Prática de vacinação em crianças com doenças reumáticas

INTRODUÇÃO/OBJETIVOS: Avaliar a prática clínica com relação à verificação do cartão vacinal e à indicação de vacinas específicas em pacientes com doenças reumáticas pediátricas em uso de diferentes drogas, e evidenciar a possível associação entre frequência de vacinação e tempo de prática clínica dos reumatologistas pediátricos do estado de São Paulo. MATERIAL E MÉTODOS: Um questionário foi enviado para os reumatologistas pediátricos do Departamento de Reumatologia da Sociedade de Pediatra de São Paulo. Esse instrumento incluiu questões sobre tempo de prática em Reumatologia Pediátrica, vacinação de pacientes com Lúpus Eritematoso Sistêmico Juvenil (LESJ), artrite idiopática juvenil (AIJ), dermatomiosite juvenil (DMJ) e imunização de acordo com os tratamentos utilizados. RESULTADOS: Cartão de vacinação foi visto por 100% dos profissionais na primeira consulta e por 36% anualmente. Vacinas de agentes vivos não foram recomendadas para pacientes com LESJ, AIJ e DMJ em 44%, 64% e 48%, respectivamente. Os profissionais foram divididos em dois grupos: A (< 15 anos de prática, n = 12) e B (> 16 anos, n = 13). Nenhuma diferença estatística foi observada no uso de vacinas de agentes vivos e vacinas de agentes inativos ou componentes proteicos em relação ao tratamento nos dois grupos (P > 0,05). Além disso, os grupos foram similares em relação à opinião sobre a gravidade de imunossupressão em pacientes com LESJ, AIJ e DMJ com ou sem atividade e a terapêutica utilizada (P > 0,05). CONCLUSÕES: A frequência de vacinação por reumatologistas pediátricos de São Paulo é baixa, especialmente após a primeira consulta, e não é influenciada pelo tempo de prática profissional.

Avaliação do estudante: no exercício de avaliação da prática profissional

Este estudo aborda a avaliação do exercício da prática profissional (EAPP) no curso de enfermagem da Faculdade de Medicina de Marília (Famema); tem como objetivo analisar a concepção de avaliação do professor que realizou o EAPP com estudantes de primeira a quarta séries do curso. Trata-se de um estudo qualitativo, modalidade análise de conteúdo e identificação da seguinte temática: as ambigüidades do processo de avaliação. Constata-se que a concepção do professor na avaliação no EAPP aproxima-se muito da abordagem de competência dialógica, que articula e integra resultados, atributos e contexto em situações distintas, com diferentes formas de realizar tarefas essenciais para a formação do enfermeiro. Contradições no processo avaliativo entre os professores, porém, estão presentes e necessitam ser constantemente trabalhadas.

A interface entre distúrbio obsessivo-compulsivo e esquizofrenia: Desafios da prática clínica

The article discusses the relationship between obsessive-compulsive disorder (OCD) and schizophrenia, based on the report of eight clinical cases. It describes and discusses cases of OCD with poor insight, obsessions that seem paranoid delusions or auditive hallucinations, OCD with transient psychotic reactions, OCD with schizotypal personality disorder and schizophrenia with obsessive-compulsive symptoms.

Subjetividade sujeitada e prática psicológica: Perspectivas do sujeito da ação

Research problematizes readings on the so-called subject or agent of action as associated to group constitution and analyzes the implications of such interpretations in psychological practice and in the constitution of subjectivity. The article is based on interdisciplinary readings and on different areas of knowledge so that identity references overlying the modern subject of action may be problematized. Critical emphasis is foregrounded on the classical logic, identity and subjected subjectivity as a-temporal and universal factors of action in the real world. The problematization of subjectivity's construction and its relationships with modes of knowledge will contribute towards the establishment of critical theoretic and strategic interventions.

Uma caracterização do Centro de Educação Matemática - CEM (1984-1997) como uma Comunidade de prática de formação continuada de professores de matemática

This paper presents some results of a study on the Centre for Mathematics Education (Centro de Educação Matemática, CEM), a group of mathematics educators from the city of São Paulo-SP (Brazil), active mainly during the years 1984 to 1997. To establish a position on the process of identity constitution of CEM, we bring forth the method of Oral History and theories of identity. In this essay, an exercise in constituting the identity of CEM from the characterisation of this community's publications within its practice, we assume that the processes of identity constitution do not refer to what CEM is or was, but rather to a set of possibilities for apprehending it on the basis of strategies and initiatives set in given historical conditions and times. We make explicit three aspects that are present as their practice is converted into a source of coherence (mutual commitment, joint enterprise and shared repertoire), which allow one to reveal actions and production in the history of mathematics teacher education in the metropolitan region of São Paulo.

Efeitos da prática da natação adaptada sobre o perfil bioquímico e o estado de condicionamento físico de indivíduos com lesão medular

Introduction: The lack of physical exercises generated by immobilization of the lower limbs leads to changes in body composition that are generally associated with the imbalance of metabolic rate coupled with a sedentary status, which can result in obesity, diabetes mellitus and cardiovascular disease. Therefore, the improvement of physical fitness can contribute to promoting health and quality of life for these patients. As there is a very small number of research in this direction, our purpose was to investigate the effects of an adapted swimming program in protocol interval, for people with spinal cord injury, aiming to verify the improvement of your fitness and, consequently, some biochemical variables important for health. Methodology: The study included 17 subjects with spinal cord injury, sedentary, divided into two groups: 11 participants in the training group (TG) and 6 in control group (CG). TG was applied by a protocol of interval training in swimming for eight consecutive weeks, three times a week. The protocol employed a stroke of breaststroke in work periods of moderate to severe, and stroke in the backstroke, in periods of active recovery. The CG has not participated in any physical activity. Both groups were collecting blood for biochemical analysis, before (evaluation) and after (revaluation) the swimming program. Results and Discussion: The concentrations of triglycerides, total cholesterol and LDL-cholesterol showed no significant changes in assessment for reassessment in both groups. However the TG, the level of HDL-cholesterol were significant differences (p=0,0110), showing an improvement in posttraining, which did not occur in the CG. With respect to the state of fitness, the results revealed a significant difference in relation to time and distance covered in water when compared with the pre-training (p<0,001), showing a great improvement in the ability to shift with the stroke of breaststroke and a significant improvement in cardiorespiratory function. Conclusion: The swimming program interval used, with moderate to severe intensity, can even in a short period of time, promote positive changes in HDLcholesterol in individuals with spinal cord injury studied, and substantially improve your fitness.

A Prática do Professor que Ensina Matemática e a Colaboração: uma reflexão a partir de processos formativos virtuais

This text presents some reflections about the educational and virtual processes of mathematics teachers drawing on research on the theme. Thus, in this text, considering our experiences with the development of online courses, we discuss issues such as collaboration in virtual environments, which contributes to more effective results in collaborative learning and reduces the potential of isolation of student/teacher that can occur in virtual environments. Through collaborative learning in a virtual community, students/teachers have the opportunity to practice and think in-depth about their learning experiences by sharing new ideas with the group and receiving critical and constructive feedback. Moreover, the virtuality formed by the environment of online courses supports educational spaces for teachers who teach mathematics. Thus, collaboration emerges as an essential element for construction of meanings and for sharing experiences on the practice of teaching.

Autoeficácia para a prática de atividade física por indivíduos adultos

Self-efficacy to regular practice of physical activity (PA) can be defined as the ability to keep practicing exercises even with some obstacles that could appear. It is constituted through the influence of 4 main sources: mastery experiences, vicarious experiences, social persuasion and physiological and affective states. The aim of the study was to measure the level of self-efficacy to the regular practice of PA, its construction sources and correlate the level of self-efficacy with each one of the sources. An amount of 196 practitioners of PA took part in this study. The results showed that the level of self-efficacy was 111.19 points in scale that can range from 18 to 162 points. The most prominent source in the construction of self-efficacy was the social persuasion, with an average of 27.64 points in scale that can range from 4 to 36 points. For the correlations, it was used the Pearson coefficient (r). Mastery experiences stood out among the other sources (r = .30). The results agree with the literature, establishing the importance of the encouragement of close people in the maintenance of the behavior to practice PA, as well as to observe positive models, success experiences and feel comfortable during the exercises. © FTCD/FIP-MOC.

Letramento digital e letramento escolar: uma abordagem linguística da prática de escrita em blogs

Pós-graduação em Estudos Linguísticos - IBILCE

PCN e prática docente de língua portuguesa: articulações possíveis

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)