An Integrated Information Environment to Support the Objectives of a Public Health Unit

2002 ◽  
Author(s):  
Paul Fleiszer ◽  
Nancy Day ◽  
Tony Brown
2015 ◽  
Vol 87 (2) ◽  
pp. 1033-1040 ◽  
Author(s):  
Felipe C. Souza ◽  
Emiliana B. Marques ◽  
Rogério B.M. Scaramello ◽  
B.V. Christianne

Digoxin is used for heart failure associated to systolic dysfunction and high ventricular rate. It has a narrow therapeutic range and intoxication may occur due to drug interactions or comorbidities. The aim of this work was to study digoxin use in a public health unit delineating the profile of patients susceptible to digitalis intoxication. Medical records belonging to patients admitted to the cardiomyopathy ward of the health unit (2009-2010) and in use of digoxin were analyzed. Among 647 patients admitted, 185 individuals using digoxin and possessed records available. The registration of plasma digoxin concentration was found in 80 records and it was out of the therapeutic range in 42 patients (52.5%). This group of individuals was constituted mainly by males patients (79%), functional class III of heart failure (65%), exhibiting renal failure (33%). The evaluated sample reflects the epidemiology of heart failure in Brazil and, although pharmacotherapy had been according to Brazilian Guidelines, apparently the monitoring was not performed as recommended. This work highlighs the necessity of plasma digoxin constant monitoring during pharmacotherapy and the development of protocols that enable a safer use, especially in male patients, functional class III and with renal dysfunction.


Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 173 ◽  
Author(s):  
Pedro Melo ◽  
João Neves-Amado ◽  
Alexandra Pereira ◽  
Cândida Maciel ◽  
Tiago Vieira Pinto ◽  
...  

Community empowerment can be a process, but also the result of nursing care. To analyze it as a result there is an instrument that allows to quantify its level in nine domains. According to Melo (2020), health centers can be considered communities, becoming the potential target of community and public health nurses care, especially in the public health unit. One of the main functions of a public health unit is the epidemiological surveillance of the population’s health state. However, traditional epidemiological surveillance is focused on diseases and Melo (2020) proposes a new approach for epidemiology focused on people in what concerns nursing diagnosis. The aim of this research is to identify the level of empowerment of four Portuguese primary healthcare structures, named as ACeS, so as to improve the epidemiological surveillance of nursing diagnoses. As methodology, we developed four focus group with all nursing leaders from all primary care units of the four ACeS, using the Portuguese version of the empowerment assessment rating scale. The results present the level of community empowerment of each ACeS according to the nine domains of the scale. The needs of intervention to improve the ACeS empowerment were also identified in order to develop the epidemiological surveillance of nursing diagnoses.


2020 ◽  
Vol 37 (5) ◽  
pp. 812-817
Author(s):  
Marjorie C. McCullagh ◽  
Jennifer Mecomber ◽  
Jayne J. Hubscher ◽  
Olivia G. Kingsinger ◽  
Kayla M. McBride ◽  
...  

2018 ◽  
Vol 28 (suppl_4) ◽  
Author(s):  
G Duarte ◽  
A Leite ◽  
M Pinho ◽  
E Freire Rodrigues ◽  
H Capelão ◽  
...  

1974 ◽  
Vol 19 (6) ◽  
pp. 569-575 ◽  
Author(s):  
Stuart Fine ◽  
Robert Krell ◽  
P. Susan Stephenson ◽  
Roger Freeman ◽  
Irving Berlin

A brief definition of the consultation process is presented. Four different consultation programs (to schools, to a public health unit, to agencies for the handicapped and to a welfare agency) are described and the value of this process in providing service is stressed. Some indication of how the consultation process can be taught is mentioned and the need for more research and evaluation is emphasized.


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