Christina Cesar Praça Brasil

The ways in which blind mothers cope with taking care of their children under 12 years old

Resumen pt: Objetivou-se analisar o enfrentamento de maes cegas no cuidado dos filhos menores de 12 anos, com enfase na promocao da saude, prevencao de riscos e educ...This study was aimed at analyzing the ways in which blind mothers cope with taking care of their children under 12 years old and is focused on health promotion, risk prevention and education. This is a qualitative study held in Fortaleza, in the state of Ceara, at the homes of nine blind mothers. A semi-structured interview was performed, from which the core meanings emerged: suitability of the home environment in order to prevent domestic accidents; prevention and treatment of diseases and monitoring of education. Data analysis was based on the concepts of coping and symbolic interactionism. The fact that the mothers are aware of the suitability of the home environment was evident. The pursuit for health promotion was done through the demand for healthcare system. Concerning education, the mothers are aware of the importance of the study and of monitoring its development. Despite the limitations and difficulties, it was observed that they care for and educate their children with the intention of raising good natured and responsible people for the society.

MHealth Technology as a Tool to Promote Blood Donation

The blood donation scenario and its effect on the treatment of patients with hematological diseases and in emergency situations is a constant concern in the health area, requiring guided actions that allow improvements in the donor recruitment and retention processes, and therefore, the increase and maintenance of blood donation. To meet this social demand, an exploratory, qualitative study was carried out with the objective of creating a cell phone application that supports blood donor recruitment and fidelization through prevalent and interactive communication and technological resources, generating social engagement. The new information technologies have been increasingly disseminating in the several social settings as a way of collecting, recording, producing, processing and sharing data and information. A research was carried out to identify the existence of applications that support the activities of the Brazilian blood donation units, integrated to the database and with gamification resources, with none being identified with these characteristics. The proposed tool has differential characteristics in relation to the applications available in the market and may be effective in blood donor recruitment and in supporting health promotion. The application has a deadline of November 2017 to start being used.

Entrelaçamento voz e emoção na percepção docente sob a ótica da fenomenologia de Merleau-Ponty

A voz e uma ferramenta de trabalho do professor, refletindo suas condicoes de saude e emocoes. Este estudo objetiva compreender a percepcao de professoras sobre o entrelacamento de voz e emocoes. Trata-se de um estudo qualitativo realizado a partir de grupos focais com 26 professoras do ensino fundamental. Utilizou-se a fenomenologia da percepcao de Merleau-Ponty para analise dos dados, conduzindo- se pela nocao de corpo e de entrelacamento homem e mundo. As categorias identificadas foram: “desdobramentos do trabalho na voz, no corpo e nas emocoes” e “emocoes no corpo expressos pela voz”. As discussoes mostram a nao separabilidade corpo e mente e a percepcao da voz como um modo de vivenciar o corpo e as emocoes. A nocao de corpo proprio, complexo e sistemico extrapola o entendimento de corpo orgânico-biologico e contribui com a ampliacao dos debates sobre a saude vocal do professor.

Mastectomy and the Meaning Attributed by Patients to Delay in Early Diagnosis of Breast Cancer

Background: Breast cancer is a major public health problem and its early detection (ED) can reduce the number of breast mutilations, morbidity and mortality rates, health costs and negative health outcomes. Given that, this study aimed to assess the meaning attributed by mastectomized women to delay in early detection of their breast cancers. Methods: Qualitative research was conducted with 26 mastectomized women who participated in semi-structured interviews about the meaning of delay in early detection of breast cancer in a reference oncology outpatient clinic in the city of Fortaleza, Ceará, Northeastern Brazil from December 2015 to January 2016. Information was analyzed on the basis of symbolic interactionism. Results: After noticing breast changes, women start to ponder about them and experience this moment according to interpretive particularities. Fear of disease, multiple roles in modern society, denial of breast changes, lack of information on the issue, and lack of professionals to encourage their involvement in health care, favor delay in the search for care and therefore in the early detection of breast cancer, which is a determinant of therapeutic success. Conclusion: Women receive limited information and professional support for breast health. Delay in early diagnosis occurred in all the women who participated in the study.

Voiceguard: Using mHealth Technology for Vocal Health Promotion.

This study aims to describe the development of an app for mobile devices to assist voice professionals in the management of vocal health. The research was held in two phases, from November 2014 to December 2015: 1) literature review and app stores search and 2) laboratory design, development and usability test. The multimedia feature was chosen for the app design and development, since it favours a motivating and dynamic environment. Teachers, when participating in the usability test, handled the tool for a few hours and issued their opinions. Data were analysed based on content analysis in the thematic mode. The results show the feasibility of the tool development to support and assist professionals in the care of their voice and open new perspectives to show that, in health promotion, technology can create new alternatives for health education and care, empowering the users.

Saúde vocal e mhealth: novas alternativas para antigos cenários

The world is experiencing the communication age, and health is among the areas that reap benefits from the insertion of new resources into people’s lives. In this context, Information and Communication Technologies (ICTs) hold a prominent place, being applied to information processing, storage, search and transmission in digital format, providing increased agility and reliability to information exchange(1,2). In the health area, ICTs play a progressively more important role, being present in the areas of clinical, managerial and assistance practices, as well as in support to decision-making on the part of professionals and managers.In this scenario, technology can influence and modify people’s way of living and acting, even when these issues are related to the health promotion and care context. The relevance of incorporating technologies into health care is thus reassured(3,4). With regard to vocal health, it implies a re-dimensioning of self-care, once the disorders of the vocal apparatus are part of the universe of professionals who use their voice, with emphasis on the teachers, this being a reality that requires confrontation through political and technological measures that offer resolution for such a recurrent problem as this.A study(5) carried out with 351 female teachers working at municipal elementary schools of Fortaleza, Ceara, Brazil, has shown that more than half of them presented more than six vocal symptoms and that, despite perceiving themselves exposed to more than six vocal risk factors, they had never participated in a vocal health program, which corroborates other Brazilian studies(6,7).It should be emphasized that, in addition to the shortage of educational actions in vocal health, Brazilian public policies and legislation aimed at teachers’ health are flawed and restricted(8). Therefore, attention is drawn to the importance of developing communication campaigns addressing health and the technological resources aimed at vocal health, in order to reinforce the need for continuously taking care of the voice.Given this data, it is believed that the expansion of voice knowledge and the use of novel communication strategies may favor the development of an advantageous work that contributes to the learning process and to the well-being of each voice-centered professional. With this aim, several technologies can be employed, among which mobile health technologies (mHealth) stand out.The area of mobile health research (mHealth), a branch of electronic health (eHealth) defined as “the use of computing and mobile communication technologies in health care and public health”, has been steadily expanding. Mobile health applications serve a heterogeneous public - doctors, nurses, patients, caregivers and healthy people(9) - and suit a range of purposes(10), such as information in a number of health areas, adherence to treatment(s) and disease management.In Brazil, there are a few studies addressing the topic of vocal health and technology. Nevertheless, it is possible to observe the insertion of several tools in the daily life of speech therapists, which support them and are recognized as types of technology. Booklets, softwares, informative applications and distance education platforms, all aimed at vocal health, can be cited as examples of facilitation strategies in speech therapy practices, which do not offer interactivity, though.Based on the aforementioned resources, it is believed that mHealth technology, given its dynamism and the facilitations it offers, such as the possibility to carry out actions at any time and anywhere, can contribute to the promotion of teachers’ vocal health, since their multiple assignments and lack of time often lead the teacher to overlook their problems, only seeking help after the onset of vocal change(s)(11).In view of the shortage of applications favoring vocal health care, and by means of a partnership between the Graduate Program in Public Health of the University of Fortaleza and the Laboratory of Innovation and New Businesses of the Information Technology Application Nucleus (Nucleo de Aplicacao em Tecnologia da Informacao - NATI) it was developed, at this institution, the VoiceGuard application, a tool that provides individualized support for the management of voice usage. This application presents as distinguishing features the offer of a variety of resources for extensive and comprehensive management and monitoring of vocal health, even on a real-time basis, thus favoring the teachers’ autonomy and the reduction of vocal disorders. This technology is recognized as an important tool for vocal health promotion and care, constituting a modern resource for dealing with an old problem: the vocal disorders affecting teachers.The Brazilian Journal on Health Promotion believes in the dissemination of this and other innovative technological products applied to health and well-being, given the speed of scientific interactions, in favor of the unlimited access to health.

Diagnóstico participativo para identificação de problemas de saúde em comunidade em situação de vulnerabilidade social

The Health Promotion paradigm led to the acknowledgment of health due to factors linked to the social, political and economic contexts. In Brazil, health inequities are one of the most striking features of the health situation, challenging the effectiveness of intersectoral policies. This study aimed to understand the perception of socially vulnerable community dwellers of the problems that interfere with the health conditions and the coping strategies used. The methodology consisted of a participatory research based on the participatory diagnosis conducted with 31 key informants from the community studied in Fortaleza, Ceará, Brazil. As a result, participants evidenced that the community has health issues due to weak intersectoral actions (infrastructure, public safety, basic sanitation, garbage collection, among others) and that they seek to address them through social mobilization actions and institutional support. Thus, Participatory Diagnosis is thought to increase social involvement with health promotion and problem solving and contributes to ensuring the right to the city to all its residents.Resumo O paradigma da Promocao da Saude inaugurou o reconhecimento da saude como resultante de fatores interligados ao contexto social, politico e economico. No Brasil, as iniquidades sao consideradas uns dos tracos mais marcantes da situacao de saude, desafiando a efetividade de politicas intersetoriais. O presente estudo objetivou conhecer a percepcao dos moradores de uma comunidade em situacao de vulnerabilidade social sobre os problemas que interferem nas condicoes de saude e as estrategias de enfrentamento utilizadas. Foi utilizada como metodologia a pesquisa participante, guiada pelo Diagnostico Participativo, contando com 31 informantes-chave da comunidade em estudo localizada em Fortaleza, Ceara. Como resultado, os participantes evidenciaram que a comunidade apresenta problemas no campo da saude decorrentes da fragilidade de acoes intersetoriais (infraestrutura, seguranca publica, saneamento basico, recolhimento de lixo e outros) e que buscam enfrentamentos a partir de acoes de mobilizacao social e apoio de instituicoes. Diante do exposto, verifica-se que o Diagnostico Participativo pode vir a ampliar o envolvimento social com a promocao da saude e o enfrentamento de problemas, alem de contribuir para a garantia do direito a cidade a todos os seus moradores.

PROMOVENDO A SAÚDE VOCAL POR MEIO DE FERRAMENTAS TECNOLOGICAS E EDUCAÇÃO A DISTÂNCIA: DO APLICATIVO AO MOOCS.

CHRISTINA CESAR PRAÇA BRASIL UNIVERSIDADE DE FORTALEZA cpraca@unifor.br MAXSUELLEN FACUNDO DE MOURA UNIVERSIDADE DE FORTALEZA mfacundo@edu.unifor.br DANIELE DE ARAÚJO OLIVEIRA CARLOS UNIVERSIDADE DE FORTALEZA danii_joly@yahoo.com.br LANA PAULA CRIVELARO UNIVERSIDADE DE FORTALEZA lanapaula@unifor.br ANDRÉA CHAGAS DE ALMEIDA UNIVERSIDADE DE FORTALEZA andrea_chagas@unifor.br ANA PAULA XIMENES UNIVERSIDADE DE FORTALEZA anaximenes@unifor.br JOSÉ EURICO VASCONCELOS FILHO UNIVERSIDADE DE FORTALEZA euricovasconcelos@unifor.br RAIMUNDA MAGALHÃES DA SILVA UNIVERSIDADE DE FORTALEZA rmsilva@unifor.br

O contexto da docência e sua influência no sofrimento psíquico de professoras do ensino fundamental

Objetcive: To identify the causes of psychic suffering reported by primary school teachers. Methods: Qualitative study conducted between December 2013 and June 2014 in Fortaleza, Ceara, Brazil, with data obtained from three focus groups that included 26 teachers from 19 schools. The categorization and interpretation of data were performed using the content analysis technique based on the thematic modality, and the Symbolic Interactionism. Results: The participants identified the causes for psychic suffering in the context of teaching, which were gathered in three themes: environmental factors; institutional factors and social and interpersonal relationships. The problems identified by teachers interfere directly or indirectly with their mental health, causing stress, anxiety, depression or discouragement about the professional practice. Conclusion: The themes pointed out by the participants revealed that work overload, inadequate environment, aggressiveness of children, individualism of colleagues, lack of school structure and institutional pressures are the causes of psychic suffering.

Family Relationships Of A Crack Cocaine-Using Pregnant Women In A Brazilian Northeastern City

Background: This article aims to describe family relationships of a crack cocaine-using pregnant woman through a genogram. Methods: A qualitative case study was carried out, in which semi-structured interviews were applied with the selected pregnant woman, three relatives and one health professional. The interviews were analysed using thematic content analysis and the results favored the construction of a genogram. Results: The results show a nuclear family formed by slum dwellers, with too close emotional relationships among some of the members; at the same time, the existence of fragile relationships are also highlighted, but the abuse of crack cocaine was not enough to change them, Drug use changed her trajectory to move through the health system. Conclusion: There is a need to raise awareness among health professionals about the care and monitoring of psychoactive substance users, in order to overcome barriers to access and improve the understanding about their family relations.