Agentes comunitários de saúde e os desafios da educação permanente: reflexões sobre a experiência do Programa Telessaúde Brasil Núcleo Rio de Janeiro

Este estudo traz uma reflexão sobre os desafios de educação permanente dos Agentes comunitários de Saúde inseridos no projeto Telessaúde/Rio de Janeiro. Temos como objetivo geral discutir o processo de educação permanente desses colaboradores inseridos no Projeto Telessaúde, Núcleo Rio de Janeiro, ressaltando os usos reais e potenciais das ferramentas da educação à distância, na perspectiva da educação crítica. Os objetivos específicos são: descrever o perfil demográfico de utilização de ferramentas de educação permanente a distância de Agente comunitário de saúde (ACS) do Estado do Rio de Janeiro inseridos no Telessaúde RJ, segundo as regiões administrativas do Rio de Janeiro; descrever e analisar a participação dos ACS no Telessaúde RJ durante o ano de 2009 nas atividades de teleconferências; discutir, com base na participação dos ACS no Telessaúde RJ, o papel da mediação da internet e das ferramentas do Telessaúde RJ no seu trabalho, na perspectiva pedagógica crítica. A metodologia utilizada é quali-quantitativa, no intuito de descrever, quantificar e classificar os dados em relação aos ACS que estão inseridos no Telessaúde. A coleta de dados se deu a partir de um relatório das oficinas presenciais e da análise de 100 formulários preenchidos pelos ACS nos workshops realizados nas regiões administrativas do Rio de Janeiro e no registro de teleconferências. Resultados: o relatório das oficinas nos mostrou que os ACS vêem no Telessaúde não só um espaço para troca de experiências, mas também para a educação permanente em serviço. Foi evidenciando na análise dos formulários, que a faixa etária na amostra de 100 dos ACS é de 23 a 38 anos com 59 ACS. Além disso, observou-se que os ACS utilizam a internet diariamente, com predominância do vinculo empregatício por CLT, acessam SIAB e DATASUS com frequência, realizam trabalho multidisciplinar com médicos e enfermeiros, propõem temas para capacitações pelo Telessaúde, em relação à assistência às teleconferências de 555 ACS no ano de 2009. Concluímos que a inserção do ACS no Telessaúde, com vistas à educação permanente, é uma real possibilidade e o estudo nos mostrou que eles vêem esta proposta do Ministério da Saúde como inovadora e viável.

Aspects of the washout of salmonid eggs. 1. Observations on the physical characteristics of real and artificial eggs, their rate of fall in a water column and their pattern of settlement in an experimental channel

When salmonid redds are disrupted by spates, the displaced eggs will drift downstream. The mean distance of travel, the types of locations in which the eggs resettle and the depth of reburial of displaced eggs are not known. Investigation of these topics under field conditions presents considerable practical problems, though the use of artificial eggs might help to overcome some of them. Attempts to assess the similarities and/or differences in performance between real and artificial eggs are essential before artificial eggs can validly be used to simulate real eggs. The present report first compares the two types of egg in terms of their measurable physical characteristics (e.g. dimensions and density). The rate at which eggs fall in still water will relate to the rate at which they are likely to resettle in flowing water in the field. As the rate of fall will be influenced by a number of additional factors (e.g. shape and surface texture) which are not easily measured directly, the rates of fall of the two types of egg have been compared directly under controlled conditions. Finally, comparisons of the pattern of settlement of the two types of egg in flowing water in an experimental channel have been made. Although the work was primarily aimed at testing the value of artificial eggs as a simulation of real eggs, several side issues more directly concerned with the properties of real eggs and the likely distance of drift in natural streams have also been explored. This is the first of three reports made on this topic by the author in 1984.

Aspects of the washout of salmonid eggs. 3. Observations on the settlement of artifical eggs in a section of natural stream channel at several different discharges

It is of value to know the approximate distance of travel at different stream discharges and/or water velocities, of salmonid eggs which have been displaced from redds by spates. This report describes studies in 20 m of stream channel upstream of the fish trap in Dubby Sike. Observations were made on the relation- ships between discharge and water depth and velocity and also on the relationships between water velocity and the settlement of artificial trout eggs. The main aim was to test the hypothesis that, at any given water velocity, eggs would drift smaller distances in a natural stream than in the experimental channels.

The geochronology of the plutonic and metamorphic rocks of New Zealand

Extensive Rubidium-Strontium age determinations on both mineral and total rock samples of the crystalline rocks of New Zealand, which almost solely crop out in the South Island, indicate widespread plutonic and metamorphic activity occurred during two periods, one about 100-118 million years ago and the other about 340-370 million years ago. The former results date the Rangitata Orogeny as Cretaceous. They associate extensive plutonic activity with this orogeny which uplifted and metamorphosed the rocks of the New Zealand Geosyncline, although no field association between the metamorphosed geosynclinal rocks and plutonic rocks has been found. The Cretaceous plutonic rocks occur to the west in the Foreland Province in Fiordland, Nelson, and Westland, geographically separated from the Geosynclinal Province. Because of this synchronous timing of plutonic and high pressure metamorphic activity in spatially separated belts, the Rangitata Orogeny in New Zealand is very similar to late Mesozoic orogenic activity in many other areas of the circum-Pacific margin (Miyashiro, 1961).

The 340-370 million year rocks, both plutonic and metamorphic, have been found only in that part of the Foreland Province north of the Alpine Fault. There, they are concentrated along the west coast over a distance of 500 km, and appear scattered inland from the coast. Probably this activity marks the outstanding Phanerozoic stratigraphic gap in New Zealand which occurred after the Lower Devonian.

A few crystalline rocks in the Foreland Province north of the Alpine Fault with measured ages intermediate between 340 and 120 million years have been found. Of these, those with more than one mineral examined give discordant results. All of these rocks are tentatively regarded as 340-370 million year old rocks that have been variously disturbed during the Rangitata Orogeny, 100-120 million years ago.

In addition to these two periods, plutonic activity, dominantly basic and ultrabasic, but including the development of some rocks of intermediate and acidic composition, occurred along the margin of the Geosynclinal Province at its border with the Foreland Province during Permian times about 245 million years ago, and this activity possibly extended into the Mesozoic.

Evidence from rubidium-strontium analyses of minerals and a total rock, and from uranium, thorium, and lead analyses of uniform euhedral zircons from a meta-igneous portion of the Charleston Gneiss, previously mapped as Precambrian, indicate that this rock is a 350-370 million year old plutonic rock metamorphosed 100 million yea rs ago during the Rangitata Orogeny. No crystalline rocks with primary Precambrian ages have been found in New Zealand. However, Pb²⁰⁷/Pb₂₀₆ ages of 1360 million years and 1370 million years have been determined for rounded detrital zircons separated from each of two hornfels samples of one of New Zealand's olde st sedimentary units, the Greenland Series. These two samples were metamorphosed 345- 370 million years ago. They occur along the west coast, north of the Alpine Fault, at Waitaha River and Moeraki River, separated by 135 km. The Precambrian measured ages are most likely minimum ages for the oldest source area which provided the detrital zircons because the uranium, thorium and lead data are highly discordant. These results are of fundamental importance for the tectonic picture of the Southwest Pacific margin and demonstrate the existence of relatively old continental crust of some lateral extent in the neighborhood of New Zealand.

Phase interpretation for polarization-dependent near-field images of high-density gratings

It has been described that the near-field images of a high-density grating at the half self-imaging distance could be different for TE and TM polarization states. We propose that the phases of the diffraction orders play an important role in such polarization dependence. The view is verified through the coincidence of the numerical result of finite-difference time-domain method and the reconstructed results from the rigorous coupled-wave analysis. Field distributions of TE and TM polarizations are given numerically for a grating with period d = 2.3 lambda, which are verified through experiments with the scanning near-field optical microscopy technique. The concept of phase interpretation not only explains the polarization dependence at the half self-imaging distance of gratings with a physical view, but also, it could be widely used to describe the near-field diffraction of a variety of periodic diffractive optical elements whose feature size comparable to the wavelength. (C) 2008 Elsevier B.V. All rights reserved.

Optical near-field simulation of Sb thin film thermal lens and its application in optical recording

Using the finite-difference-time-domain method, the near-field optical distribution and properties of Sb thin film thermal lens are calculated and simulated. The results show as follows. Within the near-field distance to the output plane of thermal lens, the spot size is approximately 100 nm, and its intensity is greatly enhanced, which is higher than that of incident light. The spot shape gradually changes from ellipse to round at the distance of more than 12 nm to the output plane. The above-simulated results are further demonstrated by the static optical recording experiment. (C) 2005 American Institute of Physics.

An analysis of salmon rod catch data from castle fisheries, River Derwent, 1923-1989.

The aim of this study was to investigate the historical catch record from the Castle Fishery on the River Derwent over the period 1923 - 1989, to determine if changes had taken place in the composition of the catch and to examine the influence of flow on the performance of the fishery. The River Derwent is situated in West Cumbria, North West England. It flows from its source on Scafell Pike (NGR NY 229 089) westwards discharging into the Irish sea at Workington, a distance of 52 km. Over its length it receives water from an additional 214 km of stream, 5 large lakes and approximately 30 small tarns. The catchment drains a total area of 663 km2. The study concludes that through the time period there was considerable variation in catch between years. The trend was for the catch to increase steadily over the period 1923 - 1958, declining rapidly in 1959, after which catches increased steadily reaching a peak in the mid-sixties, before declining towards the end of the decade. During the seventies and eighties catches remained relatively stable at between 300 - 600 salmon per year until 1988 when over 2000 salmon were reported caught, the greatest number in any year over the study period.

Thickness dependence of structure and optical properties of silver films deposited by magnetron sputtering

A series of silver films with different thickness were prepared under identical conditions by direct current magnetron sputtering. The optical properties of the silver films were measured using spectrophotometric techniques and the optical constants were calculated from reflection and transmission measurements made at near normal incidence. The results show that the optical properties and constants are affected by films' thickness. Below the critical thickness of 17 nm at which Ag film forms a continuous film, the optical properties and constants vary significantly as the thickness of films increases and then tends to a stable value which is reached at 41 nm. X-ray diffraction measurements were carried out to examine the structure and stress evolution of the Ag films as a function of films' thickness. It was found that the interplanar distance of (111) orientation decreases when the film thickness increases and tends to be close to that of bulk material. The compressive strains also decrease with increasing thickness. (C) 2007 Published by Elsevier B.V.

Acessibilidade para surdos, na cibercultura: os cotidianos nas redes e na educação superior online

No atual cenário sóciotécnico, com a expansão das tecnologias digitais em rede, novos espaçostempos culturais estão se formando. A cibercultura tem possibilitado, e potencializado, lógicas outras de valorização e participação dos indivíduos que, agora podem, sobretudo, produzir conteúdos e informações. Neste contexto, os surdos estão se apropriando e habitando os diferentes ambientes da internet. Mesmo nos espaços que não tenham sido pensados e preparados para o acesso dos internautas surdos, eles estão lançando mão de suas táticas de praticantes e estão se autorizando nas redes. Isso tem favorecido a inclusão de pessoas com deficiência nas mais diversas áreas, dentre elas, a educação superior. Em consonância com os princípios da educação inclusiva, a legislação brasileira assegura o direito dos estudantes surdos de receber instrução em sua primeira língua, e prevê que sejam garantidas as condições adequadas de ensino, inclusive no ensino superior, presencial ou à distância. Considerando a diversidade dentrofora da escola, e tendo em vista que o acesso à educação, informação e comunicação é um direito inerente a todos; abordamos em nossa pesquisa os aspectos legais, tecnológicos e pedagógicos envolvidos em nossa busca por garantir acessibilidade à educação superior online para um estudante surdo. Tendo como pressupostos a abordagem multirreferencial (Ardoino), da pesquisa-formação (Macedo, Santos, Josso) e as pesquisas nos/dos/com os cotidianos (Certeau, Alves, Oliveira), nossa pesquisa aborda os princípios de acessibilidade e usabilidade na web (Ferreira e Nunes), bem como nos ambientes virtuais de aprendizagem. Acompanhamos, ao longo de dois semestres letivos, um estudante surdo, e com baixa visão, matriculado no curso de Pedagogia à Distância da Faculdade de Educação da Universidade do Estado do Rio de Janeiro (UERJ), em parceria com o Consórcio Cederj. Nossa pesquisa procurou responder, dentre outras questões: Como tornar acessível, para os surdos, um curso de graduação à distância? Quais são as adaptações que o Cederj já garante aos estudantes surdos? Quais são as adaptações necessárias para se promover a inclusão efetiva das pessoas surdas nos ambientes virtuais de aprendizagem, ultrapassando a mera tradução de materiais didáticos e promovendo Educação online? Como resultados, apresentamos os principais obstáculos à efetiva inclusão desse estudante; suas táticas e usos para transpor as barreiras encontradas; além de sugestões de interfaces online, conteúdos e situações de aprendizagem para desenho didático acessíveis nos ambientes virtuais de aprendizagem.

Travel Characteristics of Marine Anglers Using Oil and Gas Platforms in the Central Gulf of Mexico

This study was designed to evaluate the travel characteristics of avid marine anglers off Louisiana in the Central Gulf of Mexico. It focuses on the complex marine travel patterns involving the extensive assemblage of oil and gas structures. In an intercept approach, marine recreationalf isherman were asked to identify near and offshore travel patterns on the day of the interview. Information was also solicited regarding how respondents selected and located fishing destinations as well as what method of fishing was undertaken that day. Petroleum platforms were a principal fishing destination, and platform anglers traveled an average distance of 75.5 km (40.7 n.mi.) to and from offshore fishing locations. In fishing an average of 6.5 platforms per trip, these anglers traveled about 21.3 km (11.5 n.mi.) between the first and last platform visited. Mean total distances for platform anglers were 96 km (51.8 n.mi). Travel distances for bay, nearshore, and bluewater anglers were also obtained.

Individual growth rates and movement of juvenile white shrimp (Litopenaeus setiferus) in a tidal marsh nursery

We measured growth and movements of individually marked free-ranging juvenile white shrimp (Litopenaeus setiferus) in tidal creek subsystems of the Duplin River, Sapelo Island, Georgia. Over a period of two years, 15,974 juvenile shrimp (40−80 mm TL) were marked internally with uniquely coded microwire tags and released in the shallow upper reaches of four salt marsh tidal creeks. Subsequent samples were taken every 3−6 days from channel segments arranged at 200-m intervals along transects extending from the upper to lower reach of each tidal creek. These collections included 201,384 juvenile shrimp, of which 184 were marked recaptures. Recaptured shrimp were at large an average of 3−4 weeks (range: 2−99 days) and were recovered a mean distance of <0.4 km from where they were initially marked. Mean residence times in the creek subsystems ranged from 15.2 to 25.5 days and were estimated from exponential decay functions describing the proportions of marked individuals recaptured with increasing days at large. Residence time was not significantly correlated with creek length (Pearson=−0.316, P=0.684 ), but there was suggestive evidence of positive associations with either intertidal (Pearson r=0.867, P=0.133) or subtidal (Pearson r=0.946, P=0.054) drainage area. Daily mean specific growth rates averaged 0.009 to 0.013 among creeks; mean absolute growth rates ranged from 0.56−0.84 mm/d, and were lower than those previously reported for juvenile penaeids in estuaries of the southeastern United States. Mean individual growth rates were not significantly different between years (t-test, P>0.30) but varied significantly during the season, tending to be greater in July than November. Growth rates were size-dependent, and temporal changes in size distributions rather than temporal variation in physical environmental factors may have accounted for seasonal differences in growth. Growth rates differed between creeks in 1999 (t-test, P<0.015), but not in 1998 (t-test, P>0.5). We suggest that spatial variation in landscape structure associated with access to intertidal resources may have accounted for this apparent interannual difference in growth response.

The relative value of different estuarine nursery areas in North Carolina for transient juvenile marine fishes

Offshore winter-spawned fishes dominate the nekton of south-eastern United States estuaries. Their juveniles reside for several months in shallow, soft bottom estuarine creeks and bays called primary nursery areas. Despite similarity in many nursery characteristics, there is, between and within species, variability in the occupation of these habitats. Whether all occupied habitats are equally valuable to individuals of the same species or whether most recruiting juveniles end up in the best habitats is not known. If nursery quality varies, then factors controlling variation in pre-settlement fish distribution are important to year-class success. If nursery areas have similar values, interannual variation in distribution across nursery creeks should have less effect on population sizes or production. I used early nursery period age-specific growth and mortality rates of spot (Leiostomus xanthurus) and Atlantic croaker (Micropogonias undulatus)—two dominant estuarine fishes—to assess relative habitat quality across a wide variety of nursery conditions, assuming that fish growth and mortality rates were direct reflections of overall physical and biological conditions in the nurseries. I tested the hypothesis that habitat quality varies for these fishes by comparing growth and mortality rates and distribution patterns across a wide range of typical nursery habitats at extreme ends of two systems. Juvenile spot and Atlantic croaker were collected from 10 creeks in the Cape Fear River estuary and from 18 creeks in the Pamlico Sound system, North Carolina, during the 1987 recruitment season (mid-March–mid-June). Sampled creeks were similar in size, depth, and substrates but varied in salinities, tidal regimes, and distances from inlets. Spot was widely distributed among all the estuarine creeks, but was least abundant in the creeks in middle reaches of both systems. Atlantic croaker occurred in the greatest abundance in oligohaline creeks of both systems. Instantaneous growth rates derived from daily otolith ages were generally similar for all creeks and for both species, except that spot exhibited a short-term growth depression in the upriver Pamlico system creeks—perhaps the result of the long migration distance of this species to this area. Spot and Atlantic croaker from upriver oligohaline creeks exhibited lower mortality rates than fish from downstream polyhaline creeks. These results indicated that even though growth was similar at the ends of the estuaries, the upstream habitats provided conditions that may optimize fitness through improved survival.

A case study of the disappearance of Arius tenuispinis (marine catfish) in the vicinity of Visakhapatnam due to mechanised fishing

Visakhapatnam is on the eastern sea board of India (17 degree 40' N and 83 degree 15' E) having a continental shelf of 45 km width which is provided with a polychaete rich, silty clay sea floor to a distance of 15 km and beyond, from the shore. Repeated trawling by a large number of trawlers over an area of 900 sq.km (30 x 30) resulted in the hardening of the substratum to the extent of making it uninhabitable to the polychaetes and polychaete feeding fish. The shoaling and strictly demersal marine catfish, Arius tenuispinis, which is a prolific polychaete feeder on the fishing grounds off Visakhapatnam, has been on the decline since 1979. The catch rate of fish dropped from 9.7 kg/boat per day in 1979 to 2.6 kg by 1985-86. In the bottomset gillnets, the catch per net dwindled from 4.4 kg in 1973 to 0.04 kg by 1985-86. The species has virtually disappeared from the fishing grounds off Visakhapatnam and further north, as a results of the cumulative effect of overfishing with trawlnets and bottomset gillnets. It is further aggravated by the hardening of the sea floor on these grounds due to repeated trawling over a narrow zone.

A case study on the impact of industrial effluent disposal on the fishery of Amba River estuary, Maharashtra

The impact of waste discharge on fishery resources is a matter of great concern. The accepted norm in all environmental impact assessment studies is to avoid areas of high fishery potential while locating a marine outfall. Contemplating on this aspect a case study was conducted in the Amba River estuary before and after the establishment of a petrochemical complex at Nagothane. The treated wastewater from this complex is released through a subsurface outfall after adopting effective control measures for marine disposal of waste. Experimental trawling was done at five locations covering a distance of 30 km during 1990 to 1991. The catch rate within the estuary varied from 0.6 to 255 kg/h (av 24 kg/h). The trend indicated considerable decrease in fishery potential from the mouth of the estuary (av 64 kg/h) to the upstream location (av 11 kg/h). A total of 49 species of fishes, 16 species of prawns, 7 species of crabs and 1 species of lobster were identified from the collections. Number of species gradually increased from the interior segment at Dharamtar (8) to the outer area near Revas (18). A comparison of the quantitative and qualitative nature of the post outfall and pre outfall data revealed only marginal difference. The study indicates that if necessary precautions are taken to render the waste harmless the marine ecology will hardly be affected.

Modified water spray chumming system for pole and line fishing of tuna

A water spray chumming system consisting of a 65 x 50 mm centrifugal pump driven by the propulsion engine through a PTO clutch and 'V' pulley power transmission system has been developed for the pole and line fishing of tuna. Water is sprayed through pipe loop system fitted on the edge of the fishing platform of the boat through small holes. The distance of the spray length can be adjusted by controlling the flow of the pump discharge water through a wheel valve.