995 resultados para Brazil, Sao Paulo, Eleuterio


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Versión preliminar publicada con el símbolo E/CN.12/L.107, ingresada en Biblioteca (9935)

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Contiene: Tomo I: la infraestructura; Tomo II: los servicios y aspectos institucionales

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The primary health care has been recognized as one of the key components of an effective health system. In its most developed form, the primary health care is the first contact with the health system and the site responsible for the organization of health care over time: individuals, their families and the general population; seeks to provide balance between the two goals of a national health system, which are improving the health of the population and provide equitable distribution of resources. Hospitalizations for primary care sensitive conditions (HPCSC) may be associated with deficiencies of service coverage primary health care or its effectiveness. Hospitalization rates can and should represent a warning sign, triggering mechanisms for analysis and search for explanations for these problems. The use of hospitalization data for HPCSC can serve as indicators of inequality in the health system, contributing to the evaluation of the deployment and implementation of health policies.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Background. Rubella vaccination is contraindicated during pregnancy. During mass immunization of women of childbearing age against rubella, women unknowingly pregnant may be vaccinated. To evaluate the effects of rubella vaccination during pregnancy, the Brazilian state of Sao Paulo conducted a follow-up study of pregnant women vaccinated during a rubella campaign in 2001.Methods. Women vaccinated during pregnancy were reported to a national surveillance system. In the state of Sao Paulo, follow-up of vaccinated women included household interviews. Serum samples from vaccinated women were tested for antirubella antibodies to classify susceptibility to rubella infection. Children born to susceptible mothers were tested for evidence of congenital rubella infection and evaluated for signs of congenital rubella syndrome.Results. The Sao Paulo State Health Department received 6473 notifications of women vaccinated during pregnancy. Serology performed for 5580 women identified 811 (15%) that were previously susceptible. Incidence of spontaneous abortion or stillbirth among previously susceptible vaccinated women was similar to women with prior immunity. Twenty-seven (4.7%) of 580 newborns tested had evidence of congenital rubella infection; none had congenital rubella syndrome.Conclusions. Mass rubella vaccination of women of childbearing age was not associated with adverse birth outcomes or congenital rubella syndrome among children born to women vaccinated during pregnancy.

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Urban space occupation occurs in an extremely disordered way. Political, economical and social aspects converge to create a problem that affects mostly poor people who are impelled to occupy areas where social and environmental problems are likely to emerge. Floods, landslides and different forms of pollution have more effects on the most vulnerable groups. In many cases, actions taken by the government legitimate this structure and reinforce its reproduction. This work seeks to confirm both that poor people are vulnerable to social and environmental problems resulting from inappropriate urban solid waste disposal and that the local government contributes to this situation. It is assumed that the issue is related first to the government’s disregard for poor people who live in unhealthy places and, second, to the inability of such people to demand for better living conditions. In this study, a waste disposal area within Jardim Graminha neighborhood in Leme (São Paulo) was selected to be analyzed by means of systematic observation. The study clearly shows that poor people living near that area where different types of garbage are disposed are vulnerable and the government does not control the situation. It is also pointed out that governmental intervention and the use of political and technical tools are necessary for planning and managing the area to mitigate these problems and to decrease poor people’s social and environmental vulnerability.

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This paper is to discuss the expansion and partly dismantlement of Brazilian merchant marine, tracking their legal, administrative and planning. The analysis period extends from the formation of the Comissão da Marinha Mercante, 1941, to the end of the government of Fernando Henrique Cardoso, 2002. In this long duration it is discussed the formation of the national system of economy and the dynamics of contradictory national merchant navy. The text is divided into two parts: 1) Expansion: The centralization, the planning and nationalization with the formation of the shipbuilding industry, highlighting the actions of the Comissão da Marinha Mercante and the Superintendência Nacional da Marinha Mercante, planning and financing the national navigation; 2) Demolition part: the denationalization and privatization of the national navigation, in addition to the deep restructuring of the shipbuilding industry, highlighting the creation of the Agência Nacional de Transporte Aquaviários during the last years of Fernando Henrique Cardoso government.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)