875 research outputs found
Baltimore & Ohio (B&O) 1457
A photograph print showing Baltimore & Ohio (B&O) 1457, 4-4-2, Eng.: J.A. Engstrom, Fireman: Geo. Bowersox
O device longitudinal link as do care: Saúde da Família and chronic doenças em uma comunidade do Rio de Janeiro
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.A interação longitudinal com o usuário tem contribuído para um cuidado integral. Entender como se dá esta interação despertou minha motivação para realizar o presente estudo, devido à importância do vínculo nas relações de cuidado na saúde da família e seu papel como um dispositivo de organização do processo de trabalho das equipes. Estudar um atributo essencial da atenção primária à saúde como o vínculo longitudinal é legitimar a sua atuação dentro do trabalho das equipes que atuam em uma comunidade na cidade do Rio de Janeiro. Além de contribuir para o fortalecimento do campo das relações interpessoais dentro deste cenário e suas peculiaridades. Neste sentido, surgiu o questionamento de como as equipes de saúde da família se relacionam com o vínculo longitudinal no cuidado às doenças crônicas não transmissíveis. Tendo por objetivo de estudo: analisar as estratégias relacionadas à construção de vínculo longitudinal, desenvolvidas pela Saúde da Família no cuidado das doenças crônicas, em uma Clínica da Família da área 3.3, na cidade do Rio de Janeiro.Metodologicamente, trata-se de estudo descritivo, exploratório, de abordagem qualitativa, tendo como participantes os profissionais que atuam nas equipes de saúde da família e usuários hipertensos e/ou diabéticos atendidos por estas equipes. Encontrou-se como resultado a identificação do vínculo como um dispositivo simultaneamente usual e muito relevante dentro do cotidiano das equipes, sendo mencionado como fundamental para a realização do trabalho na perspectiva do cuidado.Além de proporcionar relações de afetividade e confiança entre o usuário e o trabalhador da saúde, podendo ser entendido também como dispositivo que agencia as trocas de saberes. Também foi possível identificar as estratégias realizadas pelas equipes e a realização dos fluxogramas descritores com o percurso terapêutico dos usuários.
Conclui-se que as estratégias de vínculo longitudinal são reconhecidas como de vital importância para o trabalho na saúde da família. Entretanto, por muitas vezes e por diferentes causas, estas práticas estão perdendo espaço e deixando de cumprir com o seu papel construtor e potencializador do cuidado individualizado.The longitudinal user interaction has contributed to comprehensive care. Understanding how this interaction aroused my motivation to perform this study because of the importance of the bond in care relations in family health and its role as an organizing device work teams process. Studying an essential attribute of primary health care as the longitudinal link is to legitimize its actions within the work of teams working in a community in the city of Rio de Janeiro. Besides contributing to strengthening the field of interpersonal relationships within this scenario and its peculiarities . In this sense, questions of how family health teams came relate to the longitudinal link in care for chronic diseases. With the purpose of study is to analyze the strategies related to the construction of longitudinal link, developed by the Family Health in the care of chronic diseases, a Clinic of 3.3 Family area in the city of Rio de Janeiro. Methodologically treat is a descriptive, exploratory study with a qualitative approach, whose participants are professionals working in family health teams and hypertensive patients and / or diabetic patients assisted by these teams. It was found as a result document the link as a device simultaneously usual and very relevant in the daily life of the teams being mentioned as essential for carrying out the work in the caring perspective. In addition to providing relations of affection and trust between the user and the health worker, can also be understood as device touting knowledge exchange It was also possible to identify the strategies used by the teams and the achievement of flowcharts descriptors with the therapeutic route of users. We conclude that the longitudinal link strategies are recognized as vital to work in family health. However, many times and for different reasons, these practices are losing ground and failing to fulfill with your builder and potentiating role of individualized care
Procedural generation of challenges for personalized gait rehabilitation
Conventional gait rehabilitation methods have the risk of alienating the patient due to their monotonous nature, thus negatively impacting the effectiveness of gait training. Modern technologies can help provide patients with better support, safety and immersive experience during training. However, physiotherapists cannot be required to master those technologies, nor to spend much time designing a more varied and engaging treatment for each patient. In this paper, we argue that adaptive gamified gait rehabilitation based on procedural content generation (PCG) can effectively support physiotherapists in achieving such customized outcomes. We propose a generic adaptation scheme to steer the generation of movement challenge levels based on player modeling and therapists' intervention. Our approach features two difficulty adjustment strategies: parameter progression schemes and integration of multiple therapy goals. These strategies are applicable to the personalization of a wide range of gait rehabilitation goals. We implemented this approach in a standalone prototype for supporting gait training with the RYSEN system, a three-dimensional overground body weight support system. From our assessment with physiotherapists, we conclude that our PCG-based adaptive method effectively assists therapists in (i) offering a broad diversity in gait exercises to a wide group of patients, and (ii) dynamically tailoring challenge levels for a variety of gait tasks. Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Computer Graphics and Visualisatio
Reconceptualising the Impact of the Inter-American Human Rights System / Reconceitualizando o Impacto do Sistema Interamericano de Direitos Humanos
This article offers a reconceptualization of the impact of the Inter-American Human Rights System (IAHRS, or the System). To understand the impact of the IAHRS, and the continuing demand for it from across the region of Latin America, in particular, we need to look beyond rule compliance models of international human rights law. This article examines how, in what ways, and under what conditions the IAHRS impacts on domestic human rights. In a nutshell, the IAHRS is activated by domestic stakeholders in ways that transcend traditional compliance perspectives, and that have the potential to provoke positive domestic human rights change // Esse artigo oferece uma reconceitualização sobre o impacto do Sistema Interamericano de Direitos Humanos (SIDH, Sistema). Para entender o impacto do SIDH e a continuada demanda de toda a região da América Latina ao Sistema, é necessário olhar para além dos modelos que focam a observância do Direito Internacional dos Direitos Humanos. Esse artigo analisa como, de que maneiras e em que condições o SIDH impacta os direitos humanos no plano doméstico. Em síntese, o SIDH é ativado por atores domésticos de maneiras que transcendem as perspectivas tradicionais de observância legal, com potencial para produzirem mudanças positivas nos direitos humanos no plano doméstico
Studies in Creative Collaborative Models and Paradigms: Investigating and Constructing Environments for Audience Interaction and Participation
For four years, intermedial artists Bethany Engstrom, Richard Corey, and John Bell have collaborated to produce immersive performances as The Core 5 Incident. This dissertation is a tripartite self-examination of the working methods they have developed to help address the specific creative, organizational, and personal challenges involved in artistic collaborations. The methods they describe are then applied to teaching a series of creative collaboration classes within a Master of Fine Arts program, with the resulting techniques further refined and contextualized for pedagogical use.
Using a version of Grounded Theory techniques that they have modified for self-study, the three authors identify several properties of collaborations that influence the effectiveness and appropriateness of different collaboration styles for creative work. The collaboration styles themselves are classified based on the balance between group will and personal creative agency and the degree to which the work generated by the group can be clearly broken back down into recognizable individual contributions. The strengths and weaknesses of each style are described, and it is concluded that a hybrid style dubbed emergent collaboration best fits The Core 5 Incident\u27s working method. The authors then review their own history to classify the significant concerns within a creative collaboration and the ways in which The Core 5 Incident handles those concerns that make emergent collaboration appropriate for their group.
Having developed a framework for examining creative collaborations, the authors then apply that framework to examining four iterations of a collaboration class in a Master of Fine Arts program-two taught by the authors, and two taught by other faculty. They conclude that, once extended to include topics specific to the classroom, the concerns they have described provide appropriate facets for examining contributing factors to the successes and failures within each of the classes. Based on these observations, they provide a number of suggestions and a recommended syllabus to use for teaching large-scale intermedial collaborations at the graduate level. Finally, the results of the study are contextualized by the lead author into her area of expertise, the construction of environments designed for audience interaction
Mark Shapley
Mark Shapley with research core from Spring Lake. Mark was a graduate student of Dan Engstrom at the University of Minnesota and the senior author of our Waubay paper published in the Holocen
[OP.7C.09] COFFEE, SMOKING HABITS AND BLOOD PRESSURE IN THE LIGHT OF A SINGLE NUCLEOTIDE POLIMORPHYSM OF CYP1A1/1A2 GENE
OBJECTIVE: Between genetic variants pinpointed in genome wide association study there is the rs1378942 near the CYP1A1/CYP1A2 locus. Coffee consumption has been associated with blood pressure (BP) but with sometimes contrasting evidences. A part of BP-coffee relationship could be mediated by genetic mechanisms: that is single nucleotide polymorphisms (SNPs) nearby the CYP1A2 gene, which metabolize caffeine, could influence BP. Indeed, smoking habit induces the expression of the CYP1A2 enzyme whereas coffee consumption itself could increase CYP1A2 activity. The aim of the present study was to explore if coffee consumption and/or smoking habit may affect BP and BP change over time (delta-BP), considering the rs1378942A > C polimorphysm. DESIGN AND METHOD: Coffee intake was collected by a modified diet history method and the rs1378942 was genotyped by Taqman in > 28,000 participant of the Malmo Diet and Cancer (MDC). We performed a replication in 3381 participants that were rescreened after a period (13-20 years) of follow-up (MDC-FU) and in the Malmo Preventive Project (MPP; n > 17,000). RESULTS: In MDC, both systolic and diastolic BP were positively associated with the rs1378942A > C, suggesting that carrying the C variant could increase BP (for SBP beta = 0.397 ± 0.185, p = 0.031; for DBP beta = 0.220 ± 0.100, p = 0.028). Coffee consumption as well as smoking were negatively associated with both SBP and DBP (p C (pinteraction C and smoking (pinteraction < 0.05; data on coffe consumption not available). CONCLUSIONS: This study demonstrates that the effect of some genetic loci on BP could be highly influenced by voluptuary habits. In particular, coffee and smoke could influence the effect of the CYP1A1/CYP1A2 locus probably due to the metabolic action of the CYP1A2
Hierarchical Semantic Wave Function Collapse
There are few proposals to improve the interactivity and control of wave function collapse (WFC) in a mixed-initiative setting. Moreover, most WFC algorithm variants operate on an simple, unstructured set of tiles. This limitation on the level of control provided to designers hampers their creative work in various ways. We propose Hierarchical Semantic WFC, a generalized approach to WFC that organizes its tile-set into a hierarchy akin to a taxonomy induced by the relation 'consists-of'. In such a hierarchical structure, abstract tiles (i.e. non-leaf nodes) can represent the first sketchy intentions of a designer (e.g. forest, urban, desert,...) This allows a designer to interactively collapse a given area into abstract tiles, while subsequently, (and repeatedly, if desired) WFC can resolve each area into a variety of particular instances, by further collapsing it into (a valid combination of) its children tiles (whether leaves or not). We identify how this subtle tile-set change affects the whole WFC algorithm, describe a number of novel exploratory and interactive functions that this enables, and showcase these with a variety of examples generated with our prototype implementation. We conclude that these new mixed-initiative content generation methods can considerably reduce design iteration times and improve the assistance given to designers in expressing their creative intent. Computer Graphics and Visualisatio
The Supercomet 2 Project: teacher seminar and teacher guide
The Leonardo da Vinci pilot projects SUPERCOMET (2001–2004) and SUPERCOMET 2 (2004–2007) developed and tested teacher training materials for active, minds‐on learning of electromagnetism and superconductivity at the level of upper secondary school. New multimedia materials for the pupils supported the teacher materials, including a teacher seminar in 4 half‐day modules detailing the scientific contents, teaching methods, using ICT in physics teaching and learning, online collaboration and further resources for exploring the selected topics. The aim of these projects were to improve the quality of physics teaching on a European level, involving a combined total of 45 partners in 16 countries, and conducting trials at 67 schools with approx. 230 teachers, 280 trainee teachers and 2200 pupils. New follow‐up projects develop hands‐on materials for carrying out the activities described in the teacher guide and seminars and additional teacher materials involving modelling, simulations and data logging
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