Decision making in health care: limitations of the substituted judgement principle

The substituted judgement principle is often recommended as a means of promoting the self-determination of an incompetent individual when proxy decision makers are faced with having to make decisions about health care. This article represents a critical ethical analysis of this decision-making principle and describes practical impediments that serve to undermine its fundamental purpose. These impediments predominantly stem from the informality associated with the application of the substituted judgement principle. It is recommended that the principles upon which decisions are made about health care for another person should be transparent to all those involved in the process. Furthermore, the substituted judgement principle requires greater rigour in its practical application than currently tends to be the case. It may be that this principle should be subsumed as a component of advance directives in order that it fulfils its aim of serving to respect the self-determination of incompetent individuals.

Critique of "cultural fit" in relation to the recruitment of Indian information technologists for the Y2K project in Australia

In this study of intercultural communication, I investigate the multi-faceted meaning of the expression " cultural fit " in the sense that it is used by recruiters when shortlisting Indian information technologists to fill skills shortages for the Y2K project in Australia. The data is in the form of ten videotaped interviews in Bangalore and the recruiter commentary on those tapes in Melbourne. A crucial decision to be made by recruiters in any shortlisting process is " How will the candidate fit into the workplace?" This question becomes more problematical when applied to overseas-trained professionals. I take a critical approach, drawing principally on the research traditions of linguistics where studies of intercultural communication and workplace interaction intersect, employing chiefly the tools of Critical Discourse Analysis and Interactional Sociolinguistics and the more abstract notions of Bourdieu. A bridge between these different discourse approaches is provided by Sarangi & Roberts < 1999 < who show the connection between the larger institutional order and interactional routines, through an elaboration of frontstage talk and backstage talk following Goffman < 1959 < . An analysis of the interviews < frontstage talk < reveals "cultural fit" to involve a knowledge of institutional talk, in particular, directness. The recruiter commentary < backstage talk < draws attention to issues of intelligibility, body language, technical expertise and workplace values. the study shows that Indian Information Technologists have "partial fit" in that they possess technical fit but do not demonstrate, or lack the opportunity to demonstrate in the interview, Australian workplace values such as small talk, humour and informality. The recruiter judgments were fleeting and apart from checking for intelligibility, were made on the basis of candidates' body language thus highlighting its importance and its relative absence from the discourse approaches mentioned above. This study shows clearly that there is room for more communicative flexibility on the part of all the stakeholders.

The Brazilianisation of youth transitions in Australia and the UK?

A central theme of Beck’s argument in The Brave New World of Work (2000) is that labour markets in the developed world are taking on some of the core characteristics that have been associated with less developed labour markets such as employment insecurity, informality and precarity. A process he refers to as Brazilianisation. In this paper we consider whether Beck’s thesis can help us understand changes in youth transitions in Australia and the UK by developing a comparative analysis of processes of casualisation in the youth labour markets of the two countries. We assess the extent to which precarious labour market biographies have become entrenched and represent modern forms of engagement with the labour market. While evidence is presented to suggest that young people’s labour market experiences have been affected by a trend towards greater casualisation, we argue that the changes are having the greatest impact on those in the weakest positions: in both countries women are more likely to be affected than men and casualisation is most evident in the lowest skilled occupations.

Avaliação de riscos em estratégias de investimentos de longo prazo: aplicação prática em um fundo de pensão

O tema central deste trabalho é a avaliação de riscos em estratégias de investimentos de longo prazo, onde a necessidade de um exemplo prático direcionou à aplicação de Asset Liability Models em fundos de pensão, mais especificamente, a planos de benefício definido. Com os instrumentos de análise apresentados, acreditamos que o investidor com um horizonte de retorno de longo prazo tenha uma percepção mais acurada dos riscos de mercado a que está exposto, permitindo uma seleção de carteiras mais adequada aos objetivos de gestão. Para tanto, a inclusão de variáveis de decisão que procuram quantificar os objetivos de gestão - indo além do modelo simplificado de média-variância - exerce papel de fundamental importância.

MPME- Qual o tratamento mais adequado - regime diferenciado como forma de redução da informalidade?

Este trabalho analisa o papel das micro , pequenas e médias empresas no Brasil, sua importância na geração de rendas e empregos e compara os principais indicadores desse segmento com o de outros países. O trabalho faz uma análise dos principais problemas que dificultam o desenvolvimento das MPME, evidencia o que já foi feito e sugere que as políticas públicas priorizem a melhoria da competitividade das empresas, através da redução dos obstáculos causados pela excessiva regulamentação, dificuldades de acesso a financiamentos de médio e de longo prazos e através de programas e incentivos visando a melhoria da gestão das mesmas. O trabalho evidencia a importância e a evolução dos Distritos Industriais ( APL's) no Brasil, por muitos considerado como uma alternativa de fortalecimento das MPME e de desenvolvimento regional. É feita uma análise dos principais indicadores da economia informal e como algumas medidas de políticas públicas poderiam colaborar para redução dos atuais níveis de informalidade. O trabalho é concluído reenfatizando as principais ações que poderiam ser priorizadas nas diversas áreas - regulamentação, judiciário, tributária, crédito, todas objetivando melhorar a produtividade das MPME.

Responsabilidade social em arranjos produtivos locais: a prática do APL de confecção de Nova Friburgo e região

Esta dissertação apresenta uma análise da proposição de ações de responsabilidade social empresarial em micro e pequenas empresas, a partir de uma orientação da governança de um Arranjo Produtivo Local. A atualidade do tema o aproxima do desenvolvimento sustentável, entendido como alternativa de inserção econômica e social num ambiente em que predominou a globalização de mercados sob orientação neoliberal. Para a pesquisa de campo foi escolhido o arranjo de moda íntima de Nova Friburgo e região, no Rio de Janeiro. O elevado grau de informalidade que ainda existe em empresas de confecção, bem como a quantidade de resíduos que geram, reforçam o interesse em se conhecer o escopo e o alcance das práticas de responsabilidade social. A hipótese é de que as ações existentes não estão consistentemente consolidadas na orientação da governança, nem se constituem em caminhos decisivos para um desenvolvimento sustentável.

Desenvolvimento local, cidadania e arranjos produtivos locais: um estudo no estado do Rio de Janeiro

The aim of the present study was to verify how the participation and interaction of the local government public and private instittutions and civil society, might promote sustainable development, taking as a reference the Local Productive Arrangements (LPA) of Nova Friburgo and its Region. This work was conducted after a theoretical discussion concerning local development, citizenship, local development with citizenship and local productive arrangements. Afterwards, semi-structured interviews were realized with 32 citizens from five cities that were part of the Fashion Development Council, using the discourse analysis to data treatment. It was verified that the productive arrangement in the Centro-Norte Fluminense region of the Rio de Janeiro State has one of its main competitive advantages the pool of institutions, that articulate and support the underwear fashion sector. However, the APL presents many other characteristics making impossible to classify it as a cluster or an industrial district since there is still a need for cooperation among institutions and undertakers. In addition, there is no integration between the government instances and civil society in relation to the LPA development. So, it is concluded that there is a need for more union and dialogue among all of these involved actors, to overcome ¿bottle-necks¿ in the sector of underwear fashion in the region, such as informality of a huge number of companies and the low qualification of employees and undertakers.

As mudanças da cadeia produtiva têxtil em Valença-RJ: das indústrias do setor de tecidos para o APL do setor de Confecções

This study shows how the Industrial Cluster of garments in Valença, RJ ¿ comprised of micro and small enterprises ¿ contributes to overcome the problems left by the declining period of the textile industry. At first, the city took advantage of its talent for textile work and turned to the clothing sector, which now relies on garment factories, subcontractors, cooperatives and laundries in order to create jobs. There is institutional support, but the analysis of the situation identified the need for higher involvement of cluster players, as well as a higher interaction among them to help their own development. In regard to public and private institutions, there is room for steps to guide informal companies that find it difficult to afford labor, financial, and environmental costs towards formalization, the offer of management and labor skill programs, as well as entrepreneurs¿ awareness about the acquisition of modern-technology machinery. It is important to encourage higher participation of Valença firms in the national fashion events, since this draws attention to the name of the city, discloses the work that is carried out there, and attracts new businesses. The entry of Valença companies in the fashion arena of the southern region of Rio de Janeiro state is beneficial, especially to make them better prepared for the Fashion Rio/Fashion Business event. Informality as a way out of the unemployment problem is a growing trend in Valença, as well as in most of Brazilian cities. In this sense, the entrepreneurs need to find favorable steps to make them feel motivated to formalize their businesses.

Estratégias para a superação de problemas locais à Vila do Abraão e sua relação com o desenvolvimento sustentável do turismo

This study evaluates how the interaction among organizations located in Vila do Abraão, in Ilha Grande, Rio de Janeiro State, has contributed to the sustainability of this locality. An analysis of the island¿s local problems showed that firms informality and solid waste management practices were bringing damaging consequences to the island, and that this local productive arrangement (APL) has been able to collectively find solutions to such issues. These solutions basically encompassed: a) choosing estrategies the lead to a self-sustained model and not traditional way dependent on tax benefits; b) recognizing that the solutions to these problems involved the common action of public and private sectors and the civil society, and that various artifices should be used to establish such cooperation; c) the presence of actors outside the APL who played an important role in overcoming the problems of the cluster; d) using transparent legal instruments that defined the rights and obligations of each party and e) tripartite social entrepreneurship actions through NGOs to help solve problems common to the whole island.

Distribution strategies for the base of the pyramid: an exploratory study in Brazil

Access has been one of the main difficulties companies have faced in emerging markets (PRAHALAD, 2005). The capillarity of the market, the existence of small, not professionalized and sometimes informal retailers, the lack of infrastructure and high transportation costs are some of the distribution challenges companies face in poorer regions. The literature concerning the Base of the Pyramid (BoP) is still recent and only after the seminal article by Prahalad and Hart (2002), it evolved into many different management perspectives. However, there is a lack of researches concerning distribution strategies to the BoP. Therefore, the main objective of this research is to identify, in the perception of executives working in the market, the conditions associated to a satisfactory distribution for the BoP market in Brazil and to build a substantive theory that helps to shed light to the understanding of the distribution phenomenon adopted by consumer goods companies to reach the BoP market in Brazil. In order to accomplish the objectives of this thesis, a grounded theory methodology (Glaser; Strauss, 1967; Corbin; Strauss, 2008) was used. This approach helped to identify the channel strategies used by local and global companies in the market. Many techniques for data collection were applied. The most important one was in-depth interviews with 26 executives from 24 different consumer goods companies in Brazil. Among the companies there were small, medium and large enterprises; which were also grouped as manufacturers, distributors and retailers. Furthermore, secondary data were examined to identify business strategies to reach BoP and map global distribution initiatives. A database from a consumer panel was also used to analyze what and where BoP consumers purchase non-durable goods. It was verified that small and traditional retailing is a very strong format in BoP markets and in the Northern/Northeastern regions. Cash & Carry is a format that is growing a lot. On the other hand, hypermarkets are not very used by low income population. The results suggest that three major categories are associated to a satisfactory distribution: (a) willingness, which means the effort, knowledge and enthusiasm a firm has to operate at BoP markets; (b) well-done execution, which is related to designing correctly the marketing channel and operating efficiently in an environment full of obstacles, such as lack of infrastructure, capillarity, lack of safety, regional differences and informality, and (c) relationship, which was perceived to be friendlier and essential at BoP markets, since it is very difficult for manufacturers to reach the entire market alone. It is more likely to have a satisfactory distribution when manufacturers establish strong relationships in the marketing channel. Besides, small retailers have a perception of isolation and expect a higher level of relationship. These major categories explain also the competitive advantage that local companies have in relation to MNCs and large companies. Despite of the limitations of an exploratory study, it is expected that this thesis will contribute to the BoP knowledge as well as to the identification of the peculiarities of distribution in BoP markets.

A Previdência Social Brasileira após a transição demográfica: simulações de propostas de reforma

É consenso que as tendências demográficas de longo prazo estão por trás da deterioração das contas previdenciárias na grande maioria dos países do globo. O problema se agrava no Brasil, pois a informalidade do mercado de trabalho exclui milhões de potenciais contribuintes do regime de repartição. O trabalho mensura, através de simulações de um modelo de longo prazo, qual o impacto fiscal das mudanças introduzidas pela transição demográfica. E, admitindo a persistência dessa nova estrutura etária no país, simula quais propostas de reforma da previdência têm maior resultado na redução dos déficits atualmente registrados no INSS. Dentre as principais conclusões estão: (i) a transição demográfica sozinha é responsável por quase dobrar a alíquota previdenciária necessária para equilibrar o sistema, e; (ii) apesar de ser extremamente importante aprovar as propostas de reforma tradicionais (instituição de idade mínima, taxação dos inativos e mudanças nas regras de cálculo dos benefícios), aumentar a cobertura do regime de repartição através da inclusão dos aproximadamente 45 milhões de trabalhadores informais não-contribuintes reduz déficits em magnitude semelhante.

Decent work and the informal sector in Brazil

Brazil has a substantial share – about 60% by some measures - of its employees working without labor registry and 62% of its private sector workers not contributing to social security. Informality is important because its job precaurioness, social desprotection consequences, and it is also very correlated with poverty and other social welfare concepts measured at a family level. 58% of the country population that is found below the indigent line live in families headed by informal workers. The complexity of the informal sector is derived from the multiple relevant dimensions of jobs quality. The basis used for guiding policy interventions depends on which effect of informality one is interested such: as lowering job precaurioness, increasing occupational risks, increasing the degree of protection against adverse shocks, allowing that good oportunities to be taken by the credit provision, improving informal workers families living conditions, implementing afirmative actions, reducing tax evasion etc. This report gauges various aspects of the informal sector activities in Brazil over the last decades. Our artistic constraint are the available sources of information. The final purpose is to help the design of policies aimed to assist those that hold “indecent” jobs

Brazil: the pressure points in labor legislation

Brazil’s experience shows that the economic and political history of a country is a critical determinant of which labor laws influence wages and employment, and which are not binding. Long periods of high inflation, illiteracy of the workforce, and biases in the design and enforcement of labor legislation bred by the country’s socioeconomic history are all important in determining the reach of labor laws. Defying conventional wisdom, these factors are shown to affect labor market outcomes even in the sector of employment regarded as unregulated. Following accepted practice in Brazil, we distinguish regulated from unregulated employment by determining whether or not the contract has been ratified by the Ministry of Labor, viz., groups of workers with and without signed work booklet. We then examine the degree of adherence to labor laws in the formal and informal sectors, and finds “pressure points” – viz., evidence of the law on minimum wage, work-hours, and payment timing being binding on outcomes – in both the formal and informal sectors of the Brazilian labor market. The findings of the paper imply that in terms of the design of legislation, informality in Brazil is mainly a fiscal, and not a legal phenomenon. But the manner in which these laws have been enforced is also critical determinant of informality in Brazil: poor record-keeping has strengthened the incentives to stay informal that are already built into the design of the main social security programs, and ambiguities in the design of labor legislation combined with slanted enforcement by labor courts have led to workers effectively being accorded the same labor rights whether or not they have ratified contracts. The incentives to stay informal are naturally higher for workers who are assured of protection under labor legislation regardless of the nature of their contract, which only alters their financial relationship with the government. The paper concludes that informality in Brazil will remain high as long as labor laws remain ambiguous and enforced with a clear pro-labor bias, and social security programs lack tight benefitcontribution linkages and strong enforcement mechanisms.

Microcrédito, emprego e renda: uma pesquisa empírica na ICC-BLUSOL/SC

Esta pesquisa objetivou analisar o impacto do microcrédito junto aos microempreendedores beneficiados pela Instituição de Microcrédito ICC-Blusol de Blumenau, Santa Catarina. De um total de 5.451 clientes foram selecionados e analisados 94, os quais obtiveram microcrédito durante os 10 últimos anos. Para testar a veracidade da afirmação, utilizou-se modelo econométrico utilizando a técnica de dados em painel, através da estimação das variáveis no modelo de efeitos fixos e efeitos aleatórios. Como variável independente utilizou-se a premissa "Valor do Empréstimo" e como variáveis dependentes "Vendas", "Resultado Operacional", "Garantia Real", "Garantia Aval", "Recursos Humanos", "Custos Fixos" e "Custos Variáveis". Conclui -se que somente as variáveis "Vendas" e "Resultado Operacional" validam a afirmação de que o acesso ao microcrédito resulta em incremento de Faturamento e Renda. A criação e manutenção de empregos, embora não tenha sido comprovada na análise estatística, ficou evidente, pois a simples sobrevivência da empresa já pressupõe isto.

Direito informal e regras sociais: um estudo do mercado popular Uruguaiana

O presente trabalho objetiva promover um estudo das regras sociais que compõem o MPU. A partir da idéia da existência de uma ordem jurídica Inoficial, coexistente com o direito positivo, torna-se possível pensar a questão da informalidade de modo diferente. Para o desenvolvimento desta proposta foi promovida uma análise conceitual da informalidade voltada para um estudo teórico do Pluralismo Jurídico, visando uma abordagem qualitativa das regras presentes no seio do MPU. Assim, torna-se crível confirmar a existência do que chamo de Direito Popular Uruguaiana, de modo a vislumbrar novas formas de tratamento da questão da informalidade.