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O cuidado à saúde da mulher com tuberculose na perspectiva do enfoque familiar
, Lenilde Duarte de;Santos, Ana Rita Bizerra do Nascimento;Oliveira, Annelissa Andrade Virgínio de;Nogueira, Jordana de Almeida;Tavares, Lucídia de Medeiros;Villa, Tereza Cristina Scatena;
Texto & Contexto - Enfermagem , 2012, DOI: 10.1590/S0104-07072012000200020
Abstract: to analyze the relationship between the practice of family health team workers and women with tuberculosis, according to the family focus dimension. the participants were eight family health team workers from a city in the jo?o pessoa metropolitan area (paraiba -pb). data were collected through semi-structured interviews, and then subjected to thematic content analysis. the workers recognize the critical social condition that women with tuberculosis live in, as well as the prejudice they face. they suggest that these women require care based on the concept of comprehensiveness in health. they also highlight the importance of directly observed therapy - short course, the existence of incentives, and the women's poor adherence to educational activities and groups. few workers recognize the inclusion of relatives in the care of women with tuberculosis, which implies the need for discussion regarding this fact with the purpose of improving tuberculosis treatment effectiveness.
Escalas de Ramsay e Richmond s?o equivalentes para a avalia??o do nível de seda??o em pacientes gravemente enfermos
Mendes, Ciro Leite;Vasconcelos, Lívia Carolina Santos;Tavares, Jordana Soares;Fontan, Silvia Borges;Ferreira, Daniela Coelho;Diniz, Lígia Almeida Carlos;Alves, Elayne Souza;Villar, Erick José Morais;Albuquerque, César de Farias;Silva, Sérgio Luz Domingues da;
Revista Brasileira de Terapia Intensiva , 2008, DOI: 10.1590/S0103-507X2008000400005
Abstract: objective: the main purpose of this study was to compare performance of the ramsay and richmond sedation scores on mechanically ventilated critically ill patients, in a university-affiliated hospital. methods: this was a 4-month prospective study, which included a total of 45 patients mechanically ventilated, with at least 48 hours stay in the intensive care unit. each patient was assessed daily for sedation mode, sedative and analgesic doses and sedation level using the ramsay and richmond scores. statistical analysis was made using student's t-test, pearson's and spearman's correlation, and constructing roc-curves. results: a high general mortality of 60% was observed. the length of sedation and daily dose of medication did not correlate with mortality. deep sedation (ramsay > 4 or richmond < -3) was positively correlated with probability of death with an auc > 0.78. an adequate level of sedation (ramsay 2 to 4 or richmond 0 to -3) was sensitively correlated with probability of survival with an auc > 0.80. a low level of sedation was observed in 63 days evaluated (8.64%), and no correlation was found between occurrence of agitation and unfavorable outcomes. correlation between ramsay and richmond scores (pearson's > 0.810 - p<0.0001) was good. conclusion: in this study, ramsay and richmond sedation scores were similar for the assessment of deep, insufficient and adequate sedation. both have good correlation with mortality in over sedated patients.
AINDA Há ESPA O PARA O ENSINO DE LITERATURA EM NOSSAS SALAS DE AULA?
Cinthya Tavares de Almeida Albuquerque
DLCV : Língua, Linguística & Literatura , 2012,
Abstract: This study arose from the interrogation of students of literature, about the real need to study and teach literature. Given the seriousness of inquiry, it fell to us to explore whether there was a greater quantity passing or not such doubt. We applied a questionnaire with 40 students in that course of ten municipalities in the state. After completion of the step, the analysis of the collected material confirmed the group’s initial inquiry and released in the search for the causes of the problem. Making it the bibliographic data: Zilberman, Kleiman, Cosson and Leahy-Dios, raised the historical conditions surrounding the arrival of Literature in school until the present day and found several factors that generate the students’ concerns. We conclude that all these factors helped to cast doubt on the importance of this study. As a proposal to change this view, brought the concept of literacy literary Rildo Cosson and Gra a Paulino establishing news practices in teaching of literature.
Orienta??o sexual nas escolas: fato ou anseio?
Almeida, Sandra Aparecida de;Nogueira, Jordana de Almeida;Silva, Antonia Oliveira;Torres, Gilson Vasconcelos;
Revista Gaúcha de Enfermagem , 2011, DOI: 10.1590/S1983-14472011000100014
Abstract: qualitative research that aimed to analyze under the optics of educators from public schools of fundamental teaching, how the theme "sexual orientation" has been incorporated into pedagogic practices. twenty three educators of municipal teaching of cajazeiras' city, paraíba, brazil, took part of the study. the focus group was elected as technique of investigation, and the empirical data obtained were organized according to the technique of analysis of content. it was realized that there is an effort of the actors to privilege contents related to sexual orientation in the school environment, though it is required that preliminarily a depth of informative and subjective character about the "sexuality" be incentivized, propitiating to the educators a space for re-significations of its internality of values. the information directed to self-care must transcend the limits preventative and hygienists, incorporating methodologies extensive, inclusive and reflective, which recognize human and social rights and promote the ethical construction of citizenship.
Sexual orientation in school context: official speech versus pedagogic quotidian
Sandra Aparecida de Almeida, Jordana de Almeida Nogueira, Sheylla Nadjane Batista Lacerda, Gilson Vasconcelos Torres
Revista de Enfermagem UFPE On Line , 2010,
Abstract: Objective: to analyze under the view of managers of primary school of the city of Cajazeiras – PB, having the theme “sexual orientation” has been incorporated in the pedagogic practices. Methodology: this is about a qualitative research performed in 2008, with eight managers of public schools, after approved by the Ethics Committee of the Federal University of Paraiba with protocol number 1075. The semi structured interview was elected as technique of investigation, and the empiric material obtained was submitted to the Technique of Analysis of Content, thematic modality. Results: it was highlighted that there is a commitment of the managers towards the insertion of the sexual orientation in the school context and that investments in the continued formation of educators have been done. However they recognize that the lacks of technical/ emotional preparation of the educators interfere in the effective deepening of this content. Attention is given to natural sciences and prevention education actions. Conclusion: intervention programs that reflect an orientation and/or political decision in the practice previously taken, could not guarantee their execution and/or deployment, as they require the understanding of the context that shapes and determines the representation of the actors.
Satisfa o e limita o no cotidiano de trabalho do agente comunitário de saúde
Arleusson Ricarte de Oliveira,Ana Elisa Pereira Chaves,Jordana de Almeida Nogueira,Lenilde Duarte de
Revista Eletr?nica de Enfermagem , 2010,
Abstract: O Sistema único de Saúde ganhou sustenta o a partir da implanta o do Programa de Agentes Comunitários deSaúde em 1991 e do Programa Saúde da Família em 1994. Tais estratégias est o alicer adas sobre o trabalho doAgente Comunitário de Saúde (ACS) que exerce papel importante na constru o do vínculo e responsabiliza o,promovendo o elo entre equipe e comunidade. Objetivou-se investigar a satisfa o e limita o no cotidiano detrabalho do ACS. Pesquisa qualitativa que utilizou um questionário como técnica de investiga o, aplicado a 23 ACSsdo município de Teixeira- PB, em maio de 2006. Os dados foram analisados por meio da Técnica do Discurso doSujeito Coletivo. Constataram-se como motivos de satisfa o para os ACSs: o reconhecimento das famílias com o seutrabalho; melhoria do estado de saúde das famílias e dos indicadores de morbi-mortalidade. As limita es incluem asdificuldades de trabalho, a falta de reconhecimento dos gestores com o seu trabalho, as condi es socioecon micasprecárias das famílias e a saúde do ACS. A satisfa o vivenciada pelos ACSs em seu cotidiano de trabalho é motivo deprazer e realiza o profissional, em contrapartida, as limita es, dificultam o andamento do trabalho, afetando suasaúde física e psicossocial.
A expans o do tratamento supervisionado (TS) para o controle da tuberculose na Paraíba (1999/2005)
Gianne de Oliveira Rodrigues,Lenilde Duarte de,Jordana de Almeida Nogueira,Lecidamia Cristina Leite Damascena
Revista Eletr?nica de Enfermagem , 2008,
Abstract: O tratamento supervisionado (TS) é um dos pilares da Estratégia DOTS (Directly Observed Treatment Short-course) e sua ado o vem sendo recomendada, para o controle da tuberculose (TB). Neste estudo objetivou-se analisar as potencialidades e fragilidades no processo de expans o do Tratamento Supervisionado (TS) nos seis municípios considerados prioritários para o controle da TB na Paraíba-PB/Brasil. Pesquisa de natureza qualitativa, que utilizou a entrevista semi-estruturada com 21 profissionais envolvidos na implanta o e expans o do DOTS nos seis municípios. Os dados foram analisados pela técnica de análise de conteúdo, modalidade temática. Como potencialidades foram identificadas: apoio dos gestores no processo de descentraliza o do TS para as Unidades de Saúde da Família (USF); compromisso dos profissionais e boa comunica o entre USF e referências. Dentre as fragilidades relatadas observa-se a falta de apoio dos gestores para garantir infra-estrutura e estímulo financeiro para o profissional; falta de qualifica o profissional; alta rotatividade dos profissionais e centraliza o da distribui o de medicamento. Apesar dos esfor os para implanta o do TS, reconhece-se que sua amplia o esta condicionada a capacidade gerencial e ao compromisso político dos gestores.
Mitos e verdades sobre flexibilidade: reflexoes sobre o treinamento de flexibilidade na saúde dos seres humanos
Almeida,Tathiane Tavares de; Jabur,Marcelo Nogueira;
Motricidade , 2007,
Abstract: this article aims to address the views of the scientific community in regard to flexibility and stretching concerning the efficiency of preparation to perform physical exercises, the recovery process after intense training activities, and the analysis of the influence of training such skills on osteomuscular and articulatory rehabilitation. innumerable studies have been conducted which demonstrate the benefits and harms of stretching and flexibility-gain exercises. in regard to the prevention of lesions, a number of authors maintain that stretching plays an important preventive role. however, it can be noticed that most of those who support this idea highlight stretching as an important part of training, instead of just a few preparation exercises prior to training. as far as stretching following physical strain is concerned, it seems that moderate stretching is ideal in order to prevent adaptive muscle shrinking. therefore, stretching strained muscles with a view to gaining flexibility should not occur because fatigued muscles cannot promptly respond to the protective reflex. in treating lesions of the connective tissue, stretching is recommended for recovery of its normal length, whereas no advantages to flexibility gains are reported.
Negociando a Reforma: a privatiza??o de empresas públicas no Brasil
Almeida, Maria Hermínia Tavares de;
Dados , 1999, DOI: 10.1590/S0011-52581999000300002
Abstract: brazil?s experience in the privatization of public companies belies explanations to the effect that the success of market-oriented economic reforms depends on the existence of an executive branch endowed with the autonomy to conceive and impose strategies of change opposed by vested interests. the article contends that privatization has moved forward in brazil despite the clear absence of an autonomous executive, through a negotiated process of change that is part of an institutional context which multiplies both points of veto and actors holding veto power. as a consequence, success depends upon the interplay of pro- and anti-privatization interests, within institutional constraints, as well as upon relevant actors? dominant ideas concerning the public sector?s role and scope.
Liberdade e compuls?o: uma análise da programa??o dos doze passos dos alcoólicos an?nimos
Rodrigues, Joelson Tavares;Almeida, Leonardo Pinto de;
Psicologia em Estudo , 2002, DOI: 10.1590/S1413-73722002000100014
Abstract: the present paper aims to question if the admission of impotence, included in the twelve steps of alcoholics anonymous, it is against sartre?s notion of freedom, indicating a position taken by aa of understanding alcoholism as a compulsion, where only the action of an external power can provide recuperation. the authors conclude that, if the programming of twelve steps has been having so effective is because, even when not aware, it has been working with the dimension of choice that allows that each person can at every moment determinate his own destiny.
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