Istmo Centroamericano : evolución económica durante 2005 y perspectivas para 2006 (Evaluación final)

Incluye Bibliografía

Central American Isthmus: economic evolution during 2005 and perspectives for 2006 (final evaluation)

Includes bibliography

Mapeamento da dengue na área urbana de Rio Claro (SP), no período de 2001-2003, e sua relação com condicionantes sócio-econômicas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

América Latina: evolución del índice de precios de los principales productos de exportación, 1980-2005

Incluye Bibliografía

Deficiência auditiva referida em inquérito de saúde no município de Botucatu, ISA-SP, 2001-02

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Expansão da educação superior no Pará: programas Expandir e Reuni e a composição de quadros docente dos campi da Universidade Federal do Pará (2001-2010)

A expansão da Educação Superior por intermédio das universidades públicas federais é opção expressa do MEC através de dois programas criados no governo Lula: Programa de Expansão da Educação Superior Pública/Expandir (2003-2006) e Programa de Apoio a Planos de Expansão e Reestruturação de Universidades Federais/REUNI – 2007/2012. Este trabalho analisa a implementação destas políticas no âmbito da Universidade Federal do Pará como subsídios para garantir a política de expansão desta IES, pautada sobre a filosofia universidade multicampi e a noção de vocações regionais. Auxiliam-nos na interpretação autores como: Santos (2010), Trigueiro (2003), Dourado (2002) Fialho (2005), Freitas (2005), Yu e Façanha (2011), Lima (2011) Souza e Shibata (2011), entre outros. O texto apresenta o cenário da política de educação superior entre 1980 e 2010 no Brasil. Refaz o percurso da construção da política multicampi na UFPA e procura estabelecer relação entre a adoção desta filosofia de gestão e expansão e a composição dos quadros docente dos campi. Para tanto, analisa os processos internos de gestão e decisão nesta organização universitária complexa e estruturada como burocracia profissional, evidenciado as escolhas e rumos tomados por seus dirigentes na condução das macropolíticas do MEC no sentido de organizar/estruturar os quadros docente de suas unidades acadêmicas regionais (os campi). Esta análise identifica uma iniquidade na distribuição das vagas para docentes efetivos entre os campi da UFPA, fruto de uma estratégia organizacional, de decisões e escolhas - filosofia de expansão baseada nas vocações econômicas regionais - que optou por investir prioritariamente em alguns campi em detrimento de outros, política iniciada em 1998, nas linhas de ação para III Projeto Norte de Interiorização 1998-2001 (III PNI) e que culminou na distribuição dos recursos dos Programas EXPANDIR e REUNI.

O processo de gestão de políticas públicas na perspectiva de ruptura social no município de Alterosa - experiência política gestão 1992 a 2005

Pós-graduação em Serviço Social - FCHS

O evento 11 de setembro: (re)criação da história no romance Extremely Loud & Incredibly Close (2005), de Jonathan Safran Foer

Pós-graduação em Letras - IBILCE

Strategies and results of the oral cancer prevention campaign among the elderly in Sao Paulo, Brazil, 2001 to 2009

Objective. To describe the strategies and results obtained by the early diagnosis and prevention of an oral cancer campaign targeting the population aged 60 years or older developed since 2001 in the state of Sao Paulo. Methods. The main strategies used to develop the campaign were described based on the review of documents issued by the Health Ministry, National Cancer Institute, Sao Paulo State Health Department, Oncocentro Foundation of Sao Paulo, Sao Paulo City Health Department, School of Public Health at the University of Sao Paulo (USP), and Santa Marcelina Health Care Center. The impact of the campaign on the incidence of new cases of oral cancer in the target population was evaluated. Results. In 2001, 90 886 elderly were examined vs. 629 613 in 2009. The following strategies were identified: training of professionals, development of printed materials to guide municipal governments in developing the campaign and using standardized codes and criteria, guidelines for data consolidation, establishment of patient referral flows, practical training with a specialist at the basic health care unit after the follow-up examination of individuals presenting changes in soft tissues, and increase in the number of oral diagnosis services. Between 2005 and 2009, there was a significant reduction in the rate of confirmed cases of oral cancer per 100 000 individuals examined, from 20.89 to 11.12 (P = 0.00003). Conclusions. The campaign was beneficial to the oral health of the elderly and could be extended to include other age groups and regions of the country. It may also provide a basis for the development of oral cancer prevention actions in other countries, as long as local characteristics are taken into account.

Durability and outcome of initial antiretroviral treatments received during 2000--2005 by patients in the Swiss HIV Cohort Study

BACKGROUND: Little is known about time trends, predictors, and consequences of changes made to antiretroviral therapy (ART) regimens early after patients initially start treatment. METHODS: We compared the incidence of, reasons for, and predictors of treatment change within 1 year after starting combination ART (cART), as well as virological and immunological outcomes at 1 year, among 1866 patients from the Swiss HIV Cohort Study who initiated cART during 2000--2001, 2002--2003, or 2004--2005. RESULTS: The durability of initial regimens did not improve over time (P = .15): 48.8% of 625 patients during 2000--2001, 43.8% of 607 during 2002--2003, and 44.3% of 634 during 2004--2005 changed cART within 1 year; reasons for change included intolerance (51.1% of all patients), patient wish (15.4%), physician decision (14.8%), and virological failure (7.1%). An increased probability of treatment change was associated with larger CD4+ cell counts, larger human immunodeficiency virus type 1 (HIV-1) RNA loads, and receipt of regimens that contained stavudine or indinavir/ritonavir, but a decreased probability was associated with receipt of regimens that contained tenofovir. Treatment discontinuation was associated with larger CD4+ cell counts, current use of injection drugs, and receipt of regimens that contained nevirapine. One-year outcomes improved between 2000--2001 and 2004--2005: 84.5% and 92.7% of patients, respectively, reached HIV-1 RNA loads of <50 copies/mL and achieved median increases in CD4+ cell counts of 157.5 and 197.5 cells/microL, respectively (P < .001 for all comparisons). CONCLUSIONS: Virological and immunological outcomes of initial treatments improved between 2000--2001 and 2004--2005, irrespective of uniformly high rates of early changes in treatment across the 3 study intervals.

C4I Roadmap March 2005

Patients expect to be safe from harm inside the walls of a hospital. Increasing reports of medical errors and adverse events have brought these concerns to public attention. Although we have celebrated many scientific advances over the past several decades, many patients do not benefit because the healthcare infrastructure is inadequate to deliver care to all. Studies confirm opportunities to improve in areas such as inpatient vaccination for flu and outpatient screening for breast, cervical or colon cancer. (Institute of Medicine, (IOM), 2000, 2001, 2004). This document outlines the steps needed to further increase our focus on patient safety in John Dempsey Hospital through the development of a multi-disciplinary Collaborative Center for Clinical Care Improvement (CCCCI). The dimensions of safety and outcomes are briefly discussed to provide some perspective on the scope of these challenges (Strongwater, 2003).

An examination of the relationship between maternal and neighborhood-level characteristics and intrauterine growth retardation in Harris County, Texas, 1999--2001

The persistence of low birth weight and intrauterine growth retardation (IUGR) in the United States has puzzled researchers for decades. Much of the work that has been conducted on adverse birth outcomes has focused on low birth weight in general and not on IUGR. Studies that have examined IUGR specifically thus far have focused primarily on individual-level maternal risk factors. These risk factors have only been able to explain a small portion of the variance in IUGR. Therefore, recent work has begun to focus on community-level risk factors in addition to the individual-level maternal characteristics. This study uses Social Ecology to examine the relationship of individual and community-level risk factors and IUGR. Logistic regression was used to establish an individual-level model based on 155, 856 births recorded in Harris County, TX during 1999-2001. IUGR was characterized using a fetal growth ratio method with race/ethnic and sex specific mean birth weights calculated from national vital records. The spatial distributions of 114,460 birth records spatially located within the City of Houston were examined using choropleth, probability and density maps. Census tracts with higher than expected rates of IUGR and high levels of neighborhood disadvantage were highlighted. Neighborhood disadvantage was constructed using socioeconomic variables from the 2000 U.S. Census. Factor analysis was used to create a unified single measure. Lastly, a random coefficients model was used to examine the relationship between varying levels of community disadvantage, given the set of individual-level risk factors for 152,997 birth records spatially located within Harris County, TX. Neighborhood disadvantage was measured using three different indices adapted from previous work. The findings show that pregnancy-induced hypertension, previous preterm infant, tobacco use and insufficient weight gain have the highest association with IUGR. Neighborhood disadvantage only slightly further increases the risk of IUGR (OR 1.12 to 1.23). Although community level disadvantage only helped to explain a small proportion of the variance of IUGR, it did have a significant impact. This finding suggests that community level risk factors should be included in future work with IUGR and that more work needs to be conducted. ^