Introducao: Devido as consequencias que o Transtorno do Desenvolvimento da Coordenacao – TDC pode trazer para o desenvolvimento da crianca nos aspectos motores, afetivos e sociais, ha necessidade de investigacoes com amostras representativas no Brasil. Objetivo: Este estudo objetivou investigar a prevalencia do TDC em escolares de 7 a 10 anos de idade. A amostra foi composta por 787 criancas do municipio de Florianopolis/SC. Metodo: O desempenho motor foi avaliado por meio da Movement Assessment Battery for Children Second Edition - MABC-2 que classifica o desempenho motor em tres: dificuldade, risco e desempenho motor normal. Para as analises, recorreu-se a estatistica descritiva (medias, minimos, maximos, desvio padrao, frequencias) e inferencial (teste Quiquadrado, U de Mann-Whitney, Krusskal-Wallis com post-hoc de Dunn). A significância estatistica adotada foi de p<0,05. Resultados: A prevalencia de dificuldade motora e risco para dificuldade motora foi de 7,1% e 11,3%, respectivamente, e sem dificuldade de movimento foi 81,6%. Ao associar o sexo com as classificacoes motoras, observou-se que os meninos apresentaram mais dificuldade motora (X2= 6,38; p=0,04). As meninas apresentaram mais dificuldade nas habilidades de lancar e receber e os meninos nas habilidades de destreza manual. As criancas na faixa etaria de 7 e 8 anos apresentaram prevalencias maiores de TDC. Conclusao: A prevalencia do transtorno, bem como as diferencas entre os sexos, foi considerada semelhante as evidencias apresentadas em pesquisas internacionais.
vigilância do desenvolvimento infantil a partir das capacitações oferecidas aos agentes comunitários.Conclui-se que o processo
participación social.Objetivo: describir
Objetivo: O presente artigo teve como objetivo compreender as trajetorias de conselheiros municipais de saude representantes dos usuarios e tracar reflexoes a respeito da participacao popular e da cultura politica na realidade de um municipio de medio porte do interior paulista. Metodo: Para tanto, realizou-se uma pesquisa de carater qualitativo e exploratorio, com a proposicao da busca de conhecimento atraves da reconstituicao de trajetorias de vida, uma abordagem baseada no metodo da historia oral. Foram realizadas entrevistas em profundidade com cinco conselheiros atraves de roteiro de questoes amplo, para estimular a livre narracao. Em seguida, realizou-se a analise das trajetorias a luz de dois conceitos: participacao popular e cultura politica. Resultados: As trajetorias apontaram motivacoes e impasses, como a satisfacao na ocupacao do cargo, a ascensao de uma usuaria a presidencia do conselho e a critica pela falta de auxilio financeiro. Observou-se assimetria de saber e poder dentro do conselho, visto que os conselheiros se julgam menos capacitados por nao dominarem questoes tecnicas e de gestao. A cultura politica local vivencia um periodo de transicao de uma cultura politica tradicional para uma democratica e participativa, contudo predominam autoritarismo e cooptacao das relacoes entre gestores e usuarios. Conclusao: Considera-se necessaria e de grande importância uma maior apropriacao pelos conselheiros das atribuicoes do Conselho Municipal de Saude para que se realize um controle social efetivo.
Objective: To investigate the working conditions and the occurrence of musculoskeletal disorders in cooks from a Primary Public School.Method: This is an ergonomic study and a case study.General data about the school and the workplace were surveyed.A questionnaire was applied to cooks to collect information on personal and work aspects and musculoskeletal symptoms.Tasks and work processes, systematic observations and records of work activities were noted in paper, as based on the methodological approach of Ergonomic Work Analysis (EWA).Results: Two cooks participated in the study.They were 43 and 49 years old.They reported musculoskeletal symptoms in the region of wrist, hands, and low back in the last 12 months; and in the cervical and low back in the last seven days.Several inappropriate working conditions were found, including some related to the physical space and thermal environment, as well as aspects of work organization (undersized team, time for delivery of foods, etc.).Conclusion: Precarious working conditions tend to favor the emergence and/or worsening of musculoskeletal disorders in cooks of Primary Public Schools, and further research aimed at prevention and health promotion are necessary.
Introduction: The expansion of the multi-professional team in Primary Health Care (APS) input professional categories that have traditionally worked in the service of medium and high complexity. The lack of knowledge on the assignments of these new jobs can be an obstacle to effective interdisciplinary and sharing practices. Objective: The study aimed to analyze the professional healthcare team understanding on the Family and Support Center for Family Health (NASF) and the practices of Occupational Therapy in APS, as a member of NASF team. Method: This study is characterized as exploratory and qualitative field, with data collected individually, through semi-structured interviews with professionals of a Family Health Team and a NASF team. We used content analysis for data processing. Results: We identified that the understanding of the teams on the role of the occupational therapist is partial, linking their practices basically with mental health and rehabilitation, confusing their duties with the other team members. Conclusion: It was difficult to differentiate occupational therapist own practices, even when the work is shared. This suggests the need to implement strategies, such as matrix-based strategies to overcome the gaps in knowledge between the team and the specifics of each profession engaged in APS.
solucionar problemas.O caráter crônico e progressivo da EM traz alterações em diferentes funções do corpo e demanda mudanças e estratégias para minimizar o
A pesquisa revelou as experiências ocupacionais de idosos hospitalizados e que ocorreram mudanças no rol e nos ritmos das ocupações, e nas preferências ocupacionais.Verificou-se a ocorrência de perdas
Introduction: Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia and associated with complications.It is considered a chronic degenerative disease.Objective: This study aimed to identify which areas of human occupation suffered performance changes as a result of vascular and neurological complications of type 1 and 2 diabetes mellitus.Method: This is a quantitative study with exploratory approach.The data collection occurred in a University Hospital located in a city in the central region of Rio Grande do Sul, and used a sociodemographic questionnaire and the Canadian Occupational Performance Measure (COPM).Data were analyzed by Spearman's rank correlation coefficient using the software Statistical Package for Social Science 15.0 (SPSS).Results: The sample consisted of 10 people with vascular and neurological complications resulting of type 1 and 2 diabetes mellitus, with 80% men and 20% women.The most frequently cited occupational performance problems were in self-care activities (feeding, bathing and mobility), while the most affected productivity tasks were cooking and leisure activities such as walking and socializing.Conclusion: The data alert us to the work of occupational therapists caring for people with diabetes in all health care levels.
Introduction: Williams-Beuren Syndrome (WBS) results from a deletion in the chromosome 7q11.23.Psychiatric symptoms, such as Generalized Anxiety Disorder (GAD), Attention Deficit Hyperactivity Disorder (ADHD), and others, have been described in this syndrome.Objective: The main purpose of this study was to identify related clinical symptoms in individuals with WBS and the impact of this disorder in their quality of life.Method: The study sample included 42 individuals aged 11 to 16 years divided into two groups: a study group composed of 20 individuals with WBS and a control group comprising 22 individuals with typical development.The following instruments were used in this evaluation: Brazilian Criterion of Economic Classification (CCEB), to estimate the purchasing power of urban households; Strengths & Difficulties Questionnaire (SDQ), to provide a useful measure of psychopathology applied to children and youth aged 4-17 years; and Quality of Life Evaluation Scale (AUQEI), to assess the feeling of well-being according to the opinion of the child and adolescent.Results
a quantidade total de fragmentos classificados como autonomia do cliente e do profissional no novo código, embora os fragmentos relacionados ao profissional tenham
São Paulo (UNIFESP).Nesse cenário, alinhando-nos com a Política Nacional de Assistência Social (PNAS) e com os pressupostos teórico/práticos da Terapia Ocupacional Social, desenhamos ações territoriais -individuais e coletivas -com o intuito de fortalecer, criar e constituir as redes relacionais de famílias e de pessoas daquela região referenciadas pela rede de proteção social -básica e/ou especial de média e alta complexidade -, tendo como ponto de partida a demanda apresentada a partir de um processo da criação de laços de confiança entre terapeuta ocupacional e sujeito/grupo.Nesse sentido, descreve
Introduction: The human immunodeficiency virus affects the lives of people especially regarding self-care, work and leisure time, factors that compromise the exercise of social participation. Objective: To describe the occupational performance of 29 patients living with HIV and AIDS assisted by the B24 program in a hospital in Bogoto-Colombia. Method: Descriptive and exploratory study on patterns of performance, occupational roles and independence in instrumental activities of daily living (IADL). An interview was conducted and an occupational questionnaire, the Lawton and Brody index, was used. Data were processed in SPSS and frequency analysis was performed. Results: Participants were 53 years old in average, 82.8% were men and 48.3% had higher education. They work an average of 2 hours a day and spend 11 hours a day with daily activities, and almost 5 or 6 hours with leisure and rest. The most significant roles are friend and family member, and the least significant, member of religious groups. Among participants, 65.5% are independent to develop IADL, 31% need help for some activities and 3.4% is dependent. Signs and symptoms of HIV and opportunistic infections make it difficult to assume roles, including work activities. Conclusion: Cobra value demonstrates the meaning of occupational transition for this group and its future perspective to implement programs that may foster the importance of their social and family participation.
Introduction: Occupational Therapy encompasses several fields besides health and engages in a broader bio psychosocial approach. Understanding its complexity, the contributions are evident in participation with the multidisciplinary teams, as well as the joints in the level of health care management. Objective: From this perspective, it was aimed to meet among the Occupational Therapy courses of federal public universities, which are the contents that are available for occupational therapist training, so that it can act in the area. Method: The research is a documentary study conducted by analysis of the Political Pedagogical Projects, Curricular Grade and Emendations of Federal IES. Results: were found 27 IES of the public school system that are registered in MEC and out of these, 10 were analyzed in this research. According to the Political Pedagogical Project of the analyzed courses in this study, those institutions that apply the contents relating to Public Health Policy, Public Health and Health System, there is more emphasis to these than to the contents involving the principles of basic health services management. Conclusion: it was concluded that the contents related to the management of health services are poorly studied in most federal public universities that participated in this research, which is equivalent to less than 2% of the total workload of the courses.
Introduction: Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia and associated with complications. It is considered a chronic degenerative disease. Objective: This study aimed to identify which areas of human occupation suffered performance changes as a result of vascular and neurological complications of type 1 and 2 diabetes mellitus. Method: This is a quantitative study with exploratory approach. The data collection occurred in a University Hospital located in a city in the central region of Rio Grande do Sul, and used a sociodemographic questionnaire and the Canadian Occupational Performance Measure (COPM). Data were analyzed by Spearman's rank correlation coefficient using the software Statistical Package for Social Science 15.0 (SPSS). Results: The sample consisted of 10 people with vascular and neurological complications resulting of type 1 and 2 diabetes mellitus, with 80% men and 20% women. The most frequently cited occupational performance problems were in self-care activities (feeding, bathing and mobility), while the most affected productivity tasks were cooking and leisure activities such as walking and socializing. Conclusion: The data alert us to the work of occupational therapists caring for people with diabetes in all health care levels.
Introduction: Williams-Beuren Syndrome (WBS) results from a deletion in the chromosome 7q11.23. Psychiatric symptoms, such as Generalized Anxiety Disorder (GAD), Attention Deficit Hyperactivity Disorder (ADHD), and others, have been described in this syndrome. Objective: The main purpose of this study was to identify related clinical symptoms in individuals with WBS and the impact of this disorder in their quality of life. Method: The study sample included 42 individuals aged 11 to 16 years divided into two groups: a study group composed of 20 individuals with WBS and a control group comprising 22 individuals with typical development. The following instruments were used in this evaluation: Brazilian Criterion of Economic Classification (CCEB), to estimate the purchasing power of urban households; Strengths & Difficulties Questionnaire (SDQ), to provide a useful measure of psychopathology applied to children and youth aged 4-17 years; and Quality of Life Evaluation Scale (AUQEI), to assess the feeling of well-being according to the opinion of the child and adolescent. Results: The results suggest that adolescents with WBS have a good quality of life despite presenting greater possibilities of psychiatric symptoms. These results are valid considering that quality of life is measured from the opinion of the assessed individual. Conclusion: We hypothesized that adolescents with WBS can present a distortion of reality regarding the positive/optimistic factor, possibly based on some characteristics of the syndrome such as being always cheerful and smiling, which are factors associated with intellectual disability.
This essay presents the purpose which took place from 2011 through 2014, by the Professional Trainning of Social Occupational Therapy of the Occupational Therapy Course at Federal University of Sao Paulo in the city of Santos, SP. Aligned to the National Politics of Social Assistance as well as Social Occupational Therapy practical/theoretical assumptions, was designed territorial actions - individual and collective - to strengthen, to create and to form family and people relational networks, and people from Santos served by a social protection network - basic and/or special of medium and high complexity -, based on the demand presented through a process of creating bonds of trust between occupational therapist and subject/group. In this sense, it is described and reflected on five experiences: the support to the Regional Meetings from a Social Assistance Reference Center (CRAS), the work composition of a CRAS with a Social Service for young people and three individual and territorial support. This experience reveals the challenge of educating the student based on the other one need, as well as based on its territory and intersectoriality as a practice with efficiency.
Introduction: The expansion of the multi-professional team in Primary Health Care (APS) input professional categories that have traditionally worked in the service of medium and high complexity. The lack of knowledge on the assignments of these new jobs can be an obstacle to effective interdisciplinary and sharing practices. Objective: The study aimed to analyze the professional healthcare team understanding on the Family and Support Center for Family Health (NASF) and the practices of Occupational Therapy in APS, as a member of NASF team. Method: This study is characterized as exploratory and qualitative field, with data collected individually, through semi-structured interviews with professionals of a Family Health Team and a NASF team. We used content analysis for data processing. Results: We identified that the understanding of the teams on the role of the occupational therapist is partial, linking their practices basically with mental health and rehabilitation, confusing their duties with the other team members. Conclusion: It was difficult to differentiate occupational therapist own practices, even when the work is shared. This suggests the need to implement strategies, such as matrix-based strategies to overcome the gaps in knowledge between the team and the specifics of each profession engaged in APS.
Objective: This study aimed to understand the trajectories of aldermen health representatives representing the users and discuss the popular participation and political culture in the reality of a medium-sized municipality of Sao Paulo. Method: Therefore, we carried out a qualitative and exploratory research, with the proposition of the pursuit of knowledge by reconstituting life trajectories, inspired by the method of oral history. Interviews were conducted in depth with five directors through broad issues roadmap to encourage the free narration. We then performed the analysis of the trajectories the light of two concepts: popular participation and political culture. Results: The trajectories pointed motivations and deadlocks, as the satisfaction in charge of the occupation, the rise of a user presidential council and the critical lack of financial support. We observed asymmetry of knowledge and power within the board, since the board members consider themselves less able not to dominate technical and management issues. The local political culture experiences a period of transition from a traditional political culture for a democratic and participatory, however prevails to authoritarianism and cooptation of relations between managers and users. Conclusion: It is considered necessary and of great importance greater ownership by the directors of the duties of the Municipal Health Council to be held an effective social control.
Introduction: Aging is a universal, complex, multidimensional phenomenon that causes numerous repercussions in the occupations and social participation of older people. The process of hospitalization at this stage of life can affect the routine and meaningful occupations, generating ruptures, changes and departures from occupational preferences of the daily routine. Objective: Considering the possible repercussions of illness and hospitalization in occupations, health and the elderly welfare, this research sought to understand the form and meaning of the nursing occupations in a hospital situation. Method: This is a qualitative, descriptive exploratory research. The survey was conducted in a public hospital clinic in the state of Para, from May to July 2013. Twelve elderly participated of the research, using a semistructured interview. The interviews were analyzed by content analysis. Results: The survey revealed the occupational experiences of hospitalized elderly. The results showed changes in the occupational role, rhythms and preferences. We observed occupational losses and changes in the form and meaning of occupations. Conclusion: The research offered a space where older people could express how they perceived their occupations during hospitalization. Such accounts and records can help and contribute to the understanding of the occupational dimension of these people during hospitalization.
