Maria de Fátima Santos Maia

Co-autoria como indicador de redes de colaboração científica

Estudo bibliometrico sobre redes de colaboracao cientifica entre os professores do Programa de Pos-Graduacao em Epidemiologia da Universidade Federal de Pelotas (PPGE/UFPel). As caracteristicas de colaboracao foram estudadas atraves das co-autorias dos artigos publicados em periodicos, no periodo entre 1991 e 2002. As analises revelaram que os professores publicam mais artigos em autoria compartilhada do que individual. Nao foi encontrada relacao entre o aumento da produtividade e um numero maior de colaboradores, pois a taxa de produtividade e a taxa de autores por artigo nao apresentam a mesma tendencia; ou seja, o numero de artigos publicados cresceu enquanto que o numero de colaboradores permaneceu constante no periodo estudado. As analises de redes sociais revelaram uma configuracao em torno dos professores mais produtivos.

Características da utilização de serviços de atenção básica à saúde nas regiões Sul e Nordeste do Brasil: diferenças por modelo de atenção

In view of the emphasis on primary care for the health system and the consolidation of Family Healthcare Strategy, it is important that information on attended demand be updated to assist in administration of the Unified Health System (UHS). The study compared the profile of attended demand in basic healthcare units (BHU) of two care models (traditional and family health) in 240 BHU of seven states of the South and the Northeast. Collected on a prepared form, all patients attended in a single day were processed with the PACOTAPS application. 26,019 patients were attended, 52% in the South and 48% in the Northeast; one third in Traditional BHU and 67% in BHU of FHP. The highest proportion of patients attended was females aged between 15 and 49 (36%), with significant differences between the models, being higher in BHU of FHP. The second highest proportion was people aged 50 or older (30%), significantly higher in Traditional BHU. The most commonly registered procedures were basic nursing cases (33%), with higher proportion in Traditional BHCU. The proportion of medical appointments was 22%, double in Traditional BHCU. The profile of the demand reflected the differences between the ongoing care models in the country and may provide the organization of work processes in basic care.

Programas de reabilitação pulmonar em pacientes com DPOC

Pulmonary rehabilitation programs are aimed at providing benefits to COPD patients, in various aspects. Our objective was to review the literature on COPD patient rehabilitation. This systematic review involved articles written in English, Spanish, or Portuguese; published between 2005 and 2009; and indexed in national and international databases. Articles were classified in accordance with the Global Initiative for Chronic Obstructive Lung Disease criteria for the determination of the level of scientific evidence (grade of recommendation A, B, or C). The outcome measures were exercise, quality of life, symptoms, exacerbations, mortality, and pulmonary function. Treatments were classified as standard rehabilitation, partial rehabilitation, strength exercises, and resistance exercises. Of the 40 articles selected, 4, 18, and 18 were classified as grades A, B, and C, respectively. Of the 181 analyses made in these articles, 61, 50, 23, 23, 20, and 4, respectively, were related to the outcome measures quality of life, exercise, symptoms, exacerbations, pulmonary function, and mortality. The standard rehabilitation programs showed positive effects on all of the outcomes evaluated, except for mortality (because of the small number of analyses). However, we found no differences among the various rehabilitation programs regarding their effects on the outcomes studied. Rehabilitation programs can be considered important tools for the treatment of COPD. Therefore, health administrators should implement public policies including such programs in the routine of health care facilities.

Crescimento, diversidade e sobrevivência: o conceito de vitalidade aplicado em um estudo cientométrico

Resumo: Aborda a estrutura e a dinâmica das atividades de producao cientifica na area das Ciencias da Saude no Brasil. Partiu-se do pressuposto de que a vitalidade da ciencia pode ser identificada atraves de caracteristicas sobre produtividade de autores, longevidade de instituicoes, diversidade tematica e canais de divulgacao. Por meio da identificacao dessas caracteristicas especificas, foram apontados indicios que representam diferentes graus de vitalidade. Analisando 117.521 artigos de autores brasileiros publicados entre 1987 e 2011 em periodicos indexados pela base de dados bibliografica Medline, foram identificadas caracteristicas de vitalidade em cada um dos 27 estados da federacao. Os resultados revelam que, na area das Ciencias da Saude no Brasil, ha muita disparidade entre os estados e que os maiores graus de vitalidade cientifica estao localizados nos estados de Sao Paulo, Rio de Janeiro e Rio Grande do Sul. Conclui-se que e possivel analisar a vitalidade de um campo cientifico a partir de sua estrutura e dinâmica.