Made available in DSpace on 2014-12-17T15:39:00Z (GMT). No. of bitstreams: 1 GreyceGG.pdf: 929158 bytes, checksum: 8ee5f64c315cee46f9d05b47b481ec4b (MD5) Previous issue date: 2006-10-27 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Breast cancer has been considered a grave global public health problem due to its increase in incidence, in women s mortality and in the amount of financial resources spent on the therapeutic interventions used in the treatment of this neoplasia. However, this scenario presents some variations. In developing countries, the incidence of breast cancer is increasing but, on the other hand, the mortality is declining among patients because of public health actions toward early diagnostic that also result in cure of patients and decreasing levels of physical and psychosocial stress. In Brazil, we face of both the increasing number of breast cancer incidence and number of mortalities. Almost always the reason for that is a delayed detection that will provide a late diagnostic. The early detection of breast cancer has been studied in several researches. Some of them are concerned with women s experiences. Despite that, there is a lack of researches on dynamic comprehension of early attention to breast cancer from the health professionals points of view. The present research was carried out at the Unidade Mista de Felipe Camar?o (UMFC) and it was conducted with 11 professionals who work in the Family Health Program (PSF). The aim was to understand how early diagnostic and attention to breast cancer is being planned, discussed and accomplished by health professionals in their day-to-day actions. Semi-structure interviews were held individually with each professional, in a way that they could feel free to express their ideas about several issues. All the information from these interviews was analyzed and discussed using an Institutional Ethnographic approach. It was observed that the actions of health professionals working with early detection of breast cancer does not take place in a vacuum; they occur within institutional, relational and social ways. This interdependence influences their actions and points of view on the theme / O c?ncer de mama ? considerado um grave problema de sa?de p?blica mundial em decorr?ncia do aumento da sua incid?ncia, da mortalidade de mulheres e das grandes somas dispensadas para equacionar as interven??es terap?uticas empregadas a esta neoplasia. Entretanto, este panorama apresenta varia??es. Em pa?ses desenvolvidos h? o aumento da sua incid?ncia, entretanto h? a redu??o da sua mortalidade, sobretudo, pelo direcionamento das a??es de sa?de ? sua aten??o precoce, implicando na cura da grande maioria dos casos e na diminui??o dos impactos f?sicos e psicossociais. No Brasil, nos deparamos com a eleva??o tanto de sua incid?ncia quanto de sua mortalidade, em virtude, muitas vezes, do retardamento na sua detec??o o que ocasionar? o seu diagn?stico tardio. V?rios estudos t?m sido realizados abordando a tem?tica supracitada e muitos destes est?o direcionados ?s experi?ncias das mulheres. Contudo, percebeu-se a car?ncia de pesquisas relacionadas ? compreens?o da din?mica da aten??o precoce do c?ncer de mama a partir do olhar dos profissionais de sa?de. A presente pesquisa foi realizada na Unidade Mista de Felipe Camar?o (UMFC) com 11 profissionais das equipes do Programa de Sa?de da Fam?lia (PSF). Objetivou-se compreender como a tem?tica da aten??o precoce estava sendo articulada, discutida e realizada nas a??es cotidianas dos profissionais dessa institui??o. Foram realizadas entrevistas semiestruturadas e a an?lise e discuss?o das informa??es obtidas foi empreendida sob a perspectiva da abordagem da Etnografia Institucional. Observou-se que as a??es dos profissionais voltadas ? aten??o precoce do c?ncer de mama n?o acontecem em um vazio, mas s?o constru?das social, institucional e relacionalmente e essa interdepend?ncia acaba influenciando suas a??es e posicionamentos em rela??o ? tem?tica desta investiga??o

Globular clusters are dense and massive star clusters that are an integral part of any major galaxy. Careful studies of their stars, a single cluster may contain several millions of them, have revealed that the ages of many globular clusters are comparable to the age of the Universe. These remarkable ages make them valuable probes for the exploration of structure formation in the early universe or the assembly of our own galaxy, the Milky Way. A topic of current research relates to the question whether globular clusters harbour massive black holes in their centres. These black holes would bridge the gap from stellar mass black holes, that represent the final stage in the evolution of massive stars, to supermassive ones that reside in the centres of galaxies. For this reason, they are referred to as intermediate-mass black holes. The most reliable method to detect and to weigh a black hole is to study the motion of stars inside its sphere of influence. The measurement of Doppler shifts via spectroscopy allows one to carry out such dynamical studies. However, spectroscopic observations in dense stellar fields such as Galactic globular clusters are challenging. As a consequence of diffraction processes in the atmosphere and the finite resolution of a telescope, observed stars have a finite width characterized by the point spread function (PSF), hence they appear blended in crowded stellar fields. Classical spectroscopy does not preserve any spatial information, therefore it is impossible to separate the spectra of blended stars and to measure their velocities. Yet methods have been developed to perform imaging spectroscopy. One of those methods is integral field spectroscopy. In the course of this work, the first systematic study on the potential of integral field spectroscopy in the analysis of dense stellar fields is carried out. To this aim, a method is developed to reconstruct the PSF from the observed data and to use this information to extract the stellar spectra. Based on dedicated simulations, predictions are made on the number of stellar spectra that can be extracted from a given data set and the quality of those spectra. Furthermore, the influence of uncertainties in the recovered PSF on the extracted spectra are quantified. The results clearly show that compared to traditional approaches, this method makes a significantly larger number of stars accessible to a spectroscopic analysis. This systematic study goes hand in hand with the development of a software package to automatize the individual steps of the data analysis. It is applied to data of three Galactic globular clusters, M3, M13, and M92. The data have been observed with the PMAS integral field spectrograph at the Calar Alto observatory with the aim to constrain the presence of intermediate-mass black holes in the centres of the clusters. The application of the new analysis method yields samples of about 80 stars per cluster. These are by far the largest spectroscopic samples that have so far been obtained in the centre of any of the three clusters. In the course of the further analysis, Jeans models are calculated for each cluster that predict the velocity dispersion based on an assumed mass distribution inside the cluster. The comparison to the observed velocities of the stars shows that in none of the three clusters, a massive black hole is required to explain the observed kinematics. Instead, the observations rule out any black hole in M13 with a mass higher than 13000 solar masses at the 99.7% level. For the other two clusters, this limit is at significantly lower masses, namely 2500 solar masses in M3 and 2000 solar masses in M92. In M92, it is possible to lower this limit even further by a combined analysis of the extracted stars and the unresolved stellar component. This component consists of the numerous stars in the cluster that appear unresolved in the integral field data. The final limit of 1300 solar masses is the lowest limit obtained so far for a massive globular cluster. / Kugelsternhaufen sind dichte, gravitativ gebundene Ansammlungen von teilweise mehreren Millionen Sternen, die ein fester Bestandteil jeder massiven Galaxie sind. Aus der Untersuchung der Kugelsternhaufen in der Milchstraße weiß man, dass das Alter von vielen dieser Objekte vergleichbar ist mit jenem des Universums. Dies macht sie zu wertvollen Forschungsobjekten, beispielsweise um die Entstehung der Milchstraße und die Strukturbildung im frühen Universum zu verstehen. Eine aktuelle wissenschaftliche Fragestellung befasst sich damit, ob Kugelsternhaufen massive schwarze Löcher beherbergen. Diese würden eine Brücke schlagen von den stellaren schwarzen Löchern, die durch den Kollaps massereicher Sterne entstehen, zu den supermassiven schwarzen Löchern, welche man in den Zentren massiver Galaxien beobachtet. Man bezeichnet sie daher auch als mittelschwere schwarze Löcher. Die sicherste Diagnostik, um schwarze Löcher zu detektieren und ihre Masse zu bestimmen ist, die Bewegung der Sterne innerhalb ihrer gravitativen Einflusssphäre zu vermessen. Spektroskopische Untersuchungen vermögen dies über die Dopplerverschiebung von Spektrallinien, sind jedoch in dichten stellaren Feldern wie Kugelsternhaufen schwierig. Aufgrund der Turbulenz in der Atmosphäre und dem endlichen Auflösungsvermögen des Teleskops erscheinen die Sterne in den Beobachtungen nicht punktförmig, sondern mit einer durch die Punktspreizfunktion (PSF) gegebenen Breite. In dichten stellaren Feldern führt dies dazu, dass die Sterne überlappen. Da klassische spektroskopische Verfahren nicht bildgebend sind, lassen sich die Beiträge der Einzelsterne zu einem beobachteten Spektrum nicht trennen und die Geschwindigkeiten der Sterne können nicht vermessen werden. Bildgebende spektroskopische Verfahren, wie etwa die Integralfeld-Spektroskopie, bieten jedoch die Möglichkeit, die PSF zu rekonstruieren und basierend darauf die Spektren überlappender Sterne zu trennen. Im Rahmen der vorgelegten Arbeit wird das Potential der Integralfeld-Spektroskopie in der Beobachtung dichter stellarer Felder zum ersten Mal systematisch analysiert. Hierzu wird eine Methodik entwickelt, die das Extrahieren von Einzelsternspektren über eine Rekonstruktion der PSF aus den vorhandenen Daten erlaubt. Anhand von Simulationen werden Voraussagen darüber gemacht, wie viele Sternspektren aus einem gegebenen Datensatz extrahiert werden können, welche Qualität diese Spektren haben und wie sich Ungenauigkeiten in der rekonstruierten PSF auf die Analyse auswirken. Es zeigt sich hierbei, dass die entwickelte Methodik die spektroskopische Analyse von deutlich mehr Sternen erlaubt als klassische Verfahren. Parallel zu dieser systematischen Studie erfolgt die Entwicklung einer dezidierten Analysesoftware, welche im zweiten Teil der Arbeit auf Daten von drei Kugelsternhaufen angewendet wird, die mit dem PMAS Integralfeld-Spektrographen am Calar Alto Observatorium aufgenommen wurden: M3, M13 und M92. Die Auswertung dieser Daten liefert Spektren für eine Stichprobe von ungefähr 80 Sternen pro Kugelsternhaufen, weit mehr als bisher im Zentrum eines der drei Haufen verfügbar waren. In der weiteren Analyse werden Jeans Modelle für jedes der drei Objekte gerechnet. Diese erlauben basierend auf einer angenommenen Massenverteilung innerhalb des Kugelsternhaufens eine Vorhersage der Geschwindigkeitsdispersion der Sterne. Der Vergleich mit den gemessenen Geschwindigkeiten zeigt, dass in keinem der drei Haufen ein schwarzes Loch benötigt wird, um die Dynamik der zentrumsnahen Sterne zu erklären. Im Gegenteil, die Beobachtungen können zu 99,7-prozentiger Sicherheit ausschließen, dass sich in M13 ein schwarzes Loch mit einer Masse größer 13000 Sonnenmassen befindet. In den anderen beiden Haufen liegt diese Grenze noch bei deutlich geringeren Massen, nämlich bei 2500 Sonnenmassen in M3 und 2000 Sonnenmassen in M92. In M92 ist es außerdem möglich, das Limit noch weiter herabzusetzen durch eine zusätzliche Analyse der unaufgelösten stellaren Komponente. Diese Komponente besteht aus dem integrierten Licht all jener Sterne, die zu schwach und zahlreich sind als dass sie aus den verfügbaren Daten einzeln extrahiert werden könnten. Das endgültige Limit von 1300 Sonnenmassen ist das geringste, welches bisher in einem massiven Kugelsternhaufen gemessen wurde.

Made available in DSpace on 2014-12-17T14:20:04Z (GMT). No. of bitstreams: 1 ClidenorBSF_DISSERT.pdf: 414431 bytes, checksum: 9d70a6bf3c1b428bf9218a18430167ef (MD5) Previous issue date: 2011-11-22 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The reality experienced by many families and individuals who seek and require the services of the Unified Health System - SUS, the relationships between users, health professionals, and political representatives, establishes the core of the issue that guides the choice and interest of this study concerning the prominence of clientelist practices and gifts that permeate the health field. The research is based on the analysis and reflection of the intrinsic relationship between the health and political fields. It analyses the health field and its relationship with the dynamics and developments of the local political scenario relating it to the implementation of the Family Health Program and Community Health Agents Program (PACS/PSF health programs) in the city of Mossor?, State of Rio Grande do Norte which refers to the period 1991-2010; and falls into a methodological perspective of qualitative approach. The methodological tools and techniques used were based on semi-structured interviews, direct observation of the field, journalistic texts and documentary sources. The construction and questioning of the object of the research were based on theoretical contributions from authors discussing the social field and symbolic power: Bourdieu (2005); clientelist relationships and gifts from asymmetric exchanges: Rouland (1997), Lanna (1995), Martins (1999), Carvalho (1999), Diniz (1982); exercise of hegemony and political strategy from authors who analyse this subject: Gramsci (1995), Coutinho (1981), and Gruppi (1978). Furthermore, the research has established dialogues with authors who address the dynamics of Brazilian politics such as Baquero (2001) and Weffort (1993). The collected data were subjected to qualitative content analysis. The results showed that with the implementation of the PACS/PSF programs in the aforementioned city, the health field has established itself as a key scenario for the exercise of political hegemony of the factions that dominate this socio-political context, resizing clientelist practices, however, without modifying the power structures within this social scenario / A realidade vivenciada por in?meras fam?lias e indiv?duos que buscam e necessitam dos servi?os do Sistema ?nico de Sa?de SUS, as rela??es entre usu?rios, profissionais de sa?de, e representantes pol?ticos, instituem o cerne da problem?tica que norteia ? escolha e o interesse deste estudo sobre a proemin?ncia das pr?ticas clientelistas e d?divas que permeiam o campo da sa?de. A pesquisa se pauta na an?lise e reflex?o da rela??o intr?nseca entre o campo da sa?de e o campo pol?tico. Analisa o campo da sa?de e sua rela??o com a din?mica e os desdobramentos do cen?rio pol?tico local relacionando-o a implanta??o dos programas de sa?de PACS/PSF no munic?pio de Mossor?-RN que remete ao per?odo entre 1991-2010. Inscreve-se em uma perspectiva metodol?gica de abordagem qualitativa. Os instrumentos metodol?gicos e t?cnicas utilizadas pautaram-se em entrevistas semi-estruturadas, observa??o direta do campo, textos jornal?sticos e fontes documentais. A constru??o e problematiza??o do objeto da pesquisa fundamentou-se em aportes te?ricos de autores que discutem o campo social e poder simb?lico: Bourdieu (2005); rela??es clientelistas e d?divas a partir de trocas assim?tricas: Rouland (1997), Lanna (1995), Martins (1999), Carvalho (1999), Diniz (1982); exerc?cio da hegemonia e estrat?gia pol?tica em autores que analisam essa tem?tica: Gramsci (1995), Coutinho (1981) e Gruppi (1978). Ademais, a pesquisa estabeleceu di?logos com autores que versam sobre a din?mica da pol?tica brasileira como Baquero (2001) e Weffort (1993). Os dados coletados foram submetidos a uma an?lise qualitativa de conte?do. Os resultados evidenciaram que com a implanta??o dos programas PACS/PSF no munic?pio supracitado o campo da sa?de consolidou-se como um cen?rio essencial para o exerc?cio da hegemonia pol?tica das fac??es que dominam esse contexto sociopol?tico, redimensionando as pr?ticas clientelistas, entretanto, sem modificar as estruturas de poder no ?mbito deste cen?rio social

Cette thèse entend contribuer à l’étude des carrières des associés des firmes professionnelles en s’intéressant en particulier au processus de construction de l’identité d’associé. En nous appuyant sur le concept interactionniste de carrière nous analysons le « devenir associé » dans le contexte des grands cabinets d’audit internationaux (les Big 4). Ce devenir est un processus qui débute quasiment dès le recrutement et qui relève de mécanismes informels et tacites et de manœuvres politiques. Nous caractérisons ces mécanismes par la notion « d’écurie » qui permet à la fois de comprendre le fonctionnement des procédures de cooptation dans sa dimension non-officielle, mais également la hiérarchisation de la partnershipet le déroulement des carrières en son sein, une fois le stade de l’association passé. La conclusion à laquelle nous parvenons est que l’auditeur devient associé bien avant sa cooptation, en se reconnaissant lui-même comme un professionnel. Ce turning point n’est cependant que le premier sur le chemin qui mène à la partnership car c’est seulement au moment où il rejoint cette dernière que l’auditeur devient l’associé qu’il était, en se faisant reconnaître comme tel par ses pairs, achevant ainsi sa conversion identitaire d’auditeur en associé. Par notre travail, nous nous inscrivons dans la lignée des études en sociologie des professions et en théorie des organisations qui ont exploré le champ de la socialisation des professionnels de l’audit et de la construction de leur identité ainsi que le fonctionnement des grands cabinets internationaux / This PhD studies the process of becoming a partner in professional services firms, envisaged through the lens of the building of the partner identity. To this end, it implements the concept of « career » developed by interactionist sociology to analyse the making of a partner in the context of the Big 4 international audit firms. Becoming a partner is a process that starts right after recruitment and which is governed by complex and largely informal mechanisms and political manoeuvring. We characterize these mechanisms with the help of the notion of “stable”, whose purpose is to understand procedures of co-option in their unofficial dimension but also to account for the structuration of the partner level in firms and the role played by hierarchies within this level in post-partner career progression. We come to the conclusion that auditors actually become partners much earlier than their official promotion to the rank, from the moment they consider themselves as such. This awakening is yet only the first turning point on the road to partnership. It is only when they are officially co-opted that auditors become the partners they were, by being recognised as such by their peers, completing therefore their identity conversion.This work contributes to the literature in the sociology of professions and organizational theory fields by investigating how professionals are socialized and how their identity is constructed and by grasping more accurately the organization of professional services firms

3-dimensional imaging often requires substantial effort since information along the optical axis is not straight forward gatherable. In many applications it is aimed for depth information along the direction of view. For example fluidic mixing processes and the environmental interaction on a microscopic scale are of particular importance for e.g. pharmaceutical applications and often demand for 3D information. This problem is often solved by stereoscopic approaches, where two cameras are used in order to gather depth information by triangulation technique. Another approach is to scan the object through the focal plane in order to get sharp images of each layer. Since the before mentioned approaches require a lot of video data to be evaluated it would be more convenient to get depth mapping within a single camera recording and without scanning. Here we present a tunable 3D depth-mapping camera technique in combination with dynamic aberration control. By using an incoherent light source, only one camera and a spatial light modulator (LCoS-SLM), it is a simply applicable and highly scalable technique. A double-helix point spread function (DH-PSF) is generated for light emerging from the bserved focal plane. Each object appears as a double-image on the camera. Within the orientation of the double-image, depth information along the optical axis is encoded. By using an additional adaptive element (deformable mirror) the technique is combined with wide-field aberration correction. Here we combine a tunable 3D depth camera with dynamic aberration control in one imaging system.

Purpose - The purpose of this study is to explore how Big-4 companies use the balanced scorecard to manage the operations in comparison to smaller competitors in the same field. Method - The study is of a qualitative nature and is based on an inductive approach. The empirical data has been collected through Conclusion - The results show that the use of BSC differs not only between Big-4 and Non-big 4 bureaus but also within the groups. In addition, there is no link between the size of the bureau, belonging to The Big 4 or not, on the one hand, and the use of BSC on the other hand. Some bureaus within the Big-4 use the card more extensively than others within the block. At the same time there are some smaller bureaus that focus on more perspectives of the card, compared to some Big-4 bureaus. This leads to the conclusion that the extent to which the card is used differs drastically between all bureaus. / Syfte - syftet med denna uppsats är att utforska hur Big-4 byråerna använder det balanserade styrkortet för att styra verksamheten i jämförelse med mindre konkurrenter i samma fält. Metod - Studien är av kvalitativ karaktär och har utgått från en induktiv ansats. Empirin har samlats in genom dokument samt litteratur innehållsanalys. Slutsats - Resultaten visar att användningen av BSC skiljer sig inte bara mellan Big 4 och Non-big 4 utan även inom grupperna, samtidigt som det inte förekommer någon koppling mellan byråns storlek, att tillhöra Big 4 eller inte och användningen av BSC. Vissa byråer inom Big-4 använder kortet mer omfattande än dem andra inom blocket. Samtidigt som vissa Non-big 4 byråer tar hänsyn till fler perspektiv av kortet, jämfört med andra byråer inom Big-4. Detta leder till slutsatsen att användning av kortet skiljer sig mellan samtliga ingående byråerna.

The traditional approach to imaging system design places the sole burden of image formation on optical components. In contrast, a computational imaging system relies on a combination of optics and post-processing to produce the final image and/or output measurement. Therefore, the joint-optimization (JO) of the optical and the post-processing degrees of freedom plays a critical role in the design of computational imaging systems. The JO framework also allows us to incorporate task-specific performance measures to optimize an imaging system for a specific task. In this dissertation, we consider the design of computational imaging systems within a JO framework for two separate tasks: object reconstruction and iris-recognition. The goal of these design studies is to optimize the imaging system to overcome the performance degradations introduced by under-sampled image measurements. Within the JO framework, we engineer the optical point spread function (PSF) of the imager, representing the optical degrees of freedom, in conjunction with the post-processing algorithm parameters to maximize the task performance. For the object reconstruction task, the optimized imaging system achieves a 50% improvement in resolution and nearly 20% lower reconstruction root-mean-square-error (RMSE ) as compared to the un-optimized imaging system. For the iris-recognition task, the optimized imaging system achieves a 33% improvement in false rejection ratio (FRR) for a fixed alarm ratio (FAR) relative to the conventional imaging system. The effect of the performance measures like resolution, RMSE, FRR, and FAR on the optimal design highlights the crucial role of task-specific design metrics in the JO framework. We introduce a fundamental measure of task-specific performance known as task-specific information (TSI), an information-theoretic measure that quantifies the information content of an image measurement relevant to a specific task. A variety of source-models are derived to illustrate the application of a TSI-based analysis to conventional and compressive imaging (CI) systems for various tasks such as target detection and classification. A TSI-based design and optimization framework is also developed and applied to the design of CI systems for the task of target detection, it yields a six-fold performance improvement over the conventional imaging system at low signal-to-noise ratios.

Astronomical data sets are growing ever larger, and the area of high contrast imaging of exoplanets is no exception. With the advent of fast, low-noise detectors operating at 10 to 1000 Hz, huge numbers of images can be taken during a single hours-long observation. High frame rates offer several advantages, such as improved registration, frame selection, and improved speckle calibration. However, advanced image processing algorithms are computationally challenging to apply. Here we describe a parallelized, cloud-based data reduction system developed for the Magellan Adaptive Optics VisAO camera, which is capable of rapidly exploring tens of thousands of parameter sets affecting the Karhunen-Loeve image processing (KLIP) algorithm to produce high-quality direct images of exoplanets. We demonstrate these capabilities with a visible-wavelength high contrast data set of a hydrogen-accreting brown dwarf companion.

Background: The service sector has grown immensely during the last decades and the demand for services is increasing. For professional service firms (PSFs) that want to internationalize and move to other markets, it is important to know how to attract customers and how to accommodate their needs. Therefore, it is important to know what aspects of the marketing mix to consider and how these elements can be standardized or adapted in regard to different markets and needs. It is vital to know what factors influence how the elements should be standardized or adapted in order to be able to flourish as a service firm in international markets.  Purpose: The purpose of this thesis is to explore the factors that influence the standardization or adaptation process within the marketing mix consisting of the 7Ps. Additionally, investigating to what extent each of the components of the marketing mix has been standardized, adapted or used both approaches. This thesis aims to contribute with knowledge and understanding behind these decisions as to why the marketing mix has been standardized or adapted in certain components.  Method: This study makes use of a single case study for which an exploratory approach is implemented with use of a mixed methods approach. The study uses an interpretivist philosophy and an inductive approach. Primary data was collected through interviews and a survey, while secondary data came from the company website and marketing material.  Conclusions: This study came to the conclusions that the components of product, place and people are adapted, promotion and process are standardized, and physical evidence and price is considered to be a mix. There are different factors that influence the marketing mix components, where customer preferences are considered to have the highest influence.

O Programa de Saúde da Família (PSF) enfatiza a promoção de saúde visando à qualidade de vida das pessoas, privilegiando ações voltadas a comunidades específicas. Novos paradigmas vêm sendo pensados, numa tentativa de transformar a crise há tempos estabelecida na Saúde Pública, visando a uma produção em saúde sintonizada com a história e cultura locais. A perspectiva construcionista social, tendo em seus pressupostos a construção de sentidos sobre o mundo, na linguagem, através da relação entre as pessoas, aponta para a possibilidade de co-construção de um modelo de atenção em saúde entre profissionais e comunidade. O presente estudo, baseado nessa perspectiva, tem como objetivo: descrever sentidos de saúde/doença produzidos em grupos numa comunidade alvo de um PSF. Foram audiogravados cinco grupos de sessão única, distribuídos geograficamente pela área, realizados com pessoas dessa comunidade, convidadas a se reunirem na rua onde moram, em domicílio de um dos participantes. Foram transcritos, e junto às notas de diário de campo, constituem-se na base de dados. A análise, realizada em dois eixos, buscou tematizar: 1) Quando a questão é promover saúde – referida aos momentos em que os sentidos são produzidos pelas participantes falando do lugar de pessoas que gozam de saúde. Esse eixo foi dividido em quatro subtemas: Estar com problemas reflete na sua saúde – que trata dos momentos em que os fatores físicos, mentais e sociais são referidos como influenciadores da saúde/doença; Eu acho que tudo é tá de bem com a vida – que traz os momentos em que os conceitos sobre promoção de saúde foram tratados como fundamentais para a manutenção da saúde; Se não tiver saúde, não trabalha mesmo – que trata da relação entre trabalho e desemprego afetando o processo saúde/doença; e Ficar sem dinheiro é a pior doença – em que o dinheiro foi referido como fundamental para se estar com saúde. E o segundo eixo 2) Quando a questão é recuperar a saúde – referida aos momentos em que falam do lugar de pessoas adoecidas, necessitando de cuidados específicos em saúde. Esse eixo desdobrou-se em três subtemas: Ela tá com saúde. Tem até cartão do Posto – que analisa os momentos em que a saúde é referida como a possibilidade de acesso a serviços; Você pensa que eu tomei o remédio que a médica me deu? Ta fechadinho, em casa guardado – que trata do autocuidado na saúde caracterizado como a não-adesão a um tratamento; e A doença é bem pessoal – tratando-se da saúde/doença como um processo pessoal e singular. A análise buscou descrever o modo como estão sendo construídos os sentidos acerca das noções que vêm embasando as novas propostas em saúde, enfocando o ponto de vista da comunidade. As considerações finais deste trabalho apontam como possibilidade para transformação da crise da Saúde Pública, uma prática em saúde baseada na aproximação, conversação e negociação constante, não somente entre equipe de profissionais e comunidade, mas em todas as dimensões, desde os formuladores das políticas de saúde, até os executores e usufruidores. / The Program of Family Health (PSF) emphasizes the health promotion aiming at the quality of life of the people, privileging actions turned to specific communities. New paradigms have been thought, in an attempt to transform the crisis established for a long time in the Public Health, aiming at a production in health syntonized with the local history and culture. The social construcionist perspective, having in its estimated the construction of meanings about the world, in the language, through the relation among the people, points to a possibility of co-construction of an attention model in health between professionals and community. The present study, based on this perspective, has as an objective: to describe meanings of health/disease produced in aiming groups in a community of a PSF. Five groups of only session had been taped, distributed geographically for the area, carried through with people of this community, invited to congregate in the street where they live, in the house of one of the participants. They had been transcribed, and with the notes of the field diary, consist in the database. The analysis, carried through in two axles, attempted to focus: 1) When the question is to promote health – related to the moments where the meanings are produced by the participants speaking from the place of people who enjoy health. This axle was divided in four subjects: “Being with problems reflects in one´s health” – that deals with the moments where the physical, mental and social factors, are related as influencing the health/illness; “I think that everything is to be ok with life” - that brings the moments where the concepts on health promotion had been treated as basic for the maintenance of the health; “If you don´t have health, you do not work for sure” – that deals with the relation between work and unemployment affecting the process health/illness; and “Being without money is the worse illness” – where the money was related as basic to be with health. And the second axle 2) When the question is to recoup the health – related to the moments where they speak from the place of sick people, needing specific cares in health. This axle was unfolded in three subjects: “She`s healthy. She even has the health center card” – that analyzes the moments where the health is related as the possibility to access the services; “You think that I took the remedy that the doctor gave me? It`s well closed, in my house” – that deals with the self care in health characterized as a not adhesion to a treatment; and the “Illness is well personal” – treating the health/illness as a personal and singular process. The analysis searched to describe the ways the meanings about the notions that have been basing the new proposals in health, focusing the point of view of the community. The final considerations of this work point to possibility of a transformation of the crisis of the Public Health, a practical in health based on the approach, conversation and constant negotiation, not only between the staff of professionals and community, but in all the dimensions, since the formulators of the health politics, to the usufructuary and executors.