Exploring the influence of context in a community-based facilitation intervention focusing on neonatal health and survival in Vietnam : a qualitative study

Background In the Neonatal health – Knowledge into Practice (NeoKIP) trial in Vietnam, local stakeholder groups, supported by trained laywomen acting as facilitators, promoted knowledge translation (KT) resulting in decreased neonatal mortality. In general, as well as in the community-based NeoKIP trial, there is a need to further understand how context influences KT interventions in low- and middle-income countries (LMICs). Thus, the objective of this study was to explore the influence of context on the facilitation process in the NeoKIP intervention. Methods A secondary content analysis was performed on 16 Focus Group Discussions with facilitators and participants of the stakeholder groups, applying an inductive approach to the content on context through naïve understanding and structured analysis. Results The three main-categories of context found to influence the facilitation process in the NeoKIP intervention were: (1) Support and collaboration of local authorities and other communal stakeholders; (2) Incentives to, and motivation of, participants; and (3) Low health care coverage and utilization. In particular, the role of local authorities in a KT intervention was recognized as important. Also, while project participants expected financial incentives, non-financial benefits such as individual learning were considered to balance the lack of reimbursement in the NeoKIP intervention. Further, project participants recognized the need to acknowledge the needs of disadvantaged groups. Conclusions This study provides insight for further understanding of the influence of contextual aspects to improve effects of a KT intervention in Vietnam. We suggest that future KT interventions should apply strategies to improve local authorities’ engagement, to identify and communicate non-financial incentives, and to make disadvantaged groups a priority. Further studies to evaluate the contextual aspects in KT interventions in LMICs are also needed.

Multi-Objective Pipe Smoothing Genetic Algorithm For Water Distribution Network Design

This paper describes the formulation of a Multi-objective Pipe Smoothing Genetic Algorithm (MOPSGA) and its application to the least cost water distribution network design problem. Evolutionary Algorithms have been widely utilised for the optimisation of both theoretical and real-world non-linear optimisation problems, including water system design and maintenance problems. In this work we present a pipe smoothing based approach to the creation and mutation of chromosomes which utilises engineering expertise with the view to increasing the performance of the algorithm whilst promoting engineering feasibility within the population of solutions. MOPSGA is based upon the standard Non-dominated Sorting Genetic Algorithm-II (NSGA-II) and incorporates a modified population initialiser and mutation operator which directly targets elements of a network with the aim to increase network smoothness (in terms of progression from one diameter to the next) using network element awareness and an elementary heuristic. The pipe smoothing heuristic used in this algorithm is based upon a fundamental principle employed by water system engineers when designing water distribution pipe networks where the diameter of any pipe is never greater than the sum of the diameters of the pipes directly upstream resulting in the transition from large to small diameters from source to the extremities of the network. MOPSGA is assessed on a number of water distribution network benchmarks from the literature including some real-world based, large scale systems. The performance of MOPSGA is directly compared to that of NSGA-II with regard to solution quality, engineering feasibility (network smoothness) and computational efficiency. MOPSGA is shown to promote both engineering and hydraulic feasibility whilst attaining good infrastructure costs compared to NSGA-II.

O processo decisório para obtenção de materiais de emprego militar no Exército Brasileiro

Este trabalho tem como objetivo descrever como os fatores racionais, organizacionais e políticos influenciam o processo decisório no Exército Brasileiro para a obtenção de Materiais de Emprego Militar (MEM). Utilizou-se a abordagem proposta no trabalho de Allison para análise das decisões durante a crise dos mísseis de Cuba em 1962. Os fatores racionais utilizados foram: cálculo, maximização de valor, impessoalidade, escolha racional e racionalidade limitada. Os fatores organizacionais foram: padrões e processos organizacionais, segmentação do problema, coordenação e controle centralizados, flexibilidade limitada, previsibilidade e cultura organizacional. Os fatores políticos utilizados foram: conflito, poder, negociação, contingências, cooptação, interesses e influência externa. Os resultados permitiram constatar que o processo decisório, mesmo ocorrendo em uma organização baseada em pressupostos racionais, sofre influência de fatores organizacionais e políticos.

Novel catalyst systems based on Ni(II), Ti(IV), and Cr(III) complexes for oligo-and polymerization of ethylene

The complex of Brookhart Ni(α-diimine)Cl2 (1) (α-diimine = 1,4-bis(2,6- diisopropylphenyl)-acenaphthenediimine) has been characterized after impregnation on silica (S1) and MAO-modified silicas (4.0, 8.0 and 23.0 wts.% Al/SiO2 called S2, S3 and S4, respectively). The treatment of these heterogeneous systems with MAO produces some active catalysts for the polymerization of the ethylene. A high catalytic activity has been gotten while using the system supported 1/S3 (196 kg of PE/mol[Ni].h.atm; toluene, Al/Ni = 1000, 30ºC, 60 min and atmospheric pressure of ethylene). The effects of polymerization conditions have been tested with the catalyst supported in S2 and the best catalytic activity has been gotten with solvent hexane, MAO as cocatalyst, molar ratio Al/Ni of 1000 and to the temperature of 30°C (285 kg of PE/mol[Ni].h.atm). When the reaction has been driven according to the in situ methodology, the activity practically doubled and polymers showed some similar properties. Polymers products by the supported catalysts showed the absence of melting fusion, results similar to those gotten with the homogeneous systems by DSC analysis. But then, polymers gotten with the transplanted system present according to the GPC’s curves the polydispersity (MwD) varies between 1.7 and 7.0. A polyethylene blend (BPE/LPE) was prepared using the complex Ni(α-diimine)Cl2 (1) (α-diimine = 1,4-bis(2,6-diisopropylphenyl)-acenaphthenediimine) and {TpMs*}TiCl3 (2) (TpMs* = hydridobis(3-mesitylpyrazol-1-yl)(5-mesitylpyrazol-1-yl)) supported in situ on MAO-modified silica (4.0 wts. -% Al/SiO2, S2). Reactions of polymerization of ethylene have been executed in the toluene in two different temperatures (0 and 30°C), varying the molars fraction of nickel (xNi), and using MAO as external cocatalyst. To all temperatures, the activities show a linear variation tendency with xNi and indicate the absence of the effect synergic between the species of nickel and the titanium. The maximum of activity have been found at 0°C. The melting temperature for the blends of polyethylene produced at 0 °C decrease whereas xNi increases indicating a good compatibility between phases of the polyethylene gotten with the two catalysts. The melting temperature for the blends of polyethylene showed be depend on the order according to which catalysts have been supported on the MAO-modified silica. The initial immobilization of 1 on the support (2/1/S2) product of polymers with a melting temperature (Tm) lower to the one of the polymer gotten when the titanium has been supported inicially (1/2/S2). The observation of polyethylenes gotten with the two systems (2/1/S2 and 1/2/S2) by scanning electron microscopy (SEM) showed the spherical polymer formation showing that the spherical morphology of the support to been reproduced. Are described the synthesis, the characterization and the catalytic properties for the oligomerization of the ethylene of four organometallics compounds of CrIII with ligands ([bis[2-(3,5-dimethyl-1-pyrazolyl)ethyl]amine] chromium (III) chloride (3a), [bis[2-(3,5- dimethyl-l-pyrazolyl)ethyl]benzylamine] chromium (III) chloride (3b), [bis[2-(3,5-dimethyl-lpyrazolyl) ethyl]ether] chromiun(III)chloride (3c), [bis[2-(3-phenyl-lpyrazolyl) ethyl]ether]chromiun(III)chloride (3d)). In relation of the oligomerization, at exception made of the compounds 3a, all complex of the chromium showed be active after activation with MAO and the TOF gotten have one effect differentiated to those formed with CrCl3(thf)3. The coordination of a tridentate ligand on the metallic center doesn't provoke any considerable changes on the formation of the C4 and C6, but the amount of C8 are decrease and the C10 and C12+ have increased. The Polymers produced by the catalyst 3a to 3 and 20 bar of ethylene have, according to analyses by DSC, the temperatures of fusion of 133,8 and 136ºC respectively. It indicates that in the two cases the production of high density polyethylene. The molar mass, gotten by GPC, is 46647 g/mols with MwD = 2,4 (3 bar). The system 3c/MAO showed values of TOF, activity and selectivity to different α-olefins according to the pressure of ethylene uses. Himself that shown a big sensibility to the concentration of ethylene solubilized.

Contratualização de resultados e desempenho no setor público: a experiência do contrato programa nos hospitais da administração direta no Estado de São Paulo

O escopo desta pesquisa é analisar o impacto da contratualização de resultados sobre o desempenho de hospitais públicos estaduais da Administração Direta no Estado de São Paulo. Este trabalho visa cobrir uma lacuna existente nos estudos de Nova Gestão Pública, buscando entender a correlação entre a implementação de políticas de gestão, no caso a contratualização, e os resultados de processo (outputs) e de impacto (outcomes) da organização. A hipótese a ser testada é a de que a contratualização melhora o desempenho das unidades hospitalares, pois aumenta a coordenação do núcleo estratégico de governo, estimula a aprendizagem organizacional, além de promover incentivos para a melhoria contínua. Um objetivo secundário da pesquisa será o de entender como os contratos são acompanhados, de forma a minimizar os problemas da relação agente-principal originados neste tipo de prática. A literatura indica que uma maneira de minimizar tais problemas tem sido a utilização de contratos baseados em confiança, reciprocidade e aprendizado mútuo, os chamados contratos relacionais, que serão explorados na análise do caso. O caso escolhido para testar a hipótese é o de contratualização das unidades hospitalares da Administração Direta (AD) com a Secretaria Estadual de Saúde de São Paulo (SES), através do “Contrato Programa” iniciado ao final de 2008. Os resultados indicam que há relação entre a introdução dos contratos e os resultados do hospital, com melhoria na maior parte dos indicadores analisados.

Inflation targeting, credibility and coordination aspects

There are plenty of economic studies pointing out some requirements, like the inexistence of fiscal dominance, for inflation targeting framework be implemented in successful (credible) way. Essays on how public targets could be used in the absence of such requirements are unusual. In this papel' we appraise how central banks could use inflation targeting before soundness economic fundamentaIs have been achieved. First, based on concise framework, where confidence crises and imperfect information are neglected, we conclude that less ambitious (greater) target for inflation increases the credibility in the precommitment. Optimal target is higher than the one obtained using the Cukierman-Liviatan [7] model, where increasing credibility effect is not considered. Second, extending the model to make confidence crises possible, multiple equilibria solutions becomes possible too. In this case, to set greater targets for inflation may stimulate confidence crises and reduce the policymaker credibility. On the other hand, multiple (bad) equilibria may be avoided. The optimal target depends on the likelihood of each equilibrium be selected. Finally, when perturbing common knowledge uniqueness is restored even considering confidence crises, as in Morris-Shin[ 14]. The first result, i.e. less ambitious target for inflation increases credibility in precommitment, is also recovered. Adding a precise public signal, cOOl'dinated self-fulfilling actions and equilibrium multiplicity may still exist for some lack of common knowledge (as in Angeleto and Weming[l]). In this case, to set greater targets for inflation may stimulate confidence crisis again, reducing the policymaker credibility. From another aspect, multiple (bad) equilibria may be avoided. Optimal policy prescriptions depend on the likelihood of each equilibrium be selected. Results also indicate that more precise public information may open the door for bad equilibrium, contrary to the conventional wisdom that more central oank transparency is always good when considering inflation targeting framework.

Mosaicos de áreas protegidas e unidades de conservação. Dificuldades e desafios num arranjo de governança híbrida: o caso do Mosaico Bocaina

O objetivo principal desta tese é compreender o funcionamento de um mosaico de áreas protegidas e unidades de conservação – o Mosaico Bocaina. Entende-se hoje que a política de conservação de biodiversidade depende da criação e adequada gestão de áreas protegidas. No entanto, a apropriação estatal de porções do território se deu por meio de decretos de criação de unidades de conservação num período em que não era obrigatória a consulta à população que habita essas localidades, o que acabou gerando inúmeros inconvenientes para ambos os lados e um verdadeiro imbróglio jurídico quando se trata do reconhecimento dos direitos difusos. O Mosaico Bocaina foi criado por uma portaria do Ministério do Meio Ambiente no final de 2006. Desde 2007 vem tentando se firmar como um instrumento de planejamento e gestão integrada e participativa de um conjunto unidades de conservação. Tenta-se também mitigar e buscar possíveis soluções para conflitos fundiários históricos criados pela sobreposição de territórios oficiais e tradicionais. Por meio da análise sistemática dos documentos produzidos no âmbito do seu Conselho Consultivo, e do acompanhamento das discussões de temas caros aos atores interagindo nesse fórum de governança híbrida, procuramos entender por que certos temas avançam e entram na agenda, sendo encaminhados para as instâncias decisórias competentes, e outros nem sequer conseguem ser processados, sendo bloqueados assim que entram na pauta. Identificamos que tal processo é resultado da dinâmica de configuração de forças de duas coalizões de defesa que disputam, mais que compartilham, espaços no território, e sempre polarizaram as discussões. De um lado, a coalizão pró-biodiversidade, que agrega gestores de unidades de conservação (tanto de proteção integral quanto de uso sustentado) e outros atores cujo foco nem sempre é uma agenda claramente conservacionista, mas excludente. De outro, a coalizão pró-sociodiversidade, que luta pela adoção de uma agenda socioambientalista e alternativa, com a inclusão e garantia do protagonismo das comunidades tradicionais nos projetos de desenvolvimento local sustentável. Acreditamos que essa polarização e dificuldade de construção de consensos baseados em princípios de colaboração e cooperação é resultado da própria complexidade da gestão da governança em fóruns híbridos como esse, complexidade esta derivada da coexistência de valores, preferências e interesses muitas vezes divergentes. Mas também conseguimos identificar outros fatores específicos, resultados de características locais e/ou escolhas realizadas pelo coletivo de atores ao longo da trajetória. A enorme assimetria de informação e poder entre os atores participantes, por exemplo, dificulta o desenvolvimento de confiança e mecanismos de reciprocidade. A adoção de uma coordenação colegiada, por outro lado, acabou comprometendo o surgimento de uma liderança ou instância neutra que funcionasse como mediadora dos processos de negociação entre as partes. O profundo desconhecimento das possibilidades – mas, sobretudo, também dos limites – dos mosaicos de áreas protegidas e unidades de conservação como instrumento de gestão territorial dentro do amplo Sistema Nacional de Unidades de Conservação gera expectativas de solução de conflitos que dependem de decisões que são tomadas alhures, o que acaba frustrando e desmobilizando os participantes de ambos os lados. A imagem de aparente apatia dos órgãos ambientais federais e estaduais, por sua vez, derivada da morosidade dos processos públicos, tende a infundir ainda mais incerteza no relacionamento entre os atores.

Estudo sobre a cooperação informal em uma equipe de operações especiais: aprofundando a análise da confiança e seus antecedentes no BOPE

O objetivo deste trabalho foi aprofundar a compreensão do modelo de coordenação informal no Batalhão de Operações Policiais Especiais da Polícia Militar do Estado do Rio de Janeiro - BOPE/RJ, uma unidade policial de operações especiais. Numa primeira etapa, conduzimos uma análise bibliográfica e documental sobre a confiança e seus antecedentes, tomando como base estudos anteriores realizados nesta unidade. Posteriormente, realizamos uma análise quantitativa, utilizando um banco de dados existente, fruto de esforços de pesquisa anteriores quando foi aplicado um questionário para os policiais desta unidade. Ao final de nossas análises, confirmamos a existência de uma relação direta e negativa entre distância de poder e confiança profissional no líder, ou seja, quanto maior a distância de poder, menor é a confiança profissional no líder. Comprovamos também que, quanto maior a percepção de acessibilidade, confiabilidade e transparência da informação compartilhada com os membros de uma equipe, maior é a confiança pessoal no líder. Além disso, quanto maior a percepção de compartilhamento e delegação de autoridade no processo de decisão do BOPE/RJ maior a confiança pessoal no líder.

O processo de licenciamento de empreendimentos de infraestrutura no Brasil: estudo de caso da intervenção ambiental no setor elétrico

A adoção da modelagem institucional de governança do processo de avaliação ambiental norte-americano, centrada na figura da agência líder, deverá demandar a edição de uma lei formal, prevendo o referido arranjo jurídico-institucional, na forma de uma moldura (framework) adaptável às necessidades especificas e peculiaridades de cada setor da Administração. Dessa forma, a referida lei formal funcionaria como uma norma geral, e como tal poderia ser complementada pela legislação infralegal, que viria a estabelecer as disposições especificas para dar efetividade ao instituo da agência líder nos setores em que seja desejável e oportuna a implantação do mesmo, a critério da Administração. Destarte, a atuação do Poder Legislativo estaria restrita à introdução ao sistema jurídico doméstico do instituto estrangeiro, estabelecendo apenas seus contornos básicos, cabendo à Administração a avaliação da oportunidade e conveniência da escolha dos setores específicos, do estabelecimento dos contornos normativos e do momento da efetiva regulamentação concreta do instituto.

Multistep stochastic mirror descent for risk-averse convex stochastic programs based on extended polyhedral risk measures

We consider risk-averse convex stochastic programs expressed in terms of extended polyhedral risk measures. We derive computable con dence intervals on the optimal value of such stochastic programs using the Robust Stochastic Approximation and the Stochastic Mirror Descent (SMD) algorithms. When the objective functions are uniformly convex, we also propose a multistep extension of the Stochastic Mirror Descent algorithm and obtain con dence intervals on both the optimal values and optimal solutions. Numerical simulations show that our con dence intervals are much less conservative and are quicker to compute than previously obtained con dence intervals for SMD and that the multistep Stochastic Mirror Descent algorithm can obtain a good approximate solution much quicker than its nonmultistep counterpart. Our con dence intervals are also more reliable than asymptotic con dence intervals when the sample size is not much larger than the problem size.

Combating shoulder-surfing: a hidden button gesture based scheme

This project describes an authentication technique that is shoulder-surfing resistant. Shoulder surfing is an attack in which an attacker can get access to private information by observing the user’s interaction with a terminal, or by using recording tools to record the user interaction and study the obtained data, with the objective of obtaining unauthorized access to a target user’s personal information. The technique described here relies on gestural analysis coupled with a secondary channel of authentication that uses button pressing. The thesis presents and evaluates multiple alternative algorithms for gesture analysis, and furthermore assesses the effectiveness of the technique.

Analysis an development of a prototype based on media wiki and semantic media wiki integrated with a design modeling that allows modeling of organizations based on demo

In a world where organizations are ever more complex the need for the knowledge of the organizational self is a growing necessity. The DEMO methodology sets a goal in achieving the specification of the organizational self capturing the essence of the organization in way independent of its implementation and also coherent, consistent, complete, modular and objective. But having such organization self notion is of little meaning if this notion is not shared by the organization actors. To achieve this goal in a society that has grown attached to technology and where time is of utmost importance, using a tool such as a semantic Wikipedia may be the perfect way of making the information accessible. However, to establish DEMO methodology in such platform there is a need to create bridges between its modeling components and semantic Wikipedia. It’s in that aspect that our thesis focuses, trying to establish and implement, using a study case, the principles of a way of transforming the DEMO methodology diagrams in comprehensive pages on semantic Wikipedia but keeping them as abstract as possible to allow expansibility and generalization to all diagrams without losing any valuable information so that, if that is the wish, those diagrams may be recreated from the semantic pages and make this process a full cycle.

New metallomolecular wires based on carbon-rich bridging systems: a systematic study

This dissertation presents and discusses the preparation of molecular wires (MW) candidates that would then be probed for electron transfer properties. These wires are bridged by 1,4-diethynylbenzene derivatives with alkoxy side chains with palladium and ruthenium metal complex termini. Characterization of these compounds was performed by usual spectroscopic techniques like 1H, 13C{1H} and 31P{1H} NMR, MS, FTIR and UV-Vis as well as by cyclic voltammetry which allowed classifying the candidates in the Robin–Day system and determination of bridges side chain and length effects on electronic transport. Preparation of the 1,4-diethynylbenzene derivatives was done with synthetic pathways that relied heavily in palladium catalyzed cross-couplings (Sonogashira). A family of single ringed 1,4-diethynylbenzene ligands with different length alkoxy side chains (OCH3, OC2H5, OC7H15) was thus prepared allowing for the influence of these ring decorations to be assessed. The ruthenium binuclear rods showed communication between metal centres only when the shorter ligands were used whereas the longer Ru complexes showed only one redox pair in CV studies which is in agreement to non-communicating metal centres. Cyclic voltammetry studies show irreversible one wave processes for palladium dinuclear complexes, making these rods function as molecular insulators. Fluorescence decay studies performed on the prepared compounds (ligands and complexes) show a pattern of decreasing decay times upon coordination to the metal centres which can due to ligand charge redistribution upon coordination leading to non-radiative relaxation paths. Regarding the X-ray structures, two new ligand related structures were obtained as well as new structure for a palladium rod. The effect of the side chains was observed to be important to the wires’ electronic properties when comparing with the analogues without a side chain. The effect brought by longer chains is nevertheless almost negligible.

Profiling allergic asthma volatile metabolic patterns using a headspace-solid phase microextraction/gas chromatography based methodology

Allergicasthmarepresentsanimportantpublichealthissuewithsignificantgrowthovertheyears,especially in the paediatric population. Exhaled breath is a non-invasive, easily performed and rapid method forobtainingsamplesfromthelowerrespiratorytract.Inthepresentmanuscript,themetabolicvolatile profiles of allergic asthma and control children were evaluated by headspace solid-phase microextraction combined with gas chromatography–quadrupole mass spectrometry (HS-SPME/GC–qMS). The lack ofstudiesinbreathofallergicasthmaticchildrenbyHS-SPMEledtothedevelopmentofanexperimental design to optimize SPME parameters. To fulfil this objective, three important HS-SPME experimental parameters that influence the extraction efficiency, namely fibre coating, temperature and time extractions were considered. The selected conditions that promoted higher extraction efficiency corresponding to the higher GC peak areas and number of compounds were: DVB/CAR/PDMS coating fibre, 22◦C and 60min as the extraction temperature and time, respectively. The suitability of two containers, 1L Tedlar® bags and BIOVOC®, for breath collection and intra-individual variability were also investigated. The developed methodology was then applied to the analysis of children exhaled breath with allergicasthma(35),fromwhich13hadalsoallergicrhinitis,andhealthycontrolchildren(15),allowing to identify 44 volatiles distributed over the chemical families of alkanes (linear and ramified) ketones, aromatic hydrocarbons, aldehydes, acids, among others. Multivariate studies were performed by Partial LeastSquares–DiscriminantAnalysis(PLS–DA)usingasetof28selectedmetabolitesanddiscrimination between allergic asthma and control children was attained with a classification rate of 88%. The allergic asthma paediatric population was characterized mainly by the compounds linked to oxidative stress, such as alkanes and aldehydes. Furthermore, more detailed information was achieved combining the volatile metabolic data, suggested by PLS–DA model, and clinical data.

The effectiveness of community-based interventions to improve maternal and infant health in the Northeast of Brazil

EMOND, Alan et al. The effectiveness of community-based interventions to improve maternal and infant health in the Northeast of Brazil. Revista Panamericana de Salud Pública/ Pan American Journal of Public Health , v.12, n.2, p.101-110, 2002