983 resultados para Médicos de família
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The pharmaceutical industry invests heavily in promoting their products, and studies suggest that these actions influence doctor’s prescribing. Therefore, this study aimed to analyze the opinions and attitudes of doctors when facing promotional activities of the laboratories. To this end, questionnaires were sent to doctors in Araraquara (SP) containing statements on the subject. Data analysis included study of the association by the chi-square. The results indicated that physicians relate to the propagandists (98%) by considering them useful (55%), but not as a main source update (86%). For 62% of them their prescriptions are not influenced by such relationships, while 24% disagree that doctors in general are influenced as well as new graduates (37%). The majority also disagrees that are influenced by amenities (86%) or free samples (70%) but only 38% believe their colleagues are not influenced by the samples. As for the ethics of these receipts, 57% considered to be appropriate when benefit patients, but only 32% while for personal use. The results show that doctors are vulnerable to the influences of marketing. Therefore, mechanisms and interventions are needed for prescribing drugs solely by criteria of effectiveness, safety, convenience and accessibility to the patient.
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The death has been considered a forbidden issue. To develop studies that promote reflections about it allows the enlargement of the understanding as regarding the death as about life in that both are related during the human existence. This research aimed to understand the death’s conceptions and family meanings to three different generations. For this goal, through phenomenological methodology, were achieved individual interviews with adolescents, both his parents and the grandfather, all belonging to the same family. After to understand the participant’s experiences, six thematic categories were created: a) Death’s meanings; b) The death of himself; c) The death of another and/or its possibility; d) Sources of support; e) The family in the death’s presence; f) The life in the death’s inevitability presence. From these categories, the dates were phenomenologically. The participants showed similar reports in several times, confirming the literature that says that the daily life experiences among the family members take the family to form a peculiar way to understand and an interpret their experiences. This identity family, however, did not prevent each participant to develop his particular history based in idiosyncratic elements and associated with the stage of life cycle that it is. The reports showed that the prohibition of death in society is still very present, which prevents that discussions about the issue are present in daily life. This study provided for participants to reflect on their experiences around the phenomenon of death and, consequently, about the inseparable relationship between living and dying. It has also reiterated the literature, showing the similarity of views among the family members of three generations face a vital phenomenon potentially impacting the life cycle of individual and family.
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The phenomenological research aims to understand how human beings mean their experiences and allows a detailed investigation of issues related to human life. In order to understand how the death experience within the family has been addressed by studies within phenomenological research perspective, a systematic review of literature was performed based on abstracts indexed in Lilacs, PEPsic, Medline e PsycInfo, by means of the intersection of the keywords: family, death, and phenomenology. Overall, 54 papers were found. Initially, all the papers were subjected to a quantitative analysis, after which 15 were selected for qualitative analysis. The results indicated that studies with grounding in phenomenology addressed three major themes: the experiences, meanings and coping with grief and loss, the family’s relationship with the terminally ill patient, and the experiences of families facing sudden death.
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Pós-graduação em Saúde Coletiva - FMB
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Pós-graduação em Docência para a Educação Básica - FC
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Early studies involving childhood autism attributed to family involvement in impairment of psycho-emotional development of the child. The purpose of this study was to review the literature related to autism and family in two national databases (Theses Database of Capes and Scientific Electronic Library Online) without defining a specific period as well as identify the main thematic focused. Were located 29 studies in Theses Database of Capes, the first record in 1990 and 12 in Scientific Electronic Library Online, the first publication in 2001. The results were grouped into seven categories. The categories “Quality of Life” and “Family Relations” concentrate most of publications on Theses Database. Already in Scientific Electronic Library Online, mostly refers to the “Family Relations” and “literature review”. It was found that none of theses or dissertations was published in scientific paper format, hampering the dissemination of research in the area.
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Pós-graduação em Docência para a Educação Básica - FC
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The purpose of the study was to understand the experience of nursing professionals on the care provided to adult patients and relatives who experience the dying process in an emergency room. Statements of 12 nursing professionals, being 8 technicians and 4 registered nurses of the emergency room of a high-complexity university hospital were analyzed. Data was collected by means of semi-structured interviews and evaluated according to Bardin’s content analysis. As a result, the theme entitled the relative’s mourning process emerged with two categories: alterity as an opening and suffering as a limit. when subjectivity, which was revealed under the principle of alterity, permeated the subjects’ actions, the nursing practices were targeted at the patients and their relative’s needs, but suffering as a limit imposed distancing by the professionals during care provision, even when it was perceived as necessary.
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This study aimed at understanding the role played by nurses in managing a team in the Family Health Strategy (ESF) in relation to competences and skills practiced and developed in their everyday work and the difficulties found to perform their duties based on these professionals’ perceptions. Data were collected by means of focus groups with seven nurses in 2006 and then submitted to content analysis, which disclosed five themes: The context of the coordination of multidisciplinary teams in the Family Health Strategy, factors involved in the daily work in the ESF, conflicts experienced in the interface between teamwork and central coordination in the ESF, difficulties of the population towards the new model of care coordinated by the nurse, the perceived competence to exercise leadership in coordinating multidisciplinary teams. Results showed work overload, overlapping of tasks and lack of training. These professionals have been evaluated according to the logic of their work organization by productivity and not by the quality of their actions. Hence, they feel devalued professionally. They pointed out technical and scientific knowledge as an important competence attached to relational practices. There is a need to create formal opportunities to discuss the major difficulties found by the nurses managing multiprofessional teams when experiencing such management.
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Transmissible venereal tumor (TVT) is a neoplasm of round cells with plasmocytoid or lymphocytoid appearance. The tumor presents several particularities, which have been the subject of numerous studies; however there still have investigations that need to be done. For example, a progressive increase of highly aggressive tumors with varying response to chemotherapy -including resistance- has been evidenced in recent years. There is scientific interest to understand these differences, allowing predicting possible clinical outcomes in affected dogs and increasingly searching adequate and individualized therapy. This review focuses on presenting possible implications of the expression of MDR-1 (P-glycoprotein), TP53, BCL-2, and BAX genes, regarding resistance to chemotherapy and/or the biologic behavior of TVT
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Fundo de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Pós-graduação em Enfermagem - FMB