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El consentimiento informado (CI) en medicina corre el riesgo de quedar reducido a un formalismo legal sin valor moral; esto puede suceder por dos cosas: 1) como consecuencia de que el paciente no comprenda con suficiencia el concepto de autonomía y 2) debido a la disminución de la autonomía práctica del paciente por efecto de la autoridad del personal médico o de las instituciones de salud. Este artículo tiene como fin mostrar bajo qué condiciones se puede evitar la reducción del CI a un formalismo legal desprovisto de valor moral. Para servir a este propósito, se considera el concepto de autonomía relacional como eje articulador que pone en relación al paciente con su comunidad moral y con el médico, lo que impulsa al personal de la salud a proporcionar las condiciones para tal fin. Así, se afirma que la valía moral del CI puede conservarse, primero, a partir de una concepción relacional de la autonomía y, segundo, mediante la aplicación, por parte del médico y de la institución, de un protocolo que disminuya la posibilidad de choque entre la autonomía y la autoridad.

The Informed Consent (IC) in medicine runs the risk of being reduced to a legal formality without moral value. This can happen for two reasons: 1) because the patient does not understand sufficiently the concept of autonomy and 2) due to the decrease, in the practice, of the patient´s autonomy by the impact of the authority of the medical staff or health institutions. So, this article aims at showing under what conditions it is possible to avoid this reduction of the IC. To serve this purpose, the concept of relational autonomy is considered as the axis that relates the patient with his moral community and his physician, and this impels to health personnel to provide the conditions for that purpose. Thus, it is stated that the moral worth of the IC can be keep up, first, from a relational conception of autonomy and, second, through application, by the doctor and the institution of a protocol that reduces the possibility of shock between autonomy and authority.

Advisors/Committee Members: Herrera-Romero, Wilson-Ricardo.

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Funda????o de Amparo ?? Pesquisa do Estado da Bahia (fapesb)

No Brasil, muitas fam??lias vivem em contextos de vulnerabilidade social que exp??em as crian??as a in??meros riscos ?? sa??de, resultando em hospitaliza????es. A associa????o desses diferentes fatores aumenta a probabilidade de que a m??e se comporte de forma menos responsiva com seu beb?? hospitalizado, pois os recursos psicol??gicos e as fontes contextuais de estresse desempenham um papel central na qualidade na responsividade materna. Considerando esses aspectos, o presente estudo teve como objetivo adaptar uma interven????o breve sobre a responsividade materna para a implementa????o com m??es de rec??m-nascidos hospitalizados para tratamento de s??filis cong??nita, provenientes de contexto de vulnerabilidade social, bem como fazer uma avalia????o preliminar de seus efeitos sobre os comportamentos maternos responsivos. O estudo adotou delineamento pr??-experimental somente com p??s-teste e foi realizado em um hospital-maternidade na cidade de Salvador/BA. Participaram 20 d??ades, distribu??das entre os grupos interven????o e compara????o. Na avalia????o pr??-interven????o foi preenchida a Ficha de dados sociodemogr??ficos e a Ficha de informa????es cl??nicas do beb??. Al??m disso, foi realizada avalia????o da sa??de mental materna por meio do SRQ-20. No p??s-interven????o foi realizada avalia????o da responsividade materna, a partir de uma observa????o da intera????o livre entre m??e e beb??, e da satisfa????o das participantes do grupo interven????o com o programa. Ambos os grupos foram submetidos aos mesmos procedimentos do pr?? e p??s-interven????o, com exce????o da avalia????o da satisfa????o com o programa que foi aplicada somente no grupo interven????o. Ap??s a avalia????o pr??-interven????o, as d??ades do grupo interven????o participaram do Programa de Responsividade Materna/Rec??m-nascidos. Esse programa ?? uma adapta????o do Programa de Responsividade Materna para o contexto hospitalar. O programa original envolve oito visitas domiciliares, entre o terceiro e o d??cimo m??s de vida do beb??. O modelo adaptado envolve seis sess??es e, a principal adapta????o esteve relacionada ?? introdu????o de t??cnicas do modelo psicoterap??utico Terapia de Aceita????o e Compromisso (ACT) nas duas sess??es iniciais, com o objetivo de intervir sobre as emo????es e preocupa????es das m??es diante da doen??a e da hospitaliza????o do beb??. Al??m disso, o n??mero de sess??es…

Advisors/Committee Members: Alvarenga, Patr??cia, Rabelo, D??ris Firmino, Lyra, Pomp??ia Villachan.

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A tese apresenta um panorama do envelhecimento populacional, sinalizando ??s Universidades a necessidade em ofertar vagas de acesso aos programas de resid??ncia de enfermagem na aten????o ?? sa??de da pessoa idosa e projetos pol??ticos pedag??gicos adequados a este processo formativo, como respostas formativas frente a tal fen??meno social e demogr??fico. Objetivo Geral: Analisar as dimens??es de aprendizagem problematizadora, human??stica e dial??gica da perspectiva Freiriana nos PPP dos programas de resid??ncia de Enfermagem em aten????o ?? sa??de da Pessoa Idosa Objetivos Espec??ficos: 1. Identificar os programas de resid??ncia em sa??de com ??nfase na aten????o ?? sa??de da pessoa idosa que ofertam vagas para Enfermeiros/as; 2. Caracterizar os programas de resid??ncia de Enfermagem que ofertam vagas para sa??de da pessoa idosa; 3. Descrever as dimens??es de aprendizagem problematizadora, human??stica e dial??gica dos projetos pol??tico pedag??gicos das resid??ncias de enfermagem em sa??de da pessoa idosa na perspectiva Freiriana. Metodologia: Pesquisa documental, descritiva, explorat??ria, de natureza qualitativa, realizada nos sites dispon??veis eletronicamente, documentos disponibilizados e projetos pedag??gicos dos programas de resid??ncias, com ??nfase na sa??de da pessoa idosa. Os dados foram coletados entre abril a julho de 2017, compilados e analisados o conte??do tem??tico de Bardin, utilizando o referencial te??rico de Paulo Freire, com indicadores anal??ticos: Dimens??o Problematizadora, Dimens??o Human??stica e a Dimens??o Dial??gica. Resultados: Doze projetos pol??ticos pedag??gicos mostraram que as dimens??es de aprendizagem aparecem de maneira incipiente, fragmentada, demonstrando a reprodu????o da educa????o banc??ria, desconsiderando a import??ncia de trazer o educando como sujeito do aprendizado. Apenas um projeto pedag??gico contemplou todas as dimens??es. Conclus??es: H?? uma lacuna nos projetos pol??ticos pedag??gicos na perspectiva Freiriana. ?? necess??rio que as institui????es reguladoras possam sistematizar e estimular para que os projetos pedag??gicos destes programas sejam pautados nas bases epistemol??gicas Freirianas, possibilitando a t??o desejada forma????o hol??stica.

Advisors/Committee Members: Menezes, T??nia Maria de Oliva, Menezes, T??nia Maria de Oliva, Tahara, ??ngela Tamiko Sato, Azevedo, Rosana Freitas, Rosa, Darci de Oliveira Santa, Freitas, Adriana Val??ria da Silva, Pires, Cl??udia Geovana da Silva, do Prado, Marta Lenise.

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Made available in DSpace on 2015-04-14T13:33:09Z (GMT). No. of bitstreams: 1 462202.pdf: 271710 bytes, checksum: 0bb3eea802f7b7cbfe9afa63458065c7 (MD5) Previous issue date: 2014-08-18

Importance: Many efforts have ocurred in identify risk factors and causes of congenital syphilis (CS) persistence along years, and in many cases, the repetition of the condition in the same woman. In Rio Grande do Sul, there are no studies about the reincidence of CS, its causes and outcomes. Objectives: To investigate the next pregnancies in women who already had syphilis in a previous pregnancy. Methods: The study sample were women with obstetrical events ocurred in S?o Lucas Hospital (SLH) between may 1997 and december 2004. We included all patients with syphilis before or during pregnancy who had newborns, stillborns or abortions with CS, as patients correctly treated for syphilis before delivery and that had newborns without syphilis. The CS cases were defined according to the Brazilian Ministry of Health (appendix 1). The follow-up period for the subsequent pregnancies was until december 2011. The data were analised in program Epi Info 3.4, using the χ? test or Fisher exact test for associations, and Mann-Whitney-Wilcoxon test for comparison of medians. The level of significance was set at p < 0,05. Results: We identified 450 women with positive tests for syphilis that had at least one obstetrical event in SLH between may 1997 and december 2004, within 166 had at least one more obstetrical event in the same hospital until december 2011.Cases of CS were 82% in the initial events and 68,5% in the subsequent s (OR 2,09, CI95% 1,3-3,3). Within patients with CS in the initial event, 72% had at least one more pregnancy with CS, against 56,6% of patiens without CS in the initial event(OR 1,97, CI95% 0,9-4,4). Conclusions: Many cases of CS with adverse outcomes ocurred in the subsequent pregnancies, although less than in the initial events. It is suspected that more uninfected newborns may have been defined as cases of congenital syphilis in subsequent pregnancies, because of the lack of records of maternal history and the absence or inadequacy of prenatal care. It is important to increase surveillance on women who have already had one pregnancy with syphilis.

Import?ncia: Muitos esfor?os t?m ocorrido em identificar os fatores de risco e as causas da persist?ncia da s?filis cong?nita (SC) ao longo dos anos, e muitas vezes a repeti??o de casos em uma mesma mulher. No Rio Grande do Sul, ainda n?o existe um estudo sobre a reincid?ncia da SC, suas causas e seus desfechos. Objetivos: Investigar as gesta??es subsequentes em mulheres que tiveram s?filis na gesta??o. Material e m?todos: A popula??o de estudo foram as pacientes atendidas no Centro Obst?trico do HSL cujos eventos obst?tricos ocorreram entre maio de 1997 e dezembro de 2004. Foram inclu?das todas as pacientes que tiveram s?filis antes ou durante a gesta??o e tiveram rec?m-nascidos vivos, abortos ou natimortos com s?filis cong?nita, assim como pacientes adequadamente…

Advisors/Committee Members: Fiori, Humberto Holmer.

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Submitted by Setor de Tratamento da Informa??o - BC/PUCRS ([email protected]) on 2015-05-28T11:22:05Z No. of bitstreams: 1 469523 - Texto Completo.pdf: 2017969 bytes, checksum: 65a18438020d006a68eb9d88965fefd4 (MD5)

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The general objective of this very present dissertation is to assess the agreeableness of medical students through validation of the Big Five Inventory - 10 (IBGFP-5) in Brazil. The IBGFP-5 is a brief self-report inventory, composed by 11 items and designed to assess dimensions of personality based upon Big Five Personality Factor model, which are: Openness to Experience, Conscientiousness, Extroversion, Agreeableness (in this study, as a synonym of empathy) and Neuroticism. Such model has been replicated in several countries in the world, including Brazil. The specific objectives of this study are: (1) validating IBGFP-5 through test and retest analysis (time reliability); (2) to do crossed correlation of the IBGFP-5 as a shorter version of the IGFP-5; (3) to do convergent validaty with the Interpersonal Reactivity Index of Davis (EMRI), which assess only empathy; (4) to assess the internal consistence of the five dimensions of the IBGPF-5 in the total sample of respondents and subsets represented by the five cohorts of students, from the first to the sixth year; (5) evaluate evidences of agreeableness based upon differences of IBGFP-5 factors scores, in social and demographic variables and concerning another personality traits; and (6) discuss possible factors that may influence the development of empathy along medical school at FAMED/PUCRS. The total sample, after eliminating missing data, was composed by 200 respondents, medical students at PUCRS, most of them are female (60,5%), with mean age of 22 years old. Using confirmatory factor analysis, the IBGFP-5 comes down to a 0,256 Cronbach?s alpha. According to time reliability, convergent validity and concurrent validity, data averaged in a general fashion low reliable psychological parameters. Concerning empathy features, in post hoc tests it were noticed differences between gender and spirituality level and empathy scores (p<0,05). Results in this study tend to construct validity of the Portuguese version of the IBGFP-5, even though it has restrictions and adjustment needs. Thus, results suggest the need of further investigation of empathy among students, since empathy is a multifactorial trait, and also communication skill training in medical school. Considering the fact that the IBGFP-5 is a brief inventory with a short application time it can easily be used in transcultural studies. The limitations of this study are featured, as well as a future research calendar.

A presente disserta??o tem como objetivo geral avaliar a empatia de alunos de gradua??o de Medicina atrav?s da valida??o do Big Five Inventory - 10 (Invent?rio Breve dos Cinco…

Advisors/Committee Members: Antonello, Ivan Carlos Ferreira.

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Submitted by Maria Creuza Silva ([email protected]) on 2018-05-21T18:11:39Z No. of bitstreams: 1 Dissertacao MP Maria Jos?? Neres. 2017.pdf: 3369096 bytes, checksum: f1700d1d1e5e02367022abcfd5a81e35 (MD5)

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O objetivo desse estudo ?? descrever o perfil epidemiol??gico da s??filis cong??nita no estado do Tocantins, de 2007 a 2015. Trata-se de um estudo com um componente transversal e outro ecol??gico, realizado com dados secund??rios de notifica????o da s??filis cong??nita, coletados do Sistema de Informa????o de Agravos de Notifica????o (SINAN) e Sistema Nacional de Nascidos Vivos (SINASC). Foram analisadas as incid??ncias de s??filis cong??nita, al??m de descrever a tend??ncia no per??odo. Entre os anos de 2007 e 2015 foram notificados 1.029 casos de s??filis cong??nita no estado do Tocantins, correspondendo a uma incid??ncia de 4,6/1000nv. Neste per??odo, a s??filis cong??nita apresentou tend??ncia crescente. Em 2007 a incid??ncia foi de 3,1 por 1.000 nascidos vivos passando para 9,8 por 1.000 nascidos vivos em 2015, representando aumento de 216,1%. A maioria das m??es cujos rec??m-nascidos teve s??filis cong??nita tinha 20 anos ou mais de idade, at?? 12 anos de estudo e ra??a/cor da pele parda. A maioria das gestantes iniciou o pr??-natal no 3?? trimestre. Entre as gestantes que tiveram diagn??stico para s??filis e realizaram o tratamento observou-se que grande parte destes tratamentos foram considerados inadequados. A maioria dos parceiros n??o foi tratado, enquanto que 83,5% dos rec??m-nascidos com diagn??stico de s??filis cong??nita recebeu tratamento. Os dados expostos refor??am a import??ncia do pr??-natal na redu????o da s??filis cong??nita. Com efeito, este trabalho possibilitou identificar pontos cr??ticos na ocorr??ncia desta doen??a e aponta a necessidade de futuros estudos para an??lise do impacto das a????es em sa??de relacionadas a s??filis no Tocantins.

Advisors/Committee Members: Barreto, Florisneide Rodrigues, Silva, Carlos Alberto Lima da, Santos, Carlos Antonio de Souza Teles, Costa, Maria da Concei????o Nascimento.

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Laborat??rio de Geof??sica de Explora????o de Petr??leo no Centro de Pesquisa em Geof??sica e Geologia da UFBA, e o conv??nio Rede01-Rede de Risco Explorat??rio, CTPETRO/FINEP/Petrobras

A migra????o em profundidade baseada nas equa????es das ondas unidirecionais (OWWE - de suas iniciais em ingl??s) ?? utilizada com sucesso no imageamento de estruturas complexas, associadas com corpos de sal, com um custo computacional muito menor que a migra????o reversa no tempo (RTM - de suas iniciais em ingl??s). No entanto, pode-se mostrar de diferentes formas que as equa????es de ondas unidirecionais n??o s??o equivalentes ?? equa????o de onda ac??stica o que produz erros de fase e de amplitude nos campos de onda unidirecionais em rela????o aos campos de onda completa, embora o comportamento cinem??tico do campo de onda seja correto. Os erros de amplitude nos campos de onda unidirecionais est??o relacionados ao fato que as equa????es de ondas unidirecionais n??o obedecem aos princ??pios de reciprocidade e conserva????o da energia, duas propriedades fundamentais satisfeitas pela equa????o ac??stica da onda. As informa????es din??micas do campo de onda, isto ??, informa????es de fase e de amplitude s??o necess??rias quando, al??m da posi????o do refletor, se est?? interessado em realizar estudos, tais como AVA (varia????o de amplitude versus ??ngulo) ap??s a migra????o. Uma abordagem utilizada para melhorar o comportamento din??mico das equa????es consiste em fazer modifica????es nos operadores OWWE atrav??s da introdu????o de um termo extra que tem depend??ncia expl??cita da derivada vertical da velocidade vz(x; y; z), assim como a modifica????o do operador Laplaciano transversal, que inclui termos com depend??ncia expl??cita das derivadas laterais da velocidade (vx(x; y; z); vy(x; y; z)), passando esse novo conjunto de equa????es a ser chamado de equa????es de ondas unidirecionais com amplitude verdadeira (TA-OWWE). Num campo de velocidades que varia suavemente com a profundidade, v = v(z), as equa????es de ondas unidirecionais com amplitude verdadeira proporcionam as mesmas amplitudes que a equa????o da onda ac??stica, como pode ser demostrado atrav??s da aproxima????o WKBJ. Os termos de corre????o das amplitudes podem ser aplicados no dom??nio n??mero de onda global. Nesta tese ?? apresentada uma an??lise das equa????es de ondas unidirecionais com amplitude verdadeira, uma descri????o em detalhe dos novos termos nos operadores que garantem sua equival??ncia, numa aproxima????o assint??tica, com a equa????o de onda completa. Em seguida, descreve-se como os algoritmos de migra????o convencionais no dom??nio misto, tais como deslocamento de fase mais interpola????o (PSPI), deslocamento de fase em…

Advisors/Committee Members: Pestana, Reynam da Cruz.

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Centro de Pesquisa em Geologia e Geof??sica da UFBA, CAPES, CNPq, CTPETRO, ANP

A atenua????o das reflex??es m??ltiplas de curto, m??dio ou longo per??odos em dados s??smicos mar??timos represnta um grande e importante problema do procesamento de dados s??smicos enfrentado pela ind??stria do petr??leo.Tais reflex??es m??ltiplas est??o presntes nos dados s??micos adquirdos sobre l??mina de ??gua e prejudicam sobremaneira oprocesamento dos dados e qualidafefinal da imagem s??mica. O m??todo de deconvolu????o preditiva de Wiener-Levinson (WL) visa a predi????o e subtra????o desses eventos peri??dicos.Os filtros preditvos s??o obtidos com o m??todo dos m??nimos quadrados e implicitamente utilzam a premissa usual de que os dados s??smicos possuem valores de amplitude nula fora da jqnela de tempo considerada. Desta forma os filtros de WL perdem efic??cia na predi????o do evento peri??dico penalizando o resultado final da atenua????o da m??ltipla. Outro fator limitante do sucesso da deconvolu????o preditva de WL ?? a aus??ncia de periodicidade das reflex??esm??ltiplas ao longo do tra??o s??mico. A perfeita periodicidade ocorre apenas em registros de incid??ncia normal, quando os tra??o s??o de afastamento nulo entre fonte-receptor, o que faz a deconvolu????o preditiva de WL n??oser t??o eficaz. Na presente disserta????o foi investigada a aplica????o do m??todo de deconvolu????o preditiva utilzando o algoritmo de Morf modificado (predi????o unit??ria L = 1 para predi????o arbitr??ia L > 1), que n??o faz considera????es quanto ??s amplitudes das amostras fora da janela especificada. Este algoritmo ?? apropriado para trabalhar no interior de janelas do tra??o s??micos sem que o filtro perca sua efic??cia de predizer e, consequentemente, atenuar a reflex??o m??ltipla. Utilzando o algoritmo de Morf modificado sobre janelas deslizantes de tempo foi definido um procedimento que denominou-se de deconvolu????o adaptativa de Morf modicada (DAMM). Este m??todo foi comparado com resultados obtidos com o m??todo de deconvolu????o adaptativa de WL(DAWL). Resultados com dados sint??ticos e reais demonstrarama efic??cia e superioridade da DAMM na atenua????o de reflex??es m??ltiplas. O emprego do m??todo sobre dados reais da Bacia do Jequitinhonha mostraram que o m??todo DAMM atenuou as m??ltiplas de maneira mais efetiva que o m??todo DAWL. Os grandes problemas e dificuldades que s??o encontrados na atenua????o das reflex??es m??ltiplas de curto per??odo na parte de l??mica d'??gua rasa da plataforma continental e as m??ltiplas de m??dio per??odo na regi??o da quebra da talude foram resolvidos satisfatoriamente com o m??todo DAMM. Os resultados com a DAMM s??o considerados bons, inclusive na compara????o com…

Advisors/Committee Members: Porsani, Milton Jos??.

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Laborat??rio de Geof??sica de Explora????o de Petr ??leo, convenio Rede01- Rede de Risco Explorat??rio, CTPETRO/FINEP/Petrobras

Uma tarefa importante do processamento de dados sIsmicos ?? a deconvolu????o. Ela tem o objetivo de melhorar a resoluc??o temporal e a coer??ncia espacial dos refetores presentes nas sec??e s??smicas. O m??todo de deconvolu????o de Wiener-Levinson (WL) ?? o m??todo cl??ssico. Neste m??todo o filtro ?? causal, tamb??m denominado de filtro de fase m??nima, e ?? obtido com o m??todo dos m??nimos quadrados, atrav??s da solu????o de um sistema de equa????es normais. Tal filtro n??o ?? eficaz na deconvolu????o de pulsos de fase mista uma vez que estes n??o admitem inversa causal. Consequentemente, se o pulso s??smico n??o ?? de fase m??nima o filtro de WL n??o produz um bom resultado. Apesar disso ele ?? normalmente utilizado porque pode ser obtido de forma simples e r??pida. Na presente tese mostramos que a deconvolu????o utilizando o filtro invers??o de fase mista, obtido atrav??s de operadores all-pass, preserva a equival??ncia com o espectro de amplitude da deconvolu????o de WL, e pode extrair a informa????o de fase do filtro e tamb??m do pulso estimado. O novo procedimento utiliza operadores all-pass para mudar a fase do filtro de fase m??nima de WL, ou o pulso a ele associado. Testamos duas abordagens para obten????o de filtros inversos ??timos. Na primeira, os operadores all-pass s??o formados a partir de ra??zes fict??cias do pulso s??smico, distribu??das, no plano complexo, na forma de uma coroa exterior ao c??rrculo de raio unit??rio. Na segunda abordagem s??o utilizadas diretamente as ra??zes calculadas a partir do filtro de WL. Mostramos que as duas abordagens permitem a obten????o de filtros inversos para a deconvolu????o de pulsos de fase mista e podem serutilizadas com sucesso no processamento de dados s??smicos. Para solu????o do problema de otimiza????o, na escolha do filtro inverso ??timo, utilizamos o algoritmo gen??tico, e para quantificar o desempenho dos operadores all-pass e selecionar o filtro inverso ??timo utilizamos a norma varimax do tra??o deconvolvido. O m??todo de deconvolu????o de fase mista obtido atrav??s de operadores all-pass, foi testado sobre dados s??smicos sint??ticos e dados s??smicos reais, utilizando se????es s??ssmicas 2D na Bacia do Jequitinhonha. O novo m??todo pode ser implementado computacionalmente de forma relativamente simples e pode ser utilizado para melhorar a identifica????o dos eventos s??smicos refletidos e revelar em maior detalhe as fei????es sismo-estratigr??ficas e estruturais, de interesse para a explora????o e o estudo de reservat??rios de hidrocarbonetos.

P??s Gradua????o em Geof??sica da UFBA

Advisors/Committee Members: Porsani, Milton Jos??.

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FAPESB

A partir dos debates sobre a extin????o - ou expans??o - das t??cnicas tradicionais do filme, o conceito de cinema foi exposto ?? uma profunda revis??o com o objetivo de inserir a est??tica dos dispositivos audiovisuais p??s-celuloide no repert??rio da cinematografia. Sobretudo, a televis??o, o v??deo e a cibern??tica. Uma vez que a pel??cula deixou de ser considerada o ??nico suporte de impress??o de imagens em movimento, o suposto nascimento oficial da cinematografia ??? relativo ?? inven????o dos irm??os Lumi??re ??? demonstra que a hist??ria do cinema oculta fascinantes m??dias ancestrais capazes de iludir os sentidos para gerar proje????es de imagens em movimento: desde os pintores paleol??ticos, que, atrav??s da luz do fogo, projetaram narrativas audiovisuais nas imensas paredes de pedras em locais escuros das cavernas, at?? o final do s??culo XIX - quando os Lumi??res e Thomas Edison entraram em cena. Neste vasto per??odo hist??rico, anterior ?? industrializa????o do cinema, a cria????o dos suportes cinematogr??ficos era uma atividade abundante e dispersa, portanto, possu??a um car??ter experimental e era realizada por inventores aut??nomos. Este modo ancestral de produ????o de m??dias ?? oposto ao atual modelo industrial, imposto pelas oligarquias midi??ticas, que operam no sentido da padroniza????o t??cnica e da obsolesc??ncia programada. Entretanto, a necessidade comercial de desestruturar a r??gida conven????o can??nica da s??tima arte fortaleceu o surgimento de teorias que dilataram o conceito de ???cinema??? ao ponto de inserir as tecnologias org??nicas no repert??rio das m??dias cinematogr??ficas. Nesta perspectiva, o corpo(m??dia) ?? o proto-cinema, j?? que se constitui como um suporte t??cnico de transmiss??o e armazenamento de dados, por onde todas as mensagens fotossens??veis atravessam e s??o traduzidas a partir dos sinais f??sico-qu??micos. Ou seja, o cinema se refere ?? uma sensa????o, um efeito est??tico e n??o ?? um dispositivo de comunica????o emissor que ?? apenas pot??ncia sem o leitor. Neste contexto, esta pesquisa reflete acerca do ???nascimento??? e da ???morte??? do cinema, sob a ??tica dos estudos de arqueologia da m??dia e da proposta est??tica p??s-m??dia. Tal abordagem te??rica, permite realizar uma an??lise diacr??nica sincr??nica, que compreende o tempo de forma m??gica, na qual o passado ?? considerado um conjunto de possibilidades para o futuro e n??o uma s??rie…

Advisors/Committee Members: Brunet, Karla Schuch, Matos, Edilene Dias, Silva, Regina Lucia Gomes Souza.

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FAPESB

A partir dos debates sobre a extin????o - ou expans??o - das t??cnicas tradicionais do filme, o conceito de cinema foi exposto ?? uma profunda revis??o com o objetivo de inserir a est??tica dos dispositivos audiovisuais p??s-celuloide no repert??rio da cinematografia. Sobretudo, a televis??o, o v??deo e a cibern??tica. Uma vez que a pel??cula deixou de ser considerada o ??nico suporte de impress??o de imagens em movimento, o suposto nascimento oficial da cinematografia ??? relativo ?? inven????o dos irm??os Lumi??re ??? demonstra que a hist??ria do cinema oculta fascinantes m??dias ancestrais capazes de iludir os sentidos para gerar proje????es de imagens em movimento: desde os pintores paleol??ticos, que, atrav??s da luz do fogo, projetaram narrativas audiovisuais nas imensas paredes de pedras em locais escuros das cavernas, at?? o final do s??culo XIX - quando os Lumi??res e Thomas Edison entraram em cena. Neste vasto per??odo hist??rico, anterior ?? industrializa????o do cinema, a cria????o dos suportes cinematogr??ficos era uma atividade abundante e dispersa, portanto, possu??a um car??ter experimental e era realizada por inventores aut??nomos. Este modo ancestral de produ????o de m??dias ?? oposto ao atual modelo industrial, imposto pelas oligarquias midi??ticas, que operam no sentido da padroniza????o t??cnica e da obsolesc??ncia programada. Entretanto, a necessidade comercial de desestruturar a r??gida conven????o can??nica da s??tima arte fortaleceu o surgimento de teorias que dilataram o conceito de ???cinema??? ao ponto de inserir as tecnologias org??nicas no repert??rio das m??dias cinematogr??ficas. Nesta perspectiva, o corpo(m??dia) ?? o proto-cinema, j?? que se constitui como um suporte t??cnico de transmiss??o e armazenamento de dados, por onde todas as mensagens fotossens??veis atravessam e s??o traduzidas a partir dos sinais f??sico-qu??micos. Ou seja, o cinema se refere ?? uma sensa????o, um efeito est??tico e n??o ?? um dispositivo de comunica????o emissor que ?? apenas pot??ncia sem o leitor. Neste contexto, esta pesquisa reflete acerca do ???nascimento??? e da ???morte??? do cinema, sob a ??tica dos estudos de arqueologia da m??dia e da proposta est??tica p??s-m??dia. Tal abordagem te??rica, permite realizar uma an??lise diacr??nica sincr??nica, que compreende o tempo de forma m??gica, na qual o passado ?? considerado um conjunto de possibilidades para o futuro e n??o uma s??rie…

Advisors/Committee Members: Brunet, Karla Schuch, Matos, Edilene Dias, Silva, Regina Lucia Gomes Souza e.

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CAPES

O estudo enfoca a contribui????o do programa de resid??ncia multiprofissional e em ??rea profissional da sa??de em enfermagem para as organiza????es hospitalares. O objetivo geral consiste em analisar as contribui????es do programa de resid??ncia multiprofissional e em ??rea profissional da sa??de em enfermagem para as organiza????es hospitalares. Como objetivos espec??ficos, tem-se: caracterizar as organiza????es hospitalares que s??o cen??rios de treinamento em servi??o para enfermeiras do curso resid??ncia multiprofissional e em ??rea profissional da sa??de; e identificar as contribui????es dos programas de resid??ncia multiprofissional e em ??rea profissional da sa??de em enfermagem para as organiza????es hospitalares. Trata-se de um estudo explorat??rio, com abordagem qualitativa, cujo m??todo utilizado foi a entrevista semiestruturada. O estudo foi realizado em quatro organiza????es hospitalares que s??o cen??rios de treinamento em servi??o para as residentes no munic??pio de Salvador, no estado da Bahia. Constitu??ram-se participantes dessa pesquisa quatro gestores respons??veis institucionalmente pela concess??o dos cen??rios de pr??tica para o treinamento em servi??o do programa. Utilizou-se como instrumento de coleta das informa????es um roteiro, que foi aplicado na entrevista semiestruturada, gravada e submetida ?? An??lise de Conte??do de Bardin. As contribui????es do programa de resid??ncia multiprofissional e em ??rea profissional da sa??de em enfermagem para as organiza????es hospitalares na perspectiva do gestor, identificadas nesse estudo, revelam que ela promove mudan??as nos cen??rios de treinamento em servi??o pois mobiliza as enfermeiras dos cen??rios para o aperfei??oamento profissional, melhora a qualidade da assist??ncia, e forma profissionais qualificados para a organiza????o hospitalar formadora e para o mercado de trabalho. Concluo que a melhoria da qualidade da assist??ncia prestada e a forma????o de profissionais qualificado foram as contribui????es mais significativas para as organiza????es hospitalares. Ademais, os dois maiores objetivos do programa de resid??ncia para o Sistema ??nico de Sa??de (SUS) foram alcan??ados, pois o programa de forma????o para profissionais da sa??de contribui significativamente para que ocorram mudan??as positivas no cen??rio da assist??ncia em sa??de. Justifica-se, portanto, o investimento dos minist??rios e das…

Advisors/Committee Members: Fernandes, Josic??lia Dum??t, Silva, Rosana Maria de Oliveira.

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The ENEM has gained increasing prominence in the landscape of education in Brazil, not only for being the main assessment of high school, but also to create opportunities for students to entry in public and private universities. The main approach of the proof focuses on the process of reading comprehension, seeking to highlight reading and interpretation of texts. The proof questions are called problem-situations, that is, the student must mobilize all the resources they have and make decisions favorable to your objective. From this perspective, this research will make a reflection on the teaching of Portuguese language in high school, starting with an analysis of the questions of ENEM to test whether we can answered these questions simply by understanding their language, ie, if prior knowledge about the topic would not be needed. In order to find the meaning constructed by the linguistic aspect of the text, we used as the foundation Theory of Argumentation in Language by Oswald Ducrot and colleagues, especially with regard to the current stage, the Theory of Semantic Blocks, developed by Oswald Ducrot and Marion Carel. In this theory, the author postulates that is the discourse that carries meaning, ie, to describe the meaning we should rely on the language. For him the language is not informative, but argumentative.

O ENEM tem ganhado cada vez mais destaque no panorama da educa??o no Brasil, n?o s? por ser a principal avalia??o do Ensino M?dio, como por oportunizar a entrada de estudantes em universidades p?blicas e privadas. A principal abordagem da prova tem como foco o processo de compreens?o leitora, buscando, portanto, destacar a leitura e a interpreta??o de textos. Suas quest?es s?o chamadas, dessa forma, de situa??es-problema, isto ?, o estudante deve mobilizar todos os recursos que tem e tomar decis?es favor?veis ao seu objetivo. Nessa perspectiva, esta pesquisa far? uma reflex?o acerca do ensino de L?ngua Portuguesa no Ensino M?dio, partindo da an?lise de quest?es do ENEM com o prop?sito de testar se certas perguntas podem ser respondidas simplesmente por sua compreens?o lingu?stica, ou seja, se n?o seriam necess?rios conhecimentos pr?vios sobre o tema abordado. A fim de encontrar o sentido constru?do pelo lingu?stico do texto, foi utilizada como alicerce a Teoria da Argumenta??o na L?ngua, de Oswald Ducrot e colaboradores, principalmente no que diz respeito ? fase atual, a Teoria dos Blocos Sem?nticos, desenvolvida por Oswald Ducrot e Marion Carel. Nessa teoria, o autor postula que ? o discurso que porta sentido, ou seja, para descrever o sentido devemos nos apoiar no lingu?stico. Para ele, a l?ngua n?o ? informativa, mas sim argumentativa.

Advisors/Committee Members: Barbisan, Leci Borges.

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Postpartum Depression (PPD) has a negative effect on newborns and their mothers, and impairments to the mother-infant relationship seem to be harmful to the child?s development. Despite the high prevalence of PPD in Brazil, there are no evaluation protocols and interventions recognized by the country?s unified health service. In order to contribute to an intervention adapted to Brazilian cultural issues and the reality of Brazilian mothers in the postpartum period, two studies were carried out in this dissertation - a theoretical study and an empirical study. The theoretical study aimed to describe two intervention protocols and the respective materials necessary for their execution: a psychoeducation protocol and a training protocol for facial expression recognition. The methodology applied the following steps: (1) state of the art review, (2) preliminary proposal preparation, (3) specialized psychologists? analysis, (4) pilot study. The study?s resulted in a psychoeducational protocol composed by seven themed primers defining subjects to be addressed with the mothers, in addition to a facial expression training protocol composed by six instruments. The empirical study?s objective was to investigate the effectiveness of both interventions (the psychoeducation and the facial expression training protocol) in the quality of mother-infant interaction. Preliminary results are described in this study, The sample consisted of 14 dyads in which the mothers were diagnosed with PPD by both the EPDS (cut-off point ?11) and SCID. Dyads were assessed between four and twelve weeks postpartum and were randomized into three conditions: psychoeducation, facial expression training, and waiting list. The results suggested a significant effects of the training groups in maternal ability to recognize anger faces, and a significant effect of the Psychoeducation group on mother-child interaction (proximity and relaxation dimensions). Compared to the waiting list, the two intervention groups produced positive effects, albeit only the Psychoeducation group had an effect on the target primary outcome. Therefore, results suggest that psychoeducation was more effective in increasing the quality of the mother-infant relationship when compared to the other two groups. Further studies with a larger sample size and longer follow-up period are required to investigate these effects further.

A…

Advisors/Committee Members: Arteche, Adriane Xavier.

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A pesquisa apresentada nesta disserta????o de mestrado teve como objetivo a investiga????o do uso e import??ncia do prontu??rio do paciente em institui????es de sa??de, atrav??s da publica????o de atos ou informa????es nos s??tios eletr??nicos oficiais destas. Esse trabalho foi desenvolvido metodologicamente utilizando uma abordagem qualitativa, tendo por base a pesquisa descritiva na forma documental, utilizando a t??cnica de observa????o direta para a coleta de dados. A pesquisa fez uma investiga????o da publicidade das a????es relacionadas aos prontu??rios e arquivos, nos s??tios eletr??nicos de doze institui????es de sa??de previamente escolhidas, respondendo objetivamente a dezoito quest??es formuladas, conhecendo assim a realidade de cada uma, e do conjunto destas no que tange a rela????o prontu??rio e arquivo da institui????o de sa??de com os respectivos s??tios eletr??nicos. Essa investiga????o revelou que nenhuma institui????o apresentou em seu s??tio eletr??nico a totalidade de respostas positivas. A institui????o que chegou mais pr??ximo do resultado alcan??ou doze das dezoito respostas, que representa 66,67%, revelando assim a necessidade dos s??tios eletr??nicos serem melhorados para a garantia do acesso a informa????o dos clientes ou pacientes. O trabalho apresentou ainda o panorama atual da legisla????o sobre prontu??rio, as correla????es com a pr??tica e a identifica????o de a????es quanto a solu????es para inser????o dessa esp??cie documental como instrumento relevante de registro de informa????o para a efic??cia de um atendimento de qualidade e com seguran??a jur??dica ao paciente.

ABSTRACT The research presented in this Master???s thesis investigated the use and importance of patients??? medical records at health institutions, by publishing actions or information on their official websites. This study was developed methodologically using a qualitative approach, having descriptive research in documentary form as a base, and utilizing the technique of direct observation for data collection. The research analyzed the disclosure of actions related to medical records and archives on the websites of 12 previously selected health institutions, objectively responding to 18 formulated questions. The reality of each institution and the group as a whole with regards to the health institutions??? medical records and files??? relation with their…

Advisors/Committee Members: Miranda, Zeny Duarte de, Miranda, Zeny Duarte de, Mota, Eduardo Luiz Andrade, Cavalcante, Suzy Santana, Lubisco, N??dia Maria Lienert, Matos, Maria Teresa Navarro de Britto.

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Submitted by PPG Medicina e Ci?ncias da Sa?de ([email protected]) on 2018-05-16T12:16:46Z No. of bitstreams: 1 ANA_CRISTINA_DE_ASSUN??O_MACHADO.pdf: 2307269 bytes, checksum: f988b87a36ecbd0076d96a75830655c8 (MD5)

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Introduction: Obesity is one of the most important nutritional diseases in the modern world, especially in its abdominal form, where adipose tissue implies a higher cardiovascular risk and is responsible for inflammatory phenomena. Abdominal obesity predisposes to calcification of the coronary arteries and endothelial dysfunction, as well as the occurrence of other comorbidities such as hypertension diabetes and Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS). OSAHS leads to decreased quality of life (QOL) and functional capacity, together with an increased risk of cardiovascular disease, predisposing to higher rates of morbidity and mortality. Objectives: To evaluate the impact of weight loss in the first six months after bariatric surgery on endothelial function in patients with and without obstructive sleep apnea syndrome (OSAHS). Methodology: the sample consisted of 56 patients homogeneously divided into groups without OSAHS (control group) and with OSAHS (OSAHS). All patients were evaluated in the Roux-en-Y Gastric Bypass (RYGB) preoperative period and six months after surgery. OSAHS diagnosis in the preoperative period was performed using instruments validated for apnea tracking and confirmed by polysomnography. The evaluations included anthropometric measurements, electrical bioimpedance, clinical symptoms of OSAHS and endothelial function, through the flow-mediated dilatation (FMD) of the brachial artery. Results: weight loss induced by surgery improved the anthropometric, bioimpedance and endothelial function results in both groups. Patients presented a significant clinical improvement in the symptoms of OSAHS throughout the study. However, patients with OSAHS had an improvement in the endothelial function 2.5% lower (p <0.001) than the control group. Conclusion: this study shows that the presence of OSAHS before bariatric surgery interferes in the clinical picture, interfering in the improvement of endothelial function.

Introdu??o: a obesidade ? uma das doen?as nutricionais mais importantes do mundo moderno, principalmente, em sua forma abdominal, onde o tecido adiposo implica em maior risco cardiovascular e ? respons?vel por fen?menos inflamat?rios. A obesidade abdominal predisp?e ? calcifica??o das art?rias coron?rias e ? disfun??o endotelial, bem como ao aparecimento de outras comorbidades como a hipertens?o, a diabetes e a S?ndrome da…

Advisors/Committee Members: Mottin, Cl?udio Cor?, Silva, Antonio Marcos Vargas da.

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Submitted by Setor de Tratamento da Informa??o - BC/PUCRS ([email protected]) on 2017-03-17T12:25:26Z No. of bitstreams: 1 DIS_CAROLINA_VIECILI_AZAMBUJA_PARCIAL.pdf: 177646 bytes, checksum: deacc5840ab81b49289873f73fda38cd (MD5)

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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES

Depression is a very common medical condition with high prevalence among the population. Among the specifiers of the disorder, one of the most prevalent conditions during pregnancy or puerperium is maternal postpartum depression (PPD). Gestation and the postpartum period are considered risky moments for the development or increase of psychiatric disorders in women, and in particular, PPD. The present dissertation is comprised of two empirical studies; The first addresses the impact of maternal postpartum depression on mother-baby interaction considering the dimensions of the mother, baby, and the duo. The study counted on the participation of 27 pairs, of these, nine with symptoms of depression and 18 without the presence of the disorder, recruited in five different cities of Rio Grande do Sul. The women answered the questionnaire of general questions, which was developed especially for this research, EPDS (cutoff ?11 points), BDI, BAI, SCID, WASI, filming and GRS. Descriptive analyzes, correlation analyzes, MANOVAs and MANCOVAs with covariations were performed. Among the main results obtained, it was found that the prevalence of PPD was 33%, which is higher than the literature indicates. Schooling is significantly and positively related to better maternal indexes of interaction. Overall, mothers had moderate rates of interaction, while infants had low and intermediate rates and low rates for double, regardless of the presence of PPD. On the other hand, in all dimensions of the interaction scale, the indices of women with PPD were lower than the results of women without PPD, demonstrating implications in the interaction. In study two, the same one approaches the processing of facial expressions of adults and of babies. The study had the participation of 22 women, 19 of whom answered the task of adult faces and 22 a of babies, of these 08 depressed and 14 controls. Participants were recruited at the same sites of study 1 and same instruments applied - for this study filming was not analyzed as well as the interaction scale, but the task of face recognition was included. For the analysis of the data, the SPSS program was used and ANOVAs, MANCOVAs, correlations and descriptive analyzes were performed. Among the main results, women with PPD presented lower accuracy for the facial expressions of infants and adults and classified the faces with less intensity as the exposure time increased, when compared to the control group. The findings of the study point to the deficits in relation to the recognition of facial…

Advisors/Committee Members: Arteche, Adriane Xavier.

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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES

The present dissertation aims to analyze the English language questions in ENEM by using the Argumentation Within Language (AWL) theory made by Oswald Ducrot, Marion Carel and collaborators. As its main goal, it is aimed at proposing a reading concept under the ANL theoretical background and investigating in which way this theory may display the meanings within the discourse in order to help in the referred exam questions comprehension. As this national exam has received a careful attention in the last couple of years, since it is an exam which demands from its candidates the comprehension of key-texts, being the ones which are several times enough for choosing the most suitable answer, it is believed that the analysis of the ENEM English language questions enables a considerably fruitful window of opportunity for study, once the discourse made by the key-texts of the questions leads the candidate to choose only one alternative, which corresponds to the discourse produced in the key text, being the other ones from the other alternatives not authorized. The ANL theory is an argumentative semantics theory and analyzes the meaning of utterances in the linguistic level by using semantic blocks. The primary objective here is to analyze the construction of meaning in the utterances of the exam questions, so that it may be possible to find the most suitable answer in the linguistic level, using the analysis of produced discourses in the key-texts, comparing the argumentative chaining and semantic blocks to the alternatives and the correct answer. This dissertation aimed at doing it based on the linguistic level in order to understand the meaning production in the discourse level. According to Ducrot, the nature of language is essentially argumentative and not informative, since argumentation is the principle that directs linguistic production.

Este trabalho tem como tema a an?lise de quest?es de l?ngua inglesa do Exame Nacional do Ensino M?dio (ENEM) com base na teoria da Argumenta??o na L?ngua (ANL) de Oswald Ducrot, Marion Carel e colaboradores. Como objetivos, busca-se propor um conceito de leitura sob o vi?s da ANL e investigar de que forma essa teoria pode explicitar os sentidos do discurso a fim de auxiliar a compreens?o das quest?es do referido exame. Como o ENEM tem ganhado nos ?ltimos anos uma aten??o muito cuidadosa, pois demanda dos candidatos a compreens?o de textos-chave, os quais s?o muitas vezes suficientes para a elei??o da resposta adequada, acredita-se que a an?lise das quest?es de…

Advisors/Committee Members: Delanoy, Cl?udio Primo.

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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES

Professional practice in healthcare undoubtedly involves caring for the other. For an effective humanized care, the condition of mutuality is emphasized, from which it also integrates the subjectivity of the professional. This Masters Dissertation aimed to apprehend and to understand in depth the professional and formative experience of resident physicians in a scenario marked by tensions between the working and learning conditions offered and the respondent to the subject for an effective practice of care in the urgency and emergency hospital context. In order to comply with this proposition, two Sections composes this study, one theoretical and the other, empirical. The first section, entitled Between the care and chaos: reflections about the doctor practice in urgency and emergency hospital context, contemplated a reflection on medical practice in urgency and emergency hospital context, marked by the poor working conditions and the specific characteristics like unpredictability and readiness to act. The ethics of care in Psychoanalysis and Humanization in Health proposed by the National Humanization Politics are guidilines to this discussion. Narrative vignettes of four resident physicians were used as an illustrative resource for this problematization.In the Empirical Section, called Care urgencies and emergencies: resident physicians? narratives,the aim was to explore the narratives of eight resident physicians whose professional practice occurs in the urgency and emergency hospital context during the Residence. Data from the interviews were analyzed through Interpretative Analysis. Therefore we have found that the Medical Residence is sought as a specialization of excellence in Medicine. However, the doctor, when becomes a resident, is faced with demands and requirements that take on excess, which inevitably brings effects, often harmful, to his subjectivity and to his professional identity formation process. Finally, since the implication of the physician's subjectivity in his work is evident, it is necessary to pay attention to the professional?s condition of affectation, thus avoiding indifference practices both towards the other and to himself. That is, the effective practice of mutuality in care becomes an essential factor of protection and promotion of psychic health of these…

Advisors/Committee Members: Irigaray, Tatiana Quarti.

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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES

The expressive and important achievements in which medicine has surprised us and its constant improvement shows that its scientific capacity is about to achieve even greater things. But, if purely technical science does not usually gets blocked by its own difficulties, often overcoming them, a good part of its limits; deontology, ethics, bioethics, philosophy, law and even leges artis medicinae sets its boundaries. The communication between those areas, however, isn't already established with the usuality, seriousness and depth we need. Specially by this reason ? but not only, of course ?, we observe that the medical practice is oriented in a space that, commonly, embrace imprecise and conflicting rules, or even rules that are silent about extremely relevant issues. Apprehensive with the consequences that this quicksand terrain brings, mainly regard the understanding of guarantor?s duties that the physician may assume, and consequently, the delimitation of his criminal liability, this thesis makes efforts to start a dialogue, if not between all the previously mentioned areas, at least between criminal law and medicine, with its medical deontology, professional ethics and leges artis. Therefore, using the maximum interdisciplinarity which the objectives and restrictions of this study allows, it reviews the bibliography and discusses cases constructed based on facts or elements of reality, with the objective of identify the conduct that the medical professional, as guarantor, is legitimized to proceed when he come across a patient who does not wish to be submitted to rescue actions. In other words, this thesis seeks to clarify the related issues of the decline of a patient to receive medical treatment in cases of imminent life risk.

As expressivas e importantes conquistas com as quais a medicina tem surpreendido e o seu constante aprimoramento, mostram que sua capacidade cient?fica est? para alcan?ar feitos ainda maiores. Mas, se a ci?ncia puramente t?cnica n?o costuma esbarrar nas suas pr?prias dificuldades, ultrapassando, com frequ?ncia, boa parte dos seus limites; deontologia, ?tica, bio?tica, filosofia, direito e a pr?pria leges artis medicinae balizam a sua atua??o. A comunica??o entre essas ?reas, contudo, ainda n?o se estabeleceu com a habitualidade, seriedade e profundidade esperada. Especialmente por esse motivo ? mas n?o s?, ?…

Advisors/Committee Members: D'Avila, Fabio Roberto.

▼  Studien undersöker invånare och verksammas upplevelser av ett, enligt en rapport frånunderrättelseenheten, utsatt bostadsområde i Västerås. För att besvara frågeställningen har vigenomfört 14 intervjuer varav 5 var semistrukturerade och resterande var ostrukturerade. Vihar även genomfört 6 observationer, där samtliga var icke deltagande observationer. Dåmålsättningen var att undersöka så förutsättningslöst som möjligt har vi använt oss av BarneyGlasers variant av grundad teori som metodologiskt angreppssätt. Tidigare forskning som vibelyser är delade i tre teman: Segregation, familjestrukturer och sysselsättning. En teorisom är grundad i data presenteras i resultatdelen och beskriver det som sker i Bäckby.Studiens teoretiska referensramar är Erving Goffmans teori om stigma, Howard. S. Beckersteori om avvikande samt Giorgio Agambens teori om undantag och belägring som fungerarsom en komplettering till förståelsen av hur det är i ett utsatt bostadsområde. Slutsatsernavisar att det är en handfull ungdomar som står för oron som sker i Bäckby och dess handlingarmöjliggörs på grund av misslyckade strukturella åtgärder. De förhållanden vi har funnitavgörande för trygghets upplevelse i Bäckby är inte endast att ungdomar behöversysselsättning, utan det behövs även en spridning av människor med utländsk bakgrund blandetniska svenskar och förebyggande åtgärder från externa aktörer.

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Este artigo teve como objetivo demostrar os processos de cria????o sob a ??tica da digita????o e dedilhados para m??o esquerda e direita, respectivamente. Para isso, foram analisados trechos da pe??a Dansa Brasileira, de Radam??s Gnattali, por meio do manuscrito e da edi????o publicada em 1990, pela Chanterelle Verlag, investigando o que foi grafado pelo compositor brasileiro e por Laurindo Almeida, int??rprete a quem a pe??a foi dedicada. Utilizou-se como ferramentas, t??cnicas violon??sticas para se chegar a uma nova interpreta????o, com base no estilo da obra, recursos estil??sticos e idiom??ticos no viol??o. Como resultado, produziu-se uma Nova Edi????o com os dedilhados de m??o direita e digita????o de m??o esquerda, revisando a literatura preexistente que sustenta e fundamenta os aspectos te??ricos desta pesquisa. Al??m do produto final, o leitor encontrar??, tamb??m, o Memorial, contendo as atividades realizadas por este pesquisador no decorrer do Mestrado Profissional e os Relat??rios Finais das Pr??ticas Interpretativas, exigidas pelo Programa de P??s-Gradua????o Profissional em M??sica (PPGPROM).

This paper aims to show the processes of creation for left-hand keyboarding and right-hand strumming. For that, we have analysed pieces of Radam??s Gnattali???s Dansa Brasileira in the manuscript and 1990 edition by Chanterelle Verlag, investigating what the Brazilian composer wrote, and Laurindo Almeida, performer to whom the piece was dedicated. We have used guitar techniques for a new performance, based on the work style, and style and language resources on the guitar. As a result, we have worked right-hand strumming and left-hand keyboarding, reviewing the pre-existing literature grounding the assumptions of this investigation. Along with the end product, the reader will find also the memorial with works this investigator has made during her M.A. and reports of performances the Programa de P??s-Gradua????o Profissional em M??sica (PPGPROM) requires.

Advisors/Committee Members: Ulloa Penaranda, Mario Enrique, Bomfim, Vladimir, Matos, Robson, Ulloa, Mario.

▼ Die verhandeling is gerig op die toenemende globale kwessie van ons land se voedselonsekerheid en die faktore wat daartoe bydra. Dit ondersoek die rol wat argitektuur kan speel as 'n sistemiese instrument (in die vorm van 'n gastronomiese kwartaal) vir die her[groei] van 'n hoogs omstrede kwessie. Deur die identifisering van globale en plaaslike omstandighede word voedselsekerheid bemagtiging ontwikkel deur die integrasie van sosio-ekonomiese stelsels wat optree as punte van akupunktuur om kontekstuele omstandighede te verbeter. Deur 'n nuut gevormde argitektoniese benadering waardeur kos en die toeganklikheid daarvan die basis vorm van sosiale inklusiwiteit, word verskeie mense in die samelewing bemagtig deur van plaaslike ondersteuning gebruik te maak. Plaaslike ondersteuning is van kardinale belang vir die groei en bemagtiging van 'n gemeenskap, wat 'n positiewe impak op die algehele stedelike moraliteit of weefsel het deur die voorsiening van 'n meer inklusiewe omgewing vir die bemagtiging van daardie V. gemeenskap. Advisors/Committee Members: Combrinck, Carin (advisor).

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Submitted by Setor de Tratamento da Informa??o - BC/PUCRS ([email protected]) on 2016-03-28T11:12:40Z No. of bitstreams: 1 DIS_LESLIE_ADRIANA_QUIROZ_SCHULZ_COMPLETO.pdf: 2053094 bytes, checksum: 11640be256f7ab5dbc7440347dfe073f (MD5)

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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES

La presente investigaci?n establece un an?lisis relacional de la Internacionalizaci?n en la Educaci?n Superior, cuyo objetivo general es comprender c?mo se configuran las pol?ticas educacionales para la Movilidad Acad?mica Internacional (MAI) en el Posgrado y cu?les son sus efectos en la formaci?n y producci?n cient?fica de los estudiantes de dos Doctorados en Educaci?n, uno de Brasil y otro de M?xico, durante el periodo 2010-2014. La perspectiva te?rica adoptada constituye una apropiaci?n interpretativa de algunos conceptos de la Teor?a de los Campos de Pierre Bourdieu, mientras que el an?lisis reflexivo -propuesto por este mismo autor- representa el enfoque interpretativo principal, junto con el enfoque de Educaci?n Comparada y el de Estudio de Caso. As?, la estrategia metodol?gica combina el an?lisis de datos cuantitativos ya existentes (estad?sticas nacionales y regionales) y la construcci?n de datos cualitativos, a trav?s de entrevistas semiestructuradas realizadas a doctorandos en Educaci?n de Brasil y M?xico, que experimentaron una MAI durante el periodo elegido. Los principales resultados encontrados en el nivel macro-estructural permiten inferir que las pol?ticas para la Internacionalizaci?n del Posgrado, en ambos pa?ses, est?n interrelacionadas con las directrices de pol?tica exterior de los gobiernos en turno, siendo m?s clara la convergencia en el caso brasile?o que en el mexicano. Mientras tanto, en el nivel micro-estructural, lo m?s destacado de los testimonios permite identificar que los agentes reconocen importante el realizar una experiencia de MAI, puesto que esta emerge como una posibilidad diferenciada que legitima la illusio del campo, contribuye para la consolidaci?n de un habitus cient?fico y posibilita incrementar el capital social de los doctorandos. Finalmente, la situaci?n que emergi? como la mayor diferencia entre los casos estudiados, fue la referida a la duraci?n de la MAI, siendo que en Brasil el promedio de estancia en el exterior es de veintinueve semanas y en M?xico es de cuatro; por lo que se considera necesario profundizar en las discusiones sobre la MAI en plural, reconociendo que existen diferentes tipos de movilidades con objetivos particulares y efectos diferenciados para los agentes ?reci?n llegados? al campo.

A presente pesquisa fornece uma an?lise relacional da Internacionaliza??o do Ensino Superior, cujo objetivo geral ? compreender como se configuram as pol?ticas educacionais para a Mobilidade Acad?mica Internacional (MAI) na P?s-Gradua??o e quais…

Advisors/Committee Members: De la Fare, M?nica.

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Submitted by Setor de Tratamento da Informa??o - BC/PUCRS ([email protected]) on 2015-04-17T14:56:16Z No. of bitstreams: 1 467436 - Texto Completo.pdf: 1032880 bytes, checksum: fe6a5cdc8a8a19fcdd26e292b39e3c16 (MD5)

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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES

The Acute Respiratory Distress Syndrome (ARDS) described for the first in 1967 presents as its main characteristic refractory hypoxemia. Since then, many have tried to define the syndrome and 1994 the American-European Consensus Conference (AECC) established more acccurate criteria for its diagnosis. Due to criticism to that model, in 2012 the Berlin definition was published categorizing three kinds of patients based on the PaO?/FiO? ratio according the severity of the hypoxemia and with a minumum level of PEEP of 5 cmH?O. From then on it has been established: PaO?/FiO? < 100 mmHg as severe ARDS, 100 < PaO?/FiO? ? 200 mmHg as moderate ARDS and 200 < PaO?/FiO? ? 300 mmHg as mild ARDS. The mortality rate will be higher according to the severity of the syndrome. The research were done with adults. Objective: To reclassify ARDS patients at Pediatric Intensive Care Unit (PICU) according to the Berlin definition, describe their main characteristics, their clinical evolution focusing on mechanical ventilation (MV) parameters relating them to outcomes, especially mortality rate. Methods: Retrospective study carried out at the PICU at Hospital S?o Lucas - PUCRS, which is an academic hospital. All hypoxemic patients in MV diagnosed with ARDS were included in the study from February 2011 to December 2013 based on the patients records review. The patients were categorized according to both the AECC criteria and the Berlin definition, and then compared. Results: 28 patients were selected. On the first day of MV, 20 patients were considered severe ARDS, 7 patients with moderate and 1 patient with mild. There were 12 deaths (42.8%) at the end of the 28th day. Among them, 10 patients were classified as severe ARDS and 2 as moderate. Despite the different mortality rate between the groups such difference cannot be statistically proved (p=0.69). The four patients who underwent dialysis died. All patients were on antibiotics and 60% of them on more than one regimen. The mean of the ventilatory parameters were PIP 35 ? 6 PEEP 9 ? 3 and FiO? 0.73 ? 0.19. The median of the time of MV was 7 days (IIQ 5-14) and the length of stay at the PICU was 12 (IIQ 6-26). Conclusions: The Berlin definition was useful for identifying the most severe patients in this small sample. Despite the adequate ventilatory management, the mortality rate of ARDS is still high and its reduction, a big challenge. Further studies in Pediatrics are highly recommended.

s?ndrome do desconforto respirat?rio agudo (SDRA) ? caracterizada por um quadro de hipoxemia refrat?ria ao…

Advisors/Committee Members: Garcia, Pedro Celiny Ramos.

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O g??s natural vem conquistando uma participa????o cada vez maior na matriz energ??tica mundial. Com isso, as aten????es t??m se voltado para este combust??vel, n??o somente pelo seu potencial de proporcionar estabilidade ao setor el??trico, atrav??s da opera????o das usinas t??rmicas, mas tamb??m, pelos in??meros benef??cios ambientais que o mesmo apresenta quando comparado com outros combust??veis f??sseis. Por??m, diversos problemas podem ocorrer no transporte do g??s natural, sendo a forma????o e deposi????o de enxofre elementar (S8) nos gasodutos um dos mais impactantes, tanto na seguran??a operacional quanto nos custos de manuten????o. A forma????o e deposi????o de enxofre nos dutos podem causar s??rias consequ??ncias para a produ????o, processamento, opera????o e transporte de g??s. A forma????o do p?? amarelo, como ?? conhecido o enxofre elementar, pode ser influenciada pelas mudan??as nas condi????es operacionais, como por exemplo, queda de press??o e de temperatura, composi????o do g??s natural e aditivos usados nas tubula????es. Neste trabalho buscou-se uma melhor compreens??o dos mecanismos envolvidos e as vari??veis operacionais que podem influenciar na forma????o do enxofre elementar. Dentre os mecanismos mais prov??veis que levam a forma????o e deposi????o do enxofre nas linhas tem-se o fen??meno da nuclea????o e da dessublima????o. Uma ferramenta de grande relev??ncia para avaliar a tend??ncia da corrente de g??s a formar got??culas de l??quido onde o enxofre pode nuclear e, consequentemente, dessublimar ?? a constru????o dos diagramas de equil??brio para a composi????o do g??s natural atrav??s do simulador de processo HYSYS?? usando a equa????o de estado de Peng-Robinson. Os resultados obtidos mostram como a composi????o do g??s e as condi????es operacionais podem influenciar a quantidade de enxofre depositada nas linhas. A partir dos resultados obtidos torna-se poss??vel propor solu????es que possam reduzir ou eliminar a forma????o deste composto durante o transporte do g??s natural atrav??s de gasodutos.

Advisors/Committee Members: Santos, Luiz Carlos Lobato dos, Morais, Caetano, Santos, Luiz Carlos Lobato dos, Morais, Caetano, Viana, Regina Ferreira, Gomes, Alexandre de Castro Leiras.

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A presente disserta????o busca contribuir para a emancipa????o dos pacientes, enquanto sujeitos de direito portadores de dignidade humana, bem como para a forma????o do Direito M??dico como um ramo jur??dico aut??nomo no ordenamento jur??dico brasileiro, a partir da identifica????o da natureza jur??dica da rela????o estabelecida entre paciente e m??dico quando em um ato terap??utico ou diagn??stico. Para tal, com base numa fundamenta????o bio??ticae na teoria do agir comunicativo,sugere-se a positiva????o de uma nova figura contratual -o contrato de tratamento, resultado da evolu????o da autonomia do paciente no correr da hist??ria, que, ?? semelhan??a do que j?? vem ocorrendo em outros pa??ses, favorecer?? o entendimento e o exerc??cio dosdireitos e deveres das partes envolvidas na aven??a em quest??o. Sobretudo, favorecendo o paciente no exerc??cio do direito sobre seu bem-estar biopsicossociale contribuindo para uma aprecia????o mais justa e adequada da responsabilidade civil m??dica.

The following theses aims to reflect uponthe emancipation of patients, as subjects of law bearing human dignity, as well as for the formation of Medical Law as an autonomous legal branch in the Brazilian legal system, from the identification of the legal nature of the relationship established between patient and physician when in a therapeutic or diagnosis act. To do this, based on a bioethical foundation and on the theory of communicative action, the suggestion is made that a new contractual figure -the treatment contract, as a result of the evolution of patient autonomy in the course of history, that has already occurred in other countries, will favor the understanding and exercise of the rights and duties of the parties involved in this contract. Above all, favoring the patient in the exercise of the right to their biopsychosocial well-being and contributing to a more fair and adequateappreciation of medical civil liability.

Advisors/Committee Members: Silva, M??nica Neves Aguiar da, Silva, M??nica Neves Aguiar da, Sant'Ana, Maur??cio Requi??o de, Costa, Jessica Hind Ribeiro.

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Objective: To analyze the organizational factors contemplated in the Disciplinary Ethical Process (DEP) on the error in nursing work in light of the Swiss Cheese model by James Reason and the London Protocol. Methods: This master dissertation had two articles as a product. The first refers to a meta-synthesis made in the database of the BVS with the descriptors "erro and enfermagem", in the period from 2012 to 2017, in national and international literature, using thematic content analysis. The second article deals with a unique case study of a DEP of the Regional Council of Nursing of Bahia, with delineation of documentary research and qualitative approach. For the analysis of the organizational factors contained in the DEP, the London Protocol and the Theory of James Reason, 2000 to 2014, were used. Results: In the meta-synthesis 10 publications were analyzed, the following categories being identified and described, according to the theory of the Swiss Cheese model: Concept and Types of Error, Error Approach, Defense Barriers, Active Failures and Latent Conditions. Only two publications addressed the theory in depth. In the second article it was possible to identify the organizational factors contained in the DEP that contributed to the nursing error. Such as financial restrictions; organizational structure; policies, patterns, ambiguous protocols, unclear rules; and safety culture and priorities, according to the London Protocol and the James Reason Theory. Conclusions: Analyzing a Disciplinary Ethical Nursing Process in light of the Swiss Cheese Model by James Reason and the London Protocol made it possible to demonstrate the organizational factors that contributed to the error in nursing work. The studies presented in this paper on the subject reveal the dimension of the problem and the paramount need in the development of strategies for detection, research and intervention against the errors that occur in health services, with the aim of reducing and minimizing the risks for error. Understanding error as inherent to the human condition and facing the possibility of avoiding it allows us to recognize it as part of a system failure

Objetivo: Analisar os fatores organizacionais contidos no Processo ?tico Disciplinar (PED) sobre o erro no trabalho de Enfermagem, a luz do modelo Queijo Su??o de James Reason e o Protocolo de Londres. M?todos: Essa disserta??o de mestrado teve como produtos dois artigos. O primeiro trata-se de uma metass?ntese realizada na base de dados BVS com os descritores ?erro and enfermagem?, no per?odo 2012 a 2017, em literatura nacional e internacional, sendo utilizada a an?lise de conte?do…

Advisors/Committee Members: Santos, Silvone Santa B?rbara da Silva.

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Atualmente, as tecnologias digitais, notadamente as tecnologias m??veis, fazem parte mais intensamente do cotidiano das pessoas. Atentos a expans??o dessas tecnologias na sociedade, os gestores educacionais brasileiros t??m buscado sua inser????o nas escolas p??blicas do Pa??s, desenvolvendo pol??ticas e programas espec??ficos para este fim. No entanto, os dispositivos m??veis disponibilizados pelos projetos de governo possuem caracter??sticas t??cnicas e conceituais espec??ficas distintas de outros equipamentos dispon??veis no mercado, e possuem algumas limita????es de uso, comprometendo o desenvolvimento de certas pr??ticas. Nesse contexto, configura-se como problema de pesquisa: quais as concep????es de educa????o presentes nos programas de inser????o das tecnologias digitais na educa????o que determinaram as caracter??sticas t??cnicas e conceituais dos dispositivos m??veis disponibilizados para as escolas p??blicas? Seriam necess??rias caracter??sticas espec??ficas, como as encontradas nos citados dispositivos, tanto de hardware quanto de software, para que estes fossem destinados ??s escolas? A pesquisa apoiou-se nas abordagens quantitativa e qualitativa, envolvendo a an??lise das caracter??sticas t??cnicas e conceituais dos dispositivos m??veis que fizeram parte da fase Piloto do Projeto Um Computador por Aluno (UCA) e dos Programas Proinfo Integrado e PROUCA, al??m do estudo de pol??ticas p??blicas e programas federais de inser????o das tecnologias digitais nas escolas, com foco na compreens??o de alguns dos principais documentos que serviram de base para a implementa????o dos programas e projeto citados. Dentre as constata????es, destaca-se que o baixo custo foi fortemente determinante para a caracteriza????o dos dispositivos, prevalecendo sobre outros aspectos, como desempenho, ergonomia, usabilidade e durabilidade, o que denota a necessidade de maior aten????o quanto a rela????o custo-benef??cio quando da especifica????o dos equipamentos para as escolas p??blicas, com o intuito de buscar pela proposta mais vantajosa ?? gest??o p??blica e a Educa????o.

ABSTRACT Currently, digital technologies, notably mobile technologies, are part of the daily people lives. Aware of these technologies expansion in society, Brazilian educational managers have sought their insertion in the country's public schools, developing specific policies and programs for this purpose. However, the mobile devices provided by the government projects have specific technical…

Advisors/Committee Members: Pretto, Nelson De Luca, Lapa, Andrea Brand??o, Leite Junior, Jorge Costa, Bonilla, Maria Helena Silveira, Hetkowski, T??nia Maria.

▼ This study presents a research on some aspects of Dental Health Maintenance Organizations (DHMOs) located in S??o Paulo's metropolitan area as well as their management attributions. These DHMOs act according to different dental group organizations: civil and corporate institutions, service management organization, self management system, co-operative system and dental insurance system. This research is composed of a collection of literary data, secondary data on the studied topic, as well as a field survey based on recorded interviews performed among highly regarded managers of DHMOs companies, according to a previously prepared script. The highlights are: the historical evolution of DHMOs, main features of those companies, profile of the interviewed managers, their opinion on which would be the negative and positive aspects of this kind of enterprise, regulatory agents of the entire process, management attributions and trends of this mode of health offering among the population. The focused management attributions were: Strategy, Marketing, Endomarketing, Human Resources, Logistics, Information Technology (IT), Finance and Operation Methods. IT is the field that has received the most amounts of investments by the DHMOs and Finance is the issue of highest concern among managers. The comparative analysis of the obtained data leads one to point out that even though the studied DHMO companies act in diverse society models, they appear to have similar management systems, what could be considered as a relevant interest on the professional aspect of management, in which field still there is much more to improve and innovate. This kind of organizations might be the link between population, who demands dental care as well as health maintenance and dental professionals, who are eager to work. This should represent the ability to fulfill the major part of the population needs, through shared actions between entrepreneurs and the benefactors, under government regulation, when appropriate management shall be the key towards success. This study advises that more investments in Human factor should be made, and also further studies on the subject of dental assistance management are recommended, in arder to deeply understand the issue. Advisors/Committee Members: Beraldo, Valter (advisor), CPF:19969961853 (advisor), http://lattes.cnpq.br/8541891343255404 (advisor).