Modelo para avaliação de desempenho do sistema de saúde municipal com foco nas ações da saúde materno-infantil da atenção básica por meio de indicadores sociais

O presente trabalho aborda o desempenho dos sistemas municipais de saúde, tendo como foco a saúde materno-infantil. Com o objetivo de apontar as possíveis fragilidades dos sistemas de saúde, especificamente daqueles em que a Atenção Primária (AP) é a principal ou exclusiva estratégia de atuação da gestão municipal, foi criado um modelo teórico de avaliação dos indicadores de saúde, denominado de ADS. Aplicado às cidades com população entre 14 mil e 35 mil habitantes, onde o sistema de saúde se baseia exclusivamente na política de AP, esse modelo foi construído por meio da técnica de consenso, com a formação de um grupo de 12 especialistas na área de saúde coletiva para definição e validação de critérios para análise dos sistemas. Testado na cidade de Iati, localizada no Agreste Meridional e distante 282 quilômetros da capital pernambucana, o ADS apontou fatores ambientais e socioeconômicos abaixo da média, além de vulnerabilidades da assistência materno-infantil que influenciam negativamente a situação de saúde do município. A avaliação verificou ainda desempenho insatisfatório no que diz respeito ao acompanhamento das crianças e gestantes por meio de consultas médicas (efetividade); assistência à criança (continuidade); cobertura de consultas em crianças e imunização de gestantes (acesso aos serviços da Atenção Primária); produtividade das ações realizadas pelos profissionais de saúde (eficiência) e capacidade de investigação dos óbitos infantis, qualidade dos registros e controle da sífilis em gestantes (vigilância à saúde). Também foi observada baixa alocação de investimentos em saúde em combinação com a carência de recursos humanos e materiais para prestar os serviços. Ao final da pesquisa, foi possível constatar a viabilidade de aplicação do modelo para planejamento das auditorias, avaliando o desempenho dos indicadores de saúde no âmbito municipal.

Processos produtivos e trabalho-educação: a incorporação do caboclo catarinense na indústria madeireira

The object theme of the present study is a population of caboclos that absorbed as manual workers in the saw-mills which were mounted in the highland region of Santa Catarina since 1950. The abundance of araucaria (native kind of pine) the opening of markets, and the corroboration of other industrial exploration conditions encouraged a great crowd of small en.- trepreneurs, coming basically from the state of Rio Grande do Sul, to migrate and settle down, building up a lot of saw-mills near rich forests and fields. The saw-mills started aprosperous production of timber sawn in planks. The process of industriali zation was so intensive, the destruction of pine woods soviolent that, in less than three decades, the forests ran out of tree reserves. The caboclos, absorbed as manual workers in production of timber, lived traditionally in an system of subsistense, either from the cultivation of pine the economic their land (planter caboclo) or as labourers in cattle-growing farms (farm hand caboclos). Nevertheless, the 'advantages' that were offered them by the new-comer entrepreneurs (a salary paid in money, a new house in a village, and other favours) helped the great majority of caboclos to abandon their traditional work and enlist as "workmen" in saw-mills. The new job, besides being a novelty, was an opportunity for a change in status. Subsequently, the running out of forests of araucaria and the resultant progressive shut-down of saw-mills caused the crowd of workmen to be out of imployment and to form to form a migratory flood toward the most important town of the region, Lages. The town of Lages, however, having made of the timber i ts main economic support wi thout the implantation of an alternative industry, was unable to offer the migrantssufficient 'work places'. In this way, the 'marginal crowd' began to settle down in the suburbs of the city. This study, in the context of the object theme, analyses two main questions related to the reality 'WOlLQ' and to the economic exploitation forms: ~) the relations of production in the economic regime of subsistence and in the capitalist regime of industrial production with the consequent 'positions' of the workman in the productive processj ~~) the deriving educative effects of the productive process, either in the economic regime of subsistence, or in the capitalist industrial regime. The two questions are theoretically debated andconfro~ ted with the proposed reality, giving origin to conclusions that, in a general formulation, can be summarized as follows: a) the caboclos of the highland region of Santa Catari na, when under an economic regime of subsistence, held in fee the productive processj there was a social division of the work and aclimate of freedom which made possible the development of knowledge from their life and work experience, the production of most of their tools, and the making of necessary manufactures adapted to their own surrounding ditionsi -- - --- other con- ------ b) however, these same caboclos, when absorbed by the capitalist industrial process of production - tipified by the work in saw-mills - lost the control of the productive processj this was caused by the technologic division of the work, since each man began to perform a dull and repeti tive action, directed by the speed of the 'major-saw' j man resigned form his skill and inventive power and surrendered to an executive authority which turned him into a 'collective worker'j the new productive process, besides rnaking each rnan a copy of a pattern, put the caboclos in a situation in which the daily work experiencedidn't add anything in terrns of autogenesis of knowledgei and even the environrnental educative rneans were reduced to new forrns of adaptation to the productive process, relegating rnan's inventive power to inertia.

Níveis de julgamento de alunos de 1., 2. e 3. graus de ensino

Os níveis de julgamen to dos alunos de 1 2 , 22 e ,:3 2 graus de ensino da Rede de E'sco las Particulares e da ~~ndação Universitária da cidade de Lages - Santa Catari ~a -, é um estudo teórico e de investigação prática, que -pretende verificar e discutir as relações entre a quali~ . dade ou maturidade de julgamento .. ' . e as var~ave~s idade grau de escolaridade, capacidade intelectual e nível só- --ci.o-econômico dos alunos ,sujeitos da pesquisa. A amostra foi sorteada aleatoriamente entre to- dos os alunos da 8! série do 12 grau, 2~' série do 29 grau e 3! série do 3 2 grau, num percentual aproximado de 20% da população total visada. Constituiu-se, assim, uma amos tra de 152 sujeitos, extTa{da de uma população de 898 a~ . . lunos. Os objetivos específicos que orientaram o estu- , ." ... . .' ,.., . do resumem-se na anal~se e discussao das relaçoes entreo nível de julgamento e as demais variáveis, isto é, ida~ de, grau de escolaridade, capacidade intelectual e nível sócio-econômico dos ,alunos pesquisados. Os resultados indicam que: 1) a maioria absolu- , ta dos sujeitos tanto de 12 e 22 graus qcinnto os de .j2 grau não alcançou'os níveis de julgamento mais maduros - ou seja - julgamento imaginativo-explicativo e imaginati vo-explicati vo-compreensi vo.· .2) Os sujei tos revelam -a- centuada dificuldade de raciocínio e julgamento' em ,rela ção ao texto-teste de estrutura lógica. 3) As variáveis' ~dade, grau de escolaridade, nível 56cio~ecortômico rela- ',c~onam-se,. em geral, positivamente com o nível de julga- ~mento, embora, no caso desta pesquisa, essa relação seja :fraca, possivelmente em função da pou.ca dispersão ougra!! de homog'eneic.ade' dos escores obtidos pelos sujeitos. Es- -sa homogeneidade de resultados levanta problemas que me- receriam novos estudos para maiores esclarecimentos sobre as condiç;es de desenvolvimento do processo de julga- mento, sejam internas ou externas à escola. são levantadas questões relativas, principalmen- te, à ação da escola, aos livros textos nela utilizados às condições precárias dos professores, à concepção tradi ciônal de educação e sobre o sistema ou contexto social a tual dentro do qual a escola é um sub-sistema. são sugeridas, no final do trabalho, pesquisas e estudos que visem amplioar o c onhecimento a raspei to do d~ senvolvimento do processo de julgar, bem como, pesquisas que procurem relacionar o nível sócio-econômico do profes sor e a quantidade e qualidade de leituras feitas por ele com o desempenho dos alunos.

De gata borralheira a Cinderela :nova espacialidade decorrente do desenvolvimento turístico, diferenciada pelo estilo de vida em Ponta Negra, Natal, RN

The transformations economical, social and politics in you finish them decades of the century XX brought changes that didn't just limit to the production system. The flexible accumulation took many workers lost her/it their workstations and they look for her/it new survival forms, migrating for administrative activities, of services rendered and for the tourist activity of small and medium load. The State has been investing in the implantation of plans of tourist development in order to create favorable conditions for the reproduction of the tourist activity in Brazil, mainly in the Northeast. A space when it starts to present a predominant economical activity suffers a restructuring in their social and economical relationships. The restructuring of these relationships takes to the construction of a new espacialidade. In the city of Christmas, in Rio Grande do Norte, the neighborhood of Black Tip is the most representative of the public investments for the tourist development. After intense process of tourist urbanization, Black Tip passed interfering in the global context consolidating as the tourist locus in the city. The tourist urbanization of the neighborhood took to the transformation of the space in merchandise that is sold and consumed as such. The recreation of fragments of other cultures brought by social actors, resulting from migratory processes stimulated by the tourist development, it has been presenting ruled social relationships in the informational technology, consumption of global goods and in the fragmentation of the urban space characterized by the internationalization and cosmopolitização. That process has been masking the inequalities partners and cultural as well as the territorial appropriation for an economical elite. The spaces are being appropriate for investors of the tourist section, private investors, agents and real estate producers, where the inequality is not just economical, but also cultural. The local population, mainly of the urban fraction of the Town of Black Tip, it doesn't participate of the productive process in function of the little or any professional qualification and he/she doesn't also have access to the consumption process. To the native ones it remains the fight for the preservation of his/her cultural identity and for the survival

Uma cidade em transformação: a influência da atividade do crediário nas mudanças da paisagem urbana de Tenente Ananias-RN

Studies on the urban landscape and on the changes of the urban space are relevant, since they reveal the economic dynamics and the way of life in the cities. Research on small towns, in particular, can display particular aspects and by so doing broaden the comprehension of this theme. The purpose of this research is to analyze the changes in the urban landscape and in the way of life of the inhabitants of the town of Tenente Ananias-RN that have been taking place since the 1990s up to the present (2013) and which result mainly from the commercial activity of crediário. The study is, therefore, a reflection on the impact of crediário economy on the urban landscape and on the way of life of a small town located in the hinterland of the State of Rio Grande do Norte. For this reason, it was necessary to study the landscape and the way of life found in Tenente Ananias in two moments: a) before the rise of the crediário, a period of time ranging from the town‟s initial emergence until the beginning of the 1990s; b) during the progress of crediário activity, from the beginning of the 1990s, when it starts, up to the present (2013). For this research, primary data (interviews, local survey visits) and secondary data (books, articles, reports, census data) were used. As a result of this study, it was possible to conclude that crediário plays a fundamental role for the explanation of the changes taking place in Tenente Ananias-RN, especially in the urban landscape and in the way of life of people. We have attempted, through this research, to contribute to the studies of a historical, social and economic process related to the urban landscape and space of a small town in the State of Rio Grande do Norte

Geografia da dominação: um estudo sobre a organização espacial da terra do sal (Macau-RN)

This work aims to understand the spatial organization in the Town of Macau, State of Rio Grande do Norte, Brazil. This approach focus on bringing back the history of the town, the main personages responsible for the construction of this place, denominated "social agents", as well as its social processes and the spatial forms derived from them. As the personages and their practices were identified, it was found out the existence of a driving force for structuring, interlocking, and maintaining the actions carried out by the social agents during the time. Such actions were materialized in the urban space: "the social segregation". The social segregation takes place as a specific geography of domination. The outcome of those owning the best areas" and ways of accessibility in the urban space, varies from the enrichment by property valorization, because of the concentration of public investments of infrastructure, to the comfort of easily reaching all the daily needs related to the displacements in the urban space. In the latter case, such facility has contributed to improve life quality. While one takes advantage of the location in the urban space, others are negatively affected by the same process. This research identified the salina worker as the weakest element of this social structure, occupying the urban periphery of the town of Macau. Such area is characterized by the lack of services and urban equipment in opposition to the center of the town, the locus of elite. This way, it is established the most known segregation pattern: center x periphery, in which the space acts as a mechanism of segregation

Estudo da incorporação de cascalho proveniente da perfuração de poços de petróleo em formulações para tijolos de solo-cimento

The present work is to study the characteristics and technological properties of soil-cement bricks made from binary and ternary mixtures of Portland cement, sand, water, with or without addition of gravel from the drilling of oil wells, which could be used by industry, aiming to improve its performance and reduce cost by using the residue and, consequently, increasing its useful life. The soil-cement bricks are one of the alternatives to masonry construction. These elements, after a short curing period, provide compressive strength similar to that of solid bricks and ceramic blocks, and the higher the resistance the higher the amount of cement used. We used the soil from the city of São José do Mipibu / RN, the banks of the River Baldun, cement CPIIZ-32 and residue of drill cuttings from oil wells drilling onshore wells in the town of Mossley, RN, provided Petrobras. To determine the optimum mix, we studied the inclusion of different residues (100%, 80%, 70%, 60% and 50%) where 15 bodies were made of the test piece. The assessment was made of bricks made from simple compression tests, mass loss by immersion and water absorption. The experimental results proved the efficiency and high utilization of the waste from the drilling of oil wells, making the brick-cement-soil residue with a higher strength and lower water absorption. The best result in terms of mechanical strength and water absorption for the ternary mixture was 10% soil, 14% cement and 80% residue. In terms of binary mixtures, we obtained the best result for the mix-cement residue, which was 14% cement incorporated in the residue

Icnofósseis (paleotocas e crotovinas) atribuídos a mamíferos extintos no sudeste e sul do Brasil

ICHNOFOSSILS (PALEO-BURROWS and CROTOVINES) ATTRIBUTED TO EXTINCT MAMMALS IN SOUTHEASTERN and SOUTH BRAZIL. This work presents information regarding tunnels which are attributed to large extinct mammals. These structures can be found in several places in southeastern and southern Brazil, in different types of substrate, occurring as hollow structures (paleo-burrows) or those filled with sediments (crotovines). The dimensions and osteoderm and claw imprints found along the internal walls of the paleo-burrow found on aluvial fan deposits near the town of Cristal (Rio Grande do Sul State) suggest that a dasypodid xenarthran might have dug this structure. Comparison with similar structures found in Argentina can provide more detailed information regarding the paleoecology and biostratigraphy of the organisms that made these burrows.

Os trabalhos de amor e outras mandingas: A experiência mágico-religiosa em terreiros de umbanda

The following text addresses the magical-religious experience carried on by many individuals when they seek to solve their love, financial and health problems by means of white magic spells done by pais-de-santo e mães-de-santo (saint s father and saint s mother) from umbanda. The rites through which this seek can be detected are free love spells, troublesolving spells, and healing spell. The concept of experience, here understood as the thing which gives sense to the sense, has been the main guiding idea of the reflections here enclosed. People who seek the umbandista spells as a way of solving their daily afflictions have the opportunity of living a rich magical-religious experience in which several dimensions intersect. Among these dimensions I decided to study the performance, the knowhow and the subjetivity. Each one gave rise to the opportunity of studying a range of other themes, such as the corporeity, the gestuality, vocality, the world knowledge, the science, the secret, the emotions and the moral. The ethnographic research was carried on in the yards which are named after Dona Luiza, Pai Gledson, Pai Salviano and Dona Terezinha umbanda, all of them situated in the town of Limoeiro do Norte, Ceará

Política de atenção à saúde do idoso em Mossoró/RN: potencialidades e possibilidades para promoção do envelhecimento saudável no estado do Rio Grande do Norte

It discusses the Health Care of the Elderly in the town of Mossoró, traversing the paths that discussed the history of health care, which has been altered by the new (con) formation and required adjustments of society which led the development and implementation of the National Health Care for the Elderly with the backdrop of the guiding principles of the Health System - SUS. The goals outlined were: To map the implementation of the policy of health care for the elderly in Mossoró considering whether this is based on the principles and guidelines of the NHS and National Health Policy of the Elderly; Check if health promotion is seen as a strategy that favors the elderly mossoroenses the possibility of healthy aging; identify the discourse of the elderly about the aging process and the strategies you use to take care of your needs. Applies as a methodological strategy BOAS, complemented by interviews with twenty (20) elderly residents of Mossoró with a view to understand the objective elements, and the political and subjective traits that express a regularity which marks the area of health care mossoroense elderly. The data were tabulated and the BOAS divided into nine sections for analysis. The speeches were transcribed seized and subjected to a thorough reading that allowed the visualization of issues that have been examined with theoretical and methodological support to the model proposed by Boaventura de Souza Santos (2006) designated this cosmopolitan reason being supported by three meta-sociological procedures, namely, the sociology of absences, the sociology of translation work and emergencies. It appears as a result the exclusion and discrimination of the elderly in different social settings, a condition that prevents them from being aware of their importance as citizens deserving of decent treatment and respect for the family, society and the government, when addressing health the elderly said the need to propose alternative models of care that has the paradigm of health promotion. We conclude that in these areas, meetings are held, to draw lines that were heterogeneous because they were built by the dissimilarities that engender incessantly and show that although we have advanced regarding the attention of the elderly in Mossoró there is still a long way to go in order to meet the needs revealed by the elderly. It is suggested that the practice of trial-creation-differentiation, while highlighting the historical and procedural dimension, deconstructions and negotiations with collective effects. A democratic paradigm and analytical creeps: the constitution are moments of Health Care for the Elderly shaping a new landscape in the town of Mossoró.

Caracterização da água da microbacia do córrego rico avaliada pelo índice de qualidade de água e de estado trófico

A avaliação do índice de qualidade da água (IQA) e do índice de estado trófico médio (IETm) pode subsidiar a formulação de planos de manejo e gestão de sistemas aquáticos. Neste trabalho, foi avaliada a qualidade da água da microbacia do Córrego Rico, que abastece a cidade de Jaboticabal (SP), utilizando o IQA e IETm. As amostragens de água foram realizadas entre setembro-2007 e agosto-2008, em três pontos: a) em uma das nascentes; b) após a Estação de Tratamento de Esgoto de Monte Alto, e c) na captação de água para abastecimento público de Jaboticabal. As amostras foram analisadas quanto aos parâmetros físicos, químicos e microbiológicos: temperatura, oxigênio dissolvido, pH, DBO5, nitrogênio total, fósforo total, turbidez, resíduo total, ortofosfato, clorofila-a e Escherichia coli. de acordo com os resultados obtidos, concluiu-se que: a) as atividades antrópicas às margens do Córrego Rico reduzem a qualidade de sua água, durante os diferentes períodos do ano; b) os valores médios de IQA nos três pontos analisados apresentaram relação direta com os valores médios de IETm, porém ocorreu maior discriminação da qualidade da água pelo IETm, identificando diferentes graus de trofia para os pontos e períodos de amostragens; c) o IQA apresentou melhor diferenciação da qualidade da água entre pontos no período seco e o IETm diferenciou melhor no período chuvoso; d) o processo de autodepuração e/ou a confluência do Córrego Tijuco com o Córrego Rico contribuem para melhor qualidade da água, tornando-a adequada ao abastecimento urbano após tratamento convencional.

Literatura de monteiro lobato no ensino de ciências

Advocating education as a humanizing task, the humanizing function of literature and the importance of scientific education, this paper proposes linking Science and Literature in Science Teaching using two specific books of Monteiro Lobato in the final series of elementary school level. Adopting the action research methodology, an interdisciplinary approach, we used the books A Reforma da Natureza and Serões de Dona Benta in two classes (8th and 9th) at Escola Estadual Professor José Mamede, located in the town of Tibau do Sul, Rio Grande do Norte. The readings were performed in Portuguese Language s course and the scientific content were discussed in Science´s classrooms. The book A Reforma da Natureza permitted to approach issues related to the environment, while the use of Serões de Dona Benta showed particularly its effectiveness in questioning the concepts of matter, mass, weight and some questions about the Nature of Science (NOS). In general, the analysis of results shows that the readings of these two books permitted interaction and dialogicity in the classroom, as well as indicates the potential of these books in contextualing and questioning the scientific content contained in it. We advise, however, the need for the science teacher be aware of the conceptual mistakes present in literary works, avoiding erroneous learning and reinforcement of alternative conceptions

Viabilidade econômica do uso do calcário na implantação de pomar de goiabeiras

With the objective of studying the relationship between limestone doses and guava production, a field experiment was conducted on Oxisol soil in the town of Bebedouro-SP, from 1999 to 2006. The experimental design was randomized blocks with four replications. The limestone was used only once in 1999, at doses from zero, 1.85; 3.71; 5.56 and 7.41 t ha(-1). The guava production increased in response to the application of the acidity corrective. The accumulated production of fruits in successive years 2003, 2004, 2005 and 2006 were associated with economical doses of limestone of 1.6; 4.4; 7.2 and 7.2 t ha(-1) respectively.

Impacto urbano ocasionado por empreendimentos da construção civil no entorno da zona de proteção ambiental (zpa-6), Vila de Ponta Negra, Natal/RN

The process of urbanization in recent decades has generated considerable seriousness of problems relating to the use and occupation physical environment of cities. The concentration of population, economic activities and technological standards have reinforced an existing urban environment highly degraded as a consequence of the development style that leads to the predatory use of natural resources. In this context, cities as centers of production and consumption, have the most serious problems of environmental degradation. This study investigated the impacts of the municipal building projects to large-scale vertical in the town of Vila de Ponta Negra, Natal-RN, given the proximity to the Environmental Protection Area (ZPA-6) and considering its environmental importance , scenic, landscape and tourism for the city of Natal-RN. The fragility of the licensing process and the failure of the assumptions in the analysis, objective and subjective, for the granting of environmental permits for the building construction projects, specifically those set out in the surroundings of the Environmental Protection Area (ZPA-6) and fundamental importance of landscape and tourism for the city of Natal, has aroused the concern of local people in and of itself the Government, faced with the probable impacts that will affect greatly the Vila de Ponta Negra. The methodology used to achieve the intended objectives will be the literature review, questionnaire to the surrounding population and the Government, as well as findings on the spot, through the photographic record. The beneficiaries of the license, if the entrepreneurs, have been affected because of the granting of licensing act of investing large amount of capital in the works. Additionally, with distrust of the population, since they are to discredit the public system of environmental management have guessed by the probability of imbalance to the environment and structural damage to the Vila de Ponta Negra, where such failure to support energy, lack of regular supply of water , lack of sanitation and access roads sufficient for the flow of motor vehicles in these areas, among other factors. Thus, this work will contribute to the diagnosis and solutions to the problem in question, so that the Government will effectively fulfill its social management of ecologically balanced environment of continuing urban development in Natal, Brazil