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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.
21

Avan?os e desafios na implementa??o da Pol?tica de Aten??o ? Sa?de e Seguran?a do Trabalho do Servidor P?blico Federal em institui??es dos Vales do Jequitinhonha e Mucuri

Nunes, V?nia Maria Fernandes January 2013 (has links)
?rea de concentra??o: Multidisciplinar. / Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:41:29Z No. of bitstreams: 2 Vania_maria_fernandes_nunes.pdf: 4796742 bytes, checksum: 26285373e915a717cb2cd90d41846b4e (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:42:16Z (GMT) No. of bitstreams: 2 Vania_maria_fernandes_nunes.pdf: 4796742 bytes, checksum: 26285373e915a717cb2cd90d41846b4e (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Rejected by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br), reason: alterar nome do arquivo on 2015-01-09T16:42:51Z (GMT) / Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:53:19Z No. of bitstreams: 2 vania_maria_fernandes_nunes.pdf: 4796742 bytes, checksum: 26285373e915a717cb2cd90d41846b4e (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:54:00Z (GMT) No. of bitstreams: 2 vania_maria_fernandes_nunes.pdf: 4796742 bytes, checksum: 26285373e915a717cb2cd90d41846b4e (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:54:29Z (GMT) No. of bitstreams: 2 vania_maria_fernandes_nunes.pdf: 4796742 bytes, checksum: 26285373e915a717cb2cd90d41846b4e (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Made available in DSpace on 2015-01-09T16:54:32Z (GMT). No. of bitstreams: 2 vania_maria_fernandes_nunes.pdf: 4796742 bytes, checksum: 26285373e915a717cb2cd90d41846b4e (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) Previous issue date: 2013 / O objetivo deste estudo foi verificar a implementa??o da Pol?tica de Aten??o ? Sa?de e Seguran?a do Trabalho do Servidor P?blico Federal (PASS) nos ?rg?os referenciados ? Unidade do Subsistema Integrado de Aten??o ? Sa?de do Servidor (SIASS) da Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM) e em outras institui??es p?blicas federais localizadas em cidades que acolhem a UFVJM, um dos campi do CEFET/MG, as ger?ncias e ag?ncias do INSS de Diamantina e Te?filo Otoni. Para tanto, foi realizado um estudo descritivo transversal com 205 indiv?duos (201 servidores ativos e quatro gestores de recursos humanos e, ou diretores), que, em rela??o aos servidores ativos, teve como objetivo conhecer as demandas relacionadas aos planos de sa?de, caracteriz?-los quanto ao absente?smo/doen?a ou acidentes em servi?o e ainda quanto ? insalubridade/periculosidade, al?m de verificar o conhecimento desses servidores em rela??o ?s a??es propostas pela PASS j? implantadas nos referidos ?rg?os. Junto aos gestores de recursos humanos e, ou diretores procurou-se identificar as dificuldades enfrentadas para a implementa??o das a??es propostas por essa pol?tica. Este estudo demonstra a necessidade de cria??o de canais de comunica??o que possibilitem manter os servidores das institui??es envolvidas atualizados em rela??o ?s a??es propostas pela PASS. Aponta a import?ncia do benef?cio da sa?de suplementar e ratifica a relev?ncia da a??o de acompanhamento da qualidade e aprimoramento da assist?ncia prestada pelos planos de sa?de. Confirma que a coopera??o t?cnica entre os ?rg?os p?blicos pode favorecer a resolu??o de quest?es periciais de servidores e aponta que os dados de absente?smo/doen?a s?o similares aos de outros estudos realizados. Apresenta informa??es relacionadas com promo??o e vigil?ncia nos ?rg?os envolvidos e recomenda novos estudos para melhor entendimento dessas a??es. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2013. / ABSTRACT The aim of the current study was to verify the implementation of the Policy of Attention to the Health and Safety of Work of Federal Workers (PASS) in public agencies referenced to the SIASS Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM) and other federal institutions located in cities that host UFVJM, as well as one of the campuses of CEFET/MG and the INSS agencies in Diamantina and Te?filo Otoni. A descriptive transversal study was done with 205 individuals (201 active public servants and four human resource managers) which, in regard to the public servants, had the following aims: to find out about demands related to healthcare plans; to characterize the plans as to absenteeism/illness or on-the-job accidents and, further, to examine issues of unwholesomeness and danger in the workplace; and lastly, to verify awareness of these plans in relation to proposed PASS actions already introduced into the abovementioned public agencies. Together with human resource directors, the study sought to identify the difficulties faced in implementing PASS proposals. This study demonstrates the need to establish channels of communication in order to keep public servants updated and involved in regard to any actions proposed by PASS. It also points out the importance of supplementary health benefits and of being aware of the quality of the healthcare plans and any proposed changes to them. Furthermore, the study confirms that technical cooperation among public agencies could aid in the resolution of issues related to public servants and that data regarding absenteeism and illness are similar to other studies. The study presents data related to public agency oversight of these matters and recommends further studies aimed at improving understanding of healthcare-related actions.
22

Vigil?ncia em sa?de em tempos de HIV/AIDS: sistemas de informa??o no servi?o de aten??o especializada

Lima, Walber Ant?nio 07 August 2013 (has links)
Sub-?rea de concentra??o: Sa?de e Biol?gicas. / Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:55:10Z No. of bitstreams: 2 walber_antonio_lima.pdf: 4878433 bytes, checksum: c24021a7e230463e47eae78ab1e296f8 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:55:52Z (GMT) No. of bitstreams: 2 walber_antonio_lima.pdf: 4878433 bytes, checksum: c24021a7e230463e47eae78ab1e296f8 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:56:47Z (GMT) No. of bitstreams: 2 walber_antonio_lima.pdf: 4878433 bytes, checksum: c24021a7e230463e47eae78ab1e296f8 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Made available in DSpace on 2015-01-09T16:56:47Z (GMT). No. of bitstreams: 2 walber_antonio_lima.pdf: 4878433 bytes, checksum: c24021a7e230463e47eae78ab1e296f8 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) Previous issue date: 2013 / Funda??o de Amparo ? Pesquisa do estado de Minas Gerais (FAPEMIG) / Funda??o Diamantinense de Apoio ao Ensino, Pesquisa e Extens?o (FUNDAEP) / O cruzamento das informa??es advindas do Sistema de Informa??o de Agravos de Notifica??o (SINAN), com as do Servi?o de Aten??o Especializada (SAE) onde funciona o Centro de Testagem e Aconselhamento (CTA) da Acquired Immunodeficiency Syndrome (Aids), juntamente com a constru??o de mapas tem?ticos com auxilio do Sistema de Informa??o Geogr?fica (SIG), s?o ainda um desafio para as gest?es loco-regionais e demandam estudos mais detalhados. Objetivo - Compreender o funcionamento do Centro de Testagem e Aconselhamento (CTA) de Diamantina, com ?nfase na distribui??o espacial dos pacientes acompanhados pelo servi?o no per?odo de 1996 a 2012. Metodologia - Trata-se de um estudo transversal, de car?ter avaliativo, com an?lise descritiva. As microrregi?es de sa?de de Diamantina e de Minas Novas/Turmalina/Capelinha tem como sede Diamantina, no Alto Vale do Jequitinhonha (Minas Gerais), referencia para HIV/Aids. Foram utilizados os registros de HIV/Aids desde 1996 at? 2012. As informa??es do SINAN e dos prontu?rios cl?nicos do SAE/CTA foram tabuladas e analisadas utilizando os programas Microsoft Office?, Excel, al?m do ArcGIS? (Vers?o 9.2) para confec??o dos mapas. Resultados - A popula??o da micro de Diamantina comp?e-se de 166.961 habitantes e da micro Minas Novas/Turmalina/Capelinha comp?e-se de 119.551 habitantes, totalizando juntas 286.512 habitantes. A preval?ncia do HIV/Aids em rela??o ? popula??o total: no CTA 112 casos com a taxa em 39,09% por 100.000 habitantes e no SINAN 148 casos com 51,65% / 100.000 habitantes. Os dados para a preval?ncia da doen?a s?o discordantes para as duas micros. Na vari?vel ra?a/cor (branca/preto/pardo/ignorado), o mais freq?ente foi o ignorado. Discuss?o - O SAE/CTA de forma regionalizada tem que trazer funcionalidade para os moradores da macrorregi?o. Esse tipo de atendimento al?m de desafogar os grandes centros urbanos permite ao servi?o local o acolhimento e o acompanhamento humanizado, o que pode ser revertido em indicadores confi?veis e a ades?o ao tratamento. Quanto ? avalia??o do funcionamento do SAE/CTA, esses centros constituem um conjunto de servi?os heterog?neos e as diretrizes que norteiam a implanta??o dos servi?os n?o est? plenamente em funcionamento, o que pode refletir nos baixos indicadores de resolubilidade e produtividade. Conclus?o - A investiga??o da distribui??o espacial dos pacientes HIV/Aids revelou que as vari?veis faixa et?ria, sexo e munic?pio e microrregi?o de origem s?o consistentes e permitem esta visualiza??o, enquanto as demais, em especial ra?a/cor, escolaridade e categoria de exposi??o ainda necessitam de melhorias no preenchimento das fichas cl?nicas e na completude dos campos do SINAN. Quanto ? concord?ncia entre os dados do SINAN e SAE/CTA, o estudo verificou que esta ocorre parcialmente, uma vez que se est? trabalhando com bases distintas, cada uma com caracter?stica peculiar, no decorrer da trajet?ria de longos anos da doen?a e do servi?o. A qualidade das informa??es precisa ser aprimorada, caso contr?rio corre-se o risco de implementa??o de a??es de controle, sem que o seu impacto sobre a resolu??o do problema possa ser avaliado com base em evid?ncias. A produ??o dos mapas tem?ticos contribuiu na visualiza??o dos indicadores estudados, o que nos leva a recomendar o uso do SIG na sa?de em qualquer regi?o de abrang?ncia e cobertura. Para um servi?o de boa qualidade no SAE/CTA, s?o imprescind?veis ainda investimentos na educa??o permanente para gestores e t?cnicos, como por exemplo, para uso de ferramentas modernas. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2013. / ABSTRACT The crossing of the information from the Information System for Notifiable Diseases (SINAN), with the ones from Specialized Care Service (SAE) where the Counseling and Testing Center (CTA) of the Acquired Immunodeficiency Syndrome (Aids) operates, with the production of thematic maps using the Geographic Information System (GIS), are still a challenge for local and regional administrations and require more detailed studies. Objective ? To understand how works the Testing and Counseling Center (CTA) of Diamantina, with focus in the spatial distribution of patients that were followed by this service during 1996 to 2012 period. Methodology - This is a transversal study, which has an evaluative character, with descriptive analysis. The health micro-regions of Diamantina and of Minas Novas/Turmalina/Capelinha have their seat in Diamantina, located in Alto Vale do Jequitinhonha (Minas Gerais), which is a reference to HIV/Aids. We used HIV/Aids records from 1996 to 2012. The information from SINAN and from SAE/CTA clinical records were tabulated and analyzed using the Microsoft Office?, Excel, and ArcGIS ? (Version 9.2) for maps production. Results - The population of micro Diamantina consists of 166 961 inhabitants and of micro Minas Novas/Turmalina/Capelinha consists of 119 551 inhabitants, totaling together 286 512 inhabitants. The prevalence of HIV/Aids in relation to the total population: in CTA 112 cases with the rate at 39.09% 100,000 habitants and in SINAN 148 cases with 51.65% /100,000. The data for the prevalence of the disease are discordant for the two micro-regions. In the variable race/color (white/black/brown/ignored), the most frequent was the ignored. Discussion - The SAE/CTA, on a regional way, has to bring functionality to the residents of the macro-region. This type of care, in addition to unburden the big urban centers, allows to the local service an humanized reception and monitoring, which can be reversed in reliable indicators and adherence to treatment. As for the evaluation of the functioning of SAE/CTA, these centers are a set of heterogeneous services and the guidelines for implementation of the services are not fully functioning, which may reflect in the low resolution and productivity indicators. Conclusion - The investigation of the spatial distribution of HIV/Aids patients revealed that the variables age, sex and city and micro-region of origin are consistent and allow this view, while the others, especially race/color, education and exposure category still require improvements in filling out of clinical records and in completing SINAN fields. Regarding the agreement between SINAN and SAE/CTA data, the study found that it occurs partly, because different bases are being used, each one with a singular characteristic, during the course of long years of the disease and the service. The quality of information needs to be improved, otherwise control actions can be implemented without their impact on the resolution of the problem can be evaluated based on evidence. The production of thematic maps contributed to the view of the indicators studied, which leads us to recommend the use of GIS in health in any region of scope and coverage. For a good quality service in SAE/CTA, investments in continuing education for managers and technicians are still essential, for example, for the use of modern tools.
23

Vigil?ncia eletr?nica no trabalho banc?rio: do controle consentido ao totalitarismo corporativo

Cardoso, Monique Fonseca 06 December 2010 (has links)
Made available in DSpace on 2014-12-17T13:53:30Z (GMT). No. of bitstreams: 1 MoniqueFC_DISSERT.pdf: 1606877 bytes, checksum: e9226e11f44f0f8325e91e1d0a48ca0f (MD5) Previous issue date: 2010-12-06 / This dissertation addresses the electronic surveillance theme in the banking context. The research that originated it, which was held in an organization called for the fiction name Banco Total, started from the following driving question: How do workers at a bank perceive electronic surveillance at their process of work? The research s main objective was to comprehend how workers perceive electronic surveillance at their process of work. The study adopted an interdisciplinary perspective, having Management as the original field, establishing a dialogue with others disciplines, like Philosophy and Sociology. About its methodology, it s a qualitative research that addressed its object in oral (interviews with live history elements) way. . Ten individuals were interviewed. The analytical process utilized the hermeneutical-dialectics technique.. From the analyses (hermeneutics) of the data, the following themes have emerged: (i) Acquiescence ; (ii) Monitoring; (iii) Time and Motion; (iv) Fear; (v) Interdiction; and (vi) Resistance . From the discussion (dialectic) of the results, this work presents three synthetic propositions that culminate in the following dimensions (i) control; (ii) acquiescence; (iii) corporative totalitarianism. It can be concluded that electronic surveillance is one mechanism of control emerged from the apply of technology at Total Bank; that information technology has been improving the control mechanisms of management theories; and that the imbrications between management and material technology control mechanisms at a context where there is acquiescence by workers contribute for the emergency of corporative totalitarianism components / Esta disserta??o aborda o tema vigil?ncia eletr?nica no contexto do trabalho banc?rio. A pesquisa que lhe origina, realizada numa organiza??o ficticiamente chamada de Banco Total, partiu da quest?o mobilizadora: Como os trabalhadores banc?rios percebem a vigil?ncia eletr?nica em seu processo de trabalho? O objetivo geral da pesquisa foi compreender como os trabalhadores do Banco Total percebem a vigil?ncia eletr?nica sobre o seu processo de trabalho. Adotou-se uma perspectiva interdisciplinar, tomando a Administra??o como campo origin?rio, e estabelecendo di?logo com outros campos, como a Filosofia e a Sociologia. Metodologicamente, trata-se de uma pesquisa de natureza qualitativa, , para a qual dez sujeitos foram entrevistados. Quanto ao processo anal?tico, a t?cnica utilizada foi a an?lise hermen?utico-dial?tica,. Da an?lise (hermen?utica) dos dados, emergiram os seguintes temas: (i) Aquiesc?ncia ; (ii) Monitoramento; (iii) Tempos e Movimentos; (iv) Medo; (v) Interdi??o; e (vi) Resist?ncia . Da discuss?o (dial?tica) dos resultados, o trabalho apresenta tr?s proposi??es sint?ticas, que culminam nas seguintes dimens?es-s?ntese da pesquisa: (i) controle; (ii) aquiesc?ncia; (iii) totalitarismo corporativo. O trabalho conclui que a vigil?ncia eletr?nica ? um dos mecanismos de controle, possibilitado pelo emprego da TI no Banco Total; que a TI atualiza a TO, no que se refere ao controle do trabalho, na medida em que aperfei?oa os mecanismos de controle; e que a imbrica??o entre os mecanismos de controle das tecnologias gerenciais e das tecnologias materiais, em um contexto de aquiesc?ncia dos trabalhadores, contribui para a emerg?ncia de um totalitarismo corporativo
24

An?lise da qualidade da investiga??o dos ?bitos infantis e fetais no munic?pio de Caic?/RN / Analysis of the quality of infant and fetal mortality investigation in the city of Caic?/RN

Pereira, Laianny Kr?zia Maia 05 August 2016 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-22T19:29:09Z No. of bitstreams: 1 LaiannyKriziaMaiaPereira_DISSERT.pdf: 9818445 bytes, checksum: 954e6f134945a37d566a84b637781174 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-07T19:59:33Z (GMT) No. of bitstreams: 1 LaiannyKriziaMaiaPereira_DISSERT.pdf: 9818445 bytes, checksum: 954e6f134945a37d566a84b637781174 (MD5) / Made available in DSpace on 2017-03-07T19:59:33Z (GMT). No. of bitstreams: 1 LaiannyKriziaMaiaPereira_DISSERT.pdf: 9818445 bytes, checksum: 954e6f134945a37d566a84b637781174 (MD5) Previous issue date: 2016-08-05 / A Taxa de Mortalidade Infantil (TMI) constitui-se num dos indicadores mais comumente empregados para a an?lise da situa??o de sa?de da popula??o. A identifica??o de fatores de risco relacionados a essa mortalidade pode auxiliar no planejamento de a??es para a reestrutura??o e melhoria da assist?ncia materno-infantil, visando ? redu??o dessas mortes. Trata-se de um estudo de car?ter descritivo, dentro de uma abordagem quantitativa, com objetivo geral de analisar a qualidade da investiga??o dos ?bitos infantis e fetais no contexto do munic?pio de Caic?/RN. Como participantes da pesquisa, foram inclu?dos todos os ?bitos infantis e fetais (N=55) de residentes no munic?pio de estudo, notificados e investigados no Sistema de Informa??o sobre Mortalidade - SIM no per?odo de 2010 a 2015. Foram utilizados dados secund?rios sobre os ?bitos infantis e fetais, provenientes do setor de vigil?ncia de ?bito do munic?pio e do SIM. Para melhor an?lise das investiga??es, a pesquisa seguiu dentro das seguintes dimens?es: Completude, Consist?ncia, Classifica??o de Evitabilidade e Tempo de Investiga??o, cada uma com as vari?veis de estudo correspondentes. Os dados foram analisados atrav?s de frequ?ncias absolutas e relativas utilizando-se o programa estat?stico Statistical Package for the Social Sciences (SPSS) vers?o 22.0. Os resultados do estudo evidenciaram um baixo percentual de investiga??o (45,3%) no recorte temporal, com predomin?ncia de investiga??es ocorrendo muito ap?s o prazo oportuno, estipulado pelo MS. Estas n?o foram realizadas de forma efetiva, uma vez que foi constatado uma baixa completude e presen?a de v?rias inconsist?ncias. Do total de ?bitos infantis e fetais investigados, predominaram neste estudo (64,8%) as causas evit?veis por a??es dos servi?os de sa?de e, apenas 13,7% possu?ram concord?ncia quando comparados os resultados com base na classifica??o da Lista Brasileira de Evitabilidade e os obtidos na investiga??o realizada pelo munic?pio. De modo geral, o estudo apontou a fragilidade da vigil?ncia do ?bito no munic?pio de Caic?, principalmente no contexto do fechamento das investiga??es. Sendo assim, ? importante refor?ar o papel do comit? na investiga??o e ainda, destacar as fichas de investiga??o, como importantes ferramentas para a gest?o na tomada de decis?es e monitoramento da mortalidade infantil, necessitam de investimentos adicionais, como capacita??o dos profissionais de sa?de, com vista ? supera??o dos problemas identificados. / The Infant Mortality Rate (IMR) is one of the most common factors used to analyze the health situation of a population. Therefore, the mortality investigation has been used as an instrument to identify the risk factors related to it in order to assist in the action planning which aims to restructure and improve child and maternal assistance, with the objective to reduce deaths and contribute to the qualification of health information. In light of this, the present study which has a descriptive nature and used a quantitative approach, aims, in a general way, to analyze the quality of infant and fetal mortality investigations in the city of Caic?/RN and as a specific objective, to identify the proportion of investigated and notified infant and fetal death, on the Mortality Information System (SIM) from the Municipal Health Office of Caic?/RN; calculate the average number of days until the conclusion of the process of investigation of infant and fetal death; analyze the completeness and consistency of the data found on infant and fetal death certificates (DO) as well as on the investigation files; classify infant and fetal deaths according to the Brazilian Evitability List; and compare, taking into account the evitability potential, the classification of infant and fetal deaths according to the Brazilian Evitability List and the results obtained after the investigation carried out by the municipality. As participants of the study, it was included all infant and fetal deaths (N=55) from residents of the city concerned, which were notified and investigated on the Mortality Information System (SIM) in the period between 2010 and 2015. It was used secondary data about infant and fetal deaths which came from the death surveillance sector of the city and of the SIM. In order to achieve a better analysis of the investigations, the study followed some dimensions: Completeness, Consistency, Evitability Classification and Time of Investigation, each one of these with its corresponding variables. The data was analyzed through absolute and relative frequencies using the program Statistical Package for the Social Sciences (SPSS) in the 22.0 version. The results showed a low percentage of the investigation (45, 3%), with the predominance of the investigations occurring after 120 days (82,7%). Concerning the completeness of the data of the instruments which were used in the investigations, the worst ones, for the stillbirth, refer to out-patient files (78,2%) and home interview (78,4%), whilst for the deaths of children under one year old, they are represented for hospital files (70,1%). 75,7% of the fetal cases and 92% of infant cases which were analyzed, showed factors which compromised the consistency of the investigation. Considering the total of infant and fetal deaths, it was predominant in this study (64, 8%) the causes which are evitable by the health care services and only 13, 7% were in accordance when compared to the results based on the classification of the Brazilian Evitability List and the ones obtained in the investigation carried out by the city in question. In general, the study highlighted the fragility of death surveillance in the city of Caic?, in special at the end of the investigations. Therefore, it is important to acknowledge the fact of the relevance of the investigation to be aware of infant and fetal mortality, this way being an important tool for the management of decision making and monitoring infant death with the objective to transform this reality. It is necessary to reinforce the role of the investigation committee and mobilize the managers and health teams to overcome the problems which were found.
25

As manifesta??es de resist?ncia informal ? vigil?ncia eletr?nica na vis?o dos gestores de Call Centers

Souza Neto, R?mulo Andrade de 25 June 2015 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-09T20:19:57Z No. of bitstreams: 1 RomuloAndradeDeSouzaNeto_DISSERT.pdf: 4156717 bytes, checksum: 0ef7c2fd98a257e38259d061bae5f541 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-09T20:27:02Z (GMT) No. of bitstreams: 1 RomuloAndradeDeSouzaNeto_DISSERT.pdf: 4156717 bytes, checksum: 0ef7c2fd98a257e38259d061bae5f541 (MD5) / Made available in DSpace on 2017-03-09T20:27:03Z (GMT). No. of bitstreams: 1 RomuloAndradeDeSouzaNeto_DISSERT.pdf: 4156717 bytes, checksum: 0ef7c2fd98a257e38259d061bae5f541 (MD5) Previous issue date: 2015-06-25 / Tradicionalmente, o conceito de resist?ncia alude a movimentos coletivos e expl?citos de oposi??o, como greves e paraliza??es. A moderniza??o das ferramentas de controle e das pr?ticas gerenciais evidenciaram formatos informais e menos vis?veis de oposi??o, como piadas e ironias. Desde ent?o, pesquisadores de diversos campos tem estudado a resist?ncia para compreender estes comportamentos. A partir da revis?o da literatura, verificamos que pouco se sabe sobre as respostas dos gestores e sobre as implica??es da resist?ncia informal. Assim, o objetivo deste trabalho foi compreender como os gestores lidam com a resist?ncia informal ? vigil?ncia eletr?nica. A coleta e a an?lise dos dados foram realizadas com base na Teoria do Processo de Trabalho (LPT) e na literatura de coping. Em termos metodol?gicos, este ? um estudo descritivo e explorat?rio que adotou a abordagem qualitativa e aplicou de entrevistas semiestruturadas epis?dicas. Devido ao car?ter controlador das atividades, a amostra foram nove gestores de equipes de teleatendimento (call centers) que trabalhavam para empresas de diferentes setores na cidade de Natal. Para analisar os dados foi utilizada a An?lise de Conte?do com a ado??o da t?cnica de an?lise categorial ou tem?tica. Para dar consist?ncia e agilizar o processo anal?tico, foi utilizado o software NVivo? para codificar, categorizar e realizar an?lises comparativas atrav?s de modelos din?micos, mapas de ?rvore e nuvens de palavras. Os nossos resultados confirmam o controle intensivo do trabalho em empresas de teleatendimento. Foram identificadas 15 express?es de resist?ncia informal nos casos investigados, sendo fofoca o tipo mais citado pelos entrevistados. A maioria dos gestores afirmou tomar uma atitude imediata assim que identifica a resist?ncia, sendo a conversa a atitude mais citada. Por fim, apenas dois entrevistados reportaram casos de flexibiliza??o das normas por causa da resist?ncia de rotina, em todos os outros casos ela n?o pareceu ter gerado mudan?as. / Traditionally, the concept of resistance alludes to collective and explicit movements of opposition, like strikes and protests. The modernization of mechanisms of control and management practices evidenced informal and less visible forms of resistance, as jokes and irony for example. Since then researches about resistance has grown within partly overlapping fields. Based on the literature review, we verified that little is known about managers? responses and implications of informal resistance. Because of that, this researchs? objective was to understand how managers deal with informal resistance to electronic surveillance. To collect and analyse data we adopted a conceptual framework derived from core Labour Process Theory (LPT) and coping. In terms of methodology, this research is a descriptive and exploratory study with qualitative approach and the appropriation of episodic semistructured interviews. Due to the extensive use of control mechanisms, the sample was nine managers of call center teams? working for companies of different industries in Natal. To analyze the data collected we used content analysis technique with appropriation of categorial (or thematic) codification. Aiming to provide more consistency and streamline to the analytical process we adopted NVivo? software to code, categorize and make comparative analysis using dynamic models, tree maps and word cloud. Our results confirm the extensive use of control mechanisms in call centers. We also identified 15 expressions of informal resistance to electronic surveillance on the cases investigated, being gossip the type more cited by interviewees. Most managers said take immediate attitude when recognize resistance, being conversations the attitude more cited. Finally, only two interviewees reported cases of flexibilization of the rules because everyday resistance, in all the others cases resistance did not reached its goals.
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Notifica??es de s?filis gestacional e cong?nita: uma an?lise epidemiol?gica / Notifications of gestational and congenital syphilis: an epidemiological analysis

Oliveira, Samara Isabela Maia de 15 December 2016 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-04-03T22:22:49Z No. of bitstreams: 1 SamaraIsabelaMaiaDeOliveira_DISSERT.pdf: 1784979 bytes, checksum: b34f948642b206c54a12e4d4583fcf0c (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-04-11T18:05:37Z (GMT) No. of bitstreams: 1 SamaraIsabelaMaiaDeOliveira_DISSERT.pdf: 1784979 bytes, checksum: b34f948642b206c54a12e4d4583fcf0c (MD5) / Made available in DSpace on 2017-04-11T18:05:37Z (GMT). No. of bitstreams: 1 SamaraIsabelaMaiaDeOliveira_DISSERT.pdf: 1784979 bytes, checksum: b34f948642b206c54a12e4d4583fcf0c (MD5) Previous issue date: 2016-12-15 / A s?filis ? uma doen?a infecciosa que permanece como um dos principais agravos de notifica??o a ser enfrentado em ?mbito global. No contexto materno-infantil relaciona-se a efeitos delet?rios a partir da transmiss?o vertical e exp?e o bin?mio m?e e filho a riscos como o aborto e a morte perinatal. Desse modo, a??es efetivas para o controle da doen?a devem ser realizadas no pr?-natal, em momento oportuno, para garantir a preven??o da forma cong?nita da doen?a. Neste sentido, esta pesquisa objetiva analisar as notifica??es de s?filis gestacional e cong?nita e os fatores relacionados ? transmiss?o vertical. Trata-se de uma pesquisa de abordagem quantitativa epidemiol?gica, tipo seccional, de dados secund?rios, realizado no ano de 2016. A amostra foi composta a partir dos crit?rios de elegibilidade e totalizou 129 notifica??es de s?filis em gestantes e 132 notifica??es para s?filis cong?nita no per?odo entre junho de 2011 e dezembro de 2015, no Munic?pio de Natal/RN. A coleta de dados ocorreu entre os meses de maio a agosto por meio do banco do Sistema de Informa??o de Agravos de Notifica??o. Os dados foram analisados pela estat?stica descritiva e inferencial. Os testes Qui-Quadrado, T-Student e Fisher foram utilizados para verificar as associa??es entre as vari?veis de interesse. A pesquisa recebeu parecer favor?vel pelo Comit? de ?tica da Universidade Federal do Rio Grande do Norte, sob o n?mero 1.449.134 e Certificado de Apresenta??o para Aprecia??o ?tica 53305315.3.0000.5537. No per?odo investigado foi observado um incremento de casos notificados no ano de 2012. O perfil materno registrado aponta mulheres com idade m?dia de 24,78 anos, pardas (70,5%), residentes na zona urbana (95,3%) do Munic?pio de Natal. A an?lise do pr?-natal identificou predom?nio do diagn?stico materno no terceiro trimestre gestacional (69%) e presen?a de testes n?o trepon?micos reagentes em 94,6% das mulheres no momento do parto. No tocante ao tratamento materno, apenas 1,6% destas mulheres foram registradas com esquema de tratamento adequado e 16,3% dos parceiros foram tratados concomitantemente ?s gestantes. Nos desfechos relativos ?s crian?as, 78,8% foram registradas como assintom?ticas, contudo, essa vari?vel apresentou signific?ncia estat?stica quando relacionada ? titula??o do teste n?o trepon?mico materno e ? realiza??o de tratamento antes do parto. Na an?lise espacial por georreferenciamento, foi identificado o predom?nio de casos nos bairros Quintas e Felipe Camar?o, ambos assistidos pelo Distrito Sanit?rio Oeste do munic?pio. Os resultados apontam, al?m disso, para lacunas importantes nos processos de vigil?ncia epidemiol?gica quanto ao preenchimento das notifica??es no que versa a informa??es ignoradas e em branco. A an?lise da notifica??o da s?filis gestacional e cong?nita, possibilitou concluir que a transmiss?o vertical esteve relacionada a perdas de oportunidades diagn?sticas e terap?uticas. A elabora??o de estrat?gias para detec??o precoce e ades?o ao tratamento da doen?a devem ser adotadas, tendo em vista o fortalecimento da assist?ncia e a quebra na cadeia da transmiss?o vertical da s?filis. Ressalta-se a necessidade de qualifica??o profissional para notifica??o da doen?a e amplia??o no fornecimento de informa??es ? vigil?ncia epidemiol?gica, a fim de possibilitar a continuidade da an?lise ao agravo. / Syphilis is an infectious disease that remains as one of the major reporting aggravations to be addressed globally. In the maternal-infant context it is related to deleterious effects from the vertical transmission and exposes the mother-child binomial to risks such as abortion and perinatal death. Thus, effective actions to control the disease must be performed in prenatal care, in a timely manner, to ensure the prevention of the congenital form of the disease. In this sense, this research aims to analyze the reports of gestational and congenital syphilis and the factors related to vertical transmission. This is a cross-sectional, epidemiological, epidemiological approach to secondary data, conducted in 2016. The sample was composed of eligibility criteria and totaled 129 reports of syphilis in pregnant women and 132 reports for congenital syphilis in the period Between June 2011 and December 2015, in the Municipality of Natal / RN. Data collection occurred between May and August through the Database of the Notification of Injury Information System. Data were analyzed by descriptive and inferential statistics. The Chi-square, T-Student, and Fisher tests were used to verify the associations between the variables of interest. The research received a favorable opinion by the Ethics Committee of the Federal University of Rio Grande do Norte under number 1,449,134 and Certificate of Presentation for Ethical Appraisal 53305315.3.0000.5537. In the period under investigation, there was an increase in reported cases in the year 2012. The registered maternal profile indicates women with a mean age of 24.78 years, browns (70.5%), living in the urban area (95.3%) of the Municipality from Natal. The prenatal analysis identified a predominance of maternal diagnosis in the third gestational trimester (69%) and presence of non-treponemal reactive tests in 94.6% of the women at the time of delivery. Regarding maternal treatment, only 1.6% of these women were registered with an adequate treatment regimen and 16.3% of the partners were treated concomitantly with the pregnant women. In the outcomes related to the children, 78.8% were registered as asymptomatic, however, this variable presented statistical significance when related to the titration of the non-treponemal maternal test and to the pre-delivery treatment. In the spatial analysis by geo - referencing, the predominance of cases in Quintas and Felipe Camar?o neighborhoods, both assisted by the Sanitary District West of the municipality, was identified. The results point, moreover, to important gaps in the epidemiological surveillance processes regarding the filling of notifications regarding unknown and blank information. The analysis of the notification of gestational and congenital syphilis made it possible to conclude that vertical transmission was related to loss of diagnostic and therapeutic opportunities. The development of strategies for early detection and adherence to treatment of the disease should be adopted, with a view to strengthening care and breaking down the vertical syphilis transmission chain. The need for professional qualification for notification of the disease and extension in the provision of information to epidemiological surveillance is emphasized, in order to allow the continuity of the analysis to the disease.
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Indicadores de sa?de do trabalhador: um estudo com foco na per?cia oficial e exame m?dico peri?dico

Magalh?es, Lidia Maria Costa Ara?jo 04 July 2017 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-09-05T19:56:01Z No. of bitstreams: 1 LidiaMariaCostaAraujoMagalhaes_DISSERT.pdf: 1291807 bytes, checksum: 13d365211a04f1ad84978d09c6fd54af (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-09-15T23:43:49Z (GMT) No. of bitstreams: 1 LidiaMariaCostaAraujoMagalhaes_DISSERT.pdf: 1291807 bytes, checksum: 13d365211a04f1ad84978d09c6fd54af (MD5) / Made available in DSpace on 2017-09-15T23:43:49Z (GMT). No. of bitstreams: 1 LidiaMariaCostaAraujoMagalhaes_DISSERT.pdf: 1291807 bytes, checksum: 13d365211a04f1ad84978d09c6fd54af (MD5) Previous issue date: 2017-07-04 / Os Indicadores de Sa?de do Trabalhador (IST) s?o par?metros relevantes para o planejamento de a??es, com vistas ? vigil?ncia em Sa?de do Trabalhador. No Brasil, as a??es de Sa?de e Seguran?a no Trabalho (SST) para servidores p?blicos federais foram normatizadas de acordo com a Pol?tica de Aten??o ? Sa?de e Seguran?a do Trabalho (PASS). O objetivo deste estudo ? conhecer os IST, com foco na Per?cia Oficial em Sa?de e Exame M?dico Peri?dico dos servidores da Universidade Federal do Rio Grande do Norte. Trata-se de um estudo explorat?riodescritivo, transversal, de abordagem quantitativa e natureza retrospectiva, com dados referentes ao per?odo de 2011 a 2015, na cidade de Natal/RN. Quanto ao absente?smo por doen?a, o perfil dos servidores se caracterizou por predom?nio do sexo feminino, com idade de 51 a 60 anos, ocupante de cargos de n?vel m?dio e fundamental. Ao longo da s?rie hist?rica, observou-se que o n?mero de dias perdidos de trabalho por servidor e a frequ?ncia de licen?as aumentaram, apesar da diminui??o do ?ndice de Dura??o do Absente?smo (IDA) e estabiliza??o da Frequ?ncia de Trabalhadores com Licen?a M?dica (FTLM). No que se refere ?s causas do absente?smo, prevaleceram doen?as respirat?rias (25,6%), osteomusculares (16,2%) e infecciosas e parasit?rias (13,0%) entre as licen?as de curta dura??o e, para os afastamentos homologados atrav?s de avalia??o pericial, predominaram as doen?as osteomusculares (18,4%), transtornos mentais (17,2%) e doen?as respirat?rias (9,2%). Quanto ? ades?o dos servidores ? realiza??o do EMP, foi decrescente, com maior percentual no ano de 2012 (35,3%). Durante o per?odo analisado, 5.186 servidores realizaram o EMP, e a maioria (60,6%) apresentou peso n?o ideal; 41,1% s?o sedent?rios; 33,2% t?m dislipidemia; 29,0% s?o etilistas; 3,2%, tabagistas; 5,9%, diab?ticos; 16,4% referiram ru?do elevado no local de trabalho; 27,8%, ilumina??o inadequada e 35,9%, mobili?rio de trabalho inadequado. Diante dos resultados, observa-se a necessidade de manuten??o e fortalecimento da PASS e, consequentemente, implementa??o de estrat?gias de impacto positivo para a SST. / The Occupational Health Indicators (OHI) are relevant parameters for planning actions aimed at the surveillance on Occupational Health. In Brazil, Occupational Health and Safety (HOS) actions for federal public servants were standardized according to the Occupational Safety and Health Care Policy (PASS in Portuguese). The objective of this study is to know the OHI focused on the Official Health Expertise and the Periodical Medical Examination (PME) of the servants of the Federal University of Rio Grande do Norte. This is an exploratory-descriptive and cross-sectional research, with a quantitative approach and a retrospective nature, with data relating to the period from 2011 to 2015, in the city of Natal/RN. As for the absenteeism due to disease, the profile of the servants licensed for health treatment was characterized by the predominance of women aged between 51 and 60 years and working at medium and elementary-level positions. Throughout the historical series, the number of lost days of work per servant and the frequency of leaves increased, although the Absenteeism Duration Index (ADI) decreased and the Frequency of Workers with Medical Leave (FWML) kept stable. Regarding the causes of absenteeism, there was a prevalence of respiratory diseases (25.6%), musculoskeletal diseases (16.2%) and infectious and parasite diseases (13.0%) among the short-time leaves. Musculoskeletal diseases (18.4%), mental disorders (17.2%) and respiratory diseases (9.2%) prevailed in relation to leaves approved by means of expert evaluation. As for the adhesion of the servers to the PME, it was decreasing, with a higher percentage in the year 2012 (35.3%). During the analyzed period, 5,166 servers performed the PME and the majority (60.6%) presented nonideal weight, 41.1% were sedentary, 33.2% had dyslipidemia, 29.0% were alcoholic, 3.2% were smokers, 5.9% diabetics, 16.4% reported high noise in the workplace, 27.8% inadequate lighting and 35.9% inadequate work furniture. In view of the results, there is need to maintain and strengthen the PASS and, consequently, to implement positive impact strategies for HOS.
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Extraindo dados de tr?fego a partir de v?deos em tempo real / Extracting traffic data from videos in real-time

Silva, Luiz Fernando Virginio da 31 July 2017 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-11-01T21:17:52Z No. of bitstreams: 1 LuizFernandoVirginioDaSilva_DISSERT.pdf: 4917021 bytes, checksum: 80294a6de65d56abadd8696d441746c6 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-11-07T22:41:10Z (GMT) No. of bitstreams: 1 LuizFernandoVirginioDaSilva_DISSERT.pdf: 4917021 bytes, checksum: 80294a6de65d56abadd8696d441746c6 (MD5) / Made available in DSpace on 2017-11-07T22:41:10Z (GMT). No. of bitstreams: 1 LuizFernandoVirginioDaSilva_DISSERT.pdf: 4917021 bytes, checksum: 80294a6de65d56abadd8696d441746c6 (MD5) Previous issue date: 2017-07-31 / Alguns dos maiores problemas nas grandes cidades est?o relacionados com a mobilidade urbana. Problemas como congestionamentos e acidentes impactam diretamente, de modo negativo na sociedade, e s?o muitas vezes atribu?dos ? falta de planejamento urbano por parte dos governantes, ? falta de pol?ticas p?blicas e projetos de pesquisa que proporcionem uma solu??o, mesmo que de forma parcial, ao problema. Estas projetos de pesquisa dependem de dados que devem ser coletados in loco nas principais avenidas e ruas da cidade, hoje realizado de forma manual atrav?s da observa??o de imagens geradas por c?meras de CFTV (Circuito Fechado de TV), principal meio de vigil?ncia no tr?nsito. Assim, surge a necessidade de uma solu??o que seja capaz de automatizar a coleta destes dados de forma a reduzir custos com pessoal, otimizar o trabalho e reduzir, tamb?m, erros oriundos deste tipo de opera??o. Desta forma, propomos um m?todo capaz de coletar estes dados de forma autom?tica, em tempo real, utilizando estas imagens de v?deos para subsidiar pesquisas e detectar poss?veis a??es no tr?nsito. Nosso m?todo consiste em um fluxo sequencial de atividades o qual submetemos as imagens. Primeiro, utilizamos segmenta??o por movimento para detectar objetos em movimento. Em seguida, aplicamos, em cada objeto segmentado, uma adapta??o do m?todo de Viola-Jones para refinar a busca na detec??o de ve?culos, classificando-os. Nesta etapa, tratamos situa??es de oclus?o, fen?meno comum de sobreposi??o de objetos que interfere diretamente nos resultados, e, por fim, aplicamos o m?todo de Senior para rastreamento de cada ve?culo classificado a fim de obtermos dados relevantes do tr?fego, inicialmente a dire??o, velocidade e intensidade do fluxo. Submetemos alguns v?deos coletados em uma avenida de grande circula??o a fim de testarmos nosso m?todo. Como resultado, constru?mos um modelo eficiente e com custo computacional baixo capaz de tratar situa??es de oclus?o sob diferentes condi??es de ilumina??o, sendo esta a principal contribui??o deste trabalho. / Some of the major problems in large cities are related to urban mobility. Problems such as traffic jams and vehicle accidents directly impact society in a negative way, and are usually attributed to lack of urban planning from governments, the lack of public policies or research projects aimed at solving this problems, even if partially. These researche projects depend on data that must be collected in loco on the main avenues and streets of the city, that are now performed manually through the observation of images captured by CCTV cameras (Closed Circuit TV), the main means of traffic surveillance in the city. Thus, there is a need for a solution that is able to automaticaly collect these data in order to reduce costs with personnel, optimize the work and also reduce errors that arise from this operation. In this way, we propose a method capable of collecting this data automatically, in real time, using these video images to support the researche projects and explore possible actions in traffic management. Our method consists of a continuous flow of activities that use the collected images. First, it uses motion segmentation to detect moving objects. Then, we apply, in each segmented object, an adaptation of the Viola-Jones method to refine the search in the detection of vehicles, classifying them. In this step, we deal with occlusion situations, a common phenomenon of objects overlapping that directly interfere on results. Finally, we apply the Senior method to track each vehicle in order to obtain relevant traffic data, initially direction, speed and intensity of flow. We submit some videos collected on a large avenue to test our method. As a result, we construct an efficient model with low computational cost capable of handling situations of occlusion in distincts lighting conditions, which is the main contribution of this work.
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Seguran?a, qualidade e riscos: a regula??o sanit?ria e os processos de (i)legaliza??o dos queijos artesanais de leite cru em Minas Gerais / Food safety, quality and risks: sanitary regulation and the processes of (il)legalization of raw milk artisanal cheese in Mina Gerais - Brazil

CINTR?O, Ros?ngela Pezza 06 September 2016 (has links)
Submitted by Jorge Silva (jorgelmsilva@ufrrj.br) on 2017-06-21T17:56:23Z No. of bitstreams: 1 2016 - Ros?ngela Pezza Cintr?o.pdf: 3487632 bytes, checksum: b58a311d44d01ef224bccf9be913f986 (MD5) / Made available in DSpace on 2017-06-21T17:56:23Z (GMT). No. of bitstreams: 1 2016 - Ros?ngela Pezza Cintr?o.pdf: 3487632 bytes, checksum: b58a311d44d01ef224bccf9be913f986 (MD5) Previous issue date: 2016-09-06 / CNPq / The dissertation focuses on conflicts and disputes about the sanitary (il)legalization of artisanal raw milk cheese in the state of Minas Gerais, which have become stronger since the 1990?s. It shows how State apparatus, laws, rules and regulations conceived with the aim of protecting the health of the population and usually presented as neutral and scientific end up, through various and complex ways, serving as instruments to establish barriers to entry amidst the disputes on dairy products? markets. The sanitary regulation of artisanal cheese is analyzed as a part of a process of progressive governamentalization of the State, which favors industrial, large-scale patterns of production, processing and distribution of food. The need to pasteurize and the minimum time for ripening are in the core of the debates and of the international regulations (Codex Alimentarius). In the case in focus, the legitimization of sanitary regulation is achieved by means of standards of ?quality?, ?risk?, and ?food safety? based in laboratory exams that search for the presence, in levels higher than legally permitted, of two groups of microorganisms (faecal coliforms and Staphiylococcus aureus), leading to the legal classification as ?improper for human consumption?. This conflicts with the population?s perception of these cheeses as a tasty and safe food, part of the cultural identity of people from Minas Gerais. As cheese is an essentially ?living? product, that may have ?bad? microorganisms but also has ?good? microorganisms that are responsible for unique characteristics of flavor and texture, sanitary rules based on industrial criteria are in conflict with traditional ways of producing and consuming cheese. Thus, illegalization processes lead to reactions, such as looking for possibilities of legalization amidst legal and institutional tangles that are ever more complex and permit the inclusion of only a minority of cheese-producing families. The majority of these families remain informal, which is increasingly constructed as illegal. Fieldwork was done in two municipalities in the region of the cheese known as Canastra, and the analysis points to a set of elements enabling people to remain in cheese-related activities, both as producers and as traders, in forms that are culturally established as part of a way of life and that ensure the families? social reproduction and their resiliency in face of external pressures. The study of this case thus brings forth more general issues about the relation between State, Law, Science and markets, and about their relation with peasant populations. It also discusses hegemonic notions of risk concerning health and food, and its effects on the way of life of peasant populations and on the consumers? possibilities of choice. / A tese aborda os conflitos e disputas em torno da (i)legaliza??o sanit?ria dos queijos artesanais de leite cru em Minas Gerais, que se acentuam ap?s a d?cada de 1990. Aponta como aparatos estatais, leis, normas e regulamentos, criados tendo como objetivo a defesa da sa?de da popula??o e normalmente apresentados como neutros e cient?ficos, por caminhos m?ltiplos e complexos acabam servindo como instrumentos para a cria??o de barreiras ? entrada em disputas por mercados de produtos l?cteos. A regula??o sanit?ria dos queijos artesanais ? analisada como parte de um processo de progressiva governamentaliza??o do Estado, que termina favorecendo padr?es industriais de produ??o, processamento e distribui??o de alimentos em maior escala. No centro das controv?rsias est? a exig?ncia de pasteuriza??o dos queijos ou de tempos m?nimos de cura, presentes em normas internacionais (Codex Alimentarius). No caso analisado, a legitima??o da regula??o sanit?ria se d? atrav?s da constru??o de padr?es de 'qualidade', 'risco' e 'seguran?a do alimentos', baseados em exames laboratoriais que apontam a presen?a, acima dos n?veis legais, em especial de dois grupos de microorganismos (coliformes fecais e Staphylococcus aureos), que levam ? classifica??o legal dos queijos como 'impr?prios ao consumo humano', entrando em choque com a percep??o da popula??o desses queijos como alimentos saborosos e seguros, parte da identidade cultural dos mineiros. Por serem produtos essencialmente 'vivos', contendo 'maus microrganismos' mas tamb?m 'bons microrganismos', respons?veis por caracter?sticas ?nicas de sabor e textura, as normas sanit?rias baseadas em crit?rios industriais entram em choque com tradi??es de produ??o e consumo dos queijos. Assim, os processos de ilegaliza??o geram rea??es, que buscam possibilidades de legaliza??o em emaranhados legais e institucionais cada vez mais complexos e que permitem a inclus?o apenas de uma minoria de fam?lias produtoras. A grande maioria permanece na informalidade, cada vez mais constru?da como ilegalidade. O trabalho de campo analisa dois munic?pios na regi?o do queijo Canastra e aponta um conjunto de elementos que comp?em um modo de se manter na atividade do queijo, que envolve tanto formas de produ??o quanto de comercializa??o, inseridas culturalmente num modo de vida, que garantem a reprodu??o das fam?lias e sua resili?ncia frente ?s press?es externas. O estudo desse caso coloca quest?es mais gerais sobre a rela??o entre Estado, Direito, Ci?ncia e mercados, assim como destes com popula??es camponesas. Discute tamb?m com no??es hegem?nicas de risco no que diz respeito ? sa?de e ? alimenta??o e seus efeitos sobre o modo de vida dessas mesmas popula??es e sobre as op??es de escolha dos consumidores.

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