RCAAP Repository

CAVALCANTI, Luciano Pamplona de Góes.

Tradução do português para inglês It is inferred that in addition to genetic, behavioral factors entered into the everyday family dynamics contributing to the increase in risk of developing diabetes mellitus and type 2 (T2DM) and cardiovascular disease (CVD). Cardiovascular diseases are the leading causes of death in the world population and acts as a potentiator DM2 this framework. It describes the set of dimensions involved in health and disease within the family, looked for evidence that would subsidize the work of health professionals in primary care, in order that they can be exploited early and recognize risk situations and vulnerability to these diseases. Was therefore conducted this cross-sectional study conducted in 58% of 124 patients known to be cohabiting with DM2 treated in a public primary care in the city of Fortaleza. The sample was assessed through a survey, using a structured form, physical examinations and laboratory tests. Relatives interviewed, 32.8% were children and adolescents and among adults (over 18) 45.3% were men. In the group of sedentary women was found in 94.7%, obesity in 23.4% (51.1% when considering central obesity), alcohol in 15.8%, and high amount of cigarettes (14.7 pack-years) . Obesity (p = 0.003), overweight (p = 0.01) and central obesity (p = 0.01) were significantly correlated with the stratification of risk for developing type 2 diabetes, even after adjusting for age and sex. The elderly showed the highest overall cardiovascular risk, affected mainly by changes in glycemic control (100%) and hypertension (64.7%), with the majority of hypertensive patients were diagnosed during the study (63.7%). Family members reported having received the recommendation of the health professional to conduct examinations and fasting lipid profile (48.5%) and measure blood pressure frequently (52.6%). Nevertheless, the prevalence of T2DM in all the families that made full investigation was 12.8% (6), with the majority (11.2%) were newly diagnosed in the study. The lack of interest and motivation in adopting self-protective practices to transform attitudes, was not related to the unknown factors or behaviors considered risky, given that the risk factor for developing T2DM best known of the population was " eating sweets "(83.1%), followed by" being overweight "(73.8%) and having a relative with diabetes (67.7%). Most respondents indicated a "protector" to physical exercise (67.7%) and "eating pasta" was not considered by the sample as a risk factor for T2DM. These data, which identified major vulnerability and prevalence of risk factors of family members of patients with DM2, points to the need of health professionals working with the Family Health Strategy in adapting their practice, their focus of attention is the collective as well as measures to improve primary and secondary prevention adopted currently, in order to contain the epidemic rise of type 2 diabetes and CVD.

MACHADO, Ana Carlota Rilho; BASTOS, Ana Karine Pereira de Holanda; CARVALHO, Nelly Medeiros de. Anúncios de imóveis no jornal do Recife: do século XIX aos dias atuais. Revista de Letras, Fortaleza, v. 1-2, n. 28, p. 21-27, 2006.

The present dissertation has the goal of discuss some questions about health and illness and their possible repercussions over masculinity, seen through the representations of men porter of illness in the prostate. It’s the result of an investigation of qualitative approach, centered on the subjective dimension of the process of getting ill and its repercussion over the definition/redefinition of the identity of the male gender. Were specially analyzed the repercussions that the experience of illness, while fragility status, can cause over man, about the behavior change, in the meaning of bringing a process of taking care of their health. The was centered in a group of people who were interviewed, came from the popular classes, searching for joining the symbolic dimension of the actions of the male subjects within their class material conditions, building a popular culture. The camp work was made from august to October, 1999, in a philanthropic public hospital in Fortaleza, using individual interviews semi structured. The analysis made started by the previous definitions of the topics for the elaboration of the interviews schedule, followed by the identification of the emergent categories from the informant speeches as a center of codification in thematic nucleus.Among the found results we can detach: that the work is determinant for health quality of the man in popular classes, it’s not illness therefore, that provokes repercussions over masculinity, but work is determinant, that illness does not represent a preoccupation related to the development of sexual activities, at least, not so much as the work relation represents, that the lack of attention on sickly sensations and on their own body men also don’t notice the prostate as an organ that has implication with sexual achievement and, at last, that health care notions is associated with extravagance in entertainment activities signing for a certain difficulty in taking care of health when it’s a young man.

Trauma is not only a serious sickness, but also a significant Public Health problem, since it is the primary pediatric mortality cause in developed countries and a determinative factor of transitory or permanent sequelae. AIMS: establish the clinical-epidemiological profile of mechanical trauma in children and adolescents, in a third Fortaleza city Count Hospital in Ceara state. METHOD: hospital based prospective observational study, proceeded with patients from zero to 19 years-old, victims of mechanical trauma, admitted by Instituto Dr. Jose Frota from February to July of 2005, being accompanied until to final moment (hospital discharge, obit or transfer). Studied variables were related to the socioeconomic and demographic conditions of patients and their families. Respect to the trauma, it was studied mechanism, type and consequences. RESULTS: 697 children were studied. Male gender was predominant (80.2%), as well as those 15 to 19 year-olds (47.8%); 53.1% came from country and 73.7% came from urban zone. Sunday was the predominant day of traumatic events (22.2%) and the afternoon time represented 37% of the cases. Mother was the primary caregiver in 69.7%. The main trauma mechanism was the drop (32.5%), followed by aggressions (25%). Skeletal trauma was the major type of trauma (60.1%), followed by traumatic brain injury (41%); 95% had light severity. Most of patients (92.1%) were discharged from hospital, 3.3% evolved to obit, 51% presented sequelae, but in 49.4% functional capacity was preserved and in 1.1% it was completely compromised.CONCLUSIONS: Trauma was more frequent among 15 to 19 year-olds and in male children and adolescents. The main trauma mechanism was the drop, being the skeletal trauma the most found. Most of cases had light severity, having motor transitory sequel as the central consequence. Most of patients were discharged from hospital and had their functional capacities preserved or simply partially compromised. Only 1.1% had invalidating or definitive sequelae.

The objectives of this study: to identify the prevalence and the risk factors from maternal colonization and neonatal infection from group B Streptococcus in women with preterm labor and/or premature rupture membranes. It measures and compare vaginal and anorectal colonization rates. It compare detection rates with selective and non-selective culture media and it compare detection rates with blood ágar and CPS ágar. A transversal study of 112 women and 220 newborns was performed at Maternidade Escola Assis Chateaubriand from Universidade Federal do Ceará (MEAC-UFC) from may /2008 to july/2009. Vaginal and anorectal samples from each woman were collected using sterile swabs. In 71 women two swabs (vaginal and anorectal) were placed separately in Stuart transport medium and two swabs (vaginal and anorectal) were inoculated separately in Todd-Hewitt selective medium. All subcultered in blood agar plates. The other pregnancies 41 women were investigated only in selective medium and subcultered in a CPS agar plates. A blood culture was collected from each preterm newborn that with any sign of infection. The maternal colonization rate from 71 women was of 4,2% and from the 41 women group was of 17%. Todd-Hewitt selective medium detected 4,4% and non-selective medium 7,2% GBS positive culture (not statistical relevant –NSR). Vaginal samples had a detection rate of 10,7% and anorectal samples had detection rate of 7,1% ( NSR). Urinary infection and be a housewife showed to be meaningful risk factors (p < 0,05). From the newborns studied none of them had GBS positive blood culture due to the sign of infection and altered hemogram. It,s possible that the result had occurred for the fact that the mothers had taken antibiotic before or during the labor. The GBS women colonization in our environment is similar to the other regions of Brazil. The GBS could be to here an important agent for neonatal infection disease and its necessary to take serious prevent measures.

The obesity is a complex phenomenon that occurs in an important parcel of the world-wide population, in special in the adult women of lower incomes. The obesity also can be seen as a physical attribute, perceived, interpreted and influenced for the social system. The aim of this study was to understand the perceptions and experiences of women attended in a health family center of the city of Fortaleza with obesity diagnosis. This is study is about a qualitative inquiry with phenomenologic-hermeneutic approach, whose adopted methodology strategy was the joint enters the interviews in depth and the free comment. 8 interviews with women between 28 and 56 years had been carried through, with average of age of 44 years. All presented obesity degree II (BMI= 35,0-39,9kg/m2), and had related the experience with the excess of weight at least for 5 years, moreover they presented hypertension, diabetes, dyslipidemia and osteomuscular problems, the majority was married,house owner and had children. The average of family remuneration was 1-2 minimum wages. The education level was between secondary education and the incomplete fundamental education. The categorization of the empirical material indicated four thematic axles, and from which the axles had been tracings analysis central offices. 1) Body Self-perception ; 2)Etnoethyology of the obesity; 3) Stigma and the Repercussions in the distinct spheres of the life; 4) Treading the Ways of the Cure. Each thematic axle was unfolded in different dimensions. The results had disclosed that the women perceive her excess weight, however they are not classified as obese. The medicine use, the feeding and important moments of life had been considered basic for the explanation of the profile of obesity in the group. Under the women “weigh” stigma and discriminations attributed by their appearance. Finally for the deponents the obesity is an illness that has cure. In this direction, the study it calls attention for importance the multidimensionality of the obesity. Such understanding is basic for the proposal of plans and strategies of attendance in the field of the health politics.

SILVA, Cícera Maria. As motivações da participação: uma análise da participação social com base na trajetória da União dos Moradores do Jardim Iracema - UMJIR. 2006. 185f. Dissertação (Mestrado em Sociologia) – Universidade Federal do Ceará, Departamento de Ciências Sociais, Programa de Pós-Graduação em Sociologia, Fortaleza-CE, 2006.

Dengue is an acute viral disease of varied clinical spectrum and of great epidemiological importance in Brazil, including Ceará being Fortaleza a district in which the magnitude of the problem consists in concentrating a larger number of severe cases of the state. This research is about a descriptive study and prospective of secondary data of 103 cases of dengue registered in Fortaleza. The general objective was to describe profile of the platelets counting and of the hematócrito correlating them with the clinical evolution and type immunological response of patients with severe cases of dengue in three hospitals this district in 2003. The data were collected from hospital files and were included only the cases confirmed by serology for the virus of dengue by ELISA technique. For statistic analysis we used the non-parametrical tests of Wilcoxon post addings. As a result we found out that: the low value of platelets (trombocytopenia) was known to all analyzed patients (the minimum value were varied from 13.000/mm³ to 75.000/mm³), with the decrease in the platelets counting from the first day in which the exam was done being more evident from the fifth to the eighth day of the evolution of the disease. The value of the hematócrito was instable during the days of the evolution of the disease with a higher average from the third to the sixth day. The maximum average value was of 44,5% presented by only 25% of the patients of the sub-sample. The first hemorrhagic manifestation occurred on the first day of the symptoms, being more elevated from the fifth to the seventh day, but after the tenth day of the disease no patient presented this manifestation. It was not established any relation between Trombocytopenia and hemorrhagic manifestations. There was no relation between secondary response and trombocytopenia nor with hemoconcentration but it was significant the relation with hemorrhagic or alert sign of hemoconcentration for the patients of the sub-sample. Primary immunological response to the virus of dengue was more present (72,3%) than the secondary response (27,7%). Unusual cases of dengue were identified in 06 (5,8%) of the patients of the sample, and probably were the most severe cases. The importance of these results consists of the available data analysis, allowing the knowledge of the severe forms of dengue in order to identify the early signs of gravity and the best way of monitoring. Nevertheless it is still necessary to know better the dynamic of the illness in our environment. Moreover it is necessary to assure the effective control of the illness, which is a problem of great seriousness especially in the big centers of our country.

Muniz, Altemar da Costa. As mudanças de linha editorial na Folha de São Paulo. 1999. 183f. – Dissertação (Mestrado em Sociologia) – Universidade Federal do Ceará, Departamento de Ciências Sociais, Programa de Pós-graduação em Sociologia, Fortaleza (CE), 1999.

Introduction: health Service Ombudsman was created in the State of Ceará in 1991, to receive and to direct the dissatisfaction manifestations and the users’ of the public system satisfaction, becoming the main communication channel with the Unique System of Health-SUS, tends as purpose to improve the quality of the rendered services. Objectives: Describe the users’ of the Health Service Ombudsman, evaluating their satisfaction level with the public services of health, as well as with the own ombudsman health service in Fortaleza. Methods: traverse study, descriptive and exploratory with quantitative approach. The used instrument was a questionnaire structured with closed and open questions for the users of ombudsman health service. The data were inserted in microcomputer and analyzed through the program Epi Info 6.04. Results: among the users of the health service ombudsman, the women were what more used this service(74,1%) the reason for the which the users sought the service went to complaint (64,7%) following by orientation (12,3%) and praise (11,5%) among the users that looked for health service ombudsman to complain, the main reasons were: service lack in the service of health (57,8%), bad service in the service of health (52,0%) and medicine lack in the drugstores of the services of health (8,6%). Problems of hygiene lack in the services of health (9,2%) and of cleaning in the stress (16,3%) they were also told. Regarding own in Health service Ombusdman although 48,7% of the users were satisfied with the service, the following flaws were mentioned: autonomy lack (14,7%), it is long in the solution of the problems (8,0%) an few ombudsmans(6,6%). The difficult acess to the service, lacks of interest and disregard with the users’ problem, they were also mentioned. Conclusion: the participation of the population in the use of the health services ombudsman is still very small. The service is just made available in Fortaleza city, what hinders the access for the resident population in other municipal districts of the State. As for resolutividade, it was observed that the soluctions taken by the service doesn’t correspond to the expectations of a portion of the users. So that the user can continue to use the service is necessary that this it feels confident in the effectiveness of the same. The need was observed of facilitating the access to the service, to improve the popularizations of the ombsman health service and to inform the users about the objectives and purpose of the service, looking for to establish an effective partnership between users and ombudsman, for the population to find in health service ombudsman an instrument to execute the social control and the improvement of the quality of the services of health.

This descriptive and cross-sectional survey was designed to evaluate the workers’ health, including occupational risks factors, and the environmental damages caused by sand mining, using hydraulical dredges, on the banks and the riverbed of the Poti river, in Teresina, in Northeast Brazil. Twenty-one dredges were visited, and 18 owners or managers and 75 workers were interviewed. Their main roles were divers, provided manual labors, engine operators, machine operators and administrators. The study showed that the potential risks for workers’ health, included physical, ergonomics, chemical, biological and accidental risks. The most important diseases related to the tasks were respiratory infections, back pain, dermatosis, and clinical manifestations related to barotraumas; the latter occurring only in those who worked as divers performing standard diving. Reports of fatal accidents with divers, and swimmers drowning who had not succeeded in leaving deep holes in the riverbed were also discovered. Serious environmental damages caused by this economical activity were demonstrated, mainly deforestation of the marginal vegetation on the riversides, contamination of the river water with petroleum derivatives, and the development of deep holes in the riverbed. Besides this, the exhaustion of the sand reserves (after an average period of four years of dredging in each explored area) demanded constant movement of dredges along the Poti riverbed, contributing to the gradual deterioration of the environment in the surrounding neighborhoods. In spite of the existence of an environmental legislation, and the action of regulating agencies, little has been done for an appropriate re-vegetation program of the degraded areas. In general, the main actions of the dredges owners, aimed at the recovery of the degraded environment, had been: to keep the minimum distance of the sand box at least 100 meters from the river banks, obeying the environmental preservation zones, and the construction of narrow channels for water draining back into the river. These measures, even so prospicious, are still far from accomplishing the restoration of environmental damages caused by sand dredging of the Poti River.

A presente dissertação analisa as percepções dos profissionais de Saúde sobre o que consideram processos instituintes do SUS, no Sistema Municipal de Saúde de Fortaleza, Ceará, no período de 2005 a 2007. Identifica e analisa, ainda, as percepções dos profissionais de Saúde sobre a sua atuação nos processos considerados instituintes do SUS, como também, apresenta as ações propostas pelos profissionais para fortalecer o SUS em Fortaleza. Trata-se de um estudo de abordagem qualitativa que tem como base teórica: as concepções do Movimento Institucionalista sobre sociedade, com centralidade nas categorias do instituinte e do instituído, a luz de Gregório Baremblitt; os pensamentos de autores sanitaristas, destacando Gastão Wagner de Sousa Campos e Emerson Elias Merhy e a legislação do SUS. As informações para análise foram construídas por meio da revisão documental do Programa de Governo “Por uma Fortaleza Bela” – referente à gestão governamental 2005/2008 e dos Relatórios de Gestão da Secretaria Municipal de Saúde dos anos de 2005, 2006 e 2007. Utilizou-se, também, da técnica de grupo focal, tendo sido realizados dois grupos focais com profissionais de Saúde do Sistema Municipal de Saúde, sendo um com participantes graduados, realizado em outubro de 2008, com oito participantes e, outro, com dez profissionais de nível médio, em novembro de 2008. Como método de análise fez-se o uso da Análise de Conteúdo com a técnica da Análise Temática. As categorias temáticas trabalhadas foram: processo de trabalho em saúde; gestão do trabalho; acolhimento; gestão participativa e controle social. Os principais achados do estudo foram: convivência dialética das forças instituintes com o instituído no espaço da gestão do cotidiano em saúde; identificação do potencial instituinte do SUS nos processos de trabalho pertinentes a Estratégia Saúde da Família e a rede assistencial de Saúde Mental; reconhecimento do acolhimento como dispositivo instituinte transversal às diversas redes assistenciais do Sistema; desenvolvimento da Roda de Gestão com limitações em seu potencial instituinte para a co-gestão de coletivos.

Background: Adherence to treatment of chronic diseases is a complex issue and involves not only responsibility of the diseased persons, but also the health professional teams and the patients’ social networks. In the last years, non-adherence to multidrug therapy (MDT) against leprosy has been reduced significantly in Brazil. However, low adherence to MDT is still an important obstacle of disease control, and may lead to remaining sources of infection, incomplete cure, irreversible complications, and multidrug resistance. Methods: We performed a population-based study in 78 municipalities pertaining to a leprosy hyperendemic cluster in northern Tocantins State, central Brazil. Tocantins is the State with highest leprosy detection rates (annual detection rate of 88.54/100.000 in the general population, and of 26.48/100.000 in <15 year-olds in 2009). We reviewed the database of the National Information System for Notifiable Diseases (Sistema de Informação de Agravos de Notificação – SINAN), and applied structured questionnaires on leprosy-affected individuals regarding socio-demographic, clinical, service-related and behavior-related characteristics. Two different outcomes for assessment of risk factors were used: defaulting (defined as individuals with incomplete MDT not presenting to the health care center for monthly supervised treatment for >12 months); and interruption of MDT (defined as duration PB treatment > 7 months; and of MB treatment > 13 months). In addition, we asked participants who said that they had interrupted MDT at least once in an open question about their reasons for interrupting. Results: Of the total of 936 individuals included in data analysis, 491 (52.5%) were males; the age ranged from 5 to 99 years (mean=42.1 years). Two-hundred and twenty-five (24.0%) were illiterate. In total, 497 (55.6%) were classified as PB, and 395 (44.1%) as MB leprosy. We identified 28 (3.0%) patients who defaulted MDT; 16 defaulters were included by reviewing the SINAN data information system, and an additional 12 locally in the patients’ charts during field work. In total, 147/806 (18,2%) interrupted MDT. Defaulting was significantly associated with: low number of rooms per household (OR=3.43; 95% confidence interval: 0.98–9.69; p=0.03); moving to another residence after diagnosis (OR=2.90; 0.95–5.28; p=0.04); and low family income (OR=2.42; 1.02– 5.63: p=0.04). Interruption of treatment was associated with: low number of rooms per household (OR=1.95; 0.98–3.70; p=0.04); difficulty in swallowing MDT drugs (OR=1.66; 1.03–2.63; p=0.02); temporal non-availability of MDT at the health center (OR=1.67; 1.11–2.46; p=0.01); and moving to another residence (OR=1.58; 1.03–2.40; p=0.03). Logistic regression identified temporal nonavailability of MDT as an independent risk factor for treatment interruption (adjusted OR=1.56; 1.05–2.33; p=0.03), and residence size as a protective factor (adjusted OR=0.89 per additional number of rooms; 0.80–0.99; p=0.03). Residence size was also independently associated with defaulting (adjusted OR=0.67; 0.52–0.88; p=0.003). In addition, we identified 334 (35.6%) participants who said that they had interrupted MDT at least once. The median time of interruption stated by study participants was 15 days, with a maximum of three years (interquartile range: 6-30 days). The most common reason for interruption given by these was non-availability of medication at the respective health care centre (211; 62.9%). Others forgot to take the medicine (44; 12.0%) or interrupted due to drug-related adverse events (28; 8.3%). Conclusions: The study shows that there are still challenges to be tackled regarding MDT in Brazil. As a consequence of the efforts done by the Tocantins State Leprosy Control Program, healthservice related factors played a minor role, despite intermittent shortage of drug supply. An integrated approach is needed for further improving control, focusing on the most vulnerable population groups such as the socio-economically underprivileged and migrants. MDT producers should consider oral drug formulations that may be more easily accepted by patients. Considering the consequences of low adherence to treatment, such as possible development of MDT resistance, and persisting sources of transmission, future in-depth studies are needed to improve further adherence, mainly in hyperendemic regions.

The aim of the study was to identify associations between teenage pregnancy and some social determinants on health related to socio-demographic, education, religion and labor in adolescents in the city of Sobral-CE, medium-sized municipality in northeast Brazil. This was a prospective study, conducted with 903 adolescents belonging to an original sample of 1638 girls 5-9 years of research conducted in 2000 in the city. We tried to identify how many had become pregnant in the interim 10 years. Of those found, 19.5% had become pregnant as least once in life, including abortion. The average age of those who became pregnant, the pregnancy led to the term and remember the date of delivery (N = 159) was 17.2 years. Analysis was performed, finding an association of teenage pregnancy with current age (OR 1.6, 95% from 1.3 to 1.8), with the repetition of the series (OR = 2.0, 95% CI: 1.4 to 3.1) with performance of work activity (even unpaid) (OR = 2.4, 95% CI 1.7 to 3.4) beyond the protective character of the highest per capita income (OR = 0.6, 95% CI 0.5 to 0.8) and education of the mother of a teenager (OR = 0.5, 95% CI: 0.4-0.7), especially those who studied until high school or university graduate. After multivariate analysis, included the variables age at present, only one of the individual determinants, indicating that the increase in the age of adolescent, 50% increase in the chances of pregnancy (OR = 1.5, 95% CI: 1.3 to 1.8); live in the urban area of headquarters of the city, which increased by 90% the chance of becoming pregnant (OR = 1.9, 95% CI 1.1-3.4) and the fact some work, an increase of 80% (OR = 1.8, 95% CI 1.2 to 2.6), examples of the intermediate determinants of health. Emerged as protective factors in family income, which decreased 30% chance of pregnancy in those with higher income (OR = 0.7, 95% CI 0.6 to 0.8) and education of the mother of the teenager, who decreases by 40% this chance (OR = 0.6, 95% CI: 0.5-0.9), these representatives of the determinants of macro-economic research. Thus, the pregnancy before 20 years of age, adolescents between the village of Sobral (CE), was associated with individual factors such as age, intermediaries such as child labor and area of residence, and structural, such as family income and schooling of their mothers.

ALVES JÚNIOR, Tarcísio Teixeira; MONTEIRO NETO, Cassiano. Caracterização morfológica e morfométrica craniana do boto cinza, Sotalia fluviatilis Gervais, 1853, da Costa do Estado do Ceará, Brasil. Arquivos de Ciências do Mar. Fortaleza, v. 32, 1999, p. 89-101.

ISAAC, Victoria J.; BRAGA, Tony Marcos P.. Rejeição de pescado nas pescarias da Região Norte do Brasil. Arquivos de Ciências do Mar. Fortaleza. v. 32, 1999, p. 39-54.

Examina a existência de tendências de crescimento comuns e formação de clubes de convergência entre os estados do Brasil, admitindo a possibilidade de heterogeneidade em seus processos de desenvolvimento tecnológico. Com base na metodologia de séries temporais proposta por Phillips e Sul (2007), verifica que há a formação de dois clubes de convergência: um primeiro formado pela grande maioria dos estados do Sul, Sudeste e Centro-Oeste e um segundo, formado principalmente pelos estados do Norte e do Nordeste. Depura algumas inconsistências encontradas em estudos anteriores, mas reforça, de um modo geral, grande parte das evidências encontradas até então.

Este trabalho analisa as políticas públicas brasileiras de apoio às microempresas e empresas de pequeno porte (MPE s), em especial, o Sistema Integrado de Pagamento de Impostos e Contribuições das Microempresas e das Empresas de Pequeno Porte (SIMPLES), o qual fora instituído pelo Governo Federal em 1996 (Lei nº 9.317). O SIMPLES reduz a carga tributária e simplifica a declaração das micro e pequenas empresas. Foram analisados a legislação brasileira referente ao tema, a base de dados da RAIS e informações da SRF. Os resultados indicam a efetiva redução da carga tributária e o efeito no crescimento do número de firmas e de empregados. A análise aborda ainda a relação entre as esferas de Governos Federal, Estaduais e Municipais, e suas implicações para um maior impacto do SIMPLES, quando da adoção de políticas locais de fomento às micro e pequenas empresas, por parte dos estados e municípios.

O artigo aborda as alianças entre setores público e privado numa conjuntura do governo tasso Jereissati. A situação de desvantagem econômica e social do Nordeste e o esgotamento do modelo econômico e administrativo do "ciclo de coronéis" no Ceará foram os ingredientes responsáveis pela emergência de um capital social gerado pelos "jovens empresários" industriais que se instalaram no Centro Industrial do Ceará - CIC a partir do final dos anos 70. Dentro desse contexto, a Associação dos Jovens Empresários, o Pacto de Cooperação e o Planefor mantiveram um estreito compromisso com o projeto político dos empresários. O Pacto de Cooperação e o Planefor, contudo, puderam manter uma certa independência político-ideológica. Entretanto, um ponto une todas essas iniciativas, este ponto foi a longa mobilização e as intensas discussões geradas em torno do CIC, entre 1978 e 1986, as quais fizeram com que setores da burguesia industrial nascente, intelectuais e setores esclarecidos do Ceará se tornassem cúmplices e padrinhos dos rumos tomados pelas sociedade e economia cearenses.