A denominada ¨resposta brasileira à epidemia de aids¨ é exemplar pelas suas políticas e iniciativas públicas, incitando continuamente a emergência de desafios à atenção à saúde das pessoas vivendo com HIV. Um deles diz respeito a uma questão polêmica, ainda que pouco debatida no cenário nacional: a comunicação de diagnóstico de HIV aos parceiros sexuais de pessoas soropositivas. Por um lado, essa questão evoca a responsabilidade pelo controle da cadeia de transmissão do HIV. Por outro, há a preocupação com o bem estar psicossocial do paciente em suas relações afetivo-sexuais, conjugais e familiares. O objetivo do presente trabalho foi apreender, através dos discursos de sujeitos envolvidos nessa prática, como essas distintas lógicas - de uma perspectiva coletiva, informada pelos pressupostos da Saúde Pública e de uma tônica no indivíduo e suas singularidades - são operadas e articuladas nas práticas de comunicação de diagnóstico de HIV a parceiros sexuais, em serviços de saúde especializados em DST/aids, do Município de São Paulo. Trata-se de estudo qualitativo, orientado pelos discursos de profissionais de saúde, de membros da Comissão Nacional de Aids, de técnicos em vigilância epidemiológica e pacientes, captados através de grupos, focal e educativo, e de entrevistas individuais em profundidade, com roteiro semi-estruturado, entre 2007-2008. A base teórica para interpretação dos discursos combina aportes conceituais sobre a Esfera Pública e a Teoria da Ação Comunicativa (Habermas), e sobre o Cuidado (Ayres). A comunicação de diagnóstico de HIV aos parceiros sexuais apresenta-se como uma questão que, embora importante, não alcança esferas de debates públicos com os diferentes atores sociais envolvidos. Na prática, a lógica epidemiológica não se materializa nem é almejada sob a forma de ações clássicas da vigilância epidemiológica, como a busca de comunicantes. São valores implicados em seus pressupostos, contrastados com aqueles das esferas privadas e íntimas, que parecem tornar problemática a comunicação de diagnóstico de HIV ao parceiro sexual. Dentre as estratégias utilizadas pelos profissionais, oscila-se entre a ameaça (de cunho policialesco) e a cumplicidade (que trata a comunicação como um problema íntimo). O principal foco dessas iniciativas é minimizar o estigma que cerca o portador do vírus. Da amplitude das interpretações e proposições que consideram o estigma nas práticas de saúde, vislumbra-se que a sua ativa problematização nas situações concretas da atenção pode ser um caminho possível e prático para o seu enfrentamento, por meio da criação de repertórios argumentativos. Esse modo peculiar de fazer face ao estigma pode deslocar as perspectivas, higienista e de regulação jurídica, para horizontes normativos técnica, ética e politicamente relevantes para integrar comunicação de diagnóstico de HIV ao parceiro sexual e atenção à saúde das pessoas vivendo com HIV. / The Brazilian response to the AIDS epidemic outstands for its policies and public initiatives, continuously stimulating the challenges for the healthcare of people living with HIV to come out. One of them refers to a polemic issue, yet little debated in the national agenda: the HIV disclosure to sexual partners of HIV positive people. This question claims for the responsibility over HIV transmission control. On the other hand, the patients psychosocial well-being in their sexual-affective, marital and family relationships raises concern. The objective of the present study was to understand, based on the discourses of the subjects involved in this practice, how these distinctive logics the collective perspective based on Public Health concepts and the emphasis on the individual and their singularities are managed in the practices of disclosing HIV infection to sexual partners in STD/AIDS specialized clinics in the city of São Paulo. A qualitative study was carried between 2007-2008 out with health professionals, members of Brazils AIDS Program, surveillance technicians and patients who participated in focus and education groups and answered individual in-depth interviews, both oriented by a semi-structured guide. Public Sphere/ Communicative Action Theory (Habermas) and Comprehensive Care (Ayres) were the theoretical framework of the analysis. HIV disclosure to sexual partners constitutes an issue that, despite relevant, does not reach the public debate domains with the different social actors involved. In practice, the epidemiology logic is neither materialized, nor desired in terms of classic surveillance practices, such as the contact tracing. The contrast of assumptions between public and private spheres seems to be a barrier to HIV disclosure to the sexual partner. The strategies adopted by professionals range from threatening (acting as if they were the police) to complicity (the disclosure is managed as an intimate matter). The main focus of these initiatives is to minimize the stigma towards the seropositive person. From the great variety of interpretations and propositions about stigma in health practices, the constitution of argumentative repertoires that actively question the stigma in concrete situations may be a possible and practical way of facing it. This peculiar way of approaching stigma may change hygienist and law regulated perspectives into normative horizons that are technical, ethical and politically relevant to integrate HIV disclosure to sexual partners and care of people living with HIV.

Sverige toppar listan över singelhushåll i Europa samtidigt som dejtingsajterna blomstrar. Syftet var att undersöka vilka egenskaper som män och kvinnor tyckte var viktiga i val av en potentiell romantisk partner utifrån Sexuell Economics Theory (SET) och positiv psykologi. Deltagarna (50 män, 50 kvinnor) i åldern 21 – 65 från hela Sverige, skattade hur viktiga 30 egenskaper var. Både män och kvinnor ansåg att egenskaper med aspekter från den positiva psykologin var viktigare än de kopplade till sexuella resurser och ekonomiska och omsorgsresurser. I linje med SET värderade män sexuella resurser högre än kvinnorna. Både män och kvinnor ansåg att ärlig, snäll, ville dela livet med dig, varm och omtänksam ochhumor varde viktigaste egenskaperna hos en potentiell romantisk partner.Studien har bidragit med en bättre förståelse kring vad som är viktigt när en livspartner sökes. Vidare forskning förslås undersöka flera egenskaper kopplade till positiv psykologi i jämställda länder.

Made available in DSpace on 2016-04-26T20:21:02Z (GMT). No. of bitstreams: 1 Herbert Morgenstern Kugler.pdf: 1499656 bytes, checksum: 92371be83b313650dc655aced3f95792 (MD5) Previous issue date: 2012-05-24 / The partners of a limited liability company s negotiate the company s features when they enter into the articles of association, which must observe the limits provided by applicable legislation. However, the articles of association are not the only and exclusive means the partners have for regulating their rights and obligations insofar as they may enter into other contracts, complementary and accessory to the articles of association. Among these complementary agreements, we accent the quotaholders agreement. The quotaholders agreement is the contract entered into by partners of a limited liability company to discipline their rights and obligations, taking into consideration, in varying degrees, the corporate relationship derived from the company. The present study aimed at analyzing the legal regime applicable to the quotaholders agreement, in view of the doctrine that divides agreements in three spheres (existence, validity and effectiveness) and, also, pursuant to applicable legislation, especially regarding the application of Law 6,404/76 to limited liability companies. We conclude that the quotaholders agreement (i) exists when partners of a limited liability company enter into an agreement, in parallel to the articles of association, in order to discipline their rights and obligations; (ii) is valid when it does not violate applicable legislation or the articles of association, nor is used to harm third parties; and (iii) effects, always, the contracting parties and, provided that certain requisites are observed (filing with the company s headquarters and register before the Public Commercial Board), third parties, including the company / A escolha das características de uma sociedade limitada é realizada pelos sócios quando da sua contratação, formalizada por meio do contrato social, pautado pelos limites impostos pelo ordenamento jurídico. Entretanto, o contrato social não esgota todas as possibilidades dos sócios pactuarem acerca dos seus direitos e obrigações, vez que os sócios podem realizar outros negócios jurídicos, de caráter complementar e acessório ao contrato social, dentre os quais se destaca o acordo de sócios. O acordo de sócios consiste no pacto firmado por pessoas titulares de direitos de sócio de uma sociedade limitada, o qual tem por fim disciplinar direitos e obrigações entre suas partes, visando, em menor ou maior grau, a relação societária derivada da sociedade limitada. O presente trabalho buscou analisar qual o regime jurídico do acordo de sócios, levando em conta a divisão do negócio jurídico em três planos (existência, validade e eficácia), bem como as características da sociedade limitada e a legislação aplicável ao caso, em especial a aplicabilidade das disposições da Lei 6.404/76 à sociedade limitada. Concluímos, assim, que, o acordo de sócios (i) passa a existir quando titulares de direitos de sócios de uma sociedade limitada firmam um acordo onde disciplinam, à margem do contrato social, o exercício de direitos e deveres dos sócios; (ii) será válido quando não descumprir qualquer preceito legal ou do contrato social, tampouco for utilizado para prejudicar terceiros; e (iii) será eficaz, sempre, perante as partes signatárias e, desde que preenchimentos certos requisitos (arquivamento na sede da sociedade e registro Junta Comercial), perante terceiros, inclusive a sociedade

Introdução: A sífilis em gestantes é um problema de saúde pública, com casos crescentes a cada ano. O tratamento do parceiro sexual da gestante com sífilis, é de suma importância, pois a falta de tratamento deste pode invalidar todas as medidas de controle instituídas durante o cuidado pré-natal. Objetivo: Descrever a ocorrência de tratamento do parceiro sexual e avaliar fatores maternos que favorecem a realização do tratamento do parceiro sexual das gestantes com sífilis gestacional atendidas no Hospital Fêmina (HFE). Método: Estudo transversal descritivo onde foram descritos os casos de pacientes com diagnóstico de sífilis gestacional atendidas no Serviço de Obstetrícia do HFE no período de 01 de janeiro de 2007 a 31 de dezembro de 2014, e seus respectivos parceiros. A coleta de dados foi realizada através dos dados encaminhados pelo Serviço de Controle de Infecção Hospitalar do Hospital Fêmina à Vigilância em Saúde do Município de Porto Alegre em sífilis, em conjunto com os prontuários das pacientes estudadas. O projeto teve aprovação do Comitê de Ética em Pesquisa do Grupo Hospitalar Conceição com protocolo de número 47914815.2.0000.5530. Resultados: Foram identificados 771 casos de sífilis em gestantes, e desses 570 não tinham informações sobre o tratamento do parceiro sexual da gestante. Dos 201 casos de gestantes com informações sobre o tratamento do parceiro sexual, 25 (12,44%) parceiros foram adequadamente tratados. Na análise univariada comparando gestantes com parceiros tratados para sífilis e não tratados, identificaram-se características associadas à ocorrência de tratamento adequado do parceiro em relação a mulheres que apresentaram sífilis gestacional: a) mais de oito anos de estudo (p=0.022), b) acompanhamento pré-natal adequado (p=0.010) e diagnóstico da sífilis no pré-natal (p=0.003). Conclusão: Escolaridade, diagnóstico precoce de sífilis, e a realização de pré-natal adequado parecem ser fatores determinantes para o adequado tratamento do parceiro e prevenção da transmissão vertical da doença. / Introduction: Syphilis in pregnant women is a public health problem, with increasing cases each year. Treatment of the sexual partner of the pregnant women with syphilis is very important because the lack of treatment may invalidate all control measures imposed during prenatal care. Objective: to describe the occurrence of treatment of the sexual partner and evaluate maternal factors that favor the realization of the treatment of the sexual partner of pregnant women with gestational syphilis treated in Hospital Fêmina. Method: This is a cross-sectional descriptive study, in which were described the cases of patients diagnosed with gestational syphilis in the Obstetrics Department of Hospital Fêmina, and their partners, from January 1st 2007 to December 31st 2014. Data collection was done through the data sent by the Department of Infection Control to Department of Health Surveillance of Porto Alegre in syphilis, along with the records of patients. Ethical principles will be were respected. The project had approval of the ethics committee of Grupo Hospitalar Conceição under protocol number 47914815.2.0000.5530. Results: 771 cases of syphilis in pregnant women were identified. No information on the treatment of the sexual partners was available in 570 of these cases. Among the 201 cases presenting information about the partners treatment, 25 (12.44%) of them were adequately treated. In the univariate analysis comparing women whose partners were treated for syphilis with those untreated demonstrates the associated characteristics as: a) more than eight years of study (p =0.022); b) adequate prenatal care (p= 0.010) and diagnosis of syphilis in prenatal care (p= 0.003). Conclusion: The years of study, the early diagnosis of syphilis and an adequate prenatal care appear to be determining factors for appropriate partner treatment and prevention of the vertical transmission of the disease.

Background: It is argued that most of the new product do not fail in the end but it fails in the beginning of the innovation. Managing front end of NPD, is the most important and difficult challenges facing the innovation managers. Effectively promoting front end activities can contribute directly to the success of the new product. So, integrating market-based partners (suppliers and customers) in the front-end phase enhances the quantity and quality of ideas. Problem discussion: Authors have suggested the involvement of market-based partners as early as possible in the NPD process will reduce the fuzziness in front end phase. The collaboration process with market-based partners implies that combining the idiosyncratic resources in unique ways, firms would relish greater innovation success. But this process of integration or collaboration with market-based partners are not that easy as it entails different appropriation and coordination concerns. Majority of the literature is concentrated on integrating market-based partners in the back-end activities of NPD, leaving a bit of void in the front-end phase of NPD. Method: The methodological choice of this thesis follows an exploratory study to seek new insights into an existing subject. The thesis is a following a deductive approach and is qualitative in the research choice. Purpose: To provide insights on integrating market-based partners in the front-end phase of new product development where the information is scattered around. This thesis identifies a structure that facilitates the integration of market-based partners in the fuzzy front end of NPD to mitigate the appropriation concerns and challenges.

This thesis was concerned with the psychological adjustment of 67 end-stage cancer patients, and three psychosocial variables considered to influence that adjustment: emotional support from spouse, positive meaning, and working models of attachment. Furthermore, this thesis was also concerned with the psychological adjustment of the patients' spouses, and the influence of emotional support from patient and working models of attachment on their adjustment. It was hypothesised that each of these psychosocial variables would directly influence the psychological adjustment of patients and spouses, measured using the negative affectivity scale of the Positive and Negative Affect Scale (PANAS). Furthermore, it was hypothesised that emotional support would influence positive meaning, and working models of attachment would influence both emotional support and positive meaning. Variables were measured via paper and pencil self-report inventories, with the exception of positive meaning, where verbal responses to an open question were coded. Univariate analyses indicated an association between patients' and spouses' emotional support provided by one another and their psychological adjustment. Univariate results also showed that patients' positive meaning was related to patients' psychological adjustment, and that patients' working models of attachment involving higher levels of attachment anxiety were associated with patients' poorer psychological adjustment. All these individual associations remained statistically significant after three control variables related to the patients' physical condition were taken into account. In addition, univariate analyses indicated that attachment was associated with emotional support, and that emotional support was associated with positive meaning. Following univariate analyses, variables were integrated into one model for patients and another for spouses using path analyses. Results were generally consistent with the prior sets of analyses. However, patients' working models of attachment involving higher levels of attachment anxiety no longer had a direct effect on patients' psychological adjustment to statistically significant levels. Rather, the influence of the working models of attachment on patients' psychological adjustment was mediated by emotional support. In addition, patients' positive meaning no longer had a significant direct effect on patients' psychological adjustment. The insignificant path coefficients between attachment anxiety and psychological adjustment, and between positive meaning and psychological adjustment, were attributed to the large amount of variance in negative affect due to emotional support. In summary, this research indicates that emotional support given and received between patients and spouses is important to the psychological adjustment of each party. Furthermore, emotional support influences patients' ability to construe positive meaning in their illness, although positive meaning does not appear to be as critical to the psychological adjustment of patients as emotional support. Working models of attachment influence the psychological adjustment of patients primarily through their influence on emotional support.

Relationship separation is prevalent in Western society and ongoing problems for adults and children are common, resulting in high personal and social costs. A literature review revealed that no existing measure of separation adjustment assessed multiple domains of separation adjustment, and was psychometrically sound. Additionally, a literature review revealed that few studies have investigated change in separation adjustment over time using cognitive predictors. This thesis is a program of research investigating separation adjustment in recently separated adults. Five studies were conducted with three main aims: (1) to develop a multidimensional, psychometrically reliable and valid measure of separation adjustment; (2) to assess the trajectory of separation adjustment over time; and (3) to test the hypothesis that certain cognitive variables predict the trajectory of separation adjustment. A conceptualisation of separation adjustment was developed consisting of the following five domains: Connection to the former partner, loneliness and emotional negativity (referred to as lonely negativity), parenting negotiation, parent-child relationship and general psychological adjustment. The Problems After Separation Test (PAST) was developed to reflect the first four of the five domains. In Study 1, 268 participants separated for up to 18 months, were recruited to assess the factor structure and internal consistency of the PAST. In Study 2, 209 participants were recruited to assess the stability of the factor structure, and temporal stability. In Study 3, participants from Study 2 were used to obtain convergent and divergent validity. The results of the first three studies showed that separation adjustment is a multidimensional construct, and that the PAST is a reliable and valid measure of separation adjustment. Study 4 aimed to assess the trajectory of separation adjustment over a 6 month period using the PAST and another measure of general psychological adjustment. Participants from both Study 1 and 2 were used, and a longitudinal cohort sequential design was employed. The sample consisted of three cohorts: those separated for up to six months, those separated between 6 and 12 months, and those separated between 12 and 18 months. The results showed that connection to the former partner, lonely negativity, and general psychological adjustment improved over time, but parent-child relationships and parenting negotiation were stable, and chronic parenting problems were common. Men showed greater parent-child relationship problems than women, possibly because men were most likely to be the non-resident parent. Participants separating from a de facto relationship reported only slightly more problems on lonely negativity, general psychological distress and parent-child relationships than participants separating from a marriage. Study 4 also provides information on clinical and reliable change, suggested cut-offs that might be used to define normal, moderate and severe adjustment problems, and attrition analyses. Using participants from Study 2, Study 5 aimed to assess cognitive predictors of change on connection to the former partner, lonely negativity and psychological distress. The cognitions assessed at each data collection were dysfunctional attitudes, attachment style, causal attributions, threat appraisal, and self-efficacy. Causal attributions were obtained by asking participants "For three minutes tell my about the problems you had in your relationship and what lead to the separation". The responses were transcribed, a coding manual was devised, and inter-rater reliability of coding was good. Cross-sectionally, the majority of cognitions were associated with one or more domains of separation adjustment, however longitudinally, cognitions did not predict change in separation adjustment over a 6-month period. Cognitions themselves were found to be somewhat variable, which is not surprising given that stressful life events, such as relationship separation would alter cognitions. Other variables that might be responsible for changes in separation adjustment trajectory are discussed. The results of the combined 5 studies have both theoretical and practical implications. Theoretically, separation adjustment is a construct made up of distinct domains which have different trajectories. Connection, lonely negativity and psychological adjustment generally represent transient problems. Although the current research found that a non-trivial minority of participants continued to show distress on these domains two years post separation. On the other hand, parenting negotiation and the parent-child relationship was a chronic problem for many separated people, particularly men. Practically, the results of the current research suggests that most therapeutic attention should be directed towards improving parenting adjustment post separation. Limitations of the current research and suggestions for future research are discussed.

<p>There are several participants in the renewable energy sector, each one having their own perspective, according to their interests. One renewable source of energy is wind. Development of wind energy projects is complex and implies the conjunction of several endeavors that are hard to be undertaken by only one organization. The complexity of wind energy projects demands the interaction among actors, that is, the creation of partnerships.</p><p> </p><p>The purpose of this study is to question the nature of partnerships as a response to strategic decisions for the implementation of wind energy projects and to provide arguments to state that partnerships are indeed strategic. By making a comparison of the different roles of the actors involved in the sector and having a theoretical support created by a literature review of the subject, authors’ arguments are based on the analysis of six different perspectives from those actors in the wind energy arena: Utilities company, wind energy projects developers, government, financial institutions, international organization and consultants.</p><p>A qualitative approach guided the identification of the role of these wind energy participants as their perspective in the sector. Perspective cases were formed through interviews made to representatives of different actors and through secondary data.</p><p>Having an empirical approach, some wind energy projects and their involved partnerships were identified and analyzed. In addition, by analyzing the critical success factors of partnerships that influence crucial aspects for implementation of wind energy projects, it was confirmed that good partnerships are based on trust and their success is the result of establishing clear objectives and defining the roles and responsibilities of each partner. Besides, considerations regarding control management of partnership deployment among actors of the energy sector are suggested.</p><p>Latterly, it was uncovered that organizations sometimes do not recognize their relationships as partnerships, due to the bare understanding of the scope of <em>partnership </em>concept. In practice, partnership is conceived as a long-term relationship, while relationships for a limited time are commonly identified as contracts. However, it was concluded that in any case a partnership is developed, as partners gather their own expertise to achieve common goals.</p><p> </p><p> </p><p>This research is meant to be a reference for decision-making individuals or project managers that need to evaluate ways to implement strategies. Also this study is conceived for those that need to decide if it is worthy to establish a partnership and its considerations, as a response to strategic decisions.</p><p> </p>

<p>Language impairment affects the ability to communicate. Children with languageimpairment have difficulties in using language in interaction to various degrees, and the contributions of the conversational partner are of great importance. The use of languagein interaction can be analysed by means of conversation analysis. The purpose of thepresent study was to study interaction of a group of pre-school children with language impairment with four different conversational partners. These were a peer with languag eimpairment, a peer with typical language development, a pre-school teacher and a parent. This study also intended to analyze the conversations in terms of similarities and differences between the participation frameworks. In all, 12 conversations were analyzedby using conversation analysis. A number of phenomena of interest were identified. The frequency of occurence of some of these phenomena was calculated to complement the qualitative analysis. The results show a number of phenomena occurring where mutualunderstanding is present and when it is limited. These phenomena are sequencing in theform of initiative-response and question-answer, back-channelling, development of conversational topic, breakdown, non-sequencing, topic drift, repair, clarification requestand confirmation. The results also demonstrate differences in the conversations betweenthe participation frameworks with reference to the frequency and the distinction of thephenomena. The greatest differences are found between child-child and adult-childconversations. The pre-school teacher and the parents ask more questions and use more clarification requests and confirmations than the children with language impairment. The development of conversational topics is more distinct in child-adult conversations. The development of conversational topics also occurs to some extent in conversations between two children with language impaiment. In conversations between a child withlanguage impairment and a child with typical language development this phenomenon isgenerally indistinct. Utterances lacking topical coherence in relation to each other areonly distinctly occuring in conversations between two children with language impairment. The pre-school teacher and the parents all perform more distinct other repairsthan the children with language impairment.</p> / <p>En språkstörning påverkar den kommunikativa förmågan. Barn med språkstörning harolika grad av svårighet i språklig interaktion med andra människor och samtalspartnern spelar en betydande roll. Samtalsanalys är ett sätt att analysera den faktiskaspråkanvändningen. Syftet med föreliggande studie var att studera interaktion hos engrupp förskolebarn med språkstörning i fyra olika deltagarstrukturer. De olika deltagarstrukturerna var samtal med ett annat barn med språkstörning, ett barn medtypisk språkutveckling, en person ur förskolepersonalen samt en förälder. Vidare syftade studien till att analysera likheter och skillnader i samtalen mellan de olika deltagarstrukturerna. Totalt analyserades 12 samtal med samtalsanalys, conversationanalysis (CA). Under analysen valdes ett antal fenomen ut och kompletterandeberäkningar gjordes på några av de utvalda fenomenen i samtalen. Resultatet visar att detfinns ett antal fenomen som belyser samförståelse och begränsad samförståelse i samtalen. Dessa fenomen utgörs av sekvensering i form av initiativ-respons och frågasvar, återkoppling, utvecklande av samtalsämne, sammanbrott, icke-relevant svar, yttrande som inte ämnesmässigt koherent i förhållande till föregående yttrande, ämnesglidning, reparation, begäran om förtydligande samt bekräftande av föregående yttrande. I resultatet framkommer skillnader i samtalen mellan de olika deltagarstrukturerna med avseende på hur ofta dessa fenomen förekommer och hur tydliga de är. De största skillnaderna återfinns mellan barn-barn- och barnvuxensamtalen. Personalen och föräldrarna ställer fler frågor samt begär förtydligande och bekräftar föregående yttrande i större utsträckning än barnen med språkstörning. Utvecklande av samtalsämne är tydligast i barn-vuxensamtalen. Utvecklande av samtalsämne förekommer också i viss utsträckning i deltagarstrukturen barn med språkstörning-barn med språkstörning. I deltagarstrukturen barn med språkstörning-barn med typisk språkutveckling är detta fenomen generellt otydligt. Yttranden som saknar ämnesmässig koherens i förhållande till varandra är endast tydligt förekommande ideltagarstrukturen barn med språkstörning-barn med språkstörning. Personalen och föräldrarna utför tydligare annan reparationer än barnen med språkstörning.</p>

<p>This was a descriptive qualitative study. Eight people living with HIV, four of which had disclosed their status, were individually interviewed. Two focus group discussions (each comprising 6 participants) were also conducted with health workers. The study was based at an urban TB hospital which is currently providing a range of HIV-related services including HIV Voluntary Counselling and Testing, case management and treatment.</p>