Rozprawy doktorskie: „Incompetence”

1

Gregory, Susan Penelope. "Studies on urethral sphincter mechanism incompetence in the bitch". Thesis, University of Bristol, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.335331.

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Henri-Gabriel. "Traitement chirurgical de l'impuissance virile par incompetence veino-caverneuse". Aix-Marseille 2, 1992. http://www.theses.fr/1992AIX20711.

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Lewis, Wayne E. "The termination of tenured public school teachers for incompetence". Diss., This resource online, 1998. http://scholar.lib.vt.edu/theses/available/etd-10042006-143918/.

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Daly, Bradley. "A Qualitative Exploration of Feelings of Incompetence Among Counselling Interns". Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/38513.

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This qualitative study drew from Thematic Analysis, inspired by Grounded Theory, to explore how counselling students completing their internship manage their feelings of incompetence. Four master’s level counselling students from three different masters counselling programs in Ontario, Canada were interviewed using a semi-structure interview protocol to gain an in-depth understanding of how they experienced and managed FOI during their internship. Twenty-nine subthemes emerged, which were further categorized into four over arching main themes: (1) experience of FOI, which included eight subthemes; (2) effects of FOI, which included eight subthemes; (3) management of FOI, which included six subthemes; and (4) seeking supports for FOI, which included eight subthemes. The FOI that counsellors-in-training experience can directly impact their clients and the implications of this study related to counselling pedagogy and supervision are discussed.

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Parry, Christopher. "Do Norman Dixon's theories about incompetence apply to senior naval commanders?" Thesis, University of Reading, 2017. http://centaur.reading.ac.uk/75262/.

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Within the context of Norman Dixon's 'On the Psychology of Military Incompetence', this thesis seeks to establish whether authoritarian tendencies necessarily lead to incompetent performance in war and whether the personalities of commanders in World War II contributed to incompetence or failure. By examination of senior German and American naval commanders, it challenges Dixon's definitive association of authoritarian personalities with military failure and autocratic behaviours with military success. It demonstrates that senior naval commanders cannot be categorised as purely authoritarian or autocratic and that Dixon's arguments rest substantially on attributing all negative personality traits associated with military incompetents as authoritarian. The original contribution to scholarship is the insight that authoritarianism is essential to the organization and projection of large-scale fighting power, as long as the conduct of operations is delegated to commanders suited by personality, experience and understanding to prevailing in the situations that they are likely to face. This combination is introduced as a technocratic approach, with the evidence and analysis comparing and contrasting the domination of German wartime naval operations by authoritarian personalities, organization and ways of operating with the progressive, technocratic methods adopted by the Americans. Also, through extensive research into hitherto under-utilized primary and contemporaneous sources, the thesis offers a fresh, more nuanced interpretation of the personalities of selected naval commanders and the major events at sea with which they were concerned. Finally, the thesis concludes that the essential personality requirements for successful command at sea are few, with other psychological characteristics largely irrelevant and naval commanders less prone to the various aberrant behaviours pilloried by Dixon. Also, navies, and armed forces, need to continue to attract, sustain and retain a range of personality types, both to support a technocratic approach and to deal with a wide variety of future operational situations.

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Hodgkiss, Megan Turley. "Excellence in Incompetence: The Daily Show Creates a Moment of Zen". unrestricted, 2006. http://etd.gsu.edu/theses/available/etd-12012006-125553/.

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Thesis (M.A.)--Georgia State University, 2006.
Michael Bruner, committee chair; Ted Friedman, Greg Smith, committee members. Electronic text (105 p.) : digital, PDF file. Description based on contents viewed July 17, 2007. Includes bibliographical references (p. 96-105).

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Thériault, Anne. "Therapists' feelings of incompetence : a grounded theory analysis of experienced clinicians". Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=84442.

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Feelings of incompetence are an ongoing part of the private experience of being a therapist. Although normative, they are often linked to therapist stress, distress, and to negative therapeutic processes and outcomes. Yet systematic inquiries into the subjective judgment of oneself as inadequate and incompetent in the role of therapist are virtually nonexistent and even more rare for experienced therapists. A qualitative approach was used in this study to obtain rich descriptions of therapists' encounters with feelings of incompetence. Eight therapists with ten years of experience or more were recruited for the study. Guided by a semi-structured interview protocol, they were interviewed for ninety minutes. The resulting transcripts were analysed with procedures based on grounded theory methodology (Strauss & Corbin, 1992). Results indicated that feelings of incompetence existed on a spectrum of intensity and that the experience was multiply determined. A dynamic, pan-theoretical, and multidimensional theory of feelings of incompetence is presented. The substantive theory summarises the relationship between the main categories of nature and depth of self-doubt, sources, consequences, and mediating factors. These categories are organised around the core category of intensity.

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Tucker, Pamela DuPriest. "Administrative response to teacher incompetence: The role of teacher evaluation systems". W&M ScholarWorks, 1997. https://scholarworks.wm.edu/etd/1539618396.

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The major purpose of this study was to assess the presence of evaluation system components which assist principals in responding to teachers with less than satisfactory performance. Research data were used to determine the relationship between specific teacher evaluation system components and two measures of evaluation system effectiveness: (a) the principal's overall effectiveness rating of the evaluation system and (b) the incidence of administrative response to teacher incompetence. Administrative response included remediation, reassignment, inducement to retire or resign, and recommendation for dismissal of teachers. A questionnaire was employed to collect data from a randomly selected sample of principals in Virginia's public schools.;According to Virginia principals, 5% of the teachers in their schools were incompetent; however, only 2.65% were documented formally as being incompetent. The typical principal with a staff of 100 teachers, identified 1.53 incompetent tenured teachers per year and remediated.68 teacher, encouraged.37 teacher to resign/retire, reassigned.29 teacher, and recommended dismissal for.10 teacher.;Principals verified the importance and presence of the evaluation system components identified in the study. The mean effectiveness rating for the evaluation systems used by the principals, however, indicated only moderate support for the ability of the system to respond to incompetent teachers. The four evaluation system components of remedial procedures, evaluation criteria, evaluator training, and organizational commitment were found to predict 69% of the variance in the effectiveness rating, but none of the evaluation system components were found to predict administrative response to incompetence.

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Reeves, Stephanie Lauren. "When compassion leads to paternalism: How empathy can create perceptions of incompetence". The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1493739379598356.

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LACOUR, VINCENT. "L'impuissance virile par incompetence veino-caverneuse : etude clinique a propos de 64 cas". Angers, 1993. http://www.theses.fr/1993ANGE1040.

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Evans, David. "The Ambon Forward Observation Line Strategy 1941-1942 A Lesson in Military Incompetence". Thesis, Evans, David (2010) The Ambon Forward Observation Line Strategy 1941-1942 A Lesson in Military Incompetence. PhD thesis, Murdoch University, 2010. https://researchrepository.murdoch.edu.au/id/eprint/10632/.

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In October 1940 and in February 1941, the Australian Chiefs of Staff agreed to supply a task force (Gull Force) and an air strike group to garrison the small Dutch Island of Ambon. The decision to send troops to support the Dutch was made at Singapore where Australia ostensibly agreed to send three squadrons of aircraft to support Ambon in exchange for the Dutch sending four of their squadrons to support Malaya and Singapore should they be attacked. Under closer examination, however, the reasons for sending Australian troops and aircraft to Ambon become more obscure. Historians and writers in the past have provided various explanations for Australia’s commitment to Dutch Ambon as being; because the Island was a steppingstone for the Japanese to use in approaching Australia; because it was necessary to delay the Japanese for a couple of days; because Australia required a forward operating base; because Timor and Ambon were necessary for maintaining an open air route between Java and Australia; and, because Australia needed to demonstrate to its allies that it was prepared to fight the Japanese regardless of the disproportionate cost in doing so. Considering the paucity of facts regarding the Ambon case, the aim of this dissertation is to examine the question of why the Australian Government knowingly made the decision to send an under equipped, under-strength and unprotected task force to an isolated island in the Malukus to face overwhelming Japanese forces without any hope of reinforcement, rescue or withdrawal. The conclusions show that the Australian Government and its military advisors were unequal to the task of successfully formulating grand war policy and military strategy in the Ambon Island case during 1941-1942. The minimum aim of war strategy is to formulate a decisive war plan in balance with the attainable political objective and the military’s ability to achieve those ends. The Ambon strategy failed these criterion where Gull Force was sent to garrison the Island without any stated aims other than fighting to hold the Japanese advance for no longer than a few days to demonstrate Australia’s willingness to fight. Gull Force was given an impossible task to fulfil at a price that could not be justified under any conventional strategic principles of the time.

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12

Kerr, Nancy Jean. "Occurrence, etiology and management of ringwomb in ewes". Morgantown, W. Va. : [West Virginia University Libraries], 1999. http://etd.wvu.edu/templates/showETD.cfm?recnum=964.

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Thesis (M.S.)--West Virginia University, 1999.
Title from document title page. Document formatted into pages; contains v, 46 p. : ill. Vita. Includes abstract. Includes bibliographical references (p. 37-45).

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13

Subramonia, Sriram. "Radiofrequency ablation in the treatment of long saphenous vein incompetence : impact on early outcome". Thesis, University of Newcastle upon Tyne, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.442226.

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Nyiri, Anna. "Managing Feelings of Incompetence in Supervision: A Modified Grounded Theory Study of Counselling Interns". Thesis, University of Ottawa (Canada), 2010. http://hdl.handle.net/10393/28616.

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Feelings of incompetence (FOI) are a pervasive self-care issue for practitioners of psychotherapy, independent of their levels of experience (Theriault & Gazzola, 2008). Supervision may be an effective strategy for alleviating the impact of FOI; however, it is unclear how FOI are managed in supervision and how therapists experience their struggles with FOI in the context of supervision. The researcher conducted semi-structured interviews with six Master's level counselling interns (5 female, 1 male) who were receiving individual supervision. A modified grounded theory analysis (Corbin & Strauss, 2008) yielded five major categories: Properties of Intern FOI that Required Management in and/or out of Supervision, Actions of the Intern that Pertain to the Management of FOI in Supervision, Attributes of the Intern That Influence FOI-Management in Supervision, Aspects of Supervision That are Helpful to the Management of FOI, and Aspects of Supervision That Hinder the Management of FOI. Implications for counsellor supervisors, counsellor educators, and counselling interns themselves are discussed.

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MORRISON, EILEEN FRANCES. "THE TESTING OF INSTRUMENTS TO MEASURE RULES, ROLE INCOMPETENCE AND VIOLENCE IN PSYCHIATRIC INPATIENTS". Diss., The University of Arizona, 1986. http://hdl.handle.net/10150/183965.

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The purpose of this study was to test research instruments to measure social and therapeutic rules, role incompetence and violence in hospitalized psychiatric patients. Instruments were tested to measure the specific concepts of: the Discrepant Interpretation of the Therapeutic Rules (GTRS and PTRSI), the Inconsistent Enforcement of the Social Rules (SRSI), the patients' Inability to Adhere to the Therapeutic Rules (PTRSII), the patients' Inability to Adhere to the Social Rules (SRSII) and Violence (VS). The study used a descriptive correlational design. The nursing staff sample consisted of 57 nursing staff working in nine clinical psychiatric units of four local hospitals. The nursing staff sample completed research ratings on 162 patient subjects hospitalized on the units. The data were analyzed for estimations of the psychometric properties of the research instruments. The theory was estimated using correlational and multiple regression techniques. The results indicated that with the exception of the General Therapeutic Rule Scale, the instruments had strong evidence of reliability and validity. The General Therapeutic Rule Scale had limited evidence of reliability and validity. The theoretical model testing indicated that three of the predicted theoretical relationships were supported. The expanded empirical model testing indicated three additional relationships. The amount of variance in violence explained by the expanded empirical model was R² = 18%. The major findings of this study were: (a) the social rules were more important than the therapeutic rules in predicting violence, (b) contrary to the literature, personal patient variables such as, age, sex, and diagnosis did not contribute to violence in the hospital setting, (c) a patient history of violence outside the hospital contributed to the patients' inability to adhere to the rules, (d) a direct relationship existed between the therapeutic and social rules, (e) the subdimensions of violence against self, others and property may be theoretically distinct dimensions of violence, and (f) the relationship of violence and other variables may be curvilinear.

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Gaskell, Michael Brenton. "The Effect of Neuropsychological Impairment and Feigned Adjudicative Incompetence on the Inventory of Legal Knowledge". Xavier University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1472811017.

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Rafiee, Abdorreza. "Variables of communicative incompetence in the performance of Iranian learners of English and English learners of Persian". Thesis, SOAS, University of London, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.283460.

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Ferguson, Alexander David. "Axis of failure : strategic folly, economic incompetence and mutual antipathy in the Italo-German alliance, 1939-1943". Thesis, London School of Economics and Political Science (University of London), 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268757.

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DeSander, Marguerita Kalekas. "Tenured teacher dismissal for incompetence and the law: A study of state legislation and judicial decisions, 1983--2003". W&M ScholarWorks, 2005. https://scholarworks.wm.edu/etd/1550154049.

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Howard, Lance M. "The prevalence of chronotropic incompetence as defined by the "Wilkoff index" in an apparently healthy self-referred adult population". Virtual Press, 2000. http://liblink.bsu.edu/uhtbin/catkey/1164834.

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Chronotropic incompetence (CI) has typically been assessed using maximal heart rate (MHR) achieved during a graded exercise test (GXT). Wilkoff et al recommended using a chronotropic/metabolic index (WI) consisting of the ratio between predicted maximal heart rate reserve (PMHRR) and metabolic reserve (MR) during submaximal exercise. Using a WI of <0.80 as evidence of CI, Lauer at al reported a prevalence of 14% for men and 12% for women within the Framingham cohort and indicated that the WI was independent of age, resting heart rate and exercise capacity (peak METS at 85% predicted MI-IR). However, the predicted heart rate for a given stage within the WI is based on a predicted (PMHR [220-age]) rather than measured MHR. The purpose of this study was to assess whether the WI, when calculated using MMHR would affect the prevalence of WI <0.80, and to assess whether the WI, when calculated using MIVIHR, is influenced by gender, age, RHR or aerobic capacity as measured by maximal oxygen uptake (V02 max). The sample included 522 self-referred adults (294 women, mean age 43 ± 11 years; 228 men, mean age 46 + 11 years) who completed a GXT test to volitional fatigue using the BSU/Bruce Ramp protocol. Exclusion criteria were use of betablockers, history of myocardial infarction, peak respiratory exchange ratio <1.0, or GXT time <6.0 minutes. WI was assessed at the end of 6th minute of the GXT with a value <0.80 considered evidence of CI. The mean WI from both methods was (PMHR = 1.088 +-0.20 vs MMHR = 1.063 + 0.16 (<.0001), with a correlation of 0.807. The prevalence of WI <0.80 was 8.0% and 4.4% for the PMHR and MMHR methods, respectively, which are considerably lower than the 14% and 12% reported by Lauer et al. Multiple regression. analysis revealed that gender, age, resting heart rate and V02 max were significantly associated with WI when derived using either predicted or measured MHR, (<.0001), however these variables only accounted for 13.6% (PMHR) and 15.6% (MMHR) of the variance in the multiple regression models. In conclusion, these results suggest a rather low prevalence of CI (WI<0.80) in this self-referred, adult population and support the notion that the measure of WI is relatively independent of age, resting heart rate and gender but appears to be directly associated with V02 max.
School of Physical Education

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De, Souza Denise Trento Rebello. "Teacher professional development and the argument of incompetence : the case of in-service elementary teacher education in Sao Paulo, Brazil". Thesis, University College London (University of London), 2001. http://discovery.ucl.ac.uk/10020374/.

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This work proposes that since the early eighties a specific strategy has gained increasing importance within official Education Programmes in Sao Paulo (Brazil) addressed to deal with the high rates of pupil repetition and dropout: the concentration on teachers professional development. We argue that this strategy is based on the idea of teacher's incompetence as the main explanation for educational problems. This idea pervades both the conceptions of the programmes and their proposed actions and practices. We discuss the idea of teacher's incompetence tracing its recent origins in the literature, and investigating its repercussions for the formulation and implementation of official Education Programmes, namely Basic Cycle, Basic Cycle in a Single Shift and Quality School undertaken by the Sao Paulo State Secretariat for Education. In order to develop our argument a programme for Teacher Professional Development (1PD) carried out in the early 90's was chosen as the empirical context. A systematic fieldwork based on a qualitative research method was carried out in which the perceptions, expectations, and interrelations of the involved teachers, course monitors and policy makers were extracted from a number of interviews and observations. Our analysis demonstrates the presence of what we identify as the "argument of incompetence". Having provided evidence of its presence in the educational literature and in the education policies we explore and demonstrate its presence and its significance in the perceptions of the three groups of professionals involved in teachers' professional development programmes we analyse. We show that the "argument of incompetence" takes on different forms according to the context. It tends to be more refined at the level of the educational literature and rather simplistic in the education policies. However, the core of the "argument of incompetence" follows a linear logic: "we do not have a good quality school only because we lack teachers of professional competence". We proceed to demonstrate that it not only undermines the relations among the main participating agents in teacher professional development, namely, policy makers, course monitors and teachers, but it also promotes a mistaken way of thinking about teacher professional development. Mistaken and simplistic as it promotes a conception of TPD that overestimates its possibilities of dealing with chronic and broader issues of low quality of Brazilian Basic Education without taking the necessary action regarding other vital elements such as suitable conditions of work in schools and teacher's career development.

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Cockram, Cheryl Anne. "Level of demoralization as a predictor of stage of change in patients with gastrointestinal and colorectal cancer". [Tampa, Fla.] : University of South Florida, 2004. http://purl.fcla.edu/fcla/etd/SFE0000269.

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Hansrani, Vivak. "Exploring a vascular cause for chronic pelvic pain in women". Thesis, University of Manchester, 2017. https://www.research.manchester.ac.uk/portal/en/theses/exploring-a-vascular-cause-for-chronic-pelvic-pain-in-women(b0cd0418-1e6d-428b-89eb-e4951c796e12).html.

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Objectives: Pelvic vein incompetence (PVI) has been suggested as a cause for chronic pelvic pain. The overall objective of this thesis is to determine how PVI affects women, identify suitable methods of diagnosis and provide evidence regarding its association with chronic pelvic pain. This thesis will also evaluate the evidence behind its treatment. Methods: Four observation studies were completed during this thesis. A characterisation study encompassing 120 participants was performed to determine symptoms commonly experienced by women with PVI. Two observation studies analysed the ability of trans-vaginal ultrasound to detect PVI and compared its accuracy with reflux venography; considered the reference standard. A further 70 participants were recruited in a case-control study to determine the prevalence of PVI in women with and without chronic pelvic pain. A randomised control trial treating women with PVI and pelvic pain was also designed. Results: Women with PVI had an increased frequency of CPP when compared with healthy controls or women with varicose veins. This pain was associated with the menstrual cycle and intercourse. It was also found to frequently radiate into the upper thighs. Trans-vaginal ultrasound was shown to have a sensitivity and positive predictive value of 100% and 95% respectively when compared with reflux venography. The frequency of PVI in women with chronic pelvic pain was found to be 47% compared with 25% in women with no history of CPP (p < 0.001). Conclusion: The results of this thesis suggest PVI to be a possible cause of CPP in women and likely to be under-diagnosed. It can be identified by trans-vaginal ultrasound although the degree of accuracy is still yet to be determined. PVI merits further research and attention from clinicians and researchers. The proposed randomised control trial is needed both to further understanding of the role of PVI in CPP and to assess the efficacy of an under-researched treatment approach currently used in practice.

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Santana, Juliana Silva. "Valor prognóstico da incompetência cronotrópica em idosos diabéticos". Universidade Federal de Sergipe, 2012. http://ri.ufs.br:8080/xmlui/handle/123456789/3775.

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Background: The world population aging is evident and as a consequence, there is an increase of chronic diseases prevalence such as diabetes mellitus (DM) and cardiovascular diseases. The latter represent the main cause of death in elderly, especially coronary artery disease (CAD) and stroke. The chronotropic incompetence (CI) is characterized by an attenuated heart rate response to exercise. It represents a predictor of mortality and adverse cardiovascular events, and is defined as the failure to achieve less than 80% of heart rate reserve. However, its physiopathological mechanisms have not been clearly defined. One of the hypothesis postulates that it represents an abnormality in cardiovascular autonomic control. The DM and its chronic complications, such as autonomic neuropathy, are independent risk factors for stroke. As a possible manifestation of autonomic dysfunction, CI may be useful for cardiovascular risk stratification in diabetic patients. Objective: Estimate the value of chronotropic incompetence for predicting stroke in elderly diabetic patients that were submitted to exercise stress echocardiography, events included acute myocardial infarction (AMI), stroke and death. Methods: This was a restrospective observational H that assessed 298 elderly diabetic patients (from a population of 8269). Exercise stress echocardiography was performed by all participants of the study from January, 2000 to December, 2010. After exclusion criteria, patients were divided into two groups: G1 (patients who failed to achieve 80% of the age-predicted chronotropic index during exercise echocardiography) and G2 (patients who were able to achieve 80% of the age-predicted chronotropic index during exercise echocardiography). Results: There were 109 (36,6%) patients with chronotropic incompetence. Concerning clinical features, there were differences between the groups with reference to male gender (p=0,01), previous dyspneia (p=0,02) and typical angina. Concerning exercise stress echocardiography variables, there were divergences between groups for WMSI at rest, WMSI after exercise, LV mass index and LA diameter. In relation to cardiovascular events, the G1 group presented stroke in a higher frequency (9,2 % vs. 3,2%; p= 0,27) with relative risk 2,89 and G1 95% 1,05 - 7,95. The CI group presented higher frequency of death in patients that had AMI (p =0, 015) and stroke (p =0, 004). Conclusion: Our data suggest that CI predicts a worse prognosis for the occurrence of stroke in elderly diabetics as well as mortality for patients who developed with stroke and AMI.
Fundamento: devido ao envelhecimento populacional acelerado, principalmente em países em desenvolvimento como o Brasil, há aumento da prevalência de doenças crônicas como diabetes mellitus (DM) e patologias cardiovasculares. As principais causas de morte tanto em idosos como em diabéticos são a doença arterial coronariana (DAC) e a doença cerebrovascular (DCV). A incompetência cronotrópica (IC), caracterizada como uma incapacidade de atingir ao menos 80% da frequência cardíaca (FC) de reserva é um fator preditor de mortalidade e de eventos cardiovasculares. Embora seu mecanismo subjacente não seja bem definido, algumas hipóteses vêm sendo propostas, dentre elas, a disfunção autonômica. As complicações crônicas do DM, como neuropatia autonômica, são fatores de risco independentes para DCV. A IC pode ser útil para estratificação do risco cardiovascular nesta população. A ecocardiografia sob estresse pelo esforço físico (EF) é uma metodologia segura e eficaz na avaliação de pacientes com IC. Objetivos: avaliar o valor prognóstico da IC em idosos diabéticos submetidos à EF, considerando como desfechos: IAM, DCV e óbito geral; secundariamente, comparar características clínicas e ecocardiográficas entre idosos diabéticos com e sem IC. Método: estudo de coorte retrospectiva de 298 pacientes idosos e diabéticos submetidos à EF de janeiro de 2001 a dezembro de 2010. Os pacientes foram divididos em dois grupos: G1 109 pacientes com IC e G2 189 pacientes sem IC.Resultados: na amostra estudada a frequência de IC foi de 36,6% e o seguimento foi de 53,7 ± 32,5 meses com mínimo de 5 e máximo de 122 meses. O grupo G1 apresentou maior frequência de: sexo masculino (62,4% vs. 46,6%;p= 0,01), queixa de dispneia prévia à EF (7,5% vs. 2,1%; p= 0,02), angina prévia à EF (17% vs. 8%; p= 0,02), maior diâmetro do átrio esquerdo (4,1 ± 0,48 vs. 3,9 ± 0,45; p= 0,02), maior índice de massa do ventrículo esquerdo (101,82 ± 28,56 vs. 95,16 ± 26,43; p= 0,05), maior índice de escore de motilidade do ventrículo esquerdo (IEMVE) no repouso (1,07 ± 0,18 vs. 1,03 ± 0,12; p= 0,04) e de maior IEMVE no esforço (1,1 ± 0,2 vs. 1,05 ± 0,16; p= 0,004). Foi observada maior frequência de DCV no grupo G1 (9,2 % vs. 3,2%; p= 0,27) com risco relativo 2,89 e IC 95% 1,05 - 7,95. Conclusão: a IC foi associada de forma independente à ocorrência de DCV em idosos diabéticos .

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Ren, Yan-Fang. "Posterior pharyngeal flap for elimination of velopharyngeal incompetence a study of facial growth, tongue positions and the significance of adenoids before and after operation /". Umeå, Sweden : Department of Oral and Maxillofacial Radiology, Umeå University, 1995. http://catalog.hathitrust.org/api/volumes/oclc/35846945.html.

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Samuel, Nehemiah. "An RCT of clinical and cost effectiveness of endovenous laser therapy in the treatment of varicose veins secondary to isolated saphenopopliteal incompetence and small saphenous reflux". Thesis, University of Hull, 2014. http://hydra.hull.ac.uk/resources/hull:10498.

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Background: Lower limb varicosities are common and cause significant impairment of quality of life to the sufferers. Patients with small saphenous incompetence form a small but significant part of this group who have traditionally been treated by surgical ligation with or without stripping of small saphenous vein (SSV). Within the last decade however, this has been challenged by endovenous thermal and chemical ablation interventions. No randomized clinical trial comparing treatment options for SSV incompetence exists, and there is no clear evidence that this axis behaves the same as the great saphenous vein (GSV) following treatment. This means that the existing literature base, centred on the treatment of GSV incompetence cannot simply be extrapolated to inform the management of SSV insufficiency. Objectives: This trial aimed to compare the technical efficacy, safety and clinical effectiveness of minimally invasive endovenous laser ablation (EVLA) with the gold standard treatment of conventional surgery (CS) in the management of SSV incompetence. Costs and utilities of EVLA and CS were compared to establish the most cost-effective treatment. The risks and benefits of stripping SSV in the surgical treatment; and efficacy of EVLA in relation to the site of SSV access was also evaluated to establish best practice in both these interventions. Methods: Patients with unilateral, primary saphenopopliteal junction (SPJ) incompetence and SSV reflux were randomized equally into parallel groups receiving either Surgery or EVLA, with concomitant phlebectomies of tributary veins. Patients were assessed at baseline and weeks 1, 6, 12 & 52. Outcomes included: successful abolition of axial reflux on duplex scan (Primary outcome); Visual analogue pain scores; recovery time; complication rates; Venous Clinical Severity Score (VCSS) and Quality of life (QoL) profiling. For cost-effectiveness analysis, the hospital, general practice, patient costs incurred until full recovery and the indirect cost to society due to sickness leave after treatment, were calculated to indicate mean cost per patient under each treatment category. EQ-5D health utility index was calculated from EuroQol generic QoL questionnaire, and quality adjusted life years (QALYs) were generated by calculating the area under curve. Cost/QALY and incremental cost effective ratio (ICER) was calculated for both treatment groups to determine the more cost-effective treatment. For patients undergoing surgical treatment, the aim was for SPJ ligation (SPL) and stripping of SSV in each case, but in a proportion this was not possible. Hence, patients were retrospectively sub grouped into SPL with short segment excision ≤ 5 cm and SPL with extended stripping > 5 cm. Clinical and QoL outcomes including recurrence and complications were compared between these surgical subgroups. Patients undergoing EVLA (810 nm, 14 W diode laser) for small saphenous incompetence were retrospectively divided into two subgroups: access gained at or above mid-calf (AMC) and below mid-calf (BMC), based on the level of endovenous access gained at the lowest site of truncal reflux. Similar clinical and QoL outcomes including recanalization and sensory disturbance were compared between the EVLA subgroups. Results: 106 patients were recruited and randomized to Surgery (n=53) or EVLA (n=53). The primary outcome of abolition of SSV reflux was significantly higher following EVLA 96.2% vs. Surgery 71.7% (P<0.001). Postoperative pain was significantly lower after EVLA (P<0.05), allowing an earlier return to work and normal function (P<0.001). Minor sensory disturbance was significantly lower in the EVLA group 7.5% vs. Surgery 26.4% (P=0.009). Both groups demonstrated similar improvements in VCSS and quality of life measures. The hospital costs for EVLA was less expensive compared to Surgery, mean (s.d.) £690.31 (121.66) vs £730.77 (304.82) per patient (P=0.390); and enabled patients to return to work 9.6 days (95% CI 4.9-14.3) earlier than after surgery. Based on the Annual Survey of Hours and Earnings 2012 for full time employees, the cost per working hour gained after EVLA was 13.96 pounds (95% CI 7.41 - 20.50). There was no significant difference in mean QALYs gained between the two treatments (P=0.101); however the mean (s.d.) Cost/QALY was significantly lower for EVLA £1652.58 (966.20) as compared to surgery £2123.48 (1084.54) (P=0.032). Of the 53 surgical patients, inversion stripping was possible in 35 (66%) and in the rest 18 (34%), a short segment of SSV was excised following SPL. Recurrence rates were higher in the short excision subgroup at 44.4% versus 2.9% in the inversion stripping subgroup causing a decline in patient satisfaction with treatment and cosmetic outcomes at the end of follow-up period (P<0.05). There was no significant difference in sensory disturbance or complications between the two subgroups (P>0.05). Of the 53 EVLA patients, access was gained above mid-calf in 30 (57%) and below mid-calf in 23 (43%). SSV occlusion was equally high in both subgroups with no significant difference in complications or recurrence rates (P>0.05). Patient satisfaction with overall treatment declined in the AMC subgroup (P=0.011). Both EVLA subgroups demonstrated significant improvement in venous severity and QoL measures over the follow-up period (P>0.05). Conclusions: EVLA produced the same clinical benefits as conventional surgery, but was more effective in addressing the underlying pathophysiology and was associated with less peri-procedural morbidity, allowing a faster recovery for patients. Of the two interventions, EVLA is the more cost-effective option in the short-term, feasible in an outpatient setting under tumescent local anaesthesia. These findings support the adoption of EVLA with concomitant phlebectomy as the standard treatment for primary small saphenous insufficiency.

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Campos, Paulo César Gobert Damasceno [UNIFESP]. "Regurgitação valvar funcional em insuficiência cardíaca congestiva descompensada: monitoração não-invasiva por bioimpedância cardíaca e ecocardiografia e resposta à terapêutica". Universidade Federal de São Paulo (UNIFESP), 2009. http://repositorio.unifesp.br/handle/11600/10021.

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Introdução: A insuficiência cardíaca congestiva (ICC) descompensada pode ser definida como a evidência de sinais e sintomas de insuficiência cardíaca (IC) ao repouso e representa estado de ativação neuro-hormonal intensa, secundária ao déficit de perfusão renal. Regurgitações valvares funcional mitral e tricúspide são causas reversíveis de diminuição de fluxo sanguíneo sistêmico eficaz. O impacto de tais regurgitações sobre o débito cardíaco, sobre o conteúdo de fluido torácico, sobre as dimensões de câmaras cardíacas e sobre a função do aparato valvular pode ser monitorado de forma não-invasiva, antes e após a otimização do tratamento clínico. Objetivo: Avaliar o papel das regurgitações valvares funcional mitral e tricúspide como causas reversíveis de redução do débito cardíaco em ICC descompensada, e que acompanham a disfunção ventricular sistólica em miocardiopatias isquêmica e não-isquêmica. Métodos: catorze pacientes do sexo masculino (66 ± 8 anos de idade), fração de ejeção (24 ± 5%) secundária às miocardiopatias isquêmica (71%) e não-isquêmica (29%), apresentaram ICC descompensada com evidência clínica de regurgitações valvares mitral e tricúspide, foram avaliados por Bioimpedância cardíaca e ecocardiografia antes e uma semana após otimização de tratamento clínico. Resultados: o tratamento farmacológico de ICC descompensada foi acompanhado de redução de peso corpóreo de 82,9 a 76 kg (P<0,01), elevação no índice cardíaco (de 2,1 para 2,6 L/min/m2; P<0,01), redução na pressão sistólica da artéria pulmonar (de 58 para 35 mm Hg; P<0,001), conteúdo de fluido torácico (de 39 para 32 kOhm; P<0,001) e resistência vascular sistêmica (de 1633 para 1209 dinas/seg/cm5; P<0.001). A melhora dessas regurgitações incluiu redução nas dimensões das câmaras atriais esquerda e direita (de 27 para 24 cm2 e de 26 para 23 cm2, respectivamente; (P<0,001), diminuição das regurgitações mitral e tricúspide detectadas pelo Doppler colorido (P < 0,01), do volume regurgitante mitral (de 105 para 65 ml; P<0,001), e do tamanho efetivo do orifício regurgitante mitral (de 0,8 para 0,6 cm2; P<0,01). Conclusões: Na ICC descompensada, as regurgitações funcionais mitral e tricúspide contribuem para redução do débito cardíaco, aumento do conteúdo fluido torácico e da resistência vascular sistêmica, simultaneamente ao aumento de câmaras atriais e do orifício valvar, os quais podem ser melhorados com tratamento clínico. A bioimpedância cardíaca e a ecocardiografia fornecem avaliação seriada não-invasiva de parâmetros hemodinâmicos e função valvar nestes pacientes.
Objective: We hypothesized that functional mitral and tricuspid valvular incompetence (MR and TR, respectively) are reversible causes of reduced cardiac output in decompensated heart failure (DF) that accompanies systolic dysfunction in ischemic or nonischemic cardiomyopathy. Background: DF, defined as signs and symptoms of heart failure at rest, is rooted in a salt-avid state transduced by neurohormonal activation secondary to impaired renal perfusion. Functional MR and TR are reversible causes of reduced systemic blood flow. Their impact on cardiac output, thoracic fluid content, cardiac chamber dimensions, and valvular apparatus function can be monitored noninvasively, before and after optimized medical management. Methods: Fourteen male subjects (66 ± 8 years old) with reduced ejection fraction (24 ± 5%) secondary to ischemic (71%) or nonischemic (29%) cardiomyopathy, who developed DF with clinical evidence of mitral (MR) and tricuspid (TR) valvular incompetence, were each assessed by bioimpedance and echocardiography before and 1 week after optimized medical management restored compensated failure. Results: Pharmacologic elimination of DF was accompanied by a reduction in body weight (p<0.01). Hemodynamic improvements included a rise in cardiac index (2.1 to 2.6 L/min/m2; p<0.01) and a reduction in predicted pulmonary artery systolic pressure (58 to 35 mm Hg; p<0.001), thoracic fluid content (39 to 32 kOhm; p<0.001), and systemic vascular resistance (1633 to 1209 dynes/sec/cm5; p<0.001). Improvements in functional MR and TR included reductions in left and right atrial areas (27 to 24 cm and 26 to 23 cm2, respectively; p<0.001), color-flow grading of MR and TR severity (p<0.01), mitral regurgitant volume (105 to 65 mL; p<0.001), and effective MR orifice size (0.8 to 0.6 cm2; p<0.01). Conclusions: In DF, functional MR and TR contribute to reduced cardiac output, increased thoracic fluid content, and systemic vascular resistance, together with enlarged atria and valvular orifice size, which can be improved by medical management. Bioimpedance and echocardiography provide for serial noninvasive assessments of hemodynamic status and valvular function in such cases.
TEDE
BV UNIFESP: Teses e dissertações

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Lourenço, Leila. "De marajá a incompetente /". Florianópolis, SC, 2000. http://repositorio.ufsc.br/xmlui/handle/123456789/79378.

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Dissertação (Mestrado) - Universidade Federal de Santa Catarina, Centro de Comunicação e Expressão.
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A temática "funcionário público" ocupou grande destaque na imprensa escrita, principalmente, na década de 90. Sob o enfoque da Análise de Discurso de linha francesa, analiso os discursos que circulam no jornal O Estado e no Diário Catarinense, no sentido de perceber os funcionamentos que produzem uma imagem depreciativa sobre este sujeito do trabalho do setor público, bem como os funcionamentos que cristalizam este sentido em detrimento de outros possíveis e dizíveis. Nesse sentido, a análise do funcionamento das designações, assim como predicações nas enunciações jornalísticas busca identificar uma relação possível entre a materialidade da linguagem (lingüístico e o histórico) e a disseminação de uma imagem de funcionário público.

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Murta, Alexandre Antonio. "Implante de fáscia lata e de gordura na prega vocal de coelho: análise quantitativa do processo inflamatório". Universidade de São Paulo, 2005. http://www.teses.usp.br/teses/disponiveis/5/5143/tde-03102014-101228/.

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Vários materiais têm sido introduzidos nas pregas vocais na tentativa de solucionar a incompetência glótica, porém poucos são os estudos que avaliam o processo cicatricial decorrente da enxertia destes materiais. O objetivo desta pesquisa foi quantificar o processo inflamatório celular na prega vocal de coelhos submetidos a enxerto unilateral de gordura ou fáscia muscular. Estudamos 24 coelhos, divididos em 2 grupos, nos quais gordura ou fáscia foi enxertada. O grupo controle foi formado pela prega vocal contralateral, a qual foi submetida ao mesmo procedimento, excetuando-se a colocação do enxerto. Metade dos coelhos de cada grupo foi sacrificada após 90 dias, enquanto a outra metade foi sacrificada após 180 dias da cirurgia. A densidade celular inflamatória peri-enxerto foi avaliada em todas as pregas vocais. Houve um aumento do infiltrado inflamatório no grupo submetido à enxertia de gordura, quando comparado ao submetido à enxertia de fáscia. Bem como ao grupo controle, após 90 dias. Quanto aos coelhos sacrificados após 180 dias, não houve diferença entre os grupos entre si e em relação ao grupo controle. Esse estudo sugere que o enxerto de fáscia parece ser mais aceitável que o enxerto de gordura para a prega vocal, uma vez que origina menor reação inflamatória tecidual
Several material have been introduced into the vocal folds in attempt to solve glottic incompetence, however just a few studies are related with the consequent inflammatory process. The aim of this article was to quantify the cellular inflammatory process in rabbit vocal fold, which have undergone unilateral fat or muscular fascia introduction. Twenty-four rabbits were allocated into two groups, in which muscular fascia or fat were implanted. The control group, formed by the contra-lateral vocal fold, underwent the same surgical procedure, except for the grafting. Half the rabbits from each group were sacrificed after 90 days from the surgery, while the other half was sacrificed after 180 days. The inflammatory cellular density around the graft was measured in all vocal folds. There was a higher cellular inflammatory reaction in the group submitted to fat grafting when compared to the group submitted to muscular fascia grafting, and to the control group, after 90 days. As for the rabbits sacrificed after 180 days, there was no significant difference between the implanted groups with each other, and with the control group. This study suggests that muscular fascia graft seems to be more acceptable than fat grafts for the vocal fold, as it produces a lower local inflammatory reaction

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Baudesson, de Chanville Camille. "Rôle des monocytes dans la régulation de la réponse inflammatoire au cours du sepsis". Electronic Thesis or Diss., Sorbonne université, 2018. http://www.theses.fr/2018SORUS376.

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Le sepsis est une pathologie fréquente et grave. Il est défini comme un dysfonctionnement organique causé par une réponse dérégulée de l’hôte envers une infection. Une phase hyperinflammatoire précoce fait suite à la reconnaissance de l’agent pathogène et est progressivement remplacée par une immunosuppression à long terme entrainant une sensibilité prolongée des patients aux infections nosocomiales. Nos travaux ont montré que les Mo inflammatoires étaient fortement impliqués dans le contrôle de l’inflammation durant les phases précoces et tardives au cours d’un sepsis polymicrobien murin. En effet, lors de la phase « hyper-aiguë » la mobilisation des Mo participe à la surveillance et à la protection des tissus rénaux grâce à des mécanismes d’adhésion cellulaire dépendant du récepteur CX3CR1. La seconde phase du sepsis est le plus souvent décrite comme « immunosuppressive ». Nous avons mis en évidence une accumulation systémique des Mo et des PMN durant cette dernière phase. La caractérisation de leur localisation a montré que ces cellules s’accumulaient spécifiquement dans le réseau vasculaire des organes sans infiltrer les tissus. Les Mo Ly6Chigh et leurs récepteurs aux chimiokines CCR2 et CX3CR1 ont été identifiés comme essentiels à la surveillance pulmonaire lors d’une infection secondaire au sepsis. Cependant, la capacité de ces cellules à stimuler et à réguler les réponses immunitaires semble être altérée. Ainsi, l’état d’activation des Mo inflammatoires ne permettrait pas une protection efficace contre les infections opportunistes pulmonaires secondaires au sepsis
Sepsis is a common and life-threatening pathology. It is defined as an organic dysfunction caused by a dysregulated host response to infection. An initial hyper-inflammatory phase follows recognition of the pathogen and is progressively replaced by long-term immunosuppression leading to prolonged sensitivity to superinfections. Monocytes (Mo) are one of the first lines of phagocytic cells in the lung. Understanding how these cells participate in pulmonary supervision during sepsis would allow the development or improvement of treatments for enhancing resistance to secondary nosocomial infections. We showed that monocytes are strongly involved in the control of inflammation during the early and late phases of murine polymicrobial sepsis. Indeed, during the acute phase of sepsis, inflammatory monocyte mobilization participates to the monitoring of renal tissues and has a protective effect via a CX3CR1-dependent adhesion mechanism. The second phase of sepsis is most often described as “immunosuppressive”. We demonstrated a systemic accumulation of myeloid cells during this last phase. Characterization of their localization showed that these cells accumulated specifically in the vascular network of the organs without infiltrating the tissues. Ly6Chigh monocytes and their chemokine receptors CCR2 and CX3CR1 have been identified as essential for pulmonary supervision during first and second infection. However, the ability of these cells to stimulate and regulate immune responses appears to be impaired. Thus, the activation state of inflammatory Mo would not protect against a second pulmonary infections post sepsis

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Forrester, Kim, i n/a. "The Impact of Structural (Legislation and Policy), Professional and Process Factors on the Outcomes of Disciplinary Tribunals and Committees in Cases of Sexual Misconduct and Incompetent or Unsafe Practice". Griffith University. School of Nursing, 2004. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20040615.144659.

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This study was conducted in the context of the regulation of professional nursing and midwifery practice in the Australian health care system. In this environment, professional regulatory authorities established by State and Territory legislation in all jurisdictions, regulate and control the work of health professionals. In Queensland, registered nurses, enrolled nurses and midwives are regulated by the Queensland Nursing Council, the statutory body created by the Nursing Act 1992 (Qld). Part of the regulatory role of this and other authorities is to discipline professionals whose conduct or behaviour falls short of appropriate and acceptable standards of practice. All regulated health professionals, including nurses and midwives, are potentially subject to professional disciplinary action if a complaint is lodged in relation to their conduct. This being an important issue in the management and delivery of health care, and an increased trend among health care consumers, the dearth of existing research into the disciplinary process is a major concern. This exploratory study examined the disciplinary role of the Queensland Nursing Council in adhering to its legislative mandate to ensure safe and competent nursing practice. The study focused on the extent to which structural (legislation and policy), professional, and process factors impacted on the outcomes of disciplinary Tribunals and Committees in cases of incompetent or unsafe practice and sexual misconduct. The study was situated within the interpretive paradigm using a case study approach. Specifically, it investigated cases of sexual misconduct by nurses and unsafe or incompetent practice by midwives. The study was guided by Donabedian's conceptual framework of structure-process-outcome. This framework was seen to be most suited to the aims of the study and provided a template for in-depth analysis of the data emerging from the two cases. The findings of this study provided insight into the factors underpinning the decisions of the disciplinary bodies in making determinations and formulating outcomes. There was found to be a lack of consistency and predictability in both the legislative frameworks and the interpretation of terms and concepts used to identify conduct warranting a disciplinary response from regulatory authorities. Although the processes of disciplinary proceedings are prescribed by both legislation and policy, their practical application was characterised by considerable challenges, which resulted in varying outcomes. The thesis reports this information so that it can be used as an initial basis to build a body of knowledge from practical experience with disciplinary proceedings that will inform future processes. Subsequent case studies in other contexts and systems will increase the level of knowledge available to nurses, other health care providers, health care institutions and regulatory authorities. The initial base of evidence suggests implications for practice, education and further research which are outlined in the final chapter of the thesis.

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Forrester, Kim. "The Impact of Structural (Legislation and Policy), Professional and Process Factors on the Outcomes of Disciplinary Tribunals and Committees in Cases of Sexual Misconduct and Incompetent or Unsafe Practice". Thesis, Griffith University, 2004. http://hdl.handle.net/10072/366609.

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This study was conducted in the context of the regulation of professional nursing and midwifery practice in the Australian health care system. In this environment, professional regulatory authorities established by State and Territory legislation in all jurisdictions, regulate and control the work of health professionals. In Queensland, registered nurses, enrolled nurses and midwives are regulated by the Queensland Nursing Council, the statutory body created by the Nursing Act 1992 (Qld). Part of the regulatory role of this and other authorities is to discipline professionals whose conduct or behaviour falls short of appropriate and acceptable standards of practice. All regulated health professionals, including nurses and midwives, are potentially subject to professional disciplinary action if a complaint is lodged in relation to their conduct. This being an important issue in the management and delivery of health care, and an increased trend among health care consumers, the dearth of existing research into the disciplinary process is a major concern. This exploratory study examined the disciplinary role of the Queensland Nursing Council in adhering to its legislative mandate to ensure safe and competent nursing practice. The study focused on the extent to which structural (legislation and policy), professional, and process factors impacted on the outcomes of disciplinary Tribunals and Committees in cases of incompetent or unsafe practice and sexual misconduct. The study was situated within the interpretive paradigm using a case study approach. Specifically, it investigated cases of sexual misconduct by nurses and unsafe or incompetent practice by midwives. The study was guided by Donabedian's conceptual framework of structure-process-outcome. This framework was seen to be most suited to the aims of the study and provided a template for in-depth analysis of the data emerging from the two cases. The findings of this study provided insight into the factors underpinning the decisions of the disciplinary bodies in making determinations and formulating outcomes. There was found to be a lack of consistency and predictability in both the legislative frameworks and the interpretation of terms and concepts used to identify conduct warranting a disciplinary response from regulatory authorities. Although the processes of disciplinary proceedings are prescribed by both legislation and policy, their practical application was characterised by considerable challenges, which resulted in varying outcomes. The thesis reports this information so that it can be used as an initial basis to build a body of knowledge from practical experience with disciplinary proceedings that will inform future processes. Subsequent case studies in other contexts and systems will increase the level of knowledge available to nurses, other health care providers, health care institutions and regulatory authorities. The initial base of evidence suggests implications for practice, education and further research which are outlined in the final chapter of the thesis.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing
Full Text

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Gruber, Jost Sylvie. "L'autoévaluation des compétences en contexte : l'intime au service d'un apprentissage expansif". Thesis, Strasbourg, 2018. http://www.theses.fr/2018STRAG014/document.

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S’autoévaluer, c’est porter un regard de valeur sur soi, c’est aussi accepter de montrer quelque chose de soi. Mais pour montrer à qui ? Si le tiers, enseignant, parent ou camarade, est nécessaire, il est indispensable de s’interroger sur sa fonction et sur son regard. Cette relation questionne la transmission dans l’expérience éducative (Vieille-Grosjean, 2009). Si le but de l’enseignant est de rendre l’enfant compétent (Reboul, 1980), quel est le but de l’enfant qui apprend à l’école ? Cette étude empirique interroge la pratique de l’autoévaluation des compétences auprès des élèves du primaire. La pratique de l’autoévaluation, à condition qu’elle se situe dans le champ de la pédagogie, amène un espace de rencontre entre l’enseignant, l’élève et le savoir. Elle agit comme un révélateur des attendus des uns et des perceptions des autres et permet à l’élève de tendre vers un apprentissage expansif (Holzkamp, 1993). L’enfant en prenant conscience de sa responsabilité peut passer d’un être évalué à un être apprenant
Self-evaluation involves making a value judgement of oneself. It also involves accepting to reveal something about oneself, but to whom ? If another person, such as a teacher, a parent or friend, is a necessary part of the process, it is vital to wonder about his or her role and his or her view. This relation calls into question the idea of transmission in educational experience (Vieille-Grosjean, 2009). If the goal of the teacher is to make a child competent (Reboul, 1980), what is the goal of the child who learns at school ? This empirical study examines the practice of skill self-evaluation among primary school students. The practice of self-evaluation, if situated in the area of pedagogy, creates a meeting space between the teacher, the student and knowledge. It reveals the expectations of some and the perceptions of others, and allows the student to work toward expansive learning (Holzkamp, 1993). The child can, by becoming aware of his/her responsibility, move from being a person who is being evaluated to a person who is learning

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Grandjean, Nicole Rae. "Neuropsychological Predictors of Incompetency to Stand Trial". Thesis, University of North Texas, 2004. https://digital.library.unt.edu/ark:/67531/metadc4705/.

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This study investigated the effect of cognitive factors on competency to stand trial. Previous researchers have investigated how psychological variables --such as psychosis and intelligence--contribute to incompetency. Although several researchers have established that intelligence contributes to incompetency, very few have investigated the role of specific cognitive abilities within the realm of intelligence. This study investigated the performance of 55 defendants referred for competency restoration on neuropsychological measures. Specifically, competent defendants and incompetent defendants were compared on several measures assessing functioning in seven cognitive domains. Competent defendants performed significantly better than incompetent defendants on measures of verbal comprehension, social judgment, verbal memory, and executive functioning. Competent and incompetent defendants did not differ on attention, visual spatial skills, or nonverbal memory.

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Costa, Maira Marinho Freire. "Cerclagem de emergência: resultados gestacionais, neonatais e fatores prognósticos". Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/5/5139/tde-28092018-095912/.

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Objetivos: Avaliar e descrever os desfechos maternos e neonatais de gestantes com diagnóstico de cervicodilatação precoce submetidas à cerclagem de emergência ou à conduta expectante com repouso. Avaliar os fatores relacionados com melhores resultados nas gestantes submetidas à cerclagem de emergência. Métodos: Análise retrospectiva de gestantes internadas na Clínica Obstétrica do HCFMUSP, entre 2001 e 2017, com diagnóstico de cervicodilatação precoce e/ou bolsa protrusa. Foram incluídas gestantes com feto único, entre 16 semanas e 25 semanas e 6 dias, com dilatação cervical entre 1 e 3 cm e excluídas gestantes que evoluíram para parto ou aborto em até 2 dias após a internação. Resultados: O estudo envolveu 30 gestantes, 19 no grupo cerclagem e 11 no grupo repouso. Houve diferença significativa entre os grupos para dois dos desfechos primários, com o grupo cerclagem apresentando os melhores resultados: idade gestacional no parto 28,65 versus 23,35 semanas (p=0,031), latência entre a internação e o aborto/parto 48,63 versus 16 dias (p=0,016). Dentro do grupo cerclagem, as gestantes sem bolsa protrusa apresentaram maior idade gestacional no parto: 33,91 versus 26,82 semanas (p=0,032). Na comparação de gestantes com desfecho favorável e desfavorável entre aquelas submetidas à cerclagem, não houve diferença significante para os fatores de risco analisados (antecedentes obstétricos, dilatação cervical, exames laboratoriais ou corioamnionite clínica). Conclusões: A cerclagem de emergência foi superior que à conduta expectante no tratamento de gestantes com cervicodilatação precoce no segundo trimestre da gestação, apresentando melhores resultados gestacionais. Dentre as gestantes submetidas à cerclagem, a ausência de bolsa protrusa esteve relacionada a maior prolongamento da gestação. Não foi possível caracterizar fatores de risco para o sucesso da cerclagem (determinado como taxa de \"bebê em casa\")
Objectives: To evaluate and describe the maternal and neonatal outcomes of pregnant women with early cervical dilatation diagnosis submitted to emergency cerclage or to expectant management with bedrest. To evaluate factors related to better outcomes in pregnants submitted to emergency cerclage. Methods: Retrospective analysis of pregnants hospitalized at the Obstetrics Clinic of HCFMUSP between 2001 and 2017 with diagnosis of early cervical dilatation and/or protruding membranes. Pregnants of singleton gestation between 16 weeks and 25 weeks and 6 days, with cervical dilatation of 1 to 3 cm were included. Those ones who have had delivery or miscarriage within 2 days after admission were excluded. Results: The study involved 30 pregnant women, 19 in the cerclage group and 11 in the rest group. There was a significant difference between groups for 2 of the primary outcomes, with the cerclage group showing the best results: gestational age at delivery 28.65 versus 23.35 weeks (p=0.031), latency between hospitalization and abortion / delivery 48.63 versus 16 days (p=0.016). In cerclage group, pregnants without protruding membranes presented higher gestational age at delivery: 33.91 versus 26.82 weeks (p=0.032). In comparison of patients with favorable and unfavorable outcome between those submitted to cerclage, there was no significant difference for the risk factors analyzed (obstetric history, cervical dilatation, laboratory exams or clinical chorioamnionitis). Conclusions: Emergency cerclage was superior to expectant management in the treatment of pregnants with early cervical dilatation in the second trimester of gestation, with better gestational outcomes. Among the pregnants submitted to cerclage, the absence of a protruding membranes was related to a better prolongation of gestation. It was not possible to characterize risk factors for cerclage success (determined as take-home baby rate)

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Alves, Ana Paula Vieira Dias. "Associação entre fatores genéticos e risco aumentado de prematuridade em pacientes com antecedente de incompetência cervical". Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/5/5139/tde-23082016-095943/.

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A incompetência istmo cervical é uma importante causa de prematuridade. Atualmente, o componente genético está relacionado ao parto prematuro, dentre os quais os polimorfismos de nucleotídeo único (SNPs) de alguns genes candidatos estão associados. Os SNPs nos genes do colágeno, da matrix extracelular e das de interleucinas têm relação direta com o comprimento do colo uterino podendo relacionar-se com o encurtamento do colo uterino, como também ocorre na incompetência cervical. Este estudo tem o objetivo de associar a frequência dos SNPs dos genes do COL1 A1, COL 4A3, TGF-B e TIMP2 à história de incompetência cervical. Foi realizado estudo de caso controle com grupo de pacientes, que realizaram cerclagem do colo uterino na última gestação e o grupo de pacientes com antecedente de gestação a termo (controle). Em sangue periférico, foi extraído DNA, realizadas reações de PCR com primers específicos para os SNPs de interesse em 62 amostras preparadas para sequenciamento de última geração pelo Ion Torrent. Houve leitura satisfatória em 57 amostras, sendo 28 casos e 29 controles. A frequência do SNPS do COL1A1 no grupo caso foi de 70,4% versus 33,3% no grupo controle (p=0,03). Os SNPs do COL4A3 e do TIMP2 apresentaram associação com o antecedente de abortos totais (p=0,02 e p=0,023) e abortos tardios (p=0,001 e p=0,034); para os demais SNPs não houve diferença em frequência entre os grupos caso e controle. Foram identificados SNPs exônicos ainda não descritos na literatura. O presente estudo observou uma maior taxa de homozigoze T/T para o SNP COL1A1 no grupo caso, que é um gene associado ao metabolismo do colágeno, além de identificar SNPs ainda não descritos na literatura, que poderão ser objeto de estudo no futuro para conhecimento da sua repercussão na composição do colágeno
Cervical incompetence is one of the most important causes of prematurity. It has already been suggested that genetic factors plays a significant hole in determining the risk of preterm birth and the single nucleotide polimofisms (SNPS) from candidate genes are associated. Polymorfisms in several genes such as the collagen, the extracelular matrix and the interleucins, are related to abnormal cervical length, as it occurs in cervical incompetence. The aim of this study, was to associate the frequency of the SNPs in the COL1A1, COL4A3, TGF-B and TIMP2 genes to the cervical incompetence. We conduced a case control study with patients submitted to cervical cerclage and a control group with women who delivery at term. DNA was isolated from blood samples and amplifications of the genomic DNA were performed by PCR protocol with specific primers for the SNPs. DNA sequencing of 62 samples, was obtained from next generation sequencing on the Ion Torrent. A total of 57 samples, including 28 cases and 29 controls had results available. The frequency of the SNP in COL1A1 in the case group was 70,4% versus 33% in the control group (p=0,03). The SNPS in COL4A3 and TIMP2 were significant related to the history of miscarriages (p=0,2 and p=0,023) and fetal losses (p=0,001 and p=0,034) No significant differences were observed in the frequencies for the others SNPs in the two groups. In the present study, non described exonic SNPs were discovered. Higher frequencies of the homozygous T/T genotype in COL1A1 were observed in the case group involving the collagen metabolism and the non described exonic SNPs might be associated to collagen abnormalities in future studies

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37

Blandina, Alexander. "It’s Personal and Not Just Business: The Effects of Admitting Transgressions on the Perception of Transgressors". UNF Digital Commons, 2013. http://digitalcommons.unf.edu/etd/433.

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Three experiments examined how a transgressor’s response, once accused of a wrongdoing, alters other’s perceptions of transgressor. Study 1 investigated how a baseball player’s response to steroid usage accusations affected fans’ perceptions of him. Participants thought of the athlete more positively when he apologized for his drug usage as compared to when he denied it or provided no comment. Study 2 examined if the effects of a transgressor’s response are moderated by the transgressor’s reputation. Participants were predicted to prefer apologies over denials if they had a pre-existing positive view of the transgressor (i.e., the person was a friend and not a stranger or someone known for being lazy). Results showed that, similar to Study 1, participants respected the transgressor and thought he handled the situation better when he apologized instead of denied the transgression, but contrary to predictions, the transgressor’s reputation did not have an effect on participants’ reactions to a transgressor’s responses. Study 3 examined whether feelings of schadenfreude (i.e., positive affect resulting from another’s misfortune) mitigated negative feelings toward a transgressor who denied the transgression. After participants witnessed a transgression, they then had to work with the transgressor on a task. When the transgressor performed the task incompetently, participants were predicted to feel schadenfreude and therefore not feel it was as important to hear the transgressor admit to his wrongdoing. Results indicated that participants felt more negatively toward an incompetent transgressor than one who contributed equally to the task, regardless of whether he denied or apologized for the transgression. Furthermore, contrary to the results of Studies 1 and 2, participants did not have increased positive feelings toward transgressors who apologized. Overall, these studies provide evidence that apologizing and expressing ownership for a transgression is the best method to respond with to facilitate relationship repair within multiple situations.

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Borghi, Thais da Fonseca. "Avaliação do colo uterino de gestantes com incompetência istmocervical por meio das ultrassonografias transvaginal bidimensional e tridimensional". Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/5/5139/tde-04112016-123747/.

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Objetivos: Determinar quais características ultrassonográficas obtidas por meio da ultrassonografia transvaginal bidimensional (USG TV 2D) e da ultrassonografia transvaginal tridimensional (USG TV 3D) associam-se ao parto prematuro em gestantes submetidas à cerclagem profilática e terapêutica. Métodos: Sessenta e seis gestações únicas, submetidas a cerclagem profilática ou terapêutica, e acompanhadas no ambulatório de Aborto Habitual da Clínica Obstétrica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), entre 1 de junho de 2012 e 30 de outubro de 2015, foram avaliadas longitudinalmente, por meio da USG TV 2D e USG TV 3D associado ao power Doppler, nos três trimestres da gestação. Na análise dos resultados, as gestantes foram primeiramente avaliadas longitudinalmente nos três trimestres da gestação. Depois, foram classificadas de acordo com a idade gestacional de parto (IG parto) = 34 semanas. As gestantes também foram avaliadas considerando-se a IG parto como uma variável contínua. Resultados: Na avaliação longitudinal, o comprimento do colo uterino (CC) e a distância do ponto de cerclagem ao orifício cervical interno (POI) diminuíram significativamente entre o segundo e o terceiro trimestres (32,6 vs 28,3 mm; p < 0,001 e 14,3 vs 10,7 mm; p=0,001, respectivamente) enquanto a largura do afunilamento cervical aumentou significativamente no mesmo período (13,6 vs 20,7 mm; p= 0,011). Dez gestantes (15,2%) tiveram idade gestacional de parto < 34 semanas. O CC, a POI e a presença do afunilamento cervical, avaliados no terceiro trimestre da gestação, tiveram relação significativa com a IG parto < 34 semanas (16,27 mm, p= 0,009; zero, p= 0,003; 66,67%, p= 0,041, respectivamente). O CC < 28,1 mm, p= 0,0083, o volume do colo uterino (VOL) < 18,17 cm3, p= 0,0152, a POI < 10 mm, p= 0,0151, e os índices vasculares do colo uterino, FI < 33,83, p= 0,0338, VI < 2,153%, p= 0,0044, e VFI < 0,961, p= 0,0059 avaliados no segundo trimestre tiveram relação significativa com idades gestacionais de parto mais precoces, assim como, o CC < 20,4 mm, p= 0,0009, o VOL >= 47,48 cm3, p= 0,0107, FI < 44,336, p= 0,0038, VI>= 0,54 %, p= 0,0327 e o VFI >= 2,275, p= 0,0479 avaliados no terceiro trimestre. Nos modelos de regressão de COX, em que a variável de interesse foi o tempo até o parto, o VOL no segundo trimestre foi significativo, ao passo que no terceiro trimestre, o FI e o VFI foram significativos. Conclusões: Em gestantes submetidas a cerclagem profilática e terapêutica, o VOL do colo avaliado no segundo trimestre, e o FI e o VFI avaliados no terceiro trimestre foram as únicas variáveis independentes que se relacionaram com o tempo até o parto
Objectives: To determine which cervical sonographic characteristics on twodimensional transvaginal ultrasonography (2DTVUS) and three-dimensional transvaginal ultrasonography (3DTVUS) could be related to gestational age at birth after placement of history-indicated cerclage or ultrasound-indicated cerclage. Methods: Sixty six pregnant women, with a singleton gestation, submitted to history-indicated cerclage or ultrasound-indicated cerclage and followed at the Recurrent Miscarriage Clinic of Department of Obstetrics and Gynecology of São Paulo University Medical School between June 1, 2012 and October 30, 2015, were longitudinaly evaluated by 2DTVUS and 3DTVUS associated to power Doppler, in the three trimesters of pregnancy. For the analysis, pregnant women were, firstly, evaluated longitudinally, in the three trimesters of pregnancy. After that, they were classified according to gestational age (GA) at delivery = 34 weeks. Pregnant women were evaluated considering GA at delivery as a continuous variable already. Results: In the longitudinal evaluation, cervical length (CL) and proximal cervical length decreased between the second and the third trimestrers (32.6 vs 28.3 mm, p < 0.001; 14.3 vs 10.7, p= 0.001, respectivelly), while width of funneling increased at the same period (13.6 vs. 20.7 mm; p = 0.011). Ten pregnant women (15.2%) delivered < 34 weeks. CL, proximal cervical length and present cervical funneling, in the third trimester, were significantly related to GA at delivery < 34 weeks (16.27 mm, p= 0.009; zero, p= 0.003; 66.67%, p= 0.041, respectively). CL < 28.1mm, p=0.0083, cervical volume < 18.17 cm3, p= 0.0152, proximal cervical length < 10 mm, p = 0.0151, and cervical vascularization index, FI < 33.83, p= 0.0338, VI < 2.153 %, p= 0.0044, VFI < 0.961, p = 0.0059, in the second trimester, were related to earlier delivery, as, CL < 20.4 mm, p= 0.0009, cervical volume >= 47.48 cm3, p = 0.0107, FI < 44.336, p: 0.0038, VI >= 0.54, p = 0.0327 and VFI >= 2.275, p= 0.479 in the third trimester. Using COX regression analysis, it was demonstrated that cervical volume in the second trimester, and FI and VFI in the third trimester were significantly associated to gestational age at birth .Conclusions: In women with history-indicated cerclage or ultrasound indicated cerclage, 2nd trimester cervical volume and 3rd trimester FI and VFI are the only indenpendent significant sonographic findings associated whith time to delivery

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Rutgers, Peter Hans. "To strip or not to strip the incompetent saphenous vein". [Maastricht : Maastricht : Rijksuniversiteit Limburg] ; University Library, Maastricht University [Host], 1993. http://arno.unimaas.nl/show.cgi?fid=6577.

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40

Sánchez, Vicuña David Alejandro. "Incompetencia en la inaplicación de barreras burocráticas ilegales con efectos generales". Bachelor's thesis, Pontificia Universidad Católica del Perú, 2020. http://hdl.handle.net/20.500.12404/19100.

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Los procedimientos de eliminación barreras burocráticas en la actualidad han ganado relevancia, al considerar la diversidad de barreras establecidas en las entidades de la Administración, las cuales influyen en la interacción realizada por el administrado. El Decreto Legislativo 1256, busca solucionar ello en su artículo 8, ante la inaplicación general de barreras burocráticas ilegales contenidas en disposiciones administrativas, evitando que la administración tenga que llevar a cabo procedimientos idénticos, a razón del fondo y la forma, variando tan solo por el administrado que lo solicitado. No obstante, tal competencia ejercida a través de mandatos de la CEB y la Sala al declarar la ineficacia de una disposición administrativa, conlleva el mismo efecto – la ineficacia de la norma vigente – al dado en las competencias exclusivas reconocidas a los jueces, de poder un control concentrado y con ello, llevar a cabo derogaciones o nulidades, que al fin de cuentas, genera la ineficacia con efectos generales de la norma cuestionada. Es el poder determinar si se atenta contra la competencia de los jueces y con ello, el considerar si el artículo 8 del Decreto Legislativo 1256 es inconstitucionalidad, lo que permite establecer si se puede considerarse como tal, ante la vulneración dada por medio el control de legalidad ejercido por la CEB y la Sala, frente a las competencias otorgadas por la Constitución a los jueces en poder generar ineficacia con efectos generales en las disposiciones. En ese sentido, si bien es admisible el que la CEB y la Sala puedan ejercer un control de legalidad, mas es el efecto de ello – similar al dado en la derogación y la nulidad en sus procedimientos respectivos– es lo que vulnera la Constitución, al reconocer y atribuir una competencia que es exclusiva de los jueces del Poder Judicial y el Tribunal Constitucional
Trabajo académico

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Maldonado, Muñoz Valentina. "Tecnologías de la mirada : la incompetencia del registro tematizada por el video". Tesis, Universidad de Chile, 2018. http://repositorio.uchile.cl/handle/2250/164003.

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Magíster en artes mediales
La presente tesis expone los paradójicos efectos de la evolución de las tecnologías de registro, en una sociedad donde el exceso de imágenes proveniente de las cámaras, llevará a lo que hemos denominado como una incompetencia de los medios de registro. Se determina que actualmente el fácil acceso a cámaras y dispositivos de grabación ha ido alejando, cada vez con más fuerza, la referencia humana y autoral de las creaciones. Este hecho, que se hará presente en las imágenes de nuestra colectividad, pero también en las producciones cinematográficas, ha expresado que la urgencia por registrar se debe, por una parte, al temor a desaparecer, y por otra, a una necesidad de producir imágenes cada vez mas fieles a nuestra mirada. Para comprender este estado, se realiza un repaso cronológico por alguna de las técnicas de registro utilizadas a lo largo de la historia, desde la escritura, hasta la cámara de cine y video, siendo recién acá donde se da paso a la relación entre mis videos y el conflicto tecnológico propuesto. Los discursos posibles de realizarse en este medio audiovisual vendrían a tematizar la incapacidad de las tecnologías de registro a la hora de trasladar, de manera fiel, las experiencias de la mirada.

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Carlile, Orison. "Incompetent teachers in Irish voluntary secondary schools : principals' assessments, attitudes and reactions". Thesis, University of Hull, 1999. http://hydra.hull.ac.uk/resources/hull:7038.

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This study attempts to identify, describe and quantify the problem of allegedly incompetent teachers in Irish voluntary secondary schools through the perceptions of their principals. Its central thesis is that the nature, extent and effects of teacher incompetence in Irish voluntary secondary schools are similar to those in the international experience. The thesis is argued by developing eight inter-related themes. 1. The nature of incompetence; 2. The existence and extent of the problem; 3. Incompetent teachers; 4. Attitude of the teacher union; 5. The principals' attitudes; 6. The principals' reactions; 7. Support and remediation; 8. Dismissal and induced exits. A postal questionnaire containing 46 questions and spaces for optional comments was administered to every voluntary secondary school principal in the Republic of Ireland. The response of 325 represents a return rate of 75%. Principals were asked to accept a given strict definition of an incompetent teacher and then to estimate how many of their teaching staff fitted that description. Then they filled in a type of 'census form' describing the characteristics of each incompetent teacher, noting their effects and examining the attitudes and reactions of management and detailing the outcomes of interventions. This produced 257 variables as well as written comments. The data were analysed using simple frequencies, descriptive statistics, cross-tabulations, chi-squares, ANOVA and T-tests. Principals assess teacher incompetence at six percent. Management reaction includes ineffective remediation attempts and accommodation by judicious timetabling. Principals expressed concern and felt that the issue needed to be addressed.

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Jolicoeur, Lucie-G. "INCOMPETENT GODS - Roman Suivi de : EFFETS DE MIROIRS De la satire en fantaisie - Essai". Thesis, Université Laval, 2013. http://www.theses.ulaval.ca/2013/30031/30031.pdf.

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Ce mémoire est composé de deux sections, une de création et l’autre de réflexion. La première consiste d’un roman de fantaisie satirique, Incompetent Gods (écrit en anglais) et la deuxième d’un essai à propos de ce genre. Incompetent Gods - Dans une dimension parallèle, créée par les dieux écœurés de l’athéisme régnant dans la nôtre, immortels et mortels vivent ensemble en cacophonie. Leurs relations sont étroitement surveillées par la compagnie Dieux Inc. qui emploie et contrôle la plupart des divinités. Son PDG, la reine Louhi Pohjola, court un grave danger car Goblin et son souverain-fifre Japhet essaient de se débarrasser d’elle afin de conquérir le monde. Ce récit satirique, en utilisant la transvalorisation de mythes anciens, la parodie de lieux communs présents en fantaisie, la transposition de dieux dans un contexte corporatif et des jeux de langage, se veut une critique de notre société, de nos valeurs et de nos utopies. Effets de miroirs. De la satire en fantaisie - Cet essai présente une étude littéraire de l’œuvre de Terry Pratchett, un des géniteurs de la fantaisie satirique contemporaine, suivie d’une réflexion sur le processus de création. Cela dans le but de répondre à deux questions : comment se moquer d’une chose alors qu’on en évoque une autre? Et comment créer un effet de reconnaissance entre le merveilleux et le réel? Idéalement, ceci permettra d’offrir une nouvelle perspective sur ce genre si mal apprécié.
This thesis is made up of two parts. The first one, Incompetent Gods, is a short satirical fantasy novel written in English. The second part consists of an essay about the genre. Incompetent Gods - In a parallel world, created by the gods sickened with the atheism in our dimension, mortals and immortals live together in cacophony. Their relations are monitored by Gods Inc., a huge multinational that employs and controls most divinities. Its CEO, Queen Louhi Pohjola, is in grave danger, for in order to conquer the world, Goblin and his side-king Japhet are doing all they can to get rid of her. By devaluing old myths, parodying the clichés of fantasy, transposing gods into a corporate context and playing with language, this satirical fable aims to critique our society, our values and our utopias. Effets de miroirs. De la satire en fantaisie - This essay (in French) presents a literary study of the works of Terry Pratchett, one of the most famed authors of contemporary satirical fantasy, and a reflection on the creative process that answers two questions: how to ridicule one thing while evoking another? And how to create a mirror of reality through the use of fantasy? Ideally, this will give new insights into this badly perceived genre.

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44

Jolicoeur, Lucie-Gabrielle. "Incompetent gods : roman ; suivi de Effets de miroirs : de la satire en fantaisie : essai". Master's thesis, Université Laval, 2013. http://hdl.handle.net/20.500.11794/24240.

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Ce mémoire est composé de deux sections, une de création et l’autre de réflexion. La première consiste d’un roman de fantaisie satirique, Incompetent Gods (écrit en anglais) et la deuxième d’un essai à propos de ce genre. Incompetent Gods - Dans une dimension parallèle, créée par les dieux écœurés de l’athéisme régnant dans la nôtre, immortels et mortels vivent ensemble en cacophonie. Leurs relations sont étroitement surveillées par la compagnie Dieux Inc. qui emploie et contrôle la plupart des divinités. Son PDG, la reine Louhi Pohjola, court un grave danger car Goblin et son souverain-fifre Japhet essaient de se débarrasser d’elle afin de conquérir le monde. Ce récit satirique, en utilisant la transvalorisation de mythes anciens, la parodie de lieux communs présents en fantaisie, la transposition de dieux dans un contexte corporatif et des jeux de langage, se veut une critique de notre société, de nos valeurs et de nos utopies. Effets de miroirs. De la satire en fantaisie - Cet essai présente une étude littéraire de l’œuvre de Terry Pratchett, un des géniteurs de la fantaisie satirique contemporaine, suivie d’une réflexion sur le processus de création. Cela dans le but de répondre à deux questions : comment se moquer d’une chose alors qu’on en évoque une autre? Et comment créer un effet de reconnaissance entre le merveilleux et le réel? Idéalement, ceci permettra d’offrir une nouvelle perspective sur ce genre si mal apprécié.
This thesis is made up of two parts. The first one, Incompetent Gods, is a short satirical fantasy novel written in English. The second part consists of an essay about the genre. Incompetent Gods - In a parallel world, created by the gods sickened with the atheism in our dimension, mortals and immortals live together in cacophony. Their relations are monitored by Gods Inc., a huge multinational that employs and controls most divinities. Its CEO, Queen Louhi Pohjola, is in grave danger, for in order to conquer the world, Goblin and his side-king Japhet are doing all they can to get rid of her. By devaluing old myths, parodying the clichés of fantasy, transposing gods into a corporate context and playing with language, this satirical fable aims to critique our society, our values and our utopias. Effets de miroirs. De la satire en fantaisie - This essay (in French) presents a literary study of the works of Terry Pratchett, one of the most famed authors of contemporary satirical fantasy, and a reflection on the creative process that answers two questions: how to ridicule one thing while evoking another? And how to create a mirror of reality through the use of fantasy? Ideally, this will give new insights into this badly perceived genre.

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Tiba, Thaisa Marilia Coelho. "Loucas, certinhos ou incompetentes : uma etnografia do assédio moral entre professoras e professores do distrito federal". reponame:Repositório Institucional da UnB, 2014. http://repositorio.unb.br/handle/10482/16204.

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Dissertação (mestrado)—Universidade de Brasília, Programa de Pós-Graduação em Antropologia Social do Departamento de Antropologia, 2014.
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A partir de uma pesquisa de campo realizada com professores e professoras do ensino fundamental e médio, diretores e diretoras sindicais, advogados, psicólogos e psiquiatras, entre outros profissionais, apresenta-se uma etnografia das ações de assédio moral nas escolas públicas do Distrito Federal brasileiro, bem como das práticas de reestabelecimento dos professores e das professoras sujeitos a essas ações. Se para Hirigoyen (2009) o assédio moral é caracterizado por toda e qualquer conduta que possa trazer dano à personalidade, à dignidade ou à integridade física ou psíquica de uma pessoa, colocando em risco o seu emprego ou degradando o seu ambiente de trabalho, a partir das considerações de Cardoso de Oliveira (2008) sobre o insulto moral como uma agressão à dignidade da pessoa, postulo que o assédio moral é um insulto moral sistemático. As ações de assédio e os conflitos entre professores e professoras estão marcados por tensão entre duas concepções de igualdade vigentes no mundo cívico brasileiro: a que concebe a igualdade como tratamento uniforme e a que postula tratamento diferenciado (CARDOSO DE OLIVEIRA, 2010b; 2013). Frequentemente divididos entre dois grupos, os donos da escola e os outros, as interações conflituosas entre eles resultam de diferentes percepções sobre o que vem a constituir direitos e privilégios para cada um dos envolvidos na relação e, a partir daí, as consequentes ações de assédio moral de um para com o outro. O interesse nesta pesquisa recai em refletir sobre como os envolvidos nos episódios de insulto moral, caracterizados como assédio moral, posicionam-se perante esses conflitos, como vivenciam essas situações e como operam moralidades acerca do trabalho, do gênero e da sexualidade. _________________________________________________________________________________ ABSTRACT
From field research held with male and female teachers of primary and secondary schools, male and female union directors, lawyers, psychologists, psychiatrists among other professionals, I present an ethnography on the actions of moral harassment in public schools of the Brazilian Federal District as well as the practices of reestablishment of the male and female teachers who have been subjected to those actions. If for Hirigoyen (2009) moral harassment is characterized as any conduct that can bring harm to somebody’s personality, dignity, physical or psycho integrity, putting their job at risk or degrading the work environment, and from Cardoso de Oliveira’s (2008) consideration of moral insult as an aggression to a person’s dignity, I postulate that moral harassment is a systematic moral insult. Actions of harassment and the conflicts between male and female teachers are marked by the tension between two current concepts of equality in the Brazilian civic world: the one that conceives an equality as a uniform treatment and that which postulates differentiated treatment (CARDOSO DE OLIVEIRA, 2010b; 2013). Frequently divided into two groups, “Os donos da escola” (the owners of the school) and “Os outros” (the others), the conflicted interactions between them arising from different perceptions about what comes to constitute rights and privileges for each one of the involved in the relation and, from there, the consequential actions of moral harassment from one to another. My interest lies on reflecting about how those involved in the episodes of moral insult, characterized as moral harassment, present themselves before these conflicts, how they hand these situations and how they operate morals inside the work environment, gender and sexuality.

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46

Rowe, Margaret Catharine, i Margaret Catharine Rowe. ""Lock 'Em Up And Throw Away The Key": The Involuntary Treatment and Commitment of Incompetent Criminal Defendants". Thesis, The University of Arizona, 2017. http://hdl.handle.net/10150/625138.

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To respect the rights owed to a person in the legal process, defendants must be able to understand the criminal legal proceedings against them. In legal terms, a defendant must be competent to stand trial. If a prosecutor, defense attorney, or judge questions a defendant's competency, the legal proceedings stop until evaluations can be conducted. Competency evaluations are one of the most common evaluations conducted within the legal system. Approximately 10,000-18,000 defendants per year are found incompetent and sent to competency restoration services (Gowensmith, Frost, Speelman, Therson, 2016). Competency restoration involves one or both of the following: educating a defendant about the legal process, and/or medication to resolve symptoms of mental illness, making restoration both a legal and mental health issue. This creates conflict between the defendant's mental health and due process and the court's pursuit of justice. This paper reviews important federal and state cases, rulings, and research related to the involuntary commitment and treatment of criminal defendants found not competent to stand trial. After discussing the implications of cases, rulings, and research on this subject, this paper discusses how the restoration of those found incompetent to stand trial can best satisfy both legal and psychological interests.

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Fernández, González Catalina Alejandra. "Estudio descriptivo de características dentomaxilares y de evaluación morfofuncional orofacial en niños entre 7 y 13 años con incompetencia labial". Tesis, Universidad de Chile, 2015. http://repositorio.uchile.cl/handle/2250/141483.

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Trabajo de Investigación Requisito para optar al Título de Cirujano Dentista
Introducción: Las Anomalías Dentomaxilares son la tercera patología oral más prevalente en Chile y se manifiestan clínicamente como maloclusiones. Éstas, son variaciones clínicamente significativas de la fluctuación normal del crecimiento y la morfología dentomaxilar, dada una discrepancia entre el tamaño de los dientes y los huesos. La etiología es multifactorial, incluyendo genética y factores medioambientales. Las maloclusiones que se han asociado a incompetencia labial son resalte aumentado, aumento o disminución del escalón, distoclusión molar, apiñamiento dentario, compresión maxilar, entre otras. El propósito de este estudio es evaluar las características dentomaxilares y el componente morfofuncional de niños con incompetencia labial, debido a la influencia que ejerce la musculatura orofacial en la forma, posición y relaciones que presentan los dientes entre ellos y respecto a las estructuras óseas orales. Metodología: Estudio observacional, descriptivo, transversal. Se obtuvieron modelos en yeso piedra de 50 niños entre 7 y 13 años incompetentes labiales, con Anomalías Dentomaxilares, chilenos y sanos sistémicamente, participantes en PRIODO 14/010, previo consentimiento informado. Se utilizó el Manual de Análisis de modelos para Ortopedia y Ortodoncia, Facultad de Odontología, Universidad de Chile; y se realizó Evaluación Morfofuncional orofacial a través del examen kinésico según Bossart. Los datos obtenidos fueron tabulados en una planilla de cálculos Excel y procesados mediante Sofware Stata 12; se utilizó test de significancia, prueba paramétrica T de Student para datos paramétricos y Chi cuadrado de Karl-Pearson para datos no paramétricos. Resultados: En la muestra analizada, se observó mayor prevalencia de forma de arco superior triangular e inferior ovoide, distribución de la discrepancia de modelos negativa entre -1 a -6 mm y positiva de forma semejante, resalte aumentado, distoclusión molar bilateral, escalón disminuido, oclusión transversal bilateral normal, 24% de compresiones maxilares, y la mayoría de los pacientes obtuvo puntajes compatibles con comportamiento funcional deficiente de la musculatura orofacial. Conclusiones: los pacientes con incompetencia labial estudiados presentan maloclusiones asociadas a la alteración morfofuncional que padecen.
Adscrito a Proyecto PRI ODO 14/010

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48

Surty, Fatima. "The political / administrative interface: the relationship between the executive mayor and municipal manager". Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4188_1334910053.

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Local government is arguably the most significant sphere of government to lay citizens, as it is the point of contact of citizens with their government. Local government enables a direct link between the general public and the basic services that they are entitled to by means of their constitutional and legislatively entrenched rights. It is the only sphere of government that allows and encourages face-to-face engagement between citizens and their governors, providing the necessary platform for interaction, contact and communication. It is imperative therefore that this tier of government operate optimally and competently, as it represents a reflection of the operation of government wholly. Research unfortunately illustrates that public perceptions of local government are negative, with levels of trust in local government being substantially lower than those in provincial and national governments. The responsibility for failure to perform would lie squarely on the shoulders of those individuals leading any institution. The leading incumbents driving a municipality are the political and administrative heads, i.e. executive mayor and municipal manager.

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49

Lee, Yiu-wa, i 李耀華。. "The foreign policy of an incompetent empire: a study of British Policy towards the Sino-Japanese War in 1937-1941". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B31221294.

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Lee, Yiu-wa. "The foreign policy of an incompetent empire : a study of British Policy towards the Sino-Japanese War in 1937-1941 /". Hong Kong : University of Hong Kong, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B20731632.

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