Work disability remains a major problem in rheumatoid arthritis in the 2000s: data from 32 countries in the QUEST-RA Study

Introduction: Work disability is a major consequence of rheumatoid arthritis (RA), associated not only with traditional disease activity variables, but also more significantly with demographic, functional, occupational, and societal variables. Recent reports suggest that the use of biologic agents offers potential for reduced work disability rates, but the conclusions are based on surrogate disease activity measures derived from studies primarily from Western countries. Methods: The Quantitative Standard Monitoring of Patients with RA (QUEST-RA) multinational database of 8,039 patients in 86 sites in 32 countries, 16 with high gross domestic product (GDP) (>24K US dollars (USD) per capita) and 16 low-GDP countries (<11K USD), was analyzed for work and disability status at onset and over the course of RA and clinical status of patients who continued working or had stopped working in high-GDP versus low-GDP countries according to all RA Core Data Set measures. Associations of work disability status with RA Core Data Set variables and indices were analyzed using descriptive statistics and regression analyses. Results: At the time of first symptoms, 86% of men (range 57%-100% among countries) and 64% (19%-87%) of women <65 years were working. More than one third (37%) of these patients reported subsequent work disability because of RA. Among 1,756 patients whose symptoms had begun during the 2000s, the probabilities of continuing to work were 80% (95% confidence interval (CI) 78%-82%) at 2 years and 68% (95% CI 65%-71%) at 5 years, with similar patterns in high-GDP and low-GDP countries. Patients who continued working versus stopped working had significantly better clinical status for all clinical status measures and patient self-report scores, with similar patterns in high-GDP and low-GDP countries. However, patients who had stopped working in high-GDP countries had better clinical status than patients who continued working in low-GDP countries. The most significant identifier of work disability in all subgroups was Health Assessment Questionnaire (HAQ) functional disability score. Conclusions: Work disability rates remain high among people with RA during this millennium. In low-GDP countries, people remain working with high levels of disability and disease activity. Cultural and economic differences between societies affect work disability as an outcome measure for RA.

Numerical simulation of the reflow soldering process

Dissertação de mestrado integrado em Mechanical Engineering

Meskwaki Tribal Court Interim Study Committee : final report, 2007

This is the final report on the Meskwaki Tribal Court Study Committee that was charged with continuing the work from previous legislative sessions to determine the proper manner for the Iowa Court system to recognize civil judgements, decrees, and orders issued by the Meskwaki Tribal Court.

Työssäjaksamisen voimavarat ja työssä jatkaminen ikääntyneillä vanhusten hoitotyötä tekevillä

Tässä pro gradu –tutkielmassa tarkasteltiin ikääntyneiden vanhusten hoitotyötä tekevien työssäjaksamista ja työssä jatkamissuunnitelmia voimavarakeskeisestä näkökulmasta käsin. Kiinnostuksen kohteena olivat myös työyhteisön suhtautuminen ikääntyvään työvoimaan ja keinot, joilla ikääntyneiden työssä jatkamista ja jaksamista tuetaan organisaatiossa. Tutkimusta varten haastateltiin kymmentä yli 55-vuotiasta vanhusten hoitotyötä tekevää henkilöä. Johtopäätösten mukaan työn voimavaroista merkittävimmiksi työssäjaksamisen ja työssä jatkamisen kannalta nousivat hyvät suhteet työtovereihin, toimiva työyhteisö ja asiakkaat. Työn ulkopuolisesta elämästä voimia saatiin mielekkäistä vapaa-ajan puuhista ja läheisistä. Persoonallisuuden voimavaroista keskeiseksi nousi optimistisuus. Eläkkeellä työskentelyaikomusten taustalla olivat usein kokemus työstä nauttimisesta ja hyvä terveys. Toisaalta hyvästä terveydestä haluttiin nauttia myös eläkkeellä.

Le design participatif au sein d’entreprises : une exploration des opportunités et limites perçues par des concepteurs de produits

La littérature contient une abondance d’information sur les approches de design impliquant les utilisateurs. Bien que les chercheurs soulèvent de nombreux avantages concernant ces approches, on en sait peu sur ce que les concepteurs des entreprises en pensent. Ce projet a pour but de connaître les perceptions des concepteurs de produits quant aux outils de design participatif puis, d’identifier les opportunités et limites qu’ils évoquent à ce sujet, et finalement, de faire des suggestions d’outils qui faciliteraient l’introduction du design participatif dans un processus de design existant. Après avoir fait un survol du domaine du design participatif et de ses outils, six cas sont étudiés au moyen d’entrevues semi-dirigées conduites auprès de concepteurs de produits. Les données sont analysées à l’aide de cartes cognitives. En ce qui concerne les outils de design participatif, les participants rencontrés perçoivent un accès direct aux besoins des utilisateurs et la possibilité de minimiser les erreurs en début de processus donc, d’éviter les modifications coûteuses qu’elles auraient entraînées. Les obstacles perçus par les concepteurs sont principalement liés à la résistance au changement, à la crainte de laisser créer ou décider les utilisateurs, ainsi qu’au manque de temps et de ressources de l’équipe. Finalement, sur la base des informations collectées, nous suggérons quatre outils de design participatif qui semblent plus intéressants : l’enquête contextuelle, les sondes, les tests de prototypes et l’approche « lead user ». Pour faire suite à ce travail, il serait intéressant d’élaborer un protocole de recherche plus exhaustif pour augmenter la portée des résultats, ou encore, d’appliquer le design participatif, dans une entreprise, afin d’explorer la satisfaction des gens quant aux produits conçus, les effets collatéraux sur les équipes impliquées, l’évolution des prototypes ou le déroulement des ateliers.

Método dinâmico aplicado para antenas cilíndricas

Nowadays there has been a major breakthrough in the aerospace area, with regard to rocket launches to research, experiments, telemetry system, remote sensing, radar system (tracking and monitoring), satellite communications system and insertion of satellites in orbit. This work aims at the application of a circular cylindrical microstrip antenna, ring type, and other cylindrical rectangular in structure of a rocket or missile to obtain telemetry data, operating in the range of 2 to 4 GHz, in S-band. Throughout this was developed just the theoretical analysis of the Transverse transmission line method which is a method of rigorous analysis in spectral domain, for use in rockets and missiles. This analyzes the spread in the direction "ρ" , transverse to dielectric interfaces "z" and "φ", for cylindrical coordinates, thus taking the general equations of electromagnetic fields in function of e [1]. It is worth mentioning that in order to obtain results, simulations and analysis of the structure under study was used HFSS program (High Frequency Structural Simulator) that uses the finite element method. With the theory developed computational resources were used to obtain the numerical calculations, using Fortran Power Station, Scilab and Wolfram Mathematica ®. The prototype was built using, as a substrate, the ULTRALAM ® 3850, of Rogers Corporation, and an aluminum plate as a cylindrical structure used to support. The agreement between the measured and simulated results validate the established processes. Conclusions and suggestions are presented for continuing this work

A evolução de um grupo de estudantes em uma disciplina de prática de ensino de biologia

Pós-graduação em Educação para a Ciência - FC

Uma lógica do poucos

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

O ensino de Arte nas escolas municipais de Presidente Prudente: diretrizes políticas e o trabalho docente

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O ensino da gramática da língua inglesa em um contexto de escola pública: crenças, abordagens e motivação

Pós-graduação em Estudos Linguísticos - IBILCE

Diversidade de populações de Phyllosticta spp. de goiabeiras e de mangueiras em diferentes ambientes

Pós-graduação em Agronomia (Produção Vegetal) - FCAV

Influences on career choice in music education audition candidates: Pilot study

The purpose of this pilot study was to survey prospective undergraduate music education majors to learn what motivated them to aspire to a career in music education. Respondents were candidates auditioning, but not yet accepted, for music teacher preparation programs at four institutions (N = 228). Findings corroborate prior research that suggests that school music teachers and/or private lesson teachers are highly influential. This study sought to quantify the types of experiences participants had in teaching roles at the time of their college audition, supporting other research suggesting that such experiences may increase interest in a music teaching career. Recommendations include engaging music educators at all PreK–12 levels in actively recruiting and encouraging future teachers, providing private instructors and performance majors with teacher recruitment information, emphasizing earlier identification and preparation of prospective educators, and refining and continuing the work begun in this pilot study.

Annual report /

Vols. for 1970- include "Calendar of prayer" with directory of missionaries (formerly called pt. 3)

Vegetable materia medica of the United States; or Medical botany : containing a botanical, general, and medical history, of medicinal plants indigenous to the United States. Illustrated by coloured engravings, made after original drawings from nature /

"To subscribers" (note concerning errata in v. 1): l leaf, inserted at end of v. 2.

Biographia britannica literaria; or, Biography of literary characters of Great Britain and Ireland, arranged in chronological order.

"It is proposed by the Society, in continuing the work, to trace down the stream of British literature, in successive periods of time, to the close of the seventeenth century." Only these two volumes appeared, however.