A regionalização como instrumento de governança pública em saúde no estado do Paraná: análise dos vazios assistenciais como subsídio à ação do estado

Everyone has a right to health and the State’s duty is to provide it. SUS (unified health system) main principles are universalization, integrality and equality which are based on the decentralization, regionalization and hierarchization directives and shows the importance of a territorial perspective for planning healthcare actions. Decentralization was the strategy chosen to implant SUS, since municipalities were in charge of providing and organizing the municipal healthcare services. Nevertheless regionalization, that’s to say service, institution and practice integration, was not performed satisfactorily, thus jeopardizing the health system decision making process and causing disputes between municipalities over financial resources instead of developing an interdependent and cooperative net. This way, it is important to analyze if health regionalization has a good potential for being used as public governance tool. The present study aims at giving answers to the following research problem: What are the contributions of regionalism to the State of Paraná public governance applied to health? Besides that, it also aims at assessing the State of Parana health regionalization to identify healthcare gaps and help the State actions through public governance principles applied to healthcare. Therefore, the study used a quantitative-qualitative, exploratory and descriptive research, plus secondary data concerning bibliographic and documental research. The present study analyzed the current hospital bed distribution by compared to the ideal distribution allowing the identification of healthcare gaps in the regional healthcare centers, besides considering medical specialties in the State of Paraná. The study conclusion is that health regionalization is an important tool for reducing healthcare gaps concerning hospital beds permitting the use of seven to ten public governance principles applied to healthcare, as established in the present study, and shows health regionalization is an important pubic governance tool.

Características tecnológicas de espécies de pescado com potencial de criação na região sudoeste do Paraná

The fish meat has a particular chemical composition which gives its high nutritional value. However, this food is identified for being highly perishable and this aspect is often named as a barrier to fish consumption. The southwestern Paraná region, parallel to the country's reality, it is characterized by low fish consumption; and one of the strategies aimed at increasing the consumption of this important protein source is encouraging the production of other species besides tilapia. Within this context, it is necessary to know about the meat characteristics. In this sense, the objective of this study was to evaluate the technological potential of pacu, grass carp and catfish species. To do so, at first, it was discussed the chemical and biometric assessment under two distinct descriptive statistical methods, of the three species; and it was also evaluated the discriminating capacity of the study. In a second moment, an evaluation of effects done by two different processes of washing (acid and alkaline) regarding the removal of nitrogen compounds, pigments and the emulsifying ability of the proteins contained in the protein base obtained. Finally, in the third phase, it was aimed to realize the methodology optimization in GC-MS for the analysis geosmin and MIB (2-metilisoborneol) compounds that are responsible for taste/smell of soil and mold in freshwater fish. The results showed a high protein and low lipid content for the three species. The comparison between means and medians revealed symmetry only for protein values and biometric measurements. Lipids, when evaluated only by the means, overestimate the levels for all species. Correlations between body measurements and fillet yield had low correlation, regardless of the species analyzed, and the best prediction equation relates the total weight and fillet weight. The biometric variables were the best discriminating among the species. The evaluation of the washings, it was found that the acidic and basic processes were equally (p ≥ 0.05) efficient (p ≤ 0.05) for the removal of nitrogen compounds on the fish pulps. Regarding the extraction of pigments, a removal efficiency was recorded only for the pacu species, the data were assessed by the parameters L *, a *, b *. When evaluated by the total color difference (ΔE) before and after washing for both processes (acid/alkaline) the ΔE proved feasible perceived by naked eye for all species. The catfish was characterized as the fish that presents the clearest meat with the basic washing considered the most effective in removing pigments for this species. Protein bases obtained by alkaline washes have higher emulsifying capacity (p ≤ 0.05) when compared to unwashed and washed in acid process pulps. The methodology applied for the quantification of MIB and geosmin, allowed to establish that the method of extraction and purification of analytes had low recovery and future studies should be developed for identification and quantification of MIB and geosmin on fish samples.

Implementação de programas de educação ambiental nas escolas municipais de Curitiba, Paraná, Brasil

O presente trabalho pretende analisar a implementação dos programas de Educação Ambiental nas escolas de ensino fundamental, da Rede Municipal de Ensino Público, do Município de Curitiba, no estado do Paraná, Brasil. Esta análise tem por objeto de estudo as ações desenvolvidas pelas escolas, no que se refere às condições de saúde e bem-estar, a partir do que estabelecem os Parâmetros Curriculares Nacionais. Buscou-se compreender como os conteúdos definidos por ‘temas transversais' propiciam a constituição de um espaço de transformação em nível municipal. Este trabalho se constrói com base em discussões sobre o conhecimento produzido na área de Educação Ambiental e pelo levantamento de informações por meio de entrevistas e questionários junto aos profissionais ligados aos órgãos municipais responsáveis e às escolas. A análise realizada demonstrou que os projetos implementados vêm surtindo efeito positivo sobre as transformações dos pensamentos relativos às questões ambientais, sofrendo descontinuidades devido às mudanças nas gestões políticas. ABSTRACT; This study aims to analyze the implementation of the Environment Education Programs in the schools of the Municipal Public Education Network, in the City of Curitiba, in the state of Paraná, Brazil. The object study on this analysis is the actions developed by the schools, referring the conditions of health and well-being, from what is established by the National Curricular Parameters. We try to understand how the contents defined for 'transversal subjects' can propitiate the constitution of a space of transformation in municipal level. This work is built on discussion about the knowledge produced in the area of Environment Education besides the survey of informations through interviews and questionnaires with professionals connected to the responsible offices and the schools. This analysis demonstrated that the implemented projects is causing positive effects on the transformations of the relative thoughts to the environment questions, come suffering discontinuities due to the changes in the managements politics. RESUMEN; Este proyecto tiene por objetivo examinar la implementación de los programas de educación ambiental en las escuelas de educación básica de la Red Municipal de Educación Pública, en la ciudad de Curitiba, Paraná, Brasil. El objeto de estudio de la análisis son las medidas adoptadas por las escuelas, con respecto a la salud y el bienestar, de acuerdo con lo establecido por los Parámetros Curriculares Nacionales. Tratamos de comprender como el contenido, tal como se define por "temas transversales" puede ofertar un espacio de transformación en el nivel municipal. Este trabajo se basa en los debates de los conocimientos producidos en el ámbito de la educación ambiental y por las informaciones planteadas a través de entrevistas y cuestionarios con los profesionales de los departamentos responsables y en las escuelas. El análisis mostró que los proyectos ejecutados han tenido efecto positiva en la transformación de ideas sobre cuestiones ambientales, sufriendo discontinuidades debidas a cambios en las gestiones políticas.

Desenvolvimento e caracterização do queijo Santo Giorno, típico do sudoeste do Paraná, produzido com leite cru e fermento endógeno

Two cheese formulations made from raw milk and endogenous yeasts with 30, 60 and 180 days of maturation in two dairy Paraná Southwest were studied to evaluate their quality through physical, physical-chemical, microbiological and sensorial characteristics, as one of the stages of development of a typical regional cheese. The production was accompanied from designing the flowchart processing, where the samples were collected to perform the analysis of proteins, lipids, moisture, ash, carbohydrates, total solids, fat in dry matter, calories; water activity, instrumental texture (hardness, adhesiveness, springiness, cohesiveness, resiliency and chewiness), instrumental color (CIE Lab); microbiological quality was assessed searching for total and thermotolerant coliforms, coagulase positive staphylococci and Salmonella spp.; the acceptance related to sensory characteristics of color, appearance, flavor, texture, taste and purchase intent was evaluated through the structured hedonic scale. This research contributed information relevant to the production process, such as the realization of the viability in freeze-drying lactic acid bacteria yeast isolated from milk in the Southwestern Mesoregion of Parana and the results of the analysis of the cheese showed similarity between formulations, regarding the physical, physical-chemical characterization, moreover good microbiological quality, where the differences between samples of dairy products were not perceived by sensory panelists. Adjustments in standardization related to technological quality control is an extremely important factor for the success of dairy companies and small producers involved in the project and that they have the option of producing the Santo Giorno, a fine cheese, with the great advantage of adding features of region, with high standard of sanitary conditions and with great consumer acceptance of indicative.

Breves consideraciones sobre la mistanasia y el caso del Hospital Universitario Evangélico de Curitiba, estado de Paraná, Brasil

Con frecuencia, los profesionales de la salud se encuentran limitados a continuar con el tratamiento de sus pacientes, debido a las condiciones estructurales de los hospitales públicos, como la cantidad de camas, la calidad del material hospitalario, la calificación de los propios profesionales públicos, entre otras. En este sentido el artículo tiene como objetivo presentar la negligencia con los derechos de la personalidad y principios fundamentales en el sistema de salud público brasileño, señalando la necesidad de políticas públicas para la mejora del Sistema Único de Salud (SUS, Sistema Único de Saúde en portugués), precisamente en las fallas de su sistema, tomando como ejemplo la banalización de la vida por un médico del Hospital Evangélico de Curitiba, Estado de Paraná. Con este ejemplo se buscó presentar también el verdadero sentido de la eutanasia, y su evolución en la historia de la humanidad, distinguiendo la práctica que se llevó acabo en el Hospital Evangélico de Curitiba, que fue presentado por los medios de comunicación de todo el mundo como el caso de la eutanasia en Brasil. El enfoque del tema es de suma importancia para la bioética, porque tiene como objeto permitir una mejor reflexión sobre el problema y sus posibles soluciones.

ESTRUTURA DO COMPONENTE DE REGENERAÇÃO NATURAL E ARBÓREO DE DOIS MANGUEZAIS NO ESTADO DO PARANÁ

Esse estudo avaliou comparativamente os parâmetros fitossociológicos da regeneração natural e da vegetação arbórea em dois manguezais distintos no Estado do Paraná, um pertencente à Baía de Paranaguá (manguezal de Antonina) e outro à Baía de Guaratuba (manguezal de Guaratuba). Em cada área, três subáreas foram marcadas e amostradas cinco parcelas de 10 x 10 m para avaliação do componente arbóreo e quinze subparcelas de 1 x 1 m para avaliação da regeneração natural. Avicennia schaueriana , Rhizophora mangle e Laguncularia racemosa exibiram domínio e densidade relativa distintos entre as áreas. Manguezais de Antonina e Guaratuba diferiram tanto na estrutura da regeneração natural como no componente arbóreo. A Análise de Coordenadas Principais (PCoA) mostrou que as diferenças entre as áreas em relação às variáveis abióticas do solo estão fortemente relacionadas com os parâmetros estruturais do componente arbóreo dos manguezais. Os fatores edáficos dos manguezais têm grande importância na separação entre as áreas, já que reflete na capacidade de adaptação das plantas.

EVOLUÇÃO ESTRUTURAL DE BRACATINGAIS DA REGIÃO METROPOLITANA DE CURITIBA, PARANÁ, BRASIL

O objetivo deste trabalho foi estudar a evolução estrutural de espécies arbóreas em bracatingais, ao longo de vinte anos. A bracatinga ( Mimosa scabrella Benth.) é a espécie pioneira, de vida curta, que caracteriza os bracatingais. Sob as bracatingas forma-se um sub-bosque com outras espécies arbóreas, que vai assumindo o lugar da bracatinga com o passar dos anos e que é tratado como se fosse lenha da própria bracatinga, quando a área é cortada a cada 7 anos e a regeneração da bracatinga é novamente induzida com o uso do fogo. O processo de sucessão em bracatingais ainda não foi estudado e é útil identificar a idade em que as demais espécies passam a dominar o bracatingal. Trabalhou-se com 320 parcelas, distribuídas em bracatingais com idades variando de 3 a 20 anos, medidas entre 1998 e 2011. Foram medidos os DAP (diâmetro a altura do peito) e altura total de todas as espécies com DAP ≥ 5 cm. Observou-se que, aos 11 anos, o conjunto das espécies supera a bracatinga em número de indivíduos e aos 19 anos as espécies arbóreas já apresentam uma distribuição diamétrica semelhante ao de uma floresta em fase mais avançada. De forma geral observou-se que, após os 10 anos de idade, um bracatingal já começa a tomar forma de um capoeirão.

Experiência do núcleo de atendimentos a pessoas com necessidades educacionais especiais da Universidade Tecnológica Federal do Paraná Campus Pato Branco

Trabalho publicado também na XIII Jornadas Transandinas de Aprendizagem

Proposta de uma matriz de decisão em energia hidrelétrica com o uso do método multicritério, para formulação de políticas públicas no estado do Paraná

Brazil is internationally acknowledged for its renewable sources, most notably, hydroelectric power plant projects which correspond to 65% of electricity production supply to the National Interconnected System. The main question behind this research is: what are the weights and the relative importance of the variables which have influence on the decision making process for the expansion of hydroelectric generation projects in Parana? The main objective is to propose a multi-criteria decision procedure, in association with water sources options that take into consideration the weight and relative importance of the alternatives having influence on the decision by enterprises in the generation of electricity in the state of Paraná. As far as the approach to the problem is concerned, this research can be classified as having mixed methodologies, applying Content Analysis, Delphi technique and the Analytic Hierarchy Process. Following Delphi methodology, a group of 21 was selected for data collection, all of those linked to Paranaense hydroelectricity market. And the main result was the construction of a decision tree in which it was possible to identify the importance and relative weight of the elements associated with the four dimensions of energy. In environmental dimension, the highest relative weight was placed on the loading capacity of Parana system; the economic dimension, the amortization of investment; in social dimension, the generation of direct work places and in institutional dimension, the availability of suitable sources of financing. Policy makers and business managers make their decisions based on specific criteria related to the organization segment, market information, economic and political behavior among other indicators that guide them in dealing with the typical tradeoffs of projects in hydropower area. The results obtained in the decision tree show that the economic bias is still the main factor in making investment decisions. However, environmental impacts on the State loading capacity, income generation, providing opportunities for direct as well as indirect jobs. And at an institutional level, the absence of funding sources show that the perception of experts is focused on other issues beyond the logic behind development per se. The order of priority of variables in this study indicates that in the current environment of uncertainty in the Brazilian economy as many variables must be analyzed and compared in order to optimize the scarce resources available to expand local development in relation to Paranaense water matrix.

Complexos de estudo: investigando um experimento de currículo em uma escola de assentamento do MST no Paraná

The Landless Rural Workers Movement (MST) from its educational process and the path taken in education, started in the year 2013, with an experimental curricular proposal by Complexes of study the School Base and the Itinerant Schools, the MST, in Paraná state. For the construction of this proposed curriculum, the movement takes the historical background and the experience of the original foundations of the single school of labor started by the working class in revolutionary Soviet period as a training proposal and school organization that comes close to the creation of collective subjects, fighters and builders of a new society and sociopolitical objectives to this social movement. The Soviet experiment reference required a work of a critical appropriation for the Brazilian context. The curriculum prescription, called Study Plan, in its introduction, includes elements of design fundamentals like: the Education Eesign and Training Matrix; Matrix detailing: School and Life, School and Labor Formative Matrix, School and Social Struggle Formative Matrix, School and Collective Organization Formative Matrix, School and Culture Formative Matrix and School and History Formative Matrix; general school guidelines: a pedagogical function of the environment, the school's political organization, school times, specific methodological aspects, sequencing and duration of Complexes of Study and the evaluation process. The Study Plan contemplates the complexes, the disciplines, the portions of reality / practice categories present in complexes, organized by semester and year, i. e., from 6th to 9th grade in elementary school. Given the the presented context, this research aims to analyze the process of testing the proposed curriculum for the Complexes of Study in Primary School of Iraci Salette Strozak State School, located in the Marcos Freire Settlement, in Rio Bonito do Iguaçu in Paraná state. As a methodological approach, we chose the qualitative approach and analysis were conducted under the Marxism perspective. Library research and field research, semi-structured interviews and analysis of documents generated in the process of construction of the proposal were made.Initially, in this paper, we discus about the path followed by the MST in the fight for schools and public education; highlighting elements of the process which led to the understanding, by the Movement, of which only the struggle for land is not enough for the realization of Agrarian Reform. Then discuss whether some elements of Pedagogy of the Movement, the concept of education and the goals for education that Social Movement, the training matrices and the potential to transform the school from a pedagogical proposal that has these elements as guiding. They present also the original foundations of Complexes Study in its historical origin and design. Is discussed about the changes and curriculum innovations, curriculum as schooling as social reproduction and presents the structure of Curriculum Proposal by Complex of Study. Forth, it is shown how the experiment occurred in basis School Iraci Salette Strozak. At this point, we propose a dialogue on the transformations in the organization of pedagogical work, discussing the elements of the proposal that are being experienced and the changes already perceived. Still, we address the issue of formation of educators and also elements relating to the challenges andadvancements encountered by the school in this area, and possible implications for the experiment.

Vigilância Epidemiológica de Doenças Infecciosas de Origem Bacteriana na Província do Cuanza-Norte

seguinte trabalho teve como objetivo a pesquisa da vigilância epidemiológica das doenças infecciosas de origem bacteriana na província do Cuanza-Norte em Angola. Todos os resultados foram obtidos a partir da base de dados da Direção Provincial de Saúde do Cuanza-Norte em Ndalatando, onde foram recolhidos os dados relativos aos doentes com Febre Tifóide e Tuberculose de 2010-2014, sendo estas, as doenças bacterianas predominantes na província. Os dados recolhidos demonstram valores elevados relativos à pesquisa de Tuberculose e Febre Tifóide, tendo sido estudados casos de prevalência das doenças relacionadas com a idade, sexo e origem do município. Destaca-se a faixa etária de indivíduos com menos de 20 anos para o caso da Febre Tifóide e idades superiores aos 20 anos para a Tuberculose. Os municípios mais afectados para o caso da Febre Tifóide são Lukala, Bolongongo, Banga, Quikulungo, e Ngonguembo. Para o caso da Tuberculose são mais afectados os municípios de Gongembo, Banga, Quiculungo e Bolongongo, uma vez que são municípios em situação instável com uma escassa vigilância sanitária. No tempo húmido (chuvoso), os meses de Março e Abril se distinguiram com maiores taxas de prevalência de febre tifóide e no tempo seco (frio), os meses de Junho, Julho e Agosto se distinguiram com maiores taxas de prevalência de tuberculose durante este estudo. A análise dos resultados permite afirmar que se registou, durante os cinco (5) anos deste estudo, uma tendência crescente para a tuberculose e uma tendência decrescente para a Febre Tifóide. A prevalência é, ainda, muito elevada em ambos os casos, sendo, por isso, necessário agir rapidamente - aplicando as respetivas medidas de vigilância sanitária que haja um maior controlo efetivo e sustentável de doenças bacterianas negligenciadas e melhor acompanhamento dos doentes.

Análise do monitoramento de descargas atmosféricas na área de concessão da companhia força e luz do oeste em Guarapuava, Estado do Paraná

Aiming to analyze the monitoring of the atmospheric discharges incidence, the concession area of Companhia Forca e Luz do Oeste (CFLO) - Western Power and Light Company, located in the district of Guarapuava, state of Parana was chosen for a study developed in 2003, from January to December. After the air masses dynamics description, it was possible to identify the occurrence of atmospheric discharges and to compare them to the energy interruptions. To that end, atmospheric discharges density maps were created within the CFLO concession area for a later analysis of their influence in the electric energy supply. The monitoring of the atmospheric discharges and the comparison between this phenomenon and the occurrence of interruptions in the electric energy supply enabled this study. Results showed that such events are directly related, and that the rural area of the region under study underwent a major interference.

Nascentes, veredas e áreas úmidas : revisão conceitual e metodologia de caracterização e determinação : estudo de caso na estação ecológica de águas emendadas - Distrito Federal

Dissertação (mestrado)—Universidade de Brasília, Instituto de Geociências, 2015.

Contribuição de uma seção gravimétrica transversal ao estudo da estruturação litosférica na porção setentrional da Província Borborema, NE do Brasil

Este trabalho apresenta um modelo gravimétrico 2,5D gerado a partir de 315 novas estações gravimétricas levantadas ao longo de uma seção transversal NW-SE com 750 km de extensão na porção setentrional da Província Borborema, NE do Brasil. A modelagem gravimétrica foi aplicada separadamente nas componentes regional e residual do campo gravitacional. A modelagem 2,5D das anomalias regionais revelou que a profundidade da interface crosta-manto varia de 28 a 32 km, considerando uma densidade média de 2,8 g/cm3 para a crosta continental e de 3,3 g/cm3 para o manto litosférico. As anomalias residuais de alta frequência foram interpretadas a partir do contraste de densidade da crosta superior, com uma espessura não superior a 10 km, e uma ampla associação litológica, com densidades variando de 2,55 a 2,9 g/cm3. A configuração geotectônica litosférica atual da Província Borborema é claramente resultado da ruptura dos continentes Sul-Americano e Africano no Mesozoico, na qual boa parte dos vestígios das estruturas tectônicas de grandes profundidades formadas durante a orogênese Brasiliana/Pan-Africana foi mascarada pelo último episódio tectônico responsável pela fragmentação do Gondwana Ocidental. _______________________________________________________________________________________ ABSTRACT

A proveniência dos sedimentos e cinzas vulcânicas dos sedimentos permianos da bacia do Paraná : implicações para a história geológica do sul-sudoeste de Gondwana

Tese (doutorado)—Universidade de Brasília, Instituto de Geociências, Programa de Pós-Graduação em Geologia, 2016.