Diabetes relacionada a la fibrosis quística (DRFQ)

Importancia: el paciente con fibrosis quística después de las complicaciones gastrointestinales y pulmonares debe enfrentar otras comorbilidades como la diabetes relacionada a su condición . Dado el aumento en la esperanza de vida y el hecho de que virtualmente todas los pacientes con esta enfermedad pueden desarrollar alteración en el metabolismo de los carbohidratos, se requiere una sensibilización frente al tema que posibilite una detección temprana de esta entidad y un tratamiento óptimo que evite las complicaciones microvasculares e impacte entre otros el crecimiento pondo-estatural en pacientes en desarrollo y la función pulmonar. Objetivo : realizar una revisión actualizada de la literatura sobre la diabetes relacionada a la fibrosis quística, destacando las indicaciones de tamización y tratamiento. Conclusión : la FQ dentro de su abordaje requiere la detección temprana de la alteración del metabolismo de los carbohidratos con una prueba de tolerancia a la glucosa , el daño del islote pancreático , la disfunción inmune, la resistencia a la insulina, el estrés oxidativo entre otros elementos fisiopatológicos conllevan a un estado de depleción de insulina que producirán un efecto negativo microvascular así como a una reducción marcada de la función pulmonar, mayores tasa de infección e incremento de la mortalidad. La piedra angular del tratamiento en pacientes con o sin hiperglicemia es la insulina que mejora tanto el estado nutricional como la función pulmonar ; nuevos antidiabéticos orales con efecto incretinas y fármacos modificadores de la enfermedad se vislumbran como alternativas al corto plazo

Seminario de Enseñanza Superior Científica y Técnica.

El Seminario de Enseñanza Superior Científica y Técnica, se celebró en los locales del Consejo Superior de Investigaciones Científicas (C.S.I.C.) en abril de 1959. La razón principal de dicha convocatoria era el establecimiento de contactos e intercambio de información y experiencias entre profesores de Universidades y Escuelas Técnicas Superiores para fijar normas generales de actuación sobre la base de la Ley de Ordenación de las Enseñanzas Técnicas de 1957. Fue un seminario de carácter internacional y en él expusieron sus teorías, científicos de todas partes del mundo y también de España. Se llegaron a varios puntos en común como la necesidad de establecer en el curso preuniversitario las disciplinas de estudio que hagan de puente entre la enseñanza media y la superior que se cursaría con posterioridad, con el fin de que, el alumno que quisiera orientar su carrera hacia las ciencias, las estudiara con mayor amplitud en ese tiempo que el resto de las materias y lo mismo para los de letras. También se trataron problemas concernientes a planes de estudio, relaciones entre la enseñanza superior y la industrial y el estudio concreto de los métodos más adecuados para asegurar la formación general que los alumnos precisaban de los centros superiores científicos y técnicos.

Varas federais de execução fiscal: um retrato do poder judiciário

This work presents a study about the federal judiciary and in particular about the creation of specialized courts in fiscal execution in Rio de Janeiro. The bibliography research includes an approach to administrative theory, the formation of the State and the particular procedure of the fiscal execution, the field research tries to describe the reality of the courts specialized in fiscal execution with the position of the magistrate, attorney and public servant. The results of the analysis is directed to show the federal judiciary and in particular the creation of specialized jurisdiction.

Juizados Especiais Criminias da Comarca da Capital do Estado do RIo de janeiro: Desafios organizacionais

The Judicial Authority has more and more prominence for the principal place on the public discussion. His role performed as political institution and agency in charged of the jurisdiction installment has been object of discussion. Frequently diagnostics are made about a crisis that include the Judicial System. At the same way are made diverse changes, searching transform from formalities until the ritual of fill a job of Judge. We¿re certainly, by this point of view, far from the period that the judicial questions were corresponded to jurisconsult. The discussion has increased, calling to order not only jurisconsult but also members of Congress, press and of the civil organisms. Thus international organisms, despite their economic issues, entered at the discussion being watchful to the emergency reforms to be taken by the Judicial Authority. However, although the changes end the relative agreement of the emerging crisis, the Judicial System continue to be unknown. Still now with the beginning of the Juizados Especiais Criminais, the organizational form originated in 1995. The main core of the discussion about Juizados Especiais Criminais is centralized in isolated cases instead of a global analysis, resulting of the join between data and observations about historic series. The final object of this dissertation is centered on the analysis of the activities of the organizational variables of the Juizados Especiais Criminais da Comarca da Capital do Estado do Rio de Janeiro in its first years of functioning.

Administração pública federal: propostas para o fortalecimento do controle sobre os atos praticados e o respectivo combate à corrupção

The characteristics of the Brazilian historic context, under which the predominant social relations have developed, have led to a process of income concentration and to the political power of the dominant classes. The slavery abolishment hasn't guaranteed the people the rights secured to privileged citizens in general. Such practices were observed during historic process as the low level literacy shown by the census of 1920, the political domination of oligarchies and the military coup, all as determining factors in process of political power concentration. The social indicators and the corruption are extremely unfavorable to our country, but we wonder if that happens only in underdeveloped societies. It is possible that even the American society, even the most developed societies, under the democratic capitalism, can suffer negative consequences of some corruption in the capitalism system. Our observations have led to the perception that all democratic society must be regulated by the State in order to preserve the stability of the system. It has also been observed that it is necessary more effective popular participation in order to neutralize economic groups¿ pressure. It has also become evident the necessity of reduction of commissioned office in the federal public administration. And, finally, it is fundamental to propose an amendment to the construction that allows the Public Ministry to have access to any bank, fiscal or telephonic information of anyone that is in office: It should be called "The Law of Moral Transparency". Those proposals will only be possible if there is massive popular participation and we hope that they express our people¿s will in order to appose to those who act only to obtain private benefits.

Políticas públicas de segurança do Brasil e da Argentina: uma abordagem sobre os acordos de integração policial entre as unidades federativas do Codesul e da Crecenea-Litoral

Essa dissertação objetiva identificar até que ponto o acordo firmado entre o Codesul e a Crecenea-Litoral para integração do Sistema de Segurança Pública foi executado. A obra apresenta teorias sobre a origem do Estado e da Sociedade e procura relacionar esse assunto, em linhas gerais, com as problemáticas da Segurança Pública. Aborda questões relacionadas aos direitos e garantias individuais dos cidadãos. Mostra a estrutura da organização da Segurança Pública no Brasil e na Argentina e também faz considerações sobre a integração policial entre o Codesul e a Crecenea-Litoral. A metodologia utilizada privilegiou a pesquisa de campo. O estudo concluiu que a integração do Sistema de Segurança Pública entre o Codesul e a Crecenea-Litoral se encontra em uma fase embrionária. A vivência social, a praxe operacional e administrativa nos trabalhos policiais, das duas regiões, revelam que as políticas públicas no setor de segurança pública e principalmente no que se refere a integração policial são insignificantes.

Admirável estado novo: um estudo de prospectiva e estratégia

Este trabalho estuda os impactos dos avanços tecnológicos da atualidade sobre as várias dimensões da sociedade suas conseqüências para Estado. Os avanços tecnológicos são grupados ao longo de cinco vertentes históricas: infomação, transportes, fabricação, energia biotecnologia. As dimensões da sociedade são estabelecidas como sendo: econômica, social, política, tecnológica militar. Utilizando as vertentes tecnológicas como as componentes da dimensão tecnológica se sistematiza análise dos impactos destas novas tecnologias sobre as demais dimensões. análise desta matriz de impacto serve de base para estabelecer os principais desafios possibilidades da sociedade do Estado num futuro próximo. Finalmente, estudo das possibilidades futuras feito através da técnica de cenários, onde se estabelecem duas variáveis chave, que resultam em quatro cenários, apresentados também de forma pictórica.

A Administração Reconstrutiva na Falência de empresas com Função Social Relevante

A função social da empresa e, a finalidade do instituto da falência, são analisadas perante os reais interesses da coletividade na preservação dos empreendimentos que, embora bons irradiadores de beneficios sociais e econômicos à comunidade, enfrentam dificuldades financeiras. Diversas formas de como conduzir a gestão administrativa da empresa, enquanto beneficiária da proteção legal, são contempladas e, sugerida a adoção de uma gestão reconstrutiva, focada na recuperação da empresa enquanto beneficio ao conjunto da coletividade.

Fatores relevantes na construção de processos government-to-government no Banco Central do Brasil

This dissertation seeks to recognize the factors, which are relevant to the construction of the processes Government-to-Government (G2G), and how these factors influence the success of those processes. For this research, two existing cases in Banco Central do Brasil (Bacen) were used: i) the Banco Central do Brasil (BACEN) X Senado Federal case; and the Bacen x Poder Judiciário case. The framework of this dissertation is based on the methodology of multiple study cases described by Robert Yin (2001). This work analyzed separately each of the cases and compared the results obtained in each analysis. In this way, this research aimed at analyzing the reasons that led these cases to gain such distinct outcomes, despite the existing potential benefits in each one of them. The obtained results suggest that three factors influence the success of G2G processes in a relevant way: computational safety; the culture of the organizations involved; and the capacitation of people involved. Each of these factors, according to what results showed, bring a set of considerations which should be observed by the public administrator in relation to the strategies of implementation of G2G processes.

O Estado organizacional dos grandes escritórios de advocacia do Brasil: dois estudos de caso

The objective of this study was to identify the real organizational status of major law firms in Brazil compared to fordism and post-fordism organizational economic paradigms. In order to fulfill the objectives, an exploratory-explanatory research was carried out through case studies. The two major Brazilian law firms, according the study developed by the newspaper Gazeta Mercantil (PANORAMA SETORIAL ¿ ESCRITÓRIOS DE ADVOCACIA, 2002), Pinheiro Neto Advogados (PN) and Tozzini, Freire, Teixeira e Silva Advogados (TFTS), were researched. The case study was based on multiple evidence analysis: semi-structured interviews, documents and records analysis, and direct observations. The report of the research was structured by presenting a detailed introduction about lawyer and the law firms, including their historics main characteristics and factors which lead up to the constitution of these firms, showing the relationship among information technologies, globalizations and the need of strategic recontextualization of law firms. The data collected showed how these aspects presented in the studied unities. It was concluded through this research that PN and TFTS present an organizational development compatible to what is frequently practised in the organizations as far as contemporary organizational techniques and tools are concerned; neither fordism nor the transitional process to post-fordism, intensified the division of work of the lawyer; the new information technologies are essential for the maintenance of the sustained competitive advantage within the post-fordism scenario.

No surgical innovation without evaluation: the IDEAL recommendations

Surgery and other invasive therapies are complex interventions, the assessment of which is challenged by factors that depend on operator, team, and setting, such as learning curves, quality variations, and perception of equipoise. We propose recommendations for the assessment of surgery based on a five-stage description of the surgical development process. We also encourage the widespread use of prospective databases and registries. Reports of new techniques should be registered as a professional duty, anonymously if necessary when outcomes are adverse. Case series studies should be replaced by prospective development studies for early technical modifications and by prospective research databases for later pre-trial evaluation. Protocols for these studies should be registered publicly. Statistical process control techniques can be useful in both early and late assessment. Randomised trials should be used whenever possible to investigate efficacy, but adequate pre-trial data are essential to allow power calculations, clarify the definition and indications of the intervention, and develop quality measures. Difficulties in doing randomised clinical trials should be addressed by measures to evaluate learning curves and alleviate equipoise problems. Alternative prospective designs, such as interrupted time series studies, should be used when randomised trials are not feasible. Established procedures should be monitored with prospective databases to analyse outcome variations and to identify late and rare events. Achievement of improved design, conduct, and reporting of surgical research will need concerted action by editors, funders of health care and research, regulatory bodies, and professional societies.