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Wang, Lingling. "CEO employment history and risk-taking in firm policies". unrestricted, 2009. http://etd.gsu.edu/theses/available/etd-04292009-150418/.
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Thesis (Ph. D.)--Georgia State University, 2009.Title from file title page. Harley E. Ryan, committee chair; Conrad Ciccotello, Omesh Kini, Jayant Kale, committee members. Description based on contents viewed July 1, 2009. Includes bibliographical references (p. 72-74).
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Vallikivi, Marin. "The Consolidation of Power: Konstantin Päts taking and securing his power after the coup d’etat in 1934". Thesis, Uppsala universitet, Historiska institutionen, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-383110.
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Wang, Lingling. "CEO Risk Taking and Firm Policies: Evidence from CEO Employment History". Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/finance_diss/15.
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I propose that CEO employment history is an observable characteristic that reveals the CEO’s unobservable risk-taking preferences. I hypothesize that CEOs that change employers more frequently (mobile CEOs) have a propensity to bear risk and implement riskier firm policies. Using a sample of S&P 1500 CEOs, I find that firms are more likely to hire mobile CEOs when the firm’s prior risk is high, firm-specific human capital is less important, the prior CEO turnover is forced, the prior CEO has a shorter tenure and the board is smaller and has fewer insiders. Mobile CEOs increase financial leverage, invest more in advertising and less in capital expenditures, and increase firm-specific risk. Mobile CEOs invest more (less) in R&D in homogenous (heterogeneous) industries where firm-specific knowledge is less (more) important in making investment decisions. Shareholders react positively to appointments of CEOs who change employers more frequently. I find no difference in long-run accounting performance for CEOs with different employment histories. Firms’ annual stock returns and sales growth are higher for CEOs who change employers more frequently. The cost of debt increases after the firm appoints a mobile CEO. These findings suggest that lower CEO risk aversion and the potential risk-shifting from shareholders to bondholders are sources of shareholder value increases. In sum, my findings provide evidence that CEO employment history is an observable characteristic that reveals the risk-taking preference of the CEO.
4
Fulginiti, John Vincent 1959. "Reliability of the Arizona Clinical Interview Rating Scale: A confirmatory study". Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276763.
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Reliable measurement of student capability for a skill allows educators to verify student mastery. A major part of a physician's ability to gather information involves patient interviewing, and instruction of this skill is a substantial portion of a medical curriculum. Since 1974, the University of Arizona College of Medicine has employed patient-instructors (PIs), lay persons who function in the roles of patient and teacher for training of interview skills in the Preparation for Clinical Medicine (PCM) program. PIs provide "real" patient-interview experiences and immediate feedback to the students. The PCM program currently has four topic areas: Adult, Pediatric, Geriatric, and Psychiatric. The Arizona Clinical Interview Rating (ACIR) Scale was developed in 1976 to measure the technical performance aspects of interviewing. This study was undertaken to determine reliability of the ACIR. Implication of the results are discussed and suggestions made for the continued application of the ACIR Scale. (Abstract shortened with permission of author.)
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Deng, Qiuju. "Action-taking gods: animal spirit shamanism in Liaoning, China". Thesis, McGill University, 2014. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=123277.
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This thesis explores animal spirit shamanism (chuma xian) as it occurs in Liaoning, China. Aspects of this form of shamanism to be discussed and analysed include its origins, development, and practices; its relationships with Manchu shamanism and the Han Chinese cult of the fox; its medical implications and its involvement with Buddhism, Daoism, and other local cults. The history and characteristics of the chuma xian practice are closely tied to questions of power, and reflect Foucault's theory of power pluralism. This thesis argues that chuma xian practice is a particular product of local history and ethnography; it is also a means for expressing and exercising local religious beliefs of the people in Liaoning, especially within under-privileged groups (socio-economic status, etc.) within society.Ce mémoire explore le shamanisme de l'esprit animal (chuma xian) tel qu'il existe en tant que phénomène dans la province de Liaoning dans la République Populaire de Chine. Les aspects de cette forme de shamanisme qui sont discutés et analysés incluent ses origines, son développement et ses pratiques spécifiques, ses liens avec le shamanisme Manchu et le culte Han du renard ainsi que ses implications avec le Bouddhisme, le Daoisme et d'autres cultes mineurs. L'histoire et les caractéristiques de la pratique chuma xian sont étroitement reliés aux questions de pouvoir et reflètent certains aspects de la théorie du pluralisme du pouvoir de Michel Foucault. Cette thèse soutient que la pratique chuma xian est le produit de particularités historiques et ethnographiques locales et qu'elle est un moyen, pour la population de Liaoning et spécialement au sein de groupes socio économiquement défavorisés, d'exercer des croyances religieuses.
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Vera, Monica A. "Taking Issue with History: Empathy and the Ethical Imperatives of Creative Interventions". FIU Digital Commons, 2012. http://digitalcommons.fiu.edu/etd/776.
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The purpose of this thesis was to contribute to a dialogue that considers the relationship between history, literature, and empathy as a literary affect. Specifically, I explored sites of literature’s transformative potential as it relates to cultural studies and the ethics of deconstruction. Via a deconstructive, post-colonial reading of Toni Morrison’s Beloved and Junot Díaz’s The Brief Wondrous Life of Oscar Wao, I considered how subjects in our current socio-political moment can feel history.
Emerging from a post-structurally mediated engagement with history, signification, and feeling, I argued that empathy, as it is contentiously presented in the context of deconstruction, is not necessarily a reductive or essentialist approach towards relating or “being-with” an-other. Instead, I proposed that the act of reading historiographical novels that take constructions of the Atlantic Slave Trade to task might generate an affective empathy, which could in turn engender a more empathetic relationality and way of being-in-the-world.
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Seguin, Kimberley. "Difficult Knowledge and Alternative Perspectives in Ontario's History Curriculum". Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/39384.
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This study used qualitative research methods to analyze the ways in which difficult knowledge is represented in Ontario’s 2013 and revised 2018 history curriculum (Grades 7, 8, 10). Difficult knowledge promotes serious discussions about weighty topics – often entrenched in collective memory – and invites readers to reflect on the different values, beliefs, and perspectives around such topics. In this study, difficult histories refer to contested depictions of past violence and oppression as they appear in historical narratives and curricular frameworks (Epstein and Peck, 2017). Examining the curriculum using the lens of difficult knowledge allowed me to consider how educators might foster reconciliation through engagement with chapters in Canadian history. The content analysis considered the difficult knowledge topics in history curricula and the approaches proposed to encourage perspective-taking. The study used a critical sociocultural approach to explore how Ontario’s official curriculum represents difficult knowledge using multiple perspectives in general, and Indigenous perspectives, specifically. In an effort to gain a better understanding of the curricular resources currently available, this study contributes to knowledge growth by identifying entry points in the curriculum that serve to help teachers introduce difficult knowledge using disciplinary thinking and Indigenous epistemic themes. The main goal with this research is to provide recommendations to guide policy, research, and practice in the integration of Indigenous perspectives and knowledges in ways that are meaningful to learners.
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Grant, Elzaan. "Validity and accuracy of self-reported drug allergies". Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/3295.
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Purpose: Pharmacists must ensure the safe and effective use of medication, but often have only the documented patient history to guide assessment of therapy. There is a lack of information on the incidence of claimed drug allergies or the validity of these self-reported drug allergies in the South African population. Mislabelling of patients as being allergic to medication often deprives them of important therapeutic drugs and alternative agents may be more dangerous, less effective and more costly (Hung et al., 1994). The aim of the research was therefore to determine the incidence of drug allergies in patients admitted to a private hospital and to assess the validity of these self-reported drug allergies. Methods: A descriptive, non-experimental study design was used. Data was collected using a concurrent, cross-sectional approach and collected from patients admitted to hospital using Medical Chart Reviews and researcher-led, questionnaire based interviews. During the seven month sampling period, 693 patients were identified with one or more self-reported drug allergies. A subset of 99 patients (14.2%) consented to a researcher-led interview. The allergies were assigned to one of three groups based on the history: (i) High probability: signs and symptoms typical of an immunological reaction. (ii) Low probability: signs and symptoms of the reaction were predictable reactions or side effects of the drug. (iii) Unknown status: no information concerning the reaction history was available. Results: A total of 953 allergies were identified in the 693 patients, with a ratio of drug allergy to patient of 1.4:1. The majority of claimed allergies were to penicillin (39.2%), opioid analgesics (17.6%), other antimicrobials, including co-trimoxazole (13.5%), NSAIDs (9.9%) and unspecified “sulphur” allergy (8.7%). Descriptions of the “allergic” reactions were only recorded on 8.9% (62, n=693) of the reviewed charts. Only 56.5% (35, n=62) of the symptoms recorded as “allergy” were indicative of the event being allergic or immunological in nature. In total, 1.3% (9, n=693) of the patients with a self-reported allergy received the allergen while in hospital. In three cases this was the result of a pharmacist overlooking the recorded allergy, and dispensing the allergen to the patient. A total of 118 allergies were identified in the 99 interviewed patients, with a ratio of drug allergy to patient of 1.2:1. Inaccurate allergy history was found in 9.1% (9, n=99) of the interviewed patients. Overall, the majority of self-reported drug allergies (67.8%) had a “high probability” of being a true drug allergy. Allergies that were assigned into the high probability group were: penicillin (74.1%), co-trimoxazole (91.7%), NSAID‟s (55.6%) and 75.0% of opioids. Conclusion: In summary, the validity of self-reported drug allergies need to be determined before excluding medication from a patient‟s treatment options. Detailed descriptions can assist in the evaluation of self-reported allergies which would be advantageous to both prescribers and patients. Pharmacists need to play a bigger role in ensuring accurate documentation of drug allergy history, with detailed descriptions, in order to ensure safe and effective drug use within the hospital environment.
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Collette, Jared P. "Empathy in the Middle-School History Classroom: The Effects of Reading Different Historical Texts on Theory of Mind, Empathetic Concern, and Historical Perspective-Taking". DigitalCommons@USU, 2019. https://digitalcommons.usu.edu/etd/7433.
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Theoretical and empirical evidence indicate a possibility that reading certain types of historical texts could improve different constructs of empathy that include theory of mind (ToM), empathic concern (EC), and historical perspective-taking (HPT).The objective of this study was to compare the effect of reading a collection of primary documents in comparison to a historical narrative on ToM, HPT, and EC for adolescents in an eighth-grade history class. Students were randomly assigned to read either a historical narrative or a collection of adapted historical documents with approximately the same length, and reading level. This researcher controlled for student comprehension scores, ToM scores, estimated amount of reading frequency, gender, and age. Post reading, students were assessed on ToM, EC, and HPT using age-appropriate and valid measures.
The results demonstrated no statistical difference for individuals assigned to read either text as measured by ToM, EC, and HPT. Individuals with higher comprehension abilities in the historical document group were more likely to read for a longer period of time than individuals with high comprehension abilities in the narrative group. Empathic emotions for the narrative group were significantly correlated with higher HPT. The researcher argues that better ToM assessments need to be developed for adolescents and the relationship of reading historical texts and empathy for adolescents should be a topic of future research.
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Jones, Jennifer. "Retrospective drug testing : can the skin provide a record of drug taking history?" Thesis, University of Bath, 2017. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.723342.
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It has been shown that prolonged systemic presence of a drug can cause a build up of that drug in the skin. This drug ‘reservoir’, if properly understood, could provide useful and important information about the recent drug-taking history of a patient. In this thesis we create three mathematical models which combine to explore the potential for a drug reservoir to form in the skin and be collected as a method of monitoring compliance. The first model is used to characterise timedependent drug concentrations in plasma and tissue following a customisable drug regimen. Outputs from this model provide boundary conditions for the second, spatio-temporal model of drug build-up and concentration profile in the skin. This then provides initial conditions for the final model which predicts the extraction. These models are then used to identify the scenarios which have the greatest potential for successfully monitoring patient compliance via the skin. We focus in particular on drugs that are highly bound as this will restrict their potential to move freely into the skin but which are lipophilic so that, in the unbound form, they would demonstrate an affinity to the outer layers of the skin (which are built around a lipid matrix). We highlight how this study might be used to inform future experimental design and data collection in order to provide relevant parameter estimates for reservoir formation and its potential to contribute to enhanced drug monitoring techniques.
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De, Kamper Gerard Christiaan. "Taking stock : a history of collecting collections at the University of Pretoria (1908-2014)". Diss., University of Pretoria, 2018. http://hdl.handle.net/2263/65309.
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Until relatively recently the histories of collections across the world was a subject sadly neglected. Generally most research on museums was specifically collections-based, meaning research that focused on the actual or individual objects with no real effort being made to preserve or research the actual collecting or acquiring history in detail. The question then arises, what is the importance of preserving collection history? Besides the pragmatic necessity to keep record of the details of the acquisition from a legal perspective, the actual provenance and historical context is also of relevance. On the one hand it is telling of what a particular society or institution deemed worthy of preservation within a particular time and therefore reflects on that past – while on the other hand, it also speaks to the nature and context of the collections themselves. It is from this perspective that this proposed study considers the range of collections that the University of Pretoria gathered over a period of just over a centuryDissertation (MHCS)--University of Pretoria, 2018.
Historical and Heritage Studies
MHCS
Unrestricted
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Tessier, Laure. "Family History Taking In Pediatric Practice: a Qualitative Interview Study Using the Theoretical Domains Framework". Thesis, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/32001.
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Abstract: Family history (FH) is a risk factor for many conditions that can affect pediatric patients. While there is no evidence of the clinical utility of FH taking in pediatrics and there is no standard of care as to FH taking, many suggestions were made as to what conditions should be covered in a pediatric FH assessment. There is also no evidence of the current practice. In this study the Theoretical Domains Framework was applied to FH taking and used to conduct semi-structured interviews with pediatricians to explore their FH taking practice. The pediatricians reported similar FH taking habits. Their FH taking was reported to include a wide range of conditions and determinants of health, and they used this information for a broad range of clinical tasks. FH taking in pediatric practice was reported to be complex and embedded with other aspects of practice.
Résumé:
Les antécédents familiaux (AF) sont des facteurs de risque pour plusieurs maladies affectant les patients pédiatriques. Alors qu'il n'y a ni données probantes concernant l'utilité des AF en pédiatrie ni normes pour la prise d'AF, plusieurs ont fait des suggestions quant à ce qui devrait être couvert par la prise d'AF. Il n'y a pas de données probantes décrivant la pratique actuelle de prise d'AF en pédiatrie. Dans cette étude, le Theoretical Domains Framework a été appliqué à la prise d'AF et utilisé afin de diriger des entrevues semi-structurées avec des pédiatres, dans le but de décrire leur pratique actuelle. Les pédiatres ont dit avoir des habitudes semblables quant à la prise d'AF. Cette dernière inclut plusieurs maladies et déterminants de la santé, et ils utilisent cette information pour plusieurs tâches. La prise d'AF en pédiatrie a été décrite comme étant complexe et très intégrée à leur pratique entière.
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Rutledge, Thomas. "Psychological response styles and cardiovascular health : confound or independent risk factor?" Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0002/NQ34622.pdf.
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Lambert, Craig Lee. "Taking the war to Scotland and France : the supply and transportation of English armies by sea, 1320-60". Thesis, University of Hull, 2009. http://hydra.hull.ac.uk/resources/hull:5747.
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This thesis will examine the maritime resources available to Edward II and Edward III. As the majority of the ships utilised by the kings of this period were requisitioned merchant vessels, the inner process of this operation of raising a fleet needs to be studied more closely. In addition, because the supply system that the land based troops relied on was largely conducted at sea, an assessment needs to be made of the nature and effectiveness of the maritime contribution to logistical support. Perhaps, therefore, the main focus of the thesis is to assess quantitatively the contribution made by maritime communities to the supply and transportation of troops during the period 1320-1360. In order fully to assess and understand the contribution made to the wars of Edward II and Edward III by England's merchant marine this thesis will focus on four areas that the ports were most heavily involved with. The first part of the study will focus on the procedural and administrative capabilities of the crown during this period, paying particular attention to the sources that allow the historian to examine such areas. Following on from this, will be an analysis of how the English government requisitioned sufficient numbers of ships to serve in both supply and transport fleets, bringing to light new theories which highlight the complexity of the system utilised by the Edwardian kings. The second section of the thesis will examine the role that ships played in the supply of armies and garrisons within both Scotland and France, as well as their military participation in the expeditions of the period. The English royal campaigns in Scotland between 1322 and 1360 will be investigated. Each campaign will be analysed individually and an assessment of the contribution of the maritime communities will be discussed in relation to the type and amount of victuals transported and the number of ports, ships and mariners involved.46 The period from 1346-60 will be dealt with separately because after Neville's Cross - apart from the Burnt Candlemas - this period was free from major royal invasions, though the supply of the many English garrisons had to be continued. The military naval contribution to the king's wars of the period, specifically in Scotland, will also be assessed because this helps us to understand just how burdensome the demands of the crown on the merchant marine were in this period; and also allows us to discover the overall involvement of individual ships and their crews in the wars of the two Edward's. Failure to examine this dimension of the maritime communities' participation in the wars would leave an incomplete picture as to their involvement. The third area of examination that this thesis will concentrate on is the composition of the many transport fleets of the period. The aim is to discover how many ports, ships and mariners were involved in each royal transport fleet of the period, the geographical spread of the ports contributing ships to the fleets, and how many land based men and horses they were required to transport. In addition the composition of what can be termed 'micro fleets' will be assessed. These are the many small fleets of ships, which transported the king's lieutenants and his diplomatic embassies to France. The fourth and final section of the present research will focus on several issues that have been raised throughout the previous chapters. Of importance are the problems relating to an absence of payrolls for several major royal transport fleets of the period, an increasing tendency for the crown to partly privatise large sections of the supply and transportation systems from 1337, and the effects the Black Death had on the availability of shipping. Furthermore, it will be shown that by examining the maritime participation, alongside the land based operations, in campaigns such as the siege of Calais in 1347 new interpretations can be put forward as to the scale, scope and timing of such expeditions, which have usually been ignored due to the lack of source material from a land army point of view. Moreover, the careers of several masters and mariners, assessing their involvement in the supply and transport fleets, will be put forward with the aim of showing that the masters of the ships were an integral part of the Edwardian military machine, with a collective expertise that was vital to the English war effort. By focusing on such issues this research will be able to form a greater understanding of the size and distribution of the merchant marine of this period. This will be undertaken by comparing all of the individual ships and masters who participated in each separate campaign. It should be possible to locate and record every individual ship involved in campaigns during this period. Each campaign will be compared to the next to see how many unique ships and masters can be seen. This will allow an estimate to be put forward as to the number of individual ships in use from 1320-1360.
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Edelbrock, Kyle. "Taking It to the Streets: the History of Gay Pride Parades in Dallas, Texas: 1972-1986". Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc804987/.
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This thesis describes the organization of two waves of pride parades in the city of Dallas, Texas. Using more than 40 sources, this work details how LGBT organizers have used pride parades to create a more established place for the LGBT community in greater Dallas culture. This works adds to the study of LGBT history by focusing on an understudied region, the South; as well as focusing on an important symbolic event in LGBT communities, pride parades.
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Tincher, Louise Horowitz. "Taking Stock: The Import of European Livestock into Virginia and its Impact on Colonial Life". W&M ScholarWorks, 1987. https://scholarworks.wm.edu/etd/1539625411.
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Johnson, Stacey. "Taking pictures, making movies and telling time : charting the domestication of a producing and consuming visual culture in North America". Thesis, McGill University, 1998. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=35900.
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The dissertation examines how image-making, a common pastime, was made common. It investigates the ways in which the production and consumption of images in the context of the North American family contributed to the development of a distinctly domestic and privatized visual culture, and the transformation of the home into a site for privatized spectatorship.Four cultural forms (No. 1 Kodak, Box Brownie, Cine Kodak and Cine Kodak 8) are specified in this development, all pioneered by the Eastman Kodak Company. The dissertation traces Eastman Kodak's direct involvement in the popularization of image practices. It analyzes strategies used by them to make this possible, namely an appeal to the becoming lifestyles of the bourgeois and middle-classes.
The analysis links the popularization of image-making and consuming practices to other popular amusements (i.e. cycling, cinema-going) to work against an artifact-centred analysis. Issues of gender and generation are critically evaluated as concepts used to instill image-making as a popular, family practice. Shifts in modern temporal and spatial experience, as well as mobility are also explored in relation to popular image-making.
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Levy, Philip A. "Exemplars of Taking Liberties: The Iroquois Influence Theory and the Problem of Evidence". W&M ScholarWorks, 1995. https://scholarworks.wm.edu/etd/1539625994.
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Thompson, Stephen John. "Census-taking, political economy and state formation in Britain, c. 1790-1840". Thesis, University of Cambridge, 2010. https://www.repository.cam.ac.uk/handle/1810/265510.
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Since 1801 the British government has counted the population once every ten years. Only the Second World War has interrupted this practice, making the census one of the most enduring administrative institutions of the modern British state. This dissertation is about why legislators and political economists first sought to quantify demographic change in the early nineteenth century. The first chapter explains the administrative organisation of census-taking under John Rickman, who directed the first four censuses. The second chapter examines the legislative origins of census-taking in eighteenth-century Britain. It compares the efforts of two backbenchers, Thomas Potter and Charles Abbot, to establish a national census in 1753 and 1800. The third chapter analyses the pre-census empirical basis of fiscal policy during the 1790s, paying patticular attention to William Pitt the Younger's use of political arithmetic to estimate the yield of Britain's first income tax. The fou1th chapter examines the function and limitations of the population data used by four national accountants - Benjamin Bell, Henry Beeke, J. J. Grellier and Patrick Colquhoun - in their responses to Pitt's new tax. The fifth chapter re-assesses the economic and social thought of Robet1 Southey, whose opposition to T. R. Malthus's Essay on the pr;ndple of populahon, and especially its commitment to poor law abolition, arose from a fundamental disagreement about the state's role in welfare provision. The sixth and seventh chapters consider the relationship between information gathering and state formation. Chapter six quantifies the number and range of printed accounts and papers produced by the House of Commons in the early nineteenth century. It challenges previous analyses which have used public expenditure and statute-making as measures of state formation. The final chapter explores how census data was used to determine the redistribution of parliamentary representation that took place as a result of the 1832 Reform Act. Employing a diverse range of methodologies and sources, this study contributes to histories of economic thought and state formation by revealing the extent to which political arithmetic converged with Smithian political economy during the French revolutionary and Napoleonic wars. This convergence proved sho1t-lived, however, and early nineteenthcentury political arithmetic was consigned to historical oblivion by the world 's first professional economist, John Ramsay McCulloch. Nonetheless, reasoning by 'number, weight, or measure', paiticularly in respect of population, challenged and transformed the conduct of parliamentary business in this period, leading to the legislative dissolution of the existing electoral system in 1832.
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Killham, Jennifer E. "Exploring the Affordances of Role in the Online History Education Project "Place Out of Time:" A Narrative Analysis". University of Cincinnati / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1416231926.
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Leduc, Cassandra. "The development of a family history collection tool for use in a pediatric practice a pilot study /". Waltham, Mass. : Brandeis University, 2009. http://dcoll.brandeis.edu/handle/10192/23240.
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Fahnestock, Aidan S. "Taking Back America: The Republican Freshmen of the 104th & 112th Congresses". Scholarship @ Claremont, 2014. http://scholarship.claremont.edu/cmc_theses/884.
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The 2010 freshman class bears an uncanny resemble to their idealistic counterparts from 1994. Their campaign rhetoric, motivations and beliefs are almost interchangeable. The triumphs and especially frustrations and failures of their first terms also bear stark similarities. Most critically, the freshmen's conservative agenda suffered a disappointing electoral rebuke in their first elections as incumbents. Both the 1996 and 2012 presidential year congressional elections halted the respective momentum of the Republican Revolution and the Tea Party. The lessons of the 104th Congress offer many lessons to the freshmen of the 112th, namely that ideological "revolutions" in America (in this case, those of a conservative nature) struggle to deal with the challenges of governing. This thesis will examine and compare the rhetoric and motivations of the freshmen during their initial campaigns, and the triumphs and tribulations of their first terms in a city that is resistant to sudden and sweeping changes. The title of this work, "Taking Back America," reflects the sense of urgency and gravitas that spiritually united both classes of freshmen. The personal observations recorded in Linda Killian‘s The Freshman (1998) and Robert Draper‘s When the Tea Party Came to Town (2012) form the foundation of this examination, which focuses entirely on the U.S. House of Representatives.
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Moth, Laura Eisabel. "Taking back the promised land : farm attacks in recent South African literature". Thesis, McGill University, 2006. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=99385.
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The phenomenon of the farm attack has engendered an angry debate in South Africa today. Controversially, the South African media has paid great attention to violence against white farmers amidst a seemingly endless flood of violence against black farm workers. The now commonplace tales of farm attacks incite racial tension and provoke paranoia, leading one to question why they are repeated at all. Recent works by South African authors have engaged this question, including Jonny Steinberg's Midlands (2002), J. M. Coetzee's Disgrace (1999), and Breyten Breytenbach's Dog Heart (1998). Critics have accused these works of perpetuating racism with their grim depictions of black-on-white violence but have failed to recognize the manner in which these authors contextualize the violence. I argue that each work registers the farm attack as a land claim, made in an era of failed land reform. Furthermore, these works reflexively explore the pragmatics of circulating the stories.
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Bianchi, JeanMarie. "Examining Relations among Early-Life Stress, Deprivation, and Risk-Taking for Primary Resources". Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/612589.
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The following thesis presents the results of a mixed-design study (quasi-experimental and true experimental) testing an integrated model of human risk-taking behavior, defined statistically as a preference for variance in outcomes. The research presented examines the relationships among early-life environmental conditions (i.e., harshness and unpredictability), life-history strategy, and risk-taking behavior for primary resources under various "resource-budget" conditions consisting of deprivation and non-deprivation in two areas: (1) Social-inclusion and (2) caloric "Energy-budget." Two hundred and forty seven (N=247) university students participated in the research. In session one, participants completed multiple questionnaires assessing levels of environmental harshness and unpredictability experienced during development and individual life-history strategy. In session two, participants were pseudo-randomly assigned to experience laboratory induced deprivation or non-deprivation in one of two possible areas: Social-inclusion or caloric "Energy-budget." Following the experimental manipulations, participants played two different behavioral risk-taking tasks: (1) The Wheel Spin Risk Task which required participants to select between a low variance "safe" wheel and a high variance "risky" wheel in an attempt to earn either points or food rewards (depending upon study condition). (2) The Operant Risk Taking Task which required participants to select between a low variance "safe" keyboard key which produced constant rewards and a high variance "risky" keyboard key which produced variable rewards (points or food, depending upon study condition). The results of the multivariate analyses supported main effects only (no moderation) between the characteristics of the early-life environment, life-history strategy, and the experimental manipulations on risk-taking behavior. Specifically, early-life harshness was significantly associated with a faster life-history strategy in participants. Participants with a faster life-history strategy were significantly more likely to select the risky spin wheel on the Wheel Spin Risk Task than were slower life-history strategy participants who were more likely to select the safe spin wheel. Furthermore, participants who experienced the deprivation experimental manipulations behaved more risky on the Operant Risk-Taking Task (for reward amount) than did participants exposed to the non-deprivation manipulations in the study. Interestingly, this effect was domain-general in that deprivation in either Social-inclusion or Energy-budget was associated with risk taking for both social points and for food rewards. The results of this study suggest that life-history strategy is predictive of instrumental risk-taking behavior for reward amount and that deprivation in adaptive areas like Social-inclusion and Energy-budget enhances risk-taking behavior for primary rewards in a domain-general manner as opposed to a domain-specific manner.
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Riley, Ethan M. ""A Higher Law"| Taking Control of William H. Seward's Rhetoric After the Christiana Riot". Thesis, Northern Arizona University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1537804.
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Freshman Sen. William H. Seward of New York was not expected to say anything noteworthy in his "Freedom in the New Territories" speech against the Compromise bills on March 11, 1850. The venerated "Great Triumvirate" had previously addressed the Senate—Sen. Henry Clay on Jan. 29, Sen. John C. Calhoun on March 4, and Sen. Daniel Webster on March 7—so everything there was to say was thought to have been said. Seward's "Freedom in the New Territories" speech, however, is recalled as one of the more divisive of Compromise orations and most significant of Senate maiden speeches in history because of its appeal to "a higher law than the Constitution." The utterance drew a maelstrom of criticism from the partisan press and congressional adversaries and colleagues; however, Seward's rhetoric introduced a reformist interpretation of the phrase "higher law" to the slavery discourse.
This thesis applies concepts from the literature on rhetoric of agitation and control and ideographs to define Seward's rhetoric as managerial, show his motives as socio-economic, and discover how the senator's reformist arguments were controlled by the establishment after the Christiana Riot in 1851. The researcher suggests that the establishment employed a kind of denial of rhetorical means to obstruct Seward's reformist rhetoric of its solidifying slogans. Future research into the control response to agitative rhetoric is suggested to understand the strategies and tactics used to control reformist rhetoric.
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Black, Victoria Lynn. "Taking care of baby: Chilean state-making, international relationsand the gendered body politic, 1912-1970". Diss., The University of Arizona, 2002. http://hdl.handle.net/10150/289843.
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Starting in the early 1900s, Chileans began to address skyrocketing levels of infant mortality. Committed to establishing state welfare policies, health scientists led campaigns to improve infant health. They concentrated on reforming working class maternity. This began a historical connection among health science, public welfare and indigent mothers in Chile. Looking to expand their international role in medical philanthropy in the 1930s, the Rockefeller Foundation invested heavily in Chilean medicine. Following suggestions by leftist physicians, North American philanthropists expanded maternal and child health care. From the 1930s through the 1940s, Chilean and U.S. health professionals further collaborated to reform medical education, build schools of medicine, establish public clinics, open research centers and provide public health education. Cooperation between Chilean leftists and representatives of the Rockefeller Foundation finally succeeded in socializing medicine in 1952. The National Health Service constituted a significant part of Chile's growing welfare system. Supported by the Rockefeller Foundation and Chilean government, state medicine continued to focus on working class women and infants. Leaders from the Rockefeller Foundation's International Health Division attempted to limit their role in Chilean medicine as early as 1940. After helping Chileans to expand public health, Foundation leaders planned to withdraw from Chile. Prominent nationals, particularly leftist health scientists connected with socialized medicine, strongly protested this departure. Mutual interest between Chilean and North American health scientists in family planning persuaded the Rockefeller Foundation to remain. North Americans connected to the Rockefeller Foundation and wealthy Chileans feared social problems caused by burgeoning population. Leftists in the Chilean government worried that public funds could not match popular demand for state services. Population control advocates from the U.S., in turn, feared that growing populations in developing countries would consume world resources. Working with like-minded nationals, North American philanthropists, academics, diplomats and politicians instituted family planning in Chile. Population programs based on the mass distribution and study of previously untested intrauterine devices mushroomed. Pressure from the newly elected Communist president, Salvador Allende, as well as high-ranking U.S. politicians finally ended Chilean population control programs in the early 1970s.
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Kaufman, David R. "Representation and utilization of information during the clinical interview in medicine". Thesis, McGill University, 1987. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=59603.
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This study evaluated the ability of subjects at 3 levels of expertise, expert physicians, residents and medical students, in the acquisition, representation, and utilization of patient information in the context of solving a complex medical problem. Each subject interviewed a volunteer medical outpatient and was subsequently requested to provide a differential diagnosis. The doctor-patient dialogue was analyzed using cognitive methods of discourse analysis. These methods were used to characterize differences in the content and nature of the history-taking process and in the development of problem representations. The study characterized differences at two levels of representation, observations and findings. Observations are the minimal semantic units of the doctor patient discourse. Findings are higher order units that derive meaning in specific medical contexts.Differences were found between groups of subjects in the accuracy of diagnoses and in the qualitative nature of representations. These differences were manifested most clearly in terms of a series of efficiency measures designed to characterize the ability of subjects to generate findings. In general, the expert physicians were more selective in the elicitation and processing of critical and relevant findings. An attempt is made to characterize these differences in terms of the strategies used to acquire and represent patient information.
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Nukaga, Yoshio. "The visual transcription of "family disease" : a comparison of the use of medical pedigrees in genetic counseling practices in Canada and Japan". Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23729.
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In recent years, with the development of DNA tests and genetic knowledge, there has been a growth of genetic counseling services and research in Canada and Japan. Although the uniqueness of genetic services in medicine lies in the preliminary assessment of the entire family rather than a single patient, few attempts have been made by social scientists to examine the technical and social construction of family trees and medical pedigrees. The purpose of this thesis is to analyze how the family data taken by genetic counselors are transcribed as medical pedigrees and used by associated health care workers in different cultural settings. The comparative analysis was based on an ethnographic approach that included participant-observation in genetic counseling sessions, interviews with clinical workers, and content-analysis of medical textbooks. The findings include three major points: (1) cultural views of the family are taken for granted by genetic counselors; (2) the process of documenting family data consists of four stages: primary transcription, secondary transcriptions, combination and publications; (3) the clinical workers' use of medical pedigrees results in the construction of family history as part of the present family illness.
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Bengston, Sarah Elizabeth. "A Colony-Level Behavioral Syndrome In Temnothorax Ants: Explaining Risk-Taking Variation Across A Latitudinal Gradient". Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/556615.
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Between individual behavioral variation has been described in nearly every animal taxa where it has been measured. Often, these behavioral variations correlate across contexts, forming a behavioral syndrome. Despite a recent push to better understand the origins and consequences of behavioral syndromes, there still is no cohesive framework that describes this phenomenon. Here, I develop a social insect species into a model for measuring and testing behavioral syndromes at a new level of biological organization; the colony. This builds upon the rich literature describing between-colony variation in behavior and provides novel insights into the evolution of behavioral syndromes. In my first chapter I show that colonies do not vary from one another in foraging distance, nor is foraging distance directly associated with colony size. This was my first step in demonstrating that colony behavioral variation is not simply a byproduct of colony size. In chapter two, I expanded upon this finding by testing colonies both in the lab and in the field for a variety of ecologically relevant behaviors. Here, I found that there was a behavioral syndrome that reflected foraging distance, foraging effort to novel and familiar resources, response to threat and aggression. While there is a gradient of phenotypes, some colonies either travel farther to forage for food and respond more aggressively when confronted with a conspecific invader, but appear to invest less in each given incident or food source. I consider this to be more risk-tolerant; they increase their risk of external mortality for potentially larger pay-offs. On the other hand, risk-averse colonies deploy more foragers to exploit closer resources, increase their overall activity in the response to threat, but avoid travelling farther distances or aggressively engaging invaders. Additionally, there is between population variations in risk-taking phenotype. Across the western United States, colonies at more northern latitudes are more risk-tolerant than colonies at more southern latitudes. In chapter 3, I expand upon this latitudinal gradient in behavioral phenotype by investigating what ecological factors predict a colonies level of risk-tolerance. Specifically, I focused on ecological traits that reflected predation, competition, food resource availability and abiotic stress. I found that competition for nest sites and spatial clustering predicted behavioral type; colonies at high levels of nest site competition or spatial clustering were more risk-tolerant than colonies at lower levels of competition or were more spatially dispersed. In chapter 4, I used a common garden and brood transfer experiment to investigate if the relationship between the ecological environment and behavior was the result of phenotypic plasticity or local adaptation. I show that local adaptation is the most likely explanation, as colonies with more workers from the donor colony are more, behaviorally, like the donor colony than colonies with fewer donor workers. In chapter 5 I test if the risk-taking behavioral syndrome is the result of life history strategy variation. I test the growth rate and energy allocation towards either somatic effort or reproductive effort. I found that colonies which are risk-tolerant also grow faster and dedicate more energy towards reproductive effort, which is consistent with predictions built from life history theory. This body of work shows that behavioral syndromes can exist at a new level of organization, the colony, and that variation in behavioral type is the result of differential selection pressure between populations. This directly connects behavioral syndrome research to life history strategy research. As life history strategy theory is a well-understood field, this represents a true advancement in the field of behavioral syndromes.
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Günter, Jutta. "Die Anwendung der "Maastricht History-taking and Advice Checklist" (MAAS-R) in der Videoevaluation eines Trainingsprogramms zur Behandlung somatoformer Störungen in der Hausarztpraxis". [S.l. : s.n.], 2004. http://nbn-resolving.de/urn:nbn:de:bsz:25-opus-39157.
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Clark, Diane E. "Screening for medical referral attitudes, beliefs, and behaviors of physical therapists with greater than 10 years experience /". Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2007. https://www.mhsl.uab.edu/dt/2009r/clark.pdf.
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Park, Yujong. "Analyzing medical discourse the organization of doctor-patient interaction in Korean primary care settings /". Diss., Restricted to subscribing institutions, 2009. http://proquest.umi.com/pqdweb?did=1835448471&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.
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Graves, Kristina Marie. "Stop Taking Our Privileges! The Anti-ERA Movement in Georgia, 1978-1982". unrestricted, 2006. http://etd.gsu.edu/theses/available/etd-07192006-183041/.
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Thesis (M.A.)--Georgia State University, 2006.Title from title screen. Michelle Brattain, committee chair; Charles Steffen, Hugh Hudson, committee members. Electronic text (113 p.) : digital, PDF file. Description based on contents viewed Aug. 2, 2007. Includes bibliographical references (p. 109-113).
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Senturk, Suleyman. "Moving Away from The West or Taking Independent Positions: A Structural Analysis for The New Turkish Foreign Policy". Scholar Commons, 2019. https://scholarcommons.usf.edu/etd/7934.
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This paper focuses on understanding and explaining the change of Turkish foreign policy,particularly in the last decade. Many observers have expressed a suspicion that Turkey is abandoning its Western-centric alignment and gradually shifting its axis. The thesis argues that rather than a shift, Turkey is taking an independent position. It maintains that the end of the Cold War and the change in the international structure from bipolarity to unipolarity has provided incentives for countries with some degree of material capabilities to pursue independence from the U.S. policy preferences. This study analyses structural effects on the behavior of Turkey.
Later it associates the observed change in Turkey’s foreign policy as the outcomes of taking an independent position to maximize its objectives. Finally, it presents empirical research to prove the argument.
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Geilman, Matthew G. "Taking the Gospel to the Lamanites: Doctrinal Foundations for Establishing The Church of Jesus Christ of Latter-day Saints in Mexico". BYU ScholarsArchive, 2011. https://scholarsarchive.byu.edu/etd/3071.
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This thesis is a study about the influence of the Book of Mormon message to the Lamanites upon the establishment of The Church of Jesus Christ of Latter-day Saints in Mexico, primarily focusing upon the years 1875-1950. Several important events, people, and publications from the first seventy-five years of the Church's history in Mexico are evaluated as historical case studies in order to examine the extent to which the message to the Lamanites influenced the beginnings of the Latter-day Saints there. These case studies include the first mission to Mexico in 1875, early publications in Spanish, the dedication of Mexico by Apostle Moses Thatcher, the presidency of Rey L. Pratt, and the Third Convention. Though this thesis provides pertinent historical background and details, as well as analysis of key primary sources and documents, its main purpose and contribution is its focus on the theme of the Lamanites, within the context of early Latter-day Saint history in Mexico.
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Viana, Danilo Vilela 1975. "Historia familial de cancer nos pacientes com diagnostico de cancer de colon e reto no Hospital de Clinicas da Unicamp". [s.n.], 2006. http://repositorio.unicamp.br/jspui/handle/REPOSIP/309743.
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Orientador: Iscia Teresinha Lopes-Cendes, Carmen Passos LimaDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-06T07:38:24Z (GMT). No. of bitstreams: 1 Viana_DaniloVilela_M.pdf: 17449794 bytes, checksum: 5628cf41f1e3b3dae3d2ad85bb64f5d4 (MD5) Previous issue date: 2006
Resumo: O câncer de cólon e reto é a quinta causa de mortalidade por câncer no Brasil. Sua taxa de mortalidade vem apresentando um aumento contínuo desde 1979. Entre os fatores de risco mais importantes para essa doença está a história familial de câncer de cólon e reto ou de pólipos adenomatosos. O propósito do presente estudo foi investigar a qualidade das histórias familiais (HF) registradas nos prontuários médicos e estimar a freqüência dos agregados familiais e das síndromes hereditárias de câncer nos pacientes com diagnóstico de câncer de cólon e reto atendidos no Hospital de Clínicas da UNICAMP. Um estudo retrospectivo foi delineado para avaliar os prontuários dos pacientes que tinham confirmação histopatológica do diagnóstico de adenocarcinoma de cólon ou reto. Inicialmente, 415 prontuários que apresentavam codificação para a doença foram selecionados a partir do livro de cirurgias e de uma lista de pacientes atendidos nos ambulatórios de oncologia clínica, radioterapia e proctologia. Foram excluídos 104, sendo realizada a revisão de 311 prontuários. Numa segunda fase do estudo todos esses pacientes foram convocados para um entrevista com médico geneticista para obtenção de nova história familial, e comparação subseqüente dos dados, na qual a história familial previamente registrada foi classificada como completa ou incompleta. Dentre os 311 prontuários revisados, 193 (62%) tinham HF de câncer registrada. No total, 95 pacientes compareceram à entrevista, dos quais 66 tinha HF registrada no seu prontuário para que fosse feita comparação. Dessas 66 HF, 21 (32%) puderam ser consideradas completas e 45 (68%) incompletas. Pelo menos um critério clínico para câncer hereditário foi preenchido por 39 pacientes. Agregação familiar de CCR foi encontrada em 19% dos indivíduos entrevistados. Estes achados demonstram que a coleta e o correto preenchimento das histórias familiais nos prontuários dos pacientes com câncer são freqüentemente negligenciados, o que poderia influenciar negativamente na qualidade da assistência médica a eles prestada. As formas hereditárias de câncer hereditário, em especial a síndrome de Lynch (câncer colorretal hereditário sem polipose - HNPCC), são subdiagnosticadas, impossibilitando que medidas preventivas e diagnóstico precoce sejam oferecidos às suas famílias.
Abstract: Colorectal cancer is the 5th mortality cause by cancer in Brazil, and has been showing a continuous increase in mortality since 1979. Among the most important risk factors for this disease is family history of CRC or adenomatous polyps. The purpose of the present study was to investigate family histories (FH) recorded in medical charts for completeness and accuracy and to estimate the frequency of cancer aggregates and cancer syndromes in colorectal cancer patients treated in a general hospital. A retrospective study was assembled to evaluate archived charts of patients with pathological diagnosis of colorectal adenocarcinoma. Four hundred and fifteen medical records with ICD-10 coding of colorectal cancer were selected from the list of pacients who had had consultation in the clinical oncology, radiation oncology or proctology clinics, from which 104 were excluded because of misclassification or unconfirmed diagnosis. 311 charts were fully reviewed, and these patients invited for a personal interview by a medical geneticist. FH obtained from chart reviews were compared to data obtained from personal interviews and subsequently classified as complete or incomplete. Among the 311 charts, 193 (62%) had FH of cancer recorded. Overall, 95 patients attended the interviews, 66 of whom had a FH recorded in their hospital charts allowing accuracy comparisons. Of these, 21/66 (32%) FH could be considered complete and 45/66 (68%) incomplete. Thirty-nine patients met at least one criterion for hereditary cancer. Familial aggregates of colorectal cancer were found in 18 families (19%). In conclusion, the data in this study showed that FH in medical charts were often flawed or carried important omissions, which could influence negatively medical attention delivered to patients, and that hereditary forms of cancer, especially hereditary non-polyposis colorectal cancer, were underdiagnosed, making it impossible to extend the benefits of early diagnosis and preventive measures to at risk family members.
Mestrado
Genetica Medica
Mestre em Ciências Médicas
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Pierce, Lynn Margaret. "Physicians who write about talking with patients : the interview". Thesis, McGill University, 1992. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=56935.
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This thesis critically reviews medical journal literature on the physician-patient interview. The review focuses on literature which is written by and for physicians, in Canadian and American, English language medical journals. Articles, essays and letters to the editor are examined as a cultural exchange amongst physicians that both shapes and is shaped by the values of the medical profession. Chapter One presents literature concerning physician-patient communication in general. The following Chapters Two, Three and Four ("The Physician as Medical Interpreter," "Physician and Patient: in Conflict and in Silence," and "The Patient as Narrator,") focus on themes in the medical journal literature written by physicians on the clinical interview. These Chapters examine the values, explicit and implicit, of this literature. The values are examined for possible epistemological origins in traditional medical ethics, philosophical bioethics, contemporary social movements for the dignity and rights of the individual, and other sources. Thematic shifts in these values over the past twenty years, and the sources of these shifts, are also examined. Finally, the Conclusion evaluates the significance of this literature for the development of a medical morality.
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Williams, Terrol Roark. "Taking Mormons Seriously: Ethics of Representing Latter-day Saints in American Fiction". Diss., CLICK HERE for online access, 2007. http://contentdm.lib.byu.edu/ETD/image/etd1936.pdf.
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Eisenberg, Dana J. "Information Amount and Patient Empowerment: Participation in the HPV Vaccination Decision-Making Process". Columbus, Ohio : Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1243830226.
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Le, Corre-Cochran Victoria Ann. "Taking Control, Women of Lorient, France Direct Their Lives Despite the German Occupation (June 1940-May 1945)". Thesis, Virginia Tech, 2002. http://hdl.handle.net/10919/36388.
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This thesis argues that from June 1940 when German soldiers occupied Lorient, France until May 8, 1945 when the Lorient "Pocket" surrendered, although the women of this port city faced drastic changes, they took control of their everyday lives. They did what it took to feed and clothe their families, working, standing in lines, buying on the black market, bartering, demonstrating, and recycling. They developed relationships with German soldiers which ran the gamut. Due to aerial raids in the context of the Battle of the Atlantic, they sought shelter, buried their dead, took care of their wounded, looked for new lodging, and helped each other. They even tried to have some fun. After evacuation in early 1943, scattered to the four winds, in the American held "Lorient Sector," they served as advocates for others and made inquiries to the American 66th Infantry Division Counter-Intelligence Service. At the Liberation women were easy targets for blame, and some from Lorient were punished, notably for "horizontal collaboration" with Germans. When the Fiftieth Anniversary of the Liberation of Lorient was celebrated in 1995, the story of the women of Lorient was essentially left out.Master of Arts
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Mangual, Rebecca Bonilla. "Characteristic differences between parents/guardians who keep immunization records and those who do not". CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2201.
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Rodrigues, Anna Beatriz Carnielli Howat. "Propensão ao risco diante de contextos de imprevisibilidade: uma análise do comportamento humano pela abordagem evolucionista". Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/47/47132/tde-14052014-162050/.
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A perspectiva evolucionista entende a propensão humana ao risco como estratégia comportamental selecionada para responder a certas dicas ambientais e individuais sobre a disponibilidade de recursos. Dentre as dicas ambientais, a imprevisibilidade é um dos aspectos mais influentes na propensão ao risco. No entanto, não há consenso sobre a importância da imprevisibilidade real do ambiente atual ou de um viés perceptivo sobre a imprevisibilidade, construído ao longo do desenvolvimento. Além disso, é importante considerar o estudo destas relações de forma multidimensional, a fim de se analisar os vários aspectos que influenciam o risco (social, cultural, individual e contextual) e a imprevisibilidade (perceptiva, objetiva e contextual). Esta tese teve como objetivos: (1) comparar diferentes instrumentos/metodologias de mensuração do risco relacionadas a diferentes formas de envolvimento do participante em situação de tomada de decisão; (2) investigar as relações da percepção de imprevisibilidade do ambiente infantil, da percepção de imprevisibilidade do ambiente atual e da imprevisibilidade objetiva do ambiente atual com as taxas de propensão ao risco; e (3) diferenciar grupos sexuais e grupos experimentais de imprevisibilidade contextual imediata manipulada quanto à variação das taxas de propensão ao risco. Esta pesquisa constou de etapa de construção de instrumento de ativação contextual (a partir de grupos focais; n=35), etapa de pré-teste (n=46) e etapa de coleta propriamente dita (n=211). Tanto no pré-teste quanto na coleta de dados foram usados os mesmos instrumentos: além de questionário sociodemográfico e questionário sobre marcos futuros, usamos instrumentos de imprevisibilidade (EIFI, dados objetivos e ativação contextual por meio de vídeos) e de propensão ao risco (EPRE, jogo driving a car e jogo de cartas). A coleta ocorreu individualmente em setting experimental, com grupos amostrais: 120 participantes eram mulheres (m=21,60 anos; dp=2,19) e 91 eram homens (m=21,46 anos; dp=2,0); 74 participantes compuseram o grupo somático, 78 o grupo reprodutivo e 59 o grupo controle. Os resultados apoiaram a hipótese da relação entre a percepção de imprevisibilidade na infância e a propensão ao risco em etapas mais maduras da vida. Entretanto, esta relação é acompanhada de outros fatores diretamente, tal como a expectativa de vida, e indiretamente, tais como a imprevisibilidade objetiva atual, a percepção de imprevisibilidade atual reprodutiva e o lócus de controle externo. Médias de risco foram diferenciadas por características sexuais, enquanto características contextuais diferenciam a estratégia de resposta ao risco, ou seja, sob ativação contextual o indivíduo recorre mais fortemente à percepção de imprevisibilidade infantil para responder à propensão ao risco do que à expectativa de vida. Além disso, este trabalho contribuiu para a construção e desenvolvimento de instrumentos válidos para o estudo da propensão ao risco voltados para população brasileiraAccording to the Evolutionary Theory, risk-taking is an evolved behavioral strategy to deal with individual and environmental cues about the availability of resources. Among the environmental cues, unpredictability is one of the most influential on risk-taking. However, there is no consensus whether the actual unpredictability of the current environment or a developmentally acquired perceptual bias of the unpredictability is more important. Furthermore, it is important to consider the study of these relationships in a multidimensional way in order to analyze the various aspects that influence risk (social, cultural, individual and contextual) and unpredictability (perceptive, objective and contextual). This project aimed at: (1) comparing different risk-taking instruments/measures related to different forms of participant involvement in decision-making situations; (2) investigating the relationships between perception of unpredictability in the childhood, perception of unpredictability in current life and objective unpredictability with risk-taking; and (3) differentiating gender and experimental groups with handling contextual unpredictability on risk-taking averages. This research included a phase for the development of an activation of unpredictability instrument (from focus groups, n = 35), stage of pre-test (n=46), and stage of data collection (n=211). Both for the pre-test and for data collection the same instruments were used: a sociodemographic questionnaire, a questionnaire of future milestones, instruments of unpredictability (EIFI, objective data and contextual activation through videos), and instruments of risk-taking (EPRE, game driving a car and cards game). Data collection occurred individually in experimental setting with sample groups: 120 participants were women (mean = 21.60 years, sd= 2.19) and 91 were men (m= 21.46 years, sd=2.0); 74 participants in the somatic group, 78 in the reproductive group and 59 in the control group. The results supported the hypothesized relationship between early childhood perception of unpredictability and risk-taking in mature stages of life. However, this relationship is directly accompanied by other factors, such as life expectancy, and indirectly, such as the objective unpredictability, perception of current reproductive unpredictability and external locus of control. Risk-taking means were differentiated by sex, while contextual characteristics differentiated the strategy of risk response, i.e., under contextual activation individuals use more strongly the childhood perception of unpredictability to respond to risk-taking than to life expectancy. Furthermore, this study has contributed to the construction and development of valid instruments for the study of risk-taking in the Brazilian population
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Urban, Rachel L. "Medicines Reconciliation: Roles and Process. An examination of the medicines reconciliation process and the involvement of patients and healthcare professionals across a regional healthcare economy, within the United Kingdom". Thesis, University of Bradford, 2014. http://hdl.handle.net/10454/7288.
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Medication safety and improving communication at care transitions are an
international priority. There is vast evidence on the scale of error associated
with medicines reconciliation and some evidence of successful interventions to
improve reconciliation. However, there is insufficient evidence on the factors
that contribute towards medication error at transitions, or the roles of those
involved. This thesis examined current UK medicines reconciliation practice
within primary and secondary care, and the role of HCPs and patients. Using a
mixed-method, multi-centre design, the type and severity of discrepancies at
admission to hospital were established and staff undertaking medicines
reconciliation across secondary and primary care were observed, using
evidence-informed framework, based on a narrative literature review.
The overall processes used to reconcile medicines were similar; however, there
was considerable inter and intra-organisational variation within primary and
secondary care practice. Patients were not routinely involved in discussions
about their medication, despite their capacity to do so. Various human factors
in reconciliation-related errors were apparent; predominantly inadequate
communication, individual factors e.g. variation in approach by HCP, and
patient factors e.g. lack of capacity. Areas of good practice which could reduce
medicines reconciliation-related errors/discrepancies were identified. There is a
need for increased consistency and standardisation of medicines reconciliationrelated
policy, procedures and documentation, alongside communication
optimisation. This could be achieved through a standardised definition and
taxonomy of error, the development of a medicines reconciliation quality
assessment framework, increased undergraduate and post-graduate education,
improved patient engagement, better utilisation of information technology and
improved safety culture.
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Bugüeño, Araya Claudia. "El feedback dialógico y su efectividad en la adquisición de competencias clínicas del nutricionista: una experiencia en estudiantes de nutrición y dietética de la Universidad Católica del Norte". Doctoral thesis, Universitat de Barcelona, 2020. http://hdl.handle.net/10803/669987.
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INTRODUCCIÓN: Actualmente existe la necesidad de asegurar la adquisición de competencias clínicas de los estudiantes en Ciencias de la Salud, para lo cual las prácticas clínicas son esenciales, pero muchas veces son inefectivas. La investigación sugiere que la retroalimentación utilizada en educación médica es poco útil, por algunas prácticas improductivas, ya que se centra en como los profesores “hacen llegar” el feedback al estudiante, lo cual necesita un cambio de enfoque hacia una retroalimentación sostenible que contribuya a la adquisición de competencias y desarrolle en los estudiantes un aprendizaje autorregulado.
OBJETIVO: Evaluar la efectividad de la implementación de feedback dialógico en la adquisición de competencias de los estudiantes de Nutrición y Dietética de la Universidad Católica del Norte, de la Región de Coquimbo, Chile.
METODOLOGÍA: Estudio cuasiexperimental y longitudinal de cohorte prospectivo con uso de técnicas mixtas (cuali-cuantitativas), realizado en 13 estudiantes de Nutrición y Dietética de la Universidad Católica del Norte, Coquimbo. El seguimiento se realizó entre años 2016 y 2018, evaluando con una rúbrica el nivel de competencias clínicas en
4 instancias (Diagnóstico, Inicio y Final de intervención, y finalmente en el Internado), con un desfase de 4 a 6 meses. La intervención consistió en incluir feedback dialógico al finalizar las cuatro experiencias clínicas y tuvo carácter formativo. También se evaluó la percepción de la calidad del proceso de feedback a través de un cuestionario y un focus group.
RESULTADOS: Después de los diferentes análisis descriptivos y comparativos, existen diferencias significativas (p=0,001) entre el nivel de competencia alcanzado por los estudiantes en Diagnóstico v/s Final de experiencias clínicas e Internado, y por otra parte entre Inicio de experiencias cínicas y Final de experiencias clínicas. También se presentan diferencias en distintos criterios de desempeño evaluados. Por otra parte, los estudiantes valoran positivamente el grado en que el proceso de feedback estimuló el diálogo, el contenido del mensaje y en que facilita el proceso de autorregulación, autoevaluación y reflexión.
CONCLUSIÓN: El feedback dialógico contribuye a la adquisición de las competencias clínicas y es valorado positivamente por los estudiantes. Se sugiere que el proceso de feedback sea cíclico y motivado por los profesores, finalizando cuando se produce la acción del estudiante (retroalimentación interna), la cual es necesaria para desarrollar la capacidad de pensar y convertirse en aprendices independientes y autorregulados.INTRODUCTION: There is currently a need to ensure the acquisition of clinical skills of students in Health Sciences, for which clinical practices are essential, but often ineffective. The research suggests that the feedback used in medical education is not very useful, due to some unproductive practices, since it focuses on how teachers “send” the feedback to the student, which needs a change of focus towards sustainable feedback that contributes to the acquisition of skills and develop in students a self-regulated learning. OBJECTIVE: To evaluate the effectiveness of the implementation of dialogic feedback in the acquisition of skills of Dietitians students of the Universidad Católica del Norte, in Coquimbo, Chile. METHODOLOGY: Quasi-experimental and longitudinal study of prospective cohort with use of mixed techniques(qualitative-quantitative), conducted in 13 Dietitians students of the Universidad Católica del Norte, Coquimbo. The follow-up was carried out between 2016 and 2018, evaluating with a rubric the level of clinical competences in 4 instances (Diagnosis, at the beginning and end of Intervention, and finally in the Internship), delayed between of 4 to 6 months. The intervention consisted of including dialogic feedback at the end of the four clinical experiences and was formative. The perception of the quality of the feedback process was also assessed through a questionnaire and a focus group. RESULTS: After the different descriptive and comparative analyzes, there are significant differences (p = 0.001) between the level of competence achieved by the students in Diagnosis v/s Final clinical experiences and Internship, and on the other hand between Beginning of clinical experiences and End of clinical experiences. There are also differences in different performance criteria evaluated. On the other hand, students positively value the degree to which the feedback process stimulated dialogue, the content of the message and how it facilitates the process of self-regulation, self-evaluation and reflection. CONCLUSION: Dialogic feedback contributes to the acquisition of clinical competencies and is positively valued by students. It is suggested that the feedback process be cyclical and motivated by teachers, ending when the student's action occurs (internal feedback), which is necessary to develop the ability to think and become independent and self-regulated learners.
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Urban, Rachel Louise. "Medicines reconciliation : roles and process : an examination of the medicines reconciliation process and the involvement of patients and healthcare professionals across a regional healthcare economy, within the United Kingdom". Thesis, University of Bradford, 2014. http://hdl.handle.net/10454/7288.
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Medication safety and improving communication at care transitions are an international priority. There is vast evidence on the scale of error associated with medicines reconciliation and some evidence of successful interventions to improve reconciliation. However, there is insufficient evidence on the factors that contribute towards medication error at transitions, or the roles of those involved. This thesis examined current UK medicines reconciliation practice within primary and secondary care, and the role of HCPs and patients. Using a mixed-method, multi-centre design, the type and severity of discrepancies at admission to hospital were established and staff undertaking medicines reconciliation across secondary and primary care were observed, using evidence-informed framework, based on a narrative literature review. The overall processes used to reconcile medicines were similar; however, there was considerable inter and intra-organisational variation within primary and secondary care practice. Patients were not routinely involved in discussions about their medication, despite their capacity to do so. Various human factors in reconciliation-related errors were apparent; predominantly inadequate communication, individual factors e.g. variation in approach by HCP, and patient factors e.g. lack of capacity. Areas of good practice which could reduce medicines reconciliation-related errors/discrepancies were identified. There is a need for increased consistency and standardisation of medicines reconciliationrelated policy, procedures and documentation, alongside communication optimisation. This could be achieved through a standardised definition and taxonomy of error, the development of a medicines reconciliation quality assessment framework, increased undergraduate and post-graduate education, improved patient engagement, better utilisation of information technology and improved safety culture.
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Hayashi, Juliana Yuki. "Desenvolvimento e avaliação de um prontuário virtual da disciplina de Cirurgia da Faculdade de Odontologia da Universidade de São Paulo". Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/23/23149/tde-24102009-115820/.
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A importância dos serviços de assistência odontológica prestada pela Faculdade de Odontologia da Universidade de São Paulo reflete nos dados obtidos do Anuário Estatístico da Universidade de São Paulo. Somente na disciplina de Cirurgia, foram realizados 1075 atendimentos cirúrgicos, no ano de 2000 saltando para 5686 em 2007. A cada paciente gera-se um prontuário que contém informações de cunho pessoal, da história médica, odontológicas, e de imagens que lhe atribui alto valor legal e de pesquisa. Com a alta procura pelos serviços oferecidos pela faculdade, o número de documentos gerados por paciente cresce proporcionalmente e constata-se que o arquivamento dos prontuários de toda a faculdade é frágil e sujeito à ocorrência de eventos que poderiam danificar o material. A morosidade na busca por dados dos pacientes, a perda de informações, e a dificuldade em realizar estudos epidemiológicos levaram à motivação para o desenvolvimento e avaliação de um prontuário virtual e seu respectivo Banco de Dados da disciplina de Cirurgia da Faculdade de Odontologia da Universidade de São Paulo. Um modelo de ficha para transcrição eletrônica, com os mesmos itens da ficha clínico-cirúrgica, foi elaborado e utilizado para a transcrição das informações dos pacientes atendidos no ambulatório de Cirurgia, no curso noturno, no ano de 2008. Um protótipo de prontuário virtual foi desenvolvido e os dados coletados de 417 pacientes foram inseridos e armazenados localmente num Banco de Dados desenvolvido para WEB, visando uma nova forma de acesso à informação. A partir dos testes de uso retrospectivo e prospectivo, concluímos que o protótipo do prontuário virtual representa uma importante ferramenta baseada em tecnologias de informação, de uso epidemiológico, de pesquisa e de avaliação dos requisitos necessários para o desenvolvimento de um prontuário virtual com mais robustez e flexibilidade.The importance of the dental aid services offered by the School of Dentistry of the University of São Paulo reflects on the data from the Statistical Yearbook of the University of São Paulo. In the discipline of Oral Surgery by itself, 1075 surgical appointments were done in 2000, which has increased greatly to 5686 in 2007. To every new patient admitted by the service, a record file is created and contains personal information, health and dental history, and images, thus setting a high legal and research value on the patient record file for the institution. With the high demand for these dental services, the number of documents by patient proportionally augments and it can be seen in the entire institution fragility of the files archiving and risk of events occurrence that could damage the material. The slowness of retrieving patient data, lack of information, and difficulties motivate the development and evaluation of an electronic health record and its respective database in the discipline of Oral Surgery of the School of Dentistry of the University of São Paulo. A sheet form for electronic transcription, with the same content of the surgical-clinical questionnaire form, was elaborated to transcript the health information of the patients admitted at the Oral Surgery Service, in the nocturnal graduation course during 2008. A prototype of an electronic health record was created and the collected data were processed and stored in a web-based local database, aiming to an innovative access mode to information. By the tests of retrospective and prospective use of the electronic health record, we concluded the prototype of the electronic health record represents an important tool based in technologies of information, useful to epidemiology, research and evaluation of required features to development of an electronic health record more robust and flexible.
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Zary, Nabil. "Virtual patients for education, assessment and research : a web-based approach /". Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-272-9/.
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劉天枝. "論金庸武俠小說的絕境書寫 :以"射鵰"三部曲為例 = Research on the desperation narrative of Jin Yong's Martial Arts novels : taking the Condor Trilogy for instance". Thesis, University of Macau, 2018. http://umaclib3.umac.mo/record=b3954251.
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Leonardsson, Kjell. "Variation in age and size at maturation in two benthic crustaceans in the Gulf of Bothnia". Doctoral thesis, Umeå universitet, Ekologi och geovetenskap, 1990. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-100708.
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The thesis deals with variation in age and size at maturation in Saduria entomon and Pontoporeia affinis along a depth gradient in the Gulf of Bothnia, Sweden. I have analysed at what sizes and ages animals should mature in relation to growth and mortality conditions. The thesis also deals with predator-prey interactions within and between the two species. The isopod Saduria entomon matured during winter at an age of three years at 5 m depth in the Norrby archipelago (63° 30'N, 19° 50'E). Males matured eariier and at larger sizes (27-48 mm) than females (23-36 mm). The offspring were released in early summer. The adult size increased with increasing depth. Outside the archipelago, at 125 m depth, the sexes reached a size of 84 and 54 mm respectively. No evidence for temporal restriction in the release of the young was found at the deep area. The species was shown to have a high capacity for cannibalism on small conspecifics, although the small ones have the potential to avoid aggregations of large conspecifics. The number of small conspecifics eaten was related both to the absolute and relative densities of the alternative prey Pontoporeia affinis. The cannibalistic behaviour have the potential to act as a stabilizing mechanism in the Saduria-Pontoporeia system. Fourhom sculpin (Myoxocephalus quadricornis) was the fish species of utmost importance as a predator on S.entomon, and it mainly preferred large specimens. The amphipod Pontoporeia affinis matured at an age of two years in the littoral zone and at a very deep (210 m) locality. Between these depths it mainly reached maturation at an age of three years. In some years in densely populated areas, they delayed reproduction another year and reproduced as four year old. The variation in age at maturation in P.affinis in relation to depth could be quantitatively predicted by maximizing fitness in the Euler-Lotka equation. The size variation at maturation in S.entomon could be qualitatively predicted by maximizing fitness in the Euler-Lotka equation. The general condition for a smaller size at maturity to be adaptive at high temperatures (i.e. shallow areas) is that mortality rate should increase faster than growth rate with increasing temperature. When mortality is higher in young stages than in older and larger ones the pattern is also predicted when growth increases faster than mortality. Small animals may prefer warmer habitats than large ones, because of the presence of a size dependent trade-off between temperature induced growth and mortality. More exactly, the optimum solution of the trade-off between growth and mortality in hazardous environments was suggested to approach maximization of the expression s(W+g)/W, where s is survival rate, W is body weight, and g is growth rate.Diss. (sammanfattning) Umeå : Umeå universitet, 1990, härtill 6 uppsatser
digitalisering@umu
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Schanberger, Francis William. "Mis-taken". The Ohio State University, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=osu1382638253.
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