Carlos Fuentes est un géant des lettres hispano-américaines, ayant à son actif une œuvre abondante et diverse, de fiction et de réflexion. C’est un Fuentes multiple qui apparait ainsi dans ses écrits : cosmopolite, intermédiaire culturel, intellectuel et auteur de fictions. Qu’est-ce qui relie ces différents « métiers » les uns aux autres ? Sous ces divers « masques », quel est le visage de Fuentes, l’écrivain ? A partir de quelle écriture ? Pour répondre à ces interrogations, nous étudions ce qui est au coeur de la réflexion et de la création fuentésiennes, la question de la centralité. Fuentes se demande en effet quelle est la place dans le monde pour les cultures hispano-américaines, traditionnellement considérées comme secondaires, voire marginales, par l’Occident et les États-Unis. Nous montrons, dans notre étude, que la réussite de Fuentes est de placer l’Amérique espagnole et le Mexique, son pays, au centre du monde, respectivement dans son œuvre de pensée et dans son œuvre de fiction. Comment procède-t-il ? Par l’interculturalité : d’un côté, en envisageant la culture espagnole en tant qu’héritage pour la culture hispano-américaine, et de l’autre, en mettant en scène l’interrelation de la culture mexicaine et des cultures du monde. Afin de montrer l’intention de centralité dans l’œuvre de Fuentes, nous avons adopté, dans le cadre d’une critique interprétative, une approche comparatiste qui analyse le dialogue des éléments culturels « étrangers » et hispano-américains, en faisant appel à l’historiographie, l’histoire des mentalités, l’anthropologie et la philosophie. Nous montrons ainsi que, au service de son intention de centralité, Fuentes invente une poétique de l’interculturalité à l’œuvre aussi bien dans ses fictions que dans ses écrits de pensée. / Carlos Fuentes, author of a rich and wide-ranging work of fiction and intellectual reflection, is one of the greatest living writers of the Latin American literature. Through his work Fuentes appears to be quite multiple: cosmopolitan, cultural intermediary, intellectual essayist and fiction novelist. But what do really bind together those different functions? Which true face beneath those various “masks” does Fuentes exhibit as a writer? What type of writing does he elaborate? In order to answer those questions, we study and look at the very heart of Fuentes’s thinking and creation, that is to say the matter of centrality. Fuentes wonders indeed what role do the Hispanic-American cultures play in the world, traditionally considered as secondary, not to say out sided, both by the Occident and the United States. Our research reveals that the greatest achievement of Fuentes is to have located the Hispanic-American and the Mexican culture, his culture, in the centre of the world, respectively in his work as an essayist and as a fiction novelist. How does he proceed? The key is the interculturality: first considering the Spanish culture as a cultural inheritance for the Hispanic-American culture, then pointing at the interrelation of the Mexican culture and the world cultures. Within an interpretative critic, as we sought to show the intention of centrality in the work of Fuentes, we have carried out a comparative method that analyses the dialogue between “foreign” cultural elements and Hispanic American ones. We have requested the historiography, the history of mentalities, the anthropology and the philosophy in order to do so. Hence, we have demonstrated that while putting the centrality in the heart of his intention, Fuentes succeeded in inventing a poetic of interculturality for his work, both within his fiction and essays.

Made available in DSpace on 2016-04-04T18:28:09Z (GMT). No. of bitstreams: 1 Soraia Dias Ciccone.pdf: 1480002 bytes, checksum: 75a48619428b512247c9979c6daa271f (MD5) Previous issue date: 2013-02-19 / Creativity appears in the works of W. D. Winnicott as the fundament of healthy existence, differing from the classic psychoanalytical theories about creativity that refer to the theory of sublimation. Thus, it paves the way to a new perspective in understanding the fundaments of human nature from the point of view of psychoanalysis. Creation and living are fundamental themes in Winnicott s theory, in which creativity is close to and inter-related with the feeling of being alive and the perception of one s own existence, as well as the perception that it is through the creative gesture that we can feel and express our true identity. It is intended to show that creativity to Winnicott is associated with the continuity of being, the expression of true self, with the spontaneous gesture and play, and even, in a sense, the foundation of these phenomena. In this direction, we can highlight the difference between several types of creativity, being it either the type that permeates the ordinary man s life, or the artist s life. / A criatividade surge na obra de Winnicott como fundamento da exist?ncia saud?vel, diferindo das teorias psicanal?ticas cl?ssicas sobre a criatividade referidas ? teoria da sublima??o. Desta forma, abre caminho para uma nova perspectiva de compreens?o dos fundamentos da natureza humana do ponto de vista da psican?lise. Criar e viver s?o temas fundamentais na teoria winnicottiana, sendo que nesta a criatividade se aproxima e se inter-relaciona com o sentimento de estar vivo e ? percep??o da pr?pria exist?ncia, assim como a percep??o de que ? atrav?s do gesto criativo que podemos sentir e expressar nossa verdadeira identidade. Pretende-se mostrar que a criatividade est? para Winnicott associada diretamente com a continuidade de ser, com a express?o do verdadeiro self, o gesto espont?neo e a atividade do brincar, sendo, at? mesmo, em certo sentido, o fundamento destes fen?menos. Nessa dire??o, poderemos abordar a diferen?a entre os diversos tipos de criatividade, seja a que permeia a vida do homem comum, seja a do artista.

Neste trabalho estudamos a dinâmica assintótica não linear de algumas equações parabólicas do tipo reação-difusão sob perturbações nos parâmetros e perturbações singulares no domínio do tipo dumbbell. Mais precisamente, trataremos dos atratores provenientes destes problemas, buscaremos compreender a dependência destes conjuntos assintóticos de estados em relação ao parâmetro, investigando a continuidade com taxa dos mesmos. O programa que executaremos para obtenção da taxa de continuidade dos atratores, bem como de toda a estrutura, mostra-nos fortes propriedades de dissipatividade exponencial de alguns semigrupos / In this work we study the asymptotic nonlinear dynamical of some reaction-diffusion parabolic equations under perturbations in parameter and singular perturbations in a dumbbell domain. More precisely, we treat of the attractors from these problems, we seek understand the dependence these asymptotic set of states in relationship the parameter, investigating continuity with rate. The program that we will follow to prove the continuity of the attractors with rate well as the entire structure, we show that these semigroups possess strong exponential dissipative properties

A reforma psiquiátrica possibilitou transformações na assistência à saúde mental e o acompanhamento terapêutico (AT), como modalidade de assistência e reabilitação psicossocial do portador de transtorno mental, faz parte dessas transformações. Desde então, o acompanhante terapêutico vem ampliando seus conceitos e fundamentando suas bases teóricas, sendo sua prática cada vez mais aceita por diferentes profissionais e valorizada por preencher as lacunas deixadas pelos tratamentos psiquiátricos tradicionais, principalmente depois que as portas dos manicômios, que enclausuravam o referido portador de transtorno mental e as maneiras adequadas de assisti-lo e reabilitá-lo, foram definitivamente abertas. O objetivo do presente estudo foi investigar a contribuição do AT no processo de assistência e reabilitação psicossocial de um portador de transtorno mental assistido em um Centro de Atenção Psicossocial e escolhido com a ajuda de sua equipe multiprofissional. Para isso, foram estabelecidos 16 encontros de AT, os quais foram desenvolvidos em diferentes locais, observados, e seus conteúdos registrados após cada encontro, sintetizados e analisados, segundo o método qualitativo. Os resultados mostraram contribuição muito positiva do AT na assistência e reabilitação psicossocial do portador de transtorno mental, tais como: resgate de sua autoestima; retomada de realização de atividades que fazia anteriormente ao início dos sintomas de seu transtorno mental; motivação para novamente buscar o lazer e conviver de forma mais saudável no seu meio familiar e social; criação de momentos de confronto de seu estado mental com a realidade, possibilitando modificações no comportamento e melhoria da qualidade de vida. Assim sendo, foi possível considerar que o AT constitui-se em mais uma modalidade terapêutica contribuindo para a assistência e reabilitação psicossocial do portador de transtorno mental e pode ser incluído nos planos terapêuticos dos serviços de assistência à saúde mental, pois se trata de modalidade terapêutica não tradicional, totalmente inserida no contexto da reforma psiquiátrica, que tem como princípio básico a mudança no foco da assistência aos portadores de transtornos mentais. / The psychiatric reform made it possible for transformations to take place in mental health care and therapeutic continuity (TC), as a health care modality and psychosocial rehabilitation of individuals with mental disorders. Since then, therapeutic continuity has broadened its concepts and founded its theoretical bases. Hence, its practice has become increasingly acknowledged by different professionals and valued for the fact it fills the gaps that were left from traditional psychiatric treatments, mainly after the doors to asylums, which used to keep mentally ill individuals cloistered, were completely open and appropriate forms of looking after these patients and rehabilitate them were implemented. The purpose of the present study was to investigate the contribution of TC over the health care process and psychosocial rehabilitation of an individual with mental disorders seen at a Psychosocial Care Center, and chosen with the help of its multiprofessional team. To do this, 16 TC appointments were scheduled, which were carried out at different locations. These meetings were observed and their contents were recorded, summarized, and analyzed according to the qualitative method. The results showed that TC has a very positive contribution in the health care and psychosocial rehabilitation of mental disorder patients, with actions such as: recovering selfesteem, going back to activities the patient did before his mental disorder symptoms appeared, motivation to once again become involved in leisure activities and lead a healthier life among his family and social environment, creating moments of confrontation between his mental condition and reality, which made it possible to change his behavior and improve his quality of life. Thus, it is understood that TC is another therapeutic modality that contributes with the psychosocial rehabilitation of patients with mental disorders. Furthermore, it can be included in the therapeutic plans of mental health care services, since it is a untraditional therapeutic modality totally inserted in the context of psychiatric reform, whose main principle is to change the focus of health care services to individuals with mental disorders.

Made available in DSpace on 2017-07-21T20:31:33Z (GMT). No. of bitstreams: 1 Glaucia A Krobauer.pdf: 3527942 bytes, checksum: b1938354ecb748d0d7187790a3c85c09 (MD5) Previous issue date: 2016-09-23 / The circus is a show that brings together under canvas, in a circular arena, different artistic manifestations produced by humankind throughout its history. Circus’organization have in the family a central element, its way of life is itinerant and children can guarantee survival. During the history of circus women, men and children in Brazil, the different ways of doing circus had been transmitted from generation to generation within the family, in continuous processes. In a context, however, there began to emerge specific educational institutions for the artists training, such as the National Circus School. It is a State character school and the first of its kind in Latin America, and had been inaugurated on May 13, 1982, in Rio de Janeiro. The objective of this thesis was to investigate and to analyze the factors that conditioned its establishment, based on the history movements and on the identification of multiple factors that would lead to its consolidation as a major training institution for the Brazilian artistic class. Therefore, we first conducted a survey of sources for research in the school's archives and CEDOC/FUNARTE and identified actors who contributed to the ENC creation process. There had been conducted interviews and document reviews, in continuous dialogue with the literature related to the theme, and with the theoretical framework that guided the research. From the information sources, there had highlighted the recurring reports about the approach between circus and Brazilian State of the period, the one was going through a very peculiar moment in its history, when it should prepare people for political openness, after years of military dictatorship. Cultural policies of the 1970s began to invest in stimulating and directing the cultural activities, minimizing the repression of the years before. As an itinerant show that could reach isolated places and carried important ideological signs for the construction of a new Brazil, circus seemed a good investment. Moreover, it was possible to list two main factors that ledthe circus to go through a crisis in the second half of the twentieth century: the lack of suitable places for circuses installation; and the lack of skilled artists, who understand circus life. Trying to find solutions to these problems, the National Theatre Service implemented a national policy to support circuses, which included the construction of a permanent structure and public spaces for circuses installation in the big cities, and the creation of schools for professional training. From these discussions, there was formulated the following thesis: new settings in ways to make and learn to make circus,as well as the interests of the Brazilian state to foment cultural policies able to disseminate their ideology, were conditions for the ENC creation process. / O circo é um espetáculo que congrega sob a lona, em um picadeiro circular, diversas manifestações artísticas produzidas pela humanidade ao longo de sua história. Sua organização tem na família elemento central, na itinerância um modo de vida, e na criança a garantia de sobrevivência. Durante a história das mulheres, homens e crianças circenses no Brasil, os distintos modos de fazer circo eram transmitidos de geração para geração no seio familiar, em processos de continuidade. Em certo contexto, no entanto, começaram a surgir instituições escolares específicas para a formação de artistas, como é o caso da Escola Nacional de Circo (ENC). De caráter estatal e primeira do tipo na América Latina, foi inaugurada no dia 13 de maio de 1982, no Rio de Janeiro. O objetivo desta tese foi investigar e analisar os elementos que condicionaram a sua criação, com base nos movimentos da história e na identificação dos múltiplos fatores que confluíram para sua consolidação como importante instituição de formação para a classe artística brasileira. Para tanto, primeiramente foi realizado um levantamento de fontes para a pesquisa nos acervos da própria escola e do CEDOC/FUNARTE, e identificados atores que contribuíram para o processo de criação da ENC. Foram realizadas entrevistas e análises de documentos, em permanente diálogo com a literatura relacionada ao tema, e também com o referencial teórico que orientou a pesquisa. A partir das informações das fontes, algo que chamou a atenção foram os relatos recorrentes sobre a aproximação entre o circo e o Estado brasileiro do período, que passava por um momento bastante peculiar em sua história, quando deveria preparar o terreno para a abertura política, após anos de ditadura militar. As políticas culturais da década de 1970 passaram a investir no estímulo e no direcionamento das ações culturais, minimizando a repressão dos anos de chumbo. O circo, como espetáculo itinerante que chegava a locais isolados e carregava consigo importante signos ideológicos para a construção de um novo Brasil, parecia um bom investimento. Além disso, foi possível elencar dois fatores principais que levaram o circo à passar por uma crise na segunda metade do século XX: a falta de locais adequados para a instalação dos circos; e a falta de artistas qualificados e conhecedores da vida circense. Na tentativa de encontrar soluções para esses problemas, o Serviço Nacional de Teatro implementou uma política nacional de apoio aos circos, na qual constava a construção de uma estrutura permanente e espaços públicos para instalação de circos nas grandes capitais, e a criação de escolas para a formação de profissionais. A partir dessas discussões, formulamos a seguinte tese:as novas configurações nas formas de fazer e aprender a fazer circo, bem como os interesses do Estado brasileiro em fomentar políticas culturais capazes de difundir sua ideologia, foram condicionantes para o processo de criação da ENC.

Submitted by William Justo Figueiro (williamjf) on 2015-07-10T23:41:11Z No. of bitstreams: 1 50b.pdf: 1489684 bytes, checksum: 0bbae8048ccd36adaf53b67a0e485fea (MD5) / Made available in DSpace on 2015-07-10T23:41:11Z (GMT). No. of bitstreams: 1 50b.pdf: 1489684 bytes, checksum: 0bbae8048ccd36adaf53b67a0e485fea (MD5) Previous issue date: 2012 / Nenhuma / A presente Tese apresenta os processos de ruptura e continuidade como o caráter próprio do dizer filosófico que, focado com e pelo círculo hermenêutico, por princípio, possibilitam compreendermos, como seres humanos, à nossa própria existência, enquanto positividade ontológica instauradora de sentidos, junto com a totalidade relacional dos sentidos instaurados. Da mesma forma, esse articular entre os âmbitos nos possibilita colocar a Hermenêutica como o centro das questões tematizadas pelo dizer filosófico como um todo. O marco teórico da Tese parte de Heidegger e Gadamer, passando pela recepção crítica de Coreth, Bleicher, Grondin, Figal, Palmer, Stein, Rohden e Custódio. As investigações, parciais e provisórias, apontam no sentido de que os processos de ruptura e continuidade, ínsitos ao dizer filosófico, se constituem na abertura por onde podem fluir os sentidos da existência, como a experiência mesma de instaurar sentidos, enquanto, existencialmente, o próprio ser-no-mundo se oculta e desvela, no homem e pelo homem. / This thesis presents the processes of rupture and continuity as the character itself of the philosophic saying that, focusing on and through the hermeneutical circle, as a principle, enable us to understand, as human beings, to our own existance, as ontological positivity that establishes senses with the relational totality of the established senses. Likewise, this articulation between the ambits enables us to put hermeneutic as the centre of broached questions by philosophy as a whole. As theoretical support of this thesis we have made use of Heidegger and Gadamer as well as the critical reception of Coreth, Bleicher, Grondin, Figal, Palmer, Stein, Rohden and Custódio. The temporary and partial investigations show that the processes of rupture and continuity, inserted in the philosophic saying, are constituted in the opening of where existence senses may flow, as the experience of establishing senses. Whereas, existentially, the being in the world hides itself and unveils in the man and through the man.

La continuité des soins est une caractéristique centrale des soins primaires. Celle-ci représente principalement l’idée d’une relation durable dans le temps entre le patient et son médecin. Elle a été associée dans la littérature à un impact positif sur la qualité des soins, et sur la santé : amélioration de la satisfaction des patients vis-à-vis de leurs soins, réduction du nombre d’hospitalisations et de visites aux urgences. Cependant, la question de la continuité est peu présente dans les réformes françaises des soins primaires à l’inverse de la question de l’accès aux soins. L’objectif de la thèse est de valider un indicateur de la continuité, évaluer la continuité des soins en France, son évolution et son impact sur la santé. L’indicateur pourra fournir un outil de pilotage des soins primaires aux Agences Régionales de Santé (ARS). Celui-ci pourra être utilisé dans le cadre du suivi des schémas régionaux d’organisation des soins ambulatoires afin de garantir le maintien et l’amélioration de la continuité en France.Ce travail s’est appuyé principalement sur les données de l’échantillon généraliste des bénéficiaires. Il s’agit d’un échantillon au 1/97e des données de remboursements de l’assurance maladie, représentatif de la population générale. La continuité a été évaluée à l’aide d’un indice de continuité qui permet d’évaluer la concentration des visites médicales d’un patient avec le même médecin généraliste. Cette mesure est un reflet indirect de la longitudinalité. Après avoir évalué le niveau de continuité en France, l’association de continuité à la mortalité a été testée à l’aide d’un modèle de Cox, en introduisant la mesure de continuité comme une variable dépendante du temps. Dans un deuxième temps, le rôle des facteurs contextuels d’offre de soins et des facteurs individuels sur le niveau de continuité a été testé à l’aide d’un modèle multiniveau. Enfin, les caractéristiques métrologiques de la mesure de continuité des soins ont été testées afin de valider la mesure en tant qu’indicateur.Les résultats montrent que la continuité des soins en France a peu évolué ces dernières années et se maintient à un niveau relativement élevé. Une variation interrégionale existe avec des régions ayant une meilleure continuité des soins et d’autres avec une continuité plus faible. Les analyses montrent par ailleurs que la diminution de la continuité des soins est associée à une augmentation du risque de décès de l’ordre de 4 % en population générale. Le niveau de continuité est associé principalement à des facteurs individuels et aux caractéristiques du médecin. Les facteurs d’offres de soins n’ont qu’un rôle modéré dans la variation de la continuité des soins, même si les résultats confirment l’association négative entre continuité et accès. Enfin, la mesure a des qualités métrologiques suffisantes pour être validées en tant qu’indicateur de qualité.En conclusion, la continuité des soins est associée au niveau de santé de la population. L’évaluation de la continuité dans le contexte français montre un niveau moyen élevé en France, sous doute lié à l’attachement en France au médecin généraliste, mais révèle également des variations interrégionales. Ces variations représentent une marge d’amélioration de la continuité et l’opportunité d’améliorer le niveau de santé de la population. Ainsi, l’utilisation d’outils tels qu’un indicateur de continuité pourrait permettre aux ARS de suivre l’évolution de la continuité et de mesurer l’impact de réforme comme les parcours de patients. La mise en place de stratégie nationale de santé représente une opportunité d’introduire la notion de continuité au cœur des soins primaires. / Continuity of care is a central feature of primary care. It represents the idea of a long lasting relationship between the patient and his doctor. It has been associated with a positive impact on the quality of care and on health outcomes such as improving patient satisfaction with health care or fewer hospitalizations and emergency room visits. However, continuity has been somewhat neglected in the French primary care reforms in contrast to issues such as access to care. Furthermore, it has been suggested that the efforts to improve access could have reduced continuity. Thus, the aim of the thesis is to evaluate continuity of care in France and assess its recent evolution and its impact on health. The final objective is to validate a measure of continuity that could be used as a management tool for Regional Agencies of Health.This work is based on data from a 1/97e, representative of the general population, sample of the national health insurance database that contains every health care reimbursements made to French beneficiaries. Continuity was assessed using the continuity index of Bice and Boxerman that assesses the concentration of medical consultations with the same general practitioner. This measure is an indirect reflection longitudinality. The measure was used to assess the level of continuity in France and assess the association between continuity and all-cause mortality using a Cox model and introducing the measure of continuity as a time-dependent variable. Furthermore, the measure was also used to assess the role of individual and contextual factors, including provision of care, on the level of continuity using a multilevel model. Finally, the metrological characteristics of the measure were tested to validate the measurement as an indicator based on the Agency for Health Research and Quality.The analyses showed that continuity of care in France has remained constant in recent years at a relatively high level. However, interregional variation with regions with better continuity of care and others with lower continuity were seen. Lower continuity of care values were associated with a four percent increase in likelihood of death in the general population. Continuity levels were also associated with individual factors, such as sex, age and social status of the beneficiaries, as well as factors at the physician level. Provision of care factors had a moderate role in the variation of continuity of care levels. However, the results confirm the negative association between continuity and access. Finally, the measure was validated as a quality indicator.In conclusion, continuity of care is associated with the level of health of the population. The evaluation of the continuity in the French context shows a relatively high level in France, no doubt due to the attachment in France to the general practitioner model. However, it also revealed interregional variations that suggest that there is room for improvement and thus an opportunity to improve the level of health of the population. The use of tools such as a continuity indicator could allow regulatory agencies to monitor continuity and measure the impact of implementing actions, such as care pathways. The elaboration of the national healthcare strategies is a tremendous opportunity to include continuity of care in primary care organization planning.

Osteossarcoma é o tumor ósseo maligno primário mais comum, com uma taxa de incidência nos adolescentes de 8 a 11 casos/milhão entre 15 e 19 anos. No Brasil, estima-se 350 casos/ano até 20 anos. A sobrevida é de até 70% em cinco anos para os não metastáticos e 80% de sobrevida global. Quando recaem, essa sobrevida atinge 20% em um ano. Pacientes com Osteossarcoma devem ser acompanhados frequentemente com estudos radiológicos para investigação de metástases, por pelo menos 5 anos após término do tratamento , sendo mais intensivo nos dois primeiros anos, onde ocorrem a maioria das recaídas. Objetivo: Avaliar o acompanhamento do pós tratamento nos pacientes portadores de osteossarcoma. Casuística e Métodos: Estudo retrospectivo realizado na Fundação Pio XII Hospital de Câncer de Barretos, com 52 pacientes tratados de Osteossarcoma pelo Departamento de Pediatria, no período de janeiro de 2000 a julho de 2006. Os dados foram coletados através de uma ficha clínica, que constava registros sócios demográficos e clínicos. Foi realizada a análise descritiva dos dados. Para a associação das variáveis independentes ao comparecimento à consulta, utilizou-se o teste qui-quadrado. Resultados: Dos 52 pacientes analisados, 61,5 % eram do sexo masculino, com mediana de idade de 15 anos e 48,1% procedentes do Estado de São Paulo. Em relação às variáveis clínicas, 59,6% recidivaram e desses recidivados, 58% foram pulmonar. Desses com recidiva pulmonar, 44,4% no momento da recaída apresentavam queixa e não adiantaram a consulta. Não houve associação estatisticamente significativa entre as características demográficas com o comparecimento adiantado à consulta, sendo que os residentes a menos de duas horas do hospital representaram 33,3% e os que residiam há mais de 21horas de viagem 30,8% (p=0,073). Nas consultas em que ocorreram atrasos, 54,5% dos pacientes estavam hospedados em alojamento (p=0, 010). Entre os pacientes, 81,3% dos que adiantaram a consulta apresentavam queixas quando comparados com os que não adiantaram (p=0,005). Dos pacientes que recidivaram, 12,9% compareceram atrasados em alguma consulta, enquanto que os não recidivados,47,6% atrasaram em alguma consulta (p=0,006).Nas consultas em que houve atrasos, 54,5% estavam hospedados em alojamento(p=0,010). Conclusão: Em nossa experiência podemos inferir que a distância não foi fator preponderante para o comparecimento atrasado às consultas e que a maioria dos pacientes que compareceram atrasados à consulta dependiam do alojamento para hospedagem. Verificou-se que os pacientes que adiantaram a consulta apresentavam mais queixas, e estas estavam associadas ao resultado positivo dos exames realizados. Além disso, nos pacientes que recidivaram, aqueles que adiantaram a consulta não apresentaram diferença estatisticamente significativa na sobrevida livre de recidiva / Osteosarcoma, the most common malignant primary bone tumor, with incidence rates, for adolescents between 15 to 19 years old, of 8-11 cases/ million. In Brazil, it is estimated 350 cases/ year until 20 years of age. It has a survival of up to 70% in five years for the non-metastatic ones and a global survival of up to 80%. When they relapse, this survival reaches 20% in one year, and it might reach 40 % in five years. Osteosarcoma patients should be followed up, frequently, with radiologic studies to investigate metastases, for at least five years after the end of treatment, which should be more intensive in the two first years, where most of the relapses occur. Aim: To evaluate the post-treatment follow-up in osteosarcoma patients. Material and methods: A retrospective study carried out at Fundação PioXII Hospital de Câncer de Barretos evaluated 52 osteosarcoma patients who were treated by the Pediatrics Department, between January, 2000 and June, 2006. Data were collected using a clinical file which comprised socio-demographic and clinical data. Results: 52 patients were analyzed, 61,5% were male, the mean age was 15 years old, and 48,1% were from São Paulo State. In regard to the clinical variables, 59,6% of patients relapsed, and from those, 58% have lung relapses. 44,4%of the patients who had lung relapses, presented some kind of complain and did not move up their visits. There was no statistically significant difference between the demographic features and the early attendance to visits, and people who lived less than a two-hour-trip from the hospital represented 33,3% of patients whereas people who lived more than a 21-hour-trip, represented 30,8% (p=0,073). The relapse showed association with late attendance to visit, because 12,9% of relapse patients were late (p=0,006). Among the late patients, 54,5% of them were in housing(p=0,005). Conclusion: In our study, we could infer that distance was not an important factor to late attendance to visits, and most late patients depended on housing to have a place to stay. During follow-up, it was verified that early patients presented more complaints, and those were related to the positive results of the exams. Besides, in relapse patients, those who have moved up their visits, did not present statistically significant difference in the relapse-free survival

Em um movimento iniciado principalmente nos Estados Unidos na década de 90, a governança corporativa surgiu para superar o chamado conflito de agência, decorrente da separação entre a propriedade e a gestão empresarial, criando um conjunto de instrumentos para assegurar que as decisões dos executivos estejam sempre alinhadas com os interesses dos acionistas. Dentre esses mecanismos, destaca-se com grande relevância o gerenciamento de riscos corporativos, que possibilita aos administradores tratar com eficácia as incertezas, bem como as oportunidades a elas associadas, a fim de melhorar a capacidade de agregar valor às organizações. Os esforços de prevenção e tratamento de riscos operacionais geraram boa experiência no gerenciamento de interrupções de atividades essencias das organizações, constituindo a disciplina atualmente denominada como Gestão da Continuidade de Negócios (GCN). No desenvolvimento e promoção de boas práticas de GCN, destacam-se as normas da série 25999, partes 1 e 2, do BSI (British Standards Institution) que tratam, respectivamente, sobre um modelo de ciclo de vida de GCN e de um Sistema de Gestão de Continuidade de Negócios (SGCN). Partindo-se de uma revisão bibliográfica sobre governança corporativa, gestão de riscos, gestão de continuidade de negócios e sistemas de gestão, além da análise do contexto de GCN em uma empresa de telecomunicações, foi desenvolvida uma proposta de estrutura de apoio à implantação de um sistema de gestão de continuidade de negócios aplicada àquela organização e concluiu-se que essa implantação é facilitada devido ao fato de ser concebida a partir do PDCA – Plan, Do, Check, Act, modelo mundialmente conhecido e aplicável a outros sistemas de gestão. Concluiu-se também que o SGCN, além de estabelecido, precisa ser implementado, mantido e melhorado continuamente e, para isso, o patrocínio e o comprometimento da alta direção é muito importante. / In a movement initiated primarily in the United States in the 90s, corporate governance has emerged to overcome the agency conflict resulting from the separation of ownership and management business, creating a powerful set of mechanisms in order to ensure that the behavior of executives is always aligned with the interests of stakeholders. Among these mechanisms, stands out with high importance the business risk management, enabling administrators to deal effectively with the uncertainties and opportunities associated with them in order to improve the ability to provide value to organizations. Efforts to prevent and reduce operational risks introduced good experience in management of interruptions to the critical operations of organizations developing the discipline called Business Continuity Management (BCM). In the development and promotion of best practices GCN, there are the standard series 25999, parts 1 and 2 of the BSI (British Standards Institution) dealing, respectively on a BCM model life cycle and a Business Continuity Management System (SGCN). Starting from a literature review on corporate governance, risk management, business continuity management and management systems, and form the context of GCN in a telecommunications company, has developed a proposed structure to support the implementation of a business continuity management system applied to that organization and found that this deployment is further facilitated by the fact that it is designed from the PDCA – Plan, Do, Check, Act and world-renowned model applicable to other management systems. However, it was felt that the SGCN, and deployed, must be established, improved and maintened continuously and, therefore, sponsorship and commitment from top management is very important.

O objetivo desta tese é analisar o princípio de continuidade e a relação entre os conceitos interesse e esforço à luz da filosofia deweyana no âmbito da educação. Inicialmente buscamos entender o que são princípio e conceito em filosofia. A partir dessa primeira reflexão, adentramos o pensamento de John Dewey, nosso principal referencial teórico. Além de Dewey, buscamos suporte teórico nos filósofos présocráticos Parmênides e Heráclito, em Platão, além de modernos como Rousseau, Kant e Hegel. Inicialmente fizemos um levantamento bibliográfico, onde buscamos, primeiramente, localizar em quais obras Dewey fazia alusão à palavra continuidade, enquanto princípio ou não. Das obras pesquisadas, poucas não faziam qualquer alusão ao princípio de continuidade. No tocante ao dualismo, ainda prevalece na sociedade essa visão dicotômica que tem na filosofia clássica grega sua fundamentação teórica. Sua extensão para a educação é uma consequência. Houve avanços, mas não mudança efetiva. Embora educadores como Dewey mostrem a necessidade de se fundamentar a pedagogia no principio de continuidade, não é isso que acontece; a pedagogia tradicional que está fundamentada no dualismo ainda prevalece. Isto posto, são necessários estudos que possam corroborar esse princípio cada vez mais para uma mudança conceitual da meta que se quer atingir através do processo de ensino e aprendizagem. / The objective of this thesis is to analyze the principle of continuity and the relation between the concepts of interest and effort in light of Deweyan philosophy of education. Initially we seek to understand what are these principles and concepts. From this preliminary analysis, we enter the thinking of John Dewey, our main theoretical reference. In addition to Dewey, we seek theoretical support in the pre- Socratic philosophers Parmenides and Heraclitus, Plato, modern as well as Rousseau, Kant and Hegel. Initially we did a literature review, which we sought, first, find works in which Dewey alluded to the word continuity, as a principle or not. With regard to the dualism still prevails in society dichotomy that in classical Greek philosophy has its theoretical foundation. Its extension to education is a consequence. There has been progress, but not effective change. While educators like Dewey show the need to support the teaching on the principle of continuity, this is not what happens, the traditional pedagogy that is based on dualism still prevails. That means, studies are needed to confirm that this principle increasingly toward a conceptual change the goal we want to achieve through the process of teaching and learning.