952 resultados para Regionalization of SUS


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This article aims to contribute to the debate on the SUS regionalization policy and the establishment of health regions in Brazil. Understanding them require to recognize the dichotomy between public health and individual health - which marks the history of Brazilian public health - and identify the different rationalities that lead this process. Such rationalities allow not only to consider the legacy of municipalization in the current regionalization process, as well as to establish links between the two fields of fundamental knowledge to the debate, epidemiology and geography. Clinical epidemiology, privileging individual health, gives basis to a healthcare model that prioritizes the optimization of resources. The recognition of health in its broader concept, in the social epidemiology, bases an attention model aimed at social determinants. With geography, functional regions can be formulated, based on Christaller's theory, or lablachianas regions which recognize the social loco / regional structure, allowing intervention in determining or conditioning the way of illness and death of populations.

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Delineation of homogeneous precipitation regions (regionalization) is necessary for investigating frequency and spatial distribution of meteorological droughts. The conventional methods of regionalization use statistics of precipitation as attributes to establish homogeneous regions. Therefore they cannot be used to form regions in ungauged areas, and they may not be useful to form meaningful regions in areas having sparse rain gauge density. Further, validation of the regions for homogeneity in precipitation is not possible, since the use of the precipitation statistics to form regions and subsequently to test the regional homogeneity is not appropriate. To alleviate this problem, an approach based on fuzzy cluster analysis is presented. It allows delineation of homogeneous precipitation regions in data sparse areas using large scale atmospheric variables (LSAV), which influence precipitation in the study area, as attributes. The LSAV, location parameters (latitude, longitude and altitude) and seasonality of precipitation are suggested as features for regionalization. The approach allows independent validation of the identified regions for homogeneity using statistics computed from the observed precipitation. Further it has the ability to form regions even in ungauged areas, owing to the use of attributes that can be reliably estimated even when no at-site precipitation data are available. The approach was applied to delineate homogeneous annual rainfall regions in India, and its effectiveness is illustrated by comparing the results with those obtained using rainfall statistics, regionalization based on hard cluster analysis, and meteorological sub-divisions in India. (C) 2011 Elsevier B.V. All rights reserved.

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Regionalization of precipitation refers to delineation of rain gauges in an area into homogeneous groups (clusters or regions). Various regionalization procedures are employed by researchers in hydrometeorology for addressing a wide spectrum of problems. This paper provides an overview of underlying concepts as well as advantages and limitations of procedures that have been developed over the past six decades. Emphasis is given to studies that have been carried out in India. Following this, gaps where more research needs to be focussed are highlighted, and challenges for regionalization in a climate change scenario are discussed.

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Regionalization of extreme rainfall is useful for various applications in hydro-meteorology. There is dearth of regionalization studies on extreme rainfall in India. In this perspective, a set of 25 regions that are homogeneous in 1-, 2-, 3-, 4- and 5-day extreme rainfall is delineated based on seasonality measure of extreme rainfall and location indicators (latitude, longitude and altitude) by using global fuzzy c-means (GFCM) cluster analysis. The regions are validated for homogeneity in L-moment framework. One of the applications of the regions is in arriving at quantile estimates of extreme rainfall at sparsely gauged/ungauged locations using options such as regional frequency analysis (RFA). The RFA involves use of rainfall-related information from gauged sites in a region as the basis to estimate quantiles of extreme rainfall for target locations that resemble the region in terms of rainfall characteristics. A procedure for RFA based on GFCM-delineated regions is presented and its effectiveness is evaluated by leave-one-out cross validation. Error in quantile estimates for ungauged sites is compared with that resulting from the use of region-of-influence (ROI) approach that forms site-specific regions exclusively for quantile estimation. Results indicate that error in quantile estimates based on GFCM regions and ROI are fairly close, and neither of them is consistent in yielding the least error over all the sites. The cluster analysis approach was effective in reducing the number of regions to be delineated for RFA.

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National Natural Science Foundation of China [40871177]; Project of State Key Lab of Resources and Environmental Information System [088RA304SA]; CAS Knowledge Innovation Project

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Human settlement of Oceania marked the culmination of a global colonization process that began when humans first left Africa at least 90,000 years ago. The precise origins and dispersal routes of the Austronesian peoples and the associated Lapita culture remain contentious, and numerous disparate models of dispersal (based primarily on linguistic, genetic, and archeological data) have been proposed. Here, through the use of mtDNA from 781 modern and ancient Sus specimens, we provide evidence for an early human-mediated translocation of the Sulawesi warty pig (Sus celebensis) to Flores and Timor and two later separate human-mediated dispersals of domestic pig (Sus scrofa) through Island Southeast Asia into Oceania. Of the later dispersal routes, one is unequivocally associated with the Neolithic (Lapita) and later Polynesian migrations and links modern and archeological Javan, Sumatran, Wallacean, and Oceanic pigs with mainland Southeast Asian S. scrofa. Archeological and genetic evidence shows these pigs were certainly introduced to islands east of the Wallace Line, including New Guinea, and that so-called "wild" pigs within this region are most likely feral descendants of domestic pigs introduced by early agriculturalists. The other later pig dispersal links mainland East Asian pigs to western Micronesia, Taiwan, and the Philippines. These results provide important data with which to test current models for human dispersal in the region. © 2007 by The National Academy of Sciences of the USA.

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Evidence for osseous technologies has featured in excavation reports from Southeast Asia for almost a century and from archaeological deposits as old as 43,000 years BP. However, in contrast to the significance that is placed on this technology in other parts of the world, until recently, Southeast Asian assemblages have drawn only very limited attention. Concentrating on evidence from Malaysia, the current paper examines one element of this inventory of tools: the deliberate modification of pig canines and the means by which such alteration can be distinguished from patterns of natural tooth wear. Particular attention is paid to the bearded pig (Sus barbatus), as it is one of the two species of wild boar in Malaysia whose tusks are most likely to have been used by prehistoric toolmakers. Reference is also made to wider, regional ethnographic examples of known tusk implements and their accredited uses to further assist in the identification process. Distinguishing criteria for worked tusk are formulated according to the type and extent of modification. These criteria are then applied to archaeological specimens recovered from two prehistoric cave sites in Malaysia, Gua Bintong and Niah Cave.

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Invasive species are the second cause of biodiversity decline in the world. Among the many invasive species, the Sus scrofa (wild boar) is amongst those that cause more impacts. Our aim was to report the presence of the wild boar in the last remaining open area of Cerrado in the São Paulo state, Brazil. In September 2007 an individual was seen and tracks were also observed during the same period at the Estação Ecológica de Itirapina. © 2013 Check List and Authors.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)