Os Centros de Especialidades Odontológicas como suporte da atenção básica: uma avaliação na perspectiva da integralidade

The public dental services in Brazil were limited, practically, to the basic care, so that the specialized services acted, up to 2002, no more than 3,5% of the total of clinical procedures. That lower offer reveals the difficulty of continuity of the attention, that is, the comprehensiveness in the assistance, particulary, the reference and counter-reference system. Brasil Sorridente search to supply those needs when proposing Speciality Dental's Centers(CEOs Centros de Especialidades Odontológicas, Brazil) to compose the services of average complexity. In 2005, Ministry of Health enabled the three CEOs of Natal, located in the North II, East and West Sanitary Districts. This investigation evaluated the implantation of these CEOs, as support of the family health care teams, in the perspective of organization of the services in assistencial nets in Natal/RN. It was a study of evaluation, with qualitative approach and some quantitative data as contribution. Dentists, users and managers were interviewed to identify and to understand their perceptions, relationships and experiences in the daily of the services. The conceptual base that orientated the investigation was the principle of comprehensiveness, in its operational sense of the hierarchization in health attention levels. The collection of data was done with documental research, direct observation and semi-structured interview. The analysis was accomplished by triangulation of the extracted content from the used techniques and sources of interviewed groups depositions, looking for theoretical-conceptual support in specific bibliography. The results pointed aspects that go away from the comprehensiveness like: low resolution of problems in the basic net; little valorization of the space in the health units; traditional models of access to health services, insufficient offer for some specialties, compromising the reference and counter-reference system; practices centered in procedures in the CEO; bureaucratic directions from basic care to the specialized service; disintegrated and disjointed system among levels of attention; disrespect to the municipal protocol. On the other hand, there is an approach of compreensiveness in situations like: increase of the access and covering in the Family Health Strategy (ESF Estratégia Saúde da Família, Brazil); larger approach between professional and user; tendency to the quantitative and qualitative growth of specialized actions; punctual initiatives of relationships among levels; existence of protocol to guide professionals

Centros de especialidades odontológicas: avaliação da atenção de média complexidade na rede pública da Grande Natal

The Specialized Dental Care Centers (CEO) were developed to provide specialized dental care to the population, given the accumulated needs of health since the past. They must operate as units of reference for the Oral Health Team of the Primary Care, complementing the dental procedures performed at this level of attention. This study aims to assess the performance of CEOs of the Grande Natal Health Region as a strategy of Secondary Care consolidation in oral health through users, dentists and managers. For this to try to identify factors about access, hosting and satisfaction with the service, the actions developed in these centers, integration between the CEOs and the Basic Health Units (UBS), considering the reference and counter reference. Data were collected through semi-structured interview, conducted in four CEOs, among 253 users, 31 dentists and 4 managers. It was submitted to descriptive statistical analysis and to content analysis by software ALCESTE 4.5. The results revealed that the specialties of prosthesis, endodontics and surgery were the most sought by 38.2%, 23.7% and 21.7% of respondents, respectively. It was noticed that among users aged 18 to 30 years-old the greatest demand is for the specialty of endodontics (44.4%) and over 50 years for prosthesis (76.4%). There is a weakness in the reference and counter reference between UBS and CEO, because part of users goes directly to the centers without going before to the Primary Care and the majority does not want to return to the dentist of Health Unit. Satisfaction with care was reported by 90.9% of users, because they resolved the problems needed and were welcomed by the team. But the delay in care was the main factor for not satisfaction. For most dentists, some users could solve their problems completely in Primary Care, which shows the existence of unnecessary referrals to the CEOs, however they consider the existence of limiting factors in UBS that compromise the service. Most dentists revealed that some users do not get to CEOs with the basic dental treatment done, and some of them do not counter reference users. It can be concluded that the studied CEOs are being resolutive for those who access them, offering necessary care for the population, and if they don t account with this service, will encounter obstacles to resolution of problems, ranging seek care service in particular, in another public sector, or even giving up treatment. However, it is perceived the need of professionals training to understand the importance of the reference and counter reference, to that they can better serve and guide users. It is also important that cities offer better conditions to UBS and CEOs, so they can work together, with complementary actions of oral health, seeking full care, aiming for better resolution to the users' health problems

Atividades preventivas realizadas pelos cirurgiões-dentistas do PSF de Natal-RN

Family Health Program (FHP) presents itself as a restructured model on basic cares besides having prevention practices and promotion in health as essential parts. According to that, the purpose of this study is to perceive which prevention practices in oral health are accomplished by the dentists from the FHP of Natal-RN as well as the way they have been developed, the knowledge basis to execute the procedure and the use of evaluation instruments by the dentists and by the Oral Health Co-Ordinator. A list of dentists participating on the FHP of Natal in March, 2006 (n= 91) was obtained so it was possible to formulate a structured interview. After excluding those with less than six months attending to the program, and considering the loss, eighty dentists got to be interviewed. It had questions about individual and group preventive procedures, sources of basement to develop the activities and to verify the impact and evaluation instruments. Besides that, an interview was made with the Oral Health Co-Ordinator about the evaluating process and the existence of a protocol as well as about document analysis in the Ambulatory Informations System Unique Health System (AIS-UHS), Information of Basic Care System and Pact of Recorder. The main individual activities consist on Oral Hygiene Orientation (87,5%) and Fluoridization (95%). Group activities remain at scholar groups acts(91,25%) being fluoridization done by 91,25% and educative activities by 86,25% mainly through speeches (61,25%).Orientations about oral cancer were detached on the aged group (39,96%)and hypertensive and diabetic group (19,51%), as well as integration with the health team was respectively 21,93% and 39,02%. Speeches and talk rounds are the main activities for aged, hypertensive and diabetics, and are also expressive to pregnant women. For pregnant women and babies group predominate hygiene and diet orientation. About the evaluation instruments 73,75% of the dentists do not consider their existence, despite 73,75% consider that actions have impact specially due to a increase of hygiene and decrease of caries index on the children. The main sources of basement are clinical experience (42,5%) and preparative courses (33,75%), only 7,5% mentioned population need and local reality. The Oral Health Co-Ordinator related the Attention Pact Recorder and records from the AIS - UHS as evaluation source but also detached the lack of epidemiologic surveying. She mentioned the increase of supervised brushing as a positive result and detached the hardness of the professional to act inside the family and as a team. The AIS-UHS records showed that fluoridization is more used individually and the supervised brushing is predominant as a group action, besides that educative activities at the Health Establishment predominate due to actions at the community. Facing the results, it was verified the act in different groups, special attention given to scholars, as well as focus the activities on caries giving less emphasis to other oral problems. Despite that, there was no epidemiologic instruments or data of the local reality to guide the actions and to be part of the planning and evaluation process

Educação nutricional institucionalizada: conhecimentos e práticas de agentes educacionais e professoras de ensino infantil de 0 a 3 anos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A gramática da língua inglesa no ensino público: implementação de uma proposta pedagógica voltada para a comunicação

Pós-graduação em Estudos Linguísticos - IBILCE

Concepções e práticas do ensino de leitura em turmas de alfabetização em São Luís do Maranhão

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A institucionalização da Língua Brasileira de Sinais no currículo escolar: a experiência da Secretaria Municipal de Educação de Castanhal - PA

Esta pesquisa teve como objetivo investigar o processo de institucionalização da disciplina de Libras no currículo oficial da Secretaria Municipal de Educação de Castanhal-Pa.O município inseriu como disciplina obrigatória, da Educação Infantil, Ensino Fundamental Regular e Educação de Jovens e Adultos, a disciplina de Libras, para todos os alunos. A partir deste dado, buscamos fazer um estudo de caso, na referida secretaria, para estudarmos o processo de institucionalização da Libras no currículo. Iniciamos com o levantamento bibliográfico, acerca das seguintes temáticas: Educação Especial, Educação Inclusiva, Educação de Surdos e Currículo. Além disso, realizamos também, o levantamento documental das legislações nacionais e internacionais que norteiam a educação especial e a inclusiva, mais ainda as específicas da área da surdez. Buscamos também, em Castanhal os documentos referentes a inserção da disciplina. Para a coleta de dados, utilizamos a entrevista semi-estruturada com dois técnicos da secretaria e o Secretário de Educação, por estarem ligados diretamente com a inserção da disciplina. E, a partir dos dados, observamos que a Libras foi inserida, pela equipe técnica da secretaria, juntamente com o Secretário de Educação (não envolvendo a comunidade escolar), justificando tal inserção, tanto pela barreira comunicativa do surdo, quanto pela necessidade de uma política inclusiva. Legalmente, a disciplina foi fundamentada no direito à educação, proposto tanto pela Constituição de 1988, quanto pela LDB nº9394/96, além do direito outorgado ao surdo, de ter acesso à Libras, conforme afirma a Lei 10.098/00 e o Decreto nº5626/05 e, no município, a disciplina é inserida, na Parte Diversificada do currículo, por meio do Regimento Unificado da Rede Municipal de Ensino de Castanhal. Para viabilizar a oferta da disciplina, o município: oferece formação para os professores; intérprete de Libras, em algumas escolas; instrutor na equipe técnica, para dar suporte e formação; material didático, produzido pelos professores, com o apoio da equipe técnica e do Secretário, na busca de materiais específicos em Libras, para subsidiar a prática de sala de aula. O município, propõe-se a realizar uma educação bilíngüe, no entanto, permite a comunicação total, além disso, o currículo é permeado de contradições pois, de um lado incentiva a eliminação de barreiras atitudinais, mas, por outro, ainda reflete um modelo médico clínico de surdez, através de conteúdos que ressaltam a deficiência. Além dessa questão, a oferta da disciplina para surdos e ouvintes, exige o tratamento da mesma como primeira e como segunda língua, o que não é contemplado nos cursos de formação. Por fim, percebemos que apesar de ser louvável esta iniciativa, ainda há lacunas, que devem ser problematizadas nesse processo, a fim de construir uma disciplina que respeite o status linguístico e cultural da Libras.

Avaliação da aprendizagem e deficiência intelectual na perspectiva de professores do ensino comum

The aim of this study was to identify and analyze the conceptions of a group of teachers in cycle-1 elementary school on intellectual disability and assessment of school learning. It is a qualitative research that used a semi-structured interview script for its investigation. The teachers' reports showed some weakness and lack of preparation to deal with the inclusion of pupils with intellectual disabilities, and consequently difficult to assess their learning conditions. It was also found that the assessment used by them was characterized by sluggish and it was based mainly on the use of quantitative measuring instruments. Such instruments shortly guide the process of teaching and learning, consequently do not contribute to effective the inclusion of these school students.

Educação ambiental na educação da criança: análise de uma prática docente

Pós-graduação em Educação Escolar - FCLAR

O uso do computador no processo de ensino e aprendizagem: questões de representação social

This paper presents the results of a study aimed at identifying and analyzing the theoretical and methodological principles that guide the practice of teachers in the early years of computer use in the teaching and learning. Specific objectives we seek to identify and analyze the social representations of teachers on the use of computers in teaching and learning. The research took a qualitative approach with a descriptive-explanatory and owned two phases of data collection: a) a questionnaire b) monitoring the daily practice of teachers in a selected school and semi-structured interview. The analysis of data was done through content analysis. Through the interrelationship of the data in the questionnaire, observation and interview, we found that the teachers surveyed have an address that does not match the teaching practice in the use of computers in the educational process. The theoretical expressed by teachers participating in the research meets constructivist beliefs and / or sociointeractionists but teaching practice thins primarily to behavioral assumptions. Observe social issues of representation when the speeches of the participating teachers did not correspond to their practices. Associated with this or as a cause of these conditions have failure, inadequacy or absence of teacher training for the use of computers in the educational process leading to under-utilization of this resource.

Percepções de professoras de escolade públicas eucação infantil acerca de sua formação e prática educativa: o caso de Medianeira - PR

Pós-graduação em Educação - FFC

Boas práticas para produção de ovos e legislação de bem-estar animal: cenário do município de Bastos/SP

Pós-graduação em Agronegócio e Desenvolvimento - Tupã

Currículo, Infância e Educação Corporal: Fundamentos na perspectiva histórico-cultural e orientações no campo da interdisciplinaridade

Pós-graduação em Docência para a Educação Básica - FC

Currículo, Infância e Educação Corporal: Fundamentos na perspectiva histórico-cultural e orientações no campo da interdisciplinaridade

Pós-graduação em Docência para a Educação Básica - FC

The Contribution of Structured Activity and Deliberate Play to the Development of Expert Perceptual and Decision-Making Skill

The developmental histories of 32 players in the Australian Football League (AFL), independently classified as either expert or less skilled in their perceptual and decision- making skills, were collected through a structured interview process and their year-on-year involvement in structured and deliberate play activities retrospectively determined. Despite being drawn from the same elite level of competition, the expert decision-makers differed from the less skilled in having accrued, during their developing years, more hours of experience in structured activities of all types, in structured activities in invasion-type sports, in invasion-type deliberate play, and in invasion activities from sports other than Australian football. Accumulated hours invested in invasion-type activities differentiated between the groups, suggesting that it is the amount of invasion-type activity that is experienced and not necessarily intent (skill development or fun) or specificity that facilitates the development of perceptual and decision-making expertise in this team sport.