Rhinosinusitis: Evidence And Experience. A Summary.

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Brazilian multicentre study of common mental disorders in primary care: rates and related social and demographic factors

Mental health problems are common in primary health care, particularly anxiety and depression. This study aims to estimate the prevalence of common mental disorders and their associations with socio-demographic characteristics in primary care in Brazil (Family Health Strategy). It involved a multicenter cross-sectional study with patients from Rio de Janeiro, São Paulo, Fortaleza (Ceará State) and Porto Alegre (Rio Grande do Sul State), assessed using the General Health Questionnaire (GHQ-12) and the Hospital Anxiety and Depression Scale (HAD). The rate of mental disorders in patients from Rio de Janeiro, São Paulo, Fortaleza and Porto Alegre were found to be, respectively, 51.9%, 53.3%, 64.3% and 57.7% with significant differences between Porto Alegre and Fortaleza compared to Rio de Janeiro after adjusting for confounders. Prevalence proportions of mental problems were especially common for females, the unemployed, those with less education and those with lower incomes. In the context of the Brazilian government's moves towards developing primary health care and reorganizing mental health policies it is relevant to consider common mental disorders as a priority alongside other chronic health conditions.

Estrutura de um curso de taxonomia de campo: o modelo aplicado em Ubatuba, S��o Paulo

The field activities are essential for the education of a good taxonomist. The most common problems found in field activities are: a) large number of students, b) heterogeneous educational background and unlevelled knowledge of the participants, c) repetitions and tendency of collecting the more evidents life-forms. The causes and consequences of such problems are discussed herein. The proposed solution is a methodology, based on many years of experience in field courses for undergraduate and graduate courses. Topics about the ideal number of participants, area of coverage, period of activity, division of work and the necessary material and equipment are discussed. According to the number of species collected at the same place, this methodology may result in a list of local species with precise information about the life-forms, habitat, common names, frequency, uses, phenology and further information in this kind of work. The results of the aplication of this metodology in a field course held in the region of Ubatuba-SP are presented.

Comparative analysis of adverse events between infliximab and adalimumab in Crohn's disease management: a Brazilian single-centre experience

INTRODUCTION: Data is scarce regarding adverse events (AE) of biological therapy used in the management of Crohn's Disease (CD) among Brazilian patients. OBJECTIVES: To analyse AE prevalence and profile in patients with CD treated with Infliximab (IFX) or Adalimumab (ADA) and to verify whether there are differences between the two drugs. METHOD: Retrospective observational single-centre study of CD patients on biological therapy. Variables analysed: Demographic data, Montreal classification, biological agent administered, treatment duration, presence and type of AE and the need for treatment interruption. RESULTS: Forty-nine patients were analysed, 25 treated with ADA and 24 with IFX. The groups were homogeneous in relation to the variables studied. The average follow-up period for the group treated with ADA was 19.3 months and 21.8 months for the IFX group (p = 0.585). Overall, 40% (n = 10) of patients taking ADA had AE compared with 50% (n = 12) of IFX users (p = 0.571). There was a tendency towards higher incidence of cutaneous and infusion reactions in the IFX group and higher incidence of infections in the ADA treated group, although without significant difference. CONCLUSIONS: No difference was found in the AE prevalence and profile between ADA and IFX CD patients in the population studied.

Auto-efic��cia docente e motiva����o para a realiza����o do(a) professor(a) de Educa����o F��sica Adaptada

Universidade Estadual de Campinas . Faculdade de Educa����o F��sica

O programa de erradica����o do trabalho infantil e suas praticas corporais : o caso de Sumare

Universidade Estadual de Campinas. Faculdade de Educa����o F��sica

Jogos cooperativos : o jogo e o esporte como um exercicio de convivencia

Universidade Estadual de Campinas . Faculdade de Educa����o F��sica

Hegemonia e contra-hegemonia na constru����o de pol��ticas de esporte e lazer : a experi��ncia do Cons��rcio Bras��lia = Hegemony and counter-hegemony in the process of sport and leisure policy-making : the experience of the Consortium Brasilia

Universidade Estadual de Campinas . Faculdade de Educa����o F��sica

As emo����es na educa����o fisica escolar

Universidade Estadual de Campinas . Faculdade de Educa����o F��sica

O intertexto can��nico em Avalovara

O intertexto can��nico de Avalovara concretiza-se neste artigo a partir do di��logo desse romance de Osman Lins com A divina com��dia, de Dante, Werther, de Goethe, Moby Dick, de Melville, e La modification, de Butor. Essas obras se unem em torno de uma experi��ncia comum de seus protagonistas: a viagem e a busca de algo inapreens��vel, motivos nucleares do g��nero ��pico.

Narrowing socioeconomic inequality in child stunting: the Brazilian experience, 1974���2007

Objective To assess trends in the prevalence and social distribution of child stunting in Brazil to evaluate the effect of income and basic service redistribution policies implemented in that country in the recent past. Methods The prevalence of stunting (height-for-age z score below \22122 using the Child Growth Standards of the World Health Organization) among children aged less than 5 years was estimated from data collected during national household surveys carried out in Brazil in 1974\201375 (n = 34 409), 1989 (n = 7374), 1996 (n = 4149) and 2006\201307 (n = 4414). Absolute and relative socioeconomic inequality in stunting was measured by means of the slope index and the concentration index of inequality, respectively. Findings Over a 33-year period, we documented a steady decline in the national prevalence of stunting from 37.1 per cent to 7.1 per cent. Prevalence dropped from 59.0 per cent to 11.2 per cent in the poorest quintile and from 12.1 per cent to 3.3 per cent among the wealthiest quintile. The decline was particularly steep in the last 10 years of the period (1996 to 2007), when the gaps between poor and wealthy families with children under 5 were also reduced in terms of purchasing power; access to education, health care and water and sanitation services; and reproductive health indicators.Conclusion In Brazil, socioeconomic development coupled with equity-oriented public policies have been accompanied by marked improvements in living conditions and a substantial decline in child undernutrition, as well as a reduction of the gap in nutritional status between children in the highest and lowest socioeconomic quintiles. Future studies will show whether these gains will be maintained under the current global economic crisis

Women's satisfaction with childbirth's experience in different models of care: a descriptive study

Com o objetivo de comparar a satisfa����o das mulheres com a experi��ncia do parto em tr��s modelos assistenciais, foi realizada pesquisa descritiva, com abordagem quantitativa, em dois hospitais p��blicos de S��o Paulo, um promovendo o modelo "T��pico" e o outro com um centro de parto intra-hospitalar (modelo "CPNIH") e um peri-hospitalar (modelo "CPNPH"). A amostra foi constitu��da por 90 pu��rperas, 30 de cada modelo. A compara����o entre os resultados referentes �� satisfa����o das mulheres com o atendimento prestado pelos profissionais de sa��de, com a qualidade da assist��ncia e os motivos de satisfa����o e insatisfa����o, com a indica����o ou recomenda����o dos servi��os recebidos, com a sensa����o de seguran��a no processo e com as sugest��es de melhorias, mostrou que o modelo CPHPH foi o melhor avaliado, vindo em seguida o CPNIH e por ��ltimo o T��pico. Conclui-se que o modelo peri-hospitalar de assist��ncia ao parto deveria receber maior apoio do SUS, por se constituir em servi��o em que as mulheres se mostram satisfeitas com a aten����o recebida

A quest��o social na Fran��a contempor��nea: uma experi��ncia de pesquisa

A Fran��a passou por conflitos urbanos em seus bairros populares. Incidentes com a pol��cia marcados pela morte de um morador, geralmente jovem ou adolescente, s��o seguidos por manifesta����es violentas: quebra-quebras, inc��ndios de carros e/ou estabelecimentos p��blicos e privados, enfrentamentos com a pol��cia. Nos conflitos da "banlieue" francesa podem ser percebidos elementos comuns a eventos ingleses e/ou americanos de outras d��cadas.OBJETIVO: consiste em identificar a percep����o e as representa����es de moradores sobre suas condi����es de vida e sa��de na Fran��a.M��TODO: pesquisa qualitativa realizada em Les Aubiers, bairro popular de Bordeaux, nos anos de 2002 e 2005. A popula����o de moradores desse bairro e �� composta principalmente por imigrantes ou fanceses de origem estrangeira, provenientes de diferentes locais: ��frica do Norte, ��frica Sub-Sahariana, Turquia, Portugal , Ilha de Reuni��o. Os indicadores sociais e econ��micos apresentam n��veis significativamente mais baixos do que os de outros bairros de Bordeaux, acompanhando as tend��ncias encontradas nas outras "banlieues". Entre esses indicadores, a taxa de desemprego, principalmente entre jovens, �� alarmante (40 por cento).RESULTADOS E DISCUSS��O: as pol��ticas sociais deveriam ser mais voltadas para os indiv��duos do que para o territ��rio, pois este s�� poder�� ser transformado pelos primeiros e n��o o contr��rio. Um bairro e uma popula����o estigmatizados, est��o contemplados por uma ampla pol��tica social. Ainda que pass��vel de cr��tica, n��o se pode ignorar a exist��ncia de esfor��os sistematicos de integra����o, nem a exist��ncia de pol��ticas sociais. Se elas s��o inadequadas, trata-se de ampliar o espa��o de discus��o para sua reforma. Trata-se de saber qual a disposi����o das sociedades contempor��neas, como um todo, para lutar contra as inequidades e segrega����es

The Process of Simulation Authoring/Creation by Chemistry Teachers: A Service Learning Experience

Two case studies are presented to describe the process of public school teachers authoring and creating chemistry simulations. They are part of the Virtual Didactic Laboratory for Chemistry, a project developed by the School of the Future of the University of Sao Paulo. the documental analysis of the material produced by two groups of teachers reflects different selection process for both themes and problem-situations when creating simulations. The study demonstrates the potential for chemistry learning with an approach that takes students' everyday lives into account and is based on collaborative work among teachers and researches. Also, from the teachers' perspectives, the possibilities of interaction that a simulation offers for classroom activities are considered.