DISTRIBUIÇÃO REGIONAL DOS INSTRUMENTOS DE POLÍTICA URBANA E CIDADANIA NO BRASIL

A implementação de políticas públicas por parte dos municípios ocorre através de instrumentos próprios que permitem com que estes cumpram as competências expressas na constituição. Tais competências, por sua vez, estimulam o desenvolvimento, de instrumentos de política urbana, que objetivam a promoção do ordenamento territorial. Os referidos instrumentos de política urbana (leis), surgidas em um contexto de fortalecimento da autonomia municipal, representam normatizações que definem os limites de ação tanto dos indivíduos como dos governos em relação ao local. Analisaremos a distribuição regional dos instrumentos de política urbana, e apontaremos como possível justificativa para a distribuição regional diferenciada, as práticas institucionais que organizam a possibilidade de exercício da cidadania.

The TRAM flap for breast reconstruction : Studies on perioperative cutaneous blood flow, vasoconstriction, and indices of obesity

Breast reconstruction is performed for 10-15 % of women operated on for breast cancer. A popular method is the TRAM (transverse rectus abdominis musculocutaneous) flap formed of the patient’s own abdominal tissue, a part of one of the rectus abdominis muscles and a transverse skin-subcutis area over it. The flap can be raised as a pedicled or a free flap. The pedicled TRAM flap, based on its nondominant pedicle superior epigastric artery (SEA), is rotated to the chest so that blood flow through SEA continues. The free TRAM flap, based on its dominant pedicle deep inferior epigastric artery (DIEA), is detached from the abdomen, transferred to the chest, and DIEA and vein are anastomosed to vessels on the chest. Cutaneous necrosis is seen in 5–60 % of pedicled TRAM flaps and in 0–15 % of free TRAM flaps. This study was the first one to show with blood flow measurements that the cutaneous blood flow is more generous in free than in pedicled TRAM flaps. After this study the free TRAM flap has exceeded the pedicled flap in popularity as a breast reconstruction method, although the free flap it is technically a more demanding procedure than the pedicled TRAM flap. In pedicled flaps, a decrease in cutaneous blood flow was observed when DIEA was ligated. It seems that SEA cannot provide sufficient blood flow on the first postoperative days. The postoperative cutaneous blood flow in free TRAM flaps was more stable than in pedicled flaps. Development of cutaneous necrosis of pedicled TRAM flaps could be predicted based on intraoperative laser Doppler flowmetry (LDF) measurements. The LDF value on the contralateral skin of the flap decreased to 43 ± 7 % of the initial value after ligation of the DIEA in flaps developing cutaneous necrosis during the next week. Endothelin-1 (ET-1) is a powerful vasoconstrictory peptide secreted by vascular endothelial cells. A correlation was found between plasma ET-1 concentrations and peripheral vasoconstriction developing during and after breast reconstructions with a pedicled TRAM flap. ET-1 was not associated with the development of cutaneous necrosis. Felodipine, a vasodilating calcium channel antagonist, had no effect on plasma ET-1 concentrations, peripheral vasoconstriction or development of cutaneous necrosis in free TRAM flaps. Body mass index and thickness of abdominal were not associated with cutaneous necrosis in pedicled TRAM flaps.

Kohti leikkaussalin tuloksellista toiminnanohjausta

Background: The aging population is placing increasing demands on surgical services, simultaneously with a decreasing supply of professional labor and a worsening economic situation. Under growing financial constraints, successful operating room management will be one of the key issues in the struggle for technical efficiency. This study focused on several issues affecting operating room efficiency. Materials and methods: The current formal operating room management in Finland and the use of performance metrics and information systems used to support this management were explored using a postal survey. We also studied the feasibility of a wireless patient tracking system as a tool for managing the process. The reliability of the system as well as the accuracy and precision of its automatically recorded time stamps were analyzed. The benefits of a separate anesthesia induction room in a prospective setting were compared with the traditional way of working, where anesthesia is induced in the operating room. Using computer simulation, several models of parallel processing for the operating room were compared with the traditional model with respect to cost-efficiency. Moreover, international differences in operating room times for two common procedures, laparoscopic cholecystectomy and open lung lobectomy, were investigated. Results: The managerial structure of Finnish operating units was not clearly defined. Operating room management information systems were found to be out-of-date, offering little support to online evaluation of the care process. Only about half of the information systems provided information in real time. Operating room performance was most often measured by the number of procedures in a time unit, operating room utilization, and turnover time. The wireless patient tracking system was found to be feasible for hospital use. Automatic documentation of the system facilitated patient flow management by increasing process transparency via more available and accurate data, while lessening work for staff. Any parallel work flow model was more cost-efficient than the traditional way of performing anesthesia induction in the operating room. Mean operating times for two common procedures differed by 50% among eight hospitals in different countries. Conclusions: The structure of daily operative management of an operating room warrants redefinition. Performance measures as well as information systems require updating. Parallel work flows are more cost-efficient than the traditional induction-in-room model.

Clinical Studies on Epidural and Spinal Postoperative Analgesia : With Special Reference to Continuous Techniques of Administration and Adjuvant Drugs

Continuous epidural analgesia (CEA) and continuous spinal postoperative analgesia (CSPA) provided by a mixture of local anaesthetic and opioid are widely used for postoperative pain relief. E.g., with the introduction of so-called microcatheters, CSPA found its way particularly in orthopaedic surgery. These techniques, however, may be associated with dose-dependent side-effects as hypotension, weakness in the legs, and nausea and vomiting. At times, they may fail to offer sufficient analgesia, e.g., because of a misplaced catheter. The correct position of an epidural catheter might be confirmed by the supposedly easy and reliable epidural stimulation test (EST). The aims of this thesis were to determine a) whether the efficacy, tolerability, and reliability of CEA might be improved by adding the α2-adrenergic agonists adrenaline and clonidine to CEA, and by the repeated use of EST during CEA; and, b) the feasibility of CSPA given through a microcatheter after vascular surgery. Studies I IV were double-blinded, randomized, and controlled trials; Study V was of a diagnostic, prospective nature. Patients underwent arterial bypass surgery of the legs (I, n=50; IV, n=46), total knee arthroplasty (II, n=70; III, n=72), and abdominal surgery or thoracotomy (V, n=30). Postoperative lumbar CEA consisted of regular mixtures of ropivacaine and fentanyl either without or with adrenaline (2 µg/ml (I) and 4 µg/ml (II)) and clonidine (2 µg/ml (III)). CSPA (IV) was given through a microcatheter (28G) and contained either ropivacaine (max. 2 mg/h) or a mixture of ropivacaine (max. 1 mg/h) and morphine (max. 8 µg/h). Epidural catheter tip position (V) was evaluated both by EST at the moment of catheter placement and several times during CEA, and by epidurography as reference diagnostic test. CEA and CSPA were administered for 24 or 48 h. Study parameters included pain scores assessed with a visual analogue scale, requirements of rescue pain medication, vital signs, and side-effects. Adrenaline (I and II) had no beneficial influence as regards the efficacy or tolerability of CEA. The total amounts of epidurally-infused drugs were even increased in the adrenaline group in Study II (p=0.02, RM ANOVA). Clonidine (III) augmented pain relief with lowered amounts of epidurally infused drugs (p=0.01, RM ANOVA) and reduced need for rescue oxycodone given i.m. (p=0.027, MW-U; median difference 3 mg (95% CI 0 7 mg)). Clonidine did not contribute to sedation and its influence on haemodynamics was minimal. CSPA (IV) provided satisfactory pain relief with only limited blockade of the legs (no inter-group differences). EST (V) was often related to technical problems and difficulties of interpretation, e.g., it failed to identify the four patients whose catheters were outside the spinal canal already at the time of catheter placement. As adjuvants to lumbar CEA, clonidine only slightly improved pain relief, while adrenaline did not provide any benefit. The role of EST applied at the time of epidural catheter placement or repeatedly during CEA remains open. The microcatheter CSPA technique appeared effective and reliable, but needs to be compared to routine CEA after peripheral arterial bypass surgery.

Maallikon suorittama defibrillaatio sydänpysähdyspotilaan hoitoketjussa

Sudden cardiac arrest (CA) is one of the leading causes of death in Europe. It has been estimated that about 40 % of CA victims have ventricular fibrillation (VF) at the time of the first heart rhythm analysis. The treatment for VF is immediate cardiopulmonary resuscitation (CPR) and rapid defibrillation. The automated external defibrillator (AED) and the concept of public access defibrillation (PAD) may be a key to shortening defibrillation delays. Recent studies have shown that PAD programs are associated with high survival rates from VF when devices have been placed in certain risk sites and used by trained laypersons. Today many public places are equipped with AEDs. The purpose of this study was to find new ways of utilizing layperson defibrillation and promote the concept of public access defibrillation (PAD). The study explored the use of AEDs by non-medical first responders in Finland and cabin crew on board a commercial aircraft. A simulated study was performed to explore the role of dispatcher assistance in layperson CPR and defibrillation. A 15-year follow-up study of 59 one-year survivors after successful out-of-hospital resuscitation was performed to evaluate the long-term quality of life of the CA patients. Although there are many AEDs in use by non-medical first responders in Finland, the results of the study showed that there are large variations between individual first response units. This is considered to be caused by the lack of national standards and regulations that would define a full integration of first-responder programmes into the Emergency Medical Services system. The goal of rapid defibrillation in five minutes after the onset of CA is difficult to achieve in Finland due to sparse population and long distances. Local PAD programs may shorten the defibrillation delays. Dispatcher assistance in defibrillation by a layperson not trained to use an AED seems feasible and does not compromise the performance of CPR. In a simulated study, the quality of mouth-to-mouth ventilation performed by laypersons was found to be better after CPR training compared with performance with dispatcher assistance before training. Training was not found to have an influence on the quality of compressions or defibrillation compared with dispatcher assistance of untrained laypersons. The target groups for CPR and defibrillation training need further evaluation. The placements of the AEDs in public areas should be known by the emergency response center and the location should be marked with an international sign. The finding that once a good neurological outcome after CA is achieved, it can be maintained for more than 10 years, encourages further efforts to improve the survival of CA patients.

Current Care Guidelines for Cardiopulmonary Resuscitation : Implementation, skills and attitudes

Background: The national resuscitation guidelines were published in Finland in 2002 and are based on international guidelines published in 2000. The main goal of the national guidelines, available on the Internet free of charge, is early defibrillation by nurses in an institutional setting. Aim: To study possible changes in cardiopulmonary resuscitation (CPR) practices, especially concerning early defibrillation, nurses and students attitudes of guideline implementation and nurses and students ability to implement the guideline recommendations in clinical practices after publication of the Current Care (CC) guidelines for CPR 2002. Material and methods: CPR practices in Finnish health centres; especially concerning rapid defibrillation programmes, as well as the implementation of CC guidelines for CPR was studied in a mail survey to chief physicians of every health centre in Finland (Study I). The CPR skills using an automated external defibrillator (AED) were compared in a study including Objective stuctured clinical examination (OSCE) of resuscitation skills of nurses and nursing students in Finnish and Swedish hospital and institution (Studies II, III). Attitudes towards CPR-D and CPR guidelines among medical and nursing students and secondary hospital nurses were studied in surveys (Studies IV, V). The nurses receiving different CPR training were compared in a randomized trial including OSCE of CPR skills of nurses in Finnish Hospital (Study VI). Results: Two years after the publication, 40.7% of Finnish health centres used national resuscitation guidelines. The proportion of health centres having at least one AED (66%) and principle of nurse-performed defibrillation without the presence of a physician (42%) had increased. The CPR-D training was estimated to be insufficient regarding basic life support and advanced life support in the majority of health centres (Study I). CPR-D skills of nurses and nursing students in two specific Swedish and Finnish hospitals and institutions (Study II and III) were generally inadequate. The nurses performed better than the students and the Swedish nurses surpassed the Finnish ones. Geriatric nurses receiving traditional CPR-D training performed better than those receiving an Internet-based course but both groups failed to defibrillate within 60 s. Thus, the performance was not satisfactory even two weeks after traditional training (Study VI). Unlike the medical students, the nursing students did not feel competent to perform procedures recommended in the cardiopulmonary resuscitation guidelines including the defibrillation. However, the majority of nursing students felt confident about their ability to perform basic life support. The perceived ability to defibrillate correlated significantly with a positive attitude towards nurse-performed defibrillation and negatively with fear of damaging the patient s heart by defibrillation (Study IV). After the educational intervention, the nurses found their level of CPR-D capability more sufficient than before and felt more confident about their ability to perform defibrillation themselves. A negative attitude toward defibrillation correlated with perceived negative organisational attitudes toward cardiopulmonary resuscitation guidelines. After CPR-D education in the hospital, the majority (64%) of nurses hesitated to perform defibrillation because of anxiety and 27 % hesitated because of fear of injuring the patient. Also a negative personal attitude towards guidelines increased markedly after education (Study V). Conclusions: Although a significant change had occurred in resuscitation practices in primary health care after publication of national cardiopulmonary resuscitation guidelines the participants CPR-D skills were not adequate according to the CPR guidelines. The current way of teaching is unlikely to result in participants being able to perform adequate and rapid CPR-D. More information and more frequent training are needed to diminish anxiety concerning defibrillation. Negative beliefs and attitudes toward defibrillation affect the nursing students and nurses attitudes toward cardiopulmonary resuscitation guidelines. CPR-D education increased the participants self-confidence concerning CPR-D skills but it did not reduce their anxiety. AEDs have replaced the manual defibrillators in most institutions, but in spite of the modern devices the anxiety still exists. Basic education does not provide nursing students with adequate CPR-D skills. Thus, frequent training in the workplace has vital importance. This multi-professional program supported by the administration might provide better CPR-D skills. Distance learning alone cannot substitute for traditional small-group learning, tutored hands-on training is needed to learn practical CPR-D skills. Standardized testing would probably help controlling the quality of learning. Training of group-working skills might improve CPR performance.

Calidad de vida en adultos con diagnóstico de psoriasis de la ciudad de Paraná : diferencias según sexo

Resumen: La presente investigación tuvo como objetivo evaluar la percepción de la calidad de vida en aquellos adultos con diagnóstico de psoriasis de la ciudad de Paraná y conocer diferencias según sexo. El diseño de investigación fue de tipo descriptivo – correlacional, transversal y de campo; el muestreo fue intencional no probabilístico. Con una muestra compuesta por 36 sujetos de ambos sexo, de 18 a 65 años. Los instrumentos que se aplicaron fueron el World Health Organization Quality of Life Questionaire (WHOQOL-100), en su versión Argentina (Bonicatto y Soria, 1998), junto con dos cuestionarios ad hoc, uno sociodemográfico y otro para explorar la imagen corporal. El procesamiento de la información obtenida a través del WHOQOL-100 se realizó mediante el programa Stadistical Package for the Social Sciences (SPSS) 21. Mientras que los ítems del cuestionario ad hoc de imagen corporal fueron evaluados cualitativamente de manera individual, las respuestas fueron agrupadas por categorías y luego se obtuvieron las frecuencias, porcentajes y análisis de contenido. Se observó que los adultos con diagnóstico de psoriasis de la ciudad de Paraná presentaron en general, una buena calidad de vida. Se determinó que existen diferencias según sexo, las mujeres obtuvieron mayores puntajes en los dominios Relaciones Sociales y Espiritualidad, como también en las facetas de sentimientos positivos, relaciones personales, seguridad física y espiritualidad. Por último, se observó que la imagen corporal se vio afectada por dicha enfermedad en la muestra estudiada

Diagnóstico sobre el manejo postcosecha y la calidad inicial de la semilla de granos básicos producida artesanalmente en cinco zonas de Nicaragua

El objetivo del presente estudio fue obtener información acerca de la cosecha, post-cosecha y la calidad inicial de las semillas de los granos básicos producida por productores artesanales en distintas zonas de Nicaragua, mediante la realización de un Diagnóstico Rural Participativo (DRP) a 104 productores, y la determinación de la calidad inicial de la semilla a través de la medición de las variables: contenido de humedad, vigor, germinación y sanidad a muestras representativas de lotes de semilla de 26 productores artesanales. Para el análisis de la información obtenida del DRP se emplearon tablas de frecuencias y para el análisis de los resultados de la calidad inicial de la semilla se utilizaron rangos y promedios; exceptuando las variables vigor y germinación cuyos datos provenientes de un experimento bifactorial (factor A: zonas y factor B: productores dentro de zonas) arreglados en un diseño completamente al azar fueron sometidos al análisis de varianza. De igual manera se realizó el análisis de componente de varianza a fin de determinar el efecto de cada uno de los factores bajo estudio sobre la respuesta de las variables antes mencionadas en los cultivos de maíz, frijol y sorgo. En el caso del cultivo de arroz únicamente se determinó el efecto de productores sobre la germinación de las semillas. Los resultados mostraron que la mayoría de las actividades realizadas en la producción de semillas son adecuadas; exceptuando la de secar la semilla durante todo el día a pleno sol y almacenar la semilla de arroz en sacos de polipropileno trenzado que por lo general son dañinas para la calidad de la semilla; los problemas con el almacenamiento de la semilla fueron alta incidencia de insectos, falta de contenedores, instrumentos de secado y capacitación sobre manejo post-cosecha. De acuerdo al análisis de varianza, los efectos zona y productores dentro de zonas resultaron altamente significativos para la variable vigor en los cultivos de maíz y frijol; en sorgo las mismas fuentes de variación tuvieron un efecto significativo sobre la misma variable. Por otro lado para la variable germinación los efectos de zona y productores dentro de zona resultaron altamente significativos en los cultivos de maíz y sorgo. En frijol las diferencias en los resultados de la variable antes mencionada fueron altamente significativas únicamente entre productores dentro de zona. En el caso del cultivo del arroz solamente se estudió el efecto productor sobre la germinación, el que resultó altamente significativo. Según parámetros establecidos el 57.7% de los productores manejan su semilla en un rango óptimo de humedad y el 84.6% presentan semillas de calidad fisiológica elevada en cuanto a germinación. El análisis de sanidad reveló que únicamente las semillas de los cultivos de maíz y frijol poseen características sanitarias inferiores a lo establecido por las normas específicas de certificación de semillas.

Autorregulación emocional y actitudes ante situaciones de agravio

Este trabajo trata acerca de la evaluación de la influencia de la autorregulación emocional (control de los impulsos y control en situaciones adversas) sobre las actitudes ante situaciones de agravio. La muestra comprendió a 287 adolescentes, de ambos sexos, 114 varones y 173 mujeres, de 15 a 17 años de edad, residentes en la ciudad de Paraná. Los instrumentos utilizados fueron el Cuestionario de Actitudes ante Situaciones de Agravio y el Inventario de Cociente Emocional (Eq-i). Los resultados obtenidos nos muestran que existe una relación negativa entre el control de los impulsos y el control en situaciones adversas, y las actitudes agresivas de venganza, rencor y hostilidad.

Hacia la aldea virtual : evolución de las tecnologías comunicativas y de los modelos antropológicos

Estudiar los medios de comunicación significa estudiar al hombre, la sociedad en la que vive, su evolución y las perspectivas de desarrollo futuro. Después de haber puntualizado brevemente los avances tecnológicos salientes en la historia del hombre y de haber identificado las características más relevantes de las diversas redefiniciones antropológicas que siguieron a la introducción de algunos nuevos medios, nos detendremos principalmente en el estudio de las peculiaridades de los instrumentos de comunicación de masa más modernos, de la fotografía al cine, de la televisión a Internet. El objetivo principal de este aporte, lejos de querer proveer sistemas teóricos definitivos, es trazar un conjunto coherente de temáticas capaces de suscitar nuevas y proficuas cuestiones y de promover un debate abierto a los más diversos aportes, con particular atención a los avances de las comunicaciones telemáticas.

Bronze and iron weapons from Luristan

The 30,000 km2 province of Luristan is situated in western Iran and encompasses the upper valleys of the Zagros Mountains. Even today, local tribesmen inhabit Luristan with their settlement patterns similar to ancient times. Several scientific excavations in the Luristan region have uncovered evidence that this particular region was a major attraction for human settlements from the Paleolithic era onwards. In Ancient Iran, the existence of rich mines together with discoveries made by innovative and inventive artisans spurred the growth of the metalworking culture as an art and a skill among early human communities in Ancient Iran. The art of Luristan can be described as the art of nomadic herdsmen and horsemen with an emphasis on the crafting of small, easily portable objects, among these a number of bronze daggers, swords and other weapons. Throughout its history, Luristan was never an ethnic or political entity because Luristan has been occupied by various tribes and races, throughout its history. Next to Elamites, other tribes who inhabited Luristan were the Hurrians, Lullubians, Kutians, and Kassites. As local tribesmen of Luristan were illiterate, information about their history can only be partially reconstructed from the literature of their southern neighbors: the Elamites and Babylonians. Luristan smiths made weapons for both civilizations. The region was later invaded by Assyrians and finally the Iranians settled the area and absorbed the local tribes. Following an accidental find by the local inhabitants in Luristan in 1928 CE, a number of unlawful diggings reveal a number of metal objects made of bronze and iron that showed a high level of craftsmanship. These objects were offered for sale on the art market with fancy names to hide their origin. The subsequent scientific excavations several decades after the initial discovery provided fascinating information about the culture of Luristan. The metalworking art of Luristan spans a time period from the third millennium BC to the Iron Age. The artifacts from Luristan seem to possess many unique and distinctive qualities, and are especially noteworthy for the apparently endless, intricate diversity and detail that they characteristically depict. The bronze artifacts found in or attributed to Luristan can be each be classed under five separate heads: a) arms and armor, including swords, dirks, daggers, axes, mace heads, spearheads, shields, quiver plaques, protective bronze girdles, helmets; b) implements related to horsemanship, including decorative or ornamental objects for horses as well as bits and snaffles; c) items for personal adornment and hygiene, including anklets, bangles, bracelets, finger rings, earrings and tweezers; d) ceremonial and ritual objects, including talismans, idols, pins, anthropomorphic and zoomorphic figurines; and e) utilitarian objects comprising various vessels and tools, including beakers, bowls and jugs. The scope of this article is limited to a discussion of the bronze and iron weapons made in Luristan. The techniques used for making bronze weapons in Luristan included: casting with open molds, casting with close molds, and casting with lost wax process. For metal sheets used for quiver plaques and bronze protective belts, the hammering technique was used. Edged weapons made in Luristan can be classified into: a) daggers, dirks, and swords with tangs; b) daggers, dirks, and swords with flanges; and c) daggers, dirks, and swords with cast-on hilts. Next to bronze, iron was also used for making weapons such as the characteristic weapon from this area, the iron mask sword.

Gasto público social : conceptos y alcances

Resumen: La definición del gasto público social, a pesar de ser un concepto difundido, no encuentra consenso en la literatura. En este sentido, los países utilizan definiciones operativas y ello imposibilita las comparaciones. Las modalidades de intervención del Estado en la política social, son: a) centralización y descentralización y b) tipos de políticas: universalización y focalización. El problema de la descentralización se ubica en un contexto más amplio que debería solucionarse con cambios sustanciales en la coparticipación federal, avanzando tanto en la descentralización de ingresos como en las responsabilidades de recaudación local. La focalización facilita la universalidad que es la esencia misma de la política social. En la práctica es imposible llegar a la universalidad con instrumentos tradicionales y la focalización es la herramienta útil para llegar a las personas más pobres, que en el largo plazo, deben ser sujetos de carácter universal.

Informe de Economía e Instituciones

Resumen: El Informe de Economía e Instituciones cuenta con tres columnas que abordan cuestiones teóricas y de política económica relacionadas con la temática de la economía y las instituciones. En la primera columna, La Corte Suprema y el proceso de construcción institucional, el autor analiza el rol que ha cumplido la Corte Suprema de Justicia desde la crisis de los años 2001/2002 hasta el presente. En primer término identifica el lugar que la Corte Suprema ha recuperado en el sistema de gobierno así como en su función frente a la ciudadanía. En segundo término distingue entre las funciones que detenta como máxima autoridad del Poder Judicial e intérprete de la Constitución Nacional, para constatar que ha habido una mayor actividad alrededor de los temas relacionados con la primera función que sobre la segunda. En la segunda columna, Inflación e instituciones, los autores constatan de un estudio comparado que, en los países bajo estudio, todos los bancos centrales tienen como objetivo el la estabilidad de precios. Asimismo citan la Carta Orgánica del BCRA en la que se identifica ese mismo objetivo como una tarea prioritaria. Sin embargo, luego de recorrer los informes de inflación que genera nuestro Banco Central, ponen de relieve que la opinión del organismo parte de una postura según la cual las causas de la inflación actual en el país no son primariamente de naturaleza monetaria y por tanto, en buena medida, escapan a los instrumentos de la institución que son de esa índole. A este respecto la conclusión recae sobre el contraste de esta situación. En la tercera columna, Lecciones de los países de alto y sostenido crecimiento económico: un estado efectivo y competente es imprescindible, el autor se basa en un estudio de los países que más han crecido en forma sustentable en las últimas décadas. De este estudio se enfatiza la necesidad de aplicar pragmáticamente políticas provenientes de un estado eficiente y de calidad. Entre las políticas mencionadas como importantes se destacan: la integración a la economía global, la estabilidad macroeconómica, altas tasas de inversión y ahorro, y utilización de los mecanismos de mercado. Para lograr un estado de estas características, según las enseñanzas de este estudio, se requiere la existencia de un liderazgo adecuado con apoyo de la población.

Fortalecer el seguro de desempleo y mejorar las políticas activas de empleo que facilitan la reinserción laboral

La indemnización por despido, el seguro de desempleo y las políticas activas de empleo forman parte de los instrumentos con que se cuenta para proteger a los trabajadores ante el riesgo de pérdida del empleo. Mientras que los países más avanzados tienden a articular armónicamente estos tres instrumentos, en la Argentina, por el contrario, es clara la prioridad y el énfasis que se le asigna a la indemnización por despido. En este número de Empleo y Desarrollo Social se discute la necesidad de contar con un mejor diseño y articulación de los instrumentos disponibles, algo que permitiría mejorar sensiblemente tanto la protección efectiva de los trabajadores, como la capacidad de adaptación de las empresas a los entornos comerciales y tecnológicos cada vez más volátiles en los que éstas deben operar

Aplicación de parámetros matemáticos en un trabajo multidisciplinario de composición musical asistida por computadora sobre una temática folklórica

Resumen: En el marco de un proyecto de la Vicerrectoría de Investigaciones de la Universidad de Caldas denominado “Resignificación músico-pictórica del mito de la Salamanca” surgió la conveniencia de aplicar y diseñar programas de fundamentación matemática que permitieran definir la estructura y el tratamiento acústico de la obra especialmente escrita para este proyecto. Principalmente nos basamos en la implementación de la Transformada Rápida de Fourier (Fast Fourier Transform) para el análisis de espectros armónicos y su modificación en vivo y en la utilización de un entorno de programación para procesamiento de sonido en tiempo real. El marco general de la investigación parte del enfoque de Regionalismo Crítico procedente de las propuestas de Kenneth Frampton referentes originalmente a la crítica de la arquitectura. El planteamiento como investigación mutidisciplinaria implica (1) una visión crítica de la substancia mítica y social subyacente, (2) una resignificación pictórica por medio de fotografía, animación y pintura, basada en la sustancia visual que contiene el mito, (3) un enfoque musical electroacústico, a partir del material que surge del folklor local, utilizando la intervención de instrumentos en vivo y procesamiento en tiempo real.