Global ETD Search

11	Tillämpning av flexibilitet i svenska militära styrdokument Windh, Oscar January 2021 (has links) Today's technological and unstable society places greater demands on military organizations to deal with military surprises and uncertainties. One method of dealing with these problems is by incorporating flexibility. Researcher Meir Finkel presents a theoretical framework that advances flexibility as a governing principle that enables military organizations to handle surprises and uncertainties. However, for military organisations there are two main problems with applying new methods on how they should act, firstly to translate it into concepts and operations, secondly to infuse the range of doctrines and regulations to influence the entire organization. Therefore, the purpose of this study is to increase the knowledge of how flexibility is applied in central military governing documents. And, to discuss any correlation between the documents and what effect the implementation may have on the organization’s flexibility. Since the Swedish Armed forces explicitly strive for flexibility, Finkel's theoretical framework aims to illustrate how flexibility has been applied. This was achieved by examining Sweden’s operational and naval doctrine through a qualitative text analysis. The result shows that flexibility plays a significant role in both Sweden's operational and naval doctrine as it has successfully been applied. Nonetheless, both doctrines present elements that may affect flexibility negatively and could therefore, limit the efficiency to deal with military surprises and uncertainties. flexibilitet överraskning osäkerhet doktrin taktiskt reglemente Marinen Meir Finkel Other Social Sciences Annan samhällsvetenskap
12	Sobrevivência e fatores de risco para mortalidade identificados ao diagnóstico na coorte de pacientes com fibrose cística do centro de referência do Rio de Janeiro (Brasil) Higa, Laurinda Yoko Shinzato January 2011 (has links) Submitted by Luis Guilherme Macena (guilhermelg2004@gmail.com) on 2013-04-08T16:55:05Z No. of bitstreams: 1 Laurinda Yoko Shinzato Higa_TESE.pdf: 1486069 bytes, checksum: f70375f751ecd6d4742cf70048bbdb2e (MD5) / Made available in DSpace on 2013-04-08T16:55:05Z (GMT). No. of bitstreams: 1 Laurinda Yoko Shinzato Higa_TESE.pdf: 1486069 bytes, checksum: f70375f751ecd6d4742cf70048bbdb2e (MD5) Previous issue date: 2011 / Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Ensino. Programa de Pós-Graduação em Saúde da Criança e da Mulher. Rio de Janeiro, RJ, Brasil / Introdução: A fibrose cística (FC) é uma doença genética, de transmissão autossômica recessiva, que compromete múltiplos órgãos, que apresenta curso crônico e progressivo sendo considerada potencialmente letal. Objetivos: Estimar a sobrevivência dos pacientes com FC e os fatores de risco associados à redução no tempo de sobrevivência. Métodos: Tratou-se de uma coorte aberta de casos diagnosticados entre 01/01/1990 e 10/10/2009 no Centro de Referência em FC do RJ, CRFC-RJ, Brasil na qual se analisou a sobrevivência global e fatores de risco associados com a sobrevida dos pacientes. O período de risco iniciou-se na idade ao diagnóstico e terminou na idade quando ocorreu o óbito por FC, a perda de seguimento ou o fim do estudo. Os fatores analisados foram: sexo, motivo da suspeita diagnóstica, genótipo, número de órgãos comprometidos, estado nutricional, colonização bacteriana, reposição enzimática e década do diagnóstico. As curvas de sobrevivência foram estimadas pelo método Kaplan- Meier, ajustadas para truncamento à esquerda e para dados censurados à direita. A seguir, as hazard ratios (HR) foram estimadas pelo modelo de Cox, utilizando o processo de contagem, tendo a idade como escala de tempo e avaliadas pelo teste de razão de verossimilhança, e os modelos comparados pela análise de resíduos. Resultados: A população (n=177) apresentou o predomínio do sexo feminino (56%) e a idade mediana ao diagnóstico foi 14 meses. A idade mediana de sobrevivência foi 20,8 anos. Após o diagnóstico 81% sobreviveram até cinco anos; 70% até 10 anos e 61% até 14,5 anos. O modelo explicou 19,9% dos efeitos e incluiu seis covariáveis: colonização por Pseudomonas aeruginosa, isolada e associada (HR = 10,30; IC95% = 2,41-43,97), por Staphylococcus aureus (HR=4,50; IC95% = 0,93-1,85), por outras bactérias (HR=3,38; IC95% = 0,92-1,32), sexo feminino (HR=1,95; IC95% = 0,96-3,96), estado nutricional ≤ p5 (HR=1,94; IC95% = 0,94-3,98) e diagnóstico na década de 1990 (HR=4,34; IC95% = 1,50-12,52). Conclusão: Este estudo de coorte de 177 pacientes com FC mostrou uma idade mediana de sobrevivência de 20,8 anos dos pacientes no CRFC-RJ. Foram confirmados os efeitos das covariáveis que, presentes ao diagnóstico, se associaram a maior mortalidade. A intervenção nestas covariáveis promoverá a recuperação nutricional, a erradicação da Pseudomonas aeruginosa ou o adiamento da colonização crônica, dessa forma aumentando a sobrevivência. / Introduction: Cystic Fibrosis (CF) is a rare genetic disease, of autossomal recessive transmission, with multiple organ involvement, progressive course and potentially lethal. Objective: To study the CF patients survival and to find the factors associated with. Methods: In an open cohort of cases diagnosed between 01/01/1990 and 10/10/2009 in a CF reference center in Rio de Janeiro, we analyzed global survival and risk factors associated with the survival of CF patients. The at-risk period started at the age of CF diagnosis and ended at age of death, loss of follow-up or end of the study. The factors analyzed were gender, presentation mode, genotype, number of involved organs, nutritional state, bacterial colonization, enzyme replacement and decade of diagnosis. Survival curves were estimated by Kaplan-Meier (KM) adjusted for left truncation and right censored data. Hazard ratios (HR) were estimated by Cox model using counting process approach with age as time scale and evaluated by likelihood ratio test. Model diagnostic was conducted by residuals analysis. Results: The majority of the population (n=177) was female (56%) and during the study the median age at diagnosis was 14 months. The median survival was of 20.8 years. After diagnosis, 81% survived up to 5 years, 70% up to 10 and 61% up to 14.5. The model explained 19.9% of the effects and included six covariates: Pseudomonas aeruginosa colonization, isolated or associated (HR = 10.30; 95%CI = 2.41-43.97), for Staphylococcus aureus (HR = 4.50; CI95% = 0.93-1.85), for other bacteria (HR = 3.38; CI95% = 0.92-1.32), for female gender (HR = 1.95; CI95% = 0.96-3.96), for nutritional state ≤ p5 (HR = 1.94; CI95% = 0.94-3.98), and for diagnostic decade (HR = 4.34; CI95% = 1.50-12.52). Conclusion: The strength of risk factors found at diagnosis was evident in the prognosis besides indicating that interventions may reduce morbidity by nutritional recovery and by Pseudomonas aeruginosa eradication thus increasing survival. Fibrose Cística Coortes Fatores de Risco Estimativa de Kaplan-Meier Modelos de Riscos Proporcionais Cystic Fibrosis Cohort Risk Factors Kaplan-Meir Estimate Proportional Hazards Models Fibrose Cística Análise de Sobrevivência Análise de Sobrevida Estimativa de Kaplan-Meier
13	Les « modèles » égyptiens en bois : matériau, fabrication, diffusion, de la fin de l’Ancien à la fin du Moyen Empire (env. 2350-1630 av. J.-C) / Egyptian Wooden Models : materials, manufacturing, spread, from the End of the Old Kingdom to the End of the Middle Kingdom (circ. 2350-1630 BC) Eschenbrenner-Diemer, Gersande 20 December 2013 (has links) Le premier volume est consacré à l’analyse des matériaux et des techniques utilisées pour la fabrication des « modèles » funéraires, c’est-à-dire, les maquettes en bois représentant des personnages ou des scènes de la vie quotidienne, typiques du mobilier funéraire des élites entre la fin de l’Ancien et la fin du Moyen Empire (env. 2350-1630 av. J.-C.). Dans une première partie, axée sur le matériel provenant des sites de Saqqâra, Assiout et Meir, les traits stylistiques et techniques ont été examinés afin de définir des groupes d’objets et identifier des ateliers de production. Des critères de datation ont ensuite été définis et comparés aux autres pièces du mobilier funéraire découverts dans les sépultures étudiées. Suivant un déroulé chronologique depuis la fin de l’Ancien Empire, la deuxième partie se concentre sur les ateliers de fabrication et les contacts interrégionaux. Une attention particulière est portée au rapport qui unit pouvoir royal, élites et artisans au travers de l’envoi d’équipements funéraires et plus particulièrement des modèles en bois découverts de la région memphite à la Haute-Égypte. La troisième partie s’intéresse aux fonctions sociales, économiques et religieuses des modèles et examine plus particulièrement le rapport étroit qui unit ce mobilier et les pratiques funéraires entre la fin de l’Ancien et la fin du Moyen Empire. Le deuxième volume présente le corpus des modèles en bois examinés. Un troisième volume est consacré aux annexes.L’examen des modèles en bois, significatif de profonds changements politiques et religieux à l’origine de nouvelles coutumes et croyances funéraires entre la VIème et la XIIIème dynastie, précise le contexte géographique, historique et social associé à la fabrication et à l’utilisation de ce mobilier et permet d’affiner la perception du rapport entre artisans et pouvoir, rapport omniprésent dans la société égyptienne antique dès la période prédynastique. / The first part focuses on material analysis and process use for the manufacturing of funerary “models”. These wooden objects represent people or everyday scenes of life, used by Egyptian elites for funeral furniture between the end of the Old Kingdom to the end of the Middle Kingdom (cir. 2350-1630 BC). In a first part, focused on objects from Saqqara, Assiut and Meir, the stylistic and technical features were examined to define groups of objects and workshops. Then, dating criteria were defined and compared with the funeral furniture discovered in the studied graves. According to one unwound chronological since the end of the Old Kingdom, the second part concentrates on workshops and interregional contacts. A particular attention is worn in the relationship between royal power, elites and craftsmen through the sending of funeral equipment and more particularly bare wooden models of the Memphite area to the Upper Egypt. The third part is interested in the social, economic and religious functions of the models and examines more particularly the narrow relationship which unites this furniture and the funeral practices between the end of the Old Kingdom to the end of the Middle Kingdom. The second volume presents the corpus of the examined wooden models. The third volume is dedicated to appendices. The examination of wooden models, significant of political and religious deep changes at the origin of new customs and funeral faiths between the VIth and the XIIIth dynasty, specifies the geographical, historic and social context associated with the manufacturing. The analysis of these objects allows refining the perception of the relationship between craftsmen and power, omnipresent in the Egyptian society from the Predynastic period. Modèles funéraires Statuaire privée Bois Saqqâra Meir Assiout Moyenne-Égypte Haute-Égypte Région memphite Nécropole VIe dynastie Première Période intermédiaire Moyen Empire Élites Artisans Ateliers Capitale Provinces Datation Provenance Analyses des matériaux Étude technique Traits stylistiques Pratiques funéraires Symbolique Économie Funerary models Statues Wood Saqqara Assiut Meir Necropolis Upper Egypt Middle Egypt Low Egypt VIth dynasty First Intermediate Period Middle Kingdom Elites Craftsmen Workshops Capital Provinces Dating-Origin Materials analysis Technical study Stylistic aspects Burial customs Symbolism Economy
14	L'influence de la situation géopolitique au Moyen-Orient sur la génération des accords israélo-arabes depuis Camp David I : La frontière d'Israël Hirtzlin-Pinçon, Olivier 19 June 2008 (has links) (PDF) La question moyenne-orientale est dans l'actualité depuis 1948. C'est en cette année que se crée l'Etat d'Israël sur les décombres du mandat britannique en Palestine. Dès le commencement, la guerre va commencer à fixer les frontières entre Israël et ses voisins arabes. Cependant, après 1967, une nouvelle question va apparaître, celle des relations avec les Territoires occupés. En conséquence, l'Etat d'Israël aura deux questions frontalières à gérer : la question interétatique classique et la question interne avec les Palestiniens. Cette recherche tente de démontrer les voies employées par les différents acteurs régionaux et internationaux pour trouver une solution à cette question juridique qui cause l'instabilité régionale. On s'appuiera sur le droit, l'Histoire, la science politique (en particulier, l'étude des idéologies sioniste et arabiste) et les relations internationales pour trouver une cohérence aux réussites et aux échecs qui ont émaillé l'histoire du Moyen-Orient depuis 1948 et le fait qu'Israël n'ait encore que deux frontières internationalement reconnues, une avec l'Egypte et l'autre avec le royaume de Jordanie. Moyen-Orient Proche-Orient Israël Palestine Territoires occupés Etats-Unis d'Amérique Syrie Liban Jordanie Egypte Arabie Saoudite Union Européenne Organisation des Nations Unies droit international frontières guerre de 1948 guerre de 1956 Suez guerre de 1967 guerre des Six jours guerre de Kippour guerre de 1973 guerre du Liban accords de Camp David Taba accords d'Oslo Wye River Sharm el-Cheikh Ben-Gourion Golda Meir Moshe Dayan Herzl Rabin Arafat Nasser Sadate Moubarak Assad Peres Shamir Barak Netanyahou Sharon Olmert Clinton Bush Carter Reagan Parti travailliste Likoud Herout OLP Fatah Hamas Jihad islamique Hezbollah Cheikh Yassine Ayache négociations pourparlers cessez-le-feu diplomatie relations internationales géopolitique accords israélo-arabes accords israélo-palestiniens

Page generated in 0.0326 seconds