Portuguese / English: www.scielo.br/reeusp RESUMO Os conceitos de Vulnerabilidade e Adesão têm sido foco de debate na Saúde Coletiva. É desafio posto pela Saúde Coletiva, propiciar tecnologias, dispositivos e instrumentos que apóiem a construção de práticas qualificadas, para responder às necessidades dos grupos sociais. Na produção do conhecimento, tem buscado inovar no desenvolvimento de instrumentos que apói-em a captação da realidade de vida e saú-de e que auxiliem na leitura das necessidades e no desencadeamento e sustentação de projetos de intervenção que produzam o impacto desejado: atender os grupos sociais que mais carecem de apoio para conquistar autonomia para viver a vida com qualidade e a consecução do auto-cuidado, no cenário da equidade e da justiça social. O artigo apresenta aspectos das categorias analíticas Adesão e Vulnerabilidade, quanto à proposição de marcadores/ indicadores para o seu monitoramento, o que pode contribuir para o adensamento do conceito e para a prática do processo de produção à saúde. DESCRITORES ABSTRACTThe Vulnerability and the Compliance are concepts that have being focus of debate in the Collective Health field. The challenge of the Collective Health is to promote technologies, and tools to support qualified actions, and to answer to the social groupsń eeds, looking for the innovation of the instruments to apprehend the reality and to develop interventions that could produce impacts: attending these social groups who needs support to conquer autonomy in the self-care. This article presents aspects of the analytic categories Compliance and Vulnerability, proposing indicators for monitoring it, in order to contribute to the development of the concepts as to the health production process. KEY WORDS RESUMENLos conceptos de Vulnerabilidad y Adhesión han sido foco de debate en la Salud Colectiva. El desafío puesto por este campo, de propiciar tecnologías, dispositivos e instrumentos que apoyen la construcción de prácticas calificadas, para atender a las necesidades de los grupos sociales, ha constituido el terreno donde se elabora el conocimiento, buscando la innovación en el desarrollo de instrumentos que apoyen la captación de la realidad, apoyen la lectura de las necesidades y en el desencadenamiento y sustentación de proyectos de intervención que produzcan el impacto deseado: atender los grupos sociales que más carecen de apoyo para conquistar autonomía para vivir la vida con calidad y la consecución del auto-cuidado, en el escenario de la equidad y de la justicia social. El artículo presenta aspectos de las categorías analíticas Adhesión y Vulnerabilidad, en cuanto a la proposición de indicadores para su monitoreo, lo que puede contribuir para el desarrollo del concepto y para las prácticas en el proceso de producción a la salud. DESCRIPTORESVulnerabilidad. Grupos vulnerables. Salud publica. Adhesión al tratamiento.

Objective: To analyze the influence of social incentives for adherence to tuberculosis (TB) treatment. Method: Qualitative study, in which 26 primary health care professionals of São Paulo were interviewed in 2015.Their testimonies were submitted to the speech analysis technique. The theoretical reference was the social determination of the health-disease process. Ethical procedures were observed. Results: TB is related to precarious living conditions. Incentives such as the basic food basket and transportation stipends are relevant for patients’ adherence to treatment, as well as to the create bonds between the patient and the health team. Final considerations: The incentives strengthened adherence to TB treatment. However, interventions in the context of public measures must transcend the remedial dimension and be guided towards the transformation of the TB situation, which means supporting processes that modify living conditions.

In December of 2019, there was an outbreak of a severe acute respiratory syndrome caused by the coronavirus 2 (SARS-CoV-2 or COVID-19) in China. The virus rapidly spread into the whole world causing an unprecedented pandemic and forcing governments to impose a global quarantine, entering an extreme unknown situation. The organizational consequences of quarantine/isolation are absence of organized training and competition, lack of communication among athletes and coaches, inability to move freely, lack of adequate sunlight exposure, and inappropriate training conditions. The reduction of mobility imposed to contain the advance of the SARS-Cov-2 pandemic can negatively affect the physical condition and health of individuals leading to muscle atrophy, progressive loss of muscle strength, and reductions in neuromuscular and mechanical capacities. Resistance training (RT) might be an effective tool to counteract these adverse consequences. RT is considered an essential part of an exercise program due to its numerous health and athletic benefits. However, in the face of the SARS-Cov-2 outbreak, many people might be concerned with safety issues regarding its practice, especially in indoor exercise facilities, such as gyms and fitness centers. These concerns might be associated with RT impact in the immune system, respiratory changes, and contamination due to equipment sharing and agglomeration. In this current opinion article, we provide insights to address these issues to facilitate the return of RT practices under the new logistical and health challenges. We understand that RT can be adapted to allow its performance with measures adopted to control coronavirus outbreak such that the benefits would largely overcome the potential risks. The article provides some practical information to help on its implementation.

O objetivo deste artigo é analisar como conhecimentos sobre consumo de drogas e juventude foram incorporados às práticas sociais de participantes de oficinas para debate, sensibilização e instrumentalização de trabalhadores de instituições sociais, ocorridas há três anos. Foram realizadas 13 entrevistas, utilizando-se roteiro com questões sobre: temas discutidos e estratégias utilizadas, contribuição para o desenvolvimento pessoal e profissional, análise de situações-problema. Os resultados indicaram que os participantes desenvolvem práticas no trabalho e na vida caracterizadas por compreender a rede de causalidade imbricada no consumo de drogas, que envolve reflexões sobre mercadorização da droga, problemas decorrentes da criminalização e do mercado de trabalho. Foram também discutidos valores contemporâneos e dificuldades da família e da escola na socialização dos jovens. Nessa direção, observam-se cuidados para compor discursos que não culpabilizem os usuários. Preferir-se-ia uma atitude de compreensão e diálogo diante das situações-problema colocadas. Embora haja discursos que oscilem, entre formas hegemônicas e críticas de apreensão do problema, é possível perceber que a compreensão mais geral remete ao complexo sistema de produção, consumo e distribuição de psicoativos e à busca de soluções sociais ampliadas. As práticas sociais desenvolvidas, no entanto, evidenciaram ausência de políticas públicas para o enfrentamento do problema

This paper is based on the assumption that the widening gap between manual labor and intellectual tasks tends to weaken the inherent potential of the labor force. Its purpose is to analyze current trends in the division of labor in the Brazilian nursing sector. This is exemplified by the findings of recent surveys conducted by graduate students who studied various aspects of the work processes involved in healthcare, education and research through a qualitative meta-analysis. The non-appropriation of the object by the work process agents was common to all three studies: the graduate students plan an approach to the object that is altered by the advisor in compliance with research interests; reports on educational experiments conducted by nurses highlight the gap between planning and implementation of the activities, hampering full exploration of the purpose of educational efforts; community health agents perform tasks assigned by the nursing staff. Dealing with this alienation is an urgent task, through training and upgrading the subjects so that they have full mastery of the object, the purpose and the work tools, able to share their expertise and work closely together with a critical approach in order to transform the epidemiological profiles of the various social classes.

Objective: to describe the development of a mobile application for the International Classification Terminology Subset for Nursing Practice for Coping with Domestic Violence Against Children. Methods: an applied research of technological development, based on the Analysis, Design, Development, Implementation and Evaluation model and on the terminological subset based on the Theory of Nursing Praxis Intervention in Collective Health framework. Results: the application is divided into: 1) “Definition”: characterizes the phenomenon of violence against children; 2) “Assistance”: electronic record of nursing care; 3) “Diagnosis Consultation”; 4) “Intervention Consultation”: nursing diagnoses, outcomes, and interventions related to children and their families, subdivided into Strengthening and Weariness group. Final considerations: built from scientific research, the application has the potential to support nursing care, presenting, in an organized and systematic manner, nursing diagnoses, outcomes, and interventions, in addition to enabling the registration of cases under monitoring.

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