Um sistema de classificação de risco para serviços hospitalares de urgências e emergências pediátricas: CLARIPED.

Esta pesquisa refere-se ao desenvolvimento de um novo sistema triagem ou classificação de risco para os serviços de urgências e emergências pediátricas e ao estudo de validade e confiabilidade deste instrumento. O primeiro tópico trata de conceitos e fundamentos relacionados à triagem e evidencia a complexidade do tema em vários aspectos. O segundo tópico apresenta as justificativas para o desenvolvimento de um novo sistema de classificação de risco para o contexto de saúde brasileiro, diante das inadequações de se adotar sistemas idealizados em países com desenvolvimento econômico, social e cultural diversos. O terceiro tópico apresenta os objetivos da pesquisa: rever o estado da arte em relação à validade e confiabilidade de sistemas de triagem em crianças, descrever o desenvolvimento de um sistema brasileiro de classificação de risco para urgências e emergências pediátricas e estudar a validade e confiabilidade do novo instrumento. O quarto tópico é uma revisão sistemática da literatura sobre a validade e confiabilidade dos sistemas de triagem utilizados na população pediátrica. Localizaram-se estudos sobre sete sistemas de triagem desenvolvidos no Canadá, Reino Unido, EUA, Austrália, Escandinávia e África do Sul. Constatou-se a dificuldade de se comparar o desempenho de diferentes instrumentos, devido à heterogeneidade dos desfechos, das populações e dos contextos de saúde estudados. O quinto tópico descreve o processo de desenvolvimento de um instrumento brasileiro de classificação de risco em pediatria, CLARIPED, a partir do consenso entre especialistas e pré-testes. Justificou-se a escolha da Escala Sul Africana de Triagem como referência, pela sua simplicidade e objetividade e pela semelhança socioeconômica e demográfica entre os dois países. Introduziram-se várias modificações, mantendo-se a mesma logística do processo de triagem em duas etapas: aferição de parâmetros fisiológicos e verificação da presença de discriminadores de urgência. O sexto tópico se refere ao estudo prospectivo de validade e confiabilidade do CLARIPED no setor de emergência pediátrica de um hospital terciário brasileiro, no período de abril a julho de 2013. Uma boa validade de construto convergente foi confirmada pela associação entre os níveis de urgência atribuídos pelo CLARIPED e os desfechos evolutivos utilizados como proxies de urgência (utilização de recursos, hospitalização, admissão na sala de observação e tempo de permanência no setor de emergência). A comparação entre o CLARIPED e o padrão de referência mostrou boa sensibilidade de 0,89 (IC95%=0,78-0,95) e especificidade de 0,98 (IC95%=0,97-0,99) para diagnosticar elevada urgência. A confiabilidade interobservadores, resultou num kappa ponderado quadrático substancial de 0,75 (IC95%: 0,74-0,79). O sétimo e último tópico tece considerações finais sobre dois aspectos: a insuficiência de evidências científicas sobre os sistemas de triagem na população pediátrica e a oportunidade e relevância de se desenvolver um sistema brasileiro de classificação de risco para urgências e emergências pediátricas, válido e confiável, com possibilidades de adoção em âmbito nacional.

A fundamentação do conhecimento: sentido e objetividade na fenomenologia de Edmund Husserl

A tese a seguir possui como tema norteador a questão da fundamentação do conhecimento em Edmund Husserl. No interior da fenomenologia husserliana, o questionamento epistemológico é colocado em novos termos, na medida em que ele passará a pressupor uma superação do lapso entre sujeito e objeto, bem como do consequente problema do acesso à realidade, tal como instaurados pelo pensamento moderno. Portanto, todo o nosso trabalho consiste em uma confrontação e reapropriação crítica de conceitos decisivos para a teoria do conhecimento, tais como os de, sentido, objeto, consciência, transcendência, entre outros.

COGENT: Implementing a successful vehicle manufacturer/supplier co-development initiative

Over 100 suppliers have now taken part in an initiative built to improve joint design and development performance of tier one suppliers and one vehicle manufacturer. Significant targets were set - 30 % cost down and 30% faster design time with 40% less development budget - and achieved An analysis of the initiative was used to determine the critical success factors. These include significant detail findings in the areas of performance measurement and alignment of development processes. Equal attention is given to understanding how co-development can be implemented and the paper will present findings related to objectivity, perception of partners and partnerships. Copyright © 2002 Society of Automotive Engineers, Inc.

L'azione economica tra etica e neurobiologia

The heated debate over the conflict between ethics and economics is often described as an epochal issue, an expression of present-day fragility, resulting from the implosion of the development model, which has characterised western society. The debate, however, exposes a paradox. Whilst, on the one hand, the neoclassical economic theory is radically criticized, on the other such criticism does not appear to delineate any solid, practicable alternative. Thus, the mainstream economic theory is still taught, practised by individuals as well as institutions, and further developed by the prevailing academic research. For this reason, a viable alternative needs to be sought, along with a new research methodology, which would allow to apply novel and more coherent theoretical assumptions into effective research and real cases. The theoretical instruments by which to create the models for human behaviour need to take into account the biological foundation of behaviour, expressed in evolutionary genetics terms. The aim of this paper is to establish whether our moral knowledge of economics may claim any scientific objectivity in light of advances in subject areas that differ in their scope and methods: moral philosophy, economics, cognitive neuroscience and artificial intelligence, each of which makes a specific contribution to understanding the operation of the human mind and towards forming the moral values onto which economic choice and action are founded. Given that the object of the study of economic science is the analysis of complex systems, nowadays the most efficient method seems to be artificial life simulation.

WYSOKOŚĆ WYNIKU FINANSOWEGO PRZEDSIĘBIORSTW W ŚWIETLE POLSKIEGO PRAWA BILANSOWEGO

Celem artykułu jest wskazanie praktycznego wpływu metod rachunkowości (enumeratywnie wyszczególnionych w polskiej ustawie bilansowej) na wysokość wykazywanego przez przedsiębiorstwo wyniku finansowego. Artykuł omawia zagadnienia związane z wpływem prawa bilansowego na wyniki finansowe osiągane przez polskie przedsiębiorstwa. Przyjęcie wariantowości jako modelu prawa bilansowego pozbawiło rachunkowość metodologicznej obiektywności, dotyczącej przedmiotu jej odniesienia, jakim jest definiowanie osiągnięć ekonomicznych przedsiębiorstwa. Wobec faktu, że to zarząd przedsiębiorstw posiada, zgodnie z ustawą o rachunkowości, prawo wyboru metody rozliczeń aktywów i pasywów przedsiębiorstwa oraz określania wyniku finansowego, powstało zjawisko oceny osób zarządzających przez samych siebie. Fakt ten stawia również pod znakiem zapytania możliwości stosowania procedur kontrolnych przez właścicieli kapitału. W artykule omawia się te metody rozliczeń rachunkowości wariantowej, które mają wpływ na wynik finansowy osiągany przez przedsiębiorstwo.

O naruszaniu podstawowych zasad postępowania naukowego. “Wzgórze przeznaczenia archeologii” górą skandalu

„We are paying a high price for the increasingly unequivocal equation drawn between knowledge and science and ordinary market product. The ideal of perfectly unrestrained cognition, the true mother of science, is threatened by the mass drive towards practical use and application of knowledge, a looming departure into nothingness. Politicians and managers of scientific life are guilty of considerable contribution in corrupting respectable university structures, and thus undermining culture of science and scholarly ethics. (…). Acquisition of funds, sponsorship, media presence, popularisation or even striving for commercial gain are recognised by politicians and scientific consultants, but most of all they are accepted by the university management as objectives worthy of effort, not to say the foremost goals of science. University rectors are nowadays interested primarily in the amounts of acquired moneys. The outcomes of research thus financed is subject to virtually no control, nor does it arouse any interest, unless it turns out to be fit to be announced in the media as a sensation, thereby serving the ‘prestige’ of the university”.

Tracing Neoclassical Influences in selected solo and chamber music for the clarinet

The musical period of Neoclassicism began in the 1920's, between the first and second world wars. It was initiated by French composers and eventually spread to other countries. One of the most important themes to emerge from the movement was to escape from the formless, rather emotional music of the Romantic era and instead, emphasize balance, order, objectivity and clarity in musical form. Many popular clarinet repertoires are enjoyed by performers and listeners because the music is enjoyable to play and easy to listen to. In particular, classically influenced clarinet music is quite interesting because it features musical elements from both the past and contemporary musical styles. For instance, some composers have integrated preexisting, more traditional styles of composition with lighter styles of modern culture such as popular music and Jazz. It is difficult to discover purely neoclassical clarinet repertoires even though many composers created their pieces during the neoclassical era. What we most commonly find are both neoclassical and non-neoclassical influences in compositions from that time period. Thus, I aim to trace the influence of neoclassicism in selected clarinet repertoires that exist today. It is my hope that increased awareness and knowledge about accessible clarinet music may encourage the general public to develop a deeper interest in a wider sphere of clarinet music, beyond what is considered popular today. The works performed and discussed in this dissertation are the following: (Recital I) Duo Concertante by Darius Milhaud; Sonata by Leonard Bernstein; Sonata for Two Clarinets by Francis Poulenc; Duos for Flute and Clarinet, Op. 34 by Robert Muczynski; Dance Preludes by Witold Lutoslawski, (Recital II) Sonatine by Arthur Honegger; Time pieces by Robert Muczynski; Suite for Clarinet, Violin and Piano by Darius Milhaud; Sonate for Clarinet, Flute and Piano by Maurice Emmanuel; Tarantelle for Flute, Clarinet and Piano, Op. 6 by Camille Saint-Saëns, (Recital III) Sonatina by Joseph Horovitz; Suite from L'histoire du Soldat for Clarinet, Violin and Piano by Igor Stravinsky; Contrasts for Clarinet, Violin and Piano by Béla Bartók The recitals that took place on December 1, 2012 and on April 25, 2013 were performed in the Ulrich Recital Hall of the Clarice Performing Arts Center in College Park, Maryland. The recital that took place on November 2, 2013 was performed at the Gildenhorn Recital Hall of the same performing arts center.

The Philosophy and Practice of Interpretivist Research in Entrepreneurship Quality, Validation, and Trust

Knowledge production in entrepreneurship requires inclusivity as well as diversity and pluralism in research perspectives and approaches. In this article, the authors address concerns about interpretivist research regarding validity, reliability, objectivity, generalizability, and communicability of results that militate against its more widespread acceptance. Following the nonfoundationalist argument that all observation is theory-laden, context specific, and that there are no external criteria against which to assess research design and execution and the data produced, the authors propose that quality must be internalized within the underlying research philosophy rather than something to be tested upon completion. This requires a shift from the notion of validity as an outcome to validation as a process. To elucidate this, they provide a guiding framework and present a case illustration that will assist an interpretivist entrepreneurship researcher to establish and demonstrate the quality of their work.

Evaluation of the Q-method as a method of public participation in the selection of sustainable development indicators

The complexity of sustainable development means that it is often difficult to evaluate and communicate the concept effectively. One standard method to reduce complexity and improve Communication, while maintaining scientific objectivity, is to use selected indicators. The aim of this paper is to describe and evaluate a process Of public participation in the selection of sustainable development indicators that utilised the Q-method for discourse analysis. The Q-method was Utilised to combine public opinion with technical expertise to create a list of technically robust indicators that would be relevant to the public, The method comprises statement collection, statement analysis, Q-sorts and Q-sort analysis. The results of the Q-method generated a list of statements for which a preliminary list of indicators was then developed by a team of experts from the fields of environmental science, sustainable development and Psychology. Subsequently members of the public evaluated the preliminary list of indicators, to select a final list of indicators that were both technically sound and incorporated the views of the public. The Utilisation of the Q-method in this process was evaluated using previously published criteria. The application of the Q-method in this context needs to be considered not only by the quality of the indicators developed, but also from the perspective of the benefit of the process to the participants. it was concluded that the Q-method provided an effective framework for public participation in the selection of indicators as it allowed the public to discuss Sustainable development in familiar language and in the context of their daily lives. By combining this information with expert input, a list of technically robust indicators that resonate with the public was developed. The results demonstrated that many citizens are not aware Of Sustainable development, and if it is to be successfully communicated to them, then indicators and policy need to be couched in terms familiar and relevant to citizen and communities. (C) 2009 Elsevier Ltd. All rights reserved.

Stylistics, criticism and mythrepresentation again: squaring the circle with Ray Mackay's subjective solution for all problems

This article is a response to an article by Ray Mackay (1996) which constitutes an attack on stylistic analysis in general, and the writings of the above authors and Ron Carter in particular. Mackay's article (in Language and Communication) accuses stylistics of 'scientificness' and claims that its attempt to provide objective analyses of literary texts is futile.1 We suggest that Mackay has misrepresented what stylisticians have said about objectivity, and that his understanding of objectivity, science and the nature of text-interpretative argument is seriously flawed.

Agitating for a design and regeneration agenda in a postconflict city: the case of Belfast

Introduction

Belfast has been a focus of academic attention for the last forty years with most interest centred on various aspects of ‘the Troubles’. Where there has been interest in the built environment, it has largely been about how the ‘security situation’ impacted directly on architecture and on the design and layout of social housing. This paper seeks to go beyond this to explore how the political- administrative culture of ‘the Troubles’ interacted with ‘normal’ market forces to shape the central area of the city, and to consider the responses of a recently formed activist group, known as the Forum for Alternative Belfast (hereafter referred to as the Forum). The paper is written by three of the directors of the Forum.1 Moreover, the empirical research presented here was undertaken by the Forum as part of a campaign to address issues relating to the design, layout and quality of Belfast’s built environment. In the longstanding tradition of participant observation working within an action-research paradigm, the participants have attempted to offer an account that is evidentially and purposefully selfcritical and reflective. It is of course recognised that while this approach offers many positive attributes, such as phenomenological access through immersion in the project, it also has the potential to bring compromise on research detachment and objectivity.2 To address the latter, the authors have attempted
to avoid polemical argument, and to support claims with primary or secondary research evidence. The authors also acknowledge that action-research has a chequered history; however, they would argue
that their approach is faithful to a concept that sees ‘research’ defined as understanding and ‘action’ defined as seeking change. The Forum’s very purpose is to seek change, but to do this requires evidence, collaboration and demonstration. And in this sense, it is a learning process for all participants, including the research activists, government officials, community organisations and students. The authors also recognise the complexity of factors that affect urban management and change, particularly in a city such as Belfast, which has had to cope with political violence for over thirty years. And they appreciate that in the context of conflict, governance is skewed to cope with political realities. Hamdi reminds us, however, that in practice there is an ‘important dialectic between top-down planning, with its formal and designed laws and structures, and bottom-up selforganizing collectivism—those “quantum and emergent systems” which Jane Jacobs argued long ago give cities their life and order.’3

The Fraternity of Metaphors: Jean-Luc Godard's Film Socialisme

Since the 'completion' of Histoire(s) du cinema (1988-1998), Jean-Luc Godard's work has become increasingly mosaic-like in its forms and configurations, and markedly elegiac in its ruminations on history, cinema, art, and thought. While his associative aesthetic and citational method –including his choice of ‘actors’, and the fragmentariness of his ‘soundtracks’ – can combine to create a distinctive cinematic event, the films themselves refuse to cohere around a unifying concern, or yield to a thematic schema. Not surprisingly, Film Socialisme does not offer us the illusion of narrative or structural integrity anymore than it contributes to the quotidian rhetoric of political and moral argument. It is, however, a political film in the sense that it alters something more fundamental than opinions and points of view. It transforms a way of seeing and understanding reality and history, fiction and documentary, images, and images of images. If anything, it belongs to that dissident or ‘dissensual’ category of artwork capable of ‘emancipating the spectator’ by disturbing what Jacques Rancière terms ‘the distribution of the sensible’ in that it generates gaps, openings, and spaces, poses questions, invites associations without positing a fixed position, imposing an interpretation, or allowing itself to invest in the illusion of expressive objectivity and the stability of meaning. The myriad citations and fragments that comprise the film are never intended to culminate into anything cohesive, never mind conclusive. In one sense, they have no source and no context beyond their moment in the film itself, and what we make of that moment. This article studies the degree to which Godard allows these images and sounds to combine and collide, associate and dissolve in this film, arguing that Film Socialisme is both an important intervention in the history of contemporary cinema, and necessary point of reference in any serious discussion of the relations between that cinema and political reality.

Detecting Ca2+ sparks on stationary and varying baselines.

Studies concerning the physiological significance of Ca2+ sparks often depend on the detection and measurement of large populations of events in noisy microscopy images. Automated detection methods have been developed to quickly and objectively distinguish potential sparks from noise artifacts. However, previously described algorithms are not suited to the reliable detection of sparks in images where the local baseline fluorescence and noise properties can vary significantly, and risk introducing additional bias when applied to such data sets. Here, we describe a new, conceptually straightforward approach to spark detection in linescans that addresses this issue by combining variance stabilization with local baseline subtraction. We also show that in addition to greatly increasing the range of images in which sparks can be automatically detected, the use of a more accurate noise model enables our algorithm to achieve similar detection sensitivities with fewer false positives than previous approaches when applied both to synthetic and experimental data sets. We propose, therefore, that it might be a useful tool for improving the reliability and objectivity of spark analysis in general, and describe how it might be further optimized for specific applications.

Remote Sensing and GIScience in Geomorphological Mapping

The rapid proliferation of remote sensing and geographic information systems (GIS) into geomorphologic mapping has increased the objectivity and efficiency of landform segmentation, measurement, and classification. The near ubiquitous presence of Earth-observing satellites provides an array of perspectives to visualize the biophysical characteristics of landscapes, access inhospitable terrain on a predictable schedule, and study landscape processes when conditions are hazardous. GIS technology has altered the analysis, visualization, and dissemination of landform data due to the shared theoretical concepts that are fundamental to geomorphology and GIScience. The authors review geospatial technology applications in landform mapping (including emerging issues) within glacial, volcanic, landslide, and fluvial research.

Modelling Static and Dynamic FRP-Concrete Bond Behaviour Using a Local Concrete Damage Model

This paper presents a study on the bond behaviour of FRP-concrete bonded joints under static and dynamic loadings, by developing a meso-scale finite element model using the K&C concrete damage model in LS-DYNA. A significant number of single shear experiments under static pull-off loading were modelled with an extensive parametric study covering key factors in the K&C model, including the crack band width, the compressive fracture energy and the shear dilatation factor. It is demonstrated that the developed model can satisfactorily simulate the static debonding behaviour, in terms of mesh objectivity, the load-carrying capacity and the local bond-slip behaviour, provided that proper consideration is given to the selection of crack band width and shear dilatation factor. A preliminary study of the effect of the dynamic loading rate on the debonding behaviour was also conducted by considering a dynamic increase factor (DIF) for the concrete strength as a function of strain rate. It is shown that a higher loading rate leads to a higher load-carrying capacity, a longer effective bond length, and a larger damaged area of concrete in the single shear loading scenario.