http://bdtd.unoeste.br:8080/jspui/handle/jspui/1143 Programa em Pós Graduação em Meio Ambiente e Desenvolvimento Regional 2026-03-20T21:10:02Z http://bdtd.unoeste.br:8080/jspui/handle/jspui/1751 Título: Avaliação do perfil sociodemográfico, clínico-epidemiológico e distribuição espaço-temporal da sífilis em gestantes atendidas em uma maternidade pública no estado de São Paulo Autor: SPIR, Patrícia Rodrigues Naufal Primeiro orientador: Carneiro, Luiz Euribel Prestes Abstract: Syphilis is a major public health problem in Brazil and worldwide, despite effective measures for diagnosis, treatment, prevention, and control. Untreated syphilis in pregnant women can lead to fetal infection, potentially resulting in stillbirths or neonatal deaths. Social, political, economic, and individual factors can hinder access to care, especially for more vulnerable populations, contributing to the continued prevalence of new cases. This study evaluates the sociodemographic, clinical-epidemiological profile and the spatiotemporal distribution of cases of syphilis in pregnant women and congenital syphilis, treated at a public hospital in the State of São Paulo, from January 2019 to December 2023. This is a cross-sectional, quantitative and retrospective analytical study, where we analyzed data from pregnant women with syphilis and their newborns, 251 with congenital syphilis and 429 exposed to syphilis. The pandemic did not affect the progression of the disease in our region. However, the actions of the Vertical Transmission Investigation Committee suggest an impact on its progression, with stable reported cases and an increase in the number of pregnant women notified and adequately treated. The variables race/color, marital status, and education demonstrate statistically significant differences between the groups of newborns with syphilis and those exposed to Treponema pallidum, as well as timing of maternal diagnosis and treatment. Most newborns with syphilis were asymptomatic; however, we recorded 8% stillbirths and miscarriages. The spatial pattern shows locations where cases are concentrated, with syphilis cases more concentrated in specific areas, and those exposed to the disease more widespread and dispersed. We believe that understanding the locations with the highest concentration of cases, allowing for targeted actions at the local level, aligned with greater involvement of policymakers and seeking to support the consolidation of public policies addressing this issue, can be a valuable tool for reducing vertical transmission in our region. Instituição: Universidade do Oeste Paulista Tipo do documento: Tese 2025-09-19T00:00:00Z http://bdtd.unoeste.br:8080/jspui/handle/jspui/1713 Título: Modelagem de séries temporais para avaliar serviços de saúde pré e pós-pandemia de COVID-19 no município de Presidente Prudente – SP Autor: LUCIO, Marco Aurélio Aparecido Primeiro orientador: Giuffrida, Rogerio Abstract: Primary health care plays a crucial role in promoting health and preventing diseases, especially in contexts like Brazil, with its large socioeconomic disparities. The COVID-19 pandemic had a significant impact on primary health services, resulting in a decrease in the demand for preventive exams and participation in health campaigns. The main objective of this research was to evaluate the impact of the COVID-19 pandemic on the number of services provided by primary health care in the city of Presidente Prudente – SP. Using methods such as Interrupted Time Series (ITS) and Change Point Analysis, the study aims to understand how public health interventions and isolation measures affected access to and use of health services in the region during and after the pandemic. Data from the Municipal Health Department of Presidente Prudente, covering the years 2017 to 2022, were used. The total number of services and procedures was standardized into annual rates per 10,000 inhabitants. To evaluate seasonality, monthly time series from 2017 to 2022 were analyzed, considering pre-, during, and post-pandemic periods. An analysis of variance stability was conducted, as well as parameter specification using ARIMA and SARIMA models, residual analysis, graphical evaluation of the segmented model, and performance estimates. The results reveal significant variations in primary care services and procedures in Presidente Prudente between 2017 and 2021. Before the COVID-19 pandemic, there was a general increase in annual service and procedure rates, followed by a notable reduction in 2020, particularly in procedures such as mammograms and specific preventive exams. The COVID-19 pandemic significantly impacted primary care in Presidente Prudente – SP, with a reduction in health services and procedures in 2020 due to social distancing measures. It is essential to learn from these challenges to strengthen the response to future crises by investing in technology, infrastructure, and preventive campaigns, ensuring accessibility and quality of primary health care services. Instituição: Universidade do Oeste Paulista Tipo do documento: Tese 2025-01-22T00:00:00Z http://bdtd.unoeste.br:8080/jspui/handle/jspui/1672 Título: Análise temporal e predição dos acidentes escorpiônicos das macrorregiões do estado de São Paulo - Brasil Autor: SANTELLO, SAMARA BERTIN SUGUITANI Primeiro orientador: Rossi, Renata Calciolari Abstract: Scorpionism is the main occurrence caused by venomous animals in Brazil; from the neglected tropical diseases it is the one which presents the most increasing number of notifications. Since 1993, its notification is mandatory through the Notifiable Diseases Information System (SINAN). São Paulo state, located in the southeast region of Brazil, is included in this growing number of notified cases. In 2022, it was the state that showed the most increasing number of notified cases in Brazil. The most frequent kinds of scorpion in São Paulo state are Tityus serrulatus and Tityus bahiensis; as the Tityus serrulatus species, they predominate in urban areas, and its venom may cause severe poisoning, representing a serious public health issue, especially to children. The objective of the study was to determine the temporal distribution of scorpionism in the seventeen macroregions of São Paulo estate - Brazil, and make predictions about future cases, and also to correlate health regions to with the greater number of notifications in the state. Allowing to direct actions to the regions which most need reinforcements, both in the victim care sector and in the preventive sector. Data were collected from the Notifiable Diseases Information System (SINAN), it was decided to start in the year 2013, for the data being more consistent from this period on. Annual incidence rates of scorpionic occurrences were calculated to for every 100,000 inhabitants to the seventeen health macroregions. ARIMA and SARIMA autoregressive models were used, with favorable results to some regions, being possible to determine seasonality, as well as to predict the non-stationarity of cases in the years 2023, 2024 e 2025 in the health regions of Barretos, Franca, Piracicaba, Registro, São João da Boa Vista and Sorocaba. The regions with the highest number of notifications in the state, comparing years 2013 and 2022, remained within the same macroregions, which are in descending order: Registro, the one with the highest number of reported cases, followed by Presidente Prudente, Piracicaba, Ribeirão Preto, São João da Boa Vista, Marília and São José do Rio Preto, and it highlighted the need for public policies and intervention target at these regions, which up to the present moment has no effective measures and no expectations of controlling this plague. Instituição: Universidade do Oeste Paulista Tipo do documento: Tese 2024-06-20T00:00:00Z http://bdtd.unoeste.br:8080/jspui/handle/jspui/1656 Título: O papel do poder público municipal na manutenção da agricultura familiar: um estudo no município de Taciba- SP Autor: Perego, Fúlvia Leticia Primeiro orientador: Arana , Alba Regina Azevedo Abstract: Family farming was strengthened with the decentralization and democratization of public administration following the promulgation of the 1988 Federal Constitution, a time when social movements connected with family farming fought for and gained space in political decision-making and in the implementation of public policies aimed at fostering the development of the family agriculture sector. At the same time, a movement called public governance emerged across all levels of the government (federal, state and municipal), changing the relationship between the State and society, in which municipal public authorities came to play a fundamental role in the recognition, maintenance and consolidation of family farming as a food-producing source and means of sustenance, an income-generating practice for rural populations. Thus, this research aims to present and analyze the role of the municipal public authority in the maintenance and support of family farming in the municipality of Taciba-SP, with regard to the pandemic period of 2020. In order to achieve the desired results, as well as attain originality and novelty, the methodology is based on basic bibliographic and documentary research, a descriptive and analytical study, characterized as an exploratory case study with a descriptive-interpretivist nature, predominantly qualitative in approach, and employing a deductive method. It was guided by the assumption that the implementation of public policies between the local public authority of the municipality of Taciba-SP and family farmers, from 2017 to 2020 (the onset of the pandemic), evolves through the new role that the state should adopt in its relationship with society. In other words, it stems from a movement called public governance, thereby enabling the maintenance of the farmers in the field, in line with the theoretical framework that development should be based on the para-economic paradigm. Therefore, it is possible to highlight that the municipal public authorities of Taciba-SP achieved strong public governance – decentralization and societal participation – by engaging with family farmers through the Rural Development Council and the Association of Rural Producers (ASPRUT), in the development of various public policies and actions that addressed the needs and aspirations of this family-based productive sector, with highlights including: the National School Feeding Program (PNAE); the Municipal Project “Familiar Farming Cannot Stop During the Pandemic”; Technical Assistance and Rural Extension (ATER); the Municipal Agricultural Patrol Program; the National Program for Strengthening Family Farming (PRONAF); the São Paulo Agribusiness Expansion Fund (FAEP/BANARGO); the Better Path Program; and the Rural Producer Support Program for Rural Registrations and the Declaration of Compliance for Agricultural Activities (DCAA). Therefore, the local public administration utilized a decentralized and participatory management model, permeated by the genesis of public governance in relation to the development, strengthening, and maintenance of family farming in Taciba. Instituição: Universidade do Oeste Paulista Tipo do documento: Tese 2024-05-16T00:00:00Z