Avaliação da estratégia saúde da família na capital potiguar

This research aimed to evaluate the Family Health Strategy (FHS) in Natal, Rio Grande do Norte, through its managers, professionals and users, having as its support the Theory of Belief and the Cognitive-Behavioral Theory. This is a multimethod research and is divided into three sub-studies. In the first study, nine managers answered to a semi-structured interview, to verify the knowledge and beliefs on SUS; the quantitative data were analyzed with descriptive statistics with the aid of SPSS software and the qualitative data were submitted to lexical analysis with support of ALCESTE software. In the second study, we have a descriptive correlational research in which the antecedent variables are related to working conditions in the family health units (FHUs) and to the professionals‟ profile; the corresponding variables refer to the evaluations of the FHS; a stratified probabilistic sample with 475 professionals, who answered to two scales, both consisting of three factors: Physical infrastructure, Material resources, and Treatment effectiveness, and data were analyzed using descriptive, bivariate and multivariate statistics, with the aid of SPSS. The third study is a descriptive correlational research in which the antecedent variables refer to the treatment in the FHUs and to the users‟ profile, and the corresponding variables refer to the evaluations of the FHS, with a stratified non-probabilistic sample with 390 users, who contributed to the construction of a new scale with a factor, effectiveness in treatment, analyzed through descriptive, bivariate and multivariate statistics, with the aid of SPSS. The results showed problems which start from management, under the shape of admission due to political indication and lack of knowledge on SUS and the FHS; they pass through the low tenure of professionals and insufficient professional; and they end up spreading all over the analyzed items: infrastructure of FHUs, material resources, professionals‟ training, accessibility and referral system. One concludes that, despite following an ideal model, the FHS is in need of changes with regard to the barriers to its operational reality

Violência Sexual Infanto-Juvenil em Natal: uma avaliação do Programa Sentinela

Analyze the problem of sexual violence suffered by children and adolescents in the city of Natal / Rio Grande do Norte (RN), attended by the Programa Sentinela, a service aimed at combating sexual violence children and teenagers who serves on the council of Natal. Thus aims to review the implementation of the Programa Sentinela in Natal / RN, in the period 2001 to 2006, verifying that the program has contributed to the access of children and adolescents who are victims of abuse and sexual exploitation to fundamental rights under the Statute Children and adolescents (ECA) and the Local Plan and the National gainst Infanto-Youth Sexual Violence. It has a theoretical and methodological approach quantitative and qualitative, covering the issue of sexual violence against children and adolescents, as one of the expressions of economic relationships, gender, race and culture that make up the material and symbolic structure of society. It methodological procedure: review of literature on the subject and conducting interviews with professionals and families of children and adolescent victims of sexual violence. Investigate as the unit of analysis the Sentinel Program. The analysis on the governmental actions of this period on this social problem points to the continuity and little change in the care of victims of sexual violence: despite maintain features and palliative assistencialistas, favoring the "Network of Sexual Tourism", go through some innovations in terms of securing rights from the ECA, which is the need for transparency and democratization in the management of government policies. In research undertaken, Brazil will only be combating this type of crime when each of the social actors are actually doing their share, down taboos, facing corruption and strengthening a system of guarantee of rights, which target children and adolescents are unprotected, and often ignored by Brazilian society

Controlador de demanda e fator de potência de baixo custo para unidades consumidoras de energia elétrica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Limites e possibilidades do controle Social: um estudo a partir do conselho de acompanhamento e controle social do FUNDEB no município de Capitão Poço/PA.

Trata-se de estudo acerca do controle social dos recursos do Fundeb, realizado no município de Capitão Poço, região nordeste do Estado do Pará. A pesquisa objetivou analisar os limites e as possibilidades relativas à efetivação de controle social, por meio do Conselho de Acompanhamento e Controle Social do Fundeb no referido município. O estudo foi norteado pelo questionamento se as características e o funcionamento do Conselho de Acompanhamento e Controle Social do Fundeb, em âmbito municipal, o configuram como espaço ou esfera pública que possibilita a efetivação do controle social e o exercício da cidadania. Em relação à metodologia de pesquisa, adotou-se abordagem qualitativa, com estudo de caso instrumental desenvolvido mediante pesquisa de campo. A coleta de dados foi desenvolvida por meio de documentos, entrevistas e observação não participante. A análise foi desenvolvida tendo como referência a categoria central controle social do Fundeb, a partir dos seguintes temas ou subcategorias: esfera pública; composição e atuação do conselho; concentração de decisões; gestão patrimonialista. Os resultados mostraram que o conselho do Fundeb de Capitão Poço apresenta forte concentração das decisões no próprio Poder Executivo, inclusive com a organização do processo de escolha dos membros e que não representa efetivamente um espaço de interação entre Estado e sociedade. Também se observaram reflexos de gestão marcadamente patrimonialista, com destituição do conselho do Fundeb e nomeação de novos membros, sem o correspondente processo eleitoral, no início do mandato do chefe do Poder Executivo. A análise revelou ainda a existência de desarticulação dos conselheiros com suas bases; fragilidade na mobilização das entidades representadas; falta de informação e de capacitação dos conselheiros para o exercício do controle social; e ausência de fornecimento de relatórios mensais por parte do Poder Executivo, para fins de análise pelos integrantes do Conselho. Em síntese, a pesquisa revelou que o controle social do Fundeb em Capitão Poço ainda não se instalou efetivamente. O estudo de caso instrumental desenvolvido em Capitão Poço/PA permitiu inferências quanto à necessidade de desenvolver outros estudos relacionados à temática, como por exemplo: valorização dos profissionais da educação e controle social do Fundeb; institucionalização do controle social do Fundeb como imposição, sem participação social em nível local.

Brasil e Alemanha: modelos comparativos para as energias renováveis

Pós-graduação em Engenharia Mecânica - FEG

Estrutura e desempenho das agropecuárias em dois países emergentes: um estudo comparativo entre Brasil e China

The paper compares the evolution of the brasilian and chinese agriculture emphasizing the post II World War period. It tries to show the structural changes in the agriculture in both countries and characterizing the dynamics of them. For both countries, the effort of industrialization after 1945 meant to sacrify the agriculture to a second plan. In the 1970’ Brazil and China begin to modernize their agriculture and adjust it to new challangers put by the necessity of guarantee the food security. The paper concludes that, in spite of some present problems, both countries face adequately the defiance on their agriculture.

Auditoria em Saúde: justificativas de glosas no setor odontológico

Objective – To collecting data about the main explanations for glosses and demonstrating the percentage of production loss in the odontologic procedures. Methods – It is about an epidemiological study of historical series, retrospective and quantitative, based on the data collection of DATASUS information system and reports realized by the city of Aquidauana/MS audit system from 2001 to 2010. Results – The results show that in this period, 921.300 odontologic procedures were presented as production; being 223.226 (24,2%) individual procedures and 698.074 (75,8%) collective. There were 23.881 (2,6%) glosses, being 10.158 (42,5%) in the collective procedures and 13.723 (57,5%) in the individual ones. The main cause for glosses related to individual procedures was the repetition of procedures for the same patient and the same tooth (42,4%). In the collective activities, it was the non-accomplishment of the oral health collective program (68,9%). There was an increase of loss in the individual procedures going from less than 5% in the period of 2001 to 2007; to 5,8 % in 2008; 8,9% in 2009 and 14,1 % in 2010 and in the collective procedures the loss reached 4% in 2010. Conclusion – It was concluded that the most frequent cause of glosses explanation was the repetition of procedures for the same patient and the same tooth in the individual cases and the non-accomplishment of the oral health collective program in the collective activities. The importance of the audit system as a trust-worthy instrument for the managers in the planning and evaluation of health actions with the intention of guarantee the solution of the serv-ices provided.

Keweenaw National Historical Park: Heritage Partnerships in an Industrial Landscape

This dissertation examines the genesis and development of Keweenaw National Historical Park in Michigan's Upper Peninsula. After the decline of a once-thriving copper mining industry, local residents pursued the creation of a national park as a way to encourage economic development, revitalize their community, and preserve their historic resources. Although they were ultimately successful in creating a national park, the park that was established was not the park that they envisioned. Over the next twenty years, the National Park Service, the park's federal Advisory Commission, and the communities on the Keweenaw Peninsula struggled to align unrealistic expectations with the actual capabilities and limitations of the park. The first chapter of this dissertation includes a short history of the decline of the copper industry in and around the village of Calumet, Michigan. This chapter also includes a discussion about the techniques and challenges of preserving and interpreting industrial heritage. Chapters 2 and 3 cover the events from the initial park proposal, to the expansion of the original idea, to the establishment of the park. Chapter 4 includes an examination of the enabling legislation and a discussion about the opportunities and challenges it provided. Chapters 5 through 8 cover the tenure of each of the four NPS superintendents as they navigated the complexities presented by a park model that was part partnership park and part traditional national park. Chapter 9 includes some key lessons, an assessment of the park's success, and some considerations for the future. In particular, Chapter 9 argues for an increased focus on the partnership aspects of the park, a reduction in the perceived scope of responsibilities, and a renewed effort to rally the existing partners in pursuing additional philanthropic support for the overall park.

Unificación de los protocolos de multipunto fiable optimizando la escalabilidad y el retardo

Las aplicaciones distribuidas que precisan de un servicio multipunto fiable son muy numerosas, y entre otras es posible citar las siguientes: bases de datos distribuidas, sistemas operativos distribuidos, sistemas de simulación interactiva distribuida y aplicaciones de distribución de software, publicaciones o noticias. Aunque en sus orígenes el dominio de aplicación de tales sistemas distribuidos estaba reducido a una única subred (por ejemplo una Red de Área Local) posteriormente ha surgido la necesidad de ampliar su aplicabilidad a interredes. La aproximación tradicional al problema del multipunto fiable en interredes se ha basado principalmente en los dos siguientes puntos: (1) proporcionar en un mismo protocolo muchas garantías de servicio (por ejemplo fiabilidad, atomicidad y ordenación) y a su vez algunas de éstas en distintos grados, sin tener en cuenta que muchas aplicaciones multipunto que precisan fiabilidad no necesitan otras garantías; y (2) extender al entorno multipunto las soluciones ya adoptadas en el entorno punto a punto sin considerar las características diferenciadoras; y de aquí, que se haya tratado de resolver el problema de la fiabilidad multipunto con protocolos extremo a extremo (protocolos de transporte) y utilizando esquemas de recuperación de errores, centralizados (las retransmisiones se hacen desde un único punto, normalmente la fuente) y globales (los paquetes solicitados se vuelven a enviar al grupo completo). En general, estos planteamientos han dado como resultado protocolos que son ineficientes en tiempo de ejecución, tienen problemas de escalabilidad, no hacen un uso óptimo de los recursos de red y no son adecuados para aplicaciones sensibles al retardo. En esta Tesis se investiga el problema de la fiabilidad multipunto en interredes operando en modo datagrama y se presenta una forma novedosa de enfocar el problema: es más óptimo resolver el problema de la fiabilidad multipunto a nivel de red y separar la fiabilidad de otras garantías de servicio, que pueden ser proporcionadas por un protocolo de nivel superior o por la propia aplicación. Siguiendo este nuevo enfoque se ha diseñado un protocolo multipunto fiable que opera a nivel de red (denominado RMNP). Las características más representativas del RMNP son las siguientes; (1) sigue una aproximación orientada al emisor, lo cual permite lograr un grado muy alto de fiabilidad; (2) plantea un esquema de recuperación de errores distribuido (las retransmisiones se hacen desde ciertos encaminadores intermedios que siempre estarán más cercanos a los miembros que la propia fuente) y de ámbito restringido (el alcance de las retransmisiones está restringido a un cierto número de miembros). Este esquema hace posible optimizar el retardo medio de distribución y disminuir la sobrecarga introducida por las retransmisiones; (3) incorpora en ciertos encaminadores funciones de agregación y filtrado de paquetes de control, que evitan problemas de implosión y reducen el tráfico que fluye hacia la fuente. Con el fin de evaluar el comportamiento del protocolo diseñado, se han realizado pruebas de simulación obteniéndose como principales conclusiones que, el RMNP escala correctamente con el tamaño del grupo, hace un uso óptimo de los recursos de red y es adecuado para aplicaciones sensibles al retardo.---ABSTRACT---There are many distributed applications that require a reliable multicast service, including: distributed databases, distributed operating systems, distributed interactive simulation systems and distribution applications of software, publications or news. Although the application domain of distributed systems of this type was originally confíned to a single subnetwork (for example, a Local Área Network), it later became necessary extend their applicability to internetworks. The traditional approach to the reliable multicast problem in internetworks is based mainly on the following two points: (1) provide a lot of service guarantees in one and the same protocol (for example, reliability, atomicity and ordering) and different levéis of guarantee in some cases, without taking into account that many multicast applications that require reliability do not need other guarantees, and (2) extend solutions adopted in the unicast environment to the multicast environment without taking into account their distinctive characteristics. So, the attempted solutions to the multicast reliability problem were end-to-end protocols (transport protocols) and centralized error recovery schemata (retransmissions made from a single point, normally the source) and global error retrieval schemata (the requested packets are retransmitted to the whole group). Generally, these approaches have resulted in protocols that are inefficient in execution time, have scaling problems, do not make optimum use of network resources and are not suitable for delay-sensitive applications. Here, the multicast reliability problem is investigated in internetworks operating in datagram mode and a new way of approaching the problem is presented: it is better to solve to the multicast reliability problem at network level and sepárate reliability from other service guarantees that can be supplied by a higher protocol or the application itself. A reliable multicast protocol that operates at network level (called RMNP) has been designed on the basis of this new approach. The most representative characteristics of the RMNP are as follows: (1) it takes a transmitter-oriented approach, which provides for a very high reliability level; (2) it provides for an error retrieval schema that is distributed (the retransmissions are made from given intermedíate routers that will always be closer to the members than the source itself) and of restricted scope (the scope of the retransmissions is confined to a given number of members), and this schema makes it possible to optimize the mean distribution delay and reduce the overload caused by retransmissions; (3) some routers include control packet aggregation and filtering functions that prevent implosión problems and reduce the traffic flowing towards the source. Simulation test have been performed in order to evalúate the behaviour of the protocol designed. The main conclusions are that the RMNP scales correctly with group size, makes optimum use of network resources and is suitable for delay-sensitive applications.

X. Harvard College Papers, 1st series, Volume 10, 1821-1824, 1831

The tenth volume of College Papers contains original documents dating from 1821 to 1824, spanning the tenures of president John Thornton Kirkland and treasurer John Davis. Much of the volume consists of general administrative correspondence exchanged between Kirkland and Davis, as well as correspondence between Davis and Steward Stephen Higginson. It also contains a printed document from 1831, during the tenure of president Josiah Quincy.

X. Harvard College Papers, 1st series, Volume 10, 1821-1824, 1831

The tenth volume of College Papers contains original documents dating from 1821 to 1824, spanning the tenures of president John Thornton Kirkland and treasurer John Davis. Much of the volume consists of general administrative correspondence exchanged between Kirkland and Davis, as well as correspondence between Davis and Steward Stephen Higginson. It also contains a printed document from 1831, during the tenure of president Josiah Quincy.

Time for the ECB to bite the bullet. CEPS Commentary, 19 January 2015

This Commentary summarises the main reasons why the ECB can no longer delay launching a massive bond-buying programme, also including sovereigns of eurozone member countries, and why such interventions will indeed be effective in raising inflation, thus restoring the ECB’s credibility and spurring economic activity. A credible programme must continue either until an explicit inflation target has been achieved or the ECB balance sheet has reached the €2 trillion target already announced by the ECB’s Governing Council. Regardless of how such interventions will be undertaken, they will reduce interest-rate spreads between eurozone markets, but it is nevertheless important that the ECB designs its operations so as to avoid any implication of direct support or deficit financing facilitation for the eurozone’s most indebted countries. Finally, some kind of guarantee against first losses by the ECB on its sovereign bonds may be appropriate, while entrusting open market operations to each national central bank for their own sovereigns could threaten the very survival of monetary union.

Resolução em tomografia de tempo de trânsito poço-a-poço: a dependência da iluminação

The key aspect limiting resolution in crosswell traveltime tomography is illumination, a well known result but not as well exemplified. Resolution in the 2D case is revisited using a simple geometric approach based on the angular aperture distribution and the Radon Transform properties. Analitically it is shown that if an interface has dips contained in the angular aperture limits in all points, it is correctly imaged in the tomogram. By inversion of synthetic data this result is confirmed and it is also evidenced that isolated artifacts might be present when the dip is near the illumination limit. In the inverse sense, however, if an interface is interpretable from a tomogram, even an aproximately horizontal interface, there is no guarantee that it corresponds to a true interface. Similarly, if a body is present in the interwell region it is diffusely imaged in the tomogram, but its interfaces - particularly vertical edges - can not be resolved and additional artifacts might be present. Again, in the inverse sense, there is no guarantee that an isolated anomaly corresponds to a true anomalous body because this anomaly can also be an artifact. Jointly, these results state the dilemma of ill-posed inverse problems: absence of guarantee of correspondence to the true distribution. The limitations due to illumination may not be solved by the use of mathematical constraints. It is shown that crosswell tomograms derived by the use of sparsity constraints, using both Discrete Cosine Transform and Daubechies bases, basically reproduces the same features seen in tomograms obtained with the classic smoothness constraint. Interpretation must be done always taking in consideration the a priori information and the particular limitations due to illumination. An example of interpreting a real data survey in this context is also presented.

Resolução em tomografia de tempo de trânsito poço-a-poço: a dependência da iluminação

The key aspect limiting resolution in crosswell traveltime tomography is illumination, a well known result but not as well exemplified. Resolution in the 2D case is revisited using a simple geometric approach based on the angular aperture distribution and the Radon Transform properties. Analitically it is shown that if an interface has dips contained in the angular aperture limits in all points, it is correctly imaged in the tomogram. By inversion of synthetic data this result is confirmed and it is also evidenced that isolated artifacts might be present when the dip is near the illumination limit. In the inverse sense, however, if an interface is interpretable from a tomogram, even an aproximately horizontal interface, there is no guarantee that it corresponds to a true interface. Similarly, if a body is present in the interwell region it is diffusely imaged in the tomogram, but its interfaces - particularly vertical edges - can not be resolved and additional artifacts might be present. Again, in the inverse sense, there is no guarantee that an isolated anomaly corresponds to a true anomalous body because this anomaly can also be an artifact. Jointly, these results state the dilemma of ill-posed inverse problems: absence of guarantee of correspondence to the true distribution. The limitations due to illumination may not be solved by the use of mathematical constraints. It is shown that crosswell tomograms derived by the use of sparsity constraints, using both Discrete Cosine Transform and Daubechies bases, basically reproduces the same features seen in tomograms obtained with the classic smoothness constraint. Interpretation must be done always taking in consideration the a priori information and the particular limitations due to illumination. An example of interpreting a real data survey in this context is also presented.

Preferred semantics as Socratic discussion

Funding For M.C., the major part of the work on this article was carried out while he was affiliated with the Interdisciplinary Centre for Security, Reliability and Trust at the University of Luxembourg. His research was supported by the National Research Fund, Luxembourg (LAAMI project), as well as by the Engineering and Physical Sciences Research Council (EPSRC, UK), grant ref. EP/J012084/1 (SAsSY project). For S.V., the major part of the work on this article was carried out while he was affiliated with the Computer Science and Communication Research Unit at the University of Luxembourg. He worked on this article during the tenure of an ERCIM Alain Bensoussan Fellowship Programme, which is supported by the Marie Curie Co-funding of Regional, National and International Programmes (COFUND) of the European Commission. During this time, he was also funded by the National Research Fund, Luxembourg. When finishing the work on this article, he was a CRNS researcher affiliated with CRIL