Thesis (M.S.P.H.)--University of Michigan, 1941.

Thesis (M.S.P.H.)--University of Michigan, 1940.

Thesis equivalent (M.P.H.)--University of Michigan, 1946.

Thesis (M.S.P.H.)--University of Michigan, 1941.

Thesis (M. Arch.)--University of Notre Dame, 2006. / Thesis directed by David Mayernik for the School of Architecture. "April 2006." Includes bibliographical references (leaves 49-50).

Thesis (Ph. D.) University of Missouri-Columbia, 2006. / The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file (viewed on August 7, 2007) Vita. Includes bibliographical references.

Thesis (M. Arch.)--Montana State University--Bozeman, 2007. / Typescript. Chairperson, Graduate Committee: Ralph Johnson. Includes bibliographical references (leaves 65-68).

This study was drawn to investigate an unusual form of "industrial democracy", in Fiocruz, the Brazilian public research organisation in the health field, linked to the Ministry of Health. It is a single case study research making use of two contrasting cases: Embrapa and Pasteur Institute. The former is the Brazilian public research organisation in the agriculture field, similar to Fiocruz in space; and the latter is the French public research organisation for health, similar to Fiocruz in the field. The investigation works with the triangulation of methods approach, combining the analysis of quantitative and qualitative methods aiming at an in-depth analysis of the decision-making and the strategic planning processes of these research-led organisations. For this purpose, two exclusive tools were created and applied to their management boards and key actors. The first tool, an online questionnaire, was applied to the management boards; the second tool, a face-to-face interview, was made with the key actors. The findings were examined considering the literature, whose results supported the analysis of the context of each organisation and their strategic plans. This "second triangulation" revealed an original approach to industrial democracy by Fiocruz, based on a concept postulated by Arouca, which underpinned the creation of SUS, the Brazilian National Unified Health System: "Democracy is health". It represents a paradigm shift in the way the health concept is addressed, by adding a political dimension to it, which includes the citizenship, the free self-determination, the capacity of mastering the future. This unique approach to industrial democracy underpins the decision-making and the strategic planning of Fiocruz, revealing that it is, in fact, a new type of public research organisation; thus, questioning the validity of the existing framework concerning such entities.

The Vancouver Airport Planning Committee met from 19 73 to 1976 to examine the implications of an expansion of Vancouver International Airport proposed by the Ministry of Transport. The committee was an experiment for it included participation by eleven agencies, including eight from all levels of gov-^ ernment and three non-governmental organizations (two from industry, one from the general public). The committee concluded its activities with the release of a report presenting three decision options for further public discussion. The report is remarkable in the degree of disagreement among agencies that it displays. This study first presents four political models of public participation in the planning process. One of the models, agency-public joint planning, very closely matches the Airport Planning Committee. Then a number of normative criteria for public participation are developed, against which the experience of the committee can be evaluated. The case of the Vancouver Airport Planning Committee is presented, based on readings of reports, minutes of meetings, correspondence, memoranda, related documents, and interviews with participants. Application of the criteria to this committee process reveals a number of shortcomings, most serious of which was the failure to develop and assess alternatives which "expressed the full range of values represented on the committee. Further interpretation of the reasons for difficulties encountered in the process, reveals that the central factor was the narrow and rigid policy position adopted, by the Ministry of Transport when other agencies perceived the issue to be much broader. The narrow policy position was the result of an interpretation of the role of the committee as only to advise on measures to mitigate the specific runway proposed by MOT. Some other agencies believed that the committee's role was much broader, to study and advise on a number of alternative policies for managing the growing demand for air transportation services. Fundamental differences of values separated the agencies involved, so that the disagreement on the nature of the process was never overcome. Instead conflict characterized the committee process, conflict which is reported and recorded in the Final Report. Despite these problems the Airport Planning Committee was basically successful in expressing the range of views, and in generating relevant information on the runway proposal. Public participation was successful in stating a value position (characterized as the 'conserver' viewpoint) which governmental agencies did not express. However the committee process demonstrated an inherent flaw in the agency-public joint planning model. When a diverse set of values is represented within a small problem-solving group dealing with a single issue the necessary conditions for evaluation, bargaining, and decision do not exist. Conflict resolution must take place at the political level; it must not be expected of such a group. The appropriate and important role of such a group is to develop the relevant range of alternatives and to assess their impact on the values represented. This information must then be passed to the political level for bargaining and decision-making. / Applied Science, Faculty of / Community and Regional Planning (SCARP), School of / Graduate

CoordenaÃÃo de AperfeiÃoamento de NÃvel Superior / Na lÃgica da Reforma PsiquiÃtrica, mulheres portadoras de transtorno mental devem ter acesso à atenÃÃo bÃsica no campo do Planejamento Familiar (PF). Desta forma, estabeleceu-se a tese de que o matriciamento à uma estratÃgia que favorece a promoÃÃo do PF de mulheres com transtorno mental pelas equipes da EstratÃgia SaÃde da FamÃlia (ESF). Objetivou-se analisar o matriciamento como estratÃgia para efetivar o planejamento familiar de mulheres portadoras de transtorno mental; identificar condutas de enfermeiros e de mÃdicos frente Ãs demandas de planejamento familiar de mulheres com transtorno mental na atenÃÃo bÃsica, bem como possÃveis fatores que interfiram no atendimento neste nÃvel de atenÃÃo; verificar percepÃÃes da equipe de saÃde do CAPS a respeito de demandas de mulheres portadoras de transtorno mental no campo do planejamento familiar; e investigar contribuiÃÃes de profissionais dos CSF e do CAPS que venham a favorecer o atendimento ao planejamento familiar de mulheres com transtorno mental no sistema de saÃde. Estudo do tipo descritivo-exploratÃrio e convergente assistencial, desenvolvido em onze CSF e um CAPS de Fortaleza-CE. A coleta de dados ocorreu em duas etapas. Na primeira, ocorreram entrevistas com 42 profissionais (enfermeiros e mÃdicos) dos CSF e com 8 profissionais do CAPS; e na segunda houve o exercÃcio do matriciamento. Os dados foram organizados no SPSS e pela tÃcnica de anÃlise de conteÃdo de Bardin. Parte das condutas profissionais nos CSF mostrou-se adequadas: importÃncia à atenÃÃo ao PF, preocupaÃÃo com interaÃÃo medicamentosa e com cuidado materno; indicaÃÃo de MÃtodos Anticoncepcionais (MAC) que nÃo exija controle feminino; corresponsabilidade do parceiro no PF; vigilÃncia ao abuso sexual; atendimento sem discriminaÃÃo; e inadequadas: atendimento restrito ao quadro psicopatolÃgico, conduta inadequada ao PF de portadora de esquizofrenia. Os fatores a interferir nas condutas profissionais foram restrita variedade de MAC; rotina de prescriÃÃo mÃdica do anticoncepcional hormonal, inseguranÃa tÃcnica para atender aos casos. As demandas de PF apresentadas pelos profissionais do CAPS foram: lidar com a paciente sexualmente ativa; com pacientes susceptÃveis à violÃncia sexual e à gravidez; pacientes com depressÃo e que fazem uso de carbonato de lÃtio. ContribuiÃÃes dos participantes incluÃram: reduÃÃo do nÃmero de famÃlias por equipe da ESF; nÃmero suficiente de agentes comunitÃrios; capacitaÃÃo dos profissionais em saÃde mental; disponibilizaÃÃo dos MAC; apoio matricial; envolvimento da famÃlia; administraÃÃo supervisionada dos contraceptivos. O exercÃcio de matriciamento ocorreu por meio de duas reuniÃes: na primeira foram apresentados os resultados da pesquisa; e na segunda, por meio, de um caso clÃnico, os participantes discutiram seis aspectos para a efetivaÃÃo do PF de mulheres portadoras de transtorno mental: integraÃÃo equipes dos CSF e do CAPS; levantamento dos aspectos reprodutivos e sexuais na histÃria clÃnica inicial; encaminhamento da paciente com descriÃÃo detalhada; intervenÃÃo mÃdica conjunta dos CSF e do CAPS na prescriÃÃo de MAC e anticonvulsivantes; apresentaÃÃo das pacientes para os novos profissionais, no caso de troca de equipe; e contracepÃÃo supervisionada. Por fim, confirmou-se a tese de que o matriciamento à uma estratÃgia que favorece a promoÃÃo da assistÃncia ao PF de mulheres com transtorno mental pelas equipes da ESF.