Repositório RCAAP

COSTA, Maria Edileuza da; MANGUEIRA, José Vilian; FERREIRA, Maria Aparecida da Costa Gonçalves. Duas mulheres, dois mundos diferentes, um mesmo destino: análise dos contos "A fuga" de Clarice Lispector e "Eveline" de James Joyce. Revista de Letras, Fortaleza, v. 1-2, n. 29, p.103-107, 2008.

The breast cancer is a pathology that has crescent incidence, in the countries of higher degree of development like in the countries in development. There are evidences that its causes seem to have relation to modern life style, of difficult control. In this context, the efforts are direct to secondary prevention, in order to make an early diagnosis of tumors, trying to avoid a great number of mutilations and ensure higher survival and a better quality of life for women with this type of neoplasy. Among of the methods of precocious detection that had been recommended by Cancer National Institute, until the launch of Consensus to the Control of Breast Cancer, in April 2004, the breast self-examinations had prominence of place, beside medical exam and mammography. However, researches show the women are difficult of breast self- examination adhesion, although this is a painless, fast and free technique. The aim of this study was the comprehension of the psicossociais aspects involved in breast self-examination, in order to offer subsidy to prevention practices in breast of cancer. To realization this study, we based on the Qualitative Epistemology, Gonzalez Rey (2002). It is based on Dialectic Method and shows that the quality and quantity of facts are inseparable and interpedent. In this direction, our study pondered either the structure reality through the numbers as the qualitatives aspects. We accomplished a transversal study, of population base, with 561 women in the Sobral city, state of Ceará, Brazil. 13 women were interviewed. They were considered key – informers for survey. It was made still a group meeting with women who had the breast cancer. The process of the construction of information allowed the identification of six themes: 1. knowledge and frequency of breast self-examination and variable correlated; 2. Imputed meaning and produced sense about breast self-examination; 3. Motivation of the practice breast self-examination; 4. Resistance to practice of the breast self-examination; 5. Talks and insight sense in the education actions; 6. Re-think the preventive practices in breast cancer. Based on the process of information construction, we understand the cancer social representation, which influences the acceptation of breast self-examination. The breast self-examination is associated with breast cancer and this fact increases the fear of women. We conclude that the breast self-examination isn’t a simple technique to make. It needs support to find any alteration in breast. We also conclude that there is sufficient knowledge to make primary prevention in breast cancer. It is necessary to understand that the illness process is complex and involves subjective, physics, social and environmental aspects.

In this paper we develop and apply the theory of homology metric, created by Jean Paul Brasselet and Lev Birbrair. Each set semialgébrico X associate a collection of real vector spaces (or abelian groups) ^ {MH_k ν (X)} _ {k} є Z so that it is given another semialgébrico X 'semialgebricamente which is bi-Lipschitz equivalent to X, then ν MH_k ^ (X) is isomorphic to MH_k ν ^ (X ') for all k. Thus, the collection {^ MH_k ν (X)} carries some information metric semialgébrico X. In particular, we have necessary conditions for an isolated singularity x_0 belonging to X is conical. More precisely, given a submanifold compact L of a sphere S_ {x_0, r}, we compute the groups MH_k ^ ν (x_0 * L) in terms of singular homology of L, where x_0 * L denotes the cone {tx_0 + (1-t ) x, x belonging to L, t belonging to [0,1]}. Allied to the metric we have the homology cycles Chegger, geometric objects that obstruct the nature of a conical singularity. As an application of the theory, we present a class of complex surfaces whose singularities (isolated) are non-tapered.

There are several clinical methods to evaluate obesity, it being used mainly the body mass index (BMI) and the waist circumference (WC), this one reflecting central obesity. Recent studies have suggested that an upper body obesity distribution also have relationship with high cardiovascular risk (CVR). This study aimed to evaluate neck circumference (NC) and scapular circumference (SC) as upper body obesity indexes, and their relationships with others anthropometrics parameters and CVR factors. Eighty-eight adults voluntaries were evaluated, since 2008 October to 2009 January, at the CSAM-SMS/UFC; 24/88 (27,3%) were males and 64/88 (72,7%) were females. The main means were: age - 39,1 ± 10,9 years old (men - 36,5 ± 10,1 and women - 40,0 ± 11,1; p=0,2); BMI (kg/m²) - 28,9 ± 4,7 (men - 28,7 ± 4,6 and women - 29,0 ± 4,8); NC (cm)- 35 ± 3,4 (men – 39 ± 2,6 and women - 33,5 ± 2,0); SC (cm)- 94,1 ± 8,4 (men - 99,8 ± 8,2 and women - 92,0 ± 7,4); WC (cm) - 94,2 ± 11,3 (men - 98,7 ± 11,0 and women – 92,6 ± 11,0). In this group, 38/88 (43,2%) voluntaries had metabolic syndrome (MS) (IDF criteria). There was a significant correlation (p<0,05) between NC and: WC, braquial circumference (BC), SC, BMI, waist-to-hip ratio (WHR), SBP, DBP, uric acid, AST, ALP, ferritin, HDL-Chol, triglycerides and fasting glucose; and with SC: WC, BC, BMI, WHR, SBP, uric acid, GT, AST, ALP, ferritin, HDL-Chol, triglycerides, fasting glucose and HOMA. NC and SC as upper body obesity indexes in this group showed correlations with other obesity anthropometrics parameters, with MS components and with laboratories parameters of MS associated diseases, hyperuricemia and nonalcoholic steatohepatitis. These data suggest the utility these circumferences and, particularly NC, would be an important tool to evaluated obesity and MS, due your simplicity and easy execution. However, subsequent studies are necessary to confirm these data and to define NC and SC cut points in both sexes to predict overweight, obesity and MS.

The problems which we address in this work are directly related to the existence of elements in the derived subgroup that are not commutators. Our purpose is to present the results of Tim Bonner [1]. In his paper, one finds estimates for the ratio between the commutator length and the order of group (more precisely, upper limits and the establishment of its asymptotic behavior), leading to the proof of Bardakov's Conjecture.

VEIGA, Márcia Pereira da . A ironia pragmática em A hora da estrela. Revista de Letras, Fortaleza, v. 1/2, n. 29, p. 33-41, 2008.

VIANA, M. N. Avaliação de práticas de logística reversa para resíduos sólidos no setor hoteleiro: pousadas da praia de Canoa Quebrada - Aracati. 2009. 143 f. Dissertação (mestrado) - Universidade Federal do Ceará. Programa de Mestrado em Logística e Pesquisa Operacional, Fortaleza-CE, 2009.

The program for control of Chagas disease (PCCD) was implemented in the State of Ceara in 1975. The cities involved had a follow-up concerning the capture of triatomines, initially by a triatominic survey followed by several evaluations in periodic cycles between 1975 and 2002. During this period there was no systematic evaluation of the program activities or about its impact on the vectorial control, exiting, therefore, a shortage of scientific production regarding the epidemiology of the vectorial control of Chagas disease. It was necessary to have an updated evaluation of the epidemiological situation in the State of Ceara. The research aimed at describing the actions carried out to evaluate indicators of structure-process and of impact of the PCCD in the period from 1975 to 2002. Moreover, another objective of this investigation is to describe some epidemiological characteristics of the disease vector (main species found, index of natural infection of vector and its geographic distribution). We conducted an ecological-descriptive epidemiological study through the survey of the information collected in the routine of the control program recorded in the annual reports of activities of the PCCD of the National Foundation of Health ? FUNASA at the State of Ceara in the period from 1975 to 2002. The indicators relevant for the study were: the indexes of dispersion (positive places), vectorial infestation (at the domiciliary units and in the intradomiciliary environments), coverage of places and domiciliary units in the activities of research and spraying, index of infection by triatomines and major species captured. The methodology of PCCD applied at Ceara State was presented by a description of the program activities. The secondary data presented outline a profile of the current situation of the mentioned program at Ceara State. The major species are: Triatoma brasiliensis, Triatoma pseudomaculata, Panstrongylus megistus, Rhodnius nasutus e Panstrongylus lutzi. Until 2002 it was implemented the Epidemiological Watch (EW) in 13 towns: Aracoiaba, Baturite, Guaramiranga, Mulungu, Pacoti, Maranguape, Pacatuba, Camocim, Martinopole, Chaval, Sobral, Meruoca e Alcantara. We conclude that during the 27 years of activities of the PCCD, there was a high coverage of the program activities in all of Ceara State. There was a significant reduction in the index of infestation in some towns and we found a smaller number of specimens naturally infected by Trypanosoma cruzi among the major species captured in Ceará.

This work shows results existence and uniqueness of graphs with prescribed mean curvature. We demonstrate that a natural fixation Dirichlet problem for graphs of average curvature is required to consider those graphs like leaves on a Riemannian submersion Killing transversal cylinder, the cylinder given by flow lines of a Killing vector field. Using this approach, we are able to solve the problem in a way more comprehensive, giving a unified proof and existence results.

In this paper, we prove theorems establishing sufficient conditions to existence for isometric immersions with prescribed extrinsic curvature in two-step nilpotent Lie groups and solvmanifolds. We obtain a generalization of the Fundamental Theorem of Submanifold Theory in Rn and, in particular, we one has immersion results in the generally Heisenberg type groups and Damek-Ricci spaces.

In this work we develop a fully nonlinear theory for singularly perturbed elliptic equations problems with high energy activation. We esta-blish uniform and optimal gradient estimates of solutions and prove that minimal solutions are non-degenerated. For problems governed by concave equations, we establish uniform weak geometric properties of approximating level surfaces. We also provide a thorough analysis of the free boundary problem obtained as a limit as the parameter term goes to zero. We find the precise jumping condition of limiting solutions through the phase transi-tion, which involves a subtle homogenization process of the governing fully nonlinear operator. In particular, for rotational invariant operators, $F(D^2u)$, we show the normal derivative of limiting function is constant along the interface. Smoothness properties of the free boundary are also addressed.

This paper analyses the technological adoption process in culture of cashew from Ceará. To reach this objective a survey was made from producers located in Ceará. As for measuring the technological level of roducers were analyzed variables related to the practices of the system of culture of cashew. Moreover, we estimated the coefficients of the variables that influence the likelihood of technology adoption by regression function Cumulative Distribution Logistics Standard (Logit). It was observed that the farms occupied by the in nature cashew has the best technology level, using the recommended 46.7%, while those occupied with cashew for nuts and juice use only 36.4 and 30.1%, respectively. The access to credit, the price of nuts and the peduncle were the main factors decision of technological adoption process in culture of cashew from Ceará.

This study analyzes social benefits created by Ceará government incentives to papaya producers from 2001 to 2006. As theoretical basis, it was considered an approach of the economic surplus of Marshall and simultaneous equations model. Results indicate that the supply price-elasticity of papaya is very high. In spite of the decrease in quotes, there was a boost in the average amount supplied. The reduction in prices and increases in quantity are responsible for the rise in the society welfare. The aggregate value of total and per capita social benefits were of 3,163,045.00 reais and 39 cents of real, respectively. It shows the importance of actions taken by the government to reduce the cost of production in order to stimulate the development of fruit crops at Ceara state. The total social benefits of 4,690,042.00 reais were obtained by creating direct job opportunities of 1,876,016.00 reais and indirect employments of 2,814,025.00 reais. The producers received a boost in their average per capita income and total revenue of 167.05 percent and 282.74 percent, respectively. As a result, it is possible to conclude that many programs related to promote fruit production in Ceará have showed a boosting trend in production of papaya and in number of employments created.

The aim of this paper is to econometrically evaluate the efficacy of the Industrial Development Fund of Ceará (FDI) regarding its objective of job creation. The analysis comprehends the period 1995 - 2001, where the mechanism of incentives was largely utilized. By means of a data base containing information about firms that received incentives and decided to locate in the state, three different specifications are estimated: a first one, uses only a cross-section of the complete data set and the other two employ the whole sample. To handle the problem of endogeneity inherent to the cross-section model, an unusual instrumental variable is employed: the political configuration in the state and counties. As to the panel data specifications, the endogeneity problem can be handled by means of a fixed effects model. As a general result, the econometric evaluation concludes that the industrial program did not help to generate jobs. This conclusion is important for future elaborations of changes in the industrial policy of the state of Ceará and other states of the northeast of Brazil.

The objective of this paper is to re-evaluate the effect of the 1985 ”Employment Services for Ex-Offenders” (ESEO) program on recidivism, in San Diego, Chicago and Boston. The initial group of program participants was split randomly in a control group and a treatment group. The actual treatment (mainly being job related counseling) only takes place conditional on finding a job, and not having been arrested, for those selected in the treatment group. We use interval-censored proportional hazard models for job search and recidivism time, where the latter model incorporates the conditional treatment effect, depending on covariates. We find that the effect of the program depends on location and age. The ESEO program reduces the risk of recidivism only for ex-inmates over the age of 27 in San Diego and Chicago, and over the age of 36 in Boston, but increases the risk of recidivism for the other ex-inmates in the treatment group.

This research work has as main objective to propose an econometrical model with panel data, validated by empirical analysis, to identify the impacts in the results of the company, after the implementation of an ample salesforce compensation program. Additionally, is intended to identify if the different social-economic profiles of the employees can bring different results with the implantation of the program. The analysis is based on a change in the wage structure of the salesforce occurred in the company in 2005. This "natural experiment" was basic for the econometrical analysis, with macroeconomic, microeconomic and social-economic variables and the introduction of the program. To the end of the empirical study, being based on research carried through in authors as Ehrenberg (2000), Robert Milgrom (1992), Misra (2005), Coughlan (1989), Lazear (2000), Basu (1985) and in the J. Macedo S/A, the main objective was achieved, in other words, it was demonstrated that the implementation of the new compensation model brought a strong positive result on the volume sold. The estimation of the coefficient of the dummy variable, representative of the implementation of the program, evidenced, with high statistic significance degree, a monthly increase of 32.8 tons in the average of the amount sold for salesman.

The integrated studies if have become one of the forms of analysis of the complex relation man-nature. This makes of the geossistêmico method the main instrument of interpretation of the dynamics of the landscape and the intrinsic relations to same with a the antropogênica action. Of this form, the present dissertação focuses the integrated studies of the geoambientais units and the impacts in the paraense coastal zone, specifically the Island of Algodoal-Maiandeua/PA, located the 170 km of the capital - Belém. Geossistema was the starting point of the present analysis, focusing the localization, the interpretation, and the espacialização as objective generality of the research. Geoambientais, characteristic units had been defined geologic-geomorfológicas, taking in consideration the forms of use and occupation. The thematic cartography became continuous process and synthesis of the research, being primordial in the localization of the main forms of use and occupation, as well as in the estruturação of the proposal of the ecozoneamento disciplining some uses. Sugestiona, still, a plan of management integrated of the Coastal Zone as end item of the present work. This research searched to be the base of a new estruturação of the territory better to equate the existing ambient problems in the studied area.

O conceito de humanização tem ocupado um lugar de destaque nas atuais propostas de reconstrução das práticas de saúde no Brasil, no sentido de sua maior integralidade, efetividade e acesso. O Programa Saúde da Família condiz com a proposta de humanização do setor saúde, por propor mudanças no modelo assistencial tradicional a partir de ações voltadas para a atenção primária centrada na família. Estudo transversal, domiciliar, quantitativo, teve por finalidade avaliar a atenção básica de Fortaleza, sob a ótica de mães de crianças menores de 5 anos. Vale ressaltar que a capital do Ceará, Fortaleza, está passando por um processo de re-estruturação da atenção básica com a implantação de novas equipes de PSF. Com 98 unidades básicas de saúde e 304 equipes de PSF (45% de cobertura), a capital possui uma população estimada pelo IBGE para 2007 de 2.431.415 habitantes; destes, 234.674 são crianças menores de 5 anos. O estudo utilizou uma amostra probabilística constituída de 350 mães distribuídas nas seis Secretarias Regionais de Saúde de Fortaleza. A entrevista abordou aspectos relacionados às características socioeconômicas e demográficas, acessibilidade, humanização e satisfação com o atendimento. Para análise estatística foram calculadas as estimativas de proporções, qui-quadradro, OR e RR com intervalo de confiança de 95%, utilizando-se os programas Epi-info 6.04 e SSPS. Os resultados mostraram que 93,4% das famílias eram usuárias exclusivas do SUS. Quando indagadas sobre a trajetória de busca de atendimento 68% das mães procuravam os serviços de atenção básica, sendo que 89,7% procuravam diretamente o serviço de saúde. Quanto à relação estabelecida entre profissional/ cliente, 57,7% das mães sabia o nome do profissional que as atendeu, 63,7% informaram terem sido tratadas pelo nome por ocasião da consulta, 72,3% afirmaram que o profissional examinou a criança e deu orientações, 78,8% compreenderam as informações recebidas. Sugerindo uma vinculação positiva dos usuários aos serviços. Ao correlacionarmos algumas variáveis de assistência à saúde ao nível de satisfação pelo atendimento recebido, pudemos perceber claramente que as relações de comunicação entre os profissionais e as mães, apresentaram significância estatística. Dentre estas variáveis podemos apresentar: saber o nome do profissional (p<0.03); profissional tratou mãe/criança pelo nome (p=0.00), profissional examinou a criança e deu informações (p=0.00), mãe compreendeu todas as informações recebidas (p=0.00). Esse fato reforça a necessidade de uma adequação das consultas para todos os profissionais que atendem nas unidades de saúde da família de Fortaleza. Quanto ao nível de satisfação e a acessibilidade ao serviço, constatou-se que as variáveis que apresentaram significância estatística foram: satisfação por ter conseguido atendimento no dia que precisaram (p<0.05), tempo de espera para realização da consulta (p=0.00), e por terem sido encaminhadas ao PSF pelo ACS (p<0.04). Verificou-se ainda que, as salas de espera com entretenimento para a criança influenciam diretamente na satisfação das mães (p=0.00). O estudo mostrou que a maioria das mães (62,3%) esta satisfeita com o atendimento recebido por seus filhos nos serviços de saúde em Fortaleza, no bojo dessa satisfação, os profissionais mais destacados foram os médicos.

Our objective was to describe, in a historical perspective, the epidemiological profile of plague in the State of Ceará since 1900 and the evolution of the activities of the disease control from 1980 to 2008. We carried out a descriptive study using an historical approach based on the oral history for the construction of epidemiological and operational scenarios and a review of the historical and epidemiological information about the plague control program. To strengthen the information obtained, we conducted interviews with experts in the area. Historical records of human cases have been recovered only from 1935, and periods of intense activity and others of quiescence were identified. It is noteworthy that in the years 1980 plague persisted as endemic in Serra da Ibiapaba until 1986. In the period from 1982 to 1985 there was an outbreak in Serra de Baturité with 89 confirmed human cases; a rise of the rodents’ population and significant increasing in the activities of the program were observed. In the 1990s, only three human cases were confirmed in Serra da Ibiapaba and in 2005 another case was confirmed in Serra da Pedra Branca. The decline of human cases after 1986 led to the reduction of the program activities. For several decades the activities of the Plague Control Program (PCP) included health education, active search for plague activity and collection of specimens for bacteriological and serological analysis. Serological surveys in domestic carnivores (dogs and cats) predators of rodents were introduced into the routine of PCP in 1989 to monitor Y. pestis activities in the foci proving the most effective tool to detect the zoonosis activities in the foci. In spite of the occurrence of positivity peaks detected in 1997, 2001 and 2005, this activity has been diminished in the state and the present recommendation is to restrict the serological surveys to canine samples only. The Ceará foci are located in the ecological complexes of the “serras” Baturité, Machado, Matas, Pedra Branca, Uruburetama, Ibiapaba and Araripe. The foci area were formerly dealt as ecological units; however after the political/administrative division of the areas, in view of the “decentralization process”, they are now scattered among the “Regionais”. The Ceará foci are among the most important in Brazil, both by the number of human cases and by evidence of the permanent circulation of the bacterium. The persistence of plague in the state should therefore be considered a real and permanent risk in these regions, which may extend to other places, including urban centers, making it imperative that health professionals are prepared. Therefore, to ensure the monitoring of the foci, it is essential to maintain surveillance under the ecological approach, to enable the adoption of appropriate control measures for protection of human populations in focal areas.

Objectives: characterize eating habits and possible risk factors associated with Eating Disorders, amongst female adolescents in Fortaleza-CE, Brazil. Methodology: transversal study, with 652 women between 14 and 20 years of age, students of the second year of Middle-level education. The Bulimic Investigatory Test Edinburgh (BITE), the Body Shape Questionnaire (BSQ) and the Eating Attitudes Test (EAT-26) were used. Results: 73.6% of the subjects are out of risk for development of an Eating Disorder, 25.2% are at risk and in 1.2% a strong possibility of eating disorder in course was found. The proportion of adolescents who showed risky habits was greater in private schools (p<0.05). According to the EAT-26, 9% of the sample showed a score (>=21) which characterizes them as being at risk and practicing pathological eating habits. The BSQ indicated that 36.2% of the adolescents showed concern with their body image (BI); of these, 61% (n=236) were concerned to a degree considered mild, 26.3% showed a moderate concern and 12.7% showed serious concern with BI. Students at public and private schools demonstrated a similar desire to be thin, but adolescents from private schools more frequently used inappropriate practices in order to reach that wish. Conclusion: Adolescents who demonstrate eating disorders in their clinical form, are a rare phenomenon in public and private schools in Fortaleza, whilst the symptoms of eating disorder, either isolated or in small groups, occur with relevant frequency amongst the population studied.