O empreendedorismo e a inovação na saúde, factores potenciadores de novos projetos

O objetivo geral deste trabalho é investigar o empreendedorismo e a inovação, assim como a forma como estes instrumentos se têm ligado, ou podem vir a ligar-se, à atividade da saúde potenciando novos projetos empresariais inovadores com elevados níveis de competitividade e rentabilidade, numa lógica de criação de um modelo que sintetize estes instrumentos e os potencie para resultados noutros projetos empresariais. No seu desenvolvimento, pretende-se compreender e melhorar a influência positiva que o empreendedorismo e a inovação têm na área da saúde e compreender a influência destes instrumentos como fatores potenciadores de novos projetos contribuindo para a regeneração dos tecidos empresariais, quer ao nível da criação de novas empresas inovadoras, quer ao nível da modernização, reposicionamento ou reorientação de empresas existentes. O objetivo específico desta investigação sobre empreendedorismo e inovação na saúde, como fatores potenciadores de novos projetos, pode evidenciar sinais de êxito mais evidentes, que permita tirar ilações da importância das sinergias entre empreendedorismo e inovação, nas suas várias vertentes da saúde, que alavanquem novas oportunidades para projetos empresariais, sustentáveis e com forte probabilidade de sucesso, muitos deles já identificados, mas ainda não desenvolvidos quer por potenciais empreendedores ou investidores.

O impacto do turismo na qualidade de vida e bem-estar do turista

O turismo é actualmente uma das actividades de maior crescimento, de maior importância para a economia mundial e que gera mais emprego. No entanto, os benefícios do turismo não podem ser reduzidos aos económicos. Alguns autores defendem a existência de uma relação entre o turismo, a qualidade de vida e o bem-estar daqueles envolvidos na experiência turística, mas nenhum deles demonstra objectivamente essa relação, não havendo em Portugal qualquer investigação nesse sentido. O objectivo deste trabalho é, assim, avaliar o impacto do turismo na qualidade de vida e bem-estar do turista português. Para realizar esta análise foram utilizados dois instrumentos (WHOQOL-BREF e EBP), que estiveram disponíveis on-line durante um ano para quem quisesse responder voluntariamente. Foram obtidas 1059 respostas. Os resultados demonstraram que o turismo afecta positivamente a qualidade de vida e o bem-estar, sendo esta relação significativa no que respeita a algumas das dimensões da qualidade de vida e do bem-estar. Este estudo vem demonstrar que os gestores da área devem promover serviços que valorizem experiências pessoais satisfatórias, que gerem afectos positivos e que estes efeitos sejam duradoiros, uma vez que podem gerar lealdade com o destino, vontade de gastar mais e de recomendar quando se volta a casa.

O movimento dos capitães, o MFA e o 25 de Abril: do marcelismo à queda do Estado Novo

O 25 de Abril de 1974 foi um dos mais importantes acontecimentos que ocorreram em Portugal durante o século XX. Como tal, entende-se útil efectuar uma observação às circunstâncias em que o país vivia na parte final do regime durante o qual o Governo foi chefiado por Marcello Caetano. Entre 1968 e 1974, verificaram-se significativas mudanças na conjuntura internacional, tanto no que concerne à economia, como a nível social e militar. Também a nível interno, a instituição militar começou a ser agitada pelos efeitos da saturação que a guerra estava a causar e que levou o Governo a tomar medidas políticas que tinham por objectivo a eternização do conflito. Nesse contexto, um grupo de oficiais, essencialmente capitães, começou a reunirse clandestinamente para encontrar formas de ultrapassar o impasse político em que o país se encontrava. A partir do momento em que esse grupo considerou que a solução do problema era o derrube do regime, iniciou uma dinâmica de planeamento que culminou com um golpe de estado militar. Este projecto faz uma observação desse período, desde que Caetano chegou ao poder até que foi derrubado, com especial enfoque na evolução da contestação dos capitães que desencadearam o golpe.

Humberto Salvador: biografía armable y desarmable de un «proscrito interior» (Dossier: Cuatro narradores del 30, relecturas en su centenario)

El autor recoge varios testimonios que retratan al hombre detrás del narrador guayaquileño. Humberto Salvador fue marcadamente tímido, y acaso ello lo volvió el cronista y testigo más veraz de su época. Soportó tensiones con la moral burguesa y cristiana por su condición de hijo ilegítimo, actor social de la naciente clase media ecuatoriana, laboró en la docencia, la promoción cultural y la consulta psicoanalítica. Pero la máxima pasión de Salvador fue la literatura, más que reconocimiento para sus novelas, buscó sobre todo interlocutores para este ejercicio, renovándose en el cultivo de múltiples poéticas. Lector atento y deseoso buscó involucrarse con lo que sucedía en su tiempo, la denuncia en sus obras responde a una valerosa voluntad de reparación social y su interés por el psicoanálisis, a un deseo de reconciliarse con su situación personal y de proseguir su reflexión sobre la condición humana. Finalmente se pasa revista a las influencias literarias de Salvador, cerrando con ello un retrato complejo, plenamente humano, del vanguardista guayaquileño.

Las independencias: [respuesta al cuestionario de Manuel Chust] (Dossier: Bicentenario, rastros y revelaciones de la Independencia)

Enrique Ayala es entrevistado por el historiador catalán Manuel Chust sobre la independencia de Hispanoamérica. Ayala plantea que la crisis de 1808 afectó la economía de la metrópoli, pero también posibilitó cambios en las relaciones de poder en las colonias: fue instalándose el control de los señores criollos sobre la tierra y de los comerciantes sobre las economías locales y regionales, la burocracia española debilitada conservó solo el manejo político, lo cual favoreció a las clases dominantes locales. Insiste en que las independencias deben ser vistas como procesos, cuyo éxito fue posible al convocarse a los actores populares e integrarse los esfuerzos de diversas colonias. Visualizar eso, afirma, fue uno de los mayores aportes de Simón Bolívar. Finalmente, no se llega a la Independencia por actos de personalidades determinantes, sino por el peso de protagonistas colectivos: notables criollos, grandes latifundistas y comerciantes de los puertos de primer orden, jefes de los ejércitos e intelectuales, la jerarquía de la Iglesia, y el apoyo británico a los insurgentes.

Política exterior y cooperación: del discurso a la acción (Otros Temas)

Este artículo presenta el escenario de la política exterior y cooperación internacional previo al gobierno de Rafael Correa, tomando a la cooperación dentro del Plan Colombia e Iniciativa Regional Andina como ejemplo de la misma. Igualmente, la autora plantea la existencia de un paradigma que rige tanto la política interna como externa del Ecuador y como éste se vincula con el ALBA. Finalmente, confronta el discurso con la realidad comercial y de cooperación de varios países de Sudamérica.

Operación masacre: la fundación mitológica del testimonio (Estudios)

A partir de Operación masacre, de Rodolfo Walsh, la autora distingue, en este ensayo, el testimonio de otras narrativas. Señala que no es literatura de bandidos, porque el sustrato son memorias de víctimas o de sobrevivientes de la impune violencia de Estado. Afirma que tampoco es reportaje o crónica periodística: en estos últimos no median una serie de entrevistas orales ni se plantean imágenes históricas totalizadoras. La autora insiste en el carácter revolucionario del testimonio, que busca construir una verdad absoluta, un discurso sin fisuras. A diferencia de la novela-testimonio, que es instrumento de conocimiento, este género tendría un sentido fundamentalmente histórico. Sostiene que, en Argentina, las víctimas directas de la violencia son quienes pueden solicitar reparación, por eso, los escritores de testimonio de la posdictadura se debaten entre la pertenencia al grupo de víctimas y la voluntad de asumir las causas políticas. Nofal concluye que Walsh, a diferencia de ellos, toma la palabra y dice la verdad desde su lugar de ciudadano y desde el espacio literario.

Política y conflictividad en Bolivia (Coyuntura)

Después de las movilizaciones masivas del 2000 al 2005 que llevaron a Evo Morales y su partido a la presidencia se esperaba una incorporación positiva de los sectores populares, campesinos e indígenas a la arena política. Este artículo analiza por qué en su segundo gobierno (2010-2014) esa expectativa cedió paso a una creciente conflictividad con importantes movimientos sociales que lo llevaron al poder. Argumenta que la priorización de políticas de Estado generó fuertes tensiones en la amplia y heterogénea coalición social surgida de las luchas antineoliberales.

A chimeric N-terminal Escherichia coli C-terminal Rhodobacter sphaeroides FliG rotor protein supports bidirectional E coli flagellar rotation and chemotaxis

Flagellate bacteria such as Escherichia coli and Salmonella enterica serovar Typhimurium typically express 5 to 12 flagellar filaments over their cell surface that rotate in clockwise (CW) and counterclockwise directions. These bacteria modulate their swimming direction towards favorable environments by biasing the direction of flagellar rotation in response to various stimuli. In contrast, Rhodobacter sphaeroides expresses a single subpolar flagellum that rotates only CW and responds tactically by a series of biased stops and starts. Rotor protein FliG transiently links the MotAB stators to the rotor, to power rotation and also has an essential function in flagellar export. In this study, we sought to determine whether the FliG protein confers directionality on flagellar motors by testing the functional properties of R. sphaeroides FliG and a chimeric FliG protein, EcRsFliG (N-terminal and central domains of E. coli FliG fused to an R. sphaeroides FliG C terminus), in an E. coli FliG null background. The EcRsFliG chimera supported flagellar synthesis and bidirectional rotation; bacteria swam and tumbled in a manner qualitatively similar to that of the wild type and showed chemotaxis to amino acids. Thus, the FliG C terminus alone does not confer the unidirectional stop-start character of the R. sphaeroides flagellar motor, and its conformation continues to support tactic, switch-protein interactions in a bidirectional motor, despite its evolutionary history in a bacterium with a unidirectional motor.

Comprehensive ground-based and in situ observations of substorm expansion phase onset

In this paper, we present comprehensive ground-based and space-based in situ geosynchronous observations of a substorm expansion phase onset on 1 October 2005. The Double Star TC-2 and GOES-12 spacecraft were both located within the substorm current wedge during the substorm expansion phase onset, which occurred over the Canadian sector. We find that an onset of ULF waves in space was observed after onset on the ground by extending the AWESOME timing algorithm into space. Furthermore, a population of low-energy field-aligned electrons was detected by the TC-2 PEACE instrument contemporaneous with the ULF waves in space. These electrons appear to be associated with an enhancement of field-aligned Poynting flux into the ionosphere which is large enough to power visible auroral displays. The observations are most consistent with a near-Earth initiation of substorm expansion phase onset, such as the Near-Geosynchronous Onset (NGO) substorm scenario. A lack of data from further downtail, however, means other mechanisms cannot be ruled out.

Corporate institutions in a weakened welfare state: a Rawlsian perspective

This paper re-examines the import of Rawls’s theory of justice for private sector institutions in the face of the decline of the welfare state. The argument is based on a Rawlsian conception of justice as the establishment of a basic structure of society that guarantees a fair distribution of primary goods. We propose that the decline of the welfare state witnessed in Western countries over the past forty years prompts a reassessment of the boundaries of the basic structure in order to include additional corporate institutions. A discussion centered on the primary good of self-respect, but extensible to power and prerogatives as well as income and wealth, examines how the legislator should intervene in private sector institutions to counterbalance any unfairness that results from the decline of the welfare state.

Care homes’ use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people

Introduction: Care home residents are at particular risk from medication errors, and our objective was to determine the prevalence and potential harm of prescribing, monitoring, dispensing and administration errors in UK care homes, and to identify their causes. Methods: A prospective study of a random sample of residents within a purposive sample of homes in three areas. Errors were identified by patient interview, note review, observation of practice and examination of dispensed items. Causes were understood by observation and from theoretically framed interviews with home staff, doctors and pharmacists. Potential harm from errors was assessed by expert judgement. Results: The 256 residents recruited in 55 homes were taking a mean of 8.0 medicines. One hundred and seventy-eight (69.5%) of residents had one or more errors. The mean number per resident was 1.9 errors. The mean potential harm from prescribing, monitoring, administration and dispensing errors was 2.6, 3.7, 2.1 and 2.0 (0 = no harm, 10 = death), respectively. Contributing factors from the 89 interviews included doctors who were not accessible, did not know the residents and lacked information in homes when prescribing; home staff’s high workload, lack of medicines training and drug round interruptions; lack of team work among home, practice and pharmacy; inefficient ordering systems; inaccurate medicine records and prevalence of verbal communication; and difficult to fill (and check) medication administration systems. Conclusions: That two thirds of residents were exposed to one or more medication errors is of concern. The will to improve exists, but there is a lack of overall responsibility. Action is required from all concerned.

Privatisation, empowerment and accountability: What are the policy implications for establishing effective farmer organisations?

Weak institutional development and information flows have constrained the extent to which the small-holder farming sector in developing countries can significantly drive growth and poverty reduction. Thisis despite widely implemented economic liberalisation policies focussing on market efficiency. Farmerorganisations are viewed as a potential means of addressing public and private institutional failure but thishas frequently been limited by inequalities in access to power and information. This article investigatestwo issues that have received little research attention to date: what role downward accountability plays inenabling farmer organisations to improve services and markets, and what influences the extent to whichdownward accountability is achieved. Kenya Tea Development Agency (KTDA), one of the largest farmerorganisations in the world (>400,000 farmers) is examined alongside wider literature. Mixed methodswere used including key informant interviews, and eight months of participant observation followedby a questionnaire survey. The article concludes that without effective downward accountability farmerorganisations can become characterised by institutions and mechanisms that favour elites, restrictedweak coordination and regulation, and manipulated information flows. This in turn reduces individuals’incentives to invest. If farmer organisations are to realise their potential as a means of enabling the small-holder sector to significantly contribute to economic growth and poverty reduction, policy and researchneeds to address key factors which influence accountability including: how to ensure initial processes information of farmer organisations establish appropriate structures and rules; strong state regulation toenhance corporate accountability; transparent information provision regarding actions of farmer organi-sation leaders; and the role independent non-government organisations can play. Consequently attentionneeds to focus on developing means of legitimising rights, building poor people’s capacity to challengeexclusion, and moving from rights to obligations regarding information provision.

Beyond difference: female participation in the Brazilian film revival of the 1990s

In this chapter, I will focus on the female participation in what became known as ‘The Retomada do Cinema Brasileiro’, or the Brazilian Film Revival, by thinking beyond differences of gender, class, age and ethnicity. I will first re-consider the Retomada phenomenon against the backdrop of its historical time, so as to evaluate whether the production boom of the period translated into a creative peak, and, if so, how much of this carried onto the present day. I will then look at the female participation in this phenomenon not just in terms of numerical growth of women film directors, admittedly impressive, but only partially reflective of the drastic changes in the modes of production and address effected by the neoliberal policies introduced in the country in the mid 1990s. I will argue that the most decisive contribution brought about by the rise of women in Brazilian filmmaking has been the spread of team work and shared authorship, as opposed to a mere aspiration to the auteur pantheon, as determined by a notoriously male-oriented tradition. Granted, films focusing on female victimisation were rife during the Retomada period and persist to this day, and they have been, and continue to be, invaluable for the understanding of women’s struggles in the country. However, rather than resorting to feminist readings of representational strategies in these films, I will draw attention to other, presentational aesthetic experiments, open to the documentary contingent and the unpredictable real, which, I argue, suspend the pedagogical character of representational narratives. In order to demonstrate that new theoretical tools are needed to understand the gender powers at play in contemporary world cinema, I will, to conclude, analyse an excerpt of the film, Delicate Crime (Crime delicado, Beto Brant, 2006), where team work comes out as a particularly effective female, and feminist, procedure.

Gas streaming motions towards the nucleus of M81

We present two-dimensional stellar and gaseous kinematics of the inner 120 x 250 pc2 of the LINER/Seyfert 1 galaxy M81, from optical spectra obtained with the Gemini Multi-Object Spectrograph (GMOS) integral field spectrograph on the Gemini-North telescope at a spatial resolution of approximate to 10 pc. The stellar velocity field shows circular rotation and, overall, is very similar to the published large-scale velocity field, but deviations are observed close to the minor axis which can be attributed to stellar motions possibly associated with a nuclear bar. The stellar velocity dispersion of the bulge is 162 +/- 15 km s-1, in good agreement with previous measurements and leading to a black hole mass of M(BH) = 5.5+3.6(-2.0) x 107 M(circle dot) based on the M(BH)-Sigma relationship. The gas kinematics is dominated by non-circular motions and the subtraction of the stellar velocity field reveals blueshifts of approximate to-100 km s-1 on the far side of the galaxy and a few redshifts on the near side. These characteristics can be interpreted in terms of streaming towards the centre if the gas is in the plane. On the basis of the observed velocities and geometry of the flow, we estimate a mass inflow rate in ionized gas of approximate to 4.0 x 10-3 M(circle dot) yr-1, which is of the order of the accretion rate necessary to power the LINER nucleus of M81. We have also applied the technique of principal component analysis (PCA) to our data, which reveals the presence of a rotating nuclear gas disc within approximate to 50 pc from the nucleus and a compact outflow, approximately perpendicular to the disc. The PCA combined with the observed gas velocity field shows that the nuclear disc is being fed by gas circulating in the galaxy plane. The presence of the outflow is supported by a compact jet seen in radio observations at a similar orientation, as well as by an enhancement of the [O i]/H alpha line ratio, probably resulting from shock excitation of the circumnuclear gas by the radio jet. With these observations we are thus resolving both the feeding - via the nuclear disc and observed gas inflow, and the feedback - via the outflow, around the low-luminosity active nucleus of M81.