997 resultados para Group diary


Relevância:

60.00% 60.00%

Publicador:

Resumo:

Aquesta tesi se situa en una perspectiva de l'Educació Ambiental adreçada a la Sostenibilitat i com a nucli catalitzador d'una Educació per al Canvi. Amb la investigació que es presenta es pretén, a més, contribuir a reduir el buit existent entre el marc teòric de l'Educació Ambiental i la seva transposició didàctica en la formació inicial del professorat, i al mateix temps poder fer aportacions significatives en el camp dels enfocaments pedagògics i estratègies metodològiques d'aquest àmbit de l'educació. En primer lloc, es presenta una anàlisi del marc teòric que ha informat el desenvolupament de l'Educació Ambiental, la seva reorientació i reconceptualització en la dècada dels anys noranta, i s'exposen el debat i les tendències actuals. A continuació es presenta l'anàlisi del nivell d'incorporació de l'Educació Ambiental, així com dels factors que en limiten o dificulten una plena integració, tant a nivell de l'etapa d'educació primària, com en la formació inicial del professorat. Es porta també a terme una revisió i una anàlisi exhaustiva de l'estat actual de la investigació en Educació Ambiental, a nivell nacional i internacional, i a partir d'ella es revela el dèficit que existeix, particularment, en la investigació educativa en Educació Ambiental en la formació inicial del professorat, i sobretot en el camp dels enfocaments pedagògics i estratègies metodològiques. El propòsit concret de la investigació se centra en: (i) analitzar l'impacte d'un enfocament metodològic (metodologia triaxial) aplicat en un curs d'Educació Ambiental en formació inicial del professorat; (ii) explorar el procés de formació en Educació Ambiental des del propi pensament dels estudiants. Aquest propòsit general ha portat la definició dels objectius d'investigació següents: (a) dissenyar i aplicar un enfocament metodològic triaxial en la formació en Educació Ambiental del professorat; (b) dissenyar i aplicar els instruments que promouen el procés de reflexió, individual i col·lectiu, en els estudiants; (c) explorar el procés de formació en Educació Ambiental des del pensament dels estudiants i a través dels instruments utilitzats per a la reflexió; (d) valorar la metodologia triaxial en la formació en Educació Ambiental de futurs i futures mestres d'Educació Primària. Cal destacar que la metodologia triaxial elaborada i aplicada es basa en la integració de tres eixos processals: procés d'investigació, procés de reflexió i procés de treball cooperatiu, i és consistent amb el model teòric que s'exposa i es defensa en la investigació (el capítol 5 tracta, concretament, del disseny, estructuració i desenvolupament del curs fonamentat en aquesta metodologia) La investigació se situa en el paradigma interpretatiu d'investigació educativa i en una metodologia d'anàlisi qualitativa. La mostra l'ha constituïda un grup classe, 42 estudiants, del 3r curs dels estudis de Magisteri, curs 1998/99, de la Universitat de Girona. Els instruments d'anàlisi han estat els instruments de reflexió, individual i col·lectiva, utilitzats en el curs. Destaquem l'ús d'un diari de grup, especialment dissenyat i estructurat per a promoure la reflexió col·lectiva, com l'aportació més rellevant en relació als instruments per a la reflexió. El diari de grup ha estat l'instrument vertebrador de la metodologia d'anàlisi qualitativa, i, tal com s'ha aplicat en aquesta investigació, s'ha validat com a un instrument nuclear i eficaç per a la reflexió de grup, i per explorar i analitzar el procés de formació en Educació Ambiental i de la formació professional general del grup d'estudiants. La resta d'instruments han estat, bàsicament, qüestionaris individuals, en diferents moments del curs; els documents produïts pels estudiants (propostes didàctiques en Educació Ambiental) i la memòria de la investigadora. La triangulació s'ha realitzat a través de tots els instruments. En la investigació es presenta, de manera detallada, com s'ha dut a terme el procés d'anàlisi de cadascun dels instruments i els resultats extrets. L'anàlisi dels resultats ha permès dibuixar l'evolució del pensament dels estudiants al llarg del curs i realitzar una anàlisi holística i multidimensional del seu procés de formació en Educació Ambiental. S'ha produït un canvi substancial en relació a la comprensió i assumpció dels components de l'Educació Ambiental: rellevància, holisme, educació crítica, educació en valors, capacitat de responsabilitat, d'acció i d'atendre diferents punts de vista i perspectives. Al llarg del curs i del procés hi ha una clara potenciació de qualitats dinàmiques. Al mateix temps, l'anàlisi revela la interdependència real i efectiva dels tres processos que configuren la metodologia triaxial i la seva clara influència en la formació en Educació Ambiental del grup d'estudiants i en la construcció dels seus models didàctics. En la investigació es conclou, entre altres aspectes, que l'enfocament metodològic, basat en un procés triaxial, aplicat en la formació inicial del grup de futurs i futures mestres, ha resultat de gran eficàcia i rellevància en la seva formació en Educació Ambiental i, també, en la seva formació com a professionals investigadors, crítico- reflexius, amb capacitat d'innovació i amb un grau més alt d' "empowerment". Cal dir que la metodologia triaxial es revela amb altes possibilitats de transferència i adaptabilitat a altres estudis. La transferibilitat d'aquesta metodologia serà objecte de seguiment investigatiu amb el propòsit de trobar les orientacions pedagògiques més adequades a cada àmbit i situació, ja que pot oferir aportacions valuoses en el camp de l'Ambientalització Curricular dels estudis universitaris.

Relevância:

40.00% 40.00%

Publicador:

Resumo:

Objectives: To assess the short- and long-term reproducibility of a short food group questionnaire, and to compare its performance for estimating nutrient intakes in comparison with a 7-day diet diary. Design: Participants for the reproducibility study completed the food group questionnaire at two time points, up to 2 years apart. Participants for the performance study completed both the food group questionnaire and a 7-day diet diary a few months apart. Reproducibility was assessed by kappa statistics and percentage change between the two questionnaires; performance was assessed by kappa statistics, rank correlations and percentages of participants classified into the same and opposite thirds of intake. Setting: A random sample of participants in the Million Women Study, a population-based prospective study in the UK. Subjects: In total, 12 221 women aged 50-64 years. Results: in the reproducibility study, 75% of the food group items showed at least moderate agreement for all four time-point comparisons. Items showing fair agreement or worse tended to be those where few respondents reported eating them more than once a week, those consumed in small amounts and those relating to types of fat consumed. Compared with the diet diary, the food group questionnaire showed consistently reasonable performance for the nutrients carbohydrate, saturated fat, cholesterol, total sugars, alcohol, fibre, calcium, riboflavin, folate and vitamin C. Conclusions: The short food group questionnaire used in this study has been shown to be reproducible over time and to perform reasonably well for the assessment of a number of dietary nutrients.

Relevância:

30.00% 30.00%

Publicador:

Resumo:

Background: Since barrier protection measures to avoid contact with allergens are being increasingly developed, we assessed the clinical efficacy and tolerability of a topical nasal microemulsion made of glycerol esters in patients with allergic rhinitis. Methods: Randomized, controlled, double-blind, parallel group, multicentre, multinational clinical trial in which adult patients with allergic rhinitis or rhinoconjunctivitis due to sensitization to birch, grass or olive tree pollens received treatment with topical microemulsion or placebo during the pollen seasons. Efficacy variables included scores in the mini-RQLQ questionnaire, number and severity of nasal, ocular and lung signs and symptoms, need for symptomatic medications and patients" satisfaction with treatment. Adverse events were also recorded. Results: Demographic characteristics were homogeneous between groups and mini-RQLQ scores did not differ significantly at baseline (visit 1). From symptoms recorded in the diary cards, the ME group showed statistically significant better scores for nasal congestion (0.72 vs. 1.01; p = 0.017) and mean total nasal symptoms (0.7 vs. 0.9; p = 0.045). At visit 2 (pollen season), lower values were observed in the mini-RQLQ in the ME group, although there were no statistically significant differences between groups in both full analysis set (FAS) and patients completing treatment (PPS) populations. The results obtained in the nasal symptoms domain of the mini-RQLQ at visit 2 showed the highest difference (−0.43; 95% CI: -0.88 to 0.02) for the ME group in the FAS population. The topical microemulsion was safe and well tolerated and no major discomforts were observed. Satisfaction rating with the treatment was similar between the groups. Conclusions: The topical application of the microemulsion is a feasible and safe therapy in the prevention of allergic symptoms, particularly nasal congestion.

Relevância:

30.00% 30.00%

Publicador:

Resumo:

Peer reviewed

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Otorhinolaryngological manifestations of rheumatologic diseases represent a great challenge not only to the generalistphysician but also to the ENT doctor andrheumatologist. They often represent early manifestations of an autoimmune disorder which requires prompt and aggressive immunosuppressive treatment. Auditory, nasal, laryngeal and eye symptoms can be the first manifestation of rheumatic diseases and their proper assessment helps the doctor to identify signs of disease activity. The objective of this study is to identify the ENT manifestations in patients with rheumatic diseases in a high complexity hospital, regarding facilitating an early diagnosis and treatment. We performed clinical and complete otorhinolaryngological evaluations in patients selected from the outpatient rheumatology in a standardized manner by the use of a standardized form filling during the secondhalf of 2010. In the study group, systemic lupus erythematosus (SLE) patients had predominantly laryngeal manifestations, while patients with Sjögren's syndrome showed a higher prevalence of otologic manifestations. Changes in audiometric tests were found in 53% of Wegener's granulomatosis (WG) patients, 80% of relapsing polychondritis (RP), 33% of systemic lupus erythematosus (SLE) and 50% of Churg-Strauss syndrome (SCS). Regarding nasal alterations, these were found so prevalent in all conditions, especially Churg-Strauss syndrome. This study demonstrated that most patients treated in our hospital has the ENT signs and symptoms commonly associated in previous studies on rheumatic diseases, but further studies with a larger number of patients must be made to establish such relations.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

The taxonomic status of a disjunctive population of Phyllomedusa from southern Brazil was diagnosed using molecular, chromosomal, and morphological approaches, which resulted in the recognition of a new species of the P. hypochondrialis group. Here, we describe P. rustica sp. n. from the Atlantic Forest biome, found in natural highland grassland formations on a plateau in the south of Brazil. Phylogenetic inferences placed P. rustica sp. n. in a subclade that includes P. rhodei + all the highland species of the clade. Chromosomal morphology is conservative, supporting the inference of homologies among the karyotypes of the species of this genus. Phyllomedusa rustica is apparently restricted to its type-locality, and we discuss the potential impact on the strategies applied to the conservation of the natural grassland formations found within the Brazilian Atlantic Forest biome in southern Brazil. We suggest that conservation strategies should be modified to guarantee the preservation of this species.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Polymorphisms of Rh, Kell, Duffy, Kidd and Diego blood group systems were studied in 209 unrelated Brazilian Japanese descendants from South of Brazil. The methods used were multiplex-PCR, AS-PCR and RFLP-PCR. The differences in frequencies among the populations were evaluated using chi-square test. The frequencies for Rh, Kell, Kidd and Diego system were similar to those of the Japanese. RHCE(*)CC, RHCE(*)EE genotypes and FY(*)01 allele were lower and FY(*)01N.01 was higher than Japanese. These differences in the frequencies between Brazilian Japanese descendants and Japanese could indicate a gene flow in Brazilian population and reinforce the importance of this knowledge to achieve safe red blood cells.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

The 2005 National Institutes of Health (NIH) Consensus Conference proposed new criteria for diagnosing and scoring the severity of chronic graft-versus-host disease (GVHD). The 2014 NIH consensus maintains the framework of the prior consensus with further refinement based on new evidence. Revisions have been made to address areas of controversy or confusion, such as the overlap chronic GVHD subcategory and the distinction between active disease and past tissue damage. Diagnostic criteria for involvement of mouth, eyes, genitalia, and lungs have been revised. Categories of chronic GVHD should be defined in ways that indicate prognosis, guide treatment, and define eligibility for clinical trials. Revisions have been made to focus attention on the causes of organ-specific abnormalities. Attribution of organ-specific abnormalities to chronic GVHD has been addressed. This paradigm shift provides greater specificity and more accurately measures the global burden of disease attributed to GVHD, and it will facilitate biomarker association studies.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

A randomized controlled trial study was performed to evaluate the efficacy of transcutaneous tibial nerve stimulation (TTNS) and sham TTNS, in patients with Parkinson disease (PD) with lower urinary tract symptoms (LUTS). Randomized controlled trial. Thirteen patients with a diagnosis of PD and bothersome LUTS were randomly allocated to one of the following groups: Group I: TTNS group (n = 8) and group II: Sham group (n = 5). Both groups attended twice a week during 5 weeks; each session lasted 30 minutes. Eight patients received TTNS treatment and 5 subjects allocated to group II were managed with sham surface electrodes that delivered no electrical stimulation. Assessments were performed before and after the treatment; they included a 3-day bladder diary, Overactive Bladder Questionnaire (OAB-V8), and the International Consultation on Incontinence Quality of Life Questionnaire Short Form (ICIQ-SF), and urodynamic evaluation. Following 5 weeks of treatment, patients allocated to TTNS demonstrated statistically significant reductions in the number of urgency episodes (P = .004) and reductions in nocturia episodes (P < .01). Participants allocated to active treatment also showed better results after treatment in the OAB-V8 and ICIQ-SF scores (P < .01, respectively). Urodynamic testing revealed that patients in the active treatment group showed improvements in intravesical volume at strong desire to void (P < .05) and volume at urgency (P < .01) when compared to subjects in the sham treatment group. These findings suggest that TTNS is effective in the treatment of LUTS in patients with PD, reducing urgency and nocturia episodes and improving urodynamic parameters as well as symptom scores measured by the OAB-V8 and health-related quality-of-life scores measured by the ICIQ-SF.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Trypsins and chymotrypsins are well-studied serine peptidases that cleave peptide bonds at the carboxyl side of basic and hydrophobic l-amino acids, respectively. These enzymes are largely responsible for the digestion of proteins. Three primary processes regulate the activity of these peptidases: secretion, precursor (zymogen) activation and substrate-binding site recognition. Here, we present a detailed phylogenetic analysis of trypsins and chymotrypsins in three orders of holometabolous insects and reveal divergent characteristics of Lepidoptera enzymes in comparison with those of Coleoptera and Diptera. In particular, trypsin subsite S1 was more hydrophilic in Lepidoptera than in Coleoptera and Diptera, whereas subsites S2-S4 were more hydrophobic, suggesting different substrate preferences. Furthermore, Lepidoptera displayed a lineage-specific trypsin group belonging only to the Noctuidae family. Evidence for facilitated trypsin auto-activation events were also observed in all the insect orders studied, with the characteristic zymogen activation motif complementary to the trypsin active site. In contrast, insect chymotrypsins did not seem to have a peculiar evolutionary history with respect to their mammal counterparts. Overall, our findings suggest that the need for fast digestion allowed holometabolous insects to evolve divergent groups of peptidases with high auto-activation rates, and highlight that the evolution of trypsins led to a most diverse group of enzymes in Lepidoptera.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

To evaluate the distribution of women according to the Robson 10-group classification system (RTGCS) and the occurrence of severe maternal morbidity (SMM) by mode of delivery at a tertiary referral hospital. A retrospective cross-sectional study was conducted of all women admitted to the Women's Hospital at the University of Campinas (Campinas, Brazil) for delivery between January 2009 and July 2013. Women were grouped according to RTGCS. Mode of delivery and SMM (defined as need for admission to the intensive care unit) were assessed. Among 12 771 women, 5957 (46.6%) delivered by cesarean. Overall, 3594 (28.1%) women were in group 1 (nulliparous, single pregnancy, cephalic, term, spontaneous labor), 2328 (18.2%) in group 5 (≥1 previous cesarean, single pregnancy, cephalic, term), and 2112 (16.5%) in group 3 (multiparous excluding previous cesarean, single pregnancy, cephalic, term, spontaneous labor). Group 5 contributed the most cesarean deliveries (1626 [27.3%]), followed by group 2 (nulliparous, single pregnancy, cephalic, term, induced labor or cesarean before labor; 1049 [17.6%]). SMM was more common among women undergoing cesarean delivery than among those delivering vaginally in groups 1-5. The RTGCS allowed the identification of groups with the highest frequency of cesarean delivery and an assessment of SMM. This should be considered in related health policies.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Spinocerebellar ataxia type 1 (SCA1), spinocerebellar ataxia type 2 (SCA2) and Machado-Joseph disease or spinocerebellar ataxia type 3 (MJD/SCA3) are three distinctive forms of autosomal dominant spinocerebellar ataxia (SCA) caused by expansions of an unstable CAG repeat localized in the coding region of the causative genes. Another related disease, dentatorubropallidoluysian atrophy (DRPLA) is also caused by an unstable triplet repeat and can present as SCA in late onset patients. We investigated the frequency of the SCA1, SCA2, MJD/SCA3 and DRPLA mutations in 328 Brazilian patients with SCA, belonging to 90 unrelated families with various patterns of inheritance and originating in different geographic regions of Brazil. We found mutations in 35 families (39%), 32 of them with a clear autosomal dominant inheritance. The frequency of the SCA1 mutation was 3% of all patients; and 6 % in the dominantly inherited SCAs. We identified the SCA2 mutation in 6% of all families and in 9% of the families with autosomal dominant inheritance. The MJD/SCA3 mutation was detected in 30 % of all patients; and in the 44% of the dominantly inherited cases. We found no DRPLA mutation. In addition, we observed variability in the frequency of the different mutations according to geographic origin of the patients, which is probably related to the distinct colonization of different parts of Brazil. These results suggest that SCA may be occasionally caused by the SCA1 and SCA2 mutations in the Brazilian population, and that the MJD/SCA3 mutation is the most common cause of dominantly inherited SCA in Brazil.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

The objective of this research was to determine the levels of enrichment of vitamins B1, B2, B6 and B3 in different types and brands of enriched cookies. The chromatographic separation was performed in a C18 column with gradient elution and UV detection at 254 and 287 nm. The results show that only 5 of the 24 brands evaluated are in accordance with the Brazilian legislation with respect to the vitamin content declared on the labels. However, consumption of approximately 100-150 g of most of the brands supplies the recommended dietary intake for children and adults of the vitamins evaluated.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Universidade Estadual de Campinas . Faculdade de Educação Física