Página 1 dos resultados de 3214 itens digitais encontrados em 0.046 segundos

Os significados do trabalho em equipe de cuidados paliativos oncológicos domiciliar: um estudo etnográfico; The meanings of the team approach to oncological palliative home care: an ethnographic study.

Rodrigues, Inês Gimenes
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 14/12/2009 PT
Relevância na Pesquisa
35.67%
Este estudo teve como objetivo interpretar os significados do trabalho em equipe de cuidados paliativos oncológicos domiciliar atribuídos pelos profissionais, por meio do estudo de caso e da análise etnográfica. O referencial teórico que embasou tal interpretação foi a antropologia interpretativa. Participaram da pesquisa oito informantes, profissionais de uma Equipe de Cuidados Paliativos Oncológicos Domiciliar, lotados em um serviço de Internação Domiciliar, em uma cidade do sul do Brasil. A coleta de dados ocorreu no período de junho a dezembro de 2008 nos espaços de atuação do serviço de Internação Domiciliar. Os dados foram coletados por meio de observação participante, diário de campo e entrevistas semiestruturadas. A análise dos dados baseou-se nos pressupostos analíticos da análise hermenêutica dialética e temática. Foram identificados os códigos que mostraram o sentido do trabalho em cuidados paliativos para os participantes e que depois serviram de guia para as unidades de sentidos e a construção dos significados. Da análise emergiram três núcleos de significados: "Desafios iniciais do trabalho em cuidados paliativos oncológico"; "O maior dos desafios: lidar com a morte" e; "O trabalho em equipe de cuidados paliativos oncológicos domiciliar: uma trajetória em construção". O primeiro núcleo aborda os cuidados paliativos oncológicos domiciliar como uma nova prática em saúde...

Entrevista de 15 minutos: uma ferramenta de abordagem à família no Programa Saúde da Família; The 15 minutes family interview: a tool for family approach in the family health program

Silva, Mariana Cristina Lobato dos Santos Ribeiro
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 06/07/2010 PT
Relevância na Pesquisa
35.67%
Atualmente, já é consolidada a idéia de que as condições de saúde-doença dos membros da família e a família enquanto unidade influenciam-se mutuamente. A Entrevista de 15 minutos foi desenvolvida como uma forma condensada do Modelo Calgary de Avaliação e Intervenção com famílias, objetivando contribuir para o estabelecimento de um relacionamento entre enfermeiro e família de modo que, mesmo em uma breve interação, possibilite intervenções que promovam saúde e alívio de sofrimento. O Programa/Estratégia Saúde da Família (PSF) foi implantado em 1994 para reorganizar o Sistema Único de Saúde no Brasil, preconizando que a família e seu espaço social sejam eleitos como núcleo básico de abordagem no atendimento à saúde. Esse estudo objetivou conhecer a experiência de enfermeiros do Programa de Saúde da Família no uso da Entrevista de 15 minutos nas visitas domiciliares realizadas no período puerperal. Para tanto, foi realizada uma pesquisa qualitativa que ocorreu em três etapas: Etapa 1 treinamento dos participantes, Etapa 2 utilização da Entrevista de 15 minutos pelos enfermeiros, Etapa 3 entrevistas com os enfermeiros. Os dados foram coletados por meio de entrevistas semi-estruturadas, totalizando oito participantes...

O ensino de Inglês como língua estrangeira na escola pública: novos letramentos, globalização e cidadania.; The Teaching of english as a foreign language in public schools: new literacies, globalization and citizenship

Mattos, Andréa Machado de Almeida
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 12/07/2011 PT
Relevância na Pesquisa
35.68%
Esta pesquisa investigou a atuação pedagógica de três professores de inglês como LE na escola pública, que participaram de um curso de formação continuada, tendo por base as teorias dos novos letramentos, multiletramentos e letramento crítico. Alguns dos objetivos específicos deste trabalho foram investigar a utilização pelo professor das teorias sobre novos letramentos, multiletramentos e letramento crítico na sala de aula de inglês como LE, identificar, na ação do professor de inglês como LE, os procedimentos didático-pedagógicos que refletem ações locais em oposição a ações globais, e compreender como essas ações do professor podem influenciar o processo de ensino/aprendizagem. Por fim, analisou-se como a atuação pedagógica do professor pode contribuir para a formação da cidadania dos alunos envolvidos. A introdução deste trabalho apresenta os objetivos gerais e específicos que nortearam sua realização, sua justificativa, e suas premissas e perguntas de pesquisa, assim como o lócus de enunciação da pesquisadora, a metodologia utilizada, o contexto e os participantes. Os quatro capítulos centrais versam sobre temas específicos que embasaram a coleta e a análise dos dados. O Capítulo 1 revisa o conjunto de teorias que formam a perspectiva dos novos letramentos...

Movimento e contradição: a disciplina de práticas em ensino de física e a formação inicial de professores de física sob a perspectiva histórico-cultural; Moviment and contradiction: the course of Practice of Physics teaching and the initial teacher education in Physics under a cultural-historical viewpoint

Rodrigues, Andre Machado
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 10/07/2013 PT
Relevância na Pesquisa
35.67%
Seguindo uma tendência internacional, os programas de formação inicial de professores no Brasil começaram, nas últimas décadas, a incluir cada vez mais e mais cedo aspectos da vida profissional no currículo dos cursos superiores. Em especial, a ampliação das horas de estágio renova as questões sobre a integração entre a universidade e a escola, o papel da escola de educação básica na formação do professor de Física e a integração entre os conteúdos disciplinares a serem ensinados, os conteúdos pedagógicos e a vivência no futuro ambiente de trabalho. Essas questões passam sistematicamente pela disciplina de Práticas em Ensino de Física, que foi criada em 2008 para atender a estas novas demandas e organizar parte do estágio supervisionado. Neste trabalho foi analisada a disciplina de Práticas em Ensino de Física ministrada em 2010 para aproximadamente 60 licenciandos divididos em duas turmas de dois períodos, diurno e noturno. Centrado majoritariamente na abordagem experimental do ensino de Física, os alunos devem preparar aulas de regência para serem conduzidas na escola a cada duas semanas ao longo do ano letivo. Três atividades básicas, na qual os licenciandos participam, constituem a disciplina: (i) O estágio realizado na sala de aula com o auxilio do professor de Física da escola; (ii) as oficinas de planejamento do estágio no qual os licenciandos eram auxiliados por monitores; (iii) as aulas na qual os licenciandos faziam relatos sobre os eventos ocorridos durante o estágio. Por meio da pesquisa qualitativa foram coletadas diversas fontes de dados como vídeo gravações...

Managing benign prostatic hyperplasia in primary care. Patient-centred approach.

McSherry, J.; Weiss, R.
Fonte: College of Family Physicians of Canada Publicador: College of Family Physicians of Canada
Tipo: Artigo de Revista Científica
Publicado em /02/2000 EN
Relevância na Pesquisa
35.73%
PROBLEM ADDRESSED: Management of benign prostatic hyperplasia (BPH) is changing from a surgical approach to a medical approach, and the role of primary care physicians is expanding. OBJECTIVE OF PROGRAM: To introduce a patient-centred approach to managing BPH in primary care through a continuing medical education (CME) program. MAIN COMPONENTS OF PROGRAM: A practice-based, small group, peer-led CME program focused on application of the International Prostate Symptom Score and Quality of Life Assessment in four case studies on prostatism, including BPH. At 86 workshops held across Canada, 658 physicians participated in discussions with case materials that included videos and a handbook. A before-after practice behaviour questionnaire was administered at each workshop to evaluate "intent to change." CONCLUSIONS: Participating physicians showed willingness to learn new skills for patient-centred management of BPH. These results suggest that peer-led, small group CME can successfully encourage use of new practice guidelines in primary are and teach physicians practical steps for developing therapeutic alliances with their patients.

A Patient Record-Filing System for Family Practice

Levitt, Cheryl
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /10/1988 EN
Relevância na Pesquisa
35.67%
The efficient storage and easy retrieval of quality records are a central concern of good family practice. Many physicians starting out in practice have difficulty choosing a practical and lasting system for storing their records. Some who have established practices are installing computers in their offices and finding that their filing systems are worn, outdated, and incompatible with computerized systems. This article describes a new filing system installed simultaneously with a new computer system in a family-practice teaching centre. The approach adopted solved all identifiable problems and is applicable in family practices of all sizes.

Breastfeeding Practice Lab: a New Approach to Telenurse Education

Miller, Wendy A.; Kinahan, Kate
Fonte: American Medical Informatics Association Publicador: American Medical Informatics Association
Tipo: Artigo de Revista Científica
Publicado em 23/06/2012 EN
Relevância na Pesquisa
35.78%
Breastfeeding inquiries represent a significant number of calls to HealthLink BC (HLBC). As Telenurses have indicated a great deal of uncertainty and a degree of disparity in practice, findings from previous research revealed a need to expand Telenurse breastfeeding education and a need for a new education delivery approach. This paper will describe the new education approach, an approach that included development of a practice lab framework and development of the first activity based on this framework – The Breastfeeding Practice Labs.

A new statistical approach to combining p-values using gamma distribution and its application to genome-wide association study

Chen, Zhongxue; Yang, William; Liu, Qingzhong; Yang, Jack Y; Li, Jing; Yang, Mary Qu
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
45.57%
Background: Combining information from different studies is an important and useful practice in bioinformatics, including genome-wide association study, rare variant data analysis and other set-based analyses. Many statistical methods have been proposed to combine p-values from independent studies. However, it is known that there is no uniformly most powerful test under all conditions; therefore, finding a powerful test in specific situation is important and desirable. Results: In this paper, we propose a new statistical approach to combining p-values based on gamma distribution, which uses the inverse of the p-value as the shape parameter in the gamma distribution. Conclusions: Simulation study and real data application demonstrate that the proposed method has good performance under some situations.

Best practice rail safety regulation

Gunningham, Neil
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Working/Technical Paper Formato: 350449 bytes; 367 bytes; application/pdf; application/octet-stream
EN_AU
Relevância na Pesquisa
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Regulating rail safety, and in particular, achieving regulatory best practice, is no easy task. The disaggregation and privatisation of the rail system, and the broader industry restructuring that took place in the 1990s have produced an industry that is structurally diverse, characterised by technological and corporate complexity and subject to competitive pressures as never before. Moreover, the multiplicity of different rail organisations that has emerged from this process – ranging from large, sophisticated commercial operators through to small heritage railways - has resulted in considerable variation in available resources, skills, experience and understanding, and in safety performance itself. There is much evidence to suggest that there are serious deficiencies both in the rail industry’s approach to safety and in the regulatory response to it, although the nature of these deficiencies varies considerably from State to State. In New South Wales, the Glenbrook and Waterfall accidents highlighted a series of major problems that (according to Hopkins analysis of the Glenbrook enquiry) include: a rule focussed culture [which] tended to deaden awareness of risks; the organisational and occupationally fragmentation of the railway system; a powerful culture of punctuality - of ‘on time running’ - whose side effect was to undermine safety; a railway culture that was profoundly risk blind...

Application of the privacy principles to general practice

Mulligan, E.; Rogers, W.; Braunack-Mayer, A.
Fonte: Royal Australian College of General Practitioners Publicador: Royal Australian College of General Practitioners
Tipo: Artigo de Revista Científica
Publicado em //2001 EN
Relevância na Pesquisa
35.67%
BACKGROUND: There are escalating requirements for general practitioners to comply with recognised privacy principles. With amendments to the Commonwealth Privacy Act (1988) imminent, there is an urgent need to formulate methods for applying these principles to general practice. OBJECTIVE: The article provides an explanation of the origins of the privacy principles and a simple self audit which general practitioners can use to assess the extent to which their usual practices conform with them. Discussion: A careful review of the principles indicates that new measures will be needed before most general practices will be able to approach required standards of conduct. Practical strategies for achieving best practice are discussed and challenges confronting general practices in applying the principles are canvassed. Ethics committees should be used more often to provide independent review of practice policies and proposals to use patient information in new ways. General practitioners can expect increasing scrutiny and debate concerning confidentiality. In order to maintain patient trust in GPs as responsible data custodians, the privacy principles can be seen as a quality improvement tool.; Ea Mulligan, Wendy Rogers and Annette Braunack-Mayer; Copyright © 2001 Royal Australian College of General Practitioners Copyright to Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher...

Enhancing students’ motivation to learn software engineering programming techniques: a collaborative and social interaction approach

Nunes, Ricardo Rodrigues; Pedrosa, Daniela; Fonseca, Benjamim; Paredes, Hugo; Cravino, José; Morgado, Leonel; Martins, Paulo
Fonte: Springer International Publishing Publicador: Springer International Publishing
Tipo: Artigo de Revista Científica
Publicado em //2015 ENG
Relevância na Pesquisa
35.67%
To motivate students to study advanced programming techniques, including the use of architectural styles such as the model–view–controller pattern, we have con-ducted action research upon a project based-learning approach. In addition to collabo-ration, the approach includes students’ searching and analysis of scientific documents and their involvement in communities of practice outside academia. In this paper, we report the findings of second action research cycle, which took place throughout the fourth semester of a six-semester program. As with the previous cycle during the pre-vious academic year, students did not satisfactorily achieve expected learning out-comes. More groups completed the assigned activities, but results continue to reflect poor engagement in the communities of practice and very low performance in other learning tasks. From the collected data we have identified new approaches and recom-mendations for subsequent research.; Fundação para a Ciência e Tecnologia (FCT), Portugal, for Ph.D. Grants SFRH/BD/91309/2012 and SFRH/BD/87815/2012

Learning and Results in World Bank Operations; Toward a New Learning Strategy, Evaluation 2

Independent Evaluation Group
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Report; Publications & Research; Publications & Research :: Working Paper
ENGLISH; EN_US
Relevância na Pesquisa
35.7%
This report is the second in a program of evaluations that the independent evaluation group (IEG) is conducting on the learning that takes place through World Bank projects. Learning and knowledge are treated as parts of a whole and are presumed to be mutually reinforcing. The evaluation program addresses the following overarching questions: how well has the World Bank learned in its lending operations?; and what is the scope for improving how it generates, accesses, and uses learning and knowledge in these operations? Evaluation two includes findings from seven country case studies and interviews with Bank staff about their early experience of working within the Bank’s new global practices structure, which became operational on July 1, 2014. The aim is to assess the pre-FY2015 evidence in light of the new structure and roles, and to ask how long-term trends are likely to be modified as reforms evolve. Surveys and interviews reveal that, when it comes to managing projects, Bank staff rely first and foremost on a process of informal learning...

The Capacity Development Results Framework; A Strategic and Results-Oriented Approach to Learning for Capacity Development

Otoo, Samuel; Agapitova, Natalia; Behrens, Joy
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Working Paper; Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
35.71%
The Capacity Development Results Framework (CDRF or the Framework) is a powerful new approach to the design, implementation, monitoring, management, and evaluation of development programs. Originally conceived to address well-documented problems in the narrow field of capacity development, the Framework can be profitably applied to assess the feasibility and coherence of proposed development projects, to monitor projects during implementation (with a view to taking corrective action), or to assess the results, or even the design, of completed projects. The framework can also be used as a step-by-step guide to the planning, implementation, and evaluation of projects and programs designed to build capacity for development at a national or sub-national level. That is how it is illustrated here. We chose this approach because such a guide was sorely needed, and because it allowed us to illustrate the full set of tools and processes provided by the framework. The framework is compatible with a broad range of situations and approaches to change management. But in all cases key actors in the change process must be identified and offered the knowledge and tools that they need to produce change in the direction of the desired goals. Critical points in the change path must be identified. At each such point...

Determination of creep properties of a P91 weldment by small punch testing and a new evaluation approach

GULCIMEN BETUL; HAEHNER Peter
Fonte: ELSEVIER SCIENCE SA Publicador: ELSEVIER SCIENCE SA
Tipo: Articles in Journals Formato: Online
ENG
Relevância na Pesquisa
35.68%
Local creep properties of a P91 weldment consisting of distinct zones, namely base metal, weld metal, as well as the fine-grained and the coarse-grained parts of the heat-affected zone were examined by Small Punch creep tests. Deflection vs. time graphs showed the zones' different creep resistances with that of the Heat Affected Zone-Fine Grained being lowest. Norton and Monkman–Grant type relations were established from Small Punch deflection curves for all zones. The evaluation of the Small Punch results was performed according to a new approach originating from the membrane stretching theory, as well as the method associated with the European Code of Practice for Small Punch Testing. The stress–rupture time results calculated by the new method were found to be very close to the Code of Practice's results with a similar amount of scatter, noting that with the new method, each Small Punch creep test is analyzed individually according to its observed deflection curve contrary to the Code of Practice method which disregards the actual deflection behaviour.; JRC.F.4-Nuclear Reactor Integrity Assessment and Knowledge Management

Public Sector Management Reform : Toward a Problem-Solving Approach

Blum, Jurgen; Manning, Nick; Srivastava, Vivek
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Brief; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
45.52%
This note sets out key ideas from recent discussions inside and outside the Bank on how donors can support governments more effectively in delivering results in Public Sector Management (PSM) reforms. This note also reflects the discussions that have led to the Bank's new PSM approach for 2011 to 2020; identifies challenges to reforming public sector institutions; and summarizes how current thinking on PSM reform strategies has shifted toward pragmatic problem solving, seeking to improve results by identifying sustainable improvements for the public sector results chain.

Le rôle de l’évaluation économique dans la pratique des médecins de famille = The role of economic evaluation in the practice of family physicians

Lessard, Chantale
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
FR
Relevância na Pesquisa
35.71%
L’évaluation économique en santé consiste en l’analyse comparative d’alternatives de services en regard à la fois de leurs coûts et de leurs conséquences. Elle est un outil d’aide à la décision. La grande majorité des décisions concernant l’allocation des ressources sont prises en clinique; particulièrement au niveau des soins primaires. Puisque chaque décision est associée à un coût d’opportunité, la non-prise en compte des considérations économiques dans les pratiques des médecins de famille peut avoir un impact important sur l’efficience du système de santé. Il existe peu de connaissances quant à l’influence des évaluations économiques sur la pratique clinique. L’objet de la thèse est de comprendre le rôle de l’évaluation économique dans la pratique des médecins de famille. Ses contributions font l’objet de quatre articles originaux (philosophique, théorique, méthodologique et empirique). L’article philosophique suggère l’importance des questions de complexité et de réflexivité en évaluation économique. La complexité est la perspective philosophique, (approche générale épistémologique) qui sous-tend la thèse. Cette vision du monde met l’attention sur l’explication et la compréhension et sur les relations et les interactions (causalité interactive). Cet accent sur le contexte et le processus de production des données souligne l’importance de la réflexivité dans le processus de recherche. L’article théorique développe une conception nouvelle et différente du problème de recherche. L’originalité de la thèse réside également dans son approche qui s’appuie sur la perspective de la théorie sociologique de Pierre Bourdieu; une approche théorique cohérente avec la complexité. Opposé aux modèles individualistes de l’action rationnelle...

Reflexiones en torno al 'nuevo enfoque pr??ctico'. Un approach al new practice approach

Nogu??s Pedregal, Antonio Miguel
Fonte: Pedro G??mez Publicador: Pedro G??mez
Tipo: Artigo de Revista Científica
SPA
Relevância na Pesquisa
95.81%
Este art??culo explora la posibilidad de sintetizar los enfoques de Marx y Weber, tal como propugna Sherry Ortner, al referirse al nuevo ??practice approach??, examinando los sistemas anal??ticos de A. Giddens, P. Bourdieu y M. Sahlins. Comienzo con una muy breve exposici??n de lo que considero que son las bases del pensamiento posmoderno. A continuaci??n y al desgranar cada uno de estos ??enfoques pr??cticos??, observo que la principal divergencia entre estos autores radica en el grado de conocimiento que confieren a los actores sociales en lo que a las consecuencias de sus acciones se refiere. Finalizo con una reflexi??n personal y brev??sima sobre el c??rculo parad??jico que se est?? generando en el seno de la antropolog??a actual.; This article explores the possibility of synthesizing the approaches of Marx and Weber, as Sherry Ortner advocates when referring to the new ??practice approach??, examining the analytic systems of A. Giddens, P. Bourdieu and M. Sahlins. It begins with a very brief exhibition of the bases of postmodern thought. Next, it demonstrates, through the examination of each one of these ??practice approaches??, that the main divergence among these authors resides in the degree of knowledge conferred upon social players with regard to the consequences of their actions. It concludes with a brief personal reflection on the paradoxical circle that is emerging in current anthropology.

Health promotion at Swedish pharmacies: views of the staff

Björkman,Ingeborg; Viberg,Nina; Rydberg,Linda; Stälsby Lundborg,Cecilia
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/12/2008 ENG
Relevância na Pesquisa
35.7%
The role of pharmacy has changed dramatically during the last decades, which has led to new demands on pharmacy personnel. Objective: This study aims at exploring the attitudes of Swedish pharmacy personnel on their role as public health promoters and to look at the opportunities and obstacles they identify in the efforts to widen the pharmacy remit to include a wider health approach. Method Eight focus group discussions were conducted with a strategic sample of pharmacy personnel working in two counties in Sweden. The discussions were transcribed verbatim and analysed by qualitative inductive analysis. Results Five themes were identified, "Pharmacy activities impact on public health", "The employer, Apoteket AB", "The new role welcomed", "Obstacles in the new role", and "Need of change and support". Conclusion The concept of pharmacy personnel as public health promoters was not initially in the mindset of the participants. In the process of discussion, the impact of traditional pharmacy practice as well as new pharmacy based initiatives on public health gradually became more obvious to them. The findings show a pharmacy staff involved in a process of change. The participants have not yet landed in their new role as public health promoters and the study shows that practical as well as conceptual support is needed in order for pharmacy personnel to play a more important role in public health.

New Zealand parent´s perceptions of the use and safety of over the counter liquid analgesics

Bushby,Sarah K.; Anderson,Rachel J.; Braund,Rhiannon
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/12/2010 ENG
Relevância na Pesquisa
45.53%
Objective: The objective of this study was to investigate the knowledge of parents and caregivers with respect to the purchase, use and storage of liquid analgesics purchased over the counter (OTC) from pharmacies. This would enable specific strategies to be identified to increase awareness of the potential risks of these products. Methods: Questionnaires were developed and used a combination of Likert Scales, open ended questions and yes/no answers. Randomly chosen New Zealand pharmacies (463) were asked to approach a person purchasing liquid analgesics and ask them to complete the questionnaire. Of the 105 pharmacies that participated, 96 completed parent/caregiver questionnaires were returned. Results: When choosing a product there was a statistically significant difference between the most important factors "safety" and "active ingredient" and the least important factors "cost" and if the parent/caregiver "used it before". All parents/caregivers claim to have received verbal information from pharmacy staff, with 40% stating that they "always" receive information. The majority of parents/caregivers store medicines in a high place (n=61), in a cupboard (n=56) or a combination of these. Over half (52%) of the parents/caregivers thought that children could "never" open child resistant closures. Conclusion: Whilst parents and caregivers choose products based on perceived safety...

Behavioural therapy in the treatment of obesity (I): New directions for clinical practice

Garaulet,M.; Pérez de Heredia,F.
Fonte: Nutrición Hospitalaria Publicador: Nutrición Hospitalaria
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/12/2009 ENG
Relevância na Pesquisa
35.7%
Objectives: Behavioural therapy (BT) in obesity treatment helps individuals to develop skills to achieve healthier body weights. Instead of helping to decide what to change, it helps to identify how to change; lifestyle modification is essential for any treatment of obesity, be it dieting, medication, surgery, etc. Physicians often tend to be unwilling to use BT considering it time-consuming and skill-intensive. However, BT can be standardized and used more readily in clinical practice. Besides, new approaches have been developed which contribute to increase the success of the treatments, like non face-to-face techniques, or the new cognitive therapy. Setting: Classical knowledge on BT has been updated with recent publications and information on these new approaches, combined with our own experience in the clinical treatment of obesity. Results: Most research on BT has been conducted in university-based programs which, despite their importance, tell us little about its effectiveness in actual clinical practice. Future research might focus on determining how BT can be best applied in a real-world setting. Examples of new directions are increased maintenance periods, use of Internet, and new cognitive therapy. Besides, elucidating the genetic component in the prognosis of weight management -the nutrigenomic approach- could assist in the development of more effective and individually tailored therapeutic strategies; indeed...