Atuação profissional e vivência do cirurgião-dentista na estratégia do programa de saúde da família

The purpose of this research was to analyze the working profile of dentists from the Family Health Program (PSF Programa de Saúde da Família, Brasil) of some Municipal Districts of Rio Grande do Norte (Brazil) in order to understand the way they handle the experience acquired with the work developed in that Program. This discussion evolves a reflection about the perspectives of consolidation of the FHP as well as the possible advancements of the Brazilian Unified Health System (SUS - Sistema Único de Saúde). The target population was composed of dentists from the FHP of Rio Grande do Norte. Thus we performed twenty-one interviews orientated by a semi-structured guidebook with open questions and identification data. We opted for recording the speech of all the professionals in order to ensure the accuracy of the information gathered. The main results found were: predominance in the female gender; the majority of dentists has no post graduation courses; in those few cases of dentists with some post-graduation a lack of correlation with Public or Collective Health was observed; the dentists interviewed present a profile directed to clinical activities; the dentists used to develop basic restorative and periodontic treatment, simple surgeries and educative and preventive activities, even though the last two ones are carried out in an extremely traditional way (lectures and topical application of fluoride). In addition, as biggest difficulties to manage the work dentists pointed out the lack of permanent and consumer material, inadequate infrastructure, no transport to take them to distant places, no integration with the Health Family Team, technical difficulty such to perform educative and preventive activities as to provide adequate service to a repressed lawsuit. The results indicate the existence of a necessity to lead them to reflect and redirect their practices. In order to reach this aim it must be considered as initial measure the investment and encouragement toward to permanent education as well as a close follow-up and evaluation of the actions developed by them

Avaliação longitudinal do impacto da saúde bucal na estratégia saúde da família em Natal

As a result of the financial incentive provided by the GM / MS 1.444, since 2000, Brazil has experienced a substantial increase in the number of oral health services at the Family Health Strategy. There is, however, evidence that these teams have produced qualitatively different experiences which do not translate necessarily into improved quality of life and health. Thus, evaluative research of great importance. This study aims to assess the impact of the Family Health Strategy in oral health in a longitudinal perspective natalense the years 2006 and 2009. This is an intervention study whose design is a community trial in parallel, nearly randomized. The sample consisted of census tracts covered by oral health teams in the Family Health and the Traditional Model (Basic Health Units and non-FHS Program of Community Health Agents and areas not covered.) The sample was determined by drawing ten census tracts to form the experimental group and ten other sectors for the control group by pairing intentional based on socio-economic and geographic. To check the net effect of the intervention was performed multivariate analysis by Poisson regression. As a result of cross-sectional analysis of year 2009, it was found that the effects of the ESF in Natal were satisfactory only for the variables of injuries and for other purposes without and with negative impact on stock coverage reclaimers. However, the longitudinal analysis revealed that the ESB / ESF improved their performance in dealing with grievances, access and coverage of the type of actions and this fact is independent of age, sex and social and economic conditions. In other employees' words are related to the presence of the Family Health Strategy in the region. However it does not say that both models under study (the Family Health Strategy Model and Traditional) are different in terms of performance and it is pertinent to reflect on the need for further development of evaluation studies that use other approaches able to clarify the dynamics of the process whose results can come to the knowledge of the actors responsible for leading the ESF and encourage them to incorporate the assessment in their routine

Limitações do paradigma científico hegemônico no acolhimento ao sofrimento psíquico na atenção básica

O problema que motivou a realização do presente trabalho foi a dificuldade em se acolher o sofrimento psíquico nas unidades de atenção básica. Neste trabalho, investigamos se esta dificuldade se deve à inadequação epistemológica do paradigma hegemônico. Realizamos uma revisão de literatura e analisamos a utilização do termo paradigma na produção científica brasileira recente. Após busca pelas palavras-chave paradigma e medicina e seleção prévia, foram escolhidos 17 textos. A análise foi feita em duas etapas: análise linguística e levantamento da temática emergente. Levantamos as cinquenta palavras mais frequentes e as agrupamos em comunidades de coocorrência, utilizando o algoritmo de Clauset. Os textos discutiam as ideias de Kuhn e trouxeram tanto experiências inovadoras já implantadas em unidades de saúde quanto exemplos de mudanças curriculares nos cursos de medicina. A promoção da saúde aparece como um novo e promissor paradigma para a saúde.

Medir la economía de los países según el sistema de cuentas nacionales

Incluye Bibliografía

Cohesión social en América Latina y el Caribe: una revisión perentoria de algunas de sus dimensiones

Incluye Bibliografía

Instrumentos para la evaluación del impacto de acuerdos comerciales internacionales: aplicaciones para países pequeños en América Latina

Incluye Bibliografía

La incorporación del concepto de derechos económicos, sociales y culturales al trabajo de la CEPAL: reseña de algunas lecturas pertinentes

Incluye Bibliografía

Fomento de la eficiencia de las empresas estatales de agua potable y saneamiento

Incluye Bibliografía

Desarrollo productivo en economías abiertas

Incluye Bibliografía

Líderes e motivadores profissionais: novos trabalhadores a serviço do capital (dimensões ideológicas, disciplinares e cooptativas)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Nicaragua: evolución económica durante 2007 y perspectivas para 2008

Incluye Bibliografía

Exposição dérmica de trabalhadores a resíduos de deltametrina presentes nas plantas, na reentrada na lavoura de algodão após pulverização

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

Exposição dérmica de trabalhadores a resíduos de pesticidas presentes nas plantas, na reentrada na lavoura de algodão após pulverização

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

PROUNI: estudo multicasos com bolsistas beneficiários (estudantes e egressos) de sete instituições de ensino supeiror do Estado de São Paulo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Marcadores discursivos: uma proposta lexicográfica

Spanish is a language that in recent years has been growing in importance both politically and socially and economically, since some of the major international markets such as Chile, Spain, Mexico and Argentina, among many, have this language as the official language. This fact motivated us to conduct research that could, in some way, contribute to the teaching of this language in Brazil. Thus under the aegis of the theories and practices of bilingual lexicography, we seek to describe and analyze the treatment that some Spanish - Portuguese bilingual dictionaries present in our market give to the sentence connectors. From a textual corpus selected the markers and observe how the dictionaries analyzed work with this type of unit. We found that the information contained in these lexicographical works is not sufficient to meet the needs of Brazilian learners. Then, we proposed a macrostructure of a passive bilingual dictionary of sentence connectors in the language pair Spanish - Portuguese. Our research aims to contribute to bilingual lexicography both in regard to theoretical and methodological reflections on the application of these theories. Our contribution aims to fabricate materials for the teaching of Spanish in Brazil