O oncologista clínico diante da morte: implicações para a produção do cuidado

It is undeniable that all the extraordinary technological advances in contemporary society have increased the severe patients expectation and quality of life, especially cancer patients. On the other hand, it is easily verifiable by many researches that it was not possible to advance in the same proportion in caring for the human experience of death. Much is said about the anguish of a man facing death, of cancer patients in terminal stage, about their families, and very little about the feelings, anxieties and ways of coping with the medical professional who deals with this situation, specifically the clinical oncologist. Little is known about the experience of the doctor who has learned to take death as an enemy to be defeated, and increasingly is compelled to live at length with his advertisement. However, we started to watch in recent years a growing interest of researchers in this issue. This study seeks to add to this interest in order to understand the experience of clinical oncologists that accompany dying patients, the meanings they attach to death, ways of coping and the implications for providing care. This is a qualitative study in which was used as a tool for data collection an in-depth interview with the projective using script and scenes. Gadameriana Hermeneutics was used for analysis and interpretation of narratives. The subjects were 10 clinical oncologists who work at two institutions from cancer treatments in the state of Rio Grande do Norte, chosen from a variation in the time working in the specialty (minimum of one year, even old ones). However, you can bring some initial results for the dialogue. It was found that the death is still a topic that causes many difficulties in the daily lives of these professionals, the choice for oncology involves dealing with death without preparation in medical education; being close to the patient in the final moment, supporting the family, coping with own pain of loss and the inability to heal. These are central elements of the narratives. We also have investment in medical training and continuing education in setting up a demand that permeates the discourse of participants. Being able to listen to the subjective world of clinical oncologists will support the work not only for them as other professionals who deal with patients with advanced cancer, providing evidence to understand to what extent the meanings attributed to its know-how before patients on the verge of death interfere with the production of care and allow identify coping strategies in everyday life of these professionals that hinder or facilitate coping with death, promote or preclude the care with others and with themselves. It is hoped that research can contribute to the field of knowledge about the know-how in clinical oncology and their terminal-care-death oncologist-patient relationships, bringing runways capable of promoting a better quality of care in the production of all involved in this process: professionals, patients and families

Compreensão da experiência do sofrimento de mulheres na relação amorosa

Our professional everyday life, as a psychologist, we often come across the narrative made by women of a permanent suffering experience in loving and sexual relation. This checking created questions which indicated to the questioned experience singularity, taking into account the historic and cultural aspects (genre and romantic love) that seemed to permeate such an experience. The conduction given to this research was guided by the following question: how is to the woman the experience of going on suffering on loving and sexual relation? Therefore, the objective was to understand that experience. Were carried out with six women that were living the experience which intend to investigate. The narrative, in according to the purposal by Walter Benjamin was the access tool to the experience. The narrative analysis shows the singularity of constant suffering experience on loving relation as well as common aspects. It is remarkable the presence of relative questions to the genre and romantic loving dimension, influencing the way as the interviewed women perceive themselves on the existence and realize the loving suffering which experience. Women reveal several ways of expressing and perceiving to the loving suffering which is common the manifestation of several physical and psychic symptoms. The most participants had experiences of protected familiar contact of feeling development of low self-esteem, disability, unstableness and fear. We realize that the suffering of interviewed women, on loving relation, it revels, above all, a way of being in the world, perveiving themselves, marked by solitude fear, lovelessness, leading the life itself giving origin to the lifestyle and of really new loving. Thus, we emphasize the importance of greater engagement of professionals and institutions which deal with the thematic this research in order to develop actions that consider its complexity. We also emphasize new reflections about the loving suffering so that different sense possibilities can emerge propitiating a greater comprehension of human subjectivity

A humanização no parto e no nascimento: os saberes e as práticas no contexto de uma maternidade pública brasileira

The practice of medicine related to the gestational processes tend to be organized according to the context and the place of work, being thus dependent of the conditions both social and economical, and of the physical structure and the functionality of the services. The high mortality rate in this process has diminished, since 1986, the study made by the World Health Organization (WHO) as to the technical aspects and the social inequalities that influence this situation in different geographical contexts. This culminated recommendations that proposed the reorientation of the dynamical practice of medicine, with a focus on the safety of maternities. Brazil adopted, in the year 2000, the suggestions of the OMS, emphasizing the humanization as the main reason for these actions. However, this discussion tends to not consider the problems caused by the social inequalities and the epidemiological and social conditionings that define the actions of the Unified Health System (Sistema Único de Saúde SUS). In this area, this research seeks to analyze the practices, cares taken, and the universal symbol that promotes and rewards the assistance to the birth of children by the SUS. Besides the analysis of the public documents that deal with this subject, an ethnographic study was developed in a maternity in Natal/RN, considered a model of humanization after receiving the Galba de Araújo prize in 2002. In this stage, the methodological strategies were observed, and the focus of the individual interviews with workers and users of this service. In the analysis of the data, it became evident that the different professional workers and women who gave birth, tend to show concern of the standards the delimit production and reproduction of the practice of medicine, as they favor the absence of a critical posture of the actions destined to the population. Besides this, if became evident that the institutional difficulties associated to the economical, cultural, and political problems also difficult the involvement and the reflection of the workers in favor of assisting changes of the process. There is also a utilization of a perspective prescriptive of humanization in the everyday life of the social workers, without reflection of its meaning. Some workers present, in their statements, a preoccupation with the social and economical aspects that affect the practice of medicine, and with the limitations of the humanization discourse that disarticulates the necessities of those involved in the process of formation, and soon tend to return to the discussion of humanization while a kind practice characterized by the minimization of the interventionist actions. Now the users of the system show themselves before the dynamic of the services, submitting themselves to what is offered while assistance, without questioning and/or reflecting about their usual shortages. Therefore, to think of changes in the know and do of the practice of medicine destined to the birth of children implies reflection on the quotidian production of these practices and of the social contexts that influence the process of assistance in the practice of medicine. Herein it would be possible to predict the appropriation, by different workers concerning their exasperations and necessities, making them active in the pursuit of their rights as citizens

Estudo comparativo entre a pirólise do polietileno de baixa densidade, utilizando vermiculita modificada e SBA-15

Catalytic processes are widely present in everyday life. This results in large number of studies seeking materials that may combine the low cost catalytic efficiency. Based on this assumption, the clays have long been used as catalysts, with its huge availability, diversity and possibility of improving their properties from structural changes, primarily responsible for this great use. Among the natural clays, vermiculite due to their characteristic properties (high cation exchange capacity and expansion), is suitable for various applications including as catalysts and catalyst supports. In this work, the acid leaching of clay vermiculite was performed, coming from Santa Luzia-PB, with nitric acid (2, 3 and 4 mol / L) and subsequent calcination of the materials obtained. The materials were named as Vx/400, where x is the acid concentration employed and 400 used in calcination temperature. The effectiveness of changes made was determined by XRD techniques, FT-IR, EDS, TG/DTG, nitrogen physisorption and DTP of n-butylamine. Acid leaching has improved some properties of the clay - specific area and acidity - but the control of the acid concentration used is of vital importance, since the highest concentration caused the partial destruction of vermiculite entailing a decline in their properties. For analysis of the catalytic activity of the modified clay was made a comparative study with the SBA -15 mesoporous materials, synthesized via hydrothermal method, using the pyrolysis of low density polyethylene (LDPE). The results showed that the acid plays a fundamental role in the conversion of the polymer into smaller molecules, the material V3/400 was more selective for the source monomer (ethylene) due to their increased acidity, which promotes more breaks bonds in the polymeric chain, while materials and V0/400 V2/400, lower acidity, showed higher selectivity to light hydrocarbons, the range of fuel (41.96 and 41.23%, respectively), due to less breakage and secondary condensation reactions chains; already V4/400 SBA-15/550 and resulted in lower percentages of light hydrocarbons and the partial destruction of the structure and low acidity, respectively, responsible for the inefficiency of materials

A humanização da saúde no cotidiano de usuários da estrategia saúde da família

This research assumes that for changes in health practices directed to an integral care, is crucial humanization, participation and autonomy of service users. In this sense, the research had investigated the issue of humanization involving users of the Family Health Strategy (FHS) in city of Mossoró, having as objectives: to analyze the perceptions of users on humanization in the production of health care in daily of Family Health Strategy, from these perceptions, identify elements featuring humanized and non-humanized in everyday practices related to production of health care; relate perceptions of users about humanization with the notions of extended clinic and social participation present in the National Humanization Policy (NHP); identify difficulties and potentialities in the production of health care from the perspective of humanization. It was a qualitative approach to data collection and it was used the methodology of Network Analysis of Everyday Life (NAEL), which allowed the questioning of health practices through an interactive discussion involving participants subjected. The analysis of data through the technique of content thematic analysis was performed and the results were interpreted related the Extended Clinic references and the users participation, related with the Gift Theory discussed by Marcel Mauss. The results indicated senses humanization linked to affection, reciprocity and honesty, highlighting as essential to humanized practices the trust, bonding, listening, dialogue and accountability. Were also mentioned other elements related to the organization of health services such as access and good functioning of the health services. The difficulties and potentialities show structural deficiencies of the health system and changes in the labor process. The participation of users deconstructing and reconstructing concepts remainder humanization in the production of health care is a key factor for the sedimentation of what is proposed in the HNP. Using the privileged space of the FHE to create more active people and understanding their needs and demands, is possible path to build a participative management

Serviço Social e Política: uma análise da participação dos assistentes sociais no Conselho Regional de Serviço Social 14ª região

This paper analyzes the political participation of Social Workers at the Social Service Regional Council Region 14th. The theoretical and methodological framework of this investigation has as its perspective the totality of social life and its determining relations within the object of study. To the production, analysis and collecting of data it was used a qualitative approach considering a bibliographical and documental research as well as a series of twelve interviews with 2005-2008 and 2008-2011 managing counselors of CRESS/RN. It was also used the data obtained from other special interviews held with the social workers in the period between 2007 and 2008. The results of this study allow and affirm the political dimension of Caseworkers and the CRESS/RN as a space of political activity with opportunities for effective and collective elaboration of strategies in order to reach the fulfillment of the ethical and professional policy of the Social Work. From a historical viewpoint, the beginning of this process is marked by the struggle for democracy, the end of military dictatorship, the establishment of the State of Human Rights. The Democratization of the so called Federal Council of Social Workers and its Regional Councils of Social Workers, CFAS / CRAS, respectively, area a result of the participation of the category in an effort to fight for democratization in Brazil. The objective of this research, so, is to understand which the socio-historical determinants are, that focus objectively and subjectively in the demobilization of social workers in CRESS Region 14th - in the contemporary and historical context. Among the results obtained we identified the ignorance of some professional workers and also of some advisors, regarding the existence and the role of the Council, as well as the commercialization of Education that compromises the quality of the professional training in its theoretical and methodological, ethical and political dimensions. According to our understanding, this shows a the presence of a non-critical professional profile based on a false reality, on the precariousness of employment contracts which undermine the political organization and submit the worker to various social exploring mechanisms such as double shift and ultimately the fragility of the management of the Regional Council -, as a consequence of the offensive capitalist system that ideologically invests to stop the political organization founded in a critical and democratic perspective. The low participation of some advisors and, in general, the category in CRESS / RN, despite its objective conditions, is a reality and it is presented to us as a challenge to future managements and policy consolidation to society. Inasmuch as the category intends to guarantee the high quality of its social workers, the demands of future counselors, their skills and abilities in dealing with regulatory issues, administrative policies that pervade the everyday life of CRESS / RN are necessary

Violência e luta por direitos no capitalismo contemporâneo: crítica à configuração do atendimento às mulheres no Rio Grande do Norte

This research analyzes the Rio Grande do Norte care services to women who face violence in the context of contemporary capitalism. To do so, we situate the patriarchy in the set of current social relations and its relationship with the corporate determinations in everyday life. The new functions of the Patriarchy in the capital sociability permeates the lives of individuals and particularizes the relationships of violence which affects women, requiring, in the immediate level, policy-making to face them. The research found an arsenal of contradictory possibilities and limitations in dealing with violence. In this process, forms of struggle and resistance predominate, which appear as possibilities and limits were identified relate to the socio-historical context of regression of the rights, historical moment in which increase the objective difficulties in everyday life to ensure the legal achievements. It is worth to emphasize the achievements and contradictions that characterize the struggle process for rights, linking services to women to the social policies and to the limits they face in opposition to the aims of the State to meet the mandatory requirements of capital, reducing its role as the main guarantor of policies and rights. In this sense, the trajectory of the achievements that have referred to the proclamation of a specific law to deal with combat violence against women, the Maria da Penha Law - 11.340/06, which provides an integrated set of measures that, if implemented, would allow the women protection from relations of violence they experience. We identified in Rio Grande do Norte precarious services that are essential to achieve the Maria da Penha Law. This situation requires a feminist organization to claim the rights that enable women to see themselves as people with rights in the process of collective struggle. This is the historical need for continuity of struggles that accumulate policies for the existence of a new model of social relations of gender. One of the possibilities that are presented in the current context is the impact on the public budget in order to ensure compliance with the budget for public policies for women - woman budget. In this perspective, feminist segments in national and state level have been organized to understand the functioning and monitoring of social policies. This is a condition and prerequisite for ensuring policies to ensure basic rights and the violence combat , which still requires an integrated set of services. The survey results allow us to consider that the struggle for rights is necessary at this historical moment, however it is not sufficient in human emancipation, which requires new forms of social relations that determine substantive equality between men and women. Thus, the feminist movement faces the challenge to organize and strengthen itself in daily life, in order to execute a project that changes the meaning of women's rights, articulated to a corporate project which wants other command in the set of social relations . This study emphasizes the need for a more and more organic connection between feminism and social struggles, to ensure the inclusion of women in anti-capitalist struggle

Marxismo, a alienação e o tempo histórico da barbárie social do capital

O objetivo do ensaio é expor a alienação/estranhamento como o problema crucial do nosso tempo histórico, buscando salientar os significados do conceito de autotranscendência positiva da alienação, considerada por István Meszáros, como sendo o eixo da reflexão marxiana nos Manuscritos econômico-filosóficos. Para tanto, discorre sobre o novo registro histórico da Aufhebung nas condições da crise estrutural do capital e a vigência do capitalismo global como capitalismo manipulatório. Aborda a centralidade ontológica da problemática da vida cotidiana e o estranhamento na perspectiva da crítica radical do trabalho. Finalmente, coloca elementos para refletir, na perspectiva do marxismo radical, sobre a transição como sendo o problema de produção dos sujeitos humanos, capazes da autotranscendência positiva da alienação.

O desenvolvimento do psiquismo na vida cotidiana: aproximações entre a psicologia de Alexis N. Leontiev e a teoria da vida cotidiana de Agnes Heller

Este trabalho pretende apontar algumas aproximações entre a psicologia de Leontiev e a teoria da vida cotidiana de Agnes Heller, mais precisamente aquilo que a filósofa húngara denomina como formas de pensamento, sentimento e ação típicas da cotidianidade. Nossa hipótese é a de que esse estudo pode trazer contribuições para a psicologia sócio-histórica, especialmente no que se refere à compreensão das características do psiquismo humano numa sociedade marcada por processos de alienação, isto é, quando a estrutura da vida cotidiana cerceia o desenvolvimento intelectual, afetivo e moral dos indivíduos. Pretendemos, assim, contribuir para o entendimento daquilo que denominamos de psiquismo cotidiano.

O tempo de trabalho em sua dimensão subjetiva

Cet article expose les résultats d une recherche scientifique ayant d abord conçu la manière dont les coopératives de travail, géerées par une Économie Solidaire, pourraient se présenter comme un espace d expression de subjectivité du travailleur associé. À partir de la précision des objetifs, on y a poursuivi à la recherche d une coopéerative étant réglée d après les principes de l Économie Solidaire. Après avoir examiné de diverses coopératives, il a été conçu que CooperSol s est au fur et à mesure constituée un partenaire avantageux et s est également montrée grâce aux observations et témoignages étant un espace d expression de la subjectivité du travailleur coopéré concernant l autogestion, le temps de travail et la création d une culture solidaire. L aspect présenté dans cet article se rapporte au temps de travail qui, chez CooperSol, gagne dans sa dimension subjective, qualitative, en tenant compte de certains éléments oubliés, comme l aspect cyclique et hétérogène du temps, ou bien, le temps vécu, guidé par le rythme habituel de la vie, en comptant sur plusieurs dimensions du quotidien.

A gestão da inclusão escolar na rede municipal de São Paulo: algumas considerações sobre o Programa Inclui

Para análise da questão da gestão política do processo de inclusão escolar, este artigo aborda o movimento da rede municipal de São Paulo em direção à uma escola inclusiva através da oferta de respostas educativas aos alunos com necessidades educacionais especiais. Assim, descreve o Programa Inclui, em andamento na rede municipal de ensino, que busca organizar, através de projetos, a construção e consolidação de um sistema inclusivo, na perspectiva de estar articulado com as práticas e ações político-pedagógicas que ocorrem desde a educação infantil ao ensino médio e se concentra nas ações necessárias para o atendimento às necessidades educacionais especiais para que se garanta a desejável relação entre educação comum e especial no enfrentamento das dificuldades do processo de ensino e aprendizagem daqueles que precisam de recursos, técnicas, metodologias diferenciadas para que sua trajetória escolar esteja garantida, no cotidiano, assim como está garantida no aspecto legal.

Concepções de desenvolvimento e de aprendizagem no trabalho do professor

Esta pesquisa teve por objetivo identificar, explicitar e analisar as concepções de desenvolvimento/aprendizagem presentes no trabalho de profissionais de uma escola pública, visando à construção de conhecimentos que permitissem transformar a prática educativa. Elaboraram-se roteiros de entrevista para os professores, o coordenador pedagógico e a direção, um roteiro de observação de aulas e um para consulta ao projeto pedagógico. Os dados foram organizados em categorias que relacionam as concepções de desenvolvimento/aprendizagem apresentadas pela Teoria Histórico-Cultural àquelas encontradas nos dados obtidos na escola. Verificou-se que o trabalho desses profissionais não é fundamentado em uma única concepção de desenvolvimento/aprendizagem, o que pôde ser demonstrado pela coexistência de várias teorias, entre as quais se destacam a de Piaget e a de Vigotski. Constatou-se que as abordagens dos profissionais da escola são permeadas pela cotidianidade, discutindo-se, a partir da Teoria do Cotidiano, de Heller, a invasão de um espaço de produção do conhecimento por ações/reflexões cotidianas.

Para uma crítica da medicalização na educação

Este artigo analisa criticamente o processo crescente de medicalização da vida cotidiana e suas expressões contemporâneas no campo da educação escolar à luz dos pressupostos da Psicologia Histórico-Cultural, buscando desvelar o processo de produção dos fenômenos do não aprender e não se comportar na escola, bem como os fatores que determinam sua identificação por profissionais da saúde e da educação como sintomas de doenças e transtornos. Dentre as muitas disfunções comumente associadas ao desempenho escolar de crianças na atualidade, são destacados e analisados o TDAH e o TOD. As análises desenvolvidas ao longo do texto indicam que a compreensão da medicalização como um desdobramento inevitável do processo de patologização dos problemas educacionais exige um trabalho intelectual crítico e o desenvolvimento de novos posicionamentos de psicólogos, educadores e profissionais da saúde em relação à sociedade, à educação e ao desenvolvimento humano.

Short-Term Effects of Using Pedometers to Increase Daily Physical Activity in Smokers: A Randomized Trial

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Apropriação e inserção na contra-arte da geração AI-5

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)