The safe motherhood referral system to reduce cesarean sections and perinatal mortality - a cross-sectional study [1995-2006]

Background: In 2000, the eight Millennium Development Goals (MDGs) set targets for reducing child mortality and improving maternal health by 2015.Objective: To evaluate the results of a new education and referral system for antenatal/intrapartum care as a strategy to reduce the rates of Cesarean sections (C-sections) and maternal/perinatal mortality.Methods: Design: Cross-sectional study. Setting: Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University/UNESP, Brazil. Population: 27,387 delivering women and 27,827 offspring. Data collection: maternal and perinatal data between 1995 and 2006 at the major level III and level II hospitals in Botucatu, Brazil following initiation of a safe motherhood education and referral system. Main outcome measures: Yearly rates of C-sections, maternal (/100,000 LB) and perinatal (/1000 births) mortality rates at both hospitals. Data analysis: Simple linear regression models were adjusted to estimate the referral system's annual effects on the total number of deliveries, C-section and perinatal mortality ratios in the two hospitals. The linear regression were assessed by residual analysis (Shapiro-Wilk test) and the influence of possible conflicting observations was evaluated by a diagnostic test (Leverage), with p < 0.05.Results: Over the time period evaluated, the overall C-section rate was 37.3%, there were 30 maternal deaths (maternal mortality ratio = 109.5/100,000 LB) and 660 perinatal deaths (perinatal mortality rate = 23.7/1000 births). The C-section rate decreased from 46.5% to 23.4% at the level II hospital while remaining unchanged at the level III hospital. The perinatal mortality rate decreased from 9.71 to 1.66/1000 births and from 60.8 to 39.6/1000 births at the level II and level III hospital, respectively. Maternal mortality ratios were 16.3/100,000 LB and 185.1/100,000 LB at the level II and level III hospitals. There was a shift from direct to indirect causes of maternal mortality.Conclusions: This safe motherhood referral system was a good strategy in reducing perinatal mortality and direct causes of maternal mortality and decreasing the overall rate of C-sections.

Nível de maturidade e comparação dos PDPs de produtos automotivos

O desenvolvimento de novos produtos, que atendam às necessidades do mercado consumidor, é atividade estratégica para sustentabilidade das organizações. O objetivo deste artigo é comparar e avaliar o nível de maturidade desses processos em duas montadoras de veículos instaladas na região Sul Fluminense do País. São discutidas algumas características dos processos, expõe-se o modelo de avaliação, baseado nos critérios do CMMI (Capability Maturity Model Integration), e são apresentados os resultados de pesquisa que investigou o nível de maturidade junto a 47 representantes das empresas estudadas. Como resultado, foi possível identificar lacunas na estruturação dos PDP's, com diversas práticas e ferramentas usadas de forma isolada e não integradas, havendo campo suficiente - no entendimento dos próprios executivos - para serem aprimorados e refinados, o que permitiria torná-los mais completos, abrangentes e potentes para alavancar os resultados de mercado e financeiros das próprias organizações.

Desindustrialização na economia brasileira no período 2000-2011: abordagens e indicadores

Pós-graduação em Economia - FCLAR

A gestão da informação e do conhecimento como subsídios para a geração de inovação

Pós-graduação em Ciência da Informação - FFC

Análise da dinâmica plúvio-erosiva na bacia do Córrego da Água Branca (SP)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise cinematográfica tridimensional da articulação metacarpofalangiana de equinos submetidos à elevação da pinça ou talões

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

SRDigital: proposta de um modelo baseado na linguagem natural e controlada como instrumentos de apoio ao agente computacional do processo de referência

Pós-graduação em Ciência da Informação - FFC

A cultura informacional como alicerce de gestão contábil nas pequenas e médias empresas

Pós-graduação em Ciência da Informação - FFC

O uso das TIC nas aulas de matemática na perspectiva do professor

The objective of this research is to understand whether the mathematics lessons teachers use ICT and how they see their use. For this, we prepared a questionnaire with four questions for the subjects of our research, which are ex - students of Bachelor in Mathematics FEG / UNESP, in exercise of the profession. The questionnaire data were analyzed following the procedures of phenomenological research. This approach enabled us to draw up three open categories. The first Recourse to boost student learning and school, leads us to interpret that for the interviewees, ICT resources are leading students to do research making them responsible for their learning and providing them with conditions respond the issues raised by the teacher, which generates greater interactivity. The second, Possibility to use software related to mathematical content shows that the subject sees ICT as resources that allow the study of mathematical content, especially geometry and functions, so that student learning is leverage. The third, Obstacles to the use of technology in the classroom shows that even if the subjects recognize the importance of ICT use, they do not use it as often as they would like because of the difficulties that are related to infrastructure and didactic and pedagogical conditions

Estudo da produção de hidrogênio eletrolítico a partir de fontes eólica, solar e hidrelétrica

Introduces technical, economic and environmentally competitive solutions in the energy market is a great challenge for society. This work examines each of these aspects considering the production of electrolytic hydrogen with energy from wind power, solar and hydropower, in order to ensure an overview of this energy carrier. Initially, an assessment of the technical aspects is made addressing existing electrolysers technologies, its main characteristics and differences. The geographical distribution of wind, solar and hydroelectric potential in Brazil is also mapped, and a configuration scheme of a hydrogen production system is discussed. Subsequently, the economic analysis calculates the cost of investment in the alkaline electrolyser of 60 Nm³ / h, similar to the Brazilian bus powered by hydrogen project, coordinated by EMTU. Since the main input of electrolysis is electricity, is analyzed the latest energy auctions of each primary source and it is calculated the cost of production of the wind, solar and hydropower hydrogen. Postponed to this, are investigated the intrinsic environmental impacts of electricity generation process, proposing a readjustment of an indicator of ecological efficiency for the production of hydrogen. Finally, the work discusses the concept of externalities and demonstrates how the incorporation of external costs can leverage the hydrogen economy. In short, it is evident that the wind and hydroelectric hydrogens are more promising compared to solar hydrogen, whether in the economic aspect, because it achieved lower costs, whether in the environmental aspect, because it reached the highest ecological efficiency

Os objetos lúdicos em salas de aula com crianças de ensino fundamental de 1º ao 5º ano

The playful objects challenge and support the child to the playful action. These actions leverage the use of imagination and fantasy, necessary skills throughout our life. These objects are ways to create situations and play day by day. Games and toys are also augmenting resources of learning processes in various areas of knowledge. However, this process does not occur spontaneously, there is a need of scientific knowledge for selection and use of these resources in educational formal processes, especially in schools. The objective of this study was to identify, classify and analyze the play material performance of a primary school of the Municipal System of Education from Bauru-SP. To attain the goal, became a literature review in indexed data bases and printed materials. Subsequently, based on the theoretical references, tools for collection and analysis of data were developed, enabling the triangulation of data collected and analyzed for the closest to the reality studied. The instruments for collecting and analyzing data: a) survey and identification of playful collection based on COL (KOBAYSHI, 2009), b) questionnaire with school teachers and c) field observations. The survey results and the triangulation of sources allowed better characterization of the collection available at the school and their uses as resources and education and recreation procedures

Modelo esportivo britânico: histórico e evoluções

The British sports suffered an unprecedented crisis in the early 80s instabilities political, economic crisis and lack of planning put the English sport in a very critical situation. However, a number of sports public policies were proposed from the 80's, effectively, completely changed the situation of English sport, which has prompted the development of this research. Thus, the present study, qualitative, aims to analyze the organization and evolution of the sport in the UK, based on the British government projects of the last 30 years included in the Sport Development database. Therefore, the study was developed by the union of bibliographic research, exploratory and documentary. First, after literature, documents were selected, using the academic database Sport Development, in the library of policy documents, separate area of the database containing only the English sport policy documents. For delimitation of the study were analyzed documents from 1980 to 2013, of which eight were selected on which to base discussions in this study. The documents were analyzed using thematic content analysis technique, based on two thematic axes: Axis 1 - funding and Axis 2 - priority groups. The results indicate that the analyzed initiatives show a process of evolution and maturation of public policies of Sport England, both on the issue of financing, such as with regard to priority groups, which have changed and adjustments over the years. It was also noted that much can be learned from these initiatives, even in helping to solve problems of the Brazilian reality. Suggest new studies involving sports management from different countries, in order to leverage other perspectives to support the development of public policies for sport and recreation in the country, seeking successful examples

Deslocamentos pendulares, consumo e shopping centers em cidades médias paulistas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

The use of a bite fork to help mobilize the maxilla after downfracture during the Le Fort I osteotomy: a technical note

Introduction The Le Fort I osteotomy is indicated to reposition the maxilla in the surgical correction of dentofacial deformities. Although it is a known surgical step, like any surgical procedure, it can have complications and difficulties; among these, the initial mobility of the jaw is very common after completing all corticotomies. Methods The authors present a technique in which the bite fork is used as an auxiliary tool in maxilla downfracture, especially in cases of maxillary impaction where vertical space is created on the walls of the corticotomy. Findings As the bite fork acts as a scraper with a long leverage arm, an advantage would be the better distribution of forces along the corticotomy, minimizing the risk of bad fracture and facilitating maxillary downfracture movement.

Avaliação e resolutividade do serviço odontológico no Sistema Único de Saúde

Pós-graduação em Odontologia Preventiva e Social - FOA