Medicina tecnológica, cuidado e business: estudo sobre a prática dos médicos oncologistas no Brasil

Esta tese consiste em um estudo sobre o trabalho e a prática médica observados a partir do tipo ideal Werberiano da medicina tecnológica qual seja: a prática médica especializada, equipada e fragmentada, que começou a ser exercida no Brasil apartir nos anos sessenta. Elegemos para esse estudo médicos oncologistas clínicos inseridos em serviços públicos e privados de saúde. A eleição dos oncologistas clínicos se deu pelo reconhecimento da oncologia como uma prática muito especializada e amparada por equipamentos e procedimentos que se fortaleceu no Brasil na década de sessenta.Pretendeu-se compreender as singularidades dessa prática focalizando a formação, o tipo de cuidado ofertado aos pacientes, a inserção dos médicos no mercado público e privado e a relação entre eles. Inicia-se com uma abordagem geral da prática médica baseada no saber sobre as doenças, no processo histórico e cultural da apreensão desta prática e suas repercussões na sociedade e no mercado de trabalho. Em seguida apresentamos uma revisão sumária da trajetória da oncologia no Brasil, a representação social do câncer, as políticas de saúde da área e a relação entre os médicos, o estado e a sociedade nesse campo. Esse conjunto foi caracterizado como Projeto Médico Oncológico.Utilizou-se, no trabalho de campo, a pesquisa qualitativa e empregou-se como técnica entrevistas com seis profissionais médicos oncologistas que trabalham no Instituto Nacional do Câncer e no setor privado de saúde. Foi realizada uma entrevista piloto visando apresentar na íntegra os temas abordados nas demais entrevistas. A partir do olhar e das reflexões dos médicos são apresentadas quatro categorias para discussão e considerações. Finalizando o estudo apresenta através das categorias obtidas no trabalho de campo uma problematização do modelo idealizado na medicina tecnológica.

The autobiographical project of Soveida Dosamantes in Face of an angel, by Denise Chávez

O objetivo desta dissertação é investigar o viés coletivo da autobiografia ficcional de Face of an angel, da escritora estadunidense e de origem mexicana Denise Chávez. Desse modo, o trabalho pretende discutir a sociedade chicana descrita sob a ótica da narradora/protagonista, Soveida Dosamantes, investigando desde o processo histórico de que é resultado, passando pela iniquidade entre os papéis desempenhados por homens e mulheres até chegar ao discurso autorreferencial com que a narradora/protagonista representa o ambiente cultural em que se insere. Antes da narrativa propriamente dita, há a árvore genealógica da narradora/protagonista, assinalando que o que vai se descortinar ao longo da leitura é uma saga de família. Assim, Soveida Dosamantes utiliza a sua ambiência doméstica, bem como a comunidade da fictícia cidade de Água Oscura, sua cidade natal, como recorte de uma estrutura social maior. Fazendo uso do discurso autobiográfico, a narradora/protagonista criada por Denise Chávez expõe as mazelas de uma comunidade que, em virtude ser produto do colonialismo e do neocolonialismo, perdeu sua identidade cultural. Em Face of an angel, através do relato em primeira pessoa de sua narradora/protagonista, a autora Denise Chávez reproduz o universo em que nasceu e cresceu. Cedendo a Soveida Dosamantes componentes autobiográficos como complicadas relações familiares, personagens femininas nativas que funcionam como sentinelas de práticas ancestrais que o domínio europeu apagou, personagens masculinos que mascaram sua fragilidade por trás de uma força e de um poder aparentes, Chávez representa em Face of an Angel o microcosmos de uma comunidade que vem, aos poucos, subvertendo o discurso oficial e conquistando o seu terreno no panorama político e social estadunidense

Quem conta um conto aumenta um ponto: trabalhando o gênero no 9 ano do Ensino Fundamental II

A presente dissertação nasceu da necessidade particular de abrir espaço para o texto literário no ambiente escolar. A escola é o espaço natural no qual os alunos entram em contato com as linguagens escritas; é, pois, o espaço onde os estudantes devem conviver com diferentes textos de gêneros variados. É preciso, contudo, refletir sobre a forma como estes textos serão apresentados aos estudantes. A partir desse questionamento, algumas dúvidas motivaram a presente pesquisa: como trabalhar a leitura e a escrita no Ensino Fundamental II?, como formar jovens leitores?, como despertar o gosto pelo texto literário?, como trabalhar a produção do texto escrito com esses jovens? Pesquisar o trabalho com o texto literário no segundo segmento, todavia, seria um tema amplo demais. Desse modo, foi realizado um recorte, definindo a série e o gênero textual que seriam o foco da pesquisa. O 9 ano foi eleito por ser a última etapa do Ensino Fundamental. Nessa fase, teoricamente, os alunos já tiveram contato com diversos gêneros textuais e já estudaram (e produziram) textos com diferentes modos de organização do discurso: narração, exposição, argumentação, injunção, descrição. A escolha do gênero conto se justifica por ser este um texto mais curto, possibilitando a leitura em sala com a turma. O corpus se compõe de contos de dois grandes autores brasileiros: Machado de Assis e Lima Barreto. Um dos propósitos dessa escolha era mostrar que autores clássicos podem e devem ser lidos no Ensino Fundamental. O objetivo principal desta pesquisa é apresentar atividades realizadas em sala de aula com o gênero selecionado, visando à formação do leitor e ao desenvolvimento da produção escrita, ressaltando a importância do texto literário no contexto escolar. Defende-se, portanto, que o trabalho com os contos pode ser um estímulo para desenvolver o gosto e, se possível, ao prazer da leitura, o enriquecimento vocabular e, por conseguinte, para o amadurecimento da escrita

Use of enriched live prey in promoting growth and maturation of tiger shrimp (Penaeus monodon)

This study was undertaken to determine the effect of nutritional management of broodstock of Penaeus monodon on growth and maturation. Test specimens were obtained from a grow-out pond before attainment of maturity and were reared in hatchery tanks. Four types of dietary treatments (M1–M4) were given to separate batches that were run in duplicate. Feeding trials continued for five months. A diet with live bloodworm, bioencapsulated to contain tricalcic phosphate as its major component, was found to be the most efficient. Specimens of this particular batch assimilated food more efficiently, grew at a faster rate and attained maturity earlier than other groups. Bloodworm provided the lipid fractions for which there is no de novo synthesis in shrimp. The enrichment product acted by promoting somatic growth and increasing transfer of biochemical constituents needed by the ovary for develop

Neonatal growth of Steller sea lion (Eumetopias jubatus) pups in Alaska

The growth rate of Steller sea lion (Eumetopias jubatus) pups was studied in southeast Alaska, the Gulf of Alaska, and the Aleutian Islands during the first six weeks after birth. The Steller sea lion population is currently stable in southeast Alaska but is declining in the Aleutian Islands and parts of the Gulf of Alaska. Male pups (22.6 kg [±2.21 SD]) were significantly heavier than female pups (19.6 kg [±1.80 SD]) at 1−5 days of age, but there were no significant differences among rookeries. Male and female pups grew (in mass, standard length, and axillary girth) at the same rate. Body mass and standard length increased at a faster rate for pups in the Aleutian Islands and the western Gulf of Alaska (0.45−0.48 kg/day and 0.47−0.53 cm/day, respectively) than in southeast Alaska (0.23 kg/day and 0.20 cm/day). Additionally, axillary girth increased at a faster rate for pups in the Aleutian Islands (0.59 cm/ day) than for pups in southeast Alaska v(0.25 cm/day). Our results indicate a greater maternal investment in male pups during gestation, but not during early lactation. Although differences in pup growth rate occurred among rookeries, there was no evidence that female sea lions and their pups were nutritionally stressed in the area of population decline

Effects of El Niño events on energy demand and egg production of rockfish (Scorpaenidae: Sebastes): a bioenergetics approach

Fish bioenergetics models estimate relationships between energy budgets and environmental and physiological variables. This study presents a generic rockfish (Sebastes) bioenergetics model and estimates energy consumption by northern California blue rockf ish (S. mystinus) under average (baseline) and El Niño conditions. Compared to males, female S. mystinus required more energy because they were larger and had greater reproductive costs. When El Niño conditions (warmer temperatures; lower growth, condition, and fecundity) were experienced every 3−7 years, energy consumption decreased on an individual and a per-recruit basis in relation to baseline conditions, but the decrease was minor (<4% at the individual scale, <7% at the per-recruit scale) compared to decreases in female egg production (12−19% at the individual scale, 15−23% at the per-recruit scale). When mortality in per-recruit models was increased by adding fishing, energy consumption in El Niño models grew more similar to that seen in the baseline model. However, egg production decreased significantly — an effect exacerbated by the frequency of El Niño events. Sensitivity analyses showed that energy consumption estimates were most sensitive to respiration parameters, energy density, and female fecundity, and that estimated consumption increased as parameter uncertainty increased. This model provides a means of understanding rockfish trophic ecology in the context of community structure and environmental change by synthesizing metabolic, demographic, and environmental information. Future research should focus on acquiring such information so that models like the bioenergetics model can be used to estimate the effect of climate change, community shifts, and different harvesting strategies on rockfish energy demands.

Indirect validation of the age-reading method for Pacific cod (Gadus macrocephalus) using otoliths from marked and recaptured fish

Two examples of indirect validation are described for age-reading methods of Pacific cod (Gadus macrocephalus). Aging criteria that exclude faint translucent zones (checks) in counts of annuli and criteria that include faint zones were both tested. Otoliths from marked and recaptured fish were used to back-calculate the length of each fish at the time of its release by using measurements of the area of annuli. Estimated fish size at time of release and actual observed fish size were similar, supporting the assumption that translucent zones are laid down on an annual basis. A second method for validating reading criteria used otolith age and von Bertalanffy parameters, estimated from the tagging data, to predict how much each fish grew in length after tagging. We found that otolith aging criteria applied to otoliths from tagged and recovered Pacific cod predicted quite accurately the growth increments that we observed in these specimens. These results provide further evidence that the current aging criteria are not underestimating the age of the fish and support our current interpretation of checks (i.e., as subannual marks). We expect these indirect validations to advance age determination for Pacific cod, which in turn would enhance development of stock assessment methods based on age structure for this species in the eastern Bering Sea.

Síntese evolucionária de circuitos sequenciais inspirada nos princípios da computação quântica.

Esta dissertação investiga a aplicação dos algoritmos evolucionários inspirados na computação quântica na síntese de circuitos sequenciais. Os sistemas digitais sequenciais representam uma classe de circuitos que é capaz de executar operações em uma determinada sequência. Nos circuitos sequenciais, os valores dos sinais de saída dependem não só dos valores dos sinais de entrada como também do estado atual do sistema. Os requisitos cada vez mais exigentes quanto à funcionalidade e ao desempenho dos sistemas digitais exigem projetos cada vez mais eficientes. O projeto destes circuitos, quando executado de forma manual, se tornou demorado e, com isso, a importância das ferramentas para a síntese automática de circuitos cresceu rapidamente. Estas ferramentas conhecidas como ECAD (Electronic Computer-Aided Design) são programas de computador normalmente baseados em heurísticas. Recentemente, os algoritmos evolucionários também começaram a ser utilizados como base para as ferramentas ECAD. Estas aplicações são referenciadas na literatura como eletrônica evolucionária. Os algoritmos mais comumente utilizados na eletrônica evolucionária são os algoritmos genéticos e a programação genética. Este trabalho apresenta um estudo da aplicação dos algoritmos evolucionários inspirados na computação quântica como uma ferramenta para a síntese automática de circuitos sequenciais. Esta classe de algoritmos utiliza os princípios da computação quântica para melhorar o desempenho dos algoritmos evolucionários. Tradicionalmente, o projeto dos circuitos sequenciais é dividido em cinco etapas principais: (i) Especificação da máquina de estados; (ii) Redução de estados; (iii) Atribuição de estados; (iv) Síntese da lógica de controle e (v) Implementação da máquina de estados. O Algoritmo Evolucionário Inspirado na Computação Quântica (AEICQ) proposto neste trabalho é utilizado na etapa de atribuição de estados. A escolha de uma atribuição de estados ótima é tratada na literatura como um problema ainda sem solução. A atribuição de estados escolhida para uma determinada máquina de estados tem um impacto direto na complexidade da sua lógica de controle. Os resultados mostram que as atribuições de estados obtidas pelo AEICQ de fato conduzem à implementação de circuitos de menor complexidade quando comparados com os circuitos gerados a partir de atribuições obtidas por outros métodos. O AEICQ e utilizado também na etapa de síntese da lógica de controle das máquinas de estados. Os circuitos evoluídos pelo AEICQ são otimizados segundo a área ocupada e o atraso de propagação. Estes circuitos são compatíveis com os circuitos obtidos por outros métodos e em alguns casos até mesmo superior em termos de área e de desempenho, sugerindo que existe um potencial de aplicação desta classe de algoritmos no projeto de circuitos eletrônicos.

Quahogs in Eastern North America: Part II, History by Province and State

The northern quahog, Mercenaria mercenaria, ranges along the Atlantic Coast of North America from the Canadian Maritimes to Florida, while the southern quahog, M. campechiensis, ranges mostly from Florida to southern Mexico. The northern quahog was fished by native North Americans during prehistoric periods. They used the meats as food and the shells as scrapers and as utensils. The European colonists copied the Indians treading method, and they also used short rakes for harvesting quahogs. The Indians of southern New England and Long Island, N.Y., made wampum from quahog shells, used it for ornaments and sold it to the colonists, who, in turn, traded it to other Indians for furs. During the late 1600’s, 1700’s, and 1800’s, wampum was made in small factories for eventual trading with Indians farther west for furs. The quahoging industry has provided people in many coastal communities with a means of earning a livelihood and has given consumers a tasty, wholesome food whether eaten raw, steamed, cooked in chowders, or as stuffed quahogs. More than a dozen methods and types of gear have been used in the last two centuries for harvesting quahogs. They include treading and using various types of rakes and dredges, both of which have undergone continuous improvements in design. Modern dredges are equipped with hydraulic jets and one type has an escalator to bring the quahogs continuously to the boats. In the early 1900’s, most provinces and states established regulations to conserve and maximize yields of their quahog stocks. They include a minimum size, now almost universally a 38-mm shell width, and can include gear limitations and daily quotas. The United States produces far more quahogs than either Canada or Mexico. The leading producer in Canada is Prince Edward Island. In the United States, New York, New Jersey, and Rhode Island lead in quahog production in the north, while Virginia and North Carolina lead in the south. Connecticut and Florida were large producers in the 1990’s. The State of Tabasco leads in Mexican production. In the northeastern United States, the bays with large openings, and thus large exchanges of bay waters with ocean waters, have much larger stocks of quahogs and fisheries than bays with small openings and water exchanges. Quahog stocks in certified beds have been enhanced by transplanting stocks to them from stocks in uncertified waters and by planting seed grown in hatcheries, which grew in number from Massachusetts to Florida in the 1980’s and 1990’s.

Quahogs in Eastern North America: Part I, Biology, Ecology, and Historical Uses

The northern quahog, Mercenaria mercenaria, ranges along the Atlantic Coast of North America from the Canadian Maritimes to Florida, while the southern quahog, M. campechiensis, ranges mostly from Florida to southern Mexico. The northern quahog was fished by native North Americans during prehistoric periods. They used the meats as food and the shells as scrapers and as utensils. The European colonists copied the Indians treading method, and they also used short rakes for harvesting quahogs. The Indians of southern New England made wampum from quahog shells, used it for ornaments and sold it to the colonists, who, in turn, traded it to other Indians for furs. During the late 1600’s, 1700’s, and 1800’s, wampum was made in small factories for eventual trading with Indians farther west for furs. The quahoging industry has provided people in many coastal communities with a means of earning a livelihood and has provided consumers with a tasty, wholesome food whether eaten raw, steamed, cooked in chowders, or as stuffed quahogs. More than a dozen methods and types of gear have been used in the last two centuries for harvesting quahogs. They include treading and using various types of rakes and dredges, both of which have undergone continuous improvements in design. Modern dredges are equipped with hydraulic jets and one type has an escalator to bring the quahogs continuously to the boats. In the early 1900’s, most provinces and states established regulations to conserve and maximize yields of their quahog stocks. They include a minimum size, now almost universally a 38-mm shell width, and can include gear limitations and daily quotas. The United States produces far more quahogs than either Canada or Mexico. The leading producer in Canada is Prince Edward Island. In the United States, New York, New Jersey, and Rhode Island lead in quahog production in the north, while Virginia and North Carolina lead in the south. Connecticut and Florida were large producers in the 1990’s. The State of Campeche leads in Mexican production. In the northeastern United States, the bays with large openings, and thus large exchanges of bay waters with ocean waters, have much larger stocks of quahogs and fisheries than bays with small openings and water exchanges. Quahog stocks in certifi ed beds have been enhanced by transplanting stocks to them from stocks in uncertified waters and by planting seed grown in hatcheries, which grew in number from Massachusetts to Florida in the 1980’s and 1990’s.

Humpback and Fin Whaling in the Gulf of Maine from 1800 to 1918

The history of whaling in the Gulf of Maine was reviewed primarily to estimate removals of humpback whales, Megaptera novaeangliae, especially during the 19th century. In the decades from 1800 to 1860, whaling effort consisted of a few localized, small-scale, shore-based enterprises on the coast of Maine and Cape Cod, Mass. Provincetown and Nantucket schooners occasionally conducted short cruises for humpback whales in New England waters. With the development of bomb-lance technology at mid century, the ease of killing humpback whales and fin whales, Balaenoptera physalus, increased. As a result, by the 1870’s there was considerable local interest in hunting rorquals (baleen whales in the family Balaenopteridae, which include the humpback and fin whales) in the Gulf of Maine. A few schooners were specially outfitted to take rorquals in the late 1870’s and 1880’s although their combined annual take was probably no more than a few tens of whales. Also in about 1880, fishing steamers began to be used to hunt whales in the Gulf of Maine. This steamer fishery grew to include about five vessels regularly engaged in whaling by the mid 1880’s but dwindled to only one vessel by the end of the decade. Fin whales constituted at least half of the catch, which exceeded 100 animals in some years. In the late 1880’s and thereafter, few whales were taken by whaling vessels in the Gulf of Maine.

The History and Literature of America's Oysters

Historically, America's use and enjoyment of the oyster extend far back into prehistoric times. The Native Americans often utilized oysters, more intensively in some areas than in others, and, at least in some areas of the Caribbean and Pacific coast, the invading Spanish sought oysters as eagerly as they did gold-but for the pearls. That was the pearl oyster, Pinctada sp., and signs of its local overexploitation were recorded early in the 16th century. During the 1800's, use of the eastern oyster grew phenomenally and, for a time, it outranked beef as a source of protein in some parts of the nation. Social events grew up around it, as it became an important aspect of culture and myth. Eventually, research on the oyster began to blossom, and scientific literature on the various species likewise bloomed-to the extent that when the late Paul Galtsoff wrote his classic treatise "The American oyster Crassostrea virginica Gmelin" in 1954, he reported compiling an extensive bibliography of over 6,000 subject and author cards on oysters and related subjects which he deposited in the library of the Woods Hole Laboratory of the Bureau of Commercial Fisheries (now NMFS). That large report, volume 64 (480 pages) of the agency's Fishery Bulletin, was a bargain at $2.75, and it has been a standard reference ever since. But the research and the attendant literature have grown greatly since Galtsoff's work was published, and now that has been thoroughly updated.