881 resultados para National Policy for Permanent Education in Health for the Unified Health System (SUS)
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Mode of access: Internet.
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Background: Esophageal intubation is a widely utilized technique for a diverse array of physiological studies, activating a complex physiological response mediated, in part, by the autonomic nervous system (ANS). In order to determine the optimal time period after intubation when physiological observations should be recorded, it is important to know the duration of, and factors that influence, this ANS response, in both health and disease. Methods: Fifty healthy subjects (27 males, median age 31.9 years, range 20-53 years) and 20 patients with Rome III defined functional chest pain (nine male, median age of 38.7 years, range 28-59 years) had personality traits and anxiety measured. Subjects had heart rate (HR), blood pressure (BP), sympathetic (cardiac sympathetic index, CSI), and parasympathetic nervous system (cardiac vagal tone, CVT) parameters measured at baseline and in response to per nasum intubation with an esophageal catheter. CSI/CVT recovery was measured following esophageal intubation. Key Results: In all subjects, esophageal intubation caused an elevation in HR, BP, CSI, and skin conductance response (SCR; all p < 0.0001) but concomitant CVT and cardiac sensitivity to the baroreflex (CSB) withdrawal (all p < 0.04). Multiple linear regression analysis demonstrated that longer CVT recovery times were independently associated with higher neuroticism (p < 0.001). Patients had prolonged CSI and CVT recovery times in comparison to healthy subjects (112.5 s vs 46.5 s, p = 0.0001 and 549 s vs 223.5 s, p = 0.0001, respectively). Conclusions & Inferences: Esophageal intubation activates a flight/flight ANS response. Future studies should allow for at least 10 min of recovery time. Consideration should be given to psychological traits and disease status as these can influence recovery. The psychological trait of neuroticism retards autonomic recovery following esophageal intubation in health and functional chest pain. © 2013 John Wiley & Sons Ltd.
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The Environmental Education is a plural and diversified knowledge field, composed by a group of social agents of specific State, government and civil society sectors, with different world views and theoretical matrices that exercised and influenced its genealogy and constitutive dynamic. The Environmental Education – while specific knowledge field – has been produced, systematized and diffused in Brazil in the last decades by official State organisms, through public policies, as well as by social movements of popular education, and constitutes a large and historical movement about the environmental question, that was worldwide projected in the 1960 decade (the environmentalist movement). Concerning the creation of public policies and specific programs to the Environmental Education, in the scope of the governmental initiative, the approval of the National Policy of Environmental Education, by means of the Law n. 9.795/99 – together with its regulatory decree, the Decree nº 4.281 – represents the consolidation of a inclusion process of the environmental dimension in the educational field. These normative acts, beyond charging the public power with the incumbency to define public policies that incorporate the environmental dimension and to promote the Environmental Education in all education levels, also charge the educational institution with the duty of promoting this component in an integrated and articulated way with the educational programs that such institutions develop. In this context, it is aimed to identify and analyze under the light of the dialectical and historical materialism, the practices and concepts developed under the Federal University of Rio Grande do Norte (UFRN), with regard to its institutional policy on Environmental Education, relating it to establishing the Pnea. The analysis by means specific legislation on the subject and institutional documents UFRN. The research showed that, in general, the National Environmental Education Policy has limits to its effectiveness given the absence of specific funding for this purpose and the little government involvement in that the Brazilian State assumes, by through effective policies, the material conditions of financing actions with respect to this field of education. The fragmented and disjointed way the analyzed actions are developed constitutes a limit to the challenge for the UFRN implement, consistently and objectively, an Environmental Education policy, which can be monitored and evaluated as an effective public policy, both landmarks major goal of own Pnea as the demands of development whose agenda a critical environmental perspective.
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Higher education is nowadays the main driver of development of knowledge, science and hence, the wellbeing of various people in different countries. On the other hand, gender inequalities represent a delay toward this status. Gender inequalities have been proven to be a great barrier to the development of the full human being’s potential and if it manifests in education, their effect will be worse. This research paper seeks to determine what drives the reversal of gender inequalities in enrollment in higher education in Cape Verde. The paper outlines the struggles for a more equal society and look for different reasons behind this phenomenon. This study has brought out some barriers that interfere with an equal enrollment in that level of Education. The objective of this study is to raise awareness about the need to change the positive measures related to girls, and use some of them to encourage boys in the education field because they are lagging behind in all levels of education.
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Acompanha: A diferença está no saber agir: conheça!: educação inclusiva: dos documentos legais à realidade escolar
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This paper describes the goals and objectives of the ABC Project: Goal I: Increase delivery of quality arts education and arts integrated learning for all South Carolina students. GOAL II: Affect the creation of and maintenance of local, state, and national policy that ensures a quality, sequential, standards-based arts education for all of South Carolina students. Goal III: Leverage local, state, and national partnerships that advance education in and through the arts for all South Carolina students.
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Presentation at the Nordic Perspectives on Open Access and Open Science seminar, Helsinki, October 15, 2013
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Little is known about the way speech in noise is processed along the auditory pathway. The purpose of this study was to evaluate the relation between listening in noise using the R-Space system and the neurophysiologic response of the speech-evoked auditory brainstem when recorded in quiet and noise in adult participants with mild to moderate hearing loss and normal hearing.
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Este trabalho tem como objetivo a análise da política cultural de cinema e sua relação com a identidade nacional, que se desenvolveu entre o final dos anos cinquenta e o início dos anos oitenta. Os principais agentes desse processo são os cineastas vinculados ao Cinema Novo e o Estado autoritário, implantado a partir de 1964, tendo como pano de fundo o intenso processo de modernização sofrido pela sociedade brasileira no período. Dentre as fontes utilizadas, destaca-se a produção cinematográfica do período, importante para compreender as ideias formuladas sobre a identidade nacional e as contradições inerentes a esse processo. No primeiro capítulo, analisamos a gênese do Cinema Novo, reconhecendo-o como movimento político e cultural, estabelecendo suas redes de sociabilidade e caracterizando seus aspectos estéticos e políticos comuns aos cineastas que dele faziam parte. Esta análise considerou três momentos distintos: o primeiro, entre 1955 e 1964, quando ocorreu a gênese do Cinema Novo; o segundo, entre 1964 e 1968, quando o Cinema Novo conheceu seu apogeu e se consolidou como proposta política e cultural; e o terceiro, entre 1969 e 1973, quando a proposta estética se esgotou, dando espaço às articulações políticas e às propostas individuais que caracterizaram esse movimento cultural até o início dos anos oitenta. No segundo capítulo, o objeto principal da análise é a ação do Estado autoritário, estabelecido a partir de 1964, no campo da cultura. Realizamos um retrospecto das intervenções do Estado brasileiro nesse campo até 1964, discorremos sobre a postura do Estado autoritário em relação à produção cultural e destacamos a Política Nacional de Cultura, proposta no final de 1975, a principal referência para se compreender o processo de construção da identidade nacional em tempos de transição. No terceiro capítulo, analisaremos especificamente a política cultural cinematográfica a partir de 1974, seus pontos em comum com a Política Nacional de Cultura e suas contradições em relação à ação do Estado autoritário na área cultural e ao processo de modernização pelo qual passou a sociedade brasileira. Por meio dessa análise, procuramos entender a forma como cinemanovistas e representantes dos órgãos oficiais da área cultural perceberam a gestação de uma política cultural de cinema que contemplasse as necessidades desses tempos de transição e fornecesse os elementos para a construção da identidade nacional. No quarto capítulo, analisamos a trajetória de Joaquim Pedro de Andrade, como intelectual cinemanovista, profundamente influenciado pelos ideais modernistas dos anos vinte e trinta, e crítico do processo de modernização autoritária posto em prática a partir de 1964. Consideramos a trajetória e a obra desse cineasta como paradigmáticas, tanto no que se refere às complexas relações políticas e culturais desenvolvidas pelo Cinema Novo, quanto às profundas transformações vividas pela sociedade brasileira no período. Entre 1955 e 1982, desenvolveram-se várias propostas políticas para a área cultural, destacando-se duas: aquela formulada e apresentada pelo Cinema Novo e aquela referente à intervenção do Estado autoritário nessa área. A atuação dos intelectuais cinemanovistas e o diálogo estabelecido entre estes e seus interlocutores, representantes do Estado autoritário no campo da cultura, possibilitaram a construção de uma identidade nacional em tempos de transição, corroborando o processo de redemocratização e construindo novas formas de se ver, analisar e compreender a sociedade brasileira.
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Morphological analysis of neonatal rabbit retina suggests that the type-A horizontal cell acts as the pioneer cell for development of the OPL. It is the first mature element of the OPL, and it forms the infrastructure upon which the OPL accrues. The role of type-A horizontal cells in influencing postnatal development of the OPL was examined.^ GABAergic characteristics of the type-A horizontal cell were defined. The type-A horizontal cell was found to possess two more GABAergic characteristics in addition to those previously demonstrated, during a short period in early postnatal development: endogenous stores of GABA and the GABA precursor, glutamate. Lesioning the type-A horizontal cell resulted in their permanent loss in addition to the disappearance of cone terminals and a dramatic increase in rod terminals within the OPL. Thus the type-A cells are not a necessary prerequisite for positioning the OPL in postnatal development, but may be necessary for establishment of the normal photoreceptor mosaic.^ Since type-A horizontal cells possess a number of GABAergic qualities during the period of cone photoreceptor cell differentiation, and there are reports of GABA's trophic action in other developing neuronal systems; the role that GABAergic type-A horizontal cells play in directing photoreceptor differentiation was examined.^ Disrupting effects of GABA-A receptor antagonists indicate that type-A horizontal cells act as postsynaptic targets for the growing cone terminals of photoreceptor cells. These trophic or synaptic interactions may involve GABA-A receptors activated by GABA released from horizontal cells. These findings are consistent with the hypothesis that type-A horizontal cells act as pioneering cells in directing the postnatal development of the OPL.^ These studies offer an in depth analysis of the structural and chemical relationship between type-A horizontal cells and other elements of the OPL from which the roles of type-A horizontal cells and the GABA system in development can be defined. They contribute to our knowledge of both structural and GABAergic mechanisms involved in central nervous system development. ^
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One of the earliest accounts of duration perception by Karl von Vierordt implied a common process underlying the timing of intervals in the sub-second and the second range. To date, there are two major explanatory approaches for the timing of brief intervals: the Common Timing Hypothesis and the Distinct Timing Hypothesis. While the common timing hypothesis also proceeds from a unitary timing process, the distinct timing hypothesis suggests two dissociable, independent mechanisms for the timing of intervals in the sub-second and the second range, respectively. In the present paper, we introduce confirmatory factor analysis (CFA) to elucidate the internal structure of interval timing in the sub-second and the second range. Our results indicate that the assumption of two mechanisms underlying the processing of intervals in the second and the sub-second range might be more appropriate than the assumption of a unitary timing mechanism. In contrast to the basic assumption of the distinct timing hypothesis, however, these two timing mechanisms are closely associated with each other and share 77% of common variance. This finding suggests either a strong functional relationship between the two timing mechanisms or a hierarchically organized internal structure. Findings are discussed in the light of existing psychophysical and neurophysiological data.
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The installment of a new government has augmented the prospect for implementing disinflation and exchange rate unification in Myanmar. A close look at the state budget shows that the reform of the budget system for state economic enterprises (SEEs) is essential. Reforms need to hold the replacement of controlled prices including the official exchange rate with market prices in SEE operations, and the separation of the SEEs from the state budget. But separating the SEEs from the state budget will necessitate careful planning to cope with SEE bankruptcies which would imposes another fiscal burden on the government. Therefore, economic viability must be a criterion for the continuation of their operations.
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Alzheimer's disease is the most common cause of dementia in the elderly. Although several genetic defects have been identified in patients with a family history of this disease, the majority of cases involve individuals with no known genetic predisposition. A mutant form of ubiquitin, termed Ub+1, has been selectively observed in the brains of Alzheimer's patients, including those with nonfamilial Alzheimer's disease, but it has been unclear why Ub+1 expression should be deleterious. Here we show that Ub+1 is an efficient substrate for polyubiquitination in vitro and in transfected human cells. The resulting polyubiquitin chains are refractory to disassembly by deubiquitinating enzymes and potently inhibit the degradation of a polyubiquitinated substrate by purified 26S proteasomes. Thus, expression of Ub+1 in aging brain could result in dominant inhibition of the Ub-proteasome system, leading to neuropathologic consequences.
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Many scholars have analyzed the role of the European Union (EU) in its southern neighborhood by looking at the EU’s policy documents and strategies. As such, it is often argued that the EU is at best a useful partner in democratic reform and at worst an unsuccessful ‘normative power’. However, very few studies have analyzed the EU’s role from the recipients’ point of view: the southern neighboring countries themselves. This paper adopts an ‘outside-in approach’ and explores what the southern neighborhood countries believe the EU should be or do. On the basis of a set of 15 interviews with diplomats from the region and an analysis of 50 newspaper articles from the region on the EU’s relations with its southern neighborhood, this paper seeks to reveal the EU’s real ’added value’ for its southern Mediterranean partners. To what extent does the EU’s own perceived role in its southern neighborhood match the role conception of those countries? Based on the three case studies of Algeria, Jordan and Egypt, the paper finds that there is a clear divergence in role conceptions between the EU and its southern partners. While the EU sees itself as a ‘force for good’ and promoter of norms and democracy in the southern Mediterranean region, the three countries primarily believe that the EU perceives itself foremost as a provider of security and stability in the region, while they primarily expect it to act as a reliable partner for economic cooperation.
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A second major change mandates all law enforcement agencies to submit for analysis all criminal SA cases in their possession which had not previously been submitted to a forensic laboratory (Section 20 of the Act). To determine the impact of Section 20 on the forensic laboratories, the ISP established mechanisms for agencies to submit an inventory list of SA cases in their custody by October 15, 2010. The ISP then distributed each agency's list to the forensic laboratory to which the agency would normally submit cases. Each laboratory would then clarify information and resolve questions with the agency, as necessary. As of February 1, 2011, of the 999 law enforcement agency offices required to submit an inventory list to the ISP, 860 (or 86 percent) complied ... Based on the information from the compliant agencies, approximately 4,143 criminal SA cases are anticipated to be submitted pursuant to Section 20 of the Act.