scholarly journals Comparison of Cervicovaginal Cytopathological Samples Collected in Basic Health Units and in Private Clinics in the Midwest of Santa Catarina

2017 ◽  
Vol 40 (02) ◽  
pp. 086-091
Author(s):  
Bárbara Dallazem ◽  
Bibiana Dambrós ◽  
Conrado Gamba ◽  
Marcelo Perazzoli ◽  
Alexandre Kirschnick
Keyword(s):  
Intervention Study ◽  
Private Institutions ◽  
Squamous Cells ◽  
Basic Health ◽  
Negative Results ◽  
Unified Health System ◽  
Intraepithelial Lesions ◽  
And Training ◽  
Basic Health Units

Objective To compare the quality of cervicovaginal samples obtained from basic health units (BHUs) of the Unified Health System (SUS) and those obtained from private clinics to screen precursor lesions of cervical cancer. Methods It was an intervention study whose investigated variables were: adequacy of the samples; presence of epithelia in the samples, and cytopathological results. A total of 940 forms containing the analysis of the biological samples were examined: 470 forms of women attended at BHUs of the SUS and 470 forms of women examined in private clinics in January and February of 2016. Results All the unsatisfactory samples were collected at BHUs and corresponded to 4% of the total in this sector (p < 0.0001). There was a higher percentage of samples containing only squamous cells in the SUS (43.9%). There was squamocolumnar junction (SJC) representativeness in 82.1% of the samples from the private clinics (p < 0.0001). Regarding negative results for intraepithelial lesions and/or malignancies, the percentages obtained were 95.9% and 99.1% (p < 0.0049) in the exams collected in the private system and SUS, respectively. Less serious lesions corresponded to 0.89% of the samples from the SUS and 2.56% of the tests from the private sector; more serious lesions were not represented in the samples obtained from BHUs, whereas the percentage was 1.49% in private institutions. Conclusion Unsatisfactory cervical samples were observed only in exams performed at the SUS. There is a need for guidance and training of professionals who perform this procedure to achieve higher reliability in the results and more safety for women who undergo this preventive test.

scholarly journals QUALITY ASSESSMENT OF HEALTH SERVICES OF BASIC HEALTH UNITS OF DISTRICT PESHAWAR

2020 ◽  
Vol 28 (4) ◽  
pp. 377-379
Author(s):  
Adeela Mustafa ◽  
Romana Ayub ◽  
Bakht Danyal Khan ◽  
Alveena Karam ◽  
Faizan . ◽  
...  
Keyword(s):  
Quality Assessment ◽  
Service Provision ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Basic Health ◽  
Depth Analysis ◽  
Staff Behavior ◽  
Basic Health Units

ABSTRACT Objectives: To assess the quality of service provision of different Basic Health Units of district Peshawar. Materials and Methods: It was a simple descriptive Cross-sectional study which was carried out in 06 months duration. A total of 08 BHUs of district Peshawar were included in the study using convenient sampling technique. Data was collected through a semi structured questionnaire, direct observation and discussions with the respondents. The data was analyzed through SPSS version22. The data was presented using tables and graphs. Results: In depth analysis of the various facilities in BHUs were done. 8 BHUs were selected. Availability of medicines in BHUs was 12%. 75% of the BHUs had a clean continuous supply of drinking water whereas 50% had less than one hour of electricity per day. Also 76% of the patients were satisfied with the healthcare. Patients were mostly satisfied as far as staff behavior and convenience was concerned. However, 91% agreed that there is still room for improvement. Conclusion: Main issues found in all of the BHUs was non-availability of medicines, electricity problem, and sometimes non-availability of doctors. Keywords: BHU, quality assessment, service provision  

scholarly journals Care for Elderly Victims of Violence in Primary Detention

2020 ◽  
pp. 36-44
Author(s):  
Thaynara Ludvig ◽  
Sávia Denise Silva Carlotto Herrera ◽  
Neilton Araujo de Oliveira ◽  
Marcos Gontijo da Silva ◽  
Rodrigo Disconzi Nunes ◽  
...  
Keyword(s):  
Residency Program ◽  
Health Workers ◽  
The Elderly ◽  
Medical Residency ◽  
Cross Sectional ◽  
Basic Health ◽  
Basic Care ◽  
Victims Of Violence ◽  
Basic Health Units

Aims: The present study aimed to evaluate the quality of care provided to elderly victims of violence, comparing the basic health units (BHU) of the municipality of Gurupi-TO with and without the medical residency program in family and community health. Study Design:  This is a descriptive, cross-sectional and retrospective study. Place and Duration of Study: Study from December 2017 to March 2018. Performed in 12 basic health units (BHU) in the municipality of Gurupi-TO, with a total of 21 family health teams, 10 (ten) have the Family Medical Medical Residency Program (FMMRP) and are distributed in six BHU, totaling approximately 210 individuals, divided into 21 teams.     Methodology: Study conducted in 12 BHU, in which health workers responded to the QualiAB assessment and monitoring instrument and the data were tested by the chi-square test to verify if there is a difference in care, considering p≤5% through the EPI INFO 3.2.2 program. Results: We interviewed 107 health workers who found that of the 16 items analyzed, eight had better levels in BHU with MRPFCM. Conclusion: The presence of MRPFCM programs contributes and improves the quality of service in basic health units, regarding the care of the elderly victims of violence and, as a public policy, should receive support for its expansion and effective incorporation in basic care to SUS users.

scholarly journals Fatores associados à qualidade de vida global em idosos cadastrados em unidades básicas de saúde

2020 ◽  
Vol 42 ◽  
pp. e25
Author(s):  
Mariano Martínez Espinosa ◽  
Dayane De Carvalho Rodrigues ◽  
Nathany Luzia de Oliveira ◽  
Bryan Mariano Martínez Alves ◽  
Samira Reschetti Marcon
Keyword(s):  
Quality Of Life ◽  
Prevalence Ratio ◽  
Multiple Regression Model ◽  
Cross Sectional ◽  
Basic Health ◽  
Global Quality ◽  
Study Results ◽  
Global Quality Of Life ◽  
Basic Health Units

The aim this study was to evaluate the demographic, socioeconomic and health condition variables and the WHOQOL-BREF and WHOQOL-OLD domains associated to the overall quality of life registered in Basic Health Units. This is a cross-sectional study, with the population of elderly participants from eight Basic Health Units in the Municipality of Cuiabá-MT, considering a random sample of 317 elderly. For the data collection, a structured questionnaire was applied with demographic, socioeconomic and health questions, in addition to the WHOQOL-BREF and WHOQOL-OLD instruments. To associate the global quality of life with the variables and domains of the two instruments, the crude prevalence ratio and the robust Poisson multiple regression model were used. The variables and domains that showed the highest associations with overall quality of life were: health problems, health services used and the scores of the physical, environment and intimacy domains. The study results show that the indicated factors and domains constitute risk factors for the global quality of life of the studied elderly.

scholarly journals Evaluation of prenatal care at basic health units in the city of Sao Paulo

2008 ◽  
Vol 16 (6) ◽  
pp. 986-992 ◽  
Author(s):  
Regina Célia de Menezes Succi ◽  
Elisabeth Niglio Figueiredo ◽  
Letícia de Carvalho Zanatta ◽  
Marina Biffani Peixe ◽  
Marina Bertelli Rossi ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Sao Paulo ◽  
São Paulo ◽  
The Public ◽  
Basic Health ◽  
Medical Visits ◽  
Before And After ◽  
The City ◽  
Basic Health Units

The aim of this study was to evaluate the quality of prenatal care offered in 12 Basic Health Units (BHU) in the city of Sao Paulo, Brazil, through a review of medical and nurse charts, before and after the municipalization of the public health system. The indicator used considered excellence in care as: starting prenatal care in the first quarter of pregnancy; at least six medical visits; at least two results of blood screening for syphilis and one for HIV; returning to BHU up to 42 days after delivery. This indicator was not present in any care delivered in 2000, and only 7.7% of the care delivered in 2004 obtained it (1.1% to 30% of the care per unit assessed). Although there was an evident improvement in care during the period, the low proportion of excellent prenatal care shows an urgent need to improve this care in the BHU of São Paulo city.

Assessment of 100% Rapid Review as an Effective Tool for Internal Quality Control in Cytopathological Services

2017 ◽  
Vol 61 (3) ◽  
pp. 207-213 ◽  
Author(s):  
José Queiroz Filho ◽  
Janaina Cristiana de Oliveira Crispim Freitas ◽  
Daliana Caldas Pessoa ◽  
José Eleutério Júnior ◽  
Paulo César Giraldo ◽  
...  
Keyword(s):  
Quality Control ◽  
Kappa Statistic ◽  
Weighted Kappa ◽  
Final Diagnosis ◽  
Internal Quality Control ◽  
Rapid Review ◽  
Internal Quality ◽  
Squamous Cells ◽  
Negative Results ◽  
Intraepithelial Lesions

Objective: The aim of this study was to evaluate the 100% rapid review (100%-RR) as an effective tool for internal quality control (IQC) in gynecological cytopathology services. Study Design: A total of 8,677 swabs were analyzed; the negative results were submitted to 100%-RR. Divergent cases were discussed in a consensus meeting to reach a conclusion on the final diagnosis. The data were entered into SAS statistical software, and the agreement of the 100%-RR results with the final diagnosis was tested with the weighted kappa statistic. Results: Of the 8,155 smears characterized as negative, 255 (3.13%) were abnormal smears, and 552 (6.77%) unsatisfactory smears were deemed negative. Regarding the results on the 8,155 smears subjected to 100%-RR when compared with the final diagnosis, there was agreement in 7,063 (86.60%) of them, and there were 1,092 (13.40%) discordant results (65.6%, unsatisfactory; 5.47%, atypical squamous cells of undetermined significance [ASC-US]). The κ index had an agreement of 0.867, with κ = 0.734 (p < 0.0001). Compared with the final diagnosis, the sensitivity of 100%-RR was 99.91% and its specificity was 99.4% for severe abnormalities. The sensitivity for high-grade squamous intraepithelial lesions was 88.2%, with a specificity of 100.00%. For abnormalities considered borderline, such as ASC-US, the sensitivity was 94.50% and the specificity was 99.5%. Conclusion: The 100%-RR was considered efficient when used as an IQC method.

scholarly journals Qualidade da assistência pré-natal realizada por enfermeiros das unidades básicas de saúde de Cáceres-MT / Quality of prenatal care provided by nurses at the basic health units of Cáceres-MT

2021 ◽  
Vol 4 (1) ◽  
pp. 3173-3193
Author(s):  
Cristiane dos Santos Viana ◽  
Danyella Rodrigues de Almeida ◽  
Adryelle Lemes de Campos ◽  
Aline de Almeida Silva ◽  
Carolina Sampaio de Oliveira ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Basic Health ◽  
Basic Health Units

Effect of Computerized Auditory Training on Speech Perception of Adults With Hearing Impairment

2013 ◽  
Vol 20 (3) ◽  
pp. 91-106 ◽  
Author(s):  
Rachel Pizarek ◽  
Valeriy Shafiro ◽  
Patricia McCarthy
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Literature Review ◽  
Low Cost ◽  
Experimental Designs ◽  
Auditory Training ◽  
Hearing Impairments ◽  
Communicative Disorders ◽  
And Training

Computerized auditory training (CAT) is a convenient, low-cost approach to improving communication of individuals with hearing loss or other communicative disorders. A number of CAT programs are being marketed to patients and audiologists. The present literature review is an examination of evidence for the effectiveness of CAT in improving speech perception in adults with hearing impairments. Six current CAT programs, used in 9 published studies, were reviewed. In all 9 studies, some benefit of CAT for speech perception was demonstrated. Although these results are encouraging, the overall quality of available evidence remains low, and many programs currently on the market have not yet been evaluated. Thus, caution is needed when selecting CAT programs for specific patients. It is hoped that future researchers will (a) examine a greater number of CAT programs using more rigorous experimental designs, (b) determine which program features and training regimens are most effective, and (c) indicate which patients may benefit from CAT the most.

Strategi Penyelenggaraan Diklat Dan Ujian Sertifikasi Keahlian Pengadaan Barang/ Jasa Pemerintah Di Lingkungan Pemerintah Kabupaten Magelang

2017 ◽  
Vol 24 (1) ◽  
pp. 87-106
Author(s):  
Wiharyanto Wiharyanto
Keyword(s):  
Education And Training ◽  
Test System ◽  
Civil Servants ◽  
Quality Of Education ◽  
Alternative Formulation ◽  
Computer Assisted ◽  
Certification Exams ◽  
The Government ◽  
And Training

The study aims to analyze about the low graduation and certification exam training participants of the procurement of goods / services of the government and its contributing factors, and formulate a strategy of education and training and skills certification exams procurement of goods / services of the government. Collecting data using the method of study documentation, interviews, and questionnaires. Is the official source of information on the structural and functional Regional Employment Board, as well as the participants of the training and skills certification exams procurement of goods / services of the government in Magelang regency government environment. Analysis using 4 quadrant SWOT analysis, to determine the issue or strategic factors in improving the quality of education and training and skills certification exams procurement of government goods / services within the Government of Magelang regency. The results show organizer position is in quadrant I, which is supporting the growth strategy, with 3 alternative formulation strategies that improve the quality of education and training and skills certification exams procurement of government goods / services, and conducts certification examination of the procurement of government goods / services with computer assisted test system (CAT). Based on the research recommendations formulated advice to the organizing committee, namely: of prospective participants of the training and skills certification exams procurement of goods / services the government should consider the motivation of civil servants, is examinees who have attended training in the same period of the year, the need for simulation procurement of goods / services significantly, an additional allocation of training time, giving sanction to civil servants who have not passed the exam, the provision of adequate classroom space with the number of participants of each class are proportional, as well as explore the evaluation of education and training and skills certification exams procurement of goods / services for Government of participants.

Vocation Education Quality from Demand Side’s Perspective: The Case of Transport Technology Universities in the North of Vietnam

2019 ◽  
Vol 10 (11) ◽  
pp. 1089-1097
Author(s):  
Nguyen Quynh Hoa ◽  
◽  
Phung Chu Hoang ◽  
Keyword(s):  
Vocational Training ◽  
Vocational Education And Training ◽  
Quality Outcomes ◽  
The North ◽  
Job Opportunities ◽  
Management Capacity ◽  
Negative Effect ◽  
Training Quality ◽  
And Training

Quality outcomes from vocational education and training (VET) are fundamental to ensuring a skilled workforce and supporting a productive economy. The quality of vocational training from the demand’s perspective is defined as meeting the customer specification, needs or requirements. Using the method of Exploratory Factor Analysis (EFA) and Multiple Regression Analysis to get the analytical results of 275 respondents as graduates of University of Transport and Communication, University of Transport Technology (the two universities training on transportation in the North of Vietnam), the results show that factors are measured by the observed variables in the study that ensure reliability and relevance. The descriptive statistics result of vocational training quality is 3.28, while all independent variables are at average level (between 3.1 to 3.48) with the highest value related to the quality of the teacher and the lowest are facilities and training programs and management capacity of university. However, the regression results show that the qualification of the teacher, material facilities and training program, management capacity and job opportunities at the training school do not affect the quality of the training while “Learners-NH” have a great positive effect and the labor market information has a negative effect on the training quality of the school significantly. Base on those data, some policy recommendations have been given out in order to improve the training quality of transport technology universities in the north of Vietnam in particular and the vocational training quality of Vietnam in general.

Incidence of Cytological Abnormalities in Pap's Smear in HIV Positive Women

2018 ◽  
Vol 2 (S1) ◽  
pp. e000136
Author(s):  
Suhana Jotva ◽  
Hemani Desai ◽  
Hansa Goswami
Keyword(s):  
Trichomonas Vaginalis ◽  
Clinical History ◽  
Hiv Positive ◽  
Squamous Intraepithelial Lesions ◽  
Squamous Cells ◽  
Medical College ◽  
Hiv Positive Women ◽  
Cytological Abnormalities ◽  
Intraepithelial Lesions ◽  
Hiv Negative

Aims and Objectives: The aim of present study is to estimate the frequency of abnormal PAP’s smears and mainly to detect precancerous and cancerous lesions as well as inflammatory lesions in HIV infected women. Methodology: Our study was a retrospective study of total 130 cases and PAP’s smears were examined in cytology section in Department of Pathology, BJ Medical College, Ahmedabad from 1st March 2017 to 31st August 2017. Both HIV positive and HIV negative patients were included in the study. 80 patients were HIV negative and 50 patients were HIV positive. The clinical history and relevant parameters were noted. All the smears were processed by a conventional method using Papanicolaou stain.  Results: Out of 130 cases, 118 cases were reported negative for intraepithelial lesions or malignancy (NILM). Five cases were positive for squamous intraepithelial lesions (SIL) out of which four were HIV positive. Seven cases were of atypical squamous cells of undetermined significance (ASCUS) out of which 5 were HIV positive. Three cases were showing bacterial vaginosis. 1 case was showing Trichomonas Vaginalis. 19 cases were showing changes of non-specific inflammation. 6 cases were showing atrophic changes.  Conclusion: HIV infected women are at more risk to develop cervical cytological abnormalities. The study revealed a maximum number of non-specific inflammatory smears followed by smears showing atrophic changes. Smears suspicious for malignancy (ASCUS) and smears showing squamous intraepithelial lesions (SIL) were more common in HIV positive patients. Thus regular PAP’s smears screening as recommended by National AIDS Control Organization (NACO) will help in early detection of cervical abnormalities in HIV positive women. 

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