Atenção ao usuário em um centro de referência HIV/Aids: perspectiva de profissionais e usuários

We study the health care focused on care in an intercessor and dialogical relationship with the User, which involves the construction of therapeutic projects essential to the quality of the treatment of the user in health services, and it is necessary individual and collective actions. It is intended to acknowledge and analyze the perception of social subjects, users and professionals on the treatment given to a user of a Specialized Outpatient Service (Serviço Ambulatorial Especializado SAE) in STD/HIV/AIDS state reference in Natal, RN. The study is structured in a transdisciplinary vision of science and knowledge, theoretical and methodological principles that give meaning to the expression of the institutional features of care and health care reconnecting them to the social context. As a research strategy we seek the expressions of 56 subjects of social research, which agreed to participate in the sample, from a symbolic map of the attention, coupled with the techniques of observation and semi-structured interview. For the analysis of the results, five categories of analysis were established: the meaning of the service, care perception, process of communication and interaction, treatment perception and organization and evaluation of the service. It is argued that the attention and care are developed in a technical health care assistance to the disease, focusing on attention based on treatment, on diagnostic and drug therapy of antiretroviral drugs, reflecting the traditional biomedical paradigm of attention to the disease. This is also the mode of organization of practical actions in daily SAE: the therapy proves to be fragmented in several specialties, vertical and feeds the same model, generating tension and overload for professionals; showing impersonal care focused on structured and informative technology, unrelated to an interactive dialogic. From the speech of the subjects, the SAE is understood as the place of confrontation with the disease, but also enables greater elaboration of the illness by meeting their peers. Living with HIV and AIDS is living with concern, apprehension and fear, but mainly with the stigma, prejudice and exclusion, which require that the disease is kept in secret. There is a movement of forces and power, expressed in the knowledge-power of those who dominate the technical and administrative capabilities, devices that concentrate the maintenance of the medicalization of care, rapid consultations and with little attention, making it difficult to interact with and listen to, combined with structural failures, organizational and inadequate management of the service. We conclude that there are dimensions that are not considered in the internal dynamics of the care service multiple forms, characterized by care conflicting models, marked by individual interventions related to the disease. The subject is not considered together with his speech as technical discourse is imposed and care production based on material technology is observed

Políticas Culturais e Gestão Cultural: a Secretaria Municipal da Cultura e do Turismo SEMUC (2005-2010) de Limoeiro do Norte-CE

The study analyzed regarding cultural policies developed in the city of North-EC Limoeiro by the Municipal Culture and Tourism (Semuc) in the period between the years 2005 and 2010. Period that marks the resumption of the figure of the State Ministry of Culture (MinC) as a major factor in formulating and implementing public policies in the area of culture in the country, especially with the creation of the National Culture System (CNS) and the preparation of National Culture Plan (NCP). The work was through research documents (laws) about what had legislated on culture in the city, the reports of consultation activities undertaken by Semuc and interviews with former managers, a former - employee and the Secretary of that folder. Thus, given the contemporary context where the culture is replaced by increasing visibility, the analysis undertaken on policies developed by cultural Semuc revealed the most diverse forms of action: investment in events (capture and promotion), the institution permanent cultural policies, cultural background, the appreciation of local culture, and specific actions

Trajetórias da adoção cadastral em Fortaleza: o Estado modelando as relações familiares

Esta disertación tiene como objetivo principal identificar las motivaciones de los adoptantes catastrales, pues la regularidad estadística en el universo adoptivo nacional apunta para una preferencia por las adopciones al modo brasileño o listas. La hipótesis principal señala que las caracterizaciones de los sujetos en foco, en cuanto a su pertenencia religiosa y al nivel de educación formal, ejercen fuerte influencia en su opción por la adopción catastral. Apoyándose en la teoría del habitus de Pierre Bourdieu, se pudo constatar que la cultura individual es lo que orienta los límites de la acción de los sujetos y, en el caso de los adoptantes catastrales, en sus diferentes habitus, se encuentra la explicación para sus trayectos y tentativas adoptivas. Es importante recordar que sus habitus son unificados por el Estado. En la colecta y análisis de los datos, se realizó un trabajo cualitativo y cuantitativo fundamentado en los siguientes recursos: observación directa, consultas de documentos oficiales, aplicación de formularios y entrevistas semiestructuradas. Las observaciones fueron realizadas en instituciones relacionadas al proceso de las adopciones catastrales, así como mediante encuestas sobre los adoptantes. Se analizaron, también, documentos referentes al regimiento de esas instituciones, especialmente en cuanto a las orientaciones relativas a la práctica adoptiva estudiada. Se observó una discrepancia entre el discurso oficial y lo que efectivamente las instituciones practican en su cotidiano. Por fin, en cuanto a las entrevistas realizadas con los adoptantes, fue verificado que ellos tienen un nivel socioeconómico y formación escolar superior a la media de la población de la ciudad de Fortaleza, así como participan de alguna comunidad religiosa y son miembros de familias que representan el modelo socialmente dominante nuclear burgués