945 resultados para implementation program


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Obesity and overweight has reached epidemic proportions in the United States, and the prevalence of overweight and obesity among residents of The Women's Home residents is high. This culminating experience is the result of my practicum at The Women's Home located in Houston, TX. The Women's Home is a rehabilitation center for victims of sexual assault, drug abuse, family violence, or a combination. A needs assessment including focus groups and a literature review was conducted to design a a physical activity intervention for the residents. Results from focus group data showed the resident's average BMI was 32, which is termed clinically obese by American standards. The focus groups determined a strong interest (92%) in engaging in more physical activity to combat their weight problem. As well, they expressed interest in using pedometers as a mechanism to increase physical activity. This planned program, “Every Step Counts”, uses reactivity to pedometers in conjunction with goal setting and increased awareness to increasing steps each day. “Every Step Counts” was developed with support and input from stakeholders, with theoretical constructs and previous evidence based studies. Included in this report are recommendations for implementation, program materials, scope and sequence of program activities, and methods for periodic evaluation.^

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Background: The Respiratory Health Network in Western Australia developed the Asthma Model of Care in 2010 which incorporates best practice guidelines. At the same time short-acting beta agonist guidelines (SABA) were developed by stakeholder consensus at University of Western Australia (UWA) and incorporated the use of an Asthma Action Plan Card. Objective: To report on the implementation of a key component of the WA Asthma Model of Care, the SABA guidelines that incorporate the Asthma Action Plan card. Methods: Implementation strategies included lectures, direct pharmacy detailing, media releases, and information packs (postal and electronic). Groups targeted included pharmacists, consumers and medical practitioners. Results: State-based (n=18) and national (n=6) professional organisations were informed about the launch of the guidelines into practice in WA. In the four-month implementation period more than 47,000 Asthma Action Plan Cards were distributed, primarily to community pharmacies. More than 500 pharmacies were provided with information packs or individual detailing. More than 10,000 consumers were provided with information about the guidelines. Conclusions and implications: The collaboration of stakeholders in this project allowed for widespread access to various portals which, in turn, resulted in a multifaceted approach in disseminating information. Ongoing maintenance programs are required to sustain and build on the momentum of the implementation program and to ultimately address patient outcomes and practice change, which would be the longer-term goals of such a project. Future research will seek to ascertain the impact of the card on patient outcomes in WA.

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The main contribution of this special issue is to present evaluation studies involving large-scale experiences of implementation of positive parenting programs delivered through home, group-based, and on-line formats in Spain. Two research questions were addressed: (1) what factors affect implementation; and (2) for whom and under which implementation conditions the programs lead to positive outcomes. Target populations were mainly families from low and middle socioeconomic backgrounds, and parents at psychosocial risk attending family support services in need of improving their parenting skills. All the programs fall under the umbrella of the positive parenting initiative launched by the Council of Europe, are evidence-based, follow a collaborative schema with national, regional, or local authorities, have multi-site implementation, and are supported by highly experienced researchers from Spanish universities. Special attention is given to the program adaptations to different contexts, the profile of parents who benefited most from the programs, analyses of the implementation process, and the assessment of parenting programs in the community. The information provided will help to increase our knowledge of evidence-based parenting programs in Spain, their implementation processes and results, and the future challenges that need to be addressed to continue the current expansion of evidence-based parenting programs.

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Dissertação apresentada na Faculdade de Ciências e Tecnologia da Universidade Nova de Lisboa para a obtenção do grau de Mestre em Engenharia do Ambiente, perfil Gestão de Sistemas Ambientais

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OBJECTIVES: Within a strong interdisciplinary framework, improvement in the quality of care for children with autistic spectrum disorders through a 2 year implementation program of Practice Parameters, aimed principally at improving early detection and intervention. METHOD: We developed Practice Parameters (PPs) for Pervasive Developmental Disorders and circulated the PPs to all child and adolescent psychiatrists practicing in the region. RESULTS: PP development and parallel information strategies resulted in a significant decrease of 1.5 years in the mean-age-at-diagnosis. However, further analysis indicated that improvement was only transient. CONCLUSION: Despite the encouraging improvement in mean-age-at-diagnosis 2 years after PP implementation, other indicators showed a failure to maintain the improvements. A systematic screening program would be the most reliable method to reinforce the PPs.

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Kiinteistöosasto on yksi liiketoimintaa tukeva toiminto ja osaston strategia on johdettu pääosin konsernin strategiasta. Kiinteistöjen osuus Pirkanmaan Osuuskaupan tasearvosta on kuitenkin niin merkittävä, että kiinteistöstrategiassa on myös omia erityispiirteitä kuten kiinteistöjen salkutus. Strategiassa keskitytään tukemaan osuuskaupan omaa liiketoimintaa ja kaikki toimet tähtäävät loppuasiakkaan parempaan tyytyväisyyteen. Toimeenpanosuunnitelmassa on suuri rooli yhdessä tekemisellä ja kirjoittaja uskoo vahvasti sitoutumisen muutokseen muodostuvan asioiden keskustelemisen ja muutoksen merkityksen ymmärtämisen kautta. Tutkielman teoriaosuudessa käydään läpi kiinteistöstrategian teorioita, päästrategian ja tukitoimintostrategian suhdetta ja teorioita strategian toimeenpanosta. Prosessi eteni koko kiinteistöosaston henkilökunnan muutamasta yhteisestä päivästä ja päättyi kiinteistöstrategian toimeenpanosuunnitelmaan. Kaksi suurinta tekijää strategian toimeenpanon onnistumisessa ovat viestintä ja johtaminen. Yhteisten keskustelujen ansiosta saamme paremman lopputuloksen ja koko kiinteistöosaston henkilöstö on sitoutunut uuteen kiinteistöstrategiaan.

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Historically the provision of childcare facilities in Brazil was short of demand. This problem affects a large part of the population and has a tendency to worsen, due to the accelerated decline in the number of parents of dedication exclusive family. The program called "Nova Semente" seeks to accelerate the creation of childcare facilities in the county, enabling the opening of units at low cost and in record time, through partnerships between government, non-governmental and civil society organizations. This study conducted a process evaluation of the implementation of public policy, to identify the strengths and weaknesses of the policy. In real terms, this paper seeks to understand the motivation for the development of the program, identifying the reasons set out in the project match what is being sent; Understand how it is giving practical partnership between the government entity and the entities "non-state"; Identify the degree of achievement of goals that should be met even in the implementation phase; verify employment of instruments provided for its implementation. For this, the literature of public policy evaluation is used, and fits the criteria and mechanisms for analysis in the assessment of efficacy, to answer the question motivating the work, which deals with uncertainty about the durability of the Program. the framework is the criteria and mechanisms for analysis in the assessment of efficacy, to answer the question motivating the work, which deals with uncertainty about the durability of the Program

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This work aims at developing an evaluation of the implementation of the Program Escola Ativa as a public policy for rural schools with combined grade classrooms in Jardim do Seridó RN (1998 2009) focusing on the following dimensions: school s physical environment, training, follow up, and didactic usage of the methodology. In order to develop this research we refer to the literature that analyzes the cycle of policies (FREY, 2000). In this approach, evaluation represents an important step in the process of analyzing the implementation of public policies, as a way of measuring up their performance, as well as a guide for realignments and redefinitions (PRESSMAN; WILDAVSKY, 1998). In order to accomplish this function, the evaluator of policies must be acquainted with scientific concepts and methods that consist of describing, interpreting and analyzing the policies in the governmental sphere (MENY; THOENIG, 1992; LIMA JÚNIOR, 1978). In this perspective, we intend to investigate whether in its proposition of minimizing the blanks in the Brazilian educational system, the implementation of the Program would be contributing to the improvement of the political-pedagogical practices in the rural schools with combined grade classrooms in Jardim do Seridó RN. In order to do this research, we have developed a theoretical-methodological matrix made of analysis dimensions, variables, indicators and instruments, such as literary revision, documental analysis, semi-structured interviews with four teachers and three supervisors that work and/or have worked in Escola Ativa in that town in the period comprised among 1998 2009, besides notes taken from field observation and photographs from four rural schools with combined grade classrooms. With this research we have identified that the Program, at a national level, has gone through different phases in its implementation process, for the town was not ready to fully take the responsibilities of the autonomous expansion, in 2002. From that period on, the execution of Escola Ativa has suffered several discontinuities, such as the lack of professional training and supervising. It is also noted that the methodology contributes to the dynamization of the didactic-pedagogical activities and promotes the cooperation and autonomy of the students in the organization and the applicability of the components of the curriculum, especially of Governo Estudantil and Cantinhos de Aprendizagem. Although the directions of the Program (BRASIL, 2005) point out that Escola Ativa has among its principles social transformation, we identified that, isolated, the initiative is not capable of promoting the changes that the rural schools need, namely investments in the physical, material, pedagogical and technological infra-structure, besides the estimation and a career plan for the teachers. In a general draft of the results of this research, we realized that some aspects presented about the peculiarities of Escola Ativa in Jardim do Seridó as a governmental Program, reinforce the need for the public policies to be evaluated, in order to confront critic and operationally the planning with the practice, revising action, whenever necessary

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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The purpose of this document is to create a modest integration guide for embedding a Linux Operating System on ZedBoard development platform, based on Xilinx’s Zynq-7000 All Programmable System on Chip which contains a dual core ARM Cortex-A9 and a 7 Series FPGA Artix-7. The integration process has been structured in four chapters according to the logic generation of the different parts that compose the embedded system. With the intention of automating the generation process of a complete Linux distribution specific for ZedBoard platform, BuildRoot development platform it is used. Once the embedding process finished, it was decided to add to the system the required functionalities for adding support for IEEE1588 Standard for Precision Clock Synchronization Protocol for Networked Measurement and Control Systems, through a user space Linux program which implements the protocol. That PTP user space implementation program has been cross-compiled, executed on target and tested for evaluating the functionalities added. RESUMEN El propósito de este documento es crear una modesta guía de integración de un sistema operativo Linux para la plataforma de desarrollo ZedBoard, basada en un System on Chip del fabricante Xilinx llamado Zynq-7000. Este System on Chip está compuesto por un procesador de doble núcleo ARM Cortex-A9 y una FPGA de la Serie 7 equiparable a una Artix-7. El proceso de integración se ha estructurado en cuatro grandes capítulos que se rigen según el orden lógico de generación de las distintas partes por las que el sistema empotrado está compuesto. Con el ánimo de automatizar el proceso de creación de una distribución de Linux específica para la plataforma ZedBoard, se ha utilizado la plataforma de desarrollo BuildRoot. Una vez terminado el proceso de integración del sistema empotrado, se procedió a dar dotar al sistema de las funcionalidades necesarias para dar soporte al estándar de sincronización de relojes en redes de área local, PTP IEEE1588, a través de una implementación del mismo en un programa de lado de usuario el cual ha sido compilado, ejecutado y testeado para evaluar el correcto funcionamiento de las funcionalidades añadidas.

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El principal problema que impide actualmente una mayor utilización de las máquinas paralelas es la falta de herramientas de programación que permitan generar programas transportables a máquinas con diferentes prestaciones. En este trabajo se ha estudiado si los lenguajes con paralelismo explícito cumplen este requisito y son, por lo tanto, adecuados para programar este tipo de máquinas. El exceso de paralelismo, esto es, el uso de mayor paralelismo en el programa que el proporcionado por la máquina para esconder la latencia en la comunicación, se presenta en este trabajo como una solución a los problemas de eficiencia de los programas con paralelismo explícito cuando se ejecutan en máquinas que no tienen una granularidad adecuada. Con esta técnica, por lo tanto, los programas escritos con estos lenguajes pueden transportarse con eficiencia a diferentes máquinas. Para llevar a cabo el estudio de los lenguajes con paralelismo explícito, se ha desarrollado un modelo abstracto de paralelismo, en el cual un sistema está formado por una jerarquía de máquinas virtuales paralelas. Este modelo permite realizar un análisis genérico de la implementación de este tipo de lenguajes, ya sea sobre una máquina con sistema operativo o directamente sobre la máquina física. Este análisis genérico se ha aplicado a un lenguaje de este tipo, el lenguaje Ada. Se han estudiado las características específicas de Ada que pueden influir en la implementación eficiente del lenguaje, analizando también la propuesta de modificación del lenguaje correspondiente al proceso de revisión Ada 9X. Dentro del marco del modelo de paralelismo, se analiza también la problemática específica de las implementaciones del lenguaje sobre el sistema operativo. En este tipo de implementaciones, las interacciones de un programa con el entorno externo pueden causar ciertos problemas, como el bloqueo del proceso correspondiente del sistema operativo, que disminuyen el rendimiento del programa. Se analizan estos problemas y se proponen soluciones a los mismos. Se desarrolla en profundidad un ejemplo de este tipo de problemas: El acceso al estándar gráfico GKS desde Ada.---ABSTRACT---The major obstacle to the widespread utilization of the parallel machines is the lack of programming tools allowing the development of software portable between machines with different performance. This dissertation analyzes whether languages with explicit parallelism fulfil this requirement. The approach of using programs with more parallelism than available on the machine (parallel slackness) is presented. This technique can solve the efficiency problems appearing in the execution of programs with explicit parallelism over machines with a too coarse granularity. Therefore, with this approach programs can run efficiently on different machines. A new abstract model of parallelism allowing the generic study of the implementation of languages with explicit parallelism is developed. In this model, a parallel system is described by a hierarchy of parallel virtual machines. This generic analysis is applied to Ada language. Ada specific features with problematic implementation are identified and analyzed. The change proposals to Ada language in the frame of Ada 9X revisión process are also analyzed. The specific problematic of the language implementation on top of the operating system is studied under the scope of the parallelism model. With this kind of implementation, program interactions with extemal environments can lead to problems, like the blocking of the corresponding operating system process, decreasing the program execution performance. A practical example of this kind of problems, the access to GKS (Graphic Kernel System) from Ada programs, is analyzed and the implemented solution is described.

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Para a adequada implantação de um Programa de Concessão, Adaptação e Acompanhamento do Sistema FM em estudantes com deficiência auditiva nas escolas brasileiras é necessário um trabalho intersetorial, caracterizado por uma cuidadosa articulação entre os Sistemas Educacional e de Saúde. As ações em rede integrarão os diferentes níveis de atenção da pessoa com deficiência auditiva, conforme a nova política interministerial Viver Sem Limites. O objetivo deste estudo foi desenvolver e analisar a eficácia de um ambiente virtual de transmissão de informações sobre Sistema FM para profissionais utilizando a Teleducação Interativa. Devido à distribuição geográfica dos profissionais que atuam com a adaptação do Sistema FM em alunos usuários de Sistema FM foi proposto o acesso aos módulos à distância (Teleducação) via internet por meio do Portal Sistema FM disponibilizado em endereço eletrônico http://portalsistemafm.fob.usp.br/. O portal é composto por 7 módulos, sendo que todos os materiais foram transformados em infográficos, com possibilidade de download. Realizaram o cadastro no Portal Sistema FM 50 profissionais que atuam em Serviços de Saúde Auditiva credenciados pelo SUS, sendo que 31 fonoaudiólogos avaliaram o Portal Sistema FM. Para a avaliação do programa de capacitação foram propostos os instrumentos Ficha de Pesquisa Motivacional, Escala de Autoavaliação de Impacto do Treinamento no trabalho - medida de amplitude e um Questionário sobre o conteúdo teórico, todos contidos em um módulo do Portal. Os fonoaudiólogos, respondendo a Ficha de Pesquisa Motivacional, consideraram o Portal Sistema FM com expectativa para o sucesso. A Escala de Impacto no Trabalho demonstrou que o acesso aos módulos do Portal Sistema FM gerou um impacto no trabalho dos participantes, quando aplicado após o primeiro acesso e dois meses depois, porém não foi indicada diferença estatisticamente significante quando comparadas. No questionário sobre o conteúdo teórico os participantes obtiveram uma média de 79,03% de acerto. O Portal Sistema FM foi criado e encontra-se disponível no endereço eletrônico http://portalsistemafm.fob.usp.br/, sendo avaliado como um portal impressionante quanto à motivação dos participantes. O acesso aos módulos trouxe impacto no trabalho dos profissionais.

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Relatório de Estágio apresentado para a obtenção do grau de Mestre em Desporto com especialização em Treino Desportivo

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Relatório de Estágio apresentado para a obtenção do grau de Mestre em Desporto com especialização em Treino Desportivo

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Background: Traffic accidents constitute the main cause of death in the first decades of life. Traumatic brain injury is the event most responsible for the severity of these accidents. The SBN started an educational program for the prevention of traffic accidents, adapted from the American model ""Think First"" to the Brazilian environment, since 1995, with special effort devoted to the prevention of TBI by using seat belts and motorcycle helmets. The objective of the present study was to set up a traffic accident prevention program based on the adapted Think First and to evaluate its impact by comparing epidemiological variables before and after the beginning of the program. Methods: The program was executed in Maringa city, from September 2004 to August 2005, with educational actions targeting the entire population, especially teenagers and young adults. The program was implemented by building a network of information facilitators and multipliers inside the organized civil society, with widespread population dissemination. To measure the impact of the program, a specific software was developed for the storage and processing of the epidemiological variables. Results: The results showed a reduction of trauma severity due to traffic accidents after the execution of the program, mainly TBI. Conclusions: The adapted Think First was systematically implemented and its impact measured for the first time in Brazil, revealing the usefulness of the program for reducing trauma and TBI severity in traffic accidents through public education and representing a standardized model of implementation in a developing country. (C) 2009 Elsevier Inc. All rights reserved.