Teaching of the Integrated Management of Childhood Illness strategy in undergraduate nursing programs

Objective: To describe and analyze the teaching of the Integrated Management of hildhood Illness (IMCI) strategy on Brazilian undergraduate nursing programs. Method: Integrating an international multicentric study, a cross-sectional online survey was conducted between May and October 2010 with 571 undergraduate nursing programs in Brazil Results: Responses were received from 142 programs, 75% private and 25% public. 64% of them included the IMCI strategy in the theoretical content, and 50% of the programs included IMCI as part of the students’ practical experience. The locations most used for practical teaching were primary health care units. The ‘treatment’ module was taught by the fewest number of programs, and few programs had access to the IMCI instructional manuals. All programs used exams for evaluation, and private institutions were more likely to include class participation as part of the evaluation. Teaching staff in public institutions were more likely to have received training in teaching IMCI. Conclusion: In spite of the relevance of the IMCI strategy in care of the child, its content is not addressed in all undergraduate programs in Brazil, and many programs do not have access to the IMCI teaching manuals and have not provide training in IMCI to their teaching staff.

Shear strength of reinforced concrete circular cross-section beams

A proposed adequation of NBR 6118, Item 7.4, related to shear strength of reinforced concrete beams is presented with aims to application on circular cross-section. The actual expressions are most suitable to rectangular cross-section and some misleading occurs when applied to circular sections at determination of VRd2, Vc and Vsw, as consequence of bw (beam width) and d (effective depth) definitions as well as the real effectiveness of circular stirrups. The proposed adequation is based on extensive bibliographic review and practical experience with a great number of infrastructure elements, such as anchored retaining pile walls, where the use of circular reinforced concrete members is frequent.

Zielvereinbarungsgespräch und Leitungsaufgabe von katholischen Priestern

Die großen christlichen Kirchen in Deutschland befinden sich in einem strukturellen Umbruch, der sich zunehmend auf die Pastoral der örtlichen Pfarreien und Kirchengemeinden auswirkt. Durch die Einführung von Verfahren aus dem New Public Management erhoffen sich Kirchenleitungen beider Konfessionen eine innerkirchliche Personalentwicklung, die vor allem das hauptberufliche Seelsorgepersonal neu motivieren soll. Insbesondere in der katholischen Kirche soll so - in Verbindung mit einem möglichst missionarisch wirksamen Neuaufbruch - die Transformation der ehemals volkskirchlich geprägten Pfarrgemeinden in eine sich neu abzeichnende Sozialgestalt von Kirche als Netzwerk größerer pastoraler Einheiten unterstützt werden. Die vorliegende Arbeit untersucht an der interdisziplinären Schnittstelle von Organisationforschung und praktischer Theologie, inwieweit die Einführung von Zielvereinbarungsgesprächen (ZVG) führungsverantwortliche Priester in der Wahrnehmung ihrer Leitungsaufgabe stärkt. Über 300 leitende Priester aus den Erzbistümern Freiburg und Paderborn hatten an der empirischen Studie mit zwei Messzeitpunkten teilgenommen. 73 Priester waren an beiden Messzeitpunkten A (2007) und B (2008) beteiligt. Unmittelbar nach dem Zeitpunkt A besuchten die befragten Priester der Erzdiözese Freiburg eine ZVG-Einführungsschulung, der sich eine einjährige Gesprächspraxis anschloss. Die in der Erzdiözese Paderborn befragten Priester bildeten die Vergleichsgruppe (ohne entsprechendes Treatment).rn rnWesentliches Ergebnis der Studie sind empirische Hinweise auf signifikante Zusammenhänge zwischen dem priesterlichem Leitungsselbstverständnis, der ZVG-Umsetzung und der Einschätzung der eigenen Führungsqualität.rnrnIn den Selbsteinschätzungen der leitenden Priester (z.B. im Hinblick auf Leitungszufriedenheit, Bedeutung bzw. Gelingen von einzelnen Leitungs- und Gesprächsaspekten, etc.) zeigten sich zum Zeitpunkt A im Vergleich zwischen beiden Diözesen nur geringe Unterschiede. Dies gilt auch für die in A erfolgte Auswertung offener Fragen zum priesterlichen Selbstverständnis, welches als leitungs-amtliche Handlungs- und Objektorientierung in beiden Diözesen am wenigsten stark ausgeprägt war.Zum Zeitpunkt B verdeutlichte die Untersuchung des Tätigkeitsfelds Gemeindeleitung, dass dessen Bedeutung in Freiburg größer war als in Paderborn. Der hierfür erbrachte Kraft- bzw. Zeitaufwand war in Freiburg jedoch niedriger als in Paderborn, was als eine Frucht der verbindlichen ZVG-Einführung in Freiburg interpretiert werden kann. Deutlich wird auch, dass Priester, die der ZVG-Einführung eine hohe Bedeutung beimessen, mit ihren Mitarbeitern viele Gespräche planen. Weil Folgegespräche zum Zeitpunkt B im gleichen Umfang wie schon zum Zeitpunkt A geplant wurden, müssen die konkreten Gesprächserfahrungen in der A-Phase hinreichend positiv gewesen sein. Die Umsetzung zum Zeitpunkt B war jedoch nicht in dem zum Zeitpunkt A geplanten Maß erfolgt, was sich mit Prioritätsverschiebungen erklären lässt. Interessanterweise korreliert die Anzahl der geführten Zielvereinbarungsgespräche mit dem Dienst- und Lebensalter der Priester. Erfahrene Priester, die sich auf eine Mitarbeiterführung durch Zielvereinbarung einlassen, machen demnach gute Erfahrungen mit diesem Personalentwicklungsinstrument. rnrnInsgesamt können die Ergebnisse der Studie zu einer weiteren Kultivierung der Zielvereinbarungsgespräche im kirchlichen Dienst ermutigen. Bistümern, die noch keine Zielvereinbarungsgespräche eingeführt haben, kann eine Implementierung angeraten werden. rn

Capitals and capabilities: linking structure and agency to reduce health inequalities

While empirical evidence continues to show that low socio-economic position is associated with less likely chances of being in good health, our understanding of why this is so remains less than clear. In this paper we examine the theoretical foundations for a structure-agency approach to the reduction of social inequalities in health. We use Max Weber's work on lifestyles to provide the explanation for the dualism between life chances (structure) and choice-based life conduct (agency). For explaining how the unequal distribution of material and non-material resources leads to the reproduction of unequal life chances and limitations of choice in contemporary societies, we apply Pierre Bourdieu's theory on capital interaction and habitus. We find, however, that Bourdieu's habitus concept is insufficient with regard to the role of agency for structural change and therefore does not readily provide for a theoretically supported move from sociological explanation to public health action. We therefore suggest Amartya Sen's capability approach as a useful link between capital interaction theory and action to reduce social inequalities in health. This link allows for the consideration of structural conditions as well as an active role for individuals as agents in reducing these inequalities. We suggest that people's capabilities to be active for their health be considered as a key concept in public health practice to reduce health inequalities. Examples provided from an ongoing health promotion project in Germany link our theoretical perspective to a practical experience.

A Robust Parser of Czech

Mr. Kubon's project was inspired by the growing need for an automatic, syntactic analyser (parser) of Czech, which could be used in the syntactic processing of large amounts of texts. Mr. Kubon notes that such a tool would be very useful, especially in the field of corpus linguistics, where creating a large-scale "tree bank" (a collection of syntactic representations of natural language sentences) is a very important step towards the investigation of the properties of a given language. The work involved in syntactically parsing a whole corpus in order to get a representative set of syntactic structures would be almost inconceivable without the help of some kind of robust (semi)automatic parser. The need for the automatic natural language parser to be robust increases with the size of the linguistic data in the corpus or in any other kind of text which is going to be parsed. Practical experience shows that apart from syntactically correct sentences, there are many sentences which contain a "real" grammatical error. These sentences may be corrected in small-scale texts, but not generally in the whole corpus. In order to be able to complete the overall project, it was necessary to address a number of smaller problems. These were; 1. the adaptation of a suitable formalism able to describe the formal grammar of the system; 2. the definition of the structure of the system's dictionary containing all relevant lexico-syntactic information, and the development of a formal grammar able to robustly parse Czech sentences from the test suite; 3. filling the syntactic dictionary with sample data allowing the system to be tested and debugged during its development (about 1000 words); 4. the development of a set of sample sentences containing a reasonable amount of grammatical and ungrammatical phenomena covering some of the most typical syntactic constructions being used in Czech. Number 3, building a formal grammar, was the main task of the project. The grammar is of course far from complete (Mr. Kubon notes that it is debatable whether any formal grammar describing a natural language may ever be complete), but it covers the most frequent syntactic phenomena, allowing for the representation of a syntactic structure of simple clauses and also the structure of certain types of complex sentences. The stress was not so much on building a wide coverage grammar, but on the description and demonstration of a method. This method uses a similar approach as that of grammar-based grammar checking. The problem of reconstructing the "correct" form of the syntactic representation of a sentence is closely related to the problem of localisation and identification of syntactic errors. Without a precise knowledge of the nature and location of syntactic errors it is not possible to build a reliable estimation of a "correct" syntactic tree. The incremental way of building the grammar used in this project is also an important methodological issue. Experience from previous projects showed that building a grammar by creating a huge block of metarules is more complicated than the incremental method, which begins with the metarules covering most common syntactic phenomena first, and adds less important ones later, especially from the point of view of testing and debugging the grammar. The sample of the syntactic dictionary containing lexico-syntactical information (task 4) now has slightly more than 1000 lexical items representing all classes of words. During the creation of the dictionary it turned out that the task of assigning complete and correct lexico-syntactic information to verbs is a very complicated and time-consuming process which would itself be worth a separate project. The final task undertaken in this project was the development of a method allowing effective testing and debugging of the grammar during the process of its development. The problem of the consistency of new and modified rules of the formal grammar with the rules already existing is one of the crucial problems of every project aiming at the development of a large-scale formal grammar of a natural language. This method allows for the detection of any discrepancy or inconsistency of the grammar with respect to a test-bed of sentences containing all syntactic phenomena covered by the grammar. This is not only the first robust parser of Czech, but also one of the first robust parsers of a Slavic language. Since Slavic languages display a wide range of common features, it is reasonable to claim that this system may serve as a pattern for similar systems in other languages. To transfer the system into any other language it is only necessary to revise the grammar and to change the data contained in the dictionary (but not necessarily the structure of primary lexico-syntactic information). The formalism and methods used in this project can be used in other Slavic languages without substantial changes.

What is Practice Research in Social Work - Definitions, Barriers and Possibilities

Practice is subject to increasing pressure to demonstrate its ability to achieve outcomes required by public policy makers. As part of this process social work practice has to engage with issues around advancing knowledge-based learning processes in a close collaboration with education and research based perspectives. This has given rise to approaches seeking to combine research methodology, field research and practical experience. Practice research is connected to both “the science of the concrete” – a field of research oriented towards subjects more than objects and “mode 2 knowledge production” – an application-oriented research where frameworks and findings are discussed by a number of partners. Practice research is defined into two approaches: practice research – collaboration between practice and research – and practitioner research – processes controlled and accomplished by practitioners. The basic stakeholders in practice research are social workers, service users, administrators, management, organisations, politicians and researchers. Accordingly, practice research is necessarily collaborative, involving a meeting point for different views, interests and needs, where complexity and dilemmas are inherent. Instead of attempting to balance or reconcile these differences, it is important to respect the differences if collaboration is to be established. The strength of both practice and research in practice research is to address these difficult challenges. The danger for both fields is to avoid and reject them.

A Socioeconomic Approach to the Development of E-Learning

A multitude of products, systems, approaches, views and notions characterize the field of e-learning. This article attempts to disentangle the field by using economic and sociological theories, theories of marketing management and strategy as well as practical experience gained by the author while working with leading edge suppliers of e-learning. On this basis, a distinction between knowledge creation e-learning and knowledge transfer e-learning is made. The various views are divided into four different ideal-typical paradigms, each with its own characteristics and limitations. Selecting the right paradigm to use in the development of an e-learning strategy may prove crucial to success. Implications for the development of an e-learning strategy in businesses and educational institutions are outlined.

Testing the 'Learning for Sustainabiliy' Approach in a Training for Trainers: Contribution to new learning theory and approaches

Mainstreaming the LforS approach is a challenge due to dive rging institutional priorities, customs, and expectations of classically traine d staff. A workshop to test LforS theory and practice, and explore how to mainstream it, took place in a concrete context in a rural district of Mozambique, focusing on agricultural, forest and water resources. The evaluation showed that the principles of interaction applied pe rmitted to link rational know ledge with practical experience through mutual learning and iterative self-reflection. The combination of learning techniques was considered usef ul; participants called for further opportunities to apply the LforS methodology, proposing next steps.

ASSIP Attempted Suicide Short Intervention Program. A Manual for Clinicans

Attempted Suicide is the main risk factor for suicide. The Attempted Suicide Short Intervention Program (ASSIP) described in this manual is an innovative brief therapy that has proven to be highly effective in reducing the risk of further attempts. ASSIP is the result of the authors' extensive practical experience in the treatment of suicidal individuals. The emphasis is on the therapeutic alliance with the suicidal patient, based on an initial video-recorded narrative interview and the development of personalized safety strategies. The three to four therapy sessions are followed by continuing contact with patients by means of regular letters.

Pro Scientia et Patria : Universidad, ciencia y sociedad. El caso de la Universidad Nacional de La Plata durante el período gonzaliano (1905-1918)

La presente tesis trata sobre el modelo gonzaliano de universidad científica que se adopta en la Universidad Nacional de La Plata a partir de 1905. El análisis del caso particular plantea el tema de la relación ciencia-universidad en la Argentina en el momento inicial de esta vinculación, situado históricamente entre fines de siglo XIX y principios de siglo XX. Se hace particular referencia a la tensión estructural de la universidad argentina constituida alrededor del eje ciencia - profesión y a la articulación que se da entre ciencia y universidad con la emergencia de la profesión académica. En el trabajo nos proponemos mostrar, en primer lugar, en qué medida y mediante qué dispositivos el carácter científico constituyó el eje vertebrador de todas las prácticas universitarias en el período comprendido entre 1905 y 1918, etapa durante la cual J. V. González ejerció la presidencia de la UNLP: la formación científica de los estudiantes, la investigación y la extensión a la sociedad. En segundo lugar, nos interesa indagar acerca de sus límites para lo cual se aborda la discusión entre la dinámica institucional y los condicionamientos estructurales de la sociedad argentina. Finalmente, se discuten las tendencias -científicas o profesionales- que se consolidan al final del período considerado

Pro Scientia et Patria : Universidad, ciencia y sociedad. El caso de la Universidad Nacional de La Plata durante el período gonzaliano (1905-1918)

La presente tesis trata sobre el modelo gonzaliano de universidad científica que se adopta en la Universidad Nacional de La Plata a partir de 1905. El análisis del caso particular plantea el tema de la relación ciencia-universidad en la Argentina en el momento inicial de esta vinculación, situado históricamente entre fines de siglo XIX y principios de siglo XX. Se hace particular referencia a la tensión estructural de la universidad argentina constituida alrededor del eje ciencia - profesión y a la articulación que se da entre ciencia y universidad con la emergencia de la profesión académica. En el trabajo nos proponemos mostrar, en primer lugar, en qué medida y mediante qué dispositivos el carácter científico constituyó el eje vertebrador de todas las prácticas universitarias en el período comprendido entre 1905 y 1918, etapa durante la cual J. V. González ejerció la presidencia de la UNLP: la formación científica de los estudiantes, la investigación y la extensión a la sociedad. En segundo lugar, nos interesa indagar acerca de sus límites para lo cual se aborda la discusión entre la dinámica institucional y los condicionamientos estructurales de la sociedad argentina. Finalmente, se discuten las tendencias -científicas o profesionales- que se consolidan al final del período considerado

Pro Scientia et Patria : Universidad, ciencia y sociedad. El caso de la Universidad Nacional de La Plata durante el período gonzaliano (1905-1918)

La presente tesis trata sobre el modelo gonzaliano de universidad científica que se adopta en la Universidad Nacional de La Plata a partir de 1905. El análisis del caso particular plantea el tema de la relación ciencia-universidad en la Argentina en el momento inicial de esta vinculación, situado históricamente entre fines de siglo XIX y principios de siglo XX. Se hace particular referencia a la tensión estructural de la universidad argentina constituida alrededor del eje ciencia - profesión y a la articulación que se da entre ciencia y universidad con la emergencia de la profesión académica. En el trabajo nos proponemos mostrar, en primer lugar, en qué medida y mediante qué dispositivos el carácter científico constituyó el eje vertebrador de todas las prácticas universitarias en el período comprendido entre 1905 y 1918, etapa durante la cual J. V. González ejerció la presidencia de la UNLP: la formación científica de los estudiantes, la investigación y la extensión a la sociedad. En segundo lugar, nos interesa indagar acerca de sus límites para lo cual se aborda la discusión entre la dinámica institucional y los condicionamientos estructurales de la sociedad argentina. Finalmente, se discuten las tendencias -científicas o profesionales- que se consolidan al final del período considerado

Propuesta de actividades de autoaprendizaje para el nivel A2 de lengua inglesa en la plataforma Moodle

Los objetivos de este proyecto son proporcionar la teoría, los ejercicios y otros recursos necesarios para que los alumnos de la EUIT de Telecomunicación con un nivel A1 en el Marco Común Europeo de Referencia para las Lenguas (MCERL) puedan obtener el nivel A2 en inglés sin necesidad de asistir a clases ni matricularse en cursos presenciales. La plataforma utilizada para conseguir este fin es Moodle, siendo utilizada en la página web de ILLLab. Este curso online sirve para alcanzar los conocimientos requeridos en la asignatura optativa Introduction to English for Professional and Academic Communication I que parte del nivel B1. Se realiza una propuesta de la gramática con sus correspondientes ejemplos y ejercicios basados todos ellos en adaptaciones de actividades publicadas en un corpus de libros de texto. Se añaden recursos (pequeñas lecturas, videos, enlaces) que se consideran apropiados para el tema tratado. Por otro lado, también se persigue solucionar el problema de los cursos de idiomas basados en e-learning ya que no proporcionan las herramientas necesarias para poner en práctica la expresión oral. Para ello, se aporta una aplicación basada en técnicas de reconocimiento de voz, con tres actividades en las que los resultados han de darse de forma hablada y con la correcta pronunciación. Así, se busca dar una base de conocimientos y experiencias prácticas para futuros proyectos basados en herramientas de síntesis y reconocimiento de voz, además de buscar un nuevo enfoque en el estudio de idiomas. Abstract: The objectives of this project are to provide the theory, exercises and other resources for students at the EUIT Telecommunications with A1 level in the Common European Framework of Reference for Languages (MCERL) in order to get A2 level in English without attending face-to-face courses. The platform used to achieve this aim is Moodle, which is currently being used in ILLLab website. This online course is due to attain the knowledge required in the optional subject Introduction to English for Professional and Academic Communication I which is based on the B1 level. It is a proposal of grammar with corresponding examples and exercises all based on adaptations of activities posted on a corpus of textbooks. It also adds resources (short readings, videos or links) that are appropriate for the subject. On the other hand, this project aims to solve the problem of language courses based on e-learning because these do not usually provide the student with the necessary tools to practice speaking. For this, we develop an application based on speech recognition techniques and propose three activities to practice speaking, and pronunciation. The proposal seeks to provide knowledge and practical experience for future projects based on synthesis tools and voice recognition, and means a new approach to e-learning courses for the study of languages.

Goal dependent vs goal independent analysis of logic programs

Goal independent analysis of logic programs is commonly discussed in the context of the bottom-up approach. However, while the literature is rich in descriptions of top-down analysers and their application, practical experience with bottom-up analysis is still in a preliminary stage. Moreover, the practical use of existing top-down frameworks for goal independent analysis has not been addressed in a practical system. We illustrate the efficient use of existing goal dependent, top-down frameworks for abstract interpretation in performing goal independent analyses of logic programs much the same as those usually derived from bottom-up frameworks. We present several optimizations for this flavour of top-down analysis. The approach is fully implemented within an existing top-down framework. Several implementation tradeoffs are discussed as well as the influence of domain characteristics. An experimental evaluation including a comparison with a bottom-up analysis for the domain Prop is presented. We conclude that the technique can offer advantages with respect to standard goal dependent analyses.

Communication peculiarities of early-aged children from speech risk group with close grownups

More children with different versions of speech disorders appear in Russia last decades. This situation reflects general tendency of national health deterioration. Our practical experience shows that close grownups can?t communicate to children with limited health capacity. As a result there arise social disabilities in child development. Speech communication is one of the forms of global communicative interaction process between close grownups and young child in the course of which there is a redistribution of knowledge and ignorance (Nikas Luman,2005). Within a framework of sociocultiral theory of mental growth we consider the appearance of speech communication under any cases of physical illness is possible only under conditions of correctly- organized communication between grownups and young children. (L.S. Vigotski ,2000). The special value in this aspect acquires the study of communication between grownups and young children. For five years we have been conducting the surveys on the problem of communicative contacts between parents and non-verbal children. Analysis of received data gave us the opportunity to systematize peculiar communicative interaction of adults and children who have some lapses in acquiring speech form communication. We have revealed four versions of situational- business communication between close grownups and young children with disabilities in acquiring speech. We have assumed that four versions of situational- business communication negatively affect speech form communication formation.