Desordens músculo-esqueléticas relacionadas com o exercício da Medicina Dentária

Os profissionais de Saúde Oral, nomeadamente os Médicos Dentistas, têm vindo a enfrentar variados riscos decorrentes da sua atividade profissional. Apesar de haver um esforço constante no sentido de melhorar os equipamentos e materiais dentários, através dos avanços tecnológicos, estes não conseguiram, ainda, colmatar significativamente os problemas Músculo-Esqueléticos dos Médicos Dentistas. Este tipo de problemas surge enquanto estudantes, durante a prática clínica, muitas vezes devido às condições de trabalho, à inexperiência inerente, mas, principalmente, devido às postura e aos hábitos de trabalho errados que adquirem e que, consequentemente, persistem ao longo da sua vida profissional. A presente dissertação, aliada a uma vasta literatura relacionada, pretende alertar os profissionais de Saúde Oral, com foco nos Médicos Dentistas, para as patologias decorrentes das posturas erradas no exercício da Medicina Dentária, denominadas de Desordens Músculo-Esqueléticas relacionadas com o Trabalho, identificando-as, assim como aos fatores de risco que influenciam o seu aparecimento. A elaboração desta dissertação, pretende, ainda, propor exercícios de Ginástica Laboral a realizar entre consultas, como estratégia de prevenção para o surgimento de Lesões MúsculoEsqueléticas Relacionadas com o Trabalho nos Médicos Dentistas e alertar para a importância da Ergonomia na conceção de um Consultório Dentário. Para a presente revisão bibliográfica, foi realizada uma pesquisa bibliográfica com recurso a livros e artigos publicados em revistas, e que foram consultados nas Bibliotecas da Faculdade de Medicina Dentária da Universidade do Porto e da Universidade Fernando Pessoa. Procedeu-se à pesquisa por recurso aos motores de busca na internet, tais como, PubMed, Scielo, B-On e Medline, utilizando as seguintes palavras-chave, em conjunto ou individualmente: “Lesões por esforços repetitivos”; “Lesões Músculo-Esqueléticas”; “Ergonomia”; “Prevenção”; “Fatores de Risco”; “Ginástica Laboral”; “Work related musculoskeletal disorders”; “Dentistry”; “Ergonomics”; “Pain”; “Prevention”; “Risk factors”. Foram selecionados artigos entre 1987 e 2015, com relevância para o presente trabalho de dissertação de Mestrado, escritos em Português e Inglês. Desta forma, a pesquisa bibliográfica permitiu verificar a prevalência de Lesões Músculo-Esqueléticas Relacionadas com o Trabalho, no âmbito da Medicina Dentária, assim como os fatores de risco associados ao seu aparecimento. Foram ainda tecidas algumas recomendações de forma a contribuir para o bem-estar dos Médicos Dentistas, elucidando-os para a necessidade de adotar posturas corretas e usando a Ergonomia como base para a organização e conceção de um Consultório Dentário. Recorreu-se, ainda, à ilustração de um programa de Ginástica Laboral, através de dois cartazes elucidativos, com o objetivo de prevenir, corrigir e compensar este tipo de patologias do Médico Dentista, desde a sua prática clínica. Após a elaboração desta dissertação, acredita-se ser de extrema importância a aplicação de diretrizes ergonómicas na conceção de um Consultório Dentário, na organização de tarefas, no procedimento clínico, na adoção de posturas, no posto de trabalho, na localização do equipamento e na escolha dos instrumentos. Este método, para além de minimizar o risco do aparecimento de doenças profissionais, também simplifica tarefas, proporciona a correta comunicação entre o Médico Dentista e o assistente e melhora a qualidade e produtividade laboral, através da redução da fadiga física e mental e do aumento da confiança e bem-estar dos Médicos Dentistas.

Estudo comparativo entre o código deontológico português de Medicina Dentária e o código de ética odontológico brasileiro

A Medicina Dentária é uma área da medicina em que os profissionais podem realizar procedimentos cirúrgicos invasivos e prescrever formulações farmacológicas de maneira autónoma, a partir de diagnósticos realizados por eles próprios. O exercício das atividades médicas deve ser pautado em princípios éticos, legais e na compreensão da realidade social, económica e cultural do local onde exercem os profissionais. Para tanto, o estudo dos Códigos Deontológicos e dos Códigos de Ética e Deontológicos são importantes instrumentos na busca por este paradigma de conduta. O Objetivo deste trabalho de pesquisa pretende comparar o Código Deontológico de Medicina Dentária em Portugal com o Código de Ética Odontológica Brasileiro, buscando diferenças e semelhanças. Realizou-se uma revisão bibliográfica do Código Deontológico Português e do Código de Ética Odontológica Brasileiro, utilizando-se dos próprios códigos, livros e artigos pertinentes ao estudo. Pode-se verificar que ambos os códigos são Completos. O Código Deontológico Português é complementado por Regulamentos internos da Ordem dos Médicos Dentistas. Existem temas específicos no Código Brasileiro que não estão presente no Código Português.

Ribeira, técnica versus natureza: transformações em prol de um projeto de modernização (1860-1932)

The necessity of the insertion of the capital of Rio Grande do Norte in the world-wide commercial scene and its claim as the seat of political power, in ends of nineteenth and beginning of twentieth century, determined the direction of urban interventions undertaken by government to restructure the city. In that matter, there were several actions of improvements and embellishment in Natal, which had, as a starting point, the adequacy works of the port, located in the Ribeira quarter, with the aim of ending the physical isolation that reinforced its economic stagnation. Besides the problems faced in the opening bar of the Potengi River, and would complement the required improvements, other barriers demonstrate the tension established between the physic-geographic field and the man: the flooded and slope which connected Cidade Alta and Ribeira the first two quarters of the city.The execution of these works demanded knowledge whose domain and application it was for engineering. But, how the actions done for the engineers, in sense to transform natural areas into constructed spaces made possible the intentional conformation of the quarter of the Ribeira in a commercial and politician-administrative center, in the middle of the XIX century and beginning of the XX? Understand, therefore, the employment effects of technology on the physical-geographical Ribeira, is the objective of this work that uses theoretical and methodological procedures of Urban Environmental History, by analyzing the relationship between the environment and the man, mediated by knowledge and use of technologies. The documental research was used, as primary sources, the Messages of the Provincial Assembly Government that later became the Legislative Assembly of Rio Grande do Norte reports and articles on specialized publications, in addition to local newspapers. The work is structured in five chapters. First, some comments about Urban Environmental History (Chapter 1) supplemented with analysis of the conceptual construction of nature in the Contemporary Era and its application in the city (chapter 02), the following chapters (03 and 04) deal with the rise of engineers as a active group in the Brazilian government frameworks and their vision about the nature inside the urban environment and it is studied how the professional technicians dealt with the improvement work of the harbor and in the shock with the natural forces. Other works that would complement this "project" of modernization and had had natural obstacles to be removed the Ribeira flood and slope constitute the subject of the fifth chapter. Finally, some final considerations retake the initial discussions aiming an association between the technique and the nature as junction elements inside the process of constitution of a Modern Natal

Applicability of non-pharmacological strategies for pain relief in parturient: integrative review

MORAES, Maísa Suares Teixeira; ROLIM, Lariane Thays Albuquerque; ENDERS, Bertha Cruz; FARIAS, Glaucea Maciel de; DAVIM, Rejane Marie Barbosa. Applicability of non-pharmacological strategies for pain relief in parturient: integrative review. Revista de Enfermagem UFPE on line, v.4, n.especial, p.131-136, May/June 2010. Disponivel em:< http://www.ufpe.br/revistaenfermagem/index.php/revista/>.

PULMONARY REHABILITATION PROGRAMS IN LUNG TRANSPLANT: A LITERATURE REVIEW

Objective: To analyze, using a literature review, Pulmonary Rehabilitation (RP) Programs in lung transplant. Methods: A literature review in July 2014 in Ebsco Host, Periódicos Capes, BVS and Science Direct data bases using descriptors in English (“lung transplantation”, “lung transplant” AND/OR “rehabilitation”) and Portuguese (“reabilitação” AND/OR “transplante pulmonar”). The eligibility criterions were interventional studies of PR before and/or after lung transplant; participants who were candidates to lung transplant or lung transplant recipients; studies that applied any kind of PR program (hospital-based, homebased or outpatient) and articles published in English, Spanish or Portuguese. Literature reviews, guidelines and case reports were excluded. The search process yielded 46 articles of which two were duplicated. After title and abstract screening 13 articles remained for full text reading. Six studies met the inclusion eligibility and were included in the review. Results: The studies involved patients with Chronic Obstructive Pulmonary Disease, Cystic Fibrosis, Pulmonary Hypertension, Interstitial Lung Disease and Pulmonary Fibrosis. Pulmonary function, exercise capacity, quality of life (QoL) and quadriceps force were evaluated. Most interventions were outpatient programs with three months duration, three times a week and session with at least one hour. Protocols included physical training, educational approach and just one included nutritional, psychiatric and social assistant follow-up. The studies presented significant change in the six-minute walking distance, QoL and quadriceps force after PR programs. Conclusion: This review showed the benefits of the PR in the QoL and exercise capacity contributing to the Health Promotion of the patients.

Ribeira, técnica versus natureza: transformações em prol de um projeto de modernização (1860-1932)

The necessity of the insertion of the capital of Rio Grande do Norte in the world-wide commercial scene and its claim as the seat of political power, in ends of nineteenth and beginning of twentieth century, determined the direction of urban interventions undertaken by government to restructure the city. In that matter, there were several actions of improvements and embellishment in Natal, which had, as a starting point, the adequacy works of the port, located in the Ribeira quarter, with the aim of ending the physical isolation that reinforced its economic stagnation. Besides the problems faced in the opening bar of the Potengi River, and would complement the required improvements, other barriers demonstrate the tension established between the physic-geographic field and the man: the flooded and slope which connected Cidade Alta and Ribeira the first two quarters of the city.The execution of these works demanded knowledge whose domain and application it was for engineering. But, how the actions done for the engineers, in sense to transform natural areas into constructed spaces made possible the intentional conformation of the quarter of the Ribeira in a commercial and politician-administrative center, in the middle of the XIX century and beginning of the XX? Understand, therefore, the employment effects of technology on the physical-geographical Ribeira, is the objective of this work that uses theoretical and methodological procedures of Urban Environmental History, by analyzing the relationship between the environment and the man, mediated by knowledge and use of technologies. The documental research was used, as primary sources, the Messages of the Provincial Assembly Government that later became the Legislative Assembly of Rio Grande do Norte reports and articles on specialized publications, in addition to local newspapers. The work is structured in five chapters. First, some comments about Urban Environmental History (Chapter 1) supplemented with analysis of the conceptual construction of nature in the Contemporary Era and its application in the city (chapter 02), the following chapters (03 and 04) deal with the rise of engineers as a active group in the Brazilian government frameworks and their vision about the nature inside the urban environment and it is studied how the professional technicians dealt with the improvement work of the harbor and in the shock with the natural forces. Other works that would complement this "project" of modernization and had had natural obstacles to be removed the Ribeira flood and slope constitute the subject of the fifth chapter. Finally, some final considerations retake the initial discussions aiming an association between the technique and the nature as junction elements inside the process of constitution of a Modern Natal

El surrealismo en la obra poética de Federico García Lorca

The main objective of this investigation is the retrieval of the study of possible Surrealism in Federico García Lorcás poetic work, a poet who enjoyed in his time prestige and international fame for decades, and still does. Numerous articles in magazines and newspapers of his time speak of his writings, literary activities and stand as a testimony of how well-regarded he was during his lifetime and even after his tragic murder death at the hands of fascists right after the outbreak of the Spanish civil war back in July 1936. Nevertheless, and for diverse reasons, literary ,social, as well as the extent of the studies, researches and abundant biographies about him, the study of Surrealism in all his works, such as in his playwrights for instance, has not been sufficiently expanded, and has been overlooked by the extensive bibliographies written about him. We have limited the investigation to his poetic works only. The extensive bibliographies written about him, is a fact that hindered and held back our efforts, as we had to resort to resources from different libraries, such as the Faculty of Philology of the UCM General Library, the Faculty of Information Science, the Student Residence, as well as the National Library. In addition to the analysis and commentary of his works, not to mention that current publications on him, various literary magazines and articles from the poet’s time have been consulted as well...

Enseñanza de la multiplicación desde un enfoque constructivista en tercero y cuarto año de Educación General Básica

La presente investigación tiene como objetivo demostrar teóricamente la importancia de la enseñanza de la multiplicación a partir de un enfoque constructivista en el tercero y cuarto año de Educación General Básica, años en los que esta enseñanza se profundiza. En efecto, este trabajo monográfico busca responder a las siguientes interrogantes: ¿En qué consiste la multiplicación y su proceso? ¿Cuál es la diferencia de enseñar la multiplicación desde un enfoque tradicional y un enfoque constructivo? Según la Actualización y Fortalecimiento Curricular (2010): ¿Cómo se debe desarrollar su proceso de enseñanza? ¿Qué estrategias se pueden utilizar para trabajar en la comprensión de la multiplicación en el tercero y cuarto año de Educación General Básica? Para responder estas preguntas se recurre a la revisión de información bibliográfica procedente de revistas, libros y artículos de diferentes autores, que facilitan cumplir con los objetivos planteados. Finalmente, se concluye que la enseñanza - aprendizaje basada en los lineamientos del enfoque pedagógico constructivista tiene como resultado la comprensión que los estudiantes necesitan tener hacia la multiplicación para poder utilizarla en su vida académica y cotidiana. Por tal razón se afirma que, la importancia de enseñar la multiplicación desde un enfoque constructivista se fundamenta en que este lineamiento pedagógico propende el uso de dicha operación matemática en la resolución de problemas, desarrollando así su pensamiento lógico – matemático y el razonamiento, a diferencia de lo que ocurre con el tradicionalismo en el que se memoriza por corto plazo.

La construcción de sentido (‘sensemaking’) de un entorno estratégico turbulento por parte de los altos directivos: un estudio en una multinacional automotriz

Este artículo presenta los resultados de una investigación realizada al interior de dos contextos. Por un lado, el teórico, en el marco de uno de los discursos más relevantes en los campos de la estrategia organizacional, de la managerial and organizational cognition (MOC) y, en general, de los estudios organizacionales (organization studies): la construcción de sentido (sensemaking). Por el otro, el empírico, en una de las grandes compañías multinacionales del sector automotriz con presencia global. Esta corporación enfrenta una permanente tensión entre lo que dicta la casa matriz, en relación con el cumplimiento de metas y estándares específicos, considerando el mundo entero, y los retos que, teniendo en cuenta lo regional y lo local, experimentan los altos directivos encargados de hacer prosperar la empresa en estos lugares. La aproximación implementada fue cualitativa. Esto en atención a la naturaleza de la problemática abordada y la tradición del campo. Los resultados permiten ampliar el actual nivel de comprensión acerca de los procesos de sensemaking de los altos directivos al enfrentar un entorno estratégico turbulento.

Las maestras y el ensayo como escritura cívica femenina en Repertorio Americano

Recibido 17 de mayo de 2011 • Aceptado 26 de agosto de 2011 • Corregido 9 de octubre de 2011   La escritura femenina, como todas las formas de producción simbólica desde las mujeres, ha existido y se ha desarrollado a pesar del mandato patriarcal de obedecer y callar que pesa sobre el género femenino. No es objetivo en esta reflexión, ahondar en las acciones y las obras de las mujeres transgresoras quienes, a lo largo de la historia y a pesar de, han ejercido esa forma de hacerse presente y afirmarse ante los otros que es la escritura. Mi propósito es identificar a las mujeres, quienes desde el oficio de maestras ejercitaron su escritura, combinaron su rol docente con el de escritoras y en la elaboración de sus discursos cívicos cuestionaron, precisamente, las concepciones de patriotismo y sentimiento cívico dentro del mismo proceso de construcción de una ciudadanía de la cual ellas no disfrutaban.

THE CONSTRUCTION OF FHE FUTURE IN THE PRESS DISCOURSE ON THE PRIVATIZATION OF TELECOMMUNICATIONS

In the 90s of the 20th century, Brazil has undergone significant changes in its development model, with the withdrawal of the state from economic activities. We consider how the discourse on privatization constitutes a relevant place for observation of recent Brazilian history. In this period, the privatization of state companies, among them telecommunications ones are performed. This article analyzes, based on the theoretical and methodological principles of discourse analysis in the tradition opened by Michel Pecheux, as the press feeds the imagination of future in the discourse on privatization of telecommunications companies. To do so, in order to understand the discursive relationships established in dominant commercial media, we devote our analysis to a corpus of reports and articles extracted from newspapers Folha de S. Paulo and O Estado de S. Paulo, which, in general, have taken a position in favor of privatization and changes in the Brazilian development model. The analysis shows that the future benefits are designed for the whole society. Thus, the past is represented negatively, because it would have produced bad effects on society and must therefore be rejected and denied in its historical continuity. In this discursive practice, privatization is introduced as a symbolic milestone period related to modernity and the construction of citizenship prosperity that will fall in the future to be built from this event. Positive meanings are focused in the future, which is directly related to privatization. Thus, the privatist position of the analyzed newspapers try to crystallize the sense of 'privado' as something beneficial and desirable, stabilizing a memory for the discursive event of privatization. This management of historical time, therefore, produces a line of continuity between present and future and a rupture between past and present, whose links are deleted to produce positive meaning for the privatization of the telecommunications.  

Fugitive essays, upon interesting and useful subjects, relating to the early history of Ohio : its geology and agriculture, with a biography of the first successful constructor of steamboats ; a dissertation upon the antiquity of the material universe, and other articles, being a reprint from various periodicals of the day /

Mode of access: Internet.

The Englishman's library : comprising a series of historical, biographical, and national information, under the following heads, English history, and lives of eminent statesmen, English scenes, and essays on subjects of national importance, lives of eminent English philosophers, writers, etc., and patriotic poetry : being a selection from the original articles of the Plain Englishman.

"Dr. Samuel Johnson": p. 340-346.

The Oxford stamp, and other essays: articles from the educational creed of an American Oxonian,

Mode of access: Internet.

The Sporting repository : containing horse racing, hunting, coursing, shooting, archery, trotting and tandem matches, cocking pedestrianism, pugilism, anecdotes on sporting subjects, interspersed with essays, tales, and a great variety of miscellaneous articles.

"This edition is limited to 500 copies".