Proposição de modelo de logística reversa de resíduos sólidos domésticos recicláveis para o municípios de Rio Claro - SP

The approval of the Solid Waste National Policy on August 2, 2010, brought important advances on the issue of solid waste nationwide. Several requirements were imposed causing public and private sectors to direct the problem more diligently. At the same time, the growth of human consumption and the negative impacts of related activities are increasing pressure for new ways to manage wastes. This study was carried out in order to bring proposals for a new model of solid waste management in the city of Rio Claro. To do so, it was used methodologies which stick to collaborative approaches in order to co-create a new vision considering different points of view . This new proposal includes four main initiatives: the integration of a reverse logistics system and collection of recycling materials in all kinds of educational institutions; the use of a routing platform for collection of solid wastes and recycling materials; the application of a garbage fee to residents who use the collection of solid waste system; and a bonus system developed by the private sector as a marketing strategy, encouraged by the public sector, enabling residents to separate their wastes correctly and leave them in one of the educational institutions to exchange points for discounts at local markets

Opiniões e atitudes dos médicos frente às ações promocionais da indústria farmacêutica

The pharmaceutical industry invests heavily in promoting their products, and studies suggest that these actions influence doctor’s prescribing. Therefore, this study aimed to analyze the opinions and attitudes of doctors when facing promotional activities of the laboratories. To this end, questionnaires were sent to doctors in Araraquara (SP) containing statements on the subject. Data analysis included study of the association by the chi-square. The results indicated that physicians relate to the propagandists (98%) by considering them useful (55%), but not as a main source update (86%). For 62% of them their prescriptions are not influenced by such relationships, while 24% disagree that doctors in general are influenced as well as new graduates (37%). The majority also disagrees that are influenced by amenities (86%) or free samples (70%) but only 38% believe their colleagues are not influenced by the samples. As for the ethics of these receipts, 57% considered to be appropriate when benefit patients, but only 32% while for personal use. The results show that doctors are vulnerable to the influences of marketing. Therefore, mechanisms and interventions are needed for prescribing drugs solely by criteria of effectiveness, safety, convenience and accessibility to the patient.