Suporte ao uso de álcool e drogas na atenção primária: um estudo com equipes de Natal/RN

National surveys indicate that 6.8 % of the brazilian population is dependent on alcohol and 1 % dependent on illicit drugs, representing a significant portion of the population affected by this issue . Primary Care becomes instrumental in expanding the coverage of this demand and in reducing unnecessary referrals for specialized care. This study aimed to investigate the responsiveness and institutional support of Primary Care Teams in relation to the demands of alcohol and drugs users. The research was conducted in a Family Health Unit in West Sanitary District of Natal City. With quantitative and qualitative nature, our study consisted of two stages. At first, we performed a mapping of alcohol and other drugs abusive use in a sample of the population assisted by Family Heath Teams, using sociodemographic questionnaire and ASSIST (Alcohol, Smoking and Substance Involvement Screening Test). 406 questionnaires were completed. Of these questionnaires, 27.8% are men and 72.2% women, of which 56% are between 20 and 39 years-old, they are housewives, have a stable relationship and are consumers of tobacco (37.6%), marijuana (13%) and especially alcohol (57%). In second stage, two Conversation Circles with Family Health Teams and the referential Family Health Support Center were formed to discuss the data of the mapping realized in the previous phase. The circles, which had participation of 20 of the 37 professional teams from Family Health and 2 from Family Health Support Center, showed a lack of professional training in the subject; inability of the healthcare network in the user embracement; belief of professionals that nothing can be done when matter is alcohol and drugs; and referencing as the only care action performed by teams. Thus we point out the need to support an approach on issues of alcohol and drugs which consider gender issues, investing in Harm Reduction Policy as a possibility of working in this context for recognizing each user in their uniqueness and strategizing with them to promote health in a broad and contextualized way

Criação de empresas à luz do modelo de decisão effectuation: um estudo com mulheres empreendedoras no município de Currais Novos/RN

This study analysed the creation of businesses by entrepreneur women in the Currais Novos city, looking for verifying if they used making decision processes aligned to the Effectuation logic throughout the creation of their companies. To this, was accomplished a multiple cases and exploratory study, whit a qualitative approach of analyse, using the thematic life history technique that match accounts and semi-structured interview route, being accomplished like a long interview, where the researcher interact with the informer continuously. The semi-structured interview route was created by the adaptation of the interview route used by Tasic (2007). The present study appealed to a intentional selection of individuals in function of their importance in relation to the boarded theme. This means that the individuals were chosen in function of their social and theoretical representatively inside the considered situation. The participant individuals of this research were five entrepreneur women that act in the Currais Novos city, owners of five different companies. To the data treatment and analyse, was chosen the content analyse technique. This study worked with a priori theoretical categories. The categories of analyse in this study was obtained with base in the Effectuation approach (SARASVATHY, 2001a, 2001b, 2008), that is an alternative model of making decision to the classic model based in the causality principle. These categories are Clarity of Initial Aims , Tolerance to the Lost and Initials Investments , Control of Resources ( who I am , what I know and who I know ) and Promoting Over Contingencies . As result, the entrepreneur women researched, in a general way, hadn t clear initial aims at the companies creation moment, hadn t aversion to the risk to lose the time and the money that they were investing in the company in formation, they highlighted the products and services identity that offered with a strong link with Seridó region, they had experience in the field of activity in which they decided to open their companies, had the commitment of partners in the beginning of the business and they knew to transform the initial difficulties in opportunities. By the end, this study conclude that the entrepreneur women studied used, in a big part, making decision processes aligned to the Effectuation logic throughout the creation of their companies

Mortalidade infantil em município do interior do estado de São Paulo

Considerando que a mortalidade infantil é indicador dos níveis de saúde da população, realizamos este trabalho, cujo objetivo foi identificar as causas de mortalidade infantil no ano de 1998 em Botucatu. O coeficiente de mortalidade infantil obtido foi 12/1000 NV, com maior participação dos óbitos neonatais - 8,3/1000 NV A maior parte dos óbitos foi classificada como reduzível ou parcialmente reduzível, mas a atenção necessária para viabilizar tal redução foi variada. Dos óbitos ocorridos, 21,7% eram inevitáveis, evidenciando que para redução dos índices de mortalidade infantil deveremos continuar investindo na qualidade da assistência à saúde e melhoria das condições de vida da população.

Caring for organ donors: the intensive care unit physicians' view

This study examined the meanings that the intensive care unit (ICU) physicians attribute to their practice when caring for brain-dead organ donors. It is a phenomenological study, a qualitative method that searches for describing and understanding the experiences lived. Data were collected through recorded individual interviews made with 10 ICU physicians who work in a university hospital in the interior of São Paulo, Brazil. Three categories emerged from data: (1) providing care for brain-dead organ donors; (2) relating to donors and their families; and (3) the ethical concerns and self-awareness of the physicians. There is consensus as to-many aspects: demand of technical qualification and excellence in practice; need of investing in technology of organ transplant; and donors seen as human beings and holders of human rights. Participants understand that family participation is decisive in the donation process, although interactions between the family members and the physicians are difficult because of the sensitive nature of the situation. The physicians often felt ill-prepared to openly discuss the topic of brain death and organ donation. Educational programs for physicians and family members may assist with this difficult process.

The Effect of Coating Patterns with Spinel-Based Investment on the Castability and Porosity of Titanium Cast into Three Phosphate-Bonded Investments

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

IMPROVEMENT TO THE MARGINAL COPING FIT of COMMERCIALLY PURE TITANIUM CAST IN PHOSPHATE-BONDED INVESTMENT BY USING A SIMPLE PATTERN COATING TECHNIQUE

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

Estrutura do pericarpo e da semente de Astronium graveolens Jacq. (Anacardiaceae) com notas taxonômicas

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

Gestão ambiental: uma súplica do planeta, um desafio para políticas públicas, incubadoras e pequenas empresas

O texto traz uma reflexão sobre o papel das incubadoras de empresas no apoio a práticas ambientais por micro e pequenas empresas. Reconhecendo as debilidades estruturais das empresas de pequeno porte e as dificuldades para a realização de investimentos ambientais, defende o uso de incubadoras como instrumento de política pública para estimular investimentos ambientais. Identifica um número restrito de incubadoras de tecnologias ambientais, em plano internacional. Relata os resultados de uma pesquisa que avaliou a aplicabilidade de um indicador para apurar o desempenho ambiental de incubadoras. Destacaram-se dois resultados: a) a baixa importância atribuída, pelas incubadoras (e pelas empresas abrigadas) ao desempenho ambiental; e b) a ausência de estímulos, pelas incubadoras, aos investimentos ambientais. Desse último resultado deriva importante conclusão: a de que, uma vez apurados os padrões insatisfatórios de desempenho ambiental, de incubadoras e empresas assistidas, ficariam criadas as condições para a formulação e a implementação de medidas indutoras de novas posturas.

Exposição ao ruído ocupacional como fator de risco para acidentes do trabalho

OBJETIVO: Verificar se a exposição ocupacional ao ruído é fator de risco relevante para acidentes do trabalho. MÉTODOS: Estudo de caso-controle de base populacional. Os dados foram coletados entre 16/5/2002 e 15/10/2002, na cidade de Botucatu, Estado de São Paulo. Os casos foram definidos como trabalhadores que sofreram acidentes ocupacionais típicos nos últimos 90 dias, identificados por intermédio de amostragem aleatória sistemática de domicílios residenciais. Os controles foram trabalhadores não acidentados, aleatoriamente alocados a partir da mesma população que originou os casos, emparelhados na razão 3:1 segundo sexo, faixa etária e setor censitário de moradia. Ajustou-se um modelo de regressão logística múltipla, tendo como variável independente a exposição ocupacional ao ruído, controlada por covariáveis de interesse. RESULTADOS: Foram analisados 94 casos e 282 controles. Ajustando-se um modelo de regressão logística condicional múltipla observou-se que trabalhar sempre e às vezes exposto a ruído intenso associou-se a um risco relativo de acidentar-se de 5,0 (IC 95%: 2,8-8,7; p<0,001) e 3,7 (IC 95%: 1,8-7,4; p=0,0003), respectivamente, tendo como referência trabalhar não exposto a ruído, controlado para diversas covariáveis. CONCLUSÕES: Com base nos resultados encontrados, justifica-se o investimento em programas de conservação auditiva particularmente voltados para o controle da emissão de ruídos na fonte. Essas medidas objetivam não apenas a manutenção da saúde auditiva, mas também a diminuição da acidentabilidade dos trabalhadores.

Physical and postural aspects of teachers during work activity

Studies indicate that teachers constitute a professional segment, in which the work characteristics and the demands originating from the act of teaching, favor the emergence of sickness, concerning physical or emotional aspects. The present work aimed to describe physical and postural aspects during the working activity of teachers. A total of 120 elementary school teachers (1st to 8th grade) took part in the survey. For data collection, a questionnaire was applied: it included personal and occupational information, perception of discomfort and being off work; physical strength activities; posture at work and physical conditioning activities. The average age of teachers of the present sample corresponds to 35,8 years. In relation to activities which generate more physical strength, the answer none of the activities was predominant with 30 answers; followed by writing on the board, standing up during the period of classes, explanation of the subjects, class elaboration, correction of homework and others. The area of the body with higher amount of occurrences and prevalent discomfort referred to the lower limbs and spinal cord. These data inform the necessity of investing in prevention programs for the teachers, in order to develop strategies into the organizational context and interventions at the work environment.

Foreign Direct Investment in Latin America and the Caribbean 2007

Includes bibliography

India and Latin America and the Caribbean: opportunities and challenges in trade and investment relations

Includes Bibliography

México: capital humano e ingresos. Retornos a la educación, 1994-2005

Incluye Bibliografía

Technological transition and the new skills required by the agribusiness sector

Adoption of new technologies throughout the agribusiness chain is necessary to meet the higher food and fuel needs of a growing and wealthier population. However, modern technologies require the development of new skills and changes in working patterns and relationships at all levels of the organization. Companies that invest in technology without investing in human capital development will not reach their full potential. © 2012 International Food and Agribusiness Management Association (IFAMA).

A proposal for unitary taxes on the profits of transnational corporations

Includes bibliography