Environmental education emerges as one of the possible strategies to face up to the double-order, cultural and social, civilization crisis. Its critical and emancipative perspective intends to trigger processes in which the individual and collective searches for cultural and social change are dialectically intertwined.
As parcerias entre Estado e Organização da Sociedade Civil (OSC) são um fenômeno observado em vários países. No Brasil, esse evento também tem tido uma relevância crescente para a disponibilização de serviços públicos. A regulação desses relacionamentos traz em si uma visão particular do Estado com relação à sociedade civil, tendo impactos na elaboração e execução de políticas públicas. Este trabalho discute as limitações e os avanços desse processo, com destaque de como foi a mobilização para se chegar ao novo marco regulatório e a realização da sistematização dos principais pontos de mudança. Argumenta-se que um novo marco jurídico não é suficiente para, sozinho, modificar a trajetória de uma política pública. O que se observa é uma bagagem cultural e um legado institucional e normativo que pendem excessivamente para o controle e que têm se exacerbado nos últimos anos por todas as esferas da Administração Pública. Apesar da articulação das OSC em torno da agenda do Marco Regulatório das Organizações da Sociedade Civil (MROSC) e do retorno positivo a partir da aprovação da Lei 13.204/15, muitos desafios ainda se impõe para a continuidade desse processo, o que via permitir que o marco jurídico se torne uma inovação no âmbito da gestão pública.
OBJECTIVE:To determine the validity of alpha-1-acid glycoprotein as a novel biomarker for mortality in patients with severe sepsis.METHODS:We prospectively included patients with severe sepsis or septic shock at the emergency department at a single tertiary referral teaching hospital. All of the patients were enrolled within the first 24 hours of emergency department admission, and clinical data and blood samples were obtained. As the primary outcome, we investigated the association of serum levels of alpha-1-acid glycoprotein and 96-hour mortality with logistic regression analysis and generalized estimating equations adjusted for age, sex, shock status and Acute Physiology and Chronic Health Evaluation II score.RESULTS:Patients with septic shock had lower alpha-1-acid glycoprotein levels at the time of emergency department admission compared to patients without shock (respectively, 149.1±42.7 vs. 189.8±68.6; p = 0.005). Similarly, non-survivors in the first 96 hours were also characterized by lower levels of alpha-1-acid glycoprotein at the time of emergency department admission compared to survivors (respectively, 132.18±50.2 vs. 179.8±61.4; p = 0.01). In an adjusted analysis, alpha-1-acid glycoprotein levels ≤120 mg/dL were significantly associated with 96-hour mortality (odds ratio = 14.37; 95% confidence interval = 1.58 to 130.21).CONCLUSION:Septic shock patients exhibited lower circulating alpha-1-acid glycoprotein levels than patients without shock. Alpha-1-acid glycoprotein levels were independently associated with 96-hour mortality in individuals with severe sepsis.
The main purpose of this paper is to explore the possibility of articulating Political Discourse Theory (PDT) together with Organizational Studies (OS), while using the opportunity to introduce PDT to those OS scholars who have not yet come across it. The bulk of this paper introduces the main concepts of PDT, discussing how they have been applied to concrete, empirical studies of resistance movements. In recent years, PDT has been increasingly appropriated by OS scholars to problematize and analyze resistances and other forms of social antagonisms within organizational settings, taking the relational and contingent aspects of struggles into consideration. While the paper supports the idea of a joint articulation of PDT and OS, it raises a number of critical questions of how PDT concepts have been empirically used to explain the organization of resistance movements. The paper sets out a research agenda for how both PDT and OS can together contribute to our understanding of new, emerging organizational forms of resistance movements.
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