29 resultados para Tuberculose Teses

em Universidade Federal do Rio Grande do Norte(UFRN)


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VITULLO, Nadia Aurora Vanti. Avaliao do banco de dissertaes e teses da Associao Brasileira de Antropologia: uma anlise cienciomtrica. 2001. 143 f. Dissertaao (Mestrado) - Curso de Mestrado em Biblioteconomia e Cincia da Informao, Pontifcia Universidade Catlica de Campinas, Campinas, 2001.

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OLIVEIRA, Raimundo Muniz de. Biblioteca digital de teses e dissertaoes: uma referencia fundamental. In: CINFORM ENCONTRO NACIONAL DE ENSINO E PESQUISA DA INFORMAAO,HUMANISMO E DESENVOLVIMENTO CIENTIFICO E TECNOLOGICO,7.,2007,Salvador. Anais...Salvador:UFBA, 2007.Disponivel em:www.cinform.ufba.br>. Acesso em: 27 set. 2007. Acesso em: 27 set. 2010.

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CUNHA, Jacqueline de Arajo. Biblioteca Digital de Teses e Dissertaes: uma estratgia de preservao da memria cientfica. 2009. 141f. Dissertao (Mestrado)- Programa de Ps-Graduao em Cincia da Informao. Universidade Federal da Paraba, Joo Pessoa, 2009.

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Relato de quatro casos de tuberculose ocular presumida, com comprometimento do segmento posterior em trs destes casos. Nos dois primeiros casos, relata-se comprometimento do segmento anterior do olho e antecedente de tuberculose, em um caso sistmica e no outro ocular. No terceiro caso, paciente apresenta leso coriorretiniana no olho esquerdo. No quarto caso, descrita leso serpiginosa-like. Os pacientes evoluram favoravelmente com o tratamento especfico. As leses oculares da tuberculose so diversas e devemos continuar atentos a esta enfermidade.

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Objetivou-se avaliar os aspectos sociais e de sade e a percepo diante do diagnstico de indivduos com a coinfeco HIV/tuberculose. Estudo descritivo, com abordagem quantiqualitativa, realizado em hospital de referncia em Fortaleza, Cear, de janeiro a abril de 2009, utilizando-se entrevista semiestruturada em ambiente privativo. Os dados foram analisados de modo descritivo e por anlise de contedo. Participaram 16 pacientes com coinfeco HIV/tuberculose, 56,25% do sexo masculino, com faixa etria predominante entre 31 a 39 anos (43,75%), com pouca escolaridade e renda familiar mensal de aproximadamente um salrio mnimo. A forma predominante da apresentao da tuberculose foi a pulmonar (62,50%). A percepo sobre a descoberta da coinfeco foi demonstrada por duas categorias: Medo e angstia face ao diagnstico e Mudanas nos hbitos de sade e no estilo de vida. Urge, diante dos achados, a promoo do bem-estar psicolgico e fsico desses pacientes, por meio de aes polticas e de sade

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Investigar a qualidade de vida de pacientes com coinfeco HIV/ tuberculose e apreender as mudanas impostas para viver simultaneamente com estas doenas transmissveis. Mtodos: Pesquisa com abordagem qualiquantitativa, realizada em ambulatrio especializado em Fortaleza, Brasil, entre 2009 e 2010, com 34 coinfectados. Para coleta de dados foi utilizada uma escala de qualidade de vida, denominada HAT-QoL que possui 42 itens e questes abertas para possibilitar perceber as mudanas em face das doenas. Resultados: A maioria dos participantes tinha tuberculose na forma pulmonar, eram homens, com pouca escolaridade. A qualidade de vida mostrou-se prejudicada nos domnios relacionados s questes econmicas, sexuais e de sigilo. Ainda, foi evidenciado, que a coinfeco impe mudanas no cotidiano que corroboram e ampliam o comprometimento da qualidade de vida. Concluso: Vivenciar a coinfeco, mesmo com teraputica adequada, produz alteraes na vida dos infectados, cujas repercusses podem ser amenizadas com intervenes que promovam a sade

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A pesquisa aborda o uso das Tecnologias de Informao e Comunicao, que vem revolucionando as atividades e ocasionando muitas mudanas relacionadas ao acesso e uso de informaes. O objetivo foi analisar o grau de utilizao do conhecimento cientfico produzido pelos Programas de Ps-Graduao das Universidades Pblicas Brasileiras, atravs da BDTD, pelos mestrandos dos referidos programas. Nos procedimentos metodolgicos realizados, procurou-se inicialmente analisar o amplo espectro da populao do corpus da pesquisa. Em razo da impossibilidade de trabalhar com os Programas de Ps-Graduao como um todo, optou-se por fazer um recorte, elegendo os cursos de Ps-Graduao em Cincia da Informao, vez que estes representam o principal segmento social de interesse da pesquisa. Foi utilizado o mtodo de estudo de usurios, onde se optou por adotar o grupo, estudos orientados aos usurios, que identifica as necessidades e comportamento de acesso e uso da informao. Para coletar os dados, elaborou-se um questionrio semi-estruturado com 25 questes, que versavam sobre o uso, dificuldades de acesso e recuperao da informao, bem como a satisfao na utilizao dessa fonte informacional. Dentre os vrios resultados obtidos, podemos destacar o fato de que a maioria dos mestrandos (71,8%) s teve contato com a BDTD somente no momento em que se encontrava cursando o mestrado e, somente 24,3%, tiveram contato durante a graduao. Estes resultados representam um problema, que pode afetar o bom desempenho do projeto BDTD, o qual consiste em disseminar e divulgar a produo cientfica dos Programas de Ps-Graduao das Universidades Pblicas Brasileiras para a sua comunidade. Foi observado tambm, que os mestrandos oriundos do curso de Biblioteconomia tende a ter contato com a BDTD bem mais cedo do que mestrandos de outros cursos de graduao. A fim de minimizar o problema detectado, prope-se uma divulgao mais eficaz na graduao atravs de dois procedimentos: Primeiro, o docente deve fazer uma divulgao mais eficaz da BDTD junto aos discentes de todos os cursos de graduao; segundo: dever ser feita a divulgao na mdia eletrnica, atravs da insero de cones da BDTD, nos portais dos Departamentos dos Cursos de Graduao das Universidades Pblicas Brasileiras. Acredita-se que com estes procedimentos seja possvel aperfeioar o uso dessa fonte de informao cientfica.

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A evoluo da comunicao cientfica ao longo do tempo e o impacto causado pela A evoluo da comunicao cientfica ao longo do tempo e o impacto causado pela A evoluo da comunicao cientfica ao longo do tempo e o impacto causado pela se analisar as contribuies da Biblioteca Digital de Teses e Dissertaes (BDTD)para a comunicao cientfica atual, destacando possibilidades emergentes e desafios a serem superados. Apresenta uma breve evoluo da comunicao cientfica ao longo do tempo; discute os impactos causados pela Internet na comunicao, disponibilizao e acessibilidade de informaes tcnico-cientficas; e caracteriza BDTD destacando os desafios a serem superados. Dentre eles esto, a questo dos direitos autorais que ocasionam a baixa adeso dos autores ao projeto piloto do IBICT para disponibilizar teses e dissertaes no meio eletrnico. Para este desafio, so apontadas sugestes.

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As bibliotecas de teses e dissertaes tm um papel fundamental para o desenvolvimento cientfico e cultural de um pas. Nesse sentido, buscou-se, de modo geral, analisar o panorama brasileiro das bibliotecas digitais de teses e dissertaes. Especificamente, objetivou-se caracterizar a sociedade da informao enquanto contexto das BDTD; caracterizar os vrios tipos de bibliotecas surgidos a partir da insero das novas tecnologias de informao e comunicao; identificar as diretrizes norteadoras da implantao de BDTD; e levantar as BDTD existentes no Brasil. Para tato, alm de levantamento bibliogrfico, realizou-se uma pesquisa nos sites de instituies de ensino superior brasileiras que j dispe de bibliotecas digitais de teses e dissertaes em funcionamento. A anlise e interpretao destes dados nos permite considerar que no Brasil as BDTD encontram-se num estgio embrionrio, sendo relevante pesquisar a histrica implantao e configurao desse novo modelo de biblioteca.

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Tuberculosis is considered one of the most ancient human diseases, cases were registered 3900 years before Christ, and it is currently regarded as a serious public health problem in the world due to several factors such as income mismanagement, precarious standard of life and some sort of prejudice comprised by the word tuberculosis. Taking this into consideration, it was developed a descriptive and exploratory study aiming at analyzing the social representations of tuberculosis made by its patient from the Unidades de Sade da Famlia (Family Health Units a public health program) in Campina Grande City PB, in relation to the decentralization of the policies that administrate the disease. It was interviewed 34 tuberculosis patient that were being treated from 2007 to 2008. The age group of the interviewees varied from 10 to 60 years old, but most of them were between 36 and 60 years old (58,8%, n=20), some were young adult and adult (21 35 years old), with 11 (32,3%) respondents, and, less frequent, children and teenagers (11 20 years old), with 03 (8,8%) participants. Data was collected through semi-structured interview. The questions that guided the research were elaborated based on the operational recommendations of DOTS strategy; that is: access to laboratory examinations; medication guarantee; directly observed treatment. Besides that, the experiences of the patient were considered in their relation with the family and the different social groups. The analysis of the discursive material was submitted to the Analyse Lexicale par Context d un Ensemble de Segments de Texte software - ALCESTE 4.7. Data interpretation showed five categories for the social representations of the tuberculosis patient that participated in DOTS strategy: 1) the accessibility of the health assistance service; 2) the patient perspective of the disease; 3) the change in the operation of the productive life; 4) the signals and symptoms of the tuberculosis disease; 5) the rearrangement and mechanisms used to face the disease. The Central Nucleus reveals that tuberculosis is a transmissible disease that can be prevented by people through educational practices, health promotion, active search for symptomatic respiratory and control of the carriers communication; these mechanisms should be incorporated to the routine of all participants of the family health groups. The Intermediate Elements, based on quotidian life, as well as the individual experiences of the tuberculosis patient, reveals prejudiced attitude and beliefs that lead to isolation and restriction of interpersonal relationship. Peripheral Elements were constituted by themes that showed the patient feelings of indignation because of the social barriers they had to face in the Family Health Units during the treatment. These elements demonstrate a negative perspective of the representation concerning the accessibility, i.e. inadequate structure of the health service; long distance to the Health Centre, this factormakes it difficult for the patient to continue the treatment; scheduling delay; and limited service regarding other requests (doctor, dentist etc). One expects to contribute for the construction of a new perspective of the health question between the different agents who make the assistencial institutions and formation of professionals, either in central or local scope

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The objective of this work - which is characterized analyze the search for symptomatic tuberculosis in practice and perspective of the Community Health Agent (ACS) in the districts of Natal. Methods: This is a cross-sectional study. The study population was 646 professionals, and conducted a probabilistic random sampling, stratified by districts. The data were collected from one instrument to collect data based on Primary Care Assesment Toll (PCAT) and analyzed by descriptive statistics. The sample consisted of ACS was 87% female. Among the study participants 58% completed high school and 120 months of exercise training (95% CI 111.9 to 129.5) on average. 90% were USF. The average follow-up of cases found were 2 cases of TB since the beginning of the career of the ACS and the last three years the average is presented in a case accompanied. The ACS received satisfactory ratings on the bond of trust with the user, so as access to homes in the community. The ACS reported for denying the fear of being positive result was the biggest reason for not performing the sputum. All units have a professional that responds to the Tuberculosis Control Program. Regarding the structural capacity of primary care settings for the diagnosis of TB, we observed satisfactory levels in different districts of pots for sputum collection, however, a point that deserves attention from managers is lack of materials for packaging sputum. Fear of positive result was one of the reasons for the refusal of sputum collection, followed by alcoholism. With regard to TB suspects, all responded that ACS always suspect when the user has TB coughs, but in all districts were noticed at low delivery of requests for applications for smear. BSR in TB control, is characterized in practice as a complex action goes beyond technical expertise and contact with the family that breaks with the Cartesian. The BSR is part of the ACS can perform them from the daily visits. We conclude that the ACS is difficult to achieve. This practice should not be the privilege of this actor, but the entire team of primary care. We must rethink the practices of TB care, seeing the health surveillance while aegis of the working process of primary care teams for early diagnosis and thereby reduce TB in communities

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Tuberculosis (TB) is one of the most important health problems being faced worldwide. In Brazil, the responsibility for the actions of to diagnosis and control of this disease was transferred to the municipalities within the Primary Health Care (PHC), aiming at improvement in epidemiological indicators, requiring reorientation of the practice of family health teams and requiring methodologies to analyze the extent to which components of the PHC are being achieved. Thus, this study aims to analyze the performance of primary care services in the city of Natal-RN for the diagnosis and control of TB, from the perspective of health professionals (doctors and nurses). The study is descriptive, cross-sectional and quantitative. Data collection was conducted from March to July 2011 and involved 121 health professionals working in 52 health units (family health unit, basic health unit and mixed units). The instrument is structured based on the Primary Care Assessment Tool (PCAT), validated and adapted to assess attention to TB in Brazil, and includes questions regarding the Structure and Process components of health services. For quantitative analysis, it was constructed indicators, whose response patterns are followed according to the Likert scale between one and five, which meant the degree of preference relation (or agreement) of the claims. Values between 1 and 3 were considered unsatisfactory for the indicator, between 3 and less than 4, regular, and between 4 and 5, satisfactory. With regard to inputs and equipment, the units had satisfactory condition for form (  = 4.26), consultation (  = 4.02) and basic basket (  = 4.24); regular condition to pot (  = 3.56) and unsatisfactory conditions for transportation tickets (  = 1.50) and sputum smear microscopy (  = 2.42) and X-rays (  = 1.07). In relation to actions, there was satisfactory development for those focused on the individual patient. Actions aimed at the collective level, as the search for respiratory symptoms (RS), monitoring of contacts and guidelines for the community ranged from regular to unsatisfactory (  = 3.16 -  = 1.34). With regard to training, 94,2% received training to identify RS. As regards the time for diagnosis, the median time elapsed between the identification of RS and the beginning of treatment it was 22 days. In relation to the difficulties faced by professionals in the diagnosis of TB, 56,2% reported that they are related only to health services, especially for the failure in the rearguard laboratory and in the specialized services reference, the lack of human and material resources and low performing an active search. The professionals perceive the performance of diagnosis and control of TB, permeated with limitations and barriers to organizational and operational character of various sizes, emerging the need for effective coordination of various sectors and key stakeholders of TB care, to adoption of a new intersectoral strategies that aim to increase the responsiveness of the PHC, providing the best performance in service delivery to the user, family and community, and ensuring effective action and resolving the needs of this population group.

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Tuberculosis is a disease of great impact on the world context today. In Brazil, the disease management was directed to the Primary Health Care, due to the determination of the Ministry of Health to decentralize health actions for primary care. Thus, since the actions of diagnosis, treatment and control of the disease should happen in this context, however, there are still many barriers that may hinder the realization of these determinations. This study aims to analyze the development of tuberculosis control activities conducted in the services of primary health care from the patient's vision. This is a descriptive, cross-sectional and quantitative study. The population consists of 517 tuberculosis patients treated in units of Primary Health Care in the city of Natal-RN; the sample consists of 93 TB patients. The collect instrument is structured, based in The Primary Care Assessment Tool (PCAT), validated in Brazil and adapted to assess attention to TB in Brazil, with modifications. This instrument was divided into blocks: the first one describes the socio-demographic information of patients with TB and the second one describes the health services working in control, diagnosis and treatment of TB, and includes issues related to the dimensions of primary care: access, bond, services, coordination of care, guidance to the community and family focus. For quantitative analysis, were built indicators for each item of the instrument. The response patterns are followed according to the Likert scale, which was assigned a value between one and five meant that the degree of preference relation (or agreement) of the statements. Values between 1 and 3 were considered unsatisfactory for the indicator, between 3 and less than 4, regular, and between 4 and 5, satisfactory. The results indicate that 62.37% of patients are male, 27.96% aged 41 to 50 years old, and 34.41% unemployed, with low education and low family income. It was found that the reference hospital services are the front door to the patient (59.14%), and are also the local diagnosis of the disease (72.04%). On access, the conditions satisfactory found are: the number of times the patients need to pick up the health care issue, the marking and the facility to get a consultancy in the HS, assistance provided without harm to the individual's attendance labor and facilities related to the proximity between the residence and services; were considered unsatisfactory conditions related to travel to the HS, and on hours and days of operation of services. As for the cast of services were satisfactory and regular actions related to the request for examination to become viable in the first HS, the availability of pot to perform smear and medicines for the treatment, as well as consultations control and receiving information about the disease and the treatment performed; it is considered unsatisfactory the performance of the home care for patients with TB by the HS that acts as a front door, for implementation of the Directly Observed Treatment (DOT), home visits during treatment, the provision of transportation allowance to the patient and the existence of groups for TB patients. Regarding the coordination of care, resulted in regular the action of referring the patient to other HS to obtain examinations, and as unsatisfactory referral to obtain medications. The relationship bond between patient and health team were considered satisfactory in the majority or regular. As for the family and community focus, is satisfactory only the indicator relating to questions from professionals to the patient about the existence of respiratory symptoms in the family. It is considered that there is need for greater commitment from government entities to the incentives required to TB control, as well as the availability of necessary inputs and training of human resources working in the PHC in the ongoing quest to strengthen primary care, as a place of broader host needs to contact the user with the actions and health professionals. It is recommended the adoption of management mechanisms possible to expand the capacity of the health PHC, promoting the service delivery to the user and ensuring attention to population health.

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Tuberculosis is a serious disease with high incidence and prevalence, and in many countries a priority public health problem, with persisting high epidemiological significance. Seeing the person with tuberculosis it is important to observe his/her self care, as well as the difficulties intertwined in this process, since it can be directly impacting the health/disease process. The aim of this study was to analyze the self care of people with tuberculosis. Descriptive study with qualitative approach, conducted in West Sanitary District of the city of Natal, RN. Data collection occurred through a semi-structured interview guided by questions concerning sociodemographic and about the disease, treatment, and self care, between the months of July to September 2012 and met the ethical precepts of research with human beings. To analyze the results we used the technique of thematic content analysis of Laurence Bardin, through the prism of the theoretical-philosophical self care discussed by Michel Foucault. From the analysis emerged two categories, the first being, Meaning of tuberculosis, with subcategories: tuberculosis as sadness and unhappiness and tuberculosis as a normal issue, and the second, Beware yourself to tuberculosis, which had subcategories: self care as attention to the health care of oneself as satisfaction of basic needs and difficulties to self care. Tuberculosis represents for some people, something really sad, causing psychological suffering, however the other presents as normal. Self care of persons with tuberculosis in this study are related in great part to seek health care and the satisfaction of basic needs. About the difficulties related to the practice of self-care, it is observed that these are tied to food, time for rest, slowness of health services for scheduling appointments and tests, as well as related habits and dependencies in the lives of these people. This study contributed to a reflection of the users with tuberculosis and self care, revealing aspects that healthcare professionals should pay attention to watch these people, being able to see everyday on the run, the need for a space and time for oneself

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This study thus sought to examine knowledge about TB and attitudes of patients families in disease treatment in Primary Health Care in Natal- RN. To this end, a cross-sectional study was undertaken through a questionnaire with families of patients diagnosed with TB and follow up by APS from Natal. The study subjects were recruited from a non-probabilistic way, by convenience, contemplating a sample of 50 families. Among the criteria considered for inclusion of subjects, older than 18 years were considered, as well as residing with the TB patient and in Natal and availability to participate in the research. Data collection was performed by own researcher and an assistant, through a questionnaire with families of patients diagnosed with TB following the double independent digitalization of data. In the analytical phase, was initially conducted an exploratory phase and univariate data, with description of the position measurements (mean, median, mode) and dispersion (confidence interval and standard deviation). In bivariate analysis, it was conducted an intersection of dependent variables of knowledge e and changes of attitude dichotomous, with each of the independent variables, using contingency tables and calculating the chi-square test and, when appropriate, the Fisher exact test. In 2x2 tables, calculated the odds ratio (OR) with confidence intervals of 95% (95% CI). From the selected sample, 43 (86%) subjects were female, average age and median respectively of 46.64 and 46.50 years, 25 (50%) had elementary school. The knowledge expressed by family members about TB was considered satisfactory. However, the lack of interest of the family (54%) in seeking information about tuberculosis; the wrong way of reply in relation to the organism causing the disease (64%); the water content (62%) and contaminated food (54% ) as a means of spreading TB was a weakness identified in the investigation. Regarding the time of transmission, 90% of respondents indicated not know or answered wrong. From investigated independent variables, only two were associated with lack of knowledge of TB, and they did not have religion (OR: 0.146, 95% CI: 0.027 to 0.800) and income below 1, 7 minimum wages (OR: 0.155, 95% CI: 0.029 to 0.813). Thus they seem to exercise a protective effect on this outcome. As for the changes in attitude, most of the found variables had no association with statistical significance, except no internet access (OR: 0.212, 95% CI: 0,048-0, 935). Most attitudes were positive in relation to TB patient. Results have demonstrated weaknesses in TB care, which has taken on a more individual and welfare character. Data not only express health outcomes produced by health services, but also the political and social situation of the families that are affected by TB