RCAAP Repository

The activity of the "catadores" of recyclabe materials arises in the context of the capitalist system that deepens social differences, exacerbates poverty and undermines the rights, to expel workers in the formal market, given the requirements arising from investment in technology that intensifies the competition, making the activity an alternative precarious survival. In the case of the city of Fortaleza, with the deactivation of the former landfill located in the neighborhood Jangurussu, these workers migrate and multiply throughout the city, showing the poverty and other social issues were previously restricted to the periphery of the city, reflecting mainly a social condition , economic, political and environmental dimensions of a territory. The recent enactment of a law that effectively the National Policy on Solid Waste awakens to the importance of intensifying dialogue on waste management issues in large cities, the role of the interventionist state, especially the inclusion of those workers and public awareness on environmental issues and social urgency. In general, aims to analyze the meaning assigned by recyclable material "catadores" and representatives of both government and civil society initiatives in the face of the organization and management groups of scavengers, promoted by entities linked to public policies. For the research, were used mainly focus groups and participant observation as a collection technique, and a field diary and interviews for further analysis based on the content. It is noticed that despite the discussions generated around the law, are necessary and concrete actions planned with the participation of all actors involved and engaged in the issue of solid waste in Fortaleza, mobilized, especially by public authorities. Unfortunately, the actions remain so going off, isolated and discontinuous, weakening and wasting resources which if well managed, could promote important changes, especially to the strength and cohesion of groups and activity

NEPOMUCENO, Léo Barbosa. Para atuar com a comunidade: estudo sobre a relação entre participação comunitária e estratégia de saúde da família do SUS no Bairro Terrenos Novos em Sobral, Ceará. 2009. 206 f. Dissertação (Mestrado em Psicologia) – Universidade Federal do Ceará, Departamento de Psicologia, Programa de Pós-Graduação em Psicologia, Fortaleza-CE, 2009.

BESSA, Letícia Leite. Adolescência, risco e proteção: um estudo narrativista-dialógico sobre trajetórias de vida. 2010. 133 f. Dissertação (Mestrado em Psicologia) – Universidade Federal do Ceará, Departamento de Psicologia, Programa de Pós-Graduação em Psicologia, Fortaleza-CE, 2010.

The systematic assessment of infant growth becomes pertinent to the early detection of possible alterations in the infant’s health. The objective this study was to identify the profile of the socio-economic and educational conditions of the very low weight premature child’s mother discharged from the Unit of Neonatal Hospitalization (UNH), to investigate the infant’s growth, through the measurements (weight, height and cephalic perimeter), and to verify associations between this growth and the therapeutical conditions in the period of hospitalization. Exploratory, descriptive and quantitative study, carried out in a follow-up ward of a public maternity hospital, in Fortaleza-Ceará, and in the domicile of each child. The study was carried out between December 2004 and April 2005, involving a sample of 33 children, according to the criteria: neonatal weight (1500g), discharge period between July and December 2004, attendance in the follow-up ward of the institution and domicile in Fortaleza. A questionnaire was employed, concerning the mother’s background, neonatal conditions, therapeutical interventions, monthly anthropometric measurements and assessment of the growth curve in the chart normalized by the Ministry of Health, of international reference by the ‘National Center for Health Statistics’ – NCHS. The data were processed via software SPSS release 11.0, and presented in tables and chart. The mother´s data showed that nine of them (29.0%) have age between 14 and 19 years-old; 20 (64.6%) live with their partners in consensual union; 22 (71.0%) have finished high school and do not work outside their homes; 18 (58.0%) get by on an income of less than one minimum wage, 11(35%) attended between four to six prenatal care appointments, nine (29.0%) were primipare. In what concerns the infants, 16 (48.5%) are male and 17(51.5%) are female; 13 (39.4%) were born when they were less than 29 weeks of Gestational Age (GA) and 17 (51.5%) when they were between 30 to 33 weeks, 22 neonates (66.7%) were considered small-for-gestational-age (SGA) and 11 (33.3%) appropriate-for-gestational-age (AGA). As for the anthropometric measurements, 26 (78.8%) infants stood out with weight between 1,000g and 1,440 g, 18 (54.6%) with height between 35 to 40cm and 19 (57.6%) with cephalic perimeter between 26 and 28cm. Were delivered through natural childbirth sixteen (48.5%), 17 (51.5%) through cesarean section, 28 (84.8%) were singleton fetuses, five (15.2%) twin fetuses, 14 (42.4%) babies presented an Apgar scoring of 4-6 in their first minute of life. 21 (63.6%) of the infants were resuscitated, and needed oxygen therapy, while six (18.0%) needed mechanical ventilation for 26 to 110 days. Analysing the percentiles of the very-low-birth-weight (VLBW) infants, throughout the period between December of 2004 and April of 2005, we have not found growth between the percentile ranks, either for the variable weight, as for height; however, we have found a increase in the cephalic perimeter measurements. After the associaytion of the variables with the identified percentiles in the growth curve, it was noticed influence of the neonate’s resuscitation, the oxygenation period, the phototherapy use period, the hospitalization period, as well as the mother’s educational level, on the anthropometric measurements. The research showed that (VLBW) infants survive the hospitalization difficulties and present a deficit in growth in their first year of life.

O não cumprimento do regime medicamentoso, por parte dos usuários com Diabetes Mellitus tipo 2 (DM 2), é um dos principais problemas encontrados para a manuntenção do equilíbrio glicêmico e, consenquentemente, prevenção das complicações micro e macrovasculares do DM 2. O estágio desse problema e a melhor forma para detectá-lo ainda não estão definidos em Fortaleza-CE e em outras partes do país. Dessa maneira, objetivou-se avaliar o cumprimento da terapia farmacológica de usuários com DM 2 aos antidiabéticos oriais na rede básica de Fortaleza-CE e validar dois métodos indiretos utilizados para medir o cumprimento do tratamento medicamentosos: o teste de Batalla e o teste adaptado de Morisky, Green e Levine e Delgado e Lima (MGLDL). Trata-se de um estudo tranversal e de uma validação de critério. Foram investigados 437 usuários com DM 2, de ambos os sexo, na faixa etária de 18-92 anos de idade, de 12 Unidades Básicas de Saúde da Família (UBASF), duas unidades de cada uma das seis regiões do município, durante os meses de março a junho de 2009. Nas UBASF foi utilizado um formulário para coleta das informações sociodemográficas, clínicas e medicamentosas. Além disso, foi entregue a cada pesquisado uma embalagem plástica para armazenagem dos antidiabéticos orais prescritos. No domicílio dos sujeitos foram aplicados o Teste de Batalla, o MLGDL e a contagem dos comprimidos armazenados na embalagem plástica disponibilizada. Na determinação do cumprimento do tratamento farmacológico a contagem de comprimidos foi considerado o método padrão ouro. Os dados sofreram tripla digitação e foram armazenados no software SPSS. Na análise dos dados foram calculados estatística descritiva, coficientes de validação, correlação de Spearman e o Alpha de Cronbach. Houve uma maior participação feminina (70,3%), daqueles com idade entre 18-59 anos (41,1%) e dos casados (55,8%). A classe econômica e escolaridade predominates foram a D (47,8%) e o primário incompleto (38,9%). A prevalência de não cumprimento ao tratamento com antidiabéticos orais foi de 74,6; 86,3 e 71,2, segundo os métodos de Batalla, MGLDL e contagem de comprimidos, respectivamente. Em relação ao padrão ouro, o teste MGLDL (66,3%) apresentou uma associação maior de casos de não cumprimento ao regime medicamentoso do que Batalla (p=0,000). Todos os coeficientes de validade do método de MGLDL foram maiores que o de Batalla. O teste MGLDL apresentou uma melhor correlação com a contagem de comprimidos (p<0,001) e exatidão do que o de Batalla (0,646>0,561). Portanto, o teste MGLDL demonstrou ser mais qualificado na detecção de usuários com DM 2 não cumpridores da terapêutica medicamentosa a partir de antidiabéticos orais. É pertinente que o enfermeiro da atenção básica possa conhecer esse método, a fim de identificar usuários com DM 2 não cumpridores e orientá-los na perspectiva de melhorar sua adesão à terapêutica medicamentosa.

O estudo teve como objetivo compreender a vivência de puérperas, cujos recém-nascidos permanecem hospitalizados. Descreve uma alternativa de prestação de cuidados de enfermagem às mães que estão com seus bebês internados, tendo em vista a possibilidade de manutenção contínua pela equipe do serviço. A coleta de dados ocorreu na Casa da Mamãe, anexo de um hospital filantrópico do município de Sobral-CE, onde convidamos a participar da pesquisa todas as mulheres que estavam alojadas nesse local, através de um grupo de apoio/suporte. Foram entrevistadas inicialmente, 12 puérperas, das quais 09 fizeram parte do estudo, de acordo com os critérios de inclusão. O grupo teve como objetivo primário oferecer apoio aos seus membros e foi desenvolvido no mês de abril de 2005. Realizamos um primeiro contato com as mães, uma sessão preparatória e 06 sessões grupais. Cada sessão foi composta de três momentos: aquecimento, desenvolvimento e encerramento. Como referencial teórico-metodológico, utilizamos o modelo proposto por Loomis (1979), o qual aborda o processo grupal para enfermeiros, de acordo com os seguintes descritores: objetivos, estrutura, processo e resultados do grupo. Estes foram organizados em fases (planejamento, intervenção e avaliação) para que a intervenção grupal ocorresse de forma exeqüível. A efetividade do grupo foi validada à medida que as participantes conseguiram compreender o sentido do grupo, apontando seus benefícios e avaliaram como alcance dos resultados a maior integração entre elas (socialização) e a capacidade que cada uma tinha para oferecer força uma à outra (apoio/suporte). A manutenção dos resultados foi evidenciada quando as puérperas relataram fatos que representaram o oferecimento de apoio/suporte, em momentos fora do ambiente do grupo. Consideramos que os sentimentos que permeiam a experiência de ter um filho internado podem, muitas vezes não ser verbalizados, exigindo do profissional habilidade e afinidade da equipe de enfermagem para detectá-los, como forma de facilitar a prestação de um cuidado integral. Concluímos que as puérperas recém-chegadas na Casa da Mamãe podem contar com o apoio/suporte das mães que já se encontram lá instaladas, cabendo ao profissional estimular a integração entre estas, buscando o oferecimento de apoio/suporte e favorecendo a adaptação das mesmas a essa nova situação; o grupo também poderia suprir a solidão daquelas residentes na zona rural ou em outros municípios, cujas visitas são dificultadas por barreiras geográficas e socioeconômicas e que se faz necessário um direcionamento da assistência também aos familiares da puérpera que se encontra com o recém-nascido hospitalizado. Percebemos a necessidade de manter continuamente a realização dos grupos, de forma a suprir as necessidades das clientes no período de permanência na Casa. Portanto, acreditamos que o estudo contribuiu para construção de intervenções de enfermagem eficazes na atenção à mãe que vivencia a experiência de ter um filho recém-nascido hospitalizado e que o uso de grupos de cuidados de saúde representa um dos caminhos inexplorados e estimulantes para investigação clínica e a geração de conhecimento científico.

A significant proportion of individuals at different stages of evolution of HIV infection presents irreversible eye changes due to lack of early diagnosis and treatment, sometimes these changes cause loss of visual acuity. Therefore, a printed guide on eye self-examination was developed, and aiming to increase the access to this material it was developed for a digital environment, which is justified by the need to increase the knowledge on eye self-examination and the adherence to this practice. Thus it was aimed to assess the distance education technology for the eye health promotion; match the printed material to the virtual; assess the Virtual Guide on Eye Self-examination of expert judges on pedagogical and technical aspects. It is a study to develop digital educational material proposed by Falkembach, with the following stages: preparation of digital educational material, modeling phase, implementation, distribution and assessment. It was developed at the Laboratory of Health Communication, Federal University of Ceará from 2009 to 2010. In the first phase the development of digital material was done, then it was submitted to the initial trial of nursing students in order to identify difficulties in the use of material created, and the language adjustment of the digital educational material was made. In the final stage it was submitted to the assessment by expert judges in the area of education and IT. As a result it was possible to identify flaws in the initial structuring of pages, and commands had to be replaced, unified and arranged in places of easy viewing. Therefore, the digital material was reformulated in order to be appropriate to the virtual environment, including restructuring the language. The choice for the tutorial video was proved to be an effective tool for individual training, and promoted greater autonomy for the fact that supports the achievement of eye examinations by the user. In the assessment of interviews the material was proved to be easy to navigate and able to arouse curiosity and interest in accessing the content considered by the evaluators easy to understand. It is important to use new care technologies focused on educational actions, however, it requires a complete assessment of its limitations, benefits and an adjustment to the needs of users, once it is a continuous process of improvement and adjustment, and so propose an innovative way to generate conscious and intentional attitudes, as well as appreciation and recognition of the exercise of citizenship. We hope that the virtual guide on eye self-examination facilitates the identification of visual changes and also provides stimulus to search for eye care, indispensable aspect in AIDS

When entering a rest home, many elders face one of its main features: the totalitarian nature of these institutions. Thus, it is necessary for them to adapt themselves to a new routine full of rules. Now they need, after spending their whole life living with people to whom they’ve had blood relation and friendship ties, to learn to live with completely unknown people, leaving their own lifestyle behind and not living their everyday lives anymore. This study has as its main aim: to understand how the elderly (re)build their everyday lives in a rest home, and as specific aims: 1) Know the reasons that took the elders to the rest home; 2) Investigate the process of adaptation to this new context; 3) Elucidate how the elders see themselves and how they organize their everyday life; and 4) Analyze the dynamics of the interpersonal relationships among the seniors in the rest home. This study was based on Callista Roy’s Adaptation Model theory of the adaptive process. The methodology chosen was the Case Study, since the research involved the natural universe of elder women living in a rest home, and had a comprehensive approach. The study happened in a philanthropic rest home in the city of Fortaleza-Ce, maintained by a religious order. The selected institution houses around 60 elders, all women. The sample was made selected resulting 9 elderly women at the end. The analytical component of this research was the (re)building of elderly women’s everyday life in the selected rest home. Case study was chosen in order to increase research reliability. Data was collected using both observations and interviews based on their life record. The observation was written in a diary and the interviews were recorded with a digital audio recorder, which were wholly transcribed, encoded, and analysed. For data organization and analysis, Discourse Analysis technique was used, which aims to understand how a symbolic element produces meanings, and how it is full of meanings to and for someone. This study was submitted and approved by the Ethics in Research Committee of the Hospital Complex at UFC. The categories, after the meanings in the speech were analysed, were: 1) Going to the rest home – main reasons: favoring religious practice, avoiding loneliness, other people’s influence, access to health care and family exclusion; 2) Adaptive process: feeling productive, feeling of losing/facing reality and previous knowledge of the rest home; 3) Self-awareness of the seniors in the rest home context: taking part and autonomy, and satisfaction and dissatisfaction of human needs; and 5) Relationships dynamics: respect. Through this study, it is realized that the (re)building of the elderly’s everyday life inside the rest home context is a complex activity which requires efforts from both elderly themselves and from the rest home, thus, it is necessary to be attentive to the adaptive process and the elderly’s human needs.

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