Social representations of feeding people with type-2 diabetes mellitus

The aim of this study was to analyze the social representations of the diets 34 patients of the Brazilian public primary care service diagnosed with type- 2 diabetes mellitus, according to how they represent their identity. Free association of words was used with responses to questions to survey social representations of food. Representations of identity were adopted from a previous study with the same participants. Normal participants eat healthily, eat little, eat greens and vegetables, avoid sweets, have positive attitudes, and maintain healthy eating habits and regular blood glucose levels. Participants who accept having the disease do not eat a lot, do not eat everything, avoid sweets, have an attitude of acceptance, and maintain inadequate eating habits and uncontrolled blood glucose. Participants with difficulties do not eat everything, do not eat a lot, do not follow the diet and eat vegetables and fruits, and have negative attitudes and altered blood glucose.info:eu-repo/semantics/publishedVersio

Social representations of feeding people with diabetes mellitus

The aim of this study was to analyze the social representations of the diets 34 patients of the Brazilian public primary care service diagnosed with type 2 diabetes with DM2, according to how they represent their identity. Free association of words was used with responses to questions to survey social representations of food. Representations of identity were adopted from a previous study with the same participants. Normal participants eat healthily, eat little, eat greens and vegetables, avoid sweets, have positive attitudes, and maintain healthy eating habits and regular blood glucose levels. Participants who accept having the disease do not eat a lot, do not eat everything, avoid sweets, have an attitude of acceptance, and maintain inadequate eating habits and uncontrolled blood glucose. Participants with difficulties do not eat everything, do not eat a lot, do not follow the diet and eat vegetables and fruits, and have negative attitudes and altered blood glucose.info:eu-repo/semantics/publishedVersio

Representações sociais das pessoas com diabetes mellitus: implicações no controle glicêmico

Pesquisas qualitativas envolvendo a relação entre representações sociais da alimentação, identidade e controle glicêmico não foram encontradas na literatura científica sobre o assunto. O objetivo desse estudo é analisar as representações sociais da alimentação das pessoas com diabetes mellitus tipo 2 (DM2) conforme representam a sua identidade e suas implicações no controle glicêmico. Participaram 34 usuários com DM2 de uma unidade básica de saúde de Belo Horizonte, Brasil. Utilizou-se a associação livre de palavras com justificativas de questões para identificar as representações sociais da identidade e da alimentação. As categorias das representações identitárias foram obtidas de um estudo anterior realizado com os mesmos participantes: aqueles que se consideram “normais”; os que aceitam a doença; os inconformados e os que levam a vida com dificuldades. As categorias das representações sociais da alimentação são: comer saudável, comer verduras e frutas, comer pouco, evitar doces, não comer de tudo, não comer muito e não seguir a dieta. É necessário desenvolver estudos que aumentem o conhecimento sobre as dificuldades e as necessidades das pessoas com diabetes e que promovam o seu envolvimento e o autocuidado.Qualitative research involving the relationship between social representations of diet, identity and glycemic control was not found in the scientific literature on the subject. The objective of this study is to analyze the social representations of the diet of people with type 2 diabetes mellitus (DM2) as they represent their identity and its implications for glycemic control. A total of 34 DM2 users from a basic health unit in Belo Horizonte, Brazil participated. We used the free association of words with justifications of questions to identify the social representations of identity and diet. The categories of identity representations were obtained from an earlier study conducted with the same participants: those who considered themselves "normal"; those who accept the disease; the nonconformists and those who lead a difficult life. The categories of social representations of diet are: eating healthy, eating vegetables and fruits, eating little, avoiding sweets, not eating at all, not eating too much and not following the diet. It is necessary to develop studies that increase awareness of the difficulties and needs of people with diabetes and promote their involvement and self-care.info:eu-repo/semantics/publishedVersio

Identity representation of users with diabetes Mellitus in primary care

As pessoas com diabetes mellitus tipo 2 (DM2) ao descobrirem a doença experimentam rupturas na identidade e nos comportamentos. Uma das formas de se aprofundar o conhecimento da visão subjetiva da pessoa com DM 2 é buscar suas representações identitárias, fenômeno dinâmico composto pelas representações de si-mesmo e representações intergrupo. Investigar a construção das representações identitárias dos usuários com DM2 da atenção primária à saúde e sua relação com as ações de autocuidado requeridas. Utilizou-se a associação livre de palavras, solicitando aos usuários com diabetes melittus tipo 2 de uma unidade básica de saúde (n=34) que sugerissem uma palavra ou expressão, com justificativa, após a questão indutora: quando se fala em eu sou diabético, o que vem à sua mente? Os discursos foram gravados, transcritos, categorizados e interpretados pela técnica da análise do conteúdo temático-categorial e as teorias da representação social e identidade social. As interações mediadas pelos processos identitários – comparação social, atribuição social e categorização no grupo estudado, proporcionaram a construção social das representações identitárias “normal”, “aceitar a doença”, “ser inconformado”, “ter dificuldades” dos participantes com DM2. Os profissionais da saúde devem compreender o contexto permeado pelo sentido subjetivo das pessoas com DM2 alterado pela doença, além do ponto de vista biomédico.People with type 2 diabetes mellitus (DM2) to discover the disease experience disruptions in identity and behavior. One of the ways to deepen the knowledge of the subjective view of the person with diabetes 2 is to seek their identity representations, dynamic phenomenon composed of representations of self and intergroup representations. To investigate the construction of the identity representations of users with DM2 of primary health care and its relationship with self-care actions required. We used the free word association, prompting users with diabetes mellitus type 2 in a basic health unit (n = 34) to suggest a word or phrase, with justification, after inducing question: when it comes to “I am diabetic, what comes to your mind?”. The speeches were recorded, transcribed, categorized and interpreted by analyzing the technique of thematic-categorical content and theories of social representation and social identity. The interactions mediated by identity processes – social comparison, social attribution and categorization in the study group, provided the social construction of identity representations “ normal”, “accepting the disease”, “being unaccepting, and “leading a difficult life”. Health professionals must understand the context permeated by subjective sense of people with DM2 changed by the disease, beyond the biomedical viewpoint.info:eu-repo/semantics/publishedVersio

Impact of Mobile Dental Clinics on the Quality of Life of Children

Objective: To evaluate the impact of mobile dental clinics on the oral health-related quality of life (OHRQL) of children. Material and Methods:A longitudinal epidemiological study was conducted with participants from seven mobile dental clinics carried out between May 2019 and January 2020 by the NGO Missão Sorrisos. Parents and children who attended the program had their sociodemographic data collected. Both completed the Scale of Oral Health 5 (SOHO-5) self-reported questionnaire before treatment and again 30 days after treatment. Results: The improvement in the children\u27s oral health after treatment at the mobile clinics is reflected in the pre-and post-treatment medians measured by the SOHO-5 total score from the children\u27s own reports from the parents\u27 reports. The procedures performed were effective in reducing pain and difficulties in eating, drinking, and sleeping. An improvement in the perception of the children\u27s appearance and self-confidence was reported, both from the perspective of the parents/guardians and the children themselves. The chance of improvement in the perception of the children’s oral health was greater for parents (OR=5.96; CI95%: 1.32-26.84) and children (OR=5.76; CI95%: 1.28- 25.95) from families whose main caregiver was not professionally active at the time of the study. Conclusion: The mobile dental clinics had a positive impact on the OHRQL of children from the perspective of the participants of the study

Avaliação das redes de saúde através da visão dos médicos do programa Mais Médicos do Brasil na Paraíba

Healthcare Networks are organizational arrangements of actions and health services of different technological densities integrated through technical, logistical and management support systems which seek to guarantee comprehensive healthcare (BRASIL, 2010). Health work in the Network format is internationally recognized as an effective model when it is thought to promote health in its entirety, and also when it becomes necessary to equalize the distribution of services in a large population or territorial area with economic and health responsibility. Developing the principle of comprehensiveness has been and continues to be a major challenge faced by the State; this challenge, among other aspects, is very much related to the difficulty to access the offered services and the need for care coordination, which implies continual communication between services, and for which we need functional and robust primary healthcare. The present study sought to design the access to healthcare networks in the state of Paraíba from the perspective of the professionals in the “More Doctors” Program of Brazil in the state of Paraíba. It was also possible to develop the sociodemographic profile of the professionals working in the program, as well as to characterize both access to networks by macro health region and the existence of a hierarchy in health work through the impression of these professionals.NenhumaRedes de Atenção à Saúde são arranjos organizativos de ações e serviços de saúde, de diferentes densidades tecnológicas, que integradas por meio de sistemas de apoio técnico, logísticos e de gestão, buscam garantir a integralidade do cuidado (BRASIL, 2010). O trabalho de saúde no formato de Redes é internacionalmente reconhecido como um modelo eficaz quando se pensa em promover saúde integralmente e também quando se faz necessário equalizar a distribuição dos serviços em grande área populacional ou territorial com responsabilidade sanitária e econômica. Desenvolver o princípio da integralidade foi e continua a ser um grande desafio enfrentado pelo Estado; desafio este, entre outros aspectos, muito relacionado à dificuldade de acesso aos serviços ofertados e à necessidade de coordenação do cuidado, que implica em permanente comunicação entre os serviços; para o qual necessitamos de uma atenção primária funcionante e robusta. O presente trabalho buscou, através da visão dos profissionais do Programa mais médicos do Brasil no estado da Paraíba, desenhar o acesso às redes de atenção à saúde no estado da Paraíba. Foi possível também desenvolver o perfil sócio demográfico dos profissionais atuantes no programa assim como caracterizar através da impressão destes profissionais, tanto o acesso às redes por macrorregião de saúde quanto a existência de hierarquização do trabalho em saúde

Estudo tipológico sobre a forma urbana: conceitos e aplicações

Este trabalho visa à conceituação de tipologia morfológica como instrumento de pesquisa na análise da paisagem urbana. Em um primeiro momento discorremos sobre os conceitos tipologia e morfologia segundo teóricos como Quatremère de Quincy, Giulio Carlo Argan, Aldo Rossi e Rob Krier, e ainda, José Lamas e Josep Montaner. Em um segundo momento discorremos sobre o conceito de tipologia morfológica, uma análise da paisagem que associa o instrumento de pesquisa da tipologia ao da morfologia. Para finalizar é apresentado um exemplo de aplicação desta análise num recorte da cidade de Belo Horizonte, Minas Gerais.This paper work attempts to a conceituacion of morphological typology as an instrument of research on the analysis of the landscape. In a first moment we will talk about concepts of typology and morphology of Quatremère de Quincy, Giulio Carlo Argan, Aldo Rossi e Rob Krier, e ainda, José Lamas e Josep Montaner. In a second moment we will say about the concept of morphological typology, an analysis of the landscape that associates the instrument of research of typology and morphology. To and the discussion an example of application of this analysis is shown in a study of the city of Belo Horizonte, Minas Gerais

Intervenção educativa na diabetes mellitus

O objetivo do estudo foi propor um modelo de intervenção educativa pautado na mudança comportamental, que dialogue com as representações sociais para 34 utentes com diabetes mellitus tipo 2 da atenção primária à saúde de Belo Horizonte/Brasil. Coletaram-se os dados sócio-demográficos, clínicos e antropométricos e, através de entrevistas semi-estruturadas, fez-se um levantamento das opiniões dos participantes em relação à identidade e à alimentação. Os discursos foram categorizados e analisados pela análise de conteúdo. Para ilustrar o modelo proposto da abordagem no processo de acção em saúde, utilizou-se o estudo de caso. Esse modelo inclui, na fase motivacional, a intenção, como um processo decisório pelo qual um indivíduo poderá adotar uma ação preventiva, e as representações sociais apreendidas dos participantes sobre os resultados esperados e a perceção de risco. Na fase volitiva, incluiu-se a resolução de problemas. As representações sociais levantadas e a autoeficácia influenciam a construção cognitiva dos planos de acção.The aim of this study was to propose an educational intervention based on social representations from a review of models of behavioral change. To illustrate the model we used part of the empirical representations of identity and feeding of 34 users with type 2 diabetes mellitus in a primary care unit in Belo Horizonte/Brazil. We selected to adopt the health approach process action, because this model considers the motivational stage the social representations about the contingencies that influence health behavior desired, expected outcomes, risk perception and intention as a decision-making process by which an individual may adopt a preventive measure or change risk behavior for others. In the volitional phase we included the resolution of problems. Social representations of acceptance to be diabetic and those related to feeding and self-efficacy influence the cognitive construction of action plans