Trata-se de um estudo que teve como objeto as incapacidades definitivas para o serviço na Marinha do Brasil com o seguinte problema de pesquisa: quais as causas das incapacidades definitivas para o serviço na Marinha do Brasil, no 1 Distrito, nos períodos de cinco e dez anos de vigência do Programa de Atenção às Doenças Profissionais (PADP)? Considerando o interesse na temática e a especificidade do objeto de estudo selecionou-se como objetivo geral: discutir as incapacidades definitivas para o serviço na Marinha do Brasil, no período de cinco e dez anos após a implantação do PADP no 1 Distrito. E, como objetivos específicos: analisar o perfil dos militares considerados incapacitados para o serviço, na área do 1 Distrito da Marinha do Brasil, no ano de 2005 e no ano de 2010; identificar as incapacidades definitivas para o serviço na Marinha do Brasil no ano de 2005 e 2010 ocorridas no 1 Distrito e; propor adequações ao PADP baseadas no resultado deste estudo. Baseou-se no modelo de pesquisa não experimental, retrospectivo e documental. Foi utilizada como técnica de trabalho a abordagem quantitativa e descritiva, através de um estudo documental dos registros de incapacidades definitivas para o serviço ocorridas no 1 Distrito da Marinha do Brasil no ano de 2005 e no ano de 2010, respectivamente 05 e 10 anos após a implantação do PADP. O local do estudo foi o Centro de Perícias Médicas da Marinha (CPMM), estrutura organizacional central do Subsistema Médico Pericial, situado no Complexo do Hospital Central da Marinha. Os dados foram coletados durante os meses de julho e agosto do ano de 2011, no Sistema Informatizado Naval de Inspeções de Saúde (SINAIS), não sendo realizado qualquer contato com os militares considerados incapacitados para o serviço, que fizeram parte deste estudo. Utilizou-se um formulário fechado para o registro dos dados que posteriormente foram digitalizados e computados por meio de análise percentual, utilizando-se o programa Microsoft Excel 2007. Posteriormente, foram demonstrados em tabelas e gráficos, sendo discutidos à luz do referencial teórico da Saúde do Trabalhador e sustentado por bases conceituais. Para melhor apresentação dos dados, estes foram organizados a partir dos seguintes temas: perfil dos militares considerados incapacitados para o serviço na Marinha do Brasil, as principais incapacidades e suas correlações com o trabalho e, propostas ao Programa de Atenção às Doenças Profissionais da Marinha. O estudo viabilizou sugestões de melhorias na aplicação do PADP, visando à redução do número de casos de incapacidades para o serviço na Marinha do Brasil. / The main goal of this dissertation is to study the permanent disability for service in the Brazilian Navy, with the following research problem: what are the causes of permanent disability for active service in the Brazilian Navy, 1st District, 5 and 10 years after the implementation of the Occupational Diseases Attention Program? Considering the interest on the theme and the specificity of the object of study, the main goal is: to discuss the permanent disabilities for service on the Navy of Brazil, five and ten years after the implementation of the Health Program in the 1st the District, with the following objectives: to analize the profile of the military considered disabled for service, on the Brazilian navy, 1st district on the years of 2005 and 2010; identify the permanent disabilities for active service in the Brazilian Navy in 2005 and 2010 occurred in the 1st District, to propose adjustments to the program based on the results of this study. It was based in a documental and non-experimental research model. The technique used was the quantitative and descriptive approach, developed through the documental study of the incapacity for service registers, on the Brazilian Navy, 1st District in the years of 2005 and 2010. The study site was the center of the Centro de Perícias Médicas da Marinha (CPMM), main organizational structure of Medical Pericial Subsystem, located in the Central Hospital of the Navy. Data were collected during the months of July and August of 2011, the Naval Computerized Health Inspection (SINAIS), not being made any contact with the military considered unfit for service. We used a closed form for recording the data that were later digitized and computed in order to analyze percentage of causes, using the Microsoft Excel 2007. Then they were shown in tables and graphs, and discussed under the light of the theoretical background of Occupational Health and supported by a conceptual basis. For better presentation of data, these were organized based on the following topics: Profile of the military considered disabled for the service on the Brazilian Navy, the main disabilities and their correlation with the work and, proposals to the Program for the Navy Occupational Diseases. The study enabled the detection of possible points of action of PADP and feasible suggestions for improvements in the implementation of this program, aimed to reducing the number of cases of disability for the service on the Brazilian Navy.

Made available in DSpace on 2014-06-11T19:24:49Z (GMT). No. of bitstreams: 0 Previous issue date: 2003-11-21Bitstream added on 2014-06-13T20:32:17Z : No. of bitstreams: 1 cardia_e_me_bauru.pdf: 1709549 bytes, checksum: 1aa81857d060ccff7da6d8f0ecedb981 (MD5) / Apresentam-se as condições em que se desenvolve, em vinte e sete escolas públicas do município de Bauru, no âmbito do ensino de biologia e programas de saúde, a transmissão de conhecimentos relativos à prevenção do uso indevido de substância psicoativas. Estas condições referem-se ao cabedal de conhecimentos de que dispõem os professores, como fruto dos cursos de graduação, os conteúdos de aprendizagem tratados em sala de aula, as questões polêmicas que mais frequentemente surgem durante o ensino do tema e as atitudes adotadas pelos docentes no enfrentamento destas questões, como o objetivo de conhecer as repercussões de todo esse contexto no preparo dos estudantes para atuarem socialmente, dentro de um sentido de cidadania plena. Integra o trabalho um conjunto de conteúdos de aprendizagem, que embora destinado aos professores de biologia, não descura da interdisciplinaridade, visando a um processo de ensino/aprendizagem em sentido amplo e com repercussões positivas na vertente social / This research presents the conditions in which the dissemination of knowledge concerning the prevention of improper use of psychoactive substances is developed in twenty-seven public schools in the city of Bauru, in the field of biology and health programs teaching. Such conditions are related to the fund of knowledge the teachers have, as a result of undergraduate courses, learning contents dealt with in the classroom, polemical issues which arise most frequently during the subject teaching and the attitudes adopted by the teachers to face these issues. Our purpose is to know the repercussions of this context in the formation of the students to act in society, in a sense of full citizenship. It is part of the research a set of learning contents that even though is intended for biology teachers does not neglect interdisciplinarity, aiming at a process of teaching/learning in a broad sense and with positive repercussions in the social bias

Trata-se de um estudo de abordagem qualitativa sob a perspectiva socioantropológica, que teve como objetivo interpretar os significados do Programa de Ostomizados para os estomizados intestinais e familiares, em um município do interior paulista. Foram entrevistadas catorze pessoas, entre estomizados intestinais e familiares, com experiência de cadastramento no Programa de Ostomizados. A coleta de dados ocorreu no período de dezembro de 2010 a janeiro de 2011, na residência dos informantes. Utilizou-se o referencial metodológico do estudo de caso instrumental, do método do relato oral, com entrevista semiestruturada em profundidade, apreendendo-se os significados do Programa de Ostomizados para estes informantes, por meio da análise de conteúdo indutivo. Foram decodificados dois núcleos de sentidos denominados de \"Estomizado intestinal: busca e superação de barreiras para a resolução do problema de saúde\" e \"Cadastramento e atendimento no Programa de Ostomizados e mudanças na vida de pacientes e familiares\". A partir destes, construimos três núcleos temáticos: \"Estomizado intestinal: da acessibilidade aos serviços de saúde à concretude de sua condição\"; \"Assistência ao estomizado intestinal no Programa de Ostomizados\"; e \"Programa de Ostomizados: intermediação da identidade e da vida do estomizado intestinal e da família\". No primeiro núcleo temático interpretamos as dificuldades enfrentadas pelos estomizados intestinais no itinerário em busca da definição do diagnóstico, da internação e cirurgia, da assistência hospitalar e do encaminhamento para o Programa de Ostomizados. No segundo tema emergiram como principais aspectos o direito à aquisição de equipamentos e o aprendizado do autocuidado, a focalização da reunião bimestral como a principal estratégia, bem como a sua importância para os entrevistados. No terceiro tema abordamos a condição de ser estomizado intestinal como o principal foco de preocupação inicial, que ao longo do processo é substituído pelo direito de aquisição de bolsas coletoras, considerada condição imprescindível para a manutenção da vida cotidiana. Os significados do Programa de Ostomizados são construídos pelas experiências individuais, familiares, de acessibilidade e atendimento no sistema de saúde, das relações com os profissionais, além do acesso aos equipamentos, constituindo-se em um espaço cotidiano de reconquista da sua normalidade e de direito de cidadania. Acreditamos que este estudo poderá subsidiar o planejamento da assistência prestado a essa clientela, principalmente no que tange ao contexto vivido por essas pessoas, as dificuldades e as possibilidades, com ampliação do alcance de resultados neste Programa. / This qualitative and socio-anthropological study aimed to interpret the meanings of the Ostomy Program for ostomates and family members in a city of the interior of the state of São Paulo, Brazil. Fourteen people were interviewed including ostomates and family members, with the experience of registration in the Ostomy Program. Data collection occurred between December 2010 and January 2011, at the residence of the participants. It was used the methodological approach for instrumental case study of the method of oral reports, with in-depth semi-structured interviews, searching for the meanings of the Ostomy Program for these participants through inductive content analysis. Two groups of meaning called \"Intestinal ostomy: search and overcome of barriers to solving the problem of health\" and \"Enrollment and care in the Ostomy Program and changes in the lives of patients and families\" were decoded. From these, three thematic groups were identified: \"Intestinal ostomy patients: from accessibility to health services to the concreteness of their condition,\" \"Care to the intestinal ostomy patients in the Ostomy Program\", and \"Ostomy Program: mediation of identity and life of intestinal ostomy patients and family\". In the first thematic group, it was interpreted the difficulties faced by intestinal ostomy patients on the itinerary in search of definition of diagnosis, hospitalization and surgery, hospital care and referral to the Ostomy Program. In the second thematic group, the major issues were the right to acquire equipment and the learning of self-care, the focus of the bimonthly meeting as the main strategy as well as its importance to respondents. In the third thematic group, it was addressed the condition of being intestinal ostomy patient as the main focus of initial concern that throughout the process is replaced by the right to acquire collection bags, which was considered the essential condition for the maintenance of everyday life. The meanings of the Ostomy Program are built by the experiences of individuals, family members, and accessibility and care in the health care system, relationships with professionals, besides of the access to equipment, thus becoming an everyday space of reconquest of normality and right to citizenship. This study may help the planning of care provided to these clients, especially with regard to the environment in which these people live, the difficulties and possibilities, expanding the reach of this Program results.

Our ultimate goal as obstetric and neonatal care providers is to improve care for mothers and their babies. Continuous quality improvement (CQI) involves iterative cycles of practice change and audit of ongoing clinical care identifying practices that are associated with good outcomes. A vital prerequisite to this evidence based medicine is data collection. In Canada, much of the country is covered by separate fragmented silos known as regional reproductive care databases or perinatal health programs. A more centralized system which includes collaborative efforts is required. Moving in this direction would serve many purposes: efficiency, economy in the setting of limited resources and shrinking budgets and lastly, interaction among data collection agencies. This interaction may facilitate translation and transfer of knowledge to care-givers and patients. There are however many barriers towards such collaborative efforts including privacy, ownership and the standardization of both digital technologies and semantics. After thoroughly examining the current existing perinatal data collection among Perinatal Health Programs (PHPs), and the Canadian Perinatal Network (CPN) database, it was evident that there is little standardization of definitions. This serves as one of the most important barriers towards data sharing. To communicate effectively and share data, researchers and clinicians alike must construct a common perinatal language. Communicative tools and programs such as SNOMED CT® offer a potential solution, but still require much work due to their infancy. A standardized perinatal language would not only lay the definitional foundation in women’s health and obstetrics but also serve as a major contribution towards a universal electronic health record. / Medicine, Faculty of / Obstetrics and Gynaecology, Department of / Graduate

The purpose of this study is to determine what facilities are needed and what changes in the present course of study in physical education of the schools of Wise County must be made in order to carry out an enriched program, functioning for the entire student population. The facilities of the present, the teaching procedure, the administration of physical education, and the latest proposed programs in this field will be considered. It is hoped that a study of this kind will be of value to the curriculum builder in the small or rural schools.

Many companies in the private sector have established workplace health promotion programs (WHPP) that enhance employee health, engagement, and performance. Employee participation is voluntary and usually low, which limits the health effectiveness of WHPP. Further, the influence of implicit factors such as attitudes, health self-perceptions, or job satisfaction is not well understood. The purpose of this study was to addresses the problem of low employee participation in WHPP and to contribute to an understanding of wellness in the workplace. The theoretical framework was the theory of attitude-behavior consistency and models of expectancy-value. The research was designed as a quantitative cross-sectional study that used the Wellness Evaluation of Lifestyle instrument. Research questions examined the influence of psychosocial and demographic variables on employee participation in WHPP. The survey was administered as an online self-assessment. The questionnaire was completed by 115 members of 3 professional networking groups. The respondents were based in Silicon Valley, California, and employed for at least 1 year by a company with WHPP. Statistical analysis with an independent-samples t test, partial correlation, and standard multiple regression indicated no significant association between gender and WHPP participation and no statistically significant relationship between psychosocial variables and WHPP participation in men and women, controlling for age. Data showed statistically significant positive correlational relationships among several variables. The study contributes to the literature on health behavior in the workplace by providing a theory-based approach to analyzing personal and attitudinal variables of WHPP participation.

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Made available in DSpace on 2016-08-10T10:54:59Z (GMT). No. of bitstreams: 1 MARIA APARECIDA MACHADO DOS SANTOS.pdf: 1031356 bytes, checksum: 7dd486752827a33319703c5ef20032cd (MD5) Previous issue date: 2015-08-14 / The implementation of public policies and attention to women s health has been the subject every year large and complex discussions with important contributions to the process of transforming the paradigm of women s health. Thus through the women s health policies, there was a survey of women s health policies implemented in Brazil and particularly in the State of Goiás. The objective of this study was to prepare a survey of public policy women s health, implemented in Brazil and particularly in the State of Goiás and analyze the situation of women s health across the public policies of health implemented. Data and information obtained were recorded in tables, graphs and the results were presented and interpreted having as reference the theoretical foundations and the reality of women s health. It was found that the health care of women is worrying as it has been made by means of individual goals and disjointed actions do not favor full access in the basic health network. One of the factors that increase the morbidity and mortality of women are lack of effective public policies among many other diseases presenting a high index of mater nal mortality. With regard to the demand of women to health services was found that the policies for assistance to women during pregnancy and puerperal period will significant membership and presents a deficit in the quality of care in other important areas. It presents a fragmented way, based on health actions and disjointed from state health departments, making it difficult to assist the female population. We conclude that in Brazil and Goiás comprehensive care recommended by the National Health System is not actually contemplated, considering that the health system has difficulty in attending women in specific areas such as menopause, infertility and mental health among others . Missing the execution and implementation of a comprehensive and integrated public policies formulated by the State Council of Women, State Secretaries to work together to meet the woman throughout its segment be it social, cultural, political and professional. / A implementação de políticas públicas de atenção à saúde da mulher tem sido alvo a cada ano de amplas e complexas discussões com contribuições importantes para o processo de transformação do paradigma da saúde da mulher. Desse modo, realizou-se um levantamento das políticas de saúde da mulher implementadas no Brasil e particularmente, no Estado de Goiás. O objetivo deste estudo foi elaborar um levantamento das politicas públicas de saúde da mulher, implementadas no Brasil e particularmente, no Estado de Goiás e analisar a situação da saúde da mulher frente as politicas públicas de saúde implementadas. Os dados e informações obtidos foram registrados em tabelas, gráficos e os resultados foram apresentados e interpretados tendo como referência os fundamentos teóricos e a realidade da saúde da mulher. Constatou-se que a assistência à saúde da mulher é preocupante, pois tem sido efetivada por meio de metas isoladas e ações desarticuladas não favorecendo o pleno acesso na rede básica de saúde. Um dos fatores que aumentam a morbimortalidade das mulheres são a falta de políticas públicas eficazes apresentando entre tantos outros agravos um elevado índice da mortalidade materna. No que se refere à demanda das mulheres aos serviços de saúde constatou-se que as políticas voltadas para à assistência à mulher no período gravídico-puerperal á uma adesão significativa e apresenta um déficit na qualidade do atendimento em outras áreas importantes que se apresenta de forma fragmentada, fundamentada em ações de saúde e desarticulada entre Secretarias Estaduais de Saúde, o que dificulta a assistência à população feminina. Conclui-se que no Brasil e em Goiás a integralidade da assistência preconizada pelo Sistema Único de Saúde não é efetivamente contemplada, tendo em vista que o sistema de saúde apresenta dificuldades em assistir a mulher nas áreas específicas como climatério, infertilidade e saúde mental, entre outras. Faltando execução e implementação de forma ampla e integrada das políticas públicas formuladas pelo Conselho Estadual da Mulher, Secretárias Estaduais a trabalharem em conjunto para atenderem a mulher em todo seu segmento seja ele social, cultural, político e profissional.

Nine physiological measures were evaluated pre- to post-intervention on subjects participating in a university health promotion program over a seven-month period. Frequency of program attendance and choice of activity were also assessed. Of the 88 employees initially screened, most of the subjects were staff members (n=82, 93%),with a majority being female (n=68, 77%). Significant differences in physiological measures were found pre- to post-intervention between "higher" and "lower" cardiovascular risk participants, primarily due to the type of activity chosen. .The results indicate that health promotion programs at a university are an effective way to have an impact on employees in reducing their cardiovascular risk factors.

Orientador: Cristina Garcia de Lima Parada / Banca: Cátia Regina Branco da Fonseca / Banca: Sandra Marisa Pelloso / Resumo: Avaliou-se a qualidade da assistência pré-natal e comparou-se dois modelos de atenção básica à saúde: tradicional e estratégia saúde da família. Estudo epidemiológico e transversal, analisou a estrutura e o processo da atenção, tendo como fonte de dados entrevistas com gerentes das unidades, observação dirigida realizada pela pesquisadora e avaliação de 282 prontuários amostrados. Para análise estatística foi utilizado o software estatístico Epi-Info 6.0. A descrição da estrutura e processo de assistência pré-natal desenvolvido foi realizada por meio da apresentação das frequências das variáveis estudadas. A comparação estatística sobre o processo da assistência foi realizada a partir do teste qui quadrado (x²), fixando o nível de significância ά=0,05, com cálculo dos respectivos odds ratio e intervalo de confiança (IC=95%). Para avaliação das unidades individualmente foi criado sistema de escore, contendo 10 indicadores de qualidade do atendimento. Como referenciais teóricos para análise dos dados, foram utilizadas políticas públicas de saúde, especialmente o Programa de Humanização do Pré-natal e Nascimento e o Manual de Atenção Pré-natal da Secretaria de Estado da Saúde de São Paulo. Na avaliação de estrutura observou-se que as Unidades estão bem equipadas de consultórios, materiais e instrumentais, que estão disponíveis todos os exames preconizados, assim como a grande maioria dos medicamentos essenciais aos cuidados das gestantes e que nas USF está mais incorporado o atendimento de enfermagem. Quanto ao processo da atenção pré-natal, houve diferença estatisticamente significativa entre os serviços para as variáveis: cobertura de exames do 3º trimestre, história clínica completa, orientação... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: It was evaluated the quality of the prenatal assistance program and compared the health models of basic attention: traditional and Family Health Strategy. An epidemiological and transversal study analysed the structure and the process of attention, using as source data interviews with the units managers, observation made by the researcher and evaluation of 282 sampled records. For satystical analysis it was used the the software Epi-Info 6.0. The description of the structure and the process of prenatal assistance developed was carried out through the presentation of the frequence of variables studied. The statystical comparison about the assistance process was made from the qui-square test (x²) setting the level of significance ά=0,05 calculating the respective odds ratio and confidence interval (CI=95%). In order to evaluate the units individually, a scoring system was created, containing 10 qualitative indicators of the service. Public health policies were used as theoretical references for data analysis, specialy The Humanization of Prenatal care and Childbirth Program and the Prenatal Attention Manual of the State Secretariat of Health of São Paulo. During the evaluation of units, it was observed that they are well supplied with medical offices, materials and devices, that all the recommended exams are available as well as the great majority of essential medicines for pregnant care; and that the nursing assistance is more incorporated at the FHU. Regarding the prenatal care process, there was statistical significant difference among the services for the variables: third quarter examination coverage, complete medical history, nutritional orientation, warning signs during the term, dental care, verification of uterine height, prescription of ferrous sulphate, where the performance of the FHU was better. The beginning of... (Complete abstract click electronic access below) / Mestre