15 research outputs found

    Promoção da saĂșde de pacientes hipertensos: uma revisĂŁo integrativa / Health promotion of hypertensive patients: an integrative review

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    Objetivo: Realizar uma revisĂŁo na literatura vigente sobre promoção da saĂșde de pacientes hipertensos. MĂ©todo: A busca dos estudos foi realizada de forma ampla atravĂ©s do acesso nas bases de dados (MEDLINE), (LILACS), (SCIELO), SCIENCEDIRECT e Banco de dados em Enfermagem. O levantamento foi efetuado a partir dos seguintes Descritores em CiĂȘncias da SaĂșde (DeCS): “Enfermagem”, “Promoção da saĂșde”, “Educação em saĂșde” e “HipertensĂŁo”, pesquisadas isoladas e combinadas com o operador booleano "AND". Resultados: A prĂĄtica de educação em saĂșde deve ser realizada nos mais variados contextos. A educação em saĂșde deve envolver os mais variados temas que podem englobar desde o tipo de alimentação que o paciente deve adotar, assim como estilo de vida de uma maneira geral e tratamento farmacolĂłgico, pois a nĂŁo aderĂȘncia a medicação Ă© um dos fatores que podem prejudicar de maneira importante o modo como o paciente lida com a doença. VĂĄrios instrumentos podem ser usados para a promoção da saĂșde de pacientes hipertensos. ConsideraçÔes finais: O profissional pode trabalhar de maneira multiprofissional para alcançar os objetivos propostos permitindo maior objetividade e assertividade nas condutas realizadas, fazendo com que o processo de promoção da saĂșde de pacientes com doenças crĂŽnicas acontece de maneira efetiva

    Qualidade de vida dos idosos que participam das atividades realizadas no centro de referĂȘncia de assistĂȘncia social (CRAS) / Quality of life of elderly people participating in activities carried out at the social assistance reference center (CRAS)

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    O objetivo central do estudo foi analisar a percepção dos idosos que participam das atividades realizadas no CRAS acerca da qualidade de vida no município de Iguatu/CE. Trata-se de um estudo descritivo, exploratório e com abordagem qualitativa. A priori traçou-se o perfil socioeconÎmico e cultural dos idosos de ambos os sexos, e se analisou também os impactos das atividades de acordo com a percepção dos colaboradores no tocante a qualidade de vida. Os dados foram coletados mediante entrevista estruturada enfatizando a importùncia do CRAS e das atividades realizadas nas suas vidas. A amostra para o estudo foi composta por 14 dos 35 idosos cadastrados na unidade, com idade de 60 a 80 anos. Foram organizados em duas categorias: 1. Sentimentos e emoçÔes versus atividades realizadas no CRAS e, 2. A qualidade de vida no entendimento destes assistidos no CRAS. Por fim, constatou-se através da anålise dos resultados que os colaboradores da pesquisa avaliam de maneira positiva a qualidade de vida mediante participação nas atividades realizadas no CRAS em todos os aspectos, desde o momento da acolhida e continua no dia a dia da unidad

    Descentralização, focalização e parceria: uma anĂĄlise das tendĂȘncias nas polĂ­ticas pĂșblicas de educação de jovens e adultos Decentralization and partnership: an assessment of the education of youngsters and adults in the Brazilian educational reform

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    O artigo situa a Educação BĂĄsica de Jovens e Adultos no interior da reforma do ensino implementada no Brasil ao longo da dĂ©cada de 1990, analisando como as diretrizes de descentralização da gestĂŁo e do financiamento, a focalização dos programas e beneficiĂĄrios, bem como a desregulamentação e privatização seletiva dos serviços se concretizam nesse campo educativo. Avalia que a reforma educacional foi condicionada pelas metas do ajuste fiscal, o que acabou por redefinir o papel do Estado no financiamento e oferta dos serviços de ensino, levando a um deslocamento da fronteira entre as responsabilidades pĂșblicas e privadas na promoção da educação de pessoas jovens e adultas. Destacam-se as tendĂȘncias Ă  proliferação de provedores e Ă  multiplicação de programas de educação de jovens e adultos implementados em parceria entre agentes governamentais e nĂŁo-governamentais. Essas prĂĄticas inspiram-se em diferentes significados atribuĂ­dos aos conceitos de parceria e de serviço pĂșblico nĂŁo-estatal, que comportam tanto uma visĂŁo econĂŽmico-instrumental quanto uma perspectiva de democratização da esfera pĂșblica. Considerando essas diferentes significaçÔes e estratĂ©gias de concretização, o artigo analisa como o conceito de parceria vem sendo operacionalizado em trĂȘs iniciativas federais de educação de jovens e adultos - o Programa Alfabetização SolidĂĄria, o Programa de Educação na Reforma AgrĂĄria e o Plano Nacional de Formação e Qualificação Profissional.<br>This article examines the education of youngsters and adults within the educational reform implemented in Brazil during the 1990s, analyzing the fulfillment of the decentralization in this specific field of education as well the programs and beneficiaries, the deregulation and selective privatization of services. Under this perspective, it is deemed that the educational reform was fettered by the goals of fiscal adjustment, a fact that resulted in the redefinition of the role of the State in the funding and offer of education services, producing a movement of the boundaries between public and private responsibilities in the promotion of education for young and adult persons. Tendencies are highlighted of proliferation of providers, and of multiplication of youngster and adult education programs conducted in partnership between governmental and non-governmental agents. Such practices are inspired in varying meanings attributed to the concepts of partnership and of non-governmental public services, admitting an economic-instrumental view as well as a perspective of democratization of the public sphere. Considering these different meanings and implementation strategies, the article analyzes how the concept of partnership has been put in practice in three federal initiatives for the education of youngsters and adults - the Solidary Literacy Program, the Land Reform Education Program, and the National Plan for Professional Education and Qualification

    Symptoms of anxiety and depression in patients with persistent asthma : a cross-sectional analysis of the INSPIRERS studies

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    ObjectivesAnxiety and depression are relevant comorbidities in asthma, but, in Portugal and Spain, data on this topic are scarce. We assessed, in patients with asthma, the frequency of anxiety and depression using the Hospital Anxiety and Depression Scale (HADS) and the European Quality of Life Five Dimension Questionnaire (EQ-5D); the level of agreement between these questionnaires, and the factors associated with these symptoms.MethodsThis is a secondary analysis of the INSPIRERS studies. A total of 614 adolescents and adults with persistent asthma (32.6 +/- 16.9 years, 64.7% female) were recruited from 30 primary care centres and 32 allergy, pulmonology and paediatric clinics. Demographic and clinical characteristics, HADS and EQ-5D were collected. A score &gt;= 8 on Hospital Anxiety and Depression Scale-Anxiety/Hospital Anxiety and Depression Scale-Depression or a positive answer to EQ-5D item 5 indicated the presence of these symptoms. Agreement was determined by Cohen's kappa. Two multivariable logistic regressions were built.ResultsAccording to HADS, 36% of the participants had symptoms of anxiety and 12% of depression. According to EQ-5D, 36% of the participants had anxiety/depression. The agreement between questionnaires in identifying anxiety/depression was moderate (k=0.55, 95% CI 0.48 to 0.62). Late asthma diagnosis, comorbidities and female gender were predictors of anxiety/depression, while better asthma control, health-related quality of life and perception of health were associated with lower odds for anxiety/depression.ConclusionAt least 1/3 of the patients with persistent asthma experience symptoms of anxiety/depression, showing the relevance of screening these disorders in patients with asthma. EQ-5D and HADS questionnaires showed a moderate agreement in the identification of anxiety/depression symptoms. The identified associated factors need to be further investigated in long-term studies

    GestĂŁo pĂșblica e a questĂŁo social na grande cidade Public administration and the social question in the large city

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    O artigo oferece subsĂ­dios para a anĂĄlise das novas expressĂ”es da questĂŁo social e urbana nas grandes metrĂłpoles contemporĂąneas, especialmente na Cidade de SĂŁo Paulo, no sentido de identificar conflitos, desafios e novas demandas para a gestĂŁo democrĂĄtica da cidade e das polĂ­ticas sociais pĂșblicas. Traz tambĂ©m ao debate o discurso das agĂȘncias multilaterais sobre pobreza e desigualdade social, cotejando as propostas de polĂ­ticas pĂșblicas formuladas para o seu enfrentamento, particularmente as voltadas para a problemĂĄtica urbana das grandes cidades.<br>The article presents some points to the analysis of new expressions of the social and urban issues in today’s large metropolis, especially Sao Paulo, aiming at identifying conflicts, challenges and new demands for the democratic administration of the city and for public social policies. It also seeks to debate the multilateral agencies’ discourse on poverty and social inequality, exploring public policy proposals conceived to target those issues, particularly the ones focused on the urban question in large cities

    Cosmology with the Laser Interferometer Space Antenna

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    The Laser Interferometer Space Antenna (LISA) has two scientific objectives of cosmological focus: to probe the expansion rate of the universe, and to understand stochastic gravitational-wave backgrounds and their implications for early universe and particle physics, from the MeV to the Planck scale. However, the range of potential cosmological applications of gravitational wave observations extends well beyond these two objectives. This publication presents a summary of the state of the art in LISA cosmology, theory and methods, and identifies new opportunities to use gravitational wave observations by LISA to probe the universe

    Cosmology with the Laser Interferometer Space Antenna

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    The Laser Interferometer Space Antenna (LISA) has two scientific objectives of cosmological focus: to probe the expansion rate of the universe, and to understand stochastic gravitational-wave backgrounds and their implications for early universe and particle physics, from the MeV to the Planck scale. However, the range of potential cosmological applications of gravitational wave observations extends well beyond these two objectives. This publication presents a summary of the state of the art in LISA cosmology, theory and methods, and identifies new opportunities to use gravitational wave observations by LISA to probe the universe

    Cosmology with the Laser Interferometer Space Antenna

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    The Laser Interferometer Space Antenna (LISA) has two scientific objectives of cosmological focus: to probe the expansion rate of the universe, and to understand stochastic gravitational-wave backgrounds and their implications for early universe and particle physics, from the MeV to the Planck scale. However, the range of potential cosmological applications of gravitational wave observations extends well beyond these two objectives. This publication presents a summary of the state of the art in LISA cosmology, theory and methods, and identifies new opportunities to use gravitational wave observations by LISA to probe the universe

    Cosmology with the Laser Interferometer Space Antenna

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    International audienceThe Laser Interferometer Space Antenna (LISA) has two scientific objectives of cosmological focus: to probe the expansion rate of the universe, and to understand stochastic gravitational-wave backgrounds and their implications for early universe and particle physics, from the MeV to the Planck scale. However, the range of potential cosmological applications of gravitational wave observations extends well beyond these two objectives. This publication presents a summary of the state of the art in LISA cosmology, theory and methods, and identifies new opportunities to use gravitational wave observations by LISA to probe the universe
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