Entre flores e espinhos: a atuação do técnico em enfermagem na estratégia saúde da família

It is about a study of an exploratory/descriptive type with a qualitative approach whose aim was to analyze the actuation of nursing technicians in Family Health Strategy (FHS), taking into consideration the defined attributions by the Ministry of Health (MH). Thus, it was sought to identify what activities they carry out, the difficulties encountered, what contributed to their professional performance, and what vision they have about FHS and about themselves in the context. Based on the assumption that the practice of Nursing Technician is not still geared to completeness and that the developed actions by this professional are predominantly individual and curative. We know that FHS proposes the work organization as a team, with territory definition, prioritization of promotion actions, protection and recovery of the individual/family/community health, choosing as a central point the establishment of entails between the professionals and the same ones. However, the team work pass through interdisciplinary, tying and competence, starting making the difference in the way of thinking and doing health. To the accomplishment of this study were interviewed twenty one Nursing Technicians of Family Health Units from Sanitário Oeste district in Natal-RN, using semistructured instrument. From the analysis, three empiric categories emerged: starting from the first, The reality of a dream: what FHS is for the Nursing Technician, we obtained two classifications: one inherent to the own conception they have about FHS, nominated The realization of a dream in the possible and another that corresponds to what they think about FHS, while project that doesn't take place fully, denominated of The beauty of a dream that doesn't take place. The second category was The FHS: a dream built in the daily of Nursing Technician treats of the day by day information of that professional; the activities they perform and how those are established. This created three other items, to know: The role of a Nursing Technician: a project that became routine; The pre-determined role of a Nursing Technician: the scale as factor of (non-)autonomy; and, Knowledge about the practice in FHS: challenges that are presented to the role of Nursing Technician. The third category, denominated of Charms and disenchantment in the beginning of a new practice, it is related to the facilities or difficulties in professional's actuation and how he sees himself in the context. From it emerged the "flowers" and the "thorns" found on the construction of a dream, which gave this study the title. The results indicate that, being considered the characteristics of researched professional category, it becomes fundamental the resizing of labor relations in FHS, being imperative that new glances is conducted, so that the way as those Nursing Technicians interacts with the families can become compatible, together with the team, as well as to return the attention for their possibilities and limits in face of the work process in FHS. Besides, it is necessary changes in the professional formation, so that it can guarantee the conceptual bases in the construction of new practices, seeking to answer to the model of current attention.

Modelo de classificação para pequenas empresas supermercadistas quanto ao uso de técnicas de prevenção de perdas: um estudo de caso

The objective of this work is to draw attention to the importance of use of techniques of loss prevention in small retail organization, analyzing and creating a classification model related to the use of these in companies. This work identifies the fragilities and virtues of companies and classifies them relating the use of techniques of loss prevention. The used methodology is based in a revision of the available literature on measurements and techniques of loss prevention, analyzing the processes that techniques needed to be adopted to reduce losses, approaching the "pillars" of loss prevention, the cycle life of products in retail and cycles of continues improvement in business. Based on the objectives of this work and on the light of researched techniques, was defined the case study, developed from a questionnaire application and the researcher's observation on a net of 16 small supermarkets. From those studies a model of classification of companies was created. The practical implications of this work are useful to point mistakes in retail administration that can become losses, reducing the profitability of companies or even making them impracticable. The academic contribution of this study is a proposal of an unpublished model of classification for small supermarkets based on the use of techniques of loss prevention. As a result of the research, 14 companies were classified as Companies with Minimum Use of Loss Prevention Techniques - CMULPT, and 02 companies were classified as Companies with Deficient Use of Loss Prevention Techniques - CDULPT. The result of the research concludes that on average the group was classified as being Companies with Minimum Use of Techniques of Prevention of Losses EUMTPP, and that the companies should adopt a program of loss prevention focusing in the identification and quantification of losses and in a implantation of a culture of loss prevention

Geometria e arirmética numa visão multicultural: uma experiência pedagógica

This paper aims to build a notebook of activities that can help the teacher of elementary school mathematics. Topics covered are arithmetic and geometry and the activities proposed here were developed aiming print them a multicultural character. We take as a base line developed by Claudia Zaslavsky multiculturalism and reflected in his books "Games and activities worldwide" and "More games and activities worldwide." We structure our work around four themes: the symbol of the Olympic Games, the pyramids of Egypt, the Russian abacus abacus and Chinese. The first two themes allow you to explore basic concepts of geometry while the latter two themes allow us to explore numerical notation and arithmetic operations

A paz tensa da chama fugaz: a configuração do amor no romance contemporâneo, Lygia Fagundes Telles e Lídia Jorge

This thesis A paz tensa da chama fugaz: a configuração do amor no romance contemporâneo, Lygia Fagundes Telles e Lídia Jorge aims to study the configuration of Love in contemporary novels. Their corpuses of study are the novels As horas nuas (1989), by the Brazilian writer Lygia Fagundes Telles; and O vento assobiando nas gruas (2002), by the Portuguese writer Lídia Jorge. The following research tries to understand how the characters from those texts deal with some love questions on the context of the contemporary narrative; it also tries to comprehend the love expression which is formed as a contradictorily fluid feeling and intensely wanted, which are important points concerning the love discourse at the present day. As a critic-comparative study, this research focuses on the problematic concerned love as a synonym of Eros, in other words, the relation between lovers, analyzed through social and philosophical perspective. Through that, this work broadens the study of two contemporary novels, and it also establish connections between the characters from those novels and the literary environment where they are placed, once it focuses on the human and social context presented in this books. The thesis ends calling attention to the dichotomy of love and death, to the image of love which grows through absence and through the longing of completeness of the human being; that is why this work sustains that the Lygia Fagundes Telles and Lídia Jorge update and materialized in their texts the plurality of contemporary love conception, which continues to be contradictory, fragmented and problematic

Os Centros de Especialidades Odontológicas como suporte da atenção básica: uma avaliação na perspectiva da integralidade

The public dental services in Brazil were limited, practically, to the basic care, so that the specialized services acted, up to 2002, no more than 3,5% of the total of clinical procedures. That lower offer reveals the difficulty of continuity of the attention, that is, the comprehensiveness in the assistance, particulary, the reference and counter-reference system. Brasil Sorridente search to supply those needs when proposing Speciality Dental's Centers(CEOs Centros de Especialidades Odontológicas, Brazil) to compose the services of average complexity. In 2005, Ministry of Health enabled the three CEOs of Natal, located in the North II, East and West Sanitary Districts. This investigation evaluated the implantation of these CEOs, as support of the family health care teams, in the perspective of organization of the services in assistencial nets in Natal/RN. It was a study of evaluation, with qualitative approach and some quantitative data as contribution. Dentists, users and managers were interviewed to identify and to understand their perceptions, relationships and experiences in the daily of the services. The conceptual base that orientated the investigation was the principle of comprehensiveness, in its operational sense of the hierarchization in health attention levels. The collection of data was done with documental research, direct observation and semi-structured interview. The analysis was accomplished by triangulation of the extracted content from the used techniques and sources of interviewed groups depositions, looking for theoretical-conceptual support in specific bibliography. The results pointed aspects that go away from the comprehensiveness like: low resolution of problems in the basic net; little valorization of the space in the health units; traditional models of access to health services, insufficient offer for some specialties, compromising the reference and counter-reference system; practices centered in procedures in the CEO; bureaucratic directions from basic care to the specialized service; disintegrated and disjointed system among levels of attention; disrespect to the municipal protocol. On the other hand, there is an approach of compreensiveness in situations like: increase of the access and covering in the Family Health Strategy (ESF Estratégia Saúde da Família, Brazil); larger approach between professional and user; tendency to the quantitative and qualitative growth of specialized actions; punctual initiatives of relationships among levels; existence of protocol to guide professionals

Aspectos prosódicos temporais da leitura de escolares com dislexia do desenvolvimento

OBJETIVO: Analisar, do ponto de vista fonético, por meio de medidas acústicas e perceptivas, os aspectos prosódicos temporais presentes na leitura em voz alta de escolares com e sem dislexia, a fim de identificar diferenças de desempenho entre os dois tipos de leitores que possam apontar para características peculiares da dislexia. MÉTODOS: Gravação da leitura de um texto por 40 escolares (entre nove e 14 anos, cursando da 3ª à 5ª série), sendo 10 disléxicos (grupo clínico) e 30 escolares sem queixas de alterações de aprendizagem (grupo não-clínico). Os dados foram analisados perceptivamente e acusticamente, utilizando-se o programa WinPitch. As seguintes medidas foram realizadas: duração e localização das pausas, tempo total de elocução, taxa de elocução, tempo de articulação e taxa de articulação. RESULTADOS: em comparação com o grupo não-clínico, o grupo clínico apresentou maior número de pausas e pausas mais longas; os valores obtidos para as taxas de elocução e de articulação indicaram respectivamente menor velocidade de leitura e uma lentidão na produção de cada gesto articulatório. CONCLUSÃO: As dificuldades identificadas no processamento da leitura pelas crianças com dislexia dificultam a organização prosódica na leitura de um texto.

Estudo comparativo das alterações celulares no líquen plano e no carcinoma epidermóide bucal

Atualmente, muito se discute a respeito da natureza pré-maligna do líquen plano bucal. OBJETIVO: O presente trabalho tem como objetivo analisar as alterações das células epiteliais presentes no líquen plano bucal, comparando-as com aquelas observadas no carcinoma epidermóide. MATERIAL E MÉTODO: Cortes histológicos de líquen plano bucal e carcinoma epidermóide, corados com hematoxilina-eosina, foram analisados por meio da microscopia de luz. RESULTADO: As alterações mais frequentemente observadas no líquen plano bucal foram aumento da relação núcleo/citoplasma (93,33%), espessamento da membrana nuclear (86,67%) e bi-ou multinucleação (86,67%). O teste t de Student (alfa=5%) revelou haver diferença estatisticamente significante entre o número médio de alterações celulares no líquen plano bucal (5,87±1,57) e no carcinoma epidermóide (7,60±1,81). Quanto aos tipos de alterações, o teste de qui-quadrado também revelou haver diferença estatisticamente significante entre as lesões avaliadas em relação às seguintes alterações celulares: hipercromatismo nuclear, mitoses atípicas, pleomorfismo celular e diferenciação celular anormal (p<0,05). CONCLUSÃO: Apesar de que, em alguns casos, alguns patologistas possam fazer confusão no diagnóstico histopatológico do líquen plano bucal, os resultados obtidos neste estudo mostram que as alterações presentes no líquen plano bucal diferem consideravelmente daquelas observadas no carcinoma epidermóide, evidenciando o quão distintas são estas duas doenças.

A ictiofauna de cabeceiras do rio Tietê, São Paulo, Brasil

Uma síntese das espécies de peixes de cabeceiras do rio Tietê é apresentada com base em material de coleções zoológicas e novas coletas realizadas. São referidas para região 56 espécies pertencentes a sete ordens e 16 famílias, aumentando significativamente números anteriores. Os resultados mostram que as cabeceiras do rio Tietê possuem uma composição ictiofaunistica bastante peculiar, distinta daquela encontrada no restante do Alto rio Paraná, mostrando acentuado grau de endemismo e grande similaridade com bacias hidrográficas litorâneas, corroborando a hipótese de captura de rios da região por drenagens costeiras e vice e versa no passado. Dentre as espécies encontradas na região, oito são endêmicas (14,3%), 13 são encontradas nas cabeceiras do rio Tietê e drenagens litorâneas da região sudeste do Brasil (23,2%), dez ocorrem em todo Alto rio Paraná (17,9%), cinco são encontradas no Alto rio Paraná e drenagens litorâneas da região sudeste do Brasil (8,9%), enquanto 13 espécies mostram uma ampla distribuição na América do Sul (23,2%), das quais parte ainda precisa ter a identidade confirmada. A diversidade de espécies é acrescida de pelo menos cinco espécies novas pertencentes aos gêneros Cyphocharax, Characidium, Astyanax, Pareiorhina e Australoheros e quatro novos registros são feitos para Characidium cf. zebra, Scleromystax barbatus, Crenicicla britskii e Synbranchus cf. marmoratus. Pelo menos sete espécies introduzidas estão estabelecidas na região, enquanto outras dez espécies são relacionadas em listas de espécies ameaçadas.

O trágico: experiência e conceito

O conceito do trágico está de algum modo liga do à violência. O presente estudo pretende estabelecer a relação essencial vigente entre violência institucional e situação trágica, a situação trágica sendo ao mesmo tempo conseqüência e denúncia da violência institucional. Assim entendido, o trágico é primeiramen te expresso sob forma poética, na arte dramática denominada precisamente tragédia; em seguida , por derivação, sob forma conceitual, na análise da própria realidade histórica. A análise da história atual poderá revelar todo o potencial trágico acumulado na violência do poder.

Fragmentos de um modelo: pequenas lavouras de café e acumulação de capitais. Franca/São Paulo 1890-1914

Este artigo versa sobre a importância da pequena cafeicultura no complexo cafeeiro entre 1890 e 1914. Discutimos aqui as relações de trabalho, as formas de financiamento e o modo como a pequena propriedade se insere neste universo. Utilizamos como fontes prioritárias os contratos de trabalho que envolviam a formação e/ou o trato de cafeeiros e as escrituras de dívidas hipotecárias, ambas lavradas nos Livros Cartoriais, fontes estas ainda não trabalhadas pela historiografia de forma mais sistemática. Desviamos nosso olhar para uma região marcada predominantemente pelas pequenas e médias fazendas produtoras de café, observando a dinâmica da acumulação em um período de expansão e de crise da cafeicultura.

Capacidade, dotação, talento, habilidades: uma sondagem da conceituação pelo ideário dos educadores

Embora o escopo deste trabalho seja de origem teórica, relata um estudo exploratório que busca situar a base de conceituação em Educação Especial para alunos Dotados e Talentosos, no Brasil, captando as definições compreendidas por profissionais da educação pela sondagem de sua opinião sobre que termos e expressões são usados, com que significados e em que situações. Os sujeitos incluíam 80 educadores interessados ou envolvidos na área (Grupo A) e 107 professores da rede pública no interior de São Paulo (Grupo B). Há poucas diferenças de opinião entre os sujeitos, nos dois grupos, com algumas exceções, principalente em questões relacionadas a nível de conhecimento e familiaridade com referencial teórico. Ambos os grupos indicam conceituação confusa, notadamente para os termos oficiais, superdotação e altas-habilidades; a maior carga de rejeição e exploração na mídia é alocada a superdotação. Os conceitos alta capacidade, alto desempenho e dotação são definidos em consonância com o referencial básico, que diferencia capacidade natural de capacidade adquirida; Talento reflete a ambiguidade encontrada na área, referindo-se, ao mesmo tempo, a capacidade natural e capacidade adquirida.

Relacoes entre a concentracao espacial dos ramos industriais 'motrizes' e o desenvolvimento regional: o caso do Estado de Sao Paulo.

This paper, having its conceptual basis in the Theory of Growth Poles, by F.Perroux, tests the effective existence of correlation between the spatial incidence and concentration of the 'propulsive' industrial groups and the industrial growth as a whole and the demographic increase. The selected case study was the state of Sao Paulo and data used was the 1970 census. As consequence of the techniques applied a industrial regionalization of the 'paulista' space was obtained, showing few areas of intense industrial concentration, especially of 'propulsive' groups, with multiple growth poles, and large areas with industrial rarefaction, with little or no poles.-after English summary

Thermally developing forced convection of non-Newtonian fluids inside elliptical ducts

Laminar-forced convection inside tubes of various cross-section shapes is of interest in the design of a low Reynolds number heat exchanger apparatus. Heat transfer to thermally developing, hydrodynamically developed forced convection inside tubes of simple geometries such as a circular tube, parallel plate, or annular duct has been well studied in the literature and documented in various books, but for elliptical duct there are not much work done. The main assumptions used in this work are a non-Newtonian fluid, laminar flow, constant physical properties, and negligible axial heat diffusion (high Peclet number). Most of the previous research in elliptical ducts deal mainly with aspects of fully developed laminar flow forced convection, such as velocity profile, maximum velocity, pressure drop, and heat transfer quantities. In this work, we examine heat transfer in a hydrodynamically developed, thermally developing laminar forced convection flow of fluid inside an elliptical tube under a second kind of a boundary condition. To solve the thermally developing problem, we use the generalized integral transform technique (GITT), also known as Sturm-Liouville transform. Actually, such an integral transform is a generalization of the finite Fourier transform, where the sine and cosine functions are replaced by more general sets of orthogonal functions. The axes are algebraically transformed from the Cartesian coordinate system to the elliptical coordinate system in order to avoid the irregular shape of the elliptical duct wall. The GITT is then applied to transform and solve the problem and to obtain the once unknown temperature field. Afterward, it is possible to compute and present the quantities of practical interest, such as the bulk fluid temperature, the local Nusselt number, and the average Nusselt number for various cross-section aspect ratios.

Crédito e pequena cafeicultura no oeste paulista: Franca/SP 1890-1914

This article turns on the importance of the small coffee production in the coffee complex economy between 1890 and 1914. We argue here the relations of work, the forms of financing and the way as the small coffee production inserts itself in this universe. We use as priority sources the employment contracts that involved the formation and/or the treatment of coffee trees and the Writes of mortgage debts, both recorded in Notarial Books, documents not used by historiography in a systematical way. We turns our look for a region marked predominantly for small and the middle producing farms of coffee, observing the dynamics of the accumulation in a period of expansion and crisis of the coffee economy.

Capacidade de carga real (ccr) da caverna de santana, parque estadual turístico do alto ribeira (Petar) - sp, e indicações para o seu manejo turístico

The tourist use of Santana cave provides a row of environmental damages, compromising partially the pristine conditions. Among the measures adopted to avoid this situation, this issue presents a contribution for the physical limits to tourist visitation and the indications for speleotouristic management. It was used the Cifuentes Carrying Capacity method and some basic principles of Visitors Impact Management Framework - VIM. The results show a Real Carrying Capacity (CCR) about 120 visits daily on the cave. The discussions raise a few hypotheses about the alteration in the method used and the temporal frequency between visitors groups, suggesting a provisional CCR of 117 and 135 visitors daily, respectively, during the week and in the weekends and holidays. The conclusions appoint the necessity of a conceptual revision in the Carrying Capacity methods, mainly about its adaptation for tourist management in caves. In the case studied, it is suggested the immediate beginning of environmental monitoring of the cave, to verify the plausibility from proposed visitation limits and the possible contributions for to mitigate the environmental impacts from speleotourism.