RESUMEN
Objetivo: analisar a produção científica sobre as ações de saúde mental desenvolvidas no âmbito da Estratégia Saúde da Família. Metodologia: revisão integrativa de literatura realizada na Biblioteca Virtual em Saúde, PubMed e Web of Science, que após aplicação dos critérios, selecionaram-se 14 artigos científicos. Resultados: as ações de saúde mental desenvolvidas na Saúde da Família são de matriciamento, o Programa Intervenção Precoce, a Terapia Comunitária Integrativa, os grupos terapêuticos e a visita domiciliar. Também foi identificado o desenvolvimento de práticas focadas na doença com o privilégio de consultas ambulatoriais e o uso excessivo de psicofármacos. Há necessidade de investimentos na formação do profissional da saúde, além do fortalecimento da rede extra-hospitalar que sirva de retaguarda para a Saúde da Família. Conclusão: a literatura aponta que o cuidado em saúde mental na Saúde da Família é tímido e ainda muito focado no modelo biomédico.
Objective: to analyze scientific production on mental health actions developed in the Family Health Strategy. Methodology: integrative review of the literature in the Health Virtual Library, PubMed and Web of Science, that after applying the criteria, 14 scientific articles were selected. Results: the mental health actions developed in the Family Health are matricial practice strategies, the early-intervention programmes, Integrative Communion, therapeutic groups and household visit. The development of disease-focused practices was also identified with the privilege of ambulatory consultations and the excessive use of psychiatric drugs. There is a permanent necessity of investments in the training of health and education professionals, besides the strengthening of the extra hospital network, serving as a backup for the family health. Conclusion: the literature points out that mental health care in the family health is timid and still too much focused in the biomedical model.
Asunto(s)
Humanos , Atención Integral de Salud , Estrategias de Salud Nacionales , Salud MentalRESUMEN
Eleven cases of involvement of the genital tract in paracoccidioidomycosis were collected in a retrospective study of the clinical records of 683 patients seen in Porto Alegre, Rio Grande do Sul, Brazil. These cases are herein summarily reported. Eighteen similar cases were gathered in review of the Brazilian literature. Obtained data are discussed.
Asunto(s)
Enfermedades de los Genitales Masculinos/microbiología , Enfermedades de los Genitales Masculinos/patología , Paracoccidioidomicosis/patología , Adulto , Anciano , Brasil , Humanos , Masculino , Persona de Mediana Edad , Estudios RetrospectivosRESUMEN
This report describes the features and the course of a patient on maintenance hemodialysis in whom infective endocarditis of the aortic valve ensued. The subsequent development of intractable congestive heart failure necessitated aortic valve replacement. Use of intraoperative hemodialysis, facilitating the intraoperative and postoperative management of the patient, is described. Following valve replacement the patient did well with no evidence of congestive heart failure.