Universalização do acesso à saúde e regulação dos planos privados de assistência à saúde: a atuação regulatória da ANS como instrumento de harmonia contratual e viabilização do papel suplementar da iniciativa privada na efetivação do direito social à saúde

While essential to human nature, health and life have been protected since ancient times by various areas of knowledge, particularly by the Law, given its dynamics within the regulation of social interactions. In Brazil, health has been granted major importance by the Federal Constitution of 1988, which, disrupting the dictatorial authoritarianism, inaugurating a Social State and focusing on the values of freedom and human dignity, raises health to the condition of a social right, marked predominantly by an obligational bias directed, primarily, to the State, through the enforcement of public policies. Although, given the limitation of the State action to the reserve for contingencies, it turns clear that an universalizing access to public health is impossible, seen that the high cost of medical provisions hinders the State to meet all the health needs of the rightholders. As a result of the inefficiency of the State, the effort of the Constituent Assembly of 1988 in creating a hybrid health system becomes nuclear, which, marked by the possibility of exploration of healthcare by the private initiative, assigns to the private enterprise a key role in supplementing the public health system, especially through the offer of health insurance plans. At this point, however, it becomes clear that health provisions rendered by the private agents are not unlimited, which involves discussions about services and procedures that should be excluded from the contractual coverage, for purposes of sectoral balance, situation which draws the indispensability of deliberations between Fundamental Rights on one hand, related to the protection of health and life, and contractual principles on the other hand, connected to the primacy of private autonomy. At this point, the importance of the regulation undertaken by the ANS, Brazilian National Health Agency, appears primordial, which, by means of its seized broad functions, considerable autonomy and technical discretion, has conditions to implement an effective control towards the harmonization of the regulatory triangle, the stability and development of the supplementary health system and, consequently, towards the universalization of the right to health, within constitutional contours. According to this, the present essay, resorting to a broad legislative, doctrinal and jurisprudential study, concludes that economic regulation over the private healthcare sector, when legitimately undertaken, provides progress and stability to the intervening segment and, besides, turns healthcare universalization feasible, in a way that it can not be replaced efficiently by any other State function.

Implementação de conversor de polarização linear-circular para antenas de microfita usando metasuperfícies

This work aims to propose a new model of metasurface with simplified basic cell, able to convert linearly polarized signals generated by planar antenna array in circularly polarized signals, for the ISM frequency band (2.45 GHz), with good bandwidth of return loss and axial ratio. To study the behavior of the proposed structure, the metasurface is coupled to three different structures. First, initial tests are made with the metasurface coupled to a microstrip antenna in its simple configuration. Then the metasurface is coupled to an array with two elements of patch type. And later it is coupled to an optimized array, that uses a stub in its main feed, to get a better impedance matching. The structures are analyzed numerically through Ansoft HFSS™, and to validate these results, the structures are characterized experimentally. The characteristics of transmissions simulated and measures are presented. A good agreement between simulated and measured results was obtained. The structure proposed here has the advantage of meeting the desired characteristics, with a simple geometry to be built using a low-cost substrate (FR-4).

Implementação de conversor de polarização linear-circular para antenas de microfita usando metasuperfícies

This work aims to propose a new model of metasurface with simplified basic cell, able to convert linearly polarized signals generated by planar antenna array in circularly polarized signals, for the ISM frequency band (2.45 GHz), with good bandwidth of return loss and axial ratio. To study the behavior of the proposed structure, the metasurface is coupled to three different structures. First, initial tests are made with the metasurface coupled to a microstrip antenna in its simple configuration. Then the metasurface is coupled to an array with two elements of patch type. And later it is coupled to an optimized array, that uses a stub in its main feed, to get a better impedance matching. The structures are analyzed numerically through Ansoft HFSS™, and to validate these results, the structures are characterized experimentally. The characteristics of transmissions simulated and measures are presented. A good agreement between simulated and measured results was obtained. The structure proposed here has the advantage of meeting the desired characteristics, with a simple geometry to be built using a low-cost substrate (FR-4).

Normalização de dispositivos móveis no processo de aprendizagem de inglês : um estudo à luz da complexidade

We live in a world inherently influenced by technology and in which education is immersed in realities made possible by the support of digital technologies, such as electronic mobile devices. Thus, the general aim of this study lies in mapping and analysing the influence of mobile devices on teaching, especially with reference to learning the English language. The specific aims are to investigate how the use of mobile devices is present in the research participants’ practices, consider whether such use is beneficial, according to the students, to the English language learning as well as mapping how the use of mobile devices favours the normalisation stage, taken in this research as a complex process.The theoretical background of this study includes the premises of the Paradigm of Complexity, especially concerning the acquisition of a second language, as well as the precepts of Normalisation, which is related to the total integration of digital technologies into the English teaching and learning process in such a way that they become invisible, and the theories of language learning mediated by computers and mobile devices. Methodologically, this is an ethnographic qualitative research and its context is a language institute located in the Triângulo Mineiro region. In addition to students from five groups in the institution, two teachers and an administrative assistant participated in the survey. Data was collected through an online questionnaire, learning reports produced by students and interviews with teachers and administrative staff. The analyses indicate that mobile devices are present in the daily practices of English learners, but these uses, in most cases, are carried out through the teacher's encouragement. Moreover, despite having positive sayings on the role of digital technologies in the process of English teaching and learning, there is, among students and teachers, a dichotomy between saying and doing about the learning contexts considered valid. Additionally, the use of mobile devices in the English learning process is not yet established as a normalised issue because the process of integration of technology in teaching is still ruled by traditional uses of the technology. I conclude that the use of mobile devices in the English learning process is still not normalised, because even if students use their mobile devices every day, they generally do not realize the affordances of such use as possibilities to learn English.

Aglomeração urbana descontínua: o exemplo de Araguari e Uberlândia/MG

The analysis of urban conurbations demands the understanding regarding the difference between urban territorial continuity and spatial continuity. While the spatial continuity is understood due to its interrelations and established fluxes, in other words, through the spatial integration, the territorial continuity is related to the urban tissue. Therefore, the spatial continuity can manifest in a simultaneous way or associated to the territorial discontinuity. From this perspective, the main objective of this research consists on identifying and dimensioning the spatial interactions that are driven to a urban conurbation process between the municipalities of Araguari and Uberlândia/MG, besides the not continuity of the territorial urban area. The intensity of these interactions was identified from the displacements by the dwellers from both municipalities in search of job occupations, education and health assistance. So it would be able to reach the proposed objectives we used several methodological procedures, such as a bibliographic and documental researches. In order to identify the education and work fluxes we analyzed the micro data from the Demographic Census 2010. For the educational sector it was also accomplished a research, in Araguari, the place of residence of students enrolled at Instituto Master de Ensino Presidente Antônio Carlos (IMEPAC) and, in Uberlândia, the place of residence of students enrolled at Universidade Federal de Uberlândia (UFU). The identification of health fluxes was done through a research, in Uberlândia, of the inpatients' origin at Hospital de Clínicas de Uberlândia of the Universidade Federal de Uberlândia (HCU/UFU) and, in Araguari, of the origin of patients that are attended at the Pronto-Socorro Municipal. Semi structured interviews were also accomplished with different social actors. Another important step was the use of questionnaires with the inter-municipal public transportation users at their boarding place in Araguari and Uberlândia. This paper was organized in five chapters, while in the first one we accomplished a theoretical discussion over the concept of urban conurbation, in order to presenting the identification and classification criteria and the urban conurbation of non metropolitan criteria. The second chapter analyses the differentiation process between Araguari and Uberlândia, which is a result of the distinct territorial formation of the municipalities. The third chapter analyses the intensity and degree of the spatial interactions between the two municipalities, having as a focus the established fluxes in the work sector. The fourth chapter, on the other hand, focuses on the education and health sectors, while the last chapter accomplishes a discussion to investigate if the analyzed fluxes in the previous chapters make it able to identify if the spatial interactions established between Araguari and Uberlândia are measured through complementarities or dependence. As a result it was possible to identify that, due to the expressiveness of the established fluxes between the two municipalities, beyond the further ones of Triângulo Mineiro and Alto Paranaíba in the three selected sectors, there is a configuration of a discontinuous urban conurbation process. It was also possible to conclude that, despite the fluxes between Araguari and Uberlândia being more representative than the other way around there's a coexistence dependence relationship and complementarity between the two municipalities.

Processos de imitação-criação como constituidores da práxis pedagógica: uma intervenção didático-formativa com o formador de professores

The research deals with the constitution of the pedagogical praxis of a teacher trainer, understood as objectification of theoretical and practical unity in the teaching field. It was achieved by means of a didactic-training intervention. The research problem: as a teacher trainer in a continuous training process is a pedagogical praxis, outlined to the overall objective: investigate the establishment of the pedagogical praxis of teacher trainer in a continuous formation process. The specific objectives were: 1) outline principles and foundations theoretical-methodological course of intervention research on appropriate teaching assumptions of historical-cultural theory; 2) systematic principles of constitution of the pedagogical praxis of a teacher trainer and 3) synthesize foundations of continued training of teacher trainers in view of the historical-cultural theory, to collaborate with design of institutional policies for continuing training of university teachers. The research was developed at the Federal University of Triângulo Mineiro University - UFTM, with teachers who work in their degree courses. It was developed in three stages: diagnosis, didactic-formative intervention and analysis of data. In the diagnostic step attended five teacher educators of degrees in: history, geography, physics, chemistry and letters. At this stage were used identification questionnaires, interviews, classroom observation and document analysis. In the next stage, with participation of a trainer, it was held educational-training intervention understood as the collective research-training process that is involved intervening in teaching with the development of interdependent and simultaneous actions trainings, planning and implementation of educational activities and study, classroom observation and evaluation from the perspective of dialectical unity in order to contribute to the integral development of teachers and students. The intervention were also held interviews and document analysis. The last stage of the research was the analysis of the data. In the diagnosis of education, among other analyzes, three references were found of the trainer's training-action: memorized references, empirical and praxis. It was the analysis of the references of the trainer's training-action that guided referrals ways of teaching-training intervention. As a result, it was concluded that the teacher educator is their pedagogical praxis in the dialectical units theoretical and practical appropriation of concepts and imitation-creation. Were the two principles analyzed in the research. It was also systematized some essential elements of the formation of the teacher educator: the needs of trainers are decisive in the choice of concepts that will be appropriate; the organization of the training process should take place hand in hand with planning and development classes; the theory need to be experienced in training so that appropriation/objectification of education come true, and also, participants must be strengthened as a collective studies, since we have not learned by linearity but connections. It is hoped that the research will create opportunities to deepen the debate on the continuing education of teacher educators and contribute to scientific production in the area.

Climatologia da pluviosidade na bacia hidrográfica do Rio Paranaíba

The main aim of this research was to study pluviosity in the Paranaíba Riverbasin, especially concerning the variability frame and trends. For this end, we used data from 22 pluviometric stations of the Agência Nacional da Águas- ANA(National Water Agency)spatially distributed throughout the basin area. The data comprised the years 1979-2013, which is a historical series of 35 years, and was downloaded through the ANA website and tabulated using the Hydro 1.2 software (2015) and Excel. After tabulation process were applied based methodologies for statistical analysis of annual variability, monthly, daily and seasonal rainfall in the basin beyond the trend analysis. Results of this research showed that the annual rainfall averageis 1491 mm. Seasonality is a hallmark and rainfall variability occurs spatially and temporally. Rains are accumulated in the rainy season accumulating 85% of the annual volume in the basin. In daily analysis it was found that the daily rainfall above 30 mm occur in only 3% of the time. Dry season comprises 15% of the rainfall. Trend analysis using linear regression pointed to a downward trend in rainfall in 46% of jobs, stability in 18% of posts and increased rainfall by 36%. As for the analysis using the sign test indicated that 32% of the analyzed rainfall stations showed an increasing trend of rainfall over the time series and 68% of stations showed downward trend. This research is important because shows how rainfall worksin the area of the Paranaiba basin, and may be used to develop better management of natural resources and the area through public policies for this purpose.

As paisagens nas pinturas de Ido Finotti: reflexões artísticas e históricas

This research studies the landscape paintings of the artist Ido Finotti, specifically the Brazilian cerrado vegetation and rivers landscape paintings, in the region of Triângulo Mineiro, mainly Uberlândia and the surrounding cities as Uberaba and Araguari. The artist produced the landscape paintings from 1947 to 1980. This study searches to understand the poetic in the paintings and identify the elements that the artist chose to create the visuality of landscape to build a regional identity. Therefore, it links the artistic and historical reflections with the general ideas about the landscape painting in the Universal History of Art and in the Brazilian History of Art through the main landscape painters. First, this work shows the trajectory of the artist Ido Finotti and the two phases of his paintings: as a decorative painter of walls from 1920 to 1940, then as an oil painter artist on canvas. Second, the national and foreign authors studied were from several fields: Visual Arts, History, History of the Art, Philosophy and Geography, but had produced literature on the idea and the subject of landscape in the painting. The initial reading was about some workmanships of Ido Finotti, which included 142 landscapes paintings; interviews; articles, periodicals and magazines collected; documents, brochures and catalogues gathered. The comparison between the written and visual sources made possible the textual construction of this research.

Fatores pré-abate que influenciam na qualidade da carne de frangos griller

The consumption of a product is directly linked to its quality, and are required to comply with quality standard regulations. In chicken "griller" which comes from industrial strains, selected for best growth performance, shot with up to 35 days old and weighing 1,400kg, they have not been reported in the literature a number of quality aspects This study aimed determine the muscle transformation time in the flesh in chickens "griller" incidence of meat defects, "PSE" (pale, soft and exdudative) and "DFD" (dark, firm and dry) and their correlation between different window times slaughter (total time between beginning of the fasting and the time of slaughter) and pH curve, four different times post mortem. The base data for the study was composed of information of 208 chickens, collected between August and September 2014, in a slaughterhouse slaughtering chickens in the middle region of Triangulo Mineiro and Alto Paranaíba. We used the Minitab 17.1.0 program for the development of descriptive statistical analysis and Pareto charts. The Pearson correlation was used to evaluate the linear relationship between two variables and Excel 2013, Microsoft Office®, to produce tables and graphs. The analysis consisted of 11 chickens cities and the distance to the poultry slaughterhouse ranged from 24.5 km to 123 km. It was observed that the pH curve decays gradually until time 5horas after slaughter, and its increase was 24, indicating the transformation of the muscle meat. The incidence of regular meat was 39.9%, "DFD" 30.3% and "PSE" 29.8%. For "DFD" meat, it was observed that factors: low ambient temperature, longer transportation and fast window and mileage at dirt road, contributed to its occurrence (p <0.05). For "PSE" meat, it was observed that lower body weight factors, longer transport favored frequency (p <0.05) of the meat defect. There was no significant correlation in variance analysis between distance, waiting time at rest shed and humidity related to meat defects (p> 0.05). This high incidence of defects meat may be due to pre-slaughter stress factors.

Diagnóstico ambiental da área de influência do complexo sucroalcooleiro Usina Vale do São Simão Ltda

One of the most widespread renewable energy sources in Brazil is ethanol, from sugarcane, therefore, the sugar and alcohol sector is expanding, with positive impacts for the economy of the country. Sugar cane was introduced in Brazil as a crop during its colonization, for the production of sugar, and put the country in the global scenario. The expansion of this crop occurred in the seventies, to reduce the reliance in fossil energy sources and to stimulate the development of the agricultural activity. Thus, the federal government has promoted the sugar cane crop and the production of ethanol as a fuel. However, it is important to minimize possible impacts that the crop may cause to the environment. Sugar cane has expanded in the frontiers of the mesoregion of Triângulo Mineiro and Alto Paranaíba-MG, and, in this perspective, the agroindustrial complex known as Companhia Energética Vale do São Simão Ltda., with the Mill located in the county of Santa Vitória, Minas Gerais, was adopted to evaluate the environmental impacts caused by the sugarcane in the area of influence of the mill. The mill has a polygonal area corresponding to 53,525.20 hectares, and for its establishment a Study and Report of Environmental Impacts (EIA/RIMA) was presented, as required as an environment protection instrument by the Environment National Policy (Law nº 6.938/81), and detailed by the Resolution CONAMA nº 01/1986. These studies pointed that native vegetation fragments in the Area of Influence of the Mill, before its implantation, corresponded to approximately 20.7% of the area. Therefore, this study evaluated the impacts of the installation of Usina Vale do São Simão, between 2007 and 2012, determining its reflex on the environmental regularization of the farms, and the vegetation fragments existing in the area, in the recovery and recomposition of areas defined as Legal Reserve and Permanent Preservation. Previous studies of the area were analyzed, soil use and occupation was mapped for the years 2007 and 2012, and the areas of permanent preservation and native vegetation fragments were marked. In general, there was a decline in native vegetation coverage in the period, although it cannot be stated that such reduction was a direct effect of the milling activity. Therefore, the legal requirement of preserving such areas was not capable of bringing the positive effects of protection and recovery as demanded by the Law, highlighting that the current legislation was not enough to protect such areas.

Proyección y política cultural estadounidense en argentina (1928-1941)

El objetivo del artículo es analizar algunos aspectos de los orígenes de la “política cultural” estadounidense en Argentina. La atención se concentrará en el pasaje desde las declaraciones del presidente Hoover, que contribuyeron a favorecer un clima útil y propicio a la intensificación de los intercambios, a los primeros pasos concretos realizados en el periodo de la presidencia de Roosevelt. Se tratará, en particular, de individualizar las características de la cooperación establecida entre organismos estadounidenses y argentinos para favorecer la proyección cultural estadounidense en el país y el intercambio cultural entre Estados Unidos y Argentina, donde se iba intensificando la difusión de un sentimiento anti-imperialista, y que era entonces objetivo de formas de propaganda particularmente agresivas por parte de los regímenes totalitarios.

El relato de orilla(s) de Juan Enrique Acuña. En: LaRivada, V. 3, nº 4

El escritor misionero Juan Enrique Acuña (1915-1988) fue además titiritero y productor cultural y formó parte del grupo literario triángulo que introdujo la vanguardia a la provincia en la primera mitad del siglo XX. Su poética y narrativa presentan un universo ficcional donde cobran importancia los bordes genéricos y culturales propios de Misiones. De este modo, se evidencia una escritura sumamente localista con líneas de fuga que desacomodan un paisaje que si bien resulta familiar es un espacio otro. El concepto de relato de orilla es el resultado de un proceso de trabajo (que culminó en mi tesis de Licenciatura) en el marco del proyecto de investigación denominado La memoria literaria de Misiones a cargo de la Dra. Mercedes García Saraví, en el cual indagamos manuscritos no éditos de escritores misioneros a partir de exponer y aplicar metodologías provenientes de la Genética Textual. La propuesta de acercamiento a estos tipos de discursos implicó, además, reflexionar sobre los bordes de una escritura todavía en proceso, en el sentido del tratamiento de los textos en clave genética. Todo ello, redundó en la construcción de un continuum teórico crítico para indagar y revisar la demarcación de bordes geográficos que a su vez generan zonas-otras (de desborde). Éste y otros procedimientos de análisis ofrecen la posibilidad de una lectura enriquecedora relativa a la apropiación de términos como género y frontera.

Entre serras e sertões A(s) (trans)formaç(ões) de centralidade(s) da Região Metropolitana do Cariri/CE

This study reviews the spatial configuration from the road network of an urban compound formed by the cities of Crato, Juazeiro do Norte and Barbalha (the Crajubar - core of the Cariri metropolitan region, in the State of Ceará, Brazil), in order to establish nexus (or relations) between different levels of accessibility and the formation/ transformation and specialization of centralities in local and metropolitan scales. Stemming from the Social Logic of Space theoretical and operational apparatus, the study explores modeling possibilities (with axial lines, segments and lines of continuity) which is then confronted to empirical observations concerning movement flows and land use, within a Geographic Information System database. At different scales of analysis, the results suggest evidences of continuity were found in the permanence of intra-urban centres and sub-centres within each town, whereas evidences of change pointed out to the formation of a new centrality of metropolitan magnitude in the neighbourhood referred to as the Triângulo, in the municipality of Juazeiro, where high levels of topological accessibility coincides with the appearance of new business buildings as well as with the emergence of urban equipment of a scale more adequate to meet a regional demand

La pintura que no se deja ver. La pintura avergonzada, la pintura escondida (a propósito de los escritos de Ángela de La Cruz, Georges didi-Huberman y Honoré de Balzac)

El artículo «La pintura que no se deja ver: la pintura avergonzada, la pintura escondida» relaciona una de las primeras obras de la artista Ángela de la Cruz ashamed (1995), con La pintura encarnada (1984) de Georges Didi-Huberman, ensayo que a su vez analiza La obra maestra desconocida (1837) de Honoré de Balzac. Entre Ángela de la Cruz, didi-Huberman y Balzac se establece un triángulo en torno al concepto cuadro-cuerpo. A través de una pintura, un ensayo filosófico y un relato, tres autores de tres tiempos distintos recuperan las mismas ideas de carne y piel pictórica y cuadro humanizado. Su objetivo: superar las barreras de representación en la pintura para crear un ser más allá del objeto pictórico. Sin embargo, cuanto más idealizan la pintura y más pretenden superar la pantallapictórica, más se desvanece el concepto de «cuadro»; cuanto más acercan el cuadro a ser, más se aleja de ser un cuadro y menos se permite el acceso a lo que representa. La persecución del ideal implica que el cuadro se vea sometido a su ocultación, al deterioro y a la destrucción de su imagen.

Metodologías utilizadas por docentes de primer ciclo de enseñanza básica en la enseñanza de la multiplicación y su relación con el rendimiento mostrado por los niños y niñas del distrito 06-18

A pesar de que la matemática está presente en casi todas las actividades que realiza el ser humano, el proceso de enseñanza aprendizaje realizado en la escuela, facilita al niño la aprehensión del conocimiento matemático de manera estructurada, la metodología y los recursos utilizados deben ser motivadores para que este aprendizaje pueda llegar a ser eficiente. En el proceso educativo, sabemos que el triángulo formado por el maestro, el alumno y los contenidos a estudiar son los elementos claves, la participación de cada uno de ellos es determinante para que los resultados sean óptimos, por lo tanto, las metodologías empleadas por el docente deben ser las adecuadas para lograr que el niño al ingresar a la escuela adquiera nuevos conocimientos, que las actividades cotidianas generadoras de experiencia sirvan de base para estos nuevos conocimientos; que su curiosidad natural sea el acicate en la búsqueda creativa de soluciones; que en el desarrollo de las actividades de aprendizaje no se busque la memorización de conceptos sino la interpretación de las situaciones problemáticas para encontrarle gusto al aprendizaje.