Miedo en niños con experiencias médicas y percepción materna

Tesis (Maestría en Enfermería con Especialidad en Materno Infantil Pediátria) UANLUANLhttp://www.uanl.mx

The Morbidity & Mortality of Prevalent Heart Failure

The first study population included 292 unselected consecutive patients from the LLUMC heart failure clinic who were enrolled in the study from January to July 2006 and were followed up through the end of December 2010. The treatment policy at the clinic was to uptitrate dosages of beta-adrenergic blockade (β-blockers), angiotensin-converting-enzyme inhibitors (ACEi) and angiotensin II receptor blockers (ARB) to the most tolerable levels in order to reach target dosages, as recommended by the Heart Failure Society of America (HFSA). Patients were classified into systolic heart failure (ejection fraction (EF) \u3c 40%) or diastolic heart failure (EF≥40%). All dosages of β-blockers, ACEi and ARB were extracted through chart reviews and were used as the main predictors of the patients\u27 survival. Results from analyses showed that reaching target dosages of β-blockers and ACEi/ARB may increase survival when compared to not reaching target among the systolic HF population (HRβ_biockers= 0.64, 95% CI 0.26-1.56 and HRACEi/ARB=0.50, 95% Cl 0.22-1.14). Similarly, the HR of 0.48 (95% Cl 0.13-1.81) for β-blocker therapy and HR of 0.21 (95% Cl 0.04-1.07) for ACEi/ARB therapy suggests improvements in survival with these drug regiments among the diastolic HF population. Unfortunately, the study lacked power to make the observations statistically significant. A larger sample size is needed to adequately address the possible benefits of these drugs for heart failure patients. The second study is comprised of a random, representative sample of 200 cases of self-reported congestive health failure (CHF) and 260 non-cases from the Adventist Health Study-2 (AHS-2). A total of 67 cases and 147 non-cases were successfully contacted or contacted through proxy and their consents were obtained for medical record review. Consenting participants’ medical records were retrieved and examined for the validity of self-reported heart failure. The sensitivity of self-reported CHF was calculated as 97.4% and the specificity was 83.4%. The positive predictive value was 56.7% and the negative predictive value was 99.3 %. Total agreement (accuracy) between presence of self-reported heart failure and obtained physician-diagnosed heart failure from medical records was 86.0%. Further study with a larger sample is necessary to obtain reliable measures of validity of self-reported CHF in this population

A relação da ansiedade e da depressão na qualidade de vida dos adolescentes

Dissertação de mestrado em Psicologia Clínica, Universidade Lusíada de Lisboa, 2022Exame público realizado em 11 de Novembro de 2022O seguinte estudo, tem como objetivo compreender e caracterizar a relação da ansiedade e da depressão na qualidade de vida dos adolescentes. A partir do objetivo principal, foram delineados objetivos específicos a serem avaliados ao longo do estudo, tais como: compreender e caracterizar a ansiedade, depressão, a qualidade de vida, o género e a região. O presente estudo terá a participação de adolescentes do estudo Health Behavior in School-aged Children (HBSC) de 2018 (Matos et al., 2018), englobando uma amostra de 1711, sendo 929 do género feminino e 782 do género masculino. A idade dos participantes será de 15 anos, frequentando o 10º ano, sendo estes da região Lisboa e Vale do Tejo (Matos et al., 2018). A recolha de dados foi realizada através da aplicação do Kidscreen-10, a Escala de Depressão e a Escala de Ansiedade e Stress. Para além disso, foi realizada uma entrevista estruturada a 17 adolescentes, do género feminino e masculino, tendo como base o objetivo geral do estudo. Os resultados demonstram que existe uma correlação forte e positiva entre a variável ansiedade e a variável depressão. Enquanto a variável qualidade de vida demonstra uma correlação forte e negativa. De acordo, com os presentes resultados do estudo e perante a literatura exibida, verifica-se que existe uma relação entre a ansiedade e a depressão, sendo que o aparecimento de uma leva a origem da outra, que por sua vez influência a qualidade de vida dos adolescentes negativamente. Contribuindo assim, para compreensão da relação entre as perturbações na qualidade de vida do adolescente, demonstrando a necessidade de uma intervenção.The following study aims to understand and characterize the relationship between anxiety and depression in the quality of life of adolescents. From the main objective, specific objectives were outlined to be evaluated throughout the study, such as: understanding and characterizing anxiety, depression, quality of life, gender and region. The present study will have the participation of adolescents from the 2018 Health Behavior in School-aged Children (HBSC) study (Matos et al., 2018), encompassing a sample of 1711, 929 females and 782 males. The age of the participants will be 15 years old, attending the 10th grade, being from the Lisbon and Tagus Valley region (Matos et al., 2018). Data collection was performed using the Kidscreen-10, the Depression Scale and the Anxiety and Stress Scale. In addition, a structured interview was carried out with 17 adolescents, female and male, based on the general objective of the study. The results demonstrate that there is a strong and positive correlation between the anxiety variable and the depression variable. While the quality of life variable shows a strong and negative correlation. In accordance with the present study results and in the light of the literature, it appears that there is a relationship between anxiety and depression, and the appearance of one leads to the origin of the other, which in turn influences the quality of life. of teenagers negatively. Thus contributing to the understanding of the relationship between disturbances in the quality of life of adolescents, demonstrating the need for intervention

Mated aerodynamic characteristics investigation for the 0.04 scale model TE 1065 (Boeing 747-100) of the 747 CAM and the 0.0405 scale model (43-0) of the space shuttle orbiter in the NASA Langley V/STOL transition research wind tunnel (CA8), volume 1

Aerodynamic force data are presented in tables and graphs for the NASA Langley V/STOL Transition Research Wind Tunnel tests on a 0.04 scale model of the 747 with a 0.0405 scale Orbiter space shuttle. The investigation included the effects of flap setting, stabilizer angle, elevator angle, ground proximity, and Orbiter tailcone fairing. Data were obtained in the pitch plane only. The test was run at M = 0.15, with a dynamic pressure of 35 psf. Six static pressures were measured on each side of the 747 CAM nose to determine the effects of the Orbiter on the 747 airspeed and altitude indicators