Falhas de mercado e redes em políticas públicas: desafios e possibilidades ao Sistema Único de Saúde

Os princípios e as diretrizes do Sistema Único de Saúde (SUS) impõem uma estrutura de assistência baseada em redes de políticas públicas que, combinada ao modelo de financiamento adotado, conduz a falhas de mercado. Isso impõe barreiras à gestão do sistema público de saúde e à concretização dos objetivos do SUS. As características institucionais e a heterogeneidade dos atores, aliadas à existência de diferentes redes de atenção à saúde, geram complexidade analítica no estudo da dinâmica global da rede do SUS. Há limitações ao emprego de métodos quantitativos baseados em análise estática com dados retrospectivos do sistema público de saúde. Assim, propõe-se a abordagem do SUS como sistema complexo, a partir da utilização de metodologia quantitativa inovadora baseada em simulação computacional. O presente artigo buscou analisar desafios e potencialidades na utilização de modelagem com autômatos celulares combinada com modelagem baseada em agentes para simulação da evolução da rede de serviços do SUS. Tal abordagem deve permitir melhor compreensão da organização, heterogeneidade e dinâmica estrutural da rede de serviços do SUS e possibilitar minimização dos efeitos das falhas de mercado no sistema de saúde brasileiro.

Soil quality response to land-use change for sugarcane expansion in Brazil

Globally, increasing demands for biofuels have intensified the rate of land-use change (LUC) for expansion of bioenergy crops. In Brazil, the world\'s largest sugarcane-ethanol producer, sugarcane area has expanded by 35% (3.2 Mha) in the last decade. Sugarcane expansion has resulted in extensive pastures being subjected to intensive mechanization and large inputs of agrochemicals, which have direct implications on soil quality (SQ). We hypothesized that LUC to support sugarcane expansion leads to overall SQ degradation. To test this hypothesis we conducted a field-study at three sites in the central-southern region, to assess the SQ response to the primary LUC sequence (i.e., native vegetation to pasture to sugarcane) associated to sugarcane expansion in Brazil. At each land use site undisturbed and disturbed soil samples were collected from the 0-10, 10-20 and 20-30 cm depths. Soil chemical and physical attributes were measured through on-farm and laboratory analyses. A dataset of soil biological attributes was also included in this study. Initially, the LUC effects on each individual soil indicator were quantified. Afterward, the LUC effects on overall SQ were assessed using the Soil Management Assessment Framework (SMAF). Furthermore, six SQ indexes (SQI) were developed using approaches with increasing complexity. Our results showed that long-term conversion from native vegetation to extensive pasture led to soil acidification, significant depletion of soil organic carbon (SOC) and macronutrients [especially phosphorus (P)] and severe soil compaction, which creates an unbalanced ratio between water- and air-filled pore space within the soil and increases mechanical resistance to root growth. Conversion from pasture to sugarcane improved soil chemical quality by correcting for acidity and increasing macronutrient levels. Despite those improvements, most of the P added by fertilizer accumulated in less plant-available P forms, confirming the key role of organic P has in providing available P to plants in Brazilian soils. Long-term sugarcane production subsequently led to further SOC depletions. Sugarcane production had slight negative impacts on soil physical attributes compared to pasture land. Although tillage performed for sugarcane planting and replanting alleviates soil compaction, our data suggested that the effects are short-term with persistent, reoccurring soil consolidation that increases erosion risk over time. These soil physical changes, induced by LUC, were detected by quantitative soil physical properties as well as by visual evaluation of soil structure (VESS), an on-farm and user-friendly method for evaluating SQ. The SMAF efficiently detected overall SQ response to LUC and it could be reliably used under Brazilian soil conditions. Furthermore, since all of the SQI values developed in this study were able to rank SQ among land uses. We recommend that simpler and more cost-effective SQI strategies using a small number of carefully chosen soil indicators, such as: pH, P, K, VESS and SOC, and proportional weighting within of each soil sectors (chemical, physical and biological) be used as a protocol for SQ assessments in Brazilian sugarcane areas. The SMAF and SQI scores suggested that long-term conversion from native vegetation to extensive pasture depleted overall SQ, driven by decreases in chemical, physical and biological indicators. In contrast, conversion from pasture to sugarcane had no negative impacts on overall SQ, mainly because chemical improvements offset negative impacts on biological and physical indicators. Therefore, our findings can be used as scientific base by farmers, extension agents and public policy makers to adopt and develop management strategies that sustain and/or improving SQ and the sustainability of sugarcane production in Brazil.

Resumo de dissertações e teses: a estrutura composicional à luz da Análise Textual dos Discursos

This doctoral dissertationproposes the description, interpretation and analysis of the compositional structure of thesis and dissertation abstracts, with regard to the linguistic mechanisms that evidence text zones of different typological sequences, such as those of the text plan. Along these lines, the research problem was developed from the notion of compositional structure (sequences and text plans), as one of the levels or plans of text analysis, according to the theoretical framework proposed by Jean-Michel Adam (2011a). The main objective of this study was to recognize how the compositional structure, of thesis and dissertation abstracts, is achieved, with respect to text units and the global organization of this text category. The hypothesis posed in this research posits that specific informational text composition categories of abstracts are necessary to process the representation of the original text and the way in which it makes its meaning. Subsequently, this study is based on the theoretical and methodological framework of Text Linguistics (TL) and, above all, Textual Discourse Analysis (TDA), as we endeavor to understand the organizational structure of abstracts from both a linguistic and textual perspective. This structure involves the text plan of abstracts, with respect to their communicative purpose, i.e, the sharing of scientific information in its standard textual form. Thus, the development of this study, from a theoretical and methodological perspective, is based on the theoretical and descriptive premises from TDA (ADAM, 2011a, 2012; PASSEGGI et al., 2010), and also from TL (BEAUGRANDE; DRESSLER, (2012 [1981]); COSERIU; LAMAS (2010); MARCUSCHI, 2009 [1983]; FÁVERO; KOCH, 1994;KOCH, 2006; BENTES, 2004; BENTES; LEITE, 2010), within the field of text studies. The methodology of this study relies on empirical, documental research, which is qualitative, and adopts a descriptive and interpretive approach. From the empirical perspective, our objective is to understand the problems pertaining to the textual composition of abstracts, aiming to elucidate them in light of the theoretical and methodological framework previously mentioned. The corpus of the analysis is comprised of seven abstracts designated for systematic data collection. These texts, written between 2004 and 2011,were selected from Master’s theses and Doctoral dissertations in their electronic version, from the graduate program at the Federal University of Rio Grande do Norte. A thorough review of the literature reveals a clear fluctuation in the terminology of the concept, ‘abstract’. The results of the analysis revealed that the abstracts, which comprise the corpus of analysis in this study, in general, present typological heterogeneity, while the text plan remains fixed. Finally, the new knowledge gained in this research contributes both to the understanding of the compositional structure of abstracts as well as their production.

Influência das condições ambientais no verdor da vegetação da caatinga frente às mudanças climáticas

The Caatinga biome, a semi-arid climate ecosystem found in northeast Brazil, presents low rainfall regime and strong seasonality. It has the most alarming climate change projections within the country, with air temperature rising and rainfall reduction with stronger trends than the global average predictions. Climate change can present detrimental results in this biome, reducing vegetation cover and changing its distribution, as well as altering all ecosystem functioning and finally influencing species diversity. In this context, the purpose of this study is to model the environmental conditions (rainfall and temperature) that influence the Caatinga biome productivity and to predict the consequences of environmental conditions in the vegetation dynamics under future climate change scenarios. Enhanced Vegetation Index (EVI) was used to estimate vegetation greenness (presence and density) in the area. Considering the strong spatial and temporal autocorrelation as well as the heterogeneity of the data, various GLS models were developed and compared to obtain the best model that would reflect rainfall and temperature influence on vegetation greenness. Applying new climate change scenarios in the model, environmental determinants modification, rainfall and temperature, negatively influenced vegetation greenness in the Caatinga biome. This model was used to create potential vegetation maps for current and future of Caatinga cover considering 20% decrease in precipitation and 1 °C increase in temperature until 2040, 35% decrease in precipitation and 2.5 °C increase in temperature in the period 2041-2070 and 50% decrease in precipitation and 4.5 °C increase in temperature in the period 2071-2100. The results suggest that the ecosystem functioning will be affected on the future scenario of climate change with a decrease of 5.9% of the vegetation greenness until 2040, 14.2% until 2070 and 24.3% by the end of the century. The Caatinga vegetation in lower altitude areas (most of the biome) will be more affected by climatic changes.

Distribuição e uso de habitat por peixes recifais em um gradiente ambiental: estudo de caso em recifes areníticos

There are several abiotic factors reported in the literature as regulators of the distribution of fish species in marine environments. Among them stand out structural complexity of habitat, benthic composition, depth and distance from the coast are usually reported as positive influencers in the diversity of difentes species, including reef fish. These are dominant elements in reef systems and considered high ecological and socioeconomic importance. Understanding how the above factors influence the distribution and habitat use of reef fish communities are important for their management and conservation. Thus, this study aims to evaluate the influence of these variables on the community of reef fishes along an environmental gradient of depth and distance from shore base in sandstone reefs in the coast of state of Rio Grande do Norte, Brazil. These variables are also used for creating a simple predictive model reef fish biomass for the environment studied. Data collection was performed through visual surveys in situ, and recorded environmental data (structural complexity of habitat, type of coverage of the substrate, benthic invertebrates) and ecological (wealth, abundance and reef fish size classes). As a complement, information on the diet were raised through literature and the biomass was estimated from the length-weight relationship of each species. Overall, the reefs showed a low coverage by corals and the Shallow reefs, Intermediate I and II dominated by algae and the Funds by algae and sponges. The complexity has increased along the gradient and positively influenced the species richness and abundance. Both attributes influenced in the structure of the reef fish community, increasing the richness, abundance and biomass of fish as well as differentiating the trophic structure of the community along the depth gradient and distance from the coast. Distribution and use of habitat by recifas fish was associated with food availability. The predictor model identified depth, roughness and coverage for foliose algae, calcareous algae and soft corals as the most significant variables influencing in the biomass of reef fish. In short, the description and understanding of these patterns are important steps to elucidate the ecological processes. In this sense, our approach provides a new understanding of the structure of the reef fish community of Rio Grande do Norte, allowing understand a part of a whole and assist future monitoring actions, evaluation, management and conservation of these and other reefs of Brazil.

Estrutura produtiva da agropecuária, ocupação e pobreza no estado de Minas Gerais no ano de 2010

This thesis aimed to contribute to the discussion about the relationship between agricultural production structure, occupation and poverty in Brazil, specifically in the state of Minas Gerais, in 2010. The issue of employment is becoming increasingly challenging in the face of ongoing modernization process in agriculture, capital intensive and labor saver looking levels ever higher production and productivity. The productive inclusion can be an effective way to exit from poverty (the work is often the only asset of the poor). In this sense, we sought to investigate what activities or groups of activities occupied a larger number of people and generated higher yields and can potentially have contributed to a lower incidence of poverty. The basis for primary data was the 2010 Population Census (microdata). To achieve the objectives we used descriptive analysis, Pearson correlation coefficients and quantile regressions. Among the main findings highlight that agriculture occupied more and generated higher overall income than ranching presented more precarious, despite having lower average incomes and income percentile values, greater heterogeneity and instability, as well as higher proportions of poor. Overall, commodities showed greater formalization and lower poor proportions. In the case of agriculture, commodities activities occupied less, generated lower mass income and middle-income (although income percentiles slightly larger and more informality) and had lower poverty indicators than non-commodity (more heterogeneous rents). In livestock, commodities had higher percentages of occupation, income (although middle-income values and percentiles slightly smaller), and smaller proportions of poor than non-commodity (more heterogenous). In terms of occupation and income stood out the farming activities unspecified (non-commodity), the coffee growing and cattle (commodities). The cultivation of coffee and cattle had the lowest poverty indicators. agricultural production diversification indicators showed positive correlations with the occupation in activities not commodities (only), but also with the proportion of poor, indigent and concentration of income. In addition, the occupation in not commodities showed positive correlations with poverty indicators. It is noteworthy that the occupations in soybeans, coffee and fruit showed negative correlation coefficients with the indicators of poverty, indigence and gini. Finally, among the agricultural activities, there was to go to occupied in agricultural activities not commodities for commodity would be 'more equalizer' (decreasing coefficients over the distribution of income) than for cattle. The occupation in livestock (mostly non-commodity) would generate greater impact on the lower income deciles, but their coefficients grow back in the last deciles, which shows its most perverse character. Among the activities that would affect more strongly the lower deciles and less the higher deciles stand out pig farming, poultry, citrus cultivation, coffee and sugar cane. The cattle and the cultivation of soy, had the highest rates, but they grow back in the last deciles, which shows a more wicked character.

ESTRUTURA DO COMPONENTE DE REGENERAÇÃO NATURAL E ARBÓREO DE DOIS MANGUEZAIS NO ESTADO DO PARANÁ

Esse estudo avaliou comparativamente os parâmetros fitossociológicos da regeneração natural e da vegetação arbórea em dois manguezais distintos no Estado do Paraná, um pertencente à Baía de Paranaguá (manguezal de Antonina) e outro à Baía de Guaratuba (manguezal de Guaratuba). Em cada área, três subáreas foram marcadas e amostradas cinco parcelas de 10 x 10 m para avaliação do componente arbóreo e quinze subparcelas de 1 x 1 m para avaliação da regeneração natural. Avicennia schaueriana , Rhizophora mangle e Laguncularia racemosa exibiram domínio e densidade relativa distintos entre as áreas. Manguezais de Antonina e Guaratuba diferiram tanto na estrutura da regeneração natural como no componente arbóreo. A Análise de Coordenadas Principais (PCoA) mostrou que as diferenças entre as áreas em relação às variáveis abióticas do solo estão fortemente relacionadas com os parâmetros estruturais do componente arbóreo dos manguezais. Os fatores edáficos dos manguezais têm grande importância na separação entre as áreas, já que reflete na capacidade de adaptação das plantas.

Diel variation in movement patterns and habitat use by the near-threatened cabrera vole in mediterranean farmland

As variações circadianas no comportamento animal e o seu impacto nas populações constituem desafios importantes em ecologia e conservação. Nesta tese documentam-se as variações circadianas no uso do habitat e padrões de movimento pelo rato de Cabrera, em habitats Mediterrânicos fragmentados. O estudo baseou-se no radio-seguimento de indivíduos em habitats dominados por herbáceas e arbustos. Os resultados indicaram que a proporção de tempo despendido em deslocações, a distância percorrida, e a selecção do tipo de vegetação, estão fortemente interrelacionados, variando consideravelmente ao longo de diferentes períodos do dia. Os ratos movimentaram-se mais frequentemente e maiores distâncias nos períodos diurnos, durante os quais as áreas dominadas por herbáceas foram usadas mais intensivamente. Durante a estação seca houve alguma tendência para a diminuição dos movimentos durante as horas mais quentes. Estes resultados são discutidos no sentido de mostrar como indicadores comportamentais podem contribuir para melhorar a gestão e conservação da espécie; ABSTRACT: Understanding the circadian variations in species behaviour and its impacts on population is a challenging topic in ecology and conservation. This thesis documents the circadian variations in habitat use and movement patterns by Cabrera voles in fragmented Mediterranean farmland. The study was based on radiotracking data of individuals living in habitat patches dominated by wet grasses and shrubs. Results indicated that the proportion of time animals spent moving, the distance moved and the selection strength of vegetation were closely linked behavioural traits, which varied considerably across the 24 hour cycle. Voles moved more frequently and over larger distances during daytime, which was when wet grasses were used more intensively. During the dry season there was some tendency for a decrease in movement activity during the hottest hours of the day. These results are used to discuss how behavioural indicators may be useful to improve conservation management of the species.

Vegetação arbustivo-arbórea em áreas de cerrado rupestre na Cadeia do Espinhaço

Tese (doutorado)—Universidade de Brasília, Faculdade de Tecnologia, Departamento de Engenharia Florestal, Programa de Pós-Graduação em Ciências Florestais, 2016.

Recruitment patterns and processes of coastal fish species in a temperate rocky reef

Tese de Doutoramento, Ciências do Mar, da Terra e do Ambiente, Ramo: Ciências do Mar, Especialização em Ecologia Marinha, Faculdade de Ciências e Tecnologia, Universidade do Algarve, 2016

Enriquecimento semântico de modelos ecológicos baseados em raciocínio qualitativo : um estudo de caso sobre a dinâmica de comunidades de vegetação lenhosa no cerrado brasileiro

Tese (doutorado)—Universidade de Brasília, Instituto de Ciências Biológicas, Programa de Pós-Graduação em Ecologia, 2015.

Estrutura da população de Coleodactylus natalensis Freire, 1999 (Squamata: Sphaerodactylidae) no Parque Estadual Dunas de Natal, Rio Grande do Norte, Brasil

Coleodactylus natalensis Freire, 1999, an endemic species of Atlantic Forest fragments around the Natal municipality, Rio Grande do Norte State, Brazil, has as type locality the Parque Estadual Dunas de Natal (05º48 S to 05º53 S and 35º09 W to 35º12 W), one of the largest restinga (herb and shrub association on sand dunes along the Brazilian coastline) associate fragment, surrounded by urban zone, placed on setentrional Atlantic Forest limits. We made estimates on populational density, spatial distribution, habitat and microhabitat preferences and feeding ecological aspects like sazonal and sexual variations on diet, prey electivities and niche breadth. We randomly sampled ninety-six 50m2 quadrants in each of the four habitats identified in the study area. Were collected 49 specimens and their stomach contents were analyzed; prey items found were correlated with leaf-litter invertebrates from habitat samples. We found a 98,5 ± 75,5 individuals/ha density, in grouped distribution pattern on densest habitats and random distribution on others habitats. This species lives mostly on leaf-litter in forest habitats, in higher humidity points, with lower temperatures, deeper leaf litter and lower sea level elevations than the randomly chosen points in the study area. Isopoda and Aranae were the most important prey categories in numeric, frequency and volumetric terms. Niche breadth has an intermediate value and was variable in sexual and in habitat terms. There was no correlation between morfometric measures and prey size on diet. The C. natalensis population studied seems to be diet opportunist, although selects larger prey items. The Parque Estadual das Dunas do Natal has several indications of anthropic pressure from the surrounding urban area that may affects the local C. natalensis population. Thus, the fragility of this species calls for urgent conservation efforts

Térmitas como bioindicadores de qualidade de habitat na caatinga, Brasil: há uma sintonia entre as variáveis estruturais dos habitats e as taxocenoses amostradas?

The composition of termite assemblages was analyzed at three Caatinga sites of the Seridó Ecological Station, located in the municipality of Serra Negra do Norte, in the state of Rio Grande do Norte, Brazil. These sites have been subjected to selective logging, and cleared for pasture and farming. A standardized sampling protocol for termite assemblages (30h/person/site) was conducted between September 2007 and February 2009. At each site we measured environmental variables, such as soil granulometry, pH and organic matter, necromass stock, vegetation height, tree density, stem diameter at ankle height (DAH) and the largest and the smallest crown width. Ten species of termites, belonging to eight genera and three families, were found at the three experimental sites. Four feeding-groups were sampled: wood-feeders, soil-feeders, wood-soil interface feeders and leaf-feeders. The wood-feeders were dominant in number of species and number of encounters at all sites. In general, the sites were not significantly different in relation to the environmental variables measured. The same pattern was observed for termite assemblages, where no significant differences in species richness, relative abundance and taxonomic and functional composition were observed between the three sites. The agreement between the composition of assemblages and environmental variables reinforces the potential of termites as biological indicators of habitat quality

Comunidades Escolares de Aprendizagem Gulbenkian XXI: exercício metodológico exploratório de análise e estrutura hierárquica de itens e composição sociodemográfica dos perfis de resposta

: No presente artigo, pretendemos, num primeiro momento, evidenciar a importância das práticas colaborativas e participadas na elaboração de instrumentos de avaliação das aprendizagens e da sua aplicação em ambientes virtuais, permitindo, por um lado, acompanhar o desempenho dos alunos em tempo real e, por outro, decorrente da sua transversalidade, induzir processos de autorregulação colaborativa entre professores e microrredes de escolas. A análise da dificuldade e da discriminação dos itens da prova e das suas interações com recurso ao diagrama de dispersão permitiu projetar as características e qualidade das questões da prova diagnóstica, revelando-se a componente de Português com maior equilíbrio na conjugação dificuldade-discriminação. O recurso ao algoritmo Exhaustive CHAID para além de permitir apurar que a pontuação global média obtida pelos 133 alunos que realizaram a prova foi de 68,42% e verificar a existência de alguma heterogeneidade dos resultados (Cv=26,5%), permitiu especialmente evidenciar a estrutura hierárquica das respostas e identificar os fluxos sequenciais em termos de resposta certa ou errada na produção da pontuação global. Por outro lado, a análise das sequências estruturais associadas aos nós de maior contraste conduziu ainda ao destaque de seis nós, organizados em torno dos pares de nós (28, 14), (25,18) e (27,24). O primeiro dos pares (28, 14), é também o par de maior contraste e o nó 28, com maior concentração de respostas certas, o nó com maior peso amostral, representando com os seus 32 casos quase um quarto dos alunos que realizaram a PGD_K3 (24,1%); ao contrário, o nó 14 com apenas 7 casos e representando 5,3% da amostra geral, registou uma pontuação global na prova de 34,2%. Por último, a análise da estrutura composicional dos perfis em torno de algumas variáveis contextuais sociodemográficas foi reveladora de uma estrutura de desempenho académico na prova que parece continuar mais permeável e refém de fatores contextuais exógenos do que propriamente das dinâmicas internas escolares.

SUS: estrutura, competências e serviços

Em SUS: Estrutura, Competências e Serviços, analisa-se o Sistema Único de Saúde (SUS) e sua estrutura abrangendo a organização em regiões de saúde, a hierarquização, em níveis de complexidade de serviços, a competência constitucional e as desigualdades entre os entes federativos e as instâncias de decisão – CIT, CIB e CIR. Por fim, trata-se da integralidade da assistência à saúde atendida pelo SUS por meio do rol de ações, serviços e medicamentos previstos na RENASES e RENAME.