Ensaio clínico randomizado sobre a prática da atenção farmacêutica nas farmácias comunitárias

Introdução: A criação de programas de equipe multiprofissional de saúde desponta como uma alternativa eficiente para controlar a evolução dos pacientes portadores de diabetes, e a inserção do farmacêutico em tais programas tem contribuído para melhorar o acompanhamento desses pacientes. Objetivo: Avaliar o impacto da intervenção do farmacêutico no acompanhamento dos pacientes diabéticos tipo 2, em farmácias comunitárias. Métodos: Ensaio clínico randomizado, uni-cego envolvendo 100 pacientes diabéticos tipo 2 de ambos os gêneros, usuários de farmácia comunitária, com idade igual ou superior a 30 anos, em uso de hipoglicemiantes orais com adição ou não de insulina e foram acompanhados por 6 meses. Os pacientes do grupo controle receberam o tratamento habitual existente em qualquer farmácia, e os de intervenção receberam o acompanhamento do farmacêutico incluindo intervenções aos problemas relacionados aos medicamentos. Os desfechos primários avaliados foram os valores da hemoglobina glicada (HbA1c), glicose basal e um questionário de qualidade de vida validado denominado de Diabetes Quality of Life Measure (DQOL) - Brasil; e como desfechos secundários as dosagens dos triglicérides, colesterol total, (HDL) colesterol, (LDL) colesterol, tensão arterial e a satisfação do usuário com o serviço prestado. Essa pesquisa contou com a colaboração de vários profissionais das diferentes áreas do conhecimento a seguir nominados: médico, farmacêutico bioquímico, enfermeiro, nutricionista e estatístico. Resultados: Finalizaram o estudo 89 pacientes. Durante o acompanhamento 95,7% (45/47) dos pacientes no grupo intervenção apresentaram problemas relacionados aos medicamentos (PRM), perfazendo um total de 141, com uma média de 3 eventos por paciente, ocorrendo uma resolutividade de 61,7% (87/141). A categoria que mais apresentou PRM foi a de efetividade com 34,1% (48/141) e a classe farmacológica mais utilizada foi a dos hipoglicemiantes orais com 35% (49/141). As variáveis de desfechos primários como hemoglobina glicada (HbA1c) e a glicose basal não apresentaram valores estatisticamente significantes quando comparadas o final com o inicial do acompanhamento nos grupos intervenção e controle considerando um p<0,05, mas o questionário de qualidade de vida DQOL Brasil apresentou resultados estatisticamente significante com um p=0,000. Os desfechos secundários, com exceção da satisfação do usuário, não apresentaram valores xi estatisticamente significantes quando comparados o final com o início do acompanhamento nos grupos de intervenção e controle. Conclusão: Os resultados indicam que as modificações das variáveis clínicas não apresentaram valores significativos no controle da enfermidade e comorbidades, enquanto que na avaliação da qualidade de vida os pacientes afirmaram que melhoraram; portanto, pode-se postular que a intervenção farmacêutica é uma atividade necessária, mas que a prática do Pharmaceutical Care trará benefícios com sustentabilidade para os pacientes se houver uma efetiva integração do farmacêutico numa equipe multiprofissional de saúde, o que está indisponível nas Farmácias Comunitárias

Farmacêuticos e suas atividades em farmácias comunitárias: uma análise de perfil

The aim of this study was to establish the profile of the pharmacist technician responsible for community pharmacies in the city of Natal/RN, featuring personal elements, perceived their role and place of pharmaceutical care, levels of job satisfaction, type and quality of services provided in human and structural framework. To that end, we made an exploratory cross-sectional study applying a questionnaire containing open and closed questions, which was applied to pharmaceutical technicians responsible for community pharmacies in Natal/RN, from September 2010 to September 2011. The sample was established by calculating the simple random sample, with a confidence level of 95% and a significance level of 0.05. To evaluate the satisfaction level of the activities performed by pharmacists in community pharmacies was used Simple Satisfaction Scale (Likert, 1935). To assess the attitudes and perceptions of pharmacists in relation to aspects of pharmaceutical care, we used the Model Attitude toward the object (Fishbein, Ajzen, 1975). The answers were converted into data were analyzed statistically using Epi Info 3.5.2 The results showed that the strengths and weaknesses in relation to the profile of the pharmacist and their activities in community pharmacies in Natal/RN are not different in other cities in the country . The most important aspects were: 51% (n = 90) of the establishments visited, the pharmacist was absent; 46% (n = 80) did not have postgraduate and of those who are or have completed 33% (n = 51) are in the area of Clinical Analysis; 56% (n = 98) 08h for day work and 64% (n = 111) claim that this load influence its performance; 83% (n = 146) receive as salary, the floor pharmacist regarding the state of Rio Grande do Norte; 44% (n = 76) are unhappy about the salary, which is the main difficulty cited; 78% (n = 136) say they are always sought by users and the receptivity of these considered good (52%, n = 91). The activities of higher satisfaction are those related to pharmaceutical care and lower the administrative. As regards attitudes and perceptions, the score was more negative to the question 'if the pharmacist feels working as a team with the doctor', in which 59% (n = 103) responded 'never'. 49% (n = 86) reported being "able" to take questions from users and 39% (n = 68) are 'dissatisfied' with respect to the structure of the practice of pharmacy to pharmaceutical care. Action is needed on the obstacles to the exercise of the pharmacist in the solution and minimize the negative and positive stimulus to

Organizações comunitárias e movimentos sociais : conflitos e tensões nos espaços de participação do município de Natal

This study reflects on the conflicts that exist between the different forms of participation and the political representation manifested by community organizations and social movements in the city of Natal/RN. The objective is to better understand the process of political participation of the popular classes and how the different actors have represented collective demands in the struggle for rights. To this end, we mapped the organizations, social movements and participation spaces, through a type of participant research, in which we had the opportunity to experience and study different forms of collective action and events instigated by the community organizations and the Movement for the Struggle in the Neighborhoods, Villages and Slums (Movimento de Luta nos Bairros, Vilas e Favelas) MLB. From the theoretical contributions of authors such as Maria da Glória Gohn, Marco Aurélio Nogueira, Virginia Fontes, Vera da Silva Telles, Roberto Da Matta and Carlos Montaño, as well as the empirical data collected, the study revealed that on representing their segments and occupying different spaces of participation, some actors have formed partnerships with the State, putting collective demands on a second plane. Contrarily, other actors have articulated their struggle around collective demands and manifested through direct action, mobilizing and asserting themselves in defense of a project for society

Isolamento e caracterização de amostras comunitárias Staphylococcus aureus resistente à Meticilina (CA-MRSA) em uma população carcerária no município de Avaré

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Rádio Comunitária de Heliópolis: reivindicações e luta por regularização e atuação oficial

Pós-graduação em História - FCLAS

SIRCo: uma arquitetura para Sensoriamento Inteligente de Rádios Cognitivos

The increased demand for using the Industrial, Scientific and Medical (ISM) unlicensed frequency spectrum has caused interference problems and lack of resource availability for wireless networks. Cognitive radio (CR) have emerged as an alternative to reduce interference and intelligently use the spectrum. Several protocols were proposed aiming to mitigate these problems, but most have not been implemented in real devices. This work presents an architecture for Intelligent Sensing for Cognitive Radios (ISCRa), and a spectrum decision model (SDM) based on Artificial Neural Networks (ANN), which uses as input a database with local spectrum behavior and a database with primary users information. For comparison, a spectrum decision model based on AHP, which employs advanced techniques in its spectrum decision method was implemented. Another spectrum decision model that considers only a physical parameter for channel classification was also implemented. Spectrum decision models evaluated, as well as ISCRa's architecture were developed in GNU-Radio framework and implemented on real nodes. Evaluation of SDMs considered metrics of: delivery rate, latency (Round Trip Time - RTT) and handoff. Experiments on real nodes showed that ISCRa architecture with ANN based SDM increased packet delivery rate and presented fewer frequency variation (handoff) while maintaining latency. Considering higher bandwidth as application's Quality of Service requirement, ANN-SDM obtained the best results when compared to other SDM for cognitive radio networks (CRN).

O potencial transformador das relações públicas comunitárias: um estudo de caso sobre o projeto de extensão Taquara

The present work refers to graduation media with specialization in Public Relations and intends to observe the potential for social transformation present in the work of the Community public relations and critical development of the profession in a community, from the perspective of economics concepts creative. Specifically highlights this practice in the community and region of Bauru from observation and evaluation of the work done by the author for two and a half years in project Taquara extension, along with Project Bamboo, which has bamboo as a focus of study and its extension actions. Encompasses the perceptions of the author on existing work in the third sector challenges and observes the realization of a participatory planning process and creating a communication plan as a contribution to the growth of the project

Agricultura urbana na cidade de Teresina: hortas comunitárias - políticas públicas ou segurança alimentar?

Pós-graduação em Geografia - IGCE

A cultura de paz no contexto das Relações Públicas Comunitárias e responsabilidade social

In this article we want to approach issues from social responsability and Community Public Relations trough the concept of "Peace Culture", that is still underexplored in this scope. The proposal is to clarify some important aspects of the concept and list them to the nowadays scenary of the organizations that cares about their reputation and image questioning the excellence in social responsability actions linked to a construction of an actually solidary practice in the community.

Agentes comunitárias de saúde e a atenção à saúde sexual e reprodutiva de jovens na estratégia saúde da família

As DST/HIV e a gestação não-planejada entre jovens têm exigido o incremento da atenção em saúde sexual e reprodutiva, desafiando a formação profissional tradicional, os processos de trabalho e gestão na atenção primária. Este estudo etnográfico (observação e entrevistas) foi realizado em duas unidades básicas de município turístico do Estado do Rio de Janeiro, focalizando o trabalho das agentes comunitárias de saúde. As agentes abordavam a sexualidade jovem, principalmente das garotas; orientavam o fluxo de ações e influenciavam as estratégias de prevenção e cuidado, enfatizando "gravidez precoce" e "promiscuidade sexual". A saúde de jovens não era considerada integralmente, embora o trabalho das agentes constituísse uma tecnologia de processo com grande potencial na atenção à saúde sexual de jovens. A juventude se beneficia da atuação dessas profissionais, que podem ter seu saber prático mais valorizado. Sugere-se a formação em abordagens baseadas nos direitos humanos e na construção social da sexualidade.

Associaçoes comunitárias do meio rural : Um estudo de caso no centro oeste de Minas Gerais

This paper examines the association in a rural mining town in Brazil. The results belong to a master dissertationin Rural Extension on membership organizations and public policies for rural areas aiming to identify the roles performed by membership organizations, the reasons that explained their formation and their relationship with policy making for rural areas in the case studied. It is a case study, for which interviews were conducted with representatives of the organizations in order to deepen into the issues related to their historical, the roles they play and how and whether they participate in development project proposals. The results revealed anup-down process of formation of rural organizations, being created as bargaining tools for achieving collective benefits, reproducing dependency relationships

Associaçoes comunitárias do meio rural : Um estudo de caso no centro oeste de Minas Gerais

This paper examines the association in a rural mining town in Brazil. The results belong to a master dissertationin Rural Extension on membership organizations and public policies for rural areas aiming to identify the roles performed by membership organizations, the reasons that explained their formation and their relationship with policy making for rural areas in the case studied. It is a case study, for which interviews were conducted with representatives of the organizations in order to deepen into the issues related to their historical, the roles they play and how and whether they participate in development project proposals. The results revealed anup-down process of formation of rural organizations, being created as bargaining tools for achieving collective benefits, reproducing dependency relationships

Associaçoes comunitárias do meio rural : Um estudo de caso no centro oeste de Minas Gerais

This paper examines the association in a rural mining town in Brazil. The results belong to a master dissertationin Rural Extension on membership organizations and public policies for rural areas aiming to identify the roles performed by membership organizations, the reasons that explained their formation and their relationship with policy making for rural areas in the case studied. It is a case study, for which interviews were conducted with representatives of the organizations in order to deepen into the issues related to their historical, the roles they play and how and whether they participate in development project proposals. The results revealed anup-down process of formation of rural organizations, being created as bargaining tools for achieving collective benefits, reproducing dependency relationships

Associaçoes comunitárias do meio rural : Um estudo de caso no centro oeste de Minas Gerais

This paper examines the association in a rural mining town in Brazil. The results belong to a master dissertationin Rural Extension on membership organizations and public policies for rural areas aiming to identify the roles performed by membership organizations, the reasons that explained their formation and their relationship with policy making for rural areas in the case studied. It is a case study, for which interviews were conducted with representatives of the organizations in order to deepen into the issues related to their historical, the roles they play and how and whether they participate in development project proposals. The results revealed anup-down process of formation of rural organizations, being created as bargaining tools for achieving collective benefits, reproducing dependency relationships