As a part of the Texas National Guard, the Second Battalion of the 131st Field Artillery went on active duty as World War Two errupted and eventually became trapped in Java by Japanese forces. It became known as the Lost Battalion after its surrender because it lost all communication with the Allies for over three years. The Japanese forced these Americans to work in Burma on a railroad construction project connecting Burma to Thailand. After the railroad's completion in 1944, the Lost Battalion remained in various prisoner-of-war camps until liberation came in August, 1945. Research sources consulted include the prisoner-of-war project of the North Texas State University Oral History Collection, published memoirs of former captives, pertinent United States government documents, and contemporary newspapers. Secondary materials investigated embrace books and periodicals.

Cette recherche témoigne d'une démarche de recherche-action-participative réalisée auprès d'enfants ayant vécu la perte d'un parent. Elle vise à comprendre l'expérience vécue par les enfants endeuillés d'un parent qui participent à un groupe d'intervention axé sur le modèle de l'aide mutuelle. La réalisation d'une entrevue pré-intervention et une autre post-intervention donnent accès aux perceptions des enfants concernant leur expérience d'endeuillé quant à leurs besoins, mais aussi à leur interprétation de leur réalité. Aussi, l'intervention de groupe utilisée comme méthode d’intervention, et comme méthode de collecte de données reflète la dynamique d'aide mutuelle et son influence sur le vécu des membres autant sur le plan émotif que sur le plan des stratégies adaptatives. Bref, cette recherche en service social, alliant les savoirs pratiques et ceux théoriques, permet de reconnaître que l’aide mutuelle soutient les enfants dans leur réalité d’endeuillés et met aussi l’accent sur le caractère unique de leur deuil respectif. / This research presents a participatory action research with parentally bereavement children. The aim of the project is to understand the experience of bereavement from the perspective of a children who participated at a mutual aid based group work intervention model on this process. First, the realisation of pre and post intervention interviews provide insights on the children's experience of bereavement with regards to their needs and also their perception of their own reality. Second, the group, used as an intervention and a data collect tool reflects, the dynamic's of mutual aid and it's influence on what the members are living emotionally as well to plan various adaptation strategies. In summary, this research in social work, which combines practical knowledge and theory, show the uniqueness of children's bereavement process at the same time than the potential for support obtained through mutual aid group work intervention.

The following diploma thesis is called "The scope of liability to damages under the Commercial Code". I have chosen this theme because the damages are one of the most important legal instrument and in accordance with the actual practice of the courts and legislative development also a dynamically developing part of the civil law with perspective on the new attitude to this instrument with respect to the draft bill of the new Civil Code. The aim of the thesis is to acquaint the reader with the current legislation, compare current legislation with respective court decision and opinions of the juristic community and offer new look on the issue. The thesis is divided into seven chapters. The first one is a preface and defines the matter of thesis. The last one is a conclusion and contains the final look on the scope of liability to damages under the Commercial Code and the brief review of conclusions contained in the thesis. Chapter Two deals with legal regulation of formation of the liability to damages and is composed of three parts, each of them is dealing with different matter of this formation. Part One contains the basic precondition, which shall be met in order to claim damages according to the Commercial Code. Part Two focuses on the duty to inform about the occurred damage. Part Three looks at...

Nous nous intéressons au Problème de Dimensionnement de Lots mono-produit (PDL) dans une chaîne logistique composée d'un détaillant et d'un fournisseur en y intégrant le contrat buyback et l'approvisionnement par batch. L'objectif est de déterminer un plan d'approvisionnement pour le détaillant pour satisfaire ses demandes déterministes sur un horizon fini, tout en minimisant ses coûts d'approvisionnement et de stockage. Concernant le coût d'approvisionnement, nous supposons deux structures différentes : FTL (Full Truck Load) et OFB (Only Full Batch). Trois types de contrat buyback sont étudiés : avec des périodes de retour fixes, avec une limite de temps sur les retours, et avec des retours uniquement dans les périodes d'approvisionnement. Chaque contrat est caractérisé par un pourcentage de retour maximal qui peut être égal à 100% (retour total) ou inférieur à 100% (retour partiel). Pour le PDL sous le contrat buyback avec des périodes de retour fixes, nous supposons le cas de ventes perdues (lost sales). En outre, un autre concept ajouté dans les PDL sous les trois types de contrat buyback réside dans le fait que le détaillant peut jeter la quantité invendue et non retournée au fournisseur, appelé mise au rebut (disposal). Nous avons modélisé ces différentes extensions du PDL par des Programmes Linéaires en Nombres Entiers (PLNE). Nous avons ensuite développé des algorithmes exacts polynomiaux de programmation dynamique pour certaines extensions, et montré la NP-difficulté pour d'autres. Pour chaque problème résolu en temps polynomial, nous avons comparé l'efficacité et les limites de l'algorithme proposé avec celles des quatre formulations en PLNE. Nous avons également proposé des modèles mathématiques pour les PDL sous d'autres types de contrats de réservation de capacité dans le cas déterministe à multi-périodes. / We study the single-item Lot Sizing Problem (LSP) in a supply chain composed of a retailer and a supplier by integrating the buyback contract and the batch ordering. The purpose is to determine a replenishment planning for the retailer to satisfy his deterministic demands over a finite horizon, while minimizing the procurement and inventory costs. Regarding the procurement cost, we assume two different structures: FTL (Full Truck Load) and OFB (Only Full Batch). We consider three types of buyback contract: with fixed return periods, with a time limit on returns, and with returns permitted only in procurement periods. Each contract is characterized by the maximum return percentage being either equal to 100% (full return) or less than 100% (partial return). For the LSP under the buyback contract with fixed return periods, we assume the concept of lost sales. Another concept considered in the LSP's under the three types of buyback contract is the disposal of the unsold and unreturned quantities. We model these different LSP extensions as a Mixed Integer Linear Program (MILP). Thereafter, we develop exact polynomial time dynamic programming algorithms for some extensions and show the NP-hardness of others. For each problem solved in polynomial time, we compare the efficiency and the limits of the proposed algorithm with those of four MILP formulations by performing different tests. Finally, we propose mathematical models for the LSP's under other types of the capacity reservation contract in the deterministic and multi-period case.

Det har alltid varit viktigt för företag i alla branscher att ständigt kunna fatta rätt beslut. För att kunna göra det måste företagen vara medvetna om vilka kostnader som finns och kan uppstå i deras verksamhet. För att kunna göra en rättvis kostnadsuppskattning bör företag även sträva efter att identifiera osynliga kostnader. Detta arbete baseras på en fallstudie som genomfördes på företaget LKAB som bedriver gruvverksamhet. Syftet med denna studie var att utreda huruvida osynliga kostnader och förlorade intäkter existerar och i så fall var och i vilken mån de bör beaktas. Studiens mål var att ta fram ett underlag som ska kunna tillämpas i effektiviserings syfte hos olika företag. Studiens frågeställningar kunde besvaras. Med hjälp av intervjuer utformades en värdeflödeskarta som påvisade var kostnader uppstår. En ABC-kalkyl användes för att kunna identifiera kopplingen mellan kostnader och deras aktiviteter och resurser. För att kunna avgöra vilka av kostnaderna och de förlorade intäkterna som bör påverkas användes Leans definition på slöseri. Resultatet som erhölls visade på att osynliga kostnader och förlorade intäkter existerar samt i vilken mån de bör beaktas och hanteras vid den taktiska planeringen. De kostnader som bör påverkas visade sig vara Demurrage-kostnaden, transportkostnaden och särhanteringskostnaden. De förlorade intäkterna som inte visade sig skapa något värde för kunden och då borde beaktas var dödfrakt, fraktkompensation, rabatterat pris och förlorade intäkter som uppstår i samband med produktionsstopp och produktkassering. Resultatet visade även på att det går att få ett användbart resultat utan att använda en ABC-kalkyl fullt ut. / Before making a decision based on a fair cost estimate, careful consideration should be given to ensure that invisible operational costs have been adequately identified and incorporated into the estimate. We present the results of a case study conducted at the Swedish mining company LKAB in which we investigated to what extent do invisible costs exist, their impact on lost revenue, and whether they can be adequately captured within the framework of a fair cost estimate. Using data obtained from a series of interviews conducted at LKAB, we built a value-flow chart to model costs and used an ABC calculation to determine the linkage between the costs and their activities and resources. We then applied Lean's definition of waste to identify which, and to what extent, these costs and lost revenue should be affected. Specifically, we determined that the costs which should be considered are: Demurrage, transport, and special handling and the sources of lost revenue are: dead freight, freight compensation, discounted prices, production stoppages, and discard a product. Finally, our analysis showed that fair cost estimates including invisible costs and lost revenue are useful in making decisions about the efficiency of a company and that a full ABC calculation is not required to get a useful result.

Ainda que limitadas enquanto expressão dos eventos ligados à saúde e apesar das deficiências em relação à cobertura e à qualidade dos dados, as estatísticas de mortalidade constituem um dos mais importantes subsídios para o planejamento e avaliação dos serviços de saúde. Tradicionalmente, a mortalidade de uma determinada população tem sido aferida por meio das taxas brutas e específicas de mortalidade. Porém, esses índices consideram apenas a magnitude das causas de óbito, sem qualificar o peso resultante dessas mortes para a sociedade. Neste sentido, tem-se enfatizado cada vez mais a importância da mortalidade prematura enquanto expressão social do valor da morte, pois esta, quando ocorre numa idade de altas criatividade e produtividade não só afeta o indivíduo e o grupo social que convive diretamente com ele, mas a sociedade como um todo, que é privada do seu potencial econômico e intelectual (REICHENHEIM; WERNECK, 1994). \"O indicador Anos Potenciais de Vida Perdidos (APVP), ao combinar a magnitude das mortes com a idade em que ocorreram os óbitos, qualifica essas mortes\" (KERR-PONTES; ROUQUAYROL, 1999 apud SAUER; WAGNER, 2003, p. 1520). Este estudo pretendeu avaliar a evolução dos APVPs nos municípios e regionais de saúde do Estado de São Paulo, no período de 2003 a 2013, para a população total. Pretendeu, também, analisar a evolução retrospectiva das 15 causas de óbito com as maiores taxas de APVP em 2013, para a população total do Estado de São Paulo. Para tanto, foi elaborada uma base de dados a partir dos óbitos de residentes do Estado de São Paulo ocorridos no período de 2003 a 2013 e processados pelo SIM (Sistema de Informação sobre Mortalidade), sendo as causas de morte classificadas de acordo com a Décima Revisão da Classificação Internacional de Doenças (CID 10). O cálculo dos APVPs foi realizado com base numa proposta feita por Romeder e McWhinnie (1988) e, após elaborados os dados, foram confeccionados cartogramas utilizando o programa Tabwin para visualização da evolução dos APVPs nas regionais de saúde do Estado. Foram construídos gráficos de linha para a observação da evolução das 15 causas de óbito com as maiores taxas de APVP de 2003 a 2013. Posteriormente, foram analisadas as Taxa de Mortalidade Geral (TMG), Taxa de Mortalidade Infantil (TMI) e Taxa de Mortalidade Materna (TMM) para os anos de 7 2003 a 2013 para o Estado de São Paulo. E, finalmente, foram avaliados: as dimensões escolaridade, longevidade e riqueza do Índice Paulista de Responsabilidade Social (IPRS) em cada um de seus grupos; frequência absoluta e relativa do IPRS em cada um de seus grupos; relação do IPRS segundo Redes Regionais de Atenção à Saúde (RRAS); relação IPRS segundo Grupos Populacionais; TAPVP por grupos de IPRS; TAPVP por Grupos Populacionais; TAPVP por RRAS; IPRS na sua dimensão Riqueza por TAPVP; IPRS na sua dimensão Longevidade por TAPVP; IPRS na sua dimensão Escolaridade por TAPVP; Correlação entre as dimensões do IPRS e TAPVP. Todas estas avaliações são válidas para o Estado de São Paulo para o ano de 2012 e foram obtidas utilizando-se o aplicativo Stata 9.0. A Taxa de Mortalidade Geral (TMG) para o Estado de São Paulo para o período de 2003 a 2013 em comparação com a do Brasil mostrou-se desfavorável, o mesmo acontecendo com a Taxa de Mortalidade Infantil (TMI), cujo predomínio, no Estado, foi do componente Pós-Neonatal. Já a Taxa de Mortalidade Materna (TMM) demonstrou boa assistência ao pré-natal, parto e puerpério no Estado no período citado. Observando-se a evolução das TAPVP nos cartogramas do Estado de São Paulo no período de 2003 a 2013 as RRAS onde as TAPVP foram maiores foram: 6, 7, 9, 10, 11, 12, 13 e 17. Das quinze maiores causas de óbito segundo TAPVP para o Estado no período, nove são passíveis de prevenção na atenção primária. Citou-se ainda o subregistro e a tripla carga de doenças. A maioria dos 645 municípios do Estado de São Paulo, no ano de 2012 apresentaram um IPRS de grupo 4. Houve 95% de probabilidade de que a maior TAPVP ocorreu para o IPRS 4 com um IC de 17.325,04 a 18.424,20. O Teste de Anova, com 4 gl mostrou diferença significativa (p<0,05) na TAPVP por grupos de IPRS. Com 5 graus de liberdade, o Teste de Kruskal-Wallis foi significativo (p<0,05) indicando que houve diferença entre os Grupos Populacionais quanto à TAPVP. Com 16 graus de liberdade, o Teste de Kruskal-Wallis foi significativo (p<0,05) indicando que existiu diferença entre as RRAS quanto às TAPVP. À medida que aumentou a riqueza do IPRS, diminuiu, ainda que discretamente, a TAPVP. Longevidade e TAPVP mantiveram-se estáveis. Conforme aumentou a escolaridade, aumentou a TAPVP. Por existir uma correlação positiva entre riqueza e longevidade e escolaridade, à medida que aumentou a riqueza, aumentaram a longevidade e escolaridade. Com relação a TAPVP e riqueza e longevidade, o coeficiente de correlação foi negativo, significando que à medida que aumentaram a riqueza e 8 longevidade, diminuiu a TAPVP. Porém, com relação à escolaridade, o coeficiente de correlação entre o mesmo e a TAPVP foi positivo, indicando que à medida que aumentou a escolaridade, aumentou a TAPVP. Por fim, essa dissertação poderia ser apresentada às autoridades de saúde do Estado como um projeto para redução da mortalidade prematura, com foco em melhoria da educação básica, instalação de mais serviços de saúde de qualidade e adequação dos serviços de segurança pública. / Although limited as an expression of health-related events and despite problems concerning the coverage and quality of available data, mortality estimates are among the most important foundations for the planning and evaluation of health services. Traditionally, mortality has been estimated according to the gross and specific mortality rates in a given population. However, these indicators consider the impact of death causes alone, without qualifying the burden resulting from deaths to society. The importance of premature mortality as a social expression of the burden of death has therefore received increasing attention, as it occurs at an age range of high creativity and productivity and affects not only the individual and his direct social group, but society as a whole, whose economic and intellectual potential is affected (REICHENHEIM; WERNECK, 1994). The estimate of potential years of life lost (PYLL) provides a more detailed assessment of mortality by combining death rates and the age when death occurs (KERR-PONTES; ROUQUAYROL, 1999 apud SAUER; WAGNER, 2003, p. 1520). Our study was aimed at assessing the evolution of PYLL rates in the total population of cities and health districts in the State of São Paulo, Brazil, between 2003 and 2013. We also assessed the retrospective evolution of the 15 death causes with the greatest PYLL rates in 2013 for the total population of the State of São Paulo. In order to achieve this, we created a database with information on deaths occurred in the state between 2003 and 2013 which were processed by the Mortality Information System (MIS), with death causes classified according to the 10th revision of the International Classification of Diseases (ICD-10). PYLL rates were calculated according to the method proposed by Romeder and McWhinnie (1988) and data charts 9 were created in TabWin to display the evolution of PYLL rates in the health districts of the state. Line graphs were created to display the evolution of the 15 death causes with the highest PYLL rates between 2003 and 2013. We further assessed the general mortality rate (GMR), child mortality rates (CMR), and mother mortality rates (MMR). Finally, we assessed the education, longevity, and wealth dimensions of the São Paulo Index of Social Responsibility (SPISR) in each of its groups; absolute and relative frequency of the SPISR in each of its groups; relationship of the SPISR according to the Regional Health Care Networks (RHCN); SPISR relationship according to population groups; PYLL rates by SPISR group; PYLL rates by population groups; PYLL rates by RHCN; SPISR dimension \'wealth\' by PYLL rates; SPISR dimension \'longevity\' by PYLL rates; SPISR dimension \'education\' by PYLL rates; and correlations between SPISR dimensions and PYLL rates. All the analyses are valid for the State of São Paulo in the year of 2012 and were made using the Stata 9.0 software. The GMR in the State of São Paulo for the period of 2003-2013 was worse compared to Brazil, and so was the CMR, with a predominance of the post-neonatal component in the State. The MMR indicated the availability of adequate prenatal, delivery, and postpartum assistance in the State during the period. The data charts displaying the evolution of PYLL rates in the State of São Paulo show that the RHCNs with the highest PYLL rates were 6, 7, 9, 10, 11, 12, 13, and 17. From the main 15 death causes according to PYLL rates in the period, 9 can be prevented in primary care. Under-recording and the triple load of diseases were also detected. The SPISR of most of the 645 municipalities in the State of São Paulo in the year 2012 was 4. The probability that the highest PYLL rate was associated with a SPISR of 4 was 95%, with a confidence interval between 17325.04 and 18424.20. An ANOVA with 4 degrees of freedom showed significant differences (p<0.05) in PYLL rates by SPISR group. With 5 degrees of freedom, the test of Kruskal-Wallis provided significant results (p<0.05), indicating the existence of differences between population groups in respect to PYLL rates. With 16 degrees of freedom, the Kruskal-Wallis test indicated the existence of significant differences between the RHCNs in terms of PYLL rates. PYLL rates decreased, although subtly, with the increase of wealth in the SPISR. Longevity and PYLL rates remained stable. As education increased, PYLL rates also increased. Since there was a positive correlation between wealth, longevity, and education, increased wealth was associated 10 with increased longevity and education as well. Concerning the relationship between PYLL rates and wealth and longevity, we found a negative correlation coefficient, indicating that as wealth and longevity increased, PYLL rates decreased. In respect to education, however, the correlation with PYLL rates was positive, indicating that increases in education were associated with increases in PYLL rates. Finally, this dissertation could be presented to the health authorities of the State of São Paulo as a project to reduce early mortality, focused on improvements in basic education, expansion of high-quality health services, and improvements in public security

Ainda que limitadas enquanto expressão dos eventos ligados à saúde e apesar das deficiências em relação à cobertura e à qualidade dos dados, as estatísticas de mortalidade constituem um dos mais importantes subsídios para o planejamento e avaliação dos serviços de saúde. Tradicionalmente, a mortalidade de uma determinada população tem sido aferida por meio das taxas brutas e específicas de mortalidade. Porém, esses índices consideram apenas a magnitude das causas de óbito, sem qualificar o peso resultante dessas mortes para a sociedade. Neste sentido, tem-se enfatizado cada vez mais a importância da mortalidade prematura enquanto expressão social do valor da morte, pois esta, quando ocorre numa idade de altas criatividade e produtividade não só afeta o indivíduo e o grupo social que convive diretamente com ele, mas a sociedade como um todo, que é privada do seu potencial econômico e intelectual (REICHENHEIM; WERNECK, 1994). \"O indicador Anos Potenciais de Vida Perdidos (APVP), ao combinar a magnitude das mortes com a idade em que ocorreram os óbitos, qualifica essas mortes\" (KERR-PONTES; ROUQUAYROL, 1999 apud SAUER; WAGNER, 2003, p. 1520). Este estudo pretendeu avaliar a evolução dos APVPs nos municípios e regionais de saúde do Estado de São Paulo, no período de 2003 a 2013, para a população total. Pretendeu, também, analisar a evolução retrospectiva das 15 causas de óbito com as maiores taxas de APVP em 2013, para a população total do Estado de São Paulo. Para tanto, foi elaborada uma base de dados a partir dos óbitos de residentes do Estado de São Paulo ocorridos no período de 2003 a 2013 e processados pelo SIM (Sistema de Informação sobre Mortalidade), sendo as causas de morte classificadas de acordo com a Décima Revisão da Classificação Internacional de Doenças (CID 10). O cálculo dos APVPs foi realizado com base numa proposta feita por Romeder e McWhinnie (1988) e, após elaborados os dados, foram confeccionados cartogramas utilizando o programa Tabwin para visualização da evolução dos APVPs nas regionais de saúde do Estado. Foram construídos gráficos de linha para a observação da evolução das 15 causas de óbito com as maiores taxas de APVP de 2003 a 2013. Posteriormente, foram analisadas as Taxa de Mortalidade Geral (TMG), Taxa de Mortalidade Infantil (TMI) e Taxa de Mortalidade Materna (TMM) para os anos de 7 2003 a 2013 para o Estado de São Paulo. E, finalmente, foram avaliados: as dimensões escolaridade, longevidade e riqueza do Índice Paulista de Responsabilidade Social (IPRS) em cada um de seus grupos; frequência absoluta e relativa do IPRS em cada um de seus grupos; relação do IPRS segundo Redes Regionais de Atenção à Saúde (RRAS); relação IPRS segundo Grupos Populacionais; TAPVP por grupos de IPRS; TAPVP por Grupos Populacionais; TAPVP por RRAS; IPRS na sua dimensão Riqueza por TAPVP; IPRS na sua dimensão Longevidade por TAPVP; IPRS na sua dimensão Escolaridade por TAPVP; Correlação entre as dimensões do IPRS e TAPVP. Todas estas avaliações são válidas para o Estado de São Paulo para o ano de 2012 e foram obtidas utilizando-se o aplicativo Stata 9.0. A Taxa de Mortalidade Geral (TMG) para o Estado de São Paulo para o período de 2003 a 2013 em comparação com a do Brasil mostrou-se desfavorável, o mesmo acontecendo com a Taxa de Mortalidade Infantil (TMI), cujo predomínio, no Estado, foi do componente Pós-Neonatal. Já a Taxa de Mortalidade Materna (TMM) demonstrou boa assistência ao pré-natal, parto e puerpério no Estado no período citado. Observando-se a evolução das TAPVP nos cartogramas do Estado de São Paulo no período de 2003 a 2013 as RRAS onde as TAPVP foram maiores foram: 6, 7, 9, 10, 11, 12, 13 e 17. Das quinze maiores causas de óbito segundo TAPVP para o Estado no período, nove são passíveis de prevenção na atenção primária. Citou-se ainda o subregistro e a tripla carga de doenças. A maioria dos 645 municípios do Estado de São Paulo, no ano de 2012 apresentaram um IPRS de grupo 4. Houve 95% de probabilidade de que a maior TAPVP ocorreu para o IPRS 4 com um IC de 17.325,04 a 18.424,20. O Teste de Anova, com 4 gl mostrou diferença significativa (p<0,05) na TAPVP por grupos de IPRS. Com 5 graus de liberdade, o Teste de Kruskal-Wallis foi significativo (p<0,05) indicando que houve diferença entre os Grupos Populacionais quanto à TAPVP. Com 16 graus de liberdade, o Teste de Kruskal-Wallis foi significativo (p<0,05) indicando que existiu diferença entre as RRAS quanto às TAPVP. À medida que aumentou a riqueza do IPRS, diminuiu, ainda que discretamente, a TAPVP. Longevidade e TAPVP mantiveram-se estáveis. Conforme aumentou a escolaridade, aumentou a TAPVP. Por existir uma correlação positiva entre riqueza e longevidade e escolaridade, à medida que aumentou a riqueza, aumentaram a longevidade e escolaridade. Com relação a TAPVP e riqueza e longevidade, o coeficiente de correlação foi negativo, significando que à medida que aumentaram a riqueza e 8 longevidade, diminuiu a TAPVP. Porém, com relação à escolaridade, o coeficiente de correlação entre o mesmo e a TAPVP foi positivo, indicando que à medida que aumentou a escolaridade, aumentou a TAPVP. Por fim, essa dissertação poderia ser apresentada às autoridades de saúde do Estado como um projeto para redução da mortalidade prematura, com foco em melhoria da educação básica, instalação de mais serviços de saúde de qualidade e adequação dos serviços de segurança pública. / Although limited as an expression of health-related events and despite problems concerning the coverage and quality of available data, mortality estimates are among the most important foundations for the planning and evaluation of health services. Traditionally, mortality has been estimated according to the gross and specific mortality rates in a given population. However, these indicators consider the impact of death causes alone, without qualifying the burden resulting from deaths to society. The importance of premature mortality as a social expression of the burden of death has therefore received increasing attention, as it occurs at an age range of high creativity and productivity and affects not only the individual and his direct social group, but society as a whole, whose economic and intellectual potential is affected (REICHENHEIM; WERNECK, 1994). The estimate of potential years of life lost (PYLL) provides a more detailed assessment of mortality by combining death rates and the age when death occurs (KERR-PONTES; ROUQUAYROL, 1999 apud SAUER; WAGNER, 2003, p. 1520). Our study was aimed at assessing the evolution of PYLL rates in the total population of cities and health districts in the State of São Paulo, Brazil, between 2003 and 2013. We also assessed the retrospective evolution of the 15 death causes with the greatest PYLL rates in 2013 for the total population of the State of São Paulo. In order to achieve this, we created a database with information on deaths occurred in the state between 2003 and 2013 which were processed by the Mortality Information System (MIS), with death causes classified according to the 10th revision of the International Classification of Diseases (ICD-10). PYLL rates were calculated according to the method proposed by Romeder and McWhinnie (1988) and data charts 9 were created in TabWin to display the evolution of PYLL rates in the health districts of the state. Line graphs were created to display the evolution of the 15 death causes with the highest PYLL rates between 2003 and 2013. We further assessed the general mortality rate (GMR), child mortality rates (CMR), and mother mortality rates (MMR). Finally, we assessed the education, longevity, and wealth dimensions of the São Paulo Index of Social Responsibility (SPISR) in each of its groups; absolute and relative frequency of the SPISR in each of its groups; relationship of the SPISR according to the Regional Health Care Networks (RHCN); SPISR relationship according to population groups; PYLL rates by SPISR group; PYLL rates by population groups; PYLL rates by RHCN; SPISR dimension \'wealth\' by PYLL rates; SPISR dimension \'longevity\' by PYLL rates; SPISR dimension \'education\' by PYLL rates; and correlations between SPISR dimensions and PYLL rates. All the analyses are valid for the State of São Paulo in the year of 2012 and were made using the Stata 9.0 software. The GMR in the State of São Paulo for the period of 2003-2013 was worse compared to Brazil, and so was the CMR, with a predominance of the post-neonatal component in the State. The MMR indicated the availability of adequate prenatal, delivery, and postpartum assistance in the State during the period. The data charts displaying the evolution of PYLL rates in the State of São Paulo show that the RHCNs with the highest PYLL rates were 6, 7, 9, 10, 11, 12, 13, and 17. From the main 15 death causes according to PYLL rates in the period, 9 can be prevented in primary care. Under-recording and the triple load of diseases were also detected. The SPISR of most of the 645 municipalities in the State of São Paulo in the year 2012 was 4. The probability that the highest PYLL rate was associated with a SPISR of 4 was 95%, with a confidence interval between 17325.04 and 18424.20. An ANOVA with 4 degrees of freedom showed significant differences (p<0.05) in PYLL rates by SPISR group. With 5 degrees of freedom, the test of Kruskal-Wallis provided significant results (p<0.05), indicating the existence of differences between population groups in respect to PYLL rates. With 16 degrees of freedom, the Kruskal-Wallis test indicated the existence of significant differences between the RHCNs in terms of PYLL rates. PYLL rates decreased, although subtly, with the increase of wealth in the SPISR. Longevity and PYLL rates remained stable. As education increased, PYLL rates also increased. Since there was a positive correlation between wealth, longevity, and education, increased wealth was associated 10 with increased longevity and education as well. Concerning the relationship between PYLL rates and wealth and longevity, we found a negative correlation coefficient, indicating that as wealth and longevity increased, PYLL rates decreased. In respect to education, however, the correlation with PYLL rates was positive, indicating that increases in education were associated with increases in PYLL rates. Finally, this dissertation could be presented to the health authorities of the State of São Paulo as a project to reduce early mortality, focused on improvements in basic education, expansion of high-quality health services, and improvements in public security

科学研究費補助金 研究種目:基盤研究(C)(2) 課題番号:10610468 研究代表者:鈴木 繁夫 研究期間:1998-1999年度

Cette recherche témoigne d'une démarche de recherche-action-participative réalisée auprès d'enfants ayant vécu la perte d'un parent. Elle vise à comprendre l'expérience vécue par les enfants endeuillés d'un parent qui participent à un groupe d'intervention axé sur le modèle de l'aide mutuelle. La réalisation d'une entrevue pré-intervention et une autre post-intervention donnent accès aux perceptions des enfants concernant leur expérience d'endeuillé quant à leurs besoins, mais aussi à leur interprétation de leur réalité. Aussi, l'intervention de groupe utilisée comme méthode d’intervention, et comme méthode de collecte de données reflète la dynamique d'aide mutuelle et son influence sur le vécu des membres autant sur le plan émotif que sur le plan des stratégies adaptatives. Bref, cette recherche en service social, alliant les savoirs pratiques et ceux théoriques, permet de reconnaître que l’aide mutuelle soutient les enfants dans leur réalité d’endeuillés et met aussi l’accent sur le caractère unique de leur deuil respectif. / This research presents a participatory action research with parentally bereavement children. The aim of the project is to understand the experience of bereavement from the perspective of a children who participated at a mutual aid based group work intervention model on this process. First, the realisation of pre and post intervention interviews provide insights on the children's experience of bereavement with regards to their needs and also their perception of their own reality. Second, the group, used as an intervention and a data collect tool reflects, the dynamic's of mutual aid and it's influence on what the members are living emotionally as well to plan various adaptation strategies. In summary, this research in social work, which combines practical knowledge and theory, show the uniqueness of children's bereavement process at the same time than the potential for support obtained through mutual aid group work intervention.

In this Thesis, from the disciplinary vantage point of English Studies, I explore some of the complex meanings that may be attributed to several forms and practices of South African consumer culture: magazines, malls and themed leisure. While these contemporary cultural 'texts' are often ephemeral, and people's attachments to them fractured, transient or at least ambivalent rather than unproblematic, my argument takes issue with the pessimism that informs much local and international criticism of consumer culture. My Thesis turns to concepts of affect, image, sign and discourse which have become features of current English Studies in order to generate readings of commercial culture more nuanced than the 'hard analyses' favoured by dominant practitioners of 'radical' South African cultural studies. At the same time, though, my analyses have learnt through disparate forms of local cultural study the necessity of grounding textuality in the structures of political economy. By means of manageable yet conceptually-suggestive South African instances, I consider how commodities and commodified experiences - generated in the first instance by the vested interests of Capital and related ideologies - may nevertheless be experienced by people in a plethora of ways not directly tied to the commercially-expedient construct of the 'target audience'. This experiential process entails a rampant volatility typical of a mass-mediated lexicon which challenges boundaries between high and low, formal and unofficial, propriety and the improper. While advertising and promotion, for instance, function as corporate attempts to contain proliferating signifiers and to secure a preferred, 'authorised' meaning for cultural goods or services, it is also the case that consumers themselves, perhaps creatively and certainly in clandestine ways that escape the supposed authorities of either market researcher or academic intelligence, author meanings that rework the limitations of what still tends to be construed within the university as a culture industry at once banal and insidious. The meanings of the contemporary cultures with which I deal, then, are highly mediated and many-layered, rather than constituting the mere surface announcement often imagined by scholars of both literary culture and of media- and cultural studies. The contexts of my Thesis are particular: it was completed in 1998, and has been produced from a university in KwaZulu-Natal by an academic formally trained in English Studies. In some respects, then, the interpretations I offer are narrow: geographically, historically and disciplinarily focussed. Yet in working on South African examples of commoditised forms and practices that derive from metropolitan vectors and have convoluted international genealogies, I have also sought to theorise the shifting interrelations of regional and national, local and global, discipline-specific and interdisciplinary knowledge. Drawing widely on studies into consumer relations - and at apposite points identifying conceptual connections and differences between 'foreign' figures like Michel de Certeau and influential South African thinkers such as Njabulo S. Ndebele - I suggest that for all its shortcomings consumerism needs to be understood as active process rather than as passive effect. My argument implies that such a rethinking of the conventional binaries of production and consumption is appropriate in a South Africa which is gradually giving substance to a democratic social order. Even within a politics premised on the individual, forms of consumption such as magazine reading and shopping need not necessarily be scorned as the selfish, even hedonistic pursuits caricatured by ideological purists: the Thesis seeks to demonstrate that people are at once citizens and consumers, individuals searching after distinctive identity and style as well as desirous of achieving a variety of community inflected bonds. Overall, the commercial culture examined in the Thesis is represented not as inevitably marred by cultural deficiency and degraded value - despite the dissatisfactions, irritations and deferred pleasures which for many of us form at least one facet of consumption - but as an everyday spectacle which is available for symbolic interpretation and aesthetic investment. This investment may be emotional as well as cognitive, sensuous as well as critical, mundane as well as exceptional, since individuals come to commodity culture with a range of longings, dreams, fears and sedimented allegiances. As my readings demonstrate, it is such diversity of response - provisional and elusive rather than predictable and guaranteed - which gives the lie to theories which are 'always-already' premised on the prior inscription and encoding of consumerism as manipulation. / Thesis (Ph.D.)-University of Natal, Durban, 1998.