Caminhos para a avaliação da formação em odontologia: desenvolvimento, validação e aplicação de critérios

The need for universal access to health and the failure of the pedagogical model centered on the transmission of knowledge has led to changes in the training of health professionals. The objective of this study was to provide a new alternative for evaluating dental students through the development, validation and application of evaluation criteria based on the National Curriculum Guidelines (DCN in Brazil). Therefore, the study was conducted in three phases: development and validation of evaluation criteria of Dentistry courses based on the DCN; a pilot study to verify the applicability of the validated criteria and evaluation of the dentistry courses in the Northeast. In the first stage, a logical model was formulated, allowing for the construction of a criteria matrix, validated by a modified Delphi consensus technique. The validated matrix has the following dimensions: Profile of graduates, health care guidance, teaching and service integration, and pedagogical approach. The pilot study was conducted in five dental courses through a documentary study of the pedagogical project course (PPC), and application of validated questionnaires and interviews with course coordinators. The results of the pilot study indicate the possibility of being verified by means of validated criteria and using different methodological proposals, advances and curricular limitations facing the proposed reorientation of training recommended by DCN. The evaluation of Northeast Dentistry courses was carried out by applying a questionnaire validating a matrix of 30 course coordinators, including public and private institutions. The data were submitted to descriptive analysis, and also tested the difference between means and the correlation between the assessment of the coordinators in the dimensions and sub-dimensions with each other, among the general evaluation of courses and between the following variables: administrative category, time since last curriculum updating, participation in reorienting the training of health professionals programs, ENADE and CPC (Preliminary Concepts of the Course) scores in the year 2013. Positive correlation (p <0.01) was found between the means obtained by the perception of the coordinators in most dimensions, and also between them and the overall performance of the course. There were no significant differences between the coordinators’ perception about course performance and the administrative category (public / private). This difference is slightly higher when the average performance is compared with respect to time due to the last curriculum update, getting better performance in courses with the latest updated curriculum, even with there not 11 being this significant difference between dimensions. Better averages of performance were obtained in courses that do not participate in reorientation programs of professional training, with a significant difference (p<0.05) for the overall score and for all dimensions except the dimensions of teaching-service Integration (p = 0.064). There was no significant correlation between the assessment of coordinators in all dimensions, in the overall assessment or ENADE and CPC scores in 2013. The final instrument proposed in this study is a different alternative assessment for health training of both dentists and other professionals, considering that the DCN providing for the training and graduation of professionals is focused on the health needs of the population, integrated with the SUS (the National Brazilian Health System) and based on student-centered learning.

L'image principale de profil, symbole de l'individu connecté

Depuis le début du XXIe siècle, un type particulier d’images a envahi l’espace public constitué par Internet : il s’agit des images principales de profil, ces images que les utilisateurs de sites de réseaux sociaux choisissent pour les représenter auprès des autres individus connectés. Comme le plus souvent il s’agit d’une image du corps de celui ou celle qui s’affiche ainsi, il est intéressant de s’intéresser à cette pratique en la rattachant à des pratiques plus anciennes. Dans un premier temps, cette étude présente donc une perspective socio-historique en notant la ressemblance de la pratique de l’image principale de profil avec celle de l’autoportrait et du portrait commandé. Cela permet de remarquer plusieurs points de rupture ou d’inflexion dans l’usage de ce type d’images, mais aussi d’en dégager les usages sociaux typiques. Ensuite, l’observation d’un lieu particulier d’Internet permet de tirer les conclusions suivantes : si l’usage principal de ces images est facile à expliquer, elles servent à symboliser une présence dans des lieux non accessibles aux corps sensibles, ces images montrent toujours des éléments qui permettent de déduire une position sociale et elles sont fondamentalement identiques aux images produites avant Internet. Ensuite, l’étude de ces images montre qu’il y a un véritable continuum dans la manière de dévoiler son intimité qui permet d’affirmer que la frontière entre public et privé n’existe pas sur Internet. Finalement, ces images montrent une absence de canon quant à leur production et une multiplicité des façons de se mettre en scène qui laissent à penser qu’elles sont devenues des symboles à part entière dans la communication qui peut s’établir entre des étrangers sur Internet.

Market reforms and privatisation in the English National Health Service

The article examines developments in the marketisation and privatisation of the English National Health Service, primarily since 1997. It explores the use of competition and contracting out in ancillary services and the levering into public services of private finance for capital developments through the Private Finance Initiative. A substantial part of the article examines the repeated restructuring of the health service as a market in clinical services, initially as an internal market but subsequently as a market increasing opened up to private sector involvement. Some of the implications of market processes for NHS staff and for increased privatisation are discussed. The article examines one episode of popular resistance to these developments, namely the movement of opposition to the 2011 health and social care legislative proposals. The article concludes with a discussion of the implications of these system reforms for the founding principles of the NHS and the sustainability of the service.

Commodification of health care systems: The Catalan case

Commodification of the public healthcare system has been a growing process in recent decades, especially in universal healthcare systems and in high-income countries like Spain.  There are substantial differences in the healthcare systems of each autonomous region of Spain, among which Catalonia is characterized by having a mixed healthcare system with complex partnerships and interactions between the public and private healthcare sectors.  Using a narrative review approach, this article addresses various aspects of the Catalan healthcare system, characterizing the privatization and commodification of health processes in Catalonia from a historical perspective with particular attention to recent legislative changes and austerity measures.  The article approximates, the eventual effects that commodification and austerity measures will have on the health of the population and on the structure, accessibility, effectiveness, equity and quality of healthcare services.

Making personalised nutrition the easy choice: Creating policies to break down the barriers and reap the benefits

Personalised diets based on people’s existing food choices, and/or phenotypic, and/or genetic information hold potential to improve public dietary-related health. The aim of this analysis, therefore, has been to examine the degree to which factors which determine uptake of personalised nutrition vary between EU countries to better target policies to encourage uptake, and optimise the health benefits of personalised nutrition technology. A questionnaire developed from previous qualitative research was used to survey nationally representative samples from 9 EU countries (N = 9381). Perceived barriers to the uptake of personalised nutrition comprised three factors (data protection; the eating context; and, societal acceptance). Trust in sources of information comprised four factors (commerce and media; practitioners; government; family and, friends). Benefits comprised a single factor. Analysis of Variance (ANOVA) was employed to compare differences in responses between the United Kingdom; Ireland; Portugal; Poland; Norway; the Netherlands; Germany; and, Spain. The results indicated that respondents in Greece, Poland, Ireland, Portugal and Spain, rated the benefits of personalised nutrition highest, suggesting a particular readiness in these countries to adopt personalised nutrition interventions. Greek participants were more likely to perceive the social context of eating as a barrier to adoption of personalised nutrition, implying a need for support in negotiating social situations while on a prescribed diet. Those in Spain, Germany, Portugal and Poland scored highest on perceived barriers related to data protection. Government was more trusted than commerce to deliver and provide information on personalised nutrition overall. This was particularly the case in Ireland, Portugal and Greece, indicating an imperative to build trust, particularly in the ability of commercial service providers to deliver personalised dietary regimes effectively in these countries. These findings, obtained from a nationally representative sample of EU citizens, imply that a parallel, integrated, public-private delivery system would capture the needs of most potential consumers.

Affordable Housing Policies: An Overview

As urban housing markets throughout the United States increasingly exhibit challenges of affordability, federal, state, and local governments have placed renewed emphasis on housing, specifically mixed-income housing, which integrates affordable housing incentives into multifamily development projects. With such incentives, one must wonder what comprises a successful affordable housing policy and how affordable housing can be successfully implemented into a community. This article attempts to answer these questions by detailing the history of affordable housing policies, exploring some of the current affordable housing policies and programs, comparing affordable housing programs from different regions, and discussing some successful affordable housing programs and lessons that can be learned from them.

A life cycle framework for governance of Intermodal terminals; planning, operations and strategic management.

This chapter establishes a framework for the governance of intermodal terminals throughout their life cycle, based on the product life cycle. The framework covers the initial planning by the public sector, the public/private split in funding and ownership, the selection of an operator, ensuring fair access to all users, and finally reconcessioning the terminal to a new operator, managing the handover and maintaining the terminal throughout its life cycle. This last point is especially important as industry conditions change and the terminal's role in the transport network comes under threat, either by a lack of demand or by increased demand requiring expansion, redesign and reinvestment. Each stage of the life cycle framework is operationalised based on empirical examples drawn from research by the authors on intermodal terminal planning and funding, the tender process and concession and operation contracts. In future the framework can be applied in additional international contexts to form a basis for transport cost analysis, logistics planning and government policy.

Contradictory male/masculine/men's "I"s: the unwriting of men, and the concept of sex

May I start with two observations? First, men’s relations to feminism are problematic—there is always a gap, a gap between men and feminism; second, the gendering of men and masculinities is now recognised. There are several challenges here. The gender challenge concerns how to move from the presumed “genderlessness” of men towards the gender-consciousness of being a man/men. Another challenge concerns the “public/private,” the disruption of dominant narratives of “I” of men and the masculine “I.” There is also a temporal challenge, of moving away from simple linearity of the “I.” Together, these challenges can be seen as moving away from taken-for-granted “gender power-coherence” towards gender power-consciousness. To address these kinds of question means interrogating the uneven non-equivalences of what it means to be male, a man, masculine. This is not easily reduced to sex or gender. Rather gender/sex, or simply gex, helps to speak of such blurrings.

L'image principale de profil, symbole de l'individu connecté

Depuis le début du XXIe siècle, un type particulier d’images a envahi l’espace public constitué par Internet : il s’agit des images principales de profil, ces images que les utilisateurs de sites de réseaux sociaux choisissent pour les représenter auprès des autres individus connectés. Comme le plus souvent il s’agit d’une image du corps de celui ou celle qui s’affiche ainsi, il est intéressant de s’intéresser à cette pratique en la rattachant à des pratiques plus anciennes. Dans un premier temps, cette étude présente donc une perspective socio-historique en notant la ressemblance de la pratique de l’image principale de profil avec celle de l’autoportrait et du portrait commandé. Cela permet de remarquer plusieurs points de rupture ou d’inflexion dans l’usage de ce type d’images, mais aussi d’en dégager les usages sociaux typiques. Ensuite, l’observation d’un lieu particulier d’Internet permet de tirer les conclusions suivantes : si l’usage principal de ces images est facile à expliquer, elles servent à symboliser une présence dans des lieux non accessibles aux corps sensibles, ces images montrent toujours des éléments qui permettent de déduire une position sociale et elles sont fondamentalement identiques aux images produites avant Internet. Ensuite, l’étude de ces images montre qu’il y a un véritable continuum dans la manière de dévoiler son intimité qui permet d’affirmer que la frontière entre public et privé n’existe pas sur Internet. Finalement, ces images montrent une absence de canon quant à leur production et une multiplicité des façons de se mettre en scène qui laissent à penser qu’elles sont devenues des symboles à part entière dans la communication qui peut s’établir entre des étrangers sur Internet.

Akcje wielogłosowe w spółce publicznej

Występowanie akcji wielogłosowych w spółkach publicznych nie zawsze jest postrzegane jako zjawisko pozytywne. Niektóre regulacje zachodnioeuropejskie wyłączyły dopuszczalność wprowadzania akcji wielogłosowych albo doprowadziły do ich ograniczenia. Polski ustawodawca przyjął rozwiązanie, zgodnie z którym w spółce akcyjnej (niepublicznej) maksymalny pułap uprzywilejowania głosowego wynosi dwa głosy na jedną akcję. W odniesieniu jednak do spółki publicznej posłużono się niefortunnym sformułowaniem „uprzywilejowanie co do głosu nie dotyczy spółki publicznej”. W doktrynie napotkać można różnice w poglądach, co do obecnie obowiązujących przepisów regulujących tytułową problematykę. Wskazuje się, że przepis art. 351 § 2 zdanie drugie Kodeksu spółek handlowych może być rozumiany niejednolicie. Występowanie wielogłosowych akcji w spółkach publicznych wiąże się między innymi ze zmianą stanu prawnego, ale także, ze stanem faktycznym polegającym na uzyskaniu przez spółkę niepubliczną (prywatną) statusu spółki publicznej. Publikacja obejmuje teoretyczno-prawne rozważania związane z akcjami wielogłosowymi w spółkach publicznych. Celem artykułu jest przybliżenie tytułowej problematyki, począwszy od zagadnienia akcji wielogłosowych ustanowionych na gruncie nieobowiązującego już stanu prawnego, a zakończywszy na upublicznieniu spółki i wynikających z tego konsekwencjach w odniesieniu do akcji uprzywilejowanych co do głosu.

Adding Value to Manufacturing: Thirty Years of European Framework Program Activity

Part 1: Introduction

Segurança pública e privada

A presente investigação teve como objetivo analisar o carácter subsidiário e complementar dos serviços de segurança privada, face à atividade desenvolvida pelas forças e serviços de segurança. Centrada nos espetáculos desportivos, procurou mostrar de que forma se materializa a complementaridade e subsidiariedade entre serviços de segurança privada e as forças e serviços de segurança. Através de uma estratégia de investigação qualitativa, concretizada a partir de uma pesquisa documental e um inquérito por entrevista semiestruturada, cujos dados foram alvo de análise de conteúdo, pretendeu-se recolher informação que permita à GNR melhorar a sua atuação na segurança dos espetáculos desportivos. No âmbito da segurança interna, a segurança privada assume um papel fundamental no garante da segurança, a par das atividades desenvolvidas pelas forças e serviços de segurança. Nos espetáculos desportivos, esta relação simbiótica é evidente, sendo um claro exemplo de uma abordagem integrada a este direito fundamental. Conclui-se que a relação, prevista legalmente como complementar e subsidiária, entre serviços de segurança privada e forças e serviços de segurança, se materializa pela adoção e normalização de diversos mecanismos de coordenação e articulação, mas principalmente pela partilha de um fim último comum: a segurança de todos os cidadãos. Abstract: Inserted in the CEMC 2015-16, this work aims to analyze the alternative and complementary nature of private security services, due to the activity carried out by Police Forces. Focusing on sports events, this research sought to show how materializes complementarity and subsidiarity between private security services and Police forces. Through a qualitative research strategy, implemented from documental research and a survey by semi-structured interviews, whose data were subjected to content analysis, we intended to collect information to the GNR improve their performance in the safety of sports events. In the context of internal security, private agents play a key role in security guarantees, along with the activities carried out by security forces and services. In sports events, this symbiotic relationship is too obvious, being a clear example of an integrated approach to this fundamental right. It was concluded that the relationship provided legally as complementary and subsidiarity between private security companies and security forces and services, materializes the adoption and standardization of various mechanisms for coordination and articulation, but mostly by sharing an end last common: the safety of all citizens.

An interaction and network perspective of horizontal relationships in the portuguese pharmaceutical industry

Doutoramento em Gestão

Um quotidiano rural no espaço urbano

Dissertação para obtenção do grau de Mestre em Arquitectura, apresentada na Universidade de Lisboa - Faculdade de Arquitetura.

No caminho da cidadania...

No pós-guerra iniciou-se um processo de internalização política dos direitos fundamentais das mulheres com base na Declaração Universal dos Direitos do Homem, (10 de dezembro de 1948), onde são enaltecidos direitos e valores como a Liberdade e a Igualdade. A adoção da Declaração por parte de países democráticos, como o caso de Portugal, conduziu ao exercício de cidadania plena, independentemente do género, da raça e da religião. Assim, a não discriminação tornou-se um princípio a aplicar nas esferas familiares, públicas e laborais. Tal significa, por exemplo, partilha de tarefas domésticas entre homens e mulheres, participação na vida comunitária e iguais oportunidades laborais. Mas foram superadas as discriminações? Que se passa a nível laboral? A presente dissertação resulta de uma investigação sobre a situação laboral das mulheres em serviços onde constitucionalmente usufruem dos mesmos direitos que os seus colegas homens. Incide sobre os serviços públicos, privados e empresas de Ponte de Sor e tem por referencial o III Plano Nacional para a Igualdade de Cidadania e Género (2007/2010), cuja principal linha orientadora é "o aprofundamento de atividade política e de realidade social (gendermainstreaming)" (2007, p.l5). Com a realização deste estudo concretizámos um trabalho constituído por 3 capítulos, onde se constata que “No Caminho da Cidadania..." é um processo lento. No primeiro capítulo procurou-se abordar a origem histórica do conceito de cidadania e no capítulo segundo tratou­ se da relação da mulher com o trabalho e o poder. O terceiro capítulo, e último, dá conta dos resultados de questionários realizados em Ponte de Sor, nos serviços públicos e privados, e empresas. A conclusão revela a perplexidade causada pela quase indiferença em relação às questões de género nos Serviços questionados em Ponte de Sor. SUMMARY: After World War I began a process of political antinationalization of the women fundamental rights based on the Universal Declaration of the Human Rights, (1Oth December 1948), where rights and values like liberty and equality are exalted. The adoption of the Declaration by the democratically countries, like Portugal, leaded to the execution of full citizenship, independently of gender, race and religion. Therefore, nondiscrimination became a principle to apply in the family, public and labor spheres. This means, for example, share of domestic tasks between men and women, participation in the communal life, and equal opportunities of labor. But were the discriminations surpassed? What is going on the labor level This dissertation results from an inquiry about the labor situation of women in service where constitutionally make uses of the same rights as their colleague’s men. It reflects on the public, private and companies of Ponte de Sor which has for yardstick the III National Plan for Equality of Citizenship and Gender (2007/2010), whose mainline adviser is "the political activity and the social reality deepening (gender mainstreaming)" (2007, p.15). Through this study we fixed a work constituted by three chapters, where it established that "On the Path of Citizenship ..." is a slow process. ln the first chapter tried to broach the historical origin of the concept of citizenship and in the second paragraph was approached the relation of women with labor and power. The third, and last, chapter tries to show the results of questionnaires carried out in Ponte de Sor, in the public, private services and companies. The conclusion reveals the perplexity caused by the barely indifference regarding the questions of genre in the Services questioned in Ponte de Sor.