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Introdução: Penedo é um município integrante da 8ª Região de saúde de Alagoas, possui uma população de 64.292 habitantes, segundo estimativa do IBGE para 2016, oferece além das Unidades Básicas de Saúde, Serviços próprios e conveniados de média complexidade. Os medicamentos são disponibilizados à população através de 21(vinte e um) Farmácias. A Secretaria de Saúde estuda a composição da Comissão de Farmácia e Terapêutica - CFT, que será criada brevemente. As Equipes de Saúde da Família - ESF se baseiam na Lista padronizada de medicamentos padronizados de acordo com a demanda e a lista de produtos ofertada pelo CONISUL – Consórcio Intermunicipal do Sul do Estado de alagoas, do qual o município é conveniado e beneficiado com a praticidade das aquisições centralizadas dos produtos e serviços de Saúde. CAF – Central de Abastecimento Farmacêutico, 20(vinte) farmácias funcionando de forma integrada as Unidades de saúde, Farmácia Central funcionando em prédio exclusivo. Farmácia do Componente Especializado de Assistência farmacêutica - CEAF (gestão compartilhada entre Município e Estado), Farmácia do CAPS, Farmácia Popular (gestão compartilhada ente Município e o Ministério da Saúde) funcionam em prédio conjugado, porém em estruturas físicas segregadas. Objetivos: Compartilhar informações sobre o universo de usuários “beneficiados” pela judicialização, considerando questões administrativas, técnicas e éticas relacionadas aos tratamentos propostos. Discutir os impactos da judicialização nas ações para o “Uso Racional de Medicamentos e insumos para a saúde”. Esclarecer os papéis da Secretaria Municipal de Saúde, dos representantes do controle social, dos Magistrados, da promotoria e Defensoria Pública quanto à operacionalização, financiamento da judicialização da saúde no Município.

Abstract A Defected Ground Structure, DGS, based on matryoshka geometry is described in this paper. The proposed DGS geometry is outlined and initial design equations are presented. Four prototypes, with resonant frequencies 2.17 GHz, 2.44 GHz, 2.99 GHz and 3.73 GHz, were designed, fabricated and characterized, observing a good agreement between measured and numerical results. Also, the obtained results demonstrated the initial design equations usefulness. The resonant behavior was analyzed in terms of the current density and it is possible to observe the current density blocked at the resonant frequency. When compared with dumbbell DGS, a reduction in the resonant frequency up to 47.19% is achieved, confirming the matryoshka geometry miniaturization properties. Furthermore, still comparing with dumbbell geometry, DGS based on matryoshka geometry are more selective.

This study proposes a nonlinear programming model for the optimization of water and land allocation in a 1000 ha orchard over a 20-year period to maximize farmers' net profits. Different scenarios were evaluated, including equitable and unrestricted land allocation, and the risks associated with fruit production were considered. Additionally, a sensitivity analysis that focused on the variability of labor and water availability was conducted. The results reveal that with equitable land allocations and no constraints on the cultivated area, cherry emerges as the most profitable crop, although there are large risks associated with its price volatility. The introduction of risk and land allocation constraints highlights the importance of crop diversification in mitigating economic risks. A sensitivity analysis indicated that reductions in water and labor availability significantly affect the optimal cropping pattern of an orchard, suggesting that the efficient and adaptive management of resources is required. The proposed optimal cropping pattern maintains the economic viability of the orchard even with 70% and 24% reductions in water and labor, respectively. This approach underscores the importance of implementing resilient and sustainable agricultural strategies to ensure food security and increase economic stability in the face of changing climatic and labor conditions. [ABSTRACT FROM AUTHOR]

Water availability, a vital factor in agriculture, is being threatened by shortages caused by droughts, desertification, and climate change. In this context, hydrogels, polymers with high water absorption and retention capacity, emerge as key solutions to improve water use efficiency in irrigation. This study investigated the effect of a natural superabsorbent hydrogel (TG) at different concentrations (0.3%, 0.5%, 0.8%, and 1.0%) on the water retention capacity in three coarse-textured soils and one medium-textured soil. Results are compared to an existing commercial polymer (COM). The evaluation shows that both polymers increase the values of the water retention curve; however, higher values were observed with TG. The addition of both hydrogels was compared in the increase of the available water capacity (AWC). For sand soil, the TG obtained a statistically significant difference of a 26% greater AWC when compared to the COM superabsorbent. Soils with a higher percentage of sand tend to obtain a greater improvement in the AWC. There is a proportional relationship of the increase in the AWC when increasing hydrogel concentration ( R 2 = 0.74). Sand soil with a concentration of 0.5% of the TG showed 17.8% of the AWC, while for a concentration of 1.0% of this hydrogel, a value of 35.8% of the AWC was obtained. However, in soils with higher clay content, such as silt loam, the effect was smaller. Finally, the time required to reach a permanent wilting point (PWP) was compared. The loam sand soil increased the time to reach the PWP by more than three times using the TG or COM when compared to the same soil without any hydrogel concentration. In conclusion, the TG significantly improves water retention in coarse and medium-textured soils, making it a promising solution for improving water efficiency in agriculture, especially in drought-affected regions. However, additional field studies are needed to evaluate its long-term durability and environmental compatibility, ensuring its applicability under real agricultural conditions. [ABSTRACT FROM AUTHOR]

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