Made available in DSpace on 2015-04-14T13:35:08Z (GMT). No. of bitstreams: 1 430149.pdf: 1836776 bytes, checksum: 5dd4cc24f2fef8e1f48539c6921e0c32 (MD5) Previous issue date: 2010-12-17 / O Sistema de Informa??o em Sa?de do Idoso (SI) foi concebido com o objetivo de possibilitar o planejamento de atividades de promo??o ? sa?de e preven??o de doen?as cr?nicas com ?nfase na pessoa idosa fr?gil atendida pela Estrat?gia Sa?de da Fam?lia (ESF) do Sistema ?nico de Sa?de do Brasil (SUS). As ferramentas eletr?nicas do SI permitem a identifica??o dos idosos fr?geis na comunidade e a elabora??o de um Programa de Promo??o ? Sa?de, al?m de protocolos individuais de cuidados. Esta tese constitui a apresenta??o de dois estudos que avaliaram o SI. No primeiro, avaliou-se a efetividade do instrumento de predi??o de risco de admiss?o hospitalar repetida (PRA) na identifica??o de idosos fr?geis adscritos ? ESF, a partir da utiliza??o do PRA pelos Agentes Comunit?rios de Sa?de (ACS) e a aferi??o das interna??es em idosos ocorridas no estudo de base populacional. Atrav?s do instrumento PRA, identificou-se que 7% da popula??o idosa da cidade de Progresso/RS apresentou risco alto para hospitaliza??o em seis meses. Durante o seguimento, esse grupo internou 6,5 vezes mais do que aquele classificado de risco baixo. No segundo, foram avaliados os efeitos do Programa de Promo??o ? Sa?de em idosos fr?geis na ESF, atrav?s de um ensaio cl?nico comunit?rio randomizado, no qual o grupo de interven??o foi submetido ao protocolo individual de cuidados aplicado pelos ACS. O grupo dos participantes que recebeu a interven??o demonstrou a redu??o do decl?nio funcional no desempenho das atividades b?sicas da vida di?ria. Os resultados dos estudos demonstraram a efetividade das ferramentas de gerenciamento do cuidado da pessoa idosa disponibilizadas pelo SI para uso pela equipe da ESF. Da mesma forma, estas poder?o ser utilizadas pelos gestores municipais e estaduais do SUS, uma vez que, podem possibilitar a constru??o de planos locais de a??es para enfrentamento das dificuldades inerentes ? complexidade de sa?de da pessoa idosa.

Increasing energy consumption and continuous depletion of hydrocarbon reservoirs will result in a conventional oil production peak in the near future. Thus, the gap between the global conventional oil supplies and the required amount of fossil fuel energy will grow. Extensive attempts were made during the last three decades to fill this gap, especially using innovative emerging heavy oil and bitumen production technologies. Most of these recovery methods have been developed in Canada, considering the fact that Canada and Venezuela have the largest deposits of heavy oil and bitumen throughout the world. The horizontal well drilling technology opened a new horizon for the recovery of heavy oil and bitumen. Most of the in-situ recovery techniques, including Steam Assisted Gravity Drainage (SAGD) recovery method, take advantage of horizontal injection and production wells. The vacated pores in the reservoir are filled mainly either with steam or with a mixture of steam and solvent vapour in the case of the SAGD and Solvent Aided SAGD (SA-SAGD) recovery methods, respectively. The use of long horizontal wells combined with the reduced viscosity of the produced oil allows economic production with limited amount of bypassed residual oil in the invaded region. The macro-scale success of the SAGD recovery technique is greatly affected by its pore-scale performance. It is beneficial to understand the pore-level physics of the SAGD process in order to develop mathematical models for simulating field-scale performance. Available commercial reservoir simulators cannot describe pore-level mechanisms of the SAGD process including mechanisms related to the fluid-flow as well as heat-transfer aspects of the process. A systematic series of flow visualization experiments of the SAGD process using glass-etched micromodels was developed to capture the pore-level physics of the process using qualitative analysis. With the aid of image processing techniques, the pore-scale performance of the SAGD process was qualitatively and quantitatively investigated. The main objective of Chapter 2 of this thesis is to address the relevant pore-scale mechanisms responsible for the in-situ oil mobilization and drainage in a conventional SAGD process. Transport processes, occurred in a conventional SAGD process at the pore-level including fluid flow and heat transfer aspects, were mechanistically investigated and documented. The qualitative analysis of the results revealed that near a well-established oil-steam interface, gravity drainage takes place through a thick layer of pores, composed of about 1-6 pores in thickness, within the mobilized region. The drainage of the mobile oil takes place due to the interplay between gravity and capillarity forces near this mobilized region. In-situ mobilization of bitumen was found to be as a result of both conductive and convective elements of the local heat transfer process. Moreover, the phenomenon of water-in-oil emulsification at the interface was also demonstrated which is due to the local steam condensation and spreading characteristics of water droplets over the oil phase in the presence of a gas phase. Other pore-scale aspects of the process such as drainage displacement as well as film-flow drainage mechanisms of the mobile oil, localized entrapment of steam bubbles as well as condensate droplets within the mobile oil continuum due to capillarity phenomenon, sharp temperature gradient along the mobilized region, co-current and counter-current flow regimes at the chamber walls, condensate spontaneous imbibition followed by mobile oil drainage, and snap-off of liquid films are also illustrated using these pore-level studies. The second objective of Chapter 2 is to quantitatively analyze the production performance of the SAGD process based on the micro-scale measurements. Our pore-scale experiments revealed that the rate of pore-scale SAGD interface advancement depends directly on the pore-scale characteristics of the employed models and the pertaining operating conditions. The average sweep rate data were correlated using an analytical model proposed by Butler (1979, 1981, 1991) and a pore-scale performance parameter was defined for the SAGD process. The measured horizontal sweep rates of the SAGD process at the pore-scale are in good agreement with the theory predictions provided by the performance parameter. In addition, the effect of different system variables on the ultimate recovery factor of the SAGD experiments were investigated and it was found that higher permeability values and lower in-situ oil viscosities lead to higher ultimate recovery factor values for a particular SAGD trial. Moreover, the Cumulative Steam to Oil Ratio (CSOR) data were scaled and a reasonably good fit for the experimental data was achieved by defining a scaling parameter. Although the SAGD process offers several inherent advantages including high ultimate recovery, stable oil production rates, reasonable energy efficiency, and high stable sweep efficiency, there are some drawbacks associated with the SAGD process such as high energy consumption, high levels of CO2 emission, and usage of large quantities of fresh water which make this process uneconomical in reservoirs with thin net pay, low matrix porosity and thermal conductivity, and low initial pressure. The most promising route for improving the SAGD performance appears to be the co-injection of a light hydrocarbon solvent with steam in the context of the Solvent Aided SAGD (SA-SAGD) process. The pore-level aspects of the SA-SAGD process are not yet understood to the extent of incorporating the pore-scale physics into mathematical models. The main objective of Chapter 3 of my thesis is to mechanistically investigate the SA-SAGD process at the pore-level to enlighten the unrecognized pore-scale physics of the process. A methodical set of pore-scale SA-SAGD experiments were designed and carried out with the aid of glass micromodels. The methodology used in this set of the SA-SAGD trials was similar to that of the pore-scale SAGD experiments described in Chapter 2. Normal Pentane and Normal Hexane were used as the steam additives. The pore-level events were recorded on a real-time basis and then analyzed using the image processing techniques. According to the qualitative results, it was obtained that all the condensate and gaseous phases flow simultaneously in the mobilized region composed of about 1-4 pores in thickness. Heat transfer mechanisms at the pore-scale include conduction as well as convection. The mechanisms responsible for the mass transfer at the pore-level include molecular diffusion as well as convection. The mobile oil drains as a result of two active mechanisms of film flow as well as direct capillary drainage displacements at the pore-scale. Due to the near miscible nature of the displacement process, the residual oil left behind in the invaded portion of the micromodels was negligible and asphaltene precipitation and plugging was found to be a temporary phenomenon. The second objective of Chapter 3 is to quantify the pore-scale production performance of the SA-SAGD process using the flow visualization experiments. The horizontal SA-SAGD interface advancement velocity was chosen to be the indicator of the pore-scale performance of the process. It was found that addition of n-C6 as the steam additive was more effective than n-C5 in terms of enhanced pore-scale interface advancement as well as achieving higher ultimate recovery factor when all the other experimental variables are unchanged. The higher the solvent concentration in the injection mainstream is, the higher would be the pore-scale sweep rate as well as the ultimate recovery factor of the process. When oil type with lower in-situ viscosity was used, higher sweep rates as well as higher ultimate recovery factors values were achieved compared to the trials in which the more viscous bitumen was employed as the oil type. In addition, a scaling parameter composed of porous media properties was found by which the pore-scale interface advancement velocity and the ultimate recovery factor of the SA-SAGD trials were scaled when all other experimental variables remain unchanged. In Chapter 4 of this thesis, the production performance of the SAGD and SA-SAGD processes were demonstrated and compared at the macro-scale under controlled environmental conditions. A 2D physical model was designed and fabricated and Athabasca bitumen was used as the oil type. According to the experimental results, it was obtained that the average mobile oil as well as dead oil production rates are reasonably constant over the course of the SAGD and SA-SAGD trials. As far as the SAGD experiments are concerned, there is a linear correlation between the mobile oil production rates and the square root of the porous media permeability when all the other experimental variables remain unchanged. In addition, the Steam to Oil Ratio (SOR) values of the SAGD trials correlate reasonably well with the inverse of the square root of permeability when all the other experimental variables are fixed. By introducing the solvent additive to the injection mainstream of the SAGD process, it was found that enhancements of about 18% and 17% were observed in the mobile oil and dead oil production rates of the SAGD process respectively. In addition, the SOR values of the SA-SAGD process was reduced by about 35% compared to that of the SAGD process. Finally, an advanced photomicrography unit with an integrated image processing software was used in order to investigate size of the enclosed water condensate droplets in the continuum of the mobile oil produced during the course of the SAGD and SA-SAGD experiments. The captured microscopic snapshots were analyzed using the image processing techniques and some representative average values of the water condensate droplet sizes were reported for the corresponding SAGD and SA-SAGD trials.

Increasing energy consumption and continuous depletion of hydrocarbon reservoirs will result in a conventional oil production peak in the near future. Thus, the gap between the global conventional oil supplies and the required amount of fossil fuel energy will grow. Extensive attempts were made during the last three decades to fill this gap, especially using innovative emerging heavy oil and bitumen production technologies. Most of these recovery methods have been developed in Canada, considering the fact that Canada and Venezuela have the largest deposits of heavy oil and bitumen throughout the world. The horizontal well drilling technology opened a new horizon for the recovery of heavy oil and bitumen. Most of the in-situ recovery techniques, including Steam Assisted Gravity Drainage (SAGD) recovery method, take advantage of horizontal injection and production wells. The vacated pores in the reservoir are filled mainly either with steam or with a mixture of steam and solvent vapour in the case of the SAGD and Solvent Aided SAGD (SA-SAGD) recovery methods, respectively. The use of long horizontal wells combined with the reduced viscosity of the produced oil allows economic production with limited amount of bypassed residual oil in the invaded region. The macro-scale success of the SAGD recovery technique is greatly affected by its pore-scale performance. It is beneficial to understand the pore-level physics of the SAGD process in order to develop mathematical models for simulating field-scale performance. Available commercial reservoir simulators cannot describe pore-level mechanisms of the SAGD process including mechanisms related to the fluid-flow as well as heat-transfer aspects of the process. A systematic series of flow visualization experiments of the SAGD process using glass-etched micromodels was developed to capture the pore-level physics of the process using qualitative analysis. With the aid of image processing techniques, the pore-scale performance of the SAGD process was qualitatively and quantitatively investigated. The main objective of Chapter 2 of this thesis is to address the relevant pore-scale mechanisms responsible for the in-situ oil mobilization and drainage in a conventional SAGD process. Transport processes, occurred in a conventional SAGD process at the pore-level including fluid flow and heat transfer aspects, were mechanistically investigated and documented. The qualitative analysis of the results revealed that near a well-established oil-steam interface, gravity drainage takes place through a thick layer of pores, composed of about 1-6 pores in thickness, within the mobilized region. The drainage of the mobile oil takes place due to the interplay between gravity and capillarity forces near this mobilized region. In-situ mobilization of bitumen was found to be as a result of both conductive and convective elements of the local heat transfer process. Moreover, the phenomenon of water-in-oil emulsification at the interface was also demonstrated which is due to the local steam condensation and spreading characteristics of water droplets over the oil phase in the presence of a gas phase. Other pore-scale aspects of the process such as drainage displacement as well as film-flow drainage mechanisms of the mobile oil, localized entrapment of steam bubbles as well as condensate droplets within the mobile oil continuum due to capillarity phenomenon, sharp temperature gradient along the mobilized region, co-current and counter-current flow regimes at the chamber walls, condensate spontaneous imbibition followed by mobile oil drainage, and snap-off of liquid films are also illustrated using these pore-level studies. The second objective of Chapter 2 is to quantitatively analyze the production performance of the SAGD process based on the micro-scale measurements. Our pore-scale experiments revealed that the rate of pore-scale SAGD interface advancement depends directly on the pore-scale characteristics of the employed models and the pertaining operating conditions. The average sweep rate data were correlated using an analytical model proposed by Butler (1979, 1981, 1991) and a pore-scale performance parameter was defined for the SAGD process. The measured horizontal sweep rates of the SAGD process at the pore-scale are in good agreement with the theory predictions provided by the performance parameter. In addition, the effect of different system variables on the ultimate recovery factor of the SAGD experiments were investigated and it was found that higher permeability values and lower in-situ oil viscosities lead to higher ultimate recovery factor values for a particular SAGD trial. Moreover, the Cumulative Steam to Oil Ratio (CSOR) data were scaled and a reasonably good fit for the experimental data was achieved by defining a scaling parameter. Although the SAGD process offers several inherent advantages including high ultimate recovery, stable oil production rates, reasonable energy efficiency, and high stable sweep efficiency, there are some drawbacks associated with the SAGD process such as high energy consumption, high levels of CO2 emission, and usage of large quantities of fresh water which make this process uneconomical in reservoirs with thin net pay, low matrix porosity and thermal conductivity, and low initial pressure. The most promising route for improving the SAGD performance appears to be the co-injection of a light hydrocarbon solvent with steam in the context of the Solvent Aided SAGD (SA-SAGD) process. The pore-level aspects of the SA-SAGD process are not yet understood to the extent of incorporating the pore-scale physics into mathematical models. The main objective of Chapter 3 of my thesis is to mechanistically investigate the SA-SAGD process at the pore-level to enlighten the unrecognized pore-scale physics of the process. A methodical set of pore-scale SA-SAGD experiments were designed and carried out with the aid of glass micromodels. The methodology used in this set of the SA-SAGD trials was similar to that of the pore-scale SAGD experiments described in Chapter 2. Normal Pentane and Normal Hexane were used as the steam additives. The pore-level events were recorded on a real-time basis and then analyzed using the image processing techniques. According to the qualitative results, it was obtained that all the condensate and gaseous phases flow simultaneously in the mobilized region composed of about 1-4 pores in thickness. Heat transfer mechanisms at the pore-scale include conduction as well as convection. The mechanisms responsible for the mass transfer at the pore-level include molecular diffusion as well as convection. The mobile oil drains as a result of two active mechanisms of film flow as well as direct capillary drainage displacements at the pore-scale. Due to the near miscible nature of the displacement process, the residual oil left behind in the invaded portion of the micromodels was negligible and asphaltene precipitation and plugging was found to be a temporary phenomenon. The second objective of Chapter 3 is to quantify the pore-scale production performance of the SA-SAGD process using the flow visualization experiments. The horizontal SA-SAGD interface advancement velocity was chosen to be the indicator of the pore-scale performance of the process. It was found that addition of n-C6 as the steam additive was more effective than n-C5 in terms of enhanced pore-scale interface advancement as well as achieving higher ultimate recovery factor when all the other experimental variables are unchanged. The higher the solvent concentration in the injection mainstream is, the higher would be the pore-scale sweep rate as well as the ultimate recovery factor of the process. When oil type with lower in-situ viscosity was used, higher sweep rates as well as higher ultimate recovery factors values were achieved compared to the trials in which the more viscous bitumen was employed as the oil type. In addition, a scaling parameter composed of porous media properties was found by which the pore-scale interface advancement velocity and the ultimate recovery factor of the SA-SAGD trials were scaled when all other experimental variables remain unchanged. In Chapter 4 of this thesis, the production performance of the SAGD and SA-SAGD processes were demonstrated and compared at the macro-scale under controlled environmental conditions. A 2D physical model was designed and fabricated and Athabasca bitumen was used as the oil type. According to the experimental results, it was obtained that the average mobile oil as well as dead oil production rates are reasonably constant over the course of the SAGD and SA-SAGD trials. As far as the SAGD experiments are concerned, there is a linear correlation between the mobile oil production rates and the square root of the porous media permeability when all the other experimental variables remain unchanged. In addition, the Steam to Oil Ratio (SOR) values of the SAGD trials correlate reasonably well with the inverse of the square root of permeability when all the other experimental variables are fixed. By introducing the solvent additive to the injection mainstream of the SAGD process, it was found that enhancements of about 18% and 17% were observed in the mobile oil and dead oil production rates of the SAGD process respectively. In addition, the SOR values of the SA-SAGD process was reduced by about 35% compared to that of the SAGD process. Finally, an advanced photomicrography unit with an integrated image processing software was used in order to investigate size of the enclosed water condensate droplets in the continuum of the mobile oil produced during the course of the SAGD and SA-SAGD experiments. The captured microscopic snapshots were analyzed using the image processing techniques and some representative average values of the water condensate droplet sizes were reported for the corresponding SAGD and SA-SAGD trials.

Bachelor-Arbeit Univ. St. Gallen, 2007.

RONCALLI, Angelo Giuseppe. A organiza??o da demanda em servi?os p?blicos de sa?de bucal: universalidade, eq?idade e integralidade em Sa?de Bucal Coletiva. ra?atuba, 2000. 238p. Tese (Doutorado em Odontologia Preventiva e Social). Faculdade de Odontologia, Universidade Estadual Paulista ?J?lio de Mesquita Filho? / Submitted by clediane guedes (clediane@bczm.ufrn.br) on 2010-09-24T17:09:47Z No. of bitstreams: 1 2000Tese_AngeloRoncalli.pdf: 1582617 bytes, checksum: 16e0777917ab5dec57d67280765be46e (MD5) / Approved for entry into archive by clediane guedes(clediane@bczm.ufrn.br) on 2010-09-24T17:10:07Z (GMT) No. of bitstreams: 1 2000Tese_AngeloRoncalli.pdf: 1582617 bytes, checksum: 16e0777917ab5dec57d67280765be46e (MD5) / Made available in DSpace on 2010-09-24T17:10:07Z (GMT). No. of bitstreams: 1 2000Tese_AngeloRoncalli.pdf: 1582617 bytes, checksum: 16e0777917ab5dec57d67280765be46e (MD5) / Este trabalho objetivou discutir, ? luz de algumas experi?ncias municipais de organiza??o da demanda por servi?os odontol?gicos, a incorpora??o das diretrizes do Sistema ?nico de Sa?de, as quais apontam para a estrutura??o de um modelo assistencial com base na universalidade e na integralidade da aten??o e na eq?idade no acesso aos servi?os. A an?lise foi feita em tr?s experi?ncias distintas, em Ara?atuba (SP), Belo Horizonte (MG) e Curitiba (PR), tendo como base a an?lise documental e entrevistas com informantes-chave. Em Ara?atuba ainda ? mantido um modelo de corte tradicional, com um sistema de assist?ncia a escolares e uma rede b?sica com prioridade para a faixa et?ria de 0 a 18 anos e de gestantes. Apesar de contar com uma rede de servi?os que permitiria ampla cobertura, ainda mant?m, para a popula??o adulta, somente atendimento emergencial. Em Belo Horizonte, alguns avan?os foram obtidos a partir do in?cio dos anos 1990, com uma reestrutura??o dos servi?os com base numa rede regionalizada e hierarquizada e uma invers?o no modelo assistencial, antes centrado na assist?ncia a escolares. O munic?pio de Curitiba implantou, a partir de 1995, um modelo de Sa?de da Fam?lia com a??es de Sa?de Bucal e vem mantendo, desde a d?cada de 1980, a proposta de um modelo territorializado. O que pudemos apreender, a partir das discuss?es colocadas ao longo deste trabalho, ? que as iniciativas que, minimamente, apontaram para modelos mais universais e eq?itativos o fizeram como parte de uma estrat?gia ampla, n?o restrita ao setor odontol?gico, que aliou vontade pol?tica e capacidade t?cnica ______________________________________________ABSTRACT The aim of this work was to analyse some experiences of organization of demand for oral health in municipal health care models. The center of discussion was the incorporation of National Health System principles, i.e., universality and integrality of care and the equity in access of health services by the oral health care system. The study was carried out in three different municipalities: Ara?atuba (SP), Belo Horizonte (MG) and Curitiba (PR). The method used was the analyse of papers and interview with staff. Ara?atuba maintain a traditional model yet, with a school-based oral health care system and another system where the priority is children and adolescent (0-18 years old) and pregnants. Despite of its structure of services, the adult population receive only emergencial treatment. Belo Horizonte has changed oral health services at early 1990?s, implanting sanitary disctrict system and an inversion of oral health care system, that was school-based. Curitiba implanted, at 1995, a Family Health Care Service, where oral health care has been included. Besides, since 1980?s has been maintained a sanitary district system. After discussion of the results, we concluded that the municipalities where, at the least, implanted universal oral health care systems, worked with a global estrategy, not restricted to oral health, and combined political involvement with technical capacity

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-03-02T23:09:14Z No. of bitstreams: 1 RafaelRodolfoTomazDeLima_DISSERT.pdf: 1880031 bytes, checksum: 4721daefc45bff182c9e4a4a971a0cf9 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-03-13T17:53:52Z (GMT) No. of bitstreams: 1 RafaelRodolfoTomazDeLima_DISSERT.pdf: 1880031 bytes, checksum: 4721daefc45bff182c9e4a4a971a0cf9 (MD5) / Made available in DSpace on 2018-03-13T17:53:52Z (GMT). No. of bitstreams: 1 RafaelRodolfoTomazDeLima_DISSERT.pdf: 1880031 bytes, checksum: 4721daefc45bff182c9e4a4a971a0cf9 (MD5) Previous issue date: 2017-12-15 / No Brasil, constata-se um crescimento acentuado da popula??o idosa, onde isso se intensificar? nas pr?ximas duas d?cadas. No ?mbito do SUS, a assist?ncia a essa popula??o deve pautar-se em a??es desenvolvidas pelas equipes da ESF e do NASF. O estudo teve o objetivo de analisar a forma??o dos profissionais da ESF e do NASF para atender ?s necessidades das pessoas idosas. Trata-se de uma pesquisa com abordagem qualitativa, realizada em duas etapas e com procedimentos metodol?gicos distintos. Na primeira etapa, buscou-se analisar como ocorre a abordagem do envelhecimento na forma??o dos profissionais que atuam na ESF e no NASF, a partir da leitura dos projetos pedag?gicos dos seus cursos de forma??o. A segunda etapa consistiu em compreender, com a realiza??o de grupos focais, a percep??o das pessoas idosas atendidas por equipes da ESF e do NASF sobre as suas necessidades, bem como compreender a percep??o das mesmas sobre as compet?ncias profissionais necess?rias para o cuidado que essa parcela da popula??o precisa. Os resultados da primeira etapa revelaram que a forma??o profissional para o cuidado ? sa?de da pessoa idosa est? pautada exclusivamente na assist?ncia e condu??o de doen?as cr?nico-degenerativas, como tamb?m na identifica??o e preven??o de danos ? sa?de. Ademais, a operacionaliza??o dos grupos focais permitiu classificar as necessidades das pessoas idosas participantes do estudo em duas tem?ticas: Necessidade de boas condi??es de vida e necessidade de acesso aos servi?os de sa?de. De acordo com os participantes, os profissionais da ESF e do NASF s?o bem qualificados para lhes atenderem, por?m, n?o possuem autonomia para solucionar as suas necessidades. Para a resolu??o dessas necessidades, qualificar os gestores (municipais, estaduais e federais) do setor sa?de seria o caminho priorit?rio. Com a realiza??o deste estudo, percebe-se que a discuss?o acerca da tem?tica do envelhecimento no processo de forma??o dos profissionais que integram as equipes da ESF e do NASF ainda ? incipiente e est? desassociada das necessidades de sa?de das pessoas idosas. Assim, se faz necess?rio preparar pessoas que ofere?am aten??o integral ? crescente popula??o idosa, conhecendo as suas subjetividades e necessidades, bem como para formular e gerir pol?ticas p?blicas para a mencionada popula??o que ? usu?ria do SUS. / In Brazil, there is a marked increase in the elderly population, where this will intensify in the next two decades. Under the SUS, assistance to this population should be based on actions developed by the ESF and NASF teams. The aim of the study was to analyze the training of ESF and NASF professionals to meet the needs of the elderly. It is a qualitative research, carried out in two stages and with different methodological procedures. In the first stage, we sought to analyze how the aging approach occurs in the training of professionals working in the ESF and NASF, from the reading of the pedagogical projects of their training courses. The second stage consisted in understanding the perception of the elderly people assisted by ESF and NASF teams about their needs, as well as their perception about the professional competencies necessary for the care that this portion of the population needs. The results of the first stage revealed that the professional training for the health care of the elderly is based solely on the assistance and conduction of chronic-degenerative diseases, as well as on the identification and prevention of health damages. In addition, the operationalization of the focus groups allowed to classify the needs of the elderly participants of the study in two thematic ones: Necessity of good conditions of life and necessity of access to the health services. According to the participants, the professionals of the ESF and the NASF are well qualified to attend to them, however, they do not have the autonomy to solve their needs. To solve these needs, qualifying the managers (municipal, state and federal) of the health sector would be the priority path. With the accomplishment of this study, it is noticed that the discussion about the aging issue in the process of training the professionals that integrate the ESF and NASF teams is still incipient and is disassociated with the health needs of the elderly. Thus, it is necessary to prepare people who offer integral attention to the growing elderly population, knowing their subjectivities and needs, as well as formulating and managing public policies for the aforementioned population that is a SUS user.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-09-05T20:49:18Z No. of bitstreams: 1 AndrelinaAlvesMangueira_DISSERT.pdf: 917603 bytes, checksum: dab71cd720f89fabe1d383b7735b7a27 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-09-18T19:20:41Z (GMT) No. of bitstreams: 1 AndrelinaAlvesMangueira_DISSERT.pdf: 917603 bytes, checksum: dab71cd720f89fabe1d383b7735b7a27 (MD5) / Made available in DSpace on 2017-09-18T19:20:41Z (GMT). No. of bitstreams: 1 AndrelinaAlvesMangueira_DISSERT.pdf: 917603 bytes, checksum: dab71cd720f89fabe1d383b7735b7a27 (MD5) Previous issue date: 2016-08-09 / Este estudo tem como objetivo geral analisar os aspectos inerentes ? organiza??o do processo de trabalho e o planejamento das a??es das equipes de aten??o b?sica da Regi?o Nordeste no 1? e 2? ciclos do Programa de Melhoria do Acesso e da Qualidade da Aten??o B?sica (PMAQ-AB). E como objetivos espec?ficos, analisar o planejamento das a??es, as ferramentas utilizadas pelas equipes de aten??o b?sica e as a??es da gest?o para organiza??o do processo de trabalho das equipes na Regi?o Nordeste. Trata-se de uma pesquisa avaliativa realizada atrav?s de um estudo transversal e multic?ntrico com abordagem quantitativa. Os dados s?o referentes ao desdobramento da pesquisa de avalia??o externa do 1? e 2? ciclos do PMAQ ? AB na Regi?o Nordeste. Utilizou-se para a pesquisa o banco de dados do 1? e 2? ciclo do PMAQ. As vari?veis foram analisadas atrav?s da estat?stica descritiva, com uso do Software IBM SPSS Statistics 24.0 e os resultados foram organizados e agrupados em duas dimens?es: A??es da gest?o para organiza??o do processo. de trabalho das equipes e o planejamento das a??es e as ferramentas utilizadas pelas equipes. A pesquisa respeitou todos os preceitos ?ticos cab?veis tendo aprova??o pelo Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Sul, sob o n?mero 21904 em 13 de Mar?o de 2012, estando em conson?ncia com a Resolu??o n? 166/2012, do Conselho Nacional de Sa?de. Os resultados demonstram o apoio da gest?o na organiza??o do processo de trabalho das equipes e no planejamento das a??es, disponibilizando informa??es para an?lise da situa??o, com discuss?o dos dados e monitoramento do sistema de informa??o. O estudo demonstra que as equipes de aten??o b?sica da Regi?o Nordeste, desenvolvem o planejamento das a??es e organizam o processo de trabalho, com a utiliza??o dos recursos ofertados pela gest?o, favorecendo o repensar das pr?ticas em sa?de, contribuindo para o fortalecimento da Aten??o B?sica. Realizam monitoramento e an?lise dos indicadores e informa??es de sa?de. Utilizando para o processo de autoavalia??o, o instrumento AMAQ, tanto no 1?ciclo quanto no 2? ciclo, sendo uma ferramenta de organiza??o do processo de trabalho. / This study has as general objective to analyze the aspects inherent to the organization of the work process and planning the actions of the primary care teams of the Northeast Region in the 1st and 2nd cycles of the Program for Improving Access and Quality of Basic Care (PMAQ-AB ). And as specific objectives, analyze the planning of the actions, the tools used by the primary care teams and the actions of the management to organize the work process of the teams in the Northeast Region. It is an evaluative research carried out through a cross-sectional and multicenter study with a quantitative approach. The data refers to the unfolding of the external evaluation research of the 1st and 2nd cycles of the PMAQ - AB in the Northeast Region. The PMAQ database for the 1st and 2nd cycle was used for the research. The variables were analyzed through descriptive statistics, using the IBM SPSS Statistics 24.0 Software and the results were organized and grouped into two dimensions: Management actions to organize the process. And the planning of the actions and tools used by the teams. The research complied with all ethical precepts that were approved by the Research Ethics Committee of the Federal University of Rio Grande do Sul under number 21904 on March 13, 2012, being in accordance with Resolution No. 166/2012 of the National Council The results demonstrate the support of the management in the organization of the work process of the teams and in the planning of the actions, providing information for analysis of the situation, with discussion of the data and monitoring of the information system. The study shows that the basic care teams of the Northeast Region develop the planning of actions and organize the work process, using the resources offered by management, favoring the rethinking of health practices, contributing to the strengthening of Primary Care. Conduct monitoring and analysis of indicators and health information. Using the self-assessment process, the AMAQ instrument, both in the 1st cycle and in the 2nd cycle, being a tool to organize the work process.

Made available in DSpace on 2015-04-14T14:13:13Z (GMT). No. of bitstreams: 1 391618.pdf: 608132 bytes, checksum: 3710e205b6630bda598990edbf8dfaaa (MD5) Previous issue date: 2007-03-22 / O processo educativo possibilita, dentre v?rios aspectos, uma compreens?o ampliada da realidade da popula??o, o contato e a utiliza??o de conhecimentos espec?ficos do ?mbito da sa?de, e uma reflex?o acerca de sua pr?tica na participa??o mais ativa, consciente e cr?tica na conquista e manuten??o da sa?de coletiva. Da defini??o de pol?ticas institucionais ?s rela??es entre escola e Secretaria de Sa?de, concretizam-se as a??es com trocas ?geis de informa??es superando as dicotomias e possibilitando melhor aten??o ao educando e ? comunidade e, como corol?rio, melhor qualidade de vida para todos. O objetivo desta pesquisa, ? verificar os problemas de sa?de de uma comunidade do munic?pio de Pelotas, em que est? inserida a escola onde a pesquisadora atua desde 1984, e ainda identificar como a escola, em seus planos de estudo, pode influir sobre a situa??o. A mesma foi realizada durante o segundo semestre de 2005 e o primeiro semestre de 2006, envolvendo professores de Ci?ncias e Biologia da j? mencionada escola municipal. Tamb?m foram envolvidos os alunos de cada uma das s?ries da mesma escola. Para coleta de dados foram utilizadas entrevistas individuais, questionamentos sobre o tema sa?de e educa??o direcionados a alunos e professores; levantamento de dados junto as Secretarias Municipais de Sa?de e de Educa??o de Pelotas e consultas na Lei 8.080 de 19 de setembro de 1990. Os dados foram submetidos a um procedimento de an?lise de conte?do segundo a proposta de Moraes, (1999), permitindo compreender melhor as quest?es relativas ? sa?de, os conte?dos abordados na escola e a necessidade de articular aspectos da vida cotidiana com os do curr?culo mais acad?mico, cumprindo o que est? previsto nos PCNs e propondo interven??es adequadas que possam influenciar diretamente a qualidade de vida de todos os envolvidos na escola, j? que os alunos possuem conhecimento regular quanto a situa??o de sa?de local, os professores participantes mostram grande conhecimento em sa?de geral mas nem tanto em rela??o a sa?de em Pelotas. Nota-se que falta integra??o entre a Secretaria Municipal de Educa??o e a Secretaria Municipal de Sa?de dificultando a difus?o aos educandos e comunidade dos problemas de sa?de do munic?pio. ? imprescind?vel construir espa?os de di?logo e trabalho entre alunos, professores, profissionais de sa?de e comunidade, possibilitando a colabora??o de cada um no processo de modifica??o da situa??o atual principalmente nas quest?es de preven??o

Made available in DSpace on 2015-04-14T14:22:53Z (GMT). No. of bitstreams: 1 385588.pdf: 630782 bytes, checksum: 765cf0507859b5d20f33f6adbb311cb5 (MD5) Previous issue date: 2006-08-15 / Nesta tese foi problematizada a constru??o e o desenvolvimento de uma capacita??o em vigil?ncia da sa?de da crian?a para trabalhadores da sa?de, a qual se caracteriza como uma a??o educativa fundamentada em princ?pios da educa??o popular, que envolvem a participa??o, a reflex?o cr?tica, o respeito, a autonomia e a escuta, conforme as contribui??es te?ricas de Freire (1983, 2001), Brand?o (1995, 2001, 2002), Vasconcelos (2001, 2002) e Valla (1998b, 2000). Pretendeu, portanto, investigar como se constr?i e se processa tal capacita??o, em servi?o, com trabalhadores da sa?de da Secretaria Municipal de Sa?de de Porto Alegre (RS), mediante um m?todo de pesquisa-a??o inspirado nos estudos de Car e Kemmis (1998), Thiollent (1984) e Serrano (1990). Essa op??o metodol?gica, cuja finalidade foi promover a participa??o ativa das pessoas envolvidas e desencadear uma a??o transformadora da pr?tica cotidiana, requer o conhecimento da din?mica das rela??es de trabalho e do discurso desses participantes, pressupondo que, nesse processo, todos possam vivenciar, descobrir, aprender, ensinar e reinventar novas rela??es humanas, pautadas no respeito m?tuo e no aprendizado cont?nuo. Os participantes foram os trabalhadores de duas equipes de sa?de locais (uma Unidade B?sica de Sa?de e uma unidade do Programa de Sa?de da Fam?lia) e uma equipe de Vigil?ncia de Eventos Vitais, Doen?as e Agravos n?o Transmiss?veis (EEV) da Coordenadoria Geral de Vigil?ncia em Sa?de (CGVS) da Secretaria Municipal de Sa?de. A capacita??o foi desenvolvida durante o ano de 2004 e o material emp?rico foi coletado por meio de entrevistas individuais realizadas com cada um dos trabalhadores de cada servi?o, focalizando as facilidades e dificuldades de trabalho e o entendimento sobre vigil?ncia da sa?de; discuss?es em grupo que possibilitaram a reflex?o sobre o processo de trabalho e os conceitos de vigil?ncia da sa?de, modelo de aten??o e educa??o popular em sa?de. Os dados foram trabalhados por meio de uma an?lise deconte?do numa perspectiva dial?tica, conforme proposto por Pag?s et al. (1990), e do discurso do sujeito coletivo, desenvolvido por Lef?vre, Lef?vre e Teixeira (2000, 2003). A reflex?o sobre as an?lises constru?das na sistematiza??o desta pesquisa corroboram a tese de que uma capacita??o em servi?o para trabalhadores da sa?de, no ?mbito de uma secretaria da sa?de municipal, baseada em princ?pios da educa??o popular, somente atingir? seus objetivos se houver a participa??o ativa e comprometida dos trabalhadores da sa?de e dos gestores, se houver o desejo de refletir para transformar a pr?tica cotidiana e se houver um profundo respeito pelas diferen?as e pelos processos vivenciados pelos distintos grupos.

Made available in DSpace on 2015-04-14T13:20:14Z (GMT). No. of bitstreams: 1 421843.pdf: 1336103 bytes, checksum: 6711d257eb2213b4dc680651483f2179 (MD5) Previous issue date: 2009-12-23 / Esta disserta??o se constitui em um estudo de car?ter explorat?rio e explicativo sobre o processo de trabalho em que participa o assistente social na sa?de coletiva e se encontra ancorada em uma abordagem qualitativa que se baseia na teoria e no m?todo materialista hist?rico dial?tico. O problema de pesquisa parte da seguinte interroga??o: como se configura o processo de trabalho em que participa o assistente social na sa?de coletiva no espa?o s?cio-ocupacional da aten??o b?sica? com o objetivo de analisar as configura??es do processo de trabalho em que participa o assistente social na sa?de coletiva no espa?o s?cioocupacional da aten??o b?sica do Sistema ?nico de Sa?de (SUS) no munic?pio de Porto Alegre no Estado do Rio Grande do Sul (RS), a fim de contribuir para uma melhor articula??o do trabalho desenvolvido e o projeto profissional na perspectiva da garantia de direitos, para debater e melhor caracterizar a identidade profissional dando maior visibilidade ? profiss?o e a sua contribui??o para o campo da sa?de coletiva no espa?o s?cio-ocupacional da aten??o b?sica no ?mbito do Sistema ?nico de Sa?de (SUS). Os sujeitos da pesquisa s?o as oito (08) assistentes sociais que no ano de 2007 trabalharam em unidades da aten??o b?sica em sa?de no referido munic?pio. No processo de coleta de dados utilizou-se a t?cnica de entrevista semiestruturada com aplica??o de formul?rio composto de quest?es abertas e fechadas complementada pela observa??o assistem?tica ou n?o estruturada do l?cus de pesquisa registrada em di?rio de campo. As informa??es qualitativas foram submetidas ? an?lise de conte?do de recorte tem?tico com base em Bardin (1977), identificando-se n?cleos tem?ticos e frequencias dos temas nas comunica??es das assistentes sociais, de acordo com as s?nteses das categorias tem?ticas ou explicativas da realidade: processo de trabalho, sa?de coletiva e direito ? sa?de e das subcategorias tem?ticas ou explicativas da realidade: atribui??es privativas, compet?ncias, aten??o b?sica e modelo de aten??o, mediadas pelos aportes te?rico-metodol?gicos que d?o suporte para a discuss?o e as proposi??es tecidas. Os resultados da pesquisa indicam que o processo de trabalho em que participa o assistente social na sa?de coletiva no espa?o s?cio-ocupacional da aten??o b?sica configura-se pela fus?o de pr?ticas tradicionais e conservadoras com a??es inovadoras e cr?ticas, que informam as disputas de projetos profissionais tanto no ?mbito da profiss?o, quanto do cen?rio que a pr?pria pol?tica de sa?de encerra em sua rela??o com o projeto societ?rio capitalista hegem?nico. O assistente social participa do processo de trabalho na sa?de coletiva no espa?o s?cio-ocupacional da aten??o b?sica assumindo o desafio de articular os princ?pios do projeto profissional ?queles orientadores do Sistema ?nico de Sa?de (SUS), na tensa intersec??o entre a esfera p?blica e os ditames do projeto profissional e societ?rio hegem?nicos. Nesse cen?rio conflituoso e contradit?rio afirma-se a dimens?o qualitativa do trabalho do assistente social: socialmente constru?do, criador de valores de uso e indispens?vel na media??o do acesso ?s a??es intersetoriais, bens e servi?os necess?rios ? efetiva??o do direito social ? sa?de de responsabilidade do Estado.