Financiamento e gasto público em saúde: o caso do Rio Grande do Norte

Conselho Nacional de Desenvolvimento Científico e Tecnológico

Gestão democrática: autonomia e participação na Escola Estadual 11 de Agosto Umarizal/RN

The object of analysis of this work is the implementation of the election of director in the State School August 11, situated in the city of Umarizal, State of Rio Grande do Norte, period 2005-2008. The understanding of the politics concerning the school democratization, triggered in Brazilian society in the 1990s, requires taking into consideration the changes occurring in recent decades in the national and international, which impressed significant changes in the role and functions of the state. The election of a director is part of the policy of administrative decentralization and educational reform that focuses on the democratization of the management of public education with the involvement of social actors in decisions within the educational institutions as a way to address the problems that hinder the actions management education, especially school management. To better understand this process of political democratization of school management developed our analysis seeking to answer the following questions: implementation of direct election for a director ensures democratic management in schools? What are the ramifications for the school, caused by direct election on the school autonomy and participation of the subjects in school processes? From these questions, we set as standard for analysis of democratic management in schools of two dimensions: participation and autonomy within the school. For this we take as a theoretical and methodological literature: Pateman (1992); Rousseau (2010); Bourdieu (2007), Castoriadis (1991); Macpherson (1978); Marx; Engels (2007), among others dealing with participation, autonomy, decision power and election of director, and guidelines dealing with the democratization of school management. As data collection procedure, we use the semi-structured interviews and analysis of meeting minutes of the School Council and the Minutes of the final results of elections, to understand the empirical aspects of the implementation of the election of a director. The survey results indicate some progress and setbacks regarding the participation of subjects from issues relating to the school's educational project. Also underline the political interference as a factor crystallizer the centralization of power in the figure of the director as well as the advancement of the spaces that nurture the mobilization of political debate on the democratization of management. About the extent of autonomy observed that social actors to relate predominantly to the power of decision and the involvement of subjects in the school's actions

A Tessitura de sentidos: representação social de licenciados do curso deletras da UFRN sobre o ensinar

En esta investigación, se busca comprender los procesos de formación de pregrado del Curso de Cartas da UFRN, de estas representaciones sociales acerca de los estudiantes de enseñanza. Por lo tanto, el objetivo fue conocer y analizar las representaciones sociales de curso de pregrado UFRN Cartas sobre la enseñanza. Por lo tanto, se aplica la Técnica de Libre de Palabras Asociación (TALP) con 20 participantes, después de haber sido probados individualmente, utilizando como estímulo palabra "enseñar" y limitar el número de invocaciones a 03 palabras por participante. Esta técnica fue elegida porque es una técnica proyectiva que permite la reducción y racionalización permite acceder al campo semántico de las representaciones sociales, en nuestro caso, en la enseñanza del de pregrado do Curso de Cartas da UFRN. Por lo tanto, llegamos a total de 60 llamadas, análisis de frecuencia después de 41 y 24 después de un análisis del significado que se utilizaron en otro procedimiento aplicado en esta investigación, las calificaciones de Procedimiento de Múltiples Calificaciones (PCM). Estas palabras, sobre la base de las justificaciones de las evocaciones y significados que atribuyen participantes en la investigación, se dividieron en 4 campos semánticos: Campo 1: Aspectos técnicos de la enseñanza, Campo 2: aspectos volitivos, Campo 3: aspectos relacionales de la enseñanza y de Campo 4: Elementos del campo. El PCM se aplicó de forma individual, con 50 estudiantes. Para el análisis de los datos generados, utilizamos Análisis Multidimensional (MDS) para la Escala Multidimensional de Evaluación Análisis gratuito (MSA: Multidimensional Scalogram Analysis) y el análisis de clasificación selectiva de los espacios menores (SSA: Smallest Space Analysis). El mapa generado por el análisis de MSA fue dividido en tres regiones: Aspectos de los aspectos de enseñanza, capacitación y asistencia técnica de los promotores de la profesionalización, la primera región que tiene una sub-regionalización llamada dimensión negativa. El mapa de la SSA análisis se dividió en dos partes y un subfaceta, llamado el aspecto faceta técnica de la enseñanza y la formación, la segunda faceta llamado Vínculo entre el campo y la enseñanza específica y su nombre subfaceta aspecto relacional. Del análisis del contenido de las justificaciones de la PCM, llegó a 5 categorías, a saber: Hacer la enseñanza, la faceta negativa, Escuela, Formación y faceta afectiva del profesor. El TALP aporta pruebas de que algunos de estos estudiantes ve la oportunidad de adquirir unos conocimientos en esta área, la formación en un nivel superior, como quieran, simplemente tienen un título universitario para realizar licitación abierta. El PCM nos ha hecho comprender que el contenido representacional en cuestión se configura desde el universo consensual conectado a la profesión y la formación. Por lo tanto, podemos decir que los titulares de licencias con respecto al tema estudiado anclar la representación social de "enseñar" a la imagen de ser un maestro y objetivar la imagen de la profesión

Gêneros do discurso e escrita: o que as coleções didáticas de português (des)prestigiam no ensino da produção textual?

Through the examination of official indicators, it can be observed that writing is pointed out as one of the main problems concerning formal basic education. However, this teaching-learning object is one of the central objectives at school, having an essential role in different curricular components as well as in the interaction demands required by society. Such paradox indicates, therefore, the relevance of investigations which analyze the intrinsic elements of child development as written text producer. Hence, the main purpose of this research consists of analyzing the treatment given to the types of discourse and the teaching situations in which the written text are produced, concerning Portuguese language didactic material collections approved by Programa Nacional do Livro Didático (PNLD 2010) the Brazilian program of didactic book and worked at elementary school. Such materials correspond to the collections adopted in municipal education system schools from Natal, RN which were below the official education indicator IDEB 2009. Thus, the questions that guide this work are: 1. During writing production lessons, is the diversity of types of discourse effectively worked on didactic collections? 2. Which are the types of discourse and the social spheres prioritized when teaching writing production? 3. How is the situation addressed in the production of the written text should be produced? For this research, we retook the authors Bakhtin, Bunzen, Faraco, Freire, Rodrigues, Rojo, Schneuwly e Dolz and we made a list of all types of discourse and spheres contemplated in the propositions of the writing production in didactical books, concerning the eight collections which compounds the first moment of analysis. Then, we verified how the situation of production is oriented by examining two didactic collections if and how they express the elements referring to the social-historical, functional and linguistic-discursive context of the text to be produced. The data obtained indicate: lack of diversification of types of discourse in the collection that compounds the Aggregate Sample of the research; the conception of a diversity based on the didactic of visiting; the recognition of all canonical and hegemonic types of text as one of the privileged objects of study; the centralization on the standard variety of the language and the devaluation of the representative types of cultural diversity; the shortage of productions which retrace to written language related to different technologies of communication and information; and the little emphasis on the types of discourse related to public language practices. As for the situations of production, it is observed the predominance of the school as a producer of dialogic relationships, whose propositions present, for example, text addressees, enunciative positions, support and contexts of restricted circulation, especially at school. Two divergent situations are observed among the collections: the lack of a work in which the situation of production is under the perspective of the types of discourse as object of teaching-learning; the concept of the types of discourse as object of reflection, presenting a differentiated didactic orientation towards the situation of production. This research contributes, therefore, with a mapping of the existence and the treatment of the types of discourse on propositions of writing production in didactic books; with the critical analysis of the approach of written activities, considering the elements of the historical-social, functional and linguistic-discursive context; thus, through teaching, research and public policies, use and selection of didactic material for the area

Um olhar sobre as veredas rosianas.

The present work objective to study the configurations that the hinterland it acquires in the workmanship Great hinterland: trails, of Guimarães Rosa demonstrating as this author humanize this element, conferring to it characters universal mystics and through investigations, uncertainties, the auto-corrections of Riobaldo that become hinterland a metaphor of the human interior. Three are the chapters, that they will guide this work: the chapter 1 presents as element key for characterization of the epic one in Great hinterland: trails, the mining hinterland replete of trails, palco of exuberant vegetation, huge and multidimensional scene, where it has an entrecruzamento of fiction and reality. It retakes quarrel of critics as Manuel Cavalcanti Proença, Roberto Schwarz, on the existing epic character in the Great hinterland: trails, constructed from deriving myths of the universal culture, that they had been become popular. The brave and gracious knight, that it has its representabilidade in the popular culture. Thus the medieval hero, the knight represented for the Riobaldo personage, it is cognominado by Proença as Don Riobaldo of the Urucuia, knight of the general fields. O chapter 2 is a study on the popular culture in Rosa and Cascudo. Cascudo the example of Rosa also is exímio studious of the brazilian life, the regionalization and the popular manifestations proceeding from other cultures. O chapter 3 it has as focus of analysis two mitopoéticas personages: Diadorim e Luzia-Homem, which in the cited narratives they generally they assume functions generally atribute the men. Since children, if they dresses male. Valley to point out that Diadorim is not characterized as man, since in Great hinterland:trails if trajaq always as gunman. Luzia, when complete 18 anos pass if to dress as woman, but the stigma of male and female, inherited of the time where it coexisted the father folloies it for all the life. They suffer pain to have been born to fight and to não conhecer to love. They die you deliver the God. This study detects exactly that Diadorim and Luzia-Homem, are personages associates the myths of the universal culture and popular (sphinx, Jellyfish, Venus, Mother d water), that they possess similarities n the archetypes, that transit between the sexos masculine and feminine, without any sexual connotation, possesss it proper code of honr, of this not abdicating ahead of the death. Parallel, in this chapter two cascudianas workmanships willbe studies, that contemplate thematic of the dressed woman of man and being the woman without disguice: the enchantment tale Maria Gomes and romance Flower of tragics romances. The first one will be revisited in order to present subject in Great hinterland:trails through the Diadorim personage. As it will discourse on cases of brave women, cited for Cascudo, immortalized for the tradition, who had made history, that already is not disfarçam of men to carry through acts of bravery and honor.

Regiões de saúde e escalas geográficas

O presente artigo tem como objetivo central discutir o processo de regionalização da saúde no país, considerando-se o novo cenário de direcionamento do investimento de unidades públicas de saúde, a partir da publicação da Norma Operacional de Assistência à Saúde (NOAS - SUS 01/2001). Para isso, um esforço faz-se necessário: o de superação da compreensão predominante a respeito de alguns conceitos, principalmente o de região e de escala geográfica. A proposta de divisão regional dessa NOAS baseia-se no conceito de região de planejamento que, desde a fundação do Instituto Brasileiro de Geografia e Estatística, tem subsidiado as políticas territoriais do Estado brasileiro. Contudo, a regionalização da saúde no Brasil é uma necessidade para o fortalecimento do SUS e uma mudança qualitativa da política nacional de saúde. É preciso avançar, relacionando a divisão regional do Brasil com a questão da escala. O que está em questão é se a regionalização da saúde brasileira representa ou não um aprimoramento das mediações entre as diversas escalas do SUS.

Caracterização do repertório acústico do botocinza, sotalia guianensis, e impacto de embarcações no nordeste do brasil

The wide distribution along the Brazilian coast of specie Sotalia guianensis has been growing interest in searchers on the ecology of this species, addition to commercial interests by whalewatching. This work described the accoustic repertory of S. guianensis and their behavior associated and found if underwater noises affect this repertorie in Pipa-RN. It were analyzed 18:49h of recordings maked between april and june/2009. It were found 3258 whistles, 289 calls, 873 clicks and no gargle. The frequencies range of guiana dolphins was 1 a 48kHz and may be related to system response recorder and population s regionalization. The frequencies overlaps the noise made by motorboats, schooners and water bomb. The behavior travelling ocurred siletly in 72,58% and socialization presented no sound (56,4%) and presence of sound (43,6%). This great absence of sound may be relacioned to saving energy, probably because in this behaviors they can use physical and visual contacts. The foraging presented highest records of all class noise with 46,84% clicks, 33,84% whistles and 9,02% calls. All this sounds occurred differently in each behavior (travelling: x2 = 134,35 df = 3 p = 0,0001; foraging: x2 = 19,83 df = 3 p= 0,00018 and socialization x2 = 60,35 df = 3 p = 0,0001). It was possible to determine that underwater noise cause changes in the repertorie and does a considerable increase in whistle s number and reduce clicks. Also occurs changes in some whistles (FI: t=2,42, p=0,015; FF: t= -2,22, p=0,025), calls (FMI: t= -3,13, p=0,001; FMA: t= -3,49, p=0,0005; FD: t= -2,21, p=0,027; D: t=2,89, p=0,004) and clicks parameters (D: t= -3,85, p=0,0001; I: t= -5,32, p=0,0001) during presence of noise. These changes may be a strategy of these animals to win this sound barrier. We can not say which noise has more impact, ix however the water bomb seems to affect more the clicks and the motorboats seems to affect the others sounds. Little is know about auditive sensibility of this specie, but daily exposure to this noise may cause damage and this specie appears to have residence. The specie conservation is necessary because the population already seems to suffer damage as decrease in length of stay, number of individuals entering the inlet and the apparent diminution in the foragind during vessels presence and control standards and ambiental education can help. So, we can advance in knowledge about the ecology of this specie especially when it come to bioacoustics and their behaviors associated and reveals some of the impacts that the noise have brought to this population

Estratégias de cuidado integral à saúde: os CAPS no processo de implementação do apoio matricial em Natal/RN

This study aims to analyzing the implementation of the Matrix Support proposal with professionals of Substitutive Services in Mental Health in the city of Natal/RN. The Matrix Support (MS) is an institutional arrangement which has been recently adopted by the Health Ministry, as an administrative strategy, for the construction of a wide care net in Mental Health, deviating the logic of indiscriminate follow-through changed by one of co-responsibility. In addition to this, its goal is to promote a major resolution as regards health assistance. Integral attention, as it is intended by the unique health system, may be reached by means of knowledge and practices interchange, establishing an interdisciplinary work logic, through an interconnected net of health services. For the accomplishment of this study, individual interviews of semi-structured character were used as instrument, with the coordinators and technical staff of the CAPs. The data collection was done in the following services: CAPS II ( East and West) and CAPS ad ( North and East), in the city of Natal/RN. The results point out that the CAPs to initiate of the discussion the process in the implementation of the MS aiming, to promote the reorganization and redefinition of the flow in the net, thus not acting in a fragmented way. Nevertheless, there is no effective articulation concerning the basic attention services, there is a major focus of the attention in mental health on the specialized services, little insertion in the territory and in the everyday life of the community

Tratamento do Centro de Atenção Psicossocial para usuários de álcool e outras drogas CAPSad II Leste Natal/RN : uma avaliação da efetividade

The treatment for abusive users of alcohol and other drugs suffered significant modifications until arriving to the psychosocial model that is used by Centro de Atenção Psicossocial CAPSad II Eastern Natal/RN (Psychosocial Support Center). That model appears starting from Brazilian sanitary and psychiatric reforms which are expressed in the principles and propositions of Sistema Único de Saúde SUS (Unique System of Health). The Psychiatric Reform meant a rupture with the mental hospital and hospital centered treatment pattern which was destined to the abusive users of alcohol and other drugs. The new proposal offers the universalization, democratization, regionalization and completeness of the actions in the field of mental health. It gathers a strictly interdisciplinary health staff. The purpose of this study is to evaluate the effectiveness of the treatment for abusive users of alcohol and other drugs offered by CAPSad II Eastern Natal/RN. The evaluation used, as priority, the qualitative social research through an evaluating study starting from the non-experimental model. The methodological process used different instruments of data collection: bibliographical and documental researches, systematic observations at CAPSad II Eastern Natal/RN and, mainly, the semistructured interviews (21) that were accomplished with the professionals, users and relatives of CAPSad II Eastern Natal/RN. The investigation showed the effectiveness of the service and, therefore, CAPSad II Eastern Natal/RN constitute itself as the main confronting strategy to the mental hospital and hospital centered treatment pattern of caring the abusive users of alcohol and other drugs

Descobrindo novas ofertas: recursos histórico-culturais e oportunidades de inovação em turismo para a região do Marco/RN

Having as reference the fundamentals of regional innovation systems (RIS) and the policy guidelines defined in the regionalization program implemented by the federal government, this study focus on the analysis of the so-called "Landmark Region", northern coast of Polo Costa das Dunas-RN, in order to indicate how the historical and cultural resources can support innovation in the tourism of the region, represented here by the cities of Pedra Grande and São Miguel do Gostoso. This is a descriptive research, using qualitative methods of data collection and analysis, configuring, still, as a case study. Data were gathered from literature, documents, semi-structured interviews and mainly by participant observation methods. The results show a great diversity of cultural resources in the region, both material and immaterial, which however are disarticulated, and need to be worked in order to be included in the tourism productive chain. The main opportunity for innovation regards the return of the Landmark to the region, an invaluable monument, with the construction of a memorial. Taking in account the relevance of the monument and the growth of the region, we conclude that the return of the Landmark to its place of origin, in conjunction with other cultural resources, could attract a flow of cultural tourists. This fact could be, as the theory suggests, characterized as market or niche innovation, as the region is dominated by the sun and sea and wind sports tourism

Desinstitucionalização dos cuidados a pessoas com transtornos mentais na atenção básica: aportes para a implementação de ações

Parte-se do interesse dispensado contemporaneamente às articulações entre saúde mental e atenção básica. Após uma breve síntese histórica e conceitual neste campo, discutem-se aspectos operativos da desinstitucionalização dos cuidados a pessoas com transtornos mentais na atenção básica. Com a análise de alguns estudos e experiências são destacados, a seguir, componentes fundamentais para avançar neste sentido: (1) desenvolver processos de comunicação que visem ampliar a legibilidade profissional, (2) superar a centralização em ações restritas aos enquadres tradicionais, (3) manter questionamento permanente com relação ao risco de psiquiatrização do cuidado em saúde mental, (4) superar concepções culpabilizantes do grupo familiar, e (5) investir na formação das equipes de atenção básica para as múltiplas dimensões do cuidado em saúde mental. Apontam-se, desta forma, alguns caminhos e direções possíveis para o desenho de ações de saúde mental na atenção básica que tenham, no horizonte, a perspectiva antimanicomial.

Implicações do Programa Dinheiro Direto na Escola para a gestão da escola pública

Este artigo apresenta as conseqüências do Programa Dinheiro Direto na Escola para a esfera da gestão das escolas públicas, especialmente aquelas relativas às conexões entre a constituição e gestão da esfera pública e da esfera privada. de certa forma, acreditamos que o PDDE materializa mudanças ocorridas no papel do Estado. Os resultados encontrados, com destaque para aqueles que envolveram a indução à criação de unidades de direito privado para o recebimento e gestão dos recursos descentralizados, organizam-se a efeito deste artigo, tendo em vista três aspectos constitutivos da gestão educacional: a democratização da gestão da escola, a relação público e privado e a relação entre descentralização e centralização.

Cooperação e apoio técnico entre estado e municípios: a experiência do programa articuladores da atenção básica em São Paulo

Com os processos de regionalização no final dos anos 1990, os estados iniciam um resgate de seu papel político para enfrentamento da fragmentação do sistema público de saúde. Nesse processo, as secretarias estaduais de saúde, representadas pelo Conselho Nacional de Secretários de Saúde, passam a redefinir as funções do Estado junto à Atenção Básica. Na histórica atuação da Secretária de Estado da Saúde de São Paulo (SES-SP) na atenção primária, uma das marcas refere-se à expertise profissional nesse campo, que com o processo de municipalização migrou para os municípios, especialmente os de maior porte, ou redefiniu suas áreas de atuação no interior da própria SES-SP, em áreas como a vigilância epidemiológica e sanitária, a de avaliação e controle, entre outras. Esse capital humano foi em parte resgatado a partir de 2009, com o Programa Articuladores de Atenção Básica. O Programa representa uma política de apoio da SES-SP para os municípios, priorizando aqueles com população inferior a 100 mil habitantes, com o objetivo de auxiliar os gestores municipais na qualificação dos serviços de Atenção Básica e fortalecer esse nível de atenção no sistema público de saúde. Toma como objeto de trabalho o reconhecimento de prioridades de saúde locais e dos obstáculos para a melhoria da atenção à saúde, na construção conjunta de estratégias e alternativas de enfrentamento dos problemas identificados. Este artigo apresenta o processo de implantação desse Programa, bem como alguns resultados referentes às principais frentes de atuação desses profissionais na busca da qualificação da atenção básica no estado.

Descentralização fiscal, políticas sociais e transferência de renda no Brasil

Incluye Bibliografía

Monitoramento de hosts em redes tcp/ip sobre base georreferenciada com métricas de qualidade

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)