Submitted by Marcos Samuel ([email protected]) on 2016-06-07T14:47:24Z No. of bitstreams: 1 Dissertacao Diogo.pdf: 861905 bytes, checksum: 035f09262025273ab8457d6f1200e5de (MD5)

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O objetivo desta disserta????o ?? estudar e apresentar alguns resultados em Percola????o homog??nea de elos para grafos hiperc??bicos. O resultado principal deste trabalho ?? a diferenciabilidade cont??nua de k(p), o n??mero m??dio de aglomerados por v??rtice no grafo. Para obtermos este resultado, ser??o utilizados argumentos em ??reas distintas da Matem??tica, principalmente em Probabilidade, Combinat??ria e Teoria dos Grafos.

Submitted by ROBERTO PAULO CORREIA DE ARA??JO ([email protected]) on 2017-05-19T23:41:26Z No. of bitstreams: 1 RENATA BRITO DISSERTA????O.pdf: 2219639 bytes, checksum: 0af8f8ffb2a1b5d9bd81a31663a9ffa3 (MD5)

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Introdu????o. A s??ndrome da apneia obstrutiva do sono (SAOS) ?? uma comorbidade frequentemente observada em asm??ticos graves n??o controlados. A terapia com press??o positiva continua nas vias a??reas (CPAP) pode melhorar a SAOS e por conseguinte o controle da asma. Objetivo. Avaliar o controle da asma em pacientes com diagn??stico de SAOS submetidos a terapia com press??o positiva cont??nua nas vias a??reas. Metodologia. Trata-se de um estudo quasi-experimental. Asm??ticos graves com SAOS foram avaliados no per??odo basal e ap??s 90 dias de terapia com CPAP nasal domiciliar. Resultados. A propor????o de pacientes com asma controlada dobrou p??s terapia com CPAP em rela????o ao per??odo basal: 8 (36,4%) vs 17 (77,3%); p=0,008, respectivamente. A mediana do ACQ-6 antes do CPAP foi de 1,67 (1,12 ??? 2,74), sendo que ap??s CPAP foi de 0,58 (0,27???1,5); p=0,000. A mediana da escala de Epworth antes do CPAP foi de 12,5 (3,0 - 17,0) e depois 8,5 (3,0 - 12,8); p=0,042. Conclus??o. Em pacientes asm??ticos graves n??o controlados com apneia obstrutiva do sono, a terapia com CPAP nasal melhorou de forma significativa os par??metros polissonogr??ficos, a sonol??ncia excessiva diurna e o controle dos sintomas de asma.

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Rejected by Marivalda Araujo ([email protected]br), reason: A disserta????o est?? sem a folha de aprova????o, favor excluir esta vers??o e inserir uma vers??o completa. on 2016-03-16T17:11:24Z (GMT)

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FAPESB

Esta pesquisa teve como objetivo analisar os atributos do professor de Contabilidade no Estado da Bahia. Com base nos achados da literatura nacional e internacional que enfatizam os saberes/atributos/ compet??ncias requeridas ou necess??rias ao docente de Contabilidade, bem como identificada junto aqueles considerados refer??ncias ou bem avaliados, evidenciada em estudos tais como os de Trireksani (2012), Stout e Wygal (2011), Handal, Wood e Muchatuta (2011), Watts e McNair (2008) e Kerr e Smith (2003), de Catapan, Colauto e Sillas (2012), Miranda, Casanova e Cornachione Jr. (2011), Slomski et al. (2013), Slomski (2007) Slomski e Martins (2008), Gomes et al. (2009), Marques et al. (2009), Antonelli, Colauto e Cunha (2012) e Celerino e Pereira (2008), bem como as pesquisas de Resende e Leal (2013), entre outros. Destacou-se 19 proposi????es de caracter??sticas, classificadas entre tr??s dimens??es de an??lise: caracter??sticas did??tico-pedag??gicas, caracter??sticas t??cnico-profissionais e rela????es interpessoais e tamb??m apurou-se entre os sujeitos do estudo contribui????es para o entendimento de que aspectos poderiam ser considerados inerentes ao professor bem avaliado ou mal avaliado no ensino de Ci??ncias Cont??beis. A amostra da pesquisa abrangeu um total de 214 discentes que conclu??ram ou est??o em conclus??o do curso de gradua????o em Contabilidade, advindos de 22 IES que ofertam o respectivo curso no Estado da Bahia. Os resultados encontrados sofreram tratamento estat??sticos descritivos a partir da apura????o de m??dias e frequ??ncias dos resultados, bem como an??lises inferenciais por meio da aplica????o do Teste de Mann-WhitneyNeed for…

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O estudo investiga os efeitos da ado????o mandat??ria das IFRS sobre o n??vel de tax avoidance das companhias. Tax avoidance ?? interpretado neste estudo como a diminui????o dos lucros tribut??veis por meio de atividades de planejamento tribut??rio, sejam essas atividades legais, duvidosas ou mesmo ilegais. Foram utilizadas tr??s m??tricas de tax avoidance propostas por Atwood et al. (2012) e Tang (2015) e foram controlados fatores (retorno antes dos tributos sobre os ativos, tamanho da firma, alavancagem, crescimento das vendas, taxa dos tributos sobre o lucro, enforcement legal, direito do investidor e concentra????o acion??ria) que j?? mostraram associa????o com o tax avoidance em estudos anteriores. A partir de uma amostra composta por 35 pa??ses para o intervalo de 1999 a 2014, encontrou-se que a ado????o das IFRS est?? associada a altos n??veis de tax avoidance, mesmo quando se controla o n??vel de book-tax conformity requerido nos pa??ses e o volume dos accruals, os quais s??o considerados poss??veis fatores determinantes dessa rela????o. Os resultados encontrados indicam que em ambientes de alta conformidade entre os lucros cont??bil e tribut??vel, as companhias passaram a se engajar mais em tax avoidance do que em ambientes de baixa conformidade. Identificou-se, ainda, que o engajamento em tax avoidance ap??s a ado????o das IFRS ?? decorrente n??o apenas do gerenciamento dos accruals, mas tamb??m de pr??ticas que n??o envolvem os accruals, como por exemplo opera????es em para??sos fiscais e transfer??ncias de lucros para filiais em jurisdi????es com menores cargas tribut??rias. Conclui-se que as companhias passaram a se engajar mais em tax avoidance ap??s a ado????o mandat??ria das IFRS. Este estudo contribui para a literatura sobre os efeitos da ado????o das IFRS e sobre os determinantes do tax avoidance e tem resultados possivelmente interessantes para os governos e participantes do mercado na medida em que evidencia um maior engajamento em tax avoidance por parte das companhias ap??s a ado????o das IFRS.

This study examines the effects of mandatory IFRS adoption on corporate tax avoidance. Tax avoidance was defined in this study as the decrease in taxable income through tax planning activities,…

Submitted by Maria Creuza Silva ([email protected]) on 2015-12-02T18:52:44Z No. of bitstreams: 1 DISS ACADEM. Thiago Santos de Souza. 2015.pdf: 816591 bytes, checksum: 932a1762a707d59c8c080d54e7e91e05 (MD5)

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Nas ??ltimas duas d??cadas, a Estrat??gia Sa??de da Fam??lia evoluiu nos munic??pios e com a implanta????o dos N??cleos de Apoio ?? Sa??de da Fam??lia (NASF) a aten????o prim??ria ?? sa??de (APS) passou a contar com equipes que deveriam atuar em estreita parceria. Entretanto, ainda permanecem na literatura lacunas relacionadas ?? an??lise do processo de trabalho do NASF e suas rela????es t??cnicas e sociais. Esse estudo teve como objetivo analisar as pr??ticas de sa??de da equipe NASF, a fim de identificar se a inser????o destes profissionais na APS refor??a a fragmenta????o do trabalho em sa??de ou fomenta a integra????o de suas pr??ticas. Trata-se de um estudo de caso realizado em um munic??pio baiano, onde investigamos a equipe NASF e tr??s EqSF. O estudo fundamenta-se nos referencias te??ricos da teoria do processo de trabalho em sa??de e dos modelos de aten????o ?? sa??de. Foram utilizadas como fontes de evid??ncia documentos do munic??pio e da equipe NASF, informa????es registradas no di??rio de campo do pesquisador e realizadas 14 entrevistas semi-estruturadas envolvendo os integrantes do N??cleo de Apoio, m??dicas e enfermeiras de tr??s EqSF, gestoras da aten????o b??sica e uma profissional respons??vel por uma pesquisa de promo????o ?? sa??de, que os profissionais da APS do munic??pio participaram. A an??lise dos dados envolveu a t??cnica de triangula????o de dados e fontes, e para compreens??o das pr??ticas foi utilizada uma matriz elaborada com a representa????o do ???tipo ideal??? de NASF por refer??ncia a cada modelo de aten????o. Os resultados evidenciaram que a maioria dos profissionais nunca havia atuado na APS e n??o possu??a forma????o em sa??de coletiva. Apesar de terem sido identificados os principais agravos e problemas que acometiam a popula????ofoi evidente que a equipe NASF n??o enfatizou os determinantes sociais nas suas atividades.Os instrumentos de trabalho utilizados por estes profissionais foram relacionados ?? tecnologia material m??dica e a????es de tecnologia sanit??ria. As atividades realizadas envolveram palestras, atendimentos, visitas e grupos nas unidades e institui????es do territ??rio. J?? as rela????es t??cnicas e sociais t??m ocorrido com aus??ncia de espa??os compartilhados de decis??es, circula????o da informa????o limitada e exist??ncia de conflitos entre as equipes. Foi poss??vel identificar que a equipe investigada se aproxima…

Submitted by Sara Ribeiro ([email protected]) on 2017-04-10T13:55:08Z No. of bitstreams: 1 BibianoMadridTese2016.pdf: 2121621 bytes, checksum: e27cdc9330322e7d6796de7bcf0c585c (MD5)

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Made available in DSpace on 2017-04-10T13:55:16Z (GMT). No. of bitstreams: 1 BibianoMadridTese2016.pdf: 2121621 bytes, checksum: e27cdc9330322e7d6796de7bcf0c585c (MD5) Previous issue date: 2016-02-25

The present study is composed by four papers with different aims, as follows: 1) Verify the reliability of the Wingate anaerobic test. 2) Verify the reliability of lactate minimum protocol with induction of hyperlactatemia individualized by ratings perceived exertion. 3) Verify the efficiency of a new submaximal protocol for aerobic evaluation, with workloads determination by ratings perceived exertion, denominated RPE-13, in identify the intensity of exercise associated at maximal lactate steady state and lactate minimum. 4) Verify the influence of anodal transcranial direct current stimulation on left temporal lobe in the heart rate variability and in the running of 3000 meters. The Wingate study had a sample composed by 15 cyclists that performed three Wingate tests. The lactate minimum study had a sample composed by 20 university students active physically that performed two times the test. In the study with RPE-13 the sample was formed by 11 young adults active physically that performed three tests, the RPE-13, lactate minimum and maximal lactate steady state. Yet, in the study with anodal transcranial direct current stimulation the sample was composed by 11 amateurs??? runners that performed of the 3000 meters test in two conditions, in the anodal stimulation and Sham condition (placebo). The tests of Wingate and lactate minimum showed good reliability. The RPE-13 test showed to be efficient to identify an intensity of exercise associated at maximal lactate steady state and lactate minimum. Therefore, the transcranial direct current stimulation changed the heart rate variability, increasing the chronotropic reserve and improving the performance in running of 3000 meters in mean 10 seconds.

O presente trabalho ?? composto por quatro artigos cient??ficos com diferentes objetivos, conforme a seguir: 1) Verificar a reprodutibilidade do teste anaer??bio de Wingate. 2) Verificar a reprodutibilidade do protocolo de lactato m??nimo com a indu????o a hiperlactatemia individualizada pela percep????o subjetiva de esfor??o. 3) Verificar a efici??ncia do um novo protocolo subm??ximo de avalia????o aer??bia, com cargas determinadas pela percep????o subjetiva de esfor??o, denominado RPE-13, em identificar a intensidade de exerc??cio associada ao m??ximo estado est??vel de lactato e lactato m??nimo. 4) Verificar a influ??ncia da estimula????o transcraniana por corrente cont??nua an??dica sob o lobo…

Submitted by SBI Biblioteca Digital ([email protected]) on 2016-05-10T17:40:50Z No. of bitstreams: 1 MARCO AURELIO ALVES.pdf: 1402233 bytes, checksum: 4332af499181242125f03e64e835f373 (MD5)

Made available in DSpace on 2016-05-10T17:40:50Z (GMT). No. of bitstreams: 1 MARCO AURELIO ALVES.pdf: 1402233 bytes, checksum: 4332af499181242125f03e64e835f373 (MD5) Previous issue date: 2016-02-17

Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES

This research aims to understand the constitution and the principles that guide the continued formation of teachers of Elementary School ? Final years by focusing on the case of the city of Campinas in the last five years (2010-2014). Besides, we intend to identify the similarities and differences between the guiding principles of the official documents of the SME ? Campinas (City Department of Education) about the continued formation and educational practice in the city, according to the vision of Pedagogical Advisor. It is a qualitative case study. The method includes: analysis of official documents at the municipal level and semi-structured interviews with seven peoples ? five Pedagogical Advisor, one from each NAED (Educational Action Center decentralized), and two linked coordinators to equipment continuing education in the municipality. The results indicated that, in recent years, this city has opted for formation of antagonistic formative models and both have close relations with pragmatism and neo-liberal ideology. With regard to the dialogue between the SME and the schools, in view of Pedagogical Advisor, identified mismatched and contradictory speeches that is the result of teacher's working conditions, especially for lack of teaching time to execution training activities, elapsing in an obstacle in the consolidation of continued education policy for these professionals. This study contributes to reflections on continued education in public schools. At the same time, we believe that the analysis of needs identified by Pedagogical Advisor and topics addressed in the courses and formation groups offered by SME will enable reflections on the proposals contained in official documents of this city and the educational reality.

Esta pesquisa visa compreender a constitui??o e os princ?pios que norteiam a forma??o continuada de professores do Ensino Fundamental dos anos finais, dando enfoque no caso do munic?pio de Campinas nos ?ltimos cincos anos (2010-2014). Al?m disso, buscou-se identificar as aproxima??es e distanciamentos entre os princ?pios norteadores dos documentos oficiais da SME ? Campinas (Secretaria Municipal de Educa??o) acerca da forma??o continuada e a pr?tica educacional do munic?pio, segundo a vis?o de orientadores pedag?gicos. Trata-se de um estudo de caso de abordagem qualitativa. O m?todo inclui: an?lise de documentos oficiais no ?mbito municipal e entrevistas semiestruturadas com sete sujeitos ? cinco orientadores pedag?gicos, um de cada NAED (N?cleo de A??o Educativa Descentralizada), e dois coordenadores…

Submitted by ROBERTO PAULO CORREIA DE ARA??JO ([email protected]) on 2016-07-11T11:54:19Z No. of bitstreams: 1 Camila Souza Alves Cosmo.pdf: 3354635 bytes, checksum: 171d9c1f9164ff1fbf2ff3c15176e1c7 (MD5)

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Current standardized treatments for cognitive impairments in attention deficit???hyperactivity disorderare still narrow and have restricted effectiveness. Transcranial direct current stimulation is a promising tool for enhancing cognitive performance in several neuropsychiatric disorders. Nevertheless, there is still no information about the effectiveness of transcranial direct current stimulation for reducing cognitive impairments in attention deficit???hyperactivity disorderpatients. In this context, it wasconducted a parallel, randomized, double-blinded, sham-controlled trial to examine the efficacy of transcranial direct current stimulation on the modulation of inhibitory control in adults with attention deficit???hyperactivity disorder. Patients performed a Go/no go task before and after a single session of either active anodal stimulation (1mA) over the left dorsolateral prefrontal cortex or sham stimulation. As a secondary objective it wasinvestigated a functional cortical networks model based on electroencephalographic activity for studying the cortical excitability modulated by tDCS, in this population.Patients underwent EEG recording during 5 minutes, in a resting state, followed by Go/no go tasks before and after a single session of either active anodal stimulation (1mA) over the left dorsolateral prefrontal cortex or sham stimulation.A nonparametric two-sample Wilcoxon rank-sum (Mann-Whitney) test revealed no significant differences between the two groups on behavioral performance of the Go/no go tasks. Furthermore, the effect sizes of group differences after the treatment were small-to-moderate for correct responses (Cohen???s d= -.13; 95% CI, -.5 to .25), impulsivity errors (Cohen???s d= -. 47; 95% CI, -.84 to .09), and omissions (Cohen???s d= .3; 95% CI, -.08 to .68). Comparing the node-weighted degreewithin groups regarding the pre and post intervention, the active group presented a significant difference on the electrodes located on the target and correlated areas, while for the sham group it was not detected any significant result (P > 0.05; Paired-sample Wilcoxon signed rank test). No adverse events due to the stimulation were reported.Although previous clinical trials have already shown that transcranial direct current stimulation may bereliable for enhancement of cognitive performance, the presentfindings do not support anodal stimulation over left dorsolateral prefrontal cortex as an approach to enhance inhibitory control in attention…

Submitted by Nadir Basilio ([email protected]) on 2018-07-19T17:12:32Z No. of bitstreams: 1 Jamile Benite Palma Lopes.pdf: 2604798 bytes, checksum: 02648b7db4e837bd186b6ad03db7b39b (MD5)

Made available in DSpace on 2018-07-19T17:12:32Z (GMT). No. of bitstreams: 1 Jamile Benite Palma Lopes.pdf: 2604798 bytes, checksum: 02648b7db4e837bd186b6ad03db7b39b (MD5) Previous issue date: 2017-10-26

Objective: To perform a comparative analysis of the effects of manual reach training through virtual reality in the upper limb, with and without the association of transcranial stimulation by direct current of children with Down's Syndrome. Materials and methods: Study I: A systematic review was conducted with a search in four databases, according to: randomized controlled study; virtual reality, cerebral palsy; Down Syndrome published between 2010 and 2016. Study II: A systematic review was conducted with a search in four databases according to: randomized controlled study; cross-sectional study; evaluation; motion analysis; Dowm syndrome; Member published between 2010 and 2016. Study III: Detailed description of the protocol of a virtual reality intervention study associated with transcriana stimulation by direct current. Study IV: Comparative study between children with Down Syndrome and with typical Development, making a relation between the parameters of motor function of the upper limbs to the assessments constituted by single evaluation of three-dimensional analysis of the movement. Study V: ETCC anodic was performed with an intensity of 1 mA in bilateral M1 in a sample of 24 children with Down Syndrome, allocated in two groups (active and sham). The pacing protocol was performed with three training sessions per week, and the evaluations took place in three moments: pre, post-protocol and 1-month follow-up, consisting of three-dimensional analysis of manual upper limb movement, quality of manual skills and brain activity in the C3 and Cz regions of the cortex. Materials and methods: Study I: A systematic review was conducted with a search in four databases, according to: randomized controlled study; virtual reality, cerebral palsy; Down Syndrome published between 2010 and 2016. Study II: A systematic review was conducted with a search in four databases according to: randomized controlled study; cross-sectional study; evaluation; motion analysis; Dowm syndrome; Member published between 2010 and 2016. Study III: Detailed description of the protocol of a virtual reality intervention study associated with transcriana stimulation by direct current. Study IV: Comparative study among children with Down Syndrome and with typical Development, making a relation between the parameters of motor function of the upper limbs to the assessments constituted by single evaluation of three-dimensional analysis of the movement. Study V: ETCC was performed with an intensity of 1 mA in bilateral M1 in a sample of 24 children with Down Syndrome, allocated in two groups (active and sham). The pacing protocol was performed with three training…

Submitted by Nadir Basilio ([email protected]) on 2016-05-25T15:33:11Z No. of bitstreams: 1 Natalia de Almeida Carvalho Duarte.pdf: 1161935 bytes, checksum: 1744793267fbcd70ffa34ee48161abcb (MD5)

Made available in DSpace on 2016-05-25T15:33:11Z (GMT). No. of bitstreams: 1 Natalia de Almeida Carvalho Duarte.pdf: 1161935 bytes, checksum: 1744793267fbcd70ffa34ee48161abcb (MD5) Previous issue date: 2015-02-26

The goal of this study was to Investigate the effects of transcranial direct current stimulation in the primary motor cortex, associated with gait training on balance and functional performance of children with cerebral palsy (CP). The sample population that was part of this project consisted of 24 children with CP between five and ten years old. Children were be randomly allocated into two groups (Group 1: gait training on the treadmill with transcranial stimulation activates, Group 2: gait training on the treadmill with transcranial stimulation placebo) and evaluated at three different times (pre-intervention, immediately after and one month after the proposed training). The evaluation consisted of the quantification of static balance, functional balance (Pediatric Balance Scale) and functional performance (Inventory assessment of pediatric disorders). The trainings was done for two consecutive weeks, with five training sessions per week, for 20 minutes per session. The transcranial stimulation and treadmill training was realized simultaneously, in each session during twenty minutes, with an intensity of 1 mA. The results were statistically analyzed assuming a significance level of 0.05 (p < 0.05). The experimental group exhibited better results in comparison to the control group with regard to anteroposterior sway (eyes open and closed; p,0.05), mediolateral sway (eyes closed; p,0.05) and the Pediatric Balance Scale both one week and one month after the completion of the protocol. Gait training on a treadmill combined with anodal stimulation of the primary motor cortex led to improvements in static balance and functional performance in children with cerebral palsy.

O objetivo do estudo foi verificar os efeitos da estimula????o transcraniana por corrente cont??nua no c??rtex motor prim??rio, associada ao treino de marcha sobre o equil??brio e desempenho funcional de crian??as com paralisia cerebral (PC). A amostra populacional que fez parte deste projeto foi composta de 24 crian??as com PC entre cinco a dez anos de idade. As crian??as foram alocadas randomicamente em dois grupos (Grupo 1: treino de marcha na esteira com estimula????o transcraniana ativa; Grupo 2: treino de marcha na esteira com estimula????o transcraniana placebo) e avaliadas em tr??s momentos distintos (pr?? interven????o, logo ap??s e um m??s ap??s o treino proposto). A avalia????o foi constitu??da da quantifica????o do equil??brio est??tico, do equil??brio funcional (Escala de equil??brio pedi??trica) e do desempenho funcional (Invent??rio de avalia????o pedi??trica de disfun????es). Os treinos foram realizados durante duas…

Submitted by Jorge Silva ([email protected]) on 2018-12-06T15:33:47Z No. of bitstreams: 1 2013 - Tatiane Pinto de Oliveira.pdf: 9317541 bytes, checksum: 679ad8a2ef29c5f4173b89c71984becf (MD5)

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The objective of this dissertation was to propose, implement and validate a tool for managing continuous process improvement through integration of two well-known tools in the market, the Omega 8 Orca, aimed to assess the maturity of processes, and the BSC, as manager of the results, in order to give these organizations a more targeted tool for the Brazilian. From an integrated view of these methods was designed Iris - Manager of Organizational Process Maturity. In general, this tool proposes to assess the maturity levels of six strategic elements - top management commitment, organization and structure, training, performance indicators, customer relationship and integration of information system - representing the management structure of organizations, mapping the current levels of maturity and realizing the projected future levels, desired by companies. To address the gap between the company's current stages and the stages desired are proposed action plans, which designate what measures, should be taken to ensure that the objectives are achieved. To follow up the evolution of these maturity levels, it was proposed to use the method of measuring the BSC, which has its four perspectives linked to the strategic elements of the 8 Omega ORCA. Action research was chosen as the implementation methodology of this study, to propose a suitable method of preparation and implementation of organizational studies. Thus, this methodology allowed the study objectives were achieved in the implementation of the tool in the two selected companies. The development of the research took place in two stages to validate the proposed tool. In this study validated the phases of implementation, regarding the evaluation of the maturity of organizational processes. The validation step of measuring the evolution of the elements was not possible in this study because tracking the development of maturity of the companies? demand more time than willing to complete this survey. However, the results of the three phases, related to the maturity of the companies studied were validated through interviews with their representatives, and the issues raised were arranged in a conceptual map, which summarizes the perceptions of companies about the proposed tool. The tool was considered an ally to the strategic decisions of firms and organizational development.

O objetivo desta disserta??o foi propor, implantar e validar uma ferramenta para gerenciamento da melhoria cont?nua de processos por meio da integra??o de duas ferramentas conhecidas no mercado, o Omega 8 Orca, voltada para avaliar a maturidade de processos, e o BSC, como gerenciador dos…

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The objective of this research is to diagnose and propose a process flow model that allows the reduction in administrative process time for infusion equipment acquisition through the Process Improvement Theory applied to the Purchase and Acquisition Cycle at the National Institute of Cancer Jos? Alencar Gomes da Silva (INCA). The research theme is in the field of Public Administration under the theme of public hiring in hospital with emphasis on Process Management. It is a study of epistemological orientation of positivist approach of qualitative nature, classified as applied and descriptive that used as a research strategy the single case study, being used as sources of evidence direct observation, documentary survey and interview semi-structured analysis applied to a non-probabilistic sample of employees directly involved in the Purchasing Cycle and Acquisitions of infusion equipment. The results obtained were the diagnosis of the current situation of the selected subprocesses (as is), the design of the business process diagrams (DPN), the identification of critical points, the redesign of the analyzed subprocesses (to be) and the development of a plan of action with the implementation of a process office as an actor that guides the continuous improvement of the institution's business processes

O objetivo desta pesquisa ? diagnosticar e propor um modelo de fluxo de processos que propicie a redu??o no tempo de processo administrativo para aquisi??o de equipos de infus?o por meio da Teoria de Melhoria de Processos aplicada ao Ciclo de Compras e Aquisi??es no Instituto Nacional de C?ncer Jos? Alencar Gomes da Silva (INCA). O tema da pesquisa situase no campo da Administra??o P?blica sob a tem?tica das contrata??es p?blicas em ?mbito hospitalar com ?nfase na Gest?o por Processos. Trata-se de um estudo de orienta??o epistemol?gica de abordagem positivista de natureza qualitativa, classificado como aplicado e descritivo que utilizou como estrat?gia de pesquisa o estudo de caso ?nico, valendo-se como fontes de evid?ncias a observa??o direta, o levantamento documental e a entrevista semiestruturada aplicada a uma amostra n?o-probabil?stica de funcion?rios diretamente envolvidos no Ciclo de Compras e Aquisi??es de equipo de infus?o. Os resultados obtidos foram o diagn?stico da situa??o atual dos subprocessos selecionados (as is), o desenho dos diagramas de processos de neg?cios (DPN), a identifica??o de pontos cr?ticos, o redesenho dos subprocessos analisados (to be) e o desenvolvimento de um plano de a??o com a implanta??o de um escrit?rio de processos como ator condutor…

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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES

The purpose of this study is to understand how are configured the practices and the work processes of psychologists of NASF in the city of Porto Alegre and metropolitan region. The Family Health Support Center (NASF) has as main objective to qualify Primary Care and increase the resolution of care through multidisciplinary action and technical-pedagogical support with the inclusion of new nuclei of knowledge and strategies of care along with Family Health Teams (ESF). In this context, the insertion of at least one mental health professional in the NASF is also recommended, among them psychology professionals. In addition to mental health, psychology also promotes actions aimed at the health of the family and the territorialization of care, encountering contexts of complexity in the performance of basic care. The research that characterizes the empirical section of this dissertation consists of a qualitative, exploratory and descriptive study. The participants were six psychologists, aged between 29 and 45 years, working in NASFs in Porto Alegre and Metropolitan Region, invited by the snowball method, in which one professional indicates the next to participate. The inclusion criterion was that the participants worked for at least six months in the NASF. The instrument used in the data collection was a semi-directed interview, which was recorded in audio and transcribed. For the analysis of the material, Thematic Analysis technique was used, giving rise to three thematic axes of analysis, which were named: 1) Individual care: subjective health productions and their scope; 2) Me, them and us: interfaces between field and core; 3) The individual in the psychosocial perspective: specifics of the psychologist in NASF. The results point out that the practice of individual care is still an important aspect of NASF policy guidelines, so that the professionals attribute to this practice the professional responsibility and belonging to the specificity of their clinical identity. At the same time, it is pointed towards an approach of the clinic to the psychosocial and health promotion practices, which integrate the professional nuclei and make up a field performance. In this sense, we seek to problematize the NASF psychologist's practice in the current political context and the complexity of its performance.

O objetivo desse estudo ? compreender como se…

Submitted by Setor de Tratamento da Informa??o - BC/PUCRS ([email protected]) on 2016-05-03T15:55:01Z No. of bitstreams: 1 TES_JANAINA_ALVARENGA_ARAGAO_COMPLETO.pdf: 3180936 bytes, checksum: 8c2565ec49dcb5d8412b181769abe70c (MD5)

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Several changes have occurred on humanity in the last decades, the aging of the world population and Brazilian population. Due to the drop in mortality rates and increased life expectancy at birth, it has also increased the prevalence of chronic diseases due to transmissible diseases in developing countries. The overall objective of the study was analyze the relation between the characteristics of access to health care and assistency provided in primary care to adults and seniors of remaining quilombola communities, associated to the epidemiological and socio-cultural profile of the community where they live. A census was conducted along with community health agents, and by the end 198 remnants of quilombola communities, adults and seniors, that is being 45 years old or more, residents of the quilombola communities of Piau?, between March and December 2011. It was performed an analysis (fasting peripheral blood, and analyzed it to test the levels of HDL-cholesterol, triglycerides and glucose), anthropometric data (height, weight, arterial pressure, waist circumference), completed questionnaires regarding sociodemographic data, lifestyle and access to healthcare. Data were scanned into a database developed by TeleForm and analyzed using the Epi Info software, version 3.5.1. The botanical material was collected to get to know the practices and natural and traditional health resources in their communities. The study was approved by the Pontifical Catholic University of Rio Grande do Sul Ethics Committee. The results of this study demonstrated that the prevalence of MS was 55.4% in the quilombolas surveyed, and more prevalent in females (p <0.001). the distance between home and the health unity greater than 5 km was significantly important for a smaller chance to prefer non-traditional health knowledge, the geographical distance interfered with the access to healthcare of these communities. Therefore, it is necessary to invest in the construction of social equipment designed to meet their needs based on the historical context and where these communities live, especially in public policies of preventive health education, professional qualification of the Family Health staff, since it is in this strategy that the government investment has had the highest concentration.

V?rias mudan?as aconteceram na humanidade nas ?ltimas d?cadas, o envelhecimento da popula??o mundial e popula??o brasileira. Devido ? queda da taxa de mortalidade, e aumento da esperan?a de vida ao nascer aumentou tamb?m a preval?ncia das enfermidades cr?nicas em detrimento das doen?as transmiss?veis nos pa?ses…

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O estudo teve como objetivo evidenciar a identidade profissional da enfermeira na Estrat??gia Sa??de da Fam??lia (ESF). Esta identidade evidencia-se a partir da articula????o entre a ???identidade atribu??da por outros???, definida aqui pelas atribui????es profissionais, e a ???identidade para si???, baseada em atividades do cotidiano do trabalho com as quais a profissional se identifica. As identidades v??m sendo discutidas como um processo em continua transforma????o, influenciadas pelo local de inser????o no trabalho. Desse modo, analisou-se as atividades realizadas pela enfermeira inserida na ESF. Foram utilizadas portarias e legisla????es que regem a profiss??o da enfermeira. Para a coleta de dados de campo, foram realizados dois grupos focais com enfermeiras que atuam na ESF da cidade de Salvador, BA. As an??lises dos documentos e dos grupos focais foram feitas a partir da descri????o das atribui????es delegadas a enfermeiras pelas organiza????es e institui????es que normatizam o trabalho na ESF e das atividades incorporadas pelas enfermeiras em seu cotidiano de trabalho, elaborando-se quadros comparativos com base nos processos de trabalho: assistencial, gerencial e educacional. Os resultados das an??lises mostram as atividades assistenciais como as mais frequentes no cotidiano de trabalho das enfermeiras na ESF. As atividades de educa????o e de promo????o ?? sa??de s??o apontadas pelas enfermeiras como as que atribuem maior conte??do identit??rio, apesar de n??o realizarem estas atividades com frequ??ncia. Estas contradi????es revelam dificuldades da enfermeira em identificar os tra??os identit??rios da profiss??o na ESF. Para as participantes dos grupos focais, as atividades gerenciais s??o as que atribuem menor conte??do identit??rio ao seu trabalho. A investiga????o possibilitou evidenciar que a identidade da enfermeira na ESF ?? plural, devido a sua inser????o em m??ltiplos processos de trabalho: assistencial, gerencial e educacional e que existem diferen??as significativas entre a identidade atribu??da pelas organiza????es de sa??de e institui????es normalizadoras do trabalho e a identidade assumida pelas enfermeiras. Entendendo que a forma????o de identidades ocorre em um processo em cont??nua transforma????o, evidencia-se a necessidade de que novos…

Submitted by Samuel Real Mota ([email protected]) on 2013-07-03T11:47:18Z No. of bitstreams: 1 Disserta????o F??TIMA DO ROSARIO Identidade Profissional da Enfermeira na ESF.pdf: 417297 bytes, checksum: dc91930f5846abe6c521970f571b4137 (MD5)

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Made available in DSpace on 2013-07-08T16:07:48Z (GMT). No. of bitstreams: 1 Disserta????o F??TIMA DO ROSARIO Identidade Profissional da Enfermeira na ESF.pdf: 417297 bytes, checksum: dc91930f5846abe6c521970f571b4137 (MD5) Previous issue date: 2013-05-09

O estudo teve como objetivo evidenciar a identidade profissional da enfermeira na Estrat??gia Sa??de da Fam??lia (ESF). Esta identidade evidencia-se a partir da articula????o entre a ???identidade atribu??da por outros???, definida aqui pelas atribui????es profissionais, e a ???identidade para si???, baseada em atividades do cotidiano do trabalho com as quais a profissional se identifica. As identidades v??m sendo discutidas como um processo em continua transforma????o, influenciadas pelo local de inser????o no trabalho. Desse modo, analisou-se as atividades realizadas pela enfermeira inserida na ESF. Foram utilizadas portarias e legisla????es que regem a profiss??o da enfermeira. Para a coleta de dados de campo, foram realizados dois grupos focais com enfermeiras que atuam na ESF da cidade de Salvador, BA. As an??lises dos documentos e dos grupos focais foram feitas a partir da descri????o das atribui????es delegadas a enfermeiras pelas organiza????es e institui????es que normatizam o trabalho na ESF e das atividades incorporadas pelas enfermeiras em seu cotidiano de trabalho, elaborando-se quadros comparativos com base nos processos de trabalho: assistencial, gerencial e educacional. Os resultados das an??lises mostram as atividades assistenciais como as mais frequentes no cotidiano de trabalho das enfermeiras na ESF. As atividades de educa????o e de promo????o ?? sa??de s??o apontadas pelas enfermeiras como as que atribuem maior conte??do identit??rio, apesar de n??o realizarem estas atividades com frequ??ncia. Estas contradi????es revelam dificuldades da enfermeira em identificar os tra??os identit??rios da profiss??o na ESF. Para as participantes dos grupos focais, as atividades gerenciais s??o as que atribuem menor conte??do identit??rio ao seu trabalho. A investiga????o possibilitou evidenciar que a identidade da enfermeira na ESF ?? plural, devido a sua inser????o em m??ltiplos processos de trabalho: assistencial, gerencial e educacional e que existem diferen??as significativas entre a identidade atribu??da pelas organiza????es de sa??de e institui????es normalizadoras do trabalho e a identidade assumida pelas enfermeiras. Entendendo que a forma????o de identidades ocorre em um processo em cont??nua transforma????o, evidencia-se a…

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O Tracoma, tido equivocadamente como erradicado em nosso meio, encontra-se na lista de doen?as negligenciadas. Trata-se da maior causa de cegueira evit?vel do mundo, sendo encontrado predominantemente nos pa?ses subdesenvolvidos. Diversos trabalhos t?m demonstrado que esta doen?a se faz presente em todas as regi?es do Brasil atualmente, o que evidencia que tanto o governo (nas esferas federal, estadual e municipal) quanto a academia devem continuar a considerar o Tracoma entre as causas de cegueira em nosso meio. A necessidade de maior qualifica??o e capacita??o dos profissionais de sa?de para um melhor atendimento aos usu?rios do Sistema ?nico de Sa?de ? SUS tem feito com que sejam tentadas diferentes alternativas para atingir este objetivo. Diversas experi?ncias t?m sido efetivadas em nosso meio, com resultados exitosos. Neste trabalho procurou-se levantar a frequ?ncia de Tracoma entre os escolares de sete a quinze anos da rede p?blica do munic?pio de Turmalina, MG bem como verificar a efetividade de uma estrat?gia de educa??o permanente denominada Treinamento de Habilidades Cl?nicas ? THC na detec??o desta doen?a. A pesquisa foi realizada neste munic?pio, situado no Vale do Jequitinhonha, tendo em vista um levantamento pr?vio que demonstrou que nos ?ltimos cinco anos n?o tinha ocorrido nenhum encaminhamento de usu?rio da Aten??o Prim?ria para o servi?o de oftalmologia do munic?pio com hip?tese diagn?stica de Tracoma. Considerando que no munic?pio existem regi?es com popula??es em situa??o de alta vulnerabilidade social, portanto com caracter?sticas prop?cias para o surgimento da doen?a, suspeitou-se que os casos n?o estavam sendo diagnosticados. Participaram da pesquisa quatro m?dicos e oito enfermeiros das ESF e ainda tr?s enfermeiros que atuavam na gest?o, mas tamb?m ocasionalmente nas ESFs. Inicialmente foi feito um diagn?stico situacional visando avaliar o n?vel de conhecimento dos profissionais das ESFs de Turmalina, MG, acerca do Tracoma quando os profissionais de sa?de responderam a um question?rio a respeito do tema. Em seguida foi realizado um m?dulo de capacita??o e ap?s esta etapa foi realizado o THC. Posteriormente os profissionais de sa?de realizaram o exame…

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O estudo teve como objetivo evidenciar a identidade profissional da enfermeira na Estrat??gia Sa??de da Fam??lia (ESF). Esta identidade evidencia-se a partir da articula????o entre a ???identidade atribu??da por outros???, definida aqui pelas atribui????es profissionais, e a ???identidade para si???, baseada em atividades do cotidiano do trabalho com as quais a profissional se identifica. As identidades v??m sendo discutidas como um processo em continua transforma????o, influenciadas pelo local de inser????o no trabalho. Desse modo, analisou-se as atividades realizadas pela enfermeira inserida na ESF. Foram utilizadas portarias e legisla????es que regem a profiss??o da enfermeira. Para a coleta de dados de campo, foram realizados dois grupos focais com enfermeiras que atuam na ESF da cidade de Salvador, BA. As an??lises dos documentos e dos grupos focais foram feitas a partir da descri????o das atribui????es delegadas a enfermeiras pelas organiza????es e institui????es que normatizam o trabalho na ESF e das atividades incorporadas pelas enfermeiras em seu cotidiano de trabalho, elaborando-se quadros comparativos com base nos processos de trabalho: assistencial, gerencial e educacional. Os resultados das an??lises mostram as atividades assistenciais como as mais frequentes no cotidiano de trabalho das enfermeiras na ESF. As atividades de educa????o e de promo????o ?? sa??de s??o apontadas pelas enfermeiras como as que atribuem maior conte??do identit??rio, apesar de n??o realizarem estas atividades com frequ??ncia. Estas contradi????es revelam dificuldades da enfermeira em identificar os tra??os identit??rios da profiss??o na ESF. Para as participantes dos grupos focais, as atividades gerenciais s??o as que atribuem menor conte??do identit??rio ao seu trabalho. A investiga????o possibilitou evidenciar que a identidade da enfermeira na ESF ?? plural, devido a sua inser????o em m??ltiplos processos de trabalho: assistencial, gerencial e educacional e que existem diferen??as significativas entre a identidade atribu??da pelas organiza????es de sa??de e institui????es normalizadoras do trabalho e a identidade assumida pelas enfermeiras. Entendendo que a forma????o de identidades ocorre em um processo em cont??nua transforma????o, evidencia-se a necessidade de que novos estudos sejam realizados para um melhor entendimento de como esse processo ocorre e o que ele revela em cada contexto, bem como da institui????o de espa??os…

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FAPAC/CAPES

Este trabalho tem por prop??sito caracterizar a representa????o do corpo humano presente no curr??culo do ensino de ci??ncias da escola prim??ria, no Territ??rio Federal do Acre. A Hist??ria Cultural e os Estudos Culturais constituem as perspectivas epistemol??gicas utilizadas nesta pesquisa. Empregou-se: a pesquisa documental, a an??lise de conte??do, a t??cnica snowball, entrevistas em profundidade com onze professoras e alunas. A sele????o de documentos foi realizada nos acervos do Centro de Documenta????o Hist??rica, Conselho Estadual de Educa????o do Acre, Arquivo Geral do Estado do Acre, Museu da Borracha e do Centro de Informa????o e Biblioteca em Educa????o ??? CIBEC em Bras??lia. Os programas de ensino, os regulamentos de funcionamento do ensino prim??rio, as fotografias, as gravuras, as not??cias e os artigos sobre educa????o em jornais da ??poca foram as fontes de pesquisa. A constru????o e abordagem das s??ries documentais e a an??lise foram mediadas pelo conceito de representa????o social. Esta narrativa concebeu o corpo humano, enquanto um ente da natureza sobre o qual incidem a cultura, as representa????es sociais e as pr??ticas sociais, em sua produ????o cient??fica. As representa????es sobre o corpo encontram-se subjacentes aos modos diversificados da escolariza????o, no sistema de ensino do Territ??rio Federal do Acre e no curr??culo do ensino de ci??ncias da escola prim??ria. A unifica????o administrativa do Territ??rio Federal do Acre teve efeitos no curr??culo, e na expans??o de modos diversificados de realiza????o da escolariza????o, consubstanciou o corpo como artefato cultural, no eixo civilidade ??? civismo ??? moral, para produzir o brasileiro e a brasileira acreanos. O ensino de ci??ncias erigiu um vi??s antropoc??ntrico e expressou uma linguagem androc??ntrica que revelou um corpo can??nico ??? o masculino, que comportava a subsun????o do corpo feminino ao corpo masculino. Essa imagem do corpo forjada na ci??ncia representava a todos e findava por n??o representar especificamente a ningu??m. O foco discursivo sobre o corpo encontrava-se centrado na morfologia anat??mica e no funcionamento: dos ??rg??os dos sentidos, da digest??o, da respira????o e circula????o sangu??nea. Nos corpos, em vista de seus atributos e de suas propriedades, incidiram as condi????es de acesso a direitos humanos fundamentais e outras demandas do social, e tamb??m endere??avam as pessoas…

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The teaching of Primary Health Care in undergraduate medical school has been a constant challenge for professors and educational institutions. It proposes an outpatient care distant from the students' day-to-day hospital practice and tends not to be a subject of greater interest to them. With the purpose of discussing the topic, this study evaluates the identification of the attributes of primary health care, the performance of a Family Health Unit in Porto Alegre, and the expectations and perception of what was performed by medical students before and after the completion of the Internship in Collective Health. In order to do so, the identification of primary care attributes, the evaluation of the integrality attribute through the questionnaire on Primary Health Care (PCA tools), and open-ended questions about the expectation and reality found in Family Health Units were used. Answer analysis was done using Bardin?s descriptive statistics and content analysis. As a result, at the end, students had identified more attributes of Primary Health Care, brought up important aspects in the evaluation of the Family Health Strategy Units, and their written answers to the open-ended questions about the internship evidenced the expectation and perception of what was performed in care and health education.

O ensino da Aten??o Prim?ria ? Sa?de na gradua??o do curso de Medicina tem sido um desafio constante para os docentes e institui??es. Prop?e uma medicina ambulatorial distante da pr?tica hospitalar cotidiana dos alunos e tende a n?o ser assunto de interesse maior dos mesmos. Com o objetivo de trazer a discuss?o para o tema, este estudo avalia a identifica??o dos atributos da aten??o prim?ria em sa?de, o desempenho de uma Unidade de Sa?de da Fam?lia em Porto Alegre, e as expectativas e percep??o do realizado em estudantes de medicina antes e ap?s a realiza??o do Internato em Sa?de Coletiva. Utiliza para isso a identifica??o dos atributos da Aten??o Prim?ria, a avalia??o do atributo integralidade pelo question?rio sobre Aten??o Prim?ria ? Sa?de (PCA tools) e quest?es abertas sobre a expectativa e realidade encontrada em Unidades de Sa?de da Fam?lia. A an?lise das respostas se fez por estat?stica descritiva e an?lise de conte?do, de Bardin. Como resultado, ao final, os alunos identificaram maior n?mero de atributos da Aten??o Prim?ria a Sa?de, trouxeram aspectos importantes na avalia??o das…

Submitted by PPG Gerontologia Biom?dica ([email protected]) on 2018-11-26T10:29:25Z No. of bitstreams: 1 CEOLIN_JAMILE_DIS.pdf: 5734789 bytes, checksum: a5fc91e4d004e1c48342aa425f83a4e8 (MD5)

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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES

Performance of anthropometric indicators in the prediction of metabolic syndrome in elderly people attended basic care. 2018. 118f. Dissertation (Master in Biomedical Gerontology) - Escola de Medicina da Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2018. Introduction: Metabolic syndrome (MetS) is frequent among the elderly and is associated with negative outcomes such as cardiovascular morbidity, cancer and mortality. Studies have demonstrated the performance of anthropometric indicators in the prediction of metabolic syndrome, however, studies involving the elderly population in general and Brazilian in particular are insipient. Objectives: To describe the frequency of MetS and its components in elderly patients assisted in basic care and to determine the performance of anthropometric indicators in the prediction of metabolic syndrome. Methods: This is a cross-sectional study with 479 elderly people who were evaluated in the Epidemiological and Clinical Study of the Elderly Attended by the Family Health Strategy of the Municipality of Porto Alegre (EMI-SUS). For the diagnosis of MetS, the revised NCEP-ATPIII criterion was used. The variables under investigation were: MetS and its components (central obesity, decreased HDL-c and triglycerides, high blood pressure and glucose); (age, sex and age) and five anthropometric indicators (neck circumference, sagittal abdominal diameter (SAD), SAD/height ratio, sagittal index and conicity index]. The predictive power and cut-off points of the anthropometric indicators were determined using Receiver Operating Characteristic (ROC) curves. The anthropometric indicators that presented area under the curve (auROC)> 0.70 were considered as adequate performance. Results: The majority of the sample was female (63.5%) and had MetS (60.5%). The most frequent MetS was high blood pressure (69.5%) and the least frequent was decreased HDL cholesterol (34.9%). In the total sample, the anthropometric indicators that demonstrated adequate performance were SAD/height (cutoff point: 0.14, auROC: 0.810, 95% CI: 0.771-0.850), SAD (cut-off point: 24.65 cm, 0.777, 95% CI: 0.734-0.820) and conicity index (cut-off point: 1.57, aROC: 0.706, 95% CI: 0.660-0.753). In females, anthropometric indicators with adequate performance were the SAD (cut-off point: 23.34 cm, auROC: 0.820, 95% CI: 0.766-0.875),…

Submitted by PPG Gerontologia Biom?dica ([email protected]) on 2018-12-27T16:07:45Z No. of bitstreams: 1 LANGONI_CHANDRA_DA_SILVEIRA_TESE.pdf: 1982935 bytes, checksum: 369a3e8183584bb22607d44f39d457d0 (MD5)

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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES

LANGONI, Chandra da Silveira. Effects of a group physical activity program in older adults with mild cognitive impairment in the Family Health Strategy of Porto Alegre. 2018. 158f. Thesis (PhD in Biomedical Gerontology) ? School of Medicine, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil, 2018. Mild cognitive impairment (MCI) presents high conversion rates to dementia, a disease of high prevalence in the elderly. The search for measures that prevent or delay this progression is necessary, such as physical exercise. However, randomized and controlled studies that determine the effects of physical exercises are still scarce. Therefore, in the present thesis, two original articles are presented, which describe the findings from a single blind, randomized and matched-pair controlled trial (sex, age, body mass index and Addenbrooke Cognitive Examination score). The sample consisted of 52 sedentary older adults with MCI, Family Health Strategy / Primary Health Care users from Porto Alegre/RS (Brazil), who were randomized into intervention group (IG) and control group (CG). For 24 weeks, the IG participated in two weekly meetings (60 minutes each) of aerobic and muscular strength exercises in group, while the CG maintained its usual routine. The instruments applied before and after the intervention were: Mini Mental State Examination (MMSE); 2-minute stationary walk test (SW); 30-second sit/stand test; functional reach test (FRT); Berg Balance Scale (BBS); Time Up and Go Test (TUG); Geriatric Depression Scale-15 (GDS-15). Prior to the intervention, the IG and CG did not differ statistically in any of the analyzed variables. In the first article, the effects of the exercise program on the cognitive function, conditioning, strength and balance of the participants were determined. In the intra-group analysis, the IG showed a significant increase in the mean MMSE scores (21.9?4.8x25.0?4.7), sit/stand repetitions (9.3?2.0x11.6?2.0), FRT distance (28.1?7.8x30.7?7.1) and the median number of SW steps [97.5(60.0-124.0)x131.5(105.0-153.8)], while the CG showed a significant reduction in the mean MMSE scores (23.7?3.7x20.4?4.1) and the FRT (30.6?8.2x27.1?6.9), after the intervention. The IG gains presented medium to large effect sizes, while in the CG the reductions in the MMSE and FR had…

Submitted by Setor de Tratamento da Informa??o - BC/PUCRS ([email protected]) on 2016-08-29T14:06:36Z No. of bitstreams: 1 DIS_JOEL_HIRTZ_DO_NASCIMENTO_NAVARRO_PARCIAL.pdf: 326191 bytes, checksum: b4a1a4a965e905f18947117bd092e4c7 (MD5)

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The Primary Health Care (PHC) constitutes preferably as the first level of contact of an individual with the Unified Health System and the Family Health Strategy (FHS) is the means by which the reorganization is sought in Brazil. The Ministry of Health considers relevant to assessing the PHC through the presence and extent of the essential attributes and derivatives proposed by the Primary Care Assessment Tool (PCATool-Brazil). In this sense, the present study aimed to compare the health care of the oldest in Basic Health Units (BHU) with and without ESF. It characterized by being observational, cross-sectional and quantitative approach. Fifity elderly were interviewed, aged 80 or more, users of BHU with and without FHS in the city of Porto Alegre, Rio Grande do Sul. When comparing the BHU models only services without Family Health demonstrated a high degree of orientation to the PHC for the Essential Attributes Score and the General Score of PCATool-Brazil. It was found that although the FHS be the means by which the PHC reorganizes in the country, this model does not have the intended effectiveness for the health care of the elderly. It is understood that the findings of this study contribute to new strategies in the PHC work process is designed so that receive more universality the older people and their different capacities, including those longer-lived.

A Aten??o Prim?ria ? Sa?de (APS) constitui-se preferencialmente como o primeiro n?vel de contatode um indiv?duo com o Sistema ?nico de Sa?de e, a Estrat?gia de Sa?de da Fam?lia (ESF) ? o meio pelo qual busca-se a sua reorganiza??o no Brasil. O Minist?rio da Sa?de considera relevante a avalia??o da APS atrav?s da presen?a e extens?o dos atributos essenciais e derivados propostos pelo Instrumento de Avalia??o da Aten??o Prim?ria (PCATool-Brasil). Nesse sentido, o presente estudo teve como objetivo comparar a aten??o ? sa?de de longevos em Unidades B?sicas de Sa?de (UBS) com e sem ESF. Caracterizou-se por ser observacional, transversal e com abordagem quantitativa. Foram entrevistados 50 pessoas idosas com 80 anos ou mais, usu?rias de UBS com e sem ESF do munic?pio de Porto Alegre, Rio Grande do Sul. Quando comparados os modelos de UBS apenas os servi?os sem Sa?de da Fam?lia demonstraram alto grau de orienta??o ? APS para o Escore dos Atributos Essenciais e para o Escore Geral do PCATool-Brasil. Verificou-se que apesar de a ESF ser o meio pelo qual a APS reorganiza-se no Pa?s, esse modelo ainda n?o possui a efetividade planejada para a aten??o ? sa?de das pessoas idosas. Entende-se que os achados deste estudo…

Submitted by Setor de Tratamento da Informa??o - BC/PUCRS ([email protected]) on 2017-02-06T13:35:50Z No. of bitstreams: 1 DIS_RAQUEL_SEIBEL_PARCIAL.pdf: 457430 bytes, checksum: 6c0764371d25783fd26367cb421a27b3 (MD5)

Made available in DSpace on 2017-02-06T13:35:50Z (GMT). No. of bitstreams: 1 DIS_RAQUEL_SEIBEL_PARCIAL.pdf: 457430 bytes, checksum: 6c0764371d25783fd26367cb421a27b3 (MD5) Previous issue date: 2016-05-31

The Mini Nutritional Assessment Short Form (MNA?-SF) is a nutritional status-screening tool in the elderly including body mass index or calf circumference as anthropometric parameter. However, it is not always possible to obtain these parameters. Thus, it is important to search for alternative parameters such as the circumference of the arm that is also used in the evaluation of nutritional status. This dissertation presents an original article entitled ACCURACY OF ARM CIRCUMFERENCE IN THE MINI NUTRITIONAL ASSESSMENT SHORT FORM whose objectives were to describe the nutritional status of elderly patients in primary health care and determine the accuracy of the use of the arm circumference in MNA?-SF for screening of nutritional status. Therefore, a cross-sectional, descriptive and analytical study was conducted, with a sample of 539 individuals aged 60 years or more, registered in the Family Healthcare in Porto Alegre-RS and were evaluated in the Epidemiological and Clinical Study Seniors Attended by the Family Healthcare in the City of Porto Alegre (EMI-SUS). Variables were investigated, such as Socio-demographic (genre, age, race, marital status, family income and education); Anthropometric [body mass index (BMI), calf circumference (CC) and arm circumference (AC)] and nutritional status (MNA? and MNA?-SF). For the classification of the AC, two variations were used, one with three categories (AC3= <21cm: 0 points; ?21 or ?22cm: 1.5 points; >22cm: 3 points) and one with two categories (AC2= < 21cm: 0 points and ?21: 3 points), taking into account the minimum and maximum values established for categories of BMI of MNA? due to its replacement by AC2, AC3. For CC, the cutoff points used were already determined to MNA?-SF (<31cm: 0 points; ?31cm: 3 points). To determine the accuracy, MNA? was considered the gold standard for nutritional risk. The mean age was 68.7 ? 6.8 years (60-100 years). Most seniors were female (63.1%). Regarding nutritional status, they were classified as being at nutritional risk or undernourished, 24.1% of the elderly by MNA? and 33.4% by MNA?-SF. Regarding the socio-demographic variables, association only between nutritional status and marital status and education was observed. Separate individuals were more often eutrophic and widowers and illiterates were more often malnourished. Correlation analysis between BMI, CC and AC was significant, positive and strong (r> 0.750, P <0.001). The agreement between the MNA?-SF with IMC and MNA?-SF with CC, MNA?-SF with IMC and MNA?-SF with AC2, MNA?-SF with IMC and MNA?-SF with AC3 was excellent (?>0.90; P<0.001). The accuracy of the four…

Submitted by Caroline Xavier ([email protected]) on 2017-06-06T19:25:16Z No. of bitstreams: 1 TES_TATIANE_DE_FREITAS_ERMEL_COMPLETO.pdf: 8265571 bytes, checksum: f943fa5ce4adc72965603fbc80ce2240 (MD5)

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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES

This thesis research is inserted in the of history of education field, within the theoretical perspective of cultural history and school culture, and aims to analyze the first buildings destined for public primary schools in Rio Grande do Sul, during the First Brazilian Republic (1889-1930), relating them with the historical and educational patrimony of this state. The collection of empirical data was carried through, over all, in the Legislative Assembly of Rio Grande do Sul's Memorial and in the Map Collection of the Direction of Public Works/RS; it was carried a qualitative analysis of the reports from the Direction of Public Works/RS, Direction of Public Instruction/RS and of the pictorial files. It proposes to discuss the following question: which relations were established between the first primary school buildings, constructed by the Rio Grande do Sul Government in the first decades of the 20th century, and the historical, educational state patrimony? It carries through a cartography of the first projects, plants and photographs of the school buildings constructed by the state government, analyzing aspects of its trajectories, identifying the changes and the continuities, from a material and symbolic point of view. The temporal scope was established in accordance with the years of construction/completion of the first and the last primary school identified in this research. Therefore, the year of 1907 marks the beginning of the construction of Aula Isolada Campos da Reden??o, located in the city of Porto Alegre. The date of 1928 corresponds to the completion of the elementary schools in the State, one located in the city of Passo Fundo and the other in Cruz Alta, which were constructed on the basis of the same project. During this interval (1907-1928), the study identified 18 school buildings, among reforms, adaptations and constructions carried through by the state government, which enabled a division in two great groups: adapted buildings and constructions. Of the 9 buildings that were constructed, the majority is located in the capital and/or urban zones of different cities. When analyzing the trajectory of these establishments, it was observed that great part of them follow their activities as education institutions, facing serious structural problems and a significant crisis related to its history, memory and valuation as historical and educational patrimonies. It was identified that none of these constructions is protected by the Institute of the Historic and Artistic Patrimony of the State, and it was not found…

Submitted by Setor de Tratamento da Informa??o - BC/PUCRS ([email protected]) on 2016-02-10T12:59:12Z No. of bitstreams: 1 TES_VERA_ELIZABETH_CLOSS_PARCIAL.pdf: 344877 bytes, checksum: 83c1713273477d9c1c0fb821d224a93c (MD5)

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Population ageing has been the focus of many studies as it reflects an important transformation of society that creates a reality with new challenges to be faced. The ageing process can be categorized in two forms: normal ageing or ageing per se or senescence (with associated molecular, anatomical and physiological alterations) and usual ageing or senility (associated with diseases and disabilities). The frailty syndrome is among the most discussed current themes. Frailty is a condition in which the individual presents increased vulnerability to the development of dependency, hospitalization, institutionalization, fall-risk and mortality, among other adverse outcomes, when exposed to a stressor. Various pathophysiological processes involved in frailty are closely related to nutritional and body composition aspects, and anthropometry presents as a useful technique for evaluating these conditions. Given that frailty in its early stages is commonly seen in the elderly community and that available instruments for its identification (such as the widely used Fried Phenotype) are complex and difficult to apply in primary care, the search for simple tools becomes important. In this thesis, three original articles are presented. In the first, article, AGING INDEX DEVELOPMENT IN BRAZIL, REGIONS, AND FEDERATIVE UNITS FROM 1970 TO 2010, we sought to address the ageing index, the parameter through which to evaluate the expansion process of the elderly segment of total population in relation to the relative change in young age group. To this end, data from the Demographic Census and Social Indicators of the Brazilian Institute of Geography and Statistics (IGBE) were analysed. It was evidenced that the Brazilian population is undergoing a rapid ageing process. For the second article, DESCRIPTION OF ANTHROPOMETRIC MEASUREMENTS AND ANALYSIS OF THEIR ASSOCIATION WITH GENDER, AGE, AND FRAILTY SYNDROME IN ELDERLY ASSISTED AT THE FAMILY HEALTH STRATEGY: DATA FROM THE EMI-SUS, data from 583 elderly participants of a cross-sectional study ?Clinical and Epidemiological Study of the Elderly Attended at the Family Health Strategy (FHS) in the City of Porto Alegre (EMI-SUS)?, were analyzed. The frequency of frailty (diagnosed by Fried Phenotype) was observed to be 21.5% and pre-frailty 51.1%, and that only one of the 41 evaluated anthropometric measures was not associated with at least one of the investigated dependent variables (gender, age group or frailty). In the third article, PERFORMANCE OF ANTHROPOMETRIC MEASURES IN PREDICTING FRAILTY IN THE ELDERLY: LOGISTIC REGRESSION AND ARTIFICIAL NEURAL NETWORK…

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O estudo teve como objetivo evidenciar a identidade profissional da enfermeira na Estrat??gia Sa??de da Fam??lia (ESF). Esta identidade evidencia-se a partir da articula????o entre a ???identidade atribu??da por outros???, definida aqui pelas atribui????es profissionais, e a ???identidade para si???, baseada em atividades do cotidiano do trabalho com as quais a profissional se identifica. As identidades v??m sendo discutidas como um processo em continua transforma????o, influenciadas pelo local de inser????o no trabalho. Desse modo, analisou-se as atividades realizadas pela enfermeira inserida na ESF. Foram utilizadas portarias e legisla????es que regem a profiss??o da enfermeira. Para a coleta de dados de campo, foram realizados dois grupos focais com enfermeiras que atuam na ESF da cidade de Salvador, BA. As an??lises dos documentos e dos grupos focais foram feitas a partir da descri????o das atribui????es delegadas a enfermeiras pelas organiza????es e institui????es que normatizam o trabalho na ESF e das atividades incorporadas pelas enfermeiras em seu cotidiano de trabalho, elaborando-se quadros comparativos com base nos processos de trabalho: assistencial, gerencial e educacional. Os resultados das an??lises mostram as atividades assistenciais como as mais frequentes no cotidiano de trabalho das enfermeiras na ESF. As atividades de educa????o e de promo????o ?? sa??de s??o apontadas pelas enfermeiras como as que atribuem maior conte??do identit??rio, apesar de n??o realizarem estas atividades com frequ??ncia. Estas contradi????es revelam dificuldades da enfermeira em identificar os tra??os identit??rios da profiss??o na ESF. Para as participantes dos grupos focais, as atividades gerenciais s??o as que atribuem menor conte??do identit??rio ao seu trabalho. A investiga????o possibilitou evidenciar que a identidade da enfermeira na ESF ?? plural, devido a sua inser????o em m??ltiplos processos de trabalho: assistencial, gerencial e educacional e que existem diferen??as significativas entre a identidade atribu??da pelas organiza????es de sa??de e institui????es normalizadoras do trabalho e a identidade assumida pelas enfermeiras. Entendendo que a forma????o de identidades ocorre em um processo em cont??nua transforma????o, evidencia-se a necessidade de que novos estudos sejam…

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CAPES

Trata-se de uma pesquisa avaliativa, quantitativa, tipo estudo de linha de base. O objetivo foi avaliar a rede de unidades b??sicas de sa??de com foco no princ??pio da Integralidade. As tr??s dimens??es da Integralidade adotadas para a constru????o dos indicadores de avalia????o da rede foram: pol??ticas espec??ficas da Aten????o B??sica; organiza????o dos servi??os e das pr??ticas; e pr??ticas profissionais. A amostra foi composta por 531 usu??rios dos servi??os, 78 profissionais de sa??de e 14 gestores de unidades b??sicas de sa??de, distribu??dos em 15 unidades de sa??de nos 12 distritos sanit??rios do munic??pio de Salvador, Bahia. O perfil dos usu??rios foi caracterizado por uma maioria de mulheres (87%), afro-descendentes (86%), na faixa et??ria de 48 anos e mais de idade (25%), com ensino m??dio completo (39%). O principal motivo de procura pela unidade de sa??de da fam??lia foi a proximidade com a resid??ncia. Os resultados apontaram para uma dist??ncia entre a rede de unidades b??sicas de sa??de e o princ??pio da Integralidade. A dimens??o das pol??ticas espec??ficas da aten????o b??sica apresentou os piores resultados, indicando baixa participa????o da comunidade nas decis??es em sa??de e falta e elabora????o de projetos espec??ficos baseados nas necessidades da popula????o. Na dimens??o da organiza????o dos servi??os e das pr??ticas, o indicador que chamou aten????o revelou a falta de planejamento e monitoramento pelas equipes e gestores. Al??m disso, o indicador de v??nculo profissional revelou v??nculos est??veis para a quase totalidade dos profissionais, por??m com baixa motiva????o para o trabalho. A dimens??o que apresentou melhores resultados foi a das pr??ticas profissionais, principalmente no que se refere ?? identidade dos profissionais com o trabalho que desempenham. A pesquisa revelou a fragilidade da Aten????o B??sica no munic??pio, principalmente em rela????o ao contexto pol??tico e das condi????es de trabalho. Ainda diante deste contexto, as pr??ticas profissionais fizeram diferen??a, sendo um poss??vel espa??o para o in??cio das mudan??as necess??rias na Aten????o de Salvador, dependendo de investimentos por parte dos gestores.

Salvador

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CAPES

Trata-se de uma pesquisa avaliativa, quantitativa, tipo estudo de linha de base. O objetivo foi avaliar a rede de unidades b??sicas de sa??de com foco no princ??pio da Integralidade. As tr??s dimens??es da Integralidade adotadas para a constru????o dos indicadores de avalia????o da rede foram: pol??ticas espec??ficas da Aten????o B??sica; organiza????o dos servi??os e das pr??ticas; e pr??ticas profissionais. A amostra foi composta por 531 usu??rios dos servi??os, 78 profissionais de sa??de e 14 gestores de unidades b??sicas de sa??de, distribu??dos em 15 unidades de sa??de nos 12 distritos sanit??rios do munic??pio de Salvador, Bahia. O perfil dos usu??rios foi caracterizado por uma maioria de mulheres (87%), afro-descendentes (86%), na faixa et??ria de 48 anos e mais de idade (25%), com ensino m??dio completo (39%). O principal motivo de procura pela unidade de sa??de da fam??lia foi a proximidade com a resid??ncia. Os resultados apontaram para uma dist??ncia entre a rede de unidades b??sicas de sa??de e o princ??pio da Integralidade. A dimens??o das pol??ticas espec??ficas da aten????o b??sica apresentou os piores resultados, indicando baixa participa????o da comunidade nas decis??es em sa??de e falta e elabora????o de projetos espec??ficos baseados nas necessidades da popula????o. Na dimens??o da organiza????o dos servi??os e das pr??ticas, o indicador que chamou aten????o revelou a falta de planejamento e monitoramento pelas equipes e gestores. Al??m disso, o indicador de v??nculo profissional revelou v??nculos est??veis para a quase totalidade dos profissionais, por??m com baixa motiva????o para o trabalho. A dimens??o que apresentou melhores resultados foi a das pr??ticas profissionais, principalmente no que se refere ?? identidade dos profissionais com o trabalho que desempenham. A pesquisa revelou a fragilidade da Aten????o B??sica no munic??pio, principalmente em rela????o ao contexto pol??tico e das condi????es de trabalho. Ainda diante deste contexto, as pr??ticas profissionais fizeram diferen??a, sendo um poss??vel espa??o para o in??cio das mudan??as necess??rias na Aten????o de Salvador, dependendo de investimentos por parte dos gestores.

Salvador

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Pesquisar a respeito do uso de plantas medicinais por pessoas com doen?as cr?nicas como a diabetes ? uma tarefa fundamental para a gest?o do servi?o realizado, uma vez que seu entendimento pode proporcionar uma melhora na qualidade do servi?o prestado na Estrat?gia Sa?de da Fam?lia. O objetivo do estudo ? compreender o uso de plantas medicinais por pessoas com diabetes acompanhadas pela equipe de Sa?de da Fam?lia no munic?pio de Montes Claros, MG. Investigar acerca desta tem?tica poder? contribuir para a reflex?o dos gestores e servidores em rela??o ao uso correto das plantas medicinais, divulga??o dessas informa??es para os usu?rios, diminui??o de gastos e melhorar o acesso da popula??o ao tratamento. Trata-se de um estudo qualitativo, descritivo. Foi utilizada a t?cnica de grupo focal e como referencial metodol?gico a an?lise de conte?do tem?tica. A coleta de dados envolveu o desenvolvimento de quatro grupos focais no per?odo de agosto a setembro de 2017. Participaram deste estudo usu?rios do sistema p?blico de sa?de cadastrados e assistidos pela equipe da Estrat?gia Sa?de da Fam?lia (ESF) com diabetes tipo 2. Os dados foram obtidos por meio da realiza??o de grupos focais no contexto da Estrat?gia Sa?de da Fam?lia do munic?pio de Montes Claros e posteriormente submetidos ? an?lise. A partir da an?lise das transcri??es das entrevistas e dos relat?rios produzidos ao longo da pesquisa emergiram quatro categorias conceituais e treze subcategorias relacionadas ao uso das plantas medicinais. Observou-se, de maneira geral, que os usu?rios da Estrat?gia Sa?de da Fam?lia em sua maioria fazem ou j? fizeram uso de alguma planta medicinal. Tamb?m foi poss?vel identificar a import?ncia dos aspectos sociais que envolvem o uso das plantas medicinais e os fatores que influenciam seu consumo. Foi sugerida a cria??o de grupos de Educa??o Permanente, cursos e desenvolvimento de cartilhas educativas que valorizem a cultura popular.

Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2018.

Research on the use of medicinal plants by people with chronic diseases such as diabetes is a fundamental task for the…