Avaliação da atenção à saúde da criança no contexto da Saúde da Família no município de Teixeiras, Minas Gerais (MG, Brasil)

Este estudo tem como objetivo analisar a atenção à saúde da criança pelo Programa de Saúde da Família (PSF) do município de Teixeiras, MG, Brasil. Foi aplicado um questionário a 161 mães de crianças menores de dois anos. Utilizou-se um sistema de escores específicos para análise das dimensões de estrutura, processo e resultado e seus respectivos atributos, classificando o município nos cenários incipiente, intermediário e avançado. Configurou-se, na síntese, um cenário intermediário (49,6%) para o PSF, caracterizado por uma atenção à saúde da criança fragmentada, mas com avanços na organização da atenção para este grupo. Foram consideradas incipientes as instalações físicas, a qualidade do cuidado no controle da diarréia e das infecções respiratórias, a participação comunitária e a intersetorialidade. Os avanços estiveram relacionados ao acolhimento realizado pelo programa, no entanto, as atividades preventivas e promocionais do PSF demonstram que o programa surge como um suporte do hospital e mais um local de atendimento médico. A atuação do PSF na atenção a saúde das crianças distancia-se da proposta de reorientação do modelo assistencial hegemônico, pela qual foi criado, dificultando estratégias na prevenção de doenças e na promoção da saúde.

Índice de qualidade da dieta de adolescentes residentes no distrito do Butantã, município de São Paulo, Brasil

OBJETIVO: Avaliar o índice de qualidade da dieta de adolescentes residentes no Distrito do Butantã do município de São Paulo, SP. MÉTODOS: Estudo transversal de base populacional com uma amostra de 437 adolescentes, de ambos os sexos, com idade entre 12 e 19 anos. Foram obtidas amostras probabilísticas em dois estágios, setor censitário e domicílio, da área estudada. O consumo alimentar foi medido pelo método recordatório de 24 horas e a qualidade da dieta avaliada pelo Índice de Qualidade da Dieta adaptado para a realidade local. RESULTADOS: Dos adolescentes avaliados, 4% apresentaram dieta saudável, 68% dieta que necessita de melhora e 28% dieta inadequada. O sexo masculino apresentou maior pontuação para os componentes do Índice de Qualidade da Dieta cereais, hortaliças, leguminosas e variedade da dieta. O aumento no número de anos de estudo do chefe da família apresentou-se associado ao maior consumo dos grupos de alimentos: cereais, verduras e legumes, leite e produtos derivados e variedade de alimentos; a relação foi inversa para o grupo de leguminosas e sódio. CONCLUSÃO: A maioria dos adolescentes estudada não segue as recomendações dietéticas preconizadas, fato que pode comprometer a saúde futura desses indivíduos.

Prurido do traje de banho: relato de seis casos no Sul do Brasil

O prurido do traje de banho ou seabather s eruption é uma dermatite intensamente pruriginosa que ocorre pelo contato com larvas plânulas do cnidário cifozoário Linuche unguiculata, especialmente sob os trajes de banhistas. As larvas disparam seus nematocistos a partir de cnidócitos ou células urticantes de defesa na pele da vítima, causando uma típica erupção pápulo-eritemato-pruriginosa. Os primeiros cinco casos descritos no Brasil foram publicados em 2001, no litoral Sudeste (Ubatuba, SP), obtendo-se associação com larvas de Linuche unguiculata, uma vez que a ocorrência e o ciclo de vida do cnidário já haviam sido estudados no Canal de São Sebastião, SP. Os autores relatam os seis casos na região Sul do Brasil (Estado de Santa Catarina), enfatizando os aspectos clínicos e a pesquisa para identificação do agente na água do mar local.

Análise de risco aplicada ao manejo precaucionário das pescarias artesanais na região do reservatório da UHE-Tucuruí (Pará, Brasil)

As pescarias no reservatório da UHE-Tucuruí no rio Tocantins, Pará, envolvem cerca de 6.000 pescadores e movimentam cerca de R$ 4,2 milhões/ano. A atividade se concentra em três espécies principais: tucunaré Cichla monoculus (capturado com anzol), pescada Plagioscion squamosissimus (capturado com rede e/ou anzol) e mapará Hypophthalmus marginatus (capturado com rede). Com o objetivo de caracterizar os pescadores e as pescarias do reservatório, criar cenários de aumento do esforço pesqueiro e prever os momentos de conflito pela escassez de recursos, foram levantadas informações da literatura e realizadas duas campanhas de coleta de dados nos anos de 1999 e 2000, envolvendo entrevistas com líderes comunitários e pescadores. As seguintes variáveis foram consideradas: desembarque por espécie-alvo (de acordo com os registros fornecidos pelas colônias de pescadores), artes de pesca, estratégias dos pescadores, conflitos e formas de apropriação do espaço e rendimentos da atividade. Estas variáveis foram inseridas em um modelo dinâmico, simulado no software Vensim PLE para um período de 10 anos a partir de 1999. Os resultados indicam que a pesca de anzol é a estratégia mais rentável, e que possíveis momentos de conflito devido à escassez de recursos podem acontecer em curto prazo (2005). A metodologia utilizada para as simulações e análises de risco também se revelou adequada à realidade local e ao conjunto de dados disponíveis.

Federalismo e relações intergovernamentais no Brasil: a reforma de programas sociais

The article analyses the process of reform in four areas of social policies that affect directly the interests of sub-national governments: basic education, social housing programs, basic sanitation and health. As the study reveals, despite the varying degree of success achieved in the various policy initiatives and contrary to the expectations of the prevailing interpretations of the nature of Brazilian federalism, the federal government faced no insurmountable hurdles in implementing their reform agenda. The study aims at demonstrating that (i) in the absence of any constitutional mandatory requirement, the political autonomy of local governments - typical of federative States - actually enhances the veto power of local governments over policy initiatives proposed by the federal Executive branch. However, (ii) power resources available to the federal Executive branch - such as agenda definition and vetoing powers - in addition to control over resources that are essential to the political survival of the representatives increase the chances of success-of the federal government. Furthermore, (1999), (iii) the constitutional authority of Brazilian states is far more limited than that of the North-American states; (iv) the category federalism, however, is not sufficient to define the potential stability of specific policies, which depends upon how inter-governmental relations are structured in each particular policy. Specifically, (v) constitutional rules, legacies from previous policies and the political cycle frame the decision arenas in various ways, thus conditioning both the strategies and chances of success of the federative players.

Mirmecofauna em um fragmento de floresta atlântica urbana no município de Marília, Brasil

The aim of this study was to verify the influence of the habitat fragmentation on the Ant Fauna in an urban fragment of Semideciduous Seasonal Atlantic Forest located in the municipality of Marilia, São Paulo, Brazil. The studied fragment was divided into three environments in relation to edge: "Edge" (2m), "Transition" (30m) and "Interior" (90m). By using pitfalls traps and attractive baits there were done nine samples between November 2007 and February 2008. There were collected 3.873 individuals distributed into five subfamilies, 19 genera and 33 species. Five species were abundant on three studied environments: Ectatomma sp1, Mycocepurus goeldii, Paratrechina sp1, Pheidole sp2, Trachymyrmex sp1, Wasmannia auropunctata. The edge and transition environments presented the lower Simpsons diversity index and higher species dominance. However, it was observed little variation between these parameters between environments. Faunistic similarity between environments, expressed by Jaccard's similarity index showed high similarity between all studied environments. Because the studied site is an urban fragment, the similarity found between these areas can be related to habitat fragmentation process, an historical of constant anthropic perturbation and low local colonization rates. However, we suggest that a posteriori evaluation should be done with other arthropods groups like spiders and beetles in due to understand the changes that occur in urban fragments and support the choice of conservation and management actions in favor of this important forest remnant localized in urban area of Marilia, São Paulo, Brazil.

Persistência de mamíferos de médio e grande porte em fragmentos de floresta ombrófila mista no estado do Paraná, Brasil

The Araucaria Forest is now represented by remnants of what was a continuous area of about 200,000 km(2). Medium and large mammals inhabiting this forest have suffered the impacts from the disturbance process and environmental degradation. Thus, this study determined which medium and large mammal species still inhabit the remnants of this vegetation type in Western Parana State. Three study areas, with 520, 405 and 135 hectares, consisting of stretches of primary forest mixed with secondary forest, were considered for mammal inventory. The evidence of mammals was verified directly (views) and indirectly (traces, trichology and interviews with local dwellers). It was recorded 32 species (including one exotic and two small ones), belonging to eight orders and 18 families. Nine animals of these species are at risk of extinction in the Parana State and five configure with insufficient data in the List of Endangered Species of the state. The results of this study indicate the great importance of these forest fragments in the conservation of several medium and large mammals in the Araucaria Forest of Parana State. Nevertheless, due to the negative pressures that these areas have been suffering, immediate and concrete public actions are required to ensure the maintenance of these mammal populations.

Variação espaço-temporal na distribuição e abundância de Moenkhausia sanctaefilomenae (Characiformes: Characidae) em lagoas da planície de inundação do rio Cuiabá, Pantanal, Brasil

Identifying the biotic and abiotic factors that determine the variation in the distribution and abundance of populations has become a great challenge for the field of ecology in recent years. Thus, in this study we evaluated the effect of abiotic variables and the abundance of predators on the abundance of Moenkhausia sanctaefilomenae, the variation in the average length of the individuals between lakes and periods, and the effect of the abiotic variables and abundance of predators on the structure in length of that species. Sixteen lakes of the Cuiaba river flood plain were sampled in June (drying period), September (dry period) and December (flooding period) 2005 and March (flood period) 2006. For M. sanctaefilomenae, the distribution is ampler and the abundance is greater at the end of the drying period, beginning of dry season, reducing gradually over the periods of dry, drying and flood season. Additionally, the period affects the structure in size of the populations that are spatially homogeneous. Smaller individuals were captured at the end of the drying period and the larger individuals at the start of flooding. During the end of the drying period and in the beginning of the dry season, the spatial variation in the abundance of the population was positively related with pH, dissolved oxygen and macrophyte cover and area of the lake, but not with the local abundance of predators in the littoral zone of the lakes.

Mapeamentos geomorfologicos no Brasil.

Offers a broad view on works and projects concerned with geomorphological mapping, made by individual researchers and by institution teams. The geomorphological maps were published at diversified scales, from 1:50 000 to 1:5 000 000, from local detail to general features of the Brazilian area. -English summary

Evolucao e perspectivas da geografia industrial no Brasil

Tries to develop both an evolutional analysis and a critical appraisal of Brazilian industrial geography. This is a little-explored area in Brazil, as geographers have tended to focus on local and regional studies, rather than pursuing a holistic view of the national industrial system. Also notes the continuing dependence on the theoretical and methodological basis of work produced by capitalist developed countries. -from English summary

Conhecimento popular sobre plantas medicinais em comunidades rurais de mata atlântica - Itacaré, BA, Brasil

This study's goal was to caryy out an ethnobotanical survey focusing on the knowledge and use of medicinal plants within two rural communities (Marambaia and Camboinha), which are situated in an Environmental Protection Area in Atlantic Forest of Southern Bahia, Brazil. These communities use medicinal plants as an important therapeutic activity, which permits the rural inhabitants to be self-sufficient regarding health care. Data were collected through interviews with 26 families (24% of the total). The medicinal plants collected (98 species) were catalogued, identified and deposited at the Herbarium Rio Clarense (HRCB). They belong to 40 families so that Lamiaceae was the most cited. The majority of these species (78%) are cultivated, usually in backyards by local inhabitants. The leaf is the most common part of the plant used in medicinal preparations. The species with the greatest number of citations were Chenopodium ambrosioides L. and Lippia alba (Mill) N.E. Br. These species are also associated with the highest number of therapeutic uses. Use agreement and diversity index from this survey were compared to other surveys conducted in Brazilian Tropical Forests.

O conhecimento sobre os recursos vegetais alimentares em bairros rurais no Vale do Paraíba, SP, Brasil

The objective of this study was to conduct an inventory of food plants cultivated and collected from the native and ruderal vegetation in the Atlantic Forest region by the rural population residing in the Santa Virginia Nucleus of the Serra do Mar State Park (Puruba and Guaricanga neighborhoods) and surroundings (Vargem Grande neighborhood). The 23 interviewees were sampled to meet the following criteria: originating from the rural area of the municipalities where the Nucleus is located; more than 45 years old; close familiarity with working the land. A total of 146 botanical species were identified, distributed among 43 botanical families, with the families Solanaceae and Cucurbitaceae being the most represented and basically horticultural. The Shannon-Wiener diversity index and Pielou evenness were 1.90 (base 10) and 0.95, respectively, for the group residing in the Nucleus and 1.97 and 0.92 for the population located in the area surrounding the Nucleus. The two groups of neighborhoods presented similarity regarding the food plants cited (75%), and about 17% of the plants cited are native to the Atlantic Forest. We found significant richness and variety of species cultivated in the yards and fields which serve to complement the diet, which is composed mainly of items purchased at local businesses. The rural communities studied revealed themselves to be an important germplasm conservation system for cultivated plants, with 96 ethnovarieties identified for 12 botanical species, most of which are kept in the communities.

Características básicas y retos de la descentralización en Brasil

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Descentralización de servicios esenciales: los casos de Brasil, Chile, Colombia, Costa Rica y México en salud, educación, residuos, seguridad y fomento

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Comportamento do mercado de terras no Brasil

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