O presente estudo teve como objetivo geral analisar as experiências dos profissionais de saúde da estratégia saúde da família (ESF) para o acompanhamento de crianças menores de cinco anos de idade com asma, na perspectiva do cuidado integral à saúde, fornecendo subsídios para a atenção primária em saúde da criança. Os objetivos específicos foram: descrever o perfil sociodemográfico dos profissionais na estratégia saúde da família nas unidades investigadas; descrever os sinais e sintomas, as medidas preventivas e promocionais e o tratamento relacionado à asma em crianças que os profissionais de saúde relatam na ESF; identificar e analisar as experiências dos profissionais de saúde no acompanhamento da saúde de crianças menores de cinco anos de idade com asma no contexto da ESF, na perspectiva do cuidado integral em saúde. Estudo descritivo e exploratório com análise qualitativa dos dados, desenvolvido em Ribeirão Preto-SP, em quatro unidades com ESF, selecionadas com base no número de crianças até cinco anos de idade cadastradas e em acompanhamento, a partir de dados do Sistema de Informação da Atenção Básica. Os participantes foram 25 profissionais de saúde (médicos, enfermeiros, auxiliares e técnicos de enfermagem e agentes comunitários de saúde), que estavam trabalhando nas unidades há pelo menos um ano, após aprovação em comitê de ética em pesquisa. Foram realizadas entrevistas semiestruturadas gravadas e individuais e a análise dos dados foi pautada na análise temática. Os resultados trazem aspectos relevantes sobre o acompanhamento da saúde da criança, destacando elementos da organização da assistência à criança na ESF, do tratamento medicamentoso e não medicamentoso, do seguimento especializado e das relações com a família no cuidado cotidiano da criança com asma. No cuidado em saúde o diálogo é fundamental, com construção da empatia, confiança, vínculo e co-responsabilidade entre os profissionais e as mães e famílias, buscando o alcance da adesão, um tratamento eficaz, a promoção da saúde e qualidade de vida da criança e sua família. Assim, são muito importantes as ações de promoção, prevenção, tratamento e reabilitação da saúde da criança, centradas na continuidade e integralidade da assistência. / This study aimed to analyze the experiences of health professionals from the Family Health Strategy (FHS) regarding the monitoring of children under five years old with asthma from the perspective of comprehensive health care, providing support for children\'s primary health care. The specific objectives were: to describe the sociodemographic profile of professionals in family health strategy in the units investigated; to describe the signs and symptoms, preventive and promotional measures and treatment related to asthma in children that health professionals report in the family health strategy; to identify and analyze the experiences of health professionals in monitoring the health of children under five years old with asthma in the context of the family health strategy from the perspective of comprehensive health care. This descriptive and exploratory study with qualitative data analysis was developed in the city of Ribeirão Preto, state of São Paulo, in four Family Health Strategy Units, selected based on the number of children under five years old registered and monitored from data Information System of Primary Care. Participants were 25 health professionals (physicians, nurses, nursing auxiliaries and technicians and community health workers) who were working in the units for at least one year, after the approval by the research ethics committee. Individual semi-structured interviews were conducted and recorded and data analysis was based on thematic analysis. The results bring up relevant issues on children\'s health, highlighting elements of the organization of health care in the FHS, of the drug and non-drug treatment, of the specialized follow-up, and of the relations with the family in the daily care of children with asthma. In health care the dialogue is essential in building empathy, trust, bonding and co-responsibility between professionals and mothers and families, aiming the adhesion, an effective treatment, the health promotion and quality of life of the children and their family. Thus, actions in health promotion, prevention, treatment and rehabilitation of child are very important, focusing on continuity and comprehensive care.

Le littoral algérien est caractérisé par une grande richesse en ressources naturelles et offre d’importantes potentialités économiques. Néanmoins, cette portion du territoire est victime de son succès et se trouve confrontée, par conséquent, à une multitude de problèmes tels que la surexploitation de ses ressources amplifiés par une urbanisation massive qui s'accélère de plus en plus mais également par une pollution et une dégradation des zones côtières. Afin de répondre au mieux aux nombreuses incohérences résultant de ces divers problèmes qui frappent le littoral algérien, l’État doit veiller à mettre en place les mesures nécessaires pour trouver un juste équilibre entre l’utilisation de cet espace et sa préservation. L’analyse approfondie du dispositif institutionnel et législatif mis en place par les pouvoirs publics algériens démontre qu’il y a une réelle insuffisance en matière de gouvernance côtière et que les textes juridiques sont lacunaires en ce qui concerne la préservation et l’aménagement du littoral. Le principal défi de l’État est de pallier ces carences en mettant en place une politique de gestion intégrée et globale du littoral qui en permettrait un développement équilibré et durable / The Algerian coastline is characterized by rich natural resources which offer important economic potential. Nonetheless, this part of the country finds itself victim of its own success and have to face a multitude of problems, especially the over-exploitation of its resources which have been amplified by a massive urbanization that is accelerated more and more, but also by pollution and a deterioration of the coastal areas. Moreover, and to best answer the numerous incoherencies that result from these multiple problems that hit the Algerian coastline, the state has to take necessary measures to find a right balance between the use of this space and its preservation. The thorough analysis of the institutional and legal framework put in place by the Algerian public authorities, proves the existence of a real inadequacy in terms of coastal governance, as well as incomplete judicial texts with regards to coastal preservation and development. The primary challenge of the government is to redress these shortcomings, by putting in place an integrated and global management policy of the coast that will allow a balanced and sustained development of this space

The use of ERP systems in brazilian public organizations represents a change in operating procedures quite significant and is the result of the worldwide movement "New Public Management" or "New Public Management", occurred from the 1980s, the government pricipalmente U.S. administrations , Great Britain and Sweden. The main feature of this movement is the adoption by government organizations of information and communication technologies (ICT) and operational technologies already tested as efficient from the private organizations. The ERP system arises in the early 1990s, released by the German company SAP, founded in 1972, with the R / 2 and R / 3 products, becoming a leader in this segment, becoming the product of information technology used by most large public and private organizations worldwide. The implementation of this type of information technology in organizations has as consequence the beginning of a state of organizational change, where all the people involved, planters, managers and operators get the reflexes arising from the adoption of new technology. In public organizations, especially in Brazilian IFES, there are few studies on the investigation of these reflections, which can be both difficult as benefits to be enjoyed by people. The aim of this study is to describe the implementation of an ERP system in a Brazilian IFES through the study of the life cycle of this system along with the difficulties and possible benefits of adopting this emerging information technology. / A utilização de sistemas ERP em organizações públicas brasileiras representa uma mudança de procedimentos operacionais bastante significativa e é fruto do movimento mundial "New Public Management" ou " Nova Administração Pública", ocorrido a partir dos anos de 1980, pricipalmente nas administrações governamentais dos Estados Unidos, Grã-Bretanha e Suécia. A principal característica deste movimento é a adoção pelas organizações governamentais de tecnologias da informação e comunicação (TIC) e tecnologias operacionais já testadas como eficientes provenientes das organizações privadas. O sistema ERP surge no início dos anos 1990, lançado pela empresa alemã SAP, fundada em 1972, com o produtos R/2 e R/3, tornando-se líder neste segmento, tornando-se o produto de tecnologia da informação mais utilizado pelas grandes organizações públicas e privadas em todo o mundo. A implantação deste tipo de tecnologia da informação nas organizações tem como consequencia o início de um estado de mudança organizacional, onde todas as pessoas envolvidas, implantadores, gerentes e operadores recebem os reflexos provenientes da adoção da nova tecnologia. Nas organizações públicas, sobretudo nas IFES brasileiras, ainda existem poucos estudos relativos à investigação destes reflexos, que tanto podem ser dificuldades como benefícios a serem usufruídos pelas pessoas. O objetivo deste estudo é descrever a implantação de um sistema ERP em uma IFES brasileira através do estudo do ciclo de vida deste sistema juntamente com as dificuldades e os benefícios possivelmente emergentes da adoção desta tecnologia da informação.

Объект исследования – система менеджмента безопасности труда и охраны здоровья АО «ИРМ». Цель данной работы является актуализация документации интегрированной системы менеджмента в соответствие с требованиями международного стандарта ISO 45001:2018. Методология проведения исследования – в работе использованы такие методы, как: изучение СМИ и литературы, анализ данных от предприятия, сравнение. Полученные результаты и их новизна – в работе раскрыта актуальная на сегодняшний день тема перехода предприятия на стандарт ISO 45001:2018. Новая версия стандарта была опубликована не так давно и вопрос перехода на новый стандарт является насущным для многих предприятий. В дипломной работе произведен сравнительный анализ прошлой и настоящей версии стандартов ISO 45001 и OHSAS 18001, что позволяет оценить предприятию возможные изменения в системе менеджмента безопасности труда и охраны здоровья. Область применения – при сертификации или ресертификации на стандарт ISO 45001:2018. Значимость работы – теоретическое и практические вопросы, исследуемые в работе, являются значимыми, так как затрагивают актуальную тему перехода на ISO 45001:2018. / The object of study is the management system for labor safety and health protection of JSC INM. The purpose of this work is to update the documentation of the integrated management system in accordance with the requirements of the international standard ISO 45001:2018. The methodology of the study – the methods used are: the study of the media and literature, analysis of data from the enterprise, comparison. The results obtained and their novelty – the topic of the enterprise’s transition to the ISO 45001: 2018 standard is disclosed in the current work. A new version of the standard was published not so long ago and the issue of transition to a new standard is urgent for many enterprises. In the thesis, a comparative analysis of the past and present versions of the ISO 45001 and OHSAS 18001 standards is made, which allows the company to evaluate possible changes in the system of labor safety management and health protection. Scope – in the certification or recertification to the standard ISO 45001: 2018. Significance of the work – theoretical and practical issues studied in the work are significant, as they touch on the current topic of the transition to ISO 45001: 2018.

No description available.

No description available.

In the summer of 2007, a single neighbourhood in downtown Toronto contributed at least 13 percent of all residential grid???tie solar photovoltaic (PV) systems sold in the Canadian province of Ontario. On average, PV purchaser households produced 37 percent as much electricity as they consumed. This research investigates solar energy adoption in a community case study. Specifically, it investigates why some residents who sign up for a solar resource assessment through a community solar energy initiative (CSEI) decide to purchase, and others decide not to purchase in the short???term. Characteristics and perceptions of potential adopters are analyzed to better understand their motivations and barriers to adoption. Community energy projects became an official public policy goal in Ontario, with the passing of the Green Energy and Green Economy Act in 2009. Approximately 80 percent of Ontario???s anticipated generation capacity will need to be built, replaced or refurbished within 15 years. In this context, the Ontario Ministry of Energy, Ontario Power Authority, and Deloitte (one of Canada???s leading professional services firms), have partnered with a ???green benefit??? fund, the Community Power Fund, to help local community groups access resources to develop and establish renewable energy projects. Understanding solar energy adoption in a community context is therefore important to improve the effectiveness of such policies, including the disbursement of multi???million dollar grant funds. Differences between purchasers and non???purchasers in respect of adoption behaviour were found in this study to cluster around two general themes. The first theme concerns differences in compatibility of both the concept of solar energy systems, and their physical attributes, with characteristics of potential adopter households. Some compatibility issues are straightforward, e.g. availability of roof space with a southern orientation. Others are more complex, involving several interrelated perceptual and socio???demographic factors. For instance, while both purchasers and non???purchasers rated cost as a very important barrier, purchasers rated the motivation of solar energy systems to reduce climate change higher relative to the barrier of high financial costs than did non???purchasers. Purchasers were also more likely to possess a graduate degree, while non???purchasers were more likely to hold a professional degree. The second general theme relates to potential adopters??? trust and stake in the ability of the community???based initiative to reduce barriers in the adoption process. Since two types of solar energy systems are considered in the case study???PV and thermal (hot water)???differences are explored between each of three respondent groups: solar PV purchasers, solar hot water (SHW) purchasers, and non???purchasers. iv Surveys were used to gather data on adopter perceptions and characteristics. A participatory research design helped identify the research topic. Two main bodies of literature???community???based social marketing (CBSM) and diffusion of innovations theory???were drawn upon to conceptualize the adoption process and interpret the survey findings. These include five models of human behaviour that can be used to guide the design of CBSM campaigns. Diffusion theory was used as a basis for discussing ???perceived innovation attributes???. The study takes an integrated approach by considering both social and technical aspects of solar energy adoption, together with the issues of fuel substitution and household electricity demand.