Circuito espacial produtivo e círculos de cooperação dos café Fairtrade: análise da Associação dos Agricultores familiares do Córrego D'Antas (ASSODANTAS), Poços de Caldas/MG

The aim of this research project is to analyze the spatial productive circuit and circles of cooperation of Fairtrade coffee, taking as a case of study the Associação dos Agricultores Familiares do Córrego D'antas (ASSODANTAS), Poços de Caldas - MG. The main purpose is to analyze material flows (grains, supplies, etc.) established between geographically separated stages of production (production, exchange, distribution and consumption) and the relationships between the agents in order to analyze the organization and regulation of production of Fairtrade coffee. It is understood as the insertion of the Fairtrade ASSODANTAS to permit the creation of new production lines, adding value and providing greater identity and autonomy to their small farms, when compared with traditional coffee trade commodity

O câncer e as alterações no estado nutricional do paciente: importância da atenção farmacêutica

O Câncer é uma doença epidêmica e multifatorial. O uso combinado ou não de cirurgia, radioterapia e quimioterapia formam o alicerce sobre o qual se assentam a quase totalidade dos tratamentos contra os mais variados tipos de câncer. Essas terapêuticas quase sempre são agressivas, o que leva a uma ameaça séria à integridade física, sabidamente associada a problemas nutricionais. Pela legislação RDC nº220, publicada pela Agência Nacional de Vigilância Sanitária (ANVISA) em 21 de setembro de 2004, que regulamenta os estabelecimentos públicos e privados do país que realizam tratamento de quimioterapia antineoplásica, o farmacêutico deve fazer parte da equipe multiprofissional em terapia antineoplásica, como responsável pela manipulação de todos os antineoplásicos. Levando isso em consideração, o trabalho realiza uma descrição geral desde o desenvolvimento da doença, passando pelos principais agentes causadores e destaca a importância da terapia nutricional, principalmente no período pós-tratamento que influencia diretamente na morbi-mortalidade do câncer. Associando conhecimentos interdisciplinares entendemos que o farmacêutico possa exercer além da manipulação de drogas, a atenção farmacêutica contribuindo positivamente na equipe de saúde, visando uma maior adesão ao tratamento além do aumento da qualidade de vida do paciente oncológico. A partir do levantamento bibliográfico apresentado ampliamos a compreensão da complexidade dos mecanismos da doença, a importância da Terapia Nutricional e o Papel que o profissional farmacêutico pode desempenhar nesse campo

Conduta do paciente hipertenso frente ao tratamento clínico

The urbanization process established in Brazilian society since the middle of last century brought changes in the population habits and customs, which was responsible for the increased of chronic diseases incidence, such as arterial hypertension, for example. Although this is a common disease nowadays, it is still difficult to establish a significant control in subjects with this disease and its consequences. This is apparently due to lack of interest to the correct plan of care developed for the treatment of this disease. The nursing consultation identifies potential problematic situations and the patient needs, setting actions that are complementary to their benefit in order to promote health. The present work aims to observe how the nursing consultation is being used as strategy for patients with arterial hypertension, and to understand the difficulties faced during treatment of these patients. For this purpose, it was performed qualitative and quantitative studies with patients from Centro Saúde Escola (CSE), Unidade Auxiliar, Faculdade de Medicina de Botucatu, UNESP, located in Botucatu, employing as methodology the Discourse of the Collective Subject and descriptive statistical analysis of quantitative results. The vast majority of consultations were held by medical professionals and it was observed that the multidisciplinary work still needs to be recognized and valued by users. The lack of knowledge of some individuals in relation to the potential and importance of the nursing consultation occurs not only for the treatment of arterial hypertension, but for the treatment and monitoring of the individual as a whole. Therefore, it is still necessary to clarify the true essence and necessity of the nursing consultation, since so important tool should be used in its entirely. Moreover, the role of the multidisciplinary team should be more discussed

O uso corporativo do território brasileiro no período técnico-científico-informacional: o circuito espacial produtivo e círculos de cooperação da empresa Natura

In the current historical period marked by globalization and neoliberal policies have seen the pursuit of expanded reproduction of capital by corporations, which make from the deepening territorial division of labor, ie, the increasing presence of its circuit productive space within steps towards the relations between capital and labor. This capital increase is made possible mainly by exploiting precarious forms of labor. In Brazil today, much of the population enjoys the possibilities of consumption, due mainly to the policy measures implemented in the last decade, this situation favors further expansion of large companies in our territory, thus the circuit analysis of spatial production of cosmetics contributes to a political debate about the uses of the national territory. Given that companies are organizations whose actions occur inseparably technical systems that make up the territory, this course conclusion work seeks to understand the circuit of production space and cooperation circles cosmetics company Natura Cosmetics S/A

Comparação de dois métodos de profilaxia dental: avaliação da pressão arterial e do conforto do paciente. Ensaio clínico controlado e randomizado

GOALS: This research evaluated the change in arterial pressure before and after two procedures of dental prophylaxis: Jet system baking soda and conventional prophylaxis and patient's opinion regarding the comfort of each one. MATERIAL AND METHOD: Were selected 32 patients with age between 18 to 30 years old, who need prophylaxis to remove biofilm and were subjected to three different types of treatment: sodium bicarbonate jet (G1), prophylaxis conventional (G2) and placebo (G3) at intervals of one month between them. Patients were divided randomly. Arterial pressure was measured by wrist digital Omron HEM – 6111. The measurements were realized in four times: before the prophylaxis, immediately the end of procedure, 15 and 30 minutes after finished of treatment. Patient comfort was measured by a Visual Analog Scale (VAS) after the end of the treatment. The data were analyzed using the variance test. The results showed that there was statistically significant difference to the comfort of the procedures. RESULTS: There was a statistically significant difference to the comfort of the procedures, and G2 and G3 better than G1. Regarding the variation of arterial pressure there was no statistically significant difference between groups. CONCLUSIONS: The methods of prophylaxis no effect on arterial pressure, but conventional prophylaxis is more comfortable than others treatments

Estudo sobre a necessidade e preferência sobre orientações de enfermagem ao paciente oncológico adulto em quimioterapia

Most cancer types are treated by antineoplastic chemotherapy, which can be performed conjointly with other treatments, such as radiotherapy and surgery. Due to its action, chemotherapy provides the possibility of cure, but it also leads to a number of adverse effects, such as myelosuppression, cutaneous and gastrointestinal toxicity, etc. Patients undergoing chemotherapy must receive constant information concerning how to prevent or minimize these effects in order to achieve better quality of life and, consequently, a more successful treatment. Hence, this study aimed at investigating the need and preference for different forms of information by oncologic patients submitted to chemotherapy. It is a cross-sectional, descriptive and quantitative study conducted at the chemotherapy division of the Botucatu School of Medicine University Hospital/SP on a sample of 50 patients older than 18 years. After previous knowledge of the study and formalization of Free Consent, the individuals answered a questionnaire containing 12 questions related to the importance attributed to the information received, from which professional and when to receive it. Data were analyzed by Fisher’s exact test and showed that 62% of the patients were females, and the remaining 38% were males of whom 46% were older than 60 years, 26% were from 50 to 60 years old, 24% from 30 to 50, and only 4% were younger than 30 years old. The patients had lymphatic (23.4%) and solid (76.6%) tumors. All the respondents reported that receiving information about the disease and its treatment was extremely important. As regards information related to side effects, 98% of patients answered that receiving it was extremely important, and only 2% answered that it was little important. Correlations were made between age, gender, and tumor type with the answers obtained for the best moment, how and from whom to receive such informatio... (Complete abstract click electronic access below)

Humanização da assistência ao paciente crítico: revisão integrativa da literatura

This study aimed at analyzing the scientific production on health care humanization in intensive-care and emergency units based on publications in national journals. Therefore, this is an integrative review of the national literature. The online database Literatura Latino-Americana do Caribe em Ciências da Saúde - Literature in the Health Sciences in Latin America and the Caribbean (LILACS) based on the Health Virtual Library (BVS) platform was used to select articles. The final sample in this review consisted of 21 articles. The presentation of results and data discussion was descriptively performed and divided into three themes: communication with relatives and the team, caregiver humanization and, finally, the difficulties faced to implement humanization. As regards communication, it is seen by the authors as a fundamental strategy to ensure quality in intensive care, and it is placed as a central axis in the humanization policy. Concerning caregiver humanization, the physical and mental overload resulting from the work process in these units are factors that interfere with personal relations between team members as well as with that between team members and patients. Among the difficulties faced for implementing humanized care for critical patients are the units’s physical and organizational structures, technology and health care professionals’ education, which is centered on the biomedical model. It was concluded that communication is considered to be fundamental for humanization of the care provided to critical patients, since it allows for the development of a network of meanings between patients, the team, families and the establishment. In order to implement care with humanized actions in urgency and emergency sectors, particularly in ICUs, it is necessary to change organizational culture and value health care professionals

Diferentes mídias em parceria e cooperação: grandes produtoras de identidades contemporâneas

The aim of this paper is to present the results of a research in the area of Discourse Analysis, to describe discourses found in the media about the identities constructed in the Second Life virtual communities network and, to find out what discursive strategies are produced by the profile “fashion in the soap operas” hosted in the Twitter micro-blogging as an attempt to have a significant number of logfiles and to discover what leads men, women and, teenagers to participate of this “fashion in the soap operas” interaction. Our corpus consists of printed media reportings that present users of Second Life and its avatars with a proposal of new identities, including the utterances produced by the profile “fashion in the soap operas” and their respective followers. The analysis of the reports and discourses are based on the work by Michel Pêcheux and Michel Foucault. The analysis have shown that the new identities, created in virtual communities network and, the profile of the followers of “fashion in the soap operas”, hosted in Twitter, are characteristically contemporary sensibilities, who take part in the truth games and in the social pressing experimented nowadays

Participação da família no tratamento de paciente em diálise peritoneal

Dramatic changes occur in the lives of patients on peritoneal dialysis and his family life, changing lifestyle, professional and social activities. Considering the important role of family in treatment, is crucial for nurses to know how these families perceive their role as caregivers and their difficulties and needs, in the process of peritoneal dialysis. The approach chosen for the study was the phenomenological method, based on Merleau-Ponty, who proposes to understand the human experience, from the description of those who lived it. The study findings show that in the beginning of treatment, family members, feel impacted with the disease severity and eager to become responsible for maintenance treatment, fearing not match the expectations.Guided by staff, appear confident in taking care and deal with the difficulties and complications of treatment, supported by professionals. However, resent the great changes in their social activities and work, his life turns out to be quite limited, due to the dedication to a sick family member. Many feel overwhelmed because they are not supported by other family members. Some envision a future outlook for renal transplant, others seem skeptical, given the long waiting list, especially when advanced age of the sick family member. These results suggest the need for individualized attention to family caregivers, and to encourage the family to organize itself and develop a joint work. In this sense, the design of health care, taking care with the focus of the family, it seems highly appropriate in preparing the plan of family orientation, this is defined as a dynamic unity, which, working in harmony, can contribute positively in the treatment of health a sick member

Indicação geográfica e cafés especiais: circuito espacial produtivo e círculos de cooperação dos cafés da Região da Serra da Mantiqueira de Minas Gerais

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O efeito da musicoterapia na qualidade de vida e nos sintomas depressivos do paciente em hemodiálise

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Desperdício de dieta enteral em UTI: análise de modo de falhas e efeitos de danos ao paciente grave

Pós-graduação em Enfermagem (mestrado profissional) - FMB

A importância das classes socias na relação médico-paciente: adesão ao pré-natal

This article is focused in the understanding of how can social classes influence in prenatal, throughout the patient medical relationship as well as the many aspects surrounding. In the first chapter, reflected about the adherence to prenatal and considerations in gestational period when dealing with public health treatment offer by SUS. Next chapter, patient medical relationship is addressed as a relationship classes, over questioning how this relationship use to be in front of disadvantaged extracts, focused in prenatal. In the third chapter, the patient medical relationship is analyzed throughout the patient vision, pointing the many factors that can induce the success of a therapeutic. In the last chapter, there are reflections about whereby health professionals upgrading, as well as the improve of basic health care networks are necessary to a larger prenatal adherence.

O continente africano e o Brasil: escravização, cooperação e intercâmbio

As reflexões e iniciativas brasileiras e africanas sobre acordos de cooperação mútua no plano científico, artístico e cultural vem crescendo nesta primeira década do século XXI visando uma integração e a constituição de mecanismo de cooperação técnico-científico a partir das história comuns que envolvem os escravismos, o tráfico, a diáspora africana, as independências e nossa identidade cultural construída no Atlântico. As universidades brasileiras através de seus centros e núcleos de pesquisas vinculados aos estudos sobre as populações afro-brasileiras e as sociedades africanas tem caminhado nesta direção de modo paulatino, mas flagrante.

O consórcio do Rio Jacaré: limites e desafios para a cooperação intermunicipal e para o desenvolvimento regiona

This article has, as its main subject of reflection, a brazilian experience of intermunicipal cooperation named the "Consórcio Intermunicipal pela Conservação da Natureza na Bacia do Rio Jacaré Pepira" better known as "Consórcio do Rio Jacaré", located in São Paulo State, Brazil. Having its origin in 1985, the consortium is considered the first inter-municipal experience of cooperation witch tried to associate regional development with environmental issues. The research, qualitative in the method, designed as single case study and supported by data collected through desk research, systematized information on the projects and activities of the Consortium, pointing among the members those which effectively beneficed from the supposed cooperation, along with the difficulties faced and the context which led the consortium to the state of stagnation in which plunged after 1999. The results showed that, despite its historical and regional importance, the consortium could not be seen as a management model, being weakened by the political and institutional environment, the local realities, the absence of maturity of partners for joint cooperation, in addition to the lack of clarity on the regional dimension of the projects.