Suchergebnisse

The objective of this study was to explore the experience of the municipalities of the state of Minas Gerais that implemented local environmental licensing. For this purpose, representatives of the state administration were interviewed, and an electronic questionnaire was sent to analysts of 121 municipalities that took up environmental licensing, from which 39 responses were obtained. The key drivers of local environmental licensing were concerns over licensing procedural delays by the state government and the need for administrative efficiency. Knowledge of local conditions and the proximity between the local government, communities and developers were identified as facilitators of licensing. Shortage of staff, precarious hiring processes, and lack of infrastructure were identified as the main barriers to local environmental licensing. The municipalities that have implemented local environmental licensing perceive planning, administrative capacity, competent technical and legal teams, and capacity-building as essential elements of an effective local environmental licensing system. The study concludes with suggestions of future research avenues. ; The objective of this study was to explore the experience of the municipalities of the state of Minas Gerais that implemented local environmental licensing. For this purpose, representatives of the state administration were interviewed, and an electronic questionnaire was sent to analysts of 121 municipalities that took up environmental licensing, from which 39 responses were obtained. The key drivers of local environmental licensing were concerns over licensing procedural delays by the state government and the need for administrative efficiency. Knowledge of local conditions and the proximity between the local government, communities and developers were identified as facilitators of licensing. Shortage of staff, precarious hiring processes, and lack of infrastructure were identified as the main barriers to local environmental licensing. The municipalities that have implemented local environmental licensing perceive planning, administrative capacity, competent technical and legal teams, and capacity-building as essential elements of an effective local environmental licensing system. The study concludes with suggestions of future research avenues. ; The objective of this study was to explore the experience of the municipalities of the state of Minas Gerais that implemented local environmental licensing. For this purpose, representatives of the state administration were interviewed, and an electronic questionnaire was sent to analysts of 121 municipalities that took up environmental licensing, from which 39 responses were obtained. The key drivers of local environmental licensing were concerns over licensing procedural delays by the state government and the need for administrative efficiency. Knowledge of local conditions and the proximity between the local government, communities and developers were identified as facilitators of licensing. Shortage of staff, precarious hiring processes, and lack of infrastructure were identified as the main barriers to local environmental licensing. The municipalities that have implemented local environmental licensing perceive planning, administrative capacity, competent technical and legal teams, and capacity-building as essential elements of an effective local environmental licensing system. The study concludes with suggestions of future research avenues. ; The objective of this study was to explore the experience of the municipalities of the state of Minas Gerais that implemented local environmental licensing. For this purpose, representatives of the state administration were interviewed, and an electronic questionnaire was sent to analysts of 121 municipalities that took up environmental licensing, from which 39 responses were obtained. The key drivers of local environmental licensing were concerns over licensing procedural delays by the state government and the need for administrative efficiency. Knowledge of local conditions and the proximity between the local government, communities and developers were identified as facilitators of licensing. Shortage of staff, precarious hiring processes, and lack of infrastructure were identified as the main barriers to local environmental licensing. The municipalities that have implemented local environmental licensing perceive planning, administrative capacity, competent technical and legal teams, and capacity-building as essential elements of an effective local environmental licensing system. The study concludes with suggestions of future research avenues.

The Programa Nacional Escola de Gestores (PNEG) integrated the national teacher training policy and was financed by the Brazilian government. Ended in 2017, was part of a set of programs that elected distance education (DE) as its main strategy. The PNEG was designed to strengthen public school management. Based on graduates and PNEG instructors' perceptions of this program at one federal university, this article provides evidence on multi-level administrative and educational decision-making processes in distance education. Mixed methods were adopted. Data was collected through a survey applied to 216 graduates and 29 interviews with the PNEG team entailed five dimensions: (i) the training and pedagogical design implemented; (ii) the polyteaching training team; (iii) distance education and the use of digital information and communicational technologies (DICTs); (iv) the resources and infrastructure provided by the local support center; and (v) the interaction between the graduates and the polyteaching team in the PNEG training process. The analyses reveal that, in DE, pedagogical planning, the use of technologies, and the combination of resources that stimulate interaction among the actors play a decisive role in this process. Team supervision is another mandatory aspect. Mediated by technologies, DE teacher training programs funded by the federal government have redesigned curricular trajectories, tried out different pedagogical strategies, and proposed new skills to students and trainers. ; El Programa Nacional Escola de Gestores (PNEG) integró la política nacional de capacitación docente terminado en 2017 por el gobierno brasileño. Parte de un conjunto de programas que eligieron la educación a distancia (ED) como su estrategia principal, el PNEG fortaleció la gestión escolar de las escuelas públicas. Este artículo analiza la percepción del alumnos y maestros del PNEG sobre la capacitación ofrecida en una universidad federal. Tambíen proporciona evidencia sobre la implementación multinível en la ED. Con método cuanti/cualitativo, el artículo analizó datos de un cuestionario aplicado a 216 concluyintes y 29 entrevistas con el equipo de PNEG. Los datos cualitativos fueran combinados en cinco dimensiones: (i) el diseño formativo y pedagógico implementado; (ii) el equipo de formación de la politenseñanza; (iii) educación a distancia y uso de Tecnologías Digitales de Información y Comunicación (DICTs); (iv) el centro de apoyo local: recursos e infraestructura y (v) la interacción entre los egresados y el equipo politenseñanza en el proceso de formación del PNEG. Los análisis revelan que la planificación pedagógica, el uso de tecnologías y la combinación de recursos que estimulan la interacción juegan un papel decisivo en este proceso. La supervisión del equipo es otro aspecto importante. Mediados por las tecnologías, los programas de formación docente a distancia financiados por el gobierno han rediseñado las trayectorias curriculares, probado diferentes estrategias y propuesto nuevas habilidades para estudiantes y formadores. ; O Programa Nacional Escolas de Gestores (PNEG) integrou a política nacional de formação de professores extinta em 2017 pelo governo brasileiro. Parte de um conjunto de programas que escolheram a educação a distância (EaD) como estratégia principal, o PNEG fortaleceu a gestão escolar das escolas públicas. Este artigo analisa a percepção de alunos e professores do PNEG sobre a formação ofertada em uma universidade federal. Também fornece evidências sobre a implementação multinível em EaD. Utilizando método quantitativo/qualitativo, o artigo analisou dados de um questionário aplicado a 216 concluintes e 29 entrevistas com a equipe de professores do PNEG. Os dados qualitativos foram categorizados em cinco dimensões: (i) a formação e o desenho pedagógico implementado; (ii) a equipe polidocente de formação; (iii) educação a distância e uso de Tecnologias Digitais de Informação e Comunicação (TDICs); (iv) polo de apoio presencial: recursos e infraestrutura e (v) a interação entre os cursistas e a equipe polidocente no processo de formação do PNEG. As análises revelam que o planejamento pedagógico, o uso de tecnologias e a combinação de recursos que estimulam a interação desempenham um papel decisivo nesse processo. O monitoramento da equipe é outro aspecto importante. Mediados por tecnologias, programas de formação de professores a distância financiados pelo governo redesenharam trajetórias curriculares, testaram diferentes estratégias e propuseram novas habilidades para alunos e formadores.

The call for the housing estate of PREVI (Proyecto Experimental de Vivienda – Experimental Housing Project), carried out in 1969, in Lima, happened in a specially fruitful moment of reflections concerning changes in architecture and, mainly, in cities. In this context of criticism, issues like citizen participation and the change in architecture over time became key. This was a process that strongly influenced the proposals of 13 international teams that participated in the call in Peru. This project lab, promoted by the Peruvian government with UN funds, became, according to the opinion of the authors of this article, a fundamental experience in social housing in Latin America in the 20th century, concentrating seminal projects whose ideas still reverberate today. If all international architects who were invited to participate in the call already had, at the time, a significant repertoire in the housing issue, and were greatly in tune with the critical production of their contemporary colleagues, the Polish team, with Oskar Hansen and Svein Hatloy, brought to Peru a very peculiar work experience that they had been developing in Eastern Europe. Two structuring concepts of the practical and theoretical practice of Oskar Hansen and his wife, Zofia Hansen — the 'Open Form' and its deployment at an urban scale, the 'Linear Continuous System' (LCS) — appear in the proposal for PREVI as instruments for the search of a flexible architecture in space and time, open to citizen participation and intervention and adequate to their sociocultural peculiarities. Therefore, the present article aims at rescuing, through a more specific outline, the guiding ideas of the Polish proposal for the call and, in a broader sense, raising the importance of PREVI as a fundamental reference for social housing projects nowadays. ; O concurso para o conjunto habitacional do PREVI (Proyecto Experimental de Vivienda), realizado em 1969, em Lima, se deu em um momento especialmente fértil de reflexões sobre as transformações da arquitetura e, ...

The article analyzes the photoreports with images of "favelas" from the O Observador Econômico e Financeiro magazine, between 1942 and 1953, when the photographer Mozar Alves da Silva was part of the editorial team. Founded in 1936 by Valentin Rebouças, O Observador Econômico e Financeiro was a magazine specialized in social and economic analysis, in context of develpmentalismo. In the 1940s, the magazine incorporated part of the graphic innovations introduced by O Cruzeiro, giving greater prominence to photographs in its reports to document the country's economic transformations. The theme of favelas was the subject of reports that deal with the urban modernization of the Federal Capital. The photographs reiterate the myth of the Favela in Rio de Janeiro and dramatized discourses and stigmas of urban poverty from the debate on "social marginality".

Objective: Its objective was to understand domiciliary care in the perspective of healthcare professionals that
have experience in it considering the peculiarities of their day-to-day work. Methods: This is a descriptive and
exploratory study with a qualitative approach. The study subjects were seven professionals working in two
domiciliary care teams of an emergency unit in a Brazilian capital. Results: The results indicate that home care is
an innovative alternative for the construction of a different healthcare approach that reduces healthcare system
costs and enable a humanized, interdisciplinary and inventive logic. Conclusion: In this perspective home care is
an important reorganization space and exemplifies a new work dynamic in which knowledge sharing
predominates. Nevertheless an education directed to the formation of professionals able to act on the demands
and needs of this new scenario remains challenging.

Objective: This study aims to identify the context of the humanization of care regarding the meaning, source of
information and perception of the nursing staff of the Pediatric Hospitalization Unit (PHU) on their own care. Methods:
Descriptive study with qualitative approach, carried out at Hospital das Clinicas, UFTM. Participants were 21
professionals. They answered a questionnaire with closed and open questions. Results: The professionals have
recognized the institution as the main source of information. The concept of humanization and perception of their
assistance, three categories emerged: structural organization / service management and relational. Nurses consider
providing humanized and humanizing is a precondition for the establishment of quality care. Conclusion: It is
concluded that the nursing staff of the IPU recognizes the institution's participation in an informative, however, this is
not always experienced.

Considering the role of the veterinarian in public health activities, and their inclusion in multidisciplinary teams from the Family Health Center, this research aimed to present the challenges of this health professional and his role and importance in this area. For preparation of this paper, we conducted a bibliographic study on the subject in question. The broad professional field comprises from management and health planning to the more traditionally known epidemiological surveillanceand environmental health. They act even in prevention, control and eradication of diseases transmitted by several factors, among which include: food-borne, parasitic, infectious, among others. Thus, the strategic role of the veterinarian in the prevention and control of diseases should be constant enough to allow the sharing of experiences among other health professionals in order to safeguard the lives of animals and especially of the human population.

Objective: The objective was to understand the perception of the nursing team on the (dis)connections between
management actions and care performed by nurses in a surgical intensive care unit. Method: Exploratory
research with qualitative approach carried out in a surgical intensive care unit of a hospital in the public net of
Fortaleza-CE, Brazil. Data was collected between March and July 2011, through semi-structured interviews and
systematic observations, with 20 nursing professionals working in the sector. Results: The results were subjected
to content analysis and two categories emerged: perceptions of nurses on management and care, perception of
the nursing technicians on the relationship between management and care. Conclusion: It was found that nurses
had different views on the connections between management and care, while nursing technicians considered
them inseparable and necessary and, therefore, should be the focus of nurses' performance

This article discusses the daily work of an anthropologist in parliament. Based on reflections with an ethnographic style on the work experiences in the technical team of District Deputy Fábio Félix (PSOL - DF) in the Legislative Chamber of the Federal District, I discuss the impact of the academic path in anthropology in the production of legislative documents and in the way of facing the political game. The different ways of conceiving political relevance, valuing themes and telling stories are discrepancies that produce strangeness in the anthropologist who works in parliament. In summary, in spite of the differences between making ethnographies and producing laws, facing parliament without taking it so seriously is a possible compromise to keep doing both. ; Este artigo discute como se dá o cotidiano do trabalho de um antropólogo no parlamento. A partir de reflexões de tom etnográfico de experiências do trabalho na equipe técnica do Deputado Distrital Fábio Félix (PSOL – DF) na Câmara Legislativa do Distrito Federal, discuto o impacto da trajetória de formação em antropologia na feitura de documentos legislativos e na maneira de encarar o jogo político. As distintas maneiras de conceber relevância política, valorar os temas e contar histórias são discrepâncias que produzem estranhamentos no antropólogo que atuam no parlamento. Em síntese, no que pese as diferenças entre fazer etnografias e produzir leis, encarar o parlamento sem levar tão a sério a brincadeira é uma conciliação possível para seguir fazendo as duas coisas. ; This article discusses the daily work of an anthropologist in parliament. Based on reflections with an ethnographic style on the work experiences in the technical team of District Deputy Fábio Félix (PSOL - DF) in the Legislative Chamber of the Federal District, I discuss the impact of the academic path in anthropology in the production of legislative documents and in the way of facing the political game. The different ways of conceiving political relevance, valuing themes and telling stories are discrepancies that produce strangeness in the anthropologist who works in parliament. In summary, in spite of the differences between making ethnographies and producing laws, facing parliament without taking it so seriously is a possible compromise to keep doing both.

Objective: to analyze the communication process between the nursing team and the user hospitalized. Method: this is a qualitative, descriptive study, with 21 nursing professionals and 20 users hospitalized in a medical and surgical clinic of a military hospital. Data was obtained through semi-structured interviews, analyzing them using the Content Analysis technique in the Thematic Content Analysis modality. Results: it is evident, despite some noises found in the communication process, that there is, on the part of the nursing team, an attempt to understand and respond to needs when they arise, thus becoming empathetic towards users and family members. Conclusion: it becomes clear that the communication process is not an easy task; on the contrary, it requires a lot of effort among those involved. Communication, with a view to quality in health and patient safety goals, needs to be clear, efficient and concise so that no information is missing or that incorrect information is not passed on, thus avoiding errors that can lead to adverse events and, consequently, decrease the quality of service. Descriptors: Communication; Hospitalization; Nursing Care; Nursing, Team; Inpatients; Hospitals, Military.Resumo Objetivo: analisar o processo de comunicação entre a equipe de enfermagem e o usere hospitalizado. Método: trata-se de um estudo qualitativo, descritivo, com 21 profissionais de enfermagem e 20 useres hospitalizados em uma clínica médica e cirúrgica de um hospital militar. Obtiveram-se os dados por meio de entrevistas semiestruturada, analisando-as pela técnica de Análise de Conteúdo na modalidade Análise de Conteúdo Temática. Resultados: evidencia-se, apesar de alguns ruídos encontrados no processo de comunicação, que existe, por parte da equipe de enfermagem, a tentativa de compreender e de responder às necessidades quando surgem, assim tornando-se empática para com os useres e familiares. Conclusão: torna--se claro que o processo de comunicação não é tarefa fácil, pelo contrário, exige bastante esforço entre os envolvidos. Precisa-se a comunicação, visando à qualidade em saúde e às metas de segurança do paciente, ser clara, eficiente e concisa para que não falte nenhuma informação ou que para que não sejam passadas informações equivocadas, dessa forma, evitando erros que podem levar a eventos adversos e, consequentemente, diminuir a qualidade do serviço. Descritores: Comunicação; Hospitalização; Cuidados de Enfermagem; Equipe de Enfermagem; Pacientes Internados; Hospitais Militares.ResumenObjetivo: analizar el proceso de comunicación entre el equipo de enfermería y el usere hospitalizado. Método: este es un estudio cualitativo, descriptivo, con 21 profesionales de enfermería y 20 useres hospitalizados en una clínica médica y quirúrgica de un hospital militar. Los datos se obtuvieron a través de entrevistas semiestructuradas, analizándolas a través de la técnica de Análisis de Contenido en la modalidad de Análisis de Contenido Temático. Resultados: es evidente, a pesar de algunos ruidos encontrados en el proceso de comunicación, que existe, por parte del equipo de enfermería, un intento de comprender y responder a las necesidades cuando surgen, lo que genera empatía hacia los useres y los miembros de la familia. Conclusión: queda claro que el proceso de comunicación no es una tarea fácil, por el contrario, requiere mucho esfuerzo entre los involucrados. La comunicación es necesaria, apuntando a la calidad de la salud y a los objetivos de seguridad del paciente, debe ser clara, eficiente y concisa para que no falte información o que no se transmita información incorrecta, evitando así errores que puedan conducir a eventos adversos y, en consecuencia, disminuyen la calidad del servicio. Descriptores: Comunicación; Hospitalización; Atención de Enfermería; Grupo de Enfermería; Pacientes Internos; Hospitales Militares. ; Objetivo: analisar o processo de comunicação entre a equipe de enfermagem e o cliente hospitalizado. Método: trata-se de um estudo qualitativo, descritivo, com 21 profissionais de enfermagem e 20 clientes hospitalizados em uma clínica médica e cirúrgica de um hospital militar. Obtiveram-se os dados por meio de entrevistas semiestruturada, analisando-as pela técnica de Análise de Conteúdo na modalidade Análise de Conteúdo Temática. Resultados: evidencia-se, apesar de alguns ruídos encontrados no processo de comunicação, que existe, por parte da equipe de enfermagem, a tentativa de compreender e de responder às necessidades quando surgem, assim tornando-se empática para com os clientes e familiares. Conclusão: torna--se claro que o processo de comunicação não é tarefa fácil, pelo contrário, exige bastante esforço entre os envolvidos. Precisa-se a comunicação, visando à qualidade em saúde e às metas de segurança do paciente, ser clara, eficiente e concisa para que não falte nenhuma informação ou que para que não sejam passadas informações equivocadas, dessa forma, evitando erros que podem levar a eventos adversos e, consequentemente, diminuir a qualidade do serviço. Descritores: Comunicação; Hospitalização; Cuidados de Enfermagem; Equipe de Enfermagem; Pacientes Internados; Hospitais Militares.AbstractObjective: to analyze the communication process between the nursing team and the user hospitalized. Method: this is a qualitative, descriptive study, with 21 nursing professionals and 20 users hospitalized in a medical and surgical clinic of a military hospital. Data was obtained through semi-structured interviews, analyzing them using the Content Analysis technique in the Thematic Content Analysis modality. Results: it is evident, despite some noises found in the communication process, that there is, on the part of the nursing team, an attempt to understand and respond to needs when they arise, thus becoming empathetic towards users and family members. Conclusion: it becomes clear that the communication process is not an easy task; on the contrary, it requires a lot of effort among those involved. Communication, with a view to quality in health and patient safety goals, needs to be clear, efficient and concise so that no information is missing or that incorrect information is not passed on, thus avoiding errors that can lead to adverse events and, consequently, decrease the quality of service. Descriptors: Communication; Hospitalization; Nursing Care; Nursing, Team; Inpatients; Hospitals, Military.ResumenObjetivo: analizar el proceso de comunicación entre el equipo de enfermería y el cliente hospitalizado. Método: este es un estudio cualitativo, descriptivo, con 21 profesionales de enfermería y 20 clientes hospitalizados en una clínica médica y quirúrgica de un hospital militar. Los datos se obtuvieron a través de entrevistas semiestructuradas, analizándolas a través de la técnica de Análisis de Contenido en la modalidad de Análisis de Contenido Temático. Resultados: es evidente, a pesar de algunos ruidos encontrados en el proceso de comunicación, que existe, por parte del equipo de enfermería, un intento de comprender y responder a las necesidades cuando surgen, lo que genera empatía hacia los clientes y los miembros de la familia. Conclusión: queda claro que el proceso de comunicación no es una tarea fácil, por el contrario, requiere mucho esfuerzo entre los involucrados. La comunicación es necesaria, apuntando a la calidad de la salud y a los objetivos de seguridad del paciente, debe ser clara, eficiente y concisa para que no falte información o que no se transmita información incorrecta, evitando así errores que puedan conducir a eventos adversos y, en consecuencia, disminuyen la calidad del servicio. Descriptores: Comunicación; Hospitalización; Atención de Enfermería; Grupo de Enfermería; Pacientes Internos; Hospitales Militares.

Objective: To describe the reproductive, socioeconomic and demographic characteristics of women aged 15-49 years, from team 023 at the Health Unity Laurides Lima Milhomem. Methods: Documental with quantitativedescriptive approach, the population was composed by 1132 women and the sample by 207, with questionnaire application after search database in health records. Results: From 68,6% of women aged between 26 to 40 years, 86.5% have an official partner, 48,5% with more than two children, and an acceptable birth interval. 38,5% hadn't intended the pregnancies, but 88,5% had desired it. 61,9% knew about family planning, but 43,0% used this tool. The most cited method was oral contraceptive. 62,2% of the partners have never participated in the family planning. Conclusions: Improving the family planning strategy whose information passed on to the community are not sufficient for the use of contraception and therefore avoid the high levels of unplanned pregnancy.

The objective was to identify the use of personal protection equipment by nursing workers during procedures which expose them to biological fluids. It was observational, descriptive and transversal research, with a quantitative approach, undertaken in a public hospital in the state of Paraná, in January – May 2014, using nonparticipant and intentional observation of 201 procedures through the use of a checklist. It was ascertained that, in the Surgical Center, procedure gloves (97%) obtained the greatest adherence, but that closed shoes and eye protection were not used on any occasion. In the Central Sterile Services Department, no worker used the procedure gloves, either rubber or heat-resistant, although the surgical mask (44.4%) had the greatest adherence in the cleaning room. In the Intensive Care Units and Emergency Room, the procedure gloves were used (100%), although adherence to the eye protection was low (0.86%). The nursing staff did not use all the equipment stipulated by legislation during their activities. ; El objetivo de la investigación fue identificar la utilización de los equipos de protección individual por los trabajadores de enfermería, durante procedimientos que los expongan a los fluidos biológicos. Investigación observacional, descriptiva, transversal con abordaje cuantitativo, desarrollada en un hospital público del estado de Paraná, en el periodo de enero a mayo de 2014, utilizándose observación no participante e intencional de 201 procedimientos por medio de un checklist. Se verificó en el Centro Quirúgico que los guantes de procedimientos (97%) tuvieron mayor adhesión, sin embargo zapatos cerrados y gafas no fueron utilizados ninguna vez. En la Central de Material y Esterilización, ningún trabajador utilizó guantes de procedimientos, pero la máscara común (44,4%) tuvo mayor adherencia en el salón de limpieza. En las Unidades de Terapia Intensiva y Emergencia, los guantes de procedimiento fueron utilizados (100%), pero la adhesión a las gafas fue baja (0,86%). Los trabajadores de enfermería no utilizaron todos los equipos preconizados por la legislación durante sus actividades. ; O objetivo foi identificar a utilização dos equipamentos de proteção individual pelos trabalhadores de enfermagem, durante procedimentos que os exponham aos fluidos biológicos. Pesquisa observacional, descritiva, transversal com abordagem quantitativa, desenvolvida em um hospital público do estado do Paraná, no período de janeiro a maio de 2014, utilizando-se da obser vação não-par ticipante e intencional de 201 procedimentos por meio de um checklist. Verificou-se no Centro Cirúrgico que as luvas de procedimentos (97%) obtiveram maior adesão, entretanto sapatos fechados e óculos não foram utilizados nenhuma vez. Na Central de Material e Esterilização nenhum trabalhador utilizou as luvas de procedimentos, borracha e térmicas, entretanto a máscara comum (44,4%) teve maior aderência na sala de limpeza. Nas Unidades de Terapia Intensiva e Pronto Socorro as luvas de procedimento foram utilizadas (100%), porém a adesão aos óculos foi baixa (0,86%). Os trabalhadores de enfermagem não utilizaram todos os equipamentos preconizados pela legislação durante suas atividades.

Objective: To comprehend the knowledge and practices of caregivers of elderly people with Alzheimer disease (AD). Method: A descriptive and qualitative conducted with relatives and/or caregivers of AD patients enrolled in the Unimed of North of Minas Gerais. Data were obtained by interview and recorded. Results: The results showed the following categories: "Knowledge about Alzheimer disease", "Care provided to patients with the disease", "Feelings when caring for the elderly with Alzheimer Disease". It is observed that the knowledge of caregivers about AD is confused. Due to this daily care performed by these caregivers, many impacts can be seen in the lives of respondents, such as changes in daily life, financial difficulties and impacts on their health. Conclusion: The need of a multidisciplinary team of caregivers for guidance on issues related to the disease in order to they can learn to deal with the elderly suffering from Alzheimer disease.

This is a retrospective descriptive study, which aimed
at knowing the characteristics of traffic accidents by motor vehicles
in Maringá between 2005 and 2008. For the study, run over victims
of traffic accidents in Maringá from 2005 to 2008 were considered,
using data from the firefighter's list of occurrences - 5th Fire Combat
Team. 1841 victims were identified. From the total number of victims,
the number of incidents recorded (1486) was studied: 399 happened in
2005, 376 in 2006, 361 in 2007 and 350 in 2008. It was noted a decreas-ing trend in incidence over the years. A predominance of male victims
in the age range 15 to 24 was noticed. In the years of the study, the ac-cidents occurred mostly between May and July, early in the afternoon
and evening (6pm to 8:59pm). These results confirm those observed in
other studies, highlighting the need to implement preventive measures
through intersectoral action and contribution of other studies using
other methods and other information sources.

It was the late twentieth century when the Brazilian movement of persons with disabilities (PWD) took the first steps seeking to gain citizenship rights. Supported by the National Coordinator for the Integration of Persons with Disabilities (CORDE), and various segments of society, this movement succeeded in gradually, a capital that ensures legal rights to PCD in health, education, employment, habilitation and rehabilitation, culture, sport, tourism and leisure. Despite the efforts of government agencies and non-governmental institutions in order to include this segment of society, is not true to say that these people enjoy fully the rights of citizenship granted by the law won. Compliance with this phenomenon resulted in the release by the State of Living without limit-National Rights of Persons with Disabilities whose budget estimate is around £ 7.6 billion to ensure, by 2014, the achievement of goals in the area of education, health, social inclusion and acessibilidade.1 The Secretariat's Human Rights Presidency (SDH/PR) coordination of the 15 ministries that will develop the actions planned to improve the quality of life of PCD by tackling the social determinants that hinder or limit the inclusion of approximately, 45.6 million people with some kind of deficiência.1 In this sense, the Ministry of Health will invest 1.4 billion in the creation of the Network of Health Care of People with Disabilities, composed of 45 rehabilitation centers to develop in under the Unified Health System (SUS) and will be reference for the expert assistance to people with physical, visual, auditory and intelectual.1 However, it is necessary to pay attention that in the SUS, the exceptions, assistance to PCD is still characterized by biological activity, specialized, so that the health team constitutes a set of multidisciplinary professionals working in the restricted field of each professional category. In the case of nursing, the challenges that are set indicate the need to offer graduates of the academy a component that focuses on the care of PCD, develop internships in institutions promoting assistance to these people, implement extension projects in this area, as well as research socialize scientific clinical evidence regarding the subjects investigated. It is also the academy and the state and local health partnerships to qualify professionals SUS Network through continuing education in the field of assistance to PCD aimed at rehabilitating composition of interdisciplinary teams and qualified to ensure the universality, equity and comprehensive care for PCD, helping them to live without limits.