A FORMAÇÃO CONTINUADA DO DOCENTE NO ENSINO FUNDAMENTAL

This article presents the results of the survey conducted among elementary school teachers belonging to Pirapozinho Division Municipal, State of Sao Paulo. The study aimed to identify the understanding of aspects of continuing education in the face of initial training from the perspective of teachers. As a result, was considered the need for continued education and has been proposed as the discussion of in-service

Qualidade de vida de pacientes em tratamento hemodialítico em um município da Baixada Maranhense / Quality of life of patients under hemodialytic treatment in a municipality of Baixada Maranhense

Introdução: a Insuficiência Renal Crónica (IRC) resulta de uma série de processos patológicos que causam uma lesão irreversível no tecido renal, tornando os rins incapazes de excretar os resíduos tóxicos do organismo e de manter o equilíbrio hidroeletrolítico. Neste caso, a principal modalidade de tratamento é a hemodiálise que consiste na purificação do sangue semanalmente através de uma máquina externa ao organismo. Diante desse processo, a qualidade de vida relacionada a saúde (QVRS) deve ser avaliada, em virtude das condições clínicas e evolutivas da doença, que implicam em diversas mudanças fisiológicas e psicossociais em pacientes renais. Objetivo: avaliar a qualidade de vida relacionada à saúde de pacientes em hemodiálise no município de Pinheiro-MA. Materiais e métodos: trata-se de um estudo transversal de abordagem quantitativa, realizado em 53 pacientes que realizam hemodiálise em um serviço público de nefrologia do município de Pinheiro, Maranhão, Brasil. Os dados sociodemográficos foram inseridos e analisados no Stata versão 14.0. E os dados do Kidney Disease and Quality-of-Life Short-Form 1.3 (KDQOL-SF TM) no ScoringProgram (v 2.0). Resultados: percentuais inferiores à média do instrumento KDQOL-SFTM foram encontrados nos domínios da sobrecarga da doença renal (32,5%), papel profissional (18,5%), função física (19,9%) e função emocional (31,1%). Conclusões: em nosso estudo as áreas com os níveis mais baixos de QVRS (media ? 40,001) foram: sobrecarga da doença renal, papel profissional, função física e função emocional

A Mobile Health Intervention for Patients With Depressive Symptoms: Protocol for an Economic Evaluation Alongside Two Randomized Trials in Brazil and Peru

BACKGROUND: Mobile health interventions provide significant strategies for improving access to health services, offering a potential solution to reduce the mental health treatment gap. Economic evaluation of this intervention is needed to help inform local mental health policy and program development. OBJECTIVE: This paper presents the protocol for an economic evaluation conducted alongside 2 randomized controlled trials (RCTs) to evaluate the cost-effectiveness of a psychological intervention delivered through a technological platform (CONEMO) to treat depressive symptoms in people with diabetes, hypertension, or both. METHODS: The economic evaluation uses a within-trial analysis to evaluate the incremental costs and health outcomes of CONEMO plus enhanced usual care in comparison with enhanced usual care from public health care system and societal perspectives. Participants are patients of the public health care services for hypertension, diabetes, or both conditions in São Paulo, Brazil (n=880) and Lima, Peru (n=432). Clinical effectiveness will be measured by reduction in depressive symptoms and gains in health-related quality of life. We will conduct cost-effectiveness and cost-utility analyses, providing estimates of the cost per at least 50% reduction in 9-item Patient Health Questionnaire scores, and cost per quality-adjusted life year gained. The measurement of clinical effectiveness and resource use will take place over baseline, 3-month follow-up, and 6-month follow-up in the intervention and control groups. We will use a mixed costing methodology (ie, a combination of top-down and bottom-up approaches) considering 4 cost categories: intervention (CONEMO related) costs, health care costs, patient and family costs, and productivity costs. We will collect unit costs from the RCTs and national administrative databases. The multinational economic evaluations will be fully split analyses with a multicountry costing approach. We will calculate incremental cost-effectiveness ratios and present 95% CIs from nonparametric bootstrapping (1000 replicates). We will perform deterministic and probabilistic sensitivity analyses. Finally, we will present cost-effectiveness acceptability curves to compare a range of possible cost-effectiveness thresholds. RESULTS: The economic evaluation project had its project charter in June 2018 and is expected to be completed in September 2021. The final results will be available in the second half of 2021. CONCLUSIONS: We expect to assess whether CONEMO plus enhanced usual care is a cost-effective strategy to improve depressive symptoms in this population compared with enhanced usual care. This study will contribute to the evidence base for health managers and policy makers in allocating additional resources for mental health initiatives. It also will provide a basis for further research on how this emerging technology and enhanced usual care can improve mental health and well-being in low- and middle-income countries. TRIAL REGISTRATION: ClinicalTrials.gov NCT12345678 (Brazil) and NCT03026426 (Peru); https://clinicaltrials.gov/ct2/show/NCT02846662 and https://clinicaltrials.gov/ct2/show/NCT03026426. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/26164

Núcleos de Ensino da Unesp: artigos 2008

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq

Núcleos de Ensino da Unesp: artigos 2007

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq