Suchergebnisse

Diese CD-ROM vereinigt Schlüsseldokumente über die Strukturfonds der Europäischen Union und verschiedene Instrumente, wie etwa Präsentationen, Gesetzestexte, Merkblätter sowie eine interaktive Landkarte ( ... ) Der größe Teil der Informationen ist in 20 Sprachen verfügbar. (Aus der deutschen Inhaltsübersicht)

Objective: To evaluate the coverage of oral Rotavirus vaccine in human infants between January 2006 and December
2009. Method: Documentary and descriptive study with quantitative approach. Data were collected through the
records of the book mirrors the childhood immunization. The Ethics Committee in Research of SMS-RJ approved
research on CAAE Nº 0015.0.314.000-10. Results: The highest rate of coverage was in 2006 (83,2%) compared to other
years. In 2007 it was found that 125 (10,6%) of the book mirrors vaccination not included notes on the human rotavirus
oral vaccine, only 120 (9,9%) children were the first dose in 2008, those who underwent the two doses between the
years 2006 to 2009 totaled 3833 (80,6%). Conclusion: The challenge of ensuring 100% immunization coverage for the
pediatric population requires everyone involved in this process an intersectoral commitment.

In recent years, Brazil is becoming a global power and, at the same time, it is often considered as the regional leader. In this paper, we tackle with the growing role of Brazil in the international arena while tensions among neighbors are also increasing. What are Brazilian foreign policy priorities: regional bonds or global affairs? Adapted from the source document.

Objetivo: este estudo teve como objetivo investigar os níveis de Burnout e possíveis fatores predisponentes entre militares do Exército Brasileiro que estavam servindo na Amazônia Brasileira. Método: a amostra foi composta por 122 militares (oficiais e sargentos) voluntários com idade média de 36,80 ± 6,69 anos, 53 empregados nas missões operacionais (segurança nas fronteiras, patrulha, exercícios de defesa externa e interna) e 69 empregados nas missões administrativas (logística interna). Foram selecionados oficiais (29) e sargentos (93) servindo em Porto Velho, noroeste do Brasil. Eles responderam a um questionário sociodemográfico e ao Malash Burnout Inventory, validado para o Brasil. Resultados: os resultados mostraram que os níveis de esgotamento nos militares do Exército que servem na região são altos. As principais condições sociodemográficas, trabalhistas, físicas e sociais associadas a níveis significativamente mais altos de esgotamento no presente estudo foram: redução do tempo de serviço, estilo de vida sedentário, trabalho extra, menor hierarquia e morar longe dos familiares. Conclusão: a interação entre os dois instrumentos constatou que os militares que atuam na área operacional, entre 6 e 10 anos de serviço, solteiros, que exercem pouca atividade física e cujos familiares moram longe foram os que possuíam o maiores níveis de Burnout. ; This study aimed to investigate the Burnout levels and possible predisposing factors among Brazilian Army military who were serving in the Brazilian Amazon. Method: the sample consisted of 122 volunteer military (officers and sergeants) with a mean age of 36.80 ± 6.69 years, 53 were employed in the operational missions (border security, patrol, external and internal defense exercises) and 69 personnel who were employed in the administrative missions (internal logistics). Officers (29) and sergeants (93) were selected who served in Porto Velho, northwestern Brazil. They answered to a sociodemographic questionnaire and the Malash Burnout Inventory, validated for Brazil. Results: scores showed that the levels of burnout in Army military who serve in the region are high. The main sociodemographic, labor, physical and social conditions that were associated with significantly higher levels of Burnout in this study were: reduced length of service, sedentary lifestyle, extra work, lower hierarchical rank and living away from relatives. Conclusion: the interaction between the two instruments found that the military working in the operational area, warrant officers, sergeants, between 6 and 10 years in service, single, who do little physical activity and whose relatives live far away were the ones who had the highest Burnout levels. ; Objetivo: este estudio tuvo como objetivo investigar los niveles de agotamiento y posibles factores predisponentes entre los militares (oficiales y sargentos) del ejército brasileño que estaban sirviendo en la Amazonía brasileña. Método: la muestra consistió en 122 militares voluntarios con una edad promedio de 36.80 ± 6.69 años, 53 soldados fueron empleados en las misiones operativas (seguridad fronteriza, patrulla, ejercicios de defensa externa e interna) y 69 militares que fueron empleados en las misiones administrativas (logística interna). Se seleccionaron oficiales (29) y sargentos (93) que sirvieron en Porto Velho, en el noroeste de Brasil. Respondieron a un cuestionario sociodemográfico y al Malash Burnout Inventory, validado para Brasil. Resultados: los puntajes mostraron que los niveles de agotamiento en los militares del Ejército que sirven en la región son altos. Las principales condiciones sociodemográficas, laborales, físicas y sociales que se asociaron con niveles significativamente más altos de agotamiento en el presente estudio fueron: reducción de la duración del servicio, estilo de vida sedentario, trabajo extra, rango jerárquico más bajo y vivir lejos de los familiares. Conclusion: la interacción entre los dos instrumentos encontró que los militares que trabajan en el área operativa, los suboficiales, los sargentos, entre 6 y 10 años .

OBJETIVO Analisar o sistema de governança regional em saúde quanto a estratégias e disputas de gestão. PROCEDIMENTOS METODOLÓGICOS Pesquisa qualitativa com gestores de saúde de 19 municípios que integram a região de saúde no estado da Bahia. Foram realizadas 17 entrevistas semiestruturadas com gestores/gerentes (estadual, regional e municipal), grupo focal, observações na Comissão Intergestores Regional e documentos institucionais, em 2012. Foram analisados os componentes político-institucional e organizacional e interpretados pela hermenêutica-dialética. RESULTADOS A comissão intergestores regional foi a principal estratégia da governança regional, sendo ferramenta fundamental para fortalecimento da governança por reunir diferentes sujeitos responsáveis pela tomada de decisão nos territórios sanitários e pela negociação da alocação de recursos e distribuição dos estabelecimentos de uso comum na região. A rotatividade de secretários de saúde, baixa autonomia nas decisões executivas, a qualificação técnica insuficiente para exercício da função e o atravessamento das políticas partidárias na tomada de decisão são fatores que obstruem a comissão intergestores regional às demandas sociais. Recursos financeiros insuficientes não viabilizam o cumprimento da programação pactuada integrada nem o aumento da oferta pública na rede e impunham ao gestor a compra de serviços no mercado privado por valores acima da Tabela do Sistema Único de Saúde. Foram relatados atravessadores contratados para agilizar o acesso aos serviços especializados (diagnóstico, terapêutico e/ou cirúrgico) em outros municípios mediante pagamento direto a médicos por procedimentos já custeados pelo Sistema Único de Saúde. CONCLUSÕES A rede regionalizada de saúde apresenta padrão de governança conflitante e com institucionalidade intermediária. A comissão intergestores regional necessita incorporar, à rotina de gestão, dispositivos mais democráticos que logrem articulação com instituições de ensino, permeáveis às demandas sociais, para definição das políticas regionais. ; OBJECTIVE To analyze the regional governance of the health systemin relation to management strategies and disputes. METHODOLOGICAL PROCEDURES A qualitative study with health managers from 19 municipalities in the health region of Bahia, Northeastern Brazil. Data were drawn from 17 semi-structured interviews of state, regional, and municipal health policymakers and managers; a focus group; observations of the regional interagency committee; and documents in 2012. The political-institutional and the organizational components were analyzed in the light of dialectical hermeneutics. RESULTS The regional interagency committee is the chief regional governance strategy/component and functions as a strategic tool for strengthening governance. It brings together a diversity of members responsible for decision making in the healthcare territories, who need to negotiate the allocation of funding and the distribution of facilities for common use in the region. The high turnover of health secretaries, their lack of autonomy from the local executive decisions, inadequate technical training to exercise their function, and the influence of party politics on decision making stand as obstacles to the regional interagency committee's permeability to social demands. Funding is insufficient to enable the fulfillment of the officially integrated agreed-upon program or to boost public supply by the system, requiring that public managers procure services from the private market at values higher than the national health service price schedule (Brazilian Unified Health System Table). The study determined that "facilitators" under contract to health departments accelerated access to specialized (diagnostic, therapeutic and/or surgical) services in other municipalities by direct payment to physicians for procedure costs already covered by the Brazilian Unified Health System. CONCLUSIONS The characteristics identified a regionalized system with a conflictive pattern of governance and intermediate institutionalism. The regional interagency committee's managerial routine needs to incorporate more democratic devices for connecting with educational institutions, devices that are more permeable to social demands relating to regional policy making.

The present research aimed to identify in the sustainability alternatives to the development of urban mobility in Recife's Metropolitan Region, suggesting the completion of Recife's urban mobility plan. It is a revision essay of the literature for the present of impasses and the observation of the meaning given to the term for different authors and social actors. It is possible to note in the theorical basis an approach that seeks to encourage a conscious use of the soil, organizing the public's passenger transportation, contributing to reduce traffic and, this way, improving people's quality of life, troughout the backing of the Local Sustainable Development together with plan to the mobility turned into the infrastructure's movement, mostly in the configuration of corridors and/or exclusive tracks in the of fluity more accessible circulation. It is understand that in order to reach the desired sustainable urban mobility for Recife's Metropolitan Region (RMR) it is necessary to plan strategies, procedures or analysis instruments, in witch exists the evaluation of impacts and possible implication in the search of the effectuation to restrain car movement in certain city areas, especially in the expanded center.