WorldWideScience

Sample records for brazilian public tertiary

  1. Species distribution and susceptibility profile of Candida species in a Brazilian public tertiary hospital

    Directory of Open Access Journals (Sweden)

    Montelli Augusto

    2010-01-01

    Full Text Available Abstract Background Species identification and antifungal susceptibility tests were carried out on 212 Candida isolates obtained from bloodstream infections, urinary tract infections and dialysis-associated peritonitis, from cases attended at a Brazilian public tertiary hospital from January 1998 to January 2005. Findings Candida albicans represented 33% of the isolates, Candida parapsilosis 31.1%, Candida tropicalis 17.9%,Candida glabrata 11.8%, and others species 6.2%. In blood culture, C. parapsilosis was the most frequently encountered species (48%. The resistance levels to the antifungal azoles were relatively low for the several species, except for C. tropicalis and C. glabrata. Amphotericin B resistance was observed in 1 isolate of C. parapsilosis. Conclusions The species distribution and antifungal susceptibility herein observed presented several epidemiological features common to other tertiary hospitals in Latin American countries. It also exhibited some peculiarity, such as a very high frequency of C. parapsilosis both in bloodstream infections and dialysis-associated peritonitis. C. albicans also occurred in an important number of case infections, in all evaluated clinical sources. C. glabrata presented a high proportion of resistant isolates. The data emphasize the necessity to carry out the correct species identification accompanied by the susceptibility tests in all tertiary hospitals.

  2. Tertiary Education Fees Public Opinion Poll, Australia.

    Science.gov (United States)

    McNair Anderson Associates Pty., Ltd., (Australia).

    The public reaction to the proposal that the Australian government should reintroduce fees for tertiary education was surveyed in 1985. The influence of the proposal on the way people would vote in a federal election was also investigated. The fee would be between $900 and $1,500 per year for full-time tertiary education. As part of a McNair…

  3. An analytical framework for assessing drug and therapeutics committee structure and work processes in tertiary Brazilian hospitals.

    Science.gov (United States)

    Lima-Dellamora, Elisangela da Costa; Caetano, Rosângela; Gustafsson, Lars L; Godman, Brian B; Patterson, Ken; Osorio-de-Castro, Claudia Garcia Serpa

    2014-09-01

    University teaching hospitals usually provide tertiary care and are subject to early adoption of new technologies, which may compromise healthcare systems when uncritically adopted. Knowledge on the decision-making process - drug selection by drug selection committees or DTCs - is crucial to improve the quality of care. There are no models for studying the selection of drugs in Brazilian healthcare services. This study aims to discuss DTC structure and the processes regarding adoption of medicines in tertiary university hospitals in Brazil and to propose an analytical structure for providing direction for the future. State of the art content regarding drug selection processes and DTC procedures was reviewed in three databases. Information on the medicine selection process in a Brazilian gold standard teaching hospital was collected through observations and a review of existing procedures. A structured discussion on medicine selection and DTC procedures in tertiary hospitals ensued. This discussion resulted in findings that were organized in three dimensions, composing an analytical framework for the application in tertiary Brazilian hospitals (i) motivations for the adoption of drugs; (ii) necessary structural and organizational aspects for decision-making; and (iii) criteria and methods employed by the decision-making process. We believe that the suggested framework is compatible with tertiary Brazilian hospitals, because a gold standard in the country was able to conduct all its procedures in the light of WHO and international recommendations. We hope to contribute in producing knowledge which may hopefully be adopted in tertiary hospitals across Brazil. © 2014 Nordic Association for the Publication of BCPT (former Nordic Pharmacological Society).

  4. Hypertension control in brazilian publications

    Energy Technology Data Exchange (ETDEWEB)

    Pinho, Natália de Alencar; Pierin, Angela Maria Geraldo, E-mail: pierin@usp.br [Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP (Brazil)

    2013-09-15

    Hypertension is a major public health problem due to its high prevalence and cardiovascular complications. Its treatment is aimed at reducing cardiovascular morbidity and mortality, its goal being to maintain blood pressure levels below 140/90 mm Hg. Hypertension control in Brazil is low, and nationwide rates are unknown. The objective of this review was to provide an overview on hypertension control in Brazil from publications in a database. We identified 45 publications. In population-based studies, the highest control rate (57.6%) was reported in a multicenter study in 100 municipalities and the city of São José do Rio Preto, São Paulo state (52.4%), while the lowest rates (around 10%) were identified in microregions of the Rio Grande do Sul state and in the city of Tubarão, Santa Catarina state. In conclusion, the studies assessed showed a wide variation in hypertension control rates. It is worth noting that the comparison between studies was a major limiting factor, because of the different methods used.

  5. Economics of Tertiary Education - Challenges and dynamics of the public tertiary education in Albania

    Directory of Open Access Journals (Sweden)

    Gledian Llatja

    2016-07-01

    Full Text Available The tertiary education is a critic mechanism for the socio-economic progress, for individuals who aspire a brighter future and it is also considered an important catalyzer of the economic mobility (Department of Treasury and Department of Education, 2012, 2. Based on the positive role and impact that the tertiary education has on the sustainable development, President Obama once stated that it is of damage to treat education as a luxurious public service. In line with the general considerations about the tertiary education in the U.S. the parallel comparison with Albania comes as a direct interpretation of utopia in the education policy-making. As policies are usually drafted based on data and findings, in the case of Albania there is a lack of data on expenses on tertiary education as share of GDP. This stands also for the main limitation of the paper.

  6. The Brazilian Public Health in Contemporary Capitalism.

    Science.gov (United States)

    Junqueira, Virgínia; Mendes, Áquilas N

    2018-01-01

    This article examines some political and economic facts that led to an intensification of austerity measures by the Brazilian government, including ones against the Unified Health System (SUS) and its progressive dismantling. In a country where fundamental human rights were never fully respected, nowadays social and labor rights are under severe attacks. The deepening of the capital crisis and the rise of interest-bearing capital dominance have been causing unemployment, social insecurity growth, and resulting public fund appropriation by the private capital. The Brazilian governments in the 1990s and 2000s have implemented deeper cuts in social policy expenditure, freezing security benefits, privatizing services, and prioritizing the payment of public debt interests. The right wing's project involves the demoralization of not only the Workers' Party but also the left as a whole, so that the adoption of austerity measures could be achieved without popular resistance. It is the duty of the Brazilian left wing to denounce such a project and to provoke firm initiatives to rebuild its bonds with the working class.

  7. Brazilian medical publications: citation patterns for Brazilian-edited and non-Brazilian literature

    Directory of Open Access Journals (Sweden)

    J.R. Cunha-Melo

    2006-08-01

    Full Text Available Today, the quality of a scientific article depends on the periodical in which it is published and on the number of times the article is cited in the literature. In Brazil, the criteria for the evaluation of this scientific production are improving. However, there is still some resistance, with authors arguing that Brazilian publications must be preferentially addressed to the national readers and, therefore, they should ideally be written in Portuguese. In order to determine the kind of scientific journals cited in the reference lists of articles published in medical periodicals edited in Brazil, in the present study we determine the rate of Portuguese/English citations. Three issues of 43 periodicals (19 indexed in SciELO, 10 in PubMed, 10 in LILACS, and 4 in the ISI-Thompson base of different medical specialties were analyzed, and the number of both Portuguese and English citations in the reference list of each article was recorded. The results showed that in Brazilian-edited journals the mean number of citations/article was 20.9 ± 6.9 and the percentage of citations of international non-Brazilian periodicals was 86.0 ± 11.2%. Of the latter, 94.4 ± 7.0 are indexed by ISI-Thompson. Therefore, we conclude that Brazilian medical scientists cite the international non-Brazilian periodicals more than the national journals, and most of the cited papers are indexed by ISI-Thompson.

  8. Brazilian medical publications: citation patterns for Brazilian-edited and non-Brazilian literature.

    Science.gov (United States)

    Cunha-Melo, J R; Santos, G C; Andrade, M V

    2006-08-01

    Today, the quality of a scientific article depends on the periodical in which it is published and on the number of times the article is cited in the literature. In Brazil, the criteria for the evaluation of this scientific production are improving. However, there is still some resistance, with authors arguing that Brazilian publications must be preferentially addressed to the national readers and, therefore, they should ideally be written in Portuguese. In order to determine the kind of scientific journals cited in the reference lists of articles published in medical periodicals edited in Brazil, in the present study we determine the rate of Portuguese/English citations. Three issues of 43 periodicals (19 indexed in SciELO, 10 in PubMed, 10 in LILACS, and 4 in the ISI-Thompson base) of different medical specialties were analyzed, and the number of both Portuguese and English citations in the reference list of each article was recorded. The results showed that in Brazilian-edited journals the mean number of citations/article was 20.9 +/- 6.9 and the percentage of citations of international non-Brazilian periodicals was 86.0 +/- 11.2%. Of the latter, 94.4 +/- 7.0 are indexed by ISI-Thompson. Therefore, we conclude that Brazilian medical scientists cite the international non-Brazilian periodicals more than the national journals, and most of the cited papers are indexed by ISI-Thompson.

  9. Survival following orbital exenteration at a tertiary brazilian hospital

    Directory of Open Access Journals (Sweden)

    Juliana Mika Kato

    Full Text Available Objective: to analyze the epidemiology, clinical features and survival rate of patients undergoing orbital exenteration (OE in a tertiary referral hospital. Methods : we conducted a retrospective study of all patients undergoing OE at the Hospital das Clínicas, FMUSP between January 2007 and December 2012. We collected data records related to gender, age, origin, length of stay, duration of the disease, other treatments related to the disease, number of procedures outside of the face related to the disease, follow-up and histological diagnosis. Results : we treated 37 patients in the study period. The average survival in one year was 70%, in two years, 66.1%, and 58.3% in three years. There was no significant difference in the one-year survival related to histological diagnosis (p=0.15, days of hospitalization (p=0.17, gender (p=0.43, origin (p=0.78, disease duration (p=0.27 or the number of operations for the tumor (p=0.31. Mortality was higher in elderly patients (p=0.02. The average years of life lost was 33.9 in patients under 60 years, 14.7 in patients in the 61-80 years range and 11.3 in patients over 80 years. Conclusion : the present series of cases is significant in terms of prevalence of orbital exenteration; on the other hand, it shows one of the lowest survival rates in the literature. This suggests an urgent need for improved health care conditions to prevent deforming, radical resections.

  10. Brazilian medical publications: citation patterns for Brazilian-edited and non-Brazilian literature

    OpenAIRE

    Cunha-Melo, J.R.; Santos, G.C.; Andrade, M.V.

    2006-01-01

    Today, the quality of a scientific article depends on the periodical in which it is published and on the number of times the article is cited in the literature. In Brazil, the criteria for the evaluation of this scientific production are improving. However, there is still some resistance, with authors arguing that Brazilian publications must be preferentially addressed to the national readers and, therefore, they should ideally be written in Portuguese. In order to determine the kind of scien...

  11. Uncited articles in Brazilian public health journals.

    Science.gov (United States)

    Cuenca, Angela Maria Belloni; Barbosa, Milena Maria de Araújo Lima; Oliveira, Karoline de; Quinta, Fernanda Paranhos; Alvarez, Maria do Carmo Avamilano; França, Ivan

    2017-12-04

    Here, we describe the percentage of non-citation in Brazilian public health journals, a field that, until now, had not been investigated nationally or internationally. We analyzed articles, published between 2008 and 2012, of eight public health journals indexed in the scopus database. The percentage of non-citation differs between journals (from 5.7% to 58.1%). We identified four statistically distinct groups: História, Ciência, Saúde - Manguinhos (58% uncited articles); Physis: Revista de Saúde Coletiva, Interface, and Saúde e Sociedade (32% to 37%); Ciência & Saúde Coletiva and Revista Brasileira de Epidemiologia (16% to 17%); and Cadernos de Saúde Pública and Revista de Saúde Pública (6%). The non-citation in the first three years post-publication also varies according to journal. Four journals have shown a clear decline of non-citation: Cadernos de Saúde Pública, Ciência & Saúde Coletiva, Revista Brasileira de Epidemiologia, and Physis. Another three (Revista de Saúde Pública, Saúde e Sociedade, and Interface) presented an oscillation in non-citation, but the rates of 2008 and 2012 are similar, with different magnitudes. In turn, the journal História, Ciência, Saúde - Manguinhos maintains high rates of non-citation. Multidisciplinary journals attract more citation, but a comprehensive citation model still needs to be formulated and tested.

  12. Violence against Brazilian Women in Public and Mediatic Spheres

    Science.gov (United States)

    Souza-Leal, Bruno; de-Carvalho, Carlos-Alberto; Antunes, Elton

    2018-01-01

    This paper explores the capacity of the media to incorporate controversies in circulation in the public sphere. For that, it is based on the analysis of a set of 607 news stories about violence against women in context of gender relations and proximity, collected in nine Brazilian media during the years of 2013 and 2014. Recognized as one of the…

  13. [The organizational culture of a Brazilian public hospital].

    Science.gov (United States)

    Rocha, Fernanda Ludmilla Rossi; Marziale, Maria Helena Palucci; de Carvalho, Michele Cristina; Cardeal Id, Samira de Fátima; de Campos, Monica Chiodi Toscano

    2014-04-01

    The objective of this research was to analyze the organizational culture of a Brazilian public hospital. It is a descriptive study with quantitative approach of data, developed in a public hospital of São Paulo State, Brazil. The sample was composed by 52 nurses and 146 nursing technicians and auxiliaries. Data were collected from January to June 2011 using the Brazilian Instrument for Assessing Organizational Culture - IBACO. The analysis of the organizational values showed the existence of hierarchical rigidity and centralization of power within the institution, as well as individualism and competition, which hinders teamwork. The values concerning workers' well-being, satisfaction and motivation were not highly valued. In regard to organizational practices, the promotion of interpersonal relationship, continuous education, and rewarding practices were not valued either. It becomes apparent that traditional models of work organization support work practices and determine the organizational culture of the hospital.

  14. Ethnic Identity and Power: Quilombos in Brazilian Public Policy

    Directory of Open Access Journals (Sweden)

    Felipe Peres Calheiros

    2010-06-01

    Extension Assistance (Pnater, this article examines the relation of power between public policies and ethnic identities. It discusses how the reformulated concept of development influences government activity in rural contexts and the adoption of compensatory actions for excluded portions of the population. It briefly presents the social, legal and conceptual trajectory of the quilombos, localizing the dynamics of power in the construction of quilombola identity, a project in constant re-elaboration by Brazilian society.

  15. Profiling alumni of a Brazilian public dental school

    OpenAIRE

    Nunes Maria F; Silva Erica T; Santos Laura B; Queiroz Maria G; Leles Cláudio R

    2010-01-01

    Abstract Background Follow-up studies of former students are an efficient way to organize the entire process of professional training and curriculum evaluation. The aim of this study was to identify professional profile subgroups based on job-related variables in a sample of former students of a Brazilian public dental school. Methods A web-based password-protected questionnaire was sent to 633 registered dentists who graduated from the Federal University of Goias between 1988 and 2007. Job-r...

  16. Analysis of undergraduate cell biology contents in Brazilian public universities.

    Science.gov (United States)

    Mermelstein, Claudia; Costa, Manoel Luis

    2017-04-01

    The enormous amount of information available in cell biology has created a challenge in selecting the core concepts we should be teaching our undergraduates. One way to define a set of essential core ideas in cell biology is to analyze what a specific cell biology community is teaching their students. Our main objective was to analyze the cell biology content currently being taught in Brazilian universities. We collected the syllabi of cell biology courses from public universities in Brazil and analyzed the frequency of cell biology topics in each course. We also compared the Brazilian data with the contents of a major cell biology textbook. Our analysis showed that while some cell biology topics such as plasma membrane and cytoskeleton was present in ∼100% of the Brazilian curricula analyzed others such as cell signaling and cell differentiation were present in only ∼35%. The average cell biology content taught in the Brazilian universities is quite different from what is presented in the textbook. We discuss several possible explanations for these observations. We also suggest a list with essential cell biology topics for any biological or biomedical undergraduate course. The comparative discussion of cell biology topics presented here could be valuable in other educational contexts. © 2017 The Authors. Cell Biology International Published by John Wiley & Sons Ltd on behalf of International Federation of Cell Biology.

  17. INITIAL PUBLIC OFFERING AND PERFORMANCE OF BRAZILIAN FIRMS

    Directory of Open Access Journals (Sweden)

    Teresa Rodriguez Cao

    2016-07-01

    Full Text Available This paper investigates changes in long-term operational and financial performance for a sample of Brazilian companies made initial public offerings (IPO's shares, in the period 2002-2008. This period showed a historically high number of IPOs, a heavily discontinued phenomenon with the international financial crisis of 2008. As performance measures were chosen six financial indicators usually adopted in the literature in periods of three years pre-IPO, year of listing and three years post-IPO. The indicators evaluated were size, growth rate, profitability, financial leverage, investment level and investment rate. The results show evidence that, on average, there were statistically significant improvements in size, profitability, investment level and investment rate. But there was no evidence statistically significant changes in the growth rate and financial leverage after the IPO of Brazilian firms.

  18. The Supply of Trade Credit by Brazilian Publicly Traded Firms

    Directory of Open Access Journals (Sweden)

    Rafael Felipe Schiozer

    2011-12-01

    Full Text Available This paper investigates the determinants of trade credit supply by Brazilian publicly traded companies between the years of 2005 and 2008. International literature (both theoretical and empirical documents that the main determinants of trade credit supply are the size of the firm and the size of its debt. Both indicate that the availability of resources to the firm is an important factor for the supply of trade credit. In addition, the literature confirms strategic uses of trade credit such as those for price discrimination purposes. The results obtained using a sample of 157 Brazilian companies do not support that size and indebtedness are relevant determinants for trade credit supply, but they confirm the supply of trade credit as a strategic tool for the firms. Additionally we observed a significant decrease in trade credit supply in 2008, the year in which a severe international financial crisis took place.

  19. Earning management: analysis of publications in brazilian accounting journals

    Directory of Open Access Journals (Sweden)

    Débora Gomes Machado

    2014-06-01

    Full Text Available The goal of this study is to identify characteristics, from the perspective of social networks, of the scientific literature on earning management in Brazilian accounting journals. Specifically, were identified: a authors and their social networks of scientific production; b researched topics, models for accruals detection, authors’ networks and the period studied; c methodological procedures used. A bibliometric survey, with a quantitative approach was performed through the analysis of 17 Brazilian accounting journals, since their first edition until the year 2010. Out of them, 10 published articles having the theme earning management in the title, abstract or keywords. The 32 identified articles were submitted to content analysis and then the data were presented from the perspective of social networks. The survey results show that: the authors and their social networks of production originates mostly from Universidade de São Paulo (USP; the most researched theme was the methods or means to conduct earnings management, and accruals measurement models, with emphasis on Kang and Sivaramakrishnan Model; the descriptive research, based on document and quantitative approach were the most commonly used forms in the articles researched. It is noteworthy that structural gaps are the topics, such as compensation plans, political costs and earnings management in different contractual environments. The research results can contribute to academia to highlight some features of the earnings management theme and its researchers, in the field of publications in Brazilian accounting journals.

  20. Indirect and direct costs of treating patients with ankylosing spondylitis in the Brazilian public health system.

    Science.gov (United States)

    Azevedo, Valderilio Feijó; Rossetto, Chayanne N; Lorencetti, Pedro G; Tramontin, Mariana Y; Fornazari, Bruna; Araújo, Denizar V

    2016-01-01

    Patients with ankylosing spondylitis require a team approach from multiple professionals, various treatment modalities for continuous periods of time, and can lead to the loss of labour capacity in a young population. So, it is necessary to measure its socio-economic impact. To describe the use of public resources to treat AS in a tertiary hospital after the use of biological medications was approved for treating spondyloarthritis in the Health Public System, establishing approximate values for the direct and indirect costs of treating this illness in Brazil. 93 patients selected from the ambulatory spondyloarthritis clinic at the Hospital de Clínicas of the Federal University of Paraná between September 2011 and September 2012 had their direct costs indirect treatment costs estimation. 70 patients (75.28%) were male and 23 (24.72%) female. The mean age was 43.95 years. The disease duration was calculated based on the age of diagnosis and the mean was 8.92 years (standard deviation: 7.32); 63.44% were using anti-tumour necrotic factor drugs. Comparing male and female patients the mean Bath Ankylosing Spondylitis Disease Activity Index was 4.64 and 5.49 while the mean Bath Ankylosing Spondylitis Functional Index was 5.03 and 6.35 respectively. The Brazilian public health system's spending related to ankylosing spondylitis has increased in recent years. An important part of these costs is due to the introduction of new, more expensive health technologies, as in the case of nuclear magnetic resonance and, mainly, the incorporation of anti-tumour necrotic factor therapy into the therapeutic arsenal. The mean annual direct and indirect cost to the Brazilian public health system to treat a patient with ankylosing spondylitis, according to our findings, is US$ 23,183.56. Copyright © 2015 Elsevier Editora Ltda. All rights reserved.

  1. [Characterization of the pain, sleep and alexithymia patterns of patients with fibromyalgia treated in a Brazilian tertiary center].

    Science.gov (United States)

    Avila, Lazslo A; de Araujo Filho, Gerardo M; Guimarães, Estefano F U; Gonçalves, Lauro C S; Paschoalin, Paola N; Aleixo, Fabia B

    2014-01-01

    Fibromyalgia (FM) is a complex syndrome that is characterized by lasting and diffuse chronic musculoskeletal pain, derived from non-inflammatory causes and classically associated with the presence of specific tender points. However, studies have highlighted other important symptoms associated with a lower quality of life (QOL) in FM, such as sleep disturbances and alexithymia. This study aimed to investigate the pain, sleep and alexithymia patterns of FM patients treated in a Brazilian tertiary center. 20 patients with FM who were followed-up in the Rheumatology outpatient clinic of a Brazilian tertiary center (Faculdade de Medicina de São José do Rio Preto - FAMERP, São Paulo, Brazil) and 20 patients without FM from other outpatient services of the FAMERP completed a clinical and socio-demographic questionnaire, the Fibromyalgia Impact Questionnaire (FIQ), the Pittsburgh Sleep Quality Index (PSQI), the Toronto Alexithymia Scale (TAS-20) and the SF-36 (WHOQOL). The patients with FM presented worse performances in all QOL dimensions of the SF-36 and higher scores on the PSQI (p=0.01), and the TAS-20 (p=0.02). Patients with FM also scored significantly higher in all specific domains of PSQI and TAS-20. The present data were in accordance with literature, disclosing a worse performance of patients with FM on pain impact, sleep complains and more presence of alexithymia. Studies have disclosed the presence of important and frequently underdiagnosed symptoms beyond pain complaints in FM, such as sleep complaints and alexithymia, and a better knowledge of such disturbances might improve FM patients' approach and treatment. Copyright © 2014 Elsevier Editora Ltda. All rights reserved.

  2. Teratogens: a public health issue – a Brazilian overview

    Directory of Open Access Journals (Sweden)

    Thiago Mazzu-Nascimento

    2017-05-01

    Full Text Available Abstract Congenital anomalies are already the second cause of infant mortality in Brazil, as in many other middle-income countries in Latin America. Birth defects are a result of both genetic and environmental factors, but a multifactorial etiology has been more frequently observed. Here, we address the environmental causes of birth defects – or teratogens – as a public health issue and present their mechanisms of action, categories and their respective maternal-fetal deleterious effects. We also present a survey from 2008 to 2013 of Brazilian cases involving congenital anomalies (annual average of 20,205, fetal deaths (annual average of 1,530, infant hospitalizations (annual average of 82,452, number of deaths of hospitalized infants (annual average of 2,175, and the average cost of hospitalizations (annual cost of $7,758. Moreover, we report on Brazilian cases of teratogenesis due to the recent Zika virus infection, and to the use of misoprostol, thalidomide, alcohol and illicit drugs. Special attention has been given to the Zika virus infection, now proven to be responsible for the microcephaly outbreak in Brazil, with 8,039 cases under investigation (from October 2015 to June 2016. From those cases, 1,616 were confirmed and 324 deaths occurred due to microcephaly complications or alterations on the central nervous system. Congenital anomalies impact life quality and raise costs in specialized care, justifying the classification of teratogens as a public health issue.

  3. IFRS ADOPTION AND EARNINGS MANAGEMENT IN BRAZILIAN PUBLICLY TRADED COMPANIES

    Directory of Open Access Journals (Sweden)

    Roberto Midoguti Joia

    2014-03-01

    Full Text Available In 2007, Brazil adopted the International Financial Reporting Standards (IFRS. Studies involving publicly traded companies in different countries around the world indicate that these new standards tend to improve the information quality and make it more comparable and transparent. This study was aimed at verifying any changes in the earnings management levels after 2010 and whether this happened in function of the full adoption of the IFRS by the Brazilian publicly traded companies (except for financial institutions. The data were extracted from the three-monthly financial statements of the databases from Economática and the Brazilian Securities Commission for the period from 2006 till 2011. To achieve the research objectives, two tests were applied. The first showed that the average discretionary accruals, calculated through the Modified Jones Model, were lower after 2010. Next, the regression analysis was elaborated, using panel data with Newey-West’s correction. The results did not confirm the hypothesis that the adoption of the IFRS affected the earnings management level in the period under analysis, but showed that the size and indebtedness significantly explain the discretionary accruals, independently of the adoption of the IFRS. The results suggest that larger companies with a large proportion of own capital tend to produce higher quality reports, independently of the adoption of the IFRS.

  4. Unconditional conservatism in Brazilian public companies and tax neutrality

    Directory of Open Access Journals (Sweden)

    Juliana Pinhata Sanches do Vale

    2017-03-01

    Full Text Available ABSTRACT Law n. 11,638/2007 legitimized the International Financial Reporting Standards (IFRS adoption process in Brazil and introduced an accounting system detached from tax purposes in the country. This law aims to reduce the influence of tax law on accounting standards and improve the quality of financial reporting, as IFRS are considered to be higher quality standards. International literature shows a reduction in earnings quality in environments where accounting and tax rules are strongly linked. Moreover, the influence of tax legislation on financial accounting is seen to encourage unconditional conservatism, a bias with no advantages for financial market efficiency. Thus, tax neutrality is expected to provide a more favorable institutional environment for quality financial reporting by detaching corporate accounting from tax accounting. In light of the above, this study aims to verify whether the advent of tax neutrality influences unconditional conservatism in Brazilian public companies. The methodology used involves panel data regressions. The sample consists of non-financial publicly-traded companies with information published in Economática® covering 2002 to 2014. The results show differences in the relationship between taxation and financial reporting between firms that are subject to different levels of monitoring in the Brazilian stock market. Evidence of unconditional conservatism is only found in companies that are subject to greater market monitoring. In this group, it is observed that taxation does not induce unconditional conservatism in reported earnings, which is expected in a tax neutrality context.

  5. American Tegumentary Leishmaniasis and HIV-AIDS Association in a Tertiary Care Center in the Brazilian Amazon

    Science.gov (United States)

    Guerra, Jorge Augusto O.; Coelho, Leíla I. R. C.; Pereira, Flávio R.; Siqueira, André M.; Ribeiro, Rogério L.; Almeida, Thiago Miranda L.; Lacerda, Marcus Vinícius G.; Barbosa, Maria das Graças V.; Talhari, Sinésio

    2011-01-01

    American tegumentary leishmaniasis (ATL) and human immunodeficiency virus (HIV) are both common infectious diseases in the Brazilian Amazon with overlapping expansion areas, which leads to the occurrence of Leishmania/HIV coinfection. Most ATL/HIV–acquired immunodeficiency syndrome (AIDS) association cases have been reported from areas where Leishmania (Viannia) braziliensis is the main pathogen; this finding is in contrast with the Amazon region, where L. (V.) guyanensis is the most implicated agent, implying distinct clinical and therapeutic aspects. We describe 15 cases of ATL/HIV coinfection treated in a tertiary care center in the Brazilian Amazon between 1999 and 2008. Thirteen patients presented with diverse clinical manifestations of cutaneous leishmaniasis, and four of them had disseminated forms; two patients presented with mucosal leishmaniasis (ML). Seven patients required more than one course of treatment. The particularities of ATL/HIV-AIDS association in L. (V.) guyanensis-endemic areas require efforts for an increased understanding of its burden and subsequent improvements in case management. PMID:21896816

  6. Governance in managing public health resources in Brazilian municipalities.

    Science.gov (United States)

    Avelino, George; Barberia, Lorena G; Biderman, Ciro

    2014-09-01

    This study contributes to the health governance discussion by presenting a new data set that allows for comparisons of the management of health resources among Brazilian municipalities. Research on Brazil is particularly important as the provision of health services was decentralized in 1988 and since then municipalities have been given greater responsibilities for the management of fiscal resources for public health service provision. Based on detailed information on corruption practices (such as over-invoicing, illegal procurement and fake receipts) from audit reports of health programmes in 980 randomly selected Brazilian municipalities, this study deepens understanding of the relationship between health governance institutions and the incidence of corruption at the local level by exploring the extent to which horizontal and vertical accountabilities contribute to reducing the propensity of municipal government officials to divert public health resources for private gain. The results of our multiple regression analysis suggest that the experience of health municipal councils is correlated with reductions in the incidence of corruption in public health programmes. This impact is significant over time, with each additional year of health council experience reducing corruption incidence levels by 2.1% from baseline values. The findings reported in this study do not rely on the subjectivity of corruption measures which usually conflate the actual incidence of corruption with its perception by informants. Based on our results, we provide recommendations that can assist policy makers to reduce corruption. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2013; all rights reserved.

  7. Green supply chain management: analysis of brazilian academic publications

    Directory of Open Access Journals (Sweden)

    José Carlos Barbieri

    2014-08-01

    Full Text Available This paper deals with environmental issues from the perspective of Supply Chain Management. With the incorporation of environmental concerns in a systematic manner the concept of Green Supply Chain Management (GSCM has emerged. The subject GSCM interests not only to academics but also to professional audience especially with regard to new legal obligations, and social pressures of various types of stakeholders, as well as issues related to the competitiveness of enterprises and their supply chains. However, the way in which this knowledge is being produced in Brazil is not clear, hence the need for a mapping which areas and sub-areas of GSCM has been studied most frequently. Thus, this work can be characterized as a desk research that aims to analyze the Brazilian academic publications on green supply chain management. In order to delimit the scope of the research, we collected articles published from 2006 to 2010 in specific Brazilian congresses of Management and Production Engineering, as EnANPAD, SIMPOI and SIMPEP. 110 papers were collected and analyzed.The area of Green Operations represents 81% of published articles and 45% of these focus on Reverse Logistics. 70% of total papers are empirical and 77% use a qualitative approach, while 57% of the total are case studies

  8. Costs for in hospital treatment of urinary lithiasis in the Brazilian public health system.

    Science.gov (United States)

    Korkes, Fernando; Silva Ii, Jarques Lúcio da; Heilberg, Ita Pfeferman

    2011-12-01

    To estimate costs associated to hospital treatment of urinary lithiasis in the Brazilian public health system as well as to evaluate demographic and epidemiological data referred to hospital admissions in the Brazilian public health system (or unified health care system). Data from the Informatic Department of Brazilian public health system were obtained as referred to costs in hospital admissions for urinary lithiasis during 2010 and also epidemiological data from 1996 through 2010. There were 69,039 hospital admissions for urinary lithiasis, totaling 0.61% of all hospital admissions in the Brazilian public health system. The mean cost of each of these hospital admissions was US$ 240,23 or R$ 423.42 having as result an overall cost of US$ 16,240,378.00 or R$ 29.232.682,56. Hospital admissions for urinary lithiasis in the Brazilian public health system increased 69% from 1996 to 2010 (43,176 versus 69,309; p lithiasis in Brazil.

  9. The brazilian nuclear policy with respect to the public opinion

    International Nuclear Information System (INIS)

    Freitas Brandao Bittencourt, C.

    1988-01-01

    Four decades of the Brazilian nuclear history have been analysed with special emphasis placed on government policy and its repercussion on public opinion. The implications of the new constitutional regulations which rule the issue are discussed. it is also studied the change in the nuclear program structure, enforced in August 1988. At different times, the government decisions on nuclear energy could be classified as miser, extravagant, dissimulated and frank, successively. Their aftermaths, which show little consistency with the expectations laid on them, have led to discredit by part of the society, which is controlled by a scientific - intellectual elite. However, recent successes are likely to reverse this trend, if the government explores them properly. (author) [pt

  10. Distribution of extended-spectrum β-lactamase types in a Brazilian tertiary hospital

    Directory of Open Access Journals (Sweden)

    Keite da Silva Nogueira

    2015-04-01

    Full Text Available INTRODUCTION: Epidemiological data on the prevalence of extended-spectrum β-lactamases (ESBLs are scarce in Brazil despite the fact that these data are essential for empirical treatment and control measures. The objective of this study was to evaluate the prevalence of different ESBLs by type and distribution in a tertiary hospital in southern Brazil. METHODS: We evaluated 1,827 enterobacterial isolates between August 2003 and March 2008 isolated from patients at a tertiary hospital. Samples were identified using a Vitek automated system and were confirmed by biochemical testing. The identified ESBL strains were characterized by phenotypic methods, polymerase chain reaction (PCR, and sequencing. Genetic similarities were evaluated by pulsed-field gel electrophoresis. RESULTS: It was 390 (21.3% ESBL-producing strains, which expressed the ESBLs CTX-M (292, SHV (84, CTX and SHV (10, TEM (2, and PER (2. CONCLUSIONS: The prevalence of ESBL-expressing strains was high, especially in Klebsiella pneumoniae and Enterobacter spp. CTX-M was the predominant type of ESBL observed, and its genetic variability indicates a polyclonal distribution.

  11. Georges Canguilhem and the development of Brazilian Public Heatlh field

    Directory of Open Access Journals (Sweden)

    José Ricardo de Carvalho Mesquita Ayres

    2016-05-01

    Full Text Available Historical epistemology has played an important role in the development of modern Brazilian Public Health or “Saúde Coletiva” (Collective Health. Born as an academic search for new conceptual foundations of a social committed field of scientific knowledge, as well as a social political movement against civil-military dictatorship implanted in Brazil in 1964, the so called Brazilian Sanitary Reform Movement found in the French historical epistemology, particularly in the works of Georges Canguilhem, a powerful ally. This paper aims to revisit the main features of this relationship, focusing in particular the inaugural works of Sergio Arouca and Cecília Donnangelo and the Health Work Process Theory as developed in the Department of Preventive Medicine of the Medical School of the University of São Paulo. The discussion is centered in the way Canguilhem’s philosophical concepts, such as the normative character of life and of its knowledge, the qualitative discontinuity between normal and pathological phenomena and the value oriented definition of health on one hand, and on the other hand, Canguilhem’s historiographical method, focused on the rational development of concepts as the core subject of the historical-epistemological research, the acknowledge of “external” influences over scientific developments, such as social and technological conditions, and the positive role attributed to obstacles, failures and accidents in the progress of a scientific discipline were all crucial to promote the intertwining of the political and academic goals of the Movement and still remain a challenging element for the development of the philosophical and historical reflections of the field of “Saúde Coletiva”.

  12. Experience with pegvisomant treatment in acromegaly in a single Brazilian tertiary reference center: efficacy, safety and predictors of response.

    Science.gov (United States)

    Kasuki, Leandro; Machado, Evelyn de Oliveira; Ogino, Liana Lumi; Coelho, Maria Caroline Alves; Silva, Cintia Marques Dos Santos; Wildemberg, Luiz Eduardo Armondi; Lima, Carlos Henrique Azeredo; Gadelha, Mônica R

    2016-10-01

    To describe the safety and efficacy of pegvisomant therapy and the predictors of treatment response in acromegaly patients at a single tertiary reference center in Brazil. We retrospectively reviewed the clinical, hormonal and radiological data of acromegaly patients treated with pegvisomant in our center. We also evaluated the presence of the d3 isoform of the growth hormone receptor (d3GHR). Twenty-seven patients were included (17 women). Pegvisomant was used in combination with octreotide LAR in 20 patients (74%), in combination with cabergoline in one (4%) and as monotherapy in six (22%). IGF-I normalization was achieved in 23 patients (85%). Mild and transitory elevation of liver enzymes was observed in two patients (7.4%), tumor growth in one (3.4%) and lipodystrophy in two (7.4%). One patient stopped the drug due to headaches. The GHR isoforms were evaluated in 14 patients, and the presence of at least one d3GHR allele was observed in 43% of them, but it was not a predictor of treatment response. Only pre-treatment IGF-I level was a predictor of treatment response. Pegvisomant treatment was highly effective and safe in our series of Brazilian patients. A better chance of disease control can be expected in those with lower pre-pegvisomant IGF-I levels.

  13. Frequency and clinical manifestations of post-poliomyelitis syndrome in a brazilian tertiary care center

    Directory of Open Access Journals (Sweden)

    Abrahão Augusto Juviniano Quadros

    2012-08-01

    Full Text Available OBJECTIVE: To determine the frequency and clinical manifestations of patients with post-poliomyelitis syndrome (PPS in a Brazilian division of neuromuscular disorders. METHODS: A total of 167 patients with prior history of paralytic poliomyelitis was investigated for PPS, based on international diagnostic criteria. Other variables analyzed were: gender, race, age at poliomyelitis infection, age at PPS onset, and PPS symptoms. RESULTS: One hundred and twenty-nine patients presented PPS, corresponding to 77.2% of the studied population. 62.8% were women and 37.2% were men. Mean age of patients with PPS at onset of PPS symptoms was 39.9±9.69 years. Their main clinical manifestations were: new weakness in the previously affected limbs (69% and in the apparently not affected limbs (31%; joint pain (79.8%; fatigue (77.5%; muscle pain (76%; and cold intolerance (69.8%. CONCLUSIONS: Most patients of our sample presented PPS. In Brazil, PPS frequency and clinical features are quite similar to those of other countries.

  14. THE MAN CATEGORY IN PUBLIC POLICIES AND BRAZILIAN LAWS

    Directory of Open Access Journals (Sweden)

    Samantha Alflen Banin

    2016-11-01

    Full Text Available This article discusses the view of man as a gender category in public policies and national laws, especially those focused on violence against women. With this objective, it contextualizes the studies of feminisms and masculinities as theories and epistemology that guide the analysis of 17 official Brazilian documents selected for this study. This analysis seeks to clarify how the gendered man has been understood in various documents over the years. It discusses how the formulation of laws can provide a new accountability approach beyond the punishment of these men. It also investigates the regulation of some of the existing groups of men who have used violence against women in the country. It finalizes claiming the importance of these reflections for the debate on gender and masculinities in pursuit of a more effective system of prevention and eradication of violence against women. It discusses and argues in favor of both changing the way this category is addressed in official documents, and formalizing spaces for reflection for men who have used violence against women.

  15. Determinants of Audit fees by Brazilian Companies Publicly Traded

    Directory of Open Access Journals (Sweden)

    Victor Placeres Borges

    2017-08-01

    Full Text Available The studies on the determinants of audit fees in Brazil became possible with the mandatory disclosure of audit expenses in 2009. Thus, the objective of this research was to identify the determinants of the fees paid by Brazilian publicly traded companies to independent auditors in 2010 to 2014. The analysis took place through regression with data arranged in panel. Size, performance, complexity, audit firm size, adoption of corporate governance practices, audit rotation, industry and litigation risks have all been found to have an impact on the fees. Therefore, the aspects that can be used by companies for the purpose of information management or that require more auditing timefor signaling points of greater risks are highlighted. In addition, understanding the determinants allows companies to plan future expenditures with audit fees and assists regulators and inspectors in defining and comparing key determinants of firms for identifying abnormal payments. These results complement the research in Brazil, Australia, Bangladesh, Norway, Bahrain, England, Jordan, Kuwait, USA, Malaysia, Nigeria, Abu Dhabi, Italy and Indonesia.

  16. Will you give birth in pain? Integrative review of obstetric violence in Brazilian public units

    OpenAIRE

    Martins, Aline de Carvalho; Barros, Geiza Martins

    2016-01-01

    ABSTRACT BACKGROUND AND OBJECTIVES: The study aimed at providing further visibility to discussions about obstetric violence suffered by Brazilian women in public health institutions. CONTENTS: This was an integrative review of the last decade, where 100 articles were evaluated to identify how Obstetric Violence is in Brazilian public health units. CONCLUSION: Identified obstetric violences were: institutional violence, moral violence, physical violence, sexual violence, psychological and v...

  17. Assessing the evolution of publications by Brazilian spine surgeons in the last decade.

    Science.gov (United States)

    Falavigna, Asdrubal; Botelho, Ricardo Vieira; Teles, Alisson Roberto; da Silva, Pedro Guarise; Defino, Helton Luiz Aparecido

    2013-09-01

    To evaluate the scientific contribution of Brazilian Spine Surgeons not only in number of publications but also in their quality between January 2000 to December 2011. A literature search of publications by Brazilian spinal surgeons on topics concerning the spine or spinal cord was performed using an online database; Pubmed.gov. The results were limited to articles published from January 2000 to December 2011. A total of 1,778 articles were identified after a Medline search. After exclusion criteria, the study comprised 206 articles. The quality of the Journals was assessed with IF and the article quality using the Oxford classification. An increasing number of publications by Brazilian spine surgeons was observed in recent years: 45.1 % of those papers were published during the last 4 years (2008-2011). Clinical studies and case reports were the most frequent types of article published (37.5 vs 31.1 %). An increasing number of Brazilian publications in non-Brazilian journals has been observed in recent years (linear-by-linear association: 5.449, P = 0.020). The Arquivos de Neuro-Psiquiatria was the most frequent journal in which the papers were published (N = 67, 32 %). The IF of the publications varied from 0.021 to 8.017. The analysis of quality of the articles using the Oxford classification demonstrated that most of them provided LOE 4 (N = 113, 54.9 %) or 5 (N = 45, 21.8 %). There have been an increasing number of publications by Brazilian spine surgeons in recent years and the quality of the articles published has improved. Also the number of publications by Brazilians in non-Brazilian journals has increased in recent years.

  18. References from Brazilian medical journals in national publications.

    Science.gov (United States)

    Teixeira, Renan Kleber Costa; Botelho, Nara Macedo; Petroianu, Andy

    2013-01-01

    To assess whether there is a preference for international journal citation to the detriment of national ones in ten Brazilian medical journals, in two different periods. All references in the articles published in Arquivos Brasileiros de Oftalmologia, Revista Brasileira de Cirurgia Cardiovascular, Revista da Associação Médica Brasileira, São Paulo Medical Journal, Arquivos Brasileiros de Endocrinologia e Metabologia, Clinics, Jornal Brasileiro de Pneumologia, Revista da Sociedade Brasileira de Medicina Tropical, Revista Brasileira de Psiquiatria e Acta Ortopédica Brasileira in the years 2011 and 2007 were analyzed, assessing the number of articles published in national and international journals. A total of 36,125 references from 1,462 articles published in the 10 aforementioned journals were analyzed. Of the total number, 4.242 (11.74%) were from Brazilian journals. There was no significant difference between the two analyzed periods. A total of 453 (30,98%) of the articles studied non-cited brazilian papers,and 81 (5.54%) articles had more Brazilian than international references. Of total references analyzed, 11.74% were related to articles published in Brazilian journals. This number, when compared to the percentage of Brazilian articles published in the medical area, demonstrates a good number of citations of national articles. Copyright © 2012 Elsevier Editora Ltda. All rights reserved.

  19. Profiling alumni of a Brazilian public dental school.

    Science.gov (United States)

    Nunes, Maria F; Silva, Erica T; Santos, Laura B; Queiroz, Maria G; Leles, Cláudio R

    2010-08-18

    Follow-up studies of former students are an efficient way to organize the entire process of professional training and curriculum evaluation. The aim of this study was to identify professional profile subgroups based on job-related variables in a sample of former students of a Brazilian public dental school. A web-based password-protected questionnaire was sent to 633 registered dentists who graduated from the Federal University of Goias between 1988 and 2007. Job-related information was retrieved from 14 closed questions, on subjects such as gender, occupational routine, training, profits, income status, and self-perception of professional career, generating an automatic database for analysis. The two-step cluster method was used for dividing dentists into groups on the basis of minimal within-group and maximal between-group variation, using job-related variables to represent attributes upon which the clustering was based. There were 322 respondents (50.9%), predominantly female (64.9%) and the mean age was 34 years (SD = 6.0). The automatic selection of an optimal number of clusters included 289 cases (89.8%) in 3 natural clusters. Clusters 1, 2 and 3 included 52.2%, 30.8% and 17.0% of the sample respectively. Interpretation of within-group rank of variable importance for cluster segmentation resulted in the following characterization of clusters: Cluster 1 - specialist dentists with higher profits and positive views of the profession; Cluster 2 - general dental practitioners in small cities; Cluster 3 - underpaid and less motivated dentists with negative views of the profession. Male dentists were predominant in cluster 1 and females in cluster 3. One-way Anova showed that age and time since graduation were significantly lower in Cluster 2 (P solutions with 4 and 5 clusters revealed specific discrimination of Cluster 1 by gender and dental education professionals. Cluster analysis was a valuable method for identifying natural grouping with relatively homogeneous

  20. Profiling alumni of a Brazilian public dental school

    Directory of Open Access Journals (Sweden)

    Nunes Maria F

    2010-08-01

    Full Text Available Abstract Background Follow-up studies of former students are an efficient way to organize the entire process of professional training and curriculum evaluation. The aim of this study was to identify professional profile subgroups based on job-related variables in a sample of former students of a Brazilian public dental school. Methods A web-based password-protected questionnaire was sent to 633 registered dentists who graduated from the Federal University of Goias between 1988 and 2007. Job-related information was retrieved from 14 closed questions, on subjects such as gender, occupational routine, training, profits, income status, and self-perception of professional career, generating an automatic database for analysis. The two-step cluster method was used for dividing dentists into groups on the basis of minimal within-group and maximal between-group variation, using job-related variables to represent attributes upon which the clustering was based. Results There were 322 respondents (50.9%, predominantly female (64.9% and the mean age was 34 years (SD = 6.0. The automatic selection of an optimal number of clusters included 289 cases (89.8% in 3 natural clusters. Clusters 1, 2 and 3 included 52.2%, 30.8% and 17.0% of the sample respectively. Interpretation of within-group rank of variable importance for cluster segmentation resulted in the following characterization of clusters: Cluster 1 - specialist dentists with higher profits and positive views of the profession; Cluster 2 - general dental practitioners in small cities; Cluster 3 - underpaid and less motivated dentists with negative views of the profession. Male dentists were predominant in cluster 1 and females in cluster 3. One-way Anova showed that age and time since graduation were significantly lower in Cluster 2 (P Conclusions Cluster analysis was a valuable method for identifying natural grouping with relatively homogeneous cases, providing potentially meaningful information for

  1. Citations of Brazilian physical therapy journals in national publications.

    Science.gov (United States)

    Teixeira, Renan K C; Yamaki, Vitor N; Botelho, Nara M; Teixeira, Renato C

    2014-01-01

    Quotations in Brazilian journals are mainly obtained from national articles (articles from Brazilian journals); thus, it is essential to determine how frequently these articles reference Brazilian journals. This study sought to verify how frequently national papers are cited in the references of three Brazilian physical therapy journals. All references for articles published in Fisioterapia em Movimento, Fisioterapia e Pesquisa and Revista Brasileira de Fisioterapia between 2010 and 2012 were evaluated. In particular, the numbers of national articles and international articles (articles from international journals) cited in these references were determined. A total of 13,009 references cited by 456 articles were analyzed, and 2,924 (22.47%) of the cited works were national articles. There were no significant differences among the three examined years. A total of 36 (7.89%) articles did not cite national articles, whereas 65 (13.25%) articles cited more national articles than international articles. On average, 22.47% of the works cited by the evaluated articles were national articles. No significant differences were detected among the three analyzed years.

  2. Clinical investigations for SUS, the Brazilian public health system.

    Science.gov (United States)

    Paula, Ana Patrícia de; Giozza, Silvana Pereira; Pereira, Michelle Zanon; Boaventura, Patrícia Souza; Santos, Leonor Maria Pacheco; Sachetti, Camile Giaretta; Tamayo, César Omar Carranza; Kowalski, Clarissa Campos Guaragna; Elias, Flavia Tavares Silva; Serruya, Suzanne Jacob; Guimarães, Reinaldo

    2012-01-01

    Scientific and technological development is crucial for advancing the Brazilian health system and for promoting quality of life. The way in which the Brazilian Ministry of Health has supported clinical research to provide autonomy, self-sufficiency, competitiveness and innovation for the healthcare industrial production complex, in accordance with the National Policy on Science, Technology and Innovation in Healthcare, was analyzed. Descriptive investigation, based on secondary data, conducted at the Department of Science and Technology, Ministry of Health. The Ministry of Health's research management database, PesquisaSaúde, was analyzed from 2002 to 2009, using the key word "clinical research" in the fields "primary sub-agenda" or "secondary sub-agenda". The 368 projects retrieved were sorted into six categories: basic biomedical research, preclinical studies, expanded clinical research, clinical trials, infrastructure support and health technology assessment. From a structured review on "clinical research funding", results from selected countries are presented and discussed. The amount invested was R$ 140 million. The largest number of projects supported "basic biomedical research", while the highest amounts invested were in "clinical trials" and "infrastructure support". The southeastern region had the greatest proportion of projects and financial resources. In some respects, Brazil is ahead of other BRICS countries (Russia, India, China and South Africa), especially with regard to establishing a National Clinical Research Network. The Ministry of Health ensured investments to encourage clinical research in Brazil and contributed towards promoting cohesion between investigators, health policies and the healthcare industrial production complex.

  3. From Non-Cultural to Intercultural Principles: A Proposal for English Classes in Brazilian Public Schools

    Science.gov (United States)

    Mota Pereira, Fernanda

    2016-01-01

    This article focuses on English language teaching in Brazilian public schools, based on experiences in primary and secondary education, as well as in Teaching Practicum courses at a university. Through these experiences, the article critiques the overemphasis on grammar and the lack of an intercultural approach. The author engages the reader with…

  4. [Publications on pain and nursing diagnosis in a Brazilian database].

    Science.gov (United States)

    Batista, Deyse Conceição Santoro; da Cruz, Diná de Almeida Lopes Monteiro; Pimenta, Cibele Andrucioli de Mattos

    2008-09-01

    The practical utilization of nursing diagnostics and interventions during professional practice and the analysis of the scientific production on diagnosis can help outline published knowledge. The objective of this study was to identify references related to the diagnosis of pain by nurses in a Brazilian nursing database (BDEnf). A systematic literature survey was carried out by electronic search, using the combination of the words "pain" and "nursing diagnosis". A total number of 21 references were found until December, 2006. Eighteen references were included in the study. In 12 studies, pain was one of the diagnoses found in articles that aimed making diagnosis in different populations. It was concluded that the studies included in that nursing database show that pain diagnosis by nurses has become a trend in the nurses' clinical practice.

  5. Clinical investigations for SUS, the Brazilian public health system

    Directory of Open Access Journals (Sweden)

    Ana Patrícia de Paula

    Full Text Available CONTEXT AND OBJECTIVE: Scientific and technological development is crucial for advancing the Brazilian health system and for promoting quality of life. The way in which the Brazilian Ministry of Health has supported clinical research to provide autonomy, self-sufficiency, competitiveness and innovation for the healthcare industrial production complex, in accordance with the National Policy on Science, Technology and Innovation in Healthcare, was analyzed. DESIGN AND SETTING: Descriptive investigation, based on secondary data, conducted at the Department of Science and Technology, Ministry of Health. METHODS: The Ministry of Health's research management database, PesquisaSaúde, was analyzed from 2002 to 2009, using the key word "clinical research" in the fields "primary sub-agenda" or "secondary sub-agenda". The 368 projects retrieved were sorted into six categories: basic biomedical research, preclinical studies, expanded clinical research, clinical trials, infrastructure support and health technology assessment. From a structured review on "clinical research funding", results from selected countries are presented and discussed. RESULTS: The amount invested was R$ 140 million. The largest number of projects supported "basic biomedical research", while the highest amounts invested were in "clinical trials" and "infrastructure support". The southeastern region had the greatest proportion of projects and financial resources. In some respects, Brazil is ahead of other BRICS countries (Russia, India, China and South Africa, especially with regard to establishing a National Clinical Research Network. CONCLUSION: The Ministry of Health ensured investments to encourage clinical research in Brazil and contributed towards promoting cohesion between investigators, health policies and the healthcare industrial production complex.

  6. The influence of Goiania radiological accident on Brazilian public opinion concerning new nuclear electric plants

    International Nuclear Information System (INIS)

    Meldonian, Nelson Leon; Mattos, Luis Antonio Terribile de

    1997-01-01

    The Brazilian society is against applications of nuclear energy, mainly respecting to construction of new nuclear power plants, believing that they are harmful to population's welfare and the environment. By this reason, Brazilian nuclear sector would promote a more intensive program of public discussion, not limited to technical and scientific community. Intending to contribute to a better judgment by society about the differences between diverse employment of nuclear energy, arguments concerned to its benefits are presented, pointing out that adverse accounts to nuclear electricity based on Goiania radiological accident, are not justified

  7. Making tenofovir accessible in the brazilian public health system: patent conflicts and generic production.

    Science.gov (United States)

    Veras, Juliana

    2014-08-01

    In May 2011, the Brazilian Ministry of Health announced the distribution of the first batch of locally produced generic tenofovir disoproxil fumarate (TDF) to support its program of universal and free access for the treatment of HIV/AIDS. The inclusion of TDF in the public health program illustrates what has been considered the 'Brazilian model' of HIV/AIDS response, as it illustrates the current phase of the Brazilian pharmaceutical economy. Brazil is known for having managed to control the expansion of HIV/AIDS through a unique initiative combining the public health and the industrial production of generics. But, if at first local manufacturers could freely copy ARVs and produce cheaper generic versions that were delivered to the Ministry of Health, since the country started to grant patents on drugs in 1996, the sustainability of this policy has been challenged by the high cost of patented second-line HIV/AIDS treatments. In order to assure continuity of the local production of ARVs, and keep the program of public health alive, Brazilians are now forced to deal with conflicts of drugs' intellectual property rights in order to open the path to generic production. This article aims to describe the experiences surrounding TDF in Brazil and the unprecedented conflicts and challenges it has brought for our different interviewees. Blurring the frontier between the public and the private, the TDF case was driven at the same time by an ethic of drug access and regulation of drug quality, which has inspired Brazilians to intervene and transform the world they live in. © 2014 John Wiley & Sons Ltd.

  8. Analysis of the Methods and Research Topics in a Sample of the Brazilian Distance Education Publications, 1992 to 2007

    Science.gov (United States)

    de Oliveira Neto, Jose Dutra; dos Santos, Elaine Maria

    2010-01-01

    The objective of this study was to identify the methodological approaches employed in a sample of Brazilian distance education scientific literature and compare with similar publications in the United States. Brazilian sample articles (N = 983) published in several journals and meetings were compared with a sample of articles published in…

  9. COMPARATIVE ANALYSIS OF FIVE BRAZILIAN FEDERAL UNIVERSITIES: RELATION BETWEEN BUDGETS, PUBLIC SERVANTS AND STUDENTS

    Directory of Open Access Journals (Sweden)

    Julio Eduardo Ornelas Silva

    2016-11-01

    Full Text Available The main objective of this study was to point relation between quantitative of public servants, students and budget of Brazilian federal universities, through document analysis of management reports of Annual Budget Law and Plan of Institutional Development. Were select one university of each Brazilian region considering at the biggest budget. Although of use of quantitative data, this study was classified as qualitative, because does not have a propose to realize statistical calculations, but interpretative analysis with support of numerical data. The results shows there was not direct relation between quantitative of public servants, students and budget of Brazilian federal universities, because all the universities that was analysed, only one demonstrated nonstandard datas. Only two varieties, quantitative of students and budget of Brazilian universities have relation if separately analysed. It is noted of personnel budget is  the most large representation on budgets, bearing in mind the people are the main agent on the higher education, structuring the universities to have an organ relevant for the management people.

  10. APPLICATION OF VSM IN A PUBLIC BRAZILIAN HOSPITAL

    Directory of Open Access Journals (Sweden)

    Guilherme Luz Tortorella

    2015-12-01

    Full Text Available During the last decade, there has been a demand for public services to enhance management practices and attain results comparable to those experienced in the private sector. The need for achieving higher quality standards in public services has highlighted the importance of exploring new management techniques to account for the obsolescence in those organizations’ administrative models, with particular emphasis on healthcare services. This paper reports the application of one such new management technique, named Value Stream Mapping (VSM, in the sterilized unit of a public healthcare organization. We present here the benefits of analyzing healthcare processes using VSM, contributing to the existing body of knowledge on Lean management by examining the validity of applying its principles and practices in contexts other than manufacturing.

  11. [Prevention of vertical HIV-1 transmission in a tertiary care public hospital in Buenos Aires, Argentina].

    Science.gov (United States)

    Cecchini, Diego; Martinez, Marina; Astarita, Viviana; Nieto, Claudia; Giesolauro, Rafael; Rodriguez, Claudia

    2011-09-01

    To describe characteristics of mother-child binomium (MCB), antiretroviral (ARV) prophylaxis, time trends, and variables associated with vertical transmission of HIV-1 in a population assisted by a tertiary public hospital in Argentina. Prospective descriptive study undertaken by the Hospital Cosme Argerich s Vertical Transmission Working Group, Buenos Aires city, Argentina 1998-2008. Periods 1998-2003 vs. 2004-2008 were compared and variables associated with vertical transmission identified. Of 357 MCB, 21.0% of the mothers had HCV coinfection and 68.0% CD4 vertical transmission was 3.3% (10/302). Comparing both periods, an increase in triple ARV and VL vertical transmission for 2004-2008 was 1.3% vs. 6.3% in Buenos Aires city (official statistics). Absence of maternal/intrapartum prophylaxis and prematurity were associated with vertical transmission (P vertical transmission between the two periods was observed attributable to increased coverage of maternal/neonatal ARV administration and increased use of triple therapy. The absence of maternal/intrapartum prophylaxis was the main factor associated with vertical transmission, emphasizing the need to improve accessibility of MCB to the local public health system.

  12. Occupational Health and Safety in Aquaculture: Insights on Brazilian Public Policies.

    Science.gov (United States)

    de Oliveira, Pedro Keller; Cavalli, Richard Souto; Kunert Filho, Hiran Castagnino; Carvalho, Daiane; Benedetti, Nadine; Rotta, Marco Aurélio; Peixoto Ramos, Augusto Sávio; de Brito, Kelly Cristina Tagliari; de Brito, Benito Guimarães; da Rocha, Andréa Ferretto; Stech, Marcia Regina; Cavalli, Lissandra Souto

    2017-01-01

    Aquaculture has many occupational hazards, including those that are physical, chemical, biological, ergonomic, and mechanical. The risks in aquaculture are inherent, as this activity requires particular practices. The objective of the present study was to show the risks associated with the aquaculture sector and present a critical overview on the Brazilian public policies concerning aquaculture occupational health. Methods include online research involved web searches and electronic databases including Pubmed, Google Scholar, Scielo and government databases. We conducted a careful revision of Brazilian labor laws related to occupational health and safety, rural workers, and aquaculture. The results and conclusion support the idea that aquaculture requires specific and well-established industry programs and policies, especially in developing countries. Aquaculture still lacks scientific research, strategies, laws, and public policies to boost the sector with regard to occupational health and safety. The establishment of a safe workplace in aquaculture in developing countries remains a challenge for all involved in employer-employee relationships.

  13. Experience with pegvisomant treatment in acromegaly in a single Brazilian tertiary reference center: efficacy, safety and predictors of response

    OpenAIRE

    Kasuki,Leandro; Machado,Evelyn de Oliveira; Ogino,Liana Lumi; Coelho,Maria Caroline Alves; Silva,Cintia Marques dos Santos; Wildemberg,Luiz Eduardo Armondi; Lima,Carlos Henrique Azeredo; Gadelha,Mônica R.

    2016-01-01

    ABSTRACT Objective To describe the safety and efficacy of pegvisomant therapy and the predictors of treatment response in acromegaly patients at a single tertiary reference center in Brazil. Materials and methods We retrospectively reviewed the clinical, hormonal and radiological data of acromegaly patients treated with pegvisomant in our center. We also evaluated the presence of the d3 isoform of the growth hormone receptor (d3GHR). Results Twenty-seven patients were included (17 women...

  14. The prevalence of developmental dyscalculia in Brazilian public school system

    Directory of Open Access Journals (Sweden)

    José Alexandre Bastos

    2016-03-01

    Full Text Available ABSTRACT The goal of the study was to assess public school children at the end of the first stage of elementary school. We used a protocol applied concurrently with a writing test in the form of an unexpected activity in 28 public schools; 2,893 children assessed, 687 exhibited performance below 58 points, 184 were excluded due to change of address or lack of consent; 503 children subjected to a test of intellectual capacity and reading assessment and 71 considered intellectually disabled were excluded. 226 (7.8% children, who could read, write, and had normal intellectual level, met the criteria of developmental dyscalculia (DD, 98 female and 128 male. The most influential factors in the prevalence were socioeconomic levels of the schools neighborhood, education level of parents, and being male, as demonstrated by the odds ratio and multiple logistic regression analysis. Further studies should be done so that educational policies are taken.

  15. Oral Care during Pregnancy: Attitudes of Brazilian Public Health Professionals

    OpenAIRE

    Alves, Renata Toledo; Ribeiro, Rosangela Almeida; Costa, Luciane Rezende; Leles, Claudio Rodrigues; Freire, Maria do Carmo Matias; Paiva, Saul Martins

    2012-01-01

    There is little information about health professionals’ behavior regarding oral health care during pregnancy. We evaluated attitudes of obstetricians/gynecologists, nurses, and dentists working at a public community service towards pregnant women’s oral health. Health professionals responded to a self-applied questionnaire. Cluster analysis identified two clusters of respondents; Chi-square, Student’s t test, and logistic regression were used to compare the two clusters in terms of the indepe...

  16. Epidemiology of strabismus surgery in a public hospital of the Brazilian Federal District

    OpenAIRE

    Rohr, Juliana Tessari Dias; Isaac, Cassiano Rodrigues; Correia, Cristiano dos Santos

    2017-01-01

    Abstract Purpose: to determine the prevalence of different types of strabismus submitted to a surgical procedure in a public hospital in the Brazilian Federal District. Methods: Retrospective cross-sectional review of medical records of patients who underwent strabismus surgery performed by the same surgeon from 2004 to 2014. Incomplete records were excluded from the study. Variables included sex, age, type of strabismus, type of surgery, and re-surgeries. Strabismus was classified into thr...

  17. Security in Brazilian Universities: Compared Prospects of Public Institutions

    Directory of Open Access Journals (Sweden)

    Christiane de Holanda Camilo

    2016-12-01

    Full Text Available This article is a presentation of preliminary results of the data collected in the "Research Project Violence, Conflict and Crime: Subsidies for the Formulation of UFG Security Policy" held between 2014-2015. The objective is to analyze policies to prevent violence in universities. The methodology used was an exploratory and documental research and are based public information available on institutional websites. The five universities surveyed were: UFSC, USP, UFMT, UFMG and UNILA. The results allowed certain approximation and divergence on the concepts of security on campuses, as the statistical record and the presence of military police at the university.

  18. Staff perception of relative importance of quality dimensions for patients at tertiary public services in oman.

    Science.gov (United States)

    Alrashdi, Ismail; Al Qasmi, Ahmed

    2012-09-01

    This research attempted to explore the public healthcare providers understanding the quality dimensions and patient priorities in Oman. It also addresses the issue of risks confronting health professionals in management without "a customer focused" approach. A descriptive study was carried out using a self-administered questionnaire distributed around two tertiary public hospitals. A total of 838 respondents from several specialties and levels of hierarchy participated in the study. The data was analyzed to compare the perception of two groups; the group of junior and frontline staff, as well as of managers and senior staff involved in management. The results showed that 61% of the junior and frontline staff, and 68.3% of the senior staff and managers think that cure or improvement in overall health is the single most important quality dimension in healthcare. Both groups perceive that technical dimensions have greater importance (to patients) over interpersonal aspects such as communication with the exception of dignity and respect. There was no significant difference between the perception of the managers and senior staff vis-à-vis the perception of junior and frontline staff on the importance of technical dimensions and the interpersonal aspects of service quality. Despite the proven contribution of empathy to patient satisfaction, it was ranked by both groups as the least important among the dimensions examined. The findings of this research are therefore informative of the need to implement strategies that deal effectively with such attitudes and create the platform and programs that reinforce the culture of good quality service amongst healthcare providers, managers in particular, and to improve patient satisfaction.

  19. Work conditions and occupational health of dentists in Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    Suzely Adas Saliba Moimaz

    2014-03-01

    Full Text Available Introduction: work healthy conditions are essential for a great professional performance. Objective: To verify the perception of dentists regarding structural and healthy conditions of dental offices in the Brazilian Public Health System (SUS and their satisfaction with work and public job. Material and Method: In this cross-sectional study, type inquiry, 24 Brazilian dentists were interviewed. The follow variables were asked: cleaning and asepsis; maintenance and time of use of dental equipment; satisfaction with work and public job. Results: The professionals were "satisfied" or "very satisfied" with cleaning and asepsis (66.67%; Dental equipment (54.17%, reflectors (54.17% and the dental chairs (54.17% had more than 24 years of use; 20% of all professionals said that the equipment had maintenance but only to fix them. Of total, 58.33% had already given no attendance for patients and broken equipment was the most frequent cause (92.86%. It was observed satisfaction with work (79.1% and public job (95.83%. It was concluded that dentists who worked in SUS were satisfied with public job, although they had said the need for improvement on structural and healthy work conditions.

  20. Material and human resources for neonatal resuscitation in public maternity hospitals in Brazilian state capitals

    Directory of Open Access Journals (Sweden)

    Maria Fernanda Branco de Almeida

    Full Text Available CONTEXT AND OBJECTIVE: In 2002, the early neonatal mortality rate in Brazil was 12.42 per thousand live births. Perinatal asphyxia was the greatest cause of neonatal death (about 23%. This study aimed to evaluate the availability of the resources required for neonatal resuscitation in delivery rooms of public hospitals in Brazilian state capitals. DESIGN AND SETTING: Multicenter cross-sectional study involving 36 hospitals in 20 Brazilian state capitals in June 2003. METHODS: Each Brazilian region was represented by 1-4% of its live births. A local coordinator collected data regarding physical infrastructure, supplies and professionals available for neonatal resuscitation in the delivery room. The information was analyzed using the Statistical Package for the Social Sciences, version 10. RESULTS: Among the 36 hospitals, 89% were referral centers for high-risk pregnancies. Each institution had a monthly mean of 365 live births (3% < 1,500 g and 15% < 2,500 g. The 36 hospitals had 125 resuscitation tables (3-4 per hospital, all with overhead radiant heat, oxygen and vacuum sources. Appropriate equipment for pulmonary ventilation was available for more than 90% of the 125 resuscitation tables. On average, one pediatrician, three nurses and five nursing assistants per shift worked in the delivery rooms of each institution. Out of the 874 pediatricians and 1,037 nursing personnel that worked in the delivery rooms of the 36 hospitals, 94% and 22%, respectively, were trained in neonatal resuscitation. CONCLUSIONS: The main public maternity hospitals in Brazilian state capitals have the resources to resuscitate neonates at birth.

  1. Lecturers' Job Satisfaction in a Public Tertiary Institution in Singapore: Ambivalent and Non-Ambivalent Relationships between Job Satisfaction and Demographic Variables

    Science.gov (United States)

    Paul, Emily Pakivathy; Phua, Seok Kheng

    2011-01-01

    Increasing lecturer turnover rates and fewer qualified recruits choosing a career in academia threaten the integrity of the tertiary education system in Singapore. The purpose of this study was to ascertain the relationship between lecturers' job satisfaction levels in a public tertiary institution and selected demographic variables. The study…

  2. Incidence of and Risk Factors for Hospital-Acquired Diarrhea in Three Tertiary Care Public Hospitals in Bangladesh

    OpenAIRE

    Bhuiyan, Mejbah Uddin; Luby, Stephen P.; Zaman, Rashid Uz; Rahman, M. Waliur; Sharker, M. A. Yushuf; Hossain, M. Jahangir; Rasul, Choudhury H.; Ekram, A. R. M. Saifuddin; Rahman, Mahmudur; Sturm-Ramirez, Katharine; Azziz-Baumgartner, Eduardo; Gurley, Emily S.

    2014-01-01

    During April 2007–April 2010, surveillance physicians in adult and pediatric medicine wards of three tertiary public hospitals in Bangladesh identified patients who developed hospital-acquired diarrhea. We calculated incidence of hospital-acquired diarrhea. To identify risk factors, we compared these patients to randomly selected patients from the same wards who were admitted > 72 hours without having diarrhea. The incidence of hospital-acquired diarrhea was 4.8 cases per 1,000 patient-days. ...

  3. The underpricing of Brazilian IPOs and the adjustment to public and private information

    Directory of Open Access Journals (Sweden)

    Ricardo R.G. Avelino

    2013-03-01

    Full Text Available This paper examines the underwriters' treatment of information throughout the IPO pricing process based on a sample of Brazilian companies that went public between 2004 and 2011. There is evidence that the offer price partially incorporates the information contained into the Bovespa index during the book-building period, reacting symmetrically to upward and downward movements. The first-day return, as a result, is predictable on the basis of this information. Positive private information disclosed during the book-building period is also partially incorporated into the offer price. Issues priced above the midpoint of the initial price range are associated with higher initial returns.

  4. Gender and Public Understanding of Science: Darwinism in the 19th Century Brazilian Press

    Directory of Open Access Journals (Sweden)

    Moema de Rezende Vergara

    2007-05-01

    Full Text Available In the recent works about Brazilian public understanding of science, gender has been poorly used as an analytical category. This paper has as its main goal to bridge this gap by analyzing a section called ‘Letters for a Lady‘, in the journal O Vulgarizador that sought to teach all about Darwinism to women in the Brazil of the 19th century. So the notion of gender will help us understand the tension between masculinity and femininity in the text written by the literary critic Rangel S. Paio.

  5. School, a Place of Disrespect: Intolerance Against African Religions in Brazilian Public Schools

    Directory of Open Access Journals (Sweden)

    Thula Rafaela de Oliveira Pires

    2016-06-01

    Full Text Available Schools have been a privileged place of violence for blacks in Brazil. Starting from the contingent treatment of religious freedom, this article aims to denounce the perverse relationship between religious intolerance and racism, and how it has impacted the routine of children and adolescents in public schools in Brazil. The analysis of the systematization of the normative framework against religious discrimination in schools intends to reaffirm the commitment of Brazilian democracy with freedom and an education oriented towards respect, autonomy and emancipation.

  6. Domestic violence against women, public policies and community health workers in Brazilian Primary Health Care.

    Science.gov (United States)

    Signorelli, Marcos Claudio; Taft, Angela; Pereira, Pedro Paulo Gomes

    2018-01-01

    Domestic violence creates multiple harms for women's health and is a 'wicked problem' for health professionals and public health systems. Brazil recently approved public policies to manage and care for women victims of domestic violence. Facing these policies, this study aimed to explore how domestic violence against women is usually managed in Brazilian primary health care, by investigating a basic health unit and its family health strategy. We adopted qualitative ethnographic research methods with thematic analysis of emergent categories, interrogating data with gender theory and emergent Brazilian collective health theory. Field research was conducted in a local basic health unit and the territory for which it is responsible, in Southern Brazil. The study revealed: 1) a yawning gap between public health policies for domestic violence against women at the federal level and its practical application at local/decentralized levels, which can leave both professionals and women unsafe; 2) the key role of local community health workers, paraprofessional health promotion agents, who aim to promote dialogue between women experiencing violence, health care professionals and the health care system.

  7. PERCEPTION OF HEALTH´S STUDENTS ABOUT THE BRAZILIAN PUBLIC HEALTH SYSTEM

    Directory of Open Access Journals (Sweden)

    Pâmela Billig Mello-Carpes

    2012-05-01

    Full Text Available The aim of this study was to investigate the perceptions of health’s students of University of Cruz Alta - RS about the Brazilian Health Public System (SUS. The sample consisted of one hundred and sixteen students, most between 18 and 20 years (53% who answered a questionnaire with open and closed questions. Among the main results we verified that: 60.8% of students do not have private health plan, being dependent of SUS, the majority (87.9% identified the SUS as a set of actions and free health services, but other students do confusion between SUS and the brazilian social security system, 27.1% see the SUS as a system focused on lowincome people, 95.2% had never attended a meeting of the Municipal Council Health and 44% believe that those who exercise SUS’s social control is the government. We verified realized difficulty that students have to define and insert into your professional practice important concepts of public health; we verify, thus, the importance of implementation of public policies that involve higher education institutions and enable the transformation of these ideas.

  8. Intraoperative cardiac arrest and mortality in trauma patients. A 14-yr survey from a Brazilian tertiary teaching hospital.

    Science.gov (United States)

    Carlucci, Marcelo T O; Braz, José R C; do Nascimento, Paulo; de Carvalho, Lidia R; Castiglia, Yara M M; Braz, Leandro G

    2014-01-01

    Little information on the factors influencing intraoperative cardiac arrest and its outcomes in trauma patients is available. This survey evaluated the associated factors and outcomes of intraoperative cardiac arrest in trauma patients in a Brazilian teaching hospital between 1996 and 2009. Cardiac arrest during anesthesia in trauma patients was identified from an anesthesia database. The data collected included patient demographics, ASA physical status classification, anesthesia provider information, type of surgery, surgical areas and outcome. All intraoperative cardiac arrests and deaths in trauma patients were reviewed and grouped by associated factors and also analyzed as totally anesthesia-related, partially anesthesia-related, totally surgery-related or totally trauma patient condition-related. Fifty-one cardiac arrests and 42 deaths occurred during anesthesia in trauma patients. They were associated with male patients (Pundergoing gastroenterological or multiclinical surgeries (Ptrauma (Ptrauma patient condition. Intraoperative cardiac arrest and mortality incidence was highest in male trauma patients at a younger age with poor clinical condition, mainly related to uncontrolled hemorrhage and head injury, resulted from motor vehicle accidents and violence.

  9. Intraoperative cardiac arrest and mortality in trauma patients. A 14-yr survey from a Brazilian tertiary teaching hospital.

    Directory of Open Access Journals (Sweden)

    Marcelo T O Carlucci

    Full Text Available BACKGROUND: Little information on the factors influencing intraoperative cardiac arrest and its outcomes in trauma patients is available. This survey evaluated the associated factors and outcomes of intraoperative cardiac arrest in trauma patients in a Brazilian teaching hospital between 1996 and 2009. METHODS: Cardiac arrest during anesthesia in trauma patients was identified from an anesthesia database. The data collected included patient demographics, ASA physical status classification, anesthesia provider information, type of surgery, surgical areas and outcome. All intraoperative cardiac arrests and deaths in trauma patients were reviewed and grouped by associated factors and also analyzed as totally anesthesia-related, partially anesthesia-related, totally surgery-related or totally trauma patient condition-related. FINDINGS: Fifty-one cardiac arrests and 42 deaths occurred during anesthesia in trauma patients. They were associated with male patients (P<0.001 and young adults (18-35 years (P=0.04 with ASA physical status IV or V (P<0.001 undergoing gastroenterological or multiclinical surgeries (P<0.001. Motor vehicle crashes and violence were the main causes of trauma (P<0.001. Uncontrolled hemorrhage or head injury were the most significant associated factors of intraoperative cardiac arrest and mortality (P<0.001. All cardiac arrests and deaths reported were totally related to trauma patient condition. CONCLUSIONS: Intraoperative cardiac arrest and mortality incidence was highest in male trauma patients at a younger age with poor clinical condition, mainly related to uncontrolled hemorrhage and head injury, resulted from motor vehicle accidents and violence.

  10. External control of the public water supply in 29 Brazilian cities

    Directory of Open Access Journals (Sweden)

    Suzely Adas Saliba Moimaz

    2012-02-01

    Full Text Available The fluoridation of public water supplies is considered the most efficient public health measure for dental caries prevention. However, fluoride levels in the public water supply must be kept constant and adequate for the population to gain preventive benefit. The aim of this study was to analyze fluoride levels in the public water supply of 29 Brazilian municipalities during a 48-month period from November 2004 to October 2008. Three collection sites were defined for each source of municipal public water supply. Water samples were collected monthly and analyzed at the Research Laboratory of the Nucleus for Public Health (NEPESCO, Public Health Postgraduate Program, Araçatuba Dental School (UNESP. Of the 6862 samples analyzed, the fluoride levels of 53.5% (n = 3671 were within the recommended parameters, those of 30.4% (n = 2084 were below these parameters, and those of 16.1% (n = 1107 were above recommended values. Samples from the same collection site showed temporal variability in fluoride levels. Variation was also observed among samples from collection sites with different sources within the same municipality. Although 53.5% of the samples contained the recommended fluoride levels, these findings reinforce the importance of monitoring to minimize the risk of dental fluorosis and to achieve the maximum benefit in the prevention of dental caries.

  11. Clinical Presentation and Outcomes among Children with Sepsis Presenting to a Public Tertiary Hospital in Tanzania.

    Science.gov (United States)

    Kortz, Teresa Bleakly; Sawe, Hendry R; Murray, Brittany; Enanoria, Wayne; Matthay, Michael Anthony; Reynolds, Teri

    2017-01-01

    Pediatric sepsis causes significant global morbidity and mortality and low- and middle-income countries (LMICs) bear the bulk of the burden. International sepsis guidelines may not be relevant in LMICs, especially in sub-Saharan Africa (SSA), due to resource constraints and population differences. There is a critical lack of pediatric sepsis data from SSA, without which accurate risk stratification tools and context-appropriate, evidence-based protocols cannot be developed. The study's objectives were to characterize pediatric sepsis presentations, interventions, and outcomes in a public Emergency Medicine Department (EMD) in Tanzania. Prospective descriptive study of children (28 days to 14 years) with sepsis [suspected infection with ≥2 clinical systemic inflammatory response syndrome (SIRS) criteria] presenting to a tertiary EMD in Dar es Salaam, Tanzania (July 1 to September 30, 2016). Outcomes included: in-hospital mortality (primary), EMD mortality, and hospital length of stay. We report descriptive statistics using means and SDs, medians and interquartile ranges, and counts and percentages as appropriate. Predictive abilities of SIRS criteria, the Alert-Verbal-Painful-Unresponsive (AVPU) score and the Lambaréné Organ Dysfunction Score (LODS) for in-hospital, early and late mortality were tested. Of the 2,232 children screened, 433 (19.4%) met inclusion criteria, and 405 were enrolled. There were 247 (61%) subjects referred from an outside facility. Approximately half (54.1%) received antibiotics in the EMD, and some form of microbiologic culture was collected in 35.8% ( n  = 145) of subjects. In-hospital and EMD mortality were 14.2 and 1.5%, respectively, median time to death was 3 days (IQR 1-6), and median length of stay was 6 days (IQR 1-12). SIRS criteria, the AVPU score, and the LODS had low positive (17-27.1, 33.3-43.9, 18.3-55.6%, respectively) and high negative predictive values (88.6-89.8, 86.5-91.2, 86.8-90.5%, respectively) for in

  12. Attitudes and Perceptions of the Brazilian Public Health System by Transgender Individuals

    Directory of Open Access Journals (Sweden)

    Kátia Bones Rocha

    2009-05-01

    Full Text Available This study aims to describe how transgender people perceive services offered by the Brazilian Public Health System (SUS. This qualitative study, using the phenomenological technique, is based on eight semi-structured interviews conducted with individuals whose gender identity and/or gender expression differs from the sex they were assigned at birth. Each interview was evaluated by two interviewers and a content analysis performed by all members of the research group. The analysis identified the following categories as having high relevance to the participants’ experiences: homophobia, receptiveness, and humanization, access to health care, and suggestions to improve the SUS. Information shared by participants emphasized their belief that health care professionals are not adequately prepared to assist transgendered individuals and that health care providers should use a more sensitive approach towards them. A recurrent theme was the need to use appropriate and socially acceptable terminology when providing health care services in order to facilitate transgendered individuals' inclusive treatment. Despite the effort of Brazilian authorities, there is a need for significant improvement in health care practices in order to comply with SUS quality standards. This study highlights the importance of qualitative investigations to improve planning and to help define public health policies with the goal of including the most vulnerable and marginalized groups of the population. URN: urn:nbn:de:0114-fqs0902281

  13. Financial statement in the Brazilian public sector: The perception of the professionals that prepare that information.

    Directory of Open Access Journals (Sweden)

    João Eudes de Souza Calado

    2016-12-01

    Full Text Available The objective of this paper is to identify the perception of the developers of the financial statements of public sector in respect to their difficulties in producing and disseminating such information, after the convergence of Brazil to the international standards IPSAS. Our methodological approach used multivariate descriptive techniques. Data was obtained through a survey, applied to professionals involved in the process of preparing the financial statement in the Brazilian public sector. The sample had 69 respondents, which corresponds to the perception of 85% of states and 46% of Brazilian cities. Data analysis was conducted using exploratory factor analysis. Results indicated that two perceptions of difficulties stood out: 1 the relevance of the information - its quality was not considered as being able to guide the internal user (decision-making or external user; 2 and the process of adaptation to the new standards - relationship between time and cost for adaptation. They also indicated the predominant focus on the Budget and the low adhesion to the Cash Flow Statement.

  14. Implementation of a trauma registry in a brazilian public hospital: the first 1,000 patients

    Directory of Open Access Journals (Sweden)

    Paulo Roberto Lima Carreiro

    Full Text Available OBJECTIVE: Show the steps of a Trauma Registry (TR implementation in a Brazilian public hospital and evaluate the initial data from the database.METHODS: Descriptive study of the a TR implementation in João XXIII Hospital (Hospital Foundation of the state of Minas Gerais and analysis of the initial results of the first 1,000 patients.RESULTS: The project was initiated in 2011 and from January 2013 we began collecting data for the TR. In January 2014 the registration of the first 1000 patients was completed. The greatest difficulties in the TR implementation were obtaining funds to finance the project and the lack of information within the medical records. The variables with the lowest completion percentage on the physiological conditions were: pulse, blood pressure, respiratory rate and Glasgow coma scale. Consequently, the Revised Trauma Score (RTS could be calculated in only 31% of cases and the TRISS methodology applied to 30.3% of patients. The main epidemiological characteristics showed a predominance of young male victims (84.7% and the importance of aggression as a cause of injuries in our environment (47.5%, surpassing traffic accidents. The average length of stay was 6 days, and mortality 13.7%.CONCLUSION: Trauma registries are invaluable tools in improving the care of trauma victims. It is necessary to improve the quality of data recorded in medical records. The involvement of public authorities is critical for the successful implementation and maintenance of trauma registries in Brazilian hospitals.

  15. Implementation of a trauma registry in a Brazilian public hospital: the first 1,000 patients.

    Science.gov (United States)

    Carreiro, Paulo Roberto Lima; Drumond, Domingos André Fernandes; Starling, Sizenando Vieira; Moritz, Mônica; Ladeira, Roberto Marini

    2014-01-01

    Show the steps of a Trauma Registry (TR) implementation in a Brazilian public hospital and evaluate the initial data from the database. Descriptive study of the a TR implementation in João XXIII Hospital (Hospital Foundation of the state of Minas Gerais) and analysis of the initial results of the first 1,000 patients. The project was initiated in 2011 and from January 2013 we began collecting data for the TR. In January 2014 the registration of the first 1000 patients was completed. The greatest difficulties in the TR implementation were obtaining funds to finance the project and the lack of information within the medical records. The variables with the lowest completion percentage on the physiological conditions were: pulse, blood pressure, respiratory rate and Glasgow coma scale. Consequently, the Revised Trauma Score (RTS) could be calculated in only 31% of cases and the TRISS methodology applied to 30.3% of patients. The main epidemiological characteristics showed a predominance of young male victims (84.7%) and the importance of aggression as a cause of injuries in our environment (47.5%), surpassing traffic accidents. The average length of stay was 6 days, and mortality 13.7%. Trauma registries are invaluable tools in improving the care of trauma victims. It is necessary to improve the quality of data recorded in medical records. The involvement of public authorities is critical for the successful implementation and maintenance of trauma registries in Brazilian hospitals.

  16. Preoperative multidisciplinary program for bariatric surgery: a proposal for the Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    Elinton Adami CHAIM

    Full Text Available ABSTRACT BACKGROUND Bariatric surgery has become the gold standard treatment for morbid obesity, but access to surgery remains difficult and low compliance to postoperative follow-up is common. To improve outcomes, enable access and optimize follow-up, we developed a multidisciplinary preoperative approach for bariatric surgery. OBJECTIVE To determine the impact of this program in the outcomes of bariatric surgery in the Brazilian public health system. METHODS A prospective evaluation of the individuals who underwent a preoperative multidisciplinary program for bariatric surgery and comparison of their surgical outcomes with those observed in the prospectively collected historical database of the individuals who underwent surgery before the beginning of the program. RESULTS There were 176 individuals who underwent the multidisciplinary program and 226 who did not. Individuals who underwent the program had significantly lower occurrence of the following variables: hospital stay; wound dehiscence; wound infection; pulmonary complications; anastomotic leaks; pulmonary thromboembolism; sepsis; incisional hernias; eventrations; reoperations; and mortality. Both loss of follow-up and weight loss failure were also significantly lower in the program group. CONCLUSION The adoption of a comprehensive preoperative multidisciplinary approach led to significant improvements in the postoperative outcomes and also in the compliance to the postoperative follow-up. It represents a reproducible and potentially beneficial approach within the context of the Brazilian public health system.

  17. [Market and public policy network failures: challenges and possibilities for the Brazilian Unified Health System].

    Science.gov (United States)

    Pinheiro Filho, Francisco Percival; Sarti, Flávia Mori

    2012-11-01

    The principles and guidelines of the Brazilian Unified Health System (SUS) impose a healthcare service structure based on public policy networks which, combined with the financing model adopted, leads to market failings. This imposes barriers to the management of the public health system and the enactment of SUS objectives. The institutional characteristics and the heterogeneity of players, allied to the existence of different healthcare approaches, generate analytical complexity in the study of the global dynamics of the SUS network. There are limitations in the use of quantitative methods based on static analysis of retrospective SUS data. Thus, an approach taking SUS as a complex system using innovative quantitative methodology based on computational simulation is proposed. This paper sought to analyze challenges and possibilities of the combined application of cellular automata modeling and agent-based modeling for simulation of the evolution of the SUS healthcare service network. This approach should permit better understanding of the organization, heterogeneity and structural dynamics of the SUS service network and a minimization of the effects of market failings on the Brazilian health system.

  18. The Emergence of Viagra in the Brazilian Public Scenario: Discourses on Body, Gender and Sexuality in the Media

    Directory of Open Access Journals (Sweden)

    Mauro Brigeiro

    2009-01-01

    Full Text Available This work proposes an anthropological reflection on the images and discourses of the body and the sexuality in the Brazilian society, focusing on a particular social phenomenon: the emergence of the Viagra in the national public scenario. This article explores the connotations constructed and confirmed by the Brazilian media press about this drug. Two Brazilian newspapers belonging to the same publisher but aimed at different publics were analyzed from April 1998 to April 1999, period that corresponds to the beginning – and apex – of the debate on the Viagra in the country. The discussion focuses on the symbolism and discursive strategies utilized by the newspapers when presenting this medication to the general public. This article also draws the attention to an appeal to traditional logics of gender, despite a contemporary scenario of issues concerning the relationships among the sexes and the sexuality.

  19. Case Study in Public Administration: A Critical Review of Brazilian Scientific Production

    Directory of Open Access Journals (Sweden)

    Mariana Guerra

    2015-03-01

    Full Text Available This paper presents a critical review of 47 articles published between 2006 and 2011 to identify how case studies have been applied in Brazilian research on public administration. In addition to their theoretical and methodological characteristics, four further specific topics of interest were addressed: (a what is meant by case study; (b the relationship between the phenomenon of interest and the case under investigation; (c the possibility of replication; and (d how the supposed method contributes towards the development of the field of public administration. The main inconsistencies found were: the methodological descriptions are confusing; the results are inconsistent compared with data gathering procedures and data analysis techniques; a lack of information about the number of interviewed individuals; and no descriptions of research variables. The results suggest the reviewed case studies present methodological inconsistencies and limitations, which undermine their scientific value and relevance to academic work in Brazil.

  20. [Brazilian bibliographical output on public oral health in public health and dentistry journals].

    Science.gov (United States)

    Celeste, Roger Keller; Warmling, Cristine Maria

    2014-06-01

    The scope of this paper is to describe characteristics of the scientific output in the area of public oral health in journals on public health and dentistry nationwide. The Scopus database of abstracts and quotations was used and eight journals in public health, as well as ten in dentistry, dating from 1947 to 2011 were selected. A research strategy using key words regarding oral health in public health and key words about public health in dentistry was used to locate articles. The themes selected were based on the frequency of key words. Of the total number of articles, 4.7% (n = 642) were found in oral health journals and 6.8% (n = 245) in public health journals. Among the authors who published most, only 12% published in both fields. There was a percentile growth of public oral health publications in dentistry journals, though not in public health journals. In dentistry, only studies indexed as being on the topic of epidemiology showed an increase. In the area of public health, planning was predominant in all the phases studied. Research to evaluate the impact of research and postgraduate policies in scientific production is required.

  1. Ethics in the publication of studies on human visceral leishmaniasis in Brazilian periodicals.

    Science.gov (United States)

    Malafaia, Guilherme; Rodrigues, Aline Sueli de Lima; Talvani, André

    2011-02-01

    To analyze ethical aspects of Brazilian articles on human visceral leishmaniasis, published after Resolution CNS 196/1996, and to analyze the policy on Brazilian periodicals on research ethics. An explanatory study with a bibliographical and documental nature was conducted. Selection of publications on research involving human beings since 1996 was performed in the SciELO Brazil database. Gaps associated with editorial policies on medical periodicals, based on information obtained from the "Instructions to authors" section of each periodical, were analyzed. While there were no articles on the compliance with ethical aspects in the first four-year period (from 1997 to 2000), 75% fulfilled at least one of the ethical requirements evaluated in the first year (2009) of a subsequent four-year period (from 2009 to 2012). A total of six out of 11 periodicals indicated that the information about ethical aspects should be mentioned in the body of the article. There were three periodicals that required a letter or document, informing about compliance with these aspects and signed by the author(s), to be sent; two that requested a copy of the document used to obtain the free and informed consent; one that clarified the need of a copy to authorize the approval by the Committee on Ethics in Research; and four in which no requirements of ethical aspects were found. There was an improvement in the description of compliance with ethical aspects found in articles. Standardization of ethical requirements for human research in Brazilian periodicals is suggested. This could promote compliance with the presuppositions of documents regulating human research.

  2. Materiality in Public Sector Financial Audit: International Practice and the Opinion of Brazilian Experts

    Directory of Open Access Journals (Sweden)

    Juliane Madeira Leitão

    2016-04-01

    Full Text Available Materiality in private sector financial audit is a topic that has been relatively well developed in the literature. Specific research in this regard in public sector auditing, on the other hand, is scarce at the international level and absent in Brazil. In view of this, the purpose of this study was to identify the parameters used to determine materiality in public sector financial audit. To this end, we sent questionnaires to the 192 Supreme Audit Institutions that are members of INTOSAI and to 36 Brazilian public auditors, specialists in financial audit, who are staff members of the TCU or the CGU seeking information with respect to the Institutions’ guidelines and the auditors’ perceptions about materiality. Results reveal that expenditures, revenues and total assets are the benchmarks most recommended by respondents for defining materiality in the public sector. In addition, they recommended the adoption of percentages of up to 2% for each of these parameters in defining what is material. It was observed, as well, especially with respect to the effectiveness of internal control and to public expectations or interests, that qualitative aspects should be also taken into account in determining materiality, although a lesser degree of importance is attributed to this than to the quantitative aspects,. The study contributes to the accounting literature on the development of audits, particularly with respect to the use of a concept, materiality, that is always emphasized in professional standards, but about which there are few objective guidelines.

  3. Cardiac Surgery Costs According to the Preoperative Risk in the Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    David Provenzale Titinger

    2015-01-01

    Full Text Available Abstract Background: Heart surgery has developed with increasing patient complexity. Objective: To assess the use of resources and real costs stratified by risk factors of patients submitted to surgical cardiac procedures and to compare them with the values reimbursed by the Brazilian Unified Health System (SUS. Method: All cardiac surgery procedures performed between January and July 2013 in a tertiary referral center were analyzed. Demographic and clinical data allowed the calculation of the value reimbursed by the Brazilian SUS. Patients were stratified as low, intermediate and high-risk categories according to the EuroSCORE. Clinical outcomes, use of resources and costs (real costs versus SUS were compared between established risk groups. Results: Postoperative mortality rates of low, intermediate and high-risk EuroSCORE risk strata showed a significant linear positive correlation (EuroSCORE: 3.8%, 10%, and 25%; p < 0.0001, as well as occurrence of any postoperative complication EuroSCORE: 13.7%, 20.7%, and 30.8%, respectively; p = 0.006. Accordingly, length-of-stay increased from 20.9 days to 24.8 and 29.2 days (p < 0.001. The real cost was parallel to increased resource use according to EuroSCORE risk strata (R$ 27.116,00 ± R$ 13.928,00 versus R$ 34.854,00 ± R$ 27.814,00 versus R$ 43.234,00 ± R$ 26.009,00, respectively; p < 0.001. SUS reimbursement also increased (R$ 14.306,00 ± R$ 4.571,00 versus R$ 16.217,00 ± R$ 7.298,00 versus R$ 19.548,00 ± R$935,00; p < 0.001. However, as the EuroSCORE increased, there was significant difference (p < 0.0001 between the real cost increasing slope and the SUS reimbursement elevation per EuroSCORE risk strata. Conclusion: Higher EuroSCORE was related to higher postoperative mortality, complications, length of stay, and costs. Although SUS reimbursement increased according to risk, it was not proportional to real costs.

  4. The Double-entry Bookkeeping Committee of 1914 and the Brazilian Public Accounting System

    Directory of Open Access Journals (Sweden)

    Tiago Villac Adde

    2014-12-01

    Full Text Available The history of Brazilian accounting has not been explored at length. Through a historical survey, this article presents the history of the Double-entry Bookkeeping Committee of 1914. After the Proclamation of the Republic was announced in 1889, the government started to expand its administrative bodies, necessitating the introduction of a bureaucracy able to perform new functions. In the same period, Brazil experienced a strong economic development with the development of its coffee industry. In 1905, under the leadership of Carlos de Carvalho, São Paulo State Treasury bookkeeping tasks were introduced under a double-entry bookkeeping system and through accrual and financial accounting. Double-entry bookkeeping practices in the federal public accounting system, although enshrined in law since 1808, were only fully realized after the creation of the Double-entry Bookkeeping Committee in 1914. In that same year, due to the negotiation of a second funding loan, English creditor bank auditors requested a balance of the National Treasury from the Minister of Finance Rivadávia Corrêa. Because the balance had not been prepared in eight years, the Double-entry Bookkeeping Committee was established in June of 1914, and this body completed a technical audit of Revenues and Expenditures. The committee also conducted the state administration's first Asset and Liability audit since the colonial era. The Double-entry Bookkeeping Committee of 1914 spearheaded changes to the Brazilian public accounting system, including the creation of the Public Accounting Code in 1922 and the approval of Central Accounting Office of the Republic regulation in 1924, strengthening and ascribing perpetuity to practices adopted after 1914.

  5. Clinical Presentation and Outcomes among Children with Sepsis Presenting to a Public Tertiary Hospital in Tanzania

    Directory of Open Access Journals (Sweden)

    Teresa Bleakly Kortz

    2017-12-01

    Full Text Available BackgroundPediatric sepsis causes significant global morbidity and mortality and low- and middle-income countries (LMICs bear the bulk of the burden. International sepsis guidelines may not be relevant in LMICs, especially in sub-Saharan Africa (SSA, due to resource constraints and population differences. There is a critical lack of pediatric sepsis data from SSA, without which accurate risk stratification tools and context-appropriate, evidence-based protocols cannot be developed. The study’s objectives were to characterize pediatric sepsis presentations, interventions, and outcomes in a public Emergency Medicine Department (EMD in Tanzania.MethodsProspective descriptive study of children (28 days to 14 years with sepsis [suspected infection with ≥2 clinical systemic inflammatory response syndrome (SIRS criteria] presenting to a tertiary EMD in Dar es Salaam, Tanzania (July 1 to September 30, 2016. Outcomes included: in-hospital mortality (primary, EMD mortality, and hospital length of stay. We report descriptive statistics using means and SDs, medians and interquartile ranges, and counts and percentages as appropriate. Predictive abilities of SIRS criteria, the Alert-Verbal-Painful-Unresponsive (AVPU score and the Lambaréné Organ Dysfunction Score (LODS for in-hospital, early and late mortality were tested.ResultsOf the 2,232 children screened, 433 (19.4% met inclusion criteria, and 405 were enrolled. There were 247 (61% subjects referred from an outside facility. Approximately half (54.1% received antibiotics in the EMD, and some form of microbiologic culture was collected in 35.8% (n = 145 of subjects. In-hospital and EMD mortality were 14.2 and 1.5%, respectively, median time to death was 3 days (IQR 1–6, and median length of stay was 6 days (IQR 1–12. SIRS criteria, the AVPU score, and the LODS had low positive (17–27.1, 33.3–43.9, 18.3–55.6%, respectively and high negative predictive values (88.6–89.8, 86.5

  6. Brazilian abstracts presented at the American Urological Association annual meetings: contribution, publication rates, and comparison with oncology abstracts.

    Science.gov (United States)

    Arap, Marco A; Reis, Rodolfo Borges dos; Torricelli, Fábio César Miranda; Masson, André L S; Saad, Everardo D

    2014-01-01

    Scientific research originating from Brazil appears to be rising in several medical fields. Research results are often presented at scientific meetings before publication in peer-reviewed journals. We investigated the publication rate of Brazilian studies presented in American Urological Association (AUA) meetings and compared with the rate of publication of Brazilian oncological studies presented at the American Society of Clinical Oncology (ASCO) meetings. a hand search of 12,454 abstracts presented at aua meetings 2001-2007 was conducted. abstracts for which at least two-thirds of institutions were from brazil were considered as brazilian. final publication was searched in pubmed and lilacs databases. oncological abstracts were also hand searched in the asco meetings proceedings in the same years. There was no significant temporal trend in the proportion of AUA studies originating from Brazil along those 7 years. A total of 195 abstracts (1.57%) were from Brazil. One hundred (51.3%) abstracts were published in full, and the estimated 5-year publication rate was 48.2%. There was a progressive increase in publication rates for studies categorized as video, poster, and podium presentations. Considering abstracts presented in years 2001-2005, urologic publication rate was significantly higher than for abstracts presented at the ASCO meeting. Our results suggest that the Brazilian contribution to AUA meetings is at a plateau and that the Brazilian literature contribution is greater in urology than in oncology. Efforts must be invested towards raising this plateau and understanding qualitative aspects of the urology scientific output from Brazil.

  7. FISH REPRODUCTION: BIBLIOMETRIC ANALYSIS OF WORLDWIDE AND BRAZILIAN PUBLICATIONS IN SCOPUS DATABASE

    Directory of Open Access Journals (Sweden)

    Marcella Costa RADAEL

    2015-12-01

    Full Text Available Reproduction is a fundamental part of life being and studies related to fish reproduction have been much accessed. The aim of this study was to perform a bibliometric analysis in intend to identify trends in this kind of publication. During June 2013, were performed searches on Scopus Database, using the term “fish reproduction”, being compiled and presented information related to the number of publications per year, number of publications by country, publications by author, by journal, by institution and most used keywords. Based on the study, it was possible to obtain the following results: Brazil occupies a highlight position in number of papers, being that the Brazilian participation compared to worldwide publishing production is having an exponential increase; in Brazil, there is a high concentration of articles when concerning the top 10 authors and institutions. The present study allows verifying that the term “fish reproduction” has been focused by many scientific papers, being that in Brazil there is a special research effort related to this subject, especially in the last few years. The main contribution concerns to the use of bibliometric methods to describe the growth and concentration of researches in the area of fishfarm and reproduction.

  8. Comparison of neuropsychological performance between students from public and private Brazilian schools.

    Science.gov (United States)

    Casarin, Fabíola Schwengber; Wong, Cristina Elizabeth Izábal; Parente, Maria Alice de Mattos Pimenta; de Salles, Jerusa Fumagalli; Fonseca, Rochele Paz

    2012-11-01

    Neuropsychological assessment reveals that certain cognitive changes that take place during the neural development process may be associated with biopsychosocial issues. A substantial body of research has focused on cognitive development in children and adults, but few such studies have been carried out on adolescents. Therefore, research into the processing of neuropsychological functions in adolescents, taking into account the role of major socio-cultural factors such as school type (public vs. private), is highly relevant. The present study sought to assess whether differences in neuropsychological development exist between adolescent students of public (government-funded) and private schools. A total of 373 grade-matched students between the ages of 12 and 18, 190 from public schools and 183 from private schools, took part in the study. All subjects had no self-reported neurologic or psychiatric conditions and sensory disorders. The NEUPSILIN Brazilian Brief Neuropsychological Assessment Battery was administered to this sample. Comparison of mean scores (one-way ANCOVA with socioeconomic score and age as covariates) showed that adolescents attending private schools generally outperformed their public-school peers in tasks involving sustained attention, memory (working and visual), dictated writing, and constructional and reflective abilities. We conclude that school type should be taken into account during standardization of neuropsychological assessment instruments for adolescent and, probably, child populations.

  9. Analysis of Brazilian publications on distance education in nursing: integrative review.

    Science.gov (United States)

    Tavares, Ana Paula Cardoso; Leite, Bruna Silva; Silveira, Isabelle Andrade; Santos, Thayane Dias Dos; Brito, Willian de Andrade Pereira de; Camacho, Alessandra Conceição Leite Funchal

    2018-01-01

    To analyze the publications that focus on distance education in nursing in Brazil from 2010 to 2016. Integrative review of the literature with data collection in June 2016 in the following databases: LILACS, MEDLINE via PUBMED, CINAHL and SCOPUS. For the data analysis and interpretation, the thematic categorization was chosen. We selected 18 articles for discussion, whose textual analysis permitted the construction of three thematic categories: use of virtual technologies for distance education in nursing; construction of virtual learning environments with the aid of virtual technologies for distance education in nursing; and evaluation of the learning process through virtual technologies for distance education of nurses. Distance Education stands out as an effective teaching-learning strategy in this type of education in Brazilian nursing, focused mainly on the improvement and complement of traditional teaching.

  10. Analysis of Brazilian publications on distance education in nursing: integrative review

    Directory of Open Access Journals (Sweden)

    Ana Paula Cardoso Tavares

    Full Text Available ABSTRACT Objective: To analyze the publications that focus on distance education in nursing in Brazil from 2010 to 2016. Method: Integrative review of the literature with data collection in June 2016 in the following databases: LILACS, MEDLINE via PUBMED, CINAHL and SCOPUS. For the data analysis and interpretation, the thematic categorization was chosen. Results: We selected 18 articles for discussion, whose textual analysis permitted the construction of three thematic categories: use of virtual technologies for distance education in nursing; construction of virtual learning environments with the aid of virtual technologies for distance education in nursing; and evaluation of the learning process through virtual technologies for distance education of nurses. Conclusion: Distance Education stands out as an effective teaching-learning strategy in this type of education in Brazilian nursing, focused mainly on the improvement and complement of traditional teaching.

  11. Insufficient free-time physical activity and occupational factors in Brazilian public school teachers.

    Science.gov (United States)

    Dias, Douglas Fernando; Loch, Mathias Roberto; González, Alberto Durán; Andrade, Selma Maffei de; Mesas, Arthur Eumann

    2017-07-20

    To evaluate if perceived occupational factors are associated with insufficient free-time physical activity in Brazilian public school teachers. The relationship between insufficient physical activity (contrato de trabalho temporário (RP = 1,13; IC95% 1,03-1,25). Ministrar disciplina de educação física associou-se com menor prevalência de atividade física insuficiente (RP = 0,78; IC95% 0,64-0,95). A percepção de condições de trabalho negativas associa-se à maior prevalência de atividade física insuficiente em professores e devem ser consideradas para a promoção de atividade física nessa população.

  12. Internal Communication in the Public Management: The Case of a Brazilian Federal Public Authority

    Directory of Open Access Journals (Sweden)

    Priscila Reinaldo Marson

    2013-03-01

    Full Text Available The intention of this article is to present a case study on the adoption and use of new channels of internal communication in a federal public autarchy. The study was conducted at the National Institute of Social Security, in São Paulo, between July 2008 and July 2009, and aimed to monitor the period in which a new internal communication plan was developed and implemented in its initial phase. The research methodology used was the case study, consisting of documentary analysis, field research and in-depth interviews conducted with the institution’s public employees. As a result, it was possible to observe the internal resistance and the difficulties encountered in the management of the new plan. Among its conclusions, the study highlights the need for a previous study on the conditions of relationships and practices developed in a public service unit at the adoption of new communication tools. It also highlights the importance of planning and management actions in the implementation of the intended communication actions, including internal marketing efforts to sensitize users about the meaning and importance of internal communication in promoting greater agility and efficiency in the workplace, in order to offer best public services to users.

  13. Return to work after renal transplantation: a study of the Brazilian Public Social Security System.

    Science.gov (United States)

    Messias, Alexandre Augusto; Reichelt, Angela J; Dos Santos, Edson F; Albuquerque, Galton C; Kramer, José S P; Hirakata, Vania N; Garcia, Valter D

    2014-12-15

    Return to work is an objective parameter used worldwide to evaluate the success of organ transplantation and is especially feasible after renal transplantation. This study sought to describe the frequency of return to work after renal transplantation and related characteristics. Retrospective cohort of 511 isolated kidney transplant recipients was recruited from a Brazilian referral center from January 2005 to December 2009; all were matched to the public social security database to determine inclusion and benefit awards, as well as the rate of resumption of contributions to the public social security system, a surrogate marker of work rehabilitation. Characteristics associated with work return were analyzed. No social security records were found for 28 subjects. The remaining 483 subjects had a mean age of 45±13 years; 62% were male; 401 (83%) received some public social security benefit; 298 were paying dues and could, therefore, receive temporary or permanent disability benefits. Of these, 78 subjects made social security payments after transplantation, resulting in a work return rate of 26% (95% confidence interval, 21-32). Younger age, living donor graft, and chronic glomerulonephritis were significantly associated with return to work. In Brazil, most renal transplant recipients are on social security benefits, but only a small proportion return to work after surgery. Clinical characteristics may help define work resumption trends.

  14. Analysis of Long-Term Performance of Initial Public Offerings in the brazilian stock market

    Directory of Open Access Journals (Sweden)

    Elisa Elaine Moreira Teixeira

    2012-07-01

    Full Text Available DOI: http://dx.doi.org/10.5007/2175-8077.2012v14n33p79 This paper describes the results of a twofold study that compared the performance of Initial Public Offering (IPOs in the Brazilian stock market with that of incorporated company in 2004 and 2005 and also checked if these IPOs were included in the Bovespa Index (IBOV in this period. We first collected data on stock price variations every year subsequent to the public offering. Thereafter, we compared the IPOs’ rates with those of the public corporations. The results show that 81.25% of the IPOs had positive returns in the first and the second years of anniversary, and only 50% of them had positive return in the third year. The youngest companies had the highest returns, and 45% of them were included in the IBOV in the period under scrutiny. The comparison of the ratios showed that IPOs of any age are more valued than the comparison companies. As a conclusion, we can say that the IPOs’ performance was significantly better than that of the comparison companies in the period studied.

  15. A Decision Support System for Land Allocation under Multiple Objectives in Public Production Forests in the Brazilian Amazon

    Directory of Open Access Journals (Sweden)

    Marco W. Lentini

    2010-01-01

    Full Text Available Logging in natural forests is a vital economic activity in the Brazilian Amazon. However, illegal and unplanned logging is exhausting forests rapidly. In 2006, a new forestry law in Brazil (Lei 11,284/2006 established the legal framework to develop state and national public forests for multiple uses. To support public forest planning efforts, we combine spatially explicit data on logging profits, biodiversity, and potential for community use for use within a forest planning optimization model. While generating optimal land use configurations, the model enables an assessment of the market and nonmarket tradeoffs associated with different land use priorities. We demonstrate the model's use for Faro State Forest, a 636,000 ha forest embedded within a large mosaic of conservation units recently established in the state of Pará. The datasets used span the entire Brazilian Amazon, implying that the analysis can be repeated for any public forest planning effort within the region.

  16. The macro-environment for liquid Biofuels in Brazilian science and public policies

    OpenAIRE

    E. Talamini; H. Dewes

    2012-01-01

    The purpose of this study is to identify the macro-environmental dimensions through which Brazilian scientists and government officials have framed issues surrounding liquid biofuels over a period of time. This study analyzes scientific papers published by researchers affiliated with Brazilian institutions and official documents of the Brazilian government related to liquid biofuels. Documents published during a ten-year period (1997--2006) were collected from electronic sources. Text-mining ...

  17. Accessibility to Specialized Public Oral Health Services from the Perspective of Brazilian Users

    Science.gov (United States)

    de Castro, Ricardo Dias; Rangel, Marianne de Lucena; da Silva, Marcos André Azevedo; de Lucena, Brunna Thaís Lucwu; Cavalcanti, Alessandro Leite; Bonan, Paulo Rogério Ferreti; Oliveira, Julyana de Araújo

    2016-01-01

    The Specialized Dental Clinics (SDCs) represent the first government initiative in Latin America aimed at providing specialized oral health services. This study sought to evaluate the organizational accessibility to specialized oral health care services in Brazil and to understand the factors that may be associated with accessibility from the user’s perspective. This epidemiological, cross-sectional and quantitative study was conducted by means of interviews with individuals who sought specialized public oral health services in the city of João Pessoa, Paraíba, Brazil, and consisted of a sample of 590 individuals. Users expressed a favorable view of the classification and resolutive nature of specialized services offered by Brazilian public health. The binary logistic regression analysis revealed weak points highlighting the difficulty involved in obtaining such treatments leading to unfavorable evaluations. In the resolutive nature item, difficulty in accessing the location, queues and lack of materials and equipment were highlighted as statistically significant unfavorable aspects. While many of the users considered the service to be resolutive, weaknesses were mentioned that need to be detected to promote improvements and to prevent other health models adopted worldwide from reproducing the same flaws. PMID:27775584

  18. Smoke-free policies in New Zealand public tertiary education institutions.

    Science.gov (United States)

    Robertson, Lindsay A; Marsh, L

    2015-04-01

    The Framework Convention on Tobacco Control mandates the creation of smoke-free environments to protect non-smokers from second-hand smoke and reduce demand for tobacco. We aimed to examine the extent and nature of smoke-free campus policies at tertiary education institutions throughout New Zealand, and examine the policy development process. Stage one comprised an audit and content analysis of smoke-free policies. In stage two, semi-structured telephone interviews were conducted to investigate the process of developing and implementing policies. Qualitative content analysis was undertaken on interview notes. Policies were identified for most institutions (n = 26/29), though varied widely in nature. Only nine mandated 100% smoke-free campuses without exceptions and few prohibited the sale of tobacco on campus, or connections with the tobacco industry. During interviews (n = 22/29), cited barriers to developing a 100% smoke-free policy included enforcement challenges and anticipated opposition from staff and students. However, participants from institutions with 100% smoke-free policies reported having encountered few challenges. Varying levels of compliance with 100% smoke-free policies were reported yet, overall, these policies were viewed as being effective. Smoke-free campus policies could be strengthened to better reflect a completely tobacco-free organization. Other institutions and workplaces could use these findings to develop 100% smoke-free policies. © The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  19. Desafio estratégico da política pública: o ensino superior brasileiro Public policy strategic challenge: Brazilian higher education

    Directory of Open Access Journals (Sweden)

    Edson Nunes

    2007-01-01

    Full Text Available Poucas pessoas no Brasil são, em comparação com países desenvolvidos, portadoras de diploma de ensino superior. Admitindo-se que a qualificação da população do país, a este nível, constitua interesse estratégico nacional, este artigo examina as características do caso brasileiro e discute as opções pregressas que o país fez, bem como observa as opções futuras, que estariam abertas ao país. O Brasil deliberou, ainda que não tenha manifestado claramente tal deliberação, por expandir seu ensino terciário por meio do setor privado. Desde o final do século XX esta expansão vem adquirindo uma faceta mercantil. Ao Estado brasileiro, contudo, apetece a estratégia da "não-decisão". Escolhe o setor privado para expandir a oferta de educação superior. E escolhe a via comercial, a partir de 1997, para fazê-lo. Mas não revela tal escolha. Deixa-a ao sabor, senão olhar, do analista das políticas públicas. Resta analisar as conseqüências desta "não-decisão" brasileira. Este artigo oferece números, argumentos e sugestões sobre o tema.Few people in Brazil, compared to developed countries, have a higher education diploma. Admitting that the qualification of the country's population at this level may constitute a national strategic interest, this article examines the characteristics of the Brazilian case and discusses the country's past choices, as well as the future ones that could be at its disposal. Brazil has decided, even thought not explicitly, to expand its tertiary education by means of the private sector. Since the end of the 20th century, this expansion has been gaining a mercantile facet. The Brazilian state, however is interested in a 'non-decision' strategy. It chooses the private sector to expand the offer of higher education. And since 1997 it has chosen the commercial path to do it. But it does not reveal this choice, leaving it to be examined according the perspective of the public policy analyst. One can

  20. AN EXPLORATION OF THE IMPACT FACTOR OF BRAZILIAN PUBLICATIONS IN INDEXED JOURNALS ON HOMEOPATHY AND HIGH DILUTIONS APPLIED IN PLANTS

    Directory of Open Access Journals (Sweden)

    Geyse SANTOS

    2015-12-01

    Full Text Available In recent years, increasing concerns about toxicity residues in agricultural products have stimulated an increased interest in new agricultural strategies. While considering new strategies, the question arises if homeopathic preparations could be of use in plants. Homeopathy was born as an experimental discipline, and, generally, plants are able to react to homeopathic substances. In this paper, we conduct an up-to-date review of the existing in literature on Brazilian basic research in homeopathy applied in plants and agroecosystems to raise the profiles of Brazilian publications, according QUALIS methods and H index of Journals. The results of this research are useful not only for those who are interested in the homeopathy itself, but also to analyze the expanding that through experiments attending mainly agroecological production, aimed at improving on the level of publications.

  1. Cost estimate of hospital stays for premature newborns in a public tertiary hospital in Brazil

    Directory of Open Access Journals (Sweden)

    Claudia Maria Desgualdo

    2011-01-01

    Full Text Available OBJECTIVES: To estimate the direct costs of hospital stays for premature newborns in the Interlagos Hospital and Maternity Center in São Paulo, Brazil and to assess the difference between the amount reimbursed to the hospital by the Unified Health System and the real cost of care for each premature newborn. METHODS: A cost-estimate study in which hospital and professional costs were estimated for premature infants born at 22 to 36 weeks gestation during the calendar year of 2004 and surviving beyond one hour of age. Direct costs included hospital services, professional care, diagnoses and therapy, orthotics, prosthetics, special materials, and blood products. Costs were estimated using tables published by the Unified Health System and the Brasindice as well as the list of medical procedures provided by the Brazilian Classification of Medical Procedures. RESULTS: The average direct cost of care for initial hospitalization of a premature newborn in 2004 was $2,386 USD. Total hospital expenses and professional services for all premature infants in this hospital were $227,000 and $69,500 USD, respectively. The costs for diagnostic testing and blood products for all premature infants totaled $22,440 and $1,833 USD. The daily average cost of a premature newborn weighing less than 1,000 g was $115 USD, and the daily average cost of a premature newborn weighing more than 2,500 g was $89 USD. Amounts reimbursed to the hospital by the Unified Health System corresponded to only 27.42% of the real cost of care. CONCLUSIONS: The cost of hospital stays for premature newborns was much greater than the amount reimbursed to the hospital by the Unified Health System. The highest costs corresponded to newborns with lower birth weight. Hospital costs progressively and discretely decreased as the newborns' weight increased.

  2. Meta-analysis of scientific publications hei with brazilian environmental management system

    Directory of Open Access Journals (Sweden)

    Alexandre André Feil

    2015-02-01

    Full Text Available The Higher Education Institutions (HEIs are being pressured by changes towards sustainability and thus awakening to environmental management, they are considered as a leader in promoting sustainability through actions and environmental management practices. Following this logic, this study aims to identify the environmental management practices used in Brazilian HEIs and correlations exist that influence the implementation of Environmental Management Systems (EMS. The quantitative approach is applied through documentary research with secondary data published in proceedings, journals, books and portal Scientific Electronic Library (SciELO. The data analysis occurred through meta-analysis using descriptive statistics and Spearman correlation. The results of 34 scientific studies 23 IES referencing models and practices of waste management published from 2001 to 2012 were identified. The Spearman correlation analysis expressed that HEIs with programs in environmental education performed better ranking General Index of Courses. It is recommended that HEIs that have a waste management deployed, share your experience through scientific publications to disseminate their adaptation practices regarding the SGA.

  3. What is the social gain from competency management? The employees' perception at a Brazilian public university

    Directory of Open Access Journals (Sweden)

    Guilherme Busch Rocha

    Full Text Available Abstract In the present global scenario of strong competitive edge, the Human factor had its relevance enhanced, presenting itself as a key element to enhance organizations' flexibility and performance. Since the 1990s, one of the most widespread and studied Human Resources practices has consisted of the Management Model by Competency, that innovated by changing the "position" reference to the "people" element. Therefore, this paper tries to investigate what are the elements that influence the employees' perception of social gain within an establishment that had taken on the competency management model. This is a quantitative work with survey methodology. The sample consists of 422 employees of a Brazilian public university that had implanted the competency model in 2011. The questionnaire, available in an online environment, used the dimensions developed by Sarsur (2007. The relationships between the actions on corporate education, wage move, career move, managerial positions held, workplace and seniority (independent variables with the perception employees have of social gain (dependent variables were analyzed through non parametric statistical techniques. The results indicate that the employees' perception of social competency gains in the model displays an essentially utilitarian nature. Namely, just the benefited employees demonstrated higher rankings of perception regarding the new proposal.

  4. New drugs in Brazil: do they meet Brazilian public health needs?

    Directory of Open Access Journals (Sweden)

    Carlos Cezar Flores Vidotti

    2008-07-01

    Full Text Available OBJECTIVES: To describe the new drugs marketed in Brazil during the period 2000-2004, compare the description to the country's burden of disease, and suggest initiatives capable of addressing the situation from the perspective of a developing country. METHODS: Records of new drugs were surveyed in an official drug registration database. The new drugs were categorized by Anatomical Therapeutic Chemical classification, indication, and innovation, and compared with the needs of the country's burden of disease. Data on the morbidity and mortality rates of selected diseases (diabetes, Hansen's disease, hypertension, tuberculosis were retrieved from official documents and the literature. RESULTS: During the period investigated, 109 new drugs were launched. Most were general anti-infectives for systemic use (19, followed by antineoplastic and immunomodulating agents (16. The number of new drugs launched in 2004 was roughly one-third that of 2000. Of 65 new drugs, only one-third can be classified as innovative. Most new drugs were intended to treat noninfectious diseases that typically affect developed countries, diseases that constitute only a fraction of the country's challenges. CONCLUSIONS: A mismatch occurs between public health needs and the new drugs launched on the Brazilian market. Not only did the number of new drugs decrease in the study period, but only a few were actually new in therapeutic terms. Developing countries must acquire expertise in research and development to strengthen their capacity to innovate and produce the drugs they need.

  5. Insufficient free-time physical activity and occupational factors in Brazilian public school teachers

    Directory of Open Access Journals (Sweden)

    Douglas Fernando Dias

    Full Text Available ABSTRACT OBJECTIVE To evaluate if perceived occupational factors are associated with insufficient free-time physical activity in Brazilian public school teachers. METHODS The relationship between insufficient physical activity (< 150 minutes/week and variables related to work was analyzed in 978 elementary and high school teachers calculating the prevalence ratio (PR and 95% confidence interval (95%CI in Poisson regression models, adjusted for sociodemographic and health variables. RESULTS The prevalence of insufficient physical activity was 71.9%, and this condition was associated independently with the perception of bad or regular balance between personal and professional life (PR = 1.09; 95%CI 1.01–1.18, perception that standing time affects the work (PR = 1.16; 95%CI 1.01–1.34, low or very low perception of current ability for the physical requirements of work (PR = 1.21; 95%CI 1.08–1.35, and temporary employment contract (PR = 1.13; 95%CI 1.03–1.25. The teaching of physical education was associated with lower prevalence of insufficient physical activity (PR = 0.78; 95%CI 0.64–0.95. CONCLUSIONS The perception of adverse working conditions is associated with increased prevalence of insufficient physical activity in teachers and should be considered for the promotion of physical activity in this population.

  6. Profile of the appendectomies performed in the Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    FERNANDA DOS SANTOS

    Full Text Available ABSTRACT Objective: to analyze the profile of appendectomies performed in the Brazilian Public Health System (SUS and to compare the laparoscopic and laparotomic techniques of appendectomy. Methods: This work used information from DataSus from 2008 to 2014 (http://datasus.saude.gov.br. We compared the data of patients submitted to laparotomic appendectomy with those submitted to laparoscopic one. Results: when comparing the total growth of appendectomies, the laparoscopic route increased 279.7%, while the increase in laparotomic surgery was 25% (p <0.001 in the study period. With regard to medical and hospital costs, laparoscopic appendectomy accounted for only 2.6% of the total expenditure on appendectomies performed by the Unified Health System (SUS hospitals, with an average cost 7.6% lower than that of laparotomy procedures, but without statistical significance. The mortality rate was 57.1% lower in the laparoscopic approach when compared with laparotomy. Conclusion: there has been a significant increase in the laparoscopic route in the treatment of appendicitis, but the method is still rarely used in SUS patients. The costs of laparoscopic appendectomy were similar to those observed in laparotomic access.

  7. Cost-effectiveness of insulin analogs from the perspective of the Brazilian public health system

    Directory of Open Access Journals (Sweden)

    Maurílio de Souza Cazarim

    2017-11-01

    Full Text Available ABSTRACT Human insulin is provided by the Brazilian Public Health System (BPHS for the treatment of diabetes, however, legal proceedings to acquire insulin analogs have burdened the BPHS health system. The aim of this study was to perform a cost-effectiveness analysis to compare insulin analogs and human insulins. This is a pharmacoeconomic study of cost-effectiveness. The direct medical cost related to insulin extracted from the Ministry of Health drug price list was considered. The clinical results, i.e. reduction in glycated hemoglobin (HbA1c, were extracted by meta-analysis. Different scenarios were structured to measure the uncertainties regarding the costs and reduction in HbA1c. Decision tree was developed for sensitivity of Incremental Cost Effectiveness Ratio (ICER. A total of fifteen scenarios were structured. Given the best-case scenario for the insulin analogs, the insulins aspart, lispro, glargine and detemir showed an ICER of R$ 1,768.59; R$ 3,308.54; R$ 11,718.75 and R$ 2,685.22, respectively. In all scenarios in which the minimum effectiveness was proposed, lispro, glargine and detemir were dominant strategies. Sensitivity analysis showed that the aspart had R$ 3,066.98 [95 % CI: 2339.22; 4418.53] and detemir had R$ 6,163.97 [95% CI: 3919.29; 11401.57] for incremental costs. We concluded there was evidence that the insulin aspart is the most cost-effective.

  8. Government-to-business: the Brazilian Public Digital Bookkeeping System (Sped) and the eSocial Project

    OpenAIRE

    Ramos Junior, Helio Santiago; Galiotto, Simone

    2014-01-01

    This paper presents some initiatives of government-to-business in Brazil: The Sped and its project called eSocial. The Sped Fiscal is the Brazilian Public Digital Bookkeeping System and it can be considered an innovation in the relation between the government and the corporate taxpayers, especially in the informatization area. In this research, we explain how it works and its regulatory legislation. After that, we show some benefits of this system. The eSocial Project is the Digital Bookkeepi...

  9. Why Do Staff of Joint-Use Libraries Sometimes Fail to Integrate? Investigating Cultures and Ethics in a Public-Tertiary Joint-Use Library

    Science.gov (United States)

    Calvert, Philip James

    2010-01-01

    Joint-use libraries have identified staff integration as a problem. Using focus groups, this project investigated the culture, professional ethics, and attitudes of staff in a public-tertiary joint-use library in Auckland, New Zealand. Findings show some difference in organizational cultures, but more variation at the lower level of roles and…

  10. Tertiary Education in Poland

    OpenAIRE

    World Bank

    2004-01-01

    The polish tertiary education report was undertaken by the World Bank and the European Investment Bank in consultation with the Ministry of National Education and Sports of Poland (MoNES). The modernization of higher education and other tertiary education services has become an increasing focus of public concern in Poland. A major purpose of the report is to discuss important issues in Pol...

  11. Arboviral diseases in the Western Brazilian Amazon: a perspective and analysis from a tertiary health & research center in Manaus, State of Amazonas.

    Science.gov (United States)

    Mourão, Maria Paula Gomes; Bastos, Michele de Souza; Figueiredo, Regina Maria Pinto de; Gimaque, João Bosco de Lima; Alves, Valquíria do Carmo Rodrigues; Saraiva, Maria das Graças Gomes; Figueiredo, Mário Luis Garcia; Ramasawmy, Rajendranath; Nogueira, Maurício Lacerda; Figueiredo, Luiz Tadeu Moraes

    2015-01-01

    The Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), located in Manaus, the capital of the State of Amazonas (Western Brazilian Amazon), is a pioneering institution in this region regarding the syndromic surveillance of acute febrile illness, including arboviral infections. Based on the data from patients at the FMT-HVD, we have detected recurrent outbreaks in Manaus by the four dengue serotypes in the past 15 years, with increasing severity of the disease. This endemicity has culminated in the simultaneous circulation of all four serotypes in 2011, the first time this has been reported in Brazil. Between 1996 and 2009, 42 cases of yellow fever (YF) were registered in the State of Amazonas, and 71.4% (30/42) were fatal. Since 2010, no cases have been reported. Because the introduction of the yellow fever virus into a large city such as Manaus, which is widely infested by Aedes mosquitoes, may pose a real risk of a yellow fever outbreak, efforts to maintain an appropriate immunization policy for the populace are critical. Manaus has also suffered silent outbreaks of Mayaro and Oropouche fevers lately, most of which were misdiagnosed as dengue fever. The tropical conditions of the State of Amazonas favor the existence of other arboviruses capable of producing human disease. Under this real threat, represented by at least 4 arboviruses producing human infections in Manaus and in other neighboring countries, it is important to develop an efficient public health surveillance strategy, including laboratories that are able to make proper diagnoses of arboviruses.

  12. Arboviral diseases in the Western Brazilian Amazon: a perspective and analysis from a tertiary health & research center in Manaus, State of Amazonas

    Directory of Open Access Journals (Sweden)

    Maria Paula Gomes Mourão

    2015-06-01

    Full Text Available The Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD, located in Manaus, the capital of the State of Amazonas (Western Brazilian Amazon, is a pioneering institution in this region regarding the syndromic surveillance of acute febrile illness, including arboviral infections. Based on the data from patients at the FMT-HVD, we have detected recurrent outbreaks in Manaus by the four dengue serotypes in the past 15 years, with increasing severity of the disease. This endemicity has culminated in the simultaneous circulation of all four serotypes in 2011, the first time this has been reported in Brazil. Between 1996 and 2009, 42 cases of yellow fever (YF were registered in the State of Amazonas, and 71.4% (30/42 were fatal. Since 2010, no cases have been reported. Because the introduction of the yellow fever virus into a large city such as Manaus, which is widely infested by Aedes mosquitoes, may pose a real risk of a yellow fever outbreak, efforts to maintain an appropriate immunization policy for the populace are critical. Manaus has also suffered silent outbreaks of Mayaro and Oropouche fevers lately, most of which were misdiagnosed as dengue fever. The tropical conditions of the State of Amazonas favor the existence of other arboviruses capable of producing human disease. Under this real threat, represented by at least 4 arboviruses producing human infections in Manaus and in other neighboring countries, it is important to develop an efficient public health surveillance strategy, including laboratories that are able to make proper diagnoses of arboviruses.

  13. Brazilian Cinema: A Comparative Study between Fundraising Through Mechanisms of Public Incentive versus the Selling Revenue on the Brazilian Box Offices

    Directory of Open Access Journals (Sweden)

    Inácio Alaiola Nogueira Dos Santos Júnior

    2014-12-01

    Full Text Available Responsible for maintaining active the actual cinematographic production, the politics of incentive to cinema do not guarantee an equal state of recourse capture for all the movies produced in the country as well as provoke discussion which relate production quality to volume capture, in which has taken to the creation of the common sense that says that movies which present elevated recourse fund must present best-selling results. Therefore, this study has the objective of analyzing the relation between the recourse volume captured from the mechanisms of public incentive and the selling volume on the Brazilian box offices. Due to that, descriptive research was made, with documentary character and quantitative approach. The data used in this study is related to information towards fundraising and income about the box office of 666 brazilian movies released between 1995 and 2012, while the statistical analysis used was the 'Spearman correlation' coefficient. The results showed that there is a strong positive correlation between the two variablesanalyzed, revealing a trend of movies with high fundraising are the ones that register the highest grossing box office. Data analysis also revealed that there is a concentration of both incentive funds (61% as income at the box office (75% in films with volume greater uptake of R $ 3 million.

  14. Risk factors for syphilis and hiv infection in pregnant women attending a tertiary care public sector hospital

    International Nuclear Information System (INIS)

    Batool, K.; Bano, K.A.; Sherwani, M.I.K.

    2010-01-01

    Background: Syphilis, a sexually transmitted disease which seemed to have disappeared or had been controlled over the years, has now been re-emerged as a major public health problem in many communities. It can complicate the pregnancies with serious consequences. Appropriate treatment of pregnant women often prevents such complications. Aims: To study the frequency of syphilis in pregnant women attending a tertiary care public sector hospital, and see the positivity for HIV/AIDS among syphilis positive women. Patients and Methods: This cross sectional and interventional study was conducted among pregnant women attending Sir Ganga Ram hospital for antenatal care at PMRC Research Centre, Fatima Jinnah Medical College, Lahore. Blood samples from 2000 women were collected after taking consent. The blood was tested for syphilis by Treponema Pallidum Haemagglutination. History of the subjects for risks factors was also taken. Syphilis positive women were further screened for human immunodeficiency virus positivity. Results: The treponemal antibodies were detected in less than one percent (9) pregnant women. The highest positivity was observed among age group of 21-26 years. Women in third trimester were significantly more infected with syphilis. Risk factors included husband's history with frequent traveling and drug abuse. All husbands of syphilis positive women were also positive. All syphilis positive women and their husbands were negative for Human immunodeficiency virus /Acquired immune deficiency syndrome. Conclusions: Less than 1% of pregnant women were infected with syphilis, and most of the spouses of these positive women were either travelers or drug addicts.(author)

  15. Reducing waiting time and raising outpatient satisfaction in a Chinese public tertiary general hospital-an interrupted time series study

    Directory of Open Access Journals (Sweden)

    Jing Sun

    2017-08-01

    Full Text Available Abstract Background It is globally agreed that a well-designed health system deliver timely and convenient access to health services for all patients. Many interventions aiming to reduce waiting times have been implemented in Chinese public tertiary hospitals to improve patients’ satisfaction. However, few were well-documented, and the effects were rarely measured with robust methods. Methods We conducted a longitudinal study of the length of waiting times in a public tertiary hospital in Southern China which developed comprehensive data collection systems. Around an average of 60,000 outpatients and 70,000 prescribed outpatients per month were targeted for the study during Oct 2014-February 2017. We analyzed longitudinal time series data using a segmented linear regression model to assess changes in levels and trends of waiting times before and after the introduction of waiting time reduction interventions. Pearson correlation analysis was conducted to indicate the strength of association between waiting times and patient satisfactions. The statistical significance level was set at 0.05. Results The monthly average length of waiting time decreased 3.49 min (P = 0.003 for consultations and 8.70 min (P = 0.02 for filling prescriptions in the corresponding month when respective interventions were introduced. The trend shifted from baseline slight increasing to afterwards significant decreasing for filling prescriptions (P =0.003. There was a significant negative correlation between waiting time of filling prescriptions and outpatient satisfaction towards pharmacy services (r = −0.71, P = 0.004. Conclusions The interventions aimed at reducing waiting time and raising patient satisfaction in Fujian Provincial Hospital are effective. A long-lasting reduction effect on waiting time for filling prescriptions was observed because of carefully designed continuous efforts, rather than a one-time campaign, and with appropriate incentives

  16. Costs analysis of surgical treatment of stress urinary incontinence in a brazilian public hospital, comparing burch and synthetic sling techniques.

    Science.gov (United States)

    Limberger, Leo Francisco; Faria, Fernanda Pacheco; Campos, Luciana Silveira; Anzolch, Karin Marise Jaeger; Fornari, Alexandre

    2018-01-01

    Surgical treatment of urinary incontinence progressed significantly with the introduction of synthetic slings. However, in some public Brazilian hospitals, the costs of these materials prevent their routine use. To compare the costs of ambulatory synthetic sling surgery with an historical series of patients submitted to Burch surgery in a Brazilian public hospital. Twenty nine incontinent patients were selected to synthetic sling surgery. Demographic data were prospectively collected and also the costs of the procedure, including drugs and materials, use of surgical and recovery wards, medical staff and hospitalization. These data were compared to the costs of 29 Burch surgeries performed before the introduction of synthetic slings. Demographic data were similar, although median age was lower in the group submitted to Burch surgery (46.3±8.6 versus 56.2±11.3 (pCost was significantly lower in patients submitted to sling in all items, except for time spent in recovery ward. Total value of 29 Burch surgeries was R$ 217.766.12, and of R$ 68.049.92 of 29 patients submitted to sling surgery (pcost of the synthetic sling was considered. Copyright® by the International Brazilian Journal of Urology.

  17. The expansion of "the feminine" within the Brazilian public sphere: telenovelas of the 1970s and 1980s

    Directory of Open Access Journals (Sweden)

    Esther Império Hamburger

    Full Text Available This paper revisits the wide range of critical literature that, from a variety of theoretical perspectives and with an emphasis on different historical periods and countries, deals with the relationships between mass media and representations of gender relations. This review of the literature focuses on works that are particularly suggestive for our ensuing discussion on the major conventions of Brazilian telenovela, a television genre that blends elements of documentary and fiction and treats the nation in melodramatic terms. Analysis of relevant programs that were exhibited during the 70s and the 80s suggests that these soaps constructed the Brazilian public space in terms that expanded what the industry had conventionally defined as "woman's domain".

  18. Job satisfaction, work environment and intention to leave among migrant nurses working in a publicly funded tertiary hospital.

    Science.gov (United States)

    Goh, Yong-Shian; Lopez, Violeta

    2016-10-01

    This study sought to explore the job satisfaction level of migrant nurses working in a multicultural society and, more specifically, the relationship between their job satisfaction levels, work environment, their intentions to leave and the predictors of their intentions to leave. Nursing shortages have led to the increasing trend of employing migrant nurses, which necessitated studies examining nurses' migration. A cross-sectional, correlational design using a stratified random sample was conducted on 495 migrant nurses working in a tertiary public-funded hospital in Singapore. The results showed that migrant nurses were satisfied with their jobs; with job satisfaction negatively correlated with work environment. Interestingly, pre-existing groups of Chinese migrant nurses did not help newly arrived Chinese migrant nurses to assimilate better. Predictors of migrant nurses' intentions to leave included having supportive nurse managers and nursing practice environment. The presence of a supportive work environment is essential to retain migrant nurses. Health administrators need to empower nursing managers with skills to implement career development plans as part of hospitals' retention strategies for migrant nurses. Information should also be provided during recruitment campaigns to enable migrant nurses to make informed choices. © 2016 John Wiley & Sons Ltd.

  19. Incidence of and risk factors for hospital-acquired diarrhea in three tertiary care public hospitals in Bangladesh.

    Science.gov (United States)

    Bhuiyan, Mejbah Uddin; Luby, Stephen P; Zaman, Rashid Uz; Rahman, M Waliur; Sharker, M A Yushuf; Hossain, M Jahangir; Rasul, Choudhury H; Ekram, A R M Saifuddin; Rahman, Mahmudur; Sturm-Ramirez, Katharine; Azziz-Baumgartner, Eduardo; Gurley, Emily S

    2014-07-01

    During April 2007-April 2010, surveillance physicians in adult and pediatric medicine wards of three tertiary public hospitals in Bangladesh identified patients who developed hospital-acquired diarrhea. We calculated incidence of hospital-acquired diarrhea. To identify risk factors, we compared these patients to randomly selected patients from the same wards who were admitted > 72 hours without having diarrhea. The incidence of hospital-acquired diarrhea was 4.8 cases per 1,000 patient-days. Children diarrhea than older children. The risk of developing hospital-acquired diarrhea increased for each additional day of hospitalization beyond 72 hours, whereas exposure to antibiotics within 72 hours of admission decreased the risk. There were three deaths among case-patients; all were infants. Patients, particularly young children, are at risk for hospital-acquired diarrhea and associated deaths in Bangladeshi hospitals. Further research to identify the responsible organisms and transmission routes could inform prevention strategies. © The American Society of Tropical Medicine and Hygiene.

  20. Geographic distribution of Research Groups and their publications on diet and exercise interventions in cancer in the Brazilian territory

    Directory of Open Access Journals (Sweden)

    Marco Aurélio Ferreira de Jesus Leite

    2017-11-01

    Full Text Available ABSTRACT Aims This study promoted a screening of the geographical distribution and scientific production of the Brazilian research groups on interventions with diet and/or exercise in cancer. Methods A systematic search on the current basis of the Directory of Research Groups of the National Council for Scientific and Technological Development was done to collect information such as name of group; name of leader; unit of federation; institution; year of creation; number of researchers, students and technicians; and the group's knowledge sub-area. All leaders' curricula were accessed to screen their general publications on cancer and their specific publications on nutrition, exercise and cancer. The publications were classified according to the QUALIS (2015 criteria of the Coordination of Improvement of Higher Education Personnel in the Physical Education area. Results The Southeast has the highest number of active groups, but the North has no registered groups. The Midwest concentrates the largest number of members in its research groups and the largest overall scientific production on cancer, but the Southeast presents the largest specific production on nutrition, physical exercise and cancer. Most of the specific publications were B2. Conclusion Research groups and scientific contributions involving this knowledge field need to be encouraged and better distributed geographically throughout the Brazilian territory.

  1. Clinical skills required of ophthalmic nurse practitioners in tertiary level public hospitals in the Western Cape Province

    Directory of Open Access Journals (Sweden)

    U. Kyriacos

    2009-09-01

    Full Text Available Background: South Africa has a 32-year history of training ophthalmic nurse practitioners (ONPs. The role and required skills and competencies of ONPs are not well documented in the international literature and are also absent from South African publications, including South African Nursing Council publications. Aim: This study aims to inform curriculum development and human resource planning by reporting on the clinical skills expected of ONPs by members of multidisciplinary ophthalmology teams. Method: A limited survey was undertaken in the ophthalmology wards and outpatient departments of three tertiary level hospitals in the Western Cape Province. A researcher-designed structured self-completion questionnaire was distributed to 30 ophthalmology practitioners: doctors, nurses and technicians. Respondents were asked to indicate the expected clinical skills of ONPs. Findings: All questionnaires were completed. All respondents favoured ONPs taking histories and performing emergency eye irrigations. There was less support for more complex procedures, such as B-scans. One-third of respondents did not expect ONPs to have skills in eight key areas, including examination of the anterior chamber angle for glaucoma. No statistically significant differences were found between responses of doctors and nurses, with one exception: more nurses (15/18 than doctors (4/10 had confidence in the ONP undertaking basic eye examinations for ocular motility (Fisher‘s exact test, P = 0 .035. Conclusion: In the study settings, ONPs are not using their specialist skills to the full. Not all practitioners were receptive to ONPs using the skills that they had acquired during their postgraduate diploma, threatening the educational effectiveness of this initiative.

  2. Staff Perception of Relative Importance of Quality Dimensions for Patients atTertiary Public Services in Oman

    Directory of Open Access Journals (Sweden)

    Ismail Alrashdi

    2012-09-01

    Full Text Available Objective: This research attempted to explore the public healthcare providers understanding the quality dimensions and patient priorities in Oman. It also addresses the issue of risks confronting health professionals in management without “a customer focused” approach.Methods: A descriptive study was carried out using a self-administered questionnaire distributed around two tertiary public hospitals. A total of 838 respondents from several specialties and levels of hierarchy participated in the study. The data was analyzed to compare the perception of two groups; the group of junior and frontline staff, as well as of managers and senior staff involved in management.Results: The results showed that 61% of the junior and frontline staff, and 68.3% of the senior staff and managers think that cure or improvement in overall health is the single most importantquality dimension in healthcare. Both groups perceive that technical dimensions have greater importance (to patients over interpersonal aspects such as communication with the exception of dignity and respect. There was no significant difference between the perception of the managers and senior staff vis-à-vis the perception of junior and frontline staff on the importance of technical dimensions and the interpersonal aspects of service quality. Despite the proven contribution of empathy to patient satisfaction, it was ranked by both groups as the least important among the dimensions examined.Conclusion: The findings of this research are therefore informative of the need to implement strategies that deal effectively with such attitudes and create the platform and programs that reinforcethe culture of good quality service amongst healthcare providers, managers in particular, and to improve patient satisfaction.

  3. TERLIPRESSIN VERSUS NORADRENALINE FOR HEPATORENAL SYNDROME. Economic evaluation under the perspective of the Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    Ângelo Zambam de MATTOS

    Full Text Available ABSTRACT Background - Terlipressin and noradrenaline are the best studied treatments for hepatorenal syndrome, and there is no evidence of superiority of one over the other regarding to efficacy. While the former drug is more costly, the latter requires admission into an intensive care unit. Objective - The aim of this study was to perform an economic evaluation, comparing treatments for hepatorenal syndrome with terlipressin and noradrenaline. Methods - For the economic evaluation, a cost-minimization analysis was performed. Direct medical costs of the two treatment strategies were compared under the perspective of the Brazilian Public Health System as the third-party payer. A probabilistic sensitivity analysis was performed. Results - The costs of treatments with terlipressin or noradrenaline were 287.77 and 2,960.45 International Dollars (Int$ respectively. Treatment using terlipressin would save Int$2,672.68 for the Public Health System for each hospital admission related to hepatorenal syndrome. In the probabilistic sensitivity analysis, it was verified that the cost of the treatment with noradrenaline could vary between Int$2,326.53 and Int$3,644.16, while costs related to the treatment using terlipressin are not variable. Conclusion - The treatment strategy using terlipressin was more economical than that using noradrenaline under the perspective of the Brazilian Public Health System as the third-party payer.

  4. ELT in Brazilian Public Schools: History, Challenges, New Experiences and Perspectives

    Science.gov (United States)

    Teixeira de Almeida, Ricardo Luiz

    2016-01-01

    Historically speaking, the teaching of English was never a part of Brazilian primary schools programmes. Foreign language teaching as an obligatory school subject appears only in the sixth year of basic education, and its goal is more connected to the development of critical citizens, rather than to the promotion of proficient speakers of the…

  5. Job satisfaction among nurses working in the private and public sectors: a qualitative study in tertiary care hospitals in Pakistan

    Directory of Open Access Journals (Sweden)

    Hamid S

    2014-01-01

    Full Text Available Saima Hamid,1 Asmat Ullah Malik,2 Irum Kamran,3 Musarat Ramzan41Health Services Academy, Islamabad, Pakistan; 2Integrated Health Services, Islamabad, Pakistan; 3GIZ, Islamabad, Pakistan; 4Wah Medical College, Wah Cantt, University of Health Sciences, Wah, PakistanBackground: Many low and middle income countries lack the human resources needed to deliver essential health interventions. A health care system with a limited number of nurses cannot function effectively. Although the recommended nurse to doctor ratio is 4:1, the ratio in Pakistan is reversed, with 2.7 doctors to one nurse.Methods: A qualitative study using narrative analysis was undertaken in public and private tertiary care hospitals in Pakistan to examine and compare job satisfaction among nurses and understand the factors affecting their work climate. Interactive interviews were conducted with nurses working with inpatients and outpatients.Results: All of the respondents had joined the profession by choice and were supported by their families in their decision to pursue their career, but now indicated that they were dissatisfied with their jobs. Three types of narratives were identified, namely, “Working in the spirit of serving humanity”, “Working against all odds”, and “Working in a functional system and facing pressures of increased accountability”. Nurses working in a public sector hospital are represented in the first two narrative types, whereas the third represents those working in a private sector hospital. The first narrative represents nurses who were new in the profession and despite hard working conditions were performing their duties. The second narrative represents nurses working in the public sector with limited resources, and the third narrative is a representation of nurses who were working hard and stressed out despite a well functioning system.Conclusion: The study shows that the presence of a well trained health workforce is vital, and that certain

  6. Welfare, wellness, and job satisfaction of Chinese physicians: A national survey of public tertiary hospitals in China.

    Science.gov (United States)

    Sun, Jing; Ma, Jing; Hu, Guangyu; Zhao, Qi; Yuan, Changzheng; Si, Wen; Zhang, Xinqing; Liu, Yuanli

    2017-07-01

    Little national data are available on Chinese physicians' welfare, wellness, and job satisfaction. We conducted a self-administered smartphone-based national survey in early 2016 of 17 945 physicians from 136 tertiary hospitals across 31 provinces in China. In addition to collecting the physicians' basic information, we also measured 5 domains (the ethical and working environments, welfare, wellness, and job satisfaction). Half of the physicians reported a hospital-based annual income of less than RMB 72 000 ($10 300), and 60.31% of them did not think that the current medical pricing system reflects physicians' value. More than half (58.64%) of them did not have or did not know about medical malpractice insurance. These physicians worked long hours (an average of 10 h) and slept short hours (average 6 h). Only 35.78% of them thought that they were in good health, and 51.03% were in good mental health. Approximately, a quarter of them had helped to pay medical bills for patients who could not afford care, and 1 in 7 has been penalised for seeing patients who generated bad debts. Only 33.42% of them thought that their occupation receives social recognition and respect, and 70.98% would not encourage their children to pursue a medical career. The top 3 factors that may influence physician job satisfaction as chosen by the physicians were as follows: (1) the income distribution policy (45.92%), (2) working environment safety (25.86%), and (3) public trust and respect for their job (16.10%). In conclusion, we found that Chinese physicians bear heavy physical, mental, and financial stress, and many of them lack confidence that they receive trust and respect from society. Copyright © 2017 John Wiley & Sons, Ltd.

  7. Factors influencing possible delay in the diagnosis of Alzheimer's disease Findings from a tertiary Public University Hospital

    Directory of Open Access Journals (Sweden)

    Luís Felipe José Ravic de Miranda

    Full Text Available Abstract Alzheimer's disease (AD is characterized by impairment in memory and autonomy, causing excessive pressure on family and an overburdened health care system. Early diagnosis, with the appropriate treatment, is important to reduce the pattern of disease progression. Objective: The study sought to identify the most probable causes of delay in diagnosis. Methods: A cross-sectional study involving AD patients followed at an Outpatient Geriatric Clinic from a tertiary public university hospital was conducted between June 2009 and February 2011. Results: Ninety-four patients were evaluated (66% women, aged 77.76±6.8 years and with median educational level of 3 years (95% CI 2.7-3.80. Regarding severity of dementia, 51.8% of patients were classified as having mild dementia (CDR 1, 40% moderate dementia (CDR 2 and 8.2% severe dementia (CDR 3. Mean educational level of caregivers was 8.3±3.9 years. Among those who believed there was a delay, 36% stated that the "family thought that the changes were normal for the age of the patient" reporting average delay of 1.8 years (95% CI: 1.3-2.5 while 45.3% stated that the "doctor did not reach a diagnosis" reporting a median delay of 1.5 years (95% CI: 1.4-2.3. Conclusion: Based on these results, it can be concluded the time between onset of symptoms and diagnosis was excessive. This study may be useful to help increase awareness of issues not sufficiently discussed in the literature, such as diagnostic delay and influence of caregivers' educational level on treatment.

  8. Behavioral and biological correlates of medicine use in type 2 diabetic patients attended by Brazilian public healthcare system

    Directory of Open Access Journals (Sweden)

    Jamile Sanches Codogno

    2013-01-01

    Full Text Available DOI: http://dx.doi.org/10.5007/1980-0037.2013v15n1p82 The relationship between physical activity and the use of medicines is not clear. The purpose of this study was to investigate this relationship between the level of physical activity and the use of medications by type 2 diabetic patients who were attended in the Brazilian public healthcare system. The sample was composed of 121 Brazilian diabetic patients, of both genders, attended by the public healthcare system. Body fat (estimated by anthropometry and bioelectrical impedance, physical activity (measured by Baecke’s questionnaire, and the participant’s use of medicines (during the 15 days before evaluation were assessed. There was a relationship between the use of medicines and: gender (r = 0.18; p = 0.045, body mass index (BMI (r = 0.22; p = 0.012, waist circumference (r = 0.19; p = 0.029, body fat percentage (r = 0.21; p = 0.016, age (r = 0.23; p = 0.009, and level of physical activity (r = -0.22; p = 0.012. Linear regression included in the multivariate model only age (β = 0.718; p = 0.057, BMI (β= 0.057; p = 0.022, and level of physical activity (β = -0.176; p = 0.044. In conclusion, physical activity decreases medicinal use independent of age or obesity.

  9. Value Relevance vis-à-vis Disclosure on Business Combinations and Goodwill Recognized by Publicly Traded Brazilian Companies

    Directory of Open Access Journals (Sweden)

    Maíra Melo de Souza

    Full Text Available Abstract The objective of this study is to examine the value relevance of the level of disclosure on business combinations and goodwill recognized by publicly traded Brazilian companies. The research sample is composed of publicly traded Brazilian companies that carried out any type of business combination, as the acquiring entity, between 2010 and 2013, yielding a total sample of 202 observations. To measure the disclosure level of each, a metric was created based on CPC-15 R1 (2011 to examine certain disclosure items in order to render a greater level of detail. Data collection was carried out using the footnotes to the annual consolidated standardized financial statements (DFPs available from the São Paulo Stock Exchange (BM&FBOVESPA website. The results revealed that disclosure levels for business combinations are positively and significantly associated with the stock price of the companies analyzed. As to the recognition of goodwill during business combinations, despite the fact that it represents a significant share of the value of the transactions, no statistical significance explaining stock price behavior was found. It also bears mentioning that the average level of disclosure identified in the explanatory notes in the sample was very low, indicating that companies need to improve when it comes to transparency of information.

  10. Hygienic, sanitary, physical, and functional conditions of Brazilian public school food services

    OpenAIRE

    Almeida,Kênia Machado de; André,Maria Cláudia Porfirio; Campos,Maria Raquel Hidalgo; Díaz,Mário Ernesto Piscoya

    2014-01-01

    OBJECTIVE: To verify the physical, functional, hygienic, and sanitary conditions of the food services of municipal schools located in the Brazilian Midwest region. METHODS: This is a cross-sectional study of 296 school food services conducted from February to June 2012. The food services were assessed by a semi-structured check list divided into the following sections: physical conditions, available equipment, food handlers' conduct, and food service cleaning processes and procedures. Th...

  11. Public Policy and Gender Inequality in Brazilian Society: Considerations From the Realms of Labor, Politics and Science.

    Directory of Open Access Journals (Sweden)

    Janaina Xavier do Nascimento

    2016-06-01

    Full Text Available The present text focuses on issues of gender inequality and public policy in Brazil today. My major goals are as follows: 1 to provide an analysis of gender inequality in Brazilian society through an examination of the three key arenas of labor, political representation and science and 2 to examine both the advances and the challenges that persist in confronting inequality through public policies on gender. To these ends, I employ secondary data, obtained from three different official sources (IBGE, TSE and CNPq. Lastly, I argue that while the policies that have been implemented can be linked to significant progress in the three above-mentioned arenas, we are still quite far from a real reversal of the current situation of deep inequality, persisting, above all, in the field of political representation.

  12. Severe morbidities associated with induced abortions among misoprostol users and non-users in a tertiary public hospital in Ghana

    Science.gov (United States)

    2014-01-01

    Background Misoprostol has become a popular over the counter self-administered abortifacient in Ghana. This study aimed to compare the socio-demographic characteristics and clinical complications associated with misoprostol and non-misoprostol induced abortions among patients admitted to a tertiary public health facility in Ghana. Methods This was a cross sectional study conducted at the gynaecological ward of Komfo Anokye Teaching Hospital (KATH), over a four-month period using a structured pre-tested questionnaire. Data were analysed using Chi-square, Fisher’s exact and student t-tests. Factors associated with severe morbidity were examined using Poisson regression with robust error variance to estimate crude and adjusted relative risks (RRs) with 95% confidence intervals (CIs). P misoprostol users and 126 misoprostol non-users were recruited into the study. About 71% of the clients had self-induced abortions. Misoprostol users were more likely to be younger (p misoprostol non-users. Misoprostol users were more likely than non-users to undergo termination of pregnancy because they wanted to continue schooling (p misoprostol users vs. 65.1% misoprostol non-users; p = 0.01) suffered severe morbidity. Nulliparous women (adjusted RR, 1.28; 95% CI, 1.08-1.52) and those who had induced abortion after 12 weeks’ gestation (adjusted RR, 1.36; 95% CI, 1.18-1.57) were at increased risks of experiencing severe morbidity. The association between mode of abortion induction and severe morbidity was not statistically significant (p = 0.06). Conclusion Self-induced abortions using misoprostol is a common practice among women in this study; nearly three quarters of them suffered severe morbidity. Nonetheless, severe morbidity among misoprostol users and non-users did not differ significantly but was directly related to the gestational age at which the induced abortions occurred. Health education on the dangers of self-induced abortions and appropriate use of medication

  13. The social construction of risk and the controversial Brazilian Nuclear Program: among scientific, political and public

    International Nuclear Information System (INIS)

    Camelo, Ana Paula

    2015-01-01

    This research aims to investigate the Brazilian Nuclear Program (PNB) stating as reference the Fukushima nuclear accident. Its main purpose is to analyze how the Japanese accident impacted the PNB. Therefore, the program will be analyzed within 10-years (2004-2014) in order to answer this question. The discussion launched in this thesis is based on the framework of the Social Studies of Science and Technology, which enables the understanding of socio-technical controversies beyond the social or technological determinism. Through the discussion of the concepts of framing, socio-technical imaginary, risk and governance of science and technology, the research shows how the controversy in focus has resulted in the opportunity to consider not only economic, technological, environmental issues about nuclear energy, but also its political dimensions and challenges. Among these challenges, and from very different perspectives, arise questions about the role nuclear energy plays in the Brazilian context, the future of the program and the decision making process on these issues. Despite the central purpose of this study is essentially on risks, PNB and on the Brazilian context, it should be pointed that it is impossible to consider it in isolation of what is happening internationally (considering interests, tensions, relations between actors, etc.) The research thereby identifies key implications of Fukushima in the international context, but focuses on the disputes regarding possible review of the PNB. It also highlights how the socio-technical controversies, such as the nuclear energy, demand or impose a discussion on the governance of science and technology, risk and on the engagement of different sectors and actors in decision-making on issues, that are at the same time about energy, technology and nationality relevance. All this reflection is made from multi-sited analysis, which allowed following the controversy surrounding nuclear energy, reheated by the Fukushima

  14. Technological integration in Brazilian public basic education: an analysis of the temporal evolution and the interdisciplinarity of the theme

    Directory of Open Access Journals (Sweden)

    Priscila Cadorin Nicolete

    2016-12-01

    Full Text Available The complexity inherent to technological integration in the context of basic education in the current reality of the students and the digital culture that permeates society today features a transformation in the dynamics of knowledge construction. It is difficult to connect students, fully involving them in this process when using traditional teaching and learning methods. This new context requires interdisciplinary research for better understanding, involving experts in the field of sciences and more technical areas such as engineering and computer science. To answer the question of how to handle the evolution of interdisciplinary theoretical and empirical studies related to the subject, it was developed a survey in order to understand the evolution, interdisciplinarity and the theoretical and empirical variables related to the integration of technologies in the Brazilian basic education. This article presents the results of the exploratory survey of systematic review procedures of literature in electronic databases, then bibliometric and descriptive analyzes. Among the obtained results, were identified as strategies for the integration of technologies in Brazilian public basic education: Remote Experimentation for Physics, Mobile Learning and Software teaching for practices in Mathematics classes. The studies are divided into six large areas of knowledge: Social Sciences, Decision Science, Computer Science, Engineering, Business and Mathematics, demonstrating the interdisciplinarity of the theme.

  15. Legal suits: pharmaceutical industry strategies to introduce new drugs in the Brazilian public healthcare system.

    Science.gov (United States)

    Chieffi, Ana Luiza; Barata, Rita de Cássia Barradas

    2010-06-01

    To assess the distribution rate of legal suits according to drug (manufacturer), prescribing physician, and attorney filing the lawsuit. A descriptive study was carried out to assess the lawsuits in the São Paulo State (Southeastern Brazil) courts registry in 2006, and amounts spent in complying with these lawsuits, and total costs with medication thus resulting. In 2006, the São Paulo State Administration spent 65 million Brazilian reais in compliance with court decisions to provide medication to approximately 3,600 individuals. The total cost of the medication was 1.2 billion Brazilian reais. In the period studied, 2,927 lawsuits were examined. These lawsuits were filed by 565 legal professionals, among which 549 were attorneys engaged by private individuals (97.17% of the total legal professionals). The drugs scope of the lawsuits had been prescribed by 878 different physicians. By assessing the number of lawsuits filed per attorney, it was found that 35% of them were brought before the courts by 1% of them. The data related to the lawsuits and to the medication classified according to manufacturer, show that a small number of attorneys is responsible for the largest number of lawsuits filed to obtain these drugs. The finding that more than 70% of the lawsuits filed for certain drugs are the responsibility of one single attorney, may suggest a close connection between this professional and the manufacturer.

  16. [Epidemiology and Public Health: tendencies of the Brazilian epidemiology production regarding volume, indexation and investigation areas - 2001 to 2006].

    Science.gov (United States)

    Turci, Silvana Rubano Barretto; Guilam, Maria Cristina Rodrigues; Câmara, Maria Clara Coelho

    2010-07-01

    This article examines and interprets the trends of epidemiological production in Brazil in the Public Health context. CAPES indicators from 2001 to 2006 were used as database. We analyzed 26 programs and select the 10 major ones to analyze their bibliographic production in indexed journals. It was observed that the total production of epidemiological articles accounted for 40% of production in Public Health and 55% of the production was published in international journals, especially Cadernos de Saúde Pública, Revista de Saúde Pública and Ciência & Saúde Coletiva. The most prevalent themes were public health nutrition, maternal and infant health and, infectious diseases, particularly AIDS. Environmental e worker's heath, oral health, violence and health of the elderly have been ratified as objects of study for the discipline, while meta-analysis and geoprocessing appear as a useful tool for health services. We conclude that the epidemiological production tends to increase in indexed publications, covering various topics and a wide spectrum of relevant issues to Brazilian health policy.

  17. Tensions between approach paradigms in public policies on drugs: an analysis of Brazilian legislation in 2000-2016.

    Science.gov (United States)

    Teixeira, Mirna Barros; Ramôa, Marise de Leão; Engstrom, Elyne; Ribeiro, José Mendes

    2017-05-01

    Brazilian public policy on drugs has been permeated by two diametrically opposing approaches: one focusing on prohibition and the other on non- prohibition. Similarly, there have been two opposing approaches to mental healthcare, one centered on hospitalization and the other psychosocial care and development. In the context of these different paradigms, this article presents an analysis of twenty-two documents sourced by the legislative rules over the last sixteen years. After the year 2000, a renewed focus by healthcare community on drugs was noticeable as was the immersion of a harm reducing approach. Following international trends, although there are still considerable divergencies between (a) psychosocial care and(b) residential care in the therapeutic communities there seems to be an alignment to anti- prohibition approaches.

  18. Expert consensus (SBC/SBHCI) on the use of drug-eluting stents: recommendations of the Brazilian society of interventional cardiology/ Brazilian society of cardiology for the Brazilian public single healthcare system.

    Science.gov (United States)

    Lima, Valter C; Mattos, Luiz Alberto P; Caramori, Paulo R A; Perin, Marco A; Mangione, José A; Machado, Bruno M; Coelho, Wilson M C; Bueno, Ronaldo R L

    2006-10-01

    The authors review percutaneous coronary intervention (PCI) evolution and its growing application in myocardial revascularization for patients with coronary heart disease in Brazil and worldwide. PCI was introduced in 1977 using only the catheter balloon. Limitations of this method (acute occlusion and coronary restenosis) led to the adoption of coronary stents and more recently the advent of drug-eluting stents2, which were developed to drastically reduce restenosis rates. These developments allowed the exponential growth of percutaneous coronary intervention (PCI) procedures in Brazil which have replaced many bypass surgery procedures and have become the gold standard for the majority of symptomatic patients suffering from coronary artery disease. The preference for this procedure gained new dimensions in 2000 when the Brazilian Public Healthcare System (SUS) began reimbursing for stent procedures. This measure exemplified the importance of the Public Healthcare System's participation in incorporating medical advances and offering a high standard of cardiovascular treatment to a large portion of the Brazilian population. It is emphasized that prevention of in-stent restenosis is complex due to its unpredictable and ubiquitous occurrence. Control of this condition improves quality of life and reduces the recurrence of angina pectoris, the need to perform new revascularization procedures and hospital readmissions. The overall success of the drug-eluting stents has proven to be reliable and consistent in overcoming restenosis and has some beneficial impact for all clinical and angiographic conditions. This paper discusses the adoption and criteria for the use of drug-eluting stents in other countries as well as the recommendations established by the Brazilian Society of Interventional Cardiology for their reimbursement by SUS. The incorporation of new healthcare technology involves two distinct stages. During the first stage, the product is registered with the

  19. Transparency of the municipal public management: a study from the homepages of the large Brazilian municipalities

    OpenAIRE

    Cruz, Cláudia Ferreira; Ferreira, Aracéli Cristina de Sousa; Silva, Lino Martins da; Macedo, Marcelo Álvaro da Silva

    2012-01-01

    This study attempts to check the transparency level of information in public administration published in the homepages of 96 municipalities included among the 100 most populous in Brazil and what characteristics and socioeconomic indicators of the municipalities can contribute to explain the level of transparency observed. The level of transparency in public administration was established from a research model called Transparency Index Municipal Public Management (ITGP-M) constructed based on...

  20. Emerging trends of nosocomial pneumonia in intensive care unit of a tertiary care public teaching hospital in Western India.

    Science.gov (United States)

    Bhadade, Rakesh; Harde, Minal; deSouza, Rosemarie; More, Ashwini; Bharmal, Ramesh

    2017-01-01

    Nosocomial pneumonia poses great challenge to an intensivist. Detailed information about hospital-acquired pneumonia (HAP) and ventilator-acquired pneumonia (VAP) is crucial for prevention and optimal management, thus improving quality Intensive Care Unit (ICU) care. Hence, we aimed to study the current trend of nosocomial pneumonia in ICU. It was a prospective observational cohort study, conducted in the ICU of a tertiary care teaching public hospital over a period of 18 months. We studied clinical profile and outcome of 120 adult patients who developed VAP/HAP during the study period. We also analyzed the causative organisms, antibiotic sensitivity, and resistance pattern in these patients. Out of 120 patients, 29 patients were HAP and 91 patients were VAP. Mortality was 60% (72), and development of VAP and requirement of mechanical ventilation showed significant association with mortality (P pneumoniae (49%). Maximum antibiotic sensitivity was found to piperacillin + tazobactam (58.8%), followed by imipenem (49.5%) and meropenem (41.8%), whereas maximum antibiotic resistance was found to cefepime (95.1%), followed by ceftazidime and amoxicillin (91.2%). Nosocomial pneumonia showed high incidence (17.44%) and mortality (60%). Common organisms identified were S. aureus and K. pneumoniae. Resistance was high for commonly used antibiotics and high antibiotic sensitivity for piperacillin + tazobactam and carbapenem. Contexte: La pneumonie nosocomiale pose un grand défi à un intensiviste. Des informations détaillées sur la pneumonie acquise dans les hôpitaux (HAP) et la pneumonie acquise par le ventilateur (VAP) sont essentielles pour la prévention et la gestion optimale, améliorant ainsi les soins de soins intensifs de qualité (UTI). Par conséquent, nous avons cherché à étudier la tendance actuelle de la pneumonie nosocomiale en UTI. Matériaux et méthodes: il s'agissait d'une étude de cohorte observationnelle prospective menée dans l'UCI d'un h

  1. Public participation and rural management of Brazilian waters: an alternative to the deficit model

    Directory of Open Access Journals (Sweden)

    Alessandro Luís Piolli

    2008-12-01

    Full Text Available The knowledge deficit model with regard to the public has been severely criticized in the sociology of the public perception of science. However, when dealing with public decisions regarding scientific matters, political and scientific institutions insist on defending the deficit model. The idea that only certified experts, or those with vast experience, should have the right to participate in decisions can bring about problems for the future of democracies. Through a type of "topography of ideas", in which some concepts from the social studies of science are used in order to think about these problems, and through the case study of public participation in the elaboration of the proposal of discounts in the fees charged for rural water use in Brazil, we will try to point out an alternative to the deficit model. This alternative includes a "minimum comprehension" of the scientific matters involved in the decision on the part of the participants, using criteria judged by the public itself.

  2. Hygienic, sanitary, physical, and functional conditions of Brazilian public school food services

    Directory of Open Access Journals (Sweden)

    Kênia Machado de Almeida

    2014-06-01

    Full Text Available OBJECTIVE: To verify the physical, functional, hygienic, and sanitary conditions of the food services of municipal schools located in the Brazilian Midwest region. METHODS: This is a cross-sectional study of 296 school food services conducted from February to June 2012. The food services were assessed by a semi-structured check list divided into the following sections: physical conditions, available equipment, food handlers' conduct, and food service cleaning processes and procedures. The study variables were classified as compliant or noncompliant with the regulations passed by the National Sanitary Surveillance Agency. RESULTS: Noncompliances were found in all study food services, especially with respect to food service conditions, and the wiring and plumbing in the food preparation area. In this section, 62.7 to 95.9% of the food services did not comply with nine out of the thirteen study items. The main problems were: poorly cleaned external areas, deteriorated walls, floors, ceilings, roofs, drains, and roof gutters; and unscreened doors and windows, allowing the entrance of insects; among others. The main noncompliance regarding processes and procedures was the uncontrolled temperature of the ready-to-eat foods. CONCLUSION: The conditions of the study food services are unsatisfactory for the production of safe meals, possibly compromising meal quality, food safety, and the effectiveness of the School Food Program.

  3. Distribution and classification of Serine β-lactamases in Brazilian Hospital Sewage and Other Environmental Metagenomes deposited in Public Databases

    Directory of Open Access Journals (Sweden)

    Adriana Fróes

    2016-11-01

    Full Text Available β-lactam is the most used antibiotic class in the clinical area and it acts on blocking the bacteria cell wall synthesis, causing cell death. However, some bacteria have evolved resistance to these antibiotics mainly due the production of enzymes known as β-lactamases. Hospital sewage is an important source of dispersion of multidrug-resistant bacteria in rivers and oceans. In this work, we used next-generation DNA sequencing to explore the diversity and dissemination of serine β-lactamases in two hospital sewage from Rio de Janeiro, Brazil (South -SZ- and North Zone -NZ, presenting different profiles, and to compare them with public environmental data available. Also, we propose a Hidden-Markov-Model approach to screen potential serine β-lactamases genes (in public environments samples and generated hospital sewage data, exploring its evolutionary relationships. Due to the high variability in β-lactamases, we used a position-specific scoring matrix search method (RPS-BLAST against conserved domain database profiles (CDD, Pfam, and COG followed by visual inspection to detect conserved motifs, to increase the reliability of the results and remove possible false positives. We were able to identify novel β-lactamases from Brazilian hospital sewage and to estimate relative abundance of its types. The highest relative abundance found in SZ was the Class A (50%, while Class D is predominant in NZ (55%. CfxA (65% and ACC (47% types were the most abundant genes detected in SZ, while in NZ the most frequent were OXA-10 (32%, CfxA (28%, ACC (21%, CEPA (20% and FOX (19%. Phylogenetic analysis revealed β-lactamases from Brazilian hospital sewage grouped in the same clade and close to sequences belonging to Firmicutes and Bacteroidetes groups, but distant from potential β-lactamases screened from public environmental data, that grouped closer to β-lactamases of Proteobacteria. Our results demonstrated that HMM-based approach identified homologs of

  4. Balance between education- and research-oriented publications from a Brazilian University Hospital

    Directory of Open Access Journals (Sweden)

    Mendonça de Araujo K.

    2005-01-01

    Full Text Available We analyzed the trends of scientific output of the University Hospital, Federal University of Rio de Janeiro. A total of 1420 publications were classified according to pattern and visibility. Most were non-research publications with domestic visibility. With time, there was a tendency to shift from non-research (or education-oriented publications with domestic visibility to research publications with international visibility. This change may reflect new academic attitudes within the institution concerning the objectives of the hospital and the establishment of scientific research activities. The emphasis of this University Hospital had been on the training of new physicians. However, more recently, the production of new knowledge has been incorporated as a new objective. The analysis of the scientific production of the most productive sectors of the hospital also showed that most are developing non-research studies devoted to the local public while a few of the sectors are carrying out research studies published in journals with international status. The dilemma of quality versus quantity and of education versus research-oriented publication seems, however, to continue to exist within the specialized sectors. The methodology described here to analyze the scientific production of a university hospital can be used as a tool to better understand the evolution of medical research in Brazil and also to help formulate public policies and new strategies to include research among the major objectives of University Hospitals.

  5. Communication self-assessment by public prosecutors in a north-eastern Brazilian state.

    Science.gov (United States)

    Sales, Neuza Josina; Castaneda, Daniel Francisco Neyra; Barreto, Íkaro Daniel de Carvalho; Paoliello, Marina; Campanha, Silvia Márcia Andrade

    2016-01-01

    To describe how public prosecutors self-assess their communication approaches and how listeners react to them; to analyze how this relates to gender, age, and work experience. Descriptive, transversal study. A questionnaire was developed and sent to 126 public prosecutors for completion. Thirty-three completed questionnaires were sent back. The independent variables were gender, age, and number of years of professional experience. The dependent variables were communication self-assessment throughout the years of work, communication parameters used, and listeners' reactions. A descriptive analyzis and Fisher's Exact Test was carried out. the sample contained both male and female participants with a median age of 43 years and an average of 20 years of professional experience. Most of the respondents claimed they had experienced demotivation, insecurity, tension, and difficulty when trying to convince listeners. More women than men reported they felt that their communication had worsened throughout their careers. All the women reported they experienced insecurity when speaking in public. One third of the public prosecutors stated they suffered from disorders on their voice. Those respondents aged over 43, experienced greater proportion on voice change than younger ones. In contrast to their younger colleagues, the majority of public prosecutors with more than 20 years of professional experience revealed that they felt insecure when speaking in public. the public prosecutors identified their strong and weak communication parameters. Gender, age, and work experience affect communicative performance.

  6. Materiality in Public Sector Financial Audit: International Practice and the Opinion of Brazilian Experts

    OpenAIRE

    Juliane Madeira Leitão; José Alves Dantas

    2016-01-01

    Materiality in private sector financial audit is a topic that has been relatively well developed in the literature. Specific research in this regard in public sector auditing, on the other hand, is scarce at the international level and absent in Brazil. In view of this, the purpose of this study was to identify the parameters used to determine materiality in public sector financial audit. To this end, we sent questionnaires to the 192 Supreme Audit Institutions that are members of INTOSAI and...

  7. [The federal government discourse during the political decentralization process and the obstacles to implement the Brazilian Public Health Care System].

    Science.gov (United States)

    Pellegrini, Bárbara

    2007-01-01

    A discourse analysis carried out on basic operating standard Norma Operacional Básica do Sistema Unico de Saúde (NOB-SUS 01/96) of the Brazilian public health care system aiming at locating signs that could allow to identify lines of thought which have influenced health care policies prioritized by the federal administration. The author points out a peculiarity in the kind of discourse employed by the ministry directive: its structure is based on isolated aspects of legislation and on ideas advocated by other discourse communities, articulated with redefined legal principles - an effort towards authorizing the official reasoning in favor of the relevance in keeping the decentralization process under the control of the federal administration. The analysis concludes that an infra-legal standard can neither grant state and federal administrations a hierarchical superiority (mediation function) over municipal administrations, nor can it transfer the legal responsibilities pertaining to Health Councils over to inter-administration commissions (Comissões Intergestores) , thus making the former mere decision ratifiers. This study found that granting privileges not contemplated in the legislation to state and federal administrations surfaced again and more strongly so in 2001 in yet another operating standard.

  8. Excess control rights: a study about its reflex on the cost of debt of publicly traded Brazilian companies

    Directory of Open Access Journals (Sweden)

    Jonatan Marlon Konraht

    2016-08-01

    Full Text Available This study analyzes the effect of excess control on the cost of debt in publicly traded Brazilian companies. Its objective is to determine whether a higher misalignment between voting rights and cash flow rights held by controlling shareholder causes an increase in agency cost of debt. For the analysis of the research problem, it was used panel data regression with random effects, in which was compared the level of excess control and the firms cost of debt. The results indicate that there is a positive and statistically significant association between excess control and the cost of debt. This suggests that creditors interpret this misalignment as a control entrenchment, which increases the credit risk, and thereby, increases the cost of debt. From the scientific point of view, the contribution to the literature provided by this study is the finding that ownership structure bears an impact in the creditor perceptions of risk, and thus, the cost of debt. These results can assist in developing actions to reduce the cost of debt, which implies the maximization of the economic performance of firms that have third-party capital in its capital structure. Its social contribution is the distinction of the firms exposed to a higher level of cost of debt, identifying ways to maximize resources, that is a relevant aspect especially in times of crisis whose effects can be very varied, such as bankruptcies, massive layoffs and default.

  9. Sedentary lifestyle and its associated factors among adolescents from public and private schools of a Brazilian state capital.

    Science.gov (United States)

    Nascente, Flávia Miquetichuc Nogueira; Jardim, Thiago Veiga; Peixoto, Maria do Rosário Gondim; Carneiro, Carolina de Souza; Mendonça, Karla Lorena; Póvoa, Thaís Inácio Rolim; Sousa, Ana Luiza Lima; Barroso, Weimar Kunz Sebba; Jardim, Paulo César Brandão Veiga

    2016-11-21

    Adolescence is a transition stage between childhood and adulthood and is an important phase for the acquisition of future lifestyles, including the practice of physical activity (PA). The prevalence of sedentary lifestyle in adolescents is often high, creating the need for studies addressing the practice of PA and its associated factors for a better understanding of the phenomenon and possible interventions that would encourage positive changes. Cross-sectional study of a representative sample of students aged 14-18 years enrolled in both public and private schools of a large Brazilian city to determine the level of physical activity (PA) and its associated factors. Sedentary lifestyle was measured by applying the International Physical Activity Questionnaire. The independent variables were gender, age, race, tobacco use and alcohol consumption in the past 30 days, socioeconomic status, body mass index, waist circumference and blood pressure. The crude prevalence ratio was used as a measure of association and was estimated from a Poisson regression. The sample consisted of 862 adolescents with a mean age of 15.4 ± 1.1 years. Females were predominant (52.8%), and the age between 14 and 15 years was the most frequent (52.2%). The majority of the group reported themselves as Caucasians (51.2%), belonging to socioeconomic class C (52.5%) and were attending to public schools (69.1%). The prevalence of sedentary lifestyle was 66.8% (95% confidence interval [CI]: 63.5-69.9), where values of 65.4% and 69.9% were observed among students from public and private schools, respectively (p = 0.196). Sedentary lifestyle was more frequent in females (78.0% vs 54.3%; p sedentary lifestyle was female gender both in public and private schools and the only independent variable related to sedentarism was also female gender. The prevalence of sedentary lifestyle was extremely high in the population of adolescents studied both in public and private schools. Female sex was

  10. Public Open Spaces and Leisure-Time Walking in Brazilian Adults.

    Science.gov (United States)

    Florindo, Alex Antonio; Barrozo, Ligia Vizeu; Cabral-Miranda, William; Rodrigues, Eduardo Quieroti; Turrell, Gavin; Goldbaum, Moisés; Cesar, Chester Luiz Galvão; Giles-Corti, Billie

    2017-05-23

    Access to public open space is important to increase leisure-time walking (LTW) in high-income countries, but there is little evidence in middle-income countries. We conducted a cross-sectional analysis to examine the relationship between LTW and the presence of different public open spaces (parks, bike paths, and squares) and the mix of these recreational destinations near the homes of adults participating in the Sao Paulo Health Survey ( n = 3145). LTW was evaluated by a questionnaire. We delineated buffers (500, 1000, and 1500 m) from the geographic coordinates of the adults' residential addresses using a geographic information system. We used multilevel logistic regression taking account of clustering by census tracts and households, and with adjustment for social, demographics, and health characteristics. The main results showed that the presence of at least two recreational destinations within a 500-m buffer of participants' homes were associated with an increased odds of LTW compared with no destinations present (OR = 1.65; 95% CI 1.09-2.55). No associations were found for destinations further away. These results support actions outlined in the new urban plan for Sao Paulo city and could be used to highlight the importance access to a mix of public open spaces to promote physical activity in megacities of middle-income countries.

  11. Costs of genetic testing: Supporting Brazilian Public Policies for the incorporating of molecular diagnostic technologies

    Directory of Open Access Journals (Sweden)

    Rosane Paixão Schlatter

    2015-09-01

    Full Text Available This study identifies and describes the operating costs associated with the molecular diagnosis of diseases, such as hereditary cancer. To approximate the costs associated with these tests, data informed by Standard Operating Procedures for various techniques was collected from hospital software and a survey of market prices. Costs were established for four scenarios of capacity utilization to represent the possibility of suboptimal use in research laboratories. Cost description was based on a single site. The results show that only one technique was not impacted by rising costs due to underutilized capacity. Several common techniques were considerably more expensive at 30% capacity, including polymerase chain reaction (180%, microsatellite instability analysis (181%, gene rearrangement analysis by multiplex ligation probe amplification (412%, non-labeled sequencing (173%, and quantitation of nucleic acids (169%. These findings should be relevant for the definition of public policies and suggest that investment of public funds in the establishment of centralized diagnostic research centers would reduce costs to the Public Health System.

  12. Public Open Spaces and Leisure-Time Walking in Brazilian Adults

    Directory of Open Access Journals (Sweden)

    Alex Antonio Florindo

    2017-05-01

    Full Text Available Access to public open space is important to increase leisure-time walking (LTW in high-income countries, but there is little evidence in middle-income countries. We conducted a cross-sectional analysis to examine the relationship between LTW and the presence of different public open spaces (parks, bike paths, and squares and the mix of these recreational destinations near the homes of adults participating in the Sao Paulo Health Survey (n = 3145. LTW was evaluated by a questionnaire. We delineated buffers (500, 1000, and 1500 m from the geographic coordinates of the adults’ residential addresses using a geographic information system. We used multilevel logistic regression taking account of clustering by census tracts and households, and with adjustment for social, demographics, and health characteristics. The main results showed that the presence of at least two recreational destinations within a 500-m buffer of participants’ homes were associated with an increased odds of LTW compared with no destinations present (OR = 1.65; 95% CI 1.09–2.55. No associations were found for destinations further away. These results support actions outlined in the new urban plan for Sao Paulo city and could be used to highlight the importance access to a mix of public open spaces to promote physical activity in megacities of middle-income countries.

  13. Lapatinib in patients with metastatic breast cancer following initial treatment with trastuzumab: an economic analysis from the Brazilian public health care perspective

    OpenAIRE

    Einarson, Thomas; Machado,

    2012-01-01

    Marcio Machado,1 Thomas R Einarson21GlaxoSmithKline Brasil Ltd, Rio de Janeiro, Brazil; 2Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, CanadaObjective: To evaluate, from the perspective of the Brazilian public health care system, the cost-effectiveness of lapatinib plus capecitabine (LAP/CAP) versus capecitabine alone (CAP) or trastuzumab plus capecitabine (TRAST/CAP) in the treatment of women with human epidermal growth factor receptor-2-positive metastatic breast cancer pr...

  14. Questionnaire survey about use of an online appointment booking system in one large tertiary public hospital outpatient service center in China.

    Science.gov (United States)

    Zhang, MinMin; Zhang, CongXin; Sun, QinWen; Cai, QuanCai; Yang, Hua; Zhang, YinJuan

    2014-06-09

    As a part of nationwide healthcare reforms, the Chinese government launched web-based appointment systems (WAS) to provide a solution to problems around outpatient appointments and services. These have been in place in all Chinese public tertiary hospitals since 2009. Questionnaires were collected from both patients and doctors in one large tertiary public hospital in Shanghai, China.Data were analyzed to measure their satisfaction and views about the WAS. The 1000 outpatients randomly selected for the survey were least satisfied about the waiting time to see a doctor. Even though the WAS provided a much more convenient booking method, only 17% of patients used it. Of the 197 doctors surveyed, over 90% thought it was necessary to provide alternative forms of appointment booking systems for outpatients. However, about 80% of those doctors who were not associated professors would like to provide an 'on-the-spot' appointment option, which would lead to longer waits for patients. Patients were least satisfied about the waiting times. To effectively reduce appointment-waiting times is therefore an urgent issue. Despite the benefits of using the WAS, most patients still registered via the usual method of queuing, suggesting that hospitals and health service providers should promote and encourage the use of the WAS. Furthermore, Chinese health providers need to help doctors to take others' opinions or feedback into consideration when treating patients to minimize the gap between patients' and doctors' opinions. These findings may provide useful information for both practitioners and regulators, and improve recognition of this efficient and useful booking system, which may have far-reaching and positive implications for China's ongoing reforms.

  15. Implementation of public policy on alcohol and other drugs in Brazilian municipalities: comparative studies.

    Science.gov (United States)

    Mota, Daniela Belchior; Ronzani, Telmo Mota

    2016-07-01

    One of the challenges with respect to public health and the abuse of alcohol and other drugs is to implement policies in support of greater co-ordination among various levels of government. In Brazil, policies are formulated by the Secretaria Nacional de Políticas sobre Drogas (SENAD - State Department for Policies on Drugs) and the Ministério da Saúde (MS - Ministry of Health). This study aims to compare implementation of policies adopted by SENAD and MS at the municipal level. Three municipalities were intentionally selected: Juiz de Fora having a larger network of treatment services for alcohol and drug users; Lima Duarte, a small municipality, which promotes the political participation of local actors (COMAD - Municipal Council on Alcohol and Drugs); and São João Nepomuceno, also a small municipality, chosen because it has neither public services specialised to assist alcohol and other drugs users, nor COMAD. Data collection was conducted through interviews with key informants (n = 19) and a review of key documents concerned with municipal policies. Data analysis was performed using content analysis. In Juiz de Fora, there are obstacles regarding the integration of the service network for alcohol and other drug users and also the articulation of local actors, who are predominant in the mental health sector. In Lima Duarte, while there is a link between local actors through COMAD, their actions within the local service network have not been effective. In São João Nepomuceno, there were no public actions in the area of alcohol and drugs, and consequently insufficient local debate. However, some voluntary, non-governmental work has been undertaken. There were weaknesses in the implementation of national-level policies by SENAD and the MS, due to the limited supply of available treatment, assistance and the lack of integration among local actors. © 2015 John Wiley & Sons Ltd.

  16. Public Activism As A Social Strategy Of The Brazilian Peasantry: The Movement Of Peasant Women

    Directory of Open Access Journals (Sweden)

    Maria Clara Capel de Ataídes

    2016-12-01

    Full Text Available This paper analyzes the issue of public activism as a social strategy of the Movement of Peasant Women. Explores, therefore, its historical overview as a counter-hegemonic movement. For an analysis of the strategical actions within the social movements, evaluates the legitimate organizations of the English people in the eighteenth century, who acted founded on a moral economy, and the peasantry actions in Brazil. Starts with the hypothesis that there is rationality in the proposals of the Movement of Peasant Women and that it’s dynamic nature must be analyzed under the light of historiographical processes.

  17. Frequency of Enteroparasites and Bacteria in the Leafy Vegetables Sold in Brazilian Public Wholesale Markets.

    Science.gov (United States)

    Machado, Eleuza R; Maldonade, Iriani R; Riquette, Roberta F R; Mendes, Vinícios S; Gurgel-Gonçalves, Rodrigo; Ginani, Veronica C

    2018-04-01

    The consumption of raw vegetables is related to health benefits. However, these foods might be source of foodborne diseases. The objective of the present study was to perform a microbiological and parasitological evaluation of the leafy vegetables commercially sold in five regions of Brazil at public wholesale markets. The 12 types of leafy vegetables (144 samples) were curly lettuce, looseleaf lettuce, red lettuce, chives, coriander, kale, basil, arugula, parsley, iceberg lettuce, chicory, and bean sprouts. The prevalences of total coliforms (88 to 100%) and thermotolerant coliforms (37 to 100%) were high, but Salmonella was not detected in any of the analyzed samples. All open markets sold vegetables contaminated with enteroparasites, mainly Entamoeba sp., Balantidium coli, Strongyloides sp., Ascaris sp., Enterobius vermicularis, and Ancylostomidae. Contamination was detected in all the regions (north, northeast, central west, southeast, and south) and types of vegetables, with higher prevalences in the northeast region, mainly in basil, lettuce, and chives. Contamination of vegetables by potentially pathogenic microorganisms is a national problem, and the distribution centers should improve quality control of these commercial vegetables. Considering the high frequency of enteroparasites and bacteria and the potential risk of disease transmitted by vegetables, we suggest greater enforcement of the sanitary surveillance of food offered to the public.

  18. Media and Public Communications Policies: An Empirical Analysis of the Brazilian Print Media

    Directory of Open Access Journals (Sweden)

    Guilherme Canela

    2007-12-01

    Full Text Available This essay examines a subject rarely emphasized in the studies on public interest issues reported in the print media. Drawing on a review of the journalistic content produced by 53 newspapers from every state in the federation and 4 national weekly magazines, the paper analyzes a sample of 1,184 articles, editorials, columns, interviews, and reports on subjects of immediate interest to the media, journalism, and/or media companies. Throughout 2003, 2004, and 2005, news pieces were compiled containing keywords, including “media and democracy,” “concentration of ownership,” “television regulation.” The analysis found that the print media provides insufcient and inadequate coverage of these issues, reserving more extensive coverage only to those questions nearest and dearest to it, such as the freedom of expression.

  19. Development policy for the Brazilian health industry and qualification of national public laboratories.

    Science.gov (United States)

    Viana, Ana Luiza d'Ávila; Silva, Hudson Pacifico da; Ibañez, Nelson; Iozzi, Fabíola Lana

    2016-11-03

    Technological innovations play a decisive role in societies' development by contributing to economic growth and the population's welfare. The state has a key role in this process by inducing innovative behavior, strategies, and decisions. This study addresses Brazil's current policy for development of the health industry and its effects on qualification of national public laboratories by contextualizing different cycles of interaction between health policy and the industrial base, discussing the government's development strategy and the transfer and absorption of health technology (through Industrial Development Partnerships), and presenting two current partnerships involving public laboratories in the production of medicines and vaccines. Resumo: As inovações tecnológicas jogam papel decisivo no processo de desenvolvimento das sociedades, visto que contribuem para gerar crescimento econômico e bem-estar da população. O Estado possui grande importância e centralidade nesse processo, pois pode induzir fortemente o comportamento, as estratégias e as decisões relativas à inovação. O presente artigo tem por objetivo investigar a atual política de desenvolvimento produtivo em saúde no Brasil e seus reflexos sobre a capacitação dos laboratórios públicos nacionais. Para essa finalidade, contextualiza os diferentes ciclos de interação entre a política de saúde e a sua base produtiva, discute a estratégia do governo brasileiro para o desenvolvimento, a transferência e a absorção de tecnologia na área da saúde (as parcerias para o desenvolvimento produtivo) e apresenta duas parcerias vigentes envolvendo laboratórios públicos para a produção de medicamentos e vacinas.

  20. Detection of P. aeruginosa harboring bla CTX-M-2, bla GES-1 and bla GES-5, bla IMP-1 and bla SPM-1 causing infections in Brazilian tertiary-care hospital

    Directory of Open Access Journals (Sweden)

    Polotto Milena

    2012-08-01

    Full Text Available Abstract Background Nosocomial infections caused by Pseudomonas aeruginosa presenting resistance to beta-lactam drugs are one of the most challenging targets for antimicrobial therapy, leading to substantial increase in mortality rates in hospitals worldwide. In this context, P. aeruginosa harboring acquired mechanisms of resistance, such as production of metallo-beta-lactamase (MBLs and extended-spectrum beta-lactamases (ESBLs have the highest clinical impact. Hence, this study was designed to investigate the presence of genes codifying for MBLs and ESBLs among carbapenem resistant P. aeruginosa isolated in a Brazilian 720-bed teaching tertiary care hospital. Methods Fifty-six carbapenem-resistant P. aeruginosa strains were evaluated for the presence of MBL and ESBL genes. Strains presenting MBL and/or ESBL genes were submitted to pulsed-field gel electrophoresis for genetic similarity evaluation. Results Despite the carbapenem resistance, genes for MBLs (blaSPM-1 or blaIMP-1 were detected in only 26.7% of isolates. Genes encoding ESBLs were detected in 23.2% of isolates. The blaCTX-M-2 was the most prevalent ESBL gene (19.6%, followed by blaGES-1 and blaGES-5 detected in one isolate each. In all isolates presenting MBL phenotype by double-disc synergy test (DDST, the blaSPM-1 or blaIMP-1 genes were detected. In addition, blaIMP-1 was also detected in three isolates which did not display any MBL phenotype. These isolates also presented the blaCTX-M-2 gene. The co-existence of blaCTX-M-2 with blaIMP-1 is presently reported for the first time, as like as co-existence of blaGES-1 with blaIMP-1. Conclusions In this study MBLs production was not the major mechanism of resistance to carbapenems, suggesting the occurrence of multidrug efflux pumps, reduction in porin channels and production of other beta-lactamases. The detection of blaCTX-M-2,blaGES-1 and blaGES-5 reflects the recent emergence of ESBLs among antimicrobial resistant P. aeruginosa and

  1. Detection of P. aeruginosa harboring bla CTX-M-2, bla GES-1 and bla GES-5, bla IMP-1 and bla SPM-1 causing infections in Brazilian tertiary-care hospital

    Science.gov (United States)

    2012-01-01

    Background Nosocomial infections caused by Pseudomonas aeruginosa presenting resistance to beta-lactam drugs are one of the most challenging targets for antimicrobial therapy, leading to substantial increase in mortality rates in hospitals worldwide. In this context, P. aeruginosa harboring acquired mechanisms of resistance, such as production of metallo-beta-lactamase (MBLs) and extended-spectrum beta-lactamases (ESBLs) have the highest clinical impact. Hence, this study was designed to investigate the presence of genes codifying for MBLs and ESBLs among carbapenem resistant P. aeruginosa isolated in a Brazilian 720-bed teaching tertiary care hospital. Methods Fifty-six carbapenem-resistant P. aeruginosa strains were evaluated for the presence of MBL and ESBL genes. Strains presenting MBL and/or ESBL genes were submitted to pulsed-field gel electrophoresis for genetic similarity evaluation. Results Despite the carbapenem resistance, genes for MBLs (blaSPM-1 or blaIMP-1) were detected in only 26.7% of isolates. Genes encoding ESBLs were detected in 23.2% of isolates. The blaCTX-M-2 was the most prevalent ESBL gene (19.6%), followed by blaGES-1 and blaGES-5 detected in one isolate each. In all isolates presenting MBL phenotype by double-disc synergy test (DDST), the blaSPM-1 or blaIMP-1 genes were detected. In addition, blaIMP-1 was also detected in three isolates which did not display any MBL phenotype. These isolates also presented the blaCTX-M-2 gene. The co-existence of blaCTX-M-2 with blaIMP-1 is presently reported for the first time, as like as co-existence of blaGES-1 with blaIMP-1. Conclusions In this study MBLs production was not the major mechanism of resistance to carbapenems, suggesting the occurrence of multidrug efflux pumps, reduction in porin channels and production of other beta-lactamases. The detection of blaCTX-M-2,blaGES-1 and blaGES-5 reflects the recent emergence of ESBLs among antimicrobial resistant P. aeruginosa and the extraordinary

  2. Quality Computer Assisted Mobile Learning (CAML and Distance Education Leadership in Managing Technology Enhanced Learning Management System (TELMS in the Malaysian Public Tertiary Education

    Directory of Open Access Journals (Sweden)

    Lee Tan Luck

    2009-07-01

    Full Text Available Abstract - The success in the implementation of a quality computer assisted mobile learning and distance education in a Technology Enhanced Learning Management System is highly rely on the academic leadership in managing and application of Information and Communication Technology (ICT in the tertiary level. The effectiveness of its leadership, knowledge, application and management of ICT and learning management system is of utmost important. Successful application and management includes quality and cost effectiveness of universities administration, CAML and distance education leadership development, organizational culture, academic staffs and students’ attitude and their commitment towards teaching and learning process, support towards the usage of state of the art techno-educational facilities, availability of ICT resources, maintenance and funding of a Learning Management System. This paper will discuss the above factors, which present a comprehensive framework for the implementation of a quality CAML and distance education environment in ICT application and management in the Malaysian public universities. Selected Fifty-two respondents from two Malaysian public universities which offer e Learning and distance education with Learning Management System were acquired. A survey questionnaire is used to determine the effectiveness of ICT and mobile learning application management. Data from the questionnaires were analyzed by using non-parametric and parametric statistics testing. Results of this study show there is significant different in the CAML and distance education leadership in TELMS and the application of ICT and its management in the Malaysian public universities. The study will also address the implementation elements necessary for transforming the public universities and its CAML and distance education teaching and learning process into an effective and result oriented computer assisted mobile learning management model in public

  3. Changes in sexual behavior following a sex education program in Brazilian public schools.

    Science.gov (United States)

    Andrade, Heloísa Helena Siqueira Monteiro; Mello, Maeve Brito de; Sousa, Maria Helena; Makuch, Maria Yolanda; Bertoni, Neilane; Faúndes, Anibal

    2009-05-01

    This paper describes an evaluation of possible changes in sexual behavior in adolescents who participated in a school-based sex education program in selected public schools in four municipalities in the state of Minas Gerais, Brazil. The program is inserted within the context of reproductive rights, deals with risks involved in unsafe sexual practices and focuses on the positive aspects of sexuality. A quasi-experimental design with pre and post-tests and a non-equivalent control group was used to evaluate the intervention. A total of 4,795 questionnaires were included in this analysis. The program succeeded in more than doubling consistent condom use with casual partners and in increasing the use of modern contraceptives during last intercourse by 68%. The intervention had no effect on age at first intercourse or on adolescents' engagement in sexual activities. The sex education program was effective in generating positive changes in the sexual behavior of adolescents, while not stimulating participation in sexual activities.

  4. Children Education in the Brazilian scenario after parliamentary coup: Public policy and evaluation

    Directory of Open Access Journals (Sweden)

    Ângela Scalabrin Coutinho

    2017-12-01

    Full Text Available This article aims to analyze the changes in the public police propositions of Children Education, in particular the evaluation policies concerning this stage, due to the change of government resulting from the parliamentary coup that had its end in the first half of 2016. Therefore, it sets the recent course of elaborating an evaluation policy for this educational stage, highlighting the goals and strategies of Plano Nacional de Educação (PNE and links it to other ongoing policies, such as the curriculum, which currently has as its main scope the definition of a Base Nacional Comum Curricular (BNCC. It is identified that the revocation of the decree that defined the Sistema Nacional de Avaliação da Educação Infantil (ANEI and the presentation of a third version of BNCC, focused on a curricular perspective based on skills and abilities and with an emphasis on writing in children’s education, jeopardizes the process of defining a descentralized evaluation policy on the individual performance of children and is concerned about the quality of education provision. Another aspect of attention is the aliances estabilished in the definition of educational policies, in order to identify the participation of private entities not only in the implementation of policie but in their formulation, which reveals a clear choice for privatist logic of government.

  5. R&D+ i Strategic Management in a Public Company in the Brazilian Electric Sector

    Directory of Open Access Journals (Sweden)

    Ruy De Quadros Carvalho

    2013-05-01

    Full Text Available The purpose of this paper is - by reporting an experience of structuring processes and tools related to the strategic management of R&D in the electricity sector – to show the conditions and potential for improved efficiency, efficacy, and effectiveness in the R&D program set by ANEEL. The methodology is action research. This is because the proposed and tested model is the result of reflection and resolution of critical organizational issues, applied in a public company in the electric power sector. Act No. 9,991 of July 24, 2000 provides for the obligation on the part of concessionaires, permittees, and licensees in the electric power sector to invest part of their operating revenue in research and development (R&D. For the effective implementation of these legal obligations, companies prepare their annual R&D programs, comprising projects that aim at developing innovative solutions for their processes and increasing business efficiency. However, the urgency to comply with the contractual provisions, coupled with the small amount of experience most companies have when it comes to carrying out R&D activities and projects, has led to the gradual formation of a mode of R&D implementation and management that does not favor its optimization and alignment with the goals the utility companies and the sector’s own technological development . The approach proposed in this paper consists of structuring the processes and tools related to the management of R&D driven by innovation (R&D+i and aligned with with the business strategy. These processes include the adoption of procedures and tools to manage structured, integrated decision-making flows involved in the innovation process, aiming at full alignment with business goals and objectives.

  6. Back Pain Prevalence and Its Associated Factors in Brazilian Athletes from Public High Schools: A Cross-Sectional Study.

    Directory of Open Access Journals (Sweden)

    Matias Noll

    Full Text Available Most studies on the prevalence of back pain have evaluated it in developed countries (Human Development Index--HDI > 0.808, and their conclusions may not hold for developing countries. The aim of this study was to identify the prevalence of back pain in representative Brazilian athletes from public high schools. This cross-sectional study was performed during the state phase of the 2015 Jogos dos Institutos Federais (JIF, or Federal Institutes Games, in Brazil (HDI = 0.744, and it enrolled 251 athletes, 173 males and 78 females (14-20 years old. The dependent variable was back pain, and the independent variables were demographic, socioeconomic, psychosocial, hereditary, exercise-level, anthropometric, strength, behavioral, and postural factors. The prevalence ratio (PR was calculated using multivariable analysis according to the Poisson regression model (α = 0.05. The prevalence of back pain in the three months prior to the study was 43.7% (n = 104, and 26% of the athletes reported feeling back pain only once. Multivariable analysis showed that back pain was associated with demographic (sex, psychosocial (loneliness and loss of sleep in the previous year, hereditary (ethnicity, parental back pain, strength (lumbar and hand forces, anthropometric (body mass index, behavioral (sleeping time per night, reading and studying in bed, smoking habits in the previous month, and postural (sitting posture while writing, while on a bench, and while using a computer variables. Participants who recorded higher levels of lumbar and manual forces reported a lower prevalence of back pain (PR 1.30. In conclusion, there is no association between exercise levels and back pain but there is an association between back pain and non-exercise related variables.

  7. Back Pain Prevalence and Its Associated Factors in Brazilian Athletes from Public High Schools: A Cross-Sectional Study.

    Science.gov (United States)

    Noll, Matias; de Avelar, Ivan Silveira; Lehnen, Georgia Cristina; Vieira, Marcus Fraga

    2016-01-01

    Most studies on the prevalence of back pain have evaluated it in developed countries (Human Development Index--HDI > 0.808), and their conclusions may not hold for developing countries. The aim of this study was to identify the prevalence of back pain in representative Brazilian athletes from public high schools. This cross-sectional study was performed during the state phase of the 2015 Jogos dos Institutos Federais (JIF), or Federal Institutes Games, in Brazil (HDI = 0.744), and it enrolled 251 athletes, 173 males and 78 females (14-20 years old). The dependent variable was back pain, and the independent variables were demographic, socioeconomic, psychosocial, hereditary, exercise-level, anthropometric, strength, behavioral, and postural factors. The prevalence ratio (PR) was calculated using multivariable analysis according to the Poisson regression model (α = 0.05). The prevalence of back pain in the three months prior to the study was 43.7% (n = 104), and 26% of the athletes reported feeling back pain only once. Multivariable analysis showed that back pain was associated with demographic (sex), psychosocial (loneliness and loss of sleep in the previous year), hereditary (ethnicity, parental back pain), strength (lumbar and hand forces), anthropometric (body mass index), behavioral (sleeping time per night, reading and studying in bed, smoking habits in the previous month), and postural (sitting posture while writing, while on a bench, and while using a computer) variables. Participants who recorded higher levels of lumbar and manual forces reported a lower prevalence of back pain (PR 1.30). In conclusion, there is no association between exercise levels and back pain but there is an association between back pain and non-exercise related variables.

  8. [Efficiency of Brazilian States and the Federal District in the public kidney transplant system based on DEA (Data Envelopment Analysis) and the Malmquist index].

    Science.gov (United States)

    Costa, Cassia Kely Favoretto; Balbinotto Neto, Giácomo; Sampaio, Luciano Menezes Bezerra

    2014-08-01

    The objective of this study was to evaluate the efficiency of Brazilian States and the Federal District in the public kidney transplant system and their productivity trends from 2006 to 2011. The authors used Data Envelopment Analysis (DEA) with slack and the Malmquist index with slack. Inputs included spending on hospital services and health professionals in the system. The output was the number of kidney transplants performed in each State. The data showed a significant discrepancy between States in the number of kidney transplants. The transplant system's inefficiency may result from inadequate management, failure to comply with national guidelines, inactive hospital transplant committees, and overburdened hospital staff. Institutional changes promoted by the Brazilian Ministry of Health (procedures improvement and standardization) failed to increase productivity in most States during this period.

  9. Cancellation of elective surgeries in a Brazilian public hospital: reasons and estimated reduction.

    Science.gov (United States)

    Santos, Gisele Aparecida Alves Corral Dos; Bocchi, Silvia Cristina Mangini

    2017-01-01

    To characterize cancellations of elective surgeries according to clinical and non-clinical reasons, as well as to verify seasonal influence and determine the estimated reduction of the index. Quantitative, descriptive and retrospective study with secondary data extracted from the Public Hospital of the State of São Paulo database. Out of the 8,443 (100%) elective surgeries scheduled, 7,870 (93.21%) were performed and 573 (6.79%) were canceled. Out of these 573 (100%) people, 48.33% were canceled for clinical reasons and 46.40% were for non-clinical reasons. Among the non-clinical reasons for surgery cancellations, those related to medical reasons stood out: at the request of the surgeon/change of approach (17.93%), followed by non-hospitalized patient (8.96%). There was no indication of seasonality regarding the reasons for cancellation in the assessed period. Although the rate of elective surgeries cancellations is lower than that of other hospitals with similar characteristics, it is still possible to reduce it from 6.79% to 1.36%, considering that 80% of the reasons for cancellation are avoidable. Caracterizar cancelamentos cirúrgicos eletivos segundo motivos clínicos e não clínicos, assim como verificar a influência sazonal e a estimativa de redução do índice. Estudo quantitativo, descritivo e retrospectivo com dados secundários, extraídos de banco de dados de Hospital Público do Estado de São Paulo. Das 8.443 (100%) cirurgias eletivas agendadas, realizaram-se 7.870 (93,21%) e suspenderam-se 573 (6,79%). Destas 573 (100%), 48,33% foram por razões clínicas e 46,40% não clínicas. Dentre os motivos não clínicos de cancelamento cirúrgico, preponderaram os relacionados às razões médicas, categorizadas como: a pedido do cirurgião/mudança de conduta (17,93%), seguida por paciente não internou (8,96%). Não houve indicação de sazonalidade quanto à ocorrência de motivos de cancelamento no período analisado. Apesar de a taxa de cancelamento

  10. Brazilian and International Accounting Standards Applied to the Public Sector and the Challenge of Convergence: a Comparative Analysis - IPSAS and NBCTSP

    Directory of Open Access Journals (Sweden)

    Adriana Rodrigues Fragoso

    2012-01-01

    Full Text Available The aim in this study is to analyze the current stage of conceptual convergence between Brazilian accounting standardsapplied to the public sector (NBCTSP and the International Public Sector Accounting Standard (IPSAS.The complexity and range of transactions between public or private sector entities, as a result of market internationalization,demand continuous and dynamic assessment of the events that promote quantitative or qualitative equitychanges. For this evaluation process, observing accounting principles and standards is important to guarantee, amongother information characteristics, understandability and comparability, thus reducing costs for investors and users in general, in view of the barriers raised by diverse languages, cultures, tax and economic policies. For convergenceanalysis, the standards’ contents were subject to a comparative study, based on a descriptive analysis, with a viewto verifying the existing adherence between Brazilian and international standards applied to the public sector. Theresults found highlight that different aspects still have to be discussed with a view to an actual convergence with theinternational standards; the current convergence is partial. The high-quality conceptual exposure of the NBCPSPsis observed though, while the contents of the IPSAS are more focused on operating procedures.

  11. BRAZILIAN AND INTERNATIONAL ACCOUNTING STANDARDS APPLIED TO THE PUBLIC SECTOR AND THE CHALLENGE OF CONVERGENCE: A COMPARATIVE ANALYSIS - IPSAS AND NBCTSP

    Directory of Open Access Journals (Sweden)

    José Francisco Ribeiro Filho (in memoriam

    2012-11-01

    Full Text Available The aim in this study is to analyze the current stage of conceptual convergence between Brazilian accounting standards applied to the public sector (NBCTSP and the International Public Sector Accounting Standard (IPSAS. The complexity and range of transactions between public or private sector entities, as a result of market internationalization, demand continuous and dynamic assessment of the events that promote quantitative or qualitative equity changes. For this evaluation process, observing accounting principles and standards is important to guarantee, among other information characteristics, understandability and comparability, thus reducing costs for investors and users in general, in view of the barriers raised by diverse languages, cultures, tax and economic policies. For convergence analysis, the standards’ contents were subject to a comparative study, based on a descriptive analysis, with a view to verifying the existing adherence between Brazilian and international standards applied to the public sector. The results found highlight that different aspects still have to be discussed with a view to an actual convergence with the international standards; the current convergence is partial. The high-quality conceptual exposure of the NBCPSPs is observed though, while the contents of the IPSAS are more focused on operating procedures

  12. Hospital-associated methicillin-resistant Staphylococcus aureus: A cross-sectional analysis of risk factors in South African tertiary public hospitals.

    Directory of Open Access Journals (Sweden)

    Liliwe L Shuping

    Full Text Available Hospital-associated methicillin-resistant S. aureus (HA-MRSA remains a significant cause of morbidity and mortality worldwide. We conducted a study to determine risk factors for HA-MRSA in order to inform control strategies in South Africa.We used surveillance data collected from five tertiary hospitals in Gauteng and Western Cape provinces during 2014 for analysis. A case of HA-MRSA was defined as isolation of MRSA from a blood culture 48 hours after admission and/or if the patient was hospitalised in the six months prior to the current culture. Multivariable logistic regression modelling was used to determine risk factors for HA-MRSA.Of the 9971 patients with positive blood cultures, 7.7% (772 had S. aureus bacteraemia (SAB. The overall prevalence of MRSA among those with SAB was 30.9% (231/747; 95% confidence interval [CI] 27.6%- 34.3%. HA-MRSA infections accounted for 28.3% of patients with SAB (207/731; 95% CI 25.1%- 31.7%. Burns (adjusted odds ratio [aOR] 12.7; 95% CI 4.7-34.4, age ≤1 month (aOR 8.7; 95% CI 3.0-24.6, residency at a long-term care facility (aOR 5.2; 95% CI, 1.5-17.4, antibiotic use within two months of the current SAB episode (aOR 5.1; 95% CI 2.8-9.1, hospital stay of 13 days or more (aOR 2.8; 95% CI 1.3-5.6 and mechanical ventilation (aOR 2.2; 95% CI 1.07-4.6, were independent risk factors for HA-MRSA infection.The prevalence of MRSA remains high in South African tertiary public hospitals. Several identified risk factors of HA-MRSA infections should be considered when instituting infection and prevention strategies in public-sector hospitals, including intensifying the implementation of antimicrobial stewardship programmes. There is an urgent need to strengthen infection prevention and control in burn wards, neonatal wards, and intensive care units which house mechanically ventilated patients.

  13. Hospital-associated methicillin-resistant Staphylococcus aureus: A cross-sectional analysis of risk factors in South African tertiary public hospitals

    Science.gov (United States)

    Kuonza, Lazarus; Musekiwa, Alfred; Iyaloo, Samantha; Perovic, Olga

    2017-01-01

    Introduction Hospital-associated methicillin-resistant S. aureus (HA-MRSA) remains a significant cause of morbidity and mortality worldwide. We conducted a study to determine risk factors for HA-MRSA in order to inform control strategies in South Africa. Methods We used surveillance data collected from five tertiary hospitals in Gauteng and Western Cape provinces during 2014 for analysis. A case of HA-MRSA was defined as isolation of MRSA from a blood culture 48 hours after admission and/or if the patient was hospitalised in the six months prior to the current culture. Multivariable logistic regression modelling was used to determine risk factors for HA-MRSA. Results Of the 9971 patients with positive blood cultures, 7.7% (772) had S. aureus bacteraemia (SAB). The overall prevalence of MRSA among those with SAB was 30.9% (231/747; 95% confidence interval [CI] 27.6%– 34.3%). HA-MRSA infections accounted for 28.3% of patients with SAB (207/731; 95% CI 25.1%– 31.7%). Burns (adjusted odds ratio [aOR] 12.7; 95% CI 4.7–34.4), age ≤1 month (aOR 8.7; 95% CI 3.0–24.6), residency at a long-term care facility (aOR 5.2; 95% CI, 1.5–17.4), antibiotic use within two months of the current SAB episode (aOR 5.1; 95% CI 2.8–9.1), hospital stay of 13 days or more (aOR 2.8; 95% CI 1.3–5.6) and mechanical ventilation (aOR 2.2; 95% CI 1.07–4.6), were independent risk factors for HA-MRSA infection. Conclusion The prevalence of MRSA remains high in South African tertiary public hospitals. Several identified risk factors of HA-MRSA infections should be considered when instituting infection and prevention strategies in public-sector hospitals, including intensifying the implementation of antimicrobial stewardship programmes. There is an urgent need to strengthen infection prevention and control in burn wards, neonatal wards, and intensive care units which house mechanically ventilated patients. PMID:29145465

  14. Políticas públicas brasileñas para las personas mayores Brazilian public policies for elderly patients

    Directory of Open Access Journals (Sweden)

    Marcia Regina Martins Alvarenga

    2009-06-01

    Full Text Available Diferentes estudios recientes demuestran que el envejecimiento de la población brasileña es irreversible. Evaluar las necesidades de salud de este segmento poblacional para gestionar los recursos disponibles es imprescindible para los profesionales de la salud. Ese artículo tiene como objetivo presentar el Sistema único de Salud en Brasil y las políticas públicas para las personas mayores. El país brasileño no dispone de una red de servicios articulados y dedicados a la asistencia de las necesidades específicas de las personas mayores, a pesar de que la legislación brasileña está avanzando en cuanto a la promoción y la protección de la salud de estas personas.Recent different studies show that Brazilian population aging is irreversible. Evaluation of the elderly health care needs by health professionals is essential to the management of the available resources. The aim of this article is to describe the Brazilian Unified Health Care System and the public policies for elderly. In spite of the lack of an integrated health care network to provide health care to meet the needs of the elderly population, Brazilian legislation is improving, foreseeing the health promotion and protection of older people.

  15. The Fundamental Right to Public Security and the Untermassverbot Principle: A Required Review of The Article #152 of the Brazilian Procedural Criminal Code

    Directory of Open Access Journals (Sweden)

    Marcial Duarte Coêlho

    2017-02-01

    Full Text Available The increasing of violence in Brazil affects the fundamental right to public security. When the State does not sufficiently protects a fundamental right there is a violation of the so-called untermassverbot principle. This paper aims to explore the interpretation of the article #152 of the brazilian procedural criminal code under the untermassverbot principle. The traditional interpretation understands that the criminal procedure will be stopped, but the prescription penal period is not equally interrupted. It is proposed a new reading of that article, under the approaches of the proportionality principle and the integral penal guaranteeism.

  16. Exploiting the potential of intranet for managing drug spectrum a web base publication in a Tertiary Care Hospital in Mumbai

    Directory of Open Access Journals (Sweden)

    Yashashri Chandrakant Shetty

    2015-01-01

    Full Text Available Objective: The study surveyed the availability of the intranet in campus and also the knowledge related to drug spectrum an intranet publication. Materials and Methods: Institutional ethics committee permission was obtained. Verbal consent was taken from the faculty and resident doctors of departments where all the facilities were available. Universal sampling method was used for recruitment. Pre-validated questionnaires were given to approximately 100 faculty and 500 resident doctors in the year 2012-2013. The questionnaire contained 15 items. Content analysis was done. The study questionnaire focused on a survey to obtain participants feedback on the use of the intranet and to evaluate the use of intranet as a source of knowledge. It also dealt on the relevance of the drug spectrum in the context of their subject. The responses were taken after giving the participants sufficient time. Data was entered into an Excel 2003 spread sheet and analyzed by using descriptive statistics. Results: The total number of respondents who participated in our study was 134 including faculty and residents from various departments. A total of 117 (89.66% respondents stated that their departments have access to the internet. Departments having access to intranet was 103 (76.29%. 67 (49.62% respondents have accessed. 67 (49.62% did not have the time to visit intranet site whereas 67 (49.62% have not accessed intranet. 89 (65.92% respondents were not aware of the drug spectrum. 101 (74.81% respondents felt that drug spectrum is a useful activity on intranet. 45 (33.33% knew about the intranet periodical drug spectrum, but most of the respondents (33.33% explained the meaning of the word drug spectrum according to their understanding, but never knew about the online intranet journal drug spectrum. Conclusion: The study found that the intranet is available in the campus, but it is not being utilized. The awareness and knowledge regarding drug spectrum is lacking, but

  17. Exploiting the potential of intranet for managing drug spectrum a web base publication in a Tertiary Care Hospital in Mumbai.

    Science.gov (United States)

    Shetty, Yashashri Chandrakant; Patel, Tejal Chetan; Parmar, Urwashi Indrakumar

    2015-01-01

    The study surveyed the availability of the intranet in campus and also the knowledge related to drug spectrum an intranet publication. Institutional ethics committee permission was obtained. Verbal consent was taken from the faculty and resident doctors of departments where all the facilities were available. Universal sampling method was used for recruitment. Pre-validated questionnaires were given to approximately 100 faculty and 500 resident doctors in the year 2012-2013. The questionnaire contained 15 items. Content analysis was done. The study questionnaire focused on a survey to obtain participants feedback on the use of the intranet and to evaluate the use of intranet as a source of knowledge. It also dealt on the relevance of the drug spectrum in the context of their subject. The responses were taken after giving the participants sufficient time. Data was entered into an Excel 2003 spread sheet and analyzed by using descriptive statistics. The total number of respondents who participated in our study was 134 including faculty and residents from various departments. A total of 117 (89.66%) respondents stated that their departments have access to the internet. Departments having access to intranet was 103 (76.29%). 67 (49.62%) respondents have accessed. 67 (49.62%) did not have the time to visit intranet site whereas 67 (49.62%) have not accessed intranet. 89 (65.92%) respondents were not aware of the drug spectrum. 101 (74.81%) respondents felt that drug spectrum is a useful activity on intranet. 45 (33.33%) knew about the intranet periodical drug spectrum, but most of the respondents (33.33%) explained the meaning of the word drug spectrum according to their understanding, but never knew about the online intranet journal drug spectrum. The study found that the intranet is available in the campus, but it is not being utilized. The awareness and knowledge regarding drug spectrum is lacking, but the participants had a lot of suggestions. Thus, intranet has

  18. Analisys of IT outsourcing contracts at the TCU (Federal Court of Accounts and of the legislation that governs these contracts in the Brazilian Federal Public administration

    Directory of Open Access Journals (Sweden)

    Graziela Ferreira Guarda

    2015-09-01

    Full Text Available Information technology (IT outsourcing has for a long time been a major trend in business and government. Accountability of IT outsourcing contracts in the public administration is recognized as an important factor contributing to government transparency and public services quality, given the legislation governing these contracts and the amount of related expenditures. Considering the trend towards open government data publishing, including data on outsourcing contracts, there is an interesting opportunity for citizens to participate in the open auditing of these contracts as a means to assess the good application of public resources. In this study we explore this possibility by analyzing open data published by the Brazilian Federal Court of Accounts (TCU is its acronym in Portuguese, an interesting case since this agency has a paramount role in auditing the whole Brazilian Federal Public Administration. To this end, we gathered open data from the TCU regarding all outsourced IT services contracts maintained by the agency during the years 2000-2013. This data is analyzed to verify, from an external point of view, the related duration and values, identifying diferences between the predicted and actual amounts spent and evaluating the administration of such contracts regarding legislation. This analysis is based on a detailed survey of the relevant legislation as well as the verification of original contract terms and their addendums. As a result, we observed substantial differences in the amount spent on execution with respect to those predicted in the original contracts. Also, we identified the utilization of special justifications prescribed by law to sustain the extension of some contracts. Given these results, it is possible that IT outsourcing is not necessarily proved to be the best solution for the public sector problems regarding the lack of skilled personnel, which implies the need to assess the cost-benefit of maintaining these

  19. Application of physiological parameters of a sample of the Brazilian population in different levels of exercise, on the deposition model of the ICRP Publication 66

    International Nuclear Information System (INIS)

    Reis, Arlene A. dos; Cardoso, Joaquim C.S.; Lourenco, Maria C.

    2005-01-01

    The Human Respiratory Tract Model (HRTM) proposed by the ICRP Publication 66 accounts for the morphology and physiology of the respiratory tract. The characteristics of air drawn into the lungs and exhaled are greatly influenced by the morphology of the respiratory tract, which causes numerous changes in pressure, flow rate, direction and humidity as air moves into and out of the lungs. The model uses morphological and physiological parameters from the Caucasian man to establish deposition fractions in the respiratory tract regions. The ICRP recommends, for a reliable evaluation of the regional deposition, the use of parameters from a local population when information is available. The main purpose of this study is to verify the influence in using the morphology and physiology parameters representative of a sample of the Brazilian population, in different levels of exercise, on the deposition model of the ICRP Publication 66. The deposition model was implemented using software Excel for Windows (version 2000). The results suggest a significant variation in fractional deposition when Brazilian parameters are applied in the model. The variations are not the same for all regions of the respiratory tract and depend on levels of exercise. (author)

  20. Species distribution and antifungal susceptibility patterns of Candida isolates from a public tertiary teaching hospital in the Eastern Cape Province, South Africa.

    Science.gov (United States)

    Mnge, P; Okeleye, B I; Vasaikar, S D; Apalata, T

    2017-05-15

    Candida species are the leading cause of invasive fungal infections, and over the past decade there has been an increased isolation of drug resistant Candida species. This study aimed to identify the species distribution of Candida isolates and to determine their unique antifungal susceptibility and resistance patterns. During a cross-sectional study, 209 Candida isolates (recovered from 206 clinical samples) were collected and their species distribution was determined using ChromAgar Candida. The Vitek-2 system (Biomerieux, South Africa) was used to determine minimum inhibitory concentrations (MICs) to azoles (fluconazole, voriconazole), echinocandins (caspofungin, micafungin), polyenes (amphotericin B) and flucytosine. Four species of Candida were isolated, of which C. albicans was the most frequent, isolated in 45.4% (95/209) of the isolates, followed by C. glabrata: 31.1% (65/209). The MICs of the different antifungal drugs varied amongst the species of Candida. From the 130 isolates tested for MICs, 90.77% (112/130) were susceptible to all antifungal drugs and 6.9% (9/130) of the isolates were multi-drug resistant. C. dubliniensis (n=2) isolates were susceptible to all the above mentioned antifungal drugs. There was no significant difference in species distribution amongst clinical specimens and between patients' genders (P>0.05). An increase in MIC values for fluconazole and flucytosine towards the resistance range was observed. To our knowledge, this is the first report on surveillance of Candida species distribution and antifungal susceptibility at a public tertiary teaching hospital in Eastern Cape, South Africa.

  1. The self-determination theory applied in the analysis of motivation and academic performance of accounting students in a brazilian public university

    Directory of Open Access Journals (Sweden)

    Marina Salgado Borges

    2017-08-01

    Full Text Available The aim of this study was analyzing the relations between academic performance and motivation of Accounting students in a Brazilian public university based on Self-determination Theory. Methodologically, in order to reach that, structured questionnaires were applied in classrooms with the Brazilian version of the Academic Motivation Scale (AMS, in a sample of 316 students enrolled from second to tenth periods of that course, equivalent to 37.2% of the total number of students. Data were analyzed using descriptive statistics, exploratory factor analysis (AFE and multiple linear regression analysis with Ordinary Least Squares (OLS. The regression analyzes indicated a significant relationship between motivation and academic performance. The factors related to intrinsic motivation and extrinsic motivation by identified regulation are positively correlated with academic performance of students. On the other hand, the introjected for regulation extrinsic motivation factor is negatively correlated with student’s academic performance coefficient (CRA. Based on the sample analyzed, the results showed that the relationship between motivation and CRA of the student depends on the type of motivation that is present in each one.

  2. Complete substitution of the Brazilian endemic clone by other methicillin-resistant Staphylococcus aureus lineages in two public hospitals in Rio de Janeiro, Brazil.

    Science.gov (United States)

    Chamon, Raiane Cardoso; Ribeiro, Sthefanie da Silva; da Costa, Thaina Miranda; Nouér, Simone Aranha; Dos Santos, Katia Regina Netto

    Staphylococcus aureus is an important cause of bloodstream infections. Therefore, the main purpose of this work was to characterize a collection of 139 S. aureus isolates from bloodstream infections in two public hospitals in relation to their antimicrobial susceptibility profile, staphylococcal cassette chromosome mec types, and clonal relationship. Methicillin resistance and resistance to other 12 agents were accessed by the disk diffusion test. Minimum inhibitory concentration to mupirocin was also determined. The SCCmec types were accessed by multiplex PCR, and the clonal relationship was determined by pulsed field gel electrophoresis method and restriction modification system characterization. Besides, multilocus sequence typing was performed for representative methicillin-resistant S. aureus isolates. The military hospital showed a dissemination of the New York/Japan (USA100/ST5/CC5/SCCmecII) lineage associated to multidrug resistance, including mupirocin resistance, and the teaching hospital presented polyclonal and non-multidrug resistant MRSA isolates. Complete substitution of the Brazilian endemic clone by other lineages was found in both hospitals. These findings can highlight differences in policy control and prevention of infections used in the hospitals and a change in the epidemiological profile of MRSA in Brazilian hospitals, with the replacement of BEC, a previously well-established clone, by other lineages. Copyright © 2016 Sociedade Brasileira de Infectologia. Published by Elsevier Editora Ltda. All rights reserved.

  3. Comparison of the epidemiologic features and patterns of initial care for prostate cancer between public and private institutions: a survey by the Brazilian Society of Urology.

    Science.gov (United States)

    Nardi, Aguinaldo Cesar; Reis, Rodolfo Borges dos; Zequi, Stenio de Cassio; Nardozza, Archimedes

    2012-01-01

    To describe the epidemiological features and patterns of initial care for prostate cancer at public and private institutions in the State of Sao Paulo, Brazil. A total of 1,082 physicians affiliated to the Sao Paulo Section of the Brazilian Society of Urology were invited to participate in this cross-sectional, web-based survey. Between September 2004 and September 2005, participating urologists entered data on demographic, clinical and pathological characteristics of patients diagnosed with prostate cancer in their practice. Data on patients attended at public institutions were analyzed and compared with those patients attended at private practice. One hundred and ten society members contributed with data from 1915 patients, 1026 (53.6%) of whom from public institutions. When compared with patients attended at private institutions, those attended at public institutions were older and more likely to be black, had higher serum prostate specific antigen (PSA) levels, had a higher probability of being diagnosed with metastatic disease, but were less likely to undergo prostatectomy (all P institution were independently associated with metastatic disease upon diagnosis. The significant predictors of nonsurgical treatment were age, black race, and higher serum levels of PSA. A statewide registry provides valuable information regarding patient demographics, clinical features, and patterns of care. The results of this study suggest that significant disparities exist for patients with prostate cancer attended at different health-care systems. The relative contribution of biological versus socioeconomic features remains uncertain.

  4. Public-private re-alignments: the role of structural economic transformations in spurring the joint international engagement of agribusiness and the Brazilian State

    Directory of Open Access Journals (Sweden)

    Niels Søndergaard

    2016-07-01

    Full Text Available The article focuses upon how changes in global agricultural markets and the transformation of the Brazilian economic model from the 1990s have redefined relations between the state and agribusiness, and affected the country´s international strategy. The central objective is to evaluate the causal impact of structural factors at the global and the national level upon the dispositions and preferences of the group of actors examined. Public-private cooperation is analyzed through institutionalist IPE and liberal IR theory, in combination with a neopluralist perspective. The article concludes that changes in global food markets and the economic liberalizations of the 1990s have spurred an export-oriented consensus between the agricultural sector and the state, with strong repercussions within the country´s international engagement.

  5. Profile of patients with rheumatic diseases undergoing treatment with anti-TNF agents in the Brazilian Public Health System (SUS, Belo Horizonte - MG

    Directory of Open Access Journals (Sweden)

    Haliton Alves de Oliveira Junior

    2015-09-01

    Full Text Available The aim of this study was to describe the baseline demographic and clinical characteristics as well as the functional status of a prospective cohort of patients with rheumatic diseases assisted by the Brazilian Public Health System (SUS. Data for 302 patients receiving tumor necrosis factor α inhibitors (anti-TNF agents was collected through a standard form. Among patients, 229 (75.8% were female and 155 (51.3% were Caucasian; the mean age was 50.3 ± 12.8 years, and the mean disease duration was 9.9 ± 8.7 years. Among them 214 patients (70.9% received adalimumab, 72 (23.8% etanercept, and 16 (5.3% infliximab. Mean Health Assessment Questionnaire-Disability Index (HAQ-DI was 1.37 ± 0.67 for all participants. Poor functional response was associated with female gender, married patients and with a score of < 0.6 on the EuroQoL-5 dimensions (EQ-5D. Significant correlation was found between the HAQ-DI values, disease activity and quality of life (QOL. The results obtained in this study contribute to a better understanding of the clinical and demographic characteristics of patients with rheumatic diseases at the beginning of anti-TNF-agent treatment by SUS. Furthermore, our findings are consistent with another Brazilian and foreign cross-sectional investigations. This knowledge can be of great importance for further studies evaluating the effectiveness of biological agents, as well as, to contribute to improve the well-being of the patients with rheumatic diseases.

  6. Defending public interests in private lands: compliance, costs and potential environmental consequences of the Brazilian Forest Code in Mato Grosso.

    Science.gov (United States)

    Stickler, Claudia M; Nepstad, Daniel C; Azevedo, Andrea A; McGrath, David G

    2013-06-05

    Land-use regulations are a critical component of forest governance and conservation strategies, but their effectiveness in shaping landholder behaviour is poorly understood. We conducted a spatial and temporal analysis of the Brazilian Forest Code (BFC) to understand the patterns of regulatory compliance over time and across changes in the policy, and the implications of these compliance patterns for the perceived costs to landholders and environmental performance of agricultural landscapes in the southern Amazon state of Mato Grosso. Landholdings tended to remain in compliance or not according to their status at the beginning of the study period. The perceived economic burden of BFC compliance on soya bean and beef producers (US$3-5.6 billion in net present value of the land) may in part explain the massive, successful campaign launched by the farm lobby to change the BFC. The ecological benefits of compliance (e.g. greater connectivity and carbon) with the BFC are diffuse and do not compete effectively with the economic benefits of non-compliance that are perceived by landholders. Volatile regulation of land-use decisions that affect billions in economic rent that could be captured is an inadequate forest governance instrument; effectiveness of such regulations may increase when implemented in tandem with positive incentives for forest conservation.

  7. [Productivity and academic assessment in the Brazilian public health field: challenges for Human and Social Sciences research].

    Science.gov (United States)

    Bosi, Maria Lúcia Magalhães

    2012-12-01

    This article analyzes some challenges for knowledge output in the human and social sciences in the public health field, under the current academic assessment model in Brazil. The article focuses on the qualitative research approach in human and social sciences, analyzing its status in comparison to the other traditions vying for hegemony in the public health field, conjugating the dialogue with the literature, especially the propositions pertaining to the social fields present in the work of Pierre Bourdieu, with elements concerning the field's dynamics, including some empirical data. Challenges identified in the article include hurdles to interdisciplinary dialogue and equity in the production of knowledge, based on recognition of the founding place of human and social sciences in the public health field. The article discusses strategies to reshape the current correlation of forces among centers of knowledge in public health, especially those capable of impacting the committees and agendas that define the accumulation of symbolic and economic capital in the field.

  8. The Use of Alternative DisputeResolution on the Supply of Medicines by the Brazilian Public Administration

    Directory of Open Access Journals (Sweden)

    Raquel Nery Cardozo

    2016-06-01

    Full Text Available This study aims to demonstrate the importance of using alternative resolution of healthrelated conflicts means involving the public administration in connection with the conflict between reserve against possible and the minimum existential theory, and "Structural Crisis of the Judiciary" driven legalization excessive conflict. It also contributes to the study of measures to ensure access to public health without the claimants have to submit to delay the trials, further contributing to improve the provision of judicial protection.

  9. [Analysis of cost-effectiveness of simvastatin versus atorvastatin in the secondary prevention of cardiovascular events within the Brazilian public healthcare system].

    Science.gov (United States)

    Araujo, Denizar Vianna; Ribeiro de Souza, Camila Pepe; Bahia, Luciana Ribeiro; Rey, Helena Cramer Veiga; Dos Santos Junior, Braulio; Tura, Bernardo Rangel; Berwanger, Otavio; Buehler, Anna Maria; Silva, Marcus Tolentino

    2011-01-01

    The objective of this study is to perform an economic evaluation analyzing the treatment with atorvastatin and simvastatin in comparison to placebo treatment, within the Brazilian Public Healthcare System (SUS) scenario, for patients with high risk of cardiovascular disease; analyzing if the additional cost related to statin treatment is justified by the clinical benefits expected, in terms of cardiovascular event and mortality reduction. Cardiovascular event risk and mortality risk were used as outcomes. Statin efficacy at LDL-c and cardiovascular events levels lowering data was obtained from a systematic review of literature. A decision analytic model was developed to perform a cost-effectiveness analysis comparing atorvastatin 10mg/day and simvastatin 40 mg/day to placebo treatment in patients with dyslipidemia in Brazil. The target population of this study was a hypothetic cohort of men and women with a mean age of 50 years old and high risk of cardiovascular disease. The model includes only direct costs obtained from Ambulatory and Hospital Information System and Price Database of Brazilian Ministry of Health. The comparative cost-effectiveness analysis itself was done through Excel spreadsheets covering a 5 -years time horizon. The result shows that atorvastatin 10mg/day in comparison to placebo has higher cost with higher effectiveness in the time horizon of 5 years (Incremental Cost Effectiveness Ratio of R$ 433.065,05 per life year gained). In this scenario atorvastatin is not cost effective in comparison to placebo. The simvastatin 40 mg/day appears to be a strategy with lower cost and higher effectiveness in comparison to placebo, in the time horizon analyzed (5 years). In the multivariate probabilistic sensitivity analysis, simvastatin showed 53% of the results in the quadrant with greater effectiveness and lower cost. This study is an important tool for public decision makers. The study can be used in the decision process of increasing cardiovascular

  10. Iniciativas públicas de redução da violência escolar no Brasil Public initiatives for reducing violence in Brazilian schools

    Directory of Open Access Journals (Sweden)

    Luiz Alberto Oliveira Gonçalves

    2002-03-01

    Full Text Available Este artigo apresenta algumas ações do Poder Público que buscaram reduzir a violência em meio escolar. Tomando como exemplo as cidades de São Paulo, Porto Alegre e Belo Horizonte, examina algumas das modalidades de práticas que nascem a partir da década de 80, início do processo de democratização política do Brasil. Oscilando entre medidas de caráter educativo e iniciativas relacionadas à área de segurança, as ações ainda demandam continuidade e maior capacidade de impacto nas escolas públicas dessas cidades. No entanto, já é possível, a partir dessas experiências, traçar a trajetória emergente das políticas públicas destinadas à diminuição da violência nos estabelecimentos de ensino na sociedade brasileira.This article presents some of the initiatives taken by the public authorities to reduce violence in the school environment. Taking São Paulo, Porto Alegre and Belo Horizonte as examples, it examines some of the practices in place since the 1980s, when the democratization process began in Brazil. Oscillating between educational measures and those strictly related to security, the activities still require continuity and a greater capacity for having an impact on the public schools in these cities. Nevertheless, based on these experiences, it is possible to discern the emerging profile of public policies intended to reduce violence in the teaching establishments of Brazilian society.

  11. Cultivating sustainable development? An analysis of the Brazilian public policy for biodiesel within the context of sustainable development and environmental management

    Energy Technology Data Exchange (ETDEWEB)

    Gucciardi Garcez, C.A.

    2007-07-01

    The objective of this article is to contribute to the analysis of the Brazilian public policy related to biodiesel within the context of sustainable development and environmental management. Biofuels have been steadily increasing in popularity on a global scale. Brazil, a country that boasts abundant natural resources and agricultural land, has emerged as a world leader in the production of biofuels. In order to verify biodiesel's potential to contribute to sustainable development, it is necessary to analyze the biofuel in a larger social, environmental, and economic context. The methodology applied to this study included a brief review of the evolution of the concept of sustainable development and instruments of environmental management, which served as a basis to evaluate the policy documents and data relating to the policy's implementation. Although the implementation is still within its initial stage, significant weakness has been found in the policy. One consequence is the domination of soy as a primary material for biodiesel. Other weaknesses identified are related to the Selo (''certification of a socially inclusive fuel'') to promote social inclusion, as well as a lack of support for family-based agriculture to aggregate value to the primary material that they produce. (auth)

  12. Brazilian women in politics.

    Science.gov (United States)

    Sanders, T G

    1987-01-01

    Women are gradually gaining influence in Brazilian politics, especially since recent advances in the women's movement, but they still play a limited role. There have been journals devoted to feminism and some notable feminists since 1850. In 1932 suffragettes in Brazil gained women the right to vote. Women's associations burgeoned in the 1940s and 1950s, culminating in a peak in number of women in national elected positions in 1965. A repressive military regime reversed the process, which resumed in 1975. 1975 was also significant for the Brazilian women's movement because of the U.N. Women's Year. Several large, influential feminist political action groups were formed, typically by upper class women with leftist views, although some church and union groups from lower classes also appeared. In 1979-1981, the coherence of these groups fell into schism and fragmentation, because of disagreements over the feminist political doctrines and roles, views on legality of abortion, and special interest groups such as lesbians. Another bitter dispute is opposition by leftist women to BEMFAM, the Brazilian Society of Family Welfare, which provides family planning for the poor: leftists oppose BEMFAM because it is supported by funds from "imperialist" countries such as the U.S. There are several types of feminists groups: those that emphasize health, sexuality and violence; those composed of lesbians; those originating from lower classes and unions; publicly instituted organizations. Brazilian law forbids discrimination against women holding public office, but in reality very few women actually do hold office, except for mayors of small towns and a few administrators of the Education and Social Security ministries. Political office in Brazil is gained by clientism, and since women rarely hold powerful positions in business, they are outsiders of the system. Brazilian women have achieved much, considering the low female literacy rate and traditional power system, but their

  13. Que transmet l’école publique au Brésil ? What is transmitted in Brazilian public schools ?

    Directory of Open Access Journals (Sweden)

    Christophe Brochier

    2009-07-01

    Full Text Available Cet article se propose d’examiner certains aspects de la transmission de connaissances scolaires dans les écoles publiques brésiliennes. Depuis les années 1980, en effet, le système scolaire s’est largement ouvert aux couches les plus défavorisées des populations urbaines, ce qui a provoqué des changements dans les modes de fonctionnement. Face à ce nouveau public, les exigences en termes de discipline et de travail scolaires se sont considérablement affaiblies, de même que le suivi des programmes. Par ailleurs, les enseignants surmenés qui occupent souvent plusieurs emplois pour compenser leurs bas salaires, manifestent un découragement évident tandis que les élèves s’habituent à un monde institutionnel tolérant qui ne propose plus une vraie rupture avec leur univers social d’origine.This article studies certain aspects of how knowledge is transmitted in Brazilian state schools. Since the 1980s, the school system has opened its doors to the most underprivileged segments of the urban populations, bringing about considerable changes in day-to-day behavior patterns. Faced with this new public, requirements in terms of discipline and dedication to learning have considerably weakened, as has the observance of the official programs. Moreover, the teachers, exhausted since they often hold down several jobs to compensate for their low wages, are prone to depression. The pupils, in turn, get used to a tolerant institutional world which no longer represents a departure from their original social environment.

  14. Comparison of caries experience in residents of two Brazilian municipalities with and without fluoridation of the public water supplies

    OpenAIRE

    Rando-Meireles, Maria Paula; Olivati, Fabricio Narciso; Franco, Decio Henrique; Bittar, Telmo; Marques, Tais Cristina Nascimento; Sousa, Maria da Luz Rosario de

    2016-01-01

    The public water supply fluoridation is an effective measure and is cost-effective in preventing tooth decay. This article bases on a study that compared the caries experience between two municipalities in Brazil, São Paulo and Manaus, at the time, with and without fluoridation of its water. The study used the projeto SBBrasil 2010 (SBBrazil project 2010) data that evaluated three indices for 2.176 individuals: dmft (decay, missing, filled teeth for primary dentition), DMFT (number of decayed...

  15. Analysis of Management Practices in Lagos State Tertiary Institutions through Total Quality Management Structural Framework

    Science.gov (United States)

    AbdulAzeez, Abbas Tunde

    2016-01-01

    This research investigated total quality management practices and quality teacher education in public tertiary institutions in Lagos State. The study was therefore designed to analyse management practices in Lagos state tertiary institutions through total quality management structural framework. The selected public tertiary institutions in Lagos…

  16. Cultura organizacional em organizações públicas no Brasil Organizational culture in Brazilian public organizations

    Directory of Open Access Journals (Sweden)

    José Calixto de Souza Pires

    2006-02-01

    Full Text Available Este artigo apresenta e discute conceitos e abordagens que contribuem para a compreensão de aspectos e traços relacionados à cultura organizacional de organizações públicas no Brasil. Inicialmente, são tratados os conceitos e diferentes abordagens de cultura e cultura organizacional, especificamente de Fleury, Frost, Schein e Hofstede. A seguir, o artigo aborda a cultura de organizações públicas, apresentando um pequeno histórico das organizações públicas no Brasil, bem como seus conceitos e características, entre as quais se destacam a burocracia, o autoritarismo centralizado, o paternalismo, a descontinuidade e a ingerência política. Essas características interferem no modo como os trabalhadores atuam nessas organizações, observando-se o apego às regras e rotinas, a supervalorização da hierarquia, o paternalismo nas relações e o apego ao poder. Isso é importante na definição dos processos internos, na relação com inovações e mudança, na formação dos valores e crenças organizacionais e nas políticas de recursos humanos. Na conclusão, o artigo salienta os aspectos fundamentais a serem considerados ao se lidar com a cultura de organizações públicas no Brasil.This article presents and discusses concepts and views that help understand features and peculiarities of the organizational culture in public organizations in Brazil. It begins by discussing the concepts and different approaches to culture and organizational culture, specifically by Fleury, Frost, Schein, and Hofstede. It then deals with the culture of public organizations, presenting a brief history of these organizations in Brazil, as well as their concepts and features, among which bureaucracy, centralized authoritarianism, patronizing, lack of continuity, and political interference stand out. Such characteristics interfere with the way people work in these organizations, where attachment to rules and routines, hierarchy overrating, patronizing

  17. Advantages of the Implementation of IPSAS in Brazilian Public Accounting: Analysis of the perception of the members of GTCON

    Directory of Open Access Journals (Sweden)

    Josedilton Alves Diniz

    2015-09-01

    Full Text Available The study objective was to assess how the members of the Technical Group for the Standardization of Accounting Procedures (GTCON assess the advantages of the implementation of the International Public Sector Accounting Standards in Brazil. Therefore, a questionnaire was used, elaborated based on five theoretical approaches. The research universe corresponded to the participants in GTCON. The sample resulted in 108 respondents, totaling 27% of the population. The reliability of the tool was tested using the model defined by Cronbach (1951. As each theoretical dimension addressed consists of multiple variables, their dimensionality was reduced using Main Components Analysis (MCA. In addition, multiple linear regression was used, based on the main components of each theoretical construct. The perception of the standards, the interpretation of the standards, the cost-benefit of the implementation and the educational responsibility were submitted to analysis as independent variables, and the advantages of the implementation of the Ipsas were submitted as the dependent variable. The main results evidenced that the research participants agreed that the implementation of the Ipsas is a feasible target. As to the cost-benefit analysis of the implementation, according to the GTCON, the result of the application of the Ipsas exceeds the investments made. It was also observed that interviewees did not agree that the training and application of the Ipsas should be guaranteed through personal efforts, but through the government, i.e. the more the public sector takes responsibility for qualifying the standards, the greater the advantages that will result. Finally, regarding the interpretation of the standards, according to GTCON, it has not been well defined yet how and who will actually be responsible for the interpretation, the international entities or the local institutions involved in the process.

  18. Are more resources always the answer? A supply and demand analysis for public health services in Brazilian municipalities

    Directory of Open Access Journals (Sweden)

    Fabiana Rocha

    2017-01-01

    Full Text Available The aim of this paper is to determine whether it is necessary to increase available resources to local governments or if better use of these funds is sufficient. The paper contributes to the literature by looking both at the supply and demand for public health services. If the demand is estimated correctly, one can compare its expected value to actual health expenditures. Even if actual expenditures are lower than the estimated demand, it is not certain that additional spending is necessary. If the efficiency scores (supply side indicate that local governments can simply “save” resources to make up for the difference, then it is possible to reduce (or bring to zero new resources only by requiring local governments to efficiently manage their expenditures. Since municipalities in Brazil are very heterogeneous, we estimate their efficiency using the metafrontier approach (O’Donnell et al., 2008, while we estimate the demand through an equation derived from the median voter theorem model. Using 2010 data, we find evidence that efficient management of spending is sufficient to meet excess demand for goods and services in the health sector.

  19. Escoliose idiopática do adolescente (eia: perfil clínico e radiográfico da lista de espera para tratamento cirúrgico em hospital terciário de alta complexidade do Sistema Público de Saúde Brasileiro Escoliosis idiopática del adolescente (eia: perfil clínico y la radiografía de la lista de espera para el tratamiento quirúrgico en el hospital de tercer nivel de alta complejidad del Sistema Brasileño de Salud Pública Adolescent idiopathic scoliosis (ais: clinical and radiographic profile of waiting list for surgical treatment in tertiary hospital high complexity of Brazilian Public Heatlth System

    Directory of Open Access Journals (Sweden)

    Paulo Candido de Lima Júnior

    2011-01-01

    Moe, la clasificación de King y otros, y Lenke et al en el momento de la indicación de tratamiento quirúrgico y el tiempo de espera para la cirugía. RESULTADOS: De los 51 pacientes, 42 mujeres y 9 hombres, edad promedio de 15,53 años (10-46 años. Todos los pacientes tenían edades comprendidas entre 10 y 17 años al momento del diagnóstico. El promedio de espera fue de 25,41 meses (desde 2 a 180 meses. El promedio de edad de la menarquía fue 12,13 años (11-14 años, 10 pacientes no tenían la menarquía, y 23 pacientes con esqueleto inmaduro (Risser cero a tres. La curva primaria promedio fue de 60,4 grados (que va desde 40 hasta 120 grados. Los tipos de curva de las más frecuentes fueron de tipo King III y 19 pacientes con Lenke 1BN con 11 pacientes. CONCLUSIÓN: DEBIDO a la morbilidad se definen en la literatura en pacientes con EIA no tratadas y el número de la muestra, es las medidas apropiadas en términos de política pública para el tratamiento de estos pacientes en nuestro país.OBJECTIVE: To describe through descriptive cross-sectional study, the clinical and radiographic parameters of patients with adolescent idiopathic scoliosis (AIS that are on the waiting list for elective surgery in a tertiary university hospital of high complexity of the SUS. METHODS: To define the clinical and radiographic profile, the following data were collected: menarche, sex, age, Risser sign, Cobb value, Nash-Moe, classification of King et al. and Lenke et al., at the time of indication for surgical treatment, and waiting time for surgery. RESULTS: Of the 51 patients, 42 were females and 9 males, mean age was 15.53 years (10-46 years. All patients were aged between 10 and 17 years at diagnosis. The average wait was 25.41 months (ranging from 2 to 180 months. The average age at menarche was 12.13 years (11-14 years, 10 patients had no menarche, and 23 skeletally immature patients (Risser zero to three. The average primary curve was 60.4 degrees (ranging from 40 to 120

  20. Nosocomial infections in the intensive care unit: Incidence, risk factors, outcome and associated pathogens in a public tertiary teaching hospital of Eastern India.

    Science.gov (United States)

    Dasgupta, Sugata; Das, Soumi; Chawan, Neeraj S; Hazra, Avijit

    2015-01-01

    The increased morbidity and mortality associated with nosocomial infections in the intensive care unit (ICU) is a matter of serious concern today. To determine the incidence of nosocomial infections acquired in the ICU, their risk factors, the causative pathogens and the outcome in a tertiary care teaching hospital. This was a prospective observational study conducted in a 12 bedded combined medical and surgical ICU of a medical college hospital. The study group comprised 242 patients admitted for more than 48 h in the ICU. Data were collected regarding severity of the illness, primary reason for ICU admission, presence of risk factors, presence of infection, infecting agent, length of ICU and hospital stay, and survival status and logistic regression analysis was done. The nosocomial infection rate was 11.98% (95% confidence interval 7.89-16.07%). Pneumonia was the most frequently detected infection (62.07%), followed by urinary tract infections and central venous catheter associated bloodstream infections. Prior antimicrobial therapy, urinary catheterization and length of ICU stay were found to be statistically significant risk factors associated with nosocomial infection. Nosocomial infection resulted in a statistically significant increase in length of ICU and hospital stay, but not in mortality. Nosocomial infections increase morbidity of hospitalized patients. These findings can be utilized for planning nosocomial infection surveillance program in our setting.

  1. Factors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Survey.

    Science.gov (United States)

    Dias, Marcos Augusto Bastos; Domingues, Rosa Maria Soares Madeira; Schilithz, Arthur Orlando Corrêa; Nakamura-Pereira, Marcos; do Carmo Leal, Maria

    2016-10-17

    The rate of cesarean delivery (CD) in Brazil has increased over the past 40 years. The CD rate in public services is three times above the World Health Organization recommended values. Among strategies to reduce CD, the most important is reduction of primary cesarean. This study aimed to describe factors associated with CD during labor in primiparous women with a single cephalic pregnancy assisted in the Brazilian Public Health System (SUS). This study is part of the Birth in Brazil survey, a national hospital-based study of 23,894 postpartum women and their newborns. The rate of CD in primiparous women was estimated. Univariate and multivariable logistic regression was performed to analyze factors associated with CD during labor in primiparous women with a single cephalic pregnancy, including estimation of crude and adjusted odds ratios and their respective 95 % confidence intervals. The analyzed data are related to the 2814 eligible primiparous women who had vaginal birth or CD during labor in SUS hospitals. In adjusted analyses, residing in the Southeast region was associated with lower CD during labor. Occurrence of clinical and obstetric conditions potentially related to obstetric emergencies before delivery, early admission with < 4 cm of dilatation, a decision late in pregnancy for CD, and the use of analgesia were associated with a greater risk for CD. Favorable advice for vaginal birth during antenatal care, induction of labor, and the use of any good practices during labor were protective factors for CD. The type of professional who attended birth was not significant in the final analyses, but bivariate analysis showed a higher use of good practices and a smaller proportion of epidural analgesia in women cared for by at least one nurse midwife. The CD rate in primiparous women in SUS in Brazil is extremely high and can compromise the health of these women and their newborns. Information and support for vaginal birth during antenatal care, avoiding

  2. Factors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Survey

    Directory of Open Access Journals (Sweden)

    Marcos Augusto Bastos Dias

    2016-10-01

    Full Text Available Abstract Background The rate of cesarean delivery (CD in Brazil has increased over the past 40 years. The CD rate in public services is three times above the World Health Organization recommended values. Among strategies to reduce CD, the most important is reduction of primary cesarean. This study aimed to describe factors associated with CD during labor in primiparous women with a single cephalic pregnancy assisted in the Brazilian Public Health System (SUS. Methods This study is part of the Birth in Brazil survey, a national hospital-based study of 23,894 postpartum women and their newborns. The rate of CD in primiparous women was estimated. Univariate and multivariable logistic regression was performed to analyze factors associated with CD during labor in primiparous women with a single cephalic pregnancy, including estimation of crude and adjusted odds ratios and their respective 95 % confidence intervals. Results The analyzed data are related to the 2814 eligible primiparous women who had vaginal birth or CD during labor in SUS hospitals. In adjusted analyses, residing in the Southeast region was associated with lower CD during labor. Occurrence of clinical and obstetric conditions potentially related to obstetric emergencies before delivery, early admission with < 4 cm of dilatation, a decision late in pregnancy for CD, and the use of analgesia were associated with a greater risk for CD. Favorable advice for vaginal birth during antenatal care, induction of labor, and the use of any good practices during labor were protective factors for CD. The type of professional who attended birth was not significant in the final analyses, but bivariate analysis showed a higher use of good practices and a smaller proportion of epidural analgesia in women cared for by at least one nurse midwife. Conclusions The CD rate in primiparous women in SUS in Brazil is extremely high and can compromise the health of these women and their newborns

  3. Comparison of cardiovascular disease patterns in two data sets of patients admitted at a tertiary care public hospital in Karachi five years apart

    International Nuclear Information System (INIS)

    Kazim, S.F.; Itrat, A.; Butt, N.W.; Ishaq, M.

    2009-01-01

    To compare the disease patterns in two data sets of patients, five years apart, at the National Institute of Cardiovascular Diseases (NICVD), a tertiary care cardiac hospital in Karachi. The underlying objective was to determine any changes in cardiovascular disease patterns at an acute cardiac unit over a period of five years. A retrospective descriptive study was conducted on patients admitted in West Ward, National Institute of Cardiovascular Diseases (NICVD), Karachi in September, 2000 and September, 2005. Patient's record files were reviewed and the relevant information was recorded on a proforma designed for the purpose. In September, 2000, a total of 414 patients were admitted. Of these 71.25% were males. Majority of patients (72.92%) were in the fifth decade of life or beyond. Acute coronary syndrome (ACS) was the commonest presentation, present in 39.8% of the patients. 27.3% had myocardial infarction (MI) while 10.34% were diagnosed with heart muscle diseases. The overall mortality was 3.4%. In September, 2005, a total of 446 patients were admitted. Of these, 63% were males. 71.29% were in the fifth, sixth, and seventh decades of life. 43.04% patients were admitted with acute coronary syndromes (ACS), 26% with myocardial infarction (MI) and 13.45% with heart muscle diseases. The overall mortality was 1.34%. The almost similar results in two data sets of patients five years apart suggests that the cardiovascular disease burden and pattern has not changed significantly at this center. There is a preponderance of cardiovascular illnesses in males and older age groups. ACS and MI account for majority of admissions. (author)

  4. Ontogeny in Tertiary Frogs

    Czech Academy of Sciences Publication Activity Database

    Roček, Zbyněk

    2004-01-01

    Roč. 260, č. 3 (2004), s. 322-323 ISSN 0362-2525. [International Congress of Vertebrate Morphology /7./. 27.07.2004-01.08.2004, Boca Raton] Keywords : Anura * Tertiary * Czech Republic Subject RIV: EA - Cell Biology

  5. Secondary and tertiary hyperparathyroidism.

    Science.gov (United States)

    Jamal, Sophie A; Miller, Paul D

    2013-01-01

    We reviewed the etiology and management of secondary and tertiary hyperparathyroidism. Secondary hyperparathyroidism is characterized by an increase in parathyroid hormone (PTH) that is appropriate and in response to a stimulus, most commonly low serum calcium. In secondary hyperparathyroidism, the serum calcium is normal and the PTH level is elevated. Tertiary hyperparathyroidism is characterized by excessive secretion of PTH after longstanding secondary hyperparathyroidism, in which hypercalcemia has ensued. Tertiary hyperparathyroidism typically occurs in men and women with chronic kidney disease usually after kidney transplant. The etiology and treatment of secondary hyperparathyroidism is relatively straightforward whereas data on the management of tertiary hyperparathyroidism is limited to a few small trials with short follow-up. Copyright © 2013 The International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved.

  6. Brazilian energy

    International Nuclear Information System (INIS)

    O'Shaughnessy, H.

    1997-04-01

    Brazilian Energy provides all the information necessary for energy companies to invest and operate in Brazil, including: a review of Brazil's natural resources; an assessment of privatisation strategies at the federal, state and regional level; an analysis of the electricity industry and the future for Electrobras; an analysis of the oil industry and, in particular, Petrobras; a discussion of the fuel alcohol industry; the discovery of local natural gas, its prospects and the involvement of the auto industry; an assessment of the problems facing the coal industry and its future; a discussion of the regulatory framework for the newly privatised companies; the importance of intra-regional energy links and the booming membership of Mercosur; the difficulties experienced by foreign investors doing business in Brazil; brief profiles of the key energy companies; profiles of key people influencing the privatisation process in Brazil. Brazilian energy is essential reading for those wishing to advise and assist Brazil in this period of change and development, as well as those who wish to invest or become key players in the Brazilian energy sector. (author)

  7. The Expansion of the “Feminine” in the Brazilian Public Space: Television Soap Operas of the 1970’s and 80’s

    Directory of Open Access Journals (Sweden)

    Esther Império Hamburger

    2007-01-01

    Full Text Available This paper revisits the literature on media and gender studies in search of works that help to discuss the case of Brazilian soap operas. A series of references coming from different theoretical perspectives, with emphasis in different countries and historical periods, bring up ideas and concepts that approach the contemporary desire to connect, to participate and to interact in terms conventionally associated to the female domain. Examples from specific soap operas suggest the ways in which these prime time daily soaps blend documentary and fiction conventions and treat the Brazilian nation in melodramatic terms. In doing so, soap operas have expanded what was conventionally treated as the female domain.

  8. RELIGIOUS EXTREMISM AS A CHALLENGE TO TERTIARY ...

    African Journals Online (AJOL)

    IK

    2016-07-01

    Jul 1, 2016 ... tertiary institutions in Nigeria, through General Studies, should educate the youth to be self- reliant so that they are not lured by religious extremists to achieve their political and economic agenda. Publication of well researched papers and books that contribute to the study of religions and cultures should be ...

  9. The Brazilian Social Welfare as a Public Policy of Income in the Municipalities of Paraná A Previdência Social Brasileira como Política Pública de Renda nos Municípios do Paraná

    Directory of Open Access Journals (Sweden)

    Célio Favoni

    2004-11-01

    Full Text Available The aim of this article is to emphasize the importance of the Brazilian Social Welfare System as a supplierof benefits and as an income public policy. The study starts with the discussion on the creation and the exhaustion of the Welfare State, then it analyses the antecedents and the current problems of the Brazilian Welfare System. Finally, it refers to the role of the Welfare System in the revenue of senior citizens and the influence of this revenue on the economy of Brazilian municipalities, specially the ones that make up the Association of the Municipalities of Middle Paranapanema (AMEPAR, in Paraná.Este trabalho tem por objetivo ressaltar a importância da Previdência Social Brasileira enquanto provedora de benefícios e instrumento de política pública de renda. O estudo parte da discussão sobre o surgimento e o esgotamento do Estado do Bem-Estar (Welfare State, passando para os antecedentes e a problematização da questão previdenciária brasileira. Na seqüência, faz-se referência ao papel da previdência nos rendimentos dos idosos e a influência dos benefícios previdenciários na economia dos municípios brasileiros, em destaque os que compõem a Associação dos Municípios do Médio Paranapanema (AMEPAR, no Paraná.

  10. Hospitalized Patients' Awareness Of Their Rights-A Cross Sectional Survey In A Public And Private Tertiary Care Hospitals Of Punjab, Pakistan.

    Science.gov (United States)

    Tabassum, Tahirah; Ashraf, Mariam; Thaver, Inayat

    2016-01-01

    The awareness of patient's rights is negligible in developing countries where no legal framework is present to protect these rights and Pakistan is no exception. Not only is there an absence of legal structure for protection of patients' rights, but the enforcement and implementation for existing law is also questionable. Pakistan has an Islamic Charter of Medical and Health Ethics which includes the medical behaviour and physician's rights and duties towards the patients. Despite all these charters on patients' rights, there is little to no awareness regarding these rights and their practice remains low in healthcare system of Pakistan. This assessment of awareness among patients about their rights will guide in formulating recommendations to improve the existing system of healthcare delivery in the country. This descriptive cross-sectional comparative study was conducted in two hospitals in Lahore, each belonging to public and private sector. A structured questionnaire was used to collect data from patients. A total of 220 patients were selected to participate in the study, 110 belonging to each private and public hospital. The findings indicate that most of the patients (64%) were not aware of their rights. The awareness level was better in patients seeking care from private hospital than those from public hospital. Education, monthly income and type of hospital utilized were found to be positively associated with the level of awareness. Most of the patients were not satisfied with the practices of their rights, especially in public hospitals. The lack of awareness regarding the rights of a patient was more common in patients of public/government hospitals compared to private hospitals. A nation-wide healthcare education program is needed to increase awareness and practice of patients' rights in the country.

  11. Brazilian news portals characteristics

    Directory of Open Access Journals (Sweden)

    Heloiza G. Herckovitz

    2009-06-01

    Full Text Available A content analysis of four Brazilian news media portals found that economic news dominated the top headlines with little attention paid to education, the environment and welfare. Other trends included a focus on local events and national news sources, reliance on few sources, mostly official ones, and a low percentage of news that fitted the concept of newsworthiness (a combination of both social significance and deviance concepts. Other findings of a study of 432 top news stories published by UOL, Estadão, iG and Terra during a 15-day period between February and March 2008 indicate that the top portions of the portals’ front pages carry news that lacks story depth, editorial branding, and multimedia applications. The results suggest that online news portals are in their infancy although Brazil has the largest online population of Latin America. This study hopes to shed light on the gatekeeping process in Brazilian news portals. Brazilian media portals have yet to become a significant editorial force able to provide knowledge about social issues and public affairs in a socially responsible fashione.

  12. BRAZILIAN NEWS PORTALS CHARACTERISTICS

    Directory of Open Access Journals (Sweden)

    Heloiza G. Herckovitz

    2011-02-01

    Full Text Available A content analysis of four Brazilian news media portals found that economic news dominated the top headlines with little attention paid to education, the environment and welfare. Other trends included a focus on local events and national news sources, reliance on few sources, mostly official ones, and a low percentage of news that fitted the concept of newsworthiness (a combination of both social significance and deviance concepts. Other findings of a study of 432 top news stories published by UOL, Estadão, iG and Terra during a 15-day period between February and March 2008 indicate that the top portions of the portals’ front pages carry news that lacks story depth, editorial branding, and multimedia applications. The results suggest that online news portals are in their infancy although Brazil has the largest online population of Latin America. This study hopes to shed light on the gatekeeping process in Brazilian news portals. Brazilian media portals have yet to become a significant editorial force able to provide knowledge about social issues and public affairs in a socially responsible fashione.

  13. Impairment no setor público: particularidades das normas nacionais e internacionais Impairment in the public sector: particularities of Brazilian and international standards

    Directory of Open Access Journals (Sweden)

    Luiz Nelson Guedes de Carvalho

    2010-08-01

    Full Text Available O impairment no setor público tem sido pouco discutido no meio acadêmico. Os órgãos normatizadores têm publicado pronunciamentos sobre o assunto, enquanto muitas dúvidas surgem e permanecem sem resposta. Diante disso, este artigo analisa as particularidades de normas nacionais e internacionais balizadoras do impairment no setor público: o Gasb 42, os Ipsas 21 e 26 e a NBC T 16.10. Foram analisados aspectos relacionados ao conceito de impairment, à periodicidade de aplicação do teste, para quais ativos deve ser aplicado e o processo de reconhecimento, mensuração e evidenciação da perda por impairment. As principais divergências entre os pronunciamentos são: o Gasb 42 está baseado em princípios e não em regras; os critérios utilizados pelo Gasb 42 para cálculo do fair value são semelhantes àqueles usados pelos Ipsas 21 e 26 para cálculo do valor em uso; o valor de reposição é usado para cálculo do fair value no Gasb 42 e o valor de saída nos Ipsas; apenas o Ipsas 26 utiliza a figura da unidade geradora de caixa; o Gasb 42 não admite a reversão da perda por impairment e os Ipsas não se aplicam a bens reavaliados. Apesar da NBC T 16.10 já estar em vigor no Brasil, todos os ativos públicos e a depreciação precisam ser reconhecidos e mensurados antes da aplicação dessa normaLittle discussion on impairment in the public sector has occurred in the academic context. Standardizing bodies have published pronouncements on this issue, but many doubts arise and remain unanswered. This article analyzes the particularities of Brazilian and international standards guiding impairment in the public sector: Gasb 42, Ipsas 21 and 26 and NBC T 16.10. The aspects analyzed were related to the impairment concept, the periodicity of applying the test, what assets it should be applied to and the recognition, measurement and disclosure process of impairment loss. The main divergences between the pronouncements are: Gasb 42 is based on

  14. Radioprotection in Brazilian universities

    International Nuclear Information System (INIS)

    Caballero, K.C.; Borges, J.C.

    1992-01-01

    The purpose of this work was to obtain a broad knowledge of the circumstances under which activities involving ionizing radiations are held at brazilian academic institutions. Around 90 institutions (universities and isolated schools of both public and private sectors) were invited, by mail, to answer an inquiry with questions from technical to legal aspects of their activities with radiations. Information received from 2/3 of institutions contacted, permitted conclusions as: there is a wide ignorance about radioprotection procedures and legislation, although few universities maintain some efficient radioprotection staff; there is a need for the establishment of a standard radioprotection text dedicated to those specific activities of the sector. (author)

  15. Pediatric dental care in a tertiary public hospital. Four years of experience in the Service of Stomatology of Valencia University General Hospital (Valencia, Spain).

    Science.gov (United States)

    Poveda, Rafael; Jiménez, Yolanda; Gavaldá, Carmen; Sanchís, José María; Carbonell, Enrique; Margaix, María; Sarrión, Gracia

    2008-05-01

    A study is made of the experience gained with the Child Oral Care Program (Plan de Atención Dental Infantil, PADI) in the Service of Stomatology of Valencia University General Hospital (Valencia, Spain) after four years in operation (July 2003 - July 2007). The sample comprised 2626 children between 5-14 years of age, pertaining to department 9 of the Valencian public health system. A clinical history was compiled in each case, a radiological study was made, and a treatment plan was elaborated including fillings, extractions, and control visits. Of the 2626 designated children, 2369 visited our Service - mostly referred from the Preventive Dental Care Units. A total of 5784 fillings were carried out (93.3% with silver amalgam, 5.6% with composites and the rest as provisional fillings). The permanent first molars were the teeth with the largest number of fillings (70.2% of the total). These were followed in order of frequency by the second molars (19.1%). As regards composite resin fillings, most involved the upper central incisors, followed by the upper lateral incisors. A total of 644 extractions were performed, corresponding to 110 permanent teeth and 534 temporary teeth. In the case of the permanent dentition, the first molars were the most commonly removed teeth. In the temporary dentition, the most frequently removed teeth were the second molars. The response of the population to this program has been very good, and reinforces the preventive measures already in place, with the provision of restorative treatments to improve the oral and dental health of the pediatric population, and yielding good results in terms of the program quality indicators. The Service of Stomatology (Valencia University General Hospital) is able to address the demand and offers the public health network integrated and continuous patient care.

  16. Behavioral and biological correlates of medicine use in type 2 diabetic patients attended by Brazilian public healthcare system. http://dx.doi.org/10.5007/1980-0037.2013v15n1p82

    Directory of Open Access Journals (Sweden)

    Jamile Sanches Codogno

    2013-01-01

    Full Text Available The relationship between physical activity and the use of medicines is not clear. The purpose of this study was to investigate this relationship between the level of physical activity and the use of medications by type 2 diabetic patients who were attended in the Brazilian public healthcare system. The sample was composed of 121 Brazilian diabetic patients, of both genders, attended by the public healthcare system. Body fat (estimated by anthropometry and bioelectrical impedance, physical activity (measured by Baecke’s questionnaire, and the participant’s use of medicines (during the 15 days before evaluation were assessed. There was a relationship between the use of medicines and: gender (r = 0.18; p = 0.045, body mass index (BMI (r = 0.22; p = 0.012, waist circumference (r = 0.19; p = 0.029, body fat percentage (r = 0.21; p = 0.016, age (r = 0.23; p = 0.009, and level of physical activity (r = -0.22; p = 0.012. Linear regression included in the multivariate model only age (β = 0.718; p = 0.057, BMI (β= 0.057; p = 0.022, and level of physical activity (β = -0.176; p = 0.044. In conclusion, physical activity decreases medicinal use independent of age or obesity.

  17. The Expansion of the “Feminine” in the Brazilian Public Space: Television Soap Operas of the 1970’s and 80’s

    OpenAIRE

    Esther Império Hamburger

    2007-01-01

    This paper revisits the literature on media and gender studies in search of works that help to discuss the case of Brazilian soap operas. A series of references coming from different theoretical perspectives, with emphasis in different countries and historical periods, bring up ideas and concepts that approach the contemporary desire to connect, to participate and to interact in terms conventionally associated to the female domain. Examples from specific soap operas suggest the...

  18. Evaluation of the clinical risk index in very low birth weight newborns at a public tertiary maternity in the city of São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Pedro Alexandre Breuel

    2007-12-01

    Full Text Available Objective: To evaluate the clinical risk index in very low birthweight newborns at a public maternity hospital, its associationwith mortality, some selected neonatal respiratory diseases andsurfactant therapy. Methods: A cohort prospective study carriedout at the Hospital Municipal Vila Nova Cachoeirinha e MaternidadeEscola, in São Paulo, Brazil. All newborns with gestational age< 31 weeks and birth weight < 1500 g were evaluated for theapplication of the clinical risk index for babies (CRIB. Newbornswho died in the first 12 hours of life or were referred from othermaternities were excluded from this study. Statistical analysesused logistic regression, Spearman correlation test and Student’st test. Results: Seventy-one cases were studied. The meangestational age was 27.30 ± 2.61 weeks; the mean weight was1032.61 ± 280.62 g. Birth weight and gestational age showedbetter predictive values for neonatal mortality than the clinicalrisk index for babies (80.30%, 76.10%, 73.20%. Twins showed nosignificant index differences (t = 0.601; p = 0.748. The scorewas inversely related to Apgar scores at 1 and 5 minutes and wasassociated with the respiratory distress syndrome, pneumothoraxand the use of surfactants. There was no significant correlation withchronic lung disease. Conclusion: The clinical risk index for babieswas not the best predictor for neonatal mortality as compared toweight and gestational age, but showed a significant associationwith 1 and 5-minute Apgar scores, respiratory distress syndrome,extrapulmonary air and the use of surfactants. It was not predictivefor chronic lung disease. Twins were not associated with CRIB.

  19. O atendimento à saúde de homens: estudo qualitativo em quatro estados Brasileiros Men's public health care: a qualitative study in four Brazilian federal states

    Directory of Open Access Journals (Sweden)

    Romeu Gomes

    2011-01-01

    Full Text Available O objetivo deste estudo é analisar os sentidos atribuídos por usuários homens ao atendimento que lhes é prestado no âmbito da atenção básica à saúde, buscando subsidiar a construção de indicadores qualitativos de satisfação em relação ao uso desses serviços por usuários masculinos. Trata-se de uma pesquisa qualitativa, envolvendo entrevistas semiestruturadas com 201 usuários de quatro estados brasileiros. A análise se baseia no método de interpretação de sentidos, ancorando-se em princípios hermenêutico-dialéticos. Em termos de resultados, os usuários apontam critérios para avaliar positivamente os serviços, tomando como referências um atendimento comunicativo e atencioso, que lhes faça algo e que revele prontidão. Conclui-se que os homens usuários idealizam e reivindicam uma dada forma de atendimento considerada boa e que, a princípio, poderia servir para se discutir o atendimento de mulheres também. Entretanto, em razão da socialização que homens e mulheres experimentam, são reforçadas as diferenças entre o ser usuário homem e ser usuário mulher. Por outro lado, tanto no que tange aos profissionais quanto aos usuários, essa mesma segmentação por gênero pode contribuir para que se acirrem as impossibilidades de se lidar com as especificidades de homens e mulheres, em termos de demandas da saúde.This study aims to analyze the meanings attributed by male users to the health care provided to them by the primary health care. It also tries to hook up the construction of qualitative indicators of satisfaction with the use of such services by males. For this purpose, a qualitative study was conducted, involving semi-structured interviews with 201 users from four Brazilian federal states. The data has been analyzed under the method of interpretation of meanings inbuilt in hermeneutic-dialectical principles. As for the results, users were asked to point toward criteria to evaluate positively the services

  20. The Brazilian sugarcane innovation system

    International Nuclear Information System (INIS)

    Tosi Furtado, Andre; Gaya Scandiffio, Mirna Ivonne; Barbosa Cortez, Luis Augusto

    2011-01-01

    Ethanol has recently been of great interest worldwide because it is a viable economic alternative to petroleum products and it is a renewable source of energy that mitigates the emission of greenhouse gases. Brazilian bioethanol from sugarcane is the most successful case at the world level because of its low cost and low level of greenhouse gas emissions. Brazil's success with sugarcane cannot be understood as based solely on a natural comparative advantage, but as a result of efforts that culminated in a positive trajectory of technological learning, relying mostly on incremental innovations. The purpose of this article is to analyze the key aspects of the innovation system built around the Brazilian sugarcane industry. It is based on the national innovation systems approach according to which innovation results from the interaction of different institutional actors. Institutional arrangements are analyzed as the basis for the innovative process, in particular R and D and the innovation policies and strategies of the main players in the sugarcane sector, including sugar and ethanol mills, industrial goods suppliers, public and private research institutions, and governmental agencies. - Research Highlights: → The Brazilian success in bioethanol is due to the sugarcane innovation system. → Private funds for R and D became central after IAA closure. → Nowadays Brazilian innovation system is transforming to keep its leadership. → Public funds for research in the second generation bioethanol.

  1. Remuneração nos serviços no Brasil: o contraste entre funcionários públicos e privados Earnings in the tertiary sector in Brazil: the contrast between public and private workers

    Directory of Open Access Journals (Sweden)

    Daniela Verzola Vaz

    2007-08-01

    Full Text Available Utilizando dados da PNAD, o trabalho investiga o comportamento do hiato de rendimentos entre funcionários públicos e empregados do setor privado com carteira assinada, ocupados no setor terciário, de 1992 a 2005. São ajustadas, em separado, equações de rendimento, a fim de apontar as diferenças no efeito de vários fatores (idade, sexo, escolaridade, etc. sobre o salário de cada categoria. Mediante o emprego da metodologia de Blinder-Oaxaca identifica-se quanto do diferencial de rendimentos entre os dois grupos se deve a diferenças na capacitação individual dos trabalhadores e quanto está associado a outros fatores, analisando como essa decomposição evoluiu ao longo do período 1992-2005. Um resultado importante é o crescimento do hiato de rendimentos entre os dois grupos, especialmente da parcela não explicada pelas diferenças na capacitação dos empregados.ABSTRACT Using data from an annual household survey (PNAD, this study analyses the behavior of the wage gap between public and private formal workers from the tertiary sector in Brazil from 1992 to 2005. Earnings equations are estimated separately for these two groups. Such equations allow us to evaluate the effect of age, gender, schooling, color (race, position in the occupation, weekly working time and other factors on earnings of each category. Blinder-Oaxaca methodology reveals how much of the wage gap between the workers of both sectors is due to differences in productive endowments and how much is due to other factors, such as the existence of segmentation between the public and the private labor market in Brazil. An important result is the increase of the wage gap between the two groups of workers, mainly of the part that can not be explained by workers' productive endowments.

  2. Trends in antimicrobial resistance among clinical isolates of enterococci in a Brazilian tertiary hospital: a 4-year study Evolução da resistência aos antimicrobianos entre isolados clínicos de enterococos em um hospital terciário brasileiro: um estudo de 4 anos

    Directory of Open Access Journals (Sweden)

    Natália Conceição

    2011-04-01

    Full Text Available INTRODUCTION: In the past two decades members of the genus Enterococcus have emerged as important nosocomial pathogens worldwide. This study prospectively analyzed the distribution of species and trends in antimicrobial resistance among clinical isolates of enterococci in a Brazilian tertiary hospital from 2006-2009. METHODS: Enterococcal species were identified by conventional biochemical tests. The antimicrobial susceptibility profile was performed by disk diffusion in accordance with the Clinical and Laboratory Standards Institute (CLSI. A screening test for vancomycin was also performed. Minimal inhibitory concentration (MIC for vancomycin was determined using the broth dilution method. Molecular assays were used to confirm speciation and genotype of vancomycin-resistant enterococci (VRE. RESULTS: A total of 324 non-repetitive enterococcal isolates were recovered, of which 87% were E. faecalis and 10.8% E. faecium. The incidence of E. faecium per 1,000 admissions increased significantly (p 256µg/ mL and harbored vanA genes. The majority (89.5% of VRE belonged to E. faecium species, which were characteristically resistant to ampicillin and quinolones. Overall, ampicillin resistance rate increased significantly from 2.5% to 21.4% from 2006-2009. Resistance rates for gentamicin, chloramphenicol, tetracycline, and erythromycin significantly decreased over time, although they remained high. Quinolones resistance rates were high and did not change significantly over time. CONCLUSIONS: The data obtained show a significant increasing trend in the incidence of E. faecium resistant to ampicillin and vancomycin.INTRODUÇÃO: Nas últimas duas décadas, os enterococos emergiram como importantes patógenos nosocomiais no mundo inteiro. Neste estudo, foi analisada a distribuição das espécies e a evolução da resistência aos antimicrobianos entre isolados clínicos de enterococos obtidos em um hospital terciário, no período de 2006 a 2009. M

  3. Políticas públicas e internacionalização de empresas brasileiras / Public policy and internationalization of brazilian enterprises

    Directory of Open Access Journals (Sweden)

    Leandro Bruno Santos

    2015-04-01

    Full Text Available The productive internationalization is an essential process to the enterprises strengthening and nations competitiveness growing, due to positive impact on their flows, technology and foreign exchange trade. The major developed economies were pioneers in supporting their enterprises trade and productive internationalization, by creation of funding programs, market research, insurance and guarantees, and trade missions. The objective of this text is to analyze the Brazilian State role played in the several cycles of local companies productive internationalization on the one hand and display in detail the more decisive role of the Banco Nacional de Desenvolvimento Econômico e Social (BNDES in the “national champions” formation and productive internationalization during the early years of this century on the other. The main conclusion is that the bank, to support groups that operate in capital and natural resources intensive industries, has reinforced the regressive specializations and the adaptation technological pattern.

  4. Cost-Effectiveness of High, Moderate and Low-Dose Statins in the Prevention of Vascular Events in the Brazilian Public Health System

    Energy Technology Data Exchange (ETDEWEB)

    Ribeiro, Rodrigo Antonini, E-mail: rodrigo.ribeiro@htanalyze.com [Programa de Pós-Graduação em Epidemiologia da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil); Instituto de Avaliação de Tecnologia em Saúde, Porto Alegre, RS (Brazil); Duncan, Bruce Bartholow [Programa de Pós-Graduação em Epidemiologia da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil); Instituto de Avaliação de Tecnologia em Saúde, Porto Alegre, RS (Brazil); Programa de Pós-Graduação em Cardiologia da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil); Ziegelmann, Patricia Klarmann [Instituto de Avaliação de Tecnologia em Saúde, Porto Alegre, RS (Brazil); Departamento de Estatística da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil); Stella, Steffan Frosi [Instituto de Avaliação de Tecnologia em Saúde, Porto Alegre, RS (Brazil); Programa de Pós-Graduação em Cardiologia da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil); Vieira, Jose Luiz da Costa [Instituto de Cardiologia / Fundação Universitária de Cardiologia, Porto Alegre, RS (Brazil); Restelatto, Luciane Maria Fabian [Serviço de Medicina Interna do Hospital de Clínicas de Porto Alegre, Porto Alegre, RS (Brazil); Polanczyk, Carisi Anne [Programa de Pós-Graduação em Epidemiologia da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil); Instituto de Avaliação de Tecnologia em Saúde, Porto Alegre, RS (Brazil); Programa de Pós-Graduação em Cardiologia da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil)

    2015-01-15

    Statins have proven efficacy in the reduction of cardiovascular events, but the financial impact of its widespread use can be substantial. To conduct a cost-effectiveness analysis of three statin dosing schemes in the Brazilian Unified National Health System (SUS) perspective. We developed a Markov model to evaluate the incremental cost-effectiveness ratios (ICERs) of low, intermediate and high intensity dose regimens in secondary and four primary scenarios (5%, 10%, 15% and 20% ten-year risk) of prevention of cardiovascular events. Regimens with expected low-density lipoprotein cholesterol reduction below 30% (e.g. simvastatin 10mg) were considered as low dose; between 30-40%, (atorvastatin 10mg, simvastatin 40mg), intermediate dose; and above 40% (atorvastatin 20-80mg, rosuvastatin 20mg), high-dose statins. Effectiveness data were obtained from a systematic review with 136,000 patients. National data were used to estimate utilities and costs (expressed as International Dollars - Int$). A willingness-to-pay (WTP) threshold equal to the Brazilian gross domestic product per capita (circa Int$11,770) was applied. Low dose was dominated by extension in the primary prevention scenarios. In the five scenarios, the ICER of intermediate dose was below Int$10,000 per QALY. The ICER of the high versus intermediate dose comparison was above Int$27,000 per QALY in all scenarios. In the cost-effectiveness acceptability curves, intermediate dose had a probability above 50% of being cost-effective with ICERs between Int$ 9,000-20,000 per QALY in all scenarios. Considering a reasonable WTP threshold, intermediate dose statin therapy is economically attractive, and should be a priority intervention in prevention of cardiovascular events in Brazil.

  5. Cost-Effectiveness of High, Moderate and Low-Dose Statins in the Prevention of Vascular Events in the Brazilian Public Health System

    International Nuclear Information System (INIS)

    Ribeiro, Rodrigo Antonini; Duncan, Bruce Bartholow; Ziegelmann, Patricia Klarmann; Stella, Steffan Frosi; Vieira, Jose Luiz da Costa; Restelatto, Luciane Maria Fabian; Polanczyk, Carisi Anne

    2015-01-01

    Statins have proven efficacy in the reduction of cardiovascular events, but the financial impact of its widespread use can be substantial. To conduct a cost-effectiveness analysis of three statin dosing schemes in the Brazilian Unified National Health System (SUS) perspective. We developed a Markov model to evaluate the incremental cost-effectiveness ratios (ICERs) of low, intermediate and high intensity dose regimens in secondary and four primary scenarios (5%, 10%, 15% and 20% ten-year risk) of prevention of cardiovascular events. Regimens with expected low-density lipoprotein cholesterol reduction below 30% (e.g. simvastatin 10mg) were considered as low dose; between 30-40%, (atorvastatin 10mg, simvastatin 40mg), intermediate dose; and above 40% (atorvastatin 20-80mg, rosuvastatin 20mg), high-dose statins. Effectiveness data were obtained from a systematic review with 136,000 patients. National data were used to estimate utilities and costs (expressed as International Dollars - Int$). A willingness-to-pay (WTP) threshold equal to the Brazilian gross domestic product per capita (circa Int$11,770) was applied. Low dose was dominated by extension in the primary prevention scenarios. In the five scenarios, the ICER of intermediate dose was below Int$10,000 per QALY. The ICER of the high versus intermediate dose comparison was above Int$27,000 per QALY in all scenarios. In the cost-effectiveness acceptability curves, intermediate dose had a probability above 50% of being cost-effective with ICERs between Int$ 9,000-20,000 per QALY in all scenarios. Considering a reasonable WTP threshold, intermediate dose statin therapy is economically attractive, and should be a priority intervention in prevention of cardiovascular events in Brazil

  6. Cost-Effectiveness of High, Moderate and Low-Dose Statins in the Prevention of Vascular Events in the Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    Rodrigo Antonini Ribeiro

    2015-01-01

    Full Text Available Background: Statins have proven efficacy in the reduction of cardiovascular events, but the financial impact of its widespread use can be substantial. Objective: To conduct a cost-effectiveness analysis of three statin dosing schemes in the Brazilian Unified National Health System (SUS perspective. Methods: We developed a Markov model to evaluate the incremental cost-effectiveness ratios (ICERs of low, intermediate and high intensity dose regimens in secondary and four primary scenarios (5%, 10%, 15% and 20% ten-year risk of prevention of cardiovascular events. Regimens with expected low-density lipoprotein cholesterol reduction below 30% (e.g. simvastatin 10mg were considered as low dose; between 30-40%, (atorvastatin 10mg, simvastatin 40mg, intermediate dose; and above 40% (atorvastatin 20-80mg, rosuvastatin 20mg, high-dose statins. Effectiveness data were obtained from a systematic review with 136,000 patients. National data were used to estimate utilities and costs (expressed as International Dollars - Int$. A willingness-to-pay (WTP threshold equal to the Brazilian gross domestic product per capita (circa Int$11,770 was applied. Results: Low dose was dominated by extension in the primary prevention scenarios. In the five scenarios, the ICER of intermediate dose was below Int$10,000 per QALY. The ICER of the high versus intermediate dose comparison was above Int$27,000 per QALY in all scenarios. In the cost-effectiveness acceptability curves, intermediate dose had a probability above 50% of being cost-effective with ICERs between Int$ 9,000-20,000 per QALY in all scenarios. Conclusions: Considering a reasonable WTP threshold, intermediate dose statin therapy is economically attractive, and should be a priority intervention in prevention of cardiovascular events in Brazil.

  7. Radical cystectomy with pelvic lymphadenectomy: pathologic, operative and morbidity outcomes in a Brazilian cohort

    Directory of Open Access Journals (Sweden)

    Renato B. Corradi

    2016-06-01

    Full Text Available ABSTRACT Introduction and Objective Radical cystectomy (RC with pelvic lymph node dissection is the standard treatment for muscle invasive bladder cancer and the oncologic outcomes following it are directly related to disease pathology and surgical technique. Therefore, we sought to analyze these features in a cohort from a Brazilian tertiary oncologic center and try to identify those who could negatively impact on the disease control. Patients and Methods We identified 128 patients submitted to radical cystectomy, for bladder cancer treatment, from January 2009 to July 2012 in one oncology tertiary referral public center (Mario Penna Institute, Belo Horizonte, Brazil. We retrospectively analyzed the findings obtained from their pathologic report and assessed the complications within 30 days of surgery. Results We showed similar pathologic and surgical findings compared to other large series from the literature, however our patients presented with a slightly higher rate of pT4 disease. Positive surgical margins were found in 2/128 patients (1.5%. The medium number of lymph nodes dissected were 15. Major complications (Clavien 3 to 5 within 30 days of cystectomy occurred in 33/128 (25.7% patients. Conclusions In the management of invasive bladder cancer, efforts should focus on proper disease diagnosis and staging, and, thereafter, correct treatment based on pathologic findings. Furthermore, extended LND should be performed in all patients with RC indication. A critical analysis of our complications in a future study will help us to identify and modify some of the factors associated with surgical morbidity.

  8. Structural factors for public dental health services in Regional Health Care Network 13: an analysis of the Brazilian National Program for Improving Access and Quality of Primary Care

    Directory of Open Access Journals (Sweden)

    Lucila Brandão HIROOKA

    2018-02-01

    Full Text Available Abstract Introduction The Brazilian National Program for Improving Access and Quality of Primary Care aims to induce the institution of processes that expand the capacity of federal, state and municipal administrations and Primary Care teams to offer services that ensure greater access and quality. Objective To identify the characteristics of infrastructure for the dental health care of the health units from the Regional Health Care Network 13, from the perspective of a health evaluation. Material and method This is a descriptive and cross-sectional study in which is used the Module V database of the External Evaluation instrument of 156 health units of this region that participated of the 2nd cycle of the referred program, which discuss the modality of the health teams, structure and environment of the dental office, the hours of operation, equipment, instruments and dental supplies. Result In general, the oral health units of this study have dental offices with good structural conditions and sufficient equipment and supplies to carry out clinical activities, except those for dental prostheses, possibly due to the permanence of this service in secondary care. However, they point out that advances in access and coverage by oral health services are still necessary. Conclusion Although the theme includes other studies and reflections, the present work may contribute to discussions about the present condition, and it is recommended the active participation of all the actors involved in the care, in the search for the qualification of oral health services in this region.

  9. [Charting the Brazilian Comprehensive Healthcare Policy for Men (PNAISH), from its formulation through to its implementation in local public health services].

    Science.gov (United States)

    Leal, Andréa Fachel; Figueiredo, Wagner dos Santos; Nogueira-da-Silva, Geórgia Sibele

    2012-10-01

    The scope of this article is to see how the Brazilian Comprehensive Healthcare Policy for Men (PNAISH) has been implemented in the Unified Health System, from the standpoint of health professionals. A case study, involving five cases (each from a different macro region of Brazil) conducted using ethnographic techniques of data collection charted the progress of PNAISH implementation based on an anthropological approach using Lipsky's idea of street-level bureaucracy. PNAISH is contextualized in historical terms with national and international documents. Acknowledging the inevitable gap between the formulation and the implementation of any policy, an attempt is made to see how this gap has evolved by analyzing the transition of PNAISH into city Action Plans (PAs). It was revealed that the implementing agents had little knowledge of PNAISH, of the local health care network for men, of the techniques required to meet men's specific needs and of the concept of gender. It faced institutional obstacles, such as lack of an organizational structure, of a consolidated healthcare network - where the user receives services with different degrees of complexity within the system - and resources in general, especially human resources.

  10. As políticas públicas brasileiras e a questão da Juventude (The Brazilian public policies and the youth issue Doi: 10.5212/Emancipacao.v.13i2.0004

    Directory of Open Access Journals (Sweden)

    Zelimar Soares Bidarra

    2014-03-01

    Full Text Available Normal 0 21 false false false PT-BR X-NONE X-NONE Após a rodada de realização das conferências da juventude no ano de 2011, o estudo em pauta, baseado em pesquisa bibliográfica, objetiva compreender de que forma a questão da juventude vem sendo inserida na agenda das políticas públicas brasileiras no curso das últimas décadas. Para isso, na parte inicial foram tecidas considerações teóricas sobre a compreensão de políticas públicas, o estabelecimento de pautas e como ocorre sua inserção (ou não na agenda das mesmas. Na segunda parte, discute-se o processo de inserção da questão da juventude na agenda de tais políticas públicas. As considerações finais encerram a reflexão e sumarizam o conteúdo da análise. Palavras-chave: Política Pública. Juventude. Direitos.  Abstract: After the occasion in the year 2011 that held the conferences for youth, the article at issue, based on literature research, aims to understand how the youth issue has been placed on the agenda of Brazilian public policies in the recent decades. In this regard, in the first part theoretical considerations were woven on the understanding of public policy, the establishment of guidelines and their integration(or not in the agenda. The second part discusses the process of inclusion of the youth issue on the agenda of such public policies. The final considerations close the discussion and summarize the content of the analysis.  Keywords: Public Policy. Youth. Rights.

  11. Analysis of Public Bus Transportation of a Brazilian City Based on the Theory of Complex Networks Using the P-Space

    OpenAIRE

    A. A. De Bona; K. V. O. Fonseca; M. O. Rosa; R. Lüders; M. R. B. S. Delgado

    2016-01-01

    The city of Curitiba, located at Southern Brazil, is recognized by its urban planning structured on three pillars: land use, collective transportation, and traffic. With 3.8 million people in its metropolitan area, the public transport system deals with approximately 2.5 million passengers daily. The structure and properties of such a transportation system have substantial implications for the urban planning and public politics for sustainable development of Curitiba. Therefore, this paper an...

  12. Health-related quality of life and utility values associated to hypoglycemia in patients with type 1 diabetes mellitus treated in the Brazilian Public Health System: a multicenter study.

    Science.gov (United States)

    Bahia, Luciana; Kupfer, Rosane; Momesso, Denise; Cabral, Debora A P; Tschiedel, Balduino; Puñales, Marcia; Lavigne, Suzana; Façanha, Cristina F S; Forti, Adriana C; Mendes, Angela D N; Tura, Bernardo R

    2017-01-01

    Hypoglycemia is a critical and limiting factor of a good metabolic control and can adversely affect the quality of life of diabetic patients. The aim of the study was to evaluate the health-related quality of life and calculate utilities values associated with hypoglycemia in patients with type 1 diabetes mellitus (T1DM). A multicenter, cross-sectional and observational study with T1DM patients from reference centers of the Brazilian public health system was conducted in three cities. Demographic and clinical data were collected, besides details on the frequency and severity of hypoglycemia. Health-related quality of life was assessed using EQ-5D instrument and utility values generated. 221 patients (107 women, 114 men), aged 29.8 ± 11.6 and disease duration of 14.2 ± 9.1 years were included. Most patients (n = 214, 96.8%) reported at least one symptomatic hypoglycemia in the last three months, 68% (n = 150) reported nocturnal episodes and 34.8% (n = 77) reported severe episodes. High frequency (daily or weekly) was observed in 38.6 and 26% of those reporting nocturnal or severe hypoglycemia, respectively. The median visual analog scale was 70 [60-85] for all patients, with differences between those with and without severe hypoglycemia (70 [60-80] vs 80 [61-90]; p = 0.006) and those with high and low frequency (62.5 [50-72.25] vs 70 [60-80]; p = 0.007). The median utility values was 0.801 [0.756-1.000] for all patients, with difference between those with high and low frequency of severe episodes (0.737 [0.628-1.000] vs 0.801 [0.756-1.000]; p = 0.02). This study shows the high frequency of hypoglycemia in a sample of T1DM patients treated in three reference centers of the Brazilian public health system and the impact of severe episodes on health-related quality of life. Utility values were generated and can be used in economic analysis for treatments that could decrease hypoglycemia and consequently improve quality of life.

  13. Alcohol consumption in tertiary education students

    Directory of Open Access Journals (Sweden)

    Reavley Nicola J

    2011-07-01

    Full Text Available Abstract Background Heavy alcohol consumption among adolescents and young adults is an issue of significant public concern. With approximately 50% of young people aged 18-24 attending tertiary education, there is an opportunity within these settings to implement programs that target risky drinking. The aim of the current study was to survey students and staff within a tertiary education institution to investigate patterns of alcohol use, alcohol-related problems, knowledge of current National Health and Medical Research Council (NHMRC guidelines for alcohol consumption and intentions to seek help for alcohol problems. Methods Students of an Australian metropolitan university (with staff as a comparison group participated in a telephone interview. Questions related to knowledge of NHMRC guidelines, drinking behaviour, alcohol-related problems and help-seeking intentions for alcohol problems. Level of psychological distress was also assessed. Results Of the completed interviews, 774 (65% were students and 422 (35% were staff. While staff were more likely to drink regularly, students were more likely to drink heavily. Alcohol consumption was significantly higher in students, in males and in those with a history of earlier onset drinking. In most cases, alcohol-related problems were more likely to occur in students. The majority of students and staff had accurate knowledge of the current NHMRC guidelines, but this was not associated with lower levels of risky drinking. Psychological distress was associated with patterns of risky drinking in students. Conclusions Our findings are consistent with previous studies of tertiary student populations, and highlight the disconnect between knowledge of relevant guidelines and actual behaviour. There is a clear need for interventions within tertiary education institutions that promote more effective means of coping with psychological distress and improve help-seeking for alcohol problems, particularly among

  14. Consolidation of financial statements in the Brazilian Public Sector front of IPSAS: a study of financial reporting in the Aeronautics Command

    OpenAIRE

    Silva, Eduardo de Oliveira

    2016-01-01

    Dissertação de mestrado em Contabilidade A New Public Management é a resposta à falência do Welfare State que, além de dar outro enfoque para a accountabilitity, reforça a adoção das boas práticas do setor privado para o setor público, dentre elas, as alicerçadas práticas da contabilidade, como é o caso da consolidação de contas. Esse cenário faz com que o International Public Sector Accounting Standards Board (IPSASB) passe a ser uma entidade de referência internacional quanto...

  15. Bullying in Brazilian Schools and Restorative Practices

    Science.gov (United States)

    Grossi, Patricia Krieger; dos Santos, Andreia Mendes

    2012-01-01

    Bullying is a widespread phenomenon that affects many children and adolescents in Brazilian schools. A pilot research study was carried out in four schools (one private and three public) located in Porto Alegre, RS, Brazil. A combination of self-administered questionnaires and focus groups with students as well as interviews with teachers were…

  16. Candomblé in pink, green and black: re-scripting the Afro-Brazilian religious heritage in the public sphere of Salvador, Bahia

    NARCIS (Netherlands)

    van de Port, M.

    2005-01-01

    The article discusses the dispersion of candomblé imagery, practices and aesthetics in the public sphere of Salvador, Bahia. It shows that the spirit possession cult has become a trademark for the Bahian state and a major ‘symbol bank’ for groups as varied as the Bahian gay movement, environmental

  17. A Collaborative Governance Approach to Improving Tertiary Education in Papua New Guinea

    Science.gov (United States)

    Eldridge, Kaye; Larry, Lisa; Baird, Jeanette; Kavanamur, David

    2018-01-01

    Tertiary education in Papua New Guinea (PNG) is in a critical state, as the sector struggles to address increased demand for student places with severely curtailed capacity. Recent thinking about improving public services in PNG has emphasized "whole of sector" or collaborative governance. Such an approach in tertiary education has the…

  18. Tutorial Continuing Education: Innovative Strategy in a Tertiary Specialized Health Unit

    Directory of Open Access Journals (Sweden)

    Flaviana Maciel

    2017-06-01

    Full Text Available Hospital Pelopidas Silveira-IMIP/SES/SUS is a tertiary-unit, specialized in cardiology, neurology, neurosurgery and interventional radiology. It is the only hospital of Brazilian Public-Health-System (SUS with this profile and a 24h-acute-cardio/neurovascular facility. Challenges of Continuing-Education include a guaranteeing appropriate level of basic knowledge, b empowering clinical staff to remain up to date in current knowledge. HPS Continuing-Education Program is based on three branches: a Classroom-Tutorials (CT, b Online-Tutorials at "Pelopidas Digital" Virtual-Teaching-Platform (PD-VTP and c Daily-Practice Evaluation (DPE. This paper presents logistic details of HPS Continuing-Education Program. Training team coordinates tutorial meetings and performs continuous statistical analysis. Evaluation team visit hospital departments daily, observing in practice the incorporation of information provided, and retraining individuals in their work scenarios. Both teams perform curriculum development, meeting planning and creation of digital-training-modules. Tutorial meetings have pre/post-tests, allowing monitoring of attendance, topic significance and short-term retention. Tutorial groups are formed by 6-12 employees sharing similarities in training needs. CT is offered to 4 groups-of-interest: a nurses, b nursing assistants, c administrative staff, porters, drivers, d cleaning, laundry and security staff. Problematization and active strategies have resulted into an attractive, structured educational program customized to produce short-term results. The strategy is of interest to institutions sharing similar challenges.

  19. Uma análise sobre a evidenciação das contas públicas das Capitais brasileiras = An analysis on the disclosure of public accounts of the brazilian capitals

    Directory of Open Access Journals (Sweden)

    José Dionísio Gomes da Silva

    2010-01-01

    Full Text Available A transparência exigida para os atos de gestão da administração pública é uma ferramenta importante decontrole, que deve ser utilizada pelos cidadãos, para fiscalizar as ações dos governantes das três esferasdo governo: federal, estadual e municipal. A evidenciação das contas públicas está prevista na Lei nº 4.320,de 17 de março de 1964 e na Lei Complementar 101, de 04 de maio de 2000 (LRF. Esta pesquisa temcomo objetivo geral analisar se todas as capitais brasileiras estão evidenciando suas contas públicas, naInternet, em conformidade com o estabelecido na Lei n° 9.755/98 e no Art. 48 da LRF. Foram utilizadas aspesquisas descritiva, bibliográfica e qualitativa. A coleta de dados foi realizada no sítio denominado deContas Públicas mantido pelo Tribunal de Contas da União (TCU e nos sítios das capitais brasileiras,incluindo a capital federal. Os resultados revelaram que das 27 capitais brasileiras, 13 não fizeram nenhumregistro de contas públicas no sítio de mesmo nome de responsabilidade do Tribunal de Contas da União(TCU, sendo que as demais (14 fizeram registros, mas faltam dados exigidos pela Lei 9755/98 e quenenhuma capital atende as exigências do Art. 48 da LRF.The transparency required for the acts of public administration management is an important tool of control,which should be used by citizens to oversee the actions of the rulers of the three spheres of government:federal, state and municipal levels. The disclosure of public accounts is provided in Law No. 4320 of March17, 1964 and the Complementary Law 101 of May 4, 2000 (LRF. This research aims at analyzing whetherall capital cities are showing their public accounts, the Internet, in accordance with the provisions of Law No.9.755/98 and Art 48 of the LRF. We used the exploratory research, literature and qualitative. Data collectionwas performed at the site known as the Public Accounts maintained by the Court of Audit (TCU and thesites of the Brazilian

  20. Brazilian Library Literature

    Science.gov (United States)

    Leipziger, Fabia T.

    1976-01-01

    This comprehensive study of Brazilian library literature illuminates the important step towards a national plan through the creation in 1954 of the Brazilian Institute of Bibliography and Documentation with the support of UNESCO, the National Research Council, and other agencies. (Author)

  1. [Citing of national articles: the (de)valuation of Brazilian journals].

    Science.gov (United States)

    Teixeira, Renan Kleber Costa; Silveira, Tiago Santos; Botelho, Nara Macedo; Petroianu, Andy

    2012-01-01

    To evaluate whether there is a preference for foreign periodicals over Brazilian one. We evaluated all references of articles published in the years 2011 and 2007 in the journals Acta Cirúrgica Brasileira, Arquivos Brasileiros de Cirurgia Digestiva and the Journal of the Brazilian College of Surgeons, verifying the quantity of papers from Brazilian and foreign publications. We analyzed a total of 7,343 references arranged in 348 articles in those three journals; of these, 856 (11.65%) were from Brazilian journals. There was no difference between the three magazines, nor between the two periods. One hundred and eleven (31.9%) articles did not cite any Brazilian journal article and 36 (10.34%) cited Brazilian articles more than foreign ones. There is need for the Brazilian researcher to appreciate more the Brazilian journals, increasing citation from Brazil, without a scientific xenophobia.

  2. Analysis of Public Bus Transportation of a Brazilian City Based on the Theory of Complex Networks Using the P-Space

    Directory of Open Access Journals (Sweden)

    A. A. De Bona

    2016-01-01

    Full Text Available The city of Curitiba, located at Southern Brazil, is recognized by its urban planning structured on three pillars: land use, collective transportation, and traffic. With 3.8 million people in its metropolitan area, the public transport system deals with approximately 2.5 million passengers daily. The structure and properties of such a transportation system have substantial implications for the urban planning and public politics for sustainable development of Curitiba. Therefore, this paper analyzes the structure of the public transportation system of Curitiba through the theory of complex networks in a static approach of network topology and presents a comparative analysis of the results from Curitiba, three cities from China (Shanghai, Beijing, and Guangzhou, and three cities from Poland (GOP, Warszawa, and Łódź. The transportation network was modeled as a complex network with exact geographical coordinates of its bus stops. In all bus lines, the method used was the P-Space. The results show that this bus network has characteristics of both small-world and scale-free networks.

  3. Sexual harassment in tertiary institutions: A comparative perspective

    OpenAIRE

    Joseph Janice

    2015-01-01

    Sexual harassment is not a new phenomenon in tertiary institutions. It has been receiving considerable attention in research and the media and public awareness has increased dramatically. However, the term sexual harassment is not used uniformly across the globe because countries have defined it differently. Consequently, prevalence of sexual harassment in education varies across cultures. This paper examines sexual harassment from a comparative perspective...

  4. Analysis of Cutaneous Adverse Drug Reactions at a Tertiary Care ...

    African Journals Online (AJOL)

    Erah

    Tertiary Care Hospital – a Prospective Study. SP Shah*, MK Desai and ... drug reactions manifest as skin rashes and/or eruptions. The incidence ..... Safety Monitoring on. Medicinal Products. Geneva (Switzerland):. Office of Publications, World Health. Organization; 2002. 6. Hartwig SC, Siegel J, Schneider PJ. Preventability.

  5. Pattern of childhood malignant tumours in two tertiary teaching ...

    African Journals Online (AJOL)

    Background: Cancer is a public health problem worldwide affecting all categories of persons. It is the second common cause of death in developed countries and among the three leading causes of death in developing countries. Objective: To compare the patterns of malignant childhood tumours in two tertiary hospitals in ...

  6. Folate, vitamin B12 and Homocysteine status in the post-folic acid fortification era in different subgroups of the Brazilian population attended to at a public health care center.

    Science.gov (United States)

    Barnabé, Aline; Aléssio, Ana Cláudia Morandi; Bittar, Luis Fernando; de Moraes Mazetto, Bruna; Bicudo, Angélica M; de Paula, Erich V; Höehr, Nelci Fenalti; Annichino-Bizzacchi, Joyce M

    2015-02-19

    Folate and vitamin B12 are essential nutrients, whose deficiencies are considerable public health problems worldwide, affecting all age groups. Low levels of these vitamins have been associated with high concentrations of homocysteine (Hcy) and can lead to health complications. Several genetic polymorphisms affect the metabolism of these vitamins. The aims of this study were to assess folate, vitamin B12 and homocysteine status in distinct Brazilian individuals after the initiation of folic acid fortification by Brazilian authorities and to investigate the effects of RFC1 A80G, GCPII C1561T and MTHFR C677T polymorphisms on folate, vitamin B12 and Hcy levels in these populations. A total of 719 individuals including the elderly, children, as well as pregnant and lactating women were recruited from our health care center. Folate, vitamin B12 and Hcy levels were measured by conventional methods. Genotype analyses of RFC1 A80G, GCPII C1561T and MTHFR C677T polymorphisms were performed by PCR-RFLP. The overall prevalence of folate and vitamin B12 deficiencies were 0.3% and 4.9%, respectively. Folate deficiency was observed only in the elderly (0.4%) and pregnant women (0.3%), whereas vitamin B12 deficiency was observed mainly in pregnant women (7.9%) and the elderly (4.2%). Plasma Hcy concentrations were significantly higher in the elderly (33.6%). Pregnant women carrying the MTHFR 677TT genotype showed lower serum folate levels (p = 0.042) and higher Hcy levels (p = 0.003). RFC1 A80G and GCPII C1561T polymorphisms did not affect folate and Hcy levels in the study group. After a multivariate analysis, Hcy levels were predicted by variables such as folate, vitamin B12, gender, age and RFC1 A80G polymorphism, according to the groups studied. Our results suggest that folate deficiency is practically nonexistent in the post-folic acid fortification era in the subgroups evaluated. However, screening for vitamin B12 deficiency may be particularly relevant in our

  7. PRETERM BIRTH AND FETAL GROWTH RESTRICTION IN HIV-INFECTED BRAZILIAN PREGNANT WOMEN

    Science.gov (United States)

    dos REIS, Helena Lucia Barroso; ARAUJO, Karina da Silva; RIBEIRO, Lilian Paula; da ROCHA, Daniel Ribeiro; ROSATO, Drielli Petri; PASSOS, Mauro Romero Leal; de VARGAS, Paulo Roberto Merçon

    2015-01-01

    Introduction: Maternal HIV infection and related co-morbidities may have two outstanding consequences to fetal health: mother-to-child transmission (MTCT) and adverse perinatal outcomes. After Brazilian success in reducing MTCT, the attention must now be diverted to the potentially increased risk for preterm birth (PTB) and intrauterine fetal growth restriction (IUGR). Objective: To determine the prevalence of PTB and IUGR in low income, antiretroviral users, publicly assisted, HIV-infected women and to verify its relation to the HIV infection stage. Patients and Methods: Out of 250 deliveries from HIV-infected mothers that delivered at a tertiary public university hospital in the city of Vitória, state of Espírito Santo, Southeastern Brazil, from November 2001 to May 2012, 74 single pregnancies were selected for study, with ultrasound validated gestational age (GA) and data on birth dimensions: fetal weight (FW), birth length (BL), head and abdominal circumferences (HC, AC). The data were extracted from clinical and pathological records, and the outcomes summarized as proportions of preterm birth (PTB, fetal dimensions than the expected population distribution in this small casuistry of newborn from the HIV-infected, low income, antiretroviral users, and publicly assisted pregnant women. A trend for higher prevalence of PTB, LBW and SGA fetal dimensions was also observed in infants born to mothers with AIDS compared to HIV-infected mothers without AIDS. PMID:25923889

  8. What hearing children think regarding the inclusion of deaf children in the regular classroom: a comparative study with Brazilian children in a public and a private school

    Directory of Open Access Journals (Sweden)

    Beatriz Vargas Dorneles

    2010-10-01

    Full Text Available The present study investigates how hearing children relate to the presence of a deaf child in a classroom group. An analysis is made of the influence of social class in relation to the acceptance of the deaf child by the hearing children. The 144 children from the 3rd to 5th series that participated in the study were distributed thus: 76 from a private school and 68 from a public school, both from Porto Alegre, RS. The public school largely attended lower level socioeconomic classes, while the private school attended pupils from predominantly middle to upper social classes. All received the same task: Complete a story that describes the reaction of hearing students to the insertion of a new deaf colleague in the classroom group. The study demonstrates that pupils wish to attempt to communicate with the deaf child and would socialize with the child outside the classroom. They demonstrate a somewhat protective discourse in relation to the subject who they consider disabled but not incapable of communicating. Understanding how hearing children relate to, and include a deaf child within the classroom, raises the possibility of new forms of thinking regarding the preparation of hearing children to possible inclusion processes. Recognizing their ideas, feelings and forms of communication aids educational institutions to invest in inclusion policies.

  9. Necessity to review the Brazilian regulation about fluoride toothpastes

    Science.gov (United States)

    Cury, Jaime Aparecido; Caldarelli, Pablo Guilherme; Tenuta, Livia Maria Andaló

    2015-01-01

    The aim of this study was to evaluate the adequacy of the Brazilian legislation about fluoride toothpaste. A search was conducted in LILACS, Medline and SciELO databases about the fluoride concentration found in Brazilians toothpastes, using descriptors on health. Publications since 1981 have shown that some Brazilian toothpastes are not able to maintain, during their expiration time, a minimum of 1,000 ppm F of soluble fluoride in the formulation. However, the Brazilian regulation (ANVISA, Resolution 79, August 28, 2000) only sets the maximum total fluoride (0.15%; 1,500 ppm F) that a toothpaste may contain but not the minimum concentration of soluble fluoride that it should contain to have anticaries potential, which according to systematic reviews should be 1,000 ppm F. Therefore, the Brazilian regulation on fluoride toothpastes needs to be revised to assure the efficacy of those products for caries control. PMID:26487295

  10. Implementation of the Brazilian national repository

    International Nuclear Information System (INIS)

    Tello, Cledola Cassia Oliveira de

    2013-01-01

    Ionizing radiation in Brazil is used in electricity generation, medicine, industry, agriculture and for research and development purposes. All these activities can generate radioactive waste. At this point, in Brazil, the use of nuclear energy and radioisotopes justifies the construction of a national repository for radioactive wastes of low and intermediate-level. According to Federal Law No. 10308, Brazilian National Commission for Nuclear Energy (CNEN) is responsible for designing and constructing the intermediate and final storages for radioactive wastes. Additionally, a restriction on the construction of Angra 3 is that the repository is under construction until its operation start, attaining some requirements of the Brazilian Environmental Regulator (IBAMA). The RBMN Project (Repository for Low and Intermediate-Level Radioactive Wastes) aims at the implantation of a National Repository for disposal of low and intermediate-level of radiation wastes. This Project has some aspects that are unique in the Brazilian context, especially referring to the time between its construction and the end of its institutional period. This time is about 360 years, when the area will be released for unrestricted uses. It means that the Repository must be safe and secure for more than three hundred years, which is longer than half of the whole of Brazilian history. This aspect is very new for the Brazilian people, bringing a new dimension to public acceptance. Another point is this will be the first repository in South America, bringing a real challenge for the continent. The current status of the Project is summarized. (author)

  11. Belisário Penna, combatente: um capítulo da história da saúde pública brasileira Belisário Penna, a champion in the history of Brazilian public health

    Directory of Open Access Journals (Sweden)

    Luiz Antonio de Castro-Santos

    2012-12-01

    Full Text Available A contribuição do médico sanitarista Belisário Penna (1868-1939 à história da saúde pública no Brasil constitui o tema central do texto. Belisário Penna é retratado aqui a partir de sua militância, dos combates que travou em defesa do saneamento rural e pela melhoria das condições de saúde de toda a população brasileira. O propósito também é situá-lo em meio aos debates de sua época, esclarecendo, por exemplo, como as ideias de Belisário - tão bem apresentadas em suas eloquentes palestras - primavam por se contrapor ao pensamento racista dominante entre as elites do País. Belisário argumentava que os obstáculos ao progresso nacional residiam na precariedade tanto da saúde quanto da instrução pública. Nessa medida, os problemas referidos à questão da eugenia no País eram interpretados sob um prisma otimista: no lugar de determinismos raciais intangíveis, a presença do Estado, por meio de programas de higiene e educação cívica, traria o progresso desejado. O "otimismo sanitário" do combatente mineiro não consistiu em um atributo só dele, mas era compartilhado por outros médicos e intelectuais em torno de movimentos como a Liga Pró-Saneamento, cujas bandeiras acenavam a necessidade de mudanças sociais e alcançaram significativa ressonância popular.The contribution of the sanitarian Belisário Penna (1868-1939 to the history of public health in Brazil constitutes the central topic of this text. The intellectual, professional, and political profile of Belisário Penna is here reconsidered, in the light of his entrenched defense of rural sanitation, his militancy in favor of the improvement of living conditions in the backlands of Brazil, and his criticism of oligarchical power. The intention is also to point out how he opposed, through a series of speeches of great eloquence, the climate of opinion in Brazil's early Republic. He took in the preoccupations of Brazilian elite with "eugenics," discussing

  12. Sexual harassment in tertiary institutions: A comparative perspective

    Directory of Open Access Journals (Sweden)

    Joseph Janice

    2015-01-01

    Full Text Available Sexual harassment is not a new phenomenon in tertiary institutions. It has been receiving considerable attention in research and the media and public awareness has increased dramatically. However, the term sexual harassment is not used uniformly across the globe because countries have defined it differently. Consequently, prevalence of sexual harassment in education varies across cultures. This paper examines sexual harassment from a comparative perspective. It specifically focuses on the definition of sexual harassment, incidence of sexual harassment of students in tertiary institutions, effects of sexual harassment on victims; and victims’ responses to sexual harassment. It also offers suggestions for curtailing sexual harassment in these institutions.

  13. Copagamentos no Sistema Público Brasileiro: anomalia ou tendência? Joint payment in the Brazilian Public Health System: anomaly or tendency?

    Directory of Open Access Journals (Sweden)

    Maria de Fatima Siliansky de Andreazzi

    2011-03-01

    Full Text Available O copagamento como complemento ao financiamento de unidades públicas de saúde é uma recomendação específica do Banco Mundial para reformar sistemas de saúde e tem sido amplamente utilizado no contexto internacional. O Brasil é uma exceção. O objetivo do trabalho foi analisar a situação do copagamento no Sistema Único de Saúde diante da constatação de sua ocorrência em dois municípios de uma microrregião de Minas Gerais. A questão principal a ser respondida foi: trata-se de um caso anômalo, isolado, ou uma prática não privilegiada pelas análises da implementação da política de saúde no Brasil na atualidade, uma tendência a ser monitorada?Joint payment as a complement to finance public health unities is a specific recommendation by the World Bank in order to rearrange health systems, and it has been widely used throughout the world. Brazil is an exception. The aim of the article is to analyze the situation of joint payment in Sistema Único de Saúde - SUS - (Unique Health System in two cities of a micro-region in Minas Gerais State. The main question to be answered was if we were facing an anomalous isolated case or if it was a practice non-privileged by the analyses of implementation of public health currently in Brazil, a tendency to be monitored.

  14. Tertiary climatic fluctuations and methods of analysis of tertiary floras

    Science.gov (United States)

    Wolfe, J.A.

    1971-01-01

    On theoretical grounds, an analysis of the physiognomy of a Tertiary leaf assemblage is more direct and reliable than a circuitous floristic analysis in assigning thermal regimes to fossil assemblages. Using primarily foliar physiognomy and secondarily floristic composition, it can be shown that: (1) some middle latitude Tertiary assemblages probably lived under meteoroligically tropical climates; (2) a major and rapid climatic deterioration occurred in the Oligocene; and (3) a major climatic fluctuation probably occurred in the Late Eocene. These analyses thus substantiate the conclusions of several other paleobotanists regarding climatic fluctuations. Recent criticisms of these analyses are shown to be invalid and to be based largely on misinterpretations. ?? 1971.

  15. Diretrizes e modelo conceitual de custos para o setor público a partir da experiência no governo federal do Brasil Guidelines and conceptual model of costs for the public sector based on the Brazilian federal government's experience

    Directory of Open Access Journals (Sweden)

    Nelson Machado

    2010-08-01

    Full Text Available Este artigo apresenta o Sistema de Informação de Custos do Governo Federal, descrevendo o modelo e suas principais características, desde o conceito até a finalidade e os grupos de usuários, explorando a correspondência entre os conceitos de contabilidade governamental e de custos. O artigo demonstra o relacionamento entre as políticas públicas, recursos, atividades e objetos de custo. Para tanto, remete aos conceitos de sistema de acumulação e método de custeio de custos no setor público, correlacionando-os aos sistemas de informação governamentais. O artigo também apresenta o modelo téorico-conceitual, as diretrizes que sustentaram a sua concepção e a descrição do seu processo de implantação que ainda está em curso. O artigo finalmente olha para o futuro, depois de vencida a etapa de implantação do sistema, e exorta os leitores a se inserirem no debate sobre mensuração de custos. A importância do SIC é enfatizada como elemento de melhoria da qualidade do gasto no setor públicoThis article presents the Cost Information System (CIS of the Brazilian federal government. It describes the taxonomic model and its main features, from its concepts to its purposes and user groups, and explores the correlation between the concepts of governmental accounting and cost accounting. It demonstrates the relationship between public policies, fund management, activities and cost objects. To this end, it uses the concepts of accumulation system, costing method and costs in the public sector, as well as government information systems. The article also presents the theoretic conceptual model and the guidelines of the design, and describes the implementation process, which is still ongoing. It finally looks into the future after the development stage of the CIS, and urges its readers to dive into the debate about measuring costs. The importance of CIS to improve the quality of spending in the public sector is highlighted

  16. Reflexões sobre água de abastecimento e saúde pública: um estudo de caso na Amazônia brasileira Considerations about water supply and public health: a case study in the Brazilian Amazonia

    Directory of Open Access Journals (Sweden)

    Leandro Luiz Giatti

    2007-04-01

    Full Text Available Embora a Amazônia ostente grandioso patrimônio ambiental e abundância de recursos hídricos, é na região Norte do Brasil, contida neste notável bioma, que se verificam os piores índices de acesso a serviços de saneamento e respectivos indicadores de saúde pública. Por meio de estudo de caso efetuado na cidade de São Gabriel da Cachoeira, localizada à noroeste do Estado do Amazonas, com aproximadamente 18.000 habitantes e substancial parcela de população indígena, verificou-se a complexidade de fatores relacionados ao provimento de água e à melhoria da saúde pública para núcleos urbanos da Amazônia. A ausência de políticas concisas, as peculiaridades ambientais, as dificuldades logísticas e financeiras somam-se a questões socioculturais, a aspectos migratórios e a processo de urbanização desordenada, associada a impactos ambientais. Para melhoria da saúde pública nessas circunstâncias torna-se necessária uma abordagem interdisciplinar, que possibilite a gestão dos recursos hídricos, a implementação de saneamento básico e, não obstante, a promoção de adesão dos habitantes.Even though Amazonia displays magnificent environmental heritage and abundance of water resources, it is exactly in the Brazilian northern region, contained in this remarkable biome, that the worst indices of access to sanitation services and respective public health indicators are found. A case study carried out in the town of São Gabriel da Cachoeira, located to the northwest in the State of Amazonas, with nearly 18,000 inhabitants, a large portion of whom are Indians, revealed a complexity of factors related to water supply and public health improvement for urban centers in Amazonia. Lack of proper policies, environmental peculiarities, logistic and financial difficulties, are added to socio-cultural matters, migratory processes, and unorganized urbanization associated with environmental impacts. In order to improve the public health

  17. Perfil da publicação científica brasileira sobre a temática da classe hospitalar Profile of Brazilian scientific publications on the subject of hospital shooling

    Directory of Open Access Journals (Sweden)

    Alessandra Santana Soares e Barros

    2011-08-01

    Full Text Available O objetivo do trabalho foi descrever o perfi l da publicação científi ca brasileira sobre a temática da escolarização em hospitais, iniciativa justifi cada a partir do reconhecimento da importância da produção científi ca na legitimação e consolidação de uma nova área do saber. Foram analisados 47 artigos publicadosem periódicos científi cos entre os anos de 1997 e 2008. Tratou-se, basicamente, de um estudo de avaliação do Estado do Conhecimento (ou Estado da Arte de uma área de interesse crescente dentro da Educação Especial: a escolarização de crianças hospitalizadas e/ou doentes crônicas, designada pelo MEC segundo o termo Classe Hospitalar. Do ponto de vista do corpus empírico, tratou-se de uma pesquisa documental, alicerçada metodologicamente na Análise de Conteúdo. Os artigos da amostra foram quantifi cados e qualifi cados segundo o tipo de investimento empírico predominante, quais fossem: ensaio, relato de experiência, relatos de pesquisa original (pesquisa com desenho de investigação ou revisão de literatura. Buscou-se, também, identifi car se o periódico ao qual o artigo pertencia encontrava-se indexado em bases de dados: SciELO, Edubase, Bireme e catálogo do INEP. Descreveu-se, ainda, a distribuição dos artigos por área de conhecimento e por instituições de onde provinham. Os principais resultados obtidos revelaram que dos 47 artigos analisados 22 foram classifi cados como sendo oriundos de pesquisa original, apenas dois periódicos encontravam-se indexados em todas as bases de dados consideradas em relevância e as publicações foram originadas, em sua grande parte, da atividade de pesquisadores estabelecidos em instituições federais de ensino superior.The aim of this paper was to describe the profi le of Brazilian scientifi c publications on the topic of education in hospitals, an initiative justifi ed since the recognition of the importance of scientifi c output in legitimizing and

  18. Trabalho como subsistência nos hospitais públicos brasileiros Trabajo como subsistencia en hospitales publicos brasileños Work as subsistence in Brazilian public hospitlas

    Directory of Open Access Journals (Sweden)

    Helena Heidtmann Vaghetti

    2009-12-01

    organizational culture of public hospitals in Brazil. Data were extracted from from dissertations and theses in the period from 2002 to 2006. The theoretical methodological reference laid in the interpretive anthropology by Clifford Geertz. The results point that the subsistence relations conduct to alienation from work. The payment generates economic non satisfaction that pry the need to have other jobs. The work stability feeds the disengagement and actions that stimulates the transgression of standards and help the own governs in public hospitals in Brazil.

  19. Brazilian Consensus on Photoprotection

    Science.gov (United States)

    Schalka, Sérgio; Steiner, Denise; Ravelli, Flávia Naranjo; Steiner, Tatiana; Terena, Aripuanã Cobério; Marçon, Carolina Reato; Ayres, Eloisa Leis; Addor, Flávia Alvim Sant'anna; Miot, Helio Amante; Ponzio, Humberto; Duarte, Ida; Neffá, Jane; da Cunha, José Antônio Jabur; Boza, Juliana Catucci; Samorano, Luciana de Paula; Corrêa, Marcelo de Paula; Maia, Marcus; Nasser, Nilton; Leite, Olga Maria Rodrigues Ribeiro; Lopes, Otávio Sergio; Oliveira, Pedro Dantas; Meyer, Renata Leal Bregunci; Cestari, Tânia; dos Reis, Vitor Manoel Silva; Rego, Vitória Regina Pedreira de Almeida

    2014-01-01

    Brazil is a country of continental dimensions with a large heterogeneity of climates and massive mixing of the population. Almost the entire national territory is located between the Equator and the Tropic of Capricorn, and the Earth axial tilt to the south certainly makes Brazil one of the countries of the world with greater extent of land in proximity to the sun. The Brazilian coastline, where most of its population lives, is more than 8,500 km long. Due to geographic characteristics and cultural trends, Brazilians are among the peoples with the highest annual exposure to the sun. Epidemiological data show a continuing increase in the incidence of non-melanoma and melanoma skin cancers. Photoprotection can be understood as a set of measures aimed at reducing sun exposure and at preventing the development of acute and chronic actinic damage. Due to the peculiarities of Brazilian territory and culture, it would not be advisable to replicate the concepts of photoprotection from other developed countries, places with completely different climates and populations. Thus the Brazilian Society of Dermatology has developed the Brazilian Consensus on Photoprotection, the first official document on photoprotection developed in Brazil for Brazilians, with recommendations on matters involving photoprotection. PMID:25761256

  20. The mitogenome of Onchocerca volvulus from the Brazilian Amazonia focus.

    Science.gov (United States)

    Crainey, James L; Silva, Túllio R R da; Encinas, Fernando; Marín, Michel A; Vicente, Ana Carolina P; Luz, Sérgio L B

    2016-01-01

    We report here the first complete mitochondria genome of Onchocerca volvulus from a focus outside of Africa. An O. volvulus mitogenome from the Brazilian Amazonia focus was obtained using a combination of high-throughput and Sanger sequencing technologies. Comparisons made between this mitochondrial genome and publicly available mitochondrial sequences identified 46 variant nucleotide positions and suggested that our Brazilian mitogenome is more closely related to Cameroon-origin mitochondria than West African-origin mitochondria. As well as providing insights into the origins of Latin American onchocerciasis, the Brazilian Amazonia focus mitogenome may also have value as an epidemiological resource.

  1. The mitogenome of Onchocerca volvulus from the Brazilian Amazonia focus

    Directory of Open Access Journals (Sweden)

    James L Crainey

    2016-01-01

    Full Text Available We report here the first complete mitochondria genome of Onchocerca volvulus from a focus outside of Africa. An O. volvulus mitogenome from the Brazilian Amazonia focus was obtained using a combination of high-throughput and Sanger sequencing technologies. Comparisons made between this mitochondrial genome and publicly available mitochondrial sequences identified 46 variant nucleotide positions and suggested that our Brazilian mitogenome is more closely related to Cameroon-origin mitochondria than West African-origin mitochondria. As well as providing insights into the origins of Latin American onchocerciasis, the Brazilian Amazonia focus mitogenome may also have value as an epidemiological resource.

  2. Álcool e alcoolismo entre adolescentes da rede estadual de ensino de Cuiabá, Mato Grosso Alcohol and alcoholism among Brazilian adolescent public-school students

    Directory of Open Access Journals (Sweden)

    Delma P Oliveira de Souza

    2005-08-01

    Full Text Available OBJETIVO: Estimar a prevalência de consumo de álcool e do alcoolismo entre estudantes adolescentes trabalhadores e não trabalhadores. MÉTODOS: Estudo transversal, realizado por amostragem estratificada sistemática, composta por 993 adolescentes trabalhadores e 1.725 não-trabalhadores. Foram incluídos os estudantes matriculados em 1998, na rede estadual de ensino de Cuiabá, MT. Aplicou-se, em sala de aula, um questionário de auto-preenchimento anônimo. Utilizou-se as análises univariada, bivariada e regressão logística. RESULTADOS: Verificaram-se prevalências de 71,3% para o consumo de álcool e 13,4% para alcoolismo na amostra total, sendo maior entre os estudantes trabalhadores (81,0% e 14,9% comparativamente aos não-trabalhadores (65,8% e 12,6%. Além da associação do uso de álcool com o trabalho, observou-se tanto semelhanças quanto diferenças entre os dois grupos. O alcoolismo não está associado ao trabalho, mas ao sexo masculino (RO=1,61; IC 95%: 1,18-2,19 e história de álcool na família tanto entre os não-trabalhadores (RO=2,19; IC 95%: 1,60-2,99 quanto entre trabalhadores (RO=2,10; IC 95%: 1,42-3,12. CONCLUSÕES: Os resultados indicam alta prevalência de consumo de álcool e alcoolismo, sendo maior entre os adolescentes trabalhadores. Os fatores sociodemográficos, familiares e relacionados a trabalho devem ser considerados na implementação de ações educativas nessa população, visando a mudanças de comportamento relacionadas ao consumo de álcool.OBJECTIVE: To estimate the prevalence of alcohol consumption and alcoholism among working and non-working adolescents. METHODS: Cross-sectional study with a systematic, stratified sample 993 working adolescents and 1,725 non-working adolescents. The study included students enrolled in 1998 in the state public network schools of a city in Center-Western Brazil. An anonymous, self-administered questionnaire was completed by subjects in the classroom. Univariate and

  3. Indigenous Brazilian Management Practices

    Directory of Open Access Journals (Sweden)

    Zandra Balbinot

    2012-12-01

    Full Text Available The present research seeks to understand to what extent companies in emerging countries, specifically, Brazilian, adopt dominant management practices, the so-called Euro-American practices, possess their one, or show a syncretism between the two. Methods: Mixed research. One phase was to collect data using a survey about cultural dimensions adopted from GLOBE (House 1998 management practices and also from Brazilian academy. Another was to collect data through interviews, which were analyzed in parallel. Results: Of the seven dominant cultural dimensions, indigenous practices influenced two. Another three were influenced by dominant management practices. Two of the local dimensions, even with internationalization, merged practices with Brazilian cultural traits. Even so, the practices derived from Jeitinho diminished relative to the international relations and experience of managers. Conclusions: The paper shows the existence of powerful Brazilian Indigenous Managerial Practices such as personalism and formalism. These practices have great influence on international business negotiations. On the other hand, it also shows that there are still dominant managerial practices specially in the case of more internationalized Brazilian managers

  4. Consenso de especialistas (SBC/SBHCI sobre o uso de stents farmacológicos: recomendações da sociedade brasileira de cardiologia/sociedade brasileira de hemodinâmica e cardiologia intervencionista ao sistema único de saúde Expert consensus (SBC/SBHCI on the use of drug-eluting stents: recommendations of the Brazilian society of interventional cardiology/ Brazilian society of cardiology for the Brazilian public single healthcare system

    Directory of Open Access Journals (Sweden)

    Valter C. Lima

    2006-10-01

    de organizações que os representam, às vezes com ações judiciais, ou por pressão política dos médicos e de suas respectivas sociedades científicas. Nosso objetivo é revisar a evolução da intervenção coronariana percutânea (ICP no Brasil, sua situação atual com o advento dos stents farmacológicos, e a crescente participação destes como modalidade de revascularização miocárdica de pacientes portadores de doença arterial coronariana, assim como comparar as normas regulatórias brasileiras e de outros paises, em relação à incorporação desta nova tecnologia, e as recomendações para sua utilização.The authors review percutaneous coronary intervention (PCI evolution and its growing application in myocardial revascularization for patients with coronary heart disease in Brazil and worldwide. PCI was introduced in 1977 using only the catheter balloon. Limitations of this method (acute occlusion and coronary restenosis led to the adoption of coronary stents and more recently the advent of drug-eluting stents², which were developed to drastically reduce restenosis rates. These developments allowed the exponential growth of percutaneous coronary intervention (PCI procedures in Brazil which have replaced many bypass surgery procedures and have become the gold standard for the majority of symptomatic patients suffering from coronary artery disease. The preference for this procedure gained new dimensions in 2000 when the Brazilian Public Healthcare System (SUS began reimbursing for stent procedures. This measure exemplified the importance of the Public Healthcare System's participation in incorporating medical advances and offering a high standard of cardiovascular treatment to a large portion of the Brazilian population. It is emphasized that prevention of in-stent restenosis is complex due to its unpredictable and ubiquitous occurrence. Control of this condition improves quality of life and reduces the recurrence of angina pectoris, the need to

  5. Perfil dos pesquisadores com bolsa de produtividade em pesquisa do CNPq da área de saúde coletiva A profile of researchers in public health with productivity grants from the Brazilian National Research Council (CNPq

    Directory of Open Access Journals (Sweden)

    Rita Barradas Barata

    2003-12-01

    Full Text Available O artigo analisa, com base nas informações do currículo Lattes, o perfil dos pesquisadores com bolsa de produtividade em pesquisa do CNPq na área de Saúde Coletiva. A análise levou em conta a formação graduada e pós-graduada, área de atuação, produção e divulgação científica. As comparações são feitas entre as classes de pesquisadores e com dados do diretório de grupos de pesquisa. A maioria dos pesquisadores (70% são formados em Ciências da Saúde, principalmente em Medicina, ou em Ciências Humanas (18%, principalmente Sociologia. Sessenta por cento fizeram mestrado e doutorado em Saúde Coletiva, mas há entre 20 e 30% de pesquisadores, dependendo da classe, sem formação específica na área. A maioria atua em Epidemiologia. A produção científica, expressa em produtos bibliográficos, varia de 10,56 produtos/ano de obtenção do doutorado para os pesquisadores 2C a 6,60 produtos/ano para os pesquisadores 1A. Para artigos completos publicados em periódicos os valores são 3,56 e 2,87, respectivamente. A produção é divulgada principalmente em periódicos A internacional e, A e B nacional. Os periódicos que concentram a publicação são Cadernos de Saúde Pública e Revista de Saúde Pública.Based on information provided by the Lattes curriculum, this study analyzes the profile of researchers in public health with productivity grants from the Brazilian National Research Council (CNPq. The analysis considered the researcher’s undergraduate and graduate degrees, field of expertise, scientific output, and publications. The article discusses comparisons between different categories of researchers and data provided by the CNPq Research Group Directory. Most of the researchers (70% received their undergraduate degrees either in health sciences, mainly medicine, or the humanities (18%, mainly sociology. 60% have Master’s or PhDs in collective health, but some 20 to 30% of researchers, depending on the category

  6. Actualization of the Brazilian nuclear regulations

    International Nuclear Information System (INIS)

    Wieland, Patricia; Soares, Abner Duarte; Nogueira, Tindyua de Moraes; Monteiro, Iara Arraes; Pitta, Maria Adelia Rocha; Bruno, Natanael Carvalho; Pereira, Enneite Souza; Pinto, Marvio dos S.; Lidington, Regina Marcia Rocha; Rocha, Marco Aurelio Toledo

    2011-01-01

    The present work has the objective of making public the methodological approach adopted by the Brazilian Nuclear Energy Commission (CNEN) to create a nuclear normative structure up-dated and coherent. According to the Law 4118/62, 6189/74 and 7781/89, is the attribution the CNEN to establish specific guidelines for nuclear safety and radiological protection, and also do dictate safety norms through the emission of Resolutions

  7. The Brazilian Nuclear Energy Program

    International Nuclear Information System (INIS)

    Carvalho, H.G. de

    1980-01-01

    A survey is initially of the international-and national situation regarding energetic resources. The Brazilian Nuclear Energy Policy and the Brazilian Nuclear Program are dealt with, as well as the Nuclear Cooperation agreement signed with the Federal Republic of Germany. The situation of Brazil regarding Uranium and the main activities of the Brazilian Nuclear Energy Commission are also discussed [pt

  8. Transcultural Diabetes Nutrition Algorithm: Brazilian Application

    Directory of Open Access Journals (Sweden)

    Fabio Moura

    2015-09-01

    Full Text Available The prevalence of obesity, pre-diabetes, and type 2 diabetes (T2D is increasing worldwide, especially in the developing nations of South America. Brazil has experienced an exponential increase in the prevalence of these chronic non-communicable diseases. The rising prevalence is probably due to changing eating patterns, sedentary living, and a progressive aging of the population. These trends and their underlying causes carry untoward consequences for all Brazilians and the future of Brazilian public health and the healthcare system. Lifestyle changes that include healthy eating (nutrition therapy and regular physical activity (structured exercise represent efficient inexpensive measures to prevent and/or treat the aforementioned disorders and are recommended for all afflicted patients. Regrettably, the implementation of lifestyle changes is fraught with clinical and personal challenges in real life. The transcultural Diabetes Nutrition Algorithm (tDNA is a therapeutic tool intended to foster implementation of lifestyle recommendations and to improve disease-related outcomes in common clinical settings. It is evidence-based and amenable to cultural adaptation. The Brazilian Diabetes Association, Society of Cardiology and Ministry of Health guidelines for nutrition therapy and physical exercise were considered for the Brazilian adaptation. The resultant tDNA-Brazil and its underlying recommendations are presented and explained.

  9. Transcultural Diabetes Nutrition Algorithm: Brazilian Application.

    Science.gov (United States)

    Moura, Fabio; Salles, João; Hamdy, Osama; Coutinho, Walmir; Baptista, Deise Regina; Benchimol, Alexander; Marchetti, Albert; Hegazi, Refaat A; Mechanick, Jeffrey I

    2015-09-01

    The prevalence of obesity, pre-diabetes, and type 2 diabetes (T2D) is increasing worldwide, especially in the developing nations of South America. Brazil has experienced an exponential increase in the prevalence of these chronic non-communicable diseases. The rising prevalence is probably due to changing eating patterns, sedentary living, and a progressive aging of the population. These trends and their underlying causes carry untoward consequences for all Brazilians and the future of Brazilian public health and the healthcare system. Lifestyle changes that include healthy eating (nutrition therapy) and regular physical activity (structured exercise) represent efficient inexpensive measures to prevent and/or treat the aforementioned disorders and are recommended for all afflicted patients. Regrettably, the implementation of lifestyle changes is fraught with clinical and personal challenges in real life. The transcultural Diabetes Nutrition Algorithm (tDNA) is a therapeutic tool intended to foster implementation of lifestyle recommendations and to improve disease-related outcomes in common clinical settings. It is evidence-based and amenable to cultural adaptation. The Brazilian Diabetes Association, Society of Cardiology and Ministry of Health guidelines for nutrition therapy and physical exercise were considered for the Brazilian adaptation. The resultant tDNA-Brazil and its underlying recommendations are presented and explained.

  10. Perfil socioeconômico, nutricional e de saúde de adolescentes recém-ingressos em uma universidade pública brasileira Socioeconomic, nutritional and health profile of adolescents recently admitted to a Brazilian public university

    Directory of Open Access Journals (Sweden)

    Valéria Cristina Ribeiro VIEIRA

    2002-09-01

    Full Text Available Objetivou-se delinear o perfil socioeconômico, nutricional e de saúde de adolescentes recém-ingressos em uma universidade pública brasileira. As variáveis comportamentais foram obtidas por meio de questionário, o percentual de gordura corporal (%GC pelo somatório das dobras cutâneas e o estado nutricional pelo Índice de Massa Corporal. A maioria dos adolescentes era do sexo feminino (57,3%, não residia com familiares (89,8%, consumia bebida alcoólica (73,5%, omitia alguma refeição principal (57,3% e rejeitava um ou mais alimentos do grupo das hortaliças (79,5%. Cerca de 57,0% não realizavam atividade física e 7,0% fumavam. Em torno de 72,0% e 25,0%, respectivamente, consumiam hortaliça e fruta cinco ou mais vezes na semana. Os eutróficos predominavam, mas 58,7% destes apresentavam %GC elevado. Concluiu-se que considerável parcela dos indivíduos estudados residia sem os familiares e apresentava, além de inadequação da composição corporal e do comportamento alimentar, outros fatores de risco à saúde, como o consumo de álcool e a inatividade física.The objective of this work was to describe the socioeconomic, nutritional and health profile of adolescents recently admitted to a Brazilian public university. The behavioral variables were obtained by interview, the body fat percentage (BF% by the sum of the four skinfold thicknesses and the nutritional status by body mass index. Most of the students were female (57.3%, lived away from their families (89.8%, drank alcohol (73.5%, skipped a main meal (57.3% and rejected one or more types of vegetables (79.5%. About 57.0% did not practice any physical activity and 7.0% smoked. About 72.0% and 25.0%, respectively, consumed vegetable and fruit five times or over during the week. The eutrophic subjects predominated, but 58.7% of them presented a high BF%. The results showed that a considerable number of the subjects lived away from their families and had inadequate body

  11. Parathyroid carcinoma in tertiary hyperparathyroidism.

    Science.gov (United States)

    Kim, Byung Seup; Ryu, Han Suk; Kang, Kyung Ho; Park, Sung Jun

    2016-10-01

    Parathyroid carcinoma is a rare disease of unknown etiology. This study presents a case of parathyroid carcinoma in a patient with tertiary hyperparathyroidism. Despite a successful kidney transplantation, the intact parathyroid hormone (iPTH) level of the patient was elevated consistently and could not be controlled by medical therapy. Due to the development of tertiary hyperparathyroidism with bone pain and osteoporosis, subtotal parathyroidectomy was performed 4 months after the kidney transplantation. Histological evaluation revealed that one of four parathyroid lesions was a parathyroid carcinoma, while the others were diffuse hyperplasia. Postoperative laboratory studies indicated a decreased level of iPTH. A positron emission tomography-computed tomography performed 6 months after the operation revealed no evidence of local recurrence or distant metastasis. Copyright © 2013. Published by Elsevier Taiwan.

  12. Perceptions of Health Risks amongst Tertiary Education Students in Mauritius

    OpenAIRE

    Smita S. D. Goorah; Dilish Jokhoo

    2013-01-01

    A personal estimate of a health risk may not correspond to a scientific assessment of the health risk. Hence, there is a need to investigate perceived health risks in the public. In this study, a young, educated and healthy group of people from a tertiary institute were questioned about their health concerns. Ethics clearance was obtained and data was collected by means of a questionnaire. 362 students participated in the study. Tobacco use, heavy alcohol drinking, illici...

  13. Global trends in nuclear education at the tertiary level

    International Nuclear Information System (INIS)

    Kemeny, L.G.

    2001-01-01

    The public perception of nuclear science and engineering and the nuclear industry is today, primarily shaped by radical greens, nuclear-opponents, the media and socio-political opportunists. Only countries with a well diversified tertiary education system embracing all aspects of nuclear science and engineering can counter efficiently the pseudo-science and socio-political manipulation which has severely restricted nuclear energy development over the past three decades. National laboratories alone find this task extremely difficult, if not impossible

  14. Percutaneous injuries correlates in the nursing team of a Brazilian tertiary-care university hospital Factores asociados con heridas percutáneas en el equipo de enfermería de un hospital universitario de nivel terciario Fatores associados a acidentes percutâneos na equipe de enfermagem de um hospital universitário de nível terciário

    Directory of Open Access Journals (Sweden)

    Silvia Rita Marin da Silva Canini

    2008-10-01

    Full Text Available The study aims to identify percutaneous injuries correlates in the nursing team from a Brazilian tertiary-care hospital. A case-control study was conducted from January 2003 to July 2004, including 200 cases and 200 controls. Cases and controls were paired by gender, professional category, and work section. To evaluate the relationship between potential risk/protective factors and the outcome, odds ratios were estimated, using multivariate logistic regression methods. The results shown six predictors of percutaneous injuries: "recapping needles" (OR 9.48; CI(95%: 5.29-16.96; "hours worked per week > 50 hours" (OR 2.47; CI(95%: 1.07-5.67; "years in nursing practice La finalidad del estudio fue identificar factores asociados a los accidentes percutáneos en el equipo de enfermería de un hospital terciario. Un estudio caso-control fue conducido entre enero de 2003 y julio de 2004, con selección de 200 casos y 200 controles, emparejados según género, categoría profesional y sector de trabajo. Las medidas de asociación utilizadas fueron las razones de momios, estimados mediante la regresión logística multivariada. Seis predictores para los accidentes percutáneos fueron identificados: "reencapsular agujas" (OR 9.48; CI(95%: 5.29-16.96; "jornada semanal > 50 horas" (OR 2.47; CI(95%: 1.07-5.67; "experiencia en la enfermería O estudo teve por objetivo identificar fatores associados aos acidentes percutâneos na equipe de enfermagem de um hospital terciário. Um estudo caso-controle foi conduzido entre janeiro de 2003 a julho de 2004, com seleção de 200 casos e 200 controles, emparelhados segundo gênero, categoria profissional e setor de trabalho. As medidas de associação utilizadas foram os odds ratios, estimados por meio da regressão logística multivariada. Seis preditores para os acidentes percutâneos foram identificados: "reencapar agulhas" (OR 9.48; CI(95%: 5.29-16.96; "jornada semanal > 50 horas" (OR 2.47; CI(95%: 1

  15. [Citation patterns in Portuguese and Brazilian biomedical journals].

    Science.gov (United States)

    Lopes, Sílvia Costa; Santos, Tiago S; Lopes, Pedro Faria; Fernandez-Llimos, Fernando

    2012-01-01

    Bibliographic references of scientific articles are the source for calculating impact indexes frequently used for the assignment of funding to research projects. Different citation patterns may result in measurement bias of these impact indexes. To analyze citation patterns of Brazilian and Portuguese biomedical journals regarding the geographic origin of the sources cited. As part of the v+biomed project, a convenience sample of 11 biomedical journals, 4 Portuguese and 7 Brazilian, was gathered including the following subject categories: General and Internal Medicine, Public Health, Gynecology and Obstetrics, and Surgery. All the references from all the articles published in all the issues (except supplements) in 2009 and 2010 were retrieved. The type of source cited and its geographic origin were analyzed. A total of 102 issues from the 11 journals, containing 1430 articles, with a total of 32782 references were analyzed. No differences were found regarding the number of authors, pages or references between articles from Brazilian and Portuguese journals. Brazilian journals presented higher prevalence of English language and cited significantly more journals from their own country (30.1%) comparing to Portuguese journals (5.4%). Additionally, a lower citation rate to journals from the other country analyzed was evident in Brazilian (0.1%) when compared to Portuguese (3.2%) journals, as well as a higher self-citation of Brazilian journals (Brazil - 5.6%, Portugal - 2.1%). A different citation pattern between Portuguese and Brazilian biomedical journals was found, consisting of a higher citation rate from Brazilian to other Brazilian journals and to themselves. This differential in citation patterns may have implications on impact indexes determination which warrant further investigation.

  16. Brazilian laboratory indicators program.

    Science.gov (United States)

    Shcolnik, Wilson; de Oliveira, Carla Albuquerque; de São José, Adriana Sá; de Oliveira Galoro, César Alex; Plebani, Mario; Burnett, David

    2012-11-01

    This paper describes the evolution, structure, operation and some outcomes of the Brazilian Laboratory Indicators Program created by the Brazilian Society of Clinical Pathology/Laboratory Medicine (Sociedade Brasileira de Patologia Clínica/Medicina Laboratorial, or SBPC/ML), in partnership with ControlLab, a Brazilian Company that provides services for proficiency testing, internal control, calibration, and training indicators for clinical laboratories. This web-based program is confidential for all participants. It contains 61 indicators categorized into three groups. Program operation and data analysis methods are described and indicators are reported in box plot format, with grouping varying in accordance with the profiles of the participating laboratories. Three indicators were selected as examples of program effectiveness in 2011: hemolysis, blood re-collection and productivity. Participants profile, examples of three indicators for the year 2011 (hemolysis, blood re-collection and productivity) and exploratory research conducted in 2012 on the implementation of the program are presented. Data related to laboratories participating in the program from 2006 to 2011 were collected and graphically represented. The Brazilian Laboratory Indicators Program brings important benefits for participants, contributing to the improvement of existing health systems in Brazil.

  17. A Brazilian Oz?

    Science.gov (United States)

    Aiex, Nola Kortner

    Both the American author, L. Frank Baum, and his Brazilian counterpart, Jose Monteiro Lobato, created children's books that featured alternative worlds, peopled by characters who fascinated many generations of young readers. The authors were both born in the second half of the nineteenth century into families of privilege, and both enjoyed idyllic…

  18. An Improved Inventory Control Model for the Brazilian Navy Supply System

    Science.gov (United States)

    2001-12-01

    Portuguese Centro de Controle de Inventario da Marinha, the Brazilian Navy Inventory Control Point (ICP) developed an empirical model called SPAADA...NAVAL POSTGRADUATE SCHOOL Monterey, California THESIS Approved for public release; distribution is unlimited AN IMPROVED INVENTORY CONTROL ...AN IMPROVED INVENTORY CONTROL MODEL FOR THE BRAZILIAN NAVY SUPPLY SYSTEM Contract Number Grant Number Program Element Number Author(s) Moreira

  19. A Brazilian Portuguese Survey of School Climate: Evidence of Validity and Reliability

    Science.gov (United States)

    Bear, George G.; Holst, Bruna; Lisboa, Carolina; Chen, Dandan; Yang, Chunyan; Chen, Fang Fang

    2016-01-01

    This study presents evidence of the validity and reliability of scores for the newly developed Brazilian Portuguese version of the Delaware School Climate Survey-Student (Brazilian DSCS-S). The sample consisted of 378 students, grades 5 through 9, attending four private and three public schools in southern Brazil. Confirmatory factor analyses…

  20. The Brazilian Experience with Agroecological Extension: A Critical Analysis of Reform in a Pluralistic Extension System

    Science.gov (United States)

    Diesel, Vivien; Miná Dias, Marcelo

    2016-01-01

    Purpose: To analyze the Brazilian experience in designing and implementing a recent extension policy reform based on agroecology, and reflect on its wider theoretical implications for extension reform literature. Design/methodology/approach: Using a critical public analysis we characterize the evolution of Brazilian federal extension policy…

  1. Scales of Political Action and Social Movements in Education: The Case of the Brazilian Black Movement and Law 10.639

    Science.gov (United States)

    dos Santos, Renato Emerson Nascimento; Soeterik, Inti Maya

    2016-01-01

    This paper examines social coordination by the Brazilian Black Movement in the area of Brazilian education. It explains how these developments relate to the construction of race-based public education policies in the country. Focus goes to the process of creation and implementation of law 10.639 in Brazilian Basic education. Using the concept…

  2. Risk factors for nosocomial infection in a Brazilian neonatal intensive care unit

    Directory of Open Access Journals (Sweden)

    Ana Carolina Vieira Costa Fernandes Távora

    Full Text Available This study was designed to describe the epidemiology and risk factors for nosocomial infection (NI in a Brazilian neonatal intensive care unit (NICU. This study was a retrospective cohort from January to December, 2003. All neonates admitted to the NICU. Infection surveillance was conducted according to the NNIS, CDC. Chi-square test and logistic regression model were performed for statistical analyses. The study was conducted at a public, tertiary referral NICU of a teaching hospital in the Northeast of Brazil. A total of 948 medical records were reviewed. Overall NI incidence rate was 34%. The main neonatal NI was bloodstream infection (68.1%, with clinical sepsis accounting for 47.2%, and pneumonia was the second most common NI (8.6%. Multivariate analysis identified seven independent risk factors for NIs: birth weight, exposure to parenteral nutrition, percutaneous catheter, central venous catheter or mechanical ventilation, abruptio placentae and mother's sexually transmitted disease (STD. Neonates from mothers with STD or abruptio placentae, those weighing less than 1,500 g at birth or those who used invasive devices were at increased risk for acquiring NI.

  3. New drugs in Brazil: do they meet Brazilian public health needs? Nuevos medicamentos en Brasil: ¿responden a las necesidades de la salud pública brasileña?

    Directory of Open Access Journals (Sweden)

    Carlos Cezar Flores Vidotti

    2008-07-01

    Full Text Available OBJECTIVES: To describe the new drugs marketed in Brazil during the period 2000-2004, compare the description to the country's burden of disease, and suggest initiatives capable of addressing the situation from the perspective of a developing country. METHODS: Records of new drugs were surveyed in an official drug registration database. The new drugs were categorized by Anatomical Therapeutic Chemical classification, indication, and innovation, and compared with the needs of the country's burden of disease. Data on the morbidity and mortality rates of selected diseases (diabetes, Hansen's disease, hypertension, tuberculosis were retrieved from official documents and the literature. RESULTS: During the period investigated, 109 new drugs were launched. Most were general anti-infectives for systemic use (19, followed by antineoplastic and immunomodulating agents (16. The number of new drugs launched in 2004 was roughly one-third that of 2000. Of 65 new drugs, only one-third can be classified as innovative. Most new drugs were intended to treat noninfectious diseases that typically affect developed countries, diseases that constitute only a fraction of the country's challenges. CONCLUSIONS: A mismatch occurs between public health needs and the new drugs launched on the Brazilian market. Not only did the number of new drugs decrease in the study period, but only a few were actually new in therapeutic terms. Developing countries must acquire expertise in research and development to strengthen their capacity to innovate and produce the drugs they need.OBJETIVOS: Describir los nuevos medicamentos lanzados al mercado en Brasil durante el período 2000-2004, comparar su descripción con la carga de enfermedades del país y recomendar iniciativas que permitan enfrentar la situación desde la perspectiva de un país en desarrollo. MÉTODOS: Se buscaron los nuevos medicamentos en una base de datos oficial de registro de medicamentos. Los nuevos medicamentos

  4. Índice de informação contábil pública: um estudo nos municípios brasileiros = Public Accounting Information Index: a study in the brazilian municipalities

    Directory of Open Access Journals (Sweden)

    Fabia Jaiany Viana de Souza

    2016-04-01

    Full Text Available Esta pesquisa tem o objetivo de avaliar os índices de divulgação de informação contábil pública dos municípios brasileiros. A pesquisa pode ser classificada como qualitativa, descritiva e documental. Os resultados revelaram que São Paulo foi aquele com maior pontuação para o índice analisado, com 67,86% dos itens divulgados em seu sitio, seguido por Vitória (64,29%, Londrina e Porto Alegre com (60,71%, Rio de Janeiro (53,57%, Cuiabá e Curitiba com (50% das práticas observadas nos sítios. Além disso, identificou-se Belford Roxo como o município com o menor índice (7,14% de divulgação de informações contábeis, seguido por Juazeiro do Norte (10,71% e Boa Vista (14,30%. Conclui-se que os municípios não estão evidenciando em seus portais eletrônicos informações que permitam aos cidadãos conhecer a gestão financeira de seus municípios, uma vez que foi observada a existência de entes municipais que não divulgam nenhum dos demonstrativos contábeis exigidos pela legislação vigente e que não foi possível perceber nos sítios um estímulo a sociedade participar da gestão municipal.This research aimed at evaluating the levels of disclosure of public financial information from Brazilian municipalities. The methodology consisted qualitative, descriptive and documentary research. The sample selection technique was performed by convenience and corresponded to the 100 most populous municipalities in Brazil, because these municipalities concentrate the largest share of the population (approximately 45% of the total population. The results revealed that São Paulo was the one with the highest score for the analyzed index, with 67,86% of the items published in its site, followed by Victoria (64,29%, Londrina and Porto Alegre (60,71%, Rio de Janeiro (53,57%, Cuiabá and Curitiba (50% of the practices observed on their sites. In addition, it was identified Belford Roxo as the municipality with the lowest index (7,14% to

  5. Brazilian Trichoptera Checklist II

    Science.gov (United States)

    2014-01-01

    Abstract A second assessment of Brazilian Trichoptera species records is presented here. A total of 625 species were recorded for Brazil. This represents an increase of 65.34% new species recorded during the last decade. The Hydropsychidae (124 spp.), followed by the Hydroptilidae (102 spp.) and Polycentropodidae (97 spp.), are the families with the greatest richness recorded for Brazil. The knowledge on Trichoptera biodiversity in Brazil is geographically unequal. The majority of the species is recorded for the southeastern region. PMID:25349524

  6. Brazilian Scientific Policy

    International Nuclear Information System (INIS)

    Voi, Dante Luiz; Borges, Jose Carlos

    1996-01-01

    This work aimed to make an analysis of the Brazilian Scientific Policy, considering its multi ways of approaching, and was settled on several author's points of view, working on different scientific areas. The world scientific development panorama and its influence on science made in Brazil, including problems, conditions and consequences, are presented in an historical sequence. Central and peripherical (dependent) capitalist nations are defined and identified, and influences on the scientific, economical, political and cultural developments of the peripherical are remarked. (author)

  7. Ten years of energy consumption in the tertiary sector

    International Nuclear Information System (INIS)

    Rabai, Yacine

    2012-11-01

    This document presents and comments data regarding electricity consumption by the tertiary sector over the last ten years in France. It notably outlines its strong increase compared to the other sectors (housing, industry, transport, agriculture). It comments the evolution of the energy mix of the tertiary sector (electricity with 47%, gas with 25% and oil with 19% are prevailing). It briefly comments the evolution of energy efficiency within this sector. It indicates and comments the shares of energy consumption, of high voltage electricity and gas consumption by the different sub-sectors (retail, automobile and motorcycle repair, public administration, health and social activity, real estate, specialised, scientific and technical activities, education, and so on)

  8. O STF e a construção institucional das autoridades reguladoras do financeiro: um estudo de caso das ADIns The Brazilian Supreme Court and the institutional design of the public authorities of the National Financial System: an ADIns' empirical study

    Directory of Open Access Journals (Sweden)

    Camila Duran-Ferreira

    2009-06-01

    Full Text Available Este artigo pretende avaliar a atuação da corte constitucional brasileira, o Supremo Tribunal Federal, como verdadeiro ator no desenho institucional das autoridades reguladoras do sistema financeiro nacional, o Conselho Monetário Nacional (CMN e o Banco Central do Brasil (BCB. Sua interação com os poderes políticos, por meio do julgamento de Ações Diretas de Inconstitucionalidade (ADIns, ao longo dos últimos 20 anos, forneceu balizas jurídicas para a construção dessas autoridades. Esta pesquisa, que parte de uma análise qualitativa das decisões do Tribunal como estudo de caso, mapeou os temas e atores interessados na regulação do sistema financeiro e na estrutura dessas entidades, assim como procurou demonstrar como a atuação da corte reforçou a competência normativa desses órgãos. Ao final, este artigo delineia parâmetros para eventual edição de futura legislação, que vise regular o sistema financeiro, revogando a Lei 4594 de 1964, e conceder eventual autonomia ao Banco Central do Brasil.The purpose of this study is to analyse the manner the Brazilian Supreme Court's (Supremo Tribunal Federal - STF decisions have influenced the institutional design of the national monetary council and the Brazilian Central Bank. During the last 20 years, STF provided limits to the power of these public authorities, by judging Direct Actions of Unconstitutionality (ADIns. This research is based on empirical study that intends to identify the actors and the issues submitted to the court and how its decision enforced their power of regulating the financial system. As a result, it is possible to perceive directions to enact the law that intends to regulate the financial system and eventually to attribute the independence to the Brazilian Central Bank.

  9. Learning Enhancement in Tertiary Institutions Using Mobile ...

    African Journals Online (AJOL)

    2012-12-01

    Dec 1, 2012 ... Abstract. The educational standard in tertiary institutions has witnessed a down turn in the area of teaching and learning. This paper links this down fall to traditional face-to-face educational model that is still by far the dominant mode of education and learning in tertiary institutions. In addition to identifying ...

  10. Indoor Air Quality in Brazilian Universities

    Directory of Open Access Journals (Sweden)

    Sonia R. Jurado

    2014-07-01

    Full Text Available This study evaluated the indoor air quality in Brazilian universities by comparing thirty air-conditioned (AC (n = 15 and naturally ventilated (NV (n = 15 classrooms. The parameters of interest were indoor carbon dioxide (CO2, temperature, relative humidity (RH, wind speed, viable mold, and airborne dust levels. The NV rooms had larger concentration of mold than the AC rooms (1001.30 ± 125.16 and 367.00 ± 88.13 cfu/m3, respectively. The average indoor airborne dust concentration exceeded the Brazilian standards (<80 µg/m3 in both NV and AC classrooms. The levels of CO2 in the AC rooms were significantly different from the NV rooms (1433.62 ± 252.80 and 520.12 ± 37.25 ppm, respectively. The indoor air quality in Brazilian university classrooms affects the health of students. Therefore, indoor air pollution needs to be considered as an important public health problem.

  11. Diversity in School: A Brazilian Educational Policy against Homophobia

    Science.gov (United States)

    Carrara, Sergio; Nascimento, Marcos; Duque, Aline; Tramontano, Lucas

    2016-01-01

    Diversity in School is a Brazilian initiative that seeks to increase understanding, recognition, respect, and value social and cultural differences through offering an e-learning course on gender, sexuality, and ethnic relations for teachers and school administrators in the public school system. The course and its objectives aim to enable staff…

  12. Management report 2007 CNEN - Brazilian Nuclear Energy Commission

    International Nuclear Information System (INIS)

    2007-01-01

    This document reports the general activity management of the Comissao Nacional de Energia Nuclear - CNEN - Brazil during the year of 2007, involving the CNEN role in the public policy execution, the Brazilian program of nuclear activities in the areas of nuclear safety, research and development, radiopharmaceutical production, teaching, administration in general and miscellaneous

  13. Brazilian Portuguese Ethnonymy and Europeanisms.

    Science.gov (United States)

    Stephens, Thomas M.

    1994-01-01

    Delineates the incorporation and analyzes the impact of European borrowings in Brazilian racio-ethnic terminology. This overview covers French, Italian, Spanish, and English influences. Borrowings from European languages have had a small impact on the calculus of Brazilian racio-ethnic terms. (43 references) (Author/CK)

  14. Managing migration: the Brazilian case

    OpenAIRE

    Eduardo L. G. Rios-Neto

    2005-01-01

    The objective of this paper is to present the Brazilian migration experience and its relationship with migration management. The article is divided into three parts. First, it reviews some basic facts regarding Brazilian immigration and emigration processes. Second, it focuses on some policy and legal issues related to migration. Finally, it addresses five issues regarding migration management in Brazil.

  15. Aparição do Viagra na cena pública brasileira: discursos sobre corpo, gênero e sexualidade na mídia The emergence of Viagra in the Brazilian public scenario: discourses on body, gender and sexuality in the media

    Directory of Open Access Journals (Sweden)

    Mauro Brigeiro

    2009-04-01

    Full Text Available Este trabalho propõe uma reflexão antropológica sobre os discursos e imagens do corpo e da sexualidade na sociedade brasileira com base em um fenômeno social particular: o surgimento do Viagra na esfera pública nacional. Explora as conotações construídas e/ou ratificadas pela mídia impressa em torno deste medicamento, a partir da análise de conteúdo de reportagens publicadas em dois jornais de grande circulação, pertencentes à mesma organização empresarial e dirigidos a públicos distintos. O material analisado data de abril de 1998 a abril de 1999, período correspondente ao início - e ápice - do debate sobre o medicamento no país. O artigo trata dos simbolismos e das estratégias discursivas utilizadas pelos jornais na apresentação do remédio para o público geral e chama a atenção para um apelo a lógicas tradicionais de gênero, a despeito de um cenário contemporâneo de questionamentos acerca das relações entre os sexos e da sexualidade.This work proposes an anthropological reflection on the images and discourses of the body and the sexuality in the Brazilian society, focusing on a particular social phenomenon: the emergence of the Viagra in the national public scenario. This article explores the connotations constructed and confirmed by the Brazilian media press about this drug. Two Brazilian newspapers belonging to the same publisher but aimed at different publics were analyzed from April 1998 to April 1999, period that corresponds to the beginning - and apex - of the debate on the Viagra in the country. The discussion focuses on the symbolism and discursive strategies utilized by the newspapers when presenting this medication to the general public. This article also draws the attention to an appeal to traditional logics of gender, despite a contemporary scenario of issues concerning the relationships among the sexes and the sexuality.

  16. [Brazilian scientific production in the 40 psychiatric journals with high impact factor in 2006].

    Science.gov (United States)

    Rocha, Felipe Filardi da; Fuscaldi, Thiago; Castro, Viviam; Carmo, William do; Amaral, Débora; Correa, Humberto

    2007-01-01

    The Brazilian scientific production published in 2006 in the twenty psychiatric journals with high impact factor (IF) according to the Journal of Citation Report (JCR), 2006, was evaluated. All articles from 94 journals with an IF higher than the average (n=40) were selected. We assessed the articles that had at least one author affiliated to a Brazilian institution as well as those with only Brazilian authors or a first/senior author belonging to a Brazilian institution. Secondly, the distribution of the author(s) by state was determined. Among 7996 articles surveyed 96 (1.20%) had at least one author from a Brazilian institution and in eight, the first senior author belonged to a Brazilian institution, not including the 59 publications that were written only by Brazilian authors. The distribution by state showed São Paulo as ranking first with 46 articles (47.91%) and absolute predominance of the South-Southeast region (98.95%). Although, Brazilian publications on psychiatry had demonstrated apparent quantitative and qualitative growth, scientific production on the subject remains highly concentrated in a few states.

  17. The Teaching of Afro-Brazilian and Indigenous Culture and History in Brazilian Basic Education in the 21st Century

    Science.gov (United States)

    Guimarães, Selva

    2015-01-01

    This paper approaches the public policies for teaching Afro-Brazilian and indigenous history and culture in Brazil in the 21st century. It is part of a broader study about the implementation and impacts of Federal Laws 10.639/2009 and 11.645/2008, which made the study of these topics mandatory across the national territory. Our methodology…

  18. The Brazilian deindustrialization: financialization is not guilty

    Directory of Open Access Journals (Sweden)

    MYLÈNE GAULARD

    2015-06-01

    Full Text Available The financialization of the Brazilian economy is often criticized as being responsible of the slowdown of capital accumulation in this country. Indeed, very high interest rates are maintained in order to finance the public debt, and this fosters capitalists to get more Treasury bonds rather than to invest in the productive area. Nevertheless, the evolution of the profit rate in this area also explains the particular relation existing between capitalists, finance and productive investment, as Marx showed it more than a century ago.

  19. Brazilian obesity prevention and control initiatives.

    Science.gov (United States)

    Jaime, P C; da Silva, A C F; Gentil, P C; Claro, R M; Monteiro, C A

    2013-11-01

    Obesity prevalence in the Brazilian adult population is 12.5% among men and 16.9% among women. Obesity control has been a subject of concern in Brazilian health policies since the publication of the National Food and Nutrition Policy in 1999. The initiatives include a comprehensive national intersectorial plan for obesity prevention and control focused on confronting its social and environmental causes, development of a food and nutrition education framework aimed at intersectorial public policies in the food and nutritional security field, promotion and provision of healthy food in school environments (linked to family farming), structuring nutrition actions in primary healthcare in the national healthcare system, promoting community physical activity, food regulation and control, and encouragement of public participation and food control. We conclude that several initiatives have been developed in Brazil to deal with the challenge of implementing an intergovernmental, intersectorial response to reverse the rising overweight and obesity rates. The success of this response will depend on a governance model that promotes joint and integrated action by different sectors and active participation of society to consolidate the actions, places and laws that protect health and promote healthy lifestyles. © 2013 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of the International Association for the Study of Obesity.

  20. Brazilian energy overview

    International Nuclear Information System (INIS)

    Souza, J.A.M. de.

    1975-01-01

    The Brazilian energy overview compared with the rest of the world is presented, as well as the current situation and prospects for the future. In a first part, the evalution from the past through the present time is considered, and in a second part, attention is given on the future prospects for Brazil and the different countries in connection with the energy field. It is expected that the current per capita energy consumption in Brazil, in all of its various forms, now totalling 6 million kcal/inh, will reach at least 22 million kcal/inh toward the end of this century

  1. Overview of Brazilian industrial radiography accidents with cutaneous radiation syndrome

    International Nuclear Information System (INIS)

    Lima, C.M.A.; Silva, F.C.A. da

    2017-01-01

    It is well documented that industrial radiography is related to radiological accidents, which makes it the highest potential risk for human health. More than 80 radiological accidents happened in the world that includes 6 Brazilian accidents with Cutaneous Radiation Syndrome. Five of them happened with 192 Ir and one with 60 Co radioactive sources. Nineteen members of the public and 8 radiographers were involved. All of them suffered severe hands and fingers injuries. The Brazilian radiological accident happened in 1985 with 16 persons is analyzed showing causes, consequences, radiation doses and lessons learned. (author)

  2. Aflatoxins in Brazilian Peanut Confection.

    Science.gov (United States)

    2016-04-07

    The study's objectives were to evaluate a method for the determination of aflatoxins (AFs) in the Brazilian peanut confection "Paçoca" and to apply the method in investigating AF concentrations in Paçoca marketed in São Paulo State throughout 2013. Results of another survey conducted between 1994 and 2002 with another method were also reported. The current method consists of immunoaffinity column cleanup, LC with postcolumn derivatization for AF fluorescence enhancement, and fluorescence determination for the toxins. The mean recovery and mean RSD r values were 88.6 and 7.9%, respectively. The LODs for aflatoxin B 1 , aflatoxin B 2 , aflatoxin G 1 , and aflatoxin G 2 were 0.04, 0.01, 0.02, and 0.01 ng/g; and the LOQs were 0.15, 0.04, 0.07, and 0.04 ng/g, respectively. Results of the two survey studies indicate that the contamination of AFs in Paçoca remains a public health problem. In the 2013 survey, 71 of 100 samples (71%) had AFs contamination ranging from 0.3 to 41.8 ng/g, with 12 samples (12%) containing >20 ng/g of the toxins, whereas in the 1994-2002 survey, 73 of 150 samples (51%) had AFs contamination ranging from 9 to 1439 ng/g with 65 samples (45%) containing levels >20 ng/g.

  3. The Brazilian electrical system reform

    International Nuclear Information System (INIS)

    Mendonca, A.F.; Dahl, C.

    1999-01-01

    Although the Brazilian electrical system has been a public monopoly, the threat of electricity shortages from a lack of investment triggered a comprehensive reform. In 1993 the government began a series of laws, decrees and regulations reforming the tariff policy, allowing privatization of utilities, foreign investments and independent power producers, and creating an independent transmission grid and a new electricity regulatory agency (ANEEL). The new regulatory framework is not completely defined but the proposed model intends to transform bulk electricity supply into a competitive market similar to that adopted in England. Our objective is to evaluate whether the proposed reform will succeed in attracting the required private capital, will allow an unregulated wholesale electricity market and will require a strict regulatory framework. The reform has been quite successful in privatizing the distribution companies but is allowing monopolistic rents, and has failed until now to attract private investments to expand generation capacity. The risk of blackouts has increased, and the proposed wholesale electricity market may not be appropriate because of barriers to constructing new hydroelectric units, now 90% of the system. Therefore, a new regulatory framework and a strong regulatory agency with a well-defined tariff policy should have preceded the privatization. (author)

  4. The Brazilian Bolsa Escola

    Directory of Open Access Journals (Sweden)

    Rachel Cassidy

    2008-12-01

    Full Text Available The Bolsa Escola (‘school stipend’ and its successor the Bolsa Familia (‘family stipend’ schemes have formed a crucial and successful part of Brazil’s welfare program. Bolsa Escola provided aid to Brazil’s poorest families on the condition that their children attended school, and Bolsa Familia has extended this idea, giving aid on the condition that children both attend school and receive vaccinations. Bolsa Familia is currently the largest Conditional Cash Transfer Program (CCTP in the world, costing roughly 0.5% of Brazilian GDP and helping around 11.2 million families (around 44 million Brazilians, constituting roughly one fifth of the population. Multilateral institutions have praised the schemes, and they are setting a leading example to other developing nations. In 2005, Paul Wolfowitz (former president of the World Bank said, ‘Bolsa Familia has already become a highly praised model of effective social policy. Countries around the world are drawing lessons from Brazil’s experience and are trying to produce the same results for their own people’.

  5. Brazilian Nanotechnology Initiative

    Science.gov (United States)

    Fazzio, Adalberto

    2015-03-01

    In Brazil there is intense research activity in nanotechnology, most of these developed in universities and research institutes. The Brazilian Nanotechnology Initiative (BNI) aims to integrate government actions to promote the competitiveness of the Brazilian industry. This initiative is founded on support for research and development in the laboratories of the National Laboratories for Nanotechnology (SisNANO), starting from an improvement in infrastructure and opening of laboratories for users of academia and business, promoting interaction and transfer knowledge between academia and business. Country currently has 26 thematic networks of nanotechnology, 16 -Virtual-National Institutes of Technology, seven National- Laboratories and 18 Associate Laboratories, which comprise the SisNANO. Seeking to expand and share governance with other government actors, the Interministries Committee for Nanotechnology was set up, composed of 10 ministries, and has the task of coordinating the entire program of the Federal Government Nanotechnology.Cooperation activities are an important part of BNI. Currently Brazil has cooperation programs with U.S., China, Canada and European Union among others. Recently, Brazil decided to join the European NanoReg program where 60 research groups are joining efforts to provide protocols and standards that can help regulatory agencies and governments.

  6. 2 nd Brazilian Consensus on Chagas Disease, 2015

    Directory of Open Access Journals (Sweden)

    João Carlos Pinto Dias

    Full Text Available Abstract Chagas disease is a neglected chronic condition with a high burden of morbidity and mortality. It has considerable psychological, social, and economic impacts. The disease represents a significant public health issue in Brazil, with different regional patterns. This document presents the evidence that resulted in the Brazilian Consensus on Chagas Disease. The objective was to review and standardize strategies for diagnosis, treatment, prevention, and control of Chagas disease in the country, based on the available scientific evidence. The consensus is based on the articulation and strategic contribution of renowned Brazilian experts with knowledge and experience on various aspects of the disease. It is the result of a close collaboration between the Brazilian Society of Tropical Medicine and the Ministry of Health. It is hoped that this document will strengthen the development of integrated actions against Chagas disease in the country, focusing on epidemiology, management, comprehensive care (including families and communities, communication, information, education, and research .

  7. 2 nd Brazilian Consensus on Chagas Disease, 2015.

    Science.gov (United States)

    Dias, João Carlos Pinto; Ramos, Alberto Novaes; Gontijo, Eliane Dias; Luquetti, Alejandro; Shikanai-Yasuda, Maria Aparecida; Coura, José Rodrigues; Torres, Rosália Morais; Melo, José Renan da Cunha; Almeida, Eros Antonio de; Oliveira, Wilson de; Silveira, Antônio Carlos; Rezende, Joffre Marcondes de; Pinto, Fabiane Scalabrini; Ferreira, Antonio Walter; Rassi, Anis; Fragata, Abílio Augusto; Sousa, Andréa Silvestre de; Correia, Dalmo; Jansen, Ana Maria; Andrade, Glaucia Manzan Queiroz; Britto, Constança Felícia De Paoli de Carvalho; Pinto, Ana Yecê das Neves; Rassi, Anis; Campos, Dayse Elisabeth; Abad-Franch, Fernando; Santos, Silvana Eloi; Chiari, Egler; Hasslocher-Moreno, Alejandro Marcel; Moreira, Eliane Furtado; Marques, Divina Seila de Oliveira; Silva, Eliane Lages; Marin-Neto, José Antonio; Galvão, Lúcia Maria da Cunha; Xavier, Sergio Salles; Valente, Sebastião Aldo da Silva; Carvalho, Noêmia Barbosa; Cardoso, Alessandra Viana; Silva, Rafaella Albuquerque E; Costa, Veruska Maia da; Vivaldini, Simone Monzani; Oliveira, Suelene Mamede; Valente, Vera da Costa; Lima, Mayara Maia; Alves, Renato Vieira

    2016-12-01

    Chagas disease is a neglected chronic condition with a high burden of morbidity and mortality. It has considerable psychological, social, and economic impacts. The disease represents a significant public health issue in Brazil, with different regional patterns. This document presents the evidence that resulted in the Brazilian Consensus on Chagas Disease. The objective was to review and standardize strategies for diagnosis, treatment, prevention, and control of Chagas disease in the country, based on the available scientific evidence. The consensus is based on the articulation and strategic contribution of renowned Brazilian experts with knowledge and experience on various aspects of the disease. It is the result of a close collaboration between the Brazilian Society of Tropical Medicine and the Ministry of Health. It is hoped that this document will strengthen the development of integrated actions against Chagas disease in the country, focusing on epidemiology, management, comprehensive care (including families and communities), communication, information, education, and research .

  8. Article-level metrics and the periphery: an exploration of articles by Brazilian authors

    Energy Technology Data Exchange (ETDEWEB)

    Souza, I.V.P.; Gouveia, F.C.

    2016-07-01

    This work-in-progress paper describes an ongoing PhD study that aims to explore article-level metrics from a set of articles published by Brazilian researchers. It is argued that article-level metrics can offer a more nuanced and accurate picture of the influence of a particular work in comparison to journal-level metrics. However, if these new metrics rely on sources that exclude a large part of research from the periphery, they are at risk of simply preserving the present inequalities in the scholarly communication system. In order to understand how article-level metrics are or could be useful to the scientific community in the peripheries, we need to see what metrics are currently available, identify possible biases, and understand their meaning. We aim to contribute to this discussion with a case study focused on exploring a set of both traditional and alternative article-level metrics related to publications authored by Brazilian researchers. So far, few studies analyse article-level metrics for Brazilian publications, and most focus on Brazilian journals instead of researcher's affiliation. Our study will collect articles with DOIs registered by Brazilian researchers at the Lattes Platform, an information system maintained by the national Science, Technologies and Communications ministry. This exploration aims to address the following questions: (a) Which are the main article-level metrics available for journal articles authored by Brazilian researchers? What are the main sources of ALM data for Brazilian publications?; (b) Are there any disciplines, institutions, locations etc. that attract more mentions in the case of Brazilian articles? How do these metrics compare among themselves?; and (c) Do articlelevel metrics of publications by Brazilian researchers reflect patterns and trends observed in studies with researchers from other countries? (Author)

  9. Correspondence between overweight and socioeconomic and demographic indicators in the adult Brazilian population

    Directory of Open Access Journals (Sweden)

    Vladimir Schuindt da Silva

    2015-06-01

    Full Text Available OBJECTIVE: To verify the correlation between overweight and socioeconomic and demographic indicators among Brazilian adults, using data from the Brazilian Household Budget Survey from 2008/2009.METHODS: We analyzed the joint relationships between overweight and socioeconomic and demographic indicators in the Brazilian adult population (99,532,672 individuals, through the multiple correspondence analysis technique.RESULTS: The featured profile of the Brazilian adult population with regard to overweight was correlated with ages from 30 years of the most developed and economically social geographic regions of Brazil; however between genders, the correlation was in the opposite direction in the variables income, education, and subjective issues about life conditions related to food and nutrition security.CONCLUSION: By the joint relationship between overweight and selected demographic and socioeconomic indicators, the urgency of the development of strategies and/or preventive public health programs of health problems with overweight in the Brazilian adult population is suggested.

  10. Pharmacogenetics in the Brazilian population

    Directory of Open Access Journals (Sweden)

    Guilherme eSuarez-Kurtz

    2010-10-01

    Full Text Available Brazil is the 5th largest country in the world and its present population, in excess of 190 million, is highly heterogeneous, as a result of centuries of admixture between Amerindians, Europeans and Sub-Saharan Africans. The estimated individual proportions of biogeographical ancestry vary widely and continuously among Brazilians, most individuals - irrespective of self-identification as White, Brown or Black, the major categories of the Brazilian Census race/color system - having significant degrees of European and African ancestry, while a sizeable number display also Amerindian ancestry. These features have important pharmacogenetic (PGx implications: first, extrapolation of PGx data from relatively well-defined ethnic groups is clearly not applicable to the majority of Brazilians; second, the frequency distribution of polymorphisms in pharmacogenes (e.g. CYP3A5, CYP2C9, GSTM1, ABCB1, GSTM3, VKORC, etc varies continuously among Brazilians and is not captured by race/color self-identification; third, the intrinsic heterogeneity of the Brazilian population must be acknowledged in the design and interpretation of PGx studies in order to avoid spurious conclusions based on improper matching of study cohorts. The peculiarities of PGx in Brazilians are illustrated with data for different therapeutic groups, such as anticoagulants, HIV-protease inhibitors and nonsteroidal antinflammatory drugs, and the challenges and advantages created by population admixture for the study and implementation of PGx are discussed. PGx data for Amerindian groups and Brazilian-born, first generation Japanese are presented to illustrate the rich diversity of the Brazilian population. Finally, I introduce the reader to the Brazilian Pharmacogenetic Network or Refargen (www.refargen.org.br, a nationwide consortium of research groups, with the mission to provide leadership in PGx research and education in Brazil, with a population health impact.

  11. Pharmacogenetics in the brazilian population.

    Science.gov (United States)

    Suarez-Kurtz, Guilherme

    2010-01-01

    Brazil is the fifth largest country in the world and its present population, in excess of 190;million, is highly heterogeneous, as a result of centuries of admixture between Amerindians, Europeans, and Sub-Saharan Africans. The estimated individual proportions of biogeographical ancestry vary widely and continuously among Brazilians: most individuals, irrespective of self-identification as White, Brown or Black - the major categories of the Brazilian Census "race/color" system - have significant degrees of European and African ancestry, while a sizeable number display also Amerindian ancestry. These features have important pharmacogenetic (PGx) implications: first, extrapolation of PGx data from relatively well-defined ethnic groups is clearly not applicable to the majority of Brazilians; second, the frequency distribution of polymorphisms in pharmacogenes (e.g., CYP3A5, CYP2C9, GSTM1, ABCB1, GSTM3, VKORC, etc) varies continuously among Brazilians and is not captured by race/color self-identification; third, the intrinsic heterogeneity of the Brazilian population must be acknowledged in the design and interpretation of PGx studies in order to avoid spurious conclusions based on improper matching of study cohorts. The peculiarities of PGx in Brazilians are illustrated with data for different therapeutic groups, such as anticoagulants, HIV protease inhibitors and non-steroidal antinflammatory drugs, and the challenges and advantages created by population admixture for the study and implementation of PGx are discussed. PGx data for Amerindian groups and Brazilian-born, first-generation Japanese are presented to illustrate the rich diversity of the Brazilian population. Finally, I introduce the reader to the Brazilian Pharmacogenetic Network or Refargen, a nation-wide consortium of research groups, with the mission to provide leadership in PGx research and education in Brazil, with a population health impact.

  12. The scientific production of Brazilian neurologists: 1995-2004.

    Science.gov (United States)

    Nitrini, Ricardo

    2006-06-01

    The Brazilian scientific production saw more than a four-fold increase from the 1990s onwards. The aim of this study was to evaluate the evolution of scientific production by Brazilian clinical neuroscientists over the last 10 years. A search in the PubMed identified 295 clinical neuroscientists and their publications. Brazilian production corresponded to 2.37% of the papers published by the 20 indexed periodicals that regularly publish clinical neuroscience research. If only the first and last two years are compared, there was a real growth of 75.1%. More than 40% of the Brazilian papers were published in Arquivos de Neuro-Psiquiatria, the official journal of the Brazilian Academy of Neurology. When only those periodicals with impact factor higher than one are considered, the percentage falls to 0.86% in the whole 10-year period, but attains 1.23% in 2004. Epilepsy and infectious diseases were the sub-areas with the highest scientific production.

  13. The Corporate Governance of Privately Controlled Brazilian Firms

    Directory of Open Access Journals (Sweden)

    Érica C. R. Gorga

    2009-09-01

    Full Text Available We provide an overview of the corporate governance practices of Brazilian public companies, based primarily on an extensive 2005 survey of 116 companies. We focus on the 88 responding Brazilian private firms which are not majority owned by the state or a foreign company. We identify areas where Brazilian corporate governance is relatively strong and weak. Board independence is an area of weakness: The boards of most Brazilian private firms are comprised entirely or almost entirely of insiders or representatives of the controlling family or group. Many firms have zero independent directors. At the same time, minority shareholders have legal rights to representation on the boards of many firms, and this representation is reasonably common. Financial disclosure lags behind world standards. Only a minority of firms provide a statement of cash flows or consolidated financial statements. However, many provide English language financial statements, and an English language version of their website. Audit committees are uncommon, but many Brazilian firms use an alternate approach to ensuring financial statement accuracy – establishing a fiscal board. A minority of firms provide takeout rights to minority shareholders on a sale of control. Controlling shareholders often use shareholders agreements to ensure control.

  14. Brazilian scientific production on herbal medicines used in dentistry

    Directory of Open Access Journals (Sweden)

    R.D. Castro

    2014-09-01

    Full Text Available The objective of this study was to critically analyze the scientific production published in specialized Brazilian journals concerning the use of medicinal plants in dentistry. A literature review was carried out using an indirect documentation technique by means of a bibliographical study. Four examiners performed independent searches in Brazilian journals of medicinal plants indexed in the database SciELO (Brazilian Journal of Pharmacognosy; Brazilian Journal of Medicinal Plants; Brazilian Journal of Pharmaceutical Sciences; and Acta Botanica Brasilica using the descriptors "herbal medicine/phytotherapy" or "medicinal plants" and "dentistry ". The articles published from 2002 to 2012 addressing the use of medicinal plants in dentistry were included and analyzed. The searches based on the descriptors and reading of abstracts, resulted in 155 articles. Of these, 44 were read in full and a total of 16 publications met the eligibility criteria and were selected. Laboratory studies predominated (10 and were limited to the evaluation of antimicrobial properties by means of tests for determining inhibitory, fungicidal and bactericidal concentrations. Three literature reviews and only one clinical trial with no blinding and randomization were found. It is highlighted the need for better methodological designs in the researches and greater production of clinical or in vivo studies.

  15. Health service quality scale: Brazilian Portuguese translation, reliability and validity

    Science.gov (United States)

    2013-01-01

    Background The Health Service Quality Scale is a multidimensional hierarchical scale that is based on interdisciplinary approach. This instrument was specifically created for measuring health service quality based on marketing and health care concepts. The aim of this study was to translate and culturally adapt the Health Service Quality Scale into Brazilian Portuguese and to assess the validity and reliability of the Brazilian Portuguese version of the instrument. Methods We conducted a cross-sectional, observational study, with public health system patients in a Brazilian university hospital. Validity was assessed using Pearson’s correlation coefficient to measure the strength of the association between the Brazilian Portuguese version of the instrument and the SERVQUAL scale. Internal consistency was evaluated using Cronbach’s alpha coefficient; the intraclass (ICC) and Pearson’s correlation coefficients were used for test-retest reliability. Results One hundred and sixteen consecutive postoperative patients completed the questionnaire. Pearson’s correlation coefficient for validity was 0.20. Cronbach's alpha for the first and second administrations of the final version of the instrument were 0.982 and 0.986, respectively. For test-retest reliability, Pearson’s correlation coefficient was 0.89 and ICC was 0.90. Conclusions The culturally adapted, Brazilian Portuguese version of the Health Service Quality Scale is a valid and reliable instrument to measure health service quality. PMID:23327598

  16. The rise of Brazilian agriculture

    DEFF Research Database (Denmark)

    Jensen, Hans Grinsted; Vink, Nick; Sandrey, Ron

    2014-01-01

    The purpose of this article is to explore some of the possible lessons for South African agriculture from the Brazilian experience. To this end, the article discusses the performance of Brazilian agriculture in terms of land and labour use, production, and exports. This is followed by aspects...... of Brazilian agricultural policies, namely farmer support, the research and technology transfer system and land issues. The implications for South African agriculture can be summarized as the recognition that history, geography, the development path and agricultural policies all matter. The article...... then identifies five important lessons for agricultural development in South Africa....

  17. Avaliação das publicações de cirurgiões de coluna brasileiros na última década Contribución científica de cirujanos de columna brasileños entre enero de 2000 y diciembre de 2011 Evaluation of publications by Brazilian spine surgeons in the last decade

    Directory of Open Access Journals (Sweden)

    Asdrubal Falavigna

    2012-12-01

    investigación de las publicaciones de cirujanos de columna brasileños en relación a la columna o médula espinal, utilizando una base de datos online: Pubmed.gov. Las búsquedas se limitaron a artículos publicados entre enero de 2000 y diciembre de 2011. Se encontraron 1.778 artículos en la investigación en el Medline. Luego de criterios de exclusión, se seleccionaron 206. La calidad de los periódicos se midió a través del Factor de Impacto (FI y del Qualis CAPES, y la calidad del artículo, por la clasificación de Oxford. RESULTADOS: Se observó un aumento en el número de publicaciones de cirujanos de columna brasileños, siendo que el 45,1% de las publicaciones se hicieron en los últimos 4 años (2008 - 2011. Estudios clínicos y relatos de caso fueron el tipo de artículos publicados con más frecuencia (37,5% vs 31,1%. Hubo aumento en el número de publicaciones brasileñas en periódicos no brasileños en los últimos años (linear-by-linear association: 5,449, P = 0,020. Arquivos de Neuro-Psiquiatria fue o periódico en que los artículos se publicaron con más frecuencia (n = 67, 32%. El factor de impacto de las publicaciones tuvo una variación de 0,021 a 8,017. El análisis de la calidad de las publicaciones demostró que la mayoría de ellas alcanzó nivel de evidencia 4 (N = 113, 54,9% o 5 (N = 45, 21,8%. CONCLUSIONES: Hubo un aumento en el número y en la calidad de las publicaciones de cirujanos de columna brasileños en los últimos años. Además, el número de publicaciones de brasileños ha aumentado a lo largo de los últimos años.OBJECTIVE: To evaluate the scientific contribution of Brazilian spine surgeons not only in number of publications, but also their quality between January 2000 to December 2011. METHODS: A research of publications by Brazilian spinal surgeons on topics concerning the spine or spinal cord was performed using an online data-base; Pubmed.gov. The results were limited to articles published from January 2000 to December

  18. Brazilian readers and contextual reference Brazilian readers and contextual reference

    Directory of Open Access Journals (Sweden)

    Lilia M. O. Carioni

    2008-04-01

    Full Text Available This article describes an experiment carried out using Brazilian university students at UFSC, the purpose being to check comprehension relationships between two types of contextual reference and two languages, Portuguese and English. A major stimulus for the research was the question: are Brazilian students' difficulties in reading English related more to English language difficulties or to difficulties in processing text in general?

  19. The Brazilian mineral resources

    Science.gov (United States)

    Beurlen, Hartmut; Cassedanne, Jacques Pierre

    1981-04-01

    The activity of the first generation of Brazilian geologists began in the early sixties. Systematic exploration work since then has evidenced some important new mineral reserves in Brazil. The most important examples are the 18 × 10 9 tons of high-grade iron ore (Carajás District), formed by supergene enrichment on iron formations older than 1800 m.y., the 2.5 × 10 9 tons of bauxite and similar reserves of kaolinite as residual enrichment in Cenozoic sediments in the Amazonas Basin (Oriximina, Capim); the potash and magnesium-rich evaporites near Aracajú(Sergipe); the large residual concentrations of phosphate, anatase, pyrochlore and rare earths related to Cretaceous alkaline complexes with carbonatites; and some garnierite and asbestos deposits related to ultramafic rocks in the states of Goiás and Piauí.

  20. Brazilian Eratosthenes Project

    Science.gov (United States)

    Langhi, R.; Vilaça, J.

    2014-10-01

    The objective of Brazilian Eratosthenes Project is the development and application of teaching training actions according the ``docent autonomy" concept to basic Astronomy Education. Argentina coordinates the project in South America, but Brazil works in this project since 2010 with the theme ``Projeto Eratóstenes Brasil" in the homepage: http://sites.google.com/site/projetoerato. Two schools measure a sticks shadow and communicate their results. After, they calculate an average radius of Earth. The stick (gnomon) should stay in vertical position in the leveled ground. Since 2010, the project received hundreds of Brazilian schools with different experiments that were constructed with autonomy, because our site doesn't show some itinerary pre-ready to elaborate the experiments. To collect data for our research, we will use interviews via Skype with the teachers. These data are useful to researches about Science Education area and the Teaching Formation. Teaching professional practice could change and we see modifications in the teachers work, what depends of their realities and context. This project intents to respect the docent autonomy. This autonomy to responsible modifications during continued formation is called ``activist formative model" according Langhi & Nardi (Educação em Astronomia: repensando a formação de professores. São Paulo: Escrituras Editora, 2012). This project discusses about researches in Astronomy Education - still extreme rare in Brazil, when we compare with other areas in Science Education. We believe that actions like this could motivate the students to learn more Astronomy. Furthermore, this national action can be a rich source of data to investigations about teaching formation and scientific divulgation.

  1. Radioguided parathyroidectomy for tertiary hyperparathyroidism.

    Science.gov (United States)

    Somnay, Yash R; Weinlander, Eric; Alfhefdi, Amal; Schneider, David; Sippel, Rebecca S; Chen, Herbert

    2015-05-15

    Tertiary hyperparathyroidism (3HPT) is defined as the persistent hyperproduction of parathyroid hormone and resulting hypercalcemia after renal transplantation. Here, we examine the utility of radioguided parathyroidectomy (RGP) in patients with 3HPT. We reviewed a prospective surgery database containing 80 3HPT patients who underwent RGP from January 2001-July 2014 at our institution. We evaluated patient demographics, operative management, radioguided neoprobe utilization, and operative outcomes. Data are reported as mean ± standard error of the mean. The mean age of the patients was 52 ± 1 y, and 46% were male. A total of 69 patients had hyperplasia and received subtotal parathyroidectomy, whereas 5 patients had double adenomas and 6 patients had single adenomas. The average calcium level among 3HPT patients was 10.8 ± 0.1 mg/dL preoperatively and 8.7 ± 0.1 mg/dL postoperatively. In vivo radioguided counts normalized to background counts averaged 145 ± 4%, whereas ex vivo counts normalized to background counts averaged 69 ± 5%. All but one ex vivo count was >20%. Ectopically located glands were successfully localized in 38 patients using the gamma probe. Ex vivo percentage did not correlate with parathyroid gland weight, preoperative parathyroid hormone, or preoperative calcium. Our radioguided approach achieved normocalcemia in 96% of 3HPT patients undergoing RGP; two patients developed recurrent disease. In this series, all enlarged parathyroid glands were localized and resected using the gamma probe. Thus, RGP reliably localizes adenomatous, hyperplastic, and ectopically located glands in patients with 3HPT, resulting in high cure rate after resection. Copyright © 2015 Elsevier Inc. All rights reserved.

  2. IRIS Toxicological Review of Ethyl Tertiary Butyl Ether (ETBE) (External Review Draft, 2009)

    Science.gov (United States)

    EPA is conducting a peer review and public comment of the scientific basis supporting the human health hazard and dose-response assessment of ethyl tertiary butyl ether (ETBE) that when finalized will appear on the Integrated Risk Information System (IRIS) database.

  3. Accountability and Transparency in the Financial Management of Nigerian Tertiary Educational Institutions: An Overview

    Science.gov (United States)

    Adebisi, Ademola

    2013-01-01

    It is a widely acknowledged fact that public tertiary educational institutions in Nigeria are not adequately funded. This has contributed to the slide in the giving and receiving standards of education in the country. However, as paltry as the financial receipts of the institutions are, it has been argued that, if the funds are transparently…

  4. Incidence of dog bite injuries and clinical rabies in a tertiary health ...

    African Journals Online (AJOL)

    Background: It is widely recognized that rabies is grossly under-reported even though it is a notifiable disease and a lack of accurate figures has rendered rabies a low public health and veterinary priority. This study aimed at determining the incidence of dog bite injuries and clinical rabies in a tertiary health care centre.

  5. Revision of the fossil Echini from the tertiary strata of Java

    NARCIS (Netherlands)

    Martin, K.

    1880-01-01

    In the year 1854 J. A. Herklots published a description of the fossil Echini, which had been found by Junghuhn in the tertiary strata of Java, in the fourth part of a publication, entitled «Fossiles de Java.” I have been occupied in working out the other groups of animals from these deposits, which

  6. Tertiary Logistics in the Focus of All Logistics

    OpenAIRE

    Ratko Zelenika; Mirjana Grèiæ; Helga Pavliæ Skender

    2008-01-01

    Trade logistics, traffic logistics, transport logistics and warehouse logistics are just some of the tertiary logistics which enables production processes of all economic sector products and services. Tertiary logistics representing the tertiary economic sector is the most sofisticated and the most important logistics due to the characteristics of the tertiary sector as a service sector that promotes business conditions in all economic sectors. Accordingly, tertiary logistics has a crucial ro...

  7. Insights from Brazilian medical journals

    OpenAIRE

    Caramelli, Bruno

    2009-01-01

    This brand-new series of articles aims at delivering to national and international readers some of the cutting-edge contributions from the Brazilian medical literature. Recently papers published in the main Brazilian medical journals are carefully selected and analyzed by skilled medical editors. In addition we asked editors to choose keywords to be highlighted in order to claim for reader's attention. Articles are organized by area of interest to facilitate reading. To get the most of the li...

  8. Free software: Some Brazilian translations

    OpenAIRE

    Pinheiro, Alexandre; Cukierman, Henrique

    2004-01-01

    We examine two histories in this paper. First, we briefly look at a North American history, in which we look at the relationship of free software with the founding principles of democracy. Second, we examine recent Brazilian history, especially the most policy decision to adopt free software, affirming technological autonomy. Democratic ideals, defended by the free software movement, are transformed in Brazilian politics, leading both to further free software development and a stronger democr...

  9. Publicações em psicologia do desenvolvimento em dois periódicos nacionais na década de 1990 Publications in developmental psychology in two Brazilian journals in the 1990s

    Directory of Open Access Journals (Sweden)

    Luciana Karine de Souza

    2004-06-01

    Full Text Available No intuito de investigar o crescimento da psicologia do desenvolvimento como campo de pesquisa no Brasil, este estudo examinou 40 artigos da área, publicados em dois periódicos nacionais, entre 1991 e 2000. Os artigos foram analisados quanto a autoria, aspectos metodológicos e uso de referências. Os resultados indicaram a prevalência de artigos empíricos, de estudos com crianças e adolescentes, e do uso de técnicas de análise descritivas. Verificou-se ainda uma concentração da produção no Estado de São Paulo e em universidades públicas. Uma análise comparando as duas metades da década mostrou um aumento significativo na proporção de referências recentes e de referências a artigos e capítulos de livros. Os resultados são discutidos no contexto brasileiro de crescimento da pesquisa em psicologia e da consolidação da área de psicologia do desenvolvimento.The present paper aimed to assess the growth of developmental psychology as a research field in Brazil. Forty papers, published by two leading Brazilian psychology journals between 1991 and 2000, were analyzed. This analysis consisted of an examination of authorship, methodological aspects, and the use of references. The results indicated the prevalence of empirical papers, studies with children and adolescents, and the use of descriptive statistical techniques. Most of the research was conducted in the state of São Paulo and by researchers from federal and state universities. A comparison of the first and second halves of the decade showed a significant increase in the proportion of recent references as well as references to books and chapters. The results are discussed within the Brazilian context of the advances in research in the field of developmental psychology.

  10. Cross-cultural adaptation and validation of the Protective Nursing Advocacy Scale for Brazilian nurses 1

    OpenAIRE

    Tomaschewski-Barlem, Jamila Geri; Lunardi, Val?ria Lerch; Barlem, Edison Luiz Devos; da Silveira, Rosemary Silva; Dalmolin, Graziele de Lima; Ramos, Aline Marcelino

    2015-01-01

    Abstract Objective: to adapt culturally and validate the Protective Nursing Advocacy Scale for Brazilian nurses. Method: methodological study carried out with 153 nurses from two hospitals in the South region of Brazil, one public and the other philanthropic. The cross-cultural adaptation of the Protective Nursing Advocacy Scale was performed according to international standards, and its validation was carried out for use in the Brazilian context, by means of factor analysis and Cronbach's al...

  11. Selection for career course and impact on retention of Brazilian Air Force officers

    OpenAIRE

    De Mello Takahashi, Marcus Vinicius

    2015-01-01

    Approved for public release; distribution is unlimited This research examines the effect of a particular non-monetary incentive on the retention of active duty Brazilian Air Force colonels. The objective is to provide evidence to support the Brazilian Air Force Manpower decision makers in establishing policies regarding the selection of colonels for a career course. The characteristics of the incentives and the links to Expectancy Theory were reviewed to frame the hypotheses. Using two sou...

  12. Instructions to authors of the Brazilian Journal of Family and Community Medicine

    OpenAIRE

    Revista Brasileira de Medicina de Família e Comunidade RBMFC

    2010-01-01

    The Brazilian Journal of Family and Community Medicine (BJFCM) is a three-monthly publication of the Brazilian Society of Family and Community Medicine, aimed at sensitizing professionals and health authorities to this field of interest, stimulating and disseminating Primary Health Care (PHC) issues and investigations, and facilitating interchange between academic institutions, health care services and organized social movements. The periodical also aims to promote an interdisciplina...

  13. Escala para auto-avaliação ao falar em público (SSPS: adaptação transcultural e consistência interna da versão brasileira Self statements during public speaking scale (SSPS: cross-cultural adaptation for Brazilian Portuguese and internal consistency

    Directory of Open Access Journals (Sweden)

    Flávia de Lima Osório

    2008-01-01

    Full Text Available CONTEXTO: O medo de falar em público é um dos medos mais prevalentes na população geral, sendo importante a avaliação dos aspectos cognitivos associados a ele. OBJETIVO: Realizar a adaptação transcultural para o português do Brasil do Self Statements during Public Speaking Scale (SSPS, um instrumento para auto-avaliação ante a situação de falar em público. MÉTODOS: O processo de tradução e adaptação envolveu quatro profissionais bilíngües, apreciação e aprovação da tradução reversa pelos autores da escala original, estudo piloto com 30 universitários brasileiros e apreciação por juízes que atestaram a validade de face da versão para o português, a qual se denominou Escala para Auto-avaliação ao Falar em Público. Como parte do estudo psicométrico da SSPS, realizaram-se a análise dos itens e a avaliação da consistência interna em uma amostra de 2.314 estudantes universitários. RESULTADOS: Evidenciou-se que os itens da subescala de auto-avaliação positiva foram os mais pontuados. A correlação dos itens com o escore total foi bastante adequada, variando entre 0,44 e 0,71, bem como a consistência interna que variou entre 0,78 e 0,90. CONCLUSÕES: A SSPS na versão para o português do Brasil mostrou-se adequada quanto às propriedades psicométricas estudadas. Consideram-se oportunos e necessários estudos que avaliem os demais indicadores de validade e fidedignidade da SSPS, com amostras clínicas e não-clínicas.BACKGROUND: The fear of public speaking is on of the most prevalent fears in the general population, and it is important to assess its underlying cognitive aspects. OBJECTIVE: To perform the cross-cultural adaptation for Brazilian Portuguese of the Self Statements during Public Speaking Scale (SSPS, a self-assessment instrument designed for the public speaking situation. METHODS: The process of translation and adaptation involved four bilingual professionals, the appreciation and approval of

  14. Brazilian multipurpose reactor

    International Nuclear Information System (INIS)

    2014-01-01

    The Brazilian Multipurpose Reactor (RMB) Project is an action of the Federal Government, through the Ministry of Science Technology and Innovation (MCTI) and has its execution under the responsibility of the Brazilian National Nuclear Energy Commission (CNEN). Within the CNEN, the project is coordinated by the Research and Development Directorate (DPD) and developed through research units of this board: Institute of Nuclear Energy Research (IPEN); Nuclear Engineering Institute (IEN); Centre for Development of Nuclear Technology (CDTN); Regional Center of Nuclear Sciences (CRCN-NE); and Institute of Radiation Protection and Dosimetry (IRD). The Navy Technological Center in Sao Paulo (CTMSP) and also the participation of other research centers, universities, laboratories and companies in the nuclear sector are important and strategic partnerships. The conceptual design and the safety analysis of the reactor and main facilities, related to nuclear and environmental licensing, are performed by technicians of the research units of DPD / CNEN. The basic design was contracted to engineering companies as INTERTHECNE from Brazil and INVAP from Argentine. The research units from DPD/CNEN are also responsible for the design verification on all engineering documents developed by the contracted companies. The construction and installation should be performed by specific national companies and international partnerships. The Nuclear Reactor RMB will be a open pool type reactor with maximum power of 30 MW and have the OPAL nuclear reactor of 20 MW, built in Australia and designed by INVAP, as reference. The RMB reactor core will have a 5x5 configuration, consisting of 23 elements fuels (EC) of U 3 Si 2 dispersion-type Al having a density of up to 3.5 gU/cm 3 and enrichment of 19.75% by weight of 23 5 U. Two positions will be available in the core for materials irradiation devices. The main objectives of the RMB Reactor and the other nuclear and radioactive facilities are

  15. Assessing Brazilian educational inequalities

    Directory of Open Access Journals (Sweden)

    Benoit Lorel

    2008-03-01

    Full Text Available This paper provides an evaluation of schooling inequality in Brazil using different indicators such as the Education Gini coefficient, the Education Standard Deviation and the Average number of Years of Schooling. We draw up a statistical description of Brazilian human capital dispersion in time over the last half century, across regions and states. Our analysis suggests several conclusions: 1 Strong reduction of educational inequalities measured by Education Gini index. 2 A three parts picture of Brazil seems to emerge, reflecting initial conditions. 3 High increase of the Average number of Years of Schooling. 4 A significant link between Education Gini and the average education length. 5 Education Standard Deviation leads to inverted results compared to Education Gini. 6 Brazilian data are consistent with an Education Kuznets curve if we consider Education Standard Deviation.Esse trababalho busca avaliar o grau de desigualdade educacional no Brasil baseado-se em diferentes indicatores tais como: o índice de Gini educacional, os anos médios de escolaridade e no desvio padrão educacional. Tenta-se colocar uma descrição estatistica da distribuição do capital humano no Brasil, incluindo as diferenças estaduais e regionais observadas durante a ultima metade do século. As conclusões da nossa análise são as seguintes: 1 Forte reduç ão das desigualdades educativas calculadas com o Gini educacional. 2 Um retrato tripartido do Brasil parece se formar refletindo as condições iniciais. 3 Um forte aumento dos níveis de escolarização. 4 Uma relação significativa entre o Gini educacional e os anos médios de estudos. 5 O desvio padrão educacional leva aos resultados inversos do Gini educacional. 6 Os dados brasileiros admitem uma curva de Kuznets educacional se considerarmos o desvio padrão educacional.

  16. Candidemia epidemiology and susceptibility profile in the largest Brazilian teaching hospital complex

    Directory of Open Access Journals (Sweden)

    Adriana Lopes Motta

    Full Text Available INTRODUCTION: Although the spectrum of fungi causing bloodstream fungal infections continues to expand, Candida spp. remains responsible for the majority of these cases. OBJECTIVE: The purpose of this study was to characterize the candidemia epidemiology, species distribution and antifungal susceptibility patterns at a Brazilian tertiary teaching public hospital with 2,500 beds. METHODS: Records from the microbiology laboratory were used to identify patients with positive blood cultures during 2006. The in vitro activity of amphotericin B, caspofungin, itraconazole, fluconazole, voricanozole, and posaconazole were determined using the Etest method. RESULTS: One hundred and thirty-six cases of candidemia were identified and 100 strains were available for antifungal susceptibility testing. The overall incidence of candidemia was 1.87 cases/1.000 admissions and 0.27 cases/1.000 patient-days. Among the patients, 58.1% were male, and the median age was 40 years old. C. albicans was the most common species (52.2%, followed by C. parapsilosis (22.1%, C. tropicalis (14.8%, and C. glabrata (6.6%. All strains were susceptible to amphotericin B with a MIC90 of 0.5 µg/mL. Overall susceptibility for voriconozole, fluconazole, and caspofungin was > 97% with a MIC90 of 0.064, 4.0 and 1.0 µg/mL, respectively. For itraconazole the susceptibility rate was 81% with a MIC90 of 0.5 µg/mL. Posaconazole also demonstrated good in vitro activity with a MIC90 of 0.25 µg/mL. CONCLUSION: This is the first antifungal susceptibility report in our institution

  17. Demography, vulnerabilities and right to health to Brazilian prison population.

    Science.gov (United States)

    Soares, Marden Marques; Bueno, Paula Michele Martins Gomes

    2016-06-01

    This study investigates the latest research on the profile of the Brazilian prison population, its demography and current laws and regulations. It aims in the direction of ensuring the human right to health. Brazilian prison system is a complex universe in which state and federal criminal contexts keep more than 607,000 people in custody. This population is composed of 75% of young and black people, 67% poorly educated and 41% are pre-trial detainees, living in overcrowded prisons and architecturally vandalized, with population growth of around 575% in 24 years, making this environment a major focus of production of diseases. The prison becomes the object of differentiated intervention by public bodies linked to the executive and the judiciary - it is worth remarking that the data show the high level of inequalities and health vulnerabilities among the prison population, whose needs involve a set of cross-sector of transverse public policies actions towards penal execution.

  18. Brazilian research on cognitive impairment and dementia from 1999 to 2013

    Science.gov (United States)

    de Toledo, André Aguiar Souza Furtado; Nitrini, Ricardo; Bottino, Cássio Machado de Campos; Caramelli, Paulo

    2014-01-01

    The phenomenon of demographic transition in recent decades has increased the number of elderly people in Brazil, promoting an escalation in chronic-degenerative conditions, particularly dementia and cognitive related disorders. Objective The aim of this study was to assess the evolution of the Brazilian scientific publications on dementia and related conditions from 1999 to 2013. Methods Articles published during the analysis period were searched on three electronic databases: Scopus, Medline (via PubMed) and Lilacs (via BVS). The keywords used were Alzheimer's disease, dementia and mild cognitive impairment, with Brazil as the country of affiliation. Results A total of 1,657 articles met the conditions for inclusion in the study. The output of Brazilian researchers in the area of cognitive disorders increased 11.38-fold in the fifteen-year period of analysis and 4.98-fold from 2003 to 2013. More than half of the articles (53%) were published in international journals. The majority of institutions involved in publications were public universities while 19% were collaborative studies involving Brazilian and international institutions. Conclusion Despite marked growth, the number of Brazilian scientific publications in the area of cognitive impairment and dementia is still low. More effort is required to improve the output of Brazilian researchers and institutions. Possible strategies to accomplish this increase could be to encourage residents to participate in publications of scientific papers during their residence program and to increase the collaborations between different institutions within Brazil and with the international scientific community. PMID:29213932

  19. Candidemia in a brazilian tertiary hospital: microbiological and clinical features over a six-year period

    Directory of Open Access Journals (Sweden)

    AL Mondelli

    2012-01-01

    Full Text Available Yeasts are becoming a common cause of nosocomial fungal infections in immunocompromised patients. Such infections often develop into sepsis with high mortality rates. The aim of this study was to evaluate some of the numerous factors associated with the development of candidemia. Medical records were retrospectively analyzed of 98 Candida spp. patients. Results showed that the most prevalent risk factors for developing candidemia were: antibiotics and antifungal agents (93.9% and 79.6%, respectively; the use of central venous catheter (93.9%; mechanical ventilation (73.5%; and parenteral nutrition (60.2%. The main species of Candida found were: C. parapsilosis (37.76%, C. albicans (33.67%; and others (28.57%. C. glabrata showed the highest mortality rate (75%, followed by C. tropicalis (57.1% and C. albicans (54.5%. The elevated mortality rate found in this study indicates that preventive measures against candidemia must be emphasized in hospitals.

  20. Subsidence stress regime and rotation(s) of a tectonically active sedimentary basin within the Western Alps: the Tertiary Piedmont Basin (Alpine domain, Northwest Italy). In: Tracing Tectonic deformation using the Sedimentary Record, Eds. McCann. (Geological Society of London, Special Publication)

    NARCIS (Netherlands)

    Carrapa, B.; Bertotti, G.V.; Krijgsman, W

    2003-01-01

    The Oligocene to Miocene Tertiary Piedmont Basin (TPB) is located in the NW part of Italy at the junction between the Apennine and the Alpine thrust belts. The position of the TPB on top of the Alpine/Apennine Orogen poses fundamental questions as to the tectonics of the basin subsidence. Having

  1. Authors and authorship in brazilian information science journals

    OpenAIRE

    Maria Del Carmen Bohn

    2003-01-01

    This article discusses issues of authorship. It presents the analysis of 86 journal articles with 1528 bibliographical entries. The articles were all published in 2001 in four Brazilian journals of Information Science. Several characteristics of the authors were considered. Among them are the authors’ academic qualification, function and job held; individual and joint authorship, language of publication, papers published by sex and nationality and self-citation. Data show that the most signif...

  2. Brazilian Literature in African Descent Scenarios

    OpenAIRE

    Soares Fonseca, Maria Nazareth

    2016-01-01

    The essay argues about the meanings given to the terms "black literature," African-Brazilian literature", "Afro-descendant literature" and "black-Brazilian literature" present in anthologies of black African-Brazilian poetry in Brazil. It also discusses the ways these directions are presented in the writers' texts published in the anthologies highlighted in this study.

  3. MAPRAD: mapping of radioactivity in Brazilian soils

    International Nuclear Information System (INIS)

    Ribeiro, Fernando C.A.; Signorelli, Carla de A.; Conti, Claudio de C.; Lauria, Dejanira da C.; Ferreira, Ingryd M.; Carvalho, Laercio L. de; Rio, Monica A. Pires do; Trindade Filho, Octavio Luiz; Gonzalez, Sergio de A.; Silva, Tadeu Augusto de A.; Sousa, Wanderson de O.; Cunha, Fernanda G. da

    2011-01-01

    The MAPRAD Project main objective is to increase the knowledge of the distribution of natural radioactivity in soils of Brazilian national territory and to provide (among others) information which are essential for medical geology and environmental radiation safety researches and for decision-making process regarding soil contamination levels. It also aims to make available the generated information for researchers and for public, through an online database. Soil samples are collected by the Geological Survey of Brazil (CPRM) and are sent to the Institute of Radioprotection and Dosimetry (IRD), National Commission of Nuclear Energy (CNEN), where they are processed and analyzed for determination of concentrations of radionuclides by gamma spectrometry. The results are inserted into a database containing the sample information as geographic coordinates of the samples and land use. After the sample analysis, results are made available for the scientific community access on Internet. (author)

  4. Solvent effects on the magnetic shielding of tertiary butyl alcohol

    African Journals Online (AJOL)

    )4 and tetramethyl ammonium cation N(CH3)4(+) have also been presented. KEY WORDS: Solvent effects, Magnetic shielding, Tertiary butyl alcohol, Tertiary butyl amine, Continuum solvation calculations, Chemical shift estimation methods

  5. Sexual promiscuity among female undergraduates in tertiary ...

    African Journals Online (AJOL)

    The study focused on sexual promiscuity among female undergraduates and the attendant health implications. It was carried out in the tertiary institutions in Imo State using 415 final year degree students drawn from four institutions in the State. Three research questions were formulated to guide the study. The design was a ...

  6. Indigenous Students in the Tertiary Education Sector

    Science.gov (United States)

    Bandias, Susan; Fuller, Don; Larkin, Steven

    2014-01-01

    Important recent objectives of indigenous education policy in Australia have been aimed at redressing indigenous economic and social disadvantage through increasing student retention, progression and completion rates in both compulsory and post-compulsory education. The two sectors of the tertiary education system, vocational education and…

  7. American Tertiary mollusks of the genus Clementia

    Science.gov (United States)

    Woodring, W.P.

    1927-01-01

    Aside from its value as an aid in determining the age of Tertiary beds, the chief interest of the genus Clementia lies in the anomalous features of its present and former distribution. An attempt is made in this paper to trace its geologic history, to point out its paleobiologic significance, and to describe all the known American Tertiary species. The fossils from Colombia used in preparing this report were collected during explorations made under the direction of Dr. 0. B. Hopkins, chief geologist of the Imperial Oil Co. (Ltd.), who kindly donated them to the United States National Museum. Dr. T. Wayland Vaughan, of the Scripps Institution of Oceanography, furnished information relating to specimens collected by him in Mexico. Dr. Bruce L. Clark, of the University of California; Dr. G. Dallas Hanna, of the California Academy of Sciences; Dr. H. A. Pilsbry, of the Philadelphia Academy of Natural Sciences; and Dr. W. D. Matthew, of the American Museum of Natural History, generously loaned type specimens and other material. Doctor Clark and Doctor Hanna also gave information concerning the Tertiary species from California. Mr. Ralph B. Stewart, of the University of California, read the manuscript, and I have taken advantage of his suggestions. I am also indebted to Mr. L. R. Cox, of the British Museum, for information relating to the fossil species from Persia, Zanzibar, and Burma, and to Dr. Axel A. Olsson, of the International Petroleum Co., for data concerning undescribed Tertiary species from Peru.

  8. Misconception of emergency contraception among tertiary school ...

    African Journals Online (AJOL)

    Objective: To assess the degree of awareness and use of emergency contraception among tertiary school students in Akwa Ibom State, Nigeria. Design: A self-administered questionnaire survey. Setting: The Akwa Ibom State Polytechnic, Ikot Osurua, located on the outskirts of Ikot Ekpene local government area between ...

  9. Recruitment Of International Students Into Cameroon Tertiary ...

    African Journals Online (AJOL)

    This paper highlights the importance of Cameroon\\'s tertiary institutions\\' cooperation links with other African Universities given the rebirth of Organisation of African Unity as African Union, and the New Partnership for Africa Development (NEPAD). The present system of recruiting international students is haphazardly been ...

  10. Modelling the harmonized tertiary Institutions Salary Structure ...

    African Journals Online (AJOL)

    This paper analyses the Harmonized Tertiary Institution Salary Structure (HATISS IV) used in Nigeria. The irregularities in the structure are highlighted. A model that assumes a polynomial trend for the zero step salary, and exponential trend for the incremental rates, is suggested for the regularization of the structure.

  11. Prevención de la transmisión vertical del VIH-1 en un hospital público de complejidad terciaria de Buenos Aires, Argentina Prevention of vertical HIV-1 transmission in a tertiary care public hospital in Buenos Aires, Argentina

    Directory of Open Access Journals (Sweden)

    Diego Cecchini

    2011-09-01

    Full Text Available OBJETIVO: Describir las características de los binomios madre-hijo, la profilaxis antirretroviral, la evolución temporal de la transmisión vertical del VIH-1 y sus variables asociadas en una población asistida por un hospital público de complejidad terciaria de Argentina. MÉTODOS: Estudio descriptivo prospectivo desarrollado por el Grupo de trabajo en prevención de la Transmisión Vertical del Hospital General de Agudos Dr. Cosme Argerich, Buenos Aires, Argentina, entre 1998 y 2008. Se compararon los períodos 1998-2003 y 2004-2008, y se identificaron las variables asociadas a esta vía de contagio. RESULTADOS: De 357 binomios madre-hijo, 21,0% de las madres presentaron coinfección con el virus de la hepatitis C y 68,0% linfocitos CD4 OBJECTIVE: To describe characteristics of mother-child binomium (MCB, antiretroviral (ARV prophylaxis, time trends, and variables associated with vertical transmission of HIV-1 in a population assisted by a tertiary public hospital in Argentina. METHODS: Prospective descriptive study undertaken by the Hospital Cosme Argerich s Vertical Transmission Working Group, Buenos Aires city, Argentina 1998-2008. Periods 1998-2003 vs. 2004-2008 were compared and variables associated with vertical transmission identified. RESULTS: Of 357 MCB, 21.0% of the mothers had HCV coinfection and 68.0% CD4 < 500/µL. During pregnancy, 75.0% received ARV: zidovudine (17.8%, zidovudinelamivudine (19.8%, zidovudine-lamivudine-nevirapine (41.9%, and zidovudinelamivudine-protease inhibitor (11.4%; 74.0% had viral load (VL peripartum < 1 000 copies/mL. Caesarean delivery: 58.0%. Intrapartum zidovudine: 83.4%; 98.0% of infants received prophylaxis; zidovudine monotherapy was the most frequently used (73.0%. Of neonates, 15.4% had low birthweight and 6.7% were premature. The global vertical transmission was 3.3% (10/302. Comparing both periods, an increase in triple ARV and VL < 1 000 copies/mL in peripartum and a decrease in the

  12. Brazilian Mothers' Socialization Goals: Intracultural Differences in Seven Brazilian Cities

    Science.gov (United States)

    Seidl-de-Moura, Maria Lucia; Lordelo, Eulina; Vieira, Mauro Luis; Piccinini, Cesar Augusto; Siqueira, Jose de Oliveira; Magalhaes, Celina Maria Colino; Pontes, Fernando Augusto Ramos; Salomao, Nadia Maria; Rimoli, Adriana

    2008-01-01

    The present study aimed to investigate Brazilian mothers' socialization goals. The participants in the study were 349 primiparous mothers, whose ages ranged from 17 to 47 years (mean = 26.6 years), who had children aged between 1 and 48 months (mean = 16.4 months). The families were living in seven different cities representing each of the five…

  13. Regional differences in clinical care among patients with type 1 diabetes in Brazil: Brazilian Type 1 Diabetes Study Group.

    Science.gov (United States)

    Gomes, Marília B; Cobas, Roberta A; Matheus, Alessandra S; Tannus, Lucianne R; Negrato, Carlos Antonio; Rodacki, Melanie; Braga, Neuza; Cordeiro, Marilena M; Luescher, Jorge L; Berardo, Renata S; Nery, Marcia; Arruda-Marques, Maria do Carmo A; Calliari, Luiz E; Noronha, Renata M; Manna, Thais D; Zajdenverg, Lenita; Salvodelli, Roberta; Penha, Fernanda G; Foss, Milton C; Foss-Freitas, Maria C; Pires, Antonio C; Robles, Fernando C; Guedes, Mariadefátimas; Dib, Sergio A; Dualib, Patricia; Silva, Saulo C; Sepulvida, Janice; Almeida, Henriqueta G; Sampaio, Emerson; Rea, Rosangela; Faria, Ana Cristina R; Tschiedel, Balduino; Lavigne, Suzana; Cardozo, Gustavo A; Azevedo, Mirela J; Canani, Luis Henrique; Zucatti, Alessandra T; Coral, Marisa Helena C; Pereira, Daniela Aline; Araujo, Luiz Antonio; Tolentino, Monica; Pedrosa, Hermelinda C; Prado, Flaviane A; Rassi, Nelson; Araujo, Leticia B; Fonseca, Reine Marie C; Guedes, Alexis D; Matos, Odelissa S; Faria, Manuel; Azulay, Rossana; Forti, Adriana C; Façanha, Cristina; Montenegro, Ana Paula; Montenegro, Renan; Melo, Naira H; Rezende, Karla F; Ramos, Alberto; Felicio, João Sooares; Santos, Flavia M; Jezini, Deborah L; Cordeiro, Marilena M

    2012-10-29

    To determine the characteristics of clinical care offered to type 1 diabetic patients across the four distinct regions of Brazil, with geographic and contrasting socioeconomic differences. Glycemic control, prevalence of cardiovascular risk factors, screening for chronic complications and the frequency that the recommended treatment goals were met using the American Diabetes Association guidelines were evaluated. This was a cross-sectional, multicenter study conducted from December 2008 to December 2010 in 28 secondary and tertiary care public clinics in 20 Brazilian cities in north/northeast, mid-west, southeast and south regions. The data were obtained from 3,591 patients (56.0% females and 57.1% Caucasians) aged 21.2 ± 11.7 years with a disease duration of 9.6 ± 8.1 years (region. Hypertension was more frequent in the mid-west (32%) and north/northeast (25%) than in the southeast (19%) and south (17%) regions (psoutheast region achieved LDL cholesterol goals and were treated with statins (pregions were screened for retinopathy and nephropathy, compared with patients from the south and southeast. Patients from the south/southeast regions had more intensive insulin regimens than patients from the north/northeast and mid-west regions (pregion (pregion (pregion were younger, non-Caucasian, from lower economic status, used less continuous subcutaneous insulin infusion, performed less SBGM and were less overweight/obese (pregions, did not meet metabolic control goals and were not screened for diabetes-related chronic complications. These results should guide governmental health policy decisions, specific to each geographic region, to improve diabetes care and decrease the negative impact diabetes has on the public health system.

  14. Medical tourism in India: perceptions of physicians in tertiary care hospitals.

    Science.gov (United States)

    Qadeer, Imrana; Reddy, Sunita

    2013-12-17

    Senior physicians of modern medicine in India play a key role in shaping policies and public opinion and institutional management. This paper explores their perceptions of medical tourism (MT) within India which is a complex process involving international demands and policy shifts from service to commercialisation of health care for trade, gross domestic profit, and foreign exchange. Through interviews of 91 physicians in tertiary care hospitals in three cities of India, this paper explores four areas of concern: their understanding of MT, their views of the hospitals they work in, perceptions of the value and place of MT in their hospital and their views on the implications of MT for medical care in the country. An overwhelming majority (90%) of physicians in the private tertiary sector and 74.3 percent in the public tertiary sector see huge scope for MT in the private tertiary sector in India. The private tertiary sector physicians were concerned about their patients alone and felt that health of the poor was the responsibility of the state. The public tertiary sector physicians' however, were sensitive to the problems of the common man and felt responsible. Even though the glamour of hi-tech associated with MT dazzled them, only 35.8 percent wanted MT in their hospitals and a total of 56 percent of them said MT cannot be a public sector priority. 10 percent in the private sector expressed reservations towards MT while the rest demanded state subsidies for MT. The disconnect between their concern for the common man and professionals views on MT was due to the lack of appreciation of the continuum between commercialisation, the denial of resources to public hospitals and shift of subsidies to the private sector. The paper highlights the differences and similarities in the perceptions and context of the two sets of physicians, presents evidence, that questions the support for MT and finally analyzes some key implications of MT on Indian health services, ethical

  15. Medical tourism in india: perceptions of physicians in tertiary care hospitals

    Science.gov (United States)

    2013-01-01

    Senior physicians of modern medicine in India play a key role in shaping policies and public opinion and institutional management. This paper explores their perceptions of medical tourism (MT) within India which is a complex process involving international demands and policy shifts from service to commercialisation of health care for trade, gross domestic profit, and foreign exchange. Through interviews of 91 physicians in tertiary care hospitals in three cities of India, this paper explores four areas of concern: their understanding of MT, their views of the hospitals they work in, perceptions of the value and place of MT in their hospital and their views on the implications of MT for medical care in the country. An overwhelming majority (90%) of physicians in the private tertiary sector and 74.3 percent in the public tertiary sector see huge scope for MT in the private tertiary sector in India. The private tertiary sector physicians were concerned about their patients alone and felt that health of the poor was the responsibility of the state. The public tertiary sector physicians’ however, were sensitive to the problems of the common man and felt responsible. Even though the glamour of hi-tech associated with MT dazzled them, only 35.8 percent wanted MT in their hospitals and a total of 56 percent of them said MT cannot be a public sector priority. 10 percent in the private sector expressed reservations towards MT while the rest demanded state subsidies for MT. The disconnect between their concern for the common man and professionals views on MT was due to the lack of appreciation of the continuum between commercialisation, the denial of resources to public hospitals and shift of subsidies to the private sector. The paper highlights the differences and similarities in the perceptions and context of the two sets of physicians, presents evidence, that questions the support for MT and finally analyzes some key implications of MT on Indian health services, ethical

  16. Brazilian guidelines for endovascular treatment of patients with acute ischemic stroke

    Directory of Open Access Journals (Sweden)

    Octávio Marques Pontes-Neto

    Full Text Available ABSTRACT These guidelines are the result of a joint effort from writing groups of the Brazilian Stroke Society, the Scientific Department of Cerebrovascular Diseases of the Brazilian Academy of Neurology, the Brazilian Stroke Network and the Brazilian Society of Diagnostic and Therapeutic Neuroradiology. Members from these groups participated in web-based discussion forums with predefined themes, followed by videoconference meetings in which controversies and position statements were discussed, leading to a consensus. This guidelines focuses on the implications of the recent clinical trials on endovascular therapy for acute ischemic stroke due to proximal arterial occlusions, and the final text aims to guide health care providers, health care managers and public health authorities in managing patients with this condition in Brazil.

  17. Tertiary Education in the Czech Republic: The Pathway to Change

    Science.gov (United States)

    Pesik, Richard; Gounko, Tatiana

    2011-01-01

    This article analyzes recent policy proposals to reform Czech tertiary education. A brief overview of the evolution of Czech tertiary education presents the background against which emerging policy trends in education are examined. We relate the changes in tertiary education to the policy framework and recommendations of the OECD, underpinned by…

  18. The Brazilian preference: cesarean delivery among immigrants in Portugal.

    Directory of Open Access Journals (Sweden)

    Cristina Teixeira

    Full Text Available OBJECTIVE: To evaluate how the country of origin affects the probability of being delivered by cesarean section when giving birth at public Portuguese hospitals. STUDY DESIGN: Women delivered of a singleton birth (n = 8228, recruited from five public level III maternities (April 2005-August 2006 during the procedure of assembling a birth cohort, were classified according to the country of origin and her migration status as Portuguese (n = 7908, non-Portuguese European (n = 84, African (n = 77 and Brazilian (n = 159. A Poisson model was used to evaluate the association between country of birth and cesarean section that was measured by adjusted prevalence ratio (PR and respective 95% confidence intervals (95%CI. RESULTS: The cesarean section rate varied from 32.1% in non-Portuguese European to 48.4% in Brazilian women (p = 0.008. After adjustment for potential confounders and compared to Portuguese women as a reference, Brazilian women presented significantly higher prevalence of cesarean section (PR = 1.26; 95%CI: 1.08-1.47. The effect was more evident among multiparous women (PR = 1.39; 95%CI: 1.12-1.73 and it was observed when cesarean section was performed either before labor (PR = 1.43; 95%CI: 0.99-2.06 or during labor (PR = 1.30; 95%CI: 1.07-1.58. CONCLUSIONS: The rate of cesarean section was significantly higher among Brazilian women and it was independent of the presence of any known risk factors or usual clinical indications, suggesting that cultural background influences the mode of delivery overcoming the expected standard of care and outcomes in public health services.

  19. Comparison of frailty among Japanese, Brazilian Japanese descendants and Brazilian community-dwelling older women.

    Science.gov (United States)

    Sampaio, Priscila Yukari Sewo; Sampaio, Ricardo Aurélio Carvalho; Yamada, Minoru; Ogita, Mihoko; Arai, Hidenori

    2015-06-01

    To investigate frailty in Japanese, Brazilian Japanese descendants and Brazilian older women. The collected data included sociodemographic and health-related characteristics, and the frailty index Kihon Checklist. We analyzed the differences between the mean scores of Kihon Checklist domains (using ancova) and the percentage of frail women (using χ(2)-test). We carried out a binary logistic regression with Kihon Checklist domains. A total of 211 participants (Japanese n = 84, Brazilian Japanese descendants n = 55, Brazilian n = 72) participated in this research. The Brazilian participants had the highest total Kihon Checklist scores (more frail), whereas the Brazilian Japanese descendants had the lowest scores (P Brazilian group had more participants with oral dysfunction (P Brazilian women were likely to be more frail than the participants in other groups. More than the environment itself, the lifestyle and sociodemographic conditions could affect the frailty of older Brazilian women. © 2014 Japan Geriatrics Society.

  20. Trajetória recente da gestão pública brasileira: um balanço crítico e a renovação da agenda de reformas Recent trajectory of the Brazilian public management: a critical assessment and the renewal of the reform agenda

    Directory of Open Access Journals (Sweden)

    Fernando Luiz Abrucio

    2007-01-01

    Full Text Available Este artigo reconstitui, em linhas gerais, a trajetória da administração pública brasileira nos últimos 20 anos, analisando tanto os principais avanços e novidades, quanto os erros de condução das reformas e os problemas de gestão que ainda persistem. Após fazer um balanço que percorre a Nova República, a era Collor, o projeto Bresser e o governo Lula, o texto apresenta uma proposta de quatro eixos estratégicos para a modernização do Estado diante dos desafios do século XXI.This article retraces, in broad terms, the trajectory of the Brazilian public administration in the last 20 years. It analyzes the main advances and innovations as well as the mistakes made while conducting the reforms and the management issues that still remain. After assessing a period that covers the New Republic, the Collor era, the Bresser project and the Lula government, the article proposes four strategic axis for modernizing the state, facing the challenges of the 21st century.

  1. Aplicação da Teoria do Cuidado Transpessoal de Jean Watson: uma década de produção brasileira Aplicación de la Teoría del Cuidado Transpersonal de Jean Watson: una década de producción brasileña Jean Watson's Theory of Human Caring: a decade of Brazilian publications

    Directory of Open Access Journals (Sweden)

    Luciane Favero

    2009-01-01

    producciones referidas al tema de estudio, que ella puede ser aplicada en los niveles de atención primaria, secundaria y terciaria y que el 64,7% de las producciones utilizan los factores de cuidado propuestos por Jean Watson en 1979. Surge la necesidad de perfeccionamiento de las investigaciones respecto a la transformación ocurrida en la Teoría del Cuidado Transpersonal, con abordaje del Proceso Clinical Caritas, no obstante como son escasos los estudios referentes a esta temática, dificultan su utilización práctica.This systematic review aimed to describe and analyze the use of Jean Watson's Theory of Human Caring in Brazilian studies in the last ten years. A literature search using MEDLINE (MEDLARS - Medical Literature Analysis and Retrieval System, LILACS (Latin American and Caribbean Health Science Literature BDENF (Nursing Database, and SciELO (Scientific Electronic Library Online databases was conducted. A sample of 34 publications met the systematic review inclusion criteria. The results showed that 61.8% of the studies were conducted in the south of Brazil, and these studies suggested that the Theory of Human Caring could be used in the three levels of care: primary, secondary, and tertiary. The majority of publications (64.7% used the carative factors proposed by Jean Watson in 1979. There is a need for research approaches in respect to changes occurred in the Theory of Human Caring that evolved into the clinical caritas processes. Few studies have tested these new processes. This fact makes difficulty to use them in clinical practice.

  2. BRAZILIAN EXPORTS OF MANUFACTURED WOOD

    Directory of Open Access Journals (Sweden)

    Rafael de Azevedo Calderon

    2010-08-01

    Full Text Available The present work deals with the Brazilian exports of sawnwood of non-coniferous, veneer sheets and plywood, from 1961 to 2002. The data regarding the three studied products, sawnwood of non-coniferous, veneer sheets and plywood, were joined through the method of Fisher so that an econometric evaluation of the market of the three products could be carried out. Supply and demand models of the Brazilian exports were specified. The results were satisfactory and they match with the literature. The supply of exports presented a positive answer in relation to the exporter's remuneration, to the production, to the use of the installed capacity (cycles of domestic economical activity and to the tendency, and negative in relation to the internal demand. The demand for the Brazilian exports was influenced positively by the world income, participation index and tendency, and negatively for the relative price. The low elasticity-price of the found demand can have implications in the conservation of the Brazilian forest resources because the exporters can increase the prices, reduce the amounts and still increase the incomes.

  3. Trace elements in brazilian soils

    International Nuclear Information System (INIS)

    Rocha, Geraldo Cesar

    1995-01-01

    A literature revision on trace elements (Zn, B, Mn, Mo, Cu, Fe, and Cl) in Brazilian soils was prepared, with special attention to the chemical form and range in the soil, extraction methods and correlation of the amount in soils with soil properties

  4. Jorge de Lima: Brazilian Poet

    Science.gov (United States)

    Kennedy, James H.

    1973-01-01

    Discusses Jorge de Lima--born in Uniao dos Palmares, Brazil on April 23, 1893, died in Rio de Janeiro on November 15, 1953--who during the Twenties became an important member of the literary movement known as Modernism and wrote both religious and regional poetry constituting the beginnings of a Afro-Brazilian poetry. (Author/JM)

  5. Sustainability in Brazilian Federal Universities

    Science.gov (United States)

    Palma, Lisiane Celia; de Oliveira, Lessandra M.; Viacava, Keitiline R.

    2011-01-01

    Purpose: The purpose of this paper is to identify the number of courses related to sustainability offered in bachelor degree programs of business administration in Brazilian federal universities. Design/methodology/approach: An exploratory research was carried out based on a descriptive scope. The process of mapping federal universities in Brazil…

  6. Deforestation in the Brazilian Amazon

    NARCIS (Netherlands)

    Boekhout van Solinge, T.

    2015-01-01

    This essay takes a (green) criminological and multidisciplinary perspective on deforestation in the Brazilian Amazon, by focusing on the crimes and damages that are associated with Amazonian deforestation. The analysis and results are partly based on longer ethnographic stays in North Brazil (Amazon

  7. Can mothers rely on the Brazilian health system for their deliveries? An assessment of use of the public system and out-of-pocket expenditure in the 2004 Pelotas Birth Cohort Study, Brazil

    Directory of Open Access Journals (Sweden)

    Bertoldi Andréa D

    2008-03-01

    Full Text Available Abstract Background In a country where comprehensive free health care is provided via a public health system (SUS, an unexpected high frequency of catastrophic out-of-pocket expenditure has been described. We studied how deliveries were financed among mothers of a birth cohort and whether they were an important source of household out-of-pocket expenditure. Methods All deliveries occurring in the city of Pelotas, Brazil, during 2004, were recruited for a birth cohort study. All mothers were interviewed just after birth and three months later. Comprehensive data on the pregnancy, delivery, birth conditions and newborn health were collected, along with detailed information on expenses related to the delivery. Results The majority of the deliveries (81% were financed by the public health system, a proportion that increased to more than 95% among the 40% poorest mothers. Less than 1% of these mothers reported some out-of-pocket expenditure. Even among those mothers covered by a private health plan, nearly 50% of births were financed by the SUS. Among the 20% richest, a third of the deliveries were paid by the SUS, 50% by private health plans and 17% by direct payment. Conclusion The public health system offered services in quantity and quality enough to attract even beneficiaries of private health plans and spared mothers from the poorest strata of the population of practically any expense.

  8. Treatment of drug dependence with Brazilian herbal medicines

    Directory of Open Access Journals (Sweden)

    Elisaldo A. Carlini

    Full Text Available The topic "Herbal Medicines in the Treatment of Addictions" in a country must be preceded by answers to four questions: 1. Does the country in question possess a biodiversity rich enough to allow the discovery of useful medicines? 2. Do local people have tradition and culture to look for and use resources from Nature to alleviate and cure diseases, including drug dependence? 3. Is drug dependence (or addiction present in the country in question? 4. Do people of that country recognize and diagnose such problem as a serious one? Alcohol is, by far, the most serious health problem when drug abuse is considered, reaching all of Brazilian society, including the Indians. On the contrary, other drugs may be considered as minor problems and they are not the main focus of this manuscript. The people living in Brazilian hinterland don’t have access to public health systems. Consequently, these people seek assistance from "curandeiros" and "raizeiros"; the Indians are assisted by the shaman. These "folk doctors" do not know the academic medicine and therapeutics, and resort to the local plants to treat different ailments of their patients. Furthermore, alcohol abuse and dependence are not recognized by them, according to the rules and criteria of academic medicine. We have conducted a survey in many Brazilian books, Thesis concerning phytotherapy, and several databank. The results of such searches were very disappointing. No published papers from Brazilian authors concerning the use of plants for the treatment of addictions were found in the databases and there were only three very short notes in the masterly book written by Shultes and Raffauf (1990. From the Brazilian books on folk medicine employing medicinal plants, ten mentions were disclosed: most of them dealing with treatment of alcohol problems and two to counteract "Ayahuasca" dependence.

  9. Scales of political action and social movements in education: the case of the Brazilian Black Movement and Law 10.639

    NARCIS (Netherlands)

    Nascimento dos Santos, R.E.; Soeterik, I.M.

    2016-01-01

    This paper examines social coordination by the Brazilian Black Movement in the area of Brazilian education. It explains how these developments relate to the construction of race-based public education policies in the country. Focus goes to the process of creation and implementation of law 10.639 in

  10. Supply Chain Management in The Brazilian Automobile Industry: Bottlenecks for Steadier Growth

    Directory of Open Access Journals (Sweden)

    W. F. Sorte Junior

    2011-06-01

    Full Text Available Taking the Lean Production System as the reference model, this paper analyses the supply chain management approach and the relationship between private and public sectors in the Brazilian automobile industry. Through a case study conducted from October 2006 to October 2008 in a private owned automaker, two bottlenecks in this Brazilian industrial sector are identified: (1 Emphasis on coordination rather than integration in supply chain management; and (2 Insufficient channels of communication between private and public sectors, resulting in inefficient policies to nurture automakers with low production volume.

  11. Determinants of perceived value and repurchase intentions in brazilian inbound tourism

    Directory of Open Access Journals (Sweden)

    Glauber Eduardo de Oliveira Santos

    2009-12-01

    Full Text Available This study aims to measure the influence of Brazilian tourism product’s characteristics on the inbound tourist’s perceived value and the intention to return. An empirical study was carried out using a large database contents on international tourism behavior. The logit binomial model was used for estimation. As a result it was found that some of the most relevant characteristics of Brazilian tourism product are hospitality, accommodation, nightlife, public safety and tour guides. Among the least significant aspects are public transport, highways, communication system and tourist signage.

  12. Financial distress in Brazilian banks: an early warning model,

    Directory of Open Access Journals (Sweden)

    Paulo Sérgio Rosa

    2017-12-01

    Full Text Available ABSTRACT This study aims to propose an early warning model for predicting financial distress events in Brazilian banking institutions. Initially, a set of economic-financial indicators is evaluated, suggested by the risk management literature for identifying situations of bank insolvency and exclusively taking public information into account. For this, multivariate logistic regressions are performed, using as independent variables financial indicators involving capital adequacy, asset quality, management quality, earnings, and liquidity. The empirical analysis was based on a sample of 142 financial institutions, including privately and publicly held and state-owned companies, using monthly data from 2006 to 2014, which resulted in panel data with 12,136 observations. In the sample window there were nine cases of Brazilian Central Bank intervention or mergers and acquisitions motivated by financial distress. The results were evaluated based on the estimation of the in-sample parameters, out-of-sample tests, and the early warning model signs for a 12-month forecast horizon. These obtained true positive rates of 81%, 94%, and 89%, respectively. We conclude that typical balance-sheet indicators are relevant for the early warning signs of financial distress in Brazilian banks, which contributes to the literature on financial intermediary credit risk, especially from the perspective of bank supervisory agencies acting towards financial stability.

  13. Mental health consumers' with medical co-morbidity experience of the transition through tertiary medical services to primary care.

    Science.gov (United States)

    Cranwell, Kate; Polacsek, Meg; McCann, Terence V

    2016-04-01

    Medical comorbidity in people with long-term mental illness is common and often undetected; however, these consumers frequently experience problems accessing and receiving appropriate treatment in public health-care services. The aim of the present study was to understand the lived experience of mental health consumers with medical comorbidity and their carers transitioning through tertiary medical to primary care services. An interpretative, phenomenological analysis approach was used, and semistructured, video-recorded, qualitative interviews were used with 12 consumers and four primary caregivers. Four main themes and related subthemes were abstracted from the data, highlighting consumer's and carers' experience of transition through tertiary medical to primary care services: (i) accessing tertiary services is difficult and time consuming; (ii) contrasting experiences of clinician engagement and support; (iii) lack of continuity between tertiary medical and primary care services; and (iv) Mental Health Hospital Admission Reduction Programme (MH HARP) clinicians facilitating transition. Our findings have implications for organisational change, expanding the role of MH HARP clinicians (whose primary role is to provide consumers with intensive support and care coordination to prevent avoidable tertiary medical hospital use), and the employment of consumer and carer consultants in tertiary medical settings, especially emergency departments. © 2016 The Authors International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd. on behalf of Australian College of Mental Health Nurses Inc.

  14. Brazilian Soil Science Society: brief history, achievements and challenges for the near future

    Science.gov (United States)

    Muggler, Cristine Carole; Oliveira Camargo, Flávio A.; Bezerra de Oliveira, Luiz; Signorelli de Farias, Gonçalo

    2013-04-01

    The Brazilian Soil Science Society (SBCS) is one of the oldest scientific societies in Brazil. It was created in October 1947 during the 1st Brazilian Meeting of Soil Science held at the headquarters of the Agricultural Chemistry Institute of Rio de Janeiro, at present the Soils Institute of the Brazilian Agricultural Research Centre. Its origin lies within the Interamerican Conference of Agriculture, Caracas, 1945, the 2nd Pan American Congress of Mining and Geology, Petropolis, Rio de Janeiro, 1946 and the 5th Brazilian Congress of Chemistry, Porto Alegre, 1947. Its first president was Álvaro Barcelos Fagundes, who was the only Brazilian participant at the 1st International Congress of Soil Science and Transcontinental Excursion held in United States of America, in 1927. At that time he was engaged in research work at the New Jersey Agricultural Experiment Station, at the Rutgers University where he did a doctorate under the guidance of Professor Selman Waksman. The society started with 47 members and presently has nearly 900 members. In its first phase the Brazilian Soil Science Society was housed at the Agricultural Chemistry Institute in Rio de Janeiro and its main activity was the biannual Brazilian Congress of Soil Science. In 1975 its headquarters moved to the Agronomic Institute of Campinas with the creation of its executive board and the start of publication of the Brazilian Journal of Soil Science (1977) as well as the society bulletin (1976). In 1997 its executive office moved to the Soils Department at the Federal University of Viçosa. Nowadays it has a structure similar to the one from the IUSS: the society is organized in four divisions (Soil in space and time, Soils properties and processes, Soil use and management and Soil, environment and society) which encompass 14 technical commissions and eight State or Regional nuclei. The Brazilian Congresses of Soil Science happen without interruption since 1947. The first one had had 72 participants that

  15. An assessment on the trustworthiness of engineers in higher tertiary institutions

    Science.gov (United States)

    Ooi Kuan, Tan; Lloyd, Ling; Mou Chuan, Cheng

    2017-10-01

    In Malaysian higher education history, the evolution from public funded to private funded and now to private non profit oriented model has been taking place since 80s. The evolution also demarcated higher learning institution into academic or research based university. As such, postgraduate studies became increasingly competitive in students intake. The evolution also created doubt to the public in term of the quality of postgraduate education offered by different classifications. This study investigates the gender specific perception and trustworthiness of engineering postgraduate students in private non profit oriented higher tertiary institution. An equally divided gender groups of 118 respondents were chosen for the study. Non-parametric statistics were used and the result showed that there was no difference and no correlation of genders in perception on teaching role and trustworthiness among the future engineers in private non profit oriented higher tertiary institution.

  16. Missed injury and the tertiary trauma survey.

    Science.gov (United States)

    Thomson, Charles B; Greaves, Ian

    2008-01-01

    Missed injury in the context of major trauma remains a persistent problem, both from a clinical and medico-legal point-of-view. Estimates of the incidence vary widely, dependent on the precise parameters of the studied population, the definition of missed injury and the extent of follow-up, but may be as high as 38%. The tertiary survey, in which formal repeated examination of the patient is undertaken after initial resuscitation and treatment have taken place, has been suggested as a way of identifying injuries not found at presentation. This paper appraises the concept of the tertiary survey, and also reviews the literature on missed injury in order to identify the risk factors, the types of injury and the reasons for error.

  17. Projeto político e sistematização do ensino público brasileiro no século XIX Political project and systematization of Brazilian public-school education in the 19th century

    Directory of Open Access Journals (Sweden)

    André Luiz Paulilo

    2004-08-01

    Full Text Available Este artigo situa a concepção de sistema público de ensino no quadro do pensamento político de Rui Barbosa e do liberalismo republicano de João Köpke. Depois de apresentar as posições com que consideram a questão, o texto investiga os argumentos desenvolvidos na prática parlamentar de Rui Barbosa e na carreira profissional de João Köpke, para compreender as relações que os dois autores mantiveram com os critérios de reforma da instrução pública no século XIX.This article situates the concept of public-school education system within the framework of Rui Barbosa's political thought and João Köpke's republican liberalism. After presenting their views on this issue, the text explores the arguments developed during Rui Barbosa's parliamentary practice and João Köpke's professional carrier to try to understand the relationship both authors kept with public education reform criteria in the 19th century.

  18. Corporate governance and compensation of chief executive officer Brazilian

    Directory of Open Access Journals (Sweden)

    Paulo Roberto da Cunha

    2016-08-01

    Full Text Available This study aimed to analyze the corporate governance attributes that affect the compensation of executive directors of Brazilian public companies. We conducted a descriptive, documentary and quantitative research. The study sample comprised the 100 Brazilian companies listed on the BM&FBovespa, belonging to the Novo Mercado. From the study results it was found that the variable size of the company showed a significant relation to the fixed remuneration. The shareholding of directors, board size and ROA were significant to the variable remuneration, however, the stake and the size of negatively board of directors. The size of the board, the ROA and firm size were related significantly to the total remuneration. We conclude that the corporate governance attributes that affect the compensation of executive officers of the companies analyzed were the shareholdings of directors, size of the board, ROA and firm size.

  19. Beyond Brazilian Coalition Presidentialism: the Appropriation of the Legislative Agenda

    Directory of Open Access Journals (Sweden)

    Rafael Silveira e Silva

    2014-12-01

    Full Text Available Even though they possess several power resources, Brazilian Presidents also elaborate their legislative proposals based upon bills already being processed in Congress through a phenomenon called Appropriation of the legislative agenda. In this paper I examine the conditions under which this phenomenon occurs by means of a typology and a qualitative comparative analysis (QCA. I conclude that Appropriation provides the President with the expansion of the formal support base by controlling the agenda of allied and opposition parties as well as obtaining the "paternity" of several policies already in motion in Congress, thus enabling a public association of the President's actions and his or her party with the possibility of social benefits. Be it in the pursuit of promising agendas or for the maintenance of their own dominance, Appropriation shows that Brazilian Presidents must go beyond coalition presidentialism.

  20. Citizenship in the Brazilian Context theoretically, practically and theologically

    Directory of Open Access Journals (Sweden)

    von Sinner, Rudolf

    2015-12-01

    Full Text Available Citizenship has become the key concept for democracy in Brazil after transition. Often referred to, it denotes rather a conceptual field than a clear-cut definition. Following the central insights of Liberation Theology, seeking to adapt to the current democratic situation and the need for a focus on citizenship, this article argues for such focus within the framework of a public theology. First, it offers a theoretical, conceptual reflection, followed by a presentation of the contributions to citizenship by three major and representative Brazilian churches, the Roman Catholic Church, the Evangelical Church of the Lutheran Confession in Brazil and the Assemblies of God. Finally, it presents, briefly, five elements of a theology of citizenship based on central assets of Lutheran theology that are able to respond to current challenges of Brazilian democracy and society.

  1. [Adolescence and mental health: a review of the Brazilian literature].

    Science.gov (United States)

    Benetti, Sílvia Pereira da Cruz; Ramires, Vera Regina Röhnelt; Schneider, Ana Cláudia; Rodrigues, Ana Paula Guzinski; Tremarin, Daniela

    2007-06-01

    The objective of this work was to review the Brazilian scientific literature from 1995 to 2005 on mental health in adolescence, considering the priorities identified by the World Health Organization (depression, anxiety, substance abuse, behavioral disorders, eating disorders, psychosis, child abuse, and violence). 971 abstracts were identified in the LILACS, MEDLINE, INDEXPsi, and SciELO databases, using descriptors associated with the themes. After selection according to specified criteria, 267 abstracts were analyzed by year, focus, methodological design, and principal conclusions. A qualitative analysis was performed on the main findings. Brazilian publications in this area have increased in the last five years. The majority of the articles aimed to identify the problem, while a smaller proportion dealt with the development of intervention and prevention strategies.

  2. Tertiary lymphoid organs in Takayasu Arteritis

    OpenAIRE

    Marc eClement; Marc eClement; Adrien eGaly; Patrick eBruneval; Marion eMorvan; Fabien eHyafil; Fabien eHyafil; Khadija eBenali; Nicoletta ePasi; Lydia eDeschamps; Quentin ePellenc; Quentin ePellenc; Thomas ePapo; Antonino eNicoletti; Antonino eNicoletti

    2016-01-01

    Objective: The role of B cells in the pathogenesis of Takayasu arteritis (TA) is controversial. We aimed to study the presence of tertiary lymphoid organs (TLOs) in the aortic wall of TA patients.Methods: Hematoxylin and eosin–stained sections from aorta specimens from patients with TA were screened for TLOs. The presence of B cell aggregates (CD20), follicular dendritic cells (FDCs, CD21), and high endothelial venules (HEVs, PNAd) was investigated by immunohistochemistry. Immune cells from t...

  3. Tertiary Lymphoid Organs in Takayasu Arteritis

    OpenAIRE

    Clement, Marc; Galy, Adrien; Bruneval, Patrick; Morvan, Marion; Hyafil, Fabien; Benali, Khadija; Pasi, Nicoletta; Deschamps, Lydia; Pellenc, Quentin; Papo, Thomas; Nicoletti, Antonino; Sacre, Karim

    2016-01-01

    Objective The role of B cells in the pathogenesis of Takayasu arteritis (TA) is controversial. We aimed to study the presence of tertiary lymphoid organs (TLOs) in the aortic wall of TA patients. Methods Hematoxylin and eosin-stained sections from aorta specimens from patients with TA were screened for TLOs. The presence of B cell aggregates (CD20), follicular dendritic cells (FDCs, CD21), and high endothelial venules (HEVs, PNAd) was investigated by immunohistochemistry. Immune ce...

  4. Optimising Tertiary Student Accommodation within University Neighbourhoods

    OpenAIRE

    Ike, Nnenna; Baldwin, Claudia; Lathouras, Athena

    2017-01-01

    Tertiary students’ activities within neighbourhoods adjacent to universities engender positive and negative impacts that have consequences for neighbourhood sustainability. This might lead to studentification, a process that triggers physical, economic and socio-cultural transformation of university towns. Where non-student residents perceive negative impacts, it can lead to conflict and resentment towards the student population, mistrust between student and local resident groups and a decrea...

  5. A Study of Anemia in Hospitalised Infants at a Tertiary care Hospital

    OpenAIRE

    K.S. Sahana, Kutty Ghaliyah, Prabhu Anitha, Saldanha Prakash

    2015-01-01

    "Background: Anemia is a significant public health problem that occurs worldwide with higher prevalence noted in children less than 3 years. Objective of the study was to determine the occurrence, pattern and severity of anemia among hospitalized infants and the risk factors for development of anemia. Methods: This is a prospective study of hospitalized infants between 6-12 months of age admitted at a tertiary care teaching hospital, Mangalore, Karnataka. between December 2013 to Nove...

  6. Microbial Carriage of Cockroaches at a Tertiary Care Hospital in Ghana

    OpenAIRE

    Eric S. Donkor; Patience B. Tetteh-Quarcoo; Patrick F. Ayeh-Kumi; Simon K. Attah; Kwabena O. Duedu; Emmanuel Afutu; Isaac Boamah; Michael Olu-Taiwo; Isaac Anim-Baidoo

    2013-01-01

    Cockroaches are common in the environment of many hospitals in Ghana; however, little is known about their public health risks. To evaluate potential risks, we investigated the external and internal microbial flora of 61 cockroaches from a tertiary hospital in Ghana and evaluated the antibiotic resistance profiles of the common bacterial species. Standard methods were used in all the microbiological investigations and antibiotic susceptibility testing. A rotavirus carriage rate of 19.7% was o...

  7. Bahrain’s tertiary education reform : a step towards sustainable economic development

    OpenAIRE

    Karolak, Magdalena

    2012-01-01

    Bahrain has been experiencing along with other Gulf Council Cooperation countries a rapid development of its tertiary sector of education. The 2000's were marked by a boom in education with the opening of twelve private universities in this country of roughly 1 million inhabitants. Some institutions were locally based, while others worked in affiliation with foreign based universities. It is in sharp contrast with the 1990's, when only three public universities served as centers of higher edu...

  8. Systematic review on obesity in Brazilian adolescents

    Directory of Open Access Journals (Sweden)

    Rafael Miranda Tassitano

    2009-09-01

    Full Text Available The purpose of this study was to systematically review the Brazilian literature on the prevalence of obesity and associated factors in adolescents. The literature search was carried out in the electronic databases Pubmed and Bireme, using the keywords: obesity, overweight, BMI, adolescents and Brazil. The following inclusion criteria were considered: Brazilian adolescents, BMI-based obesity estimates, publication until 2007, and adequate methodology. After the examination of titles, abstracts and full texts, 27 papers fulfilled our inclusion criteria. For describing the studies, the following variables were used: type of survey, design, age range, sample size, place of data collection. For evaluating the evidence, the following indicators were used: methods used, independent variables studied, statistical analyses employed, and cut-off used for defining obesity. Most studies used cross-sectional designs (77.7% and were carried out through home interviews (51.7%. Only one study used a nationally-based sample and three used regional-based samples (Northeast and Southeast. Regardless the design, place, type of survey, age range and cut-off used, the prevalence of obesity tended to be higher in the following groups: adolescents living in the Southeast region, living in urban areas, from high socioeconomic level and from private schools. In terms of behavioral determinants of obesity, the paucity of prospective studies and the difficulties of adequately measuring physical activity and food consumption, make the results less clear. Although the number of studies has increased, it is still necessary to stimulate surveys in the North, Southeast and Mideast regions. Prospective studies are also necessary, in order to evaluate the association between obesity and behavioral exposures.

  9. Systematic review on obesity in Brazilian adolescents

    Directory of Open Access Journals (Sweden)

    Rafael Miranda Tassitano

    2009-01-01

    Full Text Available http://dx.doi.org/10.5007/1980-0037.2009v11n4p449 The purpose of this study was to systematically review the Brazilian literature on the prevalence of obesity and associated factors in adolescents. The literature search was carried out in the electronic databases Pubmed and Bireme, using the keywords: obesity, overweight, BMI, adolescents and Brazil. The following inclusion criteria were considered: Brazilian adolescents, BMI-based obesity estimates, publication until 2007, and adequate methodology. After the examination of titles, abstracts and full texts, 27 papers fulfilled our inclusion criteria. For describing the studies, the following variables were used: type of survey, design, age range, sample size, place of data collection. For evaluating the evidence, the following indicators were used: methods used, independent variables studied, statistical analyses employed, and cut-off used for defining obesity. Most studies used cross-sectional designs (77.7% and were carried out through home interviews (51.7%. Only one study used a nationally-based sample and three used regional-based samples (Northeast and Southeast. Regardless the design, place, type of survey, age range and cut-off used, the prevalence of obesity tended to be higher in the following groups: adolescents living in the Southeast region, living in urban areas, from high socioeconomic level and from private schools. In terms of behavioral determinants of obesity, the paucity of prospective studies and the difficulties of adequately measuring physical activity and food consumption, make the results less clear. Although the number of studies has increased, it is still necessary to stimulate surveys in the North, Southeast and Mideast regions. Prospective studies are also necessary, in order to evaluate the association between obesity and behavioral exposures.

  10. Padrões e mudanças no financiamento e regulação do Sistema de Saúde Brasileiro: impactos sobre as relações entre o público e privado Patterns and changes in the financing and regulation of Brazilian Health System: impacts on public and private relationships

    Directory of Open Access Journals (Sweden)

    Ligia Bahia

    2005-08-01

    Full Text Available O trabalho sistematiza as matrizes interpretativas envolvidas no debate sobre o sistema de saúde brasileiro e avança hipóteses sobre as extensas e dinâmicas fronteiras de interseção público-privadas que o caracterizam. Considerando que o hiato entre as concepções sobre o sistema de saúde baseadas em modelos puros e a realidade brasileira, na qual predominam as formas híbridas de prestação e organização de redes de serviços, constitui, per se, um foco permanente de tensões, o estudo destaca e dimensiona: a utilização de fontes públicas de financiamento à demanda e a oferta dos planos de saúde; o afluxo de clientes de planos a uma capacidade instalada de recursos físicos e humanos constituída e reproduzida com recursos públicos; a inserção público-privada de profissionais de saúde e as franquias para dirigentes de empresas privadas assumirem cargos públicos e vice-versa. Os reflexos da estrutura e formas de articulação entre o público e o privado nas agendas dos mais importantes fóruns de debate e formulação de diretrizes para o sistema de saúde, as Conferências de Saúde (previstas pela Lei 8142-90 como instâncias de avaliação e elaboração de diretrizes para a saúde nas três esferas de governo, e das instituições governamentais relacionadas diretamente com o SUS são analisados. Conclui-se que as tensões, conflitos e proposições, sobre o considerado componente público do sistema de saúde, estão direcionadas a arenas específicas de debate. Paralelamente renovaram-se e constituíram-se outros fóruns de negociação sobre o componente privado. Portanto, a segmentação das demandas reflete-se, de maneira quase automática, no âmbito setorial, na definição de "pautas especializadas" - ou no público ou no privado.This article systematizes the interpretative matrixes used in the debate about the Brazilian Unified Health System and formulates hypothesis about the extensive and dynamic frontiers

  11. WIDENING ACCESS TO TERTIARY EDUCATION FOR WOMEN IN GHANA THROUGH DISTANCE EDUCATION

    Directory of Open Access Journals (Sweden)

    Olivia Adwoa Tiwaah Frimpong KWAPONG

    2004-10-01

    Full Text Available Distance education (DE is seen as a tool for widening access to education at all levels. It is an educational tool that breaks most of the divides in education – age, gender, race, income, space, time etc. For the past decades, irrespective of the extensive expansion of tertiary institutions in the country, provision of tertiary education in Ghana has not been adequate enough to absorb all qualified applicants. This situation has peculiar effect on women who for socio-cultural factors drop out of formal education as they climb the ladder. The limited access to tertiary education has been the concern of various governments in the country. Various educational reforms have been made to this effect. In view of the exclusive potential of DE in widening access to education in a unique way, it has been recommended in the most recent educational reform that DE be promoted by establishing an open university and open colleges in addition to encouraging dual mode of delivery in the existing public universities. By its peculiar nature of being flexible and bridging space and time, studies have confirmed that DE has been an educational format that suits women’s study plans and learning styles. This paper explores the unique nature of DE for widening access to tertiary education most especially for women in Ghana and the issues to consider in the process.

  12. [Oral health of Brazilian elderly: a systematic review of epidemiologic status and dental care access].

    Science.gov (United States)

    Moreira, Rafael da Silveira; Nico, Lucélia Silva; Tomita, Nilce Emy; Ruiz, Tânia

    2005-01-01

    Population aging and declining birth rate have significantly altered the Brazilian age structure pyramid. In parallel with demographic transition, epidemiological transition is altering morbidity-mortality profiles, without adequate health support for the elderly population group. By searching databases, the objective of this study was a systemic literature review from 1986 to 2004 concerning the most prevalent oral problems experienced by elderly Brazilians, aimed at revealing the main obstacles for accessing health services. Mean DMFT index values in this study ranged from 25 to 31. Most articles reported a high percentage of edentulism. The main barriers for access to dental services were poor education, low income, and scarcity of public oral health services. Brazilian elderly oral health is thus precarious, with high edentulism rates, periodontal problems, decayed teeth, and great need for prostheses, reflecting the historical inefficacy of public dental services, limited to serial extractions and emergency services, based on the curative model.

  13. Radon in Brazilian underground mines.

    Science.gov (United States)

    Ayres da Silva, Anna Luiza Marques; Eston, Sérgio Médici; Iramina, Wilson Siguemasa; Francisca, Diego Diegues

    2018-02-14

    Radon is a chemically inert noble radioactive gas found in several radioactive decay chains. In underground mines, especially those that contain or have contained ores associated with uranium-bearing minerals, workers might be exposed to high levels of radon and its decay products (RDP). This work aimed to investigate whether the exposure of workers to radon gas and its progeny has been evaluated in Brazilian non-uranium and non-thorium underground mines. If so, the results and control measures undertaken or recommended to maintain the concentrations under Brazilian occupational exposure limits (OELs) were documented. The adopted methodology consisted of three main phases. The first was an extensive bibliographical survey of the concentration levels of radon and RDP, and the radiation dose estimates, considering measurements made heretofore by various Brazilian researchers and exhibiting original measurement work undertaken by the one of the authors (mine O). In the second phase, the values obtained were compared with OELs. In the third phase, it was verified whether any control measures were undertaken in the mines with high exposure of workers to radon and its progeny, and if so, the adopted controls were determined. Data of radon concentration obtained from 52 campaigns in 40 underground mines were analyzed. The results showed that the assessment of the exposure of workers to radon and its progeny was undertaken in many mines at least once, and that in 62.5% of the mines, when visited for the first time, the radon levels throughout them were below the Brazilian OELs. As expected, the main control measure adopted or recommended was the improvement of the ventilation system. © 2018 IOP Publishing Ltd.

  14. Cost Stickiness in Brazilian Firms

    OpenAIRE

    Otavio Ribeiro De Medeiros; Patricia de Souza Costa

    2004-01-01

    Conventional cost accounting assumes that the relation between cost and volume is symmetric for volume increases and decreases. We test an alternative model where costs increase more when activity rises than they decrease when activity falls by an equivalent amount. We find, for a sample of Brazilian firms that selling, general, and administrative costs increase 0.59% per 1% increase in sales but decrease only 0.32% per 1% decrease in sales. We test several hypotheses about the properties of ...

  15. Brazilian Participation in World War II

    Science.gov (United States)

    2006-12-15

    internal rebellions and secessionist movements such as the Canudos rebellion in 1897 and 1898 in Bahia province. As a 2 result, the Brazilian Army...Brazilian Army would play an important role in ending this dictatorship. Brazil had accepted large numbers of Italian and German immigrants for more than...including the Brazilian Armed Forces. They had a significant influence on decision makers. In the 1930s, German immigrants numbered more than 900,000 and

  16. Excesso de peso de escolares em região do Nordeste Brasileiro: contraste entre as redes de ensino pública e privada Excess weight in children from Brazilian Northeast: difference between public and private schools

    Directory of Open Access Journals (Sweden)

    Lana do Monte Paula Brasil

    2007-12-01

    Full Text Available OBJETIVOS: estimar a prevalência de excesso de peso em escolares na cidade de Natal. Métodos estudo transversal com 1927 crianças, de 6 a 11 anos de idade, de escolas públicas e privadas nas diferentes zonas da cidade de Natal, Rio Grande do Norte, Brasil. Foram analisadas as variáveis: sexo, faixa etária, tipo de escola e zonas da cidade. Foram considerados com excesso de peso os escolares com índice de massa corporal para sexo e idade igual ou superior ao percentil 85. RESULTADOS: o excesso de peso foi encontrado em 33,6% das crianças. Não houve diferenças significantes entre os sexos e faixas etárias. Nas escolas privadas, a prevalência de excesso de peso foi 54,5%; nas públicas, 15,6% (pOBJECTIVES: to determine the prevalence of excess weight in schoolchildren from the city of Natal. METHODS: transversal study with 1927 children aged 6-11 from public and private schools in different zones in the city of Natal, in the State of Rio Grande do Norte, Brazil, and analyze related variables, such as gender, age-group, type of school and city zones. All scholars with a body mass index equal to or greater than the 85th percentile were considered as having excess weight. RESULTS: the prevalence of excess weight among the studied scholars was 33.6%. There were no significant differences between genders and age-groups. In the private schools, the prevalence of excess weight was 54.5%, while in the public schools, 15.6% (p<0.01; OR=6.49. The prevalence of excess weight was greater in schools located in the zones with the best quality of life, east-south zone (41.3%, if compared with schools in the north-west zone (28.4% (p<0.01. CONCLUSIONS: the prevalence of excess weight in scholars was found high, demonstrating the importance of programs of treatment and prevention. The biggest prevalence in children studying in private schools and in children studying in schools located in the best zone of the city reflects the importance of association

  17. Brazilian Studies Then and Now

    Directory of Open Access Journals (Sweden)

    Anthony Pereira

    2012-09-01

    Full Text Available In 1912 the Brazilian diplomat and scholar Manuel de Oliveira Lima gave six lectures at Stanford University that encapsulated his views of what we now call Brazilian Studies. This article summarizes Oliveira Lima’s lectures. It then points out three aspects of Oliveira Lima’s worldview that are problematic from the perspective of the twenty-first century: his Eurocentrism; the unproblematic nature of the nation-state in his thinking; and his largely negative view of Brazil’s racial heritage. The third part of the essay analyzes three aspects of Oliveira Lima’s lectures that are still contemporary. These are the need to establish an adequate comparative context for the study of Brazil; the difficulty of justifying an academic discipline that revolves around the study of a single country; and the challenge of uniting disparate and specialized disciplines in order to appreciate Brazil’s complexity and trajectory in the modern world. In the conclusion, some guidelines for maintaining Brazilian Studies as a vibrant field are suggested.

  18. Investigações sobre o ensino de Genética e Biologia Molecular no Ensino Médio brasileiro: reflexões sobre as publicações científicas Research on the teaching of Genetics and Molecular Biology in Brazilian High School: reflections about scientific publications

    Directory of Open Access Journals (Sweden)

    José Romário de Melo

    2009-01-01

    Full Text Available Com o objetivo de analisar as publicações relacionadas ao ensino de Genética e Biologia Molecular no Ensino Médio brasileiro, foram consideradas reflexões sobre várias publicações científicas mediante revisão bibliográfica. Foram analisados trabalhos publicados entre 1999 a 2008. A Revista Genética na Escola se destacou quanto à quantidade de artigos publicados. As publicações puderam ser classificadas em diversas categorias, como: análise de livro didático (ALD, histórico (HIS, intrainterdisciplinaridade (IID, metodologia de ensino (MEE, propostas curriculares (PRC e outros (OUT. Embora compatíveis em quantidade, artigos das categorias ALD, HIS e PRC encontram-se publicados em pouquíssima quantidade. O número de artigos publicados nas categorias IID e MEE soma quase 73% das publicações encontradas, em relação às demais (as outras categorias juntas somam aproximadamente 27%. Este estudo possibilitou considerar que ainda é incipiente a pesquisa voltada ao ensino de Genética e Biologia Molecular, com relação ao Ensino Médio na escola básica brasileira.The objective of this work was to analyze the publications related to the teaching of Genetics and Molecular Biology in Brazilian High Schools. We analyzed studies published from 1999 to 2008. The Revista Genética na Escola presents the most published articles. The publications were classified into different categories, such as: textbook analysis (ALD, history (HIS, intra-interdisciplinarity (IID, teaching methodology (MEE, curriculum proposals (PRC and other (OUT. Equivalent numbers of articles in ALD, HIS and PRC categories are published in very low quantity, however the number of articles published in categories IID and MEE total almost 73% of the publications found in the others (all other categories together total about 27%. This study has considered that research dedicated to the teaching of Genetics and Molecular Biology is still in its early stages, related to

  19. Brazilian dental students' intentions and motivations towards their professional career.

    Science.gov (United States)

    dos Santos, Beatriz Ferraz; Nicolau, Belinda; Muller, Katia; Bedos, Christophe; Zuanon, Angela Cristina Cilense

    2013-03-01

    Investigating career motivations and intentions of dental students provides a better understanding of their role in society and contributes to the debate on dental education and practices. This study describes the profile, career choice motivations, and career intentions of Brazilian dental students and evaluates factors related to these choices. A cross-sectional study was carried out among dental students from three Brazilian public universities (N=915), with a response rate of 83.7 percent. Students (N=766) responded to a self-administered questionnaire about sociodemographic factors, reasons for choosing dentistry as a career, and future career intentions. Job conception was found to be the main reason for choosing dentistry as a profession. Most students intended to become specialists and work in both the public and private sectors simultaneously. Female students (OR 2.23, 95 percent CI=1.62-3.08), low-income students (OR 1.86, 95 percent CI=1.10-3.13), and students beginning their program (OR 1.87, 95 percent CI=1.22-2.85) were more likely to work in the public and private sectors simultaneously than other types of students. This study suggests that choice of career and career plans are influenced by factors related to the students' characteristics and their conception of the profession. The opportunity to combine private and public dental practice may be viewed as a way to achieve income and job security.

  20. Adolescents exposed to physical violence in the community: a survey in Brazilian public schools Encuesta en escuelas públicas de Brasil sobre la exposición de los adolescentes a la violencia en la comunidad

    Directory of Open Access Journals (Sweden)

    Maria Lucrécia Zavaschi

    2002-11-01

    Full Text Available Objective. To determine the proportion of adolescents who have been exposed to physical violence in the city of Porto Alegre, Brazil. Methods. Fifty-two Porto Alegre public schools that offer basic primary education (grades 1 to 8 were selected through a random sampling process stratified according to school size. In May-November 2000 a screening survey that identifies exposure to violence¾experienced personally, witnessed, or knowing victims of violent acts¾was administered to all students who were attending a randomly selected 8th grade class in each of the 52 schools. Results. The total number of adolescents included in the analysis was 1 193, representing 10.3% of the students enrolled in 8th grade classes in the city's public school system. On average, each adolescent had been exposed to 19.8 incidents of violence (standard deviation (SD = 8.5: 2.0 incidents personally experienced (SD = 2.1, 8.5 incidents witnessed (SD = 4.0, and 9.3 knowing a victim of an incident of violence (SD = 4.1. In our sample, the variables of being male (P Objetivos. Determinar la proporción de adolescentes que han estado expuestos a la violencia física en la ciudad de Porto Alegre, Brasil. Métodos. Mediante un muestreo aleatorio estratificado en función del tamaño de la escuela, se seleccionaron 52 escuelas públicas de educación básica primaria (grados 1 a 8 de la ciudad de Porto Alegre. De mayo a noviembre del año 2000 se realizó una encuesta sobre la exposición a la violencia entre todos los estudiantes de una clase de octavo grado seleccionada aleatoriamente en cada una de las 52 escuelas. Como exposición a la violencia se consideró el haberla sufrido personalmente, el haberla presenciado o el conocer a víctimas de actos violentos. Resultados. En el análisis se incluyeron 1 193 adolescentes que representaban 10,3% de los estudiantes de octavo grado de las escuelas del sistema de enseñanza pública de la ciudad. En promedio (± desviación est

  1. Políticas públicas de inclusión en la educación superior los casos de Argentina y Brasil Public policies for inclusion in higher education the Argentinian and Brazilian cases

    Directory of Open Access Journals (Sweden)

    Adriana Chiroleu

    2009-08-01

    Full Text Available Las políticas inclusivas en la educación superior se orientan a lograr que las instituciones contengan una diversidad racial, cultural y sexual semejante a la que existe en el seno de la sociedad, en procura de remediar discriminaciones históricas que han conducido a la situación de desigualdad por la que atraviesan esos grupos. En este sentido, la implementación en algunos países de Políticas de Acción Afirmativa en el ámbito de la educación superior procura una mayor integración social en sociedades caracterizadas por fragmentaciones de diferente naturaleza. En este trabajo nos proponemos abordar desde una perspectiva comparativa los alcances de las políticas públicas de inclusión en la universidad que se desarrollan en Argentina y Brasil, enmarcándolas en los rasgos diferenciales de sus estructuras sociales y sus sistemas de Educación superior.Inclusive policies in higher education are planned to achieve racial, cultural and sexual diversity in institutions, similarly to social diversity itself. Such policies are intended to repair historical discrimination that has contributed to the unequal situation those groups have been facing. For such, the establishment of Affirmative Action Policies in the higher education field in some countries is intended to achieve greater social integration in societies that are usually characterized by fragmentation of different kinds. The purpose of this paper is to address, from a comparative perspective, the advances of public policies for university inclusion in Argentina and Brazil, considering the differences between their social structures and higher education systems.

  2. Desempenho dos diferentes modelos institucionais de prestação dos serviços públicos de abastecimento de água: uma avaliação comparativa no conjunto dos municípios brasileiros Performance of different institutional management public models for water supply provision: a comparative analysis in Brazilian municipalities

    Directory of Open Access Journals (Sweden)

    Pedro Gasparini Barbosa Heller

    2012-09-01

    Full Text Available Este artigo desenvolve uma avaliação comparativa entre os modelos de prestação de serviços públicos de abastecimento de água vigentes no País. De forma bastante abrangente, o estudo compara os serviços de praticamente todos os municípios brasileiros, por meio da aplicação de métodos estatísticos de variância não paramétrica. Nessa avaliação, os serviços foram agrupados a partir da seguinte classificação: prestados sob a forma de administração direta; prestados sob a forma de administração indireta (autarquias municipais; empresas privadas; e modelos regionais. O ano base do estudo foi 2008, tendo sido empregados dados secundários obtidos a partir da Pesquisa Nacional de Saneamento Básico. Foi criado um conjunto de indicadores de desempenho, referente aos aspectos operacionais e gerenciais dos serviços. Os resultados indicam diferenças significativas entre os modelos avaliados.This paper presents a comparative assessment of the different institutional public models for water supply provision in Brazil. In an encompassing way, the study compares services of almost all Brazilian municipalities, by a nonparametric analysis of variance. For this assessment, services were grouped according to the following classification: managed by the municipality; managed by a municipal autarchy; private companies; and regional models. The base year of the study was 2008, and secondary data from the National Survey of Basic Sanitation were used. A set of performance indicators, related to operational and management aspects of services, was created. The results indicate significant differences between the evaluated models.

  3. Historiography of Brazilian education: training and development field of the history of education in Brazil

    Directory of Open Access Journals (Sweden)

    Dermeval Saviani

    2015-01-01

    Full Text Available This paper is about the historiography of the Brazilian education starting with the consideration about the appearance and development of the field of history of education in Brazil covering five aspects: 1 preservation of the memory of the Brazilian education; 2 introduction of the subject History of Education in the curricula of the common schools and  in the courses of pedagogy; 3 historiographic production about education; 4 organization of research groups in the history of education; 5 circulation of the production of the field of the history of Brazilian education covering the different forms of publicity consubstantiated in the different types of events and in the different types of publications in the area of history of education. Then, there is the consideration of the course of the historiography in the Brazilian education as a process of construction-deconstruction of the educational memory. Finally, in the last part, there is the critical appreciation of the historiography of the Brazilian education in the current situation.

  4. Fatores de risco para o desenvolvimento de sepse neonatal precoce em hospital da rede pública do Brasil Risk factors for early-onset neonatal sepsis in Brazilian public hospital short-title: early-onset neonatal sepsis

    Directory of Open Access Journals (Sweden)

    Ana Paula Goulart

    2006-06-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O conhecimento dos fatores de risco associados à sepse neonatal precoce em unidade de neonatologia, inserida na realidade de nosso sistema de saúde, no sentido de se detectar, prevenir e adotar medidas específicas e reduzir as taxas de mortalidade nessa faixa etária. O objetivo deste estudo foi determinar os fatores de risco associados a sepse neonatal precoce em hospital de referência em neonatologia ligado à rede pública de saúde. MÉTODO: Foi realizado um estudo observacional, prospectivo, tipo caso-controle. Foram incluídos os recém-nascidos com diagnóstico de sepse precoce e como controle, recém-nascidos sem infecção neonatal nascido na mesma data do recém-nascido considerado como caso. Foram incluídos 50 casos e três controles para cada caso, resultando em amostra total de 200 pacientes. Foi considerada estatisticamente significativa a associação quando p BACKGROUND AND OBJECTIVES: The determination of the risk factors to early-onset neonatal sepsis in our country is essential to prevent and reduce the mortality associated with this syndrome. Thus, the objective of this study was to determine the frequency and associated risk factors to early-onset neonatal sepsis in public hospital in Southern Brazil. METHODS: Observational, case-control study. Were included neonates with diagnostic of early-onset neonatal sepsis and as controls, neonates without neonatal infection. Were included 50 cases and 3 controls for each case resulting in a total sample of 200 patients. Associations were considered significant when p < 0.05. RESULTS: The sepsis frequency was 50.3 per 1000 born-alive. Risk factors associated to the development of neonatal sepsis were prematurity (OR 9.33; p < 0.001, low birth weight (OR 11.74; p < 0.001, maternal infection (OR 2.28; p = 0.009, mother with history of previous infant with neonatal sepsis (OR 6.43; p = 0.035 and rupture of the membranes more than 18 hours before delivery

  5. Cryptic lineages and Pleistocene population expansion in a Brazilian Cerrado frog.

    Science.gov (United States)

    Prado, Cynthia P A; Haddad, Célio F B; Zamudio, Kelly R

    2012-02-01

    Diversification of South American species endemic to open habitats has been attributed to both Tertiary events and Pleistocene climatic fluctuations. Nonetheless, phylogeographical studies of taxa in these regions are few, precluding generalizations about the timing and processes leading to differentiation and speciation. We inferred population structure of Hypsiboas albopunctatus, a frog widely distributed in the Brazilian Cerrado. Three geographically distinct lineages were recovered in our phylogeny. The Chapada dos Guimarães (CG) clade was the first to diverge from other populations and contains multiple haplotypes from a single population in western Cerrado, probably representing a cryptic species. The southeast clade (SE) includes populations along the southeastern limit of the range within the historical distribution of the Brazilian Atlantic forest. Finally, the Central Cerrado (CC) group includes haplotypes from the interior of Brazil that are paraphyletic relative to the SE clade. Analyses of historical demography indicate significant population expansion in the CC and SE populations, likely associated with colonization of newly formed open habitats. The divergence of populations in the CG clade occurred in the late Miocene, concordant with the uplift of the central Brazilian plateau. Divergence of the SE clade from the CC occurred during the mid-Pleistocene. Thus, both Tertiary geological events and Pleistocene climatic fluctuations promoted divergences among lineages. Our study reveals a complex history of diversification in the Cerrado, a morphoclimatic domain highly threatened because of anthropogenic habitat alteration. We identified surprisingly deep divergences in a widely distributed frog, indicating that the Cerrado is not a barrier-free habitat and that its diversity is likely underestimated. © 2011 Blackwell Publishing Ltd.

  6. Brazilian infant and preschool children feeding: literature review.

    Science.gov (United States)

    Mello, Carolina Santos; Barros, Karina Vieira; de Morais, Mauro Batista

    2016-01-01

    To assess the feeding profile of Brazilian infants and preschool children aged 6 months to 6 years, based on the qualitative and quantitative analysis of food and nutrient intake. This review analyzed studies carried out in Brazil that had food survey data on infants and preschool children. The search was limited to publications from the last 10 years included in the LILACS and MEDLINE electronic databases. The initial search identified 1480 articles, of which 1411 were excluded after the analysis of abstracts, as they were repeated or did not meet the inclusion criteria. Of the 69 articles assessed in full, 31 articles contained data on food survey and were selected. Only three studies concurrently assessed children from different Brazilian geographical regions. Of the assessed articles, eight had qualitative data, with descriptive analysis of food consumption frequency, and 23 had predominantly quantitative data, with information on energy and nutrient consumption. The articles assessed in this review showed very heterogeneous results, making it difficult to compare findings. Overall, the feeding of infants and preschool children is characterized by low consumption of meat, fruits, and vegetables; high consumption of cow's milk and inadequate preparation of bottles; as well as early and high intake of fried foods, candies/sweets, soft drinks, and salt. These results provide aid for the development of strategies that aim to achieve better quality feeding of Brazilian infants and preschoolers. Copyright © 2016 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

  7. Brazilian infant and preschool children feeding: literature review

    Directory of Open Access Journals (Sweden)

    Carolina Santos Mello

    Full Text Available Abstract Objective To assess the feeding profile of Brazilian infants and preschool children aged 6 months to 6 years, based on the qualitative and quantitative analysis of food and nutrient intake. Data source This review analyzed studies carried out in Brazil that had food survey data on infants and preschool children. The search was limited to publications from the last 10 years included in the LILACS and MEDLINE electronic databases. Data summary The initial search identified 1480 articles, of which 1411 were excluded after the analysis of abstracts, as they were repeated or did not meet the inclusion criteria. Of the 69 articles assessed in full, 31 articles contained data on food survey and were selected. Only three studies concurrently assessed children from different Brazilian geographical regions. Of the assessed articles, eight had qualitative data, with descriptive analysis of food consumption frequency, and 23 had predominantly quantitative data, with information on energy and nutrient consumption. Conclusions The articles assessed in this review showed very heterogeneous results, making it difficult to compare findings. Overall, the feeding of infants and preschool children is characterized by low consumption of meat, fruits, and vegetables; high consumption of cow's milk and inadequate preparation of bottles; as well as early and high intake of fried foods, candies/sweets, soft drinks, and salt. These results provide aid for the development of strategies that aim to achieve better quality feeding of Brazilian infants and preschoolers.

  8. Epidemiology and treatment of psoriasis: a Brazilian perspective

    Directory of Open Access Journals (Sweden)

    Duarte GV

    2015-04-01

    Full Text Available Gleison V Duarte,1 Larissa Porto-Silva,2 Maria de Fátima Paim de Oliveira1 1Dermatology Department, Federal University of Bahia, Salvador, 2Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brazil Abstract: Psoriasis is a chronic immune-mediated systemic disease that is influenced by genetic and environmental factors, is associated with comorbidities, and has a negative impact on the quality of life of affected individuals. The prevalence of psoriasis varies among different ethnic groups, but this topic has not been studied in Brazil to date. In this review, we evaluate the epidemiology and treatment of psoriasis from a Brazilian perspective. We focused on studies that involved Brazilian subjects. The prevalence of psoriasis in Brazil is estimated to be 2.5%, but no population study has been performed previously. Environmental factors, such as tropical climate, in association with genetic factors, such as miscegenation, may exert a beneficial impact on the course and frequency of psoriasis in Brazil. A number of studies have advanced our understanding of the cardiovascular, ophthalmic, and oral comorbidities that are associated with psoriasis. Concerns about biological therapy, such as endemic leprosy, human T-cell lymphotropic virus (HTLV, and tuberculosis infections, are discussed. The nonavailability of treatment options for psoriasis in the public health system contradicts the Brazilian Society of Dermatology guidelines, stimulating the judicialization of access to medicines in psoriasis care. Keywords: psoriasis, epidemiology, comorbidities, health services accessibility, health care disparities, insurance, health care costs

  9. Epidemiology and treatment of psoriasis: a Brazilian perspective.

    Science.gov (United States)

    Duarte, Gleison V; Porto-Silva, Larissa; de Oliveira, Maria de Fátima Paim

    2015-01-01

    Psoriasis is a chronic immune-mediated systemic disease that is influenced by genetic and environmental factors, is associated with comorbidities, and has a negative impact on the quality of life of affected individuals. The prevalence of psoriasis varies among different ethnic groups, but this topic has not been studied in Brazil to date. In this review, we evaluate the epidemiology and treatment of psoriasis from a Brazilian perspective. We focused on studies that involved Brazilian subjects. The prevalence of psoriasis in Brazil is estimated to be 2.5%, but no population study has been performed previously. Environmental factors, such as tropical climate, in association with genetic factors, such as miscegenation, may exert a beneficial impact on the course and frequency of psoriasis in Brazil. A number of studies have advanced our understanding of the cardiovascular, ophthalmic, and oral comorbidities that are associated with psoriasis. Concerns about biological therapy, such as endemic leprosy, human T-cell lymphotropic virus (HTLV), and tuberculosis infections, are discussed. The nonavailability of treatment options for psoriasis in the public health system contradicts the Brazilian Society of Dermatology guidelines, stimulating the judicialization of access to medicines in psoriasis care.

  10. Prediction equations for maximal respiratory pressures of Brazilian adolescents

    Directory of Open Access Journals (Sweden)

    Raquel E. F. Mendes

    2013-06-01

    Full Text Available BACKGROUND: The literature emphasizes the need for studies to provide reference values and equations able to predict respiratory muscle strength of Brazilian subjects at different ages and from different regions of Brazil. OBJECTIVES: To develop prediction equations for maximal respiratory pressures (MRP of Brazilian adolescents. METHOD: In total, 182 healthy adolescents (98 boys and 84 girls aged between 12 and 18 years, enrolled in public and private schools in the city of Natal-RN, were evaluated using an MVD300 digital manometer (Globalmed® according to a standardized protocol. Statistical analysis was performed using SPSS Statistics 17.0 software, with a significance level of 5%. Data normality was verified using the Kolmogorov-Smirnov test, and descriptive analysis results were expressed as the mean and standard deviation. To verify the correlation between the MRP and the independent variables (age, weight, height and sex, the Pearson correlation test was used. To obtain the prediction equations, stepwise multiple linear regression was used. RESULTS: The variables height, weight and sex were correlated to MRP. However, weight and sex explained part of the variability of MRP, and the regression analysis in this study indicated that these variables contributed significantly in predicting maximal inspiratory pressure, and only sex contributed significantly to maximal expiratory pressure. CONCLUSION: This study provides reference values and two models of prediction equations for maximal inspiratory and expiratory pressures and sets the necessary normal lower limits for the assessment of the respiratory muscle strength of Brazilian adolescents.

  11. Competitiveness in the Brazilian oil industry. The Brazilian 'oil diamond'

    International Nuclear Information System (INIS)

    Zamith, R.; Moutinho Dos Santos, E.

    2000-01-01

    It is recognized the economic benefits that might follow the opening process of the Brazilian oil and natural gas industry, which shall experience a fast expansion with the arrival of national and international private investors. However, we should not neglect the broader impact of this process on the future development of all that cluster of national agents that lived around and served the former national oil monopoly, managed by the Brazilian National Oil Company, Petrobras. This work focuses on this larger perspective, discussing about the capacity of Brazil to sustain and expand its competitiveness in the oil business as well as to obtain the maximum economic development from the exploration of its oil and gas reserves. We adopt the work of Michael Porter, from the University of Harvard, about the Competitive Advantage of Nations, as a theoretical model to analyze the Competitive Advantage of Brazil in the global oil industry. By introducing the concept of ''oil diamond'', adapted from the notion introduced by this author, we develop a new understanding of national competitiveness in the oil sector. In this paper, we present the general model as well as a brief characterization of the results found for Brazil Subsequently, we focus on just one leg of the model, for which we discuss, with more detail, about the competitive condition of the country in the opening-up scenario. This leg regards the so-called supporting and supplementary industries that constitute what is denominated in the French tradition the ''para petroleum'' industry. We analyze the conditions for the Brazilian domestic ''para petroleum industry'' to survive and grow in the new competitive environment. (authors)

  12. Unveiling the Mirror: Afro-Brazilian Identity and the Emergence of the Community School Movement.

    Science.gov (United States)

    Jones de Almeida, Adjoa Florencia

    2003-01-01

    Afro-Brazilian residents of urban favelas (outlying, unincorporated slums) have established community schools in response to lack of public schools. A study of three such community schools in Salvador, Bahia, focused on social justice issues, school efforts to rescue a Black identity denied by Brazil's official "racial democracy"…

  13. Fulbright-Hays Seminars Abroad Program June 23-July 26, 1993. Brazilian History and Culture Program.

    Science.gov (United States)

    Department of Education, Washington, DC. Div. of International Education.

    This document consists of 16 papers on aspects of Brazilian culture, history, and geography prepared by participants in the Fulbright Hays Seminars Abroad Program in Brazil in 1993. The papers are: (1) "Cordel Literature: A Window on the History and Culture of Brazil" (Juan Barroso VIII); (2) "Connections: Public Images of Indians…

  14. Organizational Learning and Power Dynamics: A Study in a Brazilian University

    Science.gov (United States)

    Santos, Jane Lucia Silva; Steil, Andrea Valéria

    2015-01-01

    Purpose: This paper aims to describe and analyze organizational learning processes and power dynamics during the adoption and use of an information system (IS) at a Brazilian public organization. Design/methodology/approach: A case study was chosen as the research method. Data were gathered from documents and interviews with key informants.…

  15. Acidente vascular cerebral precoce: implicações para adultos em idade produtiva atendidos pelo Sistema Único de Saúde Early cerebrovascular accident: implications in working-age adults assisted by the Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    Ilka Veras Falcão

    2004-03-01

    Full Text Available OBJETIVOS: conhecer as incapacidades e identificar se há diferenças de gênero, em sobreviventes de primeiro episódio de acidente vascular cerebral (AVC, entre 20 e 59 anos de idade, na cidade do Recife e que tenham sido hospitalizados pelo Sistema Único de Saúde. MÉTODOS: entrevista domiciliar com uma amostra de sobreviventes, investigando-se as incapacidades referidas na vida funcional e produtiva deles. RESULTADOS: amostra equilibrada entre os sexos, média de idade de 52 anos, com nível elementar de estudos ou analfabeto e trabalhando no setor de serviços, informal ou doméstico. Menos de 20% informam recuperação total após o AVC. Aproximadamente 80% apresentam algum déficit, sendo os problemas de comunicação e os sintomas depressivos mais freqüentes entre as mulheres. Após o AVC aumentou o número de desempregados e aposentados e as incapacidades repercutem negativamente na satisfação de vida de mais de 70% dos entrevistados. CONCLUSÕES: é expressivo o percentual de casos, ainda jovens, com seqüelas pós AVC, sendo este mais precoce e o quadro de incapacidades mais freqüente e/ou grave entre as mulheres. A prevenção e a reabilitação após o AVC são desejáveis, com a implantação de programas, considerando as condições de gênero, para o controle dos riscos e para as seqüelas resultantes do AVC.OBJECTIVES: to assess incapacities and determine whether there are gender differences following an initial episode of cerebrovascular accident among survivors between the ages of 20 and 59 years old living in Recife city, hospitalized in the public health system. METHODS: in-home survey performed with a sample of survivors, investigating incapacities and alterations in the functional and productive life of these individuals. RESULTS: the sample had a balanced proportion between genders and an average age of 52 years old. Individuals were either illiterate or had an elementary education level, holding jobs in the

  16. Controle Social: a dinâmica da Teoria da Saída, Voz e Lealdade no Contexto da Administração Pública Brasileira (Social Control: The Dynamics of theTheory of Output, voice and Loyalty in the Contexto of the Brazilian Public Administration

    Directory of Open Access Journals (Sweden)

    Fernanda Rodrigues da Silva

    2017-10-01

    Full Text Available Resumo: Em linhas gerais este artigo objetivou desenvolver uma sistematização conceitual das diferentes contribuições científicas disponíveis sobre “Controle Social”. De modo específico este estudo propôs-se a trazer para o debate da Administração Pública leituras diferenciadas que dialogam com a dinâmica da teoria da Saída, Voz e Lealdade defendida por Hirschman (1973 vivenciada no contexto brasileiro do Controle Social. Com base nos resultados das concepções teóricas aferidas percebe-se que, quando diante das decisões políticas a serem tomadas o Estado ou mesmo a sociedade tornam-se indiferentes, há a predominância do mecanismo da Saída. Quando ocorre o inverso, ou seja, a participação nas decisões políticas, na esfera pública, exercita-se o mecanismo da Voz, nesta pesquisa, denominado como Gestão Social. E quando o Estado exerce uma boa governança e a sociedade desempenha a cidadania crítica e consciente, a Lealdade entra em cena no sistema democrática do país e, consequentemente, efetiva-se o Controle Social. Palavras-chave: Saída. Voz. Lealdade.Abstract: In general, this research aimed to develop a conceptual systematization of the different scientific contributions available on “Social Control”. Specifically, this study aimed to bring to the Public Administration debate differentiated readings that dialogue with the dynamics of the theory of Output, Voice and Loyalty defended by Hirschman (1973 experienced in the Brazilian context of Social Control. According to the results of the theoretical conceptions, it is possible to realize that when the political decisions to be taken the State or even society become indifferent, there is a predominance of the mechanism of Output. When the reverse occurs, that is, participation in political decisions, in the public sphere, the Voice mechanism is exercised, in this research, called Social Management. And when the State exercises good governance and the society

  17. As políticas públicas e a efetivação de direitos humanos pós Constituição Brasileira de 1988 (Public policy and the implementation of human rights after the Brazilian Federal Constitution of 1988 Doi: 10.5212/Emancipacao.v.12i2.0002

    Directory of Open Access Journals (Sweden)

    Rosilene Marques Sobrinho de França

    2013-03-01

    Full Text Available O artigo apresenta uma discussão acerca da importância das políticas públicas e dos processos de legitimação dos direitos humanos de crianças e adolescentes no contexto do sistema capitalista, apresentando os mecanismos de sua efetivação na realidade brasileira pós Constituição Federal de 1988. Assim, discute os desafios da concretização dos direitos humanos infanto-juvenis à educação, à saúde, ao esporte e lazer e à convivência familiar e comunitária, na ordem material e concreta das relações que se estabelecem no meio social em que se inserem crianças, adolescentes e suas famílias, demonstrando que os direitos humanos se constituem em alicerces importantes do Estado democrático de direito, cuja negação afronta o significado da cidadania, que fundamenta esse modelo de Estado e de sociedade.   Palavras-chave: Políticas Públicas. Direitos Humanos. Infância e Adolescência.     Abstract: This article presents a discussion about the importance of public policies and processes of legitimation of human rights for children and adolescents in the context of the capitalist system, revealing the mechanisms of its implementation after the Brazilian Federal Constitution of 1988. Thus, it presents the challenges of achieving human rights for children and youth in terms of education, health, sports and leisure, as well as in terms of family and community relationships, and in the material and concrete relations that are established in the social environment in which the children, adolescents and their families are inserted. It also seeks to demonstrate that human rights constitute an important foundation of the democratic, which cannot be denied without emptying the meaning of citizenship that underlies this model of State and society.   Keywords: Public Policy. Human Rights. Childhood and Adolescence.

  18. Doação e transplante de órgãos: produção científica da enfermagem brasileira Donación y transplante de órganos: producción científica de la enfermería brasileña Organ donation and transplantation: Brazilian nursing publications

    Directory of Open Access Journals (Sweden)

    Emilia Aparecida Cicolo

    2010-04-01

    had shown that the most of publications from the southeast region; the majority of approaching was qualitative; nurses were the main authors and the principal subjects were renal and hepatic transplantation. It was concluded that it is necessary more Brazilian nursing publications of organ donation and transplantation.

  19. Types and myths in Brazilian thought

    Directory of Open Access Journals (Sweden)

    Octavio Ianni

    2005-01-01

    Full Text Available "Ideal types" elaborated by different authors and that have become emblematic, notorious or even definitive, sometimes representing myths are quite frequent in Brazilian thought. That is the case of the bandeirantes (colonial crusaders, the gaúcho, Jeca Tatu, Macunaíma, cordial man and others. It is worth contemplating this aspect of Brazilian culture and thought.

  20. Study of brazilian market of advanvced ceramics

    International Nuclear Information System (INIS)

    Veiga, M.M.; Soares, P.S.M.; SIlva, A.P. da; Alvarinho, S.B.

    1989-01-01

    The brazilian actual market survey of advanced ceramics, divided in sectors according to their function is described. The electroelectronics, magnetics, optics, mechanics and nuclears ceramics are presented. A forecasting of the brazilian market in advanced ceramics are also mentioned. (C.G.C.) [pt

  1. Brazilian Studies and Brazilianists: Conceptual remarks

    Directory of Open Access Journals (Sweden)

    Vinicius Mariano de Carvalho

    2017-01-01

    Full Text Available This article discusses the concept of Brazilian Studies. It does not intend to outline a defence for a new discipline, or to propose paradigms for that elusive field called ‘area studies’. It will, bring some reflections on epistemological and methodological issues realted to what it is been called Brazilian Studies.

  2. The new Brazilian national forest inventory

    Science.gov (United States)

    Joberto V. de Freitas; Yeda M. M. de Oliveira; Doadi A. Brena; Guilherme L.A. Gomide; Jose Arimatea Silva; < i> et al< /i>

    2009-01-01

    The new Brazilian national forest inventory (NFI) is being planned to be carried out through five components: (1) general coordination, led by the Brazilian Forest Service; (2) vegetation mapping, which will serve as the basis for sample plot location; (3) field data collection; (4) landscape data collection of 10 x 10-km sample plots, based on high-resolution...

  3. 36th Brazilian Workshop on Nuclear Physics

    CERN Document Server

    Brandão de Oliveira, José Roberto; Barbosa Shorto, Julian Marco; Higa, Renato

    2014-01-01

    The Brazilian Workshop on Nuclear Physics (RTFNB, acronym in Portuguese) is organized annually by the Brazilian Physics Society since 1978, in order to: promote Nuclear Physics research in the country; stimulate and reinforce collaborations among nuclear physicists from around the country; disseminate advances in nuclear physics research and its applications; disseminate, disclose and evaluate the scientific production in this field.

  4. A SELECTIVE BIBLIOGRAPHY OF CONTEMPORARY BRAZILIAN AUTHORS.

    Science.gov (United States)

    HOPE, HENRY W.

    A BIBLIOGRAPHIC LISTING WAS COMPILED IN CONNECTION WITH A RESEARCH PROJECT ON THE SYNTAX OF CONTEMPORARY BRAZILIAN PORTUGUESE. THE DOCUMENT WAS NOT INTENDED TO BE AN EXHAUSTIVE INVENTORY OF CONTEMPORARY BRAZILIAN LITERATURE. SUBJECTS INCLUDED ARE FICTION AND NON-FICTION IN THE HUMANITIES AND SOCIAL SCIENCES. ANNOTATIONS ARE NOT INCLUDED. THE DATES…

  5. Toxoplasmose: soroprevalência em puérperas atendidas pelo Sistema Único de Saúde Toxoplasmosis: seroprevalence in postpartum women attended by SUS (Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    Paulo Roberto Dutra Leão

    2004-09-01

    postpartum women, attended in two hospitals of the Public Health System (SUS in Cuiabá, and its correlation with age, previous abortion and women's knowledge of the disease. METHODS: a cross-sectional study including 205 women with ages from 14 to 43 (mean 22.4 years old, attended in these hospitals for two months, in the first or second days postpartum. Each woman answered a short questionnaire and had peripheral blood sample collected. Blood samples were stored at 20°C until assay. The seroprevalence was determined by quantitative detection of specific IgG antibody against Toxoplasma gondii, using a microparticle enzyme immunoassay. All samples were assayed at the same time. RESULTS: The average number of pregnancies in the women included in this study was 2.2, and the majority of them was pregnant for the first time. The seroprevalence found was 70.7% (165 of 205 women. No statistical correlation was found between seroprevalence and age (p = 0.967 or previous abortion (p = 0.82. Most of the women in this study (78% did not know about toxoplasmosis and no statistical correlation was found between this condition and seroprevalence (p = 0.49. CONCLUSION: the high seroprevalence found in the present study is in accordance with surveys previously reported in our country and other developing countries. Among the women included in this study, an expressive number (29.3% is still under risk of contamination. The lack of statistical correlation between seroprevalence and women's age, lack of knowledge about the disease and report of previous abortion is in accordance with some previous studies and in disagreement with others.

  6. Freqüencia de publicações sobre a asma em periódicos de enfermagem indexados em bases de dados brasileiros: uma revisão da literatura Frecuencia de publicaciones sobre asma en periódicos de enfermería indexados en las bases de datos brasileñas: una revisión de la literatura Frequency of publication of asthma studies in nursing journals indexed in brazilian databases: a literature review

    Directory of Open Access Journals (Sweden)

    Luisa Helena de Oliveira Lima

    2006-12-01

    of asthma publications in national and international nursing journals indexed in the "Coordenação de Aperfeiçoamento de Pessoal de Nível Superior" or other Brazilian databases. METHODS: Database searches were limited to study origin, reference index, journal type, publication year, study methodology, publication type, and object of study "Asthma" or "Asma". Data were collected through a form designed for this study. RESULTS: Databases search retrieved 56 foreign and 3 Brazilian studies conducted between 1994 and 2004. Studies were published more frequently in the years of 2002 (12 foreign and 1 Brazilian and 2004 (14 foreign. CONCLUSIONS: It's necessary further research in Asthma must be conducted and published by Brazilian researchers.

  7. Comparison between Brazilian radiation protection norm and ICRP recommendations published in 2007

    International Nuclear Information System (INIS)

    Pereira, Wagner de S.; Py Junior, Delcy de A.; Pereira, Juliana R. de S.; Kelecom, Alphonse; Mortagua, Valter

    2013-01-01

    In the year 2007, ICRP published a set of recommendations (The 2007 Recommendations of the International Commission on Radiological Protection, Publication 103), which changed some important concepts. This work aims to compare the Brazilian radiation protection basic norm with the new ICRP recommendations, by checking the existing differences. The main difference between ICRP publication 60 and ICRP publication 103 is the changing of the concept of protection based on process, by using the concepts of practice and intervention, to the protection based in the exposition situation, by using the concepts of planned exposure, emergency and existing situation. Other important difference lies in the values of the radiation and tissue weighting factors, in the quantities equivalent and effective dose, and updating the radiation detriment based on the latest available scientific information of the biology and physics of radiation exposure. At last, the demonstration of the environment radiation protection must be clear, and this concept is not found in Brazilian nuclear legislation. Also some similarities were found. The fundamental principles of the Brazilian norms are the same as that of ICRP 103, which are the justification principle, the optimization principle and the application of dose limits. The individual effective dose limit of Brazilian norm is the same of the ICRP 103, established as 20 mSv per year. In order to adequate the Brazilian norm it is necessary to change its concept of protection and the values of radiation and tissue weighting, and updating the radiation detriment, besides making clear the concept of protection of the environment. It is important to notice that although the Brazilian norm is not in complete agreement with all international recommendations, it must be completely followed as the norm which is in use in the country. (author)

  8. Comparison between Brazilian radiation protection norm and ICRP recommendations published in 2007

    Energy Technology Data Exchange (ETDEWEB)

    Pereira, Wagner de S.; Py Junior, Delcy de A., E-mail: pereiraws@gmail.com [Industrias Nucleares do Brasil (INB), Pocos de Caldas, MG (Brazil). Unidade de Tratamento de Minerio. Servico de Radioprotecao. Grupo Multidisciplinar de Radioprotecao; Pereira, Juliana R. de S., E-mail: pereirarsj@gmail.com [Universidade Federal de Alfenas, Pocos de Caldas, MG (Brazil). Campus Pocos de Caldas; Kelecom, Alphonse, E-mail: akelecom@id.uff.br [Universidade Federal Fluminense (GETA/LARARA-PLS/UFF), Niteroi, RJ (Brazil). Laboratorio de Radiobiologia e Radiometria Pedro Lopes dos Santos. Grupo de Estudos em Temas Ambientais; Mortagua, Valter, E-mail: Valter@inb.gov.br [Usina de lnterlagos (USIN), Sao Paulo, SP (Brazil). Coordenacao

    2013-07-01

    In the year 2007, ICRP published a set of recommendations (The 2007 Recommendations of the International Commission on Radiological Protection, Publication 103), which changed some important concepts. This work aims to compare the Brazilian radiation protection basic norm with the new ICRP recommendations, by checking the existing differences. The main difference between ICRP publication 60 and ICRP publication 103 is the changing of the concept of protection based on process, by using the concepts of practice and intervention, to the protection based in the exposition situation, by using the concepts of planned exposure, emergency and existing situation. Other important difference lies in the values of the radiation and tissue weighting factors, in the quantities equivalent and effective dose, and updating the radiation detriment based on the latest available scientific information of the biology and physics of radiation exposure. At last, the demonstration of the environment radiation protection must be clear, and this concept is not found in Brazilian nuclear legislation. Also some similarities were found. The fundamental principles of the Brazilian norms are the same as that of ICRP 103, which are the justification principle, the optimization principle and the application of dose limits. The individual effective dose limit of Brazilian norm is the same of the ICRP 103, established as 20 mSv per year. In order to adequate the Brazilian norm it is necessary to change its concept of protection and the values of radiation and tissue weighting, and updating the radiation detriment, besides making clear the concept of protection of the environment. It is important to notice that although the Brazilian norm is not in complete agreement with all international recommendations, it must be completely followed as the norm which is in use in the country. (author)

  9. Trend Analysis of the Brazilian Scientific Production in Computer Science

    Directory of Open Access Journals (Sweden)

    TRUCOLO, C. C.

    2014-12-01

    Full Text Available The growth of scientific information volume and diversity brings new challenges in order to understand the reasons, the process and the real essence that propel this growth. This information can be used as the basis for the development of strategies and public politics to improve the education and innovation services. Trend analysis is one of the steps in this way. In this work, trend analysis of Brazilian scientific production of graduate programs in the computer science area is made to identify the main subjects being studied by these programs in general and individual ways.

  10. Neymar, defender of brazilian tradition

    OpenAIRE

    Silva, Francisca Islandia Cardoso da; Rodrigues, Janete de Páscoa

    2016-01-01

    The purpose of this article is to analyze how university students of Teresina-PI appropriate of the message of a report of the television show Esporte Espetacular. There was use of the technique of focus groups and analytical-descriptive method for collecting and analyzing data. The sample consisted of 24 university students, aged between 18 and 24 years. The report features Neymar as responsible to follow the "tradition" of Brazilians and to be crowned as the best player in the world. The su...

  11. Civil Society Participation in Brazilian Foreign Policy: an Analysis of its Democratic Quality

    Directory of Open Access Journals (Sweden)

    Melissa Pomeroy

    Full Text Available Abstract Working from an analytical framework that emphasises the horizontalisation of the decision-making process of Brazilian foreign policy, considered as public policy and subject to democratic control, this article analyses the democratic quality of this policy’s participatory institutions, using the criteria established by democratic theory. Civil society participation is analysed in three areas of foreign policy: multilateral international negotiations, regional integration, and South–South development co-operation. It can be stated that civil society participation in Brazilian foreign policy is of a diffuse nature, discretionary, and with a high degree of informality.

  12. Publicity and public relations

    Science.gov (United States)

    Fosha, Charles E.

    1990-01-01

    This paper addresses approaches to using publicity and public relations to meet the goals of the NASA Space Grant College. Methods universities and colleges can use to publicize space activities are presented.

  13. Patient satisfaction in outpatient healthcare services at secondary level vs. tertiary level

    Directory of Open Access Journals (Sweden)

    Velikj-Stefanovska Vesna

    2014-01-01

    Full Text Available Introduction. Patients satisfaction is a very important part of any clinical practice both for evaluation and improvement of healthcare services. Objective. The aim of this study was to determine patient satisfaction with public outpatient healthcare services at secondary and tertiary level and to assess possible differences between the two levels. Methods. In a quantitative cross-sectional study, a convenient sample of 646 patients who experienced public outpatient healthcare services at the secondary and tertiary level during the last two months were interviewed. Patient satisfaction questionnaires, with statements regarding various aspects of satisfaction, were completed during face-to-face interviews (response rate 84.6%. The research instrument was tested for internal consistency using the Cronbach’s coefficient alpha estimate. Results. The patients were significantly more satisfied in tertiary than in secondary outpatient healthcare facilities in almost all aspects of assessment related to general settings, nurse/administrative staff performance and physician performance (p<0.001. The patients in the secondary healthcare services (SHCS were more satisfied than in the tertiary healthcare services (THCS but only regarding the information on location (83.9% vs.78.3% and possibilities to enter and move inside the department (88.8% vs. 83.3%. Analysis of data for SHCS and THCS showed that there was no significant difference between the mean overall satisfaction scores with regard to patients’ gender, age, marital status, educational level, employment and number of visits. Conclusion. There is a need to improve the current level of patient-provider relationship and communication, as well as that of hospital environment, while special efforts should be made to address the problem of patient waiting time and hospital bureaucracy.

  14. Food in African Brazilian Candomblé

    Directory of Open Access Journals (Sweden)

    Patricia Rodrigues de Souza

    2015-01-01

    Full Text Available The aim of this article is to highlight the importance of food in the rituals of African Brazilian Candomblé, as well as in its cosmovision (world view. A brief description of Candomblé’s historical trajectory is provided in order to show how food offerings became part of its rituals and how specific ingredients became symbolically significant in this belief system. According to the theories applied, it is possible that food has at least two functions in Candomblé: to materialize principles and also to work as a ritual language. To show the role of food in Candomblé the state of Bahia was taken as a case study – firstly because Candomblé started there and secondly because, as this article shows, the sacred foods of Candomblé are also consumed in everyday life, outside of religious situations, but just as importantly constituting a part of Bahian cultural identity. The dishes that feature in the ritualised meals and at the same time in Bahians’ everyday eating are described at the conclusion of the article, with a mention of their ingredients and to whom they are offered. The research sources included publications by Candomblé believers and scholars of religion, as well as cooks and journalists specialising in Bahian cuisine.

  15. MODEL OF BRAZILIAN URBANIZATION: GENERAL NOTES

    Directory of Open Access Journals (Sweden)

    Leandro da Silva Guimarães

    2016-07-01

    Full Text Available The full text format seeks to analyze the social inequality in Brazil through the spatial process of that inequality in this sense it analyzes, scratching the edges of what is known of the Brazilian urbanization model and how this same model produced gentrification cities and exclusive. So search the text discuss the country’s urban exclusion through consolidation of what is conventionally called peripheral areas, or more generally, of peripheries. The text on screen is the result of research carried out at the Federal Fluminense University in Masters level. In this study, we tried to understand the genesis of an urban housing development located in São Gonçalo, Rio de Janeiro called Jardim Catarina. Understand what the problem space partner who originated it. In this sense, his analysis becomes consubstantial to understand the social and spatial inequalities in Brazil, as well as the role of the state as planning manager socio-spatial planning and principal agent in the solution of such problems. It is expected that with the realization of a study of greater amounts, from which this article is just a micro work can contribute subsidies that contribute to the arrangement and crystallization of public policies that give account of social inequalities and serve to leverage a country more fair and equitable cities.

  16. Integrating acupuncture into primary health care: the experience of an educational model implemented within the Brazilian Unified Health System in Florianópolis.

    Science.gov (United States)

    Moré, Ari Ojeda Ocampo; Tesser, Charles Dalcanale; Min, Li Shih

    2016-12-01

    Primary health care (PHC) is the main entry point and the first level of contact for individuals, families and communities within the Brazilian public health system. Considering that few studies have investigated the use of acupuncture in PHC, this article presents our experience in the city of Florianópolis when integrating acupuncture into PHC using an educational programme developed to teach acupuncture to primary care physicians (PCPs). The course programme was designed using the WHO standards for acupuncture training and discussed at three consensus meetings. Between 2011 and 2014 three iterations of an introductory acupuncture course for PCPs were offered. During this period 53 physicians finished the programme. The number of acupuncture sessions in PHC rose from 1349 in 2011 to 6488 in 2015. It was observed in 2015 that 81% of the course participants working in PHC were regularly using acupuncture in their daily practice, with a mean number of sessions of 11.35 sessions per month. Moreover, collaborative work, which started during the course between the PCPs and the acupuncture specialists in secondary and tertiary public health care, helped to increase the quality of acupuncture referrals and facilitate clinical case discussions. Our experience in the city of Florianópolis shows that teaching acupuncture to PCPs is a sustainable model that can help introduce acupuncture into PHC. Furthermore it can expand access to acupuncture treatment for the population and increase the communication between PCPs and acupuncture specialists. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  17. Comparison of postmenopausal endogenous sex hormones among Japanese, Japanese Brazilians, and non-Japanese Brazilians

    Directory of Open Access Journals (Sweden)

    Maciel Maria

    2011-02-01

    Full Text Available Abstract Background Differences in sex hormone levels among populations might contribute to the variation in breast cancer incidence across countries. Previous studies have shown higher breast cancer incidence and mortality among Japanese Brazilians than among Japanese. To clarify the difference in hormone levels among populations, we compared postmenopausal endogenous sex hormone levels among Japanese living in Japan, Japanese Brazilians living in the state of São Paulo, and non-Japanese Brazilians living in the state of São Paulo. Methods A cross-sectional study was conducted using a control group of case-control studies in Nagano, Japan, and São Paulo, Brazil. Participants were postmenopausal women older than 55 years of age who provided blood samples. We measured estradiol, estrone, androstenedione, dehydroepiandrosterone sulfate (DHEAS, testosterone and free testosterone by radioimmunoassay; bioavailable estradiol by the ammonium sulfate precipitation method; and sex hormone-binding globulin (SHBG by immunoradiometric assay. A total of 363 women were included for the present analyses, comprising 185 Japanese, 44 Japanese Brazilians and 134 non-Japanese Brazilians. Results Japanese Brazilians had significantly higher levels of estradiol, bioavailable estradiol, estrone, testosterone and free testosterone levels, and lower SHBG levels, than Japanese. Japanese Brazilians also had significantly higher levels of bioavailable estradiol, estrone and DHEAS and lower levels of SHBG and androstenedione than non-Japanese Brazilians. Levels of estradiol, testosterone and free testosterone, however, did not differ between Japanese Brazilians and non-Japanese Brazilians. These differences were observed even after adjustment for known breast cancer risk factors. We also found an increase in estrogen and androgen levels with increasing body mass index, but no association for most of the other known risk factors. Conclusions We found higher levels of

  18. Political Liberalization, Black Consciousness, and Recent Afro-Brazilian Literature.

    Science.gov (United States)

    Kennedy, James H.

    1986-01-01

    Accounts for the surge in Afro-Brazilian literacy production of the late 1970s and early 1980s from the perspective of Brazil's changing political life and a growth of racial consciousness. Presents a broad overview of recent Brazilian political and literary history. Focuses on racial politics and Afro-Brazilians in the Brazilian literary market.…

  19. German-Brazilian nuclear deal

    International Nuclear Information System (INIS)

    Krugmann, H.

    1981-01-01

    Examination of the arguments in favor of the nuclear deal with West Germany and the resulting program suggests that revisions of both are in order to make them more compatible with Brazil's national interests. The deficiencies of current policy appear to be too weighty and numerous to be ignored. Sooner or later the government will have to move toward adjusting its nuclear agreement with West Germany, if not for the reasons discussed here then for lack of capital. Current estimates of the nuclear package lie in the range of $25 to $30 billion, compared to an initial projection of about $5 billion. The deal has become so expensive that it would draw capital from the hydropower and alcohol programs essential for the short and medium-term energy needs of the country. Mr. Krugman feels the Brazilian government should hold off on further nuclear contracts. And it should thoroughly reassess what Brazil's nuclear energy and technology requirements are and how to meet them. There are indications that the reassessment process is already underway. As long as the German nuclear industry depends on the sale of technology to Brazil, the Brazilian government will have considerable bargaining power to enforce further changes in the deal. If this power is used wisely, the result could be cooperation between the two countries toward nuclear options that are consistent with Brazil's energy and development needs

  20. Structural Diversity in Tertiary Education. Go8 Backgrounder 18

    Science.gov (United States)

    Group of Eight (NJ1), 2010

    2010-01-01

    Projections of future population and tertiary education participation indicate that Australia needs soon to start planning for another surge in school leavers entering tertiary education from 2015, together with increased demand for greater skills deepening by adult workers. Hence it is necessary to find cost-effective supply solutions that…

  1. Crime and Crime Management in Nigeria Tertiary Institutions

    Science.gov (United States)

    Adebanjo, Margaret Adewunmi

    2014-01-01

    This paper examines crime and its management in Nigerian tertiary institutions. Tertiary institutions today have become arenas for crime activities such as rape, cultism, murder, theft, internet fraud, drug abuse, and examination malpractices. This paper delves into what crime is, and its causes; and the positions of the law on crime management.…

  2. Determinants of propensity of tertiary agricultural students in Ghana ...

    African Journals Online (AJOL)

    The study aimed to identify factors that affect the decision of tertiary agricultural students in Ghana to enter agribusiness as a self-employment venture after graduation. The results showed that tertiary agricultural students in Ghana were predominantly males with little or no farming background. They had a rather moderate ...

  3. Capacity of non-tertiary Kenyan health facilities selected for ...

    African Journals Online (AJOL)

    Capacity of non-tertiary Kenyan health facilities selected for decentralised dental training. ... Design: A descriptive cross-sectional study. Setting: The Dental departments of six non-tertiary Kenyan health facilities. Main outcome measures: Capacity of the hospitals to be used as sites for decentralised dental education.

  4. Education and training in recreation management at tertiary ...

    African Journals Online (AJOL)

    Tertiary institutions should realise the gaps and opportunities that could be filled in recreation management training. The current article reviews literature focussing on the ... This information is used to stress the need to train professionals in recreation management at tertiary institutions. Recommendations are made as to the ...

  5. Massification and Quality Assurance in Tertiary Education: The ...

    African Journals Online (AJOL)

    The study sets out to examine massification and its impact on quality assurance in tertiary education and the extent to which lecturer–student ratio, adequacy of infrastructure and pedagogical resources affect quality in tertiary institutions. Two research questions and one hypothesis were posed to guide the investigation.

  6. This paper investigates the attitudes of some university and tertiary ...

    African Journals Online (AJOL)

    tertiary institution students to codeswitching. Respondents were drawn from four tertiary institutions located in the Southwestern part of Nigeria. A structured questionnaire ... attitude to code switching, and therefore the high representation of Yoruba ... utterance, conversation or writing has been extensively researched by.

  7. Ensuring Effective Mentoring in Tertiary Institutions in Anambra State ...

    African Journals Online (AJOL)

    This paper concerns itself only with ascertaining the strategies that could ensure effective mentoring in tertiary institutions. The survey method was employed. The study population comprised 78 teacher educators in tertiary institutions in Anambra State. One research question guided the study while one null hypothesis was ...

  8. Academic mentoring and the future of tertiary education in Nigeria ...

    African Journals Online (AJOL)

    Tertiary education is a major outlet for the provision of high manpower for national development. This paper therefore highlighted the challenges of tertiary education in Nigeria, early perspectives of mentoring undergraduates, the rationale for academic mentoring, the role of a mentor, and the role of library as catalyst in the ...

  9. Opinions of Nigerian students in tertiary institutions on family size ...

    African Journals Online (AJOL)

    The study examined the opinions of Nigerian students in tertiary institutions on their ideal family size. It was conducted among students in four tertiary institutions in Edo State of Nigeria. A sample size of 454 final year students was randomly drawn from the halls of residence in the institutions using the stratified sampling ...

  10. The Impediments Facing Community Engagement in Omani Educational Tertiary Institutions

    Science.gov (United States)

    Issa, Jinan Hatem

    2016-01-01

    Prior to the vital role that social capital plays in accomplishing prosperity for any educational tertiary institution, it was emphasised in several countries' agendas, including the Sultanate of Oman. This study endeavours to explore the impediments facing the enhancement of the social capital in Omani educational tertiary institutions through…

  11. Literacy Skills Development for Tertiary Institutions: A Case Study of ...

    African Journals Online (AJOL)

    Literacy Skills Development for Tertiary Institutions: A Case Study of the University of Calabar. ... These were drawn from five faculties, namely Education, Social Sciences, Law, Arts and Agriculture. The study observed that there is a ... more literacy skills. Key Words: Literacy skills, university, Nigeria, tertiary institution ...

  12. Maternal mortality ratio in a Tertiary Hospital offering free maternity ...

    African Journals Online (AJOL)

    AbstRACt. Aim: To determine annual trends of maternal mortality ratio in a tertiary hospital offering free maternity services. settings and Design: This retrospective descriptive study was conducted at the Mother and Child Hospital Akure, Ondo. State, a busy purpose‑built tertiary care facility premised on evidence‑based ...

  13. The Returns of Investment in Tertiary Technological Education in Greece.

    Science.gov (United States)

    Tsamadias, Constantinos

    2002-01-01

    Return on investment was estimated from earnings data on Greek graduates of tertiary technological education and secondary education, using elaborate and Mincerian estimation models. Return rates were similar in both methods. Differences were greater for females. Both societal and individual investment in tertiary technological education was…

  14. Terminology development at tertiary institutions: A South African ...

    African Journals Online (AJOL)

    Terminology development at tertiary institutions: A South African perspective. M Alberts. Abstract. There is a dire need in South Africa for multilingual polythematic terminology. Currently no tertiary institution presents terminology theory and practice as a fully-fledged subject and there is also no sufficient mechanism for the ...

  15. Brazilian medicinal plants with corroborated anti-inflammatory activities: a review.

    Science.gov (United States)

    Ribeiro, Victor Pena; Arruda, Caroline; Abd El-Salam, Mohamed; Bastos, Jairo Kenupp

    2018-12-01

    Inflammatory disorders are common in modern life, and medicinal plants provide an interesting source for new compounds bearing anti-inflammatory properties. In this regard, Brazilian medicinal plants are considered to be a promising supply of such compounds due to their great biodiversity. To undertake a review on Brazilian medicinal plants with corroborated anti-inflammatory activities by selecting data from the literature reporting the efficacy of plants used in folk medicine as anti-inflammatory, including the mechanisms of action of their extracts and isolated compounds. A search in the literature was undertaken by using the following Web tools: Web of Science, SciFinder, Pub-Med and Science Direct. The terms 'anti-inflammatory' and 'Brazilian medicinal plants' were used as keywords in search engine. Tropicos and Reflora websites were used to verify the origin of the plants, and only the native plants of Brazil were included in this review. The publications reporting the use of well-accepted scientific protocols to corroborate the anti-inflammatory activities of Brazilian medicinal plants with anti-inflammatory potential were considered. We selected 70 Brazilian medicinal plants with anti-inflammatory activity. The plants were grouped according to their anti-inflammatory mechanisms of action. The main mechanisms involved inflammatory mediators, such as interleukins (ILs), nuclear factor kappa B (NF-κB), prostaglandin E2 (PGE2), cyclooxygenase (COX) and reactive oxygen species (ROS). The collected data on Brazilian medicinal plants, in the form of crude extract and/or isolated compounds, showed significant anti-inflammatory activities involving different mechanisms of action, indicating Brazilian plants as an important source of anti-inflammatory compounds.

  16. Comparison between Brazilian radiation protection standard and the ICRP recommendations published in 2007

    International Nuclear Information System (INIS)

    Pereira, Wagner de S.; Py Junior, Delcy de A.; Kelecom, Alphonse; Mortagua, Valter

    2009-01-01

    In the year 2007, ICRP published a set of recommendations (The 2007 Recommendations of the International Commission on Radiological Protection, Publication 103, ICRP-103), which changed some important concepts. This work aims to compare the Brazilian radiation protection basic standard with the new ICRP recommendations, by checking the existing differences. The main difference between Brazilian standard and ICRP-103 is the changing of the concept of protection based on process, by using the concepts of practice and intervention, to the protection based in the exposition situation, by using the concepts of planned exposure, emergency and existing situation. Other important difference lies in the values of the radiation and tissue weighting factors, in the quantities equivalent and effective dose, and updating the radiation detriment based on the latest available scientific information of the biology and physics of radiation exposure. At last, the demonstration of the environment radiation protection must be clear, and this concept is not found in Brazilian nuclear legislation. Also some similarities were found. The fundamental principles of the Brazilian standards are the same as that of ICRP-103, which are the justification principle, the optimization principle and the application of dose limits. The individual effective dose limit of Brazilian standard is the same of the ICRP-103, established as 20 mSv y -1 . In order to adequate the Brazilian standard it is necessary to change its concept of protection and the values of radiation and tissue weighting, and updating the radiation detriment, besides making clear the concept of protection of the environment. It is important to notice that although the Brazilian standard is not in complete agreement with all international recommendations, it must be completely followed as the standard which is in use in the country. (author)

  17. ERICA: prevalence of asthma in Brazilian adolescents.

    Science.gov (United States)

    Kuschnir, Fábio Chigres; Gurgel, Ricardo Queiroz; Solé, Dirceu; Costa, Eduardo; Felix, Mara Morelo Rocha; de Oliveira, Cecília Lacroix; de Vasconcellos, Maurício Teixeira Leite; Kuschnir, Maria Cristina Caetano

    2016-02-01

    OBJECTIVE To describe the prevalence of asthma and physician-diagnosed asthma in Brazilian adolescents. METHODS Cross-sectional, national, school-based study with adolescents from 12 to 17 years old, participants in the Study of Cardiovascular Risks in Adolescents (ERICA). The study stratified the sample by region and grouped according to schools and classes with representativeness to the set of cities with more than 100,000 inhabitants of the Country, macro-regions, capitals, and Federal District. A questionnaire collected data through a self-filled in method. We calculated the prevalences and their confidence intervals of 95% (95%CI) according to sex, age group, type of school and skin color. RESULTS Between 2013 and 2014, 74,589 adolescents were evaluated, 55.3% of the female sex. The total prevalence of active asthma was of 13.1% (95%CI 12.1-13.9), being higher in girls (14.8%; 95%CI 13.7-16.0) when compared to boys (11.2%; 95%CI 10.3-12.2) in all geographical strata examined. It was also higher between students of private schools (15.9%; 95%CI 14.2-17.7) when compared to public ones (12.4%; 95%CI 11.4-13.4). It was higher in the Southeast region (14.5%; 95%CI 12.9-16.1), and in the city of Sao Paulo (16.7%; 95%CI 14.7-18.7). The lowest prevalence was observed in North region (9.7%; 95%CI 9.7-10.5), and in Teresina (6.3%; 95%CI 4.9-7.7). The prevalence of physician-diagnosed asthma was of 8.7% (95%CI 8.2-9.1); higher in the North region (13.5%; 95%CI 12.7-14.2), and in Porto Alegre (19.8%; 95%CI 17.5-22.3). It was lower in the Midwest (6.9%; 95%CI 6.0-7.8), and in Cuiaba (4.8%; 95%CI 3.8-5.9). We found no significant difference in the expression of this rate between the sexes, as well as in other variables evaluated by the study. CONCLUSIONS The prevalence of asthma in Brazilian adolescents is high. Rates of active asthma and physician-diagnosed asthma vary widely in different regions and capitals evaluated by the ERICA. These results may assist in the

  18. ERICA: prevalence of asthma in Brazilian adolescents

    Science.gov (United States)

    Kuschnir, Fábio Chigres; Gurgel, Ricardo Queiroz; Solé, Dirceu; Costa, Eduardo; Felix, Mara Morelo Rocha; de Oliveira, Cecília Lacroix; de Vasconcellos, Maurício Teixeira Leite; Kuschnir, Maria Cristina Caetano

    2016-01-01

    ABSTRACT OBJECTIVE To describe the prevalence of asthma and physician-diagnosed asthma in Brazilian adolescents. METHODS Cross-sectional, national, school-based study with adolescents from 12 to 17 years old, participants in the Study of Cardiovascular Risks in Adolescents (ERICA). The study stratified the sample by region and grouped according to schools and classes with representativeness to the set of cities with more than 100,000 inhabitants of the Country, macro-regions, capitals, and Federal District. A questionnaire collected data through a self-filled in method. We calculated the prevalences and their confidence intervals of 95% (95%CI) according to sex, age group, type of school and skin color. RESULTS Between 2013 and 2014, 74,589 adolescents were evaluated, 55.3% of the female sex. The total prevalence of active asthma was of 13.1% (95%CI 12.1-13.9), being higher in girls (14.8%; 95%CI 13.7-16.0) when compared to boys (11.2%; 95%CI 10.3-12.2) in all geographical strata examined. It was also higher between students of private schools (15.9%; 95%CI 14.2-17.7) when compared to public ones (12.4%; 95%CI 11.4-13.4). It was higher in the Southeast region (14.5%; 95%CI 12.9-16.1), and in the city of Sao Paulo (16.7%; 95%CI 14.7-18.7). The lowest prevalence was observed in North region (9.7%; 95%CI 9.7-10.5), and in Teresina (6.3%; 95%CI 4.9-7.7). The prevalence of physician-diagnosed asthma was of 8.7% (95%CI 8.2-9.1); higher in the North region (13.5%; 95%CI 12.7-14.2), and in Porto Alegre (19.8%; 95%CI 17.5-22.3). It was lower in the Midwest (6.9%; 95%CI 6.0-7.8), and in Cuiaba (4.8%; 95%CI 3.8-5.9). We found no significant difference in the expression of this rate between the sexes, as well as in other variables evaluated by the study. CONCLUSIONS The prevalence of asthma in Brazilian adolescents is high. Rates of active asthma and physician-diagnosed asthma vary widely in different regions and capitals evaluated by the ERICA. These results may assist in the

  19. Collaboration Networks in the Brazilian Scientific Output in Evolutionary Biology: 2000-2012.

    Science.gov (United States)

    Santin, Dirce M; Vanz, Samile A S; Stumpf, Ida R C

    2016-03-01

    This article analyzes the existing collaboration networks in the Brazilian scientific output in Evolutionary Biology, considering articles published during the period from 2000 to 2012 in journals indexed by Web of Science. The methodology integrates bibliometric techniques and Social Network Analysis resources to describe the growth of Brazilian scientific output and understand the levels, dynamics and structure of collaboration between authors, institutions and countries. The results unveil an enhancement and consolidation of collaborative relationships over time and suggest the existence of key institutions and authors, whose influence on research is expressed by the variety and intensity of the relationships established in the co-authorship of articles. International collaboration, present in more than half of the publications, is highly significant and unusual in Brazilian science. The situation indicates the internationalization of scientific output and the ability of the field to take part in the science produced by the international scientific community.

  20. The Brazilian policy for reduction of accidents and violence aligns with international perspectives?

    Directory of Open Access Journals (Sweden)

    Karen Namie Sakata

    2014-12-01

    Full Text Available The study analyzed The Brazilian Policy for Reduction of Morbidity and Mortality from Accidents and Violence, in the socio-political perspective. We used as a base the chapter “Violence: a global public health problem” from the World Report on Violence and Health. The analysis revealed convergent and divergent elements of the Brazilian Policy in comparison with the international perspectives. We verified that the Brazilian Policy tried to converge to the international policies, however: it emphasizes the health promotion actions, but are limited to the context and behavior of individuals and individual communities; the performance of health professionals is expected without providing more structural investments, as the improvement in work conditions, the increase of financial and material resources; there are few clear definitions of the government and economical sector responsibilities.

  1. Healthcare Needs of and Access Barriers for Brazilian Transgender and Gender Diverse People.

    Science.gov (United States)

    Costa, Angelo Brandelli; da Rosa Filho, Heitor Tome; Pase, Paola Fagundes; Fontanari, Anna Martha Vaitses; Catelan, Ramiro Figueiredo; Mueller, Andressa; Cardoso, Dhiordan; Soll, Bianca; Schwarz, Karine; Schneider, Maiko Abel; Gagliotti, Daniel Augusto Mori; Saadeh, Alexandre; Lobato, Maria Inês Rodrigues; Nardi, Henrique Caetano; Koller, Silvia Helena

    2018-02-01

    Transgender and gender diverse people (TGD) have specific healthcare needs and struggles with access barriers that should be addressed by public health systems. Our study aimed to address this topic in the Brazilian context. A hospital and web-based cross-sectional survey built with input from the medical and transgender communities was developed to assess TGD healthcare needs of and access barriers in two Brazilian states. Although services that assist this population have existed in Brazil since the 1990s, TGD have difficulty accessing these services due to discrimination, lack of information and a policy design that does not meet the needs of TGD. A history of discrimination was associated with a 6.72-fold increase in the frequency of health service avoidance [95% CI (4.5, 10.1)]. This article discusses the urgent necessity for adequate health policies and for the training of professionals regarding the needs of Brazilian TGD.

  2. Collaboration Networks in the Brazilian Scientific Output in Evolutionary Biology: 2000-2012

    Directory of Open Access Journals (Sweden)

    Dirce M. Santin

    2016-03-01

    Full Text Available This article analyzes the existing collaboration networks in the Brazilian scientific output in Evolutionary Biology, considering articles published during the period from 2000 to 2012 in journals indexed by Web of Science. The methodology integrates bibliometric techniques and Social Network Analysis resources to describe the growth of Brazilian scientific output and understand the levels, dynamics and structure of collaboration between authors, institutions and countries. The results unveil an enhancement and consolidation of collaborative relationships over time and suggest the existence of key institutions and authors, whose influence on research is expressed by the variety and intensity of the relationships established in the co-authorship of articles. International collaboration, present in more than half of the publications, is highly significant and unusual in Brazilian science. The situation indicates the internationalization of scientific output and the ability of the field to take part in the science produced by the international scientific community.

  3. Eating patterns in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil: an exploratory analysis

    Directory of Open Access Journals (Sweden)

    Letícia de Oliveira Cardoso

    2016-01-01

    Full Text Available Abstract: The food consumption of 15,071 public employees was analyzed in six Brazilian cities participating in the baseline for Brazilian Longitudinal Study of Adult Health (ELSA-Brasil, 2008-2010 with the aim of identifying eating patterns and their relationship to socio-demographic variables. Multiple correspondence and cluster analysis were applied. Four patterns were identified, with their respective frequencies: "traditional" (48%; "fruits and vegetables" (25%; "pastry shop" (24%; and "diet/light" (5% The "traditional" and "pastry shop" patterns were more frequent among men, younger individuals, and those with less schooling. "Fruits and vegetables" and "diet/light" were more frequent in women, older individuals, and those with more schooling. Our findings show the inclusion of new items in the "traditional" pattern and the appearance of the "low sugar/low fat" pattern among the eating habits of Brazilian workers, and signal socio-demographic and regional differences.

  4. Eating patterns in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): an exploratory analysis.

    Science.gov (United States)

    Cardoso, Letícia de Oliveira; Carvalho, Marilia Sá; Cruz, Oswaldo Gonçalves; Melere, Cristiane; Luft, Vivian Cristine; Molina, Maria Del Carmen Bisi; Faria, Carolina Perim de; Benseñor, Isabela M; Matos, Sheila Maria Alvim; Fonseca, Maria de Jesus Mendes da; Griep, Rosane Harter; Chor, Dóra

    2016-01-01

    The food consumption of 15,071 public employees was analyzed in six Brazilian cities participating in the baseline for Brazilian Longitudinal Study of Adult Health (ELSA-Brasil, 2008-2010) with the aim of identifying eating patterns and their relationship to socio-demographic variables. Multiple correspondence and cluster analysis were applied. Four patterns were identified, with their respective frequencies: "traditional" (48%); "fruits and vegetables" (25%); "pastry shop" (24%); and "diet/light" (5%) The "traditional" and "pastry shop" patterns were more frequent among men, younger individuals, and those with less schooling. "Fruits and vegetables" and "diet/light" were more frequent in women, older individuals, and those with more schooling. Our findings show the inclusion of new items in the "traditional" pattern and the appearance of the "low sugar/low fat" pattern among the eating habits of Brazilian workers, and signal socio-demographic and regional differences.

  5. I RBH - First Brazilian Hypertension Registry

    Directory of Open Access Journals (Sweden)

    Paulo César Brandão Veiga Jardim

    Full Text Available Abstract Background: A registry assessing the care of hypertensive patients in daily clinical practice in public and private centers in various Brazilian regions has not been conducted to date. Such analysis is important to elucidate the effectiveness of this care. Objective: To document the current clinical practice for the treatment of hypertension with identification of the profile of requested tests, type of administered treatment, level of blood pressure (BP control, and adherence to treatment. Methods: National, observational, prospective, and multicenter study that will include patients older than 18 years with hypertension for at least 4 weeks, following up in public and private centers and after signing a consent form. The study will exclude patients undergoing dialysis, hospitalized in the previous 30 days, with class III or IV heart failure, pregnant or nursing, with severe liver disease, stroke or acute myocardial infarction in the past 30 days, or with diseases with a survival prognosis < 1 year. Evaluations will be performed at baseline and after 1 year of follow-up. The parameters that will be evaluated include anthropometric data, lifestyle habits, BP levels, lipid profile, metabolic syndrome, and adherence to treatment. The primary outcomes will be hospitalization due to hypertensive crisis, cardiocirculatory events, and cardiovascular death, while secondary outcomes will be hospitalization for heart failure and requirement of dialysis. A subgroup analysis of 15% of the sample will include noninvasive central pressure evaluation at baseline and study end. The estimated sample size is 3,000 individuals for a prevalence of 5%, sample error of 2%, and 95% confidence interval. Results: The results will be presented after the final evaluation, which will occur at the end of a 1-year follow-up. Conclusion: The analysis of this registry will improve the knowledge and optimize the treatment of hypertension in Brazil, as a way of

  6. The effectiveness of Brazilian public policies that address unhealthy ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Food packaging and marketing are unregulated and often claims are misleading and lack appropriate nutritional information. Proposed regulations of packaging and marketing of food has been delayed by lawsuits initiated by the food and advertising industries and by claims that such regulations will have a negative ...

  7. Brazilian sparkling wine: A successful trajectory

    Directory of Open Access Journals (Sweden)

    Wurz Douglas André

    2017-01-01

    Full Text Available The objective of this study was to explore the evolution of internal and external commercialization of Brazilian sparkling wines during the period between 1986 and 2015, giving an overview of the current situation and its market trends, and highlighting the importance of Brazil in the world scenario for sparkling wines. This research is based on quantitative data sources provided by different institutions: International Organization of Vine and Wine (OIV, Brazilian Union of Viticulture (UVIBRA, Ministry of Agriculture, Livestock and Supply (MAPA and Brazilian Agricultural Research Corporation (EMBRAPA. Brazil is a promising country for the sparkling wine market. From 1986–2015, there was an increase of 465.6% in the sales of sparkling wine in the Brazilian domestic market, especially the last ten, which accounted for an increase of 215.7%. In 1998, Brazilian sparkling wines accounted for 70.5% of sparkling wines sold in Brazil. Today, they represent 82.1%of national market, and proved to be one of the most prestigious products from Brazilian viticulture when compared, for example, to non-sparkling wines, which 79% are imported wines. Of the imported sparkling wines consumed in Brazil, six countries account for 98.5% of the market (France: 32.7%; Italy: 24.8% and Spain: 21.9%. The volume exportation of Brazilian sparkling wine has grown significantly in recent years (4,210.2%, with Paraguay, China, Uruguay, the United States, France and the United Kingdom being the major buyers. The evolution of exports shows that Brazilian sparkling wine becomes an alternative to those produced in traditional countries, such as France, Italy and Spain, due to their quality and price. There is an increase in the commercialization of sparkling wines in the Brazilian domestic market, in addition to the growing participation of Brazil in the volume of exports in the world market, placing Brazil in a leading position in the production and sale of sparkling wines.

  8. Significados das hierarquias no trabalho em hospitais públicos brasileiros a partir de estudos empíricos Significados de las jerarquías en el trabajo en hospitales públicos brasileños a partir de estúdios empíricos Meanings of hierarchies in hospital work in Brazilian public hospitals from empirical studies

    Directory of Open Access Journals (Sweden)

    Helena Heidtmann Vaghetti

    2011-01-01

    hospital work, of hierarchical structures present in the organizational culture of Brazilian public hospitals. METHODS: The corpus of research was originated in four theses and six dissertations, and was organized, analyzed and interpreted from the perspective of symbolic anthropology interpretation. RESULTS: Hospitals copied the professional mechanistic bureaucracy and hierarchies, from these structures, produce meanings that indicate a fragmentation of relationships, professional disputes and separations, as well as conflicts and subversive behavior at work. CONCLUSION: The hierarchies in each of the bureaucracies created several clashes that disrupt the workers and their work processes. Reorientation strategies and awareness of the hierarchical boundaries should be studied so that the work is optimized.

  9. ANÁLISE DA RELAÇÃO ENTRE DÉFICIT PÚBLICO E INFLAÇÃO NA ECONOMIA BRASILEIRA A PARTIR DA DÉCADA DE 1980/ANALYSIS OF THE RELATIONSHIP BETWEEN PUBLIC DEBT AND INFLATION RATES IN THE BRAZILIAN ECONOMY FROM THE DECADE OF 1980

    Directory of Open Access Journals (Sweden)

    Camila Albornoz Brufao

    2012-08-01

    Full Text Available O presente trabalho tem por objetivo analisar a trajetória da dívida pública e da taxa de inflação na economia brasileira a partir da década de 1980, bem como verificar a existência de uma relação de causalidade entre as variáveis. Para verificar a existência dessa relação, foram realizados testes de causalidade de Granger. Para tanto, foram considerados diferentes períodos. No primeiro, foi analisado o período em sua totalidade (1981-2009; no segundo, o período anterior ao plano Real (1981-1994; e, no terceiro, operíodo posterior ao plano Real (1995-2009. Os resultados obtidos diferem de período para período. Para o período como um todo, a relação encontrada indica que a inflação apresentou relação de precedência ao déficit público. Para o período anterior ao Plano Real, não foi encontrada qualquer relação causal entreas variáveis, enquanto que, para o período posterior ao plano, a relação de causalidade encontrada foi no sentido do déficit público para a inflação./ The study aimed to analyze the trajectory of public debt and inflation rates in the Brazilian economy from the 1980s, as well as verify the existence of a causal relationship between variables. To verify the existence of the relationship Tests of Granger causality were conducted. For this, were considered different periods. At first, it was analyzed the entire period (1981-2009, the second, the period before the Real plan (1981-1994 and third, the period after the peal Plan (1995-2009. The results obtained differ from period to period. For the period as a whole, the relationship found indicates that inflation presented to the precedence relation budget deficit. For the period before the Real plan, there was no causal relationship between variables, while for the period after the plan, the causal relationship was found in the sense that the budget deficit to inflation.

  10. Agricultura e biodiversidade nas Ciências Sociais brasileiras: alimentando a comunicação entre ciência e políticas públicas Agriculture and biodiversity in Brazilian Social Sciences: fostering communication between science and public policies

    Directory of Open Access Journals (Sweden)

    Maria José Carneiro

    2012-08-01

    increase in number of studies on family-based agriculture, and on biodiversity in Brazil, the research funding available for researching the relationship between those two broad themes is still incipient. Against this backdrop, we shall pursue two main objectives with this study: 1 to investigate how the role of family-based agriculture in the preservation of biodiversity has been approached by the Social Sciences in Brazil, particularly in articles published in Brazilian journals during the latter 20 years and available online; 2 to test a thorough literature review methodology aimed at helping decision makers involved with public policies and others concerned with this issue.

  11. Prevalência de infecção por HIV, HTLV, VHB e de sífilis e clamídia em gestantes numa unidade de saúde terciária na Amazônia ocidental brasileira Prevalence of infection for HIV, HTLV, HBV and of syphilis and chlamydia in pregnant women in a tertiary health unit in the western Brazilian Amazon region

    Directory of Open Access Journals (Sweden)

    Amantino Camilo Machado Filho

    2010-04-01

    infecção por C. trachomatis foi ter menos de 20 anos de idade.PURPOSE: to estimate the prevalence infection of human immunodeficiency virus (HIV, human T-cell lymphotropic vírus (HTLV, hepatitis B virus (HBV, Chlamydia trachomatis (C. trachomatis and syphilis in pregnant women, as well as risk factors associated with these infections, in Fundação de Medicina Tropical do Amazonas (FMTAM. METHODS: a cross-sectional study was carried including 674 pregnant women consecutively attended of the spontaneous demand of FMTAM between March and September 2008. Demographic, epidemiologic, socioeconomic, clinical and obstetric information have been collected through specific questionnaires. Patients had blood sample collected by peripheral venous for accomplishment of serological tests of HIV, HTLV, HBV and syphilis. Cervical secretion sample has been collected for C. trachomatis antigens detection test. The Odds Ratio has been used to evaluate risk factors associated to infections. Statistical analysis has been done with the t-Student, χ2 and Fisher's exact tests. RESULTS: the average age was 23.9 years old (SD 6.3. The observed prevalence was 0.6% to infection by HIV; 0.7% by HBsAg; 1.0% of syphilis and 2.7% by C. trachomatis. All the samples went negatives to HTLV. There were no variables associated with infection by HIV, HBV and syphilis. Significative statistically association was observed between pregnant woman with age under 20 years and of first pregnancy with C. trachomatis infection. CONCLUSIONS: the study evidenced that the prevalence infection by HIV in pregnant women assisted in FMTAM is similar to the values described in the Brazilian literature, while the prevalence by HTLV, HBV, syphilis and C. trachomatis in the studied population are below found by other authors. The main risk factor for the infection by C. trachomatis was being under 20 years old.

  12. A agenda ambiental pública: barreiras para a articulação entre critérios de sustentabilidade e as novas diretrizes da administração pública federal brasileira The public environmental agenda: barriers to the articulation between criteria for sustainability and the new guidelines of the Brazilian central government administration

    Directory of Open Access Journals (Sweden)

    Maria Gracinda Carvalho Teixeira

    2013-04-01

    Full Text Available A pesquisa tem como objetivo analisar a Instrução Normativa N01/2010 e suas implicações práticas, como novo instrumento de política pública o qual determina condições para viabilizar a agenda ambiental da gestão pública emanadas do Ministério de Orçamento, Planejamento e Gestão. Esta dispõe sobre os critérios de sustentabilidade ambiental na aquisição de bens, contratação de serviços ou obras pela administração pública federal. Assim supõe-se que haja uma necessidade de apreensão de novas formas de diálogo entre o público e o privado, o Estado e a sociedade face às mudanças institucionais postas à atual gestão pública e implícita na norma. Entretanto apresenta-se como problema de pesquisa o seguinte questionamento: quais fatores estariam causando o não alinhamento dos critérios de sustentabilidade ambiental exigidos à administração pública federal diante da situação em que se encontram as organizações parceiras contratadas, de modo a promover tal sustentabilidade? Realizou-se um estudo qualitativo, de natureza exploratória, abarcando pesquisa bibliográfica, documental e de campo. Esta última envolvendo gestores públicos federais que atuam em processos de licitação, em elaboração de projetos de obras e de fiscalização da construção das novas edificações públicas. Os resultados da pesquisa confirmam a suposição do estudo e apresentam as principais barreiras para a efetividade da norma sinalizando que sem uma maior articulação dos órgãos ambientais às novas diretrizes da administração pública federal e com claras responsabilizações quanto à norma em foco, estará comprometido o designo ambiental a que se propõe a nova legislação.The research aims at studying Normative Instruction N01/2010 and its practical implications as a new instrument for public policies which sets conditions to enable the environmental agenda in the public administration as issued by the Brazilian

  13. SBR Brazilian organophilic/clay nanocomposites

    International Nuclear Information System (INIS)

    Guimaraes, Thiago R.; Valenzuela-Diaz, Francisco R.; Morales, Ana Rita; Paiva, Lucilene B.

    2009-01-01

    The aim of this work is the obtaining of SBR composites using a Brazilian raw bentonite and the same bentonite treated with an organic salt. The clays were characterized by XRD. The clay addition in the composites was 10 pcr. The composites were characterized by XRD and had measured theirs tension strength (TS). The composite with Brazilian treated clay showed TS 233% higher than a composite with no clay, 133% higher than a composite with Cloisite 30B organophilic clay and 17% lower than a composite with Cloisite 20 A organophilic clay. XRD and TS data evidence that the composite with Brazilian treated clay is an intercalated nanocomposite. (author)

  14. Scientometrics: Nature Index and Brazilian science.

    Science.gov (United States)

    Silva, Valter

    2016-09-01

    A recent published newspaper article commented on the (lack of) quality of Brazilian science and its (in) efficiency. The newspaper article was based on a special issue of Nature and on a new resource for scientometrics called Nature Index. I show here arguments and sources of bias that, under the light of the principle in dubio pro reo, it is questionable to dispute the quality and efficiency of the Brazilian science on these grounds, as it was commented on the referred article. A brief overview of Brazilian science is provided for readers to make their own judgment.

  15. Export performance: an analysis of the brazilian scientific production

    Directory of Open Access Journals (Sweden)

    Vanessa Almeida da Silva

    2013-08-01

    Full Text Available The development of the scientific production sets an important database for studies. In that way, this study aims to analyze the articles published about export performance on the main vehicles for disseminating of Brazilian academic production. As a form of analysis, this present article was based on a proposed guide for Hoppen, Moreau and Lapointe (1997, through of a verifying of utilization of basic elements on an investigation, focusing on the research strategies and methodologies. Was analyzed 17 articles in the period of 1993 to 2008, on the major journals, such as: Revista de Administração Contemporânea (RAC, Revista de Administração de Empresas (RAE e Revista de Administração (RAUSP and on EnANPAD. The articles were analyzed for types, approach, plane, data source and instruments for collecting. The results pointed that the publications about the subject are sparse on the studied period, showing, however, more publications since 2004. The results present too, the predominance of empiric studies and quantitative methods and techniques. Was possible to confirm yet that the theme export performance is emergent on the Brazilian scenario.

  16. Online Coverage of the 2010 Brazilian Presidential Elections

    Directory of Open Access Journals (Sweden)

    Heloiza G. Herscovitz

    2012-12-01

    Full Text Available A framing analysis of mainstream on-line organizations and their bloggers and columnists on the 2010 Brazilian Presidential Elections revealed that framing do have the potential to expose ideological elements on how the media position themselves in the public sphere.Thematic and episodic frames dominated the news with a special focus on press freedom, social and economic problems, corruption and abortion. The main-stream media focused their coverage on the Workers’ Party employing primarily a critical/ adversarial tone as opposed to an interpretive analysis tone. Professional ideology mixed with political preferences both by journalists and mediaowners marked the Brazilian online coverage blurring the lines between the private and the public, exactly in the same way that outgoing President Lula da Silva acted during the presidential campaign. Journalism status quo emerged as a main topic in the coverage as a free press under attack quickly reacted with rage causing a rift between news organizations that criticized the outgoing president and those that supported him. Furthermore, a popular president apparently unaffected by corruption scandals and the country’s most powerful media groups confronted each other in an exhaustive and unfinished battle.

  17. Neymar, defender of brazilian tradition

    Directory of Open Access Journals (Sweden)

    Francisca Islandia Cardoso da Silva

    2016-09-01

    Full Text Available The purpose of this article is to analyze how university students of Teresina-PI appropriate of the message of a report of the television show Esporte Espetacular. There was use of the technique of focus groups and analytical-descriptive method for collecting and analyzing data. The sample consisted of 24 university students, aged between 18 and 24 years. The report features Neymar as responsible to follow the "tradition" of Brazilians and to be crowned as the best player in the world. The subjects of research said that the speech conveyed by the report can reproduce and create a reality sometimes dreamlike, because objective to confer to Neymar great importance with regard to national identity.

  18. Best Practices in Brazilian Companies

    Directory of Open Access Journals (Sweden)

    Catia dos Reis Machado

    2013-04-01

    Full Text Available Competitive intelligence (CI is a systematic and ethical collection, analysis, dissemination and management of information about the external environment that may affect the plans, decisions and operations of the organization. Knowledge management (KM can be seen as a tool to promote organizational knowledge through the use of activities designed to identify, create, store, share and use knowledge. Companies face a challenge in the era of knowledge, it is the extraction and management of knowledge produced by people in the organization. CI and KM combined generates organizational intelligence. The exploratory study, based on literature and multicase study, we sought to identify best practices in processes of CI and KM in Brazilian companies. We identified practices related to the CI design process, the stages of the CI, the use of networks, and knowledge management. We also identified, points of attention on the internal/external organizational environment.

  19. Examination of factors predicting secondary students' interest in tertiary STEM education

    Science.gov (United States)

    Chachashvili-Bolotin, Svetlana; Milner-Bolotin, Marina; Lissitsa, Sabina

    2016-02-01

    Based on the Social Cognitive Career Theory (SCCT), the study aims to investigate factors that predict students' interest in pursuing science, technology, engineering, and mathematics (STEM) fields in tertiary education both in general and in relation to their gender and socio-economic background. The results of the analysis of survey responses of 2458 secondary public school students in the fifth-largest Israeli city indicate that STEM learning experience positively associates with students' interest in pursuing STEM fields in tertiary education as opposed to non-STEM fields. Moreover, studying advanced science courses at the secondary school level decreases (but does not eliminate) the gender gap and eliminates the effect of family background on students' interest in pursuing STEM fields in the future. Findings regarding outcome expectations and self-efficacy beliefs only partially support the SCCT model. Outcome expectations and self-efficacy beliefs positively correlate with students' entering tertiary education but did not differentiate between their interests in the fields of study.

  20. How Do New Critical Pedagogies Develop? Public Education, Social Change, and Landless Workers in Brazil

    Science.gov (United States)

    Tarlau, Rebecca

    2015-01-01

    Background: Over the past 30 years, the Brazilian Landless Workers' Movement (MST), one of the largest social movements in Latin America, has developed a series of pedagogical practices for public schools that support the movement's struggle for agrarian reform in the Brazilian countryside. The MST's educational initiatives can be viewed in terms…

  1. STUDY OF GASTROINTESTINAL CANCERS IN A TERTIARY CARE HOSPITAL

    Directory of Open Access Journals (Sweden)

    Rema Nair Sarkar

    2017-11-01

    Full Text Available BACKGROUND Cancer is one of the leading cause of death both in developed and developing countries. In India, it accounts for 0.3 million deaths per year. Cancers of lung, GIT and oral cancers dominated among men while breast, cervix, ovary and oral cavity were commonest cancer seen in women. Among the gastrointestinal cancers, cancers of the oesophagus, stomach, colon, rectum and liver cancers were commonest. The aim of the study is to evaluate the incidence of the various GIT cancers in a tertiary hospital of Coastal Andhra when compared to other studies. MATERIALS AND METHODS In this retrospective study, a total of 509 health records of patients affected by cancers were studied and relevant details noted. RESULTS A total of 509 cancer cases were reported in this period of 18 months (January 2016 - June 2017 of which 85 cases (16.3% were of Gastrointestinal (GIT cancers. The age group between 40 and 60 recorded the maximum incidence of 47 cancers (55.1%. The incidence of gastrointestinal cancers were significantly higher in the men (56 cases (65.8% than the women (29 cases (34.11%. The commonest site of GIT cancers was the colorectal region (30 cases (35.7%. The most common type of cancer seen was adenocarcinoma seen in 73 cases (85.8%. CONCLUSION Public education and awareness for the warning symptoms should be increased to prevent reduction of the life span and health caused by the gastrointestinal cancers with intense awareness drive using various means including social media undertaken to educate the public regarding the warning symptoms and screening of such group for GIT cancers.

  2. Tertiary ice sheet dynamics: The Snow Gun Hypothesis

    Science.gov (United States)

    Prentice, M. L.; Matthews, R. K.

    1991-04-01

    We observe strong negative correlation between Tertiary low- to mid-latitude planktonic foraminiferal δ18O and the difference between these data and coeval benthic foraminiferal δ18O. Late Quaternary data do not show this correlation. Coupling statistical model/δ18O comparisons and evidence for Antarctic ice and ocean temperature variation, we infer that Tertiary ice volume, recorded by tropical planktonic δ18O, increased as the deep ocean warmed. Because the isotopic signatures of deepwater temperature variation and ice volume change were of opposite sign, the sum of these signals in Tertiary benthic δ18O became lost in the noise. This renders low correlation between Tertiary planktonic and benthic δ18O time series compared to late Quaternary data. We contend that Tertiary ice sheet growth was commonly driven by warming of deep water from low- to mid-latitude marginal seas (snow gun hypothesis). In contrast, late Quaternary ice sheets grew as deep water, formed at high latitude, cooled. Because tectonic forcing and orbital forcing at low-latitude primarily controlled production and temperature variations of this Warm Saline Deep Water, these influences largely dictated Tertiary ice volume fluctuations. Through the Tertiary, we infer ice volume fluctuations to be an important component of sea level history on timescales between 103 and 107 years.

  3. ASTER: A Brazilian Mission to an Asteroid.

    Science.gov (United States)

    Winter, O. C.; Macau, E. E. N.; de Campos Velho, H.; Carruba, V.

    2012-05-01

    The first Brazilian mission to an asteroid is being planned. The target is the asteroid 2001 SN263, which has a NEA orbit of class AMOR. The mission is scheduled to be launched in 2015, reaching the asteroid in 2019.

  4. Brazilian nuclear programme - energy in Brazil

    International Nuclear Information System (INIS)

    Lima, J.O.V.

    1988-01-01

    The brazilian energetic model, highly dependent of petroleum, have been changed in the sense to adopt diversified and regionalized solutions. This paper describes the role and the perspective of the nuclear energy in this context. (M.I.)

  5. In The Fabric of Brazilian Sexuality

    Directory of Open Access Journals (Sweden)

    Maria Luiza Heilborn

    2006-01-01

    Full Text Available This article is about sexual myths and conducts, aiming to demonstrate the constructed nature of the Brazilian sexuality representation as highly eroticized and malleable. Starting from a constructivist perspective of sexuality, the myth of Brazilian sexual nature is analyzed. There is a widespread idea that Brazilian culture is sexually too open, expansive and warm – which is considered as a positive reference for national identity. Considering historical data and those originated from a survey carried out in three regions of the country with young people of both sexes aged 18 through 24, the article demonstrates that sexual behaviors do not correspond to the socially diffused image of Brazilian sexuality - strongly patterned by gender relations.

  6. Cerebrotendinous xanthomatosis: report of two Brazilian brothers.

    NARCIS (Netherlands)

    Lange, M.C.; Zetola, V.F.; Teive, H.; Scola, R.H.; Trentin, A.P.; Zavala, J.A.; Pereira, E.R.; Raskin, S.; Werneck, L.C.; Sistermans, E.A.

    2004-01-01

    Cerebrotendinous xanthomatosis is a treatable rare autossomal recessive disease characterized by lipid storage secondary to a sterol 27-hydroxylase deficiency in the formation of cholic and chenodeoxycholic acids. We describe two Brazilian brothers with cognitive impairement and chronic diarrhea.

  7. Reports of the Chernobyl accident consequences in Brazilian newspapers

    International Nuclear Information System (INIS)

    Vicente, Roberto; Oliveira, Rosana Lagua de

    2009-01-01

    The public perception of the risks associated with nuclear power plants was profoundly influenced by the accidents at Three Mile Island and Chernobyl Power Plants which also served to exacerbate in the last decades the growing mistrust on the 'nuclear industry'. Part of the mistrust had its origin in the arrogance of nuclear spokesmen and in the secretiveness of nuclear programs. However, press agencies have an important role in shaping and upsizing the public awareness against nuclear energy. In this paper we present the results of a survey in reports of some Brazilian popular newspapers on Chernobyl consequences, as measured by the total death toll of the accident, to show the up and down dance of large numbers without any serious judgment. (author)

  8. Rural education in brazilian education: contradictions and perspective

    Directory of Open Access Journals (Sweden)

    Adriana D'Agostini

    2012-09-01

    Full Text Available This work focuses on the rural education. It aimed to analyze and discuss the rural education in the Brazilian educational context, indicating its character and its importance from the 1990s in the perspective of building an education aimed at human emancipation and that contradictory it is also supported and guided by neoliberal educational policies. From the studies of production on rural education was found challenges, problems, difficulties and contradictions that permeate the attempt to create a perspective of rural education. The concept of rural education was initially developed within the Movement of Landless Workers (MST and other social movements from the political pressure and demands for the state to take over public education / field took dimension of public policy. This complex situation currently directs rural schools, a critical perspective that seeks an education beyond the capital.

  9. Drug abuse among workers in Brazilian regions

    OpenAIRE

    Silva,Ovandir Alves; Yonamine,Mauricio

    2004-01-01

    OBJECTIVE: Many business organizations in Brazil have adopted drug testing programs in the workplace since 1992. Rehabilitation, rather than layoff and disciplinary measures, has been offered as part of the Brazilian employee assistance programs. The purpose study is to profile drug abuse among company workers of different Brazilian geographical regions. METHODS: Urine samples of 12,700 workers from five geographical regions were tested for the most common illicit drugs of abuse in the countr...

  10. Brazilian law for scientific use of animals

    OpenAIRE

    Marques,Ruy Garcia; Morales,Marcelo Marcos; Petroianu,Andy

    2009-01-01

    The Brazilian scientific community claimed for a definitive systematization and for comprehensive and realistic national rules, to provide guidance and regulation, instead of sanctions, so that the question of scientific research involving animals could be better contemplated. This is beginning to occur now with Law n.º 11.794, sanctioned by the President of the Republic on November 8, 2008. PURPOSE: To describe the evolution of Brazilian regimentation for scientific use of animals and to ana...

  11. Brazilian Military Dictatorship: theoretical and historiographical approximations

    OpenAIRE

    Carlos Fico

    2017-01-01

    As is common in the History of Present, there is a significant interconnection between politics and academic research regarding the history of the Brazilian military dictatorship. Consequently, it is essential that well-established theoretical formulations guide archival research. This article discusses the alleged revisionism of the historiography on the Brazilian military dictatorship, argues that the recruitment of young left-wing students for the armed struggle has generated a traumatic m...

  12. An analysis of the Brazilian Reits

    OpenAIRE

    Neto, Antonio

    2016-01-01

    To contribute to the literature about the Brazilian Indirect Real Estate market, this paper studies the impact of diversification strategy and full control / ownership of properties on the performance of Fundos de Investimento Imobiliário (FIIs), the Brazilian version of REITs. I collected information about 110 FIIs and the quantitative analysis suggests that both diversification strategy and full control of properties negatively impact performance of FIIs. Considering past res...

  13. [Theater in Brazilian science museums and centers].

    Science.gov (United States)

    Moreira, Leonardo Maciel; Marandino, Martha

    2015-12-01

    This qualitative research, based on a descriptive and exploratory study, examines how theater is used as a science communication strategy by Brazilian science museums and centers. Data was collected through a survey emailed to 24 Brazilian institutions identified as science museums and centers. Content analysis was performed, using cross-sectional thematic analysis. It was found that respondents' activities could be classified as approaching theater as an educational support.

  14. O mix público-privado na utilização de serviços de saúde: um estudo dos itinerários terapêuticos de beneficiários do segmento de saúde suplementar brasileiro The public-private mix and health service utilization: a study of the therapeutic itineraries of Brazilian supplementary care beneficiaries

    Directory of Open Access Journals (Sweden)

    Eleonor Minho Conill

    2008-10-01

    Full Text Available O trabalho analisou a experiência de saúde-doença-cuidados referida por usuários do segmento suplementar com situações ou necessidades de saúde nas áreas de cuidado cardiovascular, oncológico, saúde mental e obstétrico, no município de Florianópolis, capital de Santa Catarina. Discute-se o processo de escolha das situações marcadoras nessas áreas, o infarto agudo do miocárdio; o câncer de mama, o alcoolismo e o parto, além dos procedimentos sugeridos para explorar contribuições da socioantropologia no campo da gestão. Os resultados revelam a procura de recursos nos subsistemas de saúde profissional, informal e popular, sendo os dois últimos importantes nas áreas da saúde mental e oncologia. O uso combinado dos serviços públicos e da assistência suplementar aparece no cuidado cardiovascular e oncológico. Diversos arranjos se estabelecem no cotidiano assistencial dos usuários quando procuram superar lacunas do acesso e da integralidade da atenção através de suas próprias escolhas, caminhos ou estratégias. A abordagem socioantropológica mostra-se útil para uma compreensão mais abrangente do significado de público e privado no sistema de saúde, bem como dos modelos de cuidados empreendidos pelos usuários.This study analyzes the health-disease-care experience reported by users of the Brazilian supplementary system in cardiovascular, oncological, mental health and obstetric care in Florianópolis, capital of the state of Santa Catarina. It discusses the selection of indicators in these areas such as myocardial infarction, breast cancer, alcoholism and childbirth besides exploring socio-anthropological contributions to the management field. The results show a search for solutions in three interconnected sub-sectors of the system - the professional sector, the popular sector and the folk sector, the two latter being of greatest importance in mental and oncological care. Combined use of public and private

  15. Análise das habilidades cognitivas requeridas dos candidatos ao cargo de contador na Administração Pública Federal, utilizando-se indicadores fundamentados na visão da Taxonomia de Bloom Analysis of cognitive skills required from candidate accountants in the brazilian Federal Public Administration, using indicators based on Bloom's Taxonomy

    Directory of Open Access Journals (Sweden)

    Jorge José Barros de Santana Junior

    2008-04-01

    Full Text Available O presente estudo objetiva detectar, através dos seis níveis de conhecimento da Taxonomia de Bloom, qual a tendência das habilidades cognitivas requeridas, quando da demanda por profissionais contadores pela Administração Direta e Indireta da União, utilizando-se da análise das questões de algumas recentes provas de concursos (1999 a 2006, o que evidenciará um perfil de desempenho intelectual delineado por esse setor público. A partir dessa análise, busca-se fazer uma reflexão sobre os caminhos a serem percorridos, para que o profissional contador possa atingir as demandas de desempenho intelectual exigidas pelo atual cenário de desenvolvimento tecnológico e econômico mundial. O artigo foi desenvolvido utilizando-se do método indutivo, mediante pesquisas bibliográficas e documentais, além de técnicas de investigação estatística. Aborda-se o histórico das últimas mudanças ocorridas no mercado profissional, em especial do setor público, e o entendimento dos fundamentos da Taxonomia de Bloom, apresentando como proposta alguns indicadores de aprendizagem mais voltados para uma realidade atual. O resultado da pesquisa demonstrou que não se está exigindo dos candidatos ao cargo de contador (ou com especialidade em contabilidade os mais altos indicadores de habilidades cognitivas. Verifica-se, portanto, a necessidade de mudanças efetivas nos rumos dessa profissão, para que se possa garantir o espaço almejado para todos aqueles que optaram em trabalhar e desenvolver as Ciências Contábeis.This study aims to detect, by means of the six knowledge levels in Bloom´s Taxonomy, tendencies in the cognitive abilities required when professional accountants are demanded by the Brazilian Direct and Indirect Administration, using the analysis of questions posed during some recent selection exams (1999 to 2006, to evidence the intellectual performance profile outlined by the public sector. Based on this analysis, attempts are made to

  16. Avaliação da qualidade de comprimidos de propranolol e enalapril distribuídos no sistema público de saúde em uma cidade do sul do Brasil Evaluation of the quality of propranolol and enalapril tablets supplied in the public health system in a southern Brazilian city

    Directory of Open Access Journals (Sweden)

    Mariana Domingues Bianchin

    2012-02-01

    Full Text Available A aquisição de medicamentos no serviço público de saúde brasileiro através de licitação com critério de menor preço gera preocupação com a qualidade dos produtos distribuídos à população. O objetivo deste trabalho foi avaliar a qualidade dos comprimidos de Enalapril 10 mg e Propranolol 40 mg adquiridos através de processo licitatório e distribuídos na rede pública de saúde de um município catarinense durante o período de um ano. Foram analisados: o aspecto visual, o peso médio, a friabilidade, o teor de fármaco e o tempo de dissolução. De um total de sete lotes, cinco apresentaram desvio da qualidade. Encontraram-se irregularidades no aspecto visual, peso médio, friabilidade e teor de princípio ativo. A avaliação dos medicamentos além de assegurar que os medicamentos dispensados na rede pública possuem qualidade e que podem ser utilizados com segurança pelos pacientes é também uma ferramenta para a qualificação de fornecedores e um subsídio para o aprimoramento do processo licitatório. Sugere-se a implantação de um sistema de gestão da qualidade que inclua a qualificação de fornecedores, o aperfeiçoamento do processo de licitação, incluindo especificações claras sobre a qualidade dos medicamentos adquiridos, bem como o monitoramento da qualidade integrado a ações de farmacovigilância.The acquisition of medication by the Brazilian public health service through bidding processes based on the lowest price criterion is a source of concern with respect to the quality of the products offered to the population. The scope of this work was to evaluate the quality of Enalapril 10 mg and Propranolol 40 mg tablets bought via the bidding process and supplied by the public health system in a city in the state of Santa Catarina, Brasil, over the course of a year. The visual aspect, weight variation, friability, drug content and dissolving time were analyzed. Out of seven lots, five presented quality

  17. SUS, política pública de Estado: seu desenvolvimento instituído e instituinte e a busca de saídas The Brazilian Unified Health System (SUS, State Public Policy: Its institutionalized and future development and the search for solutions

    Directory of Open Access Journals (Sweden)

    Nelson Rodrigues dos Santos

    2013-01-01

    Full Text Available O texto resgata significados do movimento da reforma sanitária e do movimento municipal de saúde no contexto dos anos 70 e 80, sua força social, política e inovadora na reconstrução democrática na época. A seguir constata que a implementação das diretrizes constitucionais, regulamentadas em 1.990 pelas Leis 8080/90 e 8142/90, vem sendo marcada nos últimos 22 anos por quatro pesados e crescentes obstáculos impostos pela política de Estado a todos os governos: subfinanciamento federal, subsídios federais ao mercado de planos privados de saúde, resistência à reforma da estrutura gerencial estatal da prestação de serviços e, entrega do gerenciamento de estabelecimentos públicos a entes privados. O SUS incluiu no sistema público de saúde metade da população antes excluída, mas estes obstáculos mantêm a cobertura da atenção básica focalizada abaixo da linha de pobreza e com baixa resolutividade. Conclui que a real política de Estado para a saúde nesses 22 anos vem priorizando a criação e a expansão do mercado dos planos privados de saúde para os direitos do consumidor, e secundarizando a efetivação das diretrizes constitucionais para os direitos humanos de cidadania.This paper redeems the significance of the health reform movement and the municipal healthcare movement in the context of the 1970s and 1980s, and its social, politic and innovative power in the democratic reconstruction of the day. It then notes that the implementation of the constitutional guidelines, regulated in 1990 by Laws 8080/90 and 8142/90, has been characterized in the last 22 years by four major and mounting obstacles imposed by State policy on all governments: federal underfunding; federal subsidies to the private health plan market; resistance to reform of the State management structure of service provision; and the handing over of administration of public facilities to private entities. The Brazilian Unified Health System (SUS included

  18. Tertiary evolution of the northeastern Venezuela offshore

    Science.gov (United States)

    Ysaccis B., Raul

    1998-12-01

    On the northeastern offshore Venezuela, the pre-Tertiary basement consists of a deeply subducted accretionary complex of a Cretaceous island arc system that formed far to the west of its present location. The internal structure of this basement consists of metamorphic nappes that involve passive margin sequences, as well as oceanic (ophiolitic) elements. The Tertiary evolution of the northeastern Venezuela offshore is dominated by Paleogene (Middle Eocene-Oligocene) extension and Neogene transtension, interrupted by Oligocene to Middle Miocene inversions. The Paleogene extension is mainly an arc-normal extension associated with a retreating subduction boundary. It is limited to the La Tortuga and the La Blanquilla Basins and the southeastern Margarita and Caracolito subbasins. All of these basins are farther north of and not directly tied to the El Pilar fault system. On a reconstruction, these Paleogene extensional systems were located to the north of the present day Maracaibo Basin. By early Miocene the leading edge of the now overall transpressional system had migrated to a position to the north of the Ensenada de Barcelona. This relative to South America eastward migration is responsible for the Margarita strike-slip fault and the major inversions that began during the Oligocene and lasted into the Middle Miocene. The Bocono-El Pilar-Casanay-Warm Springs and the La Tortuga-Coche-North Coast fault systems are exclusively Neogene with major transtension occurring during the Late Miocene to Recent and act independently from the earlier Paleogene extensional system. They are responsible for the large Neogene transtensional basins of the area: the Cariaco trough, the Northern Tuy-Cariaco and the Paria sub-basins, and the Gulf of Paria Basin. This latest phase is characterized by strain-partitioning into strike slip faults, a transtensional northern domain and a transpressional southern domain that is responsible for the decollement tectonics and/or inversions of the

  19. Brazilian actions to promote physiology learning and teaching in secondary and high schools.

    Science.gov (United States)

    Mello-Carpes, Pâmela B; Granjeiro, Érica Maria; Montrezor, Luís Henrique; Rocha, Maria José Alves

    2016-06-01

    Members of the Education Committee of the Brazilian Society of Physiology have developed multiple outreach models to improve the appreciation of science and physiology at the precollege level. The members of this committee act in concert with important Brazilian governmental strategies to promote training of undergraduate students in the teaching environment of secondary and high schools. One of these governmental strategies, the Programa Institucional de Bolsas de Iniciação à Docência, a Brazilian public policy of teaching enhancement implemented by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) since 2007, represents a well-articulated public policy that can promote the partnership between University and Schools (7). Furthermore, the Program "Novos Talentos" (New Talents)/CAPES/Ministry of Education is another government initiative to bring together university and high-level technical training with the reality of Brazilian schools. Linked to the New Talents Program, in partnership with the British Council/Newton Fund, CAPES recently promoted the visit of some university professors that coordinate New Talents projects to formal and informal educational science spaces in the United Kingdom (Science, Technology, Engineering, and Mathematics, Brazil-United Kingdom International Cooperation Program) to qualify the actions developed in this area in Brazil, and one of us had the opportunity to participate with this. Copyright © 2016 The American Physiological Society.

  20. Futebol mulato: racial constructs in Brazilian football

    Directory of Open Access Journals (Sweden)

    Tiago Fernandes Maranhao

    2011-05-01

    Full Text Available The aim of this paper is to review Gilberto Freyre’s ideas about futebol mulato and the way these ideas have spread the notion of the Brazilian mulatto as a symbol of a ‘racial democracy’, unique in Brazil, around the world. The notion first appeared in 1938 in an article by Freyre for the Diários Associados, an important Brazilian newspaper. Football (soccer was employed by Freyre as the special arena where the multiracial Brazilian nation could shine and show the world a different way of being, opposed to the white and ‘rational’ way of European football. In Freyre’s work, the so-called ‘football-art’ was compared to poetry, while the European style was equated with prose. This essay argues that Freyre’s ideas were useful in constructing the Brazilian identity, a nation of harmony in all its aspects, including the area of race, and how the idea of the mulatto has been used to minimise social disparities within Brazilian society. Freyre’s ideas remain contemporary; many Brazilian intellectuals still refer to these concepts. As well, the press in this huge country, and especially in World Cup years, uses the concepts of mulatto and football-art to characterize Brazil and differentiate it from other countries.