Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:45:33Z No. of bitstreams: 2 aline_graziele_fernandes.pdf: 1909186 bytes, checksum: 45c17b72487fa2a7f56584389e97599b (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:59:46Z (GMT) No. of bitstreams: 2 aline_graziele_fernandes.pdf: 1909186 bytes, checksum: 45c17b72487fa2a7f56584389e97599b (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:59:44Z (GMT) No. of bitstreams: 2 aline_graziele_fernandes.pdf: 1909186 bytes, checksum: 45c17b72487fa2a7f56584389e97599b (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T16:01:29Z (GMT) No. of bitstreams: 2 aline_graziele_fernandes.pdf: 1909186 bytes, checksum: 45c17b72487fa2a7f56584389e97599b (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Made available in DSpace on 2015-01-07T16:01:29Z (GMT). No. of bitstreams: 2 aline_graziele_fernandes.pdf: 1909186 bytes, checksum: 45c17b72487fa2a7f56584389e97599b (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) Previous issue date: 2013 / Este estudo tem por objetivo conhecer o perfil e as percep??es dos trabalhadores de vigil?ncia em sa?de acerca da forma??o e do desenvolvimento profissional. Trata-se de um estudo explorat?rio-descritivo com abordagem quali-quantitativa e foi realizado com profissionais do departamento de vigil?ncia em sa?de de um munic?pio do Centro-Leste de Minas Gerais. A coleta de dados ocorreu nos meses de abril e maio de 2013. Consistiu em duas etapas, sendo: 1) Aplica??o de um question?rio estruturado com dados s?cios demogr?ficos, de atua??o e forma??o/desenvolvimento profissional; 2) Entrevistas semiestruturadas, utilizando um roteiro com perguntas norteadoras. Ap?s a realiza??o das entrevistas foi utilizada a t?cnica da an?lise de conte?do proposta por Bardin (2011) para a an?lise dos resultados. Na primeira etapa, a amostra foi composta de 55 trabalhadores e na segunda de 20. Dentre outros, verificaram-se os seguintes resultados: 58,2% dos entrevistados t?m como cargo agente de combate a endemias; 61,8% s?o contratados; 69,1% ganham at? dois sal?rios m?nimos; 41,8% possuem escolaridade de n?vel m?dio; 50% dos profissionais de n?vel superior s?o graduados na ?rea de ci?ncias da sa?de; 41,8% nunca participaram de cursos de capacita??o; 78,2% dos profissionais entrevistados disseram ser capacitados para as a??es que desenvolvem; 58,2% dos profissionais atribu?ram o conceito ?bom? para o seu conhecimento em rela??o ? vigil?ncia em sa?de. Obtiveram-se as seguintes categorias emp?ricas: entendimento de vigil?ncia em sa?de - preven??o de riscos e doen?as para a sa?de da popula??o; import?ncia das a??es educacionais - conhecimento adquirido por meio da capacita??o e atualiza??o dos profissionais para a melhoria do trabalho na ?rea de atua??o; dificuldades - desconhecimento da gest?o quanto ? vigil?ncia em sa?de e inexist?ncia de recursos financeiros; facilidades - interesse do servidor em se capacitar; levantamento dos temas: atua??o dos agentes de endemias, educa??o em sa?de para a popula??o, imuniza??o, vigil?ncia sanit?ria nos estabelecimentos e curso b?sico de vigil?ncia em sa?de. Dentre outros achados, foi poss?vel identificar a necessidade de implementa??o de a??es educacionais, voltadas para a forma??o e o desenvolvimento profissional e relacionadas ? vigil?ncia em sa?de para os trabalhadores da ?rea, com o intuito de propiciar a transforma??o dos processos de trabalho para a efetiva??o da vigil?ncia em sa?de. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2014. / ABSTRACT This research aims to know the employees profiles and perceptions concerning to workers health surveillance on training and professional development.It is a descriptive and explanatory study with a qualitative and quantitative approach and it was accomplished with professionals from the health surveillance department in a Middle East city in Minas Gerais. The data collection occurred in April and May, in 2013. It consisted of two parts: 1) Applying a structured questionnaire with social demographic data about professional training/development and performance; 2) Semi structured interviews, using a script with guiding questions. After the interviews accomplishment, the content analysis technique suggested by Bardin (2011) was used to analyze the results. The sample was compounded by 55 employees on a first phase and 20 on the second one. Among others, the following results were found: 58,2% of the interviewed people are agent combat endemic diseases workers; 61,8% are hired; 69,1% earn up to two minimum salaries; 41,8% have high school degree; 50% of the higher education professionals are graduated in health science field; 41,8% never took part in training courses; 78,2% of the interviewed professionals said to be trained to the jobs they develop; 58,2% of the professionals assigned the ?good? concept to their knowledge concerning to health surveillance. The following empiric categories were found: figuring out health surveillance ? prevention of risks and diseases to the population health; the importance of educational actions ? knowledge acquired through training and updating of professionals to job improvement in their working field; difficulties ? ignorance about management regarding to health surveillance and lack of financial resources; facilities ? server concernment in training; topics rising: endemic diseases agents performance, health education to population, immunization, health surveillance in the establishments and basic course in health surveillance. Among other findings, it was possible to identify the necessity in implementing educational actions aimed at professional training and development and related to health surveillance to the employees in this field, aiming to provide changes in the work processes to effectiveness the health surveillance.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-03-12T20:18:44Z No. of bitstreams: 1 LayanneCristiniMartinSousa_DISSERT.pdf: 1742028 bytes, checksum: 9edd9252e78cba594579c04e160087da (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-03-16T19:49:44Z (GMT) No. of bitstreams: 1 LayanneCristiniMartinSousa_DISSERT.pdf: 1742028 bytes, checksum: 9edd9252e78cba594579c04e160087da (MD5) / Made available in DSpace on 2018-03-16T19:49:44Z (GMT). No. of bitstreams: 1 LayanneCristiniMartinSousa_DISSERT.pdf: 1742028 bytes, checksum: 9edd9252e78cba594579c04e160087da (MD5) Previous issue date: 2017-12-20 / A Vigil?ncia em Sa?de ? caracterizada como um conjunto articulado de a??es com foco na promo??o da sa?de e preven??o de doen?as, sob a ?tica da integralidade do cuidado. O objetivo deste estudo foi analisar a Vigil?ncia em Sa?de sob a perspectiva de seus trabalhadores, utilizando uma abordagem qualitativa. Foram entrevistados 28 profissionais lotados no n?vel central da Vigil?ncia em Sa?de, dos quais 12 da secretaria de sa?de de Natal e 16 da secretaria de sa?de do Rio Grande do Norte. As entrevistas semi-estruturadas foram realizadas entre novembro e dezembro de 2016. O material produzido foi analisado a luz do referencial te?rico de Bardin, utilizando a t?cnica de An?lise de Conte?do. Emergiram da an?lise quatro categorias tem?ticas: concep??o sobre Vigil?ncia em Sa?de; articula??o intr?nseca e extr?nseca ? Vigil?ncia em Sa?de; potencialidades e desafios. Os resultados mostraram que os trabalhadores t?m uma concep??o ampliada sobre a Vigil?ncia em Sa?de, entretanto a vis?o tecnicista ainda se encontra presente. As a??es desenvolvidas por eles apresentam-se fragmentadas, tanto entre as vigil?ncias como entre estas e os servi?os de sa?de, deixando evidente a desarticula??o entre os processos cotidianos. Os trabalhadores demonstraram satisfa??o e comprometimento no exerc?cio de suas fun??es, configurando-se como potencialidades, no entanto se traduzem em caracter?sticas conflitantes diante do cen?rio de dificuldades e limita??es relatado por eles. Apontaram como desafios a serem superados: maiores investimentos no setor; valoriza??o dos profissionais e maior suporte e apoio por parte da gest?o. Observa-se, portanto, a necessidade de se imprimir novos avan?os na Vigil?ncia em Sa?de, que perpasse, necessariamente, pela redefini??o do modelo de aten??o, e que adote o planejamento coletivo de forma genu?na, a ressignifica??o de processos de trabalho e de forma??o profissional al?m de uma gest?o participativa com controle social, objetivando a efetividade de suas a??es e a integralidade do cuidado. / Health Surveillance is characterized as an articulated set of actions focused on health promotion and disease prevention, from the point of view of integral care. The objective of this study is to analyze the Health Surveillance from the perspective of its workers using a qualitative approach. A total of 28 central-level Health Surveillance professionals were interviewed, of which 12 of the Secretariat of health of Natal and 16 of the Department of health of Rio Grande do Norte. The semi-structured interviews were carried out between November and December 2016. The material produced was analyzed using the Content Analysis technique in light of the theoretical reference of Bardin. Four thematic categories emerged: conception of Surveillance in Health; intrinsic and extrinsic articulation of Health Surveillance; Health Surveillance?s potential; and, conversely, it?s challenges. The results showed that the workers have an expanded concept of Health Surveillance, although the technician?s view is still present. Consequently, their actions developed a fragmented result, both between surveillance and health services, leaving clear the disarticulation between the everyday processes. The workers demonstrated satisfaction and commitment in the performance of their duties, configuring itself as potential, however result in conflicting characteristics before the backdrop of difficulties and limitations reported by them. Pointed as challenges to be overcome: greater investment in the sector; recovery of professionals and greater support on the part of management. There is therefore the need to print new advances in health surveillance, which circulates, necessarily, by redefining the model of attention, and to adopt the collective planning of genuine form, the ressignification of work processes and training Professional plus a participatory management with social control, aiming at the effectiveness of its actions and the completeness of the care.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-08-01T14:46:43Z No. of bitstreams: 1 EvaEmanuelaLopesCavalcanteFeitosa_DISSERT.pdf: 1416642 bytes, checksum: 07ed51ca5827795a2f98e99bb5ed0bd6 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-08-08T14:46:47Z (GMT) No. of bitstreams: 1 EvaEmanuelaLopesCavalcanteFeitosa_DISSERT.pdf: 1416642 bytes, checksum: 07ed51ca5827795a2f98e99bb5ed0bd6 (MD5) / Made available in DSpace on 2017-08-08T14:46:47Z (GMT). No. of bitstreams: 1 EvaEmanuelaLopesCavalcanteFeitosa_DISSERT.pdf: 1416642 bytes, checksum: 07ed51ca5827795a2f98e99bb5ed0bd6 (MD5) Previous issue date: 2017-06-26 / A Vigil?ncia em Sa?de faz parte do arcabou?o das propostas do Sistema ?nico de Sa?de (SUS), contemplando as a??es da Vigil?ncia Epidemiol?gica, Vigil?ncia Sanit?ria, Vigil?ncia Ambiental e Vigil?ncia em Sa?de do Trabalhador, com foco na preven??o de doen?as e na promo??o da sa?de. Nesse sentido, esta pesquisa teve como objetivo analisar as concep??es e as pr?ticas da Vigil?ncia em Sa?de, sob a ?tica dos gestores. Trata-se de um estudo com abordagem qualitativa, realizado junto a 11 gestores, por meio de entrevistas com roteiro semiestruturado, no per?odo de outubro a dezembro de 2016. A partir do material coletado, foram constitu?dos dois corpus para an?lise. O primeiro foi submetido ao programa Iramuteq e gerou tr?s classes. O segundo corpus foi submetido ? an?lise de conte?do de Laurence Bardin e originou duas categorias tem?ticas: ?Concep??es sobre Vigil?ncia em Sa?de? e ?Pr?ticas da Vigil?ncia em Sa?de?, discutidas ? luz do referencial te?rico adotado. Os resultados demonstram que os gestores compreendem Vigil?ncia em Sa?de como um modelo indispens?vel para o SUS, al?m de apontar para a realiza??o de planejamento coletivo. Contudo, verificam-se contradi??es ao mencionarem que as a??es desenvolvidas s?o desarticuladas entre os setores e, portanto, necessitam da implanta??o de estrat?gias capazes de impactar sobre a efetividade da articula??o. H?, tamb?m, relatos de precariedade das condi??es de trabalho, de n?mero insuficiente de recursos humanos e de fragilidade no setor da sa?de do trabalhador. Com vistas a superar tais limita??es, sugere-se o engajamento de apoiadores, gestores, profissionais e controle social em torno de um amplo debate, na perspectiva de promover novos saberes e fazeres capazes de transformar o atual modelo de aten??o no tocante ? Vigil?ncia em Sa?de. / The Health Surveillance is part of the proposals framework of the Health Unique System (Sistema ?nico de Sa?de, SUS), contemplating the actions of the Epidemiological Surveillance, Sanitary Surveillance, Environmental Surveillance, Occupational Health Surveillance, focusing in disease prevention and the health promotion. This research aims to analyze conceptions and practices of the Health Surveillance, from the conceptions of the managers. For the study, we used a qualitative approach, carried out with 11 managers, from the interviews with semi-structured script, carried out during October and December 2016. From the material collected, two corpus were constituted to analysis. The first was submitted to the program Iramuteq and was generated three categories. The second corpus was submitted the analysis of the Laurence Bardin's content and was originated two thematic categories: ?Conceptions about the Health Surveillance? and ?Practices of the health in Surveillance?, discussed from the theoretical framework. The results demonstrate that the managers understand Health Surveillance as an indispensable model to SUS, in addition pointing to the realization of the collective planning. However, there are contradictions when the managers mentioning that the developed actions are disarticulated between the sectors and, thus, they need the implementation of strategies capable of the impacts about the effectiveness of the articulation. There are also, reports of precarious working conditions, insufficient human resources and fragility in the worker health sector. From this reality, it?s necessary the support of the supporters, managers, professionals and social control around a broad debate, with the perspective of promoting new knowledge and actions capable of transforming the current model of care in relation to Health Surveillance.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-09-19T21:49:20Z No. of bitstreams: 1 AngelicaTeresaNascimentoDeMedeiros_TESE.pdf: 1856140 bytes, checksum: 15ad94c9cef9e309c09e63e79f262837 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-09-22T19:32:34Z (GMT) No. of bitstreams: 1 AngelicaTeresaNascimentoDeMedeiros_TESE.pdf: 1856140 bytes, checksum: 15ad94c9cef9e309c09e63e79f262837 (MD5) / Made available in DSpace on 2017-09-22T19:32:34Z (GMT). No. of bitstreams: 1 AngelicaTeresaNascimentoDeMedeiros_TESE.pdf: 1856140 bytes, checksum: 15ad94c9cef9e309c09e63e79f262837 (MD5) Previous issue date: 2017-03-17 / A coqueluche, doen?a infectocontagiosa, atualmente vem apresentando um perfil reemergente. Fatores como diminui??o da imunidade, anos ap?s a vacina??o, mudan?as no gen?tipo da bact?ria e maior susceptibilidade entre jovens e adultos s?o considerados como contribuintes para o aumento da taxa da incid?ncia da doen?a. Assim, esse estudo teve como objetivos verificar a distribui??o espacial dos casos confirmados de coqueluche entre o per?odo de 2007 a 2015; identificar o comportamento da s?rie hist?rica da taxa de incid?ncia da coqueluche durante o per?odo de 2001 a 2015 no Brasil e verificar a associa??o da vacina contra coqueluche e a ocorr?ncia da doen?a no estado do Rio Grande do Norte. Dessa forma, o caminho metodol?gico da pesquisa foi dividido em tr?s partes. A an?lise da distribui??o espacial considerou como unidade de an?lise as 482 Regi?es Imediatas de Articula??o Urbana e utilizou o software Terraview para constru??o dos mapas tem?ticos. Para se verificar a tend?ncia da s?rie optamos por utilizar o ajuste de uma fun??o polinomial no tempo, utilizando-se assim modelos de regress?o polinomial. Em rela??o a associa??o foi estabelecido como crit?rio de inclus?o a confirma??o do caso de acordo com os crit?rios estabelecidos pelo Minist?rio da Sa?de, sendo exclu?dos aqueles cujas fichas n?o encontravam-se devidamente preenchidas ou que estivessem com algum tipo de d?vida que comprometesse a coleta dos dados. Os resultados demonstraram que a doen?a apresentou uma distribui??o espacial democr?tica em todo territ?rio nacional, formando pequenos clusters com altas taxas de incid?ncia nas regi?es de articula??o urbana presentes nas regi?es sul e sudeste. Identificamos tamb?m que houve, na s?rie hist?rica, uma tend?ncia crescente da doen?a ao longo de 15 anos. E por fim, os resultados apontam que independentemente do estado vacinal os indiv?duos est?o adoecendo por coqueluche, o que n?o gerou evid?ncia cient?fica suficiente para medir a efetividade da vacina. Os achados sugerem que aspectos relacionados a vacina??o precisam ser melhor investigados para que se possa garantir o controle da doen?a. ? necess?rio tamb?m que ocorram melhorias nas a??es de vigil?ncia, o que pode garantir uma representa??o epidemiol?gica fidedigna da doen?a. / Pertussis, an infectious-contagious disease, is currently presenting a reemerging profile. Factors such as decreased immunity years after vaccination, changes in the genotype of the bacteria and increased susceptibility among young and adults are considered to have contributed to increase the disease incidence rate. Therefore, this study aimed to verify the spatial distribution of confirmed pertussis cases between 2007 and 2015; to identify the patterns in the time-series of pertussis incidence rates during the period 2001 to 2015 in Brazil and to verify the association of pertussis vaccine with the occurrence of the disease in the state of Rio Grande do Norte. Thus, the methodological path of the research was divided into three parts. The analysis of the spatial distribution considered the 482 Regions Immediate Urban Articulation as unit of analysis and used the Terraview software to construct the thematic maps. In order to verify the trend in the series we chose to use the adjustment of a polynomial function in time, using polynomial regression models. Regarding the association, the confirmation of the case was established as inclusion criteria in accordance with the criteria established by the Ministry of Health, being excluded those files that were not properly filled or had any uncertainties that could compromise the data collection. The results suggests that the disease has a democratic spatial distribution throughout the country, forming small clusters with high incidence rates in the urban articulation present in the South and Southeast regions. It was also identified in the time-series an increasing tendency of the disease over a period of 15 years. Finally, the results indicate that regardless of vaccination status individuals are being infected with pertussis, which did not generate enough scientific evidence to measure the effectiveness of the vaccine. The findings suggest that aspects related to vaccination need further investigation in order to guarantee disease control. There is also a need for improvements in surveillance actions, which can ensure a reliable epidemiological representation of the disease.

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2017-04-17T19:29:20Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) deborah_braga_oliva_audebert_rezende.pdf: 2694348 bytes, checksum: 0b7854978be13bd95e78e6982cf6c80a (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2017-04-20T16:48:03Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) deborah_braga_oliva_audebert_rezende.pdf: 2694348 bytes, checksum: 0b7854978be13bd95e78e6982cf6c80a (MD5) / Made available in DSpace on 2017-04-20T16:48:03Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) deborah_braga_oliva_audebert_rezende.pdf: 2694348 bytes, checksum: 0b7854978be13bd95e78e6982cf6c80a (MD5) Previous issue date: 2016 / A Vigil?ncia em Sa?de ? considerada uma ?rea estrat?gica para a redefini??o das pr?ticas sanit?rias brasileiras, todavia a operacionaliza??o descentralizada das a??es de sa?de ainda ? deficiente. Neste contexto, o governo do Estado de Minas Gerais lan?ou, em 2012, o Projeto de Fortalecimento em Vigil?ncia em Sa?de. No presente trabalho objetivou-se analisar a situa??o da Vigil?ncia Sanit?ria dos 53 munic?pios, subdivididos em cinco regi?es de sa?de, sob jurisdi??o da Superintend?ncia Regional de Sa?de de Montes Claros, por meio do estudo das Planilhas de Monitoramento e Avalia??o das a??es de Vigil?ncia em Sa?de destes munic?pios, em oito per?odos, compreendidos entre os anos de 2012 a 2014. Buscou-se comparar, ao longo dos tr?s anos de implanta??o do Programa, as mudan?as verificadas nos percentuais de cumprimento de a??es de cada ?rea da Vigil?ncia em Sa?de, bem como discutir as facilidades e dificuldades encontradas para a execu??o das a??es na ?rea de Vigil?ncia Sanit?ria. Observou-se que o percentual de a??es executadas aumentou a partir do 4? per?odo de avalia??o (julho a setembro/2013), para todas as regi?es analisadas. Entretanto, pode-se detectar que, na maior parte das regi?es, os menores percentuais m?dios foram ?queles relativos ? ?rea da vigil?ncia sanit?ria. Emboratenha havido uma melhora dos indicadores, eles ainda est?o inferiores ?s m?dias do Estado de Minas Gerais, o que provavelmente pode-se relacionar com as heterogeneidades geogr?ficas e socioecon?micas das regi?es que constituem a Superintend?ncia Regional de Sa?de de Montes Claros. Nota-se ainda dificuldades na organiza??o dos servi?os de VISA municipais no ?mbito da SRS/Montes Claros. Conforme as an?lises, percebeu-se uma oscila??o do percentual de execu??o das a??es em alguns munic?pios, sendo que alguns fatoresdificultadores, tais como a alta rotatividade de profissionais, a insufici?ncia de recursos materiais, a falta de pessoal qualificado para o servi?o dificultadores, podem ter contribu?do para a n?o execu??o de v?rias a??es no ?mbito da vigil?ncia sanit?ria nestas localidades. Diante das informa??es neste estudo, verifica-se que existem tamb?m facilidades na execu??o das a??es de VISA, como a exist?ncia pr?via do servi?o de VISA, a ea ea extens?o territorial do munic?pio, a infraestrutura m?nima de funcionamento e o apoio de gestores e da popula??o. No entanto,as facilidades ainda s?o pouco frequentes.Assim, pode-se concluir que embora tenham ocorrido avan?os, de forma geral, no servi?o de vigil?ncia em sa?de ap?s implanta??o do Projeto de Fortalecimento da Vigil?ncia em Sa?de, ainda se notam fragilidades e fraquezas na organiza??o dos servi?os, especialmente os de Vigil?ncia Sanit?ria, nos munic?pios objeto deste estudo. A insufici?ncia de insumos, ferramentas, instrumentos materiais e equipe multidisciplinar qualificada para o setor demonstram a dist?ncia entre as pol?ticas do Sistema ?nico de Sa?de, as necessidades sociais, a miss?o da vigil?ncia sanit?ria na prote??o da sa?de e a realidade concreta dos munic?pios da jurisdi??o da Superintend?ncia Regional de Sa?de de Montes Claros. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2016. / The Health Surveillance is considered a strategic area for the redefinition of Brazilian health practices, however decentralized operationalization of health actions is still deficient. In this context, the state government of Minas Gerais launched in 2012, the Strengthening Project in Health Surveillance. This work aimed to analyze the situation of the Health Surveillance of 53 municipalities, divided into five health regions under the jurisdiction of Regional Health Superintendency of Montes Claros, through the study of the Monitoring Sheets and Evaluation of Surveillance actions in health these municipalities in eight periods, ranging from the years 2012 to 2014. We attempted to compare, over the three years Program implementation, the changes in the percentage of enforcement actions in each area of health surveillance and discuss the advantages and difficulties encountered in the implementation of actions in the health surveillance area. It was observed that the percentage of executed shares increased from the 4th assessment period (July-September / 2013), for all analyzed regions. However, one can detect that in most regions, the average lowest percentages were those relating to the area of health monitoring. Emboratenha been an improvement in indicators, they are still below the average of the state of Minas Gerais, which probably can be related to the geographical and socioeconomic heterogeneity of the regions that make up the Regional Health Superintendency of Montes Claros. Note also difficulties in the organization of municipal VISA services within the SRS / Montes Claros. According to the analysis, it was noticed a wobble in the percentage of implementation of actions in some municipalities, and some fatoresdificultadores, such as high staff turnover, lack of material resources, lack of qualified personnel for hindering service may have contributed to the non-implementation of various actions under health surveillance in these locations. On the information in this study, it appears that there are also facilities in the implementation of VISA shares, as the prior existence of the VISA service, the territorial extension of the municipality, the minimum infrastructure operation and support managers and the public. However, the facilities are still poorly frequentes.Assim, it can be concluded that although there were advances, generally, the surveillance service health after implementation of health surveillance Strengthening Project, still noticeable weaknesses and weaknesses in organization of services, especially health surveillance in municipalities object of this study. The lack of supplies, tools, materials, instruments and qualified multidisciplinary team for the sector demonstrate the distance between the Health System policies, social needs, the mission of health surveillance in the health protection and the concrete reality of the jurisdiction of the municipalities of Regional Health Superintendency of Montes Claros.

Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-08T16:27:33Z No. of bitstreams: 2 license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) elaine_lourdes_carneiro.pdf: 2018444 bytes, checksum: a3b37838bef0c6cf66fcdce513304608 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-08T16:27:59Z (GMT) No. of bitstreams: 2 license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) elaine_lourdes_carneiro.pdf: 2018444 bytes, checksum: a3b37838bef0c6cf66fcdce513304608 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-08T16:28:19Z (GMT) No. of bitstreams: 2 license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) elaine_lourdes_carneiro.pdf: 2018444 bytes, checksum: a3b37838bef0c6cf66fcdce513304608 (MD5) / Made available in DSpace on 2015-01-08T16:28:19Z (GMT). No. of bitstreams: 2 license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) elaine_lourdes_carneiro.pdf: 2018444 bytes, checksum: a3b37838bef0c6cf66fcdce513304608 (MD5) Previous issue date: 2013 / Funda??o de Amparo ? Pesquisa do estado de Minas Gerais (FAPEMIG) / Estudo que objetivou desvelar o processo de atividade de trabalho que subjaz a realiza??o ou n?o das atividades referentes ? Vigil?ncia em Sa?de, prescritas no Relat?rio Final de Auditoria de Sistema Municipal de Sa?de/2009, a partir das significa??es produzidas por um T?cnico de um munic?pio auditado pela equipe do N?cleo Macrorregional de Auditoria Assistencial Jequitinhonha/MG. Assim como, definir juntamente a esse sujeito, estrat?gias de enfrentamento dos fatores que dificultam a realiza??o das atividades prescritas. Os cen?rios de estudo foram tr?s munic?pios auditados por essa equipe entre junho/2009 e dezembro/2010. Participaram sete sujeitos: quatro T?cnicos que realizam atividades de Vigil?ncia em Sa?de e tr?s Gestores Municipais de Sa?de. Contudo, apenas um teve todas as suas informa??es interpretadas nessa disserta??o. Os pressupostos epistemol?gicos orientadores do estudo foram algumas categorias da Psicologia S?cio-Hist?rica e da Cl?nica da Atividade. As t?cnicas utilizadas para apreens?o de informa??es foram: An?lise Documental, Entrevista Semi-estruturada e Centralizada/Tem?tica (ambas recorrentes), Narrativa de Hist?ria de Vida e o C?rculo de Cultura. Para an?lise das informa??es foram utilizados os N?cleos de Significa??o e uma adapta??o da estrat?gia anal?tica adotada por Murta (2008). Foram sistematizados seis N?cleos de Significa??o: I) As rela??es familiares, o trabalho e o gosto pelo estudo: elementos constitutivos da identidade atual; II) O conflito da profiss?o: atividade de trabalho idealizada versus atividade de trabalho real; III) Os desafios da atividade de trabalho no contexto do SUS real; IV) A atividade dirigida no contexto do SUS municipal; V) A atividade de trabalho e o Projeto de Fortalecimento da Vigil?ncia em Sa?de em Minas Gerais; VI) Ressignificando a Auditoria e experimentando os sentidos por ela produzidos. Elementos como felicidade pelo reconhecimento social alcan?ado pela profiss?o, cren?a em sua boa forma??o profissional e resolutividade no servi?o, dedica??o e envolvimento afetivo com a comunidade constituem os sentidos subjetivos atribu?dos pelo T?cnico a sua atividade de trabalho. Estes, o ajudam a superar elementos decorrentes de um conflito entre profiss?es (sentimentos de frustra??o, impot?ncia, falta de autonomia), al?m das condi??es prec?rias de trabalho no SUS (remunera??o, tipo de v?nculo, sobrecarga de atividades, defici?ncia na forma??o de profissionais e aspectos normativo-organizativos do servi?o), tamb?m constitutivos de sentidos subjetivos. O T?cnico acredita na proposta da Vigil?ncia em Sa?de para efetiva??o de a??es em n?vel local, bem como no Projeto do Estado/MG que tem este objetivo. A experi?ncia com a auditoria permitiu ressignific?-la; elementos como inquieta??o, inc?modo e ansiedade cederam lugar ao contentamento, interesse e tranquilidade. A auditoria representou oportunidade de autoan?lise de sua atividade, bem como trouxe frustra??o por identificar falhas na mesma. Observou-se ser pouco consistente o grau de orienta??o social do T?cnico em sua rela??o de trabalho com a equipe de sa?de. Em poucos momentos, o profissional trouxe em suas narrativas estrat?gias de enfrentamento dos entraves presentes na sua atividade de trabalho. Reflex?es finais dessa pesquisa apontam para a necessidade de maior cuidado com a forma??o dos trabalhadores da Sa?de para que ampliem seu poder de agir, desenvolvendo possibilidades de utiliza??o de estrat?gias criativas e vi?veis para lidar com o real da sua atividade no SUS. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2013. / ABSTRACT This was a study that aimed to unveil the work activity process underlying the implementation, or not, of the activities related to Health Surveillance, prescribed in the Final Audit Report of the Municipal Health System/2009, based on the meanings produced by a Technician of a municipality audited by the team of the Jequitinhonha/Minas Gerais Healthcare Audit Macroregional Center. Likewise, it was the objective of this work to define, together with this subject, strategies to face the factors that hinder the implementation of the prescribed activities. The study scenarios were three municipalities audited by this team between June/2009 and December/2010. Seven subjects participated, namely: four Technicians who carried our Health Surveillance activities and three Municipal Health Managers. However, just one of these subjects had all of his information interpreted in this dissertation. The epistemological assumptions guiding the study were some categories of Socio-Historical Psychology and of the Activity Clinic. The techniques used for collecting information were: Documentary Analysis, Semi-structured and Centralized / Thematic Interviews (both recurrent), Interviews based on Life Story Narratives, and the Culture Circle. The information was analyzed using the Meaning Cores and an adaptation of the analytical strategy adopted by Murta (2008). Six Meaning Cores were systematized, as follows: I) Family relationships, work and the love of study: constituent elements of the current identity; II) Career-related conflict: idealized career aspirations versus actual work activity. III) The challenges of the work activities in the context of the actual SUS (Brazilian Unified Healthcare System); IV) The activity conducted in the context of the municipal SUS; V) The Work Activity and the Health Surveillance Strengthening Project in Minas Gerais; VI) Resignifying Audit and experiencing the meanings produced by it. Elements such as happiness for the social recognition achieved through his professional career, belief in his good professional background and problem-solving capacity at work, his dedication, and affective involvement with the community constitute the subjective meanings attributed by the Technician to his work activity. These help him overcome the elements deriving from a conflict in his career (a sense of frustration, a feeling of powerlessness, and absence of autonomy), as well as the poor working conditions at SUS (remuneration, type of employment relationship, heavy load of activities, deficiency in the training of professionals, and normative and organizational aspects of the service), which also constitute subjective meanings. The Technician believes in the proposal of the Health Surveillance for the implementation of actions at a local level, as well as in the Minas Gerais State Project, which has this aim. This experience with healthcare audit made it possible to resignify it. Elements such as the restlessness, nuisance and anxiety gave way to contentment, interest, and peace of mind. The audit represented an opportunity for self-analysis in his activity. However, it also gave rise to frustration, inasmuch as shortcomings were identified in it. It was observed that the degree of social orientation of the Technician was rather inconsistent in his working relationship with the healthcare team. Just on a few occasions, the professional presented, in his narratives, strategies to tackle the barriers in his work activities. The concluding remarks from this research indicate that greater care should be taken in training Health workers, so that they can increase their power to act through the development of possibilities to use creative and feasible strategies to deal with the real situation of their activity at SUS.

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2018-03-20T22:51:47Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) cassio_almeida_lima.pdf: 1180731 bytes, checksum: 95f86fdaad149f5f97c975753999285b (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2018-03-29T14:07:32Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) cassio_almeida_lima.pdf: 1180731 bytes, checksum: 95f86fdaad149f5f97c975753999285b (MD5) / Made available in DSpace on 2018-03-29T14:07:32Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) cassio_almeida_lima.pdf: 1180731 bytes, checksum: 95f86fdaad149f5f97c975753999285b (MD5) Previous issue date: 2017 / Este estudo teve como objetivo analisar a ocorr?ncia de acidentes e ?bitos provocados por animais pe?onhentos na regi?o Sudeste, Brasil. Trata-se de pesquisa epidemiol?gica, com delineamento ecol?gico e anal?tico. Efetuou-se uma busca no Sistema de Informa??o de Agravos de Notifica??o-NET, sobre a ocorr?ncia de acidentes e ?bitos por todos os tipos de animais pe?onhentos e aqueles causados por serpentes, escorpi?es e aranhas, ocorridos nas unidades federativas da regi?o Sudeste, no per?odo de 2005 a 2015. A organiza??o dos dados e an?lise estat?stica foram processadas por meio do Software IBM SPSS vers?o 22.0 para Windows?. A descri??o dos resultados foi apresentada em valores absolutos, percentuais, m?dias, desvio padr?o, m?nimo e m?ximo, al?m de s?rie hist?rica. Efetuaram-se an?lises bivariadas (teste Kolmogorov Smirnov) para comparar as m?dias entre as unidades federativas do Sudeste (p<0,05), bem como correla??es com indicadores sociais e de sa?de por meio da correla??o Spearman's. Considerou-se o n?vel de signific?ncia de 5% (p<0,05). Entre 2005 e 2015, observou-se um total de 47.1403 acidentes e de 684 ?bitos causados por animais pe?onhentos, com a maior parte dos acidentes registrada em 2014 (58.544), enquanto o maior n?mero de ?bitos ocorreu em 2015 (99). Na s?rie hist?rica, constatou-se uma ascens?o acentuada a partir de 2010. No Sudeste, o escorpi?o representou maior m?dia de acidentes e ?bitos: 5.694,14 e 7,45 respectivamente. Em todos os anos, Minas Gerais concentrou a maior quantidade de acidentes e ?bitos no geral; e em espec?fico pelos animais estudados, exceto quanto aos acidentes por aranhas. As correla??es, embora n?o tenham sido estatisticamente significantes (p>0,05), demonstraram rela??o entre maior quantidade de acidentes e ?bitos e menor ?ndice de Desenvolvimento Humano, menor n?mero de m?dicos e gastos em sa?de p?blica. O estudo evidenciou uma elevada frequ?ncia de acidentes e ?bitos provocados por animais pe?onhentos e a sua ascens?o ao longo da s?ria hist?rica analisada, principalmente em anos mais recentes. Delineou-se uma realidade preocupante que deve ser analisada com prud?ncia, considerando que diversos fatores podem estar envolvidos. Assim, ? imperativo que o problema estudado seja efetivamente gerenciado e n?o seja negligenciado. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2017. / This study aimed to analyze the occurrence of accidents and deaths caused by venomous animals in the Southeast region of Brazil. This is an epidemiological research with ecological and analytical design. A search in the Notification System Review of Information-NET on the frequency of accidents and dearth by all kinds of poisonous animals and those caused by snakes, scorpions and spiders on the period of 2005 to 2015 in the federation units of the southeast region was done. The organization and analysis of statistical data were processed through the IBM SPSS Software version 22.0 for Windows?. The description of the results was presented in absolute, percentage, average, standard deviation, minimum and maximum, besides historical values. Bivariated analysis were made (Kolmogorov Smirnov test) to compare the average among the federation units of the southeast (p<0.05), as well as to correlate the social and health indicators through Spearman?s correlation. The level of significance was considered of 5% (p<0.05). Between 2005 to 2015, a total of 47,1403 accidents and 684 deaths by poisonous animals were registered, with the majority of accidents registered in 2014 (58,544), and the greater number of deaths in 2015 (99). In the historic search, a steep rise was noticed from 2010. On the Southeast, the scorpion presented greater average of accidents and deaths: 5,694 and 7,45 respectively. In all the years, Minas Gerais reported the highest quantity of accidents and deaths in general; and specifically with the studied animals, with the exception of accidents with spiders. The correlations, although not significant to statistics (p>0.05), show relation among the greater quantity of accidents and deaths and the lower Index of Human Development, lower number of doctors and expenses in public health. The study put in evidence a high frequency of accidents and deaths by poisonous animals and the rise during the history that was analyzed, especially in the most recent years. A concerning reality was perceived and must be analyzed with prudence, considering that many factors may be involved. Thus, it is imperative that the studied problem be effectively managed and not be neglected.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-28T20:31:43Z No. of bitstreams: 1 LucianaProtasioDeMelo_TESE.pdf: 3341432 bytes, checksum: 30bddef9c5bdbeed79dbce1b402a8b04 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-30T00:04:50Z (GMT) No. of bitstreams: 1 LucianaProtasioDeMelo_TESE.pdf: 3341432 bytes, checksum: 30bddef9c5bdbeed79dbce1b402a8b04 (MD5) / Made available in DSpace on 2017-03-30T00:04:50Z (GMT). No. of bitstreams: 1 LucianaProtasioDeMelo_TESE.pdf: 3341432 bytes, checksum: 30bddef9c5bdbeed79dbce1b402a8b04 (MD5) Previous issue date: 2016-11-29 / O Acidente Vascular Cerebral (AVC) ? um importante problema de sa?de p?blica, por isso foi realizado um estudo com o objetivo de avaliar os fatores epidemiol?gicos, cl?nicos e funcionais de pacientes com AVC. Participaram do estudo 433 pacientes (229 mulheres e 204 homens). Em Natal/RN, os pacientes foram avaliados atrav?s do Step 1 e Escala de Rankin Modificada. Os dados foram analisados pelo teste Qui-quadrado e an?lise de regress?o log?stica. Resultados: Verificou-se maior frequ?ncia de pacientes na faixa et?ria de 70 a 89 anos (40,9%). A hipertens?o arterial foi o fator de risco mais frequente (85,4%) e o AVC isqu?mico (68,5%). Foi observada maior frequ?ncia de pacientes com incapacidade de andar e realizar higiene pessoal (48,8%) (p= 0,001). Observou-se uma correla??o entre o grau de comprometimento neurol?gico e a funcionalidade (r= 0,53; p= 0,006). Considerando as atividades b?sicas da vida di?ria (ABVDs), 25% dos pacientes n?o podiam levantar da cama e 70,8% n?o conseguiam ir ao banheiro sozinhos (ambos p< 0.05). Os modelos de regress?o apontaram os fatores preditores da depend?ncia funcional para as atividades: "banho", quantidade de fatores de risco (OR=0,4; IC=0,2-0,7; p=0,005) e quantidade de medica??o usada previamente ao AVC (OR=1,7; IC=1,1-27; p=0,013). Para "higiene pessoal", realiza??o de Fisioterapia ap?s a alta (OR=2,5; IC=1,2-5,1; p=0,014) e sexo feminino (OR=1,6; IC=1,06-2,4; p=0,026); para "transfer?ncia", quantidade de fatores de risco (OR=0,4; IC=0,2-0,9; p=0,025); para "contin?ncia", tipo de AVC (OR=2,2; IC=1,1-3,8; p=0,003 ? 10? dia; OR=1,9; IC=1,1-3,3; p=0,013 ? 28? dia) e realiza??o de Fisioterapia ap?s a alta (OR=4,1; IC=1,5-11,3; p=0,005); e para atividade "alimenta??o", quantidade de AVC pr?vio (OR=0,5; IC=0,2-0,9; p=0,036) e realiza??o de Fisioterapia ap?s a alta (OR=4,2; IC=1,6-11,1; p=0,003). Para as seis atividades, a idade acima de 60 anos e a falta de realiza??o da fisioterapia durante a interna??o hospitalar foram os mais fortes fatores preditivos para a depend?ncia funcional. Os resultados indicam fatores importantes que influenciam a depend?ncia funcional dos pacientes com AVC, trazem uma contribui??o cient?fica para que os prestadores de sa?de possam identificar oportunidades de interven??o e apontam a necessidade urgente de implanta??o de Unidades de AVC no Estado Rio Grande do Norte. / Stroke is an important public health problem, thus one study was carried out with the aim to evaluate epidemiological, clinical and functional factors of stroke patients. Materials and Methods: Four hundred thirty-three patients participated in the study (229 women and 204 men). In Natal/RN, the patients were assessed through the Step 1 and the Modified Rankin Scale. The data were analysed through the chi-squared test and logistic regression analysis. Results: It was noticed that the higher frequency of patients were in the age range of 70 to 89 years (40,9%). Arterial hypertension was the most frequent risk factor (85,4%) as well as the ischemic stroke (68,5%). There was a higher frequency of patients with incapacity to walk and do their personal hygiene (48,8%) (p= 0,001). It was also observed a correlation between the degree of neurological impairment and functionality (r= 0,53; p= 0,006). Regarding the basic activities of daily living (BADL), 25% of the patients could not rise from bed and 70,8% could not go to bathroom on their own (both p< 0.05). The regression models pointed out to the predictive factors of functional dependence to the activities: ?bathing?, quantity of risk factors (OR=0,4; IC=0,2-0,7; p=0,005) and quantity of medication used prior to stroke (OR=1,7; IC=1,1-27; p=0,013). To ?personal hygiene?, attendance to physiotherapy after discharge (OR=2,5; IC=1,2-5,1; p=0,014) and female sex (OR=1,6; IC=1,06-2,4; p=0,026); to ?transfer?, quantity of risk factors (OR=0,4; IC=0,2-0,9; p=0,025); to ?continence?, type of stroke (OR=2,2; IC=1,1-3,8; p=0,003 ? day 10; OR=1,9; IC=1,1- 3,3; p=0,013 ? day 28) and attendance to physiotherapy after discharge (OR=4,1; IC=1,5-11,3; p=0,005); and to the activity ?eating?, frequency of stroke (OR=0,5; IC=0,2-0,9; p=0,036) and attendance to physiotherapy after discharge (OR=4,2; IC=1,6- 11,1; p=0,003). To the six activities, age above 60 years and nonattendance to physiotherapy during hospital stay were the strongest predictive factors for functional dependence. Conclusion: The results indicate important factors that affect the functional dependence of stroke patients, thus bringing about a scientific contribution so that the healthcare providers may identify opportunities of intervention; they also point out the urgent need of implanting a Stroke Unit in the state of Rio Grande do Norte.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-08-25T20:40:47Z No. of bitstreams: 1 CleoniceAndreaAlvesCavalcante_TESE.pdf: 8036565 bytes, checksum: efa569bc829aa595c30731ac52f5d5a7 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-08-26T19:35:54Z (GMT) No. of bitstreams: 1 CleoniceAndreaAlvesCavalcante_TESE.pdf: 8036565 bytes, checksum: efa569bc829aa595c30731ac52f5d5a7 (MD5) / Made available in DSpace on 2016-08-26T19:35:54Z (GMT). No. of bitstreams: 1 CleoniceAndreaAlvesCavalcante_TESE.pdf: 8036565 bytes, checksum: efa569bc829aa595c30731ac52f5d5a7 (MD5) Previous issue date: 2016-01-28 / As doen?as e agravos relacionados ao trabalho configuram-se em importante problema de Sa?de P?blica no Brasil e no mundo. No entanto, a realidade desses agravos ainda se constitui em uma lacuna no que diz respeito ? caracteriza??o e situa??o epidemiol?gica das mesmas, especialmente no Brasil. Diante disso, o presente estudo teve como objetivo analisar a magnitude da morbidade relacionada ao trabalho no Estado do Rio Grande do Norte, no per?odo de 2007 a 2014. Trata-se de um estudo ecol?gico, quantitativo de delineamento transversal, tendo como unidade de an?lise os munic?pios do estado do Rio Grande do Norte. Os dados foram coletados a partir da base estadual do Sistema de Informa??es de Agravos Notific?veis (SINAN) do Centro de Refer?ncia de Sa?de do Trabalhador (CEREST) da Secretaria de Estado da Sa?de P?blica do Rio Grande do Norte. A coleta de dados ocorreu entre mar?o e junho de 2015, ap?s a aprova??o do Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte, atrav?s do Parecer N? 014/2014. A popula??o foi representada pelo universo de casos de doen?as e agravos relacionados ao trabalho que foram notificados e encerrados no sistema no per?odo de 2007 a 2014. Os dados foram organizados em banco de dados eletr?nicos do Microsoft Excel vers?o 2010 e exportados para o programa estat?stico SPSS vers?o 20.0, analisados por meio da estat?stica descritiva e anal?tica, apresentados em forma de tabelas e gr?ficos. Para tanto, utilizou-se o Microsoft Excel 2007 e um software estat?stico. Dos 10.161 casos de agravos relacionados ao trabalho notificados, destacaram-se os acidentes biol?gicos (52,84%) e de trabalho grave (37,49%). Quanto ?s doen?as, destacaram-se as osteomusculares (4,82%), transtornos mentais (2,19%) e intoxica??o ex?gena (1,97%). Houve predomin?ncia dos agravos entre homens nos acidentes graves (91,80%), transtornos mentais (70,00%) e intoxica??es ex?genas (52,84%). As mulheres foram mais acometidas por acidente biol?gico (77,50%) e doen?as osteomusculares (64,10%). Entre os agravos predominou a cor parda, m?dia de 35,86 anos de idade, baixa escolaridade e trabalhadores no mercado formal. Dentre os acidentes ocupacionais, destacaram os biol?gicos (n=5.369) que corresponderam a 52,84% com predom?nio de casos entre os profissionais de enfermagem (48,31%). A exposi??o percut?nea foi a mais frequente (73,05%) e as circunst?ncias de ocorr?ncia foi o descarte inadequado de perfurocortantes (45,28%), a agulha o agente mais comum (66,62%) e o material org?nico foi o sangue (72,99%). A maioria dos trabalhadores acidentados era vacinada contra HBV (68,13%), por?m sem informa??o quanto ? avalia??o da resposta vacinal. A evolu??o dos casos predominou a situa??o ignorada com perda de acompanhamento do seguimento cl?nico. Houve ainda aumento na notifica??o de acidentes de trabalho grave com predomin?ncia: sexo masculino, trabalhadores entre25 a 44 anos e do acidente t?pico. A incapacidade tempor?ria ? evolu??o mais comum e a m?o a parte mais atingida; a ind?stria extrativa e da constru??o civil teve o maior n?mero de casos e o empregado registrado. Constatou-se um aumento expressivo na notifica??o dos agravos relacionados ao trabalho no per?odo analisado, sobretudo os acidentes. Em rela??o ?s doen?as, observou-se um aumento nos casos de doen?as osteomusculares, transtornos mentais e intoxica??o ex?gena. No entanto, o sistema de informa??o ainda carece de melhoria tanto na cobertura como na qualidade dos dados no sentido de demonstrar com maior fidedignidade a magnitude dos eventos para subsidiar o planejamento das a??es em Sa?de do Trabalhador no estado. / Diseases and disorders related to work sets up an important public health problem in Brazil and worldwide. However, the reality of these diseases still constitutes a gap with regard to its characterization and epidemiological situation, especially in Brazil. In this context, this study aims to analyze the magnitude of morbidity related to work from the injuries and illnesses reported by Health the Diseases Notifiable of Health of the State Public River Health Department worker Reference Center Information System services Grande do Norte from 2007 to 2014. It is ecological study, quantitative cross-sectional study in which the analysis unit of the municipalities of Rio Grande do Norte. Data were collected from the state base of Diseases Notifiable Information System Centre of the Secretariat of State Workers' Health Reference Public Health of Rio Grande do Norte, between March and June 2015, after the approval of the Committee of Ethics in Research of the Federal University of Rio Grande do Norte, Opinion 014/2014. The population was represented by the universe of cases of diseases and disorders related to work that were reported and shut down the system from 2007 to 2014. Data were analyzed using descriptive and inferential statistics, presented in tables, graphs, charts and figures. For this, we used the Microsoft Excel 2007 and SPSS version 20.0. To check the significance level we opted for the application of the chi-square or Fisher tests. We adopted the significance level of p <0.05. Of the 10,161 cases of diseases related to the reported work, the biological work accidents had the highest percentage (52.84%) followed by serious occupational accidents (37.49%). For diseases, the highlights were musculoskeletal (4.82%), mental disorders (2.19%) and exogenous intoxication (1.97%). Among men, there was a predominance of major accidents (91.80%), mental disorders (70.00%) and exogenous poisoning (52.84%). Women were most affected by biological accidents (77.50%) and musculoskeletal diseases (64.10%). Among workers who have suffered injuries predominated mulatto (%), mean age of 35.86 years, low education (%) and workers in the formal sector (%). Among the accidents, biological (n = 5,369) accounted for 52.84% of cases occurred predominantly among nursing professionals (48.31%). The percutaneous exposure was the most frequent (73.05%) and the occurrence of circumstances was improper disposal of sharps (45.28%), the needle the most common agent (66.62%) and the organic material was blood (72.99%). Most injured workers were vaccinated against hepatitis B (68.13%), but no information as to the assessment of the vaccine response. In the course of the disease predominated ignored the situation with loss of monitoring of clinical follow-up (55.62%). There was also an increase in the notification of serious industrial accidents predominantly male (91.80%) workers aged 25-44 years (54.3%) and typical accidents (76.3%). The temporary disability was the most common outcome (55.53%) and hand the most affected part (33.00%); the mining and construction industry had the highest number of cases (25.1%) in registered employee (34.2%). The findings of this study show a positive result in relation to increased mandatory reporting of injuries and illnesses related to work together to health services that meet victimized workers, towards the occurrence of knowledge of these accidents for decision making in public plans and policies of health. However, the information system still needs improvement in both the coverage and the quality of the data to demonstrate with greater reliability the magnitude of events to support the planning of workers' health into shares in the state.

Sub-?rea de concentra??o: Sa?de e Biol?gicas. / Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:55:10Z No. of bitstreams: 2 walber_antonio_lima.pdf: 4878433 bytes, checksum: c24021a7e230463e47eae78ab1e296f8 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:55:52Z (GMT) No. of bitstreams: 2 walber_antonio_lima.pdf: 4878433 bytes, checksum: c24021a7e230463e47eae78ab1e296f8 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:56:47Z (GMT) No. of bitstreams: 2 walber_antonio_lima.pdf: 4878433 bytes, checksum: c24021a7e230463e47eae78ab1e296f8 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Made available in DSpace on 2015-01-09T16:56:47Z (GMT). No. of bitstreams: 2 walber_antonio_lima.pdf: 4878433 bytes, checksum: c24021a7e230463e47eae78ab1e296f8 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) Previous issue date: 2013 / Funda??o de Amparo ? Pesquisa do estado de Minas Gerais (FAPEMIG) / Funda??o Diamantinense de Apoio ao Ensino, Pesquisa e Extens?o (FUNDAEP) / O cruzamento das informa??es advindas do Sistema de Informa??o de Agravos de Notifica??o (SINAN), com as do Servi?o de Aten??o Especializada (SAE) onde funciona o Centro de Testagem e Aconselhamento (CTA) da Acquired Immunodeficiency Syndrome (Aids), juntamente com a constru??o de mapas tem?ticos com auxilio do Sistema de Informa??o Geogr?fica (SIG), s?o ainda um desafio para as gest?es loco-regionais e demandam estudos mais detalhados. Objetivo - Compreender o funcionamento do Centro de Testagem e Aconselhamento (CTA) de Diamantina, com ?nfase na distribui??o espacial dos pacientes acompanhados pelo servi?o no per?odo de 1996 a 2012. Metodologia - Trata-se de um estudo transversal, de car?ter avaliativo, com an?lise descritiva. As microrregi?es de sa?de de Diamantina e de Minas Novas/Turmalina/Capelinha tem como sede Diamantina, no Alto Vale do Jequitinhonha (Minas Gerais), referencia para HIV/Aids. Foram utilizados os registros de HIV/Aids desde 1996 at? 2012. As informa??es do SINAN e dos prontu?rios cl?nicos do SAE/CTA foram tabuladas e analisadas utilizando os programas Microsoft Office?, Excel, al?m do ArcGIS? (Vers?o 9.2) para confec??o dos mapas. Resultados - A popula??o da micro de Diamantina comp?e-se de 166.961 habitantes e da micro Minas Novas/Turmalina/Capelinha comp?e-se de 119.551 habitantes, totalizando juntas 286.512 habitantes. A preval?ncia do HIV/Aids em rela??o ? popula??o total: no CTA 112 casos com a taxa em 39,09% por 100.000 habitantes e no SINAN 148 casos com 51,65% / 100.000 habitantes. Os dados para a preval?ncia da doen?a s?o discordantes para as duas micros. Na vari?vel ra?a/cor (branca/preto/pardo/ignorado), o mais freq?ente foi o ignorado. Discuss?o - O SAE/CTA de forma regionalizada tem que trazer funcionalidade para os moradores da macrorregi?o. Esse tipo de atendimento al?m de desafogar os grandes centros urbanos permite ao servi?o local o acolhimento e o acompanhamento humanizado, o que pode ser revertido em indicadores confi?veis e a ades?o ao tratamento. Quanto ? avalia??o do funcionamento do SAE/CTA, esses centros constituem um conjunto de servi?os heterog?neos e as diretrizes que norteiam a implanta??o dos servi?os n?o est? plenamente em funcionamento, o que pode refletir nos baixos indicadores de resolubilidade e produtividade. Conclus?o - A investiga??o da distribui??o espacial dos pacientes HIV/Aids revelou que as vari?veis faixa et?ria, sexo e munic?pio e microrregi?o de origem s?o consistentes e permitem esta visualiza??o, enquanto as demais, em especial ra?a/cor, escolaridade e categoria de exposi??o ainda necessitam de melhorias no preenchimento das fichas cl?nicas e na completude dos campos do SINAN. Quanto ? concord?ncia entre os dados do SINAN e SAE/CTA, o estudo verificou que esta ocorre parcialmente, uma vez que se est? trabalhando com bases distintas, cada uma com caracter?stica peculiar, no decorrer da trajet?ria de longos anos da doen?a e do servi?o. A qualidade das informa??es precisa ser aprimorada, caso contr?rio corre-se o risco de implementa??o de a??es de controle, sem que o seu impacto sobre a resolu??o do problema possa ser avaliado com base em evid?ncias. A produ??o dos mapas tem?ticos contribuiu na visualiza??o dos indicadores estudados, o que nos leva a recomendar o uso do SIG na sa?de em qualquer regi?o de abrang?ncia e cobertura. Para um servi?o de boa qualidade no SAE/CTA, s?o imprescind?veis ainda investimentos na educa??o permanente para gestores e t?cnicos, como por exemplo, para uso de ferramentas modernas. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2013. / ABSTRACT The crossing of the information from the Information System for Notifiable Diseases (SINAN), with the ones from Specialized Care Service (SAE) where the Counseling and Testing Center (CTA) of the Acquired Immunodeficiency Syndrome (Aids) operates, with the production of thematic maps using the Geographic Information System (GIS), are still a challenge for local and regional administrations and require more detailed studies. Objective ? To understand how works the Testing and Counseling Center (CTA) of Diamantina, with focus in the spatial distribution of patients that were followed by this service during 1996 to 2012 period. Methodology - This is a transversal study, which has an evaluative character, with descriptive analysis. The health micro-regions of Diamantina and of Minas Novas/Turmalina/Capelinha have their seat in Diamantina, located in Alto Vale do Jequitinhonha (Minas Gerais), which is a reference to HIV/Aids. We used HIV/Aids records from 1996 to 2012. The information from SINAN and from SAE/CTA clinical records were tabulated and analyzed using the Microsoft Office?, Excel, and ArcGIS ? (Version 9.2) for maps production. Results - The population of micro Diamantina consists of 166 961 inhabitants and of micro Minas Novas/Turmalina/Capelinha consists of 119 551 inhabitants, totaling together 286 512 inhabitants. The prevalence of HIV/Aids in relation to the total population: in CTA 112 cases with the rate at 39.09% 100,000 habitants and in SINAN 148 cases with 51.65% /100,000. The data for the prevalence of the disease are discordant for the two micro-regions. In the variable race/color (white/black/brown/ignored), the most frequent was the ignored. Discussion - The SAE/CTA, on a regional way, has to bring functionality to the residents of the macro-region. This type of care, in addition to unburden the big urban centers, allows to the local service an humanized reception and monitoring, which can be reversed in reliable indicators and adherence to treatment. As for the evaluation of the functioning of SAE/CTA, these centers are a set of heterogeneous services and the guidelines for implementation of the services are not fully functioning, which may reflect in the low resolution and productivity indicators. Conclusion - The investigation of the spatial distribution of HIV/Aids patients revealed that the variables age, sex and city and micro-region of origin are consistent and allow this view, while the others, especially race/color, education and exposure category still require improvements in filling out of clinical records and in completing SINAN fields. Regarding the agreement between SINAN and SAE/CTA data, the study found that it occurs partly, because different bases are being used, each one with a singular characteristic, during the course of long years of the disease and the service. The quality of information needs to be improved, otherwise control actions can be implemented without their impact on the resolution of the problem can be evaluated based on evidence. The production of thematic maps contributed to the view of the indicators studied, which leads us to recommend the use of GIS in health in any region of scope and coverage. For a good quality service in SAE/CTA, investments in continuing education for managers and technicians are still essential, for example, for the use of modern tools.