Orientador: Ione Corrêa / Resumo: Introdução: A coqueluche é uma doença que compõe a Lista Nacional de Doenças de Notificação Compulsória, e várias hipóteses têm sido sugeridas para a reemergência da coqueluche no Brasil e no mundo. Sabe-se que a faixa etária mais acometida é constituída por crianças menores de um ano e que o monitoramento rigoroso da segurança vacinal é a principal estratégia para adesão aos programas de imunização. Além disso, é imprescindível que os serviços de vigilância no Brasil se mantenham alertas sobre a situação epidemiológica da coqueluche. Objetivo: Analisar o perfil epidemiológico dos casos de coqueluche em crianças do nascimento há quatro anos de idade, retrospectivos à implantação da vacina dTpa em gestantes, nos municípios de Botucatu e Marília do Estado de São Paulo. Método: Trata-se de um estudo descritivo, comparativo e de série histórica no município de Botucatu e Marília. Os dados foram coletados do Sistema Nacional de Agravos de Notificação (SINAN), de crianças na faixa etária de zero a quatro anos, confirmadas com coqueluche, no período de primeiro de janeiro de 2008 a 31 de outubro de 2014 do município de Botucatu e Marília. Resultados: Observa-se um aumento gradativo dos casos a partir de 2014, nos dois municípios. A sazonalidade dos casos confirmados em Botucatu ocorreu no inverno, com 42,86% de ocorrências, e em Marília, no verão, com 35,71%. A faixa etária mais acometida pela doença foram crianças menores de um ano em ambos os municípios. O exame da distribuição do... (Resumo completo, clicar acesso eletrônico abaixo) / Mestre

Submitted by Irene Nascimento (irene.kessia@ufpe.br) on 2016-08-15T18:23:53Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Dissertação de Mestrado - Laryssa Grazielle Feitosa Lopes.pdf: 3825497 bytes, checksum: 189a92938693695aa9da55f90e2a6fbc (MD5) / Made available in DSpace on 2016-08-15T18:23:53Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Dissertação de Mestrado - Laryssa Grazielle Feitosa Lopes.pdf: 3825497 bytes, checksum: 189a92938693695aa9da55f90e2a6fbc (MD5) Previous issue date: 2016-02-16 / Objetivo: Avaliar a ocorrência da violência sofrida pela pessoa idosa no município de Caruaru/PE. Método: Trata-se de um estudo epidemiológico, descritivo, quantitativo, de corte transversal. A população do estudo consistirá na totalidade dos dados obtidos/notificados de casos suspeitos ou confirmados, a partir do Sistema de informação de agravos notificáveis (SINAN), através do consolidado das fichas de notificação dos indivíduos com idade de 60 anos e/ou mais, que sofreram violência no período de 2009 a 2015. Para avaliar o perfil pessoal dos idosos vítimas de agressão, as características da violência sofrida, perfil do agressor e a evolução do caso, foram calculadas as frequências percentuais e construídas as distribuições de frequência dos casos de violência. Resultados: Os casos de violência, em sua totalidade (231), ocorreram e foram notificados na cidade de Caruaru/PE. O sexo masculino foi mais acometido (77,5%), a faixa etária mais prevalente foi de 60-69 anos, a etnia ignorada/branco (49,4%) seguida da parda (34,6%) e os casados sofreram mais violência (32,5%). No que se refere ao local da ocorrência foi prevalente a residência (80,5%), vítimas de lesões não autoprovocadas (83,1%), a violência física predominou (93,5%). O meio de agressão mais comum foi espancamento (44,1%), com dois ou mais envolvidos (68,8%). O agressor em sua maioria era o filho (47,6%), o sexo ignorado/branco prevaleceu (79,7%) seguido do masculino (17,3%), sem suspeita de álcool em grande parte (52,8%) e como evolução (89,6%) dos internos receberam alta. Conclusão: Por ser um estudo inédito na cidade de Caruaru, os dados apresentados poderão servir de base para a realização de intervenções necessárias a nível de promoção e prevenção da saúde deste seguimento populacional que está em crescimento e que necessita de ações lhes garantam mais qualidade de vida. / Objective: To evaluate the occurrence of violence against the elderly in the city of Caruaru / PE. Method: It is an epidemiological study, descriptive, quantitative, cross-sectional. The study population will consist of all the data / notified of suspected or confirmed cases from SINAN (grievances Information System notifiable) through consolidated the reporting forms of individuals aged 60 years and / or more, who have experienced violence from 2009 to 2015. to assess the personal profile of the elderly victims of aggression, the characteristics of the violence suffered, offender’s profile and developments in the case, the percentage frequencies and constructed frequency distributions of cases were calculated violence. Results: Cases of violence in its entirety (231) occurred and were reported in the city of Caruaru / PE. Boys were more affected (77.5%), the most prevalent age group was 60-69 years, ethnicity ignored / white (49.4%) followed by brown (34.6%) and married suffered more violence (32.5%). With regard to the location of occurrence was the residence prevalent (80.5%), victims of non self-injuries (83.1%), physical violence predominated (93.5%). The most common means of aggression was beaten (44.1%), with two or more involved (68.8%). The attacker mostly was the son (47.6%), sex ign / White prevailed (79.7%) followed by the male (17.3%), without suspicion of alcohol in large part (52.8%) and how evolution (89.6%) of internal discharged. Conclusion: For being a pioneering study in the city of Caruaru, the data presented may serve as a basis for carrying out necessary interventions at the level of promotion and preventive health care, this population following that is growing and you need the stock them ensuring better quality of life.

This thesis aims at portraying interruptions in the socio-technical domain of manufacturing industry, from a distributed cognition perspective. The research problem addressed is the lack of naturalistic inquiry in prior interruption research. Further, manufacturing is a complex socio-technical domain where interruptions have not previously been studied. In this thesis, a workplace study is applied with distributed cognition as its theoretical framework. The results of the study identify two new types of interruptions, as well as one new dimension of interruptions. This result shows that interruptions are a multifaceted phenomenon that frequently occurs within manufacturing. An integration of the theoretical background and the empirical work resulted in five recommendations concerning how to reduce the amount of interruptions and how to minimize their disruptive effects. This study complements prior interruption research, emphasises the importance of studying interruptions in natural settings, and provides several insights regarding future interruption research.

Masters in Public Administration - MPA / In recent years the concept of public participation has been embraced by governments around the world to promote citizen involvement in decision making processes both to deepen local democracy and to ensure greater effectiveness in the delivery of public services. Implementing effective participatory systems, however, has proven to be especially challenging in highly diverse societies. Despite the best intentions of policy makers, the issue of exclusion, in particular, remains problematic as participatory systems frequently fail to address the concerns of poor communities who may not even be aware of their existence. Taking as a case study the C3 notification system introduced by the City of Cape Town to facilitate citizen reporting on faulty public services, this study examined the extent to which the design and implementation of a participatory model is of benefit to poor communities in the township of Langa. Based on a qualitative methodology, which included a series of interviews with municipal officials and office bearers as well as residents of Langa, the research examined the extent to which the notification system is used by local communities and to what effect. Viewed through the lens of social exclusion theory, the findings point to the fact that the C3 system was not only based on a best-practice model imported from an advanced Western nation, but it was oriented to the needs of more affluent citizens and, as such, it failed to take into account the specific needs of poor households who frequently lack even basic services and hence have nothing to report on. As a consequence, what was intended as a mechanism for promoting greater citizen participation in service delivery processes has effectively excluded a significant proportion of the most poor and vulnerable.

Master of Public Health - MPH / The notification and treatment of sexual partner(s) is a key element in the prevention and control of sexually transmitted infections (STIs). Partner notification interrupts the chain of STI transmission, prevents STI complications and long-term sequelae in the sexual partner(s), and also prevents re-infection of the treated index patient. Partner notification is a recognized component of the syndromic management of STIs in Namibia and yet the partner notification rates in the country remain low - as low as 7% in the district of Windhoek currently. In this district, which has the highest number of STIs cases in Namibia, the specific factors that hinder partner notification have not yet been documented. This study sought to investigate the perceived and experienced barriers to partner notification amongst STI patients attending an urban primary health center in the district. An explorative, qualitative study with eight patients (four males and four females), aged 16 years and over, who presented with a new/recurrent episode or a STI follow up was conducted. The participants were purposively selected with the aid of the deputy nurse in charge of the health center after agreeing to take part in the study. The patients were asked about what they felt were personal, partner-relationship and health services related factors that hindered partner notification. Three health workers working at the health center served as key informants and were asked about barriers to partner notification based on their experience of delivering preventative and curative STI - related services over the past three or more years. Interviews with both patients and key informants were conducted in the health facility, recorded and later transcribed. Content analysis of the transcribed data was conducted to identify recurring themes across the different interviews. The results of the study suggest that the partner notification strategy was not functioning optimally as a result of a number of inter-twined factors. The factors can be categorized into personal barriers, partner-relationship dynamics and health services related barriers. The study found that participants considered there were barriers to partner notification across all these three categories. Commonly reported barriers included the stigma associated with STIs and the cultural and religious norms that do not promote discussion of topics related to sex and sexuality in general. Other barriers such as gender inequality, the fear of a partner's reaction to the notification, feelings of guilt associated with infidelity, the lack of communication between partners and the inability to locate partner(s) were highlighted by participants. Barriers associated with the health services included the lack of health education about the importance of partner notification, the absence of thorough risk reduction counseling, the current method of partner notification that is being utilized and the negative attitudes of health workers. It is suggested that having a greater understanding of these barriers and how to work with them in a health education or counseling sessions will allow health workers to address them more directly with their patients and in turn, hopefully improve the management and outcomes of partner notification strategies in the STI prevention and control program in the Windhoek district and potentially other districts in Namibia.

Tuberculosis (TB) remains one of the major public health problems in South Africa. The overall aim of the research project was to evaluate the completeness of TB notification data. A descriptive study design was used. The TB data from the Disease Notification System for the period 1993 to 2003 were analysed to describe 11 year trends by province, sex and population group. The levels of under-reporting of tuberculosis were estimated by comparing the annual numbers and the rates of notified cases and deaths per 100 000 population with the data of registered cases in the electronic TB register and registered TB deaths from the Statistics South Africa’s metadata on causes of deaths in South Africa. A total of 768896 cases and 39052 deaths were recorded in the Disease Notification System for the period 1993 to 2003. The annual case load declined from 42099 cases in 1993 to 36081 in 1996, then peaked to 89111 in 1998. The peak in 1998 resulted mainly from two-fold increases in notified cases in the provinces of Eastern Cape, KwaZulu- Natal and Western Cape. There was also a three-fold increase in Western Cape in 2001 and four-fold increase in Northern Cape in 2002. The lowest numbers of notified cases were for Mpumalanga in the years 1993 to 1996. In Limpopo, a total of 13 cases only were notified between the years 1999 to 2003 inclusively. Nationally and provincially, the annual numbers of notified cases and deaths and rates per 100 000 population were consistently higher among males than females. The Wilcoxon signed rank test comparing the medians between male and female cases showed a p-value of 0.003 indicating that the difference exists between the two medians. Nationally the lowest number of deaths was 1967 notified deaths in 1994 and the highest number of deaths was 6085 notified in 2002. The number of deaths notified varied between the provinces and fluctuated between the years. It was the highest for the years 1993 to 1996 in Western Cape and the highest for the years 1997 to 2003 in Eastern Cape. It was the lowest in Mpumalanga for the years 1993 to 1997 and the lowest in Limpopo for the years 1999 to 2003 and KwaZulu-Natal in the years 2002 to 2003. The Disease Notification System was found to have lesser numbers of notified cases in comparison to registered cases recorded in the TBSYS or electronic TB register. The percent difference between notified and registered cases ranged between 28% in 2001 to 69% in 1996. Comparison of notified and registered TB deaths for the period 1997-2003 showed that the annual numbers and rates of registered deaths in the Statistics South Africa’s metadata were higher for all the years than the notified deaths in the disease surveillance system. It is recommended that the disease surveillance system is evaluated periodically, facility data assessment tools are introduced and capacity for surveillance is strengthened at all levels of the national health systems. Copyright / Dissertation (MSc)--University of Pretoria, 2009. / School of Health Systems and Public Health (SHSPH) / Unrestricted

In 2005, the Government of India (GoI) introduced the Special Economic Zone (SEZ) Act, which changed the way India attracted foreign investors who wanted to utilize the country's natural and human capital. Considerable scholarly literature has examined why investment has been located in particular areas of India and described the factors that contribute to initiating economic growth. Yet the observation inspiring this research was that some states have operational SEZs, while other states with approved SEZ plans see investors retreat from their commitments. Why do some states have operational SEZs and other states do not? Focusing on the states of Maharashtra and Goa, this study explored information about the de-notification of zones in both states, leading to an examination of whether the factors that contributed to de-notification in Maharashtra were similar to those keeping Goa from having operational SEZs. I hypothesized that land acquisition practices, lack of physical infrastructure, and poor social infrastructure were key factors contributing to Maharashtra's de-notification and to Goa's struggle to create operational zones. The findings suggest that in order for SEZs to remain operational, comprehensive legislation must be put in place that addresses land rights, job training, and general education. Such a change would allow the residents in each state to participate more in the SEZ development scheme while mitigating India's endemic poverty. / Master of Arts

The ubiquitous use of mobile devices and smartphones in the United States presents an interesting opportunity for application developers with respect to emergency management. Software engineers from the federal government to individuals have recognized the unique prospect of utilizing always-connected devices to assist in emergency notification, preparedness, and response. The federal government has instituted and ratified multiple acts and mandates with respect to mobile communications during a crisis such as the Commercial Mobile Alert System. Likewise, individual organizations and developers have created mobile applications that access weather alerts from the National Weather Service. Many of these applications utilize push notification architectures to notify users and stakeholders about impeding emergency situations. While most of these applications are geared towards a national audience, there are a few that are highly granular with a focus on the local community. This thesis presents a universal iOS application running on all iOS mobile devices: iPhone, iPad, iPad Mini, and iPod Touch for the Virginia Tech community. The application is highly granular with respect to emergency response guidance and notification by providing clear, concise, and supportive information to citizens during a crisis. Additionally, the application provides another medium of delivery for the Office of Emergency Management at Virginia Tech to potentially mitigate the extent of collateral damage and secondary incidents while saving lives. / Master of Science

DHL Parcel har en gammal modell för avisering till sina kunder. Syftet med uppdraget var därför att undersöka hur nya eller alternativa metoder för aviseringar kan användas i en ny modell. Den nya modellen ska vara tillförlitlig och lönsam. Undersökningar och intervjuer genomfördes för att få en helhetsbild av hur aviseringar går till i nuläget och för att undersöka möjligheter för en ny aviseringsmodell. Brev är den största kostnaden i den nuvarande modellen. Av undersökningarna och genom möten med LINK Mobility framkom att ”Facebook Messenger” är den metod som kommit längst i utvecklingen för att kunna användas som aviseringsmetod. Den nya modellen som presenterades i resultatdelen föreslår att breven som idag går ut vid dag 7 istället ska skickas dag 3. Detta genom att läsa av leveranslistan av SMS och skicka brev till de kunder som inte nåtts av en SMS‐avisering. Även Messenger föreslås integreras i den nuvarande modellen och vara ett komplement till de äldre metoderna för avisering. Den nya modellen beräknas ge kostnadsminskningar på uppemot 3 Mkr per år och en stor tillförlitlighet. I slutet av rapporten presenterades tankar kring arbetet och rekommendationer till DHL för fortsatt arbete avseende implementationsplan och andra steg som behövs för att genomföra förändringen. / DHL Parcel has an old model for notification to their customers. The purpose of the assignment was therefore to investigate how new or alternative methods can be used in a new model. The new model should be reliable and profitable. Research and interviews were conducted to get an understanding of the present situation and to find ideas for a new model. Notifications by mail is the largest cost in the current model. Research and meetings with LINK Mobility showed that “Facebook Messenger” is the most developed method to use as a new notification method. The new model presented in the results suggested that the mail being sent on day 7 should instead be sent on day 3. This by reading the list of deliveries of SMS and only send mail to customers not reached by SMS‐notification. The new model is calculated to reduce the yearly cost by 3 million SEK and high level of reliability. At the end of the report, reflections on the work are presented. Recommendations to DHL for continued work on implementation plans and other necessary steps before an implementation of the new model are presented.

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