ATENÇÃO À SAÚDE NAS UNIDADES DE CONSERVAÇÃO AMBIENTAL NO AMAZONAS: CONFLITOS DE COMPETÊNCIA OU QUESTÃO DE RESPONSABILIDADE?

This article analyzes the discursive representations in the collective thinking of socio-environmentalists about the competencies and responsibilities of the policy of protected areas with the attention to the health of the riverside populations.The method is an exploratory descriptive of qualitative approach based on the collective thinking of socioenvironmentalists working in the protected areas policy of Mamirauá Sustainable Development Reserve from seven interviews collected through a semi-structured script which were analyzed by the Collective Subject Discourse technique.Respondents express knowledge about the constitutional competences of the municipality with health, but they have difficulty in dialogue with the city halls on the subject; the responsibilities of the management of conservation units (UC) and public non-state organizations that work in support of co-management are attributed the responsibility as to captain the public policies and the formulator of scientific information for the improvement of local health. The absence of dialogue adds to the lack of a public agenda within the scope of environmental policy. There are experiences of access to health in the rural area adapted to the socio-environmental context of the reserve, however, these suffer discontinuity.The discursive representations of the collective thinking of socioenvironmentalists express knowledge about municipal competences with health and concerns regarding meeting these needs. The meeting of social needs is organized in a conflictual manner, and this is due to the lack of coordination between the various institutions that operate in this territory. The decentralization of competences and responsibilities over natural resources through the co-management of UCs imposed new roles and authorities on the territories.

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Intervenção do poder público em outras terras públicas para criação de unidades de conservação

Revista de Direito da Administração Pública ◽

10.47096/redap.v1i1.30 ◽

2016 ◽

Vol 1 (1) ◽

Author(s):

José Roque Nunes Marques ◽

Ronaldo Pereira Santos

Keyword(s):

Protected Areas ◽

Public Lands ◽

State Intervention ◽

Conservation Unit ◽

Conservation Units ◽

Public Authorities ◽

The Public ◽

Compensation Payment ◽

Different Types ◽

Legal Competency

INTERVENÇÃO DO PODER PÚBLICO EM OUTRAS TERRAS PÚBLICAS PARA CRIAÇÃO DE UNIDADES DE CONSERVAÇÃO Resumo: A Constituição Federal tutela os recursos naturais sendo obrigação do Estado e da Sociedade e competência comum a todos entes Federativos. A Lei 9.985/00 não enfrentou questões importantes como o da dominialidade das terras públicas. Em 15 anos após a Lei, muitas áreas têm sido criadas em sobreposição ou em territórios sem o domínio do ente titular do ato. Este cenário gera no mínimo insegurança jurídica, desentendimentos fundiários, além de conflitos locais. O objetivo central deste artigo é discutir se os dispositivos da Lei 9.985 de 2000, seu decreto e a Constituição, autorizam a criação de espaços protegidos em área de outro ente da Federação. Além disso, analisar as diferença quanto à modalidade de UC – de uso sustentável ou de proteção integral. As UC de uso Sustentável podem ser criadas em áreas sem o domínio do titular, pois estar-se-ia meramente atuando com Limitação Administrativa, sem a transferência do domínio. Nas UC de proteção integral sua instituição dependem do domínio pelo titular do ato, salvo quando ocorrer a desapropriação nos casos admitidos em Lei.Palavras-chaves: Intervenção do Estado; Lei 9.985/2000; Terras Públicas; Unidade de Conservação; Desapropriação.INTERVENTION OF THE PUBLIC AUTHORITIES IN OTHER PUBLIC LANDS FOR CONSERVATION UNITS OF CREATION Abstract: Natural resources protection is a Constitutional duty for both all society and State. Besides all federation members detain such common legal competency. The Brazilian Protected Area´s Act (Law 9.985 of 2000) it was not clear whether it is possible to create Protected Areas over public lands. Over last 15 years many areas have been created in overlapping public territories generating legal uncertainty, disagreements, and local conflicts. The aim of this text was to discuss whether law and the Constitution authorize a member of the Federation to institute Protected Areas in land of another member Federation. Furthermore, to examine the legal effects for different types of Protected Areas. The modality of Sustainable Protected Areas (SPA) can be created in areas without the domain. This is because merely would be acting with administrative limitation. On the other hand, the modality of Full Protected Areas (FPA) depend on the domain, except under the expropriation and compensation payment.Keywords: State intervention; Law 9.985/2000; Public lands; Conservation Unit; Expropriation.Data da submissão: 30/04/2016 Data da aprovação: 12/06/2016

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GPS mHealth Intervention among People Experiencing Homelessness: A Feasibility Study (Preprint)

10.2196/preprints.25553 ◽

2020 ◽

Author(s):

Leticia R. Moczygemba ◽

Whitney Thurman ◽

Kyler Tormey ◽

Anthony Hudzik ◽

Lauren Welton-Arndt ◽

...

Keyword(s):

Community Health ◽

Mobile Health ◽

Care Coordination ◽

Information Exchange ◽

Social Needs ◽

Local Health ◽

Hospital Visit ◽

Mhealth Intervention ◽

Significant Difference ◽

E Mail

BACKGROUND People experiencing homelessness are at risk for gaps in care after an emergency department (ED) or hospital visit, which leads to increased utilization, poor health outcomes, and high health care costs. The majority of homeless individuals have a cell phone of some type, which makes mobile health interventions a feasible way to connect a person experiencing homelessness with providers. OBJECTIVE To investigate the accuracy, acceptability, and preliminary outcomes of a global positioning system-enabled mobile health (GPS-mHealth) intervention designed to alert community health paramedics when people experiencing homelessness were in the ED or hospital. METHODS This was a pre-post design with baseline and 4-month post-enrollment assessments. A person experiencing homelessness taking at least two medications for chronic conditions who scored at least 10 on the Patient Health Questionnaire-9 (PHQ-9) and had at least two ED or hospital visits in the prior 6 months was eligible. Participants were issued a study smartphone with a GPS app programmed to alert a community health paramedic when a participant entered an ED or hospital. For each alert, community health paramedics followed up via telephone to assess care coordination needs. Participants also received a daily e-mail to assess medication adherence. GPS alerts were compared to ED and hospital data from the local health information exchange (HIE) to assess accuracy. Paired t-tests compared scores on the PHQ-9, Medical Outcomes Study Social Support Survey, and ASK-12 adherence survey at baseline and exit. Semi-structured exit interviews examined perceptions and benefits of the intervention. RESULTS Thirty participants enrolled; the mean age was 44.1 years (SD 9.7). Most were male (67%; n = 20), White (57%; n = 17), and not working (63%; n = 19). The GPS app showed limited accuracy in ED or hospital visit alerts. Only 18.8% of the alerts aligned with HIE data (3/16), mainly due to patients not having the phone with them during the visit, phone being off, and gaps in GPS technology. There was a significant difference in depressive symptoms between baseline (M=16.9, SD=5.8) and exit (M=12.7, SD=8.2); t(19)=2.9, p=.009 and a significant difference in adherence barriers between baseline (M=2.4, SD=1.4) and exit (M=1.5, SD =1.5); t(17)=2.47, p = .025). Participants agreed that the app was easy to use (M=4.4/5 with 5 = strongly agree (SA)) and indicated the e-mail helped them remember to take their medications (M=4.6/5). Qualitative data indicated that unlimited phone access allowed participants to meet social needs and maintain reliable contact with case managers, healthcare providers, family, and friends. CONCLUSIONS mHealth interventions are feasible for and acceptable to people experiencing homelessness. Objective data from the HIE provided more accurate ED and hospital visit information, but unlimited access to reliable communication provided benefits to participants beyond the study purpose of improving care coordination. CLINICALTRIAL Not applicable

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GIS mapping to solve environment education tasks: interactive map of vegetation “Along the Doppelmair’s trail”

Geodesy and Cartography ◽

10.22389/0016-7126-2020-955-1-7-18 ◽

2020 ◽

Vol 955 (1) ◽

pp. 7-18

Author(s):

A.V. Myadzelets ◽

N.M. Luzhkova

Keyword(s):

Protected Areas ◽

Scientific Information ◽

Satellite Image ◽

Image Interpretation ◽

Field Research ◽

Gis Mapping ◽

Environment Protection ◽

Gis Technologies ◽

Interactive Map ◽

Unique Species

Environmental education is an important function of Protected Areas among them nature reserves. It includes development of visible and available materials on tours and routes, on geographical and environmental features of a territory, and on unique species of flora and fauna. Interactive map of vegetation “Along Doppelmair’s trail” is an example of scientific information visualization. It was made for a distant and restricted core area in Barguzinsky Nature Reserve. We applied traditional geographical approaches and methods (field research, geobotanical descriptions) and modern GIS technologies (creation of unit database on landscape foundation, satellite image interpretation, infogram visualization) to create the map. As a result a GIS product is created with ArcMAP and located on the ArcGIS Online platform. This map shows characteristic vegetation types, succession stages of pyrogenic dynamics of forest geosystems formed during a century period. Infograms demonstrate information on sites with wild animal encounters, vegetation distribution, landscape features, and photographical materials. This interactive map is a way for environment protection popularization and solving some educational tasks for Protected Areas. It gives an opportunity to study changes in vegetation from Lake Baikal shoreline to mountain peaks of Bаrguzinskii Range, learn typical flora and fauna species, including endangered ones, find interesting historical facts about the reserve, and, thus, get an idea of uniqueness and fragility of nature and the importance of protection attempts.

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The Relevance of Trust

10.1093/oso/9780190869229.003.0007 ◽

2018 ◽

Author(s):

Inmaculada de Melo-Martín ◽

Kristen Intemann

Keyword(s):

Public Policy ◽

Negative Impact ◽

Scientific Information ◽

Policy Decisions ◽

The Public ◽

Epistemic Trust ◽

Proper Role ◽

Scientific Institutions ◽

Public Policy Decisions ◽

Scientific Phenomena

This chapter offers a brief overview of the importance of epistemic trust and the relevance that scientific institutions and practices have in promoting or undermining warranted public trust. Epistemic trust is crucial for the production of scientific knowledge, the ability of the public to make sense of scientific phenomena, and the development of public policy. Normatively inappropriate dissent is more likely to take hold and erroneously affect people’s beliefs and actions in a context where the trustworthiness of scientists is called into question and where there is an excessive reliance on scientific information when it comes to assessing policy decisions. Thus, finding ways to facilitate and sustain warranted epistemic trust, as well as increasing understanding of the proper role of science in public policy decisions can help mitigate the negative impact of dissenting views.

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Teaching Science in Today’s Society: The Case of Particle Physics for Primary Schools

Universe ◽

10.3390/universe7060169 ◽

2021 ◽

Vol 7 (6) ◽

pp. 169

Author(s):

Cristina Lazzeroni ◽

Sandra Malvezzi ◽

Andrea Quadri

Keyword(s):

Particle Physics ◽

Primary Schools ◽

Scientific Information ◽

Decision Makers ◽

Educational Institutions ◽

The Public ◽

The Past ◽

Rapid Changes ◽

The Subject ◽

Ongoing Project

The rapid changes in science and technology witnessed in recent decades have significantly contributed to the arousal of the awareness by decision-makers and the public as a whole of the need to strengthen the connection between outreach activities of universities and research institutes and the activities of educational institutions, with a central role played by schools. While the relevance of the problem is nowadays unquestioned, no unique and fully satisfactory solution has been identified. In the present paper we would like to contribute to the discussion on the subject by reporting on an ongoing project aimed to teach Particle Physics in primary schools. We will start from the past and currently planned activities in this project in order to establish a broader framework to describe the conditions for the fruitful interplay between researchers and teachers. We will also emphasize some aspects related to the dissemination of outreach materials by research institutions, in order to promote the access and distribution of scientific information in a way suited to the different age of the target students.

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Conservation Debates: People’s Perceptions and Values towards a Privately Protected Area in Southern Ecuador

Land ◽

10.3390/land10030233 ◽

2021 ◽

Vol 10 (3) ◽

pp. 233

Author(s):

Verónica Iñiguez-Gallardo ◽

Fabián Reyes-Bueno ◽

Olga Peñaranda

Keyword(s):

Protected Areas ◽

Land Tenure ◽

Protected Area ◽

Planning Process ◽

Social Needs ◽

Structured Interviews ◽

Key Stakeholders ◽

Southern Ecuador ◽

Negative Perceptions ◽

Land Tenure System

The perceptions and values that local communities have towards protected areas are of great value for the improvement of these territories’ management. Such perceptions and values are often absent in the conservation planning process, particularly in those privately protected areas that are established in areas where the land tenure system is based not only on ownership but also on customary uses. Drawing on qualitative and quantitative data obtained through semi-structured interviews with key stakeholders and members of communities surrounding a privately protected area in southern Ecuador, we identify that the level of collaboration with the managers, the distance to the protected area, the percentage of untitled land, and the dependence on the resources (customary uses) are among the variables affecting these perceptions and values. Positive perceptions towards protected areas and naturalistic values are developed among those who collaborate with the protected area managers, whereas negative perceptions, and a mix of naturalistic and biospheric values are developed among those who have a sense of a lack of attention to social needs although supporting nature conservation at the same time. The evidence presented shows the importance of matching local peoples’ expectations with conservation goals during the establishment of a protected area.

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Capacity building in the public health field in the Tunisian medical faculties

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1192 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

M Coman ◽

O Oltean ◽

M Palianopoulou ◽

D Plancikova ◽

C Zedini ◽

...

Keyword(s):

Public Health ◽

Health Policy ◽

Health Knowledge ◽

National Level ◽

Training Programme ◽

Local Health ◽

The Public ◽

Public Health Training ◽

Medical Faculties ◽

Health Field

Abstract Over the past years, Tunisia has experienced important reforms in the field of public health. The Tunisian medical faculties (Universities of Sfax, Tunis el Manar, Sousse and Monastir) play a key role in this endeavor by training public health professionals who can contribute to the modernization of the health system. Funded by the EC through Erasmus+ programme, the CONFIDE project (coordinated by Babes-Bolyai University, having as EU partners the Universities of Southern Denmark and Trnava, and the above mentioned Tunisian universities) has established the Research into Policy training programme by strengthening their capacity to provide public health training. The Research into Policy training programme has been delivered by the Centres for Evidence into Health Policy (C4EHPs) established within the Tunisian partner universities for the needs of CONFIDE. The training programme was implemented in four steps: (1) train the trainer sessions - the European experts trained 18 Tunisian trainers; (2) shadowing sessions - the trainers participated in shadowing sessions in the European partner institutions; (3) training delivery - the CONFIDE trainers, assisted by the European experts, delivered the training to an interdisciplinary group of 25 students and professionals; (4) internships - the students participated in internships in local health institutions. Three modules have been built within the Research into Policy training programme: Public health research, Health promotion policies and Evidence based public health policy. They contributed to increasing the public health knowledge and skills of the professionals trained. The training programme was well received by the Tunisian universities and the material developed so far during the project was adapted to the Tunisian context in the third step of implementation. On the long term, the project is expected to have an impact at the national level and produce updates at curricula level in the Tunisian medical faculties. Key messages Research into Policy training programme developed by the EC partners and culturally adapted by the Tunisian partners to the Tunisian public health context. Research into Policy training is a well-received tool for the high quality learning process in the public health field in Tunisian medical faculties.

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Overview of Facebook Use by Hospitals in Italy: A Nationwide Survey during the COVID-19 Emergency

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18147225 ◽

2021 ◽

Vol 18 (14) ◽

pp. 7225

Author(s):

Beniamino Schiavone ◽

Andrea Vitale ◽

Mena Gallo ◽

Gianlucasalvatore Russo ◽

Domenico Ponticelli ◽

...

Keyword(s):

Health Information ◽

Nationwide Survey ◽

Public Hospitals ◽

Communication Strategy ◽

Private Hospitals ◽

The Public ◽

Access To Health ◽

Facebook Pages ◽

Pandemic Wave

Background: Facebook is the most popular social network across the world and also allows users access to health information. Our study presents an overview of the official Facebook profiles of hospitals in Italy (n = 1351) and how much they are used. Methods: All hospitals were surveyed on the number of Facebook posts in May (post-lockdown) and October (second pandemic wave) 2020. The number of followers, the creation date of the official page, and the frequency of publication—that is, the average number of days between two subsequent posts—were determined. Results: In Italy, only 28% (n = 379) of the hospitals had official Facebook pages, of which 20.6% (n = 78) were public hospitals, and 79.4% (n = 301) were private hospitals. Of the hospitals with Facebook pages, 49.1% used them every week, and public hospitals published more often. Conclusions: Despite the differences between regions and types of management, the number of hospitals in Italy that use Facebook as a tool for the public dissemination of health information is still low. Hospitals should adopt an effective communication strategy using social networks to improve the quality of health care.

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Building Health Communities: Local Health Care Networks in Maryland

The American Review of Public Administration ◽

10.1177/0275074019864298 ◽

2019 ◽

Vol 50 (1) ◽

pp. 62-76 ◽

Cited By ~ 1

Author(s):

Aaron Wachhaus

Keyword(s):

Health Care ◽

Local Level ◽

Collaborative Networks ◽

Local Health ◽

Exploratory Research ◽

The Public ◽

Health Care Networks ◽

Local Health Care ◽

Health Communities ◽

Treatment Of Obesity

Combatting chronic disease (prevention and treatment of obesity, diabetes, heart health, and stroke) requires action at the local level, both to educate the public and to provide health services. Effective collaboration among local organizations devoted to educating the public about, and treating patients of, these diseases is a key component of successful health care. To better understand local efforts, a social network analysis of five local health care networks spanning eight counties in Maryland was conducted. The purpose of this exploratory research was to discover whether collaborative networks exist at the local level, to map the networks, and to assess their strengths and needs.

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Equitable access to health services for children aged 5 to 9 in a medium city of northeasth of Brazil: a result of Family Health Strategy

Revista Brasileira de Epidemiologia ◽

10.1590/1809-4503201400060004 ◽

2014 ◽

Vol 17 (suppl 2) ◽

pp. 39-52 ◽

Cited By ~ 5

Author(s):

Adriana Xavier de Santiago ◽

Ivana Cristina de Holanda Cunha Barreto ◽

Ana Cecília Silveira Lins Sucupira ◽

José Wellington de Oliveira Lima ◽

Luiz Odorico Monteiro de Andrade

Keyword(s):

Health Services ◽

Health System ◽

Family Health ◽

Northeastern Brazil ◽

Local Health ◽

Access To Health Services ◽

Care Services ◽

Health Strategy ◽

Access To Health ◽

Family Health Strategy

INTRODUCTION: The Brazilian National Health System may reduce inequalities in access to health services through strategies that can reach those most in need with no access to care services. OBJECTIVE: To identify factors associated with the use of health service by children aged 5 to 9 years in the city of Sobral, Ceará, northeastern Brazil. RESULTS: Only 558 (17.0%) children used health care services in the 30 days preceding this survey. Children with any health condition (OR = 3.90) who were frequent attenders of primary care strategy of organization (the Family Health Strategy, FHS) (OR = 1.81) and living in the city's urban area (OR = 1.51) were more likely to use health services. Almost 80% of children used FHS as their referral care service. Children from poorer families and with easier access to services were more likely to be FHS users. CONCLUSION: The study showed that access to health services has been relatively equitable through the FHS, a point of entry to the local health system.

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