Políticas públicas municipais de saúde: fortalecendo a democracia em pequenos municípios brasileiros

This article presents the endeavors of health municipal teams in building services that meet citizens’ demands, in a small municipality from a less developed area of the state of São Paulo. Beyond health services practice characterization and organization, our study assesses the challenges and advances in the implementation of public, health policies in Brazil. In this way it is possible to perceive how the family health strategy needs to overcome impasses in the service work processes, as well as more dynamic local and regional relations to provide comprehensive care to citizens. Health care exemplifies how, in democracy building, municipal action is indispensable to strengthen the effectiveness of public actions.

Gestão de resíduos sólidos no município de Tibagi - PR: desempenho da coleta seletiva

The objective of this study was to analyze the performance of solid waste management in the municipality of Tibagi, Paraná, a city with approximately 20000 inhabitants, which implemented the selective collection program called Recycle Tibagi. The analysis was based on descriptive statistical techniques, considering the three types of waste (tailings, organic and recyclable), and per capita generation of garbage upward trend in the coming years, based on the method of Winter (Triple Exponential Damping), using data recorded by the Department of the Environment and the Association of Recyclable Materials from Tibagi - ACAMARTI. Efficient selective collection from a structured environmental education program with constant training conducted with the scavengers, possible to obtain important data in sorting and marketing of recyclable materials, saving raw materials, water and energy, as well as relevant indicators social inclusion and employment generation and income. The project involves several areas of municipal management and arouses curiosity and interest in several areas: social, financial, environmental and administrative. It's a way to encourage new projects and public bodies, highlighting the importance of recycling and proper disposal of solid waste.

Life cycle assessment applied to municipal solid waste management: a case study

This study analyzes the environmental performance of the Municipal Solid Waste Management System (MSWMS) of Piedade, São Paulo, from a systemic perspective. A life cycle assessment (LCA) technique was applied according to an attributional approach to evaluate both the current operational situation and different prospective scenarios, which were devised based on the application of targets for recycling dry and wet waste suggested by the pre-draft version of the Brazilian Plan for Solid Waste. The life cycle impact assessment method EcoIndicator 99, in association with normalization and weighting procedures, was used to conduct the analysis. It was observed that the adoption of goals of 30%, 50% and 70% for recovering of the recyclable dry waste, resulted in improvement of the environmental performance of the waste management system under analysis, respectively of 10%, 15% and 20%. It was also possible to detect an evolution in the order of 54% in reducing impacts resulting from the adoption of targets for composting. LCA proved to be effective for the evaluation of the environmental performance of MSWMS-Piedade. However, for future evaluations, the attributional approach should be replaced by the methodological practice of substitution to enable the avoided burdens to be considered in estimations of the environmental performance municipal solid waste management systems.

Saúde do trabalhador na atenção básica: análise a partir de uma experiência municipal

Este texto apresenta um relato da experiência de implantação de ações de saúde do trabalhador nos serviços de atenção básica no município de Amparo, no estado de São Paulo, ocorrida durante a gestão do período 2001 a 2008, visando contribuir na premente necessidade do SUS de implantação das ações de saúde do trabalhador. A análise realizada pelas autoras, protagonistas na gestão do processo, ressalta alguns dos elementos-chave para a efetiva implantação de ações de saúde do trabalhador na rede de atenção básica. Dentre eles, a Estratégia Saúde da Família (ESF), ao lado de outros elementos - como o modelo de matriciamento com ação pedagógica contínua e participação nos colegiados de gestão, a educação permanente e o protagonismo dos trabalhadores da saúde -, mostrou-se um facilitador do processo. Como elementos estruturantes da construção efetivada, apontam-se o modelo de gestão colegiada adotado pela secretaria e a forma de implantação do Centro de Referência de Saúde do Trabalhador no município. Todo esse arranjo promoveu uma interlocução permanente entre as equipes de saúde, da atenção básica e da referência especializada que foi indispensável para a experiência ocorrida.

A gestão da inclusão escolar na rede municipal de São Paulo: algumas considerações sobre o Programa Inclui

Para análise da questão da gestão política do processo de inclusão escolar, este artigo aborda o movimento da rede municipal de São Paulo em direção à uma escola inclusiva através da oferta de respostas educativas aos alunos com necessidades educacionais especiais. Assim, descreve o Programa Inclui, em andamento na rede municipal de ensino, que busca organizar, através de projetos, a construção e consolidação de um sistema inclusivo, na perspectiva de estar articulado com as práticas e ações político-pedagógicas que ocorrem desde a educação infantil ao ensino médio e se concentra nas ações necessárias para o atendimento às necessidades educacionais especiais para que se garanta a desejável relação entre educação comum e especial no enfrentamento das dificuldades do processo de ensino e aprendizagem daqueles que precisam de recursos, técnicas, metodologias diferenciadas para que sua trajetória escolar esteja garantida, no cotidiano, assim como está garantida no aspecto legal.

Municipal solid waste compost amendment in agricultural soil: changes in soil microbial biomass

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Maturity degree of composts from municipal solid wastes evaluated by differential scanning calorimetry

Differential scanning calorimetry (DSC) in association with chemical analysis was applied to assess the maturity reached by the organic fraction of Municipal Solid Wastes (MSW) subjected to composting processes with manual and fixed aeration and sampled at different composting times. Thermograms showed that the difference in the treatments, i.e., the manual aeration and the fixed aeration, had no relevant effect on the stabilization and maturation of OM in the substrates. Common thermal effects observed were: a low temperature endotherm assigned to dehydration and/or loss of peripheral polysaccharides chains; a medium temperature exotherm assigned to loss of peptidic structures, and a high temperature exotherm assigned to oxydation and polycondensation of aromatic nuclei of the molecule. Results obtained suggest that in the experimental conditions used, a shorter time of composting (about 30 d) appears adequate, in order to limit the extended mineralization of OM, whereas a prolonged composting time (up to 132 d) would produce a compost of poor quality with high ash content and low OM content.

Plano municipal de saúde: Análise do instrumento de gestão

Among planning instruments used by manager instances of Brazilian Health System it pointed the Health Municipal Plan (PMS) that should be built collectively showing political intentions, directresses, priorities, objectives, goals framework, estimative of resources and need costs to get the goals of the health sector. The aim of this work was to analyze the plans in relation to attendance of legal requirements which manage the Brazilian Health System, its constitution and showing of essential items. The study included three municipalities form São Paulo State. It was used the documental analysis as research technique. Near all plans showed an analysis of situation with detailed descriptions of general situation of municipality, and only one of them realized critical analysis of their epidemiological data; the financial income applied on health was decrypted by only one municipality. About programming, all municipalities described the main problems and its solutions. Although they had goals framework, the question about cost estimative to get the goals was not approached. Any municipality showed an annual review, being one of them delayed over than two years. It was observed no participation of Municipal Health Council on elaboration and review of plans. It was concluded that there was a deficiency in the plans analyzed. It's necessary to execute continuing education with managers in relation to importance of systematic elaboration of plans and to incentive the promotion of active participation of Municipal Health Council promotion of aiming to became true the social control of health actions.

Composition and quantification of the anthropogenic and natural fractions of wastes collected from the stormwater drainage system for discussions about the waste management and people behavior

A study was made of the composition of wastes collected from the pipes of the stormwater drainage system of Sorocaba, SP, Brazil (600 thousand inhabitants). A total of 10 samples weighing at least 100 kg each were sorted into 19 items to determine the fraction that can be considered natural (earth/sand, stones, organic matter, and water, the latter determined after oven-drying the samples) and the anthropogenic fraction (the remaining 15 items, especially construction and demolition wastes and packaging). Soil/sand was found to be the main item collected (52.5 % dry weight), followed by the water soaked into the waste (24.3 %), which meant that all the other wastes were saturated in mud, whose contents varied from 6.4 % (glass) to 87.2 % (metalized plastics packaging). In general, 83 % of the collected wastes can be classified as natural, but the remaining 17 % represent 2,000 kg of the most varied types of wastes discarded improperly every day on the streets of the city. This is an alarming amount of wastes that may clog parts of the drainage systems, causing troubles for all the population (like flooding) and must be strongly considered in municipal solid wastes management and in environmental education programs. © 2013 Springer Science+Business Media Dordrecht.

Prospects for the use of municipal tree pruning wastes in particleboard production

The purpose of this study was to evaluate the physical and mechanical properties of particleboard made with pruning wastes from Ipê (Tabebuia serratifolia) and Chapéu-de-Sol (Terminalia catappa) trees. Particleboards were prepared with both wood species, using all the material produced by grinding the pruning wastes. The particleboards had dimensions of 45×45 cm, a thickness of approximately 11.5 mm and an average density of 664 kg/m3. A urea-formaldehyde adhesive was used in the proportion of 12% of the dry particle mass. The particleboards were pressed at a temperature of 130 C for 10 mins. The physical and mechanical properties analyzed were density, moisture content, thickness swelling, percentage of lignin and cellulose, modulus of resilience, modulus of elasticity and tensile strength parallel to the grain, accordingly to the standards NBR 14810 and CS 236-66 (1968). The particleboards were considered to be of medium density. The particle size significantly affected the static bending strength and tensile strength parallel to the grain. Ipê presented better results, demonstrating a potential for the production and use of particleboard made from this species. © The Author(s) 2013.

Aspectos físicos e sociais da geografia da disponibilidade hídrica municipal no Brasil

In managing water resources, indexes are used to simplify and quantify available information as well as report the characteristics of a region under study. These indexes may be extremely demanding concerning information required, or very simple, and the water poverty index and Falkenmark index are examples of both extreme situations, respectively. Searching for an index that considers regional and local complexities and information available in developing countries, a new index was developed to evaluate the population accessibility to water resources. This new index combines the Human Development Index and Falkenmark Index and geographic information systems. The results are presented in figures which show the situation at national level, highlighting that the Northeast and Southeast regions are the most vulnerable in Brazil.

Formação continuada de arte educadores: políticas da rede municipal de São Paulo (1996-2008)

Pós-graduação em Artes - IA

O papel dos municípios na segurança pública: relações entre CONSEG e administração municipal (1985-2008)

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Gestão democrática do ensino público: um estudo do Conselho Municipal de Educação de Rio Claro no período de 1997 a 2004

Pós-graduação em Educação - IBRC

Viabilidade da implementação de computadores na primeira etapa da educação básica em uma rede pública municipal do interior de São Paulo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)