The thesis addresses two areas of research within financial economics: empirical asset pricing and the borderline area between finance and economics with emphasis on econometrical methods. The empirical asset pricing section considers the effects of short-sale constraints on both the stock market as well as the derivatives market. Many arbitrage relations in the economy are intimately tied to the possibility to go short. One such arbitrage relation is the put-call-parity (PCP) relation that dictates a pricing relation between several derivative instruments and their underlying assets. During the latter part of the 1980s stock options could be traded in Sweden, while at the same time shorting was not permitted. The main contribution of the paper is to show that this shorting prohibition indeed implied larger deviations from PCP. Furthermore, this effect is only relevant for firms with stocks that were not shortable abroad, as firms with stocks shortable abroad did not show any deviations from PCP. The second paper investigates the asymmetries found in the momentum effect. Previous studies have found that the momentum effect is mostly due to the fact that a portfolio of loser firms tend to continue perform poorly, rather than because a portfolio of winner firms continue to do well. The explanation for this phenomenon investigated in the paper is based on the theoretical work by Diamond and Verrecchia (1985). In this model they demonstrate that the effects of restrictions on the ability to go short will have as a result that negative news are incorporated more slowly than positive news. The main contribution of my paper is to explore this hypothesis, and provide a link to the momentum effect. This has been achieved by considering Sweden during the 1980s during which the rare situation of a complete shorting prohibition was enforced. The second section of the thesis foremost addresses the CCAPM model. In the third paper the joint effect of market frictions, different utility specifications, as well as more stringent econometrical analysis, on the CCAPM are considered. Since all these remedies tend to co-exist and should not be considered on a stand alone basis, as has been the case in the previous literature. The paper also shows how several measures of misspecification available in the literature are implemented when market frictions are present. In particular, the paper presents the Hansen and Jagannathan measure with market frictions. The final paper considers L1-norm-based alternatives to the L2-norm-based Hansen and Jagannathan (1997) measure. It is well known that L1-norm methods may show good properties in the presence of non-normal distributions, for instance, with respect to heavy-tailed and/or asymmetric distributions. These methods provide more robust estimators, since they are less easily influenced by outliers or other extreme observations. The basic intuition for this is that L2-norm methods involve squaring errors, which magnifies large deviations, while L1-norm methods are based on absolute deviations. Since financial data are known to frequently display non-normal properties, L1-norm methods have found considerable use in financial economics. / Diss. Stockholm : Handelshögskolan, 2005

A recent upsurge exists of archaeologists using ancient hair as a research tool, with new uses of this previously discarded archaeological material being introduced annually. Human hair deteriorates extremely slowly, and since the average modern human sheds approximately one hundred hairs per day, there should be copious amounts of hair debris left behind after humans leave a site; it is just a matter of how much of the hair survives in the archaeological environment. Most loose hair recovered from archaeological sites, however, is found fortuitously and in many cases, because archaeologists were not actively searching for ancient hair, it is possible they tainted the hair they later tested in ways that compromised their data, or more importantly contaminated their samples with modern hair and did not test ancient hair at all. No standardized method has previously been established for searching for ancient hair in an archaeological site. This paper considers (a) a method of soil extraction in the field that avoids contamination with modern hair and elements that might hinder later test data; (b) the processing of samples in the laboratory while continuing sample integrity; (c) identification of the types of soils and environments that are most favorable to hair preservation; and (d) an examination of the relevance of hair extraction from sites including the practicality and research potential. This paper examines five archaeological sites, using three different methods of hair extraction, examining the pros and cons of each. This should enable future researchers to find a method that works best for their particular site. It also analyzes the soil chemistry of the sites in order to study the soil and hair survival relationship, so that scientists can better determine which soils hold the best potential for hair survival. Laboratory methods that avoid contamination of the samples are also outlined in order to help researchers keep sample integrity after leaving the archaeological site.

Thèse pour le diplôme d'archiviste paléographe--Histoire du livre--Paris--Ecole nationale des chartes, 2006. / Bibliogr. f. 53-73.

Resulting from the deregulation and prosperity of the economic and financial sectors in Asia during 1980s, a significant increase in cross-bordered financial transactions ultimately accelerated the region of Southeast Asia to be on a process of financial integration and consequently diminished opportunities for portfolio diversification. Financial Integration is a multidimensional process through which allocation of financial assets becomes lastly borderless. This purpose of this paper is to examine a progress thus far in capital market integration or preferentially, the co-movement of the equity markets between the U.S. and the Southeast Asian nations: Thailand, Indonesia, Malaysia, and the Philippines by employing the methodology of Gregory and Hansen Cointegration and Error Correction Analysis (ECM). The consequence of the U.S. market performance on each Southeast Asian national markets are extensively analyzed by decomposing monthly price-index time series into three distinct sub-periods based on an occurrence of the Subprime Mortgage Financial Crisis in 2007. The results indicate that these four emerging markets had been considerable influenced by the U.S. market performance, regardless of crisis or non-crisis periods. Nevertheless, some countries like Indonesia and the Philippines acted differently during the pre-crisis and crisis sub-periods respectively due to their domestic market infrastructure and regulation adjustment. However, these two markets had eventually turned to share an interdependent long-run relationship with the U.S. equity market since the ending of the Subprime financial downturn. Moreover, this finding suggests that ongoing capital market integration in the Southeast Asian region would mitigate portfolio diversification benefits for investors by virtue of increasing in correlation among securities and assets. Therefore, more exhaustive investigation about equity market integration is significantly beneficial in macroeconomic and financial perspective.

Zugl.: Wien, Univ., Diss.

Made available in DSpace on 2014-12-17T14:46:59Z (GMT). No. of bitstreams: 1 AnaMFC_DISSERT.pdf: 2245100 bytes, checksum: 6767d743f82a0331f6a77a2f112164d9 (MD5) Previous issue date: 2013-02-19 / Several epidemics marked the lives of individuals and communities in all historical periods, and a prime example is leprosy, infectious disease marked by stigma, prejudice and social exclusion. In the past, the compulsory isolation of patients with leprosy caused serious social and psychological problems, resulting in the separation and the partial or total disruption of the family relationship. Children deprived of this living, removed often inhumanely, were kept and bred in preventoriums / educational establishments. This study aimed to: rescue the oral history of life of the children of leprosy patients that were built in preventorium Osvaldo Cruz, Natal, Rio Grande do Norte; develop a contextual analysis about these children; know the life trajectory of children of leprosy patients institutionalized in preventoriums / educational establishments; produce a documentary on the history of life of children of parents separated by leprosy; forming MORHAN of Rio Grande do Norte state; and implement the I Meeting of MORHAN of Rio Grande do Norte state. This is an exploratory and descriptive study, with a qualitative approach, approved by the ERC No. 024/024/2012 Liga Norteriograndense Contra o C?ncer. We used the contributions of the method and technique of oral history of life as methodological reference. We interviewed 10 individuals egress from preventorium Osvaldo Cruz in Natal/RN, sons of former patients proven to be residents in the city, of both sexes, older than 18, with cognitive, intellectual and emotional conditions preserved. The analysis of the histories obtained from collaborators was performed in the light of Thematic Content Analysis. The results and discussions are presented through two articles which meet the proposed objectives. The first, called Contextual Analysis on the children of leprosy patients in preventoriums aimed to record the phenomenon of children of leprosy patients in preventorium through four contextual levels, which identified the need to broaden the debate on public policy in the field of leprosy as a way to enable more effective measures to propagate in the search for harm reduction and direct consequences resulting from stigma and marginalization around patients and their healthy children, egress from preventoriums. The second, Leprosy and the denial of history: the story of separated children , aimed to know the life trajectory of children of leprosy patients who were institutionalized in preventoriums / educational establishments. In this article, we discuss the research question through the establishment of three main themes: 1. Losses and damages: disintegration and reintegration into the family and denied childhood; 2. Unforgettable: remarkable things you do not forget; and 3. Expectancy in living new situations: in search of other paths and destinations. These thematic axis highlighted the negative implications for the lives of the subjects, arising from the separation of their parents, leprosy patients at the time of compulsory isolation; however, has also been shown that this separation was not decisive in their life histories, once they have succeeded in providing a new sense of these experiences and lead their lives with dignity and fortitude. It was concluded that these children demonstrated resilience as form of defense and fighting stigma and prejudice, being able to reinvent themselves and build new paths and destinations / V?rias epidemias marcaram a vida das pessoas e coletividades, em todos os per?odos hist?ricos, sendo um dos principais exemplos a hansen?ase, doen?a infecto-contagiosa, marcada pelo estigma, preconceito e exclus?o social. No passado, o isolamento compuls?rio dos pacientes portadores de hansen?ase causou s?rios problemas sociais e psicol?gicos, resultando no afastamento e na ruptura total ou parcial do v?nculo familiar. Os filhos privados desse conv?vio, retirados muitas vezes de forma desumana, foram confinados e criados em prevent?rios/educand?rios. Este estudo teve como objetivo: resgatar a hist?ria oral de vida dos filhos de portadores de hansen?ase que foram internos no prevent?rio/educand?rio Osvaldo Cruz, Natal, Rio Grande do Norte; elaborar uma an?lise contextual sobre os filhos de portadores nos prevent?rios; conhecer a trajet?ria de vida de filhos de doentes de hansen?ase institucionalizados em prevent?rios/educand?rios; elaborar um document?rio sobre a hist?ria de vida dos filhos separados da Hansen?ase; formar o MORHAN-Potiguar; e implementar o I Encontro Estadual do MORHAN-Potiguar. Trata-se de uma pesquisa explorat?ria e descritiva, com uma abordagem qualitativa, aprovado pelo CEP n? 024/024/2012 - Liga Norteriograndense de C?ncer. Utilizou-se das contribui??es do m?todo e t?cnica da hist?ria oral de vida como referencial metodol?gico. Entrevistou-se 10 egressos do prevent?rio/educand?rio Osvaldo Cruz em Natal/RN, filhos de ex-doentes comprovadamente, residentes na capital potiguar, de ambos os sexos; maiores de idade; com condi??es cognitivas, intelectuais e emocionais preservadas. A an?lise das hist?rias obtidas dos colaboradores foi realizada ? luz da An?lise de Conte?do Tem?tica. Os resultados e discuss?es s?o apresentados atrav?s de dois artigos, os quais atendem aos objetivos propostos. O primeiro denominado: An?lise contextual sobre os filhos de portadores de hansen?ase nos prevent?rios objetivou registrar o fen?meno dos filhos de portadores de hansen?ase no prevent?rio, atrav?s de quatro n?veis contextuais, os quais identificaram a necessidade de amplia??o do debate em torno das pol?ticas p?blicas no campo da hansen?ase, como forma de possibilitar que medidas mais efetivas sejam propagadas, na busca pela redu??o dos danos e consequ?ncias diretas resultantes do estigma e marginaliza??o em torno dos doentes e seus filhos sadios, egressos de prevent?rios. O segundo, Hansen?ase e a nega??o da hist?ria: trajet?ria de filhos separados, objetivou conhecer a trajet?ria de vida de filhos de doentes de hansen?ase que foram institucionalizados em prevent?rios/educand?rios. Neste artigo, discute-se a quest?o de pesquisa atrav?s do estabelecimento de tr?s eixos tem?ticos: 1. Perdas e danos: desintegra??o e reintegra??o familiar e a inf?ncia negada; 2. Inesquec?vel: coisas marcantes que n?o se esquece; 3. Expectativa em viver o novo: em busca de outros caminhos e destinos. Esses eixos tem?ticos destacaram as implica??es negativas para a vida dos colaboradores, decorrentes da separa??o dos seus pais doentes de hansen?ase na ?poca do isolamento compuls?rio, no entanto, tamb?m foi evidenciado que essa separa??o n?o foi determinante em suas hist?rias de vida, haja vista, terem conseguido proporcionar um novo sentido a essas viv?ncias e conduzirem suas vidas com dignidade e fortaleza. Concluiu-se que os filhos separados demonstraram resili?ncia como forma de defesa e enfrentamento do estigma e preconceito; sendo capazes de se reinventarem e constru?rem novos caminhos e destinos

Made available in DSpace on 2014-12-17T14:47:06Z (GMT). No. of bitstreams: 1 LuceliaMCPSD_DISSERT.pdf: 710912 bytes, checksum: 307f33c6bfaba014c7b069f2c1e59b12 (MD5) Previous issue date: 2014-02-27 / A hansen?ase ? um problema de sa?de em n?vel mundial devido principalmente ao seu potencial incapacitante. A estrat?gia de combate ? doen?a adotada pelo Minist?rio de Sa?de ? o diagn?stico e tratamento precoces, preven??o e tratamento de incapacidades f?sicas e vigil?ncia dos contatos domiciliares. Tudo isso fundamentado na educa??o em sa?de como sustent?culo para compreens?o do processo de adoecimento, da doen?a em si, sua aceita??o e, principalmente, das a??es de autocuidado para preven??o de sequelas. Nesse contexto, questiona-se: Qual a implica??o da assist?ncia de enfermagem focada na educa??o em sa?de para o autocuidado em portadores de hansen?ase? O objetivo geral desse estudo ? avaliar os conhecimentos adquiridos pelos portadores de hansen?ase sobre a doen?a, o tratamento e autocuidado abordados durante a consulta de enfermagem. Trata-se de um estudo explorat?rio-descritivo com abordagem qualitativa, realizado no Hospital Universit?rio Onofre Lopes. Respeitou a resolu??o 466/12 do Conselho Nacional de Sa?de e foi aprovado pelo comit? de ?tica sob n? 387.769 e CAAE 17468213.0.0000.5537. Envolveu 14 portadores de hansen?ase em tratamento no ambulat?rio de dermatologia do HUOL. Os dados foram coletados no per?odo de 23 de setembro a 04 de novembro de 2013 por meio de entrevista semi-estruturada; e analisados a partir da analise de conte?do de Bardin. Os resultados e discuss?es s?o apresentados atrav?s de um artigo, o qual atende os objetivos propostos, denominado O autocuidado realizado por portadores de hansen?ase . Esse objetivou identificar as a??es de autocuidado de portadores de hansen?ase em uma unidade de refer?ncia a partir de tr?s eixos tem?ticos emersos dos discursos dos sujeitos: 1.as complica??es/sequelas da hansen?ase conhecidas pelos portadores da doen?a; 2. as a??es de autocuidado adotadas pelos portadores de hansen?ase; 3. as poss?veis contribui??es de um grupo de autocuidado para os portadores de hansen?ase. Constou-se aparente superficialidade no conhecimento dos pacientes sobre as complica??es da hansen?ase, como tamb?m, das a??es de autocuidado realizadas por eles. Verificou-se tamb?m a import?ncia da assist?ncia de enfermagem ao portador de hansen?ase, tanto na aten??o prim?ria, quanto nos demais n?veis de complexidade 11 da assist?ncia. Considera-se que o enfermeiro ? um potencial colaborador da educa??o em sa?de como alicerce para o controle e elimina??o da hansen?ase

Made available in DSpace on 2016-12-23T13:47:04Z (GMT). No. of bitstreams: 1 Poliane Sampaio.pdf: 2580481 bytes, checksum: c46f334e14ec97fefaf6fd0fede20cd9 (MD5) Previous issue date: 2012-12-18 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Introduction. Leprosy is historically an important public health problem. In Brazil constitutes a threat to the health of the population, whereas areas of extreme poverty or poor access to health services have an increased incidence. Vitória, capital of Espírito Santo, with high rates of disease incidence with an average of 70 cases/100000 inhabitants in recent years. Leprosy is a disease with a great impact on socioeconomic indicators, questions about the relationship be true in Vitória instigated this work. Objective. Studying the spatial distribution of leprosy cases by neighborhoods of the city of Vitória and the correlation with socioeconomic indicators in the period from 2005 to 2009. Methods. An ecological study in which we used data collected on the incidence of leprosy in SINAN. Spatial analysis was performed using statistical models and calculated the incidence rate of the disease by neighborhood. Evaluation indicators of the disease were analyzed according to criteria proposed by the Ministry of Health. Results. Through thematic maps, visualized the heterogeneous spatial distribution of leprosy among the districts, it is possible to identify areas at high risk of becoming ill. The regions, São Pedro and Jabour, showed greater spatial concentration of leprsy cases by Local Empirical Bayesian method. To evaluate the effect of variable IQU the occurrence of leprosy, as well as trying to capture a possible spatial dependence from the inclusion of spatial random effects were used Fully Bayesian modeling, noting that neighborhoods with low IQU have higher detection rate leprosy than neighborhoods with high standard of IQU. This result reinforces the presence of a low IQU can facilitate the emergence of leprosy. Conclusion. It is hoped that this study will support the design of control strategies in Vitória, it indicates specific regions and priority, so typically a disease of social determination as leprosy. / Introdução. A Hanseníase é historicamente um importante problema de saúde pública. No Brasil constitui uma ameaça á saúde da população, sendo que áreas de extrema pobreza ou de pouco acesso a serviços de saúde apresentam um aumento da incidência. Vitória, capital do estado do Espírito Santo, apresenta altas taxas de incidência da doença com uma média de 70 casos/100000 habitantes nos últimos anos. Sendo a hanseníase uma doença com grande influência nos indicadores socioeconômicos, o questionamento sobre essa relação ser verdadeira no município de Vitória instigou a realização deste trabalho. Objetivo. Estudar a distribuição espacial dos casos novos de hanseníase, por bairros do município de Vitória e a correlação com os indicadores socioeconômicos no período de 2005 a 2009. Métodos. Estudo de delineamento ecológico em que foram utilizados dados sobre incidência da hanseníase coletados no SINAN. Realizou-se análise espacial usando modelos estatísticos e calculou-se a taxa de incidência da doença por bairro. Os indicadores de avaliação da endemia foram analisados segundo parâmetros propostos pelo Ministério da Saúde. Resultados. Através de mapas temáticos, visualizou-se a distribuição espacial heterogênea da hanseníase entre os bairros, sendo possível identificar áreas com alto risco de adoecimento. As regiões, São Pedro e Jabour, apresentaram maior incidência espacial de casos da doença pelo método Bayesiano Empírico Local. Para avaliar o efeito da variável IQU na ocorrência da hanseníase, bem como tentar captar uma eventual dependência espacial a partir da inclusão de efeitos aleatórios espaciais, foram utilizados a modelagem Completamente Bayesiano, observando que os bairros com um baixo IQU possuem maior índice de detecção de hanseníase do que os bairros com padrão elevado do IQU. Esse resultado reforça que a presença de um baixo IQU pode facilitar o aparecimento da hanseníase. Conclusão. Espera-se que este estudo possa subsidiar o delineamento das estratégias de controle no município de Vitória, pois indica regiões específicas e prioritárias, de uma doença tão caracteristicamente de determinação social como a hanseníase

Made available in DSpace on 2015-03-26T13:19:51Z (GMT). No. of bitstreams: 1 texto completo.pdf: 3312926 bytes, checksum: f14ce0d6f6d1d4d39a28ff1403d23d1d (MD5) Previous issue date: 2012-03-27 / The objective of this work was to identify the consequences of exclusion and isolation on the personal, family and social life of patients affected by Hansen‟s disease and interned in institutions for treatment, identifying the aspects of reproduction and maintenance of the exclusion itself as well as strategies used by them for a social valorization. This study was carried out at Casa de Saúde Padre Damião (CSPD), unit of Fundação Hospitalar do Estado de Minas Gerais (FHEMIG), in the city of Ubá. This qualitative study had as its target population, 53 patients named chronic patients interned for a long time and living in the institution with greater autonomy. Documental research and interviews were used as data collection tools and the social and economic profile of chronic patients and their families at Casa de Saúde Padre Damião, the social relationships made by the chronic patients and their families in the institutional environment and the processes of stigmatization and social exclusion of the chronic patients and their families in the reproduction and maintenance of social exclusion. Data were analyzed by descriptive statistics and speech analyses based on bibliographic references. Hansen‟s disease has been present in Brazil since the XVII century. As the etiologic agent of the disease is discovered, the construction of leprosarium in many states is supported, aiming at fighting and controlling the disease. Casa de Saúde Padre Damião was opened in 1945 to shelter and treat Hansen‟s disease patients by compulsory or spontaneous internations. Until the 1980s, Casa de Saúde Padre Damião had always used isolation and exclusion of people with leprosy as a treatment practice.After opening of this institution, aiming at social reinsertion of its interns, they did not leave CSPD, living there, though. Such patients, being interns for such a long time and in the need of permanent health care were characterized as chronic patients, receiving benefits and diverse concession from the institution. Because of being able to interact with the external environment, Casa de Saúde Padre Damião is also used as living target of many people, so a heterogeneous population emerged, causing the coexistence among the sick people (chronic patients) and the healthy people (not sick residents). Threatened due to the benefits and concessions received, chronic patients have an idea and rejection speech to the healthy residents, and the institution is still being pointed as a place mainly for the sick residents. So, they reproduce and keep the exclusion towards the healthy ones and towards themselves as they desire a place occupied by people with their conditions. Along with the excluding speech, they aim at strengthening their place, differentiated from the chronic patients by valuing and ranking the relationships at CSPD and by valuing a place for themselves, they aim at being recognized as citizens. / Neste trabalho, objetivou-se identificar as implicações da exclusão e do isolamento na vida pessoal, familiar e social de pacientes acometidos por hanseníase e internados em uma instituição para tratamento, identificando-se os aspectos de reprodução e manutenção da própria exclusão, bem como as estratégias utilizadas por eles para uma valorização social. O estudo realizou-se na Casa de Saúde Padre Damião (CSPD), unidade da Fundação Hospitalar do Estado de Minas Gerais (FHEMIG), localizada na cidade de Ubá. Este estudo, de natureza qualitativa, teve como população-alvo 53 pacientes denominados pacientes crônicos , internados em longa permanência e residindo na instituição com maior autonomia. Como instrumento de coleta de dados, utilizaram-se a pesquisa documental e a entrevista, tendo como categorias de análise o perfil socioeconômico dos pacientes crônicos e familiares na Casa de Saúde Padre Damião, as relações sociais constituídas pelos pacientes crônicos e familiares no ambiente institucional e o processo de estigmatização e exclusão social dos pacientes crônicos e familiares, na reprodução e manutenção da exclusão social. Analisaram-se os dados por meio de estatística descritiva e análise das falas com base no referencial bibliográfico. A presença da hanseníase no Brasil pode ser sentida desde o século XVII. Com a descoberta do agente etiológico da doença, são incentivadas as construções de leprosários em vários estados, com o intuito de combater e conter a endemia. A Casa de Saúde Padre Damião foi inaugurada em 1945, com o objetivo de acolhimento e tratamento dos doentes de hanseníase, a partir de internações compulsórias ou espontâneas. Até a década de 1980, a Casa de Saúde Padre Damião sempre se valeu do isolamento e exclusão dos doentes de hanseníase como prática de tratamento. Após a abertura da instituição em busca de reinserção social dos internos, estes não deixaram a CSPD, continuando aí residir. Tais pacientes, com longo tempo de internação e necessitando de cuidados permanentes em saúde, foram caracterizados como pacientes crônicos, recebendo benefícios e concessões diversas da instituição. Com a possibilidade de interação com o ambiente externo, a Casa de Saúde Padre Damião torna-se também destino de moradia de pessoas diversas, com o consequente surgimento de uma população heterogênea, ocasionando a convivência entre os chamados doentes (pacientes crônicos) e os denominados sadios (moradores não doentes). Ameaçados em relação aos benefícios e concessões recebidos, os pacientes crônicos constroem uma ideia e um discurso de rejeição aos moradores sadios, sendo apontada ainda a instituição como lugar prioritariamente de doentes. Assim, reproduzem e mantêm uma exclusão em direção aos sadios e em relação a si mesmos, já que exprimem o desejo de um lugar ocupado apenas por iguais. Concomitantemente com um discurso excludente, buscam fortalecer seu lugar diferenciado de pacientes crônicos, valorizando e hierarquizando as relações na CSPD, buscando ainda, com a valorização de um lugar próprio, ser reconhecidos como cidadãos.

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.