19,282 research outputs found

    Educació postural: avaluació dels coneixements de la salut de l'esquena en activitats de la vida diària en estudiants d'Educació Secundària

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    Objectiu: Dissenyar i validar un qüestionari sobre coneixements de la salut i la cura de l’esquena en activitats de la vida diària en joves També analizar diferents models de puntuació de les respostes. Metodologia: Es va seguir un mètode general de prospectiva (Delphi), amb el consens d’un grup de sis experts. Estudi de consistencia interna i fiabilitat en una mostra de 89 xics i 80 xiques. Amb les dades obteses aplicació de cinc models de puntuació basats en donar un pes diferent a les respostes. Consistència interna del qüestionari calculada amb l'Alfa de Cronbach amb cadascú dels models. Estudi de la fiabilitat amb l'anàlisi de mesures repetides test-retest i l’estudi de l’error de mesura amb la representació gràfica dels valors descrita per Bland i Altman. Es calcularen les desviacions estàndard de les diferències, la prova t per a una mostra amb les diferències, els coeficients de correlació intraclasse i els seus intervals de confiança del 95%, l’error estàndard de mesura, el canvi mínim detectable i el coeficient de reproductibilitat. Efecte sòl/sostre calculat amb els percentatges de resposta més alts i més baixos en les puntuacions del primer passe. Per a l'anàlisi de la capacitat discriminatòria de les puntuacions obtingudes es van utilitzar les mitjanes totals del primer passe, es va reagrupar la variable en quatre grups per quartils i es va aplicar una ANOVA d'un factor entres el quartil 1 y el quartil 4. Resultats: Anàlisi de la validesa tots els valors obtesos sobre la consistència interna són iguals o majors a .6 Als diferents models, l'Alfa de Cronbach va oscil·lar entre .6 i .7. En la representació de les puntuacions mitjanes de totes dues passades i el càlcul del pendent de la seua funció lineal hi ha una relació positiva entre les mesures. El valor del pendent, en tots els models al voltant de .7 excepte en el model C que va ser de .56. L’índex de determinació va mostrar un nivell de coherència de les mesures reals amb les teòriques moderat Coeficient de correlació entre les puntuacions i el coeficient de correlació intraclasse igual o major a .75. Error de mesura i límits d'acord de les puntuacions calculats a partir de la desviació típica de la diferència de les mitjanes van indicar una probabilitat molt baixa de ser diferents entre ells. L'efecte sòl/sostre va indicar que aquest efecte no es va produir L'anàlisi de regressió de les mitjanes i diferències de les puntuacions totals de tots els models va indicar un augment significatiu de les diferències en les puntuacions a mesura que el valor mitjà d'aquestes va augmentar. Les diferències entre tots els models van ser significatives. Conclusions: Es presenta un qüestionari per a mesurar els coneixements sobre la postura corporal i la cura de l'esquena en activitats de la vida diària en adolescents validat. Es determina que les mateixes dades, es poden analitzar utilitzant diferents models, proporcionant cadascun d#aquests informació diferent

    An agile development cycle of an online memory program for healthy older adults

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    Online interventions for older adults should be tailored to their unique needs to increase the efficacy of and adherence to the intervention. The agile development cycle is a dynamic model to solicit and incorporate feedback from older adults during the design process. We combined this approach with the framework of Harvard University’s clinical and translational phases that provide a clear structure for evaluating new health programs before they are offered in the community. We based our online memory program on the empirically validated in-person Memory and Aging Program. The aim of the present study was to combine the agile development cycle with the clinical and translational phases framework to develop and pilot an online memory program tailored to the unique needs of older adults. Study 1 involved piloting individual program modules on site and integrating participant feedback into the program’s design to optimize usability. Study 2 involved two sequential pilots of the program accessed remotely to evaluate preliminary clinical outcomes and obtain feedback for iterative modifications. Plans for further validation and limitations are discussed. The successful application of the agile development cycle implemented in this series of studies can be adapted by others seeking to offer online content for targeted end users. Les interventions en ligne pour les personnes âgées doivent être adaptées à leurs besoins spécifiques afin d’augmenter leur efficacité et l’adhésion des utilisateurs. Le cycle de développement agile est un modèle dynamique permettant de solliciter et d’intégrer les commentaires des personnes âgées au cours du processus de conception. Nous avons combiné cette approche avec le Cadre des phases cliniques et translationnelles de l’université Harvard qui fournit une structure claire pour évaluer les nouveaux programmes de santé avant qu’ils ne soient proposés dans la communauté. Nous avons élaboré notre programme en ligne sur la mémoire à partir du programme sur la mémoire et le vieillissement qui se donnait en présentiel, et qui avait été validé empiriquement. L’objectif de l’étude était d’associer le cycle de développement agile avec le Cadre des phases cliniques et translationnelles pour concevoir et tester un programme pilote en ligne sur la mémoire qui est adapté aux besoins uniques des personnes âgées. L’étude no 1 a permis de tester dans une phase pilote les modules individuels du programme avec des participants présents sur place, et à intégrer leurs commentaires lors du développement du programme afin d’en optimiser la convivialité. L’étude no 2 a consisté en deux pilotes séquentiels du programme accessibles à distance dans lesquels les résultats cliniques préliminaires ont été évalués et des commentaires ont été collectés pour guider les modifications itératives. Les plans pour une validation ultérieure et les limites des études sont discutés. L’application réussie du cycle de développement agile mis en œuvre dans cette série d’études pourra être adaptée par d’autres équipes souhaitant proposer un contenu en ligne à des groupes d’utilisateurs finaux plus spécifiques

    The interpretation of Islam and nationalism by the elite through the English language media in Pakistan.

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    The media is constructed and interpreted through what people 'know'. That knowledge is, forthe most part, created through day to day experiences. In Pakistan, Islam and nationalism aretwo components of this social knowledge which are intrinsically tied to the experiences of thePakistani people. Censorship and selection are means through which this knowledge isarticulated and interpreted.General conceptions of partially shared large scale bodies of knowledge and ideas reinforce,and are reinforced by, general medium of mass communication: the print and electronic media.Focusing on the govermnent, media institutions and Pakistani elites, I describe and analyse thedifferent, sometimes conflicting, interpretations of Islam and Pakistani nationalism manifest inand through media productions presented in Pakistan.The media means many things, not least of which is power. It is the media as a source ofpower that is so frequently controlled, directed and manipulated. The terminology may beslightly different according to the context within which one is talking - propaganda, selection,etc. - but ultimately it comes down to the same thing - censorship. Each of the three groups:government, media institutions and Pakistani elites - have the power to interpret and censormedia content and consideration must be taken of each of the other power holders consequentlyrestricting the power of each group in relation to the other two. The processes of thismanipulation and their consequences form the major themes of this thesis

    Development and evaluation of a treatment package for men with an intellectual disability who sexually offend

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    Sex offending in the general population has been a focus of interest for some time due to the damaging nature of the behaviour, and the need to reduce recidivism. Theoretical and clinical advances (Finke1hor, 1986; HM Prison Service, 1996; Marshall, Anderson, & Fernandez, 1999; Serran & Marshall, 2010) in treatment for sex offenders in the general population have been extended to men with an intellectual disability at risk of sexual offending (Lindsay, 2009). The purpose of this project is to develop and evaluate the SOTSEC-ID version cftrus model. Participants are adult males from 15 different locations across England and Wales, with an intellectual disability or borderline cognitive functioning and who have committed sexual offences. A pilot study clarified assessments and procedures, and individual data over several years is presented. A qualitative study using Interpretive Phenomenological Analysis (JP A) illustrates the 'meaning making' of participants' treatment experience through six major themes. A reliability and validity study assesses the four main quantitative measures, QACSO, SAKA, SOSAS, and VESA, finding limited support for criterion validity for the SOSAS and SAKA, excellent inter-rater reli"ability for all four main measures, and good to excellent inter-rater reliability on all but the SAKA Finally, a quantitative study, in collaboration with the wider SOTSEC-ID group, uses a repeated measures design to compare the QACSO, SOSAS and SAKA across pre-group, post-group and follow. up. Significant main effects and post-hoc comparisons were in the predicted direction for all measures. A range of information on demographic, clinical and criminogenic factors including offending during treatment or follow-up are also presented. A recidivism rate of 12.3% over a year was calculated for the sample. The treatment model and collaborative framework is recommended for wider adoption

    DataProVe: Fully Automated Conformance Verification Between Data Protection Policies and System Architectures

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    Privacy and data protection by design are relevant parts of the General Data Protection Regulation (GDPR), in which businesses and organisations are encouraged to implement measures at an early stage of the system design phase to fulfil data protection requirements. This paper addresses the policy and system architecture design and propose two variants of privacy policy language and architecture description language, respectively, for specifying and verifying data protection and privacy requirements. In addition, we develop a fully automated algorithm based on logic, for verifying three types of conformance relations (privacy, data protection, and functional conformance) between a policy and an architecture specified in our languages’ variants. Compared to related works, this approach supports a more systematic and fine-grained analysis of the privacy, data protection, and functional properties of a system. Our theoretical methods are then implemented as a software tool called DataProVe and its feasibility is demonstrated based on the centralised and decentralised approaches of COVID-19 contact tracing applications

    Women’s Experiences of Accessing Breastfeeding and Perinatal Health Support in the Context of Intimate Partner Violence: An Interpretive Description Study

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    Background: Women experiencing intimate partner violence are at a heightened risk of negative perinatal and breastfeeding outcomes. This study explored the experiences of accessing breastfeeding support for women who endorse a history of intimate partner violence. A study of five in-depth semi-structured interviews were completed at 12-weeks postpartum with breastfeeding mothers with a history of intimate partner violence. Findings: Women expressed difficulties in accessing a healthcare provider who had specialized skill in breastfeeding support. Trust in their healthcare provider, built through displays of compassion and competence, was important to mitigate obstacles experienced during care access for this population. Trauma-and-violence-informed care principles were beneficial to the development of the therapeutic relationship in perinatal care. Women placed value on breastfeeding support received from both healthcare providers and social supports, which impacted mothers’ perceived breastfeeding support and self-efficacy. Further, mothers described increased levels of breastfeeding self-efficacy after engaging in a trauma-and-violence-informed care program aimed at supporting breastfeeding. Conclusions: Trauma-informed care may aid in the development of trust in the therapeutic relationship, which in turn impacts access to breastfeeding support and breastfeeding self-efficacy. The inclusion of trauma-and-violence informed principles in perinatal care may be effective at mitigating barriers to access for women who endorse a history of intimate partner violence. health care on how to employ trauma-informed breastfeeding care to may lead to better support for this population

    Network Slicing for Industrial IoT and Industrial Wireless Sensor Network: Deep Federated Learning Approach and Its Implementation Challenges

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    5G networks are envisioned to support heterogeneous Industrial IoT (IIoT) and Industrial Wireless Sensor Network (IWSN) applications with a multitude Quality of Service (QoS) requirements. Network slicing is being recognized as a beacon technology that enables multi-service IIoT networks. Motivated by the growing computational capacity of the IIoT and the challenges of meeting QoS, federated reinforcement learning (RL) has become a propitious technique that gives out data collection and computation tasks to distributed network agents. This chapter discuss the new federated learning paradigm and then proposes a Deep Federated RL (DFRL) scheme to provide a federated network resource management for future IIoT networks. Toward this goal, the DFRL learns from Multi-Agent local models and provides them the ability to find optimal action decisions on LoRa parameters that satisfy QoS to IIoT virtual slice. Simulation results prove the effectiveness of the proposed framework compared to the early tools

    A Microfluidic Device as a Drug Carrier

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    The development of nanomedicine or medical nanotechnology, has brought important new ways to the development of medicines and biotechnology products. As a result of groundbreaking discoveries in the use of nanoscale materials significant commercialization initiatives have been launched and are at the forefront of the rapidly expanding field of nanotechnology by using smart particles. Microfluidic technologies use nano-and micro-scale manufacturing technologies to develop controlled and reproducible liquid microenvironments. Lead compounds with controlled physicochemical properties can be obtained using microfluidics, characterized by high productivity, and evaluated by biomimetic methods. Microfluidics, for example, can not only produce nanoparticles in a well-controlled, reproducible, and high-throughput manner, but it can also continuously create three-dimensional environments to mimic physiological and/or pathological processes. Materials with smart properties can be manipulated to respond in a controllable and reversible way, modifying some of their properties as a result of external stimuli such as mechanical stress or a certain temperature. All in all, microfluidic technology offers a potential platform for the rapid synthesis of various novel drug delivery systems. Therefore, these smart particles are equally necessary as the drug in drug delivery

    Hepatic and Endocrine Aspects of Heart Transplantation

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    End-organ dysfunction is a progression that can often develop in patients with end-stage heart failure. Hepatic abnormalities in advanced systolic heart failure may affect several aspects of the liver function. Hepatic function is dependent on age, nutrition, previous hepatic diseases, and drugs. The hepatic dysfunction can have metabolic, synthetic, and vascular consequences, which strongly influence the short- and long-term results of the transplantation. In this chapter, the diagnostic and treatment modalities of the transplanted patient will be discussed. On the other hand, endocrine abnormalities, particularly thyroid dysfunction, are also frequently detected in patients on the waiting list. Endocrine supplementation during donor management after brain death is crucial. Inappropriate management of central diabetes insipidus, hyperglycemia, or adrenal insufficiency can lead to circulatory failure and graft dysfunction during procurement. Thyroid dysfunction in donors and recipients is conversely discussed
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