Reflex��o sobre agressividade, viol��ncia e bullying na escola: perspectivas de contribui����o das pr��ticas corporais cooperativas

The present dissertation tells a proposal of based pedagogical intervention in the use of practical corporal cooperatives during lessons of physical education in intention to create situations that allow to educating to reflect on the violence and its consequences in the social relations in the school. For in such a way, we leave from the following question of study: which perspectives of the physical education to contribute to minimize the aggressive and violent attitudes of the pupils in the school? Centered in the objective to reflect on the aggressiveness, the violence and bullying in the school, the light of a theoretical recital and in the perspectives of contribution of practical the corporal cooperatives for the reduction of its effect in the pertaining to school environment, in particular in the lessons of physical education, we search among others to involve the pupils in activities that stimulated the expression of human values as solidarity, respect and cooperation. In this intention, we opt to a ethnographic study for the possibility of next interaction between investigator and the investigated one. Our research is directly on to the social aspects that involve the problems of the society in a general way, in the attempt to diminish the decurrent problems of aggression situations, that they happen in one definitive municipal school of the city of Natal/RN, the sample being constituted of pupils of 6�� year of Basic Education. It analyzes the practical situations lived deeply by the pupils had revealed efficient to minimize the aggressive attitudes in the pertaining to school space, as well as it opens perspectives so that the educators deal better with such attitudes, using to advantage them to educate the pupils in the direction to stimulate the good relations. We believe that with this research, to be able to of course share with other schools our experiences in the attempt of resolution of similar problems regarding thematic of the aggressiveness, respecting the specificity of each school in particular

Autoestima e qualidade de vida de pessoas com ��lcera venosa atendidas na aten����o prim��ria

Venous ulcers (VU) is a chronic injury of the lower extremities and because of its high incidence and recurrence implies long and complex treatments, damaging the quality of life (QOL) and self-esteem (SE) of the people. This study aimed to analyze the association between self-esteem with the quality of life of people with venous ulcers treated in primary care. Cross sectional analytical study with a quantitative approach conducted with 44 people met with VU at 13 primary care units 2 and Mixed units in Natal/RN. The study was approved by the Ethics Committee in Research of the Federal University of Rio Grande do Norte (UFRN), CAAE: 07556312.0.0000.5537. Held data collection from February to April 2014 and used three instruments: a structured form covering sociodemographic, health care and clinical variables, the Rosenberg Self-Esteem Scale and the SF-36. The collected data were entered into a database and processed on computerized software for descriptive and inferential analyzes. The results showed a predominance of people with UV females (65,9%), with more than 60 years (59,1%), married or in a stable relationship (52,3%), low education (86,4%) without occupation (68,2%) and less than one minimum wage income (81,8%). Regarding assistance characteristics was observed that most patients performed the dressing with appropriate material (72,7%), professional or trained caregiver (61,4%) did not use compression therapy (81,8%), treating the injury for more than 6 months (77,3%), lack of guidelines for the use of compression therapy, elevation of legs, and regular exercise (77,3%) and consulting the angiologist last year (52,3% ). Regarding clinical features of the lesion was found that most of the recurrent lesions are (77,3%), over one year of current lesion (52,3%) medium to large lesions (54,8%), without signs of infection (61,3%) and pain (79,5%). The mean SE of respondents was 9,3 (�� 5,1). The relations between the SE and the sociodemographic variables, health care and clinics showed that individuals without a partner (a) (p = 0,01), who did not wear compression therapy (p = 0,04), with more 6 months of treatment (p = 0,01) and larger lesions (p = 0,01) had a lower SE. The mean domain and the dimensions of the SF-36 were lower emphasizing the functional capacity 36.5 (�� 27,6) and the physical aspects of 15.3 (�� 30,6). There were significant correlations between AE people with VU and the domains and dimensions of the SF-36: physical functioning (r = -0,432), general health (r = -0,415), vitality (r = -0,573), aspects social (r = -0,517), mental health (r = -0,612) and mental health dimensions (r = -0,612) and physical health (r = -0,473). Based on these results it is concluded by rejecting the null hypothesis and accept the alternative proposed in the study in which it was found that there is a negative correlation between the SE and the QOL of people with venous ulcers

Fonte de energia alternativa: um estudo sobre a percep����o ambiental, social e econ��mica do biodiesel com docentes do Centro de Tecnologia do g��s da cidade de Natal RN

Meaning fuel and renewal energy source s derivative additives, the term biodiesel exists in Brazil since 1980, when it was signed its first patent by Expedito Parente. Since then, its importance has grown gradually due to the worsening of the ambient problems, since its use has became a highly promising alternative to the pollution decrease, as in the carbon dioxide issue as with the smoke and sulfur oxide. In Brazil, it was created the National Program of Production, whose objective is to insert the new product in the country s energy matrix, strengthening the economy and creating new employment opportunities, being an important product to the national energetic independence, since Brazil still imports diesel to its domestic consumption. This study aims to identify the ambient, social and economic perception of the teachers from the Technology Center of Natal city (CTG��S-RN) to the biodiesel. For that, it was used a questionnaire closed questions, organized in the likart scale, directed to the tree spheres of the research analysis, the biodiesel and its social, ambient and economic nuances, totaling 31 questionnaires full answered. In its objectives, the research was descriptive and in its approach it was qualitative. To the data analysis it was used statistical tools (Statistic software, 6.1 version and Microsoft Excel 2003). The research revealed the predominance of the ambient aspect in the sight of the teachers, followed by the social ones. The economic factors represent a minor percentage in the analysis when compared to other

V��deo-aula de hist��ria da matem��tica: uma possibilidade did��tica para o ensino de matem��tica

In this work we are disagreeing with the possibility of production and of the use of video-class for the disciplines of history of mathematics by the teachers of elementary e middle school as a way to contribute to the development of their classes. Our goal is to provide to the mathematics teachers the option of connecting social, scientific, cognitive, and didactic aspects of topics in math thoughts to their students. That shall be based in the presence of mathematics in the history of humanity. Thus, we consider possible that teachers and their students can link and relate mathematics to other sciences, education culture, and reflect about the many ways of represent them, as well as the patters of organization of nature and of culture. In this way, they shall be able to observe and interpret situations that involve mathematical questions associated to the various means of historic-epistemological studies already done by other researchers and scholars in the field of history of mathematics who works in creating video-classes. In addition to that, we can use all the available media in order to give edifying dynamics to the mathematical formulations established throughout history. In this sense, we are based and focused on the objectives, which are sustained by educational computer technology, techniques for video making, as well as mathematical teaching proposals and the historical inquiring made by Mendes (2001, 2009a, 2009b). The validating experimentation allowed us to conclude that the techniques we used in the production of the history of mathematics video-classes proved they to be valid ones. They are able to be executed with the minimum of technological resources. In addition, they have the same efficacy as far as classroom use

Linguagem, cogni����o e mundo: o livro do desassossego e a constru����o discursiva da realidade

This study analyzes the processes of meaning construction in the Livro do Desassossego, by semi-heteronym Bernardo Soares - Fernando Pessoa. We use theoretical grounds from an interface between Cognitive Linguistics and Textual Linguistics to observe how certain linguistic mechanisms build a reality that tells us of a time, a being and his conceptions of language and writing. We focus on description and explanation of procedures of categorization and referentiation accomplished, for example, through metaphor and metonymy. For the construction of the intended theoretical interface, we use analytical categories proposed and developed by the Socio-cognitive Approach of Language, Conceptual Metaphor Theory and Mental Space Theory. Armed with this theoretical background, we observed the dynamics of language in relation to its social, cultural and historical features, as well as the cognitive aspects that underlie it. We seek, therefore, encourage discussions about the functioning of language considering primarily the creative processes that allow us to organize and shape our experiences. We also try to provide an approximation of Linguistics, Literature and Philosophy, with a view to relations between language structure, cognitive activity and socio-cultural organization. From the results obtained, we found that a literary text attests, with a particular property, the mutual relations between language, cognition and culture, as indicates cognitive approach to language studies

A organiza����o da intera����o professor-aluno em sala de aula: turnos e o par pergunta-resposta

Este trabalho tem como foco principal a intera����o em sala de aula, especificando aspectos da organiza����o lingu��stico-discursiva, na produ����o conjunta da fala da professora e dos alunos, materializada em turnos, ressaltando o par pergunta-resposta na aula de L��ngua Portuguesa. Para alcan��armos esse objetivo, inspiramo-nos em alguns trabalhos acerca da organiza����o da intera����o que adotaram a perspectiva dos estudos interacionais e a abordagem etnogr��fica, a fim de explicitar o conhecimento nos espa��os de ensino e aprendizagem. Entre eles, citamos as pesquisas de Galv��o (1996, 2004) e de Mat��ncio (2001). Nessa dire����o, descrevemos o processo de intera����o em sala de aula em uma escola p��blica, analisando e interpretando as a����es de linguagem realizadas pela professora e pelos alunos. Teoricamente, embasamo-nos, principalmente, na An��lise da Conversa����o, ancorando-nos no estudo pioneiro de Sacks, Schegloff e Jefferson ([1974] 2003); nos postulados de Marcuschi ([1986] 2007a); nas pesquisas de Kerbrat-Orecchioni (2006), dentre outros. Explicitamos uma tipologia de perguntas e respostas em sala de aula, quanto �� sua forma e fun����o, conforme os postulados te��ricos de Stubbs (1987), Ara��jo (2003), F��vero, Andrade e Aquino (2006), Silva (2006) e Koshik (2010). Analisamos a organiza����o da tomada de turno, seguida de uma investiga����o sobre perguntas e respostas no discurso desenvolvido face a face. Na tentativa de compreendermos o cotidiano dos envolvidos no cen��rio de sala de aula, adotamos a abordagem etnogr��fica e o m��todo indutivo, nas perspectivas de Andr�� (2010) e Chizzotti (2006). Os dados foram gerados atrav��s de pesquisa de campo, por meio de grava����es (em ��udio) de aulas de L��ngua Portuguesa, posteriormente transcritas e transformadas no corpus de pesquisa. As an��lises demonstraram que a intera����o entre professora e alunos organizou-se em trocas de turnos, na maioria das vezes, controladas pela professora, evidenciando-se uma rela����o de assimetria entre os participantes. Esses turnos concretizados, geralmente, no par adjacente pergunta-resposta revelaram como a constru����o do conhecimento se realiza em sala de aula. Por fim, observamos que a intera����o em sala de aula de L��ngua Portuguesa �� organizada por aspectos sociais e pedag��gicos intrinsecamente imbricados

Avalia����o da qualidade de vida relacionada �� sa��de de cortadores de cana-de-a����car nos per��odos de entressafra e safra

OBJETIVO: Avaliar a qualidade de vida relacionada �� sa��de de cortadores de cana-de-a����car. M��TODOS: Estudo longitudinal em uma usina sucroalcooleira no Oeste do estado de S��o Paulo de abril (final da entressafra) a outubro (final da safra) de 2010. Foram avaliados 44 cortadores de cana-de-a����car tabagistas e n��o tabagistas em tr��s per��odos: ao final da entressafra, no fim do terceiro m��s de safra e no final da safra. A qualidade de vida relacionada �� sa��de foi avaliada pelo question��rio Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Foram realizados an��lise de vari��ncia para medidas repetidas e teste de Friedman para comparar a qualidade de vida entre os per��odos. Utilizou-se o teste de Goodman para identificar a frequ��ncia dos trabalhadores cujo escore aumentou nos per��odos de safra em compara����o com a entressafra (respondedores positivos), considerando-se as vari��veis qualitativas dos dom��nios do SF-36. RESULTADOS: Ao final da entressafra, 23% dos trabalhadores desistiram do trabalho; 27% eram tabagistas. Houve decr��scimo significativo no dom��nio vitalidade no final da safra em compara����o com a entressafra. Os desistentes apresentaram maior escore no dom��nio aspecto social em rela����o ao grupo que permaneceu no trabalho. N��o houve diferen��a na qualidade de vida relacionada �� sa��de entre tabagistas e n��o tabagistas. No entanto, observou-se maior percentual de respondedores positivos entre n��o tabagistas nos dom��nios aspecto f��sico, social e emocional nos tr��s meses de safra e nos dom��nios estado geral de sa��de e aspecto social nos seis meses de safra, quando comparados aos tabagistas. CONCLUS��ES: A qualidade de vida relacionada �� sa��de em cortadores de cana-de-a����car mostrou-se diminu��da ap��s o per��odo de safra no dom��nio vitalidade. Os trabalhadores que permaneceram na safra s��o os que apresentaram piores aspectos sociais, o que mostra a necessidade de promo����o de pol��ticas assistencialistas de sa��de a essa popula����o espec��fica, principalmente durante a safra canavieira.

Patrim��nio, Mem��ria e Espa��o: a constru����o da paisagem a��ucareira do Vale do Cear��-Mirim

This work aims to understand how the installation of sugar culture along the river Cear��-Mirim defined the spatial organization of the Valley, and thus setting the landscape. This space has begun to be defined only in the second half of the nineteenth century, when the sugarcane growth had atarted on land located on the banks of the river Cear��-Mirim. The passage of this period of great prosperity can be seen through the heritage material which is still presented in the region. Walking through the Valley, we found a considerable number of architectural buildings, many in ruins, linked to this historical moment. This perception, caused by these buildings, will take us on a trip to the past, back to a time characterized by great-houses, mills, sugarcane plantations, planters, slaves, etc. The references that lead us to consider the sugar mills located along the valley of Cear�� Mirim as a patrimony, which carry an entire historical baggage, guide us to the first half of the twentieth century. During this period, the role of intellectuals from the Rio - Sao Paulo through the modernist movement will be decisive in the formation of a national identity. The heritage material identified along the valley of Cear�� Mirim defined its current spatial organization, setting the landscape. But we must conceive this landscape into two ways: first, as a material representation of social practices carried out in this space, where social, cultural, economic and environmental aspects have interacted to their training; as well as a landscape that carries a whole historical baggage which was built throughout the twentieth century

Psicologia e profiss��o: neurose profissional e a atua����o do psic��logo organizacional frente �� quest��o

Este artigo pretende fazer um levantamento bibliogr��fico sobre a neurose profissional, cujos sintomas s��o entendidos como a express��o simb��lica de um conflito ps��quico que se desenvolve a partir de uma situa����o organizacional ou profissional determinada. O diagn��stico �� formado a partir das queixas mencionadas, da hist��ria de trabalho e da an��lise da situa����o de trabalho atual. Entende-se que condi����es estressantes de trabalho, associadas ao contexto social de desemprego e competitividade, contribuem para o aparecimento de doen��as mentais como a neurose profissional. As formas de tratamento para essa doen��a, al��m da psicoterapia individual, envolvem a a����o integrada de uma equipe multiprofissional capacitada para lidar com o sofrimento ps��quico do trabalhador e com os aspectos sociais e de interven����o nos ambientes de trabalho. Ressalta-se a car��ncia de literatura sobre o tema estudado e a import��ncia de se ampliar a discuss��o sobre os fatores de risco no trabalho, os determinantes ps��quicos para o desenvolvimento da neurose profissional e o papel do psic��logo no contexto de preven����o e promo����o da sa��de mental.

Caracteriza����o dos sistemas de produ����o de leite bovino na microrregi��o Serid�� do estado do Rio Grande do Norte

The objective was to contribute to a reading of the characteristics and diversity of production systems from bovine milk in the microregion Serid�� of Rio Grande do Norte, discuss the social, economic, environmental and husbandry-related primary activity of milk production. We randomly selected 28 agricultural establishments that performed the activity of dairy bovine culture with subsequent applicat ion of a structured questionnaire during September and October 2011. Data were analyzed with application of measures of descriptive analysis and determination of the index rural development (IRD). The results showed that 53.57% of the interviewees were owners of the land, the median area of the properties amounted to 135 hectares, the median number of animals in the herd was 51 head, with minimum 11 and maximum of 350 heads establishments in the sample, 85.72% of establishments had maximum 23 cows in lactation, 100% performed manual milking with suckling calves, average productivity of 3.91 liters / cow / day, 92.86% of the interviewees did not produce silage and / or hay, 64.29% had no access to technical assistance, the average age of interviewees was 51 �� 10.85 years, 78.57% had only elementary education. The average of the IRD computed in the test sample amounted to 0.43 �� 0.11 on a scale 0-1. The sites were grouped into 04 classes, based on your IRD. The average IRD in each dimension was 0.43, 0.55 and 0.34, respectively for economic / husbandry, social and environmental. The determination of the rate of rural development - IDR found for the sample could add establishments hierarchically. It is necessary that the inclusion of best practices in herd management, bookkeeping zootechnical, technical assistance and reorganization practices in land and environmental preservation

A humaniza����o no parto e no nascimento: os saberes e as pr��ticas no contexto de uma maternidade p��blica brasileira

The practice of medicine related to the gestational processes tend to be organized according to the context and the place of work, being thus dependent of the conditions both social and economical, and of the physical structure and the functionality of the services. The high mortality rate in this process has diminished, since 1986, the study made by the World Health Organization (WHO) as to the technical aspects and the social inequalities that influence this situation in different geographical contexts. This culminated recommendations that proposed the reorientation of the dynamical practice of medicine, with a focus on the safety of maternities. Brazil adopted, in the year 2000, the suggestions of the OMS, emphasizing the humanization as the main reason for these actions. However, this discussion tends to not consider the problems caused by the social inequalities and the epidemiological and social conditionings that define the actions of the Unified Health System (Sistema ��nico de Sa��de SUS). In this area, this research seeks to analyze the practices, cares taken, and the universal symbol that promotes and rewards the assistance to the birth of children by the SUS. Besides the analysis of the public documents that deal with this subject, an ethnographic study was developed in a maternity in Natal/RN, considered a model of humanization after receiving the Galba de Ara��jo prize in 2002. In this stage, the methodological strategies were observed, and the focus of the individual interviews with workers and users of this service. In the analysis of the data, it became evident that the different professional workers and women who gave birth, tend to show concern of the standards the delimit production and reproduction of the practice of medicine, as they favor the absence of a critical posture of the actions destined to the population. Besides this, if became evident that the institutional difficulties associated to the economical, cultural, and political problems also difficult the involvement and the reflection of the workers in favor of assisting changes of the process. There is also a utilization of a perspective prescriptive of humanization in the everyday life of the social workers, without reflection of its meaning. Some workers present, in their statements, a preoccupation with the social and economical aspects that affect the practice of medicine, and with the limitations of the humanization discourse that disarticulates the necessities of those involved in the process of formation, and soon tend to return to the discussion of humanization while a kind practice characterized by the minimization of the interventionist actions. Now the users of the system show themselves before the dynamic of the services, submitting themselves to what is offered while assistance, without questioning and/or reflecting about their usual shortages. Therefore, to think of changes in the know and do of the practice of medicine destined to the birth of children implies reflection on the quotidian production of these practices and of the social contexts that influence the process of assistance in the practice of medicine. Herein it would be possible to predict the appropriation, by different workers concerning their exasperations and necessities, making them active in the pursuit of their rights as citizens

Caracteriza����o social e tecnol��gica da produ����o de uvas para mesa em pequenas propriedades rurais da regi��o de Jales-SP

A viticultura �� uma atividade relevante para os produtores rurais do Estado de S��o Paulo, sobretudo aqueles detentores de pequenas ��reas. O presente trabalho teve como objetivo caracterizar os principais aspectos sociais e tecnol��gicos utilizados na produ����o de uvas para mesa na regi��o de Jales (SP). Os dados foram levantados nos anos de 2009 e 2010, a partir da aplica����o de question��rios a 19 produtores de uva e do acompanhamento do ciclo de produ����o de 10 propriedades. Os produtores cultivam pelo menos tr��s cultivares diferentes de uva, sendo as principais: 'Niagara Rosada', 'It��lia' e 'Benitaka'. A ��rea m��dia das propriedades �� de, aproximadamente, 21 ha, e a ��rea m��dia com parreiras de uva �� de 2,4 ha. A maioria dos produtores n��o conta com assist��ncia t��cnica regular, n��o segue recomenda����es de aduba����o e n��o emprega crit��rios t��cnicos para o manejo da irriga����o. O controle de doen��as �� realizado de forma preventiva e intensa, chegando a superar 100 aplica����es por ciclo, no caso das uvas finas para mesa. Os resultados devem subsidiar a realiza����o de outras pesquisas, assim como programas de planejamento e transfer��ncia de tecnologia, proporcionando ao produtor um manejo mais adequado da cultura, bem como o desenvolvimento sustent��vel rural regional.

Viol��ncia contra a mulher:uma an��lise do trabalho do Centro de Refer��ncia da Assist��ncia Social-CREAS/Parnamirim-RN.

This work demonstrates the results obtained from research on violence against women: an analysis of the work from reference center of the Social Assistance-CREAS, held in the city of Parnamirim/RN from September 2008 extending through the february of 2009. Having as goal to investigate and examine in a longitudinal cut, which specifically covers the period from 2006 to 2007, find out extent the actions taken by the Reference Center Specialized Social Assistance- CREAS, contributed to the change of women who were there, by checking if there was any change in their positions ahead of the violence and if they began to realize how social subjects, able to control their living conditions and interfere in the orientation of social dynamics Have a particular emphasis on the presence of work and schooling or lack of them is also a factor to be allied to the barriers and rules imposed on women in contemporary society. In this study it was found through a qualitative research guided by dialectical and implemented through the use of documentary research, observation, semi-structured interview and an extensive theoretical background on the subject in question that the woman victim of violence is in a complex and contradictory context where there is both the construction and deconstruction of rights, a view that there are strong influences of patriarchal culture and the consequences of social issues that specifically searched for the public, focuses on social, economic , political, social and cultural. In this sense, the National Policy to Combat Violence against Women, operated by CREASE Parnamirim, is also reflected in its early stages in the life of these women are to nurture a real chance for these victims of violence, to perceive themselves as social subjects can control their lives and interfere in their own destinies. We want this study to add more knowledge to help and most appropriate intervention in this reality, but without the intention of reaching exhaustion, but to subsidize future studies on the topic of women victims of violence

Viol��ncia contra a mulher: uma an��lise do trabalho do centro de refer��ncia da assist��ncia social-CREAS/Parnamirim

This work demonstrates the results obtained from research on violence against women: an analysis of the work from reference center of the Social Assistance-CREAS, held in the city of Parnamirim/RN from September 2008 extending through the february of 2009. Having as goal to investigate and examine in a longitudinal cut, which specifically covers the period from 2006 to 2007, find out extent the actions taken by the Reference Center Specialized Social Assistance-CREAS, contributed to the change of women who were there, by checking if there was any change in their positions ahead of the violence and if they began to realize how social subjects, able to control their living conditions and interfere in the orientation of social dynamics Have a particular emphasis on the presence of work and schooling or lack of them is also a factor to be allied to the barriers and rules imposed on women in contemporary society. In this study it was found through a qualitative research guided by dialectical and implemented through the use of documentary research, observation, semi-structured interview and an extensive theoretical background on the subject in question that the woman victim of violence is in a complex and contradictory context where there is both the construction and deconstruction of rights, a view that there are strong influences of patriarchal culture and the consequences of social issues that specifically searched for the public, focuses on social, economic , political, social and cultural. In this sense, the National Policy to Combat Violence against Women, operated by CREASE Parnamirim, is also reflected in its early stages in the life of these women are to nurture a real chance for these victims of violence, to perceive themselves as social subjects can control their lives and interfere in their own destinies. We want this study to add more knowledge to help and most appropriate intervention in this reality, but without the intention of reaching exhaustion, but to subsidize future studies on the topic of women victims of violence

O Servi��o Social e a exclus��o/inclus��o social dos portadores de HIV/AIDS :demandas e desafios nos hospitais p��blicos

This research presents the labors developed by the Social Service unto socially excluded HIV/Aids positives at public hospitals in Rio Grande do Norte (RN). It purposes to identify and to analyze the demands brought by the holder onto the Social Service professional as well as the challenges the latter face to minister to the former. It privileges, from the methodological viewpoint, the qualitative and quantitative analysis with the application of questionnaires, direct observation, semi-structured interviews and bibliographic references. Data were collected from 12 (twelve) social assistants who work at Giselda Trigueiro Hospital in Natal (7) and Rafael Fernandes Hospital in Mossor�� (5). The central hypothesis that guided this study is that the social inclusion/exclusion process experienced by the HIV/Aids positive on society implies a demand for the Social Service that is inserted in the public health context (specially in HIV-referred public hospitals), whose agents, however, when attempting to answer those demands, meet obstacles due to both the precariousness of public health services and the social complexity that concerns the HIV/Aids epidemic. Results point out that, de facto, the HIV/Aids epidemic, because of the social exclusion/inclusion process to which the holder is subject results a demand for the social agents at hospitals. Demands rise principally from the patient s life condition, considering the increasing pauperization in the epidemic context. As to what it is concerned, social assistants, responding to the needs, come across concrete twofold challenges: the illness in itself, for all social, negative aspects that make part of quotidian life of holders; and the precarious state of the public health service in RN State, since that working conditions are unsatisfactory