Childbirth care: contributing to the debate on human development

Com a finalidade de subsidiar gestores da área de saúde da mulher, na formulação de políticas públicas, voltadas ao desenvolvimento humano, realizou-se esta investigação, cujo objetivo foi avaliar a estrutura e o processo da atenção ao parto e ao neonato desenvolvido em região do interior paulista. Estudo epidemiológico, voltado para avaliação dos serviços de saúde, baseou-se na observação da assistência prestada pelo Sistema Único de Saúde em 12 maternidades e 134 partos, adotando-se padrões estabelecidos pelo Ministério da Saúde ou Organização Mundial de Saúde para comparação. Os resultados apontam problemas relacionados à estrutura em algumas maternidades, mostrando que práticas úteis ao parto normal ainda são pouco utilizadas, enquanto que outras prejudiciais ou ineficazes ainda são utilizadas rotineiramente. Reverter esse quadro será essencial para oferecer atendimento de qualidade às mulheres, com conseqüente redução nas taxas de mortalidade materna e neonatal, para que a região atinja as metas estabelecidas para ampliação do desenvolvimento humano no milênio.

Aceitação e rejeição entre pares e habilidades sociais em universitários

Nesse estudo, investigaram-se as associações entre habilidades sociais e aceitação-rejeição em estudantes universitários. Foram estudados 126 estudantes universitários do curso de Educação Física de uma instituição de ensino superior particular de uma cidade do interior do estado de São Paulo. Para fins de avaliação foi utilizado um Inventário de Habilidades Sociais (IHS) e uma Medida Sociométrica que avalia a aceitação ou rejeição do estudante por seus colegas de classe para as atividades de sair e estudar. A aceitação para ambas as situações não foi explicada por nenhuma faceta das habilidades sociais para os homens. Já nas mulheres, foi explicada somente pela medida de autoexposição a desconhecidos. Essa pesquisa elucida algumas das condutas socialmente hábeis de homens e mulheres universitários que podem ser empregadas em treinamentos em habilidades sociais para se evitar a rejeição entre pares, e maximizar a aceitação.

Mudanças nas concepções do professor do ensino fundamental em relação à inclusão após a entrada de alunos com deficiência em sua classe

As concepções dos professores podem determinar as atitudes sociais em relação à inclusão do aluno com deficiência na sala de aula. Dentre dessa temática, pode-se questionar: a concepção de inclusão do professor do ensino regular muda no decorrer do ano letivo após a entrada de alunos com deficiência? Assim, objetivou-se identificar a existência de mudanças de concepções do professor do ensino regular em relação à inclusão. Participaram do estudo cinco professores do ensino regular que atuavam em sala de aula com pelo menos um aluno com deficiência, em três escolas de Município do interior Paulista. Os dados foram coletados durante um ano letivo por meio de três procedimentos: entrevista não-estruturada; segmento bimestral das informações por meio de cadernos de conteúdo e entrevista semi-estruturada, ao final do ano. Os dados foram tratados por meio da técnica designada como análise da enunciação. Dessa análise, foram estabelecidas classes e subclasses, aferidas por juízes para verificar o grau de concordância da análise. Os resultados mostraram mudanças de concepções nas subclasses: expectativa em relação à inclusão do aluno com deficiência no ensino regular, experiência em relação à inclusão, perfil do aluno para ser matriculado no ensino regular; ritmo de aprendizagem do aluno com deficiência na sala de aula regular, avaliação da aprendizagem do aluno com deficiência, dificuldades em lidar com a diversidade, dificuldade em lidar com a disciplina/comportamento do aluno com deficiência e dificuldade para ensinar o aluno com deficiência. Conclui-se que a entrada, por si só, do aluno com deficiência no ensino regular não garantiu a mudança de concepção dos professores.

Fatores determinantes da carga de trabalho em uma unidade básica de saúde

As doenças decorrentes do exercício pro-fissional, sejam de ordem física ou emocional, têm apresentado aumento crescente na sociedade atual, nos diferentes segmentos laborativos, com projeção significativa junto aos profissionais da saúde como médicos, dentistas, enfermeiros, auxiliares de enfermagem e auxiliares administrativos envolvidos com a prestação de serviços nas unidades de saúde. Este estudo teve por objetivo conhecer a carga de trabalho e seus fatores determinantes, buscando identificar possíveis relações entre as condições de trabalho e o possível impacto para a saúde dos trabalhadores. Participaram da amostra 31 indivíduos: 12 médicos, 3 dentistas, 1 enfermeira, 9 auxiliares de enfermagem, 3 auxiliares odontológicos e 3 auxiliares administrativos de uma Unidade Básica de Saúde (UBS) no interior de São Paulo. Para a coleta dos dados foi elaborado um roteiro de entrevista estruturado e realizadas reuniões com os grupos específicos para uma descrição detalhada das atividades realizadas em cada setor e o levantamento de problemas e de características desejáveis. Os resultados indicam a presença de carga física, carga cognitiva e carga psíquica; processo de comunicação inadequado; equipamentos obsoletos; número excessivo de usuários e estrutura frágil para lidar com absenteísmo.

Homofobia e sexualidade em adolescentes: trajetórias sexuais, riscos e vulnerabilidades

Esta pesquisa é um estudo transversal realizado junto a 2282 estudantes de ambos os sexos que cursavam as três séries do ensino médio em três cidades do interior do oeste paulista. O instrumento de coleta de dados empregado foi um questionário autoaplicável com 131 questões. Neste artigo, abordamos as trajetórias sexuais de adolescentes de ambos os sexos que mantêm práticas sexuais homoeróticas ou não. Discutimos as relações desses adolescentes com seus familiares e grupos de pares e a questão de sair do armário como ferramenta política. Tendo como base as concepções de Sedgwick, analisamos os momentos em que sair do armário pode ser uma entre tantas maneiras de manifestação das diferentes sexualidades em relação à heteronormatividade. Apoiando-nos nas colocações de teóricos pós-estruturalistas, abordamos também as construções teóricas e as produções discursivas sobre a adolescência, apontando novas manifestações da juventude na contemporaneidade. Por fim, percebemos a existência de amplos fatores que afetam as decisões de jovens não heterossexuais quanto a sair (ou não) do armário para além da homofobia: eventos pessoais, histórias de vida e mesmo a revelação de sua sexualidade aos pais e/ou a outras pessoas.

Excessive iodine intake in schoolchildren

Inadequate iodine intake may result in iodine deficiency disorders (IDD). Thus, for more than 50 years, policies for the regulation of salt fortification with iodine have existed in Brazil. In 2003, a study on 6-14-year-old schoolchildren from regions of the state of So Paulo showed a median urinary iodine concentration of 360 mu g/L. The objective of the present study was to assess the iodine nutrition status among schoolchildren.The study was conducted on 828 schoolchildren aged 4-13 years from eight schools in the interior of the state of So Paulo. A casual urine sample was collected from each volunteer for iodine determination by the adapted method of Sandell-Kalthoff.Only 1.9% (n = 16) of the children evaluated had low values of urinary iodine (< 100 mu g/L), while 24.6% had urinary iodine excretion values between 200 and 300 mu g/L, and 67.1% had values above > 300 mu g/L.The results show that the iodine nutritional status of the schoolchildren studied is characterized by a high urinary iodine excretion, which might reveal an increase in iodine consumption by this population.

Polishable and Renewable DNA Hybridization Biosensors

Routine applications of DNA hybridization biosensors are often restricted by the need for regenerating the single-stranded (ss) probe for subsequent reuse. This note reports on a viable alternative to prolonged thermal or chemical regeneration schemes through the mechanical polishing of oligonucleotide-bulk-modified carbon composite electrodes. The surface of these biocomposite hybridization biosensors can be renewed rapidly and reproducibly by a simple extrusion/polishing protocol. The immobilized probe retains its hybridization activity on confinement in the interior of the carbon paste matrix, with the use of fresh surfaces erasing memory effects and restoring the original target response, to allow numerous hybridization/measurement cycles. We expect that such reusable nucleic acid modified composite electrodes can be designed for a wide variety of biosensing applications.

The Bauru Group: A continental Cretaceous unit in Brazil - Concepts based on micropaleontological, oxygen isotope and stratigraphical data

The integration of outcrop and subsurface information, including micropaleontological data, facies and sequence stratigraphic studies, and oxygen isotope analysis, allow us to present a new stratigraphic model for the Cretaceous continental deposits of the Bauru Group, Brazil. Thirty-eight fossil taxa were recovered from these deposits, including 29 species of ostracodes and 9 species of charophytes. Seven of these ostracode species and three subspecies are new and formally described here. The associations of Chara barbosai - Ilyocypris cf. riograndensis, found in the Adamantina Formation, and Amblyochara sp. - Neuquenocypris minor mineira nov. subsp., found in the Marília Formation. Ponte Alta Member, represent two distinct groups that are respectively Turonian-Santonian and Maastrichtian (probably Late Maastrichtian) in age. Therefore, a hiatus, encompassing more than 11 Ma, separates those two formations. From bottom to top, four depositional cycles were recognized in the Bauru Group in western São Paulo: cycles 1 and 2 belong to Caiuá Formation (fluvio-lacustrine and lacustrine deposits in the Presidente Prudente region), cycle 3 to the Santo Anastácio and lower Adamantina Formation (respectively fluvial and lacustrine deposits), and cycle 4 to the upper Adamantina Formation (fluvio-lacustrine facies). An erosional unconformity separates the Caiuá and Santo Anastácio Formations (between cycles 2 and 3). The Marília Formation is a distinct unit from the underlying succession; it does not occur in western São Paulo, but is found in restricted areas of São Paulo, Minas Gerais, Mato Grosso do Sul and Goiás States. During the deposition of the Bauru Group (Aptian? to Maastrichtian) the climate was hot and arid-semiarid. Shallow lakes underwent fluctuations in expansion (wet phases) and contraction (dry phases), as well as variations in salinity. During the deposition of the Adamantina Formation (Turonian-Santonian) there were long, dry periods that caused segmentation of large lakes (due to topographic irregularities in the basaltic substrate) and sometimes exposures of the lake floors; when flooded these lake floors were colonized by extensive meadows of single species of charophytes. Small ephemeral ponds, that were hydrochemically unstable and colonized by multiple species of charophytes, were the depositional sites for the marls and mudstones of Ponte Alta Member (Maastrichtian, Late Maastrichtian?). Our micropaleontological age control, combined with the Late Cretaceous ages of volcanic ashes found in the southeastern Brazil coastal basins, and the stratigraphic position of analcimites from the Jaboticabal-SP region, suggest a Late Coniacian-Santonian age for important magmatic events occurred in the interior of Brazil (north-central São Paulo State, Triângulo Mineiro, and southwestern Goiás State).

Conhecimento de estudantes de medicina sobre o processo de doacção de córneas

Purpose: To compare knowledge of medical students about the cornea donation process among those who already studied Ophthalmology and the others. Methods: A questionnaire containing data as: age, sex, graduation year, and 10 multiple-choice questions about the subject was applied to medical students from the interior of São Paulo state, Brazil. The questions were: age for donation, contraindication for transplants, the time limit to remove the cornea, among others. The knowledge regarding cornea donation was compared between the two groups: students who already studied Ophthalmology (Group A) and the others (Group B). Results: The study group was composed of 402 students, of whom 140 were of group A and 262 of group B. Knowledge between the two groups was different, but not statistically significant (p=0.8328). Conclusion: Knowledge about the cornea donation process among the interviewed seemed to be insufficient, even those who had studied Ophthalmology. Information and education about transplants in Medical Schools should be improved.

Distribuição, tamanho populacional, hábitat e conservação do bicudinho-do-brejo Stymphalornis acutirostris Bornschein, Reinert e Teixeira, 1995 (Thamnophilidae)

The Marsh Antwren (Stymphalornis acutirostris) is restricted to the lowlands between Antonina Bay, in the coastal plain of the state of Paraná, and Itapocu river, in the northern coastal plain of the state of Santa Catarina (from 0 to c. 5 m a.s.l.). It doesn't occur continuously in this region, being found in eight populations that span over an total area of about 6,060 ha (= area of occupancy; 4,856.67 in Paraná and c. 1,200 in Santa Catarina). Nine habitat types used by the Marsh Antwren were defined, based on vegetation physiognomy, localization, dominancy of botanical species, dominant life-form and history of the region. Five of these are herbaceous (marshes), while four have an upper arboreal stratum and an herbaceous lower stratum with marsh plants. According to the classification criteria of the Brazilian vegetation proposed by the Radambrasil Project, they were classified as Pioneering Formation of Fluvial Influence, Pioneering Formation of Fluvial-marine Influence, and/or Pioneering Formation of Lacustrine Influence. They occur as patches or narrow strips ranging from 0.001 to 203.0 ha in the state of Paraná. They are found mainly in the interior of bays, in the lower courses of rivers that drain into bays, in alluvial plains, and between sand dunes in the coastal plain. Characteristic herbaceous species are cattail (Typha domingensis), bulrush (Scirpus californicus), Crinum salsum, Panicum sp. cf. P. mertensii, saw grass (Cladium mariscus) and Fuirena spp. Hibiscus pernambucensis is the characteristic bush species, and Calophyllum brasiliense, Tabebuia cassinoides, Annona glabra and Laguncularia racemosa are the characteristic arboreal species. The Marsh Antwren lives in herbaceous vegetation, but also uses bushes and branches of small tress. It has low flight capacity and a single flight of more than 25 m was never recorded. Territories of 0.25 ha were estimated in one kind of habitat (tidal marsh) (= 8 individuals per hectare) and of 3.2 ha in another one (saw grass marsh) (= 0.62 individual per hectare). The global population estimate is of about 17,700 mature individuals (13,700 in Paraná and 4,000 in Santa Catarina). The species is really under threat of extinction, mainly because of it's restricted geographical distribution and habitat loss by human activities and biological contamination caused by invasion of exotic grasses (Urochloa arrecta and Brachiaria mutica).

Geo-environmental investigation: A brief review and a few suggestions for brazilian contaminated sites

This paper presents a brief review about site investigation procedures for contaminated sites recommended by Brazilian and Canadian environmental agencies as well as discusses the theme of geo-environmental investigation as applied to Brazilian practice. The main definitions on the theme are reviewed and some guidelines are proposed for conducting a geo-environmental investigation of Brazilian contaminated sites using different site and laboratory investigation techniques based on the presented review and on the experience obtained from the investigation of a solid waste disposal site in the interior of the state of São Paulo, Brazil.

Charmed matter

In the near future experiments will be able to produce charmed hadrons almost at rest in the interior of an atomic nucleus. One of the most exciting perspectives is the possibility of studying charmonium in a dense medium. In the present communication we present results of a study that explores the possibility that J/Ψ might be bound in a large nucleus through the excitation of intermediate states of D and D* mesons. We also present results of a recent prediction for the production of Λ̄ c -Λc + in proton-antiproton annihilation experiments. © 2010 American Institute of Physics.

Developing a system for down-hole seismic testing together with the CPTU

This paper presents a system for performing down-hole seismic test together with the piezocone test in order to determine the shear wave velocity (Vs) and for calculating the maximum shear modulus (Go); a basic parameter for analyzing the dynamic soil behavior and a reference value of the soil stiffness. The system components are described and tests results for checking the geophone response are also presented, both before and after installation into the probe. The system was used in down-hole tests carried out at three experimental research sites located in the interior of Sao Paulo State, Brazil, where in situ seismic test results are available. The Vs values measured in down-hole tests carried out with this system were consistent with those determined in cross-hole tests and with a commercial seismic piezocone, which enabled to validate the developed system.

A aprendizagem matemática em uma posição de fronteira: Foregrounds e intencionalidade de estudantes de uma favela brasileira

In a large metropolis, students from different neighbourhoods can experience very different life opportunities. This can influence their attitude towards schooling and learning, including the learning of mathematics. We interviewed a group of six students from a favela in a large city in the interior of the state of São Paulo in Brazil. We invited the students to look into their future and explore whether or not there could be learning motives that linked mathematics in school to possible out-of-school practices, either in terms of possible future jobs or further studies. We identified some themes in the students' descriptions of their experiences. The first theme is discrimination. The students feel discriminated against due to the fact that they come from a poor neighbourhood. They fear being trapped in some stereotypes. The second theme is escape. There is a strong motivation to begin a new life away from the favela. A third theme concerns the obscurity of mathematics. It seems clear to everybody that education is relevant to ensure a change in life. However, the mathematics lessons do not provide any clues regarding how mathematics might function is this respect. The fourth theme is uncertainty with respect to the future. The students could easily formulate almost unattainable aspirations, while reality might impose some very heavy limitations. In this article we introduce a theoretical framework for discussing the relation between favela students' life conditions in relation to their educational experiences and opportunities. Students' intentions for learning are related to their foregrounds, that is, how they perceive their future possibilities, as made evident to them by their social environment. Students in a favela could experience what we call a borderland position, a relational space where individuals meet their social environment and come to terms with the multiple choices that cultural and economic diversity make available to them.

Um es tudo sobre as condições de acess ibilidade em pré-es colas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)