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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
301

Atividade de forma??o interprofissional em urg?ncia pr?-hospitalar

Vale, Adson Jos? Martins 24 April 2015 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-04-01T19:39:20Z No. of bitstreams: 1 AdsonJoseMartinsVale_DISSERT.pdf: 14003565 bytes, checksum: c871eb04fc62efb93ff0f97e88496f17 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-04-07T19:49:49Z (GMT) No. of bitstreams: 1 AdsonJoseMartinsVale_DISSERT.pdf: 14003565 bytes, checksum: c871eb04fc62efb93ff0f97e88496f17 (MD5) / Made available in DSpace on 2016-04-07T19:49:49Z (GMT). No. of bitstreams: 1 AdsonJoseMartinsVale_DISSERT.pdf: 14003565 bytes, checksum: c871eb04fc62efb93ff0f97e88496f17 (MD5) Previous issue date: 2015-04-24 / Para a atua??o em urg?ncias, ? importante que os profissionais de sa?de desenvolvam habilidades espec?ficas e diferenciadas, partindo do planejamento da capacita??o em urg?ncia. Assim, os cursos de medicina e enfermagem devem favorecer o desenvolvimento dessas habilidades e avali?-las atrav?s de v?rios instrumentos direcionados para os diversos dom?nios. O objetivo do presente estudo foi implementar um componente curricular optativo e interprofissional, voltado para a educa??o interprofissional em urg?ncia pr?-hospitalar para os cursos de medicina e enfermagem da Universidade Federal do Rio Grande do Norte (UFRN). Trata-se de um estudo descritivo explorat?rio, com 24 discentes de medicina do internato e de enfermagem do est?gio supervisionado, que realizaram est?gio te?rico-pr?tico no atendimento de urg?ncias pr?- hospitalares. Foram realizadas aulas semanais te?rico-pr?ticas por um semestre letivo, ministradas por m?dicos e enfermeiros do Atendimento Pr?- Hospitalar (APH), cujos temas abordados foram: suporte b?sico de vida (SBV), suporte avan?ado de vida (SAV), transporte seguro em urg?ncias cl?nicas, traum?ticas, gineco-obst?tricas, pedi?tricas e psiqui?tricas, al?m de terem sido realizadas atividades pr?ticas em ambul?ncias. Os discentes foram avaliados por pr?-teste, p?s-teste e esta??es pr?ticas realizadas atrav?s do Objective Structured Clinical Evaluation (OSCE), no Laborat?rio de Habilidades do Centro de Ci?ncias da Sa?de. Durante as atividades, os alunos foram estimulados ao racioc?nio cr?tico-reflexivo, ressaltando a import?ncia da integra??o entre os diversos profissionais de assist?ncia ? sa?de. Observou-se que 88% dos alunos apresentaram aumento de escore em rela??o ao pr?-teste. Na avalia??o do processo realizada pelos estudantes de medicina e enfermagem da UFRN, foram apresentadas expectativas semelhantes ? rela??o com as habilidades essenciais adquiridas durante a atividade de forma??o. Al?m de contribuir para organizar esta??es pr?ticas, identificando habilidades cl?nicas b?sicas, e implementando instrumentos de avalia??o para discente da UFRN, os resultados do presente estudo servir?o de base para organiza??o da atividade de forma??o interprofissional em urg?ncia pr?-hospitalar do curso m?dico e de enfermagem. / To acting in emergencies it is important that health professionals develop specific and differentiated skills, which shows us the importance of training in emergency planning. So undergraduate courses in medicine and nursing should encourage the development of these skills and evaluate them through various instruments targeted to the different fields. The aim of this study was to implement an optional and interprofessional curricular component, focusing on interprofessional education in pre-hospital emergency for medical and nursing courses Federal University of Rio Grande do Norte (UFRN). This is an exploratory descriptive study, with 24 medical and nursing graduates of last year undergraduate of supervised training, who underwent theoretical and practical training in the care of pre-hospital emergency services. There were theoretical and practical lessons per week for one school semester, taught by doctors and nurses of the Emergency Medical Service (EMS), where the topics discussed were: basic and advanced life support, safe transport in clinical emergencies, trauma, gynecological, obstetric, pediatric and psychiatric diseases, and have been carried out practical activities in ambulances. The students were evaluated by pre-test, post-test and practical stations made through the Objective Structured Clinical Evaluation (OSCE), in the skills laboratory of the Health Sciences Center. During the activities the students were encouraged to critical and reflective thinking, highlighting the importance of integration between the various health care professionals. It was observed that 88% of the students had a score increase over the pre-test. In the evaluation process carried out by medical students and nursing UFRN have similar expectations regarding the essential skills acquired during the training activity. The results of this study will form the basis for the organization of interprofessional education activity in pre-hospital emergency medical students and nursing, as well as helped to organize practices stations, identifying basic clinical skills, and implementing student assessment tools UFRN.
302

Desvelando o PRONATEC: uma avalia??o pol?tica do programa

Silva, Danilma de Medeiros 27 February 2015 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-05-10T21:45:30Z No. of bitstreams: 1 DanilmaDeMedeirosSilva_DISSERT.pdf: 2108435 bytes, checksum: a7b29d908659ea764a8c1a20760743ce (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-05-13T22:55:28Z (GMT) No. of bitstreams: 1 DanilmaDeMedeirosSilva_DISSERT.pdf: 2108435 bytes, checksum: a7b29d908659ea764a8c1a20760743ce (MD5) / Made available in DSpace on 2016-05-13T22:55:28Z (GMT). No. of bitstreams: 1 DanilmaDeMedeirosSilva_DISSERT.pdf: 2108435 bytes, checksum: a7b29d908659ea764a8c1a20760743ce (MD5) Previous issue date: 2015-02-27 / A pesquisa aqui apresentada tem como objetivo geral realizar uma avalia??o pol?tica do Programa Nacional de Acesso ao Ensino T?cnico e ao Emprego (Pronatec) como forma de elucidar os seus princ?pios ideol?gicos, valores, objetivos e fundamentos te?ricos e pol?ticos. Com base nas teoriza??es de O?Connor (1977), que enfatiza as duas grandes fun??es do Estado Capitalista, quais sejam, a da acumula??o e a da legitima??o, partiu-se da hip?tese que os princ?pios ideol?gicos, fundamentos, objetivos e valores do Pronatec est?o ligados principalmente ? fun??o de legitima??o do Estado Capitalista. Na condu??o da investiga??o tomou-se por refer?ncia principal Figueiredo e Figueiredo (1985), ao enfatizar que na avalia??o pol?tica busca-se estudar o conte?do de determinada pol?tica p?blica; e Souza (2013a), ao propor que nesse tipo de avalia??o devem-se desvelar a ideologia, teoria e os objetivos expl?citos e impl?citos da pol?tica p?blica. No que diz respeito ao m?todo de pesquisa, procurou-se fazer algumas vincula??es entre a avalia??o pol?tica de pol?ticas p?blicas e o m?todo dial?tico, a partir de Kosik (1976). Seguindo o enfoque espec?fico da avalia??o pol?tica de pol?ticas p?blicas, utilizou-se como fonte de dados os documentos oficiais do Pronatec, al?m de alguns discursos e dados sobre o programa. Para an?lise dos dados, recorreu-se ? an?lise de conte?do a partir de Bardin (1977) e das t?cnicas de interpreta??o de Foucault (1997). Os resultados da pesquisa demonstraram que o Pronatec apresenta o objetivo impl?cito de contribuir para legitima??o do Estado Capitalista, principalmente por meio dos cursos FIC (Forma??o inicial e Continuada de Trabalhadores) e, al?m disso, manifesta-se em alguma medida o cumprimento da fun??o de acumula??o (com as ressalvas necess?rias do que foi teorizado por O?Connor, 1977) por meio da execu??o do Programa pela chamada parceria p?blico-privada. Outra quest?o latente que a avalia??o pol?tica do Programa permitiu apontar ? a de que o mesmo contribui para acentuar a dualidade social, ao passo que refor?a a separa??o entre educa??o proped?utica e a profissional. / The research presented here arose as a general policy goal perform an evaluation of the National Program for Access to Technical Education and Employment (Pronatec) to elucidate their ideological principles, values, objectives and theoretical and political foundations. Based on theories of O'Connor (1977), which emphasizes the two major functions of the capitalist state, which is the accumulation and legitimation, broke the assumption that the ideological principles, rationale, goals and values Pronatec are mainly linked to the legitimation function of the capitalist state. In conducting the research was taken by primary reference Figueiredo and Figueiredo (1985), to emphasize that the political assessment is sought to study the contents of certain public and Souza (2013a) policy to propose that this type of evaluation should reveal the ideology, theory and the explicit and implicit goals of public policy. With respect to the research method, we tried to make some connections between the policy evaluation of public policies and the dialectical method from Kosik (1976). Following the specific focus of policy evaluation of public policies, it was used as a data source Pronatec official documents, as well as speeches and some data about the program. For data analysis, we resorted to the content analysis from Bardin (1977) and the techniques of interpretation of Foucault (1997). The survey results showed that Pronatec presents the implicit goal of legitimizing the Capitalist State primarily through courses FIC (Initial and Continuing Education Workers) and, moreover, manifests itself in some measure the performance of the function of accumulation (with the necessary caveats of which was theorized by O'Connor, 1977) through the implementation of the program by calling the public-private partnership. Another potential issue that policy evaluation program allowed point is that Pronatec accentuates the social duality while reinforcing the separation between education and vocational
303

O olhar das institui??es de previd?ncia sobre a casa e a cidade: promo??o, financiamento e avalia??o de im?veis / The pension institutions view about the house and the city: promotion, financing and property evaluation

Lima, Luiza Maria Medeiros de 16 October 2015 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-07-08T20:58:16Z No. of bitstreams: 1 LuizaMariaMedeirosDeLima_DISSERT.pdf: 13938873 bytes, checksum: ca97c9833171e42906b52ea8b220d81d (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-07-11T22:00:39Z (GMT) No. of bitstreams: 1 LuizaMariaMedeirosDeLima_DISSERT.pdf: 13938873 bytes, checksum: ca97c9833171e42906b52ea8b220d81d (MD5) / Made available in DSpace on 2016-07-11T22:00:39Z (GMT). No. of bitstreams: 1 LuizaMariaMedeirosDeLima_DISSERT.pdf: 13938873 bytes, checksum: ca97c9833171e42906b52ea8b220d81d (MD5) Previous issue date: 2015-10-16 / Os investimentos em moradia realizados pelas Caixas e Institutos de Aposentadoria e Pens?es em Natal, entre as d?cadas de 1930 e 1960, viabilizou a libera??o de cr?dito para constru??o e compra de casas, que contribu?ram para dinamizar o mercado imobili?rio natalense, em processo de consolida??o ? ?poca. Inseridas numa primeira proposta de pol?tica p?blica com abrang?ncia nacional delineada para habita??o social no pa?s, essas a??es demandaram a cria??o de uma s?rie de estruturas descentralizadas, sobretudo nas capitais, vinculadas aos Escrit?rios Centrais no Rio de Janeiro. Nas ag?ncias locais, uma rede de profissionais desenvolviam atividades variadas, que iam desde a concep??o e constru??o de empreendimentos at? o estudo rotineiro de propostas de financiamento de unidades isoladas. Esse contexto traz ? lume a avalia??o de im?veis, operada na escala local, como elemento essencial ? efetiva??o da pol?tica, permitindo a produ??o e a troca de dados sobre o valor de mercado das propriedades, fundada sobre a observa??o e interpreta??o dos espa?os de resid?ncia de diferentes grupos sociais, da cidade e de seus bairros. Dessa forma, objetiva-se contribuir para o entendimento da operacionaliza??o dessas a??es imobili?rias na legitima??o de pondera??es sobre o espa?o urbano e as resid?ncias disponibilizadas aos trabalhadores na capital potiguar. As fontes prim?rias principais foram as fichas de avalia??o imobili?rias dos processos prediais das CAP/IAP, arquivados no INSS-RN e sistematizados em parte no Banco de Dados Empreendimentos do HCURB. Tendo como fontes auxiliares jornais da ?poca, entrevistas e registro fotogr?fico in loco, foi poss?vel refletir sobre a constru??o de imagens fragmentadas da cidade, em fun??o dos interesses de investimentos particulares, dos associados, e com a produ??o direta das institui??es - enquanto autarquias corporativas de seguro social. Isso converge para um entendimento do papel dos engenheiros avaliadores no ?mbito dessas institui??es. As t?cnicas e os profissionais de avalia??o vinculados a ela podem ser vistos, nesse sentido, como parte de um sistema t?cnico-operacional que se estrutura sobre uma matriz de valores preconcebidos acerca dos significados da ?casa?. A busca por essa ?ess?ncia cient?fica? da avalia??o, mais a efici?ncia para a manipula??o de sistemas de cr?dito e investimento, mostram como estes ?rg?os, tanto marcam como representam, at? certo ponto, as faces contradit?rias de um grande esfor?o coletivo de constru??o de um ?Brasil moderno-industrial? e do ?novo homem trabalhador brasileiro?. / The investments of Caixas and Institutos de Aposentadoria e Pens?es (CAP and IAP) in homes of Natal, between the decades of 1930-60, helped to boost up the local real estate market in consolidation at the time. Inserted in the first national policy on social housing in the country, these operations have demanded the creation of a wide qualified organizational structure, which would be from the "Central Offices" of Rio de Janeiro to the decentralized units of the federal states. The professionals linked to the Local Agencies have developed, on this matter, from activities related to the design and construction of residential complexes, to the daily study of financing proposals in isolated units. As from these studies, the evaluation of shelters was essential to the effectiveness of the policy, resulting in the production of data on the market value of the properties by observing and issuing judgments upon the living quarters of different social groups. Given these considerations, the aim here is to contribute to the understanding on how to operate these real estate actions in the legitimization of boundaries about the urban space and dwellings available to workers in Natal. Therefore, the views of the city and constructions expressed by the evaluating engineers in their technical reports have been taken as the focus. Being the main primary sources of work, these reports are part of the edifices process of CAP/IAP regarding Natal, whose content is systematized in the database "Enterprises", the HCUrb Research Group. In addition, there were used local newspapers at the time and interviews with professionals as complementary sources. It was found that, in general, the evaluations have configured ? in a more everyday dimension of bureaucratic routines - a vehicle, among others, circulating ideas about "home" within the social security institutions, being imbued with assumptions historically constructed about the "modern habitat". Filled in loco, the reports expose the clash between modernizing ideals in vogue and clear limitations in the city scenario at the time. Fragmented images of the town are given to read through the labels assigned to the evaluated sites ? these being coated of certain "scientific" character - which both legitimated and contributed to the dynamics of appreciation/depreciation of the soil and to the socio-spatial differentiation. Contradictions were evident in the endorsement given by the technicians when financing of admittedly precarious homes for insured disadvantaged categories at the local level - such as industrial workers - while strict regulations were imposed to new construction, designed, above all, to better paid categories. By identifying raters engineers as urban agents, members of a technical-focused operating system for safety and efficiency in the real estate investments of those authorities corporatist, it is desired the usefulness of further studies on these characters, their training, professional activity and participation in the construction of discourses and practices of intervention about the city and its buildings, discussing individual and grouped interests that were left behind.
304

Usabilidade da Interface do Sistema Eletr?nico de Editora??o de Revistas: um estudo da revista BiblioCanto da UFRN

Maia, Maria Aniolly Queiroz 07 December 2015 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-07-11T18:07:57Z No. of bitstreams: 1 MariaAniollyQueirozMaia_DISSERT.pdf: 2902491 bytes, checksum: f9e2c1a51c59983c704e1e53c376521e (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-07-19T17:15:49Z (GMT) No. of bitstreams: 1 MariaAniollyQueirozMaia_DISSERT.pdf: 2902491 bytes, checksum: f9e2c1a51c59983c704e1e53c376521e (MD5) / Made available in DSpace on 2016-07-19T17:15:49Z (GMT). No. of bitstreams: 1 MariaAniollyQueirozMaia_DISSERT.pdf: 2902491 bytes, checksum: f9e2c1a51c59983c704e1e53c376521e (MD5) Previous issue date: 2015-12-07 / As revistas cient?ficas eletr?nicas correspondem a canais de publica??o e divulga??o da informa??o cient?fica. Por meio delas, os usu?rios podem disseminar seus estudos, assim como desenvolver novas pesquisas. Um dos sistemas utilizados para cria??o e gest?o de peri?dicos eletr?nicos ? o Sistema Eletr?nico de Editora??o de Revistas (SEER), utilizado na constru??o de portais de peri?dicos, assim como na cria??o de revistas isoladamente. Nesse sentido, acredita-se que os sistemas de gest?o e cria??o de revistas cient?ficas eletr?nicas devem ser desenvolvidos (interna e externamente) de acordo com as necessidades dos seus usu?rios. No caso do desenvolvimento interno, alguns desses processos se referem ao cadastro de autor e ? submiss?o de artigos, que, por sua vez, s?o tarefas relevantes no processo editorial. Assim, o trabalho proposto, de tem?tica Usabilidade de peri?dicos cient?ficos, objetiva analisar a usabilidade do processo de cadastro de autor e de submiss?o de artigos no SEER por meio da revista BiblioCanto, que integra o Portal de Peri?dicos Eletr?nicos da Universidade Federal do Rio Grande do Norte (UFRN). Para a efetiva??o da pesquisa, foram utilizadas duas t?cnicas de avalia??o: o Teste de Usabilidade e a Avalia??o Cooperativa, com um total de vinte participantes, divididos em quatro categorias. Para validar os instrumentos da pesquisa (o question?rio pr?-sess?o e o Questionnaire of User Interaction Satisfaction), foram realizados dois testes piloto antes da realiza??o da avalia??o em definitivo. Ap?s a execu??o do Teste de Usabilidade e Avalia??o Cooperativa em definitivo, os resultados apontaram que os dois processos analisados (cadastro de autor e submiss?o de artigos) necessitam de melhorias. Em se tratando do processo de cadastro, destacam-se as seguintes necessidades: sinaliza??o do ambiente de realiza??o de cadastro; descri??o e exclus?o de informa??es solicitadas no formul?rio para cadastramento. No processo de submiss?o de artigos, enfatizam-se melhorias dos aspectos: in?cio dos passos para submiss?o, sinaliza??o de campos obrigat?rios, descri??o concisa das etapas, minimiza??o e revis?o das etapas. Para Por fim, acredita-se que de uma forma geral o SEER atende parcialmente ?s necessidades dos seus usu?rios no tocante ? usabilidade do referido software. / The electronic journals correspond publishing channels and dissemination of scientific information. Through them, users can spread their studies as well as developing new researches. One of the systems used for creation and e-journals management is the Electronic System for Journal Publishing (SEER), used in the construction of periodic portals, as well as the creation of magazines in isolation. In this purport, it is believed that the management systems and creation of e-journals should be developed (internally and externally) according to the needs of its users. In the case of internal development, some of these processes refer to the copyright registration and submission of articles, which, in turn, are relevant tasks in the editorial process. Thus, the proposed study, thematic Usability of scientific journals, aims to analyze the usability of the copyright registration process and submission of articles in the Electronic System for Journal Publishing through BiblioCanto magazine, part of the Electronic Journals Portal of the Federal University of Rio Grande do Norte (UFRN). For the realization of the research, two valuation techniques were used: the Usability Test with a total of twenty participants and the Cooperative Evaluation, with the same number of participants separated in four categories considered target audience of that magazine, namely: undergraduate students, graduate students, teachers and librarians. The results indicated that the two analyzed processes (copyright registration and submission of articles) need improvement. In the case of the registration process, the following needs are: signalizing of the conducting registration ambient; description and exclusion of requested information on the registration form. In the process of article submission, it is emphasized improvement of aspects: the early steps to submission, signaling of required fields, concise description of the steps, minimization and review of the steps. To this end, it is believed that in general idea the SEER partially meets the needs of its users regarding the usability of such software.
305

M?todos de avalia??o nutricional para a suplementa??o oral com zinco em crian?as pr?-p?beres n?o deficientes em zinco

Lopes, M?rcia Marilia Gomes Dantas 19 February 2016 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-07-20T21:43:09Z No. of bitstreams: 1 MarciaMariliaGomesDantasLopes_TESE.pdf: 2946604 bytes, checksum: 7c58a7a91a75997305283ee46411e977 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-07-21T19:26:11Z (GMT) No. of bitstreams: 1 MarciaMariliaGomesDantasLopes_TESE.pdf: 2946604 bytes, checksum: 7c58a7a91a75997305283ee46411e977 (MD5) / Made available in DSpace on 2016-07-21T19:26:11Z (GMT). No. of bitstreams: 1 MarciaMariliaGomesDantasLopes_TESE.pdf: 2946604 bytes, checksum: 7c58a7a91a75997305283ee46411e977 (MD5) Previous issue date: 2016-02-19 / Existem muitos m?todos de avalia??o nutricional, por?m a maioria possui limita??es, especialmente para a avalia??o de interven??o nutricional. O consumo inadequado de energia e/ou nutrientes podem ter uma influ?ncia prejudicial ? sa?de das crian?as, comprometendo significativamente o crescimento e desenvolvimento deste grupo et?rio. O zinco ? um microelemento essencial, contribuindo para o crescimento, desenvolvimento e composi??o corporal de crian?as. Diante disso, a avalia??o nutricional em crian?as ? uma ferramenta essencial na pr?tica cl?nica, pois ? importante para monitorar a sa?de e estado nutricional. Assim, esse trabalho objetivou avaliar m?todos de avalia??o nutricional para a suplementa??o oral com zinco em crian?as n?o deficientes em zinco, utilizando a antropometria, medidas bioel?tricas, consumo alimentar e dados bioqu?micos. Realizou-se um estudo controlado, randomizado, triplo-cego. As crian?as, entre 8 e 9 anos, foram divididas em um grupo controle (10% de sorbitol, n = 31) e um grupo experimental (10 mg Zn/dia, n = 31) durante 3 meses. Avalia??o antropom?trica, bioel?trica, alimentar e laboratorial foi feita no in?cio e no final do estudo em todas as crian?as. Foi utilizado o GraphPad Prism software para as an?lises estat?sticas, BIVA software 2002 para as medidas biol?tricas, NutWin software 1.5 para avalia??o diet?tica e o zinco s?rico foi medido por espectrofotometria de absor??o at?mica. Nosso estudo mostrou: (1) aumento do ?ndice de massa corporal por idade e aumento do ?ngulo de fase no grupo experimental; (2) correla??o positiva entre os par?metros de avalia??o nutricional em ambos os grupos; (3) aumento de tecido mole e, principalmente, massa livre de gordura, na composi??o corporal do grupo experimental, determinado pela an?lise do vetor de imped?ncia bioel?trico e ?ngulo de fase; (4) aumento do consumo de todos os nutrientes no grupo experimental; (5) e aumento da concentra??o de zinco no soro em ambos os grupos (p < 0.0001). A suplementa??o foi ben?fica, pois o zinco melhorou a composi??o corporal sem ganho de massa gorda, observada a partir da interpreta??o combinada de todos os m?todos. Devido a n?o exist?ncia de refer?ncia concernente ? BIVA para estudos de interven??o, s?o necess?rios dados longitudinais para investigar a migra??o de vetores durante a suplementa??o com zinco. Estes resultados refor?am a import?ncia da utiliza??o de v?rias t?cnicas para avaliar o estado nutricional das popula??es, principalmente se submetido a algum tipo de interven??o. / Background: Zinc is an essential nutrient that is required for numerous metabolic functions, and zinc deficiency results in growth retardation, cellmediated immune dysfunction, and cognitive impairment. Objective: This study evaluated nutritional assessment methods for zinc supplementation in prepubertal nonzinc- deficient children. Design: We performed a randomised, controlled, triple-blind study. The children were divided into a control group (10% sorbitol, n = 31) and an experimental group (10 mg Zn/day, n = 31) for 3 months. Anthropometric and dietary assessments as well as bioelectrical measurements were performed in all children. Results: Our study showed (1) an increased body mass index for age and an increased phase angle in the experimental group; (2) a positive correlation between nutritional assessment parameters in both groups; (3) increased soft tissue, and mainly fat-free mass, in the body composition of the experimental group, as determined using bioelectrical impedance vector analysis; (4) increased consumption of all nutrients, including zinc, in the experimental group; and (5) an increased serum zinc concentration in both groups (p < 0.0001). Conclusions: Given that a reference for body composition analysis does not exist for intervention studies, longitudinal studies are needed to investigate vector migration during zinc supplementation. These results reinforce the importance of employing multiple techniques to assess the nutritional status of populations.
306

Avalia??o de desempenho em mercados reguladores de transporte urbano por ?nibus :proposi??o de um modelo aplic?vel ao caso de Natal

Lima, Jeanne Samara dos Santos 22 December 2010 (has links)
Made available in DSpace on 2014-12-17T14:53:00Z (GMT). No. of bitstreams: 1 JeanneSSL_DISSERT.pdf: 3072042 bytes, checksum: 04de68fe169b7cc85a462e0690b00058 (MD5) Previous issue date: 2010-12-22 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Increased competition in the market of urban transport, characteristic of the Brazilian cities from years 90, has required actions of the managing agencies to ensure the universality of service, enhancing efficiency and consumer welfare. It grows in the Brazilian municipalities, the need to adopt a systematic performance evaluation in terms of management system of indicators and targets appropriate to the regulatory context, which has the purpose of evaluating the accomplishment and compliance by dealers, of the services granted during the contract period, marked by increasingly long periods. The introduction of an index operational performance in permission contracts/concession in urban buses is intended to establish a regulatory performance, giving the contract a pro-competitive feature and to allow the managing agency the systematic and continuous monitoring of the performance of the delegated service to avoid major deviations from desired performance. A performance assessment model of public transportation companies by bus, and applicable to the case of Natal is proposed. Sought to add the particularities found in the transport system in order to assess the performance of enterprises, contribute to improving the service quality to the population and enable decision-makers a detailed knowledge of the behavior of the licensees / O aumento da competi??o no mercado de transporte urbano, caracter?stica das cidades brasileiras a partir dos anos 90, tem exigido a??es dos ?rg?os gestores para garantia da universaliza??o dos servi?os, do incremento da efici?ncia e bem-estar dos consumidores. Cresce nos munic?pios brasileiros, a necessidade de se adotar uma sistem?tica de avalia??o de desempenho em termos de gest?o de um sistema de indicadores e metas adequado ao contexto regulat?rio, que tenha a finalidade de avaliar a realiza??o e o cumprimento, por parte dos concession?rios, dos servi?os concedidos, durante a vig?ncia do contrato, pautado por prazos cada vez mais longos. A introdu??o de um ?ndice de desempenho operacional nos contratos de permiss?o/concess?o em ?nibus urbanos tem a finalidade de estabelecer uma regula??o de desempenho, dotando o contrato de uma fei??o pr?-competitiva e permitir ao organismo gestor o acompanhamento sistem?tico e cont?nuo da performance dos delegat?rios de modo a evitar desvios maiores de desempenhos almejados. Prop?e-se aqui um modelo de avalia??o de desempenho de empresas de transporte urbano por ?nibus, e aplic?vel ao caso de Natal. Buscou-se agregar as particularidades encontradas no sistema de transportes, de forma a aferir o desempenho das empresas, contribuir com a melhoria na qualidade do servi?o prestado ? popula??o e permitir aos decisores um conhecimento detalhado do comportamento das concession?rias
307

Desenvolvimento de metodologia para avalia??o de desempenho ambiental em edif?cios adaptada ? realidade do Nordeste brasileiro / Teh development of a design model to support the production environmental buildings appropriate to the needs of Northeast of Brazil

Patr?cio, Rafaela Maria Raibeiro 19 May 2006 (has links)
Made available in DSpace on 2014-12-17T14:53:13Z (GMT). No. of bitstreams: 1 RafaelaMRP.pdf: 1153352 bytes, checksum: e2b6b2805582038d2fbbbcf7fc97714e (MD5) Previous issue date: 2006-05-19 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / This research refers to the production of green buildings, defined, mainly, based on the use of sources of alternative energies, smaller emission of pollutant, use of recyclable materials, systems of recycling of the waters, maximization of the natural illumination, preservation of green areas or native, and appropriate quality of the internal air. From the conception of those buildings, it appears the needs of evaluating them, creating the methodologies for the evaluation of environmental performance of buildings. In that way, this work can be divided in two moments: the first one when it identifies the methodologies for the evaluation of environmental performance for buildings existents in the literature, defining their categories, criteria and sub-criteria to be appropriate to the reality of the Brazilian Northeast; and the second one when starting from the analysis of the systems of existent evaluation. It defines a methodological base and it generates a new evaluation system, denominated MEDACNE (Methodology of Evaluation of Environmental Acting for Construction in the Northeast). In that moment, the process of framing of the section of the building site is verified under the maintainable optics, stimulated mainly by the pressures of the society - conferences, protocols and agreements. Finally, the proposed methodology was applied in a case study, a residential building, called Maria Jos? Gurgel , located in Natal-RN, Brazil, for its validation. This methodological proposition should increase the patterns environmental places for the production of new buildings, and it will be a reference guide for architects, engineers and planners to develop their constructions considering the criteria of the sustainability. This study made use of bibliographical research in books and specialized magazines and the analysis of the data was realized in an interpretative way / Esta pesquisa refere-se ? produ??o de edif?cios ecologicamente corretos, definidos, principalmente, a partir da utiliza??o de fontes de energias alternativas, menor emiss?o de poluentes, uso de materiais recicl?veis, sistemas de reciclagem das ?guas, maximiza??o da ilumina??o natural, preserva??o de ?reas verdes ou nativas, e adequada qualidade do ar interno. A partir da concep??o desses empreendimentos, surge a necessidade de avali?-los, dando origem ?s metodologias de avalia??o de desempenho ambiental em edif?cios. Dessa forma, este trabalho pode ser dividido em dois momentos: o primeiro quando identifica as metodologias de avalia??o de desempenho ambiental em edif?cios existentes na literatura, definindo as categorias, crit?rios e sub-crit?rios a serem adequados ? realidade do Nordeste brasileiro; e o segundo quando a partir da an?lise dos sistemas de avalia??o existentes, define uma base metodol?gica e gera um novo sistema de avalia??o, denominado de MEDACNE (Metodologia de Avalia??o de Desempenho Ambiental para Constru??o no Nordeste). Neste momento, ? verificado o processo de enquadramento do setor da constru??o civil nos padr?es de sustentabilidade, estimulado principalmente pelas press?es da sociedade confer?ncias, protocolos e acordos. Por fim, a metodologia proposta foi aplicada em um estudo de caso, um edif?cio residencial denominado Maria Jos? Gurgel, dentro de uma empresa de Constru??o Civil, localizada em Natal-RN, para valida??o do sistema. Esta proposi??o metodol?gica dever? aumentar os padr?es ambientais locais para a produ??o de novos empreendimentos, e ser? um guia de refer?ncia para arquitetos, engenheiros e projetistas desenvolverem suas edifica??es considerando os crit?rios da sustentabilidade. Este estudo fez uso de pesquisa bibliogr?fica em livros e revistas especializadas e a an?lise dos dados foi realizada de forma interpretativa
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Desempenho do sistema de avalia??o de compet?ncias operat?rias entre graduandos e residentes de ginecologia e obstetr?cia

Almeida, Gleisse Aguiar Silva de 07 December 2017 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-02-15T13:28:13Z No. of bitstreams: 1 GleisseAguiarSilvaDeAlmeida_DISSERT.pdf: 634902 bytes, checksum: 77d1248d29a094cdfd5f9bdd3ccdbb9c (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-02-20T19:35:38Z (GMT) No. of bitstreams: 1 GleisseAguiarSilvaDeAlmeida_DISSERT.pdf: 634902 bytes, checksum: 77d1248d29a094cdfd5f9bdd3ccdbb9c (MD5) / Made available in DSpace on 2018-02-20T19:35:38Z (GMT). No. of bitstreams: 1 GleisseAguiarSilvaDeAlmeida_DISSERT.pdf: 634902 bytes, checksum: 77d1248d29a094cdfd5f9bdd3ccdbb9c (MD5) Previous issue date: 2017-12-07 / INTRODU??O: Ensinar habilidades em t?cnica cir?rgica ? uma das tarefas mais importantes na ?rea de ensino em tocoginecologia e requer a presen?a de um tutor capacitado e de um m?todo avaliativo dispon?vel, de f?cil aprendizagem e que seja capaz de abranger as diversas etapas do ensino. OBJETIVO: Analisar e aplicar o Operative Performance Rating System (OPRS) como instrumento de avalia??o em cen?rios reais de pr?tica cir?rgica ginecol?gica a fim de avaliar alunos da gradua??o em medicina e residentes, como complementa??o dos m?todos avaliativos j? existentes. METODOLOGIA: Estudo transversal, descritivo, quantitativo que avaliou o desempenho de estudantes e residentes de ginecologia obstetr?cia, durante a execu??o de cirurgias ginecol?gicas em hospital universit?rio. Os alunos foram avaliados de acordo com os escores obtidos nos itens do OPRS (escala de Likert de 5- anatomia; instrumental cir?rgico; fluxo da cirurgia, intera??o com a equipe e desempenho global). O escore do instrumento varia de 4 a 20 pontos. O software Statistical Package for the Social Sciences, vers?o 21, foi utilizado para an?lise dos dados, aplicando An?lise de Vari?ncia, teste de Tukey e teste t de student. RESULTADOS: Foram realizadas 218 avalia??es, sendo composta por 24 residentes e 123 graduandos de medicina. Comparando as m?dias das vari?veis dos itens do OPRS, observou-se uma diferen?a entre as m?dias nos itens da avalia??o com o per?odo de gradua??o e resid?ncia (p < 0,001). Entre os graduandos, evidenciou-se diferen?a nas m?dias dos itens da avalia??o (p < 0,05), exceto para o item intera??o (p < 0,108). Para os residentes, a an?lise apresentou diferen?a nas m?dias dos itens da avalia??o relacionadas ao tempo de resid?ncia m?dica (p<0,001). CONCLUS?O: O uso do OPRS no processo de avalia??o de residentes e graduandos possibilita uma diferencia??o entre os n?veis de conhecimento, permitindo a monitoriza??o do progresso de acordo com o tempo de estudo oferendo ainda um feedback imediato sobre o desempenho na pr?tica cir?rgica. / INTRODUCTION: Teaching skills in surgical technique is one of the most important tasks in the area of teaching gynecology, and requires the presence of a trained tutor and an available evaluative method, easy to learn and capable of covering the various stages of teaching. OBJECTIVE: To analyze and apply the Operative Performance Rating System (OPRS) as a tool of evaluation in real scenarios of surgical practice, to evaluate undergraduate students and residents, as a complement to the existing evaluation methods. METHODS: Cross-sectional, descriptive, quantitative study that assessed the performance of students and residents during the execution of gynecological surgeries in a university hospital. The students were evaluated according to the scores obtained in the OPRS items (Likert scale of 5- anatomy, surgical instruments, surgery flow, interaction with the team and overall performance). The instrument score ranges from 4 to 20 points. The software Statistical Package for the Social Sciences, version 21, was used to analyze the data, applying Analysis of Variance, Tukey test and student t-test. RESULTS: Comparing the means of the variables of the OPRS items, a difference was observed between the methods in the evaluation items according to to the graduation and residence period (p <0.001). Among the undergraduates, there was a difference in the means of the evaluation items (p <0.05), except for the item interaction (p <0.108). For the residents, the analysis showed a difference in the means of the evaluation items related to the medical residence time (p <0.001). CONCLUSION: The use of OPRS in the evaluation process of residents and undergraduates allows a differentiation between levels of knowledge, allowing the monitoring of progress according to the study time and offering immediate feedback on the performance in the surgical practice.
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A pol?tica urbana de atendimento socioeducativo no munic?pio do Natal: uma avalia??o de efetividade

Ferreira, Viviane Rodrigues 14 April 2016 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-10-25T23:58:23Z No. of bitstreams: 1 VivianeRodriguesFerreira_DISSERT.pdf: 3812782 bytes, checksum: 541c05d307ead63494b77b305f627d32 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-12-19T22:02:23Z (GMT) No. of bitstreams: 1 VivianeRodriguesFerreira_DISSERT.pdf: 3812782 bytes, checksum: 541c05d307ead63494b77b305f627d32 (MD5) / Made available in DSpace on 2016-12-19T22:02:23Z (GMT). No. of bitstreams: 1 VivianeRodriguesFerreira_DISSERT.pdf: 3812782 bytes, checksum: 541c05d307ead63494b77b305f627d32 (MD5) Previous issue date: 2016-04-14 / A presente disserta??o de mestrado consiste no resultado da avalia??o da efetividade da pol?tica p?blica de atendimento socioeducativo no munic?pio de Natal/RN, que teve como l?cus da pesquisa social o Servi?o de Prote??o Social a Adolescentes em Cumprimento de Medidas Socioeducativas em Meio Aberto da cidade de Natal. O objetivo geral deste trabalho se constituiu em avaliar a efetividade do Servi?o na garantia do acesso dos jovens, que est?o em cumprimento de medidas socioeducativas, ?s demais pol?ticas p?blicas que integram o Sistema de Garantia de Direitos e o Sistema de Atendimento Socioeducativo. Por meio dessa avalia??o, buscamos identificar se o atendimento socioeducativo possibilita a expans?o das capacidades dos socioeducandos e promove mudan?as nas trajet?rias de vida destes jovens. Para isso, foi utilizado o m?todo quantiqualitativo e procedimentos metodol?gicos como revis?o de literatura, pesquisa documental, entrevistas semidiretivas com gestores e profissionais, e grupos focais com os jovens usu?rios do Servi?o. Assim, a partir da an?lise das informa??es obtidas, concluiu-se que a pol?tica de atendimento socioeducativo no munic?pio de Natal possui uma efetividade mediana, devido ?s dificuldades que o Servi?o de Medidas Socioeducativas em Meio Aberto de Natal vivencia cotidianamente, por?m tamb?m apresenta experi?ncias exitosas, com socioeducandos atendidos em servi?os das pol?ticas de Sa?de, Educa??o, Assist?ncia Social e inser??o no mercado de trabalho, que podem contribuir para o aumento das capacidades dos jovens assistidos no sistema socioeducativo do munic?pio. / This dissertation is the result of evaluating the effectiveness of social and educational care of public policy in the city of Natal / RN, which had the locus of social research Social Protection Service to Adolescents in Socio-Educational Measures Amid Open City from Natal. The aim of this work consisted in evaluating the effectiveness of the service in youth access guarantee that are in compliance with socio-educational measures, to other public policies that integrate the Rights Assurance System and the Socio-Educational Services System. Through this evaluation, we seek to identify the childcare service enables the expansion of capabilities of socioeducandos and promotes changes in the life trajectories of these young people. For this, we used the quantitative qualitative method and methodological procedures such as literature review, documentary research, semi-directive interviews with managers and professionals, and focus groups with young users of the Service. Thus, from the analysis of information, it was concluded that the childcare service policy in Natal has a median effectiveness due to the difficulties that the Socio-Educational Measures Service in Half Open from Natal experiences every day, but also presents successful experiences with socioeducandos attended services of healthcare policies, education, social assistance and integration into the labor market, which can help increase the capacities of young people assisted in the municipality childcare system.
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Programa de controle da hansen?ase no Rio Grande do Norte: an?lise na perspectiva da promo??o da sa?de / Leprosy attention policies in Rio Grande do Norte: an analysis based on health promotion

Carvalho, Francisca Patr?cia Barreto de 06 September 2016 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-17T19:30:13Z No. of bitstreams: 1 FranciscaPatriciaBarretoDeCarvalho_TESE.pdf: 987771 bytes, checksum: de536da8c6f87b8f84e19cf0e331913e (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-02-18T00:21:36Z (GMT) No. of bitstreams: 1 FranciscaPatriciaBarretoDeCarvalho_TESE.pdf: 987771 bytes, checksum: de536da8c6f87b8f84e19cf0e331913e (MD5) / Made available in DSpace on 2017-02-18T00:21:36Z (GMT). No. of bitstreams: 1 FranciscaPatriciaBarretoDeCarvalho_TESE.pdf: 987771 bytes, checksum: de536da8c6f87b8f84e19cf0e331913e (MD5) Previous issue date: 2016-09-06 / A hansen?ase ? considerada um importante problema de sa?de p?blica devido ao seu alto poder incapacitante e comprometimento em indiv?duos da faixa et?ria economicamente ativa. O Rio Grande do Norte apresenta uma alta incid?ncia de hansen?ase. A avalia??o da qualidade da aten??o do Programa de Controle da Hansen?ase (PCH) foi considerada pelo Minist?rio da Sa?de entre regular a prec?ria, dado que revela a fragilidade das medidas de vigil?ncia ? sa?de no estado. O contexto exposto justifica a necessidade de atua??o mais efetiva no atendimento ?s pessoas com hansen?ase, sequelas e rea??es na perspectiva de criar suporte para enfrentar as dificuldades cotidianas geradas pela doen?a. O estudo teve como objetivo analisar os aspectos que comprometem o bom desempenho do Programa de Controle de Hansen?ase (PCH) no RN. Trata-se de um estudo anal?tico, de aspecto quanti-qualitativo o qual, utiliza m?todos mistos no intuito de realizar uma an?lise abrangente do problema de pesquisa. Realizou-se nas cidades-polo de cada uma das oito regi?es de sa?de do Estado. Entrevistou-se os coordenadores dos PCH municipais dessas cidades, os coordenadores das URSAP e o coordenador estadual do programa, atrav?s de roteiros de entrevistas e de um question?rio previamente estabelecido. O projeto de pesquisa foi aprovado sob n?mero 1.011.888 e CAEE n? 42951615.6.0000.5537 pelo Comit? de ?tica em Pesquisa/UFRN, respeitando todas as prescri??es feitas pelo referido ?rg?o e a Resolu??o 466/12 do Conselho Nacional de Sa?de. Os dados foram avaliados atrav?s da an?lise do discurso e os resultados embasados na Promo??o da Sa?de como referencial te?rico. Os resultados est?o organizados em tr?s manuscritos: 1) Avalia??o em sa?de: uma revis?o integrativa; 2) O Contexto da aten??o do enfermeiro ? pessoas com hansen?ase na Estrat?gia Sa?de da Fam?lia; 3) An?lise do discurso dos gestores do PCH no RN. O primeiro artigo orientou a avalia??o do PCH da qual esta tese faz parte e assinalou que avalia??es de pol?ticas e programas de sa?de devem ser apreendidas a partir das seguintes observa??es: como um recorte temporal, sob determinado prisma e a partir de determinadas concep??es de sa?de. N?o como um fim em si mesmo e nem como verdade absoluta. O segundo artigo avaliou as camadas do contexto do trabalho do enfermeiro no PCH e como estas influenciam e s?o influenciadas por ele. O terceiro artigo analisou o discurso dos gestores do PCH que distinguiu a influ?ncia do modelo burocr?tico de gest?o e pela concep??o de aten??o ? sa?de m?dico/centralizada al?m da forte influ?ncia do Modelo sanitarista/campanhista, apesar de o modelo vigente ser vigil?ncia em sa?de. Encontrou-se gestores com mais de uma coordena??o sob sua responsabilidade, por?m sem suporte t?cnico, cient?fico e pol?tico (recursos humanos e econ?micos para o exerc?cio de suas atribui??es); a minoria com pouco tempo de trabalho, mas a maioria est? na fun??o h? anos e ainda n?o se apropriou de todas as ferramentas cient?ficas e t?cnicas necess?rias ao desenvolvimento de um trabalho que promova a sa?de e que d? resultados eficientes e eficazes. Compreendeu-se que o PCH pode melhorar a partir de duas iniciativas: (1) profissionaliza??o da gest?o (2) ?nfase na promo??o da sa?de e trabalho em equipe (inter/multidisciplinaridade). N?o apenas o PCH, mas o SUS ainda n?o se efetivou de modo expressivo no sentido de modificar o modelo de aten??o ? sa?de proposto. / Leprosy is considered a major public health problem due to its high disabling and impairment power in individuals of the economically active age group. The Rio Grande do Norte has a high incidence of leprosy. The evaluation of quality of care of the Leprosy Control Program (HCP) was considered by the Ministry of Health from regulate to precarious, given that reveals the fragility of the measures of health surveillance in the state. The given context shows the need for a more effective action in responding to people with leprosy or with sequelae and reactions of the same in the state in order to support these individuals to face the daily difficulties generated by the disease. This study aims to analyze the aspects that compromise the performance of the Leprosy Control Program in RN. This is an analytical study and of quantitative and qualitative aspect, ie, mixed methods in order to conduct a comprehensive analysis of the research problem. It will be held in the pole-cities of each of the eight health regions of the state. The municipal coordinators of HCP and health professionals who provide care in leprosy services of these cities will be interviewed, namely, all professionals of reference services and a reference sample of professionals working in the Family Health Strategy in each city studied through scripts of interviews and a questionnaire previously established. The research project was approved under number 1011888 and CAEE No 42951615.6.0000.5537 by the Research Ethics Committee / UFRN, respecting all the requirements made by this body and the 466/12 Resolution of the National Health Council. The data were analyzed through discourse analysis and the results grounded in Health Promotion as a theoretical framework. The results are organized in three manuscripts: 1) Health evaluation: an integrative review; 2) The nurse's attention context to people with leprosy in the Family Health Strategy; 3) PCH managers of discourse analysis in newborns. The first article guided the assessment of HCP which this thesis is part and noted that reviews of health policies and programs should be learned from the following observations: as a time frame, in particular prism and from certain health conceptions. Not as an end in itself and not as absolute truth. The second article assessed the layers of the nurse's work in the context of PCH and how they influence and are influenced by it. The third article analyzes the discourse of managers PCH that distinguished the influence of bureaucratic management model and the design of attention to medical / health centralized addition to the strong influence of sanitarian / Model campaigner, although the current model is health surveillance. Met with managers over coordination under their responsibility, but without technical support, scientific and political (human and economic resources for the performance of their duties); the minority with little time to work, but most are in function for years and still not appropriated all the scientific tools and techniques needed to develop a work that promotes health and giving efficient and effective results. It realized that the PCH can improve from two initiatives: (1) professional management (2) emphasis on health promotion and teamwork (inter / multidisciplinary). Not only the PCH, but the NHS has not yet effected expressively in order to modify the model of attention to proposed health.

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