O objeto de estudo desta pesquisa qualitativa são as práticas dos trabalhadores de um Centro de Atenção Picossocial III - CAPS III. A finalidade é contribuir para a compreensão das práticas em saúde mental produzidas no CAPS III, por meio da perspectiva crítica e colaborar com a consolidação da Reforma Psiquiátrica brasileira. Tem como objetivos: descrever as práticas de saúde mental dos trabalhadores do CAPS III; verificar se as práticas se articulam às diretrizes da Reforma Psiquiátrica brasileira e analisar os processos de trabalho desenvolvidos pelos trabalhadores nos seus elementos constitutivos, da perspectiva do campo psicossocial. O cenário de estudo é Núcleo de Atenção Psicossocial I da Secretaria Municipal de Saúde de Santo André. Participaram deste estudo 11 (onze) trabalhadores, um de cada categoria profissional, de nível médio e superior. Os dados empíricos foram obtidos por meio de entrevista individual semi-estruturada e para a caracterização do cenário de estudo, o Instrumento de Captação da Realidade Objetiva, método proposto pela Teoria de Intervenção Práxica em Enfermagem em Saúde Coletiva. O material empírico foi analisado de acordo com a orientação de Minayo, baseada na hermenêutica-dialética. A análise dos dados deu origem às categorias: a) o CAPS III e a rede de atenção à saúde mental; b) Organização interna do CAPS III; c) as práticas em saúde mental no CAPS III e as diretrizes da Reforma Psiquiátrica brasileira; d) os processos de trabalho no CAPS III. Os resultados indicam que, no plano descritivo, as práticas de saúde mental dos trabalhadores do CAPS III articulam-se às diretrizes da Reforma Psiquiátrica. A análise dos elementos constitutivos dos processos de trabalho evidencia contradições. Pode-se constatar atitudes coerentes com o quadro teórico de referência adotado, o campo psicossocial, embora estas não se articulem a um projeto coletivo institucional, revelando práxis espontâneas e reiterativas. A consolidação da Reforma Psiquiátrica requer processos de trabalho que se traduzam em práxis criativas, capazes de produzir transformações concretas na vida dos usuários dos serviços. Identifica-se a necessidade de formação dos trabalhadores com relação ao projeto coletivo institucional, visando qualificar a força de trabalho dos Centros de Atenção Psicossocial, dada a função social destes equipamentos, considerados estratégicos na reorientação do modelo de atenção à saúde mental. O material empírico evidencia uma crise na organização do serviço, revelando o sofrimento dos trabalhadores e a precarização da assistência prestada aos usuários do serviço. É necessário que o serviço possa colocar-se em crise para que esta necessidade possa ser tomada pelo poder local, visando transformar essa realidade / The object of study of this qualitative research are practices of the workers of a Pshychosocial Attention Center III (CAPS III). The purpose of this study is to contribute to the understanding of the mental heath practices produced in the Pshychosocial Attention Center III, through a critical perspective, to cooperate with the consolidation of the Brazilian Psychiatric Reform. Objectives are: describe the mental heath practices of the workers of a CAPS III; verify if the mental health practices are related to the references of the Brazilian Psychiatric Reform and; analyze the processes of work developed by the workers of the CAPS III, in its constitutive elements, form a the perspective of the Pshychosocial Field. The scenery of this study is the Núcleo de Atenção Psicossocial I of the Health Department of Santo André. 11 (eleven) workers participated in the study; one form each professional category, medium level and higher education level workers. The empirical data were gathered through individual interviews with the workers and the characterization of the scenery of the study, according to the Method of Praxis Intervention of Nursing in Collective Heath. The empirical data are analyzed according to Minayo´s propose, based in dialectical-hermeneutic. The data provided the categories: a) CAPS III and the mental health care net; b) Internal organization of CAPS III; c) mental heath practices in CAPS III and the references of the Brazilian Psychiatric Reform; d) processes of work in CAPS III. The results indicate that, in a descriptive view, the mental health practices of the workers of CAPS III, correspond to the Brazilian Psychiatric Reform´s references. The analyzes of processes of work demonstrate contradictions. It is possible to recognize attitudes according to the theoretical references, the Pshychosocial Field, even though these attitudes are not related to a collective project, revealing spontaneous and reiterative praxis. The consolidation of the Brazilian Psychiatric Reform requires processes of work that constitutes creative praxis, capable to produce concrete transformation in user’s life. It is identified the need to develop the formation of the workers related to the collective project, aiming to qualify the work strength of the Pshychosocial Attention Center, considering the social function of this equipment, considered strategic in reorientation of the Mental Heath care model. The empirical data indicate crises in the internal organization of the service, revealing workers\' suffer and the loss on the quality of the assistance, which makes it necessary to the service to put its self in crises to be assumed by the local government instances

This work deals with problems of structure of health and social insurance base and tax base, especially of tax base of income tax of employees. It deals with differences which occure in these bases.

MPH / Department of Public Health / See the attached abstract below

This non-experimental, descriptive, quantitative survey attempted to evaluate IMCI implementation in the eThekwini district of KwaZulu -Natal. The study focused on IMCI implementation by IMCI trained registered nurses, health facility support and follow-up and supervision. The research population comprised of all IMCI trained registered nurses working in health facilities in the eThekwini district. The convenient sample consisted of 40 research subjects. Data was collected by means of an interview schedule and a checklist, and analysed using Microsoft Excel 2007. Findings of the study revealed that many of the IMCI trained registered nurses were unable to assess, classify and treat the sick child comprehensively and consistently. The recommended follow-up visit at six weeks after completion of IMCI training, and lack of on-going supervision remains an area of concern. Recommendations were that district or clinic supervisors can enhance the skills of IMCI trained registered nurses through recommended follow-up visits and on-going supervision and the provision of updated IMCI chart booklets. / Health Studies / M.A. (Public Health)

The thesis is in two parts. The first part is the paper “The Distribution of k-free integers” that my advisor, Dr. Roger Baker, and I submitted in February 2009. The reader will note that I have inserted additional commentary and explanations which appear in smaller text. Dr. Baker and I improved the asymptotic formula for the number of k-free integers less than x by taking advantage of exponential sum techniques developed since the 1980's. Both of us made substantial contributions to the paper. I discovered the exponent in the error term for the cases k=3,4, and worked the case k=3 completely. Dr. Baker corrected my work for k=4 and proved the result for k=5. He then generalized our work into the paper as it now stands. We also discussed and both contributed to parts of section 3 on bounds for exponential sums. The second part represents my own work guided by my advisor. I study the zeros of derivatives of Dirichlet L-functions. The first theorem gives an analog for a result of Speiser on the zeros of ζ'(s). He proved that RH is equivalent to the hypothesis that ζ'(s) has no zeros with real part strictly between 0 and ½. The last two theorems discuss zero-free regions to the left and right for L^{(k)}(s,χ).

Les rapports d’activité de l’Établissement Français du Sang (EFS) font état d’une demande croissante de produits sanguins labiles (PSL) tels les concentrés globules rouges (CGR), les plaquettes, et le plasma. Afin d’assurer la demande vitale en PSL, il est primordial d’optimiser la logistique liée aux activités de collecte du sang et de ses composants. Pour faire face à cette situation, l’EFS Auvergne-Loire mène une réflexion dans le but d’utiliser de manière plus efficiente les dispositifs de collecte en sites fixes et mobiles pour améliorer (i) la qualité de service rendue au donneur, et (ii) l’efficience de l’utilisation des ressources humaines. Dans ce contexte nous avons développé dans cette thèse des outils opérationnels pour (i) la modélisation des dispositifs de collecte, (ii) la régulation des flux de donneurs, et (iii) la planification de collectes mobiles.La méthode d'analyse des dispositifs de collecte est basée sur des techniques de simulation à événements discrets. Une modélisation préalable des flux de donneurs dans les systèmes de collecte en sites fixes et mobiles à l’aide de réseaux de Petri a été proposée. Pour la régulation de flux de donneurs, notamment pour la planification optimale des rendez-vous des donneurs et la planification de la capacité dans les systèmes de collecte au site fixe, deux approches ont été abordées: (a) Construction d'un algorithme basée sur techniques d'optimisation stochastique via simulation ; (b) Programmation mathématique: Modèle de programmation en nombres entiers non-linéaire (MINLP) basée sur réseaux de files d'attente et représentation et évaluation des systèmes à événements discrets à travers de programmation mathématique. Pour la planification de collectes mobiles. Deux types de modèles ont été développés : (a) Au niveau tactique : Modèles de programmation en nombres entiers linéaire (MIP) pour planifier les semaines de collectes pour chaque ensemble disponible sur un horizon de temps pour garantir l'autosuffisance à niveau régional des CGR. (b) Au niveau opérationnel : Modèle de programmation en nombres entiers linéaire (MIP) pour l’organisation du travail des équipes en charge de la collecte. / Activity reports of the French Blood Establishment (EFS) indicate a growing demand for Labile Blood Products (LBP) as red blood cells (RBC), platelets and plasma. To ensure the vital demand of labile blood products (LBP), it’s essential to optimize the logistics related with the collection of blood components. To deal with this situation, the EFS Auvergne-Loire carry out a reflection in order to use more efficiently the collection devices in fixed and mobile sites, to improve the quality of service offered to the donor and the efficiency of human resources. In this context we have developed in this thesis operational tools for (i) modeling of blood collection devices (ii) The regulation of flows donors (iii) Planning of bloodmobile collections.The method analysis of collection devices is based on techniques of discrete event simulation. A preliminary modeling of donors’ flow in fixed and mobile collection systems using Petri nets was conducted. For the regulation of flow of donors, i.e. the optimal capacity planning and appointment scheduling of blood collections, two approaches were considered: (a) Simulation based-optimization.(b) Mathematical Programming: Mixed integer nonlinear programming (MINLP) based on queuing networks and mathematical programming representation of discrete event systems. For planning of bloodmobile collections. Two models have been developed: (a) At the tactical level: Mixed integer linear programming (MIP) to determine the weeks in which the mobile collection must be organized in order to ensure the regional self-sufficiency of RBC. (b) At the operational level: Mixed integer linear programming (MIP) for the planning of human resources in charge of blood collections.

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Made available in DSpace on 2011-05-04T12:36:22Z (GMT). No. of bitstreams: 0 Previous issue date: 2009 / Este estudo visa explorar o Sistema de Comunicação de Internação Hospitalar (CIH) propondo critérios para avaliação da qualidade dos dados, com o objetivo de sinalizar a existência dos aspectos limitantes, e contribuir para a melhoria da qualidade dos dados dessa importante fonte de informação. O trabalho objetiva, também, incentivar o uso do CIH, ressaltando o seu potencial de utilização na epidemiologia e na gestão da saúde do País. Trata-se de um estudo ecológico em um banco de dados em nível nacional, no período de 2007 e 2008. A metodologia adotada na avaliação da qualidade dos dados foi baseada nas experiências do Instituto Canadense de Informação para a Saúde (Canadian Institute for Health Information) e da Rede Interagencial de Informações para a Saúde (Ripsa), adaptando-se seus conceitos e recomendações às necessidades inerentes ao CIH. O estudo demonstrou que, no período analisado, a base de dados do CIH possui fragilidade na coleta das informações, porém tem boa completitude e mostra coerência das informações na série histórica. / This study explored the Communication System for Hospital (CIH) proposing criteria for evaluating the quality of data in order to signal the existence of the limiting aspects and contribute to the improvement of data quality of this important source of information. The work also aims at encouraging the use of CIH, highlighting its potential use in epidemiology and health management in the country. This is one ecological study in a database at the national level, between 2007 and 2008. The methodology used in assessing the quality of the data was based on the experiences of the Canadian Institute for Health Information and the Inter-Agency Network for Health Information (Ripsa), adapting its concepts and recommendations to the needs inherent CIH. The study showed that during the period analyzed, the database of the CIH has weakness in the data collection, but has shown good consistency and completeness of the information in the series.

This master´s thesis deals with a draft of a health centre building in Chlumec nad Cidlinou. The centre is situated on a corner building site with barrier-free access near the city centre. The building is designed with simple functional lines ground on foundation strips with flat green roof. The perimeter walls, internal load-bearing and shear walls are from vertically perforated T&G block bricks. Internal non-load-bearing prefab walls are coated with plasterboard. Ceiling constructions and an attic are made of monolithic reinforced concrete. The building envelope is insulated with mineral wool. Most of the perimeter walls are coated with breathable facade made of lacquered galvanized lamellas and minor part of walls is compositely insulated and plastered with a scratched facade plaster. The health centre building is notionally divided into two masses with a three-storey west part and two-storey east part of the building. Both parts are mutually connected by vertical communication space with elevator looped by counter clockwise three-flight staircase. Ambulant health care will be provided in total 9 consulting rooms, 3 ambulant care offices and private clinic with 3 consulting rooms. Independent business of the commercial area and café provide the additional function. The master´s thesis also includes assessments in terms of fire risk, energy saving and heat protection, acoustics and vibrations, lighting and sunlight.

No description available.