Thesis (Doctoral)--Technische Universiteit Delft, 2006. / Includes bibliographical references (p. 221-244).

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2018-07-20T20:01:53Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) rene_ferreira_silva_junior.pdf: 1067909 bytes, checksum: 33d48bb20947b79d3412504f05f8b61f (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2018-10-01T17:06:56Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) rene_ferreira_silva_junior.pdf: 1067909 bytes, checksum: 33d48bb20947b79d3412504f05f8b61f (MD5) / Made available in DSpace on 2018-10-01T17:06:56Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) rene_ferreira_silva_junior.pdf: 1067909 bytes, checksum: 33d48bb20947b79d3412504f05f8b61f (MD5) Previous issue date: 2018 / A resid?ncia em sa?de surge como padr?o ouro para forma??o em servi?o, caracterizada pela educa??o no trabalho, relaciona teoria e pr?tica, o ensino e o servi?o, sendo importante para a forma??o dos profissionais para o Sistema ?nico de Sa?de. Nesse contexto, destaca-se o papel do preceptor, essencial para a forma??o do residente. Assim, esse estudo tem como objetivo principal compreender a atua??o docente de preceptores enfermeiros em um programa de resid?ncia multiprofissional em sa?de da fam?lia da Universidade Estadual de Montes Claros e como objetivos espec?ficos: descrever a constru??o das pol?ticas e organiza??o da sa?de no Brasil e a Reforma Sanit?ria Brasileira; compreender as principais pol?ticas p?blicas e programas interministeriais de forma??o em sa?de no Brasil; descrever a resid?ncia em sa?de; compreender o ser professor; conhecer o significado de ser preceptor e descrever seus processos formativos. Nortearam o estudo os seguintes problemas: Como ocorre ? atua??o docente dos preceptores? Qual sua identidade? E quais experi?ncias docentes formam essa identidade? O estudo foi explorat?rio, descritivo, qualitativo e os procedimentos metodol?gicos articulam entrevistas orais tem?ticas, desenvolvido durante o ano de 2017, al?m de busca bibliogr?fica e documental para embasamento do corpus da disserta??o. Para o processo de an?lise de dados foi utilizado ? an?lise de conte?do de Bardin. Os participantes foram preceptores enfermeiros atuantes no programa de resid?ncia em sa?de da fam?lia, a amostra foi por conveni?ncia, sendo selecionadas tr?s preceptoras de acordo com a disponibilidade para participar da pesquisa e o maior e menor tempo de atua??o. Utilizou-se um roteiro semi-estruturado para coleta de dados, que ocorreu nos p?los de atua??o dos preceptores, durante o turno vespertino, nos meses de novembro e dezembro de 2017, os depoimentos foram gravados e transcritos na ?ntegra. O projeto de pesquisa foi aprovado com parecer 2.425.790/2017. O estudo est? organizado em cinco cap?tulos, na qual buscou-se tra?ar a linha hist?rica da sa?de no Brasil, em especial, o movimento de reforma sanit?ria, a constru??o do Sistema ?nico de Sa?de e o desenvolvimento e implementa??o das principais pol?ticas e programas direcionados ? forma??o em sa?de no pa?s. Nessa perspectiva, deu se ?nfase nas Resid?ncias Multiprofissionais em Sa?de e o papel docente, finalizando com as vozes dos preceptores. Conclui-se que o estudo possibilitou a compreens?o da evolu??o da sa?de no Brasil, o que resultou no Sistema ?nico de Sa?de, sendo criadas por meio dele estrat?gias de forma??o voltadas ao atendimento e aos seus princ?pios, assim, a resid?ncia multiprofissional em sa?de ? um espa?o privilegiado de produ??o de ensino e sa?de. Ressalta-se que o papel do preceptor ? essencial para a forma??o de profissionais cr?ticos e reflexivos, com mudan?as na vis?o do residente sobre si e quais caminhos ele quer seguir. Percebe-se tamb?m fragilidades acerca da forma??o em doc?ncia dos preceptores e aus?ncia de preparo espec?fico pr?vio para desenvolvimento desse papel, no qual foi desempenhado inicialmente por oportunidade/convite de exercer o of?cio docente. Evidenciou-se por fim que o papel docente do preceptor ? secundarizado em detrimento as fun??es administrativas e/ou assistenciais, e a sua identidade enquanto educador ? perdida. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2018. / The residence in health is gold standard for in-service training, characterized by education at work, relating theory and practice, teaching and service, and it is important for the training of professionals to the single Health System. In this context, we highlight the role of the tutor, essential for the formation of the resident. Thus, this study aims to understand the teaching performance of main tutors nurses in a program of multidisciplinary residency in family health at the State University of Montes Claros and as specific objectives: describe the construction of the policies and organization of health in Brazil and the Brazilian health reform; understand the main public policies and Interministerial programmes of training in health in Brazil; describe the residence in health; understand the teaching; know the meaning of being tutor and describe their formation processes. Guided the study the following issues: How does the teaching performance of the tutors? What is your identity? And what experiences teachers form this identity? The study was exploratory, descriptive, qualitative and methodological procedures articulate thematic oral interviews, developed during the year 2017, in addition to bibliographical and documental search for basement of the corpus of the dissertation. For the data analysis process was used to analysis the content of Bardin. The subjects were tutors nurses operating in residency program in family health, the sample was for convenience, being selected three governesses according to availability to participate in the research and the larger and shorter acting. We used a semi-structured data collection script, which occurred at the poles of expertise of tutors, during the evening shift, in the months of November and December 2017, the interviews were recorded and transcribed in full. The research project was approved with 2,425,790 opinion/2017. The study is organized into five chapters, in which he sought to trace the historical line of health in Brazil, in particular, the health reform movement, the construction of the health system and the development and implementation of key policies and programs targeted to health training in the country. In this perspective, gave emphasis on Multiprofessional Health Residences and the teaching role, ending with the voices of tutors. It is concluded that the study allowed understanding the evolution of health in Brazil, which resulted in the unified Health System, being created through training strategies geared to the service and to their principles, so the multi-professional residence in health is a space privileged education and health production. It should be noted that the role of the tutor is essential to the formation of critical and reflective professionals, with changes in resident's vision about you and what ways he wants to follow. You can see also weaknesses concerning the teaching training of tutors and the absence of specific preparation prior to development of this paper, which was played initially by chance/invitation to pursue the craft. It was finally the teaching role of the tutor is secundarizado over administrative functions and/or assistance, and your identity as an educator is lost.

Thesis (Ph. D.)--University of Melbourne, 1988. / Typescript (photocopy). Erratum inserted. Includes bibliographical references (leaves 627-652).

Dampness can cause the development of moulds in buildings and pose a threat to the quality of the building structure, indoor air quality and health of the occupants. An emerging source of housing related problems are the building materials commonly used in housing construction, which can influence respiratory health. There is concern regarding the quality of the housing stock in the Durban Metropolitan area with regard to dampness and its the potential impact on the health of occupants. To elucidate this issue, a study was conducted to assess natural ventilation, dampness and mouldiness in dwellings of the Waterloo Housing development (Durban Metropolitan Area), between February 2001 and December 2003. A total of 491 randomly selected homes were visually inspected and residents were surveyed by means of a structured questionnaire. Three hundred and eighteen (318) air and surface mould samples were collected in duplicate, totalling 636 samples and analysed in the laboratory. Building characteristics and physical conditions were recorded and noted. Temperature and relative humidity readings were also taken during the survey. After the analysis of the 491 questionnaires, physical conditions of the dwellings were found to be poor and of concern. With the number (1178) and size of habitable rooms in the dwellings; the occupancy of 2414 people with an average of 2.05 persons per room, indicated overcrowding and congestion. About 51% (n=249) of the dwellings surveyed were found to be experiencing dampness (>3m2) and 47% (n=230) had visible surface moulds, primarily on the walls (at least an average of 1m2) . Predominant airborne fungal organism identified included; Aspergillus (23%-indoors, 26outdoors), Cladosporium (47%- indoors, 51%-outdoors), Penicillum (27%-indoors, 26%-outdoors) spp. Natural ventilation was also inadequate in 261 (53%) dwellings, which did not have airbricks. This inadequacy significantly promotes the occurrence of dampness and surface moulds (p < 0.05). With poor ventilation, dampness and mould growth in the dwellings, there was a high number of cases with upper respiratory tract health complaints; like Cough - 25% (n=122), Sinuses - 25% (n=121), flu symptoms 23% (n=llO) lower respiratory infections such as asthma - 27% (n=130), and chest infections - 23% (n=113). Asthma, wheeze, runny nose and allergy to dust were statistically associated with dampness (p < 0.05), mouldiness (p < 0.03) and lack of ventilation (p < 0.01). Buildings separate their occupants from hostile external environments and create a better internal environment for them, therefore dwellings must be constructed in a manner that promotes the health and well being of the occupants. In terms of guiding regulations, there were several omissions and non-compliance with existing local building bye-laws in the construction of houses, leading to adverse implications. Improved workmanship, appropriate material selection and compliance with the relevant guidelines during planning and construction inter alia, are recommended when addressing housing issues, thereby promoting the interest, health and well-being of the users. / Thesis-(M.Med)- University of KwaZulu-Natal, Durban, 2004.

The research aims to analyze waterborne diseases in the villages of São Vicente, Estação and Arapiraca in the city of Maruim , Sergipe. In this context we started from the particular to the general, analyzing waterborne diseases in order to diagnose their causes and effects. This study was developed through visits in the area; application of questionnaires to 94 householders in the months from November 2012 to September 2013. It was analyzed water from Ganhamoroba River, natural sources, wells and four residences (tap water), for performing microbiological and physical-chemical analysis. Samples of surface water, groundwater and tap water were collected in five steps. Documents provided by epidemiological health service were analyzed; the reports of the team five of the Family Health Medical Program and the registration form of the families supplied by the health agent. From the conceptual model called Driving Force - Pressure - State - Exposure - Effect - Action (DPSEEA) WHO, it was constructed a scheme to analyze the relationship between environment - sanitation - health. Approximately 77% of the homes have water from artesian wells without treatment. The streets do not have paving and sewage; garbage collection is poor and inadequate. The results of the microbiological analyzes of water from the six sampling sites show that 100% of these are contaminated by total coliforms and Escherichia coli. Of 390 residents, 52 were reported in the period from 2009 to March 2013 with schistosomiasis. It was concluded that the search for targeted social policies for housing is extremely important to this community that goes through various problems. As a solution we present the construction of houses in an area near the old church of São Vicente through a partnership of Maruim City Hall, Pinheiro Factory, Petrobras and Inorcal Factory; paving the streets of the villages; increasing and treating the water from the artesian well that was drilled by the city hall, as well as monthly cleaning of the water tank; educating the population in other to not use water from the river and natural sources without treatment. / A pesquisa teve como objetivo analisar as doenças de veiculação hídrica nos Povoados São Vicente, Estação e Arapiraca no município de Maruim - SE. Nesse contexto parte-se do particular para o geral, analisando as doenças veiculadas com o propósito de diagnosticar as suas causas-efeitos. Este estudo foi desenvolvido a partir de visitas in loco; aplicação de questionários a 94 chefes de família entre os meses de novembro de 2012 e setembro de 2013. Foram também coletadas águas do Rio Ganhamoroba, das fontes naturais, poços artesianos e de quatro residências (água de torneira), para realização de análises microbiológicas e físico-químicas. As amostras de águas superficiais, subterrâneas e das torneiras foram coletadas em cinco etapas. Foram analisados os documentos fornecidos pela vigilância epidemiológica; os relatórios de atendimento do médico da equipe cinco do Programa Saúde da Família; e as fichas de cadastro das famílias do agente de saúde. A partir do modelo conceitual denominado Força Motriz Pressão Situação Exposição Efeito Ação (FPSEEA) da OMS, construiu-se um esquema para analisar a relação entre ambiente saneamento básico saúde. Aproximadamente 77% das moradias tem acesso a águas provenientes de poços artesianos sem tratamento. As ruas não possuem pavimentação e rede de esgoto; a coleta de lixo é precária e insuficiente. Os resultados das análises microbiológicas das águas dos seis pontos de coleta mostram que 100% destas, encontram-se poluídas por coliformes totais e Escherichia Coli. Dos 390 habitantes, 52 foram notificados no período de 2009 a março de 2013 com esquistossomose. Concluiu-se que a busca por políticas sociais voltadas para habitação é de extrema importância para esta comunidade que passa por vários problemas. Dentre as estratégias para minimizar tais problemas pode-se citar a construção de moradias em uma área próxima a antiga igreja São Vicente; realização de parceria entre Prefeitura de Maruim, Usina de açúcar e álcool Pinheiro, PETRÓBRAS, fábrica Inorcal para pavimentar ou asfaltar as ruas dos povoados; promover a manutenção efetiva do poço perfurado pela prefeitura bem como limpeza da caixa d água mensalmente, além da perfuração de novos poços de modo que atenda a comunidade que ali vive; conscientizar a população a não utilizarem água do rio e das fontes naturais sem tratamento.