Avaliação da qualidade da atenção ao parto nos colegiados de gestão regional Cuesta Botucatu e Vale do Jurumirim

The humanization of childbirth implies the understanding of this event as an important experience, and requires the redefinition of human relationships from the review of the assistance project, the understanding of pregnant women condition and human rights. To evaluate child birth assistance using a score that was developed by Botucatu Cuesta Regional Management and Jurumirim Valley Collegiates. This is an epidemiological, descriptive study that is inserted in the field of evaluation of services, programs or health projects. The data has been obtained by direct observation of deliveries, emphasizing the humane care. Results: Approximately one third of the women gave birth in a tertiary hospital (34.1%) and it was their first babies (33%).24.8% of the women received prenatal care in high-risk services. 67.1% of the births were normal, and 84.7% had no companions in the delivery room. In 47.1% of the cases the delivery was performed by obstetrician who used anesthesia in 44.7% and episiotomy in 48.2% of the deliveries. More than half of the newborns were attended by the pediatrician in the delivery room and had a delivery graph completed. Although the present study shows that 67.1% of the births were normal, caesarean rate can be considered excessive, as the WHO points out that c-sections above 15% are unlikely to be justifiable. It is important to emphasize that the Ministry of Health has to have a commitment with all women to promote safe motherhood, even in cases when the pregnancy involves a risk for both the mother and the fetus. It is noteworthy that the created score allowed us to assess variables related to the humanization of childbirth and only average and quite similar situations among the three services were evidenced. We hope that with this study, managers and professionals that work in this area can be subsidized in order to offer effective humane assistance and quality service in the delivery

Cladistic analysis of self-grooming indicates a single origin of eusociality in corbiculate bees (Hymenoptera: Apidae)

Behavioural traits have been used extensively in recent years as an important character source for making phylogenetic inferences. The phylogenetic positions of the members of the Apini subtribe are increasingly being debated, and new characters must be examined. We analysed the presence and absence of certain behavioural patterns, as well as the sequences of some of these patterns, to generate 79 characters. Eleven species comprised the ingroup, and Xylocopini comprised the outgroup. Parsimony analysis showed that the most parsimonious tree was (Euglossina(Bombina(Apina+Meliponina))). This topology is consistent with most studies that use morphological data and the few that use behavioural data, which suggests that advanced eusociality arose only once in a common ancestor of the clade Apina plus Meliponina; however, this hypothesis is inconsistent with our molecular data. Thus we considered behavioural, molecular, and morphological data and recovered the same topology, in which eusociality has a single origin in corbiculate bees.

Systematics and phylogeny of the Neotropical Pachymenes de Saussure and Santamenes Giordani Soika (Hymenoptera, Vespidae, Eumeninae)

The genera Pachymenes de Saussure and Santamenes Giordani Soika arerevised and the phylogenetic relationships among their species, based on external mor-phology and male genitalia, are presented. The cladistics analysis, using 22 terminalspecies (19 ingroup and 3 outgroup species) and 44 characters, produced a single clado-gram under implied weighting. Both genera were recovered as paraphyletic, althoughttwo major clades were formed and were well supported by the re-sampling analysis.We propose the synonymy of Pachymenes with Santamenes, and the description of twonew species: P. saussurei Grandinete n.sp. and P. riograndensis Grandinete n.sp..Newcombinations are: Pachymenes novarae (de Saussure) n.comb., P. olympicus (Zavattari)n.comb., P. peregrinus (Zavattari) n.comb. and P. santanna (de Saussure) revised combi-nation. We state the synonymy of P. obscurus orellanoides under P. obscurus consuetus,reviewing the status of the latter and raising P. consuetus to species level. Pachymenesorellanae vardyi is synonymized under P. orellanae; P. ghilianii olivaceus, P. ghilianiiavissimus and P. peruanus are proposed as synonyms of P. ghilianii; P. picturatusobscuratus is synonymized under P. laeviventris; P. picturatus nigromaculatus andP. picturatus var . intermedia are synonymized under P. picturatus and P. a t ra var . ornatis-sima get its lectotype designated and proposed as synonym of P. ater.

Análise do binômio saúde: adoecimento de professores e alunos

Pós-graduação em Educação Escolar - FCLAR

A visão do usuário sobre o serviço público odontológico e a autopercepção em saúde bucal

Pós-graduação em Odontologia Preventiva e Social - FOA

A pedagogia histórico-crítica e a formação da individualidade para sí

Is there a place inside Marxism for the debate on individuality? Does the historical-critical pedagogy need a theory of individual’s education? The article answers affirmatively to both questions and analyses the pillars of a Marxist theory of human individuals’ education. The start point is the relation between the processes of objectification and appropriation that were originated by the work activity. The relation between objectification and appropriation is analysed from a dialectical materialistic historical perspective. This perspective implies the understanding of the contradiction generates by class struggle that gives to the sociocultural development both the meanings of humanization and alienation. In this sense, individual’s education is understood as part of historical self-building process of humankind. The direction of this movement is from humanity in itself to humanity for itself that means a process that promotes the development of free and universal individuality.

As práticas pedagógicas e o desenvolvimento dos conceitos não-cotidianos na criança pré-escolas

This article discusses non-daily concept formation in children talking about contributions from historical-cultural theory, highlighting school learning and teaching mediation as effective instruments on the development of these concepts. The goal is to reaffirm the understanding that it is by teaching activity that children acquire cultural concepts that are necessary to their humanization process. It also discusses the opposition established between psychogenic understanding on the formation of non-spontaneous concepts and the perspective in this historical-cultural theory, lines of development of daily concepts and not daily ones, and finally highlights the assumption that school educative practices are universal and necessary forms for this development.

Fundamentos psicológicos da pedagogia histórico-crítica e fundamentos pedagógicos da psicologia histórico cultural

This article presents the theoretical and methodological unity between the historical-critical pedagogy and cultural-historical psychology. It highlights, in addition to the membership of both theories to historical-dialectical materialism, the basic premises that point toward the affirmation of school education as a condition of humanization of individuals, as well as the transmission of historically systematized knowledge as one of the requirements for the achieving this purpose. In this direction, we aim to demonstrate that the historical-critical pedagogy contains, in its innerness, a solid psychological foundation, consistently built by a cultural-historical conception of man, society and educative nature that guides the relationship between them through the human vital activity, that is, through the work. It is in the core of those fundamentals that the alliance between this pedagogical theory and cultural-historical psychology is evident.

Acogimiento en el proceso de formación de los odontologos en Brasil: un analisis en el contexto del Sistema Unico de Salud (SUS)

To define the profile of Dentistry’s academics, on the welcoming reception of patients/users attended in the Public Institution, under the guidelines of the SUS. Methods: A structured questionnaire was applied to 163 students, which contained questions that covered five variables (reception, dialogue and listening, action and care first contact, professional identity) and conducted an interview to associate to responses obtained during the first phase. Quantitative data were tabulated and analyzed by descriptive statistics in SPSS 16.0 and qualitative data analyzed through discourse of the collective subject. Results: It was observed that, intellectually, the most of student (70.7%) understand the concept and the repercussion of the welcoming reception process in health and many have caring characteristics. However, the pedagogic system formation makes it difficult or systemizes an integral and spontaneous welcoming action. Conclusions: The academics have the embracement profile but it is need more motivation in the humanization of the university teaching.

Função apoio em pesquisa: experimentações na produção de (des)caminhos e desvios

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Ampliação da capacidade de análise: a produção de sentidos na Política Nacional de Humanização

The article refers to the collective construction performed from the Multicentric Research on Humanization Training of SUS. It is about production and building consensus on different interpretations of the superfamily "expansion of the analysis capability." The methodological approach is related to the creation of analytical reports coming from four sources: Intervention Plans built at the time of training courses offered in three states (Rio Grande do Sul, Santa Catarina and São Paulo) by the institutional supporters in training.Also, there were questionnaires answered via Form-SUS by graduated supporters after four years of the course closing; data and analysis produced by supporters in focus groups and interviews, conducted as the research final stage in the three states.Thus, considering the inclusive methodological framework not only from the courses, but also the research that evaluated them, the participants (graduates from the training courses) produced data and started to play the active role of researchers/panelists because they got “surprised" by partial analyzes.Therefore, the article discusses the analysis capability of demand required by supporters before their working areas and the relationship of that capability with concepts and elements of Institutional Analysis.It was possible to highlight the inseparability between demands of emergency and the exercise of being next to another person and his/her interests. The conclusion is that the methodology proposed by the course allowed the supporters in training to stimulate and develop a critical capacity on their work.However, it is noticed that the expansion of such analytical capability often remained linked to the supporter, without the contagion of other workers in the territories.It was also possible to see that the course and political framework of PNH could equip the supporters, promoting empowerment from their analysis, which is essential to the interventions performance.

Errâncias e itinerâncias de uma pesquisa avaliativa em saúde: a construção de uma metodologia participativa

The study presents the construction process of research methodology "Training in SUS Humanization: effects evaluation of training processes from institutional supporters on health productionin Rio Grande do Sul, Santa Catarina and São Paulo territories." There was a search for developing an appropriate evaluative practice to the training processes, a methodology that instead of evaluating on something, assessed along with the supporters who attended the training-intervention, a participatory methodology.Therefore, the constitution of the Research Interest Group was an eminent tool. Trained supporters comprised the research team to expand participatory possibilities of a large and dispersed group, producing interferences in the investigative process conduction, described and analyzed in the study.At the same time, their experiences interfered in the understandings they had until then about the intervention-training experiences and effects on their daily lives, after almost four years.Thus, the methodological approach was intrinsically linked to the construction of a subjectivity differentiated plan and necessarily collective, which shifted the position of supporters involved from mere data suppliers to a lateralityposition in relation to other actors.The trial afforded by participatory strategies allowed researchers and supporters to interfere and compose the evaluation scenario with remarkable performances throughout the investigative process.The survey configuration was like a bet on a given methodological architecture that, in seeking to overcome evaluator-evaluated logic produced information for (retro) feedingthe intervention triggered by it. In the formative dimension, it also went through working processes analyzed by supporters rescuing the indissoluble characteristic that health activities mobilize among intervening, training and reviewing.

Entre o cárcere e a liberdade: apostas na produção cotidiana de modos diferentes de cuidar

This paper presents some reflections about the challenge of the Psychiatric Reform (RP) and the National Policy of Humanization (NHP) to change modes of production and health care. Starting at observations about the current scenario , marked by a conservative tendency, the author seeks to explain the care that has freedom as a principle and ethical requirement and that compulsory admissions represents a worrying setback in the public mental health policy. At the end the author points out that both policies (PNH and Mental Health) are bets which are produced in nooks and crevices of the conservative model, which represents an immense challenge.

Home care: uma análise

Pós-graduação em Direito - FCHS

Differentiation and species status of the Neotropical yellow-eared bats Vampyressa pusilla and V. thyone (Phyllostomidae) with a molecular phylogeny and review of the genus

A systematic re-evaluation of Vampyressa pusilla warrants the elevation of V. p. thyone from subspecies to species rank based on its distinction from the allopatric V. p. pusilla. Morphological, mensural, chromosomal, and mitochondrial differences define each of these two taxa as divergent lineages. Vampyressa pusilla is endemic to the Atlantic Forest of southeastern South America and V. thyone is found allopatrically in northwestern South America, Central America, and southern Mexico. A molecular phylogenetic analysis of the mtDNA ND3-4 gene region using restriction endonuclease cut sites resulted in a monophyletic, although weakly supported Vampyressa ingroup with Chiroderma, and a clade of Mesophylla and Ectophylla as successive basal outgroup lineages. The phylogeny within Vampyressa, with the exception of V. melissa which is most similar to V. thyone based on karyotypes and morphology, had a topology of ((pusilla + thyone) + ((brocki + nymphaea) + bidens))).