Дисертації з теми "Report incident"
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1
Berggren, Marie. "På SoL-sidan : Avvikelsehantering på fem vårdboenden i Uppsala kommun." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-141092.
Повний текст джерелаАнотація:
En viktig del av den svenska välfärden är kommunens äldreomsorg för personer över 65 år, där Socialtjänstlagen ger rättighet till vårdboende och andra servicetjänster när det behövs. Kommunernas kommunaltjänst ska enligt Socialtjänstlagen vara av god kvalitet. Rapportering av avvikande händelser är en av hörnpelarna i arbetet med att förbättra kvalitet och säkerhet i vården. Avvikelserapportering bidrar till att undvika att negativa händelser upprepas, samt att rutiner förbättras för att höja kvalitet. Genom att ta tillvara möjligheterna med avvikelserapporter kan kvaliteten på vårdboenden förbättras och utvecklas. Denna studie visar på behovet av ytterligare fokus på arbetet med avvikelsehantering gällande omsorg.
2
Durand, Marcus L. "The evaluation of methods for the prospective patient safety hazard analysis of ward-based oxygen therapy." Thesis, Cranfield University, 2009. http://dspace.lib.cranfield.ac.uk/handle/1826/4480.
Повний текст джерелаАнотація:
When even seemingly benign and routine processes fail in healthcare, people sometimes die. The profound effect on the patient’s families and the healthcare staff involved is clear (Vincent and Coulter, 2002), while further consequences are felt by the institution involved, both financially and by damage to reputation. The trend in healthcare for learning through experience of adverse events is no longer a viable philosophy (Department of Health,Sir Ian Carruthers OBE and Pauline Philip, 2006). In order to make progress towards preventative learning, three Prospective Hazard Analysis (PHA) methods used in other industries were evaluated for use in the area of ward based healthcare. Failure Modes and Effects Analysis (FMEA), Fault Tree Analysis (FTA) and Hazard and Operability Analysis (HAZOP) were compared to each other in terms of ease of use, information they provide and the manner in which it is presented. Their results were also compared to baseline data produced through empirical research. Oxygen Therapy was used in this research as an example of a common ward based therapy. The resulting analysis listed 186 hazards almost all of which could lead to death, especially if combined. FTA and FMEA provided better system coverage than HAZOP and identified more hazards than were contained in the initial hazard identification method common to both techniques. FMEA and HAZOP needed some modification before use, with HAZOP requiring the most extensive adjustment. FTA has a very useful graphical presentation and was the only method capable of displaying causal linkage, but required that hazards be translated into events for analysis. It was concluded that formal Prospective Hazard Analysis (PHA) was applicable to this area of healthcare and presented added value through a combination of detailed information on possible hazards and accurate risk assessment based on a combination of expert opinion and empirical data. This provides a mechanism for evidence based identification of hazard barriers and safeguards as well as a method for formal communication of results at any stage of an analysis. It may further provide a very valuable vehicle for documented learning through prospective analysis incorporating feedback from previous experience and adverse incidents. The clear definition of systems and processes that form part of these methods provides a valuable opportunity for learning and the enduring capture and dissemination of tacit knowledge that can be continually updated and used for the formulation of strategies for safety and quality improvement.
3
Nordblom, Gustav, and Louise Laiberg. "Riskkommunikation genom flera kommunikationsvägar : En studie baserad på haveriutredningar." Thesis, Linnéuniversitetet, Sjöfartshögskolan (SJÖ), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-68292.
Повний текст джерелаАнотація:
Risk communication in a modern maritime environment is unmistakably important but how does it fare against today’s science? This study focuses on a small part of risk communication, namely the differences in using one mean of communication as opposed to multiple means of communication. What positive and negative sides are involved in exchanging information through only one mean of communication as opposed to giving and receiving the information through many? The method is a literature study and the material ten accident reports made by administrative authorities. The reports have been analyzed and compared to modern subject science literature. The result of the study favor multiple means of communication such as public address systems, signs, general alarm and through the crew. The different ways create a redundancy and succeeds better at reaching a diversity of people. The negative sides, including confusion caused by too much or deviating information, appears to historically have been exaggerated. This is probably due to a false belief that man behaves irrationally in a state of crisis. The risk communication of the future is as such thick in information and comes through multiple means of communication.
4
Carson-Stevens, Andrew. "Generating learning from patient safety incident reports from general practice." Thesis, Cardiff University, 2017. http://orca.cf.ac.uk/104070/.
Повний текст джерелаАнотація:
Internationally, there is an emerging interest in the inadvertent harm caused to patients by the provision of healthcare services. Since the publication of the Institute of Medicine’s report, To Err is Human, in 1999, research and policy directives have predominantly focused on patient safety in hospital settings. More recently, the World Health Organization has highlighted 2-3% of primary care encounters result in a patient safety incident. Given around 330 million general practice consultations occur in the UK each year, unsafe primary care is a poorly understood, major threat to public health. In 2003, a major investment was made in the National Reporting and Learning System to better understand patient safety incidents occurring in England and Wales. Over 40,000 incident reports have arisen from general practice. These have never been systematically analysed, and a key challenge to exploiting these data has been to generate learning from the largely unstructured, free-text descriptions of incidents. My thesis describes the empirical development and application of methods to classify (structure) incident report data. This includes the development of coding frameworks specific to primary care, aligned to the WHO International Classification for Patient Safety, to describe the incident, contributory factors and incident outcomes. I have developed a mixed-methods approach which combines a structured process for coding reports and an exploratory data analysis with subsequent thematic analysis. Analyses of reports can generate hypotheses about priorities for systems improvement in primary care at a local and national level. Existing interventions or initiatives to minimise or mitigate patient safety risks can be identified through scoping reviews. Future research and quality improvement activities should deepen understanding about the risks to patients, and generate knowledge about how interventions made in practice can improve safety.
5
Kobes, Shannon K. "Analysis of victim and perpetrator blame in incident reports depicting sexual assault." Virtual Press, 2005. http://liblink.bsu.edu/uhtbin/catkey/1318619.
Повний текст джерелаАнотація:
The relationship between blame attribution, characterological and behavioral blame, and rape and prostitution myth acceptance was investigated. After reviewing an incident report of a sexual assault in which the victim was portrayed as either a prostitute, bank teller, or nun, 291 college-aged participants rated their level of agreement with rape myths and prostitution myths. They also assigned blame to the victim and/or perpetrator of the sexual assault. Results indicated that as rape and prostitution myth acceptance increased, victim blame increased and perpetrator blame decreased. Participants tended to blame the victimized prostitute more for the assault than the victimized bank teller and nun; similarly, participants tended to blame the perpetrator of the nun and bank teller more than the perpetrator of the prostitute. Gender differences in rape and prostitution myth acceptance and blaming attributions were also investigated. The findings are congruent with previous research on rape myth acceptance and blame.Department of Psychological Science
6
Castillo, Jose Carlos. "The User-Reported Critical Incident Method for Remote Usability Evaluation." Thesis, Virginia Tech, 1997. http://hdl.handle.net/10919/35513.
Повний текст джерелаАнотація:
Much traditional user interface evaluation is conducted in usability laboratories, where a small number of selected users is directly observed by trained evaluators. However, as the network itself and the remote work setting have become intrinsic parts of usage patterns, evaluators often have limited access to representative users for usability evaluation in the laboratory and the users' work context is difficult or impossible to reproduce in a laboratory setting. These barriers to usability evaluation led to extending the concept of usability evaluation beyond the laboratory, typically using the network itself as a bridge to take interface evaluation to a broad range of users in their natural work settings. The over-arching goal of this work is to develop and evaluate a cost-effective remote usability evaluation method for real-world applications used by real users doing real tasks in real work environments. This thesis reports the development of such a method, and the results of a study to:
- investigate feasibility and effectiveness of involving users with to identify and report critical incidents in usage,
- investigate feasibility and effectiveness of transforming remotely-gathered critical incidents into usability problem descriptions, and
- gain insight into various parameters associated with the method.
Master of Science
7
Macrae, Carl. "Assuring organizational risk resilience : assessing, managing and learning from flight safety incident reports." Thesis, University of East Anglia, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.427089.
Повний текст джерела
8
Quader, Mithila, and Sara Lidén. "An approach to manage corporate scandals : Legitimizing negative incidents in CSR-reports." Thesis, Karlstads universitet, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-68550.
Повний текст джерелаАнотація:
Background: The relationship between CSR-reports and legitimacy has been on-going from the very beginning that businesses started to report on sustainability related issues. Prior research suggest that businesses can enhance their competitive edge by maintaining legitimacy through CSR-reports. Therefore, prior research also suggests that businesses can alter how information is disclosed in CSR-reports in order to maintain or enhance their legitimacy. This has caused a tendency amongst businesses to create overly positive and unbalanced reports, but what happens when the lack of negative information backfires? Purpose: The purpose of the paper is to examine how negative information is disclosed before a corporate scandal, and which legitimization strategies are applied to communicate in CSR-reports to restore legitimacy after facing a corporate scandal. Method: The paper has applied a thematic analysis to analyze unobtrusive data gathered from CSR-disclosures from ten companies and media outlets who have reported on the scandal, using a qualitative approach. Findings: Three key findings were made. CSR-reports are used as a legitimacy tool to disclose negative information. The paper identifies continuous signs of companies shifting focus to maintain or restore legitimacy through the use of strengthened language, the addition of a time-aspect or a new perspective. This finding has led to the last key finding and conclusion of this paper; that an additional strategy can be identified in a majority of the companies – the strategy of shifting focus. Keywords: Legitimacy, CSR-reports, corporate scandals, negative incidents
9
Wise, Patrick E. "Emergency Management Plan Training in Higher Education: Faculty Report of Preparedness for Active-Shooter Incidents." University of Toledo / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1619435848315978.
Повний текст джерела
10
Tulechki, Nikola. "Natural language processing of incident and accident reports : application to risk management in civil aviation." Thesis, Toulouse 2, 2015. http://www.theses.fr/2015TOU20035/document.
Повний текст джерелаАнотація:
Cette thèse décrit les applications du traitement automatique des langues (TAL) à la gestion des risques industriels. Elle se concentre sur le domaine de l'aviation civile, où le retour d'expérience (REX) génère de grandes quantités de données, sous la forme de rapports d'accidents et d'incidents. Nous commençons par faire un panorama des différentes types de données générées dans ce secteur d'activité. Nous analysons les documents, comment ils sont produits, collectés, stockés et organisés ainsi que leurs utilisations. Nous montrons que le paradigme actuel de stockage et d’organisation est mal adapté à l’utilisation réelle de ces documents et identifions des domaines problématiques ou les technologies du langage constituent une partie de la solution. Répondant précisément aux besoins d'experts en sécurité, deux solutions initiales sont implémentées : la catégorisation automatique de documents afin d'aider le codage des rapports dans des taxonomies préexistantes et un outil pour l'exploration de collections de rapports, basé sur la similarité textuelle. En nous basant sur des observations de l'usage de ces outils et sur les retours de leurs utilisateurs, nous proposons différentes méthodes d'analyse des textes issus du REX et discutons des manières dont le TAL peut être appliqué dans le cadre de la gestion de la sécurité dans un secteur à haut risque. En déployant et évaluant certaines solutions, nous montrons que même des aspects subtils liés à la variation et à la multidimensionnalité du langage peuvent être traités en pratique afin de gérer la surabondance de données REX textuelles de manière ascendanteThis thesis describes the applications of natural language processing (NLP) to industrial risk management. We focus on the domain of civil aviation, where incident reporting and accident investigations produce vast amounts of information, mostly in the form of textual accounts of abnormal events, and where efficient access to the information contained in the reports is required. We start by drawing a panorama of the different types of data produced in this particular domain. We analyse the documents themselves, how they are stored and organised as well as how they are used within the community. We show that the current storage and organisation paradigms are not well adapted to the data analysis requirements, and we identify the problematic areas, for which NLP technologies are part of the solution. Specifically addressing the needs of aviation safety professionals, two initial solutions are implemented: automatic classification for assisting in the coding of reports within existing taxonomies and a system based on textual similarity for exploring collections of reports. Based on the observation of real-world tool usage and on user feedback, we propose different methods and approaches for processing incident and accident reports and comprehensively discuss how NLP can be applied within the safety information processing framework of a high-risk sector. By deploying and evaluating certain approaches, we show how elusive aspects related to the variability and multidimensionality of language can be addressed in a practical manner and we propose bottom-up methods for managing the overabundance of textual feedback data
Тoзи реферат описва приложението на автоматичната обработка на естествен език (ОЕЕ) в контекста на управлението на риска в гражданското въздухоплаване. В тази област докладването на инциденти и разследването на произшествия генерират голямо количество информация, главно под формата на текстови описания на необичайни събития. На първо време описваме раличните типове (текстови) данни, които секторът произвежда. Анализираме самите документи, методите за съхраняването им, как са организирани, както и техните употреби от екперти по сигурността. Показваме, че съвремените парадигми за съхраняване и организация не са добре приспособени към реалната употреба на този тип данни и установяваме проблемните зони, в които ОЕЕ е част от решението. Две приложения, отговарящи прецизно на нуждите на експерти по авиационна сигурност, са имплементирани: автоматична класификация на доклади за инциденти и система за проучване на на колекции, основаваща се върху текстовото сходство. Въз основа на наблюдения на реалната употреба на приложенията, предлагаме няколко метода за обработка на доклади за инциденти и произшествия и обсъждаме в дълбочина как ОЕЕ може да бъде проложено на различни нива в информационнo-обработващите структури на един високорисков сектор. Оценявайки методите показваме, че трудностите свързани с многоизмерността и изменимостта на човешкия език могат да бъдат ефективно адресирани и предлагаме надеждни възходящи методи за справяне със свръхизобилието на доклади за инциденти в текстови формат
11
Hueston, Harry Raymond 1949. "How higher educational institutions deal with reported incidents of sexual assault." Diss., The University of Arizona, 1997. http://hdl.handle.net/10150/289344.
Повний текст джерелаАнотація:
Based on an examination of 47 campus-police reports of sexual assaults at three Southwestern universities, this study identifies and documents the social conditions that frequently lead to and surround campus rape; by comparing these conditions with those found in several national studies, this researcher finds a number of consistencies in suspects' and victims' characteristics, location of the crime, date and time of occurrence, and substance abuse. In addition, this study documents elements of male domination and sex-role stereotyping, the influence of rape mythology, and a negotiation process in which victims engage before they conclude that they are victims and report the crime. The study also examines the way in which universities apply or do not apply their own codes of conduct to campus rape cases and the way in which the criminal-justice system manages such cases. Using the documentation in the 47 campus-police reports, this study finds patterns in the steps rape victims take, campus police procedures for presenting campus rapes to prosecutors, prosecutors' decision-making processes, and reasons given by prosecuting attorneys when they fail to prosecute student suspects. The pattern of failing to treat campus rape as a serious crime is consistent on university campuses and in the criminal justice system. The criminal-justice system seldom prosecutes, indicts, or sentences students suspected of rape, whereas those accused of other crimes are more frequently brought to justice. Likewise, university administrators impose only minimal, if any, sanctions against students identified as rapists. Finally, the study provides important information with which to understand the environment in which rape occurs and the gender biases on which both university administrations and the criminal-justice system base their assumptions, policies, programs, discipline, and justice. This information is presented so that those in academic and judicial authority can develop improved programs and strategies to prevent campus rape.
12
Vignoli, Benedetto Gabriele. "Optimization of the Security Incident Management plan of NNIT A/s via the Integration of the Vulnerability Reports Creator." Thesis, KTH, Skolan för informations- och kommunikationsteknik (ICT), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-190116.
Повний текст джерелаАнотація:
Modern IT companies manage security of their customers'networks following particular models, processes and procedures. In this thesis are presented the most important and widespread guidelines on Security Incident Response Plans as well as the implementation of a software for an IT danish company called NNIT. In particular, this software aims to improve NNIT's Security Incident Management Process generating automatic reports of vulnerabilities found in NNIT clients networks. Enhancing this process reducing its execution time is directly translated into a proactive response where vulnerabilities are tackled and patched before an attacker could exploit them. The software developed and described in this thesis is called VRC and thanks to a particular algorithm analyzes the database of vulnerabilities found by the vulnerability scanner and produces customizable reports. In the reports, the list of vulnerabilities is ordered by severity and number of machines a ected in order to present the most urgent vulnerabilities that should be xed. Finally, an evaluation of the VRC performance and usefulness is also included.
13
Pulgret, Lukáš. "Návrh metodiky šetření příčin leteckých nehod zaviněných lidským činitelem v malém letectví." Master's thesis, Vysoké učení technické v Brně. Fakulta strojního inženýrství, 2020. http://www.nusl.cz/ntk/nusl-417514.
Повний текст джерелаАнотація:
This Master´s thesis examines Investigation of aircraft accidents / incidents, which were caused by human error. My thesis is focused on fixed wing aircrafts with maximum take off weight up to 2500 kg. Practices of Aircraft accident / incident Investigation are described in Annex L13 which is document published by Ministry of Transport of the Czech Republic. This document provides some support for investigators but does not contain methodology which should be used to discover human error by which the accident / incident was caused. This thesis has two major purposes. First purpose is to analyze Final reports of investigations and suggest improvements which can be made. Second goal of this thesis is to create own methodology for investigating the causes of aviation accidents / incidents caused by human factor.
14
Warren, Andrea Frazier. "The relationship between reported incidents of student discipline and student achievement across four Eastern states." Diss., Virginia Tech, 2007. http://hdl.handle.net/10919/27281.
Повний текст джерелаАнотація:
The No Child Left Behind (NCLB) Act of 2001 was established to improve student achievement among all public school students. To accomplish this goal, this federal mandate requires each state to establish the seven set priorities under NCLB. In addition, each state is required to establish and report their accomplishments and failures annually. One priority listed under NCLB required that all public schools establish a safe learning environment for students, school staff, and parents (U.S. Government, 2001). Some researchers have identified a high frequency of student discipline incidents, resulting in high suspension and expulsion rates, as a negative constuct that hinders teachers from establishing a nurturing learning environment. As a result, students are unable to develop the skills they need to successfully pass their state-wide assessment test (Howard et. al., 1987; Hernandez & Seem, 2004). Therefore, this study was designed to determined if there is a relationship between incidents of student discipline and student achievement across public school districts in Maryland, New Jersey, Pennsylvania, and Virginia. For the purpose of this study, a hierarchical clustering analysis was used to create five clusters of school divisions (N=1,108) within the four states according to similiarities. To accomplish this task, a data matrix was created, which contains data of the total number of incidents for disorderly conduct, weapon violations, substance abuse, and violence; the number of students receiving free and reduced lunch; and the number of students by race/ethnicity for each school district within the four states. The findings indicate that there is a relationship between incidents of student discipline and student achievement among the four states.Ph. D.
15
Kapičák, Daniel. "Agregace hlášení o bezpečnostních událostech." Master's thesis, Vysoké učení technické v Brně. Fakulta informačních technologií, 2016. http://www.nusl.cz/ntk/nusl-255432.
Повний текст джерелаАнотація:
In this thesis, I present analysis of security incident reports in IDEA format from Mentat and their aggregation and correlation methods design and implementation. In data analysis, I show huge security reports diversity. Next, I show design of simple framework and system of templates. This framework and system of templates simplify aggregation and correlation methods design and implementation. Finally, I evaluate designed methods using Mentat database dumps. The results showed that designed methods can reduce the number of security reports up to 90% without loss of any significant information.
16
Palm, Claes. "Self-reported Olfactory Imagery Ability is neither related to Odor Identification nor Episodic Recognition Performance." Thesis, Stockholm University, Stockholm University, Stockholm University, Stockholm University, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-28502.
Повний текст джерелаАнотація:
Participants claiming to be good at evoking vivid olfactory images are assumed to have better access to odor memory. It was hypothesized that this would be reflected in better odor naming and recognition task performance. Two extreme groups of participants high and low in self-reported olfactory imagery ability were exposed to familiar and unfamiliar odors in an incidental learning session. This was followed by an episodic odor recognition and odor naming task 20 minutes later. Imagery ability was unrelated to naming and recognition. This might indicate that if high imagers have a better access to odor memory, it is not due to a stronger link between language and odor memory or better incidental encoding.
17
Harris, Eric. "Intimate violence against women : a report on the incidence and correlates of intimate violence against women - an Mdantsane, Eastern Cape sample." Master's thesis, University of Cape Town, 1999. http://hdl.handle.net/11427/9753.
Повний текст джерелаАнотація:
Bibliography: leaves 51-58.Gender issues, especially in South Africa, have over recent years moved decisively into the public domain. In this context intimate violence by men of their women partners, so long shrouded in silence, is now being hailed as one of our most serious and prevalent social problems. But despite this awareness the circumstances which underpin this sort of violence remain controversial and obscure and its effective management elusive. This study explores some of the factors which may promote or protect against its use in order to identify which would both assist individuals personally affected by personal violence as well as influence any societal factors which perpetuate it. This study uses the words' wife abuse', 'wife beating', 'spouse abuse' and 'intimate violence' interchangeably to refer to violence towards women by their intimate male partners whether they qualify strictly as 'husbands' or not. The report starts with a brief review of selected literature on the topic of intimate violence. The context of the current study and the pilot work is then discussed. Following this, the Domestic Violence Survey, the core of this report is introduced and the results presented. Finally a brief discussion brings together some of the major findings and makes some tentative suggestions for future investigations.
18
Schneider, Harald Jörn, Nele Friedrich, Jens Klotsche, Sabine Schipf, Matthias Nauck, Henry Völzke, Caroline Sievers, et al. "Prediction of incident diabetes mellitus by baseline IGF1 levels." BioScientifica, 2011. https://tud.qucosa.de/id/qucosa%3A26329.
Повний текст джерелаАнотація:
Objective: IGF1 is associated with metabolic parameters and involved in glucose metabolism. Low-IGF1 has been implicated in the etiology of glucose intolerance and subjects with pathological causes of either low- or high-IGF1 are at risk of diabetes. We hypothesized that both low- and high-IGF1 levels increase the risk of diabetes and aimed to assess the role of IGF1 in the risk of developing diabetes in a large prospective study.
Design: An analysis of two prospective cohort studies, the DETECT study and SHIP.
Methods: We measured IGF1 levels in 7777 nondiabetic subjects and assessed incident diabetes mellitus during follow-up.
Results: There were 464 cases of incident diabetes during 32 229 person-years (time of follow-up in the DETECT study and SHIP: 4.5 and 5 years respectively). There was no heterogeneity between both studies (P>0.4). The hazard ratios (HRs) of incident diabetes in subjects with IGF1 levels below the 10th or above the 90th age- and sex-specific percentile, compared to subjects with intermediate IGF1 levels, were 1.44 (95% confidence interval (CI) 1.07–1.94) and 1.55 (95% CI 1.06–2.06) respectively, after multiple adjustment. After further adjustment for metabolic parameters, the HR for low-IGF1 became insignificant. Analysis of IGF1 quintiles revealed a U-shaped association of IGF1 with risk of diabetes. Results remained similar after exclusion of patients with onset of new diabetes within 1 year or with borderline glucose or HbA1c levels at baseline.
Conclusions: Subjects with low- or high-IGF1 level are at increased risk of developing diabetes.
19
Sun, Canlan. "Prevalence and incidence of, and risk factors for self-reported peptic ulcer in Singapore Chinese." access full-text, 1999. http://libweb.cityu.edu.hk/cgi-bin/ezdb/umi-r.pl?1397639.pdf.
Повний текст джерела
20
Huerta-Perales, Patricia Rocio. "The relationship between Mexican-American parenting styles, level of acculturation, and incidence of stress and reports of child abuse." CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1625.
Повний текст джерелаАнотація:
The parenting style, level of acculturation and incidence of stress, were explored in order to identify the likelihood of intervention by child protective services to prevent child abuse. Additionally, concerns of whether reports of child abuse were related more to the lack of information about American parenting rules, rather than intentionally abusive behavior.
21
Rodríguez, Rivas Richar. "Caracterización del reporte y manejo de incidentes adversos a dispositivos médicos en los servicios hospitalarios del Hospital Vitarte – MINSA, 2019." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2020. https://hdl.handle.net/20.500.12672/16122.
Повний текст джерелаАнотація:
Busca identificar las características del reporte y manejo de
IA a DM en los Servicios Hospitalarios del Hospital Vitarte – MINSA. Se realizó estudio de
naturaleza cuantitativo, de tipo descriptivo, prospectivo – retrospectivo y transversal,
teniendo en cuenta una muestra de 59 profesionales de salud (PS) médicos, enfermeros(as) y
obstetras de los servicios hospitalarios en estudio; recopilando informaciones mediante las
entrevistas, encuestas y revisión de los formatos de reportes, utilizando el instrumento de
recopilación de datos. Como resultado, el 60% de profesionales de salud desconocen los
conceptos de tecnovigilancia, manejo y reporte oportuno de incidentes adversos (IA) a
dispositivos médicos (DM) y el 40% de ellos si conocen; siendo en su mayoría 24.2%
enfermeros(as); el 50% de los PS no lo reportaron IA a DM por factor de tiempo, mientras el
25% indica que no era necesario hacerlo. Los factores más frecuentes que influyeron para
producir IA a DM fue por calidad 46%, fallas durante el funcionamiento 24%, por falta de
mantenimiento 34% y por condiciones de almacenamiento 8%. Los IA a DM presentados
durante su utilización fue de 67.7%; siendo moderado 49.2%; requirió intervención del PS
34.3%, lesión temporal 34.3%, prolongó su hospitalización 4.5%; además, los DM que más
presentó IA es el catéter endovenoso periférico de medidas 24 y 18 G x ¾” 18.7%, equipo
de infusión microgotero 11.4% y llave triple vía c/extensión de 50cm 10.8%. Asimismo,
según clase de riesgo los DM que presentó IA de clase I 41%, en seguida clase II 32%, clase
III 18% y clase IV 9%. Se concluye que en su mayoría de los profesionales de salud del
Hospital Vitarte, no tienen idedas claras sobre los conceptos básicos de Tecnovigilancia,
reporte de IA a DM; además, de no contar con la sensibilización y capacitación oportuna
sobre la importancia de estos reportes, siendo una herramienta primordial para mejorar la
calidad de atención y disminuir los probables riesgos que puedan afectar la salud de los
paciente y del usuario; toda vez que los resultado de reportes de IA a DM a nivel local,
regional y nacional no muestra un impacto significativo en comparación a otros países de
latinoamérica.
22
Martínez, Palomino Gledy Káterin. "Reporte de incidentes adversos y factores asociados a dispositivos médicos en la Clínica Delgado de Miraflores junio a diciembre 2019." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2021. https://hdl.handle.net/20.500.12672/17089.
Повний текст джерелаАнотація:
Durante las actividades realizadas para el cuidado de la salud del paciente es de suma importancia
velar por la seguridad del paciente en especialmente cuando se realizan procedimientos invasivos
o no invasivos en los cuales son necesario el uso de “dispositivos médicos que en función de su
complejidad puede representar algún tipo de riesgo previsto o inesperado para el paciente,
operador o entorno donde se usa. Los profesionales de la salud buscan evaluar que los dispositivos
médicos cumplan con el uso previsto (eficaces) y sean seguros con el paciente, operario o entorno
donde este sea usado. Para tal efecto es importante la realización de actividades de vigilancia
sanitaria post-comercialización a través de la Tecnovigilancia. El presente trabajo de investigación
tiene como objetivo general la evaluación de notificaciones de incidentes adversos asociados a
dispositivos médicos en la Clínica Delgado ubicada en distrito de Miraflores, Ciudad de Lima. La
metodología de trabajo es de tipo descriptivo mediante la revisión de la información consignada
en las notificaciones de incidentes adversos a dispositivos médicos que fueron remitidos por el
personal de salud en el momento de ocurrencia del incidente adverso, de los cuales se puede extraer
las características relacionadas al dispositivo médico, país de fabricación, clasificación de riesgo,
profesional que realiza el reporte, entre otros datos.
En cuanto a los resultados del presente estudio se evaluaron 37 notificaciones de incidentes
adversos a dispositivos médicos en el periodo junio – diciembre 2019, siendo el dispositivo médico
con mayor frecuencia en notificarse, el equipo de venoclisis, el país donde se manufacturo el
Dispositivo Médico que tuvo mayor incidencia en las notificaciones es Estados Unidos (U.S.A),
el profesional de salud que más reporta son las licenciadas de enfermería.
23
Rutz-Beynart, Beth. "Archival evaluation of a proactive school wide discipline plan." [Tampa, Fla] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0001690.
Повний текст джерела
24
Jansson, Christina. "Belysning av risker i vårdprocessen." Thesis, Sophiahemmet Högskola, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1935.
Повний текст джерелаАнотація:
Vårdprocessen beskriver patientens väg genom vården där utgångspunkten är patientens behov och slutpunkten är då behovet av vård upphör och patienten är färdigbehandlad. Ett grundläggande kvalitetskrav är att vården är säker och att patienten inte riskerar att skadas i vårdprocessen. Den mycket uppmärksammade rapporten "To err is human", som kom i slutet av 1990-talet, visade att ett stort antal dödsfall och medicinska felbehandlingar orsakades av hälso- och sjukvården. Rapporten blev startskottet i en världsomspännande debatt om patientsäkerhet som påverkat säkerhets- och systemsyn. Idag ses felhandlingar inte längre som ett hinder utan som en möjlighet till lärande och ny kunskap. Begreppet patientsäkerhet har lyfts fram och vikten av att vårdprocesserna leder till goda resultat tydliggörs allt mer. Inom alla verksamheter inträffar oförutsedda händelser som får oönskade effekter, något som avviker från det förväntade. En avvikelse definieras som en händelse som inte följer normal rutin och förväntade vårdförlopp. Några av dessa händelser rapporteras och analyseras avseende bakomliggande orsak och allvarlighetsgrad av det inträffade samt sannolikhet för upprepning bedöms. Det saknas dock en övergripande riskvärdering av avvikelser i vårdprocessen och kunskap om var i de olika processerna som de allvarligaste riskerna förekommer. Syftet med studien var att belysa riskvärderade avvikelser i vårdprocessen. Studien bygger på empirisk retrospektiv analys av insamlad data i form av inkluderade data från elektroniskt avvikelsehanteringsverktyg under en period av tolv månader vid ett sjukhus som bedriver elektiv kirurgisk vård. Varje avvikelse riskvärderades, där grad av allvar (gradering 1-4) multiplicerades med sannolikhet för upprepning (gradering 1-4). Ett riskvärde, större eller lika med åtta, klassificerades som avvikelser med hög risk och mindre än åtta som avvikelser med låg risk. Därefter analyserades rapportörens berättelse av vad som inträffat och händelsen relaterades till var i huvud- eller stödprocess den inträffat. Avvikelser med hög risk i huvudprocessen, 67 procent, förekom vid vårdplanering och inskrivning och 33 procent vid utskrivning. Avvikelser med låg risk förekom vid vårdplanering, operation/behandling/omvårdnad samt vid postoperativ vård på uppvakningsavdelning, 67 procent. Av avvikelser med hög risk i stödprocesserna förekom 67 procent i den fysiska arbetsmiljön och 17 procent inom HR/personal och 17 procent inom sterilprocessen. Avvikelser med låg risk i stödprocesserna förekom företrädesvis i den fysiska arbetsmiljön, 54 procent. En systematisk riskvärdering av avvikelser visar vilka områden i vårdprocessen som kräver förbättringsåtgärder och skulle kunna skapa förutsättningar för en säkrare väg för patienten, samt skulle kunna stärka medarbetarnas riskmedvetenhet. Inledning och avslutning av vårdprocessen är områden som ur patientsäkerhetsperspektiv kan förbättras
25
Fermin, Pizan Luis Ernesto, and Cruzado Cesar Miguel Ingaruca. "Propuesta de diseño de sistema web y móvil para la gestión de incidentes y accidentes para una empresa del sector minero." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/654014.
Повний текст джерелаАнотація:
El presente proyecto de tesis está enfocado en brindar una propuesta que le permita a una empresa del sector minero automatizar las actividades del proceso de gestión de incidentes y accidentes ocupacionales mediante la implementación de un sistema web y móvil.
Para la elaboración de la propuesta, se desarrollan seis capítulos, en el primer capítulo del documento se realiza la definición del proyecto, donde se presenta a la organización objeto de estudio, los objetivos del proyecto así como sus indicadores de éxito, además de describir el problema identificado. El segundo capítulo presenta el cumplimiento de los student outcomes. El tercer capítulo describe los fundamentos teóricos para el desarrollo del proyecto. El cuarto capítulo comprende el desarrollo del proyecto, donde se realiza el análisis de la situación actual de la compañía, ingeniería de procesos, propuesta de solución, analisis de requerimientos, modelado de casos del sistema y diseño de arquitectura de software de la propuesta para el cual se empleará el modelo 4C. El quinto capítulo presenta los resultados del proyecto tomando como referencia la propuesta planteada. El sexto capitulo desarrolla la gestión del proyecto tomando de referencias lo sugerido en la guía del PMBOK.
En este contexto, mediante la propuesta de solución que el presente proyecto brindará, se logrará reducir la cantidad de incidentes no atendidos por falta de un correcto control y seguimiento de los eventos de seguridad y salud ocupacional en las operaciones mineras.This thesis project is focused on providing a proposal that allows a company in the mining sector to automate activitities related to incidents and accidents managment process through the implementation of web and mobile system. For the development of the proposal, six chapters are developed, in the first chapter of this document the definition of the project is carried out, in this section we present the organization under study, the objectives of the project and success indicators, as well as the description of the problem identified. The second chapter presents the fulfillment of the student outcomes. The third chapter describes the theoretical foundations for the development of the project. The fourth chapter includes the development of the project, the analysis of the current situation of the company, process engineering, proposal solution, analysis requirements, system case models and the design of the software architecture using model 4C. The fifth chapter presents the results of the project, taking the proposed proposal as a reference. The sixth chapter develops the project management taking references suggested in the PMBOK guide. In this context, through the proposed solution that this project will provide, it will be possible to reduce the number of incidents not attended due a proper control and monitoring of occupational health and safety events in mining operations.
Tesis
26
Friis, Lennart. "Health of municipal sewage workers : Studies of cancer incidence, biomarkers of carcinogenicity and genotoxicity, and self reported symptoms." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2001. http://publications.uu.se/theses/91-554-4980-8/.
Повний текст джерела
27
Do, Thuy. "The Incidence and Prevalance of Cervical Cancer in Vietnamese Women (1993-1995): A Analysis of SEER Reported Cases." VCU Scholars Compass, 2005. http://scholarscompass.vcu.edu/etd/1216.
Повний текст джерелаАнотація:
Background: Cervical cancer is the third most common reproductive cancer in the U.S. To date, one report concluded that U.S. Vietnamese women had the highest incidence rate (43.0/100,000). The current study examines whether U.S. Vietnamese women are more likely to have cervical cancer in comparison to Whites, Blacks, Hispanics, American Indians, and other Asian subgroups. Methods: SEER data of cervical cancers diagnosed from 1993-1995 (n = 37,790) was utilized. Using SPSS, chi-square statistics assessed whether Vietnamese women were older and more likely to be married or diagnosed at a later stage. Logistic regression assessed the amount of risk race/ethnicity contributes to stage of diagnosis adjusting for age and martial status. SEER*Stat and U.S. Census data were used to compute age-adjusted incidence and prevalence rates per 100,000 woman-years for cervical cancer. Results: After adjustment, Vietnamese women were more likely to have carcinoma in situ (OR=1.44, p = 0.0 14) compared to white women. The odds of distant stage diagnosis for Vietnamese women was 3.35 times that of whites (p = 0.093). Vietnamese women had greater odds of distant stage diagnosis than other Asian subgroups (OR = 1.43, p = 0.092). The overall age-adjusted incidence rate for invasive cervical cancer for Asian-Pacific Islanders is 6.71100,000 (including Vietnamese) compared to 5.0/100,000 for whites. However, the overall incidence rate for Vietnamese women is 21.4/100,000 compared to 10.4/100,000 for whites. Conclusions: Vietnamese race/ethnicity is associated with cervical cancer diagnosis. Asian subgroups are at varying risk of cervical cancer and should be assessed separately as to not obscure differences.
28
Wallander, Henrik M. "Congenital clubfoot aspects on epidemiology, residual deformity and patient reported outcome /." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-106366.
Повний текст джерела
29
Polisena, Julie. "Factors that Influence the Recognition, Reporting, and Resolution of Incidents Related to Medical Devices and an Investigation of the Continuous Quality Improvement Data Automatically Reported by Wireless Smart Infusion Pumps." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/33414.
Повний текст джерелаАнотація:
Medical devices are used to diagnose, treat, or prevent a disease or abnormal physical condition without any chemical action in the body. They can also result in unintended incidents and other errors. This thesis was divided into three chapters: i) a systematic review on the recognition, reporting and resolution of incidents related to medical devices and other health technologies; ii) telephone interviews with physicians and registered nurses (RNs) to solicit information on the resolution, reporting and resolution of medical device-related incidents based on their professional experience; and iii) a case study to review the continuous quality improvement (CQI) data retrieved from the wireless smart infusion pump system at The Ottawa Hospital (TOH) and to propose a CQI data analysis process. The systematic review included 30 studies on factors that influence the recognition, reporting and resolution of incidents in hospitals and interventions to improve patient safety. Central themes that emerged for incident reporting were personal attitudes, awareness and perception of incident reporting systems, organizational culture, and feedback to healthcare professionals. In our telephone interviews, physicians and RNs attributed incident recognition to devices not operating based on the manufacturer’s instructions, and to the hospital staff’s knowledge of and professional experience with the use of the medical device, and clinical manifestations of patients. Suggestions to improve medical device safety surveillance centered on education and training to ensure that the staff is able to use the medical device properly and know what would be considered an error, and how to report these errors. The results of the systematic review and interviews helped to inform the design of a medical device surveillance framework in a hospital setting. Our case study assessed the Dose Error Reduction Software compliance and frequency of soft and hard limit alerts with wireless smart infusion pump systems over a one year period. A CQI data analysis process to monitor the performance of wireless smart infusion pumps is proposed. The findings of this doctoral thesis can contribute to the development of a medical device surveillance system that would help to improve health care delivery and patient safety in a health care institution.
30
Acuña, Román Fiorella Francesca. "La capacitación como herramienta para el reporte de sospechas de incidentes adversos a dispositivos médicos en Centros de Salud de la Micro Red San Martin de Porres." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2018. https://hdl.handle.net/20.500.12672/10098.
Повний текст джерелаАнотація:
Promueve el uso del reporte de sospecha de incidentes adversos a dispositivos médicos a través de la capacitación al personal de salud de los Establecimientos de Salud de la Micro Red San Martin de Porres. Es un estudio de tipo observacional descriptivo, la cual se realizó a los profesionales de salud de los Centros de Salud México, Amakella, Condevilla y Perú IV Zona, mediante entrevistas dirigidas, encuestas, evaluaciones y capacitaciones. Se determinó que los profesionales de la salud de los centros de salud desconocen qué es un dispositivo médico y la necesidad de realizar el reporte de sospecha de incidentes adversos a dispositivos médicos, y también se identificó el desinterés de los profesionales de la salud por ser capacitados, ya sea por falta de tiempo que implicaría realizar esta función o por el aumento de una función más a su trabajo diario, a esto se le suma la falta de capacitación por parte de las entidades correspondientes y lano designación de responsables de farmacovigilanciay tecnovigilancia en los centros de salud. Se concluye que mediante las capacitaciones realizadas a los profesionales de la salud no se logró promover los reportes de sospechas de incidentes adversos a dispositivos; esto debido a la falta de interés de capacitación, el temor de un incremento de una función o responsabilidad más a su función diaria y se detectó que algunos dispositivos médicos no cumplen con las especificaciones técnicas con las que fueron aprobadas.Tesis
31
Petraglia, Elizabeth Ellen. "Estimating County-Level Aggravated Assault Rates by Combining Data from the National Crime Victimization Survey (NCVS) and the National Incident-Based Reporting System (NIBRS)." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1439027433.
Повний текст джерела
32
Wittchen, Hans-Ulrich, Eni S. Becker, Roselind Lieb, and Petra Krause. "Prevalence, incidence and stability of premenstrual dysphoric disorder in the community." Cambridge University Press, 2002. https://tud.qucosa.de/id/qucosa%3A26459.
Повний текст джерелаАнотація:
Background. Despite an abundance of clinical research on premenstrual and menstrual symptoms, few epidemiological data provide estimates of the prevalence, incidence, co-morbidity, stability and correlates of premenstrual dysphoric disorder (PMDD) in the community.
Aims. To describe the prevalence, incidence, 12 co-morbidity factors and correlates of threshold and subthreshold PMDD in a community sample of young women.
Methods. Findings are based on prospective–longitudinal community survey of 1488 women aged 14–24, who were followed-up over a period of 48 months (follow-up, N = 1251) as part of the EDSP sample. Diagnostic assessments were based on the Composite International Diagnostic Interview (CIDI) and its 12-month PMDD diagnostic module administered by clinical interviewers. Diagnoses were calculated using DSM-IV algorithms, but daily ratings of symptoms, as required, were not available.
Results. The baseline 12-month prevalence of DSM-IV PMDD was 5·8%. Application of the diagnostic exclusion rules with regard to concurrent major depression and dysthymia decreased the rate only slightly (5·3%). An additional 18·6% were ‘near-threshold’ cases, mostly because they failed to meet the mandatory impairment criterion. Over the follow-up period only few new PMDD cases were observed: cumulative lifetime incidence was 7·4%. PMDD syndrome was stable across 48 months with <10% complete remissions among baseline PMDD cases. The 12-month and lifetime co-morbidity rates were high (anxiety disorders 47·4%, mood disorders 22·9%; somatoform 28·4%), only 26·5% had no other mental disorder. Particularly high odds ratios were found with nicotine dependence and PTSD. In terms of correlates increased rates of 4-weeks impairment days, high use of general health and mental health services, and increased rates of suicide attempts were found.
Conclusion. In this sample of adolescents and young adults, premenstrual symptoms were widespread. However, DSM-IV PMDD was considerably less prevalent. PMDD is a relatively stable and impairing condition, with high rates of health service utilization, increased suicidality and substantial co-morbidity.
33
Nuñez, Vasquez Victor Rennato. "El rol de la música incidental y el sound design en los videojuegos modernos (1996-2019)." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2021. http://hdl.handle.net/10757/655918.
Повний текст джерелаАнотація:
El presente trabajo de investigación tiene como finalidad explorar y entender el rol del sonido en los videojuegos lanzados al mercado entre 1996 a 2019, usando Resident Evil 7 (2017) como un estudio de caso.
Para un mejor análisis del apartado sonoro se ha dividido el estudio del sonido en dos partes: música incidental y sound design, teniendo presente, además, que la línea que divida música y efecto de sonido es cada vez menor. La primera parte del trabajo se centra en el rol de la música incidental en el videojuego; la forma en que el mismo, como medio audiovisual no-lineal e interactivo, necesita un acercamiento diferente al de otros medios lineales como el cine; y un análisis musical de la banda sonora de dos videojuegos de la saga Resident Evil con más de quince años de diferencia, con el fin de apreciar como ha evolucionado el rol de la música en el videojuego. La segunda parte del trabajo se centra en el rol del sound design en el videojuego; analizando la complejidad de este apartado; la forma en que la misma interactua con la música al punto de compenetrarse, viéndose el videojuego como medio interactivo, favorecido de esta interacción. La tercera parte del trabajo se centra en la relación que existe entre la implementación sonora, composición musical y sound design.
Se busca con el presente trabajo contribuir al estudio y entendimiento del sonido en el videojuego, y la relación de este apartado con sus principales características: interactividad y no-linealidad.The present research aims to explore and understand the role of sound in video games released on the market between 1996 to 2019, using Resident Evil 7 (2017) as a case study. For a better analysis of the audio section, the study of sound has been divided into two parts: incidental music and sound design, bearing in mind, in addition, that the line that divides music and sound effect is less and less. The first part of the work focuses on the role of incidental music in the video game; the way in which it, as a non-linear and interactive audiovisual medium, needs a different approach than other linear media such as cinema; and a musical analysis of the soundtrack of two video games in the Resident Evil saga more than fifteen years apart, in order to appreciate how the role of music in the video game has evolved. The second part of the work focuses on the role of sound design in the video game; analyzing the complexity of this section; the way in which it interacts with music to the point of interpenetrating, seeing the video game as an interactive medium, favored by this interaction. The third part of the work focuses on the relationship between sound implementation, musical composition, and sound design. This work seeks to contribute to the study and understanding of sound in the video game, and the relationship of this section with its main characteristics: interactivity and non-linearity.
Trabajo de investigación
34
Rennhofer, Marcus, Marcel Sladecek, Daniel Kmiec, Svetoslav Stankov, Bogdan Sepiol, Gero Vogl, Rudolf Rüffer, André Vantomme, and Johan Meersschaut. "Dynamics in FePt thin films studied by grazing incidence synchrotron reflexion on isotopic multilayers." Diffusion fundamentals 2 (2005) 58, S. 1-2, 2005. https://ul.qucosa.de/id/qucosa%3A14391.
Повний текст джерела
35
Huaroto, Condeña Omar. "Factores que inciden en el abandono del tratamiento en el Servicio de Onco-Hematología del Hospital Nacional Arzobispo Loayza." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2019. https://hdl.handle.net/20.500.12672/11430.
Повний текст джерелаАнотація:
Señala que el cáncer constituye un problema de salud pública a nivel mundial por la alta mortalidad que produce. Se deduce que más del 70% de todas las muertes por cáncer se produjeron en países con ingresos económicos bajos y medios, países donde los recursos disponibles para la prevención, diagnóstico y tratamiento son limitados o inexistentes. El abandono del tratamiento de cáncer tiene diversas causas entre ellos; la falta de apoyo familiar, los efectos secundarios, el nivel socioeconómico y el nivel educativo, lo cual impide que el paciente se adhiera al tratamiento. El presente estudio es de tipo descriptivo, transversal, observacional, prospectivo. El objetivo general es indicar que factores inciden en el abandono de tratamiento en el servicio de Onco-Hematología del Hospital Nacional Arzobispo Loayza julio - septiembre 2019. Se plantea como objetivos específicos si los aspectos educativos/culturales y los aspectos socioeconómicos influyen en el abandono del tratamiento oncológico. La población que se consideró fueron pacientes que abandonaron el tratamiento oncológico de quimioterapia, para la obtención de datos se desarrolló una encuesta donde se plantea a los pacientes las causas de abandono para que marquen lo que corresponda con su caso; el 20% de la población de estudio que abandonó el tratamiento presentó un estudio superior; los principales factores que inciden en el abandono de tratamiento son la falta de apoyo familiar y el factor socioeconómico.Trabajo académico
36
Randmaa, Maria. "Communication and Patient Safety : Transfer of information between healthcare personnel in anaesthetic clinics." Doctoral thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-278726.
Повний текст джерелаАнотація:
Communication errors are frequent during the perioperative period and cause clinical incidents and adverse events. The overall aim of the thesis was to study communication – the transfer of information, especially the postoperative handover – between healthcare personnel in an anaesthetic clinic and the effects of using the communication tool SBAR (Situation-Background-Assessment-Recommendation) from a patient safety perspective. The thesis is based on studies using a correlational (Paper I), quasi-experimental (Paper II and III) and descriptive (Paper IV) design. Data were collected using digitally recorded and structured observations of handovers, anaesthetic records, questionnaires, incident reports and focus group interviews. The results from baseline data showed that lack of structure and long duration of the verbal postoperative handover decreased how much the receiver of postoperative handover remembered; the item most likely not to be remembered by the receiver was anaesthetic drugs. The variation in remembered information showed that there were room for improvement (Paper I). Implementing the communication tool SBAR increased memorized information among receivers following postoperative handover. Interruptions were frequent during postoperative handover, which negatively affected memorized information (Paper III). Furthermore, after implementation of SBAR, the personnel’s perception of communication between professionals and the safety climate improved, and the proportion of incident reports related to communication errors decreased in the intervention group (Paper II). The results of the focus group interviews revealed that the nurse anaesthetists, anaesthesiologists and post-anaesthesia care unit nurses had somewhat different focuses and views of the postoperative handover, but all professional groups were uncertain about having all information needed to secure the quality of postoperative care (Paper IV). The findings indicate that using a predictable structure during postoperative handover may improve the information memorized by the receiver, perception of communication between professionals and perception of safety climate. Incidents related to communication errors may also decrease. Long duration of the handover and interruptions may negatively affect the information memorized by receiver. To ensure high quality and safe care, there is a need to achieve a shared understanding across professionals of their work in its entirety.
37
Silva, David. "Exploring the recent incidence variations of investigated child sexual abuse cases: examining the impact of the screening process of reported cases to a child protective services agency." Thesis, McGill University, 2011. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=104486.
Повний текст джерелаАнотація:
The objective of this study was to examine the screening criteria for all reports of child sexual abuse received at a Montréal-based child protective services agency during a two-year period. A retrospective review of 303 files was conducted, analyzing information regarding 39 variables pertaining to three variable blocks: characteristics of the sexual abuse situation, of the report, and of the child and family. Bivariate analyses were carried out, followed by logistic regression analyses. Characteristics that increased the odds of screening in a report are: the presence of an adolescent or adult perpetrator, knowing the perpetrator's full name, their access to the child, police awareness of the situation, the presence of another protective concern, consulting with a manager, knowing the legal custody arrangement, and the number of siblings reported. Conversely, the longer a file remained open prior to making a decision significantly increased the odds of screening out a report.L'objectif de cette étude était d'examiner les critères associés à la rétention de rapports d'agressions sexuelles envers les enfants reçus par une agence de services de protection durant une période de deux ans. Une révision rétrospective de 303 dossiers à été menée, analysant l'information concernant 39 variables en trois blocs: les caractéristiques de la situation d'agression sexuelle, du rapport, et de l'enfant et de sa famille. Des analyses bivariées ont été complétées, suivies par des analyses de régression logistiques. Les caractéristiques augmentant la probabilité que le rapport soit retenu sont : la présence d'un agresseur adolescent ou adulte, la connaissance du nom de l'agresseur, leur accès à l'enfant, la connaissance de la situation par la police, la présence d'une autre situation de protection, la consultation avec un superviseur, la connaissance de la garde de l'enfant, et le nombre de fratries signalé. À l'inverse, le nombre de jours que le dossier demeurait ouvert avant qu'une décision soit prise augmente la probabilité qu'un rapport ne soit pas retenu.
38
Astocaza, Junes Jorge Luis. "Implementación de buenas prácticas en mesa de ayuda basándose en un modelo de gestión de incidentes para PRONABEC." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2018. https://hdl.handle.net/20.500.12672/8128.
Повний текст джерелаАнотація:
Publicación a texto completo no autorizada por el autorImplementa un modelo de gestión de incidencias para la mesa de ayuda en la Oficina de Innovación y Tecnología en PRONABEC. Se dan recomendaciones para aplicar un modelo de gestión, lo cual conlleva a mejoras en el tratamiento de las atenciones y permite reducir los tiempos y cubrir la mayor cantidad de casos de manera eficiente, elevando así el prestigio institucional y dando ejemplo para que otras buenas prácticas encuentren camino dentro del proceder organizacional.
Trabajo de suficiencia profesional
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Ströhle, Andreas, Michael Höfler, Hildegard Pfister, Anne-Grit Müller, Jürgen Hoyer, Hans-Ulrich Wittchen, and Roselind Lieb. "Physical activity and prevalence and incidence of mental disorders in adolescents and young adults." Cambridge University Press, 2007. https://tud.qucosa.de/id/qucosa%3A26465.
Повний текст джерелаАнотація:
Background: Although positive effects of physical activity on mental health indicators have been reported, the relationship between physical activity and the development of specific mental disorders is unclear.
Method: A cross-sectional (12-month) and prospective-longitudinal epidemiological study over 4 years in a community cohort of 2548 individuals, aged 14–24 years at outset of the study. Physical activity and mental disorders were assessed by the DSM-IV Composite International Diagnostic Interview (CIDI) with an embedded physical activity module. Multiple logistic regression analyses controlling for age, gender and educational status were used to determine the cross-sectional and prospective associations of mental disorders and physical activity.
Results: Cross-sectionally, regular physical activity was associated with a decreased prevalence of any and co-morbid mental disorder, due to lower rates of substance use disorders, anxiety disorders and dysthymia. Prospectively, subjects with regular physical activity had a substantially lower overall incidence of any and co-morbid mental disorder, and also a lower incidence of anxiety, somatoform and dysthymic disorder. By contrast, the incidence of bipolar disorder was increased among those with regular physical activity at baseline. In terms of the population attributable fraction (PAF), the potential for preventive effects of physical activity was considerably higher for men than for women.
Conclusions: Regular physical activity is associated with a substantially reduced risk for some, but not all, mental disorders and also seems to reduce the degree of co-morbidity. Further examination of the evidently complex mechanisms and pathways underlying these associations might reveal promising new research targets and procedures for targeted prevention.
40
Fonseca, Obregon Dora Liz. "Factores familiares que inciden en el ejercicio de la prostitución, en las mujeres del Programa Cerits-Chiclayo 2015-2016." Master's thesis, Universidad Católica Santo Toribio de Mogrovejo, 2018. http://tesis.usat.edu.pe/handle/usat/1068.
Повний текст джерелаАнотація:
Este estudio es descriptivo cuyo propósito de la investigación fue determinar los factores familiares que inciden en el ejercicio de la prostitución de las mujeres del programa CERITS del Centro de Salud José Olaya – Chiclayo. El diseño de la investigación es no experimental (descriptivo, transversal), en la cual solo se observa fenómenos tal como se dan en el contexto natural, en un solo momento. La población y muestra estuvo representada por las mujeres que ejercen la prostitución, siendo el numero de 110. El método que se utilizo fue el inductivo-deductivo, la técnica de recolección de datos fue la encuesta, con su instrumento el cuestionario, el cual consto de 4 componentes: datos sociodemográficos, factores económicos, factores familiares y factores culturales, teniendo como finalidad recoger la información relacionada al estudio. El 34.5% de las mujeres, proviene de la región Lambayeque, el 32% tiene una edad promedio de 18 a 25 años, respecto a su educación se refleja que el 42.7% tiene un bajo nivel educativo. Respecto a su aspecto económico, vemos que un 80% de mujeres mantiene a sus hijos, sus prioridades respecto a gastos es en un 96.4% en alimentación vivienda, educación, etc. Un 73.6% alquila vivienda, y un 61.8% no está satisfecha con sus ingresos económicos, lo cual no satisface sus gastos familiares. Respecto a los factores familiares un 53.6% han sufrido maltrato por algún miembro de su familia, el tipo de maltrato que recibieron fue el maltrato físico con un 47.3%, maltrato psicológico 34.5% y abuso sexual 11.8%, así mismo un 66.4% tiene regulares relaciones familiares y un 10% refiere que es mala. Se concluye que el estudio proporciona evidencias que son las malas relaciones familiares y afectivas, entre ellas la comunicación, la violencia física y psicológica. Las que inciden que en el grupo de mujeres de estudio sean más propensas a ejercer la prostitución en la provincia de Chiclayo región Lambayeque, aunado a su falta de formación la cual las limita a manejar esta situación y salir de ella.Tesis
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Aguirre, Benalcázar Martha Cecilia. "Factores institucionales que inciden en el proceso emprendedor de las PYMES del cantón Machala, provincia de El Oro, desde la percepción del empresario." Doctoral thesis, Universidad Nacional Mayor de San Marcos, 2016. https://hdl.handle.net/20.500.12672/5933.
Повний текст джерелаАнотація:
Determina la incidencia de los factores institucionales formales e informales en el proceso emprendedor que han venido desarrollando las PYMES del cantón Machala de la provincia de El Oro. También identifica cuáles son los factores de mayor influencia en la actividad comercial.Tesis
42
Asselmann, E., H. U. Wittchen, R. Lieb, M. Höfler, and K. Beesdo-Baum. "Does low coping efficacy mediate the association between negative life events and incident psychopathology?: A prospective-longitudinal community study among adolescents and young adults." Cambridge University Press, 2016. https://tud.qucosa.de/id/qucosa%3A70675.
Повний текст джерелаАнотація:
Aims. To prospectively examine whether negative life events (NLE) and low perceived coping efficacy (CE) increase the risk for the onset of various forms of psychopathology and low CE mediates the associations between NLE and incident mental disorders.
Methods. A representative community sample of adolescents and young adults (N = 3017, aged 14–24 at baseline) was prospectively followed up in up to three assessment waves over 10 years. Anxiety, depressive and substance use disorders were assessed at each wave using the DSM-IV/M-CIDI. NLE and CE were assessed at baseline with the Munich Event List and the Scale for Self-Control and Coping Skills. Associations (odds ratios, OR) of NLE and CE at baseline with incident mental disorders at follow-up were estimated using logistic regressions adjusted for sex and age.
Results. NLE at baseline predicted the onset of any disorder, any anxiety disorder, panic disorder, agoraphobia, generalised anxiety disorder, any depression, major depressive episodes, dysthymia, any substance use disorder, nicotine dependence and abuse/dependence of illicit drugs at follow-up (OR 1.02–1.09 per one NLE more). When adjusting for any other lifetime disorder prior to baseline, merely the associations of NLE with any anxiety disorder, any depression, major depressive episodes, dysthymia and any substance use disorder remained significant (OR 1.02–1.07). Low CE at baseline predicted the onset of any disorder, any anxiety disorder, agoraphobia, generalised anxiety disorder, any depression, major depressive episodes, dysthymia, any substance use disorder, alcohol abuse/dependence, nicotine dependence and abuse/dependence of illicit drugs at follow-up (OR 1.16–1.72 per standard deviation). When adjusting for any other lifetime disorder prior to baseline, only the associations of low CE with any depression, major depressive episodes, dysthymia, any substance use disorder, alcohol abuse/dependence, nicotine dependence and abuse/dependence of illicit drugs remained significant (OR 1.15–1.64). Low CE explained 9.46, 13.39, 12.65 and 17.31% of the associations between NLE and any disorder, any depression, major depressive episodes and dysthymia, respectively. When adjusting for any other lifetime disorder prior to baseline, the reductions in associations for any depression (9.77%) and major depressive episodes (9.40%) remained significant, while the reduction in association for dysthymia was attenuated to non-significance ( p-value > 0.05).
Conclusions. Our findings suggest that NLE and low perceived CE elevate the risk for various incident mental disorders and that low CE partially mediates the association between NLE and incident depression. Subjects with NLE might thus profit from targeted early interventions strengthening CE to prevent the onset of depression.
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Oldehinkel, Albertine J., Hans-Ulrich Wittchen, and Peter Schuster. "Prevalence, 20-month incidence and outcome of unipolar depressive disorders in a community sample of adolescents." Cambridge University Press, 1999. https://tud.qucosa.de/id/qucosa%3A26431.
Повний текст джерелаАнотація:
Background. This article presents prospective longitudinal findings on prevalence, incidence, patterns of change and stability of depressive disorders in a community sample of 1228 adolescents.
Methods. Data were collected at baseline and follow-up (20 months later) in a representative population sample of 1228 adolescents, aged 14–17 at baseline. Diagnostic assessment was based on the Munich Composite International Diagnostic Interview (M-CIDI).
Results. The overall cumulative lifetime incidence of any depressive condition was 20·0% (major depressive disorder (MDD), 12·2%; dysthymia, 3·5%; subthreshold MDD, 6·3%), of which about one-third were incident depressions in the period between baseline and follow-up. Depressive disorders rarely started before the age of 13. Females were about twice as likely as males to develop a depressive disorder. Overall, the 20-month outcome of baseline depression was unfavourable. Dysthymia had the poorest outcome of all, with a complete remission rate of only 33% versus 43% for MDD and 54% for subthreshold MDD. Dysthymia also had the highest number of depressive episodes, and most psychosocial impairment and suicidal behavioural during follow-up. Treatment rates were low (8–23%). Subthreshold MDD associated with considerable impairment had an almost identical course and outcome as threshold MDD.
Conclusions. DSM-IV MDD and dysthymia are rare before the age of 13, but frequent during adolescence, with an estimated lifetime cumulative incidence of 14%. Only a minority of these disorders in adolescence is treated, and more than half of them persist or remit only partly.
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Soldevilla, Ureta Julia Margot. "Propuesta de un manual de tecnovigilancia para la mejora del registro de los incidentes adversos en el Instituto Nacional Materno Perinatal, 2020." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2021. https://hdl.handle.net/20.500.12672/17426.
Повний текст джерелаАнотація:
Expone sobre la Propuesta de un Manual de Tecnovigilancia para la mejora del Registro de los Incidentes Adversos en el Instituto Nacional Materno Perinatal- 2020, utilizamos la investigación de tipo cuantitativo, descriptivo, no experimental y transversal, considerando a 70 profesionales de salud como médicos, químicos farmacéuticos y enfermeros(as) que laboran en el Servicio de Farmacia y del Departamento de Anestesia, Analgesia y Reanimación del Instituto Nacional Materno Perinatal. Se recopiló información mediante entrevistas y revisión de los formatos de reportes 2020 y un cuestionario para la recopilación de datos. En los datos obtenidos del trabajo de investigación sobre los profesionales de salud sobre la definición de tecnovigilancia e incidentes adversos a dispositivos médicos en el Instituto Nacional Materno Perinatal indica que el 97.1% tiene conocimiento del concepto en tecnovigilancia contra un 2,9% de su desconocimiento, pero estos índices van cambiando cuando se continua consulta sobre el comité de Farmacovigilancia y Tecnovigilancia , afirman que conocen en un 55.7% y desconocen en un 44,3%, en tal sentido cuando se les consultó si han participado en alguna capacitación externa e intramural respecto a Tecnovigilancia un 21,4 manifiesta haber participado y un 78,6% no tienen conocimiento de la importancia de capacitarse. A esta situación se suma los factores influyentes para no reportar un incidente adverso a dispositivos médicos, primero referido por desconocimiento con un porcentaje de 48,6%, falta de tiempo para reportarlo con un 24,3% , la sumatoria de estos indicadores nos da un 72,9% un índice muy alto, que es necesario abordar multidisciplinariamente en primera instancia los integrantes del Comité de Farmacovigilancia y Tecnovigilancia Institucional, del quien formamos parte los químicos farmacéuticos del Servicio de Farmacia con responsabilidades compartidas para contribuir en el logro de los objetivos del Sistema Peruano de Farmacovigilancia y Tecnovigilancia. Entre las estrategias pilar para contribuir el cuidado de la salud de las pacientes es recolectar información relacionada con el perfil de seguridad y efectividad (asociado a la calidad ) de los dispositivos médicos, equipos biomédicos utilizados en la Institución, mediante las notificaciones voluntarias de eventos e incidentes adversos a dispositivos médicos diligenciadas por los profesionales de la salud(PS) y fortalecer esta finalidad con rondas hospitalarias en la búsqueda permanente de eventos e incidentes adversos(IA) a dispositivos médicos(DM), paralelamente realizar capacitaciones en tecnovigilancia, contar con una metodología, procedimientos y flujograma que nos permita la identificación y evaluación de todos los IA. Para la mejora continua y permanente se concluye en la necesidad de diseñar un Manual de Tecnovigilancia para el Servicio de Farmacia del Instituto Nacional Materno Perinatal, de acuerdo a la normativa vigente nacional e internacional para sensibilizar al personal asistencial y su capacitación oportuna y emitir los reportes en tiempos establecidos el que redundará en mejorar la calidad de atención de nuestros pacientes madre-niño.
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Koch, Lars, and Tobias Nanz. "Ästhetische Experimente: Zur Ereignishaftigkeit und Funktion von Störungen in den Künsten." J.B. Metzler, Part of Springer Nature, 2014. https://tud.qucosa.de/id/qucosa%3A34450.
Повний текст джерелаАнотація:
Disruption is a phenomenon that has gained the attention of a broad and diverse range of academic disciplines. Building on this work we propose that disruptions are by no means solely destructive but rather have productive consequences. We aim to establish disruption as a starting point for the analysis of formulas of societal self-description. In this, epistemological and aesthetic aspects of disturbances will be focused since these moments of interruption or loss of order evoke efforts of theoretical or practical consolidation of the social sphere. After discussing the history of experimentalization of the life sciences, we point out how art can be understood as an experimental system that integrates and explores the function of disruption. Second, the relationship between factual and fictional knowledge and how both impact on society through the fabrication of different worlds are to be questioned. Finally, we will argue that art such as literature, film, modern theatre, or performances use disruptions as a tool, with which the perception of the past, present and future and of the society itself can be shaped. They achieve this by employing powerfully repercussive narratives that construct political and socio-cultural coherence through the symbolic re-integration of imaginary or real disruptive incidents.
46
Escudero, Vigo Teodosio. "Factores que inciden en la satisfacción laboral, desde la percepción de los docentes de educación primaria, de una Institución Educativa pública de Lima Metropolitana." Master's thesis, Pontificia Universidad Católica del Perú, 2021. http://hdl.handle.net/20.500.12404/19652.
Повний текст джерелаАнотація:
El presente estudio busca analizar los factores que inciden en la satisfacción
laboral, desde las percepciones de los docentes de educación primaria de una IE
pública de Lima Metropolitana; esto implica, identificar y describir los factores
internos y externos que inciden en la satisfacción laboral, su implicancia en el
desempeño docente y servicio educativo; para orientar la pertinencia de las
acciones y programas que implemente el MINEDU; no solamente asistir a la
formación continua sino también, cuidar de la satisfacción laboral de los docentes.
Desde las teorías e investigaciones, la satisfacción laboral está vinculada a la
productividad y éxito de las organizaciones; por tanto, amerita que las autoridades
del sistema educativo e investigadores sociales centren su atención en la
satisfacción e insatisfacción laboral docente. En el contexto nacional, contamos con
la Ley General de Educación 28044 y la Ley de Reforma Magisterial 29944 al
respecto. Ciertamente un avance, que se cumple en parte.
En el presente estudio se identificaron factores internos; orientados a generar
satisfacción: logro o realización personal y profesional; avance, promoción y
ascenso; crecimiento profesional; reconocimiento; trabajo en sí (docencia); mayor
responsabilidad; y factores externos, orientados a generar insatisfacción: política y
administración de la IE; supervisión de la UGEL, DRE, MINEDU y monitoreo de los
directivos de la IE; relación con supervisor y directivos; condiciones físicas y
laborales; salario; relación con los compañeros, estudiantes, egresados y padres
de familia.
La metodología aplicada se sustenta en el enfoque cualitativo considerando las
fases de: (1) propuesta inicial de partida o preparatoria, (2) trabajo de campo (3)
análisis e interpretación de los datos; (4) informativa.
Finalmente, el factor que más satisfacción laboral produce en el docente informante
es “docencia” que implica influir en el aprendizaje, desarrollo y vida del estudiante.
Es importante profundizar y ampliar en la temática, a través de otros estudios y
estableciendo vínculos con el aprendizaje de los estudiantes, utilizando diversos
métodos, técnicas e instrumentos y a un mayor número de docentes.
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Chiarella, Viale Mateo. "Celso Garrido-Lecca como compositor de música incidental para teatro. Rasgos de una identidad en el género musical." Master's thesis, Pontificia Universidad Católica del Perú, 2020. http://hdl.handle.net/20.500.12404/18313.
Повний текст джерелаАнотація:
Celso Garrido-Lecca es uno de los compositores peruanos más relevantes de los últimos
tiempos. Su cercanía a las vanguardias musicales, su anhelo por componer música
peruana de validez universal y su particular interés por la Nueva canción, dan fe de un
artista abocado a generar puentes entre lo clásico y lo contemporáneo, lo académico y
lo popular, lo social y lo íntimo. Sobre tal identidad se han hecho ya algunos trabajos
-Pinilla, Tello, Miranda-Tello, Petrozzi, Niño-. Sin embargo, hay un corpus de obras
suyas poco conocidas y, por ende, estudiadas. Se trata de sus piezas incidentales para
teatro, material creado principalmente durante su primera etapa como compositor
(entre la década de los cincuenta y sesenta), a razón de los montajes teatrales de la
Universidad de Chile y la Universidad Católica de Chile.
La presente investigación tiene como objetivo reconocer los principales rasgos de
Garrido-Lecca en tanto compositor de música incidental para teatro. Con tal fin,
tomamos como muestras representativas del universo de piezas, tres de sus trabajos
incidentales, composiciones para las obras Un caso interesante (1956), La Fierecilla
domada (1958) y Antígona (1969), y los analizamos en tanto simbiosis de un
pensamiento musical determinado y circunstancias teatrales específicas. Ello, usando
como base el método fonológico, adaptación de la estructura de análisis del método
iconológico de Erwin Panofsky. Es, precisamente, la suma de conclusiones del estudio
de cada uno de estos tres proyectos, entendida como un todo dialéctico, la que
finalmente nos da luces sobre la identidad de nuestro compositor en el género.
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Kuepper, Rebecca, Os Jim van, Roselind Lieb, Hans-Ulrich Wittchen, Michael Höfler, and Cécile Henquet. "Continued cannabis use and risk of incidence and persistence of psychotic symptoms: 10 year follow-up cohort study." Technische Universität Dresden, 2011. https://tud.qucosa.de/id/qucosa%3A27121.
Повний текст джерелаАнотація:
Objective: To determine whether use of cannabis in adolescence increases the risk for psychotic outcomes by affecting the incidence and persistence of subclinical expression of psychosis in the general population (that is, expression of psychosis below the level required for a clinical diagnosis).
Design: Analysis of data from a prospective population based cohort study in Germany (early developmental stages of psychopathology study).
Setting: Population based cohort study in Germany.
Participants: 1923 individuals from the general population, aged 14-24 at baseline.
Main outcome measure: Incidence and persistence of subthreshold psychotic symptoms after use of cannabis in adolescence. Cannabis use and psychotic symptoms were assessed at three time points (baseline, T2 (3.5 years), T3 (8.4 years)) over a 10 year follow-up period with the Munich version of the composite international diagnostic interview (M-CIDI).
Results: In individuals who had no reported lifetime psychotic symptoms and no reported lifetime cannabis use at baseline, incident cannabis use over the period from baseline to T2 increased the risk of later incident psychotic symptoms over the period from T2 to T3 (adjusted odds ratio 1.9, 95% confidence interval 1.1 to 3.1; P=0.021). Furthermore, continued use of cannabis increased the risk of persistent psychotic symptoms over the period from T2 to T3 (2.2, 1.2 to 4.2; P=0.016). The incidence rate of psychotic symptoms over the period from baseline to T2 was 31% (152) in exposed individuals versus 20% (284) in non-exposed individuals; over the period from T2 to T3 these rates were 14% (108) and 8% (49), respectively.
Conclusion: Cannabis use is a risk factor for the development of incident psychotic symptoms. Continued cannabis use might increase the risk for psychotic disorder by impacting on the persistence of symptoms.
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Sydow, Kirsten von, Roselind Lieb, Hildegard Pfister, Michael Höfler, and Hans-Ulrich Wittchen. "What predicts incident use of cannabis and progression to abuse and dependence? A 4-year prospective examination of risk factors in a community sample of adolescents and young adults." Technische Universität Dresden, 2002. https://tud.qucosa.de/id/qucosa%3A26804.
Повний текст джерелаАнотація:
Objectives: To determine risk factors of incident onset of use, abuse and dependence of cannabis in a community sample of adolescents and young adults.
Methods: Risk factors were examined in a prospective longitudinal design across 4 years in a representative sample (N=2446) aged 14-24 at the outset of the study (EDSP). Patterns of DSM-IV defined cannabis use, abuse and dependence were assessed with the Composite International Diagnostic Interview (M-CIDI). Potential risk factors were assessed at baseline. Incident cannabis use, abuse and dependence at second follow-up (on average 42 months after baseline) were the main outcome measures in this study. Associations were analyzed with logistic and negative binomial regressions.
Results: Using 11 of a total of 56 variables examined, the predictive value of the final multiple logistic regression for incident cannabis use was moderately good (area under the ROC curve=0.78). Cannabis use frequency was predicted in the final model by 18 variables, cannabis abuse by two variables in the younger subsample and nine factors in the older group, and dependence by eight variables (dependence: ROC curve area=0.97). Incident cannabis use was predicted mainly by availability of drugs, peers’ drug use, a more ‘positive’ attitude towards future drug use, and regular previous use of licit drugs, while cannabis dependence was predicted primarily by parental death before age 15, deprived socio-economic status, and baseline use of other illicit drugs.
Conclusion: Different factors predict the onset or severity of cannabis use and the progression to abuse and dependence. In addition to well-documented risk factors such as peer group pressure, drug availability, and low self-esteem, findings suggest that family history (e.g. parental mental disorders, early parental death), and prior experiences with legal drugs play a significant role in the initiation of cannabis consumption and the transition to cannabis use disorders in adolescents and young adults. Findings suggest that early intervention and prevention might be improved by better targeted treatment.
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Espinoza, Vega Lelys Milagros, and Depaz Michaela Christina Maier. "Análisis de los factores que inciden en la internacionalización de las pymes de la selva peruana exportadoras de cacao en grano, durante el periodo 2009-2019." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/653620.
Повний текст джерелаАнотація:
La presente investigación tiene como objetivo principal determinar los factores que influyen en la internacionalización de empresas pymes exportadoras de la selva peruana de cacao en grano, entre el periodo 2009 al 2019, puesto que el sector cacaotero en los últimos años ha presentado un alto crecimiento a nivel nacional y la presente investigación se centra en encontrar los factores que son fundamentales para que las pymes ingresen su producto al mercado exterior.
Dentro de esta investigación se aplicaron encuestas en escala de Likert a una muestra de 31 empresas pymes exportadoras de la selva peruana de cacao en grano, a fin de obtener resultados a través del método cuantitativo.
En base a la metodología, la presente investigación tiene un diseño descriptivo no experimental a nivel correlacional con enfoque cuantitativo. La información se analizó en el programa SPSS con la prueba de regresión logística. Como resultado, se obtuvo que cinco de las diez variables analizadas son significativas para la internacionalización de las pymes exportadoras de la selva peruana del cacao en grano.The main objective of this research is to determine the factors that influence the internationalization of exporting SMEs of the Peruvian rainforest of cocoa beans, between the period 2009 to 2019, since the cocoa sector in recent years has presented a very high growth and this research focuses on finding the factors that are essential for small and medium-sized companies to enter their product on the foreign market. Within this research, Likert scale surveys were applied to a sample of 31 exporting SMEs from the Peruvian rainforest of cocoa beans, in order to obtain results through the quantitative method. Based on the methodology, this research has a descriptive non-experimental design at a correlational level with a quantitative approach. The information was analyzed in the SPSS program with the logistic regression test. As a result, it was obtained that five of the ten variables analyzed are significant for the internationalization of exporting SMEs from the Peruvian rainforest of cocoa beans.
Tesis