Manifestações extra-glandulares do síndrome de Sjögren primário - doença linfoproliferativa e vasculite : clínica, diagnóstico, tratamento e prognóstico : Caso clínico e revisão bibliográfica

Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014

Efeito da ingestão de uma infusão de gengibre no fluxo salivar, grau de xerostomia e qualidade de vida em indivíduos com síndrome de Sjögren primário do Instituto Português de Reumatologia

Dissertação para obtenção do grau de Mestre no Instituto Superior de Ciências da Saúde Egas Moniz

Breve exposicion de las causas que impidieron obtener un resultado a la legacion de Bolivia cerca del gobierno de Chile, acreditada en 1858.

Signed: Manuel M. Salinas.

Exposición histórica del monstruo que nació el día 30 de mayo próximo anterior en la calle de Sopranis de esta ciuadad, formada por una comisión de la Sociedad Médico-Quirúrgica de Cádiz, con arreglo á las observaciones hechas durante su vida, y al resultado de la inspección del cadaver : presentada y leida á la misma Sociedad en sesión extraordinaria que celebró el día 8 del corriente.

Mode of access: Internet.

Apuntes de mi práctica sobre los tumores y quistes del ovario y el resultado de su tratamiento médico y quirúrgico /

Mode of access: Internet.

No hay ya que temer al cólera-morbo ó sea último resultado de todas las observaciones ... /

Es continuación de: Cólera morbo de Paris.

Reflexiones sobre la naturaleza, el arte, la ciencia y la opinión, dirigidas al único fin de que se abandone para siempre ... la temeraria empresa de querer esplicar la esencia o naturaleza íntima de los cuerpos naturales ... renunciándose ... a toda suerte de sistemas hipotéticos ú opinables que no sean el resultado puro de la verdadera esperiencia /

Tít. de la anteportada: Reflexiones sobre el arte-ciencia de curar.

Resultado de las experiencias hechas sobre el alcanfor de Murcia.

Según Palau, XVI, 239229, el autor es Luis Proust.

O aprimoramento cognitivo como bem primário em Rawls

The main thesis to be demonstrated in this work is that cognitive enhancement through the use of drugs can be included as a primary good within Rawls' thinking. To develop such notion, the text is structured in two parts. The first part intends to describe the theory of justice as equity in its elements directly related to primary goods. The first information to be verified is the unity of the notion of primary goods in all of Rawls' work. Some elements are modified, for example the distinction of natural and social primary goods. Natural primary goods are intelligence, health, imagination, vigor and chance (luck) and social primary goods are law and liberty, opportunity and power, income and wealth and the social fundaments of self-respect. The perception of some talents such as intelligence has also undergone changes, being altered from "higher intelligence" to "educated intelligence". Such fact highlights education as a primary good that permeates all of Rawls' work in different perspectives. Freedom and self-respect are social-primary goods that will also be deepened. The second part presents the definition of improvement and as to show that the distinction between enhancement and treatment is controversial. The part presents the definition of improvement and as the distinction between enhancement and treatment is controversial. Thus, we have deepened the problems related to practice improvement (enhancement) showing how the concepts of Rawls' primary goods as freedom and self-respect are not in opposition to the practice of improvement, particularly cognitive enhancement. We have shown, instead, that the ban of cognitive improvement could lead to denial of these primary goods. But how could we consider cognitive improvement as a primary social good? What we have done in this thesis is to show how cognitive enhancement is important to ensure that primary products are accessible to citizens, and we rebuilt the process that Rawls uses for choosing his primary goods to test that cognitive enhancement through drugs could perfectly be introduced as such.

O aprimoramento cognitivo como bem primário em Rawls

The main thesis to be demonstrated in this work is that cognitive enhancement through the use of drugs can be included as a primary good within Rawls' thinking. To develop such notion, the text is structured in two parts. The first part intends to describe the theory of justice as equity in its elements directly related to primary goods. The first information to be verified is the unity of the notion of primary goods in all of Rawls' work. Some elements are modified, for example the distinction of natural and social primary goods. Natural primary goods are intelligence, health, imagination, vigor and chance (luck) and social primary goods are law and liberty, opportunity and power, income and wealth and the social fundaments of self-respect. The perception of some talents such as intelligence has also undergone changes, being altered from "higher intelligence" to "educated intelligence". Such fact highlights education as a primary good that permeates all of Rawls' work in different perspectives. Freedom and self-respect are social-primary goods that will also be deepened. The second part presents the definition of improvement and as to show that the distinction between enhancement and treatment is controversial. The part presents the definition of improvement and as the distinction between enhancement and treatment is controversial. Thus, we have deepened the problems related to practice improvement (enhancement) showing how the concepts of Rawls' primary goods as freedom and self-respect are not in opposition to the practice of improvement, particularly cognitive enhancement. We have shown, instead, that the ban of cognitive improvement could lead to denial of these primary goods. But how could we consider cognitive improvement as a primary social good? What we have done in this thesis is to show how cognitive enhancement is important to ensure that primary products are accessible to citizens, and we rebuilt the process that Rawls uses for choosing his primary goods to test that cognitive enhancement through drugs could perfectly be introduced as such.

As escolas polivalentes do Triângulo Mineiro e Alto Paranaíba (MG): sondagem vocacional no projeto desenvolvimentista civil-militar (1965–1976)

This study has as object eight state vocational schools located in Araguari, Araxá, Frutal, Ituiutaba, Monte Carmelo, Patos de Minas, Uberaba and Uberlândia, in Minas Gerais. The period analyzed comprises the years from 1965 to 1976, from the signature of the Agreement 512-11-610-042 beteween the Ministry of Education and Culture (MEC) and the American Agency for International Development (USAID), which started a series of other agreements, and actions ending up with the creation of the Expansion and Improvement of High Schools Program (Programa de Expansão e Melhoria do Ensino Médio - PREMEM) and, from this, the Vocational Schools. The upper limit of the study, 1976, was the year when these agreements, known as MEC/USAID agreements ceased. The Vocational Schools were characterized as vocation probing schools, directing the professional formation of the population in general, which would happen a posteriori, turning it shorter and more effective, since the labor market would demand, urgently, capable professionals for an expanding economy. The project of Vocational Schools had a national scope, and foresaw, for its unfolding, the complete substitution of State Schools for the new model, called “multi-curricula”. The theme Vocational schools was the object of my Master’s degree study, when I focused the State School Guiomar de Freitas Costa, in Uberlândia. That study raised questionings and concerns that resulted in the central problem of the thesis presented here: understanding the measure in which such schools integrated the country’s development project – mostly in the first half of the military rule – and to understand its structure, functionality and efficacyThe development of the study presented here, demanded the use of several sources: 1) specialized literature about the topics presented, i.e., the situation of national education in a temporal analysis, the political, economical and social context, research methodologies, the theory of human capital, vocational teaching, pedagogical trends and practices, agreements MEC-USAID and PREMEM; 2) national, state and county laws related to the discussion: laws of national education directives and basis, decrees and reports stating about the program of technical cooperation between Brazil and the United States of America, the Program of Expansion and Improvement of Teaching (PREMEM), formation of professors, establishment of Vocational Schools and educational planning; 3) documentation of school archives: books of minutes of Collegiate and of faculty and staff, registrar books with final scores, enrolment, visits of inspector, accounting books, punch clock records, student, professor and staff occurrences, inventory, class schedules, school year calendar, school rules, class reports, payment rolls, bills of sales, exchanged mail, personal documentation of professional personnel, documents of land acquisition, blueprints, manuals of PREMEM, didactic materials/resources used in classes, books available in the school library, structured evaluations for follow-up of school processes, pictures of events, texts prepared for special dates, and news from the official newspaper and, finally, 4) national and local press reports, especially from Folha de São Paulo, Correio de Araxá, Correio de Uberlândia and Lavoura e Comércio (Uberaba). The proposition of Vocational schools was conciliate theoretical and practical formation through an active education permeated by technological resources. The contact with knowledge and several practical activities under professional supervision, the student would identify the knowledge area that would interest him the most and his aptitude. This formation in primary school would make way for the vocation studies in high school, which became mandatory by the law 5.692/71, that reformed school education from the previous levels of elementary, middle high and high school. However, the multi-curricula proposal that would be spread to the other public schools in the country ended up succumbing to the model already established. From its ephemeral existence, maybe the Vocational Schools have not reached the more general goals in political, economic and social aspects; however, this study demonstrated that, for the people that, directly or indirectly, had contact with such schools, a legacy of vocational and quality teaching was made, so much so, that forty years after the end of that proposal, they are still remembered.

Definições para o resultado de enfermagem comportamento de prevenção de quedas: uma revisão integrativa

Devido à necessidade de mensurar o risco de quedas em concordância à linguagem padronizada de enfermagem, foi selecionado o resultado de enfermagem Comportamento para Prevenção de Quedas da Nursing Outcomes Classification (NOC), com objetivo de identificar evidências sobre seus elementos, mensuração, comparação com indicadores existentes e construir definições constitutivas. Foi efetuada revisão integrativa entre abril e novembro de 2009, mediante identificação da questão, estabelecimento de critérios de inclusão/exclusão, extração das informações, avaliação, interpretação e síntese. Destacaram-se pesquisas transversais e perspectivas de especialistas. Os indicadores Uso de recursos de correção da visão e Uso de sapatos amarrados e do tamanho adequado foram considerados insuficientes para avaliar fatores de risco como déficits sensoriais e roupas/calçados inadequados. Percebe-se que algumas definições precisam ser melhor desenvolvidas e que esse resultado de enfermagem merece refinamento sobretudo referente aos indicadores. Foram identificados 22 indicadores e definições foram propostas baseadas nas evidências da literatura

A RELAÇÃO ENTRE INOVAÇÃO, EMPREENDEDORISMO E GESTÃO DO CONHECIMENTOSOB A PERSPECTIVA DO RESULTADO ORGANIZACIONAL DAS STARTUPS DE TECNOLOGIA DA INFORMAÇÃO

A sustentabilidade das startups é muito frágil, temos hoje um percentual elevado dessas empresas, que são descontinuadas em um curto prazo de tempo, sendo que as práticas tradicionais de administração não conseguem minimizar esta mortalidade. Assim pensando, destacam-se as startups da área de tecnologia de informação com alto grau de descontinuidade. Por isso, a proposta deste projeto analisar a relação entre os constructos inovação, empreendedorismo e gestão do conhecimento que possam a vir contribuir com a melhoria dos resultados organizacionais das startups brasileiras da área de tecnologia da informação. Os autores Geraldes (2013), Arruda et al (2012), Stefanovic, Prokic e Rankovic (2010), Helm e Mauroner (2007) e Cressy (2006) apontam indícios de que a morte prematura das startups é uma tendência mundial e enfatizam a necessidade do estudo sobre o tema como forma de potencializar a taxa de sobrevivência dessas empresas. Bessant, Tidd, e Pavitt (2008) assinalam que a sobrevivência das empresas no mercado vem a partir da capacidade em inovar e de ser dinâmica em sua adaptação ao ambiente. Por conseguinte, levanta-se a seguinte pergunta problema: Qual a relação entre inovação, empreendedorismo e gestão do conhecimento, segundo parâmetro do resultado organizacional das startups brasileiras da área de tecnologia da informação? A metodologia dessa pesquisa é caracterizada como qualitativa, estudo de caso múltiplo, utilizando-se técnica descritiva.Palavras-chave: Inovação. Empreendedorismo. Gestão do conhecimento. Startup.

Sphingidae de El Salvador: (Resultado del viaje de exploración Dr. Adolf Zilch 1951 en El Salvador Nº2)

Entre los miles de lepidópteros coleccionados por el Dr. Adolf Zilch durante su estancia en El Salvador se hallaban 204 sphingidae de 33 especies donde no se anota diferentemente los animales proceden de San Salvador. Todos fueron coleccionados mediante captura por luz, por ofrecerse precisamente buena ocasión para aquel método en el Instituto Tropical de Investigaciones Científicas de El Salvador. Los faroles colocados alrededor del Instituto atraían con su luz resplandeciente masas de insectos noche tras noche y el Dr. Zilch los coleccionaba cada tres o cuatro horas en la pared iluminada del edificio. En los anales del Instituto de Biología de 1942, Carlos especificó para México 154 especies de sphingidae.

Gyrinidae de El Salvador (Resultado del viaje de exploración Dr. Adolf Zilch 1951 en El Salvador, No 1)

Hasta hoy día no se habían descrito de El Salvador, coleópteros de la familia de los Girinidos. Por eso me ha alegrado mucho obtener del Museo Senckenberg, en Francfort A. M. Una colección de estos coleópteros, coleccionados por el Dr. Zilch durante sus viajes de exploración, en El Salvador, en el año 1951. El material investigado contenía 7 especies, entre las cuales se encontraban dos Gyretes hasta ahora desconocidos. Simultáneamente recibí del museo zoológico de Vienna tres ejemplares de Dineutus sublimatus que se habían coleccionado en 1877 en El Salvador.