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Search Results: 1 - 10 of 6090 matches for " Lauro Cesar; Junqueira "
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Governan?a e regula??o na saúde: desafios para a gest?o na Regi?o Metropolitana de S?o Paulo, Brasil
Ibanhes, Lauro Cesar;Heimann, Luiza Sterman;Junqueira, Virginia;Boaretto, Roberta Cristina;Pessoto, Umberto Catarino;Cortizo, Carlos Tato;Castro, Iracema Ester do Nascimento;Rocha, Jucilene Leite da;Kayano, Jorge;Luiz, Olinda do Carmo;Barboza, Renato;Telesi Jr., Emilio;
Cadernos de Saúde Pública , 2007, DOI: 10.1590/S0102-311X2007000300016
Abstract: this paper discusses the relationship between the public and private sectors in the unified national health system (sus), based on research whose objective was to identify governance strategies and mechanisms for public/private relations in the health sector, considering the search for equity in greater metropolitan sao paulo, brazil. governance was used as an analytical category, with health system regulation as the issue. municipal and state health secretaries, members of health councils, and sus staff were interviewed, and the empirical material was classified as: (a) regulatory mechanisms and instruments; (b) power loci; and (c) actors' positions concerning the sus and its relationship to the private sector. mechanisms and instruments have been created and used in the municipalities for regulation of their own services. regulatory measures for the complementary and supplementary healthcare sector are practically nonexistent. there are numerous institutional power loci, seen more as places for submitting demands than as forums for negotiation. despite some progress, governance appears to be more of a formal issue. discussion is needed on the relationship between the public and private sectors and its regulation by municipalities in order to improve the health system.
Equidad en la salud: evaluación de políticas públicas en Belo Horizonte, Minas Gerais, Brasil, 1993-1997
Junqueira, Virginia;Pessoto, Umberto Catarino;Kayano, Jorge;Nascimento, Paulo Roberto;Castro, Iracema Ester do Nascimento;Rocha, Jucilene Leite da;Terence, Marcelo Fernando;Boaretto, Roberta Cristina;Ibanhes, Lauro Cesar;Cortizo, Carlos Tato;Heimann, Luiza Sterman;
Cadernos de Saúde Pública , 2002, DOI: 10.1590/S0102-311X2002000400014
Abstract: this article evaluates government measures to reduce inequity in the health sector in belo horizonte from 1993 to 1997. our hypothesis is that a municipal administration committed to equity can reduce disparities in health with the support of the unified national health system (sus). the methodology used an urban quality of life index in belo horizonte to detect social inequalities in living conditions, as well as differences between the component indices in the infant mortality rate. other municipal measures were assessed according to the investment resulting from the implementation of a participatory local budget and open planning process. the urban quality of life index appeared to be an appropriate measure for orienting municipal administration. the infant mortality rate proved to be a good indicator for measuring inequality in health. there was a reduction in imr and mortality reducing gaps in the districts studied. we observed greater investment of physical and financial resources in the districts with the lowest urban quality of life index, and it can thus be stated that the municipal administration reduced the prevailing inequalities.
Desigualdades no acesso e utiliza??o dos servi?os de saúde na Regi?o Metropolitana de S?o Paulo
Pessoto,Umberto Catarino; Heimann,Luiza Sterman; Boaretto,Roberta Cristina; Castro,Iracema Ester do Nascimento; Kayano,Jorge; Ibanhes,Lauro Cesar; Junqueira,Virginia; Rocha,Jucilene Leite da; Barboza,Renato; Cortizo,Carlos Tato; Martins,Lourdes da Concei??o; Luiz,Olinda do Carmo;
Ciência & Saúde Coletiva , 2007, DOI: 10.1590/S1413-81232007000200011
Abstract: this paper presents case study findings in five municipalities in the s?o paulo metropolitan region. inequalities in access to health care services and their utilization were described through advanced tabulation data from the 1998 seade life conditions survey. the variables analyzed were: owning or not owning private health care insurance, income and age brackets. the health care service attributes studied were: health care services coverage by a health insurance plan, health services demands and average waiting time to receive health care. compared with other studies, using the 1998 ibge pnad, the results allowed us to confirm interregional imbalances which can only be detected in shorter special scale studies: the municipalities. despite showing the high private health insurances coverage the s?o paulo metropolitan region has a great inner heterogeneity. the inequalities in private health care insurance, access, waiting time, and type of insurance coverage were observed through income quintiles and age classes analyses. findings suggest that an expansion of the state's regulation capacity is necessary in order to empower the brazilian health care system principles of universality and equity to be qualified to offer brazilians the right to access health care services.
Diferenciais intermunicipais de condi??es de vida e saúde: constru??o de um indicador composto
Luiz,Olinda do Carmo; Heimann,Luiza Sterman; Boaretto,Roberta Cristina; Pacheco,Adriana Galv?o; Pessoto,Umberto Catarino; Ibanhes,Lauro Cesar; Castro,Iracema Ester do Nascimento; Kayano,Jorge; Junqueira,Virginia; Rocha,Jucilene Leite da; Cortizo,Carlos Tato; Telesi Junior,Emílio;
Revista de Saúde Pública , 2009, DOI: 10.1590/S0034-89102009000100015
Abstract: objective: to describe an index to identify inequities in living conditions and health and its relationship with health planning. methods: variables and indicators that would reflect demographic, economic, environment and education processes as well as supply and production of health services were applied for nondimensional scaling and clustering of 5,507 brazilian municipalities. data sources were the 2000 census and the brazilian ministry of health information systems. z-score test statistic and cluster analysis were performed allowing to defining 4 groups of municipalities by living conditions. results: there was seen a polarization between the group with the best living conditions and health (group 1) and the group with the worst living conditions (group 4). group 1 consisted of municipalities with larger populations while group 4 comprised mainly the smallest municipalities. as for brazilian macroregions, municipalities in group 1 are clustered in the south and southeast and those in group 4 are in the northeast. conclusions: the living conditions and health index comprises reality dimensions such as housing, environment and health which allows to identifying the most vulnerable municipalities and can provide input for setting priorities, and developing criteria for more equitable financing and resource allocation.
The Role of Nitrogen Fertilizers in Sugarcane Root Biomass under Field Conditions  [PDF]
Rafael Otto, Henrique Coutinho Junqueira Franco, Carlos Eduardo Faroni, André Cesar Vitti, Emídio Cantidio Almeida de Oliveira, Renata Alcarde Sermarini, Paulo Cesar Ocheuze Trivelin
Agricultural Sciences (AS) , 2014, DOI: 10.4236/as.2014.514164
Abstract: Sugarcane is used worldwide for sugar, ethanol and energy production. In Brazil, the shift from burned to unburned harvest systems resulted in increases in nitrogen fertilization rates, which can impact root architecture and biomass. The expectation is also an increase in sugarcane biomass. The study hypothesized that high N rates applied to sugarcane fields increases root growth and N stored in roots, promoting higher biomass and N accumulated in shoots. Two experiments were set up in Southeastern Brazil, on a Typic Kandiudox (TK) and Rhodic Eutrudox (RE). Four treatments were studied 1) N application in the plant-cane (0 and 120 kg·ha-1 N) and 2) N application in the ratoon (0 and 150 kg·ha-1 N). The shoot biomass and the root density (by the core method up to 0.6 m) were evaluated over the first ratoon crop cycle, and the N content in those compartments was also examined. There was no carry over effect on N applied at planting in root and shoot biomass in the ratoon crop cycle. At the RE site, the ratoon N fertilization increased root density in the superficial soil layer (0 - 0.2 m) and close to the plants (<0.3 m). The effect of N addition on root biomass, and biomass and N accumulated in shoot was limited in both sites. Increasing N rates in unburned sugarcane fields do not consistently increases root and shoot biomass under Brazilian field conditions.

pH nasofaríngeo e refluxo gastroesofágico em crian?as com doen?a respiratória cr?nica
Junqueira, José Cesar da Fonseca;Penna, Francisco José;
Jornal de Pediatria , 2007, DOI: 10.1590/S0021-75572007000400007
Abstract: objectives: the aim of this case-control study was to evaluate the nasopharyngeal ph (nasoph) in children with normal or abnormal ph-metry in two groups of patients: 1) children presenting gastroenterological symptoms; and 2) children with chronic respiratory symptoms. methods: from february 2004 to january 2005, all consecutive patients referred for 24-hour ph-metry and in whom gastroesophageal reflux disease was suspected were enrolled in a prospective study. they were assigned to four groups: gastroenterological symptoms with normal (a) or abnormal (b) ph-metries (gg), and chronic respiratory symptoms with normal (c) or abnormal (d) ph-metries (rg). nasoph was measured for 5 minutes, before the 24-hour test was performed. results: thirty-eight ph-metry tests were included (20 in the rg and 18 in the gg). abnormal ph-metry results were observed in 11 patients in the gg and in 12 in the rg. nasoph means were 6.3273 and 5.6917, respectively (p < 0.0001). average nasopharyngeal ph was 5.6917 among the 12 rg patients with abnormal ph-metry results and 6.5000 among the remaining eight patients with normal test results (p = 0.0006). analysis of the rg with a receiver operating characteristic (roc) curve showed ph of 5.8 as cutoff point (sensitivity of 91.7% and specificity of 87.5%). the area below the roc curve was 0.870. conclusions: nasopharyngeal ph is significantly lower among patients in the rg presenting abnormal ph-metry results. a 5.8 nasoph has good sensitivity and specificity and can be used as a screening test in patients with chronic respiratory diseases to select those for whom conventional 24-hour ph-metry is indicated.
Aproveitamento pela cana-de-a?úcar da aduba??o nitrogenada de plantio
Franco, Henrique Coutinho Junqueira;Trivelin, Paulo Cesar Ocheuze;Faroni, Carlos Eduardo;Vitti, André Cesar;Otto, Rafael;
Revista Brasileira de Ciência do Solo , 2008, DOI: 10.1590/S0100-06832008000700021
Abstract: the 15n balance of n sources in the soil-plant system is of great value in studies of n transformation in different agroecosystems. in the sugarcane agroecosystem, the cane plant response to n fertilization for brazilian conditions is not fully understood and the use of n fertilizer labeled with 15n can help clarify this issue. to evaluate the urea-n utilization by sugarcane at plant cane harvest, two experiments were developed with the variety sp81-3250, in commercial sugarcane fields. the experiments were carried out from february 2005 to july 2006. the experiment was a randomized complete block design and the treatments three n-urea rates (40, 80 and 120 kg ha-1) and a control without n-fertilization (0 kg ha-1 n). in the center of the plots with urea application microplots were installed and treated with 15n-labeled urea. the average recovery (%) of 15n-fertilizer by sugarcane (whole plant) was 30, 30 and 21 %, respectively, at rates of 40, 80 and 120 kg ha-1 of n. the lower urea-n recovery at higher rates, mainly for 120 kg ha-1 of n, was due to n losses from the soil-plant system. the n-urea recovery was on average 11.7 % of the total accumulated n in the whole plant. the different n rates on n from fertilizer did not influence n distribution in the different sugarcane plant parts, which were on average 50 % in the stalks, 22 % in the dry leaves, 20 % in the shoots and 8 % in the roots.
Root system distribution of sugar cane as related to nitrogen fertilization, evaluated by two methods: monolith and probes
Otto, Rafael;Trivelin, Paulo Cesar Ocheuze;Franco, Henrique Coutinho Junqueira;Faroni, Carlos Eduardo;Vitti, André Cesar;
Revista Brasileira de Ciência do Solo , 2009, DOI: 10.1590/S0100-06832009000300013
Abstract: few studies on sugar cane have evaluated the root system of the crop, in spite of its importance. this is mainly due to the difficulty of evaluation and high variability of results. the objective of this study was to develop an evaluation method of the cane root system by means of probes so as to evaluate the mass, distribution and metabolically active roots related to n fertilization at planting. for this purpose, an experiment was conducted in an arenic kandiustults with medium texture in jaboticabal/sp, in a randomized block design with four replications and four treatments: control (without n) and 40, 80 and 120 kg ha-1 of n applied in the form of urea in the planting furrow of the cane variety sp81 3250. one week before harvest, a urea-15n solution was applied at the cane stalk base to detect active metabolism in the root system. trenches of 1.5 m length and 0.6 m depth were opened between two sugar cane rows for root sampling by two methods: monoliths (0.3, 0.2 and 0.15 m wide, deep and long respectively) taken from the trench wall and by probe (internal diameter 0.055 m). for each method, 15 samples per plot were collected. the roots were separated from the soil in a sieve (2 mm mesh), oven-dried (at 65 oc) and the dry matter was measured. root sampling by probes resulted in root mass that did not differ from the evaluation in monoliths, indicating that this evaluation method may be used for sugar cane root mass, although neither the root distribution in the soil profile nor the rhizome mass were efficiently evaluated, due to the small sample volume. nitrogen fertilization at planting did not result in a greater root accumulation in the sugar cane plant, but caused changes in the distribution of the root system in the soil. the absence of n fertilization led to a better root distribution in the soil profile, with 50, 34 and 16 % in the 0-0.2, 0.2-0.4 and 0.4-0.6 m layers, respectively; in the fertilized treatments the roots were concentrated in the surface la
Stalk yield and technological attributes of planted cane as related to nitrogen fertilization
Franco, Henrique Coutinho Junqueira;Trivelin, Paulo Cesar Ocheuze;Carlos Eduardo, Faroni;Vitti, André Cesar;Otto, Rafael;
Scientia Agricola , 2010, DOI: 10.1590/S0103-90162010000500012
Abstract: a still unclear question related to sugarcane cropping refers to the low response of the planted cane to nitrogen fertilization. two experiments were carried out in areas under a typic hapludox, located in pirassununga, s?o paulo state, brazil, and an arenic kandiudult, located in jaboticabal, s?o paulo state, brazil, with the objective to evaluate planted cane response to nitrogen fertilization at planting. the experimental design was organized as random blocks and treatments consisted of three n rates (40, 80, and 120 kg ha-1 n-urea) and a control without n. nitrogen fertilizers were applied to the bottom of the planting furrow and then incorporated into the soil. during the maximum growth stage, +1 leaf samples were collected from all experimental plots to evaluate the crop nutritional status. in the pirassununga experiment, n fertilization at planting increased n, k, mg, and s contents in the leaves and increased the stalk yield, without effect in the technological attributes. conversely, no stalk yield response was observed at the jaboticabal experiment, but n fertilization benefited the stalk technological attributes. the n rates increased the sugar yield per hectare in both experiments. the highest margin of agricultural contribution was obtained at the rate of 40 kg ha-1 n.
Simulation Models and GIS Technology in Environmental Planning and Landscape Management  [PDF]
Giuliana Lauro
Journal of Geographic Information System (JGIS) , 2013, DOI: 10.4236/jgis.2013.53028

Landscape protection that, in the past, has been mainly concerned with its historical, artistic and cultural heritage, follows, nowadays, a systemic methodology that looks at landscape as a high level aggregate of spatial, ecologically different units that interact each other by exchanging energy and materials. Strategic environmental assessment, nowadays, has been adopted in Europe in landscape planning, whose task is to verify the compatibility of territory transformations with respect to their levels of criticality and vulnerability, to evaluate possible future scenarios as consequence of interventions by checking if they are in line with preservation and valorization of environmental. To this aim, we make here a short survey of three different simulation models that can be used as Decision Support System in landscape planning and management. They adopt tools of the Landscape Ecology and are based on GIS (Geographic Information System) technology. The first one consists of a planar graph, the so called ecological graph, whose construction needs the computation of suitable indices of environmental control, proper of Landscape Ecology, such as biodiversity, biological territorial capacity, connectivity. The planar graph, for the considered environmental system, returns a picture of its actual ecological health condition and provides very detailed indications and operational assistance for choosing among possible ecological sustainable interventions. The second one, based on the data used to construct the ecological graph, uses the least-cost path algorithm from GIS technology in order to build an ecological network to prevent and to reduce territorial fragmentation caused by intense processes of urbanisation and industrialisation. At last, an integrated GIS-based approach is developed combining an ecological graph model and a mathematical model based on a nonlinear differential equation of logistic-type with harvesting to perform qualitative predictions on the sustainability of a given territorial plan.

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