Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2018-07-12T21:57:07Z No. of bitstreams: 1 Disserta??o final Tha?s Diniz.pdf: 839997 bytes, checksum: db9b8d68cb03f9f7aabece05f36c61b8 (MD5) / Made available in DSpace on 2018-07-12T21:57:07Z (GMT). No. of bitstreams: 1 Disserta??o final Tha?s Diniz.pdf: 839997 bytes, checksum: db9b8d68cb03f9f7aabece05f36c61b8 (MD5) Previous issue date: 2016-09-20 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Caring for people with drugs problems historically was based on isolation and moral adjustment. In the 20th century, first harm reduction strategies appears as a measure to decrease risks and damage related to abuse use of psychoactive substances. Ministry of Health politics for Integral Attention to Alcohol and other drugs Users introduce as guiding principles: universality, integrality, equity, expanded clinic, crosscutting, deinstitutionalization and harm reduction. This study aims to analyze speeches of health professionals from Center of Psychosocial Attention Alcohol and Drugs (CAPS AD) about Harm reduction. A case study was carried out with nine CAPS AD health professionals. A semi structured interview was used, a systematic observation and a method of speech analysis. Results showed that work organization mode by the multidisciplinary team affects drug user access, reception process and treatment adherence. User control over drug use shows in the participant?s speech as a matter of willpower, presenting shared elements between common sense, especially the conception that treatment depends on the user wish and willpower, supporting the idea that user is designed as the single responsible for the treatment success. The discourse of the professionals evidenced their views on Harm reduction approach, with meanings that are far to advocating the policy, reducing the approach to prevention strategies and minimization of the aggravations related to the management of inputs and forms of use of the substances. Shows up the difficulties of some participants to defines the approach and describe its operationalization, which is added to the statements that refer the absence of their practice in the service, on this is concluded that Harm reduction is not the predominant model of attention in the service. The results also demonstrated that in the speeches of professionals are present elements that reiterate negative stereotypes about drug users and, although socially shared, reverberates negatively in the professional's view. Considering the participation of all professionals in many ways of training, questions about the ideological dimension that interferes in the process of implementation of the Harm reduction, such as the notion that treatment success depends solely on the user, non-tolerance to any form of substance use, and the resistance to own approach. It is therefore necessary investments in activities that had improve learning about alcohol and other drugs, strengthening the aspects of Harm reduction and its operationalization, reverberating in the practices and at the look of the professionals on the drug users and, consequently, in the transformation of the health situation of people with problems related to drug use and abuse. / O cuidado destinado a pessoas com problemas decorrentes do uso de drogas historicamente se baseou no isolamento e corre??o moral. No s?culo XX, surgem as primeiras estrat?gias de Redu??o de danos como medida para minimizar os riscos e danos relacionados ao uso abusivo de subst?ncias psicoativas. A Pol?tica do Minist?rio da Sa?de para a Aten??o Integral a Usu?rios de ?lcool e outras Drogas apresenta como princ?pios norteadores a universalidade, integralidade, equidade, cl?nica ampliada, transversalidade, desinstitucionaliza??o e a Redu??o de danos. Este estudo tem como objetivo analisar os discursos produzidos por profissionais de sa?de de um Centro de Aten??o Psicossocial ?lcool e Drogas (CAPS AD) sobre Redu??o de danos. Realizou-se estudo de caso no qual participaram nove profissionais de sa?de de um CAPS AD. Utilizou-se a entrevista semiestruturada, a observa??o sistem?tica e o m?todo de An?lise do discurso. Os resultados evidenciaram que o modo de organiza??o do trabalho pela equipe multidisciplinar repercute no acesso do usu?rio, no processo de acolhimento e na ades?o ao tratamento. O controle do usu?rio sobre o uso da droga figura no discurso dos participantes como uma quest?o de for?a de vontade, demonstrando que elementos compartilhados pelo senso comum, sobretudo a concep??o de que o tratamento do usu?rio depende de seu desejo e for?a de vontade, est?o presentes no discurso dos profissionais e sustentam uma ideia de que o usu?rio ? o ?nico respons?vel pelo sucesso do seu tratamento. O discurso dos profissionais evidenciou no??es sobre a abordagem de Redu??o de danos, com significados que se distanciam do que preconiza a Pol?tica e reduzem a abordagem ?s estrat?gias de preven??o ao uso de drogas e de minimiza??o dos agravos relacionados ao manejo de insumos e formas de uso das subst?ncias. Destacou-se nos discursos a dificuldade de alguns participantes em definir a abordagem e descrever sua operacionaliza??o, o que se soma ?s falas que referem a aus?ncia dessa pr?tica no cotidiano do servi?o, diante do que se conclui que a Redu??o de danos n?o ? o modelo de aten??o predominante no servi?o. Os resultados demonstraram ainda que nos discursos dos profissionais est?o presentes elementos que reiteram estere?tipos negativos sobre os usu?rios de drogas e, apesar de socialmente compartilhados, repercutem negativamente no olhar do profissional. Considerando a participa??o de todos os profissionais em diversas modalidades de capacita??o, questiona-se acerca de aspectos ideol?gicos que possam interferir no processo de implementa??o da Redu??o de danos, como a no??o de que o sucesso do tratamento depende exclusivamente do usu?rio, a n?o toler?ncia a qualquer forma de uso de subst?ncias, e as resist?ncias ? pr?pria abordagem. ? necess?rio, portanto, investimento em a??es que promovam a educa??o permanente na ?rea de ?lcool e outras drogas, intensificando os aspectos relacionados ? Redu??o de danos e sua operacionaliza??o, reverberando nas pr?ticas e no olhar dos profissionais sobre os usu?rios e, consequentemente, na transforma??o da situa??o de sa?de de pessoas com problemas relacionados ao uso e abuso de drogas.

Made available in DSpace on 2016-07-27T14:21:29Z (GMT). No. of bitstreams: 1 Rosana Carneiro Tavares.pdf: 901998 bytes, checksum: beadfcca665ffc5f7eb47ea8a088281e (MD5) Previous issue date: 2007-12-17 / This work is linked to the Program for Post-graduate Stricto-Sensu of the Catholic University of Goiás, MA in Psychology, and has as an object of study the meanings of the process of Psychiatric Reform for the workers of the Psychosocial Center of Attention (PCA) in Goiania. The survey was developed in a PCA of Goiânia, with the workers of the unit. Three procedures were used to receive the information: desk research; recordings of three meetings of the team, and a focal group with the workers and coordinators. The analysis had as a benchmark the Socio-Historical Theory of Vigotski, which attaches as constitutive of the human condition the ability of social meaning, and understand the meanings as containing the historical experience of several generations, and also the work already undertaken and research on the process of Psychiatric Reform. With the bibliographic lifting became clear that the discussions and reflections refer to the need to transform a model of attention to mental health, as opposed to a traditional model that was established long time ago and that still is hegemonic in the area of health. It marked the need to expand the social space of the person with mental suffering and to understand this process by dialectic inclusion / exclusion. The analysis of the speeches of workers presented contradictory, tense and conflictive meanings. It defined the collisions that emerge from searches for transformation of the model of attention to mental health and made possible the seizure of the nuclei of significance that is marked by confrontations and contradictions in the knowing and making of the Psychiatric Reform. The analysis brought as a point of intersection among all the nuclei of significance seized, the relationships of power that cross the spheres involved in the process of reform. It raises points of weakness of this reform, when presented the confrontation of theoretical guidelines for the processing of the type of attention to mental health with the guidelines of the policy reform, as policy of state, and with the practices in substitutive services. Whereas all collisions are reflections of their own historical and social condition of the subject, the lack of exercise of social participation and heteronomy, there is a discussion on the need to rethink the reform, since the changes, are focused in practice , in the construction of a plan of action for the policy, and shows collisions and conflicts are typical of the exercise of power and domination that the social structures construct. / Este trabalho está vinculado ao Programa de Pós-graduação Stricto-Sensu da Universidade Católica de Goiás, mestrado em Psicologia, e tem como objeto de estudo os significados do processo de Reforma Psiquiátrica para os trabalhadores de Centro de Atenção Psicossocial (CAPS), em Goiânia. A pesquisa foi desenvolvida em um CAPS de Goiânia, com os trabalhadores da unidade. Para o recebimento das informações foram utilizados três procedimentos: pesquisa documental; gravações de três reuniões de equipe; e um grupo focal com os trabalhadores e coordenadores. A análise teve como referencial a Teoria Sócio- Histórica de Vigotski, que atribui como constitutivo da condição humana a capacidade de significação social, e compreende os significados como contendo a experiência histórica de várias gerações; além dos trabalhos e pesquisas já desenvolvidas sobre o processo da Reforma Psiquiátrica. Com o levantamento bibliográfico ficou evidente que as discussões e reflexões remetem à necessidade de transformar um modelo de atenção à saúde mental, em contraposição a um modelo tradicional estabelecido há longa data e ainda hegemônico na área da saúde. Ficou marcada a necessidade de ampliar o espaço social da pessoa com sofrimento psíquico e de compreender este processo pela dialética inclusão/exclusão. A análise das falas dos trabalhadores apresentou significados contraditórios, tensos e conflitivos. Demarcou os embates que emergem das buscas de transformação do modelo de atenção à saúde mental e possibilitou a apreensão de núcleos de significação que estão marcados por confrontações e contradições no saber e fazer da Reforma Psiquiátrica. A análise trouxe como ponto de intersecção, entre todos os núcleos de significação apreendidos, as relações de poder que perpassam as esferas envolvidas no processo da Reforma. Permitiu levantar pontos de fragilidade da Reforma Psiquiátrica, quando apresenta a confrontação das diretrizes teóricas para a transformação do modelo de atenção à saúde mental com as diretrizes políticas da Reforma, como política de Estado; e com as práticas nos serviços substitutivos. Considerando que todos os embates são reflexos da própria condição histórico-social dos sujeitos, da falta de exercício de participação social e de heteronomia, coloca-se em discussão a necessidade de repensar a Reforma, uma vez que as transformações encontram-se focadas na prática, na construção de um plano de ação para a política, e evidencia embates e conflitos, típicos do exercício de poder e dominação que as estruturas sociais constroem.

Submitted by Cláudia Bueno (claudiamoura18@gmail.com) on 2016-03-09T17:44:12Z No. of bitstreams: 2 Dissertação - Adelson Cândido Mesquita - 2015.pdf: 7658590 bytes, checksum: 867da7d107246060393ecd545666f566 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2016-03-10T11:59:04Z (GMT) No. of bitstreams: 2 Dissertação - Adelson Cândido Mesquita - 2015.pdf: 7658590 bytes, checksum: 867da7d107246060393ecd545666f566 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Made available in DSpace on 2016-03-10T11:59:04Z (GMT). No. of bitstreams: 2 Dissertação - Adelson Cândido Mesquita - 2015.pdf: 7658590 bytes, checksum: 867da7d107246060393ecd545666f566 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2015-11-27 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / The proposed dissertation aimed to experimental studies and computational modeling of the behavior of two pile caps, with sockets embedded, subjected to the center load. Models varying the type of conformation of the column and walls of the cup were adopted. This variable was chosen because it was found that for glasses partially embedded blocks with the choice of smooth or rough wall changes significantly the distribution of the flows of compressive stress and tensile thus modifying the strut and tie model using in the design. Thus, through the investigation of this variable, we analyzed the influence of the conformation of the walls connecting the structural behavior of the pile cap. Features such as diameters of piles, pillar dimensions, geometry of the blocks and reinforcement ratio were not considered variables, so that there were no differences in the formation of fields and stress paths. The experimental part of this dissertation was based on the characterization of the materials that make up the parts (concrete and steel), and the construction and testing three two pile caps, one reference (monolith), with rough and connection with smooth connection. Through trials, it was found that the obtained pile cap with rough connection performance equal to 66% of the monolithic pile cap, while pile cap binding obtained with smooth performance of only 36%. In the numerical step, numerical simulations were performed using the ANSYS ® (SYStem Analyser - ANSYS, INC, version 14.0) program, based on the Finite Element Method (FEM). Considered behavior no-linearity of concrete and steel, and the influence of reinforcement in structural behavior of the pile caps. Will also checked the variation of the experimental and theoretical results with the lattice model used in design, beyond the strut and tie model.The proposed dissertation aimed to experimental studies and computational modeling of the behavior of two pile caps, with sockets embedded, subjected to the center load. Models varying the type of conformation of the column and walls of the cup were adopted. This variable was chosen because it was found that for glasses partially embedded blocks with the choice of smooth or rough wall changes significantly the distribution of the flows of compressive stress and tensile thus modifying the strut and tie model using in the design. Thus, through the investigation of this variable, we analyzed the influence of the conformation of the walls connecting the structural behavior of the pile cap. Features such as diameters of piles, pillar dimensions, geometry of the blocks and reinforcement ratio were not considered variables, so that there were no differences in the formation of fields and stress paths. The experimental part of this dissertation was based on the characterization of the materials that make up the parts (concrete and steel), and the construction and testing three two pile caps, one reference (monolith), with rough and connection with smooth connection. Through trials, it was found that the obtained pile cap with rough connection performance equal to 66% of the monolithic pile cap, while pile cap binding obtained with smooth performance of only 36%. In the numerical step, numerical simulations were performed using the ANSYS ® (SYStem Analyser - ANSYS, INC, version 14.0) program, based on the Finite Element Method (FEM). Considered behavior no-linearity of concrete and steel, and the influence of reinforcement in structural behavior of the pile caps. Will also checked the variation of the experimental and theoretical results with the lattice model used in design, beyond the strut and tie model. / O trabalho proposto teve por objetivo os estudos experimental e modelagem computacional, do comportamento de blocos rígidos de concreto armado sobre duas estacas, com cálice parcialmente embutido, submetidos à ação de forças centradas. Foram adotados modelos variando-se o tipo de conformação das paredes dos pilares e do cálice. Essa variável foi escolhida, pois imagina-se que para os blocos com cálices parcialmente embutidos a escolha de parede lisa ou rugosa muda de modo significativo a distribuição dos fluxos de tensões de compressão e tração modificando desta maneira o modelo de biela e tirante empregado no dimensionamento. Sendo assim, por meio da investigação dessa variável, pretendeu-se analisar a influência do tipo de conformação das paredes da ligação provoca sobre o comportamento estrutural do bloco. Características como diâmetros de estacas, dimensões de pilar, geometria dos blocos e taxa de armadura não foram consideradas variáveis, a fim de que não houvesse diferenças na formação dos campos e trajetórias de tensões. A etapa experimental deste trabalho baseou-se pela caracterização dos materiais que compõem às peças (concreto e aço), além da construção e ensaio de 3 conjuntos pilares-blocos de concreto armado, sendo um conjunto usado como referência (bloco monolítico), um conjunto com ligação rugosa e um conjunto com ligação lisa. Através dos ensaios, verificou-se que o conjunto com ligação rugosa obteve desempenho superior a 66% do conjunto monolítico, enquanto que o conjunto com ligação lisa obteve desempenho de apenas 36%. Na etapa de análise computacional, foram realizadas simulações tridimensionais, baseadas no Método dos Elementos Finitos (MEF), utilizando-se o programa ANSYS®, (ANalyser SYStem - ANSYS, INC, versão 14.0). Foi considerado comportamento do material como não-linear, fissuração do concreto e a influência das armaduras no comportamento estrutural dos blocos. Foi verificada também, a variação dos resultados experimentais e teóricos com o modelo de treliça utilizado em projetos, além do modelo de Bielas e Tirantes.

Submitted by Cristiane Chim (cristiane.chim@ucpel.edu.br) on 2018-05-18T12:18:09Z No. of bitstreams: 1 Dulce Pinheiro Berndt.pdf: 1021432 bytes, checksum: e70eaa86e4ffc61764a947edc7b2c079 (MD5) / Made available in DSpace on 2018-05-18T12:18:09Z (GMT). No. of bitstreams: 1 Dulce Pinheiro Berndt.pdf: 1021432 bytes, checksum: e70eaa86e4ffc61764a947edc7b2c079 (MD5) Previous issue date: 2017-12-18 / Esta disertación objetiva identificar las implicaciones que la "alta" de los usuarios del CAPS Escuela, mientras que un proceso de cuidado está trayendo para el movimiento de Reforma Psiquiátrica en Pelotas. El estudio es el resultado de una investigación cualitativa con los profesionales, usuarios y familiares del Centro de Atención Psicosocial (CAPS) Escuela de la ciudad de Pelotas-RS. El trabajo relata cómo la locura era tratada en diversos períodos de la historia, ofrece un panorama general de los desafíos y avances de las Reformas Sanitarias y Psiquiátricas en el ámbito de la Política de Salud brasileña trazando la consolidación del Sistema Único de Salud (SUS) y sus desafíos. Abordo, también, el movimiento de la Reforma Psiquiátrica en Pelotas, y la realidad del CAPS Escuela. Por último, trae los resultados de la investigación realizada problematizando el término "alta", abordando cómo ocurren los procesos de alta, y trayendo las dificultades y potencialidades de ese proceso, se evidencia también la importancia del Grupo Vocal "Los Lokos" en ese proceso de cuidado . Concluyo que pensar la "alta" es pensar el cuidado psicosocial y que, al problematizar este proceso, reforzamos el movimiento de la y por la Reforma Psiquiátrica Brasileña Antimanicomial, ya que podemos apuntar los desafíos y fortalecer sus avances hacia una sociedad sin manicomios. / Esta dissertação objetiva identificar as implicações que a ―alta‖ dos usuários do CAPS Escola, enquanto um processo de cuidado está trazendo para o movimento de Reforma Psiquiátrica em Pelotas. O estudo é resultado de uma pesquisa qualitativa com os profissionais, usuários e familiares do Centro de Atenção Psicossocial (CAPS) Escola da cidade de Pelotas-RS. O trabalho relata como a loucura era tratada em diversos períodos da historia, oferece um panorama geral dos desafios e avanços das Reformas Sanitária e Psiquiátrica no âmbito da Política de Saúde brasileira traçando a consolidação do Sistema Único de Saúde (SUS) e seus desafios. Abordo, também, o movimento da Reforma Psiquiátrica em Pelotas, e a realidade do CAPS Escola. Por fim, traz os resultados da pesquisa realizada problematizando o termo ―alta‖, abordando como ocorrem os processos de alta, e trazendo as dificuldades e potencialidades desse processo, evidencia-se também a importância do Grupo Vocal ―Los Lokos‖ nesse processo de cuidado. Concluo que pensar a ―alta‖ é pensar o cuidado psicossocial e que, ao problematizar este processo, reforçamos o movimento da e pela Reforma Psiquiátrica Brasileira Antimanicomial, visto que podemos apontar os desafios e fortalecer seus avanços rumo a uma sociedade sem manicômios.

This critical review addresses the implications of the Curriculum and Assessment Plan Statement (CAPS) for collaboration between teachers and speech-language therapists (SLTs) in schools. A historical perspective on changes in the roles and responsibilities of SLTs is provided, reflecting a shift from supporting the child to supporting the teacher. Based on the role of SLTs and audiologists in schools, an innovative approach to the support of teachers is conceptualized. The curriculum content and methods support learners who experience challenges and barriers to learning in main stream classrooms. The implementation of the curriculum necessitates close collaboration between teachers and SLTs in order to ensure the best possible outcomes for all learners. This collaboration is reviewed by identifying the benefits of, and barriers to, the process, as well as crucial areas of collaboration. Inclusive education is mandated by White Paper 6, and collaborative support of teachers by SLTs is presented from the learners’ perspective within the context of the curriculum. An example of teacher support through the response to intervention (RTI) approach is described.

This study examines excess risk-adjusted returns generated by mid-cap firms with an average market equity between $2.4 billion and $5.5 billion in 2017. Researchers have heavily studied the small-firm effect since its identification in the early 1980s, leading investors to overweight small-cap securities. Additional investments in the small-cap segment caused the small-cap anomaly to weaken. This study finds that excess returns of small-cap firms compared to mid-cap firms are not statistically significant in the periods 1946 – 2017 and 1982 -2017. However, mid-cap firms generate significantly higher 3-year average returns relative to small and large-cap firms after the initial identification of the small-cap anomaly (1982 – 2017). Further, mid-cap securities generate a higher risk-adjusted return after the small-cap anomaly was identified. This study hypothesizes the mid-cap anomaly results from greater growth potential for mid-caps relative to large-caps while still being large enough to weather economic storms. This study also hypothesizes that non-size related factors have the largest impact on the mid-cap segment. The results support the existence of a mid-cap anomaly; however, the results suggest the anomaly is not a result of the growth potential of firms within the segment. Additionally, the results suggest non-size related factors such as book-to-market and operating profitability have the smallest impact on mid-cap securities. Therefore, this study concludes excess returns generated by mid-cap securities represent a true anomaly that is not dependent upon non-size related factors.

Orientador: Luis Carlos Paschoarelli / Resumo: A interação ‘homem-objeto’ é um tema de grande interesse para a prática do Design e da Ergonomia, visto que trata tanto de aspectos físicos quanto de aspectos de percepção. O presente estudo teve por objetivo realizar uma avaliação com atividades simuladas para verificar se a forma e a cor das embalagens influenciam os aspectos perceptivos da usabilidade e a transmissão de força de preensão manual. Foram realizados seis experimentos envolvendo 120 sujeitos brasileiros e 120 sujeitos portugueses, igualmente divididos entre jovens, adultos e idosos; e entre homens e mulheres. Os procedimentos metodológicos foram fundamentados em raciocínio indutivo, caracterizados por um estudo transversal com experimentação laboratorial. Foram avaliadas 5 embalagens de água mineral 500ml no Brasil e outras 5 embalagens com características semelhantes em Portugal. Os resultados apontam que o dispêndio de maior tempo para realização de uma tarefa, nem sempre, implica em menor satisfação dos usuários. Os materiais mais rígidos foram relacionados a uma melhor qualidade dos produtos. A presença de cintura nas embalagens foi um fator positivo, no entanto ela não pode estar abaixo do centro. A tampa muito baixa esteve relacionada à maior dificuldade de uso. A eficiência dos idosos foi significativamente menor em todos os casos. Diferentes diâmetros não influenciam o ato de despejo, porém influenciam diretamente a percepção quanto à facilidade de realização da tarefa. Os fatores determinantes para o p... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The 'man-object' interaction is a subject of great interest for the practice of Design and Ergonomics, as it deals with both physical and perceptual aspects. The main objective of the present study was to carry out an evaluation with simulated activities to verify if the shape and color of the packages influence the perceptual aspects of the usability and the transmission of manual gripping force. Six experiments were carried out involving 120 Brazilian and 120 Portuguese subjects, equally divided among youth, adults and elderly; and between men and women. The methodological procedures were based on inductive reasoning, characterized by a cross-sectional study with laboratory experimentation. Five packages were selected for the test in Brazil and another 5 packages with similar features for the test in Portugal. The results indicate that the expenditure of more time to perform a task, not always, implies a lower user satisfaction. The more rigid materials were related to a better product quality. The presence of a curved area in the packaging was a positive factor, however it cannot be below the center. The very low cap was related to the greater difficulty of use. The efficiency of the elderly was significantly lower in all cases. Different diameters do not influence the pouring act, but directly influence the perception regarding the ease of accomplishment of the task. The determining factors for the positioning of the hands were the center of mass and the shape of the prod... (Complete abstract click electronic access below) / Doutor

Made available in DSpace on 2016-06-02T20:45:42Z (GMT). No. of bitstreams: 1 6639.pdf: 1822615 bytes, checksum: 173f92b21699ea3c0b7305de829736f1 (MD5) Previous issue date: 2014-12-02 / This research aimed at investigating the device called " overnight-stay " in moment of crisis the user of alcohol and other drugs , in the context of a Psychosocial Care Center Alcohol and Drugs 24 ( CAPS ad III ) , in Campinas SP . It was intended to characterize the users who occupied overnight-stay according to demographic data, data on the use of psychoactive substances, data relating to the commencement CAPSad III as well as characterize the bed occupancy rates and indications of the team for their use. This is a descriptive cross-sectional study (April / 2012 to March / 2013), using research roadmap and documentary record data from four sources: medical records, insertion records in overnight-stay, books and bank shift changes data team. As a complementary source of information we used interview with service managers. Data were organized and analyzed from a computerized database using the Excel program. The research pointed out that the bed night shelter was occupied by 167 users 315 times, most males (77,25%), single (46,11%), aged between 31 and 40 (36,53%), incomplete elementary education (40,12%), unemployed (51,50%) and living with a family member (50,30%) . The demand for treatment was mainly due to the use of multiple drugs (53, 89%), especially if alcohol linked to another substance, followed by the exclusive use of alcohol (39,52%). Most cases (81,43%) had a comorbidity, particularly psychiatric (51,23 %). The length of enrollment in CAPSadII patients for 6 months (36,53%) and equipment for emergency care were the services most have referred users (30,43%). Among the indications for insertion into overnight-stay, include the promotion of abstinence (34, 85%), psychiatric stabilization (21,08%) and the need for protected environment (20,64%). Changes in mental examination were significant (66, 67%), especially mood changes (29, 97%) and insomnia (22, 67%). Significant portions of users were on the streets (34,13%) which requires other joints and need of supporting this vulnerable population. The logic of overnight-stay occupancy rates and indications of the team for their use were characterized. The overnightstay in CAPSad III , is seen as an opportunity to expand attention to the crisis the user of alcohol and other drugs in the anti-asylum logic , as they allow the regulation and care of the team. His newly deployment within the network of care to the user of alcohol and other drugs brings relevance to this investigation given the fact that it can contribute to a better understanding and characterization as well as for actiong planning. / Esta pesquisa teve como objeto de investigação o dispositivo denominado leito de acolhimento noturno" na atenção à crise ao usuário de álcool e outras drogas, no contexto de um Centro de Atenção Psicossocial álcool e drogas 24h (CAPS ad III), no município de Campinas-SP. Pretendeu-se caracterizar os usuários que ocuparam o leito de acolhimento noturno segundo dados sociodemográficos, dados referentes ao uso de substâncias psicoativas, dados relativos à vinculação ao CAPSad III assim como caracterizar a ocupação dos leitos e as indicações da equipe para a sua utilização. Trata-se de um estudo descritivo de corte transversal (abril/2012 a março/2013), que em sua investigação utilizou dados de quatro fontes: prontuários, fichas de inserção no leito, livros de passagem de plantão e banco de dados da equipe. Os dados foram organizados e analisados a partir de um banco de dados informatizado utilizando o programa Excel. A análise indicou que o leito de acolhimento noturno foi ocupado 315 vezes por 167 usuários, sendo a maioria do gênero masculino (77,25%), solteiros (46,11%), faixa etária entre 31 e 40 anos (36,53%), ensino fundamental incompleto (40,12%), desempregados (51,50%) e moravam com algum familiar (50,30%). A procura pelo tratamento aconteceu principalmente devido ao uso de múltiplas drogas (53,89%), destacando-se o álcool associado à outra substância, seguido do uso exclusivo do álcool (39,52%). A maior parte dos casos (81,43%) apresentou alguma comorbidade, principalmente psiquiátrica (51,23%). O tempo de cadastro no CAPSadII foi de até 6 meses (36,53%) e os equipamentos de urgência e emergência foram os serviços que mais referenciaram os usuários (30,43%). Dentre as indicações para inserção no leito de acolhimento noturno destacam-se a promoção de abstinência (34,85%), estabilização psiquiátrica (21,08%) e a necessidade de ambiente protegido (20,64%). As alterações no exame psíquico foram significativas (66,67%), em especial as alterações de humor (29,97%) e insônia (22,67%). Destaca-se que 34,13% dos usuários estava em situação de rua, o que demanda outras articulações e necessidade de apoio a essa população vulnerável. A lógica de ocupação dos leitos e as indicações da equipe para a sua utilização foram caracterizadas. Os leitos de acolhimento noturno em CAPSad III são vistos enquanto possibilidades de ampliar a atenção à crise ao usuário de álcool e outras drogas na direção da integralidade do cuidado e autonomia da equipe. Sua recém implantação dentro da rede de cuidados ao usuário de álcool e outras drogas traz relevância para esta investigação tendo em vista que pode contribuir para um maior conhecimento e caracterização do serviço assim como no planejamento de ações.

O uso abusivo de álcool e drogas na adolescência acarreta graves consequências no desenvolvimento físico, psicológico e social. Os profissionais de saúde necessitam informações que possam ser úteis na elaboração de estratégias preventivas e terapêuticas mais eficazes. O objetivo do presente estudo foi traçar o perfil dos adolescentes em tratamento no CAPS AD do município de Bagé/RS, a partir de indicadores psicossociais que podem estar associados ao consumo de álcool e outras drogas. Os participantes foram os adolescentes com idades de 12 a 17, que frequentam o referido CAPS AD. Foram utilizados uma ficha sociodemográfica e os testes DUSI (Drug Use Screening Inventory) e IHSA (Inventário de Habilidades Sociais). As análises estatísticas descritivas e inferenciais foram feitas por meio do SPSS (versão 21). Dentre os principais resultados, destaca-se que os adolescentes atendidos no Ambulatório são, em sua maioria do sexo masculino; tem em média 15 anos e meio; na sua maioria moram com o pai e/ou mãe; apresentam diversos fatores de risco na família; são estudantes com defasagem escolar; tem amigos e apresentam um bom repertório de habilidades sociais; fazem uso elevado de tabaco e tem como droga preferida a maconha. / Drugs and alcohol abuse in adolescence leads to serious consequences in physical, psychological and social development. Healthcare professionals need information which might be useful in preparing more effective therapeutic and preventive strategies. This study aims to describe the profile of teenagers under treatment at CAPS AD in the city of Bagé, RS, based on psychosocial indicators which might be associated to alcohol and drugs consumption. The subjects in this study were 12 - to 17 -year old teenagers who attend the aforesaid CAPS AD. In order to do so, a socio-demographic record as well as DUSI (Drug Use Screening Inventory) and IHSA (Social Skills Inventory) were used. The descriptive and inferential statistics analyses were carried out through SPSS (version 21). Among the main results, the study showed that most teenagers attended to at the medical clinic are male; around 15 years of age; mosly live with the father and/or mother; show several risk factors in the family; lag behind at school; have friends and have a good repertory of social skills; are heavy smokers and their preferred drug is marijuana.

Satellite altimetry has been traditionally used in the past few decades to measure elevation of land ice, quantify changes in ice topography and infer the mass balance of large and remote areas such as the Greenland and Antarctic ice sheets. Radar altimetry is particularly well suited to this task due to its all-weather year-round capability of observing the ice surface. However, monitoring of ice caps and ice fields - bodies of ice with areas typically smaller than ~ 10,000 km2 - has proven more challenging. The large footprint of a conventional radar altimeter and coarse ground track coverage are less suited to observing comparatively small regions with complex topography. Since 2010, the European Space Agency’s CryoSat-2 satellite has been collecting ice elevation measurements over ice caps and ice fields with its novel radar altimeter. CryoSat-2’s smaller inter-track spacing provides higher density of observations compared to previous satellite altimeters. Additionally, it generates more accurate measurements because (i) the footprint size is reduced in the along-track direction by means of synthetic aperture radar processing and (ii) interferometry allows to precisely locate the the across-track angle of arrival of a reflection from the surface. Furthermore, the interferometric capabilities of CryoSat-2 allow for the processing of the delayed surface reflections after the first echo. When applied over a sloping surface, this procedure generates a swath of elevations a few km wide compared to the conventional approach returning a single elevation. In this thesis, swath processing of CryoSat-2 interferometric data is exploited to generate topographic data over ice caps and ice fields. The dense elevation field is then used to compute maps of elevation change rates at sub-kilometer resolution with the aim of quantifying ice volume change and mass balance. A number of algorithms have been developed in this work, partly or entirely, to form a complete processing chain from generating the elevation field to calculating volume and mass change. These algorithms are discussed in detail before presenting the results obtained in two selected regions: Iceland and Patagonia. Over Icelandic ice caps, the high-resolution mapping reveals complex surface elevation changes, related to climate, ice dynamics and sub-glacial, geothermal and magmatic processes. The mass balance of each of the six largest ice caps (90% of Iceland’s permanent ice cover) is calculated independently for the first time using spaceborne radar altimetry data. Between October 2010 and September 2015 Icelandic ice caps have lost a total of 5.8± 0.7 Gt a ̄1, contributing 0.016± 0.002 mm a ̄1 to eustatic sea level rise. This estimate indicates that over this period the mass balance was 40% less negative than the preceding 15 years, a fact which partly reflects the anomalous positive balance year across the Vatnaj ̈okull ice cap (~ 70% of the glaciated area) in 2014/15. Furthermore, it is demonstrated how swath processing of CryoSat-2 interferometric data allows the monitoring of glaciological processes at the catchment scale. Comparison of the geodetic estimates of mass balance against those based on in situ data shows good agreement. The thesis then investigates surface elevation change on the Northern and Southern Patagonian Ice Fields to quantify their mass balance. This area is characterized by some of the fastest flowing glaciers in the world, displaying complex interactions with the proglacial environments (including marine fjords and freshwater lakes) they often drain into. Field observations are sparse due to the inaccessibility of these ice fields and even remotely sensed data are limited, often tied to comparisons to the topography in 2000 as measured by the Shuttle Radar Topography Mission. Despite gaps in the spatial coverage, in particular due to the complex topography, CryoSat-2 swath radar altimetry provides insight into the patterns of change on the ice fields in the most recent period (2011 to 2017) and allows to independently calculate the mass balance of glaciers or catchments as small as 300 km2. The northern part of the Southern Patagonian ice field displays the strongest losses due to a combination between ice dynamics and warming temperatures. In contrast Pio XI, the largest glacier on this ice field and in South America, is advancing and gaining mass. Between April 2011 and march 2017, the two ice fields combined have lost an average of 21.29± 1.98 Gt a ̄1 (equivalent to 0.059± 0.005 mm a ̄1 eustatic sea level rise), 24% and 42% more negative when compared to the periods 2000-2012/14 and 1975-2000. In particular the Northern Patagonian ice field, responsible for one third of the mass loss, is losing mass 70% faster compared to the first decade of the 21st century. These results confirm the overall strong mass loss of the Patagonian ice fields, second only to glaciers and ice caps in Alaska and the Canadian Arctic, and higher than High Mountain Asia, which all extend over areas ~ 5-8 times larger (excluding glaciers at the periphery of the Greenland and Antarctic ice sheets).