As ações em saúde mental nos Núcleos de Apoio à Saúde da Família - NASF

The National Police for Basic Care (PNAB), regulated by ordinance nº2488 from October 2011, restates the Family Health Strategy (ESF) as a priority to the expansion, consolidation and qualification of basic attention to health matters in Brazil. In order to bring it about, city counsellors along with other federal entities ought to ordinate their work process deepening principals, directions and fundaments of Basic Care (AB). Besides ESF, the new PNAB expatiates on the Family Health Support Centres (NASF), reaffirming their role on broadening the scope of basic care actions and their improvements, ratifying their ability to share knowledge and support Basic Care professionals. All this considered, the purpose of this work is to investigate how NASF is currently structured in João Pessoa and what has been achieved by it on what concerns to mental health. Its main objectives are to analyse the practices of mental health professionals that are part of NASF teams and if they differ from what has been developed by the other members of the teams; to discuss the articulation of NASF in managing mental health measures on what concerns to internal organisatio n and to the city health network; to identify strategies used to organise such measures on mental health in Basic Care. To reach such goals, individual interviews have taken place two city health managers and four of NASF professionals that participated on the Mental Health Office as representatives of their sanitary districts. Also a focal group formed by various supporters of NASF was created, contemplating the diversity of professional categories involved with the teams and sanitary districts. It was possible to identify in NASF, in João Pessoa, an organisation based by the matrix support in which both management and basic care demands reflect a series of actions developed alongside with ESF. Amongst such actions, matrixing, home visits and the Singular Therapeutic Project (PTS) stand out. These activities have been discussed on the focal group and integrate the daily work of all NASF supporters despite their professional categories. NASF presents itself as a powerful strategy to SUS proper qualification and support to strengthen Basic Care and broaden family health teams‟actions.

Núcleos de acessibilidade e o atendimento a alunos com necessidades educacionais especiais nas universidades federais do nordeste brasileiro

In the current context of policies for inclusiveness in the Brazilian higher education, the accessibility centers are responsible for the organization of actions toward the fulfillment of the legal requirements regarding accessibility and the elimination of barriers that interfere with the participation and learning of persons with special learning needs (SLN), providing conditions for the full inclusion of these students in the activities of learning, research and community outreach in this learning level. This research had the goal to analyse the work developed by the accessibility centers in the federal universities in the northeastern region of Brazil towards the care of students with SLN. It is a descriptive work, with quantitative and qualitative approaches. Twelve federal universities participated through their accessibility center’s coordinators. The data - gathered by means of an electronic survey filled out in 2014 - was organized and analyzed through descriptive statistics and content analysis; their discussion was made around four topics: organization of accessibility centers for the care of students with SLN, kinds and numbers of students with SLN cared for, actions developed, and suggestions for the improvement of the accessibility centers. It was found that in the sphere of the researched universities, the accessibility centers have been taking actions involving many parts of the academic community towards the improvement of the conditions and permanence of students with SLN. However, in some institutional realities, these action need to be expanded and/or consolidated. The coordinators suggest further actions towards the betterment of these centers, regarding expansion of financial and human resources, professional qualification, awareness of the academic community, institutionalization and the formation of a collaborative network among the accessibility centers. Thus, although there are still challenges to overcome, the presence of the accessibility centers is shown to advance the realization of policies for the inclusion of students with SLN in the post-secondary education, towards the democratization of learning starting from the universal right to education.

Núcleos de acessibilidade e o atendimento a alunos com necessidades educacionais especiais nas universidades federais do nordeste brasileiro

In the current context of policies for inclusiveness in the Brazilian higher education, the accessibility centers are responsible for the organization of actions toward the fulfillment of the legal requirements regarding accessibility and the elimination of barriers that interfere with the participation and learning of persons with special learning needs (SLN), providing conditions for the full inclusion of these students in the activities of learning, research and community outreach in this learning level. This research had the goal to analyse the work developed by the accessibility centers in the federal universities in the northeastern region of Brazil towards the care of students with SLN. It is a descriptive work, with quantitative and qualitative approaches. Twelve federal universities participated through their accessibility center’s coordinators. The data - gathered by means of an electronic survey filled out in 2014 - was organized and analyzed through descriptive statistics and content analysis; their discussion was made around four topics: organization of accessibility centers for the care of students with SLN, kinds and numbers of students with SLN cared for, actions developed, and suggestions for the improvement of the accessibility centers. It was found that in the sphere of the researched universities, the accessibility centers have been taking actions involving many parts of the academic community towards the improvement of the conditions and permanence of students with SLN. However, in some institutional realities, these action need to be expanded and/or consolidated. The coordinators suggest further actions towards the betterment of these centers, regarding expansion of financial and human resources, professional qualification, awareness of the academic community, institutionalization and the formation of a collaborative network among the accessibility centers. Thus, although there are still challenges to overcome, the presence of the accessibility centers is shown to advance the realization of policies for the inclusion of students with SLN in the post-secondary education, towards the democratization of learning starting from the universal right to education.

Matriciamento em saúde mental: atuação de núcleos de apoio à saúde da família

In the context of break with psychiatric hospitals, the Brazilian Psychiatric Reform is a historical process of reformulation of knowledge and mental health practices. In this way, the Centers of Support for Family Health (NASF) have been acting in the supply of matrix support in mental health. So, the present research aims to analyze the actions which the NASF is taking for the matrix support in mental health in the city of Natal/RN. This is a kind of research descriptive, exploratory and qualitative. The data collection, was made by a direct observation of the professional pratices and semi-structured interviews with health professionals NASF's. The Data were analyzed according to thematic analysis technique, with the support of the content analysis method, which is a way to investigate clusters of meanings which make up the communication of the investigated object. Three analytical categories were organized by this method, whose titles were inspired in two theories in the health field called “Health to Paidéia” and “Expanded Clinic”. The name of the categories are: 1. “Mental illness in brackets: working dimensions of the Centers of Support for Family Health interfaces with the concrete subject”, which is about the work process of NASF; 2. “Freedom and engagement in the arrangement of matrix support in mental health”, which explore the matrix support limitations in mental health in Natal/RN from the professionals interviewed at the NASF’s; 3. “Between the desire and interest: influence of expert orientation in mental health in Psychosocial Care Network” (RAPS), which is related to matrix support in mental health, as an organizational arrangement responsible to ensure intersectoral and comprehensive care, strategies inside of context of the constitution of RAPS. We can extract and say that the actions of NASF teams in the brazilian city called Natal/RN, still not part of a structured link with health care networks, as happens with the absence of discussions and lack of professionals in the matrix support. In addition, there is a difficulty to do an specialized orientation in mental health because of the lack of human resources in this area and of the insufficient number of the replacement services for psychiatric hospital pratices, bringing up the discussion about the consolidation and expansion of RAPS in fact investigated.

CUDA-MMP - Codificação de imagens com sistemas com múltiplos núcleos

Hoje em dia, a área de codificação de dados é transversal a diversos tipos de engenharias devido à sua grande importância. Com o aumento exponencial na criação de dados digitais, o campo da compressão de dados ganhou uma grande visibilidade nesta área. São constantemente desenvolvidos e melhorados algoritmos de compressão por forma a obter a maior compressão de dados possível seja com ou sem perda de dados, permitindo sustentar o rápido e constante crescimento dos mesmos. Um dos grandes problemas deste tipo de algoritmos deve-se ao grande poder computacional que por vezes é necessário para obter uma boa taxa de compressão mantendo a qualidade dos dados quando descompactados. Este documento descreve uma estratégia para tentar reduzir o impacto do poder computacional necessário à codificação de imagens utilizando uma implementação heterogénea. O objetivo é tentar efetuar a paralelização das secções que requerem elevado poder computacional reduzindo assim o tempo necessário à compressão de dados. Este documento baseia-se na implementação desta estratégia para o algoritmo de codificação de imagens MMP-Intra. Utilizando inicialmente uma análise teórica, demonstramos que é viável efetuar a paralelização do algoritmo, sendo possível obter elevados ganhos de desempenho. Por forma a provar que o algoritmo MMP-Intra era paralelizavel e identificar os ganhos reais foi desenvolvido um protótipo inicial, o qual obteve um desempenho muito inferiore ao do algoritmo original, necessitando de muito mais tempo para obter os mesmo resultados. Utilizando um processo de otimização iterativo o protótipo passou por várias etapas de refinação. O protótipo refinado final obteve resultados muito superiores ao algoritmo sequencial no qual o mesmo foi baseado chegando a obter desempenhos quatro vezes superior ao original.

Experiencia colombiana en reparación de núcleos de transformadores de potencia

Este artículo presenta el reporte de caso sobre fallas presentadas en el núcleo de transformadores de potencia y algunas experiencias técnicas y metodológicas en la reparación parcial y total de los mismos a varias unidades, hechas en Industrias Explorer Ingeniería S. A. S., empresa dedicada al mantenimiento y reparación de transformadores. También es presentada la metodología para la selección del tipo de lámina, sistema de corte, ensamble, ajuste y prensado del núcleo, ya que estas actividades son decisivas para conseguir un equipo con menores pérdidas y corrientes de vacío, así como menores niveles de ruido. Se describen las etapas para cálculo del flujo de operación del núcleo, circuito de prueba para la saturación del mismo, consideraciones para realizar la inspección termográfica y medición de las pérdidas de vacío, selección del tipo de lámina y técnicas de ensamble empleadas. Se presentan algunas experiencias como: cambio de medio núcleo, reaislamiento de zonas afectadas empleando fibras Nómex entre láminas, cambio total del núcleo por corte mal realizado desde fábrica, cambio total del núcleo por doble aterrizamiento que ocasionó calentamiento del mismo y afectó el aislamiento de sus láminas dejándolas en corto. En todos los casos se evidencia una disminución de las pérdidas de vacío. Finalmente se presentan el comportamiento de los transformadores después de ser puestos nuevamente en servicio.

Benefícios afetivossociais da prática da dança para estudantes dos núcleos de arte da Prefeitura do Rio de Janeiro

O propósito desta pesquisa foi investigar o papel atribuído à Dança, no âmbito da dimensão afetivossocial compreendendo como se reflete na vida (pessoal e social) dos jovens estudantes dos oito Centros de Pesquisa e Formação em Ensino Escolar de Arte e Esporte – Núcleo de Arte da Prefeitura do Rio de Janeiro – distribuídos em distintas regiões do município do Rio de Janeiro. A base teórica do estudo foi fundamentada pela dimensão afetivossocial em autores de referência da área (Bertine, 2014; Damásio, 2012; 2013; Godoy, 2013; Leme, 2013; Macara 2010a, 2010b; Marques, 2010; 2014; Matos & Tomé, 2012; Monteiro, 2012; Shapiro, 2008; Stinson, 2014; Strongman, 2002; Sawaia, 2014; Varregoso et al., 2014). Com este desígnio, o trajeto metodológico percorrido para construção da tese decorreu em duas fases. A primeira de natureza exploratória, marcada por dois Estudos Preliminares. A segunda de natureza pluri-metodológicos: Pesquisa de Método Misto, com a combinação entre a abordagem quantitativa e qualitativa, marcada por um estudo de campo. Participaram do estudo quantitativo 378 praticantes de Dança de 12 a 18 anos de idade e do estudo qualitativo 52 integrantes do espaço (diretores, professores, coordenador e praticantes e ex-praticantes). O método de análise adotado foi estatístico descritivo e correlação de Pearson pelo SPSS22 e, análise de conteúdo. Todos os dados analisados foram integrados nas duas dimensões do estudo, Dimensão Representação Afetivossocial e Dimensão Transformação Pessoal e Social. Como resultado, verificamos que os jovens sentem-se motivados e incluídos pelo trabalho realizado nas oficinas de Dança nos núcleos, percebem que a Dança é fonte de empoderamento da dimensão afetivossocial pelo despertar da motivação, do bem-estar e da autorealização. No campo afetivo, descrevem o desenvolvimento das competências emocionais pelas sensações, emoções e sentimentos gerados no corpo e nas experiências relacionais na Dança, despertando o conactus (Damásio, 2012; Leme, 2013) e a potência de ação (Sawaia, 2014), capazes de transformar estados emocionais, situações e coisas em benefício próprio. O desenvolvimento das competências sociais transcorreu pela mudança comportamental em casa, pela tríade interação-participação-transformação social no núcleo, família, escola e comunidade despertando sentimentos na construção da dimensão afetivossocial e promovendo liberdade de ser e estar no mundo. Com o desenvolvimento destas competências, estes jovens percebem-se incluídos na sociedade despertando para muitos o desejo de prosseguimento na carreira (Amadora ou Profissional).

Brain SPECT imaging in Huntington's disease before and after therapy with olanzapine: case report

Olanzapine, an atypical antipsychotic drug, was administered to a patient with Huntington's disease (HD) with marked choreiform movements. Brain SPECT with 99mTc-HMPAO was performed before and after treatment. Brain SPECT imaging has been performed in patients with HD in order to determine the status of basal ganglia perfusion. The use of brain SPECT with 99mTc-HMPAO before and after treatment in patients with HD has not been yet reported. The marked hypoperfusion of the basal ganglia on brain SPECT performed before therapy with olanzapine improved significantly after treatment.

Cromomicose cerebral: registro de um caso

A case of brain abscess and meningitis due to pigmented fungi is reported. The patient was a 59-year-old white male, who had enjoyed excellent health until October 1977, when he developed headache, later accompanied by paresthesias and weakness in the left-sided extremities. These symptoms worsened progressively and in November of that year he had to quit his job. From February 1978 on he became inactive and anorexic. Intense continuous headache was associated with frequent episodes of vomiting. He gradually became tor-porous, and according to his relatives, suffered from visual and possibly auditory deficiency. On examination, he was malnourished and dehydrated, with decubitus ulcers. Temperature was 38,5°C. A left-sided spastic hemiplegia and prominent meningorradicular signs were noted. The CSF was examined six times between May 17th and June 1st and showed variable hypercytosis (143 to 4,437 leucocytes/ cu mm) with predominance of neutrophils (up tp 95%), low glucose and high protein concentrations. No microorganisms were identified. Electroencephalographic study disclosed a low background activity especially in left temporal areas. Despite supportive care and antibiotic therapy he lapsed into coma. Carotid angiography was normal on June 1st. He remained in deep coma until his death on June 6th, 1978. Necropsy was limited to the brain, which weighed 1,550 g after fixation and showed diffuse intense edema and hyperemia. On coronal sectioning an encapsulated abscess was found in the right basal ganglia, which also involved the internal capsule, and measured 1.5 cm in diameter. Microscopical examination disclosed large numbers of brownish fungi, appearing both as oval yeasts and as septate hyphae in the thick fibrous capsule and in the necrotic content of the abscess. The same organisms were demonstrated in moderate numbers in the leptomeninges of the medulla oblongata and , less frequently, of the hippo-campal region and cerebellum.

Abnormally increased iron concentration in basal ganglia in Shy-Drager syndrome MR imaging and autonomic study: RM imagem e estudo autonômico

Report of an early case of Shy-Drager syndrome in a 67 year-old woman patient. Autonomic failure was diagnosed by functional evaluation as well as laboratory tests. MR imaging disclosed a prominent putamina hypodensity in T2-weighted images at high field strength due to iron increased depositing in this basal ganglia. MR imaging evidences confirm Shy-Drager syndrome diagnosis, and contributes for differential diagnosis of idiopathic hypotension (pure autonomic failure) in special in SDS early cases.

Hegemonia e contra-hegemonia na construção de políticas de esporte e lazer : a experiência do Consórcio Brasília = Hegemony and counter-hegemony in the process of sport and leisure policy-making : the experience of the Consortium Brasilia

Universidade Estadual de Campinas . Faculdade de Educação Física

O esporte como manifestação de cultura e cidadania : o futebol de praia em Santos

Universidade Estadual de Campinas. Faculdade de Educação Física

Processos adaptativos do tecido muscular esqueletico e tecido conjuntivo : repercussões sobre a flexibilidade

Universidade Estadual de Campinas. Faculdade de Educação Física