999 resultados para Gerenciamento de resíduos de serviços de saúde


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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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O progresso econômico-social e o desenvolvimento industrial aumentaram as quantidades de resíduos gerados pela humanidade; para se obter um equilíbrio ambiental é preciso que estes sejam reintroduzidos no ciclo de produção, sob a forma de matéria-prima. O meio ambiente vem nos dando sinais da sua incapacidade de armazenar todos os resíduos gerados e ainda as reservas de matéria-prima não são inesgotáveis. Desta forma as políticas de gerenciamento dos resíduos sólidos tornam-se fundamentais para o melhoramento da qualidade de vida da população e promover o crescimento sustentável das cidades no Brasil e no mundo. O município de Ribeirão Pires localiza-se na região do Grande ABC, a sudoeste do Estado de São Paulo, tendo a totalidade do seu pequeno território – 99 km2 – em área de mananciais, apresentando uma população de 107.046 habitantes, segundo dados oficiais. O objetivo do presente trabalho consistiu em realizar um diagnóstico da geração, coleta e destinação final dos resíduos sólidos domiciliares no município de Ribeirão Pires, além de verificar quais são as políticas e projetos da Prefeitura para essa área de atuação, e avaliar o sistema atual de coleta seletiva e triagem da cidade. Inicialmente, realizou-se uma revisão de bibliografia específica, consulta a trabalhos de pesquisa realizados por órgãos federais, estaduais e municipais, levantamento de dados e informações junto aos órgãos responsáveis pela administração dos resíduos sólidos, aplicação de entrevistas e questionários à parte técnica dos órgãos públicos relacionados diretamente com as atividades de coleta, tratamento e destinação final de resíduos sólidos domiciliares, além da visita à cooperativa de reciclagem. Após estas atividades, o material e os dados coletados foram analisados e sistematizados para gerar informações e conhecimento que contribuem... (Resumo completo, clicar acesso eletrônico abaixo)

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This research was mainly focused on public policy analysis of solid waste, and the National Policy and State Solid Waste, as well as determining the performance of the Blue Green Municipality strategic project in relation to the management of municipal solid waste in Regente Feijó, São Paulo. The objective of this research was to analysis of the consequences of the deployment project of selective collection and integration of recyclable material collectors in an association of collectors, called the Association of Recyclable Material Collectors Rock, held in the city from the year 2008, with effective implementation in 2010. We analyzed the actions of the municipal government since the implementation of selective collection, to the development of the Association. The methodology used was literature concerning the issue; routine field surveys to monitor the activities in the landfill and association of collectors, collecting data from questionnaires appropriate to the research topic. We sought to examine old and new forms of urban solid waste management, the evolution of the historical process of this issue in the city and its social and environmental impacts, and the collectors the main social actors in this process. The complexity that addresses this issue was dealt with in this dynamic study, analyzing all parts involved

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The present study aimed at understanding humanized reception at a Family Health Unit in a city in São Paulo state according to users’ perspectives. It is a qualitative investigation with a Case Study as its methodological framework and the Theory of Complexity (TC) as its theoretical basis. Data were collected from March to July, 2011 by means of non-directive interviews and participant observation, and the Flowchart that analyzes the care provision model in health care services was used. The discourses were analyzed according to Bardin’s thematic approach, from which two themes emerged: humanized reception as an act that precedes medical consultation and humanized reception as a solution to demands stemming from medical action. The study provided visibility to the forms how humanized reception is understood, that is, the moment that precedes medical consultation, being configured as a pre-consultation instance when punctual actions are performed, such as measuring vital signs, and when users are sure that they will be seen by a doctor, in addition to the perception that humanized reception is not part of the process to solve their need, since such result is achieved by means of medication dispensation permeated by the polite treatment given by professionals. These results show how the fragmented, reductionist and linear approach to caregiving is still present in the words, thoughts and culture of health service users as well as in those of health care team members. TC seems to shed light on these issues, and it may result in important improvement in the understanding of interactional relationships between team members and users concerning the work process in the Family Health model as the main strategy in Primary Care

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Odontologia Preventiva e Social - FOA

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Pós-graduação em Saúde Coletiva - FMB

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News of the fifth version of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) bringing an enlarged listing of diagnostic possibilities has fomented discussion concerning the tendency, recognizable in contemporary psychiatric practices, of including ordinary suffering of everyday life in psychiatric diagnosis and submit same to psychopharmacological treatment. The present paper brings to this discussion data obtained from field research about the prescription of psychopharmacs in the psychiatric care of a public mental health service. The results reveal that the psychiatry of the service keeps practically all of its users under prescription, and that medical discharge is extremely rare. The paper organizes elements critical to this practice and concludes that due to its inadequacy as to the objectives of promotion of personalized care concerned with autonomy and citizenship, present in the current national guidelines for public policies in mental health.

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The objective of this study was to analyze the performance of solid waste management in the municipality of Tibagi, Paraná, a city with approximately 20000 inhabitants, which implemented the selective collection program called Recycle Tibagi. The analysis was based on descriptive statistical techniques, considering the three types of waste (tailings, organic and recyclable), and per capita generation of garbage upward trend in the coming years, based on the method of Winter (Triple Exponential Damping), using data recorded by the Department of the Environment and the Association of Recyclable Materials from Tibagi - ACAMARTI. Efficient selective collection from a structured environmental education program with constant training conducted with the scavengers, possible to obtain important data in sorting and marketing of recyclable materials, saving raw materials, water and energy, as well as relevant indicators social inclusion and employment generation and income. The project involves several areas of municipal management and arouses curiosity and interest in several areas: social, financial, environmental and administrative. It's a way to encourage new projects and public bodies, highlighting the importance of recycling and proper disposal of solid waste.

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The study presents the construction process of research methodology "Training in SUS Humanization: effects evaluation of training processes from institutional supporters on health productionin Rio Grande do Sul, Santa Catarina and São Paulo territories." There was a search for developing an appropriate evaluative practice to the training processes, a methodology that instead of evaluating on something, assessed along with the supporters who attended the training-intervention, a participatory methodology.Therefore, the constitution of the Research Interest Group was an eminent tool. Trained supporters comprised the research team to expand participatory possibilities of a large and dispersed group, producing interferences in the investigative process conduction, described and analyzed in the study.At the same time, their experiences interfered in the understandings they had until then about the intervention-training experiences and effects on their daily lives, after almost four years.Thus, the methodological approach was intrinsically linked to the construction of a subjectivity differentiated plan and necessarily collective, which shifted the position of supporters involved from mere data suppliers to a lateralityposition in relation to other actors.The trial afforded by participatory strategies allowed researchers and supporters to interfere and compose the evaluation scenario with remarkable performances throughout the investigative process.The survey configuration was like a bet on a given methodological architecture that, in seeking to overcome evaluator-evaluated logic produced information for (retro) feedingthe intervention triggered by it. In the formative dimension, it also went through working processes analyzed by supporters rescuing the indissoluble characteristic that health activities mobilize among intervening, training and reviewing.

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This study aims to reflect the organization of the mental health services in primary care from a new organizational arrangement to health work, defined as Matrix Support (Campos, 1999), which aims to build technical and educational support in the relationship between health professionals from mental health professionals in the Family Health Strategy. The methodology used in the Matrix Support the “Wheel” method, which is mediated by a supporter who, through questions and reflections, points out possibilities for case discussions, promotes links between the health teams, discusses the concept of link between professionals and users, strengthens the co-responsability for the actions of health and tries to break the logic related with the services organized by referrals. So the wheels when they occur in health services enables the interdisciplinary, and through it, it is expected to talk about the complexity of the phenomena that surround each subject, so that they overcome the dichotomy between individual and collective, social and biological revealing new values to be incorporated into health practices. In front of this analysis that is theoric and conceptual, allied with the experience from a nursisn area professional that worked in this work method, can be concluded that this experience related here, eas strategic for the health care actions for strengthen based on the Unique Health system and Psych Rebuild principles.

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Pós-graduação em Pesquisa e Desenvolvimento (Biotecnologia Médica) - FMB

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)