A comunidade terapêutica para recuperação da dependência do álcool e outras drogas no Brasil: mão ou contramão da reforma psiquiátrica?

Na segunda metade do século passado iniciava-se um movimento revolucionário no cenário mundial da saúde mental: a Reforma Psiquiátrica. No mesmo momento nascia a proposta das Comunidades Terapêuticas, que mais tarde se tornaria um modelo consagrado de atendimento para a dependência do álcool e outras drogas. Por outro lado, com o alarmante crescimento deste problema no Brasil, assim como pela ausência de políticas públicas que dessem conta do problema, houve uma indiscriminada proliferação de locais de internação para dependentes químicos que, mesmo se autodenominando como Comunidades Terapêuticas, em nada se assemelham ao modelo inicial proposto. Estes locais apresentam práticas desumanas e iatrogênicas, muito semelhantes às criticadas pelo movimento da Reforma Psiquiátrica, o que tem provocado o descrédito para com o modelo das Comunidades Terapêuticas. Este artigo tem como objetivo demonstrar, através de pesquisa bibliográfica, como as bases conceituais e metodológicas da Reforma Psiquiátrica se assemelham profundamente as do movimento das Comunidades Terapêuticas, tendo surgido na mesma época e pelo mesmo motivo, e como a falta de regulamentação dos locais de internação para dependentes químicos no Brasil tem contribuído com o atual descrédito deste modelo.

A influência da Teoria da Dependência nas Ciências Sociais: Fernando Henrique Cardoso e Ruy Mauro Marini

Pós-graduação em Ciências Sociais - FFC

Grau de comprometimento e tempo de trânsito orofaríngeo em disfagia no acidente vascular encefálico

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Plantas hortícolas dos quintais e sua importância para as famílias do assentamento Pirituba II , Itapeva/Itaberá,SP

Pós-graduação em Agronomia (Horticultura) - FCA

Estudo do grau de conhecimento geral dos donos de cães sobre a leishmaniose visceral canina no município de Lençois Paulista-SP-2012

Pós-graduação em Medicina Veterinária - FMVZ

Estudo da biocompatibilidade da liga Ti-6AI-7Nb e titânio de grau 2 em tíbia de coelhos

Pós-graduação em Biopatologia Bucal - ICT

Ingestão Oral e Grau de Comprometimento da Disfagia Orofaríngea Neurogênica Pré e Pós-Fonoterapia

Objective. To compare, pre- and post-swallowing therapy, the level of oral intake scale, and the degree of severity of neurogenic oropharyngeal dysphagia. Method. 19 patients with oropharyngeal dysphagia: 10 Post-Stroke adults, aged from 44 years to 76 years (group 1 – G1), and nine children with Cerebral Palsy, aged from two years and five months to 15 years (group 2 – G2). We excluded individuals in the process of spontaneous recovery. We held retrospective analysis of clinical protocols for clinical speech therapy evaluation with classification of the degree of dysphagia severity, applied before and after swallowing therapy. We used the Functional Oral Intake Scale - FOIS to assess the level of oral ingestion, pre and post-swallowing therapy. Results. The degree of commitment of dysphagia was favorable change only in adults, and in FOIS these changes occurred in both groups. Conclusion. There were favorable changes in the degree of impairment of oropharyngeal dysphagia and levels of FOIS, pre and post - speech therapy in stroke, but in ECINP markers used showed no favorable changes should even be reviewed for application in this population. Future studies are needed to investigate the variables in this sample.

Classificação do grau de comprometimento motor e do índice de massa corpórea em crianças com paralisia cerebral

Children with cerebral palsy due to movement and posture disorders might have an injured nutritional state. This study's objective was to classify the body mass index of children with cerebral palsy and verify its relation with the injury level of gross motor function. Twenty children, male and female sex, with cerebral palsy with ages between 2 and 14 years participated in the study. They were chosen from a rehabilitation center with physiotherapy, occupational and speech therapy accompaniment. Children were classified according to the gross motor function classification scale. The anthropometric measures of each child weight, heel-knee length, estimated stature and body mass index were gauged. The body mass index was classified according to the Center for Disease Control and Prevention's body mass index percentile calculator for children and teenagers. The obtained data didn't show any relation between the gross motor function and body mass index. The reduced number of participants and the fact of all children be accompanied in dysphagia clinics and, when necessary, nutrition clinics, might have influenced these results.

Dependência espacial da estabilidade de agregados e matéria orgânica do solo em cambissolo sob cultivo de cana de açucar

The soil management system can modify the natural distribution of the soil attributes and, consequently, the variability of the soil aggregation and organic matter content. Thus, the aim of this work was to evaluate the aggregate stability and organic matter content spatial distribution on a Haplic Cambisol under sugar cane cultivation in the Southern Amazonas State, Brazil. A 70 x 70 m square mesh, with regular 10 meters intervals, was designed over the cultivation area, resulting in 64 sample points. Soil blocks with preserved structure were collected at 0.0-0.2 m depth in order to analyze the aggregate stability and organic matter content. The data were submitted to the descriptive and geostatistical analysis. The soil attributes presented a spatial dependence structure and the greater range was observed for the mean weighted diameter and aggregate class <1.00 mm. Also, there is a spatial relation among the mean geometric diameter, mean weighted diameter and aggregate classes (>2.00 and 2.00-1.00 mm).

Habilidades Sociais e Dependência Nicotínica em Universitários Fumantes

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Correlação entre autoestima e grau de severidade da disfunção temporomandibular em sujeitos controle e afetados

INTRODUCTION: Temporomandibular disorders (TMD) have association with psychological manifestations. OBJECTIVE: The aims of this study were to correlate the severity of TMD and the level of self-esteem, and to investigate sex‑related differences. MATERIAL AND METHOD: We evaluated 57 subjects of both gender, with mean age of 20.28 ± 2.07 years, through the Fonseca Anamnesis Index (FAI) and Rosenberg Self-esteem Scale (RSS). Correlations between variables were performed using the Spearman correlation coefficient; comparisons between the genders were performed using the Mann-Whitney test. It was considered a significance level of 5%. RESULT: No differences were found for the comparisons between the gender in the FAI (p = 0.79) and the RSS (p = 0.90). RSS correlates with the FAI in women (p = 0.01), but in men this result does not occur (p = 0.07). CONCLUSION: We concluded that women are more likely to have emotional disturbances resulting from changes in the temporomandibular joint than men.

Cuidado ao paciente idoso hospitalizado: implicações para a equipe de enfermagem

The Brazilian population is ageing rapidly, and chronic diseases have increased. Due to deficient health care services, the diagnosis and treatment of such diseases occur in the tertiary level, which increases costs and reduces the possibilities of early diagnoses. In view of the elderly population‟s increase and of the great demand at hospitalization units, it is important to learn about the difficulties and facilities faced by nursing teams when giving care to hospitalized individuals. In order to reach the objectives, a cross-sectional, prospective, descriptive, analytical and qualitative study was performed with basis on Bardin‟s Content Analysis. Among the difficulties were patients‟ limitations, dependence level, behaviors and habits, interference from companions, feeling of abandonment, perception of needs, dealing with suffering and lack of time for adequate care. As to facilities, acceptance of the disease, adherence to treatment, collaboration, trust in the team, and older patients‟ politeness were reported, which shows that passiveness is an important indicator in caring for the elderly. Older individuals suffer the outcomes of certain physical, psychological and mental deficits. When facing disease conditions, they require special care, including hospitalization and greater attention. The nursing team provides daily care and follows patients‟ development; however, its members are still not knowledgeable enough about the ageing process. This contributes to increase prejudice and erroneous stereotypes about older persons. Therefore, not understanding such process compromises the full care to be provided to older patients. This leads team members to accelerate the care provision process in order to meet the daily work demand, thus compromising older patients‟ autonomy and making them more dependent on the team, whereas the process should follow the opposite path

Proposta de diretrizes embasadoras para introdução de sistemas de medição de desempenho em empresas de projetos de instalações prediais

The civil construction in Brazil has grown a lotover the last years. This has caused a greater competition between companies of the sector. A little difference in quality in service or product a company offers can determine their success in the market. There is a growing demand for tools that optimize processes and bring greater quality to each activity in these companies. Performance measurement systems make it possible to control process efficiency and effectiveness using performance indicators. Considering this need, the paper before you has the objective of creating basic guidelines to introduce performance measurement systems inbuilding installations project companies. A theoretical reference is presented to describe organizational aspects of project companies along with performance measurement systems characteristics. Using a qualitative research methodology, a study case was executed with interviews, observation and document analysis as evidence sources. In the study case, limitations where identified, such as, high degree of product and process flexibility, dependence on subjective analysis for decision making and lack of specialized information systems. Considering the theoretical reference and the study case,the proposed guidelines intend to ease and guarantee greater chances of success when implanting one of these systems

Estudo do comportamento em fadiga de uma chapa de aço microligado, grau API 5L X70

In engineering, for correct designing the structural components required for cyclical stresses, it is necessary to determine a limit of resistance to fatigue, which is the maximum amplitude of the applied tension under which the fatigue failure does not occurs after a certain number cycles. The marine environment is hostile, not only by the high pressure, corrosion, but also by low temperatures. Petrol Production units, composed of the risers (pipelines connecting the oil well to the ship), are dimensioned to remain installed for periods of 20 up to 30 years, and must therefore be prepared to support various efforts, such as tidal, wind currents and everything that is related. This paper focuses on a study on the fatigue behavior of microalloyed steel, API 5L Grade X70, used to transport oil and gas by pipelines. For analysis, we obtained the curves S-N (stress vs. number of cycles) using laboratory data collected from cylindrical longitudinal and transverse specimens used in axial fatigue test in accordance with ASTM E466. The tensile tests and microhardness were performed to characterize the mechanical properties of the samples, and it was found that the values meet the specifications of the standard API 5L. To characterize microstructurally the material, it was also made a metallographic analysis of the steel under study, and the origin of the fatigue crack was investigated with the support of a scanning electron microscope (SEM).

Brasil Zero Grau: a jornada de nossos atletas rumo aos Jogos Olímpicos de Inverno

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