[Blood pressure control and adherence/attachment in hypertensive users of primary health care]. / Controle pressórico e adesão/vínculo em hipertensos usuários da atenção primária à saúde.

This is a population-based, descriptive, and analytic study conducted with a randomized and probabilistic sample comprising 340 hypertensive individuals representative of the Family Health Strategy (FHS) Service in Joio Pessoa, PB, Brazil. The present study corresponds to the first part of a cohort started in 2008. The instrument used was an adaptation of the Primary Care Assessment Tool revalidated in Brazil. Logistic regression was used to investigate the associations between blood pressure (BP) control, sociodemographic variables, and an indicator of adherence/ attachment. Among the 340 hypertensive participants, 32.6% were followed up at the FHS, and 89.1% exhibited satisfactory adherence/ attachment. The older adults were more likely to control BP, which suggests a more accurate self-care perception and greater adherence to treatment. The present study highlights the problem posed by the control of hypertension by means of the assessment of services. We expected the present model to be applied at other locations to generate parameters to compare different municipalities.

[Constructing a Gowin's V diagram to analyze academic work in nursing]. / Construção de um vê de Gowin para análises de produções acadêmicas de enfermagem.

The paper presents a meaningful learning tool known as Gowin's V and highlights the possibility of using it in the process of unpacking academic work in nursing. Our study aims to propose an amendment to this tool using the elements that comprise the procedural trajectory of the Theory of Nursing Praxis Intervention in Collective Health (TIPESC) and to analyze a dissertation produced in this field. This descriptive and exploratory study presents Gowin's V and proposes changes to its methodology. It thus shows the possibility of using this heuristic instrument to analyze academic work in nursing. Gowin's V has already proven to be useful in supporting teaching and learning processes and analyzing academic work in the area through its ability to capture and interpret any phenomenon articulated in the processes of social production and reproduction.

[Alternative experiences rescuing knowledge for working processes in health]. / Experiências alternativas resgatando saberes para os processos de trabalho em saúde.

This descriptive study was performed using a qualitative approach, with the objective to understand the working process of nurses and physicians of the Family Health Strategy (FHS) in João Pessoa-PB, and identify the alternative strategies and procedures they developed. The material was analyzed according to the discourse analysis technique. It was shown that the elements of the working process were disconnected, allied with a possibility of change by overcoming the invisibility of the subjects and their knowledge in healthcare services. In conclusion, the identified alternative strategies and procedures are in the embryonic stage in terms of the transformation of working processes and overcoming of hegemonic healthcare models, therefore demanding a continuous problematization of concepts and practices.

The active search for respiratory symptomatics for the control of tuberculosis in the Potiguara Indigenous Scenario, Paraiba, Brazil.

This study sought to analyze the actions of an active search for respiratory symptomatics (RSs) in the control of tuberculosis (TB) in the Potiguara Special Indigenous Sanitary District, Paraiba, Brazil, between May and June 2007. After approval by the Research Ethics Committee, 23 professionals were grouped, including physicians, nurses, nurse technicians and indigenous health agents. The focus group technique was used as an instrument for data collection, based on the discourse analysis technique. Weaknesses of an operational nature that became apparent, related to the organization of local health service for the implementation of routines for diagnosing TB: absence of a systematic routine for searching for RSs, difficulties in organizing the material for bacteriological examination, inadequate approach to patient during sputum collection and inadequate professional training. It is deemed necessary to improve the organization of services for early detection of TB cases in the local indigenous scenario.

[Fatherhood: The male experience from a gender focus]. / Sentir-se pai: a vivência masculina sob o olhar de gênero.

Pregnant and postpartum women frequently complain about the limited involvement of their partners with their children, beginning in pregnancy. The current study thus aimed to understand men's feelings towards fatherhood during this period of their lives. The research adopted a qualitative approach and a gender-theory focus. The universe included men whose children were being treated at a pediatric outpatient clinic, and data were collected through semi-structured home interviews. Subjects' testimony was analyzed using discourse analysis, the basic principle of which is to recognize the most abstract levels of the text, identified by themes organized in blocks of meaning and allowing the construction of empirical categories. Study subjects' social position towards fatherhood shows that the model that men assume as father-providers coexists with that of the man who seeks to be a "new father", whose affective bond with the son or daughter begins during pregnancy, thus representing a break with traditional fatherhood.