Repositório RCAAP

FURTADO NETO, M. A. de A. et al. Uso de sequências do mtDNA para identificação de um exemplar de Golfinho Rotador, Stenella Longirostris (Gray, 1828), encalhado no Estado da Bahia, Brasil. Arquivos de Ciências do Mar, Fortaleza. v.31, n.1/2, p.83-91, 1998.

It is recognized, by means of the empirical comment, that the Model of Basic Attention, operacionalizado for the Strategy Health of the Family, still does not function in its fullness, a time that is not made use of systemize and validated mechanisms, for its monitoring and evaluation. Thus, structuralized in three components: the Project of Expansion of the Health of Família (PROESF), of the Health Department, which appeared with the objective to extend the attendance covering, objectifying in its third component: "Monitoring and Evaluation" the institutionalization of the evaluation in the basic attention, by means of the fortifying of the actions of monitoring and evaluation of the state secretariats of health. This study drift of a concrete experience in the operacionalization of the objective, having as objective to understand the experiences and perceptions of technician and managers of the Secretariat of the Health of the State of Ceará (SESA-CE) in relation to practical of developed evaluation and the monitoring in the local level. The methodology is enrolled in the qualitative boarding and the studied population encloses the responsible group for the basic attention (NUORG), key-informers for the understanding of the conceptions about the evaluation of the basic attention in health. We use the technique of focal group for the apprehension of the empirical data. From the reading and rereading of the narratives, three subjects had emerged central offices: nature and purposes of the evaluation; the experience with evaluation; and the space of the quality in the evaluation, that constitutes the central axle of our analysis. These subjects, in turn, are unfolded in dimensions, that clarify the narrow interface of the empirical categories in the narratives of the informers. Amongst the main findings it is proven that the conception of evaluation formulated for the informers not they are in agreement with the practical one of service of the group, the evaluation process is not taken the handle and the experiences and evaluation practice of health if they always give in reply to a verticalized demand. In addition, the gotten results do not contribute for a reformularization accomplish of proposals and concrete interventions in the service. Also the involved ones in the service do not participate of the process of quarrel of the evaluations of programs and services of health, what it makes with that the evaluation concept little is understood by the informers, becoming consumed it in the process of operacionalization of the activities in the services. Moreover, the consuming also happens due the interruptions in the avaliative process and weak envolvement of the actors of the health service. The term quality is used, simply, in the objective dimension, consonant the traditional avaliative model. In the avaliative experiences, the normative approach prevails, with quantitativist boarding, showing a distance in relation to the qualitative-participative approach.

Since the creation of the Brazilian Public Health Care System (SUS) and the Family Health Strategy (ESF), many profound changes have taken place in Health practices. The ESF imposed new management responsibilities and a demand for more qualified and committed professionals. Thus is the dilemma of overcoming the quantitative expansion phase of ESF and now the consolidation of the quality of action taken and its respective integration with the rest of the SUS health care network. The literature has underscored, and this study has proven, that there exists a true lack of alignment between Health graduation programs and SUS´ need for general practitioners competent enough to work within the Primary Health Care context. The focus of analysis of this paper is based on an educational needs assessment perceived by the professionals who work within the Family Health teams. A study which is primarily a qualitative approach stemming from statements gathered from Health Care professionals, from Focus Groups and individual interviews, with a scope of analysis based on the method of Content Analysis, Categorical and Thematic (Bardin, 1979). The population selected for the study is comprised of higher education civil servants who work in the PSF of the municipality of Fortaleza, State of Ceará. Many different means of expression were identified from the professionals heard in the study, which reflect the needs perceived in terms of desires, interests, social and cognitive needs perceived or imposed on these health care professionals. The life experience, training of the individual and professional, generate a constant movement of both action and reflection, which are indispensable in terms of the professional choices which are made, “Life Long Learning”, how they relate to others, world vision and the Health-disease process. The results of the analysis express the need for competencies which are constructed during practice instead of through formal educational processes (meaningful learning) in order to work in the ESF context. The professionals have shown that, for the most part, they have knowledge about thematic content which is normatively defined, however, they manifest difficulties related to attitudes and skills, thereby identifying the need for “Life Long Learning”. Therefore, Technologies need to be developed in order to support Health Education. This technology should be based on the needs perceived by the professionals, managers and users of SUS.

Underreporting is one of the major problems challenging epidemiologic AIDS surveillance. The objective of this study was to estimate the level of underreporting of AIDS in adults in Fortaleza in the period 2002-2003 using the capture-recapture method. In addition, the level of underreporting at two hospitals for AIDS referral (Hospital São José – HSJ, and Hospital Geral de Fortaleza – HGF was estimated. The study relied on three secondary databases: SINAN (national disease surveillance), SISCEL (laboratory test control) and SIM (mortality information). The systems were compared and cases confirmed by SINAN were considered as reported. Cases from the two databases were paired using the software RecLink II. Subsequently cases eligible for the capture-recapture method were selected using the Lincoln-Petersen and Chapmam estimators. The levels of underreporting were estimated at 33.1% and 14.1% for SISCEL and SIM, respectively. Underreporting for SISCEL was 5.4% at HSJ and 90.5% at HGF. The study shows a considerable level of underreporting of AIDS cases in Fortaleza for the period 2002-2003 and suggests that SISCEL is an important source of AIDS reporting considering that it allowed to detect levels of underreporting more than twice the estimates derived from the sources SIM and SINAN. The level of underreporting was considerably higher at HF than at HSJ. The software RecLink II was shown to be a practical tool for identifying cases not reported to SINAN. The capture-recapture method is a simple, time-saving and inexpensive way to compare two systems when necessary. Considering the findings of the present study, SINAN-AIDS should be compared monthly with all relevant information systems in order to reduce levels of AIDS underreporting.

Addresses the health practices in the SUS, with the object of analysis the development of actions in environmental health and worker at primary health care (PHC) in Quixeré-Ceará. Was taken as the base area and undertook a perspective on the transformation processes under the economic development model promoter of changes in the way of life of communities and workers. The objective was to contribute to the effectiveness of policy and environmental health worker in PHC, realizing the territorial (social map, labor and environmental) that have a dialogue with the health needs and quality of life in the territory. We used action research, forming a group of 14 persons representing the City Council Health, social movements, agricultural workers, users of SUS association, PHC professionals, teachers and councilors to discuss the intersection of these fields in the APS and propose actions in the Family Health Strategy (FHS) and the city. This research resulted in the redefinition and recognition of the territory, arising from the interpretation of the subject and approach to the issues of community interest. The appropriation of the territory took place as the group rethought the model of economic development, highlighting problems such as land tenure, ie, loss of land by peasants, promoting the expulsion from the countryside to the urban periphery, constituting labor employed with an intense flow of people, contributing to the worsening of social problems like prostitution, drug addiction and violence. It was identified that the agro-export model of agriculture implies deforestation, exhaustive use of land, water and agrochemicals, leading to the extinction of animals and plants associated with the generation of unproductive soil, typical impacts to human health as changes in eating habits, work and culture, favoring the increase of obesity, hypertension, psychological problems, malnutrition, allergies and persistence of diseases such as Chagas worms, dysentery, dengue fever, among others. Stood out as potential agribusiness generates harm the health of workers and communities, overwhelming public policies, especially health services that are new in coping with work-environment issues. APS refers difficulties in operationalizing the health worker provided guaranteed access to comprehensive health care, prioritizing care actions for specific groups. Associated to this the weakness of the government in the supervision and support to communities before the agricultural modernization conservative who seizes and uses indiscriminately the territory. The group proposed an action plan which highlights the need for joint action of public policies (disciplinary and intersectoral) in addressing the problems related to work-environment, including the local and global impacts are unevenly felt and lived by different social sectors, promoting a fertile ground for rethinking and restructuring the responsibilities of municipal management. Points to the involvement of the population as a path to social transformation of local base, expanding the exercise of power by social control and social movements, understanding the complexity of reality, locking EU debates, political and ideological reflecting and expressing the aspirations of the people the plateau of Apodi-CE.

COSTA, Maria Edileuza da; FERREIRA, Maria Aparecida da Costa Gonçalves. O prazer da literatura: o uso do texto literário em sala de aula.Revista de Letras, Fortaleza, v.1-2, n. 28, p. 48-51, 2006.

O crescimento dos casos de Aids em pessoas de 50 anos a mais chama a atenção, principalmente na última década. Este estudo teve como objetivo descrever as características epidemiológicas de pessoas com 50 anos a mais vivendo com HIV/Aids no Estado do Ceará. Método Realizou-se um estudo transversal, em um hospital de referência terciária localizado em Fortaleza-CE, no período de setembro a novembro de 2008. Um questionário semiestruturado foi aplicado a 200 pacientes com HIV/Aids, de 50 a 83 anos de idade. Foram comparadas as diferentes proporções, separadamente para homens e mulheres com (IC 95%). Utilizou-se o teste do Qui-quadrado, de Pearson, ou Exato, de Fisher, quando apropriado. Resultados. Do total, 72,5% dos pacientes eram homens com média de idade de 63,5 anos; 53,5% tinham menos de oito anos de estudo; 69,0% residiam em Fortaleza; 51,0% pertenciam ao “Estrato econômico D/E”, revelando as precárias condições de vida materiais desta população. O sexo feminino predominou com as cores parda (74,5%) e preta (7,3%), níveis de instrução mais baixos e maiores proporções de viúvas (51,5). As mulheres foram menos sexualmente ativas (22,0%) e somente uma (0,8%) relatou mais de um parceiro nos últimos 12 meses. A atividade sexual diminuiu com a idade: 60,2% entre 50-59 anos e 42,8% entre aqueles com 70 anos e mais; 48,0% dos pacientes relataram média de seis relações sexuais ao mês. Homens usaram mais preservativo em relações casuais (96,5%), entre as mulheres o menor uso foi nas relações fixas (80,0%). O sexo vaginal predominou com 70,0%; o sexo oral e anal foi pouco frequente entre as mulheres e 33,0% dos pacientes referiu sexo comercial em algum momento na vida. No conjunto da população masculina, 41,0% referiram contato sexual com outro homem; 52,5% descobriram o diagnóstico entre 30 e 49 anos; 31,0% mostraram a média de 17 anos de diagnóstico; 59,0% nunca fizeram o teste anti-HIV antes da infecção; 76,0% referiram aquisição da doença por via sexual, homens com parceiro desconhecido (44,1%) e mulheres com parceiro conhecido (69,1%); 17,0% não têm ideia de como se deu a infecção. O uso de álcool foi prevalente e de drogas injetáveis foi raro. Conclusão. A análise mostrou diferenças entre os sexos, diagnóstico tardio, envelhecimento com a aids, alto uso de preservativo após a infecção por HIV e pouca percepção em estar em situação de risco. Estes achados remetem à necessidade de um programa voltado especificamente para esta população com 50 anos ou mais.

This thesis analyses the “educational” background of the correctional system’s health field professionals. To facilitate the evaluation, this study divided their formation in four categories: formal, informal, offered by the correctional system or searched by the own professional. It also exposes the difficulties in analyzing informal experiences in order to propose a formal “education” capable to provide the professional development they need and also accomplish the correctional system main goal: the inmate’s return to the community. The main goals of this study are: to do an evaluative research of the Ceará state’s correctional system professionals’ formal or informal formation and its interface with the inmate re-socialization, aiming at proposing principles and themes which integrates both formations; to evaluate the professionals’ background by identifying the informal curricular elements and is interface with the inmate re-socialization; to elaborate a cartography of knowledge and practices using the professionals’ experiences, as well as to propose a thematic matrix which continued formation of re-socializing professionals; and, at last, to propose a method to evaluate the correctional system’s health field professionals’ formation. This study states the following thesis: the knowledge and practices experimented by the Ceará state’s correctional system professionals, acquired from a graduated education or not, can be redefined and added by using a curricular matrix with methods to make possible the inmates’ re-socialization. The analytical study used a dialectic approach methodology. Statistical cross-data analysis was done to find correlations in the more than 1327 courses done by the professionals. Interviews, documental analysis, conceptual chart, and field diary were the methodologies used to acquire data. The analysis’ result showed that the professionals’ formation is inadequate to the nature of their work. It was presented a proposal of a formalized continued education. The knowledge and practices cartography showed that all the professionals’ knowledge and practices were acquired by himself and through the interaction professional-professional and professional-inmate, therefore, evidencing an informal education. It was presented a method to evaluate the correctional system’s health field professionals’ formation

This research aimed at the understanding of the perception, existence and confrontation of children bearing psychological suffering, who attend the Centro de Atenção Psicossocial Infantil (CAPSi) Maria Ileuda Verçosa. The psychological suffering was analyzed based on Winnicott’s theory, through the theory of human development, where the importance of the familiar support and the healthy environment was discussed, towards an emotional development which leads to the individual’s integration; being the child’s psychological suffering produced by a failure of this structure. There were 10 subjects who were children from seven up to eleven years old. A data survey was made with their respective caretakers only as a means by which to supply the collected information. The chosen place corresponds to the first CAPS Infantil do Estado do Ceará and attends children and adolescents of 67 districts of Fortaleza county. This way, a documental survey of the medical records and the notes of the area diaries was made, as well as semi-structured interviews with the collaborator children and their caretakers from August to December, in 2010. The results which were found point to the property that children have to recognize and express their several ways to experience psychological suffering: aggressiveness, changes of humor, complaints about anxiety, school difficulties, difficulty for accepting reality, stigma, domestic and sexual violence. Finally, the relevance of this work lies on the understanding of the psychological suffering through the view of those who experience it and the contribution this research paper may give to further investigation, since there is not so much literature on children’s psychological suffering respecting their own discourse. Its importance is also given as a piece of knowledge that can facilitate the reorientation of the best professional practices and public policy towards childish mental health.

ZACCHI, Vanderlei J. Kim e a literatura colonial de língua inglesa Revista de Letras, Fortaleza, v. 1-2, n. 28, p.70-73, 2006.

BEZERRA, Carlos Eduardo. Bom-crioulo: um romance da literatura gay made in Brazil. Revista de Letras, Fortaleza, v.1-2, n. 28, p. 94-100 , 2006.

PAULA, Marcela Magalhães de. A falta de beleza no corpo: interferências nas relações de afeto no conto “Hoje de madrugada”, de Raduan Nassar. Revista de Letras, Fortaleza, v.1/2, n.28, p. 116-120, 2006.

LESSA, Rosângela Paula et al. Análise dos desembarques da pesca de Fernando de Noronha. Arquivos de Ciências do Mar, Fortaleza, v. 31, 1998, p. 47-56.

MARTINS, I. X.; ROCHA-BARREIRA, C. de A. Estudo da malacofauna bentônica da plataforma continental do litoral oeste do Estado do Ceará, Brasil. Arquivos de Ciências do Mar, Fortaleza, v. 31, 1998, p. 65-72.

El pargo de mangle, Lutijanus griseus, es una de las especies carnívoras que mejor resultado en cuanto a ganacia en peso y longitud ha demostrado en cultivo y además es de gran importancia económica ($ 6.0/kg). Para ser cultivados en estanques 5,200 juveniles con pesos de 34.1+8.9 a 53.3+17.7g, y crecieron en promedio de 159.7+33.7 a 301.3+48.9g de peso y 86% de sobrevivencia. Estos peces presentaron un estado avanzado de madurez sexual, seleccionándose diez grupos de pargos adultos com pesos promedios entre 330 y 1,150g. Posteriomente, grupos de dos hembras fueron inducidas con gonadotropina coriónica humana ( 1.0; 3.4; 4.4; 5.6 y 6.3 UI/g). Para estos casos se pudo observar el desove a las 24, 31 y 51 horas, com l presencia de huevos esfericos y pelágicos de diámetro promedio de 740.2 + 19.1 y 760.1 + 59.6 mm, con una gota de aceite cêntrica de 139.3 y 133.0 mm de diámetro medio. En un grupo se obtuvo un 36% de fertilidad y los huevos se desarrollaron hasta la fase néurula. Por otra parte, en otro grupo, se obtuvieron por desoe 174,950 huevos (411.6 huevos/ g pez) con 85.85% de fertilización. El 68.04% eclosionó, con una sobrevivencia a las 24 horas de 79.16% equivalente a 80,896 larvas.

PAIVA, Melquíades Pinto; GARCEZ, Danielle Sequeira. Distribuição batimétrica de recursos pesqueiros no talude continental do Sudeste do Brasil. Arquivos de Ciências do Mar, Fortaleza, v.31, 1998, p. 107-110.

No summary/description provided

No summary/description provided

SOARES, Cira Nina Cavalcante; PERET, Alberto Carvalho. Tamanho médio de primeira maturação da lagosta Panulirus argus (LATREILLE), no litoral do Estado do Ceará, Brasil. Arquivos de Ciências do Mar, Fortaleza, v.31,1998, p. 5-16

No summary/description provided