Humanização na atenção básica de saúde na percepção de idosos

O objetivo deste estudo foi analisar a percepção do idoso quanto ao cuidado humanizado na atenção básica de saúde, com enfoque sobre os aspectos do atendimento ambulatorial que interferem na qualidade do atendimento. Para isso, realizou-se um estudo do tipo transversal, abrangendo todas as unidades básicas de saúde de um município do interior do Estado de São Paulo, por meio de entrevistas dirigidas aos idosos que frequentavam essas unidades. O instrumento utilizado foi desenvolvido pela Organização Mundial da Saúde (OMS), que, em busca de maior objetividade para a avaliação da qualidade do cuidado à saúde, propôs o conceito de responsividade, para referir-se aos elementos não diretamente ligados ao estado de saúde, e sim aos envolvidos no atendimento acolhedor e resolutivo com responsabilidade e vínculo. Dessa forma, os domínios de responsividade avaliados foram: pronta atenção, dignidade, comunicação, autonomia, escolha dos profissionais, confidencialidade e estrutura física e conforto. Os resultados foram analisados através do software Epi Info 3.5.2. Verificou-se que alguns domínios da atenção em saúde, altamente valorizados pelos idosos, tiveram desempenho bem inferior, como: Autonomia, em que apenas 54,4% tiveram liberdade para tomar decisões sobre sua saúde ou tratamento; e Comunicação, em que 67,6% não obtiveram informações sobre outros tipos de tratamentos ou exames e 79,2% não tiveram oportunidade para esclarecimentos quanto às dúvidas sobre o tratamento. Sugere-se, portanto, mudanças nos serviços de atenção básica à saúde prestados, principalmente quando se trata de idosos, uma população especial que necessita receber uma assistência diferenciada.

Didática para a Educação Infantil: implicações do materialismo histórico dialético e da Teoria Histórico-Cultural

In this article, we discuss the contributions of Didactics for intentional pedagogical action of teachers devoted to children education. In this sense, we initially say to be essential the reflections which aim to search for foundations focused on the mobilization of future teachers for the action-reflection-action about the educational phenomena, aiming at the unveiling, with rigor and objectivity, of its multiple determinations within the capitalist relations . We believe that such unveiling is only possible in the light of a world view, a method and a praxis constituted in unison with historical materialism and its dialectic. Afterwards, we reflect on some of the principles of the Historical-Cultural Theory to understand of the active and mediator role teachers have in the process of humanization of young children and contributions of dialectical materialism to this reflection. Finally are detailed some aspects of a Didactics focused on training teachers for Children and early elementary school years’ education, which have guided our actions as teachers of the Pedagogy Course and reiterated by teachers’ narratives about their experience both in life and teaching, in search of new systematization modes, targeting an educational praxis due to the redefinition (theorization) and on the teaching practice by its very subjects.

Acordo, reflexão e filosofia - uma análise a partir de Wittgenstein

Within the Wittgensteinian approach, the ideal of exactness, disconnected from concrete situations of language use, does not make any sense. Such an approach takes into account every and any kind of intersubjective communication, inasmuch as it is based on a previous agreement concerning the use of language and the interpretation of the world linked to it. This paper, throughout its three parts, seeks to understand this agreement, and evaluates whether or not philosophy plays a role in relation to it. To start with, the obstacles to such an agreement will be considered, namely, solipsism and private, subjective language. In the following stage, the intention is to indicate that the rupture from the subjectivist conception of language allows Wittgenstein to visualize another subject, the one incorporated by the community. From then on, the question is to verify whether reflectivity is possible in the ambit of a linguistic community or not, since the objectivity of concepts is not sought within knowledge, but within forms of life. In the third and last part, we will point to the language game metaphor correlative to the meaning emerging from the flow of life, of thought, and of culture and see how philosophy can represent a significant activity in the search for understanding that flow.

Da ideia inicial do aluno à elaboração do conceito de metodologia da mediação dialética

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O leitor machadiano das crônicas da Gazeta de Notícias

Pós-graduação em Linguística e Língua Portuguesa - FCLAR

Relação entre potenciais evocados auditivos de média latência e distúrbio de processamento auditivo: estudo de casos

The Auditory Evoked Middle Latency Response is one of the most promising objective tests in audiology and in revealing brain dysfunction and neuro-audiologic findings. The main advantages of its clinical use are precision and objectivity in evaluating children. This study aimed to analyze the auditory evoked middle latency response in two patients with auditory processing disorder and relate objective and behavioral measures. This case study was conducted in 2 patients (P1 = 12 years, female, P2 = 17 years old, male), both with the absence of sensory abnormalities, neurological and neuropsychiatric disorders. Both were submitted to anamnesis, inspection of the external ear canal, hearing test and evaluation of Auditory Evoked Middle latency Response. There was a significant association between behavioral test and objectives results. In the interview, there were complaints about the difficulty in listening in a noisy environment, sound localization, inattention, and phonological changes in writing and speaking, as confirmed by evaluation of auditory processing and Auditory Evoked Middle Latency Response. Changes were observed in the right decoding process hearing in both cases on the behavioral assessment of auditory processing; auditory evoked potential test middle latency shows that the right contralateral via response was deficient, confirming the difficulties of the patients in the assignment of meaning in acoustic information in a competitive sound condition at right, in both cases. In these cases it was shown the association between the results, but there is a need for further studies with larger sample population to confirm the data.

Biologia: da natureza à cultura. Da cultura para onde?

Vivemos um momento do mundo no qual o meio foi denominado pelo geógrafo Milton Santos, como Técnico-científico-informacional. Nesse meio, a produção científica está dominada por estruturas político-mercadológicas, que para sua manutenção e existência, enxergam e tratam os elementos naturais do planeta, como recursos ou instrumentos de uso e, as pessoas, como mão-de-obra e consumidores. O abismo que separa a humanidade da natureza, é um equívoco de percepção e tem criado conseqüências sócio-ambientais que passam a ameaçar as perspectivas de futuro, não só das gerações futuras, mas das gerações atuais. A ciência moderna, ainda orientada pelo pensamento cartesiano do século XVII, a ciência que tem como marca mais forte o “só acredito, vendo”, não vê que perdeu a objetividade e não está apta a responder aos problemas do mundo contemporâneo. Até mesmo porque, muitos deles são criados e perpetuados por esse instrumento de poder manipulado pela lógica capitalista. O título desse trabalho tem como intuito incitar uma reflexão séria a respeito do rumo que estamos dando à nossa existência no Planeta Terra enquanto seres biológico-culturais, com o objetivo de inspirar mudanças interiores capazes de gerar mudanças significativas em nossa cultura. Mudanças que ao menos cheirem a esperança no que se refere às possibilidades de melhorias em nosso quadro socioambiental. Vale salientar que “O Governo”, “A Ciência” e “O Mercado”, não são entidades obscuras que assombram nossas vidas, são pessoas como nós, para não dizer “nós mesmos”. Como integrantes da populosa comunidade humana, estamos carregados de valores, crenças e condutas que influenciam direta e indiretamente a nossa vida cotidiana, em termos de hábitos comportamentais, alimentares, de relacionamento interpessoal e com toda a comunidade de vida...(Resumo completo, clicar acesso eletrônico abaixo)

Atualização do conceito de qualidade na construção civil

The quality control is of great importance for the development of any organization, mainly for providing an assurance of delivering high quality services and goods for the consumers. Quality can be defined by the word „change‟, for the company which intends to implement a quality control system must be open to changes. This can be noticed from the JURAN concept (1992 In SILVEIRA ET AL., 2002): “Quality is to fit for usage”, i.e., depending on the goal, the situation and the consumer, quality is seen in different ways, since each one has different wishes and opinions. Taking in to account the availability of means such as norms, theories and tools, that contribute for an efficient quality management system, this discrepancy of opinions and the lack of objectivity of this concept can be solved, since through the analyzes of these means one can set quality standards, i.e., market references which fulfill both consumers and builders demands. Thus, the quality concept ceases to be something so abstract, non-measurable, to become a more objective concept. Finally, the goal of this work is to analyze the quality concept through bibliographic studies and possible consumers‟ enquires, aiming at the building industry, and show how the quality, often taken as something abstract, can be a measurable and objective concept, that benefits both the consumer as well as the enterprise of this branch

Validação do instrumento de avaliação do jogador de futebol em situação de jogo

In the literature, it is possible to find a large number of studies directed toward athletic training in the physical, technical and tactical aspects of the Soccer game. In the other side, we are able to attest that there exists few instruments in the sport area of studies on evaluation of the athlete, in specific, rare are the instruments for assessment that takes into consideration the game situation. The most important aspect of an instrument of assessment is its validity. The present study has the objective to validate the “Instrument for Assessment of the Soccer Player” (IASP), proposed by Gama (2003). For the process of validation, participated nine university students, volunteers, four women and five men. The evaluators had a training period for acquaintance with the instrument and they analyzed, in individual basis, soccer games registered in video. This procedure was done via a 29 inches TV set, a DVD device and a voice recorder. Tests of reliability and objectivity were applied in order to measure intra and between observers consistency. As for the objectivity analysis, the results for each one of the soccer motor action with the ball in a game situation showed high correlation between possible score and obtained score. However these data did not allow for the validation of the IASP instrument as the criterion applied to the analyzed actions were different between observers even when of the observation of the same player in the same game. This problem was detected also in the evaluation of reliability. However, the present study was capable to point out inconsistencies within the Instrument for Assesment of the Soccer Player (IASP) so that after the needed changes being made, another validation will be done

A grande missão do século XIX e a escrita da história de Ernest Renan (1848-1863)

Pós-graduação em História - FCLAS

Procedimentos conservadores para restabelecimento da estética anterior

A Odontologia atual está direcionada em executar procedimentos cada vez menos invasivos sem perder a objetividade, tais como função e estética. Como tais procedimentos, podemos citar o clareamento dentário e a utilização de resinas compostas diretas, que nos fazem praticar o conceito de uma Odontologia minimamente invasiva. Este artigo tem o objetivo de demonstrar, através de alguns procedimentos conservadores, a possibilidade de se obter resultados satisfatórios.

Human identification by means of conventional and digital Cheiloscopy: a study of the literature

One of the areas of human identification is Cheiloscopy, the name given to the study of the lips, their characteristics (such as thickness, position of the grooves and grooves) and the record of the impressions left by them. There are variations in the layout of the lines and fissures of the lips, which are unique to each individual, permanent and unchanging. The lip print rarely changes, enduring minor traumas such as inflammation or sores. In criminal investigations, lip prints, visible through the presence of lipstick, can be found on glasses, napkins, clothes, cigarettes, indicating a relationship between the subject and the scene of the crime. Latent impressions may be revealed employing specific chemicals such as powder of silver and aluminum nitrate. Although it is not a very common method, Cheiloscopy may become very useful in forensics due to the extensive amount of valuable information that it brings. The objective of this study was to review the literature on the use of Cheiloscopy in human identification, using traditional and digital methods. It was found that the literature is still in need of studies in this area. The advent of new digital technologies can facilitate the implementation of technical expertise, generating speed and objectivity. New research studies are necessary, especially in the development of digital methods. The application of Cheiloscopy can greatlyhelp with Law, in the identification of living suspects and dead individuals. In the end the benefit will fall to society as a whole.

O romance policial contemporâneo pelos caminhos da paródia: uma vertente metalinguística

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

De Hegel a Marx: da inflexão ontológica à antítese direta

We will deal with the Marxian criticism to the Hegelian notion of "being". it will be shown that historicity and objectivity are determinations of this category (and that categories are always.,forms of being, determinations of existence). So, the analogy between the Hegelian logic and the Marxian theory may sometimes, hide essential aspects of the materialist comprehension of history Here, we intend to prove that, by questioning the treatment dispensed to the matter of being by Hegel, Marx criticizes the Hegelian inversion between subject and predicate in a way that, although dialoguing with Hegel, his conception is the exact opposite at the same time.

Simulação computacional por elementos finitos de múltiplas fissuras em sólidos usando técnica de fragmentação da malha

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)