RESUMOIntrodução: Dirigir é fundamental na sociedade contemporânea, facilitando a mobilidade e a independência das pessoas. Portanto, aqueles com dificuldades em guiar um veículo podem experimentar sensações de limitação, estresse emocional e fracasso. Objetivo: Este estudo visa abordar descritivamente uma amostra de 93 pessoas habilitadas que buscaram por treinamento para motoristas, mas que não conseguiram dirigir após receber a Carteira Nacional de Habilitação. Métodos: Os dados foram coletados em centro de treinamento especializado em pessoas com medo de dirigir. Os participantes preencheram um formulário dicotômico e realizaram uma entrevista objetiva com um psicólogo. Nas duas fases, consideramos respostas autorreferidas dos participantes. Resultados: A maioria da amostra é do sexo feminino (89,2%), com idade entre 21 e 40 anos (59%). Entender as dificuldades no desenvolvimento dessas pessoas como motoristas é difícil, porém a necessidade foi o principal fator para a busca pelo treinamento. O medo de dirigir parece estar associado à falta de prática, sendo as preocupações acerca de causar acidentes, de errar e de perder o controle da situação suas principais manifestações. Conclusão: Muitos dados encontrados neste estudo são compatíveis com os achados da literatura mundial. Porém, percebemos algumas limitações. Mais estudos serão necessários para avaliar o medo de dirigir. ABSTRACTIntroduction: Driving is a fundamental part of living in contemporary society, making easier people´s mobility and independence. For this reason, those who have difficulties to drive can experience feelings of limitation, emotional stress and failure. Objective: The present study aims to analyze descriptively a sample of 93 licensed people that searched for specialized training, but never drove after taken the driver's license. Methods: Data was collected at
A new instrument is now available to assess the driving behaviors of the Brazilian population, facilitating research in this field.
waiting times. Since the cancellation rate is around 14%, we decided to include both operated and cancelled episodes. METHODS: We used about 3 million observations from 2011 to 2015 and estimated several survival models (Exponential, Weibull and Piecewise exponential models) with right-censored data to explain waiting times, based on gender, surgical procedure, patient's age, patient's cancer indicator, municipality, hospital, speciality, year, and patient's priority. To our knowledge, there are no previous studies on waiting times for scheduled surgery that use an extensive database and include cancellations as well as survival models. In addition, we observe in more detail the motivations for cancellation and identify groups potentially vulnerable to cancellations. RESULTS: The results show that men are more likely to be operated, and consequently, have shorter waiting times. Likewise, patients with more severe health conditions, as the patients reported with cancer, have a higher likelihood of surgery. Patients under one-year-old present a higher probability of operation, and, on the other side, the likelihood of surgery gradually decreases after age 40. We found some interesting patterns in what concerns the competing risks for cancellation. Although men have a higher likelihood of operation, their probability of cancellation is even greater. The main reasons are the loss of the clinical condition and death. Another noteworthy result is that patients with an oncological indicator are more likely to cancel due to death (higher than the likelihood of operation). CONCLUSIONS: These findings suggest the need for measures more focused on certain groups of patients to increase the probability of surgery, reduce their exposure to the various kinds of cancellations, and increase equity in the Portuguese NHS. OBJECTIVES: Regional medical care support hospitals, being approved by the prefectural governor, refer to a category of medical institutions stipulated in Medical Care Act for the purpose of their being responsible for cooperation between regional hospitals and clinics in Japan. The purpose of this study is to reveal uneven distribution of approved hospitals by region and its factors which have been challenging issues in particular by quantitatively understanding the actual states of regional medical care support hospitals through the linkage of publically available data of medical institutions. METHODS: As data reported by each medical institution is published individually by each prefectural government on the Internet, all data was downloaded from corresponding websites by scraping. An application to acquire data was prepared by Visual C#. In addition, a medical institution database was created with the use of SQL Server 2014. We also did geocoding with using ArcGIS in order to add geographical information. Statistical analysis was performed using R 3.4.0 while adopting Tableau 10.3 as BI tool. RESULTS: We mapped the density of all medical institution with beds in Japan by medical region. Out of 344 medical reg...
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