A educação permanente em saúde para a institucionalização de uma rede-rizoma

Esta dissertação é resultado de uma pesquisa-intervenção cuja produção de dados ocorreu com o Grupo Condutor Regional da Rede Cegonha (GCR) no DRS III de Araraquara - SP, parte do Projeto de Pesquisa para o Sistema Único de Saúde (PPSUS): O processo de implantação da rede de atenção à saúde materno infantil no DRS III de Araraquara: a atenção básica como ordenadora da atenção em rede. Nosso objetivo foi compreender este coletivo como espaço de Educação Permanente em Saúde (EPS) para a institucionalização dessa Rede, e também caracterizar a EPS no território de abrangência deste DRS, compreender suas fragilidades-potencialidades e também os processos de EPS produzidos no interior do GCR para a implementação da Rede Cegonha (RC), diante de desafios como a redução da morbimortalidade materno infantil e o atendimento integral e humanizado a mulheres e crianças. Esta pesquisa qualitativa compreendeu a análise de documentos e a pesquisa-intervenção, utilizando método cartográfico, e a produção dos dados ocorreu no ano de 2014 com os integrantes do GCR e outros pesquisadores PPSUS. As análises tiveram como referenciais o Processo de Trabalho em Saúde e conceitos do movimento institucionalista, das correntes da Análise Institucional e da Esquizoanálise. Esta pesquisa de cunho cartográfico explorou o contexto sócio-histórico da EPS e da RC no DRS III e paisagens que compõem o mapa do aprendizado no que chamamos Rede-rizoma, entremeadas por análises de implicações e aprendizados na experiência, tanto de construção da pesquisa como da RC. Nos planos do rizoma houve momentos de aprendizado significativo, ecos nos municípios, interferências da pesquisa-intervenção, dentre outros componentes de tessitura da rede que envolveram seus atores, seus pontos de conexão, de tensão, de apoio. Nesse emaranhado quente e frio, interessou-nos explorar as singularidades do encontro e os movimentos de forças instituintes e do instituído com o compromisso de entender a EPS como ferramenta de trabalho para a institucionalização da RC. Percebemos a existência de microprocessos de institucionalização disparados no cotidiano do GCR, caracteristicamente paralisantes e mobilizadores, como a importância da participação social, ainda tímida, as tensões com a imobilidade municipal, as fragilidades-potencialidades dos recursos humanos e financeiros, e também resultados que refletem em alargamento e participação de novos atores, cooperação intermunicipal, fortalecimento dos Grupos Condutores Municipais da rede cegonha e uma gestão estadual disposta a deflagrar processos de formação participativos. Trata-se de movimentos que se revelaram em implicações de múltiplas bifurcações e em processos de EPS que se fazem de forma mutante, conformando a rede-rizoma

The Relationships Between Child Maltreatment and Exploratory Behavior Implications for Development.

Findings from the fields of attachment theory, physiology, neurology, neurobiology and cognitive theory, when considered together, enhance understanding of the behavior and development of maltreated children. Each field describes from its own vantage how emotional trauma influences the quality and quantity of exploratory behavior. Development in many spheres is influemced by behavior. There is evidence from the field of neurobiology that experience ultimately influences the anatomy of the brain. Therefore, it can be hypothesized that constricted, overly defensive behavior in childhood ultimately compromises the development of the central nervous system itself. The altered neurobiology may help explain some of the developmental delays and failures seen in some maltreated children. Such developmental disruptions may include lowered intellectual performance, impaired ability to learn from experience, behavioral regressions under stress, and characterological abnormalities. This neurobiologic hypothesis has implications for research, intervention and training of professionals.It encourages 1) the identification of those deficit capacities most vulnerable to becoming neurologically based, 2) identification of ways to help the maltreated child explore and be accessible to developmental experiences, 3) more emphasis on the development of cognitive capacities, and 4) more breadth of training for professionals who work with maltreated children and their families.

The Effect of Fructose vs. Glucose Beverages on Low-Grade Systemic Inflammation

Thesis (Ph.D.)--University of Washington, 2016-04

Evaluating parent use of functional communication training to replace and enhance prelinguistic behaviours in six children with developmental and physical disabilities

Purpose: To evaluate parent use of functional communication training (FCT) to replace and enhance prelinguistic behaviours in six young children with developmental and physical disabilities. Method: Initially, the communicative functions of the children's prelinguistic behaviours were assessed by parent interviews. Three communication functions were identified for each child and intervention goals to replace or enhance the child's existing prelinguistic behaviours were developed in consultation with parents. After a baseline phase, parents received training on implementation of FCT. Intervention was staggered across the three communicative functions in a multiple-probe design. Results: Intervention was associated with increases in the replacement communication behaviour. Treatment gains were generally maintained at the monthly follow-ups. Conclusion: The results suggest that parents can use FCT to enhance communication skills in children with developmental and physical disabilities.

Comparison of cognitive screening tasks in an elderly veteran population

Screening measures of cognitive status are traditionally administered face to face. In survey research such screening mcasurcs, while desirable, must he administered by other means. As part of pilot survey research on a New Zealand war veteran population with some degree of hearing impairment, a face-to-face administration of the Mini-Mental State Examination (MMSE; Folstein, Folstein and McHugh, 1975) and a telephoneadministration of the Telephonc Interview for Cognitive Status (TICS; Brandt, Spencer and Folstein. 1988) were compared. Brandt ('/ u/. (1988) reported a very strong linear relationship between scores on the MMSE and the TICS (r=0.94, p < .0001) in an Alzheimer patient population with a mcan MMSE score of 12.06 (6.78). For a sample of 44 mildly to moderately hearing impaired veterans, with a mean MMSE score of 25.52 (2.16) and a mean TICS score of 32.52(5.43), the correlation between the instruments was .39. When veterans who wore hearing aids during the telephone interview ( N = 2 2 ) wcrc separated out from those who did not, the correlation rose to .54. Age was ncgatively correlated with the MMSE ( r = -0.41, / I < .01) and not significantly correlated with the TICS. Education level was unrelated to either measure. The data suggest that the wearing or non-wearing of hearing aids may contribute significantly to the reliability of the TICS. Furthermore, on non-demented populations with a less restricted range of scores. the correlation of the MMSE and TICS may he lower than previously reported.

(Re)criando (mini)contos de terror: uma experiência de ensino de leitura e escrita de gênero multimodal

Given the multiplicity of languages and media present in contemporary texts, the work with digital genres characterizes itself as essential for teaching, reading and writing. Virtual media is already present in many dayly activities that require the use of language. This shows that the globalized world brings new demands of literacy and various reading practices. Given this perspective, we propose to work the multiliteracies present in the new texts from the enunciative discourse Bakhtinian assumptions. For this, we chose to be as the object of research / intervention, the horror flash fiction multimodal discursive genre, because it is a multissemiótico digital statement of virtual circulation. In this context, this study aimed to understand how the teaching of this kind can contribute to the development of knowledge related to reading and text production, required by multiliteracies, by performing a Didactic Sequence in the classroom, specifically for two classes of elementary school, 7th and 8th grades of public school. The research was based on Bakhtin's theory and the Circle (2009, 2011) on gender perspective in a dialogic and the proposed Dolz and Schneuwly (2004) for the text of teaching through sequences Teaching. We also use the precepts of multiliteracies focused on Rojo (2012, 2013). The methodology used was based on a qualitative approach. We consider the analysis of minicontos produced by students, it's own hibridism of multiliteracies, the discursive characteristics such as composition, style and subject content, in addition to relations dialogicity present in these statements. At the end of the study, we realized that our intervention contributed to the expansion of knowledge of the subjects involved related to reading and multimodal genre production.

Professional development of teacher-educators towards transformative learning

This study explores the specific characteristics of teacher-educator professional development interventions that enhance their transformative learning towards stimulating the inquiry-based attitude of students. An educational design research method was followed. Firstly, in partnership with five experienced educators, a professional development programme was designed, tested and redesigned. Secondly, a qualitative multiple case study was conducted to examine the active ingredients of the designed interventions with regard to educators changes in beliefs and behaviour. The study was carried out in four different educational settings in which 20 educators participated during nine months. Data sources included videos, questionnaires, interviews and written personal theories of practice. The analyses indicated that aligned self-study interventions on a personal, peer and group level guided by a trained facilitator supported the intended leaning.

Beam division multiple access for massive MIMO downlink transmission

We study a multiuser multicarrier downlink communication system in which the base station (BS) employs a large number of antennas. By assuming frequency-division duplex operation, we provide a beam domain channel model as the number of BS antennas grows asymptotically large. With this model, we first derive a closed-form upper bound on the achievable ergodic sum-rate before developing necessary conditions to asymptotically maximize the upper bound, with only statistical channel state information at the BS. Inspired by these conditions, we propose a beam division multiple access (BDMA) transmission scheme, where the BS communicates with users via different beams. For BDMA transmission, we design user scheduling to select users within non-overlapping beams, work out an optimal pilot design under a minimum mean square error criterion, and provide optimal pilot sequences by utilizing the Zadoff-Chu sequences. The proposed BDMA scheme reduces significantly the pilot overhead, as well as, the processing complexity at transceivers. Simulations demonstrate the high spectral efficiency of BDMA transmission and the advantages in the bit error rate performance of the proposed pilot sequences.

Tech Fashion : Fashion Institutionalization in Digital Technology

This thesis explores aesthetization in general and fashion in particular in digital technology design and how we can design digital technology to account for the extended influences of fashion. The thesis applies a combination of methods to explore the new design space at the intersection of fashion and technology. First, it contributes to theoretical understandings of aesthetization and fashion institutionalization that influence digital technology design. We show that there is an unstable aesthetization in mobile design and the increased aesthetization is closely related to the fashion industry. Fashion emerged through shared institutional activities, which are usually in the form of action nets in the design of digital devices. “Tech Fashion” is proposed to interpret such dynamic action nets of institutional arrangements that make digital technology fashionable and desirable. Second, through associative design research, we have designed and developed two prototypes that account for institutionalized fashion values, such as the concept “outfit-centric accessory.” We call for a more extensive collaboration between fashion design and interaction design.

The Ingenuity of Ageing

What can a remarkable community of 6,000 retired academics living on the campus of Tsinghua University, Beijing, tell us about strategies for ‘ageing well’ in societies around the world? The Ingenuity of Ageing tells the story of an experimental piece of design research carried out by Dr Yanki Lee, a research fellow in the Helen Hamlyn Centre for Design at the Royal College of Art, who spent a year in China investigating new approaches to design for ageing. Supported by a UK-China Fellowship of Excellence funded by the Department of Business, Innovation and Skills (BIS), Dr Yanki Lee’s post-Doctoral study combines the techniques of reflexive ethnography and action research in order to challenge conventional thinking about the designer as expert and propose an alternative, participatory model of social interaction and innovation through which the ingenuity of older people can be revealed.

Models of the user: designers’ perspectives on influencing sustainable behaviour

Influencing more environmentally friendly and sustainable behaviour is a current focus of many projects, ranging from government social marketing campaigns, education and tax structures to designers’ work on interactive products, services and environments. There is a wide variety of techniques and methods used, intended to work via different sets of cognitive and environmental principles. These approaches make different assumptions about ‘what people are like’: how users will respond to behavioural interventions, and why, and in the process reveal some of the assumptions that designers and other stakeholders, such as clients commissioning a project, make about human nature. This paper discusses three simple models of user behaviour – the pinball, the shortcut and the thoughtful – which emerge from user experience designers’ statements about users while focused on designing for behaviour change. The models are characterised using systems terminology and the application of each model to design for sustainable behaviour is examined via a series of examples.

Designing Creative Destruction

This research aims to make a contribution in the context of design thinking at a global cultural scale and specifically how design methods are a feature of the homogenising and heterogenising forces of globalisation via creative destruction. Since Schumpeter’s description of economic innovation destroying the old and creating the new, a number of other interpretations of creative destruction have developed including those driving cultural evolution. However a design model showing the impact of different types of design method on cultural evolution can develop an understanding on a more systemic level from the medium to longer term impact of new designs that homogenise or increase the differences between various cultures. This research explores the theoretical terrain between creative destruction, design thinking and cybernetics in the context of exchanging cultural influences for collaborative creativity and concludes with an experiment that proposes a feedback loop between ubiquitising and differentiating design methods mediating cultural variety in creative ecosystems.

Designing Creative Destruction

This research aims to make a contribution in the context of design thinking at a global cultural scale and specifically how design methods are a feature of the homogenising and heterogenising forces of globalisation via creative destruction. Since Schumpeter’s description of economic innovation destroying the old and creating the new, a number of other interpretations of creative destruction have developed including those driving cultural evolution. However a design model showing the impact of different types of design method on cultural evolution can develop an understanding on a more systemic level from the medium to longer term impact of new designs that homogenise or increase the differences between various cultures. This research explores the theoretical terrain between creative destruction, design thinking and cybernetics in the context of exchanging cultural influences for collaborative creativity and concludes with an experiment that proposes a feedback loop between ubiquitising and differentiating design methods mediating cultural variety in creative ecosystems.

La investigación en diseño : aplicación al diseño y desarrollo de nuevos juegos de ingenio

El objetivo del presente artículo es establecer y clarificar el planteamiento de líneas de investigación en diseño a través de ejemplos demostrativos de proyectos de investigación en los tres niveles de investigación: básica, aplicada y de desarrollo tecnológico. La corroboración de estos proyectos tanto por la aplicación práctica a productos reales comercializados sería un primer nivel de verificación de transferencia de conocimiento a empresas, y un segundo nivel de evaluación sería la penetración en el mercado de esos productos resultantes, siendo ésta posiblemente la validación más contundente. Sin embargo, la evaluación positiva de los diferentes tramos de investigación solicitados a la CNEAI basados en estas experiencias prácticas, aporta un valor diferencial a los proyectos desarrollados porque validan una forma de entender la investigación en diseño, nos ha permitido generar un saber-hacer muy particular, y nos dispone a transferirlo al área de conocimiento de dibujo, y mejorar su rendimiento científico, tan reclamado desde las administraciones educativas del país.

Relatório final de estágio realizado na Escola Secundária Professor José Augusto Lucas

Este relatório final teve como base o processo de estágio pedagógico desenvolvido no ano letivo de 2014/2015 na Escola Secundária Professor José Augusto Lucas, o qual se insere no Mestrado em Ensino da Educação Física nos Ensinos Básico e Secundário. O estágio pedagógico em Educação Física é um momento decisivo na formação inicial dos professores, sendo o primeiro contacto com a prática docente em situação real de ensino. Desta forma, o presente relatório procura descrever o processo formativo que proporcionou esse confronto com a realidade, numa perspetiva crítica e reflexiva, e sempre que possível projetiva. Esta análise tem por base as atividades desenvolvidas na minha intervenção pedagógica ao nível do planeamento, avaliação e condução do ensino, através do relato das dificuldades e estratégias encontradas para superá-las. No entanto, o estágio pedagógico não se restringe à atividade do professor no contexto de sala de aula e pretendo ainda refletir sobre a minha ação no acompanhamento e trabalho de direção de turma, no trabalho de investigação-ação, nas atividades desenvolvidas no núcleo de Desporto Escolar, bem como nas atividades de cariz variado no seio da comunidade escolar.