968 resultados para Rejection by peers
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Este trabalho abordou a relação Executivo–Legislativo no Estado do Pará através do Projeto de Lei 01/2008 que implantaria a Superintendência do Planejamento Territorial Participativo (SPTP), durante a 16ª Legislatura da Assembleia Legislativa do Pará no período 2007-2010. Elaborado pelo Governo do Estado, o projeto previa a implantação de uma instituição que coordenaria o processo de participação popular e controle social proposto pelo governo Ana Júlia Carepa no início de seu governo. Como problemática, a pesquisa abordou a rejeição pelos parlamentares ao referido projeto, cuja questão de pesquisa foi a seguinte: que fatores contribuiram para a rejeição do Projeto de criação da SPTP pelo Poder Legislativo? Além disso, o que ela significa na relação Executivo–Legislativo segundo a literatura corrente. As hipóteses inferidas seriam as de que a rejeição foi motivada pela própria relação conflituosa entre Executivo e Legislativo na arena parlamentar ou pela percepção do conflito de interesses dos atores políticos locais quanto às fronteiras de atuação entre instituições políticas participativas e instituições políticas representativas. Os deputados contrários ao projeto não consideravam a SPTP enquanto prática efetiva de gestão democrática, mas suspeitavam que a mesma, por exemplo, pudesse estar vinculada a estratégias por parte do Executivo para fins eleitorais ou de barganha perante o Legislativo. O Desenvolvimento da pesquisa concentrou-se na busca pelas respostas a problemática apresentada bem como verificar a validade das hipótese inferidas. Quanto ao objetivo se avaliou o comportamento dos deputados na tramitação do projeto de criação da SPTP. Como ferramentas de pesquisas foram utilizadas pesquisas bibliográficas e empíricas.
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Objetivo: analisar os conceitos e percepções que adolescentes e seus cuidadores possuem sobre saúde mental e serviços de saúde em seu contexto ecológico e investigar as barreiras de acesso à assistência à saúde mental vivenciadas. Método: trata-se de estudo exploratório e analítico em amostra de conveniência obtida no período de outubro de 2009 a junho de 2010, com 100 adolescentes e 100 cuidadores, no município de Belém-PA, em dois contextos clínicos públicos, sendo um ambulatório especializado em saúde mental e um geral e dois contextos escolares, sendo um público e um privado. Utilizou-se questionários estruturados, para investigar diferentes dimensões envolvidas nas temáticas saúde, família, bem-estar e condições de vida, seguidos de análise estatística, com técnicas de análise da variância e correlacional. Resultados: a média das idades dos adolescentes foi de 14,47 (DP 1,90) anos, sendo 58% feminino; o tipo de problema de saúde mental relatado pela maioria foram problemas na escola (21,9%); o profissional mais frequentemente procurado foi o psicólogo (59,4%). No que tange as concepções de saúde mental, adolescentes e cuidadores deram importância ao comportamento de abster-se de drogas; quanto às concepções de doença mental, ambos, conceberam como algo a ser considerado com seriedade; ambos concordaram que a religião contribui para a saúde/doença mental e revelaram a primazia da mãe na busca de ajuda; no que tange as estratégias de coping os adolescentes lidavam de forma semelhante com os problemas de saúde mental em suas vidas; adolescentes e cuidadores possuíam uma visão estigmatizada do profissional de saúde e temores de discriminação principalmente pelos pares; quanto ao tratamento real ou imaginado ambos revelaram concepções favoráveis das terapias como fonte de ajuda e espaço privilegiado para expressar a própria opinião e em qualquer dos casos, a mãe revelou-se como a principal pessoa a contribuir na busca de ajuda especializada. As variáveis que revelaram a procedência das concepções sobre saúde/doença mental e as estratégias empregadas na manutenção da saúde mental da família mostraram diferenças entre os contextos investigados; no que tange ao auto conceito, os adolescentes da escola privada mostraram maior auto-congruência entre o self real e o ideal comparativamente os demais contextos; os cuidadores revelaram auto-congruência maior na escola pública. Quanto às perspectivas que o adolescente tem sobre a família revelaram identificações reais mais frequentes nos quatro contextos com a mãe, seguidas da avó/avô; quanto aos modelos de identificação familiar nos contextos clínicos e escola privada é maior com a mãe; na escola pública é maior com o pai; foi observado discrepância da perspectiva do cuidador acerca do conceito sobre o adolescente. Para a maioria dos adolescentes e cuidadores as condições de saúde foram classificadas de "boas" a "excelentes". A auto-avaliação do bem-estar dos adolescentes na amostra geral mostrou que, em sua maioria, sentiam-se muito satisfeitos, totalmente cheios de energia, divertiam-se e tiveram boa relação com os professores; na visão dos cuidadores, a maioria de seus adolescentes sentiam-se muito satisfeitos com a vida, utilizavam seu tempo livre divertindo-se com amigos e deram maior importância aos sentimentos de bem-estar com relação ao desempenho físico. Conclusões: são evidenciadas as semelhanças e diferenças entre adolescentes e cuidadores nas amostras clínicos e escolares que podem subsidiar ações preventivas de saúde contextualizadas para a cidade de Belém.
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This qualitative study aimed to identify difficulties experienced by Community Health Agents (CHA) in the course of daily practice of care. Data were collected from semi-structured interviews with twelve CHA from four Basic Health Units in a city of the state of São Paulo, Brazil. From an analysis of the speech of subjects, we found that the deficiency of health services, the workload of the nurses responsible for the team and the service rejection by users make it difficult to implement the health actions. This research emphasizes the limitations expressed by the health agents, and points towards the necessity of an evolving discussion of this theme, seeking strategies that enable the consolidation of community health principles.
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Abstract Introduction: Indications for induction therapy is not consensual in living donors. Objective: The objective of this study was compare no induction with thymoglobulin and basiliximab induction in the incidence of acute rejection in kidney transplantation with living donor. Methods: We select all cases of renal transplantation with living donor performed in Hospital das Clínicas de Botucatu da UNESP during the period of January 2010 to December 2013. The group was divided by the type of medication used for induction. Results: A total of 90 patients were evaluated. There were no differences in baseline characteristics of age and underlying disease. The rate of biopsy-proven acute rejection was higher in the group without induction (42.9%) compared to basiliximab group (20%) and Thymoglobulin (16.7%), p = 0.04. The rejection by compatibility shows that the identical had the lower rejection rate (10%). The haploidentical group without induction had the highest rejection rates (53.3%). In all distinct group the rejection rates were similar with basiliximab or Thymoglobulin, p = NS. The use of induction therapy was associated independently with a lower risk of rejection (OR = 0.32 CI: 0.11 to 0.93, p = 0.036). There were no differences in renal function at 6 months and patient survival and graft in the three groups. Discussion: The haploidentical patients without induction were those with higher rates of acute rejection. The group of patients induced with Thymoglobulin had a higher immunological risk, however showed low rates of rejection. Conclusion: The use of induction therapy resulted in lower rates of rejection in transplantation with living donor.
Avaliação histológica e funcional do enxerto de neotraqueia de coelho desenvolvido por bioengenharia
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Pós-graduação em Psicologia - FCLAS
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William Shakespeare's Hamlet, Prince of Denmark has been the source of question, debate, and research since its theatrical debut. In the midst of readings performances and one particular question has remained open and unresolved: was Ophelia's death an accident or a suicide? Some see Ophelia's death as an accident; others see it as a suicide resulting from the accumulation of a series of unfortunate events: her rejection by her boyfriend, her father’s murder, and her possible pregnancy. This paper will explore that age-old question from the perspectives of two historically different audiences: those of sixteenth-century and nineteenth-century England. I will argue that, despite the 300-year expanse between these two audiences, both emerged with the same conclusion: Ophelia's death was accidental. However, cultural and scientific changes affected the reasons why each came to that conclusion.
Avaliação histológica e funcional do enxerto de neotraqueia de coelho desenvolvido por bioengenharia
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Pós-graduação em Psicologia - FCLAS
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The ultimatum game is a commonly used economics game testing humans' sense of fairness. In the game, a "proposer" is given a sum of money and is told they can split it however they want with another human partner. The partner can then either accept the division and both proposer and responder receive the proposed amounts, or the responder can reject the offer and neither player will get anything. Human subjects from most western cultures typically share almost half of an allotted amount, but it remains unknown whether our close primate relatives share this generosity. Recent attempts to present chimpanzees with the ultimatum game have provided inconclusive results, with some studies finding the animals share humans' disposition to behave 'fairly' and others concluding that chimpanzees act selfishly to maximize their own rewards. Capuchin monkeys are known to share many human and chimpanzee social and cooperative behaviors, and this study was the first to present capuchin monkeys with a version of the ultimatum game. Subjects were presented with two differently colored tokens representing different qualitative reward contingencies, one equitable and the other inequitable in favor of the subject proposer. Subjects could select and place one of the tokens in a transfer container. The capuchins were first tested with a "dictator game" where, after the subject monkey selected a token, the rewards (equitable or inequitable) were distributed to the subject and a nearby partner monkey that was not an active participant. The capuchins were then tested on an ultimatum game in which after the subject selected and placed a token in the container, the container was moved to the partner. The partner needed to remove the token and transfer it back to the experimenter for the rewards to be distributed. As such, the partner could reject the subject's offer by refusing to participate and neither would receive a reward. The experiment was conducted to determine if the subject monkey would select the equitable reward option rather than the selfish option in order to maintain the partner's cooperation in the task. Capuchin subjects behaved selfishly and selected the inequitable token significantly more often than the equitable token in both the dictator and ultimatum game with no significant difference in preference between the two games. Interestingly, despite the occasional occurrence of rejection by the partner monkeys (resulting in no reward for the subject), subjects never altered their strategy, continuing to prefer the selfish token. The study may indicate that capuchin monkeys have an inability to judge the effect of their behavior on a conspecific's reward outcome, or an indifference to the outcome if there is an individual cost associated with behaving prosocially.
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This project intertwines philosophical and historico-literary themes, taking as its starting point the concept of tragic consciousness inherent in the epoch of classicism. The research work makes use of ontological categories in order to describe the underlying principles of the image of the world which was created in philosophical and scientific theories of the 17th century as well as in contemporary drama. Using these categories brought Mr. Vilk to the conclusion that the classical picture of the world implied a certain dualism; not the Manichaean division between light and darkness but the discrimination between nature and absolute being, i.e. God. Mr. Vilk begins with an examination of the philosophical essence of French classical theatre of the XVII and XVIII centuries. The history of French classical tragedy can be divided into three periods: from the mid 17th to early 19th centuries when it triumphed all over France and exerted a powerful influence over almost all European countries; followed by the period of its rejection by the Romantics, who declared classicism to be "artificial and rational"; and finally our own century which has taken a more moderate line. Nevertheless, French classical tragedy has never fully recovered its status. Instead, it is ancient tragedy and the works of Shakespeare that are regarded to be the most adequate embodiment of the tragic. Consequently they still provoke a great number of new interpretations ranging from specialised literary criticism to more philosophical rumination. An important feature of classical tragedy is a system of rules and unities which reveals a hidden ontological structure of the world. The ontological picture of the dramatic world can be described in categories worked out by medieval philosophy - being, essence and existence. The first category is to be understood as a tendency toward permanency and stability (within eternity) connected with this or that fragment of dramatic reality. The second implies a certain set of permanent elements that make up the reality. And the third - existence - should be understood as "an act of being", as a realisation of permanently renewed processes of life. All of these categories can be found in every artistic reality but the accents put on one or another and their interrelations create different ontological perspectives. Mr. Vilk plots the movement of thought, expressed in both philosophical and scientific discourses, away from Aristotle's essential forms, and towards a prioritising of existence, and shows how new forms of literature and drama structured the world according to these evolving requirements. At the same time the world created in classical tragedy fully preserves another ontological paradigm - being - as a fundamental permanence. As far as the tragic hero's motivations are concerned this paradigm is revealed in the dedication of his whole self to some cause, and his oath of fidelity, attitudes which shape his behaviour. It may be the idea of the State, or personal honour, or something borrowed from the emotional sphere, passionate love. Mr. Vilk views the conflicting ambivalence of existence and being, duty as responsibility and duty as fidelity, as underlying the main conflict of classical tragedy of the 17th century. Having plotted the movement of the being/existence duality through its manifestations in 17th century tragedy, Mr. Vilk moves to the 18th century, when tragedy took a philosophical turn. A dualistic view of the world became supplanted by the Enlightenment idea of a natural law, rooted in nature. The main point of tragedy now was to reveal that such conflicts as might take place had an anti-rational nature, that they arose as the result of a kind of superstition caused by social reasons. These themes Mr. Vilk now pursues through Russian dramatists of the 18th and early 19th centuries. He begins with Sumarakov, whose philosophical thought has a religious bias. According to Sumarakov, the dualism of the divineness and naturalness of man is on the one hand an eternal paradox, and on the other, a moral challenge for humans to try to unite the two opposites. His early tragedies are not concerned with social evils or the triumph of natural feelings and human reason, but rather the tragic disharmony in the nature of man and the world. Mr Vilk turns next to the work of Kniazhnin. He is particularly keen to rescue his reputation from the judgements of critics who accuse him of being imitative, and in order to do so, analyses in detail the tragedy "Dido", in which Kniazhnin makes an attempt to revive the image of great heroes and city-founders. Aeneas represents the idea of the "being" of Troy, his destiny is the re-establishment of the city (the future Rome). The moral aspect behind this idea is faithfulness, he devotes himself to Gods. Dido is also the creator of a city, endowed with "natural powers" and abilities, but her creation is lacking internal stability grounded in "being". The unity of the two motives is only achieved through Dido's sacrifice of herself and her city to Aeneus. Mr Vilk's next subject is Kheraskov, whose peculiarity lies in the influence of free-mason mysticism on his work. This section deals with one of the most important philosophical assumptions contained in contemporary free-mason literature of the time - the idea of the trinitarian hierarchy inherent in man and the world: body - soul - spirit, and nature - law - grace. Finally, Mr. Vilk assess the work of Ozerov, the last major Russian tragedian. The tragedies which earned him fame, "Oedipus in Athens", "Fingal" and "Dmitri Donskoi", present a compromise between the Enlightenment's emphasis on harmony and ontological tragic conflict. But it is in "Polixene" that a real meeting of the Russian tradition with the age-old history of the genre takes place. The male and female characters of "Polixene" distinctly express the elements of "being" and "existence". Each of the participants of the conflict possesses some dominant characteristic personifying a certain indispensable part of the moral world, a certain "virtue". But their independent efforts are unable to overcome the ontological gap separating them. The end of the tragedy - Polixene's sacrificial self-immolation - paradoxically combines the glorification of each party involved in the conflict, and their condemnation. The final part of Mr. Vilk's research deals with the influence of "Polixene" upon subsequent dramatic art. In this respect Katenin's "Andromacha", inspired by "Polixene", is important to mention. In "Andromacha" a decisive divergence from the principles of the philosophical tragedy of Russian classicism and the ontology of classicism occurs: a new character appears as an independent personality, directed by his private interest. It was Katenin who was to become the intermediary between Pushkin and classical tragedy.
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Considerando el rechazo de los consumidores hacia alimentos genéticamente modificados y que el país de origen es usado como indicador de calidad, se estudió la importancia relativa de la existencia de modificación genética (MG), origen y precio en la compra de aceite de girasol en Temuco, Chile, junto con la identificación y la caracterización de diferentes segmentos de mercado, mediante una encuesta a 400 personas. Utilizando análisis conjunto se determinó que la existencia de MG (36,0%) fue levemente más importante que el origen (33,3%) y el precio (30,7%) en la muestra total, con preferencia hacia el producto sin MG, de origen chileno y al menor precio. Mediante análisis de conglomerados jerárquicos se diferenciaron tres segmentos: el mayoritario (45,5%) dio elevada importancia a la existencia de MG y presentó un alto rechazo hacia el aceite transgénico; el segundo grupo (29,7%) asignó mayor relevancia al precio y acepta aceite argentino; el grupo minoritario (24,8%) otorgó mayor importancia al origen y acepta aceite español. Independientemente de lo anterior, los grupos mostraron mayor preferencia por el aceite chileno. La ausencia de MG en aceite es una condición deseable para una importante proporción de consumidores (45,5%), pero el resto se muestra relativamente indiferente hacia la existencia o ausencia de manipulación genética en este producto.
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Los mendigos fueron estigmatizados durante la temprana modernidad, convirtiéndose en sujetos sospechosos sobre los cuales recaían múltiples acusaciones. En el presente trabajo veremos cómo La vida del Buscón llamado Don Pablos reproduce este discurso, en el cual encontramos varias similitudes con la marginación de otros grupos sociales en este mismo período de consolidación monárquica. A partir de esto, manejamos la hipótesis de que este texto es parte de la configuración de un enemigo interno que debía ser perseguido y respecto del cual era necesario generar, a través de la aversión y el temor generalizados, el rechazo de la población
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Los mendigos fueron estigmatizados durante la temprana modernidad, convirtiéndose en sujetos sospechosos sobre los cuales recaían múltiples acusaciones. En el presente trabajo veremos cómo La vida del Buscón llamado Don Pablos reproduce este discurso, en el cual encontramos varias similitudes con la marginación de otros grupos sociales en este mismo período de consolidación monárquica. A partir de esto, manejamos la hipótesis de que este texto es parte de la configuración de un enemigo interno que debía ser perseguido y respecto del cual era necesario generar, a través de la aversión y el temor generalizados, el rechazo de la población
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Los mendigos fueron estigmatizados durante la temprana modernidad, convirtiéndose en sujetos sospechosos sobre los cuales recaían múltiples acusaciones. En el presente trabajo veremos cómo La vida del Buscón llamado Don Pablos reproduce este discurso, en el cual encontramos varias similitudes con la marginación de otros grupos sociales en este mismo período de consolidación monárquica. A partir de esto, manejamos la hipótesis de que este texto es parte de la configuración de un enemigo interno que debía ser perseguido y respecto del cual era necesario generar, a través de la aversión y el temor generalizados, el rechazo de la población