687 research outputs found
The Economic Dynamics in Amoroso's Contribution
This paper aims to highlight the main features of Amoroso's reflections on macroeconomic dynamics to which he dedicated a large part of his scientific activity. He developed an original theory of business cycle and he formulated a dynamic generalisation of the Paretian theory of general economic equilibrium which can be considered the main achievement of dynamic macroeconomics due to its ability to extend the analysis of optimising behaviour to an intertemporal context of resource allocation. The influence of Amoroso was modest despite its undoubted analytical capacity, probably because it was too faithful to a Paretian vision of economic relations and at epistemological level too closely connected to the models of nineteenth century physics which he tried to economic reasoningbusiness cycles, growth, dynamic theory
Activation émotionnelle chez les troubles de personnalité
Six traitements psychothérapiques des troubles de personnalité sont brièvement présentés dans cette revue de la littérature. Ces traitements se basent sur des modèles théoriques différents, les approches cognitive-comportementale, psychodynamique et interpersonnelle et ont déjà fait leurs preuves cliniques et empiriques en termes de leur efficacité. Se centrant sur les processus de changement thérapeutique, les auteurs émettent l’hypothèse que le processus d’activation émotionnelle est l’un des ingrédients les plus intéressants de ces traitements. Les traitements sont discutés sous l’angle de cette hypothèse et de ses implications cliniques.There are at least six psychotherapeutic treatments of personality disorders having received empirical and clinical validation in terms of their efficacy. These treatments are based on different theoretical models, namely the cognitive-behavioural, psychodynamic and interpersonal models. This article briefly presents these treatments, focusing on the process of therapeutic change. It is assumed that the process of emotional activation is one of the most interesting theoretical psychotherapy ingredient in treatments of these patients. The treatments are discussed regarding this hypothesis and its clinical implications.En esta revisión de la literatura se presentan brevemente seis tratamientos psicoterapéuticos de los trastornos de la personalidad. Estos tratamientos se basan en modelos teóricos diferentes, los enfoques cognitivo-comportamentales, psicodinámicos e interpersonales, cuya eficacia ya ha sido probada clínica y empíricamente. Al centrarse en los procesos de cambio terapéutico, los autores plantean la hipótesis de que el proceso de activación emocional es uno de los componentes más interesantes de estos tratamientos. Los tratamientos se discuten bajo el punto de vista de esta hipótesis y sus implicaciones clínicas.Seis tratamentos psicoterápicos dos transtornos de personalidade são apresentados brevemente nesta revista da literatura. Estes tratamentos baseiam-se em modelos teóricos diferentes, abordagens cognitivo-comportamental, psicodinâmica e interpessoal, e já passaram por provas clínicas e empíricas com respeito à sua eficácia. Concentrando-se nos processos de mudança terapêutica, os autores levantam a hipótese de que o processo de ativação emocional é um dos ingredientes mais interessantes destes tratamentos. Os tratamentos são discutidos sob o ângulo desta hipótese e destas implicações clínicas
Patients' Needs for Care in Public Mental Health: Unity and Diversity of Self-Assessed Needs for Care.
PURPOSE: Needs assessment is recognized to be a key element of mental health care. Patients tend to present heterogeneous profiles of needs. However, there is no consensus in previous research about how patients' needs are organized. This study investigates both general and specific dimensions of patients' needs for care.
METHODS: Patients' needs were assessed with ELADEB, an 18-domain self-report scale. The use of a self-assessment scale represents a unique way of obtaining patients' perceptions. A patient-centered psychiatric practice facilitates empowerment as it is based on the patients' personal motivations, needs, and wants. Four seventy-one patients' profiles were analyzed through exploratory factor analysis.
RESULTS: A four-factor bifactor model, including one general factor and three specific factors of needs, was most adequate. Specific factors were (a) "finances" and "administrative tasks"; (b) "transports," "public places," "self-care," "housework," and "food"; and (c) "family," "children," "intimate relationships," and "friendship."
CONCLUSION: As revealed by the general factor, patients expressing urgent needs in some domains are also more susceptible to report urgent needs in several other domains. This general factor relates to high versus low utilizers of public mental healthcare. Patients also present specific needs in life domains, which are organized in three dimensions: management, functional disabilities, and familial and interpersonal relationships. These dimensions relate to the different types of existing social support described in the literature
A first step toward cognitive remediation of voices: a case study.
Several studies have shown that source-monitoring errors are related to verbal hallucinations in schizophrenia. An exploratory pilot study has been carried out to investigate the possibility of training patients in how to avoid errors in source-monitoring. One patient with paranoid schizophrenia and persistent thought insertions was trained for 6 hours to use mnemonic techniques to compensate specific deficits in source-monitoring. Results show that the patient was able to improve his performance and maintain the acquired progress at a 1-month follow-up assessment. These preliminary results are interesting for developing a larger controlled study of cognitive remediation of source-monitoring deficits
Perceived coercion in psychiatric hospital admission: validation of the French-language version of the MacArthur Admission Experience Survey.
The MacArthur Admission Experience Survey (AES) is a widely used tool to evaluate the level of perceived coercion experienced at psychiatric hospital admission. The French-language AES was prepared using a translation/back-translation procedure. It consists of 16 items and 3 subscores (perceived coercion, negative pressures and voice). This study aimed to assess the psychometric properties of the French-language AES.
152 inpatients were evaluated. Reliability was estimated using internal consistency coefficients and a test-retest procedure. Internal validity was assessed using a two-parameter logistic item response model. Convergent validity was estimated using correlations between the AES scores and the Coercion Ladder (CL), the Coercion Experience Scale (CES) and the Global Assessment of Functioning (GAF) scale. Discriminatory power was evaluated by comparing the scores of patients undergoing voluntary or compulsory admission.
The French-language AES showed good internal consistency and test-retest reliability. Internal validity of the three-factor model was excellent. Correlations between AES and CL, CES and GAF scores suggested good convergent validity. AES scores were significantly higher among patients subject to compulsory psychiatric hospital admission than among those admitted voluntarily.
Overall, the French-language version of the AES demonstrated very good psychometric proprieties
Simultaneous application of conventional and experimental silanes on the adhesive strength and marginal infiltration in radicular canal with fiberglass post
Orientador: Rafael Leonardo Xediek ConsaniDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de PiracicabaResumo: O objetivo neste estudo in vitro foi avaliar o efeito da aplicação simultânea de silanos convencional e experimental na resistência adesiva e micro infiltração marginal em raízes de dentes humanos restauradas com pinos de fibra de vidro (PFV) e submetidas às ciclagens térmica e mecânica. Dois oligômeros foram sintetizados em solução com quantidades catalíticas de trietilamina. O tiol-pentaeritritol tetra-3-mercaptopropionato multifuncional (PETMP) foi combinado com isocianatos di-funcionais - 1,6-hexanodioldiissocyante (HDDI) (alifático) ou 1,3-bis (1-isocianato-1- metiletil) benzeno (BDI) (aromático). Sessenta pré-molares unirradiculares foram seccionados 2 mm acima da junção cemento-esmalte, receberam tratamento endodôntico convencional e obturação com cones de guta-percha. As raízes receberam preparo padronizado em 10 mm de profundidade com brocas de diâmetro 1,4 mm e separadas aleatoriamente em seis grupos (n=10): silanos convencionais (RelyX CP ou Angelus) e experimentais (PETMP-HDDI ou PETMP-BDI). Nos condutos foi aplicado adesivo e nos pinos silanos convencionais conforme recomendado pelos fabricantes, seguido pela aplicação de silanos experimentais. Após cimentação, as raízes receberam núcleos de preenchimento em resina composta, coroas de resina indireta e foram submetidas a 1,2 x 106 ciclos mecânicos, seguidos por 500 ciclos térmicos (5 e 55ºC). Duas fatias com 1 mm de espessura foram obtidas de cada terço radicular (cervical, médio e apical). Uma fatia de cada terço foi submetida ao teste de cisalhamento (push-out) e o padrão de fratura analisado (%) e outra fatia submetida à análise de infiltração marginal por corante (imersão em azul de metileno a 2% por sete dias) e a penetração classificada em escores (%). Fatias representativas de cada grupo foram analisadas em MEV quanto a formação de fendas marginais. Os resultados foram analisados com ANOVA dois-fatores (silano e terço), seguido pelo teste de Tukey (push-out) e teste de Kruskal-wallis (micro infiltração marginal) com nível de significância de ?=0,05. A aplicação simultânea de silanos convencional e experimental aumentou a resistência da união adesiva de PFV (p<0,001), com valores similares entre terços radiculares (p=0,199), reduziu as falhas adesivas dentina-cimento e aumentou as coesivas em dentina. Não houve diferença significante nos escores de micro infiltração por corante entre os grupos (p=0,176). Todos os grupos apresentaram micro infiltração similar ou superior a 2/3 da espessura da fatia. Em conclusão, a aplicação simultânea de silanos convencionais e experimentais proporcionou maior resistência adesiva, reduziu as falhas adesivas dentina-cimento e os níveis de micro infiltração marginal foram similares em canais radiculares tratados com PFVAbstract: The aim of this in vitro study was to evaluate the effect of simultaneous application of conventional and experimental silanes on adhesive resistance and marginal micro-infiltration in human tooth roots restored with fiberglass posts (FGP) and subjected to thermal and mechanical cycling. Two oligomers were synthesized in solution with catalytic amounts of triethylamine. Multi-functional thiol - pentaerythritol tetra-3-mercaptopropionate (PETMP) was combined with di-functional isocyanates - 1,6-hexanedioldiissocyante (HDDI) (aliphatic) or 1,3-bis (1-isocyanato-1- methylethyl) benzene (BDI) (aromatic). Sixty uniradicular premolars were sectioned 2 mm above the cemento-enamel junction, received conventional endodontic treatment and filled with gutta-percha cones. The roots received standardized preparation in 10 mm of depth with drills of diameter 1.4 mm and were randomly separated in six groups (n = 10) according to the variables: conventional silanes (RelyX CP or Angelus) and experimental silanes (PETMP-HDDI or PETMP-BDI). In the root canal, it was applied a three-step adhesive and the post silanized according to the manufacturer's recommendations, followed by the application of experimental silanes. After cementation, the roots received filling cores in composite resin, crowns of indirect resin and were submitted to 1.2 x 106 mechanical cycles, followed by 500 thermal cycles (5 and 55ºC). Two 1-mm thick slices were obtained from each root third (cervical, middle and apical). One slice of each third was submitted to the shear bond test (push-out) and the fracture pattern was analyzed (%), and other subjected to analysis of marginal infiltration by dye (immersion in 2% methylene blue for seven days) and the penetration classified into scores (%). The remaining slices of each group were analyzed in SEM for the gaps formation. The results were analyzed with two-way ANOVA (silane and third), followed by the Tukey's test (push-out) and the Kruskal-wallis' test (micro marginal infiltration) with a significance level of ?=0.05. The simultaneous application of conventional and experimental silanes on FGPs increased the bond strength (p<0.001) with similar values between root thirds (p=0.199), reduced dentin-cement adhesive failures and increased the dentin cohesive failure. There was no significant difference in the micro infiltration scores by dye between the groups (p=0.176). All groups showed micro infiltration similar to or greater than 2/3 of the slice thickness. In conclusion, the simultaneous application of conventional and experimental silanes provided greater adhesive strength, reduced the dentin-cement adhesive failures and the levels of marginal micro infiltration were similar in root canal treated with FGPsMestradoProtese DentalMestre em Clínica OdontológicaCAPE
Il Veneto dopo il Novecento. Politica e societ\ue0.
Il saggio ripercorre le tasse di sviluppo dell'economia veneta do po la seconda guerra mondiale
L'insegnamento dell'economia politica nella scuola superiore in Italia
Il saggio descrive l'evoluzione dell'istruzione superiore in Italia con particolare riferimento alle discipline giuridiche ed economiche
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