Made available in DSpace on 2015-07-15T13:31:41Z (GMT). No. of bitstreams: 1 TATIANE DE OLIVEIRA SILVA _DISSERTAcao_.pdf: 1532008 bytes, checksum: 768afcd3649de7808925a3146c515d75 (MD5) Previous issue date: 2008-02-19 / Study about access of the user of the Family Health Program (PSF) to the Pharmaceutical Assistance in the municipality Santo Antonio de Jesus BA. The objective are to discuss the process of the organization s Pharmaceutical Assistance and; to analyze the way how to configure this access of the user to the Pharmaceutical Assistance in the Family Health Unit. The references contain the process of the building of the Medicines Policy in Brazil; organization s Pharmaceutical Assistance and the user s access to this assistance, a possibility to be construction as a right citizenship. Qualitative research, in one perspective critical-analytical, and the research field are Family Health Unit on urban and rural areas. The subjectives were three groups: group I, key-informant (two); group II, health worker (six); and group III, users (13). The techniques of production dates were systematic observation, semi-structured interview, and documental analyzes. As date analyzes method was the hermeneutic-dialetics from which were elaborate two categories: Category 1 - Organization s Pharmaceutical Assistance in Santo Antonio de Jesus-BA: meetingns and disagreements between thinking and doing.; Category 2 User?s access of to the Pharmaceutical Assistance or access to drugs? A way to be reconstruct. In relation to organization s Pharmaceutical Assistance, this is demarcated by the action of selection, planning, acquisition, storage and dispensing, a reality are still under construction, which to happen on centralize way and, in spite of to involver works of the different areas, not process of the articulate way, diverging of the proposal team work that is necessary to this activity. As limitation of the process of the organization, we indentified the excess activities made by workers, both of coordination of the Pharmaceutical Assistance as those of the workers of the Family Health Unit; absence of a proposal or policy of continuing education for workers, in the perspective of the accountability and valorization of the work, develop by their. This limitation brings implications to access of the user to Pharmaceutical Assistance, to regard the following dimensions: availability, geographic, economic, functional and communicational. The units are geographically accessibly to users, which the difficult most evident are in the rural area. The municipality show constant problems of the supply, which can to create extras expense to users, with the purchase medicine or to left their vulnerable to the complication of the pathology to whom are porter and of the no constant use of the medicine. Moreover, relation with the users from reception until the dispensing of medicine, are destitute of communication and interaction between the subjectives and, consequently of attachment, reception and humanization necessary for the resolution of the health action. Therefore, we believe that to the transformation this reality , in order to ensure access to the Pharmaceutical Assistance with quality and integral health care, and for which it is understood beyond the availability of medicines, it s necessary a reconstruction of the way of to think and to make of subject who participate directly of organization of the action of the Pharmaceutical Assistance, managers, workers and users, breaking practice mechanized, impersonal, bureaucratic, and little communicative that their characterize. / Estudo sobre o acesso do usu?rio do Programa Sa?de da Fam?lia (PSF) ? Assist?ncia Farmac?utica no munic?pio de Santo Ant?nio de Jesus-BA. Os objetivos s?o discutir o processo de organiza??o da Assist?ncia Farmac?utica e analisar a forma como se configura esse acesso do usu?rio ? Assist?ncia Farmac?utica nas Unidades de Sa?de da Fam?lia. Seu referencial te?rico compreende o processo de constru??o da Pol?tica de Medicamentos no Brasil, a organiza??o da Assist?ncia Farmac?utica e o acesso do usu?rio a essa Assist?ncia, uma possibilidade de ser constru?da enquanto direito da cidadania. Pesquisa qualitativa, numa perspectiva cr?tico-anal?tica, tendo como campo de investiga??o as Unidades de Sa?de da Fam?lia das zonas urbana e rural. Os sujeitos participantes do estudo foram divididos em tr?s grupos: Grupo I, informantes-chave (dois); Grupo II, trabalhadores de sa?de (seis); e Grupo III, usu?rios (treze). As t?cnicas de produ??o dos dados foram observa??o sistem?tica, entrevista semi-estruturada e an?lise de documentos. O m?todo de an?lise foi o hermen?utico-dial?tico, a partir do qual se elaborou duas categorias de an?lise: Categoria 1 Organiza??o da Assist?ncia Farmac?utica em Santo Ant?nio de Jesus-BA: encontros e desencontros entre o pensar e o fazer; Categoria 2 Acesso do usu?rio ? Assist?ncia Farmac?utica ou acesso a medicamentos? Um caminho para ser reconstru?do. Quanto ? organiza??o da Assist?ncia Farmac?utica, demarcada pelas a??es de sele??o, programa??o, aquisi??o, armazenagem e dispensa??o, encontramos uma realidade ainda em constru??o, que se d? de modo centralizado e, apesar de envolver trabalhos de diferentes setores, n?o se processa de modo articulado, divergindo da proposta de trabalho em equipe que tal atividade necessita. Como limita??es do processo de organiza??o, identificamos o excesso de atividades realizadas pelos trabalhadores de sa?de, tanto da coordena??o da Assist?ncia Farmac?utica quanto os das Unidades de Sa?de da Fam?lia; e a aus?ncia de uma proposta ou pol?tica de educa??o permanente para os trabalhadores, na perspectiva da responsabiliza??o e valoriza??o do trabalho por eles desenvolvidos. Essas limita??es trazem implica??es para o acesso do usu?rio ? Assist?ncia Farmac?utica, ao considerarmos as seguintes dimens?es: disponibilidade, geogr?fica, econ?mica, funcional e comunicacional. Os resultados deste estudo em rela??o ?s formas de acesso do usu?rio ? Assist?ncia Farmac?utica mostraram que as unidades est?o geograficamente acess?veis aos usu?rios, havendo dificuldades mais evidentes na zona rural. O Munic?pio apresenta constantes problemas de desabastecimento, o que podem gerar custos extras para os usu?rios com a aquisi??o de medicamentos, ou os deixar vulner?veis ?s complica??es das patologias que s?o portadores e do uso inconstante de medicamentos. Al?m disso, as rela??es com os usu?rios, desde a recep??o at? a dispensa??o de medicamentos, s?o desprovidas de comunica??o e intera??o entre os sujeitos e, consequentemente, do v?nculo, do acolhimento e da humaniza??o necess?rios ? resolubilidade das a??es de sa?de. Entretanto, acreditamos que para a transforma??o dessa realidade, de modo a assegurar o acesso ? Assist?ncia Farmac?utica com qualidade e integralidade, e que a mesma possa ser entendida para al?m da disponibilidade de medicamentos, faz-se necess?rio uma reconstru??o do modo de pensar e fazer dos sujeitos (gestores, trabalhadores e usu?rios) que participam diretamente da organiza??o das a??es da Assist?ncia Farmac?utica rompendo as pr?ticas impessoais, burocr?ticas e pouco comunicativas que as caracterizam.

Made available in DSpace on 2014-12-17T15:38:38Z (GMT). No. of bitstreams: 1 CandidaMBD_TESE.pdf: 1596389 bytes, checksum: 9ddda602e29307e878aa4172861672c0 (MD5) Previous issue date: 2013-09-27 / A pobreza, como uma das manifesta??es da quest?o social , ? elemento constitutivo do padr?o de desenvolvimento capitalista, extremamente desigual, em que convivem acumula??o e mis?ria. Nas ?ltimas d?cadas, sob a ?gide do ide?rio neoliberal, verifica-se um incremento em pol?ticas de combate ? pobreza no Brasil, de car?ter focalizado e compensat?rio, tanto por meio de a??es diretas de transfer?ncia de renda, quanto pelo fortalecimento de servi?os e programas voltados ?s popula??es pobres, com a estrutura??o do Sistema ?nico de Assist?ncia Social, hierarquizado em Prote??o Social B?sica e Especial. A participa??o do psic?logo nas equipes profissionais do CRAS constitui um importante elemento para a discuss?o da inser??o desse profissional no campo das pol?ticas sociais no Brasil, considerando os limites estruturais postos pelo car?ter compensat?rio dessas pol?ticas, e a constru??o de estrat?gias que possam resultar em uma mudan?a efetiva nas condi??es de vida das camadas mais pobres da sociedade. Aliado a isso, por meio do ingresso na pol?tica de assist?ncia social, um n?mero significativo de profissionais psic?logos passa a atuar em cidades pequenas e m?dias, fora dos tradicionais centros urbanos, constituindo um movimento de interioriza??o da profiss?o . O objetivo do presente trabalho ? analisar a a??o profissional do psic?logo na assist?ncia social no contexto nas pol?ticas de combate ? pobreza em munic?pios do interior do Rio Grande do Norte. Realizou-se entrevistas semiestruturadas com psic?logos atuantes nos CRAS de 17 munic?pios de pequeno e m?dio porte do estado. As informa??es foram sistematizadas com aux?lio do software QDA Miner v. 3.2. A perspectiva defendida neste trabalho refere-se ? funcionalidade das pr?ticas psicol?gicas no contexto das pol?ticas de combate ? pobreza brasileiras na atualidade, ao refor?ar os ideais neoliberais de naturaliza??o da quest?o social e responsabiliza??o dos indiv?duos pela sua condi??o social, al?m de, em grande parte, desconsiderar as particularidades e singularidades que marcam os territ?rios de a??o. Todavia, ? poss?vel depreender alguns modos de a??o profissional que est?o na contram?o dos mais frequentemente encontrados nesse campo. Esses modos se revelam no cotidiano do CRAS como formas diferentes de compreens?o do saber fazer profissional, resultados de um posicionamento pol?tico e de uma forma??o profissional que buscam romper com o tradicionalismo e conservadorismo da Psicologia e do campo da assist?ncia social

Foi desenvolvido um diafragma de elevada vida útil e biocompatibilidade a ser utilizado em um dispositivo de assistência ventricular esquerda(DAV) eletromecânico de dimensões reduzidas e totalmente implantável. Foi realizado teste de resistência do diafragma de poliuretana com superfície texturizada. O teste avaliou sua resistência para experimentos In Vivo de até quinze dias com o DAV implantado em bezerro. Uma superfície de endotélio natural tem excelente tromboresistência. A quantidade e as características da neointima formada em um DAV são determinadas pela superfície do material, hemodinâmica e condições físico-patológicas. O implante de patch na aorta abdominal de porco isola as variáveis que normalmente estão presentes durante a utilização do DAV e que interferem na hemocompatibilidade do material. A avaliação das características do material foi obtida com o seu implante na parede da aorta descendente em contato com o fluxo sanguíneo. Diferentes tipos de superfície de contato foram avaliadas em sete experimentos In Vivo. Este estudo está voltado para as reações de interface sangue / material. Um estudo histológico foi realizado ao final de cada experimento para analisar as interações entre o sangue e o material, quantificando e qualificando a intima neo formada sobre a superfície de contato, calcificação e deposições de elementos constituintes do sangue / It has been developed a high lifetime and biocompatible diaphragm to be used in a Left Ventricle Assist Device (LVAD) that is a reduced dimension totally implantable electromechanical device. It has been performed an endurance test on a textured diaphragm made of polyurethane. This test has evaluated the diaphragm resistance to be used in In Vivo tests with the LVAD implanted for fifteen days in calves. A natural endothelial cell surface has excellent thromboresistant characteristics. The quantity and the characteristics of the neointima formed into LVAD are determined by the material surface, hemodynamics of the blood through the device, and the physico-pathological conditions. The patch implantation into the abdominal aorta of pigs has isolated some normal variables that usually are present during LVAD utilization and that may interfere on the material biocompatibility. The evaluation of the material’s characteristics has been enhanced through its implantation at the descending aorta wall in contact with blood flow. Different kinds of contact surfaces of specific polyurethane are tested in seven In Vivo experiments. This study is totally focused in the reaction of the blood-material interface. A histogical study is performed in the end of every animal experiment to analyze the interactions between blood and biomaterial. It’s emphasized the quantification and qualification of the neointima over the blood contact surface, calcification, and blood depositions

Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-04-12T17:04:30Z No. of bitstreams: 1 MarcosRobertodeOliveiraDissertacao2015.pdf: 5813959 bytes, checksum: 0b622289846e65add7e41e47d5a8baf3 (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-04-12T17:05:07Z (GMT) No. of bitstreams: 1 MarcosRobertodeOliveiraDissertacao2015.pdf: 5813959 bytes, checksum: 0b622289846e65add7e41e47d5a8baf3 (MD5) / Made available in DSpace on 2017-04-12T17:05:07Z (GMT). No. of bitstreams: 1 MarcosRobertodeOliveiraDissertacao2015.pdf: 5813959 bytes, checksum: 0b622289846e65add7e41e47d5a8baf3 (MD5) Previous issue date: 2015-12-16 / The proposed research for the present study aims to investigate the relationship between the tax immunities and rights and guarantees, especially through the instrumentality those play in the realization of these rights, testing and trying to prove the occurrence of such bond in the reality of the Parents Association and Friends of Exceptional Children - APAE, in the face of tax immunities enjoyed and benefits that offer to society. Fundamental rights and guarantees are unmatched scale element to our political and legal system, fulfilling various functions, I wanted to express structural decisions for the existence and survival of the state and society, such as rules limiting state power and legitimacy the conduct of the State, and acting decisively in implementing the program of constitutional dignity of life to people, which demands to be seen, rather than on a subjective perspective, in an objective dimension, transcending the interests of an individual relationship. Tax immunities also falls within that context because they act in the definition of the tax competence of federal entities and, especially in this study, in ensuring the realization of several fundamental rights. Taxation, political and legal phenomenon multifaceted and multifunctional that is, goes beyond its collection function of financial resources to the state, functioning as an important means of state intervention in social and economic order, in order to achieve other purposes of public interest not merely fund raising. In this context, the tax immunities are constitutional instrument of protection and realization of values and interests protected by the constituent. The units of APAE, social assistance entities non-profit, public interest, therefore, are designed and and move according to the institutional mission to carry out various rights of people with intellectual disabilities multiplies, aiming at their social inclusion and their integral development, making himself indispensable to his performance the exemptions you stand. Thus, the research sought to prove the condition of APAE units of promoting fundamental rights and guarantees and the setting of tax immunities granted to such entities as implementing instruments of these rights. / A pesquisa proposta para o presente trabalho se prop??e a investigar a rela????o entre as imunidades tribut??rias e os direitos e garantias fundamentais, especialmente pela instrumentalidade que aquelas desempenham na concretiza????o de tais direitos, testando e buscando provar a verifica????o desse v??nculo na realidade da Associa????o dos Pais e Amigos dos Excepcionais ??? APAE, em face das imunidades tribut??rias de que gozam e das presta????es sociais que ofertam ?? sociedade. Os direitos e garantias fundamentais constituem elemento de envergadura ??mpar para o nosso sistema pol??tico-jur??dico, cumprindo diversas fun????es, as quis expressam decis??es estruturais para a exist??ncia e a sobreviv??ncia do Estado e da sociedade, como as de limita????o normativa do poder estatal e de legitima????o da conduta do Estado, e atuando decisivamente na concretiza????o do programa constitucional de dignidade de vida ??s pessoas, o que exige sejam encarados, mais do que em uma perspectiva subjetiva, em uma dimens??o objetiva, transcendendo os interesses de uma rela????o individual. As imunidades tribut??rias tamb??m se inserem nesse contexto, pois atuam na defini????o da compet??ncia tribut??ria dos entes federados e, com destaque nesse estudo, na garantia da realiza????o de diversos direitos fundamentais. A tributa????o, fen??meno pol??tico-jur??dico multifacet??rio e multifuncional que ??, vai al??m da sua fun????o de arrecada????o de recursos financeiros para o Estado, funcionando como importante meio de interven????o estatal na ordem social e econ??mica, com vistas a atingir outros fins de interesse p??blico que n??o os meramente arrecadat??rios. Nesse contexto, as imunidades tribut??rias constituem instrumento constitucional de prote????o e de realiza????o de valores e interesses tutelados pelo constituinte. As unidades da APAE, entidades de assist??ncia social sem fins lucrativo, de interesse p??blico, portanto, s??o concebidas e se movem segundo a miss??o institucional de realizarem diversos direitos das pessoas portadoras de defici??ncia intelectual e multiplica, com vistas ?? sua inclus??o social e ao seu desenvolvimento integral, fazendo-se imprescind??veis ?? sua atua????o as desonera????es ficais. Assim, as pesquisas buscaram comprovar essa condi????o das unidades da APAE de promotoras de direitos e garantias fundamentais e a configura????o das imunidades tribut??rias concedidas a tais entidades como instrumentos de concretiza????o desses mesmos direitos.

Made available in DSpace on 2015-04-14T14:34:05Z (GMT). No. of bitstreams: 1 457759.pdf: 214443 bytes, checksum: 32a40d7944563678bcc9f856fd2271b1 (MD5) Previous issue date: 2014-03-31 / This essay has as its goal to analyze the incidence of the consumer law in the health plans contracts. It initiates with an introduction of the theme, in a chapter where it s analyzed the current stage of the legal science, followed by a presentation of the consumer protection as a fundamental right, of the necessity of a supplementary health system and, at the end, of an exam of the relationship existing between consumer law and health plans. In the second chapter, it continues with an analysis of the health plans contracts, from four perspectives, namely: consumer contract, regulated, of insurance nature and corporate. In the third and last chapter, it goes on with an analysis of the main subjects regarding health plan contracts which lead to lawsuits between consumers and operators. In each of these themes, are presented its controversies, followed by its jurisprudential understanding from the TJ/RS and the STJ and, at the end, reflections are traced in order to aim for a breakeven for the divergences, so that all the interests involved are contemplated and harmonized, mainly the consumer s, without, however, forgetting the sustainability that must be also guaranteed in the supplementary health system. / Este trabalho tem como objetivo analisar a incid?ncia do direito do consumidor nos contratos de planos de sa?de. Inicia-se com uma introdu??o do tema, em um cap?tulo no qual ? feita uma an?lise do atual est?gio da ci?ncia jur?dica, seguida da apresenta??o da prote??o do consumidor como direito fundamental, da necessidade de exist?ncia de um sistema de sa?de suplementar e, ao final, do exame da rela??o entre direito do consumidor e planos de sa?de. No segundo cap?tulo, ? feita uma an?lise do contrato de plano de sa?de em si, a partir de quatro perspectivas, e seus respectivos desdobramentos, para o entendimento e enfrentamento do tema, a saber: contrato de consumo, regulado, de natureza securit?ria e empresarial. No terceiro e ?ltimo cap?tulo, segue-se com uma an?lise dos principais temas oriundos de contratos de planos de sa?de que d?o azo a demandas judiciais entre consumidores e operadoras. Em cada tema, s?o apresentados os aspectos gerais de cada controv?rsia, seguidos dos entendimentos jurisprudenciais encontrados tanto no Judici?rio ga?cho quanto no STJ e, ao fim, tra?am-se reflex?es no sentido de se buscar um poss?vel ponto de equil?brio para cada quest?o, de forma a contemplar e harmonizar todos os interesses envolvidos, sobretudo o dos consumidores, sem, contudo, se olvidar da sustentabilidade que se quer (e se deve) garantir ao sistema da sa?de suplementar.

Submitted by Jorge Silva (jorgelmsilva@ufrrj.br) on 2018-09-18T19:03:48Z No. of bitstreams: 1 2017 - Gilceli Chagas Moura.pdf: 1944492 bytes, checksum: f87dd5a1ce949dd59694d76b9de5e370 (MD5) / Made available in DSpace on 2018-09-18T19:03:48Z (GMT). No. of bitstreams: 1 2017 - Gilceli Chagas Moura.pdf: 1944492 bytes, checksum: f87dd5a1ce949dd59694d76b9de5e370 (MD5) Previous issue date: 2017-03-09 / The present dissertation proposed the analysis of the student's aid program implementation in the Federal Institute of Amapa (IFAP), at Campus Macapa, and its contributions to the permanence and successful exit of professional education students. It aimed to describe the Student Aid Policy adopted in the institution; as well analyze, the perception of students and managers regarding the Student Aid Policy execution, and propose measures that enhance the performance of this policy. To achieve this purpose, we did a documentary research using the qualitative approach. The first step of the study consisted of theoretical reflections, through bibliographic review addressing the concept/definitions of essential terms that substantiate the goals of student's aid; to establish the context to the history of social rights from industrial revolution to present days, based also in current legislation. The next step was to gather information about the institution installation process; the student's aid program implementation and how the policy is being handled. In order to do that, we used as research instruments the documents available at the website, such as the Institutional Development Program (PDI) and public notice, the promotional material available to the students and budget sheets. For the third step, 20% of the students of technical education covered by the aid program responded a survey, which represented 39 students. The survey questionnaire consisted of open and closed-ended questions. Also, semi-structured interviews were used for data gathering, with the people responsible for the establishment of the aid policy in the IFAP. The results reveal that the profile of the students covered by the aid program consists mostly of black women; coming from families with low level of education; composed by 6 people that survive with an income per capita of up to half minimum wage and excluded from the government aid programs. Another fact observed was the contribution of the aid program for the students to continue their professional education, according to the results, although there are actions that aim to guarantee the stay and successful outcome of the students, the policy doesn't fully accomplish its goals, cause there is no section responsible for monitoring the students at the Dean. Aside from the lack of specific regulations, the lack of evaluation mechanisms and the small number of servants to carry out the program, which ends up in a simple cash transfer program. / A presente disserta??o se prop?s a analisar o processo de implementa??o do programa de assist?ncia estudantil do Instituto Federal do Amap? (IFAP) no Campus Macap? e suas contribui??es para a perman?ncia e a sa?da com ?xito dos estudantes na educa??o profissional. Buscou-se descrever a Pol?tica de Assist?ncia Estudantil ora adotada; bem como analisar, frente a esse modelo de refer?ncia, a percep??o dos estudantes e dos gestores quanto ? execu??o da Pol?tica de Assist?ncia Estudantil e assim propor medidas que possibilitem melhor desempenho na implementa??o dessa pol?tica na Institui??o. Para isso, utilizou-se a abordagem qualitativa realizando-se pesquisa documental. A primeira etapa do estudo constituiu-se inicialmente de reflex?es te?ricas, atrav?s de revis?o bibliogr?fica abordando os conceitos/defini??es de termos essenciais que fundamentam o objetivo-fim da assist?ncia estudantil; contextualizou ainda, o percurso da garantia dos direitos sociais desde a revolu??o industrial at? os dias atuais, embasada tamb?m nas legisla??es existentes. No segundo momento, foram levantadas informa??es acerca da implanta??o da Institui??o; da implementa??o do Programa de Assist?ncia Estudantil e como hoje esta pol?tica est? sendo executada, para tal objetivo foi necess?rio utilizar como instrumentos de pesquisa o PDI, editais, a coleta de materiais informativos dispon?veis na p?gina eletr?nica e dos materiais impressos de divulga??o, disponibilizados para os alunos e planilhas or?ament?ria. Para a terceira etapa, preferiu-se a aplica??o de question?rio a 20 % dos alunos do ensino t?cnico contemplados no PAE, correspondente a 39 alunos, o referido instrumento constou de perguntas abertas e fechadas. Ainda como coleta de dados foram realizadas entrevistas com perguntas semiestruturadas aos atores no processo de implanta??o e operacionaliza??o do PNAES no IFAP. Os resultados revelaram que o perfil dos discentes usu?rios da assist?ncia estudantil ? caracterizado em sua maioria de mulheres; pardas, oriundas de fam?lias com baixo grau de escolaridade; composta por at? 6 pessoas as quais sobrevivem com uma renda per capita familiar de at? meio sal?rio m?nimo e exclu?das de programas governamentais. Outro dado constatado diz respeito sobre a sua contribui??o para o a perman?ncia dos estudantes na educa??o profissional, onde a pesquisa revelou que embora ocorra as a??es com vista a garantir tal perman?ncia e a sa?da exitosa, a referida pol?tica n?o consegue efetivar seus objetivos, tendo em vista que n?o ocorre um acompanhamento real dos usu?rios dos servi?os, pois a inexist?ncia um setor respons?vel no ?mbito de Reitoria; a inexist?ncia de uma regulamenta??o pr?pria; a falta de mecanismos de avalia??o e o escasso n?mero de servidores para realizar os servi?os, acaba resumindo as a??es do PAE num processo de transfer?ncia de renda.

Submitted by Jorge Silva (jorgelmsilva@ufrrj.br) on 2018-09-27T18:27:35Z No. of bitstreams: 1 2017 - Guilherme Santos Cabral de Oliveira.pdf: 2229116 bytes, checksum: 85b34776c7b3b4fd1ec2f5b644cd6d8e (MD5) / Made available in DSpace on 2018-09-27T18:27:35Z (GMT). No. of bitstreams: 1 2017 - Guilherme Santos Cabral de Oliveira.pdf: 2229116 bytes, checksum: 85b34776c7b3b4fd1ec2f5b644cd6d8e (MD5) Previous issue date: 2017-05-25 / This paper aims at understanding the dynamics established in the context, to what extent the experiences of dockworkers contributed to the acceptance of public policies related to the social security issue in Brazil in the 1930s and 1940s, Tracing as analysis of this process the years of operation of Institute of Retirement and Pensions of Stowage (IAPE), from its inception in 1938 until its incorporation to the Institute of Retirement and Pensions of Employees in Transport and Cargo (Iapetec) in 1945. The IAPE was considered by the State and the press as the "vanguard of Brazilian social security," sought to play the role of assistance in the labor context and aimed to be one of the catalysts of the corporatist project employed by the State in the 1930s and 1940s. However, in less than a decade had consummated its incorporation to Iapetec, after failing technical reforms. Nevertheless, the IAPE was an important tool for the use of Dockers to alleviate problems of their daily lives, of which we can highlight: insurance against sickness and accidents at work and birth assistance; Medium-surgical-hospital care. Absorbing some of the most urgent demands of these workers and their families. Nevertheless, we emphasize that the use of these public policies was also made possible by the strategic position in which the category was articulated in the midst of the national economic scenario, provoking an aspect of struggle for a workers' citizenship. Thus, we observe a confluence between interests of the Brazilian State in the proposed cut and the interests of dockworkers in the Federal Capital, revealing contradictions and more interpretations about the different conceptions of class. In order to do this, it was necessary to analyze the daily life of the workers in their work environments and places of sociability (sometimes both focus on the same space), to understand both the internal conflicts in which they were inserted and the variables that made them compose their class entity, the Union of Dock Workers. From this point on, we present different sources (interviews, periodicals, official documentation and minutes of the IAPE fiscal council), as the Brazilian State sought to undertake its social security policy and have to incorporate the demands of these workers. / O presente trabalho dedica-se a compreender diante das din?micas estabelecidas no contexto, em que medida as experi?ncias dos oper?rios estivadores contribu?ram para a acep??o de pol?ticas p?blicas relativas ? quest?o previdenci?ria no Brasil das d?cadas de 1930 e 1940, estabelecendo como fio condutor deste processo os anos de funcionamento do Instituto de Aposentadoria e Pens?es da Estiva (IAPE), desde de sua cria??o no ano de 1938 at? sua incorpora??o ao Instituto de Aposentadoria e Pens?es dos Empregados em Transportes e Cargas (Iapetec) no ano de 1945. O IAPE foi considerado pelo Estado e pela imprensa como a ?vanguarda do seguro social brasileiro?, procurou desempenhar o papel da assist?ncia no contexto trabalhista e objetivou ser um dos catalizadores do projeto corporativista empregado pelo Estado nos anos 30 e 40. No entanto, em menos de uma d?cada teve consumada sua incorpora??o ao Iapetec, ap?s malfadas reformas t?cnicas. N?o obstante, o IAPE constituiu uma importante ferramenta de utiliza??o dos trabalhadores estivadores para ameniza??o de problemas de seu cotidiano, dos quais podemos destacar: seguros contra doen?a e acidentes de trabalho e aux?lio natalidade; assist?ncia m?dia-cirurgica-hospitalar. Absorvendo algumas das demandas mais urgentes desses trabalhadores e suas fam?lias. Todavia, salientamos que o emprego dessas pol?ticas p?blicas foram possibilitadas tamb?m pela posi??o estrat?gica em que se articulava a categoria em meio ao cen?rio econ?mico nacional, suscitando um aspecto de luta por uma cidadania oper?ria. Dessa forma, observamos uma conflu?ncia entre interesses do Estado brasileiro no recorte proposto e os interesses dos trabalhadores estivadores da Capital Federal, revelando contradi??es e mais interpreta??es sobre as diferentes concep??es de classe. Para tal, nos fez necess?rio analisar o cotidiano dos trabalhadores estivadores em seus ambientes de trabalho e locais de sociabilidade (por vezes ambos se concentram no mesmo espa?o), para compreender tanto os conflitos internos nos quais estavam inseridos quanto as vari?veis que os faziam comp?r sua entidade de classe, a Uni?o dos Oper?rios Estivadores. A partir deste ponto apresentamos, convergindo fontes distintas (entrevistas, peri?dicos, documenta??o oficial e atas do conselho fiscal do IAPE), Como o Estado brasileiro buscou empreender sua pol?tica de previd?ncia social tendo de compreender as demandas dos trabalhadores.

Heart failure is a progressive condition that affects over 5.7 million Americans and costs associated with heart failure account for 2-3 % of the national health care budget. The high rates of morbidity and mortality along with increased costs from readmissions associated with advanced heart failure have led to the exploration of advanced treatments such as left ventricular assist devices (LVADs). LVADS have demonstrated morbidity and mortality benefit but cost remains extensive with costs per quality-adjusted years > $400,000. With this in mind, it is important to identify those who are most likely to benefit from an LVAD to avoid unfavorable outcomes and cost. Although general guidelines and criteria for patient eligibility have been established, choosing patients for LVAD implantation remains challenging. A new focus on patient selection involves the presence of frailty. While frailty has been studied in the elderly population and in patients undergoing cardiac surgery, frailty in patients undergoing left ventricular assist device (LVAD) remains controversial. The purpose of this dissertation was to examine measures of frailty in patients undergoing LVAD implantation. The specific aims of this dissertation were to: (1) identify a feasible frailty measure in adults with end-stage heart failure who underwent LVAD implantation by testing the hypothesis that frailty would predict 30 day rehospitalization rates using Fried’s criteria, Short Physical Performance Battery test, handgrip strength, serum albumin and six minute walk test (2) Determine whether frailty measures improve 3 months post LVAD implantation (3) compare sensitivity of these three measures to change in frailty. Surgical approaches, including heart transplantation and LVAD implantation, for patients with end-stage heart failure was discussed in this dissertation. Data from two subsets of participants who underwent LVADS at the University of Kentucky between 2014 and 2017 were included in the analysis for this dissertation. In the first study, we found that none of the measures are good predictors of frailty in patients with advanced heart failure who undergo LVAD implantation. Handgrip was the only marker of frailty that predicted 30 day readmission but the relationship was a negative association. In the second study, six-minute walk and low serum albumin levels reflect short-term improvement in frailty. These simple measures may be used to determine those patients who are responsive to LVAD implantation. The findings of these studies filled some gaps in our understanding of markers of frailty in patients undergoing LVADs. We gained a better understanding of which markers of frailty are likely to improve in most people after LVAD implantation and thus frailty should not preclude candidate selection for an LVAD. Subsequently, more research is needed to investigate these markers and outcomes.

This paper presents the designing process of Tourist Guiding app on iPhone. This app aims for assisting tourists to schedule their trip plan in detail. The designing process consisted of three phases: research, interface design, user evaluation. In order to focus on user-centered  research, two methods were carried out questionnaire survey, interview with participants. After the research was done, the results of research were analyzed and summarized so that the potential requirements were collected. Those requirements would decide the inclusive features of this app, such as navigation,plan a trip,search for transportation.  Meanwhile, the interfaces of this app were designed on the platform: Photoshop. Lastly, the paper prototype's evaluation was conducted with four participants. The valuable feedbacks was given and the improvements of the interfaces were done.

<p>Ventricular Assist Devices (VADs) are mechanical pumps used to off-load a deceased heart, primarily in late stage congestive heart failure patients. VAD employment may facilitate cardiac recovery, but most often provides time before a suitable heart transplant can be found. Lately, long term use VAD systems have been introduced as an alternative to a heart transplant.</p><p>Traditionally, design of VADs has employed either displacement based pump technologies or radial-flow pumps, also known as rotodynamic pumps. A displacement pump induces a mechanical force on a fluid contained within a defined space, hence giving it motion. Radial-flow pumps impart momentum to a fluid, most often by placing a rotating device in the fluid.</p><p>This thesis introduces a novel pumping concept, combining features from both displacement and radial-flow pumps. A first prototype, the Vivicor^TM pump, has been designed, fabricated and evaluated In Vitro, the results reported in this thesis.</p><p>The In Vitro evaluation of the Vivicor^TM pump provides evidence of a pump with mechanical self-regulation based on pump pre-load level, much like a displacement pump. The Vivicor^TM pump also displays pulsating outflow in combination with an inflow both during pump systole and diastole. The latter provides potential advantages over traditional displacement pumps as smaller cannulae or catheters can be used, facilitating miniaturization. Continuos filling throughout the pumping cycle also require less pressure to be exerted on the fluid, compared to displacement pumps, limiting the risk of mechanical damage to the pumped fluid. The In Vitro evaluation has also provided further insights on necessary design modifications in the second-generation Vivicor^TM prototype, currently planned. The Vivicor^TMpumping technology is highly interesting for further development and evaluation for use in ventricular assist applications.</p>