Objective: identifying social representations of health professionals and patients with tuberculosis in an initial interview for diagnostic disclosure and analyzing discursive content regarding the relation of this mode of communication during the interview for adherence of these patients to tuberculosis treatment.Method: a descriptive and qualitative study. A semi-structured interview was conducted with 39 health professionals involved in the initial tuberculosis diagnosis disclosure interview and 34 adult patients undergoing treatment in 22 health units in the southern region of São Paulo (Brazil). Discourse analysis was based on the discussions about "Awareness", developed by Paulo Freire.Results: a lack of explanations resulted in patients not understanding the diagnosis, abrasiveness by health professionals, the need for health education and how to approach the patient have emerged as conditions that influence patient adherence to treatment.Conclusion: regarding communication, we have identified a professional exercise that is contrary to promoting patient adherence to treatment, since it does not allow them to critically reflect on their current situation, and consequently does not modify their reality (in choosing adhesion and cure), thus characterizing incompetent communication. DESCRIPTORS: COMUNICAÇÃO NA REVELAÇÃO DO DIAGNÓSTICO E ADESÃO AO TRATAMENTO DA TUBERCULOSE: REPRESENTAÇÕES SOCIAIS DE PROFISSIONAIS E DE PACIENTES RESUMOObjetivo: identificar as representações sociais de profissionais de saúde e de pacientes com tuberculose sobre a entrevista inicial de diagnóstico da doença, e analisar o conteúdo discursivo, no que se refere à relação deste modo de comunicação, durante a entrevista com a adesão destes pacientes ao tratamento da tuberculose.Método: estudo descritivo e qualitativo. Realizou-se entrevista semiestruturada com 39 profissionais de saúde envolvidos com a entrevista inicial de diagnóstico da tuberculose e 34 pacientes adultos em tratamento, em 22 unidades de saúde da região sul de São Paulo (Brasil). A análise dos discursivos foi baseada nas discussões sobre "Conscientização", desenvolvidas por Paulo Freire.Resultados: a ausência de explicações e consequente não entendimento sobre o diagnóstico, a brutalidade de profissionais da saúde, a necessidade de educação em saúde e a forma de abordar o paciente surgiram como condições que influenciam a adesão ao tratamento por parte do doente.Conclusão: identificou-se um exercício profissional, no que se refere à comunicação, contrário à promoção da adesão ao tratamento por parte do paciente, já que não permite a ele uma reflexão crítica sobre a situação atual, e, consequentemente, uma não modificação da sua realidade (escolha pela adesão e cura), caracterizando, portanto, uma comunicação não competente. DESCRITORES: COMUNICACIÓN EN LA REVELACION DEL DIAGNOSTICO Y ADHESION AL TRATAMIENTO DE LA TUBERCULOSIS: REPRESENTACIONES SOCIALES DE PROFESIONALY PACIENTES RESUMENObjetivo: identificar las representaciones sociales de profesionales de ...

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Objetivou-se analisar o processo de desmatamento no município de Catolé do Rocha-PB. Com o presente trabalho estabelecemos uma análise multitemporal das mudanças no uso e ocupação do solo no município de Catolé do Rocha entre os anos de 2005 e 2013. Foram utilizadas imagens do sensor TM Landsat-7, ano 2005 Bandas 3, 4, 5, ponto 216 e órbita 064, e Landsat-8 Banda 8, ponto 216, órbita 064, (georreferenciada). No ano de 2013 as imagens foram corrigidas no Regeemy 0.2.43, e processadas, filtradas e classificadas no SPRING 5.2, a classificação foi efetuada pelo método pixel a pixel, foi obtido 9 amostras para cada classe, com desempenho médio acima de 90%. A imagem resultante da sobreposição dos planos de informação foi obtida por cruzamento usando lógica booleana, no ambiente de programação em LEGAL. A vegetação manteve os níveis degradação principalmente sobtre as regiões de classes (Caatinga Estépica Florestada Mantida e Caatinga Estépica Arborizada Mantida), representando respectivamente, 14,7% e 27,0%. Isso descreve os elevados níveis de degradação que as atividades impõem sobre a paisagem. Também pode-se observar nessas áreas, condições de raleamento da cobertura mais densa e aumento da cobertura menos densa. Caracterizando um aumento do processo de degradação da vegetação natural. Geospatial analysis process of deforestation Caatinga in the municipality of Catolé do Rocha – PBAbstract: This study aimed to analyze the process of deforestation in the municipality of Catolé do Rocha-PB. The present work established a multi-temporal analysis of changes in the use and occupation of land in the municipality Catolé do Rocha between the years 2005 and 2013. They were used sensor images TM Landsat-7, 2005 Bands 3, 4, 5, point 216 and orbit 064, and Landsat-8 Band 8, paragraph 216, orbiting 064 (georeferenced), 2013, The images were corrected in Regeemy 0.2.43, and processed, filtered and sorted in SPRING 5.2, the rating was performed by the pixel-by-pixel method, 9 samples was obtained for each class, with an average performance above 90%. The resulting overlay of information layers was obtained by crossing using Boolean logic, at Legal in programming environment. The vegetation degradation levels remained mainly on the classes of regions (Caatinga Caatinga and Maintained Forested Steppe Steppe Tree Maintained), representing respectively 14.7% and 27.0%. This describes the high levels of degradation that activities impose on the landscape. It can also be observed in these areas, thinning conditions of denser coverage and increased less dense coverage. Featuring an increased degradation of natural vegetation process.

Oliveira, R.A. (2021). Intersubjective relationships and transdisciplinarity: professional teams and the implementation of public policies (Doctoral Thesis).

Oliveira RA. Representações e sentidos sobre a revelação do diagnóstico da tuberculose: relações com adesão ou não adesão ao tratamento. / Representations and meanings about diagnosis revelation of tuberculosis: relations with adherence or non adherence to treatment [dissertation]. São Paulo (BR): Faculdade de Saúde Pública da USP; 2012. Descriptive and qualitative-quantitative research that rescued social respresentations of health professionals and patients in relation to mode of communication of tuberculosis diagnosis and treatment adherence. The study aimed to analyze the discursive content based on discussions about "Conscientization" developed by Paulo Freire. Semi-structured interviews were performed with 39 professionals involved with the initial diagnostic interview and 34 adult patients in 22 health units in South Region, Sao Paulo. Asked about initial diagnostic interview, patients understand this point broadly, far beyond the consultation where they received the official news. However, for professionals, the moment of the news is well defined and reveals that the diagnosis has a technological character. Asked how to break the news so as to encourage the patient to treatment, one of the categories expressed by patients brings the importance of discussing everything that involves the disease, context and patient's life. In contrast, professionals care about the content to be informed, keeping the technological character of the information. Asked about ways to break the news that might discourage the patient to treatment, patients and professionals bring the importance of understanding about treatment (cognitive aspect) and respect and bond (psychic or affective aspect) so as to avoid abandonment. Regarding the fact that the treatment seems complicated when explained in the news (behavioral aspect), both patients and professionals oppose to this option. Some central ideas of these two groups agree that treatment is complicated and can make patient to give it up. According to Paulo Freire, all educational activity must be preceded by reflection on the human being and the lifestyle so that it does not turn out prefabricated and inoperative. Therefore, expanding the discussions on what involves the disease, context and patient's life can contribute to a more complete understanding of the situation. Although the treatment of tuberculosis is complicated, and therefore disappointing, to promote the understanding of the patient, to respect him and to build a bond with him can contribute to the adherence, both in patients and health professionals point of view. Descriptors: tuberculosis, truth disclosure, medication adherence.

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