Cooperação e apoio técnico entre estado e municípios: a experiência do programa articuladores da atenção básica em São Paulo

Com os processos de regionalização no final dos anos 1990, os estados iniciam um resgate de seu papel político para enfrentamento da fragmentação do sistema público de saúde. Nesse processo, as secretarias estaduais de saúde, representadas pelo Conselho Nacional de Secretários de Saúde, passam a redefinir as funções do Estado junto à Atenção Básica. Na histórica atuação da Secretária de Estado da Saúde de São Paulo (SES-SP) na atenção primária, uma das marcas refere-se à expertise profissional nesse campo, que com o processo de municipalização migrou para os municípios, especialmente os de maior porte, ou redefiniu suas áreas de atuação no interior da própria SES-SP, em áreas como a vigilância epidemiológica e sanitária, a de avaliação e controle, entre outras. Esse capital humano foi em parte resgatado a partir de 2009, com o Programa Articuladores de Atenção Básica. O Programa representa uma política de apoio da SES-SP para os municípios, priorizando aqueles com população inferior a 100 mil habitantes, com o objetivo de auxiliar os gestores municipais na qualificação dos serviços de Atenção Básica e fortalecer esse nível de atenção no sistema público de saúde. Toma como objeto de trabalho o reconhecimento de prioridades de saúde locais e dos obstáculos para a melhoria da atenção à saúde, na construção conjunta de estratégias e alternativas de enfrentamento dos problemas identificados. Este artigo apresenta o processo de implantação desse Programa, bem como alguns resultados referentes às principais frentes de atuação desses profissionais na busca da qualificação da atenção básica no estado.

A questão da centralidade em São Paulo: o papel das associações de caráter empresarial

Dans cet article, nous envisageons traiter une série de questions concernant le contexte urbain de la ville de São Paulo. Notre objectif est d'identifier: a) comment s'organisent les principaux groupes privés en vue de situer le secteur tertiaire moderne; b) comment leur organisations font pression sur le pouvoir public afin d'obtenir des bénéfices d'infrastructure d'équipements urbains; c) quelles sont les réponses concrètes du pouvoir public; d) quels sont les principaux groupes sociaux, issus des classes populaires qui sont pourtant atteints par ce jeu d'intérêts.

Aspectos e impactos ambientais de pedreira em área urbana

O conceito de desempenho ambiental tem sido utilizado como forma para revelar as relações da empresa com o meio ambiente e com a sociedade, constituindo um parâmetro de análise da sua postura diante das questões sócio-ambientais. A avaliação dos aspectos e impactos ambientais gerados por determinada atividade é um instrumento da gestão ambiental, sendo aplicado, nesse trabalho, em uma pedreira de diabásio, na área de expansão urbana, no município de Campinas (SP). Foram avaliados os aspectos e impactos das etapas produtivas da pedreira e de suas instalações administrativas. Os impactos adversos mais significativos levantados foram a sobrepressão atmosférica e a vibração do terreno, causando desconforto à comunidade. Após tais levantamentos, algumas ações de melhoria foram implantadas pela empresa e resultaram na diminuição das reclamações por parte da comunidade; outras medidas, pró-ativas, devem ainda ser implementadas, principalmente aquelas voltadas para a prevenção de impactos negativos e a preservação do meio ambiente, além da recuperação da área degradada, como medida reativa.

Numerical chromosome polymorphism in Mikania cordifolia Willd. (Asteraceae)

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

Study of the genetic variability and similarity among and within Arachis villosulicarpa, A-pietrarellii and A-hypogaea through isoenzyme analysis

Arachis villosulicarpa is a perennial species cultivated for its soft and tasty seeds by indigenous inhabitants of the Mate Grosso State, Brazil. Besides A. hypogaea, this species is considered as the only species of Arachis which represents a valuable food source for human consumption. Due to the lack of knowledge concerning the genetic diversity of A. villosulicarpa, this study was conducted to evaluate the genetic variability of the accessions from the Germplasm Collection of CENARGEN/EMBRAPA (Brasilia, DF, Brazil) and Institute Agronomico (IAC, Campinas, SP, Brazil). In addition, the genetic similarity between A. villosulicarpa, the related wild species A. pietrarellii, and the cultivated peanut A. hypogaea cv. Tatu was evaluated. From the entire sample analyzed of A. villosulicarpa, the accession from Institute Agronomico showed the highest indices of diversity for both enzymatic systems analyzed, pointing this accession as a promising source of genetic variability that must be preserved in the Germplasm Bank. A high level of genetic similarity was observed between A. pietrarellii and A. villosulicarpa, supporting previous suggestions that A. pietrarellii could be the ancestral progenitor species of A. villosulicarpa or that both species originated from a common ancestor.

A PC compatible Brazilian software for obtaining thermal histories using apatite fission track analysis

In this work a software developed in the Instituto de Fisica Gleb Wataghin, IFGW, UNICAMP, Campinas, SP, Brazil for obtaining thermal histories using apatite fission track analysis is presented. This software works in Microsoft-Windows environment. It will be freely disposable in the web site of the Departamento de Raios Cosmicos, IFGW, UNICAMP. Thermal histories obtained through this software are compared with those deduced using Monte Trax the software compatible with Apple Macintosh developed by Gallagher. (C) 2001 Elsevier B.V. Ltd. All rights reserved.

Avaliação da sintomatologia afetiva e cognitiva de adolescentes epilépticos

The present work aimed to study the relationship between epileptic condition and psychological activity. The purpose of this investigation was to identify cognitive complaints and affective disturbs, like depressive disorders, and to compare both with epileptic condition. Forty epileptic adolescents, aged from 13 to 19 years old were analyzed. These patients were a consecutive series of males and females attending the Neuroepilepsy Center from the Universidade Estadual de Campinas, SP, and from lower social-economic background. The methodological procedures included specific questionnaires (a open and a assertive kind), and the Zung Self-rating Depression Scale. Cognitive alterations like thinking slowness or memorizing complaints in many patients, and affective disorders like depressive disturbs in 82.5% were the basic findings. The results also showed association between frequency of seizures and depressive disturbs; and between chronicity of epileptic condition and depressive disturbs. The discussion of these data suggests a relationship of epileptic condition with psychological reactions. We concluded that it is necessary to elevate the self-concept of these depressive patients in order to reduce their psychic suffering.

Attentional disorders in patients with complex partial epilepsy

A study of concentrated attention patterns in epileptic patients was conducted with the objectives: characterization of the patients' epileptic condition; assessment of the concentrated attention levels in epileptic and nonepileptic individuals; comparison of the attention levels of the two groups. An evaluation was performed of 50 adult outpatients with complex partial seizures and 20 non-epileptic individuals (comparative group) at the Neuroepilepsy Ambulatory Unit, State University of Campinas SP, Brazil. Method: characterization of seizure types, frequency and duration; concentrated attention assessment (Concentrated Attention Test - Toulouse-Piéron); comparison of the epileptic with non-epileptic individuals. Results: A statistically significant difference was observed between the groups with regard to Correct Response, Wrong Response and No Response. A difference was observed in relation to Time, but it was statistically insignificant. The epileptic patients presented inferior cognitive performance in relation to concentrated attention when compared with the non-epileptic individuals, findings compatible with the clinical complaints.

Influência do sistema de preparo e manejo de um latossolo vermelho nas suas propriedades físico-hídricas

The intensive use of the land for agricultural propose causes a series of modifications in attributes, which can take to soil degradation. In this context, the main goal of this research was to evaluate the influence of the soil tillage systems and management on its physical and hydric characteristics. The evaluations were carried out in July of 1999, at experimental plots of a Latossolo vermelho, a clay oxisoil, in the Faculdade de Engenharia Agrícola of the UNICAMP, at the county of Campinas, state of São Paulo. These plots were managed with the following treatments, along a period of eight years: no-tillage, chisel ploughing, conventional system with disk ploughing and revolving hoe. The evaluated physical and hydric parameters of the soil were: soil bulk density, particle density, total porosity, macro-porosity, micro-porosity, soil-water retention curve, hydraulic conductivity and basic infiltration. Significant differences were observed between the treatments on soil bulk density, infiltration, total porosity, macro-porosity and the micro-porosity. The chisel ploughing and no-tillage systems presented the higher values of soil bulk density; nevertheless in these conservationist systems were observed the higher values of basic infiltration.

Indicators of soil degradation in urban forests: Physical and chemical parameters

The fragmentation of forest habitats in urban areas has aroused increasing interest in recent years according to the growing environmental problems. The fragmentation of theses ecosystems is caused, in general, by the pressure of housing, agriculture and industry, causing losses in biodiversity and problems of soil degradation in the border areas of theses remnants. The establishment of indicators of soil degradation becomes essential for the implementation of conservation and reclamation. This study analyzes physical and chemical characteristics of soil under different forms of vegetation in the forest surrounding the Quilombo Forest, located in Campinas/SP - Brazil, and examines the possibility of using these indices as indicators of environmental degradation in urban remnants. The parameters analyzed were: specific weight natural (γn), specific weight of solids (γs) Ca, P, K, Mg, pH, organic matter, H + Al, Sum of Base (SB) Percent Base Saturation (V%), Cation Exchange Capacity (CEC). The study shows that in general the different forms of land used in the study area significantly changed (or according to) the physical aspects of soil The porosity and voids of the soil stood out as the best indicators of soil physical degradation in the layer 0-20 cm deep. In relation to chemical indices, the soil under the cultivation of cane sugar had a significantly higher pH, K, Ca, Mg and sum of bases. The areas of forest showed higher levels of phosphorus, organic matter and CEC, indicating the importance of maintaining vegetation and replacement for the cycling of organic matter.

Urban transport in Latin America: some considerations on its equity and efficiency

Includes bibliography

Predicción de ecuaciones para el porcentaje de grasa a partir de circunferencias corporales en niños pre-púberes

Introduction: The analysis of body composition through direct and indirect methods allows the study of the various components of the human body, becoming the central hub for assessing nutritional status. Objective: The objective of the study was to develop equations for predicting body fat% from circumferential body arm, waist and calf and propose percentiles to diagnose the nutritional status of school children of both sexes aged 4-10 years. Methods: We selected intentionally (non-probabilistic) 515 children, 261 children and 254 being girls belonging to Program interaction and development of children and adolescents from the State University of Campinas (Sao Paulo, Brazil). Anthropometric variables were evaluated for weight, height, triceps and subscapular skinfolds and body circumferences of arm, waist and calf, and the% fat determined by the equation proposed by Boileau, Lohman and Slaughter (1985). Through regression method 2 were generated equations to predict the percentage of fat from the body circumferences, the equations 1 and 2 were validated by cross validation method. Results: The equations showed high predictive values ranging with a R2 = 64-69%. In cross validation between the criterion and the regression equation proposed no significant difference (p > 0.05) and there was a high level of agreement to a 95% CI. Conclusion: It is concluded that the proposals are validated and shown as an alternative to assess the percentage of fat in school children of both sexes aged 4-10 years in the region of Campinas, SP (Brazil).

Avaliação da disponibilidade de boro em um latossolo de Mato Grosso/MT

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

As políticas neoliberais dos governos Covas e Alckmin (1995-2006) e o movimento sindical dos professores do ensino oficial do estado de São Paulo

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

Educação ambiental e educação infantil numa área de proteção ambiental: concepções e práticas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)