Influências ambientais na saúde mental da criança

Objetivo: Apresentar uma revisão atualizada sobre a influência ambiental na saúde mental da criança, os principais fatores de risco e medidas práticas para intervenção pelo pediatra. Fontes dos dados: Foram utilizadas para a revisão as principais bases de dados, MEDLINE, Psyclit e Lilacs, livros técnicos e publicações relevantes na área de desenvolvimento e promoção da saúde mental da criança e adolescente. Síntese dos dados: As crianças estão expostas a múltiplos riscos, entre os quais o de apresentarem uma alta prevalência de doenças, o de nascerem de gestações desfavoráveis e/ou incompletas e o de viverem em condições socioeconômicas adversas. Tal cadeia de eventos negativos faz com que essas crianças tenham maior chance de apresentar problemas emocionais. Os resultados negativos no desenvolvimento e comportamento são produzidos pela combinação de fatores de risco genéticos, biológicos, psicológicos, e ambientais, envolvendo interações complexas entre eles. Os fatores mais fortemente associados com a saúde mental da criança são o ambiente social e psicológico, influenciando mais do que as características intrínsecas do indivíduo. O efeito cumulativo de risco é mais importante na determinação de problemas emocionais da criança do que a presença de um estressor único, independente de sua magnitude. Conclusão: Os fatores ambientais tem um papel importante na gênese dos problemas emocionais da criança e é papel do pediatra através de uma prática clínica adequada a identificação e intervenção precoce nos fatores de risco para o desenvolvimento desses distúrbios.

O controle da tuberculose nos presídios: atuaçao das equipes de saúde na região (DRS VI) de Bauru-SP

Pós-graduação em Saúde Coletiva - FMB

Acesso vascular definitivo em usuários de hemodiálise: construção e validação de uma escala de conhecimento

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Qualidade de vida no envelhecimento: situação dos idosos assistidos em unidades de saúde da família do município do interior paulista

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Tempo para acesso ao tratamento do câncer de mama no Distrito Federal, Brasil Central

PURPOSE: To analyze the time between the first symptom and treatment in patients treated for breast cancer in public hospitals in the Federal District. METHODS: This was a cross-sectional analysis. We interviewed 250 women diagnosed with breast cancer treated in six hospitals of the State Department of Health of the Federal District from November 2009 to January 2011. The time intervals studied were the time between the detection of the symptoms and treatment subdivided into intervals until and after the first medical appointment. The variables were: age, menopausal status, color, educational level, average monthly household income, origin, reason for the initial consultation, staging, tumor size, laterality, metastasis to axillary lymph nodes, neoadjuvant chemotherapy, and type of surgery. The Mann-Whtney test was used to assess the association of these variables with the time intervals until treatment. RESULTS: The mean age was 52 years, with a predominance of white women (57.6%), from the Federal District (62.4%), with a family income of up to 2 minimum wages (78%), and up to four years of schooling (52.4%). The staging of the disease ranged from II to IV in 78.8% of the women. The time between the first symptom and treatment was 229 days (median). After detection of the first symptom, 52.9% of the women attended a consultation within 30 days and 88.8% took more than 90 days to start treatment. Women with elementary school education had a greater delay to the start of treatment (p=0.049). CONCLUSIONS: There was a significant delay to start treatment of women with breast cancer in public hospitals of the Federal District, suggesting that efforts should be made to reduce the time needed to schedule medical appointments and to diagnose and treat these patients.

Atenção odontológica no Programa Saúde da Família (PSF)de Campos de Goytacazes - RJ após um ano de implantação: a visão dos atores sociais envolvidos

Pós-graduação em Odontologia Preventiva e Social - FOA

Estimação de metas estratégicas por meio de análise por envoltória de dados e modelo da Barganha de Nash: aplicação na área de saúde publica

Pós-graduação em Engenharia Mecânica - FEG

Compreendendo o impacto das diretrizes propostas pela Política Nacional de Práticas Integrativas e complementares em serviços de homeopatia do Sistema Único de Saúde

Pós-graduação em Saúde Coletiva - FMB

Opinião de profissionais da educação e da saúde sobre o uso da prancha ortostática para o aluno com paralisia cerebral

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

O transtorno mental na percepção de agentes comunitários de saúde na estratégia saúde da família

The Family Health Strategy facilitates user access to mental health actions. This study aimed to verify the community health agents’ perceptions of the Family Health Strategy about mental disorder. A qualitative study was conducted with 26 randomly selected community health agents, among the professionals of 13 units, which constitute the Family Health Strategy of Itapeva (SP). The community health agents responded to a personal information questionnaire and a semi-structured interview. Data were checked through content analysis. Stigmatizing perception of the mentally disturbed persons, lack of knowledge about the process of falling ill and the mental disorder evolution, and the unpreparedness to act in this population were observed. Capacitating agents enable them to contribute in a positive way to the effective functioning of a care net in mental health in the city.

O trabalho como estratégia de atenção em saúde mental: cartografias do conceito Trabalho nas políticas públicas de saúde

Pós-graduação em Psicologia - FCLAS

Gerenciamento dos resíduos de serviços de saúde da Unidade de Terapia Intensiva do Pronto Socorro do Hospital das Clínicas da Faculdade de Medicina de Botucatu – UNESP

Health care waste (HCW) is the type of waste that results from activities performed in health care services during care provision to humans or animals. Presently, according to RDC 306/04, issued in 2004 by Anvisa, and Resolution no. 358/05, by CONAMA, waste groups have the following classification: Group A (biological waste), Group B (chemical waste), Group C (waste containing radionucleotides), Group D (common waste) and Group E (piercing and cutting waste). In Brazil, 149 tons of wastes are collected every day, and HCW corresponds to approximately 1% to 3 % of that total. An efficient way to adequately manage HCW is through the Health Care Waste Management Plan (HCWMP), and it is possible to reduce the risk posed by certain materials in addition to ensuring disposal in an ecologically correct and economical fashion. According to the Pan-American Health Organization (PAHO), the management process enables health care establishments to adequately manage waste. Hence, there is greater control and reduction in the health risks caused by infectious or special waste, in addition to facilitated recycling, treatment, storage, transport and final disposal of solid hospital waste in an environmentally safe fashion. To evaluate the management of HCW of Groups A and D from the Intensive Care Unit of the University Emergency Hospital - FMB - UNESP in the city of Botucatu according to the guidelines presently in force. The waste flow was followed up, and during four random days in the month of September 2011, waste was quantified by estimating daily and monthly values, according to its classification. : In 2011, the University hospital has produced an average of 57,676.8 kg/month of biological and common waste. By adding Groups A and D, during the four days, approximately 209.8 Kg of waste (202.2 Kg of Group A and 7.6 Kg of Group D) were produced in the establishment under study, which... (Complete abstract click electronic access below)

Avaliação da funcionalidade de atletas de basquete sobre rodas com lesão medular na perspectiva da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF)

Introduction: Spinal cord injury occurs due to interuption in nerve stimuli and could caused from traumatic and non-traumatic illnes. After spinal cord, there are problems in personal life activities affecting ou modifying personal life and provoking impacts in his own life. International Classification of Functioning, Disability and Healthy (ICF) consider and analyse more than the illness ou injury and include informations about functionality in differents domains as activities, participation and enviroment. Objective: The aim of this study is to evaluate functionality wheelchair athlets with spinal cord injury using ICF. Metodology: For this research, it was evaluated 60 athlets with spinal cord injury who were practicing wheelchair basqketball, using the Checklist corresponding to the main ICF categories and othes Identity Protocol with personal datas, lesion time, lesion level and functional classification from bwheelchair basketball. Results: In analyses, we identify in quartis data, that in Body Fucntion, median was 56,67% from all athlets with light and moderate qualifications; In Body Strutucture, the median was 60% for light qualifications; in Activities and Participation, this median corresponded to 91% and in Enviroment Factors, 51,67% feel that this enviroment was facilitator... (Complete abstract click electronic access below)

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

Acessibilidade aos serviços de saúde pública no município de Rio Claro - SP

O acesso da população aos serviços de saúde é de fundamental importância para uma eficiente assistência à saúde. A localização geográfica dos serviços é um dos fatores que interferem nessa acessibilidade, como também as formas de locomoção que possibilitem o acesso e o estado das vias e calçadas que cercam o estabelecimento de saúde. Pretendeu-se estudar o acesso aos serviços de saúde no município de Rio Claro, estado de São Paulo. Assim, a contribuição da abordagem geográfica abre a possibilidade do estabelecimento de novas linhas de estudo, planejamento e gestão, que surgem através da relação entre Geografia Humana e Saúde Pública