This study, based on daily recordings of infant feeding, comprised 506 infants from Uppsala, Sweden. All mothers had had previous breastfeeding experience of at least 4 months, and were planning to breastfeed the index child for ≥6 months. Among exclusively breastfed infants there were wide variations in breastfeeding frequency and suckling duration per 24 hours both between infants and in the individual infant over time in the first 6 months. Most infants had an average of 1.0-2.9 feeds per night. Infants using a pacifier had fewer feeds and a shorter total suckling duration per 24 hours, and stopped breastfeeding earlier than infants not using a pacifier. These associations were not found for thumb sucking. Accustoming the infants to solids was a lengthy process, the longer the younger the infant at introduction, and was associated with small changes in pattern and duration of breastfeeding. In contrast, formula was usually given in large amounts from the beginning, and when formula was given regularly the daily breastfeeding frequency and suckling duration declined swiftly. The younger an infant at the start of regular formula feeds, the shorter the breastfeeding duration. Occasional formula feeds did not affect the breastfeeding duration. It is important for health personnel and parents to keep in mind that exclusively breastfed infants are not a homogeneous group, but rather members of distinct 'breastfeeding entities'. Moreover, if the aim is to introduce other foods 'under the protection of breast milk' it is important to realise that formula is also 'another food' and needs to be treated as such.

This is a dissertation about Swedish liberalism as a political rationality and, more specifically, the conditions that made the transition from an exclusionary society to an inclusive one possible at the beginning of the 20th century. I have made a case study of National Association of Social Work (Centralförbundet för Socialt Arbete, CSA), an association that played a significant role in the institutionalization of social politics in Sweden. The objectives are threefold. Firstly, to analyze CSA as a liberal political rationality. Secondly, to analyze its political ontology. Thirdly, to examine its motives for defending an including society. One of the main arguments in this dissertation is that the political rationality of CSA is characterized by a form of government that works in and through society, as well as through freedom. By using the concept of ”the state of suspension” I try to capture and analyze the ontological ambiguity of the individual in liberal thought; an ambiguity expressed in biopolitical categorizations of the population according to perceived capacities for rational thought. The inclusion of the excluded part, which I describe through the notion of “the social”, was possible due to a new political ontology, which considered the individual as being a product of social circumstances, and as someone possible to shape and govern in and through society. I argue that the political struggle of the excluded not only served to revise the political ontology of CSA, but also provided the rationale for the efforts to create an including society with universal suffrage. CSA did not regard citizenship as a right, but as a political technology and as a solution. Furthermore, I argue that citizenship shouldn’t be seen as a prerequisite for the politization of the excluded. On the contrary, this part of the population was already, at least partially, politicized and they became political subjects through their participation in the struggle for political rights.

Lietuvoje išimtinai kūdikius iki 6 mėn. žindo tik 25, 7 proc. motinų, o 14 proc. jau nuo 1 gyvenimo mėnesio davė arbatos. Tyrimais yra nustatyta, kad žindymo ir laktacijos valdymo mokymas nėštumo metu, gali prailginti išimtinio žindymo trukmę.Tikslas – nustatyti nėščiųjų mokymo apie žindymo ir laktacijos valdymą įtaką išimtinio žindymo(IŽ) paplitimui, papildomo maitinimo(PM) įvedimo pradžiai bei įvertinti motinų žinias ir pastangas, siekiant spręsti su žindymu susijusias problemas.Uždaviniai: 1. Įvertinti nėščiųjų mokymo apie žindymą įtaką IŽ paplitimui ir trukmei; 2.Įvertinti nėščiųjų mokymo apie žindymą įtaką PM įvedimo pradžiai; 3.Įvertinti išklausiusių ir neišklausiusių mokymo apie žindymą motinų žinias ir pastangas siekiant spręsti su žindymu susijusias problemas; 4. Išsiaiškinti motinų nuostatas apie žindymo trukmę ir veiksnius, galinčius ją įtakoti; 5. Nustatyti motinų požiūrį į personalo pagalbą pradedant žindyti.Tyrimo metodas. Tyrimas buvo atliktas VU Sporto medicinos, reabilitacijos ir slaugos instituto ir RMC bazėje 2006-2008 metais. Naudojant anoniminę anketą-klausimyną buvo apklaustos 50 moterų, auginančios 6-18 mėn. amžiaus vaikus ir išklausiusios prenatalinį žindymo ir laktacijos valdymo pagrindų kursą (poveikio grupė(PG)), ir 50 moterų (kontrolinė grupė(KG)), auginančių tokio paties amžiaus vaikus ir neišklausiusios tokio kurso. Klausimyno pirmoje dalyje buvo siekiama išsiaiškinti moterų žindymo ir papildomo maisto įvedimo praktiką, nuostatas apie sėkmingo... [toliau žr. visą tekstą] / In Lithuania only 25.7% of babies are exclusively breastfed (BF) up to 6 months. Evidence has proved that prenatal teaching on BF and lactation management(LM) can prolong exclusive BF. Objective: to determine the influence of prenatal BF training over the rates of exclusive BF and the initiation of complementary feeding(CF) and to assess the mothers‘ knowledge and efforts in solving BF-related problems. Tasks: 1.Assess the influence of prenatal BF training over the rates and length of exclusive BF. 2. Assess the influence of prenatal BF training over the initiation of CF. 3. Assess the knowledge and efforts in solving BF-related problems by mothers who have undergone and who haven‘t undergone prenatal BF training. 4. Determine mothers‘ attitudes toward the length of BF and the factors influencing this length. 5. Determine mothers’ attitudes toward the personnel’s assistance at the initiation of BF. Methods: The investigation was carried out at the IRSMN at the MF of VU and the NNC in 2006 – 2008. The survey included 50 women raising children aged 6–18 months, having completed a prenatal BF and LM course (“intervention group” IG) and 50 - raising children of the same age but having not completed such course (“control group” CG). The first part of the anonymous questionnaire was aimed at determining the practices of BF and initiating CF, the successful BF factors, the assessment of assistance in BF and trust in nurses in solving BF-related problems; the second - a test aimed at... [to full text]

The mission of the Gareganze's Brothers in Christ Church facing the chaos of the socio-political situation in DRC resulting mostly from the question of the Congolese nationality is to dynamise the christian mission and to protect the poor, set free the captives, because God is always at their side. The DRC, though, has enormous natural resources and the competent human resources capabilities. The national institutions seem to be unable to handle this situation because of the lack of political culture, mismanagement and moral untidiness. The successive Congolese crises mostly are the same, the common denominator resides in the causes that brought them about. The main objectives of the antagonist groups are political leadership and material wealth. The findings of our analysis will help the Church of Christ in Congo, to fulfill the prophetic mission and the vision of God, for the positive transformation of the Congolese society. / Christian Spirituality, Church History and Missiology / M. Div. (Missiology)

L'exploitation des ressources énergétiques et minérales terrestres rencontre des limites face à l'augmentation rapide de la population mondiale. Ce n'est qu'après la seconde guerre mondiale que les États ont compris qu'ils devaient maîtriser l'océan pour pouvoir en extraire ses ressources. 1982 marque l'adoption de la Convention des Nations-Unies sur le droit de la mer. L'espace maritime fut alors découpé en zones, sur lesquelles les États côtiers avaient le plus souvent des droits. Ce découpage permettait une meilleure exploitation des ressources maritimes. Ainsi, en mer territoriale, les États pouvaient mettre en place des systèmes de production d'électricité à partir de sources renouvelables. Plus loin, dans la zone économique exclusive, les États peuvent autoriser l'exploration et l'exploitation des hydrocarbures. Enfin, sur le plateau continental, l'évolution de la technologie nous permettra bientôt d'aller exploiter les ressources minérales marines. La question centrale qui se pose est de savoir s'il est possible d'exploiter ces ressources de façon durable sans détruire l'environnement marin. La protection de l'environnement ne peut exister sans un droit fort et appliqué. Il doit constituer un rempart contre les agissements d'entreprises ou d’États peu soucieux de l'impact à long terme de leurs actions. L'Océan, immense, aux fonds invisibles et mystérieux, est vulnérable. Sa protection ne pourra avoir lieu que lorsque le grand public, les États et les entreprises, auront compris son importance pour la survie de l'Humanité. C'est le devoir des hommes et des femmes de droit de rendre cette protection effective. / The exploitation of terrestrial energy and mineral resources is limited by the rapid increase of the world's population. It was only after the Second World War that States realised that they had to control the ocean in order to extract its resources. 1982 marks the adoption of the United Nations Convention on the Law of the Sea. The maritime are: was then divided into zones, over which coastal States most often had rights. This division allowed for a better exploitation of maritime resources. In the territorial sea, for example, States could set up electricity production systems from renewable sources. Further, in the exclusive economic zone, States could allow the exploration and exploitation of hydrocarbons. Finally, on the continental shelf, the evolution of technology will soon allow us to exploit marine mineral resources. The central question is whether it is possible to exploit these resources in a sustainable way without destroying the marine environment. The protection of the environment cannot exist without a strong and applied legislation. It must be a bulwark against the actions of companies or States that have little regard for the long-term impact of their actions. The ocean, immense, with invisible and mysterious bottoms, is vulnerable. Its protection can only take place when the general public, States and companies understand its importance for the survival of Humanity. It is the duty of the men and women of law to render this protection effective.

Submitted by Viviane Lima da Cunha (viviane@biblioteca.ufpb.br) on 2016-09-19T15:15:21Z No. of bitstreams: 1 arquivototal.pdf: 4380406 bytes, checksum: 49e7034772659408621f76e27fb65af5 (MD5) / Made available in DSpace on 2016-09-19T15:15:21Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 4380406 bytes, checksum: 49e7034772659408621f76e27fb65af5 (MD5) Previous issue date: 2015-07-30 / This investigation examines the public-private partnership in the management of public schools in the state of Pernambuco, which is in the context of the reform of the state apparatus, whose foundation are the recommendations put in the Main Plan of Reforms of the Administration of the State PDRAE (1995). The research discusses the concept of education as a non-exclusive service and how this logic has fostered the construction of a model of management for results in public schools, with reference to the experience developed in the Pernambucano Gym. The methodology of the research seeks the relationship between the universal - the mode of capitalist production and characteristics of this historical juncture - and the singular, educational policy. But because it is an educational policy, the investigation generalizes the analysis, because the policy reaches all the Pernambuco state schools. The method is based on historical materialism and dialectical, with the due readings to think the social in the contemporary context. It is understood that the Marxist analysis is making a radical critique of capitalism and without celebrations. It is a benchmark that takes a historical role in building a social reality stocktaking. The corpus of the survey consists of documents produced by the state government of Pernambuco, which establish the legal basis for the implementation of management for results from 2004 to 2014 in two phases. At first, the emphasis is on public-private partnership between the Institute of Co-responsibility for Education and the State Government. In the second phase, the establishment of responsibility mechanisms of the school director, in order to consolidate the managerialism in the management of Pernambuco education. In addition to document analysis, which attempts to grasp the general lines that signal the intent of the study educational policy, refers to the semi-structured interview, trying to understand how the results to management model, the logic of public-private partnership, has been applied concretely in everyday school life. / Esta investigação examina a parceria público-privada na gestão da escola pública no estado de Pernambuco, a qual se insere no contexto da reforma do aparelho do Estado, cujo fundamento constitui as recomendações postas no Plano Diretor da Reforma do Aparelho do Estado (1995). A pesquisa discute a concepção de educação como um serviço não exclusivo e como essa lógica tem fomentado a construção de um modelo de gestão para resultados nas escolas públicas, tendo como referência a experiência desenvolvida no Ginásio Pernambucano. A metodologia da pesquisa busca a relação entre o universal – o modo de produção capitalista e as particularidades da presente conjuntura histórica – e o singular, a política educacional. Por se tratar de uma política educacional, a investigação generaliza a análise, pois a referida política atinge a totalidade das escolas públicas pernambucanas. O método fundamenta-se no materialismo histórico e dialético, com as devidas releituras, para pensar o social no contexto contemporâneo. Compreende-se que a análise marxista é a que faz uma crítica radical e sem celebrações ao capitalismo. Trata-se de um referencial que assume um papel histórico na construção de uma análise da realidade social. O corpus da pesquisa constitui-se de documentos produzidos pelo governo estadual de Pernambuco, que estabelecem as bases legais para a implantação da gestão para resultados no período de 2004 a 2014, em duas fases. Na primeira, a ênfase encontra-se na parceria público-privada entre o Instituto de Corresponsabilidade pela Educação e o Governo do Estado. Na segunda fase, na constituição de mecanismos de responsabilização do diretor escolar, com o fim de consolidar o gerencialismo na gestão da educação pernambucana. Além da análise documental, que busca apreender as linhas gerais que sinalizam a intencionalidade da política educacional estudada, recorre-se à entrevista semiestruturada, na tentativa de compreender como o modelo de gestão para resultados, na lógica da parceria público-privada, tem sido aplicado, concretamente, no cotidiano escolar.

隨著社會經濟的不斷發展，社會物質精神文化生活的不斷豐富，人們可以越來越容易的購買到自己喜歡的衣服，特別是廣大愛美的女生。現如今中國大陸市場上充斥著各種名稱的女裝品牌，本文的研究對象正是這些消費者可以輕而易舉的接觸到的女裝品牌。 本研究通過對商標的基本解釋、意義與類型的歸納，商標註冊保護程序與要件的列舉，綜合分析目前中國大陸商標的註冊與保護概況。在對女裝品牌相關的文獻進行綜述和總結之後，通過資料檢索、統計分析、判決分析等方式，利用網路平台並在不同網路平台中查找那些關於中國大陸常見的女裝品牌。再通過中國大陸商標局檢索出與這些女裝品牌相關的商標註冊情況，這些註冊情況涵蓋了註冊時間、註冊申請人、註冊公告時間、商標專用權期限等，本論文針對這些信息進行整理、分析和總結，得出有關中國大陸女裝品牌的商標概況。通過在中國裁判文書網，檢索商標名稱以及對應的商標申請人的法律判決狀況，以篩選出的女裝品牌為代表，了解目前中國大陸女裝品牌的商標相關的法律問題。最後本論文結合淘寶網品牌總銷量的相關情況，綜合分析商標註冊的多寡對於這些女裝品牌的銷量和該些女裝品牌註冊商標的爭議之間的影響狀況，總結出女裝品牌商標註冊與保護問題的相關建議。 / With the development of society, people can gain more goods they need than before, like some beautiful clothes, especially for women. And nowadays there are many women’s clothing brands exist in the market of China, this article is based on this phenomenon and focus on the brands of women’s clothing which people can easily buy. In this article, the author interpret and define what brand and what women’s clothing brand is. Also, the author will illuminate how to register a trademark in China, and what protection Chinese government and Chinese trademark related laws offer, meanwhile the writer will collect and select the existing women’s clothing brands by searching different information from the internet. Then the writer will search these brands from “Trademark Office of The State Administration For Industry & Commerce of the People’s Republic of China”, collect these brands’ registrant, registration time, publication time, the period of their exclusive rights and so on. The writer will focus on the information above, try to reorganize and analyze the information mentioned above and draw some conclusions from that. The author will search the trademark-related judgment of these selected brands by “China Judgements Online”, as well as collect the sales volume of these brands by “Taobao”. At last the author will use the software of “Excel” and “R” to analyze the data above. After doing all the things above, the author will draw a conclusion and could give some related suggestion on the topic of the registration and protection of the trademarks’ status in China from women’s clothing brands.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / At present, exclusive horizontal condominiums (EHC's) are the subject of debate since they represent and signify the urban-regional space of contemporary cities. These type of gated condominiums are considered new forms of socio-spatial segregation. The Metropolitan Coast of Aracaju (MCA) is a complex geographic object, a hybrid character phenomenon due to the confluence between the living and the holiday, old and new, urban and rural, public and private. This thesis is based on the argument that these new urban habitats are an element that acts directly on the reconfiguration of the urban-regional space and represent one of the features of diffuse urbanization in recent decades. The following methodological procedures in the research were used: reading the literature related to the theme; collection and organization of secondary data: documentary research, mapping and statistics; EIA-RIMAs and Master Plans analysis, as well as visits to the property developers web sites in order to observe how they operate in the promotion of real estate products; observation and photographic record in loco; interviews to the shareholders; preparation of cartographic materials; analysis and interpretation of data. The qualitative approach was chosen to explain the reality based on the principle of movement and geographical totality, considering that the processes acquire meaning when they take form, the form-content. This thesis aimed to analyze the socio-spatial dynamics of MCA focusing on exclusive horizontal condominiums. He attempted to explain the origin, the meaning, the intentions and the socio-spatial consequences of this form of segregation and specific real estate product within the regional urban context. The government, the housing market and the investors represent the force that act more directly in the expansion and proliferation of homes for first or second residence in this type of habitat and nesting on the coast or in the MCA field. Two moments of EHC's phenomenon of the MCA were identified. First, in the 1990s, with the emergence and expansion of beach condos in the coastal sector of Aracaju Expansion Zone for the participation of local real estate capital. And later, in the early twenty-first century, and still in the process of expansion, the regional real estate market, national and international begins to operate in specific sectors of the metropolitan coast in beachy sector of Barra dos Coqueiros and in the countryside of São Cristóvão. These condominiums present forms and offer complex content of activities and services. The location of these developments close to major structural axes implemented by the government, as the bridge Construtor João Alves, BR 101 road, now doubled, and state highways SE 100 and SE 050, makes the phenomenon a vector in the (re)structuring of spaces scattered and disconnected from the urban center of the capital. Property developers, representatives of local capital, regional, national and international, play a crucial role in the sale and marketing of real estate product that becomes increasingly a dream of consumption and a symbol of self-realization of solvables of the population. From the view of residents, the living and spend the holidays in these closed residential spaces were clarified the changes in socio-spatial practices that have established in metropolitan coast, and further it helps to explain the self-segregation process. / Os condomínios horizontais exclusivos (CHE’s) são, na atualidade, motivo de discussão pelo que representam e significam no espaço urbano-regional das cidades contemporâneas. Recortados fisicamente no espaço, os condomínios são considerados como novas formas de segregação socioespacial. No Litoral Metropolitano de Aracaju (LMA), o caráter híbrido do fenômeno, pelo confluir do morar e do veranear, do velho e do novo, do urbano e do rural, do público e do privado, dá o tom da complexidade deste objeto geográfico. A presente tese baseia-se na discussão que esses novos habitats urbanos configuram-se como um elemento que atua diretamente na reconfiguração do espaço urbano-regional em questão e que se constitui como uma das feições da urbanização difusa que se desenha nas últimas décadas. No processo de investigação da pesquisa foram utilizados os seguintes procedimentos metodológicos: levantamento e leitura da produção bibliográfica referente ao tema proposto para pesquisa; coleta e organização dos dados secundários: pesquisa documental, cartográfica e estatística; análise de EIA – RIMAS e Planos Diretores, assim como visitas ao site de incorporadoras a fim de observar como estas atuam na promoção dos produtos imobiliários; observação e registro fotográfico in loco; realização de entrevistas aos condôminos; elaboração de material cartográfico; análise e interpretação dos dados. Partiu-se do princípio do movimento e da totalidade geográfica pela compreensão de que os processos adquirem significado quando tomam forma, a forma-conteúdo. A abordagem se fez de forma mais qualitativa com foco na explicação dos processos que caracterizam o fenômeno dos CHE’s. A presente tese teve por objetivo analisar a dinâmica socioespacial do LMA com enfoque nos condomínios horizontais exclusivos. Buscou-se explicar a gênese, o significado, as intencionalidades e os desdobramentos socioespaciais desta forma de segregação e produto imobiliário específico dentro do contexto urbano regional. O poder público, o mercado imobiliário e os condôminos representam a força que atua mais diretamente na expansão e proliferação de residências para primeira ou segunda residência dessa forma de habitat e assentamento no litoral ou no campo do LMA. Identificou-se dois momentos do fenômeno dos CHE’s no LMA. Primeiro, na década de 1990, com o surgimento e a expansão dos condomínios de praia no setor costeiro da Zona de Expansão de Aracaju pela participação do capital imobiliário local. E posteriormente, no início do século XXI, e ainda em processo de expansão, o mercado imobiliário regional, nacional e internacional passa a atuar em setores específicos do litoral metropolitano, no setor praiano da Barra dos Coqueiros e na zona rural do município de São Cristóvão com o lançamento de condomínios com formas e conteúdos mais complexos diante da gama de atividades e serviços que estes dispõem. A localização destes empreendimentos próximos a importantes eixos estruturantes implantados pelo poder público, como a ponte Construtor João Alves, a BR 101, agora duplicada, e as rodovias estaduais SE 100 e SE 050, faz do fenômeno um vetor na (re)estruturação dos espaços dispersos e desconectados do núcleo urbano da capital. Os promotores imobiliários, representantes do capital local, regional, nacional e internacional, desempenham papel crucial na venda e comercialização deste produto imobiliário que se torna cada vez mais um sonho de consumo e um símbolo da autorrealização das camadas solváveis da população. O olhar dos condôminos elucidou as mudanças nas práticas socioespaciais que o morar e o veranear nestes espaços residenciais fechados tem implantado no litoral metropolitano e ajuda a explicar a autossegregação que se processa.

Introdução: O impacto positivo no curto e longo prazos do aleitamento materno exclusivo (AME) na saúde da criança, da mulher que amamenta e para a sociedade estão bem documentados. Apesar da tendência secular crescente do AME no Brasil, a prevalência de 36,6 por cento constatada na última Pesquisa Nacional de Saúde, realizada em 2013, está aquém dos 50 por cento considerados satisfatórios pela Organização Mundial da Saúde. Mediante esse cenário, faz-se importante identificar fatores de risco modificáveis para reduzir a interrupção precoce do AME. Embora o uso de chupeta seja apontado como um dos múltiplos determinantes do AME, não existe consenso sobre o efeito desse hábito na interrupção precoce dessa prática. Objetivo: Analisar a associação entre uso de chupeta e interrupção do AME, bem como a evolução do uso de chupeta e sua influência no AME em menores de 6 meses nas Capitais Brasileiras e no DF, 1999- 2008. Métodos: Foram produzidos 4 manuscritos. O primeiro consistiu de uma revisão sistemática e meta-análise para investigar a associação entre uso de chupeta e interrupção do AME nos menores de 6 meses. Para tanto, realizou-se uma busca ampla em cinco bases de dados (CINAHL, Scopus, Web of Science, LILACS, Medline) sem restrição de data ou idioma de publicação, o que resultou em 1.866 estudos submetidos à critérios de exclusão e inclusão previamente estabelecidos (Protocolo PROSPERO CDR42014014527). O segundo e o terceiro manuscritos utilizaram dados provenientes da I e II Pesquisa de Prevalência de Aleitamento Materno (PPAM) nas Capitais e DF realizadas em 1999 e 2008, respectivamente. Os inquéritos, metodologicamente equivalentes, utilizaram amostras representativas com sorteio em dois estágios. Os questionários foram compostos por questões fechadas relativas ao uso de chupeta e à alimentação da criança no dia anterior à pesquisa. No manuscrito 2, para testar a associação entre o uso de chupeta e o risco de interrupção do AME, foram utilizados modelos de regressão múltipla na amostra agrupada e para cada inquérito, ajustados por covariáveis socioeconômicas, demográficas e biomédicas da mãe da criança. No terceiro manuscrito, calculou-se a fração de impacto potencial (FIP) da influência da variação temporal do uso de chupeta no declínio da interrupção do AME. O manuscrito 4 resultou do aprofundamento na metodologia aplicada no manuscrito anterior, no qual se discute como as estimativas de FIP podem ser utilizadas na análise de mudanças em desfechos populacionais à luz de variações em seus fatores determinantes, tomando como exemplo os dados de AME e uso de chupeta no Brasil. Resultados: O efeito agrupado do uso de chupeta sobre a interrupção do AME em crianças menores de 6 meses dos estudos incluídos na meta-análise foi de OR 2,48 (IC95 por cento =2,16-2,85); entretanto, constatou-se alta heterogeneidade, explicada majoritariamente pelo delineamento do estudo (40,2 por cento ). Os dois ensaios clínicos randomizados incluídos apresentam validade externa limitada e encontraram associação nula; os 44 observacionais, incluindo 20 estudos de coorte prospectivos, encontraram associação consistente (OR=2,28; IC95 por cento =1,78-2,93). Essa associação foi confirmada pela análise agrupada das amostras da I e II PPAM (manuscrito 2), revelando o uso de chupeta como o fator mais fortemente associado à interrupção precoce do AME no Brasil no período de 1999 a 2008 (OR ajustado= 2,77; IC95 por cento =2,63-2,91). Nesse período, no Brasil, houve declínio de 15,2 pontos percentuais na prevalência de interrupção do AME (passando de 74,9 por cento para 59,7 por cento ) e uma redução de aproximadamente 17 pontos percentuais no uso de chupeta (passando de 58,5 por cento para 41,6 por cento ). Um terço do declínio na interrupção precoce do AME pôde ser atribuído à variação temporal do uso de chupeta (manuscrito 3). A redução no uso de chupeta como estratégia de prevenção para interrupção do AME no cenário 1999-2008 apresentou 41 por cento de eficácia potencial, 13,3 por cento de efetividade e 18,5 por cento de eficiência (manuscrito 4). Conclusões: O uso de chupeta é um fator de risco associado à interrupção do AME em crianças menores de 6 meses, sendo um forte determinante no declínio temporal da interrupção precoce dessa prática no Brasil. Como um fator de risco modificável, revelou-se seu potencial na prevenção da interrupção precoce do AME. Estratégias preventivas com abordagem universal e seletiva para redução do uso de chupeta em crianças amamentadas exclusivamente poderiam acelerar a melhoria das taxas da AME no Brasil, rumo às recomendações internacionais / Introduction: The short- and long-term health positive impact that exclusive breastfeeding (EBF) confers to children are well documented. Despite the secular trend for EBF in Brazil has increased, the prevalence of 36 per cent observed in the last national survey conducted in 2013 is still below the 50 per cent considered satisfactory by the World Health Organization. In this scenario, it is important to identify relevant modifiable key risk factors for the premature interruption of EBF. Although pacifier use has been pointed as one of the multiple determinants of exclusive breastfeeding there is no consensus on the effect of this habit in the early interruption of EBF. Objective: To analyze the association between pacifier use and EBF interruption as well as the influence of temporal trends of pacifier use on the EBF in children under 6 months old in Brazilian state capitals and Federal District, 1999-2008. Methods: 4 manuscripts were produced. The first consisted in systematic review and meta-analysis to investigate the association between pacifier use and interruption of exclusive breastfeeding in infants less than 6 months. A wide search in 5 databases (CINAHL, Scopus, Web of Science, LILACS, Medline) from inception through 30 December 2104 without restriction of language yielded 1.866 publications submitted to predetermined inclusion/exclusion criteria peer reviewed (PROSPERO protocol CDR42014014527). In the second and third manuscripts data from 2 waves of infant feeding surveys conducted in 1999 and in 2008 in the Brazilian state capitals and Federal District (I and II PPAM) was used. Methodologically equivalent surveys used representative samples selected based on complex sampling procedures and systematic random selection of children in the queue of each selected immunization center. Questionnaires were composed of closed-ended questions regarding the pacifier use and infant feeding on the day before the survey. In the second manuscript, to find out whether or not pacifier use is an independent risk factor for the EBF interruption were used multivariate regression models in the pooled sample and for each survey wave adjusting for socioeconomic, demographic and biomedical confounders. In the third paper, we calculated the potential impact fraction (IF) of the influence of temporal trends of pacifier use on the decline of EBF interruption. Manuscript 4 resulted from methodological deepening for application of the analysis strategy applied in the previous manuscript, into it we present how estimates of IF that might be used in the analysis of variation in the population outcomes considering shift in its determinants, taking as an example the data about EBF interruption and pacifier in Brazil. Results: The meta-analysis pooled effect was OR 2.48 (CI95 per cent =2.16-2.85) for the association between pacifier use and EBF interruption. The majority heterogeneity was explained by study design (40.2 per cent ). Two RCTs with very limited external validity found a null association, but 44 observational studies, including 20 prospective cohort studies, did find a consistent association between pacifier use and EBF interruption (OR=2.28; CI95 per cent =1.78-2.93). This association was confirmed by the pooled analysis for I and II PPAM (manuscript 2) revealing pacifier use as the strongest risk factor for EBF interruption in Brazil between 1999-2008 (OR adjusted= 2.77; CI95 per cent =2.63-2.91). In this period was observed 15.2 per cent of decline in EBF interruption prevalence (from 74.9 per cent to 59.7 per cent ) and a reduction of approximately 17 per cent in pacifier use (from 58.5 per cent to 41.6 per cent ). A third of the total decline of EBF interruption could be attributed to the temporal trends of pacifier use (manuscript 3). The decrease in the pacifier use as a prevention strategy for EBF interruption in the scenario 1999-2008 showed 41 per cent of potential effectiveness, 13.3 per cent effective and 18.5 per cent efficiency (manuscript 4). Conclusion: Pacifier use is a risk factor associated with EBF interruption, being a strong determinant in the temporal trends of EBF in Brazil. As a modifiable risk factor, the pacifier proved its potential in preventing EBF interruption. Preventive public health strategies with ecological and selective approach to reduce the pacifier use in exclusive breastfed infants could accelerate the improvement of the EBF rates in Brazil, towards the international recommendations

Dans le système pluraliste libanais, le mariage ainsi que les matières du statut personnel relèvent exclusivement de la compétence des dix-huit communautés religieuses qui ont un véritable pouvoir de juridiction et de législation en la matière. Cependant, le législateur a permis aux Libanais d’échapper aux statuts religieux applicables en droit interne en célébrant un mariage civil à l’étranger. Ce mariage est reconnu au Liban et il est soumis intégralement à la loi civile étrangère choisie indirectement par les parties. C’est en cela que consiste le libéralisme du droit international privé en matière de mariage qui accorde, en définitive, un rôle important à l’autonomie de la volonté des époux. Cependant, ce libéralisme n’est pas inconditionnel. Il ne déploie ses effets qu’en l’absence de toute célébration religieuse. Les règles du droit international privé deviennent même impérialistes dans la mesure où elles garantissent l’exclusivisme des droits religieux dès qu’un mariage religieux est en cause. C’est la raison pour laquelle les règles du droit international privé du mariage oscillent entre libéralisme et impérialisme et révèlent ainsi le paradoxe du système matrimonial libanais. Cette étude a pour but d’analyser en profondeur les termes de ce paradoxe dans toutes ses nuances. Elle se penche sur les domaines respectifs des droits civils et religieux en matière de mariage pour examiner comment ces droits s’articulent entre eux. Elle tente aussi de mener une réflexion sur les solutions de substitution au système actuel dans le but d’améliorer la législation sur le mariage au Liban. / In the Lebanese pluralist legal system marriage and personal status matters fall exclusively within the competence of the eighteen religious communities which have real power of jurisdiction and legislation in this area. However, the legislator allowed the Lebanese to escape the religious laws applicable locally by celebrating a civil marriage abroad. This marriage is recognized in Lebanon and is subject in full to the foreign civil law chosen indirectly by the parties. That is the liberalism of private international law for marriage which assigns an important role to the spouses’ autonomy and freedom of choice. Yet this liberalism is not unconditional and takes no effect unless the parties have not concluded a religious marriage. Private International laws become even imperialistic when they ensure the exclusive application of religious laws each time a religious marriage takes place. This is the reason why private international laws of marriage oscillate between liberalism and imperialism, and thus reveal the paradox of the Lebanese matrimonial system. This thesis is an in depth study of the terms of this paradox in all its nuances and it aims to determine respectively the competence area of civil and religious laws to better understand how they articulate with each other in marriage conflicts. Also, it examines alternative solutions to the actual system in order to improve the regulations that are applicable to marriage in Lebanon.