Impacto do Programa de Saúde da Família sobre indicadores de saúde bucal na população de Natal -RN

The aim of this study was to assess the impact of the Family Health Program (FHP) on a number of oral health indicators in the population of Natal, Brazil. The study is characterized as a quasi-random community intervention trial. The intervention is represented by the implementation of an Oral Health Team (OHT) in the FHP prior to the study. A total of 15 sectors covered by the FHP with OHT were randomly drawn and paired with another 15 sectors, based on socioeconomic criteria, not covered by the teams. A few sectors were lost over the course of the study, resulting in a final number of 22 sectors, 11 covered and 11 not covered. We divided the non-covered areas into two conditions, one in which we considered areas that had some type of assistance program such as the Community Agents Program (CAP), FHP without OHT, BHU (Basic Health Unit) or no assistance, and the other, in which we considered areas that had only BHU or no assistance. Community Health Agents (CHAs) and Dental Office Assistants (DOAs) applied a questionnaire-interview to the most qualified individual of the household and the data obtained per household were transformed into the individual data of 7186 persons. The results show no statistical difference between the oral health outcomes analyzed in the areas covered by OHT in the FHP and in non-covered areas that have some type of assistance program, with a number of indicators showing better conditions in the non-covered areas. When we considered the association between covered and non-covered areas under the second condition, we found a statistical difference in the coverage indicators. Better conditions were found in covered areas for indicators such as I have not been to the dentist in the last year with p < 0.001 and OR of 1.64 and I had no access to dental care with p < 0.001 and OR of 2.22. However, the results show no impact of FHP with OHT on preventive action indicators under both non-covered conditions. This can be clearly seen when we analyze the toothache variable, which showed no significant difference between covered and non-covered areas. This variable is one of the most sensitive when assessing oral health programs, with p of 0.430 under condition 1 and p of 0.038 under condition 2, with CI = 0.70-0.90. In the analysis of health indicators in children where the proportion of deaths in children under age 1, the rate of hospitalization for ARI (Acute Respiratory Infections) in those under age 5 and the proportion of individuals born underweight were considered, a better condition was found in all the outcomes for areas with FHP. Therefore, we can conclude that oral health in the FHP has little effect on oral health indicators, even though the strategy improves the general health conditions of the population, as, for example child health

Utilização de indicadores financeiros e não-financeiros na gestão de hotéis no Rio Grande do Norte: um estudo sob a ótica do Balanced Scorecard

This study presents the results of a research on the use of financial and non-financial performance indicators used by medium and large hotels. The research was conducted in Rio Grande do Norte, a Brazilian State. The objective is to identify the usage of performance measures by these companies. Hotel industry is one of the most important sectors in the Rio Grande do Norte economy. The research takes the Balanced Scorecard as a conceptual framework, since it represents an original contribution to the literature of managerial accounting, for rethinking old issues, pointing out themes that were forgotten or badly interpreted, to discuss the requirements imposed by the economy environment, dominated by competitive companies, and increasing the understanding of the relationship between strategy and operation. The objective of the research is to investigate if the hotel managers make use of a managerial information system or not, when evaluating the performance of their business unit. The research reveals the usage of performance evaluation using a large variety of measures. Among them is worth mention: the usage of accounting profit altogether with the EVA/MVA, the process cycle time, total quality management, process transformation, strategic mission, vision, strategic measures, measures related to feedback, risk, costs, productivity, incomes, customers retention, customer satisfaction and profitability, measures using time as a component, quality of the process, cost of the processes, employees capabilities, information systems, motivation, empowerment and alignment. The research leads to the conclusion that the usage of the deriving concepts of Balanced Scorecard can improve the performance measurement systems used by hotels

Agroindústria canavieira e unidade de conservação: Impactos Sociais na comunidade de pescadores de Baía Formosa (RN)

The conservation unities emerged in response to the environmental damages. In the Atlantic Forest of the Brazilian Northeast, the most of the damages come from the sugar-cane agro-industry, especially by the deforestation for the introduction of sugar-cane fields and installation of the industry structure. Besides the damages over the biodiversity, there are critical social problems that affect the communities which survive using directly or indirectly the biome from the Atlantic Forest. The objective of this research is to analyze the social impacts on the fishermen of Baía Formosa/RN generated by the changes and socio-environmental transformations occurred starting the installation of a sugar-cane factory and the creation of a conservation area in the municipality of Baía Formosa/RN community. The research is based on a qualitative and diachronic perspective, for both approach, it was used the method of oral history in conjunction with the literature search and some technical and research tools such as direct observation, interview, records images and recordings . The results show that social and symbolic practices of the community in the conservation unit Mata Estrela last more strongly presented. Today fewer natural resources are used, due to factors such as limit access to forest and disappearance of some natural resources by deforestation. It is believed that the loss of free access to space for the community is the most significant negative impact, as promoted changes in the relationship of the community with the Star Forest that contributed to the fading of their social and symbolic practices. The loss of free access caused the decline in the practice of agriculture, which resulted in the loss of one of the means of social reproduction of the community

Evaluation of pre-natal care from the perspective of different models in primary care

OBJETIVOS: avaliar a qualidade do cuidado pré-natal desenvolvido na atenção primária, comparando os modelos tradicional e Estratégia Saúde da Família. MÉTODO: estudo de avaliação de serviço, pautado nas políticas públicas de saúde. Os dados foram obtidos por meio de entrevista com gerentes, observação nas unidades de saúde e análise de prontuários de gestantes, selecionados aleatoriamente. Diferenças nos indicadores de estrutura e processo foram avaliadas pelo teste qui-quadrado, adotando-se p<0,05 como nível crítico, cálculo dos odds ratio e intervalos de confiança de 95%. RESULTADOS: foram evidenciadas estruturas semelhantes em ambos os modelos de atenção. Indicadores-síntese de processo, criados neste estudo, e os indicados pelas políticas públicas apontaram situação mais favorável nas Unidades de Saúde da Família. Para o conjunto de atividades preconizadas para o pré-natal, o desempenho foi deficiente em ambos os modelos, embora pouco melhor nas Unidades de Saúde da Família. CONCLUSÃO: os resultados indicam a necessidade de ações para melhoria da atenção pré-natal nos dois modelos de atenção básica no município avaliado.

Diagnóstico da situação do aleitamento materno em área urbana do Sudeste do Brasil: utilização de metodologia simplificada

INTRODUÇÃO: O diagnóstico da situação do aleitamento materno em populações é necessário para a definição de metas e avaliação de programas de promoção e apoio a esta prática. Neste sentido, testou-se a viabilidade de realizar tal diagnóstico concomitante à Campanha Nacional de Multivacinação, no Município de Botucatu, SP, Brasil. MÉTODO: Utilizou-se um questionário simplificado (3 questões tipo sim/ não) para estudar a alimentação atual de 1.550 crianças menores de um ano (91,8% de cobertura) que compareceram aos postos de vacinação, em 19 de agosto de 1995. As medianas e freqüências das três categorias de aleitamento materno foram calculadas pela técnica de análise de probitos. RESULTADOS: As medianas obtidas foram: aleitamento materno exclusivo = 17 dias (IC: 4,6 - 28,7); aleitamento materno completo = 64 dias (IC: 53,0 - 74,5) e aleitamento materno = 167 dias (IC:153,7 - 182,2). O bom ajuste dos três modelos foi evidenciado pelos valores de R² e pelos testes de Kolmogorov-Smirnov (p < 0,05). CONCLUSÕES: Os resultados confirmaram a necessidade do programa no município. A metodologia simplificada revelou-se viável. Recomenda-se sua utilização na monitorização da tendência do aleitamento materno e em estudos sobre o impacto de intervenções.

Espaços ibero-americanos: a uma nova arquitetura do Estado para o desenvolvimento

Incluye Bibliografía

Política de apoyo a las pequeñas y medianas empresas: análisis del Programa de Reconversión Empresarial para las Exportaciones

Incluye Bibliografía

Gasto y desempeño ambiental del sector privado en Colombia

Incluye Bibliografía

Desarrollo económico local-regional y fomento productivo: la experiencia chilena

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Entre tapas e beijos quais as possibilidades ?: tessituras nas relações de gênero em uma escola do Ensino Fundamental II

Pós-graduação em Educação - IBRC

A construção da representação docente e a função do professor de educação infantil: elementos para reflexão

Pós-graduação em Educação Escolar - FCLAR

História e filosofia da biologia na formação inicial de professores: reflexões sobre o conceito de evolução biológica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Instituciones públicas de apoyo a la competitividad: un análisis de casos

Incluye Bibliografía

Manifestações afetivas nas concepções e práticas educativas no contexto da creche: reflexões a partir da perspectiva walloniana

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O Significado do projeto pedagógico a partir das representações sociais dos professores

Pós-graduação em Educação - FCT