Atenção em saúde aos homens no cotidiano da atenção básica : diálogos com usuários e profissionais

Este artigo aborda aspectos relevantes no processo de produção de uma pesquisa realizada em uma unidade básica de saúde da família, que desenvolve ações de cuidado voltadas à população masculina, no município de Recife, cidade da região Nordeste do Brasil. Nesta produção, interessa-nos tanto os resultados da pesquisa como seu processo de produção, tendo por base o rigor metodológico, compreendido como negociações no campo-tema. Para ilustrar, apresentamos breves narrativas reflexivas sobre os procedimentos que empregamos para sistematizar e analisar as informações produzidas ao longo da pesquisa, bem como os limites e desafios do processo de análise.In this paper, we analyze important aspects about a research carried out in a "Basic Heath Unit" that develops care actions to male population in Recife, city of northeastern of Brazil. In this production, we are interested in both the search results as your production process, based on the "methodological rigor", understood as negotiations in the field theme. To illustrate we present brief narratives about the procedures we use to systematize and analyze the information generated during the research, as well as the limits and challenges of the analysis process

Ciência como dispositivo de produção da paternidade: análise de produções científicas brasileiras

Compreendendo a ciência como dispositivo de produção de modos de ser e regimes de verdade, este levantamento bibliográfico objetivou desenvolver uma leitura crítica da produção científica brasileira sobre paternidade, inspirada na abordagem pósconstrucionista em Psicologia Social. A pesquisa foi realizada a partir do Banco de teses e issertações da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), a partir do descritor paternidade, compreendendo o período de 1987-2009. As análises evidenciam que a paternidade aparece nesta literatura atrelada à dicotomia sexo-gênero, sendo sua ruptura associada a crises e mudanças que reiteram normas de gênero e sexualidade. O saber científico produz paternidades; delineia e oculta estratégias de saberpoder que produzem o sujeito homempai-universal, modos de ser pai e a concordância concomitante ênisracionalidade-procriação-heterossexualidade, possibilita a visualização dos limites da (in)eficácia de tais inscrições, abrindo espaço para produção de fissuras e transformações.Understanding science as a device for producing ways of being and truth regimes, this literature review aimed to develop a critical reading of the Brazilian scientific production about parenthood, inspired by the postconstructionist approach to social psychology. The survey was conducted from the Bank of theses and dissertations for the Coordination of Improvement of Higher Education Personnel (CAPES), from parenting descriptor, comprising the period 1987-2009. The analysis reveals that the paternity of this literature appears linked to the sex-gender dichotomy, and its rupture associated with crises and changes which reiterate gender norms and sexuality. The paternity produces scientific knowledge; outlines strategies and hidden knowledge-power that produce the subject manfather- universal ways of being a father and agreementco-penis-rationality- heterosexuality procreation, enables the visualization of the limits of (in) effectiveness of such inscriptions, making room for production of cracks and change

The Woof of a Complex Network: Actor and Actresses of the Reproductive Rights Policy in Brazil

This study sought to identify, from the feminist framework, actors and actresses involved / in the national policy on sexual and reproductive rights, underway in Brazil. The choice of this policy as a place of research was due to be a theoretical discussion of space and politics with historical trajectory of at least thirty years in the field of health, carried out by different and diverse social actors in a field of knowledge and practices anchored in considered masculine elements: biomedical and formulation of policies. Based on an Operational Model Analysis of Public Policy proposed by Araújo Junior (2000), identified context, actors, process and content of the policy taking as a starting point the dialogue with 23 professionals who, during the research focus (management 2003-2006), occupied important places in the formulation and public debate in this field

Biodiversity in Agricultural Landscapes of Southeastern Brazil

The state of São Paulo, Brazil, is one of the most densely populated and developed areas in South America. Such development is evident both in terms of industrialization and urbanization, as well as in agriculture, which is heavily based on sugar cane, Eucalyptus plantations and livestock. This intense land use has resulted in great alteration of the original land cover and fragmentation of natural ecosystems. For these reasons, it is almost a paradox that jaguar, a species that requires large areas of pristine forest to exist, is still found in some parts of the state of São Paulo. It is possible that wild animals could leave in coexistence with intense land use, or is it the case that such rare encounters with large wild animals in São Paulo will disappear in the near future? All ecologists are aware of the problems of habitat changes caused by humans, but it was not until recent years that researchers started to consider that the land used for production could also serve as an important habitat for many different kinds of wild species. This book is about this new approach to conservation. It also highlights the important role that sciences could and should have in this discussion in order to better understand the problems and propose possible solutions

The Eta Model: Design, Use, and Added Value

The design of the Eta model goes back to early 1970s, when its original dynamical core was designed following the philosophy of Akio Arakawa of emulating important properties of the atmospheric governing equations. The core’s later major features were invented and implemented in the mid-1980s. Once a comprehensive physics package was added, the model became operational as a regional NWP model in the United States in 1993. Its use for regional climate projections followed later, for the South American region and then for a regional reanalysis over the North American region. Summary of the model’s dynamical core is given, followed by that of its physics package. Results of experiments revealing the model’s ability to generate added value even at large scales when run as a regional climate model (RCM) are summarized. The Eta model is applied on various climate scales seamlessly, from subseasonal, seasonal to multidecadal, from coarse 40 km up to high 5 km resolution. Examples of applications to various socioeconomic sectors, such as for hydropower management, crop yield forecasts, environmental and forest conservation, urban areas management, assessment of natural disaster risks, etc., are given. The Eta RCM capability to reproduce extreme climatic values is pointed out

TRAZENDO A CIÊNCIA PARA A MESA DE NEGOCIAÇÃO: O PAPEL DA DIPLOMACIA CIENTÍFICA NA NEGOCIAÇÃO DA REFINARIA ALPART NA JAMAICA

This article delves into the relationship between Science Diplomacy (SD) and multilateral negotiations, with a specific case study focusing on aluminum production in Jamaica. It highlights the often indirect yet pivotal role of SD in shaping the outcomes of negotiations concerning energy and environmental issues. Although the concept of SD is not always directly at the negotiation table, SD practices act as a bridge between the scientific community and policymakers. The case study analyzes the influence of SD on negotiations related to alumina production in Jamaica, specifically the sale of the Alpart alumina refinery in 2016. It demonstrates how SD diverted negotiations from solely political and commercial considerations to technical discussions on environmental impacts. The crisis initially centered around a coal-based power plant and eventually extended to bauxite extraction, revealing the critical role of affordable energy in aluminum refining. Methodologically, our research design follows the traditional guidelines of a descriptive case study. We employed concepts extracted from both the theory of negotiations and science diplomacy. Leverage power and interests of key actors, including JISCO (Jinquan Iron and Steel Company), the Jamaican government, and the Jamaica Environment Trust (JET), are dissected. Ultimately, it underscores the influence of SD practices on the negotiations, shifting the focus towards environmental concerns and highlighting the importance of informed decision-making in international negotiations. JET played a pivotal role by illuminating the environmental hazards and by influencing the redefinition of power dynamics in the negotiations. Thus, this work exemplifies how SD can reshape negotiations and foster sustainable solutions to complex global challenges.Este artigo explora a relação entre Diplomacia Científica (DC) e negociações multilaterais, com um estudo de caso específico centrado na produção de alumínio na Jamaica. Ele destaca o papel muitas vezes indireto, mas crucial, da DC na formação dos resultados de negociações relacionadas a questões energéticas e ambientais. Embora o conceito de DC nem sempre esteja diretamente na mesa de negociações, as práticas de DC atuam como uma ponte entre a comunidade científica e os formuladores de políticas. O estudo de caso analisa a influência da DC nas negociações relacionadas à produção de alumina na Jamaica, especificamente na venda da refinaria de alumina Alpart em 2016. Ele demonstra como a DC desviou as negociações de considerações puramente políticas e comerciais para discussões técnicas sobre impactos ambientais. A crise inicialmente girava em torno de uma usina de energia a carvão e acabou se estendendo à extração de bauxita, destacando o papel crítico da energia acessível na refinação de alumínio.  Do ponto de vista metodológico, o estudo utiliza um quadro descritivo de estudo de caso, somado a conceitos de teoria das negociações, para explorar a dinâmica do impacto da DC nas barganhas. O poder de influência e os interesses dos principais atores, incluindo a JISCO (Jinquan Iron and Steel Company), o governo jamaicano e a Jamaica Environment Trust (JET), são dissecados. Em última análise, o artigo destaca a influência das práticas de DC nas negociações, desviando o foco para as preocupações ambientais e destacando a importância da tomada de decisões informadas em negociações internacionais. A JET desempenhou um papel fundamental ao iluminar os riscos ambientais e influenciar a redefinição das dinâmicas de poder nas negociações. Assim, este trabalho exemplifica como a DC pode remodelar negociações e promover soluções sustentáveis para desafios globais complexos

The roles, responsibilities, and realities of married adolescent males and adolescent fathers: A brief literature review

From the perspective of developing countries, we know relatively little about married adolescent males and adolescent fathers, and much of what we know is inferred from research with young women or comes from a few specific regions in the world. However, there has been a growing interest in the issue on the part of researchers, policy-makers, and program staff. This interest has coincided with increasing attention in general to men, with gender studies, and with sexual and reproductive health initiatives. Early marriage and early childbearing are much more prevalent among young women than young men, and the negative consequences are more significant among young women. Nonetheless, it is the behavior and attitudes of men, within social contexts where gender hierarchies favor men over women, that often create young women’s vulnerability. Much of the research and literature on adolescent fathers comes from Latin America, the Caribbean, North America, and Europe. This paper reviews some of the literature on young married men and young fathers, concluding with suggestions for engaging young men to promote better reproductive and sexual health and more favorable life outcomes for married adolescent women and young men

Silenciosa conveniência: mulheres e Aids

Resumo O artigo é construído a partir de um olhar do campo de análise de políticas sociais, no âmbito do SUS; enfoca as políticas de saúde das mulheres e a política de controle da Aids para interpretar as vulnerabilidades das mulheres no contexto do HIV e Aids. Identifica os limites, estratégias de prevenção e assistência adotadas pelo SUS para combater o HIV/Aids, frente à adoção do ideário de Estado mínimo. A pesquisa documental realizada no Brasil é uma análise crítica e histórica, que abrange o período de 1992 a 2008. O estudo interpreta as escolhas estratégicas do sujeito feminista no âmbito da saúde das mulheres no Brasil frente à epidemia do HIV/Aids. Toma o princípio de integralidade contido no âmbito do Sistema Único de Saúde (SUS) e nas políticas de saúde da mulher e na política de controle da Aids para interpretar as escolhas estratégicas do movimento feminista na área da saúde. A perspectiva que orienta este artigo é a de que os significados da ação feminista frente à epidemia da Aids estão para além do campo da saúde. Expõem-se os avanços e limites dos feminismos para coibir o avanço da epidemia da Aids plasmado por dentro de uma lógica de Estado capitalista, de cunho neoliberal, com normas patriarcais. Palavras-chave: HIV/Aids, feminismo, políticas de saúde, gênero-classe-raça, Estado e sociedade civil,  movimento social.   Abstract The article is built after an outlook from the field of analysis of social policies within Brazil’s Unified Health System (SUS), focusing health policies for women and AIDS control policies in order to interpret women’s vulnerabilities in the context of HIV and AIDS. It identifies the limits as well as prevention and care strategies adopted by SUS to fight HIV/AIDS, with the adoption of the ideology of the minimal state. The document research conducted in Brazil is a study on how the feminist movement, notably the Feminist Health Network, engaged with the AIDS epidemic through a revision and analysis of their position papers, minutes and other documents, including public policies. This was done from a historical and critical perspective, covering the period from 1992 to 2008. The study interprets the strategic choices of the feminist health movement from the women's health policy and the HIV/AIDS policy. This paper’s perspective is that the meanings of feminist action against the AIDS epidemic are beyond the health field. It exposed progress and limits of feminism against the AIDS epidemic inside a neoliberal capitalist state logic based on patriarchal norms. Keywords: HIV AIDS, feminism, health policies, gender-class-race, state and civil society, social movement

Fatique alarms in intensive care: describing the phenomenon through integrative literature review

Objective: To analyze scientific publications about alarm monitoring and alarm fatigue phenomenon in intensive care. Methods: Integrative review of literature held in databases Lilacs, PubMed and SciELO. Results: After analyzing the productions elucidate the concepts and definitions of the phenomenon, predisposing factors and strategies to minimize them, the relationship with patient safety, achieving time frame 1993 to June 2010. Fatigue alarm occurs when a large number of alarms covers those clinically significant, enabling relevant alarms are disabled, silenced or ignored by staff. The excessive number of alarms makes indifferent staff, reducing your alertness, leading to distrust of the sense of urgency of alarms, resulting in lack of response to alarms relevant. Conclusion: The technological apparatus requires attention of professionals to ensure patient safety serious