Dissertations / Theses on the topic 'Sadut'
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Daban, Aguilar Ferran 1976. "Barcelona Salut als Barris : millorant la salut en poblacions desfavorides mitjançant intervencions en salut comunitària." Doctoral thesis, TDX (Tesis Doctorals en Xarxa), 2021. http://hdl.handle.net/10803/671535.
Full textIn the last few decades, social inequalities in health have become a priority in public health. In 2007 Barcelona Salut als Barris (BSaB) (Barcelona Health in the Neighbourhoods), was launched, a community health strategy to reduce social inequalities in health. The objective of this study is to describe the BSaB programme and its deployment in the most disadvantaged neighbourhoods in Barcelona, and show whether health has been improved in the specific populations of the intervened neighbourhoods through the evaluation of three interventions’ programme. The results show how the deployment of BSaB in the city has been a challenge, but with good final results, being the political will, strong technical and methodological capacity, strong intersectoral partnerships and community work, the key factors of its scope and results. It’s also show how the interventions evaluated in this study improved the health of the specific populations, and at the same time, strengthen community processes in each neighbourhood. All these factors could contribute to reduce social inequalities in health in the most disadvantaged neighbourhoods of the city.
Escurriol, Martínez Verònica. "Fitoesterols i salut cardiovascular." Doctoral thesis, Universitat de Barcelona, 2009. http://hdl.handle.net/10803/2258.
Full textEls treballs de recerca de la present tesi estan orientats a ampliar el coneixement de la implicació dels fitoesterols de la dieta i el sèrum sobre el perfil lipídic, els factors de risc cardiovascular i la malaltia cardíaca coronària, així com a investigar els factors socials que influencien el consum d'una dieta rica en fitoesterols.
Els 4 treballs presentats són:
1. "Serum sterol responses to increasing plant sterol intake from natural foods in the Mediterranean diet" on es va avaluar l'efecte hipocolesterolemiant d'un augment de la ingesta de fitoesterols amb la dieta en un subgrup d'individus de l'estudi de prevenció cardiovascular primària PREvención con DIeta MEDiterránea (PREDIMED), al cap d'un any d'intervenció dietètica.
2. "Phytosterol plasma concentrations and coronary heart disease in the prospective Spanish EPIC cohort " en el qual es va avaluar, en un estudi de caos i controls en la cohort espanyola de l'estudi EPIC, l'associació entre les concentracions de fitoesterols del plasma i la incidència de malaltia cardíaca coronària després de 10 anys de seguiment.
3. "Plasma phytosterols are inversely associated with the metabolic syndrome and its components" on es va investigar les associacions entre els esterols nocolesterol plasmàtics i els components de la síndrome metabòlica, inclòs la pròpia síndrome, en una població de pacients dislipèmics i en subjectes sans de la població espanyola de l'estudi EPIC.
4. Article 4: "Plant sterol intake and education level in the Spanish EPIC cohort" en el qual es va investigar l'associació entre el nivell assolit d'educació,
com a mesura de la posició socioeconòmica, el gènere i la ingesta de nutrients, mitjançant un anàlisi transversal de la cohort espanyola de l'estudi EPIC.
La conclusió global d'aquestes treballs va ser que els fitoesterols del sèrum són marcadors d'una dieta saludable com la que es consumia preferentment a Espanya als anys 90 en les classes socials més populars. Aquests components es relacionen amb la reducció del colesterol observada després del consum d'aliments naturals rics en fitoesterols i s'associen inversament a les característiques del síndrome metabòlic. Els resultats dels estudis presentats en aquesta tesi suggereixen una reinterpretació del significat de les concentracions de fitoesterols circulants. En persones que segueixen una dieta mediterrània sense suplements de fitoesterols, els fitoesterols circulants son marcadors de l'abundància de productes vegetals en la dieta i s'associen a un perfil cardiometabòlic saludable i a un menor risc de desenvolupar malaltia cardíaca coronària, en lloc de ser biomarcadors d'un risc cardiovascular augmentat.
PhD project: "Phytosterols and cardiovascular disease"
Diet is an important health determinant and phytosterols are essential components of a plant-food based diet as Mediterranean diet. The consumption of these components increase its concentrations in plasma reflecting an habitual healthy diet. On the other hand, increased plasma phytosterol levels have been related with an increase of cardiovascular risk, although bibliography is contradictory.
Works presented in this project are focused on the study of diet and plasma phytosterols and its effects on lipid profile, cardiovascular risk factors and cardiovascular disease, and also social factors that influence the consumption of a diet rich in phytosterols.
The 4 works presented in this project are:
1. "Serum sterol responses to increasing plant sterol intake from natural foods in the Mediterranean diet"
2. "Phytosterol plasma concentrations and coronary heart disease in the prospective Spanish EPIC cohort "
3. "Plasma phytosterols are inversely associated with the metabolic syndrome and its components"
4. Article 4: "Plant sterol intake and education level in the Spanish EPIC cohort"
The global conclusion of this work is that serum phytosterols are markers of an habitual healthy diet such as the diet that was generally consumed in Spain during 90's between people with lower socioeconomic level. These components are related with the reduction of cholesterol levels after consuming natural food rich in phytosterols and are associated inversely with metabolic syndrome and cardiovascular disease.
Martin, de Viviés Pierre de. "Apocalypses et cosmologie du salut." Paris 4, 2000. http://www.theses.fr/2000PA040046.
Full textBarbaras, Françoise. "Spinoza : la science mathématique du salut /." Paris : CNRS éd, 2007. http://catalogue.bnf.fr/ark:/12148/cb410042600.
Full textRioux-Lachaud, Lise. "Approche biomécanique du triple saut." Bordeaux 2, 2000. http://www.theses.fr/2000BOR28736.
Full textThe aim of an analysis sport movement is to allow athlete to understand and so to improve his performance. Associating videographics tools to dynamics ones, it is possible to realise a mechanical study of the behaviour of athlete during the execution of his movements. In this works, we have chosen a track and field event : the Triple Jump. Support phases being de ciding, we put in a prominent for each of them, kinematics parameters relative to behaviour of the centre of mass of the body. Studied together, these parameters allow us to understand the performance measured to centre of mass during flight phases. We consider so, the influence of different segments on behaviour of the body during support phases and flight phases, what allows to detect possible problems encountered by the athlete all along his jump. At last, we analyse others types of parameters with the aim to grasp better jump’s technique characteristic of each athlete
Raventós, Panyella Sergi. "Desigualtat socioeconòmica i salut mental: la proposta d’una renda bàsica per a protegir i promoure la salut mental." Doctoral thesis, Universitat Autònoma de Barcelona, 2016. http://hdl.handle.net/10803/383990.
Full textThe aim of this thesis is to provide a theoretical approximation to mental health and several related concepts. The social determinants of (mental) health have shown in recent years that human beings are susceptible to economic uncertainty, precariousness of their living conditions and social inequality. This vulnerability has frequently appeared as a worsening of mental health in many different ways, for example increased anxiety, depression, greater consumption of prescription drugs and suicide. This study considers social and especially income inequalities, and how they affect mental health, drawing attention to the extraordinary importance of policies aiming at social and economic protection, which are seen as essential for offering stability and security in people’s lives and health. The political orientations of a range of health-oriented institutions and agencies working to promote mental health and to reduce social inequality are considered, while critical evaluation is made of some policies being implemented by the Spanish and Catalan governments at a time of serious economic crisis and a concomitant rise of mental health problems deriving from poverty, unemployment and job insecurity. In this situation of severe economic recession and drastically increased poverty, and with everything it entails in terms of psychological suffering and mental health problems, the Spanish and Catalan governments have resorted to the same measures they have used in periods of economic growth, obsolete strategies which have proven ineffective in the long, unabating crisis. They have failed not only because of considerable cuts in already-existing social programmes and public services but also because of the enormity of the problem: chronic, enduring unemployment in a labour market which is losing jobs owing to fast-increasing automation, and deep-rooted, longstanding poverty which has resisted attempts to abolish it by means of temporary unemployment benefits and low-level minimum income schemes. All of this has contributed towards worsening economic insecurity which, as a range of research projects have demonstrated, has serious consequences for mental health. The study concludes with a discussion of Basic Income, a social protection measure offering economic security which has been tested in several countries. Experiments whereby unconditional cash payments made over different periods to target populations in India, Namibia, North Carolina, Kenya, Alaska, for example, have provided empirical evidence of improvement in different aspects of health and mental health in particular, together with a reduction of social inequalities and poverty, advances in education, human relations, and in the economic sphere, inter alia. A policy of generalised social protection like the universal Basic Income examined in this study would benefit every citizen or registered resident in the society, irrespective of whether the person works, is old or young, male or female, and this guaranteed economic security could help to put an end to the present serious situation of precarious living conditions and the mental suffering of ever-increasing numbers of people.
Gelabert, Vilella Sandra. "Avaluació de la promoció de la salut als serveis de salut mental de la Regió Sanitària de Girona." Doctoral thesis, Universitat de Girona, 2018. http://hdl.handle.net/10803/523518.
Full textL’objectiu de l’estudi és avaluar la implementació de la promoció de la salut en els serveis de salut mental de la Regió Sanitària de Girona. És un estudi observacional, descriptiu i transversal. Es van estudiar variables sociodemogràfiques i relacionades amb la promoció de la salut. A l’estudi hi van participar gestors, 260 professionals sanitaris i 174 usuaris dels serveis de salut mental de Girona. Els gestors i professionals sanitaris van considerar un compliment major al 61% en referència a les polítiques de promoció de salut i promoció d’un lloc de treball saludable i continuïtat i cooperació. Quant a l’avaluació, informació i intervenció dels pacients, el compliment es va situar entre el 41% i el 80%. Es va concloure que la promoció de la salut es percep com a majoritàriament implementada als serveis de salut mental de la Regió Sanitària de Girona, especialment als serveis comunitaris
Morlier, Julien. "Etude dynamique tridimensionnelle du saut à la perche : caractérisation et modélisation d'une perche de saut." Bordeaux 1, 1999. http://www.theses.fr/1999BOR10641.
Full textMaydana, Zeballos Edgar Humberto. "Desigualtats socioeconòmiques i salut maternoinfantil a Bolívia." Doctoral thesis, Universitat Autònoma de Barcelona, 2010. http://hdl.handle.net/10803/4650.
Full textEn el primer estudi es va realitzar un disseny ecològic. La unitat d'anàlisi van ser els municipis de Bolívia, sobre la base de dades del cens 2001. La variable dependent és la taxa de mortalitat infantil (TMI) i les independents són els indicadors socioeconòmics categoritzats en quartils. Es va analitzar la relació entre la TMI i els indicadors socioeconòmics mitjançant correlacions de Spearman i l'ajustament de models de regressió de Poisson. En el segon es va realitzar un disseny transversal amb base individual, amb informació de l'Enquesta Nacional de Demografia i Salut de l'any 2003, que va analitzar 7.238 dones que van donar a llum entre 15 i 49 anys. Es van calcular les prevalences i van ajustar models bivariats i multivariats per tal d'estimar les associacions de les variables dependents i independents, mitjançant raons de prevalença i els intervals de confiança del 95%.
La TMI a Bolívia va ser de 67 per 1.000 nascuts vius el 2001. Les taxes van fluctuar entre: <0,1 per 1.000 en un municipi de Tarija i 170 per 1.000 en un altre de Potosí. La mitjana de població analfabeta dels municipis va ser 11,7%; d'habitatges que van tenir accés a l'aigua fora d'elles va ser de 90,4% i d'habitatges que mancaven de sanitaris va ser de 67,6%.
El 79.2% de dones que van donar a llum van rebre atenció prenatal, 58.7% almenys quatre controls i 66.2% part institucional. Els percentatges van ser inferiors en La Paz i Potosí per a dones que es van realitzar controls prenatals (66.8%); quatre controls prenatals (46.5%) i el part institucional (48.6%). Els menors percentatges dels indicadors es van donar en dones sense estudis i d'ètnia Aimara.
La situació socioeconòmica dispar en els municipis de Bolívia, està estretament associada a la TMI. L'educació, l'absència de sanejament bàsic i la precarietat d'habitabilitat, són factors claus que tripliquen el risc de mort. Respecte a l'accés i utilització dels serveis de salut maternoinfantil, poc més de la meitat de les dones ateses es realitzen quatre controls prenatals i part institucional, sent les sense estudis entre 36 i 49 anys, d'ètnia Aimara i dels Departaments de La Paz i Potosí qui menys ho realitzen.
The main objective of this thesis is to analyze the social and economic inequalities associated to maternal and child health in Bolivia, according of two recent official statistics: National Census of Population and Housing, 2001-INE, National Demographic and Health Survey ENDSA-2003.
The first study was an ecological design. The analysis unit was the municipalities of Bolivia, based on 2001 census data. The dependent variable was the infant mortality rate (IMT) and the independent socioeconomic indicators are categorized into quartiles. We analyzed the relationship between socioeconomic indicators and IMT using Spearman correlations and adjustment of Poisson regression models. The second study was conducted with a cross-sectional individual basis, using information from the National Demographic and Health Survey ENDSA-2003, which examined 7,238 women between 15 and 49 years who gave birth. Prevalence was calculated and bivariate and multivariate models were adjusted to estimate the associations between dependent and independent variables, using prevalence ratios and 95% confidence intervals.
The IMT in Bolivia was 67 per 1,000 live births in 2001. The rates were ranged from <0.1 per 1,000 in some Beni's municipal and 170 per 1,000 in another of Potosí. The average illiterate population of the municipalities was 11.7% of homes had access to drinking out of them was 90.4% homes which bathrooms were not was 67.6% .
The 79.2% of gave birth women received antenatal check-ups at least four antenatal check-ups 58.7% and 66.2% institutional child delivery. The percentages were lower in La Paz and Potosi for women who were attended antenatal check-ups (66.8%), four antenatal check-ups (46.5%) and institutional delivery (48.6%). The smaller indicators percentages were in Aymara women ethnicity with non education.
The disparate socioeconomic status in the Bolivian municipalities is closely associated with the IMT. Education, bathrooms were not and scarcities of housing are key factors that triple the risk of death. Regarding access and utilization of maternal health services, just over half the gave birth women attended antenatal checks-ups are made four and institutional side, being non education between 36 and 49 years old from Aymara ethnicity and from Departments of La Paz and Potosi were made less.
Mulet, Alcover Maria Esperança. "La salut vocal a l'Escola: educació i prevenció." Doctoral thesis, Universitat de les Illes Balears, 2013. http://hdl.handle.net/10803/124509.
Full textThe concern about vocal pathologies and voice problems is quite recent. Professionals, speech therapists, phoniatry specialists and othorhinolaryngologists state that our society is not aware of both its being a health problem and its having the leading role when disfunctions appear. Current research wants to show the increasing awareness of the importance of our voice and of children’s output disorders from the studies carried out to three groups: children, teachers and doctors specialists. Thus, replies to all these questions that we face as language professionals on this topic are intended to be found. As to the results, we have proved the lack of epidemiologic studies as far as the children’s vocal cords are concerned. Furthermore, we want to point out that there is still a big amount of terminological conflicts to be sorted out at the stage where this topic is nowadays, even though there have been many efforts in the last years. The study has shown the lack of sensibility towards voice and children’s vocal alterations, as well as the embryonic state that we face in this field.
Tchonang, Gabriel. "Le Christ et le Salut dans le pentecôtisme." Université Marc Bloch (Strasbourg) (1971-2008), 2006. http://www.theses.fr/2006STR20075.
Full textPentecostal movement should be thought within the framework of spiritual movements which marked the history of Christendom, particularly in relation with radical reform movements: Methodism and the Holiness movement in the USA. An only spiritualist explanation is therefore unacceptable. In Pentecostal movement, Jesus-Christ is the author of our salvation. But Christ and Spirit are so tied up that the distinction sometimes disappears. We can then talk about a Spirit Christology, since the work of salvation of God in Christ is realized always through the Holy Spirit. The works of the Spirit should be seen. Christology is then functional and really far from ontology. The concepts are unable to explain the mystery of salvation. When it happens to Pentecostal movement to think on its identity, it seems to be nearer to the main line of the reformation, particularly on essential topics like church, sacraments, and ministries
Togba, Kouassi Pierre. "Croyances religieuses Agni et salut en Jésus-Christ." Strasbourg 2, 2007. http://www.theses.fr/2007STR20076.
Full textBeing the recipient of all theological discourse, man, a being who is located somewhere, responds to divine revelation according to his environment. And this location remains, his cultural background which is imbedded in his beliefs. That is why we deem it useful to think there must be and link between faith and culture in the Agni region of the Ivory Coast. .
Valois, Fabrice. "Auto-organisation de réseaux radio multi-saut." Habilitation à diriger des recherches, Université Claude Bernard - Lyon I, 2007. http://tel.archives-ouvertes.fr/tel-00272361.
Full textCassiat-Morisset, Géraldine. "Analyse cinématique du saut du cheval d'obstacle." Paris 12, 2004. https://athena.u-pec.fr/primo-explore/search?query=any,exact,990002521720204611&vid=upec.
Full textThe aim of this study was to use the kinematics to help to understand the motion of the jumping horse in view of the evaluation of the horse's jumping skill. The experimental conditions of the study brought to the development of a three-dimensional kinematics method using panning cameras. The displacement of the centre of gravity of horses was examined during the jumps of a vertical fence with an increasing height. The next parts of the study deal with the analysis of the back motion of the jumping horse. The translatory motion allowed to appreciate the displacement of the horse's trunk due to the limbs' action. The flexion-extension motions of the back line indicated the implication of the back area during the jump. These movements were evaluated for differnet fence heights. The comparison of the back motion between two groups of horses of different individual jumping level showed the differences due to jumping ability over a 1 m high fence
Cassiat-Morisset, Géraldine Degueurce Christophe Denoix Jean-Marie. "Analyse cinématique du saut du cheval d'obstacle." Créteil : Université de Paris-Val-de-Marne, 2004. http://doxa.scd.univ-paris12.fr:8080/theses-npd/th0252172.pdf.
Full textVersion électronique uniquement consultable au sein de l'Université Paris 12 (Intranet). Titre provenant de l'écran-titre. Bibliogr. en fin de chapitre.
Casado, i. Aijón Irina. "Parentiu i salut entre els imazighen rifenys de Catalunya." Doctoral thesis, Universitat Autònoma de Barcelona, 2016. http://hdl.handle.net/10803/382817.
Full textThis thesis is an ethnographic monography. It is based on 9 years of research among Riffian people of Catalonia (especially in comarca of Osona). Riffian people are Amazigh people (berbers) from the Rif Mountains, in northern Morocco. Primarily based on participant observation, in-depth and semi-structured interviews, this research presents an ethnographic account of the reproductive process of the Riffian people. The “Reproductive Process” is understood as “the representations, conceptualizations and practices that guarantee the reproduction of a group and its social organization”. Within the reproductive process, there is the procreative process (conception, pregnancy, birth and postpartum), which, as a form of biological reproduction, becomes a central and structuring element of the reproductive process. As the core element, the procreative process is the point from which socio-cultural forms of representation and other associated practices are articulated in order to ensure its success: the birth of a new member and the achievement of social maturity for the parents. By using a folk perspective that considers some phases and events of the reproductive process as a healthcare issue, this ethnography sits between the intersection of two main theoretical domains: on one side, kinship studies (understood as the cultural regulation of procreation, affiliation, upbringing and care of children), and on the other, Medical Anthropology. From this perspective I present a model to articulate the three healthcare systems that Riffian people normally use (the biomedical, the Koranic and the Riffian approaches) and prioritize depending on their specific underlying logic and the specific moment of the reproductive process. This research has three main objectives. The first one is empirical. It accounts for the lack of ethnographic data on Riffian people living in Catalonia and, to a lesser extent, those living in Morocco. The second objective is theoretical. This ethnography takes as a theoretical frame the proposal of theoretical domain of Kinship, in particular in what the definition of Kinship calls intersection. Finally, the third objective is methodological. By favouring observant participation as my main research technique, I want to emphasize the benefits of such approach in a context where recent anthropological research is prioritizing other techniques that produce more partial data but require less time commitment. From a classical and empirical perspective, this is a descriptive, interpretative and analytical ethnography. It is structured in two volumes that can be read independently but at the same time, are complementary to each other. The first volume has 9 chapters in which analyses issues like: sociodemographic profiles of the Riffian people studied, the Riffian family composition, the processes of identity construction and gender relations, procreative and no procreative sexuality, marriage and divorce, procreative processes, motherhood, fatherhood and childcare, temporary migrations for health reasons, personhood, articulations of medical systems, culture-bound syndromes and ways to get the therapeutic gift among specialists of Riffian medical system. The second volume opens with a description of the therapeutic elements and therapies used by the Riffians during the reproductive process. Subsequently, I discuss and analyze them not only from a symbolic and ritualistic angle but also from the meaning of its practices. I then present and analyze 52 therapeutic itineraries, which have become the basis of a methodological proposal that I have developed along this process. This volume closes with the genealogies of 10 Riffian families I have been working with, an in-depth analysis of Riffian Kinship terminology, a glossary of tarifit terms and lastly, the statistical materials elaborated from semi-structured interviews and clinical histories of 410 pregnant women.
Giannoni, Pastor Anna. "Salut mental i qualitat de vida en pacients cremats." Doctoral thesis, Universitat Autònoma de Barcelona, 2015. http://hdl.handle.net/10803/285746.
Full textThe aim of this study is to describe the possible consequences, in terms of mental health and quality of life of patients suffering burns requiring hospitalization. In addition, we attempt to identify some of the mechanisms involved in the appearance of distress among these patients. To do so, a review of the literature was performed and also, demographic data of the participants, nature of the injury and its treatment, medical history and use of toxic substances during the six months after the time of injury, were collected using a semi-structured interview created ad-hoc specifically for this project. In addition, several assessment measurements of personality, anxiety, depression, and posttraumatic stress symptoms, general health status and quality of life were administered. This doctoral thesis confirms the presence of psychopathology secondary to burns and points to subjective variables, such as personality or those related to the creation of traumatic memories, as risk factors. These results may increase understanding of the psychosocial effects due to serious burn injuries on their victims and their relatives, and identify certain variables of vulnerability that could help to prevent more torpid evolution with respect to mental and emotional symptoms.
Quintanas, Feixas Anna. "Salut i poder en la gènesi de l'home contemporani." Doctoral thesis, Universitat de Girona, 1997. http://hdl.handle.net/10803/7815.
Full textNo pretenem descriure els principals factors que han influït en la manera de ser de l'home contemporani, sinó que l'objectiu d'aquest treball és molt més limitat: dibuixar algunes de les principals relacions entre el saber i el poder que s'han donat en el si de la medicina contemporània, i més concretament en l'àmbit de la Salut Pública, i que han contribuït a subjectar els individus d'una determinada manera, creant un model: l'home saludable.
Volem mostrar com el discurs i la pràctica mèdica que es van començar a perfilar entre el segle XVIII i el segle XIX moment en què es solidificaren els fonaments de l'art de guarir tal com ara l'entenem , a part d'aportar un conjunt de tècniques de curació, també van oferir una determinada visió de l'home, la qual va tenir importants repercussions en la manera de ser de l'individu contemporani.
Ens interessa mostrar de quina manera la medicina, a partir de la Salut Pública, ha intervingut en la gestió de l'existència humana, prenent una postura normativa que l'ha autoritzat a governar la vida de les persones.
L'objectiu de la nostra investigació és respondre les qüestions: quin tipus de subjectivació implica la medicina contemporània? Quin tipus de subjecte ha ajudat a crear, incitant l'home a establir unes determinades maneres de relacionar-se amb si mateix i amb els altres? En definitiva, desciure algunes de les principals estratègies dibuixades des de la Salut Pública que han actuat com a poders de normalització, en tant que han fomentat un determinat tipus d'home.
Tal com veurem, la nostra medicina, almenys des del moment en què es va poder parlar d'una salut pública, ha anat lligada al projecte d'una determinada tecnologia de la població. Entre els segles XVIII i XIX, la medicina va anar desenvolupant una nova política de la salut en la qual les malalties van passar a ser considerades com un problema polític i econòmic que afectava les col.lectivitats i que demanava solucions globals. El que va aparèixer en el segle XVIII no es pot resumir només en el fet que l'estat va començar a intervenir d'una forma constant en la pràctica mèdica, sinó que el que va passar va ser que la salut i la malaltia, vistes com a problemes que exigien algun tipus de gestió col.lectiva, van ser considerades des de múltiples llocs del cos social. És a dir, la política de la salut que s'inaugura en el llindar de l'època contemporània, més que una iniciativa vertical, va prendre la forma d'un problema amb orígens i direccions múltiples.
Pretenem mostrar aquesta política mèdica que es va posar en joc al voltant de l'origen de la nostra Salut Pública, fent sortir a la llum el que podríem anomenar l'«ètica de la bona salut» que es va potenciar i que va servir no solament per elaborar algunes indicacions per prevenir o curar les malalties, sinó que també fabricà prescripcions que feien referència a la forma de vida en general (des de l'alimentació i la vestimenta fins a la procreació, la sexualitat, el comportament, les relacions familiars, etc.). És a dir, es tractaria de veure com a l'interior del discurs i de les pràctiques de la nostra Salut Pública, s'ha anat contruint un cert espai de la normalitat, en el qual ha estat possible associar Salut i Raó, Malaltia i Desraó.
This thesison Anthropological Philosophy studies the relationships holding between Knowledge and Power tha were originated in the domain of Public Health so as to prove the great influence of these relationships in the building-up of the contemporary man's identity.
Besides furnishing a set of healing technics, contemporary Medicine has also promoted a certain view of Man (the Healthy Man) which has worked as a normalizing power of populations, clearfing the way for the associations Heakth and Reason, Illness and Unreason to be made.
Forcada, Parrilla Iris. "Els hàbits de salut dels professionals sanitaris d'atenció primària." Doctoral thesis, Universitat de Girona, 2016. http://hdl.handle.net/10803/399142.
Full textLa fita general de la estratègia mundial de la OMS és promoure i protegir la salut de les persones a través de l'alimentació sana i l'activitat física. La promoció de la salut en la persona adulta es basa especialment en l'estímul dels hàbits i estils de vida saludables com són una nutrició adequada, la pràctica de l'activitat física, l'abandonament de l'hàbit tabàquic i la reducció del consum d'alcohol entre d'altres. Els professionals sanitaris haurien de ser els primers a realitzar bones pràctiques ja que són molt influents a la població i són un model i exemple, donat que és una de les principals funcions dels professionals sanitaris d'atenció primària
Rubio, Rico Lourdes. "Magribins a Catalunya: determinants socials i necessitats de salut." Doctoral thesis, Universitat Rovira i Virgili, 2014. http://hdl.handle.net/10803/296448.
Full textStudy on the health needs of the Maghrebi people living in Catalonia based on the Cultural Safety concept and the postcolonial feminist theory. Mixed method design. Descriptive and interpretative purposes. The health status of Maghrebi nationals established in Catalonia and the social determinants of health that affect them are described through the Catalonia Health Survey 2006. The state of these two parameters between Catalan and North African people are also compared. With a qualitative design, the Maghrebi people’s experience of relationship with institutions and health care professionals was studied with interviews and focus groups of users and intercultural health mediators for the North African group. The elements and relationships that make up the experience were also identified, with the aim to recognize areas of improvement and to understand the mechanisms involved in the generation of the difficulties encountered. Suggestions for improvement aimed to compensate the deficits found are inferred.
Ferry, Joëlle. "Illusions et salut dans la prédication prophétique de Jérémie." Paris 4, 1992. http://www.theses.fr/1992PA040052.
Full textAfter presenting the historical situation in ancient near east in the seventh century B. C. And a "status quaestionis" of the problems raised by Jeremiah’s book, the thesis studies, in its first part, the main texts in which the term "sqr" (illusion, lies) appears. The Israelites think they will be saved because they worship in the temple and are the keepers of the law. "This is but illusion" the prophet replies, as because they worship, they think they need not bother about justice and the law grants them a magic protection (jr 7,18,3 ; 8,8-9 ; 26). The salvation expected in the practice of idolatrous worship is particularly deceptive (jr 2 ; 10,1-16). The book of Jeremiah shows how widespread such worship was on the era of the disappearance of the kingdom of Judah. The harshness of his judgment does not enable to expect a conversion. Jeremiah asserts that only a moral life can win men a real protection. But the prophet's experience teaches him that men are not capable of living so. Sin id deeply rooted and a return proves impossible. Jeremiah's pessimistic idea of human nature is so thorough that a salvation is not within reach. Is then despair the only outcome? The prophet replies "no", because Yahweh will do something new. The second part of the thesis delves into salvation (jr 30-31)
Maakaroun, Élie. "La vision du salut dans l'oeuvre de Charles Peguy." Paris 10, 1998. http://www.theses.fr/1998PA100055.
Full textNoagbodji, Pierre Koffi. "Eucharistie, sacrement du Salut et de l'humanisation de l'homme." Université Marc Bloch (Strasbourg) (1971-2008), 2005. http://www.theses.fr/2005STR20065.
Full textSince the time of the New Testament the Eucharist has been in the centre of the life of the Church. Being the sacrament of the reality of a universal redemption and also paschal sacrament, the Eucharist influences the believer's life of faith and existence. At the time when the African continent is changing and finds itself carried away by a spirit of emancipation, the Christian African is summoned to live and celebrate a liberating faith through the Eucharist. The Eucharist indeed is a place for man's humanization. Through it mankind is called to get into communion with God the Creator who is also God the Saviour. This prospect is developed in three stages: redemption for man today in the occidental context, redemption for man in Africa at the dawn of the third millennium and the Eucharist as a means of achieving this redemption
Ferry, Joëlle. "Illusions et salut dans la prédication prophétique de Jérémie /." Berlin : W. de Gruyter, 1999. http://catalogue.bnf.fr/ark:/12148/cb38850375m.
Full textAssohoto, Barnabé. "Le salut en jesus-christ dans la theologie africaine." Strasbourg 2, 2000. http://www.theses.fr/2000STR20033.
Full textAl, Khazi Manal A. "An explanatory study of Kuwaiti youths' knowledge of Sadu heritage : their appreciation of Sadu and its contemporary expression in textile." Thesis, University of Southampton, 2016. https://eprints.soton.ac.uk/410274/.
Full textPark, Jung Ho. "Étude des perspectives de Durkheim, de Weber et de Mauss sur la notion de salut : du mana au salut par la transformation du don." Paris 10, 2008. http://www.theses.fr/2008PA100072.
Full textThe analysis of the role and status occupied by the notion of religious salvation in the works of Durkheim, Weber and Mauss gives us the opportunity to clarify their differences on the development of sociological concepts necessary to understand the religion. The concepts of mana and gift, analysed in depth by Mauss, are essential elements of explanation for thematizing the phenomena of religious salvation. In our thesis, we try to show that these concepts can be used to resolve some difficulties of Durkheim’s sociology in its understanding of the genesis and development of these phenomena. These concepts are also fundamental to reinterpret some of the central subjects of Weber’s sociology of religions
Ribeiro, Adagenor Lobato. "Semântica e uma ferramenta para o método SADT." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 1991. http://hdl.handle.net/10183/24146.
Full textThe definition of systems requirements has been known as one of the most critical and dificult tasks as far as the software engineering is concerned. The need support is essential. Nowadays, among the various methods devised to support the phase of requirements, a special emphasis is given to the SADT method (Structured Analysis and Design Techniques), due to its capability of representing models. This work set semantic for the SADT method, based primarily upon the interrelation of the method to the systems of dataflow (nets, graphs and dataflow machines). It deals with an approach of operational semantics to its basic constructs, and it will, afterwards, discuss the possibility of carry out specifications by simulation. A tool was built to support the SADT method, and it was defined by a model denoted by a class, through an abstract syntax. This tool was implemented in the PROSOFT environment, providing for the user, more than forty support operations for the construction /manipulation of diagrams. This work also presents the formal specification of the semantics of the main constructs of the SADT method in VDM - Vienna Development Method; as well as an execution proposal of specifications through simulation. Directions have been indicated concerning the extension of the research.
CURVAT, CHRISTIAN. "Le saut a l'elastique : aspects medico-psycho-techniques." Lyon 1, 1990. http://www.theses.fr/1990LYO1M240.
Full textBelouettar, Salim. "Variables internes et saut de vitesse en rhéologie." Metz, 1997. http://docnum.univ-lorraine.fr/public/UPV-M/Theses/1997/Belouettar.Salim.SMZ9759.pdf.
Full textThe internal variables allow the description of most types of rheological behaviours by indicating wich variables must appear in the dissipation potential. The principal aim of this work is to identify the relative roles played by a scalar as a unique internal variable. The behaviour in this case is represented by the following constitutive law : σ = α(ε,σ )ε + β(ε, σ) due to Sokolovskii and Malvern, wich povides a valid approximation, an extremely simple and realistic model. Simple tension tests with discontinuous rates on polyethylene, polypropylene, cooper, zinc and shape memory alloy have been conducted. Based on this experiments, we determine these constitutive functions
Message, Jacques. "L'idée de saut qualitatif : Kierkegaard, philosophie et musique." Lyon 3, 1986. http://www.theses.fr/1986LYO31016.
Full textKierkegaard does not conceive of sin as a dogmatic denomination for man's imperfection. He sees it as the very expression of selfhood, as the modern version of antic tragedy. While transforming hegel's analysis, kierkegaard does not ascribe to tragicness the sole meaning of a tension between "steps" of being. There is an internal tension to each of them. Each includes tension between temporal and eternal, happiness and unhappiness, faith and despair. A careful listening of don giovanni while restoring their interfering, allows to understand how sin and hid abyss can be stepped over in one gesture, namely the qualitative difference
Sans, Corrales Mireia. "Dimensions del resultat assistència de l'atenció primària de salut, Les." Doctoral thesis, Universitat de Barcelona, 2008. http://hdl.handle.net/10803/2851.
Full text- Els professionals de la salut i els usuaris són els que millor poden definir les dimensions del resultat assistencial de l'APS.
- Els equips d'atenció primària de salut recullen informació rutinària que permet mesurar aquestes dimensions del resultat assistencial.
- En base a les dimensions del resultat assistencial de l'APS, podrem classificar els equips d'atenció primària de salut segons els seus resultats.
I, els seus objectius:
- Identificar a partir de la revisió de la bibliografia, els atributs de l'atenció primària de salut que incideixen directament sobre els seus resultats finals en les dimensions de satisfacció, salut, i/o costos.
- Definir les dimensions del resultat assistencial de l'Atenció primària de salut (APS) a partir de les opinions de professionals i usuaris, per establir indicadors d'avaluació.
- Confirmar quina és l'agrupació de les dimensions del resultat assistencial de l'Atenció primària de salut que defineixen millor el resultat dels equips d'atenció primària, utilitzant les fonts d'informació rutinàries en gestió sanitària.
Per donar resposta a aquests, la tesi l'he dividit en tres fases:
En la fase de cerca bibliogràfica es revisa l'evidencia disponible en la bibliografia internacional sobre la relació que existeix entre els diferents atributs de l'atenció primària de salut i el resultat final de l'atenció sanitària considerada en tres dimensions: l'impacte sobre la salut, la satisfacció i el cost dels serveis prestats.
En la fase qualitativa es defineix el resultat assistencial de l'atenció primària salut a partir de la perspectiva dels diferents actors involucrats (usuaris i professionals: metges, infermeres, farmacòlegs, odontòlegs, ginecòlegs, pediatres, altres especialistes, gestors i administratius).
I, en la fase quantitativa es tracta de confirmar quina és l'agrupació de les dimensions del resultat assistencial de l'atenció primària de salut que serveixen millor per definir el resultat d'aquesta atenció, utilitzant les fonts d'informació rutinàries en gestió sanitària.
Les principals conclusions de les tres parts d'aquesta tesi (apartat de cerca bibliogràfica, apartat qualitatiu i apartat quantitatiu), s'esmenten a continuació:
· En aquests estudis es veu que hi ha una relació evident entre els atributs de la medicina de família i els resultats del servei mesurats amb indicadors de satisfacció, salut i/o cost.
· La satisfacció de l'usuari l'hem vist associada amb l'accessibilitat, la continuïtat de l'atenció, el temps de consulta i la relació metge-pacient.
· La millora en la salut dels pacients l'hem vist relacionada amb la continuïtat, el temps de consulta, la relació metge-pacient i l'aplicació de mesures preventives. La coordinació de l'atenció aporta resultats mixtos de resultats en salut.
· La continuïtat, el temps de consulta, la comunicació metge-pacient i les activitats preventives mostren ser cost efectives en l'atenció primària.
· A partir de les opinions d'alguns professionals de l'atenció primària de salut i alguns usuaris, s'han definit els components del producte de l'atenció primària de salut.
· Hi ha una gran coincidència en la definició del producte entre professionals i usuaris.
· Professionals i usuaris identifiquen quatre dimensions del producte d'atenció
primària, coincidents amb els seus atributs bàsics: o accessibilitat als serveis, o coordinació i continuïtat de l'equip d'atenció primària amb altres nivells assistencials.
o Relació entre professionals i usuaris o Qualitat cientificotècnica dels equips d'atenció primària i cartera de serveis.
· La relació metge-pacient apareix com un element clau en el grup de professionals i usuaris.
· Equitat, satisfacció i eficiència, apareixen en els discursos com a eixos transversals de tots els components del producte identificats.
· Les quatre dimensions esmentades haurien de registrar l'avaluació dels equips d'atenció primària i haurien de determinar la seva evolució.
· L'anàlisi factorial confirmat amb les dades de les bases de dades rutinàries mostra una correlació positiva en les dimensions: "relació metge-pacient, accessibilitat i coordinació d'equip".
· Les variables que estan més relacionades amb la dimensió "relació professional-pacient i accessibilitat" són: organització dels serveis, adequació dels horaris de visita, satisfacció amb l'atenció telefònica, qualitat de les explicacions del malalt, atenció a les demandes de l'usuari, resolució dels problemes de l'usuari i respecte a la intimitat de l'usuari.
· Pel que fa a la dimensió "coordinació de l'equip", la variable més relacionada és el suport dels companys.
· Les variables més relacionades amb la dimensió "qualitat cientificotècnica" són: indicador global de l'estàndard de qualitat farmacèutica i percentatge de prescripció d'antihipertensius recomanats.
· El model construït per mesurar el resultat assistencial dels equips d'atenció primària partint de la revisió bibliogràfica, l'opinió de professionals i usuaris en les següents dimensions: relació personal entre professionals i usuaris i accessibilitat, de coordinació interna de l'equip i qualitat cientificotècnica, utilitzant les fonts d'informació que s'utilitzen rutinàriament per la seva gestió dels equips.
· Encara que no hi hagi evidència dels altres atributs de l'atenció primària de salut, no podem presuposar que hi ha evidència contrària i, per tant, cal seguir investigant per fabricar aquesta evidència.
· Com que manca evidència externa, s'ha de provar el model en altres contextes, per tal d'obtenir-la
· No seria convenient avaluar els equips d'atenció primaria de salut i posar incentius en activitats que no siguin les del model provat.
Mota, Moya Pau. "Migracions i salut: Interrelacions a la immigració estrangera a Catalunya." Doctoral thesis, Universitat Autònoma de Barcelona, 2007. http://hdl.handle.net/10803/4970.
Full textLa present recerca ha estat duta a terme entre l'abril del 2003 i el desembre del 2006 en el si del Grup de Recerca sobre Migracions de la UAB.
Introduction: The relative new phenomenon of foreign immigation in Catalonia explains the growing research about the connection of health and immigration. Research mainly focuses on infectious deseases, mental health and cultural diversity. Objectives: To discuss the current relationship between immigration and health, both in Catalonia and international contexts. To analyse the health patterns of foreign immigrants in Catalonia and to propose -if necessary- practical measures to improve the research and medical assitance of the foreign immigrant community. Methodology: Ecological study with population data (municipalitaty registers) and clinical data (hospital discharges) for the year 2003. Data from the panel survey, Panel de Desigualtats (PaD), of the Fundació Jaume Bofill has also been used as well as a qualitative methodolgy to complete the analysis. Results: One can observe trends that support the "healthy migrant" theory versus "sick migrants". The results match previous studies eventhough the existing differences can be explained by the lack of data and population registries, and the biased nature of immigration and health publications. Conclusions: The results indicate that if socio-econonic variables are taken into account, such as life conditions of immigrants of all origins, the migration factor cannot support fully the determinants of health. There is the need to create a data collection system that will guarantee the creation of population studies about the relationship between disease and immigration. Better data collection would mean the improvement and development of medical assistance to foreign immigrants and their health.
This research has taken place between april 2003 and december 2006 by the Grup de Recerca sobre Migracions de la UAB.
Folch, Mas Annabel. "Disparitats de salut en persones amb trastorns del desenvolupament intel·lectual." Doctoral thesis, Universitat Rovira i Virgili, 2018. http://hdl.handle.net/10803/665619.
Full textAntecedentes: Las investigaciones internacionales evidencian que las personas con trastornos del desarrollo intelectual experimentan perfiles de salud y de morbilidad diferentes a los de la población general, y que la atención sanitaria que reciben es inadecuada e insuficiente. La información disponible sobre la salud de esta población en España es limitada porque hasta el momento no se han realizado estudios específicos y representativos. Método: La presente tesis doctoral plantea como objetivo estudiar la salud y la atención sanitaria de las personas con trastornos del desarrollo intelectual en España mediante la revisión de la bibliografía disponible, el análisis de datos de la encuesta EDAD 2008 como único estudio realizado con una gran muestra en España, y el desarrollo y análisis del proyecto POMONA-ESP como primer estudio planteado específicamente para obtener datos epidemiológicos representativos sobre la salud de esta población en España. Resultados: Las personas con trastornos del desarrollo intelectual en España presentan tasas de enfermedades mentales y condiciones de salud diferenciadas de la población general, con condiciones altamente prevalentes como la epilepsia, el estreñimiento, o los problemas orales. Además, sus perfiles de salud dependen de variables como el género, el grado de institucionalización, la edad y la severidad de la discapacidad intelectual. Sus patrones de uso de los servicios sanitarios son diferentes a los de la población general, y la atención sanitaria que reciben incluye carencias de información, evaluación, análisis genéticos, programas de prevención y promoción de la salud, y riesgo de sobremedicación. Conclusiones: Los resultados de la presente tesis contribuyen al conocimiento del estado y las necesidades de salud de las personas con trastornos del desarrollo intelectual, aportan datos representativos ante la falta de estudios específicos en este ámbito en España, y sugieren diversos cursos de acción para mejorar la salud y la atención sanitaria de esta población.
Background: International evidence indicates that people with intellectual developmental disorders experience health disparities and generally receive poorer quality health care than the general population. Nevertheless, there is a general lack of representative studies in Spain. Method: The aim of this doctoral thesis is to study the health and health care of people with intellectual developmental disorders in Spain by reviewing the available literature and analysing the data from the EDAD-2008 survey, as well as developing and analysing the POMONA-ESP project as the first study designed to obtain representative epidemiological data on the health of this population in Spain. Results: People with intellectual developmental disorders in Spain have different rates of mental disorders and health conditions in comparison with the general population. Conditions such as epilepsy, constipation and oral problems are highly prevalent among people with intellectual developmental disorders. In addition, their health profiles depend on variables such as gender, degree of institutionalization, age and severity of intellectual disability. Their use of health services differs from the general population, and gaps on their health care have been identified on several levels: information, assessment, genetic counselling, prevention and health promotion, and risk of overmedication. Conclusions: These findings may contribute to a better understanding of the health status and needs of people with intellectual developmental disorders. The results also provide representative data for this population in Spain, and suggest several courses of action to improve their health and health care.
Aragonés, Benaiges Enric. "Estudi dels transtorns depressius a l'atenció primària de la salut." Doctoral thesis, Universitat Rovira i Virgili, 2004. http://hdl.handle.net/10803/8836.
Full textEls trastorns depressius constitueixen un problema de salut pública de primera magnitud per la seva alta prevalença i per les seves repercussions. L'atenció primària és l'àmbit fonamental per a l'abordatge d'aquests trastorns i és on, de fet, són atesos la major part dels pacients amb depressió.
OBJECTIUS
· Determinar la prevalença dels trastorns depressius (depressió major i distímia) en els pacients atesos.
· Analitzar el fenomen de la somatització de la depressió.
· Analitzar el paper del metge d'atenció primària en el diagnòstic i tractament de la depressió.
MÈTODE
L'estudi es va realitzar en 10 centres d'atenció primària del Camp de Tarragona.
Es va dissenyar un estudi en dues fases. La primera consistí en el cribratge, amb la Zung's Self-Rating Depression Scale, de 906 pacients consecutius que visitaven al seu metge per qualsevol problema de salut. Per a la segona fase es va seleccionar una submostra segons els resultats del cribratge: tots els 209 pacients amb resultat positiu i 97 pacients amb resultat negatiu (1/7 aleatori).
La segona fase va consistir en una entrevista psiquiàtrica estructurada, més una bateria de qüestionaris, que incloïen els motius de consulta i símptomes presents, comorbilitat mèdica, medicació consumida, utilització de serveis sanitaris, repercussió funcional i vital de la depressió i detecció de la depressió pel metge d'atenció primària del pacient.
RESULTATS
Prevalença
La prevalença de depressió major va ser del 14.3% (IC 95 %: 11.2-17.4) i la de distímia del 4.8% (IC 95 %: 2.8-6.8). El sexe femení, el trastorn d'angoixa, el trastorn d'ansietat generalitzada, la presència de úlcera gastroduodenal/gastritis, la freqüència de visites d'atenció primària i la presentació amb símptomes psicològics es van associar independentment a la presència de depressió major. El trastorn d'ansietat generalitzada, la manifestació de símptomes psicològics i la presència de malalties orgàniques cròniques es van associar independentment a la distímia.
Somatització
El 45.4% dels pacients deprimits es van classificar com a presentació psicològica, el 35.6% com a somatització i el 19.1 % com a trastorn orgànic amb depressió. Comparant els que manifestaven símptomes psicològics amb els somatitzadors trobàrem que aquests últims tenien menor educació i que la depressió era menys greu i ocasionava menor repercussió. La detecció, el tractament antidepressiu i l'assistència psiquiàtrica especialitzada foren menors en els somatitzadors.
Diagnòstic
La sensibilitad del diagnòstic de trastorn depressiu per part del metge d'atenció primària enfront el diagnòstic de refència fou del 68.3% (IC 95%: 56.5-80.0) i l'especificidad del 73.5% (IC 95%: 66.1-81.0).
L'infradiagnòstic de la depressió en els pacients deprimits es va associar significativament amb el menor nivell educatiu del pacient, la menor gravetat i menor repercussió de la depressió i amb la manifestació exclusiva de símptomes somàtics.
La qualificació per part del metge com a deprimits de pacients sense depressió (falsos positius) es va associar significativament a història prèvia de depressió, a poder ser diagnosticat d'altres trastorns depressius subsindròmics, a l'expressió de símptomes psicològics i a la pitjor autopercepció de la salut.
Tractament
La taxa de pacients deprimits amb tractament antidepressiu va ser del 34%. Les principals variables associades al tractament amb antidepressius van ser la gravetat i repercussió funcional de la depressió, la freqüentació i la presentació psicològica.
CONCLUSIONS
La depressió és freqüent en atenció primària.
Sovint la depressió es presenta de forma somatitzada i això dificulta la seva detecció i tractament.
Una proporció significativa dels deprimits no són detectats, però aquests pacients sovint presenten formes lleus de la depressió on els beneficis de la detecció són dubtosos.
La major part dels deprimits, en qualsevol estrat de gravetat, no reben tractament adequat.
INTRODUCTION
Depressive disorders are a public health problem of the first order, both for their high prevalence and repercussion. Primary care is the main area in which these disorders can first be tackled and it is, in fact, where most patients with depression are dealt with.
AIMS
· To Determine the prevalence of depressive disorders (major depression and dysthymia) in attended patients.
· To analyse the phenomenon of somatization of depression.
· To analyse the role of general practitioners in the diagnosis and treatment of depression.
METHOD
The study was carried out in ten primary health care surgeries in Tarragona. A two phase study was designed. The first phase used Zung's Self-Rating Depression Scale to screen 906 consecutive patients who visited their general practitioner for a variety of health problems. The results of the screening led to a stratified subsample being selected, which was assessed in the second phase. This subsample consisted of all the 209 patients with a positive result and 97 patients with a negative result (1/7 random).
The second phase consisted of a psychiatryc interview, plus a battery of questionnaires, which included motives for consultation and current symptoms, medical comorbidity, the medication taken, use of health services, functional and vital repercussions of depression and detection of depression by the patient's general practitioner.
RESULTS
Prevalence
The prevalence of major depression was 14.3% (95 % CI: 11.2-17.4) and of dysthymia it was 4.8% (95 % CI: 2.8-6.8). The female sex, panic disorder, generalised anxiety disorder, gastroduodenal ulcer/gastritis, frequency of primary care visits and clinical presentation with psychological symptoms were independently associated with the presence of major depression. Generalised anxiety disorder, manifestation of psychological symptoms and presence of chronic organic diseases were independently associated with dysthymia
Somatization
45.5% of the cases of depressive disorders were classified as psychological presentation, 35.6% as somatization and 19.1% as a comorbid organic disorder with depression. Comparing depressed patients who manifested psychological symptoms with the somatizers, we found that the latter had a lower educational level and that depression was less severe and had fewer repercussions. Levels of detection, antidepressive treatment and specialized psychiatric care were lower in the somatizers.
Detection
The sensitivity of the general practitioner's clinical judgement about the presence of depression was 68.3% (IC 95%: 56.5-80.0) and the specificity was 73.5% (IC 95%: 66.1-81.0).
Non-diagnostic of depression in depressed patients was associated with the lower educational level, lower severity and lower repercussion of the depression, and the exclusive manifestation of somatic symptoms.
The classification of patients with no-depression as depressed (false positive) was associated with previous history of depression, to diagnosis from other subsyndromic depressive disorders, to the expression of psychological symptoms and to a worse self-perception of health.
Treatment
The proportion of depressed patients undergoing antidepressive treatment was 34%. The main variables associated with antidepressant treatment were severity and functional repercussions of the depression, frequency of primary care visits and psychological presentation.
CONCLUSIONS
Depression is frequent among the patients in primary care.
Depression often presents in somatised form and this hinders detection and treatment.
A significant proportion of depressed patients are not detected, but these often present mild forms of depression in which the benefits of detection are doubtful. Most depressed patients, in any state of severity, do not receive appropriate treatment.
O'Byrne, Myles. "The Front islamique du salut and the denial of legitimacy." Thesis, University of Warwick, 2010. http://wrap.warwick.ac.uk/3919/.
Full textNiedziela-Janik, Marta. "Realizm magiczny, absurd i dramat – próba interpretacji sztuk Niny Sadur." Doctoral thesis, Katowice : Uniwersytet Śląski, 2016. http://hdl.handle.net/20.500.12128/692.
Full textMoosavi, Nafise Sadat [Verfasser], and Michael [Akademischer Betreuer] Strube. "Robustness in Coreference Resolution / Nafise Sadat Moosavi ; Betreuer: Michael Strube." Heidelberg : Universitätsbibliothek Heidelberg, 2020. http://d-nb.info/1205210539/34.
Full textLaffaye, Guillaume. "La régulation de la raideur au cours du saut." Paris 11, 2003. http://www.theses.fr/2003PA112248.
Full textJumping high necessitates complex motor skill, who requires different strategies of motor control. Mass-spring models are usually used to describe human or animal locomotion, like jumping tasks. Two main questions are asked: Is leg stiffness used to regulate human behavior ? Does a signature between athletes performing in varied sports exist? In an experiment on running single-leg jump performed by different athletes in varied sports, we have shown that a minimal value of leg stiffness is necessary to jump high, but there is no significant correlation between stiffness and vertical jump performance. During drop jump, it is possible to regulate leg stiffness through instructions about the knee flexion. These results confirm the idea that jumping high could be performed with different levels of stiffness. A signature of athletes performing in varied sports has been confirmed during running single-leg jump and counter-movement jump. These jumps could be captured by a temporal and a force component and allow to differentiate athletes from their sport origin (volley-ball, basket-ball, hand-ball, Fosbury-flop et novices)
MERIKHI, FARID. "Etude par relaxation apres saut de temperature d'assemblages supramoleculaires." Université Louis Pasteur (Strasbourg) (1971-2008), 1992. http://www.theses.fr/1992STR13067.
Full textMadani, Sepideh Sadat. "Investigation of charge transport metal oxides for efficient and stable perovskite solar cells." Thesis, Queensland University of Technology, 2022. https://eprints.qut.edu.au/235892/1/Sepideh%2BSadat%2BMadani%2BThesis%282%29.pdf.
Full textVilanova, Vilà Marta. "Avaluació d'una intervenció comunitària en salut cardiovascular segons el model salutogènic." Doctoral thesis, Universitat de Girona, 2015. http://hdl.handle.net/10803/290074.
Full textIntroduction Promoting cardiovascular health involves empowering people to acquire healthy habits. Purpose Evaluate improving cardiovascular health habits with community involvement of people between 25 and 50 years. Methodology Community intervention trial, controlled,longitudinal. Variables:sociodemographic, improvement and optimal cardiovascular health habits. Initial training in cardiovascular health. Peer education group intervention. Valorations at baseline, 2, 6 and 12 months. Results 68 participants.Global improvement:91,4%. Global optimum:46,7%. Optimums not differences according to gender. SOC related to global optimum, physical activity and smoking control. Global optimum, phisical activity and weigth control higher in the control group.Primary and work improves with higher. Optimal higher secondary studies/work and higher. Conclusions Global improvement: 91,4% and optimum:46,7%. Peer education improvement and differences in smoking control. Secondary studies ans/or higher, higher SOC and work related to improvement and optimal cardiovascular health.
Poblet, Calaf Carme. "Aproximació a les desigualtats socials en salut des de l'atenció primària." Doctoral thesis, Universitat Rovira i Virgili, 2016. http://hdl.handle.net/10803/395207.
Full textConsiderando que las desigualdades sociales en salud son aquellas diferencias injustas y evitables entre grupos poblacionales en función de la clase social, la edad, género, territorio o etnia, se plantean los siguientes objetivos generales: 1.- Valorar el estado de salud en adultos usuarios de atención primaria de un entorno urbano del área mediterránea catalana, en función de los principales ejes de desigualdad social. 2.-Evaluar el efecto de una intervención participativa, adaptada culturalmente, de promoción de la actividad física (AF) y educación dietética y de estilos de vida saludable para mejorar la calidad de vida de mujeres marroquíes mmigrants, en situación socioeconómica desfavorable Metodología: Desarrollamos 3 estudios: 1-Estudio de prevalencia de enfermedades crónicas y ejes de desigualdad en población adulta usuaria de atención primaria (n = 67 983) 2-Estudio cualitativo exploratorio de los factores relacionados con la salud de las mujeres magrebíes. 3-Estudio de Intervención educativa sobre la calidad de vida a corto y medio plazo RESULTADOS Y CONCLUSIONES: Se observan diferencias significativas en la prevalencia de patologías como obesidad, diabetes, problemas osteomusculares y de salud mental en función del género, la privación socioeconómica del Area Básica de Salud, la edad y la nacionalidad. Las mujeres magrebíes tienen una prevalencia de obesidad del 56,6%, y de diabetes del 16,4%, superior a la de otras nacionalidades. Los principales factores estresores en las mujeres inmigrantes marroquíes son el descenso en la escala social, la falta de trabajo y de oportunidades, la falta de apoyo social de que disponían en Marruecos, la dificultad idiomática. La posibilidad de reunirse con otras mujeres y compartir vivencias mejora su bienestar. Una intervención grupal, participativa, culturalmente adaptada reduce el porcentaje de masa grasa, el perímetro de cintura, incrementa el nivel de actividad física y mejora el componente físico de calidad de vida a corto plazo en las mujeres inmigrantes magrebíes obesas participantes.
Social health inequality are those unfair and avoidable differences between population groups in terms of social class, age, gender, region or ethnicity, Therefore we propose the following general objectives: 1.- Health assessment of Primary Care adult users, in an urban area of Catalonia, according to the principal social inequality factors. 2.- Assess the effect of a participatory, culturally-adapted, community intervention promoting physical activity (PA), dietary education and healthy life-style to improve quality of life of adult, obese, immigrant, Moroccan women with unfavorable socioeconomic status. Methodology: Development of 3 studies: 1. Prevalence study of chronic illnesses and main inequalities of Primary Care adult users (n=67983). 2- Qualitative exploratory study of the factors related to Maghrebian women’s health. 3- Educational intervention study of short- and mid-term effect on Quality of Life RESULTS AND CONCLUSIONS: Significant differences in the prevalence of illnesses such as obesity, diabetes, osteomuscular problems and mental health depending on gender, deprivation index of Basic Health Area, age and nationality are observed The prevalence of obesity in Maghrebian women is 56,6%, and of diabetes 16,4% (higher than other nationalities). The main stress factors in immigrant Moroccan women are the decrease in the social ladder, the lack of work and opportunities, the lack of social support provided in Morocco and the language difficulties. The possibility of meeting other women and share experiences improves their wellbeing. A group intervention, participative and culturally adapted reduces the percentage of fat mass, waist perimeter, increases the level of physical activity and improves short-term the physical component of quality of life of the immigrant Maghrebian women with obesity that take part in the program. These important social inequalities in health need to be treated, in our healthcare system and community, in a specific manner.
Font, Corominas Ariadna. "Riscos psicosocials i la salut mental en treballadors immigrants a Espanya." Doctoral thesis, Universitat Pompeu Fabra, 2012. http://hdl.handle.net/10803/83456.
Full textObjetivos: Analizar la exposición a riesgos psicosociales de los trabajadores asalariados inmigrantes en España comparandola con la de los españoles y estudiar el papel de los riesgos psicosociales en la relación entre la inmigración y la salud mental. Métodos: Estudio transversal realizado por el Instituto Sindical de Trabajo, Ambiente y Salud (ISTAS) entre el 2004 y el 2005 sobre una muestra representativa de población asalariada residente en España. La información se obtuvo a través de un cuestionario estandardizado administrado por entrevistador en domicilio. El tamaño de la muestra de estudio fue de 7.555 trabajadores, de los cuales 6.868 eran españoles y 687 eran inmigrantes. Por las exigéncias y la inseguridad, la exposición se definió según el tercil màs alto, mientras que por las otras dimensiones, fue definida según el tercil más bajo. La salud mental se dicotomizó en buena y mala según la mediana, que fue 76. Principales resultados: Los trabajadores que estaban más expuestos a los riesgos psicosociales fueron los inmigrantes manuales, especialmente, en las bajas posibilidades de desarrollo (PR: 2,87; IC95%: 2,44-3,73), y las mujeres inmigrantes, particularmente en el bajo control sobre los tiempos a disposición (PR: 1,72; IC95%: 1,55-1,91). Los trabajadores inmigrantes con altas exigéncias cuantitativas (PR: 1,46; IC95%: 1,34-1,59), altas exigéncias emocionales (PR: 1,42; IC95%: 1,30-1,56), altas exigéncias de esconder emociones (PR: 1,35; IC95%: 1,21-1,50), bajas posibilidades de desarrollo (PR: 1,21; IC95%: 1,09-1,33), bajos niveles de apoyo social entre compañeros (PR: 1,41; IC95%: 1,30-1,53) y baja estima (PR: 1,53; IC95%: 1,42-1,66) fueron los trabajadores que percibieron peor salud mental. Conclusiones: Los trabajadores inmigrantes, especialmente, los manuales y las mujeres, eran los más expuestos a riesgos psicosociaels. Los trabajadores más expuestos a riesgos psicosociales eran los que percibieron peor salud mental. Para mejorar la salud mental de los trabajadores, es necesario implementar medidas preventivas para erradicar los riesgos psicosociales, especialmente de los grupos más vulnerables.
Kassem, Madjdy. "The foreign policy of Anwar Sadat : continuity and change, 1970-1981." Thesis, University of Oxford, 2013. http://ora.ox.ac.uk/objects/uuid:399e0973-167a-4747-937a-9cc3e83236f9.
Full textOliveras, Puig Laura 1987. "Pobresa energètica i salut : Una aproximació des de les desigualtats socials." Doctoral thesis, TDX (Tesis Doctorals en Xarxa), 2022. http://hdl.handle.net/10803/673673.
Full textThe aim of this doctoral thesis is to broaden knowledge about energy poverty and its relationship with health in the European Union and in Barcelona, taking into account social inequalities. In order to achieve this objective, four studies have been carried out. The first study analyses time trends in energy poverty, its association with health and its impacts on health, in the European Union countries before and during the economic crisis of 2008. The results show a generalised increase in energy poverty and its impact on health following the economic crisis. The figures are worse in countries with higher structural vulnerability to energy poverty (south and east of the European Union) and for women, thus widening territorial and gender inequalities. The other studies analyse the distribution of energy poverty in the city of Barcelona, as well as its relationship with health. The results reveal strong social inequalities in exposure to energy poverty. The most affected groups are people from the most disadvantaged social classes, people born in low- and middle-income countries and older women. Three clusters of neighbourhoods with significantly higher levels of energy poverty than the city average are also identified. The findings also confirm the association between energy poverty and various physical and mental health conditions, as well as with a higher use of health services and medication. In children, energy poverty is also associated with poorer general health, poorer mental health and a higher prevalence of asthma and overweight. Energy poverty therefore acts as an amplifier of social inequalities in health.
Dumont-Samson, Olivier. "Salut et vérité biblique : l'adhésion religieuse des adventistes de Marie-Galante." Master's thesis, Université Laval, 2020. http://hdl.handle.net/20.500.11794/66300.
Full textQuébécois anthropologist Raymond Massé started his career in 1978, with a work on the expansion factors of the Seventh-day Adventist church in Martinique -- a predominantly catholic French West Indies island then in major socioeconomic crisis. Between 1978 and 2008, he reasoned through his various writings that the main motives for Martinicans to adhere to Adventism resided in a search for protection against the forces of Evil and quimboiserie, divine therapeutics in response to attacks from these said invisible powers, social and identity development and a sense of solidarity within their community. From there, one can ask : What about these motives of adhesion elsewhere in the French West Indies, and how do they compare with the reality of today? Can we arrive at the same conclusions as Raymond Massé? In order to answer these questions, I traveled to Marie-Galante, Guadeloupe -- just in time to witness hurricane Maria of September 2017. According to the phenomenological examination of the data collected, salvation is a core interest for Christian-Adventists from Marie-Galante, and their religious affiliation is based on the adequacy they find between the Adventist doctrine and the Bible. Moreover, I found that although "intellectual honesty" initially leads to Adventism, it can eventually also push away from it -- religious belonging is therefore first and foremost intellectual. That said, protection, therapeutics, valorization and solidarity are still important dimensions of religiosity and are therefore approached with nuance in this memoir. Following John Barker, I give an account on both global (the « One ») and local (the « Many ») dimensions of religion through the interactions between stable institutional components of the church and local conditions.
Valin, Claudy. "Le conventionnel Joseph-Marie Lequinio : la loi et le salut public." Poitiers, 2004. http://www.theses.fr/2004POIT3020.
Full textBirmelé, André. "Sola gratia le salut en Jésus-Christ dans les dialogues oecuméniques." Lille 3 : ANRT, 1987. http://catalogue.bnf.fr/ark:/12148/cb375960564.
Full textBirmelé, André. "Sola gratia : le salut en jesus-christ dans les dialogues oecumeniques." Strasbourg 2, 1986. http://www.theses.fr/1986STR20001.
Full textIn the 16th century, the different understandings of salvation in jesus christ lead to the division of the western church. After more than four centuries of division, these same churches are now involved in the ecumenical movement, the aim of which is the reconciliation of the churches. Is there an agreement on the question of salvation today? the first part of this study is devoted to the dialogue between roman catholics and lutherans, opposition on this question having been particularly animated between luther and the roman church. There seems to be a general consensus in the understanding of salvation, but which has not yet been fully translated at the ecclesiological level. Differences remain regarding eucharist and ministry. These differences represent different conceptions of the church, of its nature and in particular its instrumentality as god's cooperator in the salvation of men. This fundamental difference should,however, not retain its divisive character. Under certain circumstances, this difference could be regarded as an expression of a legitimate diversity. The second part examines the contribution of numerous dialogues with other churches (anglican,reformed,orthodox. . . ). These dialogues confirm the theses of a fundamental difference in the understanding of the church and of its instrumentality. This question does not separate the reformation churches but remains open in the dialogues of these churches with the roman catholic church