Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

This study aims to analyze the health education concepts among the professionals on the Family Health team and to think critically about the relationship between health education practices and these workers' discourses. It is a qualitative study that uses discourse analysis as its theoretical framework and observation techniques and interviews to produce its data. The models of healing and conveying knowledge are strongly rooted in the concept and practice of health education, in which a vertical, taxing, superior relationship prevails and under which the professional is the keeper of knowledge. The workers consider themselves as educators, and there is a posture among them that envisions the process of educational work aimed at mutual learning and respect for the population's prior knowledge; however, this perception is only in their discourse and should be incorporated into their practice in order for there to be a change in health services. There is a need for a greater appreciation not only of the role played by the worker as a subject who is a driver of change in the educational practice and in the health care model in force, but also of the importance of acknowledging the users as subjects acting in their own health and capable of intervening in their own reality.

The integration of young people to the labor world has been colored by the restructuring of production, a phenomenon that ranks both work and the future at increasingly unstable and insecure levels. Based on the theoretical consideration that social values are historically and socially situated, and that the liberal ideology of work pervades social life, this investigation aimed to analyze the work values of young people from different social groups. It is a qualitative study that captured the empirical object by analyzing the content of interviews carried out with 86 young people from different social groups in a municipality located in the São Paulo metropolitan region. In general, young people from all groups perceive work as something that is valuable, essential to attain the growth and maturation that is expected in adulthood. The purpose of the study proved to be a little different, since while for some work is the means through which it is possible to achieve the values of consumption and social position, to others it is a means to meet basic survival needs. Thus, the future depends on the direction they take in the labor market, since this is believed to be the main means to materialize other dreams.

The goal was to understand the humanization of the nursing actions while designing the nursing staff, learning the meaning of humanization in practice. To achieve this, an exploratory descriptive study with qualitative analysis was used based on the semistructured interview technique. Twelve interviews were conducted with five nurses and seven nursing assistants in a public hospital in Fortaleza, Brazil, in 2005. Data analysis was performed after multiple readings had been made, and the results were interpreted based on the analysis of the content, a process leading to two themes: humanization - treat well, care and respect; and experiencing humanization. It was concluded that the nursing staff, although having made the humanization concept explicit, revealed to be aware of the concept and showed the importance of looking beyond the disease, respecting the child as a human being. There was also concern with the lack of material, which in the view of some subjects rendered it difficult to provide decent, less painful care with resolution.

This article presents an account of the experience of implementing worker's health actions in primary care services in the municipality of Amparo, state of São Paulo, which occurred during the 2001 to 2008 administration period, aiming to contribute to SUS' urgent need to implement of workers' health actions. The analysis made by the authors, actors in managing the process, highlights a few of the key elements for the effective implementation of workers' care actions in the primary care network. Among them, the Family Health Strategy (FHS), along with other elements such as the mixed-base model with continuous pedagogical action and participation in collegiate management, continuing education, and the role of the health workers - proved to be a facilitator process. Structural elements in the construction that was made include the collegiate management model adopted by the department and the way the Occupational Health Reference Center was deployed in the municipality. This arrangement has fostered permanent dialogue among the health, primary care, and referral specialist teams that has been indispensable to the experience.

This study aimed to analyze the skills that have been attributed to oral health technicians (TSB) in Brazil since the enactment of Act 11,889/08, including the terms set forth for their supervision. Documentary analysis was performed comparing the skills set out in mentioned instrument with those called for in legal opinion No. 460/75, issued by the Federal Council of Education, and under Federal Council of Dentistry Resolution No. 63/2005. Thematic analysis techniques were employed considering the skills in terms of direct and indirect actions distributed in four ability areas: health planning and administration, health promotion, disease prevention, and individual care. Although the powers approved under the act have been distributed to a smaller amount of items, compared to the two other documents, from the qualitative point of view, the results of the analysis showed that considerable progress was made with the regulation of the profession, under the approved terms, in all areas of competence. There was a positive impact on the health work process, both regarding inter-professional cooperation and insofar as the supervision of technical activities is concerned. This represents an important victory for those who work in the area and a significant contribution to driving the enhancement of access to dental services

The proposed Assessment for Quality Improvement in the Family Health Strategy (AQI) was created to offer municipal managers Family Health Strategy (FHS) assessment and quality management tools. This study presents an assessment perspective, via the AQI, that is focused on the health professionals' perceptions. Interviews were conducted with the top-level professionals from the three groups that are most involved with the FHS using the team assessment AQI tools to assess the teams, which were compared with regard to their professional qualifications and time of deployment. The teams' mean scores were compared using Student's 't' test, assuming a level of significance of 5%. A positive perception was noticed among the teams, except in the 'community participation and social control' and 'adolescent health' sub-dimensions. Teams qualified via residences in the family health area performed better. The authors recommend the wider use of this instrument as a means to disseminate and consolidate the proposed FHS quality assessment and monitoring and to underpin the role played by residence as a measure of choice to qualify health professionals in primary care

In this qualitative study, a sub-project of the "Evaluation of CAPSs in Southern Brazil" research project, the goal is to get to know the characteristics of mental health care offered by a psychosocial care center (CAPS) in view of its professionals. Data collection was conducted through individual interviews. Thematic analysis was used, and three themes stemmed from the data. In this article, we highlight the theme titled 'characterization of the mental health care provided by the CAPS professionals.' The characteristics of mental health care noticed in the interviews were user autonomy, which, together with the issue of discharge from the service, should be further developed; care focused specifically on the disease as a legacy of hospital care; and the team's concern with the implementation of inclusive psychosocial practices.

This is an indepth case study that investigated a popular health education practice. This practice sought to contribute to changes in training for the Unified Health System (SUS), since, despite the advances made in public health in Brazil, there is still much progress to be made in order for SUS' principles and guidelines to materialize in care, management and education practices in the health sector. Participant observation was the method used to produce data; documents relating to the organization and development of the course and materials produced by the participating subjects in their course were also used as a source of information. All of the material that was produced was analyzed from the hermeneutics-dialectics perspective, and the theoretical framework used to analyze the experience was that of Paulo Freire. The practice investigated was the continuing education course titled "Health, education and politics: the SUS practice," offered by the Rio Grande Federal University in 2009. Loveliness, dialogue and hope, among others, were the elements of popular education that characterized this educational practice, which did not remain neutral in training the students, but was markedly in favor of a critical-reflective university education designed to meet the interests of the population in the pursuit of consolidating the right to quality public health.

Introducción: los cánceres del aparato digestivo constituyen una importante carga médica mundial debido a su alta prevalencia y la mortalidad. Las tecnologías educativas constituyen elementos inherentes al desarrollo en todas las esferas de la vida y dentro de ellos se destacan los softwares educativos por los grandes beneficios que aportan en el proceso enseñanza aprendizaje.Objetivo: desarrollar un software educativo para favorecer la enseñanza de enfermedades oncológicas del tracto o tubo digestivo en la asignatura de Cirugía General.Métodos: se realizó una investigación de desarrollo tecnológico que obedece a un estudio en el cuarto año de la carrera Medicina de la Facultad de Ciencias Médicas “Mariana Grajales Coello” correspondiente los temas Neoplasias del tubo digestivo de la asignatura Cirugía General. El universo se integra por todos los estudiantes de cuarto año, y la muestra aquellos que participaron en la investigación.Resultados: se desarrolló un software educativo como recurso para el aprendizaje de la temática de neoplasias del tubo digestivo para estudiantes de cuarto año de la carrera de Medicina. Está estructurado por módulos: inicio, temario, glosario, mediateca, complementos, ejercicios, juegos y ayuda, con un diseño atractivo y motivador. Se obtuvieron resultados en cuanto a los procesos fundamentales de enseñanza-aprendizaje.Conclusiones: el software desarrollado, constituye la base fundamental para la informatización de los procesos fundamentales de enseñanza-aprendizaje de Neoplasias del tubo digestivo de la asignatura Cirugía General. La elaboración del software dio solución en gran medida al problema propuesto, siendo valorada de efectiva su aplicación.

Introducción: el término tumor hipofisario agrupa a una serie de enfermedades misceláneas y se corresponde con lesiones tumorales primarias del parénquima hipofisario.Objetivo: caracterizar a los pacientes con tumores de hipófisis atendidos en el Hospital Clínico Quirúrgico “Hermanos Ameijeiras” entre 2017 y 2019.Métodos: estudio observacional, descriptivo, longitudinal y prospectivo de los pacientes con diagnóstico de tumores hipofisarios atendidos en la consulta externa de Enfermedades Hipofisarias y el Servicio de Endocrinología del Hospital Clínico Quirúrgico “Hermanos Ameijeiras” entre 2017 y 2019. La muestra estuvo conformada por 267. Para la recolección de los datos se emplearon las historias clínicas individuales de los pacientes. Se empleó estadística descriptiva.Resultados: predominó el sexo femenino (79,03 %) y los pacientes tumor de hipófisis no funcionante (59,93 %), seguido de aquellos con tumores secretores de prolactina (31,46 %). Solo en un paciente con tumor hipofisario no funcionante el hallazgo fue incidental. El síntoma más común expresado por los pacientes fue la cefalea (85,77 %). En cada tumor funcionante se determinó un exceso de producción de la hormona específica. Se encontró predominio de pacientes con microadenomas (70,79 %).Conclusiones: los tumores hipofisiarios fueron comunes en pacientes del sexo femenino, con predominio del tipo no funcionante y microadenomas. Aunque el diagnóstico puede ser incidental, muchos pacientes acuden a consulta con síntomas por efecto de masa como la cefalea. Los pacientes presentan aumento de variables hormonales tumor específicas.