RESUMO Vários estudos têm vinculado diferentes outcomes organizacionais como antecedentes às capacidades dinâmicas, sendo que se destacam o empreendedorismo, o dinamismo ambiental, os recursos, a gestão do conhecimento, a aprendizagem organizacional e o planejamento estratégico. O presente estudo tem por objetivo avaliar de forma completa, considerando todas as dimensões conceituais, como se relacionam o modelo das alavancas de controle estratégico e as capacidades dinâmicas, considerando o perfil dos empregados da ITAIPU Binacional. Os dados foram coletados por meio de um survey e as hipóteses avaliadas com o auxílio da modelagem de equações estruturais, empregando-se o método de estimação por mínimos quadrados parciais. Os resultados obtidos validaram a hipótese central de que as alavancas de controle influenciam positivamente a presença das capacidades dinâmicas, além de uma das hipóteses complementares de que o sistema interativo influencia positivamente a presença da capacidade de sentir as oportunidades. As alavancas de controle estratégico podem ser tratadas agora pelas organizações como possíveis fontes de capacidades dinâmicas. dinâmicas empreendedorismo ambiental recursos conhecimento completa conceituais Binacional estruturais empregandose empregando parciais oportunidades

ABSTRACT Several studies have thus far linked diverse organizational outcomes as antecedents to dynamic capabilities, with an emphasis on entrepreneurship, environmental dynamism, resources, knowledge management, organizational learning, and strategic planning. This study aims to fully assess how the model of strategic levers of control and dynamic capabilities framework are related, considering all conceptual dimensions and the profile of ITAIPU Binacional employees. The data was collected through a survey, and the hypotheses evaluated with the assistance of structural equation modelling, using the partial least squares estimation method. The findings validated the central hypothesis, that the levers of control do positively influence the presence of the dynamic capabilities, in addition to one other complementary hypothesis- that the interactive system also positively influences the ability to sense opportunities. The strategic levers of control can now be treated by organizations as possible sources of dynamic capabilities. entrepreneurship dynamism resources management learning planning related employees survey modelling method hypothesis opportunities

The focus of this manuscript is to present the extension project “(Re)thinking the (in)differences: the deconstructions and resistance to transversal themes in the teaching of Natural Sciences”, as well as analyzing its potential when working with continued training work by teachers, promoting debate, discussion, and reflection on the use of contemporary cross-cutting themes in chemistry and science classes. It was also intended to stimulate class planning, the production of strategies and teaching material by educators motivated by the need to reform thinking and regenerate teaching, considering social themes that seek the empowerment of groups placed on the margins of the education system, so that they undertake training that is a collective achievement and built with social discussions. Rethinking Re indifferences differences (in)differences Sciences, Sciences , Sciences” teachers debate discussion crosscutting cross cutting classes planning system discussions

Resumo Este trabalho foca-se na simulação do comportamento de pavimentos utilizando o Método de Elementos Finitos (MEF) com o objetivo de prever o aparecimento das fissuras durante sua vida útil. O método desenvolvido pode ajudar no planejamento da manutenção no sentido de proporcionar segurança e conforto aos usuários. São considerados os efeitos das cargas de tráfego e das variações de temperatura. Ferramentas de inteligência artificial (IA) são adotadas para reduzir o tempo necessário para a interpretação dos resultados das simulações para o desenvolvimento de um sistema eficiente de gestão de pavimentos. O sistema de gerenciamento de pavimentos rígidos desenvolvido utiliza a técnica de Redes Neurais Artificiais (RNA) para a previsão da resposta do pavimento ao acumulo de fadiga e do comportamento do pavimento modelado com alto grau de precisão. As redes apresentaram erros quadrados de 4.5% e 3.6% para gradientes de temperatura positivos e negativos e correlação de dados de 95% e 97%, respectivamente. O índice de tensão SR obtido pelo modelo desenvolvido em ABAQUS é 0.614 e o valor fornecido pelo sistema de gerenciamento de pavimentos é 0.648. A metodologia desenvolvida foi aplicada a um trecho da rodovia BR-101/NE, entre os estados da Paraíba PR e Pernambuco PE, no Brasil. Comparando os resultados com os limites previstos pelo Programa Cooperativo Nacional de Pesquisa Rodoviária (NCHRP) para o tráfego do trecho de estudo, este pavimento necessitaria de manutenção semestral. Os valores máximos de tensão de tração por flexão foram obtidos combinando o gradiente positivo de temperatura com a carga do eixo de tráfego na borda durante os meses de verão (dezembro a março) devido aos maiores valores de gradiente térmico. focase foca se MEF (MEF útil usuários IA (IA RNA (RNA precisão 45 4 5 4.5 36 3 6 3.6 95 97 97% respectivamente 0614 0 614 0.61 0648 648 0.648 BR101/NE, BR101NE BRNE BR 101/NE, 101 NE BR-101/NE PE Brasil NCHRP (NCHRP estudo semestral dezembro março térmico 4. 3. 9 061 61 0.6 064 64 0.64 BR101 BR101/NE 101NE 101/NE 10 06 0. BR10 1 BR1

Abstract This work is concerned with the simulation of pavement behavior using the Finite Element Method (FEM) with the goal of predicting the appearance of cracks during its useful life. The developed method can help maintenance planning towards providing users with safety and comfort. The effects of both traffic loads and temperature variations are considered. Artificial Intelligence (AI) tools are adopted to reduce the time necessary for the interpretation of simulation results for the development of an efficient pavement management system. The developed rigid pavement management system uses the Artificial Neural Networks (ANN) technique for the prediction of both pavement response to fatigue accumulation and the behavior of the modeled pavement with a high degree of precision. The networks showed 4.5% and 3.6% square errors for positive and negative temperature gradients and 95% and 97% data correlation, respectively. The SR stress ratio obtained by the developed ABAQUS model is 0.614 and the value provided by the pavement management system is 0.648. The developed methodology was applied to a section of highway BR-101/NE, between the states of Paraiba PR and Pernambuco PE, in Brazil. Comparing the results with the limits provided by National Cooperative Highway Research Program (NCHRP) for traffic in the study, this pavement would require maintenance every six months. The maximum values of tensile stress due to bending were obtained by combining the positive temperature gradient with the traffic axis load at the edge during the summer months (December to March) due to the higher thermal gradient values. FEM (FEM life comfort considered AI (AI ANN (ANN precision 45 4 5 4.5 36 3 6 3.6 95 97 correlation respectively 0614 0 614 0.61 0648 648 0.648 BR101/NE, BR101NE BRNE BR 101/NE, 101 NE BR-101/NE PE Brazil NCHRP (NCHRP study December March 4. 3. 9 061 61 0.6 064 64 0.64 BR101 BR101/NE 101NE 101/NE 10 06 0. BR10 1 BR1

Abstract This study identifies the effect of the public policy implemented in the State of Ecuador in 2008 in regard to democratization of access to higher education, being understood as a right that reduces the existing gaps between men and women, ethnicities and quintiles; for this purpose, a mixed methodology is used as the starting point and, using a qualitative analysis, a review of the main legal instruments regulating higher education in Ecuador was performed, along with specific articles related to this subject. For quantitative methodology, the starting points were reports of the National Information System (SNI) in regards to net rate of enrollment in higher education, managed by the National Secretariat of Planning in order to perform a descriptive analysis on its evolution in gender, ethnicity and registration quintiles. Among the main results obtained, it was determined that the gratuity policy did have a positive effect for access to higher education for men, women, African-Ecuadorian and indigenous peoples and, for quintiles 1, 2 and 3 until year 2011, a noticeable increase was seen in nationwide net rate of enrollment with 4.95 percentile points between 2007 and 2011, until the meritocracy policy entered in force in 2012.

Resumen Esta investigación identifica el efecto de la política pública implementada en 2008 por el Estado ecuatoriano referente a la democratización del acceso a la educación superior, entendida como un derecho que reduce las brechas que existen entre hombres y mujeres, etnias y quintiles; para ello, se parte de una metodología mixta, en la que, dentro del análisis cualitativo, se revisan los principales instrumentos legales que regulan la educación superior en Ecuador, y artículos seleccionados sobre la temática. En la metodología cuantitativa, se parte de los reportes del Sistema Nacional de Información (SNI) referentes a la tasa neta de matrícula en educación superior, administrado por la Secretaría Nacional de Planificación, para realizar un análisis descriptivo sobre su evolución a nivel de sexo, etnia y quintiles de ingreso. Entre los principales resultados, se determina que la política de gratuidad tuvo un efecto positivo en el acceso a la educación superior, para hombres, mujeres, afroecuatorianos e indígenas, y en los quintiles 1, 2 y 3, hasta el año 2011, evidenciando un incremento en la tasa neta de matrícula a nivel nacional, de 2007 a 2011, de 4,95 puntos porcentuales, hasta que entró en vigor la política de meritocracia, en 2012.

Resumo A investigação identifica o efeito da política pública implementada no ano 2008 pelo Estado equatoriano em relação à democratização do acesso à educação superior, entendida a jeito de direito que reduze as divisões existentes entre homens e mulheres, etnias e quintis; para esse propósito, usou-se uma metodologia mista na que, dentro da análise qualitativa, examinaram -se os instrumentos legais principais de regulação da educação superior no Equador, além de artigos escolhidos da área temática. Dentro da metodologia quantitativa, usaram-se os reportes do Sistema Nacional de Informação (SNI) referentes à taxa líquida de matrícula na educação superior aportado pela Secretaria Nacional de Planificação, para fazer uma análise descritiva da evolução em relação ao sexo, etnia e quintis de admissão. Entre os resultados principais, determinou-se que a política de gratuidade teve um efeito positivo no acesso à educação superior para homens, mulheres, afro-equatorianos e indígenas e, nos quintis 1, 2 e 3, até o ano 2011, observou-se um incremento na taxa líquida de matrícula ao nível nacional entre os anos 2007 ao 2011, com 4.95 pontos percentis, até o começo da validade da política de meritocracia no 2012.

Abstract The Galapagos Islands, a natural heritage of humanity, have meticulous control of wildlife and strict inspection of the number and frequency of visitors. The increase in tourists, apart from positive aspects, and the increase in population generates a greater demand for electrical energy. In this sense, Galapagos seeks a boost to comprehensive energy sustainability, replacing thermal energy with environmentally friendly Non-Conventional Renewable Energy (NCRE), through the optimal energy management project through the Conolophus microgrid project. This document analyzes the optimal management of electrical energy (short-term economic dispatch) considering the stochasticity presented by the high insertion of NCRE in the Santa Cruz-Baltra electrical system. For it. The free simulation software called “SimSEE” (Electric Energy Systems Simulator) is used, where operational scenarios are modeled with and without the Conolophus project in order to analyze its impact on the planning of the operation of the Santa Cruz-Baltra system.

Resumen: Las islas Galápagos, patrimonio natural de la humanidad, cuentan con un control minucioso de la vida silvestre y ejercen estricta inspección del número y frecuencia de visitantes. El incremento de turistas, aparte de aspectos positivos, y el incremento de la población genera una mayor demanda de energía eléctrica. En este sentido, Galápagos busca un impulso a la sostenibilidad energética integral, reemplazando la energía térmica con Energías Renovables No Convencionales (ERNC), amigables con el medio ambiente, a través del proyecto de gestión óptima de la energía mediante el proyecto de microrred Conolophus. En el presente documento se analiza la gestión óptima de la energía eléctrica (despacho económico de corto plazo) considerando la estocasticidad que presenta la alta inserción de ERNC en el sistema eléctrico Santa Cruz-Baltra. Para ello. se usa el software libre de simulación denominado “SimSEE” (Simulador de Sistemas de Energía Eléctrica), donde se modelan escenarios operativos con y sin el proyecto Conolophus con la finalidad de analiza su impacto en la planificación de la operación del sistema Santa Cruz-Baltra.

RESUMEN El propósito de la investigación es examinar los sistemas de planificación y sus mecanismos regulatorios para entender cómo se organizan y regulan, ya sea parcial o completamente, dependiendo de la organización para lograr la consecución de objetivos. Las aportaciones teóricas de la investigación se centran en la conceptualización de la teoría de sistemas. El aporte metodológico se basa en el desarrollo de un esquema secuencial y lógico con la aplicación de un dendrograma de variables, que permite eliminar superposiciones entre el conjunto de conceptos analizados. Las conclusiones de la investigación permiten comprobar que las organizaciones son entidades dinámicas y cambiantes que se ven inevitablemente impactadas por el entorno en el que operan; además las instituciones funcionan sinérgicamente desde puntos de vista interrelacionados e interdependientes.

ABSTRACT The purpose of the research is to examine planning systems and their regulatory mechanisms to understand how they are organized and regulated, either partially or completely, depending on the organization to achieve the attainment of objectives. The theoretical contributions of the research are centered on the conceptualization of systems theory. The methodological contribution is based on the development of a sequential and logical scheme with the application of a dendrogram of variables, which allows eliminating overlaps between the set of concepts analyzed. The conclusions of the research show that organizations are dynamic and changing entities that are inevitably impacted by the environment in which they operate; in addition, institutions function synergistically from interrelated and interdependent points of view.

RESUMEN El artículo examina la necesidad de introducir la presupuestación por programas, como parte de un proceso más amplio de modernización de las finanzas públicas en Cuba. Dentro de los factores que hacen necesaria su implementación están los nichos de eficiencia del gasto público y la desconexión entre el sistema presupuestario y el sistema de planificación. Esta metodología presupuestaria se orienta a la gestión basada en resultados, permitiendo analizar la productividad del gasto público durante el ejercicio fiscal. Asimismo, su introducción serviría al propósito de calzar financieramente la arquitectura establecida a través de macroprogramas, programas y proyectos, fortaleciendo la correspondecia entre planificación y presupuestación. Se concluye que el éxito en su implementación está condicionado por la existencia de problemas en el entorno macroeconómico, institucional y regulatorio.

ABSTRACT The article examines the need to introduce budgeting by programs, as part of a broader process of modernization of public finances in Cuba. Among the factors that make its implementation necessary are the niches of efficiency in public spending and the disconnection between the budget system and the planning system. This budgetary methodology is oriented towards results based management, making it possible to analyze the productivity of public spending during the fiscal year. Likewise, its introduction would serve the purpose of financially fitting the architecture established through Macroprograms, programs and projects, strengthening the correspondence between planning and budgeting. It is concluded that the success in its implementation is conditioned by the existence of problems in the macroeconomic, institutional and regulatory environment.

RESUMO Estudo diagnóstico realizado no projeto Qualifica AF para identificar os componentes técnicos e sociais que caracterizam a gestão municipal da Assistência Farmacêutica (AF). Estudo realizado com amostra composta por municípios habilitados ao Eixo Estrutura do Programa Qualifar-SUS. A coleta foi realizada com questionário de autopreenchimento. Foram selecionadas oito variáveis, segundo o grau de participação da gestão da AF em atividades da gestão municipal em saúde. A análise foi realizada com o modelo de regressão logística multinominal. Nos municípios estudados, 42,4% têm alta participação nas atividades de gestão municipal. Os aspectos de participação são articulações com outros setores da secretaria municipal de saúde com vínculos estabelecidos com outras coordenações, participação ativa no controle social, atuação nos relatórios de gestão do município, assim como seu planejamento e avaliação, envolvimento e atuação nas capacitações. O aumento da participação da AF na gestão municipal da saúde está associado a resultados positivos em termos de estrutura, organização, utilização de recursos pelos municípios, articulações com outras instâncias de gestão. Ressalta-se a importância da efetivação da gestão da AF como processo técnico, político e social, partícipe da gestão municipal da saúde, ultrapassando os limites de uma atividade isolada do processo de atenção e gestão da saúde.

ABSTRACT Diagnostic study carried out in the Qualifica AF project to identify the technical and social components that characterize the municipal management of the Pharmaceutical Services (PS). Study carried out with a sample composed of municipalities qualified for the Structure Axis of the Qualifar-SUS Program. The collection was performed with a self-completion questionnaire. Eight variables were selected according to the degree of participation of the PS Management in municipal health management activities. The analysis was carried out using the multinomial logistic regression model. In the municipalities studied, 42.4% have high participation in municipal management activities. The aspects of participation are articulations with other sectors of the municipal health department with links established with other coordination’s, active participation in social control, performance in the municipality’s management reports, as well as its planning and evaluation, performance in training for teams. Increased PS participation in municipal health management is associated with positive results in terms of structure, organization, use of resources by the municipalities, articulations with other management instances. Emphasizes the importance of the effectiveness of PS management as a technical, political and social process, a participant of the municipal health management, going beyond the limits of an activity isolated from the health care and management process.

Resumo O estudo do conforto ambiental em espaços urbanos abertos está em constante crescimento. Contudo, a análise específica desses aspectos no contexto da caminhabilidade destaca-se como uma área com considerável potencial a ser investigado. Neste contexto, este artigo busca explorar a caminhabilidade nos percursos de pedestres e sua relação com o conforto ambiental, propondo uma abordagem sistematizada para sua aplicação no planejamento urbano estratégico. Propõe-se, assim, a construção de um Índice de Caminhabilidade e Conforto do Pedestre (ICCP) composto por três índices parciais que levam em consideração aspectos térmicos, acústicos e ergonômicos dos percursos de pedestres. A metodologia utilizada é baseada no uso de ferramentas de visualização de ruas e ferramentas de Sistemas de Informação geográfica (SIG) para espacializar e sistematizar as interações entre caminhabilidade e conforto ambiental. A pesquisa conclui que o ICCP se constitui como ferramenta válida para aferição da caminhabilidade na meso e microescalas, podendo ser replicada em outros contextos urbanos. Por último, a construção e aplicação do ICCP evidenciam, ainda, que repensar a caminhabilidade com conforto ambiental no meio urbano requerem uma abordagem integrada de todo o sistema de mobilidade e de infraestrutura urbana das cidades. crescimento Contudo destacase destaca investigado estratégico Propõese, Propõese Propõe se, Propõe-se assim (ICCP térmicos SIG (SIG microescalas último evidenciam ainda cidades

Abstract The study of environmental comfort in open urban spaces has undergone constant updates in the last decades. In the meantime, the specific analysis of these aspects within the context of walkability stands out as an area with considerable potential to be investigated. In this context, this article aims to explore walkability in pedestrian routes and its relationship with environmental comfort, proposing a more systematized approach for its application in the strategic planning of cities. Therefore, we proposed the construction of a Pedestrian Walkability and Comfort Index (ICCP), composed of three partial indices that consider thermal, acoustic, and ergonomic aspects of pedestrian paths. The methodology is based on street visualization tools and Geographic Information System (GIS) tools to spatialize and systematize the interactions between walkability and environmental comfort. The research concludes that ICCP is a valid tool for measuring walkability at meso and micro scales, and it can be replicated in other urban contexts. Furthermore, the development and application of ICCP also highlight that rethinking walkability with environmental comfort in urban areas requires an integrated approach to the entire mobility system and urban infrastructure of cities. decades meantime investigated cities Therefore ICCP, , (ICCP) thermal acoustic paths GIS (GIS scales contexts Furthermore (ICCP

Abstract In Portoviejo, the current use of electric vehicles (EVs) is limited compared to conventional vehicles. However, due to the implementation of laws, regulations, and policies promoting electric mobility in Ecuador, a significant increase in the integration of EVs into the city's electrical system is anticipated in the coming years. To anticipate the impact on the electrical infrastructure, a simulation is conducted using CYMDIST software on an electrical distribution feeder operated by the Public Company Corporación Nacional de Electricidad (CNEL EP), Manabí Business Unit (Portoviejo). The simulation considers three scenarios projected for 2030: 1. Baseline scenario without EV integration, 2. Unrestrained EV integration, and 3. Managed EV integration. This research aims to simulate the integration of up to 230 EVs into the network to provide benchmark data for understanding the potential impacts on the feeder as EV adoption increases, with vehicles being charged over extended periods. The investigation will highlight the importance of demand management with EV integration, demonstratingsignificant effects on the demand curve, voltage profile, and total harmonic distortion rate (THD%) of a 13.8 kV distribution feeder.

Resumen En la ciudad de Portoviejo, actualmente el uso de vehículos eléctricos (VE) es limitado en comparación con el uso de los convencionales. Sin embargo, debido a la implementación de leyes, reglamentos y regulaciones que impulsan la movilidad eléctrica en el Ecuador, se espera que en los próximos años se produzca un ingreso considerable de esta carga (VE) en el sistema eléctrico de la ciudad. En este sentido, para determinar probables afectaciones a producirse en el sistema eléctrico en el futuro, se realiza la simulación en el software CYMDIST de un alimentador de distribución eléctrico de la Empresa Pública Corporación Nacional de Electricidad CNEL EP Unidad de Negocio Manabí (Portoviejo), considerando tres escenarios de análisis proyectados al año 2030 como son: 1. Caso base sin ingreso de VE, 2. Ingreso no controlado de VE y 3. Ingreso controlado de VE. El presente trabajo simula el ingreso de hasta 230 vehículos en la red, puesto que, el objetivo del estudio es tomar datos referenciales para conocer la posible afectación en el alimentador cuando los VE se conecten de forma masiva y se carguen prolongadamente. Al final del estudio se comprobará la importancia de la gestión de la demanda cuando se produzca el ingreso de vehículos eléctricos, el cual refleja resultados importantes en la curva de demanda, perfil de voltaje y tasa de distorsión armónica THD % de un alimentador de distribución a 13,8 kV.

Abstract: This study examines the current composition of the energy matrix in Colombia, encompassing its legal framework, configuration, impacts, and future projections. This research, based on a systematic literature review, bibliometric analysis, and text mining, reveals that hydroelectric power is the primary source of clean energy. Fossil fuels, although essential for energy availability in the territory, generate the largest carbon footprint, representing a significant environmental challenge. Despite legal efforts and projections towards clean energy, limitations persist in infrastructure, technology, and social acceptance towards energy production projects. The transition to a sustainable energy system requires overcoming these technical, regulatory, and social barriers while integrating legal, environmental, social, and technological aspects into planning to meet the goals of the current matrix's energy transition, which presents a complex landscape that demands comprehensive strategies for a sustainable energy future.

Resumen: Este estudio analiza la composición actual de la matriz energética en Colombia, abarcando su marco legal, configuración, impactos y proyecciones futuras. La investigación, basada en una revisión sistemática de literatura, análisis bibliométrico y minería de texto, revela que las hidroeléctricas son la principal fuente de energía limpia. Los combustibles fósiles, si bien esenciales para la disponibilidad energética en el territorio, generan la mayor huella de carbono, lo que representa un desafío ambiental significativo. A pesar de los esfuerzos legales y las proyecciones hacia energías limpias, persisten limitaciones en infraestructura, tecnología y aceptación social hacia proyectos de producción energética. La transición hacia un sistema energético sostenible requiere superar estas barreras técnicas, regulatorias y sociales, integrando aspectos legales, ambientales, sociales y tecnológicos en la planificación para cumplir con los objetivos de la transición energética de la matriz actual, la cual presenta un panorama complejo que exige estrategias integrales para un futuro energético sostenible.

There is widespread agreement that skills development is a vital dimension of the just energy transition (JET). Skills development for JET is rapidly emerging and involves complex inter-sectoral systems of skills development and new methods for demand analysis. Currently in South Africa, learning pathways into green jobs, enterprise development and more sustainable job options, including those required for JET at entry and technical levels, are unclear, ad hoc and fragmented. At best, we have fragmented offerings of courses and qualifications and few systemic approaches to skills analysis and development. There is also a narrow reliance on supply and demand discourses that are ill-fitting for the type of skills that need to be developed. Drawing on a group of regional and local studies focusing on skills supply and demand for JET, the paper analyses the responsiveness of skills systems, with specific focus on institutions and institutional arrangements that underpin skills planning and anticipation. The paper critiques the metaphor of 'supply' and 'demand', which, it argues, is the wrong lens, as it focuses attention on certain parts of the skills system dislocated from the broader conditions that they are imbedded in. We pose new methodological questions for engaged skills research that can enable a green and just future, and the systemic transformations that are needed to catalyse a low-carbon transition. SIGNIFICANCE: The research findings offer a critical reflection on the current approach to research focused on skills for the just energy transition. The review highlights the limitations of the dominant supply-demand approach of skills analysis, and we argue that it promotes a neoliberal, market-led discourse on skills that privileges industry and excludes the voices of communities and workers.

RESUMO Estudo diagnóstico realizado no projeto Qualifica AF para identificar os componentes técnicos e sociais que caracterizam a gestão municipal da Assistência Farmacêutica (AF). Estudo realizado com amostra composta por municípios habilitados ao Eixo Estrutura do Programa Qualifar-SUS. A coleta foi realizada com questionário de autopreenchimento. Foram selecionadas oito variáveis, segundo o grau de participação da gestão da AF em atividades da gestão municipal em saúde. A análise foi realizada com o modelo de regressão logística multinominal. Nos municípios estudados, 42,4% têm alta participação nas atividades de gestão municipal. Os aspectos de participação são articulações com outros setores da secretaria municipal de saúde com vínculos estabelecidos com outras coordenações, participação ativa no controle social, atuação nos relatórios de gestão do município, assim como seu planejamento e avaliação, envolvimento e atuação nas capacitações. O aumento da participação da AF na gestão municipal da saúde está associado a resultados positivos em termos de estrutura, organização, utilização de recursos pelos municípios, articulações com outras instâncias de gestão. Ressalta-se a importância da efetivação da gestão da AF como processo técnico, político e social, partícipe da gestão municipal da saúde, ultrapassando os limites de uma atividade isolada do processo de atenção e gestão da saúde. AF. . (AF) QualifarSUS. QualifarSUS Qualifar SUS. SUS Qualifar-SUS autopreenchimento variáveis multinominal estudados 424 42 4 42,4 coordenações social município avaliação capacitações estrutura organização Ressaltase Ressalta se técnico (AF 42,

ABSTRACT Diagnostic study carried out in the Qualifica AF project to identify the technical and social components that characterize the municipal management of the Pharmaceutical Services (PS). Study carried out with a sample composed of municipalities qualified for the Structure Axis of the Qualifar-SUS Program. The collection was performed with a self-completion questionnaire. Eight variables were selected according to the degree of participation of the PS Management in municipal health management activities. The analysis was carried out using the multinomial logistic regression model. In the municipalities studied, 42.4% have high participation in municipal management activities. The aspects of participation are articulations with other sectors of the municipal health department with links established with other coordination’s, active participation in social control, performance in the municipality’s management reports, as well as its planning and evaluation, performance in training for teams. Increased PS participation in municipal health management is associated with positive results in terms of structure, organization, use of resources by the municipalities, articulations with other management instances. Emphasizes the importance of the effectiveness of PS management as a technical, political and social process, a participant of the municipal health management, going beyond the limits of an activity isolated from the health care and management process. PS. . (PS) QualifarSUS Qualifar SUS Program selfcompletion self completion questionnaire activities model studied 424 42 4 42.4 coordinations, coordinations coordination s, s coordination’s control municipalitys municipality reports evaluation teams structure organization instances process (PS 42.

Abstract Objective Child sexual violence is a multidimensional problem of many contemporary societies, affecting people of all sexes, social stratum and age groups. Offenses involving children and adolescents are more serious, given their total or partial dependence on parents and caregivers. Information on child sexual violence in Brazil is found in raw form and without detail. The objective was to compare the information with social and economic data in the state of Paraná. Methods The authors conducted a retrospective study of secondary data from the Notifiable Diseases Information System (SINAN) on cases of sexual violence involving victims aged 0 to 19 years. Results are presented according to notification characteristics. The authors applied exploratory spatial data analysis to assess spatial autocorrelations and investigated relationships by the ordinary least squares regression model. Results Between 2017 and 2021, there were 13,403 reports of child sexual violence in Paraná State, Brazil. Most victims (82.8%) were female and aged between 10 and 14 years. The majority of sexual violence cases (67.8%) occurred in the home environment. The highest rates on a population basis were observed in the North Central and Greater Curitiba regions, mainly in cities with higher population density and with higher rates of other types of violence. Conclusion The results provide data that can promote a broader understanding of the distribution of sexual violence and the state and associated variations. It is expected to improve the provision of care for victims of child sexual violence and assist in strategic planning to prevent future offenses. societies sexes groups serious caregivers detail SINAN (SINAN 1 years characteristics model 201 2021 13403 13 403 13,40 State 82.8% 828 82 8 (82.8% 67.8% 678 67 (67.8% environment regions variations offenses 20 202 1340 40 13,4 82.8 (82.8 67.8 6 (67.8 2 134 4 13, 82. (82. 67. (67. (82 (67 (8 (6 (

Summary Vasectomy is usually requested by a couple with children who consider that they have completed their family project. In the clinical practice of the urology office of the Spanish health system, the professional must respond to an increasingly frequent demand: the request for vasectomy in young and childless patients, which raises many doubts in the urologist, regarding the suitability of its realization. Vasectomy causes a supposedly irreversible loss of reproductive function. Performed at the request of healthy, young, childless men, while respecting their autonomy of decision, it can nevertheless be maleficent. This paper aims to provide bioethical arguments concerning the performance of voluntary vasectomy in these cases and to evaluate the basis of the ethical criteria usually invoked to justify it. Subsequently, the legal aspects of vasectomy in Spain and the role of the professional’s conscientious objection are analyzed.

Resumen La vasectomía es solicitada habitualmente por una pareja con hijos que considera que ha completado su proyecto familiar. En la práctica clínica de la consulta de urología del sistema sanitario español, el profesional debe dar respuesta a una demanda cada vez más frecuente: la solicitud de vasectomía en paciente joven y sin hijos, la cual despierta muchas dudas en el urólogo, relativas a la idoneidad de su realización. La vasectomía ocasiona una pérdida pretendidamente irreversible de la función reproductiva. Realizada a petición de varones sanos, jóvenes y sin hijos, respetando su autonomía de decisión, sin embargo, puede resultar maleficente. Este trabajo pretende aportar argumentos bioéticos relativos a la realización de vasectomía voluntaria en estos casos y evaluar los fundamentos de los criterios éticos invocados habitualmente para justificarla. Posteriormente, se analizan los aspectos jurídicos de la vasectomía en España y el papel de la objeción de conciencia del profesional.