609 resultados para Eficiência. Educação. Rio Grande do Norte


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The triatomine fauna distribution and the natural infection by Trypanosoma cruzi was evaluated aiming the comprehension of the transmission dynamics of this parasite in the countryside of the State of Rio Grande do Norte. Additionally, the research for Trypanosoma rangeli was also investigated. The captures of triatomines were performed at sylvatic, peridomicile and domicile environments at different municipalities of the central and western mesoregions of this state. The insects were identified and examined by direct method, xenoculture and PCR to detect T. cruzi. The detection of T. rangeli was performed by direct examination of the hemolymph and multiplex PCR of 151 positive specimens for T. cruzi. Of 824 captured insects, the species were distributed in Triatoma brasiliensis (66.4%), Triatoma pseudomaculata (18.2%), Panstrongylus lutzi (12.7%) and Rhodnius nasutus (2.7%), and T. brasiliensis was found in most of the evaluated municipalities. The species were captured at nymph and adult stages, except P. lutzi, exclusively in adult stage. In the sylvatic environment were captured T. brasiliensis (57%), P. lutzi (28%) and T. pseudomaculata (15%) species. At the peridomicile environment were identified T. brasiliensis (74%), T. pseudomaculata (21%) and R. nasutus (5.0%), while in the intradomicile was found only T. brasiliensis. The infection rate of triatomines by T. cruzi was 30.4%, P. lutzi showed highest rate (78%), followed by T. brasiliensis (24.4%), T. pseudomaculata (22.6%) and R. nasutus (4.5%). Infected triatomines indexes at silvatic, peridomicile and domicile environments were of 41.8%, 20.1% and 50.0%, respectively. T. rangeli was only detected by multiplex PCR in 2.6% (4/151) of examined insects, of these 4.4% (3/67) were T. brasiliensis and 1.5% (1/63) P. lutzi species. The data showed that the positivity of P. lutzi allied to its ability to invade domicile attracted by light, suggests a likely participation of this insect between epidemiological transmission cycles of T. cruzi. T. brasiliensis was the only specie present in all environments, what reinforces its importance related to the capacity for adapting to the domestic environment, potential as a vector, and maintenance of sylvatic and domestic transmissions cycles in the semiarid, indicating the necessity of continuous epidemiological surveillance. The presence of T. rangeli in T. brasiliensis and P. lutzi was first recorded in rural zone of this State, broadening the area of occurrence of this protozoan in northeastern Brazil.

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Recomendações projetuais baseadas no clima são fontes importantes de diretrizes para os arquitetos. Uma das formas de obtenção dessas recomendações é por meio de normas, como a NBR 15220 (ABNT, 2005), que agrupa as cidades em zonas homogêneas quanto as estratégias sugeridas. O zoneamento bioclimático brasileiro divide o território do Rio Grande do Norte em duas zonas, a ZB 7 e ZB 8, que possuem algumas recomendações distintas, como aberturas grandes e vedações leves para a região litorânea contra aberturas pequenas e vedações pesadas para a região semiárida. Entretanto, outras configurações climáticas estão presentes no RN e não possuem clara recomendação. Este é o caso das regiões serranas e das regiões intermediárias entre o litoral e a região semiárida. Em virtude disso, este estudo visa encontrar recomendações bioclimáticas para habitações de interesse social nessas quatro condições climáticas. Para tanto, utilizou-se ferramenta computacional para realização de simulações das condições térmicas de três tipos de habitações populares - alongada, ramificada e compacta - e das seguintes estratégias: presença ou ausência de ventilação natural e sombreamento, massa térmica leve ou pesada, e Fator de Calor Solar alto ou baixo. Essas simulações foram realizadas para quatro condições climáticas do estado. Foram analisados os desempenhos de cada caso para identificar as estratégias e tipos de habitação recomendados para cada clima. De maneira geral, nos climas deNatal, Mossoró e Caicó viu-se que habitações com FCS baixo e com presença de ventilação natural possuem os melhores desempenhos. No clima de Areia, a ausência de ventilação aliada ao baixo FCS é que produziu os melhores desempenhos. O sombreamento melhora o desempenho nas cidades de clima quente, mas aumenta as horas com desconforto ao frio em Areia. A massa térmica varia de acordo com as demais estratégias, tendo casos em que habitações com massa térmica alta possuem melhores desempenhos que outros casos com massa térmica baixa. Por fim, viu-se que as estratégias para Natal, Caicó e Mossoró são bem semelhantes, com a recomendação de ventilação natural, FCS baixo nas vedações e sombreamento. Para Areia, a recomendação é não ventilar, ter FCS baixo e massa térmica alta.

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Recomendações projetuais baseadas no clima são fontes importantes de diretrizes para os arquitetos. Uma das formas de obtenção dessas recomendações é por meio de normas, como a NBR 15220 (ABNT, 2005), que agrupa as cidades em zonas homogêneas quanto as estratégias sugeridas. O zoneamento bioclimático brasileiro divide o território do Rio Grande do Norte em duas zonas, a ZB 7 e ZB 8, que possuem algumas recomendações distintas, como aberturas grandes e vedações leves para a região litorânea contra aberturas pequenas e vedações pesadas para a região semiárida. Entretanto, outras configurações climáticas estão presentes no RN e não possuem clara recomendação. Este é o caso das regiões serranas e das regiões intermediárias entre o litoral e a região semiárida. Em virtude disso, este estudo visa encontrar recomendações bioclimáticas para habitações de interesse social nessas quatro condições climáticas. Para tanto, utilizou-se ferramenta computacional para realização de simulações das condições térmicas de três tipos de habitações populares - alongada, ramificada e compacta - e das seguintes estratégias: presença ou ausência de ventilação natural e sombreamento, massa térmica leve ou pesada, e Fator de Calor Solar alto ou baixo. Essas simulações foram realizadas para quatro condições climáticas do estado. Foram analisados os desempenhos de cada caso para identificar as estratégias e tipos de habitação recomendados para cada clima. De maneira geral, nos climas deNatal, Mossoró e Caicó viu-se que habitações com FCS baixo e com presença de ventilação natural possuem os melhores desempenhos. No clima de Areia, a ausência de ventilação aliada ao baixo FCS é que produziu os melhores desempenhos. O sombreamento melhora o desempenho nas cidades de clima quente, mas aumenta as horas com desconforto ao frio em Areia. A massa térmica varia de acordo com as demais estratégias, tendo casos em que habitações com massa térmica alta possuem melhores desempenhos que outros casos com massa térmica baixa. Por fim, viu-se que as estratégias para Natal, Caicó e Mossoró são bem semelhantes, com a recomendação de ventilação natural, FCS baixo nas vedações e sombreamento. Para Areia, a recomendação é não ventilar, ter FCS baixo e massa térmica alta.

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The commercial complex Guarapes was during the second half of the nineteenth century most commercial street of Rio Grande do Norte province. In that time frame, you can see its flourishing as one of the central places of trade in the province in 1850, and its subsequent abandonment in 1900. This thesis aims to investigate, in its first part, the paths that help to understand, as the context of the expansion of global markets in the second half of the nineteenth century enabled the conditions for the emergence of the commercial complex. However, trade relations established in this province through the commercial complex, even participating in this global environment, reserved particular characteristics in their social and trade relations, as if dealing with a peripheral province, we look at the uniqueness of the relationship occurred in this space. In the second part, we seek to understand the importance that the rivers Potengi and Jundiaí had to install the commercial complex Guarapes in the second half of the nineteenth century. As the geographical position in relation to rivers, enabled this space became flow zone and confluence of goods distributed to the various parts of the interior of the province. We also monitor the process that made these rivers leave the role of mobility and transport relations in this space, giving way the railways and roads shooting. In the third part, we seek to understand the commercial complex Guarapes in focus. Analyzing their spatial distribution on the landscape, and how the spatial organization held at the same time traces of the Brazilian patriarchy exposed by Gilberto Freyre, but also "modern" features, due to the increase of a new culture inserted material in the province. We also seek to understand elements of material culture that was the environment of the complex, and how these materials are important sources for understanding this society under study. We treat from the biggest to the smallest fragments without hierarchize them. Understanding that, the study associated the written sources and materials provide a gain in understanding of everyday these people who lived in that area of the complex in the second half of the nineteenth century.

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The study proposes to present a discussion about the value of cachaça as a cultural heritage and its relation with the touristic activities in the State of Rio Grande do Norte. Based on a discussion originated from historic studies related to the touristic sector, especially when it comes to gastronomy, cachaça is defined not only as an important instrument to the construction of identities, but, also, as an element able to weave social, political and economic relations. Therefore, a touristic product that can provide new destinations. The research was made through five alembics located on the East and Seridó regions of Rio Grande do Norte. To define the focus, it is necessary to refine this selection, especially when dealing with historical facts and memories from these establishment owners. Thus, it becomes necessary to consider the alembic trajectory, periods of larger productions and insertion in the touristic market. Through documental data collection and observations made in field tours, the research has a qualitative approach with descriptive and exploratory goal, methodology that allows us to approach issues around articulations among heritage, identity and tourism. "It was concluded that the state of Rio Grande do Norte has many tourist routes where handmade cachaça produced in the State can be inserted in any of these routes due to its potential searched in the research, as well as, it is possible to work in other perspective when it comes to ways of protecting this patrimony and strategies of incentive of the activity for the development and appreciation of local economy.

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The Atlantic Forest in Rio Grande do Norte (RN) is included in Pernambuco biogeographic sub-region and it is composed by Semi-deciduous Forest, deciduous Forest, Mangrove and Restinga. We assessed the conservation status of Atlantic Forest in the RN through remnants mapping using high resolution satellite images and landscape ecology approaches. We evaluated if there is difference between the north and south coastal regions considering their natural a historical land use differences. We also assessed the influence of the small remnants on landscape cover and configuration. The proportion of the original biome area with remnants larger than 3 hectares is 15.60% for the official governmental limit and is 16.60% for the alternative limit (SNE, 2002). This remnants proportion varies between 0.56 and 46.52% in the hydrographic basins. 89.70% of the remnants are smaller than 50 hectares. Only 6.00% of the remnants are greater than 100 hectares, and these remnants are responsible by 65% of remaining area. The patches with smaller area influence all calculated metrics. The south coastal hydrographic basins have higher percentage of coverage of remnants, larger patch densities and fragments with larger areas than north coastal hydrographic basins. The diffuse drainage basins of the southern coastal have the highest percentage of coverage with remnants. 18.28% and 10% of the biome area are protected by reserves, according to the official governmental and alternative limits respectively. The reserves are mainly of sustainable use (IUCN V-VI). Therefore, the Atlantic Forest in Rio Grande do Norte is in critical situation, with low proportion of remaining area and high fragmentation level. It’s indispensable to biome conservation keep all the remaining area, especially the large remnants, and restore areas to increase remnants proportion and to increase landscape connectivity

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Studies have shown that resident informally plays the role of teacher. It is estimated that up to 25% of the residents of the time is devoted to teaching, mainly contributing as a facilitator, however, almost the entire medical residency programs in Brazil did not offer teacher training during residency education. This paper aims to introduce educational content initiation to teaching as part of the training of resident physician inserted in residency program of the University Hospital Onofre Lopes (HUOL). It is an exploratory, descriptive and prospective study in HUOL the Federal University of Rio Grande do Norte. Three steps were developed: preparation and planning of a pedagogic course, associated with a motivating technical content (basic and advanced life support); second stage, testing of pedagogical model for medical students; and finally, replication to residents. The interventions were made two practice stations life support with performance evaluation in practical activity through OSPE (Objective Structured Practical Examination). The techniques presented teachings were one-minute preceptor and feedback. Data collection was conducted through a structured evaluation form during the life support stations and at the end of the course, and analyzed using descriptive statistics. The results showed that the feedback and one minute preceptor were considered important for teaching and learning for more than 85% of participants. The feedback from evaluators practices stations added information about the performance and were held appreciatively way, according to 100% of the participants. Positive aspects highlighted by the participants were related to educational content, especially the participants of the first intervention. The time of the lectures of motivating technical content was the most repeated negative. Based on the good acceptance of pedagogical contents, this pioneer teacher training strategy was included in the formal residency program in Cardiology of our institution. It is considered therefore that the educational training model with motivating technical content was feasible and had a good evaluation and acceptance by most participants in both interventions. Thus, we believe that the educational content can be inserted in the formal curriculum of medical residency of other programs at HUOL through the training model developed in this study.

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Studies have shown that resident informally plays the role of teacher. It is estimated that up to 25% of the residents of the time is devoted to teaching, mainly contributing as a facilitator, however, almost the entire medical residency programs in Brazil did not offer teacher training during residency education. This paper aims to introduce educational content initiation to teaching as part of the training of resident physician inserted in residency program of the University Hospital Onofre Lopes (HUOL). It is an exploratory, descriptive and prospective study in HUOL the Federal University of Rio Grande do Norte. Three steps were developed: preparation and planning of a pedagogic course, associated with a motivating technical content (basic and advanced life support); second stage, testing of pedagogical model for medical students; and finally, replication to residents. The interventions were made two practice stations life support with performance evaluation in practical activity through OSPE (Objective Structured Practical Examination). The techniques presented teachings were one-minute preceptor and feedback. Data collection was conducted through a structured evaluation form during the life support stations and at the end of the course, and analyzed using descriptive statistics. The results showed that the feedback and one minute preceptor were considered important for teaching and learning for more than 85% of participants. The feedback from evaluators practices stations added information about the performance and were held appreciatively way, according to 100% of the participants. Positive aspects highlighted by the participants were related to educational content, especially the participants of the first intervention. The time of the lectures of motivating technical content was the most repeated negative. Based on the good acceptance of pedagogical contents, this pioneer teacher training strategy was included in the formal residency program in Cardiology of our institution. It is considered therefore that the educational training model with motivating technical content was feasible and had a good evaluation and acceptance by most participants in both interventions. Thus, we believe that the educational content can be inserted in the formal curriculum of medical residency of other programs at HUOL through the training model developed in this study.

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A obra estuda as principais correntes político-ideológicas existentes no Rio Grande do Norte no período de transição entre o final do Império e os primeiros anos da República. Através de uma exaustiva pesquisa em fontes jornalísticas e documentais, o autor introduz o leitor no universo das ideias e práticas políticas que marcaram a tensa implantação do regime republicano no Brasil e especialmente no Rio Grande do Norte.

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Leishmania infantum is the main etiologic agent of visceral leishmaniasis in the New World. The pattern of distribution of leishmaniasis has changed substantially and has presented an emerging profile within the periphery of the Large Urban Centers. Leishmania infection can compromise skin, mucosa and viscera. Only 10% of the individuals infected develop the disease and 90% of human infection is asymptomatic. The main factors involved in the development of the disease are the host immune response, the vector’s species and the parasite’s genetic content. The sequencing of Leishmania isolated seeks to increase the understanding of the symptoms of individuals. The aim of this study was to evaluate the genetic diversity of circulating Leishmania strains among humans, and symptomatic and asymptomatic, and dogs from endemic areas of Rio Grande do Norte State and analyze sandflies from endemic areas for cutaneous and visceral disease. The genetic variability was evaluated by the use of markers hsp70 , ITS1 and a whole genome sequencing was also carried out. The amplified hsp70 and ITS1 of samples were analyzed and assembled using a Phred / Phrap package. The dendograms were constructed using the same methodology, but adding 500 bootstraps, followed by inferences on the relationships between Leishmania variants. The sequences of the 20 Brazilian isolates were mapped to the reference genome L. infantum JPCM5, using the Bowtie2 program and the identification of 36 contigs. The information of the valid SNPs were used in the PCA. SNPs were visualized by Geneious 7.1 and IGV. The genome annotations were transferred to their respective chromosomes and displayed on Geneious. The matching sequences of all chromosomes were aligned using Mauve. The phylogenetic trees were calculated according to maximum likelihood and JTT models. Sandflies were analyzed by PCR for the identification of Leishmania infection, a blood meal source and GAPDH sand fly. As a result, hsp70 and ITS1 were not capable of identifying genetic variability among human isolates from symptomatic and asymptomatic, and dogs. The complete sequencing of the 20 Brazilian isolates revealed a strong similarity between the circulating Leishmania strains in Rio Grande do Norte. The isolates collected in the city of Natal from humans and canines remained grouped in all analyzes, suggesting that there is genotypic and geographic proximity among the isolates. The isolated samples in the 1990s had a higher genotypic diversity when compared to freshly isolated samples. All isolates presented 36 chromosomes with variable ploidy among them, no correlation was found between the number of amastina genes copies, gp63, A2 and SSG with such clinic forms. In general, we did not find correlation between symptomatic and asymptomatic clinical forms and the gene content of the Brazilian isolates of Leishmania. 34,28% of the sandflies collected in the upper west region were L. longipalpis and the main sources of blood meal were humans, dogs and chickens.

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Leishmania infantum is the main etiologic agent of visceral leishmaniasis in the New World. The pattern of distribution of leishmaniasis has changed substantially and has presented an emerging profile within the periphery of the Large Urban Centers. Leishmania infection can compromise skin, mucosa and viscera. Only 10% of the individuals infected develop the disease and 90% of human infection is asymptomatic. The main factors involved in the development of the disease are the host immune response, the vector’s species and the parasite’s genetic content. The sequencing of Leishmania isolated seeks to increase the understanding of the symptoms of individuals. The aim of this study was to evaluate the genetic diversity of circulating Leishmania strains among humans, and symptomatic and asymptomatic, and dogs from endemic areas of Rio Grande do Norte State and analyze sandflies from endemic areas for cutaneous and visceral disease. The genetic variability was evaluated by the use of markers hsp70 , ITS1 and a whole genome sequencing was also carried out. The amplified hsp70 and ITS1 of samples were analyzed and assembled using a Phred / Phrap package. The dendograms were constructed using the same methodology, but adding 500 bootstraps, followed by inferences on the relationships between Leishmania variants. The sequences of the 20 Brazilian isolates were mapped to the reference genome L. infantum JPCM5, using the Bowtie2 program and the identification of 36 contigs. The information of the valid SNPs were used in the PCA. SNPs were visualized by Geneious 7.1 and IGV. The genome annotations were transferred to their respective chromosomes and displayed on Geneious. The matching sequences of all chromosomes were aligned using Mauve. The phylogenetic trees were calculated according to maximum likelihood and JTT models. Sandflies were analyzed by PCR for the identification of Leishmania infection, a blood meal source and GAPDH sand fly. As a result, hsp70 and ITS1 were not capable of identifying genetic variability among human isolates from symptomatic and asymptomatic, and dogs. The complete sequencing of the 20 Brazilian isolates revealed a strong similarity between the circulating Leishmania strains in Rio Grande do Norte. The isolates collected in the city of Natal from humans and canines remained grouped in all analyzes, suggesting that there is genotypic and geographic proximity among the isolates. The isolated samples in the 1990s had a higher genotypic diversity when compared to freshly isolated samples. All isolates presented 36 chromosomes with variable ploidy among them, no correlation was found between the number of amastina genes copies, gp63, A2 and SSG with such clinic forms. In general, we did not find correlation between symptomatic and asymptomatic clinical forms and the gene content of the Brazilian isolates of Leishmania. 34,28% of the sandflies collected in the upper west region were L. longipalpis and the main sources of blood meal were humans, dogs and chickens.

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The Serra do Caramuru and Tapuio stocks, located in the extreme NE of Rio Piranhas-Seridó Domain (RN), are representative of the Ediacaran-Cambrian magmatism, an important magmatic feature of the Brasilian / Panafrican orogeny of the Borborema Province. These bodies are lithologically similar, intrusive in paleoproterozoic gneiss embasement, being separated by a thin belt of mylonitic orthogneiss. The field relations show a magmatic stratigraphy initiated by dioritic facies that coexists with the porphyritic granitic and equigranular granitic I facies, and less frequently with equigranular granitic II facies. These rocks are crosscut by late granitic dykes and sheets with NE-SW / NNE-SSW orientation. The dioritic facies (diorite, quartz diorite, quartz monzodiorites, tonalite and granodiorite) is leucocratic to melanocratic, rich in biotite and hornblende. The granitic facies are hololeucocratic to leucocratic, and have biotite ± hornblende. Petrographic and geochemical (whole rock) data, especially from Serra do Caramuru pluton, suggest fractionation of zircon, apatite, clinopyroxene (in diorites), opaque minerals, titanite, biotite, hornblende, allanite, plagioclase, microcline and garnet (in dykes). The behavior of trace elements such as Zr, La and Yb indicates that the dioritic magma does not constitute the parental magma for the granitic facies. On the other hand, the granitic facies seems to be cogenetic to each other, displaying differentiation trends and very similar rare earth elements (REE) spectra [12.3≤(La/Yb)N≤190.8; Eu/Eu*=0.30-0.68]. Field relationships and REE patterns [6.96≤(La/Yb)N≤277.8; Eu/Eu*=0.18-0.58] demonstrate that the granitic dykes and sheets are not cogenetically related to the Serra do Caramuru magmatism. The dioritic facies is metaluminous (A/CNK = 0.88-0.74) and shoshonitic, whereas the granitic ones are metaluminous to peraluminous (A/CNK = 1.08-0.93) and high potassium calc-alkaline. Dykes and sheets are strictly peraluminous (A/CNK = 1.01-1.04). Binary diagrams relating compatible and incompatible trace elements and microtextures indicate the fractional crystallization as the dominant mechanism of magmatic evolution of the various facies. The Serra do Caramuru and Tapuio stocks have well preserved magmatic fabric, do not show metamorphic minerals and are structurally isotropic, showing crosscutting contact with the ductile fabric of the basement. These observations lead to interpretate a stage of relative tectonic stability, consistent with the orogenic relaxation period of the Brasiliano / Pan-African orogeny. Chemical plots involving oxides and trace elements indicate late to post-collisional emplacement. In this context, the assumed better mechanism to describe the stocks emplacement within an extensional T Riedel joint, with ENE-WSW extensional vector. The U-Pb zircon age of 553 ± 10 Ma allows correlating the Serra do Caramuru magmatism to the group of post-collisional bodies, equigranular high potassium calc-alkaline granites of the NE of Rio Piranhas-Seridó Domain.

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The Serra do Caramuru and Tapuio stocks, located in the extreme NE of Rio Piranhas-Seridó Domain (RN), are representative of the Ediacaran-Cambrian magmatism, an important magmatic feature of the Brasilian / Panafrican orogeny of the Borborema Province. These bodies are lithologically similar, intrusive in paleoproterozoic gneiss embasement, being separated by a thin belt of mylonitic orthogneiss. The field relations show a magmatic stratigraphy initiated by dioritic facies that coexists with the porphyritic granitic and equigranular granitic I facies, and less frequently with equigranular granitic II facies. These rocks are crosscut by late granitic dykes and sheets with NE-SW / NNE-SSW orientation. The dioritic facies (diorite, quartz diorite, quartz monzodiorites, tonalite and granodiorite) is leucocratic to melanocratic, rich in biotite and hornblende. The granitic facies are hololeucocratic to leucocratic, and have biotite ± hornblende. Petrographic and geochemical (whole rock) data, especially from Serra do Caramuru pluton, suggest fractionation of zircon, apatite, clinopyroxene (in diorites), opaque minerals, titanite, biotite, hornblende, allanite, plagioclase, microcline and garnet (in dykes). The behavior of trace elements such as Zr, La and Yb indicates that the dioritic magma does not constitute the parental magma for the granitic facies. On the other hand, the granitic facies seems to be cogenetic to each other, displaying differentiation trends and very similar rare earth elements (REE) spectra [12.3≤(La/Yb)N≤190.8; Eu/Eu*=0.30-0.68]. Field relationships and REE patterns [6.96≤(La/Yb)N≤277.8; Eu/Eu*=0.18-0.58] demonstrate that the granitic dykes and sheets are not cogenetically related to the Serra do Caramuru magmatism. The dioritic facies is metaluminous (A/CNK = 0.88-0.74) and shoshonitic, whereas the granitic ones are metaluminous to peraluminous (A/CNK = 1.08-0.93) and high potassium calc-alkaline. Dykes and sheets are strictly peraluminous (A/CNK = 1.01-1.04). Binary diagrams relating compatible and incompatible trace elements and microtextures indicate the fractional crystallization as the dominant mechanism of magmatic evolution of the various facies. The Serra do Caramuru and Tapuio stocks have well preserved magmatic fabric, do not show metamorphic minerals and are structurally isotropic, showing crosscutting contact with the ductile fabric of the basement. These observations lead to interpretate a stage of relative tectonic stability, consistent with the orogenic relaxation period of the Brasiliano / Pan-African orogeny. Chemical plots involving oxides and trace elements indicate late to post-collisional emplacement. In this context, the assumed better mechanism to describe the stocks emplacement within an extensional T Riedel joint, with ENE-WSW extensional vector. The U-Pb zircon age of 553 ± 10 Ma allows correlating the Serra do Caramuru magmatism to the group of post-collisional bodies, equigranular high potassium calc-alkaline granites of the NE of Rio Piranhas-Seridó Domain.

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The aim of this research is to reveal how caregivers have lived the experiences from adult patients admitted in a Rio Grande do Norte’s state hospital. This is a study where the use of the participant observation, associated with the use of interviews and informal conversations handled categories such as the mismatch between the prerogatives of Brazilian Health Care Policies (HumanizaSUS) and practices performed in hospitals, the relationships established between the caregivers and the other subjects of the research field, family relationships, permanence of women as caregivers, therapeutic itineraries, dramas, religiosity and secrets. To sew up it appears the role of a caregiver is more than emotional support or help, it is a complex act in several directions.

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O acesso ao ensino superior gratuito no Brasil continua sendo um grande desafio para significativa parcela da população. Várias políticas de ações afirmativas têm sido estimuladas no sentido de promover um acesso mais homogêneo às universidades públicas brasileiras. Essa dificuldade no acesso acaba refletindo-se no mercado de trabalho, gerando um desequilíbrio em várias áreas de atuação. Na área de saúde, temos observado que um intenso debate sobre a oferta, a concentração e a fixação de médicos vem acontecendo no Brasil. Embora o número de médicos tenha aumentado nos últimos anos, chama a atenção a desigualdade da distribuição dos mesmos, que prioriza os grandes centros urbanos e as capitais em detrimento dos municípios do interior. A abertura de novos cursos de medicina é uma das estratégias na tentativa de conseguir uma melhor distribuição de médicos nas diversas regiões do Brasil. O presente trabalho teve como objetivo estudar o Argumento de Inclusão Regional da Universidade Federal do Rio Grande do Norte, enquanto política que objetiva priorizar a seleção de estudantes do interior do Estado com vistas a promover maior fixação futura de profissionais nas regiões com maior carência destes, especialmente médicos. Trata-se de estudo exploratório, descritivo, em que a coleta de dados constou de revisão bibliográfica e análise documental. O estudo se desenvolveu em etapas, transformadas em capítulos descritivos que deram forma ao trabalho final. É importante destacar a necessidade de esclarecimento sobre esse instrumento, que pode ser utilizado por todos os novos cursos de Medicina do país como um dos meios para um melhorar o acesso de estudantes das regiões onde os cursos estão inseridos e, com isso, tentar promover, ao final do curso, uma maior fixação de médicos nos municípios do interior do Brasil.