As fístulas arteriovenosas da região do seio cavernoso constituem as fístulas carotidocavernosas que podem ser diretas ou indiretas. As indiretas são raras, a sua sintomatologia é variada e o tratamento é controverso. Este estudo compreendeu a análise prospectiva de 44 pacientes portadores de fístulas carotidocavernosas indiretas (FCCI) no período de 01 de janeiro de 1994 e 31 de janeiro de 2004, 42 com etiologia espontânea e dois pacientes com etiologia traumática, sendo estes analisados separadamente. Doze (12) pacientes foram submetidos à conduta expectante e orientados a realizar manobras de compressão carótido-jugular. O tratamento endovascular foi realizado por via arterial, venosa ou combinação dos dois, num total de 30 pacientes. Considerando o grupo inteiro, ocorreu trombose espontânea em aproximadamente 24% dos pacientes. Os sintomas e o aspecto angiográfico após o tratamento evoluíram com melhora ou cura em 100% dos casos, com oclusão completa das FCCI em 63,3%, a grande maioria destes submetidos a apenas um procedimento. Além dos acessos venosos tradicionais aos seios cavernosos, vias de acesso alternativas através da veia oftálmica superior foram realizadas por punção percutânea de veia facial, veia supratroclear ou veia frontal. O material embolizante mais utilizado foi o adesivo tissular líquido, \"cola\", isoladamente ou em conjunto com outros materiais. Houve complicações transitórias em 13,3% dos pacientes tratados e nenhuma complicação permanente foi observada, o que demonstrou a baixa morbidade deste procedimento / The arteriovenous fistulas of the cavernous sinus (CS) region constitute the carotid-cavernous fistula, which can be direct or indirect. The indirect type is quite rare, its clinical features is very inespecific and its treatment modalities controversial. Forty-four patients with indirect carotid-cavernous fistulas (ICCF) were studied in a prospective manner between January 1994 to January 2004, 42 with spontaneous etiology and 2 with traumatic etiology, being these analyzed separately. Twelve (12) patients were submitted to a expectant management and instructed to perform carotid-jugular compression. Endovascular treatment was accomplished by arterial approach, vein approach or combination of both, in a total of 30 patients. Considering the entire group, spontaneous thrombosis was observed in approximately 24%. Symptoms and the angiographic features after endovascular treatment improved or disappeared in 100% of the cases, with total obliteration in 63.3%, most of them submitted to just one procedure. Despite the traditional venous routes to the CS, alternative accesses through the superior ophthalmic vein (SOV) were accomplished by percutaneous puncture of the facial, supratrochlear or frontal vein. Liquid adhesive (glue) was the most often embolic material used isolated or with other materials. No permanent complication was observed and only 13,3% of the patients treated cursed with transitory complications, what demonstrated the low morbidity of this procedure

A vertebroplastia percutânea (VP) consiste na injeção de polimetilmetacrilato (PMMA) no corpo vertebral para alívio da dor e estabilização vertebral, porém seu uso na região cervical é restrito. No intuito de avaliar a efetividade e a segurança da VP na região cervical (VPC), foram avaliados 75 pacientes que se submeteram à VPC (n=101) por doença maligna (n=69) ou hemangioma vertebral (n=6) no período de janeiro de 1994 a outubro de 2007. A VPC foi realizada por uma abordagem ântero-lateral guiada por fluoroscopia. A dor foi graduada por uma escala variando de 0 a 10. O seguimento clinico (período médio de 8,8 meses) foi obtido em 57 (76%) pacientes: 48 tiveram a VPC indicada para controle da dor e nove para estabilização vertebral. Os dados foram analisados de forma univariada e multivariada. A efetividade analgésica foi obtida em 37 (77,1%) dos 48 pacientes seguidos, tendo sido associada ao volume de cimento injetado (P=0,011) e ao preenchimento vertebral (P=0,007) na análise multivariada. A estabilidade vertebral foi observada em 55 (96,5%) dos 57 pacientes, não se correlacionando com as variáveis estudadas. A curva de ROC identificou o preenchimento vertebral como preditor da efetividade analgésica (P=0,008), sendo 50% o melhor ponto de corte para discriminar a maior probabilidade de efetividade analgésica (sensibilidade de 78,0% e especificidade de 62,5%). O extravasamento de cimento foi identificado em 83 (82,2%) das 101 vértebras tratadas não se correlacionando com as variáveis estudadas. As complicações clínicas foram detectadas em 13 (17,3 %) pacientes: complicações locais em 10 (13,3%) e sistêmicas em três (4%) pacientes. As complicações clínicas foram estatisticamente relacionadas à ruptura do muro posterior (P=0,026) e ao extravasamento de PMMA no plexo venoso transverso (P=0,023). A taxa de mortalidade e morbidade a longo termo foi de 1,3% (um paciente) e 1,3% (um paciente). Pode se inferir que a VPC é um procedimento efetivo e seguro, sem se negligenciar os riscos potenciais de complicações. O preenchimento vertebral e o volume de cimento foram associados à efetividade analgésica, mas não à estabilidade vertebral. O preenchimento vertebral teve o maior poder discriminatório da efetividade analgésica, tendo sido obtido com o ponto de corte de 50 % o melhor equilíbrio entre sensibilidade e especificidade para se determinar a efetividade analgésica / Percutaneous vertebroplasty (PV) consists of an injection of polymethylmethacrylate (PMMA) into the vertebral body for pain relief and spinal stabilization, however reports of PV in the cervical spine (CPV) are scarce in the literature. To evaluate the effectiveness and security of CPV, we evaluated 75 patients (mean age, 51.3 years) who underwent CPV (n=101) for malignancies (n=69) and vertebral hemangiomas (n=6) between January 1994 and October 2007. CPV was performed via an antero-lateral approach, using fluoroscopic guidance. Pain intensity was scored with a scale ranging from 0 to 10. Follow-up (mean time of 8.8 months) was avaible in 57 (76 %) patients: 48 of them had CPV indicated for pain control and nine for spinal stabilization. Data were analysed by means of univariate and multivariate analysis. Pain improvement was observed in 37 (77.1%) out of 48 followed patients and was correlated in multivariate analysis with cement volume (P=0.011) and with vertebral filling (P=0.007). Spinal stabilization was observed in 55 (96.5%) of 57 followed patients and was related with none of the evaluated variables. The ROC curve identified the vertebral filling as a good predictor of pain improvement (P=0.008). The best cut-off point to discriminate pain improvement was 50% of vertebral filling (78.0% sensitivity and 62.5% specificity). In 83 (82.2%) of the 101 treated vertebral levels, at least one type of PMMA leakage was found. None of the evaluated factors were related significantly to PMMA leakage. Clinical complications were detected in 13 (17.3%) patients: local complications in 10 (13.3%) patients and systemic clinical complications in three (4.0%) patients. Posterior wall disruption (P=0.026) and transverse venous PMMA leakage (P=0.023) were significantly associated with clinical complications. Long-term morbidity and mortality rate was 1.3% (one patient) and 1.3% (one patient). CPV is a safe and efficacious procedure, but the potential for local and systemic complications must be considered. Cement volume and vertebral filling were associated with pain improvement but not with spinal stability. Vertebral filling has a good performance to predict pain improvement and a cut-off of 50% of vertebral filing obtained the best compromise between sensitivity and specificity to discriminate pain improvement

[pt] A presente tese tem como tema a agressividade da criança na contemporaneidade. Em um primeiro momento estudou-se como Winnicott conceitua e entende a agressividade. A partir deste aporte teórico, estudou-se o que Winnicott denomina de tendência anti-social e quais desdobramentos esse conceito traria para o entendimento da agressividade da criança na contemporaneidade. Em um terceiro momento, articulando o olhar winnicottiano e o cenário contemporâneo, estudou-se quais os aspectos contextuais que atualmente acarretam o aumento de comportamentos anti- sociais. A falência dos papéis parentais e o eclipse da infância são os aspectos apontados por esta tese. Postula- se que os comportamentos anti-sociais são estratégias de sobrevivência dessas crianças em um mundo com regras e limites fluidos. Defende-se que os atos anti-sociais são expressão da falência do pacto social, sendo estes, principalmente, uma tentativa de comunicação em um cenário de incomunicabilidade. / [en] The present thesis examines child aggressiveness in contemporary society. Starting with Winnicott s conceptualization of aggression, it investigates a specific concept, the anti-social tendencies, and how it can be useful in our understanding about the children aggressiveness. This thesis investigates also some contextual aspects of contemporary society responsible for today s increase in antisocial behavior. Decline of parental roles and childhood eclipse are signed as some of these aspects. It is assumed that children s anti-social behaviors constitute survival strategies in a world with moving boundaries and unstable rules. The thesis argues that anti-social acts manifest a failure of the social pact, which in turn results in a failure of the primordial Oedipal pact. It also argues that antisocial acts are a communication in an incommunicable world.

O trabalho tem como objeto de estudo o volume de contos As Noites Marcianas (1960), de Fausto Cunha. Os contos serão lidos como uma tentativa de abordar, no plano estético, tensões entre a produção literária acolhida pelo cânone e a que não o é. Há o interesse de abordar a própria categorização genérica que cabe à obra como uma forma de alteridade, às margens da literatura oficialmente aceita como tal. No intuito de avaliar a opção por uma filiação genérica à ficção científica em contos que, tematicamente, parecem voltar um olhar negativo à uniformização do indivíduo conforme promovida pelas forças dominantes, o trabalho se ampara em proposições de Darko Suvin acerca do potencial subversivo da ficção científica e da cooptação pela indústria cultural de manifestações literárias a princípio passíveis de questionar os parâmetros da literatura oficialmente endossada. O conceito de alteridade é, no trabalho, discutido em relação com o familiarmente estranho, o efeito de unheimlich proposto por Sigmund Freud. À luz de proposições de Florestan Fernandes em Mudanças Sociais no Brasil, será avaliado o olhar que os contos, tanto internamente quanto no contexto de produção e recepção, voltam às instâncias conservadoras e às forças que procuram subvertê-las. / This work focuses on the anthology As Noites Marcianas (1960), by Fausto Cunha. The short stories will be read as an attempt to deal with, in the aesthetic dimension, tensions between the literary works acknowledged by the literary canon and those which are not. There\'s interest in addressing the generic categorization that fits the anthology as a form of alterity, on the margins of the literature officially accepted as such. To evaluate the option for a genre filiation to science fiction in short-stories that, thematically, seem to cast a negative look to the uniformization of the individual as promoted by the dominant forces, this work uses propositions by Darko Suvin about the subversive potential of the science fiction and about the co-optation by the cultural industry of literary manifestations originally capable of questioning the parametres of the officially endorsed literature. The concept of otherness will be discussed in connection with the familiarly strange, the unheimlich effect proposed by Sigmund Freud. In the light of propositions by Florestan Fernandes in Mudanças Sociais no Brasil, the work will evaluate how As Noites Marcianas deals with conservative instances as well as the forces which try to subvert them.

O objetivo central desta tese é verificar novas evidências para a Lei da Queda Tendencial da Taxa de Lucro nos Estados Unidos da América. Primeiramente, apresenta-se revisão bibliográfica sobre a Lei e sua verificação empírica. Observa-se uma tendência inerente ao capitalismo de baixar a taxa de lucro média, que estimações de séries de taxa de lucro podem ser obtidas a partir das contas nacionais e, também, que não há consenso sobre a metodologia de estimação mais adequada. Por não haver consenso, são identificadas e avaliadas as qualidades desejáveis das diferentes séries de taxa de lucro. É desejável que a série de taxa de lucro tenha relação estável de longo prazo com variáveis de investimento e de produção, apresente movimentos cíclicos, tendência de queda e, em períodos de mudanças bruscas da economia, mostre outliers e quebras. No curto prazo, é desejável que a taxa de lucro apresente Granger-causar variáveis de investimento e de produção. Estas qualidades são testadas e avaliadas nas diferentes séries de taxa de lucro. São examinadas as metodologias de estimação da taxa de lucro de Duménil e Lévy (2011), Shaikh (2010), Kliman (2011), Jones (2012), Freeman (2012), Norfield (2012), Bakir e Campbell (2015), Marquetti (2012a), Husson (2010) e Moseley (1991). É, então, estimada a taxa de lucro segundo as diferentes metodologias, considerando custos de reposição, custos históricos, em expressão monetária do tempo de trabalho, incluindo e excluindo o capital financeiro, incluindo e excluindo a rotação do capital. As séries resultantes são agrupadas conforme o tamanho da amostra e analisadas por meio de instrumental econométrico. Para as séries de taxa de lucro integradas de primeira ordem, aplica-se o teste de cointegração com as séries de investimento e produção de mesma ordem de integração. Também são realizados testes de causalidade de Granger entre essas variáveis. Para as séries de maior dimensão amostral, são aplicados modelos de espaço de estados, os quais apresentam resultados convergentes e apontam tendência de queda na taxa de lucro a custos de reposição e irrelevância da política neoliberal na determinação dos movimentos da taxa de lucro. Além disso, torna-se evidente que não há uma metodologia de estimação de taxa de lucro que seja absolutamente superior. Para cada problema de pesquisa há vantagens e desvantagens no uso de cada série de taxa de lucro. / The central objective of this thesis is to verify new evidence for the Law of the Tendency of the Profit Rate to Fall in the United States of America. First, we present a bibliographical review on the Law and its empirical verification. We notice an inherent tendency to capitalism to lower the average profit rate, that estimates of profit rate series can be obtained from national accounts and, also, that there is no consensus on the most appropriate estimation methodology. Because there is no consensus, the desired qualities of the different profit rate series are identified and evaluated. It is desirable that, in the long run, the series of profit rates have a stable relationship with investment and production variables, show cyclical movements, a downward trend and, in times of sudden changes in the economy, show outliers and breaks. In the short term, it is desirable that the rate of profit Granger-cause investment and production variables. These qualities are tested and evaluated for the different profit rate series. We examine the methodologies for estimating the profit rate proposed by Duménil and Lévy (2011), Shaikh (2010), Kliman (2011), Jones (2012), Freeman (2012), Norfield (2012), Bakir and Campbell Marquetti (2012a), Husson (2010) and Moseley (1991). Then, we estimate the rate of profit according to the different methodologies, considering replacement costs, historical costs, in the monetary expression of working time, including and excluding financial capital, including and excluding capital turnover. The resulting series are grouped according to the sample size and analysed by means of econometric instruments. For the first-order integrated profit rate series, the cointegration test is applied with the investment and production series of the same integration order. Granger causality tests are also performed between these variables. For the series of larger sample size, state space models are applied, which show convergent results and indicate a tendency of a decrease in the rate of profit at replacement costs and irrelevance of the neoliberal policy in determining the movements of the profit rate. In addition, it becomes evident that there is no methodology for estimating the rate of profit that is absolutely superior. For each research problem there are advantages and disadvantages in using each series of profit rate.

La culpabilité en marketing est un concept analysé essentiellement dans des recherches anglo-saxonnes. Les recherches françaises sur ce thème s’avèrent rares. Ce concept a de plus toujours été abordée en tant qu’outil de persuasion publicitaire ou à l’issue du comportement d’achat. La culpabilité qui pourrait expliquer un acte d’achat semble avoir été peu analysée. Cette thèse s’est intéressée au rôle que la culpabilité pourrait jouer dans le comportement du consommateur. Nous nous sommes notamment demandés si une stimulation de la culpabilité pouvait augmenter le consentement à payer. / Guilt in marketing is a concept which is mostly analysed by anglo-saxon researchers. French research on this topic is limited. This concept has always been analysed as a persuasion tool or after a purchase. The guilt that could explain a consumer’s purchase doesn’t seem to have been analysed much. The purpose of this thesis deals with the following topic : the role of guilt in the consumer behaviour. We have particulary wondered whether guilt stimulation could increase the willingness to pay.

This research has been a study in amazement. Initially an agnostic physics graduate, the researcher undertook training in the person-centred approach (pca) to self-development and counselling, during which she came to experience strange personal experiences which she could neither gainsay nor fit into her then worldview. Sketching these briefly, exceptional human experiences (EHEs) and synchronicities increasingly happened until (shockingly) they declared a seeming spirit guide (Mungo) to her, also juxtaposed in time with her first-ever chance encounter with dowsing. Thereafter these phenomena, combined with randomisable image-cards, tutored her into a physically observable method of 'discussion' with them (alone or with another) conducted with pca values. This PhD involved researching that phenomenon-complex through 'discussions' with 35 participants. The methodology used was heuristics and its heuristic self-search inquiry specialism (HSSI) whose attention to personal experiencing, indwelling to contact tacit knowledge, and incubatory rest phases to foster illuminatory new 'ahaa!' apprehensions suited this nascent mysterious subject. Both participants and researcher experienced coincidences weaving the 'discussions' and their wider lives together. Thus synchronicity became equal-partner research-topic, being studied as it occurred and, through affecting certain choices, becoming part of the methodology itself. The phenomenon-complex was experienced as fostering ethical living, creativity, personal development and science-spirituality interconnection in ways wellpitched and paced for each experiencer. The phenomena were also experienced as synergizing with each other, and as fostering integration within and between persons. After work on the participant sessions was completed, the writings of further thesis chapters were 'butted into' by in-the-moment relevant synchronicities, not just singly but in flows and patterns in which the researcher found herself discerning overarching meanings. Given this exceptional opportunity the researcher (in effect doing a bonus research-section) tracked her experiencing of these synchronistic flows and her responses thereto wherever they led, using Sela-Smith's first-person heuristic self-search inquiry (HSSI) methodology. Each synchronistically-influenced chapter was experienced as exploring certain themes, with themes building as the thesis progressed. Heuristics and HSSI are usually transformative. This researcher was transformed from the ground up from agnosticism to credence in 'something more' through her experiencings (both alone and inter-relationally with participants). Their 'package deal' presented personal shadow-work alongside help in life difficulties, and great fascination but darker times too. In total she came to feel part of an interconnected, spiritually-intelligent and compassionate cosmic domain, and existentially happier.

Submitted by secretaria pós-letras repositorio (secretaria.repositorio@gmail.com) on 2017-07-07T16:22:12Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Dissertação Urania Karim .pdf: 2631690 bytes, checksum: 87c865f58420eee7f28798743c605b39 (MD5) / Approved for entry into archive by Jussara Moore (jussaramoore@id.uff.br) on 2017-07-11T14:36:18Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Dissertação Urania Karim .pdf: 2631690 bytes, checksum: 87c865f58420eee7f28798743c605b39 (MD5) / Made available in DSpace on 2017-07-11T14:36:18Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Dissertação Urania Karim .pdf: 2631690 bytes, checksum: 87c865f58420eee7f28798743c605b39 (MD5) / O presente trabalho tem o objetivo de analisar os passos iniciais de Carlos Drummond de Andrade na poesia, e compreender como se deu o seu processo de desenvolvimento poético até o Modernismo. A obra estudada é Os 25 poemas da triste alegria que transita pela tendência penumbrista. Assim, trabalharemos com o contexto pelo qual o penumbrismo se fez presente no Brasil, e elucidaremos suas caraterísticas. Veremos também como Mário de Andrade através das cartas trocadas com CDA foi fundamental para Drummond neste processo / The aim of this work is to analyze the first steps in poetry of Carlos Drummond de Andrade, and understand how was his poetical development process up to the Modernism. The book studied is Os 25 poemas da triste alegria, which transits through the gloomy tendency. Thus, we will work with the context in which the gloomy tendency took place in Brazil, and elucidate its characteristics. We will also see through the letters Drummond exchanged with Mário de Andrade how important Mário was to CDA’s process

The purpose of the present study was to examine the role of gender and perceived career barriers in career commitment of university students. Participants were 437 (231 females, 206 males) volunteered students from the five faculties of Middle East Technical University (METU). A pilot study was carried out with 285 (122 males and 163 females) volunteered students of METU for the adaptation of Commitment to Career Choices Scale (CCCS). The results of exploratory factor analysis yielded a 28&ndash / item scale with two factors / Vocational Exploration and Commitment (VEC) and Tendency to Foreclose (TTF). As for the main purpose of the present study, CCCS was administered to the students together with the Perceived Career Barriers Qustionnaire measured by 11 barriers identified by the researcher as personality characteristics, interests, ability, gender effect, vocational knowledge, economic gain opportunity, employment opportunity, work conditions, other life choices (e.g., marriage, child, etc.), expectations of family and expectations of partner. The results of multiple regression analysis revealed that VEC scores as measured by CCCS were predicted by three independent variables of vocational knowledge, employment opportunities and personality characteristics. This result indicated that the students who had high perception of barrier on vocational knowledge, employment opportunity and personality characteristics had low commitment to their career choices. The second regression analysis revealed that TTF scores as measured by CCCS were predicted only by employment opportunities, indicating that the students who had higher perception of employment opportunity as a barrier also had lower level of tendency to foreclose and they had a tendency to evaluate different career options. Findings are discussed within the framework of career counseling research and practice.

Swedish government aid is divided into three main themes: democracy and human rights, the environment and climate, and gender equality and women's role in development. These three themes in aid are considered by the government to be vital in order to fight poverty and create fair and sustainable development. This study will examine two of the four focus areas designated under the theme of "environment and climate". The study observes the relationship between projects in energy and water and how it promotes a sustainable lifestyle. A survey on environmental habits will be conducted. The purpose of the study is to see if international aid projects funded by the Swedish government are able to promote a sustainable lifestyle in the Swedish population. The study has revealed the following: there is a lack of knowledge among the respondents of how the government conducts its environmental efforts; there is an interest in the environment and environmental issues among the respondents; the respondents consider environmental issues important. The investigation has also revealed that water projects have a greater tendency to promote sustainable lifestyles among the respondents because it had the greatest degree of influence on individuals’ actions. However, the investigation also showed that the action readiness for environmental behavior is generally low but that development aid for water and electricity can promote a sustainable lifestyle in the donor country in conjunction with other factors. / Regeringen har tre prioriterade biståndsteman för att bekämpa fattigdomen och för en rättvis och hållbar utveckling, dessa är: demokrati och mänskliga rättigheter, miljö och klimat samt jämställdhet och kvinnors roll i utveckling. Jag undersöker två av fyra inriktningar under temat miljö och klimat. Inom denna studie kommer jag att undersöka hur relationen mellan satsningar på energi- och vattenprojekt och vår livsstil ter sig. En egen enkätundersökning har utförts om miljövanorna hos svenskar. Tanken är att se om internationella biståndsprojekt som Sverige bedriver främjar en hållbar livsstil genom att influera svenskarnas handlingsberedskap. Det som undersökningen har påvisat är följande: att det bland respondenterna saknas kunskap om hur regeringen bedriver sitt miljöarbete på ett internationellt plan, bland annat genom biståndsarbeten; att det hos de flesta respondenterna fanns ett miljöintresse och att miljöfrågan och miljöarbete ansågs vara viktiga; att vattenprojekt har en större benägenhet att främja en hållbar livsstil hos respondenterna eftersom det hade störst påverkan på deras handlingar; att det förekommer en svag handlingsbenägenhet för ett miljöbeteende hos respondenterna och att biståndsprojekt gällande vatten och el kan i samverkan med andra faktorer vara en faktor som främjar en hållbar livsstil inom givarlandet.