Submitted by JOSIANE SANTOS DE OLIVEIRA (josianeso) on 2018-12-14T15:38:32Z No. of bitstreams: 1 Maico Biehl_.pdf: 7777588 bytes, checksum: 1ecebc5b7ff5f8e573520ac200ef0296 (MD5) / Made available in DSpace on 2018-12-14T15:38:32Z (GMT). No. of bitstreams: 1 Maico Biehl_.pdf: 7777588 bytes, checksum: 1ecebc5b7ff5f8e573520ac200ef0296 (MD5) Previous issue date: 2018-09-10 / CNPQ – Conselho Nacional de Desenvolvimento Científico e Tecnológico / A presente dissertação analisa as representações sobre a natureza e a sociedade do Paraguai expressas no conjunto das narrativas de viagens do médico suíço Johann Rudolf Rengger (1795-1832), intituladas Ensayo Historico sobre la Revolución del Paraguay y el gobierno dictatorio del Doctor Francia, publicada em 1827, e Viaje al Paraguay en los años 1818 a 1826, publicada postumamente em 1835. No início do século XIX, Rengger em companhia de seu colega e, também médico suíço, Marcel Longchamp, empreenderam, por livre iniciativa, uma viagem à América do Sul. A opção por explorar o Paraguai, à época sob a ditadura de José Gaspar Rodrigues de Francia, impôs dificuldades aos viajantes, que foram obrigados a permanecer no país por aproximadamente seis anos, entre 1819 e 1825. Após o retorno à Europa, Rengger dedicou-se à sistematização do material que conseguiu trazer consigo e à publicação dos primeiros resultados de sua viagem, processo abreviado pelo seu prematuro falecimento, em 1832. Inicialmente, nos detemos na trajetória de Joahnn Rengger, refletindo sobre sua formação em vários países europeus e a importância das viagens realizadas, quer em seus estudos, quer em suas atividades posteriores. Para tanto, além das narrativas de Rengger, nos valemos de registros históricos produzidos pelo governo de Francia, de narrativas produzidas por outros viajantes que estiveram no Paraguai e de escritos biográficos redigidos por indivíduos próximos ao médico suíço. À luz de referenciais da História Cultural, reconstituímos o processo de escrita e de edição das obras de Rengger e analisamos suas impressões sobre a natureza e a população paraguaia, notadamente, sobre os indígenas e os criollos, não descuidando de relacioná-las com as teorias estéticas e científicas vigentes no período e presentes em outros relatos de viajantes. Na continuidade, analisamos a atuação de Rengger no Paraguai enquanto médico e naturalista, atividades que mais o notabilizaram, acrescentando a esta análise uma reflexão sobre sua obra Ensayo Historico e sobre suas percepções e avaliações sobre a história do Paraguai. A análise dos relatos de viagens de Johann Rengger nos possibilitou problematizar não apenas sua trajetória e sua produção intelectual, mas também refletir sobre suas percepções sobre a natureza, a sociedade e a história do Paraguai independente das primeiras décadas do Oitocentos. / The present thesis analyzes the representations of Paraguai’s society and nature expressed in a set of travel narratives by Swedish physician Johann Rudolf Rengger (1795-1832), entitled Ensayo Historico sobre la Revolución del Paraguay y el gobierno dictatorio del Doctor Francia, published in 1827, and Viaje al Paraguay en los años 1818 a 1826, published post-mortem in 1835. In the beginning of the nineteenth century, Rengger along with his colleague, the also Swedish physician, Marcel Longchamp, undertook, on laissez-faire, a trip to South America. The decision to explore Paraguay, in the time under the dictatorship of José Gaspar Rodrigues de Francia, imposed difficulties for the travelers, who were forced to remain in the country for nearly six years, between 1819 and 1825. After returning to Europe, Rengger dedicated himself to the systematization of the material he managed to bring along and to the publishing of his trip’s first results, a process that was shortened by his premature death, in 1832. At first, we are going to focus on Joahnn Rengger’ trajectory, reflecting upon his formation in several European countries and his performed trips’ importance, either in his studies, or in his following activities. Therefore, besides Rengger’s narratives, we are going to make use of historical records produced by the government of Francia, of narratives produced by other travelers who had been to Paraguay and of biographic writings written by individuals closely related to the Swedish physician. In the light of Cultural History, we restored the process of writing and edition of Rengger’s work and analyzed its impressions on nature and the Paraguayan population, notably, about Indians and criollos, carefully relating them to scientific and aesthetic theories in force during that time and present in other travelers’ reports. Following, we analyze the Rengger’s performance in Paraguay as a physician and naturalist, roles that made him notable, adding to this analysis a reflection on his work Ensayo Historico and on his perceptions and evaluations on Paraguay’s history. The analysis of Johann Rengger’s travel reports allowed us to problematize not only his trajectory and his intellectual production, but also reflect upon his perceptions about Paraguay’s history, society and nature, regardless of the first decades of the eighteen hundreds.

A presente pesquisa investiga as epidemias de febre amarela - em 1897 e 1900 - e de gripe espanhola - em 1918 - ocorridas em Sorocaba e a atuação do médico Álvaro César da Cunha Soares no seu combate, a fim de revelar as condições sanitárias de uma cidade que passava por grandes transformações, como o crescimento urbano e a industrialização, em um contexto de consolidação da medicina oficial e de acirrados debates em torno das questões relacionadas à saúde pública. Para tanto, traça-se um panorama das condições sanitárias e de saúde pública de Sorocaba entre o final do século XIX e o início do século XX, apontando o agravamento dos problemas sociais e o aumento do número de casos de determinadas enfermidades. Desse modo, pretende-se demonstrar como a condição de vida da população pobre sorocabana foi se deteriorando cada vez mais enquanto a cidade apresentava um relativo crescimento urbano e industrial. As epidemias de febre amarela são reconstituídas, abordando-se questões políticas, sociais e científicas que se desenrolaram no decorrer dos surtos epidêmicos, em um contexto de disputa entre o poder estadual, representado pelo Serviço Sanitário do Estado de São Paulo, e os poderes locais, representados por médicos e autoridades públicas municipais, na condução das medidas de combate às epidemias. A epidemia de gripe espanhola na cidade representou um desafio às autoridades públicas locais e uma ameaça à estabilidade econômica local - em um momento em que o crescimento industrial da cidade era colocado em evidência. Desse modo, estudando as epidemias que assolaram Sorocaba na virada do século XIX para o XX e acompanhando a atuação de Álvaro Soares nesse contexto, pretende-se compreender melhor a relação entre a consolidação da medicina oficial no Estado de São Paulo e suas implicações nas práticas em saúde pública / This research investigates epidemics of yellow fever - in 1897 and 1900 - and the Spanish flu - in 1918 - occurred in Sorocaba and the performance of the medical Álvaro César Soares da Cunha in combating them, in order to reveal the sanitary conditions of a city passing through major transformations, such as urban growth and industrialization, in a context of consolidation of official medicine and heated debates on issues related to public health. To this end, draws up an overview of public health and sanitary conditions of Sorocaba in the late nineteenth and the early twentieth century, pointing to the worsening of social problems and the increasing number of cases of certain diseases. Thus, it is intended to demonstrate how the living conditions of the poor in Sorocaba was deteriorating more and more as the city had a relative urban and industrial growth. The yellow fever epidemics are reconstituted, addressing political, social and scientific issues that unfolded over the outbreaks, in a dispute context between state power, represented by the State Sanitation Service of São Paulo, and local authorities, represented by physicians and municipal authorities, in the conduct of measures to combat epidemics. The Spanish flu epidemic in the city was a challenge to local public authorities and a threat to local economic stability - at a time when the industrial growth of the city was placed in evidence. Thus, studying the epidemics that ravaged Sorocaba in the late nineteenth century to the twentieth and monitoring the performance of Alvaro Soares in this context, it is intended to better understand the relationship between the consolidation of official medicine in the State of São Paulo and its implications for practice in public health

Resumo: Ao longo da história, o tema da hereditariedade apresentou-se sob interpretações variadas. O desenvolvimento das ciências biológicas permitiu, por um lado, maior conhecimento sobre seus mecanismos; por outro, tornou imprescindível a reflexão sobre determinismos teóricos que parecem recair, principalmente, sobre o campo das ciências da Saúde. A história do movimento eugenista é um evento que permite importantes reflexões sobre o passado e o presente. O termo \"eugenia\" foi criado por Francis Galton em 1883 para nomear uma ciência que visava o melhoramento do patrimônio biológico da humanidade. Para tanto, deveria oferecer teorias e métodos rumo à perfectibilidade física e mental. Renato Kehl (1889-1974), médico e farmacêutico paulista, foi um dos principais expoentes da eugenia brasileira, tomando para si, com afinco, a tarefa de publicista e articulador das sociedades eugênicas que aqui se formaram nas primeiras décadas do século XX. Algumas noções de progresso versus decadência contidas em suas obras em prol do movimento médico-eugenista - publicadas majoritariamente entre 1917 e 1940 - são tratadas nesta dissertação. Fizeram parte da campanha eugenista brasileira os debates acerca da esterilização dos \"indesejados\", das restrições matrimoniais e imigratórias e do confinamento dos chamados \"denegerados\". Nesse contexto o movimento eugenista foi apresentado pelos seus defensores como solução contra a supostamente inevitável e alarmante decadência que acometia o país que se formava / Throughout history the subject of heredity showed up in varied interpretations. The development of life sciences has greater insight into its mechanisms; on the other hand, it becomes indispensable to reflect on theoretical determinisms that appear to fall mainly on the field of Health Sciences. The history of the eugenics is an event that allows important reflections on the past and present. The term \"eugenics\" was coined by Francis Galton in 1883 to name the science of the improvement of the biological heritage of humanity. It should offer theories and methods towards mental and physical perfectibility. Renato Kehl (1889-1974), brazilian physician and pharmacist, was one of the main exponents of Brazilian eugenics, publicist and articulator of eugenic societies formed in the early decades of the twentieth century. Some notions of progress versus decay contained in his works - mostly published between 1917 and 1940 -are treated in this dissertation. Part of the Brazilian eugenics campaign debates about the sterilization of \"unwanted\", about marriage and immigration restrictions and confinement of so-called degenerate. In this context the eugenics movement was presented by its enthusiasts as a solution against the supposedly inevitable and alarming decay that affected the nation

Thesis (doctoral)--Ecole pratique des hautes études, 1977. / Includes bibliographical references (p. [193]-220) and index.

Resumo: Ao longo da história, o tema da hereditariedade apresentou-se sob interpretações variadas. O desenvolvimento das ciências biológicas permitiu, por um lado, maior conhecimento sobre seus mecanismos; por outro, tornou imprescindível a reflexão sobre determinismos teóricos que parecem recair, principalmente, sobre o campo das ciências da Saúde. A história do movimento eugenista é um evento que permite importantes reflexões sobre o passado e o presente. O termo \"eugenia\" foi criado por Francis Galton em 1883 para nomear uma ciência que visava o melhoramento do patrimônio biológico da humanidade. Para tanto, deveria oferecer teorias e métodos rumo à perfectibilidade física e mental. Renato Kehl (1889-1974), médico e farmacêutico paulista, foi um dos principais expoentes da eugenia brasileira, tomando para si, com afinco, a tarefa de publicista e articulador das sociedades eugênicas que aqui se formaram nas primeiras décadas do século XX. Algumas noções de progresso versus decadência contidas em suas obras em prol do movimento médico-eugenista - publicadas majoritariamente entre 1917 e 1940 - são tratadas nesta dissertação. Fizeram parte da campanha eugenista brasileira os debates acerca da esterilização dos \"indesejados\", das restrições matrimoniais e imigratórias e do confinamento dos chamados \"denegerados\". Nesse contexto o movimento eugenista foi apresentado pelos seus defensores como solução contra a supostamente inevitável e alarmante decadência que acometia o país que se formava / Throughout history the subject of heredity showed up in varied interpretations. The development of life sciences has greater insight into its mechanisms; on the other hand, it becomes indispensable to reflect on theoretical determinisms that appear to fall mainly on the field of Health Sciences. The history of the eugenics is an event that allows important reflections on the past and present. The term \"eugenics\" was coined by Francis Galton in 1883 to name the science of the improvement of the biological heritage of humanity. It should offer theories and methods towards mental and physical perfectibility. Renato Kehl (1889-1974), brazilian physician and pharmacist, was one of the main exponents of Brazilian eugenics, publicist and articulator of eugenic societies formed in the early decades of the twentieth century. Some notions of progress versus decay contained in his works - mostly published between 1917 and 1940 -are treated in this dissertation. Part of the Brazilian eugenics campaign debates about the sterilization of \"unwanted\", about marriage and immigration restrictions and confinement of so-called degenerate. In this context the eugenics movement was presented by its enthusiasts as a solution against the supposedly inevitable and alarming decay that affected the nation

A presente pesquisa investiga as epidemias de febre amarela - em 1897 e 1900 - e de gripe espanhola - em 1918 - ocorridas em Sorocaba e a atuação do médico Álvaro César da Cunha Soares no seu combate, a fim de revelar as condições sanitárias de uma cidade que passava por grandes transformações, como o crescimento urbano e a industrialização, em um contexto de consolidação da medicina oficial e de acirrados debates em torno das questões relacionadas à saúde pública. Para tanto, traça-se um panorama das condições sanitárias e de saúde pública de Sorocaba entre o final do século XIX e o início do século XX, apontando o agravamento dos problemas sociais e o aumento do número de casos de determinadas enfermidades. Desse modo, pretende-se demonstrar como a condição de vida da população pobre sorocabana foi se deteriorando cada vez mais enquanto a cidade apresentava um relativo crescimento urbano e industrial. As epidemias de febre amarela são reconstituídas, abordando-se questões políticas, sociais e científicas que se desenrolaram no decorrer dos surtos epidêmicos, em um contexto de disputa entre o poder estadual, representado pelo Serviço Sanitário do Estado de São Paulo, e os poderes locais, representados por médicos e autoridades públicas municipais, na condução das medidas de combate às epidemias. A epidemia de gripe espanhola na cidade representou um desafio às autoridades públicas locais e uma ameaça à estabilidade econômica local - em um momento em que o crescimento industrial da cidade era colocado em evidência. Desse modo, estudando as epidemias que assolaram Sorocaba na virada do século XIX para o XX e acompanhando a atuação de Álvaro Soares nesse contexto, pretende-se compreender melhor a relação entre a consolidação da medicina oficial no Estado de São Paulo e suas implicações nas práticas em saúde pública / This research investigates epidemics of yellow fever - in 1897 and 1900 - and the Spanish flu - in 1918 - occurred in Sorocaba and the performance of the medical Álvaro César Soares da Cunha in combating them, in order to reveal the sanitary conditions of a city passing through major transformations, such as urban growth and industrialization, in a context of consolidation of official medicine and heated debates on issues related to public health. To this end, draws up an overview of public health and sanitary conditions of Sorocaba in the late nineteenth and the early twentieth century, pointing to the worsening of social problems and the increasing number of cases of certain diseases. Thus, it is intended to demonstrate how the living conditions of the poor in Sorocaba was deteriorating more and more as the city had a relative urban and industrial growth. The yellow fever epidemics are reconstituted, addressing political, social and scientific issues that unfolded over the outbreaks, in a dispute context between state power, represented by the State Sanitation Service of São Paulo, and local authorities, represented by physicians and municipal authorities, in the conduct of measures to combat epidemics. The Spanish flu epidemic in the city was a challenge to local public authorities and a threat to local economic stability - at a time when the industrial growth of the city was placed in evidence. Thus, studying the epidemics that ravaged Sorocaba in the late nineteenth century to the twentieth and monitoring the performance of Alvaro Soares in this context, it is intended to better understand the relationship between the consolidation of official medicine in the State of São Paulo and its implications for practice in public health

Orientador: Carmen Lúcia Soares / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Educação / Made available in DSpace on 2018-08-25T20:22:16Z (GMT). No. of bitstreams: 1 Dalben_Andre_D.pdf: 69401915 bytes, checksum: c1622c6f46b17e83bd4234ee6a6b295b (MD5) Previous issue date: 2014 / Resumo: As colônias de férias escolares tiveram como maior suporte teórico antigos conhecimentos advindos da medicina que priorizavam uma vida ao ar livre, distante dos centros urbanos, para a recuperação e o fortalecimento corporal. Ao oferecerem uma substanciosa alimentação e práticas corporais realizadas junto à natureza às crianças de classes populares no decorrer das férias escolares, tiveram por objetivo principal, inicialmente prevenir o contágio de doenças, sobretudo a tuberculose, que debilitavam a saúde de muitos moradores de grandes cidades. Por meio de congressos, as colônias de férias foram divulgadas entre a comunidade científica internacional a partir de 1882, sendo frequentemente recomendadas como uma inovadora medida de assistência infantil que diversos países poderiam adotar para proteger a saúde de suas crianças. Ao tomar como fontes principais os anais dos Congressos Internacionais de Higiene e Demografia, dos Congressos Pan-Americanos da Criança e, ainda, revistas especializadas em saúde, educação e educação física, muitas publicadas por instâncias administrativas oficiais, a pesquisa centralizou-se em investigar as principais políticas de implementação de colônias de férias para as crianças de quatro dos maiores centros urbanos sul-americanos das primeiras décadas do século XX: Buenos Aires, Montevidéu, Rio de Janeiro e São Paulo. O recorte temporal foi definido de 1882, quando as colônias de férias começaram a ser debatidas no cenário internacional, até meados da década de 1950, momento no qual os primeiros medicamentos alopáticos para o tratamento da tuberculose passaram a ser empregados de modo mais efetivo no controle da doença, alterando as políticas de saúde pública de muitos países, que deixariam de adotar os recursos da vida ao ar livre para preservar a saúde de suas populações, e destituindo as colônias de férias do seu principal objetivo médico. A pesquisa procurou expandir os estudos realizados pela História da Educação e pela História da Educação Física, uma vez que as colônias de férias apresentam-se na atualidade como um objeto de estudos ainda pouco explorado pela ciência sul-americana, mas que, no entanto, nos narram processos históricos bastante inovadores ao se estabelecerem como uma instituição concomitantemente próxima e distinta da escola, onde foram gestadas e aplicadas novas práticas e modelos pedagógicos e onde conteúdos antes excluídos das pedagogias mais tradicionais encontraram a oportunidade de serem incorporados enquanto possibilidade educativa. Ao adotar a história cultural como principal referencial teórico para a análise das fontes, foram priorizadas as transformações das mentalidades e sensibilidades que deslocaram a vida ao ar livre de seus preceitos médicos para concebê-la como uma educação do corpo passível de ser sistematizada e institucionalizada pelas colônias de férias. Durante o período abordado pela pesquisa, foi possível concluir que as colônias de férias não se limitaram tão somente a uma medida de saúde pública, uma vez que organizaram em seu interior uma série de procedimentos que transformariam definitivamente as férias escolares em uma aventura do corpo que possibilitava que muitos desejos infantis se tornassem realidade e que demarcava novas possibilidades educativas voltadas especialmente à crianças que não tinham, até então, seus direitos à saúde, à educação e ao brincar integralmente respeitados / Abstract: The summer camps (vacation colonies) had the most theoretical support in ancient knowledge derived from the medicine which prioritized the outdoor life, far from the urban centers, for recovery and strengthening the body. By offering healthy food and bodily practices performed within the nature for the children of the working classes during their vacation, the summer camps had initially as their main objective the prevention of the spread of diseases, especially tuberculosis, which contagiated many residents of large cities. The summer camps were published in the international scientific community since 1882 through conferences and were often recommended as an innovative measure of children care that many countries could adopt to protect their children's health. Taking as the main sources for the research the annals of International Congress of Hygiene and Demography, the Pan American Child Congress and also magazines specialized in health, education and physical education, many of them published by official departments, the propose of this research is to investigate the policies to implement the summer camps for children in the four largest urban centers of South America at the first decades of the twentieth century: Buenos Aires, Montevideo, Rio de Janeiro and São Paulo. The time bias is defined from 1882, when the summer camps began to be debated in the international arena, until the mid-1950s, when the first allopathic medice to treat the tuberculosis began to be used more effectively to control the disease, changing the public health policy in many countries, which would not take the resources to maintain the outdoor life to preserve the health of their populations, and unseating the summer camps of their major medical goal. The research sought to expand the studies conducted by the History of Education and the History of Physical Education, since the summer camps are object of study unexplored by the South American science, even though they narrate the innovative hitorical perspective when they are established as an institution concurrently next and distinct from school, creating and implementing new practices and educational models and pedagical contents, when more traditional pedagogies previously excluded found the opportunity to be incorporated as an educational opportunity. Adopting the cultural history as the theoretical framework for the analysis of the sources this research focus on the changing of the mentalities and sensibilities that shifted the outdoor life from the medical precepts to conceive it as an education body capable of being systematized and institutionalized by the summer camps. During the period covered by the survey, it concludes that the summer camps were not limited only as a public health measure, once they staged a series of educational procedures that would definitely transform the school holidays in an adventure of the body that allowed many children's wishes come true and that marked new educational opportunities geared especially to children who had not hitherto their rights to health , education and play fully respected / Doutorado / Educação, Conhecimento, Linguagem e Arte / Doutor em Educação

The background variables, GDP per capita, marketization, industrialization and urbanization are used to control different levels of development across provinces. The role of the state is measured in the following ways. First, financial capacity, administrative capacity and coercive capacity are used to measure the role of state capacity in BMI extension. The study examines whether there is a difference in choosing different agencies to collect social insurance premiums: one is local taxation agency and the other is social insurance agency. Third, the performance of BMI is measured through the deposit rates of BMI funding which reflects governments' ability to manage the BMI program. In the current policy, employers are charged largely the social insurance fees. So their willingness and capabilities to pay will affect BMI coverage. The study investigates two kinds of employers: loss making State-Owned-Enterprises (SOE hereafter) and Foreign Invested Enterprises (FIE hereafter). On the employee's part, the percent of informal employment in total urban employment is used to measure the effect of adverse employment conditions on BMI coverage. Trade union density is used to estimate the labor organization strength. / The complicated process of extending coverage is related to three major stakeholders: state, employers and employees. These three stake-holders influence BMI progress. Also, the background factors (such as the economic growth) should be taken into account for the regional variations in development level. Since BMI is a typical social policy field, this study reviews major theories about social policy development: logic of industrialism, power resource theory and state-centered approach and so on. These theories help organize pieces of phenomena into a unified framework and testable hypotheses are also derived. / The contributions of this study can be twofold. First, from the theoretical aspect, this research tests several welfare state development theories using Chinese data. In this way, it does not only expand the scope conditions of theories, but also improves our understanding of the social policy development in China, an outlier of traditional western democracies. Second, this study tests some controversial issues on BMI development and the research findings provide knowledge support for the policy practice in the real world. / The low coverage of social health insurance is one of the causes of the problems in Chinese health care system which is criticized for the rising health cost, large share of out-of-pocket payments and health inequality issue. The Basic Medical Insurance for Urban Employees (BMI hereafter) was chosen as the subject of my investigation. It was established in 1998 for the working population and till now it has not achieved universal coverage yet. The Basic Medical Insurance for Urban Residents (BMI-R hereafter) was started in 2007 and it is still in pilot stage, therefore data are still inadequate. In rural areas, the New Cooperative Medical Scheme (NCMS hereafter) achieved almost full coverage in 2008. Thus extending coverage is not issue at concern for NCMS. Besides, the NCMS data at province level are quite limited. Considering the stages of policy development and data access, BMI-R and NCMS are not included in this study. / The proportion of winning lawsuit in labor disputes is used to measure the function of labor protection system. This study adopts the panel method. Data is ranging from the year 1999 to 2005 and the unit of analysis is province/year. They were collected from various official statistics and constructed into a panel database which can trace the development of BMI from its origin to most recent situation. / The research question is what are the determinants of BMI's coverage? It is originated from some puzzling observations: the NCMS achieved full coverage in four years and it is a voluntary participation insurance program. On the contrary, why the mandatory BMI did not reach universal coverage after almost ten years' development? Besides, the progress of BMI across different provinces varied greatly. Given the policy designing and starting points are rather similar, how can we explain these variations? / The research yields several interesting results. First, the roles of financial capacity and administrative capacity in BMI development are supported by data, especially the social insurance agency. Second, results show that using local taxation to collect social insurance premiums has better effects in extending coverage than the alternative approach. This result will give an end to the decade-long debate on choice of social insurance premiums collection agencies. Third, the deposit rates of BMI funding are negatively related with BMI coverage. It implies that governments should improve the performance of BMI so as to attract more people to enroll in this program. Fourth, the union density in the private sector is positively related with BMI coverage. This result disagrees with the conventional wisdom that the Chinese trade unions are useless. It implies that strengthening the organization of employees (even through the official channel) can protect the rights of employees in some degree. / 劉軍強. / Adviser: Cheek-Kie Wong. / Source: Dissertation Abstracts International, Volume: 73-03, Section: A, page: . / Thesis (Ph.D.)--Chinese University of Hong Kong, 2009. / Includes bibliographical references (p. 198-222) / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [201-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts in Chinese and English. / Liu Junqiang.

This dissertation attempts to integrate the household and children more fluidly into measures of well-being in the past. In part one, I develop a Monte Carlo simulation to test some of the assumptions of Allen’s welfare ratio methodology. These included his assumptions that family size was constant over time, that there were no female-headed households and that women and children did not participate in the labour force. After all of the adjustments, it appears that Allen’s welfare ratios underestimate the welfare ratios of a demographically representative group of families, especially if women and children’s labour force participation is included. However, the predicted distributions also highlight the struggles of agricultural labourers, who are given separate consideration. Even the average agricultural labourers’ family with women and children working would have had to rely of self- provisioning, gleaning, poor relief or the extension of the working year to make ends meet at the poorest point in their family life cycle. Part two adjusts Floud et al.’s estimates of calorie availability in the English economy from 1700 to 1909 for the costs of digestion, pregnancy and lactation. Taken together, these three additional costs reduced the amount calories available by around 15 per cent in 1700 but only by 5 per cent in 1909 because of the changing composition of the English diet. Part three presents a new adaptive framework for studying changes in children’s growth patterns over time and a new methodology, longitudinal growth studies, for measuring gender disparities in health in the past. An adaptive framework for understanding growth provides a more parsimonious explanation for the vast catch-up growth achieved by slave children in the antebellum American South. The slave children were only able to achieve this catch-up growth because they were programmed for a tall height trajectory by relatively good conditions in utero. Finally, impoverished girls experienced greater catch-up growth than boys in two schools in late-nineteenth century Boston, USA and early-twentieth century London, suggesting that girls were deprived relative to boys before entering these institutions.

Esta dissertação parte do pressuposto que a Saúde Mental, a Atenção Primária e a articulação entre essas, são proposições originárias de outros contextos históricos e realidades sociais, havendo portanto uma retradução nos seus processos de assimilação no Brasil e no Estado de São Paulo. A partir disso, a investigação segue em dois eixos: a construção do campo da Saúde Mental e suas articulações com a Saúde de forma geral e à Atenção Primária; o seguimento da articulação da Saúde Mental à Atenção Primária no Estado de São Paulo. O estudo conclui que a Saúde Mental emerge numa condição histórica de favorecimento de políticas públicas de reinclusão social, numa possibilidade de extensão assistencial populacional. Desse modo, integra proposições higiênicas e terapêuticas, mantendo-se como higiene social normativa. A investigação conclui também que a integração das ações médicas às ações preventivas, consideradas dentro de níveis de prevenção, faz com que a Saúde Mental possa se articular à Atenção Primária e aos serviços de Saúde Pública. No Estado de São Paulo, a emergência da Saúde Mental em Atenção Primária, de forma abrangente, realiza-se no contexto de redemocratização política, em 1982, sendo resultado da convergência da implementação das Ações Integradas de Saúde, do movimento de descentralização do Estado brasileiro e da tomada da proposta de Atenção Primária como lema democrático. Esta implementação realiza-se de forma peculiar no Estado de São Paulo, com a alocação de equipes multiprofissionais de Saúde Mental nas redes de cuidados primários à saúde, caracterizando uma experiência de reforma psiquiátrica. / This dissertation starts from the presupposition that Mental Health, Primary Care and their articulations are propositions originated specific historical contexts and social conditions, implying necessarily in a translation when their assimilation occurs in Brazil and the state of São Paulo. The investigation developed along two lines: the building of the Mental Health field and its links with health and Primary Care in general and the articulation of Mental Health and Primary Care in the state of São Paulo. The study concludes that Mental Health emerges in historical conditions which favor public policies of social inclusion, through the extension of care, In this way it integrates hygiene and therapeutic propositions, and continues to exert a normative social hygiene. The integration of preventive and medical practices, taken as part of specific levels of prevention, makes possible the articulation of Mental Health to Primary Care and public health services. In the state of São Paulo, Mental Health in Primary Care emerges in the context of political redemocratization in 1982, as part of the implementation of specific forms of financing health care (\"Ações Integradas de Saúde - AIS\"), the decentralization of the governmental programs and the importance of Primary Care as a political banner. This implementation occurs in specific conditions in the state of São Paulo, with the inclusion of multiprofessional mental health teams in public primary health care services, as an experience of psychiatric reform.