Lima, João Filgueiras "Lelé" (1932–2014)

Author(s):  
Rafael Urano Frajndlich

João "Lelé" Filgueiras Lima is a public architect. Since his formative years on the construction sites of Brasília (1960) until today, his most remarkable works have been created for the public sector. This aspect of his career led him to take a very plastic approach that always relied upon economical building strategies, and often required new techniques and industrial materials. Lelé’s interest in industrial building components led him to design pieces of his own, which were used in some early public works, such as the Taguatinga Hospital (1965) and the Secretariats of Bahia Administration Center (1973). Lelé’s breakthrough came when he designed hospitals for the SARAH Kubitschek Foundation. For Brasília’s Hospital for Diseases of the Locomotor System (1980), he used an integrated approach to fulfill the normative standards for a rehabilitation facility, to keep to a tight budget, and to create shade from the extreme heat of Brasília. A gap between the different levels allows all the recovery rooms to have access to a well-shaded green terrace. Structures and cladding are made from prefabricated reinforced concrete, articulated by one-storey-high Virendell beams.

1999 ◽  
Vol 39 (5) ◽  
pp. 251-258 ◽  
Author(s):  
R. M. Ashley ◽  
N. Souter ◽  
D. Butler ◽  
J. Davies ◽  
J. Dunkerley ◽  
...  

When attempting to assess the relative sustainability of a process or practice, it is important to be able to use measures which are appropriate. Sustainability can be viewed at different levels. At one level for any given process, the closing of cycles in terms of resource use and outputs (products and waste) may be an aspiration, and make that process in itself sustainable. However, the process may be intrinsically unsustainable when considered within a broader context accounting for all of the economic, ecological and socio-political implications. Traditionally sustainable indicators have been used as a measure to assess increasing or decreasing sustainability, following detailed analyses to define what the appropriate indicators should be. A current UK project investigating the options for the most sustainable means of disposal of domestic sanitary wastes requires measures to assist in the evaluation of the options. This paper reviews the use of indicators in the context of the current project and municipal water systems, and illustrates how an integrated approach may be envisaged incorporating economics, life cycle analysis and risk assessment as part of a framework to assist decision makers when deciding whether changes to systems or practices are likely to be more or less sustainable. A major conclusion is that any moves to introduce sustainable systems can only be made in conjunction with the system users - the public, who must be involved in the formulation of any new practices which require a change in lifestyle.


2021 ◽  
Vol 19 (4) ◽  
Author(s):  
L.Y. Vlasyk

Purpose – to substantiate and propose a model of multi-factor prevention of majornoncommunicable diseases (NCDs) at the level of primary health care (PHC).Material and methods. The analysis of the results of a cross-sectional sociologicalstudy (N=1252); copying from the medical documentation of inpatients (n=1543) andtheir survey data (n=57) were the materials and basis for the development of the model.Content analysis, conceptual modelling method, and statistical methods (PIVOT, χ2test,step-by-step logistic regression analysis) were used.Results. The prevalence of combined pathology of NCDs was determined on the exampleof hospitalized patients. The importance of taking into account the age and results ofthe primary screening in the formation of the COPD risk group and the possibility ofsupplementing it with an assessment of the risk of fatal complications of cardiovasculardiseases on the SCORE scale is proved. Features of prevalence and combination ofrisk factors (RF) and the major NCDs among the economically active population arerevealed. It was found that with the same targeted preventive consultation of patients byPHC and specialized medical care doctors, the effectiveness of interventions significantlyincreases. The key to the high effectiveness of prevention is proved to be coordinatedcooperation between medical professionals at different levels of medical care and patientand their families.Conclusions. The proposed model of multi-factor prevention of major NCDs is based ona patient-oriented approach, taking into account the combined RF and major NCDs. Theprinciple of an integrated approach and the complexity of interventions is ensured bylayering all types of prevention provided by PHC in cooperation with specialized medicalcare and the public health service.


2016 ◽  
Vol 54 (12) ◽  
pp. 1162-1168
Author(s):  
H. Katahira ◽  
I. Sasaki ◽  
I. Naitou ◽  
H. Sakuraba

Author(s):  
Ximena Alvial ◽  
Alejandra Rojas ◽  
Raúl Carrasco ◽  
Claudia Durán ◽  
Christian Fernández-Campusano

The Public Health Service in Chile consists of different levels of complexity and coverage depending on the severity and degree of specialization of the pathology to be treated. From primary to tertiary care, tertiary care is highly complex and has low coverage. This work focuses on an analysis of the public health system with emphasis on the healthcare network and tertiary care, whose objectives are designed to respond to the needs of each patient. A review of the literature and a field study of the problem of studying the perception of internal and external users is presented. This study intends to be a contribution in the detection of opportunities for the relevant actors and the processes involved through the performance of Triage. The main causes and limitations of the excessive use of emergency services in Chile are analyzed and concrete proposals are generated aiming to benefit clinical care in emergency services. Finally, improvements related to management are proposed and the main aspects are determined to improve decision-making in hospitals, which could be a contribution to public health policies.


2021 ◽  
pp. 147821032110320
Author(s):  
Ann Christin Eklund Nilsen ◽  
Ove Skarpenes

Histories of statistics and quantification have demonstrated that systems of statistical knowledge participate in the construction of the objects that are measured. However, the pace, purpose, and scope of quantification in state bureaucracy have expanded greatly over the past decades, fuelled by (neoliberal) societal trends that have given the social phenomenon of quantification a central place in political discussions and in the public sphere. This is particularly the case in the field of education. In this article, we ask what is at stake in state bureaucracy, professional practice, and individual pupils as quantification increasingly permeates the education field. We call for a theoretical renewal in order to understand quantification as a social phenomenon in education. We propose a sociology-of-knowledge approach to the phenomenon, drawing on different theoretical traditions in the sociology of knowledge in France (Alain Desrosières and Laurent Thévenot), England (Barry Barnes and Donald MacKenzie), and Canada (Ian Hacking), and argue that the ongoing quantification practice at different levels of the education system can be understood as cultural processes of self-fulfilling prophecies.


2020 ◽  
Vol 25 (1) ◽  
pp. 135-149
Author(s):  
Jan Siegemund

AbstractLibel played an important and extraordinary role in early modern conflict culture. The article discusses their functions and the way they were assessed in court. The case study illustrates argumentative spaces and different levels of normative references in libel trials in 16th century electoral Saxony. In 1569, Andreas Langener – in consequence of a long stagnating private conflict – posted several libels against the nobleman Tham Pflugk in different public places in the city of Dresden. Consequently, he was arrested and charged with ‘libelling’. Depending on the reference to conflicting social and legal norms, he had therefore been either threatened with corporal punishment including his execution, or rewarded with laudations. In this case, the act of libelling could be seen as slander, but also as a service to the community, which Langener had informed about potentially harmful transgression of norms. While the common good was the highest maxim, different and sometimes conflicting legally protected interests had to be discussed. The situational decision depended on whether the articulated charges where true and relevant for the public, on the invective language, and especially on the quality and size of the public sphere reached by the libel.


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