Dissertationen zum Thema „Critical Observations“
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Das, Sashi Mohan. „Intrinsic values in nature: some critical observations“. Thesis, University of North Bengal, 2020. http://ir.nbu.ac.in/handle/123456789/4330.
Der volle Inhalt der QuelleHAIG, EDWARD. „Some Observations on the Critique of Critical Discourse Analysis“. 名古屋大学大学院国際言語文化研究科, 2004. http://hdl.handle.net/2237/7888.
Der volle Inhalt der QuelleHenriques, Karl A. „Habermas, democracy, rights, and European supranational integration, observations for North American critical theorists“. Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0014/NQ33533.pdf.
Der volle Inhalt der QuelleBryan, Jessica LaFern. „Teachers Observing Teachers: Factors that Contribute to Critical Thinking in Peer Coaching“. BYU ScholarsArchive, 2014. https://scholarsarchive.byu.edu/etd/3960.
Der volle Inhalt der QuelleSwart, Ronel. „Towards a prospectus for Freirean pedagogies in South African environmental education classrooms theoretical observations and curricular reflections /“. Diss., Pretoria : [s.n.], 2009. http://upetd.up.ac.za/thesis/available/etd-11262009-003922.
Der volle Inhalt der QuelleSchott, Geoffrey. „Picturing the functions of the brain : 20th century graphic illustration of brain function ; observations and critical analysis“. Thesis, Royal College of Art, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.262785.
Der volle Inhalt der QuelleAbrahams, Patricia Annette. „Writing for learning in Home Economics“. University of the Western Cape, 1992. http://hdl.handle.net/11394/8349.
Der volle Inhalt der QuelleThis mini-thesis comprises two sections, the what and the how of writing-across-the curriculum (WAC). Section one investigates the integration of writing into content area subjects through the writing process as a project of possibility for critical pedagogy. The view is held that the writing in content area subjects makes learning more meaningful, enjoyable and also empowers students to become critical self-determined thinkers. Students no longer only fill in blanks, choose the correct answer or rely on rote learning when writing in content area subjects, but write creatively and expressively in a variety of discourse forms. In chapter two the literature on WAC is reviewed in depth. The chapter commences with some thoughts on what writing is. Then it investigates the writing process and proceeds to what writing across the curriculum is, with all its merits highlighted. The implementation of writing across the curriculum which involves the whole school as well as a proposed writing across the curriculum policy comprises the main section of the chapter. One of the objectives of this research is to show that implementing the writing process in a content area subject not only improves the standard of writing but also enhances the internalisation of subject matter. A further objective is to illustrate that writing across the curriculum can facilitate change in the classroom. Section two, starting with chapter three, is devoted to the "how" of WAC, and its practical application. Observations in classrooms where writing in content area subjects were done in Missouri schools are described and examples of work done at the schools are cited. In chapter four attention is given to the design and presentation of a writing project in Home Economics based on the standard eight Home Economics syllabus. This classroom research is based on experiential learning. A detailed description of the results is included. The last chapter starts with a dream, an outline of a Home Economics project of possibility for a standard eight Home Economics class. The project is developed around community work to convince students that they can make a difference in the world by showing care and concern for the elderly. The second part of chapter five, deals with constraints with regard to the implementation of a writing programme in Home Economics at the school where I teach. The chapter concludes with recommendations for the implementation of a writing programme in Home Economics.
Lahiff, Ann Theresa. „Observing vocational practice : a critical investigation of the use and value of teaching observations in the training of vocational teachers“. Thesis, University College London (University of London), 2014. http://discovery.ucl.ac.uk/10021654/.
Der volle Inhalt der QuelleGhazanfari, Nader. „Effects Of Nb2o5 Addition On The Formation And Properties Of Bi-based Superconductors“. Master's thesis, METU, 2006. http://etd.lib.metu.edu.tr/upload/12607468/index.pdf.
Der volle Inhalt der QuelleSsessanga, Nicholas. „Development of an ionospheric map for Africa“. Thesis, Rhodes University, 2014. http://hdl.handle.net/10962/d1011498.
Der volle Inhalt der QuellePike, Shane Laurence. „(Re)presenting Masculinity: A theatre director’s critical observations of, and theatrical experimentations with, (re)presentations of masculinity in selected works of contemporary Australian theatre“. Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2014. https://ro.ecu.edu.au/theses/1526.
Der volle Inhalt der QuellePike, Shane. „(Re)presenting Masculinity: A theatre director's critical observations of, and theatrical experimentation with, (re)presentations of masculinity in selected works of contemporary Australian theatre“. Thesis, Western Australian Academy of Performing Arts, Edith Cowan University, 2014. https://eprints.qut.edu.au/93340/1/93340.pdf.
Der volle Inhalt der QuelleAbi, Fadel Eva. „Une rencontre "philosophique" avec l'art ? Les ateliers Philosoph'art : observations, interprétations, interrogations en France et au Liban“. Thesis, Lyon 2, 2015. http://www.theses.fr/2015LYO20063.
Der volle Inhalt der QuelleThe subject of this thesis consists in an analysis of an experiment that took place over the course of two years, at the kindergarten level, in association with « Philosoph’art », an organization from Lyon. In this research, we interrogate the status of innovation of this experience and we focus on the posture of the quizmaster during workshops with philosophical content as well as artistic projects. We closely examine what sets apart such experiences from those already in use in philosophy with children and artistic practices. Furthermore, we will explain the set up of this project and the conditions in which it has been made transferable for use in Lebanon
Hurst, William. „Behavioural observation for critical infrastructure security support“. Thesis, Liverpool John Moores University, 2014. http://researchonline.ljmu.ac.uk/4382/.
Der volle Inhalt der QuelleSpross, Johan. „A Critical Review of the Observational Method“. Licentiate thesis, KTH, Jord- och bergmekanik, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-144207.
Der volle Inhalt der QuelleFör att i berg eller jord kunna konstruera en anläggning, som uppfyller satta tekniska krav, krävs det att man väljer en rationell och effektiv konstruktionsmetod. En viktig aspekt i detta val är hur man verifierar konstruktionens funktion avseende exempelvis bärförmåga eller stadga. För fall när konstruktionens beteende svårt att förutsäga, erbjuder gällande standard (Eurokod 7) den så kallade observationsmetoden. Denna metod tillåter i förväg förberedda förändringar i designen under konstruktionstiden, om observationer av konstruktionens beteende indikerar att så behövs. På så vis anpassas konstruktionen till de faktiska förhållandena i marken. Trots att detta tillvägagångssätt i teorin borde ge en rationell design, används metoden sällan. Det råder därför oklarheter om vilka förutsättningar och omständigheter som krävs för att observationsmetoden ska kunna användas och dessutom utgöra den bästa lösningen. I denna licentiatuppsats granskas observationsmetoden och dess användbarhet. Målet med licentiatuppsatsen är att belysa de aspekter som kan utgöra svårigheter när observationsmetoden används. Dessa identifierades under arbetet med några fallstudier. Licentiatuppsatsen ger därmed en utgångspunkt för fortsatt forskning för att ta fram en mer användbar definition av observationsmetoden. De viktigaste aspekterna som diskuteras i uppsatsen är (1) den skenbara motsatsen mellan användandet av sannolikhetsbaserade beräkningsmetoder för att lösa komplexa dimensioneringsfrågor och kvalitativa ingenjörsmässiga bedömningar, (2) de begränsningar som finns när man använder mätdata för att utvärdera konstruktioners säkerhet, (3) att det för tillfället saknas krav på säkerhetsmarginal mot brott för konstruktioner som byggts med observationsmetoden, och (4) vad svårigheten att uppfylla Eurokodens strikta definition innebär för metodens användbarhet. Utifrån resultatet av granskningen dras slutsatsen att observationsmetoden kan förbättras genom att ge den ett sannolikhetsbaserat ramverk. För att förenkla användningen bör riktlinjer och anvisningar utformas. Även om metoden utvecklas mot en högre grad av beräkningskomplexitet, kommer ingenjörsmässiga bedömningar också framgent att vara viktiga, eftersom en avgörande aspekt är hur problemställningen formuleras. Med ett sannolikhetsbaserat ramverk ökar möjligheten att lösa de frågeställningar kring säkerhet som också diskuteras i uppsatsen.
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Jha, Purbayan. „PRIVATE LANGUAGE ARGUMENT: A CRITICAL OBSERVATION AFTER LATER WITTGENSTEIN“. Thesis, University of North Bengal, 2012. http://hdl.handle.net/123456789/79.
Der volle Inhalt der QuelleBiswas, Gouranga. „Current approaches to the theory of reference: critical observation“. Thesis, University of North Bengal, 2018. http://ir.nbu.ac.in/handle/123456789/4039.
Der volle Inhalt der QuelleHall, Radojković Brynhilde. „The Critical-Care Pain Observation Tool (CPOT) på NIVA : En enkätstudie om användbarhet“. Thesis, Röda Korsets Högskola, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-1596.
Der volle Inhalt der QuelleBackground: Pain for the intensive care patient is a unique, subjective, unpleasant and multidimensional experience. The critical care nurse has a moral duty to relieve the patient’s pain. Non-verbal communicative intensive care patients can´t self-report and score their pain using the Numerical Rating Scale (NRS). At a neurological intensive care unit (neuro-ICU) in Stockholm, one behavior based pain scale, the Critical-Care PainObservational Tool (CPOT), has been implemented. The critical care nurses at the neuro-ICU use CPOT daily in their work. As a part of to the implementation process one self-administered questionnaire has been conducted with focus on the concept usability. The European Standard ISO 9241-11 defines the concept usability. Main components in the definition are the attainment of goals, suitability, effectiveness and satisfaction. Purpose: The aim of this research was to investigate critical care nurses’ perceptions of the usability of the Critical-Care Pain Observation Tool – CPOT, for non-verbal communicative patients, at a neurological intensive care unit. Method: The investigation is a quantitative questionnaire-based cross-sectional survey. 32 critical care nurses answered a questionnaire. Results and conclusion: The result is a momentary measurement. The concept usability has various aspects and the result can be interpreted in different ways. The critical care nurses at the neuro-ICU express varying opinions about CPOT and its usability. 84 % experience some degree of satisfaction using CPOTat the neuro-ICU. The majority perceive CPOT as effective. The respondents have expressed difficulties in carrying out pain assessments with the CPOT at the neuro-ICU, and part of the population see deficiencies in the tools goal attainment and suitability at the neuro-ICU. Clinical Significance: The implementation process of CPOT at the neuro-ICU shows potential for further development of CPOT within the organization. The results of the investigation should be able to be used for further development.
Ivarsson, Jörgen. „Kollegial observation av nätbaserad undervisning. : En fallstudie om reflektion och lärande hos lärare i högre utbildning“. Thesis, Umeå universitet, Pedagogiska institutionen, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-71340.
Der volle Inhalt der QuelleBarrios, Amalia da Conceicao Garrido. „A study of classroom language for critical self-observation in teacher development“. Thesis, University of East Anglia, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.279596.
Der volle Inhalt der QuelleAndrae, Fredrik, und Li Haglund. „Införandet av smärtskattningsverktyget CPOT- hur påverkas intensivvårdspatienters smärt- och sederingsbehandling?“ Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-326272.
Der volle Inhalt der QuelleBackground: Critically ill intensive care patients frequently experience pain and pain may lead to consequences such as prolonged length of hospital stay and increased mortality. The Critical-care Pain Observation Tool (CPOT) is a validated tool for pain assessment in mechanical ventilated patients and is used to enable pain assessment, improve pain management and reduce over-sedation. Aim: The aim is to examine if the implementation of CPOT affects the doses of analgetics, sedatives administered to the Intensive Care Unit (ICU) patients and/or the sedation levels using RASS-scores. The aim was also to study how often pain-assessments were performed by nurses. Method: A quantitative study with retrospective design, data was collected from patients’ medical records. Included were adult patients treated under mechanical ventilation >24h at an intensive care unit in Sweden (n=55). Results: For this study 55 patients were included and divided into two groups, before and after the introduction of CPOT at the intensive care unit. The amount of analgetics increased among the patients after CPOT was implemented, they were given 1,4 mg of morphine/kg/24h compared to 1,1 mg of morphine/kg/24h before the implementation. The amount of sedatives, Propofol®, given to the patients decreased from 48,3 mg/kg/24h to 47,5 mg/kg/24h after CPOT was implemented. CPOT was used to assess pain levels in all patients except for two (98%) after the implementation of CPOT. Conclusion: The doses of analgetics were higher and the doses of sedatives (Propofol®) were lower after the implementation of CPOT. However, the differences between groups were not statistically significant. Patients were less sedated, according to RASS-scores, after the implementation of CPOT. Nurses used CPOT on an average 1, 6 times/ 24 h. This study can be used to increase the awareness for the need of using a validated tool for assessing pain in ICU-patients.
Miura, Yuichi, Shoichi Yoshihara, Mitsuru Ohnishi, Katsuya Honda, Masaaki Matsumoto, Jun Kawai, Masamichi Ishikawa, Hiroto Kobayashi und Akira Onuki. „High-speed observation of the piston effect near the gas-liquid critical point“. The American Physical Society, 2006. http://hdl.handle.net/2237/7146.
Der volle Inhalt der QuelleMonroy, Santander Louis Francis. „The state-building-reconciliation nexus : a critical observation of peacebuilding in Bosnia-Herzegovina“. Thesis, University of Birmingham, 2018. http://etheses.bham.ac.uk//id/eprint/8563/.
Der volle Inhalt der QuelleCash, Philip. „Characterising the relationship between practice and laboratory-based studies of designers for critical design situations“. Thesis, University of Bath, 2012. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.557814.
Der volle Inhalt der QuelleWhereat, Sarah. „Medical student perceptions of learning during the critical care program of Sydney Medical School: The deliberate attainment of basic airway management skills in a core rotation“. Thesis, The University of Sydney, 2016. http://hdl.handle.net/2123/17204.
Der volle Inhalt der QuelleNeal, Peter Ross Chemical Sciences & Engineering Faculty of Engineering UNSW. „An examination of the nature of critical flux and membrane fouling by direct observation“. Awarded by:University of New South Wales. School of Chemical Sciences and Engineering, 2006. http://handle.unsw.edu.au/1959.4/30584.
Der volle Inhalt der QuelleWiman, Jacob. „Observing the Observers : A critical approach of problem representations in Policy of the EU EOM Final Reports“. Thesis, Uppsala universitet, Statsvetenskapliga institutionen, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-429515.
Der volle Inhalt der QuelleZamouril, Jakub. „Flight Software Development for Demise Observation Capsule“. Thesis, Luleå tekniska universitet, Rymdteknik, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-64420.
Der volle Inhalt der QuelleDemise Observation Capsule
McKnight, Michelynn. „An Observational Investigation of On-Duty Critical Care Nurses' Information Behavior in a Nonteaching Community Hospital“. Thesis, University of North Texas, 2004. https://digital.library.unt.edu/ark:/67531/metadc4498/.
Der volle Inhalt der QuelleHjort, Simon. „Kritiskt tänkande i klassrummet : En studie av didaktiska val och manifesterat kritiskt tänkande i samhällskunskaps- och filosofiundervisning“. Licentiate thesis, Linköpings universitet, Pedagogik och didaktik, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-112594.
Der volle Inhalt der QuelleSimpson, Elaine. „The development of critical thinking in saudi nurses: an ethnographical approach“. Queensland University of Technology, 2002. http://eprints.qut.edu.au/15868/.
Der volle Inhalt der QuelleSimpson, Elaine. „The development of critical thinking in Saudi nurses : an ethnographical approach“. Thesis, Queensland University of Technology, 2002. https://eprints.qut.edu.au/15868/1/Elaine_Simpson_Thesis.pdf.
Der volle Inhalt der QuelleAckerman, Kathryn R. „A Critical Review of the Procedure to Develop the State Highway Safety Plan“. University of Akron / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=akron1613961199444157.
Der volle Inhalt der QuelleRuivo, Idílio Machado. „O insucesso escolar dos alunos do terceiro ciclo do ensino básico e na disciplina de matemática: a implementação de novas estratégias“. Doctoral thesis, Universidade de Évora, 2012. http://hdl.handle.net/10174/16075.
Der volle Inhalt der QuelleFujii, Tomoko. „Human Atrial Natriuretic Peptide for Acute Kidney Injury in Adult Critically III Patients: A Multicenter Prospective Observational Study“. Kyoto University, 2019. http://hdl.handle.net/2433/242410.
Der volle Inhalt der QuelleSiebing, Lina, und Lisa Sandquist. „Svensklärares digitala kompetens : Undervisning i ett källkritiskt förhållningssätt i årskurs 3-4“. Thesis, Linnéuniversitetet, Institutionen för svenska språket (SV), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-80133.
Der volle Inhalt der QuelleKlein, Cristini. „Estímulo padrão para avaliação e validação das escalas Behavioral Pain Scale e Critical-care Pain Observation Tool para uso no Brasil“. reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2016. http://hdl.handle.net/10183/163775.
Der volle Inhalt der QuelleBACKGROUND: Pain relief is a Human right. However, currently unrelieved pain is very common in Intensive Care Unit (ICU) patients. The clinical practice guidelines for the management of pain in adult ICU patients recommends that pain be routinely monitored in all patients. The gold standard to evaluate pain is the self-reporting of pain. However, in the ICU a lot of patients cannot report their pain, because of mechanical ventilation and disturbances in consciousness. In these cases, pain assessment is recommend with the use of behavioral pain tolls. The guideline recommends the use of the Behavioral Pain Scale (BPS) or the Critical-Care Pain Observation Tool (CPOT), but there is a lack of translating and validating studies to use CPOT and BPS in Brazilian settings. In brief, CPOT and BPS are composed of 4 categories of distinct pain behaviors: facial expressions, body movements, synchrony with the ventilator (intubated patients) or vocalization (extubated patients) and muscle tension. The discriminant validity of both tools was tested with painful procedures, these procedures can induce other secondary physiological effects, such as coughing and asynchrony with the ventilator. Depending on the context these behaviors can easily be confused with pain behaviors. Thus, it is important to verify the discriminant validity of both scales with the use of specific stimuli of nociceptive pain pathways, such as pressure algometry. OBJECTIVE: Translate, culturally adapt, and validate a Brazilian Portuguese version of the CPOT and BPS. Secondarily to verify the variables that predict the scoring of the CPOT and BPS scales after standardized nociceptive stimuli (through pressure algometry). METHODS: A prospective cohort study, in a University hospital in the South of Brazil. The translation process consisted of an initial translation into Brazilian Portuguese, translation synthesis, back-translation into English, then an evaluation by a committee of experts. Two trained nurses used the CPOT and the BPS Brazilian Portuguese versions for the following assessments: a) rest at baseline, b) after standardized nociceptive stimulation by pressure algometry (SNSPA) with a maximum pressure of 14 kgf/cm2, c) during change of position and d) 15 minutes after change of position . RESULTS: A total of 1019 ICU patients were screened, 844 excluded, 175 patients included for assessment, seven excluded during protocol because of the requirement IV infusion of analgesic or sedative agents, and 168 medical-surgical adult non-verbal communicative intensive care unit patients were included in data analysis. Inter-rater reliability of CPOT and BPS scores during all assessments was supported by high weighted Kappa > 0.7 for all assessments between the two nurses blinded of each other’s scores. Discriminant validation was supported with higher CPOT and BPS scores during SNSPA or change of position in comparison to rest (p<0.001). An additional analysis was carried out to predict CPOT and BPS scores, and it was seen that the Glasgow Coma Scale (GCS) was a significant predictor of both tools, as a result than higher GCS, higher were the CPOT and BPS scores. CONCLUSION: The use of the CPOT and BPS Brazilian versions showed good reliability and validity in non-verbal critically ill patients in Brazil. Pressure algometry, a specific nociceptive way of stimulation appears to be a standardized approach to improve the measurement of the accuracy of the CPOT and the BPS. Similarly, it is important to carry out studies to verify the benefits of concomitant use of the GCS with the CPOT and BPS scale, especially with a view to differentiating cut-off points of the CPOT and BPS scales for different levels of consciousness.
Levinsson, Agnes, und Lisa-Rebecka Willén. „Kommunikation som berör : En observationsstudie om sjuksköterskans kommunikation med närstående inne på patientrummet på IVA“. Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-20236.
Der volle Inhalt der QuelleProgram: Specialistsjuksköterskeutbildning med inriktning mot intensivvård
Allanson, B. R., und D. G. Herbert. „A newly discovered population of the critically endangered false limpet Siphonaria compressa Allanson, 1958 (Pulmonata: Siphonariidae), with observations on its reproductive biology“. South African Journal of Science, 2005. http://hdl.handle.net/10962/d1007570.
Der volle Inhalt der QuelleAcrobat Distiller 6.0 (Windows)
Katundu, Kondwani. „Vitamin C status, oxidative stress, hyperglycaemia and endothelial function in critically ill patients with septic shock : an observational study“. Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/13286.
Der volle Inhalt der QuelleSeptic shock is associated with oxidative stress, reduced levels of plasma vitamin C and stress hyperglycaemia – all factors that may influence endothelial, and therefore, organ function. Vitamin C is an important antioxidant in human plasma; and it has been implicated in maintaining normal endothelial function during oxidative stress. The vitamin C status of critically ill patients in South African ICUs has not been well investigated; neither has the relationship between vitamin C status, oxidative stress, hyperglycaemia and endothelial function been studied in this patient group. In a prospective, cross-sectional study investigating these factors in critically ill patients with septic shock on inotropic support, serial blood samples from 25 patients were taken at days zero and one, following inotrope initiation, and on day seven after inotrope cessation. These samples were analysed for plasma vitamin C, thiobarbituric acid-reactive substances (TBARS) - as a biomarker of oxidative stress - and soluble vascular cell adhesion molecule-1 (sVCAM-1), and E-selectin, as markers of endothelial dysfunction. The plasma glucose to vitamin C ratios were also calculated. Daily clinical measures in the patients included Sequential Organ Failure Assessment (SOFA) score, mean arterial blood pressure, blood glucose, fluid balance and inotropic support. The clinical outcomes were recorded.
Mendoza, Carmen Irene Reyes. „Comparative Critical Discourse Analysis (CDA): Interplay of Discourses (D / D1) as Third Grade Urban and Suburban Science Students Engage in Hypothesis Formulation and Observation“. University of Cincinnati / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1276532738.
Der volle Inhalt der QuelleBérubé-Mercier, Philippe. „Le Critical-care Pain Observation Tool et le Richmond Agitation-Sédation Scale chez les personnes incapables de communiquer en fin de vie sous sédation palliative continue : validation des qualités psychométriques“. Master's thesis, Université Laval, 2021. http://hdl.handle.net/20.500.11794/68752.
Der volle Inhalt der QuelleBackground: Evidence-based practice suggests a systematic monitoring of pain and level of consciousness for patients receiving palliative sedation by healthcare professionals. There is no measurement scale available to assess pain at end-of-life among those who are unable to communicate and receiving palliative sedation. An update of a systematic review identifies the CPOT as a good candidate to assess pain in this specific population. The RASS has only been validated once among patients receiving palliative care. The purpose of this thesis is to measure the psychometric qualities of the CPOT and the RASS within this population. Methods: A retrospective cohort study was conducted in a palliative care unit of Quebec City. The inclusion criteria were patients aged over18 years, unable to communicate, at the end-of-life (prognostic less than weeks) and receiving palliative sedation. The data concerning the CPOT, the RASS, and socio-demographic data were extracted from assessments made by nurses between December 2016 and January 2019. CPOT’s internal consistency was measured with Cronbach's alpha. The discriminant validity of the CPOT and the RASS was calculated by comparing the total scores before and after the administration of an analgesic. Results: 47 files were included in the study. All CPOT items obtained a moderate-to-acceptable Cronbach's alpha, except the Body movements item. The CPOT and the RASS have good discriminant validity, even if patients were strongly sedated (RASS between -4 and -5). Conclusion: Results suggest that the CPOT is homogeneous and capable of detecting the presence of pain in highly sedated patients. The RASS appears to be able to assess changes in the level of consciousness within this same population. However, more studies are needed to measure other psychometric qualities including the inter-rater reliability and the responsiveness of these scales.
Lord, Tanya. „Early Detection and Treatment of Acute Clinical Decline in Hospitalized Patients: An Observational Study of ICU Transfers and an Assessment of the Effectiveness of a Rapid Response Program: A Dissertation“. eScholarship@UMMS, 2011. https://escholarship.umassmed.edu/gsbs_diss/561.
Der volle Inhalt der QuelleJabarian, Brian. „Opérationnaliser l'incertitude morale : définir un cadre d'analyse pour l'esprit critique dans un monde incertain“. Electronic Thesis or Diss., Paris 1, 2023. http://www.theses.fr/2023PA01H223.
Der volle Inhalt der QuelleThis Ph.D. in philosophy explores the normative uncertainty problem, i.e. the complex ethical problem of what should we do when uncertain about what we should do? We conduct our thesis in the tradition of the long-forgotten philosophy of science tradition of operationalization. The latter is a thorough analytical approach that allows for applied investigations of a concept whose empirical implications are neither proven nor clear. In the case of an ethical evaluation or choice problem, operationalization includes two main dimensions: (1) providing a framework for reasoning, comparing the values of options, and decision-making by individuals or groups; (2) providing empirical evidence to demonstrate the concept’s relevance for applied research and further scientific investigations. We divide our thesis into two main parts based on these dimensions. A preceding introduction addresses normative uncertainty and its relations to other ethical and meta-ethical concepts. Part I provides a comprehensive framework for comparing the values of options, reasoning, and making individual decisions under normative uncertainty, depending on the types and amount of information available to the decision-maker. Part II demonstrates how we may employ humanities in survey methods and establish normative uncertainty as an empirical fact by combining both disciplines. The conclusion summarizes our thesis’ main contributions
Wildfeuer, Svenja [Verfasser], und Claudia [Akademischer Betreuer] Bausewein. „Beurteilung von Schmerzen und Sedierungstiefe bei palliativ sedierten Patienten : Validierung des Critical Care Pain Observation Tool (CPOT) und der Richmond Agitation Sedation Scale (RASS) bei Patienten unter palliativer Sedierung im Rahmen einer prospektiven, offenen Multicenterstudie / Svenja Wildfeuer ; Betreuer: Claudia Bausewein“. München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2018. http://d-nb.info/1163948772/34.
Der volle Inhalt der QuelleRodriguez, Gonzalo. „Modélisation de la réponse de l'architecture au climat local“. Thesis, Bordeaux 1, 2013. http://www.theses.fr/2013BOR15226/document.
Der volle Inhalt der QuelleIn the context of the current energy crisis, energy consumption and the carbon trace have become a mayor influence in the architectonic conception, the first link in the construction process. Recent constrains associated with international agreements such as the Rio Summit (1992), the Kyoto Protocole and, specifically in France, Grenelle delʼEnvironnement Round Table (2007), have diversified the number of stakeholders in the architectural conception, traditionally reserved to architects. The race to reduce by hal fenergy consumption in buildings (RT 2012) as well as the goal to cut by four greenhouse gas emissions by 2050 (Grenelle de lʼEnvironnement), puts the architectural creative process in jeopardy. Such demanding requirements favor trivial technical solutions and encourage standardization and off shoring of architectural elements.This researchʼs purpose is to place the architectural approach at the center of the sustainable conception. This allows the validation of the performance of a houseʼs shape as an effective response to environmental constrains. For this, we have placed our interest in the vernacular house, usually characterized by simple forms and adapted to their sociocultural and geo-climatic context. This habitat, which has resulted from a long term optimization, is inevitably sustainable. The vernacular habitat is analyzed herein in the search of the motivations that have shaped it. In consequence, geographical and climate circumstances that could have determined the shape of houses have been considered. We claim that from the analysis of visible architectural features it is possible to obtain information on the geo-climatic environment as well as the influence relationships that connect them.These influence relationships are modeled following a qualitative approach supported by a qualitative representation of knowledge. The representation, based upon qualitative functions, enables automatic reasoning, starting from gathered awareness of geo-climatic environment, for establishing corresponding architectural features. Finally, the modeled result both allows the evaluation of the form of new houses and assist the conception of houses adapted to their local context
Benhallam, Mouna. „La résistance socialement responsable à la consommation : proposition de conceptualisation et implications pour les pratiques du marketing“. Thesis, Paris Est, 2016. http://www.theses.fr/2016PESC0099/document.
Der volle Inhalt der QuelleThis research focuses on protest movements towards market system and its devices, having for main motive the social and environmental concerns. This work aims at underlining the existence of the socially responsible resistance (SRR) and therefore its interest, considering its uniqueness and the managerial challenges that it implies. Through an observational netnography approach using an interpretativist method for data analysis, the research is based on a study of three virtual different communities’representative of the investigated phenomenon and leads to two major results. On the first hand, the research end in an understanding conceptualization of the phenomenon, stressing its initiator factors, caracteristics, but also the SRR wide range of expression forms. On the other hand, this work emphasizes evolution and reform perspectives of marketing practices, methods and strategies
Bergamim, Claudia Regina. „Nove noites: o discurso do narrador e a construção do personagem na ficção contemporânea“. Pontifícia Universidade Católica de São Paulo, 2006. https://tede2.pucsp.br/handle/handle/14804.
Der volle Inhalt der QuelleWe emphasize the narrator s work in the storytelling to show how contemporary fiction uses the aesthetic resource in its representation. For that end, we intend to investigate the effect of having two narrators in the novel Nove noites, by Bernardo Carvalho, published by Companhia Das Letras, in 2002. From the report of each narrator we will observe the marks that characterize their speeches in order to define the role of this fictional component. We will also consider the changes that have taken the aesthetic components to alternative positions inside the story, as a way to cunningly place in the art of telling stories. We also hope to show how this modern-day-narrator s speech can produce a text that mixes real and imaginary friends and not break up its commitment to fiction. Bernardo Carvalho presents himself as a writer who is conscious of the literary work and his work elevates lose the reader as he follows the text, or maybe this is just a way to disguise the absence of a meaning. In that aspect, the narrator is the component who shows a proposal of a story with such characteristics once he is a fictional space, in a position that is very different from that of the experienced storyteller who used to add his wisdom to the text. From an angle that allows us to identify him with the reader, for he also takes the position of a reader, the narrator highlights the importance of the character and subtracts himself from the story he told. However, his imagination and creativity do not let us fail to see his presence in the story
Ao dar ênfase ao estudo do narrador dentre os elementos da narrativa, espera-se mostrar, com esta dissertação, como a ficção contemporânea dispõe desse recurso estético e de suas formas de representação. Para isso, será investigada a importância da presença de dois narradores, no romance Nove noites, de Bernardo Carvalho, publicado pela Companhia Das Letras, em 2002. A partir do relato de cada um deles, serão observadas as marcas de expressão que caracterizam suas falas, esperando, assim, delinear o papel desse componente ficcional, tendo em vista as transformações ocorridas na arte de contar histórias. Espera-se, ainda, demonstrar como a representação do discurso do narrador na narrativa atual pode ser responsável por um texto que mistura fatos reais e imaginários, sem romper, porém, o compromisso com a ficção. Bernardo Carvalho apresenta-se como um escritor consciente do fazer literário e desenquadra, em sua narrativa, os componentes estéticos, elevando-os a posições alternativas no âmbito da história, como forma de despistar o leitor do sentido do texto, ou, talvez, da sua ausência de sentido. Nesse aspecto, o narrador é o componente que mais evidencia a proposta de uma narrativa com essas características, pois transita num espaço ficcional, numa postura bastante diversa daquela do experiente contador de histórias, que agregava sua sabedoria ao texto narrado. A partir de um ângulo que permite identificá-lo com o leitor, pois também se põe em atitude de espectador, o narrador realça a importância do personagem, subtraindo-se à ação narrada, mas sem deixar, contudo, de garantir sua participação, lançando mão da imaginação e da criatividade
Weiss, Lennart. „In Wien kann man zwar nicht leben, aber anders wo kann man nicht l e b e n : Kontinuität und Veränderung bei Raoul Auernheimer“. Doctoral thesis, Uppsala universitet, Tyska, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-110097.
Der volle Inhalt der QuelleChristopher, Cody. „Critical Observations for Model Based Diagnosis: Theory and Practice“. Phd thesis, 2019. http://hdl.handle.net/1885/170684.
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