Sexual health of ethnic minority MSM in Britain (MESH project): design and methods

Background Men who have sex with men (MSM) remain the group most at risk of acquiring HIV infection in Britain. HIV prevalence appears to vary widely between MSM from different ethnic minority groups in this country for reasons that are not fully understood. The aim of the MESH project was to examine in detail the sexual health of ethnic minority MSM living in Britain. Methods/Design The main objectives of the MESH project were to explore among ethnic minority MSM living in Britain: (i) sexual risk behaviour and HIV prevalence; (ii) their experience of stigma and discrimination; (iii) disclosure of sexuality; (iv) use of, and satisfaction with sexual health services; (v) the extent to which sexual health services (for treatment and prevention) are aware of the needs of ethnic minority MSM. The research was conducted between 2006 and 2008 in four national samples: (i) ethnic minority MSM living in Britain; (ii) a comparison group of white British MSM living in Britain; (iii) NHS sexual health clinic staff in 15 British towns and cities with significant ethnic minority communities and; (iv) sexual health promotion/HIV prevention service providers. We also recruited men from two "key migrant" groups living in Britain: MSM born in Central or Eastern Europe and MSM born in Central or South America. Internet-based quantitative and qualitative research methods were used. Ethnic minority MSM were recruited through advertisements on websites, in community venues, via informal networks and in sexual health clinics. White and "key migrant" MSM were recruited mostly through Gaydar, one of the most popular dating sites used by gay men in Britain. MSM who agreed to take part completed a questionnaire online. Ethnic minority MSM who completed the online questionnaire were asked if they would be willing to take part in an online qualitative interview using email. Service providers were identified through the British Association of Sexual Health and HIV (BASHH) and the Terrence Higgins Trust (THT) CHAPS partnerships. Staff who agreed to take part were asked to complete a questionnaire online. The online survey was completed by 1241 ethnic minority MSM, 416 men born in South and Central America or Central and Eastern Europe, and 13,717 white British MSM; 67 ethnic minority MSM took part in the online qualitative interview. In addition 364 people working in sexual health clinics and 124 health promotion workers from around Britain completed an online questionnaire. Discussion The findings from this study will improve our understanding of the sexual health and needs of ethnic minority MSM in Britain.

Worth of stream flow data for project design : a pilot study /

Mode of access: Internet.

Design report for the proposed Wood Dale-Itasca flood control project /

Addendum precedes report.

Structure de fonctionnement des charrettes en design urbain

Ce document s’inscrit dans la foulée des préoccupations mondiales sur le devenir des villes au XXIe siècle. Il questionne les façons de faire qui contribuent à un développement de qualité des cadres de vie des citoyens. Les processus d’idéation de type atelier et charrette sont retenus en regard de leurs valeurs mobilisatrices et consensuelles qui répondent aux principes du développement durable. La problématique posée concerne l’adaptation de leur structure de fonctionnement au contexte local dans lequel il s’applique et de leur performance à induire les résultats escomptés. Une analyse comparative de trois études de cas révèle que le processus d’idéation se singularise en fonction des modalités de communication nécessaires pour progresser dans la démarche de planification des projets et conjointement à ceci, confirme que leur performance réside en leur capacité de rassembler l’ensemble des acteurs du projet en un même lieu. À l’issue de notre étude, nous fournissons un procédurier préliminaire pour diriger la mise en œuvre de processus d’idéation localement.

Design de superfície: por uma visão projetual geométrica e tridimensional

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A representação gráfica na Revista Projeto & Design.

Esta pesquisa inicia-se pelo estudo das diferentes maneiras de representação de um projeto arquitetônico: desenhos analógicos e digitais, desenhos naturais e técnicos, desenhos auxiliados por computador, maquetes físicas e modelos digitais. Teve como objetivo analisar a representação gráfica utilizada nas publicações de obras arquitetônicas em mídias impressas especializadas, tendo sido selecionada a Revista Projeto & Design como estudo de caso. Com este estudo foi possível, por meio de bibliometria gráfica, verificar as contribuições das representações na compreensão e leitura dos projetos arquitetônicos, elencando-se e exemplificando-se as tipologias de imagens utilizadas nas últimas décadas, bem como relacionar os resultados com o momento histórico em que foram projetadas ou publicadas.

Prevalence and risk factors of methicillin-resistant Staphylococcus aureus in critically-ill hospitalized patients in a tertiary care center in Houston, Texas: An active surveillance pilot project

Objective. The objective of this study is to determine the prevalence of MRSA colonization in adult patients admitted to intensive care units at an urban tertiary care hospital in Houston, Texas and to evaluate the risk factors associated with colonization during a three month active-screening pilot project. Design. This study used secondary data from a small cross-sectional pilot project. Methods. All patients admitted to the seven specialty ICUs were screened for MRSA by nasal culture. Results were obtained utilizing the BD GeneOhm™ IDI-MRSA assay in vitro diagnostic test, for rapid MRSA detection. Statistical analysis was performed using the STATA 10, Epi Info, and JavaStat. Results . 1283/1531 (83.4%) adult ICU admissions were screened for nasal MRSA colonization. Of those screened, demographic and risk factor data was available for 1260/1283 (98.2%). Unresolved results were obtained for 73 patients. Therefore, a total of 1187/1531 (77.5%) of all ICU admissions during the three month study period are described in this analysis. Risk factors associated with colonization included the following: hospitalization within the last six months (odds ratio 2.48 [95% CI, 1.70-3.63], p=0.000), hospitalization within the last 12 months, (odds ratio 2.27 [95% CI, 1.57-3.80], p=0.000), and having diabetes mellitus (odds ratio 1.63 [95% CI, 1.14-2.32], p=0.007). Conclusion. Based on the literature, the prevalence of MRSA for this population is typical of other prevalence studies conducted in the United States and coincides with the continual increasing trend of MRSA colonization. Significant risk factors were similar to those found in previous studies. Overall, the active surveillance screening pilot project has provided valuable information on a population not widely addressed. These findings can aid in future interventions for the education, control, prevention, and treatment of MRSA. ^

From Process to Product: An Analysis of Seattle's Design Review Program

Thesis (Master's)--University of Washington, 2016-06

The perceptions of best mentoring practices in an early literacy intervention project: A case study of nine coaches

There is significant national evidence the language development of four year-olds is a critical area for later school success (Brooks-Gunn, Fuligni, & Berlin, 2003; Cunningham, & Stanovich, 1998). This study originated as part of Literacy Intervention X (LIX), a larger national study conducted to examine the effectiveness of early literacy curricula implemented in subsidized childcare centers. The professional development of childcare center providers is key to improving the quality of subsidized care. In exploring the mentoring practices of nine LIX literacy coaches, the researcher investigated the perceptions of what best mentoring practices facilitated the implementation of literacy curricula by childcare providers. A qualitative case study was conducted using a combination of participant observer notes, document analysis, and focus group semi-structured interviews. The researcher is a participant observer, one of the nine Literacy Coaches. The best mentoring practices from the perspective of the literacy coaches are related to building relationships including trust, mutual respect, support, empathy, and encouragement with the childcare providers, the center directors, and with fellow literacy coaches. Clear, constant, and consistent communication with the childcare providers was a vital mentoring practice in building a relationship between the literacy coach and childcare provider. Another best mentoring practice in building a relationship with the childcare provider was the perceptions of the literacy coaches as co-learners in the mentoring process. The best mentoring practices highlighted in this study exemplified the kind of effective professional development that builds on the strengths of the childcare providers and does not disrupt the childcare centers or the services provided by the subsidized childcare programs that meet the needs of children and families. The experience of these nine literacy coaches, including their perceptions of effective mentoring practices, along with lesson learned about relationships, mentoring team structures, and general project design sheds light on the challenge of mentoring subsidized childcare providers in future literacy intervention projects.

Diseño de gestión de proyectos bajo la guía metodológica del Project Management Institute, INC. - PMI® para la empresa MABEGO S.A.S.

En la actualidad, las buenas prácticas del Project Management Institute, Inc. (PMI®) son utilizadas en muchas organizaciones para la estructuración, ejecución y cierre de diversos proyectos; las buenas prácticas recogidas por este Instituto han servido de base para que las empresas logren conseguir los objetivos estratégicos con una correcta gestión de los programas y proyectos que se vayan a emprender -- El sector de la construcción no es ajeno a la aplicación de estos estándares, más aún cuando el común denominador son los sobrecostos, la prolongación del cronograma y la variación del alcance, que finalmente terminan afectado la rentabilidad de los proyectos y redundan en la rentabilidad de la empresa -- Mabego S.A.S., es una empresa nueva dedicada a la estructuración, ejecución y venta de proyectos inmobiliarios, cuyo centro de operación es la ciudad de Pasto-Departamento de Nariño, el objetivo principal de la empresa es penetrar el mercado inmobiliario local, teniendo como fortalezas la experiencia y conocimiento aportado por los socios -- Con el presente trabajo se analizan los cuarenta y siete (47) procesos dentro de los grupos de inicio, planeación, ejecución, monitoreo y control, además de cierre establecidos en las diez (10) áreas del conocimiento que establece el PMI® en la guía de los fundamentos para la dirección de proyectos (Guía del PMBOK® - Project Management Body of Knowledge) quinta edición; se crea una metodología de acuerdo a las necesidades de la organización; para conseguirlo se analizaron cada uno de los procesos establecidos en el PMI® y como resultado se presenta la estandarización por medio de formatos y procedimientos que ayudan a la empresa a cumplir con los objetivos específicos de cada uno de sus proyectos -- La pertinencia del trabajo radica en la necesidad de la empresa Mabego S.A.S., de formalizar los procedimientos dentro de la misma, esto debido a que se pretende lograr una correcta estructuración, ejecución y liquidación de los proyectos, además, se aplicó una metodología definida con el objetivo de estandarizar los procesos internos y así lograr un posicionamiento en el sector de la construcción por medio del reconocimiento del cliente en la entrega a tiempo y con la calidad propuesta en los documentos de venta del proyecto

Changes in cigarette smoking among adults in 35 populations in the mid-1980s

Objective-To examine changes in the prevalence of cigarette smoking in 35 study populations of the World Health Organisation's MONICA Project. Design-Data from two independent, community-based surveys conducted, on average, five years apart. Setting-Geographically defined populations in 21 countries mainly in eastern and western Europe. Subjects-Randomly selected men and women aged 25-64 years. Numbers of participants in each study population ranged from 586 to 2817 in each survey. Main outcome measures-Changes in proportions of current smokers, ex-smokers, and never-smokers by age and sex using data collected by standardised methods. Results-Among men, smoking prevalence decreased in most populations, by three to four percentage points over five years. In Beijing, however, it increased in all age groups-overall by 11 percentage points. Among women there were increases in smoking in about half the populations. The increases were mainly in the age group 35-54 years and often in those populations where smoking prevalence among women has been relatively low. Conclusions-Smoking initiation by middle-aged women in parts of southern and eastern Europe and among men of all ages in Beijing is a matter of concern. The various public health measures that have helped to reduce smoking among men in developed countries should be vigorously extended to these other groups now at growing risk of smoking-related disease.

Fisioterapia no tratamento das mulheres Angolanas com cancro da mama no Centro Nacional de Oncologia

Mestrado em Fisioterapia