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      Atenção Farmacêutica e Atenção Flutuante: formações de compromisso entre Farmácia e Psicanálise Translated title: Pharmaceutical care and suspended attention: compromise-formations between pharmacy and psychoanalysis

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          Abstract

          O presente trabalho apresenta uma visão interdisciplinar do uso racional do medicamento a partir de uma perspectiva metapsicológica. A necessidade de resgate da atuação do profissional farmacêutico junto ao paciente, através da Atenção Farmacêutica, demanda a intervenção de novos saberes que possam proporcionar uma revitalização desta relação humana. Neste sentido, através de uma compilação de passagens da obra freudiana, foram apresentados alguns dos principais conceitos metapsicológicos: aparelho psíquico, atenção flutuante e formações de compromisso. Tais conceitos foram então apresentados como ferramenta teórica articulável com análises qualitativas em Atenção Farmacêutica, mais particularmente com a observação participante. Assim, os objetivos principais foram de fornecer ao farmacêutico novas ferramentas de escuta e acolhimento que podem aprimorar a atuação profissional na relação com seu paciente, assim como na obtenção e interpretação de dados qualitativos relacionados às questões humanas envolvidas nas pesquisas em Atenção Farmacêutica.

          Translated abstract

          This paper presents an interdisciplinary overview of the rational use of medicine from a metapsychological standpoint. The need to reinstate the activity of the pharmaceutical professionals vis-à-vis their patients through pharmaceutical care demands the intervention of new know-how that can ensure a revitalization of this human relationship. In this sense, by means of a compilation of passages from the works of Freud, some of the most important metapsychological concepts were presented: psychic apparatus, evenly hovering attention and commitment formations. These concepts were then presented as an applicable theoretical tool for qualitative analysis in pharmaceutical care, though especially for participant observation. Thus, the main objective was to provide new tools for the pharmacists in terms of listening and receptivity, which can enhance their professional routine regarding the relationship with their patients, as well as in the gathering and interpretation of qualitative data concerning human issues involving pharmaceutical care.

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          Política Nacional de Promoção da Saúde

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            Internet-based surveillance of Influenza-like-illness in the UK during the 2009 H1N1 influenza pandemic

            Background Internet-based surveillance systems to monitor influenza-like illness (ILI) have advantages over traditional (physician-based) reporting systems, as they can potentially monitor a wider range of cases (i.e. including those that do not seek care). However, the requirement for participants to have internet access and to actively participate calls into question the representativeness of the data. Such systems have been in place in a number of European countries over the last few years, and in July 2009 this was extended to the UK. Here we present results of this survey with the aim of assessing the reliability of the data, and to evaluate methods to correct for possible biases. Methods Internet-based monitoring of ILI was launched near the peak of the first wave of the UK H1N1v influenza pandemic. We compared the recorded ILI incidence with physician-recorded incidence and an estimate of the true number of cases over the course of the epidemic. We also compared overall attack rates. The effect of using different ILI definitions and alternative denominator assumptions on incidence estimates was explored. Results The crude incidence measured by the internet-based system appears to be influenced by individuals who participated only once in the survey and who appeared more likely to be ill. This distorted the overall incidence trend. Concentrating on individuals who reported more than once results in a time series of ILI incidence that matches the trend of case estimates reasonably closely, with a correlation of 0.713 (P-value: 0.0001, 95% CI: 0.435, 0.867). Indeed, the internet-based system appears to give a better estimate of the relative height of the two waves of the UK pandemic than the physician-recorded incidence. The overall attack rate is, however, higher than other estimates, at about 16% when compared with a model-based estimate of 6%. Conclusion Internet-based monitoring of ILI can capture the trends in case numbers if appropriate weighting is used to correct for differential response. The overall level of incidence is, however, difficult to measure. Internet-based systems may be a useful adjunct to existing ILI surveillance systems as they capture cases that do not necessarily contact health care. However, further research is required before they can be used to accurately assess the absolute level of incidence in the community.
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              A análise de implicação com ferramenta na pesquisa-intervenção

              O artigo retoma brevemente as condições históricas que permitiram a emergência de abordagens metodológicas que problematizam a relação entre pesquisador e ato de pesquisar e propõe uma comparação entre as finalidades da pesquisa-ação e da pesquisa-intervenção. Sustentando-se em contribuições teóricas do movimento institucionalista e da filosofia da diferença, aponta a noção de análise de implicação como conceito-chave que permite nuançar as abordagens em debate. Consoante ao pensamento de Lourau, defende-se a idéia de que a consideração do conjunto de condições que circunscrevem o ato de pesquisar é o que confere estatuto de cientificidade ao trabalho de pesquisa.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                csc
                Ciência & Saúde Coletiva
                Ciênc. saúde coletiva
                ABRASCO - Associação Brasileira de Saúde Coletiva (Rio de Janeiro )
                1413-8123
                February 2014
                : 19
                : 2
                : 609-618
                Affiliations
                [1 ] Universidade Federal do Rio de Janeiro Brazil
                [2 ] Fundação Oswaldo Cruz Brazil
                [3 ] Universidade Federal do Rio de Janeiro Brazil
                [4 ] Círculo Psicanalítico do Rio de Janeiro
                [5 ] Instituto de Hematologia Arthur de Siqueira Cavalcante Brazil
                Article
                S1413-81232014000200609
                10.1590/1413-81232014192.22682012
                30838ce2-1de5-4d0a-bde5-29b2052d43ad

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielosp.org/scielo.php?script=sci_serial&pid=1413-8123&lng=en
                Categories
                Health Policy & Services

                Public health
                Pharmaceutical care,Medicine,Psychoanalysis,Qualitative analysis - methodology,Participant observation,Atenção Farmacêutica,Medicamento,Psicanálise,Análise qualitativa - metodologia,Observação participante

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