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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
331

Technická analýza / Technical Analysis

Kosek, Lukáš January 2014 (has links)
This thesis deals with problems of the technical analyses and its usage during creation of the automated trading systems. Theoretical section explains the basic principles of functioning of the monetary market (Forex) and includes technical indicators. Portfolio of strategies, as output of this work, was applied onto monetary pairs of Euro/American dollar and British pound/American dollar. Computer program Adaptrade Builder was used for proposed commercial strategies with help of the genetic algorithms and subsequently tested on the MetaTrader 4 commercial platform.
332

[en] HASSAN AL BANNA, AN ISLAMIC REAWAKENING: INDIVIDUAL RESPONSIBILITY, SOCIAL ACTION AND POLITICAL REVINDICATION / [pt] HASSAN AL BANNA, UM REDESPERTAR ISLÂMICO: INDIVÍDUO RESPONSÁVEL, AÇÃO SOCIAL E REIVINDICAÇÃO POLÍTICA

RAGDA AHMAD SALAH AL ASSAR 27 July 2016 (has links)
[pt] O presente trabalho acadêmico buscou analisar o pensamento e a proposta de reforma das sociedades muçulmanas feita pelo intelectual islâmico, Hassan al Banna. Estas se encontravam divididas e enfraquecidas por causa da ignorância em relação a sua própria religião, o Islam; e também pela dominação e influência do Ocidente, especificamente a Europa colonizadora. Abordamos a formação e a trajetória intelectual de al Banna, particularmente, sua experiência na organização conhecida por os Irmãos Muçulmanos ( al Ikhwan al Muslimin), o qual conta nos dias de hoje com milhões de membros ou simpatizantes e se estende pelo mundo muçulmano. / [en] This academic work seeks to analyze the thinking and the proposed reform of muslim societies made by the islamic intellectual, Hassan al-Banna. These were divided and weakened because of ignorance of their own religion, Islam; and also by the domination and influence of the West, specifically the colonizing Europe. Approach to training and intellectual history of al Banna, particularly his experience in the organization known as the Muslim Brotherhood (al Ikhwan al Muslimin), which counts nowadays with millions of members and supporters and extends worldwide Muslim.
333

Novas perspectivas para transformação de ambientes de trabalho em ambientes de aprendizagem: o caso EPISUS

Torres, Patrícia 27 October 2006 (has links)
Made available in DSpace on 2016-04-27T14:31:55Z (GMT). No. of bitstreams: 1 CED - Patricia Torres.pdf: 414707 bytes, checksum: b26f590fda887597642603b06b399fab (MD5) Previous issue date: 2006-10-27 / There is a consensus in acknowledgement that traditional human resource model for education in the health field is one of the factors that impedes the attainment of the objectives of SUS (Sistema Único de Saúde the Brazilian Public Health System). Because of this, new education and professional qualification processes begin to appear, with the necessity for viability strategies to inform and mobilize those who need to be involved in the implementation of the changes, beginning with critical reflection. This paper is a circumstantiated and a analysis of an exploratory experiment and construction of new curriculum structures. The objective is to widen the debate over human resource development in the health field through the description, analysis and reflection on the curriculum and learning model used by EPISUS ((Programa de Treinamento em Epidemiologia Aplicada aos Serviços do Sistema Único de Saúde SUS Traning Program) bringing out the acknowledgement and systematization of concepts involved in the proposed program. This paper was written on the basis of document research, direct observation of focus groups and student and graduate questionnaires. The conclusions indicate that it is possible to base the development of health field professionals on a paradigm built around the following aspects, demonstrated as characteristics of the EPISUS proposal by the study. - emancipation of the education process; - acknowledgement of the dynamic of service contexts; - incorporation of experience in the education process; - recognition of the workplace as a learning environment; - incorporation of basic skills in curriculum design. The data show the importance of the construction of an educational process intentionally designed to produce transforming agents by EPISUS; conferring on them the due importance of the role of these professionals in widening the scope of vigilance in the health field, taking as reference people and population needs, the local management and social control in health. / Há um amplo consenso no reconhecimento de que o modelo tradicional de formação de recursos humanos em saúde é um dos fatores que comprometem o alcance dos objetivos do SUS (Sistema Único de Saúde). Com isso, novos processos de formação e qualificação profissional começam a surgir, sendo necessária para sua viabilização estratégias no sentido de sensibilizar e mobilizar todos os que necessitam envolver-se na construção da mudança, partindo de uma reflexão crítica. O presente trabalho é uma descrição circunstanciada e uma análise apurada sobre uma experiência de exploração e construção de novas estruturas para o currículo. O objetivo é ampliar o debate sobre a formação de recursos humanos em saúde, através da descrição, análise e reflexão em torno do currículo e do modelo de aprendizagem em serviço do EPISUS (Programa de Treinamento em Epidemiologia Aplicada aos Serviços do Sistema Único de Saúde), buscando o reconhecimento e a sistematização dos conceitos envolvidos na proposta do programa. Este estudo foi realizado por meio de pesquisa documental, observação direta de grupos focais e de questionários junto aos alunos e egressos do programa. As conclusões indicam que é possível fundamentar a formação de profissionais de saúde num paradigma voltado para os seguintes aspectos, apontados pelo estudo como característicos da proposta do EPISUS: - emancipação do processo educativo; - reconhecimento da dinâmica própria do contexto dos serviços; - incorporação da experiência no processo formativo; - reconhecimento do ambiente de trabalho como cenário de aprendizagem; - incorporação de competências básicas no desenho curricular. Ainda assim, os dados remetem à importância de que o EPISUS construa uma proposta pedagógica voltada intencionalmente para a formação de agentes transformadores, conferindo a devida importância ao papel desses profissionais na ampliação do objeto e ação da vigilância em saúde, tomando como referência as necessidades das pessoas e das populações, a gestão setorial e o controle social em saúde.
334

Condição de saúde bucal em populações ribeirinhas no estado do Amazonas: estudo de caso / Oral health status of people living in the state of Amazonas: a case study

Cohen-Carneiro, Flávia January 2009 (has links)
Made available in DSpace on 2011-05-04T12:42:03Z (GMT). No. of bitstreams: 0 Previous issue date: 2009 / Objetivo: O objetivo desta tese foi descrever as condições de saúde bucal e analisar os fatores associados ao processo saúde-doença, em duas populações rurais ribeirinhas do município de Coari-AM. A hipótese de que a distância geográfica do centro urbano influencia os desfechos de saúde bucal em populações remotas foi testada. Métodos: As comunidades ribeirinhas foram selecionadas com base no critério de localização: uma deveria ser a mais próxima da sede do município (Comunidade de Isidoro) e a outra a mais distante (Comunidade de LauroSodré). Um estudo de corte transversal foi conduzido, seguindo os critérios da OMS para pesquisas epidemiológicas em saúde bucal. O estudo incluiu indivíduos de 1 a 75 anos, e os grupos etários para análise incluíram os preconizados pela OMS. Os desfechos clínicos foram: cárie para dentição decídua (ceo-d) e permanente (CPO-D), condição periodontal de acordo com os índices CPI, PIP e de sangramento gengival, e lesões de tecido mole. As variáveis analisadas foram: local de residência, dados socioeconômicos, hábitos de higiene e dieta. Adicionalmente, foram aplicados questionários estruturados a indivíduos acima de 18 anos, e entrevistas semi-estruturadas a informantes-chave para se obter dados sobre freqüência de uso dos serviços odontológicos / Objective: The aim of this thesis was to evaluate oral health conditions and to analyze factors associated with the health-disease process in two rural riverine populations located in the Amazonas state (Brazil). The hypothesis that the geographical distance from urban centers influences oral health outcomes in remote populations, has been tested. Methods: The riverine communities were selected based on the location criteria: one was the nearest from the administrative center of the town (Isidoro Community), and the other was the farther (Lauro Sodré Community). A cross-sectional study was conducted following the WHO guidelines for epidemiological surveys in oral health. The study covered population aged from 1 to 75 years, and the age groups for analysis included the WHO pattern. The clinical outcomes were: dental caries for deciduous (dmf-t) and permanent (DMF-T) teeth, periodontal condition according to the CPI and PIP indexes and to gingival bleeding, and soft tissue lesions. The variables analyzed were: place of residence, socioeconomic data, oral hygiene habits and diet. Additionally, structured questionnaires were applied to individuals above 18 years-old and semi-structured interviews were led with key-informants to obtain data about the frequency of use of dental health services. The OHIP-14 was validated and applied to individuals above 18 years-old for the description of oral health impacts. Bivariate and multivariate analyses were performed for the comparison of the two communities. Results: 136 individuals in Isidoro and 242 individuals in Lauro Sodré were examined. The farther community (Lauro Sodré) presented more caries, a higher prevalence of edentate persons, more time in between since their last dental visit, and more negative impacts of oral health than the nearest community. For the DMF-T outcome, when socioeconomic, hygiene and diet variables were controlled in the multivariate analyses, only place of residence and age remained significant. The psychometric properties of the OHIP-14 was good (ICC=0,97 and Cronbach s alpha=0,89). Conclusions: The prevalence of untreated caries, oral pain, edentulism and oral health negative impacts were high for the riverines, especially for those who live further distant from the urban center. Additionally, the limited access to dental health services for these populations points to the need for imminent deployment of broad measures of health promotion, along with greater availability of services.
335

A oferta de tomógrafo computadorizado para o tratamento do acidente vascular cerebral agudo, no Brasil, sob o ponto de vista das desigualdades geográficas e sociais / Provision of tomography scanners, x-ray computed for the treatment of cerebrovascular accident, Brazil, from a geographical and social inequalities

Gutierrez, Marcelo Sette January 2009 (has links)
Made available in DSpace on 2011-05-04T12:36:23Z (GMT). No. of bitstreams: 0 Previous issue date: 2009 / O acidente vascular cerebral (AVC) é uma das principais causas de morbidade e mortalidade, tanto em países desenvolvidos quanto nos menos desenvolvidos. No Brasil essa patologia tem sido responsável por mais óbitos que a doença coronária. Alguns aspectos do cuidado com o AVC são comuns para todos os tipos patológicos, mas existem diferenças fundamentais no tratamento de pacientes com AVC isquêmico e AVC hemorrágico. Assim, o cuidado com o paciente com sintomas de AVC depende muito de um diagnóstico rápido e acurado do processo patológico em andamento. Nesse contexto, o exame de imagem do cérebro por tomografia computadorizada pode proporcionar um diagnóstico acurado da natureza e da extensão do problema, e identificar se ele é isquêmico ou hemorrágico. Todavia, tomógrafos computadorizados (TC) são equipamentos de custo relativamente alto, o que se torna um problema diantedo quadro comum de escassez de recursos econômicos para os sistemas de saúde. Isso reflete a necessidade de se ofertar essa tecnologia para a população, da forma mais racional e equitativa possível. Nesse cenário, por intermédio do levantamento de informações em bancos de dados públicos, sobre internação, mortalidade, população, índice de desenvolvimento humano e oferta de TC; e da utilização de sistemas de informação geográfica para o mapeamento desses parâmetros no território nacional; procurou-se caracterizar a oferta de TC no Brasil e a sua adequação às necessidades de saúde dos pacientes com AVC. Os resultados encontrados no universo pesquisado mostram uma distribuição geográfica de TC pouco equitativa, e uma concentração da oferta dessa tecnologia nos municípios mais populosos e de melhor situação socioeconômica. A metodologia adotada permitiu, ainda, observar uma associação da condição socioeconômica e do local de residência com a internação em municípios com serviços de saúde mais bem equipados para o cuidado com o AVC, o que caracteriza uma situação de desigualdade geográfica e social no acesso aos serviços de saúde para o atendimento ao AVC. / Stroke is one of the main causes of morbidity and mortality not only in developed countries but also in developing ones. In Brazil, this pathology has been responsible for more deaths than heart disease. Some aspects of the treatment of stroke are common to all the pathologic types but there are fundamental differences in the care of patients with ischemic stroke and of those with hemorrhagic stroke. Thus, treatment of patients with stroke symptoms is highly dependent on a fast and accurate diagnostic of the pathologic process in progress. In this context, the image exam of the brain through computerized tomography can offer a correct diagnostic of the nature and extension of the problem, as well as identify if it is ischemic or hemorrhagic. However, computerized tomography scanners are relatively expensive equipments, what makes it a problem in the face of the common lack of economic resources to health systems. This reflects the necessity of offering this technology to population, in the most rational and equitable way as possible. In this scenery, through the information picked in public data bases about hospital admission, mortality, population, human developing index and supply of computerized tomography; and also the use of geographic information systems to the mapping of these parameters in national territory; it has been characterized the supply of computerized tomography in Brazil and its association to the health needs of the patients with stroke. The results show inequity in geographic distribution of computerized tomography scanners as well as a concentration of this technology in the most populous cities and those with a better economic situation. The methodology that has been adopted also allowed us to observe the association of the social-economic condition and place of residence, with hospital admissions in cities with better equipped health services for treating stroke, characterizing a situation of social and geographic inequality in the access to stroke adequate diagnosis and treatment.
336

THE USE OF TELEMETRY DATA IN AN AIR DATA SYSTEM

Morrison, Thomas M. 10 1900 (has links)
ITC/USA 2006 Conference Proceedings / The Forty-Second Annual International Telemetering Conference and Technical Exhibition / October 23-26, 2006 / Town and Country Resort & Convention Center, San Diego, California / Telemetry data are usually collected for analysis at some later time and can be monitored to follow the progress of a test. In the case of an Air Data System the signals from the sensors are sent to a computer that calculates the air data parameters for use on multiple LabView-generated displays, as well as to the Data Acquisition System. The readouts on the multiple displays need to be real-time so they are useful to the flight crew. Equations that control the different air data values are determined by what telemetry data are available and the preference of those doing the test planning. These systems need to display the information in a format useful to the flight crew and be reliable.
337

Caractérisation d’une nouvelle voie de formation des aérosols organiques secondaires (AOS) dans l’atmosphère : rôle des précurseurs polyaromatiques / Characterization of a new source of atmospheric secondary organic aerosols (SOA) : importance of polyaromatic compounds

Riva, Matthieu 10 December 2013 (has links)
Ce travail a pour objectif d'étudier la formation des aérosols organiques secondaires (AOS) formés dans l'atmosphère à partir de l'oxydation en phase gazeuse de composés organiques volatils en présence d’oxydants atmosphériques (ozone, radicaux hydroxyle, chlore et nitrate). Parmi eux, les hydrocarbures aromatiques polycycliques (HAP) ont été proposés comme étant une source potentiellement importante d’AOS d’origine anthropique. Ainsi, l’oxydation de quatre HAP gazeux majoritaires (naphtalène, acénaphtylène, acénaphtène et phénanthrène) en présence des principaux oxydants atmosphériques a été menée afin de déterminer la formation d’AOS. La caractérisation des phases gazeuse et particulaire par spectrométrie de masse et spectroscopie optique a permis d’identifier les principaux produits d’oxydation afin de proposer des mécanismes réactionnels conduisant à la formation d’AOS. Les différents rendements de formation ont également été déterminés dans le but d'évaluer l'impact de l'oxydation des HAP en phase gazeuse comme source d’aérosols. Les expériences ont été conduites en chambres de simulation atmosphérique ainsi qu'en réacteur à écoulement. L'évolution de l'AOS au cours de son vieillissement a également été étudiée pour identifier les différents processus oxydatifs mis en jeu au sein de l'aérosol organique. / This work deals with the secondary organic aerosol (SOA) formation from gas phase oxidation of volatile organic compounds in the presence of atmospheric oxidants (ozone, hydroxyl radical, chlorine and nitrate radical). Among them, polycyclic aromatic hydrocarbons (PAHs) have been proposed as an important potential source of anthropogenic SOA. The oxidation of 4 main gaseous PAHs (naphthalene, acenaphthylene, acenaphthene and phenanthrene) in the presence of main atmospheric oxidants has been performed in order to investigate the SOA formation. Characterization of both gas and particulate phases has been carried out using mass spectrometry and optical spectroscopy allowing the identification of products in both phases. Then, chemical mechanisms have been proposed in order to explain SOA formation. SOA yields have been also determined to evaluate the impact of the gas phase oxidation of PAHs in SOA formation. Experiments have been carried out using flow tube and atmospheric simulation chambers. SOA fate has been investigated to determine the different oxidation processes involved in SOA aging.
338

Contribution de la combustion du bois à la qualité de l'air et étude de la réactivité atmosphérique des méthoxyphénols en chambre de simulation / Contribution from burning wood to air quality and study of atmospheric reactivity of simulation chamber methoxyphenols

Lauraguais, Amélie 27 November 2014 (has links)
Afin de réduire la consommation en énergie fossile et ainsi limiter les émissions de gaz à effet de serre, l’un des objectif du Grenelle de l’Environnement est de porter à 23% la part des énergies renouvelables dans la consommation d’énergie finale en France en 2020. Le bois-énergie représente une alternative à l’utilisation des énergies fossiles, mais c’est également une source de polluants dans l’atmosphère et il est essentiel de déterminer sa contribution potentielle à la dégradation de la qualité de l’air intérieur et extérieur. Au cours de cette thèse, mes travaux de recherche se sont focalisés sur l’étude en chambres de simulation de la dégradation atmosphérique de composés émis par la combustion du bois : les méthoxyphénols. Au Laboratoire de Physico-Chimie de l’Atmosphère (LPCA) de l’Université du Littoral Côte d’Opale (ULCO), des tests ont tout d’abord été réalisés afin de s’assurer que les parois de la chambre, en PMMA (PolyMéthacrylate de Méthyle), n’induisaient pas d’artéfacts lors de son irradiation et des réactions chimiques réalisées avec l’ozone, les radicaux hydroxyles et les radicaux nitrates. La constante de réaction du syringol avec les radicaux OH a été déterminée à (294 ± 3) K. La valeur obtenue (9,65x10⁻¹¹ cm³.molécule⁻¹.s⁻¹) conduit à une durée de vie atmosphérique du syringol d’environ 2 heures pendant la journée. L’oxydation du guaiacol et du syringol par les radicaux hydroxyles a permis d’observer la formation d’aérosols organiques secondaires (AOS) avec des rendements de 0,003 - 0,87 et 0,10 - 0,36, respectivement. L’étude des produits d’oxydation gazeux et particulaires de la réaction du guaiacol avec les radicaux OH a mis en évidence principalement la présence de nitroguaiacols dans la phase gazeuse et nous avons suggéré d’utiliser ces composés comme traceurs de la combustion du bois du fait de leur faible réactivité atmosphérique.Les études cinétiques des réactions des radicaux nitrates avec le guaiacol, le 3-méthoxyphénol et le syringol réalisées à (294 ± 3) K ont permis de déterminer les constantes de réactions correspondantes. Celles-ci se trouvent dans la gamme (1,15 – 21,7) × 10⁻¹¹ cm³.molécule⁻¹.s⁻¹ et les durées de vie associées sont d’environ 2 minutes pendant la nuit. À la Bergische Universität Wuppertal (en Allemagne), la réaction d’une série de composés aromatiques méthoxylés (anisole, 2-méthylanisole, guaiacol, 3-méthoxyphénol, 4-méthoxyphénol, 2-méthoxy-4-méthylphénol, syringol et 2,3-diméthoxyphénol) avec les radicaux hydroxyles a été étudiée. Les constantes des méthoxybenzènes et méthoxyphénols obtenues sont comprises entre (2,12 – 4,64) x 10⁻¹¹ cm³.molécule⁻¹.s⁻¹ et (5,75 - 8,10) x 10⁻¹¹ cm³.molécule⁻¹.s⁻¹, respectivement, ce qui conduit à des durées de vie de 4-8 et 3-2 heures. Pour ces mêmes composés, nous avons également déterminé, les constantes pour leur réaction avec les atomes de chlore qui sont dans la gamme (1,07 – 1,20) x 10⁻¹⁰ cm³.molécule⁻¹.s⁻¹, pour les méthoxybenzènes et (2,71 – 4,73) x 10⁻¹⁰ cm³.molécule⁻¹.s⁻¹ pour les méthoxyphénols. Leurs durées de vie vis-à-vis de cette réaction sont respectivement de 46-52 heures et 12-21 heures. Cette étude sur l’oxydation troposphérique des méthoxyphénols est à notre connaissance la première qui ait été réalisée. Elle a permis de mettre en évidence une réactivité élevée diurne et nocturne de ces composés ainsi que leur contribution à la formation d’AOS. Le bois-énergie est donc à la fois une source d’aérosols primaires mais également secondaires et son utilisation a donc des effets sur l’homme (santé) et l’environnement. / One of the objectives of the Grenelle Environment Forum is to increase the quantity of the renewable energy up to 23% in the final energy consumption in France in 2020, to reduce fossil fuel consumption and thus restrict the level of greenhouse gas emissions. The wood-energy represents an alternative to fossil fuel, but it also a source of atmospheric pollutants. It is necessary to determine its potential contribution to the degradation of air quality (indoor and outdoor). During this PhD, my works focused on the study, in simulation chambers, of the atmospheric degradation of compounds emitted by wood combustion : the methoxyphenols. In the Laboratory of Physical Chemistry of the Atmosphere (LPCA) of the Universite of Littoral-Côte d’Opale (ULCO), tests were carried out to be sure that the walls of the chamber (in PMMA PolyMethacrylate of Methyl) are not a source of artifacts during its irradiation and chemical reactions with ozone, hydroxyl radicals and nitrate radicals. The rate coefficient of the reaction of syringol with OH radicals was determinate at (294 ± 2) K and is 9,65 x 10−¹¹ cm³ molecule−¹ s−¹. Then the atmospheric lifetime was calculated : it is about 2 hours during the day. During the oxidation of guaiacol and syringol, we observed the formation of Secondary Organic Aerosol (SOA) with yields ranging from of 0.003 to 0.87 and from 0.10 to 0.36, respectively. Oxidation products study in the gas- and particle- phases for the reaction of guaiacol with OH radicals showed principally the presence of nitroguaiacols in the gas phase, which may be potential wood combustion tracers due to their low atmospheric reactivity. The kinetic studied of NO₃ radicals with guaiacol, 3-methoxyphenol and syringol were realized at (294 ± 3) K. They were leaded to rate coefficients in the range of (1,15 – 21,7) x 10−¹¹ cm³ molecule−¹ s−¹ and so associated atmospheric lifetimes about 2 minutes, overnight. At the Bergische Universität Wuppertal (Germany), the reaction of a series of methoxylated aromatic compounds (anisole, 2-methylanisole, guaiacol, 3-methoxyphenol, 4-methoxyphenol, 2-methoxy-4-methylphenol, syringol and 2,3-dimethoxyphenol) with hydroxyl radicals were studied leading to the following rate coefficients for methoxybenzenes and metoxyphenols, (2,12 -4,64) x 10−¹¹ cm³ molecule−¹ s−¹ and (5,75 -8,10) x 10−¹¹ cm³ molecule−¹ s−¹, respectively. The estimated atmospheric lifetimes are in the range from 4 to 8 hours and from 2 to 3 hours, for methoxybenzenes and methoxyphenols, respectively. For these compounds, we also determined, the rate coefficients for their reaction with chlorineatoms, which are between (1,07 – 1,20) x 10−¹¹ cm³ molecule−¹ s−¹, for methoxybenzenes, and (2,71 – 4,73) x 10−¹¹ cm³ molecule−¹ s−¹, for methoxyphenols. Thus, their respective atmospheric lifetimes are 46-52 hours and 12-21 hours. This study of tropospheric oxidation of methoxyphenols is to our knowledge the first one. It allows underlining a high reactivity of these compounds during the day and overnight and also their contribution to SOA formation. The wood-energy is thus both a source of primary and secondary aerosols. Its use therefore impacts human health and the environment.
339

Testování úspěšnosti vybraných indikátorů technické analýzy na trzích EU / Testing of selected technical analysis indicators´ profitability on the EU markets

Matoušková, Hana January 2010 (has links)
This diploma thesis deals with the technical analysis with the emphasis on creating, testing and using of trading systems. Its objective is to find out whether it is possible for a trader to design and trade his own profitable trading system with widely accessible tools and methods. First part of the thesis concentrates among other things on the explanation of stock valuation principles, description of tested shares and time period. The second and third chapters fully describe the process of trading system development and the analysis of results of both trading systems. Last chapter is devoted to the interconnection of European stock markets, which is explored by the means of correlation analysis among different stock indexes. The correlation coefficients show a strong link of the markets and the rising level of integration of European markets.
340

Percepção dos profissionais da Estratégia Saúde da Família quanto à classificação das famílias: vantagens e desafio / Perception of Family Health Strategy professionals regarding the classification of families: advantages and challenges

Fracon, Belkiss Rolim Rodrigues 21 May 2019 (has links)
Objetivo: Analisar a percepção dos profissionais de saúde das equipes de Estratégia de Saúde da Família (ESF) sobre o conhecimento, a utilização, as vantagens e dificuldades encontradas na aplicação das escalas existentes sobre classificação das famílias (CF). Casuística e Métodos: A percepção dos profissionais foi analisada por meio da aplicação de um roteiro de entrevista semiestruturada a 35 profissionais atuantes nas equipes da ESF das Unidades de Saúde da Família vinculadas a uma universidade em Ribeirão Preto/SP. O roteiro de entrevista possuía variáveis relacionadas ao perfil do serviço de saúde e seus profissionais; o conhecimento e a utilização de instrumentos para a CF e vantagens, críticas e sugestões para a adequação deste instrumento. A análise das variáveis quantitativas foi realizada a partir da estatística descritiva, e para as associações entre variáveis categóricas foram aplicados os testes de Fisher, Mann-Whitney e de Kruskal-Wallis. A abordagem qualitativa foi realizada por meio da análise de conteúdo na vertente temática, sendo identificados 16 Núcleos de Sentido e três Grandes Temas: \"Característica da Assistência Domiciliar na Perspectiva dos profissionais da ESF\", \"A experiência dos profissionais de saúde na utilização da CF\" e \"Sistema de Informação em Saúde na prática na ESF\". Resultados: O estudo revelou predominância do sexo feminino, com profissionais qualificados para atuar na ESF e médicos e agentes comunitários de Saúde com maior tempo de atuação nessas equipes. Todos os membros da equipe realizavam visitas domiciliares e referiram se utilizarem de alguma estratégia para priorizar os usuários e suas famílias nos seus atendimentos de forma não sistematizada, fosse por lista de pacientes acamados, necessidade de procedimentos, prioridades estabelecidas pelo Ministério da Saúde, ou pelo levantamento das necessidades durante as reuniões de equipe. A maioria conhecia a CF por cores (91%) e 52% dos profissionais utilizavam na prática. \"Dificuldades da aplicação\" foi o Núcleo de Sentido mais citado, devido à inexperiência de sua utilização e limitações do próprio instrumento. O segundo Núcleo de Sentido mais encontrado foi \"vantagens de sua utilização\", relacionado à priorização do cuidado favorecendo a equidade. Com isso, o estudo revelou fortalezas quanto ao processo de trabalho na ESF e fragilidades relacionadas à utilização das CF. Dentre as fortalezas, está a identificação das vulnerabilidades da população favorecendo o acesso do usuário na Atenção Primária em Saúde, sem necessariamente o uso de uma escala formal para classificar as famílias. Já em relação às fragilidades, cita-se a pouca utilização das CFs pelos profissionais de saúde, visto que se tratam de Unidades de Saúde da Família vinculadas à Universidade e com espaços reservados para a Educação Permanente e para o matriciamento das equipes. Conclusão: O estudo, por meio de seus resultados, poderá contribuir para a adequação de novas CFs e também para a melhor formação dos profissionais / Objective: This dissertation aimed to analyze the perception of health professionals of the Family Health Strategy teams regarding the knowledge, use, found in the application of the existing scales on family classification. Casuistic and Methods: The professionals\' perception was analyzed through the application of a semi-structured interview to 35 professionals working in the FHS teams of the Family Health Units linked to a university in Ribeirão Preto-SP. The interview script had variables related to the profile of the health service and its professionals; the knowledge and use of instruments to classify families and advantages, criticisms and suggestions for the adequacy of this instrument. Quantitative variables were analyzed using descriptive statistics and Fisher\'s tests and the Mann-Whitney and Kruskal-Wallis tests were performed for associations between categorical variables. The qualitative approach was carried out by the content analysis in the thematic area and 16 Core of Sense and three Main Themes were raised: \"Characteristics of Home Care in the perspective of FHS professionals\", \"The experience of health professionals in the use of Classification of Families \"and\" Health Information System in the practice of the FHS\". Results: The result of the study revealed a female predominance, with professionals qualified to work in the FHS and physicians and community health workers with a longer time working in these teams. All the members of the team made home visits and reported using some strategy to prioritize users and their families in their non-systematized care, either by list of patients in bed, need for procedures, priorities established by the Ministry of Health by surveying the needs during team meetings. The majority knew the classification of families by color (91%) and 52% of professionals used in practice. The \"Difficulties of application\" was the Center of Sense most cited, referring to difficulties related to the inexperience of its use and limitations of the instrument itself. The second most found Core of Sense was \"Advantages of its use\" related to the prioritization of care favoring equity. Thus, the study revealed strengths regarding the work process in the FHS and weaknesses regarding the use of Classifications of Families. Among the strengths is the identification of vulnerabilities of the population favoring the access of the user in the Primary Health Care, without necessarily using a formal scale to classify the families. Regarding the weaknesses, there is little use of health professionals as the Classification of Families, since these are Family Health Units linked to the University and with spaces reserved for Continuing Education and for the matrix support of the teams. Conclusion: The study, through its results, may contribute to the adequacy of new Classification of Families and contribute to a better training of the professionals

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