Atenção ao usuário em um centro de referência HIV/Aids: perspectiva de profissionais e usuários

We study the health care focused on care in an intercessor and dialogical relationship with the User, which involves the construction of therapeutic projects essential to the quality of the treatment of the user in health services, and it is necessary individual and collective actions. It is intended to acknowledge and analyze the perception of social subjects, users and professionals on the treatment given to a user of a Specialized Outpatient Service (Serviço Ambulatorial Especializado SAE) in STD/HIV/AIDS state reference in Natal, RN. The study is structured in a transdisciplinary vision of science and knowledge, theoretical and methodological principles that give meaning to the expression of the institutional features of care and health care reconnecting them to the social context. As a research strategy we seek the expressions of 56 subjects of social research, which agreed to participate in the sample, from a symbolic map of the attention, coupled with the techniques of observation and semi-structured interview. For the analysis of the results, five categories of analysis were established: the meaning of the service, care perception, process of communication and interaction, treatment perception and organization and evaluation of the service. It is argued that the attention and care are developed in a technical health care assistance to the disease, focusing on attention based on treatment, on diagnostic and drug therapy of antiretroviral drugs, reflecting the traditional biomedical paradigm of attention to the disease. This is also the mode of organization of practical actions in daily SAE: the therapy proves to be fragmented in several specialties, vertical and feeds the same model, generating tension and overload for professionals; showing impersonal care focused on structured and informative technology, unrelated to an interactive dialogic. From the speech of the subjects, the SAE is understood as the place of confrontation with the disease, but also enables greater elaboration of the illness by meeting their peers. Living with HIV and AIDS is living with concern, apprehension and fear, but mainly with the stigma, prejudice and exclusion, which require that the disease is kept in secret. There is a movement of forces and power, expressed in the knowledge-power of those who dominate the technical and administrative capabilities, devices that concentrate the maintenance of the medicalization of care, rapid consultations and with little attention, making it difficult to interact with and listen to, combined with structural failures, organizational and inadequate management of the service. We conclude that there are dimensions that are not considered in the internal dynamics of the care service multiple forms, characterized by care conflicting models, marked by individual interventions related to the disease. The subject is not considered together with his speech as technical discourse is imposed and care production based on material technology is observed

Assistência a mulher com câncer de mama em um cenro de referência no Estado da Paraíba

The assistance to women who have breast cancer is studied in a Reference Center in Paraiba and also the way this assistance is performed in a School Hospital maintained by SUS (Single Health System) is questioned. Breast cancer demands institutional organization, provision of financial, material and human resources, requiring, from the health system, effective assistance with new technologies which make it possible for the population their access to specialized medical services although it not always is able to guarantee those services nor the rights which the legislation granted them, inhibiting a proper relationship between the health professional and the patient. The theme is discussed through a transdisciplinary knowledge view and has as its theoretical referential the contribution of classical and contemporary authors from the human and social sciences and, as an empirical research strategy, the structured interview. The objectives of the research were: identify how the assistance to women with breast cancer is carried on at a Reference Center on Oncology in Campina Grande, Paraiba, identifying their difficulties and their satisfaction with the received assistance; draw up a profile of the women with breast cancer who were assisted in this Reference Center; understand their gynecological and obstetric antecedents, life styles, age group and stage of the disease when the treatment started; check their knowledge about their rights and which benefits they had received. Most women ranged between 40 and 59 years old (63%), which corresponds to the risk range of developing breast cancer. As to their occupations, 38.3% were housewives and 30.1% retired, whose family income was among those who received between less than a minimum salary and one minimum salary (58.2%). This population was mainly constituted of married women (60.2%), whose most frequent schooling was an incomplete elementary school (27.6%) and complete elementary school (24.1%), which added up to 51.6%. It was observed that the majority of the women seemed to be satisfied with the assistance received, noting that a minimum care was enough to define this satisfaction, although it is perceived that the access to the health system does not ensure the ideal attention conditions they need; it was verified that the availability of the services and the assistance itself are seen (in the local culture) as a favor and not as a right. It is also observed that only 30% of the women mentioned that they knew about their rights and the most mentioned ones were the disease assistance (13%), the medicines (13%) and the treatment (12%), which represent the most important triad to face the disease and around which the oncologic assistance most focus on. It is concluded that the condition of the users´ minimum existential of a public health unit and the condition of belonging to a lower social stratum were variables that influenced the respondents´ satisfaction in relation to the assistance received but the importance of the Reference Center for the women with breast cancer´s assistance for the whole region cannot be denied as well as the need to broaden the way the policy of the oncologic assistance in Brazil in the local realm is seen

Crescimento econômico e restrição externa da economia brasileira: uma análise do padrão das exportações em relação ao BRIC e do Sistema de Inovação do Brasil (1980-2012)

This Master s Thesis aims to use the theoretical models of growth with restricted balance of payments, specifically Kaldor (1970) and Thirlwall (1979) models, to analyze the behavior and the pattern of specialization of Brazilian exports and imports in the last years. It is observed that, in some periods, the pattern of specialization has contributed in restricting long-term growth of the Brazilian economy. It has been hypothesized that overall this is due to lack of structural transformation policies. To achieve this goal, it analyzed the performance of Brazilian exports and imports disaggregating them according to their technological content. The basis for comparison was a group of countries to which Brazil is inserted in, the BRIC. In this regard, the work is a comparative analysis by using descriptive statistics. It is concluded that the low rate of GDP growth experienced by Brazil since the 1980s can be explained in part by the decoupling of the Brazilian National Innovation System (NIS) and the Brazilian productive structure. This would be reducing the income elasticity of exports and raising imports, causing a pattern of specialization intensive primary commodities and labor and low-skill labor

Crescimento econômico e restrição externa: evidências empíricas na economia brasileira (1991-2010)

This study aims to investigate the influence of the balance of payments constrained on economic growth in Brazil from 1991 to 2010. With this order, are shown some of the Keynesian balance of payments constrained growth models, inspired by Thirlwall (1979) and Kaldor (1970), which are supported by important points in common, such as adherence to the principle of effective demand. Given that within this theoretical perspective, there is no consensus about the best model to explain the growth rate allowed by the balance of payments constraint, the results are presented by the representative of the empirical literature that addresses the topic, which are necessary for understand the Brazilian case. From the estimation of the income elasticity of imports (0.85) via autoregressive vectors with error correction (VEC), it was calculated five growth rates of income, as predicted by the models of Thirlwall (1979), Thirlwall and Hussain (1982), Moreno-Brid (1998, 2003) and Lourenço et al. (2011) and compared with the actual growth rate. The empirical analysis has shown that: it can not reject the presence of external constraint in the Brazilian economy, there is a strong similarity in growth rates provided by different modeling suggest that growth with external constraint. In addition, when using data in quarterly for the period after 1990 there are no factors that could cause instability in the parameters of the import function (income elasticity and price elasticity of imports) within the period, which indicates that the structural break widely associated with the year 1994 was not confirmed by this study

Effect of the insecticides abamectin and lufenuron on eggs and larvae of Chrysoperla externa under laboratory conditions

The side effects of two insecticides/acaricides, abamectin and lufenuron, on the eggs and larvae of Chrysoperla externa (Hagen) were studied in the laboratory (25 +/- 2degreesC, 62 +/- 10% RH and 12-h photophase). The analytical methods used were those proposed by the International Organization for Biological Control (IOBC)-Working Group for 'Pesticides and Beneficial Organisms'. Chrysoperla externa egg viability was not affected by abamectin. Neonate larvae from abamectin sprayed eggs as well as first, second and third instar larvae that were directly treated, developed normally and yielded normal adults. Lufenuron presented no adverse effects on egg survival. However, lufenuron induced high mortality in neonate larvae from treated eggs. These neonates, as well as lufenuron treated first and second instar larvae could not molt. In the third instar, high pupal mortality occurred. The results showed that abamectin is innocuous and that lufenurom is toxic to Chrysoperla externa eggs and larvae.

Os saberes em potencial da atividade policial ostensiva: sistematizando modelos a partir da experiência potiguar

This work of research presents an investigation into the knowledge related to the ostensive policing activities of a group of the Rio Grande do Norte State Military Police Captains. This knowledge, which is decisive and part of Brazilian Military Police Constitutional matters, must be taken into consideration when it comes down to planning and putting into force the services related to ostensive public security. Thus, a historical and social analysis about the formation of the police by starting from foreigner experiences down to Rio Grande do Norte s reality, led by such knowledge, was made. Further, studying Brazilian and local scene, this knowledge was analyzed on the ostensive policing activities as for the principles of the Brazilian National Public Security Plan, Brazilian Classification of Occupations / CBO 2002, the reference documents and studies for police graduation Curricular Basis and Matrix; the Variables of Ostensive Policing, as well as some important competences of police service. Arguing that this knowledge is somehow related to what is presented in this work as Orientation Axis to Military Police Service , research tools such as Critical Case Solution and the answers to the Questionnaire on Fundamental Areas of Military Police Service , having in the end six knowledge models related to ostensive policing activities were used within that group. This knowledge can be classified in three distinct categories of connotations within the military police activity: one with reactive/repressive characteristics being the most predominant; the second as preventive; and another one that revealed that the military police activity is being misused for actions and/or missions outside the scope of action of military police

Potencial de alimentação de Chrysoperla externa (Hagen, 1861) (Neuroptera, Chrysopidae) em diferentes densidades de Uroleucon ambrosiae (Thomas, 1878) (Hemiptera, Aphididae)

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

Narrativa autobiográfica como prática de formação e de atualização de si : os grupos referência e o grupo reflexivo na mediação da constituição identitária docente

The thesis: "autobiographical narrative as practical continuous training and updating of itself: the groups-reference and the reflexive group in the mediation of identity construction of teaching" begins in the founder matter: "What are the implications of groups-reference in the process of identity formation and the teaching role of teachers which is participating of the research? This object of study deals with the continuing education of teachers of Basic Education and the role of the reflective group as space-time of (re) construction of educational knowledge, for the recognition of yourself. The thesis defends that the autobiographical narrative, as a pedagogical tool and research, for the initial and continuous training, is presented as theoretical and methodological foundation necessary for identity formation of the teacher. The research is limited to the qualitative approach with a focus on the autobiographical narrative. The participants are six teachers, three teachers and three students-teachers. The corpus comprises six autobiographical narratives, six reports of successful experiences, two studies on the biographical work, and six individual testimonials about the impact in personal and professional life. The data analysis was to reference Dausien and Alheit (2006), Bruner (1997), Contreras (2002), Delory-Momberger (2007), Freire (2005), Giddens (2002), Josso (2004), new (1988, 2002), Passeggi (2001, 2002), Pineau (2004), Ricoeur (2004), Souza (2006), Tardif (2002) and Vygotsky (2005). The research revealed that the formation of identity as a teachers of the educators occurred in the reference group, involving the formal, non-formal and informal of the processes of knowledge , in a movement of alternation training that includes yourself, the other and the ambient. Also revealed that the pedagogical choices of the teachers studied aimed at minimizing educational gaps that were lived in both field personal and social; that the personal identity is configured as an identity narrative and the methodology of the biographical work, through the mimesis of continuing education, provided the passage from the group reflective to the group of reference

Aspectos biológicos de Chrysoperla externa(Hagen, 1861)(Neuroptera: Chrysopidae) alimentada com Planococcus citri (Risso, 1813)(Hemiptera: Pseudococcidae) e Toxoptera citricida (Kirkaldy, 1907) (Hemiptera: Aphididae)

The citrus-growing ecosystem houses a great deal of species of natural enemies, among them Chrysoperla externa (Hagen, 1861), which presents a great potential for use in the biological control of pests. The aim of this work was to evaluate the effects of the preys Planococcus citri (Risso, 1813) and Toxoptera citricida (Kirkaldy, 1907) on the development of larva and pupa of C. externa. The trial was carried out in an acclimatized room at 25 +/- 1 degrees C, 70 +/- 10% RH and 12-hour photophase, the treatments consisting of the continuous and alternate supply of those two preys in each instar of the predator, in addition to eggs of Anagasta kuehniella (Zeller, 1879) utilized for comparison purposes. Both the white mealybug and the aphids were given in sufficient amounts to the C. externa larvae to be able to feed ad libitum. The lifetime and the survival rate of the phases of larva, pupa and the larval-adult period of C. externa were evaluated. It was found that T. citricida given either singly along the larval development or in two consecutive instars of the predator was not an adequate prey, 100% of mortality over the larval-adult period being found. When the larvae fed on P. citri, given in two instars of the predator, the survival rate in the larval-adult period was similar to the diet constituted of only A. kuehniella eggs, except when fed with T. citricida in the first instar.

Fecundity and pre-imaginal period of Chrysoperla externa (hagen) (neuroptera: chrysopidae) under different populations and laboratory generations

The lacewings appear in many agroecosystems, preying several species of agricultural pests. They have great search capability, high voracity, high reproductive potential and are easily maintained in laboratory conditions. In laboratory rearing, to avoid problems in the mass production are recommended adjustments in the type and quality of prey to be used in order to obtain individuals with desirable characteristics. It is necessary special care with the laboratory populations, avoiding problems from inbreeding. Larvae were reared individually in Petri dishes (9.0 cm diameter) and fed with eggs of Sitotroga cerealella (Olivier, 1789) (Lepidoptera: Gelechiidae), in the amount of 25 mg / larva, while the adults were kept in PVC cylindrical cages (10 cm x 30 cm). Thus, the study analyzed the influence of the size of the population of Chrysoperla externa (Hagen, 1861) (Neuroptera: Chrysopidae) on the pre-imaginal period (egg to adult) and reproductive capacity of this specie come from different populations and generations of laboratory. To this end, we used two populations, one of Jaboticabal (F-8 and F-21) and one of Piracicaba (F-6 and F-15), and subpopulations of 1, 5, 10, 15 and 20 couples, analyzing the incubation of eggs and the number of eggs per female in each population, generation and subpopulation. The pre-imaginal period (egg to adult) and the number of eggs per female of C. externa are influenced by the generation and the number of founding individuals, being these parameters favored when laboratory populations are established with the largest number of couples.

Aspectos Biológicos dos Estádios Imaturos de Chrysoperla externa (Hagen) e Ceraeochrysa cincta (Schneider) (Neuroptera: Chrysopidae) Alimentados com Ovos e Ninfas de Bemisia tabaci (Gennadius) Biótipo B (Hemiptera: Aleyrodidae)

Foram avaliados os aspectos biológicos dos estádios imaturos de Chrysoperla externa (Hagen) e Ceraeochrysa cincta (Schneider), alimentados com ovos e ninfas de Bemisia tabaci (Genn.) biótipo B. Ovos dos predadores foram individualizados em recipientes de vidro de fundo chato com 2,5 cm de diâmetro e 8,5 cm de altura que foram mantidos à temperatura de 25±2ºC, UR de 70±10% e fotofase de 14h. Após a eclosão das larvas, discos de folhas de tomateiro e de couve com 2 cm de diâmetro, contendo ovos e ninfas de B. tabaci, respectivamente, foram colocados nos recipientes. A duração e a viabilidade de cada ínstar e da fase pupal de ambas as espécies predadoras alimentadas com diferentes estágios da presa foram avaliados. Larvas de primeiro ínstar de C. externa apresentaram desenvolvimento mais lento quando alimentadas com ovos de B. tabaci biotipo B monstrando influência do estágio da presa fornecida no período de desenvolvimento do predador. O mesmo não ocorreu para a espécie C. cincta. O desenvolvimento de larvas de primeiro ínstar de ambas as espécies predadoras foi semelhante quando foram alimentadas com ovos de B. tabaci; porém C. cincta apresentou período de desenvolvimento mais longo (5,4 dias) comparada a C. externa (4,0 dias) quando alimentada com ninfas da presa. Para larvas de segundo e terceiro ínstares e para a duração da fase larval não houve influência do estágio da presa fornecida (ovo ou ninfa) no período de desenvolvimento. A duração do segundo ínstar foi maior para C. cincta do que para C. externa (4,8 e 4,1 dias, respectivamente). Porém a duração do terceiro instar foi maior e da fase larval foi menor para C. externa (6,6 e 15,3 dias, respectivamente) do que para C. cincta (6,4 e 16,7 dias, respectivamente). A viabilidade dos ínstares foi acima de 90% para ambas as espécies. No entanto, menor porcentagem de viabilidade da fase de pupa foi registrada para C. cincta, quando alimentada com ovos (30%) ou ninfas (55,6%).

Efeito de genótipos de sorgo sobre o predador Chrysoperla externa (Hagen) (Neuroptera: Chrysopidae) alimentado com Schizaphis graminum (Rondani) (Hemiptera: Aphididae)

O trabalho objetivou avaliar o efeito indireto da resistência de genótipos de sorgo sobre o predador Chrysoperla externa (Hagen) usando o pulgão Schizaphis graminum (Rondani) como presa. Os genótipos usados no estudo foram: GR 11111 e TX 430 x GR 111 (resistentes), GB 3B (moderadamente resistente) e BR 007B (suscetível). Larvas recém-eclodidas foram confinadas individualmente em recipientes de vidro e alimentadas com S. graminum, criados separadamente em cada um dos quatro genótipos. Após a emergência, os adultos obtidos de cada tratamento foram sexados e agrupados aos casais, colocados em gaiolas contendo dieta à base de levedo de cerveja e mel. Os insetos foram observados diariamente da fase jovem até o período de 60 dias após a emergência do adulto. Genótipos com maior grau de resistência proporcionaram maior consumo de pulgões pelo predador, porém menor peso a este. Quando os pulgões foram criados no genótipo resistente GR 11111, o peso das larvas, sobrevivência da pré-pupa e longevidade da fêmea do predador foram inferiores. As associações positivas observadas entre o predador, C. externa, e o genótipo resistente, TX 430 x GR 111, e entre o predador e o genótipo moderadamente resistente GB 3B, evidenciaram a possibilidade de integração entre os dois métodos de controle: resistência de plantas e controle biológico.

Integração da resistência de plantas e predação por Chrysoperla externa (Hagen) (Neuroptera: Chrysopidae) para o manejo de Schizaphis graminum (Rondani) (Hemiptera: Aphididae) em sorgo

A integração entre plantas resistentes e agentes de controle biológico pode ser uma alternativa viável para o manejo do pulgão-verde, Schizaphis graminum (Rondani), na cultura do sorgo. Experimentos foram conduzidos com a finalidade de avaliar o efeito de quatro genótipos de sorgo: GR 11111 e TX 430 x GR 111 (resistentes), GB 3B (moderadamente resistente), e BR 007B (suscetível), sobre o controle biológico do pulgão S. graminum realizado pelo predador Chrysoperla externa (Hagen). Para isso, avaliaram-se diferentes níveis de infestação de S. graminum, na presença e ausência do predador, em casa-de-vegetação e a viabilidade de controle de S. graminum no campo. O efeito do predador foi notado 25 dias após a infestação, proporcionando maior crescimento das plantas e menores danos. Os danos também foram menores nos genótipos resistentes e aumentaram com a elevação dos níveis de infestação, sendo menores na presença do predador C. externa. em condições de campo, a integração dos dois métodos de controle proporcionou 83% de redução de danos, quando se utilizou o genótipo resistente TX 430 x GR 111, que foi considerado o mais promissor dentre os estudados.

Potencial reprodutivo de Chrysoperla externa (Hagen) (Neuroptera, Chrysopidae) em função do número de indivíduos por unidade de criação

Verificou-se o efeito de diferentes densidades de insetos por unidade de criação sobre o potencial reprodutivo de Chrysoperla externa. Utilizaram-se adultos da geração F4 mantidos a 25 ± 1ºC, 70 ± 10% de UR e fotofase de 12 horas. Foram utilizadas as seguintes densidades por unidade de criação (10 cm de diâmetro por 23 cm de altura e volume de 1650 cm³): um macho e três fêmeas, dois machos e seis fêmeas, três machos e nove fêmeas e quatro machos e doze fêmeas. Avaliou-se o período de pré-oviposição, a oviposição diária e total por fêmea e por unidade de criação, as porcentagens de ovos viáveis e inférteis e o índice de aproveitamento, calculado por fêmea e por unidade de criação. A densidade quatro machos e doze fêmeas apresentou melhor aproveitamento da unidade de criação, compensando as reduções observadas nos valores de postura média e total por fêmea.

Efeito da escassez de alimento no desenvolvimento pós-embrionário e no potencial reprodutivo de Chrysoperla externa (Hagen) (Neuroptera: Chrysopidae) em laboratório

As conseqüências da escassez alimentar no período pós-embrionário e potencial reprodutivo de Chrysoperla externa (Hagen) em laboratório foram avaliadas. Larvas de 1.°, 2.º e 3.° ínstares receberam alimento apenas no 1.°, 2.º ou 3.° dia após a ecdise. Nos períodos em que antecederam ou sucederam os testes com os respectivos ínstares, as larvas receberam uma, duas e três unidades de alimentação (UA) a cada dois dias para o 1.°, 2.º e 3.° ínstares, respectivamente. Cada UA constou de um disco de cartolina contendo ovos de Sitotroga cerealella (Olivier) (Lepidoptera: Gelechiidae). Diariamente, avaliou-se a viabilidade nos diferentes ínstares, da fase larval e pupal, assim como os períodos de pré-oviposição e oviposição, o número e a viabilidade de ovos. A escassez de alimento durante o 1.° ínstar pode ser suprida no decorrer do desenvolvimento larval. Entretanto, as larvas precisam encontrar alimento nas primeiras 48 horas de vida, pois a viabilidade nesse ínstar foi decrescendo com a ausência de alimento, podendo ocorrer 100% de mortalidade quando as larvas não se alimentam em até 48 horas após a eclosão. Os períodos de pré-oviposição e oviposição, assim como a fecundidade, não foram influenciados pela escassez de alimento durante o 1.° ínstar larval. Durante os 2.° e 3.° ínstares larvais, C. externa necessita de alimentação rica em proteína, pois a ingestão de apenas água e açúcares nesses estádios ocasionou alta mortalidade. Entretanto, a fecundidade e viabilidade dos ovos não foram afetadas pela escassez de alimento nesses ínstares.