Greenhouse gases (GHGs) emissions due to human activities have considerably increased in the past decades which are the main contributors of global warming. In order to limit the consequences of the global climate change happening, all sectors must reduce their carbon emissions and especially the building industry which represents 19% of the carbon footprint of human activities. This paper is giving methods to help reduce the carbon footprint of a building when designing it such as life cycle assessment which allow project teams to compare the global warming potential of all building materials. Those methods are used and challenged in a case study of an architectural competition project named quai d’Issy in Paris, France. Using biobased materials help reduce the carbon footprint of a building, a structure made of timber and concrete elements can emit less than 21% of GHGs than a classic concrete structure. By sourcing reused and recycled building materials, by using geothermal heat pump as heating and cooling systems for example, we have been able to reach for the quai d’Issy project a carbon footprint of 930kgC02eq/m2 of floor area, which is less than level needed for the highest French environmental certification. However, these results can be obtained only if the building materials companies continue their work to develop low-carbon materials and promote recycled and reused materials. This study emphasises the need to spread knowledge of the tools to design low-carbon building to all the actors of the building industry in order to promote behaviours that will limit the consequences of climate change.

Transactional analysis has been a useful tool for the researcher in categorizing these characteristics. Using it, he was able to recognize both commonalities and differences between types of problem adolescents. The purpose of this thesis is to examine the life scripts of problem adolescents of selected institutions to determine what the commonalities are within and between the categories of injunctions, counter injunctions, basic positions, rackets, games, decisions, programs of life course, and treatment contracts. The purpose and problem are embodied in four basic questions: (1) Do commonalities exist in the categories of injunctions, counter injunctions, basic positions, rackets, games, decision, programs of life course and treatment contracts?; (2) What are the most prevalent commonalities within each category? Example: What is the most common injunction?; (3) What are the commonalities between categories? Example: What is the most common game when the injunction is “Don’t get close?”; and (4) What are the commonalities among total life scripts? Calude Steiner categorizes the alcoholic into three main types: “drunk proud,” “lush,” and “wino;” is it possible to categorize adolescent delinquents into similar personality patterns.

Florida's United States History End-of-Course (EOC) Assessment performance outcomes are scheduled to impact student course grades, educator evaluation scores, and school grades. A professional learning plan to improve teaching and learning in support of student achievement on the Assessment does not exist. Neither Florida Statute nor the Florida Department of Education (FDOE) facilitate or fund professional learning in support of these influences. This dissertation in practice proposes the use of the U.S. History EOC Assessment Professional Learning Series to build educator capacity in support of student achievement on the Assessment. Implementation of professional learning could address the disparity between the legislated Assessment and its potential impacts. Tyler's (1949) curriculum development rationale and Shulman's (1986) notion of pedagogical content knowledge provided a conceptual framework for the proposed professional learning. Professional learning experiences were designed to include (1) an assessment simulation, (2) a correlation of simulated assessment items to item specifications, (3) a test item writing practicum, and (4) model lessons. The series was designed to support pedagogical content knowledge growth in planning, teaching, and assessing United States History; and improve instructional and professional efficacy. The ultimate purpose of the series is to improve teaching and learning to support student achievement on U.S. History EOC Assessment.

Hundar anses vara det första domesticerade husdjuret men behoven för hundraser med specifika arbetsuppgifter har kraftigt förändrats. Oavsett tidigare ursprung hålls de flesta hundar idag som sällskapshundar och egenskaper som exempelvis vakt- och vallhundar uppvisar går inte alltid hand i hand med kraven på den moderna sällskapshunden. För att möta samhällets krav behöver hundarna i första hand vara trygga, lätthanterliga och lätta att träna men trots detta ligger fokus inom aveln ofta på exteriör och de ursprungliga egenskaperna kvarstår. För att möta de nya behoven blir det istället intressant att titta på andra genetiskt betingade egenskaper och i den här studien avser frågeställningen lekbeteenden och dess eventuella samband med hur väl hundar presterar på nationella lydnadsprov. Frågan undersöktes genom tre hypoteser som avser hundar som uppvisar högre poäng på Beteende- och personlighetsbeskrivning H1 ) för lek med egen leksak presterar i genomsnitt högre poäng på nationella lydnadsprov än hundar som uppvisar lägre poäng för lek med egen leksak på Beteende- och personlighetsbeskrivning, H2 ) för lek med ny leksak presterar i genomsnitt högre poäng på nationella lydnadsprov än hundar som uppvisar lägre poäng för lek med ny leksak på Beteende- och personlighetsbeskrivning och H3 ) för dragkampsintresse presterar i genomsnitt högre poäng på nationella lydnadsprov än hundar som uppvisar lägre poäng för dragkampsintresse på Beteende- och personlighetsbeskrivning. Genom datainsamling för fyra raser; rhodesian ridgeback, dvärgschnauzer, mellanpudel och cocker spaniel avseende enskilda poäng för tre olika typer av lekbeenden under standardiserad beteende- och personlighetsbeskrivning samt medelpoäng för nationella lydnadsprov har frågan undersökts med Pearson´s korrelationstest. Resultatet visar positivt samband för H2 ) med en signifikans på 0,04 (P<0,05) och en korrelationskoefficient där r = 0,21. Resultaten i den här studien stödjer delvis tidigare studier som visar att lekfullhet ger en bättre förutsättning för inlärningsförmåga och tävlingsprestation, så även på nationella lydnadsprov. Verktygen för att möta de nya behoven av en modern sällskapshund finns tillgängliga genom beteendebeskrivningar men prioriteringar i aveln måste ses över och nyttan med verktygen måste synliggöras ännu mer. Lekfullhet bör vara en parameter att ta hänsyn till i tilltänkta avelskombinationer både för att gynna populationen i stort men också för att stärka djurvälfärden på individnivå. / Dogs are considered the first domesticated animal but the need for dog breeds with specific working traits has changed dramatically. Regardless of their previous origins, most dogs today are kept as pure companion dogs and hereditary characteristics such as for guarding or herding do not always match with the requirements of the modern companion dog. In order to meet society's demands, the dogs should be safe, easy to handle and easy to train. Despite this, the focus in breeding is often on the appearance and the original behavioural characteristics have remained. In order to meet the new requirements, we need to look at other genetically determined characteristics such as play behavioural and personality. In this study the question concerns specifically play behavior and whether there is a positive correlation between playfulness and how well dogs perform in national obedience tests. The question is investigated through three hypotheses concerning dogs that exhibit higher scores for 1 ) play with their own toy 2 ) play with a new toy 3) tug of war interest. Data was collected from a national database for four breeds, rhodesian ridgebacks, miniature schnauzers, medium sized poodles and cocker spaniels. Individual scores for three different types of play behaviour under standardized Behaviour and Personality Assessment were correlated with average scores for national obedience tests, using Pearson's correlation tests. The result showed there was a significant positive correlation (r=0,21, P<0,05) between playing with a new toy and obedience. Playing with their own toy and tug-of-war was not significantly correlated with obedience. The results of this study thus partially support previous studies that characteristics such as playfulness provide better conditions for learning ability and performance on national obedience tests. The tools to meet the new requirements of a modern companion dog are available through Behaviour and Personality Assessment but priorities in breeding must be reviewed and the utility of the tools must be made even more visible. Playfulness should be a characteristic to take into account when considering a breeding combination, both to benefit the population and the society at large but also to strengthen animal welfare on an individual level.

Kidney transplant recipients must take immunosuppressive medications to prevent the rejection of their transplanted kidney. If female transplant recipients become pregnant, however, very limited data are available about the effects of these medications on their exposed offspring. This study specifically reviews two of the most commonly used immunosuppressive medications prescribed to transplant recipients, cyclosporine and tacrolimus, and evaluates physical and cognitive development of the recipients' children who were exposed to these medications in utero. Participants in this study (n = 71) were female kidney transplant recipients who (a) voluntarily consented to be part of the National Transplantation Pregnancy Registry, (b) took cyclosporine or tacrolimus while pregnant, (c) had a child who is under the age of 6 years at the time of the study, and (d) were reachable via phone. Participants were asked standardized assessment questions related to their child's cognition and physical abilities from the Development Assessment of Young Children (DAYC). Standard scores from the assessment were recorded and analyzed to show that children exposed to cyclosporine or tacrolimus showed higher cognitive scores on the DAYC compared to the normative population. Children exposed to cyclosporine also showed higher physical scores compared to the normative population. Children exposed to tacrolimus did not show significant differences in physical development from the normative population. When cyclosporine or tacrolimus are required during pregnancy, these results help provide reassurance to parents and medical care providers about the cognitive and physical development of their offspring. Practical implications for school psychologists, limitations of this research, and directions for future research were discussed. / School Psychology

Mathematical equivalence is crucial throughout the entire course of education. Understanding the concept is a prerequisite for comprehending mathematics, especially in algebra. Despite this, research indicates that many students lack a relational understanding of the concept, both early in their educational journey and as they progress through the grades. However, certain studies suggest that students can demonstrate relational understanding, even at younger ages, as long as you don’t use linguistic assessment methods. This study focuses on primary school students and their understanding of mathematical equivalence. The aim of the study is to investigate whether third-grade students possess a relational understanding of equivalence and, if so, to explore its characteristics. To examine this, a survey was used with math tasks to assess students at a school in southern Sweden’s understanding of equivalence. The surveys have been analyzed through radical constructivism and the Mathematical Equivalence Assesment model. The results indicate that a significant portion of students exhibit partial or complete relational understanding of equality. Furthermore, the findings reveal that students lacking an understanding of the definition of mathematical equivalence attain considerably lower results compared to those with such an understanding. An overarching conclusion that can be drawn in relation to the study's results is that a relational understanding of mathematical equivalence is crucial for long-term learning in mathematics.

Vid fastighetstaxering av lokalhyreshus tar inte värderingsmodellen för mark hänsyn till att det finns utrymmen under mark som generar hyresintäkter. Det innebär att taxeringsvärdet för markvärdet möjligtvis inte avspeglar marknadsvärdet.  Syftet med arbetet är att göra en kartläggning av två svenska städer för att tillhandahålla underlag som hjälper Lantmäteriet i sitt arbete att förbättra kvaliteten på taxeringsvärdet. Målet är att identifiera möjliga samband mellan marknadsvärdet i jämförelse med taxeringsvärdet för fastigheter med och utan utrymme under mark.  Metoderna som tillämpas är en kvalitativ analys av köpesummor i förhållande till taxeringsvärden och kvalitativa intervjuer. Analysen av köpesummor utfördes för att besvara om utrymme under mark påverkar marknadsvärdet jämfört med taxeringsvärdet. Intervjuerna syftar till att ge djupare kunskap om värdet för utrymme under mark. Resultatet från analysen av köpesummor visade att marknadsvärdet inte påverkades av utrymme under mark. Däremot framgick det i intervjuerna att markvärdet för utrymme under mark bör behandlas annorlunda vid taxering eftersom det har ett beaktansvärt värde. Slutsatsen blev därför att utrymme under mark som genererar intäkter borde tas med i fastighetstaxeringen under säregna förhållanden. / At a property tax assesment of a non-residential rental housing unit the valuation model of land does not take in to consideration the space beneath it that generate revenue from rent. This means that the tax assessment value of the land does not necessarily reflect the market value.   The purpose of this paper is to make a survey, of two Swedish cities, that can provide the National Land Survey with information that can help them improve the quality of the tax assessment value. The aim is to identify possible connections between the market value in comparison to the tax assessment value of properties with and without space beneath ground.  The methods used are a qualitative analysis of the purchase price in relation to tax assessment values and qualitative interviews. The analysis of the purchase price was done to answer if space beneath ground affects the market value compared to the tax assessment value. The interviews aim to create a deeper knowledge of the value of space beneath ground.  The results from the analysis of the purchase price showed that the market value was not affected by space beneath ground. However, it emerged in the interviews that the land value for space beneath ground should be handled differently during assassment, because it has a noteworthy value. The conclusion was that space beneath ground that generates revenue, should be included in the property tax assessment under special conditions.

<p>Modern, small-scale wastewater treatment faces a twofold challenge: On the one hand requirements from legal authorities regarding removal of eutrophying substances have become more demanding. On the other hand high-quality phosphorus reserves are dwindling, which has raised calls for increased recycling. The problem is acute in the county of Stockholm where about 34 000 households are identified to not possess adequate wastewater treatment facilities. In this master’s thesis, four treatment systems, of which three had some phosphorus recycling potential, were compared using life cycle assessment methodology. The small-scale treatment systems analyzed were infiltration, filter beds with Filtralite® P and Filtra P respectively as filter material and a chemical precipitation system. The system boundaries included the extraction of raw materials, production of materials and components, the construction and operation of the systems as well as deconstruction and recycling of the treatment plants. Apart from impacts on human health and acidification potential, which both proved to be of less relevance to the final results, energy usage, consumption of abiotic resources, global warming potential and eutrophication potential were taken into account in this study.</p><p>The infiltration system attained the most favourable results in all impact categories save eutrophication potential, which was due to both the low usage of energy and resources as well as the system’s high life expectancy. The filter bed system using Filtralite® P demonstrated the best performance in reduction of eutrophying substances. However, the system’s energy demand and emissions of greenhouse gases by far exceeded the other systems’ results in these categories. Both the filter bed system using Filtra P and the chemical precipitation system fared relatively equal in the overall analysis, with moderate impacts in all categories. The nutrient recycling potential was shown to be limited by the waste products’ relatively high heavy metal content. Sludge from chemical precipitation had higher potential for replacement of fertilizer than filter bed material.</p><p>The chemical precipitation system fared best in the overall assessment. Its technical immaturity and limited data foundation put the alternative using Filtra P into second place. The infiltration system’s limited treatment performance and inexistent recycling potential put this alternative into third place. The alternative using Filtralite® P was ruled out entirely because of its high impact on fossil fuel consumption and global warming. Based on this ranking recommendations were made.</p><p>Even though the filter bed materials in this study showed excellent phosphorus removal capacity, further research into alternative filter bed materials will have to be made due to the materials’ environmental impacts in other areas. Focus should be on waste material and natural products (such as shell sand) with low environmental impacts from production. Ways of separating heavy metals from plant nutrients need to be explored if nutrient recycling is to be an aim. This study showed that good phosphorus removal characteristics can lead to an increase in other environmental impacts, which in some cases even may outweigh the positive effects of decreased eutrophication.</p> / <p>Modern, småskalig avloppsreningsteknik står inför två utmaningar. Å ena sidan har kraven från lagstiftaren på rening av eutrofierande ämnen ökat. Problemet är akut i Stockholms län där det finns ca. 34 000 hushåll som inte anses uppfylla reningskraven. Å andra sidan minskar fosforförekomsterna av hög kvalitet i allt större takt, vilket har väckt krav på ökad återföring av växtnäring. I detta examensarbete undersöktes fyra olika reningstekniker, varav tre har en viss återföringspotential, med hjälp av metodik från livscykelanalys. Systemen som undersöktes var infiltration, filterbäddar dels med Filtralite® P och dels med Filtra P som filtermaterial, samt ett kemikaliefällningssystem. Systemgränserna omfattade extraktion av råmaterial, produktion av anläggningsmaterial och –komponenter, uppförande och drift av systemen samt avveckling av anläggningarna och återföring av restmaterial. Förutom påverkan på mänsklig hälsa och försurningspotential, som visade sig vara mindre relevanta för slutresultaten, omfattade analysen även en undersökning av energianvändning, förbrukning av abiotiska resurser, potential för global uppvärmning och eutrofieringspotential.</p><p>Infiltrationslösningen fick de mest fördelaktiga resultatvärden i alla kategorierna förutom eutrofieringspotential, vilket kan förklaras med systemets låga energi- och resursbehov samt dess höga livslängd. Filterbädden med Filtralite® P som filtermaterial uppvisade den största förmågan att reducera eutrofierande substanser. Systemets energibehov och utsläpp av växthusgaser översteg dock de andra systemens resultat i dessa kategorier kraftigt. Både anläggningen med Filtra P och kemikaliefällningslösningen fick liknande resultat, med måttlig påverkan i alla kategorier. Systemens återföringspotential visade sig vara begränsad av restprodukternas höga tungmetallhalt. Kemikaliefällt slam hade högre återföringspotential än filterbäddsmaterial.</p><p>Kemikaliefällning klarade sig totalt sett bäst i studien. Den relativt obeprövade tekniska utformning och det osäkra dataunderlaget ledde till att Filtra P hamnade i rangordningen efter kemikaliefällning. Infiltrationssystemets begränsade reningsförmåga och den obefintliga återföringspotentialen ledde till att alternativet hamnade näst sist. Filtralite® P-alternativet blev placerat sist i rangordningen på grund av dess stora påverkan på förbrukning av fossila bränslen och global uppvärmning. Baserat på rangordningen utfärdades rekommendationer.</p><p>Trots att filtermaterialen som undersöktes i denna studie har en utmärkt fosforreningsförmåga, kommer det att krävas fler studier med avseende på alternativa filtermaterial, eftersom materialens användning av icke-förnybara energikällor är mycket stor vid tillverkningen. Fokus borde ligga på återvunna eller naturliga material (som t.ex. snäcksand) med låg miljöpåverkan vid tillverkning. Om återföring av växtnäring ska bli ett mål inom småskalig avloppsvattenrening, måste effektiva sätt att separera tungmetaller från växtnäringsämnen utforskas. Denna studie visade att goda fosforavskiljningsegenskaper kan medföra att andra typer av miljöpåverkan ökar, vilket i vissa fall kan leda till att de negativa konsekvenserna överväger nyttan av minskad eutrofiering.</p> / <p>Moderne, dezentrale Abwassertechnik steht zwei großen Herausforderungen gegenüber. Zum einen sind die Ansprüche von Seiten des Gesetzgebers gestiegen, die effektivere Abwasserreinigungstechniken erfordern. Zum andern werden Phosphorvorkommen von hoher Qualität zunehmend knapper, was Rufe nach verstärkter Rückführung von Phosphor hat laut werden lassen. Im Verwaltungsbezirk Stockholm, in dem es ungefähr 34 000 Haushalte mit unzureichender Abwasserreinigung gibt, ist das Problem von besonderer Bedeutung. In dieser Diplomarbeit wurden vier Abwasserreinigungssysteme, wovon drei ein gewisses Potential für Phosphorrückführung haben, mit Hilfe einer Ökobilanzierung untersucht. Folgende Systeme wurden untersucht: Eine Infiltrationsanlage, zwei Filterbettsanlagen, eine mit Filtralite® P und eine mit Filtra P als Filtermaterial sowie ein System mit Chemikaliefällung. Die Systemgrenzen umfassten die Gewinnung und Verarbeitung von Rohstoffen, das Errichten der jeweiligen Anlage, deren Betrieb sowie Rückgewinnung und Entsorgung von Restmaterialien. Neben Auswirkungen auf die menschliche Gesundheit und Versauerungspotential, die sich im Nachhinein als weniger relevant erwiesen, wurden Energiebedarf, Verbrauch abiotischer Resourcen, Potential für globale Erwärmung und Eutrophierungspotential untersucht.</p><p>Die niedrigsten Resultate in allen Kategorien außer Eutrophierungspotential wurden vom Infiltrationssystem erreicht. Filtralite® P erwies sich als am leistungsstärksten, was die Reduktion von eutrophierenden Substanzen angeht. Der Energiebedarf und die Emissionen von Treibhausgasen dieser Alternative überstieg die Ergebnisse der anderen Alternativen in diesen Kategorien doch bei weitem. Filtra P und Chemikaliefällung erzielten moderate Auswirkungen in allen Kategorien. Das Potential für die Rückführung von Pflanzennährstoffen wird, wie die Ergebnisse zeigen, vom relativ hohen Schwermetallhalt in den Restprodukten begrenzt.</p><p>Chemikaliefällung ist in dieser Studie die beste Alternative. Filtra P zeigte sich als technisch noch zu wenig ausgereift und die Datenunterlage als zu unvollständig, weswegen diese Alternative an zweiter Stelle steht. Die begrenzte Reinigungsfähigkeit des Infiltrationssystemes und das nicht vorhandene Potential für Rückführung von Phosphor führten dazu, dass diese Lösung an dritter Stelle steht. Das System mit Filtralite® P als Filtermaterial wurde wegen seines großen Verbrauchs von fossilen Brennstoffen für wenig brauchbar befunden und steht damit an letzter Stelle.</p><p>Trotz ihrer hervorragenden phosphorreduzierenden Eigenschaften, wird weitere Forschung im Bereich alternativer Filtermaterialien notwendig werden. Hierbei sollten natürliche Materialien (wie Muschelsand) oder Restprodukte im Mittelpunkt des Interesses stehen, um die Umweltauswirkungen gering zu halten. Wenn die Rückführung von Phosphor ein Ziel der Abwasserreinigung sein soll, müssen Lösungen, Schwermetalle von Pflanzennährstoffen zu trennen, gefunden werden. Diese Studie hat gezeigt, dass gute phosphorreduzierende Eigenschaften zu verstärkten Umweltauswirkungen in anderen Bereichen führen können, welche in manchen Fällen sogar die Vorteile einer verringerten Eutrophierung übersteigen können.</p>

Estudo exploratório e descritivo de abordagem qualitativa sobre a utilização da CIPESC® nas consultas de enfermagem, como ferramenta para reconhecimento e enfrentamento das necessidades em saúde das crianças. Ancorado na Teoria da Intervenção Práxica da Enfermagem em Saúde Coletiva e nos conceitos de necessidades em saúde sob a perspectiva do materialismo histórico e dialético. Objetivou conhecer as possibilidades e limites da CIPESC® para reconhecer e enfrentar as necessidades de saúde da população infantil; descrever o perfil demográfico e epidemiológico da população curitibana com destaque para os indicadores relativos às crianças, seu crescimento, desenvolvimento e ocorrência de violência infantil; identificar as políticas e os programas de saúde adotados pelo município e o sistema de informação em saúde; analisar o potencial da nomenclatura CIPESC® Curitiba no reconhecimento e enfrentamento das necessidades em saúde, a partir dos diagnósticos e intervenções; verificar as potencialidades e os limites do uso da CIPESC® na consulta de enfermagem à criança. O cenário de estudo foi o município de Curitiba-PR. Os dados foram coletados em fontes primárias e secundárias. Para a coleta dos dados primários utilizou-se da técnica de estudo de caso. Os sujeitos da pesquisa foram 28 enfermeiros da atenção básica do município, que aceitaram participar do estudo por meio de instrumento de coleta de dados pela web, disponibilizado em página própria, desenvolvido em linguagem ASP.NET, com Framework 3.5 e o banco de dados utilizado foi o MySQL 5.1.30. Os resultados mostraram que as condições demográfica, de saneamento básico, educação e políticas de saúde são favoráveis à superação dos agravos à saúde. A organização da atenção à saúde tem alcançado bons indicadores epidemiológicos, mas ainda está pautada em referenciais de risco, na contra-mão do que propõe a saúde coletiva e a epidemiologia social, com consultas individualizadas e focadas nas questões biológicas do sujeito. A CIPESC® mostrou potencialidades para o reconhecimento de necessidades a partir dos diagnósticos e intervenções de sua nomenclatura mas a base representa apenas parte das necessidades expressas pelos indivíduos, não abrangendo uma abordagem integral dos processos de desgaste e fortalecimento. A discussão dos dados possibilitou identificar possíveis causas para os limites da CIPESC® como a adoção da teoria das necessidades humanas básicas como organizadora da nomenclatura, a assistência pautada em referenciais de risco e a formação dos profissionais direcionada ao modelo biomédico de atenção à saúde. A atenção às necessidades em saúde da população infantil ainda permanece como um desafio e um caminho que está sendo trilhado, em passos tímidos, sendo primordial que os processos de trabalho se ajustem às necessidades em saúde da população, utilizando-se da intersetorialidade, interdisciplinaridade, trabalho em equipe; buscando a efetiva transformação da realidade e superação de contradições e tendo as necessidades e vulnerabilidades como objetos de assistência. Todos esses aspectos devem fazer parte do cotidiano dos profissionais de saúde, com práticas consolidadas e direcionadas às transformações que a realidade precisa sofrer. / This exploratory, descriptive and qualitative study on the use of CIPESC® in nursing consultation, as a tool for recognizing and addressing child health needs and was based on the Theory Nursing Praxis Interventions in Collective Health and on the concepts of health needs under the perspective of historical and dialectical materialism. The study aimed to understand the possibilities and limits of CIPESC® (International Nursing Practice Classification in Collective Health) to recognize and address the health needs of the child population; to describe the demographic and epidemiological profile of the population from Curitiba with emphasis to indicators related to children, their growth, development and the occurrence of child violence; to identify health policies and programs adopted by the city and the health information system; to analyze the potential of the nomenclature CIPESC® Curitiba in recognizing and addressing health needs, from diagnosis and interventions; to determine the potentialities and limits of using CIPESC® in nursing consultation to child. The study was carried out in Curitiba, state of Paraná, Brazil. Data were collected from primary and secondary sources. Case study was used to collect primary data. Subjects were 28 nurses from the citys basic health care system, who agreed to participate in the study through a web-based data collection instrument, available at a specific webpage, developed using ASP.NET with Framework 3.5 and using MySQL 5.1.30 database. Results showed that the demographic, sanitation, education and health policies conditions are favorable to overcoming health problems. The organization of health care has achieved good epidemiological indicators, but it is still grounded on risk references, in counter to what is proposed by public health and social epidemiology, with individual consultations and focused on subjects biological issues. CIPESC® showed potential for the recognition of needs from diagnosis and interventions of its nomenclature, but the ground represents only part of the needs expressed by individuals, not encompassing a comprehensive approach of the processes of wear and strengthening. The discussion of data enabled to identify possible causes for the limits of CIPESC®, such as the adoption of the theory of basic human needs as the organizer of the nomenclature, care grounded in risk referencials and training of professionals guided by the biomedical health care model. The attention to child health needs remains as a challenge and a path that is being tread, at timid steps, in great need that the work processes fit the health needs of the population, using intersectoral and interdisciplinary arrangements, teamwork, seeking the effective change of reality and overcome of contradictions, with needs and vulnerabilities as objects of care. All these aspects should be part of health professionals daily practice, with consolidated practices which are directed to the changes needed in reality.

Devido à importância das matas ciliares muitos esforços e recursos têm sido despendidos para sua restauração. Como forma de aumentar a eficácia dos reflorestamentos, a partir de 1986 as instituições de pesquisa desenvolveram técnicas de reflorestamento fundamentadas na sucessão secundária das florestas tropicais. Neste estudo foi realizada análise estrutural de dez reflorestamentos implantados com base na sucessão secundária e com idades variando de um a 13 anos, comparados com uma área em regeneração natural há 23 anos, todos em região de floresta estacional semidecidual, no médio Vale do Rio Paranapanema, SP. Em cada área foram levantados parâmetros referentes à biomassa (densidade, área basal, altura, DAP e cobertura de copas), fitossociologia (riqueza, diversidade e similaridade) e regeneração natural (densidade, riqueza, diversidade, similaridade com o estrato arbóreo e com áreas naturais). Os reflorestamentos apresentaram evolução mais rápida de todos os parâmetros referentes à biomassa do que a área em regeneração natural, os mais velhos aproximando-se estruturalmente de uma mata ciliar madura e levando a concluir que, para a região dos estudos, o abandono de áreas à regeneração natural não é estratégia de restauração tecnicamente recomendável, embora às vezes possa ser a única saída economicamente viável. Nenhuma das variáveis dendrométricas apresentou correlação expressiva com a riqueza de espécies plantadas, e conclui-se que a opção por plantios com baixa densidade (até 1240 plantas/ha) e baixa riqueza (até 11 espécies) não interfere no desempenho do reflorestamento, em termos de formação de biomassa. O desempenho estrutural dos reflorestamentos pode ser manipulado através da escolha das espécies e da densidade diferenciada entre os grupos sucessionais. A estrutura vertical dos reflorestamentos mostrou-se influenciada pela composição do plantio, refletindo a importância dos grupos sucessionais. As espécies pioneiras e secundárias iniciais dominam o dossel e constituem-se nas espécies emergentes. Plantas em regeneração natural são observadas somente nos reflorestamentos com idade de sete anos ou mais e sua densidade e riqueza mostraram-se correlacionadas apenas com a idade do reflorestamento e a distância até o fragmento natural mais próximo, predominando as espécies de síndrome de dispersão zoocórica / Riparian forests are key to protect water resources and biodiversity, so that efforts and funds have been directed towards its restoration. In recent years, forest restoration research and technology have been based upon secondary succession, since this paradigm have been considered the best solution in terms of restoration efficacy. Nine areas, reforested on the basis of secondary succession with different ages (one to 13 years), as well as a naturally regenerated forest 23 years old, are compared in this study, in terms of stand structure. The parameters adopted in this analysis were related to biomass (density, basal area, height, DBH and crown cover), fitossociology (richness, diversity and similarity) and natural regeneration (density, richness, diversity and similarity with the arboreal stratum and neighbouring native forests). Planted forests presented a recovery process faster than the naturally regenerated forest, in terms of biomass. The eldest planted forest are structurally similar to mature riparian forests in the same environmental condition. On the basis of these results natural regeneration can not be recomended as a good technical solution to recover riparian forests. In some situations, however, this can be the only solution, since it has no costs. No correlation was found between the number of species planted and dendrometric parameters, so that richness and density of the planted forest had no influence on the forest biomass. Structural performance of the planted forest can be managed through species selection considering the proportion between early and late successional species, wich has a direct influence on the biomass. Pioneer and early secondary species dominate the canopy. Natural regeneration of arboreal species starts about seven years after planting. Both density and richness of naturally regenerated plants are correlated with the age of the forest and the distance to the nearest forest patch. Plants in natural regeneration are predominantly from zoocorichous species