ABSTRACT
RESUMO Este artigo relata uma experiência de formação em saúde mental desenvolvida no município de São Paulo entre os anos de 2013 e 2016. Denominado Projeto Rede Sampa - Saúde Mental Paulistana, direcionou-se a trabalhadores de diversas categorias profissionais e diferentes pontos da Rede de Atenção Psicossocial, tendo sido elaborado e executado utilizando estratégias que garantiram a participação dos distintos atores na construção de conteúdos de aprendizagem, a abordagem da singularidade das redes territoriais e o registro do percurso formativo das turmas. A partir da metodologia construcionista social, procurou-se discutir a relevância das interações dialógicas para o fortalecimento do trabalho em rede e a importância do alinhamento com a atenção psicossocial como modelo ético de cuidado.
ABSTRACT This article reports on a training experience in mental health developed in the city of São Paulo between 2013 and 2016. Named Projeto Rede Sampa - Saúde Mental Paulistana, it was aimed at workers from different professional categories and different points of the Psychosocial Care Network, having been elaborated and executed using strategies that ensured the participation of the different actors in the construction of learning contents, the approach to the singularity of territorial networks and the registration of the training path of the classes. Based on the social constructionist methodology, we sought to discuss the relevance of dialogical interactions for the strengthening of networking and the importance of alignment with psychosocial care as an ethical model of care.
ABSTRACT
Context: The hemoglobin (HB) level is the most-used parameter for screening blood donors for the presence of anemia, one of the most-used methods for measuring Hb levels is based on photometric detection of cyanmetahemoglobin, as an alternative to this technology, Hemo Cue has developed a photometric method based on the determination of azide metahemoglobin. Objective: To evaluate the performance of three methods for hemoglobin (Hb) determination in a blood bank setting. Design: Prospective study utilizing samples to compare methods for Hb determination. Setting: Hemotherapy Service of the Hospital Israelita Albert Eistein, a private institution in the tertiary health care system. Samples: Seria blood samples were collected from 259 individuals during the period from March to June 1996. Main Measurements: Test performances and their comparisions were assessed by the analysis of coefficients of variation (CV), linear regression and mean differences. Results: The CV for the three methods were: Coulter 0.68 per cent, Cobas 0.82 per cent and Hemo Cue 0.69 per cent. There was no difference between the mean Hb determination for the three methods (p>0.05). The Coulter and Cobas methods showed the best agreement and the HemoCue method gave a lower Hb determination when compared to both the Coulter and Cobas methods. However, paris of methods involving the Hemo Cue seem to have narrower limits of agreement (+0.78 and + 1.02) than the Coulter and Cobas combination (+ 1.13). Conclusion: The three methods provide good agreement for hemoglobin determination.