A meta-avaliação como instrumento para a qualificação da avaliação de políticas públicas de saúde

Trata-se da meta-avaliação de um processo avaliativo desenvolvido por secretários e assessores técnicos municipais de uma região de saúde do estado de São Paulo, com foco nos critérios de utilidade e participação. É uma pesquisa qualitativa, cuja base empírica foi 1) o material produzido em sete oficinas realizadas com os representantes municipais, com vistas à avaliação de um aspecto da linha de cuidados em saúde sob a ótica da integralidade; e 2) as entrevistas semiestruturadas realizadas com os mesmos atores após a finalização do processo avaliativo. Para a avaliação do critério de utilidade, utilizou-se principalmente o referencial de KIRKHART (2000), com o objetivo de ampliar a análise para além do uso instrumental dos achados avaliativos e focá-la na identificação de influências múltiplas exercidas por um fenômeno complexo como um processo avaliativo. A análise do critério participação se deu com base no referencial de COUSINS e WHITMORE (1998), buscando a identificação no material empírico de decisões ou aspectos contextuais que fizeram com que a opção participativa fosse aprofundada ou limitada no processo em foco. O trabalho destaca a importância de explicitar pressupostos que baseiam a metodologia da avaliação/ meta-avaliação escolhida, e a necessidade de se buscar referenciais teóricos de análise compatíveis com a opção realizada, frisando a inexistência de posturas neutras ou estudos totalmente objetivos; e a importância de capacitar avaliadores a acompanharem a demanda dos participantes de um processo participativo com a flexibilidade necessária para conferir-lhe o maior aproveitamento possível. Conclui-se pela viabilidade, com vantagens, da realização de processos participativos locais com gestores na Saúde Pública, destacando a possibilidade de ganhos em formação e o enriquecimento dos processos de negociação em nível do território, de forma coerente à política de construção das regiões de saúde no SUS.

Análise dos critérios de rotulagem de produtos alimentares comercializados em São Tomé e Príncipe

A rotulagem dos produtos alimentares constitui um dos principais meios de comunicação entre a indústria agro-alimentar e o consumidor. Para além da função publicitária, o rótulo deve ser fundamentalmente um meio de informação que facilita ao consumidor uma escolha adequada e uma atuação correta na conservação e consumo do produto. As indicações nelas contidas devem ser completas, verdadeiras e esclarecedoras quanto à composição, qualidade, quantidade, validade ou demais características que constituem o produto. Em São Tomé e Príncipe (STP), a maior parte dos produtos alimentares comercializados são importados de diferentes países e apenas uma pequena parte são produzidos internamente, não existindo legislação que regule o sistema de rotulagem. Neste sentido, o presente trabalho tem como objetivo analisar a rotulagem de produtos alimentares à venda no mercado retalhista para o consumidor doméstico e propor recomendações para o controlo de rotulagem dos produtos alimentares produzidos em STP. Foram analisados os rótulos de produtos alimentares de várias marcas de uma seleção de 11 categorias de produtos de grande importância e expressão em termos de consumo pela população. Para cada uma das 11 categorias de produtos selecionados foram analisados rótulos de 6 marcas diferentes, para um total de 66 rótulos. Verificou-se que 61 dos rótulos apresentaram no mínimo um tipo de não-conformidade, representando 92,42% dos rótulos analisados e 5 rótulos estavam plenamente de acordo com a legislação europeia totalizando 7,58% dos rótulos analisados. A categoria que apresentou maior percentagem de itens conformes foi a da água com 95,83% de rótulos analisados e a que apresentou menor percentagem foi a categoria dos produtos produzidos em STP com 48,08% dos rótulos analisados. A elevada percentagem dos itens não conformes dos produtos locais é justificada pela ausência de legislação para o controlo de rotulagem dos produtos alimentares, pelo que o presente trabalho pode constituir uma base de estudo para a criação de regulamentos e diretivas para a rotulagem de produtos alimentares produzidos em STP.

Critérios de avaliação de prognóstico a longo prazo em doentes com fibrose quística : revisão de literatura e uma visão crítica

Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014

Os livros filosóficos inacabados de Pessoa. Problemas e critérios para a publicação dos escritos filosóficos de Pessoa

O presente artigo debate o alcance filosófico da obra de Fernando Pessoa. Com efeito, no espólio de Pessoa encontramos inúmeros projectos destinados a futuros livros, ensaios, pequenas produções e diálogos filosóficos. Assim, partindo de uma análise dos documentos, em grande parte inéditos, do espólio de Pessoa, pretende demonstrar-se que a dimensão filosófica da obra deste autor se estende muito além dos ecos de leituras filosóficas presentes na sua poesia e nas suas ficções.

Critérios de diagnóstico e aproximação terapêutica das doenças peri-implantares

Dissertação para obtenção do grau de Mestre no Instituto Superior de Ciências da Saúde Egas Moniz

Música popular e crítica: sobre critérios de análise da canção popular nas mídias - o caso de “Ai se eu te pego” de Michel Teló

Este artigo discute parâmetros e critérios de valor aplicados na crítica da música popular, pensada como um produto cultural midiático. A partir de algumas reflexões sobre a crítica, os limites dos valores que legitimam as críticas sobre a canção nas mídias serão discutidos. Depois, o texto reflete sobre formas mais esclarecedoras de análise da música popular, considerando sua especificidade de linguagem e o contexto midiático em que se insere. A canção “Ai, se eu te pego”, composta por Sharon Acioly e Antônio Dyggs e gravada com sucesso por Michel Teló (2011), será analisada a título de exemplo.

Construção e evidências de validação de instrumentos de pesquisa para avaliação da assistência nos centros de atenção psicossocial

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES

Caminhos para a avaliação da formação em odontologia: desenvolvimento, validação e aplicação de critérios

The need for universal access to health and the failure of the pedagogical model centered on the transmission of knowledge has led to changes in the training of health professionals. The objective of this study was to provide a new alternative for evaluating dental students through the development, validation and application of evaluation criteria based on the National Curriculum Guidelines (DCN in Brazil). Therefore, the study was conducted in three phases: development and validation of evaluation criteria of Dentistry courses based on the DCN; a pilot study to verify the applicability of the validated criteria and evaluation of the dentistry courses in the Northeast. In the first stage, a logical model was formulated, allowing for the construction of a criteria matrix, validated by a modified Delphi consensus technique. The validated matrix has the following dimensions: Profile of graduates, health care guidance, teaching and service integration, and pedagogical approach. The pilot study was conducted in five dental courses through a documentary study of the pedagogical project course (PPC), and application of validated questionnaires and interviews with course coordinators. The results of the pilot study indicate the possibility of being verified by means of validated criteria and using different methodological proposals, advances and curricular limitations facing the proposed reorientation of training recommended by DCN. The evaluation of Northeast Dentistry courses was carried out by applying a questionnaire validating a matrix of 30 course coordinators, including public and private institutions. The data were submitted to descriptive analysis, and also tested the difference between means and the correlation between the assessment of the coordinators in the dimensions and sub-dimensions with each other, among the general evaluation of courses and between the following variables: administrative category, time since last curriculum updating, participation in reorienting the training of health professionals programs, ENADE and CPC (Preliminary Concepts of the Course) scores in the year 2013. Positive correlation (p <0.01) was found between the means obtained by the perception of the coordinators in most dimensions, and also between them and the overall performance of the course. There were no significant differences between the coordinators’ perception about course performance and the administrative category (public / private). This difference is slightly higher when the average performance is compared with respect to time due to the last curriculum update, getting better performance in courses with the latest updated curriculum, even with there not 11 being this significant difference between dimensions. Better averages of performance were obtained in courses that do not participate in reorientation programs of professional training, with a significant difference (p<0.05) for the overall score and for all dimensions except the dimensions of teaching-service Integration (p = 0.064). There was no significant correlation between the assessment of coordinators in all dimensions, in the overall assessment or ENADE and CPC scores in 2013. The final instrument proposed in this study is a different alternative assessment for health training of both dentists and other professionals, considering that the DCN providing for the training and graduation of professionals is focused on the health needs of the population, integrated with the SUS (the National Brazilian Health System) and based on student-centered learning.

Diagnóstico e tratamento do TDA/H: investigação dos critérios utilizados por diferentes categorias profissionais da cidade de Natal-RN

TDA/H is usually considered among the most frequent psychological malfunctions in both childhood and adolescence. It covers a complex combination of neurocognitive deficits leading to developmental troubles linked to attention failure, hyperactivity and impulsivity. On the other hand, diagnosis of TDA/H is frequently a hard task, since sociocultural aspects concerning the evaluation of symptoms lead to some etiologic vagueness. Additionally, the large extent of evaluation tools, together with the diversity of therapeutic approaches referred by specialized literature justify the interest of investigating the diverse ways of diagnosing and treating TDA/H by medical doctors, psychologists and psycho-pedagogues developing professional activities in Natal-RN (Brazil) in the assistance of children and teenagers with TDA/H diagnosis hypothesis. A sample of thirty-four professionals participated in this study in a convenience-basis, and submitted to a semi-directed interview. Information from this procedure was analyzed, categorized and submitted to a multidimensional descriptive analysis (cluster analysis procedure), allowing to verify the partition of the sample in two groups: Group 1, basically composed by medical professionals, and Group 2, composed by psychologists and psycho-pedagogues. The categorized variable “Number of sessions” – average time used for arriving to a diagnosis – was the partition-variable showing the larger amount of statistical contribution for the partition, followed by the variables “Professional formation” and “Use of diagnostic tools”. Variables such “Comorbidity”, “TDA/H Definition” and Modalities of Intervention” also showed contribution to the partition obtained, even though their lesser amount of statistical contribution. Despite some similarity between these two groups, data allowed to demonstrate specific association between academic source-formation of the professional concerned and diagnosis and intervention modalities shown by these professionals when dealing with TDA/H. These data confirm relevant heterogeneity in dealing with TDA/H due to professional formation of professionals involved in diagnosis and treatment tasks.

Diagnóstico e tratamento do TDA/H: investigação dos critérios utilizados por diferentes categorias profissionais da cidade de Natal-RN

TDA/H is usually considered among the most frequent psychological malfunctions in both childhood and adolescence. It covers a complex combination of neurocognitive deficits leading to developmental troubles linked to attention failure, hyperactivity and impulsivity. On the other hand, diagnosis of TDA/H is frequently a hard task, since sociocultural aspects concerning the evaluation of symptoms lead to some etiologic vagueness. Additionally, the large extent of evaluation tools, together with the diversity of therapeutic approaches referred by specialized literature justify the interest of investigating the diverse ways of diagnosing and treating TDA/H by medical doctors, psychologists and psycho-pedagogues developing professional activities in Natal-RN (Brazil) in the assistance of children and teenagers with TDA/H diagnosis hypothesis. A sample of thirty-four professionals participated in this study in a convenience-basis, and submitted to a semi-directed interview. Information from this procedure was analyzed, categorized and submitted to a multidimensional descriptive analysis (cluster analysis procedure), allowing to verify the partition of the sample in two groups: Group 1, basically composed by medical professionals, and Group 2, composed by psychologists and psycho-pedagogues. The categorized variable “Number of sessions” – average time used for arriving to a diagnosis – was the partition-variable showing the larger amount of statistical contribution for the partition, followed by the variables “Professional formation” and “Use of diagnostic tools”. Variables such “Comorbidity”, “TDA/H Definition” and Modalities of Intervention” also showed contribution to the partition obtained, even though their lesser amount of statistical contribution. Despite some similarity between these two groups, data allowed to demonstrate specific association between academic source-formation of the professional concerned and diagnosis and intervention modalities shown by these professionals when dealing with TDA/H. These data confirm relevant heterogeneity in dealing with TDA/H due to professional formation of professionals involved in diagnosis and treatment tasks.

A influência das questões de gênero nos processos avaliativos escolares

This paper aims to discuss the influences of gender issues in formal and informal evaluation processes in order to identify situations that may lead to exclusion of boys and girls in our schools. Therefore, we rely on the authors as Freitas (2005, 2006, 2011), Sordi (2009), Villas Boas (2006), Fernandes (2006, 2008), (Carvalho (2001.2004, 2011), Blonde (1995, 2003), Scott (1995), Connell (1995), Navy (2009), Dal'igna (2004), among others. These authors help us understand that both gender issues as the evaluation questions in its formal and informal when analyzed, especially in light of school reality, are impregnated with socially constructed conceptions that are reflected in the school. The survey was conducted in two rooms of the 5th year of elementary school, and the genres of research were qualitative and quantitative. In the development of this study, the research followed those steps: School Rules analysis, grade maps, class journals; Mapping of records of the evaluation results of the 1st to 5th year of elementary school; Analysis of official government documents in education; development, implementation and analysis of questionnaires answered by the students and the teachers with issues about gender and evaluation; Mapping of the evaluation results of the students of two classes surveyed during 2012; Observation in the classroom; interview with the teachers of the surveyed groups. During the research we found that gender issues are not dealt with by the school and that this reinforces some exclusion processes that are linked to these questions. Studies also tell us that on the surveyed groups most of the children who have lower evaluative results are boys, which, in the evaluation of teachers, are considered undisciplined. Of the children with poor results, 50% are black. Some of these children who had low evaluative income have not completed the school year in that school. The study also reveals that on the observed groups, generally the girls have better results in formal assessments than boys, which are considered, by the teachers, more undisciplined and difficult to work with. The girls, on the other hand, are considered more docile and attentive than boys. The observations made by teachers concerning the behavior of boys and girls also reflect in the formal evaluative results, therefore the informal assessments, the value judgment of teachers in relation to the behavior of the students influence the results of formal assessments. In this sense, in order to seek ways to try to overcome the exclusion situations experienced in the evaluation process, we believe that the principles of popular education can be configured as an important parameter to begin discussions on gender and evaluation in schools.

Projeto do complexo ambulatorial do Hospital Universitário João de Barros Barreto visando a critérios de sustentabilidade

The purpose of this dissertation is the architectural project of the ambulatory complex of the Federal University of Pará in Belém. It is a health care establishment whose focus is sustainability, energy efficiency and humanization. This design went through the application of architectural concepts, the study of references (theorical and empirical ones), planning, examining the terrain and its conditions and the preliminay design and resulted in a preliminary architecture blueprint. The empirical research is based on the main building of the Hospital Universitário João de Barros Barreto in Belém, Hospital Sarah Kubitschek of Fortaleza (Architect João Filgueiras de Lima - Lelé) and Hospital e Maternity São Luiz of São Paulo (Architect Siegbert Zanettini). Part of the planning is based on the method "Problem Seeking of Pena and Parshal (2001)". During the development process I sought to incorporate sustainability criterias, energy efficiency and humanization. In relation to sustainability the dissertation focuses on the utilization of rainwater for non-potable usage