A influência da feminilização da Aids sobre a prática da enfermeira em relação ao aleitamento materno

Trata-se de uma pesquisa qualitativa cujo objeto é a percepção da enfermeira sobre a prática do aleitamento materno no contexto da feminilização da Aids. Tem por objetivos: analisar a percepção das enfermeiras de maternidade sobre a prática do aleitamento materno e a feminilização da Aids e discutir a prática da enfermeira em relação ao aleitamento materno a partir da feminilização da Aids. Os sujeitos do estudo foram nove enfermeiras de três maternidades municipais do Rio de Janeiro que possuem título de Hospitais Amigo da Criança. A coleta de dados foi realizada através de entrevistas semi-estruturadas. A técnica de análise do conteúdo foi baseada em Bardin. Emergiram três categorias: a) A percepção da enfermeira sobre sua prática quanto ao aleitamento materno; b) As percepções da enfermeira sobre a feminilização da Aids; c) A prática da enfermeira em relação ao aleitamento materno a partir da feminilização da Aids. Constatamos que a enfermeira percebe sua prática em relação ao aleitamento materno sob influência das Políticas Públicas voltadas para a promoção e proteção do mesmo, como a Iniciativa Hospital Amigo da Criança e o Alojamento Conjunto. Em relação à Aids, o advento da feminilização surpreende as enfermeiras que reagem com indignação, tristeza, medo e angústia. Estes sentimentos justificam-se, pois, para elas, pensar soropositividade em mulheres significa privá-las de exercer sua saúde reprodutiva e sexual plenamente, ou seja, os papéis esperados socialmente de uma mulher, como ser mãe e amamentar. A condição social e sexual da mulher (gênero) também emergiu dos depoimentos como determinantes para soropositividade. Ao perceberem sua prática às mulheres soropositivas nas maternidades, as enfermeiras apontam dificuldades geradas pela dicotomia (incentivo ao aleitamento materno e inibição da lactação) tanto para elas profissionais quanto para as mulheres que não podem amamentar. O processo de feminilização e os investimentos e recursos voltados para este acarretaram mudanças na prática da enfermeira, que refere mais segurança pessoal após disponibilização de teste rápido para HIV e cursos de capacitação para os profissionais. Além da prática voltada para as questões técnicas, apontam uma nova abordagem às mulheres soropositivas, como o objetivo de não expô-las às outras puérperas nas enfermarias de alojamento conjunto. Desta maneira, constatamos que as mudanças ocorridas nas práticas das enfermeiras estão relacionadas com o estabelecimento de políticas públicas voltadas para a amamentação e o HIV/Aids. Os valores pessoais ainda interferem na prática das enfermeiras, e a Aids ainda é vista como uma doença possuidora de estigmas tanto sociais quanto culturais. Reforçamos a necessidade de estratégias que possam diminuir a divergência das Políticas de Incentivo ao Aleitamento Materno e as de Prevenção à Transmissão Vertical, a fim de qualificar a prática de enfermagem às mulheres soropositivas.

The impact of year-to-year changes in the weather on the seasonal dynamics of lakes

Year-to-year changes in the weather have a pronounced effect on the quality of the water abstracted from many reservoirs in the UK. In upland reservoirs, the most common weather-related problem is the appearance of coloured water following dry summers and the re-wetting of peat during the winter (Naden & McDonald 1989; George 2000). In lowland reservoirs, the most serious weather-related issue is the growth of bloom- forming species of algae during warm, calm summers (National Rivers Authority 1989). Both of these problems are likely to get worse as the climate becomes warmer and extreme variations in the weather become more common. In this article, the authors describe some of the ways in which recent changes in the weather have influenced the quality of the water stored in a large reservoir in the south-east of England. The reservoir selected for study is the Queen Elizabeth II (QEII), a bankside reservoir situated in the Thames valley. The quality of water stored in this reservoir is generally very good but summer blooms of algae have become increasingly common in recent years.

Ecological change in Lough Erne: influence of catchment changes and species invasions

Lough Erne in Northern Ireland has been the subject of much research over the last 30 years by, amongst others, the Department of Agriculture and Rural Development (DARD). In this article, the authors provide a summary of a workshop held on the 16–17th October 2003 in Enniskillen, on the shores of Lough Erne, which gave an opportunity to step back and take a holistic look at the Erne lakes. Ecological change has been driven by many factors, including land use changes and species invasions. The workshop consisted of five sessions which are summarised in this article: Session 1 – Invasive species, nutrients, phytoplankton and macrophytes; Session 2 – Zooplankton, benthic macroinvertebrates and fish; Session 3 – An ecosystem approach – relating the previous sessions; Session 4 – How does Lough Erne fit into lake classifications? Implications of the Water Framework Directive; Session 5 – Using new techniques to examine food webs and species invasions. Identifying a future research programme for Lough Erne.

Changes in the organism of females of some Cladocera in transition to gamogenesis. [Translation from: Zoologicheskie Zhurnal 49 1573-1575, 1970. ]

In species of Cladocera not forming ephippia, the latent eggs have a sheath formed by glands of the reproductive canals. Representatives of the families Daphniidae and Moinidae Goulden, 1968, in connection with the formation of their complex-structured ephippia, lost these glands. It was investigated whether there are such glands in species the latent eggs of which are enclosed in primitive ephippia. For this, with the help of histological methods, 55 females of Acroperus elongatus (Sars) (Chydoridea) and 88 females of Lathonura rectirostris (O. F. Muller), (Macrothricidae) were collected near Leningrad, were studied.

The changes in various iron compounds in culture media for algae. [Translation from: Archiv fur Hydrobiologie Supplemente Band 38(1/2) 151-169, 1970.]

The purpose of this work is a contribution to the quantitative record of the use of iron by planktonic algae. Preliminary experiments with Chlorella to determine the rate of iron intake in the presence of inorganic sources of iron did not produce the desired result. The crucial point of this work is the investigation of the influence of various external factors on the stability of FeEDTA (FeEDTA = Ferric(III)-compound of ethylene-diamine tetra-acetic acid), since this compound appears to be particularly well-suited as a source of iron for planktonic algae (e.g. TAMIYA et al. 1953). Cultures of Chlorella fusca in a light thermostat were used in experimental research. Methods and results are discussed.

Agentes Comunitários de Saúde: trabalho e formação profissional numa perspectiva emancipatória

Este estudo tem por objeto a trajetória profissional e de escolarização do Agente Comunitário de Saúde (ACS), entendendo a escolarização como um processo de avançar no aprendizado dentro da escola formal e não apenas na formação profissional. Entende-se o trabalho como um princípio emancipatório, mas ao mesmo tempo repleto de contradições e, ainda, campo de exploração, na lógica do modelo de acumulação em curso. O objetivo geral do estudo é descrever e discutir a trajetória de trabalho, formação e escolarização dos Agentes Comunitários de Saúde inseridos na Área Programática 5.2 (AP 5.2). O estudo apresenta uma abordagem qualitativa, com base nas narrativas sobre o trabalho e vida dos ACS e o método de análise dos dados foi de base interpretativa com apoio do referencial da Hermenêutica-Dialética. Além disso, foi obtido um perfil quantitativo de escolaridade de todos os ACS. O campo da pesquisa foi a AP 5.2, no município do Rio de Janeiro. Os resultados evidenciam ampliação significativa em todas as faixas de escolaridade desses ACS após o início do trabalho. As razões apontadas para o ingresso no trabalho de ACS estão relacionadas à oportunidade de ingresso ou reingresso no mercado formal de trabalho e a proximidade da residência. A desvalorização e a falta de reconhecimento são apontadas como os principais motivos para os ACS deixarem a profissão. Alguns sujeitos apontaram como provisório o trabalho de ACS e sua permanência está vinculada a falta de outras perspectivas e também a sua identificação com o trabalho comunitário, remetendo a um caráter de dádiva. O princípio emancipatório do trabalho também foi apontado por alguns sujeitos, já que o trabalho propiciou a retomada de antigos objetivos, no caso, voltar a estudar. Também foram encontrados achados da influência do enfermeiro no trabalho do ACS e na sua opção profissional. Parece haver um desejo deste trabalhador em mudar de função, porém continuando na área da saúde, mas a garantia dessa mudança só será possível com uma ordem social mais justa. Com base nos resultados e no referencial teórico, conclui-se que o ACS deve ser olhado não apenas como um trabalhador que reproduz um modelo de relação de trabalho, mas que, como membro das classes populares, permite pensar mudanças a partir do conceito de inédito viável. Sua permanência como ACS e a garantia de que se cumpra a proposta de mudança indicada pela Estratégia de Saúde da Família (ESF) depende do reconhecimento técnico e político desse trabalhador.

Signatures of Topological Superconductors

Topological superconductors are particularly interesting in light of the active ongoing experimental efforts for realizing exotic physics such as Majorana zero modes. These systems have excitations with non-Abelian exchange statistics, which provides a path towards topological quantum information processing. Intrinsic topological superconductors are quite rare in nature. However, one can engineer topological superconductivity by inducing effective p-wave pairing in materials which can be grown in the laboratory. One possibility is to induce the proximity effect in topological insulators; another is to use hybrid structures of superconductors and semiconductors.

The proposal of interfacing s-wave superconductors with quantum spin Hall systems provides a promising route to engineered topological superconductivity. Given the exciting recent progress on the fabrication side, identifying experiments that definitively expose the topological superconducting phase (and clearly distinguish it from a trivial state) raises an increasingly important problem. With this goal in mind, we proposed a detection scheme to get an unambiguous signature of topological superconductivity, even in the presence of ordinarily detrimental effects such as thermal fluctuations and quasiparticle poisoning. We considered a Josephson junction built on top of a quantum spin Hall material. This system allows the proximity effect to turn edge states in effective topological superconductors. Such a setup is promising because experimentalists have demonstrated that supercurrents indeed flow through quantum spin Hall edges. To demonstrate the topological nature of the superconducting quantum spin Hall edges, theorists have proposed examining the periodicity of Josephson currents respect to the phase across a Josephson junction. The periodicity of tunneling currents of ground states in a topological superconductor Josephson junction is double that of a conventional Josephson junction. In practice, this modification of periodicity is extremely difficult to observe because noise sources, such as quasiparticle poisoning, wash out the signature of topological superconductors. For this reason, We propose a new, relatively simple DC measurement that can compellingly reveal topological superconductivity in such quantum spin Hall/superconductor heterostructures. More specifically, We develop a general framework for capturing the junction's current-voltage characteristics as a function of applied magnetic flux. Our analysis reveals sharp signatures of topological superconductivity in the field-dependent critical current. These signatures include the presence of multiple critical currents and a non-vanishing critical current for all magnetic field strengths as a reliable identification scheme for topological superconductivity.

This system becomes more interesting as interactions between electrons are involved. By modeling edge states as a Luttinger liquid, we find conductance provides universal signatures to distinguish between normal and topological superconductors. More specifically, we use renormalization group methods to extract universal transport characteristics of superconductor/quantum spin Hall heterostructures where the native edge states serve as a lead. Interestingly, arbitrarily weak interactions induce qualitative changes in the behavior relative to the free-fermion limit, leading to a sharp dichotomy in conductance for the trivial (narrow superconductor) and topological (wide superconductor) cases. Furthermore, we find that strong interactions can in principle induce parafermion excitations at a superconductor/quantum spin Hall junction.

As we identify the existence of topological superconductor, we can take a step further. One can use topological superconductor for realizing Majorana modes by breaking time reversal symmetry. An advantage of 2D topological insulator is that networks required for braiding Majoranas along the edge channels can be obtained by adjoining 2D topological insulator to form corner junctions. Physically cutting quantum wells for this purpose, however, presents technical challenges. For this reason, I propose a more accessible means of forming networks that rely on dynamically manipulating the location of edge states inside of a single 2D topological insulator sheet. In particular, I show that edge states can effectively be dragged into the system's interior by gating a region near the edge into a metallic regime and then removing the resulting gapless carriers via proximity-induced superconductivity. This method allows one to construct rather general quasi-1D networks along which Majorana modes can be exchanged by electrostatic means.

Apart from 2D topological insulators, Majorana fermions can also be generated in other more accessible materials such as semiconductors. Following up on a suggestion by experimentalist Charlie Marcus, I proposed a novel geometry to create Majorana fermions by placing a 2D electron gas in proximity to an interdigitated superconductor-ferromagnet structure. This architecture evades several manufacturing challenges by allowing single-side fabrication and widening the class of 2D electron gas that may be used, such as the surface states of bulk semiconductors. Furthermore, it naturally allows one to trap and manipulate Majorana fermions through the application of currents. Thus, this structure may lead to the development of a circuit that enables fully electrical manipulation of topologically-protected quantum memory. To reveal these exotic Majorana zero modes, I also proposed an interference scheme to detect Majorana fermions that is broadly applicable to any 2D topological superconductor platform.

Changes in Fish Communities in the Upper Patuxent River from 1966 to 1977

Ten year comparison of fish survey's with respect to diversity evenness and composition of fish communities. The upper Patuxent River was divided into Piedmont Plateau and Coastal Plain regions, not only for geographical purposes, but also because of the clustering of sewage treatment plants in the Coastal Plain region. In the Piedmont Plateau region, the fish species diversity changed very little from 1966 to 1977 ( Little Patuxent -- 2.82 to 2.66; Middle Patuxent -- 2.86 to 2.83; and main stem -- 2.46 to 2.63), except in a section of Little Patuxent River at and below the City of Columbia where the species diversity index showed a significant reduction from 2.97 to 1.99, and in a section of the main stem Patuxent River immediately downstream from the Brighton Dam of the Triadelphia Reservoir where the index increased significantly from 1.66 to 3.20. In the Coastal Plain region, a significant reduction in the fish species diversity index occurred between 1966 and 1977 below the two sewage treatment plant outfalls : Savage -- 2.69 to 0 and Patuxent-Crofton -- 3.06 to 1.33. Also, the substantial reduction in the species diversity index which had already occurred in 1966 below the six other plant: outfalls of Fort Meade No. I, Fort Meade No. 2, Maryland House of Correction, Maryland City , Parkway and Bowie, remained depressed in 1977. On the other hand, below the Horsepen Sewage Treatment Plant (a tertiary plant practicing dechlorination) the species diversity index increased from 1.91 to 2.8. (PDF contains 48 pages)

Improvement of sensitivity and refractive-index changes in LiNbO3 : Ce : Cu crystals with UV light

A nonvolatile recording scheme is proposed using LiNbO3:Ce:Cu crystals and modulated UV light to record gratings simultaneously in two centres and using red light to bleach the grating in the shallow centre to realize persistent photorefractive holographic storage. Compared with the normal UV-sensitized nonvolatile holographic system, the amplitude of refractive-index changes is greatly increased and the recording sensitivity is significantly enhanced by recording with UV light in the LiNbO3:Ce:Cu crystals. Based on jointly solving the two-centre material equations and the coupled-wave equations, temporal evolutions of the photorefractive grating and the diffraction effciency are effectively described and numerically analysed. Roles of doping levels and recording-beam intensity are discussed in detail. Theoretical results confirm and predict experimental results.

Invertebrate communities in northern Lake Victoria, with reference to their potential for fishery production

The zooplankton and macrobenthic communities of Lake Victoria were sampled by lift net and Ponar grab, respectively. The zooplankton comprised copepods and cladocerans, rotifers and aquatic insect larvae. Most taxa exhibited wide distribution in the lake, with the exception of rotifers which were rare in deep offshore waters. The main components in the macro-benthos were chaoborid and chironomid larvae and molluscs. Caridina nilotica (Roux) and other groups were rare in the samples. Zooplankton density ranged from 100000 or more to 4 million ind. m2 and increased from the shallow inshore to deep offshore waters. Numerical dominance of cyclopoids and nauplius larvae was a common feature at all stations sampled. Most macrobenthic taxa were also widely distributed, although chaoborid and chironomid larvae were rare in the samples. Rastrineobola argentea (Pellegrin) and larval Lates niloticus (L.) ate mainly cyclopoid copepods, while cichlids showed a strong preference for adult insects. High ecological stability of the cyclopoids, and the zooplankton community in general, despite radical ecosystem changes in recent years, coupled with what appears to be high predation pressure, offers good prospects for the pelagic fishery in the lake.

Distribution of Oreochromis niloticus (L.) in the Ugandan waters of Lake Victoria

The Lake Victoria fish fauna was dominated by cichlids before the establishment of the exotic species Oreochromis niloticus (L.) and Latus niloticus (L.). With the alterations in the ecology of Lake Victoria, changes may be expected to occur in the population dynamics of the fish species. In two zones of Lake Victoria, the size structure, distribution and abundance, condition factors, length-weight relationship and sex ratios of O. niloticus were determined. Larger fish were found in zone II than in zone III, where very few larger fish were recorded. More O. niloticus were caught in zone III, especially in Itome Bay, than in zone II but catch by weight was greater in zone II. More males than females were encountered in both zones. Oreochromis niloticus had similar condition factors in both zones.

Introduction to LVFRP Technical Document 9

As stated in the title, this is an introduction to all the reports contained in this technical document and related to the various workshops on Participatory Rural Appraisal (PRA) held in all the riparian countries around Lake Victoria within the LVFRP.

Report of the PRA carried out at Mwasonge Beach, Tanzania, October 23rd - November 3rd, 2000

This paper comprises part of the so-called "3-beaches Survey" of the LVFRP. In Tanzania, this study has developed to examine two landing sites (Mwasonge and Ihale), and to chart the progress of the newly established Beach Management Units (BMU) at each beach, comparing one BMU against the other. The over-arching objective of this survey was to develop an understanding of the context in which Mwasonge's fishery exists. The study does so by examining the community's history, culture and beliefs, various other socio-cultural factors, their resources, society and economy, wealth and the community's perceptions of wealth. Importantly, the survey examines the community's institutions and its perceptions of fishing rules and changes within the fishery. All of these facets of community life are examined with the use of participatory Rural Appraisal tools, and the images that the study generated are reproduced herein.