Organização dos serviços de saúde e a gestão do cuidado à tuberculoseOrganization of health services and tuberculosis care management
The study aimed to analyze the relation between the training of the nurse and the actions directed to the management of the care to the tuberculosis. With qualitative nature, it was performed in one of the cities of the metropolitan region of João Pessoa-PB. The subjects were ten nurses of the Health Family Strategy. The data collection was performed in February 2010 using a semi structured interview script. To examine the empiric material it was used the technique of content analyzes. In the testimonies of the nurses there was predominance of the thematic TB in the hospital space; they approach either the superficiality and the distance of the care to TB related to the relation between the theory and the practice, and the absence of direct care to the patient of TB during training; according to them, the organization of the services points to a mechanicist and task based practice. One concluded that there is necessity of training institutions to come close to the health services, in a dialogic relation, to organize better the learning spaces.
RESUMO:A pesquisa teve como objetivo analisar as impressões dos enfermeiros sobre a experiência como gestor em saúde na perspectiva de reconhecer elementos fortalecedores do projeto da Reforma Sanitária. O estudo é exploratório, qualitativo e ancorado na história oral temática. Colaboraram sete enfermeiros que atuavam como gestores em municípios da Paraíba/Brasil. As informações foram analisadas conforme a técnica de análise de conteúdo. Baseados em suas experiências, os colaboradores reconheceram a Estratégia Saúde da Família como reorganizadora da atenção básica e como locus de aprendizagem para a gestão. Também citaram como desafios o despreparo dos trabalhadores para a gestão em saúde e a falta de autonomia financeira, problemas que impactam negativamente as metas instituídas no Pacto de Gestão e retardam o processo da Reforma Sanitária. Os enfermeiros, embora tenham recebido em sua formação conhecimentos na linha taylorista, mostram-se sensíveis ao planejamento de ações sob conceitos como vigilância em saúde, revelando potencial para mudanças. DESCRITORES:Gestão em saúde. Sistema Único de Saúde. Enfermagem. NURSING EXPERIENCES WITH HEALTH CARE MANAGEMENT WORK IN PARAÍBA, BRAZILABSTRACT: The objective of this study was to analyze nursing impressions about their experiences as health care managers within the perspective of recognizing empowering elements of the Brazilian Sanitary Reform project. The study is exploratory, qualitative, and anchored in the oral history thematic. Seven nurses who worked as managers in municipalities of Paraíba, Brazil participated. The information was analyzed according to the content analysis technique. Based on their experiences, the collaborators recognized the Family Health Strategy as a reorganizer for basic care and a locus for management learning. The unpreparedness of workers for health care management and lack of financial autonomy were cited as challenges and seen as problems that negatively impacted the goals established in the Management Pact and retard the Health Reform process. The nurses, although they had received knowledge concerning the Taylorist line in their formal training, showed themselves to be sensitive to planning actions under concepts such as health surveillance, revealing the potential for change.DESCRIPTORS: Health management. Unique Health System. Nursing. LA EXPERIENCIA DE LOS ENFERMEROS COMO GESTORES DE SALUD EN EL ESTADO DE PARAÍBA, BRASILRESÚMEN: La investigación tuvo como objetivo analizar las impresiones de los enfermeros sobre su experiencia como gestores de salud, en la perspectiva de reconocer elementos fortalecedores del proyecto de Reforma Sanitaria. Es un estudio exploratorio, cualitativo, fundamentado en la historia oral temática. Los participantes del estudio son siete enfermeros que trabajaban como gestores en los municipios del estado de Paraíba, Brasil. Las informaciones se analizaron mediante la técnica de análisis de contenido. Los colaboradores, basados en sus experiencias, reconocieron la Estrategia de Salud de la Familia como r...
RESUMOEste artigo faz uma abordagem sobre as interações micorrízicas, caracteriza os tipos de fungos micorrízicos, identifica os pontos importantes na utilização prática desses fungos e apresenta informações atualizadas sobre o assunto. As técnicas da ciência moderna formaram as bases da micorrizalogia, que se espalhou pelo mundo e representa, hoje importante ramo interdisciplinar das Ciências Biológicas, com grandes possibilidades para a exploração comercial, com o objetivo de aumentar a produção de madeira, fibras e alimentos e reduzir os custos e o impacto dos sistemas modernos de produção sobre o meio ambiente. O Brasil, em função de suas condições edafo-climáticas, aptidões agrossilvopastoril e a escassez de recursos financeiros, apresenta enorme potencial para utilização de micorrizas, uma vez que o uso de micorrizas promove ganhos de produção e, conseqüentemente, retorno financeiro. Palavras-chave: associação, microorganismos, colonização, simbioseStudies on mycorrhizal fungi ABSTRACT This article elaborates the mycorrhizal interactions, characterizes the types of mycorrhizal fungi and identifies the important points in the practical use of these fungi and shows information brought up to date on the subject. The techniques of modern Science formed the bases of the mycorrhizalogy that spread in world and today represents an important branch of Biological Sciences, with great possibilities for the commercial scanning, aiming to magnify the wood production, vegetable fibers and foods and to reduce the costs and the impact of modern systems of production on environment. The Brazil, due to its edafoclimatic conditions, agricultural, forestal and pastoral aptitudes and the scarcity of financial resources presents enormous potential for use of mycorrhiza, since it promotes production and consequently financial rollback.
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