Sofrimento psíquico do trabalhador da saúde da família na organização do trabalho

Desde a regulamentação do Sistema Único de Saúde (SUS) as transformações na saúde pública têm se refletido na organização do trabalho. A Estratégia Saúde da Família (ESF), uma das medidas para tornar realidade essas mudanças, constituiu-se como objeto desta pesquisa, cujo objetivo foi identificar a relação entre o sofrimento psíquico do trabalhador e a organização do trabalho na ESF. A fundamentação teórica foi o Materialismo Histórico, com contribuições da Psicologia Social, da Psicodinâmica do Trabalho e da Saúde Coletiva, possibilitando o entendimento do sofrimento psíquico na organização do trabalho orientada pela lógica capitalista. A observação participante e entrevistas foram utilizadas no levantamento dos dados, numa abordagem qualitativa. A análise foi realizada com a divisão do estudo em temas e subtemas, procedendo-se à análise de conteúdo. Os três temas foram: Implicações de ordem pessoal , O cotidiano do trabalho de atenção e A infraestrutura institucional , não se mostrando as relações entre dificuldades estruturais e funcionais na organização do trabalho e o sofrimento psíquico.

Percepción de estudiantes de odontología sobre educación a distancia

Introduction: distance education is defined as a learning mode in which pedagogical and didactic mediation in teaching and learning processes is characterized by the use of information and communication means and technology by both teachers and students, and the development of educational activities at different settings and technologyand. Objective: evaluate the knowledge obtained by students from the last year of Odontology about distance education and their opinions about the subject. Methods: across-sectional descriptive exploratory study was conducted. Of the total 140 university students, 120 participated in the study. A self-applied questionnaire was developed with questions related to the student, the use of the Internet and distance education. The professional updating alternatives included were graduate courses and subscription to newspapers. Results: 29.2 % of the students use the Internet on a daily basis; only one student stated that he did not use the Internet. Of the students interviewed, 63.34 % did not know any form of distance education. As a consequence, 97.5 % had never taken part in a distance education course and 62.5 % stated that they did not know whether they would. Conclusions: results show that odontology students are prejudiced against nontraditional learning modes, though they use the Internet on a regular basis. Despite the existence of legislation regulating distance education, students are still concerned about its quality and legality.

Notificações espontâneas de eventos adversos a medicamentos hospitalares: estudo piloto

Introduction: Post-marketing surveillance of drugs aims to detect problems related to safety, effectiveness and quality. The identification of adverse drug events (ADE) is made, mainly, by health professionals´ spontaneous reporting. This method allows risk communication in pharmacovigilance and contributes for market regulation. Objective: To estimate the prevalence of adverse drug reaction (ADR) and the suspicions of therapeutic failure (TF) reported by health professionals; to verify the active principle and type of drugs related to ADE, seriousness, causality, production mechanism and clinical manifestation of the events identified. METHODS: A cross-sectional study was performed in a teaching and public hospital which integrates the Sentinel Hospital Network, in 2008. ADR seriousness was classified according to intensity (mild, moderate, serious and lethal); drugs associated with ADE were categorized according to type (brand name drugs and non-brand name drugs); causality was imputed with Naranjo algorithm and the mechanism of occurrence was analyzed according to Rawlins e Thompson definitions (A or B). Results: There were 103 ADE reports in the period, of which 39 comprised TF and 64 ADR. Nurses reported the most ADE (53.4%). The majority of ADR were classified as type A (82.8%), mild (81.3%), possible (57.8%), according to causality assessment, and related to brand name drugs (20/35). Human immunoglobulin, docetaxel and paclitaxel were the drugs frequently associated with ADR. TF arising from no-brand name drugs (26/29), regarding, mainly, midazolam and ganciclovir. Conclusion: The results of the ADE report contribute for proposition of trigger tools for intensive monitoring of drug safety, as well as for the supplier qualification and for the improvement of quality products.

Planos diretores participativos e gestão urbana em cidades médias sob o estatuto da cidade

The paper analyzes the implementation of the new regulatory framework of urban policy in Brazil, synthesized by the Constitution of 1988 and its subsequent regulations by the Statute of the City (Federal Law No. 10.257/2001). The empirical analysis focuses on three medium-sized cities in the state of São Paulo (Piracicaba, Bauru and Rio Claro), and addresses three complementary dimensions. First: interprets the participatory processes that resulted in the new Master Plan. Second, analyzes the crisis of the developmental model for understanding the transformations experienced by the Brazilian urban network, through which the medium-sized cities took on increasing economic relevance. Third: examines the inclusion and regulation of Special Zones of Social Interest (ZEIS) and how this instrument has been used in dealing with urban problems and the housing deficit. Apart from normative considerations, the study aims to assess the actual contribution of the City Statute in the democratization of urban management.