Oficinas de espiritualidade: alternativa de cuidado para o tratamento integral de dependentes químicos

Trata-se de um relato de experiência vivenciada com usuários de crack sob tratamento de desintoxicação, na qual se buscou alcançar o cuidado integral ao ser humano por meio de oficinas de espiritualidade. Cultivadas e dinamizadas a partir de inspirações dos próprios integrantes, as oficinas se constituem em estratégias capazes de estimular o repensar de atitudes e comportamentos, bem como reassumir a vida com base em novos valores e ideais. O relato visa, em suma, contribuir para a ampliação das discussões sobre o tema, oferecendo subsídios para o repensar da prática do enfermeiro no tratamento de desintoxicação, além de assinalar a necessidade de condução de pesquisas nessa área.

An Integral Abutment Bridge with Precast Concrete Piles, May 2007

The use of precast, prestressed concrete piles in the foundation of bridge piers has long been recognized as a valuable option for bridge owners and designers. However, the use of these precast, prestressed concrete piles in integral abutment bridges has not been widespread because of concerns over pile flexibility and the potential for concrete cracking and deterioration of the prestressing strands due to long-term exposure to moisture. This report presents the details of the first integral abutment bridge in the state of Iowa that utilized precast, prestressed concrete piles in the abutment. The bridge, which was constructed in Tama County in 2000, consists of a 110 ft. long, 30 ft. wide, single-span PC girder superstructure with a left-side-ahead 20º skew angle. The bridge was instrumented with a variety of strain gages, displacement sensors, and thermocouples to monitor and help in the assessment of structural behavior. The results of this monitoring are presented, and recommendations are made for future application of precast, prestressed concrete piles in integral abutment bridges. In addition to the structural monitoring data, this report presents the results of a survey questionnaire that had been mailed to each of the 50 state DOT chief bridge engineers to ascertain their current practices for precast, prestressed concrete piles and especially the application of these piles in integral abutment bridges.

SIS: Sistema Integral Sanitario

Desarrollo de una aplicación para responder a la necesidad del ministerio de Sanidad de informatizar todo el sistema sanitario, desde hospitales hasta farmacias.

Further insights on the French WISC-IV factor structure through Bayesian structural equation modeling

The interpretation of the Wechsler Intelligence Scale for Children-Fourth Edition (WISC-IV) is based on a 4-factor model, which is only partially compatible with the mainstream Cattell-Horn-Carroll (CHC) model of intelligence measurement. The structure of cognitive batteries is frequently analyzed via exploratory factor analysis and/or confirmatory factor analysis. With classical confirmatory factor analysis, almost all crossloadings between latent variables and measures are fixed to zero in order to allow the model to be identified. However, inappropriate zero cross-loadings can contribute to poor model fit, distorted factors, and biased factor correlations; most important, they do not necessarily faithfully reflect theory. To deal with these methodological and theoretical limitations, we used a new statistical approach, Bayesian structural equation modeling (BSEM), among a sample of 249 French-speaking Swiss children (8-12 years). With BSEM, zero-fixed cross-loadings between latent variables and measures are replaced by approximate zeros, based on informative, small-variance priors. Results indicated that a direct hierarchical CHC-based model with 5 factors plus a general intelligence factor better represented the structure of the WISC-IV than did the 4-factor structure and the higher order models. Because a direct hierarchical CHC model was more adequate, it was concluded that the general factor should be considered as a breadth rather than a superordinate factor. Because it was possible for us to estimate the influence of each of the latent variables on the 15 subtest scores, BSEM allowed improvement of the understanding of the structure of intelligence tests and the clinical interpretation of the subtest scores.

Suivi du patient oncologique, garant de la permanence de soi [Follow-up of the cancer patient, maintaining self-identity]

L'individu confronté au diagnostic de cancer subit un bouleversement brutal de ses repères et de ses habitudes. La maladie représente une menace pour son équilibre de vie et sa stabilité sociale. Sa capacité à faire face et à opérer différents remaniements dans sa façon d'être au monde et d'envisager l'avenir est en partie déterminée par ses ressources personnelles. Toutefois, le soutien émotionnel peut également représenter un moyen privilégié de donner du sens à cette expérience singulière qu'est la maladie. La reconstruction narrative dans un cadre soutenant, caractérisé par une écoute bienveillante, offre au patient la possibilité de reconnaître sa souffrance comme partie intégrante de lui-même. Un récit de vie qui intègre la maladie lui permet de se réapproprier son histoire. Cette démarche nécessite de la part du thérapeute une disponibilité psychique et temporelle et la capacité de soutenir le patient dans un processus de liaison à travers les différentes étapes de la maladie. The individual facing the diagnosis of cancer is subjected to abrupt changes with regard to his inner world, his life, habits and social relationships. The patient's capacity to cope, to integrate changes in the way of living and to face the future is determined by his personal resources. However, psychological support may also be an important mean to search for and find sense to the singular experience of the illness. The narrative reconstruction within a supportive setting provides the patient a possibility to recognise his sufferance as an integral part of himself. A life narrative, which integrates the illness, allows the patient to re-appropriate his history again. Such a therapeutic project necessitates from the therapist a psychological and temporal disponibility and a capacity to create links all along the different stages of the disease.

Cabo Verde: um desafio teórico-paradigmático ou um caso Singular?

Fruto de uma experiência de pesquisa em curso, este pequeno ensaio incide sobre a análise do Estado cabo-verdiano no contexto do «paradigma» hegemónico de catalogação (hierárquica) dos Estados na esfera internacional, que vem progressivamente se revelando como sendo uma abordagem inadequada, principalmente no que diz respeito à catalogação de determinados Estados como sendo «frágeis», «falhados» ou «colapsados». Essa análise permitiu a constatação de que Cabo Verde se apresenta com uma dupla «vantagem»: por um lado, constitui uma prova empírico/conceptual da inadequação do referido «paradigma» e simultaneamente surge, a nosso ver, como um caso excepcional de relativo sucesso que se enquadra numa abordagem normativa inovadora.

Sistema de Talleres Dirigido a la Superación Profesional de los Docentes de la Enseñanza Básica Integral en la Atención a la Diversidad de Niños con Necesidades Educativas Especiales en la República de Cabo Verde

La presente tesis abordó un tema de gran actualidad y pertinencia social: la superación profesional de los docentes de la Enseñanza Básica Integral en atención a la diversidad de niños con necesidades educativas especiales en la República de Cabo Verde, da una respuesta encaminada a la atención a la diversidad en la escuela regular, esta como la diferencia entre culturas, lenguas, valores, sexualidad, género, religión, desarrollo y necesidades educativas especiales asociadas a una discapacidad. Esta necesidad ha sido reconocida en documentos nacionales e internacionales como la Ley General de Educación la Declaración Universal de la UNESCO. Se asume como el proceso de atención psicopedagógica encaminada a los alumnos con necesidades educativas especiales y se considera como uno de los principales retos que la sociedad actual, creciente en su pluralidad, plantea al sistema educativo, y en concreto a las instituciones escolares. Es objetivo del trabajo proponer un sistema de talleres dirigido a la superación profesional de los docentes en la atención a la diversidad de niños con necesidades educativas especiales. Desde el enfoque general dialéctico materialista y los métodos teóricos y empíricos de investigación se modela la solución del problema. Los datos obtenidos revelan las posibilidades de cambios y transformación en el objeto de estudio: la superación de los docentes en la atención a la diversidad necesidades educativas especiales regular.

A singular function and its relation with the number systems involved in its definition

Minkowski's ?(x) function can be seen as the confrontation of two number systems: regular continued fractions and the alternated dyadic system. This way of looking at it permits us to prove that its derivative, as it also happens for many other non-decreasing singular functions from [0,1] to [0,1], when it exists can only attain two values: zero and infinity. It is also proved that if the average of the partial quotients in the continued fraction expansion of x is greater than k* =5.31972, and ?'(x) exists then ?'(x)=0. In the same way, if the same average is less than k**=2 log2(F), where F is the golden ratio, then ?'(x)=infinity. Finally some results are presented concerning metric properties of continued fraction and alternated dyadic expansions.

Rate of convergence of a particle method to the solution of the Mc Kean-Vlasov's equation

This paper studies the rate of convergence of an appropriatediscretization scheme of the solution of the Mc Kean-Vlasovequation introduced by Bossy and Talay. More specifically,we consider approximations of the distribution and of thedensity of the solution of the stochastic differentialequation associated to the Mc Kean - Vlasov equation. Thescheme adopted here is a mixed one: Euler/weakly interactingparticle system. If $n$ is the number of weakly interactingparticles and $h$ is the uniform step in the timediscretization, we prove that the rate of convergence of thedistribution functions of the approximating sequence in the $L^1(\Omega\times \Bbb R)$ norm and in the sup norm is of theorder of $\frac 1{\sqrt n} + h $, while for the densities is ofthe order $ h +\frac 1 {\sqrt {nh}}$. This result is obtainedby carefully employing techniques of Malliavin Calculus.

Riesz-Nágy singular functions revisited

In 1952 F. Riesz and Sz.Nágy published an example of a monotonic continuous function whose derivative is zero almost everywhere, that is to say, a singular function. Besides, the function was strictly increasing. Their example was built as the limit of a sequence of deformations of the identity function. As an easy consequence of the definition, the derivative, when it existed and was finite, was found to be zero. In this paper we revisit the Riesz-N´agy family of functions and we relate it to a system for real numberrepresentation which we call (t, t-1) expansions. With the help of these real number expansions we generalize the family. The singularity of the functions is proved through some metrical properties of the expansions used in their definition which also allows us to give a more precise way of determining when the derivative is 0 or infinity.

Aprovechamiento de la materia prima en la elaboración de harina de pescado tipo integral

Estudio técnico y económico de dos métodos del aprovechamiento de la materia prima en la elaboración de harina de pescado tipo integral. Contiene el balance de materia y la composición de la materia prima y sus rendimientos.