A relação entre os determinantes sociais em saúde e os investimentos setoriais e a mortalidade infantil em municípios brasileiros com mais de 80 mil habitantes

Investments in health have controversial influence on results of the health of populations, besides being subject rarely explored in literature. Moreover, from the 1970s, the social determinants of health have been consolidated in the disease process as multifactorial factors (social, economic, cultural, etc.) that directly or indirectly influence the occurrence of health problems of populations, as well as mortality rates. This study aimed to evaluate the influence of these investments and the social determinants of health on infant mortality and its neonatal and post-neonatal mortality. This is an ecological study, in which the sample was composed of Brazilians cities with over 80,000 inhabitants, avoiding fluctuations in mortality rates for common small populations, and ensure greater coverage of information systems on mortality and births Brazilians and, therefore, increase data consistency. To isolate the effect of investments in health, we used multiple linear regression. The socioeconomic indicators (p <0.001, p = 0.004, p <0.001), the inequality index (p <0.001, p = 0.001, p = 0.006) and coverage of prenatal visits (p <0.001, p <0.001; p = 0.005) were associated with infant mortality rate total, neonatal and post-neonatal, and the Gross Domestic Product per capita only influenced the overall infant mortality rate and neonatal (p=0.022; 0.045). Investments in health, in this model, lost statistical significance, showing no correlation with mortality rates among children under one year. We conclude that the social determinants of health has an influence on the variation in mortality rates of Brazilian cities, however the same was not observed for indicators of health investment

O estágio não-obrigatório na formação profissional dos(as) assistentes sociais: trabalho precarizado ou processo didático-pedagógico?

Coexisten, en el universo académico, prácticas curriculares obligatorias y no obligatorias que pueden ser remuneradas o no. Delante de la constatación de lagunas en la concepción, gestión y operacionalización de las prácticas no obligatorias remuneradas, escogimos este tema como objeto de nuestra investigación, tratando de analizarlo en el contexto de los cambios sociohistóricos contemporaneos y su influencia en la cualidad de la formación profesional del estudiante de la carrera de Servicio Social. Este estudio tiene como ¨locu¨ de investigación la Facultad de Servicio Social del Estado de Rio Grande del Norte (FASSO/UERN). Este estudio se caracteriza por la adopción de una perspectiva de análisis cualitativa, con la expectativa de develarlo mucho más allá de lo que se muestra en su aparecncia. Para esto, realizamos revisión de literatura, análisis de documentos, observación asistemática y entrevistas con estudiantes y profesionales de las entidades que ofrecen prácticas a los estudiantes. Además se incluyó, en los procedimientos metodológicos, la aplicación de encuestas y conversaciones informales. Constatamos la existencia de lagunas en el desarrolllo de las prácticas no obligatorias remuneradas, ocasionadas por la ausencia de supervisión y por la inclusión de pasantes en sectores y/o actividades desvinculadas de su futura profesión. La investigación nos permitió desvelar situaciones en las que la oferta de plazas ocurre en detrimento de la contratación de empleados, lo que configura un distanciamento de este componente curricular del área de formación profesional, desvirtuando su carácter educacional. Cientes de la coexistencia contradictoria entre situaciones ventajosas y problemáticas en las prácticas no obligatorias remuneradas para el proceso de formación profesional de los asistentes sociales, concluimos que esta modalidad de práctica cuando vinculada a la intervención de la facultad y bajo la supervisión de asistentes sociales, independiente de sus implicaciones en los intereses del mercado, potencializa el desarrollo de competencias y habilidades intrínsecas al proceso de formación profesional; pero si distanciada del área de formación y/o sin el debido acompañamiento didáctico-pedagógico establece poca o ninguna relación con la formación de los asistentes sociales. Pero, incluso distanciadas del ejercicio y de la formación académica en el área de servicio social y/o (llenas de aspectos frágiles) llenas de fallas en el proceso de enseñanza y aprendisaje, estas experiencias ejercen profunda influencia en la formación de los asistentes sociales, pudiendo fragilizar el compromiso con el proyecto ético-político, diseminar el aspecto subalterno de la profesión y hacer confuso y conflictivo el proceso de construcción de la identidad profesional. En este sentido, las inversiones de capital para reducir los gastos con mano de obra, las dificultades vividas por las universidades públicas brasileñas para garantizar la cualidad de la enseñanza delante de la insuficiencia de recursos humanos y materiales y la desvalorización de los componentes no obligatorios del proceso de formación profesional de los asistentes sociales, son factores que obstaculizan el reconocimiento y la materialización del potencial didáctico-pedagógico de las prácticas

Ofensiva do Capital e Desmobilização das Forças do Trabalho: As Estratégias Gerenciais Burguesas para a Desarticulação das Classes Trabalhadoras

The problematic that gives shape to this research is the question of the historical process of demobilization of the movement of the working classes in your accented contemporary moment. Their object of study, however, and that it particularizes, it relates to a portion this problematic; it relates to set of determinations that comprise a broader set of determinations of this historical process: it is a set of determinations forged and mediated by bourgeois strategies of management for the conformation of the circumstances necessary for the domination and for the conduct of labor force on operations in work processes for the production of surplus value. What we investigated are, because, the strategies of disarticulation that the bourgeoisie utilizes, under the mantle of subsidies conceptual and interventive of its management of work processes and the sieve of class struggles, to obstruct the union of workers; hamper the movements proletarians. Managerial strategies that intentionally or unintentionally, instill in the social relations of production means to produce and reproduce, activate and reactivate conditions of incitement of individualism and competition between the workers themselves. We shall see, thus, by analyzing means, centrally, from some of the fundamentals of disarticulation in the managerial strategies bourgeois and some of the fundamental strategies of management bourgeois hegemonized with the restructuring productive of 1970, that the disarticulation, and also the demobilization, is a concrete condition, is an objective condition, that is beyond a question that can be "solved" only by enlightenment cognitive, only by formation criticism intellectual. In everyday of the work spaces permeated by managerial strategies bourgeois there elements, then, operating as a material force putting difficulties important for the articulation of the workers, the solidarity of the proletariat; elements that constitute obstacle significant to an awareness of class and belonging; elements act in favor of the atomization of the worker - even if engenders, in the same process, as a contradiction, potentiality of resistance and fight the forces of labor

O sistema de garantia dos direitos da criança e do adolescente: análise da trajetória e do processo de resolubilidade dos casos de violência doméstica sexual em Recife PE (2007-2011)

This work discourses about the child and adolescent s Guaranty System of Rights (GSR), on the intervention in cases of juvenile domestic sexual violence, in Recife. The course (trajectory) is analyzed, where circulate cases of sexual violence, until its resolution, in (GSR). Actually, the violence represents a serious problem of public health. Was thought about the difficulties and the limits that make GSR become a full field of contradictions and challenges for the effectiveness of the children and adolescents rights. Therefore, it was verified the treatments that are developed by GSR, how this system is structured and articulated and how occurs the resolution of the sexual violence cases against children and adolescents. Proceedings of the quantitative and qualitative research were used, was done observation, directed interview and analysis of documents. Thus, the field research was the visits in these institutions: Restauração Hospital, Police Management of the Child and Adolescent (PMCA) three Guardianship Councils, Dom Helder Camara Center of Studies and Social Action (CENDHEC) and the Tribunal of Childhood and Adolescence. The research subjects were seven professionals of GSR. The theoretical discussion is guided in reflections about the children and youth rights, in the violence theme and in the construction and institutionalization process of GSR. In this experiment, was noticed there are many difficulties for working together the GSR, because many obstacles are found when we call the responsible institutions, besides some violence cases happen again. This system is not totally institutionalized and articulated, faces structural problems, material, poorly qualified professionals, underinvestment, low transfer of public resources, among other difficulties, causing many losses in the implementation of public policies that enforce secured rights by legislation

O Entrelaçamento entre assistência social e trabalho informal: verdades e equívocos em tempos de crise do capital

The thesis presented here is of interest management to analyze the performance of the State, through the materialization of the professional courses, the process of integration of users CRAS-Pajuçara informal. Therefore, we assume that poverty and inequality reach a significant portion of the world population, in a context where the working class family is seen as an alternative to face the multiple expressions of social issues. Thus, before the changes of Productive Restructuring, marked by flexibility, outsourcing and casualization of labor relations in the world, the working class family must find ways to ensure their survival. In this direction, we discuss the advances, limitations and challenges posed to the Social Assistance Policy in contemporary, situating this context, the role of the state. Furthermore, we discussed the functionality of informality to the capitalist system, showing how capital appropriates of informal work, placing it in its logic, and thus makes the capital-labor ratio increasingly predatory, inhuman and unequal. The methodological procedures for the preparation of this study constitute a literature and documentary, beyond 10 semi-structured interviews directed to users of CRAS-Pajuçara, participants of training courses for the period 2010-2011. In light of the critical-dialectical rationality, and in a context where informal work has increasingly been co-opted as an alternative to huge unemployment in the same direction in which the welfare rises in tackling social inequality, the scope of this study, discusses and reveals the truths and misconceptions that surround this bourgeois discourse, in times of crisis of capital, the city of Natal, Brazil

As mutações no mundo do trabalho na era da mundialização do capital

A classe trabalhadora no século XXI, em plena era da globalização, é mais fragmentada, mais heterogênea e ainda mais diversificada. Pode-se constatar, neste processo, uma perda significativa de direitos e de sentidos, em sintonia com o caráter destrutivo do capital vigente. O sistema de metabolismo, sob controle do capital, tornou o trabalho ainda mais precarizado, por meio das formas de subempregado, desempregado, intensificando os níveis de exploração para aqueles que trabalham. Esse processo é bastante distinto, entretanto, das teses que propugnam o fim do trabalho. Este texto explora alguns dos significados e das dimensões das mudanças que vêm ocorrendo no mundo do trabalho.

Caracterização sócio-ambiental do bairro de Felipe Camarão- Natal/ RN

The rapid growth of the Brazilian cities in the latest years has brought a series of problems regarding housing policies and, therefore, the provision of dwellings for the low-income class people. Following the pattern of other capital cities, Natal has repeated the pattern of urbanization practiced in the country, which concentrates the low-income class inhabitants in specific zones of the city known as peripheries or even in a dwelling place for less-favored classes such as Felipe Camarão, which is one of ten boroughs belonging to the western administrative zone, a region which has historically received less attention from the public administrators towards infrastructure investments. Based on those aspects, the general objective of this work is to investigate which main social-environmental alterations have resulted from the processes of urbanization and field occupation in that area. The specific objectives are concerned with verifying 1) the process of urbanization and the process of dividing urban soil from the 1960s; 2) the current configuration of the public spaces in the borough; 3) the process of the deprivation of the original landscape characteristics of Environmental Protection Zones; 4) the dynamics of land occupation which are predominant in dune areas; 5) the dynamics of land occupation which are predominant in mangrove areas; 6) and the destruction of green covering on the land with its consequent alteration of the local floristic pattern. The methodology consisted of in-loco visits; the application of questionnaires as community research; a survey of bibliography published by the organisms and institutions in charge of carrying out the city hall s environmental and housing policies; and descriptive statistics of the collected data. Concerning the pattern of occupation which is predominant in the borough, the treatment of space dispensed by the local dwellers has culminated in the emergence and consolidation of environmental alterations which are clearly different from common occurrence in both the building area represented by housing complexes and in the green areas represented by dunes and mangroves. The data show that there was the predominance of the irregular land occupation process over the official housing policy during the population settlement which contributed with a series of frequent and foreseeable problems in the dynamics of urbanization of poverty such as invasions and appropriations of land parcels, the beginning of irregular arrangement of streets, the formation of villages and slums, which are full of self-constructed housing units, and the occupation and degradation of susceptibly fragile environmental areas such as the dune slopes and the mangroves

Questão urbana e ambiental em tempos de crise do capital: configurações e particularidades no Brasil contemporâneo

Este trabalho tem por objetivo discutir os nexos entre crise do capital, questão urbana e ambiental, problematizando a inserção subordinada do Brasil no processo de mundialização com predomínio das finanças, as contradições que marcam estes processos e, em particular, suas repercussões nas cidades na contemporaneidade. Acirra-se a luta de classes, expressa nas diversas formas formas de apropriação e uso do solo urbano. Neste cenário de disputas, as formas de luta e oposição à acumulação desenfreada do capital podem ser consideradas ainda pontuais e de pequena escala, mas revelam formas de resistências que podem vir a gerar movimentos emancipatórios

Diagnóstico Ambiental do Processo de Desertificação no município de Lajes/RN.

Ocupando uma área de 665,7km2 (equivalente a 1,25% da superfície estadual), o Município de Lajes até o início do século XX era um pequeno distrito do Município de Jardim de Angicos, localizada na Região Central do Estado do Rio Grande do Norte. Quando decretado município, em 1914, Lajes tornou-se o principal entreposto comercial do estado, uma vez que sua posição geográfica a colocava como rota principal entre os municípios produtores de mercadorias e a capital do estado, Natal, situada a 125km a Leste do município. Esta confortável posição de entreposto comercial cristalizou-se com a construção da estrada de ferro Sampaio Correia, em 1919, que agilizou o escoamento das mercadorias advindas do interior com Natal, principalmente o algodão, que até a década de 1980 era a principal fonte econômica do Estado do Rio Grande do Norte. Com a crise do algodão e a construção de estradas ligando diretamente os mercados produtores com a capital, Lajes perde a condição de principal entreposto comercial do estado, e sua economia entra em decadência. Vastas áreas de caatinga onde outrora se plantava algodão foram abandonadas, deixando os solos destas terras livres para a ação erosiva dos ventos e das torrenciais chuvas de outono. Situada numa porção do estado que sofre direto sombreamento das escarpas da Serra do Feiticeiro, o município de Lajes tem se configurado como um importante laboratório para o estudo da desertificação no Estado do Rio Grande do Norte. A partir de uma análise Geossistêmica, procurou-se diagnosticar o atual quadro da desertificação nesta porção semi-árida do estado. Para tanto, utilizou-se os métodos quantitativos de análise, dentre eles os métodos desenvolvidos durante a elaboração do Pan Brasil, com a construção dos Balanços Hídricos e Índices de Aridez do município. Os dados referentes aos índices de aridez de Lajes apontam para um profundo processo de ressecamento do ar na região, corroborando inclusive com os dados referentes ao aquecimento global divulgados pelo IPCC (Intergovernamental Panel on Climate Change) no mês de fevereiro de 2007

O espaço central das atenções: o corredor de integração da região metropolitana de Natal

This work considers the space study of the main road runner of integration of the Region Metropolitan of Natal (RMN) in formation, emphasizing its repercussion for the geographic context of the city, where we identify the positive and negative aspects of such space configuration, as for the aspects of the urban inaquality, economic centrality and of flows, promoted for the state and private capital (national and foreign). The linear convergence and polinucleately of geographic objects in that we identify as Central Space of Attentions (CSA), promoted, and still it promotes, important repercussion in the space estructuretion of the peripheral areas of the RMN, such as in the constitution of the "Capital Value of the Space". In this direction, to endorse the analysis of such reading, choose as cientific ballast the geographic theory, in a perspective dialectic, as well as we rescue contributions of the science of the administration, sociology, economy, amongst others. From the empirical research, subsidized with the application of forms together the entrepreneurs whom they possess investments in the CSA, as well as in the rescue of information you register in cadastre in the Junta Comercial do Estado do Rio Grande do Norte (JUNCERN) and telephonic list, we construct a proposal of reading of the current period of training of the process of space production to which is rank the CSA. The analysis of the data, under a comparative space angle, presents an important contribution to reevaluate the urban space of the RMN in its bigger aspect, exceeding the limits of the studied road corridor

As transformações fundiárias da comunidade de sibaúma-rn com o advento do turismo

The genesis of the research emerges from reflection about the space dynamics of the capital and to the capital. The expansion and the incorporation of territory for capital reveal, in part, strategies of the capitalism production way, which shows the search for accumulation conditions, expanding the alternatives of territory use that is, nowadays, selective and uneven. The present work verified the mechanisms where the capital imposes its practices through the agrarian structure and the valuation of land market, meaning, in our knowledge, that the reproduction of inequalities is showed, many times, by the wide land speculation and the fast land valuation. For this, the snip space will be the Sibaúma community, belonging to Tibau do Sul district, located in Rio Grande do Norte state. It‟s a rural area that has, gradually, changing through the advent of urban characteristics, given the association of public and private investments, both domestic and international. Through the empirical observations, inside the Sibaúma community, it was found expansion strategies, incorporation and appropriation of territory by capital. As a result of this practice, it‟s occurring the land valuation and the presence of a process of socio-spatial segregation, through the encouraging the opening of new subdivisions, mainly for construction of second homes and tourism enterprises in order to meet the demand of a higher socioeconomic level. The areas still available in Sibaúma, constitute into a reserve of value for the achievement of capitalist rent, being a mechanism of capital reproduction. In this way, to studying the socio-spatial transformations, caused by spatial valuation, we turn to the project of social space designed by Santos(2006), from the perspective of capitalist production of space, by understanding the historical process of formation, the mechanisms and the actions of social actors that produce and consume space

O agente comunitário de saúde frente ao processo de trabalho em equipe: facilidades e dificuldades

O estudo propõe-se a analisar as dificuldades e facilidades dos Agentes Comunitários de Saúde (ACS) frente ao trabalho em equipe. A análise pautou-se na perspectiva hermenêutica-dialética, tendo como referência os princípios do método de interpretação dos sentidos. As dificuldades e facilidades apontadas por eles revelam que trabalhar em equipe demanda relações efetivas, com ênfase na comunicação, respeito e cooperação, sendo as reuniões de equipe estratégia importante para isso. Depreende-se a necessidade de constantes investimentos nas relações entre os membros da equipe.

Panorama da inserçao internacional da América Latina e Caribe 2009-2010: Crise originada no centro e recuperação impulsionada pelas economias emergentes. Documento informativo

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Espaços iberoamericanos: O investimento estrangeiro, Oportunidades para impulsionar uma relaçao renovada

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Panorama do comportamento ambiental do setor empresarial no Brasil

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