INTRODUÇÃO: A baixa visão na infância pode limitar as experiências de vida, a velocidade de realização de tarefas, o desenvolvimento motor, as habilidades, a educação e o desenvolvimento emocional e social, com comprometimento da qualidade de vida. O conhecimento de aspectos médico-sociais colaboram para a elaboração de ações efetivas para a reabilitação visual e a inclusão educacional. OBJETIVOS: 1)Identificar aspectos clínicos referentes a população com baixa visão em idade escolar atendida no Serviço de Visão Subnormal da Clínica Oftalmológica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo e da Associação Brasileira de Assistência ao Deficiente Visual, com relação a causa da baixa visão, localização da anormalidade, classes de comprometimento visual, função visual atual, prescrição óptica para correção de ametropias e para auxílios para baixa visão; necessidades reabilitacionais; 2) Verificar percepção de mães ou responsáveis quanto a detecção da deficiência visual, encaminhamentos e condutas realizados por profissionais da área médica, acesso a serviços de atenção oftalmológica especializada à baixa visão, acesso a auxílios ópticos prescritos para baixa visão; 3) fornecer subsídios para desenvolvimento de ações para habilitação/reabilitação da baixa visão na infância. MÉTODOS: Realizou-se estudo transversal analítico, tendo sido estudadas a população de 115 escolares com baixa visão, sem outras deficiências associadas e a população de mães ou responsáveis pelos escolares, detectados no período de fevereiro a novembro de 2005. Realizou-se a avaliação oftalmológica dos escolares e aplicou-se questionário semi-estruturado às mães ou responsáveis. RESULTADOS: As principais causas da deficiência visual foram a retinocoroidite macular bilateral por toxoplasmose congênita (27,8%), a catarata congênita (11,3%), o albinismo oculocutâneo (7,8%) e o glaucoma congênito (6,1%); a retina foi a principal localização da afecção ocular causadora da deficiência visual (54,8%); as principais etiologias foram hereditárias (36,5%) e pré-natais infecciosas (32,1%); as classes de deficiência visual moderada(67,8%) e grave (27,0%) foram mais freqüentes;a correção óptica da ametropia foi prescrita para todos os casos de retinocoroidite macular bilateral, de amaurose congênita de Leber e de albinismo oculocutâneo; os auxílios ópticos para longe (87,8%) foram mais prescritos que os auxílios ópticos para perto (34,7%); a mãe foi a pessoa que percebeu primeiro a dificuldade visual em 53,0%; a escola foi importante na detecção de problemas visuais nos escolares com baixa visão (6,1%); o pediatra mostrou-se despreparado para a detecção de problemas visuais, tratamentos, orientação à família e encaminhamentos; diagnosticou-se a baixa visão no primeiro ano de vida em 83,0% dos casos; o encaminhamento a serviços de reabilitação visual foi realizado tardiamente ao diagnóstico e ocorreu principalmente na idade escolar (53,9%); o principal responsável pelo encaminhamento a serviços de reabilitação foi o oftalmologista(60%); a menor parte dos escolares havia sido atendida por outro serviço de reabilitação (23,0%); apesar da existência de outros serviços terciários de reabilitação visual na cidade de São Paulo, 67,0% dos responsáveis não tinha conhecimento dos mesmos. CONCLUSÕES: Verifica-se necessidade de: programas de detecção precoce de problemas visuais na infância, por meio de capacitação de pediatras em saúde ocular; programas de detecção de problemas oculares na idade escolar, em parceria com serviços de saúde e educação, como a Campanha Olho no Olho; capacitação de professores do sistema regular de ensino, quanto à saúde ocular e aspectos da baixa visão; maior acesso a auxílios ópticos prescritos à pessoa com baixa visão;educação continuada de oftalmologistas para atuação na área da baixa visão e maior divulgação das implicações da baixa visão na infância e na vida adulta e dos serviços disponíveis na comunidade. / INTRODUCTION: Low vision in childhood can limit experiences, speed in performing daily activities, sensory and motor development, educational, social and emotional improvement and compromise quality of life. Knowledge of medical and social features can cooperate to the development of effective actions to educational inclusion and visual rehabilitation. OBJECTIVES: 1. to identify clinical features of a population of school age children with low vision evaluated at the low vision service of the University of São Paulo Ophthalmology Department and the Brazilian Association for the Visually Impaired. (Laramara) concerning causes of low vision, anatomical site of the abnormality, classes of visual impairment, visual functions, use of optical correction, low vision devices and rehabiliattion needs. 2. to evaluate perceptions of mothers or the persons responsible concerning detection of the visual impairment, procedures of the professionals involved, access to low vision services and to the prescribed low vision aids. 3. to contribute to improve actions of habilitation or rehabilitation of visually impaired school children. METHODS: a population of 115 school children with visual impairment was submitted to ophthalmologic low vision evaluation and a semistructured questionnaire was applied to the mother or person responsible. RESULTS: main causes of visual impairment were presumed toxoplasmic retinochoroiditis(27,8%), congenital cataracts (11,3%), albinism (7,8%) and congenital glaucoma (6,1%). Retina (54,8%) was the main affected area and the main causes involved heredity (36,5%) or pre-natal infections (32,1%). Moderated (67,8%) and Severe (27,0%) low vision were more frequent. Glasses for refractive errors were prescribed to all with bilateral macular retinochoroiditis, Leber congenital amaurosis and albinism. Mothers were the first to notice visual impairment in the majority of cases (53,0%) and the school was also important (6,1%). Pediatricians were not very efficient in the detection of visual impaiment in these children. Low vision was detected in the first year of life in 83% and referral to visual rehabilitation unit ocurred chiefly at school age (53,9%), being the ophthalmologist the professional responsible for the majority of referrals(60%). These children, in general, never had a prior low vision examination (73%) and the mothers or responsibles had little knowledge of other available rehabilitation units in the area (67,0%). CONCLUSIONS: early detection programs for visual impairment in children and capacitation of pediatricians is important as well as the screening for refractive errors of children at school age. Regular school teachers should receive information on basic eye health and low vision. Improved access to low vision aids and increased awareness on the subject among ophthalmologists is a necessity as well as more information on community services and visual impairment should be available to the population.

La tesis desenvolupa el concepte d'escola saludable des de la perspectiva dels riscos psicosociales. Concretament, l'anàlisis dels nivells de la síndrome d'esgotament profesional en 40 centres escolares de Catalunya confirma l'existència de granes diferències associades a diferències en l'organització i el modelo pedagògic. El model d'escola que aprén s'associa a una major salut laboral. De la recerca es deriven nove aportacions per a la prevenció primària de la síndrome estudiada. / La tesis desarrolla el concepto de escuela saludable desde la perspectiva de los riesgos psicosociales. Concretamente, el análisis de los niveles de síndrome de quemado por el trabajo en 40 centros escolares de Cataluña confirma la existencia de grandes diferencias asociadas a diferencias en la organización y modelo pedagógico. El modelo de escuela que aprende se asocia a una mayor salud laboral. De la investigación se derivan nuevas aportaciones para la prevención primaria del síndrome estudiado. / The thesis develops the concept of healthy school from the perspective of pychosocial risks. Specifically, the analysis of the levels of burnout in 40 schools of Catalonia confirms the existence of big differences associated with differences in the organisation and pedagogical model. The model of the school as a learning organization is associated to a great occupational health. Of the investigation new contributions are derived for the primary prevention of the burnout.

SUMMARY THE NEED OF HEALTH CARE SERVICES AT THE SECONDARY SCHOOLS OF ALYTUS TOWN Author: Daiva Kubiliene Supervisor: Linas Sumskas, PhD, Assoc. Professor, Department of Preventive Medicine, faculty of Public Health, Kaunas University of Medicine Aim of study. To evaluate the need of health care services in the secondary schools of Alytus. Objectives: 1. To assess the health and health behavioral problems in school-aged children. 2. To evaluate the attitudes of parents to the need of health care services at the secondary schools. 3. To evaluate the attitudes of staff of health care services at school about the provision of health care services in school settings. Methods. Questionnaire survey was carried out in parents of school-aged children of 3rd, 7th and 11th grades at the secondary schools in Alytus town in 2004. 216 respondents were selected for the study, 161 (74.5%) of them have filled in the questionnaire forms (response rate – 74.5%). A set of questions was addressed to parents in order to clarify parents’ attitudes about the health care services at schools. Also another questionnaire was developed for health care specialists of secondary schools: 9 from 12 have responded (75.0%). Statistical analysis was carried out using SPSS 10; criterion and p<0.05 confidence level was used for comparison between the variables. Results. Health care services were provided for students at all 18 secondary schools in Alytus. 12 health care specialists were conducting their duties... [to full text]

本研究旨在建構並驗證私立高中職學校校長分布式領導、學校組織健康與學校效能之模式，並比較不同教師背景變項及學校背景變項的差異，依據研究所得結論，分別對教育主管行政機關、私立高中職董事會、私立高中職學校及後續研究者提出建議，以做為推展校長分布式領導，促進學校組織健康，及提升學校效能之參考。 本研究使用問卷調查法，以單因子變異數分析、皮爾森積差相關、多元迴歸、結構方程模式等統計方法，探討私立高中職學校校長分布式領導、學校組織健康與學校效能之關係及模式驗證。經由文獻的蒐集與探討，提出本研究的研究架構和路徑關係模式圖。研究對象為北北基私立高中職學校600位教師；研究工具為研究者自編之私立高中職學校校長分布式領導、學校組織健康與學校效能關係之調查問卷。 透過統計分析與討論，本研究獲得以下結論： 一、私立高中職學校教師覺知校長分布式領導、學校組織健康與學校效能之現況屬中高程度。 二、私立高中職學校部分教師在人員背景變項與學校背景變項對校長分布式領導、學校組織健康與學校效能的覺知具有顯著差異。 三、私立高中職學校校長分布式領導、學校組織健康與學校效能三者間具有正向關聯性。 四、私立高中職學校校長分布式領導、學校組織健康對學校效能均具有正向預測力。 五、本研究所建構之私立高中職學校校長分布式領導、學校組織健康與學校效能之結構方程模式具有良好適配度。 / The study aims to construct and examine the model of principals’ distributed leadership, school health, and effectiveness in private senior and vocational high schools, and compare differences in variances of teachers’ background and schools’ background. The outcomes and suggestions provide substantial references for educational authorities and administrations, the board of directors in private senior and vocational high schools, private senior and vocational high schools, and future researchers to promote principals’ distributed leadership, school health, and school effectiveness. This study adopted questionnaire survey and statistical methods such as one-way ANOVA, Pearson Product-Moment Correlations Coefficient, Multiple Regression Analysis, and Structural Equation Modeling (SEM) to explore the association and model of principals’ distributed leadership, school health, and school effectiveness in private senior and vocational high schools. The framework of research and the path analysis module diagram were constructed on the basis of literature reviews. The subjects of the study included 600 teachers teaching in private senior and vocational high schools in Taipei, New Taipei, and Keelung. The research tool of survey questionnaire was created by the researcher, containing constructs of distributed leadership, school health, and school effectiveness. Based on data analysis and discussions, the conclusions are as follows: 1. Participating teachers perceived that the principals’ distributed leadership, school health, and school effectiveness presented a middle to high level. 2. For some participating teachers, there are significant differences between the two variables of teachers’ background and schools’ background on the perceived principals’ distributed leadership, school health, and school effectiveness. 3. There is a positive correlation between the variables of principals’ distributed leadership, school health, and school effectiveness. 4. Both principals’ distributed leadership and school health show a positive prediction power to school effectiveness. 5. The SEM constructed for the principals’ distributed leadership, school health, and school effectiveness showed a goodness of fit.

Mental health is a major child public health issue in Sweden. The overall aims of this thesis are to explore girls’ and boys’ perspectives on mental health and on mental health-promoting initiatives, and to deepen the knowledge of disclosure and support for ado-lescents at risk of abuse and neglect. Four studies are included in the thesis, and a qualitative descriptive design was chosen. In three of the studies (Studies I, II, and III), adolescents in Sweden were interviewed individually or in focus-groups. In the fourth study (IV) officials and politicians in nine municipalities in Sweden were interviewed, and documents were analysed in a multiple-case-study design. In study I the adolescents were asked about the mental health-promoting dialogue with the school nurse. The results reveal that what the adolescents found important were trustiness, attentiveness, respectfulness, authenticity, accessibility, and continuity. The adolescents also had certain views on what issues to talk about in the health dialogue; physical and psychological issues should be included. In Study II, the adolescents perceived “mental health” to be an emotional experience with positive and negative aspects of internal and relational feelings. Family, friends, and school were regarded as important determinants of mental health by the adolescents. Neither girls nor boys thought that there were any major differences in mental health between girls and boys, but did think they were subject to different expectations. In Study III the results show that adolescents with families with alcohol problems are unsure whether to disclose their home situation to an adult; the adolescents seem to make a risk assessment when looking for trustworthy adults. It is a disclosure process. Friends are confidants and supportive, and sometimes facilitators for contacting adults, when support from adults is needed. Study IV show that even small grants to municipalities for children-at-risk projects lead to more activities for these children and adolescents. But children or adolescents were not involved in the planning or decision-making of the activities. The studies in this thesis show that most important thing for adolescents’ mental health is the relation between adolescents and adults, foremost parents, and between adolescents and friends. In addition, gender and age, adolescents’ perspec¬tives and par-ticipation, and society’s support, including the implementation of the UN Convention on the Rights of the Child, have an impact on adolescents’ mental health, both for ado-lescents in general and for adolescents at risk of abuse and neglect. The results are viewed in relation to the bioecological model, to illustrate how all levels in society influence mental health among adolescents, on an individual and a population plane. The findings have implications for adults: to learn more about adolescents and puberty, and about the home situation for children and adolescents at risk of abuse and neglect; to listen to suggestions from children and adolescents; to include friends in support to adolescents at risk of abuse and neglect; and to include girls and boys in all matters concerning them.

Made available in DSpace on 2015-07-22T20:49:48Z (GMT). No. of bitstreams: 0 Previous issue date: 2011-11-24. Added 1 bitstream(s) on 2015-08-11T03:26:06Z : No. of bitstreams: 1 Publico-12611a.pdf: 928949 bytes, checksum: 00965abf4ad372dcafed0ace78795178 (MD5). Added 1 bitstream(s) on 2015-08-11T03:26:06Z : No. of bitstreams: 2 Publico-12611a.pdf: 928949 bytes, checksum: 00965abf4ad372dcafed0ace78795178 (MD5) Publico-12611b.pdf: 1944559 bytes, checksum: 7d8fd6ec9eb239611815437d58355862 (MD5) / O presente estudo tem como objetivo caracterizar o controle social no Programa Nacional de Alimentação Escolar – PNAE, exercido pelo Conselho de Alimentação Escolar - CAE, na perspectiva da cidadania ativa. Controle social institucionalizado é a participação de representantes de segmentos da sociedade civil organizada, em Conselhos populares, no controle social dos serviços e das políticas públicas. Esse estudo buscou investigar o desafio do exercício da participação popular no âmbito do controle social autônomo, na perspectiva da cidadania ativa associada à emancipação. Adotando uma abordagem quali-quanti foram selecionados para investigação em caráter exploratório, Conselhos que atuam no controle da política de alimentação escolar em modelos de gestão centralizada, descentralizada e semicentralizada. Os procedimentos metodológicos se desdobraram em dois eixos - o primeiro tratou do controle social no plano legal, utilizando-se da análise de artigos de leis e normas reguladoras do modelo: Constituição Federal (1988), Plano Diretor de Reforma do Aparelho de Estado (1995), Lei de Diretrizes e Bases da Educação Nacional (1996), Plano Nacional de Educação (2001), Normas regulamentadoras específicas do Programa Nacional de Alimentação Escolar: Lei 11.947 (2009) e Resolução nº 038 (2009). O segundo eixo buscou investigar o controle social no plano institucional, combinando análise documental com investigação dos conselhos na prática do controle social. Para tal, foram aplicados questionários junto aos conselheiros e realizadas entrevista com os Gestores. Os dados foram registrados em quadros e planilhas do sistema EXCCEL, utilizando-se para tratamento dos dados qualitativos o recurso da análise de conteúdo. Os resultados revelam que, no plano formal, o modelo atende aos princípios da cidadania ativa, mas apresenta inconsistência na sua estruturação, delineando atribuições de controle social focadas na função fiscal. Revela ainda, que o modelo estabelece uma relação de dependência, conselheiro-gestor, que favorece o atrelamento dos Conselhos ao Poder local, delimitando o espectro de autonomia dos conselheiros. Os resultados sugerem alteração na estruturação do modelo e elaboração de um Programa de orientação envolvendo a educação permanente para Conselheiros. / This study aims to characterize the social control in the National Program of School Feeding - NPSF, exercised by the Board of School Food - BSF, in a perspective of active citizenship. Institutionalized Social Control is the participation of representatives from segments of the organized civil society, in the popular councils, in the social control of services and public policies. The study tried to investigate the challenge of the exercise of popular participation into the autonomous social control, from the perspective of active citizenship related to the emancipation. Adopting a quali-quanti approach, Councils were selected to investigation in an explanatory character, that operate in the control of the policy of school feeding in centralized, decentralized and semi-centralized management models. Methodological procedures were deployed on two axes - the first one approaches the social control in the legal area, using articles of laws and regulatory norms of the model: Federal Constitution, 1988, Law of Directives and Bases of Education, 1996, Master Plan for Reforming the State Apparatus, 1995, National Education Plan, 2001, Specific Regulatory Standards of the National School Feeding Program: Law No. 11947, 2009 and Resolution No. 038, 2009; the second axe tried to investigate social control in the institutional area, combining documental analysis with the investigation of councils in the practice of social control. Therefore, questionnaires were applied to counselors and interviews were realized with the managers. The data were recorded in tables and spreadsheets EXCEL system, using the resources of content analysis for the analysis of qualitative data. The results suggest that, in the formal area, the model meets the active citizenship principles, but the results also show inconsistency in the structure, outlining attributions of social control focused on fiscal function. The model establishes a relationship of dependency counselorsmanagers, which promotes the bundling of Councils to the Local Authority, delimiting the spectrum of the autonomy of the counselors. The results suggest changes in model structure and the elaboration of an Orientation Program involving the permanent education for council members. / TEDE / BV UNIFESP: Teses e dissertações

Submitted by Micheli Abreu (mabreu@fiocruz.br) on 2014-11-24T17:49:35Z No. of bitstreams: 1 Roberto_Brandão_EPSJV_Mestrado_2014.pdf: 2054232 bytes, checksum: 3f71960eeb6aadaad05a526c91804c77 (MD5) / Approved for entry into archive by Mario Mesquita (mbarroso@fiocruz.br) on 2014-11-24T18:04:41Z (GMT) No. of bitstreams: 1 Roberto_Brandão_EPSJV_Mestrado_2014.pdf: 2054232 bytes, checksum: 3f71960eeb6aadaad05a526c91804c77 (MD5) / Made available in DSpace on 2014-11-24T18:04:41Z (GMT). No. of bitstreams: 1 Roberto_Brandão_EPSJV_Mestrado_2014.pdf: 2054232 bytes, checksum: 3f71960eeb6aadaad05a526c91804c77 (MD5) Previous issue date: 2014 / Fundação Oswaldo Cruz. Escola Politécnica de Saúde Joaquim Venâncio. Programa de Pós-Graduação em Educação Profissional em Saúde. / O presente estudo analisa as estratégias para implementação do Programa Saúde na Escola (PSE) no território de Manguinhos, no período de 2008 a 2013, buscando compreendê-lo enquanto uma política pública ligada aos campos da Educação e da Saúde. Trata-se de uma pesquisa exploratória, pautada em uma abordagem crítico-dialética, onde são apontadas e discutidas contradições que envolvem o PSE neste território, através de análise documental, à luz das reflexões sobre o Estado neoliberal e as políticas públicas, fundamentadas principalmente em Marx e Engels, Grasmci e Poulantzas. A pesquisa aponta que a implementação do referido programa, realizado através de contrato de gestão da Prefeitura da Cidade do Rio de Janeiro com organizações sociais, nos permite evidenciar, em Manguinhos, uma política de atendimento a uma pequena parcela da população pobre (focalização), de gestão privada do Estado (privatização), e de uma intersetorialidade incompleta (prevalência do setor saúde), perpetuando, assim, as determinações da sociedade capitalista. Enfatiza-se, portanto, a relevância de se expor as contradições de forma clara, a fim de que a classe trabalhadora caminhe, cada vez mais, na direção da consciência de classe necessária para superar a pobreza e eliminar as desigualdades sociais. / This study analyses the strategies used for implementing the Health in School Program (PSE) in Manguinhos territory between 2008 and 2013 and seeks to understand it as a public policy connected to both education and health field. It’s an exploratory research, guided by a dialectical-critical approach, in which we detach and discuss the contradictions that involve the PSE in Manguinhos through the documental analysis. It does it in the light of the reflections about the neoliberal State and the public policies, based specially in Marx and Engels, Gramsci and Poulantzas. The research points out that the implementation of this program, carried out through a management contract between the Rio de Janeiro City Municipal Government and social organizations, allows us to identify, in Manguinhos, an assistance policy directed to a small number of the poor (targeting), a private management of the State (privatization), and an incomplete relation between the sectors (prevalence of the health one), perpetuating the determinations of the capitalist society. It focuses therefore the importance of exposing the contradictions in a clear way so that the working class goes increasingly in the direction of the class consciousness necessary to overcome the poorness and eliminate the social inequalities.

Made available in DSpace on 2014-07-29T15:04:33Z (GMT). No. of bitstreams: 1 Dissertacao Laine Gomes Chaveiro.pdf: 465380 bytes, checksum: 8c647a08bf9883a88cda31b4e4407f01 (MD5) Previous issue date: 2011-03-30 / Cross-sectional study with directors and teachers in public schools, municipal and state institutions in the Eastern Region of Goiânia-GO, conducted between April/May 2009 in order to investigate the insertion of the sexuality issue in the school context. Participants were interviewed and the Political Pedagogical Projects (PPP) analyzed. Data were analyzed using Epi-info 6.04. The results showed that every PPP are current and topics covered, but not in cross-sectional way, as recommended by the National Curricular Parameters (NCP), the majority of content worked exclusively in the discipline of biology. Of the 79 teachers interviewed 35.4% were from municipal and 64.6% state network. Of these 50% were under 35 years, 68.4% were female and 40.5% were married. Many have reported having no background in dealing with the theme (75%) in municipal (86.3%) in the state schools, the same as (39.3%) and (27.4%) respectively said they had no experience in this area. More than half reported that the age for discussing the issue is before 12 years (62%) and primary responsibility is the mother (86%). The pregnancy was identified by teachers as a topic of interest for continuing education, and least discussed with the students (35.7%) in municipal and (15.7%) in state schools, (p=0.04). Regarding the method of instruction, reading texts and lecture were the most used. Virtually all students have an interest in the topic sexuality. For teachers, students of the municipal schools (80%) know more about prevention and Sexually Transmitted Diseases (STD), compared with the state school (52.2%), (p=0.02) and there is a higher prevalence of pregnancy among students of the state (92.1%) to municipal schools (71.4%) (p=0.03). The theme is present in the PPP for 78.6% of teachers of municipal and 51% of the state, (p=0.01). Recourse available to teachers of the municipal educational was educative material (53.6%) and internet (35.3%) for the state system (p=0.05).To meet the identified needs in this study, was held the First Training Course on Sex Education in the School Context for teachers and delivery of education kits (Reproductive health and sex education). These materials will serve as input for future work on the advice of nurses from the Family Health Strategy (FHS), attached to these educational institutions. The study showed the importance of continuing education for these teachers, as well as benefiting from investments in continuing education teachers in other areas of the city and state. This research has enabled the strengthening of partnerships between government organizations, through the Departments of State and Municipal Education and Health and Higher Education Institution, with a commitment to continuity of government programs such as SPE and SPE. / Estudo transversal realizado com diretores e professores de instituições públicas, municipal e estadual de ensino da Região Leste de Goiânia-GO, conduzido entre abril/maio de 2009 com a finalidade de investigar a inserção da temática sexualidade no contexto escolar. Os participantes foram entrevistados e os Projetos Políticos Pedagógicos (PPP) analisados. Os dados foram analisados pelo programa Epi-info 6.04. Os resultados mostraram que todos os PPP estão atualizados e a temática contemplada, mas não de forma transversal, conforme recomendação dos Parâmetros Curriculares Nacionais (PCN), sendo a maioria dos conteúdos trabalhados exclusivamente na disciplina de biologia. Dos 79 professores entrevistados 35,4% pertenciam a rede municipal e 64,6% rede estadual. Destes 50% tinham menos de 35 anos, 68,4% correspondiam ao sexo feminino e 40,5% eram casados. Muitos informaram não possuir formação para lidar com o tema, (75%) nas escolas municipais e (86,3%) na rede estadual, da mesma forma que (39,3%) e (27,4%) respectivamente disseram não ter experiência nessa área. Mais da metade referiu que a idade adequada para abordagem da temática é antes de 12 anos (62%) e o principal responsável é a mãe (86%). A gravidez foi apontada pelos professores como tema de interesse para educação permanente, e a menos discutido com os alunos (35,7%) da rede municipal e (15,7%) rede estadual, (p=0,04). Em relação ao método de ensino, leituras de textos e aula expositiva foram as mais utilizadas. Praticamente todos os alunos têm interesse pela temática sexualidade. Para os professores, os alunos da rede municipal (80%) conhecem mais sobre prevenção e Doenças Sexualmente Transmissíveis (DST), comparando com a rede estadual (52,2%), (p=0,02) e existe maior prevalência de gravidez entre alunas da rede estadual (92,1%) à municipal (71,4%), (p=0,03). A temática está presente nos PPP para 78,6% dos professores do município e 51% do estado, (p=0,01). O recurso disponibilizado aos professores da rede municipal foi material educativo (53,6%) e internet (35,3%) para os da rede estadual (p=0,05). Para atender as necessidades identificadas neste estudo, foi realizado o I Curso de Capacitação em Educação Sexual no Contexto Escolar para os professores e entrega de kits educativos (Saúde reprodutiva e Educação sexual). Estes materiais servirão de subsídios para trabalhos futuros com assessoria de enfermeiras da Estratégia Saúde da Família (ESF), adstritas às referidas instituições de ensino. Este estudo evidenciou a importância da educação continuada para estes professores, assim como investimentos em educação permanente beneficiando professores de outras regiões do município e do estado. Esta investigação possibilitou fortalecimento das parcerias entre organizações governamentais, por meio das Secretarias Estadual e Municipal de Educação e Saúde e Instituição de Ensino Superior, com o compromisso de continuidade de programas governamentais como o Saúde e Prevenção nas Escolas (SPE) e Programa Saúde na Escola (PSE).

Submitted by Cássia Santos (cassia.bcufg@gmail.com) on 2015-01-30T10:43:20Z No. of bitstreams: 2 license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Tese - Claudia Santos Goncalves Barreto Bezerra.pdf: 2059173 bytes, checksum: 45f41522691fac0d28d22bbc3d3ec16b (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2015-01-30T12:49:14Z (GMT) No. of bitstreams: 2 license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Tese - Claudia Santos Goncalves Barreto Bezerra.pdf: 2059173 bytes, checksum: 45f41522691fac0d28d22bbc3d3ec16b (MD5) / Made available in DSpace on 2015-01-30T12:49:14Z (GMT). No. of bitstreams: 2 license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Tese - Claudia Santos Goncalves Barreto Bezerra.pdf: 2059173 bytes, checksum: 45f41522691fac0d28d22bbc3d3ec16b (MD5) Previous issue date: 2014-04-28 / Fundação de Amparo à Pesquisa do Estado de Goiás - FAPEG / The attention deficit/hyperactivity disorder is a neurodevelopmental disorder provided in the International C lassification of Diseases (ICD) characterizing a continuing pattern of attention deficit and/or hyperactivity/impulsivity with more intense and higher rates than what presented by individuals at the same development level. This dissertation was organized u sing the models of scientific articles analyzing the results from school performance by students of the Colégio de Aplicação (a school maintained by a university) of the Federal University of Goiás, 7 to 14 age group with and without ADHD diagnosis. Initia lly, the prospective observational study to assess comparative effectiveness involved 355 students and investigated the results from school performance by 60 of them before and during Methylphenidate - based treatment (MPH) and psychotherapy compared with th e control group. The students had their school performance and treatment adherence monitored for the first eight months. The literature review on the theme is presented in the first article submitted to the journal “Revista Ciência & Saúde Coletiva” (Journ al of Science and Collective Health), entitled “ Methylphenidate - based treatment and school performance by students with attention deficit/hyperactivity disorder : integrative literature review”. The review included scientific articles published from 2006 to 2013. Six hundred and sixteen out of the 629 articles found did not meet the criteria for inclusion and 13 were part of the sample. Most of the studies emphasized that the group of children with ADHD undergoing methylphenidate - based treatment improved the ir performance compared with the group of children with ADHD with no records for the treatment and stimulant - based therapies are more beneficial in the long term. The second article, entitled “Re/Assessment on the diagnosis of attention deficit/hyperactivi ty disorder in students ” presents the results from the clinical reassessment of 29 children previously diagnosed with ADHD or suspected ADHD. The reassessment confirmed the diagnosis of 74% of the children previously diagnosed and 70% of suspected ADHD. Th e third article, entitled “The use of methylphenidate for students with attention deficit/hyperactivity disorder and poor school performance” presents the major results of this study and proves that the use of methylphenidate - based treatment for students A DHD was associated with improved school records for basic mandatory disciplines . The medication had positive influence on school performance however even undergoing drug - based treatment the students were not able to achieve the levels of performance by stu dents without ADHD with typical school performance. / xii RESUMO O Transtorno de Déficit de Atenção/Hiperatividade é um transtorno do neurodesenvolvimento previsto no Código Internacional de Doenças e caracterizado por um quadro persistente de déficit de atenção e/ou de hiperatividade/impulsividade mais acentuado e grave do que o observado em outros indivíduos com o mesmo nível de desenvolvimento. A presente tese foi construída no modelo de artigos científicos que an alisou os resultados do desempenho acadêmico de escolares do Colégio de Aplicação da Universidade Federal de Goiás, de 7 a 14 anos com e sem diagnóstico de TDA/H. O estudo de caráter prospectivo, observacional e comparativo teve a participação inicial de 3 55 estudantes e investigou os resultados de desempenho escolar de 60 deles, antes e durante o tratamento com metilfenidato (MPH) e psicoterapia em comparação com um grupo controle. Os estudantes foram acompanhados em seu desempenho escolar e em adesão supe rvisionada ao tratamento durante o período de oito meses. A revisão de literatura do tema investigado é apresentada no primeiro artigo, submetido à “Revista Ciência & Saúde Coletiva”, intitulado “Tratamento com Metilfenidato e o desempenho de escolares com Transtorno de Déficit de Atenção/Hiperatividade: revisão integrativa da literatura”. A revisão incluiu artigos científicos publicados no período 2006 a 2013. Dos 629 artigos encontrados, 616 não atenderam aos critérios de inclusão e 13 fizeram parte da am ostra. A maioria dos estudos evidenciou que o grupo de crianças com TDA/H, em tratamento com MPH, mostrou melhor desempenho escolar em relação ao grupo com TDA/H sem histórico de tratamento. E que os tratamentos com estimulantes trazem mais benefícios quan do adotados em longo prazo. O segundo artigo intitulado “Re/Avaliação diagnóstica de Transtorno de Déficit de Atenção/Hiperatividade em escolares” apresenta os resultados da reavaliação clínica de 29 crianças, anteriormente, diagnosticadas com TDA/H ou cas os suspeitos. A re/avaliação confirmou o diagnóstico de 74% das crianças portadoras de diagnóstico e 70% dos casos suspeitos. Já o terceiro artigo intitulado: “A utilização do Metilfenidato por escolares com Transtorno de Déficit de Atenção/Hiperatividade e baixo desempenho escolar” apresenta os resultados principais desse estudo e constatou que o tratamento com Metilfenidato pelos escolares com TDA/H foi associado ao aumento das médias nos resultados da avaliação escolar das disciplinas elementares. A medi cação influenciou positivamente no desempenho dos estudantes, entretanto, mesmo em tratamento medicamentoso esses estudantes não atingiram o nível de desempenho dos escolares sem TDA/H com desempenho escolar típico.

Orientador: Ediógenes Aragão Santos / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Educação / Made available in DSpace on 2018-08-22T14:29:11Z (GMT). No. of bitstreams: 1 Santos_AdrianoMarins_D.pdf: 4560862 bytes, checksum: 8a4c5910c180240447365c5273116fc9 (MD5) Previous issue date: 2013 / Resumo: Este trabalho enfoca aspectos do perfil e da trajetória dos professores do curso primário da rede pública estadual paulista - dentro da carreira docente vigente -, ao longo do período conhecido como Estado Novo (1937-1945), a partir do exame dos documentos produzidos na época, tomando como elemento articulador das investigações as ausências ao trabalho desses profissionais, conforme expostas nos livros de registro utilizados no Curso Primário Anexo à Escola Normal "Carlos Gomes", nos relatórios das delegacias regionais de ensino do Estado de São Paulo e nos trabalhos apresentados no 1º Congresso Nacional de Saúde Escolar, reunido do dia 21 ao 27 de abril de 1941, na cidade de São Paulo. O resultado mais relevante - apontado reiteradamente por essas fontes diferenciadas - que diagnostica condições do ensino e revela aspectos significativos do cotidiano dos profissionais estudados é a referência recorrente às ausências ao trabalho dos professores, e ao conjunto de situações com que se relacionavam. / Abstract: This work focuses on aspects of the profile and the trajectory of the elementary school teachers from the state public schools of the São Paulo state - within the current teaching career - throughout that period known as Estado Novo (1937-1945), from the examination of the documents produced at that time, taking as an articulator element of the investigations the absences of these professionals to work, as exposed in the record books used in the Elementary School Annex to the "Carlos Gomes" Escola Normal, the reports of the regional offices of education of the State of São Paulo and in the works presented in the 1st National Congress of School Health, in a meeting from April 21 to April 27, 1941, in São Paulo. The most relevant result - brought on repeatedly by these different sources - that diagnoses conditions of teaching and reveals significant aspects of the daily lives of the professionals studied, it is the recurrent reference to teachers' absences from work, and the range of situations in which were related. / Doutorado / Filosofia e História da Educação / Doutor em Educação