Planned Behavior and Physician-Patient Communication: Predicting Adherence to Anti Hypertensive

Lack of adherence to treatment contributes to unmanageable high blood pressure and satisfaction with physician-patient communication enhances adherence to treatment. The theory of planned behavior (TPB) guided the research questions in this quantitative study to determine the effects of a communication program for vulnerable population with implications for social change.https://scholarworks.waldenu.edu/archivedposters/1024/thumbnail.jp

Exploring Earth-Building Technology for Liberia.

This paper discusses earth as a building material and the extent to which earth building technology has evolved over the years. In particular it addresses the adobe, compressed and rammed earth techniques of earth building as suitable techniques for Liberia consumption. In addition, the paper investigates the suitability of the Latosols soils of Liberia for earth building construction purposes using standardized earth building principles and requirements. A local Johnson City, Tennessee, earth sample found to have the same physical characteristics of the Latosols of Liberia was used to simulate Liberia soils to produce specimen blocks at different configurations of moisture content and stabilizers (Bentonite and cement). Following 14 days of cure, the blocks were tested for compressive strength. It was found that blocks produced from the natural soil with no stabilizer added were structurally adequate for building construction purposes. A cost-benefit analysis involving blocks with and without stabilizer (cement) added was also performed

Causal beliefs and treatment preferences for the symptoms of depression among chronically ill African Americans, Latino, and White patients

The focus of the research study is to explore chronically ill African American, Latino, and White patients' causal attributions of symptoms of depression and factors that predict depression care treatment preferences among these groups. Research has demonstrated that perception of illness impacts what treatments a person will deem appropriate for their mental health problems and from whom they will seek treatment. Research also indicates that certain ethnic groups are more likely to seek treatment for their symptoms of depression in the primary care setting. Yet, it is unclear how they actually perceive their symptoms and what best predicts the treatments that they are likely to consider acceptable. A convenient sample of 109 HIV+ adults, 79 diabetic adults, and 3 adults with both conditions were recruited for this study. Participants had to be receiving services for either HIV, diabetes, or both conditions in one of the three central Austin facilities and be a representative from one of three racial/ethnic groups: African Americans, Latino, and White. Differences were found across ethnicity with regard to causal beliefs and treatment preferences for the symptoms of depression both among the HIV and the diabetic subgroups. Latinos in both groups were more likely than Whites to prefer counseling or a single form of treatment over combined treatment methods. Diabetic Latinos were more likely to prefer counseling for symptoms of depression. HIV seropositive individuals who reported the least number of symptoms of physical illness were more likely to attribute their symptoms of depression to stressful life events, whereas those who reported the greatest number of symptoms of physical illness were more likely to attribute their symptoms of depression to their medical illness. Additionally among the HIV subgroup, individuals who reported high stress tended to predict the preferences for treatment provided by a psychiatrist/psychologist and Whites scored highest on this factor. Finally, differences in depression scores across race/ethnicity were also revealed. The utility of assessing a patient's understanding of symptoms of depression in order to determine how personal illness models impact treatment preferences and knowledge of patient's causal attributions can aid medical social workers and physicians in collaborative management of chronic illness and depression are discussed.Social Wor

Free surface flow and wave impact at complex solid structures

Hydrodynamic wave loading at structures is a complex phenomenon to quantify. The design of structures to resist wave loading has been historically and predominantly achieved through empirical and experimental observations. This is due to the challenging understanding and quantification of wave impact energy transfer processes with air entrainment at solid structures. This paper investigates wave loading on such structures with effects of air entrapment. Specifically, it focuses on predicting the multi-modal oscillatory wave impact pressure signals which result from transient waves impinging upon a solid wall. A large dataset of compressible (and incompressible) numerical modelling scenarios have been generated to investigate these processes. The modelling simulation data are verified through a grid scaling analysis and validated against previous studies. Air bubble entrapment oscillatory pressure response trends are observed in the compressible simulation during wave impact. A frequency domain analysis of the impact pressure response is undertaken. The numerical modelling results are found in good agreement with theoretical and experimental observation data. These findings provide good confidence on the robustness of our numerical model foundations particularly for investigating the air bubbles formation, their mechanics and adjusted resonance frequency modes at impact with solid wall

La Capacitación y la Satisfacción Laboral de los colaboradores del área de Prestaciones Económicas de la Sede Central de EsSalud – Lima -2015

La presente investigación tuvo como objetivo general, determinar la relación que existe entre la capacitación y la satisfacción laboral de los colaboradores del área de Prestaciones económicas de la sede central de EsSalud, la población estuvo conformada por 60 colaboradores, (muestra censal). El método empleado en la investigación fue hipotético deductivo, de tipo correlacional, diseño no experimental de corte transversal, que recogió información en un periodo determinado, utilizó la técnica de la encuesta con su instrumento el cuestionario de capacitación, conformada por 30 preguntas en la escala de Likert, asimismo, el cuestionario de satisfacción laboral estuvo constituido por 28 preguntas, que proporcionaron diferentes puntos de vista acerca de las mencionadas variables, a través de la evaluación de sus distintas dimensiones, cuyos resultados fueron llevados a gráficos estadísticos (programa SPSS versión 21) así como sus respectivas interpretaciones. La investigación concluye que existe evidencia para afirmar que existe una relación positiva fuerte entre la capacitación y la satisfacción laboral de los colaboradores del área de prestaciones económicas de la sede central de EsSalud; habiéndose determinado un coeficiente de correlación Rho de Spearman 0,766. Finalmente, la tesis concluye con los aportes que se dan como resultado de la investigación, facilitando las recomendaciones las cuales se consideran viables, se añade la amplia bibliografía, así como los apéndices correspondientes

Responsabilidade penal da pessoa jurídica: reflexões a partir do princípio da culpabilidade

O presente trabalho busca compreender se a responsabilidade penal da pessoa jurídica é uma forma de responsabilidade subjetiva. Para isso, analisaremos o conteúdo e a função do princípio da culpabilidade no direito penal, tomando a culpabilidade como instituição política, em um sentido normativo sem prescindir de uma noção jurídica de liberdade. Após, discutiremos se a responsabilidade subjetiva pressupõe necessariamente uma responsabilidade individual, partindo da noção pressuposta de sujeito de direito penal e em contraponto a outras formas possíveis de responsabilização, como a responsabilidade coletiva. Por fim, nos debruçaremos sobre a responsabilidade penal da pessoa jurídica, a partir do estudo de seus principais modelos de atribuição de responsabilidade, com o fim de verificar, à luz de tudo o quanto já trabalhado, sua compatibilidade com uma imputação individualizadora e subjetiva, e, por conseguinte, com o princípio da culpabilidade

Implementación de una guía de enfermería sobre la posición prona en pacientes conscientes con síndrome de dificultad respiratoria aguda por Covid 19 del Hospital III de emergencias Grau

El presente trabajo académico titulado “Implementación de una guía de enfermería sobre la posición prona en pacientes conscientes por síndrome de dificultad respiratoria aguda por Covid 19”, contribuirá a unificar y reforzar los conocimientos, afinar las destrezas para el cuidado de los pacientes en posición prona y prevenir sus posibles complicaciones .Asimismo será presentado a la Jefatura del servicio de Enfermería del Hospital III de Emergencias Grau, a fin de posibilitar su implementación formal y difusión, a su vez ser un punto de referencia para actualizarnos más sobre los cuidados que impartimos a nuestros pacientes con las nuevas enfermedades que se presentan

Sistemas de distribuição de energia elétrica

A distribuição de energia teve seu início no último quartil do século passado, podendo ser considerada como um marco a construção, por Thomas Alva Edison, em 1879, da primeira central elétrica para distribuição de energia à cidade de Nova Iorque. No Brasil, o pioneirismo coube à cidade de Campos, que, em 1883, tornou-se a primeira da América do Sul a receber iluminação pública elétrica.Número padronizado: v. 43, n. especial (1986)Revista do Serviço Público, ano 43, v.114, n. especial, p. 49-53Meio ambiente. Recursos Naturais. Desenvolvimento SustentávelISSN eletrônico: 2357-8017ISSN impresso: 0034-924

Professional competence and job performance of nurses, Hospital III de Emergencias Grau.

Objetivo: determinar la relación entre competencias profesionales y desempeño laboral de las enfermeras(os) del Hospital III de Emergencias Grau. Metodología: fue transversa, prospectiva y correlacional. Se utilizó una escala de calificación: Evaluación 360, mediante el cual se recolectó la información sobre el desempeño, asimismo se aplicó la entrevista para la recolección de competencias de las enfermeras. La muestra fue de 173 profesionales de enfermería. Resultados: Las competencias de los profesionales fueron: excelente 21%, buena: 53% y regular: 26%, los valores finales de desempeño fueron: regular: 27%, bueno: 54% y excelente: 19%. Conclusiones: existe relación significativa entre competencias profesionales y el desempeño laboral de las enfermeras(os) del Hospital III de Emergencias Grau.Tesi