Ensaio clínico randomizado sobre a prática da atenção farmacêutica nas farmácias comunitárias

Introdução: A criação de programas de equipe multiprofissional de saúde desponta como uma alternativa eficiente para controlar a evolução dos pacientes portadores de diabetes, e a inserção do farmacêutico em tais programas tem contribuído para melhorar o acompanhamento desses pacientes. Objetivo: Avaliar o impacto da intervenção do farmacêutico no acompanhamento dos pacientes diabéticos tipo 2, em farmácias comunitárias. Métodos: Ensaio clínico randomizado, uni-cego envolvendo 100 pacientes diabéticos tipo 2 de ambos os gêneros, usuários de farmácia comunitária, com idade igual ou superior a 30 anos, em uso de hipoglicemiantes orais com adição ou não de insulina e foram acompanhados por 6 meses. Os pacientes do grupo controle receberam o tratamento habitual existente em qualquer farmácia, e os de intervenção receberam o acompanhamento do farmacêutico incluindo intervenções aos problemas relacionados aos medicamentos. Os desfechos primários avaliados foram os valores da hemoglobina glicada (HbA1c), glicose basal e um questionário de qualidade de vida validado denominado de Diabetes Quality of Life Measure (DQOL) - Brasil; e como desfechos secundários as dosagens dos triglicérides, colesterol total, (HDL) colesterol, (LDL) colesterol, tensão arterial e a satisfação do usuário com o serviço prestado. Essa pesquisa contou com a colaboração de vários profissionais das diferentes áreas do conhecimento a seguir nominados: médico, farmacêutico bioquímico, enfermeiro, nutricionista e estatístico. Resultados: Finalizaram o estudo 89 pacientes. Durante o acompanhamento 95,7% (45/47) dos pacientes no grupo intervenção apresentaram problemas relacionados aos medicamentos (PRM), perfazendo um total de 141, com uma média de 3 eventos por paciente, ocorrendo uma resolutividade de 61,7% (87/141). A categoria que mais apresentou PRM foi a de efetividade com 34,1% (48/141) e a classe farmacológica mais utilizada foi a dos hipoglicemiantes orais com 35% (49/141). As variáveis de desfechos primários como hemoglobina glicada (HbA1c) e a glicose basal não apresentaram valores estatisticamente significantes quando comparadas o final com o inicial do acompanhamento nos grupos intervenção e controle considerando um p<0,05, mas o questionário de qualidade de vida DQOL Brasil apresentou resultados estatisticamente significante com um p=0,000. Os desfechos secundários, com exceção da satisfação do usuário, não apresentaram valores xi estatisticamente significantes quando comparados o final com o início do acompanhamento nos grupos de intervenção e controle. Conclusão: Os resultados indicam que as modificações das variáveis clínicas não apresentaram valores significativos no controle da enfermidade e comorbidades, enquanto que na avaliação da qualidade de vida os pacientes afirmaram que melhoraram; portanto, pode-se postular que a intervenção farmacêutica é uma atividade necessária, mas que a prática do Pharmaceutical Care trará benefícios com sustentabilidade para os pacientes se houver uma efetiva integração do farmacêutico numa equipe multiprofissional de saúde, o que está indisponível nas Farmácias Comunitárias

Farmacêuticos e suas atividades em farmácias comunitárias: uma análise de perfil

The aim of this study was to establish the profile of the pharmacist technician responsible for community pharmacies in the city of Natal/RN, featuring personal elements, perceived their role and place of pharmaceutical care, levels of job satisfaction, type and quality of services provided in human and structural framework. To that end, we made an exploratory cross-sectional study applying a questionnaire containing open and closed questions, which was applied to pharmaceutical technicians responsible for community pharmacies in Natal/RN, from September 2010 to September 2011. The sample was established by calculating the simple random sample, with a confidence level of 95% and a significance level of 0.05. To evaluate the satisfaction level of the activities performed by pharmacists in community pharmacies was used Simple Satisfaction Scale (Likert, 1935). To assess the attitudes and perceptions of pharmacists in relation to aspects of pharmaceutical care, we used the Model Attitude toward the object (Fishbein, Ajzen, 1975). The answers were converted into data were analyzed statistically using Epi Info 3.5.2 The results showed that the strengths and weaknesses in relation to the profile of the pharmacist and their activities in community pharmacies in Natal/RN are not different in other cities in the country . The most important aspects were: 51% (n = 90) of the establishments visited, the pharmacist was absent; 46% (n = 80) did not have postgraduate and of those who are or have completed 33% (n = 51) are in the area of Clinical Analysis; 56% (n = 98) 08h for day work and 64% (n = 111) claim that this load influence its performance; 83% (n = 146) receive as salary, the floor pharmacist regarding the state of Rio Grande do Norte; 44% (n = 76) are unhappy about the salary, which is the main difficulty cited; 78% (n = 136) say they are always sought by users and the receptivity of these considered good (52%, n = 91). The activities of higher satisfaction are those related to pharmaceutical care and lower the administrative. As regards attitudes and perceptions, the score was more negative to the question 'if the pharmacist feels working as a team with the doctor', in which 59% (n = 103) responded 'never'. 49% (n = 86) reported being "able" to take questions from users and 39% (n = 68) are 'dissatisfied' with respect to the structure of the practice of pharmacy to pharmaceutical care. Action is needed on the obstacles to the exercise of the pharmacist in the solution and minimize the negative and positive stimulus to

Organizações comunitárias e movimentos sociais : conflitos e tensões nos espaços de participação do município de Natal

This study reflects on the conflicts that exist between the different forms of participation and the political representation manifested by community organizations and social movements in the city of Natal/RN. The objective is to better understand the process of political participation of the popular classes and how the different actors have represented collective demands in the struggle for rights. To this end, we mapped the organizations, social movements and participation spaces, through a type of participant research, in which we had the opportunity to experience and study different forms of collective action and events instigated by the community organizations and the Movement for the Struggle in the Neighborhoods, Villages and Slums (Movimento de Luta nos Bairros, Vilas e Favelas) MLB. From the theoretical contributions of authors such as Maria da Glória Gohn, Marco Aurélio Nogueira, Virginia Fontes, Vera da Silva Telles, Roberto Da Matta and Carlos Montaño, as well as the empirical data collected, the study revealed that on representing their segments and occupying different spaces of participation, some actors have formed partnerships with the State, putting collective demands on a second plane. Contrarily, other actors have articulated their struggle around collective demands and manifested through direct action, mobilizing and asserting themselves in defense of a project for society

Uma mulher entre livros: Zila Mamede e o silencioso exercício de semear bibliotecas

Zila Mamede left a great contribution to education and culture in Rio Grande do Norte during the 60s, when she built the most important outdoor library from the state the Camara Cascudo s bibliography. It is this aspect of her work that this text tries to apprehend and narrate. Different approaches have brought Zila Mamede to academy, but her work as a librarian yet did not have had any study. Her pioneer work on organizing and preparing professionals to deal with these constructions full of books was waiting to be told. This work articulates itself with the political and cultural production of Natal during the 60, because it was essential to configurate the city at this time. It was also necessary to interview Zila Mamede s friends, relatives and the people who worked with her. This research also demanded a review of many memoirs by potiguares , and the examination of newspapers and magazines to enlighten the period

Comunicar e interagir em novos espaços: o uso das mídias sociais no Sistema de Bibliotecas da UFRN

This study discusses about the practice of communication in libraries from the appropriation of the resources of web 2.0, particularly social media, establishing from the aspects of mediatization new communication scenarios in their environments. Aims at understanding how in the contemporary society, the libraries, that symbolize traditional space in the search for information and knowledge, modify their contexts through technological resources involved in your scenario, and specifically checks as the process of mediatization is inserted into the communication practices and interaction of libraries, noting the relevance of the ownership of social media, especially twitter and facebook, by the libraries of the Federal University of Rio Grande do Norte - UFRN. Use as methodological procedures, a theoretical approach concerning the conceptual research to investigate issues relating to social media, communication practice, mediatization and network society, and is characterized by being a descriptive exploratory research, of qualitative nature with adoption of the inductive method, using interviews and direct observation, analyzing reconfiguration scenario of university libraries located in UFRN. Thus, with the of the study, expected to be possible to give an overview of how to establish the use of social media in the scenario investigated by checking the new possibilities of communication, outreach services, information dissemination and interaction with user

O uso de linguagem documentária em catálogos coletivos de bibliotecas universitárias: um estudo de avaliação sociocognitiva com protocolo verbal

Avaliou-se o uso de linguagem documentária alfabética de catálogos coletivos, na perspectiva das bibliotecas universitárias e no contexto sociocognitivo dos indexadores e dos usuários. Concluiu-se que o uso adequado de linguagens documentárias de áreas científicas especializadas faz-se por meio da avaliação quanto à atualização, especificidade e compatibilidade para atender às necessidades de indexação e recuperação da informação.

Teoria e prática em catalogação de assunto: a sistematicidade do processo em contexto de bibliotecas universitárias pela perspectiva profissional

A natureza subjetiva da catalogação de assunto imprime certas peculiaridades nas ações dos profissionais que realizam a atividade em domínios específicos. Sendo assim, mostra-se necessária à realização de estudos que cerquem as ações dos catalogadores de assunto, ancoradas na realidade do contexto de bibliotecas universitárias, para a obtenção dos fatores influentes do saber e do fazer profissional. Portanto, analisa-se o conhecimento profissional acerca da sistematicidade do processo da catalogação de assunto em perspectiva sociocognitiva. Para tanto, aplica-se a técnica de Protocolo Verbal em Grupo com três catalogadores de assunto de distintas bibliotecas universitárias do estado de São Paulo, a fim de conhecer a realidade do processo da catalogação de assunto pela perspectiva profissional. Os resultados apontam a necessidade de instrumentos metodológicos que propiciem sustentabilidade prática à catalogação de assunto, em contexto de bibliotecas universitárias.

Consistência na indexação em bibliotecas universitárias brasileiras

The aim of this paper is to evaluate the consistency indexes among 30 Brazilian university libraries from the south and south-east regions through a specific mathematical formula. It was selected a sample of 30 university libraries that, according to the information in their official sites, have a collection consisted of more than 100.000 copies and allow the search into the on-line catalog. Searches were carried out in every university by means of their sites, requesting books that contained a certain word in its title and were printed in a certain year. The response was a list of available titles in the library, from which we chose at random a title and asked to visualize the complete record to verify the existence of a given subject. This procedure was repeated until we found the same title in five libraries with the chosen subjects. The result is 10 trials, each one consisting of one figure and one table showing the selected libraries, the subjects, the documentary languages ( tools) and the consistency indexes relaxed and rigid. These trials show great discrepancy between the values of consistency indexes with intervals between 73,3% to 34,4% in the relaxed index, and between 60% and 9,6% in the rigid one. It was revealed that the coincidence in determining the subjects is not too high remaining below 39%. It is concluded that the difference between the consistency indexes may be due to factors as: incompatibility among documentary languages; lack of updating of these languages so as to follow the knowledge evolution; absence of a well-defined indexing policy with guidelines clearly established. Procedures of indexing followed by indexers could contribute to the consistency index to be bigger in percentage, since there would be parameters for the indexing process.

Patrimônio histórico-cultural: critérios para tombamento de bibliotecas pelo IPHAN

Em razão do conteúdo informacional que preservam, as bibliotecas são consideradas grandes centros de memória. Tal fato motivou uma análise das bibliotecas tombadas pelo Iphan, com os seguintes objetivos: iniciar uma reflexão sobre suas peculiaridades enquanto patrimônio histórico-cultural, conhecer as justificativas oficiais que levaram ao tombamento, e discriminar o tombamento do prédio e/ou da coleção. Detectou-se que apenas o monumento arquitetônico das bibliotecas foi o critério priorizado, e que o tombamento delas foi apenas conseqüência do tombamento do edifício que as abrigava.

Avaliação comparada do uso de linguagens de indexação em catálogos de bibliotecas universitárias para recuperação por assunto

A comparative evaluation was made of the use of natural language versus two specialized indexing languages, aiming to demonstrate the influence of the availability of indexing languages on the functioning of information retrieval systems. The study was conducted within the ambit of the construction of search strategies by subject in online university library catalogs. The precision ratio was calculated to determine the accuracy of each indexing language in subjectbased information retrieval. From the comparative evaluation of the use of indexing languages, it was concluded that the term specificity required by the user during retrieval was more satisfactory when the query was made through controlled languages, whose availability and simplicity is also an indispensable requisite.

Bibliotecas, arquivos e museus como centros de referência na dimensão cultural das comunidades

With the evolution of the organizations theory, new management practices have transformed the institutions. The improvement of these management practices in cultural unities (UCs) is constant, and interacts in the international axis, since each unity increasingly communicate with other. As a reflection of organizational administrative practices, UCs had developed and assumed the organizational theories to make easy a framework for effective management practices. Comprehending the importance of the studies on UCs requires both a new approach of existing public politics for this field, and the recognition of the Information Science knowledge on area. In this way, it was planned to develop a model constituting a tool for managers in these institutions through the experience of laboratory works carried out with researchers from the European community. Libraries and museums are institutions that operate in the social process of their communities and the archives establish their structural spaces in parallel with the political, economic and social environments of the communities, translate the society and its organic sphere of informational performance. The information transposes a cyclical and essential role for the arrangement of the effective and necessary record to the organizational process and the institutional growth. Studies of this nature contribute to value a economy based on knowledge, and its production emphasizes the human capital that permeates the condition of the information in support for the development of communities and the growth of the organizational environment in political, social and cultural spheres.

Do conhecimento tácito ao conhecimento explícito: A elaboração de manual de política de indexação em bibliotecas universitárias

The indexing policy establishes the guiding principles and criteria for the indexer when determining the subjects of the documents. This article shows how to capture the indexers' tacit knowledge into explicit knowledge using the group verbal protocol methodology to produce an indexing manual. Continuing professional education results to be a key factor in obtaining good results when formalizing the indexing policy of a library and keeping it up to date.

Multiculturalismo em ciência da informação: percepções e ações dos profissionais da informação em bibliotecas escolares

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Rádios comunitárias como arenas públicas

Pós-graduação em Comunicação - FAAC