Submitted by Fabíola Silva (fabiola.silva@famerp.br) on 2017-05-26T12:24:58Z No. of bitstreams: 1 faustodasilvagonçalves_dissert.pdf: 1310792 bytes, checksum: 52a5579dab6c9a6b5bf94f7d828a2eef (MD5) / Made available in DSpace on 2017-05-26T12:24:58Z (GMT). No. of bitstreams: 1 faustodasilvagonçalves_dissert.pdf: 1310792 bytes, checksum: 52a5579dab6c9a6b5bf94f7d828a2eef (MD5) Previous issue date: 2013-03-14 / Introduction: According to the World Health Organization, is a diagnostic imaging procedure necessary for the accurate treatment of at least 25% of patients worldwide. While the imaging technology has evolved so dizzying, over 90% of all images required can be performed with simple machines to ultrasound and X- rays. There are data indicating Transvaginal Ultrasonography as one of the most effective methods for detecting ovarian tumors, to be safe, fast, easy to perform and well accepted by patients. It is the most frequently used test for this purpose due to its excellent cost / benefit ratio, being an innocuous and widely used method in the diagnosis of adnexal masses. Numerous studies have been conducted to differentiate adnexal masses and thereby reduce the number of patients subjected to inappropriate treatment. Objectives: Evaluation of sonographic parameters related with the morphological characteristics of pelvic adnexal masses by obtaining two-dimensional images taken by observer presence and sent electronically (via Tele-Ultrasound) in static mode and dynamic observers do not face (distance) for comparative analyzes inter-and intra-observer and validation of a second opinion. Methods: From March to August 2010 50 patients were selected for presenting viewing adnexal mass on ultrasound. The pelvic sonographic examinations were performed by cesarean section and by vaginal Imaging Unit in the Department of Obstetrics and Gynecology, Hospital de Base in São José do Rio Preto. The adnexal masses were evaluated according to their morphological characteristics. Results: There was good inter-rater agreement independent of the modality (dynamic and static) used. Conclusions: The sonographic parameters of the morphological characteristics of pelvic adnexal masses directed by Tele-Ultrasound is capable of being validated for issuing a second opinion. There were no significant differences in the methodology employed in the issue of tele-ultrasound images (static or dynamic) to characterize the composition of pelvic adnexal masses. / Introdução: De acordo com a Organização Mundial de Saúde, o diagnóstico por imagem é um procedimento necessário para o tratamento acurado de pelo menos 25% dos pacientes em todo o mundo. Embora a tecnologia de imagem tenha evoluído de forma vertiginosa, mais de 90% de todas as imagens necessárias podem ser realizadas com máquinas simples de Ultrassonografia e Raios-X. Há dados indicando a Ultrassonografia Transvaginal como um dos métodos mais efetivos para detecção de tumores ovarianos, por ser seguro, rápido, fácil de realizar e bem aceito pelas pacientes. É o exame mais utilizado para esse propósito devido a sua excelente relação custo/benefício, ser um método inócuo e amplamente utilizado no diagnóstico de massas anexiais. Inúmeros estudos têm sido realizados para diferenciar as massas anexiais e assim reduzir o número de pacientes submetidas a tratamentos inadequados. Objetivos: Avaliação dos parâmetros ultrassonográficos relacionados com as características morfológicas de massas anexiais pélvicas através da obtenção de imagens bidimensionais realizadas por observador presencial e encaminhadas eletronicamente (via Tele-Ecografia) no modo estático e dinâmico a observadores não presenciais (à distância) para análises comparativas inter e intra- observadores e validação de uma segunda opinião. Casuística e métodos: No período de março a agosto de 2010 foram selecionadas 50 pacientes por apresentarem visualização de massa anexial ao exame ecográfico. Os exames ultrassonográficos pélvicos foram realizados por via abdominal e por via endovaginal na Unidade de Imagenologia do Departamento de Ginecologia e Obstetrícia do Hospital de Base de São José do Rio Preto. As massas anexiais foram avaliadas de acordo com suas características morfológicas. Resultados: Houve uma boa concordância inter-examinadores independente da modalidade (dinâmica e estática) utilizada. Conclusões: Os parâmetros ultrassonográficos das características morfológicas de massas anexiais pélvicas encaminhadas por Tele-Ecografia são passíveis de serem validadas para a emissão de uma segunda opinião. Não houve diferenças significativas quanto à metodologia empregada na emissão das imagens tele-ecograficas (estática ou dinâmica) na caracterização da composição das massas anexiais pélvicas.

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A China está se transformando em uma das principais origens mundiais de Investimentos Externos Diretos (IEDs). No Brasil, os Investimentos Externos Diretos Chineses (IEDCs) têm aumentado desde os primeiros anos deste século, registrando grande elevação principalmente a partir de 2010. Os IEDCs no Brasil são investimentos realizados notadamente por Empresas de Propriedade Estatal (EPEs), principalmente Propriedade Estatal Central (EPECs), cujas principais modalidades de entrada são greenfield e fusões e aquisições. Estes investimentos são determinados pela busca de mercados e recursos naturais e estão concentrados na região Sudeste do país. Esse ganho de relevância do Brasil enquanto destino dos IEDCs motivou a presente pesquisa a responder a seguinte questão: Como o Brasil tem se posicionado, nesse início de século, frente aos Investimentos Externos Diretos Chineses para o país? Tem-se como resultado preliminar que o Brasil pode elevar a entrada desses investimentos e possivelmente os seus transbordamentos tecnológicos, compatibilizando seus interesses econômicos e geopolíticos com os chineses. Porém, parece necessário ao Brasil resolver os aspectos conjunturais e estruturais do crescimento do país que entravam as entradas dos investimentos chineses e de outras nações. / China has become one of the main worldwide sources of Foreign Direct Investment (FDI). In Brazil, Chinese Foreign Direct Investments (CFDI) have increased since the beginning of this century, presenting a higher rate of growth starting in the 2010s. CFDIs in Brazil are investments performed by State-Owned Enterprises (SOEs), especially Central State-Owned Enterprises (CSOEs), whose main entry strategy are greenfield, and mergers & acquisitions. Those investments are guided by the search for markets and natural resources and are concentrated in the Brazilian Southeast. This increased relevance of Brazil as CFDIs destination motivated this research to find answers to the following question: How has Brazil stood, in this century, in terms of Chinese Foreign Direct Investments flowing into the country? Preliminary results show that Brazil can increase the entry these investments and possibly their technological spillovers, harmonizing economic and geopolitical interests with the Chinese. However, it seems necessary to Brazil to solve the cyclical and structural aspects of its growth which discourages the entries of Chinese investments and from other Nations.

This thesis examines how practices of Corporate Social Responsibility (CSR) serve to legitimise Uruguay's largest ever foreign investment, the US$2.5-billion pulp mill constructed by the Finnish-Chilean firm Montes del Plata. Unusually, this investment prompted little social conflict, which runs counter to the community tensions frequently associated with large-scale infrastructure investments in Latin America. To explore this, the thesis takes an agency-oriented approach to the study of corporate-community relations. It offers fresh insights for critical management scholars and anthropologists of corporations into the techniques of collusion and co-optation in large-scale foreign direct investment (FDI) projects. Based on participant observation with Montes del Plata's community relations managers and their community interlocutors, conducted over separate periods during and after the mill's construction, the thesis examines the legitimising impulse of corporate citizenship, both as concept and practice. I show how the company seeks to incorporate itself as a morally-infused entity through ongoing interactions between its representative agents and external actors. I argue that the form of CSR that emerges is neither moral nor responsible, but its command over social relations nonetheless makes it a potent force for corporate capitalism's expansion. The mill owner attempts to manage its social and political relations in such a way as to secure the proximity needed for legitimacy-building, while creating the requisite distance to reduce onerous moral obligations; a balance that I analyse using the concepts of detachment and depoliticisation. The thesis opens with a discussion of the politics of representation, demonstrating how the agents of Montes del Plata (the Corporation) shape the local political ecosystem through the recognition, or not, of its counterparties' claims to representativeness. Chapters 1 and 2 also explore the theory of personation, especially in the efforts by the Corporation's community managers to infuse the company with moral characteristics. Their struggles in doing so invite consideration of a pragmatic approach to legitimacy building through the calculated management of social relations. Chapters 3 and 4 further show how principles of detachment and depoliticisation frame the Corporation's approach to relationship management. Chapter 3 examines how participation and empowerment are utilised to depoliticise development goods and stage the Corporation's detachment from their delivery. Chapter 4 examines the detachment effects of the changes to the region's political economy sparked by the mill project, and how the mill owner depoliticises public expectations of job creation. The conclusion makes the case for a distinctive approach to FDI legitimation driven by detachment (and reattachment) and facilitated by depoliticisation, which I term 'detachable CSR'.

Digitized by Kansas Correctional Industries

The purposes of the present research were two-fold. The first purpose was the development of a test construction strategy by which an objective assessment device, based upon the unique goals of moral education within a specific school district, may be developed. The second purpose was the actual development of a psychometrically sound instrument based upon such goals. To accomplish these aims, seven interrelated studies were conducted involving a total of 775 subjects. The rationale for the nature of the test was based upon the assumptions of the direct approach to moral education. These assumptions are that children should learn and exemplify in their behavior certain values that are viewed by the community as essential to adequate socialization. Such values have been indentified by educators of the Salt Lake City School District. Therefore, the goal of measurement was the development of a test that would discriminate students who exemplify these values in their behavior from. those students who do not. The instrument was developed for the assessment of groups to aid curriculum evaluation in moral education. Disclaimers are made regarding the assessment of individuals using the instrument. The reported studies concerning the development of the test include: (1) the intial writing and field testing of the hypothetical dilemmas and alternative solutions used in the test, (2) the revision of the test based upon the field testing, (3) the item analysis and validation procedures, (4) the cross-validation of selected items, (5) an analysis of the content validity of the dilemmas that compose the test, (6) the establishment of the reliability of the test, and (7) an assessment of the effects of socially desirable response sets on test scores. In addition, normative data regarding test scores for each grade tested and a parent group were presented. The instrument developed through these procedures is an objective group test, applicable to grades 5 through 12. A content validity study provided reasonable evidence that the dilemmas that compose the test are logically related to the value goals proposed by district personnel. Studies of the reliability of the test revealed reliability coefficients from .82 (stability) to .92 (internal consistency). The concurrent validity of the test was established by selecting items that discriminated between groups of students who were identified as either exemplary of the district values or non-exemplary of the district values. These items were then successfully cross - validated on an independent sample of similar criterion groups. In addition, two studies related to the effects of socially desirable response sets on test scores were conducted. The limitations of the present research are discussed and suggestions for further research regarding the instrument are made.

The energy efficiency of space heaters is rated by Annual Fuel Utilization Efficiency (AFUE) governed by the Department of Energy in the United States which is a simple ratio of usable heat and fuel usage of a single heating device. It doesn't consider the overall performance of the heating system including not only the heating devices but also the characteristics of the building in different applications. The current AFUE method calculates only the energy efficiency which is thermodynamics first law efficiency. In this research, the systematic efficiency of a heating system rather than simple device efficiency has been defined and investigated. The systematic efficiency considers the overall efficiency of the whole heating system and it varies in the different applications even though with the same heating device. So it represents the performance of the system more precisely. Analytical models have been built to calculate both the systematic energy efficiency and exergy efficiency, and to evaluate the systematic energy and exergy efficiency of heating systems for direct fired and indirect fired heaters. Efficiency performances of the systems with these two types of heaters are compared. Sensitivities of input parameters for systematic energy efficiency are studied to show the impact towards systematic energy efficiency. Indoor carbon dioxide concentration level of direct fired heating system is also studied.<br> In a case study, results show that systematic energy efficiency of indirect fired heating system is always constant at heater device efficiency which is 80\% while systematic energy efficiency of direct fired heating system varies from 40%-92% under different condition (heat loss coefficient, ambient temperature and air change requirement), indicating that simple device efficiency is not capable to evaluate the overall performance of heating system. New efficiency method such as systematic energy efficiency used in this research is needed to better describe the performance of the heating system. Results of indoor carbon dioxide level of direct fired heating system, from 1000 to 4500 PPM under different conditions, show that indoor air quality needs to be considered while using direct fired heating.<br>

Turnover among direct-care workers in long-term care (LTC) facilities is high, and has a significant impact on residents, leaders, and owners of LTC facilities. The overall turnover costs are also substantial and constitute a significant financial burden in LTC facilities. This systematic review of the literature examined, retention strategies for direct-care workers in the LTC workforce. The information may be used to develop and provide practice recommendations that will help improve retention rates among direct-care workers in LTC facilities. The project design involved a systematic examination of English-only studies from 2001-2004, retrieved from 3 major databases: CINAHL with Medline simultaneous, ProQuest, and Ovid resources. The review led to the identification of 858 publications out of which 17 articles met the inclusion criteria. The manifested variables were critically analyzed and grouped into 8 categories: job training, management style, acknowledgement of accomplishments, career advancements, benefits, peer mentoring, competitive wages and work load. The findings from this systematic review of the literature suggest that several factors affect turnover rates in the LTC setting, including job training, management style, acknowledgement of accomplishments, career advancements, benefits, peer mentoring, competitive wages and work load. This project aims to provide insight to project developers, administrators, researchers, and policy makers concerning factors that affect retention. The information can be used as a catalyst for positive social change and reduce the turnover crisis among direct-care workers in the long-term care setting.

This work strived to increase knowledge of assessing airborne nanoparticles in the workplace by characterizing nanoparticle concentrations in a workplace using direct-reading instruments, evaluating a DC2000CE diffusion charger, and the creation of a personal diffusion battery (pDB). Direct-reading instruments were used with aerosol mapping and task monitoring to evaluate airborne nanoparticle concentrations in an apparel company that produces waterproof jackets composed of polytetrafluoroethylene membrane laminated fabric. Jacket production required that sewn seams be sealed with waterproof tape applied with hot air (600°C). Particle number concentrations were greater in the sewing and sealing areas than the office area while respirable mass was negligible throughout the facility. The breathing zone particle number concentrations of the workers who sealed the sewn seams were highly variable and significantly greater when sealing seams than when conducting other tasks (p<0.0001). The effectiveness of the canopy hoods used to ventilate sealing operations was poor. These measurements support the idea that work places were hot processes are conducted may have substantially greater concentrations of airborne nanoparticles than background measurements even with control measures in place. Laboratory tests were conducted to evaluate a commercially available diffusion charger, the DC2000CE, that measures nanoparticle surface area concentration. The surface area concentrations of unimodal and multimodal polydispersed aerosols measured by the DC2000CE were less than the surface area concentrations measured by the reference instruments. The differences in results were attributed to a difference of measuring active versus geometric surface area concentration and the design of the DC2000CE. The maximum measurable active surface area concentration (2,500 mm2 m-3) was found to be greater than the manufacturer stated maximum (1000 mm2 m-3). Moving or vibrating a DC2000CE while taking measurements can cause the appearance of increased surface area concentration results. The DC2000CE has limitations that must be acknowledged when using the DC2000CE to measure airborne nanoparticle surface area concentrations in a workplace. A four stage pDB (3.2 kg) composed of a screen-type diffusion battery, solenoid valve system, and an electronic controller was developed. The pDB was combined with a CPC and a data inversion was created that could be used to solve for the number median diameter, geometric standard deviation, and particle number concentration of a unimodal distribution. The pDB+CPC with inversion was evaluated using unimodal propylene torch exhaust and incense exhaust. For particle number concentration of particles with diameters less than 100 nm, the pDB+CPC with inversion results were between 86% to 109% of reference instrument results when the inversion did not solve to an inversion constraint and between 6% to 198% for results that solved to an inversion constraint. When coupled with a direct-reading instrument, the pDB with an inversion was able to measure the size distribution of particles with a NMD smaller than 290 nm.

Defenders of the Knowledge Argument contend that physicalism is false because knowing all the physical truths is not sufficient to know all the truths about the world. In particular, proponents of the Knowledge Argument claim that physicalism is false because the truths about the character of conscious experience are not knowable from the complete set of physical truths. This dissertation is a defense of the Knowledge Argument. Chapter one characterizes what physicalism is and provides support for the claim that if knowing all the physical truths is not sufficient to know all the truths about the world, then physicalism is false. In chapter two, I defend the claim that knowing all the physical truths is not sufficient for knowing all the truths about the world. In addition to mounting a prima facie case for the knowledge intuition, I present and defend an epistemology grounded in direct acquaintance to provide a more substantive argument to accept it. Chapters three through five address the physicalist objections to the Knowledge Argument. The first set of objections advocates that knowing all the physical truths is, in fact, sufficient for knowing all the truths about the world. The next set of objections admits that there is some sense in which knowing all the physical truths is not sufficient for knowing all the truths about the world. However, these objections maintain that the kind of knowledge that is absent from the complete set of physical truths is know-how or knowledge by acquaintance, and not factual or propositional knowledge. The final set of objections maintain that the kind of propositional knowledge that is left out of the complete set of physical truths is compatible with physicalism. My response to these objections is part of advancing my prima facie case for the Knowledge Argument. The final chapter addresses a structural question that pertains to the Knowledge Argument. Some philosophers have maintained that the structure of the Knowledge Argument invites a kind of self-refutation of any systematic account of reality. The concern is that the Knowledge Argument proves too much, and that the dualist who uses the argument to refute physicalism risks the argument defeating his own position. I will argue that the Knowledge Argument does not refute dualism.