O fazer teórico-prático do nutricionista na estratégia saúde da família: representações sociais dos profissionais das equipes

OBJETIVO: Conhecer as representações sociais dos profissionais das equipes de saúde da família sobre o fazer teórico-prático do nutricionista. A pesquisa foi realizada em Unidades de Saúde da Família de um município do estado de São Paulo. MÉTODOS: Foi utilizada a metodologia qualitativa, tendo como sujeitos 27 profissionais, eleitos por critério intencional. A coleta de dados foi realizada por meio de entrevistas semiestruturadas. Para a interpretação dos dados, utilizou-se a análise categorial temática, apropriando-se da Teoria das Representações Sociais. RESULTADOS: Como resultados, emergiram quatro temas: Nutricionista na Estratégia de Saúde da Família, Abordagem de questões alimentares pelos profissionais da equipe de saúde da família, Educação nutricional e Problematizando a ausência do nutricionista na equipe de saúde da família. As principais representações obtidas com relação ao nutricionista foram relacionadas à prescrição de dietas, além de revelarem um conhecimento mais amplo sobre as funções e atribuições desse profissional. Não houve dúvidas sobre a importância da educação nutricional na promoção de práticas alimentares saudáveis, apesar de os sujeitos terem demonstrado uma visão superficial e pouco abalizada teoricamente sobre o tema. CONCLUSÃO: A ausência do nutricionista na equipe de saúde da família foi atribuída a fatores como o baixo reconhecimento social, a desvalorização profissional, o pouco tempo de existência da profissão, o desconhecimento do núcleo de competência do nutricionista e a manutenção do modelo médico hegemônico. Concluiu-se pela necessidade de mais estudos que problematizem a inserção do nutricionista em equipes de saúde da família.

Utilização do sistema de bioflocos na larvicultura de Tilápia-do-Nilo

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Análise estatística de parâmetros elétricos em usinas sucroalcoleiras do centro-oeste paulista

The industry of sugar cane has become an important contributor to the generation of electricity in Brazil. Currently there are 434 sugar and ethanol plants operating in the country, 23% of the total export electricity to the National Integrated System (SIN), the state of São Paulo has 182 plants and 30% of them export energy to the SIN. The objective of this study is to compare parameters of electrical efficiency in the sugar and alcohol industry. For the study, three plants localized in the midwest region of Sao Paulo state with great potential for production and exporting bioenergy were chosen. Five energy analyzers LANDYS + GYR SAGA were used for measure the electrical parameters. The variables studied were energy consumption (C) and power factor (PF). For the statistical analysis it was adopteda randomized block design in a factorial 3 5composed of three companies and five sectors of energy consumption,in which: reception(1), milling (2), boiler (3), supporting activities / juice treatment (4), and distillation (5), totaling 15 treatments. Each group comprised 192 repetitions (48 hours 4 measurements per hour). It was concluded that there is no interest for the plans to fix the FP and reach a value 0.92, which is considered the ideal power factor.This,because the plants generate their own energy and are not penalized. Regarding the energy consumed, all sectors had significant differences. When comparingsector to sector, the plant called USB showed no significant differences in sectors 1 and 3, and the plant USC, in sectors 1 and 4. Considering the production units of this sector and selling power this type of evaluation is essential to perform this analysis, since the analyzed sectors are most important in the production of sugar and ethanol, and analyze and monitor these parameters, use and consumption energy can provide a greater supply of energy to be commercialized.

Análise econômica da eficiência da produção de cana-de-açúcar de fornecedores do Estado do Paraná

The sugarcane industry has been important in the Brazilian economy since the colonial period. The search for alternative energy sources has gained more prominence, by offering a product generating clean energy. With the opening of the Brazilian economy, the sector has undergone transformations operating in a free market environment requiring greater efficiency and competitiveness of those involved in order to stay in business. This scenario is producer/supplier independent, and social aspects related to their stay in the market. Although its share in sugarcane production is smaller than the plant itself, it is still considerable having reached around 20% to 25% in 2008 by employing labor, also production factors had an important economic impact in the regions where they operate. Therefore, this study aimed to estimate the economic efficiency and production of independent sugarcane producers in the state of Paraná through the DEA model. The Data envelopment analysis (DEA) is a nonparametric technique that, using linear programming constructs production borders from production units that employ similar technological processes to transform inputs into outputs.The results showed that of the total surveyed, 13.56% had maximum efficiency (an efficiency score equal to 1). The average efficiency under variable returns to scale (BCC-DEA) was 0.71024. One can thus conclude that for the majority of the samples collected, it might be better use of available resources to the in order to obtain the economic efficiency of the production process.

Avaliação energética econômica do agroecossistema algodão: uma abordagem entre sistemas familiares de produção do Paraguai e do Brasil

The objective of this work was to evaluate the energy and economic efficiency indexes per unit of cotton agro-ecosystem area in family production systems of Paraguay and Brazil; and, to establish a relationship between the energy and economic. Typologies presented by the Program to Support Small Cotton Holdings (Paraguay), and by the National Program for Strengthening Family Agriculture (Brazil). Family systems of the two countries were identified; these are located from Paraguay (San Juan–CA) and from Brazil (Leme–SP). To construct the energy expenditure structure of the cotton agro-ecosystem, as well as to assess the economic efficiency, the mean values obtained were considered, when they presented similarities in production systems and they were within the typology proposed in this study. From the technical itinerary observed the Paraguayan agro-ecosystem depended (fossil fuel 56.76%) and industrial source (35.99%). Thus, the energy balance of the agricultural stage was established, which attained a value of 17,740.69 MJ ha-1; an energy efficiency of 5.28, and a cultural efficiency of 3.04. The Brazilian agro-ecosystem depended on energy from industrial source (insecticides 39.82%) and from fossil fuel (33.59%); it reached an energy balance of 19,547.88 MJ ha-1; an energy efficiency of 2.12, and a cultural efficiency index of 0.71. In the economic and energy indicator ratio, with regard to the months referring to the harvest time, that is to say, March, April, and May, the maximum economic efficiency indicator of paraguay was attained in the month of May (1,00), and from Brazil in the month of May (1,71). Both production systems analyzed were presented efficient, however, dependent of external circumstances and non-renewable energy sources.

Valiação energética e econômica do agroecossistema algodão: uma abordagem entre sistemas familiares de produção do Paraguai e Brasil

The objective of this work was to evaluate the energy and economic efficiency indexes per unit of cotton agro-ecosystem area in family production systems of Paraguay and Brazil; and, to establish a relationship between the energy and economic. Typologies presented by the Program to Support Small Cotton Holdings (Paraguay), and by the National Program for Strengthening Family Agriculture (Brazil). Family systems of the two countries were identified; these are located from Paraguay (San Juan–CA) and from Brazil (Leme–SP). To construct the energy expenditure structure of the cotton agro-ecosystem, as well as to assess the economic efficiency, the mean values obtained were considered, when they presented similarities in production systems and they were within the typology proposed in this study. From the technical itinerary observed the Paraguayan agro-ecosystem depended (fossil fuel 56.76%) and industrial source (35.99%). Thus, the energy balance of the agricultural stage was established, which attained a value of 17,740.69 MJ ha-1; an energy efficiency of 5.28, and a cultural efficiency of 3.04. The Brazilian agro-ecosystem depended on energy from industrial source (insecticides 39.82%) and from fossil fuel (33.59%); it reached an energy balance of 19,547.88 MJ ha-1; an energy efficiency of 2.12, and a cultural efficiency index of 0.71. In the economic and energy indicator ratio, with regard to the months referring to the harvest time, that is to say, March, April, and May, the maximum economic efficiency indicator of paraguay was attained in the month of May (1,00), and from Brazil in the month of May (1,71). Both production systems analyzed were presented efficient, however, dependent of external circumstances and non-renewable energy sources.

O processo de liderança na perspectiva de enfermeiros da estratégia de saúde da família de Botucatu: uma pesquisa-ação

Pós-graduação em Enfermagem - FMB

Avaliação de hábitos de vida e proposta de fluxograma de encaminhamento de escolares com necessidades de cuidado nutricional

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Programação por metas e análise envoltória de dados na avaliação de unidades de produção global: uma aplicação em uma empresa do segmento químico

Considering the high competitivity in the market, the application of quantitative methods can assist in analyzing the efficiency of production facilities of areas of export and import processes of the chemical industry sector. In this sense, this work aims to apply the model GPDEA-BCC optimization in order to develop an analysis of the production units of this chemical industry. So, were chosen variables relevant to the process and elaborated a final comparison between the results obtained by the optimization tool and performance indexes provided by the company. These results indicated that some production units should be monitored more carefully because some of them had a low efficiency when analyzed with multi criteria

Programação por metas e análise envoltória de dados na avaliação de unidades de produção global: uma aplicação em uma empresa do segmento químico

Considering the high competitivity in the market, the application of quantitative methods can assist in analyzing the efficiency of production facilities of areas of export and import processes of the chemical industry sector. In this sense, this work aims to apply the model GPDEA-BCC optimization in order to develop an analysis of the production units of this chemical industry. So, were chosen variables relevant to the process and elaborated a final comparison between the results obtained by the optimization tool and performance indexes provided by the company. These results indicated that some production units should be monitored more carefully because some of them had a low efficiency when analyzed with multi criteria

Integrated pulp and paper mill planning and scheduling

This article describes a real-world production planning and scheduling problem occurring at an integrated pulp and paper mill (P&P) which manufactures paper for cardboard out of produced pulp. During the cooking of wood chips in the digester, two by-products are produced: the pulp itself (virgin fibers) and the waste stream known as black liquor. The former is then mixed with recycled fibers and processed in a paper machine. Here, due to significant sequence-dependent setups in paper type changeovers, sizing and sequencing of lots have to be made simultaneously in order to efficiently use capacity. The latter is converted into electrical energy using a set of evaporators, recovery boilers and counter-pressure turbines. The planning challenge is then to synchronize the material flow as it moves through the pulp and paper mills, and energy plant, maximizing customer demand (as backlogging is allowed), and minimizing operation costs. Due to the intensive capital feature of P&P, the output of the digester must be maximized. As the production bottleneck is not fixed, to tackle this problem we propose a new model that integrates the critical production units associated to the pulp and paper mills, and energy plant for the first time. Simple stochastic mixed integer programming based local search heuristics are developed to obtain good feasible solutions for the problem. The benefits of integrating the three stages are discussed. The proposed approaches are tested on real-world data. Our work may help P&P companies to increase their competitiveness and reactiveness in dealing with demand pattern oscillations. (C) 2012 Elsevier Ltd. All rights reserved.

La modernización en el devenir de la producción familiar capitalizada

En el artículo se analizan los cambios que la modernización provocó en la producción familiar del sur de Santa Fe desde sus inicios hasta finales de la década de 1990. Los productores debieron incorporar capital de manera constante y creciente. El cambio tecnológico implicó modificaciones en la superficie y tenencia de la tierra, el uso productivo del suelo y la necesidad de mano de obra. La producción familiar evidencia capacidad de resistencia pero -a su vez- el proceso significó desaparición de explotaciones, concentración productiva y exclusión social en la región.

Innovaciones tecnológicas productivas agrarias en el partido de San Cayetano: implicancias en la sostenibilidad del suelo

La modernización e incorporación de nuevas técnicas, está atada a la renovación de los objetos técnicos y las acciones que con los mismos se realizan, y en función de esto como se dinamiza, cambia y transforma el territorio. El presente trabajo se centra en el análisis y estudio de la realidad rural presente en Argentina, más aún en la región pampeana y dentro de ella en el sudeste bonaerense, partido de San Cayetano, haciendo especial hincapié en la producción agrícola y la sostenibilidad ambiental en los sistemas productivos rurales. Seguido de este primer objetivo se pretende analizar la escala de incorporación de dichas tecnologías, para considerar las estrategias adaptativas de los productores y como su puesta en práctica modifican el uso del territorio. En el universo de análisis propuesto (partido de San Cayetano) se toman como muestra un conjunto de unidades de producción agrícola, y actúan como unidades de observación los productores agropecuarios responsables de dichas unidades. A los efectos de abordar la problemática planteada se utiliza una metodología en la cual se combinan técnicas cualitativas y cuantitativas. El análisis cualitativo, se efectúa en base a información recabada mediante entrevistas semiestructuradas realizadas a informantes calificados y agentes productivos directamente vinculados a las unidades de análisis. Respecto al análisis cuantitativo, se consideraron datos aportados por la Sociedad Rural de San Cayetano y la Chacra Experimental Barrow, el censo agropecuario 1988, la Encuesta Nacional Agropecuaria 1999 del INDEC, cartas temáticas y mapas del partido.

Claroscuros del desarrollo sustentable y la lucha contra la desertificación: las racionalidades económicas en el ojo de la tormenta : Estudio de caso con productores caprinos de tierras secas (Mendoza, Argentina)

El trabajo analiza la situación de conflicto que se presenta en las tierras secas de Mendoza, entre productores caprinos y programas de lucha contra la desertificación, a propósito de las prácticas productivas y el uso de los recursos naturales.Se aborda un caso de estudio situado en el extremo noreste de la provincia de Mendoza, polo hiperárido de la región, gravemente afectado por procesos de desertificación, con una extensión de 10.007km2 y poblado por 3015 habitantes, donde dominan las pequeñas explotaciones caprinas. Estudios previos señalan que las principales causas de la desertificación de la zona son la tala de bosque nativo y el sobrepastoreo que ocasionan las inadecuadas prácticas de producción ganadera. En respuesta a ello, las acciones de lucha contra la desertificación se orientan a "concientizar" y "capacitar" a los productores e impulsan procesos de cambio productivo. Las propuestas en curso insisten en que, de mantenerse los actuales niveles de presión sobre los recursos, en el futuro se amplificarán las ya graves condiciones de pobreza y desertificación. Sin embargo, a pesar de los esfuerzos y fondos invertidos los productores parecen obstinados en sus actuales estrategias de producción y en la dinámica de uso de los recursos naturales que de ellas derivan. ¿Cómo explicar que no tomen otras opciones productivas que impliquen mayores beneficios económicos y mejores equilibrios ambientales? ¿Cómo explicar que actúen, al menos en apariencia, en contra de sus propios beneficios? Haciendo crítica de las explicaciones que ubican en el epicentro del problema "la cultura" de los productores, este trabajo busca realizar un aporte a través del análisis de tres dimensiones: 1- La oferta ambiental que es soporte de las actividades productivas, 2- Los ingresos que las unidades de producción alcanzan y 3- Los egresos que enfrentan en concepto de subsistencia. El trabajo se despliega haciendo uso de una metodología mixta que resulta de la combinación de técnicas cuantitativas y cualitativas.

Persistencia y cambio de las unidades de producción hortícola en el Cinturón Verde del Gran Rosario

Las unidades de producción hortícola del Cinturón Verde del Gran Rosario surgen en un espacio tradicionalmente priorizado para la producción agropecuaria exportable. Presentes desde el siglo XIX en el área, fueron incrementándose en función del crecimiento demográfico hasta aproximadamente mediados de la década de 1970, cuando los precios internacionales pagados por la soja convirtieron a esta leguminosa en una ventajosa competidora por tierra. El incremento de la producción agrícola implicó una presión excesiva sobre el entorno natural de los espacios rurales, como una alteración de las condiciones de trabajo y de vida de las personas vinculadas a este territorio. Este trabajo indaga las modificaciones ocurridas en la estructura social hortícola zonal en los últimos 30 años.