Navegando por Autor "SILVA, Ariana Kelly Leandra Silva da"
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Item Acesso aberto (Open Access) Avaliação situacional de biossegurança em tuberculose em Unidades Básicas de Saúde na Amazônia(Universidade Federal do Pará, 2016-12) ARAUJO, Maria Rute de Souza; SILVA, Hilton Pereira da; SILVA, Ariana Kelly Leandra Silva daIntroduction: the research addresses the biosafety of health professionals who attend to tuberculosis (TB) patients in two health care facilities from the Brazilian Amazon - Belém, state of Pará - a school Health Center and a Primary Health Unit (UMS) where most regional TB cases are treated. Objective: to analyze the health professionals’ knowledge on TB biosafety, the infrastructure, the procedures and the TB biosafety resources adopted in these services. Method: a semi-structured interview was conducted with those who deal with the patients, and an observation guide was applied to evaluate the physical structure of the areas specially designated for TB treatment, both based on the TB guidelines of the Brazilian Society of Pneumology and Tisiology. Results: the absence of biosafety measures, as well as the lack of permanent training, compromise the workers’ health. The risk of TB transmission seems to be higher in the UMS due to deficiencies in care organization and to the absence of an adequate environment that could prevent the direct contact of contagious patients with other people. Conclusion: there is an urgent need for changes in the UMS’s workplace and work organization, and also for a permanent TB training program for the health care professionals from both servicesItem Acesso aberto (Open Access) Doença como experiência: as relações entre vulnerabilidade social e corpo doente enquanto fenômeno biocultural no estado do Pará(Universidade Federal do Pará, 2012-06-11) SILVA, Ariana Kelly Leandra Silva da; SILVA, Hilton Pereira da; http://lattes.cnpq.br/3917171307194821This study examines the biosocial representation of individuals with Sickle Cell Anemia (SCA) in Pará State, Brazil, considering that this as a biocultural phenomenon, involving evolutionary, genetic, environmental, socioeconomic and cultural aspects of their daily life. The research deals with the sociability and the health issues of forty people with SCA, representing 10% of the States' cases, contacted in the Fundação Hemopa, Belém, the reference center for blood disorders in the State. The research encompasses their routine situation of social vulnerability, their perceptions of Health and Disease, treatments (Western and Folk Medicine), diagnostic, stigmas, prejudices, taboos and difficulties of access and accessibility to the services of SUS (the Brazilian National Health System). A comprehensive qualitative methodology and content analysis were used to understand the experience of persons who live daily with the instability and complexity of the disease. The personal experience of disease was uncovered though the formal conversations/interviews about the origins of the biological heritage, social relations, family entanglements and extra-familial dimensions of the individuals' in question, focusing on the evolution of SCA, especially considering the physical and psychological pain and other health complications experienced by the study's participants. The habitus in relation to their life ways is a category which includes the perception of the ethnic/racial nature of SCA, still perceived as "a disease that comes from the black people" with all its associated taboos. I conclude suggesting that many impacts of SCA are linked to the Social Determinants of Health and that there are important differences in relation to the susceptibilities of the persons, with many biosocial layers that require greater awareness by the political, clinical and primary care institutions responsible for the care of the affected citizens.