Dissertations / Theses: 'Donor regions'

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Teichmann, Karen [Verfasser], Rainer G. [Akademischer Betreuer] Ulbrich, and Hans W. [Akademischer Betreuer] Schumacher. "Scanning tunneling spectroscopy of space charge regions in semiconductors: From single donor to heterostructure systems / Karen Teichmann. Gutachter: Rainer G. Ulbrich ; Hans W. Schumacher. Betreuer: Rainer G. Ulbrich." Göttingen : Niedersächsische Staats- und Universitätsbibliothek Göttingen, 2012. http://d-nb.info/1043611398/34.

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Ndugulile, Faustine Engelbert. "Assessment of blood transfusion services in six remote regions in Tanzania." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_1901_1318836585.

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Most of the blood transfusion facilities had adequate space, but lacked some of the basic equipment. Blood collected in these facilities was not adequate to meet the blood needs of the regions. These facilities lacked specialised personnel and some of those practicing blood transfusion were not conversant with blood groups, transfusion reactions and the measures to be taken if a reaction occurs. The findings of this study will be used to strengthen blood transfusion services in these hard to reach regions.

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Bogg, Anna. "China and India as humanitarian donors : A regional case study in Southeast Asia." Thesis, Uppsala universitet, Institutionen för freds- och konfliktforskning, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-280950.

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Madinda, John Yohana. "An assessment of donor funded development programmes of the Anglican Church of Tanzania in the Dodoma region from 1986-2010." Thesis, Middlesex University, 2017. http://eprints.mdx.ac.uk/21648/.

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The thesis has been assessing the challenges which faced donor funded development programmes which were started in the Anglican Church of Tanzania in the 1970s and 1980s. These programmes began at the time when world Christian Evangelicals had renewed their view on incorporating social concern as part of the task of evangelization. The period of study is between 1986 and 2010, a time when Tanzania was going through various changes. At the onset, these programmes did well with good outcomes, but later challenges developed which caused many of these programmes to close down and some to struggle. The Theory of Change has been used as a guiding theory to assess the inspiration and objectives of these programmes. These programmes have been seen as means of intervention towards development problems in the light of the churches development objectives. While the results have been the failure of the programmes due to lack of donor funding and withdrawal of funds, the study looks at the complex relationships and issues of project implementations and management, conflicting worldviews and priority between donors and local projects. These unforeseen issues relating to partnership, transparency, governance and theological discernment lead the programmes to unintended results. The visit to the various programmes and holding interviews with key people has helped collect information about the programme activities, resource mobilization and various responses from communities, the church and donors. Using the DPSIR framework of analysis, the information collected was observed, such as the stakeholder working philosophy, the resource base and mobilization for both, human and material, the programme activities and the structural and organizational capacity and governance. This has helped to analyze these programme activities against the guiding theory and leading to establish the gaps. These gaps are the main findings of the study which ultimately bring the presented conclusion. The study observes that most of these programmes which were started in the Anglican Church of Tanzania, in the Dodoma region in the 1970s and 1980s later closed down, and the few which carried on were struggling.

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Король, Сергій Миколайович, Сергей Николаевич Король, and Serhii Mykolaiovych Korol. "The participation of donor countries in providing international technical assistance to Ukraine under cross-border cooperation (case study Transcarpathian region)." Thesis, Сумський державний університет, 2016. http://essuir.sumdu.edu.ua/handle/123456789/44827.

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Kölegård, Caroline. "Scandinavian Aid for Whose Pockets? : A minor field study on Scandinavian donors' collaboration with the private sector in Mozambique." Thesis, Uppsala universitet, Statsvetenskapliga institutionen, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-264504.

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This study explores the relation between Scandinavian donor private sector development and collaboration (PSD/PSC) policies and recipients of the support in Mozambique. It seeks to understand how such relations function in the complex local political and business environment. The study departs in theory regarding hybrid regimes and private sector development, and an analytical framework is designed as a model for relations based on theories on state-business relations and aid effectiveness. The material was gathered during a two-months field study where interviews were carried out with key actors of development cooperation such as embassy staff, fund managers and local entrepreneurs. The study finds that several PSC tools are shaped according to a western point of view and not always well adjusted to the local Mozambican context. It also finds that the design of the policies in many cases produces a high entrance barrier to Mozambican entrepreneurs, why most recipients are essentially foreign business people.

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Proctor, Curtis. "Understanding faculty donors: Giving at Historically Black Colleges and Universities in the southern region of the United States." Doctoral diss., University of Central Florida, 2012. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/5439.

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The purpose of this qualitative research study was to investigate the motivational factors that lead to faculty giving to their employing institutions. Giving practices in relation to the life experiences and independent influences of faculty members who were employed at Historically Black Colleges and Universities (HBCU) were examined. In addition this study contributes to the limited amount of literature provided on HBCUs institutional advancement offices as well as the effectiveness of their solicitation efforts as perceived by faculty members employed at the colleges and universities. Three research questions were considered in this study. First, what life experiences contribute to the predisposition of faculty donors in giving to their institutions? Second, what intrinsic motivational elements influence faculty donors to give to their employing institutions? Third, how are the strategies used to solicit funding from faculty related to giving? Basic interpretive qualitative methodology was used to analyze the data gathered from the research participants. In-depth interviews were conducted with seven faculty members employed at HBCUs in the southern region of the United States. It was determined that faculty members attribute their giving practices to many of their life experiences. Religious involvement, childhood experiences, and family history, were all discussed by faculty members as being instrumental to their giving habits. Participants also discussed the sense of community that is established at HBCUs as being inspirational in determining whether or not they gave of their time, talent, or financial resources. Responses to open-ended questions about the effectiveness of institutional advancement offices provided additional qualitative data that could be used by HBCUs to increase the amount of annual giving to the university. ID: 031001307; System requirements: World Wide Web browser and PDF reader.; Mode of access: World Wide Web.; Adviser: Rosa Cintr??n.; Title from PDF title page (viewed March 21, 2013).; Thesis (Ed.D.)--University of Central Florida, 2012.; Includes bibliographical references (p. 165-172). Ed.D. Doctorate Educational and Human Sciences Education and Human Performance Educational Leadership

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Russell, Monica G. "Abundance, distribution and habitat requirements of the tree-stem trapdoor spider, Aganippe castellum (Arachnida : Idiopidae) in the eastern West Australian wheatbelt." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2008. https://ro.ecu.edu.au/theses/183.

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The rare and endemic Trapdoor spider Aganippe castellum (Main, 1986) is currently distributed across the north-eastern West Australian wheatbelt. The sedentary nature of A castellum makes it susceptible to changes in soil and litter, and specifically to sheet flooding and fire events. Studies have shown that spider abundances, species richness and composition are strongly influenced by ve1etation density (Hatley & MacMahon, 1980), and the depth and complexity of the leaf litter layer (Uetz, 1991). Therefore, although all known populations of A. castellum are closed to grazing, any alterations to these vegetation characteristics (in addition to the previous large-scale clearing in Western Australia) may threaten the success of the populations. With most of the remaining populations found in remnant bushland areas either on nature reserves, road verges or private property and these populations suspected to be in decline it was essential that the species' ecology be investigated in order to facilitate a management plan. This was attempted during this study through first establishing the current distribution and abundances of populations of A. castellum which required the development of a method which determined spider presence, and then sampling of the habitat and microhabitat within the four study populations and the one extinct population.

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Portegys, Jan [Verfasser], and Peter [Akademischer Betreuer] Bugert. "Establishing a regional registry of genotyped blood donors for extended match transfusions / Jan Portegys ; Betreuer: Peter Bugert." Heidelberg : Universitätsbibliothek Heidelberg, 2021. http://d-nb.info/1237107997/34.

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Khalil, Yasmin. "Study on Hepatitis C virus (HCV) subtypes in Sweden before and after the universal screening of blood donors." Thesis, Södertörn University College, School of Life Sciences, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-3354.

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Since the discovery in 1989 of hepatitis C virus (HCV) as the infectious agent responsible for the vast majority of post-transfusion non-A non-B hepatitis, blood transfusions are no longer a source for HCV transmission in Sweden. Anti-HCV testing was implemented for all blood donations in 1992. Since then intravenous drug use (IDU) has become the major route of transmission in the western world. Six genotypes and more than 80 subtypes of HCV have now been identified world-wide. These genotypes and subtypes are determined by genetic divergences between the HCV strains. Subtypes 1a, 1b, 2b, 2c, and 3a have global spread, while the other subtypes have a more limited geographical distribution. Little was known on the prevalence of HCV among blood donors and on which genotypes and subtypes of HCV were circulating in Sweden before the testing of all blood donations was implemented. The prevalence of anti-HCV was therefore investigated in sera sent to the Swedish Institute for Infectious Disease Control (SMI) from 412 patients; 241 were sampled between 1970 and 1991 before the universal screening in 1992, while 171 were sampled between 1992 and 2002. The samples derived from 193 (47%) blood donors, (104 sampled before, and 89 after 1992), and from seven other groups of patients. Two groups had suspected known routes of infection, intravenous drug use (IDU) 33 patients and hemodialysis, 16 patients, while it was unknown for the other patients. Anti-HCV was detected in 120 (29%) samples. The highest frequency was found among IDUs, (91%). Before general screening was implemented, 2.8% of the blood donors were positive for hepatitis C, whereas 28% of those sampled after 1992 were anti-HCV positive. Those latter samples were sent to SMI due to anti-HCV reactivity in a primary test at the blood centre. HCV RNA could be detected by PCR in 56 (47%) of the anti-HCV positive samples, the subtype could be determined by sequencing in 45 (80%) of those. The subtypes found were 1a in 31 %, 1b in 18%, 2b in 22%, and 3a in 27%. One sample was of subtype 2c. There was a tendency of increase of genotype 2 and a decrease in subtype 1a with time. 1a was found in 38% of the samples collected before 1992, while it was only found in 19% of the samples from 1992 or later. On the other hand genotype 2 was found in 17% sera sampled before 1992 and in 37% of the samples collected 1992 or later. It is not known if this genotype has recently been introduced into Sweden. Further analysis on larger series of samples is needed to confirm these preliminary results. AcknowledgmentsI would like to express my gratitude to several people who have been supportive in different ways throughout this project.First of all, I want to thank my supervisor Helene Norder, for giving me the possibility to do my diploma thesis at the Department of Virology, Swedish Institute for Infectious Disease control (SMI) and for helping me during this study and for the many insightful conversations during the design and development stages of the application, and also for the many helpful comments and suggestions on the text of the thesis.I want to express my appreciation to my laboratory supervisor Regina Wallin, Camilla Jern and Josefine Ederth for helping me during the procedure for this study. Then, I want to thank my examiner Magnus Johansson from the Södertörns university collegefor his advice on writing this paper. Finally, I would like to thank my family and specially my mother Bahar Hamid for always supporting me during my whole life.Last, but not least, I would like to thank my friends Annika Andersson and Yourdons Yemane for being encouraging, understanding and always supportive.

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Albuquerque, Edu Silvestre. "Os donos da terra e do crédito público nos campos meridionais brasileiros (o uso dos fundos públicos do BRDE pela elite campeira do pampa gaúcho e dos campos gerais paranaenses)." Florianópolis, SC, 2007. http://repositorio.ufsc.br/xmlui/handle/123456789/90054.

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Tese (doutorado) - Universidade Federal de Santa Catarina, Centro de Filosofia e Ciências Humanas. Programa de Pós-Graduação em Geografia. Made available in DSpace on 2012-10-23T05:34:51Z (GMT). No. of bitstreams: 0Bitstream added on 2013-07-16T20:06:25Z : No. of bitstreams: 1 238179.pdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) A idéia do atraso ou arcaísmo das elites campeiras do Brasil Meridional, sustentada no binômio latifúndio - pecuária extensiva, aparece disseminada em trabalhos acadêmicos, na literatura e na mídia, influenciando o próprio curso das políticas de desenvolvimento regional. Contudo, defendemos a tese da modernidade das elites campeiras na forma da precoce politização do desenvolvimento regional, traduzida em distintas formas de barganha junto aos diversos níveis político-administrativos. A metodologia enfatiza a materialidade como condicionante da evolução das sociedades campeiras sulistas, presente na precoce inserção no mercado mundial e nas constantes modernizações do processo produtivo. Atualmente, o principal foco das elites campeiras meridionais reside no acesso privilegiado aos fundos públicos das instituições de fomento regional. Para tanto, "desconstituímos" os capitais aplicados pelo Banco Regional de Desenvolvimento do Extremo Sul (BRDE) na Campanha Gaúcha e nos Campos Gerais do Paraná, no período de 2001 a 2004, objetivando evidenciar a continuidade da reprodução das elites campeiras e da exclusão social na região.

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Anderson, Bethany. "'Home sick' : exploring the impact of receiving a volunteer unrelated donor haematopoietic stem cell transplant far from home on the perceived coping of patients residing in the NHS Highland region." Thesis, University of Glasgow, 2015. http://theses.gla.ac.uk/6689/.

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This project aims to gather the experiences of patients living within the NHS Highland region who have travelled to Glasgow to receive their allogeneic haematopoietic stem cell transplant. It examines the effects of travelling long distances and remaining away from home for treatment, on coping. The project used a qualitative design, looking retrospectively at participants’ experiences. Semi-structured interviews were audio-recorded and transcribed verbatim before being analysed using Interpretive Phenomenological Analysis. Results of the analysis indicated ten super-ordinate themes: Impact of physical health, ward life, “there is no place like home”, social support is key, the known versus the unknown, technology, the role of thoughts, change of environment, moving along a journey and the direct consequences of the distance. The results enhance understanding of the factors and resources which can aid patients’ coping. This information will be used to help prepare future patients embarking on their own treatment journey, as well as guiding staff as to how they can best prepare patients and support them to cope during treatment.

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Rodrigues, Bárbara Luísa Cerqueira. "The influence of the Fragile X Mental Retardation-1 (FMR1) gene CGG repetitive region in the female reproductive function." Master's thesis, Universidade de Aveiro, 2018. http://hdl.handle.net/10773/22001.

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Mestrado em Biologia Molecular e Celular The impact of the Fragile Mental Retardation-1 (FMR1) gene CGG repeat number in the female reproductive function is well established. Carriers of a CGG repeat number between 55 and 200, designated a premutation, are prone to develop primary ovarian insufficiency or early menopause. Yet, an impact on the reproductive function in carriers of “normal” genotypes and sub-genotypes (CGG<54) is controversial. The presence of AGG in normal-sized alleles confers stability, hampering the expansion of the repeat number in future generations. To the best of our knowledge testing the influence of the AGG number and pattern on the female reproductive function has never been endeavored. Herein, the ovarian reserve markers were correlated with CGG number as well as AGG number and pattern, in female carriers of FMR1 normal-sized alleles. Our cohort comprised 50 healthy young females, candidates for oocyte donation. Considering AGG number and pattern are not routinely determined different methodologies were implemented: 1) Triplet-Primed Polymerase Chain Reaction; 2) Sanger sequencing; and 3) Restriction Fragment-Length Analysis. A projection of the association between the CGG repeat values and the hormonal levels, by multivariate analysis, was performed, considering the FMR1 new “normal” sub-genotypes previously defined. The hormonal levels associated with the different samples were not sufficient to discriminate the sub-genotypes, indicating that the individualization of the samples classified by sub-genotype was not possible. Resorting to a mathematical formula that determines the allelic score, taking into account total allele size, and AGG number and pattern. After statistical analysis, it was possible to divide the samples into two groups: a first called an equivalent group and a second called an opposite group. The equivalent group is composed mainly of samples carrying alleles in the normal FMR1 sub-genotype and the opposite, where most of the samples have an FMR1 low/normal sub-genotype. In the equivalent group, a positive and significant correlation was observed between the number of antral follicles and the hormonal levels: prolactin and luteinizing hormone (LH). Thus, it is possible to predict the largest number of antral follicles produced combining the levels of prolactin and LH. These results actually confirm prior publications as the low/normal sub-genotype has been previously associated with a diminished ovarian reserve. Overall, this study confirms the association of the FMR1 CGG repetitive region in the female reproductive function and suggests that the stability of the alleles is a determining factor for the ovarian response success. A relação entre o número de repetições CGG do gene Fragile Mental Retardation-1 (FMR1) e a função reprodutiva em mulheres não é uma novidade. Está descrito que as portadoras de alelos com um número de repetições CGG entre 55 e 200, designados por pré-mutação, têm uma predisposição para desenvolver insuficiência ovárica primária ou menopausa precoce. Porém, a existência de risco de diminuição da função reprodutiva nas mulheres, com genótipos considerados “normais” (CGG<54), e respetivos subgenótipos ainda não é clara. Sabe-se que a presença de interrupções AGG confere a esses alelos uma maior estabilidade, impedindo a expansão do número de repetições CGG para um tamanho considerado patogénico. A forma como o número e o padrão de interrupções AGG poderá influenciar a função reprodutiva feminina, nunca foi estudada. No presente trabalho, os marcadores de reserva ovárica foram correlacionados com o número de repetições CGG e perfil das interrupções AGG. A população em estudo incluiu 50 mulheres jovens e saudáveis, candidatas à doação de oócitos. Dado que o número e o padrão das interrupções AGG não são determinados por rotina, foi então necessário implementar a sua análise, recorrendo a diferentes metodologias: 1) Triplet-Primed Polymerase Chain Reaction; 2) Sanger sequencing; and 3) Restriction Fragment-Length Analysis. Foi realizada uma projeção da associação entre o número de repetições CGG e os níveis hormonais, através de uma análise multivariável, considerando os novos subgenótipos "normais" FMR1 previamente definidos. Os níveis hormonais associados às diferentes amostras não foram suficientes para discriminar subgenótipos, indicando que a individualização das amostras classificadas por sub-genótipos não era possível. Recorrendo a uma fórmula matemática que determina a pontuação alélica, tendo em consideração o tamanho total do alelo, e o número e o padrão de AGG. Após análise estatística foi possível dividir as amostras em dois grupos: um primeiro designado por grupo equivalente e um segundo designado por grupo oposto. O grupo equivalente, que é composto principalmente por amostras que possuem alelos do subgenótipo “normal” FMR1, e o oposto, onde a maioria das amostras possui subgenótipo “normal/baixo” FMR1. No grupo equivalente, observou-se correlação positiva e significativa entre número de folículos antrais e os níveis hormonais: prolactina e hormona luteinizante (LH). Assim, é possível prever o número de folículos antrais produzidos combinando os níveis de prolactina e LH. Estes resultados confirmam publicações anteriores, já que o sub-genótipo “normal/baixo” foi anteriormente associado a uma diminuição da reserva ovárica. No geral, este estudo confirma a associação da região repetitiva CGG do FMR1 na função reprodutiva feminina e sugere que a estabilidade dos alelos é um fator determinante para o sucesso da resposta ovárica.

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Burga, Collazos Lourdes del Rosario, and Agurto Rayza Noelia Paredes. "Actitud de la enfermera frente al dolor del neonato en el servicio de neonatología del Hospital Regional Docente Las Mercedes, Chiclayo, 2014." Bachelor's thesis, Chiclayo, 2015. http://tesis.usat.edu.pe/jspui/handle/123456789/368.

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La presente investigación cualitativa con enfoque estudio de caso estuvo respaldada por la teórica Jean Watson con su teoría del “Cuidado Humano”, su objetivo fue analizar y describir la actitud de la enfermera frente al dolor del neonato. Se justificó porque en nuestra localidad no existen investigaciones relacionadas y además servirá para que las enfermeras tomen una actitud certera y concisa para lograr disminuir el dolor que está aquejando al neonato. La metodología de esta investigación fue estudio de caso y los sujetos de investigación fueron ocho enfermeras que laboran permanentemente en el servicio de neonatología de dicho hospital. La muestra se obtuvo mediante la técnica de saturación y como criterio de inclusión se consideró tres años de experiencia como mínimo. Para la recolección de datos se utilizó la entrevista semiestructurada a profundidad. Bajo la confiabilidad de los criterios de rigor científico y principios bioéticos según Sgreccia, se consideró tres categorías: la primera: reconociendo la respuesta más importante del neonato ante el dolor: llanto; la segunda: aliviando el dolor con estrategias farmacológicas y no farmacológicas la cual cuenta con dos subcategorías administrando los analgésicos al neonato para el alivio del dolor y brindando comodidad y confort para el bienestar del neonato y, la tercera: buscando mejorar las competencias de la enfermera través de la capacitación permanentemente. La conclusión a la que se llegó es que en dicho servicio una de las limitantes para las enfermeras es el factor tiempo, recurso humano deficiente, aunado a la alta demanda de neonatos que posee.

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Paredes, Agurto Rayza Noelia, Collazos Lourdes del Rosario Burga, Collazos Lourdes del Rosario Burga, and Agurto Rayza Noelia Paredes. "Actitud de la enfermera frente al dolor del neonato en el servicio de neonatología del Hospital Regional Docente Las Mercedes, Chiclayo, 2014." Bachelor's thesis, Universidad Católica Santo Toribio de Mogrovejo, 2015. http://tesis.usat.edu.pe/handle/usat/359.

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La presente investigación cualitativa con enfoque estudio de caso estuvo respaldada por la teórica Jean Watson con su teoría del “Cuidado Humano”, su objetivo fue analizar y describir la actitud de la enfermera frente al dolor del neonato. Se justificó porque en nuestra localidad no existen investigaciones relacionadas y además servirá para que las enfermeras tomen una actitud certera y concisa para lograr disminuir el dolor que está aquejando al neonato. La metodología de esta investigación fue estudio de caso y los sujetos de investigación fueron ocho enfermeras que laboran permanentemente en el servicio de neonatología de dicho hospital. La muestra se obtuvo mediante la técnica de saturación y como criterio de inclusión se consideró tres años de experiencia como mínimo. Para la recolección de datos se utilizó la entrevista semiestructurada a profundidad. Bajo la confiabilidad de los criterios de rigor científico y principios bioéticos según Sgreccia, se consideró tres categorías: la primera: reconociendo la respuesta más importante del neonato ante el dolor: llanto; la segunda: aliviando el dolor con estrategias farmacológicas y no farmacológicas la cual cuenta con dos subcategorías administrando los analgésicos al neonato para el alivio del dolor y brindando comodidad y confort para el bienestar del neonato y, la tercera: buscando mejorar las competencias de la enfermera través de la capacitación permanentemente. La conclusión a la que se llegó es que en dicho servicio una de las limitantes para las enfermeras es el factor tiempo, recurso humano deficiente, aunado a la alta demanda de neonatos que posee. Tesis

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Huaynalaya, Orejón Jessica. "Conocimientos de los enfermeros sobre manejo del dolor postoperatorio en la Unidad de Recuperación Postanestésica (URPA) del Hospital Regional de Medicina tropical – 2016." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2017. https://hdl.handle.net/20.500.12672/7171.

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Publicación a texto completo no autorizada por el autor Determina los conocimientos de los profesionales en enfermería en relación al manejo del dolor en la Unidad de Recuperación Postanestésica (URPA) del Hospital Regional de Medicina Tropical – La Merced en el año 2016. La metodología de la investigación baso su estudio desde una perspectiva cuantitativa, descriptivo y de corte transversal, se contó con una población de 30 enfermeras (os) que laboran en Centro Quirúrgico del Hospital Regional de Medicina tropical del distrito de la Merced, provincia de Chanchamayo, la técnica empleada fue la encuesta y el instrumento el cuestionario estructurado constituido por 21 ítems, de los cuales 7 corresponden a la fisiopatología del dolor, 7 a la valoración y 7 al tratamiento farmacológico y no farmacológico, luego del diseño se sometió a juicio de expertos entre los que destacan 2 enfermeras especialistas en centro quirúrgico, 5 anestesiólogos expertos en el tema y un asesor metodológico, a fin de garantizar la validez, fiabilidad y sensibilidad del instrumento. El resultado obtenido fue que el 53% de enfermeras (16) conocen el manejo del dolor postoperatorio mientras que un 47% (14) no conocen, cabe resaltar que en las dimensiones de fisiopatología y valoración del dolor se observa mayores porcentajes con un 63% y 70% respectivamente de enfermeras que si conocen, sin embargo en la dimensión tratamiento de dolor postoperatorio, se observa que un 53% de enfermeras no conocen, siendo esta dimensión la mayor debilidad encontrada. Por lo que se concluye que el desconocimiento de los Profesionales en Enfermería, en relación al manejo del dolor postoperatorio alcanza un porcentaje significativo, siendo necesaria la elaboración, aprobación y socialización inmediata de un protocolo de manejo del dolor postoperatorio en la URPA, así como capacitaciones y/o actualizaciones constantes. Trabajo académico

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Vargas-Prada, Figueroa Sergio 1976. "Role of psychological and culturaly influenced risk factors on symptoms and disability for musculoskeletal disorders. CUPID study (Spain)." Doctoral thesis, Universitat Pompeu Fabra, 2014. http://hdl.handle.net/10803/287976.

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This PhD thesis is based on the Spanish sample of the International “Cultural and Psychosocial Influences on Disability” (CUPID) study. This multicentre study is coordinated by Professor David Coggon at the University of Southampton (UK) and the project focuses on 47 occupational groups (nurses, office workers and manual workers) from 18 countries. At the beginning, it was planned that each participating country would include the three occupational groups mentioned before. However, the Spanish sample of the study was composed only by nurses and office workers; due to logistic reasons, it was not possible to access local postal workers who carried out sorting mail tasks. This dissertation aims to assess the importance of health beliefs, mental health, and somatising tendency as predictors of incidence and persistence of musculoskeletal pain and to investigate if these psychological risk factors primarily influence the development and persistence of pain, or whether their impact is more on the disability that musculoskeletal pain causes. Dataset was collected in the workplace, both at baseline (between November 2007 and February 2010), and again after a follow-up interval of 12 months, at four hospitals (Badalona Serveis Assistencials, Consorci Sanitari Integral, Consorci Hospitalari Parc Taulí and Parc de Salut Mar) and a university (Universitat Pompeu Fabra) in Barcelona. To be included in the study, participants had to be aged 20–59 years and been in their current job for ≥12 months. Written informed consent was obtained from all who agreed to take part, and the Parc de Salut Mar Ethics Committee of Barcelona and the Health and Safety Committee of each participating centre approved the study. The baseline and follow-up questionnaires were originally drafted in English, translated into Spanish, and then checked by independent back-translation. Participants were asked at baseline about socio-demographic and lifestyle characteristics, current working conditions, health beliefs concerning pain, mental health, somatising tendency and musculoskeletal pain in the past month and past year at six different anatomical areas (back, neck, and shoulders, elbows, wrists/hands, and knees). Pain was classed as disabling if it made ≥1 specified everyday activities difficult or impossible. At 12-month follow-up, pain in the past month and associated disability was again ascertained. Log binomial and multilevel multinomial logistic regression models were used to explore associations of baseline risk factors with pain outcomes at follow-up. Esta tesis doctoral está basada en la muestra española del Estudio Internacional “Cultural and Psychosocial Influences on Disability” (CUPID) Este estudio multicéntrico es coordinado por el Profesor David Coggon de la Universidad de Southampton (Reino Unido), y el proyecto se centra en 47 grupos ocupacionales (enfermeras, trabajadores de oficina y trabajadores manuales) de 18 países. Al principio estaba previsto que cada país participante incluiría los tres grupos de trabajo antes mencionados. Sin embargo, la muestra española del estudio CUPID está compuesta sólo por enfermeras y trabajadores de oficina; por razones logísticas, no fue posible acceder a los trabajadores de correos que realizaban tareas de clasificación de correo. Esta tesis doctoral tiene como objetivo evaluar la importancia de las creencias sobre la salud, salud mental, y la tendencia a somatizar como predictores de la incidencia y persistencia de dolor músculo-esquelético y para investigar si estos factores de riesgo psicológicos influyen principalmente en el desarrollo y la persistencia del dolor, o si su impacto es más en la discapacidad que provoca el dolor músculo-esquelético. El conjunto de datos del estudio se recogió en el lugar de trabajo, tanto al inicio del estudio (entre Noviembre de 2007 y Febrero de 2010), como después de un intervalo de seguimiento de 12 meses, en cuatro hospitales (Badalona Serveis Assistencials, Consorci Sanitari Integral, Consorcio Hospitalario Parc Taulí y el Parc de Salut Mar) y una universidad (Universitat Pompeu Fabra) en Barcelona. Para ser incluidos en el estudio, los participantes debían tener entre 20 a 59 años y haber estado en su puesto de trabajo por lo menos los últimos 12 meses. Se obtuvo consentimiento informado escrito en todos aquellos que aceptaron participar, y proyecto fue aprobado por el Comité de Ética del Parc de Salut Mar en Barcelona y el Comité de Seguridad y Salud de cada centro participante. Tanto los cuestionarios basales como del seguimiento fueron redactados originalmente en Inglés, traducido al español, y luego retro-traducido al inglés. Los participantes fueron entrevistados al inicio del estudio sobre sus características socio-demográficas y de estilo de vida, condiciones de trabajo actuales, salud mental y tendencia a somatizar, creencias sobre la salud aplicables al dolor y la presencia de dolor músculo-esquelético en el último mes y en el último año en seis zonas anatómicas diferentes (espalda, cuello, hombros, codos, muñecas/manos y rodillas). El dolor fue clasificado como discapacitante si se reportaban 1 o más actividades cotidianas difíciles o imposibles de realizar. A los 12 meses de seguimiento, se volvió a entrevistar a los participantes sobre la presencia de dolor en el último mes y la discapacidad asociada. Se utilizaron modelos de regresión log-binomial y logística multinomial multinivel para explorar las asociaciones de los factores de riesgo basales con el dolor al seguimiento.

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Cárdenas, Huitrón Pamela Geraldina, and Zapién Cuitláhuac Márquez. "“USO DE BUPRENORFINA TRANSDÉRMICA PARA EL MANEJO DEL DOLOR POSTOPERATORIO AGUDO EN PACIENTES SOMETIDAS A HISTERECTOMÍA ABDOMINAL NO OBSTÉTRICA EN EL HOSPITAL REGIONAL DE TLALNEPANTLA”." Tesis de Licenciatura, Medicina-Quimica, 2014. http://ri.uaemex.mx/handle/123456789/14609.

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McClelland, Paul S. "A Scaled Examination of the Relationship between a Nonprofit’s National Mission, Regional Structure, and Local Fundraising Efforts." Kent State University / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=kent1204148383.

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Moresco, Mônica Nascimento dos Santos. "Detecção da hepatite B oculta nas regionais de saúde do Baixo Amazonas, Entorno de Manaus, Médio Amazonas, Rio Negro e Solimões e Triângulo do Estado do Amazonas." Universidade Federal do Amazonas, 2012. http://tede.ufam.edu.br/handle/tede/2632.

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Made available in DSpace on 2015-04-11T13:55:03Z (GMT). No. of bitstreams: 1 Monica Moresco.pdf: 1380196 bytes, checksum: a4c9d499289cc3b851dcc2691af82caf (MD5) Previous issue date: 2012-10-30 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior A epidemiologia da infecção pelo vírus da hepatite B (VHB) demonstra uma distribuição diversificada no mundo, afetando cerca de 2 bilhões de pessoas com alta frequência de infecção crônica. A segurança transfusional depende da avaliação clínico-epidemiológica apropriada de candidatos à doação de sangue e do uso de testes de seleção adequados para excluir e evitar a transmissão de agentes infecciosos tais como o VHB. A ocorrência de infecção oculta pelo VHB em doadores de sangue assintomáticos abriu uma nova lacuna a ser preenchida principalmente em hemocentros de regiões de alta prevalência como na Amazônia brasileira, que são desafiados a buscar estratégias de garantia de estoques considerando o alto impacto do descarte de hemocomponentes anti-HBc reativos. Este estudo buscou analisar nas doações de sangue do interior do estado do Amazonas a presença da infecção oculta pelo vírus da hepatite B em amostras anti-HBc total positivas com ou sem o marcador anti-HBs. A população de estudo foi composta por candidatos à doação de sangue que se apresentaram nas Unidades de Coletas Transfusionais (UCT s) nas regionais de saúde do Baixo Amazonas, Entorno de Manaus, Médio Amazonas, Rio Negro e Solimões e Triângulo, no período de junho/2011 a junho/2012. Foram analisados dois grupos de doadores negativos para HBsAg: os que apresentaram reatividade para anti-HBc com e sem a presença do anti-HBs. Foram utilizados métodos sorológicos qualitativos e quantitativos dos marcadores para a infecção e moleculares para detecção e quantificação da carga viral do DNA-VHB. A prevalência do anti-HBc total reativo no interior do estado do Amazonas entre os doadores de sangue foi de 24,4%. Foram analisadas 179 amostras anti-HBc reativas e HBsAg negativas, destas, 04 foram positivas para o DNA-VHB, caracterizando infecção oculta pelo vírus B com uma prevalência de 2,2%. Das 179 amostras, 03 apresentaram anti-HBs ≥100 mUI/mL, indicando que o marcador protetor mesmo em altos títulos não evidencia a ausência do vírus. Não houve correlação entre os títulos do anti-HBs e anti-HBc com a carga viral encontrada. A maior frequência dos doadores foi do sexo masculino com 90% em ambos os grupos de estudo e não houve relato de exposição aos fatores clássicos de risco para a infecção entre os doadores com DNA-VHB. A evidência da presença de IOB entre os doadores de sangue do interior do Estado do Amazonas abre espaço para discussão das melhores estratégias a serem utilizadas na triagem de doadores de sangue em regiões de alta prevalência e de perfil de transmissão peculiar como o caso da Amazônia. Atualmente, tanto os testes de triagem sorológica, quanto o teste NAT precisam ser redesenhados no intuito de aprimorar as estratégias de controle da transmissão transfusional buscando um algoritimo balanceado entre a rejeição de doadores potenciais, descarte de unidades, razões econômicas e segurança desejada.

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SILVA, Dario Benedito Rodrigues Nonato da. "Os Donos de São Benedito: convenções e rebeldias na luta entre o catolicismo tradicional e devocional na cultura de Bragança, século XX." Universidade Federal do Pará, 2006. http://repositorio.ufpa.br/jspui/handle/2011/4253.

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Submitted by Irvana Coutinho (irvana@ufpa.br) on 2013-09-16T13:19:17Z No. of bitstreams: 2 license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) Dissertacao_DonosSaoBenetido.pdf: 2926493 bytes, checksum: ea96d5d1b226aed9b8b521008d4738a1 (MD5) Approved for entry into archive by Ana Rosa Silva(arosa@ufpa.br) on 2013-09-16T16:42:14Z (GMT) No. of bitstreams: 2 license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) Dissertacao_DonosSaoBenetido.pdf: 2926493 bytes, checksum: ea96d5d1b226aed9b8b521008d4738a1 (MD5) Made available in DSpace on 2013-09-16T16:42:14Z (GMT). No. of bitstreams: 2 license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) Dissertacao_DonosSaoBenetido.pdf: 2926493 bytes, checksum: ea96d5d1b226aed9b8b521008d4738a1 (MD5) Previous issue date: 2006 Esta dissertação discute as imagens e representações encontradas na Literatura e as lutas pelo controle da cultura no exemplo da Festividade, da Irmandade e da Marujada de São Benedito, na cidade de Bragança, Estado do Pará, na Amazônia brasileira, a partir da década de 1930, no século XX. Analisando uma farta bibliografia nos temas Folclore, Memória, Tradição Popular e Antropologia, o estudo tenta explicar como se construíram as relações sociais entre os sujeitos históricos da Igreja Católica pela Prelazia do Guamá e da Irmandade do Glorioso São Benedito de Bragança, relacionando-os com o recurso literário e com os principais teóricos da historiografia, para entender o catolicismo popular e oficial em suas representações assim como os símbolos construídos no tempo, como elementos da História de tensão entre as ideias e regras de controle eclesiástico católico e a reação popular dos irmãos de São Benedito. This dissertation discusses images and representations found in Literature and conflicts for the cultural control in the Commemoration, the Fraternity and the Marujada of Saint Benedict, in the city of Bragança, state of Para, in the Brazilian Amazon, since the thirtieth decade, in the 20th century. Analyzing a wide bibliography of the themes Folklore, Memory, Popular Tradition and Anthropology, the study attempts to explain how the social relations were built between the historic personages of the Catholic church through the Prelazia do Guamá and the Fraternity of Glorious Saint Benedict of Bragança, in relation to literary vision and the main theorists of historiography, to understand the official e popular Catholicism in their representations, as in the symbols made in time, as historical elements in fights between ideals and rules of the ecclesiastic catholic control and the popular reaction against it of the brothers of Saint Benedict.

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Smith, Zaneta. "Hiding behind a mask : a grounded theory study of perioperative nurses’ experiences of participating in multi-organ procurement surgery." Thesis, Curtin University, 2012. http://hdl.handle.net/20.500.11937/1831.

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Multi-organ procurement surgical procedures are undertaken on donors who have consented at the time of their death to donate multiple organs, body parts or tissues. These donors fulfil the criteria for donation by either being certified as brain dead as a result of an injury or via a donation after cardiac death (DCD) pathway. Worldwide multi-organ procurement surgery has made a huge impact in both extending and enhancing the quality of life for recipient patients who have received organs from donors. Perioperative nurses working in surgical teams play a vital role in procuring organs from both paediatric and adult cadaver organ donors. The nature of the surgical procedure used for procuring organs, the urgency of coordinating surgical procurement teams and the removal of organs for urgent transplantation to awaiting recipients is fast paced and technical. The experience has been reported to evoke emotions which traumatically impact on perioperative nurses when assisting in these surgical procedures. There is currently a dearth of research examining the experiences of Australian perioperative nurses assisting within multi-organ procurement surgery.The objective of this study was to describe and gain a greater understanding of the personal experiences nurses encountered as part of their professional roles when involved in these surgical procedures. This thesis presents the substantive theory which has used a grounded theory methodology to describe the experiences of 35 perioperative nurses working within multi-organ procurement surgical teams from metropolitan, regional and rural hospitals in both New South Wales and Western Australia. The qualitative data from in-depth interviews were simultaneously collected and analysed to develop the substantive theory. The study findings draw attention to the complexities that exist for perioperative nurses to participate in these surgical procedures.The basic social psychological problem of hiding behind a mask was found to be a fundamental shared concern that the majority of perioperative nurses in this study faced when participating in multi-organ procurement surgery. The problem of hiding behind a mask was comprised of three stages: being unprepared, being overwhelmed and hiding the burden. The first stage, conceptualised as being unprepared, consisted of not knowing what to expect during the surgical procedure when they lacked prior knowledge and experience and felt unprepared for being exposed to death by operating on a cadaver donor and managing DCD donors within the operating room. Moreover participants were unprepared for witnessing the circumstances of each donor patient in addition to dealing with the grieving family.During the second stage participants described being overwhelmed with fears of facilitating death of the donor when they lacked understanding of the process of brain death diagnosis. They reported being overwhelmed at also having to witness the graphic nature of the procurement process and feeling overwhelmed by their own emotional responses to the donor’s death which they tried to hide and contain from their work colleagues through hiding behind a mask. Lastly the third stage of hiding behind a mask was identified as hiding the burden where participants were forced to contain their own personal beliefs and attitudes towards these surgical procedures whilst undertaking their professional roles. They reported hiding behind a mask when suppressing personal beliefs, hiding an objection to participate, not disclosing their own views or attitudes on death and spiritual ‘afterlife’ beliefs and lastly hiding not being able to cope when participating in these surgical procedures. The majority of the participants in this study articulated that various conditions influenced and directly contributed towards their experiences of hiding behind a mask. Three conditions were identified and these were reported as: work conditions, levels of knowledge and experience and levels of support.In an attempt to overcome the problem of hiding behind a mask, the data revealed that participants had to reach a turning point which was labelled as taking control. The turning point of taking control was described by participants as taking control of their own internal turmoil and rationalising the situation they were placed in whilst also changing their attitudes and thoughts towards their participation in the procedure. Once they had passed through the turning point of taking control participants were able to move beyond this point into the basic social psychological process of finding meaning.The basic social psychological process of finding meaning comprised of three stages: pushing through; preserving self and coming to terms. The first stage of finding meaning was conceptualised as pushing through. For many of the study participants in pushing through they dissociated themselves from their internal feelings and conflicts by focusing on the importance of their role and professional contributions towards the surgical procedure. The second stage of the basic social psychological process of finding meaning was conceptualised as preserving self, this saw participants implement strategies to protect themselves from both the traumatic experiences of procurement surgery and the tragic circumstances of the donors they came in contact with. Three aspects of preserving self were identified: being resilient; nurse self care and seeking personal support. The third and final stage of the basic social psychological process of finding meaning was conceptualised as coming to terms. During this stage participants were able to gain some understanding from their experiences by placing their participation role into perspective, honouring the donation wish and assisting in preserving life for the greater good when focusing on the needs of recipient patients requiring the organs they were assisting to procure. Conditions influencing the basic social psychological process of finding meaning encompassed: work conditions, levels of knowledge and experience and levels of support. Participants articulated these as positive influencing conditions such as a changing work environment, feeling less isolated and being supported by their work organisations.Throughout this thesis pertinent scientific literature has been woven into the research findings to illustrate the relevance of the newly developed theory and to place the substantive theory within the context of other findings and related theories to further support the trustworthiness of the current study data and the newly developed theory. The findings detailed in the substantive theory illustrate new contributions to the knowledge and understanding of the Australian perioperative nurses experiences when undertaking multi-organ procurement surgical procedures which will have relevance both nationally and internationally. The findings have implications and recommendations directed towards perioperative nurses, health services, perioperative organisations, government and policy makers.

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Brunello, Aline Shiramizu Hisamitsu. "Estudo do impacto da doação de concentrados de hemácias duplas por aférese nos estoques de ferro de doadores de sangue do Centro Regional de Hemoterapia do HCFMRP-USP." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/17/17155/tde-07062017-125128/.

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Introdução: A técnica de doação de duplos concentrados de hemácias por aférese está disponível nos hemocentros desde 1997, quando este procedimento foi aprovado pela Food and Drug Administration (FDA). A legislação brasileira vigente segue as normas americanas para seleção de potenciais doadores de hemocomponentes por aférese e orienta que cada serviço tenha seu próprio protocolo para realizar esses procedimentos. Objetivo: Analisar o comportamento das reservas de ferro de doadores de duplos concentrados de hemácias por aférese, selecionados de acordo com as normas brasileiras vigentes a fim de auxiliar na definição de critérios seguros para seleção desses doadores. Casuística e Métodos: Foram coletadas amostras de sangue para exames de hemograma, ferro sérico, ferritina e UIBC (capacidade latente de ligação de ferro) de 75 doadores de hemácias duplas por aférese nos momentos pré-doação e quatro, cinco, seis e sete meses após a doação. A análise dos dados foi realizada com o uso do Graph Pad Prism versão 5.0. Resultados: A dosagem de ferritina pré-doação foi significativamente maior que nos meses subsequentes, mesmo após sete meses da coleta (148 ng/mL x 84,7 ng/mL x 91,2 ng/mL x 93,9 ng/mL x 112 ng/mL, p<0,0001). Não foi observada diferença significativa dos valores de hematócrito, ferro sérico e UIBC ao longo do estudo. Interessantemente, os doadores apresentaram contagem de hemoglobina na pré-doação menor que a coletada no sétimo mês após a doação de duplos concentrados de hemácias por aférese (15,3 g/dL x 15,7 g/dL , p<0.05). Os valores do volume corpuscular médio (VCM) foram significativamente menores com quatro e cinco meses após doação, comparados com os valores basais (87,67 FL x 86,74 FL, p<0,0001 e 87,67 FL x 87,27 FL, p<0,0161) e significativamente maiores com sete meses após a doação (87,67 FL x 88,14 FL, p=0,01). Foi observado aumento dos níveis de Hemoglobina corpuscular média (HCM) nos sexto (29,45 PG x 29,84 PG, p=0,0044) e sétimo meses após a doação (29,45 PG x 30,22 PG, p<0,0001), em comparação com os valores basais. Verificou-se, também, que os estoques de ferro apresentaram queda significativa após uma doação de duplos concentrados de hemácias, obtidos por aférese e que até sete meses após a doação não houve a devida recuperação dos estoques de ferro ao nível basal dos doadores em estudo. Houve, ainda, aumento dos valores da hemoglobina e do HCM e VCM a partir do sexto mês após a doação de hemácias duplas por aférese. Conclusão: Concluiu-se que, em doadores do sexo masculino de duplos concentrados de hemácias por aférese, a dosagem de ferritina deve ser realizada para melhor controle e segurança dos mesmos, e que se os valores da dosagem da ferritina forem <30 ng/dl, o doador deve ser impedido de doar; e se >30 ng/mL, recomenda-se liberar para nova doação somente após seis meses da doação anterior. Assim, novos estudos serão necessários para se adequarem as normas vigentes à população de doadores brasileiros, visando maior segurança e menor impacto da doação nos estoques de ferro do doador. Introduction: The technique of double red cell donation by apheresis has been available in blood establishments since 1997, when this procedure was approved by the American FDA. The Brazilian legislation follows the American standards for the selection of potential donors of blood components by apheresis and advises every establishment to have their own protocol to carry out these procedures. Aim: The aim of this study was to analyze the behavior of the iron reserves of donors of double red cells concentrate by apheresis, selected in accordance with current Brazilian standards, in order to help define safer criteria for the selection of these donors. Casuistic and Methods: Blood samples were collected from 75 donors of double red blood cells by apheresis for tests of blood count, serum iron, ferritin and UIBC at the moment before donation and at four, five, six and seven months after donation. Data analysis was done using Graph Pad Prism version 5.0. Results: Pre-donation ferritin was significantly higher than in the subsequent months, even after seven months of the collection (148 x 84.7 x 91.2 x 93.9 x 112 ng/mL, p<0.0001). Interestingly, donors showed hemoglobin count at pre-donation lower than the hemoglobin collected at the seventh month after the donation of double concentrates by apheresis (15.3 x 15.7 g/dL, p<0.05). No significant difference was observed in the values of hematocrit, serum iron, UIBC (iron binding capacity) four, five, six and seven months after the donation of double concentrates by apheresis when compared to basal levels. The MCV values were significantly lower four and five months after donation, compared to basal levels (87.67 x 86.74 FL, p<0.0001 and 87.67 x 87.27 FL, p<0.0161) and significantly higher after seven months after donation (87.67 x 88.14 FL, p=0.01). We observed an increase in MHC in the sixth month (29.45 x 29.84 PG, p=0.004 PG 4) and seventh month after donation compared to basal levels (29.45 x 30.22 PG, p<0.0001). This study observed that a donation of double blood red cell concentrates obtained by apheresis caused a significant drop in iron stores that persisted even after seven months after donation. Conclusion: We also verified an increase of hemoglobin, MCV and MHC values from the sixth month after donation, compared to basal levels. Probably, both the double red cell donation by apheresis and the stimulus of erythropoiesis might have influenced the slow recovery of donors\' iron stores in this study. Thus, novel studies are necessary to adjust the current standards to the population of Brazilian donors, aiming a greater safety and lower impact of donation in the donor\'s iron storage.

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Chelova, Mariya. "Divided we stand." Doctoral thesis, Humboldt-Universität zu Berlin, Philosophische Fakultät III, 2012. http://dx.doi.org/10.18452/16563.

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Nach dem Zusammenbruch der Sowjetunion stellte der Aufbau eines unabhängigen Staates und einer unabhängigen Nation eine große Herausforderung für die Regierenden der fünfzehn ehemaligen Sowjetrepubliken dar Zwanzig Jahre später, pendelt der Typus, der aus jenen Prozessen hervorgegangenen politischen Regime, zwischen Demokratie und Autokratie. Diese Dissertation konzentriert sich auf die Grauzone zwischen diesen beiden Idealtypen, d.h. auf ‚hybride Regime‘, verstanden als Staaten, die nachweislich freie und faire Wahlen einerseits mit einem autokratischen Regierungsstil andererseits kombinieren. Unter den ehemaligen Sowjetrepubliken sind dies Georgien, Moldawien und die Ukraine. Die zentrale Frage der Arbeit lautet, welche Faktoren die Funktionstüchtigkeit dieser Regime gewährleistet. Es zeigt sich, dass die drei genannten Länder ethnisch stark heterogen sind relative arme Volkswirtschaften mit sehr schwachem Wachstum sind. Es wird argumentiert, dass es diese beiden Strukturmerkmale sind, die das Handeln der heimischen Eliten wesentlich determinieren und die, zusammen mit den durch internationale Geldgeber gesetzten Anreizen, die Dauerhaftigkeit dieser hybriden Regime bedingen. Dagegen steht die politische Polarisierung im Kern des Erklärungsmodells dieser Dissertation. Im Detail sieht das Erklärungsmodell vor, dass sie diesen Einfluss vermittelt durch das Moment der politischen Polarisierung ausüben. Ethnische Spaltungen spiegeln sich in polarisierten politischen Gruppierungen wieder und sind dadurch für einen hochgradig kompetitiven Charakter von Wahlen verantwortlich. Die heimischen Eliten betonen ethnische Antagonismen in ihren Wahlkämpfen und auch die internationalen Geldgeber schüren eine bereits latent konfliktreiche Atmosphäre. Dieses Verhaltensschema sichert den Fortbestand der hybriden Regime in Moldawien und der Ukraine. Die Abwesenheit von Polarisierung, die auf einer leicht entflammbaren Fragen basiert, resultiert in einem Mangel an Kompetitivität. In the aftermath of the breakdown of the Soviet Union, the leadership in the fifteen former republics found themselves challenged by complex processes of independent state- and nation-building. Twenty years later, the political regimes that emerged vary from democracies to autocracies. This dissertation focuses on the grey zone in between the pure types. Conceptualizing hybrid regimes as the ones that combine holding of free and fair, recognized elections, and autocratic governance, it asks the question of what keeps the former viable. This research singles out Georgia, Moldova and Ukraine as the countries with hybrid regimes. It shows that the three are highly ethnically heterogeneous and have relatively poor, very low-growing economies. This dissertation argues that these structural conditions are responsible for the actions of the domestic elites, which together with the incentives that the international donors provide the domestic elites with make hybrid regimes permanent. The political polarization is at the core of the explanatory account this dissertation presents. Ethnic divisions, reflected in political polarization are responsible for emergence of regimes with competitive elections. The elites emphasize the divisive issues in their campaigning, while the donors support the already thriving competitive environment. This keeps competitive hybrid regimes in Moldova and Ukraine viable. Absence of polarization based on easily inflammable issues results in the lack of competitiveness. However, an absence of divisiveness produces orientation on one vector of donors (the West). The stimulation of reform and praise for achievement in governance that the donors provide keep the non-competitive hybrid regime in Georgia afloat.

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Allain, Géraldine. "Greffons rénaux issus des donneurs décédés par arrêt circulatoire : optimisation du reconditionnement chez le donneur et de la conservation hypothermique." Thesis, Poitiers, 2018. http://www.theses.fr/2018POIT1410/document.

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La transplantation est la meilleure alternative en cas d'insuffisance rénale terminale. Face à la pénurie de greffons, les équipes de transplantation se sont tournées notamment vers les donneurs décédés par arrêt circulatoire (DDAC) non contrôlés. Ces greffons soumis à une période d'ischémie chaude sont plus fragiles. Des méthodes de reconditionnement chez le donneur par refroidissement in situ (RIS) et circulation régionale normothermique (CRN) se sont développées afin de réduire les lésions d'ischémie-reperfusion. Le choix de la méthode est laissé à l'appréciation de chaque équipe et il existe une grande hétérogénéité des pratiques. Après prélèvement, l'utilisation des machines de perfusion hypothermique (MPH) est généralement recommandée. L'optimisation de ces phases de reconditionnement chez le donneur et de conservation hypothermique apparait comme un enjeu majeur de santé publique. Concernant l'optimisation du mode de reconditionnement, la mise au point d'un modèle préclinique porcin parfaitement reproductible a permis de mettre en évidence une supériorité de la CRN sur le RIS. Une durée de CRN de 4 heures minimum sans dépasser 6 heures paraît optimale. Concernant la conservation hypothermique, les MPH permettent le maintien du niveau d'expression des gènes retrouvé en fin de CRN. L'ajout d'une oxygénation active en MPH ou de curcumine en solution statique améliore le devenir du greffon à court et long termes dans un modèle préclinique d'autogreffe. Ce travail pourrait s'étendre à l'étude d'autres organes, d'autres durées d'ischémie chaude et aux DDAC contrôlés afin d'élargir encore le nombre d'organes éligibles à la transplantation Transplantation is the best alternative to end-stage renal disease. The shortage of grafts led the transplant teams to consider uncontrolled deceased donors after circulatory death (DCDs). These grafts suffered from a period of warm ischemia and are more vulnerable. Reconditioning methods in the donor by in situ cooling (ISC) and normothermic regional perfusion (NRP) have been developed to reduce the ischemia-reperfusion injuries. Each team has the choice as to the method and there are many different practices. After removal of kidneys, the use of hypothermic perfusion machines (HPM) is generally recommended. The optimization of reconditioning in the donor and hypothermic preservation appears as a major public health challenge. About optimization of the reconditioning method, the development of a high reproducible preclinical porcine model allowed to highlight the superiority of RNP over ISC. NRP duration of 4 hours minimum without exceeding 6 hours seems optimal. About hypothermic preservation, HPM allows to maintain the level of expression of the genes found at the end of RNP. The addition of active oxygenation to HPM or curcumin in static solution improves the graft outcomes in the short and long terms in a preclinical model of auto transplantation. This work could be extended to the study of other organs, other durations of warm ischemia and to controlled DCDs in order to further increase the number of transplantable grafts

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Barabba, Saleh. "L'aide publique saoudienne au développement : instrument politique ou outil de promotion de développement ?" Thesis, Clermont-Ferrand 1, 2012. http://www.theses.fr/2012CLF10389.

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Notre recherche combine deux approches dans l’analyse de la politique étrangère saoudienne relative à l’octroi de l’aide au développement: i) une approche interne (analyse des politique générales : l’élaboration et la mise en œuvre des programmes d’aide publique au développement ; l’identification des principaux acteurs de l’APD et l’analyse des résultats de l’APD ? ii) et une approche internationale (en se basant sur la théorie des relations internationales, nous identifions les mécanismes qui sous-Tendent la politique d’aide saoudienne ainsi que le rôle du Fonds Saoudien de Développement dans l’efficacité et l’efficience de l’Aide Publique au Développement. Nous cherchons, tout au long de ce travail, à apporter des éléments de réponse quant à l’ambivalence qui plane sur le visé de l’APD saoudienne. Nous traitons la question des aides internationales et les programmes du développement présentés par le gouvernement saoudien. L’objectif de ce travail sera donc l’étude et l’analyse du rôle de l’APD saoudienne dans la lutte contre la pauvreté essentiellement dans les pays en développement Our research combines two approaches in the analysis of Saudi foreign policy on the granting of development assistance: i) an internal approach (general policy analysis: the development and implementation of assistance programs official development identifying the main actors of ODA and analysis of the results of ODA? ii) and an international approach (based on the theory of international relations, we identify the mechanisms that underlie Saudi aid policy and the role of the Saudi Development Fund in the efficiency and effectiveness of ODA. We seek, throughout this work, to provide some answers about the ambivalence that hovers over the target of ODA Saudi Arabia. We treat the issue of international aid and development programs presented by the Saudi government. objective of this work will be the study and analysis of the role of ODA Saudi in the fight against poverty mainly in developing countries

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Brito, Analía, and Verónica Domínguez. "Contención del paciente y su entorno frente a la pérdida de la salud." Bachelor's thesis, Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería, 2012. http://bdigital.uncu.edu.ar/15848.

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La enfermedad aparece cuando se produce la ausencia de salud y en donde hay un desequilibrio físico, psíquico y social en el individuo y su entorno. A lo largo de la vida todos padecemos algún tipo de enfermedad, unas requieren pocos cuidados y otras de mayor gravedad que su tratamiento es más complejo y de mayor duración. Los episodios donde la salud se deteriora producen un fuerte impacto tanto para quien lo padece como para su entorno más cercano y deben ser tratados de manera integral. Por un lado está el enfermo que sufre física, mental y emocionalmente, y por otro la familia, que también es afectada por la situación de diferentes formas; se rompe la estructura de funcionamiento establecida, implica un gasto económico, una reorganización dentro del vínculo familiar de horario, trabajo, etc. Que generan un círculo vicioso donde todos son afectados. En aquellos pacientes que padecen enfermedades terminales desde el momento que se les diagnóstica la enfermedad se lo debe preparar, tanto a él como a su familia para que de alguna manera estén preparados para el desenlace de la misma. Este trabajo de investigación tiene como objetivo conocer cuáles son las intervenciones que realiza el personal de enfermería en la contención del paciente y su familia ante una situación inesperada (duelo) en el hospital Scaravelli durante los meses de junio y julio de 2011. Es un estudio de tipo cuantitativo, exploratorio, cuya finalidad es de carácter aplicado y de corte transversal. Fil: Brito, Analía. Fil: Domínguez, Verónica.

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Teichmann, Karen. "Scanning tunneling spectroscopy of space charge regions in semiconductors: From single donor to heterostructure systems." Doctoral thesis, 2012. http://hdl.handle.net/11858/00-1735-0000-000D-F084-3.

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Elam, Dennis Lee. "University development : donor perceptions regarding a regional university in Texas." 2003. http://hdl.handle.net/2152/12112.

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Texas, along with many other states, finds itself in a state budget crisis by 2002. Budget demands by other components such as senior citizens, have brought a greater demand for universities to raise more of their own funds, the process known as development. Most state universities began serious development efforts by the mid 1990s. It was thought that a thorough survey of alums, parents, faculty, and other stakeholders would provide insight into how SWT could best communicate with these stakeholders. The approval of Gerald Hill, Vice President for Development at SWT, was obtained for the project. Numerous other important staff then joined the effort. Sixteen questions were formed to elicit information. These questions were placed on a website so that electronic mail could be used to obtain answers. Questions included how the stakeholders perceived SWT, how they communicate with SWT, their understanding of ways of giving, and attitudes about giving. Some 441 responses were obtained. These were analyzed using the Statistical Package for Social Sciences. The results are presented. The meaning of these responses is analyzed. Suggestions are made for further research. text

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Elam, Dennis Lee Roueche John E. "University development donor perceptions regarding a regional university in Texas /." 2003. http://wwwlib.umi.com/cr/utexas/fullcit?p3119516.

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Wu, Chun-Tung, and 吳俊東. "The Research of E-Commerce Payment Mechanism of Door to Door Delivering Services within Taiwan Region." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/96662687624475188278.

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碩士 中國文化大學 資訊管理研究所 93 Over the passed few years, e-commerce industry here in Taiwan became very popular due to the economic recovery of America’s online market. As nowadays market tends to lean towards to customer oriented aspect, door-to-door delivering service is now accustomed by all customers and become the mainstream after sale service. However, average online shoppers still have some serious doubts with online payment and security issue, thus restrain them from buying products with high perceived value. These doubts not only affect the possibility of online purchasing, but also suppress the growth of e-commerce. In order to solve this issue, the e-commerce provider tries to work with in-land logistic company and worked out a way for customers to pay whilst they receive their product. This business model evolves as to decrease the worries from the customer’s side. But then again, even though there are many different kinds of payment method available in the market, still there’s no single solution to ease the security issue. The following study will try to present what customers’ in-depth needs and desire through conducting various questionnaires and statistic analysis. Along with rational results, propose workable and most acceptable payment methods for current industry provider. By closely monitor and cooperate with logistic company, this study shall pro-vide a solution to increase and concrete the buying behavior for online customer and also embrace the add-on value for logistic company; and for these, create an all win situation.

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Lien, An-Chieh, and 練安倢. "The Study of Donor Decision： Donators from Central Region of the Garden of Hope Foundation." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/57572428102401444641.

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碩士 東海大學 社會工作學系 99 This study is bases on the “Consumer Decision Process Model” and the donation behavior of the “donation / gift process” to understand the decision-making process of donor contributions. After a literature review, the dependent variable is the simulation of the donation. (the sources are from the mass market and the reference groups), and the donations of inner psychological process (donations’ motivation, information of the donation to understand the situation, an individual's experiences); independent variable is the personal characteristics (donor’s information, the status of donations). In this study, the donors from the Central Office, the Garden of Hope Foundation is the main group of the interviewees. During the survey, 447 questionnaires were sent out. Finally, 137 were returned and 122 were valid, which means the rate of the effective response is 30.65%. After the statistical analysis, we found out the following points: I. The Characteristic of the donors from the Central Office, Garden of Hope Foundation are female, who belong to the group of age “26-35” in production of the population. Also, they are well-educated, and believe in Buddhism, Taoism, or I-Kuan Tao. The donors have/ had marriage experiences. And the donors who have child(ren) are mostly work as an employees. Most of the interviewees believe when their families have left to do the financial savings in insurance or financial management, then the donation will be considered. Most of the interviewees have less than a year of donation experiences, and donated NTD 500-4999 more than one time, but irregularly. II. The main way for the donors to collect the donation’s information is “mass-market sources”, and "printable media", "TV news", and "Internet media" are the most influential sources. III. The interviewees’ motivation of the donation is to "altruistic" donation incentive-based. IV. In the “reliability”, “to believe the Garden of Hope will use my donation properly”, “to understand the reputation and credibility of the Garden of Hope", "to recognize the purpose and the mission of the Garden of Hope" are the most influential elements for the donors’ behaviors; in the “importance”, “to understand the Garden of Hope is a legal non-profit organization”, “to agree Garden of Hope’s concept that she initiatives”, and "to know the properties of the service group from Garden of Hope” acts are the most influential elements for the donors’ behaviors. V. The majority of the interviewees claimed that to donate to the Central Office, the Garden of Hope Foundation are not because of their past experiences. However, the others who are affected by their past experiences, are mainly because "friends or relatives had received the help from Garden of Hope"; also some interviewees said it is because they or their friends have had the similar experiences to the Garden of Hope’s service groups. In addition, 40% of the interviewees will recommend to others, who are also female, middle-age, and economic stability. According to the research results, this study suggests the following recommendations: I. The mass media is the main focus; there are 70%-80% of the interviewees knew the Garden of Hope through the mass media. It means the relationship between the mass media and the Garden of Hope is work, especially on the television news, printable media, and the internet. This study also found out different media attracts different target group. Therefore, we shall focus on our targets to choose different media channel to attract more potential donors. II. For the development of networks for the youth: the new Internet medium has a certain influence to the youth, and the youth (age 26-35) is the Garden of Hope main donors too. So the channel of the network media is quite worth developing and operating. III. The management of the influence of the reference groups: According to the research results, most respondents that had contacted the reference groups basically would decide to donate and mostly more than twice. Further, 40% of the donors would share their donation experiences with their friends and relatives, and those who donated by the recommendation of the staff of the Garden of Hope Foundation appeared a longer donation period in the statistical test. The researcher believes that the word of mouth from trusted people results in the donors’ trust in the organization, thereby increasing their donation willing and frequency. Thus, the reference groups can be incorporated as part of the fundraising planning, and the donors’ understanding and trust in the organization should be enhanced to have them recognize the tenets of the organization and steadily and constantly promote the organization, becoming a part of the reference groups for other potential donors. IV. The responsibility of the fundraising: during the fundraising operation, base on the existing information to the donors, we would enhance the trust of the organization and enrich the content of information diversity. This is also an important reputation of marketing for the Garden of Hope Foundation. Keywords: non-profit organization; fundraising; donation decision; donation research

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Hustáková, Jaroslava. "Dozor státu nad územní samosprávou." Master's thesis, 2017. http://www.nusl.cz/ntk/nusl-355653.

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This thesis is dealing with the theme of States supervision of local governments and aims describing of the system and theory of the process of the supervision and control of local government units as one of the main features of modern democratic society. Big impact of mainly legislative activities of municipalities and regions on lives of the citizens is actually the main reason why state has to supervise it. The first part of the text I devoted to a theoretical introduction. I am trying to describe basic concepts necessary for whole work. After that I mentioned legislation which lays the foundation of whole problematic and determines what is supervised, by who it is supervised and how. In next part I specified the subject of the states supervision and by that partly subject of this thesis, which mainly is legislative activity of local governments. In following part I was writing about different phases of the supervising relation between supervisor and supervised body. For better illustration, I used a few examples and practical information about communication between them and what results it brings. Next part I devoted to the exercising of the states supervision of local governments units itself. Firstly I was describing the supervision of municipalities over their delegated and as well over...

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Lee, Jongchul. "Open door policy, economic growth, and regional differences in China." 1993. http://catalog.hathitrust.org/api/volumes/oclc/31238714.html.

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RUNGATSCHER, Alessio. "Cardioprotective role of S-Nitroso Human Serum Albuminduring regional myocardial ischemia-reperfusion." Doctoral thesis, 2010. http://hdl.handle.net/11562/344722.

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BACKGROUND: The early period of reperfusion after myocardial ischemia is critical for endothelial dysfunction and the impairment of nitric oxide synthesis plays a critical role. We investigated the cardioprotective effect of S-NO-HSA in a regional myocardial ischemia/reperfusion rat model reproducing clinical scenarios. METHODS AND RESULTS: Male Wistar rats (n: 120) underwent reversible occlusion of the left anterior descending artery for 30 minutes and subsequent reperfusion for 24 hours. The animals were randomly treated with S-NO-HSA (0.3 μmol/kg/h) or human serum albumin (HSA) infusion. The infusion started 15 minutes before the beginning of ischemia in a group (Pre-I) whereas it starter 15 min after the initiation of ischemia in the other group (Post-I). The infusion continued until the first 30 minutes of reperfusion in both groups. Ventricular systolic and diastolic function was evaluated during early and late reperfusion (120 min and 24 h) in vivo at different preloads by a Millar microtip P-V conductance catheter. Hearts were excised after reperfusion to determine infarct size (IS) and area at risk (AR). Biopsies were obtained to measure high-energy phosphates, the expression of endothelial nitric oxide synthase (eNOS) and inducile nitric oxide synthase (iNOS) and the production of NFkB. Treatment with S-NO-HSA had a significative effect in reducing IS (42.2% +/-3.5 vs. 65.3 +/-4.2; p<0.05), the maximum effect is produced when the drug is administered before ischemia. S-NO-HSA effect on LV systolic function is evident considering the preload independent contractility parameters: maximal slope of the systolic pressure increment end diastolic volume relationship (dP/dtMAX-EDV), the slope EMAX of the end-systolic P-V relationship and the preload recruitable stroke work (PRSW) were significantly increased during reperfusion in all treated animals and after ischemia only in the pre-treated group (Pre-I). The LV diastolic function was improved by S-NO-HSA treatment. Tau-Weiss (index of ventricular relaxation), LV end-diastolic pressure (LVEDP) and end-diastolic P-V relationship (EDPVR) (indexes of ventricular stiffness) were significantly decreased with S-NO-HSA both in Pre-I and Post-I group after ischemia and during the 24 h reperfusion. NO supplementation by S-NO-HSA led to partial and in Pre-I group to total preservation of high energy phosphates. Phosphocreatine (CrP) content was preserved in Pre-I group (5.25 +/- 1.65 vs. 1.53 +/- 1.29 μmol/g protein; p < 0.05) and in Post-I group (3.85 +/- 1.12 vs. 1.53 +/- 1.29 μmol/g protein; p < 0.05) after 24 h reperfusion. Indeed energy charge was significantly higher only in the Pre-I group (0.62 +/- 0.07 vs 0.30 +/- 0.07). S-NO-HSA did not change the constitutive eNOS expression (measured by immunohistochemistry), instead it prevent the NFkB activation (quantified by EMSA) and therefore the iNOS mRNA expression (measured by Northern Blot). CONCLUSIONS: S-NO-HSA limits the infarct size, improves diastolic and systolic function and the energetic reserve of the heart after regional myocardial ischemia/reperfusion. These results suggest that S- NO-HSA might be an interesting option for patients undergoing regional myocardial ischemia reperfusion. BACKGROUND: The early period of reperfusion after myocardial ischemia is critical for endothelial dysfunction and the impairment of nitric oxide synthesis plays a critical role. We investigated the cardioprotective effect of S-NO-HSA in a regional myocardial ischemia/reperfusion rat model reproducing clinical scenarios. METHODS AND RESULTS: Male Wistar rats (n: 120) underwent reversible occlusion of the left anterior descending artery for 30 minutes and subsequent reperfusion for 24 hours. The animals were randomly treated with S-NO-HSA (0.3 μmol/kg/h) or human serum albumin (HSA) infusion. The infusion started 15 minutes before the beginning of ischemia in a group (Pre-I) whereas it starter 15 min after the initiation of ischemia in the other group (Post-I). The infusion continued until the first 30 minutes of reperfusion in both groups. Ventricular systolic and diastolic function was evaluated during early and late reperfusion (120 min and 24 h) in vivo at different preloads by a Millar microtip P-V conductance catheter. Hearts were excised after reperfusion to determine infarct size (IS) and area at risk (AR). Biopsies were obtained to measure high-energy phosphates, the expression of endothelial nitric oxide synthase (eNOS) and inducile nitric oxide synthase (iNOS) and the production of NFkB. Treatment with S-NO-HSA had a significative effect in reducing IS (42.2% +/-3.5 vs. 65.3 +/-4.2; p<0.05), the maximum effect is produced when the drug is administered before ischemia. S-NO-HSA effect on LV systolic function is evident considering the preload independent contractility parameters: maximal slope of the systolic pressure increment end diastolic volume relationship (dP/dtMAX-EDV), the slope EMAX of the end-systolic P-V relationship and the preload recruitable stroke work (PRSW) were significantly increased during reperfusion in all treated animals and after ischemia only in the pre-treated group (Pre-I). The LV diastolic function was improved by S-NO-HSA treatment. Tau-Weiss (index of ventricular relaxation), LV end-diastolic pressure (LVEDP) and end-diastolic P-V relationship (EDPVR) (indexes of ventricular stiffness) were significantly decreased with S-NO-HSA both in Pre-I and Post-I group after ischemia and during the 24 h reperfusion. NO supplementation by S-NO-HSA led to partial and in Pre-I group to total preservation of high energy phosphates. Phosphocreatine (CrP) content was preserved in Pre-I group (5.25 +/- 1.65 vs. 1.53 +/- 1.29 μmol/g protein; p < 0.05) and in Post-I group (3.85 +/- 1.12 vs. 1.53 +/- 1.29 μmol/g protein; p < 0.05) after 24 h reperfusion. Indeed energy charge was significantly higher only in the Pre-I group (0.62 +/- 0.07 vs 0.30 +/- 0.07). S-NO-HSA did not change the constitutive eNOS expression (measured by immunohistochemistry), instead it prevent the NFkB activation (quantified by EMSA) and therefore the iNOS mRNA expression (measured by Northern Blot). CONCLUSIONS: S-NO-HSA limits the infarct size, improves diastolic and systolic function and the energetic reserve of the heart after regional myocardial ischemia/reperfusion. These results suggest that S- NO-HSA might be an interesting option for patients undergoing regional myocardial ischemia reperfusion.

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Sing, Lin Ming, and 林明星. "A Research on the Prediction of Donors’ Continuous Contribution Intention - A Case Study of A Regional Teaching Hospital." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/cdxrkk.

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碩士 國立中正大學 會計與資訊科技學系碩士在職專班 106 In addition to improving local medical standards, hospitals are also committed to community service to promote various social welfare works. However, government subsidies alone are not sufficient to cover the expenses of these works and donations become an important source to fill this gap. This study explores the characteristics of the donors who make long-term regular contributions to a teaching hospital in southern Taiwan. We collected data from the Donor Database System of the case hospital and used the logistic regression, decision tree, and neural networks to identify the characteristics of the regular donors. The performance of these three techniques was evaluated with the 10-fold cross validation method. The results are as follows: 1. Yun-Jia-Nan area has more donors than any other regions in Taiwan. 2. Most donations are made via employee deductions or credit card. 3. Most donations are small amount. 4. Artificial networks perform best, followed by decision tree, and then logistic regression, in identifying the characteristics of continuous donors. Based on the above findings, we suggest the case hospital be more active in managing the current social services in order to gain recognition and trust from donors, and as a result, to maintain the flow of donations. Communication channels on the online media should also be established.

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Brown, Scott R. "Quaternary geology of Door County, Wisconsin, and implications for regional flow patterns of the Green Bay Lobe." 2001. http://catalog.hathitrust.org/api/volumes/oclc/50073665.html.

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Thesis (M.S.)--University of Wisconsin--Madison, 2001. Typescript. Two folded colored maps in pocket. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 102-105).

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Lee, Mu-Jang, and 李木壤. "An Analysis of Door-to-Balloon Time for ST Elevation Myocardial Infarction in a Rural Regional Hospital." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/77577882358401139638.

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碩士 高雄醫學大學 醫務管理學研究所碩士在職專班 99 Background In patients with acute myocardial infarction treated with primary percutaneous coronary intervention, the effect of treatment is directly related to the length of “door to balloon” (DTB) time. Longer DTB time results in poorer prognosis and higher mortality rate. Most of the studies about DTB time come from regional hospitals and medical centers in urban areas. This study aims to analyze DTB time of the patients with acute myocardial infarction undergoing primary percutaneous coronary intervention in a rural area. Objective One of the purposes of this study is to explore the causes of delay and find the strategy to shorten DTB time. The other purpose is to determine whether shortening DTB time could improve the effect of the treatment and decrease the consumption of medical resources for the patient with acute myocardial infarction in a rural area. Method We reviewed retrospectively the medical records of the patients with acute myocardial infarction, visiting emergent department of a regional hospital in Ping-Dong county. The period of the study was from Nov 11, 2004 to Dec 31, 2010. The included cases were divided into two groups (DTB time within or more than 90 minutes) to compare statistically. Result 153 patients were included during the study period. 90 patients were in the group with DTB time within 90 minutes, and 63 patients with DTB time more than 90 minutes. Factors affecting DTB time included door-to-electrocardiogram time within 10 minutes(P&lt;0.001), patient presenting during working hours between 8:01 and 16:00 (P=0.001) and on-call hours between 16:01 and 24:00 (P=0.002) compared with on-call hours between 0:01 and 8:00, the onset of chest pain less than six hours (P=0.001) and between 6 to 12 hours (P=0.029) compared with chest pain more than 24 hours, as well as family member accompanying (P=0.004). The patients with DTB time within 90 minutes had fewer days in intensive care unit (4.6 vs 6.4 days; P=0.032) and the total length of stay. They also had lower rates of cardiogenic mortality during hospitalization (4.4%vs 14.3%; P=0.032) and mortality at 90-day follow up (6.7%vs 17.5%; P=0.037). In terms of medical expenses, patients with DTB time within 90 minutes were fewer than the other group (264156 vs 321,982 NT; P =0.022). Conclusion This study indicates that DTB time shortening is a effective strategy to lower the mortality rate of patient with acute myocardial infarction, even treated in a rural regional hospital which is relatively short of medical resources and has smaller scales of equipments and crew than a medical center. It can reduce the hospitalized days in intensive care unit, the total length of stay, and medical costs.

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Faktor, Ondřej. "Středověká nástěnná malba v jihozápadních Čechách. (okresy Klatovy, Prachatice, Strakonice)." Doctoral thesis, 2016. http://www.nusl.cz/ntk/nusl-349688.

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Medieval Mural Paintings in Southwest Bohemia (Districts Klatovy, Prachatice, Strakonice) ABSTRACT The thesis focuses on medieval mural paintings preserved in the forty five monuments in the region of southwest Bohemia, i.e. in the three main districts: Klatovy, Prachatice and Strakonice. The core of the thesis is an extensive catologue of the paintings covering the period from the 13th to the 16th centuries which represents first comprehensive treatment of the matter of the region in question. The main focus of the thesis is description of the paintings, their art historical evaluation and complex reconsideration of the literature to the subject including revision of the older proposals. In addition, an introduction of so far neglected, wrongly interpreted and newly discovered paintings contribute to the wide art-historical discussion. Keywords Gothic art, mural paintings, church, castle, chapel, southwest Bohemia, Prácheň region, donor, Bavors of Strakonice, Švihovský of Rýzmberk, Rosenbergs, Knights Hospitallers of St John, Knights of St. John Commendam in Strakonice

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Dissertations / Theses on the topic 'Donor regions'

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