Characteristics of work in primary care identified in the collective exercise of application of the SWOT matrix.

OBJECTIVE: to understand how variables strengths, weaknesses, opportunities and threats make it possible to characterize work in Primary Health Care, to collectively propose strategies for systematizing this process with Family Health teams. METHODS: methodological research, with 23 participants in direct relationship with Primary Care, including representatives of segments: care (work), management and social control. In one of the three pedagogical meetings, the SWOT matrix was used as a tool for organizational work planning. RESULTS: applying the matrix resulted in the following thematic categories: Teamwork and regulations: key elements for interprofessionality at work; Continuing Health Education: path to autonomy and participatory management (co-management). FINAL CONSIDERATIONS: the study promoted the systematization of teams' work, through the mobilization of sectors and distribution of tasks, involving professionals in the co-management of the process.

[Nursing education research groups in Brazil]. / Grupos de Pesquisa de Educação em Enfermagem do Brasil.

The aim of this study is to characterize the organization of nursing education research groups in Brazil. This is a quantitative, descriptive and documentary study. Census data for 2006 were collected from the CNPq database website. Brazil has 47 education research groups, comprised of 412 researchers, of whom 91% have masters, doctoral or postdoctoral degrees. There are 307 students, of whom 92% are nursing undergraduates. However, only 9% are recipients of young investigator grants. There are also 112 technicians, of whom 75% are nursing professionals; 46% have a masters or doctoral degree. In Brazil, there are a considerable number of nursing education research groups, which contribute significantly to scientific production of nursing knowledge in Latin America. In this scenario, there are many challenges to be overcome: poor interdisciplinary cooperation; limited integration between education and practice; low number of grants awarded to young investigators and significant inequalities between the country's geographic regions in terms of access to research development.

[Scientific research in nursing education: Rio de Janeiro and Minas Gerais research groups]. / Produção científica em educação em enfermagem: grupos de pesquisa Rio de Janeiro e Minas Gerais.

This study aims to characterize the scientific production of the Research Groups in Nursing Education (RGNE) of the states of Rio de Janeiro and Minas Gerais, in Brazil. This is a documentary quantitative descriptive retrospective research, conducted by searching the CVs of all researchers who are part of the RGNEs in the Lattes database, followed by the search, organization, and evaluation of their scientific production according to Qualis/CAPES. The period studied was from 1995 to 2009 (the last five CAPES triennia) and included articles, books, book chapters, and full papers in conference proceedings. Results show that Rio de Janeiro has the higher number of articles in Nursing Education, highlighting the qualification of researchers at doctorate level. Both states present historic and socio-economic factors that favor scientific development.

Profile of scientific and technological production in nursing education research groups in the south of Brazil.

This research aimed to present the profile of production of Nursing Education Research Groups (NERG) scientific and technological production in the South of Brazil. This documentary, quantitative, exploratory-descriptive retrospective research was guided by the active search for products in the Lattes curriculum of previously selected NERG researchers, based on the 2006 Census of the Research Group Directory/CNPq, between 1995 and 2008. The results indicated that the 18 NERG from southern Brazil produced 453 papers in proceedings, 371 book chapters, 206 books, 1,437 scientific articles and 08 technological products, but no patent was registered. NERGs scientific production in the research region has grown progressively over the past 14 years. To strengthen this structure, the establishment of collaborative networks can be used as a strategy, so that political-scientific joint actions in the sector can advance science and technology.

[Permanent education in health and nursing work: perspective of a transformative praxis]. / Educação permanente em saúde e no trabalho de enfermagem: perspectiva de uma práxis transformadora.

This is a theoretical reflection that aims to encourage readers to rethink the role of permanent education of health and nursing subjects/workers in the perspective of individual and collective development through transformative praxis. We tried to make a thoughtful articulation about principles of transformative praxis presented by the philosopher Adolfo Sánchez Vázquez with the precepts of permanent education in health and nursing work. This articulation presents an educational concept in favor of the subject-worker's awareness about the distinct contributions of personal, social, relational and institutional arrangements that may result from different ways of perceiving and practicing permanent education in health and nursing work.

[Research groups in nursing in the South Region part of Brazil]. / Grupos de pesquisa de educação em enfermagem da Região sul do Brasil.

The study purpose is to describe how the Research Groups of Nursing Education (RGNE) are organized in the Southern of Brazil. It's a documental study descriptive and explorative, of qualitative research, with the data collection from the Brazilian National Agency for Science and Technology (CNPq) Groups Directory website 2006 census. The South Region presents 18 RGNE with 173 researchers; most of them have Master and Doctor Degree, working like professor. There are 111 students; most of them are graduating from the nursing course. Nevertheless, we still have a small number of scientific initiation scholarships. There are 27 technicians, who have got masters degree or have taken a specialization and have worked on assistance and teaching working in nursing area. The expressive participation of undergraduate students seems to improve the nursing researcher formation. Therefore, there is a great need to invest in the interdisciplinary process and the teaching-working integration at RGNE.

Community assembly as a promotion of participatory management in healthcare.

OBJECTIVE: To report the participatory management experience of a Family Health Strategy by means of community assemblies. METHODS: Community assemblies were performed with the population of a Family Health Strategy center in the city of Criciúma/SC. The meetings occurred between 2016 and 2017, including health care professionals, managers, members of the organized civil society and the healthcare system clients. RESULTS: The activity enable us to rethink the teamwork process regarding the system of health appointment scheduling and the replication of this process for all the family health teams of the municipality. FINAL REMARKS: Participatory management provided opportunities for new collective spaces that facilitate the democratization of healthcare in order to mobilize the role of the health system client in the development of more welcoming, resolute and integral health practices.

Continued nursing education in university hospitals in southern Brazil.

PURPOSE: This study analyzed the continued nursing education process in three university hospitals in southern Brazil. Its theoretical reference was centered upon the problematization pedagogy of Freire and the levels of practice of Vázquez. METHODS: This was a qualitative case study, based on multiple holistic cases. The data were collected through document analysis, observation of scenarios, and semistructured interviews with 22 nursing employees. RESULTS: The thematic analysis evidenced the continued nursing education process, highlighting initiatives such as the creation of the Center for Nursing Education and Research, the Permanent Nursing Education Center, and the Continued Nursing Education Program. CONCLUSION: This study serves as an important tool for the transformation of the reality of health care subjects and institutions.

Characteristics of work in primary care identified in the collective exercise of application of the SWOT matrix / Características del trabajo en atención primaria identificadas en el ejercicio colectivo de aplicación de la matriz FODA / Características do trabalho na atenção primária identificadas no exercício coletivo de aplicação da matriz SWOT

ABSTRACT Objective: to understand how variables strengths, weaknesses, opportunities and threats make it possible to characterize work in Primary Health Care, to collectively propose strategies for systematizing this process with Family Health teams. Methods: methodological research, with 23 participants in direct relationship with Primary Care, including representatives of segments: care (work), management and social control. In one of the three pedagogical meetings, the SWOT matrix was used as a tool for organizational work planning. Results: applying the matrix resulted in the following thematic categories: Teamwork and regulations: key elements for interprofessionality at work; Continuing Health Education: path to autonomy and participatory management (co-management). Final considerations: the study promoted the systematization of teams' work, through the mobilization of sectors and distribution of tasks, involving professionals in the co-management of the process.

RESUMEN Objetivo: comprender cómo las variables fortalezas, debilidades, oportunidades y amenazas permiten caracterizar el trabajo en la Atención Primaria de Salud, para proponer colectivamente estrategias para sistematizar ese proceso con los equipos de Salud de la Familia. Métodos: investigación metodológica, con 23 participantes en relación directa con la Atención Primaria, incluidos representantes de los segmentos: cuidado (trabajo), gestión y control social. En uno de los tres encuentros pedagógicos se utilizó la matriz FODA como herramienta para la planificación del trabajo organizacional. Resultados: la aplicación de la matriz resultó en las siguientes categorías temáticas: Trabajo en equipo y normativa: elementos clave para la interprofesionalidad en el trabajo; Educación Permanente en Salud: camino hacia la autonomía y la gestión participativa (cogestión). Consideraciones finales: el estudio promovió la sistematización del trabajo de los equipos, a través de la movilización de sectores y la distribución de tareas, involucrando profesionales en la cogestión del proceso.

RESUMO Objetivo: compreender como as variáveis forças, fraquezas, oportunidades e ameaças possibilitam caracterizar o trabalho na Atenção Primária à Saúde, para propor coletivamente estratégias de sistematização deste processo junto às equipes de Saúde da Família. Métodos: pesquisa metodológica, com 23 participantes em relação direta com a Atenção Primária, contemplando representantes dos segmentos: atenção (trabalho), gestão e controle social. Em um dos três encontros pedagógicos, utilizou-se a matriz SWOT como ferramenta para o planejamento organizacional do trabalho. Resultados: a aplicação da matriz resultou nas seguintes categorias temáticas: Trabalho em equipe e normativas: elementos-chave para a interprofissionalidade no trabalho; Educação permanente: caminho para a autonomia e para a gestão participativa (cogestão). Considerações finais: o estudo promoveu a sistematização do trabalho das equipes, mediante a mobilização dos setores e a distribuição de tarefas, implicando os profissionais na cogestão do processo.

Mental health in underground coal miners.

As mental health goes beyond the simple absence of mental disorders, this paper characterized mental health components in 89 underground coal miners in southern Brazil. This is a cross-sectional study, that detected a low prevalence of depression; light or moderate anxiety in 13% of the workers; self-perception of good health; life quality and good psychological capacity in most of the participants; poor sleep quality in half of them; reverse correlations between anxiety and life quality, and anxiety and psychological capital; positive correlations between psychological capital and life quality; associations between self-perception of health, time, and sleep quality; associations between anxiety and sleep duration and quality; and between alcohol consumption and location at work (front, rear, or variable). The results suggest vulnerabilities regarding anxiety and sleep quality. However, there is a potential coping of determinants that impact on mental health.

[Permanent education at work as a process of educating and caring the caregiver]. / Educação permanente no trabalho como um processo educativo e cuidativo do sujeito-cuidador.

This paper is a theoretical reflection on the possibilities of Permanent Education at work as a means to care for the caregiver. Educational practices are used to value caregiver's creativity, participation, and autonomy, bearing in mind his/her uniqueness in diversity. It indicates the possibility of education as an act of care, by inter-relating these two actions, and setting up the Educating and Caring process that occurs in the work setting and includes attitudes and responsibilities. The experience of this encounter has an unique meaning for each person involved, and promotes both personal-physical, emotional, technical, scientific and ethical--and institutional transformations.

Atuação dos acadêmicos dos cursos da saúde frente ao processo de morte e morrer nos cenários de prática assistencial / Actuation of health courses academic to death and die in health care

Objetivo: Este estudo teve como objetivo compreender como atuam estudantes universitários da saúde no processo de morte e morrer. Métodos: trata-se de uma pesquisa de abordagem qualitativa, descritiva e exploratória. Estudo desenvolvido com 68 acadêmicos dos cursos de saúde, em uma universidade no sul do Estado de Santa Catarina. Na coleta de dados foi utilizado um questionário via formulário eletrônico, e a análise dos dados foi realizada a partir dos preceitos da análise de conteúdo temática e com auxílio do software Atlas.ti. Resultados: indicaram a existência de duas macro categorias: Atitudes de universitários da saúde frente à morte, convergindo para a atuação com responsabilidade e ética profissional, também com manifestações de tristeza, luto e não aceitação diante da perda; e Dificuldades e potencialidades de universitários da saúde para lidar com a morte, sustentada pelo abalo emocional e despreparo para notícia, ausência de facilidades e algumas habilidades teórico-práticas para atuar no processo de morte e morrer. Conclusão: os estudantes universitários de cursos da saúde possuem dificuldade para agirem no processo de morte e morrer dos sujeitos aos quais prestavam assistência.

Aspectos alimentares e nutricionais de crianças e adolescentes com transtorno do espectro autista / Food and nutritional aspects of children and adolescents with autism spectrum disorder

Resumo Objetivo: Compreender os hábitos, dificuldades e as estratégias alimentares de crianças e adolescentes com transtorno do espectro autista (TEA). Método: Trata-se de pesquisa de abordagem qualitativa do tipo exploratória e descritiva, realizada com 14 pais cujos filhos frequentam uma escola de educação especial especializada na educação de pessoas com TEA localizada em uma cidade do extremo sul catarinense, por meio de entrevista semiestruturada, com uso da análise de conteúdo temática. Resultados: Os dados coletados indicaram três categorias temáticas: hábitos alimentares de crianças e adolescentes com TEA; dificuldades alimentares de crianças e adolescentes com TEA; e estratégias alimentares para crianças e adolescentes com TEA. As crianças e adolescentes autistas possuem um considerável consumo de alimentos processados e ultraprocessados, além de comportamentos relativos à recusa alimentar, disfagia, baixa aceitação de alimentos sólidos, compulsão alimentar e sintomas gastrointestinais. Foi possível identificar também uma lacuna no conhecimento dos cuidadores relacionados aos aspectos sensoriais do transtorno envolvidos nos hábitos alimentares de seus filhos. Conclusão: As crianças e adolescentes com TEA apresentam uma alimentação diversificada, com tendência a hábitos alimentares disfuncionais e significativo comprometimento nas atividades sensoriais que dificultam a obtenção e o estabelecimento de uma alimentação saudável.

Abstract Objective: To understand the habits, difficulties and eating strategies of children and adolescents with Autism Spectrum Disorder (ASD). Method: This is an exploratory and descriptive qualitative research carried out with 14 parents of the Association of Parents and Friends of people with ASD located in a city in the extreme south of Santa Catarina. Data collection took place through a semi-structured interview, using content analysis to treat the information obtained. Results: The data collected indicated three thematic categories, structured respectively: eating habits of children and adolescents with ASD; eating difficulties of children and adolescents with ASD; and eating strategies of children and adolescents with ASD. The study identified that autistic children and adolescents have a considerable consumption of processed and ultra-processed foods, in addition to behaviors related to food refusal, dysphagia, low acceptance of solid foods, binge eating and gastrointestinal symptoms. It was also possible to identify a gap in the knowledge of caregivers related to the sensory aspects of the disorder involved in their children's eating habits. Conclusion: Children and adolescents with ASD have a diversified diet, with a tendency to dysfunctional eating habits, and a significant impairment in sensory activities that make it difficult to obtain and establish a healthy diet.

[Education, care and management technologies: a reflection based on nursing teachers' conception]. / Tecnologias educacionais, assistenciais e gerenciais: uma reflexão a partir da concepção dos docentes de enfermagem.

This study involved the teachers of sixteen Nursing Courses at Higher Education Institutions in the State of Rio Grande do Sul and aimed to identify the care, education and management technologies that are used and/or produced in their professional praxis in professionalizing subjects. This text presents a research extract and focuses on the conceptions about the different types of technologies the teachers approached. Data were collected through a questionnaire with closed and open questions and later analyzed according to the methodological framework of content analysis. The study revealed that most teachers presented a restricted concept of the theme, manifesting difficulties for technology use and production and suggesting ways of support to overcome these difficulties, with a view to improving professional praxis.

[Education and care in nursing: passport to the learning, education, and care in health]. / Cuidar-educando em enfermagem: passaporte para o aprender/educar/cuidar saúde.

This is an essay about care and education in nursing from integrative and converging approaches, elucidating that the dialogical process between the subject who cares and the citizen-subject who is cared must occur in a problem-maker perspective, contextualized and transversalized between the two conceptual worlds that involve the human relations. It shows furthermore that, to the professional exert the care and education, he must use a "passport" that conducts him to different "scales" of knowledge in a creative, aesthetical, ethical, political and technical approach. In which the education empowers the capacity of care and the use of it, capacitates him to intervent in a constructive/reflexive, singular/plural, dynamic/flexible way, in a given historical cultural context of relationships between subjects.

Gestão do cuidado de estudantes com necessidades alimentares especiais vinculados ao Programa Nacional de Alimentação Escolar / Care management of students with special food needs linked to the National School Food Program

Resumo O estudo objetiva analisar os mecanismos de gestão do cuidado voltados aos estudantes com necessidades alimentares especiais (NAE) vinculados às Secretarias Municipais de Educação do Estado de Santa Catarina. Trata-se de estudo de métodos mistos, com estratégia incorporada concomitante, realizado com 134 nutricionistas que prestam assistência a estudantes com NAE. Utilizou-se questionário enviado por correio eletrônico como instrumento de coleta de dados, que foi avaliado por meio da análise de conteúdo temática e por estatística descritiva. Os resultados indicaram que o atestado ou laudo médico para oferta da alimentação especial foram os principais documentos comprobatórios; a licitação tipo pregão foi o meio de obtenção de alimentos especiais; os manipuladores de alimentos predominaram no recebimento de orientação referente às NAE; falta de produtos e fornecedores foram indicados como dificuldades; e garantia de atendimento destacada como facilidade na gestão das NAE. Quanto às características da gestão, destacam-se a ausência de solicitação de ficha técnica (79,9%), de oferta de alimentação especial (62%), de material informativo (92,5%) e da disponibilização de utensílios (63,4%). A assistência nutricional nos municípios catarinenses possui mecanismos de gestão diversos, que atendem às necessidades dos estudantes com NAE, mas ainda possui algumas fragilidades que dificultam a efetivação da assistência integral.

Abstract To analyze the care management mechanisms aimed at students with Special Food Needs (SFN) linked to the Municipal Education Secretariats of the state of Santa Catarina. It is a study of mixed methods, with a concomitant incorporated strategy, carried out with 134 nutritionists who assist students with SFN. A questionnaire sent by electronic mail was used as a data collection instrument, being analyzed through thematic content analysis and descriptive statistics. The results indicated that the medical certificate or report for offering special food was the main supporting document; the public auction was the means of obtaining special foods; food handlers predominated in receiving guidance regarding SFN; lack of products and suppliers was indicated as difficulties, and guarantee of service highlighted as ease in the management of SFN; as for the management characteristics, the absence of a request for a technical sheet (79.9%), special food supply (62%), information material (92.5%) and availability of utensils (63.4%) stand out. The nutritional assistance in cities has different management mechanisms, which meet the needs of students with SFN, but still have some weaknesses that hinder the implementation of comprehensive care.

[Differentiated methodological approach in practical classes of nursing management]. / Abordagem metodológica diferenciada em aulas práticas de administração de enfermagem.

This work tells the experience of a proposal of nursing management practical classes, with a differentiated methodological approach, elaborated by students of the Post-graduation in Nursing of UFSC in Stage of Teaching. It has as objective, to fortify the integration between graduation and post-graduation, developing with seventh phase academics of the Course of Graduation in Nursing of UFSC, the capacity to play the administrative and assistencial functions of the nurse, through an methodological approach modeled in the planning, execution, reflection and evaluation of the nursing management, using observation guides of the activities developed by the nursing team members, based on the Law of the Professional Exercise of Nursing, Nursing Professionals' Ethical Code, Resolution COFEN 189, and documents related.

Family health support center: an intersection between primary and secondary health care / Núcleo ampliado de salud de la familia: espacio de intersión entre atención primaria y secundaria / Núcleo ampliado de saúde da família: espaço de interseção entre atenção primária e secundária

ABSTRACT Objective: to identify the space in which the Family Health Support Center is structured in the services and how it works within the scope of the Unified Health System. Method: a conceptual study based on partial results of a multicenter, descriptive-exploratory study with a qualitative approach, carried out in 2017, in the State of Santa Catarina, with managers and professionals from the Family Health Support Center. Content thematic analysis was used with the data from semi-structured interviews with professionals and individual interviews with managers, totalling 18 participants. Results: the professionals of the Family Health Support Center are identified as specialists who work in or close interaction with Primary Health Care, in the context of matrix support, in order to assist in the planning of the Health Care Network, which strengthens the general practice in Family Health. In addition to primary health care, they can act in intercessory spaces and perform secondary health care; set forth possibilities for intervention and enhance inter-sectoriality and co-responsibility. Conclusion: the Family Health Support Center was recognized as an important articulator of interdisciplinarity in health work, cabable of promoting comprehensive and intersectoral care, in addition to its initial proposal of supporting the Family Health Strategy, which could help in the coordination and fulfillment of secondary health care in the Brazilian Unified Health Care System, thus being an intersecting space between primary and secondary health care.

RESUMEN Objetivo: identificar el espacio en que el Núcleo Ampliado de Salud de la Familia y Atención Básica se estructura en los servicios y como actúa en el ámbito del Sistema Único de Salud. Método: estudio de naturaleza conceptual, a partir de resultados parciales de un estudio multicéntrico, descriptivo-exploratorio, de abordaje cualitativo, realizado en el año 2017, en el Estado de Santa Catarina, con gestores y profesionales del Núcleo Ampliado de Salud. Los datos fueron analizados por medio del análisis temático de contenido, oriundos de entrevistas semiestructuradas en grupo con los profesionales y entrevistas individuales con los gestores, con el total de 18 participantes. Resultados: se identifican a los nasfianos como especialistas que actúan en la Atención Primaria a la Salud, en íntima interfaz con ella, en un contexto de apoyo y matriciación, de modo a auxiliar en el ordenamiento de la Red de Atención a la Salud, lo que fortalece la actuación generalista en la Salud de la Familia. Además de la atención primaria, pueden actuar en espacios intercesores y ejercer la atención secundaria; anuncian posibilidades de intervención y potencian la intersectorialidad y la corresponsabilización. Conclusión: El Núcleo Ampliado de Salud fue reconocido como importante articulador de la interdisciplinaridad en el trabajo en salud, potencializador de la atención integral e intersectorial, además de la inicial propuesta de apoyo a la Estrategia Salud de la Familia, pudiendo auxiliar en la coordinación y realización de la atención secundaria en el Sistema único de Salud, por lo tanto, siendo un espacio de intersección entre atención primaria y secundaria en salud.

RESUMO Objetivo: identificar o espaço em que o Núcleo de Apoio à Saúde da Família e Atenção Básica se estrutura nos serviços e como atua no âmbito do Sistema Único de Saúde. Método: estudo de natureza conceitual, a partir de resultados parciais de um estudo multicêntrico, descritivo-exploratório, de abordagem qualitativa, realizado no ano de 2017, no Estado de Santa Catarina, com gestores e profissionais do Núcleo de Apoio à Saúde da Família. Os dados foram analisados por meio da análise temática de conteúdo, oriundos de entrevistas semiestruturadas em grupo com os profissionais e entrevistas individuais com os gestores, com o total de 18 participantes. Resultados: identificam-se os profissionais do Núcleo Ampliado de Saúde da Familia como especialistas que atuam na Atenção Primária à Saúde, em íntima interface com ela, em um contexto de apoio e matriciamento, de modo à auxiliar no ordenamento da Rede de Atenção à Saúde, o que fortalece a atuação generalista na Saúde da Família. Para além da Atenção Primária, podem atuar em espaços intercessores e exercerem a atenção secundária; anunciam possibilidades de intervenção e potencializam a intersetorialidade e a corresponsabilização. Conclusão: O Núcleo de Apoio à Saúde da Família foi reconhecido como importante articulador da interdisciplinaridade no trabalho em saúde, potencializador da atenção integral e intersetorial, para além da inicial proposta de apoio à Estratégia Saúde da Família, podendo auxiliar na coordenação e realização da atenção secundária no Sistema único de Saúde, portanto, sendo um espaço de interseção entre atenção primária e secundária em saúde.

Agir educativo-comunicativo na relação de assistentes sociais com familiares e usuários: a integralidade no cuidado em saúde mental / Educational-communicative action in the relationship of social workers with family and users: integrality in mental health care

Resumo Este trabalho tem por objetivo provocar reflexões sobre o potencial das relações humanas para o cuidado em saúde mental a partir da articulação entre o agir educativo de Paulo Freire e o agir comunicativo de Jürgen Habermas, propondo um construto teórico denominado "agir educativo-comunicativo" na relação das/dos assistentes sociais com familiares e usuárias/os no processo de trabalho desenvolvido em Centros de Atenção Psicossocial. O construto teórico do agir educativo-comunicativo emergiu de categorias fundamentais, tais como: a escuta, o diálogo, a linguagem, a cultura, a horizontalidade e a educação. Além das categorias que emergem da relação entre Habermas e Freire, é possível acrescentar ainda o cuidado, enquanto categoria também fundamental para o agir educativo-comunicativo. A partir dos preceitos antimanicomiais, o agir educativo-comunicativo tem potencial para fortalecer os vínculos familiares e comunitários enquanto intervenção técnico-operativa do serviço social. Para tanto, faz-se necessária uma intervenção potente de educação permanente em saúde com as/os assistentes sociais, no sentido de fortalecer os princípios antimanicomiais na prática profissional, de ampliar a perspectiva histórica sobre a Reforma Psiquiátrica e de fomentar um conceito de educação que seja emancipadora e, por consequência, antimanicomial, baseada no projeto ético-político da profissão.

Abstract This work aims to provoke reflections on the potential of human relations in mental health care by articulating Paulo Freire's educational action and Jürgen Habermas's communicative action, proposing a theoretical construct called "educative-communicative action" for the relationship of social workers with family members and users of Psychosocial Care Centers. The theoretical construct of educational-communicative action emerged from fundamental categories, such as: listening, dialogue, language, culture, horizontality and education. In addition to the categories that emerge from the relation between Habermas and Freire, care can also be added as a fundamental category for the educational-communicative action. From the anti-asylum precepts, the educational-communicative action has the potential to strengthen family and community bonds, as an operative technical intervention of social work. To do this, a potent permanent health education intervention is needed among the social workers in order to strengthen the anti-asylum principles in professional practice, to broaden the historical perspective on the Psychiatric Reform and to encourage a concept of education that is emancipatory and, consequently, anti-asylum, based on the ethical-political project of the profession.

Incidence of tuberculous meningitis in the State of Santa Catarina, Brazil.

INTRODUCTION: The aim of this study was to estimate the incidence of tuberculous meningitis in the State of Santa Catarina (SC), Brazil, during the period from 2001 to 2010. METHODS: Ecological, temporal, and descriptive methods were employed using data obtained from the Information System on Disease Notification (Sistema de Informação de Agravos de Notificação). RESULTS: One hundred sixteen reported cases of tuberculous meningitis occurred from 2001 to 2010, corresponding to 1.2% (0.2 cases/100,000 inhabitants) of all meningitis cases reported in SC. There was a predominance of new cases in males, corresponding to 56.9% of new cases (0.2 cases/100,000 inhabitants; males vs. females; p=0.374), in patients aged 20-39 years, corresponding to 52.6% of new cases (0.5 cases/100,000 inhabitants; 20-39 years versus others; p<0.001), and in urban areas, corresponding to 91.4% of new cases (0.2 cases/100,000 inhabitants; urban vs. rural; p=0.003). In 48.3% of cases, the outcome was death. CONCLUSIONS: The incidence rate of tuberculous meningitis in SC has increased within the last decade, with the most affected population comprising young adult white males with an average education. Thus, tuberculous meningitis remains a serious disease, emphasizing the need for disease prevention with vaccination campaigns against tuberculosis, the development of faster and more accurate diagnostic methods, and the use of current epidemiological knowledge regarding the disease to facilitate the establishment of early treatment.