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A atua??o dos consult?rios na rua (CnaR) e a aten??o ? sa?de da popula??o em situa??o de ruaMatos, Anna Carolina Vidal 12 July 2016 (has links)
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Previous issue date: 2016-07-12 / A presente pesquisa tomou como refer?ncia a popula??o em situa??o de rua como uma manifesta??o da quest?o social, o que implica um fen?meno gerado a partir de condi??es hist?ricas, com a media??o de aspectos sociais, econ?micos e pol?ticos. Em consequ?ncia da organiza??o e das lutas do Movimento Nacional da Popula??o de Rua, atualmente, no Brasil, tal fen?meno ? abordado pelo Estado como uma quest?o transversal a v?rias ?reas da gest?o p?blica. Assim, em 2011, surge a Pol?tica Nacional Para a Popula??o em Situa??o de Rua, em que foram criados os Consult?rios na Rua (CnaR). Estes s?o equipamentos da aten??o b?sica voltados para a preven??o e promo??o de sa?de junto ? popula??o em situa??o de rua. Nessa dire??o, esta pesquisa visou a entender a atua??o dos profissionais dos CnaR no munic?pio do Natal/RN. O objetivo geral foi analisar a atua??o das equipes do CnaR frente ?s demandas e necessidades de sa?de da popula??o em situa??o de rua do munic?pio de Natal/RN. De forma mais espec?fica, pretendeu-se caracterizar as pr?ticas dos profissionais do CnaR; problematizar os limites e as potencialidades desse equipamento na sua rela??o com a rede de sa?de e com a intersetorialidade; e discutir como se d? o acesso ao cuidado integral ? sa?de da popula??o em situa??o de rua, por meio das pr?ticas do CnaR. Assim, foram feitas entrevistas semiestruturadas com os profissionais das equipes e, concomitantemente, observa??o participante e registros em di?rios de campo a partir do acompanhamento de uma das equipes. Em Natal/RN, existem tr?s equipes do CnaR, localizadas em duas regi?es da cidade, sendo elas compostas por 19 profissionais e um coordenador. Participaram das entrevistas 17 profissionais. Foi constatado que as demandas que chegam para as equipes s?o bastante diversificadas, mas ligadas ao perfil de desassist?ncia e nega??o de direitos caracter?stico dessa popula??o, o que exige uma educa??o cr?tica e permanente acerca do fen?meno, algo que foi visto como incipiente. Al?m disso, o trabalho dos profissionais se d? na dire??o das pr?ticas voltadas para a inser??o dos usu?rios na rede de sa?de, como o matriciamento, e no atendimento ?s demandas apresentadas no campo ? e essas ?ltimas acabam sendo priorizadas por seu volume. A dificuldade de articula??o com outros servi?os da rede emergiu como uma das mais marcantes da atua??o e, junto com o excesso de atividades, foi apresentada como limite para a efetiva inser??o dos usu?rios na rede. Constatou-se tamb?m que h? uma necessidade de estimular a articula??o com parceiros centrais como o NASF e o MNPR. Por fim, ? importante ressaltar que entender as pr?ticas dos CnaR permite ampliar o entendimento da constru??o das pol?ticas sociais para a popula??o em situa??o de rua, diminuir a invisibilidade e promover a constru??o de possibilidade de uma transforma??o na realidade desse p?blico. / This research took people under street condition as a manifestation of the Social Issue, implying a phenomenon generated from historical conditions, with the mediation of social, economic and political aspects. As a result of the organization and the struggles of the National Movement of People Under Street Condition, currently in Brazil this phenomenon is addressed by the State as a transversal issue for various areas of public administration. Thus, in 2011, arises the National Policy to the Population under Street Condition, from which the Street Clinics were created (CnaR). These are equipments of Primary Care focused on prevention and health promotion among the people under street condition. In this sense, this research aimed to understand the work of CnaR professionals in the city of Natal/RN. The general objective was to analyze the practices of CnaR teams toward the demands and health needs of the people under street condition of Natal/RN. More specifically, it sought to characterize the practices of CNAR professionals; problematize the limits and potential of this equipment in their relationship with the health network and the intersectorality and; discuss how the access to full health care of the population people under street condition takes place through CnaR practices. Aiming these objectives, semi-structured interviews were conducted with professional teams and, concomitantly, participant observation and records in field diaries from the observations of one of the teams. There are three teams CnaR in Natal/RN, located in two areas of the city, composed of 19 professionals and a coordinator. Seventeen professionals participated in the interviews. It was found that the demands that come to the teams are quite diverse, but related to lack of assistance profile and denial of rights that characterizes this population, which requires a critical and permanent education about the phenomenon, which was seen as incipient. Moreover, the work of professionals takes place in the direction of practices aiming the integration of users in the health system, such as matrx support, and facing immediate demands in the field, and the latter end up being prioritized because its volume. Integration with other network services has emerged as one of the most outstanding difficulties for the practices and, along with excess of activity, was presented as limitation for the effective integration of users in the network. It was also found that there is a need to encourage cooperation with main partners as NASF and MNPR. Finally, it is important to highlight that the understanding of the practices of CnaR allows greater understanding of the construction of social policies for the people under street condition, reduces the invisibility and promote the construction of the possibility of a change in the reality of this public.
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De la consultation des peuples autochtones : structure institutionnelle d'un dialogue appelé à renouveler la notion des droits ancestraux : essai fondé sur la jurisprudence de la Cour suprême du Canada (1984-2004) et la théorie du droitBoisselle, Andrée 08 1900 (has links)
Le présent mémoire est consacré à l'étude de l'obligation faite à l'État canadien de
consulter les autochtones lorsqu'il envisage de prendre des mesures portant atteinte à leurs
droits et intérêts. On s'y interroge sur le sens que peut avoir cette obligation, si elle n'inclut
pas celle de s'entendre avec les autochtones. Notre étude retrace d'abord l'évolution de
l'obligation de consulter dans la jurisprudence de la Cour suprême du Canada, pour se
pencher ensuite sur l'élaboration d'un modèle théorique du processus consultatif.
En observant la manière dont la jurisprudence relative aux droits ancestraux a donné
naissance à l'obligation de consulter, on constate que c'est en s'approchant au plus près de
l'idée d'autonomie gouvernementale autochtone - soit en définissant le titre ancestral, droit
autochtone à la terre elle-même - que la Cour a senti le besoin de développer la
consultation en tant que véritable outil de dialogue entre l'État et les Premières nations. Or,
pour assurer la participation réelle des parties au processus de consultation, la Cour a
ensuite dû balancer leur rapport de forces, ce qu'elle a fait en admettant le manque de
légitimité du pouvoir étatique sur les autochtones. C'est ainsi qu'après avoir donné
naissance au processus de consultation, la jurisprudence relative aux droits ancestraux
pourrait à son tour être modifiée substantiellement par son entremise. En effet, l'égalité
qu'il commande remet en question l'approche culturaliste de la Cour aux droits ancestraux,
et pourrait l'amener à refonder ces droits dans le principe plus égalitaire de continuité des
ordres juridiques autochtones. Contrairement à l'approche culturaliste actuelle, ce principe
fait place à la reconnaissance juridique de l'autonomie gouvernementale autochtone.
La logique interne égalitaire du processus de consultation ayant ainsi été exposée, elle fait
ensuite l'objet d'une plus ample analyse. On se demande d'abord comment concevoir cette
logique sur le plan théorique. Ceci exige d'ancrer la consultation, en tant qu'institution
juridique, dans une certaine vision du droit. Nous adoptons ici celle de Lon Fuller, riche de
sens pour nos fins. Puis, nous explicitons les principes structurants du processus consultatif.
Il appert de cette réflexion que l'effectivité de la consultation dépend de la qualité du
dialogue qu'elle engendre entre les parties. Si elle respecte sa morale inhérente, la
consultation peut générer une relation morale unique entre les autochtones et l'État
canadien. Cette relation de reconnaissance mutuelle est une relation de don. / In this essay, we study the Canadian State's duty to consult Aboriginal peoples when it
purports to infringe on their rights and interests. We start with the following question:
What meaning, if any, does the duty to consult have, if it does not include a duty to reach a
consensus ? Our study is divided in two parts. First, we trace the evolution of the duty to
consult in the decisions of the Supreme Court of Canada. Secondly, we discuss a theoretical
model for the consultation process.
Our study of the genesis and subsequent evolution of the duty to consult reveals that this
duty gains some ambit when the Court is called upon to define the notion of aboriginal title
- the type of aboriginal right that cornes closest to full aboriginal self-government on a
piece of land. In its effort to construct the consultation process, the Court soon realizes that
if it wants both parties to really engage in it, it has to balance their relationship, something
the Court does by admitting the State's lack of legitimate authority over the Aboriginals.
But affirming the equal status of both parties in the consultation process leads to further
consequences than the mere effectiveness of that process. Aboriginal equality does not fit
weIl within the Court's cultural approach to aboriginal rights. The common law doctrine of
continuity of the aboriginal legal orders is more congenial to that equality, as it leads
naturally to the legal recognition of a measure of aboriginal autonomy within Canada.
Thus, after giving birth to the consultation process, the law of aboriginal rights could itself
be substantially modified through the logical implications of its own offspring.
Having exposed the egalitarian logic inherent to the consultation process, we proceed to
study that logic in further detail. We ground our quest for the inherent structure of
consultation in a larger understanding of the law itself, which proceeds from Lon Fuller' s
view of law as facilitating human interaction. We then discuss the principles that give
content to a consultation process directed to achieve reconciliation. Effective consultation
depends on the quality of the dialogue that it generates. Appropriately conceived and
implemented, the consultation process between Aboriginal peoples and the State embodies
a unique moral relationship, one of mutual recognition, capturing the' spirit of giving'.
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De la consultation des peuples autochtones : structure institutionnelle d'un dialogue appelé à renouveler la notion des droits ancestraux : essai fondé sur la jurisprudence de la Cour suprême du Canada (1984-2004) et la théorie du droitBoisselle, Andrée 08 1900 (has links)
Le présent mémoire est consacré à l'étude de l'obligation faite à l'État canadien de
consulter les autochtones lorsqu'il envisage de prendre des mesures portant atteinte à leurs
droits et intérêts. On s'y interroge sur le sens que peut avoir cette obligation, si elle n'inclut
pas celle de s'entendre avec les autochtones. Notre étude retrace d'abord l'évolution de
l'obligation de consulter dans la jurisprudence de la Cour suprême du Canada, pour se
pencher ensuite sur l'élaboration d'un modèle théorique du processus consultatif.
En observant la manière dont la jurisprudence relative aux droits ancestraux a donné
naissance à l'obligation de consulter, on constate que c'est en s'approchant au plus près de
l'idée d'autonomie gouvernementale autochtone - soit en définissant le titre ancestral, droit
autochtone à la terre elle-même - que la Cour a senti le besoin de développer la
consultation en tant que véritable outil de dialogue entre l'État et les Premières nations. Or,
pour assurer la participation réelle des parties au processus de consultation, la Cour a
ensuite dû balancer leur rapport de forces, ce qu'elle a fait en admettant le manque de
légitimité du pouvoir étatique sur les autochtones. C'est ainsi qu'après avoir donné
naissance au processus de consultation, la jurisprudence relative aux droits ancestraux
pourrait à son tour être modifiée substantiellement par son entremise. En effet, l'égalité
qu'il commande remet en question l'approche culturaliste de la Cour aux droits ancestraux,
et pourrait l'amener à refonder ces droits dans le principe plus égalitaire de continuité des
ordres juridiques autochtones. Contrairement à l'approche culturaliste actuelle, ce principe
fait place à la reconnaissance juridique de l'autonomie gouvernementale autochtone.
La logique interne égalitaire du processus de consultation ayant ainsi été exposée, elle fait
ensuite l'objet d'une plus ample analyse. On se demande d'abord comment concevoir cette
logique sur le plan théorique. Ceci exige d'ancrer la consultation, en tant qu'institution
juridique, dans une certaine vision du droit. Nous adoptons ici celle de Lon Fuller, riche de
sens pour nos fins. Puis, nous explicitons les principes structurants du processus consultatif.
Il appert de cette réflexion que l'effectivité de la consultation dépend de la qualité du
dialogue qu'elle engendre entre les parties. Si elle respecte sa morale inhérente, la
consultation peut générer une relation morale unique entre les autochtones et l'État
canadien. Cette relation de reconnaissance mutuelle est une relation de don. / In this essay, we study the Canadian State's duty to consult Aboriginal peoples when it
purports to infringe on their rights and interests. We start with the following question:
What meaning, if any, does the duty to consult have, if it does not include a duty to reach a
consensus ? Our study is divided in two parts. First, we trace the evolution of the duty to
consult in the decisions of the Supreme Court of Canada. Secondly, we discuss a theoretical
model for the consultation process.
Our study of the genesis and subsequent evolution of the duty to consult reveals that this
duty gains some ambit when the Court is called upon to define the notion of aboriginal title
- the type of aboriginal right that cornes closest to full aboriginal self-government on a
piece of land. In its effort to construct the consultation process, the Court soon realizes that
if it wants both parties to really engage in it, it has to balance their relationship, something
the Court does by admitting the State's lack of legitimate authority over the Aboriginals.
But affirming the equal status of both parties in the consultation process leads to further
consequences than the mere effectiveness of that process. Aboriginal equality does not fit
weIl within the Court's cultural approach to aboriginal rights. The common law doctrine of
continuity of the aboriginal legal orders is more congenial to that equality, as it leads
naturally to the legal recognition of a measure of aboriginal autonomy within Canada.
Thus, after giving birth to the consultation process, the law of aboriginal rights could itself
be substantially modified through the logical implications of its own offspring.
Having exposed the egalitarian logic inherent to the consultation process, we proceed to
study that logic in further detail. We ground our quest for the inherent structure of
consultation in a larger understanding of the law itself, which proceeds from Lon Fuller' s
view of law as facilitating human interaction. We then discuss the principles that give
content to a consultation process directed to achieve reconciliation. Effective consultation
depends on the quality of the dialogue that it generates. Appropriately conceived and
implemented, the consultation process between Aboriginal peoples and the State embodies
a unique moral relationship, one of mutual recognition, capturing the' spirit of giving'. / "Mémoire présenté à la Faculté des études supérieures en vue de l'obtention du grade de maîtrise en droit, option recherche". Ce mémoire a été accepté à l'unanimité et classé parmi les 5% des mémoires de la discipline. Commentaires du jury : "Excellent mémoire qui devrait être soumis aux fins de publication et à différents concours pour les prix récompensant des mémoires de maîtrise".
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Ledarskapets makt och anställdas commitment : - En fallstudie om maktens influens på upplevt commitment i en konsultverksamhetValentin, Corine, Högberg, Emma January 2015 (has links)
Makt samt organisatoriskt commitment är två väsentliga begrepp gällande ett företags ledarskap och deras anställda. Ledarskapets kärna utgörs av den influens ledargestalten har över sina underordnade och begreppet makt ska för ledaren fungera som ett drivmedel gällande hens influens. Det gäller således för ledargestalter att tillämpa makten i syfte att influera sina anställda mot organisationens uppsatta mål. För att lyckas få de anställda att sträva efter samma mål som organisationen satt upp samtidigt som de ska arbeta för att få kompetent arbetskraft att stanna krävs det av ledaren att hen kan främja organisatoriskt commitment bland de anställda. Syftet med studien är därmed att utifrån positioneringsmakt och kunskapsmakt analysera hur ledare för ett konsultföretag skapar affektivt, kalkylerande och eller normativt commitment hos sina anställda. Då studien avser att inge en djup och grundlig förståelse gällande dess syfte tillämpas en fallstudiedesign med en kvalitativ forskningsstrategi samt en deduktiv ansats. Vidare ämnar studien undersöka ett specifikt fallföretag utifrån vilket studiens primärdata samlats in via tio intervjuer. Intervjuerna har fördelats på åtta av Crabats anställda konsulter, företagets VD samt företagets ägare. För att på ett djupare plan kunna presentera studiens problematisering har en teoretisk referensram utformats vilken behandlar studiens huvudbegrepp samt beskriver övriga relevanta begrepp inom ämnet. Det går inte genom studiens slutsatser att urskiljer vilken form av maktbas som främjar vilket commitment i fallföretaget. Dock går det att konstatera att fallföretaget tillämpar två maktbaser, kunskapsmakt samt positioneringsmakt, vilka i valt fallföretag sammantaget gynnar tre former av commitment, affektivt, normativt samt kalkylerande commitment. Då fallföretaget utgörs av majoriteten män hade det varit intressant om vidare forskning undersökte om ovannämnda maktbaser främjar andra former av commitment i en konsultverksamhet med en majoritet kvinnor. / Power and organisational commitment are two essential concepts regarding a corporation’s leadership and workforce. The core of leadership consists of the influence the leader has over the workforce and the concept of power is to work as a propellant regarding his or hers influence. It thus applies that the leader utilise the power to influence the workforce to work towards the organisation's goals. For the leader to achieve the above and at the same time strive to retain proficient labour it is vital that he or she can enable organisational commitment among the employees. The aim of the study is therefore to analyse how a leader within a consulting firm uses his or her power in order to generate organisational commitment. The study is intended to convey a deep and thorough understanding regarding its aim, therefore we applied a case study design with a qualitative research strategy and a deductive approach. Furthermore, the study intends to examine a specific case company from which the study's primary data has been obtained through interviews with the company’s employees, the company's president and the owner. To be able to present the reader with a deeper understanding regarding the study’s problem discussion a theoretical framework, which addresses the study's main concepts and describes other relevant concepts appropriate to the subject has been developed. We could not based on the study’s conclusions distinguish between which powerbase that benefits which form of organisational commitment. However, it is clear that the case company applies two forms of power bases, knowledge - and the positioning base of power which, in the selected case company collectively promotes three forms of commitment, affective, normative and calculating commitment. Since the case company’s employees are comprised by a majority of men, it would be interesting if further research investigated whether the above-mentioned power bases promotes other forms of commitment in a consultancy with a majority of women employed.
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Ledning av internt förändringsarbete : En studie på ett konsultföretag / Management of Internal Change : A Study at a Consultancy CompanySten, Mikael, Höjdefors, Jakob January 2019 (has links)
Tidigare studier har problematiserat förändringar på företag via hur förändringsledare implementerar dem och att motvilja till förändringar finns hos de berörda. Studien i rapporten fokuserar därför på att förstå hur ett konsultbolag inom samhällsbyggnad arbetar med interna utvecklingsförändringar. Genom att analysera förändringsledares tillvägagångssätt vid implementation av förändringar kan studien föreslå faktorer som bidrar till en mer effektiv ledning av internt förändringsarbete.Kvalitativa data har samlats in genom intervjuer med förändringsledare som tidigare har lett interna förändringar. Intervjuerna var semistrukturerade och frågorna var utformade via det teoretiska ramverket som rapporten belyser. Intervjuerna har analyserats med hjälp av teoretiska begrepp. Det empiriska resultatet bidrog till att slutsatser om vilka faktorer som är centrala för ett konsultbolag inom samhällsbyggnad vid implementering av förändringar samt vilka utvecklingspotentialer som finns.Slutsatsen kan stödja ett konsultbolag inom samhällsbyggnad att kartlägga vad som är viktigt för dem samt vilka delar de kan utveckla för en mer effektiv förändringsledning.Resultaten visar att fyra faktorer och ett utvecklingspotentialområde kan utläsas ur materialet om de förändringsledarnas tillvägagångssätt för implementation av interna utvecklingsförändringar. De fyra faktorerna är, ‘Kommunikation’, ‘Bemöta de berörda’, ‘Flexibilitet’, ‘Attityd’. Där varje faktor beskriver den generella uppfattningen som de intervjuade ledarna gett uttryck för. Utvecklingspotentialen är ‘Planera’ och slutsatsen belyser hur och varför man som förändringsledare bör planera för förändringar. Utvecklingspotentialen är en generalisering av vad de förändringsledarna tillsammans anser är viktigt samt vad teorin förstärker.De teoretiska implikationerna säger att samtliga aktiviteter inom det teoretiska ramverket inte är lika aktuella och relevanta för denna sortens företag. Resultaten visar också att de förändringsledarnas attityd till förändringen är en viktig faktor för företaget vilket det teoretiska ramverket inte belyser. De praktiska implikationerna beskriver att man som bolag kan förstå sina mest viktiga faktorer och vilka områden man inom implementeringen av interna utvecklingsförändringar behöver utveckla. / Previous studies have problematized changes in companies through how leaders implement change. Further, studies have also shown that changes can affect those who are involved in the change process by a resistance towards the new change. Therefore, the study in this report focuses on understanding how a consultancy company works with internal development-changes. By analysing formal leaders' approaches to implementing changes, the study can propose standpoints and potentials for development too be more effective within change management.Qualitative data has been collected through interviews with formal leaders who have previously led changes at the company. The interviews were semi-structured, and the questions were designed through the theoretical framework that the report highlight. The empirical result shows how the formal leaders were leading change. By analysing the findings through the theory that the writers choose as framework they found out what is important for the formal leaders when leading change and what they can do better.The conclusion should contribute to how leaders at a consultancy company works with change, what is important for them and what they can do better for a more effective change management. The results show that four standpoints and one potential of development have been discovered in the formal leaders' approach to implementing internal development-changes. The four positions are, ‘Communication’, ‘Attending the concerned’, ‘Flexibility’ and ‘Attitude’. Where each position is a generalization of what the formal leaders consider to be important during the implementation process. The potential of development is ‘Planning’ and the conclusion highlights how and why a formal leader could apply this. The potential of development is a generalization of what the formal leaders together believe is important and what the theory reinforces.The theoretical implications say that all activities within the theoretical framework are not as relevant to this typical company. It has also been found that the formal leaders' attitude towards change is important for the company, which the theoretical framework does not elucidate. The practical implications describe that a company can understand their most important standpoints and which areas they need to develop within the implementation of internal development-changes.
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The Sound of Silence: First Nations and British Columbia Emergency Management2015 August 1900 (has links)
In this thesis I offer a brief overview of the current legislative, regulatory and treaty frameworks impacting emergency management in British Columbia, with a particular emphasis on Crown-identified First Nation roles. I show that the regime overwhelmingly positions non-First Nation governments, contractors and other organizations to manage emergencies on behalf of First Nations. I explore emergency management as a manifold process that includes protracted planning, mitigation and recovery phases, which, unlike emergency response, are carried out with lower levels of urgency. I consider Canadian Constitution Act, 1982 (s. 35) Aboriginal rights in light of the lack of statutorily prescribed inclusion of First Nations in off-reserve emergency management, particularly at the planning, mitigation and recovery phases concluding that the jurisprudence to date (including the duty to consult and Aboriginal title) does not appear to have revolutionized the regime. While the constitutional status of Aboriginal rights should operate to insure adequate First Nation direction in each stage of emergency management, the regime continues to restrictively prioritize other constitutional priorities, such as division of powers and civil liberties. To better understand the omission, I theorize the lack of Crown implementation of s. 35 Aboriginal rights generally as an ‘obligation gap’, highlighting how an analysis of s. 35 Aboriginal rights as ‘negative rights’ fails to compel implementation of the full scope of Crown obligations implicit within the jurisprudence to date. I then offer a new framework for s. 35 as justiciable ‘recognition rights’ and juxtapose ‘recognition rights’ with the idea of justiciability of government inaction through a brief comparative analysis of socioeconomic rights in South Africa’s constitution and Canada’s constitutional Aboriginal rights.
With a decided emphasis on the obligations of the Crown, this thesis attempts to offer fodder to First Nations and legal practitioners seeking to challenge the emergency management landscape where First Nations seek an enhanced role in protecting and restoring their respective territories in anticipation of, and in the wake of, disaster. For convenience and clarity, contemporary geographical and jurisdictional references to the areas now known as Canada and British Columbia are used throughout the thesis without intention to detract from the integrity of First Nation claims to their traditional and ancestral territories.
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Les ententes sur les répercussions et avantages et le consentement autochtone en matière de développement minier : le cas de l’entente MecheshooCôté-Demers, Mattieu 12 1900 (has links)
No description available.
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La délégation de l’obligation de consulter et d’accommoder les peuples autochtones au promoteur ou le rôle de la Couronne comme médiatrice de réconciliationCarrier, Alexandre 09 1900 (has links)
No description available.
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At the Intersection of Tangible and Intangible : Constructing a Framework for the Protection of Indigenous Sacred Sites in the Pursuit of Natural Resource Development ProjectsSteyn, Elizabeth A. 09 1900 (has links)
No description available.
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