Submitted by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-05-08T19:58:33Z No. of bitstreams: 1 DIS_MAURICIO_VITORINO_SARAIVA_COMPLETO.pdf: 2059623 bytes, checksum: e7f3bbefca7a4e439b75b9b70ddba3c1 (MD5) / Made available in DSpace on 2017-05-08T19:58:33Z (GMT). No. of bitstreams: 1 DIS_MAURICIO_VITORINO_SARAIVA_COMPLETO.pdf: 2059623 bytes, checksum: e7f3bbefca7a4e439b75b9b70ddba3c1 (MD5) Previous issue date: 2016-11-11 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Recent studies suggest that regional disparities in the quality of human capital are important in explaining differences in performance of economic growth. However, little has been studied about the spatial distribution of human capital in Brazil and its ability to act as a locational factor for economic activities. To fill this gap, this study proposes the creation of a multidimensional measure of qualitative human capital through Factor Analysis techniques, in addition to using a usual proxy for the quantitative aspect. Thus, it is possible to accompany the accumulation of human capital stock of the population from childhood to adulthood, either in qualitative or quantitative terms. This study is divided in two essays. In the first, the human capital measures were elaborated and a spatial analysis of the stock of quantitative and qualitative human capital was performed in Brazil, at the level of 558 micro-regions between 2009 and 2014. The results allow to draw the distribution map of human capital in the country, suggesting the existence of strong regional disparities: the South and Southeast regions present high quantity associated with high quality; North and Northeast, generally, present lower stocks in quantitative and qualitative aspects, although some micro-regions present high level of quantity that is not accompanied by increased quality; and Midwest presents intermediates and high levels of quantity, while the quality is only intermediate. Therefore, locations with a high quantity of human capital do not necessarily display a higher standard of quality (vice versa). Throughout the analyzed period, there occurred a slight improvement of the human capital?s levels in the country, especially in the quantitative aspect. In the second essay, through a spatial econometric model with panel data between 2009 and 2014 for 254 micro-regions of the South and Southeast regions of Brazil, a study supported on locational models for tertiary sector by level of intensity in knowledge was applied. This methodology allows us to identify the importance of different aspects of human capital in attracting economic activities: the quality of human capital is a locational factor for superior services (knowledge-intensive), while the quantitative aspect attracts both superior (intensive) and traditional services (non-knowledge-intensive). / Estudos recentes sugerem que disparidades regionais relativas ? qualidade do capital humano s?o importantes para explicar diferentes desempenhos de crescimento econ?mico. Entretanto, pouco tem sido estudado sobre a distribui??o espacial do capital humano no Brasil e sua capacidade de atuar como um fator locacional para as atividades econ?micas. Para preencher essa lacuna, nesta disserta??o, prop?e-se a cria??o de uma medida multidimensional de capital humano qualitativo atrav?s de t?cnicas de An?lise Fatorial, al?m de utilizar uma proxy usual para o aspecto quantitativo. Dessa forma, ? poss?vel acompanhar a acumula??o do estoque de capital humano da popula??o desde a inf?ncia at? a idade adulta, seja em termos qualitativos ou quantitativos. A disserta??o ? dividida em dois ensaios. No primeiro, constroem-se as medidas de capital humano e realiza-se uma an?lise espacial do estoque de capital humano em termos quantitativo e qualitativo no Brasil, em n?vel de 558 microrregi?es entre 2009 e 2014. Os resultados permitem desenhar o mapa de distribui??o do capital humano no territ?rio nacional, sugerindo a exist?ncia de fortes disparidades regionais: as regi?es Sul e Sudeste apresentam elevada quantidade associada ? alta qualidade; Norte e Nordeste, em geral, apresentam estoques inferiores em termos quantitativos e qualitativos, embora algumas microrregi?es possuam maior quantidade que n?o ? acompanhada pelo acr?scimo da qualidade; e Centro-Oeste apresenta n?veis intermedi?rios e altos de quantidade, enquanto a qualidade ? apenas intermedi?ria. Portanto, n?o necessariamente as localidades com alta quantidade de capital humano apresentam tamb?m elevada qualidade (vice-versa). Do ponto de vista de mudan?as ao longo do per?odo, em geral, verifica-se que ocorreu uma leve melhoria dos n?veis de capital humano no pa?s, principalmente no aspecto quantitativo. No segunso ensaio, atrav?s de um modelo econom?trico espacial com dados em painel, entre 2009 e 2014, para as 254 microrregi?es das Regi?es Sul e Sudeste do Brasil, aplica-se um estudo amparado em modelos locacionais para o setor de servi?os por n?vel de intensidade em conhecimento intr?nseco. Essa metodologia permite identificar a import?ncia de diferentes aspectos do capital humano para a atra??o das atividades econ?micas: verifica-se que a qualidade do capital humano ? um fator locacional para empresas de servi?os superiores (intensivos em conhecimento), enquanto o aspecto quantitativo atrai tanto os servi?os superiores (intensivos) como os tradicionais (n?o intensivos em conhecimento).

Submitted by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-06-05T15:07:39Z No. of bitstreams: 1 DIS_WILLIAN_BOSCHETTI_ADAMCZYK_COMPLETO.pdf: 1279541 bytes, checksum: f2d8b4adb68780a94fb87b6ecefdaf8e (MD5) / Made available in DSpace on 2017-06-05T15:07:39Z (GMT). No. of bitstreams: 1 DIS_WILLIAN_BOSCHETTI_ADAMCZYK_COMPLETO.pdf: 1279541 bytes, checksum: f2d8b4adb68780a94fb87b6ecefdaf8e (MD5) Previous issue date: 2017-03-08 / The present dissertation is composed by two essays on inequality of opportunities in Brazil. It is measured the inferior bound of income inequality and opportunities inequality in Brazil, bringing evidences to its ethical and unethical components. Applying the parametric methodology developed by Ferreira and Gignoux (2011) to PNAD data between 2001 and 2014, the Essay I shows the reduction in the inequality of opportunities index (IOp) from 0,106 to 0,066, a drop of 37,37% in the period. In comparison, inequality of income measured by the MLD index decreased significantly from 0,55 to 0,40, a drop of 27,2%. This fall in total inequality is composed in 53% by a decrease in the unfair share of inequality, meanwhile, the fair share is responsible for 47% of the reduction. The weight of circumstances in inequality of opportunities remains nearly constant, with 58% corresponding to the informality of workers, 27% for differences in color, and 14% for differences in sex. Comparing the income of the circumstances groups, is showed that the mean income of the most disadvantaged group, ?nonwhite informal women?, consists only in 29,5% the mean income of the most advantaged group, ?white formal men?. However, the most disadvantaged groups were the ones that gained more with the growth of income. Amongst the states, Santa Catarina offers the best index of inequality of opportunities, meanwhile Piau? sits at the least position. It is clear the relative disadvantage of states in North and Northeast regions, presenting systematically the larger indexes of inequality of opportunity. The Essay II studies the inequality of opportunity in the state of Rio Grande do Sul in the year of 2010 using the Municipal Inequality of Opportunity Index (IOp-M) constructed by Figueiredo et al. (2013). The spatial distribution of the results is analyzed and its relations with productive variables. The LISA analysis allows to verify the presence of spillovers of IOp-M from a city to its neighbors. The formation of spatial clusters shows that unfair inequalities suffer from spatial dependence. Considering solely the productive structure, Roemer?s (1998) Compensation Principle suggests that the allocative rule of public resources demands a redirection of resources to regions with higher IOp-M`s which are more dependent on public sector and agriculture, meanwhile municipalities with higher industry, commerce, and services participation have lower compensational needs. / A presente disserta??o ? constitu?da de dois ensaios acerca das desigualdades de oportunidades no Brasil. Mensura-se um limite inferior da desigualdade de renda e de oportunidades a n?vel nacional e estadual no Brasil, evidenciando seus componentes eticamente aceit?veis e inaceit?veis. Aplicando a metodologia param?trica de Ferreira e Gignoux (2011) aos dados da PNAD entre 2001 e 2014, o Ensaio I mostra a diminui??o no ?ndice de desigualdade de oportunidades (IOp) de 0,106 para 0,066, uma queda de 37,37% no per?odo. Em compara??o, a disparidade de renda, mensurada pelo ?ndice MLD, caiu de 0,55 para 0,40, uma redu??o de 27,2%. Da queda na desigualdade total, 53% se deve ? diminui??o na parcela injusta da desigualdade, enquanto a parcela justa representa 47% da redu??o. O peso das circunst?ncias da desigualdade de oportunidades manteve-se praticamente constante, com 58% para a informalidade do trabalhador, 27% para as diferen?as de cor e 14% das diferen?as de sexo. Comparando a renda dos grupos por circunst?ncias, mostra-se que a renda m?dia do grupo em maior desvantagem, ?mulheres n?o brancas informais?, ? de apenas 29,5% da renda do grupo em maior vantagem, ?homens brancos formais?. Todavia, os grupos em maior desvantagem foram os que mais se beneficiaram do crescimento da renda. Entre os estados, Santa Catarina oferece o melhor ?ndice de oportunidades, enquanto o Piau? ocupa a ?ltima posi??o. Ficou clara a desvantagem relativa da regi?o Norte e Nordeste, regi?es que apresentam sistematicamente os ?ndices de desigualdade de oportunidades mais elevados. No Ensaio II, analisa-se especificamente o estado do Rio Grande do Sul no ano de 2010 utilizando-se os ?ndices de Desigualdade de Oportunidades Municipais (IOp-M) calculados por Figueiredo et al. (2013). Observa-se como os resultados est?o distribu?dos espacialmente no territ?rio do estado e a sua rela??o com vari?veis produtivas. A an?lise LISA permitiu verificar a presen?a de efeitos de transbordamento do IOp-M de uma cidade para seus vizinhos. A forma??o de clusters espaciais mostra que as desigualdades injustas sofrem depend?ncia espacial. Considerando exclusivamente a estrutura produtiva, o Princ?pio da Compensa??o de Roemer (1998) sugere que a regra alocativa de recursos p?blicos demandaria um direcionamento de recursos para as regi?es com maiores IOp-M?s e mais dependentes do servi?o p?blico e agricultura, enquanto os munic?pios com maior participa??o da ind?stria, com?rcio e servi?os t?m necessidades menores de compensa??o.

Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-06-12T13:59:52Z No. of bitstreams: 1 J??lioCesarDaCunhaLopesDissertacao2016.pdf: 5954507 bytes, checksum: 3d54d8db00b8c7c9adb70d31efdca84d (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-06-12T14:00:28Z (GMT) No. of bitstreams: 1 J??lioCesarDaCunhaLopesDissertacao2016.pdf: 5954507 bytes, checksum: 3d54d8db00b8c7c9adb70d31efdca84d (MD5) / Made available in DSpace on 2017-06-12T14:00:28Z (GMT). No. of bitstreams: 1 J??lioCesarDaCunhaLopesDissertacao2016.pdf: 5954507 bytes, checksum: 3d54d8db00b8c7c9adb70d31efdca84d (MD5) Previous issue date: 2016-03-10 / Although there is a wide variety of measures to measure the levels of agglomeration and location of firms, the areal unit problem modifiable - MAUP - is always remembered in literature as a problem in regional science. The purpose of the research is to apply the newly developed tracing measures that surpass largely the MAUP problem. With unprecedented use in Brazil, these measures assess the level of sectoral location of manufacturing industry in the Greater S??o Paulo and the results show that the fabrication industries of automotive vehicles, trailers and bodies and clothing and accessories are more localized . On the other hand, the non-metallic minerals and pulp and paper segments have a higher dispersion in relation to the other. / Embora exista uma extensa variedade de medidas para se mensurar os n??veis de aglomera????o e localiza????o das firmas, o modifiable areal unit problem ??? MAUP ??? sempre ?? lembrado na literatura como um problema na ci??ncia regional. O prop??sito da pesquisa ?? aplicar as medidas de localiza????o recentemente desenvolvidas que superam, em boa parte, o problema do MAUP. Com utiliza????o in??dita no Brasil, tais medidas avaliam o n??vel de localiza????o setorial da ind??stria da transforma????o na Regi??o Metropolitana de S??o Paulo e os resultados mostram que as ind??strias de fabrica????o de ve??culos automotores, reboques e carrocerias e de artigos de vestu??rio e acess??rios s??o mais localizadas. Por outro lado, os segmentos de minerais n??o met??licos e celulose e papel apresentam maior dispers??o em rela????o aos demais.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-01-18T10:50:44Z No. of bitstreams: 1 FranciscoAssisVieiraLimaJunior_DISSERT.pdf: 656231 bytes, checksum: f6ccd153b3b8dcff92b89db4dc0c38d4 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-01-22T14:47:13Z (GMT) No. of bitstreams: 1 FranciscoAssisVieiraLimaJunior_DISSERT.pdf: 656231 bytes, checksum: f6ccd153b3b8dcff92b89db4dc0c38d4 (MD5) / Made available in DSpace on 2018-01-22T14:47:13Z (GMT). No. of bitstreams: 1 FranciscoAssisVieiraLimaJunior_DISSERT.pdf: 656231 bytes, checksum: f6ccd153b3b8dcff92b89db4dc0c38d4 (MD5) Previous issue date: 2017-11-20 / Introdu??o: apesar da cobertura midi?tica trazer a certeza de uma rela??o entre o V?rus da Zica e microcefalia em rec?m-nascidos, configurando um aumento no agrupamento das anomalias cong?nitas no Nordeste brasileiro, sugere-se que a incid?ncia de anomalia cong?nitas no Rio Grande do Norte n?o seja diferente quando comparada a sua distribui??o espacial antes e ap?s Zica, isso porque fatores como os ambientais, socioecon?micos e biol?gicos podem contribuir para a perman?ncia de uma alta incid?ncia no estado. Objetivo: analisar a distribui??o temporo-espacial das taxas de incid?ncia de anomalias cong?nitas no Rio Grande do Norte, antes e ap?s a epidemia v?rus da zica atrav?s de uma an?lise geoestat?stica e correla??o com os determinantes sociais em sa?de M?todos: trata-se de um estudo epidemiol?gico do tipo ecol?gico, retrospectivo que avaliou os casos notificados de anomalias cong?nitas no Rio Grande do Norte agrupando em dois bi?nios (2005-2006 e 2015-2016), configurando per?odos antes e ap?s a epidemia de zica atrav?s de uma an?lise espacial, cujos dados obtidos do DATASUS e da Secretaria Estadual de Sa?de, foram agrupados no SPSS 13.0 e analisados no Terraview vers?o 4.2.2. Resultados: a taxa de anomalias cong?nitas no per?odo pr?-Zica foi de 11,83 casos/1.000 nascidos vivos e no per?odo p?s-Zica aumentou para 14,24 casos/1.000 nascidos vivos, resultado do aumento dos casos notificados. Foi observada que a mesorregi?o Agreste Potiguar ? a que possui maior n?mero de casos notificados de Zica assim como ? a regi?o que concentra maior n?mero de casos de anomalias cong?nitas no per?odo estudado, estando correlacionada com regi?o com grandes dicotomias sociais. Conclus?es: o presente parece revelar que as anomalias cong?nitas sempre estiveram presentes no estado e nenhuma outra a??o foi suscitada com tamanha import?ncia como no per?odo Zica. Estrat?gias para minimizar os casos de anomalias cong?nitas atrav?s de a??es de planejamento familiar, controle da idade materna, programas de vacina??o, controle na venda de medicamentos abortivos, combate ao consumo de drogas, ?lcool e fumo podem facilmente ser desenvolvida e ganhar ades?o midi?tica, fato que nem sempre ? percebido, tendo a m?dia dado um enfoque ao aumento dos casos de notifica??o sem buscar entender o processo. / Introduction: although the media coverage provides certainty of a relationship between the Zika virus and microcephaly in newborns, which is an increase in the grouping of congenital anomalies in the Brazilian Northeast, it is suggested that the incidence of congenital anomaly in Rio Grande do Sul North isn?t different when compared to its spatial distribution before and after Zika, because factors such as environmental, socioeconomic and biological can contribute to the permanence of a high incidence in the state. The objective of the present study is to analyze the temporal-spatial distribution of the incidence rates of congenital anomalies in Rio Grande do Norte, before and after the epidemic virus Zika through a geostatistical analysis and correlation with the social determinants in health. Methods: this is an ecological that evaluated the reported cases of congenital anomalies in Rio Grande do Norte before and after the Zika epidemy through a spatial analysis, whose data were grouped in SPSS 13.0 and analyzed in Terraview version 4.2.2. Results: the rate of congenital anomalies in the pre-Zika period was 11.83 cases / 1.000 live births and in the post Zika period it increased to 14.24 cases/1.000 live births, a result of the increase in reported cases. It was visualized that the Agreste Potiguar mesoregion is the one with the highest number of reported cases of Zika, as it is the region that concentrates the largest number of cases of congenital anomalies in the period studied, being correlated with the region with great social dichotomies. Conclusion: the present study revealed that congenital anomalies were always present in the state and no other action was raised with such importance as in the Zika period. Strategies to minimize cases of congenital anomalies through family planning actions, maternal age control, vaccination programs, control in the sale of abortive drugs, drug, alcohol and tobacco use can easily be developed and gain media adherence, fact which is not always perceived, the media having given a focus to the increase of the cases of notification without seeking to understand the process.

Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2016-01-11T17:05:00Z No. of bitstreams: 2 renata_luiz_ursine.pdf: 3230501 bytes, checksum: 2f2b878292cb8aa11d8b2f215f77aeda (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2016-01-11T17:05:22Z (GMT) No. of bitstreams: 2 renata_luiz_ursine.pdf: 3230501 bytes, checksum: 2f2b878292cb8aa11d8b2f215f77aeda (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Made available in DSpace on 2016-01-11T17:05:22Z (GMT). No. of bitstreams: 2 renata_luiz_ursine.pdf: 3230501 bytes, checksum: 2f2b878292cb8aa11d8b2f215f77aeda (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) Previous issue date: 2014 / Com o prop?sito de conhecer os aspectos epidemiol?gicos da Leishmaniose Visceral (LV) entre os munic?pios sob a jurisdi??o da Superintend?ncia Regional de Sa?de de Diamantina (SRSD), realizou-se um estudo da distribui??o da LV humana e canina nestes por meio de dados disponibilizados no Sistema de Informa??o de Agravos de Notifica??o e de dados registrados em livros da SRSD. No munic?pio com maior ocorr?ncia da LV humana, realizou-se o georreferenciamento dos casos humanos e caninos associados a fatores ambientais e sociais; analisou-se a percep??o das pessoas acometidas pela doen?a por meio de entrevistas; aspectos da estrutura e funcionamento do servi?o de controle da doen?a foram analisados por meio de question?rios. No per?odo de 2007 a 2012 houve a notifica??o de 79 casos de LV humana e 451 c?es positivos para a infec??o canina nos munic?pios que comp?em a SRSD. Nestes, a LV humana foi mais prevalente em crian?as, pessoas do g?nero masculino e residentes em ?reas rurais. Em Ara?ua?, munic?pio com maior transmiss?o da LV humana, houve a notifica??o de 41 casos de LV entre os anos de 2007 a 2013. Neste, a infec??o acometeu principalmente crian?as, pessoas do g?nero masculino e residentes da ?rea urbana. A distribui??o espacial dos casos de LV humana e da infec??o canina na ?rea urbana do munic?pio de Ara?ua? exibiu um padr?o aglomerado, com agrupamentos de casos humanos estatisticamente significativos a dist?ncias superiores a 350 metros e agrupamentos estatisticamente significativos de c?es infectados a dist?ncias superiores a 75 metros. A an?lise explorat?ria por meio do estimador de Kernel apontou para maior ocorr?ncia de casos humanos e caninos na ?rea central da cidade. N?o foi observada rela??o entre o ?ndice de Vegeta??o da Diferen?a Normalizada e as ?reas de maior ocorr?ncia da doen?a. A an?lise socioambiental dos ambientes domiciliares das pessoas acometidas pela LV no munic?pio de Ara?ua? revelou um predom?nio de defici?ncias em estruturas de saneamento ambiental; presen?a de arbustos, ?rvores frut?feras e diferentes animais ao redor dos domic?lios; proximidade com ambientes naturais e casas aglomeradas. Por meio das entrevistas com as pessoas que foram acometidas pela LV, foi poss?vel perceber um desconhecimento em rela??o ? doen?a, principalmente no que diz respeito ?s formas de transmiss?o. P?de-se perceber tamb?m que os m?dicos tiveram dificuldade em diagnosticar a LV e que o tratamento que estes prescreveram para os pacientes foi, no geral, demorado. De forma geral, o munic?pio de Ara?ua? desenvolve a maioria das a??es propostas pelo Minist?rio da Sa?de para o Programa de Controle da Leishmaniose Visceral (PCLV), contudo, h? necessidade de melhor estrutura??o do servi?o de controle da LV neste. A realiza??o de planejamentos para os levantamentos das demandas de materiais para a execu??o dos diagn?sticos da LV para que n?o os falte durante a realiza??o dos inqu?ritos e o estabelecimento de condi??es para a execu??o de levantamentos entomol?gicos ? uma necessidade premente. O investimento em trabalhos de educa??o em sa?de para a popula??o, educa??o continuada para os m?dicos, Agentes de Combate a Endemias e demais profissionais envolvidos no PCLV tamb?m ? fundamental. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2014. / ABSTRACT In order to know the epidemiology of visceral leishmaniasis (VL) between the municipalities under the jurisdiction of the Regional Health Superintendency of Diamantina (SRSD), carried out a study of the distribution of human and canine LV these using data available in Diseases Information system Notification and data recorded in the SRSD books. In the city with the highest occurrence of human VL was held georeferencing of human and canine cases associated with environmental and social factors; analyzed the perception of people with the disease through interviews; aspects of the structure and function of disease control service were analyzed by means of questionnaires. In the period 2007-2012 there was a notification of 79 cases of human VL and 451 dogs positive for canine infection in the municipalities that make up the SRSD. In these, the human VL was more prevalent in children, male gender and living people in rural areas. In Ara?ua?, municipality with greater transmission of human VL, there was notification of 41 cases of VL between the years 2007 to 2013. In this, the infection affected mainly children, males and gender residents of the urban area. The spatial distribution of cases of human VL and canine infection in urban Ara?ua? municipality exhibited a pattern crowded with groups of statistically significant human cases at distances greater than 350 meters and statistically significant clusters of infected dogs at distances greater than 75 meters . The exploratory analysis using the Kernel estimator pointed to a higher incidence of human and canine cases in the central area of the city. No relationship was found between the Difference Vegetation Index Normalized and areas of highest incidence of the disease. The environmental analysis of the home environments of people affected by LV in the municipality of Ara?ua? revealed a predominance of deficiencies in environmental sanitation structures; presence of shrubs, fruit trees and different animals around the household; proximity to natural environments and clustered houses. Through interviews with people who have been affected by LV, it was revealed an ignorance about the disease, particularly with regard to forms of transmission. It could be perceived also that doctors had difficulty diagnosing VL and the treatment prescribed for these patients was generally, time consuming. In general, the municipality of Ara?ua? develop most of the actions proposed by the Ministry of Health for the Control Program Visceral Leishmaniasis (PCLV), however, there is need for a better structuring of the LV control this service. The realization of plans for surveys of the demands of materials for the execution of LV diagnostics lest they miss during the surveys and the establishment of conditions for the implementation of entomological surveys is urgently needed. Investment in health education work for the population, continuing education for physicians, Fighting Endemic Diseases agents and other professionals involved in PCLV is also key.

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2017-01-05T12:21:55Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) carlos_eduardo_siste.pdf: 2342029 bytes, checksum: d1a2de6bf9a87c3607728cf94c8891d7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2017-01-31T14:14:01Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) carlos_eduardo_siste.pdf: 2342029 bytes, checksum: d1a2de6bf9a87c3607728cf94c8891d7 (MD5) / Made available in DSpace on 2017-01-31T14:14:01Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) carlos_eduardo_siste.pdf: 2342029 bytes, checksum: d1a2de6bf9a87c3607728cf94c8891d7 (MD5) Previous issue date: 2016 / A esquistossomose mansoni ? uma doen?a tropical negligenciada afetando anualmente milh?es de pessoas em todo mundo. ? provocada pelo parasito Schistosoma mansoni que, al?m do hospedeiro definitivo, depende do ambiente aqu?tico e de caramujos do g?nero Biomphalaria como hospedeiro intermedi?rio para completar seu ciclo biol?gico. De uma forma geral, sua ocorr?ncia est? associada a grupos sociais vulner?veis vivendo em ?reas deficit?rias em servi?os de saneamento ambiental e a padr?es de comportamento da popula??o. Al?m disso, altera??es promovidas no ambiente por atividades humanas em diferentes contextos, sobretudo aquelas que afetam diretamente as cole??es h?dricas podem favorecer a instala??o ou manuten??o de focos da doen?a. Desta forma, o presente estudo objetivou analisar os fatores ambientais e sociais associados ? din?mica de ocorr?ncia da esquistossomose no munic?pio de Serro, estado de Minas Gerais. Para tanto, conduziu-se estudo epidemiol?gico, de car?ter descritivo e quantitativo dos casos de esquistossomose ocorridos no per?odo 2010-2014, a partir de dados levantados junto ao Programa de Controle da Esquistossomose de Serro e de entrevistas com a popula??o. Foram identificados 352 casos diagnosticados no per?odo considerado, dentre os quais 104 participaram das entrevistas. Da popula??o total afetada, observou-se ser esta predominantemente masculina (62,78%), em idade economicamente ativa de 15-59 anos (80,1%), com ensino fundamental incompleto (52,8%) e residindo na ?rea rural (81,5%). Dentre os entrevistados, a maioria era natural do pr?prio munic?pio (84,7%), morando na atual resid?ncia h? mais de 20 anos (70%) na qual convivem de 3-6 pessoas (65,4%). A principal forma de ocupa??o s?o as atividades agropecu?rias (48,1%), com a maioria mantendo h?bito regular de fazer exames e consultas m?dicas (62,5%). A maior parte faz uso de ?gua proveniente de nascentes (56,7%) e consideram a ?gua consumida nas casas de boa qualidade (86,5%). A maioria das moradias possui banheiro com vaso sanit?rio (79,8%) destinando o esgoto para fossas secas no quintal ou rede de esgoto da rua (73,1%). ? expressivo o n?mero daqueles que declararam frequentar semanal (90,4%) ou quinzenalmente (79,7%) rios, ribeir?es e c?rregos (74,5%), cachoeiras (13,8%) e a?udes (9,6%) na regi?o, na maioria das vezes mantendo contato com as ?guas para pescar (55,3%), nadar (56,6%) e fazer travessia de caminho (41,5%). A maioria dos entrevistados declarou ter alguma informa??o sobre a doen?a antes de ser diagnosticado infectado (81,7%) e 62,5% n?o retornaram aos servi?os de sa?de para realizar o exame ap?s tratamento medicamentoso. A distribui??o da esquistossomose no munic?pio de Serro esteve significativamente agregada na por??o leste do munic?pio, em ?reas com menor varia??o na eleva??o e declividade, maiores ?ndice de vegeta??o e umidade, associada a ?reas com maior propor??o de domic?lios cujo esgotamento sanit?rio ocorria diretamente em cursos d??gua. Observou-se, ainda, que o maior n?mero de casos da doen?a ocorreu em localidades drenadas por rios da bacia hidrogr?fica do Rio Doce. Diante das particularidades apresentadas na extens?o do munic?pio, principalmente em rela??o ? espacializa??o da doen?a entre as duas grandes bacias hidrogr?ficas do munic?pio (Jequitinhonha e Rio Doce), as informa??es apresentadas podem contribuir para o direcionamento das a??es de controle na escala municipal, seja por meio de estrutura??o sanit?ria e ambiental, ou por meio de orienta??es quanto ao comportamento e exposi??o ?s cole??es h?dricas eventualmente contaminadas por parte da popula??o. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2016. / Schistosomiasis is an neglected tropical disease that affects annually millions of people worldwide. It is caused by Schistosoma mansoni worm that besides the definitive host, depends on the aquatic environment and on the Biomphalaria snails as an intermediate host to complete its life cycle. In general, its occurrence is associated with vulnerable groups living in areas where the environmental sanitation services are deficient and also associated to the population behavior patterns. In addition, changes introduced into the environment by human activities in different contexts, especially those that directly affect the water sources may promote the installation or maintenance of the disease outbreaks. Thus, this study aimed to analyze the environmental and social factors associated with the dynamics of Schistosomiasis occurrence in the city of Serro, Minas Gerais. For this it was conducted an epidemiological study, descriptive and quantitative of the Schistosomiasis cases occurred in the period 2010- 2014, from the data collected by the Schistosomiasis Control Program of Serro and interviews with the population. It was identified 352 diagnosed cases in the considered period, among which 104 participated in the interviews. Considering the total affected population, it was observed the predominance of men (62.78%), in work age of 15-59 years old (80.1%), with incomplete primary education (52.8%) and living in rural areas (81.5%). Among the respondents, most were natural of the municipality (84.7%), living at the current residence for more than 20 years (70%) living together with 3-6 people (65.4%). The main form of occupation is agricultural activities (48.1%), and most of them maintain regular habits of doing exams and having medical appointments (62.5%). Most of the respondents makes use of water coming from springs (56.7%) and consider the water consumed in their houses of good quality (86.5%). Most of the houses have bathroom with toilet (79.8%) intended for dry sewage tanks in the yard or street sewer network (73.1%). It is significant the number of those who reported that go to weekly (90.4%)or once every two weeks (79.7%) rivers, brooks and streams (74.5%), waterfalls (13.8%) and dams (9.6%) in the region, most of the time having contact with the water to fish (55.3%), to swimming (56.6%) and to crossing the path (41.5%). Most respondents claimed to have some information about the disease before being diagnosed infected (81.7%) and 62.5% did not return to health services for the exam after drug treatment. The distribution of Schistosomiasis in Serro municipality was significantly aggregated in the eastern portion of the city, in areas with less variation in elevation and slope, the largest index of vegetation and moisture associated with areas with the highest proportion of households where the sewage occurred directly into the watercourses. It was also noted that the highest number of cases of the disease occurred in places drained by rivers of the Rio Doce basin. Given the particularities presented at the county extension, especially in relation to the spatial distribution of the disease between two large municipal watersheds (Jequitinhonha and Rio Doce), the information presented may contribute to the guidance of the control actions on municipal level, either through health and environmental structuring, or through guidelines on the behavior and exposure to possibly contaminated water sources by the population.

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2017-12-22T18:41:31Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) diane_aparecida_oliveira_menezes.pdf: 4823131 bytes, checksum: 155819e1530adffc72630572a999ebdd (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2018-01-03T12:30:21Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) diane_aparecida_oliveira_menezes.pdf: 4823131 bytes, checksum: 155819e1530adffc72630572a999ebdd (MD5) / Made available in DSpace on 2018-01-03T12:30:21Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) diane_aparecida_oliveira_menezes.pdf: 4823131 bytes, checksum: 155819e1530adffc72630572a999ebdd (MD5) Previous issue date: 2017 / Visando conhecer os aspectos epidemiol?gicos da dengue nos munic?pios de Buritizeiro - MG e Pirapora - MG, que comp?em a Regi?o de Sa?de de Pirapora/MG, realizou-se um estudo de distribui??o da doen?a na popula??o. Os dados foram analisados mediante a utiliza??o das informa??es dispon?veis no Sistema de Informa??o de Agravos de Notifica??o (SINAN), Instituto Brasileiro de Geografia e Estat?stica (IBGE), Empresa de Assist?ncia T?cnica e Extens?o Rural do Estado Minas Gerais (EMATER) e Instituto Nacional de Meteorologia (INMET). O estudo apresentou como objetivo geral tra?ar o perfil epidemiol?gico da dengue nos munic?pios de Buritizeiro - MG e Pirapora - MG, entre os anos de 2012 a 2015. Os objetivos espec?ficos foram: a) Investigar a incid?ncia de dengue nos munic?pios de Buritizeiro - MG e Pirapora - MG, entre os anos de 2012 a 2015; b) Quantificar os casos confirmados de dengue nos munic?pios segundo faixa et?ria, ra?a/cor, sexo e escolaridade; c) Verificar a distribui??o espacial dos casos de dengue nos munic?pios, comparando com dados de vari?veis ambientais; d) Conhecer o funcionamento estrutural dos munic?pios no que diz respeito ao enfrentamento da dengue, mediante an?lises dos Planos de Conting?ncia para o Controle da Dengue; e) Subsidiar as secretarias de sa?de dos munic?pios de Buritizeiro - MG e Pirapora - MG com informa??es ajustadas sobre a dengue. ? um estudo quantitativo, longitudinal, com an?lises descritivas e explorat?rias, com dados retrospectivos. No munic?pio de Buritizeiro - MG foram notificados 1.801 casos de dengue e confirmados 641, sendo o maior n?mero em indiv?duos pardos, do sexo feminino, com escolaridade ensino m?dio completo. J? no munic?pio de Pirapora - MG foram notificados 3.267casos e confirmados 1.977, sendo o maior n?mero em indiv?duos do sexo feminino, pardos, com escolaridade ensino m?dio completo. A infec??o ocorreu em todas as faixas et?rias, sendo mais frequentes em indiv?duos de 20 a 49 anos de idade. Os munic?pios de Buritizeiro - MG e Pirapora - MG apresentaram incid?ncias vari?veis durante o per?odo do estudo. O ?ndice de Moran n?o mostrou evid?ncias de agrega??o espacial (I = - 0,018 p = 0,421). A an?lise da incid?ncia da dengue em rela??o ?s ambientais n?o evidenciou correla??o estatisticamente significativa para qualquer das vari?veis (temperatura m?dia diurna: r = - 0,0591, p = 0,7268; temperatura m?dia noturna: r = 0,2126, p = 0,1938; NDVI: r = 0,0219, p = 0,8949). O presente estudo servir? de base para elabora??o de pol?ticas p?blicas regionalizadas visando ? conten??o da dengue na Regi?o de Sa?de de Pirapora, Minas Gerais. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2017. / Aiming to know the epidemiological aspects of dengue in the municipalities of Buritizeiro - MG and Pirapora - MG, which compose the Region of Health of Pirapora / MG, a study of the distribution of the disease in the population was carried out. Data was analyzed using the information available in the Notification of Injury Information System (SINAN), Brazilian Institute of Geography and Statistics (IBGE), Technical Assistance and Rural Extension Company of the State of Minas Gerais (EMATER) and the National Institute of Meteorology (INMET). The objective of the study was to establish the epidemiological profile of dengue in the municipalities of Buritizeiro - MG and Pirapora - MG between the years of 2012 and 2015. The specific objectives were: a) To investigate the incidence of dengue in the municipalities of Buritizeiro - MG and Pirapora - MG, between the years of 2012 to 2015; B) To quantify the confirmed cases of dengue in the municipalities according to age, race/color, sex and education; C) To verify the spatial distribution of the dengue cases in the municipalities, comparing with data of environmental variables; D) To know the structural functioning of the municipalities with regard to coping with dengue, through analysis of Contingency Plans for Dengue Control; E) Subsidize the health secretariats of the municipalities of Buritizeiro - MG and Pirapora - MG with adjusted information on dengue. It is a longitudinal, quantitative study with descriptive and exploratory analyzes, with retrospective data. In the municipality of Buritizeiro - MG, 1,801 cases of dengue fever were reported and 641 confirmed cases, the highest number in mixedrace individuals, females, with a high school education. In the municipality of Pirapora - MG, 3,267 cases were reported and 1,977 confirmed, with the highest number in females, pardos, with a high school education. The infection occurred in all age groups, being more frequent in individuals from 20 to 49 years of age. The municipalities of Buritizeiro - MG and Pirapora - MG presented variable incidences during the study period. The Moran index did not show evidence of spatial aggregation (I = - 0.018 p = 0.421). Dengue incidence was not statistically significant for any of the variables (mean daytime temperature: r = -0.0591, p = 0.7268, mean night temperature: r = 0.2126, p = 0, 1938; NDVI: r = 0.0219, p = 0.8949). The present study will serve as a basis for the elaboration of regionalized public policies aiming at the containment of dengue in the Health Region of Pirapora, Minas Gerais.

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2018-01-04T15:35:22Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) diane_aparecida_oliveira_menezes.pdf: 4823131 bytes, checksum: 155819e1530adffc72630572a999ebdd (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2018-01-19T16:44:00Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) diane_aparecida_oliveira_menezes.pdf: 4823131 bytes, checksum: 155819e1530adffc72630572a999ebdd (MD5) / Made available in DSpace on 2018-01-19T16:44:00Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) diane_aparecida_oliveira_menezes.pdf: 4823131 bytes, checksum: 155819e1530adffc72630572a999ebdd (MD5) Previous issue date: 2017 / Visando conhecer os aspectos epidemiol?gicos da dengue nos munic?pios de Buritizeiro - MG e Pirapora - MG, que comp?em a Regi?o de Sa?de de Pirapora/MG, realizou-se um estudo de distribui??o da doen?a na popula??o. Os dados foram analisados mediante a utiliza??o das informa??es dispon?veis no Sistema de Informa??o de Agravos de Notifica??o (SINAN), Instituto Brasileiro de Geografia e Estat?stica (IBGE), Empresa de Assist?ncia T?cnica e Extens?o Rural do Estado Minas Gerais (EMATER) e Instituto Nacional de Meteorologia (INMET). O estudo apresentou como objetivo geral tra?ar o perfil epidemiol?gico da dengue nos munic?pios de Buritizeiro - MG e Pirapora - MG, entre os anos de 2012 a 2015. Os objetivos espec?ficos foram: a) Investigar a incid?ncia de dengue nos munic?pios de Buritizeiro - MG e Pirapora - MG, entre os anos de 2012 a 2015; b) Quantificar os casos confirmados de dengue nos munic?pios segundo faixa et?ria, ra?a/cor, sexo e escolaridade; c) Verificar a distribui??o espacial dos casos de dengue nos munic?pios, comparando com dados de vari?veis ambientais; d) Conhecer o funcionamento estrutural dos munic?pios no que diz respeito ao enfrentamento da dengue, mediante an?lises dos Planos de Conting?ncia para o Controle da Dengue; e) Subsidiar as secretarias de sa?de dos munic?pios de Buritizeiro - MG e Pirapora - MG com informa??es ajustadas sobre a dengue. ? um estudo quantitativo, longitudinal, com an?lises descritivas e explorat?rias, com dados retrospectivos. No munic?pio de Buritizeiro - MG foram notificados 1.801 casos de dengue e confirmados 641, sendo o maior n?mero em indiv?duos pardos, do sexo feminino, com escolaridade ensino m?dio completo. J? no munic?pio de Pirapora - MG foram notificados 3.267casos e confirmados 1.977, sendo o maior n?mero em indiv?duos do sexo feminino, pardos, com escolaridade ensino m?dio completo. A infec??o ocorreu em todas as faixas et?rias, sendo mais frequentes em indiv?duos de 20 a 49 anos de idade. Os munic?pios de Buritizeiro - MG e Pirapora - MG apresentaram incid?ncias vari?veis durante o per?odo do estudo. O ?ndice de Moran n?o mostrou evid?ncias de agrega??o espacial (I = - 0,018 p = 0,421). A an?lise da incid?ncia da dengue em rela??o ?s ambientais n?o evidenciou correla??o estatisticamente significativa para qualquer das vari?veis (temperatura m?dia diurna: r = - 0,0591, p = 0,7268; temperatura m?dia noturna: r = 0,2126, p = 0,1938; NDVI: r = 0,0219, p = 0,8949). O presente estudo servir? de base para elabora??o de pol?ticas p?blicas regionalizadas visando ? conten??o da dengue na Regi?o de Sa?de de Pirapora, Minas Gerais. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2017. / Aiming to know the epidemiological aspects of dengue in the municipalities of Buritizeiro - MG and Pirapora - MG, which compose the Region of Health of Pirapora / MG, a study of the distribution of the disease in the population was carried out. Data was analyzed using the information available in the Notification of Injury Information System (SINAN), Brazilian Institute of Geography and Statistics (IBGE), Technical Assistance and Rural Extension Company of the State of Minas Gerais (EMATER) and the National Institute of Meteorology (INMET). The objective of the study was to establish the epidemiological profile of dengue in the municipalities of Buritizeiro - MG and Pirapora - MG between the years of 2012 and 2015. The specific objectives were: a) To investigate the incidence of dengue in the municipalities of Buritizeiro - MG and Pirapora - MG, between the years of 2012 to 2015; B) To quantify the confirmed cases of dengue in the municipalities according to age, race/color, sex and education; C) To verify the spatial distribution of the dengue cases in the municipalities, comparing with data of environmental variables; D) To know the structural functioning of the municipalities with regard to coping with dengue, through analysis of Contingency Plans for Dengue Control; E) Subsidize the health secretariats of the municipalities of Buritizeiro - MG and Pirapora - MG with adjusted information on dengue. It is a longitudinal, quantitative study with descriptive and exploratory analyzes, with retrospective data. In the municipality of Buritizeiro - MG, 1,801 cases of dengue fever were reported and 641 confirmed cases, the highest number in mixedrace individuals, females, with a high school education. In the municipality of Pirapora - MG, 3,267 cases were reported and 1,977 confirmed, with the highest number in females, pardos, with a high school education. The infection occurred in all age groups, being more frequent in individuals from 20 to 49 years of age. The municipalities of Buritizeiro - MG and Pirapora - MG presented variable incidences during the study period. The Moran index did not show evidence of spatial aggregation (I = - 0.018 p = 0.421). Dengue incidence was not statistically significant for any of the variables (mean daytime temperature: r = -0.0591, p = 0.7268, mean night temperature: r = 0.2126, p = 0, 1938; NDVI: r = 0.0219, p = 0.8949). The present study will serve as a basis for the elaboration of regionalized public policies aiming at the containment of dengue in the Health Region of Pirapora, Minas Gerais.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-04-03T23:22:19Z No. of bitstreams: 1 ErotidesTerezaDeOliveiraDamascenoLucas_DISSERT.pdf: 1467928 bytes, checksum: 29bd7c5ed6ace04ebc914d03de04e066 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-04-12T00:21:18Z (GMT) No. of bitstreams: 1 ErotidesTerezaDeOliveiraDamascenoLucas_DISSERT.pdf: 1467928 bytes, checksum: 29bd7c5ed6ace04ebc914d03de04e066 (MD5) / Made available in DSpace on 2017-04-12T00:21:18Z (GMT). No. of bitstreams: 1 ErotidesTerezaDeOliveiraDamascenoLucas_DISSERT.pdf: 1467928 bytes, checksum: 29bd7c5ed6ace04ebc914d03de04e066 (MD5) Previous issue date: 2016-08-31 / A transi??o demogr?fica que vem ocorrendo no mundo e no Brasil traz consigo uma modifica??o no padr?o de doen?as encontradas nas popula??es. As doen?as cr?nicas n?o-transmiss?veis (DCNT) tem aparecido com bastante destaque nesse cen?rio de transi??o epidemiol?gica, e suas morbidades t?m afetado de forma consider?vel os indiv?duos, como ? o caso do Diabetes Mellitus (DM), associado ao p? diab?tico e ?s amputa??es. O objetivo deste trabalho foi analisar a distribui??o espa?o-temporal das taxas de preval?ncia do p? diab?tico e amputa??es por diabetes mellitus no Brasil, antes e ap?s a lei n? 11.347/06, que disp?e sobre a distribui??o gratuita de medicamentos e materiais para sua aplica??o e monitora??o da glicemia capilar aos portadores de DM. Trata-se de um estudo ecol?gico, que utilizou como unidades de an?lise 161 Regi?es de Articula??o Urbana intermedi?rias e dados do DATASUS de indiv?duos acima de 40 anos em 2003-2012. Utilizou-se os testes de Moran Global e Local, e an?lise joinpoint das taxas no pa?s. Realizou-se an?lise espacial bivariada entre as vari?veis principais e taxas de cobertura da aten??o b?sica (profissionais/estabelecimentos). Os resultados mostraram que em 2003, as taxas de preval?ncia do p? diab?tico e amputa??es foram as mais elevadas (2,47/100.000 e 1,66/100.000, respectivamente). Observou-se redu??o anual de 9,4% na taxa de preval?ncia do p? diab?tico e de 7,3% em rela??o ? taxa de amputa??es de 2003 a 2012. Houve uma maior concentra??o espacial das taxas do p? diab?tico nas regi?es norte, nordeste e centrooeste. Observou-se autocorrela??o negativa quando realizada a an?lise bivariada com a taxa de estabelecimentos na aten??o b?sica (variando entre I= -0,07 a -0,12, p< 0,05). O que sugere importante rela??o entre o baixo n?mero de estabelecimentos nas regi?es e as maiores preval?ncias. Conclui-se que apesar da diminui??o nas taxas de preval?ncias, n?o foi poss?vel identificar influ?ncia direta da lei na redu??o das taxas do p? diab?tico e amputa??es por diabetes mellitus no Brasil. / The demographic transition that has taken place in the world and in Brazil brings with it a change in the pattern of diseases found in populations. The chronic noncommunicable diseases (NCDs) has appeared rather prominently in this epidemiological transition scenario, and its morbidities have affected considerably individuals, such as Diabetes Mellitus (DM) associated with diabetic foot and amputations. The aim of study was analyze the space-time distribution of prevalence rates of diabetic foot and amputations for diabetes mellitus in Brazil, before and after the law 11.347/06, which talking about the free distribution of medicines and materials for its implementation and monitoring of blood glucose to DM. This is an ecological study, which used as units of analysis 161 Urban Articulation Regions intermediate and DATASUS data of individuals over 40 years in 2003- 2012. We used the Global Moran and Local Moran tests and joinpoint analysis of rates in the country. We conducted bivariate spatial analysis of the main variables and primary care coverage rates (professionals/institutions). The results showed that in 2003, the prevalence rates of diabetic foot and amputations were higher (2.47/100.000 and 1.66/100.000, respectively). There was an annual reduction of 9.4% in the prevalence of diabetic foot and 7.3% in the amputation rate from 2003 to 2012. There was a higher spatial concentration of diabetic foot rates in the North, Northeast and Midwest. There was negative autocorrelation when performed bivariate analysis with the rate of establishments in primary care (ranging from I= -0,07 a -0,12, p< 0,05). This suggests important relationship between the small number of establishments in the regions and the highest prevalence. It concludes that despite the decrease in prevalence rates, it was not possible to identify direct influence of the law on reduced rates of diabetic foot and amputations for diabetes mellitus in Brazil.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-07-04T14:11:56Z No. of bitstreams: 1 HellydaDeSouzaBezerra_DISSERT.pdf: 2089924 bytes, checksum: bbd7d7f68b59d3f20fe15f2b9c579a3a (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-07-14T10:54:49Z (GMT) No. of bitstreams: 1 HellydaDeSouzaBezerra_DISSERT.pdf: 2089924 bytes, checksum: bbd7d7f68b59d3f20fe15f2b9c579a3a (MD5) / Made available in DSpace on 2017-07-14T10:54:51Z (GMT). No. of bitstreams: 1 HellydaDeSouzaBezerra_DISSERT.pdf: 2089924 bytes, checksum: bbd7d7f68b59d3f20fe15f2b9c579a3a (MD5) Previous issue date: 2017-06-02 / O C?ncer do Colo do ?tero, ? um grave problema de sa?de p?blica no Brasil e no mundo. Diante disso, ? necess?rio seu rastreamento a partir do aumento da cobertura do exame de Papanicolau nas mulheres. O objetivo geral do estudo ? avaliar a distribui??o espacial da raz?o de citopatologia onc?tica e Mortalidade por C?ncer do Colo do ?tero no Brasil, na s?rie hist?rica de 2008 a 2014. Trata-se de um estudo epidemiol?gico, retrospectivo, observacional e do tipo ecol?gico, realizado nas 161 regi?es intermedi?rias de articula??o urbana do Brasil. As vari?veis do estudo foram a raz?o de exames citopatol?gicos do colo do ?tero, a taxa de mortalidade por c?ncer do colo do ?tero, escolaridade, ?ndice de Gini e IDH. Como fonte de dados, foram utilizados os Sistema de Informa??o do C?ncer do Colo do ?tero (SISCOLO), o Sistema de Informa??o da Mortalidade (SIM) e o Programa das A??es Unidas para o desenvolvimento (PNUD). Para an?lise estat?stica dos dados e foi utilizado o programa Statistical Package for the Social Sciences (SPSS), vers?o 22.0, com n?mero de s?rie 10101141047. Foram calculadas de modo descritivo a vari?vel raz?o de exames citopatol?gicos do colo do ?tero e taxa de mortalidade por c?ncer do colo do ?tero, por meio das quais foram identificadas m?dia, mediana e desvio padr?o. Tamb?m foram realizados o teste t de student e o Qui-Quadrado entre as regi?es intermedi?rias de articula??o urbana. Para a an?lise espacial e constru??o dos mapas, foi utilizado o programa TerraView, vers?o 4.2.2. Para a an?lise espacial bivariada, foi utilizado o programa Geoda, vers?o 1.2. Observa-se que as m?dias da raz?o do Brasil, em todos os anos envolvidos, foram acima do ponto de corte do indicador estudado, correspondente a 0,33, sendo o ano de 2009 o de maior m?dia de raz?o. As m?dias da taxa de mortalidade, a partir de 2011, come?aram a crescer, atingindo a maior m?dia no ano de 2014 (7,6). Quanto ao cruzamento da raz?o de citopatologia onc?tica e taxa de mortalidade, na maioria das regi?es, foram classificadas com baixa raz?o e alta mortalidade. No tocante ? espacializa??o, as menores m?dias da cobertura de Papanicolau foram encontradas nas regi?es Norte e Nordeste, nas quais formaram clusters no Box Map, com a classifica??o de ?Baixo-Baixo? na maioria dos munic?pios. Quanto ? mortalidade, tem-se uma pior m?dia tamb?m nas regi?es Norte e Nordeste, formando clusters ?Alto-Alto? em alguns munic?pios do Nordeste. Nas an?lises bivariadas, observou-se a que a raz?o de citopatol?gicos ? influenciada pela escolaridade, ?ndice de Gini e IDH. Conclui-se que a cobertura de Papanicolau e a taxa de mortalidade por c?ncer do colo do ?tero no Brasil ? influenciada pelas desigualdades socioecon?micas do pa?s, estando em menores n?meros nas regi?es menos no Norte e Nordeste e, em melhores condi??es, no Sul e Sudeste. / Cervical cancer, is serious public health problem for Brazil and the world. Knowing this, it is necessary to trace the cervical cancer by increasing the coverage of the Pap test in women. The general objective of the study is to evaluate the spatial distribution of the oncotic cytopathology ratio and Cancer Mortality of the Uterine Cervical Cancer in Brazil, in the historical series from 2008 to 2014. This is an epidemiological, retrospective, observational and ecological study, c'arried out in the 161 intermediate regions of urban articulation in Brazil. The study variables were the ratio of cytopathological examinations of the cervix, cervical cancer mortality rate, schooling, Gini index and HDI. As a data source, the Cervical Cancer Information System (SISCOLO), the Mortality Information System (SIM) and the United Nations Development Program (UNDP) were used. The Statistical Package for the Social Sciences (SPSS), version 22.0, serial number 10101141047 was used for the statistical analysis. The variable ratio of cervical cytopathological examinations and cervical cancer mortality rate were calculated in a descriptive way, through which mean, median and standard deviation were identified. The student's t test and the Chi-Square test were also performed between the intermediate regions of urban articulation. For the spatial analysis and construction of the maps, the TerraView program, version 4.2.2 was used. For the bivariate spatial analysis, the Geoda program, version 1.2 was used. It can be observed that the averages of the ratio of Brazil, in all the years involved, were above the cutoff point of the indicator studied, corresponding to 0.33, being the year of 2009 the highest average of the ratio. The mortality rate averages, starting in 2011, began to grow, reaching the highest average in 2014 (7.6). Regarding the cross-over of the oncotic cytopathology ratio and mortality rate, in most regions, they were classified with low ratio and high mortality. Regarding spatialisation, the lowest averages of Pap smears were found in the North and Northeast regions, where they formed clusters in Bom Map, with the classification of "Low-Low" in most municipalities. As for mortality, there is a worse average also in the North and Northeast regions, forming "Hight-Hight" clusters in some municipalities of the Northeast. In the bivariate analysis, it was observed that the cytopathological ratio is influenced by the schooling, Gini index and HDI. It is concluded that Pap smear coverage in Brazil is influenced by the socioeconomic inequalities of the country, being smaller in the North and Northeast, and in better conditions, in the South and Southeast.