Introdução: O tratamento da Insuficiência Venosa Crônica (IVC) é baseado na correção dos refluxos e obstruções ao fluxo sanguíneo venoso. A detecção, a gravidade e o tratamento dessas obstruções venosas, responsáveis pelos sinais e sintomas da IVC, têm sido recentemente estudados e melhor compreendidos. Estes estudos não definem qual o grau de obstrução significativa nem os critérios ultrassonográficos para sua detecção. O objetivo deste estudo foi determinar critérios ultrassonográficos para o diagnóstico das obstruções venosas ilíacas, avaliando a concordância deste método com o ultrassom intravascular (UI) em pacientes portadores de IVC avançada. Métodos: Foram avaliados 15 pacientes (30 membros; 49,4 ± 10,7 anos; 1 homem) com IVC inicial (Classificação Clínica-Etiológica-Anatômica-Physiopatológica - CEAP C1-2) no grupo I (GI) e 51 pacientes (102 membros; 50,53 ± 14,5 anos; 6 homens) com IVC avançada (CEAP C3-6) no grupo II (GII) pareados por sexo, idade e etnia. Todos pacientes foram submetidos à entrevista clínica e à ultrassonografia vascular com Doppler (UV-D), sendo obtidas as medidas de fasicidade de fluxo, os índices de fluxo e velocidades venosas femorais, e as relações de velocidade e de diâmetro da obstrução ilíaca. Foi analisado o escore de refluxo multisegmentar. Os indivíduos do GI foram avaliados por 3 examinadores independentes. Os pacientes do GII foram submetidos ao UI, sendo obtidos a área dos segmentos venosos comprometidos e comparados com os resultados obtidos pelo UV-D, agrupados em 3 categorias: obstruções < 50%; obstruções entre 50-79% e obstruções >= 80%. Resultados: A classe de severidade clinica CEAP predominante no GI foi C1 em 24/30 (80%) membros, e C3 em 54/102 (52,9%) membros no GII. O refluxo foi severo (escore de refluxo multisegmentar >= 3) em 3/30 (10%) membros no grupo I, e em 45/102 (44,1%) membros no grupo II (p<0,001). Houve uma concordância moderadamente elevada entre o UV-D e o UI, quando agrupadas em 3 categorias (K=0,598; p<0,001), e uma concordância elevada quando agrupadas em 2 categorias (obstruções <50% e >= 50%) (K= 0,784; p<0,001). Os melhores pontos de corte e sua correlação com o UI foram: índice de velocidade (0,9; r=-0,634; p<0,001); índice de fluxo (0,7; r=-0,623; p<0,001); relação de obstrução (0,5; r=0,750; p<0,001); relação de velocidade (2,5; r= 0,790; p<0,001); A ausência de fasicidade de fluxo esteve presente em 88,2% dos pacientes com obstrução >=80% ao UV-D. Foi construído um algoritmo ultrassonográfico vascular, utilizando as medidas e os pontos de corte descritos obtendo-se uma acurácia de 79,6% para 3 categorias (K=0,655; p<0,001) e de 86,7% para 2 categorias (k=0,730; p<0,001). Conclusões: O UV-D apresentou uma concordância elevada com o UI na detecção de obstruções >= 50%. A relação de velocidade na obstrução >= 2,5 é o melhor critério para detecção de obstruções venosas significativas em veias ilíacas. / Introduction: The treatment of Chronic Venous Insufficiency (CVI) is based on correction of reflux and obstruction of venous blood flow. The detection, severity and treatment of venous obstructions, responsible for signs and symptoms of CVI have been recently studied and better understood. These studies did not define the degree of significant obstruction or the sonographic criteria for its detection. The purpose of this study was to determine the sonographic criteria for diagnosis of iliac venous outflow obstruction by assessing the correlation of this method with intravascular ultrasound (IVUS) in patients with advanced chronic venous insufficiency (CVI). Methods: The evaluation included 15 patients (30 limbs, age 49.4 ± 10.7 years; 1 man) with initial CVI symptoms (Clinical-Etiology-Anatomy-Pathophysiology classification - CEAP C1-2) in group I (GI) and 51 patients (102 limbs, 50.53 ± 14.5 years, 6 men) with advanced CVI symptoms (CEAP C3-6) in group II (GII). Patients from both groups were matched by gender, age and ethnicity. All patients underwent a clinic interviews and Duplex Ultrasound (DU), measuring the flow phasicity, the femoral volume flows and velocities, and the velocities and obstructions ratios in the iliac vein. The Reflux Multisegment Score were analyzed. Three independent observers evaluated individuals in GI. GII patients were submitted to IVUS, in which the area of the impaired venous segments was obtained and compared to the DU results, and then grouped into 3 categories: obstructions < 50%; obstructions between 50 and 79% and obstructions >= 80%. Results: The predominant clinical severity CEAP class was C1 in 24/30 (80%) limbs in GI and C3 in 54/102 (52.9%) limbs in GII. Reflux was severe (reflux multisegment score >= 3) in 3/30 (10%) limbs in GI and 45/102 (44.1%) limbs in GII (p<0.001). There was a moderately high agreement between DU and IVUS findings when grouped into 3 categories (k= 0.598; p<0.001), and high agreement when grouped into 2 categories (obstructions <50% and >= 50%) (k=0.784; p<0.001). The best cut-off points and their correlation with IVUS were 0.9 for the velocity index (r =-0.634; p< 0.001); 0.7 for the flow index (r=-0.623; p<0.001); 0.5 for the obstruction ratio (r=0.750; p<0.001), and 2.5 for the velocity ratio (r=0.790; p<0.001). Absence of flow phasicity was observed in 62.5% of patients with obstructions >= 80%. An ultrasound algorithm was created using the measures and the described cut-off points with accuracy of 86.7% for detecting significant obstructions (>= 50%) with high agreement (k=0.73; p< 0.001). Conclusions: DU presented high agreement with IVUS for detection of obstructions >= 50%. The velocity ratio in obstructions >= 2.5 is the best criteria for detection of significant venous outflow obstructions in iliac veins.

本文分為〈緒論〉、〈結論〉及正文四章。第一章〈禮教與反禮教〉。「禮教」一詞住住因為使用者不同而帶有不同的意涵，有時指的是三綱制度，有時是指禮法制度，有時又可以說是生活中的禮俗。本章試圖從文獻中釐清禮的層次，並從禮的層次來說明禮教的涵意。在說明禮教的定義之後，我們所想了解的是清末的反禮教思潮之演進，及其發生的社會歷史背景。第二章〈周作人之生平與思想淵源〉。由於政治因素的封殺，所以周作人一生的事蹟就顯得暗淡模糊。本章第一節〈周作人的生平〉的目地即在於利用周作人與當時幾個重要刊物的關係做為經線來貫穿周作人在五四時期的事蹟。第二節〈周作人思想的淵源〉及第三節〈周作人之文學觀〉的主旨是闡明周作人反禮教思想之由來及其反禮教思想在文學活動中的表現。周作人常稱自己是雜定，因為他的興趣廣泛，對於許多的知識都有非常濃厚的興味，是以他的思想外貌就顯得紛亂，使人有眼花撩亂的感覺。然而在紛亂的外表之下，卻是秩序井然，層次分明。第二、三節的主旨即在於撥開紛亂的思路，呈現周作人的思想理路。並且做為本文繼續研究周作人反禮教思想之基礎。第三章〈周作人對禮教內容之剖析〉。本章旨在說明周作人在五四時期反三綱制度、反薩滿教的禮教、反性迷信及其相關問題的言論。在本章中也說明周作人在攻擊禮教之後，是否有建設性的想法。在五四時期，知識份子破壞太多，建設太少，因而整個社會呈現出無所適從的亂像。周作人一方面破壞禮教，一方面也提出他的新「禮」做為新行為規範的參考，希望能為中國盡自己的一分心力。第四章〈新道德觀與人的「發現」〉。本章的主旨在延續上一章最後一節的討論，即周作人對於新「禮」的討論的深化。對於婦女問題、兒童問題、新村運動及當時正在迅速發展的民間文學及民俗學問題，他都曾積極參與討論，並提出新的見解。他希望藉著他從西方引進的新知識能夠推動建立新的道德觀。並且希望新的道德觀─「禮」是中國新文化的基石。

Thesis (doctoral) - Universität, Duisburg-Essen, 2009. / Includes bibliographical references.

LINS, Lindercy Francisco Tomé de Sousa. Um dia, muitas histórias... trajetória e concepções do primeiro de maio em Fortaleza, da primeira república ao estado novo. 2006. 166 f. Dissertação (Mestrado em História) - Universidade Federal do Ceará, Departamento de História, Programa de Pós-Graduação em História Social, Fortaleza-CE, 2006. / Submitted by Raul Oliveira (raulcmo@hotmail.com) on 2012-06-27T15:35:03Z No. of bitstreams: 1 2006_Dis_LFTSLins.pdf: 4498883 bytes, checksum: 984e779f7695528790d695ca06bf163c (MD5) / Approved for entry into archive by Maria Josineide Góis(josineide@ufc.br) on 2012-07-04T16:52:06Z (GMT) No. of bitstreams: 1 2006_Dis_LFTSLins.pdf: 4498883 bytes, checksum: 984e779f7695528790d695ca06bf163c (MD5) / Made available in DSpace on 2012-07-04T16:52:06Z (GMT). No. of bitstreams: 1 2006_Dis_LFTSLins.pdf: 4498883 bytes, checksum: 984e779f7695528790d695ca06bf163c (MD5) Previous issue date: 2006 / The First May Day, which origins are related to the fights for better working conditions of the laboring class at the end of the 19th century, showed up throughout time as the main laboring rite because of its internationalist character as well as for the meaning of its commemoration. Through History a constant dispute along May Day’s politic and ideological motto is observed: sometimes it constitutes itself as a “Day of Work”, under form of paying homage to “colaboradores do progresso” by State, mainly during the “varguismo” (1930- 1945); other times as a “Day of Laboring Class”, that is, a date destined to the reflection of the workers on its condition, which intention was to socialize themselves; or even to fight against capital, when recollect the “Chicago Martyrs”. This research aimed to analyze the trajectory of May Day’s commemorations in Fortaleza, State of Ceará, Brazil, during the period between “First Republic” and “Estado Novo”. Amongst the objectives of this research, one of them was to point out which had been the main appropriations and meanings of this laboring rite presented among the disputes of its meanings for the workers, State and Catholic Church. / O Primeiro de Maio, cujas origens remontam às lutas por melhorias, nas condições de trabalho da classe trabalhadora do final do século XIX, se configurou ao longo do tempo, como o principal rito operário, tanto pelo caráter internacionalista, e pelo significado de sua comemoração. No decorrer da história, observa-se constante disputa em torno do mote político-ideológico do Primeiro de Maio, ora se constituindo como “dia do trabalho”, sob forma de homenagem prestada pelo Estado aos “colaboradores do progresso”, sobretudo durante o varguismo (1930-1945), ou como “dia do trabalhador”, ou seja, data destinada à reflexão dos trabalhadores sobre sua condição, cujo intuito era de se sociabilizar, ou lutar contra o capital, ao rememorar os Mártires de Chicago. Esta pesquisa teve como finalidade analisar a trajetória das comemorações de Primeiro de Maio em Fortaleza, durante o período que se inicia na Primeira República ao fim do Estado Novo. Dentre os objetivos, tentou-se apontar as principais apropriações e significados de que o rito operário se caracterizou ao longo do período, notadamente as disputas em torno de seus significados pelos trabalhadores, Estado e Igreja Católica.

Introdução: O tratamento da Insuficiência Venosa Crônica (IVC) é baseado na correção dos refluxos e obstruções ao fluxo sanguíneo venoso. A detecção, a gravidade e o tratamento dessas obstruções venosas, responsáveis pelos sinais e sintomas da IVC, têm sido recentemente estudados e melhor compreendidos. Estes estudos não definem qual o grau de obstrução significativa nem os critérios ultrassonográficos para sua detecção. O objetivo deste estudo foi determinar critérios ultrassonográficos para o diagnóstico das obstruções venosas ilíacas, avaliando a concordância deste método com o ultrassom intravascular (UI) em pacientes portadores de IVC avançada. Métodos: Foram avaliados 15 pacientes (30 membros; 49,4 ± 10,7 anos; 1 homem) com IVC inicial (Classificação Clínica-Etiológica-Anatômica-Physiopatológica - CEAP C1-2) no grupo I (GI) e 51 pacientes (102 membros; 50,53 ± 14,5 anos; 6 homens) com IVC avançada (CEAP C3-6) no grupo II (GII) pareados por sexo, idade e etnia. Todos pacientes foram submetidos à entrevista clínica e à ultrassonografia vascular com Doppler (UV-D), sendo obtidas as medidas de fasicidade de fluxo, os índices de fluxo e velocidades venosas femorais, e as relações de velocidade e de diâmetro da obstrução ilíaca. Foi analisado o escore de refluxo multisegmentar. Os indivíduos do GI foram avaliados por 3 examinadores independentes. Os pacientes do GII foram submetidos ao UI, sendo obtidos a área dos segmentos venosos comprometidos e comparados com os resultados obtidos pelo UV-D, agrupados em 3 categorias: obstruções < 50%; obstruções entre 50-79% e obstruções >= 80%. Resultados: A classe de severidade clinica CEAP predominante no GI foi C1 em 24/30 (80%) membros, e C3 em 54/102 (52,9%) membros no GII. O refluxo foi severo (escore de refluxo multisegmentar >= 3) em 3/30 (10%) membros no grupo I, e em 45/102 (44,1%) membros no grupo II (p<0,001). Houve uma concordância moderadamente elevada entre o UV-D e o UI, quando agrupadas em 3 categorias (K=0,598; p<0,001), e uma concordância elevada quando agrupadas em 2 categorias (obstruções <50% e >= 50%) (K= 0,784; p<0,001). Os melhores pontos de corte e sua correlação com o UI foram: índice de velocidade (0,9; r=-0,634; p<0,001); índice de fluxo (0,7; r=-0,623; p<0,001); relação de obstrução (0,5; r=0,750; p<0,001); relação de velocidade (2,5; r= 0,790; p<0,001); A ausência de fasicidade de fluxo esteve presente em 88,2% dos pacientes com obstrução >=80% ao UV-D. Foi construído um algoritmo ultrassonográfico vascular, utilizando as medidas e os pontos de corte descritos obtendo-se uma acurácia de 79,6% para 3 categorias (K=0,655; p<0,001) e de 86,7% para 2 categorias (k=0,730; p<0,001). Conclusões: O UV-D apresentou uma concordância elevada com o UI na detecção de obstruções >= 50%. A relação de velocidade na obstrução >= 2,5 é o melhor critério para detecção de obstruções venosas significativas em veias ilíacas. / Introduction: The treatment of Chronic Venous Insufficiency (CVI) is based on correction of reflux and obstruction of venous blood flow. The detection, severity and treatment of venous obstructions, responsible for signs and symptoms of CVI have been recently studied and better understood. These studies did not define the degree of significant obstruction or the sonographic criteria for its detection. The purpose of this study was to determine the sonographic criteria for diagnosis of iliac venous outflow obstruction by assessing the correlation of this method with intravascular ultrasound (IVUS) in patients with advanced chronic venous insufficiency (CVI). Methods: The evaluation included 15 patients (30 limbs, age 49.4 ± 10.7 years; 1 man) with initial CVI symptoms (Clinical-Etiology-Anatomy-Pathophysiology classification - CEAP C1-2) in group I (GI) and 51 patients (102 limbs, 50.53 ± 14.5 years, 6 men) with advanced CVI symptoms (CEAP C3-6) in group II (GII). Patients from both groups were matched by gender, age and ethnicity. All patients underwent a clinic interviews and Duplex Ultrasound (DU), measuring the flow phasicity, the femoral volume flows and velocities, and the velocities and obstructions ratios in the iliac vein. The Reflux Multisegment Score were analyzed. Three independent observers evaluated individuals in GI. GII patients were submitted to IVUS, in which the area of the impaired venous segments was obtained and compared to the DU results, and then grouped into 3 categories: obstructions < 50%; obstructions between 50 and 79% and obstructions >= 80%. Results: The predominant clinical severity CEAP class was C1 in 24/30 (80%) limbs in GI and C3 in 54/102 (52.9%) limbs in GII. Reflux was severe (reflux multisegment score >= 3) in 3/30 (10%) limbs in GI and 45/102 (44.1%) limbs in GII (p<0.001). There was a moderately high agreement between DU and IVUS findings when grouped into 3 categories (k= 0.598; p<0.001), and high agreement when grouped into 2 categories (obstructions <50% and >= 50%) (k=0.784; p<0.001). The best cut-off points and their correlation with IVUS were 0.9 for the velocity index (r =-0.634; p< 0.001); 0.7 for the flow index (r=-0.623; p<0.001); 0.5 for the obstruction ratio (r=0.750; p<0.001), and 2.5 for the velocity ratio (r=0.790; p<0.001). Absence of flow phasicity was observed in 62.5% of patients with obstructions >= 80%. An ultrasound algorithm was created using the measures and the described cut-off points with accuracy of 86.7% for detecting significant obstructions (>= 50%) with high agreement (k=0.73; p< 0.001). Conclusions: DU presented high agreement with IVUS for detection of obstructions >= 50%. The velocity ratio in obstructions >= 2.5 is the best criteria for detection of significant venous outflow obstructions in iliac veins.

This thesis is a study of the Chinese diaspora in Singapore from 1819 to the 1950s. It begins by situating the diasporic subject in a historical context, highlighting some of the key moments in the diaspora's development, such as the advent of colonialism during the nineteenth century, and the formation of an ethnic enclave in the settlement. The discussion then calls into question the construction of the Chinese subject in colonial discourses, and interrogates the ways in which the diasporic population was constituted within the framework of colonialism. The main purpose has been to examine how the diaspora in Singapore has evolved, and to explore the adequacies, or inadequacies, of existing diasporic theories in the ways they relate to the Chinese experience. This is achieved by recapitulating the theoretical implications of existing diaspora frameworks, and questioning the tensions and limitations generated by such discourses. Simultaneously, this study takes into consideration the construction of a &quot;Chinese identity&quot;, and does so by presenting possible ways of conceptualisng what it means to be &quot;Chinese&quot; for subjects of the diaspora. In discussing the extent to which the subject's sense of &quot;self&quot; and belonging has been shaped by its immigrant past, this research draws on and studies the writings, both literary and non-literary, that have emerged from the community. A central concern in all this is the identity and subjectivity of the diasporic subject, and the point here is that not every subject experiences diaspora in the same way, but that these alterities are important in the constitution and formation of a Chinese identity. As I note in the introduction, the issue of what it means to be Chinese, and indeed, the issue of home and belonging, is one that is always contested for people in the diasporic community, and the aim of this thesis has been to continually deconstruct the idea of a &quot;single&quot; Chinese diaspora, and to expose it as a heterogeneous, fragmented, and internally differentiated construction.

The life history of Isonychia sicca (Walsh) was elucidated from samples collected at Clear Creek from Oct. 1976-Jun. 1978, and Elm Fork of the Trinity River from Sept. 1977-Jun. 1978, Denton County, Texas. Adaptations for existence in an intermittent stream were of primary concern. Eggs are capable of diapausing through hot, dry summers and cold, wet or dry winters. Diapause is broken in the fall after rehydration and/or in the spring. I. sicca is usually bivoltine during a Sept.-Jul. wet period. Observations from Elm Fork indicate that emergence continues to Oct. if the stream remains permanent. Considerable overlap occurs between overwintering, spring, and summer populations.

How were immigrants, immigrant issues and their histories represented through radical poster art created during the 1968 protests and strikes in France? The May 1968 protests remain one of the most significant moments in contemporary French history and it occurred during a time when immigrant populations were rapidly increasing. There is a multitude of research, analysis and reflections on the protests and strikes; yet there is very little mention of the place of immigrants during this event. Art collectives that were created during the protests designed and produced posters that later became a symbol of the strike. By using a variety of primary and secondary sources including small press publications, interviews, manifestos, historical and artistic secondary soured this work argues that it is during this social movement that immigrants and immigrant issues entered French social discourse and this can be seen by exploring the messages presented in the posters.

In this thesis, I investigate the different ways in which photography can be used to build peace in conflict situations. Although its role can be ambivalent, I primarily focus on its positive uses with the question: to what extent can photography promote peace rather than violence and conflict? My contention is that photography has the potential to contribute to building peace through several important roles in pre-conflict, post-conflict, and conflict situations: it can bear witness to truth, represent victims' suffering, encourage nonviolent resistance against violence, reconstruct painful memories, and re-imagine justice and reconciliation. To do this, I primarily focus on the May 18th Gwangju Democratic Uprising which happened between the 18th and 27th of May 1980 in the city of Gwangju, in the south-western region of South Korea. In the first chapter, I explore the relation between photography and peacebuilding, providing a brief history of 'war photography' particularly between the mid-19th century and the mid-20th century. I focus on two movements in war photography - realism and surrealism. Then, I consider the role of war photography from a peacebuilding perspective, by focusing on the concept of 'social psychological distance' between photographs and audience. In the second chapter, I consider how a photograph can reveal truth in violent conflict situations, focusing on the concept of 'bearing witness'. In comparison with the concept of 'eye witnessing', I examine how photographs have contributed to bearing witness to violent events. In this fashion, I focus on the importance of journalists and their roles as bearing witness to truth. In the third chapter, I investigate how photography can represent a victim's suffering and promote empathy. For this, I re-examine compassion fatigue theory, drawing upon the work of Susan Sontag and Susan Moeller. I then explore the theme through analysis of social documentary photography in the mid-twentieth century in the United States. In the fourth chapter, I argue that photography has the potential play an active role in empowering people to overcome fear and resist violence nonviolently. This offers a balance to those who propose a compassion fatigue theory, arguing that repeated exposure to violent images can reduce moral sensibility. In other words, even though photography can produce cultural fatigue from overwhelming violent representations, it can also promote moral sensibility and social actions against violence. In the fifth chapter, I investigate the role of photography in the aftermath of violent conflict, mainly focusing on the relationship between remembering and painful history. Drawing on cultural memory theories such as those developed by Maurice Halbwachs and Aleida and Jan Assmann, I contend that social identities can be reconstructed through the process of remembering. I argue that photography can be a tool for remembering the painful history wisely, mainly focusing on reconstruction of identity and healing of cultural trauma (Hicks 2002; Volf 2006). I explore how photography contributes to the practice of remembering painful history rightly. In the final chapter, I focus on reconciliation and restorative justice as an alternative approach to building a just and peaceful society in the aftermath of a conflict such as the Gwangju Uprising. Because of the relational aspect of reconciliation and restorative justice, I argue, the approach can contribute to the development of the 'moral imagination' that overcomes the limits of the current juridical justice system. Reconciliation cannot be only the end of peacebuilding, but also a practical guideline for achieving both peace and justice.

No description available.