Este estudo tomou como objeto as práticas e os saberes que operam nas ações de saúde dos trabalhadores de dois centros de referência em hanseníase de um determinado território do Município de São Paulo. Trata-se de um estudo descritivo, cujo objetivo geral foi caracterizar as ações de saúde que operam na assistência dos agentes em saúde, em serviços de referência à hanseníase. O material empírico foi obtido por um formulário semi-estruturado, no período de agosto a novembro de 2006 e foram entrevistados 11 profissionais, após permitirem sua participação na pesquisa. Para a análise, foram utilizados os procedimentos, segundo a análise de conteúdo de Bardin, que possibilitaram a visualização das seguintes categorias empíricas: práticas de saúde; processo de trabalho em saúde e processo saúde-doença. A análise mostrou que os processos de trabalho, de interação dos trabalhadores nas equipes e o de qualificação dos trabalhadores na área da hanseníase expressam-se de forma homogênea e deficitária entre os estudados. Permitiu também, evidenciar que as práticas de saúde dos trabalhadores dos serviços estudados estão fortemente vinculadas à assistência respaldada no modelo biológico, pois realizam práticas de saúde centradas na atenção individualizada e pautados na multicausalidade do processo saúde-doença. Neste estudo, evidencia-se a necessidade de que as práticas de saúde na área da hanseníase sejam incorporadas a um saber ampliado à intervenção do coletivo que possibilite trazer contribuições para a meta de eliminação da doença e que sejam redefinidos os processos de trabalho, baseados no âmbito da determinação e não só nos resultados do processo saúde-doença / This study has taken as object the practice and knowledge that are performed in the health action of workers in two reference centers of leprosy in a specific area in São Paulo. It’s a descriptive study which has had as main objective the characterization of health action that has been performed in the agent’s assistance in health, in a reference center of leprosy. The empiric material was obtained through the semi-structured form, from August to November 2006 and eleven professionals were interviewed after taking part on this study. To the analysis, the procedures were used according to Bardin content analysis which enabled the visualization of the following empiric categories: health practice; work process in health and health-disease processes. The analysis showed that the work process, the way of worker’s interaction in the groups and their qualification in the leprosy area express a homogenous and deficient way among the people studied. Through the analysis it was evident that the health practice of workers in the studied service are closely related to the repaired assistance in the biological model which perform health practice focused on the individualized attention and centered on the multi-causes of the health-disease process. It is clear in this study, the necessity of these health practices of leprosy to be incorporated an enlarged knowledge into the group intervention in order to bring contributions to the disease removal target and to re-define the work processes based on the ambit of determination and not only on the results of the health-disease process

Orientador: Cristina Maria Garcia de Lima Parada / Resumo: A taxa de mortalidade infantil é indicador sensível para refletir o grau de desenvolvimento de um país. Nas últimas décadas, o Brasil registrou grande variação negativa na taxa desse desfecho, resultado da centralidade nas políticas públicas de saúde materno-infantis nacionais. O conhecimento público sobre os fatores que contribuíram para a melhora desse indicador é importante por fazer da população parte integrante do processo, permitindo maior controle social. Possibilita, ainda, que o cidadão tenha a oportunidade de fazer a sua parte no que diz respeito à prevenção. O objetivo do presente estudo foi avaliar a cobertura jornalística realizada sobre o tema mortalidade infantil na versão impressa do jornal Folha de São Paulo entre 1990 e 2015, período definido pela Declaração do Milênio para o cumprimento da meta de redução em dois terços na taxa de mortalidade infantil global. Trata-se de estudo de abordagem quantiqualitativa, de caráter descritivo e retrospectivo. A escolha do jornal Folha de São Paulo decorreu do fato de constituir o veículo jornalístico de maior circulação no país. Para seleção das matérias, utilizaram-se as palavras-chave “mortalidade” and “infantil” no acervo digital do próprio jornal. A coleta de dados foi realizada entre setembro de 2015 e julho de 2016. No total, 2436 matérias foram inicialmente selecionadas para leitura dinâmica. Aplicaram-se, em seguida, os critérios de exclusão: citações isoladas, comentários dos leitores, publicidade, informes pu... (Resumo completo, clicar acesso eletrônico abaixo) / Mestre

Made available in DSpace on 2016-08-10T10:32:11Z (GMT). No. of bitstreams: 1 LAURA LENI MACEDO NOGUEIRA PARANAGUA LAGO ARAUJO.pdf: 4545412 bytes, checksum: a97c98994307df6dabc0a79fd995f9f3 (MD5) Previous issue date: 2014-03-06 / This dissertation aims to study the living conditions of people affected by glaucoma in treatment at the Centro de Referência em Oftalmologia, Hospital das Clínicas, Universidade Federal de Goiás ( CEROF / HC / UFG ) - Goiânia -GO / 2013. We sought to understand and analyze the socioeconomic and cultural conditions of these people, from the perspective of social rights guaranteed in the regulatory frameworks of the Brazilian Constitution of 1988 and its implications on their living conditions. To understand these factors, we sought theoretical frameworks focused on the concepts of health, health-disease process, social rights and citizenship. The discussion was based on the historical configuration of social policies, especially health, from the 1930s and the consolidation of health related rights over the years in Brazil, with more emphasis on the creation of the SUS (National Health System) since the enactment of Federal Constitution of 1988, whose proposal is supported by the principles of universality, equity, completeness. Under this perspective, was highlighted the concept of health and illness, not as separate concepts, but as hand in hand and that, therefore, must be treated from the standpoint of social law, the promotion of equality and citizenship. The results obtained in the study showed that glaucoma interferes negatively on the life conditions of patients treated at CEROF, given that, from the exact diagnosis, access to specialized care happens to late and sets up a problem due to the large demand for a limited supply, preventing a specialized treatment as required by that disease. This context shows the weakness in the realization of the right to health, owing to fragmentation and focus that the health policy presents itself. The improvement of living conditions of people affected by glaucoma treatment in CEROF requires the implementation of a health policy driven by guaranteed Constitutional rights, in order to enable the promotion of health in a full universal and equitable manner. / Esta dissertação objetiva o estudo das condições de vida das pessoas acometidas por glaucoma que realizam tratamento no Centro de Referência em Oftalmologia do Hospital das Clínicas da Universidade Federal de Goiás (CEROF/HC/UFG) Goiânia GO/ 2013. Buscou-se compreender e analisar as condições socioeconômicas e culturais dessas pessoas, na perspectiva dos direitos sociais assegurados nos marcos regulatórios da Constituição Brasileira de 1988 e suas implicações nas condições de vida das mesmas. Para a compreensão desses fatores, buscou-se referenciais teóricos voltados para os conceitos de Saúde, Processo saúde-doença, Direitos Sociais e Cidadania. A discussão pautou-se na configuração histórica das políticas sociais, em especial a de saúde, a partir da década de 1930 e a efetivação dos direitos em saúde ao longo dos anos no Brasil, com maior ênfase para a criação do SUS a partir da promulgação da Constituição Federal de 1988, cuja proposta se sustenta nos princípios de Universalidade, Equidade, Integralidade. Nesta perspectiva foi destacado o conceito de saúdedoença, não como conceitos distintos, mas que caminham lado a lado e que por isso devem ser tratados do ponto de vista do direito social, da promoção da equidade e da cidadania. Os resultados obtidos na pesquisa evidenciaram que o glaucoma interfere negativamente na condição de vida dos pacientes atendidos no CEROF, uma vez que a partir da confirmação diagnóstica, o acesso ao atendimento especializado acontece tardiamente e se configura um problema, devido à grande demanda para uma oferta limitada, inviabilizando um tratamento especializado nos moldes que a doença exige. Esse contexto demonstra a fragilidade na efetivação do direito à saúde, face à fragmentação e focalização em que se apresenta a política de saúde. A melhoria das condições de vida das pessoas acometidas por glaucoma em tratamento no CEROF, passa pela necessidade de implementação da política de saúde voltada para a garantia dos direitos Constitucionais, no sentido de viabilizar a promoção à saúde de maneira integral, universal e equitativa.

Background: The burden of cardiometabolic disease (CMD) is rising in sub-Saharan Africa (SSA). However, there are limited population-based prevalence estimates of CMD risk factors to inform public health initiatives for the prevention and management of CMDs in these populations. This thesis aims to contribute to this evidence gap by assessing the prevalence and distribution of established and emerging CMD risk factors, associations between risk factors, and tools for their identification, in a South African population. Methods: The Durban Diabetes Study (DDS), a population-based cross-sectional survey of CMD risk factors, was designed and data were collected on 1204 participants from the eThekwini Municipality, South Africa. Key findings: In this urban South African population, the prevalence of most CMD risk factors was high, and varied across demographic and socioeconomic groups. The prevalence of smoking and alcohol consumption was higher in men, whilst the prevalence of obesity, hypertension, dyslipidaemia, and hyperglycaemia was higher in women. Wealth was associated with obesity and hypercholesterolemia, whilst education level and employment status were associated with smoking, physical activity and diabetes. Despite several potential advantages, the use of glycated haemoglobin (HbA1c) for diagnosis of diabetes is not established in SSA. Using plasma glucose measures as the reference, HbA1c ≥6.5% detected diabetes with high sensitivity and specificity. Furthermore, the association of anaemia, HIV, and antiretroviral therapy (ART) with HbA1c was modest and no statistically significant differences in the prevalence of diabetes were found in those with anaemia or HIV based on plasma glucose and HbA1c measurements. This is the first evidence for the utility of HbA1c for the diagnosis of diabetes in a black SSA population. There is emerging evidence for the association of HIV and ART with CMD risk factors. In the DDS, the prevalence of HIV was high (43.5%) and untreated HIV was associated with low high-density lipoprotein cholesterol, whilst ART-treated HIV was associated with high triglycerides. Finally, 30.8% of participants were at high risk of CMD based on metabolic syndrome, but only 7.9% had high 10-year cardiovascular disease risk based on the Framingham risk score. Conclusion: This thesis has added to the evidence base on CMD risk factors in South Africa. These findings highlight the need for longitudinal studies to investigate the aetiology of CMDs and robustly assess the utility of tools to identify risk of CMD in SSA populations.

This thesis and study is sponsored by Minor Field Study scholarship through University of Borås and is funded by SIDA (Swedish International Development Cooperation Agency). There are around half a million people living with HIV/AIDS in Thailand and it is one of Thailand’s most increasing public health diseases since 1984. There are several organizations working jointly with prevention and lifting the level of knowledge among the public and decreasing new infections.The aim of this study is to describe experiences of persons living with HIV or AIDS in Thailand. In-depth interviews was carried out and analysed with a qualitative content analysis. Six persons, three female and three male, aged between 18 to 67 years living with either HIV or AIDS participated. The informants expressed that they were enjoying life and had plans for the future despite of the infection as they felt a sense of wellbeing, had an acceptance of the infection and themselves. It was important to have support from friends and family to cope with life and that support made them feel blessed and grateful. However the informants also expressed a feeling of no self worth and that they had giving up living because of feeling isolated, stigmatized, depressed, ashamed of themselves and being a burden with a sense of guilt that made them repress themselves. The conclusion is that these aspects were interlinked but the negative dominated among these with AIDs and the positive aspects were more common among the informants living with HIV. / Program: Sjuksköterskeutbildning

Made available in DSpace on 2016-04-29T14:18:03Z (GMT). No. of bitstreams: 1 Maira Kelly Verengue Moya.pdf: 3158858 bytes, checksum: 871e7a50351e2ed2f832a1e180d90c72 (MD5) Previous issue date: 2010-06-24 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / This dissertation is based on the researcher's professional experience as a social worker at the Center for Psychosocial Care - CAPS Pindamonhangaba, SP. Aims to research the meanings given by the users enrolled in this service to their experience of life, specifically, to know their life stories and identify how they recognize themselves socially. Assumes that Mental Health has represented a growing field of intervention for the social worker and considers necessary the production of scientific knowledge to enable the theoretical justification of these professionals daily experience. Based on these arguments resides the justification for this research, to the extent it purports to know the views of the users enrolled in this service about their status in society. Has as foundation the concept of Health-Disease Process, understood as the synthesis of the totality of determinations that operate the quality of people's lives. The Psychiatric Reform is the political orientation and the CAPS represent one of the technologies available in the care of the person in psychic distress. It is guided in dialectical and historical materialism as a theoretical framework for understanding and analysis of reality and the researching material. Encourages the use of Oral History as the research methodology once it privileges the social and historical experience of the users: the everyday life, memory and culture. Makes use of the user s narrative recorded during the execution of an intervention project named "Autorretrato da Loucura (Self Portrait of Madness), held in CAPS Pindamonhangaba in 2008. Finally, makes a rough summary of the reality studied / A presente dissertação parte da experiência profissional da pesquisadora como assistente social no Centro de Atenção Psicossocial CAPS de Pindamonhangaba, SP. Tem como objetivo conhecer os significados atribuídos pelos sujeitos, usuários matriculados neste serviço, à sua experiência de vida, especificamente, conhecer suas trajetórias e identificar o modo como se reconhecem socialmente. Parte do princípio que a Saúde Mental tem se configurado como um campo crescente de intervenção para o assistente social e considera necessária a produção de conhecimento científico, a fim de fundamentar teoricamente a prática cotidiana destes profissionais. Encontra nesta argumentação a justificativa para a pesquisa, na medida em que se propõe a conhecer o ponto de vista dos usuários sobre sua condição de sujeito na sociedade. Fundamenta-se no conceito de processo saúde-doença, entendido como a síntese da totalidade de determinações que operam sobre a qualidade da vida da população. Tem na Reforma Psiquiátrica sua orientação política e nos CAPS uma das tecnologias possíveis no cuidado da pessoa em sofrimento psíquico. Pauta-se no materialismo histórico e dialético como referencial teórico para apreensão e análise da realidade e do material da pesquisa. Recorre ao uso da História Oral como metodologia de pesquisa por privilegiar a experiência social e histórica dos sujeitos: o cotidiano, a vida diária, a memória e a cultura. Trabalha a narrativa dos sujeitos gravada durante a realização de um projeto de intervenção denominado Autorretrato da Loucura, realizado no CAPS Pindamonhangaba no ano de 2008. Por último, faz uma síntese aproximativa da realidade estudada

This thesis examines the impact of disease and mortality on the Royal Navy in the West Indies from 1770 to 1806. It also investigates the navy’s medical branch which was established to manage the care of sick seamen. Using an interdisciplinary approach, this thesis produces a cohesive understanding of how disease and mortality affected the navy’s presence in the West Indies and the ways in which the navy attempted to mitigate their impact. This thesis explores various aspects of naval medicine including the history of the Sick and Hurt Board, the diseases which distressed seamen, the medicines distributed by the navy, the key personnel who were integral in generating changes to the medical system and the development of hospital facilities. Largely based on Admiralty records including correspondence and minutes from the Sick and Hurt Board, ships’ muster books and surgeons’ journals, this thesis investigates the most prevalent diseases in the West Indies and the prescribed treatments advocated by the navy. It then examines how these diseases and treatments affected seamen on board ships in that region through a quantitative analysis; then focuses on a number of the integral naval personnel who ushered in sweeping changes to naval medicine; and explores the navy’s increasing desire to transition from hired sick quarters to purpose-built naval hospitals on various West Indies islands. It concludes with a case study of the development of Antigua naval hospital which demonstrates the effectiveness of these facilities in convalescing sick seamen. Through a quantitative analysis of ships’ muster books, this thesis argues that the levels of sickness and mortality in the navy in the West Indies during the late eighteenth century are largely exaggerated in historical studies while also discrediting the myth that those islands were the ‘white man’s graveyard’ for many naval personnel. By surveying over 100,000 seamen on board ships in that region, sickness and mortality figures emerge which indicate that, on average, less than 4 per cent of seamen were on the sick list at any given time and only a small percentage died, meaning that the majority remained on active duty. This thesis then argues that many of the changes to the navy’s medical system that facilitated such low percentages were primarily instigated by surgeons, physicians and captains who identified beneficial medicines and championed their general distribution among the entire fleet. By looking at these aspects of naval medicine through a multidisciplinary lens rather than a purely administrative one, it is possible to understand the true state of health of British seamen in the West Indies during the last quarter of the eighteenth century.

Submitted by ÉRICK RENATO FOGAR FACIOLI null (reporterfacioli@gmail.com) on 2017-09-19T23:20:35Z No. of bitstreams: 1 ANÁLISE DA COBERTURA DO JORNAL FOLHA DE SÃO PAULO SOBRE O TEMA MORTALIDADE INFANTIL ENTRE 1990 E 2015.pdf: 2597994 bytes, checksum: eb81788785fd7baedd24fb844568747f (MD5) / Approved for entry into archive by Monique Sasaki (sayumi_sasaki@hotmail.com) on 2017-09-20T17:50:03Z (GMT) No. of bitstreams: 1 facioli_erf_me_bot.pdf: 2650643 bytes, checksum: 4c0c2a3bb3b676d9dcdaa859426e94dd (MD5) / Made available in DSpace on 2017-09-20T17:50:03Z (GMT). No. of bitstreams: 1 facioli_erf_me_bot.pdf: 2650643 bytes, checksum: 4c0c2a3bb3b676d9dcdaa859426e94dd (MD5) Previous issue date: 2017-08-21 / A taxa de mortalidade infantil é indicador sensível para refletir o grau de desenvolvimento de um país. Nas últimas décadas, o Brasil registrou grande variação negativa na taxa desse desfecho, resultado da centralidade nas políticas públicas de saúde materno-infantis nacionais. O conhecimento público sobre os fatores que contribuíram para a melhora desse indicador é importante por fazer da população parte integrante do processo, permitindo maior controle social. Possibilita, ainda, que o cidadão tenha a oportunidade de fazer a sua parte no que diz respeito à prevenção. O objetivo do presente estudo foi avaliar a cobertura jornalística realizada sobre o tema mortalidade infantil na versão impressa do jornal Folha de São Paulo entre 1990 e 2015, período definido pela Declaração do Milênio para o cumprimento da meta de redução em dois terços na taxa de mortalidade infantil global. Trata-se de estudo de abordagem quantiqualitativa, de caráter descritivo e retrospectivo. A escolha do jornal Folha de São Paulo decorreu do fato de constituir o veículo jornalístico de maior circulação no país. Para seleção das matérias, utilizaram-se as palavras-chave “mortalidade” and “infantil” no acervo digital do próprio jornal. A coleta de dados foi realizada entre setembro de 2015 e julho de 2016. No total, 2436 matérias foram inicialmente selecionadas para leitura dinâmica. Aplicaram-se, em seguida, os critérios de exclusão: citações isoladas, comentários dos leitores, publicidade, informes publicitários, gráficos isolados, matérias idênticas publicadas e erratas, restando 429 textos. Como era critério de inclusão analisar as publicações que fizessem referência aos determinantes da mortalidade infantil, nova seleção foi necessária e, nessa etapa, foram obtidas 267 matérias, às quais foram aplicadas o Protocolo de Análise de Cobertura Jornalística, com a função de quantificar e organizar o material. Para a análise qualitativa, foram utilizados os textos com chamada de capa, o que resultou em 82 matérias, avaliadas a partir dos referenciais teórico-metodológicos do enquadramento, agenda-setting e Cenário de Representação Política (CR-P). Os resultados revelam, em geral, cobertura jornalística superficial e sensacionalista do tema, carecendo de análises mais amplas, como as razões históricas, políticas e sociais a ele relacionadas. Houve privilégio a fontes oficiais, com pouco espaço para opiniões de especialistas independentes e do cidadão comum. Por vezes, o Estado foi apresentado como ineficiente para cuidar da saúde da população. / The child mortality rate is a sensitive indicator to reflect a country’s development level. In the last few decades, Brazil has shown a decrease great variation in such rate, which has been the result of centrality in the national public policies on maternal-infant health. Public knowledge about the factors that have contributed to the improvement of this indicator is important as it makes the population an integral part of the process, thus allowing for greater social control. It also provides citizens with the opportunity to play their role as regards prevention. This study aimed at evaluating the journalistic coverage of the topic child mortality in the printed version of the newspaper Folha de São Paulo from 1990 to 2015, which is the period defined by the Millennium Declaration for achieving the goal of reducing global mortality rates by twothirds. It is a study with a quanti-qualitative, descriptive and retrospective approach. The choice for the newspaper Folha de São Paulo was due to the fact that it is the journalistic vehicle with the largest circulation in the country. In order to select the articles, the key words “mortality” and “child” were used in the newspaper’s digital collection. Data were collected from September 2015 to July 2016. In total, 2,436 articles were initially selected for dynamic reading. Isolated citations, readers’ comments, publicity, advertising reports, isolated graphs, identical published articles and errata, were not included in the study. Thus, 429 texts remained. Since the inclusion criterion was the analysis of publications that referred to the determinants of child mortality, a new selection was necessary and, in that phase, 267 articles were obtained to which the Protocol for Analysis of Media Coverage was applied with the purpose to quantify and organize the material. For qualitative analysis, the texts referred to on the first page of the newspaper were used, which resulted in 82 articles that were evaluated based on the theoretical and methodological frameworks of framing, agenda-setting and Political Representation Setting (RS-P). In general, the results showed superficial and sensationalist coverage of the topic that lacked more comprehensive analyses, such as those of the historical, political and social reasons related to it. Official sources were privileged, and little space was opened for opinions of independent experts and for those of common citizens. At times, the State was presented as inefficient to care for the population’s health.

Made available in DSpace on 2014-12-17T14:46:35Z (GMT). No. of bitstreams: 1 MeineSA.pdf: 1171834 bytes, checksum: 919dd3d665c4b42887cceb5b0714d3f4 (MD5) Previous issue date: 2007-02-07 / Study, a descriptive-like one, is guided by ethnographic principles which have analyzed the elderly within the familiar context in his/her process of health and aging, in the neighborhood called Felipe Camar?o, located in the western administrative region of Natal, RN, a Northeastern city of Brazil. The participants are elders aging 61 to 84 years old, living in this referring neighborhood, whose majority is constituted of migrants from the rural region of the state of the RN, retired, including widows, widowers and married couples, with low school-educational degree. For the information gathering it was utilized a semi-structured interview, the participant observation and the field diary, being put into effect, in majority, in the houses and in the Family Health Unit, in a period between March and October of 2006. For the results discussion it was utilized an analysis of thematic content and the program ALCESTE (In Portuguese, An?lise L?xica por Contexto de um Conjunto de Segmentos de Texto or Lexical Analysis by Context of a Set of Text Segments), which through have emerged two corpus: the corpus I, Family and the elderly, and corpus II, The elderly and the aging within society. The analysis of the results has permitted to conclude that the family, also used by the public policies as a strategy of their practices in health, it is a necessary base support for the elderly citizen in his/her process of aging and of health. The elders familiar contexts have allowed this study to identify the existence of minimal social conditions of life, of new rearrangements of the current families by means of the plurigenerational acquaintanceship and the active presence of the elderly woman as a maintainer of this family; also by means of conflicted relationships among one another but in a bearable level of acquaintanceship. Different conceptions about the aging and the elderly generate disagreement and divergency however the family support and help for the solving of these problems and the attention to health are proceeding from the family components. However, it is noticed that loneliness is something present in these elder s everyday lives. About the attention to health, in a basic level of it, it was noticed that there are still a lot of gaps, mainly concerning promotional and preventing actions, deserving a higher sensitization and effort by the local health institutions / Estudo, do tipo descritivo, guiado por princ?pios etnogr?ficos, que objetivaram analisar o idoso no contexto familiar, em seu processo de sa?de e envelhecimento, no bairro de Felipe Camar?o, localizado na regi?o administrativa Oeste do munic?pio de Natal/RN, cidade do Nordeste do Brasil. Os participantes do estudo s?o idosos com idades entre 61 e 84 anos, residentes nesse bairro, cuja maioria, ? constitu?da por migrantes da regi?o rural do Estado, aposentados, incluindo vi?vos e casados, com baixa escolaridade. Para a coleta das informa??es, utilizou-se a entrevista semi-estruturada, a observa??o participante e o di?rio de campo, efetivando-se , na sua maioria, nos domic?lios e na Unidade de Sa?de da Fam?lia, no per?odo de mar?o a outubro de 2006. Para a discuss?o dos resultados, utilizou-se a an?lise de conte?do tem?tica e o programa ALCESTE (An?lise L?xica por Contexto de um Conjunto de Segmentos de Texto), atrav?s do qual emergiram dois corpus: o corpus I: Fam?lia e os idosos, e o corpus II, O idoso e a velhice na sociedade. A an?lise dos resultados permitiu concluir que a fam?lia, tamb?m utilizada pelas pol?ticas p?blicas, como estrat?gia das suas pr?ticas em sa?de, ? um suporte de apoio necess?rio para o cidad?o idoso em seu processo de envelhecimento e de sa?de. Os contextos familiares dos idosos permitiram identificar a exist?ncia de condi??es sociais m?nimas de vida, e de novos re-arranjos das fam?lias atuais, atrav?s da conviv?ncia plurigeracional e da presen?a atuante da mulher idosa, como mantenedora dessa fam?lia; das rela??es de conflitos entre seus membros, num n?vel suport?vel de conviv?ncia. Diferentes concep??es sobre a velhice e a pessoa idosa, originam desencontros e diverg?ncias, contudo, o apoio e a ajuda para resolu??o dos problemas e a aten??o ? sa?de s?o provenientes dos familiares. Por?m, nota-se que a solid?o ? algo presente no cotidiano desses idosos. Sobre a aten??o ? sa?de, em n?vel de aten??o b?sica, percebe-se haver ainda v?rias lacunas, principalmente no tocante ?s a??es de promo??o e preven??o, merecendo maior sensibiliza??o e empenho por parte das institui??es locais de sa?de

FundaÃÃo Cearense de Apoio ao Desenvolvimento Cientifico e TecnolÃgico / Trata-se de uma investigaÃÃo sobre as dualidades conceptuais saÃde/doenÃa e normal/patolÃgico em Freud. Mediante a perspectiva epistemolÃgica de Kurt Lewin, buscamos saber o quanto estas dualidades expressariam o modo de pensamento galilÃico e o que hà do modo aristotÃlico. Ora, uma vez que Freud oscilou entre as duas formas de pensamento, procuramos, no seu prÃprio texto, algumas indicaÃÃes que pudessem servir como referÃncia galilÃica suplementar. Consideramos que ao falar sobre plasticidade e adesividade libidinais, ele teria estabelecido um continuum entre estas categorias em relaÃÃo: em vez de opÃ-las em dicotomias aristotÃlicas, ele as teria conectado dialeticamente como verdadeiras dualidades ou sÃries de fenÃmenos que compreenderiam uma variaÃÃo contÃnua entre si. Tal justificaria o reconhecimento de que fases de transiÃÃo estariam sempre presentes entre a normalidade e a patologia, e saÃde e doenÃa, respectivamente. Supondo que Freud tenha apenas raciocinado mediante tal lÃgica, nÃo chegando a formalizÃ-la epistemologicamente, tentamos formalizÃ-la com a ajuda do que Canguilhem expÃs sobre a normatividade de vida e as diferenÃas entre normalidade e saÃde e, anormalidade e patologia. Verificamos que (1) as dualidades acima referidas expressam amplamente o modo de pensamento galilÃico, mormente quanto Ãs neuroses; ele as concebeu como sÃries de fenÃmenos que compreendem uma variaÃÃo contÃnua entre si. (2) Apesar da distinÃÃo entre seus campos de referÃncia, a lÃgica que descobrimos haver em Freud à algo comparÃvel com o que Canguilhem atribuiu à normatividade vital. / We search here about two kinds of conceptual dualities in Freud: health/disease and normality/pathology. By means of Kurt Lewinâs epistemological perspective, we seek to know how these dualities could correspond to Galilean and Aristotelian ways of scientific thought. Having evidenced that Freud had shown an oscillation between the modes of scientific thought, we have sought, through Freudâs own works, some indication which would help as a supplementary Galilean reference. We considerate, then, that Freudâs view on plasticity and adhesiveness of libido present the idea of a continuum between the two phenomena. That is, instead of opposing them in the way of the Aristotelian dichotomies, Freud has dialectically connected them as dualities and series of phenomena which show internal and continuous variation among themselves. This testifies the existence of some phases of transition between normality and pathology and health and disease. Once Freud had only conceived but never formalized his idea in epistemological terms, we have tried to do this. By means of Canguilhem theory life normativity and the differences between normality and health as well as abnormality and pathology, we have found out that: (1) the above mentioned dualities correspond to the Galilean way of thought; this occurs mainly when Freud refers to neurosis; Freud conceived them as a series of phenomena that show internal and continued interconnection. (2) Despite the difference between their fields of reference, the logic found in Freud is somewhat comparable to what Canguilhem attributed to life normativity.