Sabe-se que a profunda ligação existente entre deuses e o soberano do antigo Egito é tida como um dos elementos mais significativos na legitimação do poder faraônico, notadamente divinizado naquela civilização. Valendo-se desse contexto e se aproveitando do período Amarniano como um estudo de caso privilegiado (Antigo Egito, 1353 a.C. - 1335 a.C.), o trabalho visa examinar a rearticulação que Amarna propôs a essa relação. Uma rearticulação que implicou em um reposicionamento do rei e em uma readequação do panteão politeísta, privilegiando o deus Aton. Esse processo não se esgota em uma simples abstração mental, ao contrário, ele se textualiza sobretudo nos dois hinos ao deus Aton, e se materializa em imagens do período. A respeito destas, além de tomá-las como fonte primordial de análise, buscaremos permitir que a sua metodologia tradicional de trato dê lugar a uma reflexão mais abrangente, baseada em sugestões da teoria da agência que visam entendê-las como imagens construtoras e modificadoras das realidades nas quais se inserem. / It is known that the deep connection between gods and Ancient Egypts sovereign is considered as one of the most significant elements in pharaonic discourse legitimacys construction, notably divinized in that civilization. Based on the Amarna period (Ancient Egypt, 1353 BC - 1335 BC) this research aims to study the reticulation to this relationship proposed on that period. A reticulation that implied on kings repositioning and on a polytheistic pantheons readjustment, privileging the god Aten. This process is not exhausted in a simple mental abstraction, on the contrary, it is textualized, especially in the two hymns to the god Aten, and materialized in images of that period. Regarding these images, besides taking them as analysis primary source, we will also seek to allow its traditional treatment methodology to lead into a more comprehensive reflection, based on suggestions from the Agency Theory that aim to understand images as a constructive power, being able to modify the realities in which they are inserted on.

Submitted by PPG Medicina e Ci?ncias da Sa?de (medicina-pg@pucrs.br) on 2018-03-28T12:58:45Z No. of bitstreams: 1 EDER_DE_MATTOS_BERG_DIS.pdf: 2245834 bytes, checksum: 6dc26fbfca633a45950f5bf64253410d (MD5) / Approved for entry into archive by Tatiana Lopes (tatiana.lopes@pucrs.br) on 2018-04-11T21:00:48Z (GMT) No. of bitstreams: 1 EDER_DE_MATTOS_BERG_DIS.pdf: 2245834 bytes, checksum: 6dc26fbfca633a45950f5bf64253410d (MD5) / Made available in DSpace on 2018-04-11T21:06:02Z (GMT). No. of bitstreams: 1 EDER_DE_MATTOS_BERG_DIS.pdf: 2245834 bytes, checksum: 6dc26fbfca633a45950f5bf64253410d (MD5) Previous issue date: 2016-09-29 / 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 Unidades da estrat?gia de sa?de da fam?lia, e a leitura de suas falas em resposta ?s perguntas abertas sobre o est?gio evidenciou a expectativa e percep??o do realizado na aten??o e educa??o em sa?de.

Submitted by PPG Psicologia (psicologia-pg@pucrs.br) on 2018-04-05T16:21:29Z No. of bitstreams: 1 DIS_MARINA_DAMION.pdf: 1666509 bytes, checksum: 2845d97f6e1c1e167da16f1ccea92785 (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-04-16T19:37:42Z (GMT) No. of bitstreams: 1 DIS_MARINA_DAMION.pdf: 1666509 bytes, checksum: 2845d97f6e1c1e167da16f1ccea92785 (MD5) / Made available in DSpace on 2018-04-16T19:41:49Z (GMT). No. of bitstreams: 1 DIS_MARINA_DAMION.pdf: 1666509 bytes, checksum: 2845d97f6e1c1e167da16f1ccea92785 (MD5) Previous issue date: 2018-01-16 / 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 configuram as pr?ticas e os processos de trabalho dos psic?logos inseridos nos NASF na cidade de Porto Alegre e regi?o metropolitana. O N?cleo de Apoio ? Sa?de da Fam?lia (NASF) tem como objetivo principal qualificar a Aten??o B?sica e aumentar a resolutividade da aten??o, por meio da atua??o multidisciplinar e apoio t?cnico-pedag?gico com a inclus?o de novos n?cleos de saberes e estrat?gias de cuidado juntamente ?s Equipes de Sa?de da Fam?lia (ESF). Diante desse contexto, tamb?m se preconiza a inser??o de pelo menos um profissional da ?rea de sa?de mental no NASF, dentre eles profissionais da psicologia. Al?m da sa?de mental, a psicologia tamb?m promove a??es voltadas ? sa?de da fam?lia e ? territorializa??o do cuidado, deparando-se com contextos de complexidade na atua??o na aten??o b?sica. A pesquisa que caracteriza a se??o emp?rica desta disserta??o consiste em um estudo qualitativo, de car?ter explorat?rio e descritivo. As participantes foram seis psic?logas, com idades entre 29 e 45 anos, atuantes em NASFs de Porto Alegre e Regi?o Metropolitana, convidadas a partir do m?todo snowball, no qual um profissional indica o pr?ximo para participar da pesquisa. O crit?rio de inclus?o foi que as participantes atuassem por, pelo menos, seis meses no NASF. O instrumento utilizado na coleta de dados foi uma entrevista semi-dirigida, que foram gravadas em ?udio e transcritas. Quanto ? an?lise do material, utilizou-se a t?cnica de An?lise Tem?tica, dando origem a tr?s eixos tem?ticos de an?lise, as quais foram nomeadas: 1) Atendimento individual: produ??es subjetivas em sa?de e seus alcances; 2) Eu, eles e n?s: interfaces entre campo e n?cleo; 3) O individual na perspectiva psicossocial: especificidades do psic?logo no NASF. Os resultados apontam que a pr?tica do atendimento individual ainda constitui aspecto de importante discuss?o entre as diretrizes da pol?tica do NASF, de forma que os profissionais atribuem a essa pr?tica uma responsabilidade profissional e pertencente a especificidade da sua identidade cl?nica. Ao mesmo tempo, aponta-se para uma aproxima??o da cl?nica ?s pr?ticas psicossociais e de promo??o da sa?de, que integram os n?cleos profissionais e comp?em uma atua??o do campo. Nesse sentido, busca-se problematizar a pr?tica do psic?logo no NASF no contexto pol?tico atual e a complexidade da sua atua??o.

Made available in DSpace on 2016-04-04T18:27:30Z (GMT). No. of bitstreams: 1 Fabio P Nucci.pdf: 270630 bytes, checksum: 73a8894e8429815d670ae4c13d185fe8 (MD5) Previous issue date: 2007-02-07 / Nowadays, there are a large number of professionals from different areas using motricity or psychomotricity as a way of studying many contexts, implying that motricity is the interaction of several motor functions. The aim of this study was to characterize the psychomotor profile of children aging from 6 to 11 years old with an Attention Deficit Hyperactivity Disorder (ADHD) clinical diagnosis. Ten Children that were attending the Children s Psychiatric Department of a Hospital from a Sao Paulo State city, from April/ 2006 to June/ 2006 had participated on the present research. In order to be selected, children must have satisfied the inclusion criteria, and also they must not have any exclusion criteria. After obtaining parental consent, children were evaluated. The assessment tool was Motor Development Scale (MDS) developed by Francisco Rosa Neto (1996), focusing 5 psychomotor factors, including fine motricity, global motricity, equilibrium, body scheme, and space organization. With the applied tasks, it became possible to verify all kinds of variation on the psychomotor performance establishing, or not, a relationship with the ADHD. The results suggests that the ADHD children did not have a satisfying motor performance, however it is not possible to assume that the ADHD was the only cause of the low performance, it is necessary to consider other issues as environments, social end economic level, and others, though this study does not concerns this issues. / Na atualidade, existem in?meros profissionais que utilizam a motricidade ou a psicomotricidade como meio de estudos em diferentes contextos, sendo que a motricidade ? a intera??o de diversas fun??es motoras. O objetivo desta pesquisa foi caracterizar o perfil psicomotor de crian?as entre 6 e 11 anos de idade com diagn?stico cl?nico comprovado de transtorno do d?ficit de aten??o e hiperatividade. Participaram da presente pesquisa 10 crian?as que freq?entaram, entre abril de 2006 e junho de 2006, o Ambulat?rio de Psiquiatria Infantil de um Hospital de uma cidade do interior do estado de S?o Paulo. Foram selecionadas as crian?as que cumpriram os crit?rios de inclus?o, al?m de n?o possu?rem nenhum fator de exclus?o. A pesquisa foi realizada com a autoriza??o dos pais ou respons?veis, os quais assinaram o termo de consentimento. As crian?as foram submetidas a uma avalia??o por meio da Escala de Desenvolvimento Motor (EDM), estabelecida por Francisco Rosa Neto (1996). Referente ? EDM, a mesma enfoca 5 fatores psicomotores, sendo motricidade fina, motricidade global, equil?brio, esquema corporal e organiza??o espacial. Por meio das tarefas aplicadas, foi poss?vel constatar qualquer tipo de varia??o no desempenho dos fatores psicomotores citados, estabelecendo-se, ou n?o, uma rela??o com o transtorno do d?ficit de aten??o e hiperatividade. O resultado obtido constatou um perfil psicomotor com desempenho n?o satisfat?rio, por?m ? invi?vel afirmar que esse seja o ?nico fator para tal resultado, sendo necess?rio considerar outras vari?veis como meio ambiente, n?vel socioecon?mico, entre outras, as quais n?o s?o o objeto de discuss?o deste estudo.

Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2016-02-10T12:59:12Z No. of bitstreams: 1 TES_VERA_ELIZABETH_CLOSS_PARCIAL.pdf: 344877 bytes, checksum: 83c1713273477d9c1c0fb821d224a93c (MD5) / Made available in DSpace on 2016-02-10T12:59:12Z (GMT). No. of bitstreams: 1 TES_VERA_ELIZABETH_CLOSS_PARCIAL.pdf: 344877 bytes, checksum: 83c1713273477d9c1c0fb821d224a93c (MD5) Previous issue date: 2015-08-27 / 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 MODELS, we sought to investigate the performance of 26 anthropometric measurements in predicting frailty and to develop a tool for their identification. Data from 583 participants of the EMI-SUS were analyzed, randomly divided into a learning sample (n=439) and test sample (n=144). Logistic regression and artificial neural network models were used. The neural network demonstrated a superior predictive performance to the logistic regression model and resulted in a reliable tool for identifying frailty in the elderly. The anthropometric measures of weight, biceps skinfold, sagittal abdominal diameter and waist circumference, grouped, proved to be good predictors of frailty in the elderly. / O envelhecimento da popula??o tem sido foco de muitos estudos por se tratar de uma transforma??o importante da sociedade e que implica uma realidade com novos desafios a serem enfrentados. O processo de envelhecimento pode ser categorizado em dois padr?es: o envelhecimento normal ou envelhecimento per se ou senesc?ncia (com altera??es moleculares, anat?micas e fisiol?gicas associadas) e o envelhecimento usual ou senilidade (associado a doen?as e incapacidades). Dentre as tem?ticas mais abordadas atualmente, encontra-se a s?ndrome da fragilidade. Fragilidade ? uma condi??o na qual o indiv?duo apresenta uma maior vulnerabilidade para o desenvolvimento de depend?ncia, hospitaliza??o, institucionaliza??o, queda e mortalidade, dentre outros desfechos negativos, quando exposto a um estressor. V?rios processos fisiopatol?gicos envolvidos na fragilidade t?m estreita rela??o com aspectos nutricionais e de composi??o corporal e que, na avalia??o destas condi??es, a antropometria se apresenta como uma t?cnica ?til. Considerando que est?gios iniciais de fragilidade s?o comumente observados em idosos da comunidade e que instrumentos dispon?veis para a identifica??o de fragilidade (como o fen?tipo de Fried que ? amplamente utilizado) s?o complexos e de dif?cil aplica??o na aten??o b?sica, a busca por ferramentas simples torna-se importante. Na presente tese, s?o apresentados tr?s artigos originais. No primeiro artigo, A EVOLU??O DO ?NDICE DE ENVELHECIMENTO NO BRASIL, NAS SUAS REGI?ES E UNIDADES FEDERATIVAS NO PER?ODO DE 1970 A 2010, buscou-se abordar o ?ndice de envelhecimento, par?metro atrav?s do qual se avalia o processo de amplia??o do segmento idoso na popula??o total em rela??o ? varia??o relativa no grupo et?rio jovem. Para tanto, foram pesquisados dados dos Censos Demogr?ficos e dos Indicadores Sociais do IBGE. Evidenciou-se que a popula??o brasileira se encontra em franco processo de envelhecimento. Para o segundo artigo, DESCRI??O DE MEDIDAS ANTROPOM?TRICAS E AN?LISE DE SUA ASSOCIA??O COM G?NERO, IDADE E S?NDROME DA FRAGILIDADE EM IDOSOS ASSISTIDOS NA ESTRAT?GIA SA?DE DA FAM?LIA: DADOS DO EMI-SUS, foram analisados os dados de 583 idosos participantes de um estudo transversal denominado ?Estudo Epidemiol?gico e Cl?nico dos Idosos Atendidos na Estrat?gia Sa?de da Fam?lia (ESF) do Munic?pio de Porto Alegre (EMI-SUS)?. Observou-se que a frequ?ncia de fragilidade (diagnosticada pelo Fen?tipo de Fried) foi 21,5% e de pr?-fragilidade, 51,1% e que, das 41 medidas antropom?tricas avaliadas, somente uma n?o se mostrou associada com pelo menos uma das vari?veis dependentes investigadas (sexo, faixa et?ria ou fragilidade). No terceiro artigo, PERFORMANCE OF ANTHROPOMETRIC MEASURES IN PREDICTING FRAILTY IN ELDERLY: LOGISTIC REGRESSION AND ARTIFICIAL NEURAL NETWORK MODELS, buscou-se investigar a performance de 26 medidas antropom?tricas na predi??o de fragilidade e formular uma ferramenta para sua identifica??o. Foram analisados os dados de 583 idosos participantes do EMI-SUS, divididos randomicamente em uma amostra de aprendizado (n=439) e uma amostra teste (n=144). Foram utilizados modelos de regress?o log?stica e rede neural artificial. A rede neural mostrou performance preditiva superior ? regress?o log?stica e resultou em uma ferramenta confi?vel na identifica??o de fragilidade em idosos. As medidas antropom?tricas peso, dobra cut?nea bicipital, di?metro abdominal sagital e circunfer?ncia da cintura, agrupadas, mostraram-se bons preditores de fragilidade em idosos.

Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2016-05-03T15:55:01Z No. of bitstreams: 1 TES_JANAINA_ALVARENGA_ARAGAO_COMPLETO.pdf: 3180936 bytes, checksum: 8c2565ec49dcb5d8412b181769abe70c (MD5) / Made available in DSpace on 2016-05-03T15:55:01Z (GMT). No. of bitstreams: 1 TES_JANAINA_ALVARENGA_ARAGAO_COMPLETO.pdf: 3180936 bytes, checksum: 8c2565ec49dcb5d8412b181769abe70c (MD5) Previous issue date: 2014-03-31 / 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 em desenvolvimento. O objetivo geral desse trabalho foi analisar a rela??o entre as caracter?sticas de acesso de sa?de e assist?ncia prestada na aten??o b?sica dirigida aos adultos e idosos de comunidades remanescentes quilombolas, associado ao perfil epidemiol?gico e sociocultural da comunidade onde vivem. Para metodologia realizou-se um censo junto com os agentes comunit?rios de sa?de, e ao final participaram 198 volunt?rios remanescentes de comunidades quilombolas, adultos e idosos, ou seja com idade de 45 anos ou mais residentes nas comunidades quilombolas no centro sul do Piau, entre mar?o e dezembro de 2011. Que realizaram an?lises (sangue perif?rico em jejum, e analisadas para testar os n?veis de colesterol-HDL, triglicer?deos e glicemia), dados antropom?tricos (altura, peso, press?o art?ria, circunfer?ncia abdominal), responderam question?rios sobre dados, s?cio demogr?ficos, h?bitos de e de acesso de sa?de. Os dados foram digitalizados em um banco de dados desenvolvido pelo programa TeleForm e analisados pelo programa Epi Info, vers?o 3.5.1. O material bot?nico foi coletado para conhecer as pr?ticas e recursos naturais e tradicionais de sa?de de suas comunidades. A pesquisa foi aprovada pela Comit? de ?tica da Pontif?cia Universidade Cat?lica do Rio Grande do Sul. Os resultados dessa pesquisa mostraram a preval?ncia da SM foi de 55.4% nos quilombolas pesquisados, e mais prevalente no sexo feminino (p < 0,001). A dist?ncia entre a resid?ncia e a UBS maior que 5 km foram um fator significativamente importante para a menor chance de preferir conhecimentos n?o tradicionais de sa?de, que a dist?ncia geogr?fica interferiu no acesso de sa?de dessas comunidades. Portanto ? necess?rio investir na constru??o de equipamentos sociais destinados a atender suas demandas tendo como base o contexto hist?rico e local onde vivem essas comunidades, principalmente em pol?ticas p?blicas de sa?de preventiva e na educa??o, qualifica??o dos profissionais das equipes de Sa?de da Fam?lia, pois ? nessa estrat?gia onde os investimentos governamentais tem tido maior concentra??o.

Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-08-15T12:47:41Z No. of bitstreams: 1 WaleskaMascarenhasdosSantosDissertacao2017.pdf: 1657834 bytes, checksum: 3001f35415661ff719736110022e5e50 (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-08-15T12:47:45Z (GMT) No. of bitstreams: 1 WaleskaMascarenhasdosSantosDissertacao2017.pdf: 1657834 bytes, checksum: 3001f35415661ff719736110022e5e50 (MD5) / Made available in DSpace on 2017-08-15T12:47:45Z (GMT). No. of bitstreams: 1 WaleskaMascarenhasdosSantosDissertacao2017.pdf: 1657834 bytes, checksum: 3001f35415661ff719736110022e5e50 (MD5) Previous issue date: 2017-06-29 / There is an agreement in the contemporary literature that multimodal interventions are best indicated for attention-deficit/hyperactivity disorder (ADHD). On this perspective, interventions implemented in the school context, especially in the classroom, are relevant for the educational process from students with this diagnosis. In this context, typical ADHD behaviors are especially dysfunctional and also contributes on school failure and dropout. The aim of the present study was to analyze the effects of two teaching strategies on typical problem ADHD behaviors: ClassWide Peer Tutoring and Highlighted Words. Using a multiple baseline across participants design, three elementary school students from a public school, diagnosed with ADHD, were exposed to both strategies. Results showed reduction in typical hyperactivity/impulsivity and attention deficit repertoires from baseline levels for all participants. These data replicate and extend the results of prior studies which also showed interventions effects however in academic tasking behaviors. / H?? consenso na literatura contempor??nea de que interven????es multimodais s??o as mais indicadas para o Transtorno de D??ficit de Aten????o/Hiperatividade (TDAH). Nesta perspectiva, interven????es realizadas no contexto escolar e, principalmente, em sala de aula, s??o relevantes para o processo educacional dos estudantes que apresentam tal transtorno. ?? neste contexto que os comportamentos t??picos do TDAH s??o especialmente disruptivos e contribuem para altos ??ndices de fracasso e evas??o escolar. O presente estudo teve por objetivo analisar o efeito de diferentes estrat??gias interventivas, em sala de aula, sobre os repert??rios t??picos do transtorno, em tr??s meninos diagnosticados com TDAH, alunos da primeira fase do Ensino Fundamental (1?? ao 5?? ano) de uma escola p??blica. Para isso, foi utilizado um delineamento de linha de base m??ltipla, no qual as interven????es Palavras em Destaque e ClassWide Peer Tutoring, foram aplicadas com todos os participantes, um por vez. Observou-se que as duas interven????es tiveram efeitos sobre os repert??rios de hiperatividade/impulsividade e de d??ficit de aten????o dos participantes produzindo o enfraquecimento dos mesmos. Estes resultados replicam e ampliam os de pesquisas anteriores as quais tamb??m evidenciaram efeitos das interven????es investigadas, contudo em repert??rios acad??micos como acertar tarefas e compreender enunciados.

Submitted by Biblioteca Digital de Teses e Disserta????es (sdi@ucb.br) on 2017-11-20T13:05:13Z No. of bitstreams: 1 IsabelaAlmeidaRamosTeseParcial2017.pdf: 1042461 bytes, checksum: f6949b777ee0947e83bb52979487d593 (MD5) / Approved for entry into archive by Biblioteca Digital de Teses e Disserta????es (sdi@ucb.br) on 2017-11-20T13:10:49Z (GMT) No. of bitstreams: 1 IsabelaAlmeidaRamosTeseParcial2017.pdf: 1042461 bytes, checksum: f6949b777ee0947e83bb52979487d593 (MD5) / Made available in DSpace on 2017-11-20T13:10:49Z (GMT). No. of bitstreams: 1 IsabelaAlmeidaRamosTeseParcial2017.pdf: 1042461 bytes, checksum: f6949b777ee0947e83bb52979487d593 (MD5) Previous issue date: 2017-06-21 / Learning difficulties and disturbs, socioeconomic conditions, could justify the high rate of brazilian educational system failure. Therefore, interdisciplinary Physical Education can ameliorate children learning. The purpose of this study was to verify the effects of an interdisciplinary physical education program on academic achievement and selective attention in children. 60 boys and girls from 4th grade of public elementary brazilian school, underwent a Education by Movement group (EduMove) (n=39, 9.7??yr; 31.6 ?? 6.2 kg; 1.4 ?? 0.1 m; 17.9 ?? 7.2 %G) with math, written and reading classes through physical education activities during a school journey (172.8??16.31bpm) (60min each class, twice a week), and a control group (Con) (n=21, 9.9??0.8yr; 30.0 ?? 5.1 kg; 1.4 ?? 0.1 m; 17.1 ?? 8.6 %G) which participated at traditional classes (92.4??8.9bpm). Thereafter children undertook anthropometric (weight, height, body fat), physical activity level, academic achievement, selective attention test (Stroop Go/NoGo), before and after three months. ANOVA revealed tricipital skinfold reduction for EduMove in comparison with CON at post test (11.8 ?? 5.6 vs 12.7 ?? 5.3; p=0.008), it was observed higher physical activity level for EduMovi vs CON (?? 23.3 vs 2.9 METs; p=0.09). Children showed better results at reading capacity for EduMovi vs CON (65.2 ?? 4.9 vs 64.7 ?? 3.0; p=0.038). Regarding selective attention EduMovi was faster and committed less mistakes in comparison with pre test (236.1 ?? 39.9 vs 327.9 ?? 45.88 ms/%, ?? -90ms e - 2% de erros p=0.09). A short term interdisciplinary physical education program can improve reading capacity, and selective attention in children. These results may suggest that activity breaks during a school journey could contributing to learning. / Dificuldades, problemas de aprendizagem, condi????es socioecon??micas, s??o fatores que justificam o alto ??ndice de repet??ncia escolar no sistema educacional brasileiro. Nesse sentido, a Educa????o F??sica interdisciplinar pode otimizar a aprendizagem da crian??a. O estudo teve por objetivo verificar os efeitos de um programa de educa????o f??sica interdisciplinar sobre o desempenho escolar e aten????o seletiva de crian??as. 60 meninos e meninas com desempenho escolar inferior, estudantes do 4?? ano do ensino fundamental foram divididos em grupo educa????o pelo movimento (EduMovi) (n=39, 9,7 ?? 1,0 anos; 31,6 ?? 6,2 kg; 1,4 ?? 0,1 m; 17,9 ?? 7,2 %G), que participou de aulas ativas com os conte??dos de portugu??s e durante o turno escolar (duas vezes por semana por tr??s meses) (172,8 ?? 16,31 bpm); e grupo controle (CON, n=21, 9,9??0,8 anos; 30,0 ?? 5,1 kg; 1,4 ?? 0,1 m; 17,1 ?? 8,6 %G) que permaneceu assistindo aulas tradicionais de portugu??s e matem??tica durante o mesmo per??odo (92,4 ?? 8,9 bpm). A ANOVA revelou redu????o na dobra cut??nea tricipital para EduMovi em compara????o com grupo CON no p??s teste (11,8 ?? 5,6 vs 12,7 ?? 5,3; p=0,008), houve ainda um aumento no NAF para EduMovi vs CON por??m n??o foi significativo (?? 23,3 vs 2,9 METs; p=0,09). Na capacidade de leitura foi observado um melhor escore para EduMovi no p??s teste comparado com CON (65,2 ?? 4,9 vs 64,7 3,0; p=0,038). Na etapa incongruente do teste de Stroop que avalia a aten????o seletiva, o grupo EduMovi foi mais r??pido e errou menos em compara????o com o pr?? teste, mas o resultado n??o foi significativo (236,1 ?? 39,9 vs 327,9 ?? 45,88 ms/%, ?? -90ms e -2% de erros p=0,09). Um programa de curto prazo de educa????o f??sica interdisciplinar pode melhorar a capacidade de leitura e aten????o seletiva de crian??as.

Made available in DSpace on 2015-07-15T13:31:40Z (GMT). No. of bitstreams: 1 Marcio Costa - Saude Coletiva.pdf: 637539 bytes, checksum: a8ce63b902dc8a24ea2835901e9d4286 (MD5) Previous issue date: 2006-07-21 / This is a study about a model of health-centered attention at the Parque Floresta Health Center in Alagoinhas Bahia. Its objective is to analyze the public-private relationship in producing health actions and to discuss the relations of the welcoming, bonding, and responsibility aspects between the health care workers and those who receive care at the Parque Floresta Health Center in order to meet the health needs of this population. This unit is a reference center on basic attention given in this municipality for the areas discovered by the Family Health strategy and for actions of average complexity. The methodological path is founded on the social-historical context, by way of a dialectic approach. The data production analysis sought to bring the ermeneutic-dialectic sides closer together. The results of the model of health-centered attention show that it is still that of the liberal, privatepractice professional (of the biologist, mechanical and hospital-centered, and centered around the figure of the doctor); however, although the difficulty exists in allocating resources, the municipality has invested to change this relationship. There is also a compelling participation from the private sector in the municipal system, beyond the fragmented worker-receiver relationship, mainly occurring from encountering individualized and healing-based attention. Thus, it is necessary to institute the welcoming, bonding, and responsibility aspects as tools to (re) orient in the model of health-centered attention in force in Alagoinhas, as well as stimulate the decentralization of attention to health at the Parque Floresta Health Center. / Estudo sobre o modelo de aten??o ? sa?de no Centro de Sa?de Parque Floresta em Alagoinhas Bahia, com o objetivo de analisar s rela??o p?blico-privado para a produ??o de a??es de sa?de e de discutir as rela??es de acolhimento, v?nculo, responsabiliza??o entre os trabalhadores de sa?de e usu?rios no Centro de Sa?de Parque Floresta para atender as necessidades de sa?de dessa popula??o. Esta unidade ? refer?ncia em aten??o b?sica deste munic?pio pra ?reas descobertas pela estrat?gia Sa?de da Fam?lia e de a??es de m?dia complexidade. O caminho metodol?gico ? fundamentado no contexto hist?rico-social, atrav?s de uma abordagem dial?tica. A an?lise da produ??o dos dados buscou a aproxima??o da hermen?utica-dial?tica. Nos resultados o modelo de aten??o ? sa?de ? ainda o liberalprivatista (biologicista, mecanicista, hospitaloc?ntrico, centrado na figura do m?dico), por?m, apesar de existir uma dificuldade de aloca??o de recursos, o munic?pio tem investido para mudar esta rela??o. H? tamb?m uma forte participa??o do setor privado nos sistema municipal, al?m de uma rela??o entre trabalhador e usu?rio fragmentada, ocorrida principalmente por encontrar uma aten??o individualizada e curativista. Sendo necess?rio instituir o acolhimento, v?nculo e responsabiliza??o como ferramenta de (re) orienta??o do modelo de aten??o vigente em Alagoinhas, assim como estimular a descentraliza??o da aten??o ? sa?de no Centro de Sa?de Parque Floresta.

Made available in DSpace on 2015-04-14T13:35:47Z (GMT). No. of bitstreams: 1 450585.PDF: 3679647 bytes, checksum: 449520a022e29d4951604d60809e331f (MD5) Previous issue date: 2013-08-09 / Attention deficit/hyperactivity disorder (ADHD) is one of the most prevalent neuropsychiatric disorders among children. Although the clinical presentation and treatment of ADHD are well established, its etiology is not yet known. Recent functional neuroimaging techniques may help increase knowledge about the pathophysiology of the disorder, allowing for the empirical testing of theoretical hypotheses on brain networks in ADHD. In this study, we analyzed a group of 23 treatment na?ve boys with ADHD, aged between 8 and 10 years old, who underwent a protocol of resting-state functional magnetic imaging before and after six months of treatment with methylphenidate. Analyses of functional connectivity were performed between regions of interest (seeds) placed within the default mode network (DMN). Subsequently, changes in the DMN connectivity before and after treatment were investigated with an independent component analysis (ICA). Results of the seeds analysis showed no significant changes in connectivity between regions of the DMN following treatment, with a relatively small increase in the anterior-posterior connectivity of the network. The ICA revealed a significant increase in the connectivity between the left putamen and the DMN (p <0.01, corrected). There was also a positive correlation between the decrease of symptoms and the connectivity between the putamen and the DMN after treatment (rho = 0.65, p = 0.17). These findings indicate that treatment with methylphenidate modifies the connectivity between the DMN and subcortical nuclei. Dysfunctions in corticalsubcortical circuits have often been associated with the pathophysiology of ADHD. The effect of treatment with methylphenidate may in part be associated with elevated dopamine levels in subcortical nuclei, modulating its connectivity with the DMN. / O transtorno de d?ficit de aten??o/hiperatividade (TDAH) ? um dos transtornos neuropsiqui?tricos mais prevalentes entre crian?as. Embora a apresenta??o cl?nica e o tratamento do TDAH estejam bem estabelecidos, suas causas ainda n?o s?o conhecidas. T?cnicas recentes de neuroimagem funcional podem ampliar o conhecimento acerca da fisiopatologia do transtorno, permitindo a testagem emp?rica de hip?teses conceituais sobre o funcionamento de redes cerebrais no TDAH. Neste trabalho, analisamos um grupo de 23 meninos com diagn?stico de TDAH, com idades entre 8 e 10 anos, virgens de tratamento, que foram submetidos a um protocolo de resson?ncia funcional de repouso antes e ap?s seis meses de tratamento com metilfenidato. Foram realizadas an?lises de conectividade funcional entre regi?es de interesse (seeds) demarcadas sobre ?reas da rede default mode network (DMN). Posteriormente, a conectividade da DMN antes e ap?s o tratamento foi mapeada atrav?s de uma an?lise de componentes independentes (ICA, independent component analysis). Os resultados da an?lise de seeds n?o demonstraram modifica??es significativas na conectividade entre regi?es da DMN com o tratamento, havendo apenas um pequeno aumento da conectividade ?ntero-posterior da rede. A an?lise por ICA revelou um aumento significativo de conectividade da DMN com o put?men esquerdo (p<0,01 corrigido). Observou-se ainda uma correla??o positiva entre a redu??o dos sintomas e a conectividade entre o put?men e a DMN ap?s o tratamento (rho=0,65, p=0,17). Esses achados indicam que o tratamento com metilfenidato modifica a conectividade entre a DMN e n?cleos subcorticais. Disfun??es em circuitos corticosubcorticais foram frequentemente associados ? fisiopatologia do TDAH. O efeito do tratamento com metilfenidato pode, em parte, estar associado ? eleva??o dos n?veis dopamin?rgicos em n?cleos subcorticais, modulando a sua conectividade com a DMN.