966 resultados para Legalization of regulation
Resumo:
This thesis examines the phenomenon of strategy. Making as practised by small professional football clubs. The study was undertaken because football clubs were perceived to have problems with strategy-making and because it was believed that the specific circumstances of football clubs could be outside the range of views covered by conventional views of strategy-making. The characteristics of the club environment are its uncertainty and unpredictability, simultaneous competition and co--operation, strong regulations, and a not-for-profit orientation. Small clubs in particular face a constant struggle for financial viability and survival, due in part to split business and playing objectives. The study was designed to establish the extent and nature of the difficulties clubs experience with a view to preparing the way for creating practical guidance on ways to overcome them. Clearly, in order to survive in the long term, small professional football clubs require very effective strategic decisions. This study has addressed this issue by inquiring into the nature of strategy making for these organisations with the objective to establish the general direction in which the football clubs in question should be moving. As a result, the main research question to guide this investigation was determined as: Why do small professional football clubs have difficulties making strategies. The investigation was based on an analysis the concept of strategy and its elements, the strategic vision and objectives, the process by which strategic action comes about, the strategic action itself, and the context within which this action occurs. Data has been collected, analysed and interpreted in relation to each of these elements. Together with a wide variety of published material, 20 small football clubs have been sampled and personal interviews were conducted with board members of those clubs. The findings indicate that small football clubs do indeed experience considerable difficulties in making strategies, the reasons for which lie both in the characteristics of their competitive environment and their approaches to strategy-making. The competitive environment is characterised by a cartel-like structure with a high degree of regulation, high levels of uncertainty, little control over the core product or the production process, short-term business cycles and a close geographical link between a club with its local market. The management of clubs is characterised by the need to balance conflicting sporting and business objectives. Formal planning techniques are of little use in the small football club context as decision-making processes have a strong political character and the development of novel strategies is hindered by a strong conservative, industry paradigm and a lack of financial and managerial resources. It is concluded that there is no simple advice to be given to clubs, as they must re-examine the relationship between their playing and business objectives to create a unified and workable approach.
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New Approach’ Directives now govern the health and safety of most products whether destined for workplace or domestic use. These Directives have been enacted into UK law by various specific legislation principally relating to work equipment, machinery and consumer products. This research investigates whether the risk assessment approach used to ensure the safety of machinery may be applied to consumer products. Crucially, consumer products are subject to the Consumer Protection Act (CPA) 1987, where there is no direct reference to “assessing risk”. This contrasts with the law governing the safety of products used in the workplace, where risk assessment underpins the approach. New Approach Directives are supported by European harmonised standards, and in the case of machinery, further supported by the risk assessment standard, EN 1050. The system regulating consumer product safety is discussed, its key elements identified and a graphical model produced. This model incorporates such matters as conformity assessment, the system of regulation, near miss and accident reporting. A key finding of the research is that New Approach Directives have a common feature of specifying essential performance requirements that provide a hazard prompt-list that can form the basis for a risk assessment (the hazard identification stage). Drawing upon 272 prosecution cases, and with thirty examples examined in detail, this research provides evidence that despite the high degree of regulation, unsafe consumer products still find their way onto the market. The research presents a number of risk assessment tools to help Trading Standards Officers (TSOs) prioritise their work at the initial inspection stage when dealing with subsequent enforcement action.
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This paper aims to analyse the impact of regulation in the financial performance of the Water and Sewerage companies (WaSCs) in England and Wales over the period 1991–2008. In doing so, a panel index approach is applied across WaSCs over time to decompose unit-specific index number-based profitability growth as a function of the profitability, productivity and price performance growth achieved by benchmark firms, and the catch up to the benchmark firm achieved by less productive firms. The results indicated that after 2000 there is a steady decline in average price performance, while productivity improves resulting in a relatively stable economic profitability. It is suggested that the English and Welsh water regulator is now more focused on passing productivity benefits to consumers, and maintaining stable profitability than it was in earlier regulatory periods. This technique is of great interest for regulators to evaluate the effectiveness of regulation and companies to identify the determinants of profit change and improve future performance, even if sample sizes are limited.
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This dissertation analyzes recent financial crises in developed and developing countries. The research emphasizes the effects of institutional factors on the international banking and currency crises and their output losses. ^ Chapter two examines the roles of regulation, supervision, and countries' institutional environment in determining the probability of banking crises for a panel of fifteen developed countries from 1975 to 1998. The results from a multivariate logit model indicated that countries with greater government involvement, less capital standard requirements, and lower lending limits on a single borrower are associated with a higher probability of banking crises. ^ Chapter three studies whether output loss in banking crisis differs in market-based or bank-based financial systems. Using existing banking crisis data for sixty-nine countries during 1970–1999, we investigate whether the underlying financial system affects the output loss. The results show that output losses are more serious in market-based economies than those in bank-based economies. Longer crisis duration tends to increase the output losses in banking crises. Finally, countries with deposit insurance and strict law enforcement have less output losses. ^ Chapter four uses macroeconomic and institutional measures to explain the extent of exchange rate depreciation and the decline in stock prices for emerging countries affected by the Mexican currency crisis of 1994–95. The results show that countries with more government budget deficits, and worse reserve adequacies tend to experience large exchange rate depreciation. The institutional measures do not explain much the extent of both the exchange rate depreciation and the decline in stock prices. ^
Resumo:
The public health is a project that struggles for a fair, resolutive and democratic health and that aims to help the collective and social bodies starting from their real needs, being totally involved with inequality and social determination issues. Thus, it is of fundamental importance to form a professional commited to this project. This current study aims to understand the perception of teachers/militants of Public Health about the graduation of Healthcare professionals. Therefore, we look forward answering the following question: Which elements are relevant to the formation of the sanitarian professional? This is a field research, descriptive and exploratory, with a qualitative approach. For data collection, we used a semi-structured interview technique with veteran professionals as sanitarians and teachers of Public Health area. The data were analyzed based on the technique of thematic analysis of subject. This technique consists in structuring the text in units, in categories according analogic reunification. In this sense, were organized three analysis categories, whose titles were guided according to the study objectives, namely: "The Institutional Formation of Sanitarians"; "Elements that contribute to the Sanitarian formation " and "Possible Paths in Sanitarian Formation". Four main elements of sanitarian formation were emphasized: technical capacity to develop a sanitation work, based on three conceptual pillars of Public Health; Framework, foundation and support on Social Sciences, in the social concepts of health; Life history of the student, implication of this with the Public Health object; Field operation, in the territory, directly integrated to the service and the health system. The intervieweds imagine a path to the sanitarian formation: the Public Health should be well explored in its theory and practice in graduation, in any health area and obviously in the graduation of Public Health; the Lato Sensu courses, especially residency, would need a theoretical upgrading, given the creation of undergraduate courses on the area; the Stricto Sensu courses, while forming researchers and teachers in the area, should develop productions involved with the health system and the object of Public Health, in order to bring an effective return, in terms of applicability, in the health system. It is suggested that such a path should be complementary, in a sense of adding knowledge as it travels through graduation, postgraduation Lato Sensu and post-graduation Stricto Sensu. The idea, in general, is that the graduate-residence set / specialization-mastering / PhD compose a linear formation, ascending and complementary. To follow all this process effectively, it is necessary, and urgent, to think of regulation strategies of the formating procedures. It is also recommended that more studies are conducted in this area, specially a more careful evaluation of the undergraduate courses in Public Health, which is a current and relatively new issue on formation in the area.
Resumo:
The work referred to above, in order to contribute to the legal issues, economic, political and social of the violation of social rights, performs even firmer approach to various implementation mechanisms of social rights in Brazil. Therefore, it begins the study dealing with aspects and important characters of the rights under discussion, as its normative forecast, concept, classifications; respect of social rights with the existential minimum; the principle of reservation of the possible and the need to use this principle as optimization commandment of state resources and the deficit of the realization of social rights in the country. This, in later chapters, in an interdisciplinary approach, challenges and proposals for the realization of social rights by bringing in each chapter, mechanisms for such implementation. That way, as a general objective, it has been to contribute to the discussed problems, when present proposals for the realization of social rights in the Brazilian context. As specific objectives, as well as record the key aspects of the rights in allusion, the one has to promote the perspective of economic development and taxation as posts instruments that the State must be focused on the promotion of social rights by registering in this context that nonexistent economic development without reducing poverty, misery and social inequality and adding that there should be a directly proportional relationship between the tax burden in the country and the human and social development index; analyze the achievement of budget control as essential and healthy measure for the realization of social rights; highlight the importance of society to the achievement of unavailable social interests, affirming the need for the implementation of participatory democracy and, in this line, brings knowledge of the Constitution and the constitutional sense as elements that provide the constitutional progress. Finally, it presents a study on public policies, considering that these are equivalent to the primary means of the promotion of social rights. That way it analyzes the stages that integrate public policies, ranging from the perception of social problems for evaluation and control of the policies implemented; debate about the administrative discretion in when it comes to public policies; brings the classification of essential public policies, the relationship of these with the existential minimum, control parameters and, finally, the legalization of public policy, regarded as legitimate to remedy the unconstitutional state failure and give normative effectiveness and strength to the defining constitutional rules for fundamental social rights. It uses to achieve the objectives outlined, the bibliographic and normative approach method and performs an analysis of jurisprudence related understandings to matter. In the conclusions, it rescues the most important aspects elucidated at work, with the aim of giving emphasis to the proposals and mechanisms that contribute to the solution of the discussed problems.
Resumo:
Centrée essentiellement autour de la parole épiscopale congolaise, la présente recherche porte sur les articulations de la religion et du politique dans une perspective limitée au catholicisme en RDC. En prenant pour base empirique la ville de Kinshasa, elle thématise les effets des dynamiques religieuses sur les fermentations sociales et les changements politiques dans un contexte d’autoritarisme. Celui-ci est, dans ce travail, problématisé comme le fait conjoint de l’institution étatique et de l’organisation religieuse catholique. Le choix de cette approche relationnelle basée sur les interactions entre religion et politique, permet d’inscrire ce travail dans le champ d’études des sciences des religions. L’approche retenue s’appuie également sur les avancées de la sociologie politique et éclaire la régulation religieuse du politique, rarement étudiée par les sciences humaines. Cette recherche s’inscrit donc à l’intersection entre l’histoire, la sociologie, les sciences politiques, l’anthropologie, l’analyse du discours, la philosophie et la théologie. Sa thèse centrale est organisée autour d’une question principale : comment la religion participe-t-elle à la régulation du politique dans le contexte d’autoritarisme caractéristique de la RDC ? La réponse à cette question croise l’approche fonctionnelle de la religion et l’analyse des déclarations institutionnelles de l’épiscopat congolais. Elle esquisse les relations entre, d’une part, contextes et événements sociopolitiques et d’autre part, discours et pratiques religieuses. Elle construit la scène religieuse à partir de la trajectoire sociopolitique, économique et culturelle de la RDC entre 1990 et 2015, sous les Présidents J.-D. Mobutu, L.-D. Kabila et J. Kabila. Elle étudie l'offre normative de sens de leurs éminences J.-A. Malula, F. Etsou et L. Monsengwo. L’analyse de la rhétorique de l’épiscopat sur les élections vérifie la plausibilité sociale et l’efficience politique de la parole épiscopale congolaise. Elle se ressource dans la pragmatique de la communication telle que mise en œuvre dans l’analyse argumentative du discours de R. Amossy et dans celle du discours politique de P. Charaudeau. En mettant la focale sur l’objet linguistique « vérité des urnes », la recherche pose au niveau normatif, juridique et éthique, le problème de l’institutionnalisation d’un État de droit en RDC. Les élaborations sur ce dernier niveau s’articulent autour de l’inscription de l’éthique dans l’agir politique. L’examen des modes conventionnels d’action des chrétiens (élections de 2006 et 2011) et non conventionnels (marche des chrétiens de 1992 et 2012) conduit à éclairer les modes de reproduction ou de contestation de l’autoritarisme étatique par l’organisation religieuse. Il permet de promouvoir une démocratie des valeurs et d’action adossée à la parrhêsia. L’introduction de l’aléthique dans la vie publique donne à voir la parole épiscopale congolaise comme un discours ethopoïétique. C’est sur ce point précis que les élaborations de M. Foucault sur la parrhêsia aident à thématiser la capacité de la religion à informer et à influencer la démocratisation de la RDC. De là, la requête formulée pour un nouveau système d’action institutionnelle de l’organisation religieuse, susceptible de promouvoir le courage de la vérité en situation autoritaire. Cette innovation permet de tenir ensemble les valeurs démocratiques et les valeurs de l’Évangile, en les corrélant à la cohérence axiologique, à la probité morale et à l’intégrité existentielle des protagonistes de la démocratisation de la RDC.
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The intersection of gender, welfare and immigration regimes has been one of the main focus of a rich scholarship on paid domestic work in Europe. This article brings into the discussion the nexus of employment and immigration law regimes to reflect on the role of legal regulation in structuring and reducing the vulnerability of domestic workers. I analyse this nexus by looking at the cases of Cyprus and Spain, two states falling under the cluster of Southern Mediterranean welfare regimes, that share certain characteristics in terms of immigration regimes, but have substantially different employment law regulation models. The first part sketches the debate on the employment law regulation of domestic work. The second part starts by giving an overview of the immigration regimes of Cyprus and Spain in relation to migrant domestic workers and then proceeds to analyse the two countries’ models and substance of employment law regulation in domestic work. The comparison of these two divergent approaches informs the debate on how the legal regulation of domestic work should be best structured. In Spain there have been recent dynamic legislative changes in the employment law regulation of domestic work. The final part of the article traces these changes and reflects on why such processes have not taken place in Cyprus.
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En este artículo presentamos un balance de la Antropología de la Conservación en el Estado español. Durante las últimas décadas, la protección de los espacios naturales ha aumentado de una manera exponencial en todo el mundo. A la vez que se extendía esta patrimonialización de la naturaleza, los trabajos etnográficos sobre las áreas protegidas han ido ganando terreno dentro de la disciplina y, en particular, en el campo de la Antropología Ambiental. La mencionada bibliografía ha puesto de relieve los múltiples aspectos derivados de las nuevas políticas territoriales de regulación, apropiación y mercantilización de la ‘naturaleza’. En este trabajo realizamos una revisión exhaustiva de la producción generada a raíz de este interés por las áreas protegidas en nuestro país subrayando sus principales aportaciones, características y debilidades. De este modo pretendemos reflexionar acerca de su continuidad, con el fin de evitar la mera reiteración y favorecer el avance en sus resultados.
Resumo:
El artículo se centra en la actividad internacional del Partido Comunista de España (PCE) desde las secuelas de la represión de la Primavera de Praga hasta 1977. Fue un período caracterizado por el principio del declive definitivo del movimiento comunista internacional. El análisis abarca múltiples cuestiones. Examina las crecientes críticas del PCE hacia el modelo soviético, y sus repercusiones en las relaciones entre el partido liderado por Santiago Carrillo y el movimiento comunista. Además, el artículo explora el intento del PCE de promover un nuevo tipo de internacionalismo en Europa occidental, auspiciando una renovada colaboración entre comunistas y socialistas y aprovechando las condiciones brindadas por la distensión. En este contexto tuvo lugar el surgimiento del eurocomunismo, que el ensayo analiza ilustrando los factores internos y externos que determinaron su crisis en la segunda mitad de los setenta.
Resumo:
L’ubiquitination, une modification post-traductionnelle importante pour le contrôle de nombreux processus cellulaires, est une réaction réversible. La réaction inverse, nommée déubiquitination est catalysée par les déubiquitinases (DUB). Nous nous sommes intéressés dans nos travaux à étudier l’ubiquitination de l’histone H2A (H2Aub), au niveau des résidus lysines 118 et 119 (K118/K119), une marque épigénétique impliquée dans la régulation de la prolifération cellulaire et la réparation de l’ADN. Le régulateur transcriptionnel BAP1, une déubiquitinase nucléaire, a été initialement identifié pour sa capacité à promouvoir la fonction suppressive de tumeurs de BRCA1. BAP1 forme un complexe multi-protéique avec plusieurs facteurs transcriptionnels et sa fonction principale est la déubiquitination de H2Aub. Plusieurs études ont démontré que BAP1 est un gène suppresseur de tumeurs majeur et qu’il est largement muté et inactivé dans une multitude de cancers. En effet, BAP1 émerge comme étant la DUB la plus mutée au niveau des cancers. Cependant, le ou les mécanismes d’action et de régulation du complexe BAP1 restent très peu connus. Dans cette étude nous nous sommes intéressés à la caractérisation moléculaire et fonctionnelle des partenaires protéiques de BAP1. De manière significative nous avons caractérisé un mécanisme unique de régulation entre deux composants majeurs du complexe BAP1 à savoir, HCF-1 et OGT. En effet, nous avons démontré que HCF-1 est requis pour maintenir le niveau protéique de OGT et que cette dernière est indispensable pour la maturation protéolytique de HCF-1 en promouvant son clivage par O-GlcNAcylation, une signalisation cellulaire nécessaire au bon fonctionnement de HCF-1. Également, nous avons découvert un nouveau mécanisme de régulation de BAP1 par l’ubiquitine ligase atypique UBE2O. En effet, UBE2O agit comme un régulateur négatif de BAP1 puisque l’ubiquitination de ce dernier induit sa séquestration dans le cytoplasme et l’inhibition de sa fonction suppressive de tumeurs. D’autre part nous nous sommes penchés sur la caractérisation de l’association de BAP1 avec deux facteurs de la famille des protéines Polycombes nommés ASXL1 et ASXL2 (ASXL1/2). Nous avons investigué le rôle de BAP1/ASXL1/2, particulièrement dans les mécanismes de déubiquitination et suppression de tumeurs. Nous avons démontré que BAP1 interagit directement iii via son domaine C-terminale avec le même domaine ASXM de ASXL1/2 formant ainsi deux complexes mutuellement exclusifs indispensables pour induire l’activité déubiquitinase de BAP1. De manière significative, ASXM s’associe avec BAP1 pour créer un nouveau domaine composite de liaison à l’ubiquitine. Ces interactions BAP1/ASXL1/2 régulent la progression harmonieuse du cycle cellulaire. De plus, la surexpression de BAP1 et de ASXL2 au niveau des fibroblastes induit la sénescence de manière dépendante de leurs interactions. D’autre part, nous avons identifié des mutations de cancers au niveau de BAP1 le rendant incapable de lier ASXL1/2, d’exercer sa fonction d’autodéubiquitination et de ce fait d’agir comme suppresseur de tumeurs. Ainsi nous avons révélé un lien étroit entre le gène suppresseur de tumeurs BAP1, son activité déubiquitinase et le contrôle de la prolifération cellulaire.
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Este estudo exploratório, de caráter descritivo, tem como objetivos compreender a relação do Estado com a organização profissional dos assistentes sociais nas diferentes conjunturas sócio-históricas da trajetória da profissão; conhecer o contributo do associativismo sindical e profissional para a organização dos assistentes sociais em Portugal; caraterizar as diversas formas de associativismo profissional e sindical dos profissionais de Serviço Social e compreender a importância da regulação profissional para a categoria. Na trajetória do Serviço Social no nosso país, identificámos várias estruturas associativas desde os anos 50 do século XX. Apesar dessa diversidade ao nível da organização profissional, nos últimos anos tem sido o projeto de constituição da ordem o que tem congregado os profissionais de Serviço Social, embora de forma fragmentada. Em Portugal não existe um estatuto jurídico de regulação da profissão de assistente social, sendo do interesse dos profissionais, utentes e sociedade que o mesmo seja efetivado. A criação de uma ordem profissional poderá vir a fortalecer o trabalho dos profissionais de Serviço Social, bem como proteger e regulamentar o exercício profissional e a formação académica. Com a erosão do Estado Social, as relações de trabalho tendem a ser desregulamentadas e flexibilizadas, subsistindo a precariedade e o desemprego. O enfrentamento a estas questões por parte do movimento associativo é ténue e a sua não articulação fragiliza a proteção dos profissionais, como indiciam a subsistente ausência da constituição da ordem profissional e a extinção do Sindicato Nacional de Profissionais de Serviço Social, apesar do ressurgimento do associativismo sindical durante o presente ano (2013). As condições atuais diferem das existentes aquando do processo de obtenção da licenciatura e estruturação e implementação das carreiras profissionais de Serviço Social que potenciaram e galvanizaram os assistentes sociais. A categoria profissional apresenta-se desmobilizada e com pouco poder reivindicativo, e as associações profissionais e sindicais vivem com constrangimentos financeiros, funcionando em regime de voluntariado, o que denota a insipiência da sua estrutura organizativa. A atual conjuntura justificaria uma maior convergência, debate e processos de resistência por parte das estruturas associativas face ao agravamento de políticas baseadas na austeridade, que têm reflexos no mercado de trabalho, formação e organização profissional. Parece justificar-se a existência de estratégias articuladas com maior clareza sobre o projeto para a categoria, apostando num debate que se faça com os seus diversos intervenientes. Desta forma, o associativismo poderá constituir uma alavanca que confira maior dinamismo às suas estruturas organizacionais, maior visibilidade e presença pública da categoria, mas também uma maior solidez das suas organizações, que não sendo corporativas ou elitistas, salientem o primado da ética do serviço sobre a ética do ganho. / This descriptive exploratory study aims to understand the relationship between the State and the professional organisation of the social workers in the different social-historical situations of the profession course; to know the contribute of the unions and professional membership drive to the organisation of the social workers in Portugal; to characterise the several ways of the social workers’ professional and union membership drive and to understand the importance of the professional regulation for the area. In the Social Service trajectory in our country, we have identified several associative structures since the 1950s. Despite this diversity concerning the professional organisation, the project of constituting the professional order has been responsible for the social workers’ congregation in the past years, although in a fragmented way. In Portugal, there is not a legal status of regulation of the social workers’ profession, and it is of the interest of the professionals, users and society that this may be brought about. The creation of a professional order may strengthen the activity of the social workers, as well as it may protect and regulate the profession exercise and the university education. With the Social State’s erosion, the work relationships tend to be deregulated and softened, persisting the job insecurity and the unemployment. The associative movement does not strongly face these issues, and its non-articulation weakens the professionals’ protection, as the permanent absence of the professional order creation and the extinction of the National Social Workers Union show, despite the reappearance of the union membership drive during the present year (2013). The current conditions are not equal to the ones existent in the process of obtaining the university degree and the structuring and implementing of professional careers in the Social Service area, which have strengthened and galvanised the social workers. The professional category is not mobilised and it has few claimable power; the professional and unions’ associations live with financial problems, functioning in a volunteering regime, which shows the insipience of its organisation structure. The current situation would justify a bigger convergence, debate and resistance processes on behalf of the associative structures regarding the worsening of policies based on austerity – this has consequences in the work market, training and professional organisation. It seems to be pertinent the existence of strategies articulated in a clearer way about the project for this professional area, investing in a debate among its several participants. Therefore, the professional membership drive may constitute a lever that can give more dynamism to its organisational structures, a bigger visibility and public presence of the area, but also a stronger solidity in its organisations which, being not corporative or elitist, may highlight the service’s ethics over the profit’s ethics.
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O contexto demográfico e epidemiológico hodierno traz à luz a fulcral relevância dos cuidados paliativos de qualidade acessíveis para todos. Pela importância que o serviço social assume na defesa da garantia dos direitos humanos, com uma ação direta nestes cuidados, o presente estudo pretendeu analisar os cuidados paliativos na perspectiva de assistentes sociais, tendo em conta o atual contexto das políticas sociais e de saúde. Optou-se por uma investigação quanti e qualitativa, através de um inquérito por questionário dirigido a todas as unidades/equipas de cuidados paliativos identificadas no território nacional (Portugal Continental e Regiões Autónomas), com assistentes sociais. A amostra foi constituida por 17 profissionais de serviço social, na sua maioria mulheres (94,1%), com idades entre os 25 e os 57 anos, a exercer a profissão há 5,5 anos, em média, na área dos cuidados paliativos. Os resultados do estudo mostram-nos que os assistentes sociais estão inseridos em 86,36% das unidades/equipas, sendo estas maioritamente de natureza pública. Os profissionais mais frequentes na constituição das equipas são o médico, enfermeiro, assistente social e psicólogo. Todos ou quase todos têm formação específica na área, tendo a maioria apoio para formação continuada. As condições de trabalho atuais foram alvo de uma avaliação desfavorável por parte da amostra. Estes profissionais perspectivam o acesso a estes cuidados como sendo pouco equitativos, apontam a falta quer de estruturas que cubram geograficamente todo o país, quer de recursos humanos adequados, não esquecendo a ausência de regulamentação da atividade laboral dos profissionais nos cuidados paliativos. É exigido ao assistente social uma intervenção baseada no cumprimento de objetivos que apresentem resultados rápidos, o que tem vindo a dificultar uma intervenção eficaz desde a admissão até ao encaminhamento do doente para continuidade de cuidados. A presente investigação oferece um contributo para a produção de conhecimento capaz de evidenciar as transformações que têm vindo a ocorrer na prática dos profissionais permitindo contribuir para a reflexão sobre os contextos e processos de intervenção, assim como sobre a promoção do direito aos cuidados paliativos de qualidade em Portugal. / The current demographic and epidemiological context highlights the crucial importance of quality palliative care accessible for all. The importance that social work assumes in the defense of human rights guarantees, with a direct action on these care, this study aims to analyze the palliative care from the perspective of social workers, taking into account the current context of social and health policies. We chosed a quantitative and qualitative research through a questionnaire addressed to the universe of the palliative care institutions identified in the national territory (Portugal’s mainland and the Autonomous Regions), with social workers. The sample has 17 social work professionals, mostly women (94.1%), aged between 25 and 57 years. They work as a social worker for 5.5 years on average in the area of care palliative. The results of the study show us that social workers are included in 86.36% of the units / teams, wich are mostly public services. The most frequent professionals in the teams are the doctor, nurse, social worker and psychologist. All or almost all have specific training in the area, and the majority has institutional support for continuing training. Current conditions of work have received an unfavorable evaluation by the participants. The inquired considered access to palliative care as being inequitable, or point to a lack of structures that geographically cover the whole country, whether adequate human resources, not to mention the lack of regulation of the activity of professionals working in palliative care. An intervention based on the achievement of goals that have quick results, which have been a difficulty for an effective intervention from the admission to the referral of the patient for continuity of care is required of the social worker. This research offers a contribution to knowledge production, able to highlight the changes that have taken place in professional practice, allowing to contribute to the reflection about the contexts and processes of intervention as well as on the promotion of the right to quality palliative care of in Portugal.
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This work is a study in the Local Productive Arrangement of confections from Agreste of Pernambuco, as a relevant sector in economic and social aspect. This research has as central aim to understand how the inter-organizational relations influence the collective efficiency of arrangement. The theoretical framework employed highlights the approaches that deal with the benefits of business agglomeration for the development of firms and regions. It has discussed the approach of small and medium enter prises and industrial districts (SCHMITZ, 1997), which introduce the concept of col lective efficiency, explaining that only those externalities explained by Marshall (1996) are not sufficient to explain the competitive advantage of enterprises, expanding the idea that organizations achieve competitive advantage not acting alone. To examine the influences of relations in the collective efficiency, it has been taken as analytical perspective theory of social networks (GRANOVETTER, 1973, 1985; BURT, 1992; UZZI, 1997) because it has believe that this approach provides subsi dies for a structural analysis of social relationships in face the behavior of human action. By examining the organizations in a social network, you should understand the reason of this establishment of the relationship, their benefits, and as the information flow takes place and density of links between the actors (Powell; SMITH-DOERR, 1994). As for the methods, this study is characterized as a case study, in according to the purposed objectives, in addition to qualitative method. Also, due to recovering of the historical milestones of the arrangement, it is used a sectional approach with longitudinal perspective (VIEIRA, 2004). The primary and secondary data were used in order to understand the evolutionary process of the sector and their inter-actors re lationships in the arrangement for the promotion of development, for both, was used the contend and documentary analysis technique, respectively (DELLAGNELO ; SILVA, 2005). The approach of social networks has permitted understand that social relationships may extend the collective efficiency of the arrangement, and therefore need to develop policies that encourage the legalization of informal companies in arrangement, by showing up themselves representative. Thus, the relations estab lished in LPA of confections from Agreste of Pernambuco need for more effective mechanisms to broaden the collective efficiency. Therefore, this way as take place has directly benefited only a group of companies that are linked in some way the supportive institutions. So we can conclude that the inter-actor relations have limited the collective efficiency of LPA, being stimulated by the institutions in support only to groups of entrepreneurs, even those that produce external relations for all clustered companies
Resumo:
Familial amyloid polyneuropathy (FAP) or paramiloidosis is an autosomal dominant neurodegenerative disease with onset on adult age that is characterized by mutated protein deposition in the form of amyloid substance. FAP is due to a point alteration in the transthyretin (TTR) gene and until now more than 100 amyloidogenic mutations have been described in TTR gene. FAP shows a wide variation in age-at-onset (AO) (19-82 years, in Portuguese cases) and the V30M mutation often runs through several generation of asymptomatic carriers, before expressing in a proband, but the protective effect disappear in a single generation, with offspring of late-onset cases having early onset. V30M mutation does not explain alone the symptoms and AO variability of the disease observed in the same family. Our aim in this study was to identify genetic factors associated with AO variability and reduced penetrance which can have important clinical implications. To accomplish this we genotyped 230 individuals, using a directautomated sequencing approach in order to identify possible genetic modifiers within the TTR locus. After genotyping, we assessed a putative association of the SNPs found with AO and an intensive in silico analysis was performed in order to understand a possible regulation of gene expression. Although we did not find any significant association between SNPs and AO, we found very interesting and unreported results in the in silico analysis since we observed some alterations in the mechanism of splicing, transcription factors binding and miRNAs binding. All of these mechanisms when altered can lead to dysregulation of gene expression, which can have an impact in AO and phenotypic variability. These putative mechanisms of regulation of gene expression within the TTR gene could be used in the future as potential therapeutical targets, and could improve genetic counselling and follow-up of mutation carriers.