A Confluência Brasil-Malvinas (CBM) é formada pelo encontro da Corrente do Brasil (CB) com a Corrente das Malvinas (CM) no Atlântico Sul. Esta é uma das áreas mais energéticas do oceano global e é demarcada por um intenso gradiente meridional de temperatura. Imagens de satélites e observações in situ mostram a presença de meandros e vórtices, tanto ciclônicos como anticiclônicos, na região da CBM. Com o conhecimento de campos de anomalia da altura da superfície do mar (AASM) e campos de temperatura da superfície do mar (TSM) para a região da Frente Brasil-Malvinas (FBM) é possível se estimar a variação da energia associada às ondas de Rossby anuais e bianuais existentes em seu entorno e detectar a posição da frente termal existente nesta região. Nesse contexto, foi realizado o estudo do deslocamento meridional da FBM numa escala de tempo interanual, da variação do espectro de ondas de Rossby na CBM e da variabilidade associada ao campo médio de velocidades geostróficas absolutas. A comparação do espectro de ondas de Rossby na CBM para o período de 2001-2008 apresentou aumento da energia associada aos períodos anual e bianual em relação aos valores obtidos da análise do período de 1993-2000. Essa alteração do espectro não teve relação com a alteração média da frente termal detectada porém, houve aumento significativo da variabilidade meridional da posição da frente média, possivelmente devido a um aumento do fluxo da CB. Maior variabilidade também foi observada nos mapas de velocidade geostrófica para o mesmo período de 2001-2008. Estes mapas exibiram ainda um possível posicionamento mais austral da CB, corroborando o aumento da variabilidade oriundo da maior instabilidade gerada por ondas planetárias na região da CBM. / The Brazil-Malvinas Confluence (BMC) is formed by the encounter of the Brazil Current (BC) with the Malvinas Current (MC) at the South Atlantic ocean. This is one of the most energetic regions of the world oceans and it is characterized by intense meridional sea surface temperature gradients. Satellite data and in situ observations often reveal the presence of cyclonic and anticyclonic meanders and vortices at the BMC region. The sea surface height anomaly (SSHA) and the sea surface temperature (SST) fields of the Brazil-Malvinas Frontal (BMF) region can be used to determine the energy variations associated with the annual and bi-annual Rossby waves that occur at its surroundings and to detect the position of the thermal front. Our study involved the determination of the BMF meridional displacement on an interannual scale, the spectral variations of the Rossby wave field at the BMC region, and the variability associated to the mean absolute geostrophic velocities. The Rossby wave spectra at the BMC for 2001-2008 show an increase of the energy associated with both the annual and bi--annual periods relative to the 1993-2000 interval. These spectral changes are not directly related to the mean changes in the thermal front region, however we detected a significant meridional variability of the mean position of the front most probably due to an increase in the BC flux. Large variations were also observed in the geostrophic velocity field for the 2001-2008 period. These maps exhibited a farther south location of the BC. This corroborates the variability increase due to a greater instability introduced by the planetary waves at the BMC region.

Um fosso separa o desenvolvimento teórico-metodológico na Educação e Comunicação de sua prática aplicada à Saúde, usualmente, centrada na transmissão de informações para a mudança de comportamento. Nesta pesquisa qualitativa, exploramos o uso do conceito de competência para deslocar o binômio informação - comportamento para uma articulação de outra ordem: problema – saber - ação. Levantamos as competências requeridas para o autocuidado no diabetes, na opinião de diabetólogos, e identificamos as já disponíveis entre portadores, por meio de grupo focal e entrevista. Os resultados mostram a riqueza de saberes e competências que possuem os portadores, o que pode abrir possibilidades novas de diálogo com os profissionais de saúde, bem como promissoras perspectivas de aplicação no campo da inteligência coletiva. / A huge gap separates the theoretical and methodological development in the field of Education and Communication from its practice in health centers, usually focused in the transmission of information aiming at behavioral changes. In our qualitative research we explored the use of competence concept to change the binomial information-behavior into problem- knowledge- action. The requested competences towards diabetic care according to diabetes specialists and those available among diabetics obtained through focus groups and interviews were identified. The vast knowledge and competence of the diabetics shown by the results lead to several new possibilities of dialog with healthcare professional as well as promising prospects of actual application in the field of collective intelligence

Alluvial river channels are self-formed by the sediment-laden flow that is supplied to them from upstream and the interactions between this flow and the materials forming the channel bed and banks. Thus, any changes in the volumes of solid and liquid discharge or the resistance of the boundary materials can produce adjustments in the form of river channels over time. These shifts may increase or decrease the capacity of a channel to contain flood flows. However, despite a wealth of studies on the average geometry of river channels across different scales and climatic regimes, there has not yet been a systematic assessment of the rates and controls of trends in channel form. Using a combination of USGS data, including manual field measurements and mean daily streamflow data at hundreds of stream gages, this work is the first attempt to quantify how trends in channel geometry develop over decadal timescales and how they contribute to shifts in flood hazard, in comparison with trends in streamflow. Findings reveal that two-thirds of all channel cross-sections studied exhibit significant trends in channel geometry. The majority of the investigated US river channels are eroding, with widening and deepening trends partially offset by decreases in average flow velocity. Rates of change are principally controlled by the channel size. Although large channels develop larger trends, changes are proportionally greater in small channels in percentage terms. A secondary major control is hydrology: rates of change in channel geometry are heightened by the variability and flashiness of flow regimes. Finally, results show that changing flood frequencies can only be accurately quantified when both hydrologic and geomorphic trends are accounted for, and that flood hazard is significantly increasing across the studied sites. These documented trends in channel geometry, hydraulics, and flood hazard have important implications for the management of alluvial channels, navigation, and riverside infrastructure.

Made available in DSpace on 2014-12-17T15:38:57Z (GMT). No. of bitstreams: 1 DulcineiaPAA.pdf: 534490 bytes, checksum: 19a1265f26aafc61e981746541b1a1ad (MD5) Previous issue date: 2006-10-11 / This study aims to understand as the children who show expressive behaviors of antisocial trends at N?cleo de A??o Social da Praia do Meio in Natal-RN city, linked to Secretaria Municipal do Trabalho e Assist?ncia Social-SEMIT, which experience the relation with the social educator in role of caregiver. This matter was investigated within an interpretation and approach qualitative view of the social phenomena, using the Thematic Analysis technique of drawings and stories which express the relation with the caregiver gotten in sessions of playful interactions between child and researcher in order to understand the child experiences with the social educator. The used theoretical referential is by D. W. Winnicott who associates the social trend to a failure of environment in child holding. The subjects expressed the need of a firm and protective environment and they look for this in NASPM educators. Moreover, they show as solitude and vulnerability take part their lives due to the lack of emotional holding on family that favors the involvement with violent groups. But, it is worth pointing out that the children value the Nucleus environment when has offered them a safe holding which can be positive the established linking with it. Such conclusion points out to the possibility, recognized theoretically, that exists from these children to resume the way of healthy development / O estudo objetiva compreender como as crian?as que apresentam comportamentos expressivos de tend?ncia anti-social no N?cleo de A??o Social da Praia do Meio em Natal - RN, ligado ? Secretaria Municipal do Trabalho e Assist?ncia Social SEMTAS, vivenciam a rela??o com o educador social, no papel de cuidador. Investigou-se esta quest?o dentro de uma vis?o qualitativa de abordagem e interpreta??o dos fen?menos sociais, utilizando a t?cnica da An?lise Tem?tica dos desenhos e est?rias que expressam a rela??o com o cuidador, obtidos em sess?es de intera??o l?dica entre crian?a e pesquisadora, para a compreens?o das viv?ncias da crian?a com o educador social. O referencial te?rico utilizado ? de D. W. Winnicott, que associa a tend?ncia anti-social ? aus?ncia do holding necess?rio, ou seja a uma falha do ambiente na sustenta??o da crian?a. Os sujeitos expressaram a necessidade de um ambiente firme e acolhedor e buscam isto nos educadores do NASPM. Mostraram, tamb?m, como a solid?o e a vulnerabilidade permeiam suas vidas por causa da falta de sustenta??o emocional na fam?lia, o que favorece o envolvimento com grupos violentos. Mas, vale ressaltar, as crian?as valorizam o ambiente do N?cleo quando lhes oferece um suporte seguro, podendo ser positiva a vincula??o estabelecida com ele. Tal conclus?o aponta que existe a possibilidade reconhecida teoricamente destas crian?as retomarem o caminho do desenvolvimento saud?vel

The diploma thesis summarizes the history of the insurance industry in the world with a detailed focus on the Czech Republic. The thesis continues to discuss the situation on insurance markets in the last twenty years. It is described how insurance companies deal with natural disasters and a new type of risk - terorism. The thesis proceeds with actual trends in the insurance industry and supervision in insurance.

En Languedoc oriental, durant la fin du Néolithique final, on assiste à un accroissement important des occupations préhistoriques, en particulier au Néolithique final 3 (culture de Fontbouisse). Ce territoire a fait l’objet d’un découpage en faciès culturels, essentiellement sur la base des productions céramiques (Gutherz, 1975 ; 1990). La recherche s’est majoritairement concentrée sur les villages en pierre sèche des garrigues depuis les années 1950 jusqu’au début des années 1990. En effet, à partir de ces années-là, les investigations archéologiques se concentrèrent en plaine, sur des occupations à systèmes de fossés s’étendant sur plusieurs hectares. Le mobilier céramique, abondant, méritait une analyse plus poussée. Le travail présenté se penchera sur plusieurs séries céramiques des plaines datées du Néolithique final 3. La quantité massive de mobilier servira à vérifier si des régularités dans les productions céramiques peuvent être observées ou non. L’intérêt de ce travail est double : préciser les tendances stylistiques se dégageant des ensembles étudiés ; utiliser le contexte des successions de comblements stratigraphiques en vue d’affiner la chronologie de la production céramique et son évolution durant le Néolithique final 3. / In eastern Languedoc, during the late Neolithic, there has been a significant increase in prehistoric settlements, especially in the late Neolithic 3 (Fontbouisse culture). This area has been divided in cultural facies, mainly on the basis of ceramic production (Gutherz, 1975; 1990). Research has mostly focused on the garrigue’s dry stone villages from the 1950s to the early 1990s. Indeed, from those years, archaeological surveys have focused in plain, on ditch system settlements over several hectares. The abundant ceramicware deserved further analysis. This work will focus on several plain ceramic series dated to late Neolithic 3. The massive amount of ceramicware will make it possible to assess whether patterns in ceramic production can be observed. The value of this work is twofold: outline stylistic trends emerging from the sets studied, use the context of stratigraphic successions of fillings to refine the chronology of ceramic production and its evolution during late Neolithic 3.

Construir um sistema de informações para medir e acompanhar o desempenho de uma Organização complexa, sem fim lucrativo, na área social, é uma tarefa muito mais ampla do que simplesmente coletar e analisar alguns indicadores. Esta tese teve como objetivo o desenvolvimento e a análise do processo de implantação de um sistema de informações em uma Organização complexa (Febem/SP), visando dar apoio a uma administração mais eficaz. O processo de produção, tanto na área da saúde quanto na Febem, abrange todas as atividades desenvolvidas pelos profissionais no atendimento aos pacientes/adolescentes. Assim, o prontuário (registro das atividades da linha de produção) torna-se uma importante ferramenta para a avaliação deste processo. Objetivos deste sistema: construir a base de dados do adolescente autor de ato infracional, a fim de permitir um estudo pormenorizado da sua situação jurídica, social, educacional e de saúde, constituindo-se na base do sistema de informações da Febem/SP. Resultados: são apresentados a estrutura do conteúdo de informações, diagramas entidades-relacionamentos, diagramas de dados, exemplos das páginas da WEB, detalhes da rede, além da estratégia de treinamento e implantação utilizados. Aspectos éticos e legais do uso de dados pessoais em meio eletrônico são também abordados. São discutidas as dificuldades de implantação e operação deste sistema, suas semelhanças e diferenças com sistemas de informação em Organizações de saúde e é apontado o papel do médico informata. As principais dificuldades encontradas para a operação do sistema, até agora, referem-se à pouca experiência dos usuários com tecnologia de informação e resistência às mudanças organizacionais, principalmente quanto à implantação de um novo modelo de atendimento. O grande desafio, hoje, é a incorporação de forma eficiente e eficaz de toda esta tecnologia de informação existente à rotina dessas Organizações, com seu complexo sistema produtivo, compreendendo-se suas peculiaridades e limitações decorrentes de suas atividades fins. / Development of an information system for monitoring the performance of a complex non-profit organization is a wider work than get and analyze some indicators. The purpose of this thesis was the development and analysis of the implementation of an information system in a complex organization (Febem/SP), aiming to support a more efficacious administration. The process of production in health organizations and at Febem/SP include all professionals activities for patients and adolescents care. Thus, the patient record (information recorded all through production activities) becomes an important tool for process quality assessment. System purposes: development of the delinquent adolescents information data base, enabling a better comprehension of their judicial, social, educational and health situation, becoming the basis for the information system of Febem/SP. Results: information set definition, entityrelationship diagrams, data diagrams, examples of WEB pages and NetWare configuration are presented. Implementation and users training strategy are also presented. Ethical and legal issues about personal data in electronic systems are commented. Difficulties for the implementation of this system and its operation are discussed; it is compared to health organizations systems, the role of the medical informatics professional is pointed. The main problems for this system operation, up to now, can be explained by the inexperience of the users in Information Technology and resistance to organizational changes, especially to a new approach to these adolescents reeducation. The challenge today is incorporating, efficiently and efficaciously, all these Information Technology in these organizations, with their complex process of production, recognizing their particularities and limitations.

本論文以台灣戰後五十年來中國時報上與飲食活動相關的廣告，從廣告的觀點，去探索台灣社會變遷如何對民眾飲食習慣造成影響。 　　本研究採用歷史研究法，蒐集1950年至2000年在中國時報刊登所有飲食活動相關的廣告，整理歸納出台灣民眾飲食習慣的變化。並使用文獻分析法，分析影響台灣社會變遷之政治經濟文化等相關論述及官方統計資料、期刊論文。 　　研究結果發現，社會變遷使得台灣民眾飲食習慣從重視「吃的功能」走向「吃的價值」；經濟發展帶動飲食習慣由重「量」轉而重「質」的發展；戰後五十年受到外來文化的影響使得台灣飲食習慣走向西方化、速食化；女性角色轉變因而帶動更直效的飲食習慣；飲食產業也隨著飲食趨勢提供不同需求的商品及服務。 / In this paper is from an advertising point of view to explore how social changes in the fifty years after the war activities affected the diet habits of Taiwanese. This study uses Historical Research to collect all published in the China times from 1950 to 2000 the diet activity-related advertising. And use the Content Analysis to analysis of Taiwan social changes of the political, economic, cultural and other relevant official statistical data, and the journal articles. The research results showed the social change makes the diet habits of the Taiwanese from the emphasis on “food’s functional” to “food’s value”. Economic development led diet habits by attention “quantity “towards "quality". Outside culture influences to make Taiwan diet habits Western oriented and fast-food oriented. The changing role of women and thus bring more direct eating habits. The diet industries provide goods and services with different needs dietary trends.

Thesis (Ph.D. (Industrial Sociology))--North-West University, Potchefstroom Campus, 2008.

Laboratory analyses, essential in screening, diagnosis, treatment, and monitoring of disease, are indispensable in health care, but appropriate utilization is intricate. The overall aim of this thesis was to study the use of laboratory tests in Sweden with the objective to evaluate and optimize test utilization. Considerable inter-county variations in test utilization in primary health care in Sweden were found; variations likely influenced by local traditions and habits of test ordering leading to over- as well as underutilization. Optimized test utilization was demonstrated to convey improved quality and substantial cost savings. It was further established that continuing medical education is a suitable means of optimizing test utilization, and consequently enhancing quality and cost-efficiency, as such education was demonstrated to achieve long-lasting improvements in the test ordering habits of primary health care physicians. Laboratory tests are closely associated with other, greater, health care costs, but their indirect effects on other areas of medicine are rarely evaluated or measured in monetary terms. In an illustrative example of the effects that optimal test utilization may have on associated health care costs it was demonstrated that F-calprotectin, a fecal marker of intestinal inflammation, has the potential to substantially reduce the number of invasive investigations necessary in, and the costs associated with, the diagnosis of Inflammatory Bowel Disease. Information on trends in test utilization is essential to optimal financial management of laboratories. A longitudinal evaluation revealed that test utilization had increased by 70% in 6 years, and even though the selection of tests more than doubled, a very small number of tests represented a stable, and disproportionally large, share of the total number of tests ordered. The study defines trends and thus has potential predictive values. In summary, appropriate utilization of laboratory analyses has both clinical and economical benefits on all levels of health care.