Causes for the underreporting of adverse drug events by health professionals: a systematic review

Objective: Identifying the main causes for underreporting of Adverse Drug Reaction (ADR) by health professionals. Method: A systematic review carried out in the following databases: LILACS, PAHO, SciELO, EMBASE and PubMed in the period between 1992 and 2012. Descriptors were used in the search for articles, and the identified causes of underreporting were analyzed according to the classification of Inman. Results: In total, were identified 149 articles, among which 29 were selected. Most studies were carried out in hospitals (24/29) for physicians (22/29), and pharmacists (10/29). The main causes related to underreporting were ignorance (24/29), insecurity (24/29) and indifference (23/29). Conclusion: The data show the eighth sin in underreporting, which is the lack of training in pharmacovigilance. Therefore, continuing education can increase adherence of professionals to the service and improve knowledge and communication of risks due to drug use.

Agenda 21 local e sustentabilidade socioambiental urbana de Limeira/SP

Pós-graduação em Geografia - IGCE

Politicas públicas para agricultura familiar: o caso do Programa de Aquisição de Alimentos (PAA) no estado de São Paulo, Brasil

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Percepção do cirurgião-dentista sobre formação profissional e dificuldades de inserção no mercado de trabalho

Introduction: The evaluation of the perception of graduates is an essential strategy to support the political project educational in universities. Objective: This study aimed to verify the perception of dentists which are working in the labor market, about the difficulties of professional insertion after the graduation, positives and negatives aspects and suggestions regarding the training received. Methodology: This is a qualitative survey conducted with graduates of the years 2000 to 2010, of dentistry course from a Brazilian Public University. A self-administered questionnaire was sent by mail/email to all graduates in the period. The data were transcribed and subjected to content analysis, divided into pre-analysis, characterized by carefully reading floating, material exploration, guidelines for finding the analysis itself. Result: The categories related to the difficulties in early life were: getting a job/workplace, adequate working conditions and low pay, insecurity and confrontation obtained the academic and lack of administrative experience. The perceived positive aspects for the training were: good infrastructure and reputation of the university, integrating teaching-research, teacher-student relationship. The negative aspects comprised the following categories: administrative preparation, lack of integration between content theoretical/ practical, concepts used in the labor market. The suggestions presented are consistent with the difficulties to the beginning of professional life and the negative aspects. Conclusion: The professionals have faced the saturation of the labor market and different reality from those found in academic life. Despite the positive aspects, graduates suggest changes in the course conducted.

Depressão e suicídio na adolescência: representações sociais e indicadores de risco

Adolescence is a period of physical, biological and psychological changes as well as its time for reflection of the perspectives and social functions that are not defined yet. In addition to the characteristics of this period also included the family and socio-economic aspects such as parental separation, domestic violence, poverty, among others, yielding often, insecurity and confusion feelings, contributing to the case of depression in many cases, each increasingly recurrent and early at this stage in human development. The present study, thus, aimed to investigate the indicators of risk and vulnerability in adolescents to depression, especially those in social context, highlighting the social representation of the same against the disorder, since these guiding this research, the indication of factors contributing influence the etiology of depression in this period. Be consulted on the basis of VHL-PSI, articles related to depression in adolescence, published between the years 2004 to 2014. Observe that adolescents with negative perception of the social context in which the live, are more likely to develop depression, highlighting the importance of healthy social and family relationships for mental health.

Causes for the underreporting of adverse drug events by health professionals: a systematic review

Objective: Identifying the main causes for underreporting of Adverse Drug Reaction (ADR) by health professionals. Method: A systematic review carried out in the following databases: LILACS, PAHO, SciELO, EMBASE and PubMed in the period between 1992 and 2012. Descriptors were used in the search for articles, and the identified causes of underreporting were analyzed according to the classification of Inman. Results: In total, were identified 149 articles, among which 29 were selected. Most studies were carried out in hospitals (24/29) for physicians (22/29), and pharmacists (10/29). The main causes related to underreporting were ignorance (24/29), insecurity (24/29) and indifference (23/29). Conclusion: The data show the eighth sin in underreporting, which is the lack of training in pharmacovigilance. Therefore, continuing education can increase adherence of professionals to the service and improve knowledge and communication of risks due to drug use.

A vergonha na escola: uma análise fenomenológica dos discursos dos alunos

It is common to feel shame in any age. This research reveals the meaning of the shame to children from a municipal school of Valinhos city (São Paulo – Brasil). The point of view of some authors who treat the subject was considered and the shame was analyzed in the student‟s experience of life The method employed was the Qualitative Reserach of the Situated Phenomenon, throug the analyses taken from each pupil and, subsequently, from the general characteristics of the speechs. The shame is every associated to the failure, to the act of err by incompetence or desobedience. Just like the authors studied show, the shame has the feeling and the thinking toghether in the children: the racional and the emotional. The shame could be considered like a circuit: the failure lead to insecurity, fear and shame. Shame is a component of the learning and sometimes can be a limit to it. Children reveals how and when they fell shame. Some authors advise that the selfconfidence and the belief in being able to do the proposed task reduces the chances of the error and, consequently, to the shame.

Experience of family members as a result of children's hospitalization at the Intensive Care Unit

Objective. To describe the experience of family members as a result of children’s hospitalization at the Intensive Care Unit (ICU). Methodology. Descriptive and cross-sectional study. A structured interview was held with 20 relatives of patients hospitalized at two clinics of the Botucatu Medical School at Universidade Estadual Paulista “Júlio de Mesquita Filho”. Information was collected between July and September 2010. Results. The main characteristics of the participating relatives were: 80% mothers of the children; 70% low education level and 70% married. Sixty percent of the children were hospitalized at the ICU for the first time. Eighty percent of the interviewees believe that the children’s behavior changes inside the unit and 85% consider that visiting hours are sufficient. The predominant negative feelings are fear (50%) and insecurity (20%), while the predominant positive feelings are hope (50%) and the expectation of discharge (25%). The professional who most supported the relatives was the nurse (35%). Conclusion. The family members’ experience as a result of the children’s hospitalization at the ICU involves positive and negative aspects, which also affect the child’s behavior at the unit.

Trabalho docente em escolas estaduais paulistas: o desafio do professor da categoria O

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Zonas Estratégicas e Estruturais para os Trânsitos Ilícitos (ZEETI): desafios à zona de paz na América do Sul

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O condomínio de vidro: um estudo sobre segurança urbana no Residencial dos Oitis em Araraquara

Pós-graduação em Ciências Sociais - FCLAR

Análise organizacional de acidentes de trabalho no setor de distribuição de energia elétrica

Pós-graduação em Saúde Coletiva - FMB

Análise organizacional de acidentes de trabalho no setor de distribuição de energia elétrica

Pós-graduação em Saúde Coletiva - FMB

Criança dependente de tecnologia: a experiência do cuidado materno

Este estudo tem como objetivo compreender a experiência materna no cuidado ao filho dependente de tecnologia. Utilizamos a abordagem do estudo de caso etnográfico tendo como instrumentos de coleta de dados os genograma e ecomapa, entrevista aberta e observação. Os dados foram organizados em três unidades de significados: a busca pelas causas e por culpados; a alta hospitalar e as demandas para o cuidado e as redes de apoio. O estudo permitiu conhecer a experiência materna em busca por explicações, bem como os sentimentos de desconfiança, insegurança e insatisfação relacionados ao serviço de saúde. Ainda a apropriação da mãe em relação aos cuidados à criança e no que se refere à organização do ambiente domiciliar para recebê-la, a utilização das redes de apoio, destacando a carência de vínculos com familiares e vizinhos e a busca formal e informal para garantir a subsistência da criança doente e dos demais filhos.

Local Knowedge and Citizenship: the communitarian health agents

Discussions about the new meaning of citizenship, valuing differences and respecting knowledge diversity bring the question of how public policies can be locally rooted to ensure access to diversity. This is evident when we deal with health policies, where the interaction between implementers and beneficiaries is essential to understand the results of the policy. The Family Health Program (FHP) has tried to change the relationship between state and society, bringing health professionals with the daily experienced by the users where there is (re) production of the components that lead to insecurity, poor health and disease. To analyse this kind of policy we must take into account the interaction processes and the practices of the actors involved in the FHP implementation. This article aims to analyze the role of Health Communitarian Agents (HCA) as FHP implementers. Through ethnographic research followed the practices of ACS in different cities, we seek to understand how they deal with their different knowledge, enable and disable referrals and adapt action to enact the program. We want to understand how they use mediations and interactions in their practices and built policies locally rooted, constructing alternative ways to implement these policies.