conflit religieux émerger tandis que ce mulitconfessionnalisme est facteur de conflit chez d’autres ? Nous verrons que l’hypothèse sur laquelle nous nous appuierons est l’absence d’entrepreneurs politique. L’Albanie post-communiste a maintenu la religion séparée du monde politique tout comme ce dernier a évité la prise de parti pris en véhiculant un message de tolérance religieuse.

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Introducción: El incremento de pacientes sintomáticos de rodilla y la osteoartrosis en jóvenes con limitadas posibilidades terapéuticas después de una meniscectomía, genera la búsqueda de alternativas terapéuticas. A pesar que es poco utilizado en Colombia, el trasplante meniscal es una propuesta para el manejo sintomático. Según cifras norteamericanas, se practican entre 700.000 a 1.500.000 artroscopias de rodilla anualmente, el 50% termina en meniscectomía y de este un 40% persisten sintomáticos. Métodos: Estudio de cohorte retrospectivo, con el objetivo de evaluar dolor (Escala Visual Análoga-EVA) y funcionalidad (Escala de Tegner y Lysholm) en los pacientes a quienes se les realizó trasplante meniscal o meniscectomía por segunda vez, entre los años 2007 a 2015. Resultados: A partir de los 6 meses la EVA mostró una tendencia a la mejoría en el grupo de trasplante meniscal, pasando de Moderado a Leve (p: <0.000). La Escala de Tegner y Lysholm cambió de Pobre a Bueno en el grupo de segunda meniscectomía (p= 0.008) y de Bueno a Excelente en el grupo trasplantado (p=0.225). La calificación promedio de la EVA en el grupo de trasplante presentó mejoría (p=<0.000), a diferencia del grupo de segunda meniscectomía (p=0.591). La escala de Tegner y Lysholm, mostró significancia estadística con tendencia a la mejoría en el grupo de segunda meniscectomía. Discusión: Los resultados muestran que con trasplante meniscal hay mejoría del dolor y la funcionalidad versus un segunda meniscectomía. Para fortalecer la evidencia de este tratamiento son necesarios estudios prospectivos complementarios.

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Introduction: In liver transplantation the immunosuppression is essential for the survival of the graft and of the receiver. Although characteristics of adolescent development may influence medication non-adherence, the literature on the subject is scarce. The high prevalence and consequences of non-adherence makes it essential to identify the non-adherent adolescent with the intention of promoting medication adherence. Methods: The aim of this descriptive cross-sectional study is to characterize adolescents undergoing liver transplantation, and to determine the degree of medication non-adherence, using the Measure Treatment Adherence (MAT) scale and immunosuppression blood values. Moreover, the study seeks to explore the relationship between adherence and motivation - using the Treatment Self-Regulation Questionnaire (TSRQ), and adherence and competency - using Perceived Competence Scale (PCS). Results: The sample consisted of 32 adolescents (Age M=14,44 (SD=2,66); 56,3% (n=18) male) who underwent liver transplantation at a Portuguese pediatric hospital. Adolescents self-reported medication adherence scores in the MAT were significantly higher (100%) than what was expected based on the mean value of the three blood values of tacrolimus obtained within one year prior to completing the questionnaire (66,7%). As a subjective self-reported measure, the MAT is prone to bias and inflated self assessed adherence is commonly found in the literature. On the other hand, the mean value of the three blood levels of tacrolimus obtained widely and considered objective adherences measure, they may individually vary in terms of pharmacokinetic response and absorption. Adolescents showed a predominantly autonomous motivation to fulfill the medication prescription, being that motivation high (TSRQ autonomous motivation subscale presents an average value of 6.5, in a range of 1 to 7). They showed themselves confident and believing in their capacity to follow the medication regimen, due to the high perceived competence (PCS presents an average value of 6.65, in a range of 1 to 7). Opposed to what was postulated by the Self-determination Theory and other investigation's results, motivation and perceived competence are not related to adherence to the medication regimen in this study (rs=,119 p=,523; rs=,283 p=,123, respectively). Thus, perceived competence seems to have a positive influence on the autonomous motivation of these adolescents (rs=,482 p=,006). Conclusion: This study shows that medication adherence when evaluated subjectively scores higher compared to the blood values of immunosuppression. Also, Motivation and Perceived Competence do not seem to influence the adherence to the medication regimen. More multi-centre studies are needed, based on solid theory to examine adherence behaviour more.

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As a part of a multidisciplinary and integrated research, including conservation sciences and history, a proposal is presented for the historical reconstitution and the virtual restoration of the mannerist altarpiece of the main altar at the Espírito Santo Church, in Évora. The collected data is abundant and the scientific information, because of its technicality, is less prone to be easily understood by the general public, thus becoming less accessible. Web-based infographics are explored as privileged forms of disseminating results and raising awareness to Cultural Heritage. The project materializes as an Internet platform where data and a reconstitution proposal are shared in a visual and interactive way. In addition to the digital virtual reconstitution (2D), some tridimensional models (3D) are presented of various elements of the altarpiece, obtained using methods of computer graphics and digital photogrammetry

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Viticulture is an activity of great social and economic importance in the lower-middle region of the São Francisco River valley in northeastern Brazil. In this region, the fertility of soils under vineyards is generally poor. To assess the effects of organic and nitrogen fertilization on chemical properties and nitrate concentrations in an Argissolo Vermelho-Amarelo (Typic Plinthustalf), a field experiment was carried out in Petrolina, Pernambuco, on Syrah grapevines. Treatments consisted of two rates of organic fertilizer (0 and 30 m3 ha-1) and five N rates (0, 10, 20, 40, and 80 kg ha-1), in a randomized block design arranged in split plots, with five replications. The organic fertilizer levels represented the main plots and the N levels, the subplots. The source of N was urea and the source of organic fertilizer was goat manure. Irrigation was applied through a drip system and N by fertigation. At the end of the third growing season, soil chemical properties were determined and nitrate concentration in the soil solution (extracted by porous cups) was determined. Organic fertilization increased organic matter, pH, EC, P, K, Ca, Mg, Mn, sum of bases, base saturation, and CEC, but decreased exchangeable Cu concentration in the soil by complexation of Cu in the organic matter. Organic fertilization raised the nitrate concentration in the 0.20-0.40 m soil layer, making it leachable. Nitrate concentration in the soil increased as N rates increased, up to more than 300 mg kg-1 in soil and nearly 800 mg L-1 in the soil solution, becoming prone to leaching losses.

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Se desarrolla un marco teórico de la seguridad comunitaria al definirla a partir de la evolución que ha tenido el tema de la seguridad comunitaria a partir de la adopción del enfoque más amplio de la seguridad humana de los habitantes como base y eje de las políticas públicas, de donde nace un nuevo conjunto de prioridades para la erradicación de los factores de riesgo social asociados o que son proclives a la violencia y la comisión de delitos, tales como la deserción escolar, el desempleo, la violencia en todas sus formas, la inequidad de género y diversidad social, la falta de cohesión social, las migraciones, internas o externas, forzadas por las condiciones de vida. El enfoque se basa en un nuevo modelo criminológico que está sustentado en el marco de los derechos humanos, la seguridad humana y el modelo de control social democrático para formar un modelo de desarrollo humano sostenible, por tanto la prevención sustentada en políticas públicas para la seguridad humana, la participación comunitaria y el nuevo rol de la policía comunitaria.It develops a theoretical framework for defining the community from the developments that have taken the issue of community safety from the adoption of the broader approach to human security of people as the basis and focus of public policy, arises where a new set of priorities for the eradication of social risk factors that are associated with or prone to violence and committing crimes, such as school dropouts, unemployment, violence in all its forms, gender inequity and social diversity, lack of social cohesion, migration, internal or external, forced by the conditions of life. The approach is based on a new criminological model that is based on the framework of human rights, human security and control model to form a social democratic model of sustainable human development, thus preventing sustained public policies for security human, community involvement and the new role of community police.