Extensão do modelo hipercubo para análise de sistemas de atendimento médico emergencial com prioridade na fila

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Formação de alunos universitários em políticas de atendimento a crianças e adolescentes

O Estatuto da Criança e do Adolescente (ECA) preconiza que crianças e adolescentes são sujeitos de direitos e que esses direitos precisam ser obrigatoriamente assegurados e efetivados. Para que o ECA seja efetivado, se faz necessário o conhecimento e compreensão sobre o que esse documento prevê. Assim, chama-se as instituições formadoras a assumirem seu o compromisso éticopolítico de formação da sociedade. Reflete-se, portanto, sobre a inquestionável necessidade da utilização de estudos e pesquisas dentro das Universidades para que se possa construir espaços de formação diferenciados. Neste contexto, a pesquisa desse Trabalho de Conclusão de Curso objetivou uma análise sobre a formação e influência na vida profissional e pessoal de alunos universitários que participaram de um curso de extensão denominado Formação de Agentes Sociais, Professores e alunos em Políticas de atendimento a Criança e ao Adolescente. Tratou-se de uma pesquisa qualitativa, com a utilização de três instrumentos de coleta de dados: um questionário inicial; observação e registro em Diário de Campo e entrevista individual semi-estruturada. Na análise dos dados, tem-se que a maioria dos sujeitos participantes da pesquisa afirmou que foram atendidas muitas de suas expectativas, que tiveram bom aproveitamento do curso, e que o mesmo trouxe grandes contribuições para seus processos de formação acadêmica, pessoal e profissional. Os resultados desse trabalho também indicaram a necessidade de que os conteúdos referentes ao ECA e a política de atendimento a criança e ao adolescente sejam incorporados aos cursos de formação básica profissional

Procura espontânea de atendimento por idosos da Estratégia Saúde da Família: análise não linear do comportamento temporal das morbidades

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estratégia saúde da família e adolescência: as necessidades de cuidados e recursos utilizados em saúde mental

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Users' psychological characterization of the Birigui Mental Health Clinic

To improve mental health services, the World Health Organization proposes an “epidemiological approach” based on the constant screening of existing research, and aimed at continuous improvement of psychological treatment rather than strict application of prescribed techniques. This study provides an epidemiological survey conducted at the psychology ward of the municipal Ambulatório de Saúde Mental in Birigui, São Paulo, Brazil. Data from 180 patients in psychotherapeutic care were collected, and subsequent descriptive analysis showed that the population consisted predominantly of adults (82.8% of total) and females (81.0%). Depressive disorder was the most common symptom (61.1%), and the majority of the participants (72.2%) received psychological treatment for the first time. The data presented in this paper can assist mental health professionals in selecting appropriate treatment by creating a profile of patients.

Parâmetros assistenciais em saúde bucal: comparação entre duas programações do atendimento clínico no serviço público

Objective: To compare two forms of scheduling clinical dental care for the oral health teams (OHT) included in the strategy of family health, regarding productive aspects of assistance. Methods: Two OHT worked concurrently, using two methods of clinical care: the parameter recommended by the Ministry of Health Ordinance No. 1101, 2002, which establishes 03 dental visits per hour (c/h) per team, and a Testing model, with 02 c/h, being each method applied for a period of 615 hours. The quantitative data was collected in OHTs’ daily production spreadsheets, covering the following items: the number of dental visits (initial, for maintenance and for emergency procedures), procedures performed, consumption of material and sterilization cycles. Data was compared and statistically analyzed through the BioStat 5.0 by applying the paired t-test (p <0.05). Results: Under the Ministerial method and the Testing model, were performed, respectively, 288 and 365 first dental visits, 921 and 686 return dental visits, 167 and 172 emergency dental attendances, with 469 and 110 fouls, 212 and 327 treatments were finished and 2501 and 3046 dental procedures were realized. Among eleven analyzed consumables, five were consumed in smaller quantities in the Testing model: gloves (9%), anesthesia (38%), anesthetic needle (34%), suture material (24%) and aspirators (11%), while the six remaining items presented similar consumption rates between the two models. Conclusions: The testing model revealed to be more productive and economical.

Aplicação de princípios de ergonomia no atendimento odontológico

The dentist has been suggested as a professional vulnerable to labor risks mainly related to working posture. This study examined the application of ergonomics principles during the dental attendances made by university student of the last period of the Araçatuba Dental University. Twenty-four attendants were photographed and the images were digitally analyzed for the verification of 10 requirements that determine a healthy labor posture, defined by the project ISO Standard / TC 106/SC 6 N 411. It was observed that 50% of items from the check list obtained higher percentages of negative replies. The students had greater difficulties as to the correct position of the angle between the upper and lower leg when sitting, the ideal adjustment of the light focus reflector in the field of work and the patient positioning. It was concluded that the dental attendances were held without compliance with the ergonomic requirements. The greatest difficulties regarding the work posture were the sitting posture, the light beam and the patient positioning. Students need better guidance about ergonomic principles and requirements, which should occur at any time of life, but earliest they are installed, greater the benefits, assimilation and incorporation of adequate working postures will be. We need a reform that addresses all sectors of the dental system, so that learning and application of ergonomics in dentistry become effective, efficient and effective.

Reflexões sobre a importância da assistência odontológica preventiva e do adequado treinamento dos Cirurgiões Dentistas para o atendimento de pessoas com deficiência

People with disabilities require special dental care according to the type of disability, degree of involvement of intellectual and motor complications, such individuals may have dental problems that require specific training of the dentist. The objective of this study was a literature review emphasizing the need for early and preventive dental treatment for people with disabilities and training and technical knowledge necessary for quality service performed by the dentist. The literature review was conducted primarily using articles published nationally, to establish the development of dentistry for special patients in Brazil, thus emphasizing some policies and measures adopted in certain areas of the country. It was concluded that preventive care is essential and that the projects of health promotion are important facilitators of social inclusion and provide increased success in dental care. Technical training of professionals is extremely important, therefore, be important to trace an appropriate treatment plan and establish communication with the multidisciplinary team involved in patient care.

Reflexões sobre o conceito de atendimento humanizado em Odontologia

Humanization at dental care is highly important due to uneven relation between scientific / technical advances in dentistry and thequality of human contact. The dental treatment goes beyond the field of scientific knowledge. Therefore, the dental treatment requiresbalance among technical skill, scientific training, and humanist vision of health promotion. Contemporarily, humanization is understoodas tripod based on user's rights, dental practice and organization of a humanized model. Curriculum integration of ethical, humanistic,scientific and technical contents is an important and current challenge on teaching / learning process for professionals at Dentistry. Thispaper aims to, guided by the literature review, to present some considerations on human care in dentistry, with emphasis on theimportance of professional /patient relationship for promoting oral health. It is suggested that dentists reflect on the urgent need ontheoretical basis of humanization and patient-professional relationship for health care.Descriptors: Humanization of Assistance; Dental Staff

Qualidade de vida de pacientes submetidos à radioterapia para tratamento de lesões malignas de cabeça e pescoço

In order to evaluate the quality of life of patients with head and neck cancer, this study analyzed data of 24 patients with squamous cell carcinoma, which indicated therapy was radiotherapy or not be combined with chemotherapy and surgery. The study was conducted in the Unit of Radiotherapy of Megavoltage located in the São José de Rio Preto-SP, in the period August 2007 to January 2008. Then, it was used the questionnaire of quality of life from University of Washington which enabled the identification of different quality of life patterns associated with the different stages of radiotherapy, indicating to be viable the prospect of recognition of prognostic factors of reduction in multiple domains of quality of life. From the data collected and analyzed, it was identified that the areas with the worst score in the begin of radiotherapy were appearance, speech and anxiety; during the treatment were taste, saliva and anxiety; and in the end were taste, saliva and swallowing. Throughout the treatment, it was observed the deterioration of patients' mood. In this regard, emphasizes the importance of dental and psychological follow-up, within the framework of a multidisciplinary care for patients with head and neck cancer during radiotherapy treatment.

Práticas parentais e repertório infantil: caracterização da demanda por atendimento e predição de abandono

The objective of this paper is: (a) to characterize behaviors of the 47 primary caregivers and their children who sought for psychological services, (b) to compare groups: abandonment x participants; boy x girl. The participants answered the interview inventory (RE-HSE-P), inventory (IHS-Del Prette) and scales (Rathus Assertiveness Scale and CBCL). For the results, 60% of the children presented behavior problems at clinical level. There is correlation between negative parenting practices and behavior problems and social skills among caregivers (HSE-P) and children. People who drop out psychological services, present lower frequence and quality of HSE-P and more behavior problems. There are not differences in comparisons between boys and girls. The results highlight the importance of evaluating clinical context, the contingent behaviors of parents and children employing different instruments in order to describe the relationship between behavior problem and potentialities of both interlocutors socially interacting.

O atendimento educacional especializado e o ensino de física para pessoas surdas: uma abordagem qualitativa

The present work discusses the Physics education for deaf students, including the formation of the Physics education professional, the specialized educational service and the participation of translators and interpreters of the Sign Language in this process. We analyzed qualitatively the national policy for specialized education in the inclusive vision, legislation and national opinion related to the teaching profession in Physics. Using documentations, it was possible to identify the limitations and contradictions related to specialized educational service and the teaching and learning process in Physics.

Atendimento psicoterapêutico para crianças vítimas de violência sexual: projeto Sarauzinho

This experiment report refers to the project named “Sarauzinho”, which is linked to the extension “Workshops of Psychoanalysis and Artistics Gatherings” project. “Sarauzinho” was a partnership between UNESP and CREAS, created with the aim to assist children victims of sexual violence though a playful and artistic method and to implement a psychoanalytic listening of demands that appeared during the working group implementation. At the same time, the parents/responsible person who took the children to the meetings also received psychotherapeutic service at the waiting room, in an operative group format with psychoanalytic listening. The project has happened in 11 sessions (once a week, two hours each), with 4 kids and 4 caregivers participating. The service for the kids was organized in workshop models (open and free) and in little gatherings, with preprogrammed contents (playful and artistic). The initiative was inspired by the “Green houses”, a creation of the French psychoanalyst Françoise Dolto, and by the Museum “Imagens do Inconsciente do Centro Psiquiátrico Pedro II”, in Nise da Silveira, Rio de Janeiro city. This university extension activity has enabled the students to access some of the children’s traumas, as well as to obtain a better understanding of an infantile group psychotherapeutic service, with psychoanalytic listening. Besides, it has provided a playful and artistic environment to listen to the children and enable them to create new meanings of their traumas. For the adult participants, the meetings were moments to talk about their anxieties and to receive new guidance and instructions about their children’s education, especially about sexuality. The results, either related to the children’s meeting, as to the adult’s meeting, were favorable to the continuity of the project.

Escolas do campo e atendimento educacional especializado em sala de recursos multifuncional

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)