Perfil social das pessoas com hipertensão arterial sistêmica atendidas no Programa de Saúde da Família

Pós-graduação em Serviço Social - FCHS

Trabalho flexível e capital social: um estudo de caso sobre a ação dos agentes comunitários de saúde em Araraquara

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Grandes projetos urbanos, segregação social e condições da moradia em Belém e Manaus

O objeto central da pesquisa que deu origem a esta tese de doutorado foi analisar os efeitos segregativos que os grandes projetos urbanos provocam sobre as condições de moradia nas metrópoles amazônicas de Belém e Manaus. Adotam-se as projeções teóricas que interpretam a dinâmica urbana enquanto produto da acumulação do capital e que gera segregação social, numa perspectiva que permite comparar intervenções urbanas nessas duas metrópoles. Em cada uma dessas cidades, grandes projetos urbanos estão sendo implantados. Para efeito deste estudo, as experiências do Projeto Portal da Amazônia, em Belém-Pará e o Programa de Saneamento Ambiental dos Igarapés Manaus (PROSAMIM), na cidade Manaus-Amazonas, foram analisados como experiências de grandes projetos urbanos na Amazônia. O referencial teórico-metodológico teve a contribuição das teorias produzidas pela Escola Sociológica francesa, as anglo-saxônicas e as brasileiras, permitindo a construção de um pensamento crítico sobre a lógica que permeia os grandes projetos urbanos nas metrópoles amazônicas. Para isso, elegeu-se um procedimento operacional do tipo quali-quantitivo, tendo em dados primários e secundários as principais fontes de informação, materializadas por documentos históricos, oficiais, dados estatísticos, observação direta e realização de entrevistas com lideranças dos movimentos em defesa da moradia e da reforma urbana, moradores das áreas afetadas direta e indiretamente pelos programas em estudo e agentes de órgãos públicos. Os principais resultados são a constatação de que nas metrópoles amazônicas o processo de urbanização vem se dando desde o final do século XIX, com o advento da economia gomífera, intensificando-se a partir do Golpe Militar de 1964, quando foram fortalecidos os processos de exploração de recursos naturais e de adensamento populacional, com consequentes alterações físico-territoriais em Belém e Manaus. Nos anos recentes, as duas cidades vêm acompanhando o movimento de globalização do capital, ao adotarem os grandes projetos urbanos como a principal estratégia de renovação urbana, com suporte técnico e financeiro do Banco Interamericano de Desenvolvimento (BID). Por fim, estes resultados apontaram efeitos segregativos, determinados pela implantação destes grandes projetos urbanos, uma vez que as ações de deslocamento compulsório impactaram de forma negativa a condição de moradia e trabalho de expressivas frações das classes trabalhadoras, tornando inacessível o Direito à Cidade, tanto em Belém como em Manaus.

Comunidades "no sentido social da evangelização": CEBs, camponeses e quilombolas na Amazônia Oriental Brasileira

O estudo sobre novos movimentos eclesiais na Igreja Católica, desenvolvido na Amazônia Oriental brasileira, permite uma reflexão sobre a influência dessa Igreja em duas áreas rurais do estado do Pará: a Transamazônica e a microrregião de Tomé Açu. Em ambas, sua atuação, através das chamadas Comunidades Eclesiais de Base (CEBs), muito ativas, desempenha papel relevante entre as populações dessas áreas. O artigo se propõe a analisar a condição social dessas populações que, em função de suas vivências e práticas, incorporando criticamente a influência de agentes de pastoral, assumem novas identidades e novas práticas de natureza política e religiosa, antes não existentes em seu meio.

Novas perspectivas no trabalho do agente educacional na educação da criança: uma visão bio-psico-social

Pós-graduação em Serviço Social - FCHS

Lutas ecossociais no contexto do agronegócio canavieiro: (re)ordenação social nas lutas contra a queima de cana-de-açúcar e por uma reforma agrária ambientalizada. -

Pós-graduação em Direito - FCHS

Brazilian community health agents and qualitative primary healthcare information

The aim of this study was to explore female community health agents’ views about the value of recording qualitative information on contextual health issues they observe during home visits, data that are not officially required to be documented for the Brazilian System of Primary Healthcare Information. Background: The study was conducted in community primary healthcare centres located in the cities of Araçatuba and Coroados (state of São Paulo) and Rio de Janeiro (state of Rio de Janeiro), Brazil. Methods: The design was a qualitative, exploratory study. The purposeful sampling criteria were being female, with a minimum of three years of continuous service in the same location. Data collection with 62 participants was conducted via 11 focus groups (in 2007 and 2008). Audio files were transcribed and submitted to the method of thematic analysis. Four themes guided the analysis: working with qualitative information and undocumented observation; reflecting on qualitative information; integrating/analysing quantitative and qualitative information; and information-sharing with agents and family health teams. In 2010, 25 community health agents verified the final interpretation of the findings. Findings: Participants valued the recording of qualitative, contextual information to expand understanding of primary healthcare issues and as an indicator of clients’ improved health behaviour and health literacy. While participants initiated the recording of additional health information, they generally did not inform the family health team about these findings. They perceived that team members devalued this type of information by considering it a reflection of the clientele’s social conditions or problems beyond the scope of medical concerns. Documentation of qualitative evidence can account for the effectiveness of health education in two ways: by improving preventative care, and by amplifying the voices of underprivileged clients who live in poverty to ensure the most appropriate and best quality primary healthcare for them.

Invisibilidade social e saúde do trabalhador: dinâmica territorial do trabalho na coleta de lixo domiciliar urbano em Presidente Prudente/SP

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

A inserção social do banco dos cocais no município de São João do Arraial - PI

Pós-graduação em Geografia - IGCE

Cooperative interventions and the interaction of Community Health Agents within the Family Health team

This qualitative study examines the social relationships between the Community Health Agents (CHAs) and the Family Health team (FH), highlighting cooperative interventions and interactions among workers. A total of 23 participant observations and 11 semi-structured interviews were conducted with an FH team in a city in the interior of Sao Paulo, Brazil. The results revealed that CHAs function as a link in the development of operational actions to expedite teamwork. These professionals, while creating bonds, articulate connections of teamwork and interact with other workers, developing common care plans and bringing the team and community together, as well as adapting care interventions to meet the real needs of people. In communication practice, when talking about themselves they talk about the community itself because they are the community's representatives and spokespersons on the team. The conclusion is that the CHA may be a strategic worker if his/her actions include more political and social dimensions of work in healthcare.

Forum: social network for the surveillance and prevention of workplace accidents

In 2008, academic researchers and public service officials created a university extension studies platform based on online and on-site meetings denominated "Work-Related Accidents Forum: Analysis, Prevention, and Other Relevant Aspects. Its aim was to help public agents and social partners to propagate a systemic approach that would be helpful in the surveillance and prevention of work-related accidents. This article describes and analyses such a platform. Online access is free and structured to: support dissemination of updated concepts; support on-site meetings and capacity to build educational activities; and keep a permanent space for debate among the registered participants. The desired result is the propagation of a social-technical-systemic view of work-related accidents that replaces the current traditional view that emphasizes human error and results in blaming the victims. The Forum uses an educational approach known as permanent health education, which is based on the experience and needs of workers and encourages debate among participants. The forum adopts a problematizing pedagogy that starts from the requirements and experiences of the social actors and stimulates support and discussions among them in line with an ongoing health educational approach. The current challenge is to turn the platform into a social networking website in order to broaden its links with society.

Effect of external fields in Axelrod's model of social dynamics

The study of the effects of spatially uniform fields on the steady-state properties of Axelrod's model has yielded plenty of counterintuitive results. Here, we reexamine the impact of this type of field for a selection of parameters such that the field-free steady state of the model is heterogeneous or multicultural. Analyses of both one- and two-dimensional versions of Axelrod's model indicate that the steady state remains heterogeneous regardless of the value of the field strength. Turning on the field leads to a discontinuous decrease on the number of cultural domains, which we argue is due to the instability of zero-field heterogeneous absorbing configurations. We find, however, that spatially nonuniform fields that implement a consensus rule among the neighborhood of the agents enforce homogenization. Although the overall effects of the fields are essentially the same irrespective of the dimensionality of the model, we argue that the dimensionality has a significant impact on the stability of the field-free homogeneous steady state.

Designing and Programming Organizational Infrastructures for Agents situated in Artifact-based Environments

Actual trends in software development are pushing the need to face a multiplicity of diverse activities and interaction styles characterizing complex and distributed application domains, in such a way that the resulting dynamics exhibits some grade of order, i.e. in terms of evolution of the system and desired equilibrium. Autonomous agents and Multiagent Systems are argued in literature as one of the most immediate approaches for describing such a kind of challenges. Actually, agent research seems to converge towards the definition of renewed abstraction tools aimed at better capturing the new demands of open systems. Besides agents, which are assumed as autonomous entities purposing a series of design objectives, Multiagent Systems account new notions as first-class entities, aimed, above all, at modeling institutional/organizational entities, placed for normative regulation, interaction and teamwork management, as well as environmental entities, placed as resources to further support and regulate agent work. The starting point of this thesis is recognizing that both organizations and environments can be rooted in a unifying perspective. Whereas recent research in agent systems seems to account a set of diverse approaches to specifically face with at least one aspect within the above mentioned, this work aims at proposing a unifying approach where both agents and their organizations can be straightforwardly situated in properly designed working environments. In this line, this work pursues reconciliation of environments with sociality, social interaction with environment based interaction, environmental resources with organizational functionalities with the aim to smoothly integrate the various aspects of complex and situated organizations in a coherent programming approach. Rooted in Agents and Artifacts (A&A) meta-model, which has been recently introduced both in the context of agent oriented software engineering and programming, the thesis promotes the notion of Embodied Organizations, characterized by computational infrastructures attaining a seamless integration between agents, organizations and environmental entities.

Micro-simulation models at neighbourhood scale: the interplay of agents, buildings, activities and transport.

Urban systems consist of several interlinked sub-systems - social, economic, institutional and environmental – each representing a complex system of its own and affecting all the others at various structural and functional levels. An urban system is represented by a number of “human” agents, such as individuals and households, and “non-human” agents, such as buildings, establishments, transports, vehicles and infrastructures. These two categories of agents interact among them and simultaneously produce impact on the system they interact with. Try to understand the type of interactions, their spatial and temporal localisation to allow a very detailed simulation trough models, turn out to be a great effort and is the topic this research deals with. An analysis of urban system complexity is here presented and a state of the art review about the field of urban models is provided. Finally, six international models - MATSim, MobiSim, ANTONIN, TRANSIMS, UrbanSim, ILUTE - are illustrated and then compared.

Cancer, meta-analysis and reporting biases: the case of erythropoiesis-stimulating agents.

Reporting and publication bias is a well-known problem in meta-analysis and healthcare research. In 2002 we conducted a meta-analysis on the effects of erythropoiesis-stimulating agents (ESAs) on overall survival in cancer patients, which suggested some evidence for improved survival in patients receiving ESAs compared with controls. However, a meta-analysis of individual patient data conducted several years later showed the opposite of our first meta-analysis, that is, evidence for increased on-study mortality and reduced overall survival in cancer patients receiving ESAs. We aimed to determine whether the results of our first meta-analysis could have been affected by publication and reporting biases and, if so, whether timely access to clinical study reports and individual patient data could have prevented this. We conducted a hypothetical meta-analysis for overall survival including all studies and study data that could have been available in 2002, at the time when we conducted our first meta-analysis. Compared with our original meta-analysis, which suggested an overall survival benefit for cancer patients receiving ESAs [hazard ratio (HR) 0.81, 95% confidence interval (CI) 0.67‒0.99], our hypothetical meta-analysis based on the results of all studies conducted at the time of the first analysis did not show evidence for a beneficial effect of ESAs on overall survival (HR 0.97, 95% CI 0.83‒1.12). Thus we have to conclude that our first meta-analysis showed misleading overall survival benefits due to publication and reporting biases, which could have been prevented by timely access to clinical study reports and individual patient data. Unrestricted access to clinical study protocols including amendments, clinical study reports and individual patient data is needed to ensure timely detection of both beneficial and harmful effects of healthcare interventions.