O trabalho do enfermeiro na vigilância à saúde da criança sob o olhar da gestão da Atenção Básica à Saúde

This study aimed at apprehending and analyzing the perspective of Primary Health Care managers concerning nurses’ work in Children’s Health Surveillance in a city in São Paulo state. The study population consisted of eight professionals from different professional categories with direct activity in the city’s management of the population’s Health Surveillance. It is a descriptive, qualitative study. Data were collected by means of recorded semi-structured interviews. The framework used for data analysis was the thematic Content Analysis Method. The results were systematized into three themes: 1- Managers’ conceptualizations concerning Children’s Health Surveillance and its application in practice; 2- Managers’ perspectives concerning nurses’ work in Children’s Health Surveillance; 3- Qualification of Children’s Health Surveillance under the view of the municipal management. The conceptualizations concerning Children’s Health Surveillance that were apprehended showed to be convergent as they indicated this model’s appropriateness to identify and prioritize children’s care in vulnerability conditions in the territory where they live. However, some managers did not include, in their statements, health promotion aspects as one of the cornerstones of their managerial action. Nurses were considered to be fundamental in the Children’s Health Surveillance process due to their competencies and responsibilities undertaken in this health provision level. The main difficulties for adequate implementation of Children’s Health Surveillance in Primary Health Care and the proposal to overcome them were pointed out. It was concluded that, under the managers’ perspectives, nurses can greatly contribute to Children’s Health Surveillance in Primary Health Care as members of the health care team; however, to that end, they need professional qualification, structural conditions and institutional support with that regard

Aplicação do DMAIC em uma indústria farmacêutica

In an industry, being a big one or small one, the process improvement is always a focus for it to increase in the market. The improvement, if searched in a simple meaning, brings the unique meaning of change to better. However the meaning of process improvement can take much more than a superficial point of view. Kaizen, Process improvement, Continuous improvement, they are some denotations much more comprehensive of a such a term carried of so many meanings. A good concept of improvement if to search inside processes a more appropriate way, a more succinct, a more economic way to realize it. The idea is to make the process in a better way. In this graduation thesis, there will be presented a process improvement realized in a Vale do Paraíba company. For that, it was used the DMAIC to obtain, measure and control the process improvement. It should be noted that the goal is to present and discuss a process improvement

Obtenção de forma farmacêutica sólida de extrato etanólico de Casearia sylvestris Swartz

A espécie vegetal Casearia sylvestris é uma planta nativa do Brasil e de uso tradicional, sendo utilizada popularmente para combate de doenças do trato digestório. Seus extratos e mesmo substâncias purificadas apresentaram diversas atividades farmacológicas, sendo a mais eficaz a ação antiulcerogênica. Neste trabalho, desenvolveram-se granulados a partir do extrato etanólico de folhas de C. sylvestris. A metodologia envolve métodos de extração de droga vegetais, granulação via úmida e ensaios de caracterização do perfil micromerítico dos granulados

A indústria farmacêutica nos países emergentes: um estudo comparativo sobre a trajetória de desenvolvimento do setor na Índia e no Brasil

Recentemente, alguns países fora da tríade têm assumido importante papel no cenário farmacêutico, como grandes produtores, entre eles destacam-se Índia e Brasil. O presente trabalho buscou avaliar a trajetória de desenvolvimento dos dois países, mostrando como as trajetórias são diferentes, e como essa diferença culminou na maior capacitação da indústria indiana, em relação a brasileira, embora quarenta anos atrás elas fossem extremamente semelhantes

Efeito da atividade física no uso de serviços de saúde na atenção primária no município de Rio Claro, SP

Introduction: Physical inactivity is identified as the fourth greatest risk factor of mortality worldwide. Little is known about how physical inactivity alters the demand for use of primary health care services, and it is a subject which demands further investigation. Objective: This study aims to determine the influence that physical activity has on the demand for use of primary health care services. Methods: This is a retrospective and cross-sectional study. The Rio Claro Active Health Program (SARC), studied in this research, is a partnership between the Municipal Health Foundation and Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), represented by the Nucleus of Physical Activity, Sport and Health (NAFES) department of Physical Education and coordinated by Prof. Dr. Eduardo Kokubun. The study was carried out on residents of Rio Claro of both sexes seen at SARC. To assess the influence that physical activity had on the demand of the use of health services a questionnaire was given to participants who had attended the program since 2009. This questionnaire contains questions concerning the level of physical activity, health service use, number of both blood pressure and glucose measurement takings, number of spontaneous and scheduled medical visits, number of medications taken, number of illnesses and hospitalizations, comparing the data found in the previous year and the year after the program began. An informed term of consent was used for research participants. Descriptive analysis was carried out, using frequency, mean, maximum and minimum standard deviation. Results: Active participation in The Rio Claro Active Health program has positively influenced the following variables: perception of health, uncontrolled blood pressure, did not modify the number of diseases, number of medications in general, ...(Complete abstract click electronic access below)

O transtorno de déficit de atenção/hiperatividade no âmbito educacional

The purpose of this research is to study and explain the characteristics of Learning Disorders, especially Attention Deficit Disorder / Hyperactivity Disorder (ADHD). This will be done a literature search focusing on books that address the topic. It is considered that these disorders are characterized as one of the most common problems in education, especially in the early years of elementary education, may affect in different ways the students' performance. Thus, many students may not be following the school curriculum as a result of these disorders

Canto dos contos: o percurso de uma oficina de narração de histórias para adultos, no contexto de um Centro de Atenção Psicossocial

O presente trabalho tem por objetivo analisar a experiência de uma oficina de narração de histórias, a oficina Canto dos Contos, realizada no contexto terapêutico de um Centro de Atenção Psicossocial (um CAPS), equipamento do Sistema Único de Saúde (o SUS), na cidade de São Paulo, em 2012. Considerando o CAPS como parte fundamental da reforma psiquiátrica brasileira, a oficina expressiva de narração de histórias foi buscando, ao longo de seu percurso, delinear seus limites e marcar suas diferenças em relação aos espaços terapêuticos já existentes no CAPS. Assim, a partir da escuta conjunta e apreciação de narrativas, acessamos lembranças resgatadas pelos participantes e pudemos criar, relembrar e renovar memórias antes confusas e esquecidas. Como resultado final, rodas de narrativas foram realizadas dentro e fora do espaço terapêutico do CAPS e um livro foi publicado. Essa presente contextualização e reflexão acerca de um trabalho realizado por uma arte/educadora em um Centro de Atenção Psicossocial faz-se oportuna, uma vez que os CAPS’s e a saúde mental como um todo são um campo que vem se abrindo, cada vez mais, para profissionais de áreas artísticas, tanto pela afinidade que as Artes sempre tiveram com pensamentos que rompem com paradigmas de realidade, quanto pela potência terapêutica existente em práticas expressivas. Esperamos que pensar e avaliar a narração de histórias utilizada como instrumento no percurso terapêutico dos pacientes de um CAPS possa contribuir para que trabalhos semelhantes, neste e em outros contextos, aprimorem as experiências aqui descritas.

Discuntindo as concepções de professores do segundo ano do ensino fundamental sobre transtorno de déficit de atenção e hiperatividade (TDAH)

Researches show high rates of school failure on the part of students who are unable to learn, referring to them as the idea of an incapable individual and intended not to achieve the goals proposed during the school year. Among the most varied problems posed by teachers and that are instilled in students in order to justify the poor performance of the same, we find Disorder Attention Deficit Hyperactivity Disorder (ADHD). Faced with this problem the objective was to investigate teachers‟ conception of the second year of primary education on ADHD, knowing well the mechanisms of identification, confirmation and referral of these cases, as well as the appropriate treatment and teaching practices suggested. To achieve the proposed objective a literature search was performed supplemented by an empirical study in which we used two instruments to collect data: interviews and observation. The study included empirical two teachers from a state school and two teachers from a private school, all of a midsize city in São Paulo. The interviews showed that teachers of second grade of elementary school consider ADHD a neurological problem in order to be addressed, however, chose not to speak about the treatment carried out by drugs. The observations revealed that the discourse of these teachers are away from their practices, it is worth noting that the differences in these two situations studied - state and private network - are so disparate and interfere in this important teaching practice

Análise químico-farmacêutica de cápsulas de glimepirida

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

Território da atenção básica em Presidente Prudente: do espaço da norma ao território de fato

Este trabalho tem como finalidade discutir a atenção básica no município de Presidente Prudente, entretanto esclarecendo como funciona as normatizações e ações práticas. Assim, verificamos o território da Estratégia de Saúde da Família do Parque Alvorada e se existe um vínculo entre a norma e o fato, possibilitando que a população previna ou trate doenças através da porta de entrada preferencial do SUS, além de alcançar o bem estar. Para consolidar este trabalho foi necessário uma pesquisa bibliográfica, documental e a análise empírica. A análise empírica permitiu verificar essa nuances no território e coletar dados para discussão, sendo uns dos principais fatores da pesquisa, pois mostra a realidade vivenciada pela população inserida naquela território. Diante dessas práticas, percebemos que existem alguns pontos negativos, pois muitas pessoas que estão inseridas nesse território não tem um acesso facilitado a sede da ESF do Parque Alvorada. Assim, se o território fosse delimitado de uma outra forma, porém considerando a participação social, ou seja, ouvindo as pessoas que vivem no local, qual suas dificuldades e desejos, o programa atenderia toda população que faz parte daquela área de abrangência com mais eficácia

Elaboração de manual da qualidade e manual de segurança em laboratório para a unidade operacional de equivalência farmacêutica da UNESP

No ambiente competitivo em que as empresas estão inseridas, verifica-se um crescimento significativo da divulgação sobre a importância de uma gestão adequada, objetivando a manutenção de sua sustentação competitiva. As exigências de mercado fazem crescer continuamente a preocupação em implantar Sistemas de Gestão da Qualidade, não só no universo das grandes corporações, mas também das empresas prestadoras de serviços, como por exemplo, os laboratórios de ensaio. A Promulgação da Lei dos medicamentos Genéricos (LEI 9787), por meio da RDC 299/99 estabelece que os laboratórios possuem o dever de prestar serviços que atendam aos princípios fundamentais de gestão da qualidade analítica e de boas práticas de laboratório. Nesse contexto e visando a condução dos ensaios exigidos para o registro de medicamentos genéricos, a Rede Brasileira de Laboratórios Analíticos em Saúde teve sua origem. Dentre os requisitos estabelecidos pela REBLAS para habilitação de laboratórios na condução de ensaios de Equivalência Farmacêutica, é determinado que “o laboratório deve estabelecer, implementar e manter um Sistema da Qualidade apropriado ao escopo das suas atividades” (ANVISA, 2002). Assim, torna-se indispensável a existência de um Manual da Qualidade, ferramenta que descreve o Sistema de Gestão da Qualidade de acordo com a política e objetivos que são declarados pela organização, bem como um Manual de Segurança em Laboratório para a Unidade Operacional de Equivalência Farmacêutica da UNESP.

Estudo da indústria farmacêutica brasileira: a queda das patentes e entrada dos medicamentos genéricos

The objective of this study is to examine the pharmaceutical industry and changes that the fall of patents and entry of generics may cause in the price and consumption of drugs. Thus, there is a brief discussion about the global pharmaceutical industry, from its origins to the present day, showing in particular the case of the United States, today considered the largest industry in this sector. From this, the work seeks to address specifically the Brazilian industry and its regulation. Since the generic law implementation, the participation of this type of medicine has grown significantly in the country. Because they have always been lower than prices of their brand, the cost of treating disease is reduced, which makes generic drugs represent an improvement for consumers in terms of welfare of society

Avaliação da qualidade da atenção ao parto nos colegiados de gestão regional Cuesta Botucatu e Vale do Jurumirim

The humanization of childbirth implies the understanding of this event as an important experience, and requires the redefinition of human relationships from the review of the assistance project, the understanding of pregnant women condition and human rights. To evaluate child birth assistance using a score that was developed by Botucatu Cuesta Regional Management and Jurumirim Valley Collegiates. This is an epidemiological, descriptive study that is inserted in the field of evaluation of services, programs or health projects. The data has been obtained by direct observation of deliveries, emphasizing the humane care. Results: Approximately one third of the women gave birth in a tertiary hospital (34.1%) and it was their first babies (33%).24.8% of the women received prenatal care in high-risk services. 67.1% of the births were normal, and 84.7% had no companions in the delivery room. In 47.1% of the cases the delivery was performed by obstetrician who used anesthesia in 44.7% and episiotomy in 48.2% of the deliveries. More than half of the newborns were attended by the pediatrician in the delivery room and had a delivery graph completed. Although the present study shows that 67.1% of the births were normal, caesarean rate can be considered excessive, as the WHO points out that c-sections above 15% are unlikely to be justifiable. It is important to emphasize that the Ministry of Health has to have a commitment with all women to promote safe motherhood, even in cases when the pregnancy involves a risk for both the mother and the fetus. It is noteworthy that the created score allowed us to assess variables related to the humanization of childbirth and only average and quite similar situations among the three services were evidenced. We hope that with this study, managers and professionals that work in this area can be subsidized in order to offer effective humane assistance and quality service in the delivery

Saúde mental do idoso: percepções relacionadas com o envelhecimento em interface com o atendimento de saúde na atenção básica

Worldwide, growth is seen in the elderly population, which has prompted the use oftechnologies of care that include all stages of life and for that use, it is necessary toprepare professionals to meet this growing demand population. This work aims to understand how old people feel by their condition and identify how old people perceive this treatment in the Family Health Unit. The research is characterized asqualitative and Minayo second analysis was used Bardin. After, thematicinterviews, it was possible to appreciate the topics: Good, dissatisfaction through the life and likes / dislikes of the service unit. This work can be seen that the elderlywho were well, allied to good living with this family, with spouses, autonomy, respect they encounter in society. And when compared with those who have a complaint, we find that lack of family and age restrictions and diseases are the main complaints

Envelhecimento ativo: um desafio para a equipe multidisciplinar e para as pessoas idosas frequentadoras da Unidade de Atenção ao Idoso (UAI), no município de Uberaba - MG

Pós-graduação em Serviço Social - FCHS