Vitorino Freire, Brazil
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dos Santos L.J.,Centro Universitario Serra dos Orgaos | Paranhos M.S.,Secretaria Municipal de Saude do Rio de Janeiro
Ciencia e Saude Coletiva | Year: 2017

Organizational climate is understood as the formal or informal perception of policies, practices, actions and organizational procedures, and is a factor of influence in the efficiency of the results, as well as in the conduct of people that are part of an organization. This paper describes one of organizational climate realms, namely, leadership, comparing the strata of professional categories of the Family Health Teams in the city of Rio de Janeiro. Thus, an administrative-based survey was carried out with a sample of n =9,590 people in 187 primary healthcare units (71 Family Clinics and 116 Municipal Health Centers). The results show that all items that measure the realm of “leadership” were positively evaluated with differences between strata (p-value <0.001). We recommend conducting regular studies and holding leadership workshops in the very health units, as well as using distance-learning tools to exchange information and train staff. © 2017, Associacao Brasileira de Pos - Graduacao em Saude Coletiva. All rights reserved.


Siqueira-Batista R.,Federal University of Viçosa | Gomes A.P.,Federal University of Viçosa | Albuquerque V.S.,Centro Universitario Serra dos Orgaos | Cavalcanti F.O.L.,Instituto Nacional do Cancer INCA | Cotta R.M.M.,Federal University of Viçosa
Ciencia e Saude Coletiva | Year: 2013

The transformations that have revolutionized the labor market in contemporary society make it necessary to think of new alternatives for training health care professionals, thereby establishing a new approach to the health problems of individuals and collectives. Based on these considerations, this paper sets out to discuss training in health based on the concept of competence with a focus on education for the Brazilian Unified Health System (SUS), using attempts to analyze and propose an alternative to the system entrenched in the logic of late capitalism as a theoretical benchmark. It is thus a reflection on the subject, correlating theory and praxis, in constant and relentless movement of construction, deconstruction and (re)construction of propositions.


Teixeira S.A.M.,State University of Rio de Janeiro | Teixeira S.A.M.,Centro Universitario Serra dos Orgaos | Taquette S.R.,State University of Rio de Janeiro | Taquette S.R.,University of Sao Paulo
Revista da Associacao Medica Brasileira | Year: 2010

Objective. To identify factors associated with unprotected sexual activity in female adolescents younger than 15 years. Methods. Observational cross-sectional trial with female teenagers less than 15 years-old and sexually active, attended at a public gynecology clinic. Instruments for data collection were: semi-structured interviews for personal data and about sexuality as well as clinical examination and laboratory tests for diagnosis of sexually transmitted diseases. Data were analyzed by testing of frequency, association of variables with p <0.05 and multiple correspondence analysis. Results. One hundred adolescents between 11 and 14 years of age sexually active were interviewed and examined, 71% declared themselves black, one-third were behind in school, 80% began sexual activity before 13 years of age, 58% reported having been victims of violence in the intrafamily environment and 13% had suffered sexual abuse, 77% did not use condoms regularly and 22% had STDs. Unprotected sexual activity occurred more frequently with the first sexual intercourse before 13 years of age, commercial sexual exploitaion, multiple sexual partners, intrafamily violence and school delay, in addition to be black, to unexpected pregnancy and have STDs. Conclusion. The multiple violence suffered by teenagers, including structural, intrafamily and sexual, contribute to increase their vulnerabilities, early and unprotected sexual activity, as well as STDs and unexpected pregnancies. The synergy between poverty, poor education and low self-esteem reduces the chances of adolescents building self-protection mechanisms and exposes them to be victimized again outside the family environment.


Lobato G.R.,Centro Universitario Serra dos Orgaos | Moraes C.L.,State University of Rio de Janeiro | Moraes C.L.,Estácio de Sá University | do Nascimento M.C.,State University of Rio de Janeiro
Cadernos de Saude Publica | Year: 2012

This qualitative case study aimed to analyze the challenges faced by the Family Health Program (FHP) teams in dealing with domestic violence against children and adolescents in Teresópolis, Rio de Janeiro State, Brazil. The sample consisted of 25 professionals from three family health teams. Data were collected through face-to-face semi-structured thematic interviews and submitted to content analysis. Findings included the health professionals' detection of cases of domestic violence among families enrolled in the program, often associated with drug use and drug dealing, alcoholism, family breakdown, and poverty. Collaboration with the community and difficulty in inter-sector actions were identified as challenges for detecting, reporting, and monitoring cases. Most professionals felt insecure in dealing with such cases, due to lack of appropriate knowledge and skills. The study concludes that it is essential to managers, staff and community discuss the problem and means to approach it in the context of the territories.


Fonseca A.S.,Rio de Janeiro State Federal University | Fonseca A.S.,State University of Rio de Janeiro | Fonseca A.S.,Centro Universitario Serra Dos Orgaos | Geller M.,Centro Universitario Serra Dos Orgaos | And 5 more authors.
Lasers in Medical Science | Year: 2012

Low-level laser therapy is used in the treatment of many diseases based on its biostimulative effect. However, the photobiological basis for its mechanism of action and adverse effects are not well understood. The aim of this study, using experimental models, was to evaluate the effects of laser on bacterial plasmids in alkaline agarose gel electrophoresis and Escherichia coli cultures. The electrophoretic profile of bacterial plasmids in alkaline agarose gels were used for studying lesions in DNA exposed to infrared laser. Transformation efficiency and survival of Escherichia coli AB1157 (wild-type), BH20 (fpg/mutM -), BW9091 (xth -), and DH5αF'Iq (recA -) cells harboring pBSK plasmids were used as experimental models to assess the effect of laser on plasmid DNA outside and inside of cells. Data indicate low-level laser: (1) altered the electrophoretic profile of plasmids in alkaline gels at 2,500-Hz pulsed-emission mode but did not alter at continuous wave, 2.5- and 250-Hz pulsed-emission mode; (2) altered the transformation efficiency of plasmids in wild-type and fpg/mutM- E. coli cells; (3) altered the survival fpg/mutM -, xthA - and recA - E. coli cultures harboring pBSK plasmids. Low-level infrared laser with therapeutic fluencies at high frequency in pulsedemission modes have effects on bacterial plasmids. Infrared laser action can differently affect the survival of plasmids in E. coli cells proficient and deficient in DNA repair mechanisms, therefore, laser therapy protocol should take into account fluencies, frequencies and wavelength of laser, as well as tissue conditions and genetic characteristics of cells before beginning treatment. © 2011 The Author(s).


Fonseca A.S.,Rio de Janeiro State Federal University | Fonseca A.S.,State University of Rio de Janeiro | Fonseca A.S.,Centro Universitario Serra Dos Orgaos | Presta G.A.,Rio de Janeiro State Federal University | And 4 more authors.
Laser Physics | Year: 2011

Low intensity continuous wave and pulsed emission modes laser is used in treating many diseases and the resulting biostimulative effect on tissues has been described, yet the photobiological basis is not well understood. The aim of this wok was to evaluate, using bacterial filamentation assay, effects of laser on Escherichia coli cultures in exponential and stationary growth phase. E. coli cultures, proficient and deficient on DNA repair, in exponential and stationary growth phase, were exposed to low intensity infrared laser, aliquots were spread onto microscopic slides, stained by Gram method, visualized by optical microscopy, photographed and percentage of bacterial filamentation were determined. Low intensity infrared laser with therapeutic fluencies and different emission modes can induce bacterial filamentation in cultures of E. coli wild type, fpg/mutM, endonuclease III and exonuclease III mutants in exponential and stationary growth phase. This study showed induction of bacterial, filamentation in E. coli cultures expose to low intensity infrared laser and attention to laser therapy protocols, which should take into account fluencies, wavelengths, tissue conditions, and genetic characteristics of cells before beginning treatment. © 2011 Pleiades Publishing, Ltd.


PubMed | Federal University of Fluminense, University of Bordeaux 1, Federal University of Rio de Janeiro, French Institute of Health and Medical Research and Centro Universitario Serra dos Orgaos
Type: Journal Article | Journal: Genes | Year: 2016

Neurofibromatosis 1 (NF1) is one of the most common genetic disorders and is caused by mutations in the


Albuquerque V.S.,Centro Universitario Serra dos Orgaos | Moco E.T.-S.M.,Centro Universitario Serra dos Orgaos | Batista C.S.,Ciencias da Saude pelo Programa e Medicina Interna e Terapeutica
Saude e Sociedade | Year: 2010

This quantitative study aimed at analyzing social, cultural and behavioral components related to HIV vulnerability from perception of black women who live on a specific region of Rio de Janeiro - the highland area. For that, 1,464 black women from different towns of this region were interviewed. The main components that influenced vulnerability of these women could be associated to some factors, like: poor schooling, poverty, and consequently a difficulty to access property and services, low rates of using condom appropriately and some gender perceptions that reinforce women's autonomy on protection decisions is very short.


Fonseca A.S.,Rio de Janeiro State Federal University | Fonseca A.S.,Centro Universitario Serra Dos Orgaos | Moreira T.O.,Centro Universitario Serra Dos Orgaos | Paixao D.L.,Centro Universitario Serra Dos Orgaos | And 5 more authors.
Lasers in Surgery and Medicine | Year: 2010

Background and Objective: Whereas the biostimulative effect on tissues using low intensity laser therapy for treating many diseases has been described, the photobiological basis and adverse effects are not well understood. The aim of this study, using experimental models, is to observe the combined effect of physical damage (laser) and a chemical agent (hydrogen peroxide) on Escherichia coli cultures and bacterial plasmids. Materials and Methods: Survival of E. coli AB1157 (wild type) and BW9091 (xth -) cultures were used as an experimental model to assess the effect of agents on DNA, also agarose gel electrophoretic profile of bacterial plasmids for studying single and double strand breaks in DNA exposed to laser irradiation and in DNA pre-exposed to laser and subsequently incubated with hydrogen peroxide. Results: Data indicate low intensity laser: (i) did not alter the survival of E. coli cultures, (ii) pre-exposure had a protective effect against lethal action of hydrogen peroxide on E. coli cultures, and (iii) did not alter the electrophoretic profile and action of hydrogen peroxide on plasmids. This suggests that low intensity therapeutic red laser doses at different emission modes induces sub-lethal effects on E. coli wild type and exonuclease III mutant cultures inducing protective mechanisms against lethal action of hydrogen peroxide. Laser action on bacterial plasmids is related to lesions other than single or double DNA strands breaks. Conclusions: This study shows a protective effect or DNA repair mechanism induction by pre-exposure to low intensity red laser on the lethal action of oxidant agents and, therefore, laser therapy protocol should consider fluencies, wavelength and tissue conditions before beginning treatment. © 2010 Wiley-Liss, Inc.


Antonioli R.D.S.,Centro Universitario Serra Dos Orgaos | Simoes D.,Centro Universitario Serra Dos Orgaos
Revista Neurociencias | Year: 2010

The sexual dysfunctions are a problem that affects the life's quality of the women. We detach the chronic pelvic pain, the secondary anorgasmy, the vaginism and the dyspareunia as the main manifestations most found. It's important to know that the incidence of the dysfunctions is difficult to be determinate because the women don't look for attendance. But, the women that go to a consult have found not much options of therapy, what don't stimulate the others. With it, the physical therapy starts to blunt as a new alternative to brighten up the problem. This way, the aim of this article is to describe the main options of physical therapy treatment that can decrease the most found sexual dysfunctions in women. It was made a review including books, periodicals, printed matters and electronics from 1993 up to 2008 as basement for the article. It was observed that physical therapy is appearing as a viable practice that, together with other therapeutic options, allows conditions for reestablish a healthy sexual life of affected women.

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