scholarly journals Atuação do Ministério Público do Trabalho em Saúde e Segurança na 15ª Região: uma visão da eficácia das intervenções no período de 2013 a 2016

2018 ◽  
Vol 1 (1) ◽  
pp. 74
Author(s):  
Thaíssa Rocha Proni ◽  
José Roberto Montes Heloani
Keyword(s):  
Work Environment ◽  
Health And Safety ◽  
Labor Law ◽  
Well Being ◽  
Sao Paulo ◽  
Labor Rights ◽  
São Paulo ◽  
The Public ◽  
Compliance With The Law ◽  
Judicial Procedures

A atuação do Estado por meio das instituições públicas se mostra essencial na concretização do direito do trabalho no Brasil devido ao descumprimento crônico e persistente da lei, inclusive daquelas destinadas a proteger a saúde e a segurança dos trabalhadores. Neste cenário, este artigo tem como objetivo oferecer uma visão da eficácia da atuação do Ministério Público do Trabalho enquanto guardião do cumprimento da lei e efetivação dos direitos trabalhistas, em especial direitos relativos ao meio ambiente do trabalho, área que envolve saúde, segurança e bem-estar dos trabalhadores. Para tanto, foi examinada a intervenção da instituição no interior de São Paulo (15ª Região do Ministério Público do Trabalho), ao longo do período 2013-2016, por meio da análise dos procedimentos extrajudiciais e judiciais utilizados para investigar, ajustar ou processar os ilícitos cometidos pelas empresas. A análise demonstrou haver eficácia em boa parcela dos termos de ajustamento de conduta e maior sucesso nas demandas judiciais, permitindo identificar limites no poder de coerção da instituição na resolução dos conflitos nos quais intervém.PALAVRAS-CHAVE: Ministério Público do Trabalho; direito do trabalho; meio ambiente do trabalho; saúde e segurança do trabalhador. Abstract The State's performance through public institutions is essential for the realization of labor law in Brazil due to chronic and persistent non-compliance with the law, including those designed to protect the health and safety of workers. In this scenario, the objective of this article is to discuss and analyze the effectiveness of the work of the Prosecutor's Labour Office as a guardian of law enforcement and enforcement of labor rights, especially rights related to the work environment, an area that involves health, safety and well-being of workers. To this end, the intervention of the institution in the countryside of São Paulo (15th Region of the Public Prosecutor's Labour Office), during the period 2013-2016, was examined by analyzing the extrajudicial and judicial procedures used for investigating, adjusting or prosecuting illicit conducts by employers. The analysis showed that a good part of the terms of adjustment of conduct were effective and there was greater success in the lawsuits, which allows the identification of to identify limitations in the power of coercion of the institution in the resolution of the conflicts in which it intervenes.KEYWORDS: Prosecutor's Labour Office. Labor Law. Work environment. Health and safety of the worker.

scholarly journals Prevalence and costs of headaches for the public health system in a town in the interior of the state of São Paulo

2001 ◽  
Vol 59 (3A) ◽  
pp. 504-511 ◽  
Author(s):  
Marcelo E. Bigal ◽  
Janaína O.M. Bigal ◽  
Carlos A. Bordini ◽  
José G. Speciali
Keyword(s):  
Public Health ◽  
Health System ◽  
Hospital Admissions ◽  
Public Health System ◽  
Well Being ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
The Public

Despite the high prevalence, impact and economic importance of headaches, studies on this subject are rare in Brazil. The aim of the present study was to estimate the prevalence of headaches in the public health system of a town in the interior of the State of São Paulo, as well as to estimate the costs resulting from its management. Data refer to the year of 1998 and were obtained according to the following steps: 1) territorial and demographic characterization of the municipality; 2) characterization of the financial indices and social well-being; 3) budget characteristics of the municipality; 4) evaluation of the structuring of the medical service; 5) determination of the prevalence of headaches at different patient care levels; and 6) calculation of the costs of headaches. Headaches represented 7.9% of all visits at basic health units, 9.7% in the emergency room and 1.1% of hospital admissions. The total costs were R$ 85,131.31 (US$ 70,942.76) corresponding to R$ 7.59 (US$ 6,32) per inhabitant/year. The present study shows the need for epidemiological and economic impact studies, which would provide the basis for the rational use of health funds.

scholarly journals Public perception of science of undergraduate students from the state of São Paulo: a study through the perspective of biotechnology

2016 ◽  
Vol 18 (1) ◽  
pp. 83
Author(s):  
Fernanda Oliveira Simon ◽  
Estéfano Vizconde Veraszto ◽  
José Tarcísio Franco de Camargo ◽  
Dirceu da Silva ◽  
Nonato Assis de Miranda
Keyword(s):  
Undergraduate Students ◽  
Public Perception ◽  
Technological Development ◽  
Public Attitudes ◽  
Sao Paulo ◽  
Scientific Practices ◽  
São Paulo ◽  
The Public ◽  
Political Implications ◽  
Mixed Approach

The association between scientific knowledge and attitudes toward science has historical, social and political implications. Therefore, it becomes essential to assess public attitudes in face of science as these relate to the changing context of scientific practices and their implications on practical and social problems. Thus, this paper presents results of a survey developed from a mixed approach, which evaluated the public perception of science and attitudes in face of the scientific and technological development, from the perspective of biotechnology, in a public composed of undergraduate students from different places of São Paulo State, in Brasil. The results obtained by confirmatory factor analysis are indicators that show that the conceptions that people have about science directly and positively influences their attitudes to science.

scholarly journals Concepções de saúde e educação em saúde: um estudo com professores do ensino fundamental [Conceptions of health and health education: a study of primary and lower secondary teachers] [Concepciones de salud y de educación en salud: un estudio con maestros de la educación]

2017 ◽  
Vol 25 ◽  
pp. e12394
Author(s):  
Vanessa Castanha ◽  
Leni Ane Muniz da Silva ◽  
Lays Dos Santos Maia ◽  
Luciane Sá de Andrade ◽  
Marta Angélica Iossi Silva ◽  
...  
Keyword(s):  
Health Education ◽  
Secondary Teachers ◽  
Well Being ◽  
Sao Paulo ◽  
São Paulo ◽  
Research Committee ◽  
Scientific Rigor ◽  
Paulo State ◽  
Dialectical Approach ◽  
Health Promotion In Schools

Objetivo: identificar os conceitos de saúde e de educação em saúde dos professores do Ensino Fundamental e sua inserção nas disciplinas lecionadas. Método: pesquisa qualiquantitativa, tendo como referencial metodológico a abordagem dialética. Utilizado questionário aberto como instrumento de coleta de dados, contendo questões para caracterização dos sujeitos, sobre o conceito de saúde e de educação em saúde. Foi aplicado a 13 professores de uma escola pública do interior paulista, em agosto e setembro de 2011. O projeto foi aprovado pelo Comitê de Ética e Pesquisa da EERP/USP, CAAE nº 0107.0.153.000-11, atendendo os preceitos éticos e o rigor científico. Resultados: saúde aparece fortemente relacionada à atividade física, alimentação e ao bem-estar. Os professores pouco relacionam saúde às suas disciplinas, e quando relacionam é de modo informal e sem planejamento. Conclusão: a concepção e aplicação da promoção da saúde na escola mostraram-se precárias; assim faz-se importante discutir caminhos para o melhor desenvolvimento dessa tarefa. ABSTRACTObjective: to identify primary and lower secondary teachers’ conceptions of health and health education, and how they figure in the subjects they teach. Method: in this qualitative-quantitative study, based methodologically on the dialectical approach, data was collected by applying an open questionnaire, comprising questions to characterize the subjects, their conceptions of health and of health education, to 13 teachers at a public school in São Paulo State, in August and September 2011. The project was approved as meeting standards of ethics and scientific rigor by the ethics and research committee of EERP/USP (CAAE No. 0107.0.153.000-11). Results: health figured as strongly related to physical activity, nutrition and well-being. Most teachers did not relate health to their disciplines, and when they did so, it was informal and unplanned. Conclusion: the conception and application of health promotion in schools is weak; accordingly, it is important to discuss ways of improving it.RESUMEN Objetivo: identificar los conceptos de salud y educación de los maestros de primaria y su inserción en las disciplinas enseñadas. Método: investigación cuali-cuantitativa, teniendo como el marco metodológico el enfoque dialéctico. Cuestionario abierto se utiliza como instrumento de recolección de datos, con preguntas para caracterizar a los sujetos en el concepto de educación para la salud y la salud. Se aplicó a 13 maestros en una escuela pública en el Estado de São Paulo, en agosto y septiembre de 2011. El proyecto fue aprobado por el Comité de Ética e Investigación de la EERP/USP, CAAE nº 0107.0.153.000-11, atendiendo los preceptos éticos y el rigor científica. Resultados: salud aparece fuertemente relacionado con la actividad física, la nutrición y el bienestar. Los maestros poco relacionan sus disciplinas con la salud, y cuando se relacionan es informal y no planificado. Conclusión: la concepción y aplicación de la promoción de la salud en la escuela resultó ser precaria; así se hace importante para discutir las formas de mejorar el desarrollo de esta tarea. DOI: http://dx.doi.org/10.12957/reuerj.2017.12394

scholarly journals Analysis of partnerships for actions intra-sectoral and inter-sectors for health in areas of high socio-environmental vulnerability in the city of São Paulo/Brazil: a mixed method study

2019 ◽  
Author(s):  
Patricia Melo Bezerra ◽  
Iara Coelho Zito Guerriero
Keyword(s):  
Social Inequalities ◽  
Statistical Significance ◽  
Well Being ◽  
Sao Paulo ◽  
Second Phase ◽  
São Paulo ◽  
Different Types ◽  
The Relationship ◽  
The City ◽  
Basic Health Units

Abstract Context Since poverty areas are socioeconomic complex and limiting environments, there is a need to develop intra-sectoral and inter-sectoral actions in the health territory in order to achieve the economic and social well-being of people and society. This research aims to understand the relationship between inter-sectorial and inter-sectoral actions for health and socio-environmental groupings of the most vulnerable health territories in the city of São Paulo, identify which are the most frequent partners of these actions and how professionals experience these partnerships in their daily lives.Method We adopted the mixed sequential and explanatory method. In the first phase, an online form is applied and identifies the Basic Health Units (BHU) that take place as intersectoral actions with more partners. In the second phase, we explored how the professionals consider the characteristics of the territory where they act to seek partnerships and how they carry out the actions.Results Analysis of quantitative data indicated that: a) More than 98% of BHUs conduct intra- and inter-sectoral partnerships and b) there is no relationship between the indices of the most vulnerable groupings and the presence of intra- and inter-sectoral actions with statistical significance p <0.05. The content analysis of literal transcriptions pointed out that: intra- and inter-sectoral practices developed in the health territories were driven by the needs of the treatment of diseases or by the precarious conditions of life of individual or collectivities. However, in order to assist different types of violence, health professionals avoid seeking partnerships, including with the Tutelary Council and the Center for Human Rights, as they fear they will suffer reprisals by those who cause this violence. There was consistency between quantitative and qualitative data, except for partnership with education, other BHUs, environment, and the Tutelary Council.Conclusion The construction of personalized partnerships for individual and collective health, in order to cope with social inequalities; of chronic diseases and by phases of the life cycle involved in socioeconomic fragilities that generate more poverty is part of the job from BHU’s professionals.

scholarly journals Concessões nas Unidades de Conservação do Estado de São Paulo: reflexões, oportunidades e desafios

2017 ◽  
Vol 10 (2) ◽  
Author(s):  
Alessandra Freire Reis ◽  
Odaléia Telles Marcondes Machado Queiroz
Keyword(s):  
Protected Areas ◽  
Leisure Activities ◽  
Sao Paulo ◽  
The State ◽  
Legal Responsibility ◽  
São Paulo ◽  
State Parks ◽  
Public Servants ◽  
The Public ◽  
Leisure And Recreation

A discussão sobre a concessão das unidades de conservação é extremamente importante e tem gerado polêmica no Estado de São Paulo, devido à aprovação da Lei Nº 16.260, de 29 de junho de 2016, que “autoriza a Fazenda do Estado a conceder a exploração de serviços ou o uso, total ou parcial, de áreas em próprios estaduais”. A pesquisa e o debate sobre o tema são fundamentais para compreensão e reflexão das possibilidades e consequências da escolha deste caminho para as UCs, ainda que estes devessem anteceder a tomada de decisão. As atividades turísticas e de lazer estão dentre os principais serviços a serem concedidos a iniciativa privada nos Parques Estaduais. Embora essas atividades estejam dentre os objetivos deste tipo de categoria de UC é preeminente ressaltar que a conservação deve nortear a gestão. O Estado é responsável por proteger importantes fragmentos de Mata Atlântica e Cerrado, em áreas com diferentes tipos de ocupação e pressão. Para tanto, necessita de investimento em pessoal capacitado, infraestrutura e equipamentos, além do apoio e diálogo com comunidades tradicionais, que tenham relação com as áreas. O que se observa atualmente é a precarização dos serviços prestados, em que os servidores públicos não têm plano de carreira e os guarda-parques, funcionários primordiais para essas áreas, estão se extinguindo e com eles todo um rico conhecimento. A maioria dos gestores é comissionada e em alguns casos não tem formação adequada para função. A fiscalização é terceirizada e patrimonial deixando que a Floresta propriamente dita, fique a mercê de usos indevidos e inadequados como ocupação irregular, extração de flora, caça, depósito de entulhos, entre outros. É fato que as atividades de uso público realizadas atualmente estão aquém das possibilidades dos parques. A concessão de serviços como alimentação, hospedagem, aluguel de equipamentos e implantação de estruturas para atividades de ecoturismo podem sim ser uma alternativa para dinamizar o uso desses espaços e gerar recursos. Há diversos exemplos de sucesso no exterior e no Brasil, que podem ser inspiradores. Porém, é necessário fundamentalmente que o Estado assuma a responsabilidade legal de salvaguardar as UCs, valorizando a carreira dos servidores públicos investindo em concursos e capacitações. Somente com uma estrutura organizacional fortalecida será possível conduzir com eficiência processos de concessão, que contribuam com a otimização de uso adequado desses espaços. As UCs fornecem serviços ambientais imensuráveis e dentre eles estão às oportunidades turismo, lazer e recreação. Tourism Concessions in Protected Areas of São Paulo state (Brazil): reflections, opportunities and challenges ABSTRACT The discussion on the concession of protected areas is extremely important and has generated controversy in the State of São Paulo, due to the approval of the draft law Nº 16.260, that "authorizes the State Treasury to grant the exploitation of services or use of all or part of areas in state themselves." Research and debate on the subject are fundamental to understanding and reflection of the possibilities and consequences of choosing this way for protected area, even if they were to precede decision-making. Tourist and leisure activities are among the main services to be granted to private initiative in the State Parks. Although these activities are among the goals of that category of PA is paramount to emphasize that conservation should guide the management. The State is responsible for protecting important fragments of Atlantic Forest and Savannah, in areas with different types of occupation and pressure. Therefore, it needs investment in trained personnel, infrastructure and equipment, and support and dialogue with traditional communities that relate to the areas. What we currently see is the precariousness of services, where public servants have no career plan and park rangers, primary staff to these areas, they are dying off and with them a whole wealth of knowledge. Most managers are commissioned and in some cases do not have adequate training to function. The inspection is outsourced and property letting the forest itself, be at the mercy of undue and inappropriate uses such as illegal occupation, flora extraction, hunting, debris deposit, among others. It is true that the public use activities currently performed are beyond the means of the parks. The concession of services such as food, lodging, equipment rental and implementation of ecotourism activities to structures can indeed be an alternative to boost the use of these spaces and generate resources. There are many examples of success in Brazil and abroad, which can be inspiring. However, it is fundamentally necessary that the State assumes the legal responsibility to safeguard the protected areas, enhancing the careers of public servants investing in competitions and training. Only with a strengthened organizational structure will be possible to drive efficiently concession processes that contribute to the optimization of appropriate use of these spaces. PAs provide immeasurable environmental services and among them are the opportunities tourism, leisure and recreation. KEYWORDS: State Parks; Public Use; Management; Conservation.

scholarly journals Brazilian union actions for workers' health protection

2005 ◽  
Vol 123 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Rodolpho Repullo Junior ◽  
Jorge da Rocha Gomes
Keyword(s):  
Health And Safety ◽  
Health Department ◽  
Sao Paulo ◽  
São Paulo ◽  
Work Processes ◽  
Unified Health System ◽  
Union Action ◽  
Study Setting ◽  
Health Objective ◽  
Work And Health

CONTEXT: Many authors have emphasized the importance of worker strength through unionized organizations, in relation to the improvement of working procedures, and have reported on the decisiveness of labor movement actions in achieving modifications within the field of work and health. OBJECTIVE: To describe the ways in which Brazilian unions have tried to intervene in health-illness and work processes, identifying the existence of commonality in union actions in this field. TYPE OF STUDY: Qualitative study. SETTING: Postgraduate Program, Environmental Health Department, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brazil. METHODS: Union health advisers and directors were interviewed. Documents relating to union action towards protecting workers' health were collected and analyzed. RESULTS: Unions articulate actions regarding workers' health of a technical and political nature that involve many aspects and high complexity. These have been divided into thematic categories for better analysis. DISCUSSION: Union actions regarding workers' health in Brazil are restricted to some unions, located mainly in the southern, southeastern and northeastern regions of the country. Nonetheless, the unions undertaking such actions represent many professions of great economic and political importance. CONCLUSIONS: The recent changes in health and safety at work regulations, recognition of professional diseases, creation of workers' health services and programs within the unified health system, and operational improvements in companies' specialized safety and occupational medicine services, all basically result from union action. There is commonality of union action in this field in its seeking of technical and political strengthening for all workers and their general and local representation. This has the objective of benefiting collective bargaining between employers and workers. Inter-institutional action on behalf of workers' rights guarantees and amplifies the improvement of health and working conditions.

Predictors of self-legitimacy among military police officers in São Paulo, Brazil

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Viviane de Oliveira Cubas ◽  
Frederico Castelo Branco ◽  
André Rodrigues de Oliveira ◽  
Fernanda Novaes Cruz
Keyword(s):  
Police Officers ◽  
Sao Paulo ◽  
Least Square ◽  
São Paulo ◽  
Military Police ◽  
Content Type ◽  
Organizational Variables ◽  
Ordinary Least Square ◽  
The Public ◽  
The Military

PurposeThe authors examine predictors of self-legitimacy for police officers belonging to the Military Police force of São Paulo (Brazil). Considering the variables mobilized by the literature on self-legitimacy, the authors seek to identify what explains the self-legitimacy of militarized police officers.Design/methodology/approachA survey was applied to 298 frontline police officers in the city of São Paulo, analyzing indicators separated into two groups: relationship dimension and organizational dimension. An ordinary least square model is used to test the “relationship” and “organizational” variables on police officers' self-legitimacy.FindingsEffectiveness is the strongest predictor for self-legitimacy. Organizational justice and distributive justice also present important effects, as the perception of citizens' attitudes toward police reinforces the conception of self-legitimacy as a dialogical construct, comprising here the public's expectations of police work as well as the police officers' perceptions that they are respected and considered important by the public.Originality/valueThere are no other studies on self-legitimacy related to Brazilian police officers or exploring these aspects among police officers submitted to a militarized structure. These results contribute to the ongoing debate on the militarization of police activities and their possible effects on police legitimacy.

scholarly journals Cost of schizophrenia: direct costs and use of resources in the State of São Paulo

2006 ◽  
Vol 40 (2) ◽  
pp. 304-309 ◽  
Author(s):  
Raquel Jales Leitão ◽  
Marcos Bosi Ferraz ◽  
Ana Cristina Chaves ◽  
Jair J Mari
Keyword(s):  
Public Sector ◽  
Outpatient Care ◽  
Direct Costs ◽  
Sao Paulo ◽  
The State ◽  
Public Hospitals ◽  
Total Direct Cost ◽  
São Paulo ◽  
Regular Treatment ◽  
The Public

OBJECTIVE: To estimate the direct costs of schizophrenia for the public sector. METHODS: A study was carried out in the state of São Paulo, Brazil, during 1998. Data from the medical literature and governmental research bodies were gathered for estimating the total number of schizophrenia patients covered by the Brazilian Unified Health System. A decision tree was built based on an estimated distribution of patients under different types of psychiatric care. Medical charts from public hospitals and outpatient services were used to estimate the resources used over a one-year period. Direct costs were calculated by attributing monetary values for each resource used. RESULTS: Of all patients, 81.5% were covered by the public sector and distributed as follows: 6.0% in psychiatric hospital admissions, 23.0% in outpatient care, and 71.0% without regular treatment. The total direct cost of schizophrenia was US$191,781,327 (2.2% of the total health care expenditure in the state). Of this total, 11.0% was spent on outpatient care and 79.2% went for inpatient care. CONCLUSIONS: Most schizophrenia patients in the state of São Paulo receive no regular treatment. The study findings point out to the importance of investing in research aimed at improving the resource allocation for the treatment of mental disorders in Brazil.

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