83 research outputs found

    A lei de ferro de Michels e o pluralismo: a democracia na Guerra Fria

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    O texto revisita a teoria da organização partidária, a partir de um questionamento da impossibilidade da democracia partidária, tal como anuncia Robert Michels com sua noção de "lei de ferro" da oligarquia. Busca contextualizar o debate no âmbito da disputa ideológica do pensamento liberal da Guerra Fria. Procura explicitar as diferenças entre concepções de partidos e aborda o dilema socialista da participação de massas na representação moderna. Pretende atualizar a importância do resgate dos partidos no processo de emancipação do "público" na contemporaneidad

    Political Man. By Seymour Martin Lipset. (New York: Doubleday and Company.) 1959. Pp. 432. $4.95.

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    Particle-Based Optimization of a Conceptual Wing with Gradient Information

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    Usual Interstitial Pneumonia in Contemporary Surgical Pathology Practice: Impact of International Consensus Guidelines for Idiopathic Pulmonary Fibrosis on Pathologists

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    Context.—Idiopathic pulmonary fibrosis is a clinical syndrome characterized by the presence of usual interstitial pneumonia (UIP) radiologically and pathologically. Per consensus criteria adopted in 2011, diagnosis of idiopathic pulmonary fibrosis no longer requires a biopsy in an appropriate context if UIP is seen on imaging. As a result, lung biopsies are now typically reserved for patients having indeterminate clinical or imaging findings or suspicion for alternative diagnoses, but the impact of updated guidelines on pathology practice remains unclear.Objective.—To determine the frequency of histologic UIP before and after 2011.Design.—Surgical lung biopsies from adults were studied within two 4-year periods: July 1, 2006 through June 30, 2010 and January 1, 2012 through December 31, 2015. Pathology slides were reviewed in a fashion blinded to clinical information and were classified using current guidelines.Results.—Biopsies from 177 and 86 patients (mean [SD] age, 62 [12] and 59 [14] years; 50.3% [89 of 177] and 48.8% [42 of 86] men) before and after 2011, respectively, were reviewed. Probable UIP or UIP was less-frequently encountered after 2011 in all patients with fibrosis (9 of 54 [16.7%] versus 41 of 119 [34.5%] before 2011, P = .02) and also in patients 50 years old and older (8 of 46 [17.4%] versus 39 of 109 [35.8%] before 2011, P = .02), with a concomitant rise in cases indeterminate for UIP or showing alternative diagnoses.Conclusions.—Histology for UIP is less frequently encountered in our contemporary practice compared with the historic era. The pretest probability of a non-UIP diagnosis is now high, even in elderly patients, underscoring the need for pathologists to be familiar with the histologic features of alternative diagnoses.</jats:sec
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