Reforma psiquiátrica e transição paradigmática no interior do estado de São Paulo

Este trabalho investiga o aspecto qualitativo da Reforma Psiquiátrica no interior do estado de São Paulo, por meio da análise dos discursos presentes no campo da Saúde Mental. Balizamo-nos no referencial da Atenção Psicossocial enquanto corpo teórico-prático e ético para transformação paradigmática em Saúde Mental. Como método, utilizamos entrevistas semi-dirigidas com coordenadores de CAPS e coordenadores municipais de Saúde Mental, e observações participantes, analisadas por meio do método dialético de análise de discurso. Foram encontradas três matrizes teóricas principais dos discursos (Psiquiatria Tradicional, Psiquiatria Preventivo-Comunitária, Atenção Psicossocial) coexistindo no espaço institucional. A vertente Preventivo-Comunitária mostrou-se bem instalada e superando técnica e teoricamente a Psiquiatria Tradicional, porém dificultando o avanço da Atenção Psicossocial em termos éticos.

Um estudo sobre a utilização de sistemas, programas e ferramentas da qualidade em empresas do interior de São Paulo

O desenvolvimento e implantação de sistemas de gestão da qualidade e o uso de programas e ferramentas da qualidade são algumas das opções mais utilizadas pelos gestores para aumentar a competitividade de suas empresas. Nesse contexto, o objetivo deste artigo é apresentar o resultado de uma pesquisa tipo survey em que se verificaram e analisaram as principais características do processo de certificação ISO 9001, seus benefícios, suas dificuldades e quais programas e ferramentas da qualidade são utilizados em 236 empresas do interior do Estado de São Paulo. A pesquisa revelou que a certificação ISO 9001 gera benefícios significativos às organizações, tais como: melhoria dos processos internos e nos seus produtos; aumento da satisfação dos clientes; diminuição do número de não conformidades e de devoluções; aumento da produtividade e do lucro; melhoria no gerenciamento dos recursos e valorização da imagem da empresa no mercado. Ela também ratificou a importância da utilização dos programas e ferramentas da qualidade como forma de as empresas se adequarem melhor aos requisitos da norma ISO 9001. As dificuldades de desenvolvimento e implantação desses sistemas não se confirmaram para a amostra pesquisada. Apenas a resistência à mudança, dentre todas apresentadas, mereceu destaque para os pesquisados.

Estudo comparativo das reações teciduais produzidas pela linha de pesca (poliamida) e fio de náilon cirúrgico

Foram empregados 30 ratos, machos, linhagem Wistar. Implantou-se sob a pele segmentos de 3cm de comprimento de linha de pescamantida em formalina, linha de pescaautoclavada uma vez, linha de pescaautoclavada duas vezes e fio de náilon cirúrgico. Cada animal recebeu dois tipos de material de sutura, em locais paralelos e eqüidistantes da coluna vertebral. Foram sacrificados com cinco, 15 e 90 dias de pós-operatório para que se procedesse o exame histopatológico. Pelo grau de reação tecidual pode-se concluir que: a maior reação ocorreu com a linha de pesca mantida em formalina e a menor com o fio de náilon cirúrgico; as linhas de pescaautoclavadas uma e duas vezes se comportaram de forma semelhante e apresentaram um reação intermediária.

Vacinação de idosos contra a influenza em um centro de saúde escola do interior do estado de São Paulo

Este estudo objetivou descrever o perfil dos idosos e avaliar informações que eles possuem sobre a vacinação contra a influenza. A coleta de dados foi realizada através de questionário, aplicado a 162 idosos de um Centro de Saúde Escola do interior de São Paulo, no período de abril a junho de 2006. Através da análise estatística descritiva, verificou-se que a maioria dos idosos tinha idade entre 70-79 anos e prevaleceu o sexo feminino (66%). em relação à vacinação, 83,8% dos entrevistados receberam a vacina e referiram não apresentar reação pós-vacinal. Os idosos obtiveram informação da vacinação por meio de rádio e televisão, e mencionaram que sua importância está relacionada com a prevenção. Concluiu-se que os idosos possuíam informações sobre a vacinação, porém ainda existe a necessidade de enfermeiros e outros profissionais da área, se responsabilizarem por uma orientação mais clara sobre a importância da vacinação contra influenza e suas complicações.

Short term hydroelectric scheduling combining network flow and interior point approaches

In this paper, short term hydroelectric scheduling is formulated as a network flow optimization model and solved by interior point methods. The primal-dual and predictor-corrector versions of such interior point methods are developed and the resulting matrix structure is explored. This structure leads to very fast iterations since it avoids computation and factorization of impedance matrices. For each time interval, the linear algebra reduces to the solution of two linear systems, either to the number of buses or to the number of independent loops. Either matrix is invariant and can be factored off-line. As a consequence of such matrix manipulations, a linear system which changes at each iteration has to be solved, although its size is reduced to the number of generating units and is not a function of time intervals. These methods were applied to IEEE and Brazilian power systems, and numerical results were obtained using a MATLAB implementation. Both interior point methods proved to be robust and achieved fast convergence for all instances tested. (C) 2004 Elsevier Ltd. All rights reserved.

Resonance and chaos .1. First-order interior resonances

Analytical models for studying the dynamical behaviour of objects near interior, mean motion resonances are reviewed in the context of the planar, circular, restricted three-body problem. The predicted widths of the resonances are compared with the results of numerical integrations using Poincare surfaces of section with a mass ratio of 10(-3) (similar to the Jupiter-Sun case). It is shown that for very low eccentricities the phase space between the 2:1 and 3:2 resonances is predominantly regular, contrary to simple theoretical predictions based on overlapping resonance. A numerical study of the 'evolution' of the stable equilibrium point of the 3:2 resonance as a function of the Jacobi constant shows how apocentric libration at the 2:1 resonance arises; there is evidence of a similar mechanism being responsible for the centre of the 4:3 resonance evolving towards 3:2 apocentric libration. This effect is due to perturbations from other resonances and demonstrates that resonances cannot be considered in isolation. on theoretical grounds the maximum libration width of first-order resonances should increase as the orbit of the perturbing secondary is approached. However, in reality the width decreases due to the chaotic effect of nearby resonances.

An adaptation of the dual-affine interior point method for the surface flatness problem

This paper presents an adaptation of the dual-affine interior point method for the surface flatness problem. In order to determine how flat a surface is, one should find two parallel planes so that the surface is between them and they are as close together as possible. This problem is equivalent to the problem of solving inconsistent linear systems in terms of Tchebyshev's norm. An algorithm is proposed and results are presented and compared with others published in the literature. (C) 2006 Elsevier B.V. All rights reserved.

Prevalência de doenças sexualmente transmissíveis em mulheres profissionais do sexo, em um município do interior paulista, Brasil

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

Estimativa da captura total: desenhos amostrais para pesca artesanal

Estimating total landings of artisanal fisheries in managed areas is essential for the development of programs aimed at the establishment of sustainable production systems. However, few experiences addressed the constraints of assessments targeted at multispecific and small scale fisheries with pulverized landings. Total annual production (fish, lobsters and octopus) at the Marine Extractive Reserve of Corumbau, Bahia, Brazil, in 2006, was estimated through yields recorded by fisherfolks, in the scope of a participatory fisheries monitoring program. Three designs were employed: 1) simple random sampling, 2) stratified random sampling by month and fishing frequency, 3) stratified random sampling by community, fishing frequency and months, resulting in estimates of 349t (95% confidence interval = 305-393), 330t (289-372) and 315t (279-351), respectively. This kind of information can help design strategies for aggregation of value to small scale fisheries production, and also for the dimensioning of the corresponding infrastructure. However, these estimates shall not be used to support fishing effort increase, as there is high uncertainty regarding the state of the stocks, as well as limitations related to the asymmetry in monthly landings per fisherfolk and to the sampling coverage in the different strata.

Aircraft interior failure pattern recognition utilizing text mining and neural networks

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Probability distribution models for daily rainfall data for an interior station of Brazil

Two stochastic models have been fitted to daily rainfall data for an interior station of Brazil. Of these two models, the results show a better fit to describe the data, by truncated negative probability model in comparison with Markov chain probability model. Kolmogorov-Smirnov test is applied for significance for these models. © 1983 Springer-Verlag.

Resonance and chaos: I. First-order interior resonances

Analytical models for studying the dynamical behaviour of objects near interior, mean motion resonances are reviewed in the context of the planar, circular, restricted threebody problem. The predicted widths of the resonances are compared with the results of numerical integrations using Poincaré surfaces of section with a mass ratio of 10-3 (similar to the Jupiter-Sun case). It is shown that for very low eccentricities the phase space between the 2:1 and 3:2 resonances is predominantly regular, contrary to simple theoretical predictions based on overlapping resonance. A numerical study of the 'evolution' of the stable equilibrium point of the 3:2 resonance as a function of the Jacobi constant shows how apocentric libration at the 2:1 resonance arises; there is evidence of a similar mechanism being responsible for the centre of the 4:3 resonance evolving towards 3:2 apocentric libration. This effect is due to perturbations from other resonances and demonstrates that resonances cannot be considered in isolation. On theoretical grounds the maximum libration width of first-order resonances should increase as the orbit of the perturbing secondary is approached. However, in reality the width decreases due to the chaotic effect of nearby resonances.

Atendimento extra-hospitalar a alcoolistas em um municipio do interior Paulista

The purpose of this work is to know the forms of minding to the alcoholics in extra-hospitable services of mental health in Botucatu municipality. This places are: Mental Health Ambulatory and School Health Center both of the Medicine College of the Paulista State University and Mental Health Ambulatory of the NGA-11. For the development of this work was realized a bibliographic raising, presented in the introduction. Four professionals that work in this assistance were interviewed. The data that was collected in the interviews were reported with the literature of the area allowing the knowledge of the main characteristics of the minding to the alcoholist in the three services that were consulted. For example: groupal minding, minding to the family and the kind of therapeutic contract.

Analysis of rain quality data from the South African interior

Rain acidity may be ascribed to emissions from power station stacks, as well as emissions from other industry, biomass burning, maritime influences, agricultural influences, etc. Rain quality data are available for 30 sites in the South African interior, some from as early as 1985 for up to 14 rainfall seasons, while others only have relatively short records. The article examines trends over time in the raw and volume weighted concentrations of the parameters measured, separately for each of the sites for which sufficient data are available. The main thrust, however, is to examine the inter-relationship structure between the concentrations within each rain event (unweighted data), separately for each site, and to examine whether these inter-relationships have changed over time. The rain events at individual sites can be characterized by approximately eight combinations of rainfall parameters (or rain composition signatures), and these are common to all sites. Some sites will have more events from one signature than another, but there appear to be no signatures unique to a single site. Analysis via factor and cluster analysis, with a correspondence analysis of the results, also aid interpretation of the patterns. This spatio-temporal analysis, performed by pooling all rain event data, irrespective of site or time period, results in nine combinations of rainfall parameters being sufficient to characterize the rain events. The sites and rainfall seasons show patterns in these combinations of parameters, with some combinations appearing more frequently during certain rainfall seasons. In particular, the presence of the combination of low acetate and formate with high magnesium appears to be increasing in the later rainfall seasons, as does this combination together with calcium, sodium, chloride, potassium and fluoride. As expected, sites close together exhibit similar signatures. Copyright © 2002 John Wiley & Sons, Ltd.