922 resultados para medically fragile


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As regiões metropolitanas são reconhecidas como locus estratégico para o desenvolvimento econômico e social das sociedades modernas, porém ainda têm dificuldades em responder às crescentes demandas e problemas complexos. São inúmeras as soluções buscadas e aplicadas para melhor responder às demandas coletivas em áreas metropolitanas, no entanto, o que se observam ainda são sucessos parciais, que evidenciam os desafios deste tema para a gestão pública. Desta forma, o presente estudo busca contribuir tanto para a discussão teórica quanto para a base empírica dos estudos de regiões metropolitanas. Por meio de levantamento bibliográfico, foram identificados oito fatores apontados como favoráveis à governança e governabilidade em regiões metropolitanas. Com a realização de entrevistas semiestruturadas e o levantamento de dados e informações, foi possível analisar esses fatores a partir do caso da Região Metropolitana da Baixada Santista e avançar no debate sobre os limites e potencialidades relativos às ações regionais.

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Dadas as limitações e inadequações presentes, tanto no arquétipo do tomador de decisão como um agente racional, adotado nas teorias econômicas e gerenciais, quanto no estereótipo de um ser transcendental, tão presente na vida prosaica, se faz necessário substituí-los por uma nova perspectiva: onde o tomador de decisão é um animal emocional, frágil diante do acaso, e fruto de um processo evolutivo.

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Empresas de negócios, que são constantemente pressionados por inovação, têm na criação de conhecimento organizacional a base para a estratégia de sobrevivência. Muito desse conhecimento acumulado é tácito, encarnado em indivíduos e incorporado pela organização, e que é de difícil articulação. A necessária justificativa de um novo conhecimento torna a sua criação um processo muito frágil. Indivíduos podem sentir-se ameaçados em compartilhar insights, intuição, novas ideias, know-how, habilidades específicas, diante de devastadores mecanismos de controle social como ridículo, difamação e opróbrio, ou pela possibilidade de mau uso de um conhecimento útil e valioso. Por outro lado, com a criança logo ao nascer, e derivado do narcisismo primário, emerge a confiança básica que acompanha o indivíduo ao longo de sua existência, e que, portanto, pode levá-lo a compartilhar seus achados. Esta pesquisa, um ensaio teórico, explorou a relação entre a confiança e compartilhamento de conhecimento tácito nas organizações. Com abordagem multidisciplinar, aderente ao pensamento complexo, incorporou referenciais teóricos advindos de trabalhos de neo-schumpeterianos (Teoria Evolucionária), da sociologia e da psicologia. O percurso metodológico contemplou a busca de artigos em base de dados, leitura de resumos de artigos, busca de autores consagrados na literatura, consulta de autores referenciados nos artigos, leitura e análise de trabalhos selecionados. Mediante análise de conteúdo, que busca identificar o que está sendo dito a respeito do tema, foram criadas as seguintes categorias de análise: inovação, poder, teoria de criação de conhecimento organizacional e confiança humana. Cada uma dessas categorias compôs um capítulo desta dissertação. Embora a escassez de pesquisas empíricas relacionadas ao tema, a análise de conteúdo dos artigos examinados permitiram concluir que a confiança interpessoal mantém relação de poder simétrico entre indivíduos e assim é capaz de acessar o conhecimento tácito enraizado na mente de indivíduos. Dessa forma, com a pesquisa aqui apresentada, espera-se ter contribuído para a literatura e práticas organizacionais relacionadas à gestão de conhecimento. Por fim, foram relatadas limitações no trabalho e sugestões para futuras pesquisas.

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Nesta tese, falamos do corpo construído socialmente, vinculado à subjetividade e à identidade do indivíduo e que está impregnado por elementos sociais e culturais. Para Giddens (2009), o controle do corpo é fundamental para que o indivíduo preserve aquilo que o autor chama de segurança ontológica – ou seja, para que ele tenha um sentido pessoal para a vida e pontos de referência que o ajudem a seguir adiante no cotidiano. Na cultura de consumo, sua aparência tende a ser normatizada e o culto ao corpo, entre outros aspectos, tem o apelo de autoindulgência. Nosso objetivo principal é compreender, dentro de um contexto de normatividade estética, o discurso e as práticas de consumo dos indivíduos em relação ao próprio corpo, identificando de que modo isso se conecta à sua segurança ontológica. Para alcançar esse objetivo, procuramos: (a) entender o olhar o indivíduo em relação a seu próprio corpo, avaliando de que forma isso tem relação com sua segurança ontológica; (b) examinar a presença do mercado no tripé indivíduo-corpo-segurança ontológica; (c) identificar e analisar elementos discursivos relacionados à aparência física, procurando entender o papel do consumo nesse contexto e (d) investigar as motivações que levam o indivíduo a agir ou não em conformidade com a norma estética, analisando as práticas de consumo relacionadas ao corpo. A coleta de dados primários foi feita por meio de entrevistas qualitativas. Foram entrevistados homens e mulheres, de atividades profissionais variadas, de 18 a 50 anos, pertencentes às classes A, B e C (ABEP, 2012), todos eles residentes no Rio de Janeiro. Este campo aconteceu no período de outubro de 2012 a julho de 2013. Os dados foram analisados a partir da abordagem de análise do discurso, considerando-se sua linha francesa e, particularmente a visão pecheutiana. Esta pesquisa conclui, em linha com autores como Giddens (2002), Goffman (1978) e Schouten (1991), que o corpo é algo importante na noção do indivíduo sobre si mesmo e faz parte de sua construção identitária. Além disso, a maneira como o sujeito lida com a mensagem normativa do mercado traz indícios sobre sua segurança ontológica. O indivíduo ontologicamente seguro não é aquele que descarta o mercado e cujas práticas de consumo relativas ao corpo fogem à norma estética. O que o diferencia daquele cuja segurança ontológica é frágil é sua motivação para aderir a determinado estímulo e a forma como ele lida com essas escolhas de consumo. Depreendemos que o indivíduo com segurança ontológica tem menos ansiedade em suas opções relativas ao corpo e não tem o olhar do outro como uma sombra quando toma decisões sobre sua própria aparência. Diferentemente, os indivíduos sem segurança ontológica são mais ansiosos diante da mensagem do mercado. Há, em algum grau, sofrimento quando não atendem a norma estética e, portanto, a aparência do corpo ganha um espaço importante em suas vidas.

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Desde o final do período monárquico, e já no nascimento da república, o problema social da pobreza e das favelas já impactava a formação da cidade do Rio de Janeiro. Ao longo dos anos, a questão adotou muitas faces e muitos discursos. A partir do momento em que os governos do Estado e do Município, desde os anos de 1950, tornaram as representações populares das favelas parte de suas representações políticas, o poder de discussão, participação e reivindicação dessa parcela da população foi diminuído e disperso. Tal fato abriu caminho para a manipulação de investimentos e políticas públicas que aumentaram a desigualdade social e, por conseguinte, em locais como o bairro do Caju, promoveram políticas de crescimento empresarial tão intensas e predatórias, que criaram, em concomitância aos problemas sociais, graves quadros de injustiça ambiental. Na busca pelo fortalecimento deste palco de debates, esta pesquisa pretende colaborar com a composição do retrato de uma região, pouco visível no município do Rio de Janeiro, que, desde sua ocupação como área de moradia, vem sendo transformada em território utilitário de exploração ambiental. Nela, as desigualdades afloram e aprisionam uma população cada vez maior nos circuitos de risco social e ambiental. O resultado desta pesquisa é a exposição de uma realidade frágil e a discussão mais profunda sobre a situação social e ambiental do bairro do Caju.

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The main objective of this Thesis was to encapsulate single viable cells within polyelectrolyte films using the Layer-by-Layer (LbL) technique. Most of the experiments used human mesenchymal stem cells (MSCs) whose characteristics (capacity of selfrenewal and potential to differentiate into several types of cells) make them particularly interesting to be used in biomedical applications. Also, most of the experiments used alginate (ALG) as the anionic polyelectrolyte and chitosan (CHI) or poly(allylamine hydrochloride) (PAH) as the cationic polyelectrolyte. Hyaluronic acid (HA) was also tested as an anionic polyelectrolyte. At the beginning of the work, the experimental conditions necessary to obtain the encapsulation of individual cells were studied and established. Through fluorescence microscopy visualization by staining the cell nucleus and using polyelectrolytes conjugated to fluorescent dyes, it was possible to prove the obtainment of capsules containing one single cell inside. Capsules aggregation was an observed problem which, despite the efforts to design an experimental process to avoid this situation (namely, by playing with cell concentration and different means of re-suspending and stirring the cells), was not completely overcome. In a second part of the project, single cells were encapsulated within polyelectrolyte layers made of CHI/ALG, PAH/ALG and PAH/HA and their viability was evaluated through the resazurin reduction assay and the Live/Dead assay. In these experiments, during the LbL process, polyelectrolyte solutions were used at a concentration of 1mg/mL based on literature. In general, the viability of the encapsulated cells was shown to be very low/absent. Then, as a consequence of the lack of viability of cells encapsulated within polyelectrolyte layers, the LbL technique was applied in cells growing adherent to the surface of cell culture plates. The cells were cultured like in a sandwich, between the surface of the cell culture dish and the polyelectrolyte layers. Also here, the polyelectrolyte solutions were used at a concentration of 1mg/mL during the LbL process. Surprisingly, cell viability was also absent in these systems. A systematic study (dose-effect study) was performed to evaluate the effect of the concentration of the individual polyelectrolytes (ALG, CHI and PAH were studied) in cell viability. Experiments were performed using cells growing adherent to the surface of cell culture plates. The results pointed out that a very high (cytotoxic) concentration of polyelectrolytes had been in use. Also, in general, PAH was much more cytotoxic than CHI, whereas ALG was the less cytotoxic polyelectrolyte. Finally, using alginate and chitosan solutions with adequate concentrations (low concentrations: 50ng/mL and 1μg/mL), the encapsulation of single viable cells was again attempted. Once again, the encapsulated cells were not shown to be viable. In conclusion, the viability of the encapsulated cells is not only dependent on the cytotoxic characteristics (or combined cytotoxic characteristics) of the polyelectrolytes but it seems that, when detached from the culture plates, the cells become too fragile and lose their viability very easily.

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FERNANDES, Fabiano A. N. et al. Optimization of Osmotic Dehydration of Papaya of followed by air-drying. Food Research Internation, v. 39, p. 492-498, 2006.

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Public policies have been studied in the various fields of humanities and social sciences, from different theoretical and technical aspects. However, there is still a lack of studies that incorporate the dimension that encompasses the political action and its interference in such actions, also recognizing the importance of the institutional setting of the Brazilian presidential model in implementing these policies. This fragmented and multiparty system has led to power heterogeneous sets of political parties. Thus, the ministerial offices, more than assisting the President´s government project, manage particularized agendas, which are party biased and have the influence of interest groups in hegemonic themes addressed by government agencies. When these agendas operate in sectoral and specialized policies, the friction level is apparently low. However, when this occurs in intersectoral actions, such as in regional development, there is evidence of strong signs of competition among government agencies, which in theory, should operate in an integrated manner. Although this is not a specific feature of Luiz Inacio Lula da Silva´s government- the period to be studied- there was similar behavior in Fernando Henrique Cardoso´s presidency, one realizes that the expansion of coalition on behalf of governance is increasingly interfering in the outcome of intersectoral public policies, due to these multiple arguments in action. In order to understand these processes, this study focused on the Sustainable and Integrated Development Programme for Differentiated Meso-Regions (PROMESO), part of the National Policy for Regional Development (NPRD). The program provides interface with various government agencies and their public policies in a clear intersectoral design. The research sought to identify and analyze the relationships between government agencies and their programs with interest groups, whether political parties or other segments of civil society, highlighting the logic of favoritism, which poses in second place the integration of actions in the intersectoral policies. Therefore, besides the theoretical debate that incorporates several categories of political science, public administration, public policy, geography and economics, the study focused on secondary sources, using different government agencies databases in order to raise information. It was observed that the interference of partisan politics has been disastrous for some public policies. Thus, the research confirms that cooperative character is fragile within government agencies, often limited to official documents, and that there is indeed, a striking feature of competition, especially when it comes to transversalized policies

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The public management reform in Brazil, since 1995, provoked new experiences in public administration. Among the new models of public service the one-stop shopping has distinguished and was adopted at Rio Grande do Norte with the Citizens Center Program. The one-stop shopping assembles in the same place many public services with appropriate structure, enabled human resources and citizens focus processes. The goal of this research was understand how citizens focus processes help to explain Citizens Center Program s longevity. It was made a case study and the research tools were applied with Citizen Center Programs workers and citizen-users at South Unit of Citizen Center Program placed at Via Direta Mall, Natal. The major contributions for Citizen Center Program s longevity were imputed to Basic Operation Processes. The most spoken features in Citizen Center Program mentioned were quality, efficiency, celerity e personal appearance, what demonstrate concern and care with citizen-users. Worker s personal appearance, accommodation, celerity, politeness and attending capacity planning were high evaluated by citizen-users revealing the wisely choice of use a large quality concept and citizenship concept in public administration. Citizen-users also pointed the necessity of refine and enlarge the communication ways that form an essential mechanism to public citizen focus administration. Not ignoring the policy aspect citizen focus processes were noticed like especial management actions that make easier citizen s activities and public service access, what generate satisfaction to citizen-users. It s possible to conclude that the high level approving evaluation of Citizen Center Program consolidates it an especial public policy that serves citizen s necessities e create appropriate legitimacy conditions of the public policy making harder the choice of ending the policy even in more fragile moments strongly contributing for its longevity

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Some protected special spaces on behalf of fundamental rights to the environment and the housing at the city of Natal are fragile by facing actions and attempts to suppress and changing (or omission in the implementation) of standards in furtherance of those rights at the local level, which seems to reflect a situation that goes beyond the context of the city. Based on integrated approach of the housing rights and the environment and its protection of special spaces on the field of fundamental rights, the thesis seeks to understand the weaknesses that affect the legal state duty under the realization/implementation of fundamental rights to the environment and housing in cities, focusing on the issues of flexibility of the founding legislation of special spaces to the detriment of the attributes they protected and the lack of implementation of the legal system that allows their effectiveness. So, it looks initially to understand the environment and housing rights and their special protected areas in the brazilian legal system, looking forward the evolution of its legal protection, as well as the weaknesses that emerge in the field of their effectiveness. Analyzing the trajectory of the environment and housing rights and their special protected areas in Natal, considering its standards, attributes, protection indicators, weaknesses and negative evidence within its legal protections and their enforcement by state entity, this thesis proposes to verify the existence of forms to confronting the weaknesses founded in the maintenance of legal protection and its implementation. At this point it discusses the legal basis and safeguard instruments of protection, especially within the juridical field, as part of a (re)discussion about issues of legislative and administrative discretion in the face of objective legal state duty to realization/implementation of fundamental rights in the urban space. With all these issues together the thesis does not ignore the scenario where the dividing line between public and private (economic) are becoming ever more tenuous in the field of state action and where the city stands as a special commodity to the reproduction of real estate, according to the interests of capitalist logic

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The purpose of this dissertation is to analyse the importance of the huts of Praia do Futuro to their users and to the city of Fortaleza in Ceará through the comprehension of relations between morphological categories - in urban and edified contexts - of the establishments and their use patterns. This place is one of the main recreation and leisure areas of the city, formed by six kilometres of waterfront, corresponding to a differentiated area through the coast. This space has beach huts with varied profiles: while some more simple huts persist, great complexes are being developed, building even water parks on the beach area. This study analyses relations between:i) spatial configuration (in geometric and mainly topological terms) based on the Social Logic of Space; ii) edified typology (analysing capacity, landscap treatment and program of the huts); and iii) use and environmental perception of the beach by its frequenters. There are consistent relations between the type of hut and their localization in the urban grid, of which were identified groups with different patterns: segregated (north, central and south) and integrated (north: more integrated. and south: less integrated). Such relations also reflect, in varied patterns of use and environmental perception. In spite of their strong economy, the beach huts find themselves in a fragile legal situation because they occupy the beach area, so that this study may come to assist the decision-making for the future of the region. For a sustainable development of the area by those responsible and managers it is necessary to evaluate the cultural importance of the huts at Praia do Futuro, understanding their occupation and uses.

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Study public space is studying the city and its dynamics through a representation point. The changes that are observed in these spaces and in the relations established there, or with it, are related to changes that occurred in the city as a whole, in the urban way of living. Study public space allied to urban sociability permits an even better focus on this relation between people in these spaces and with the spaces and in the consequences and fragile aspects this relation can impose to people and cities. This work is aimed towards this relation between public space and urban sociability. Through a conceptual/theoretical discussion aims, specifically, comprehend how to establish and what is the relation between urban space and urban sociability (appropriation/perception of place, tendencies of seclusion), from an isolated analysis of each one of these themes in the contemporaneous city. The Brazilian public space has peculiar characteristics, arising from its historical process of construction, also influenced by the public sphere fragile construction that permeates it, as well as more recent variables such as the sensation of insecurity and commodification of these places. The urban sociability influences and is influenced along all this process of significance and reframing of the public space. The conceptual discussion about each isolate variable provides the necessary coverage for discussion and analysis of the relation between them and the consequence of this relation in the city, such as the notation of relevant experiences of this process of revaluation of the public space. The hereby search is not through a path to reestablish the relation as it already existed, but also for an understanding of the dynamic as is established today and for existing possibilities for maintenance and appreciation of the relation between people and the city by believing in its importance to urban life

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The biomonitoring technique for water quality in water bodies has been incorporated increasingly in management of the natural resources, using mainly indices of its aquatic community characteristics. In Brazil the first efforts to use this technique was restricted to the South and the Midwest region of this country. Located in the northeast region, this study was conducted at Rio Grande do Norte state and had as main objective the assessment of water quality in the Piranhas-Açu river using benthic macroinvertebrates community as biological indicators. Thus, were applied two biotic indices, the BMWP (Biological Monitoring Working Party score system) and the IBF (Family Biotic Index). According the requirements of these indices, two periods of sampling were determined as basic methodology, in dry seasons of 2006 and 2007. The sampling sites were around the municipalities of Açu, Ipanguaçu, Alto do Rodrigues and Pendências. Physical-chemical measurements; a protocol of rapid assessment of diversity of habitats, and determination of the degree of tolerance of each taxon to organic pollution were also performed. The most abundant organisms found in the river were tolerant with the prevalence of Chironomidae (Diptera) and Melanoides tuberculata. This results, together with those ones got in indices application, showed a considerable organic pollution in the four sample places and the reaches were classified as modified to impacted. According to the used indices, this study suggest that this river have significant alteration in the biotic community and water quality on the organic pollution, and this fact, occurs in the reach of the river further downstream, where were expected a good water quality. Considering these results, measures aiming the conservation of this water body are needed regarding as it is inserted into a fragile ecosystem with dry season phenomenon, and the water of this river has extremely importance for the local economy

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The partial fixed prosthodontics restoration is used to rehabilitate form and function of partial or total compromised teeth, having to remain permanently joined to remainder tooth. The most useful material on prosthodontics is the feldspar porcelain, commercialized as aluminosilicate powders. Dental porcelains are presented with limited mechanical properties to rehabilitate extensive spaces. The association with Ni-Cr metallic systems (metal-ceramic system) allows that the metallic substructure compensates the fragile porcelain nature, preserving the thermal insulation and aesthetics desirable, as well as reducing the possibility of cracking during matication efforts. Cohesive flaws by low mechanical strength connect the metallic substructure to the oral environment, characterized by a electrolytic solution (saliva), by aggressive temperature, pH cyclic changes and mechanical requests. This process results on ionic liberation that could promote allergic or inflammatory responses, and/or clinical degradation of ceramometal system. The aim of this study was to evaluate the presence of an intermediate titanium layer on the microscopic fracture behavior of porcelains on ceramometal systems. Plasma deposition of titanium films result in regular passivating oxide layers which act as barriers to protect the metallic substrate against the hazardous effects of corrosive saliva. Tribocorrosion tests were performed to simulate the oral environment and mechanical stress, making it possible the early detection of crack formation and growth on metal-ceramic systems, which estimate the adherence between the compounds of this system. Plain samples consisting of dental feldspar porcelain deposited either onto metallic substrates or titanium films were fired and characterized by scanning electron microscopy. The result showed that the titanium film improved the adherence of the system compared to conventional metal-ceramic interfaces, thus holding crack propagation

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The use of gypsum, one of the oldest building materials for the construction industry in the country has been experiencing a significant and steady growth, due to its low cost and some of its properties that confer comparative advantage over other binder materials. Its use comprises various applications including the coating of walls and the production of internal seals and linings. Moreover, the fibers are being increasingly incorporated into arrays fragile in an attempt to improve the properties of the composite by reducing the number of cracks, the opening of the same and its propagation velocity. Other properties, depending on the function of the component material or construction, among these thermal and acoustic performances, are of great importance in the context of buildings and could be improved, that is, having better performance with this embodiment. Conduct a comparative study of physico-mechanical, thermal and acoustic composite gypsum incorporating dry coconut fiber, in the form of blanket, constituted the main objective of this work. Improving the thermal and acoustic performances of precast gypsum, used for lining and internal vertical fences of buildings, was the purpose of development of these composites. To evaluate the effect of fiber content on the properties of the composites were used to manufacture the composite layer with different thicknesses. The composites were fabricated in the form of plates with dimensions of 500x500x24mm. To facilitate the comparative study of the properties were also made with material gypsum boards only. We then determined the physico-mechanical, thermal and acoustical plaster and composites. The results indicated that the composites were significant gains in relation to thermal performance and also acoustic, in certain frequency range, increasing the thickness of the blanket. Concerning other physical-mechanical properties, the results showed that although the compressive strength was lower than for the composite did not occur after a fracture catastrophic failure. The same trend was observed with regard to resistance to bending, since the composites have not suffered sudden rupture and still continued after the load supporting point of maximum load