Fabiane Ferraz

Incidence of tuberculous meningitis in the State of Santa Catarina, Brazil

INTRODUCTION The aim of this study was to estimate the incidence of tuberculous meningitis in the State of Santa Catarina (SC), Brazil, during the period from 2001 to 2010. METHODS Ecological, temporal, and descriptive methods were employed using data obtained from the Information System on Disease Notification (Sistema de Informação de Agravos de Notificação). RESULTS One hundred sixteen reported cases of tuberculous meningitis occurred from 2001 to 2010, corresponding to 1.2% (0.2 cases/100,000 inhabitants) of all meningitis cases reported in SC. There was a predominance of new cases in males, corresponding to 56.9% of new cases (0.2 cases/100,000 inhabitants; males vs. females; p=0.374), in patients aged 20-39 years, corresponding to 52.6% of new cases (0.5 cases/100,000 inhabitants; 20-39 years versus others; p<0.001), and in urban areas, corresponding to 91.4% of new cases (0.2 cases/100,000 inhabitants; urban vs. rural; p=0.003). In 48.3% of cases, the outcome was death. CONCLUSIONS The incidence rate of tuberculous meningitis in SC has increased within the last decade, with the most affected population comprising young adult white males with an average education. Thus, tuberculous meningitis remains a serious disease, emphasizing the need for disease prevention with vaccination campaigns against tuberculosis, the development of faster and more accurate diagnostic methods, and the use of current epidemiological knowledge regarding the disease to facilitate the establishment of early treatment.

Integração ensino-serviço e sua interface no contexto da reorientação da formação na saúde

Este estudo de caso, de abordagem qualitativa, objetiva analisar como os sujeitos que compoem as instâncias intersetoriais do Pro-Saude desenvolvido no municipio de Chapeco, SC, Brasil, percebem a integracao ensino-servico, em âmbito das estruturas de gestao do programa e no cotidiano das acoes, sinalizando sua interface na reorientacao da formacao em saude. As informacoes foram coletadas mediante observacao direta de reunioes das instâncias intersetoriais: Comite Gestor Local e Comissao Coordenadora Geral e entrevistas com 11 membros do quadrilatero da formacao em saude das referidas instâncias, entre 2012-2013. O tratamento das informacoes ancorou-se na proposta operativa para analise de dados qualitativos. Os resultados expressam que essa forma de gestao e acompanhamento do Programa, somada as acoes desenvolvidas, vem consolidando a parceria entre instituicao de ensino e servicos de saude, por meio do dialogo, da negociacao, do respeito as diferencas e da alteridade.

Educação em saúde com adolescentes: análise da aquisição de conhecimentos sobre temas de saúde

Objective: The study aimed to analyze the acquisition of knowledge on three themes: Oral Health, Drug use Prevention and Sexuality. The research subjects were adolescents enrolled in public schools, in the south of Santa Catarina state. Methods: It is a field research, temporal, prospective, analytical, carried out in two public schools on the mentioned state. The sample size of adolescents, of both sexes, aged 11-17 years, varied according the theme: 108 (oral health), 105 (drugs prevention), 99 (sexuality). For every action, it was developed and implemented a questionnaire (pre/post-action) with specific topics. The research was approved by the Ethics Committee of Research. Results: The actions, although punctual, showed positive results in increasing the knowledge of adolescents on drug prevention and sexuality, which did not happen on the theme of oral health. Conclusion: The results are related to factors that aroused the interest of adolescents, for example, methods which promote dialogue, exchange of experiences, reflect on their own practices and relationships with groups of friends/family.Objetivo:O estudo tem por objetivo analisar a aquisicao de conhecimentos sobre os temas: Saude Bucal, Prevencao ao uso de Drogas e Sexualidade, junto a adolescentes matriculados na rede publica de ensino do Sul de Santa Catarina.Metodos:Pesquisa de campo, temporal, prospectiva, analitica, realizada em duas escolas publicas do sul catarinense. Amostra de adolescentes de ambos os sexos, idades entre 11 e 17 anos, variou conforme tema: 108 (saude bucal), 105 (prevencao-drogas), 99 (sexualidade). Para cada acao foi construido e aplicado questionario (pre/pos-acao) com temas especificos. Pesquisa aprovada Comite Etica no 278.224/2013.Resultados:As acoes, mesmo que pontuais, apresentaram resultados positivos quanto ao aumento de conhecimento dos adolescentes nas tematicas sobre prevencao de drogas e sexualidade, fato que nao se configurou na tematica saude bucal.Conclusao:Os resultados estao relacionados a fatores que despertaram o interesse dos adolescentes como: metodos empregados que favoreceram o dialogo, troca de experiencias e reflexao sobre as proprias praticas, relacionamentos com grupos de amigos/familias.

Instâncias intersetoriais de gestão: movimentos para a reorientação da formação na Saúde

Este e um estudo de caso, de abordagem qualitativa, cujo objetivo foi compreender como os foruns gestores – Comite Gestor Local e Comissao Coordenadora Geral – do Programa Nacional de Reorientacao da Formacao Profissional em Saude (Pro-Saude), desenvolvido em Chapeco, Santa Catarina, contribuiram com a mobilizacao da integracao ensino-servico no contexto municipal. As informacoes foram produzidas mediante observacao direta de reunioes das instâncias intersetoriais e entrevistas com membros do quadrilatero da formacao em Saude das referidas instâncias, entre 2012-2013. O tratamento destas ancorou-se na proposta operativa para analise de dados qualitativos. Os resultados distinguem a importância do reconhecimento dos papeis de cada segmento. Apesar dos conflitos, os espacos de encontro dos sujeitos intersetoriais sao importantes iniciativas de integracao ensino-servico, sobretudo como possibilidade de transforma-los e contribuir para reorientar as praticas e a formacao na Saude.

Mental health in underground coal miners

ABSTRACT As mental health goes beyond the simple absence of mental disorders, this paper characterized mental health components in 89 underground coal miners in southern Brazil. This is a cross-sectional study, that detected a low prevalence of depression; light or moderate anxiety in 13% of the workers; self-perception of good health; life quality and good psychological capacity in most of the participants; poor sleep quality in half of them; reverse correlations between anxiety and life quality, and anxiety and psychological capital; positive correlations between psychological capital and life quality; associations between self-perception of health, time, and sleep quality; associations between anxiety and sleep duration and quality; and between alcohol consumption and location at work (front, rear, or variable). The results suggest vulnerabilities regarding anxiety and sleep quality. However, there is a potential coping of determinants that impact on mental health.

Educación en salud para adolescentes: análisis de la adquisición de conocimientos sobre temas de salud

Objective: The study aimed to analyze the acquisition of knowledge on three themes: Oral Health, Drug use Prevention and Sexuality. The research subjects were adolescents enrolled in public schools, in the south of Santa Catarina state. Methods: It is a field research, temporal, prospective, analytical, carried out in two public schools on the mentioned state. The sample size of adolescents, of both sexes, aged 11-17 years, varied according the theme: 108 (oral health), 105 (drugs prevention), 99 (sexuality). For every action, it was developed and implemented a questionnaire (pre/post-action) with specific topics. The research was approved by the Ethics Committee of Research. Results: The actions, although punctual, showed positive results in increasing the knowledge of adolescents on drug prevention and sexuality, which did not happen on the theme of oral health. Conclusion: The results are related to factors that aroused the interest of adolescents, for example, methods which promote dialogue, exchange of experiences, reflect on their own practices and relationships with groups of friends/family.Objetivo:O estudo tem por objetivo analisar a aquisicao de conhecimentos sobre os temas: Saude Bucal, Prevencao ao uso de Drogas e Sexualidade, junto a adolescentes matriculados na rede publica de ensino do Sul de Santa Catarina.Metodos:Pesquisa de campo, temporal, prospectiva, analitica, realizada em duas escolas publicas do sul catarinense. Amostra de adolescentes de ambos os sexos, idades entre 11 e 17 anos, variou conforme tema: 108 (saude bucal), 105 (prevencao-drogas), 99 (sexualidade). Para cada acao foi construido e aplicado questionario (pre/pos-acao) com temas especificos. Pesquisa aprovada Comite Etica no 278.224/2013.Resultados:As acoes, mesmo que pontuais, apresentaram resultados positivos quanto ao aumento de conhecimento dos adolescentes nas tematicas sobre prevencao de drogas e sexualidade, fato que nao se configurou na tematica saude bucal.Conclusao:Os resultados estao relacionados a fatores que despertaram o interesse dos adolescentes como: metodos empregados que favoreceram o dialogo, troca de experiencias e reflexao sobre as proprias praticas, relacionamentos com grupos de amigos/familias.

Health education with adolescents: analysis of knowledge acquisition on health topics

Objective: The study aimed to analyze the acquisition of knowledge on three themes: Oral Health, Drug use Prevention and Sexuality. The research subjects were adolescents enrolled in public schools, in the south of Santa Catarina state. Methods: It is a field research, temporal, prospective, analytical, carried out in two public schools on the mentioned state. The sample size of adolescents, of both sexes, aged 11-17 years, varied according the theme: 108 (oral health), 105 (drugs prevention), 99 (sexuality). For every action, it was developed and implemented a questionnaire (pre/post-action) with specific topics. The research was approved by the Ethics Committee of Research. Results: The actions, although punctual, showed positive results in increasing the knowledge of adolescents on drug prevention and sexuality, which did not happen on the theme of oral health. Conclusion: The results are related to factors that aroused the interest of adolescents, for example, methods which promote dialogue, exchange of experiences, reflect on their own practices and relationships with groups of friends/family.Objetivo:O estudo tem por objetivo analisar a aquisicao de conhecimentos sobre os temas: Saude Bucal, Prevencao ao uso de Drogas e Sexualidade, junto a adolescentes matriculados na rede publica de ensino do Sul de Santa Catarina.Metodos:Pesquisa de campo, temporal, prospectiva, analitica, realizada em duas escolas publicas do sul catarinense. Amostra de adolescentes de ambos os sexos, idades entre 11 e 17 anos, variou conforme tema: 108 (saude bucal), 105 (prevencao-drogas), 99 (sexualidade). Para cada acao foi construido e aplicado questionario (pre/pos-acao) com temas especificos. Pesquisa aprovada Comite Etica no 278.224/2013.Resultados:As acoes, mesmo que pontuais, apresentaram resultados positivos quanto ao aumento de conhecimento dos adolescentes nas tematicas sobre prevencao de drogas e sexualidade, fato que nao se configurou na tematica saude bucal.Conclusao:Os resultados estao relacionados a fatores que despertaram o interesse dos adolescentes como: metodos empregados que favoreceram o dialogo, troca de experiencias e reflexao sobre as proprias praticas, relacionamentos com grupos de amigos/familias.