Perception of the informed consent form by participants in clinical trials

To understand the perception of the participants in controlled clinical trials (CCTs) about the informed consent and describe the meaning of their participation in the research. Qualitative study using the focus group technique. The sample was composed of 19 patients who participated in clinical trials about hypertension and coronary disease in a specialized cardiologic hospital located in the city of Sao Paulo. The methodological framework used was the content analysis. Some of the participants were aware of the real objective of these studies while others had misperceptions. The reading of the informed consent is not always done and, when it is done, the patient does not understand it. The lack of understanding about the term ''placebo'' was mentioned by some participants. The motivation to participate was the personal benefit. This study shows that obtaining the informed consent in CCTs is complex and that there is the need to adapt the structure and application of this document, in order to protect the participants and improve the quality of clinical trials performed in the country.

O estudo de matemática nas salas de recursos de escolas do ensino fundamental

Conforme a Declaração de Salamanca, toda criança tem direito fundamental à educação, em particular aquelas com deficiência. Para atender a esta recomendação, os Estados e Municípios brasileiros instalaram salas de recursos (salas para atendimento especial) em diversas escolas. Esta pesquisa vem apresentar uma análise do trabalho realizado com alunos com deficiência nas Salas de Recurso de escolas da cidade de Rio Claro, focando o ensino de matemática. Foi feito um levantamento das escolas que possuem estas salas e cinco delas foram selecionadas para a realização de entrevistas com os professores especialistas. O objetivo foi conversar sobre as dificuldades e potencialidades deste tipo de atendimento especializado, no que diz respeito à matemática. As análises dessas entrevistas indicaram os procedimentos para o atendimento na SR e as abordagens para o ensino de matemática

O professor como mediador da facilidade/dificuldade de aprendizagem do aluno

This study arose from many issues that permeated the undergraduate degree in Education about the role of schools in society, and how this, which also represents space and time, has influenced the lack of pleasure in learning of school students fundamental. Thus, we intend to review the context of the formal school emergence in Brazil, noting its social function and compare the changes in the initial model to the present day. The aim is also to analyze the writing of a group of students about school design, which was transferred by a teacher who participates in the Extension Project: Teacher Education for Specialized Educational Support Services to Students with Learning Disabilities in order to articulate the extent to which the school contributes to the feeling of not belonging student at school. It is a qualitative research, which was used initially on a review and written analysis procedure

A assistência social e o trabalho com as pessoas em situação de rua no CREAS: um campo de intercessão

Pós-graduação em Psicologia - FCLAS

Entre potências e resistências: o Centro de Atenção Psicossocial Infantojuvenil e a construção da lógica da atenção psicossocial

Pós-graduação em Psicologia - FCLAS

Games independentes: plataformas de inovação das novas mídias no contexto da economia criativa

Creative spaces need freedom. Any productions, especially with artistic content, need space to mistakes, that is, for an attempt away from the standard. The independent production environment is recognized in different artistic sectors as a space for innovation, to be free of the serial production logic. The major innovations in the international scenario of games came from the independent productions. Great classics revolutionized the aesthetics and functionality of this new media. This project aims to analyze the productive chains of Brazilian independent games, starting with a regional analysis. The goal is to observe the factors responsible for the innovation that these games can offer, the management aspects of creative processes, articulation of innovative agents and resources mobilized. Brazil currently has the fourth largest gaming market in the world with expectation of strong growth for years to come, but arises in the international market as a consumer. Given this regional demand is necessary to study the tools of production, even to help fill that need. Not only the production of games should be thought, the media coverage is also another important factor, in view of the economic importance of this segment. Understanding the mechanisms of innovation in the gaming universe, its impact on the formation of public and coverage of specialized journalism in this new media are possible outcomes of future studies and research that scientific research can contribute

A educação sexual e suas entrelinhas nas concepções dos gestores

Pós-graduação em Educação Sexual - FCLAR

Organização da demanda de um Centro de Especialidades Odontológicas

Introduction: Secondary care in oral health in Brazil is still a little researched topic. Objective: The aim of this study was to analyze the resolution of dental services in SUS based on the referral to secondary attention and backreferral to primary attention. Methodology: It’s a descriptive, quantitative study that used secondary data collected from dental records of patients seen at Centre of Dental Specialties (Ceo) in a city of São Paulo State. Result: It was analyzed 1030 dental records. Just 1236 proceedings received referral to Ceo and among then, 86.4% showed the first attendance on Basic Health Unity (UBS) through spontaneous demand and 50.4% (n=623) received referral to endodontic treatment. There was evasion of 2.27% of studied population (n=28) on the first specialized consultation. Among 1208 proceedings that started the treatment in Ceo, 62.6% (n=757) were finalized and received back-referral to primary attention, that finalized 61.1% (n=463) of proceedings. To conclude the treatment, considering the time spent in Ceo and primary attention, there was variation according to specialty: periodontics – 62 days (sd ±68) and endodontics – 71 days (sd ±51.8), requiring 3 consultations in average, regardless specialty. Conclusion: The Centre of Dental Specialties gave referral and attention to the majority of demand, regardless specialty. However, there are many cases of evasion during dental treatment, alerting managers to develop methods to entice these patients, reducing service expenses and raising solvability of dental procedures previously initiated.

Absentismo laboral por patología odontológica y médica en una industria de gran porte del sector mecánico y mueblero

Introduction: The current Brazilian legislation states that health services must be performed by the Specialized Service of Safety Engineering and Labor Medicine (SESMT). Objective: To analyze the dental and medical reasons for absenteeism, checking the interference of factors such as age, gender and position of the worker, and most of the reasons that led the employee to miss work. Material and methods: The research appears as a descriptive study with a quantitative approach. The dental and medical certificates and statements of attendance were analyzed, duly approved, lodged in a acrylic industry in the city of Araçatuba-SP, from January to July 2011. Results: Of the total number of certificates (n = 1841), only 103 (5.6%) were for dental reasons. Predominance of the age group of 20-29 years, males and with non-administrative function. The reasons most dental and medical certificates stated that led the workers to miss working days were "inclusive and impacted teeth" and "diarrhea and gastroenteritis of presumed infectious origin", respectively. As to factors related to absenteeism, there was a severity index of 2.83, 1.33 frequency and average duration of absences of 2.12. Conclusions: It is concluded that dental reasons had little weight on total absences due to illness that caused the temporary leave of the worker for a shorter period. The age and function variables influence the occurrence of work absenteeism.

Carcinoma de lábio com prognóstico sombrio devido conduta médica inadequada

The Squamous Cell Carcinoma is what more happens among the oral cancers, being considered sweats incidence in more than 90%. As important prognostic factor competes the early diagnosis and the immediate institution of the treatment, that it can involve radiotherapy and chemotherapy besides the surgery. The initial lesions don’t offer great diagnostic difficulties and now complemental laboratory exams define the diagnosis quickly, In the present report, the initial medical conduct was inadequate, with incomplete interpretation of the laboratorial result and adoption of inadequate therapeutic conduct, what resulted in constant evolution of the lesion. The patient came to the consultation with that medical history, after six months of the first attendance accomplished in another center. To the physical exam, infiltrative ulcerated lesion was observed in the lower lip, with having accentuated tissue loss superficially. The patient accused spontaneous pain and she did use an ointment, recommended six months ago for occasion of the first attendance. As diagnostic conduct was indicated the accomplishment of cytology and biopsy, being defined the diagnosis of Squamous Cell Carcinoma. The patient was immediately guided to the medical service of its municipal district for manegement of the specialized oncologic treatment. The patient was submitted the surgery followed by radiotherapy, being verified involvement of another structures by contiguity. Now, the patient meets abed, without viable perspectives of cure. The present report emphasizes the importance of the clinical knowledge and professional responsibility in attendance of cases of that nature.

Síndromes paraneoplásicas: o que o cirurgião-dentista precisa saber?

Introduction: the term paraneoplastic is a clinical, biochemical, hormonal, neurological and/or associated disorder with hematologic malignancies, but not directly related to primary tumor invasion and metastasis. Paraneoplatic syndromes may be the first sign of a malignancy. Review of literature: the syndromes that are most commonly related to dentistry are of lambertt-Eaton, Gardner, Cowden disease, Peutz-Jeghers, Sjögren, multiple endocrine neoplasic, multiple neurofibromatosis of Von Recklinghausen, nevoid basal cell carcinoma, acanthosis nigrans and pemphigus paraneoplastic. Conclusion: early diagnosis of malignant neoplasms favors prognosis and paraneoplastic syndromes assist in diagnosis. It is important that surgeons-dentists know these events in order to diagnose them as soon as possible and refer these patients to specialized treatment.

Perfil dos idosos participantes dos programas oferecidos em uma estratégia de saúde da família do município de Ponta Grossa/PR

O perfil, na área de saúde, tem por base quantificar a necessidade dos trabalhos a serem executados dentro da interdisciplinaridade. Assim, os trabalhos podem ser direcionados com maior exatidão, correspondendo diretamente aos anseios da população idosa frequentadora dos serviços de saúde. O objetivo desse trabalho é avaliar a realidade do atendimento ao idoso na Estratégia Saúde da Família. Foi utilizado um questionário autorizado pela SBGG/PR, (Sociedade Brasileira de Geriatria e gerontologia seção Paraná) para estudo transversal, que engloba perguntas sobre aspectos sociais, políticos e específicos sobre os atendimentos prestados em uma Unidade da Estratégia Saúde da Família. A população estudada corresponde a um grupo de 90 idosos de ambos os gêneros, freqüentadores da Unidade de Saúde da Família Dr. Nilton Luiz de Castro, no bairro Tarobá no Município de Ponta Grossa – PR. A maioria dos idosos que frequentam as Unidades de Saúde da Família são mulheres; 90% são independentes; 50% esperam entre trinta minutos e uma hora por uma vaga para consulta; 65% das doenças crônicas diagnosticadas são tratadas na unidade de saúde; 100% relataram que não havia nenhum médico especialista na área de geriatria atendendo na unidade de saúde; 90% dos idosos observaram que havia programas de apoio aos idosos na instituição. A falta de informação dos idosos auxiliada pelo descaso dado as suas condições como pacientes especiais, juntamente com a falta de programas para atendimento especializado são os principais problemas que atingem os idosos nas Unidades de Saúde da Família. A maioria dos problemas poderia ser resolvida com a disponibilidade de pessoas treinadas e preparadas para atender esta população.

Enxerto ósseo em odontologia: revisão de literatura

Bone is a specialized connective tissue, vascular and dynamic changes over the life of the organism. When injured, has a unique ability to regenerate and repair without the presence of scars, but in some situations due to the size of the defect, the bone tissue does not regenerate so completely, it is necessary to carry out bone grafting procedures. Considering there are various types of grafts and various donor sites. Thus, the aim of this study was to review the literature to some type of graft most commonly used in dentistry. Given the importance of bone reconstruction in oral and maxillofacial surgery, it is necessary to know the viability and influence of biomaterials, or not associated with autogenous grafts in bone repair. Even this, with many qualities, but further studies should be done to achieve each day, a synthetic material compatible with bone tissue lost in adequate amounts without requiring extra-oral surgeries that are considered to be devoted to higher morbidity.

Caracterização mineralógica e química das fontes de poeira e sua influência na atmosfera da região do polo cerâmico de Santa Gertrudes (SP)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Compreendendo a dinâmica familiar de adolescentes expostos a violência sexual intrafamiliar

Violence in adolescence, specifically sexual violence, is a topic of great relevance. Not only in Brazil but the world has witnessed the increase of sexual violence, becoming the most prevalent morbid occurrence in adolescence. Draws attention to the phenomenon of sexual violence against children and adolescents not only the fact that most of the victims are assaulted in their own home environment, but also the type of relationship between victim and aggressor. Thus, based on systemic approach, this study aimed to compose eend family dynamics of adolescent victims of sexual intra-familial. Participants were seven teenagers and their parents, users and beneficiaries of services offered by CREAS - Reference Center for Specialized Social Assistance in a municipality of Mato Grosso do Sul. The instruments used were the Test of Drawing in Colour of the Family (FCDT) and a questionnaire about the pictures taken and family interactions. The results indicated the difficulty in differentiating family roles, especially regarding the differentiation of the mother and daughter, a fact that seemed to be the motivator for the impoverishment of individuation in groups. Also noted the presence of conflict between the familiar figures probably originated from this abusive situation. In this context, the studied families showed communication difficulties between family members, hindering the integration between them, as well as the existence of an authoritarian leadership and strict rules performed by the father figure. These results may support preventive and therapeutic actions to situations of sexual violence against children and adolescents. Thus, it is suggested that psychological counseling for the study participants and other stakeholders with a view to reducing damage and recovery of quality of life for all family members, as well as the need for further studies in the area in question.