No imediatismo da vida profissional, os desafios da sobrevivência somados à legítima motivação pela realização das ambições individuais e aos inúmeros outros ímpetos que se espraiam na normalidade dos comportamentos diários; tudo isso, às vezes, acaba comprometendo nossos esforços interpretativos e nos fazem deixar de lado justamente os aspectos mais fundamentais de algumas questões sobre as quais nos debruçamos e emitimos algum julgamento.

This study aimed to assess the socio-demographic and clinical profile of urogynecologic outpatients of a public tertiary hospital in Fortaleza, Ceará. This is a cross-sectional study whose sample consisted of 85 women with pelvic floor dysfunction. The age ranged from 27 to 86 years old (mean: 53.8±14.2). Most patients were married (54.9%), weren’t working formally (40.0%) and didn’t smoke (82.4%). Approximately half was in postmenopausal period (48.2%). Most of them were multiparous (89.4%) by vaginal delivery (92.9%). The main complaint reported was urinary incontinence (74.1%), and mixed urinary incontinence (MUI) was the most frequent (60.0%). Over half of the patients also had pelvic organ prolapse (75.3%), and the most common defect was from the anterior vaginal wall (55.3%). The majority (57.6%) had some form of anorectal dysfunction: constipation (40%), tenesmus (37.6%), fecal incontinence (16.5%). Most of the patients lost urine several times a day (57.3%), with impact on quality of life. The risk factors found are in agreement with literature data, as well as the prevalence of MUI. Given the concomitant disorders, it’s important to address all pathologies, because they are prevalent conditions with medical, social, psychological and economic implications.

The audit in the SUS searchers the effectiveness and quality in the actions and healt services given to the population. Although the multiprofessionalism in such activity is recognized nationally, there are categories such as Physiotherapists that not work in the teams, this service being audited by professionals non-technical. Soon, gives credit that this can cause fragilities in the control of the resources and quality of the Physiotherapy services given to the users. This study it had as objective to identify the main difficulties encountered by auditors of the SUS in the services of Physiotherapy in the Bahia State. It is a study of transversal with a convenience sample of 40 auditors of the SUS, trough a semi-structured questionnaire. There are difficulties found had demonstrated a direct relation between the technician knowledge auditor and better or worse performance in the process of auditing of the Physiotherapy, translates the relevance the physiotherapist on audit of team the SUS, since this is the professional who dominates the knowledge technician of the area .

Introduction: The rise of the Human Immunodeficiency Virus - HIV has changed the clinical and epidemiological profile of tuberculosis - TB, increasing morbidity and mortality. About 5.6 million people worldwide are coinfected, 350,000 in Brazil. Objective: To identify the incidence rate of coinfection TB/HIV in Federal District (FD), relating it to social indicators. Methodology: A quantitative, observational, retrospective and socioeconomic study. The sample consisted of 46 patients with coinfection TB/HIV in the Federal District in 2007, according to information obtained from the Information System for Notifiable Diseases of FD. Results: The highest rates occurred in Varjão (14.49) and Paranoá (8.49), which possess Human Development Index (HDI) lower than the Federal District’s average. Asa Norte and Cruzeiro, which have high HDI, also showed a high incidence rate of TB/HIV. The highest rates were among those with low education. There is greater involvement of the male population (78%), especially the ones around 20-39 years. Conclusion: Areas of high HDI showed a coefficient of coinfection greater than the FD’s, which indicates the possible spread of these diseases to higher social segments. AIDS has brought another level to tuberculosis, leading to the need for studies and interventions covering all segments of society.

This study aimed to determine what were the health problems that the Municipal Park in Long Pond Aquidauana - MS faces. Before this proposal sought to provide subsidies for the management and conservation management of this unit is to identify the points of pollution, analyze the water quality of the study site and to rank them according framing certified standards with the idealization of tools as support for management and administration. As for the idea that this conservation unit never came to pass, and there was discharge of sewage "in natura" in its waters, and favored increasing contamination by solid and liquid waste resulting from the urbanization of its surroundings. And still be considered one of the main tourist attractions and recreational services for the local population this issue deserved attention of municipal administrative staff, research institutes, environmental control and general population. So held health diagnosis and identified the points of pollution, analyzed the quality of its waters through methods like electrometric, the titration. It was evident that urbanization occurs when disorderly cause environmental degradation. For this fact the Long Pond Park suffers from solid waste disposal, both domestic and construction and pruning of trees beyond the influence of the open sewer. Data for pH, DO, water temperature were collected in situ by multiparameter probe Hanna NI 9828 and turbidity was obtained by turbidimeter Alkafit bench. Analysis of Nitrate, Nitrite, Total Nitrogen, Total Phosphorus were performed by the spectrophotometric method. The diagnosis of health of the Lagoon Nature Park Municipal Long proved valuable because it gave grants to a discussion of what is contaminating the park and saw useful tools for future development of a management plan.

The objective of this study is to analyze the impact of the Master Plan for Primary Health Care (PDAPS) in everyday health care, according to the vision of municipal managers. This is a qualitative approach and its theoretical and methodological dialectics, research scenarios were six municipalities that had different population groups and the instrument used for data collection was an interview with screenplay semi-structured with managers and professionals Attention primary health care. The results indicate that the qualification of Attention primary health care was presented by managers through the perception changes after deployment process PDAPS. The reorganization was due to the incorporation of tools, such as mapping, host, local programming, protocols and clinical guidelines to standardize processes, actions and behaviors in Attention primary health care. In addition to incorporating tools, there is the qualification of professionals, empowering them as transformers do in health. We conclude that the greatest impact of the deployment of PDAPS refers to the knowledge and use of tools, for an existing Attention primary health care with better health indicators and solving the greatest assistance.

This study emphasizes the importance of good assistance and hosting for the parturients, particularly in adolescence, and to understand the adolescent postpartum women’s perceptions about the assistance of the nursing staff in a parturition room after the labor at a public referral hospital in Feira de Santana, Bahia. This is a qualitative descriptive study made through semi-structered interviews with seven puerperals during the first five hours postpartum in october 2008. The data were analyzed using the content analysis methodology. The results showed that the assistance provided to the puerperals was based on the technicist model and thus, the host and humanized care were neglected by the health professionals. It is necessary a reflection about the humanized care and the attitude currently adopted for a better understanding of the condition and human needs.

This is a study which aimed to map, in Valadares’s printed media – Journal Diário do Rio Doce (DRD), the images of adolescents involved in violent events as the victim and / or transgressor, in urban Governador Valadares - MG during the period January to December 2010. The method used was descriptive and exploratory, including the combination of qualitative with quantitative descriptions, from the analysis of previously defined categories and of the literature concerning the matter at hand. The types of violence were classified according to the Event Logs of Social Defense and their places of occurrence distributed in the respective Integrated Areas of Public Safety (IAPS). The images reflect a higher incidence of male adolescents of 16 years of age, with 36% in the victim category and 27% in the transgressor category, involved in events of type, urban and deadly: drug trafficking in the transgressor category (47%) and homicide in the victim category (34%). Of the 48 districts mentioned in the reports, 36% of them belong to the 95 IAPS. Actions to reduce and prevent damage in this age group constitutes challenging tasks for health’s professionals.

Objective: To evaluate the quality of life of hypertensive patients enrolled in a Family Health Strategy. Method: Analytical cross. Data collection was performed by using two questionnaires, one being the Minichal-Brazil, and the other on the clinical and socioeconomic aspects of the patient. Results: The majority of patients were women, aged over 40 years, earning up to three minimum wages and elementary and middle school level. Of the respondents, 62.50% had normal blood pressure and 83.00% correctly reported following treatment. At comorbidities were dyslipidemia (35.10%), overweight (47.00%), obesity (28.19%) and diabetes (22.52%), and 74.34% reported a family history of cardiovascular disease. It was observed that sex, blood pressure and correct treatment showed influences the quality of life of hypertensive patients (p<0.05). In contrast we did not observe an association with quali of life variables: monthly income (p=0.0377), education (p=0.5011), family history (p = 0.6309), time since diagnosis (p=0.1317) or the fact consume no alcohol or smoking (p=0.1508), comorbidity (p=0.3460), age (p= 0.1253) and BMI (p= 0.5829). Conclusion: We found that patients who presented alone variables: female gender, uncontrolled blood pressure and non-adherence to treatment showed lower level of quality of life.

The study aimed to analyze the implementation of the Nursing Care System (NCS) in the ICU - Neonatal Hospital Regional de Cáceres Dr. Anthony Fontes - HRCAF. This is an exploratory qualitative approach with descriptive profile of the case study. Data were collected through interviews with five nurses from ICU - Neonatal, using as research instrument, a questionnaire containing open and closed questions and analyzing a chart. The results showed that nurses know and realize the importance of NCS as a methodological tool that guides the practice of care and as professional recognition, although not held by all. The analysis of the records showed that there Systematization of Nursing Care at this clinic. Of the 707 days analyzed records there were only 30 (4.25%) Nursing Research, none (0.0%) record Diagnosis and Planning, 57 (8.26%) days with record Deployment, Assessment and 23 record (3.24%) in which its registered nursing care, assistance totaling 15.55% recorded in medical records. With the completion of this study, it was noted that the SAE often becomes impossible in practice of nursing because of various difficulties such as lack of time, lack of human resources, work overload, and the generic form organizational structure.

Objective: To analyze the knowledge of the preparation of the breast and breastfeeding (BF) of postpartum women in St. Louis Hospital in the city of Cáceres, southwestern state of Mato Grosso. Methods: This is cross-sectional a quantitative and qualitative study, conducted with 25 mothers in the obstetrical clinic of the St. Louis Hospital. Participants were considered the mothers older than 18 years admitted to hospital during the collection period, who agreed to participate. We applied a semi-structured collection, containing open and closed questions, during the months of September and October 2010. Results: The mothers had a mean age of 25 years, 56% and 80% were cohabiting home, the majority (44%) had incomplete primary education. Almost all (96%) underwent prenatal care with an average of six visits, the number recommended. However, 60% did not receive counseling about breastfeeding during prenatal care. 20% of mothers had difficulty breastfeeding, 60% of these were secundiparous. Most (76%) said it is important to prepare the breast for breastfeeding. Among those who had had breast care, only 10% had difficulty breastfeeding. The support in the management of breastfeeding was found that 64% of the total counted with the aid, with 43% of the support out from a professional nurse. Conclusion: explicit is the need for nursing professionals to be persistent in health education activities, aimed at improving the educational prenatal returned to the clinical management of breastfeeding, so that the target audience, the woman-mother-nurse and her family, are achieved.

Exploratory study of qualitative research with descriptive profile of the type Case Study. General Objective: analysis of the implementation of the Nursing Care Sistematization (SAE) in the Neonatal Intensive Care Unit (NICU) of the Regional Hospital in Cáceres, Mato Grosso. Data were collected through interviews, totaling five professional nurses from Neonatal Intensive Care Unit. Utilized questionnaire containing open and closed questions and analysis of 1 record. The results showed that nurses operationalize, know and realize the importance of SAE as a methodological instrument that guides the practice of care and as professional recognition, but the practices of this process were not with their phases interrelated and there was a lack of coherence of the prescribed actions with patient health status. By analyzing the medical records was observed that of 707 analyzed days there were only 30 records of research nursing or 4.24% of care toward this phase, 0% diagnostic and planning, 57 days implementation or 8.26%, and evaluation there were 23 days or 3:24 % in which the nursing registered their care, totaling 15:55% of assistance registered in medical records.

The main objective of the research was to know the perception related to quality of life from Pharmacy undergraduate students from University of Brasilia, Brazil. An observational and cross-sectional study was conducted with data collection by individual interviews. A specific questionnaire was prepared to know the social-demographic, academic and health characteristics of the participants. For the quality of life evaluation was used the World Health Organization Quality of Life (WHOQOL–bref). Were included 50 students (33 women and 17 men), distributed in all semesters of the course. Statistical analysis carried out included descriptive analysis of frequency, central tendency and dispersion, and inferential analysis of comparison between domains. The results pointed out that the students evaluation related to their quality of life was divided between two poles. The highest average score occurred in the physical and social relations and the lowest were the psychological and the environment domains. The facets which showed worse performance are closely related to success in learning and academic activities, which would influence negatively the student’s quality of life.

Adverse events for drugs (AED) is a public health problem worldwide, many are due to undesirable drug interactions and preventable nature. This descriptive study aimed to characterize the profile pharmacotherapy and to identify drug interactions (DIs). It was analyzed 110 prescriptions of the patients with age of one to 12 years, in a teaching hospital of Brasilia, Federal District, from October 2005 to February 2006. It found the record of 292 medicines, mainly from the class of the nervous system (37.7%), prevailing prescriptions with up to five drugs (67.3%). It found prescription drugs unapproved and unauthorized for pediatric use. We identified six potential DIs and degree of moderate severity (66.7%). The time of drug administration follows a pattern at 6 am, 12 am, 18 pm and 22 pm, disregarding possible DIs. Knowing the profile pharmacotherapy involving the pediatric patient is extremely important for the prevention of avoidable AAM, such as unwanted DIs.

Quantitative exploratory-descriptive study in order to identify and analyze the profile of children (zero to five years) seen at the Emergency Department at Clinical Hospital, Federal University of Uberlandia, by sex , age, reason for seeking, conduct and fate of children during January to June 2009. For data collection, we used data obtained through 722 sheets of Care Emergency Room. To systematize the data collected, we used a database in Excel software. 38,2% of children were younger than 1 year. 55,4% were male. The main reasons for seeking treatment were: diseases of the respiratory system (30,7%), diseases of the digestive system (14,7%), signs and symptoms (10,8%), diseases of the snowy (5,7%), perinatal (5,4%) and external causes (5,1%). Drew attention to the percentage (0,7%) of sexual abuse. 52,9% of children attended required hospitalization, while 46,8% were treated and discharged. We conclude that, although most children were in need of tertiary care, there were many cases of preventable and avoidable causes of shares of primary care.

The surgery is a tissue damage that even well directed, can impair tissue function Physiotherapist Dermato Functional fitting to act with all available resources to minimize these changes being a strong contributor both pre and postoperatively. The study included 16 Doctors Plastic Surgeons working in Florianópolis - SC, Brazil, to which was applied a questionnaire to identify the incidence of plastic surgery, knowledge and recognition of dermato functional physical therapy postoperatively. It was found that, as in literature surgeries to enlarge breasts lead the ranking of plastic surgery. Furthermore, it was concluded that physicians not only understand the importance of physiotherapy dermato functional, but also refer their patients to treat postoperative physical therapy valuing employees and recognizing them as important in the rehabilitation process of his patients.