Epidemiologia e caracterização molecular dos vírus Dengue circulantes no Rio Grande do Norte, 2013-2014

Dengue is an acute infectious disease, usually transmitted by Aedes aegypti mosquitoes. The etiologic agents belong to the family Flaviviridae, genus Flavivirus, and occur as four antigenically related but distinct serotypes designated DENV-1, 2, 3, and 4. In Brazil, the disease represents a national public health problem. The purpose of the present study was to describe epidemiological aspects of dengue in the State of Rio Grande do Norte, from 2013 to 2014. A total of 483 blood or serum samples, collected from January 2013 to December 2014, were studied by RT-PCR for viral detection and typing. The infection was confirmed in 36.44% (176/483) of the cases studied. This study detected the circulation of three serotypes of dengue virus in Rio Grande do Norte, DENV-1, 2, and 4. The predominant serotype in 2013-2014 was the DENV-4, representing 83.51% (81/97) and 68.35% (54/79) of the positive cases, respectively. Regarding the spatial distribution, most of the cases occurred in Natal and Caicó, with 9.28% (9/97) and 18.99% (15/79), respectively. The months with the biggest viral circulation in RN were March 2013 and May 2014. The female gender was the most affected, representing 69.07% (67/97) in 2013 and 54.43% (43/79) in 2014. The most affected age groups were 21-30 years (2013) and 11-20 years (2014) with 25.77% (25/97) and 20.25% (16/79) positive cases, respectively. Phylogenetic analysis indicated that genotype V (DENV-1) and genotype II (DENV-4) circulated in the State. Our results provide information about the dynamics of DENV in the Rio Grande do Norte, important for the development of disease control strategies.

Descrição de novas espécies de Entomobryoidea, Womersley, 1934 (Collembola, Hexapoda) em remanescentes urbanos de mata atlântica no Estado do Rio Grande do Norte

Springtails are commonly recognized microarthropods edaphic environments. Among the most common (and most visible) forms of these animals are the Entomobryoidea, one of the most diverse groups of springtails. Although more than 8,300 species of Collembola are registered on the globe, in Brazil a little over 310 species are recorded, mostly in the Southeast. In the Northeast, particularly in Rio Grande do Norte, these records are still reduced, even in the Atlantic Forest domain for this admittedly diverse fauna and specifically, for Entomobryoidea. This study aimed to describe new species of Entomobryoidea in urban remnants of Atlantic Forest in Rio Grande do Norte, specifically in Parque das Dunas, Natal in the Environmental Protection Area Genipabu, Extremoz. The collections were made in the months July and August 2012 and January and February 2013, using entomological vacuums and plastic trays. The specimens were identified in the laboratory and described in detail by looking at the literature. In this paper four new species were described Entomobryidae family: Entomobrya sp. nov. 1, Seira sp. nov. 1, Seira sp. nov. 2 and Trogolaphysa sp. nov. 1. Seira sp. nov. 1 has clear similarities to S. paraibensis, however the chaetotaxy of the mesothorax and abdomen IV distinguishes both species. The number of phylogenetic proximity suggests similarities between species. Seira sp. nov. 2 is characterized by its chaetotaxy, mainly in the 'M' head and his mesothorax. There is possibility of a phylogenetic relationship with S. praiana and S. Potiguara due to some similarities. Entomobrya sp. nov. 1 has little resemblance to Brazilian species, from the point of view of color, however there is for the latter detailing the dorsal chaetotaxy, which might obscure evolutionary relationships of proximity. Even so, the main diagnostic feature Entomobrya sp. nov. 1 compared to other species of the genus is the complexity of the chaetotaxy of the fifth abdominal segment. Descriptions of new species of Collembola, potentially endemic to their habitats of occurrence may help to understand the morphological and evolutionary patterns in the sampled taxa, as well as the preservation of the environments in which they were found.

A formação do nutricionista para atuação no SUS: um olhar sobre a produção científica obrigatória dos cursos do Rio Grande do Norte

The National Curricular Guidelines for nutrition course predict training directed to the work in the Unified Health System (SUS) and the mandatory completion of course work. The aim of this study was to analyze the formation of dieticians in Rio Grande do Norte state/Brazil to work in the SUS, from the compulsory scientific production provided for training. This is a bibliometric study, quantitative approach, performed with completion of course works of five nutrition undergraduate courses in Rio Grande do Norte state in the years 2013/2013. From the reading of the works, the following variables were collected: nature of the institution, institution administrative category, location, work title, number of authors, work format, titration of the teacher advisor, study type, area of interest, scenery of accomplishment, submission to the ethics committee, suitability of descriptors and, as pertaining to the field of public health, the subfield of public health and the theme. The pedagogical projects of the courses were read and were identified opportunities to develop research in the graduation. For detection of significant categories we applied the Pearson chisquare test. We analyzed 195 works, coming mostly belonging to universities courses (79.0%) and private institutions (56.4%). A higher frequency of articles (68.2%), developed by one student (65.6%), guided by master teachers (57.9%), with cross-sectional study design (49.2%), conducted in laboratory (25%) and without submission to the ethics committee in research (49.2%) was find. The median adequacy of descriptors was 50%. As for the interest of the study, there was a higher frequency of work in the field of public health (p <0.001), within this subfield highlighting the nutritional epidemiology (63.0%) (p <0.001) and the subject nutrition assessment (57, 4%) (p <0.001). In cut on three major areas of dietician performance, was significant performing work in the field of public health in public institutions (p <0.05). The presence of complementary activities was unanimous in the pedagogical projects of the courses. The results of the study showed some methodological weaknesses in the research approaches, as well as a hegemonic positivist training. Despite the emphasis on public health, it was noticed little approximation of policies and nutrition programs in the context of the mandatory recearch of Rio Grande do Norte state nutrition courses.

A fiscalização do exercício profissional no Conselho Regional de Enfermagem do Rio Grande do Norte: um debate ético

The present investigation had as its study subject the history of professional monitoring, at the Regional Nursing Council of Rio Grande do Norte (Coren-RN). It assumes that the fiscalization by the Council is an important tool for improving the quality of nursing care. This study aims to analyze the history of monitoring of the nursing profession in Rio Grande do Norte, in the period from 1993 to 2013. It was marked in the ethical-philosophical contribution of Fourez and Vázquez. This is a study of social history, descriptive and analytical, with a qualitative approach, using the methods of documentary research and the technique of oral history. It had the Coren-RN as locus of the empirical research, with its documents and the participation of inspectors and presidents. The history of monitoring was built based on documents and interviews with those who lived through this path. The project was approved by the Research Ethics Committee of UFRN as Opinion 562 400/2014 (CAAE: 25452113.7.0000.5537). The results indicate that the Coren-RN, during these twenty years faced many difficulties such as the shortage of inspectors, the precarious reality of most health services, lack of professional qualification, the illegality of professional practice and structural deficiency in the institution. Nevertheless, it must be recognized that the monitoring process exercised by the Council, has evolved over the years. This evolution is expressed in increasing the number of inspectors, in the acquisition of a new seat and three vehicles, the creation of the subsections in the cities of Natal, Caicó and Pau dos Ferros, the referral of ethical procedures, among other achievements. Similarly, it is registered an improvement in the credibility of nursing professionals and other regulatory agencies. In summary, the monitoring as core activity of the Council is going through a process of transformation, in order to make the dialogue between the disciplinary design and the pedagogical design, in defense of nursing care quality. Therefore, it is an unfinished process, in continuous construction.

Diagnóstico da comercialização de produtos da medicina popular em feiras livres do semiárido do Rio Grande do Norte: avaliações socioeconômicas e sanitárias, com proposta de legislação específica

Historically, man has empirically acquired knowledge about the therapeutic applications of extracted elements of the natural environment in which belonged. Such knowledge over time culminated in the formation of traditional health systems. Among its features, the use of bioactive plant species - medicinal plants - stands out for its efficiency and high popular acceptance. Despite its importance for public health, the population still has in the open-air fairs the main source for the acquisition of the species used. In these spaces, the trade generally occurs informally, under unfavorable conditions to the quality of the products and to the financial sustainability of the business. In this context, this study aimed to characterize the socioeconomic, cultural and sanitary aspects related to the trade of medicinal plants in municipalities of a semiarid region of Rio Grande do Norte, and additionally, proposing a specific legislation to the activity. Socioeconomic data were collected through on-site interviews, guided by structured form. The observations about the hygienic and sanitary adequacy of physical facilities and practices employed at the point of sale /environment were conducted and recorded with the use of assessment tool developed for use in open markets. The adequacy of medicinal plants to consumption was determined by microbiological analysis. The activity was carried out by individuals who are aged between 21 and 81 years of age, low educational level and low-income, predominantly males. The data showed a tendency to extinction of the activity in all the districts studied. It was observed in all the fairs studied hygiene and sanitation inadequacies that characterized very high health risk, representing in this way, the high probability of Food Transmitted Diseases outbreaks Such conditions were reflected in the high percentage of inadequacy to the consumption of the analyzed medicinal plants samples, illustrating the potential health risk to consumers. To contribute to the correction of hygiene and sanitation inadequacies observed in the studied open-air fairs, educational interventions were made to the training of traders in Good Practices. As a complement, was drafted a specific legislation for the marketing of folk medicine's products in open-air fairs. Such actions, products and its developments will contribute significantly to improving the quality of products available to the population and the preservation of activity, potentially reducing the risks to public health.

Avaliando as escolas pelas suas competências: aplicação do DEA não discricionário para o ensino fundamental do Rio Grande do Norte

Formal education, understood by the gradual process that occurs at school, aims at learning and systematic knowledge is of great interest to society as it benefits its individuals and leads to many positive effects, such as increased productivity and welfare (Johnes, Johnes, 2007). Understanding what influences the educational outcome is as important as the result itself, because lets you manage these variables in order to obtain a better student performance. This work uses the data envelopment analysis (DEA) to compare the efficiency of Rio Grande do Norte schools. In this nonparametric method, an efficiency frontier was construct from the best schools that use the inputs set to generate educational products. Therefore, the data used were obtain by Test Brazil and year 2011 School Census to state and municipal schools of Rio Grande do Norte. Some of the variables considered as inputs and outputs have been obtain directly these bases - the other two were prepared, using the Item Response Theory (IRT) - they are the socioeconomic and school infrastructure indices. As a first step, we compared several DEA models, with changes of input variables. Then was chose the non-discretionary model for which was deep the analysis of results. The results showed that only seven schools were efficient in the 5th and 9th grades simultaneously; there were no significant differences between the efficiency of municipal and state schools; and there were no differences between large and small schools. Analyzing the municipalities, Mossoró excelled in both years with the highest proportion of efficient schools. Finally, the study suggests that using the projections provided by the DEA method, the most inefficient schools would be able to achieve the goal IDEB in 2011, in other words, it is possible to improve the education of significant state taking the efficient schools as a basis for too much.

Representações arquitetônicas na concepção projetual: um estudo com arquitetos e urbanistas do Rio Grande do Norte

The architect materializes his ideas using architectural representations that acts differently during the design process, as instrument that expresses his creatives ideas, as communication between the designer and the client, or as project documentation for its execution (DURAND, 2003). In this paper, it’s been discussed the connexion between the architectural representations and the design process, in a professional context, focusing on representation as an aid to conception. The general aim is to understand the role of architectural representations in the design process by identifying ways of appropriation of their types and resources. The investigation was developed through the theoretical and conceptual studies about the mentioned themes, and the empirical and qualitative research, with architects from the state of Rio Grande do Norte, Brazil, which was developed in two stages: the first one, by filling an electronic form, and the second one, by case studies through execution of design exercises. The results of indirect research showed that the majority of architects and urbanists believes that the way it use the types and representation resources may interfere in design concept. And, after the completion of the case studies, was showed that, motivated by different design conditions, most designers has used the representations differently, which is reflected in different design conceptions.

Avaliação de sistemas de lagoas de estabilização em série no Rio Grande do Norte

Stabilization ponds are biological treatment systems in that stabilization of organic matter is performed by the bacterial oxidation and / or reduction of photosynthetic algae. This study aimed to monitor and evaluate the efficiency of stabilization ponds in the Rio Grande do Norte State. Collections were made of the treated effluent, made directly in the output boxes of facultative lagoons and maturation (M1 and M2) and raw sewage (EB) that arrived at the stations. The variables analyzed were: pH, temperature, dissolved oxygen, total suspended solids, chlorophyll "a", apparent color, total phosphorus, organic nitrogen, ammonia nitrogen, Kjeldahl nitrogen, turbidity, cyanobacteria density and concentrations of microcystin. Variance analysis (ANOVA one way) observing the premises using the Tukey test, so as to check differences between treatments. The evaluate the stations found to COD removals in the bands of 48,8% (Pipa) to 75,8% (Caiçara Rio do Vento) and 57,5% (Pipa) to 83,0% (Santo Antônio), respectively. The mean concentrations of cyanobacteria varied from LFs density of 62,545 cels.mL-1 (Pedro Velho Roça) cels.mL-1 to 2,669,048 (Ponta Negra), while the final effluent showed range between 9,072 Cels.mL- 1 (Pedro Velho Roça) to 1,899,981 cels.mL-1 (Macau – Ilha de Santana) and the average concentrations of microcystin the final effluent ranged from 0.02 μg.L-1 (Ponta Negra) to 0.15 μg.L-1 (Macau – Ilha de Santana) at the studied the stations.

Capparaceae: flora do Rio Grande do Norte e biogeografia no semiárido brasileiro

Capparaceae comprises 25 genera and 480 species, of which 110 are included in 18 genera in Neotropics. Its distribution is pantropical with high frequency in seasonally dry environments. Its representatives are woody, shrubs and rarely wines, with simple leave or compound 3-foliolate, shorts and deciduous floral bracts, tetramerous and nocturnal flowers with exserts and numerous stamens, ovary supero on a gynophore and fleshy fruits, dehiscents or indehiscentes. For Brazil, 12 genera and 28 species are recorded and 12 of that are endemic to the country, occurring preferentially in vegetation of savanna estépica s.str., seasonal semideciduos forest and restinga. This work shows two chapters. In the first chapter, the distributions patterns of the species occurring in the brazilian semi-arid region and their distribution intra Caatinga are discussed. The distribution patterns were determined from a review of the distribution of species in herbaria collections and supplemented with data obtained from specific bibliography about the family. A map containing 1 × 1 grid cells was used to evaluate the richness, collection efforts and floristic similarity of the species intra Caatinga. Six genera and eight species were registered in Caatinga. Four species are endemic to Brazil, with only one endemic to Caatinga, and the other four are widespread in Neotropics. Four distribution patterns were observed: restricted to the NE, broad and continuous in Brazil, disjunct and neotropical. All the species were recorded in Bahia, state with the highest species richness per grid cell and also remarkable sampling efforts species of the family. The state of Piauí presents priority areas for further collection of Capparaceae, due to low family representation in the state. The floristic similarity analysis intra Caatinga was low, 22 %, probably due to a few species of the family in the region and the wide distribution of the same. The second chapter presents the Capparaceae of flora to Rio Grande do Norte (RN), since the state has a little-known flora, with specific studies. Through collections in the state and herbaria review, five genera and six species of Capparaceae were recorded in RN: Capparidastrum (1 spp.); Crateva (1 spp.); Cynophalla (2 spp.); Mesocapparis (1 spp.) and Neocalyptrocalyx (1 spp.). Capparidastrum frondosum and Mesocapparis lineata are new records for the state. An identification key, descriptions and images, comments on the biology of the species and protected areas where they occur are showed.

Inovação e desempenho exportador: uma perspectiva estratégica em uma empresa de alimentos no setor de candies no Rio Grande do Norte

A crescente globalização da economia tem se revelado uma grande oportunidade e um importante desafio para as empresas. Para atingir altos níveis de desempenho nas atividades de negócios internacionais, faz-se necessário adotar estratégias que confiram um diferencial competitivo em relação aos concorrentes. Assim, este trabalhou buscou avaliar o impacto de fatores estratégicos e da inovação sobre o desempenho exportador em uma empresa de alimentos no setor de candies no Rio Grande do Norte, a partir dos fundamentos teóricos e empíricos discutidos pelos estudiosos da área. A pesquisa tem caráter descritivo com métodos qualitativos e quantitativos, quanto ao planejamento da pesquisa optou-se pela pesquisa bibliográfica e pelo estudo de caso, na forma de levantamento apoiado por questionário, e procurou-se testar o modelo e identificar fatores positivamente correlacionados com desempenho nas atividades de exportação da empresa objeto de estudo. As inovações implementadas foram avaliadas, confrontadas com as estratégias de internacionalização adotadas pela empresa. Através de uma matriz importância desempenho pudemos observar vários fatores e sua importância no caseestudado. Para análise qualitativa utilizamos a matriz importância desempenho, onde pudemos sugerir melhorias nas estratégias adotados pela empresa estudada. Para a análise quantitativa, o uso do survey mostrou a correlação entre os fatores pesquisados através da análise de variância (ANOVA) que é um teste paramétrico usado para verificar se existe uma diferença significativa entre as médias e se os fatores estão influenciando na variável resposta. Dessa forma, esta técnica estatística permite que vários grupos sejam comparados. A análise das estratégias e da iniciativas de inovação na empresa estudada indicam que há uma correlação entre elas e a importância dessa interação para o seu desempenho exportador.

Esforços governamentais locais para o desenvolvimento: desenhos, tendências e limites dos Fundos de Desenvolvimento Industrial nos estados do Rio Grande do Norte, Maranhão e Ceará (1985-2010)

This research aimed to analyze the main government efforts to promote economic development in the Northeast, from 1985 to 2010, under the view that growth is crucial for increasing industrialization process and allows for more significant growth patterns. The analysis was the context in which state governments react to the abandonment of developmental line the federal level, in the 1980s, incorporating features of the actions called endogenous regional development and providing local players with greater responsibility in the development process. Justifies the need to analyze the following scenario: state governments in northeastern Brazil using relevant part of its resources to finance the installation and expansion of companies through tax incentives, with a view to generating income and employment, whilst waiting for an increase in output and a positive change in economic dynamism. In addition, it puts in question the fact that these policies receive such importance of state administrations for the purpose of achieving regional development. It was left to consider, therefore, the contents of the shares elected by state governments to examine the scope of these policies both in the pattern of growth, the transformation of the industrial sector and the development of the region attention to changes in state production structures. Due to limitations on the availability of data and time to carry out research, we were elected three states for the study: Rio Grande do Norte, Ceará and Maranhão. The study found that, despite the contribution of policies analyzed to economic growth, sub-national states are unable to compensate for the lack of development agencies structured at the federal level.

Visita interprofissional da cardiologia: uma estratégia de educação interprofissional na área da saúde na Universidade Federal do Rio Grande do Norte

The interprofessional education still represents a great challenge for the health education. This paper aims at implementing the Interprofessional Cardiology Visit (VIC, acronym in Portuguese) as a teaching strategy for the interprofessional education in the undergraduate and graduate courses of UFRN (Federal University of Rio Grande do Norte, acronym in Portuguese). It is a prospective and exploratory study held from March 2013 to November 2014, in the cardiology department of HUOL (Portuguese acronym for Onofre Lopes University Hospital), including health professionals from the mentioned hospital (doctor, psycologist, physiotherapist, dentist, social assistant, nutritionist, pharmacist and nurse), undergraduate and graduate students from the health courses of UFRN. The study happened in three parts: interprofessional activity planning; Implementation of the activity “Interprofessional Cardiology Visit (VIC)”; and Activity evaluation, this last one was made through focus groups. The process of planning and implementation of the VIC was described during the implementation phase: 60 meetings in which 1324 participants discussed one specific patient per meeting. After each case presentation, an interprofessional discussion was held, pointing out each professional’s specific point of view towards improving the overall care of that discussed patient. From the focus group analysis, five categories emerged: Recognition of previous participations in interprofessional activities; Conceptual vision of interprofessional activities; Impacts of the VIC to the patient’s care; Contributions of VIC to the professional training; and Challenges of VIC continuation. The making and planning of VIC process has reached its goals, despite of some health professional’s participation not being systematic due to work overload, such as the nurses’ case, as well as schedule difficulties. The VIC was praised as a successful experience and considered an initiative with positive impact for improving the care of patients with heart diseases. It is clear, from analyzing the discourses, that the VIC is a strategy which positively impacts both the care and the teaching. However, some difficulties remain, such as the lack of human resources and the challenge of making it systematic.

Doença de Chagas: caracterização de formas clínicas e estratificação do risco de morte no Oeste do Estado do Rio Grande do Norte

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES

Competição espacial no mercado de revenda da gasolina: uma análise nas principais cidades do Rio Grande do Norte

This study aims to analyze the relationship between average price with the concentration in the markets (municipalities) in the state of Rio Grande do Norte, is using a little tool applied to the Brazilian market is the spatial econometric model. A data base contains all the stations of the major cities in the state of Rio Grande do Norte and includes 142 observations on stations was used. Theoretical models predict the relationship between the number of competitors in a market and the average price; these theoretical models include: the monopolistic competition of Perloff and Salop (1985), and the search-theoretic, of Carlson and McAfee (1983) and Varian (1980). The empirical results showed that a higher density within a geographic area is associated with a lower average price, thus converging with the monopolistic competition model and with the search-theoretic of Carlson and McAfee (1983). The parameters varied little with the inclusion / exclusion of control variables, showing the robustness of them.

Turismo rural no Rio Grande do Norte: desafios e perspectivas

The Rural Tourism appears as an economic alternative to the agricultural way, having to base itself on the revaluation of the local resources, as well as must be implemented through the local agents, a tourism of communitarian base. In this perspective the present objective work to analyze of that it forms if configures the tourist activity in the agricultural space of the Rio Grande do Norte, which the challenges and perspectives faced for the development of this activity. On the basis of this approach searched to argue on the deep transformations that the rural space comes suffering, with insertions of activities not-agriculturists, alternative for the effect of the economic reorganization, as well as on the public politics come back toward the Rural Tourism and an analysis concerning the activities of Rural Tourism that the Rio Grande do Norte comes developing and as this if it presents. As it arrives in port theoretical, we use the Concept of Territory, according to Saints, this if it makes pertinent in the conflicting analyses of the agricultural space for inside to embody of its conceptual picture the territorial dynamics substantiated by the relations politics, economic, social and cultural, where in them it made possible one better analysis in this process. As methodology bibliographical survey was used, in periodic, digital books, documents and interviews in some governmental spheres. The Great River of the North was evidenced that, signals for the development of the agricultural Tourism, therefore the state if presents with a gamma of potentialities, identified and developed some already being through some projects, however if it makes necessary a bigger involvement of all the spheres, considered basic so that this activity can be consolidated as plus a tourist segment in the RN.