Time needed to schedule dermatological consultations in Brazil

BACKGROUND: It is not clear what the population's demand for dermatologists is, nor how many professionals are needed in order to provide adequate care in this area of expertise. Knowledge of the flow of patients at dermatological clinics throughout the country allows for the formation of expansion and distribution policies regarding professionals, and provides backing for the decision to increase medical residency places. OBJECTIVES: To evaluate the time it takes to schedule a private dermatological consultation in Brazil, and other factors concerning consultations. METHODS: Survey with a random sample of 14% of Brazilian dermatologists, simulating the scheduling of emergency clinical and cosmetic consultations, and botulinum toxin procedures. Also, details relating to cost and professionals, were studied. Data were adjusted for each region of the country. RESULTS: A total of 873 dermatologists were evaluated. Full SBD members represented 85%, and 66% were women. The median time to schedule a consultation ranged from 6 (out-of-pocket payment) to 7 (medical insurance) consecutive working days. Times varied depending on the region. A multivariate analysis showed that out-of-pocket consultations and procedures were scheduled sooner than with medical insurance, regardless of whether they were clinical or cosmetic. CONCLUSION: The characteristics of dermatologists are varied throughout regions of the country. Private consultations and procedures are scheduled sooner than with insurance companies.

A marginalizacao que a privatizacao promove

When people are put aside in the society we have what is called as social marginalization. However there is a wider or even severe marginalization, i. e., the state marginalization, which is the difficulty of the citizen to recognize himself in the state. What is intended here is to identify the main features of such marginalization, its effects upon the state itself and the possible means to overcome it. In order to fulfill this aim it is taken what it is considered to be a meaningfull manifestation of the state marginalization, that is the privatization of public services. These services are usually free but it does not mean that they cost nothing because they are granted by the payment of taxes and so can be at the disposal of everyone. When these services are dealt by the private initiative then a barrier is build and many can only continue to have what should be their right if they pay more than they already do with the taxes. As an example of it we have the privatization of many highways in the state of São Paulo. A certain comunity reacted towards it but all the questions were dismissed AURORA ano V número 9 - DEZEMBRO DE 2011 ISSN: 1982-8004 http://www2.marilia.unesp.br/revistas/índex.php/aurora/. 166 by the authorities as something impossible to solve. The contradictions between the private and the public interests were solved by the legal formality but they show themselves to be expression of arbitrariness and indetermination. One comes to the conclusion that the privatization is the identification of the State with the bourgeois and civil society that turns the public thing into a private thing. Despite of all this and also because of all this the recovered knowledge about the meaning of the State and the exposition of this new marginalization may promote an ongoing striving towards a necessary mobilizing process.

As passagens do sagrado: da mercadoria ao ex-voto no Santuário Nacional de Nossa Senhora Aparecida/Brasil

This article reflects on the votive objects exhibited in the room of promises situated in the National Sanctuary of Nossa Senhora da Conceição Aparecida, located in the city named Aparecida (São Paulo, Brazil). At the sanctuary, there is an area to receive and exhibit votive offerings, which are donated as payment or to initiate a relationship of faith. This article’s aim is to understand how, from entering the room of promises, the votive object is selected and receives new directions, within the Sanctuary or outside it. Nonetheless, a small number are kept in this specific room dedicated to votive offerings. These objects become documents, social agents, because they reveal stabilization within associative relationships. With the help of readings from Information Science and other areas, and after carrying out ethnographic research over three years, this article shows how the materiality of information is indispensable for apprehending the relationship between society and information. Through contact with the votive offerings, the visitor establishes inferences, interpretations, which assist in comprehending the space, faith, and Nossa Senhora da Conceição Aparecida.

Avaliação do desempenho operacional e de custos entre enfardadoras no recolhimento de palhiço de cana-de-açúcar

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação quantitativa do uso dos recursos hídricos em unidade de conservação e entorno: estudo de caso do Parque Estadual da Serra do Mar

Pós-graduação em Engenharia Civil e Ambiental - FEB

Using ecological thresholds to evaluate the costs and benefits of set-asides in a biodiversity hotspot

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

The contribution of multiple use forest management to small farmers' annual incomes in the Eastern Amazon

Small-scale farmers in the Brazilian Amazon collectively hold tenure over more than 12 million ha of permanent forest reserves, as required by the Forest Code. The trade-off between forest conservation and other land uses entails opportunity costs for them and for the country, which have not been sufficiently studied. We assessed the potential income generated by multiple use forest management for farmers and compared it to the income potentially derived from six other agricultural land uses. Income from the forest was from (i) logging, carried out by a logging company in partnership with farmers' associations; and (ii) harvesting the seeds of Carapa guianensis (local name andiroba) for the production of oil. We then compared the income generated by multiple-use forest management with the income from different types of agrarian systems. According to our calculations in this study, the mean annual economic benefits from multiple forest use are the same as the least productive agrarian system, but only 25% of the annual income generated by the most productive system. Although the income generated by logging may be considered low when calculated on an annual basis and compared to incomes generated by agriculture, the one-time payment after logging is significant (US$5,800 to US$33,508) and could be used to implement more intensive and productive cropping systems such as planting black pepper. The income from forest management could also be used to establish permanent fields in deforested areas for highly productive annual crops using conservation agriculture techniques. These techniques are alternatives to the traditional land use based on periodic clearing of the forest. Nevertheless, the shift in current practices towards adoption of more sustainable conservation agriculture techniques will also require the technical and legal support of the State to help small farmers apply these alternatives, which aim to integrate forest management in sustainable agricultural production systems.

Proposta de restauração de mata ciliar utilizando técnicas de nucleação no município de Regente Feijó

This monograph, presented in order to obtain the title of Environmental Engineer, proposes the use of nucleation techniques for the restoration of permanent preservation areas formed by three springs that contribute to the formation of Santo Anastacio river, city of Regent Feijo – São Paulo. Through Mine Water Project, landowners are encouraged to restore and conserve springs that contribute to the public water supply, being paid through the fees for environmental services. Once the simulation of this payment was reached at R$ 630.00 per year. Nucleation techniques will be proposed in order to facilitate the ecological succession, through techniques known as transposition of the soil, transposition of the branches, artificial perches and planting in groups of Anderson, totaling 81 cores covering an area of 208.3 m2 which corresponds to 1.9% of the total area to be restored. Made the survey of forest fragments in the watershed, it was found that only 12.39% of the total area has remnant vegetation

Produtores de Água na Microbacia do Manancial Córrego do Veado – Presidente Venceslau, São Paulo: potencialidades em questão

The programs Water Producer and Water Mine are the starting point for the research, whose the main objective is to develop a study on the necessity and possibility to forming water producers in the Veado Creek Watershed Deer, located in Presidente Venceslau - Sao Paulo, in order to improve the quality and quantity of water from the spring. To this end, the implementation of programs in the spring, especially the Water Mine, developed by the State of Sao Paulo, could help change the situation in which degradation is the area of the watershed. The main methodological procedures were performed: survey and literature review, interviews with employees SEAAMA, CATI, interview with the president of the Association of Owners of Rural Watershed of Deer Creek; interview with landowners of the Fountain Creek Watershed Deer; work in the search field at the landfill to the DAE and the Association of Collectors of Recycled. We are dealing with issues such as the importance of the Code of forests with regard to the protection of water resources, decentralized management and participatory of water resources, Payment by Environmental Services, production of water, characterization and diagnosis of the environmental Microbacia of Wealth Córrego do Veado, sanitation of the municipality of Presidente Venceslau. Analyzed the current situation of the watershed of the spring, highlighting the main actions that have been performed by the municipality through the watershed program of the State of São Paulo City Hall and through the resources FEHIDRO. The obtained results allowed to demonstrate the need and the possibility of setting up the Project Mine Of Water in the watershed of the fountain and the interest of owners interviewed by adherence to the Project and the protection of the source

Matemática comercial e financeira com a utilização de recursos digitais: uma experiência no ensino médio

This work aimed to investigate the possible contributions of the use of digital resources in the teaching and learning process of Commercial and Financial Mathematics concepts to high school students. Its development has included a survey of some researches on the topic as well as an experimental study of a qualitative type, in which the Webquest was used as methodology. It uses the computer, more precisely the internet resources, to assist students in building up knowledge. Eight meetings were held, in the after-school period, with a group of students of the second year of high school at a state public school in the city of Guaratinguetá. Aiming to evaluate the knowledge that students had about the theme, it was applied a diagnosis at first glance for further analysis and development of activities and interventions according to the students’ answers. Once the research data was analyzed, it was noted that the students had little knowledge regarding the basic contents of Commercial and Financial Mathematics, in addition to presenting difficulties in handling some of the digital resources used in the meetings. Nonetheless, from the students’ works, it was seen significant advances in understanding and building up knowledge on concepts such as percentage, simple and compound interest, savings, and sales involving prompt payment or in arrears

Análise dos royalties do petróleo sob a perspectiva jurídica

This research aims to discuss the division of royalties from a legal perspective and its substitute role towards the non-taxation at source, in other words the taxation of destiny at the Brazilian petroleum industry. The analysis aims to deal with the historical evolution in relation to the aspect of royalties’ payment and its deviation of compensatory character in order to supply the ICMS function. There are some specific study objects in this research: 1. how the transformation of royalties’ payment led to financial compensation; 2. to whom the transference of mineral rent belongs – to the UNIÃO or to the fortunate regions which the oil is extracted; 3. would a tax reform be enough to minimize the competition of States and Cities towards the royalties? The research aims to clarify the real expectation that States have on the royalties’ payment. There is no compensation for damage to the environment as it is stated by the initial characteristic of the Constitution, and, by the contrast, from a compensatory character, there is a lacking of taxation from the sector mentioned before, this fact damages the producing states checked out by this research

Pagamento por serviços ambientais: estudo de caso: simulação da aplicação do programa do “Produtor de Água” na bacia do Rio Pirajibu

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O pagamento por desempenho no contexto das reformas educacionais paulistas

This article presents the results of a research that has as its analysis focus the payment by performance, represented in the public educational system of the São Paulo State by the bonus-merit. The bonus, such as other measures implemented in the last decade, is part of neoliberal reforms that were predominant in the public educational system of the State. The article intends to debate the implications of this mechanism for the teaching from a bibliographic review about the topic as well as from the interpretation of data originated from a qualitative empirical investigation based on semi-structured interviews with second cycle teachers of high and middle schools of three regional departments of education. The results revealed an influence of performative and managerial elements in the organizational work of schools and teachers. Moreover, they showed that the payment by performance has not contributed for the improvement of the work conditions and for the career of the teachers, has a very limited impact to change the quality of education and thus represent a teacher accountability mechanism.

Os professores e os projetos nas escolas públicas estaduais paulistas: um trabalho possível?

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

Análise econômica da produção de soja rr2 pro e soja rr1: estudo de caso no Estado de Mato Grosso

Pós-graduação em Agronomia (Energia na Agricultura) - FCA