Submitted by Mariana Granado Barbosa (mgranadobarbosa@gmail.com) on 2018-06-15T03:38:39Z No. of bitstreams: 1 TA MarianaGB v.final 12062018.pdf: 802684 bytes, checksum: 999853e56c5ed01ebb9085705e158cdd (MD5) / Approved for entry into archive by Simone de Andrade Lopes Pires (simone.lopes@fgv.br) on 2018-06-15T16:58:24Z (GMT) No. of bitstreams: 1 TA MarianaGB v.final 12062018.pdf: 802684 bytes, checksum: 999853e56c5ed01ebb9085705e158cdd (MD5) / Approved for entry into archive by Isabele Garcia (isabele.garcia@fgv.br) on 2018-06-15T20:24:22Z (GMT) No. of bitstreams: 1 TA MarianaGB v.final 12062018.pdf: 802684 bytes, checksum: 999853e56c5ed01ebb9085705e158cdd (MD5) / Made available in DSpace on 2018-06-15T20:24:22Z (GMT). No. of bitstreams: 1 TA MarianaGB v.final 12062018.pdf: 802684 bytes, checksum: 999853e56c5ed01ebb9085705e158cdd (MD5) Previous issue date: 2018 / Filas de espera constituem um problema crônico nos países que optaram por sistemas universais. Entretanto, no Brasil há poucos estudos sobre filas de espera nos serviços de saúde. Este é um estudo de caso que pretende contribuir acrescentando métrica nessa discussão e fundamentando-a em torno da viabilidade econômico-financeira das decisões em saúde e da regulação, de modo mais amplo. Partindo do contexto de um hospital municipal da zona sul da cidade de São Paulo, analisamos dois cenários diferentes, a demanda proveniente da atenção básica para consulta com especialista, que nem sempre termina na indicação de cirurgia, e as filas de espera internas ao hospital para cirurgia ginecológica, de pacientes já avaliadas e com cirurgia indicada, aguardando seu agendamento. Da análise desses dados, traçamos um novo modelo de gerenciamento da fila de espera para cirurgia ginecológica eletiva nesse hospital. Nossa proposta não tem o objetivo de atingir espera zero. Tampouco é fundamentada em estratégia única. Nossa principal conclusão é que a estratégia mais eficiente para o gerenciamento das filas de espera envolve o fortalecimento das ações de integração com a rede de atenção. No Sistema Único de Saúde, o olhar de linha de cuidado, pode viabilizar efetivamente a entrega de maior valor na assistência prestada e pode ser feita através de iniciativas locais. / Waiting lists are a chronic problem in countries that opted for universal health systems. However, there are few studies on waiting lists in health services in Brazil. This case study aims to contribute by adding metrics to this discussion and grounding it around the economic-financial viability of health care decisions and access regulation in a broader way. Starting from the context of a municipal hospital in the south of the city of São Paulo, we analyzed two different scenarios: the demand for primary care for consultation with a specialist, which does not always end with the recommendation of surgery, and inpatient waiting lists, which have patients that were already evaluated and are waiting for the surgery. From this data analysis, we draw a new management model of gynaecologic elective surgery waiting list in this hospital. Our proposal does not aim to achieve zero wait, nor is it based on a single strategy. Our main conclusion is that the most efficient strategy for the waiting lists management involves the strengthening of health care networks’ integration actions. In the Unified Health System it can effectively enable the delivery of greater value in the assistance provided and can be done through local initiatives.

The diploma thesis evaluates the financial situation of the company LogiCall Česká republika, s.r.o. from 2008 to 2012. In the theoretical part, the methods of financial analysis are described. In the practical part, the financial situation of the company is evaluated using chosen indicators. The aim of this thesis is to suggest changes and measures which will improve the current situation and increase competitiveness of the company.

Cette étude est une contribution à la connaissance de la biodiversité, la distribution géographique et la conservation des Rubioideae (Rubiaceae) d’Afrique centrale (Burundi,R.D.Congo et Rwanda). Le travail est basé sur l’analyse critique des riches collections conservées dans les grands herbaria de Belgique et du Burundi (plus de 10.000 échantillons). Une check-list critique des Rubioideae d’Afrique centrale a été établie; 291 taxons ont été inventoriés et une carte de distribution géographique a été tracée pour chacun, après géoréférencement de toutes<p>les récoltes. Des taxons nouveaux pour le territoire étudié ont été découverts, révélant le caractère incomplet de la ‘World check-list of Rubiaceae’. Des taxons nouveaux pour la science ont été mis en évidence. Une espèce nouvelle (avec deux variétés) a été décrite. Les analyses de distribution ont utilisé deux niveaux de résolution: le système d’information géographique (SIG) pour la production des cartes de la distribution des espèces et le système de maillage pour calculer la densité et l’effort d’échantillonnage. La richesse floristique apparente est fortement biaisée par l’intensité d’échantillonnage. Après correction de ces biais, la diversité reste inégalement répartie.<p>Des régions de plus haute diversité peuvent être expliquées à la fois par des processus déterministes (régions à haute diversité ’habitats), et, probablement aussi par des contingences historiques (refuges). Elles correspondent à des zones de spéciation active ou de moindre extinction. De plus, cette diversité varie selon les phytochories considérées.<p>La distribution des taxons a été utilisée pour tenter de redéfinir sur une base objective des subdivisions phytogéographiques du territoire étudié. L’approche basée sur la similarité floristique et la distribution potentielle a démontré le rôle déterminant des taxons indicateurs et des variables environnementales<p>dans l’établissement d’un système cohérent de phytochories pour l’Afrique centrale. Un nouveau<p>système de trois territoires floristiques défini sur base des Rubioideae est comparativement proche de celui de White (1979, 1983) mais ne comprend pas des zones de transition.<p>Enfin, la caractérisation de l’état de conservation des Rubioideae de la zone d’étude, sur base de la méthodologie de l’UICN, a porté sur cinquante-six taxons (sub-)endémiques d’Afrique centrale. L’évaluation paramétrique a été largement utilisée. Elle est basée sur la détermination de la zone d’occupation (AOO) et de la zone d’occurrence (EOO). La proportion des Rubioideae menacés et coïncide avec celles des autres groupes déjà évalués. Cette analyse a démontré qu’il existe une corrélation entre les taxons menacés et les zones de forte concentration humaine.<p><p><p>This study is a contribution to the knowledge of biodiversity, geographic distribution and conservation of Rubioideae (Rubiaceae), a group of flowering plants in Central Africa (D.R.Congo, Rwanda, Burundi). The work is based on the critical evaluation of the rich herbarium collections conserved in Belgium and Burundi (> 10,000 specimens). A critical check-list of Rubioideae in Central Africa has been produced, comprising 291 taxa. A distribution map has been obtained for each of them. A number of taxa are new to the area, highlighting the gaps of knowledge in the ‘World check-list of Rubiaceae’. Species new to science have been detected, one of which has been formally described (with two varieties) in this study. The analysis of distribution patterns has been performed at two levels of resolution. Grid-maps have been used to analyse patterns of species diversity. Floristic richness appears strongly correlated with<p>sampling effort. After correction for sampling effort, species diversity remains heterogeneous.<p>Regions of higher diversity correspond either to areas of more active speciation, in relation to a high diversity of habitats, or to forest refuges where extinction rates have been lower. Additionally, this diversity varies between the different phytochoria recognized. The distribution of species has been used in an attempt to redefine phytochoria based only on floristic criteria. Floristic similarity, and potential distribution (based on climatic parameters), has shown that phytochoria can be effectively defined and characterized by the method of indicator taxa. Three major<p>phytochoria show a reasonably match with phytochoria previously proposed by White (1979, 1983), but White’s transition zones are not highlighted. Finally, distribution data have been used to critically evaluate the conservation status of 56 taxa, using the methodology and criteria of IUCN. The area of occupancy (AOO) and extent of occurrence (EOO) were calculated and used as main criteria to evaluate the species. A relatively high proportion of taxa appear to be threatened, especially in relation to urbanization and deforestation in the most<p>highly populated parts of the study area. / Doctorat en Sciences / info:eu-repo/semantics/nonPublished

L’augmentation de la fréquence hebdomadaire des séances d’Hémodialyse (HD) serait la technique qui se rapprocherait le plus du rôle physiologique des reins. L’Hémodialyse quotidienne (HDQ) a été développée afin d’améliorer la qualité de vie des patients ainsi que l’épuration sanguine. Néanmoins, son association avec la survie reste controversée et son lien avec l’accès à la greffe rénale n’avait jusqu’alors jamais été étudié. Par ailleurs, les connaissances en termes de pratiques en France étaient jusqu’à aujourd’hui très faibles. Dans ce contexte, cette thèse vise à caractériser les patients français en HDQ et leurs trajectoires en plus d’analyser l’association entre l’HDQ et la transplantation rénale et la survie des patients. Une étude épidémiologique a été menée à partir du Réseau en Epidémiologie et Information en Néphrologie (REIN) où ont été inclus tous les patients âgés ≥18 ans et qui ont démarré une séance d’HDQ entre 2003 et 2012 en France. L’extraction d’un certain nombre de données biocliniques de REIN a permis de montrer que les patients français en HDQ étaient caractérisés pour présenter des profils très hétérogènes. En effet, en fonction de l’âge médian (64 ans) deux sous-groupes de patients ont pu être comparés : les âgés (moyenne d’âge : 76,6 ± 6,9 ans) en mauvaises conditions médicales et qui décédaient rapidement ; les jeunes (moyenne d’âge : 47,2 ± 12 ans) qui étaient en HDQ avant d’accéder à la greffe. Par ailleurs, en fonction des trajectoires initiales, deux sous-groupes ont également pu être comparés : patients démarrant directement par HDQ (dHDQ, n=257) ; patients démarrant par un autre traitement (cHDQ, n=496). Ensuite, cette thèse a permis de montrer qu’en France, après l’inscription sur la liste, les patients en HDQ avaient une moindre probabilité d’accéder à la greffe que les patients en HD 3x/semaine (SHR=0,74 ; IC 95%: 0,58-0,95). Par ailleurs, après ajustement sur l’âge, le sexe et les comorbidités, l’HDQ était associée avec un sur-risque de décès (HR=1,58 ; IC 95%: 1,4-1,8) en comparaison avec l’HD 3x/semaine. Ce travail de thèse a permis d’élucider nos connaissances en termes de pratiques associées avec l’HDQ bien que les raisons pour lesquelles les patients démarrent une HDQ ne sont pas connues. Nous émettons l’hypothèse que les indications pour l’HDQ en France sont probablement différentes de celles appliquées dans d’autres pays, ceci pourrait expliquer nos résultats en termes de mortalité. / An increase frequency of weekly sessions of Hemodialysis (HD) should be more physiological than a conventional HD 3x/week. Daily Hemodialysis (DHD) was developed in order to enhance patients’ quality of life in addition to blood purification. Nevertheless, its effect on survival remains controversial and the association between DHD and the access to renal transplantation has never been evaluated. Moreover, knowledges about DHD practices in France were until today very poor. In this context, the aims of this thesis was firstly, to describe profiles of French patients on DHD and their initial trajectories; secondly to analyze the association between DHD and renal transplantation, then survival in comparison with conventional HD 3x/week. An epidemiologic study has been conducted based on Renal Epidemiology and Information in Nephrology (REIN) registry. Were included all patients aged ≥18 years who initiated a DHD between 2003 and 2012 in France. Bio-clinical data analyses showed that French patients were characterized to present various profiles. Indeed, according to the median age (64 years), two sub-groups were distinguished and compared: old (mean age: 76.6 ± 6.9 years) in bad medical conditions who died rapidly; young (mean age: 47.2 ± 12 years) waiting for renal transplantation. Moreover, according to the initial trajectories, two sub-groups were also constructed: patients starting directly with DHD (dDHD, n=257); patients starting with another dialysis before switching for DHD (cDHD, n=496). Then, this thesis allowed showing that in France and after being waitlisting, patients on DHD had lower probability of being renal transplanted (SHR=0.74; 95%CI: 0.58-0.95). Then, after the adjustment on sex, age and comorbidities, DHD was associated with a higher risk of death compared to conventional HD 3sessions/week. Reasons why a patient started a DHD are unknown, but this work allows us to enhance our knowledges in terms of medical practices associated with DHD. We hypothesized that DHD indications in France might be different from other countries which could explain our results in terms of mortality.

The aim of this thesis is to characterize the company ČD Cargo with special focus on the transport of solid fuels. It describes the historical development of this company, its present-day activities and services. Statistic part of this thesis contains time lines, defining the development of transport of solid fuels and its part in the overall transport. There is also an outline of an expected scenario of future solid fuel transport in connection with domestic resources depletion. Much consideration is also given to the unification of transport documents and European integration with a view to actions and objectives of transport policy concerning railway freight trafic.

This thesis deals with the possibility of the inscription of the Church of the Most Sacred Heart of Our Lord in Vinohrady to the UNESCO World Heritage List. The church is a piece of work of the well-known Slovenian architect Josip Plečnik. The church's nomination is being prepared in cooperation with Slovenia where Plečnik's churches are also aimed to be nominated to the UNESCO World Heritage List. The work is focused on evaluation of outstanding universal value based on which the church meets some established criteria that are essential for the nomination to the UNESCO World Heritage List. Moreover, it also warns about the possible impacts which are closely connected with the inscription to this prestigious list. Thus, it suggests some recommendations which could eliminate those negative consequences. The final part of the work concentrates on proposing some thematic projects that strive to connect this church to the religion tourism in the Czech Republic and in Europe. The goal of these projects is to increase the awareness of this church among the public.

THE 1977 UNITED STATES ARMS EMBARGO AGAINST SOUTH AFRICA: INSTITUTION AND IMPLEMENTATION TO 1997 The institution and implementation of the 1977 mandatory United States arms embargo against South Africa and the impact thereof on relations between the United States and South Africa is investigated in this study. The investigation centers around the objectives of the United States in instituting the arms embargo, whether these objectives were met through the implementation and enforcement of the arms embargo, and whether the South African reaction to the embargo indicates the failure of the embargo to meet its objectives. The relation of the arms embargo to the foreign policy of the United States Government of the day, as well as the impact of the embargo on the South African military industry is discussed. The basis on which the problem statement is built is that close scrutiny of the implementation of the arms embargo would allow one to judge the seriousness that the United States assigned to the objectives of the arms embargo. The main objective of the embargo was to force the South African Government to abandon apartheid. Full compliance with the embargo would demonstrate the commitment of the United States to this objective, while non-compliance would be regarded by critics as a retreat from that objective. The United States’ implementation of the arms embargo would furthermore demonstrate the ability of major arms producers like the United States to reduce the threat of global violence by putting measures in place to successfully block arms and related items from being exported to potential belligerents. In conclusion to the study, it was found that the implementation of the embargo was linked to external objectives of the United States Government of the day. Thus, the strengthening or weakening of arms embargo regulations occurred according to the objectives that the Government of the day wanted to achieve. Nonetheless, the United States’ implementation of the arms embargo was generally very effective. It was also concluded that the arms embargo indeed acted as the main stimulant for the development of the world-renowned South African arms industry. This industry developed out of the determination of the white South African minority Government to remain in power, which in turn resulted in a defiant disregard for the arms embargo. Clandestine activities became the order of the day. These activities later had a major impact on the first democratically elected black government in South Africa. This government inherited a legacy of embargo violations, which led to much tension in relations with the United States in the first few years after the 1994 South African elections. The research therefore also paints a picture of the inherited struggles that the new South African Government had to face as a result of the arms embargo, and the resultant difficulties in normalizing relations with the United States. / Thesis (DPhil (History))--University of Pretoria, 2006. / Historical and Heritage Studies / unrestricted

This diploma thesis deals with demolition of the motorway overpass. The bridge (overpass) is located over the D1 motorway from Prag to Brno at the 115,881 km. On the brigde runs the local comunication II/352 between villages Švábka and Měšín. The bridge demolition is part of the D1 renovation plan. The main reason behind the demolitions si that the bridge no longer meets it´s lenght requierments. During the demolition and construction will be any use of II/352 for public transport over the bulding site forbiden. This diploma thesis include technical report for construction technology project, time and financial evaluation of the project. Also the thesis deals with the selected technological regulations of carried out activities, timetable of controls and tests, trafice relationships on wider scale, a list of main building machines and mechanisms with their specification, a concept of the construction site, health and safety requlations, and in detail plans for realization of a road surface layers.

This thesis deals with a construction-technology plan of two-story nursery school in Brno, district Bystrc. Thesis contains engineering report, financial and time schedule for structures, project of construction site, noise study, technological notes and inspection and test plans for cast-in-place reinforced concrete slabs and for prestressed concrete Spiroll floor slabs, formwork study, list of main machines used during construction, time schedule, needed quantity of workers and itemized budged for carcass, budged for whole building and comparison of cranes. Moreover, in appendices are drawings of approaches and processes during construction in its different phases.

The goal of the submitted thesis is to analyse and improve current costing methods in a chosen engineering company. The theoretical part is devoted to definition of notions – cost types, segmentation of cost and then contains summary of costing technique and costing method. The theoretical analyse is centered on questions about costing in engineering company. The practical part describes company, his organization structure, processes and his productions. Further in the practical part is created analyse of current way costing of order and innovation suggestion. In the conclusion is cognisance evaluation from analyse of costing method and recommendation for the company.