Medicalização em um serviço público de Saúde Mental: um estudo sobre a prescrição de psicofármacos

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.

Mal me quer, bem me quer: uma análise dos cuidados dispensados ao idoso asilar

This article aims to portray a survey in order to see whether the established in the Practical Guide Caregiver program (Ministry of Health, established in 2008 to improve the care for the elderly), are also affecting the nursing homes of smaller towns, with reference to a city in São Paulo State, with approximately 100,000 inhabitants located in western Sao Paulo State.

Bem-me-quer, malmequer: uma análise dos cuidados dispensados ao idoso asilar

This article aims to portray a survey in order to see whether the established in the Practical Guide Caregiver program (Ministry of Health, established in 2008 to improve the care for the elderly), are also affecting the nursing homes of smaller towns, with reference to a city in São Paulo State, with approximately 100,000 inhabitants located in western Sao Paulo State.

Infecção de aves (Gallus gallus domesticus) com Salmonella enterica subesp. enterica sorovar Enteritidis contendo deleções nos genes cobS, cbiA, pduC, pduD e pduE: avaliação da colonização intestinal, invasão sistêmica e resposta imune

Pós-graduação em Medicina Veterinária - FCAV

A saúde do homem: doenças crônicas não transmissíveis e vulnerabilidade social

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Infecção de Lutzomyia longipalpis por leishmania spp. em área urbana endêmica para leishmaniose visceral no Estado de São Paulo, Brasil

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Educação em saúde para atenção à gestante: paralelo de experiências entre Brasil e Portugal

Care practices have raised some questions concerning the attention given to women, specifically when it comes to issues of extreme importance in Public Health's approach of pre-natal care. The present study intends to discuss the scope and challenges of the integral care in maternal health, taking into consideration the experiences of one of the authors in the health scenarios from both Brazil and Portugal. A comparative analysis was conducted on the format of the pre-natal classes offered to groups of pregnant women, a frequent practice of Primary Care in both countries. The method of participant observation of two groups of pregnant women, one in each country was used. The organization of each group is presented and evaluated regarding its methodological and practical settings. The analysis of the experiences indicates that both groups can be considered as informative or educative, since the chosen methodology and structure was formed by lectures with predefined themes; there was reduced reflection and empowerment possibilities, due to the fragmented presentation form, and this could also mean diminished reflection on the changes of the feminine role. It is thus concluded that the need for offering care for women in different periods of their lives should include a continuous fight for an amplified and integral approach, with emphasis in the care network and in health promotion.

Os efeitos psicológicos da atividade física nos cuidados de dependentes químicos

O profissional de educação física nos dias atuais deve ter amplo conhecimento sobre diversos assuntos relacionados à prevenção e manutenção da saúde de modo que este poderá atuar diretamente na melhora e reeducação da qualidade de vida de diferentes estados físicos e emocionais das pessoas em que irá trabalhar. O consumo abusivo de drogas ilícitas no século XXI, trás consequências emocionais e físicas, as dependências econômicas e de saúde geradas pelo seu consumo e propaga-se que, quando não tratadas adequadamente podem gerar um ciclo caótico de complicações, vindo a estabelecer problema real para a saúde pública mundial. O presente trabalho tem por objetivo enfatizar por meio da revisão de literatura os efeitos benéficos, tanto psicológicos como fisiológicos, que os programas de atividade física regular exerce no processo de cuidado e/ou zelo do dependente químico em meio ao tratamento. Constatou-se que a atividade física nos cuidados e/ou zelo do dependente proporciona inúmeros benefícios à saúde, além de contribuição fisiológica como desintoxicação, diminuição da frequência cardíaca de repouso e pressão arterial, melhorar a vascularização, diminuir a fadiga central, liberação do hormônio do prazer (endorfina) e as capacidades funcionais musculoesqueléticas. O exercício também é de fundamental importância para resgatar aspectos psicológicos como controle da ansiedade, depressão, alivio do estresse, melhora da autoimagem, autoestima, confiança e disciplina para seguir o tratamento e futuramente sua vida, e por fim possibilitou, ainda, entender as relações entre as funções fisiológicas e psicológicas do homem, de modo a deixar explícito que ambas caminham juntas e uma equipe multidisciplinar contando com psicólogos, nutricionista e profissionais de educação física se faz necessário, visto que eles trabalham em equipe levando em consideração as especificidades de cada...

Educação permanente em saúde em unidades críticas de um hospital de ensino: elaboração de material de apoio

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Hipertensão e diabetes mellitus: perfil assistencial e de usuários em uma unidade de saúde do interior paulista

Pós-graduação em Saúde Coletiva - FMB

Procura espontânea de atendimento por idosos da Estratégia Saúde da Família: análise não linear do comportamento temporal das morbidades

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Prática de atividades físicas, doenças crônicas não transmissíveis e mortalidade entre adultos usuários da atenção primária do sistema público de saúde de Bauru, São Paulo: estudo longitudinal

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Emprego de redes complexas para modelar e analisar a disseminação de microrganismos da familia enterobacteriaceae em pacientes mantidos em unidades de terapia intensiva

Nowadays the studies of different methodologies to interfere in the growing and spread of serious infections and systemic status in institutionalized patients those kept on intensive therapy units are relevant to understanding these complex systems and bring benefits to several health areas, particularly public health. In this study, it was analyzed the clinical and microbiological data from patients hospitalized in intensive therapy units. The interaction between patients and caregivers was modeled and analyzed using dynamic system model and complex network theory, identifying outbreaks values of microorganisms of Enterobacteriaceae Family.

A música associada às necessidades terapêuticas de pacientes com deficiência

The use of music and/or its elements (instruments, sound, rhythm, melody and harmony) in environments with people attended by public health centers, aims at promoting communication, facilitating the expression and the relationship in the first contact, hence favoring organization of standards and other relevant therapeutic objectives to assist physical, mental, social and cognitive needs of people, thus promoting the process of environmental adaptation, behavioral conditioning and social inclusion. The purpose of this project is to use music and its sound elements, as well as recreational activities, developed in stages called: socialization session, art workshop and complementary activities, with patients assisted at CAOE (Disabled People Dental Care Center) and their relatives. The objective is to provide them psychological wellbeing, inclusion to physical space, relaxation, stimulation of rhythmic and sonorous perceptions, memorization, emotions externalization, help and encouragement for the development of motor coordination during their daily activities of daily. Recreational activities, handling and contacting with musical instruments, broadcasting and producing sounds, stimulate cognitive capacity, interactivity and entertainment activities can greatly contribute to improve the behavioral reaction and adaptation of these patients, during their dental treatment.

Saúde coletiva: promoção de saúde bucal na gravidez

Objective: The aim of this study was to analyze the perception and attitudes about oral health of pregnant women recorded on SIS-Prenatal from Bilac city, São Paulo State. Method: the data collection was through interviews with pregnant women using a semi-structured questionnaire. Pregnant women that were not present on attendance with gynecologist and those whose children were born were excluded of sample. Result: Among the  20 interviewed pregnant women, 80% didn’t received any type of information about oral health during pregnancy, 45% of total didn’t know how to maintain baby’s oral health,  85% didn’t know the mean of carie disease. The majority of pregnant women (95%) interested to make part of projects about promotion of oral health. Conclusion: the future mothers showed little knowledge in relation to preventive proceedings in dentistry and about diseases that could involve their and baby’s oral health. It’s necessary to perform programs about oral health, pointing the cares for mother-baby