espanolEl presente articulo trata de algunos de los principales temas de la fenomenologia existencial de Martin Heidegger, teniendo, como eje, el concepto de existencia. A partir de su discusion y de la explicitacion de algunos existenciales de la ontologia fundamental heideggeriana, se comprende que Dasein, mientras este marcado por la indeterminacion ontologica, que lo ubica en una condicion de cuidar de ser si mismo a cada momento en que lo es. En esa perspectiva que el cuidado se muestra como existencial, refiriendose tanto al ser con los otros y la ocupacion con el mundo como a las propias posibilidades del ser. Se apunta para la importancia de la dimension del cuidado mientras sea esencia misma del ejercicio clinico compartido entre el terapeuta y cliente, puesto que consiste en la contestacion por el sentido de ser delante a la trayectoria existencial como via que promueve la abertura para las nuevas posibilidades de ser. portuguesO presente artigo aborda alguns dos principais temas da fenomenologia existencial de Martin Heidegger, tendo como fio condutor o conceito de existencia. A partir de sua discussao e da explicitacao de alguns existenciais da ontologia fundamental heideggeriana, compreende-se o Dasein enquanto marcado pela indeterminacao ontologica, que o situa em uma condicao de cuidar de ser si mesmo a cada momento em que e. E nessa perspectiva que o cuidado figura como existencial, referindo-se tanto ao ser-com-outros e a ocupacao com o mundo quanto as proprias possibilidades de ser. Aponta-se para a importância da dimensao do cuidado enquanto essencia mesma do exercicio clinico no ai compartilhado entre terapeuta e cliente, ja que consiste na interrogacao pelo sentido de ser frente a trajetoria existencial como via promotora de abertura para novas possibilidades de ser. EnglishThis article treats about the main themes of the existential phenomenology of Martin Heidegger. We will have his concept of existence how overall thrust this article. We understand the Dasein, marked by ontological indetermination, from discussion and explanation of some existential analytics of Heidegger's fundamental ontological. The ontological indetermination situates the Dasein in a condition of caring of being one's self in each time it is. In this perspective the care appears as existential, referring as being-with others and occupation with the world as the own possibilities of being. We point the importance of the care dimension as essence of the clinical exercise, which is shared between therapist and patient, since this relationship consist in interrogation by sense of being before existential path as primordial route of opening to new possibilities of being.

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Heidegger: em busca de sentido para a existência humana

PURPOSE: This study aims to examine steps taken by correctional staff to prevent COVID-19 from spreading through correctional facilities and explores strategies used by incarcerated individuals to reduce their own risk of contracting COVID-19 during confinement. DESIGN/METHODOLOGY/APPROACH: Data were drawn from interviews with 327 individuals incarcerated after March 16, 2020, in Midwest1, Midwest2 and Southeast state using a questionnaire developed for this purpose. All study participants were actively involved in a randomized controlled trial of a behavioral health reentry intervention and the human subjects board approved the supplement of this study on COVID-19; interviews were conducted from April 15 to November 19, 2020. FINDINGS: Overall, 9.89% of participants contracted COVID-19. Most (68.50%) individuals learned about COVID-19 from television compared to official correctional facility announcements (32.42%). Participants wore face masks (85.02%), washed hands (84.40%) and practiced physical distancing when possible (66.36%). Participants reported that facilities suspended visitation (89.60%) and volunteers (82.57%), provided face masks (83.18%), sanitized (68.20%), conducted temperature checks (55.35%) and released individuals early (7.34%). SOCIAL IMPLICATIONS: Longitudinal observational study on the implementation and effectiveness of public health guidelines in prisons and jails may identify best practices for containing the infectious disease. Maximizing transparent communications, as well as COVID-19 prevention and mitigation efforts, are critical to achieving universal best practices for virus containment and amplifying public health. ORIGINALITY/VALUE: Data presented indicate the early adoption of many Centers for Disease Control guidelines by individuals and correctional facilities, although broad variation existed. Data support the identification of containment strategies for feasible implementation in a range of correctional spaces.

Incarcerated individuals' experiences of COVID-19 in the United States.

This work was supported by the Fundacao Amazonia Paraense de Amparo
a Pesquisa (Fapespa), Brazil, through Public Notice No 0052016

https://bmjopen.bmj.com/content/bmjopen/10/8/e035873.full.pdf

Meanings and senses of being a health professional with tuberculosis: an interpretative phenomenological study.

RESUMO Objetivo Compreender a vivencia dos portadores de tuberculose referente aos cuidados recebidos durante o tratamento e sua relacao com os profissionais de saude. Metodo Pesquisa fenomenologica realizada com 27 portadores de tuberculose em unidades de Estrategia de Saude da Familia do municipio do Rio de Janeiro. Os dados foram obtidos por meio de entrevistas analisadas pelo referencial Heideggeriano. Resultados A analise evidenciou que os usuarios estao dispostos no modo de ser da inautenticidade caracteristica dos servicos de saude; o temor existencial da morte domina o cotidiano dos doentes e os mantem seguindo o tratamento. Consideracoes finais e implicacoes para a pratica Existe a possibilidade de se efetivar um cuidado que integre o conhecimento tecnico capaz de dominar o modo de ser dos profissionais na dimensao subjetiva de quem precisa do tratamento, superando a tradicao ontica do cuidado inautentico para o cuidado autentico, que libera o outro para a cura.

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A vivência do tratamento de tuberculose em unidades de Saúde da Família

RESUMO: Objetivo: Este estudo objetivou investigar os fatores associados aos desfechos de cura e abandono na populacao privada de liberdade com tuberculose. Metodos: Estudo quantitativo, observacional e analitico. Realizado com dados oriundos do Sistema de Informacao de Agravos de Notificacao (Sinan), de tuberculose da populacao privada de liberdade nos anos de 2007 a 2016 no estado da Paraiba. Foram incluidas as notificacoes de individuos maiores de 18 anos notificados como “casos novos” e como encerramento por “cura” ou “abandono”. Excluiram-se aqueles que ate dezembro de 2016 nao tinham a situacao de encerramento. Realizaram-se estatisticas bivariada e multivariada, por meio de regressao de Poisson. Resultados: Com 614 notificacoes, a maioria foi do sexo masculino (93,8%). Na analise bivariada, houve associacao estaticamente relevante dos desfechos com sindrome da imunodeficiencia adquirida (p = 0,044), sorologia para virus da imunodeficiencia humana (p = 0,048) e nao realizacao de baciloscopia de acompanhamento (p = 0,001). Na analise multivariada ajustada, a sindrome da imunodeficiencia adquirida (risco relativo - RR = 1,998; intervalo de confianca de 95% - IC95% 1,078 - 3,704; p = 0,028) e a nao realizacao de baciloscopia de acompanhamento (RR = 5,211; IC95% 2,158 - 12,583; p < 0,001*) permaneceram significativamente associadas ao desfecho de abandono. Conclusao: Os desfechos de cura e abandono estao associados principalmente com a realizacao ou nao da baciloscopia de acompanhamento e com a sindrome da imunodeficiencia adquirida.

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Factors associated with recovery and the abandonment of tuberculosis treatment in the incarcerated population.

Neste estudo objetivou-se compreender o cotidiano do ser-portador de tuberculose e privado de liberdade. Metodos: Optou-se pelo metodo fenomenologico de pesquisa e a hermeneutica de Martin Heidegger para a analise de 22 entrevistas de homens que vivem com tuberculose em cinco prisoes do Estado do Para, Brasil. Resultados: Os resultados desvelaram um cotidiano complexo no qual os doentes significam a doenca como uma condicao dificil de aceitar, mais dificil que o proprio confinamento. Conclusao: Conclui-se que o cotidiano do ser-portador e privado de liberdade, apesar de especifico, nao e diferente de como vivem todos os seres humanos, imersos na maior parte do tempo no modo cotidiano inautentico de ser. Para controlar a tuberculose nas prisoes, e necessario lidar com as singularidades que envolvem nao apenas o processo saude-doenca, mas a dinâmica de vida nestes locais, caracterizada, na maioria das vezes, pela hostilidade e pela violencia em suas diversas formas.

O ser-portador de tuberculose em prisões: um estudo de enfermagem

The objective of this study was to better understand the meaning, for the person deprived of freedom, of living in prison with tuberculosis and its treatment. The research was conducted using the phenomenological method of Martin Heidegger, applied to 22 interviews realized in five prisons located in the state of Para, Brazil. The results and its hermeneutics made possible to understand that the person deprived of freedom understands their condition and transcends their facticity and difficulties to achieve the cure of the disease, living as beings of possibilities, revealing their authentic way of facing tuberculosis and its treatment in prison.

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Living with tuberculosis in prison: the challenge to achieve cure

Objective: To analyze the incidence of tuberculosis in indigenous and non-indigenous residents in the state of Para from 2005-2013. Method: An ecological study was performed with data from SINAN, stratified for the 13 existing Regional Health Centers in Para. The tuberculosis incidence rates were calculated for indigenous and non-indigenous populations in the 13 regions and maps were prepared to visualize the magnitude of the occurrence of tuberculosis. Results: Significant differences in the incidence of tuberculosis were found among non-indigenous and indigenous populations, reaching 7,812/100,000 inhabitants and 118/100,000 inhabitants respectively. Conclusion: Tuberculosis was distributed heterogeneously among the indigenous and non-indigenous populations. Moreover, it was possible to identify areas with high risk for this disease. It is important to note that knowledge about priority areas for tuberculosis control can help health service management to improve indicators that assess this disease and to develop different policies for indigenous peoples.

https://www.scielo.br/pdf/ean/v21n4/1414-8145-ean-2177-9465-EAN-2017-0135.pdf

Spatial distribution of tuberculosis in indigenous and non-indigenous populations in the state of Pará, Brazil, 2005-2013

The objective of this study was to better understand the meaning, for the person deprived of freedom, of living in prison with tuberculosis and its treatment. The research was conducted using the phenomenological method of Martin Heidegger, applied to 22 interviews realized in five prisons located in the state of Para, Brazil. The results and its hermeneutics made possible to understand that the person deprived of freedom understands their condition and transcends their facticity and difficulties to achieve the cure of the disease, living as beings of possibilities, revealing their authentic way of facing tuberculosis and its treatment in prison. DESCRIPTORS: Tuberculosis. Therapeutics. Prisons. Nursing. Philosophy.

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Marcandra Nogueira de Almeida Santos

Papers

Meanings and senses of being a health professional with tuberculosis: an interpretative phenomenological study.

O ser-portador de tuberculose em prisões: um estudo de enfermagem

Living with tuberculosis in prison: the challenge to achieve cure

Spatial distribution of tuberculosis in indigenous and non-indigenous populations in the state of Pará, Brazil, 2005-2013

Viver com tuberculose em prisões: o desafio de curar-se