Rozprawy doktorskie na temat „PCCDs”

Submitted by Celso Magalhaes (celsomagalhaes@ufrrj.br) on 2018-09-19T16:40:07Z No. of bitstreams: 1 2017 - Joice de Oliveira Epif?nio da Silva.pdf: 1763397 bytes, checksum: 44313e9004a2f56196454eef89822e7d (MD5)
Made available in DSpace on 2018-09-19T16:40:07Z (GMT). No. of bitstreams: 1 2017 - Joice de Oliveira Epif?nio da Silva.pdf: 1763397 bytes, checksum: 44313e9004a2f56196454eef89822e7d (MD5) Previous issue date: 2017-07-11
Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES
Law No. 8213/91, known as the Quota Law was formulated as a tool to implement the National Policy on Employment Dues for Persons with Disabilities. This law today is one of the main means for the insertion of PCDs (Persons with Disabilities) into the labor market. However, the implementation of this law occurs in the face of some difficulties, such as accessibility, for example, in addition to prejudice regarding PCDs in the social environment, which ultimately interferes with its effectiveness. The purpose of this paper is to understand the meanings attributed to the Quota Law by HR Managers who act or have acted in organizations that apply the Quota Law. In order to achieve this goal, nine interviews were conducted, of which eight interviews were conducted with managers, some of whom were in full exercise until the date of the interview, and others who had recently left the organization in which they performed HR functions, and was also interviewed the coordinator of the State Nucleus for Assistance to the Disabled (NEAD). Besides the interviews, this work made use of the technique of observation and the analysis of the collected material occurred through the Nuclei of Meaning. The results show that the managers interviewed still perceive the Quota Law as a merely punitive Law, however, they understand the Quota Law also, as an important one, if not unique, tool for the insertion of PCDs into the labor market. With this, it can be said that the meanings that managers attribute to the Quota Law are loaded with prejudice and the way the Quota Law is signified by these managers reflects in the way they execute this Law, and it can be affirmed that the issue is cultural.
A lei n? 8213/91, conhecida como Lei de Cotas foi formulada como ferramenta para implementar a Pol?tica Nacional de Cotas Empregat?cias para Portadores de Defici?ncia. Esta lei hoje ? um dos principais meios para a inser??o das PCDs (Pessoas com Defici?ncia) no mercado de trabalho. Contudo, a implementa??o desta lei ocorre diante de algumas dificuldades, como a acessibilidade, por exemplo, al?m do preconceito no que tange ?s PCDs no meio social, o que acaba interferindo na efetividade da mesma. Este trabalho tem como objetivo, compreender os sentidos atribu?dos ? Lei de Cotas pelos Gestores de RH que atuam, ou atuaram, em organiza??es que se aplica a Lei de Cotas. Para atingir este objetivo foram realizadas nove entrevistas, sendo oito entrevistas realizadas com gestores, dos quais alguns estavam em pleno exerc?cio da fun??o at? a data da entrevista e outros que haviam sa?do recentemente da organiza??o em que exercia a fun??o de gestor de RH, e ainda, foi entrevistada a coordenadora do N?cleo Estadual de Atendimento ao Deficiente (NEAD). Al?m das entrevistas este trabalho fez uso da t?cnica de observa??o e a an?lise do material levantado ocorreu por meio dos N?cleos de Significa??o. Os resultados mostram que os gestores entrevistados ainda percebem a Lei de Cotas como uma Lei meramente punitiva, entretanto, entendem a Lei de Cotas tamb?m, como uma importante, sen?o ?nica, ferramenta para a inser??o das PCDs no mercado de trabalho. Com isso, pode-se afirmar que os sentidos que os gestores atribuem a Lei de Cotas s?o carregados de preconceito e a forma como a Lei de Cotas ? significada por esses gestores reflete na forma como executam essa Lei, e ainda, pode-se afirmar que a quest?o ? cultural

In collaboration with the Training and Education Unit of the Hong Kong Hospital Authority, an evaluation study on the effectiveness of the patient-centered communication skills (PCCS) program was carried out for 106 residents in the out-patient clinics of the New Territories East Cluster Region from May 2001 to March 2002. A training evaluation framework was formulated to measure residents' reaction, learning and behavior. An attempt was also made to relate the results of the program to organizational improvement, Le. improvement in patient satisfaction. A number of evaluation tools were used, such as an end-of-program evaluation questionnaire, pre-program and post-program behavioral assessment questionnaires and complaints digests. Focus group interviews with residents were also arranged to solicit in-depth information on the effectiveness of the PCCS program. Encouraging results were recorded from different levels of evaluation. The residents were satisfied with the PCCS program with respect to program objectives, contents, materials, methodology and learning environment. Particularly, they were satisfied with the trainers who were perceived to have played an important role in sharing their hands-on experience in interacting with patients. As for the learning of residents, the pre-/post-learning quiz results demonstrated that the program had increased residents' knowledge and skills relating to patient-centered communication. Despite a number of identified barriers for the transfer of learning, the behavior of the residents was felt to have improved after training, as confirmed by the results of the pre-/post-behavior assessments by the residents and their supervisors. The program also had some significant impact on patient satisfaction as reflected from the complaints and appreciation digests. Patients had shown positive response to the doctors' communication skills during the consultation process. A number of valuable recommendations on program contents, implementation strategies and reinforcement activities were put forward to the Hospital Authority's management for consideration. Key words Patient-centered communication, Evaluation, Reaction, Learning, Behavior, Organizational Results.

Submitted by Irvana Coutinho (irvana@ufpa.br) on 2017-06-02T14:28:05Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Dissertacao_ConfiguracaoCarreiraMagisterio.pdf: 3558988 bytes, checksum: 01dc034f9d26e7645fdbc6fd1ccd4a96 (MD5)
Approved for entry into archive by Irvana Coutinho (irvana@ufpa.br) on 2017-06-02T14:28:28Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Dissertacao_ConfiguracaoCarreiraMagisterio.pdf: 3558988 bytes, checksum: 01dc034f9d26e7645fdbc6fd1ccd4a96 (MD5)
Made available in DSpace on 2017-06-02T14:28:28Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Dissertacao_ConfiguracaoCarreiraMagisterio.pdf: 3558988 bytes, checksum: 01dc034f9d26e7645fdbc6fd1ccd4a96 (MD5) Previous issue date: 2016-03-31
O surgimento de Planos de Carreira do Magistério no Brasil, nos anos de 1990, no contexto das reformas sociais, políticas e educacionais globalizantes, propostos na CF/1988 e na LDBN – 9.394/96, representaram fato novo e determinante para a (re)valorização da carreira dos profissionais do magistério. Este cenário ensejou esta pesquisa “A Configuração da Carreira do Magistério da Rede Pública de Educação Básica do Município de Cametá/PA nos PCCRs Municipais (2006-2013). A pesquisa em tela objetivou estudar a configuração da carreira dos profissionais da educação básica, no município de Cametá/PA, tendo como elemento de análise os PCCRs implantados neste município. Para nortear o processo utilizamos a seguinte questão, como objetivo geral: Como se configura a carreira dos professores da rede pública de educação básica de Cametá/PA, a partir das regulamentações legais de âmbito municipal vigente e PCCRs, Leis nº 066/2006; nº 212/2012 e nº 256/2013. E, como objetivos específicos: a) identificar e analisar dispositivos legais, no âmbito do município de Cametá/PA, os PCCRs aprovados no contexto recente das políticas reformistas e globalizantes, que tratam da carreira do magistério e sua configuração; b) analisar como se configura a carreira do magistério neste município, quanto a presença de elementos de valorização da carreira dos professores da educação básica a partir dos seguintes elementos: Ingresso na Carreira; Formas de Progressão; Vencimento e Remuneração; Jornada de Trabalho e Estímulo à Formação; c) avaliar se apresentam-se como estímulo e/ou incentivo para uma melhor remuneração, valorização, atratividade e incentivo à permanência na carreira. A metodologia de pesquisa utilizada foi a abordagem qualitativa e a estratégia de investigação foi o estudo de caso. A coleta de dados foi desenvolvida por meio de revisão bibliográfica e documental sobre carreira do magistério, com base em autores e especialistas da área, assim como legislações nacionais e municipais. A pesquisa articulou ainda, informações quali-quantitativas, pois se utiliza de importantes dados numéricos, tratados em tabelas e quadros dentro desta pesquisa. Os resultados obtidos nos permitem concluir que as legislações de âmbito nacional, implantadas principalmente a partir dos anos de 1990, que tratam da carreira do magistério no Brasil, tiveram grande influência e foram determinantes para a implementação de normatizações em nível de município. Constatou-se ainda, que o contexto de implementação dos PCCRs municipais (Leis nº 066/2006, nº 212/2012 e nº 256/2013), apresentou melhorias e conquistas de direitos, visto que os mesmos foram elaborados em consonância com as determinações das legislações nacionais. Esta (re)configuração da carreira do magistério apresentou elementos de valorização e atratividade para a carreira dos professores. Quanto a vencimento e remuneração, evidenciou-se que os PCCRs municipais ao obedecerem a determinações das políticas de fundo (FUNDEF e FUNDEB) e da Lei do Piso, possibilitaram melhores ganhos salariais aos profissionais da educação. Entretanto, verificou-se também que, apesar das evidências de avanços na carreira, se faz necessário garantir aumentos salariais reais, capazes de elevar a renda dos profissionais da educação, melhorando as condições de trabalho, transformando a carreira docente, neste município, em fator de atratividade.
The emergence of Teaching Career Plans in Brazil, in the 1990s, in the context of social, policies and globalizing educational reforms proposed in the Constitution of the Federative Republic of Brazil (1988) and in LDBN - 9.394/96, represented a new and decisive fact for the (re)enhancement of teaching professionals career. This scenario gave rise to this research "Setting of Public Basic Education Teaching Career of Cametá/PA in PCCRs: Law No. 066/2006; Law No. 212/2012 and Law No. 256/2013". The research aimed to study the setting of primary education professionals career in the municipality of Cametá/PA, with the PCCRs deployed in this city as analysis element. To guide the process we used the following question as a general objective: How the career of public school basic education teachers of Cametá/PA is set, from the legal regulations in municipal extent and PCCRs, Laws No. 066/2006; No. 212/2012 and No. 256/2013. And as specific objectives: to identify and analyze legal devices, within the municipality of Cametá/PA, the PCCRs approved in the recent context of reforming and globalizing policies dealing with the teaching career and its setting; to analyze how the teaching career in this city is set, regarding to the presence of enhancement elements of basic education teachers' career from the following elements: join career; progression forms; salary and remuneration; working hours; encouraging formation; assess whether they are presented as a stimulus and/or incentive for better pay, appreciation, attractiveness and incentive to keep in career. The research methodology was qualitative approach and the research strategy was the case study. Data collection was developed through bibliographical and documentary review on teaching career, based on authors and experts in the field, as well as national and municipal laws. The research also articulated qualitative and quantitative information, since it uses important numerical data processed in tables and charts within this research. The results allow us to conclude that the national legislation, implanted mainly from the 1990s, dealing with teaching career in Brazil, had a great influence and were instrumental in the implementation of norms on the municipal level. Also, it was found that the context of implementation of municipal PCCRs (Laws No. 066/2006, No. 212/2012 and No. 256/2013), introduced improvements and rights achievements, since they were prepared in accordance with national laws’ determinations. This teaching career (re)setting presented enhancement and attractiveness’ elements for teachers career. Concerning to salary and remuneration, it became clear that in the municipality of Cametá the implementation of fund policies (FUNDEF and FUNDEB) enabled better salary gains to education professionals. However, it was also noted that, despite evidences of career advancement, it is necessary to ensure real salary increases in order to raise the income of education professionals, transforming it into attractiveness factor for the teaching profession, thus improving the economic and financial structure of the teacher.

Submitted by Joana Azevedo (joanad@id.uff.br) on 2017-07-04T12:35:47Z No. of bitstreams: 1 Dissert Norberto Matos.pdf: 1637531 bytes, checksum: 409b4369806baa8dbe52e4ac1c2c961d (MD5)
Rejected by Biblioteca da Escola de Engenharia (bee@ndc.uff.br), reason: Item rejeitado, pois a ficha catalográfica está fora do padrão. Atenciosamente, Catarina Ribeiro Bibliotecária BEE - Ramal 5992/5993/5994 on 2017-07-05T15:15:33Z (GMT)
Submitted by Joana Azevedo (joanad@id.uff.br) on 2017-07-25T19:25:47Z No. of bitstreams: 1 Dissert Norberto Matos.pdf: 1637756 bytes, checksum: a2a04a275ae9a2cb97450fcb5110bff6 (MD5)
Approved for entry into archive by Biblioteca da Escola de Engenharia (bee@ndc.uff.br) on 2017-07-28T15:02:38Z (GMT) No. of bitstreams: 1 Dissert Norberto Matos.pdf: 1637756 bytes, checksum: a2a04a275ae9a2cb97450fcb5110bff6 (MD5)
Made available in DSpace on 2017-07-28T15:02:38Z (GMT). No. of bitstreams: 1 Dissert Norberto Matos.pdf: 1637756 bytes, checksum: a2a04a275ae9a2cb97450fcb5110bff6 (MD5) Previous issue date: 2017-04-07
Apesar do relativo avanço no sentido de manter a igualdade entre os cidadãos, a sociedade brasileira ainda não atende às necessidades específicas de alguns grupos, como: idosos, enfermos, crianças, gestantes e pessoas com deficiência (PcDs). Porém, no caso das PcDs, atualmente existem leis que visam incluí-las no mercado de trabalho, o que vem contribuindo para a sua contratação. Este trabalho objetivou investigar os principais desafios encontrados no processo de capacitação de PcDs pertencentes ao quadro efetivo do Centro Federal de Educação Tecnológica Celso Suckow da Fonseca (Cefet-RJ), que é uma instituição pública destinada ao ambiente educacional com formação humana, científica e tecnológica. Foi realizada uma pesquisa bibliográfica a partir dos conceitos-chave que auxiliaram na identificação de publicações da temática estudada. A metodologia utilizada foi o estudo de caso com aplicação de questionários, os quais foram respondidos por grupos de funcionários com deficiência, de seus gestores, e também do setor de capacitação, sendo todos servidores públicos pertencentes ao quadro de profissionais do Cefet-RJ. O tratamento dos dados foi realizado através da análise de conteúdo. O trabalho de campo mostrou o envolvimento do profissional PcD com a instituição. Os objetivos almejados nesta pesquisa foram atingidos e direcionados para propostas de melhorias nos processos de inserção, contratação e adaptação das PcDs em seu ambiente de trabalho.
Despite relative efforts in order to sustain citizen equality, Brazilian society still remains inattentive to some groups’ especial needs, such as the elderly, children, pregnant, sick and people with disability (PwD). However, concerning the PwDs, a current legislation aiming to insert them in the labor market actually exists and have been contributing to their hiring. This paper focused on the main challenges found during the PwDs capacitation process in the Centro Federal de Educação Tecnológica Celso Suckow da Fonseca (Cefet-RJ) full-time staff. Cefet-RJ is a public institution destined to be an education environment for human, scientific and technological formation. From key concepts that helped identify publications for this studied theme, a bibliographical research was achieved. We used the case study methodology, in addition of questionnaires, answered by groups of employees with disability, their managers and also by the resource and training center. All questioned employees are from Cefet’s full-time staff. The data handling was done by analyzing the content. The fieldwork showed PwDs’ involvement with the Institution. The targets were achieved and the results directed as improvement proposals for insertion, hiring and adaptation processes in the working environment.

Made available in DSpace on 2018-06-04T19:14:35Z (GMT). No. of bitstreams: 0 Previous issue date: 2017-10-27
Objetivo: O objetivo principal deste trabalho foi analisar como se desenvolve a gestão do trabalho em saúde à luz do PCCS, comparando com as Diretrizes instituídas pelo Ministério da Saúde para a elaboração do PCCS e pelo Programa Desprecariza SUS em dois municípios da grande São Paulo. Métodos: Tratou-se de uma pesquisa de abordagem qualitativa, que utilizou da pesquisa bibliográfica, de campo e documental, e de técnicas para coleta de dados, como entrevistas semiestruturadas com os gestores das SMS pesquisadas, e grupos focais com profissionais da saúde vinculados que atuam nas UBS e Hospital. A análise dos dados levou em consideração a proposta da Análise de Conteúdo de Bardin, a partir dos núcleos temáticos, núcleos de sentido e as categorias objetos de estudo. Resultados: Verificou-se que os PCCS dos municípios estudados atendem às Diretrizes Nacionais do PCCS, contemplando premissas do Desprecariza SUS no combate ao vínculo precário. Contudo, verificou-se que o PCCS é pouco conhecido pelos servidores, além de apresentar fragilidades nos critérios de evolução do servidor quanto à avaliação de desempenho e às políticas de educação permanente, tidas como premissas de valorização e reconhecimento deste profissional pelo MS. Constatou-se também que existem diferenças no tratamento de servidores estatutários e celetistas, não inclusão de categorias profissionais que atuam também na saúde; o não reconhecimento da qualificação/formação como um dos pilares para evolução, gerando consequentemente, insatisfação e frustração quanto às políticas de pessoal praticadas em ambos os municípios. Conclusão: Os PCCS dos municípios estudados não consideram as condições de trabalho como fatores primordiais às politicas de pessoal e que de certo modo, compõem o cotidiano profissional e impactam diretamente na avaliação de desempenho e na progressão profissional, mesmo que dialoguem com as premissas do Desprecariza SUS. As possibilidades de implantação de um PCCS que permita o reconhecimento e a valorização profissional devem ser repensadas a partir dos seus diferentes atores sociais, não apenas em busca da evolução, mas na luta contra qualquer fator de precarização das relações de trabalho. Unir vontade política e o debate sobre as formas de se fazer política de pessoal no SUS constitui o primeiro passo para tratar a carreira em saúde como um projeto profissional e estável.
Objective: The main objective of this work was to analyze how develops health work management in the light of the PCCS, comparing with the guidelines established by the Ministry of Health for the preparation of the PCCS and the “Desprecariza Sus” Program in two municipalities of Greater São Paulo. Methods: This was a qualitative research, using the bibliographical research; documentary and field, and of techiniques for data collection, such as semi-structured interviews with the managers of SMS search and focus groups with health professionals to working in UBS and hospital. The data analysis took into account the proposal of the content analysis of Bardin, from thematic core, core of meaning and the categories objects of study. Results: The PCCS of the studied municipal districts meet the Nacional Guidelines of PCCS, contemplating the premises “Desprecariza SUS” ind the fight against precarious link. However, the PCCS is little known by the severs, in addition to weaknesses in the evolution of criteria about the server the performance evaluation and permanent education policies, perceived as assumptions of valuation and recognition of professional by MS. It was noted also that there are differences in the treatment of statutory and “celetistas” servers, non-inclusion of categories the health; the non-recognition of the qualification/training as one of the pillars for development, generating therefore, dissatisfaction and frustration with regard to personnel policies practiced in both municipalities. Conclusion: The PCCS of the studied municipal districts do not consider the working condition as key factor to personal policies and that in a way, make up the everyday professional and impact directly on performance evaluation and professional progression, even though discussion with the premises of “Desprecariza SUS”. The possibilities of deplouing a PCCS allowing the recognition and the professional valuation shoud be reconsidered from the different social actors, not only in search of evolution, but in the fight against any factor of precariousness of work relationships. Unite political will and the debate on the ways to make personnel policy in the SUS is the first step to treat health career like as a professional and stable project.
BV UNIFESP: Teses e dissertações

Actualmente, las redes de fibra óptica submarinas y terrestres se han desplegado rápidamente alrededor del mundo, debido a que las inversiones y el tráfico a nivel de los usuarios se ha incrementado a gran magnitud. Esto hace que se tenga que hacer un análisis del espectro adecuado, para aprovechar adecuadamente los recursos y el mantenimiento sea viable a nivel económico. El mantenimiento de un sistema de fibra óptica dependerá de su topología, número de fibras, estaciones, PoPs, repetidores, monitoreo, etc. Todo esto es asumido por el proveedor del servicio, pero cuando estamos hablando de un consorcio, el mantenimiento tendrá que ser dividido equitativamente entre sus miembros. En un consorcio de un sistema de fibra óptica, cuando sus miembros hacen crecer su tráfico por igual, el mantenimiento es dividido equitativamente, pero cuando los miembros no crecen con la misma rapidez, esto genera un problema en la división del mantenimiento. Este es el caso del Consorcio PCCS, conformado por Cable Andino, SETAR, TELXIUS, UTS y C&W. Por lo cual, en la presente investigación se propone aplicar el uso del método del espectro como nueva metodología para el Consorcio PCCS permite reducir los costos del mantenimiento y mejorar el cálculo en la expansión y optimización de los servicios.

Polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans(PCDFs) are two groups of lipophilic, persistent organic pollutants that are produced as by-products of various anthropogenic and industrial processes. Due to their relatively high toxic potencies and potential to bioaccumulate and biomagnify in organisms and through the food chain, the contemporary widespread distribution of these compounds is a concern to the health of the environment, wildlife and humans. This study determined the distribution, pathways and fate of PCDD/Fs in the coastal zone of Queensland, Australia, including the inshore marine environment of the World Heritage Great Barrier Reef Marine Park. This ecosystem supports unique fauna and flora such as the marine herbivorous mammal dugong (Dugong dugon) and its food source, seagrass. Elevated PCDD/Fs were present in soils and sediments along the entire Queensland coastline. Highest concentrations were found in soil from agricultural irrigation drains and in sediments near the mouths of major rivers. Elevated concentrations were associated with rural and urban types of land-use, and PCDD/Fs were present even in locations remote from anthropogenic activities. PCDD/F congener-specific analysis revealed an unusual profile in all samples, dominated by OCDD, with PCDFs present in low concentrations or below the limit of detection. Distinct HxCDD isomer patterns were observed, with the 1,2,3,7,8,9-HxCDD/1,2,3,4,6,7-HxCDD isomer pair dominating the 2,3,7,8-substituted HxCDDs. Similar congener and isomer characteristics were reported in sediments, soil and clay samples from other continents, but could not be attributed to any known source. Possible PCDD/F sources in Queensland were assessed using segmented estuarine sediment cores, for which radiochemical chronologies were established for each depth. Variations of PCDD/F concentrations in the sediment cores over several centuries of depositional history were relatively small. Elevated PCDD levels were still present in sediment slices from the early 17th century. PCDD/F homologue profiles in sediments deposited during the last 350 years were almost identical and correlated well to the characteristic profiles observed in surface sediments and soils from the entire Queensland coastline. These results suggested the presence of an unidentified PCDD source prior to the production of commercial organochlorine products. To investigate the formation of the unusual PCDD/F profiles, congener and isomer specific analyses were undertaken in soils, sediments and dated sediment cores. The results demonstrated that specific transformation processes in the environment have resulted in the observed PCDD profile characteristics. Dechlorination of OCDD was proposed to result in distinct 1,4-pattern characteristics (i.e. formation of isomers chlorinated in the 1,4,6,9-positions). Consequently, the environmental samples do not reflect the signatures of the original source. An alternative hypothesis to natural formation is discussed evaluating these processes and their implications for possible source contributions. This hypothesis explores the potential for the influence of anthropogenic PCDD precursors (e.g. pentachlorophenol) during the 1940s to 1990s. Transport of PCDD/Fs from the land-based source via impacted tributary river systems, and subsequent deposition processes are proposed to result in PCDD/F accumulation in the inshore marine ecosystem. The extent of the sediment PCDD/F contamination governs the concentrations in the extensive inshore marine seagrass meadows of Queensland. Partitioning processes in the sediment-seagrass system lead to increased toxic equivalency (TEQ) in the seagrass, compared to sediment.The relationship between contaminated inshore sediments, seagrass and dugongs were evaluated using six dugong habitat regions along the coastline. PCDD/F body burdens in dugongs are governed by sediment (and seagrass) PCDD/F concentrations in their habitat. High seagrass (and incidental sediment) ingestion rates, selective retention of toxicologically potent congeners and relatively low PCDD/F elimination capacities in dugongs are proposed to result in elevated PCDD/F concentrations and TEQ levels in adult animals. Transfer efficiencies of 4 and 27% of maternal TEQ levels to foetuses and calves (respectively) during gestation and lactation result in relatively high exposure potentials to offspring. Compared to no-observed-adverse-effect-levels in other mammals, and based on the results of this study, a tolerable daily intake (TDI) of 10-24 pg TEQ kg-1 day-1 was estimated for dugongs. The results of the present study found that dugongs from some regions along the coastline of Queensland exceed this TDI by up to 20 fold, suggesting that these populations may be at risk from PCDD/F contamination in their habitat. These results have important implications for the health of the environment, wildlife and humans and were used to develop a conceptual understanding of the sources, pathways and fate of dioxins in Queensland, Australia.

Polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans(PCDFs) are two groups of lipophilic, persistent organic pollutants that are produced as by-products of various anthropogenic and industrial processes. Due to their relatively high toxic potencies and potential to bioaccumulate and biomagnify in organisms and through the food chain, the contemporary widespread distribution of these compounds is a concern to the health of the environment, wildlife and humans. This study determined the distribution, pathways and fate of PCDD/Fs in the coastal zone of Queensland, Australia, including the inshore marine environment of the World Heritage Great Barrier Reef Marine Park. This ecosystem supports unique fauna and flora such as the marine herbivorous mammal dugong (Dugong dugon) and its food source, seagrass. Elevated PCDD/Fs were present in soils and sediments along the entire Queensland coastline. Highest concentrations were found in soil from agricultural irrigation drains and in sediments near the mouths of major rivers. Elevated concentrations were associated with rural and urban types of land-use, and PCDD/Fs were present even in locations remote from anthropogenic activities. PCDD/F congener-specific analysis revealed an unusual profile in all samples, dominated by OCDD, with PCDFs present in low concentrations or below the limit of detection. Distinct HxCDD isomer patterns were observed, with the 1,2,3,7,8,9-HxCDD/1,2,3,4,6,7-HxCDD isomer pair dominating the 2,3,7,8-substituted HxCDDs. Similar congener and isomer characteristics were reported in sediments, soil and clay samples from other continents, but could not be attributed to any known source. Possible PCDD/F sources in Queensland were assessed using segmented estuarine sediment cores, for which radiochemical chronologies were established for each depth. Variations of PCDD/F concentrations in the sediment cores over several centuries of depositional history were relatively small. Elevated PCDD levels were still present in sediment slices from the early 17th century. PCDD/F homologue profiles in sediments deposited during the last 350 years were almost identical and correlated well to the characteristic profiles observed in surface sediments and soils from the entire Queensland coastline. These results suggested the presence of an unidentified PCDD source prior to the production of commercial organochlorine products. To investigate the formation of the unusual PCDD/F profiles, congener and isomer specific analyses were undertaken in soils, sediments and dated sediment cores. The results demonstrated that specific transformation processes in the environment have resulted in the observed PCDD profile characteristics. Dechlorination of OCDD was proposed to result in distinct 1,4-pattern characteristics (i.e. formation of isomers chlorinated in the 1,4,6,9-positions). Consequently, the environmental samples do not reflect the signatures of the original source. An alternative hypothesis to natural formation is discussed evaluating these processes and their implications for possible source contributions. This hypothesis explores the potential for the influence of anthropogenic PCDD precursors (e.g. pentachlorophenol) during the 1940s to 1990s. Transport of PCDD/Fs from the land-based source via impacted tributary river systems, and subsequent deposition processes are proposed to result in PCDD/F accumulation in the inshore marine ecosystem. The extent of the sediment PCDD/F contamination governs the concentrations in the extensive inshore marine seagrass meadows of Queensland. Partitioning processes in the sediment-seagrass system lead to increased toxic equivalency (TEQ) in the seagrass, compared to sediment.The relationship between contaminated inshore sediments, seagrass and dugongs were evaluated using six dugong habitat regions along the coastline. PCDD/F body burdens in dugongs are governed by sediment (and seagrass) PCDD/F concentrations in their habitat. High seagrass (and incidental sediment) ingestion rates, selective retention of toxicologically potent congeners and relatively low PCDD/F elimination capacities in dugongs are proposed to result in elevated PCDD/F concentrations and TEQ levels in adult animals. Transfer efficiencies of 4 and 27% of maternal TEQ levels to foetuses and calves (respectively) during gestation and lactation result in relatively high exposure potentials to offspring. Compared to no-observed-adverse-effect-levels in other mammals, and based on the results of this study, a tolerable daily intake (TDI) of 10-24 pg TEQ kg-1 day-1 was estimated for dugongs. The results of the present study found that dugongs from some regions along the coastline of Queensland exceed this TDI by up to 20 fold, suggesting that these populations may be at risk from PCDD/F contamination in their habitat. These results have important implications for the health of the environment, wildlife and humans and were used to develop a conceptual understanding of the sources, pathways and fate of dioxins in Queensland, Australia.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Public Health
Faculty of Health Sciences
Full Text

Polychlorinated dibenzo-p-dioxins (PCDDs) and dibenzofurans (PCDFs), two groups of struc-turally related chlorinated aromatic hydrocarbons, generally referred to as “dioxins” are of great concern due to their extreme toxicity and presence in all compartments of the environment. Since they occur at very low levels, their analysis is complex and challenging, and there is a need for cost-efficient, reliable and rapid analytical alternatives to the expensive methods in-volving use of gas chromatography high-resolution mass spectrometry (GC-HRMS). It is im-portant to routinely monitor food and feed items to detect contaminations at an early stage. For the regulation of dioxins and dioxin-like PCBs in food and feed according to current legis-lation, large numbers of samples have to be analysed. Furthermore, soils at many industrial sites are also contaminated with dioxins and need remediation. In order to optimize the cost-efficiency of reclamation activities it is important to acquire information about the levels and distribution of dioxins in the contaminated areas. The aim of the studies underlying this thesis was to investigate the potential of comprehen-sive two-dimensional gas chromatography with a micro-electron capture detector (GC × GC-µECD) as a cost-effective method for analysing dioxins and dioxin-like PCBs in food, feed, fly ash and contaminated soils. Quantification studies of dioxins and dioxin-like PCBs were con-ducted and results were compared with GC-HRMS reference data. Generally, there was good agreement between both the congener-specific results and data expressed as total toxic equiva-lents (TEQs). The developed GC × GC-µECD method meets the European Community (EC) requirements for screening methods for control of dioxins and dioxin-like PCBs in food and feed. The presented results also indicate that GC × GC-µECD has potential to be used as a routine method for the congener-specific analysis of 2,3,7,8-PCDD/Fs and dioxin-like PCBs in matrices such as food and feed, fly ash and soil. However, to fully exploit the potential of the GC × GC-µECD technique, it should be combined with a fast and cost-efficient sample preparation procedure. Therefore, a number of certified reference materials (CRMs) were extracted using a new shape-selective pressurized liquid extraction technique with integrated carbon fractionation (PLE-C), and the purified extracts were analysed for PCDD/Fs using GC × GC-µECD. The results compared well with the certified values of a fly ash and a sandy soil CRM, but they were much too high for a com-plex clay soil CRM. It was concluded that this combination of techniques was very promising for screening ash and highly permeable soils. Further assessments and method revisions are still required before GC × GC-µECD can be used on a routine basis, and available software packages need to be refined in order to accelerate the data-handling procedures, which currently restrict the sample throughput.

Submitted by Maria Aparecida (cidazen@gmail.com) on 2017-04-19T14:40:10Z No. of bitstreams: 1 Mauro Luis Aquino.pdf: 3035613 bytes, checksum: fa5d18d391298888d25a933b6d6747fa (MD5)
Made available in DSpace on 2017-04-19T14:40:10Z (GMT). No. of bitstreams: 1 Mauro Luis Aquino.pdf: 3035613 bytes, checksum: fa5d18d391298888d25a933b6d6747fa (MD5) Previous issue date: 2017-02-14
This work addresses the predictive maintenance problem in operation centers of a transmission utility. Therefore, the primordial aspects are identified for the definition of a predictive inspection routine, which allows a check of points that guarantee periodic evaluations of the power system, so that the problems that occur can be detected in advance, allowing the maintenance crew to be activated before the occurrence of failures that actually affects the operation of the system. As part of the work, a survey was carried out with some Operation Centers of power system utilities in Brazil to give an idea of the application of maintenance and inspection concepts in the current national reality. Based on the results, it is shown to what extent the inspections adopted today in the Operational Centers of the various utilities have predictive characteristics, and an evaluation is made to identify if there are improvement points or not in this area. From the inspection philosophy proposed in this research, computational developments were carried out with the aim of developing a predictive inspection methodology to be adopted by the operators in a real time environment. The tool developed was applied at the Operation Center of the São Luís, using data from São Luís III Substation of Eletrobras Eletronorte and the results are discussed in order to highlight the advantages and disadvantages of the proposed tool and if it is able to meet the proposed objectives.
Este trabalho trata o problema de manutenção preditiva em centros de operação de uma concessionária de transmissão. São, portanto, identificados os aspectos primordiais para a definição de uma rotina de inspeção preditiva, que permita uma verificação de pontos que garantam avaliações periódicas do sistema elétrico, de modo que os problemas que vierem a ocorrer possam ser detectados de maneira antecipada e com isso, permitir que a equipe de manutenção possa ser acionada antes da incidência de falhas que realmente comprometam a operação do sistema. Como parte do trabalho foi realizada uma pesquisa junto a alguns centros de operação de empresas concessionárias de energia no Brasil, para que se possa ter uma ideia da aplicação dos conceitos de manutenção e inspeção na realidade nacional atual. Com base nos resultados demonstra-se até que ponto as inspeções hoje adotadas nos Centros de Operação das diversas empresas têm características preditivas e é feita uma avaliação para identificar se há pontos de melhoria ou não nesta área. A partir da filosofia de inspeção proposta nesta pesquisa foram realizados desenvolvimentos computacionais com o intuito de desenvolver uma metodologia de inspeção preditiva a ser adotada pelos operadores em ambiente de tempo real. A ferramenta desenvolvida foi aplicada no Centro de Operação de São Luís com base nos dados da Subestação de São Luís III da Eletrobras Eletronorte e os resultados são discutidos de forma a ressaltar as vantagens e desvantagens da ferramenta proposta e se esta tem condições de atender aos objetivos a que se propôs.

Thesis (Ph. D.)--University of Notre Dame, 2005.
Thesis directed by Robert L. Irvine for the Department of Civil Engineering and Geological Sciences. "March, 2005." Includes bibliographical references (leaves 132-140).

碩士
國立中正大學
機械系
89
KEYWORD:Medical waste,incinerator,pyrolysis,dioxin,furan We discuss mainly the of Dioxin (PCDDs) and Furan (PCDFs) when the medical waste is on fire .And study and confer the combustible method and control of medical waste our country and foreign developed country counter ,and the prevention and reduction of the production presently . Analyze the condition of pyrolysis when medical waste in the incinerator, and compare with experiments and the production of different composition of gas under different operational conditions. And to build the analyzed models of theory, wish to understand the formation mechanism of Dioxin and Furan while medical waste pyrolysed in incinerator. And then find better and economic method to handle to achieve the goal to reduce harmful waste gas. We analyzed the models of chemical reaction and chemical equilibrium in order to build combustion analysis model , and use the relationship between equilibrium constant(Kc),temperature(K),emissions of hydrogen chloride(HCl) and excess air(γ) then to find the ways of controlling.

碩士
國立陽明大學
醫務管理研究所
107
Introduction Integration of care has been widely recognized as one prominent solution to address many health care challenges in quality and efficiency. While effective provider relationship plays a critical role in functioning integrated care system, one fundamental question is whether participating providers of these integrated delivery networks are “truly” partners and share patients. Analyzing patient-sharing relationship using social network analysis provides a unique lens to examine the structure of provider relationships in these formal integrated care delivery systems. There has been limited large-scale empirical studies, which are predominantly from the United States, Italy and Australia. Due to heterogeneity in medical cultures, health care systems, and societies, it may be interesting to extend the research scope to Asia, particularly a society with a single payer system. Taiwan's Primary Care Coordination Networks (PCCNs) project, whose purpose is to encourage clinics to form formal strategic alliances for enhancing quality and capacity of primary care, may serve as one interesting example. Moreover, previous studies have investigated the association between the structure of patient-sharing networks and medical spending, patient outcomes, and quality of care such as avoidable admission. Very limited information is available in understanding factors influencing patient-sharing relationship among providers in the PCCNs and how patient-sharing network characteristics may influence patient outcomes. There were three main study objectives. This study aimed to assess patient-sharing relationship among participating clinics of the community healthcare groups (CHGs) under the PCCN project from 2015-2017 and explore its influencing factors. Additionally, we expected to analyze how characteristics of patient-sharing network within the CHGs may be associated with patient outcomes. Methods This was a repeated cross-sectional population-based study. Social network analysis was applied to National Health Insurance (NHI) outpatient claims data from 2015 to 2017 to identify partnership among participating clinics within each CHGs linked by shared patients. Distinct network properties (network degree, network density, relative closeness centrality of leading clinic) were calculated to describe provider’s partnership within each CHG. We also explored factors associated with the properties of patient-sharing relationship. Furthermore, CHG-level utilization and outcome measures in 2017 were compared across the CHGs with varying levels of patient-sharing relationship. In order to strengthen temporal relationship between independent and dependent variables, one-year time lag was applied. Results There were 425 PCCNs (3,000 providers) in 2015 and the number increased to 526 (4,065 providers) in 2017. During study period, the median network degree across the PCCNs remained steadily at four, and the network density of community healthcare group was around 0.7. The PCCNs locating in urban areas, with a lower patient volume, and the leading clinic with higher relative closeness centrality were more likely to be associated with lower network degree and network density. In terms of utilization and patient outcomes, after controlling for patient characteristics, the CHGs with higher network degree and network density were positively associated with avoidable admissions and emergency visits. Moreover, after adjusting for all characteristics, the CHGs with a higher network density was significantly associated with a lower percentage of their patients visiting out-of-network providers Conclusion The finding suggests that establishing patient-sharing relationship with a greater number of clinics within the same CHGs may be an effective strategy in maintaining market share for the CHGs, while higher network degree and density were significantly associated with worse patient outcomes. Investigating the influences of the designated coordinators and the role of the leading clinic of the CHG can provide more detailed understanding and serve important references for future PCCN policy modifications.

RESUMO A Cevadas – Casa das Carnes do Ervedal, é uma empresa de origem familiar com sede numa localidade denominada Ervedal, que pertence à freguesia de Quiaios e ao concelho da Figueira da Foz. Tem uma experiência de mais de 30 anos na produção de enchidos tradicionais, pelo que ao longo dos anos foi sujeita a uma grande evolução em termos de desenvolvimento de novas infraestruturas e conquista de novos mercados com a apresentação de novos produtos e soluções. A realização do meu estágio na Cevadas teve como base o acompanhamento do seu sistema de gestão de segurança alimentar, sendo que teve como objetivos: a elaboração e implementação de documentação de referência do sistema de gestão de segurança alimentar; a manutenção do sistema HACCP implementado, identificando oportunidades de melhoria e a execução de atividades de verificação do sistema de gestão da segurança alimentar. Desta forma, durante a minha estadia na Cevadas realizei diversas tarefas, desde o registo e análise de nova legislação; registo de boletins analíticos; de correspondência enviada e recebida; das temperaturas da estufa elétrica; de não conformidades detetadas e de reclamações. Efetuei, também, a verificação diária e mensal do funcionamento e do estado em que se encontravam os insetocutores; a verificação diária do registo das temperaturas das salas, das câmaras de refrigeração e das vitrinas da Loja das Carnes (talho), dos registos de higienização, do registo dos valores de pH e do cloro da água e a verificação do cumprimento dos pré-requisitos, pelo preenchimento dos relatórios mensais de visita à fábrica. Elaborei, ainda documentação de referência para a Loja das Carnes, como: fluxogramas de fabrico, fichas técnicas, procedimentos operacionais, instruções de trabalho e tabelas relativas ao HACCP (tabelas de identificação de perigos; de determinação de PCC’s / PPRO’s; de seleção de PCC’s / PPRO’s e tabelas de controlo de PPRO’s e de PCC’s). Com a concretização do presente trabalho, verifiquei que deve haver um maior controlo da verificação dos registos, pois os trabalhadores nem sempre os realizam diariamente, devem ser realizadas mais ações de formação para incentivar os colaboradores a respeitar melhor o plano de higiene e o manual de boas práticas para que a segurança alimentar dos produtos esteja assegurada. Palavras-chave: ISO 22000:2005, HACCP, PCC’s / PPRO’s, Sistema de Gestão de Segurança Alimentar.
ABSTRACT A Cevadas – Casa das Carnes do Ervedal is a family-owned company located in a place called Ervedal, which belongs to Quiaios parish and Figueira da Foz county. Has an experience more than 30 years in the production of traditional sausages, so that over the years was subject a great evolution in terms of development of new infrastructures and new markets with the introduction of new products and solutions. The execution of my internship at Cevadas was based on the monitoring of its food safety management system, and aimed to: developing and implementing reference documentation about food safety management system, the maintenance of the HACCP system already implemented, identifying some improvement opportunities and the execution of verification activities about the food safety management system. In this way, during my stay in Cevadas I worked on several activities, from the registration and analysis of new legislation; the registration of analytical bulletins; of the correspondence sent and received, of the electrical heaters temperatures and the registration of non-conformities detected and complaints. I also did the daily and monthly verification of the functioning and the conditions of the insectocutors; the daily registration of the temperatures in rooms, in the refrigerated storage area and in the windows of Loja das Carnes (butcher shop), the registration of the sanitization of the manufacturing unit and the butcher's shop, the checking of the registration of pH values and chlorine values in water and the verification of the pre-requirements fulfillment, through the completion of monthly reports about the factory visit. I accomplished other activities regarding the butcher shop Loja da Carnes: flowcharts of production, technical data sheets, operational procedures, work instructions and charts about the HACCP (identification of hazards charts, the Critical Control Points (CCP's)/ Operational Pre-Requisite Programs determination (OPRP's); the selection of Critical CCP's/OPRP's and charts of control of the OPRP's and the CCP's. With the achievement of this work, I came across the fact that the checking of the registers must be more controlled because the workers don't always do the daily registers. Moreover, it would be useful to realize more training actions to encourage the employees to respect the hygiene plan and the handbook of good practices in order to ensure food security. Keywords: ISO 22000:2005, HACCP, CCP´s/ OPRP's, food safety management system.

Relatório de Estágio do Mestrado Integrado em Ciências Farmacêuticas apresentado à Faculdade de Farmácia
O presente relatório de estágio em farmácia comunitária, tem como objetivo descrever e avaliar o estágio curricular, realizado na Farmácia Nova da Penteada, na Região Autónoma da Madeira, através de uma análise SWOT. Esta análise contempla os pontos fortes, os pontos fracos, as oportunidades e as ameaças, inerentes ao estágio.O presente relatório de estágio em farmácia hospitalar, tem como objetivo descrever e avaliar o estágio curricular, realizado no Serviço de Saúde da Região Autónoma da Madeira, E.P.E., através de uma análise SWOT. Esta análise contempla os pontos fortes, os pontos fracos, as oportunidades e as ameaças inerentes ao estágio.As dibenzodioxinas (PCDDs) e os dibenzofuranos (PCDFs) são poluentes orgânicos persistentes (POPs), ambientalmente estáveis. São subprodutos de várias reações químicas e térmicas, e acumulam-se na cadeia alimentar por serem compostos lipofílicos. Os PCDD/Fs são tóxicos para o organismo humano e armazenam-se nos reservatórios de gordura. O leite materno é utilizado como biomarcador dos níveis de resíduos, porque reflete a carga corporal maternal de poluentes e a exposição potencial dos lactentes. Além disso, o leite materno é rico em lipídos, é um método não-invasivo e fácil de ser recolhido. Vários estudos em diferentes países apresentam os níveis de equivalente de toxicidade (EQTs) no leite materno, permitindo assim, obter uma análise sobre a exposição da população. As implicações para a saúde das crianças dependem das concentrações de resíduos a que estão expostas. São observadas alterações no crescimento e imunológicas, perturbações endócrinas e no desenvolvimento neurológico das crianças. Os PCDD/Fs são extraídos, purificados, detetados e quantificados por várias metodologias analíticas. O principal método de deteção e quantificação é a cromatografia gasosa de alta resolução/espetrometria de massa de alta resolução (CGAR/EMAR). Apesar da ingestão de PCDD/Fs pela amamentação ter efeitos deletérios nas crianças, a amamentação tem inúmeras vantagens que provavelmente se sobrepõem aos aspetos negativos.
The present internship report on community pharmacy, aims to describe and evaluate the curricular internship, performed at “Farmácia Nova da Penteada”, through a SWOT analysis. This analysis considers the strengths, weaknesses, opportunities and threats associated with the internship.The present internship report on hospital pharmacy, aims to describe and evaluate the curricular internship, performed at “Serviço de Saúde da Região Autónoma da Madeira, E.P.E.”, through a SWOT analysis. This analysis considers the strengths, weaknesses, opportunities and threats associated with the internship.Dibenzo-p-dioxins (PCDDs) and dibenzofurans (PCDFs) are persistent organic pollutants (POPs), environmentally stable. They are by-products from several chemical and thermal reactions and accumulate in the food chain because they are lipophilic compounds. PCDD/Fs are toxic to the human body and are stored in the fat reservoirs. Breast milk is used as a biomarker of lipophilic residues levels because it reflects the maternal body burden of pollutants and the potential exposure of infants. Furthermore, breast milk is rich in lipids and can be collected easily and non-invasively. Several studies in different countries present toxic equivalents (TEQs) levels in breast milk, thus allowing an analysis of the exposure of the population. The health implication of children depends on the concentration of residues to which they are exposed. Growth and immune changes, endocrine disorders and neurological development of children are observed. PCDD/Fs are extracted, purified, detected and quantified by several analytical methodologies. The main method of detection and quantification is high resolution gas chromatography/high resolution mass spectrometry (HRGC/HRMS). Although the ingestion of PCDD/Fs through breastfeeding has deleterious effects on children, breastfeeding has numerous advantages that are likely to overlap with negative aspects.