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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
351

TENA in a Telemetry Network System

Saylor, Kase J., Malatesta, William A., Abbott, Ben A. 10 1900 (has links)
ITC/USA 2008 Conference Proceedings / The Forty-Fourth Annual International Telemetering Conference and Technical Exhibition / October 27-30, 2008 / Town and Country Resort & Convention Center, San Diego, California / The integrated Network Enhanced Telemetry (iNET) and Test and Training Enabling Architecture (TENA) projects are working to understand how TENA will perform in a Telemetry Network System. This paper discusses a demonstration prototype that is being used to investigate the use of TENA across a constrained test environment simulating iNET capabilities. Some of the key elements being evaluated are throughput, latency, memory utilization, memory footprint, and bandwidth. The results of these evaluations will be presented. Additionally, the paper briefly discusses modeling and metadata requirements for TENA and iNET.
352

The Principle and Performance Analysis of Spread Spectrum Microwave Unified TT&C System

Jian, Zhang, Futang, Zhang 10 1900 (has links)
International Telemetering Conference Proceedings / October 28-31, 1996 / Town and Country Hotel and Convention Center, San Diego, California / Several different kinds of signal are transmitted through only one carrier in microwave unified telemetry tracking & control system(MUTTCS), which has replaced separate system to accomplish all TT&C functions, and has been widely used now. This paper analyses the advantages and disadvantages of general subcarrier frequency-division MUTTCS, then the principle and performances of advanced spread spectrum MUTTCS(SS-MUTTCS) are discussed in detail. The inherent ranging ability of PN code and the speciality of spread spectrum modulation realize the complete unification including measurement of range, velocity and angle as well as telemetry, telecontrol and communication functions. At the same time, the contradiction between range and velocity measurement in precision, resolution and measuring range can be solved. With CDMA technology, the signal and equipment of multi-target or multi-station TT&C can be unified easily. SS-MUTTCS operates under low S/N, low threshold, low power spectrum density and wide spectrum range, so it meet the requirements of electronic warfare and ECM, with high performance of safety, security, anti-intercept and anti-interference. Therefore, SSMUTTCS is becoming an important trend of modern vehicle TT&C system.
353

Adiabatic and entropy perturbations in cosmology

Gordon, Christopher January 2001 (has links)
No description available.
354

What is She Doing Here?: Implicit Barriers to the Tech Industry’s Boys’ Club

Diemer, Ann E 01 January 2015 (has links)
Though the workforce in the United States is comprised of more than 50% women, women hold only 26% of professional computing jobs, and at some companies the percentage is even lower (National Center for Women & Information Technology, 2011). This study aims to examine whether employees within the tech industry have an implicit association between the concepts of “maleness” and “tech”. Participants will complete a priming task, an Implicit Association Test, and a survey about existing sexist beliefs and their jobs. The Expectation States Theory (Eagly, Beall, & Sternberg, 2004) suggests that all participants will have an implicit association between these concepts, though participants primed with an article about a man in tech and participants from companies with more men overall, in leadership, and in tech positions will have a stronger bias. Additionally, the Unified Theory (Greenwald et al., 2002; Smeding, 2012) suggests that the proposed results will show that women working in tech positions have a slightly weaker bias, and priming about a woman in tech will not reverse the bias. If implicit biases are addressed within the tech industry, these fixes can help the field maintain its upward trajectory by becoming an inclusive space for men and women.
355

Phenomenology of neutrino properties, unification, and Higgs couplings beyond the Standard Model

Riad, Stella January 2017 (has links)
The vast majority of experiments in particle physics can be described by the Standard Model of particle physics (SM). However, there are indications for physics beyond it. The only experimentally demonstrated problem of the model is the difficulty to describe neutrino masses and leptonic mixing. There is a plethora of models that try to describe these phenomena and this thesis investigates several possibilities for new models, both full theories and effective frameworks.   The values of the parameters in a model are dependent on the energy scale and we say that the parameters run. The exact behavior of the running depends on the model and it provides a signature of the model. For a model defined at high energies it is necessary to run the parameters down to the electroweak scale in order to perform a comparison to the known values of observed quantities. In this thesis, we discuss renormalization group running in the context of extra dimensions and we provide an upper limit on the cutoff scale. We perform renormalization group running in two versions of a non-supersymmetric SO(10) model and we show that the SM parameters can be accommodated in both versions. In addition, we perform the running for the gauge couplings in a large set of radiative neutrino mass models and conclude that unification is possible in some of them.   The Higgs boson provides new possibilities to study physics beyond the SM. Its properties have to be tested with extremely high precision before it could be established whether the particle is truly the SM Higgs boson or not. In this thesis, we perform Bayesian parameter inference and model comparison. For models where the magnitude of the Higgs couplings is varied, we show that the SM is favored in comparison to all other models. Furthermore, we discuss lepton flavor violating processes in the context of the Zee model. We find that these can be sizeable and close to the experimental limits. / <p>QC 20170221</p>
356

3D FUNCTIONAL MODELING OF DBS EFFICACY AND DEVELOPMENT OF ANALYTICAL TOOLS TO EXPLORE FUNCTIONAL STN

Kumbhare, Deepak 27 April 2011 (has links)
Introduction: Exploring the brain for optimal locations for deep brain stimulation (DBS) therapy is a challenging task, which can be facilitated by analysis of DBS efficacy in a large number of patients with Parkinson’s disease (PD). The Unified Parkinson's Disease Rating Scale (UPDRS) scores indicate the DBS efficacy of the corresponding stimulation location in a particular patient. The spatial distribution of these clinical scores can be used to construct a functional model which closely models the expected efficacy of stimulation in the region. Designs and Methods: In this study, different interpolation techniques were investigated that can appropriately model the DBS efficacy for Parkinson’s disease patients. These techniques are linear triangulation based interpolation, ‘roving window’ interpolation and ‘Monopolar inverse weighted distance’ (MIDW) interpolation. The MIDW interpolation technique is developed on the basis of electric field geometry of the monopolar DBS stimulation electrodes, based on the DBS model of monopolar cathodic stimulation of brain tissues. Each of these models was evaluated for their predictability, interpolation accuracy, as well as other benefits and limitations. The bootstrapping based optimization method was proposed to minimize the observational and patient variability in the collected database. A simulation study was performed to validate that the statistically optimized interpolated models were capable to produce reliable efficacy contour plots and reduced false effect due to outliers. Some additional visualization and analysis tools including a graphic user interface (GUI) were also developed for better understanding of the scenario. Results: The interpolation performance of the MIDW interpolation, the linear triangulation method and Roving window method was evaluated as interpolation error as 0.0903, 0.1219 and0.3006 respectively. Degree of prediction for the above methods was found to be 0.0822, 0.2986 and 0.0367 respectively. The simulation study demonstrate that the mean improvement in outlier handling and increased reliability after bootstrapping based optimization (performed on Linear triangulation interpolation method) is 6.192% and 12.8775% respectively. The different interpolation techniques used to model monopolar and bipolar stimulation data is found to be useful to study the corresponding efficacy distribution. A user friendly GUI (PDRP_GUI) and other utility tools are developed. Conclusion: Our investigation demonstrated that the MIDW and linear triangulation methods provided better degree of prediction, whereas the MIDW interpolation with appropriate configuration provided better interpolation accuracy. The simulation study suggests that the bootstrapping-based optimization can be used as an efficient tool to reduce outlier effects and increase interpolated reliability of the functional model of DBS efficacy. Additionally, the differential interpolation techniques used for monopolar and bipolar stimulation modeling facilitate study of overall DBS efficacy using the entire dataset.
357

O psicanalista na saúde pública: uma prática do trabalho em equipe / The Psychoanalyst in Public Health: a practice of teamwork

Prado, Juliana Falchete Martins 13 June 2016 (has links)
A atuação do psicanalista na Saúde Pública tem sido foco de algumas pesquisas, porém, há um destaque para o trabalho realizado dentro dos Centros de Atenção Psicossocial (CAPS) e dos Hospitais. Este trabalho objetiva investigar e discutir sobre a inserção do psicanalista no campo da Saúde Pública, no que toca sua prática em equipe de saúde na Atenção Básica (AB), especificamente atuando no matriciamento, em uma cidade próxima à capital de São Paulo. Escolhemos uma cidade menor, interiorana, com objetivo de contribuir com os profissionais destas cidades e produzir conhecimento desvinculado das grandes capitais. A partir das contribuições psicanalíticas, de Freud e Lacan, buscamos refletir acerca do lugar e da prática da Psicanálise alinhada à produção científica de conhecimento, aprofundando alguns pressupostos necessários para isso, tais como a formação em Psicanálise, as diferenças entre as formações do psicanalista e do médico, o analista cidadão, a necessidade de dominar a clínica psicanalítica e buscar as interlocuções com as outras linguagens e áreas de saber para poder atuar em equipe. Para tanto, utilizamos a pesquisa qualitativa, através da apresentação de um estudo de caso único, que possibilitou o aprofundamento necessário dos dados. Optamos por ouvir, em entrevistas, um profissional com maior tempo de formação, possibilitando o testemunho de suas experiências. A pesquisa de campo foi realizada em uma cidade interiorana onde a Rede de Atenção Psicossocial (RAPS) está em formação e algumas iniciativas de matriciamento estão sendo realizadas. A condução e análise das entrevistas foram orientadas através do referencial teórico freudlacaniano. Elencamos, na análise e discussão, três temas centrais: a) Formação; b) Práxis e; c) Matriciamento. A partir da narrativa do psicanalista entrevistado (chamamos de Psi) apontamos o que de seu discurso condiz com as publicações teóricas e especializadas e o que não condiz, indicando alguns aspectos do que ocorre na lida diária. Destacamos dois pontos importantes: a necessidade de conhecer, dominar, conseguir se comunicar, a partir da linguagem predominante entre os trabalhadores da Saúde Pública, que é a linguagem médica/psiquiátrica, e, ao mesmo tempo, se afastar para a construção do lugar do analista na equipe, não esquecendo que a construção desse lugar é um processo constante e; a diferença, ainda não completamente compreendida, entre Psicologia e Psicanálise. Finalizamos refletindo que, apesar dos entraves encontrados, a Psicanálise pode contribuir para este vasto campo de atuação. Para tanto, é necessário, analistas com formação sólida, compondo as equipes de AB e de apoio matricial, rompendo com as práticas engessadas e com ideias enraizadas, buscando alternativas para que a população usuária do Sistema Único de Saúde (SUS) seja ouvida em seu sofrimento / The role of the Psychoanalysis in Public Health has been the focus of some research, however, there is an emphasis on the work done within the Centers for Psychosocial Care (Centros de Atenção Psicossocial, CAPS) and Hospitals. This study aims to investigate and discuss the inclusion of the psychoanalyst in the field of Public Health, regarding his practice in health care team in Primary Care (Atenção Básica, AB), specifically acting on matricial in a city close to the capital of São Paulo. We chose a smaller city, provincial, in order to contribute to the professionals of these cities and produce unlinked knowledge of the great capitals. From the psychoanalytical contributions of Freud and Lacan, we reflect about the place and Psychoanalysis practice in line with scientific knowledge production, deepening some necessary conditions for this, such as training in Psychoanalysis, the differences between the analyst and physician\'s training, citizen analyst, the need to master the psychoanalytic clinic and seek the dialogues with other languages and areas of knowledge to be able to act as a team. Therefore, we use qualitative research through the presentation of a single case study, which allowed the necessary deepening of the data. We chose to hear in interviews, a professional with more training time, allowing the testimony of his experiences. The field research was conducted in a provincial town where the Psychosocial Care Network (Rede de Atenção Psicossocial, RAPS) is in training and some matricial initiatives are being developed. The conduct and analysis of the interviews were guided by the theoretical Freudian-Lacanian. We listed, in the analysis and discussion, three central themes: a) Training; b) Praxis and; c) Matricial. From the interviewed psychoanalyst narrative (called Psi) we pointed out which of his speech is consistent with the theoretical and specialized publications and which is not consistent, indicating some aspects of what occurs in daily deals. We highlight two important points: the need to know, master, be able to communicate, from the predominant language among workers of Public Health, which is the medical/psychiatric language, and at the same time, get away for the construction of the place of analyst on the team, not forgetting that the construction of this place is a constant process and; the difference, not yet fully understood, between Psychology and Psychoanalysis. We finalized reflecting that despite the obstacles faced, the Psychoanalysis can contribute to this vast field of action. Therefore, it is necessary, analysts with solid training, composing teams of AB and matrix support, breaking with the old practices and rooted ideas, seeking alternatives to the user population of the Unified Health System (Sistema Único de Saúde, SUS) to be heard in their suffering
358

A formação crítico-reflexiva em enfermagem no contexto do fortalecimento do SUS: o que falam os professores e alunos / The critical-reflexive formation in nursing in the context of the SUS strengthening: what the professors and the students say

Pessoa, Daniela França Barros 23 September 2011 (has links)
A educação universitária em Enfermagem, no Brasil, enfrenta desafios postos pela necessidade de formação de profissionais generalistas, críticos e reflexivos que contribuam, não só para a melhoria da atenção prestada pelo enfermeiro e pela equipe de saúde, mas, também, para o fortalecimento da identidade profissional, para que se efetive o compromisso na implementação dos princípios e diretrizes do Sistema Único de Saúde. Baseando-se no movimento macroestrutural de implementação das políticas públicas rumo a essa priorização, este trabalho objetiva apreender, junto aos docentes e discentes de uma instituição federal de ensino superior da Região Centro-Oeste do Brasil, a compreensão sobre a formação crítico-reflexiva, assim como as estratégias para essa formação no contexto da enfermagem. O percurso metodológico adotado foi baseado na abordagem qualitativa, amparada pelo referencial teórico da educação de Paulo Freire, sendo o empírico captado mediante a realização de entrevistas semiestruturadas com docentes e discentes da IES cenário da pesquisa, além de fontes secundárias sobre a proposta do curso de enfermagem. Procedeu-se à análise de conteúdo em sua vertente temática, identificando-se três categorias empíricas: o docente da IES - dimensão pessoal e profissional; formação crítico-reflexiva do enfermeiro - componentes e sujeitos fundamentais do processo educativo; o olhar dos docentes e alunos sobre a formação crítico-reflexiva do enfermeiro. Destaca-se, na primeira categoria, a construção do processo identitário do professor, formado por aspectos históricos, sociais, organizacionais, vivenciados antes e depois do ingresso na carreira docente. Na segunda categoria, ressalta-se a importância da construção coletiva da proposta pedagógica, a aproximação gradativa dos alunos aos cenários de prática na graduação, a integração ensino, pesquisa e extensão e a importância do saber conviver por meio do trabalho em equipe, proporcionando a integralidade da atenção. Na última categoria, foram construídas as compreensões do ser crítico-reflexivo, destacando-se a formação ética e política para além da técnica, a preocupação com o papel social e a postura profissional, a valorização dos sujeitos e vivências subjetivas, o alcance das relações emancipatórias. Conclui-se que a formação crítico-reflexiva é constituída por sujeitos coletivos que percebem a totalidade das questões que permeiam o processo educativo, pois, consideram o processo de conhecimento como um processo de trabalho que valoriza a realidade da saúde, procurando responder as necessidades sociais. Os sujeitos da pesquisa identificam as políticas públicas de formação de recursos humanos, na atualidade, primando pelo aprimoramento das práticas nos serviços de saúde, coconstrução da autonomia dos sujeitos e valorização da vida. Assim como, também identificam a dinâmica organizacional da instituição de ensino no qual estão inseridos, aproximando-as das necessidades concretas da população brasileira rumo ao fortalecimento do SUS. / The university education in nursing in Brazil faces challenges placed by the necessity of formation of generalist, critical and reflective professionals who contribute not only for the improvement of the attention given to the nurse and the health staff, but for the strengthening of the professional identity so that if it accomplishes the commitment in the implementation of the principles and lines of direction of the Unified Health System. Based on the macrostructural movement of implementation of the public politics towards to this priorization, this work has as objective to apprehend, close to the professors and students of a federal institution of superior education of the region Center-West of Brazil the understanding on the critical-reflexive formation, as well as the strategies for this formation in the context of the nursing.The methodological way adopted was based on the qualitative boarding supported by the education theoretical referential by Paulo Freire, being the empiricist caught by means of the accomplishment of half-structuralized interviews with professors and students of the IES scene of the research, beyond secondary sources on the proposal of the nursing course. A content analysis in its thematic source was done, being identified three empirical categories: the professor of the IES: the personal and professional dimension; critical-reflexive formation of the nurse: components and basic subjects of the educative process; the look of the professors and students on the critical-reflexive formation of the nurse. The construction of the professor identity process, formed by historical, social, organizational aspects is distinguished in the first category, experienced before and after the ingression in the teaching career. In the second category, the importance of the collective construction of the pedagogical proposal is pointed out it. Also the gradual approach of the students to the sceneries of the practical in the graduation, the integration education- research-extension, and the importance of knowing to coexist by means of the work in team are distinguished, providing the completeness of the attention. In the last category, the understandings of the critical-reflexive being were constructed, and the ethical and politics formation beyond the technique, the concern with social paper and professional position, the valorization of the subjects and subjective experiences, the reach of the emancipator relations were distinguished. We can conclude that the critical-reflexive formation is constituted by collective subjects that perceive the totality of the questions that permeate the educative process, therefore, we consider the discovery process as a work process that valorizes the reality of the health that it looks to answer the social necessities. The subjects of the research identify the public politics of human resources formation in the present time searching for the improvement of the practices in the services of health, co-construction of the autonomy of the citizens and valorization of life. As well as, also they identify the organizational dynamics of the education institution in which they are inserted, approaching them of the concrete needs of Brazilian population towards the SUS strengthening.
359

Estudo da utilização dos inibidores da enzima conversora da angiotensina, captopril e enalapril, dispensados pelas farmácias das unidades públicas de saúde do Distrito Oeste de Ribeirão Preto-SP / Study of utilization of angiotensin-converting enzyme inhibitors, captopril and enalapril dispensed by the brazilian public health system in the west sanitary district of Ribeirão Preto-SP.

Olivera, Carolina Maria Xaubet 29 June 2009 (has links)
Os inibidores da enzima conversora da angiotensina são uma classe de medicamentos freqüentemente prescrita pelos médicos e importante para o tratamento da Hipertensão Arterial Sistêmica (HAS) e da Insuficiência Cardíaca Congestiva (ICC). Os dois primeiros protótipos desta classe, o captopril e o maleato de enalapril, constam na Relação Nacional de Medicamentos Essenciais (RENAME) devido à importância terapêutica, eficácia clínica e segurança comprovada, além de seu custo-efetividade. Para cumprir o objetivo de estudar a utilização desta classe terapêutica foi realizado um levantamento no banco de dados da Secretaria Municipal de Saúde de Ribeirão Preto (SMS-RP) do estado de São Paulo (SP) para identificar os usuários do Sistema Único de Saúde (SUS) que receberam a dispensação de captopril e maleato de enalapril pelas farmácias das Unidades Básicas de Saúde (UBS) e Distritais de Saúde (UBDS) no período compreendido entre 01/03/2006 e 28/02/2007. Identificou-se que 9.560 pacientes utilizaram os inibidores da ECA, sendo que destes, 46,57% utilizaram captopril, 45,74% enalapril e 7,69% os dois fármacos simultaneamente ou não. A idade média dos usuários foi de 61 anos e houve um aumento progressivo da utilização desses agentes com o incremento da faixa etária e houve predominância para o gênero feminino. A aderência ao tratamento dos usuários das unidades de saúde do Distrito Oeste de Ribeirão Preto foi estimada em 80,6%. Enquanto que a dispensação única dos inibidores da ECA foi encontrada para 8,6% dos indivíduos, com idade média de 53,5 anos e as doses médias prescritas de captopril e de enalapril foram de 63,8 mg e 19,8 mg/dia respectivamente. Por outro lado, as doses médias prescritas e mantidas de captopril foram de 69,9 mg/dia e de enalapril foram de 21,35 mg/dia. Aproximadamente 0,3% dos pacientes utilizaram captopril em doses médias prescritas e mantidas iguais ou superiores a 150 mg e 0,65% dos pacientes receberam doses de enalapril acima de 40 mg, porém não foram encontradas doses subterapêuticas prescritas para esses medicamentos. Além disso, 20,21% dos pacientes analisados neste estudo tiveram seus esquemas terapêuticos alterados, sendo que a maioria teve apenas uma alteração. Um total de 92,69% dos usuários utilizou mais de um medicamento além dos inibidores da ECA e o incremento desse valor foi diretamente proporcional a faixa etária. O número de pacientes com risco de apresentar interação medicamentosa foi de 3.974 (41,57%), sendo que a maioria dos pacientes utilizou apenas um medicamento com essa possibilidade. / The angiotensin-converting enzyme inhibitors is a class of drugs often prescribed by pharmacian and important for the treatment of systemic arterial hypertension (SAH) and the Congestive Heart Failure (CHF). The first two prototypes of this class, enalapril maleate and captopril, are in the National Essential Drugs (RENAME) because of their therapeutic importance, clinical efficacy and safety established, and its cost-effectiveness. The aim of this study was reached through a survey database of the Municipal Health Secretary of Ribeirão Preto (SMS-RP) of São Paulo (SP) state to identify the users of the Unified Health System (SUS) that received dispensation of captopril and enalapril maleate by the basics health units (UBS) and districts health units (UBDS) for the period between 01/03/2006 and 28/02/2007. It was identified that 9,560 patients used ACE inhibitors, of which, 46.57% used captopril, 45.74% enalapril and 7.69% these two drugs simultaneously or not. The average age of users was 61 years and there was a progressive increase in the use of these agents with increasing age. The treatment adherence was estimated at 80.6% in users of health care units in the Western District of Ribeirão Preto. A single dispensing of ACE inhibitors was found for 8.6% of individuals with a mean age of 53,5 years and mean dose of 63.8 mg and the average prescribed doses of captopril were 69.9 and 19.8 mg/day respectively. Furthermore, the mean doses prescribed and maintained for captopril was 69.9 mg/day and enalapril were 21.35 mg/day. Around 0.3% of patients used average prescribed and maintained captopril doses equal or greater than 150 mg and 0.65% of patients received enalapril doses above 40 mg, but there were no prescribed subtherapeutic doses of these drugs. Moreover, 20.21% of patients analyzed in this study had their treatment regimens modified, and the majority had only one change. A total of 92.69% of users used more than one drug than the ACE inhibitors and the increase of this value was directly proportional to age. The number of patients with potential risk of a potential drug interaction was 3,974 (41.57%), and the most patients used only one drug with possibility.
360

A percepção do direito à saúde: para explorar formas de organização coletiva / The perception of the right of health to explore ways of collective participation

Bernardes, Fernanda Mendes 15 August 2018 (has links)
O tema da participação social revela diversos desafios perante a necessidade de envolvimento dos sujeitos nas práticas políticas e decisórias no sistema público de saúde brasileiro. É imprescindível entender que a construção histórica e o contexto sócio-político influenciam a expressão e organização de grupos que almejam participar de processos decisórios, bem como o papel que estes ocupam na estrutura das políticas sociais de saúde. Da mesma maneira não se pode desconsiderar elementos como construção da cidadania, solidariedade e interdependência social que são fundamentais para formação do senso de pertencimento. Se por um lado temos alguns mecanismos de participação já institucionalizados e de fato algumas pessoas já participam, por outro ainda é frequente o distanciamento da maioria da população de assuntos políticos. Assim, apesar de estudos afirmarem o declínio da vida cívica e da existência de uma crise da democracia participativa, este projeto buscou identificar desafios e potencialidades que grupos sociais que não se percebem ligados à luta pela saúde, poderiam desenvolver para fortalecer o sistema universal, para produção do comum e para se incorporarem na luta pelo direito à saúde. Para tanto foi realizado um estudo qualitativo, transversal, por meio de narrativas de vivências pessoais e familiares sobre a participação em coletivos, o processo-saúde doença, busca de cuidado, prevenção de doenças e promoção da saúde. As entrevistas foram realizadas com três participantes de cada um dos seguintes grupos: religioso, de voluntários de uma Organização Não Governamental (ONG), de prática esportiva e relacionado à luta por moradia. O estudo revelou que apesar da vocalização de uma visão ampla de saúde e qualidade de vida, a saúde representada como uma somatória de decisões individuais. Existe uma percepção de que as políticas neoliberais além de comprometerem a qualidade e o investimento no sistema público de saúde afetam as relações sociais - evidenciadas pelo individualismo e pelo papel encolhido do Estado como provedor de bem-estar social. Contraditoriamente a saúde é vista como um direito e como uma responsabilidade do poder público e a participação nos grupos como mecanismo produtor de cooperação, respeito, transformação individual e coletiva, compromisso, pertencimento e como multiplicadora de princípios. As contradições de uma cidadania colocada em prática neste contexto reafirmam a necessidade de uma redefinição do controle social frente a multiplicidade de crenças e de (des) associação social. / The social participation theme reveals several challenges faced by the need of the subjects\' involvement in political and decision making practices in the Brazilian public health system. It is essential to understand that historical construction and the socio-political context influence the expression and organization of groups that seek to participate in decision-making processes, as well as the role they occupy in the structure of social health policies. Likewise, elements such as citizenship building, solidarity and social interdependence that are fundamental to the formation of a sense of belonging can not be disregarded. If on the one hand we have some mechanisms of participation already institutionalized and in fact some people already participate, on the other hand it is still frequent the detachment of the majority of the population of political subjects. Thus, although studies affirm the decline of civic life and the existence of a crisis of participatory democracy, this project sought to identify challenges and potentialities that social groups that do not perceive themselves as linked to the struggle for health rights could develop to strengthen the universal system, to produce it as a common and to join the claim for the right to health. For that, a qualitative, cross-sectional study was carried out through narratives of personal and family experiences about the participation in collectives, the disease-health process, the search for care, the prevention of diseases and the promotion of health. The interviews were made with three participants from each of the following groups: religious, volunteers from a non-governmental organization (NGO), sports practice and related to the claim for housing. The study revealed that despite the vocalization of a broad view of health and life quality, health is still strongly represented by the sum of individual decisions. There is a perception that neoliberal policies besides compromising quality and investment in the public health system affect social relations - evidenced by individualism and the shrinking role of the state as a provider of social welfare. Contradictory health is seen as a right and as a responsibility of the government and participation in groups as a mechanism for cooperation, respect, individual and collective transformation, commitment, belonging and as a multiplier of principles. The contradictions of a citizenship put into practice in this context reaffirm the need for a reorientation of the social control to the multiplicity of beliefs and social (dis) association.

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