RESUMO
As Crianças com Necessidades Especiais de Saúde (CRIANES) são as que têm ou estão em risco aumentado para desenvolverem uma condição crônica relacionada ao desenvolvimento, à condição comportamental ou emocional e que possuem a necessidade de utilização de serviços de saúde além do que outras crianças. Nessa perspectiva, o profissional exerce papel fundamental no seguimento, e sua compreensão acerca das Necessidades de Saúde das CRIANES pode interferir na qualidade do cuidado realizado e na continuidade do cuidado. Objetivo: analisar, sob a perspectiva dos profissionais, as Necessidades de Saúde de Crianças com Necessidades Especiais de Saúde e de seus familiares em um ambulatório de seguimento. Metodologia: realizou-se um estudo qualitativo exploratório com o referencial metodológico da dialética e referencial teórico de Agnes Heller, no qual a autora discorre sobre as necessidades nas relações sociais. O trabalho de campo foi realizado em um ambulatório de saúde da criança de um hospital filantrópico de Belo Horizonte. Os participantes foram nove profissionais da equipe multiprofissional. Os dados foram coletados por entrevista com a utilização de um roteiro semiestruturado com os profissionais e por observações de campo onde foi observada a trajetória do familiar e/ou cuidador no dia da consulta de seu filho. Foi realizada a validação externa com os profissionais, onde expôs-se a estes a síntese dos resultados e através de um roteiro foram registradas as suas impressões. A análise dos dados foi sustentada pela análise de conteúdo temática de Bardin e dela surgiram quatro categorias empíricas: As diferentes dimensões das Necessidades de Saúdes sob as perspectivas dos profissionais no serviço de seguimento; Necessidades de Saúde e o contexto social das CRIANES; Interações entre profissionais, familiares e CRIANES no contexto do ambulatório; O momento do encontro entre familiar e/ou cuidador das CRIANES e profissionais: Necessidades de Saúde que...
The Children With Special Health Care Needs (CRIANES) are those which are in increased risky to develop a chronic condition related to their own development, to the behavioral or emotional conditions and that have the necessity in using health services more than other kids. From this perspective, the professional has a fundamental role in the follow-up, and his comprehension about the CRIANES health needs may interfere on the quality of the care accomplished as well as on the care continuity. Objective: analyzing, under the professional's perspective, health needs of Children With Special Health Care Needs and their relatives in an ambulatory segment. Methodology: it was done an exploratory qualitative studying with the methodological referential dialectic and Agnes Heller's theoretical referential, in which the author writes about the necessities on the social relationships. The fieldwork was made in an ambulatory specialized in child health in a philanthropic hospital localized in Belo Horizonte. The participants were nine workers from the multi professional team. The data were collected by interviews with the workers utilizing a semi structured script and by field observing, where was observed the path made by the relative and/or caregiver on his son's appointment day. It was done an external validation with the professionals, where was exposed to them the synthesis of the results and through a script their impressions were registered. The data analyzing was supported by Bardin's content theme and from it appeared four different empirical categories: "The Health Needs different dimensions under the professionals perspective in the follow-up"; "Health necessities and the CRIANES social context"; "Interactions between professionals, relatives and CRIANES in the follow-up context"; "The moment when the CRIANES relative and/or caregiver meet the professionals: Health needs which reveal themselves". This analysis revealed that the professional workers, through...
Assuntos
Humanos , Recém-Nascido , Assistência Ambulatorial , Avaliação das Necessidades , Recém-Nascido Prematuro , Relações Profissional-Família , Terapia Intensiva Neonatal , Entrevistas como Assunto , Equipe de Assistência ao Paciente , Inquéritos e Questionários , Pesquisa QualitativaRESUMO
BACKGROUND: Fibroblasts on the edges of a surgical wound are induced to synthesize collagen during the healing process which is known as fibroplasia. OBJECTIVE: The aim of this study was to determine the effect of the application of different substances on fibroplasia of cutaneous surgical wounds on rats. MATERIALS AND METHODS: Forty-eight Wistar rats were divided into three groups. A surgical wound 1 cm in diameter and 1 mm in depth was created on the dorsum of each animal. The surgical wounds were submitted to the topical application of an alcoholic extract of 30% propolis, 70% alcohol, or 0.001% dexamethasone in a cream base every 12 hours. The animals were sacrificed three, seven, 14, and 28 days postoperatively. The specimens were histologically processed and stained with Masson's trichome. The assessment of fibroplasia was performed using a scoring system: (1) 5 to 25% collagen deposition; (2) 26 to 50% collagen deposition; (3) 51 to 75% collagen deposition; and (4) more than 75% collagen deposition. RESULTS: There were statistically significant differences in collagen deposition between the substances at all postoperative evaluation times. CONCLUSION: Propolis and alcohol promoted greater collagen deposition in surgical wounds than dexamethasone.