Aula inaugural do curso de forma????o da carreira de EPPGG

A aula inaugural da primeira turma do curso de forma????o de Especialista em Pol??ticas P??blicas e Gest??o Governamental - EPPGG e da Escola Nacional de Administra????o P??blica - ENAP, preparada pelo presidente Jos?? Sarney e proferida pelo ministro Alu??zio Alves, em 1988, ?? documento de fundamental import??ncia para a carreira, para a ENAP e para a profissionaliza????o da Administra????o P??blica. A presente publica????o re??ne de maneira in??dita tr??s discursos que s??o refer??ncia obrigat??ria para os gestores governamentais: al??m da aula do presidente Jos?? Sarney, os pronunciamentos do ministro Alu??zio Alves e do presidente da Funda????o Centro de forma????o do Servidor P??blico - FUNCEP, Paulo Catalano, proferidos na mesma ocasi??o. Os textos traduzem as expectativas e as diretrizes para a consolida????o da ENAP e da carreira de EPPGGs, ressaltando sua import??ncia par uma gest??o p??blica voltada aos interesses dos cidad??os. Resgat??-los colabora para refor??ar a mem??ria e a hist??ria dos gestores governamentais, valorizando sua trajet??ria e seus objetivos. Vinte e cinco anos ap??s a aula inaugural, os prop??sitos e os princ??pios que nortearam a cria????o da carreira e da ENAP permanecem os mesmos, como ressaltado no discurso presidencial: "todos os atos do governo, do mais solene ao mais rotineiro, devem ter sempre no horizonte, o fim ??ltimo e a raz??o essencial do Estado que ?? a promo????o do bem-estar, a garantia de igualdade de chances, do direito ?? paz, ?? liberdade e ?? busca individual de felicidade para todos.

A autodelimitação da medicina hipocrática no plano inaugural das ciêncis humanas

pp. 37-45

Tasavallan Presidentin tervehdyssanat Euroopan turvallisuus- ja yhteistyökonferenssin avajaisissa Helsingissä 3.7.1973 = speech of welcome by the President of the Republic, Dr. Urho Kekkonen, at the inaugural session of CSCE in Helsinki, July 3rd, 1973

Puhe

Branstad Inaugural speech, January 14, 2011

Inaugural speech by Governor Terry Branstad

Inaugural adress: The concept of biostratigraphy: the view point of a stratigrapher

Colleagues, Ladies and Gentlemen. My presence here is due to accidental circumstances and I must confess that I feel a little embarassed by the fact Both your scientific quality and the worlwide acceptance of the results achieved by you in your research fields make me prudent and, to a certain extent, cautious.

Cryptococcose disseminée: Manifestation inaugurale d'un SIDA [Disseminated cryptococcosis as inaugural manifestation of AIDS]

Disseminated cryptococcal disease is typically seen in patients with HIV infection. We report here the evolution of a patient with disseminated cryptococcosis whose treatment failed after ten weeks of induction therapy with amphotericin B. This case illustrates the importance of careful initial evaluation, and close clinical follow-up of these patients who are at risk of developing other opportunistic infections and drug-related complications.

Parésie trochléaire transitoire comme signe neurologique inaugural d'une panartérite noueuse [Transient trochlear nerve palsy as the presenting neurological sign of panarteritis nodosa]

INTRODUCTION: Panarteritis nodosa (PAN) is a systemic vasculitis affecting small and medium-sized arteries. Neuro-ophthalmological complications of PAN are rare but numerous, and may affect the eye, the visual and the oculomotor pathways. Such complications occur mainly in patients previously diagnosed with PAN. OBSERVATION: A 51-year-old woman presented with an isolated right trochlear (IV) palsy, in the setting of headaches and fluctuating fever of unknown etiology. Erythrocyte sedimentation rate was 13 mm and full blood cell count was normal. Previous chest X-ray and blood studies were negative for an infection or inflammation. Orbital and cerebral CT scan was normal. Spontaneous recovery of diplopia ensued over four days. Two days later, paresthesia and sensory paresis of the dorsal portion of the left foot were present. Lumbar puncture revealed 14 leucocytes (76 percent lymphocytes) with elevated proteins, but blood studies and serologies were negative. A diagnosis of undetermined meningo-myelo-radiculoneuritis was made. Because of a possible tick bite six weeks previously the patient was empirically treated with 2 g intravenous ceftriaxone for 3 weeks. Fever rapidly dropped. Six weeks after the onset of diplopia, acute onset of blindness in her right eye, diffuse arthralgias and fever motivated a new hospitalization. There was a central retinal artery occlusion of the right eye. Blood studies now revealed signs of systemic inflammation (ESR 30 mm, CRP 12 mg/L, ANA 1/80, pANCA 1/40, leucocytosis 12.4 G/L, Hb 111 g/L, Ht 33 percent). Biopsy of the left sural nerve revealed arterial fibrinoid necrosis. A diagnosis of PAN was made. CONCLUSIONS: Transient diplopia can be the heralding symptom of a systemic vasculitis such as PAN, giant cell arteritis and Wegener granulomatosis. In this patient the presence of accompanying systemic symptoms raised a suspicion of systemic inflammation, but the absence of serologic and imaging abnormalities precluded a specific diagnosis initially. A few weeks later, the presence of a second ischemic event (retinal) and positive blood studies led to a further diagnostic procedure. Oculomotor and abducens palsies have rarely been reported in association with PAN. We report the first case of trochlear nerve paresis as the inaugural neurological sign of PAN. This case highlights the importance of considering inflammatory systemic disorders in patients with acute diplopia particularly when they are young, lack vascular risk factors or cause, and complain of associated systemic symptoms.

Governor's Inaugural Address, 1923 (40th General Assembly)

A transcript of the Governor's Inaugural Address by Governor Kendell.