Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2]. Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents [3]. As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education. Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and selfperception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD -p = 0.001) and physical components of the psychological test...
Objective: To analyze the discourses of professionals that work on the reference service about the critical points that affects the essential attributes of the Primary Health Care (PHC) related to the control of tuberculosis in the city of João Pessoa. Method: The empirical material collected from August to October in 2014, through the interview technique was analyzed through the methodologicaltheoretical framework of French Discourse Analysis. Results: The discourses demonstrated the critical points on the control of the disease on PHC as being the lack of bond and welcoming from the professionals in relation to patients with tuberculosis. It was realized that the professionals have prejudice about the disease, that they have difficulties on the access to conducting exams, appointments and treatments, as well as there are fails on the reference and counter-referencing system. Final Considerations: Managers should be aware about the results that were found, so that facing actions can be planned and executed in order to minimize the existent of critical points.
Em função do crescimento do uso e do abuso do álcool nas populações indígenas do Brasil, esta pesquisa se propôs a investigar o consumo do álcool na comunidade Potiguara do Estado da Paraíba, devido à especificidade cultural e regional desta etnia. Trata-se de um estudo de campo exploratório. A amostra foi composta por 55 índios, maiores de 18 anos e de ambos os sexos. O instrumento utilizado foi uma entrevista semiestruturada aplicada individualmente. Para a análise dos dados, foi utilizado o software SPSS e Análise de Conteúdo Temática. Os resultados revelaram que 41,8% da amostra estudada têm, pelo menos, um membro da família que faz uso de bebida alcoólica, em sua maioria destiladas, e que o uso ocorre em idade precoce, estando desvinculado da cultura e de rituais. Dos entrevistados 27,3% afirmaram que a bebida traz diversos problemas para toda a família, inclusive com a morte. Pode-se concluir que, na população indígena estudada, o consumo de bebidas alcoólicas já ocorre de forma abusiva e precoce, necessitando-se de um trabalho mais efetivo de prevenção e de resgate da cultura desta comunidade.
Qualitative study that aimed to analyze the discourse of 15 district managers about knowledge and information related to the transfer of the Directly Observed Treatment of Tuberculosis policy in the city of João Pessoa, Paraíba, Brazil. The empiric material, collected in May and June 2013 through interviews, was analyzed according to Michel Pêcheux's Discourse Analysis. Despite contradictions, misunderstandings and silences observed in some discourse about this policy, the interviewees value the matricial support and the shared discussions involving the professionals, the management and the users, with emphasis on the rearrangement of the service in operating the Directly Observed Treatment of Tuberculosis. The need for investments in professional qualification is clear, with a view to refining the work process through the reorientation of practices from the perspective of continuing education, which represents a strong device for the exchange of knowledge and innovative proposals with a view to effective tuberculosis control.
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