Navegando por Data de Publicação, começando com "2018-05-14"

Filtrar resultados por ano ou mês

Agora exibindo 1 - 2 de 2

Fluxo e acesso assistencial: mecanismos da regulação em saúde entre a atenção básica e a especializada
(Universidade Federal de São Carlos, 2018-05-14) Tangerino, Lariana Cássia Pereira; Feliciano, Adriana Barbieri; https://lattes.cnpq.br/9398810638733882; https://lattes.cnpq.br/0870498096542954
The health like right in Brazil, guided by equal terms have been affected by the current situation of the country due to its diversity and magnitude of both territorial and regional features. The Single Health System and some its policies (Basic Attention National Policy, Health Attention Systems, National Regulation Policy) seek for guaranteeing care integrality, promoting accessibility with continuous assistance and rational operation of the existing resources. The aim of this study was to analyze the performance of a municipal regulation system within the scope of the relations among Basic Attention, Specialist Assistence and Regulation Center, in order to provide a reflection about both the potential and the improvement opportunities in the services of scheduling medical appointments and exams. The conduct of this research was based on the qualitative approach assumption. The chosen city for the research development was Araraquara (SP). For data collection method, there were meetings to hold focus groups. The participants were the administrative agents, nurses and doctors of Basic Attention from a predetermined area, people responsible for scheduling appointments and the servants of Regulation Center, a total of 31 people. Data was examined from the point of view of the subject content analysis. The 31 participants were: 5 nurses, 14 doctors, 11 administrative agents and 1 licensed practical nurse. After the exhausting reading of the recorded and transcribed answers, it was possible to group them according to the contexts they referred to, in main topics and their categories. The main catalogued issues were: “The Health Care Attention System”, “The City Scheduling System”, “The use of protocols for Clinical Evaluation” and “The Permanent Education in health”. Through this data, it was possible to identify that the already established actions to review the scheduling system in such city have provided significant improvements in the employments’ work routine and also facilitated patients’ access to health. However, these mechanisms, have also brought some challenges that require confrontation by management and workers in order to solve communication problems, information systems, document records, employee improvement and qualification of their professionals.It is suggested to the municipality to face these challenges, adjustments in the use of protocols for clinical evaluation, provide systematized training for all categories of Basic Attention, have matrix support and use of only one information system.
Estratégias de invasão de Hedychium coronarium J. König (Zingiberaceae)
(Universidade Federal de São Carlos, 2018-05-14) Costa, Rosane Oliveira; Guaratini, Maria Tereza Grombone; https://lattes.cnpq.br/5774910805378453; Matos, Dalva Maria da Silva; https://lattes.cnpq.br/4728734263109138; https://lattes.cnpq.br/9141787027368618
The invasion of natural ecosystems by exotic species threats world biodiversity, causing competitive exclusion of native species and loss of ecological interactions, compromising ecosystem functions and services. Invasive species often resist to environmental variations and are capable to develop strategies that increase their competitive ability. Hedychium coronarium J. König (Zingiberaceae) is an herbaceous macrophyte native from Himalaya, considered an aggressive invader on Americas. We investigated its dominance mechanisms and the effects on associated terrestrial and aquatic communities. We evaluated 1) the effect of intraspecific competition (rhizomes density) on sprouting and growth of aerial and subterraneous parts of H. coronarium on different light conditions; 2) the interspecific competition, by estimating the seedling growth of a native tree species (Anadenanthera macrocarpa) on the presence/absence of the invader; 3) the phytotoxicity of the essential oil from H. coronarium rhizomes on the germination of native riparian tree species; and 4) the toxicity of aqueous extract of H. coronarium rhizomes on aquatic organisms (algae, macrophyte, cladoceran, insect and fish). H. coronarium showed similar performance and occupation capacity on opened and shaded environments, suggesting the existence of a compensation mechanism of resource allocation on different light and density conditions. The presence of H. coronarium harmed the growth of A. macrocarpa seedlings independently of the removal of aerial part of the invader. The secondary compounds of essential oil of H. coronarium rhizomes affected the germination of native riparian tree species. The aqueous extract was toxic for all tested aquatic organisms, indicating possible alterations on trophic chain dynamic of invaded aquatic ecosystems. Our results suggest that H. coronarium use different invasion strategies and impose multiple negative effects on native communities, highlighting their high invasion potential and capacity of promote ecosystem changes.