ACP Model-Assertiveness, Clarity, and Positivity

The level of understanding of health instructions by patients remains low, that is, most patients have difficulty understanding the indications of their health professional to continue to treat their health after leaving the consultation. The professional oversees the challenge of validating the understanding of the message by the patient. The aim of this study was to demonstrate how verbal and non-verbal communication integrated into an interdependent and aggregated model of specific communication skills—assertiveness, language clarity, and positivity—allow the health professional to be further strengthened and trained to obtain a better understanding of the patient health instructions. The mixed method with a qualitative and quantitative approach was used in a non-probabilistic study with a convenience sample of 484 health professionals, based on a questionnaire survey, 14 focus groups, and 7 in-depth interviews. The results obtained validated the communication model for health literacy, which the author calls the ACP model – assertiveness, clarity, and positivity.

CONSTRUCTIVE AND PROBABILISTIC ANALYSIS OF EXCAVATED PILES WITH LOST METALLIC SHIRT

This work brings in its scope some analyzes around the constructive methodology of a case study that refers to the implantation of a dolphin (a structure that in this case has the purpose of mooring ships) at Pier III, located in Ponta da Madeira Maritime Terminal, in the city of São Luís, Maranhão, and with a focus on the process of building its infrastructure, more precisely the adopted foundation. This type of work, being port and in a maritime environment is called offshore, the foundation used in this case is the deep type, more precisely called piles excavated with a lost metallic shirt whose constructional scope will be detailed in this work, from the driving from shirts to concreting the piles that made up the system. The theme is approached from a practical and theoretical point of view, with a probabilistic study of the load capacity of foundations based on geometrical data from surveys carried out in the region, in order to define results that include any variability of the location and guarantee functionality and safety necessary for the foundation to achieve the project's objectives and be optimized throughout its useful life. The analysis of the probability of rupture was made using the semi-empirical method of Aoki-Velloso, combined with the First Order Second Moment method in order to compare the result achieved with the established parameter values. The work also aims to serve as a basis for future guidance and guidance on the topic, which does not have such a vast bibliography, mainly in view of the installation of new similar projects in the region and in other locations.

A probabilistic study of monsoon daily rainfall at Calcutta by Markovian model and trend of rainfall during monsoon season

One-step transitional probability matrices are obtained by Markovian model from one transitional state to other for different rainfall characteristics (such as, non-rainy days, light rains, moderate rains, heavy rains and very heavy rains) at Calcutta (Alipore) for different monsoon months. The disorderness (unvertainty) of the transitional system of the monsoon rainfall characteristics are studied by Shannon’s model. The favourable or unfavourable condition of different states are also studied by redundancy test during monsoon period at Caluctta. A Long-run probability vectors of such rainfall characteristics are found out from probability matrices. A trend in rainfall amounts during monsoon period at Calcutta for each of the monsoon month, June to September, has also been studied here.

Pro-inflammatory diet, frailty and sarcopenia: a study with older people in outpatient care

Objectives: To analyze the relationship between the Dietary Inflammatory Index (DII), sarcopenia, and frailty syndrome in older people. Methods: A cross-sectional, non-probabilistic study was carried out with 135 older people, attended by a general outpatient clinic. The older people were classified in relation to sarcopenia according to the European Working Group on Sarcopenia in Older People. The frailty classification was made through self-referred questions. The calculation of the DII was made using the iOS application IF RATING®. Association analysis was performed using multiple logistic regression. Results: Of the 135 older people evaluated, 17.78% were classified as sarcopenic and 47.41% as frail. No association was observed between the most inflammatory DII and sarcopenia. Regarding frailty syndrome, older people with a more inflammatory DII were more likely to be frail (OR=3.64; 95%CI=1.24-10.70). Discussion: These results could stimulate actions to promote an anti-inflammatory diet, with a view to preventing frailty in older people.

Aeolian processes on Venus: Probabilistic study on threshold speeds

<p>Dust particles and haze formation on the surface of Venus have been observed and studied using several independent techniques onboard Venus lander missions. A possibility of mineral haze formation in highlands is supported by observations of high reflectivity and low emissivity features from Pioneer Venus Orbiter and Magellan radar experiments, while Venera 13 and 14 spectrophotometer analysis yields appreciable aerosol extinction at the same altitudes. In this work, we present threshold parameters for dust lifting from 1 μm to 1 cm sized dust particles over the globe using emissivity and surface topography data provided by Magellan radar. The threshold wind speeds have been derived using theoretical and experimental models and compared with the in-situ measurements reported earlier. Haze formation is less likely to occur solely due to wind shear by micron and submicron sized particles. The entrainment process and properties of the boundary layer also contribute to variation in threshold wind speeds and particle transport.</p>

Low-Degree Approximation of Random Polynomials

We prove that with “high probability” a random Kostlan polynomial in $$n+1$$ n + 1 many variables and of degree d can be approximated by a polynomial of “low degree” without changing the topology of its zero set on the sphere $$\mathbb {S}^n$$ S n . The dependence between the “low degree” of the approximation and the “high probability” is quantitative: for example, with overwhelming probability, the zero set of a Kostlan polynomial of degree d is isotopic to the zero set of a polynomial of degree $$O(\sqrt{d \log d})$$ O ( d log d ) . The proof is based on a probabilistic study of the size of $$C^1$$ C 1 -stable neighborhoods of Kostlan polynomials. As a corollary, we prove that certain topological types (e.g., curves with deep nests of ovals or hypersurfaces with rich topology) have exponentially small probability of appearing as zero sets of random Kostlan polynomials.