El programa bolsa familia y el derecho humano al desarrollo en el gobierno de Luis Inácio Lula Da Silva, 2004-2008

El programa Bolsa Família es considerado como la principal política pública de corte social desarrollada en el marco del gobierno brasileño de Luis Inácio Lula da Silva y está orientada a garantizar el derecho a la alimentación, a la salud y a la educación de familias que se encuentran en situación de pobreza o pobreza extrema. El objetivo de Bolsa Família es remover las fuentes de privación de libertad, la miseria y pobreza de las familias beneficiarias, a través del fortalecimiento del ejercicio de los mencionados derechos, lo que representa un aporte potencial a la realización de los Derechos Económicos Sociales y Culturales y de forma indirecta, sienta bases operativas a la realización del derecho humano al desarrollo de sus beneficiarios. Este programa evade la concepción tradicional de desarrollo, direccionada simplemente al crecimiento económico y a la elevación de índices como el producto interno bruto – PIB. Esta política pública es considerada como una herramienta fundamental en la ardua tarea de disminuir las desigualdades sociales en Brasil.

La (re) construcción de la figura de Manuela Sáenz en la novela de Luis Zúñiga, Manuela; y Denzil Romero, La esposa del doctor Thorne

Manuela Sáenz aparece dentro de la historiografía nacional como uno de los personajes primordiales para edificar la memoria histórica colectiva. Sin embargo, esto no implica que la reconstrucción de esta mujer siempre se erigiera desde el reconocimiento histórico. De acuerdo a investigaciones realizadas, al inicio existió cierto ocultamiento y negación de la figura femenina de la heroína quiteña. Es en las últimas décadas que se realiza una reivindicación de su figura y que surgen varias interpretaciones desde diferentes materias y ámbitos; estos hechos han generado un sinnúmero de representaciones en torno a este singular personaje. En este sentido, la literatura elabora innumerables discursos sociales desde sus recursos narrativos para reconstruir a Manuela Sáenz como personaje literario. En este trabajo de tesis, desde el análisis crítico literario, se abordan dos miradas diferentes en las formas de representación que se han generado de Manuela Sáenz en dos obras literarias contemporáneas. Los textos utilizados para el análisis son: las novelas Manuela, de Luis Zúñiga, y La Esposa del Dr. Thorne, de Denzil Romero. Es a partir de estas dos novelas y en un ejercicio de literatura comparada que se pretende explorar e investigar las distintas construcciones que desde el género y la memoria se han elaborado sobre un mismo objeto de estudio que vendría a ser Manuela Sáenz. Se realizará una lectura crítica al respecto mostrando algunas diferencias y contrastes, los mismos que surgen de las variadas exploraciones en cuanto a la reconstrucción que se realiza de este personaje dentro del imaginario literario a través del texto escrito.

La teoría del aprendizaje significativo de David Ausubel en la aplicación de los textos de estudios sociales proporcionados por el Ministerio de Educación a los octavos años del Colegio Técnico Referencial "Luis Fernando Ruiz" de Latacunga, provincia de Cotopaxi, en el año lectivo 2012-2013

En momentos en que la principal preocupación es mejorar la calidad del aprendizaje (enseñanza de calidad), el docente debe encontrar los medios más efectivos para alcanzar los objetivos educativos y de esta manera lograr un aprendizaje significativo. El concepto de aprendizaje significativo fue desarrollado por David Ausubel para tratar de comprender desde el punto de la psicología, como se produce el aprendizaje en el sujeto, así como sus limitaciones para lo cual relacionó las prácticas educativas de entonces con su teoría. El proceso demanda, además de la mediación efectiva del docente, del apoyo de materiales educativos que a decir de Ausubel son parte fundamental en el proceso del aprendizaje significativo, en este caso el material potencialmente significativo. Esta investigación efectúa un análisis de un texto escolar de Estudios sociales para octavo año, con el fin de establecer si este permite o dificulta el aprendizaje significativo en el contexto de la reflexión teórica de Ausubel. Aunque el objeto de estudio es el texto de trabajo de los estudiantes, se utilizó como referente del aprendizaje a docentes y estudiantes del Colegio Técnico Referencial “Luis Fernando Ruiz con el fin de lograr una mejor estimación de la efectividad del texto para apoyar el aprendizaje.

El fenómeno de la poesía conversacional en la obra de Luis Rogelio Nogueras

El presente trabajo investigativo tiene por objeto analizar cuáles fueron las circunstancias que dieron lugar a que el fenómeno de la poesía conversacional se haga presente en la poética cubana de los años setenta, tomando como caso específico la obra de Luis Rogelio Nogueras, poeta nacido en La Habana en 1944. El desarrollo de esta tesis pretende dar cuenta de cuáles fueron las condiciones que atravesaba la poesía en los años anteriores a 1959, año del triunfo de la Revolución cubana ante la dictadura de Fulgencio Batista, lo que desencadena un proceso de constitución de un nuevo público lector así como un nuevo enfoque de la poesía. Finalmente este trabajo analizará las claves intertextuales, de contexto y contenido en las que se enmarca la obra de Luis Rogelio Nogueras, así como las características que integran la corriente poética llamada conversacional.

Integrated Nitrogen CAtchment model (INCA) applied to a tropical catchment in the Atlantic Forest, Sao Paulo, Brazil

Stream-water flows and in-stream nitrate and ammonium concentrations in a small (36.7 ha) Atlantic Forest catchment were simulated using the Integrated Nitrogen in CAtchments (INCA) model version 1.9.4. The catchment, at Cunha, is in the Serra do Mar State Park, SE Brazil and is nearly pristine because the nearest major conurbations, Sao Paulo and Rio, are some 450 km distant. However, intensive farming may increase nitrogen (N) deposition and there are growing pressures for urbanisation. The mean-monthly discharges and NO3-N concentration dynamics were simulated adequately for the calibration and validation periods with (simulated) loss rates of 6.55 kg.ha(-1) yr(-1) for NO3-N and 3.85 kg.ha(-1) yr(-1) for NH4-N. To investigate the effects of elevated levels of N deposition in the future, various scenarios for atmospheric deposition were simulated; the highest value corresponded to that in a highly polluted area of Atlantic Forest in Sao Paulo City. It was found that doubling the atmospheric deposition generated a 25% increase in the N leaching rate, while at levels approaching the highly polluted Sao Paulo deposition rate, five times higher than the current rate, leaching increased by 240%, which would create highly eutrophic conditions, detrimental to downstream water quality. The results indicate that the INCA model can be useful for estimating N concentration and fluxes for different atmospheric deposition rates and hydrological conditions.

Acellular dermal matrix as a barrier in guided bone regeneration: a clinical, radiographic and histomorphometric study in dogs

Objectives The purpose of this study was to evaluate the effectiveness of the acellular dermal matrix (ADM) as a membrane for guided bone regeneration (GBR), in comparison with a bioabsorbable membrane. Material and methods In seven dogs, the mandibular pre-molars were extracted. After 8 weeks, one bone defect was surgically created bilaterally and the GBR was performed. Each side was randomly assigned to the control group (CG: bioabsorbable membrane made of glycolide and lactide copolymer) or the test group (TG: ADM as a membrane). Immediately following GBR, standardized digital X-ray radiographs were taken, and were repeated at 8 and 16 weeks post-operatively. Before the GBR and euthanasia, clinical measurements of the width and thickness of the keratinized tissue (WKT and TKT, respectively) were performed. One animal was excluded from the study due to complications in the TG during wound healing; therefore, six dogs remained in the sample. The dogs were sacrificed 16 weeks following GBR, and a histomorphometric analysis was performed. Area measurements of new tissue and new bone, and linear measurements of bone height were performed. Results Post-operative healing of the CG was uneventful. In the TG membrane was exposed in two animals, and one of them was excluded from the sample. There were no statistically significant differences between the groups for any histomorphometric measurement. Clinically, both groups showed an increase in the TKT and a reduction in the WKT. Radiographically, an image suggestive of new bone formation could be observed in both groups at 8 and 16 weeks following GBR. Conclusion ADM acted as a barrier in GBR, with clinical, radiographic and histomorphometric results similar to those obtained with the bioabsorbable membrane. To cite this article:Borges GJ, Novaes AB Jr, de Moraes Grisi MF, Palioto DB, Taba M Jr, de Souza SLS. Acellular dermal matrix as a barrier in guided bone regeneration: a clinical, radiographic and histomorphometric study in dogs.Clin. Oral Impl. Res. 20, 2009; 1105-1115.

Problems with accessibility to health services by persons with disabilities in Sao Paulo, Brazil

Purpose. To describe the occurrence of self-reported problems of accessibility to health services used by persons with disabilities in terms of social and health services variables. Methods. We performed a cross-sectional household survey designed to assess problems with accessibility to health services faced by persons with disabilities. We interviewed 333 persons in Sao Paulo city, in 2007. Variables related to the presence of accessibility problems, disabilities, gender, age, family head income, ethnicity, use of health services and others were analysed using frequencies, percentages, chi(2)-test, ANOVA and Poisson regression models. Results. 15.92% of the interviewed persons reported problems with accessibility to health services. Persons having multiple (prevalence ratios; PR = 2.91) or mobility disability (PR = 6.46) had more problems with accessibility than persons with hearing disability. Persons younger than 78 years old had more problems with accessibility; those who needed help to go to the health service (PR = 3.01) also. Conclusions. Persons with multiple or mobility disability, younger than 78 years, and those who needed help of others to go to the health service were more likely to have problems with accessibility to health services. This information could be one of the first steps to the management and/or planning of appropriate health services for persons with disabilities.

Nocturia is not associated with falls among the elderly: a population study in the city of Sao Paulo

Introduction: the present study aims to evaluate the association between nocturia and falls in a group of community-living elderly men in the city of Sao Paulo (Brazil). Material and methods: under the coordination of the Pan American Health Organization and World Health Organization, a multicenter study named Health, Welfare and Aging (SABE Study) is being conducted to evaluate the living and health conditions of older people in Latin America and Caribbean. In Brazil, this study is evaluating the elderly population (60 years or more) in Sao Paulo since 2000. The presence of nocturia was taken as the response ""yes"" to the question ""Do you need to void three times or more at night?"". The presence of falls was also taken as the response ""yes"" to the question ""Did you have any fall during the last 12 months?"" The intergroup analysis used was the logistic regression. Results: total of 865 men was interviewed, mean age 68 years. It was observed high prevalence of nocturia and falls in all groups, with higher prevalence of both in the eldest group (p < 0.001), however, the association of nocturia and falls was not statistically significant in any of the groups (p = 0.45). Conclusion: this is one of the pioneering studies that assess only the male population, showing that nocturia was not significantly associated with falls. Nocturia and falls are highly prevalent conditions in the elderly, but no association was found between both, so that these variables may be correlated to age and other clinical conditions. (C) 2010 AEU. Published by Elsevier Espana, S.L. All rights reserved.

Geographical distribution of American cutaneous leishmaniasis and its phlebotomine vectors (Diptera: Psychodidae) in the state of Sao Paulo, Brazil

Background: American cutaneous leishmaniasis (ACL) is a re-emerging disease in the state of Sao Paulo, Brazil. It is important to understand both the vector and disease distribution to help design control strategies. As an initial step in applying geographic information systems (GIS) and remote sensing (RS) tools to map disease-risk, the objectives of the present work were to: (i) produce a single database of species distributions of the sand fly vectors in the state of Sao Paulo, (ii) create combined distributional maps of both the incidence of ACL and its sand fly vectors, and (iii) thereby provide individual municipalities with a source of reference material for work carried out in their area. Results: A database containing 910 individual records of sand fly occurrence in the state of Sao Paulo, from 37 different sources, was compiled. These records date from between 1943 to 2009, and describe the presence of at least one of the six incriminated or suspected sand fly vector species in 183/645 (28.4%) municipalities. For the remaining 462 (71.6%) municipalities, we were unable to locate records of any of the six incriminated or suspected sand fly vector species (Nyssomyia intermedia, N. neivai, N. whitmani, Pintomyia fischeri, P. pessoai and Migonemyia migonei). The distribution of each of the six incriminated or suspected vector species of ACL in the state of Sao Paulo were individually mapped and overlaid on the incidence of ACL for the period 1993 to 1995 and 1998 to 2007. Overall, the maps reveal that the six sand fly vector species analyzed have unique and heterogeneous, although often overlapping, distributions. Several sand fly species - Nyssomyia intermedia and N. neivai - are highly localized, while the other sand fly species - N. whitmani, M. migonei, P. fischeri and P. pessoai - are much more broadly distributed. ACL has been reported in 160/183 (87.4%) of the municipalities with records for at least one of the six incriminated or suspected sand fly vector species, while there are no records of any of these sand fly species in 318/478 (66.5%) municipalities with ACL. Conclusions: The maps produced in this work provide basic data on the distribution of the six incriminated or suspected sand fly vectors of ACL in the state of Sao Paulo, and highlight the complex and geographically heterogeneous pattern of ACL transmission in the region. Further studies are required to clarify the role of each of the six suspected sand fly vector species in different regions of the state of Sao Paulo, especially in the majority of municipalities where ACL is present but sand fly vectors have not yet been identified.

Trends in systemic lupus erythematosus mortality rates in the state of Sao Paulo, Brazil from 1985 to 2004

Objectives To estimate mortality rates and mortality trends from SLE in the state of Sao Paulo, Brazil. Material and methods The official data bank was used to study all deaths occurred from 1985 to 2004 in which SLE was mentioned as the underlying cause of death. Besides the overall mortality rate, the annual gender- and age-specific mortality rates were estimated for each calendar year by age bracket (0-19 years, 20-39 years, 40-59 years and over 60 years) and for the sub-periods 1985-1995 (first) and 1996-2004 (second), by decades. Chi-square test was used to compare the mortality rates between the two periods, as well the mortality rates according to educational level considering years of study. Pearson correlation coefficient test was used to analyse mortality trends. The crude rates were adjusted for age by the direct method, using the standard Brazilian population in 2000. Results A total of 2,601 deaths (90% female) attributed to SLE were analysed. The mean age at death was significantly higher in the second than in the first sub-period (36.6 +/- 15.6 years vs. 33.9 +/- 14.0 years; p<0.001). The overall adjusted mortality rate was 3.8 deaths/million habitants/year for the entire period and 3.4 deaths/million inhabitants/year for the first and 4.0 deaths/million inhabitants/year for the second sub-period (p<0.001). In each calendar year, the mortality rate was significantly lower for the better educated group. Throughout the period, there was a significant increase in mortality rates only among women over 40. Conclusion SLE patients living in the state of Silo Paulo still die at younger ages than those living in developed countries. Our data do not support the theory that there was an improvement in the SLE mortality rate in the last 20 years in the state of Sao Paulo. Socio-economic factors, such as the difficulty to get medical care and adequate treatment, may be the main factors to explain the worst prognosis for our patients.

Physical disability, recent illnesses and health self-assessment in a population-based study in Sao Paulo, Brazil

Objectives. To investigate health self-assessment and to estimate the prevalence of chronic diseases and recent illnesses in people with and without physical disabilities (PD) in the state of Sao Paulo, southeastern Brazil. Study design. A Cross-sectional study comprising two population-based health surveys conducted in 2002 and 2003. Methods. A total of 8317 persons (165 with PD) were interviewed in the two studies. Variables concerning to health self-assessment; chronic disease and recent illness were compared in the people with and without PD. Negative binomial regression was used in the analysis. Results. Subjects with PD more often assessed their health as poor/very poor compared to non-disabled ones. They reported more illnesses in the 15 days prior to interview as well as more chronic diseases (skin conditions, anaemia, chronic kidney disease, stroke, depression/anxiety, migraine/headache, pulmonary diseases, hypertension, diabetes, arthritis/arthrosis/rheumatic conditions and heart disease). This higher disease prevalence can be either attributed to disability itself or be associated to gender, age and schooling. Conclusions. Subjects with PD had more recent illnesses and chronic diseases and poorer health self-assessment than non-disabled ones. Age, gender, schooling and disability have individual roles in disease development among disabled people.