Repositório RCAAP

The knowledge about the cultural and familiar view of accidents with burns in children allow to contribute the creation of strategies that value not only the cure of the sickness, yet conditions of prevention of new accidents with children, but also to promote conditions of dialogue between family and health professionals essential to humanization in Burn Specialized Centers. This study had as objective to understand as the beliefs, values and style of life of the families influence in the care of children victims of burns intern in a Burnt Treatment Center, in Fortaleza, Ceará; and characterize families of burnt children intern from April to August of 2008. It is an ethnographic approach accomplish in a Hospital Institution of Urgency and Emergency, where there is a Burnt Treatment Center in the city of Fortaleza-Ceará from April to August of 2008, which has as key informers the families of burnt children. The whole collect and analysis process was based in ethnonursery proposed by Leininger (1991), to gather the data were made use of Observation-Participation-Reflection pattern (O.P.R.). In the data arrangement and analysis the Ethnonursery was the guide in the following stages: gathering information and documents; to cluster the storage data in the field day book; contextual or standard analysis and identification of main themes, discovery of research, theoretical formulations and warnings. From the ethnographic analysis sprout three cultural rules: 1) The child is very naughty, the families aim the curiosity of the children as the cause of the accident with burns, not knowing the stages of growing and development of the children, blame the infant for the burn. 2) She washed with water and brought to the hospital, the families think that to wash the burn with water is a way to render pleasant the pain of the burn and to forward the child to a hospital, to establish a way to offer a right care after the accident; 3) to watch more out for, it shows the significance to prevent other accidents with burns and to drive away children of the danger, as to take them away of the kitchen. It was perceived that mothers in spite of having their cultural knowledge, they learn a lot during the study, for as they have much uncertainty that day by day was enlightened and made them think about their behavior with their children. Therefore, we conclude that is essential the cultural approach of the professional to take care of children victims of burns and the Health Education must be available as strategies of welcome that consent the family and the child can feel safe

The World Health Organization (WHO) defines the age of adolescence as being between 10 and 19 years and the Statute of the Child and Adolescent (ECA) between 12 and 18 years. It is a stage of life that occur the sexual maturation, the fierce of family conflicts and formation and crystallization of attitudes, values and behaviors. Dealing with such situations requires of health teams an integrated approach, including the prevention of adolescent pregnancy. The national health policy for the adolescent, offers a basic guidelines to guide the implantation and / or implementation of actions and health services to adolescents and young people in integral, participatory and decisive way. Recognizes as a challenge the access of adolescents to quality services, with the understanding of the meaning and importance of economic, social and cultural fields that permeate the lives of this group. The study aimed to examine the practices of nurses in promoting health of adolescents, adopted in the Strategy of Family Health (SFH), aimed the prevention of teenage pregnancy. The method used was descriptive and exploratory, with a qualitative approach and had as investigative environment eight Family Health Centers (CSF) of the city of Fortaleza. The population consisted of nurses linked to the SFH, which the researched group consisted of eight participants. The technique used to collect data was the focus group and as a method of data analysis, the discursive practices and production of meaning in everyday life, having as resources, the maps of association of ideas. The results of the discussions were arranged in columns on topics and categories of analysis, previously defined as: Conception of health, Conception of health promotion and Practice / practices in the prevention of teenage pregnancy. The study points as a result the nurses concepts the health and health promotion between the traditional concept (prevention of the disease) and broader, based on health promotion and the planning of actions to promote the health of adolescents in the prevention of teenage pregnancy has been most often on campaigns, without focusing on the individual on its integrality; weakness in the organization of the reference and cross-reference system, the inter-sector actions are incipient, there is need to expand the knowledge, by the nurses, about public policies focused on the adolescent. The actions of health promotion permeate the nursing consultation and the activities in groups, emphasizing the reception and ethics as devices that help to foster an environment conducive to the health of adolescents. It is recommended that the guidelines proposed by the Health Policy of adolescent be strengthened, in the municipal level, in order to provide the nurse, conditions to promote inter-sector and interdisciplinary actions of sex education in the context of prevention of early pregnancy, which includes the family, school and community, contributing to the pursuit of a safer and more responsible sexuality

O objetivo do transplante de fígado é aumentar a sobrevida de pacientes portadores de doenças hepáticas irreversíveis agudas e crônicas, além de proporcionar melhor qualidade de vida. O interesse em prestar uma atenção em saúde mais qualificada ao paciente em espera pelo transplante de fígado nos instigaram a nos aproximar mais da realidade vivenciada por ele, considerando que a compreensão da situação vivida favorece uma assistência mais humanizada e individualizada, contribuindo, ainda, para a construção do conhecimento em enfermagem e para a transformação da prática do enfermeiro. Objetivamos apreender o significado do transplante de fígado para o paciente em pré-transplante, através da caracterização dos pesquisados nos aspectos sócio-demográficos e padrões clínicos; da identificação dos sentimentos, crenças, valores e atitudes vivenciadas; e da identificação de estratégias de enfrentamento para condição vivenciada. Pesquisa de abordagem qualitativa, tendo como referencial teórico-metodológico a Teoria Humanística de Paterson e Zderad. Participaram do estudo dezoito pacientes inscritos no programa de transplante de fígado e acompanhados no Centro de Transplantes de Fígado do Ceará – CTFC. Os dados foram coletados através de prontuários, observação não-participante e entrevista. A análise dos dados teve por base os preceitos do processo da Enfermagem Fenomenológica, utilizando quatro fases: a preparação para vir-a-conhecer os pacientes que aguardam um transplante de fígado, conhecendo intuitivamente os pacientes, conhecendo cientificamente os pacientes e síntese complementar das realidades conhecidas. Desse processo, emergiram as unidades temáticas com as categorias história da doença, sentimentos, enfrentando a condição vivenciada, significado, expectativas e percepção do futuro. Identificamos o termo “nova vida” como a unidade de sentido de maior significância para os informantes, designando um período diferente do que estão vivenciando atualmente e a necessidade de retornar suas atividades cotidianas e hábitos de vida relacionados à alimentação, educação, trabalho e lazer, resgatando assim sua autonomia e dignidade. O significado atribuído ao transplante foi desvelado não apenas como uma possibilidade de cura, mas a melhoria da qualidade de vida. Os pacientes revelaram o desejo de retribuir todo apoio recebido pela família durante esta fase crítica que vivenciam com a evolução da doença hepática. A insuficiência hepática irreversível é uma condição patológica de grande impacto na vida das pessoas, levando a necessidade de transplante de fígado como única possibilidade de reversão do quadro terminal, trazendo conseqüências diretas na qualidade de vida, com repercussões a nível biológico, psicológico e social. As transformações e limitações impostas pela condição crônica e pela necessidade de listagem para o transplante trazem a necessidade de adaptação a uma nova realidade, tendo que se ajustarem as mudanças nos vários campos da sua vida. Buscar o sentido e o significado que os pacientes atribuem à experiência vivida no período pré-transplante é de suma importância para o processo do cuidar, bem como conhecer suas histórias e experiências vividas transcorridas em seu mundo, promovendo um ambiente assistencial mais humano.

The Metropolitan Area of Fortaleza, capital of the Ceará State, North-east Brazil, is composed by a diversified geomorphologic landscape, which has been structured and modified during geological times. Among this diversity, there are forms originated by the last volcanic event occurred in the Brazilian northeast, 30 millions ago, which create a very singular local morphology. Such prominences were probably originated by the action of a ‘hot spot’. The magma extrusion resulting of this action created a geological domain named « Formation Messejana ». This formation is composed by a set of ten volcanic reliefs, as small prominences disposed in many sectors of the city of Fortaleza coastal area and adjacencies. Among these prominences are the Caruru, Ancuri and Pão de Açucar hills. The present research has as objective to establish the origin, the processes of morphological structuration, the morphological characterization and the environmental situation of these volcanic prominences, as well as define the phases of morphological evolution of the local landscape. For this purpose, the following stages have been developed: bibliographical research about the matter, interpretation of cartographical data, with the use of diverse scales and thematic maps and cartographical geoprocessing techniques, and field work. As results, we are able to conclude that the three prominences of the Formation Messejana analyzed in this work present form of dome-like necks (Caruru and Pão de Açucar) and ellipsoidal form (Ancuri), being composed by alkaline rocks. Such prominences are characterized for presenting different extensions and altitudes, steep slopes, poorly developed soils and sparse vegetation cover. In the present moment, the Caruru hill is a place of mining activity, being partially destroyed due to the extraction of the rocks for the civil construction. This situation creates environmental problems, which may be extended to other volcanic hills, fact that put in danger of eradication these singular elements of the Ceará geomorphic landscape.

Deaths triggered in children less than one year of life are influenced by biological, cultural, demographic, socio-economic and assistance factors. This study describes the epidemiology profile of infant deaths that happened in the 6th Regional Executive Office in Fortaleza-CE, Brazil, in 2008 and 2009 and assesses its avoidability according to the results of the Regional Committee for the Prevention of Infant and Fetal Death (CRPOIF). This is an ecological, descriptive and quantitative study, with the outcome of the occurrence of infant death. 192 deaths were studied in a population of 240. Variables were grouped according to maternal socio-demographic characteristics. For data processing we used the Epi-Info software version 3.5.1, with analysis of means, medians of some variables and adopted the Confidence Interval of 95%. To assess the avoidability of deaths, we used the criteria proposed by the Brazilian List of Preventable Deaths in the National Health System after being reviewed by the committee. In 2008 (54%) and 2009 (52%) of deaths in children under one year of life were considered preventable by the CRPOIF based on this list, and following the classification adopted to analyze the deaths. It was concluded that 30% of deaths of children under one year old in 2008 are avoidable by appropriate actions of diagnosis and treatment, 26% by appropriate care to women in pregnancy, 22% by appropriate actions for health promotion, 12% are avoidable by appropriate care to newborns, 8% by appropriate care to women during childbirth, and 2% reduced through actions of vaccine prevention. From the avoidable deaths in 2009, 44% were reduced through appropriate care to women in pregnancy, 33% by appropriate actions for diagnosis and treatment, 10% by appropriate care to newborns, 7% by appropriate actions to health promotion and 6% reduced through appropriate care to women in childbirth. These results can be used to address effective interventions that aim to reduce infant mortality, both within the 6th Regional Executive Office, as in the other offices of this city.

A lagosta Panulirus laevicauda (Latreille) ocorre apenas na parte ocidental do Oceano Atlântico, desde Cuba até o Rio de Janeiro (Brasil) - (Chace Jr. & Dumont, 1949) . O maior centro de capturas desta espécie se encontra na região do nordeste brasileiro (Paiva & Costa, 1968). A obtenção da curva de crescimento, relação entre o tamanho (L) de um indivíduo e a sua idade (t) , é de fundamental importância para o estudo da dinâmica de população (Beverton & Holt, 1957) , e portanto, para a investigação pesqueira. O objetivo deste trabalho é o de conhecer o crescimento e a idade da lagosta Panulirus laevicauda (Latreille), em águas costeiras do Estado do Ceará (Brasil).

GESTEIRA, Tereza Cristina Vasconcelos. Curvas de rendimento da cavala, Scomberomorus cavalla (Cuvier), e da serra, Scomberomorus maculatus (Mitchill), no Estado do Ceará (Brasil). Arquivos de Ciências do Mar. Fortaleza, v.13. n.1, p.13-15, mar.1973.

A lagosta Panulirus argus (Latreille) ocorre ao longo da costa leste das Américas, desde Beaufort (Carolina do Norte, U.S.A.) até o Rio de Janeiro (Brasil) - (Crawford & De Smidt, 1922; Chace & Dumont, 1949; Smith, 1958; Sims Jr. & Ingle, 1966 ; Buesa Más et al., 1968) . As suas principais áreas de pesca, em ordem de importância decrescente, se encontram em Cuba, nordeste do Brasil e Flórida (U.S.A.) - (Buesa-Más & Paiva, 1969). No nordeste brasileiro, a exploração lagosteira teve início em 1955 (Paiva et al., 1971), concentrando-se em águas costeiras do Estado do Ceará. Duas espécies de lagostas são normalmente capturadas: Panulirus argus (Latreille) e Panulirus laevicauda (Latreille). Destas lagostas, a primeira tem maior participação nas capturas regionais. O objetivo deste trabalho é estimar medidas de mortalidade na população da lagosta Panulirus argus, que vive em águas costeiras do Estado do Ceará. Essas estimativas são importantes para o conhecimento da dinâmica da população e, portanto, para a investigação pesqueira.

Teaching has been studied through the relation of the docent practices with the educational institutions, in order to detect occupational deaseases usually found on docent’s job. This study has intended to ackknowledge the nurses’social representations related to their docent job and life quality, as well as comparing the docent nurses’ social representations at private and public institutions, attending to a descriptive and exploratory method, quantitatively and qualitatively. It was developed from March to June of 2010, based on Serge Moscovici’s social representations theory, and approved by the Ethics and Research Committee under register nº 05/2010. The data were collected from preformed personal informations, the Whoqol – brief, a questionnaire with twenty-six questions, the TALP, abbreviation for a free words’ association technique, where the main themes were work, life quality (in general) and life quality in particular (itself). It was also included a written narrative about the decision to work with teaching. The research was made with a total of thirty-eight docent nurses; thirty-seven women and one man. Thirty of them were married, six singles and two divorcée. Forty-six year old was the average of their age; all professors at graduate and postgraduate educational institutions: one private institution and two public - State and Federal – ones. The results were presented in six tables and three boards showed in absolute and percentage numbers with descriptive statistics. Narratives of fifteen docent nurses were chosen randomly focused on four categories: life quality and docent practices on graduating education, life quality and docent practices on post graduating education, enjoyment, and publications. By analyzing the tables three to six, it was observed that over physical and psychological qualities the sum of the percentage scores nothing / very poor / very dissatisfied, very little or not satisfied, more or less / medium didn’t show significant differences, whereas to the first was forty-seven percent (47%) and forty-three decimal four percent (43,4%) to the second; however, to the social relationships and environment domains we had twenty-two decimal two percent (22,2%) and thirty decimal six percent (30,6%) respectively. It was inferred that social representations of the three groups over the study were anchored by the words responsibility, commitment, money and enjoyment. General life quality was anchored by the words peace and health, and particular life quality was anchored by the words health, family, work and time. The data triangulation has allowed us to understand the significance of the docent nurse’s social representations, the complementarities to the findings by the different methods.

O cuidado integral com Diabetes Mellitus e suas complicações é um desafio para a equipe de saúde. É imprescindível a identificação de comportamentos inadequados para poder revertê-los e conhecer as variáveis que possam interferir na mudança de comportamento para o autocuidado. O presente estudo teve como objetivo geral: avaliar as competências de idosos diabéticos para a prática de ações de autocuidado; e como objetivos específicos: caracterizar a população idosa segundo variáveis socioeconômicas e clínicas; analisar o conhecimento dos idosos diabéticos assistidos na atenção primária sobre o tratamento e o diabetes mellitus; verificar a relação entre as características sociodemográficas e individuais relacionadas ao diabetes e a competência dos indivíduos para o autocuidado. Estudo descritivo de corte transversal do tipo correlacional. A população do estudo foi composta por idosos acompanhados nas unidades básicas de saúde sorteadas inseridas nas seis Secretarias Executivas Regionais de Fortaleza-CE. A coleta de dados foi realizada no período de março a julho de 2009 nos domicílios dos idosos, através da utilização de um formulário e a Escala para Identificação de Competências para o Autocuidado em Diabetes (ECDAC), elaborada por NUNES (1982). Os dados foram agrupados e analisados estatisticamente, através do programa Statistical Package for the Social Sciences-SPSS versão 14.0. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da Universidade Federal do Ceará, com protocolo nº 17/09. Os resultados mostraram que a maioria dos participantes constituiu-se de mulheres (76%), com idade mínima de 60 anos e máxima de 85 anos. A amostra apresentou grau de escolaridade bastante heterogêneo: 37% eram analfabetos O tempo de diagnóstico variou de 4 a 46 anos, com média de 10 anos de diagnóstico da doença (DP= 6,9 anos). Na Subescala I, que avalia a Capacidade Física dos idosos, obtiveram pontuação mínima de 11 pontos e pontuação máxima de 24 pontos, média de 23,21 e desvio padrão de 5,72. Na Subescala III, que avalia a Capacidade Mental, os idosos obtiveram pontuação mínima de 11 pontos, pontuação máxima de 39 pontos, média de 23,21 e desvio padrão de 5,72. Somente 38% dos idosos obtiveram pontuação entre 25-44 pontos, considerada pontuação satisfatória para competência para o autocuidado em diabetes. Já na pontuação total da ECDAC, somente 6% dos idosos atingiram pontuação entre 78 -108 pontos, sendo que apenas estes se classificaram como competentes para o autocuidado em diabetes. Conforme os resultados apresentados, observa-se que um número reduzido de idosos, apenas 6%, foi considerado competente para o autocuidado em diabetes, fato que enfatiza a importância do desenvolvimento de ações de promoção da saúde direcionados para esta parcela da população que possui limitações físicas, mentais ou motivacionais para o autocuidado em diabetes, tendo como premissas a avaliação de competências para o autocuidado em diabetes.

The educative technologies deserve quarrel and reflection how much to its validation and implementation in the practical assistencial. The rehabilitation with the aid of educational technologies can be sufficiently efficient, therefore it motivates the woman if to take care and to acquire knowledge necessary and adequate to be adopted in the effectiveness of its self care one. It was objectified to validate a directed educative manual for the promotion of the self care of mastectomizadas women, to identify aspects that can be perfected e/or modified and to evaluate the educative manual considered how much to the legibility and validity of content and appearance. One is about a research of methodological development. The referencial theoretician-methodological was adopted on the basis of the criteria of the model of Pasquali (1998) composed for three sets of procedures: theoreticians, empiricists and analytical. As one is about an educative manual, one used only the theoretical procedures. The collection of data was carried through of April the June of 2006 at two methodological moments. First, the evaluation of the fourteen judge-specialists (professional); second, the analysis semantics of nine mastectomizadas women chosen as criteria preset for both. The data had been extracted by means of individual questionnaires in the form of Likert scale with item distributed in three blocks of analysis. The data had received treatment descriptive, being calculated the adequacy of the mannering representation of the item, the linear correlation of Pearson of the item evaluated for the judges and the evaluation of the Index of Legibility of Flesch of the material (ILF), using the Automatic Grammatical to Revise for Portuguese (ReGra). In the appearance validation, the judge-specialists had suggested some alterations, but it had trend of the judges to opt to the answers in agreement. The majority of the answers was enters total adequate (142) and adequate (120), not having significant indication of discord, therefore of the 22 item and the four options of answers, but five item had gotten you prop up inadequate. How much to the mannering adequacy of the 22 item, fourteen had reached the goal proposal of 80% of agreement between the judges, four had had bordering indices and four had had indices below of the adopted parameter. In the linear correlation of Pearson, the appraisers had analyzed some item of form linearly dependent ones with the others, to indicate that the evaluation instrument how much to the referring aspects to the manual is adjusted. How much to the analysis semantics, 114 answers had been in total adequate and 114 in adequate. In this group it did not have significant indication of discord, therefore of the 26 item and the four options of answers, but an item got props up inadequate. In relation to the ILF, the results varied of 43 the 64, that is, easy and difficult reading, appropriate for education basic complete or incomplete mdium. One concludes that the educative manual is a resource that can be used of positive form in the process of rehabilitation of the mastectomizada case the messages is apprehended by it; the professionals must consider the instruction level and ability of reading of the patient, therefore the reading is a complex process and the understanding of texts involves questions related to the reader and its interaction. One expects that the application of the knowledge acquired in this study provides positive impacts for the nursing and the health of the mastectomizada woman and it guarantees to it quality to of life better.

This study aimed to evaluate prenatal care given to women with Gestational Hypertensive Syndrome. This is a descriptive, transversal and evaluation study with quantitative approach, held in the Maternity School Assis Chateaubriand (MEAC) in Fortaleza. The sample consisted of 230 women admitted at the maternity, diagnosed with Gestational Hypertensive Syndrome (GHS). The data was collected from March to November 2010, using a structured form and examination of the patients’ medical records. Most women, 134 (58.3%), were between the age of 20-34years, being the majority (65.7%) from the capital. 126 (54.8%) of the 230 women were young first-time mothers and 37 (16.1%) had a prior history of preeclampsia. 230 medical records were individually analyzed. From this it was found that 194 pregnant women were admitted with preeclampsia corresponding to 88.8%. However severe preeclampsia was the higher prevalence with 57.0% of admissions. Regarding risk factors, the main factor associated with SHG was prior preeclampsia with 37 (16.1%) cases, followed by HAC with 34 (14.8%). Among the key signs and symptoms at the time of admission were: increased High blood pressure totaling 200 women, with an average Systolic blood pressure of 164.2 with DP of 22.4, followed by proteinuria (148), and headache (127). The gestational age ranged from 18 to 42 weeks, with an average of 36.4, with a DP of 3.82. Caesarean was the prevalent choice of childbirth (77.4%). Regarding the pre natal data, 147 (63.91%) women began their appointments in the first trimester, 121 (48.5%) attended from 6 to 13 appointments with an average of 5.9 and DP of 2.2. 128 of these women were accompanied by two professionals: a doctor and a nurse. All laboratory tests and procedures recommended by PHPN were noted, over 80%, excepting the second samples of the following tests: VDRL, urine, HIV and blood glucose. Therefore, not fulfilling what is established by PHPN, in other words, the running of the second sample around the 30th week of gestation. In conclusion, this study has its relevance by reinforcing the route of prenatal assistance until the outcome in the attendance at the hospital. It shows us the factors related to prenatal follow-up, reaffirming that the mere realization does not ensure the minimization of the emergence of GHS, being fundamental the qualitative investment of this action

Estudo transversal, descritivo-exploratório, realizado em Itaitinga-CE, cujos objetivos foram identificar o perfil socioeconômico e obstétrico de gestantes; verificar a prevalência do Diagnóstico de Enfermagem: “Nutrição desequilibrada - ingestão maior que as necessidades corporais” em gestantes; verificar as características definidoras e o fator relacionado ao referido diagnóstico; e descrever o poder preditivo e a acurácia das características definidoras e do fator relacionado ao diagnóstico. A amostra de 146 gestantes foi estabelecida por coeficiente de confiança de 95%, erro amostral de 5% e P de 50,0%. Os dados foram coletados de abril a setembro 2009. Foram organizados no Excel, versão 2003, analisados nos softwares Statistical Package for the Social Sciences (SPSS) versão 16.0, Predictive Analysis SoftWare (PASW) versão 18.0 e R versão 2.8.1. Foram calculadas frequências absolutas e percentuais das variáveis nominais. Para as variáveis quantitativas, foram apresentadas a média e o desvio padrão. Para verificação de independência entre variáveis nominais, foi aplicado o teste do Qui-quadrado de Pearson. Foram aplicados o teste da probabilidade exata de Fisher ou o teste de Fisher-Freeman-Halton quando pelo menos 25% das frequências esperadas foram inferiores a cinco. Para a magnitude de associação entre as variáveis nominais, foi calculada a Odds Ratio (OR). Para análise de diferença de mediana, foi aplicado o teste de Kruskal-Wallis. Para verificação da acurácia das características definidoras, foram calculadas a sensibilidade, a especificidade e os valores preditivos. O projeto seguiu as recomendações da Resolução no. 196/96, sendo submetido e aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal do Ceará, conforme parecer nº 18/09. A idade média das gestantes foi de 24,34 anos, renda per capita média de R$ 168,30, média de pessoas na família 3,99, 126 (86,3%) declararam união consensual/casada, 96 (65,8%) eram do lar, 77 (53,4%) tinham ensino fundamental. A paridade média foi 1,24, 60 (41,1%) eram nulíparas e 87 (57%) estavam no segundo trimestre da gestação. Vinte (13,0%) gestantes apresentavam baixo peso, 89 (61,0%) peso adequado, 23 (16,0%) sobrepeso e 14 (10,0%) obesidade. Na gestação, o baixo peso reduziu em 50,0%, o eutrofismo em 51,7% e aumentaram os casos de sobrepeso em 160,8% e de obesidade em 135,7%. Sete (4,8%) gestantes apresentaram dobra da pele do tríceps maior que 25 mm. Predominou o consumo de alimentos do grupo A, 141 (96,6%) gestantes eram sedentárias, 55 (32,3%) se alimentavam por sugestão interna além da fome, 80 (42,5%) pelo cumprimento do horário da refeição, 73 (42,0%) se alimentavam vendo televisão e 38 (26,0%) se alimentavam além das necessidades metabólicas. Houve associação estatisticamente significante entre estado nutricional pré-gestacional e gestacional (p=0,03463); estado nutricional gestacional e idade (p=0,001), paridade (p=0,026) e idade gestacional (p=0,002). As características definidoras mais sensíveis foram sedentarismo (97,10%), alimentar-se em resposta a estímulos internos (86,98%), obesidade/sobrepeso e dobra da pele do tríceps (> 25 mm) (100%). Houve baixa especificidade, tendo alimentar-se em resposta a sugestões externas como a mais específica (70,13%). Houve associação estatisticamente significante em: alimentar-se em resposta a sugestões internas além da fome (p= 0,022), sobrepeso/obesidade (p= 0,000) e dobra da pele do tríceps (> 25mm) (p= 0,014).

Human Papillomavirus (HPV) is one viral agent that causes infective disease, of transmission frequently sexual, known usually as acuminated conduloma, genital wart or cockscomb, it is the main agent that causes the cancer of the uterus colon as sure as can be with repercussion in the life of the infected individual and in the health of the family. The aims were to evaluate the structure, the development and the function of the family composed by attacked woman by Human Papillomavirus, based in the Calgary Model; to identify possible influences caused within structural family due to disease; to identify factors that the woman relates with the cause of the disease. The search was the descriptive type with qualitative boarding, having been realized one case study, at the home of the informer making use of the Calgary Model as one touched topic of family valuation. Datum collection was realized in January and February from 2007, through interview semi-structured with the couple, genogram and echomap from family. The family was composed of four members such as: the couple Josué and Rosa and their two children: Gabriel and Bela. By gynecological routine exam it was diagnosed in Rosa, one external wart and one small lesion in the scale-columnar junction of the uterus colon. All the members of the family maintain healthy relationship among them; there is a little bit of negativity in the entail between Rosa and Gabriel, due to charges with relation to studies. The couple didn’t keep away from their social net, due to undertaking with the virus. The housewife shared the case with her husband, accusing him, but lately she got acquired him of the importance from safe sexual habits. The couple got over comes the grasped critical phases, overlooking as better repercussion, the changing of their habits and bigger affection among the family. With regard to the theme HPV, it had seen that many people unknown still, staying to the load from professional spread the subject with more emphasis as among women well as men. As well as to promote the education within health, in order to the people reflect to respect of the great importance in utilizing the prophylactic.

ANTOS, Edison Pereira dos; ALCANTARA FILHO, Pedro de.; ROCHA, Carlos Artur Sobreira. Curvas de rendimento de lagostas no Estado do Ceará (Brasil). Arquivos de Ciências do Mar. Fortaleza, v. 13, n.1, p. 9-12, mar. 1973.

Nursing uses different strategies and technologies to insert blind people in the health promotion context. As these predominantly use paper and ink, illustrations and/or television images, programs to prevent and combat drugs limit blind clients’ information access. Feasible technologies for health promotion include Assistive Technology (AT). Games adapted to the blind represent a different education possibility, associating the playful with information collection and, hence, with knowledge, so that they are considered an Assistive Technology and contribute to awareness-raising on the theme, collaborating to turn health promotion into permanent education. Thus, the goal was the development of an Assistive Technology in the form of an educational game on psychoactive drugs use, accessible to the blind, and the assessment of this technology by special education specialists and blind people. An assistive technology construction and assessment study was carried out between June and August 2010 at the Health Communication Laboratory of the Federal University of Ceará (LabCom_Saúde-UFC). Study participants were three special education specialists and twelve blind people. The research involved three methodological phases: construction of the educational game, assessment by special education specialists and assessment by the blind. For assessment purposes, an instrument was elaborated in the form of a Likert scale. Items were divided into adequate, partially adequate, inadequate and does not apply. The three specialists assessed the first version of the assistive technology, Version Alpha, and made suggestions, which were accepted when pertinent. After the adjustments, the specialists assessed the second version of the game, Version Beta, until no further adjustments were needed. Next, three pairs of blind people played the game and assessed Version Beta and, thus, made suggestions, which were incorporated when pertinent. The last three pairs of blind people assessed the new version of the game, Version Gamma. The evaluation phase by the blind people was filmed to facilitate data collection. All study participants signed the Free and Informed Consent Term. Version Alpha was presented to the specialists, who formulated suggestions on the dimension of the board, aspects related to the texture of the board spaces, game pawns, such as the distinction among the pawns, quality of Braille writing and description of the game instructions. After the adjustments, version Beta was constructed and again assessed by the specialists, who considered it adequate. Next, the blind participants’ assessed the game, appointed aspects related to the texture of the spaces and suggested using Velcro in each space to fix the pawn during the moves. After making the adjustments, the assessment continued with the last three pairs, who considered the AT adequate. The participants’ interest and curiosity in the game was evidenced, besides encouraging the application of the game to younger ages than determined in the research. In view of these considerations, the educational game is considered an AT for the blind and was assessed positively, as it permits access to information on psychoactive drugs in a playful way. The AT aroused the blind people’s will and desire to discover what it would be like to play this type of game. It was considered relevant for the teaching-learning process and is thus useful to promote these people’s health, constituting a new tool for nursing to use in its educational function.

The free availability of digital content has fairly increased on the Web. Many of these contents can be modified, reused and adapted for specific purposes. Although diferent resources for providing and storing contents are widely available, there is a lack of tools suitable to versioning control of binary content on the Internet. In addition, most solutions to persistent data on the Web are based on Relational DataBase (RDB). As a simple solution, we can modify the original data and store new records in the tables of a database. However, this leads to a possible ineficiency due to a potentially large amount of redundant information. Nevertheless, in order to overcome this issue, it is possible to adapt versioning tools, also known as Control Version System (CVS), to the solution. These tools are specialized in storage of the modified regions of documents. This process is known as "deltification". However, regarding access time and gathering data, a CVS is less eficient than a DataBase Management System (DBMS). Therefore, if a CVS is used as a solution for data persistence, this can reduce the overall performance of the application. Aiming at designing a repository of versioned binary content on the Web, with eficient management for both accessing and storing binary data, this work analyzes the performance of free DBMSs most frequently used and a CVS, which we consider being the most suitable to the addressed repository. The attained results were the basis for the specification of thearchitecture of a repository that relies on a hybrid approach. The resulting approach lies in the simultaneous use of a DBMS and a CVS. We took into account features and runtime performance of both tools for each operation required in the final application. Then, we designed models on colored Petri Nets, which allowed the simulation and analysis of the aimed architecture. As a result, we present the e ciency of the proposed architecture against a traditional storage approach.

The Pap test has world-wide recognition as a safe strategy to detect cervical cancer early. Its execution includes manual work, from the material collection to the result emission. Thus, the performance of human resources contributes to the security or not of the results. This is carried out by doctors and nurses that compose the teams of Health Family Program (PSF), but mainly by nurses. In this context, it was decided to carry out this study which had as a general objective to evaluate the material collection for the Pap test by nurses and as specific objectives to verify knowledge and practice of these professionals in relation to cytological collection; to identify the availability of material resources which are necessary for the execution of the collection and to evaluate if the collected material is adequate based on the laboratorial report. It is an evaluative research, with descriptive exploratory character. It was executed in units of the Family Health Program (PSF) in Maranguape-CE, whose data was collected from August to October, 2006, through the direct and participative structured observation made with 21 (100%) nurses, in their area, and through the review of the laboratorial reports of 63 collected slides. The structured observation followed the Instrument of Quality Recognition of Proquali Methodology, and the data was annotated using checking system. The participative observation data was registered in field books. The results were presented under nurse characterization; formation, access to technical handbooks and knowledge to deal with cytological collection; performance of nurses in the material collection for the exam (biosecurity measures, comfort and security of women during exam and collection technique); availability of resources for the execution of the procedure and; suitability of the slides. Most nurses were graduated for 9 to 11 years and had 8 years of experience with cytological collection. Seventeen (81%) evaluated themselves as secure to execute the procedure and sixteen (76%) showed to have the adequate knowledge about the exact localization of the cytological collection. The access to the practice of cytological collection at college was referred by only 7 (33%) of them. Only 4 (19%) washed the hands before the procedure, 21 (100%) used procedure gloves in both hands and the discard of the trash was inadequate in all the units. Users’ comfort was evaluated according to the standpoint of making sure if the woman had emptied the bladder before the exam and of explaining it to the user and was achieved by 2 (9,5%) and 4 (19%) of the nurses respectively. The privacy was evaluated by the criteria of covering the woman, maintaining the office’s door closed and preventing people’s getting in and out during the exam. It was achieved by 20 (95%), 17 (81%) and 14 (67%), respectively. The collection technique was satisfactory with 90,5% or more of the nursed in 7 of the 11 evaluated items and the suitability of blenders was satisfactory in 100% of the 63 reports. The nurses’ performance was the ideal expected in terms of guaranteeing slides with good quality to search cervical cancer. However, practice at college, washing of hands, adequate discard of the trash, users’ comfort and security and the interview about women’s conditions for the execution of the collection need improvement. It was observed risk of desiccation, presence of blood and hypocelular material, but unsatisfactory slides were not generated. It is suggested that studies need to be carried out with the objective of evaluating unnecessary or excessive recommendations for the collection.

The obstetric nurse returns to the scenery of reproductive health with their responsibilities enlarged, as strategy proposed by the World Organization of Health - OMS, for the reduction of the maternal and perinatal mortality rates. This fact increases the demands of better professional qualification, so that the interventions implemented for the protection of women’s and children’s health are effective and efficacious. In this perspective, we developed this documental study, aiming to propose a guideline for the nurses’ clinical actions in prenatal consultations in the physiological dimension, subsidized in the International Classification for the Practice of Nursing-CIPE. It was developed at the Center of Natural Childbirth of the Center of Family Development - CEDEFAM/UFC, located in the city of Fortaleza-CE. The population was constituted of 253 records of pregnant women that attended the prenatal nursing consultation in the period between July 2003 and August 2004, and the sample was composed of 62 records selected at random. We used an instrument for data collection that contained the Nursing phenomena according to the CIPE - alpha version. The data were collected in the months of May and August 2004. We detected that the more prevalent phenomenon in the pregnant women were: intermittent sleep (56,5%); functional dyspnea (51,6%); edema (37,1%); orthopnea (35,5%) and constipation (32,2%). We carried out the tests of association qui-square and Firsher, but there was not association of the phenomenon among themselves, nor with the other variables of the study. The conduct guide’s development made it possible to verify that the construction of technologies is something accessible to Nursing and that the CIPE can contribute to a better organization of the nurse’s actions during prenatal period, starting from the answers of the pregnant women facing the physiological alterations caused by pregnancy

CARVALHO , Liliane Brandão. Práticas do psicólogo em instituições públicas de saúde: o cuidado para com outro. 2006. 137f. Dissertação (Mestrado em Psicologia) – Universidade Federal do Ceará, Departamento de Psicologia, Programa de Pós-Graduação em Psicologia, Fortaleza-CE, 2006.