COMPROMETIMENTO ORGANIZACIONAL E PROFISSIONAL DA EQUIPE DE SAÚDE

Scope of study: This research was carried out at a primary health care unit in Arequipa, Peru. Objective: To identify and analyze the organizational and professional commitment of workers in a primary health care team. Method: Case study involving 12 health professionals, in the light of Meyer and Allen’s theoretical model for Organizational and Professional Commitment, using semi structured interviews analyzed according to content analysis through subject matter. Results: The analysis led to the categorization by thematic groups on Affective, Instrumental and Normative bases. The first six were related to organizational commitment and the last four to professional commitment. Conclusions: We consider that commitment contributes to the identification of workers with their professional and organizational roles, showing greater motivation and, therefore, more involvement. Health organizations are expected to implement strategies and promote conditions that facilitate affective commitment in their employees. Campo de Estudio: La presente investigación fue realizada en un Servicio de Salud de Atención Primaria en Arequipa–Perú. Objetivo: identificar y analizar el compromiso organizacional y profesional de trabajadores que integran un equipo de atención primaria. Método: Estudio de caso realizado con 12 profesionales de salud, fundamentado en el modelo teórico de Meyer y Allen para el Compromiso Organizacional y Profesional, utilizando entrevistas semi-estructuradas analizadas según análisis de contenido por temática. Resultados: Del análisis resultó la categorización por núcleos temáticos en sus bases Afectiva, Instrumental y Normativa, siendo los seis primeros subtemas relacionados al compromiso organizacional y los cuatro últimos relacionados al compromiso profesional. Conclusiones: Comprendemos que el compromiso contribuye a que los trabajadores se identifiquen con sus roles profesionales y organizacionales, volviéndolos más motivados y por tanto más involucrados. Se espera que organizaciones de salud implementen estrategias y promuevan condiciones que favorezcan el compromiso afectivo entre sus empleados.  Campo do Estudo: A presente pesquisa foi realizada em uma Unidade de Atenção Primaria de Arequipa – Perú. Objetivo: identificar e analisar o comprometimento organizacional e profissional de trabalhadores que compõem una equipe de atenção primaria. Método: Estudo de caso realizado com 12 profissionais da saúde, à luz do modelo teórico de Meyer e Allen para o Comprometimento Organizacional e Profissional, utilizando entrevistas semi-estructuradas. Resultados: Da análise resultou a categorização por núcleos temáticos nas bases Afetiva, Instrumental e Normativa, os seis primeiros relacionados ao comprometimento organizacional, e os quatro últimos relacionados ao comprometimento profissional. Conclusões: Compreendemos que o comprometimento contribui na identificação dos seus trabalhadores com seus papeis profissionais e organizacionais, mostrando-se mais motivados, portanto, mais envolvidos. Espera-se que organizações de saúde implementem estratégias, e promovam condições que facilitem o comprometimento afetivo nos seus funcionário

INTERFAZ ENTRE COMPROMETIMENTO PROFISSIONAL E ORGANIZACIONAL: RECURSOS HUMANOS NO SETOR SAÚDE

El vínculo que el individuo establece con su organización es sumamente importante. Compromiso organizacional y profesional son focos a ser tratados como constructos multidimensionales, siendo importantes cuando son utilizados en forma conjunta al investigar un mismo objeto de estudio. De naturaleza exploratoria, el objetivo del presente estudio es analizar la relación de los compromisos organizacional y profesional de los trabajadores de la salud. Considerando que este vínculo puede tener importantes consecuencias para una organización que emplea profesionales, el gran vacio creado entre ambos constructos es algo que debe ser evaluado. Entender cómo se relacionan y cómo deben conciliarse estos dos compromisos es de especial importancia para la comprensión de los subsidios que estos puede traer para la organización y para la profesión. Los resultados muestran que estudios sobre compromiso en el trabajo dentro del sector salud son necesarios una vez que contribuyen a la comprensión de actitudes y comportamientos de los actores en el aspecto profesional y organizacional.O vínculo que o indivíduo desenvolve com a sua organização é sumamente importante. Comprometimento organizacional e comprometimento profissional são focos a serem tratados como construtos multidimensionais, sendo importantes quando utilizados conjuntamente na investigação de um mesmo objeto de estudo. De natureza exploratória, o objetivo do presente estudo é analisar a relação dos comprometimentos organizacional e profissional de trabalhadores da saúde. Considerando que este vínculo pode ter importantes conseqüências para uma organização que emprega profissionais, a grande brecha criada entre ambos os construtos é um fato que tem que ser avaliado. Entender como se relacionam e como devem ser conciliados esses dois comprometimentos é essencial para a compreensão dos subsídios que eles trazem para a organização e para a profissão. Os resultados encontrados mostram que estudos sobre comprometimento no trabalho no setor saúde são necessários uma vez que contribuem para o entendimento de atitudes e comportamentos dos atores face à profissão e à organização

The freshwater Sponge Ephydatia Fluviatilis harbours diverse pseudomonas species (Gammaproteobacteria, Pseudomonadales) with broad-spectrum antimicrobial activity

Bacteria are believed to play an important role in the fitness and biochemistry of sponges (Porifera). Pseudomonas species (Gammaproteobacteria, Pseudomonadales) are capable of colonizing a broad range of eukaryotic hosts, but knowledge of their diversity and function in freshwater invertebrates is rudimentary. We assessed the diversity, structure and antimicrobial activities of Pseudomonas spp. in the freshwater sponge Ephydatia fluviatilis. Polymerase Chain Reaction - Denaturing Gradient Gel Electrophoresis (PCR-DGGE) fingerprints of the global regulator gene gacA revealed distinct structures between sponge-associated and free-living Pseudomonas communities, unveiling previously unsuspected diversity of these assemblages in freshwater. Community structures varied across E. fluviatilis specimens, yet specific gacA phylotypes could be detected by PCR-DGGE in almost all sponge individuals sampled over two consecutive years. By means of whole-genome fingerprinting, 39 distinct genotypes were found within 90 fluorescent Pseudomonas isolates retrieved from E. fluviatilis. High frequency of in vitro antibacterial (49%), antiprotozoan (35%) and anti-oomycetal (32%) activities was found among these isolates, contrasting less-pronounced basidiomycetal (17%) and ascomycetal (8%) antagonism. Culture extracts of highly predation-resistant isolates rapidly caused complete immobility or lysis of cells of the protozoan Colpoda steinii. Isolates tentatively identified as P. jessenii, P. protegens and P. oryzihabitans showed conspicuous inhibitory traits and correspondence with dominant sponge-associated phylotypes registered by cultivation-independent analysis. Our findings suggest that E. fluviatilis hosts both transient and persistent Pseudomonas symbionts displaying antimicrobial activities of potential ecological and biotechnological value.European Regional Development Fund (ERDF) through the COMPETE (Operational Competitiveness Programme); national funds through FCT (Foundation for Science and Technology) [PEst-C/MAR/LA0015/2011]; FCT-funded project [PTDC/BIA-MIC/3865/2012]; Federation of European Microbiological Societies (FEMS)info:eu-repo/semantics/publishedVersio

Influence of fly ash blending on hydration and physical behavior of Belite-Alite-Ye'elimite cements

A cement powder, composed of belite, alite and ye’elimite, was blended with 0, 15 and 30 wt% of fly ash and the resulting lended cements were further characterized. During hydration, the presence of fly ash caused the partial inhibition of both AFt degradation and belite reactivity, even after 180 days. The compressive strength of the corresponding mortars increased by increasing the fly ash content (68, 73 and 82 MPa for mortars with 0, 15 and 30 wt% of fly ash, respectively, at 180 curing days), mainly due to the diminishing porosity and pore size values. Although pozzolanic reaction has not been directly proved there are indirect evidences.This work is part of the Ph.D. of D. Londono-Zuluaga funded by Beca Colciencias 646—Doctorado en el exterior and Enlaza Mundos 2013 program grant. Cement and Building materials group (CEMATCO) from National University of Colombia is acknowledged for providing the calorimetric measurements. Funding from Spanish MINECO BIA2017-82391-R and I3 (IEDI-2016-0079) grants, co-funded by FEDER, are acknowledged

DECREASING PREVALENCE OF THE ACUTE/SUBACUTE CLINICAL FORM OF PARACOCCIDIOIDOMYCOSIS IN MATO GROSSO DO SUL STATE, BRAZIL

With the objective to evaluate the behavior of paracoccidioidomycosis in the last three decades, clinical and epidemiological data of 595 patients admitted to clinical services of the Federal University of Mato Grosso do Sul from 1980 to 2009 were investigated. Gender, age distribution, clinical form, comorbidity with tuberculosis or AIDS, and mortality were compared by decades of clinical admission. It was shown that during the three decades there was a decrease in women percentage, and the same manner occurred a reduction in participants in the age group of 20 to 39 years. Moreover, the acute/subacute forms have been diminished in the period. These fluctuations are closely related and can be simultaneously analyzed. Increased AIDS co-infection prevalence from the first to the second decade was also revealed, coinciding with the appearance of the retroviral epidemic and stabilizing during the third decade. No change in the tuberculosis co-infection rate was observed (overall = 6.9%). It reinforces the importance of this co-morbidity. The overall mortality rate remained steady at 6.7%, not varying significantly from one decade to another. The persistent mortality rate calls attention to the importance of this neglected disease