Reconfiguração do sistema único de saúde e suas relações intersetoriais no município do Rio Grande: contribuições do enfermeiro

Objetivou-se conhecer o Sistema Único de Saúde e suas relações intersetoriais no município do Rio Grande frente a demanda das necessidades da população em relação à saúde provocadas pelo desenvolvimento socioeconômico previsto e, consequente crescimento populacional; construir uma proposta de reconfiguração do Sistema Único de Saúde no município do Rio Grande, com contribuições do enfermeiro capaz de atender a demanda produzida pelo desenvolvimento socioeconômico e, consequente crescimento populacional e elevar o nível de saúde da população riograndina. Tem-se como Tese: O estudo do Sistema Único de Saúde e suas relações intersetoriais do município do Rio Grande, possibilita a construção de uma proposta de reconfiguração do Sistema Único de Saúde, com contribuições do enfermeiro, capaz de atender a demanda produzida pelo desenvolvimento socioeconômico e consequente crescimento populacional e elevar o nível de saúde da população riograndina. O tema se justifica pelas contribuições que a pesquisa busca apresentar com a finalidade de oferecer subsídios capazes de auxiliar nas escolhas a serem realizadas de forma coletiva em benefício da saúde da população do município do Rio Grande. Alicerçado no conceito ampliado de saúde é indispensável envolver todos os setores, seus serviços e ações, do município do Rio Grande e apreendê-los como pilares essenciais para a efetivação do Sistema Único de Saúde em benefício da população. A visão sistêmica possibilita conhecer e identificar as relações dos setores e seus serviços e ações que contribuem para atender a demanda em saúde produzida pelo desenvolvimento socioeconômico do município, e assim, entender as necessidades desse ecossistema. O referencial teórico-filosófico construído com base em autores sistêmicos, entre eles: Prigogine, Stengers (1997), Santos, Siqueira, Silva (2009), Prigogine (2009, 2011), Capra (2012), Bertalanffy (2013), foi capaz de dar sustentabilidade a pesquisa com enfoque ecossistêmico. Como caminho metodológico foi empregado o método de análise de conteúdo (AC) ancorado em Bardin (2011). A pesquisa foi do tipo descritivo, exploratório, com abordagem qualitativa. A coleta de dados, envolvendo o contexto do município do Rio Grande/RS, foi realizada por meio de entrevista semi- estruturada, buscando fundamentar a questão de pesquisa, pressupostos, objetivos e especialmente a TESE. O lócus do estudo foi o município do Rio Grande/ RS, mais especificamente, junto aos setores produtivos (secretarias municipais) que compõem a comuna e órgãos integrantes da saúde que oferecem atendimento à população por meio do Sistema Único de Saúde. Os dados evidenciaram que o município encontra-se em estado de alerta, preocupado e até mesmo assustado com as modificações e transformações que estão acontecendo, produzidas pelo desenvolvimento socioeconômico e crescimento populacional como conseqüência da implantação do pólo naval. Na tentativa de equacionar os impactos nos diferentes segmentos criaram diversas estratégias, destacando-se a criação do Grupo de Trabalho e Desenvolvimento, como fórum de discussão. A intersetorialidade entre os setores do município despontou como estratégia importante alcançando bons resultados. A enfermagem, com base nos dados, encontra-se inserida nesse contexto, qualificada e pronta a exercer a sua função e enfrentar os desafios da demanda em saúde.

Retinopatia de Purtscher-like e pancreatite aguda

Retinopatia de Purtscher-like é uma baixa súbita da visão associada à imagem de múltiplas áreas branco-amareladas (manchas algodonosas) e hemorragias no pólo posterior de ambos os olhos. O exato mecanismo da injúria ainda não é claro, mas provavelmente seria de natureza embólica. Tem sido descrita em uma variedade de condições, incluindo pancreatite aguda, síndrome de embolia gordurosa, insuficiência renal,nascimento (parto e pós-parto), desordens do tecido conectivo, entre outras. Serão relatados três casos de pancreatite aguda confirmada pelos exames laboratoriais e história clínica, associadas a alterações no exame do fundo de olho, compatíveis com esta retinopatia

Megabalanus azoricus (Pilsbry, 1916) : building a scientific basis for its management

Tese de Doutoramento, Biologia (Ciências do Mar), 5 de Julho de 2013, Universidade dos Açores.

PARTNERSHIP, SOCIOCULTURAL INFORMATION AND STIMULATION IN SMALL BRAZILIAN MUNICIPALITIES: CONCRETE EXAMPLES

The text came from the UNESP-Project in Partnership with the Public Administration: City of Echaporã ‖, a multidisciplinary project, interdepartmental and that results from a term partnership signed between the State University / Campus Marilia, the Regional Office of Articulation Planning and the Municipality of Echaporã.Given the serious social problems diagnosed in this county Administrative Region of Marilia, somaramse forces and, since April 2002, Echaporã account with the performance of a design matrix that involves the community in six (6) subprojects, among which a which emphasizes the dissemination of information (the public library as a center of information and knowledge irradiator for urban and rural areas, seeking to enter the Society daInformação). By their nature, the project-matrix is considered open and can accommodate new subprojects, where they concern the problems identified in the initial diagnosis. For its validity, each subproject has its own methodology, some innovative and will be subject to further systematization and dissemination, however, after a few months of deployment, the results show the correctness of community involvement (being representative) in all discussions and steps of research, and activities developed, widely disseminated to the target audience. The membership of the community, the leaders and the authorities can be considered a good barometer of the actions carried out in Echaporã and evidence of change in information culture that is already noticeable in the city, setting the socio-cultural dynamics of the same, in terms a new public policy to be strengthened with the participation of specialists in this specific area, in direct work with local managers, in this case, specific examples relating to the strength of information in the process of change in small municipalities.

Project work in a Basque L2 classroom: students’ perceptions

[EN] Project Work has been acknowledged as an efficient medium for language learning for more than two decades (Stoller, 2006) according to the numerous successful applications of project-based programmes that have been reported. In spite of the lack of sufficient controlled studies to assess the benefits of project work, and the existence of some studies giving evidence of students discontent with project work, the reports given by second language (SL) and foreign language students (FL) who have experienced project based instruction give support to the success attributed to project-based learning, as they recognised having improved language skills, learnt content, developed real life skills, as well as gained in self-confidence and motivation (Sierra, 2008 and 2011; Stoller, 2006). The aim of the present study is to explore some key issues involved in implementing a project-based programme focusing on the students’ perceptions of learning gains, their views on the collaborative assessment scheme used in the programme, and the students’ overall evaluations of the implementation of project work in a post-compulsory secondary education context in Navarre, Spain, with students learning Basque as a second language. A group of 12 students enrolled in a project work based programme participated in the study. Results showed that the students’ perceptions were very positive concerning doing projects, learning gains and group work, although more grammar instruction and teacher-fronted activities were requested by the students. However, the collaborative assessment process and the use of a Notebook/Diary as a reflection tool bore mixed evaluations.

Política de promoção da exportação : um olhar sobre a evolução da cultura de melão do Rio Grande do Norte

Some sectors in Brazil are earning notoriety in the international market, configuring itself in dynamic areas for the Country. The most typical case is the agribusiness. Rio Grande do Norte state has important role, because 90% of the output of the melon exported by Brazil is produced at Assu/Mossoró. The present work planned to verify the evolution of the culture of the melon produced at Assu/Mossoró area, from 1990 to 2003. Through descriptive research, utilizing the case study and documentary analysis of secondary data this work showed the evolution of the area reaped of melon in the pole Assu/Mossoró, the quantity produced of melon and of the value of the output of the melon between 1990 and 2003. The research verified that all of the factors studied show growth during the analyzed period, showing up the importance of the agribusiness for the region. However the analysis shows the vulnerability of the sector concerning external macroeconomics factors, such as the exchange rates. Showing the importance and/or dependence of the producers for public actions to development of the culture, that might be on areas like infrastructure, economics or taxes

Estratégias internacionais da fruticultura do RN: o caso finobrasa processo e evolução

The present inquiry has as main objective to understand the process of formation of the international strategies of the exporting companies of fruits of the RN through the theory of the resource dependence. Aiming at to clarify as the companies they can carry through the process of internationalization through this theory had been study the behavior and economic theories of the process of internationalization of companies. Amongst the economic theories they are distinguished the eclectic paradigm of Dunning (1958), Vernon (1669) through the theory of the cycle of the product and Bucley and Casson (1979) with the theory of the international operations. In the mannering boarding they had been investigated the school of Upsala through Johanson and Valnhe (1977) with the concept of the increasing of the markets and in the distance psychic starts and the interaction of the purchaser-salesman of Hallen and Wiedersheim-Paul (1979). In this perspective it observes main the occured changes in the organization in function of this process, following the rules observed by the gradual ingression in the international market, having as base ways of entrances in the external market used by these companies, in view of the frist phase that the company presents of businesses. Ahead of you analyze of these theories the study searches to analyze the convergence of the concepts proclaimed for the theory of the dependence of resources (PFEFFER; SALANCIK, 1978). and strategies of internationalization of the companies. The research is characterized as qualitative case study which adopts and exploratory and analytical type, retrospective matrix. The adopted strategy is of case study and the unit of analysis consisting of the Finobrasa, pertaining company to the Vicunha Group. The main method of collection of data was halfstructuralized interview allied the documentary research that together had presented an empirical perspective of the internationalization process. The analysis and quarrel of the results understand the description and the interpretation of the one of the information through the technique of analyzes of content. Initially the historical of the exportation of fruits of the Rio Grande do Norte with the focus in the region Açu/Mossoró is presented and after that the information of the Finobrasa are presented as base of the study. The main events are identified that had constituted the phases of the strategical model of the company. It was observed that the dimensions most excellent amongst those proclaimed by the School of Uppsala had been the learning, staffs and the step-starts is sufficiently gifts in the reality of the company, as well as the aspects of strategical alliances since the consolidated relationship of the Vicunha Group create a more solid trajectory in the international market allied the conditions created windows of marked . One understands, therefore, that the investigated process still has base the theoretical theories of the internationalization strategies corroborating for the theoretical convergence of the rules proclaimed for the theory of the dependence of resources.

Formulação e caracterização de matérias-primas para revestimento cerâmico Semi-Poroso com adição de chamote de telhas

The ceramics industry in Piauí is nowadays with 55 industries where 11 are in Teresina which is the mainstream of the state, producing 55 million shingles; in which 10 % is of this production is wasted being sometimes thrown on the margins of rivers, roads and highways provoking an environmental degradation. The main goal of this work is to verify the potential of producing semi porous ceramic using grog of shingles, on the first part of this work bodies-of-proof were produced from a basic formula of an industry, doping it with 5 %, 10 %, 15 % and 20 % in mass and in the second part of this work some bodies-of-proof were produced from a formula where one raw material was substituted by 50 % of grog and another substituting it all by grog, bodies-of-proof made of a basic formula previously announced was used for experiment control.The grog and the raw materials were characterized by: particle size analysis , thermal differential analysis, X ray diffraction , X ray fluorescence, an thermal gravimetric analysis and rational analyses. The bodies-of-proof were sintetisized in an industrial oven obeying the normal cycle adopted by an industry, with peak temperatures of 1135 oC and a fast burning cycle of 25 minutes having as energetic fuel liquefied petroleum gas . The pieces that were obtained by this were submersed in rehearsed physics of: water absorption of, apparent specific mass, apparent porosity, lineal retraction, rupture tension to the flexural and dilatometry; mineralogical analysis for X ray diffraction; and microstructural for electronic microscope of sweeping. For all the formulas with addition of grog, superior priorities to the requested by the requirements for semi porous and for the formula to F2-2,5 superior priorities to standard formulas which justifies the incorporation of the shingles in mass for the semi porous ceramic

Educação superior em turismo: o profissional de turismo frente às competências exigidas pelo mercado de trabalho do setor hoteleiro em Natal

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Avaliação da conformidade de blocos cerâmicos para alvenaria de vedação produzidas na Região Integrada de Desenvolvimento da Grande Teresina

This research presents an outlook of the industries of red ceramic in the region next to the city of Teresina and an analysis of the ceramic products producted in this pole. The microregion investigated possesses 13 boroughs where were identified 32 ceramic in operation, being that 24 are located in Teresina, the ceramic region more important of Piauí, 1 is located in the city of Miguel Leão and 7 is located in Timon city that belongs to the state of Maranhão. The majority of ceramics are pulverized in these two cities, Teresina and Timon , responsible by a largely production independent of distance between fabric and consumer market. Furthermore, there is an artisanal production realized in other boroughs, mainly manual conformation bricks, where are producted diverse types of handicraft and ceramics utilitarian. The objective of this research is to evalue the conformity of ceramic blocks for brick of obstruction made by red ceramic industry of microregion at studying, verifying their pontentialities and adequacy in terms of production. In this research universe made a search of ceramic industries related to the Foundation CEPRO (Foundation Center of Research Social and Economic of Piauí). For the analysis of the ceramic products , were colected 60 crude bricks sample in three industries for their characterization, and 39 burned bricks sample for the Evaluation of Conformity. The results of the characterization made reached a accetptable standard in all formulations and temperature studied. The burned samples were applied to the geometric, physical and mechanical assays according to the ABNT standards (Brazilian Association of Technical Standards). The results of the physical assays showed that all the samples are at the same band recommended by standard. However, through the geometric assays just two industries did not present results according to the standard, due to lack of control in their process such as in their equipments. Taking into account the mechanical properties, only one industry investigated was not according to the standard

Influência da gipsita no surgimento de eflorescência em telhas cerâmicas

The red ceramic industry is recognized as of major importance in Piauí State. The State capital, Teresina, is the greatest producer of this material ( production about 18 million peaces), which is used mainly for masonry sealing blocks. One of the most frequent problems in this kind of products is the efflorescence. This work has the main objective of studying the influence of gypsum addition on non-glazed tiles, by using the local industry production standards. The raw materials were characterized by FRX, DRX, TGA, DTA and AD. Extruded test specimens were made with the addition of 1, 3 and 5% of gypsum in the ceramic paste, burned at 850oC, 950oC and 1050oC and submitted to further technological tests and microestrutural analysis by the scanning electron microscope. In order to accelerate the aging of bodies of evidence, they were immersed in successive water baths and posterior drying. The reference ceramic paste showed tendency to efflorescence formation after drying and consolidated efflorescence after burning, but no affecting the technological results

De los proyectos de trabajo como perspectiva curricular a los proyectos como una trama de la vida

Los proyectos de trabajo son una metodología extendida como perspectiva curricular en Educación Infantil pero, en muchas ocasiones, quedan en una receta a aplicar, algo mecánico y cosmético, que queda en la superficie de las prácticas de enseñanza y aprendizaje, sin cambiarlas como se necesita. La narración de los proyectos de aula desarrollados con un grupo de Infantil desde los 3 hasta los 6 años, narrados a través de textos, imagen y audiovisuales, sirve para mostrar cómo el aprendizaje desde la escucha, la organización de los espacios y los tiempos y la vida del aula como una trama de relaciones son tres ejes fundamentales para abordar un cambio profundo de la escuela.

Estudio de márgenes tras tumorectomía seguida de radiofrecuencia en cirugía conservadora del cáncer de mama

Introducción: La cirugía conservadora constituye hoy el tratamiento estándar en el ca. mama. La recurrencia local debe evitarse en la medida de lo posible, en tanto en cuanto condiciona un mayor estrés para la paciente, la obligatoriedad de tratamientos más agresivos, y una disminución de la supervivencia. Para ello, la obtención de márgenes libres es un factor clave. Pese a todos los esfuerzos por obtener dichos márgenes libres en un único acto quirúrgico, sigue existiendo una alta tasa de reintervenciones para su obtención. La ARF es un procedimiento aún en investigación sobre la que existen pocos datos relativos a los detalles de la técnica y su reproductibilidad, así como su eficacia en la obtención de márgenes libres y menos aún sobre persistencia de enfermedad, recurrencia local y repercusión sobre la supervivencia, para lo que se necesitaran estudios con amplios grupos de pacientes y tiempo de seguimiento. Nosotros nos proponemos aportar datos relativos a la ARF, centrados en un protocolo de la técnica de aplicación de la ARF, valoración de la utilidad de la ARF en la obtención de margen libres y repercusión de la ARF sobre las complicaciones y el resultado estético. Material y métodos: Estudio longitudinal de una cohorte prospectiva a las que se le realiza cirugía conservadora seguida de radiofrecuencia, y una cohorte retrospectiva a las que se le realiza cirugía conservadora sin aplicación de radiofrecuencia. Análisis descriptivo de los resultados y comparativo del grupo a estudio respecto a grupo control. Resultados: Se ha realizado ARF a un total de 14 pacientes, con el empleo de un terminal de electrodo simple, lo que aporta gran versatilidad y reproducibilidad a la técnica, y obteniendo un 100% de márgenes libres. Se ha registrado una reintervención por microcalcificaciones evidenciadas en mamografía de control. No se han registrado complicaciones específicas de la técnica. Se han obtenido un total de 92,8% de resultados buenos ó excelentes. En el análisis comparativo, no se han encontrado diferencias estadísticamente significativas respecto a tasa de reintervenciones, resultados cosméticos ó complicaciones. Conclusiones: 1. La ARF ha demostrado en el grupo de estudio una eficacia del 100% en relación con negatividad o no viabilidad de células tumores en todos los márgenes extirpados. 2. La ARF contribuye a aumentar el margen quirúrgico oncológico de seguridad en cirugía conservadora del cáncer de mama, hecho de especial interés en subgupos de mayor riesgo de recurrencia local. 3. La ARF ha demostrado ser una técnica segura con una tasa de complicaciones generales similares al tratamiento estándar, no existiendo en nuestra serie ninguna complicación específica atribuible a la técnica. 4. La elección del terminal con electrodo simple nos permite mayor versatilidad, adaptando el procedimiento y técnica quirúrgica según el tamaño de la lesión para conseguir el efecto deseado. 5. Asimismo la utilización del terminal con electrodo simple nos permite ampliar indicaciones de la ARF al poder incluir lesiones cercanas a piel y pectoral sin riesgo de quemaduras. 6. La aplicación de radiofrecuencia en márgenes y su exéresis no ha afectado el resultado cosmético.

Estudo da adição do resíduo proveniente da extração de minério de ferro em argilas do Rio Grande do Norte

The mining industry is responsible for the generation of waste from their natural process of extraction. The mining impacts in urban areas are of special importance due to the high urban occupation, which are exacerbated due to the proximity of the mined areas and populated areas. Some solutions to wastedisposal have the potential to significantly reduce the environmental risks and liabilities, but represent higher costs in the stages of deployment and operation. The addition of mining waste as raw material in the development of commercial products reduces the environmental impacts, transforming the waste into a positive element in the generation of employment and income. This thesis studies the incorporation of waste iron ore in two clays, one from the ceramic industry of the City of Natal and the other from the ceramic industry of the Seridó Region, both in the State of Rio Grande do Norte, Brazil. Percentages of iron ore waste of 5%, 10% , 15%, 20%, 25% and 30% were used in the tested ceramic matrix. The two clays and the iron ore waste used as part of this investigation were characterized by X-ray diffraction tests, X-ray fluorescence tests, differential thermal analysis, thermogravimetric analysis and dilatometric analysis. The samples were sintered under temperatures of 850 °C, 950 °C and 1050°C at a heating rate of 5 °C/min with isotherms of two hours. The following tests were performed with the samples: linear shrinkage, water absorption, apparent porosity, apparent density, mass loss in fire and bending resistance in order to obtain their physical and mechanical properties. An amount of 5% of waste iron ore in the matrix clay at a temperature of 850 0C resulted in na increase of about 65% in the tensile strength of the clay samples from the Natal ceramic industry. A linear shrinkage of only 0.12% was observed for the samples, which indicates that the physical properties of the final product were not influenced by the addition of the waste

Efeito da adição de carbonatos em formulação de massa para revestimento cerâmico utilizando matérias-primas do Piauí

Piauí state is a major producer of traditional red ceramic burning as bricks, tiles and ceramic tiles, with its main production center located in the city of Teresina. The state has large reserves of raw materials that can be used in the ceramic coating as clays, quartz, talc and carbonates. However, in the preparation of ceramic bodies using only a mixture of clays with different characteristics. The study aims to evaluate the effect of adding two types of carbonates in the ceramic semiporous mass coating produced in Piauí and then to verify the potential use of these carbonates as supplementary raw material product manufactured or the feasibility of obtaining a ceramic plate that meets the specifications for the porous coating. For this, were characterized the ceramic Piauí coating mass, a calcitic carbonate and a dolomitic, were made in the levels of 2, 4, 8, 16, and 32%. The masses were formed by pressing and burneds in two environments: a laboratory furnace (1080°C, 1120°C, 1140°C, and 1160°C) and an industrial furnace (1140°C). Then, following tests of linear shrinkage water absorption, apparent porosity, bulk density and flexural strength. Furthermore, the fired specimens were tested for their macrostructure and microstructure. The results showed the possibility of using the carbonate in ceramic mass flooring produced in Piauí, as added in small proportions improved dimensional stability and increased mechanical strength of ceramics pieces. It also proved itself possible to produce porous coating when added in higher levels