Estudo da oferta e produção de atendimentos das práticas integrativas e complementares no SUS no município do Rio de Janeiro

Esta pesquisa é um estudo de caso com abordagem qualitativa e quantitativa, de natureza exploratória que se propõe a analisar as características de oferta e produção das práticas integrativas e complementares, no período de 2006 a 2013 no município do Rio de Janeiro. Como fontes de dados foram utilizados os bancos de dados nacionais sobre oferta de serviços, de profissionais e de produção: o SCNES- Sistema do Cadastro Nacional de Estabelecimentos de Saúde onde são registrados dados da capacidade física e recursos humanos dos estabelecimentos de saúde e o SIASUS Sistema de Informação Ambulatorial onde são registrados os dados da produção ambulatorial do SUS. Optou-se por esses dois bancos de dados por serem ferramentas institucionais de gerenciamento da capacidade instalada e produção utilizadas pelas esferas federal, estadual e municipal. Buscou identificar profissionais cadastrados no SCNES que são autorizados a oferecer práticas integrativas e complementares no município do Rio de Janeiro, detectar os serviços de práticas integrativas e complementares cadastrados no CNES do município do Rio de Janeiro e analisar no Sistema de Informação Ambulatorial, registros de produção em práticas integrativas e complementares do município do Rio de Janeiro. A lista de práticas integrativas e complementares estabelecidas na portaria no 971 de 2006 são homeopatia, medicina tradicional chinesa (onde se inclui a acupuntura), medicina antroposófica, plantas medicinais e fitoterapia, termalismo/crenoterapia. Este estudo proporciona maior visibilidade quanto às características de implementação e institucionalização de uma recente política pública de saúde e contribui com base na análise dos dados encontrados em ferramentas de gestão, para o aprimoramento de ações de acompanhamento e avaliação, estruturação dos serviços, bem como o desenvolvimento sustentável de políticas locais de oferta das terapias complementares do SUS, em consonância com as diretrizes da Política Nacional de Práticas Integrativas e Complementares.

Traditional institutions and their role in the contemporary coastal resource management in the Pacific Islands

A discussion is presented on the role played by customary marine tenure (CMT) institutions in the regulation of fisheries in the Pacific Ocean Islands. Particular reference is made to the system in operation in Marovo Lagoon, in the Solomon Islands, whereby a number of defined clans control resource use within defined areas of land and sea. It is believed that such systems have considerable capacity for handling and adapting to new circumstances, thereby becoming potentially important tools in the contemporary management of fisheries and of the coastal zone in general.

A traditional floodplain fishery of the lower Amazon River, Brazil

This paper describes fishing activities of households in four communities located in a floodplain lake system of the lower Amazon river. An average of 42 households were interviewed about their fishing activity on a monthly basis. The fishery is a typical multi-gear, multi-specific artisanal fishery. Approximately ten types of fishing gear are utilized, of which the three main types of gillnets account for 51% of the total catch. The catch per trip averaged 15 kg, for an annual total of 2,295 kg per household. Some 40 species or groups of species are caught, although four species account for 50% of the total. There is a strong seasonal pattern to the fishery, with catch per trip and catch per unit effort (CPUE) highest in the low water season (September-November). While there are marked differences between subsistence and commercially oriented fishing strategies, these differences are more in degree than in type, since fishers use the same types of gear and most fishers regularly sell part of their catch.

Improvement of traditional shrimp culture in the Mekong Delta

Improvements to traditional brackishwater shrimp culture in the Mekong Delta, Vietnam are discussed. A technical support program has been implemented based on a so-called improved extensive shrimp culture method, as previously developed and tested by the Artermia and Shrimp Research and Development Center (ASRDC). The program focuses on: 1) the use of hatchery-produced postlarvae (of Penaeus monodon and P. merguinensis) nursed for three to four weeks, and 2) the application of low-cost pond management practices including predator control, supplementary feeding and frequent water renewal. A credit program, managed as a revolving fund was made available. A dialogue among participating farmers was encouraged through the organization of group meetings before and after each production cycle.

Traditional Knowledge of the Ecology of Belugas, Delphinapterus leucas, in Cook Inlet, Alaska

The population of belugas, Delphinapterus leucas, in Cook Inlet, Alaska, is geographically isolated and appears to be declining. Conservation efforts require appropriate information about population levels and trends, feeding and behavior, reproduction, and natural and anthropogenic impacts. This study documents traditional ecological knowledge of the Alaska Native hunters of belugas in Cook Inlet to add information from this critical source. Traditional knowledge about belugas has been documented elsewhere by the author, and the same methods were used in Cook Inlet to systematically gather information concerning knowledge of the natural history of this beluga population and its habitat. The hunters’knowledge is largely consistent with what is known from previous research, and it extends the published descriptions of the ecology of beluga whales in Cook Inlet. Making this information available and involving the hunters to a greater extent in research and management are important contributions to the conservation of Cook Inlet beluga

Traditional and geometric morphometrics detect morphological variation of lower pharyngeal jaw inCoris julis(Teleostei, Labridae)

In the present study, variation in the morphology of the lower pharyngeal element between two Sicilian populations of the rainbow wrasse Coris julis has been explored by the means of traditional morphometrics for size and geometric morphometrics for shape. Despite close geographical distance and probable high genetic flow between the populations, statistically significant differences have been found both for size and shape. In fact, one population shows a larger lower pharyngeal element that has a larger central tooth. Compared to the other population, this population also has medially enlarged lower pharyngeal jaws with a more pronounced convexity of the medial-posterior margin. The results are discussed in the light of a possible more pronounced durophagy of this population.

Evaluation of the In Situ Ichthyoplankton Imaging System (ISIIS): comparison with the traditional (bongo net) sampler

Plankton and larval fish sampling programs often are limited by a balance between sampling frequency (for precision) and costs. Advancements in sampling techniques hold the potential to add considerable efficiency and, therefore, add sampling frequency to improve precision. We compare a newly developed plankton imaging system, In Situ Ichthyoplankton Imaging System (ISIIS), with a bongo sampler, which is a traditional plankton sampling gear developed in the 1960s. Comparative sampling was conducted along 2 transects ~30–40 km long. Over 2 days, we completed 36 ISIIS tow-yo undulations and 11 bongo oblique tows, each from the surface to within 10 m of the seafloor. Overall, the 2 gears detected comparable numbers of larval fishes, representing similar taxonomic compositions, although larvae captured with the bongo were capable of being identified to lower taxonomic levels, especially larvae in the small (<5 mm), preflexion stages. Size distributions of the sampled larval fishes differed considerably between these 2 sampling methods, with the size range and mean size of larval fishes larger with ISIIS than with the bongo sampler. The high frequency and fine spatial scale of ISIIS allow it to add considerable sampling precision (i.e., more vertical sections) to plankton surveys. Improvements in the ISIIS technology (including greater depth of field and image resolution) should also increase taxonomic resolution and decrease processing time. When coupled with appropriate net sampling (for the purpose of collecting and verifying the identification of biological samples), the use of ISIIS could improve overall survey design and simultaneously provide detailed, process-oriented information for fisheries scientists and oceanographers.